location-name: South Central Regional Medical Center
source-page-url: https://scrmc.com/
mrf-url: https://scrmc.com/
contact-name: Brittany Hasbargen
contact-email: bhasbargen@scrmc.com
hospital_name	last_updated_on	Version	hospital_location	hospital_address	license_number|TX	"To the best of its knowledge and belief, the hospital has included all applicable standard charge information in accordance with the requirements of 45 CFR 180.50, and the information encoded is true, accurate, and complete as of the date indicated."																																																																																			
South Central Regional Medical Center	8/20/2025	2.0.0	South Central Regional Medical Center	"1220 Jefferson St. Laurel, MS 39440-4355"	250058	TRUE																																																																																			
description	code|1	code|1|type	setting	drug_unit_of_measurement	drug_type_of_measurement	standard_charge|gross	standard_charge|discounted_cash	modifiers	standard_charge|American Life Care|American Life Care|negotiated_percentage	standard_charge|American Life Care|American Life Care|negotiated_dollar	standard_charge|American Life Care|American Life Care|negotiated_algorithm	standard_charge|American Life Care|American Life Care|methodology	additional_payer_notes|American Life Care|American Life Care	estimated_amount|American Life Care|American Life Care	standard_charge|Cigna|Cigna|negotiated_percentage	standard_charge|Cigna|Cigna|negotiated_dollar	standard_charge|Cigna|Cigna|negotiated_algorithm	standard_charge|Cigna|Cigna|methodology	additional_payer_notes|Cigna|Cigna	estimated_amount|Cigna|Cigna	standard_charge|First Health/Coventry|First Health/Coventry|negotiated_percentage	standard_charge|First Health/Coventry|First Health/Coventry|negotiated_dollar	standard_charge|First Health/Coventry|First Health/Coventry|negotiated_algorithm	standard_charge|First Health/Coventry|First Health/Coventry|methodology	additional_payer_notes|First Health/Coventry|First Health/Coventry	estimated_amount|First Health/Coventry|First Health/Coventry	standard_charge|Health Partners|Health Partners|negotiated_percentage	standard_charge|Health Partners|Health Partners|negotiated_dollar	standard_charge|Health Partners|Health Partners|negotiated_algorithm	standard_charge|Health Partners|Health Partners|methodology	additional_payer_notes|Health Partners|Health Partners	estimated_amount|Health Partners|Health Partners	standard_charge|HealthSpring|Managed Medicare 100%|negotiated_percentage	standard_charge|HealthSpring|Managed Medicare 100%|negotiated_dollar	standard_charge|HealthSpring|Managed Medicare 100%|negotiated_algorithm	standard_charge|HealthSpring|Managed Medicare 100%|methodology	additional_payer_notes|HealthSpring|Managed Medicare 100%	estimated_amount|HealthSpring|Managed Medicare 100%	standard_charge|MHA|MHA|negotiated_percentage	standard_charge|MHA|MHA|negotiated_dollar	standard_charge|MHA|MHA|negotiated_algorithm	standard_charge|MHA|MHA|methodology	additional_payer_notes|MHA|MHA	estimated_amount|MHA|MHA	standard_charge|Molina Marketplace|Molina Marketplace (MCR)|negotiated_percentage	standard_charge|Molina Marketplace|Molina Marketplace (MCR)|negotiated_dollar	standard_charge|Molina Marketplace|Molina Marketplace (MCR)|negotiated_algorithm	standard_charge|Molina Marketplace|Molina Marketplace (MCR)|methodology	additional_payer_notes|Molina Marketplace|Molina Marketplace (MCR)	estimated_amount|Molina Marketplace|Molina Marketplace (MCR)	standard_charge|Pyramid|Managed Medicare 100%|negotiated_percentage	standard_charge|Pyramid|Managed Medicare 100%|negotiated_dollar	standard_charge|Pyramid|Managed Medicare 100%|negotiated_algorithm	standard_charge|Pyramid|Managed Medicare 100%|methodology	additional_payer_notes|Pyramid|Managed Medicare 100%	estimated_amount|Pyramid|Managed Medicare 100%	standard_charge|Tricare|Managed Medicare 100%|negotiated_percentage	standard_charge|Tricare|Managed Medicare 100%|negotiated_dollar	standard_charge|Tricare|Managed Medicare 100%|negotiated_algorithm	standard_charge|Tricare|Managed Medicare 100%|methodology	additional_payer_notes|Tricare|Managed Medicare 100%	estimated_amount|Tricare|Managed Medicare 100%	standard_charge|Tricare|Tricare|negotiated_percentage	standard_charge|Tricare|Tricare|negotiated_dollar	standard_charge|Tricare|Tricare|negotiated_algorithm	standard_charge|Tricare|Tricare|methodology	additional_payer_notes|Tricare|Tricare	estimated_amount|Tricare|Tricare	standard_charge|UMR|UHC All Payer|negotiated_percentage	standard_charge|UMR|UHC All Payer|negotiated_dollar	standard_charge|UMR|UHC All Payer|negotiated_algorithm	standard_charge|UMR|UHC All Payer|methodology	additional_payer_notes|UMR|UHC All Payer	estimated_amount|UMR|UHC All Payer	standard_charge|United Healthcare|UHC All Payer|negotiated_percentage	standard_charge|United Healthcare|UHC All Payer|negotiated_dollar	standard_charge|United Healthcare|UHC All Payer|negotiated_algorithm	standard_charge|United Healthcare|UHC All Payer|methodology	additional_payer_notes|United Healthcare|UHC All Payer	estimated_amount|United Healthcare|UHC All Payer	standard_charge|Wellcare|Managed Medicare 100%|negotiated_percentage	standard_charge|Wellcare|Managed Medicare 100%|negotiated_dollar	standard_charge|Wellcare|Managed Medicare 100%|negotiated_algorithm	standard_charge|Wellcare|Managed Medicare 100%|methodology	additional_payer_notes|Wellcare|Managed Medicare 100%	estimated_amount|Wellcare|Managed Medicare 100%	standard_charge|min	standard_charge|max	additional_generic_notes
vaginal delivery without sterilization or d&c without cc/mcc	807	MS-DRG	Inpatient			4470.63	2905.91		90			Percent of total billed charges		4023.56		4279.5		Case rate	DRG Factor * DRG Weight	4279.5	80			Percent of total billed charges		3576.5	90			Percent of total billed charges		4023.56		4201.37		Case rate	DRG Factor * DRG Weight	4201.37	85			Percent of total billed charges		3800.03		4201.37		Case rate	DRG Factor * DRG Weight	4201.37		4201.37		Case rate	DRG Factor * DRG Weight	4201.37		4201.37		Case rate	DRG Factor * DRG Weight	4201.37		3110.15		Case rate	DRG Factor * DRG Weight	3110.15		2844		Case rate		2844		2844		Case rate		2844		4201.37		Case rate	DRG Factor * DRG Weight	4201.37	2844	4279.5	
vaginal delivery without sterilization or d&c with cc	806	MS-DRG	Inpatient			4882.26	3173.47		90			Percent of total billed charges		4394.03		4863.38		Case rate	DRG Factor * DRG Weight	4863.38	80			Percent of total billed charges		3905.8	90			Percent of total billed charges		4394.03		4774.58		Case rate	DRG Factor * DRG Weight	4774.58	85			Percent of total billed charges		4149.92		4774.58		Case rate	DRG Factor * DRG Weight	4774.58		4774.58		Case rate	DRG Factor * DRG Weight	4774.58		4774.58		Case rate	DRG Factor * DRG Weight	4774.58		3635.68		Case rate	DRG Factor * DRG Weight	3635.68		2844		Case rate		2844		2844		Case rate		2844		4774.58		Case rate	DRG Factor * DRG Weight	4774.58	2844	4863.38	
cesarean section with sterilization without cc/mcc	785	MS-DRG	Inpatient			5895.4	3832.01		90			Percent of total billed charges		5305.86		5893.42		Case rate	DRG Factor * DRG Weight	5893.42	80			Percent of total billed charges		4716.32	90			Percent of total billed charges		5305.86		5785.82		Case rate	DRG Factor * DRG Weight	5785.82	85			Percent of total billed charges		5011.09		5785.82		Case rate	DRG Factor * DRG Weight	5785.82		5785.82		Case rate	DRG Factor * DRG Weight	5785.82		5785.82		Case rate	DRG Factor * DRG Weight	5785.82		5611.03		Case rate	DRG Factor * DRG Weight	5611.03		3908		Case rate		3908		3908		Case rate		3908		5785.82		Case rate	DRG Factor * DRG Weight	5785.82	3908	5893.42	
cesarean section without sterilization without cc/mcc	788	MS-DRG	Inpatient			6505.5	4228.58		90			Percent of total billed charges		5854.95		6082.42		Case rate	DRG Factor * DRG Weight	6082.42	80			Percent of total billed charges		5204.4	90			Percent of total billed charges		5854.95		5971.37		Case rate	DRG Factor * DRG Weight	5971.37	85			Percent of total billed charges		5529.68		5971.37		Case rate	DRG Factor * DRG Weight	5971.37		5971.37		Case rate	DRG Factor * DRG Weight	5971.37		5971.37		Case rate	DRG Factor * DRG Weight	5971.37		6248.48		Case rate	DRG Factor * DRG Weight	6248.48		3908		Case rate		3908		3908		Case rate		3908		5971.37		Case rate	DRG Factor * DRG Weight	5971.37	3908	6248.48	
vaginal delivery with sterilization and/or d&c without cc/mcc	798	MS-DRG	Inpatient			11025.65	7166.67		90			Percent of total billed charges		9923.08		6536.02		Case rate	DRG Factor * DRG Weight	6536.02	80			Percent of total billed charges		8820.52	90			Percent of total billed charges		9923.08		6416.69		Case rate	DRG Factor * DRG Weight	6416.69	85			Percent of total billed charges		9371.8		6416.69		Case rate	DRG Factor * DRG Weight	6416.69		6416.69		Case rate	DRG Factor * DRG Weight	6416.69		6416.69		Case rate	DRG Factor * DRG Weight	6416.69		7177.22		Case rate	DRG Factor * DRG Weight	7177.22		2844		Case rate		3554		2844		Case rate		3554		6416.69		Case rate	DRG Factor * DRG Weight	6416.69	3554	9923.08	
vaginal delivery with o.r. procedures except sterilization and/or d&c	768	MS-DRG	Inpatient			4415	2869.75		90			Percent of total billed charges		3973.5		6691.28		Case rate	DRG Factor * DRG Weight	6691.28	80			Percent of total billed charges		3532	90			Percent of total billed charges		3973.5		6569.11		Case rate	DRG Factor * DRG Weight	6569.11	85			Percent of total billed charges		3752.75		6569.11		Case rate	DRG Factor * DRG Weight	6569.11		6569.11		Case rate	DRG Factor * DRG Weight	6569.11		6569.11		Case rate	DRG Factor * DRG Weight	6569.11		4102.65		Case rate	DRG Factor * DRG Weight	4102.65		2844		Case rate		2844		2844		Case rate		2844		6569.11		Case rate	DRG Factor * DRG Weight	6569.11	2844	6691.28	
vaginal delivery without sterilization or d&c with mcc	805	MS-DRG	Inpatient			6248.76	4061.69		90			Percent of total billed charges		5623.88		6703.42		Case rate	DRG Factor * DRG Weight	6703.42	80			Percent of total billed charges		4999	90			Percent of total billed charges		5623.88		6581.04		Case rate	DRG Factor * DRG Weight	6581.04	85			Percent of total billed charges		5311.44		6581.04		Case rate	DRG Factor * DRG Weight	6581.04		6581.04		Case rate	DRG Factor * DRG Weight	6581.04		6581.04		Case rate	DRG Factor * DRG Weight	6581.04		4078.19		Case rate	DRG Factor * DRG Weight	4078.19		2844		Case rate		3554		2844		Case rate		3554		6581.04		Case rate	DRG Factor * DRG Weight	6581.04	3554	6703.42	
cesarean section without sterilization with cc	787	MS-DRG	Inpatient			6993.46	4545.75		90			Percent of total billed charges		6294.11		7139.48		Case rate	DRG Factor * DRG Weight	7139.48	80			Percent of total billed charges		5594.76	90			Percent of total billed charges		6294.11		7009.12		Case rate	DRG Factor * DRG Weight	7009.12	85			Percent of total billed charges		5944.44		7009.12		Case rate	DRG Factor * DRG Weight	7009.12		7009.12		Case rate	DRG Factor * DRG Weight	7009.12		7009.12		Case rate	DRG Factor * DRG Weight	7009.12		6771.78		Case rate	DRG Factor * DRG Weight	6771.78		3908		Case rate		3908		3908		Case rate		3908		7009.12		Case rate	DRG Factor * DRG Weight	7009.12	3908	7139.48	
cesarean section with sterilization with cc	784	MS-DRG	Inpatient			5921.5	3848.98		90			Percent of total billed charges		5329.35		7246.12		Case rate	DRG Factor * DRG Weight	7246.12	80			Percent of total billed charges		4737.2	90			Percent of total billed charges		5329.35		7113.83		Case rate	DRG Factor * DRG Weight	7113.83	85			Percent of total billed charges		5033.28		7113.83		Case rate	DRG Factor * DRG Weight	7113.83		7113.83		Case rate	DRG Factor * DRG Weight	7113.83		7113.83		Case rate	DRG Factor * DRG Weight	7113.83		6617.6		Case rate	DRG Factor * DRG Weight	6617.6		3908		Case rate		3908		3908		Case rate		3908		7113.83		Case rate	DRG Factor * DRG Weight	7113.83	3908	7246.12	
cesarean section without sterilization with mcc	786	MS-DRG	Inpatient			6482.5	4213.62		90			Percent of total billed charges		5834.25		10536.08		Case rate	DRG Factor * DRG Weight	10536.08	80			Percent of total billed charges		5186	90			Percent of total billed charges		5834.25		10343.71		Case rate	DRG Factor * DRG Weight	10343.71	85			Percent of total billed charges		5510.12		10343.71		Case rate	DRG Factor * DRG Weight	10343.71		10343.71		Case rate	DRG Factor * DRG Weight	10343.71		10343.71		Case rate	DRG Factor * DRG Weight	10343.71		11569.69		Case rate	DRG Factor * DRG Weight	11569.69		3908		Case rate		3908		3908		Case rate		3908		10343.71		Case rate	DRG Factor * DRG Weight	10343.71	3908	11569.69	
cesarean section with sterilization with mcc	783	MS-DRG	Inpatient			8471.07	5506.2		90			Percent of total billed charges		7623.96		12434.18		Case rate	DRG Factor * DRG Weight	12434.18	80			Percent of total billed charges		6776.86	90			Percent of total billed charges		7623.96		12207.15		Case rate	DRG Factor * DRG Weight	12207.15	85			Percent of total billed charges		7200.41		12207.15		Case rate	DRG Factor * DRG Weight	12207.15		12207.15		Case rate	DRG Factor * DRG Weight	12207.15		12207.15		Case rate	DRG Factor * DRG Weight	12207.15		8758.98		Case rate	DRG Factor * DRG Weight	8758.98		3908		Case rate		3908		3908		Case rate		3908		12207.15		Case rate	DRG Factor * DRG Weight	12207.15	3908	12434.18	
other antepartum diagnoses without o.r. procedures without cc/mcc	833	MS-DRG	Inpatient			5272.63	3427.21		90			Percent of total billed charges		4745.36		3494.48		Case rate	DRG Factor * DRG Weight	3494.48	80			Percent of total billed charges		4218.1	90			Percent of total billed charges		4745.36		3430.67		Case rate	DRG Factor * DRG Weight	3430.67	85			Percent of total billed charges		4481.73		3430.67		Case rate	DRG Factor * DRG Weight	3430.67		3430.67		Case rate	DRG Factor * DRG Weight	3430.67		3430.67		Case rate	DRG Factor * DRG Weight	3430.67		2214.02		Case rate	DRG Factor * DRG Weight	2214.02		355		Per Diem		710		355		Per Diem		710		3430.67		Case rate	DRG Factor * DRG Weight	3430.67	710	4745.36	
gastrointestinal obstruction without cc/mcc	390	MS-DRG	Inpatient			10947.9	7116.14		90			Percent of total billed charges		9853.11		3667.28		Case rate	DRG Factor * DRG Weight	3667.28	80			Percent of total billed charges		8758.32	90			Percent of total billed charges		9853.11		3600.32		Case rate	DRG Factor * DRG Weight	3600.32	85			Percent of total billed charges		9305.72		3600.32		Case rate	DRG Factor * DRG Weight	3600.32		3600.32		Case rate	DRG Factor * DRG Weight	3600.32		3600.32		Case rate	DRG Factor * DRG Weight	3600.32		3400.71		Case rate	DRG Factor * DRG Weight	3400.71		1627		Per Diem		4881		1627		Per Diem		4881		3600.32		Case rate	DRG Factor * DRG Weight	3600.32	3400.71	9853.11	
heart failure and shock without cc/mcc	293	MS-DRG	Inpatient			11566.4	7518.16		90			Percent of total billed charges		10409.76		3680.1		Case rate	DRG Factor * DRG Weight	3680.1	80			Percent of total billed charges		9253.12	90			Percent of total billed charges		10409.76		3612.91		Case rate	DRG Factor * DRG Weight	3612.91	85			Percent of total billed charges		9831.44		3612.91		Case rate	DRG Factor * DRG Weight	3612.91		3612.91		Case rate	DRG Factor * DRG Weight	3612.91		3612.91		Case rate	DRG Factor * DRG Weight	3612.91		2798.84		Case rate	DRG Factor * DRG Weight	2798.84		1627		Per Diem		3254		1627		Per Diem		3254		3612.91		Case rate	DRG Factor * DRG Weight	3612.91	2798.84	10409.76	
cardiac arrhythmia and conduction disorders without cc/mcc	310	MS-DRG	Inpatient			13970.75	9080.99		90			Percent of total billed charges		12573.68		3762.45		Case rate	DRG Factor * DRG Weight	3762.45	80			Percent of total billed charges		11176.6	90			Percent of total billed charges		12573.68		3693.76		Case rate	DRG Factor * DRG Weight	3693.76	85			Percent of total billed charges		11875.14		3693.76		Case rate	DRG Factor * DRG Weight	3693.76		3693.76		Case rate	DRG Factor * DRG Weight	3693.76		3693.76		Case rate	DRG Factor * DRG Weight	3693.76		3488.92		Case rate	DRG Factor * DRG Weight	3488.92		1627		Per Diem		4881		1627		Per Diem		4881		3693.76		Case rate	DRG Factor * DRG Weight	3693.76	3488.92	12573.68	
other factors influencing health status	951	MS-DRG	Inpatient			6344	4123.6		90			Percent of total billed charges		5709.6		3795.52		Case rate	DRG Factor * DRG Weight	3795.52	80			Percent of total billed charges		5075.2	90			Percent of total billed charges		5709.6		3726.23		Case rate	DRG Factor * DRG Weight	3726.23	85			Percent of total billed charges		5392.4		3726.23		Case rate	DRG Factor * DRG Weight	3726.23		3726.23		Case rate	DRG Factor * DRG Weight	3726.23		3726.23		Case rate	DRG Factor * DRG Weight	3726.23		2888.53		Case rate	DRG Factor * DRG Weight	2888.53		1627		Per Diem		1627		1627		Per Diem		1627		3726.23		Case rate	DRG Factor * DRG Weight	3726.23	1627	5709.6	
renal failure without cc/mcc	684	MS-DRG	Inpatient			10854.07	7055.14		90			Percent of total billed charges		9768.66		4078.35		Case rate	DRG Factor * DRG Weight	4078.35	80			Percent of total billed charges		8683.25	90			Percent of total billed charges		9768.66		4003.89		Case rate	DRG Factor * DRG Weight	4003.89	85			Percent of total billed charges		9225.96		4003.89		Case rate	DRG Factor * DRG Weight	4003.89		4003.89		Case rate	DRG Factor * DRG Weight	4003.89		4003.89		Case rate	DRG Factor * DRG Weight	4003.89		4225.69		Case rate	DRG Factor * DRG Weight	4225.69		1627		Per Diem		3254		1627		Per Diem		3254		4003.89		Case rate	DRG Factor * DRG Weight	4003.89	3254	9768.66	
disorders of pancreas except malignancy without cc/mcc	440	MS-DRG	Inpatient			9407.05	6114.58		90			Percent of total billed charges		8466.34		4124.25		Case rate	DRG Factor * DRG Weight	4124.25	80			Percent of total billed charges		7525.64	90			Percent of total billed charges		8466.34		4048.95		Case rate	DRG Factor * DRG Weight	4048.95	85			Percent of total billed charges		7995.99		4048.95		Case rate	DRG Factor * DRG Weight	4048.95		4048.95		Case rate	DRG Factor * DRG Weight	4048.95		4048.95		Case rate	DRG Factor * DRG Weight	4048.95		4014.44		Case rate	DRG Factor * DRG Weight	4014.44		1627		Per Diem		4881		1627		Per Diem		4881		4048.95		Case rate	DRG Factor * DRG Weight	4048.95	4014.44	8466.34	
"alcohol, drug abuse or dependence, left against medical advice"	894	MS-DRG	Inpatient			6968.73	4529.67		90			Percent of total billed charges		6271.85		4161.38		Case rate	DRG Factor * DRG Weight	4161.38	80			Percent of total billed charges		5574.98	90			Percent of total billed charges		6271.85		4085.4		Case rate	DRG Factor * DRG Weight	4085.4	85			Percent of total billed charges		5923.42		4085.4		Case rate	DRG Factor * DRG Weight	4085.4		4085.4		Case rate	DRG Factor * DRG Weight	4085.4		4085.4		Case rate	DRG Factor * DRG Weight	4085.4		3229.49		Case rate	DRG Factor * DRG Weight	3229.49		1627		Per Diem		1627		1627		Per Diem		1627		4085.4		Case rate	DRG Factor * DRG Weight	4085.4	1627	6271.85	
simple pneumonia and pleurisy without cc/mcc	195	MS-DRG	Inpatient			5693.5	3700.78		90			Percent of total billed charges		5124.15		4173.52		Case rate	DRG Factor * DRG Weight	4173.52	80			Percent of total billed charges		4554.8	90			Percent of total billed charges		5124.15		4097.33		Case rate	DRG Factor * DRG Weight	4097.33	85			Percent of total billed charges		4839.48		4097.33		Case rate	DRG Factor * DRG Weight	4097.33		4097.33		Case rate	DRG Factor * DRG Weight	4097.33		4097.33		Case rate	DRG Factor * DRG Weight	4097.33		4000.36		Case rate	DRG Factor * DRG Weight	4000.36		1627		Per Diem		3254		1627		Per Diem		3254		4097.33		Case rate	DRG Factor * DRG Weight	4097.33	3254	5124.15	
diabetes without cc/mcc	639	MS-DRG	Inpatient			8095.25	5261.91		90			Percent of total billed charges		7285.72		4212.68		Case rate	DRG Factor * DRG Weight	4212.68	80			Percent of total billed charges		6476.2	90			Percent of total billed charges		7285.72		4135.76		Case rate	DRG Factor * DRG Weight	4135.76	85			Percent of total billed charges		6880.96		4135.76		Case rate	DRG Factor * DRG Weight	4135.76		4135.76		Case rate	DRG Factor * DRG Weight	4135.76		4135.76		Case rate	DRG Factor * DRG Weight	4135.76		3355.5		Case rate	DRG Factor * DRG Weight	3355.5		1627		Per Diem		3254		1627		Per Diem		3254		4135.76		Case rate	DRG Factor * DRG Weight	4135.76	3254	7285.72	
menstrual and other female reproductive system disorders without cc/mcc	761	MS-DRG	Inpatient			9124.75	5931.09		90			Percent of total billed charges		8212.28		4216.72		Case rate	DRG Factor * DRG Weight	4216.72	80			Percent of total billed charges		7299.8	90			Percent of total billed charges		8212.28		4139.74		Case rate	DRG Factor * DRG Weight	4139.74	85			Percent of total billed charges		7756.04		4139.74		Case rate	DRG Factor * DRG Weight	4139.74		4139.74		Case rate	DRG Factor * DRG Weight	4139.74		4139.74		Case rate	DRG Factor * DRG Weight	4139.74		3560.82		Case rate	DRG Factor * DRG Weight	3560.82		1627		Per Diem		6508		1627		Per Diem		6508		4139.74		Case rate	DRG Factor * DRG Weight	4139.74	3560.82	8212.28	
other digestive system diagnoses without cc/mcc	395	MS-DRG	Inpatient			12778.24	8305.85		90			Percent of total billed charges		11500.41		4274.1		Case rate	DRG Factor * DRG Weight	4274.1	80			Percent of total billed charges		10222.59	90			Percent of total billed charges		11500.41		4196.06		Case rate	DRG Factor * DRG Weight	4196.06	85			Percent of total billed charges		10861.5		4196.06		Case rate	DRG Factor * DRG Weight	4196.06		4196.06		Case rate	DRG Factor * DRG Weight	4196.06		4196.06		Case rate	DRG Factor * DRG Weight	4196.06		5004.71		Case rate	DRG Factor * DRG Weight	5004.71		1627		Per Diem		4881		1627		Per Diem		4881		4196.06		Case rate	DRG Factor * DRG Weight	4196.06	4196.06	11500.41	
gastrointestinal hemorrhage without cc/mcc	379	MS-DRG	Inpatient			8156.92	5302		90			Percent of total billed charges		7341.23		4279.5		Case rate	DRG Factor * DRG Weight	4279.5	80			Percent of total billed charges		6525.54	90			Percent of total billed charges		7341.23		4201.37		Case rate	DRG Factor * DRG Weight	4201.37	85			Percent of total billed charges		6933.38		4201.37		Case rate	DRG Factor * DRG Weight	4201.37		4201.37		Case rate	DRG Factor * DRG Weight	4201.37		4201.37		Case rate	DRG Factor * DRG Weight	4201.37		4407.29		Case rate	DRG Factor * DRG Weight	4407.29		1627		Per Diem		4881		1627		Per Diem		4881		4201.37		Case rate	DRG Factor * DRG Weight	4201.37	4201.37	7341.23	
"infections, female reproductive system without cc/mcc"	759	MS-DRG	Inpatient			11520.25	7488.16		90			Percent of total billed charges		10368.23		4284.9		Case rate	DRG Factor * DRG Weight	4284.9	80			Percent of total billed charges		9216.2	90			Percent of total billed charges		10368.23		4206.67		Case rate	DRG Factor * DRG Weight	4206.67	85			Percent of total billed charges		9792.21		4206.67		Case rate	DRG Factor * DRG Weight	4206.67		4206.67		Case rate	DRG Factor * DRG Weight	4206.67		4206.67		Case rate	DRG Factor * DRG Weight	4206.67		3983.31		Case rate	DRG Factor * DRG Weight	3983.31		1627		Per Diem		4881		1627		Per Diem		4881		4206.67		Case rate	DRG Factor * DRG Weight	4206.67	3983.31	10368.23	
chronic obstructive pulmonary disease without cc/mcc	192	MS-DRG	Inpatient			12945.5	8414.58		90			Percent of total billed charges		11650.95		4346.32		Case rate	DRG Factor * DRG Weight	4346.32	80			Percent of total billed charges		10356.4	90			Percent of total billed charges		11650.95		4266.97		Case rate	DRG Factor * DRG Weight	4266.97	85			Percent of total billed charges		11003.68		4266.97		Case rate	DRG Factor * DRG Weight	4266.97		4266.97		Case rate	DRG Factor * DRG Weight	4266.97		4266.97		Case rate	DRG Factor * DRG Weight	4266.97		3759.46		Case rate	DRG Factor * DRG Weight	3759.46		1627		Per Diem		6508		1627		Per Diem		6508		4266.97		Case rate	DRG Factor * DRG Weight	4266.97	3759.46	11650.95	
"malignancy, male reproductive system without cc/mcc"	724	MS-DRG	Inpatient			4839.8	3145.87		90			Percent of total billed charges		4355.82		4347		Case rate	DRG Factor * DRG Weight	4347	80			Percent of total billed charges		3871.84	90			Percent of total billed charges		4355.82		4267.63		Case rate	DRG Factor * DRG Weight	4267.63	85			Percent of total billed charges		4113.83		4267.63		Case rate	DRG Factor * DRG Weight	4267.63		4267.63		Case rate	DRG Factor * DRG Weight	4267.63		4267.63		Case rate	DRG Factor * DRG Weight	4267.63		6659.85		Case rate	DRG Factor * DRG Weight	6659.85		1627		Per Diem		1627		1627		Per Diem		1627		4267.63		Case rate	DRG Factor * DRG Weight	4267.63	1627	6659.85	
dental and oral diseases without cc/mcc	159	MS-DRG	Inpatient			3675	2388.75		90			Percent of total billed charges		3307.5		4428		Case rate	DRG Factor * DRG Weight	4428	80			Percent of total billed charges		2940	90			Percent of total billed charges		3307.5		4347.15		Case rate	DRG Factor * DRG Weight	4347.15	85			Percent of total billed charges		3123.75		4347.15		Case rate	DRG Factor * DRG Weight	4347.15		4347.15		Case rate	DRG Factor * DRG Weight	4347.15		4347.15		Case rate	DRG Factor * DRG Weight	4347.15		5914.93		Case rate	DRG Factor * DRG Weight	5914.93		1627		Per Diem		3254		1627		Per Diem		3254		4347.15		Case rate	DRG Factor * DRG Weight	4347.15	2940	5914.93	
reticuloendothelial and immunity disorders without cc/mcc	816	MS-DRG	Inpatient			12870.85	8366.05		90			Percent of total billed charges		11583.76		4439.48		Case rate	DRG Factor * DRG Weight	4439.48	80			Percent of total billed charges		10296.68	90			Percent of total billed charges		11583.76		4358.42		Case rate	DRG Factor * DRG Weight	4358.42	85			Percent of total billed charges		10940.22		4358.42		Case rate	DRG Factor * DRG Weight	4358.42		4358.42		Case rate	DRG Factor * DRG Weight	4358.42		4358.42		Case rate	DRG Factor * DRG Weight	4358.42		3833.58		Case rate	DRG Factor * DRG Weight	3833.58		1627		Per Diem		3254		1627		Per Diem		3254		4358.42		Case rate	DRG Factor * DRG Weight	4358.42	3254	11583.76	
allergic reactions without mcc	916	MS-DRG	Inpatient			5736.65	3728.82		90			Percent of total billed charges		5162.98		4482.68		Case rate	DRG Factor * DRG Weight	4482.68	80			Percent of total billed charges		4589.32	90			Percent of total billed charges		5162.98		4400.83		Case rate	DRG Factor * DRG Weight	4400.83	85			Percent of total billed charges		4876.15		4400.83		Case rate	DRG Factor * DRG Weight	4400.83		4400.83		Case rate	DRG Factor * DRG Weight	4400.83		4400.83		Case rate	DRG Factor * DRG Weight	4400.83		3180.57		Case rate	DRG Factor * DRG Weight	3180.57		1627		Per Diem		1627		1627		Per Diem		1627		4400.83		Case rate	DRG Factor * DRG Weight	4400.83	1627	5162.98	
inflammatory bowel disease without cc/mcc	387	MS-DRG	Inpatient			13008.24	8455.36		90			Percent of total billed charges		11707.42		4498.88		Case rate	DRG Factor * DRG Weight	4498.88	80			Percent of total billed charges		10406.59	90			Percent of total billed charges		11707.42		4416.74		Case rate	DRG Factor * DRG Weight	4416.74	85			Percent of total billed charges		11057.01		4416.74		Case rate	DRG Factor * DRG Weight	4416.74		4416.74		Case rate	DRG Factor * DRG Weight	4416.74		4416.74		Case rate	DRG Factor * DRG Weight	4416.74		5015.09		Case rate	DRG Factor * DRG Weight	5015.09		1627		Per Diem		8135		1627		Per Diem		8135		4416.74		Case rate	DRG Factor * DRG Weight	4416.74	4416.74	11707.42	
"other ear, nose, mouth and throat diagnoses without cc/mcc"	156	MS-DRG	Inpatient			6805.5	4423.58		90			Percent of total billed charges		6124.95		4506.3		Case rate	DRG Factor * DRG Weight	4506.3	80			Percent of total billed charges		5444.4	90			Percent of total billed charges		6124.95		4424.02		Case rate	DRG Factor * DRG Weight	4424.02	85			Percent of total billed charges		5784.68		4424.02		Case rate	DRG Factor * DRG Weight	4424.02		4424.02		Case rate	DRG Factor * DRG Weight	4424.02		4424.02		Case rate	DRG Factor * DRG Weight	4424.02		4906.13		Case rate	DRG Factor * DRG Weight	4906.13		1627		Per Diem		3254		1627		Per Diem		3254		4424.02		Case rate	DRG Factor * DRG Weight	4424.02	3254	6124.95	
interstitial lung disease without cc/mcc	198	MS-DRG	Inpatient			10229.75	6649.34		90			Percent of total billed charges		9206.78		4518.45		Case rate	DRG Factor * DRG Weight	4518.45	80			Percent of total billed charges		8183.8	90			Percent of total billed charges		9206.78		4435.95		Case rate	DRG Factor * DRG Weight	4435.95	85			Percent of total billed charges		8695.29		4435.95		Case rate	DRG Factor * DRG Weight	4435.95		4435.95		Case rate	DRG Factor * DRG Weight	4435.95		4435.95		Case rate	DRG Factor * DRG Weight	4435.95		6402.65		Case rate	DRG Factor * DRG Weight	6402.65		1627		Per Diem		4881		1627		Per Diem		4881		4435.95		Case rate	DRG Factor * DRG Weight	4435.95	4435.95	9206.78	
atherosclerosis without mcc	303	MS-DRG	Inpatient			9679.5	6291.68		90			Percent of total billed charges		8711.55		4519.8		Case rate	DRG Factor * DRG Weight	4519.8	80			Percent of total billed charges		7743.6	90			Percent of total billed charges		8711.55		4437.28		Case rate	DRG Factor * DRG Weight	4437.28	85			Percent of total billed charges		8227.58		4437.28		Case rate	DRG Factor * DRG Weight	4437.28		4437.28		Case rate	DRG Factor * DRG Weight	4437.28		4437.28		Case rate	DRG Factor * DRG Weight	4437.28		4489.56		Case rate	DRG Factor * DRG Weight	4489.56		1627		Per Diem		1627		1627		Per Diem		1627		4437.28		Case rate	DRG Factor * DRG Weight	4437.28	1627	8711.55	
pneumothorax without cc/mcc	201	MS-DRG	Inpatient			6680.25	4342.16		90			Percent of total billed charges		6012.22		4552.2		Case rate	DRG Factor * DRG Weight	4552.2	80			Percent of total billed charges		5344.2	90			Percent of total billed charges		6012.22		4469.09		Case rate	DRG Factor * DRG Weight	4469.09	85			Percent of total billed charges		5678.21		4469.09		Case rate	DRG Factor * DRG Weight	4469.09		4469.09		Case rate	DRG Factor * DRG Weight	4469.09		4469.09		Case rate	DRG Factor * DRG Weight	4469.09		4104.87		Case rate	DRG Factor * DRG Weight	4104.87		1627		Per Diem		4881		1627		Per Diem		4881		4469.09		Case rate	DRG Factor * DRG Weight	4469.09	4104.87	6012.22	
other antepartum diagnoses with o.r. procedures without cc/mcc	819	MS-DRG	Inpatient			9822.63	6384.71		90			Percent of total billed charges		8840.36		4554.9		Case rate	DRG Factor * DRG Weight	4554.9	80			Percent of total billed charges		7858.1	90			Percent of total billed charges		8840.36		4471.74		Case rate	DRG Factor * DRG Weight	4471.74	85			Percent of total billed charges		8349.23		4471.74		Case rate	DRG Factor * DRG Weight	4471.74		4471.74		Case rate	DRG Factor * DRG Weight	4471.74		4471.74		Case rate	DRG Factor * DRG Weight	4471.74		5590.27		Case rate	DRG Factor * DRG Weight	5590.27		1627		Per Diem		3254		1627		Per Diem		3254		4471.74		Case rate	DRG Factor * DRG Weight	4471.74	3254	8840.36	
other circulatory system diagnoses without cc/mcc	316	MS-DRG	Inpatient			13624.78	8856.1		90			Percent of total billed charges		12262.3		4591.35		Case rate	DRG Factor * DRG Weight	4591.35	80			Percent of total billed charges		10899.82	90			Percent of total billed charges		12262.3		4507.52		Case rate	DRG Factor * DRG Weight	4507.52	85			Percent of total billed charges		11581.06		4507.52		Case rate	DRG Factor * DRG Weight	4507.52		4507.52		Case rate	DRG Factor * DRG Weight	4507.52		4507.52		Case rate	DRG Factor * DRG Weight	4507.52		5138.13		Case rate	DRG Factor * DRG Weight	5138.13		1627		Per Diem		3254		1627		Per Diem		3254		4507.52		Case rate	DRG Factor * DRG Weight	4507.52	3254	12262.3	
complications of treatment without cc/mcc	921	MS-DRG	Inpatient			4400.75	2860.49		90			Percent of total billed charges		3960.68		4618.35		Case rate	DRG Factor * DRG Weight	4618.35	80			Percent of total billed charges		3520.6	90			Percent of total billed charges		3960.68		4534.03		Case rate	DRG Factor * DRG Weight	4534.03	85			Percent of total billed charges		3740.64		4534.03		Case rate	DRG Factor * DRG Weight	4534.03		4534.03		Case rate	DRG Factor * DRG Weight	4534.03		4534.03		Case rate	DRG Factor * DRG Weight	4534.03		3618.63		Case rate	DRG Factor * DRG Weight	3618.63		1627		Per Diem		8135		1627		Per Diem		8135		4534.03		Case rate	DRG Factor * DRG Weight	4534.03	3520.6	8135	
kidney and urinary tract signs and symptoms without mcc	696	MS-DRG	Inpatient			10358.98	6733.33		90			Percent of total billed charges		9323.08		4627.8		Case rate	DRG Factor * DRG Weight	4627.8	80			Percent of total billed charges		8287.18	90			Percent of total billed charges		9323.08		4543.31		Case rate	DRG Factor * DRG Weight	4543.31	85			Percent of total billed charges		8805.13		4543.31		Case rate	DRG Factor * DRG Weight	4543.31		4543.31		Case rate	DRG Factor * DRG Weight	4543.31		4543.31		Case rate	DRG Factor * DRG Weight	4543.31		4916.51		Case rate	DRG Factor * DRG Weight	4916.51		1627		Per Diem		3254		1627		Per Diem		3254		4543.31		Case rate	DRG Factor * DRG Weight	4543.31	3254	9323.08	
intracranial hemorrhage or cerebral infarction without cc/mcc	66	MS-DRG	Inpatient			13695	8901.75		90			Percent of total billed charges		12325.5		4630.5		Case rate	DRG Factor * DRG Weight	4630.5	80			Percent of total billed charges		10956	90			Percent of total billed charges		12325.5		4545.96		Case rate	DRG Factor * DRG Weight	4545.96	85			Percent of total billed charges		11640.75		4545.96		Case rate	DRG Factor * DRG Weight	4545.96		4545.96		Case rate	DRG Factor * DRG Weight	4545.96		4545.96		Case rate	DRG Factor * DRG Weight	4545.96		6852.57		Case rate	DRG Factor * DRG Weight	6852.57		1627		Per Diem		3254		1627		Per Diem		3254		4545.96		Case rate	DRG Factor * DRG Weight	4545.96	3254	12325.5	
other kidney and urinary tract diagnoses without cc/mcc	700	MS-DRG	Inpatient			7637.25	4964.21		90			Percent of total billed charges		6873.52		4662.9		Case rate	DRG Factor * DRG Weight	4662.9	80			Percent of total billed charges		6109.8	90			Percent of total billed charges		6873.52		4577.77		Case rate	DRG Factor * DRG Weight	4577.77	85			Percent of total billed charges		6491.66		4577.77		Case rate	DRG Factor * DRG Weight	4577.77		4577.77		Case rate	DRG Factor * DRG Weight	4577.77		4577.77		Case rate	DRG Factor * DRG Weight	4577.77		5731.85		Case rate	DRG Factor * DRG Weight	5731.85		1627		Per Diem		4881		1627		Per Diem		4881		4577.77		Case rate	DRG Factor * DRG Weight	4577.77	4577.77	6873.52	
bronchitis and asthma without cc/mcc	203	MS-DRG	Inpatient			5474.5	3558.42		90			Percent of total billed charges		4927.05		4671.68		Case rate	DRG Factor * DRG Weight	4671.68	80			Percent of total billed charges		4379.6	90			Percent of total billed charges		4927.05		4586.38		Case rate	DRG Factor * DRG Weight	4586.38	85			Percent of total billed charges		4653.32		4586.38		Case rate	DRG Factor * DRG Weight	4586.38		4586.38		Case rate	DRG Factor * DRG Weight	4586.38		4586.38		Case rate	DRG Factor * DRG Weight	4586.38		3213.18		Case rate	DRG Factor * DRG Weight	3213.18		1627		Per Diem		3254		1627		Per Diem		3254		4586.38		Case rate	DRG Factor * DRG Weight	4586.38	3213.18	4927.05	
major esophageal disorders without cc/mcc	370	MS-DRG	Inpatient			18380.4	11947.26		90			Percent of total billed charges		16542.36		4673.02		Case rate	DRG Factor * DRG Weight	4673.02	80			Percent of total billed charges		14704.32	90			Percent of total billed charges		16542.36		4587.71		Case rate	DRG Factor * DRG Weight	4587.71	85			Percent of total billed charges		15623.34		4587.71		Case rate	DRG Factor * DRG Weight	4587.71		4587.71		Case rate	DRG Factor * DRG Weight	4587.71		4587.71		Case rate	DRG Factor * DRG Weight	4587.71		4637.07		Case rate	DRG Factor * DRG Weight	4637.07		1627		Per Diem		4881		1627		Per Diem		4881		4587.71		Case rate	DRG Factor * DRG Weight	4587.71	4587.71	16542.36	
angina pectoris	311	MS-DRG	Inpatient			13541.53	8801.99		90			Percent of total billed charges		12187.38		4679.78		Case rate	DRG Factor * DRG Weight	4679.78	80			Percent of total billed charges		10833.22	90			Percent of total billed charges		12187.38		4594.33		Case rate	DRG Factor * DRG Weight	4594.33	85			Percent of total billed charges		11510.3		4594.33		Case rate	DRG Factor * DRG Weight	4594.33		4594.33		Case rate	DRG Factor * DRG Weight	4594.33		4594.33		Case rate	DRG Factor * DRG Weight	4594.33		3790.59		Case rate	DRG Factor * DRG Weight	3790.59		1627		Per Diem		3254		1627		Per Diem		3254		4594.33		Case rate	DRG Factor * DRG Weight	4594.33	3254	12187.38	
"disorders of liver except malignancy, cirrhosis, or alcoholic hepatitis without cc/mcc"	443	MS-DRG	Inpatient			11285.13	7335.33		90			Percent of total billed charges		10156.61		4700.7		Case rate	DRG Factor * DRG Weight	4700.7	80			Percent of total billed charges		9028.1	90			Percent of total billed charges		10156.61		4614.88		Case rate	DRG Factor * DRG Weight	4614.88	85			Percent of total billed charges		9592.36		4614.88		Case rate	DRG Factor * DRG Weight	4614.88		4614.88		Case rate	DRG Factor * DRG Weight	4614.88		4614.88		Case rate	DRG Factor * DRG Weight	4614.88		4895.75		Case rate	DRG Factor * DRG Weight	4895.75		1627		Per Diem		3254		1627		Per Diem		3254		4614.88		Case rate	DRG Factor * DRG Weight	4614.88	3254	10156.61	
"cardiac arrest, unexplained with cc"	297	MS-DRG	Inpatient			30374.75	19743.59		90			Percent of total billed charges		27337.28		4727.7		Case rate	DRG Factor * DRG Weight	4727.7	80			Percent of total billed charges		24299.8	90			Percent of total billed charges		27337.28		4641.38		Case rate	DRG Factor * DRG Weight	4641.38	85			Percent of total billed charges		25818.54		4641.38		Case rate	DRG Factor * DRG Weight	4641.38		4641.38		Case rate	DRG Factor * DRG Weight	4641.38		4641.38		Case rate	DRG Factor * DRG Weight	4641.38		5994.24		Case rate	DRG Factor * DRG Weight	5994.24		1627		Per Diem		3254		1627		Per Diem		3254		4641.38		Case rate	DRG Factor * DRG Weight	4641.38	3254	27337.28	
otitis media and upper respiratory infection without mcc	153	MS-DRG	Inpatient			7317.5	4756.38		90			Percent of total billed charges		6585.75		4782.38		Case rate	DRG Factor * DRG Weight	4782.38	80			Percent of total billed charges		5854	90			Percent of total billed charges		6585.75		4695.06		Case rate	DRG Factor * DRG Weight	4695.06	85			Percent of total billed charges		6219.88		4695.06		Case rate	DRG Factor * DRG Weight	4695.06		4695.06		Case rate	DRG Factor * DRG Weight	4695.06		4695.06		Case rate	DRG Factor * DRG Weight	4695.06		2856.66		Case rate	DRG Factor * DRG Weight	2856.66		1627		Per Diem		4881		1627		Per Diem		4881		4695.06		Case rate	DRG Factor * DRG Weight	4695.06	2856.66	6585.75	
chest pain	313	MS-DRG	Inpatient			11194	7276.1		90			Percent of total billed charges		10074.6		4791.15		Case rate	DRG Factor * DRG Weight	4791.15	80			Percent of total billed charges		8955.2	90			Percent of total billed charges		10074.6		4703.67		Case rate	DRG Factor * DRG Weight	4703.67	85			Percent of total billed charges		9514.9		4703.67		Case rate	DRG Factor * DRG Weight	4703.67		4703.67		Case rate	DRG Factor * DRG Weight	4703.67		4703.67		Case rate	DRG Factor * DRG Weight	4703.67		4899.46		Case rate	DRG Factor * DRG Weight	4899.46		1627		Per Diem		3254		1627		Per Diem		3254		4703.67		Case rate	DRG Factor * DRG Weight	4703.67	3254	10074.6	
other infectious and parasitic diseases diagnoses without cc/mcc	869	MS-DRG	Inpatient			7697	5003.05		90			Percent of total billed charges		6927.3		4811.4		Case rate	DRG Factor * DRG Weight	4811.4	80			Percent of total billed charges		6157.6	90			Percent of total billed charges		6927.3		4723.55		Case rate	DRG Factor * DRG Weight	4723.55	85			Percent of total billed charges		6542.45		4723.55		Case rate	DRG Factor * DRG Weight	4723.55		4723.55		Case rate	DRG Factor * DRG Weight	4723.55		4723.55		Case rate	DRG Factor * DRG Weight	4723.55		3402.2		Case rate	DRG Factor * DRG Weight	3402.2		1627		Per Diem		3254		1627		Per Diem		3254		4723.55		Case rate	DRG Factor * DRG Weight	4723.55	3254	6927.3	
postpartum and postabortion diagnoses without o.r. procedures	776	MS-DRG	Inpatient			9234.43	6002.38		90			Percent of total billed charges		8310.98		4812.08		Case rate	DRG Factor * DRG Weight	4812.08	80			Percent of total billed charges		7387.54	90			Percent of total billed charges		8310.98		4724.22		Case rate	DRG Factor * DRG Weight	4724.22	85			Percent of total billed charges		7849.26		4724.22		Case rate	DRG Factor * DRG Weight	4724.22		4724.22		Case rate	DRG Factor * DRG Weight	4724.22		4724.22		Case rate	DRG Factor * DRG Weight	4724.22		3236.16		Case rate	DRG Factor * DRG Weight	3236.16		1627		Per Diem		4881		1627		Per Diem		4881		4724.22		Case rate	DRG Factor * DRG Weight	4724.22	3236.16	8310.98	
major gastrointestinal disorders and peritoneal infections without cc/mcc	373	MS-DRG	Inpatient			8697.33	5653.26		90			Percent of total billed charges		7827.59		4866.08		Case rate	DRG Factor * DRG Weight	4866.08	80			Percent of total billed charges		6957.86	90			Percent of total billed charges		7827.59		4777.23		Case rate	DRG Factor * DRG Weight	4777.23	85			Percent of total billed charges		7392.73		4777.23		Case rate	DRG Factor * DRG Weight	4777.23		4777.23		Case rate	DRG Factor * DRG Weight	4777.23		4777.23		Case rate	DRG Factor * DRG Weight	4777.23		3935.13		Case rate	DRG Factor * DRG Weight	3935.13		1627		Per Diem		4881		1627		Per Diem		4881		4777.23		Case rate	DRG Factor * DRG Weight	4777.23	3935.13	7827.59	
"acute myocardial infarction, discharged alive without cc/mcc"	282	MS-DRG	Inpatient			15955.5	10371.08		90			Percent of total billed charges		14359.95		4891.05		Case rate	DRG Factor * DRG Weight	4891.05	80			Percent of total billed charges		12764.4	90			Percent of total billed charges		14359.95		4801.75		Case rate	DRG Factor * DRG Weight	4801.75	85			Percent of total billed charges		13562.18		4801.75		Case rate	DRG Factor * DRG Weight	4801.75		4801.75		Case rate	DRG Factor * DRG Weight	4801.75		4801.75		Case rate	DRG Factor * DRG Weight	4801.75		6505.68		Case rate	DRG Factor * DRG Weight	6505.68		1627		Per Diem		3254		1627		Per Diem		3254		4801.75		Case rate	DRG Factor * DRG Weight	4801.75	3254	14359.95	
pleural effusion without cc/mcc	188	MS-DRG	Inpatient			11597.13	7538.13		90			Percent of total billed charges		10437.42		4929.52		Case rate	DRG Factor * DRG Weight	4929.52	80			Percent of total billed charges		9277.7	90			Percent of total billed charges		10437.42		4839.52		Case rate	DRG Factor * DRG Weight	4839.52	85			Percent of total billed charges		9857.56		4839.52		Case rate	DRG Factor * DRG Weight	4839.52		4839.52		Case rate	DRG Factor * DRG Weight	4839.52		4839.52		Case rate	DRG Factor * DRG Weight	4839.52		5471.68		Case rate	DRG Factor * DRG Weight	5471.68		1627		Per Diem		3254		1627		Per Diem		3254		4839.52		Case rate	DRG Factor * DRG Weight	4839.52	3254	10437.42	
other antepartum diagnoses without o.r. procedures with cc	832	MS-DRG	Inpatient			4549.5	2957.17		90			Percent of total billed charges		4094.55		4952.48		Case rate	DRG Factor * DRG Weight	4952.48	80			Percent of total billed charges		3639.6	90			Percent of total billed charges		4094.55		4862.05		Case rate	DRG Factor * DRG Weight	4862.05	85			Percent of total billed charges		3867.07		4862.05		Case rate	DRG Factor * DRG Weight	4862.05		4862.05		Case rate	DRG Factor * DRG Weight	4862.05		4862.05		Case rate	DRG Factor * DRG Weight	4862.05		3226.53		Case rate	DRG Factor * DRG Weight	3226.53		1627		Per Diem		3254		1627		Per Diem		3254		4862.05		Case rate	DRG Factor * DRG Weight	4862.05	3226.53	4952.48	
cardiac arrhythmia and conduction disorders with cc	309	MS-DRG	Inpatient			14306.2	9299.03		90			Percent of total billed charges		12875.58		4973.4		Case rate	DRG Factor * DRG Weight	4973.4	80			Percent of total billed charges		11444.96	90			Percent of total billed charges		12875.58		4882.6		Case rate	DRG Factor * DRG Weight	4882.6	85			Percent of total billed charges		12160.27		4882.6		Case rate	DRG Factor * DRG Weight	4882.6		4882.6		Case rate	DRG Factor * DRG Weight	4882.6		4882.6		Case rate	DRG Factor * DRG Weight	4882.6		4405.06		Case rate	DRG Factor * DRG Weight	4405.06		1627		Per Diem		4881		1627		Per Diem		4881		4882.6		Case rate	DRG Factor * DRG Weight	4882.6	4405.06	12875.58	
other musculoskeletal system and connective tissue diagnoses without cc/mcc	566	MS-DRG	Inpatient			13375.5	8694.08		90			Percent of total billed charges		12037.95		4989.6		Case rate	DRG Factor * DRG Weight	4989.6	80			Percent of total billed charges		10700.4	90			Percent of total billed charges		12037.95		4898.5		Case rate	DRG Factor * DRG Weight	4898.5	85			Percent of total billed charges		11369.18		4898.5		Case rate	DRG Factor * DRG Weight	4898.5		4898.5		Case rate	DRG Factor * DRG Weight	4898.5		4898.5		Case rate	DRG Factor * DRG Weight	4898.5		4967.65		Case rate	DRG Factor * DRG Weight	4967.65		1627		Per Diem		6508		1627		Per Diem		6508		4898.5		Case rate	DRG Factor * DRG Weight	4898.5	4898.5	12037.95	
benign prostatic hypertrophy without mcc	726	MS-DRG	Inpatient			11705	7608.25		90			Percent of total billed charges		10534.5		5001.08		Case rate	DRG Factor * DRG Weight	5001.08	80			Percent of total billed charges		9364	90			Percent of total billed charges		10534.5		4909.77		Case rate	DRG Factor * DRG Weight	4909.77	85			Percent of total billed charges		9949.25		4909.77		Case rate	DRG Factor * DRG Weight	4909.77		4909.77		Case rate	DRG Factor * DRG Weight	4909.77		4909.77		Case rate	DRG Factor * DRG Weight	4909.77		6013.51		Case rate	DRG Factor * DRG Weight	6013.51		1627		Per Diem		1627		1627		Per Diem		1627		4909.77		Case rate	DRG Factor * DRG Weight	4909.77	1627	10534.5	
dysequilibrium	149	MS-DRG	Inpatient			11123.5	7230.28		90			Percent of total billed charges		10011.15		5024.02		Case rate	DRG Factor * DRG Weight	5024.02	80			Percent of total billed charges		8898.8	90			Percent of total billed charges		10011.15		4932.3		Case rate	DRG Factor * DRG Weight	4932.3	85			Percent of total billed charges		9454.98		4932.3		Case rate	DRG Factor * DRG Weight	4932.3		4932.3		Case rate	DRG Factor * DRG Weight	4932.3		4932.3		Case rate	DRG Factor * DRG Weight	4932.3		6264.04		Case rate	DRG Factor * DRG Weight	6264.04		1627		Per Diem		3254		1627		Per Diem		3254		4932.3		Case rate	DRG Factor * DRG Weight	4932.3	3254	10011.15	
complicated peptic ulcer without cc/mcc	382	MS-DRG	Inpatient			22009.25	14306.01		90			Percent of total billed charges		19808.32		5036.85		Case rate	DRG Factor * DRG Weight	5036.85	80			Percent of total billed charges		17607.4	90			Percent of total billed charges		19808.32		4944.89		Case rate	DRG Factor * DRG Weight	4944.89	85			Percent of total billed charges		18707.86		4944.89		Case rate	DRG Factor * DRG Weight	4944.89		4944.89		Case rate	DRG Factor * DRG Weight	4944.89		4944.89		Case rate	DRG Factor * DRG Weight	4944.89		5485.76		Case rate	DRG Factor * DRG Weight	5485.76		1627		Per Diem		11389		1627		Per Diem		11389		4944.89		Case rate	DRG Factor * DRG Weight	4944.89	4944.89	19808.32	
nonspecific cerebrovascular disorders without cc/mcc	72	MS-DRG	Inpatient			17649	11471.85		90			Percent of total billed charges		15884.1		5043.6		Case rate	DRG Factor * DRG Weight	5043.6	80			Percent of total billed charges		14119.2	90			Percent of total billed charges		15884.1		4951.52		Case rate	DRG Factor * DRG Weight	4951.52	85			Percent of total billed charges		15001.65		4951.52		Case rate	DRG Factor * DRG Weight	4951.52		4951.52		Case rate	DRG Factor * DRG Weight	4951.52		4951.52		Case rate	DRG Factor * DRG Weight	4951.52		6502.71		Case rate	DRG Factor * DRG Weight	6502.71		1627		Per Diem		11389		1627		Per Diem		11389		4951.52		Case rate	DRG Factor * DRG Weight	4951.52	4951.52	15884.1	
hypertension without mcc	305	MS-DRG	Inpatient			14444.25	9388.76		90			Percent of total billed charges		12999.82		5045.62		Case rate	DRG Factor * DRG Weight	5045.62	80			Percent of total billed charges		11555.4	90			Percent of total billed charges		12999.82		4953.5		Case rate	DRG Factor * DRG Weight	4953.5	85			Percent of total billed charges		12277.61		4953.5		Case rate	DRG Factor * DRG Weight	4953.5		4953.5		Case rate	DRG Factor * DRG Weight	4953.5		4953.5		Case rate	DRG Factor * DRG Weight	4953.5		5452.41		Case rate	DRG Factor * DRG Weight	5452.41		1627		Per Diem		4881		1627		Per Diem		4881		4953.5		Case rate	DRG Factor * DRG Weight	4953.5	4881	12999.82	
epistaxis without mcc	151	MS-DRG	Inpatient			6332.25	4115.96		90			Percent of total billed charges		5699.02		5105.7		Case rate	DRG Factor * DRG Weight	5105.7	80			Percent of total billed charges		5065.8	90			Percent of total billed charges		5699.02		5012.48		Case rate	DRG Factor * DRG Weight	5012.48	85			Percent of total billed charges		5382.41		5012.48		Case rate	DRG Factor * DRG Weight	5012.48		5012.48		Case rate	DRG Factor * DRG Weight	5012.48		5012.48		Case rate	DRG Factor * DRG Weight	5012.48		9440.17		Case rate	DRG Factor * DRG Weight	9440.17		1627		Per Diem		3254		1627		Per Diem		3254		5012.48		Case rate	DRG Factor * DRG Weight	5012.48	3254	9440.17	
respiratory infections and inflammations without cc/mcc	179	MS-DRG	Inpatient			11226.29	7297.09		90			Percent of total billed charges		10103.66		5166.45		Case rate	DRG Factor * DRG Weight	5166.45	80			Percent of total billed charges		8981.03	90			Percent of total billed charges		10103.66		5072.12		Case rate	DRG Factor * DRG Weight	5072.12	85			Percent of total billed charges		9542.35		5072.12		Case rate	DRG Factor * DRG Weight	5072.12		5072.12		Case rate	DRG Factor * DRG Weight	5072.12		5072.12		Case rate	DRG Factor * DRG Weight	5072.12		5093.66		Case rate	DRG Factor * DRG Weight	5093.66		1627		Per Diem		4881		1627		Per Diem		4881		5072.12		Case rate	DRG Factor * DRG Weight	5072.12	4881	10103.66	
major chest trauma without cc/mcc	185	MS-DRG	Inpatient			11430	7429.5		90			Percent of total billed charges		10287		5218.42		Case rate	DRG Factor * DRG Weight	5218.42	80			Percent of total billed charges		9144	90			Percent of total billed charges		10287		5123.15		Case rate	DRG Factor * DRG Weight	5123.15	85			Percent of total billed charges		9715.5		5123.15		Case rate	DRG Factor * DRG Weight	5123.15		5123.15		Case rate	DRG Factor * DRG Weight	5123.15		5123.15		Case rate	DRG Factor * DRG Weight	5123.15		5355.31		Case rate	DRG Factor * DRG Weight	5355.31		1627		Per Diem		6508		1627		Per Diem		6508		5123.15		Case rate	DRG Factor * DRG Weight	5123.15	5123.15	10287	
"esophagitis, gastroenteritis and miscellaneous digestive disorders without mcc"	392	MS-DRG	Inpatient			11334	7367.1		90			Percent of total billed charges		10200.6		5235.98		Case rate	DRG Factor * DRG Weight	5235.98	80			Percent of total billed charges		9067.2	90			Percent of total billed charges		10200.6		5140.38		Case rate	DRG Factor * DRG Weight	5140.38	85			Percent of total billed charges		9633.9		5140.38		Case rate	DRG Factor * DRG Weight	5140.38		5140.38		Case rate	DRG Factor * DRG Weight	5140.38		5140.38		Case rate	DRG Factor * DRG Weight	5140.38		4917.99		Case rate	DRG Factor * DRG Weight	4917.99		1627		Per Diem		4881		1627		Per Diem		4881		5140.38		Case rate	DRG Factor * DRG Weight	5140.38	4881	10200.6	
endocrine disorders without cc/mcc	645	MS-DRG	Inpatient			7699	5004.35		90			Percent of total billed charges		6929.1		5240.02		Case rate	DRG Factor * DRG Weight	5240.02	80			Percent of total billed charges		6159.2	90			Percent of total billed charges		6929.1		5144.35		Case rate	DRG Factor * DRG Weight	5144.35	85			Percent of total billed charges		6544.15		5144.35		Case rate	DRG Factor * DRG Weight	5144.35		5144.35		Case rate	DRG Factor * DRG Weight	5144.35		5144.35		Case rate	DRG Factor * DRG Weight	5144.35		3852.12		Case rate	DRG Factor * DRG Weight	3852.12		1627		Per Diem		4881		1627		Per Diem		4881		5144.35		Case rate	DRG Factor * DRG Weight	5144.35	3852.12	6929.1	
"miscellaneous disorders of nutrition, metabolism, and fluids and electrolytes without mcc"	641	MS-DRG	Inpatient			7111.45	4622.44		90			Percent of total billed charges		6400.3		5246.78		Case rate	DRG Factor * DRG Weight	5246.78	80			Percent of total billed charges		5689.16	90			Percent of total billed charges		6400.3		5150.98		Case rate	DRG Factor * DRG Weight	5150.98	85			Percent of total billed charges		6044.73		5150.98		Case rate	DRG Factor * DRG Weight	5150.98		5150.98		Case rate	DRG Factor * DRG Weight	5150.98		5150.98		Case rate	DRG Factor * DRG Weight	5150.98		5018.05		Case rate	DRG Factor * DRG Weight	5018.05		1627		Per Diem		4881		1627		Per Diem		4881		5150.98		Case rate	DRG Factor * DRG Weight	5150.98	4881	6400.3	
urinary stones without mcc	694	MS-DRG	Inpatient			15402.47	10011.61		90			Percent of total billed charges		13862.22		5252.85		Case rate	DRG Factor * DRG Weight	5252.85	80			Percent of total billed charges		12321.98	90			Percent of total billed charges		13862.22		5156.94		Case rate	DRG Factor * DRG Weight	5156.94	85			Percent of total billed charges		13092.1		5156.94		Case rate	DRG Factor * DRG Weight	5156.94		5156.94		Case rate	DRG Factor * DRG Weight	5156.94		5156.94		Case rate	DRG Factor * DRG Weight	5156.94		4051.5		Case rate	DRG Factor * DRG Weight	4051.5		1627		Per Diem		3254		1627		Per Diem		3254		5156.94		Case rate	DRG Factor * DRG Weight	5156.94	3254	13862.22	
malignancy of hepatobiliary system or pancreas without cc/mcc	437	MS-DRG	Inpatient			25772.15	16751.9		90			Percent of total billed charges		23194.94		5282.55		Case rate	DRG Factor * DRG Weight	5282.55	80			Percent of total billed charges		20617.72	90			Percent of total billed charges		23194.94		5186.1		Case rate	DRG Factor * DRG Weight	5186.1	85			Percent of total billed charges		21906.33		5186.1		Case rate	DRG Factor * DRG Weight	5186.1		5186.1		Case rate	DRG Factor * DRG Weight	5186.1		5186.1		Case rate	DRG Factor * DRG Weight	5186.1		6837.75		Case rate	DRG Factor * DRG Weight	6837.75		1627		Per Diem		9762		1627		Per Diem		9762		5186.1		Case rate	DRG Factor * DRG Weight	5186.1	5186.1	23194.94	
other disorders of nervous system without cc/mcc	93	MS-DRG	Inpatient			14555	9460.75		90			Percent of total billed charges		13099.5		5295.38		Case rate	DRG Factor * DRG Weight	5295.38	80			Percent of total billed charges		11644	90			Percent of total billed charges		13099.5		5198.69		Case rate	DRG Factor * DRG Weight	5198.69	85			Percent of total billed charges		12371.75		5198.69		Case rate	DRG Factor * DRG Weight	5198.69		5198.69		Case rate	DRG Factor * DRG Weight	5198.69		5198.69		Case rate	DRG Factor * DRG Weight	5198.69		4935.04		Case rate	DRG Factor * DRG Weight	4935.04		1627		Per Diem		11389		1627		Per Diem		11389		5198.69		Case rate	DRG Factor * DRG Weight	5198.69	4935.04	13099.5	
signs and symptoms without mcc	948	MS-DRG	Inpatient			10636.5	6913.72		90			Percent of total billed charges		9572.85		5331.82		Case rate	DRG Factor * DRG Weight	5331.82	80			Percent of total billed charges		8509.2	90			Percent of total billed charges		9572.85		5234.48		Case rate	DRG Factor * DRG Weight	5234.48	85			Percent of total billed charges		9041.02		5234.48		Case rate	DRG Factor * DRG Weight	5234.48		5234.48		Case rate	DRG Factor * DRG Weight	5234.48		5234.48		Case rate	DRG Factor * DRG Weight	5234.48		6948.19		Case rate	DRG Factor * DRG Weight	6948.19		1627		Per Diem		3254		1627		Per Diem		3254		5234.48		Case rate	DRG Factor * DRG Weight	5234.48	3254	9572.85	
upper limb and toe amputation for circulatory system disorders without cc/mcc	257	MS-DRG	Inpatient			14195.25	9226.91		90			Percent of total billed charges		12775.72		5335.2		Case rate	DRG Factor * DRG Weight	5335.2	80			Percent of total billed charges		11356.2	90			Percent of total billed charges		12775.72		5237.79		Case rate	DRG Factor * DRG Weight	5237.79	85			Percent of total billed charges		12065.96		5237.79		Case rate	DRG Factor * DRG Weight	5237.79		5237.79		Case rate	DRG Factor * DRG Weight	5237.79		5237.79		Case rate	DRG Factor * DRG Weight	5237.79		8153.41		Case rate	DRG Factor * DRG Weight	8153.41		1627		Per Diem		3254		1627		Per Diem		3254		5237.79		Case rate	DRG Factor * DRG Weight	5237.79	3254	12775.72	
disorders of the biliary tract without cc/mcc	446	MS-DRG	Inpatient			23591.93	15334.75		90			Percent of total billed charges		21232.73		5365.58		Case rate	DRG Factor * DRG Weight	5365.58	80			Percent of total billed charges		18873.54	90			Percent of total billed charges		21232.73		5267.61		Case rate	DRG Factor * DRG Weight	5267.61	85			Percent of total billed charges		20053.14		5267.61		Case rate	DRG Factor * DRG Weight	5267.61		5267.61		Case rate	DRG Factor * DRG Weight	5267.61		5267.61		Case rate	DRG Factor * DRG Weight	5267.61		5702.2		Case rate	DRG Factor * DRG Weight	5702.2		1627		Per Diem		6508		1627		Per Diem		6508		5267.61		Case rate	DRG Factor * DRG Weight	5267.61	5267.61	21232.73	
gastrointestinal obstruction with cc	389	MS-DRG	Inpatient			9772.38	6352.05		90			Percent of total billed charges		8795.14		5373.68		Case rate	DRG Factor * DRG Weight	5373.68	80			Percent of total billed charges		7817.9	90			Percent of total billed charges		8795.14		5275.56		Case rate	DRG Factor * DRG Weight	5275.56	85			Percent of total billed charges		8306.52		5275.56		Case rate	DRG Factor * DRG Weight	5275.56		5275.56		Case rate	DRG Factor * DRG Weight	5275.56		5275.56		Case rate	DRG Factor * DRG Weight	5275.56		4424.34		Case rate	DRG Factor * DRG Weight	4424.34		1627		Per Diem		6508		1627		Per Diem		6508		5275.56		Case rate	DRG Factor * DRG Weight	5275.56	4424.34	8795.14	
transient ischemia without thrombolytic	69	MS-DRG	Inpatient			15315.63	9955.16		90			Percent of total billed charges		13784.06		5376.38		Case rate	DRG Factor * DRG Weight	5376.38	80			Percent of total billed charges		12252.5	90			Percent of total billed charges		13784.06		5278.21		Case rate	DRG Factor * DRG Weight	5278.21	85			Percent of total billed charges		13018.28		5278.21		Case rate	DRG Factor * DRG Weight	5278.21		5278.21		Case rate	DRG Factor * DRG Weight	5278.21		5278.21		Case rate	DRG Factor * DRG Weight	5278.21		6563.49		Case rate	DRG Factor * DRG Weight	6563.49		1627		Per Diem		3254		1627		Per Diem		3254		5278.21		Case rate	DRG Factor * DRG Weight	5278.21	3254	13784.06	
kidney and urinary tract infections without mcc	690	MS-DRG	Inpatient			12868.45	8364.49		90			Percent of total billed charges		11581.61		5385.15		Case rate	DRG Factor * DRG Weight	5385.15	80			Percent of total billed charges		10294.76	90			Percent of total billed charges		11581.61		5286.83		Case rate	DRG Factor * DRG Weight	5286.83	85			Percent of total billed charges		10938.18		5286.83		Case rate	DRG Factor * DRG Weight	5286.83		5286.83		Case rate	DRG Factor * DRG Weight	5286.83		5286.83		Case rate	DRG Factor * DRG Weight	5286.83		4459.91		Case rate	DRG Factor * DRG Weight	4459.91		1627		Per Diem		4881		1627		Per Diem		4881		5286.83		Case rate	DRG Factor * DRG Weight	5286.83	4459.91	11581.61	
neurological eye disorders	123	MS-DRG	Inpatient			14652.25	9523.96		90			Percent of total billed charges		13187.02		5402.7		Case rate	DRG Factor * DRG Weight	5402.7	80			Percent of total billed charges		11721.8	90			Percent of total billed charges		13187.02		5304.06		Case rate	DRG Factor * DRG Weight	5304.06	85			Percent of total billed charges		12454.41		5304.06		Case rate	DRG Factor * DRG Weight	5304.06		5304.06		Case rate	DRG Factor * DRG Weight	5304.06		5304.06		Case rate	DRG Factor * DRG Weight	5304.06		6310.74		Case rate	DRG Factor * DRG Weight	6310.74		1627		Per Diem		4881		1627		Per Diem		4881		5304.06		Case rate	DRG Factor * DRG Weight	5304.06	4881	13187.02	
"aftercare, musculoskeletal system and connective tissue without cc/mcc"	561	MS-DRG	Inpatient			10013.25	6508.61		90			Percent of total billed charges		9011.92		5412.82		Case rate	DRG Factor * DRG Weight	5412.82	80			Percent of total billed charges		8010.6	90			Percent of total billed charges		9011.92		5314		Case rate	DRG Factor * DRG Weight	5314	85			Percent of total billed charges		8511.26		5314		Case rate	DRG Factor * DRG Weight	5314		5314		Case rate	DRG Factor * DRG Weight	5314		5314		Case rate	DRG Factor * DRG Weight	5314		7489.28		Case rate	DRG Factor * DRG Weight	7489.28		1627		Per Diem		3254		1627		Per Diem		3254		5314		Case rate	DRG Factor * DRG Weight	5314	3254	9011.92	
respiratory signs and symptoms	204	MS-DRG	Inpatient			11031.5	7170.48		90			Percent of total billed charges		9928.35		5440.5		Case rate	DRG Factor * DRG Weight	5440.5	80			Percent of total billed charges		8825.2	90			Percent of total billed charges		9928.35		5341.17		Case rate	DRG Factor * DRG Weight	5341.17	85			Percent of total billed charges		9376.78		5341.17		Case rate	DRG Factor * DRG Weight	5341.17		5341.17		Case rate	DRG Factor * DRG Weight	5341.17		5341.17		Case rate	DRG Factor * DRG Weight	5341.17		3932.91		Case rate	DRG Factor * DRG Weight	3932.91		1627		Per Diem		4881		1627		Per Diem		4881		5341.17		Case rate	DRG Factor * DRG Weight	5341.17	3932.91	9928.35	
fractures of hip and pelvis without mcc	536	MS-DRG	Inpatient			14832.4	9641.06		90			Percent of total billed charges		13349.16		5440.5		Case rate	DRG Factor * DRG Weight	5440.5	80			Percent of total billed charges		11865.92	90			Percent of total billed charges		13349.16		5341.17		Case rate	DRG Factor * DRG Weight	5341.17	85			Percent of total billed charges		12607.54		5341.17		Case rate	DRG Factor * DRG Weight	5341.17		5341.17		Case rate	DRG Factor * DRG Weight	5341.17		5341.17		Case rate	DRG Factor * DRG Weight	5341.17		5065.49		Case rate	DRG Factor * DRG Weight	5065.49		1627		Per Diem		8135		1627		Per Diem		8135		5341.17		Case rate	DRG Factor * DRG Weight	5341.17	5065.49	13349.16	
signs and symptoms of musculoskeletal system and connective tissue without mcc	556	MS-DRG	Inpatient			12498.5	8124.02		90			Percent of total billed charges		11248.65		5466.15		Case rate	DRG Factor * DRG Weight	5466.15	80			Percent of total billed charges		9998.8	90			Percent of total billed charges		11248.65		5366.35		Case rate	DRG Factor * DRG Weight	5366.35	85			Percent of total billed charges		10623.72		5366.35		Case rate	DRG Factor * DRG Weight	5366.35		5366.35		Case rate	DRG Factor * DRG Weight	5366.35		5366.35		Case rate	DRG Factor * DRG Weight	5366.35		5538.39		Case rate	DRG Factor * DRG Weight	5538.39		1627		Per Diem		3254		1627		Per Diem		3254		5366.35		Case rate	DRG Factor * DRG Weight	5366.35	3254	11248.65	
pulmonary embolism without mcc	176	MS-DRG	Inpatient			14571.25	9471.31		90			Percent of total billed charges		13114.12		5467.5		Case rate	DRG Factor * DRG Weight	5467.5	80			Percent of total billed charges		11657	90			Percent of total billed charges		13114.12		5367.68		Case rate	DRG Factor * DRG Weight	5367.68	85			Percent of total billed charges		12385.56		5367.68		Case rate	DRG Factor * DRG Weight	5367.68		5367.68		Case rate	DRG Factor * DRG Weight	5367.68		5367.68		Case rate	DRG Factor * DRG Weight	5367.68		5000.26		Case rate	DRG Factor * DRG Weight	5000.26		1627		Per Diem		4881		1627		Per Diem		4881		5367.68		Case rate	DRG Factor * DRG Weight	5367.68	4881	13114.12	
inflammation of the male reproductive system without mcc	728	MS-DRG	Inpatient			17813.04	11578.48		90			Percent of total billed charges		16031.74		5482.35		Case rate	DRG Factor * DRG Weight	5482.35	80			Percent of total billed charges		14250.43	90			Percent of total billed charges		16031.74		5382.25		Case rate	DRG Factor * DRG Weight	5382.25	85			Percent of total billed charges		15141.08		5382.25		Case rate	DRG Factor * DRG Weight	5382.25		5382.25		Case rate	DRG Factor * DRG Weight	5382.25		5382.25		Case rate	DRG Factor * DRG Weight	5382.25		3869.16		Case rate	DRG Factor * DRG Weight	3869.16		1627		Per Diem		6508		1627		Per Diem		6508		5382.25		Case rate	DRG Factor * DRG Weight	5382.25	3869.16	16031.74	
fractures of femur without mcc	534	MS-DRG	Inpatient			22600.52	14690.34		90			Percent of total billed charges		20340.47		5485.72		Case rate	DRG Factor * DRG Weight	5485.72	80			Percent of total billed charges		18080.42	90			Percent of total billed charges		20340.47		5385.57		Case rate	DRG Factor * DRG Weight	5385.57	85			Percent of total billed charges		19210.44		5385.57		Case rate	DRG Factor * DRG Weight	5385.57		5385.57		Case rate	DRG Factor * DRG Weight	5385.57		5385.57		Case rate	DRG Factor * DRG Weight	5385.57		4264.23		Case rate	DRG Factor * DRG Weight	4264.23		1627		Per Diem		9762		1627		Per Diem		9762		5385.57		Case rate	DRG Factor * DRG Weight	5385.57	4264.23	20340.47	
simple pneumonia and pleurisy with cc	194	MS-DRG	Inpatient			14224.18	9245.72		90			Percent of total billed charges		12801.76		5508		Case rate	DRG Factor * DRG Weight	5508	80			Percent of total billed charges		11379.34	90			Percent of total billed charges		12801.76		5407.44		Case rate	DRG Factor * DRG Weight	5407.44	85			Percent of total billed charges		12090.55		5407.44		Case rate	DRG Factor * DRG Weight	5407.44		5407.44		Case rate	DRG Factor * DRG Weight	5407.44		5407.44		Case rate	DRG Factor * DRG Weight	5407.44		5697.01		Case rate	DRG Factor * DRG Weight	5697.01		1627		Per Diem		4881		1627		Per Diem		4881		5407.44		Case rate	DRG Factor * DRG Weight	5407.44	4881	12801.76	
other disorders of the eye without mcc	125	MS-DRG	Inpatient			14239.2	9255.48		90			Percent of total billed charges		12815.28		5554.58		Case rate	DRG Factor * DRG Weight	5554.58	80			Percent of total billed charges		11391.36	90			Percent of total billed charges		12815.28		5453.16		Case rate	DRG Factor * DRG Weight	5453.16	85			Percent of total billed charges		12103.32		5453.16		Case rate	DRG Factor * DRG Weight	5453.16		5453.16		Case rate	DRG Factor * DRG Weight	5453.16		5453.16		Case rate	DRG Factor * DRG Weight	5453.16		5184.09		Case rate	DRG Factor * DRG Weight	5184.09		1627		Per Diem		3254		1627		Per Diem		3254		5453.16		Case rate	DRG Factor * DRG Weight	5453.16	3254	12815.28	
bone diseases and arthropathies without mcc	554	MS-DRG	Inpatient			13816.5	8980.72		90			Percent of total billed charges		12434.85		5589.68		Case rate	DRG Factor * DRG Weight	5589.68	80			Percent of total billed charges		11053.2	90			Percent of total billed charges		12434.85		5487.62		Case rate	DRG Factor * DRG Weight	5487.62	85			Percent of total billed charges		11744.02		5487.62		Case rate	DRG Factor * DRG Weight	5487.62		5487.62		Case rate	DRG Factor * DRG Weight	5487.62		5487.62		Case rate	DRG Factor * DRG Weight	5487.62		4887.6		Case rate	DRG Factor * DRG Weight	4887.6		1627		Per Diem		6508		1627		Per Diem		6508		5487.62		Case rate	DRG Factor * DRG Weight	5487.62	4887.6	12434.85	
headaches without mcc	103	MS-DRG	Inpatient			25597.13	16638.13		90			Percent of total billed charges		23037.41		5713.88		Case rate	DRG Factor * DRG Weight	5713.88	80			Percent of total billed charges		20477.7	90			Percent of total billed charges		23037.41		5609.55		Case rate	DRG Factor * DRG Weight	5609.55	85			Percent of total billed charges		21757.56		5609.55		Case rate	DRG Factor * DRG Weight	5609.55		5609.55		Case rate	DRG Factor * DRG Weight	5609.55		5609.55		Case rate	DRG Factor * DRG Weight	5609.55		6662.82		Case rate	DRG Factor * DRG Weight	6662.82		1627		Per Diem		3254		1627		Per Diem		3254		5609.55		Case rate	DRG Factor * DRG Weight	5609.55	3254	23037.41	
skin ulcers without cc/mcc	594	MS-DRG	Inpatient			3285	2135.25		90			Percent of total billed charges		2956.5		5717.92		Case rate	DRG Factor * DRG Weight	5717.92	80			Percent of total billed charges		2628	90			Percent of total billed charges		2956.5		5613.53		Case rate	DRG Factor * DRG Weight	5613.53	85			Percent of total billed charges		2792.25		5613.53		Case rate	DRG Factor * DRG Weight	5613.53		5613.53		Case rate	DRG Factor * DRG Weight	5613.53		5613.53		Case rate	DRG Factor * DRG Weight	5613.53		6478.25		Case rate	DRG Factor * DRG Weight	6478.25		1627		Per Diem		1627		1627		Per Diem		1627		5613.53		Case rate	DRG Factor * DRG Weight	5613.53	1627	6478.25	
chronic obstructive pulmonary disease with cc	191	MS-DRG	Inpatient			17502.4	11376.56		90			Percent of total billed charges		15752.16		5766.52		Case rate	DRG Factor * DRG Weight	5766.52	80			Percent of total billed charges		14001.92	90			Percent of total billed charges		15752.16		5661.24		Case rate	DRG Factor * DRG Weight	5661.24	85			Percent of total billed charges		14877.04		5661.24		Case rate	DRG Factor * DRG Weight	5661.24		5661.24		Case rate	DRG Factor * DRG Weight	5661.24		5661.24		Case rate	DRG Factor * DRG Weight	5661.24		5364.2		Case rate	DRG Factor * DRG Weight	5364.2		1627		Per Diem		4881		1627		Per Diem		4881		5661.24		Case rate	DRG Factor * DRG Weight	5661.24	4881	15752.16	
minor skin disorders without mcc	607	MS-DRG	Inpatient			5974.5	3883.42		90			Percent of total billed charges		5377.05		5775.3		Case rate	DRG Factor * DRG Weight	5775.3	80			Percent of total billed charges		4779.6	90			Percent of total billed charges		5377.05		5669.86		Case rate	DRG Factor * DRG Weight	5669.86	85			Percent of total billed charges		5078.32		5669.86		Case rate	DRG Factor * DRG Weight	5669.86		5669.86		Case rate	DRG Factor * DRG Weight	5669.86		5669.86		Case rate	DRG Factor * DRG Weight	5669.86		3989.98		Case rate	DRG Factor * DRG Weight	3989.98		1627		Per Diem		1627		1627		Per Diem		1627		5669.86		Case rate	DRG Factor * DRG Weight	5669.86	1627	5775.3	
disorders of pancreas except malignancy with cc	439	MS-DRG	Inpatient			11769.35	7650.08		90			Percent of total billed charges		10592.42		5775.3		Case rate	DRG Factor * DRG Weight	5775.3	80			Percent of total billed charges		9415.48	90			Percent of total billed charges		10592.42		5669.86		Case rate	DRG Factor * DRG Weight	5669.86	85			Percent of total billed charges		10003.95		5669.86		Case rate	DRG Factor * DRG Weight	5669.86		5669.86		Case rate	DRG Factor * DRG Weight	5669.86		5669.86		Case rate	DRG Factor * DRG Weight	5669.86		5878.61		Case rate	DRG Factor * DRG Weight	5878.61		1627		Per Diem		4881		1627		Per Diem		4881		5669.86		Case rate	DRG Factor * DRG Weight	5669.86	4881	10592.42	
heart failure and shock with cc	292	MS-DRG	Inpatient			13207.88	8585.12		90			Percent of total billed charges		11887.09		5790.82		Case rate	DRG Factor * DRG Weight	5790.82	80			Percent of total billed charges		10566.3	90			Percent of total billed charges		11887.09		5685.1		Case rate	DRG Factor * DRG Weight	5685.1	85			Percent of total billed charges		11226.69		5685.1		Case rate	DRG Factor * DRG Weight	5685.1		5685.1		Case rate	DRG Factor * DRG Weight	5685.1		5685.1		Case rate	DRG Factor * DRG Weight	5685.1		5873.42		Case rate	DRG Factor * DRG Weight	5873.42		1627		Per Diem		4881		1627		Per Diem		4881		5685.1		Case rate	DRG Factor * DRG Weight	5685.1	4881	11887.09	
"tendonitis, myositis and bursitis without mcc"	558	MS-DRG	Inpatient			7576.33	4924.61		90			Percent of total billed charges		6818.69		5795.55		Case rate	DRG Factor * DRG Weight	5795.55	80			Percent of total billed charges		6061.06	90			Percent of total billed charges		6818.69		5689.74		Case rate	DRG Factor * DRG Weight	5689.74	85			Percent of total billed charges		6439.88		5689.74		Case rate	DRG Factor * DRG Weight	5689.74		5689.74		Case rate	DRG Factor * DRG Weight	5689.74		5689.74		Case rate	DRG Factor * DRG Weight	5689.74		3530.43		Case rate	DRG Factor * DRG Weight	3530.43		1627		Per Diem		4881		1627		Per Diem		4881		5689.74		Case rate	DRG Factor * DRG Weight	5689.74	3530.43	6818.69	
septic arthritis without cc/mcc	550	MS-DRG	Inpatient			2084.75	1355.09		90			Percent of total billed charges		1876.28		5807.02		Case rate	DRG Factor * DRG Weight	5807.02	80			Percent of total billed charges		1667.8	90			Percent of total billed charges		1876.28		5701		Case rate	DRG Factor * DRG Weight	5701	85			Percent of total billed charges		1772.04		5701		Case rate	DRG Factor * DRG Weight	5701		5701		Case rate	DRG Factor * DRG Weight	5701		5701		Case rate	DRG Factor * DRG Weight	5701		4586.66		Case rate	DRG Factor * DRG Weight	4586.66		1627		Per Diem		1627		1627		Per Diem		1627		5701		Case rate	DRG Factor * DRG Weight	5701	1627	5807.02	
uncomplicated peptic ulcer without mcc	384	MS-DRG	Inpatient			13731.76	8925.64		90			Percent of total billed charges		12358.58		5843.48		Case rate	DRG Factor * DRG Weight	5843.48	80			Percent of total billed charges		10985.41	90			Percent of total billed charges		12358.58		5736.79		Case rate	DRG Factor * DRG Weight	5736.79	85			Percent of total billed charges		11672		5736.79		Case rate	DRG Factor * DRG Weight	5736.79		5736.79		Case rate	DRG Factor * DRG Weight	5736.79		5736.79		Case rate	DRG Factor * DRG Weight	5736.79		7489.28		Case rate	DRG Factor * DRG Weight	7489.28		1627		Per Diem		8135		1627		Per Diem		8135		5736.79		Case rate	DRG Factor * DRG Weight	5736.79	5736.79	12358.58	
syncope and collapse	312	MS-DRG	Inpatient			9061.25	5889.81		90			Percent of total billed charges		8155.12		5850.9		Case rate	DRG Factor * DRG Weight	5850.9	80			Percent of total billed charges		7249	90			Percent of total billed charges		8155.12		5744.08		Case rate	DRG Factor * DRG Weight	5744.08	85			Percent of total billed charges		7702.06		5744.08		Case rate	DRG Factor * DRG Weight	5744.08		5744.08		Case rate	DRG Factor * DRG Weight	5744.08		5744.08		Case rate	DRG Factor * DRG Weight	5744.08		5817.83		Case rate	DRG Factor * DRG Weight	5817.83		1627		Per Diem		3254		1627		Per Diem		3254		5744.08		Case rate	DRG Factor * DRG Weight	5744.08	3254	8155.12	
osteomyelitis without cc/mcc	541	MS-DRG	Inpatient			22033.75	14321.94		90			Percent of total billed charges		19830.38		5872.5		Case rate	DRG Factor * DRG Weight	5872.5	80			Percent of total billed charges		17627	90			Percent of total billed charges		19830.38		5765.28		Case rate	DRG Factor * DRG Weight	5765.28	85			Percent of total billed charges		18728.69		5765.28		Case rate	DRG Factor * DRG Weight	5765.28		5765.28		Case rate	DRG Factor * DRG Weight	5765.28		5765.28		Case rate	DRG Factor * DRG Weight	5765.28		5553.21		Case rate	DRG Factor * DRG Weight	5553.21		1627		Per Diem		11389		1627		Per Diem		11389		5765.28		Case rate	DRG Factor * DRG Weight	5765.28	5553.21	19830.38	
"alcohol, drug abuse or dependence without rehabilitation therapy without mcc"	897	MS-DRG	Inpatient			8895.25	5781.91		90			Percent of total billed charges		8005.72		5893.42		Case rate	DRG Factor * DRG Weight	5893.42	80			Percent of total billed charges		7116.2	90			Percent of total billed charges		8005.72		5785.82		Case rate	DRG Factor * DRG Weight	5785.82	85			Percent of total billed charges		7560.96		5785.82		Case rate	DRG Factor * DRG Weight	5785.82		5785.82		Case rate	DRG Factor * DRG Weight	5785.82		5785.82		Case rate	DRG Factor * DRG Weight	5785.82		6471.58		Case rate	DRG Factor * DRG Weight	6471.58		1627		Per Diem		4881		1627		Per Diem		4881		5785.82		Case rate	DRG Factor * DRG Weight	5785.82	4881	8005.72	
cellulitis without mcc	603	MS-DRG	Inpatient			10490.25	6818.66		90			Percent of total billed charges		9441.22		5910.3		Case rate	DRG Factor * DRG Weight	5910.3	80			Percent of total billed charges		8392.2	90			Percent of total billed charges		9441.22		5802.39		Case rate	DRG Factor * DRG Weight	5802.39	85			Percent of total billed charges		8916.71		5802.39		Case rate	DRG Factor * DRG Weight	5802.39		5802.39		Case rate	DRG Factor * DRG Weight	5802.39		5802.39		Case rate	DRG Factor * DRG Weight	5802.39		4731.94		Case rate	DRG Factor * DRG Weight	4731.94		1627		Per Diem		4881		1627		Per Diem		4881		5802.39		Case rate	DRG Factor * DRG Weight	5802.39	4731.94	9441.22	
nonspecific cerebrovascular accident and precerebral occlusion without infarction without mcc	68	MS-DRG	Inpatient			13998.5	9099.02		90			Percent of total billed charges		12598.65		5929.2		Case rate	DRG Factor * DRG Weight	5929.2	80			Percent of total billed charges		11198.8	90			Percent of total billed charges		12598.65		5820.95		Case rate	DRG Factor * DRG Weight	5820.95	85			Percent of total billed charges		11898.72		5820.95		Case rate	DRG Factor * DRG Weight	5820.95		5820.95		Case rate	DRG Factor * DRG Weight	5820.95		5820.95		Case rate	DRG Factor * DRG Weight	5820.95		7233.56		Case rate	DRG Factor * DRG Weight	7233.56		1627		Per Diem		3254		1627		Per Diem		3254		5820.95		Case rate	DRG Factor * DRG Weight	5820.95	3254	12598.65	
poisoning and toxic effects of drugs without mcc	918	MS-DRG	Inpatient			10001.25	6500.81		90			Percent of total billed charges		9001.12		5934.6		Case rate	DRG Factor * DRG Weight	5934.6	80			Percent of total billed charges		8001	90			Percent of total billed charges		9001.12		5826.25		Case rate	DRG Factor * DRG Weight	5826.25	85			Percent of total billed charges		8501.06		5826.25		Case rate	DRG Factor * DRG Weight	5826.25		5826.25		Case rate	DRG Factor * DRG Weight	5826.25		5826.25		Case rate	DRG Factor * DRG Weight	5826.25		4450.28		Case rate	DRG Factor * DRG Weight	4450.28		1627		Per Diem		3254		1627		Per Diem		3254		5826.25		Case rate	DRG Factor * DRG Weight	5826.25	3254	9001.12	
viral illness without mcc	866	MS-DRG	Inpatient			4672.75	3037.29		90			Percent of total billed charges		4205.48		5935.28		Case rate	DRG Factor * DRG Weight	5935.28	80			Percent of total billed charges		3738.2	90			Percent of total billed charges		4205.48		5826.91		Case rate	DRG Factor * DRG Weight	5826.91	85			Percent of total billed charges		3971.84		5826.91		Case rate	DRG Factor * DRG Weight	5826.91		5826.91		Case rate	DRG Factor * DRG Weight	5826.91		5826.91		Case rate	DRG Factor * DRG Weight	5826.91		5324.92		Case rate	DRG Factor * DRG Weight	5324.92		1627		Per Diem		3254		1627		Per Diem		3254		5826.91		Case rate	DRG Factor * DRG Weight	5826.91	3254	5935.28	
renal failure with cc	683	MS-DRG	Inpatient			13617.95	8851.67		90			Percent of total billed charges		12256.15		5970.38		Case rate	DRG Factor * DRG Weight	5970.38	80			Percent of total billed charges		10894.36	90			Percent of total billed charges		12256.15		5861.37		Case rate	DRG Factor * DRG Weight	5861.37	85			Percent of total billed charges		11575.26		5861.37		Case rate	DRG Factor * DRG Weight	5861.37		5861.37		Case rate	DRG Factor * DRG Weight	5861.37		5861.37		Case rate	DRG Factor * DRG Weight	5861.37		5416.09		Case rate	DRG Factor * DRG Weight	5416.09		1627		Per Diem		6508		1627		Per Diem		6508		5861.37		Case rate	DRG Factor * DRG Weight	5861.37	5416.09	12256.15	
"fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh without mcc"	563	MS-DRG	Inpatient			11967.25	7778.71		90			Percent of total billed charges		10770.52		5994		Case rate	DRG Factor * DRG Weight	5994	80			Percent of total billed charges		9573.8	90			Percent of total billed charges		10770.52		5884.56		Case rate	DRG Factor * DRG Weight	5884.56	85			Percent of total billed charges		10172.16		5884.56		Case rate	DRG Factor * DRG Weight	5884.56		5884.56		Case rate	DRG Factor * DRG Weight	5884.56		5884.56		Case rate	DRG Factor * DRG Weight	5884.56		5749.64		Case rate	DRG Factor * DRG Weight	5749.64		1627		Per Diem		6508		1627		Per Diem		6508		5884.56		Case rate	DRG Factor * DRG Weight	5884.56	5749.64	10770.52	
multiple sclerosis and cerebellar ataxia without cc/mcc	60	MS-DRG	Inpatient			11435.65	7433.17		90			Percent of total billed charges		10292.08		5998.72		Case rate	DRG Factor * DRG Weight	5998.72	80			Percent of total billed charges		9148.52	90			Percent of total billed charges		10292.08		5889.2		Case rate	DRG Factor * DRG Weight	5889.2	85			Percent of total billed charges		9720.3		5889.2		Case rate	DRG Factor * DRG Weight	5889.2		5889.2		Case rate	DRG Factor * DRG Weight	5889.2		5889.2		Case rate	DRG Factor * DRG Weight	5889.2		7928.82		Case rate	DRG Factor * DRG Weight	7928.82		1627		Per Diem		6508		1627		Per Diem		6508		5889.2		Case rate	DRG Factor * DRG Weight	5889.2	5889.2	10292.08	
fever and inflammatory conditions	864	MS-DRG	Inpatient			5882	3823.3		90			Percent of total billed charges		5293.8		6021		Case rate	DRG Factor * DRG Weight	6021	80			Percent of total billed charges		4705.6	90			Percent of total billed charges		5293.8		5911.07		Case rate	DRG Factor * DRG Weight	5911.07	85			Percent of total billed charges		4999.7		5911.07		Case rate	DRG Factor * DRG Weight	5911.07		5911.07		Case rate	DRG Factor * DRG Weight	5911.07		5911.07		Case rate	DRG Factor * DRG Weight	5911.07		5529.49		Case rate	DRG Factor * DRG Weight	5529.49		1627		Per Diem		4881		1627		Per Diem		4881		5911.07		Case rate	DRG Factor * DRG Weight	5911.07	4705.6	6021	
nontraumatic stupor and coma without mcc	81	MS-DRG	Inpatient			4347.65	2825.97		90			Percent of total billed charges		3912.88		6072.3		Case rate	DRG Factor * DRG Weight	6072.3	80			Percent of total billed charges		3478.12	90			Percent of total billed charges		3912.88		5961.43		Case rate	DRG Factor * DRG Weight	5961.43	85			Percent of total billed charges		3695.5		5961.43		Case rate	DRG Factor * DRG Weight	5961.43		5961.43		Case rate	DRG Factor * DRG Weight	5961.43		5961.43		Case rate	DRG Factor * DRG Weight	5961.43		4292.4		Case rate	DRG Factor * DRG Weight	4292.4		1627		Per Diem		1627		1627		Per Diem		1627		5961.43		Case rate	DRG Factor * DRG Weight	5961.43	1627	6072.3	
other respiratory system diagnoses without mcc	206	MS-DRG	Inpatient			24758.25	16092.86		90			Percent of total billed charges		22282.42		6083.78		Case rate	DRG Factor * DRG Weight	6083.78	80			Percent of total billed charges		19806.6	90			Percent of total billed charges		22282.42		5972.7		Case rate	DRG Factor * DRG Weight	5972.7	85			Percent of total billed charges		21044.51		5972.7		Case rate	DRG Factor * DRG Weight	5972.7		5972.7		Case rate	DRG Factor * DRG Weight	5972.7		5972.7		Case rate	DRG Factor * DRG Weight	5972.7		4061.14		Case rate	DRG Factor * DRG Weight	4061.14		1627		Per Diem		13016		1627		Per Diem		13016		5972.7		Case rate	DRG Factor * DRG Weight	5972.7	4061.14	22282.42	
other multiple significant trauma without cc/mcc	965	MS-DRG	Inpatient			11353.75	7379.94		90			Percent of total billed charges		10218.38		6153.3		Case rate	DRG Factor * DRG Weight	6153.3	80			Percent of total billed charges		9083	90			Percent of total billed charges		10218.38		6040.95		Case rate	DRG Factor * DRG Weight	6040.95	85			Percent of total billed charges		9650.69		6040.95		Case rate	DRG Factor * DRG Weight	6040.95		6040.95		Case rate	DRG Factor * DRG Weight	6040.95		6040.95		Case rate	DRG Factor * DRG Weight	6040.95		9084.38		Case rate	DRG Factor * DRG Weight	9084.38		1627		Per Diem		6508		1627		Per Diem		6508		6040.95		Case rate	DRG Factor * DRG Weight	6040.95	6040.95	10218.38	
traumatic injury without mcc	914	MS-DRG	Inpatient			22763	14795.95		90			Percent of total billed charges		20486.7		6156.68		Case rate	DRG Factor * DRG Weight	6156.68	80			Percent of total billed charges		18210.4	90			Percent of total billed charges		20486.7		6044.27		Case rate	DRG Factor * DRG Weight	6044.27	85			Percent of total billed charges		19348.55		6044.27		Case rate	DRG Factor * DRG Weight	6044.27		6044.27		Case rate	DRG Factor * DRG Weight	6044.27		6044.27		Case rate	DRG Factor * DRG Weight	6044.27		5579.16		Case rate	DRG Factor * DRG Weight	5579.16		1627		Per Diem		9762		1627		Per Diem		9762		6044.27		Case rate	DRG Factor * DRG Weight	6044.27	5579.16	20486.7	
diabetes with cc	638	MS-DRG	Inpatient			10502.7	6826.75		90			Percent of total billed charges		9452.43		6164.78		Case rate	DRG Factor * DRG Weight	6164.78	80			Percent of total billed charges		8402.16	90			Percent of total billed charges		9452.43		6052.22		Case rate	DRG Factor * DRG Weight	6052.22	85			Percent of total billed charges		8927.29		6052.22		Case rate	DRG Factor * DRG Weight	6052.22		6052.22		Case rate	DRG Factor * DRG Weight	6052.22		6052.22		Case rate	DRG Factor * DRG Weight	6052.22		4546.64		Case rate	DRG Factor * DRG Weight	4546.64		1627		Per Diem		3254		1627		Per Diem		3254		6052.22		Case rate	DRG Factor * DRG Weight	6052.22	3254	9452.43	
seizures without mcc	101	MS-DRG	Inpatient			11097	7213.05		90			Percent of total billed charges		9987.3		6191.1		Case rate	DRG Factor * DRG Weight	6191.1	80			Percent of total billed charges		8877.6	90			Percent of total billed charges		9987.3		6078.06		Case rate	DRG Factor * DRG Weight	6078.06	85			Percent of total billed charges		9432.45		6078.06		Case rate	DRG Factor * DRG Weight	6078.06		6078.06		Case rate	DRG Factor * DRG Weight	6078.06		6078.06		Case rate	DRG Factor * DRG Weight	6078.06		5616.96		Case rate	DRG Factor * DRG Weight	5616.96		1627		Per Diem		3254		1627		Per Diem		3254		6078.06		Case rate	DRG Factor * DRG Weight	6078.06	3254	9987.3	
"trauma to the skin, subcutaneous tissue & breast without mcc"	605	MS-DRG	Inpatient			5880.25	3822.16		90			Percent of total billed charges		5292.22		6197.18		Case rate	DRG Factor * DRG Weight	6197.18	80			Percent of total billed charges		4704.2	90			Percent of total billed charges		5292.22		6084.03		Case rate	DRG Factor * DRG Weight	6084.03	85			Percent of total billed charges		4998.21		6084.03		Case rate	DRG Factor * DRG Weight	6084.03		6084.03		Case rate	DRG Factor * DRG Weight	6084.03		6084.03		Case rate	DRG Factor * DRG Weight	6084.03		5782.25		Case rate	DRG Factor * DRG Weight	5782.25		1627		Per Diem		1627		1627		Per Diem		1627		6084.03		Case rate	DRG Factor * DRG Weight	6084.03	1627	6197.18	
viral meningitis without cc/mcc	76	MS-DRG	Inpatient			36591.07	23784.2		90			Percent of total billed charges		32931.96		6198.52		Case rate	DRG Factor * DRG Weight	6198.52	80			Percent of total billed charges		29272.86	90			Percent of total billed charges		32931.96		6085.35		Case rate	DRG Factor * DRG Weight	6085.35	85			Percent of total billed charges		31102.41		6085.35		Case rate	DRG Factor * DRG Weight	6085.35		6085.35		Case rate	DRG Factor * DRG Weight	6085.35		6085.35		Case rate	DRG Factor * DRG Weight	6085.35		4434.71		Case rate	DRG Factor * DRG Weight	4434.71		1627		Per Diem		13016		1627		Per Diem		13016		6085.35		Case rate	DRG Factor * DRG Weight	6085.35	4434.71	32931.96	
red blood cell disorders without mcc	812	MS-DRG	Inpatient			10268.25	6674.36		90			Percent of total billed charges		9241.42		6204.6		Case rate	DRG Factor * DRG Weight	6204.6	80			Percent of total billed charges		8214.6	90			Percent of total billed charges		9241.42		6091.32		Case rate	DRG Factor * DRG Weight	6091.32	85			Percent of total billed charges		8728.01		6091.32		Case rate	DRG Factor * DRG Weight	6091.32		6091.32		Case rate	DRG Factor * DRG Weight	6091.32		6091.32		Case rate	DRG Factor * DRG Weight	6091.32		5375.32		Case rate	DRG Factor * DRG Weight	5375.32		1627		Per Diem		4881		1627		Per Diem		4881		6091.32		Case rate	DRG Factor * DRG Weight	6091.32	4881	9241.42	
"acute myocardial infarction, discharged alive with cc"	281	MS-DRG	Inpatient			17011.7	11057.6		90			Percent of total billed charges		15310.53		6210.68		Case rate	DRG Factor * DRG Weight	6210.68	80			Percent of total billed charges		13609.36	90			Percent of total billed charges		15310.53		6097.28		Case rate	DRG Factor * DRG Weight	6097.28	85			Percent of total billed charges		14459.94		6097.28		Case rate	DRG Factor * DRG Weight	6097.28		6097.28		Case rate	DRG Factor * DRG Weight	6097.28		6097.28		Case rate	DRG Factor * DRG Weight	6097.28		8306.84		Case rate	DRG Factor * DRG Weight	8306.84		1627		Per Diem		4881		1627		Per Diem		4881		6097.28		Case rate	DRG Factor * DRG Weight	6097.28	4881	15310.53	
"other ear, nose, mouth and throat diagnoses with cc"	155	MS-DRG	Inpatient			23263.05	15120.98		90			Percent of total billed charges		20936.74		6255.9		Case rate	DRG Factor * DRG Weight	6255.9	80			Percent of total billed charges		18610.44	90			Percent of total billed charges		20936.74		6141.68		Case rate	DRG Factor * DRG Weight	6141.68	85			Percent of total billed charges		19773.59		6141.68		Case rate	DRG Factor * DRG Weight	6141.68		6141.68		Case rate	DRG Factor * DRG Weight	6141.68		6141.68		Case rate	DRG Factor * DRG Weight	6141.68		5654.02		Case rate	DRG Factor * DRG Weight	5654.02		1627		Per Diem		9762		1627		Per Diem		9762		6141.68		Case rate	DRG Factor * DRG Weight	6141.68	5654.02	20936.74	
abortion without d&c	779	MS-DRG	Inpatient			3732.5	2426.12		90			Percent of total billed charges		3359.25		6295.72		Case rate	DRG Factor * DRG Weight	6295.72	80			Percent of total billed charges		2986	90			Percent of total billed charges		3359.25		6180.78		Case rate	DRG Factor * DRG Weight	6180.78	85			Percent of total billed charges		3172.62		6180.78		Case rate	DRG Factor * DRG Weight	6180.78		6180.78		Case rate	DRG Factor * DRG Weight	6180.78		6180.78		Case rate	DRG Factor * DRG Weight	6180.78		3191.69		Case rate	DRG Factor * DRG Weight	3191.69		1627		Per Diem		1627		1627		Per Diem		1627		6180.78		Case rate	DRG Factor * DRG Weight	6180.78	1627	6295.72	
dental and oral diseases with cc	158	MS-DRG	Inpatient			7289.23	4738		90			Percent of total billed charges		6560.3		6306.52		Case rate	DRG Factor * DRG Weight	6306.52	80			Percent of total billed charges		5831.38	90			Percent of total billed charges		6560.3		6191.38		Case rate	DRG Factor * DRG Weight	6191.38	85			Percent of total billed charges		6195.84		6191.38		Case rate	DRG Factor * DRG Weight	6191.38		6191.38		Case rate	DRG Factor * DRG Weight	6191.38		6191.38		Case rate	DRG Factor * DRG Weight	6191.38		5302.68		Case rate	DRG Factor * DRG Weight	5302.68		1627		Per Diem		3254		1627		Per Diem		3254		6191.38		Case rate	DRG Factor * DRG Weight	6191.38	3254	6560.3	
other digestive system diagnoses with cc	394	MS-DRG	Inpatient			17271.57	11226.52		90			Percent of total billed charges		15544.41		6318.68		Case rate	DRG Factor * DRG Weight	6318.68	80			Percent of total billed charges		13817.26	90			Percent of total billed charges		15544.41		6203.31		Case rate	DRG Factor * DRG Weight	6203.31	85			Percent of total billed charges		14680.83		6203.31		Case rate	DRG Factor * DRG Weight	6203.31		6203.31		Case rate	DRG Factor * DRG Weight	6203.31		6203.31		Case rate	DRG Factor * DRG Weight	6203.31		6468.62		Case rate	DRG Factor * DRG Weight	6468.62		1627		Per Diem		6508		1627		Per Diem		6508		6203.31		Case rate	DRG Factor * DRG Weight	6203.31	6203.31	15544.41	
neuroses except depressive	882	MS-DRG	Inpatient			26974.52	17533.44		90			Percent of total billed charges		24277.07		6409.12		Case rate	DRG Factor * DRG Weight	6409.12	80			Percent of total billed charges		21579.62	90			Percent of total billed charges		24277.07		6292.11		Case rate	DRG Factor * DRG Weight	6292.11	85			Percent of total billed charges		22928.34		6292.11		Case rate	DRG Factor * DRG Weight	6292.11		6292.11		Case rate	DRG Factor * DRG Weight	6292.11		6292.11		Case rate	DRG Factor * DRG Weight	6292.11		10351.86		Case rate	DRG Factor * DRG Weight	10351.86		1627		Per Diem		16270		1627		Per Diem		16270		6292.11		Case rate	DRG Factor * DRG Weight	6292.11	6292.11	24277.07	
acute adjustment reaction and psychosocial dysfunction	880	MS-DRG	Inpatient			12026.75	7817.39		90			Percent of total billed charges		10824.08		6419.25		Case rate	DRG Factor * DRG Weight	6419.25	80			Percent of total billed charges		9621.4	90			Percent of total billed charges		10824.08		6302.05		Case rate	DRG Factor * DRG Weight	6302.05	85			Percent of total billed charges		10222.74		6302.05		Case rate	DRG Factor * DRG Weight	6302.05		6302.05		Case rate	DRG Factor * DRG Weight	6302.05		6302.05		Case rate	DRG Factor * DRG Weight	6302.05		5379.03		Case rate	DRG Factor * DRG Weight	5379.03		1627		Per Diem		4881		1627		Per Diem		4881		6302.05		Case rate	DRG Factor * DRG Weight	6302.05	4881	10824.08	
"vagina, cervix and vulva procedures without cc/mcc"	747	MS-DRG	Inpatient			12924.75	8401.09		90			Percent of total billed charges		11632.28		6444.22		Case rate	DRG Factor * DRG Weight	6444.22	80			Percent of total billed charges		10339.8	90			Percent of total billed charges		11632.28		6326.57		Case rate	DRG Factor * DRG Weight	6326.57	85			Percent of total billed charges		10986.04		6326.57		Case rate	DRG Factor * DRG Weight	6326.57		6326.57		Case rate	DRG Factor * DRG Weight	6326.57		6326.57		Case rate	DRG Factor * DRG Weight	6326.57		10546.81		Case rate	DRG Factor * DRG Weight	10546.81		1627		Per Diem		6508		1627		Per Diem		6508		6326.57		Case rate	DRG Factor * DRG Weight	6326.57	6326.57	11632.28	
major hematological and immunological diagnoses except sickle cell crisis and coagulation disorders without cc/mcc	810	MS-DRG	Inpatient			5638.63	3665.11		90			Percent of total billed charges		5074.76		6446.92		Case rate	DRG Factor * DRG Weight	6446.92	80			Percent of total billed charges		4510.9	90			Percent of total billed charges		5074.76		6329.22		Case rate	DRG Factor * DRG Weight	6329.22	85			Percent of total billed charges		4792.83		6329.22		Case rate	DRG Factor * DRG Weight	6329.22		6329.22		Case rate	DRG Factor * DRG Weight	6329.22		6329.22		Case rate	DRG Factor * DRG Weight	6329.22		5459.08		Case rate	DRG Factor * DRG Weight	5459.08		1627		Per Diem		1627		1627		Per Diem		1627		6329.22		Case rate	DRG Factor * DRG Weight	6329.22	1627	6446.92	
traumatic stupor and coma >1 hour without cc/mcc	84	MS-DRG	Inpatient			9790.05	6363.53		90			Percent of total billed charges		8811.04		6452.32		Case rate	DRG Factor * DRG Weight	6452.32	80			Percent of total billed charges		7832.04	90			Percent of total billed charges		8811.04		6334.52		Case rate	DRG Factor * DRG Weight	6334.52	85			Percent of total billed charges		8321.54		6334.52		Case rate	DRG Factor * DRG Weight	6334.52		6334.52		Case rate	DRG Factor * DRG Weight	6334.52		6334.52		Case rate	DRG Factor * DRG Weight	6334.52		6489.37		Case rate	DRG Factor * DRG Weight	6489.37		1627		Per Diem		6508		1627		Per Diem		6508		6334.52		Case rate	DRG Factor * DRG Weight	6334.52	6334.52	8811.04	
medical back problems without mcc	552	MS-DRG	Inpatient			14964.75	9727.09		90			Percent of total billed charges		13468.28		6469.2		Case rate	DRG Factor * DRG Weight	6469.2	80			Percent of total billed charges		11971.8	90			Percent of total billed charges		13468.28		6351.09		Case rate	DRG Factor * DRG Weight	6351.09	85			Percent of total billed charges		12720.04		6351.09		Case rate	DRG Factor * DRG Weight	6351.09		6351.09		Case rate	DRG Factor * DRG Weight	6351.09		6351.09		Case rate	DRG Factor * DRG Weight	6351.09		5773.35		Case rate	DRG Factor * DRG Weight	5773.35		1627		Per Diem		4881		1627		Per Diem		4881		6351.09		Case rate	DRG Factor * DRG Weight	6351.09	4881	13468.28	
other circulatory system diagnoses with cc	315	MS-DRG	Inpatient			14675.5	9539.08		90			Percent of total billed charges		13207.95		6474.6		Case rate	DRG Factor * DRG Weight	6474.6	80			Percent of total billed charges		11740.4	90			Percent of total billed charges		13207.95		6356.39		Case rate	DRG Factor * DRG Weight	6356.39	85			Percent of total billed charges		12474.18		6356.39		Case rate	DRG Factor * DRG Weight	6356.39		6356.39		Case rate	DRG Factor * DRG Weight	6356.39		6356.39		Case rate	DRG Factor * DRG Weight	6356.39		7842.1		Case rate	DRG Factor * DRG Weight	7842.1		1627		Per Diem		6508		1627		Per Diem		6508		6356.39		Case rate	DRG Factor * DRG Weight	6356.39	6356.39	13207.95	
bronchitis and asthma with cc/mcc	202	MS-DRG	Inpatient			7902.25	5136.46		90			Percent of total billed charges		7112.02		6490.12		Case rate	DRG Factor * DRG Weight	6490.12	80			Percent of total billed charges		6321.8	90			Percent of total billed charges		7112.02		6371.63		Case rate	DRG Factor * DRG Weight	6371.63	85			Percent of total billed charges		6716.91		6371.63		Case rate	DRG Factor * DRG Weight	6371.63		6371.63		Case rate	DRG Factor * DRG Weight	6371.63		6371.63		Case rate	DRG Factor * DRG Weight	6371.63		5594.72		Case rate	DRG Factor * DRG Weight	5594.72		1627		Per Diem		4881		1627		Per Diem		4881		6371.63		Case rate	DRG Factor * DRG Weight	6371.63	4881	7112.02	
"disorders of liver except malignancy, cirrhosis, or alcoholic hepatitis with cc"	442	MS-DRG	Inpatient			17462.8	11350.82		90			Percent of total billed charges		15716.52		6493.5		Case rate	DRG Factor * DRG Weight	6493.5	80			Percent of total billed charges		13970.24	90			Percent of total billed charges		15716.52		6374.94		Case rate	DRG Factor * DRG Weight	6374.94	85			Percent of total billed charges		14843.38		6374.94		Case rate	DRG Factor * DRG Weight	6374.94		6374.94		Case rate	DRG Factor * DRG Weight	6374.94		6374.94		Case rate	DRG Factor * DRG Weight	6374.94		6661.34		Case rate	DRG Factor * DRG Weight	6661.34		1627		Per Diem		4881		1627		Per Diem		4881		6374.94		Case rate	DRG Factor * DRG Weight	6374.94	4881	15716.52	
gastrointestinal hemorrhage with cc	378	MS-DRG	Inpatient			9796.08	6367.45		90			Percent of total billed charges		8816.47		6637.95		Case rate	DRG Factor * DRG Weight	6637.95	80			Percent of total billed charges		7836.86	90			Percent of total billed charges		8816.47		6516.76		Case rate	DRG Factor * DRG Weight	6516.76	85			Percent of total billed charges		8326.67		6516.76		Case rate	DRG Factor * DRG Weight	6516.76		6516.76		Case rate	DRG Factor * DRG Weight	6516.76		6516.76		Case rate	DRG Factor * DRG Weight	6516.76		6524.95		Case rate	DRG Factor * DRG Weight	6524.95		1627		Per Diem		4881		1627		Per Diem		4881		6516.76		Case rate	DRG Factor * DRG Weight	6516.76	4881	8816.47	
interstitial lung disease with cc	197	MS-DRG	Inpatient			13202	8581.3		90			Percent of total billed charges		11881.8		6652.12		Case rate	DRG Factor * DRG Weight	6652.12	80			Percent of total billed charges		10561.6	90			Percent of total billed charges		11881.8		6530.67		Case rate	DRG Factor * DRG Weight	6530.67	85			Percent of total billed charges		11221.7		6530.67		Case rate	DRG Factor * DRG Weight	6530.67		6530.67		Case rate	DRG Factor * DRG Weight	6530.67		6530.67		Case rate	DRG Factor * DRG Weight	6530.67		7867.3		Case rate	DRG Factor * DRG Weight	7867.3		1627		Per Diem		3254		1627		Per Diem		3254		6530.67		Case rate	DRG Factor * DRG Weight	6530.67	3254	11881.8	
other antepartum diagnoses with o.r. procedures with cc	818	MS-DRG	Inpatient			16350.25	10627.66		90			Percent of total billed charges		14715.22		6653.48		Case rate	DRG Factor * DRG Weight	6653.48	80			Percent of total billed charges		13080.2	90			Percent of total billed charges		14715.22		6532		Case rate	DRG Factor * DRG Weight	6532	85			Percent of total billed charges		13897.71		6532		Case rate	DRG Factor * DRG Weight	6532		6532		Case rate	DRG Factor * DRG Weight	6532		6532		Case rate	DRG Factor * DRG Weight	6532		8019.25		Case rate	DRG Factor * DRG Weight	8019.25		1627		Per Diem		1627		1627		Per Diem		1627		6532		Case rate	DRG Factor * DRG Weight	6532	1627	14715.22	
inflammatory bowel disease with cc	386	MS-DRG	Inpatient			24766.75	16098.39		90			Percent of total billed charges		22290.08		6663.6		Case rate	DRG Factor * DRG Weight	6663.6	80			Percent of total billed charges		19813.4	90			Percent of total billed charges		22290.08		6541.94		Case rate	DRG Factor * DRG Weight	6541.94	85			Percent of total billed charges		21051.74		6541.94		Case rate	DRG Factor * DRG Weight	6541.94		6541.94		Case rate	DRG Factor * DRG Weight	6541.94		6541.94		Case rate	DRG Factor * DRG Weight	6541.94		6992.66		Case rate	DRG Factor * DRG Weight	6992.66		1627		Per Diem		11389		1627		Per Diem		11389		6541.94		Case rate	DRG Factor * DRG Weight	6541.94	6541.94	22290.08	
respiratory infections and inflammations with cc	178	MS-DRG	Inpatient			17687.45	11496.84		90			Percent of total billed charges		15918.71		6664.95		Case rate	DRG Factor * DRG Weight	6664.95	80			Percent of total billed charges		14149.96	90			Percent of total billed charges		15918.71		6543.26		Case rate	DRG Factor * DRG Weight	6543.26	85			Percent of total billed charges		15034.33		6543.26		Case rate	DRG Factor * DRG Weight	6543.26		6543.26		Case rate	DRG Factor * DRG Weight	6543.26		6543.26		Case rate	DRG Factor * DRG Weight	6543.26		5954.21		Case rate	DRG Factor * DRG Weight	5954.21		1627		Per Diem		8135		1627		Per Diem		8135		6543.26		Case rate	DRG Factor * DRG Weight	6543.26	5954.21	15918.71	
postoperative and posttraumatic infections without mcc	863	MS-DRG	Inpatient			14932.02	9705.81		90			Percent of total billed charges		13438.81		6713.55		Case rate	DRG Factor * DRG Weight	6713.55	80			Percent of total billed charges		11945.61	90			Percent of total billed charges		13438.81		6590.98		Case rate	DRG Factor * DRG Weight	6590.98	85			Percent of total billed charges		12692.21		6590.98		Case rate	DRG Factor * DRG Weight	6590.98		6590.98		Case rate	DRG Factor * DRG Weight	6590.98		6590.98		Case rate	DRG Factor * DRG Weight	6590.98		5319.73		Case rate	DRG Factor * DRG Weight	5319.73		1627		Per Diem		6508		1627		Per Diem		6508		6590.98		Case rate	DRG Factor * DRG Weight	6590.98	5319.73	13438.81	
"skin grafts and wound debridement for endocrine, nutritional and metabolic disorders without cc/mcc"	624	MS-DRG	Inpatient			24268.41	15774.47		90			Percent of total billed charges		21841.57		6725.7		Case rate	DRG Factor * DRG Weight	6725.7	80			Percent of total billed charges		19414.73	90			Percent of total billed charges		21841.57		6602.9		Case rate	DRG Factor * DRG Weight	6602.9	85			Percent of total billed charges		20628.15		6602.9		Case rate	DRG Factor * DRG Weight	6602.9		6602.9		Case rate	DRG Factor * DRG Weight	6602.9		6602.9		Case rate	DRG Factor * DRG Weight	6602.9		9169.62		Case rate	DRG Factor * DRG Weight	9169.62		1627		Per Diem		6508		1627		Per Diem		6508		6602.9		Case rate	DRG Factor * DRG Weight	6602.9	6508	21841.57	
pleural effusion with cc	187	MS-DRG	Inpatient			9009.9	5856.44		90			Percent of total billed charges		8108.91		6758.78		Case rate	DRG Factor * DRG Weight	6758.78	80			Percent of total billed charges		7207.92	90			Percent of total billed charges		8108.91		6635.37		Case rate	DRG Factor * DRG Weight	6635.37	85			Percent of total billed charges		7658.42		6635.37		Case rate	DRG Factor * DRG Weight	6635.37		6635.37		Case rate	DRG Factor * DRG Weight	6635.37		6635.37		Case rate	DRG Factor * DRG Weight	6635.37		6593.14		Case rate	DRG Factor * DRG Weight	6593.14		1627		Per Diem		1627		1627		Per Diem		1627		6635.37		Case rate	DRG Factor * DRG Weight	6635.37	1627	8108.91	
"other injury, poisoning and toxic effect diagnoses without mcc"	923	MS-DRG	Inpatient			8164.75	5307.09		90			Percent of total billed charges		7348.28		6797.25		Case rate	DRG Factor * DRG Weight	6797.25	80			Percent of total billed charges		6531.8	90			Percent of total billed charges		7348.28		6673.15		Case rate	DRG Factor * DRG Weight	6673.15	85			Percent of total billed charges		6940.04		6673.15		Case rate	DRG Factor * DRG Weight	6673.15		6673.15		Case rate	DRG Factor * DRG Weight	6673.15		6673.15		Case rate	DRG Factor * DRG Weight	6673.15		4601.49		Case rate	DRG Factor * DRG Weight	4601.49		1627		Per Diem		3254		1627		Per Diem		3254		6673.15		Case rate	DRG Factor * DRG Weight	6673.15	3254	7348.28	
reticuloendothelial and immunity disorders with cc	815	MS-DRG	Inpatient			5458.15	3547.8		90			Percent of total billed charges		4912.34		6810.75		Case rate	DRG Factor * DRG Weight	6810.75	80			Percent of total billed charges		4366.52	90			Percent of total billed charges		4912.34		6686.4		Case rate	DRG Factor * DRG Weight	6686.4	85			Percent of total billed charges		4639.43		6686.4		Case rate	DRG Factor * DRG Weight	6686.4		6686.4		Case rate	DRG Factor * DRG Weight	6686.4		6686.4		Case rate	DRG Factor * DRG Weight	6686.4		5926.05		Case rate	DRG Factor * DRG Weight	5926.05		1627		Per Diem		3254		1627		Per Diem		3254		6686.4		Case rate	DRG Factor * DRG Weight	6686.4	3254	6810.75	
major esophageal disorders with cc	369	MS-DRG	Inpatient			14763.67	9596.39		90			Percent of total billed charges		13287.3		6828.3		Case rate	DRG Factor * DRG Weight	6828.3	80			Percent of total billed charges		11810.94	90			Percent of total billed charges		13287.3		6703.63		Case rate	DRG Factor * DRG Weight	6703.63	85			Percent of total billed charges		12549.12		6703.63		Case rate	DRG Factor * DRG Weight	6703.63		6703.63		Case rate	DRG Factor * DRG Weight	6703.63		6703.63		Case rate	DRG Factor * DRG Weight	6703.63		5419.79		Case rate	DRG Factor * DRG Weight	5419.79		1627		Per Diem		6508		1627		Per Diem		6508		6703.63		Case rate	DRG Factor * DRG Weight	6703.63	5419.79	13287.3	
complications of treatment with cc	920	MS-DRG	Inpatient			8912.05	5792.83		90			Percent of total billed charges		8020.84		6829.65		Case rate	DRG Factor * DRG Weight	6829.65	80			Percent of total billed charges		7129.64	90			Percent of total billed charges		8020.84		6704.96		Case rate	DRG Factor * DRG Weight	6704.96	85			Percent of total billed charges		7575.24		6704.96		Case rate	DRG Factor * DRG Weight	6704.96		6704.96		Case rate	DRG Factor * DRG Weight	6704.96		6704.96		Case rate	DRG Factor * DRG Weight	6704.96		6135.81		Case rate	DRG Factor * DRG Weight	6135.81		1627		Per Diem		4881		1627		Per Diem		4881		6704.96		Case rate	DRG Factor * DRG Weight	6704.96	4881	8020.84	
other musculoskeletal system and connective tissue diagnoses with cc	565	MS-DRG	Inpatient			26301.31	17095.85		90			Percent of total billed charges		23671.18		6830.32		Case rate	DRG Factor * DRG Weight	6830.32	80			Percent of total billed charges		21041.05	90			Percent of total billed charges		23671.18		6705.62		Case rate	DRG Factor * DRG Weight	6705.62	85			Percent of total billed charges		22356.12		6705.62		Case rate	DRG Factor * DRG Weight	6705.62		6705.62		Case rate	DRG Factor * DRG Weight	6705.62		6705.62		Case rate	DRG Factor * DRG Weight	6705.62		7608.61		Case rate	DRG Factor * DRG Weight	7608.61		1627		Per Diem		6508		1627		Per Diem		6508		6705.62		Case rate	DRG Factor * DRG Weight	6705.62	6508	23671.18	
intracranial hemorrhage or cerebral infarction with cc or tpa in 24 hours	65	MS-DRG	Inpatient			17242.93	11207.9		90			Percent of total billed charges		15518.63		6842.48		Case rate	DRG Factor * DRG Weight	6842.48	80			Percent of total billed charges		13794.34	90			Percent of total billed charges		15518.63		6717.55		Case rate	DRG Factor * DRG Weight	6717.55	85			Percent of total billed charges		14656.49		6717.55		Case rate	DRG Factor * DRG Weight	6717.55		6717.55		Case rate	DRG Factor * DRG Weight	6717.55		6717.55		Case rate	DRG Factor * DRG Weight	6717.55		8932.43		Case rate	DRG Factor * DRG Weight	8932.43		1627		Per Diem		4881		1627		Per Diem		4881		6717.55		Case rate	DRG Factor * DRG Weight	6717.55	4881	15518.63	
other kidney and urinary tract diagnoses with cc	699	MS-DRG	Inpatient			10615.73	6900.22		90			Percent of total billed charges		9554.15		6849.9		Case rate	DRG Factor * DRG Weight	6849.9	80			Percent of total billed charges		8492.58	90			Percent of total billed charges		9554.15		6724.84		Case rate	DRG Factor * DRG Weight	6724.84	85			Percent of total billed charges		9023.37		6724.84		Case rate	DRG Factor * DRG Weight	6724.84		6724.84		Case rate	DRG Factor * DRG Weight	6724.84		6724.84		Case rate	DRG Factor * DRG Weight	6724.84		5754.08		Case rate	DRG Factor * DRG Weight	5754.08		1627		Per Diem		4881		1627		Per Diem		4881		6724.84		Case rate	DRG Factor * DRG Weight	6724.84	4881	9554.15	
major gastrointestinal disorders and peritoneal infections with cc	372	MS-DRG	Inpatient			14131	9185.15		90			Percent of total billed charges		12717.9		6909.3		Case rate	DRG Factor * DRG Weight	6909.3	80			Percent of total billed charges		11304.8	90			Percent of total billed charges		12717.9		6783.15		Case rate	DRG Factor * DRG Weight	6783.15	85			Percent of total billed charges		12011.35		6783.15		Case rate	DRG Factor * DRG Weight	6783.15		6783.15		Case rate	DRG Factor * DRG Weight	6783.15		6783.15		Case rate	DRG Factor * DRG Weight	6783.15		6655.41		Case rate	DRG Factor * DRG Weight	6655.41		1627		Per Diem		6508		1627		Per Diem		6508		6783.15		Case rate	DRG Factor * DRG Weight	6783.15	6508	12717.9	
septicemia or severe sepsis without mechanical ventilation >96 hours without mcc	872	MS-DRG	Inpatient			15230.52	9899.84		90			Percent of total billed charges		13707.46		6922.8		Case rate	DRG Factor * DRG Weight	6922.8	80			Percent of total billed charges		12184.41	90			Percent of total billed charges		13707.46		6796.41		Case rate	DRG Factor * DRG Weight	6796.41	85			Percent of total billed charges		12945.94		6796.41		Case rate	DRG Factor * DRG Weight	6796.41		6796.41		Case rate	DRG Factor * DRG Weight	6796.41		6796.41		Case rate	DRG Factor * DRG Weight	6796.41		6031.3		Case rate	DRG Factor * DRG Weight	6031.3		1627		Per Diem		6508		1627		Per Diem		6508		6796.41		Case rate	DRG Factor * DRG Weight	6796.41	6031.3	13707.46	
kidney and ureter procedures for non-neoplasm without cc/mcc	661	MS-DRG	Inpatient			24372.85	15842.35		90			Percent of total billed charges		21935.57		6927.52		Case rate	DRG Factor * DRG Weight	6927.52	80			Percent of total billed charges		19498.28	90			Percent of total billed charges		21935.57		6801.04		Case rate	DRG Factor * DRG Weight	6801.04	85			Percent of total billed charges		20716.92		6801.04		Case rate	DRG Factor * DRG Weight	6801.04		6801.04		Case rate	DRG Factor * DRG Weight	6801.04		6801.04		Case rate	DRG Factor * DRG Weight	6801.04		8671.52		Case rate	DRG Factor * DRG Weight	8671.52		1627		Per Diem		3254		1627		Per Diem		3254		6801.04		Case rate	DRG Factor * DRG Weight	6801.04	3254	21935.57	
endocrine disorders with cc	644	MS-DRG	Inpatient			13667.08	8883.6		90			Percent of total billed charges		12300.37		6941.02		Case rate	DRG Factor * DRG Weight	6941.02	80			Percent of total billed charges		10933.66	90			Percent of total billed charges		12300.37		6814.3		Case rate	DRG Factor * DRG Weight	6814.3	85			Percent of total billed charges		11617.01		6814.3		Case rate	DRG Factor * DRG Weight	6814.3		6814.3		Case rate	DRG Factor * DRG Weight	6814.3		6814.3		Case rate	DRG Factor * DRG Weight	6814.3		6172.87		Case rate	DRG Factor * DRG Weight	6172.87		1627		Per Diem		4881		1627		Per Diem		4881		6814.3		Case rate	DRG Factor * DRG Weight	6814.3	4881	12300.37	
cranial and peripheral nerve disorders without mcc	74	MS-DRG	Inpatient			25049.32	16282.06		90			Percent of total billed charges		22544.39		7000.42		Case rate	DRG Factor * DRG Weight	7000.42	80			Percent of total billed charges		20039.46	90			Percent of total billed charges		22544.39		6872.61		Case rate	DRG Factor * DRG Weight	6872.61	85			Percent of total billed charges		21291.92		6872.61		Case rate	DRG Factor * DRG Weight	6872.61		6872.61		Case rate	DRG Factor * DRG Weight	6872.61		6872.61		Case rate	DRG Factor * DRG Weight	6872.61		7112.74		Case rate	DRG Factor * DRG Weight	7112.74		1627		Per Diem		9762		1627		Per Diem		9762		6872.61		Case rate	DRG Factor * DRG Weight	6872.61	6872.61	22544.39	
other infectious and parasitic diseases diagnoses with cc	868	MS-DRG	Inpatient			17938.24	11659.86		90			Percent of total billed charges		16144.42		7050.38		Case rate	DRG Factor * DRG Weight	7050.38	80			Percent of total billed charges		14350.6	90			Percent of total billed charges		16144.42		6921.65		Case rate	DRG Factor * DRG Weight	6921.65	85			Percent of total billed charges		15247.51		6921.65		Case rate	DRG Factor * DRG Weight	6921.65		6921.65		Case rate	DRG Factor * DRG Weight	6921.65		6921.65		Case rate	DRG Factor * DRG Weight	6921.65		7141.65		Case rate	DRG Factor * DRG Weight	7141.65		1627		Per Diem		6508		1627		Per Diem		6508		6921.65		Case rate	DRG Factor * DRG Weight	6921.65	6508	16144.42	
nonspecific cerebrovascular disorders with cc	71	MS-DRG	Inpatient			9114.25	5924.26		90			Percent of total billed charges		8202.82		7082.1		Case rate	DRG Factor * DRG Weight	7082.1	80			Percent of total billed charges		7291.4	90			Percent of total billed charges		8202.82		6952.8		Case rate	DRG Factor * DRG Weight	6952.8	85			Percent of total billed charges		7747.11		6952.8		Case rate	DRG Factor * DRG Weight	6952.8		6952.8		Case rate	DRG Factor * DRG Weight	6952.8		6952.8		Case rate	DRG Factor * DRG Weight	6952.8		7727.95		Case rate	DRG Factor * DRG Weight	7727.95		1627		Per Diem		4881		1627		Per Diem		4881		6952.8		Case rate	DRG Factor * DRG Weight	6952.8	4881	8202.82	
other disorders of nervous system with cc	92	MS-DRG	Inpatient			10360.75	6734.49		90			Percent of total billed charges		9324.68		7103.7		Case rate	DRG Factor * DRG Weight	7103.7	80			Percent of total billed charges		8288.6	90			Percent of total billed charges		9324.68		6974		Case rate	DRG Factor * DRG Weight	6974	85			Percent of total billed charges		8806.64		6974		Case rate	DRG Factor * DRG Weight	6974		6974		Case rate	DRG Factor * DRG Weight	6974		6974		Case rate	DRG Factor * DRG Weight	6974		7885.09		Case rate	DRG Factor * DRG Weight	7885.09		1627		Per Diem		3254		1627		Per Diem		3254		6974		Case rate	DRG Factor * DRG Weight	6974	3254	9324.68	
pathological fractures and musculoskeletal and connective tissue malignancy with cc	543	MS-DRG	Inpatient			43621.25	28353.81		90			Percent of total billed charges		39259.12		7115.18		Case rate	DRG Factor * DRG Weight	7115.18	80			Percent of total billed charges		34897	90			Percent of total billed charges		39259.12		6985.27		Case rate	DRG Factor * DRG Weight	6985.27	85			Percent of total billed charges		37078.06		6985.27		Case rate	DRG Factor * DRG Weight	6985.27		6985.27		Case rate	DRG Factor * DRG Weight	6985.27		6985.27		Case rate	DRG Factor * DRG Weight	6985.27		8466.2		Case rate	DRG Factor * DRG Weight	8466.2		1627		Per Diem		17897		1627		Per Diem		17897		6985.27		Case rate	DRG Factor * DRG Weight	6985.27	6985.27	39259.12	
major chest trauma with cc	184	MS-DRG	Inpatient			7181.25	4667.81		90			Percent of total billed charges		6463.12		7170.52		Case rate	DRG Factor * DRG Weight	7170.52	80			Percent of total billed charges		5745	90			Percent of total billed charges		6463.12		7039.61		Case rate	DRG Factor * DRG Weight	7039.61	85			Percent of total billed charges		6104.06		7039.61		Case rate	DRG Factor * DRG Weight	7039.61		7039.61		Case rate	DRG Factor * DRG Weight	7039.61		7039.61		Case rate	DRG Factor * DRG Weight	7039.61		6229.95		Case rate	DRG Factor * DRG Weight	6229.95		1627		Per Diem		3254		1627		Per Diem		3254		7039.61		Case rate	DRG Factor * DRG Weight	7039.61	3254	7170.52	
cirrhosis and alcoholic hepatitis with cc	433	MS-DRG	Inpatient			20765.79	13497.76		90			Percent of total billed charges		18689.21		7188.08		Case rate	DRG Factor * DRG Weight	7188.08	80			Percent of total billed charges		16612.63	90			Percent of total billed charges		18689.21		7056.84		Case rate	DRG Factor * DRG Weight	7056.84	85			Percent of total billed charges		17650.92		7056.84		Case rate	DRG Factor * DRG Weight	7056.84		7056.84		Case rate	DRG Factor * DRG Weight	7056.84		7056.84		Case rate	DRG Factor * DRG Weight	7056.84		7707.94		Case rate	DRG Factor * DRG Weight	7707.94		1627		Per Diem		3254		1627		Per Diem		3254		7056.84		Case rate	DRG Factor * DRG Weight	7056.84	3254	18689.21	
peripheral vascular disorders with cc	300	MS-DRG	Inpatient			16717.15	10866.15		90			Percent of total billed charges		15045.44		7192.8		Case rate	DRG Factor * DRG Weight	7192.8	80			Percent of total billed charges		13373.72	90			Percent of total billed charges		15045.44		7061.48		Case rate	DRG Factor * DRG Weight	7061.48	85			Percent of total billed charges		14209.58		7061.48		Case rate	DRG Factor * DRG Weight	7061.48		7061.48		Case rate	DRG Factor * DRG Weight	7061.48		7061.48		Case rate	DRG Factor * DRG Weight	7061.48		6749.54		Case rate	DRG Factor * DRG Weight	6749.54		1627		Per Diem		6508		1627		Per Diem		6508		7061.48		Case rate	DRG Factor * DRG Weight	7061.48	6508	15045.44	
concussion with cc	89	MS-DRG	Inpatient			44105.4	28668.51		90			Percent of total billed charges		39694.86		7214.4		Case rate	DRG Factor * DRG Weight	7214.4	80			Percent of total billed charges		35284.32	90			Percent of total billed charges		39694.86		7082.68		Case rate	DRG Factor * DRG Weight	7082.68	85			Percent of total billed charges		37489.59		7082.68		Case rate	DRG Factor * DRG Weight	7082.68		7082.68		Case rate	DRG Factor * DRG Weight	7082.68		7082.68		Case rate	DRG Factor * DRG Weight	7082.68		10806.23		Case rate	DRG Factor * DRG Weight	10806.23		1627		Per Diem		29286		1627		Per Diem		29286		7082.68		Case rate	DRG Factor * DRG Weight	7082.68	7082.68	39694.86	
major skin disorders without mcc	596	MS-DRG	Inpatient			17642.49	11467.62		90			Percent of total billed charges		15878.24		7249.5		Case rate	DRG Factor * DRG Weight	7249.5	80			Percent of total billed charges		14113.99	90			Percent of total billed charges		15878.24		7117.14		Case rate	DRG Factor * DRG Weight	7117.14	85			Percent of total billed charges		14996.11		7117.14		Case rate	DRG Factor * DRG Weight	7117.14		7117.14		Case rate	DRG Factor * DRG Weight	7117.14		7117.14		Case rate	DRG Factor * DRG Weight	7117.14		5113.67		Case rate	DRG Factor * DRG Weight	5113.67		1627		Per Diem		8135		1627		Per Diem		8135		7117.14		Case rate	DRG Factor * DRG Weight	7117.14	5113.67	15878.24	
disorders of the biliary tract with cc	445	MS-DRG	Inpatient			13254.9	8615.68		90			Percent of total billed charges		11929.41		7294.72		Case rate	DRG Factor * DRG Weight	7294.72	80			Percent of total billed charges		10603.92	90			Percent of total billed charges		11929.41		7161.54		Case rate	DRG Factor * DRG Weight	7161.54	85			Percent of total billed charges		11266.66		7161.54		Case rate	DRG Factor * DRG Weight	7161.54		7161.54		Case rate	DRG Factor * DRG Weight	7161.54		7161.54		Case rate	DRG Factor * DRG Weight	7161.54		7094.21		Case rate	DRG Factor * DRG Weight	7094.21		1627		Per Diem		6508		1627		Per Diem		6508		7161.54		Case rate	DRG Factor * DRG Weight	7161.54	6508	11929.41	
complicated peptic ulcer with cc	381	MS-DRG	Inpatient			17286.32	11236.1		90			Percent of total billed charges		15557.68		7331.18		Case rate	DRG Factor * DRG Weight	7331.18	80			Percent of total billed charges		13829.05	90			Percent of total billed charges		15557.68		7197.32		Case rate	DRG Factor * DRG Weight	7197.32	85			Percent of total billed charges		14693.37		7197.32		Case rate	DRG Factor * DRG Weight	7197.32		7197.32		Case rate	DRG Factor * DRG Weight	7197.32		7197.32		Case rate	DRG Factor * DRG Weight	7197.32		6653.18		Case rate	DRG Factor * DRG Weight	6653.18		1627		Per Diem		4881		1627		Per Diem		4881		7197.32		Case rate	DRG Factor * DRG Weight	7197.32	4881	15557.68	
nervous system neoplasms without mcc	55	MS-DRG	Inpatient			96118.25	62476.86		90			Percent of total billed charges		86506.42		7343.32		Case rate	DRG Factor * DRG Weight	7343.32	80			Percent of total billed charges		76894.6	90			Percent of total billed charges		86506.42		7209.25		Case rate	DRG Factor * DRG Weight	7209.25	85			Percent of total billed charges		81700.51		7209.25		Case rate	DRG Factor * DRG Weight	7209.25		7209.25		Case rate	DRG Factor * DRG Weight	7209.25		7209.25		Case rate	DRG Factor * DRG Weight	7209.25		7031.94		Case rate	DRG Factor * DRG Weight	7031.94		1627		Per Diem		4881		1627		Per Diem		4881		7209.25		Case rate	DRG Factor * DRG Weight	7209.25	4881	86506.42	
"circulatory disorders except acute myocardial infarction, with cardiac catheterization without mcc"	287	MS-DRG	Inpatient			17310.83	11252.04		90			Percent of total billed charges		15579.74		7354.12		Case rate	DRG Factor * DRG Weight	7354.12	80			Percent of total billed charges		13848.66	90			Percent of total billed charges		15579.74		7219.86		Case rate	DRG Factor * DRG Weight	7219.86	85			Percent of total billed charges		14714.2		7219.86		Case rate	DRG Factor * DRG Weight	7219.86		7219.86		Case rate	DRG Factor * DRG Weight	7219.86		7219.86		Case rate	DRG Factor * DRG Weight	7219.86		9453.51		Case rate	DRG Factor * DRG Weight	9453.51		1627		Per Diem		3254		1627		Per Diem		3254		7219.86		Case rate	DRG Factor * DRG Weight	7219.86	3254	15579.74	
"abortion with d&c, aspiration curettage or hysterotomy"	770	MS-DRG	Inpatient			13398.18	8708.81		90			Percent of total billed charges		12058.36		7404.08		Case rate	DRG Factor * DRG Weight	7404.08	80			Percent of total billed charges		10718.54	90			Percent of total billed charges		12058.36		7268.89		Case rate	DRG Factor * DRG Weight	7268.89	85			Percent of total billed charges		11388.45		7268.89		Case rate	DRG Factor * DRG Weight	7268.89		7268.89		Case rate	DRG Factor * DRG Weight	7268.89		7268.89		Case rate	DRG Factor * DRG Weight	7268.89		5386.44		Case rate	DRG Factor * DRG Weight	5386.44		1627		Per Diem		3254		1627		Per Diem		3254		7268.89		Case rate	DRG Factor * DRG Weight	7268.89	3254	12058.36	
pneumothorax with cc	200	MS-DRG	Inpatient			14289.88	9288.42		90			Percent of total billed charges		12860.89		7435.12		Case rate	DRG Factor * DRG Weight	7435.12	80			Percent of total billed charges		11431.9	90			Percent of total billed charges		12860.89		7299.38		Case rate	DRG Factor * DRG Weight	7299.38	85			Percent of total billed charges		12146.39		7299.38		Case rate	DRG Factor * DRG Weight	7299.38		7299.38		Case rate	DRG Factor * DRG Weight	7299.38		7299.38		Case rate	DRG Factor * DRG Weight	7299.38		6048.35		Case rate	DRG Factor * DRG Weight	6048.35		1627		Per Diem		4881		1627		Per Diem		4881		7299.38		Case rate	DRG Factor * DRG Weight	7299.38	4881	12860.89	
respiratory neoplasms with cc	181	MS-DRG	Inpatient			17445.4	11339.51		90			Percent of total billed charges		15700.86		7476.3		Case rate	DRG Factor * DRG Weight	7476.3	80			Percent of total billed charges		13956.32	90			Percent of total billed charges		15700.86		7339.8		Case rate	DRG Factor * DRG Weight	7339.8	85			Percent of total billed charges		14828.59		7339.8		Case rate	DRG Factor * DRG Weight	7339.8		7339.8		Case rate	DRG Factor * DRG Weight	7339.8		7339.8		Case rate	DRG Factor * DRG Weight	7339.8		7528.56		Case rate	DRG Factor * DRG Weight	7528.56		1627		Per Diem		8135		1627		Per Diem		8135		7339.8		Case rate	DRG Factor * DRG Weight	7339.8	7339.8	15700.86	
chronic obstructive pulmonary disease with mcc	190	MS-DRG	Inpatient			18043.73	11728.42		90			Percent of total billed charges		16239.35		7550.55		Case rate	DRG Factor * DRG Weight	7550.55	80			Percent of total billed charges		14434.98	90			Percent of total billed charges		16239.35		7412.69		Case rate	DRG Factor * DRG Weight	7412.69	85			Percent of total billed charges		15337.17		7412.69		Case rate	DRG Factor * DRG Weight	7412.69		7412.69		Case rate	DRG Factor * DRG Weight	7412.69		7412.69		Case rate	DRG Factor * DRG Weight	7412.69		7074.94		Case rate	DRG Factor * DRG Weight	7074.94		1627		Per Diem		6508		1627		Per Diem		6508		7412.69		Case rate	DRG Factor * DRG Weight	7412.69	6508	16239.35	
appendix procedures without cc/mcc	399	MS-DRG	Inpatient			21958.25	14272.86		90			Percent of total billed charges		19762.42		7577.55		Case rate	DRG Factor * DRG Weight	7577.55	80			Percent of total billed charges		17566.6	90			Percent of total billed charges		19762.42		7439.2		Case rate	DRG Factor * DRG Weight	7439.2	85			Percent of total billed charges		18664.51		7439.2		Case rate	DRG Factor * DRG Weight	7439.2		7439.2		Case rate	DRG Factor * DRG Weight	7439.2		7439.2		Case rate	DRG Factor * DRG Weight	7439.2		18686.13		Case rate	DRG Factor * DRG Weight	18686.13		1627		Per Diem		4881		1627		Per Diem		4881		7439.2		Case rate	DRG Factor * DRG Weight	7439.2	4881	19762.42	
malignancy of hepatobiliary system or pancreas with cc	436	MS-DRG	Inpatient			23423.25	15225.11		90			Percent of total billed charges		21080.92		7591.72		Case rate	DRG Factor * DRG Weight	7591.72	80			Percent of total billed charges		18738.6	90			Percent of total billed charges		21080.92		7453.12		Case rate	DRG Factor * DRG Weight	7453.12	85			Percent of total billed charges		19909.76		7453.12		Case rate	DRG Factor * DRG Weight	7453.12		7453.12		Case rate	DRG Factor * DRG Weight	7453.12		7453.12		Case rate	DRG Factor * DRG Weight	7453.12		8097.82		Case rate	DRG Factor * DRG Weight	8097.82		1627		Per Diem		4881		1627		Per Diem		4881		7453.12		Case rate	DRG Factor * DRG Weight	7453.12	4881	21080.92	
"aftercare, musculoskeletal system and connective tissue with cc"	560	MS-DRG	Inpatient			40391.45	26254.44		90			Percent of total billed charges		36352.3		7597.12		Case rate	DRG Factor * DRG Weight	7597.12	80			Percent of total billed charges		32313.16	90			Percent of total billed charges		36352.3		7458.42		Case rate	DRG Factor * DRG Weight	7458.42	85			Percent of total billed charges		34332.73		7458.42		Case rate	DRG Factor * DRG Weight	7458.42		7458.42		Case rate	DRG Factor * DRG Weight	7458.42		7458.42		Case rate	DRG Factor * DRG Weight	7458.42		11903.24		Case rate	DRG Factor * DRG Weight	11903.24		1627		Per Diem		16270		1627		Per Diem		16270		7458.42		Case rate	DRG Factor * DRG Weight	7458.42	7458.42	36352.3	
other antepartum diagnoses without o.r. procedures with mcc	831	MS-DRG	Inpatient			14596.34	9487.62		90			Percent of total billed charges		13136.71		7655.18		Case rate	DRG Factor * DRG Weight	7655.18	80			Percent of total billed charges		11677.07	90			Percent of total billed charges		13136.71		7515.41		Case rate	DRG Factor * DRG Weight	7515.41	85			Percent of total billed charges		12406.89		7515.41		Case rate	DRG Factor * DRG Weight	7515.41		7515.41		Case rate	DRG Factor * DRG Weight	7515.41		7515.41		Case rate	DRG Factor * DRG Weight	7515.41		4376.9		Case rate	DRG Factor * DRG Weight	4376.9		1627		Per Diem		3254		1627		Per Diem		3254		7515.41		Case rate	DRG Factor * DRG Weight	7515.41	3254	13136.71	
skin debridement without cc/mcc	572	MS-DRG	Inpatient			22078.9	14351.28		90			Percent of total billed charges		19871.01		7696.35		Case rate	DRG Factor * DRG Weight	7696.35	80			Percent of total billed charges		17663.12	90			Percent of total billed charges		19871.01		7555.83		Case rate	DRG Factor * DRG Weight	7555.83	85			Percent of total billed charges		18767.06		7555.83		Case rate	DRG Factor * DRG Weight	7555.83		7555.83		Case rate	DRG Factor * DRG Weight	7555.83		7555.83		Case rate	DRG Factor * DRG Weight	7555.83		9638.07		Case rate	DRG Factor * DRG Weight	9638.07		1627		Per Diem		6508		1627		Per Diem		6508		7555.83		Case rate	DRG Factor * DRG Weight	7555.83	6508	19871.01	
nonextensive o.r. procedures unrelated to principal diagnosis without cc/mcc	989	MS-DRG	Inpatient			21508.29	13980.39		90			Percent of total billed charges		19357.46		7755.75		Case rate	DRG Factor * DRG Weight	7755.75	80			Percent of total billed charges		17206.63	90			Percent of total billed charges		19357.46		7614.15		Case rate	DRG Factor * DRG Weight	7614.15	85			Percent of total billed charges		18282.05		7614.15		Case rate	DRG Factor * DRG Weight	7614.15		7614.15		Case rate	DRG Factor * DRG Weight	7614.15		7614.15		Case rate	DRG Factor * DRG Weight	7614.15		7272.84		Case rate	DRG Factor * DRG Weight	7272.84		1627		Per Diem		11389		1627		Per Diem		11389		7614.15		Case rate	DRG Factor * DRG Weight	7614.15	7272.84	19357.46	
atherosclerosis with mcc	302	MS-DRG	Inpatient			14621.4	9503.91		90			Percent of total billed charges		13159.26		7785.45		Case rate	DRG Factor * DRG Weight	7785.45	80			Percent of total billed charges		11697.12	90			Percent of total billed charges		13159.26		7643.3		Case rate	DRG Factor * DRG Weight	7643.3	85			Percent of total billed charges		12428.19		7643.3		Case rate	DRG Factor * DRG Weight	7643.3		7643.3		Case rate	DRG Factor * DRG Weight	7643.3		7643.3		Case rate	DRG Factor * DRG Weight	7643.3		9223.73		Case rate	DRG Factor * DRG Weight	9223.73		1627		Per Diem		6508		1627		Per Diem		6508		7643.3		Case rate	DRG Factor * DRG Weight	7643.3	6508	13159.26	
connective tissue disorders with cc	546	MS-DRG	Inpatient			1944	1263.6		90			Percent of total billed charges		1749.6		7788.15		Case rate	DRG Factor * DRG Weight	7788.15	80			Percent of total billed charges		1555.2	90			Percent of total billed charges		1749.6		7645.96		Case rate	DRG Factor * DRG Weight	7645.96	85			Percent of total billed charges		1652.4		7645.96		Case rate	DRG Factor * DRG Weight	7645.96		7645.96		Case rate	DRG Factor * DRG Weight	7645.96		7645.96		Case rate	DRG Factor * DRG Weight	7645.96		9303.04		Case rate	DRG Factor * DRG Weight	9303.04		1627		Per Diem		1627		1627		Per Diem		1627		7645.96		Case rate	DRG Factor * DRG Weight	7645.96	1555.2	9303.04	
amputation for musculoskeletal system and connective tissue disorders without cc/mcc	476	MS-DRG	Inpatient			9364.2	6086.73		90			Percent of total billed charges		8427.78		7830		Case rate	DRG Factor * DRG Weight	7830	80			Percent of total billed charges		7491.36	90			Percent of total billed charges		8427.78		7687.04		Case rate	DRG Factor * DRG Weight	7687.04	85			Percent of total billed charges		7959.57		7687.04		Case rate	DRG Factor * DRG Weight	7687.04		7687.04		Case rate	DRG Factor * DRG Weight	7687.04		7687.04		Case rate	DRG Factor * DRG Weight	7687.04		9683.29		Case rate	DRG Factor * DRG Weight	9683.29		1627		Per Diem		1627		1627		Per Diem		1627		7687.04		Case rate	DRG Factor * DRG Weight	7687.04	1627	9683.29	
kidney and urinary tract infections with mcc	689	MS-DRG	Inpatient			19430.87	12630.06		90			Percent of total billed charges		17487.78		7863.75		Case rate	DRG Factor * DRG Weight	7863.75	80			Percent of total billed charges		15544.69	90			Percent of total billed charges		17487.78		7720.18		Case rate	DRG Factor * DRG Weight	7720.18	85			Percent of total billed charges		16516.24		7720.18		Case rate	DRG Factor * DRG Weight	7720.18		7720.18		Case rate	DRG Factor * DRG Weight	7720.18		7720.18		Case rate	DRG Factor * DRG Weight	7720.18		8163.04		Case rate	DRG Factor * DRG Weight	8163.04		1627		Per Diem		8135		1627		Per Diem		8135		7720.18		Case rate	DRG Factor * DRG Weight	7720.18	7720.18	17487.78	
hypertension with mcc	304	MS-DRG	Inpatient			23298.7	15144.16		90			Percent of total billed charges		20968.83		7908.98		Case rate	DRG Factor * DRG Weight	7908.98	80			Percent of total billed charges		18638.96	90			Percent of total billed charges		20968.83		7764.57		Case rate	DRG Factor * DRG Weight	7764.57	85			Percent of total billed charges		19803.9		7764.57		Case rate	DRG Factor * DRG Weight	7764.57		7764.57		Case rate	DRG Factor * DRG Weight	7764.57		7764.57		Case rate	DRG Factor * DRG Weight	7764.57		7441.1		Case rate	DRG Factor * DRG Weight	7441.1		1627		Per Diem		1627		1627		Per Diem		1627		7764.57		Case rate	DRG Factor * DRG Weight	7764.57	1627	20968.83	
"other ear, nose, mouth and throat o.r. procedures without cc/mcc"	145	MS-DRG	Inpatient			10383	6748.95		90			Percent of total billed charges		9344.7		8020.35		Case rate	DRG Factor * DRG Weight	8020.35	80			Percent of total billed charges		8306.4	90			Percent of total billed charges		9344.7		7873.92		Case rate	DRG Factor * DRG Weight	7873.92	85			Percent of total billed charges		8825.55		7873.92		Case rate	DRG Factor * DRG Weight	7873.92		7873.92		Case rate	DRG Factor * DRG Weight	7873.92		7873.92		Case rate	DRG Factor * DRG Weight	7873.92		3669.03		Case rate	DRG Factor * DRG Weight	3669.03		1627		Per Diem		3254		1627		Per Diem		3254		7873.92		Case rate	DRG Factor * DRG Weight	7873.92	3254	9344.7	
septic arthritis with cc	549	MS-DRG	Inpatient			26821.75	17434.14		90			Percent of total billed charges		24139.57		8075.02		Case rate	DRG Factor * DRG Weight	8075.02	80			Percent of total billed charges		21457.4	90			Percent of total billed charges		24139.57		7927.59		Case rate	DRG Factor * DRG Weight	7927.59	85			Percent of total billed charges		22798.49		7927.59		Case rate	DRG Factor * DRG Weight	7927.59		7927.59		Case rate	DRG Factor * DRG Weight	7927.59		7927.59		Case rate	DRG Factor * DRG Weight	7927.59		8770.1		Case rate	DRG Factor * DRG Weight	8770.1		1627		Per Diem		4881		1627		Per Diem		4881		7927.59		Case rate	DRG Factor * DRG Weight	7927.59	4881	24139.57	
uterine and adnexa procedures for nonmalignancy without cc/mcc	743	MS-DRG	Inpatient			14151	9198.15		90			Percent of total billed charges		12735.9		8110.12		Case rate	DRG Factor * DRG Weight	8110.12	80			Percent of total billed charges		11320.8	90			Percent of total billed charges		12735.9		7962.05		Case rate	DRG Factor * DRG Weight	7962.05	85			Percent of total billed charges		12028.35		7962.05		Case rate	DRG Factor * DRG Weight	7962.05		7962.05		Case rate	DRG Factor * DRG Weight	7962.05		7962.05		Case rate	DRG Factor * DRG Weight	7962.05		9080.67		Case rate	DRG Factor * DRG Weight	9080.67		1627		Per Diem		3254		1627		Per Diem		3254		7962.05		Case rate	DRG Factor * DRG Weight	7962.05	3254	12735.9	
cardiac arrhythmia and conduction disorders with mcc	308	MS-DRG	Inpatient			28487.8	18517.07		90			Percent of total billed charges		25639.02		8123.62		Case rate	DRG Factor * DRG Weight	8123.62	80			Percent of total billed charges		22790.24	90			Percent of total billed charges		25639.02		7975.31		Case rate	DRG Factor * DRG Weight	7975.31	85			Percent of total billed charges		24214.63		7975.31		Case rate	DRG Factor * DRG Weight	7975.31		7975.31		Case rate	DRG Factor * DRG Weight	7975.31		7975.31		Case rate	DRG Factor * DRG Weight	7975.31		8648.54		Case rate	DRG Factor * DRG Weight	8648.54		1627		Per Diem		9762		1627		Per Diem		9762		7975.31		Case rate	DRG Factor * DRG Weight	7975.31	7975.31	25639.02	
skin ulcers with cc	593	MS-DRG	Inpatient			11301.38	7345.89		90			Percent of total billed charges		10171.24		8179.65		Case rate	DRG Factor * DRG Weight	8179.65	80			Percent of total billed charges		9041.1	90			Percent of total billed charges		10171.24		8030.31		Case rate	DRG Factor * DRG Weight	8030.31	85			Percent of total billed charges		9606.17		8030.31		Case rate	DRG Factor * DRG Weight	8030.31		8030.31		Case rate	DRG Factor * DRG Weight	8030.31		8030.31		Case rate	DRG Factor * DRG Weight	8030.31		9954.57		Case rate	DRG Factor * DRG Weight	9954.57		1627		Per Diem		3254		1627		Per Diem		3254		8030.31		Case rate	DRG Factor * DRG Weight	8030.31	3254	10171.24	
digestive malignancy with cc	375	MS-DRG	Inpatient			13976.85	9084.95		90			Percent of total billed charges		12579.16		8261.32		Case rate	DRG Factor * DRG Weight	8261.32	80			Percent of total billed charges		11181.48	90			Percent of total billed charges		12579.16		8110.49		Case rate	DRG Factor * DRG Weight	8110.49	85			Percent of total billed charges		11880.32		8110.49		Case rate	DRG Factor * DRG Weight	8110.49		8110.49		Case rate	DRG Factor * DRG Weight	8110.49		8110.49		Case rate	DRG Factor * DRG Weight	8110.49		6725.08		Case rate	DRG Factor * DRG Weight	6725.08		1627		Per Diem		1627		1627		Per Diem		1627		8110.49		Case rate	DRG Factor * DRG Weight	8110.49	1627	12579.16	
wound debridements for injuries without cc/mcc	903	MS-DRG	Inpatient			30844.7	20049.06		90			Percent of total billed charges		27760.23		8263.35		Case rate	DRG Factor * DRG Weight	8263.35	80			Percent of total billed charges		24675.76	90			Percent of total billed charges		27760.23		8112.48		Case rate	DRG Factor * DRG Weight	8112.48	85			Percent of total billed charges		26218		8112.48		Case rate	DRG Factor * DRG Weight	8112.48		8112.48		Case rate	DRG Factor * DRG Weight	8112.48		8112.48		Case rate	DRG Factor * DRG Weight	8112.48		12196.02		Case rate	DRG Factor * DRG Weight	12196.02		1627		Per Diem		13016		1627		Per Diem		13016		8112.48		Case rate	DRG Factor * DRG Weight	8112.48	8112.48	27760.23	
lymphoma and nonacute leukemia with other procedures without cc/mcc	825	MS-DRG	Inpatient			18082	11753.3		90			Percent of total billed charges		16273.8		8309.25		Case rate	DRG Factor * DRG Weight	8309.25	80			Percent of total billed charges		14465.6	90			Percent of total billed charges		16273.8		8157.54		Case rate	DRG Factor * DRG Weight	8157.54	85			Percent of total billed charges		15369.7		8157.54		Case rate	DRG Factor * DRG Weight	8157.54		8157.54		Case rate	DRG Factor * DRG Weight	8157.54		8157.54		Case rate	DRG Factor * DRG Weight	8157.54		10570.52		Case rate	DRG Factor * DRG Weight	10570.52		1627		Per Diem		11389		1627		Per Diem		11389		8157.54		Case rate	DRG Factor * DRG Weight	8157.54	8157.54	16273.8	
pulmonary edema and respiratory failure	189	MS-DRG	Inpatient			19021	12363.65		90			Percent of total billed charges		17118.9		8318.02		Case rate	DRG Factor * DRG Weight	8318.02	80			Percent of total billed charges		15216.8	90			Percent of total billed charges		17118.9		8166.16		Case rate	DRG Factor * DRG Weight	8166.16	85			Percent of total billed charges		16167.85		8166.16		Case rate	DRG Factor * DRG Weight	8166.16		8166.16		Case rate	DRG Factor * DRG Weight	8166.16		8166.16		Case rate	DRG Factor * DRG Weight	8166.16		6083.18		Case rate	DRG Factor * DRG Weight	6083.18		1627		Per Diem		6508		1627		Per Diem		6508		8166.16		Case rate	DRG Factor * DRG Weight	8166.16	6083.18	17118.9	
major hematological and immunological diagnoses except sickle cell crisis and coagulation disorders with cc	809	MS-DRG	Inpatient			11354	7380.1		90			Percent of total billed charges		10218.6		8336.25		Case rate	DRG Factor * DRG Weight	8336.25	80			Percent of total billed charges		9083.2	90			Percent of total billed charges		10218.6		8184.05		Case rate	DRG Factor * DRG Weight	8184.05	85			Percent of total billed charges		9650.9		8184.05		Case rate	DRG Factor * DRG Weight	8184.05		8184.05		Case rate	DRG Factor * DRG Weight	8184.05		8184.05		Case rate	DRG Factor * DRG Weight	8184.05		7968.1		Case rate	DRG Factor * DRG Weight	7968.1		1627		Per Diem		4881		1627		Per Diem		4881		8184.05		Case rate	DRG Factor * DRG Weight	8184.05	4881	10218.6	
inborn and other disorders of metabolism	642	MS-DRG	Inpatient			9244.13	6008.68		90			Percent of total billed charges		8319.71		8367.3		Case rate	DRG Factor * DRG Weight	8367.3	80			Percent of total billed charges		7395.3	90			Percent of total billed charges		8319.71		8214.53		Case rate	DRG Factor * DRG Weight	8214.53	85			Percent of total billed charges		7857.51		8214.53		Case rate	DRG Factor * DRG Weight	8214.53		8214.53		Case rate	DRG Factor * DRG Weight	8214.53		8214.53		Case rate	DRG Factor * DRG Weight	8214.53		9459.44		Case rate	DRG Factor * DRG Weight	9459.44		1627		Per Diem		3254		1627		Per Diem		3254		8214.53		Case rate	DRG Factor * DRG Weight	8214.53	3254	9459.44	
minor small and large bowel procedures without cc/mcc	346	MS-DRG	Inpatient			28491.95	18519.77		90			Percent of total billed charges		25642.76		8414.55		Case rate	DRG Factor * DRG Weight	8414.55	80			Percent of total billed charges		22793.56	90			Percent of total billed charges		25642.76		8260.92		Case rate	DRG Factor * DRG Weight	8260.92	85			Percent of total billed charges		24218.16		8260.92		Case rate	DRG Factor * DRG Weight	8260.92		8260.92		Case rate	DRG Factor * DRG Weight	8260.92		8260.92		Case rate	DRG Factor * DRG Weight	8260.92		6744.35		Case rate	DRG Factor * DRG Weight	6744.35		1627		Per Diem		4881		1627		Per Diem		4881		8260.92		Case rate	DRG Factor * DRG Weight	8260.92	4881	25642.76	
benign prostatic hypertrophy with mcc	725	MS-DRG	Inpatient			15947	10365.55		90			Percent of total billed charges		14352.3		8483.4		Case rate	DRG Factor * DRG Weight	8483.4	80			Percent of total billed charges		12757.6	90			Percent of total billed charges		14352.3		8328.51		Case rate	DRG Factor * DRG Weight	8328.51	85			Percent of total billed charges		13554.95		8328.51		Case rate	DRG Factor * DRG Weight	8328.51		8328.51		Case rate	DRG Factor * DRG Weight	8328.51		8328.51		Case rate	DRG Factor * DRG Weight	8328.51		10209.55		Case rate	DRG Factor * DRG Weight	10209.55		1627		Per Diem		6508		1627		Per Diem		6508		8328.51		Case rate	DRG Factor * DRG Weight	8328.51	6508	14352.3	
chemotherapy without acute leukemia as secondary diagnosis with cc	847	MS-DRG	Inpatient			22480.55	14612.36		90			Percent of total billed charges		20232.5		8548.88		Case rate	DRG Factor * DRG Weight	8548.88	80			Percent of total billed charges		17984.44	90			Percent of total billed charges		20232.5		8392.79		Case rate	DRG Factor * DRG Weight	8392.79	85			Percent of total billed charges		19108.47		8392.79		Case rate	DRG Factor * DRG Weight	8392.79		8392.79		Case rate	DRG Factor * DRG Weight	8392.79		8392.79		Case rate	DRG Factor * DRG Weight	8392.79		8035.56		Case rate	DRG Factor * DRG Weight	8035.56		1627		Per Diem		4881		1627		Per Diem		4881		8392.79		Case rate	DRG Factor * DRG Weight	8392.79	4881	20232.5	
other o.r. procedures for injuries without cc/mcc	909	MS-DRG	Inpatient			13943.1	9063.02		90			Percent of total billed charges		12548.79		8585.32		Case rate	DRG Factor * DRG Weight	8585.32	80			Percent of total billed charges		11154.48	90			Percent of total billed charges		12548.79		8428.58		Case rate	DRG Factor * DRG Weight	8428.58	85			Percent of total billed charges		11851.64		8428.58		Case rate	DRG Factor * DRG Weight	8428.58		8428.58		Case rate	DRG Factor * DRG Weight	8428.58		8428.58		Case rate	DRG Factor * DRG Weight	8428.58		8453.6		Case rate	DRG Factor * DRG Weight	8453.6		1627		Per Diem		3254		1627		Per Diem		3254		8428.58		Case rate	DRG Factor * DRG Weight	8428.58	3254	12548.79	
"esophagitis, gastroenteritis and miscellaneous digestive disorders with mcc"	391	MS-DRG	Inpatient			21445.58	13939.62		90			Percent of total billed charges		19301.02		8625.82		Case rate	DRG Factor * DRG Weight	8625.82	80			Percent of total billed charges		17156.46	90			Percent of total billed charges		19301.02		8468.34		Case rate	DRG Factor * DRG Weight	8468.34	85			Percent of total billed charges		18228.74		8468.34		Case rate	DRG Factor * DRG Weight	8468.34		8468.34		Case rate	DRG Factor * DRG Weight	8468.34		8468.34		Case rate	DRG Factor * DRG Weight	8468.34		8378		Case rate	DRG Factor * DRG Weight	8378		1627		Per Diem		8135		1627		Per Diem		8135		8468.34		Case rate	DRG Factor * DRG Weight	8468.34	8135	19301.02	
signs and symptoms with mcc	947	MS-DRG	Inpatient			19254.06	12515.14		90			Percent of total billed charges		17328.66		8635.28		Case rate	DRG Factor * DRG Weight	8635.28	80			Percent of total billed charges		15403.25	90			Percent of total billed charges		17328.66		8477.61		Case rate	DRG Factor * DRG Weight	8477.61	85			Percent of total billed charges		16365.95		8477.61		Case rate	DRG Factor * DRG Weight	8477.61		8477.61		Case rate	DRG Factor * DRG Weight	8477.61		8477.61		Case rate	DRG Factor * DRG Weight	8477.61		12514.74		Case rate	DRG Factor * DRG Weight	12514.74		1627		Per Diem		1627		1627		Per Diem		1627		8477.61		Case rate	DRG Factor * DRG Weight	8477.61	1627	17328.66	
heart failure and shock with mcc	291	MS-DRG	Inpatient			15754.2	10240.23		90			Percent of total billed charges		14178.78		8779.05		Case rate	DRG Factor * DRG Weight	8779.05	80			Percent of total billed charges		12603.36	90			Percent of total billed charges		14178.78		8618.76		Case rate	DRG Factor * DRG Weight	8618.76	85			Percent of total billed charges		13391.07		8618.76		Case rate	DRG Factor * DRG Weight	8618.76		8618.76		Case rate	DRG Factor * DRG Weight	8618.76		8618.76		Case rate	DRG Factor * DRG Weight	8618.76		7905.1		Case rate	DRG Factor * DRG Weight	7905.1		1627		Per Diem		6508		1627		Per Diem		6508		8618.76		Case rate	DRG Factor * DRG Weight	8618.76	6508	14178.78	
simple pneumonia and pleurisy with mcc	193	MS-DRG	Inpatient			25828.28	16788.38		90			Percent of total billed charges		23245.45		8857.35		Case rate	DRG Factor * DRG Weight	8857.35	80			Percent of total billed charges		20662.62	90			Percent of total billed charges		23245.45		8695.63		Case rate	DRG Factor * DRG Weight	8695.63	85			Percent of total billed charges		21954.03		8695.63		Case rate	DRG Factor * DRG Weight	8695.63		8695.63		Case rate	DRG Factor * DRG Weight	8695.63		8695.63		Case rate	DRG Factor * DRG Weight	8695.63		8258.66		Case rate	DRG Factor * DRG Weight	8258.66		1627		Per Diem		8135		1627		Per Diem		8135		8695.63		Case rate	DRG Factor * DRG Weight	8695.63	8135	23245.45	
laparoscopic cholecystectomy without c.d.e. without cc/mcc	419	MS-DRG	Inpatient			24292.5	15790.12		90			Percent of total billed charges		21863.25		8892.45		Case rate	DRG Factor * DRG Weight	8892.45	80			Percent of total billed charges		19434	90			Percent of total billed charges		21863.25		8730.09		Case rate	DRG Factor * DRG Weight	8730.09	85			Percent of total billed charges		20648.62		8730.09		Case rate	DRG Factor * DRG Weight	8730.09		8730.09		Case rate	DRG Factor * DRG Weight	8730.09		8730.09		Case rate	DRG Factor * DRG Weight	8730.09		11054.54		Case rate	DRG Factor * DRG Weight	11054.54		1627		Per Diem		4881		1627		Per Diem		4881		8730.09		Case rate	DRG Factor * DRG Weight	8730.09	4881	21863.25	
"miscellaneous disorders of nutrition, metabolism, and fluids and electrolytes with mcc"	640	MS-DRG	Inpatient			19176.7	12464.86		90			Percent of total billed charges		17259.03		8921.48		Case rate	DRG Factor * DRG Weight	8921.48	80			Percent of total billed charges		15341.36	90			Percent of total billed charges		17259.03		8758.59		Case rate	DRG Factor * DRG Weight	8758.59	85			Percent of total billed charges		16300.2		8758.59		Case rate	DRG Factor * DRG Weight	8758.59		8758.59		Case rate	DRG Factor * DRG Weight	8758.59		8758.59		Case rate	DRG Factor * DRG Weight	8758.59		9644.74		Case rate	DRG Factor * DRG Weight	9644.74		1627		Per Diem		6508		1627		Per Diem		6508		8758.59		Case rate	DRG Factor * DRG Weight	8758.59	6508	17259.03	
fractures of hip and pelvis with mcc	535	MS-DRG	Inpatient			34991.58	22744.53		90			Percent of total billed charges		31492.42		8930.25		Case rate	DRG Factor * DRG Weight	8930.25	80			Percent of total billed charges		27993.27	90			Percent of total billed charges		31492.42		8767.2		Case rate	DRG Factor * DRG Weight	8767.2	85			Percent of total billed charges		29742.84		8767.2		Case rate	DRG Factor * DRG Weight	8767.2		8767.2		Case rate	DRG Factor * DRG Weight	8767.2		8767.2		Case rate	DRG Factor * DRG Weight	8767.2		10668.37		Case rate	DRG Factor * DRG Weight	10668.37		1627		Per Diem		22778		1627		Per Diem		22778		8767.2		Case rate	DRG Factor * DRG Weight	8767.2	8767.2	31492.42	
degenerative nervous system disorders without mcc	57	MS-DRG	Inpatient			12170.62	7910.9		90			Percent of total billed charges		10953.56		8947.8		Case rate	DRG Factor * DRG Weight	8947.8	80			Percent of total billed charges		9736.5	90			Percent of total billed charges		10953.56		8784.43		Case rate	DRG Factor * DRG Weight	8784.43	85			Percent of total billed charges		10345.03		8784.43		Case rate	DRG Factor * DRG Weight	8784.43		8784.43		Case rate	DRG Factor * DRG Weight	8784.43		8784.43		Case rate	DRG Factor * DRG Weight	8784.43		13353.06		Case rate	DRG Factor * DRG Weight	13353.06		1627		Per Diem		6508		1627		Per Diem		6508		8784.43		Case rate	DRG Factor * DRG Weight	8784.43	6508	13353.06	
signs and symptoms of musculoskeletal system and connective tissue with mcc	555	MS-DRG	Inpatient			17582.32	11428.51		90			Percent of total billed charges		15824.09		8995.05		Case rate	DRG Factor * DRG Weight	8995.05	80			Percent of total billed charges		14065.86	90			Percent of total billed charges		15824.09		8830.82		Case rate	DRG Factor * DRG Weight	8830.82	85			Percent of total billed charges		14944.97		8830.82		Case rate	DRG Factor * DRG Weight	8830.82		8830.82		Case rate	DRG Factor * DRG Weight	8830.82		8830.82		Case rate	DRG Factor * DRG Weight	8830.82		7903.62		Case rate	DRG Factor * DRG Weight	7903.62		1627		Per Diem		4881		1627		Per Diem		4881		8830.82		Case rate	DRG Factor * DRG Weight	8830.82	4881	15824.09	
kidney and ureter procedures for non-neoplasm with cc	660	MS-DRG	Inpatient			18150.53	11797.85		90			Percent of total billed charges		16335.48		9033.52		Case rate	DRG Factor * DRG Weight	9033.52	80			Percent of total billed charges		14520.43	90			Percent of total billed charges		16335.48		8868.59		Case rate	DRG Factor * DRG Weight	8868.59	85			Percent of total billed charges		15427.95		8868.59		Case rate	DRG Factor * DRG Weight	8868.59		8868.59		Case rate	DRG Factor * DRG Weight	8868.59		8868.59		Case rate	DRG Factor * DRG Weight	8868.59		10191.02		Case rate	DRG Factor * DRG Weight	10191.02		1627		Per Diem		4881		1627		Per Diem		4881		8868.59		Case rate	DRG Factor * DRG Weight	8868.59	4881	16335.48	
local excision and removal of internal fixation devices except hip and femur without cc/mcc	497	MS-DRG	Inpatient			28015	18209.75		90			Percent of total billed charges		25213.5		9110.48		Case rate	DRG Factor * DRG Weight	9110.48	80			Percent of total billed charges		22412	90			Percent of total billed charges		25213.5		8944.14		Case rate	DRG Factor * DRG Weight	8944.14	85			Percent of total billed charges		23812.75		8944.14		Case rate	DRG Factor * DRG Weight	8944.14		8944.14		Case rate	DRG Factor * DRG Weight	8944.14		8944.14		Case rate	DRG Factor * DRG Weight	8944.14		10117.64		Case rate	DRG Factor * DRG Weight	10117.64		1627		Per Diem		13016		1627		Per Diem		13016		8944.14		Case rate	DRG Factor * DRG Weight	8944.14	8944.14	25213.5	
other digestive system o.r. procedures without cc/mcc	358	MS-DRG	Inpatient			6473.5	4207.78		90			Percent of total billed charges		5826.15		9169.2		Case rate	DRG Factor * DRG Weight	9169.2	80			Percent of total billed charges		5178.8	90			Percent of total billed charges		5826.15		9001.79		Case rate	DRG Factor * DRG Weight	9001.79	85			Percent of total billed charges		5502.48		9001.79		Case rate	DRG Factor * DRG Weight	9001.79		9001.79		Case rate	DRG Factor * DRG Weight	9001.79		9001.79		Case rate	DRG Factor * DRG Weight	9001.79		11041.94		Case rate	DRG Factor * DRG Weight	11041.94		1627		Per Diem		4881		1627		Per Diem		4881		9001.79		Case rate	DRG Factor * DRG Weight	9001.79	4881	11041.94	
psychoses	885	MS-DRG	Inpatient			20534.05	13347.13		90			Percent of total billed charges		18480.64		9319.72		Case rate	DRG Factor * DRG Weight	9319.72	80			Percent of total billed charges		16427.24	90			Percent of total billed charges		18480.64		9149.57		Case rate	DRG Factor * DRG Weight	9149.57	85			Percent of total billed charges		17453.94		9149.57		Case rate	DRG Factor * DRG Weight	9149.57		9149.57		Case rate	DRG Factor * DRG Weight	9149.57		9149.57		Case rate	DRG Factor * DRG Weight	9149.57		4621.5		Case rate	DRG Factor * DRG Weight	4621.5		1627		Per Diem		4881		1627		Per Diem		4881		9149.57		Case rate	DRG Factor * DRG Weight	9149.57	4621.5	18480.64	
postpartum and postabortion diagnoses with o.r. procedures	769	MS-DRG	Inpatient			12343.5	8023.28		90			Percent of total billed charges		11109.15		9359.55		Case rate	DRG Factor * DRG Weight	9359.55	80			Percent of total billed charges		9874.8	90			Percent of total billed charges		11109.15		9188.67		Case rate	DRG Factor * DRG Weight	9188.67	85			Percent of total billed charges		10491.98		9188.67		Case rate	DRG Factor * DRG Weight	9188.67		9188.67		Case rate	DRG Factor * DRG Weight	9188.67		9188.67		Case rate	DRG Factor * DRG Weight	9188.67		9388.28		Case rate	DRG Factor * DRG Weight	9388.28		1627		Per Diem		4881		1627		Per Diem		4881		9188.67		Case rate	DRG Factor * DRG Weight	9188.67	4881	11109.15	
mouth procedures with cc/mcc	137	MS-DRG	Inpatient			16864.75	10962.09		90			Percent of total billed charges		15178.28		9412.88		Case rate	DRG Factor * DRG Weight	9412.88	80			Percent of total billed charges		13491.8	90			Percent of total billed charges		15178.28		9241.02		Case rate	DRG Factor * DRG Weight	9241.02	85			Percent of total billed charges		14335.04		9241.02		Case rate	DRG Factor * DRG Weight	9241.02		9241.02		Case rate	DRG Factor * DRG Weight	9241.02		9241.02		Case rate	DRG Factor * DRG Weight	9241.02		9915.29		Case rate	DRG Factor * DRG Weight	9915.29		1627		Per Diem		6508		1627		Per Diem		6508		9241.02		Case rate	DRG Factor * DRG Weight	9241.02	6508	15178.28	
red blood cell disorders with mcc	811	MS-DRG	Inpatient			18806.01	12223.91		90			Percent of total billed charges		16925.41		9472.95		Case rate	DRG Factor * DRG Weight	9472.95	80			Percent of total billed charges		15044.81	90			Percent of total billed charges		16925.41		9299.99		Case rate	DRG Factor * DRG Weight	9299.99	85			Percent of total billed charges		15985.11		9299.99		Case rate	DRG Factor * DRG Weight	9299.99		9299.99		Case rate	DRG Factor * DRG Weight	9299.99		9299.99		Case rate	DRG Factor * DRG Weight	9299.99		9176.29		Case rate	DRG Factor * DRG Weight	9176.29		1627		Per Diem		8135		1627		Per Diem		8135		9299.99		Case rate	DRG Factor * DRG Weight	9299.99	8135	16925.41	
soft tissue procedures without cc/mcc	502	MS-DRG	Inpatient			11453	7444.45		90			Percent of total billed charges		10307.7		9474.98		Case rate	DRG Factor * DRG Weight	9474.98	80			Percent of total billed charges		9162.4	90			Percent of total billed charges		10307.7		9301.98		Case rate	DRG Factor * DRG Weight	9301.98	85			Percent of total billed charges		9735.05		9301.98		Case rate	DRG Factor * DRG Weight	9301.98		9301.98		Case rate	DRG Factor * DRG Weight	9301.98		9301.98		Case rate	DRG Factor * DRG Weight	9301.98		12465.08		Case rate	DRG Factor * DRG Weight	12465.08		1627		Per Diem		3254		1627		Per Diem		3254		9301.98		Case rate	DRG Factor * DRG Weight	9301.98	3254	12465.08	
pulmonary embolism with mcc or acute cor pulmonale	175	MS-DRG	Inpatient			22734.5	14777.42		90			Percent of total billed charges		20461.05		9485.78		Case rate	DRG Factor * DRG Weight	9485.78	80			Percent of total billed charges		18187.6	90			Percent of total billed charges		20461.05		9312.59		Case rate	DRG Factor * DRG Weight	9312.59	85			Percent of total billed charges		19324.32		9312.59		Case rate	DRG Factor * DRG Weight	9312.59		9312.59		Case rate	DRG Factor * DRG Weight	9312.59		9312.59		Case rate	DRG Factor * DRG Weight	9312.59		8605.55		Case rate	DRG Factor * DRG Weight	8605.55		1627		Per Diem		6508		1627		Per Diem		6508		9312.59		Case rate	DRG Factor * DRG Weight	9312.59	6508	20461.05	
"infections, female reproductive system with mcc"	757	MS-DRG	Inpatient			7930.6	5154.89		90			Percent of total billed charges		7137.54		9512.78		Case rate	DRG Factor * DRG Weight	9512.78	80			Percent of total billed charges		6344.48	90			Percent of total billed charges		7137.54		9339.09		Case rate	DRG Factor * DRG Weight	9339.09	85			Percent of total billed charges		6741.01		9339.09		Case rate	DRG Factor * DRG Weight	9339.09		9339.09		Case rate	DRG Factor * DRG Weight	9339.09		9339.09		Case rate	DRG Factor * DRG Weight	9339.09		8895.37		Case rate	DRG Factor * DRG Weight	8895.37		1627		Per Diem		4881		1627		Per Diem		4881		9339.09		Case rate	DRG Factor * DRG Weight	9339.09	4881	9512.78	
"other skin, subcutaneous tissue and breast procedures without cc/mcc"	581	MS-DRG	Inpatient			18608.04	12095.23		90			Percent of total billed charges		16747.24		9717.98		Case rate	DRG Factor * DRG Weight	9717.98	80			Percent of total billed charges		14886.43	90			Percent of total billed charges		16747.24		9540.55		Case rate	DRG Factor * DRG Weight	9540.55	85			Percent of total billed charges		15816.83		9540.55		Case rate	DRG Factor * DRG Weight	9540.55		9540.55		Case rate	DRG Factor * DRG Weight	9540.55		9540.55		Case rate	DRG Factor * DRG Weight	9540.55		16332.02		Case rate	DRG Factor * DRG Weight	16332.02		1627		Per Diem		4881		1627		Per Diem		4881		9540.55		Case rate	DRG Factor * DRG Weight	9540.55	4881	16747.24	
viral illness with mcc	865	MS-DRG	Inpatient			156207.81	101535.07		90			Percent of total billed charges		140587.03		9740.25		Case rate	DRG Factor * DRG Weight	9740.25	80			Percent of total billed charges		124966.25	90			Percent of total billed charges		140587.03		9562.41		Case rate	DRG Factor * DRG Weight	9562.41	85			Percent of total billed charges		132776.64		9562.41		Case rate	DRG Factor * DRG Weight	9562.41		9562.41		Case rate	DRG Factor * DRG Weight	9562.41		9562.41		Case rate	DRG Factor * DRG Weight	9562.41		12740.81		Case rate	DRG Factor * DRG Weight	12740.81		1627		Per Diem		60199		1627		Per Diem		60199		9562.41		Case rate	DRG Factor * DRG Weight	9562.41	9562.41	140587.03	
"fracture, sprain, strain and dislocation except femur, hip, pelvis and thigh with mcc"	562	MS-DRG	Inpatient			8575	5573.75		90			Percent of total billed charges		7717.5		9794.92		Case rate	DRG Factor * DRG Weight	9794.92	80			Percent of total billed charges		6860	90			Percent of total billed charges		7717.5		9616.09		Case rate	DRG Factor * DRG Weight	9616.09	85			Percent of total billed charges		7288.75		9616.09		Case rate	DRG Factor * DRG Weight	9616.09		9616.09		Case rate	DRG Factor * DRG Weight	9616.09		9616.09		Case rate	DRG Factor * DRG Weight	9616.09		8776.77		Case rate	DRG Factor * DRG Weight	8776.77		1627		Per Diem		4881		1627		Per Diem		4881		9616.09		Case rate	DRG Factor * DRG Weight	9616.09	4881	9794.92	
diabetes with mcc	637	MS-DRG	Inpatient			22495.01	14621.75		90			Percent of total billed charges		20245.51		9800.32		Case rate	DRG Factor * DRG Weight	9800.32	80			Percent of total billed charges		17996.01	90			Percent of total billed charges		20245.51		9621.39		Case rate	DRG Factor * DRG Weight	9621.39	85			Percent of total billed charges		19120.76		9621.39		Case rate	DRG Factor * DRG Weight	9621.39		9621.39		Case rate	DRG Factor * DRG Weight	9621.39		9621.39		Case rate	DRG Factor * DRG Weight	9621.39		8665.59		Case rate	DRG Factor * DRG Weight	8665.59		1627		Per Diem		4881		1627		Per Diem		4881		9621.39		Case rate	DRG Factor * DRG Weight	9621.39	4881	20245.51	
cellulitis with mcc	602	MS-DRG	Inpatient			15914.65	10344.52		90			Percent of total billed charges		14323.18		9844.2		Case rate	DRG Factor * DRG Weight	9844.2	80			Percent of total billed charges		12731.72	90			Percent of total billed charges		14323.18		9664.47		Case rate	DRG Factor * DRG Weight	9664.47	85			Percent of total billed charges		13527.45		9664.47		Case rate	DRG Factor * DRG Weight	9664.47		9664.47		Case rate	DRG Factor * DRG Weight	9664.47		9664.47		Case rate	DRG Factor * DRG Weight	9664.47		7735.36		Case rate	DRG Factor * DRG Weight	7735.36		1627		Per Diem		8135		1627		Per Diem		8135		9664.47		Case rate	DRG Factor * DRG Weight	9664.47	7735.36	14323.18	
inflammation of the male reproductive system with mcc	727	MS-DRG	Inpatient			27746	18034.9		90			Percent of total billed charges		24971.4		9861.75		Case rate	DRG Factor * DRG Weight	9861.75	80			Percent of total billed charges		22196.8	90			Percent of total billed charges		24971.4		9681.7		Case rate	DRG Factor * DRG Weight	9681.7	85			Percent of total billed charges		23584.1		9681.7		Case rate	DRG Factor * DRG Weight	9681.7		9681.7		Case rate	DRG Factor * DRG Weight	9681.7		9681.7		Case rate	DRG Factor * DRG Weight	9681.7		13336.75		Case rate	DRG Factor * DRG Weight	13336.75		1627		Per Diem		4881		1627		Per Diem		4881		9681.7		Case rate	DRG Factor * DRG Weight	9681.7	4881	24971.4	
gastrointestinal obstruction with mcc	388	MS-DRG	Inpatient			26380.48	17147.31		90			Percent of total billed charges		23742.43		9869.18		Case rate	DRG Factor * DRG Weight	9869.18	80			Percent of total billed charges		21104.38	90			Percent of total billed charges		23742.43		9688.99		Case rate	DRG Factor * DRG Weight	9688.99	85			Percent of total billed charges		22423.41		9688.99		Case rate	DRG Factor * DRG Weight	9688.99		9688.99		Case rate	DRG Factor * DRG Weight	9688.99		9688.99		Case rate	DRG Factor * DRG Weight	9688.99		9780.38		Case rate	DRG Factor * DRG Weight	9780.38		1627		Per Diem		9762		1627		Per Diem		9762		9688.99		Case rate	DRG Factor * DRG Weight	9688.99	9688.99	23742.43	
"trauma to the skin, subcutaneous tissue and breast with mcc"	604	MS-DRG	Inpatient			63560.85	41314.55		90			Percent of total billed charges		57204.76		10007.55		Case rate	DRG Factor * DRG Weight	10007.55	80			Percent of total billed charges		50848.68	90			Percent of total billed charges		57204.76		9824.83		Case rate	DRG Factor * DRG Weight	9824.83	85			Percent of total billed charges		54026.72		9824.83		Case rate	DRG Factor * DRG Weight	9824.83		9824.83		Case rate	DRG Factor * DRG Weight	9824.83		9824.83		Case rate	DRG Factor * DRG Weight	9824.83		9739.62		Case rate	DRG Factor * DRG Weight	9739.62		1627		Per Diem		8135		1627		Per Diem		8135		9824.83		Case rate	DRG Factor * DRG Weight	9824.83	8135	57204.76	
minor small and large bowel procedures with cc	345	MS-DRG	Inpatient			24109	15670.85		90			Percent of total billed charges		21698.1		10031.85		Case rate	DRG Factor * DRG Weight	10031.85	80			Percent of total billed charges		19287.2	90			Percent of total billed charges		21698.1		9848.69		Case rate	DRG Factor * DRG Weight	9848.69	85			Percent of total billed charges		20492.65		9848.69		Case rate	DRG Factor * DRG Weight	9848.69		9848.69		Case rate	DRG Factor * DRG Weight	9848.69		9848.69		Case rate	DRG Factor * DRG Weight	9848.69		11566.72		Case rate	DRG Factor * DRG Weight	11566.72		1627		Per Diem		4881		1627		Per Diem		4881		9848.69		Case rate	DRG Factor * DRG Weight	9848.69	4881	21698.1	
other multiple significant trauma with cc	964	MS-DRG	Inpatient			14413.73	9368.92		90			Percent of total billed charges		12972.35		10081.8		Case rate	DRG Factor * DRG Weight	10081.8	80			Percent of total billed charges		11530.98	90			Percent of total billed charges		12972.35		9897.73		Case rate	DRG Factor * DRG Weight	9897.73	85			Percent of total billed charges		12251.67		9897.73		Case rate	DRG Factor * DRG Weight	9897.73		9897.73		Case rate	DRG Factor * DRG Weight	9897.73		9897.73		Case rate	DRG Factor * DRG Weight	9897.73		13995.7		Case rate	DRG Factor * DRG Weight	13995.7		1627		Per Diem		1627		1627		Per Diem		1627		9897.73		Case rate	DRG Factor * DRG Weight	9897.73	1627	13995.7	
nervous system neoplasms with mcc	54	MS-DRG	Inpatient			7849.4	5102.11		90			Percent of total billed charges		7064.46		10090.58		Case rate	DRG Factor * DRG Weight	10090.58	80			Percent of total billed charges		6279.52	90			Percent of total billed charges		7064.46		9906.34		Case rate	DRG Factor * DRG Weight	9906.34	85			Percent of total billed charges		6671.99		9906.34		Case rate	DRG Factor * DRG Weight	9906.34		9906.34		Case rate	DRG Factor * DRG Weight	9906.34		9906.34		Case rate	DRG Factor * DRG Weight	9906.34		8824.95		Case rate	DRG Factor * DRG Weight	8824.95		1627		Per Diem		3254		1627		Per Diem		3254		9906.34		Case rate	DRG Factor * DRG Weight	9906.34	3254	10090.58	
renal failure with mcc	682	MS-DRG	Inpatient			6899.58	4484.72		90			Percent of total billed charges		6209.62		10096.65		Case rate	DRG Factor * DRG Weight	10096.65	80			Percent of total billed charges		5519.66	90			Percent of total billed charges		6209.62		9912.31		Case rate	DRG Factor * DRG Weight	9912.31	85			Percent of total billed charges		5864.64		9912.31		Case rate	DRG Factor * DRG Weight	9912.31		9912.31		Case rate	DRG Factor * DRG Weight	9912.31		9912.31		Case rate	DRG Factor * DRG Weight	9912.31		9951.61		Case rate	DRG Factor * DRG Weight	9951.61		1627		Per Diem		3254		1627		Per Diem		3254		9912.31		Case rate	DRG Factor * DRG Weight	9912.31	3254	10096.65	
"hand or wrist procedures, except major thumb or joint procedures with cc/mcc"	513	MS-DRG	Inpatient			23300.65	15145.42		90			Percent of total billed charges		20970.58		10106.78		Case rate	DRG Factor * DRG Weight	10106.78	80			Percent of total billed charges		18640.52	90			Percent of total billed charges		20970.58		9922.25		Case rate	DRG Factor * DRG Weight	9922.25	85			Percent of total billed charges		19805.55		9922.25		Case rate	DRG Factor * DRG Weight	9922.25		9922.25		Case rate	DRG Factor * DRG Weight	9922.25		9922.25		Case rate	DRG Factor * DRG Weight	9922.25		12026.28		Case rate	DRG Factor * DRG Weight	12026.28		1627		Per Diem		8135		1627		Per Diem		8135		9922.25		Case rate	DRG Factor * DRG Weight	9922.25	8135	20970.58	
minor bladder procedures with cc	663	MS-DRG	Inpatient			10318.3	6706.9		90			Percent of total billed charges		9286.47		10287.68		Case rate	DRG Factor * DRG Weight	10287.68	80			Percent of total billed charges		8254.64	90			Percent of total billed charges		9286.47		10099.84		Case rate	DRG Factor * DRG Weight	10099.84	85			Percent of total billed charges		8770.56		10099.84		Case rate	DRG Factor * DRG Weight	10099.84		10099.84		Case rate	DRG Factor * DRG Weight	10099.84		10099.84		Case rate	DRG Factor * DRG Weight	10099.84		12004.04		Case rate	DRG Factor * DRG Weight	12004.04		1627		Per Diem		3254		1627		Per Diem		3254		10099.84		Case rate	DRG Factor * DRG Weight	10099.84	3254	12004.04	
cardiac pacemaker revision except device replacement without cc/mcc	262	MS-DRG	Inpatient			27060	17589		90			Percent of total billed charges		24354		10300.5		Case rate	DRG Factor * DRG Weight	10300.5	80			Percent of total billed charges		21648	90			Percent of total billed charges		24354		10112.44		Case rate	DRG Factor * DRG Weight	10112.44	85			Percent of total billed charges		23001		10112.44		Case rate	DRG Factor * DRG Weight	10112.44		10112.44		Case rate	DRG Factor * DRG Weight	10112.44		10112.44		Case rate	DRG Factor * DRG Weight	10112.44		17063.6		Case rate	DRG Factor * DRG Weight	17063.6		1627		Per Diem		4881		1627		Per Diem		4881		10112.44		Case rate	DRG Factor * DRG Weight	10112.44	4881	24354	
"tendonitis, myositis and bursitis with mcc"	557	MS-DRG	Inpatient			30869.98	20065.48		90			Percent of total billed charges		27782.98		10378.8		Case rate	DRG Factor * DRG Weight	10378.8	80			Percent of total billed charges		24695.98	90			Percent of total billed charges		27782.98		10189.31		Case rate	DRG Factor * DRG Weight	10189.31	85			Percent of total billed charges		26239.48		10189.31		Case rate	DRG Factor * DRG Weight	10189.31		10189.31		Case rate	DRG Factor * DRG Weight	10189.31		10189.31		Case rate	DRG Factor * DRG Weight	10189.31		6639.84		Case rate	DRG Factor * DRG Weight	6639.84		1627		Per Diem		13016		1627		Per Diem		13016		10189.31		Case rate	DRG Factor * DRG Weight	10189.31	6639.84	27782.98	
peritoneal adhesiolysis without cc/mcc	337	MS-DRG	Inpatient			32012.65	20808.22		90			Percent of total billed charges		28811.38		10379.48		Case rate	DRG Factor * DRG Weight	10379.48	80			Percent of total billed charges		25610.12	90			Percent of total billed charges		28811.38		10189.97		Case rate	DRG Factor * DRG Weight	10189.97	85			Percent of total billed charges		27210.75		10189.97		Case rate	DRG Factor * DRG Weight	10189.97		10189.97		Case rate	DRG Factor * DRG Weight	10189.97		10189.97		Case rate	DRG Factor * DRG Weight	10189.97		11715.71		Case rate	DRG Factor * DRG Weight	11715.71		1627		Per Diem		6508		1627		Per Diem		6508		10189.97		Case rate	DRG Factor * DRG Weight	10189.97	6508	28811.38	
cranial and peripheral nerve disorders with mcc	73	MS-DRG	Inpatient			8922.75	5799.79		90			Percent of total billed charges		8030.48		10397.7		Case rate	DRG Factor * DRG Weight	10397.7	80			Percent of total billed charges		7138.2	90			Percent of total billed charges		8030.48		10207.86		Case rate	DRG Factor * DRG Weight	10207.86	85			Percent of total billed charges		7584.34		10207.86		Case rate	DRG Factor * DRG Weight	10207.86		10207.86		Case rate	DRG Factor * DRG Weight	10207.86		10207.86		Case rate	DRG Factor * DRG Weight	10207.86		15198.7		Case rate	DRG Factor * DRG Weight	15198.7		1627		Per Diem		3254		1627		Per Diem		3254		10207.86		Case rate	DRG Factor * DRG Weight	10207.86	3254	15198.7	
coagulation disorders	813	MS-DRG	Inpatient			10155.83	6601.29		90			Percent of total billed charges		9140.24		10420.65		Case rate	DRG Factor * DRG Weight	10420.65	80			Percent of total billed charges		8124.66	90			Percent of total billed charges		9140.24		10230.39		Case rate	DRG Factor * DRG Weight	10230.39	85			Percent of total billed charges		8632.45		10230.39		Case rate	DRG Factor * DRG Weight	10230.39		10230.39		Case rate	DRG Factor * DRG Weight	10230.39		10230.39		Case rate	DRG Factor * DRG Weight	10230.39		8442.48		Case rate	DRG Factor * DRG Weight	8442.48		1627		Per Diem		4881		1627		Per Diem		4881		10230.39		Case rate	DRG Factor * DRG Weight	10230.39	4881	10420.65	
lymphoma and nonacute leukemia with cc	841	MS-DRG	Inpatient			23771.33	15451.36		90			Percent of total billed charges		21394.19		10540.8		Case rate	DRG Factor * DRG Weight	10540.8	80			Percent of total billed charges		19017.06	90			Percent of total billed charges		21394.19		10348.35		Case rate	DRG Factor * DRG Weight	10348.35	85			Percent of total billed charges		20205.63		10348.35		Case rate	DRG Factor * DRG Weight	10348.35		10348.35		Case rate	DRG Factor * DRG Weight	10348.35		10348.35		Case rate	DRG Factor * DRG Weight	10348.35		15426.25		Case rate	DRG Factor * DRG Weight	15426.25		1627		Per Diem		6508		1627		Per Diem		6508		10348.35		Case rate	DRG Factor * DRG Weight	10348.35	6508	21394.19	
pleural effusion with mcc	186	MS-DRG	Inpatient			18761.75	12195.14		90			Percent of total billed charges		16885.58		10650.82		Case rate	DRG Factor * DRG Weight	10650.82	80			Percent of total billed charges		15009.4	90			Percent of total billed charges		16885.58		10456.36		Case rate	DRG Factor * DRG Weight	10456.36	85			Percent of total billed charges		15947.49		10456.36		Case rate	DRG Factor * DRG Weight	10456.36		10456.36		Case rate	DRG Factor * DRG Weight	10456.36		10456.36		Case rate	DRG Factor * DRG Weight	10456.36		12853.48		Case rate	DRG Factor * DRG Weight	12853.48		1627		Per Diem		6508		1627		Per Diem		6508		10456.36		Case rate	DRG Factor * DRG Weight	10456.36	6508	16885.58	
major chest trauma with mcc	183	MS-DRG	Inpatient			21990.53	14293.84		90			Percent of total billed charges		19791.47		10654.88		Case rate	DRG Factor * DRG Weight	10654.88	80			Percent of total billed charges		17592.42	90			Percent of total billed charges		19791.47		10460.34		Case rate	DRG Factor * DRG Weight	10460.34	85			Percent of total billed charges		18691.95		10460.34		Case rate	DRG Factor * DRG Weight	10460.34		10460.34		Case rate	DRG Factor * DRG Weight	10460.34		10460.34		Case rate	DRG Factor * DRG Weight	10460.34		10964.11		Case rate	DRG Factor * DRG Weight	10964.11		1627		Per Diem		9762		1627		Per Diem		9762		10460.34		Case rate	DRG Factor * DRG Weight	10460.34	9762	19791.47	
hip and femur procedures except major joint without cc/mcc	482	MS-DRG	Inpatient			22884.25	14874.76		90			Percent of total billed charges		20595.82		10760.18		Case rate	DRG Factor * DRG Weight	10760.18	80			Percent of total billed charges		18307.4	90			Percent of total billed charges		20595.82		10563.72		Case rate	DRG Factor * DRG Weight	10563.72	85			Percent of total billed charges		19451.61		10563.72		Case rate	DRG Factor * DRG Weight	10563.72		10563.72		Case rate	DRG Factor * DRG Weight	10563.72		10563.72		Case rate	DRG Factor * DRG Weight	10563.72		13408.65		Case rate	DRG Factor * DRG Weight	13408.65		1627		Per Diem		8135		1627		Per Diem		8135		10563.72		Case rate	DRG Factor * DRG Weight	10563.72	8135	20595.82	
"stomach, esophageal and duodenal procedures without cc/mcc"	328	MS-DRG	Inpatient			20334.4	13217.36		90			Percent of total billed charges		18300.96		10768.95		Case rate	DRG Factor * DRG Weight	10768.95	80			Percent of total billed charges		16267.52	90			Percent of total billed charges		18300.96		10572.33		Case rate	DRG Factor * DRG Weight	10572.33	85			Percent of total billed charges		17284.24		10572.33		Case rate	DRG Factor * DRG Weight	10572.33		10572.33		Case rate	DRG Factor * DRG Weight	10572.33		10572.33		Case rate	DRG Factor * DRG Weight	10572.33		15089		Case rate	DRG Factor * DRG Weight	15089		1627		Per Diem		8135		1627		Per Diem		8135		10572.33		Case rate	DRG Factor * DRG Weight	10572.33	8135	18300.96	
peripheral vascular disorders with mcc	299	MS-DRG	Inpatient			27392.7	17805.25		90			Percent of total billed charges		24653.43		10863.45		Case rate	DRG Factor * DRG Weight	10863.45	80			Percent of total billed charges		21914.16	90			Percent of total billed charges		24653.43		10665.11		Case rate	DRG Factor * DRG Weight	10665.11	85			Percent of total billed charges		23283.79		10665.11		Case rate	DRG Factor * DRG Weight	10665.11		10665.11		Case rate	DRG Factor * DRG Weight	10665.11		10665.11		Case rate	DRG Factor * DRG Weight	10665.11		10360.76		Case rate	DRG Factor * DRG Weight	10360.76		1627		Per Diem		24405		1627		Per Diem		24405		10665.11		Case rate	DRG Factor * DRG Weight	10665.11	10360.76	24653.43	
respiratory infections and inflammations with mcc	177	MS-DRG	Inpatient			21392	13904.8		90			Percent of total billed charges		19252.8		10881		Case rate	DRG Factor * DRG Weight	10881	80			Percent of total billed charges		17113.6	90			Percent of total billed charges		19252.8		10682.34		Case rate	DRG Factor * DRG Weight	10682.34	85			Percent of total billed charges		18183.2		10682.34		Case rate	DRG Factor * DRG Weight	10682.34		10682.34		Case rate	DRG Factor * DRG Weight	10682.34		10682.34		Case rate	DRG Factor * DRG Weight	10682.34		9583.22		Case rate	DRG Factor * DRG Weight	9583.22		1627		Per Diem		6508		1627		Per Diem		6508		10682.34		Case rate	DRG Factor * DRG Weight	10682.34	6508	19252.8	
inflammatory bowel disease with mcc	385	MS-DRG	Inpatient			11292.65	7340.22		90			Percent of total billed charges		10163.38		10890.45		Case rate	DRG Factor * DRG Weight	10890.45	80			Percent of total billed charges		9034.12	90			Percent of total billed charges		10163.38		10691.61		Case rate	DRG Factor * DRG Weight	10691.61	85			Percent of total billed charges		9598.75		10691.61		Case rate	DRG Factor * DRG Weight	10691.61		10691.61		Case rate	DRG Factor * DRG Weight	10691.61		10691.61		Case rate	DRG Factor * DRG Weight	10691.61		11785.38		Case rate	DRG Factor * DRG Weight	11785.38		1627		Per Diem		3254		1627		Per Diem		3254		10691.61		Case rate	DRG Factor * DRG Weight	10691.61	3254	11785.38	
traumatic injury with mcc	913	MS-DRG	Inpatient			33264.9	21622.18		90			Percent of total billed charges		29938.41		10928.92		Case rate	DRG Factor * DRG Weight	10928.92	80			Percent of total billed charges		26611.92	90			Percent of total billed charges		29938.41		10729.39		Case rate	DRG Factor * DRG Weight	10729.39	85			Percent of total billed charges		28275.16		10729.39		Case rate	DRG Factor * DRG Weight	10729.39		10729.39		Case rate	DRG Factor * DRG Weight	10729.39		10729.39		Case rate	DRG Factor * DRG Weight	10729.39		12296.08		Case rate	DRG Factor * DRG Weight	12296.08		1627		Per Diem		13016		1627		Per Diem		13016		10729.39		Case rate	DRG Factor * DRG Weight	10729.39	10729.39	29938.41	
"shoulder, elbow or forearm procedures, except major joint procedures without cc/mcc"	512	MS-DRG	Inpatient			21620.83	14053.54		90			Percent of total billed charges		19458.74		10939.72		Case rate	DRG Factor * DRG Weight	10939.72	80			Percent of total billed charges		17296.66	90			Percent of total billed charges		19458.74		10739.99		Case rate	DRG Factor * DRG Weight	10739.99	85			Percent of total billed charges		18377.7		10739.99		Case rate	DRG Factor * DRG Weight	10739.99		10739.99		Case rate	DRG Factor * DRG Weight	10739.99		10739.99		Case rate	DRG Factor * DRG Weight	10739.99		14040.91		Case rate	DRG Factor * DRG Weight	14040.91		1627		Per Diem		4881		1627		Per Diem		4881		10739.99		Case rate	DRG Factor * DRG Weight	10739.99	4881	19458.74	
poisoning and toxic effects of drugs with mcc	917	MS-DRG	Inpatient			17230.45	11199.79		90			Percent of total billed charges		15507.4		11020.05		Case rate	DRG Factor * DRG Weight	11020.05	80			Percent of total billed charges		13784.36	90			Percent of total billed charges		15507.4		10818.85		Case rate	DRG Factor * DRG Weight	10818.85	85			Percent of total billed charges		14645.88		10818.85		Case rate	DRG Factor * DRG Weight	10818.85		10818.85		Case rate	DRG Factor * DRG Weight	10818.85		10818.85		Case rate	DRG Factor * DRG Weight	10818.85		9099.2		Case rate	DRG Factor * DRG Weight	9099.2		1627		Per Diem		4881		1627		Per Diem		4881		10818.85		Case rate	DRG Factor * DRG Weight	10818.85	4881	15507.4	
"cardiac arrest, unexplained with mcc"	296	MS-DRG	Inpatient			128624.33	83605.81		90			Percent of total billed charges		115761.89		11040.98		Case rate	DRG Factor * DRG Weight	11040.98	80			Percent of total billed charges		102899.46	90			Percent of total billed charges		115761.89		10839.39		Case rate	DRG Factor * DRG Weight	10839.39	85			Percent of total billed charges		109330.68		10839.39		Case rate	DRG Factor * DRG Weight	10839.39		10839.39		Case rate	DRG Factor * DRG Weight	10839.39		10839.39		Case rate	DRG Factor * DRG Weight	10839.39		14424.86		Case rate	DRG Factor * DRG Weight	14424.86		1627		Per Diem		6508		1627		Per Diem		6508		10839.39		Case rate	DRG Factor * DRG Weight	10839.39	6508	115761.89	
"acute myocardial infarction, discharged alive with mcc"	280	MS-DRG	Inpatient			30383	19748.95		90			Percent of total billed charges		27344.7		11059.2		Case rate	DRG Factor * DRG Weight	11059.2	80			Percent of total billed charges		24306.4	90			Percent of total billed charges		27344.7		10857.28		Case rate	DRG Factor * DRG Weight	10857.28	85			Percent of total billed charges		25825.55		10857.28		Case rate	DRG Factor * DRG Weight	10857.28		10857.28		Case rate	DRG Factor * DRG Weight	10857.28		10857.28		Case rate	DRG Factor * DRG Weight	10857.28		10883.32		Case rate	DRG Factor * DRG Weight	10883.32		1627		Per Diem		8135		1627		Per Diem		8135		10857.28		Case rate	DRG Factor * DRG Weight	10857.28	8135	27344.7	
organic disturbances and intellectual disability	884	MS-DRG	Inpatient			45679.99	29691.99		90			Percent of total billed charges		41111.99		11114.55		Case rate	DRG Factor * DRG Weight	11114.55	80			Percent of total billed charges		36543.99	90			Percent of total billed charges		41111.99		10911.62		Case rate	DRG Factor * DRG Weight	10911.62	85			Percent of total billed charges		38827.99		10911.62		Case rate	DRG Factor * DRG Weight	10911.62		10911.62		Case rate	DRG Factor * DRG Weight	10911.62		10911.62		Case rate	DRG Factor * DRG Weight	10911.62		13083.26		Case rate	DRG Factor * DRG Weight	13083.26		1627		Per Diem		45556		1627		Per Diem		45556		10911.62		Case rate	DRG Factor * DRG Weight	10911.62	10911.62	45556	
splenectomy without cc/mcc	801	MS-DRG	Inpatient			33660	21879		90			Percent of total billed charges		30294		11118.6		Case rate	DRG Factor * DRG Weight	11118.6	80			Percent of total billed charges		26928	90			Percent of total billed charges		30294		10915.6		Case rate	DRG Factor * DRG Weight	10915.6	85			Percent of total billed charges		28611		10915.6		Case rate	DRG Factor * DRG Weight	10915.6		10915.6		Case rate	DRG Factor * DRG Weight	10915.6		10915.6		Case rate	DRG Factor * DRG Weight	10915.6		14725.06		Case rate	DRG Factor * DRG Weight	14725.06		1627		Per Diem		13016		1627		Per Diem		13016		10915.6		Case rate	DRG Factor * DRG Weight	10915.6	10915.6	30294	
other digestive system diagnoses with mcc	393	MS-DRG	Inpatient			149962.33	97475.52		90			Percent of total billed charges		134966.1		11124.68		Case rate	DRG Factor * DRG Weight	11124.68	80			Percent of total billed charges		119969.87	90			Percent of total billed charges		134966.1		10921.56		Case rate	DRG Factor * DRG Weight	10921.56	85			Percent of total billed charges		127467.98		10921.56		Case rate	DRG Factor * DRG Weight	10921.56		10921.56		Case rate	DRG Factor * DRG Weight	10921.56		10921.56		Case rate	DRG Factor * DRG Weight	10921.56		11522.25		Case rate	DRG Factor * DRG Weight	11522.25		1627		Per Diem		86231		1627		Per Diem		86231		10921.56		Case rate	DRG Factor * DRG Weight	10921.56	10921.56	134966.1	
endocrine disorders with mcc	643	MS-DRG	Inpatient			68685.55	44645.61		90			Percent of total billed charges		61817		11130.08		Case rate	DRG Factor * DRG Weight	11130.08	80			Percent of total billed charges		54948.44	90			Percent of total billed charges		61817		10926.86		Case rate	DRG Factor * DRG Weight	10926.86	85			Percent of total billed charges		58382.72		10926.86		Case rate	DRG Factor * DRG Weight	10926.86		10926.86		Case rate	DRG Factor * DRG Weight	10926.86		10926.86		Case rate	DRG Factor * DRG Weight	10926.86		10637.98		Case rate	DRG Factor * DRG Weight	10637.98		1627		Per Diem		21151		1627		Per Diem		21151		10926.86		Case rate	DRG Factor * DRG Weight	10926.86	10637.98	61817	
major small and large bowel procedures without cc/mcc	331	MS-DRG	Inpatient			20191.7	13124.6		90			Percent of total billed charges		18172.53		11144.25		Case rate	DRG Factor * DRG Weight	11144.25	80			Percent of total billed charges		16153.36	90			Percent of total billed charges		18172.53		10940.78		Case rate	DRG Factor * DRG Weight	10940.78	85			Percent of total billed charges		17162.94		10940.78		Case rate	DRG Factor * DRG Weight	10940.78		10940.78		Case rate	DRG Factor * DRG Weight	10940.78		10940.78		Case rate	DRG Factor * DRG Weight	10940.78		14462.67		Case rate	DRG Factor * DRG Weight	14462.67		1627		Per Diem		6508		1627		Per Diem		6508		10940.78		Case rate	DRG Factor * DRG Weight	10940.78	6508	18172.53	
viral meningitis with cc/mcc	75	MS-DRG	Inpatient			67039.34	43575.57		90			Percent of total billed charges		60335.4		11167.88		Case rate	DRG Factor * DRG Weight	11167.88	80			Percent of total billed charges		53631.47	90			Percent of total billed charges		60335.4		10963.97		Case rate	DRG Factor * DRG Weight	10963.97	85			Percent of total billed charges		56983.44		10963.97		Case rate	DRG Factor * DRG Weight	10963.97		10963.97		Case rate	DRG Factor * DRG Weight	10963.97		10963.97		Case rate	DRG Factor * DRG Weight	10963.97		7165.36		Case rate	DRG Factor * DRG Weight	7165.36		1627		Per Diem		13016		1627		Per Diem		13016		10963.97		Case rate	DRG Factor * DRG Weight	10963.97	7165.36	60335.4	
laparoscopic cholecystectomy without c.d.e. with cc	418	MS-DRG	Inpatient			33518.69	21787.15		90			Percent of total billed charges		30166.82		11173.28		Case rate	DRG Factor * DRG Weight	11173.28	80			Percent of total billed charges		26814.95	90			Percent of total billed charges		30166.82		10969.28		Case rate	DRG Factor * DRG Weight	10969.28	85			Percent of total billed charges		28490.89		10969.28		Case rate	DRG Factor * DRG Weight	10969.28		10969.28		Case rate	DRG Factor * DRG Weight	10969.28		10969.28		Case rate	DRG Factor * DRG Weight	10969.28		13138.85		Case rate	DRG Factor * DRG Weight	13138.85		1627		Per Diem		8135		1627		Per Diem		8135		10969.28		Case rate	DRG Factor * DRG Weight	10969.28	8135	30166.82	
disorders of pancreas except malignancy with mcc	438	MS-DRG	Inpatient			18483	12013.95		90			Percent of total billed charges		16634.7		11199.6		Case rate	DRG Factor * DRG Weight	11199.6	80			Percent of total billed charges		14786.4	90			Percent of total billed charges		16634.7		10995.12		Case rate	DRG Factor * DRG Weight	10995.12	85			Percent of total billed charges		15710.55		10995.12		Case rate	DRG Factor * DRG Weight	10995.12		10995.12		Case rate	DRG Factor * DRG Weight	10995.12		10995.12		Case rate	DRG Factor * DRG Weight	10995.12		13109.94		Case rate	DRG Factor * DRG Weight	13109.94		1627		Per Diem		13016		1627		Per Diem		13016		10995.12		Case rate	DRG Factor * DRG Weight	10995.12	10995.12	16634.7	
"other injury, poisoning and toxic effect diagnoses with mcc"	922	MS-DRG	Inpatient			27372.4	17792.06		90			Percent of total billed charges		24635.16		11246.85		Case rate	DRG Factor * DRG Weight	11246.85	80			Percent of total billed charges		21897.92	90			Percent of total billed charges		24635.16		11041.51		Case rate	DRG Factor * DRG Weight	11041.51	85			Percent of total billed charges		23266.54		11041.51		Case rate	DRG Factor * DRG Weight	11041.51		11041.51		Case rate	DRG Factor * DRG Weight	11041.51		11041.51		Case rate	DRG Factor * DRG Weight	11041.51		17128.09		Case rate	DRG Factor * DRG Weight	17128.09		1627		Per Diem		3254		1627		Per Diem		3254		11041.51		Case rate	DRG Factor * DRG Weight	11041.51	3254	24635.16	
major esophageal disorders with mcc	368	MS-DRG	Inpatient			43425.06	28226.29		90			Percent of total billed charges		39082.55		11249.55		Case rate	DRG Factor * DRG Weight	11249.55	80			Percent of total billed charges		34740.05	90			Percent of total billed charges		39082.55		11044.16		Case rate	DRG Factor * DRG Weight	11044.16	85			Percent of total billed charges		36911.3		11044.16		Case rate	DRG Factor * DRG Weight	11044.16		11044.16		Case rate	DRG Factor * DRG Weight	11044.16		11044.16		Case rate	DRG Factor * DRG Weight	11044.16		10778.07		Case rate	DRG Factor * DRG Weight	10778.07		1627		Per Diem		3254		1627		Per Diem		3254		11044.16		Case rate	DRG Factor * DRG Weight	11044.16	3254	39082.55	
skin debridement with cc	571	MS-DRG	Inpatient			24728.25	16073.36		90			Percent of total billed charges		22255.42		11252.25		Case rate	DRG Factor * DRG Weight	11252.25	80			Percent of total billed charges		19782.6	90			Percent of total billed charges		22255.42		11046.81		Case rate	DRG Factor * DRG Weight	11046.81	85			Percent of total billed charges		21019.01		11046.81		Case rate	DRG Factor * DRG Weight	11046.81		11046.81		Case rate	DRG Factor * DRG Weight	11046.81		11046.81		Case rate	DRG Factor * DRG Weight	11046.81		9974.58		Case rate	DRG Factor * DRG Weight	9974.58		1627		Per Diem		4881		1627		Per Diem		4881		11046.81		Case rate	DRG Factor * DRG Weight	11046.81	4881	22255.42	
extensive o.r. procedures unrelated to principal diagnosis without cc/mcc	983	MS-DRG	Inpatient			9925.76	6451.74		90			Percent of total billed charges		8933.18		11275.88		Case rate	DRG Factor * DRG Weight	11275.88	80			Percent of total billed charges		7940.6	90			Percent of total billed charges		8933.18		11070		Case rate	DRG Factor * DRG Weight	11070	85			Percent of total billed charges		8436.89		11070		Case rate	DRG Factor * DRG Weight	11070		11070		Case rate	DRG Factor * DRG Weight	11070		11070		Case rate	DRG Factor * DRG Weight	11070		9998.3		Case rate	DRG Factor * DRG Weight	9998.3		1627		Per Diem		8135		1627		Per Diem		8135		11070		Case rate	DRG Factor * DRG Weight	11070	7940.6	11275.88	
other kidney and urinary tract diagnoses with mcc	698	MS-DRG	Inpatient			11041.27	7176.83		90			Percent of total billed charges		9937.15		11309.62		Case rate	DRG Factor * DRG Weight	11309.62	80			Percent of total billed charges		8833.02	90			Percent of total billed charges		9937.15		11103.14		Case rate	DRG Factor * DRG Weight	11103.14	85			Percent of total billed charges		9385.08		11103.14		Case rate	DRG Factor * DRG Weight	11103.14		11103.14		Case rate	DRG Factor * DRG Weight	11103.14		11103.14		Case rate	DRG Factor * DRG Weight	11103.14		10747.68		Case rate	DRG Factor * DRG Weight	10747.68		1627		Per Diem		3254		1627		Per Diem		3254		11103.14		Case rate	DRG Factor * DRG Weight	11103.14	3254	11309.62	
disorders of the biliary tract with mcc	444	MS-DRG	Inpatient			13440.5	8736.32		90			Percent of total billed charges		12096.45		11321.78		Case rate	DRG Factor * DRG Weight	11321.78	80			Percent of total billed charges		10752.4	90			Percent of total billed charges		12096.45		11115.06		Case rate	DRG Factor * DRG Weight	11115.06	85			Percent of total billed charges		11424.42		11115.06		Case rate	DRG Factor * DRG Weight	11115.06		11115.06		Case rate	DRG Factor * DRG Weight	11115.06		11115.06		Case rate	DRG Factor * DRG Weight	11115.06		10062.05		Case rate	DRG Factor * DRG Weight	10062.05		1627		Per Diem		4881		1627		Per Diem		4881		11115.06		Case rate	DRG Factor * DRG Weight	11115.06	4881	12096.45	
skin graft except for skin ulcer or cellulitis without cc/mcc	578	MS-DRG	Inpatient			33803.5	21972.28		90			Percent of total billed charges		30423.15		11350.12		Case rate	DRG Factor * DRG Weight	11350.12	80			Percent of total billed charges		27042.8	90			Percent of total billed charges		30423.15		11142.9		Case rate	DRG Factor * DRG Weight	11142.9	85			Percent of total billed charges		28732.98		11142.9		Case rate	DRG Factor * DRG Weight	11142.9		11142.9		Case rate	DRG Factor * DRG Weight	11142.9		11142.9		Case rate	DRG Factor * DRG Weight	11142.9		12865.34		Case rate	DRG Factor * DRG Weight	12865.34		1627		Per Diem		9762		1627		Per Diem		9762		11142.9		Case rate	DRG Factor * DRG Weight	11142.9	9762	30423.15	
medical back problems with mcc	551	MS-DRG	Inpatient			41336.06	26868.44		90			Percent of total billed charges		37202.45		11454.08		Case rate	DRG Factor * DRG Weight	11454.08	80			Percent of total billed charges		33068.85	90			Percent of total billed charges		37202.45		11244.95		Case rate	DRG Factor * DRG Weight	11244.95	85			Percent of total billed charges		35135.65		11244.95		Case rate	DRG Factor * DRG Weight	11244.95		11244.95		Case rate	DRG Factor * DRG Weight	11244.95		11244.95		Case rate	DRG Factor * DRG Weight	11244.95		10056.12		Case rate	DRG Factor * DRG Weight	10056.12		1627		Per Diem		21151		1627		Per Diem		21151		11244.95		Case rate	DRG Factor * DRG Weight	11244.95	10056.12	37202.45	
hernia procedures except inguinal and femoral with cc	354	MS-DRG	Inpatient			17209.5	11186.18		90			Percent of total billed charges		15488.55		11522.92		Case rate	DRG Factor * DRG Weight	11522.92	80			Percent of total billed charges		13767.6	90			Percent of total billed charges		15488.55		11312.54		Case rate	DRG Factor * DRG Weight	11312.54	85			Percent of total billed charges		14628.08		11312.54		Case rate	DRG Factor * DRG Weight	11312.54		11312.54		Case rate	DRG Factor * DRG Weight	11312.54		11312.54		Case rate	DRG Factor * DRG Weight	11312.54		14038.69		Case rate	DRG Factor * DRG Weight	14038.69		1627		Per Diem		3254		1627		Per Diem		3254		11312.54		Case rate	DRG Factor * DRG Weight	11312.54	3254	15488.55	
nonextensive o.r. procedures unrelated to principal diagnosis with cc	988	MS-DRG	Inpatient			15335.38	9967.99		90			Percent of total billed charges		13801.84		11570.18		Case rate	DRG Factor * DRG Weight	11570.18	80			Percent of total billed charges		12268.3	90			Percent of total billed charges		13801.84		11358.93		Case rate	DRG Factor * DRG Weight	11358.93	85			Percent of total billed charges		13035.07		11358.93		Case rate	DRG Factor * DRG Weight	11358.93		11358.93		Case rate	DRG Factor * DRG Weight	11358.93		11358.93		Case rate	DRG Factor * DRG Weight	11358.93		13860.8		Case rate	DRG Factor * DRG Weight	13860.8		1627		Per Diem		3254		1627		Per Diem		3254		11358.93		Case rate	DRG Factor * DRG Weight	11358.93	3254	13860.8	
allergic reactions with mcc	915	MS-DRG	Inpatient			20010.1	13006.56		90			Percent of total billed charges		18009.09		11653.88		Case rate	DRG Factor * DRG Weight	11653.88	80			Percent of total billed charges		16008.08	90			Percent of total billed charges		18009.09		11441.1		Case rate	DRG Factor * DRG Weight	11441.1	85			Percent of total billed charges		17008.58		11441.1		Case rate	DRG Factor * DRG Weight	11441.1		11441.1		Case rate	DRG Factor * DRG Weight	11441.1		11441.1		Case rate	DRG Factor * DRG Weight	11441.1		9405.33		Case rate	DRG Factor * DRG Weight	9405.33		1627		Per Diem		4881		1627		Per Diem		4881		11441.1		Case rate	DRG Factor * DRG Weight	11441.1	4881	18009.09	
nonspecific cerebrovascular disorders with mcc	70	MS-DRG	Inpatient			64458.79	41898.21		90			Percent of total billed charges		58012.91		11709.9		Case rate	DRG Factor * DRG Weight	11709.9	80			Percent of total billed charges		51567.03	90			Percent of total billed charges		58012.91		11496.1		Case rate	DRG Factor * DRG Weight	11496.1	85			Percent of total billed charges		54789.97		11496.1		Case rate	DRG Factor * DRG Weight	11496.1		11496.1		Case rate	DRG Factor * DRG Weight	11496.1		11496.1		Case rate	DRG Factor * DRG Weight	11496.1		12253.09		Case rate	DRG Factor * DRG Weight	12253.09		1627		Per Diem		16270		1627		Per Diem		16270		11496.1		Case rate	DRG Factor * DRG Weight	11496.1	11496.1	58012.91	
respiratory neoplasms with mcc	180	MS-DRG	Inpatient			20351.63	13228.56		90			Percent of total billed charges		18316.46		11718		Case rate	DRG Factor * DRG Weight	11718	80			Percent of total billed charges		16281.3	90			Percent of total billed charges		18316.46		11504.06		Case rate	DRG Factor * DRG Weight	11504.06	85			Percent of total billed charges		17298.88		11504.06		Case rate	DRG Factor * DRG Weight	11504.06		11504.06		Case rate	DRG Factor * DRG Weight	11504.06		11504.06		Case rate	DRG Factor * DRG Weight	11504.06		12596.28		Case rate	DRG Factor * DRG Weight	12596.28		1627		Per Diem		4881		1627		Per Diem		4881		11504.06		Case rate	DRG Factor * DRG Weight	11504.06	4881	18316.46	
major gastrointestinal disorders and peritoneal infections with mcc	371	MS-DRG	Inpatient			31902.7	20736.76		90			Percent of total billed charges		28712.43		11749.72		Case rate	DRG Factor * DRG Weight	11749.72	80			Percent of total billed charges		25522.16	90			Percent of total billed charges		28712.43		11535.2		Case rate	DRG Factor * DRG Weight	11535.2	85			Percent of total billed charges		27117.3		11535.2		Case rate	DRG Factor * DRG Weight	11535.2		11535.2		Case rate	DRG Factor * DRG Weight	11535.2		11535.2		Case rate	DRG Factor * DRG Weight	11535.2		9089.57		Case rate	DRG Factor * DRG Weight	9089.57		1627		Per Diem		14643		1627		Per Diem		14643		11535.2		Case rate	DRG Factor * DRG Weight	11535.2	9089.57	28712.43	
wound debridement and skin graft except hand for musculoskeletal and connective tissue disorders without cc/mcc	465	MS-DRG	Inpatient			35152.9	22849.38		90			Percent of total billed charges		31637.61		11833.42		Case rate	DRG Factor * DRG Weight	11833.42	80			Percent of total billed charges		28122.32	90			Percent of total billed charges		31637.61		11617.37		Case rate	DRG Factor * DRG Weight	11617.37	85			Percent of total billed charges		29879.96		11617.37		Case rate	DRG Factor * DRG Weight	11617.37		11617.37		Case rate	DRG Factor * DRG Weight	11617.37		11617.37		Case rate	DRG Factor * DRG Weight	11617.37		17009.49		Case rate	DRG Factor * DRG Weight	17009.49		1627		Per Diem		11389		1627		Per Diem		11389		11617.37		Case rate	DRG Factor * DRG Weight	11617.37	11389	31637.61	
foot procedures without cc/mcc	505	MS-DRG	Inpatient			14059.05	9138.38		90			Percent of total billed charges		12653.14		11849.62		Case rate	DRG Factor * DRG Weight	11849.62	80			Percent of total billed charges		11247.24	90			Percent of total billed charges		12653.14		11633.28		Case rate	DRG Factor * DRG Weight	11633.28	85			Percent of total billed charges		11950.19		11633.28		Case rate	DRG Factor * DRG Weight	11633.28		11633.28		Case rate	DRG Factor * DRG Weight	11633.28		11633.28		Case rate	DRG Factor * DRG Weight	11633.28		16054.8		Case rate	DRG Factor * DRG Weight	16054.8		1627		Per Diem		3254		1627		Per Diem		3254		11633.28		Case rate	DRG Factor * DRG Weight	11633.28	3254	16054.8	
foot procedures with cc	504	MS-DRG	Inpatient			16981.12	11037.73		90			Percent of total billed charges		15283		11849.62		Case rate	DRG Factor * DRG Weight	11849.62	80			Percent of total billed charges		13584.89	90			Percent of total billed charges		15283		11633.28		Case rate	DRG Factor * DRG Weight	11633.28	85			Percent of total billed charges		14433.95		11633.28		Case rate	DRG Factor * DRG Weight	11633.28		11633.28		Case rate	DRG Factor * DRG Weight	11633.28		11633.28		Case rate	DRG Factor * DRG Weight	11633.28		16320.9		Case rate	DRG Factor * DRG Weight	16320.9		1627		Per Diem		4881		1627		Per Diem		4881		11633.28		Case rate	DRG Factor * DRG Weight	11633.28	4881	16320.9	
pneumothorax with mcc	199	MS-DRG	Inpatient			12230.78	7950.01		90			Percent of total billed charges		11007.71		11862.45		Case rate	DRG Factor * DRG Weight	11862.45	80			Percent of total billed charges		9784.63	90			Percent of total billed charges		11007.71		11645.87		Case rate	DRG Factor * DRG Weight	11645.87	85			Percent of total billed charges		10396.17		11645.87		Case rate	DRG Factor * DRG Weight	11645.87		11645.87		Case rate	DRG Factor * DRG Weight	11645.87		11645.87		Case rate	DRG Factor * DRG Weight	11645.87		8335.01		Case rate	DRG Factor * DRG Weight	8335.01		1627		Per Diem		4881		1627		Per Diem		4881		11645.87		Case rate	DRG Factor * DRG Weight	11645.87	4881	11862.45	
"peripheral, cranial nerve and other nervous system procedures without cc/mcc"	42	MS-DRG	Inpatient			27528.64	17893.62		90			Percent of total billed charges		24775.78		11923.88		Case rate	DRG Factor * DRG Weight	11923.88	80			Percent of total billed charges		22022.91	90			Percent of total billed charges		24775.78		11706.17		Case rate	DRG Factor * DRG Weight	11706.17	85			Percent of total billed charges		23399.34		11706.17		Case rate	DRG Factor * DRG Weight	11706.17		11706.17		Case rate	DRG Factor * DRG Weight	11706.17		11706.17		Case rate	DRG Factor * DRG Weight	11706.17		12484.35		Case rate	DRG Factor * DRG Weight	12484.35		1627		Per Diem		3254		1627		Per Diem		3254		11706.17		Case rate	DRG Factor * DRG Weight	11706.17	3254	24775.78	
"other skin, subcutaneous tissue and breast procedures with cc"	580	MS-DRG	Inpatient			20223.7	13145.4		90			Percent of total billed charges		18201.33		11955.6		Case rate	DRG Factor * DRG Weight	11955.6	80			Percent of total billed charges		16178.96	90			Percent of total billed charges		18201.33		11737.32		Case rate	DRG Factor * DRG Weight	11737.32	85			Percent of total billed charges		17190.14		11737.32		Case rate	DRG Factor * DRG Weight	11737.32		11737.32		Case rate	DRG Factor * DRG Weight	11737.32		11737.32		Case rate	DRG Factor * DRG Weight	11737.32		15647.87		Case rate	DRG Factor * DRG Weight	15647.87		1627		Per Diem		4881		1627		Per Diem		4881		11737.32		Case rate	DRG Factor * DRG Weight	11737.32	4881	18201.33	
"alcohol, drug abuse or dependence without rehabilitation therapy with mcc"	896	MS-DRG	Inpatient			5808.4	3775.46		90			Percent of total billed charges		5227.56		11963.7		Case rate	DRG Factor * DRG Weight	11963.7	80			Percent of total billed charges		4646.72	90			Percent of total billed charges		5227.56		11745.27		Case rate	DRG Factor * DRG Weight	11745.27	85			Percent of total billed charges		4937.14		11745.27		Case rate	DRG Factor * DRG Weight	11745.27		11745.27		Case rate	DRG Factor * DRG Weight	11745.27		11745.27		Case rate	DRG Factor * DRG Weight	11745.27		8787.89		Case rate	DRG Factor * DRG Weight	8787.89		1627		Per Diem		4881		1627		Per Diem		4881		11745.27		Case rate	DRG Factor * DRG Weight	11745.27	4646.72	11963.7	
"ischemic stroke, precerebral occlusion or transient ischemia with thrombolytic agent with cc"	62	MS-DRG	Inpatient			32987.5	21441.88		90			Percent of total billed charges		29688.75		12047.4		Case rate	DRG Factor * DRG Weight	12047.4	80			Percent of total billed charges		26390	90			Percent of total billed charges		29688.75		11827.44		Case rate	DRG Factor * DRG Weight	11827.44	85			Percent of total billed charges		28039.38		11827.44		Case rate	DRG Factor * DRG Weight	11827.44		11827.44		Case rate	DRG Factor * DRG Weight	11827.44		11827.44		Case rate	DRG Factor * DRG Weight	11827.44		13061.76		Case rate	DRG Factor * DRG Weight	13061.76		1627		Per Diem		19524		1627		Per Diem		19524		11827.44		Case rate	DRG Factor * DRG Weight	11827.44	11827.44	29688.75	
soft tissue procedures with cc	501	MS-DRG	Inpatient			72688.38	47247.44		90			Percent of total billed charges		65419.54		12052.12		Case rate	DRG Factor * DRG Weight	12052.12	80			Percent of total billed charges		58150.7	90			Percent of total billed charges		65419.54		11832.08		Case rate	DRG Factor * DRG Weight	11832.08	85			Percent of total billed charges		61785.12		11832.08		Case rate	DRG Factor * DRG Weight	11832.08		11832.08		Case rate	DRG Factor * DRG Weight	11832.08		11832.08		Case rate	DRG Factor * DRG Weight	11832.08		15483.32		Case rate	DRG Factor * DRG Weight	15483.32		1627		Per Diem		6508		1627		Per Diem		6508		11832.08		Case rate	DRG Factor * DRG Weight	11832.08	6508	65419.54	
complications of treatment with mcc	919	MS-DRG	Inpatient			34684.33	22544.81		90			Percent of total billed charges		31215.89		12255.3		Case rate	DRG Factor * DRG Weight	12255.3	80			Percent of total billed charges		27747.46	90			Percent of total billed charges		31215.89		12031.55		Case rate	DRG Factor * DRG Weight	12031.55	85			Percent of total billed charges		29481.68		12031.55		Case rate	DRG Factor * DRG Weight	12031.55		12031.55		Case rate	DRG Factor * DRG Weight	12031.55		12031.55		Case rate	DRG Factor * DRG Weight	12031.55		11405.88		Case rate	DRG Factor * DRG Weight	11405.88		1627		Per Diem		17897		1627		Per Diem		17897		12031.55		Case rate	DRG Factor * DRG Weight	12031.55	11405.88	31215.89	
other disorders of nervous system with mcc	91	MS-DRG	Inpatient			66671.4	43336.41		90			Percent of total billed charges		60004.26		12258		Case rate	DRG Factor * DRG Weight	12258	80			Percent of total billed charges		53337.12	90			Percent of total billed charges		60004.26		12034.2		Case rate	DRG Factor * DRG Weight	12034.2	85			Percent of total billed charges		56670.69		12034.2		Case rate	DRG Factor * DRG Weight	12034.2		12034.2		Case rate	DRG Factor * DRG Weight	12034.2		12034.2		Case rate	DRG Factor * DRG Weight	12034.2		13104.75		Case rate	DRG Factor * DRG Weight	13104.75		1627		Per Diem		17897		1627		Per Diem		17897		12034.2		Case rate	DRG Factor * DRG Weight	12034.2	12034.2	60004.26	
gastrointestinal hemorrhage with mcc	377	MS-DRG	Inpatient			12378.25	8045.86		90			Percent of total billed charges		11140.42		12269.48		Case rate	DRG Factor * DRG Weight	12269.48	80			Percent of total billed charges		9902.6	90			Percent of total billed charges		11140.42		12045.46		Case rate	DRG Factor * DRG Weight	12045.46	85			Percent of total billed charges		10521.51		12045.46		Case rate	DRG Factor * DRG Weight	12045.46		12045.46		Case rate	DRG Factor * DRG Weight	12045.46		12045.46		Case rate	DRG Factor * DRG Weight	12045.46		10950.03		Case rate	DRG Factor * DRG Weight	10950.03		1627		Per Diem		4881		1627		Per Diem		4881		12045.46		Case rate	DRG Factor * DRG Weight	12045.46	4881	12269.48	
malignancy of hepatobiliary system or pancreas with mcc	435	MS-DRG	Inpatient			44636.83	29013.94		90			Percent of total billed charges		40173.15		12279.6		Case rate	DRG Factor * DRG Weight	12279.6	80			Percent of total billed charges		35709.46	90			Percent of total billed charges		40173.15		12055.4		Case rate	DRG Factor * DRG Weight	12055.4	85			Percent of total billed charges		37941.31		12055.4		Case rate	DRG Factor * DRG Weight	12055.4		12055.4		Case rate	DRG Factor * DRG Weight	12055.4		12055.4		Case rate	DRG Factor * DRG Weight	12055.4		13255.22		Case rate	DRG Factor * DRG Weight	13255.22		1627		Per Diem		24405		1627		Per Diem		24405		12055.4		Case rate	DRG Factor * DRG Weight	12055.4	12055.4	40173.15	
other respiratory system o.r. procedures with cc	167	MS-DRG	Inpatient			23434.65	15232.52		90			Percent of total billed charges		21091.18		12293.78		Case rate	DRG Factor * DRG Weight	12293.78	80			Percent of total billed charges		18747.72	90			Percent of total billed charges		21091.18		12069.32		Case rate	DRG Factor * DRG Weight	12069.32	85			Percent of total billed charges		19919.45		12069.32		Case rate	DRG Factor * DRG Weight	12069.32		12069.32		Case rate	DRG Factor * DRG Weight	12069.32		12069.32		Case rate	DRG Factor * DRG Weight	12069.32		13590.25		Case rate	DRG Factor * DRG Weight	13590.25		1627		Per Diem		6508		1627		Per Diem		6508		12069.32		Case rate	DRG Factor * DRG Weight	12069.32	6508	21091.18	
permanent cardiac pacemaker implant without cc/mcc	244	MS-DRG	Inpatient			19571.75	12721.64		90			Percent of total billed charges		17614.58		12311.32		Case rate	DRG Factor * DRG Weight	12311.32	80			Percent of total billed charges		15657.4	90			Percent of total billed charges		17614.58		12086.55		Case rate	DRG Factor * DRG Weight	12086.55	85			Percent of total billed charges		16635.99		12086.55		Case rate	DRG Factor * DRG Weight	12086.55		12086.55		Case rate	DRG Factor * DRG Weight	12086.55		12086.55		Case rate	DRG Factor * DRG Weight	12086.55		16251.23		Case rate	DRG Factor * DRG Weight	16251.23		1627		Per Diem		3254		1627		Per Diem		3254		12086.55		Case rate	DRG Factor * DRG Weight	12086.55	3254	17614.58	
uterine and adnexa procedures for nonmalignancy with cc/mcc	742	MS-DRG	Inpatient			19398.65	12609.12		90			Percent of total billed charges		17458.78		12333.6		Case rate	DRG Factor * DRG Weight	12333.6	80			Percent of total billed charges		15518.92	90			Percent of total billed charges		17458.78		12108.42		Case rate	DRG Factor * DRG Weight	12108.42	85			Percent of total billed charges		16488.85		12108.42		Case rate	DRG Factor * DRG Weight	12108.42		12108.42		Case rate	DRG Factor * DRG Weight	12108.42		12108.42		Case rate	DRG Factor * DRG Weight	12108.42		13353.06		Case rate	DRG Factor * DRG Weight	13353.06		1627		Per Diem		4881		1627		Per Diem		4881		12108.42		Case rate	DRG Factor * DRG Weight	12108.42	4881	17458.78	
postoperative and posttraumatic infections with mcc	862	MS-DRG	Inpatient			25718.5	16717.02		90			Percent of total billed charges		23146.65		12361.95		Case rate	DRG Factor * DRG Weight	12361.95	80			Percent of total billed charges		20574.8	90			Percent of total billed charges		23146.65		12136.25		Case rate	DRG Factor * DRG Weight	12136.25	85			Percent of total billed charges		21860.72		12136.25		Case rate	DRG Factor * DRG Weight	12136.25		12136.25		Case rate	DRG Factor * DRG Weight	12136.25		12136.25		Case rate	DRG Factor * DRG Weight	12136.25		9708.49		Case rate	DRG Factor * DRG Weight	9708.49		1627		Per Diem		3254		1627		Per Diem		3254		12136.25		Case rate	DRG Factor * DRG Weight	12136.25	3254	23146.65	
other male reproductive system o.r. procedures except malignancy with cc/mcc	717	MS-DRG	Inpatient			58502.83	38026.84		90			Percent of total billed charges		52652.54		12444.3		Case rate	DRG Factor * DRG Weight	12444.3	80			Percent of total billed charges		46802.26	90			Percent of total billed charges		52652.54		12217.09		Case rate	DRG Factor * DRG Weight	12217.09	85			Percent of total billed charges		49727.4		12217.09		Case rate	DRG Factor * DRG Weight	12217.09		12217.09		Case rate	DRG Factor * DRG Weight	12217.09		12217.09		Case rate	DRG Factor * DRG Weight	12217.09		18898.12		Case rate	DRG Factor * DRG Weight	18898.12		1627		Per Diem		4881		1627		Per Diem		4881		12217.09		Case rate	DRG Factor * DRG Weight	12217.09	4881	52652.54	
pathological fractures and musculoskeletal and connective tissue malignancy with mcc	542	MS-DRG	Inpatient			37706.1	24508.97		90			Percent of total billed charges		33935.49		12532.05		Case rate	DRG Factor * DRG Weight	12532.05	80			Percent of total billed charges		30164.88	90			Percent of total billed charges		33935.49		12303.24		Case rate	DRG Factor * DRG Weight	12303.24	85			Percent of total billed charges		32050.19		12303.24		Case rate	DRG Factor * DRG Weight	12303.24		12303.24		Case rate	DRG Factor * DRG Weight	12303.24		12303.24		Case rate	DRG Factor * DRG Weight	12303.24		19153.1		Case rate	DRG Factor * DRG Weight	19153.1		1627		Per Diem		4881		1627		Per Diem		4881		12303.24		Case rate	DRG Factor * DRG Weight	12303.24	4881	33935.49	
interstitial lung disease with mcc	196	MS-DRG	Inpatient			31949.67	20767.28		90			Percent of total billed charges		28754.7		12689.32		Case rate	DRG Factor * DRG Weight	12689.32	80			Percent of total billed charges		25559.73	90			Percent of total billed charges		28754.7		12457.65		Case rate	DRG Factor * DRG Weight	12457.65	85			Percent of total billed charges		27157.22		12457.65		Case rate	DRG Factor * DRG Weight	12457.65		12457.65		Case rate	DRG Factor * DRG Weight	12457.65		12457.65		Case rate	DRG Factor * DRG Weight	12457.65		9291.92		Case rate	DRG Factor * DRG Weight	9291.92		1627		Per Diem		8135		1627		Per Diem		8135		12457.65		Case rate	DRG Factor * DRG Weight	12457.65	8135	28754.7	
other respiratory system diagnoses with mcc	205	MS-DRG	Inpatient			15402.25	10011.46		90			Percent of total billed charges		13862.02		12698.78		Case rate	DRG Factor * DRG Weight	12698.78	80			Percent of total billed charges		12321.8	90			Percent of total billed charges		13862.02		12466.92		Case rate	DRG Factor * DRG Weight	12466.92	85			Percent of total billed charges		13091.91		12466.92		Case rate	DRG Factor * DRG Weight	12466.92		12466.92		Case rate	DRG Factor * DRG Weight	12466.92		12466.92		Case rate	DRG Factor * DRG Weight	12466.92		11895.08		Case rate	DRG Factor * DRG Weight	11895.08		1627		Per Diem		3254		1627		Per Diem		3254		12466.92		Case rate	DRG Factor * DRG Weight	12466.92	3254	13862.02	
"disorders of liver except malignancy, cirrhosis, or alcoholic hepatitis with mcc"	441	MS-DRG	Inpatient			29547.23	19205.7		90			Percent of total billed charges		26592.5		12741.98		Case rate	DRG Factor * DRG Weight	12741.98	80			Percent of total billed charges		23637.78	90			Percent of total billed charges		26592.5		12509.33		Case rate	DRG Factor * DRG Weight	12509.33	85			Percent of total billed charges		25115.14		12509.33		Case rate	DRG Factor * DRG Weight	12509.33		12509.33		Case rate	DRG Factor * DRG Weight	12509.33		12509.33		Case rate	DRG Factor * DRG Weight	12509.33		13595.44		Case rate	DRG Factor * DRG Weight	13595.44		1627		Per Diem		9762		1627		Per Diem		9762		12509.33		Case rate	DRG Factor * DRG Weight	12509.33	9762	26592.5	
"lower extremity and humerus procedures except hip, foot, femur without cc/mcc"	494	MS-DRG	Inpatient			20832.7	13541.26		90			Percent of total billed charges		18749.43		12812.18		Case rate	DRG Factor * DRG Weight	12812.18	80			Percent of total billed charges		16666.16	90			Percent of total billed charges		18749.43		12578.25		Case rate	DRG Factor * DRG Weight	12578.25	85			Percent of total billed charges		17707.8		12578.25		Case rate	DRG Factor * DRG Weight	12578.25		12578.25		Case rate	DRG Factor * DRG Weight	12578.25		12578.25		Case rate	DRG Factor * DRG Weight	12578.25		16001.44		Case rate	DRG Factor * DRG Weight	16001.44		1627		Per Diem		3254		1627		Per Diem		3254		12578.25		Case rate	DRG Factor * DRG Weight	12578.25	3254	18749.43	
major hip and knee joint replacement or reattachment of lower extremity without mcc	470	MS-DRG	Inpatient			24175.99	15714.39		90			Percent of total billed charges		21758.39		12859.42		Case rate	DRG Factor * DRG Weight	12859.42	80			Percent of total billed charges		19340.79	90			Percent of total billed charges		21758.39		12624.64		Case rate	DRG Factor * DRG Weight	12624.64	85			Percent of total billed charges		20549.59		12624.64		Case rate	DRG Factor * DRG Weight	12624.64		12624.64		Case rate	DRG Factor * DRG Weight	12624.64		12624.64		Case rate	DRG Factor * DRG Weight	12624.64		15355.09		Case rate	DRG Factor * DRG Weight	15355.09		1627		Per Diem		3254		1627		Per Diem		3254		12624.64		Case rate	DRG Factor * DRG Weight	12624.64	3254	21758.39	
"skin grafts and wound debridement for endocrine, nutritional and metabolic disorders with cc"	623	MS-DRG	Inpatient			34196.21	22227.54		90			Percent of total billed charges		30776.59		12864.82		Case rate	DRG Factor * DRG Weight	12864.82	80			Percent of total billed charges		27356.97	90			Percent of total billed charges		30776.59		12629.94		Case rate	DRG Factor * DRG Weight	12629.94	85			Percent of total billed charges		29066.78		12629.94		Case rate	DRG Factor * DRG Weight	12629.94		12629.94		Case rate	DRG Factor * DRG Weight	12629.94		12629.94		Case rate	DRG Factor * DRG Weight	12629.94		14407.81		Case rate	DRG Factor * DRG Weight	14407.81		1627		Per Diem		13016		1627		Per Diem		13016		12629.94		Case rate	DRG Factor * DRG Weight	12629.94	12629.94	30776.59	
cardiac pacemaker revision except device replacement with cc	261	MS-DRG	Inpatient			33790.25	21963.66		90			Percent of total billed charges		30411.22		12872.25		Case rate	DRG Factor * DRG Weight	12872.25	80			Percent of total billed charges		27032.2	90			Percent of total billed charges		30411.22		12637.23		Case rate	DRG Factor * DRG Weight	12637.23	85			Percent of total billed charges		28721.71		12637.23		Case rate	DRG Factor * DRG Weight	12637.23		12637.23		Case rate	DRG Factor * DRG Weight	12637.23		12637.23		Case rate	DRG Factor * DRG Weight	12637.23		15778.33		Case rate	DRG Factor * DRG Weight	15778.33		1627		Per Diem		4881		1627		Per Diem		4881		12637.23		Case rate	DRG Factor * DRG Weight	12637.23	4881	30411.22	
testes procedures with cc/mcc	711	MS-DRG	Inpatient			22181.69	14418.1		90			Percent of total billed charges		19963.52		12939.75		Case rate	DRG Factor * DRG Weight	12939.75	80			Percent of total billed charges		17745.35	90			Percent of total billed charges		19963.52		12703.5		Case rate	DRG Factor * DRG Weight	12703.5	85			Percent of total billed charges		18854.44		12703.5		Case rate	DRG Factor * DRG Weight	12703.5		12703.5		Case rate	DRG Factor * DRG Weight	12703.5		12703.5		Case rate	DRG Factor * DRG Weight	12703.5		17466.08		Case rate	DRG Factor * DRG Weight	17466.08		1627		Per Diem		9762		1627		Per Diem		9762		12703.5		Case rate	DRG Factor * DRG Weight	12703.5	9762	19963.52	
complicated peptic ulcer with mcc	380	MS-DRG	Inpatient			30542.19	19852.42		90			Percent of total billed charges		27487.97		12975.52		Case rate	DRG Factor * DRG Weight	12975.52	80			Percent of total billed charges		24433.75	90			Percent of total billed charges		27487.97		12738.62		Case rate	DRG Factor * DRG Weight	12738.62	85			Percent of total billed charges		25960.86		12738.62		Case rate	DRG Factor * DRG Weight	12738.62		12738.62		Case rate	DRG Factor * DRG Weight	12738.62		12738.62		Case rate	DRG Factor * DRG Weight	12738.62		12212.32		Case rate	DRG Factor * DRG Weight	12212.32		1627		Per Diem		6508		1627		Per Diem		6508		12738.62		Case rate	DRG Factor * DRG Weight	12738.62	6508	27487.97	
"amputation of lower limb for endocrine, nutritional, and metabolic disorders with cc"	617	MS-DRG	Inpatient			15612.75	10148.29		90			Percent of total billed charges		14051.48		12983.62		Case rate	DRG Factor * DRG Weight	12983.62	80			Percent of total billed charges		12490.2	90			Percent of total billed charges		14051.48		12746.57		Case rate	DRG Factor * DRG Weight	12746.57	85			Percent of total billed charges		13270.84		12746.57		Case rate	DRG Factor * DRG Weight	12746.57		12746.57		Case rate	DRG Factor * DRG Weight	12746.57		12746.57		Case rate	DRG Factor * DRG Weight	12746.57		13181.84		Case rate	DRG Factor * DRG Weight	13181.84		1627		Per Diem		6508		1627		Per Diem		6508		12746.57		Case rate	DRG Factor * DRG Weight	12746.57	6508	14051.48	
"d&c, conization, laparoscopy and tubal interruption with cc/mcc"	744	MS-DRG	Inpatient			7415.61	4820.15		90			Percent of total billed charges		6674.05		13098.38		Case rate	DRG Factor * DRG Weight	13098.38	80			Percent of total billed charges		5932.49	90			Percent of total billed charges		6674.05		12859.23		Case rate	DRG Factor * DRG Weight	12859.23	85			Percent of total billed charges		6303.27		12859.23		Case rate	DRG Factor * DRG Weight	12859.23		12859.23		Case rate	DRG Factor * DRG Weight	12859.23		12859.23		Case rate	DRG Factor * DRG Weight	12859.23		16662.6		Case rate	DRG Factor * DRG Weight	16662.6		1627		Per Diem		1627		1627		Per Diem		1627		12859.23		Case rate	DRG Factor * DRG Weight	12859.23	1627	16662.6	
cirrhosis and alcoholic hepatitis with mcc	432	MS-DRG	Inpatient			21076.28	13699.58		90			Percent of total billed charges		18968.65		13176.68		Case rate	DRG Factor * DRG Weight	13176.68	80			Percent of total billed charges		16861.02	90			Percent of total billed charges		18968.65		12936.1		Case rate	DRG Factor * DRG Weight	12936.1	85			Percent of total billed charges		17914.83		12936.1		Case rate	DRG Factor * DRG Weight	12936.1		12936.1		Case rate	DRG Factor * DRG Weight	12936.1		12936.1		Case rate	DRG Factor * DRG Weight	12936.1		16059.99		Case rate	DRG Factor * DRG Weight	16059.99		1627		Per Diem		4881		1627		Per Diem		4881		12936.1		Case rate	DRG Factor * DRG Weight	12936.1	4881	18968.65	
"acute myocardial infarction, expired with mcc"	283	MS-DRG	Inpatient			27021.6	17564.04		90			Percent of total billed charges		24319.44		13200.3		Case rate	DRG Factor * DRG Weight	13200.3	80			Percent of total billed charges		21617.28	90			Percent of total billed charges		24319.44		12959.29		Case rate	DRG Factor * DRG Weight	12959.29	85			Percent of total billed charges		22968.36		12959.29		Case rate	DRG Factor * DRG Weight	12959.29		12959.29		Case rate	DRG Factor * DRG Weight	12959.29		12959.29		Case rate	DRG Factor * DRG Weight	12959.29		17124.38		Case rate	DRG Factor * DRG Weight	17124.38		1627		Per Diem		3254		1627		Per Diem		3254		12959.29		Case rate	DRG Factor * DRG Weight	12959.29	3254	24319.44	
septicemia or severe sepsis without mechanical ventilation >96 hours with mcc	871	MS-DRG	Inpatient			31420.25	20423.16		90			Percent of total billed charges		28278.22		13207.72		Case rate	DRG Factor * DRG Weight	13207.72	80			Percent of total billed charges		25136.2	90			Percent of total billed charges		28278.22		12966.58		Case rate	DRG Factor * DRG Weight	12966.58	85			Percent of total billed charges		26707.21		12966.58		Case rate	DRG Factor * DRG Weight	12966.58		12966.58		Case rate	DRG Factor * DRG Weight	12966.58		12966.58		Case rate	DRG Factor * DRG Weight	12966.58		12680.77		Case rate	DRG Factor * DRG Weight	12680.77		1627		Per Diem		9762		1627		Per Diem		9762		12966.58		Case rate	DRG Factor * DRG Weight	12966.58	9762	28278.22	
knee procedures without principal diagnosis of infection with cc/mcc	488	MS-DRG	Inpatient			17550.5	11407.82		90			Percent of total billed charges		15795.45		13309.65		Case rate	DRG Factor * DRG Weight	13309.65	80			Percent of total billed charges		14040.4	90			Percent of total billed charges		15795.45		13066.65		Case rate	DRG Factor * DRG Weight	13066.65	85			Percent of total billed charges		14917.92		13066.65		Case rate	DRG Factor * DRG Weight	13066.65		13066.65		Case rate	DRG Factor * DRG Weight	13066.65		13066.65		Case rate	DRG Factor * DRG Weight	13066.65		18976.69		Case rate	DRG Factor * DRG Weight	18976.69		1627		Per Diem		1627		1627		Per Diem		1627		13066.65		Case rate	DRG Factor * DRG Weight	13066.65	1627	18976.69	
"shoulder, elbow or forearm procedures, except major joint procedures with cc"	511	MS-DRG	Inpatient			29124.9	18931.18		90			Percent of total billed charges		26212.41		13314.38		Case rate	DRG Factor * DRG Weight	13314.38	80			Percent of total billed charges		23299.92	90			Percent of total billed charges		26212.41		13071.28		Case rate	DRG Factor * DRG Weight	13071.28	85			Percent of total billed charges		24756.16		13071.28		Case rate	DRG Factor * DRG Weight	13071.28		13071.28		Case rate	DRG Factor * DRG Weight	13071.28		13071.28		Case rate	DRG Factor * DRG Weight	13071.28		17933.05		Case rate	DRG Factor * DRG Weight	17933.05		1627		Per Diem		11389		1627		Per Diem		11389		13071.28		Case rate	DRG Factor * DRG Weight	13071.28	11389	26212.41	
o.r. procedures with diagnoses of other contact with health services without cc/mcc	941	MS-DRG	Inpatient			14737.22	9579.19		90			Percent of total billed charges		13263.5		13325.85		Case rate	DRG Factor * DRG Weight	13325.85	80			Percent of total billed charges		11789.78	90			Percent of total billed charges		13263.5		13082.55		Case rate	DRG Factor * DRG Weight	13082.55	85			Percent of total billed charges		12526.64		13082.55		Case rate	DRG Factor * DRG Weight	13082.55		13082.55		Case rate	DRG Factor * DRG Weight	13082.55		13082.55		Case rate	DRG Factor * DRG Weight	13082.55		17773.69		Case rate	DRG Factor * DRG Weight	17773.69		1627		Per Diem		6508		1627		Per Diem		6508		13082.55		Case rate	DRG Factor * DRG Weight	13082.55	6508	17773.69	
local excision and removal of internal fixation devices except hip and femur with cc	496	MS-DRG	Inpatient			28073.5	18247.78		90			Percent of total billed charges		25266.15		13355.55		Case rate	DRG Factor * DRG Weight	13355.55	80			Percent of total billed charges		22458.8	90			Percent of total billed charges		25266.15		13111.71		Case rate	DRG Factor * DRG Weight	13111.71	85			Percent of total billed charges		23862.48		13111.71		Case rate	DRG Factor * DRG Weight	13111.71		13111.71		Case rate	DRG Factor * DRG Weight	13111.71		13111.71		Case rate	DRG Factor * DRG Weight	13111.71		17649.91		Case rate	DRG Factor * DRG Weight	17649.91		1627		Per Diem		9762		1627		Per Diem		9762		13111.71		Case rate	DRG Factor * DRG Weight	13111.71	9762	25266.15	
seizures with mcc	100	MS-DRG	Inpatient			46945.94	30514.86		90			Percent of total billed charges		42251.35		13369.72		Case rate	DRG Factor * DRG Weight	13369.72	80			Percent of total billed charges		37556.75	90			Percent of total billed charges		42251.35		13125.62		Case rate	DRG Factor * DRG Weight	13125.62	85			Percent of total billed charges		39904.05		13125.62		Case rate	DRG Factor * DRG Weight	13125.62		13125.62		Case rate	DRG Factor * DRG Weight	13125.62		13125.62		Case rate	DRG Factor * DRG Weight	13125.62		12992.09		Case rate	DRG Factor * DRG Weight	12992.09		1627		Per Diem		9762		1627		Per Diem		9762		13125.62		Case rate	DRG Factor * DRG Weight	13125.62	9762	42251.35	
intracranial hemorrhage or cerebral infarction with mcc	64	MS-DRG	Inpatient			20385.75	13250.74		90			Percent of total billed charges		18347.18		13389.98		Case rate	DRG Factor * DRG Weight	13389.98	80			Percent of total billed charges		16308.6	90			Percent of total billed charges		18347.18		13145.5		Case rate	DRG Factor * DRG Weight	13145.5	85			Percent of total billed charges		17327.89		13145.5		Case rate	DRG Factor * DRG Weight	13145.5		13145.5		Case rate	DRG Factor * DRG Weight	13145.5		13145.5		Case rate	DRG Factor * DRG Weight	13145.5		16496.57		Case rate	DRG Factor * DRG Weight	16496.57		1627		Per Diem		11389		1627		Per Diem		11389		13145.5		Case rate	DRG Factor * DRG Weight	13145.5	11389	18347.18	
infectious and parasitic diseases with o.r. procedures with cc	854	MS-DRG	Inpatient			39568.9	25719.79		90			Percent of total billed charges		35612.01		13454.1		Case rate	DRG Factor * DRG Weight	13454.1	80			Percent of total billed charges		31655.12	90			Percent of total billed charges		35612.01		13208.46		Case rate	DRG Factor * DRG Weight	13208.46	85			Percent of total billed charges		33633.57		13208.46		Case rate	DRG Factor * DRG Weight	13208.46		13208.46		Case rate	DRG Factor * DRG Weight	13208.46		13208.46		Case rate	DRG Factor * DRG Weight	13208.46		12032.21		Case rate	DRG Factor * DRG Weight	12032.21		1627		Per Diem		14643		1627		Per Diem		14643		13208.46		Case rate	DRG Factor * DRG Weight	13208.46	12032.21	35612.01	
septic arthritis with mcc	548	MS-DRG	Inpatient			7892.92	5130.4		90			Percent of total billed charges		7103.62		13479.75		Case rate	DRG Factor * DRG Weight	13479.75	80			Percent of total billed charges		6314.33	90			Percent of total billed charges		7103.62		13233.64		Case rate	DRG Factor * DRG Weight	13233.64	85			Percent of total billed charges		6708.98		13233.64		Case rate	DRG Factor * DRG Weight	13233.64		13233.64		Case rate	DRG Factor * DRG Weight	13233.64		13233.64		Case rate	DRG Factor * DRG Weight	13233.64		16042.2		Case rate	DRG Factor * DRG Weight	16042.2		1627		Per Diem		6508		1627		Per Diem		6508		13233.64		Case rate	DRG Factor * DRG Weight	13233.64	6314.33	16042.2	
"breast biopsy, local excision and other breast procedures without cc/mcc"	585	MS-DRG	Inpatient			14840.75	9646.49		90			Percent of total billed charges		13356.68		13553.32		Case rate	DRG Factor * DRG Weight	13553.32	80			Percent of total billed charges		11872.6	90			Percent of total billed charges		13356.68		13305.87		Case rate	DRG Factor * DRG Weight	13305.87	85			Percent of total billed charges		12614.64		13305.87		Case rate	DRG Factor * DRG Weight	13305.87		13305.87		Case rate	DRG Factor * DRG Weight	13305.87		13305.87		Case rate	DRG Factor * DRG Weight	13305.87		20334.6		Case rate	DRG Factor * DRG Weight	20334.6		1627		Per Diem		1627		1627		Per Diem		1627		13305.87		Case rate	DRG Factor * DRG Weight	13305.87	1627	20334.6	
osteomyelitis with mcc	539	MS-DRG	Inpatient			13344.25	8673.76		90			Percent of total billed charges		12009.82		13577.62		Case rate	DRG Factor * DRG Weight	13577.62	80			Percent of total billed charges		10675.4	90			Percent of total billed charges		12009.82		13329.73		Case rate	DRG Factor * DRG Weight	13329.73	85			Percent of total billed charges		11342.61		13329.73		Case rate	DRG Factor * DRG Weight	13329.73		13329.73		Case rate	DRG Factor * DRG Weight	13329.73		13329.73		Case rate	DRG Factor * DRG Weight	13329.73		14410.78		Case rate	DRG Factor * DRG Weight	14410.78		1627		Per Diem		4881		1627		Per Diem		4881		13329.73		Case rate	DRG Factor * DRG Weight	13329.73	4881	14410.78	
other o.r. procedures for injuries with cc	908	MS-DRG	Inpatient			14526.28	9442.08		90			Percent of total billed charges		13073.65		13635.68		Case rate	DRG Factor * DRG Weight	13635.68	80			Percent of total billed charges		11621.02	90			Percent of total billed charges		13073.65		13386.72		Case rate	DRG Factor * DRG Weight	13386.72	85			Percent of total billed charges		12347.33		13386.72		Case rate	DRG Factor * DRG Weight	13386.72		13386.72		Case rate	DRG Factor * DRG Weight	13386.72		13386.72		Case rate	DRG Factor * DRG Weight	13386.72		14481.94		Case rate	DRG Factor * DRG Weight	14481.94		1627		Per Diem		6508		1627		Per Diem		6508		13386.72		Case rate	DRG Factor * DRG Weight	13386.72	6508	14481.94	
skin ulcers with mcc	592	MS-DRG	Inpatient			19092.9	12410.38		90			Percent of total billed charges		17183.61		13742.32		Case rate	DRG Factor * DRG Weight	13742.32	80			Percent of total billed charges		15274.32	90			Percent of total billed charges		17183.61		13491.42		Case rate	DRG Factor * DRG Weight	13491.42	85			Percent of total billed charges		16228.96		13491.42		Case rate	DRG Factor * DRG Weight	13491.42		13491.42		Case rate	DRG Factor * DRG Weight	13491.42		13491.42		Case rate	DRG Factor * DRG Weight	13491.42		17196.28		Case rate	DRG Factor * DRG Weight	17196.28		1627		Per Diem		6508		1627		Per Diem		6508		13491.42		Case rate	DRG Factor * DRG Weight	13491.42	6508	17196.28	
hip and femur procedures except major joint with cc	481	MS-DRG	Inpatient			22969.15	14929.95		90			Percent of total billed charges		20672.24		14063.62		Case rate	DRG Factor * DRG Weight	14063.62	80			Percent of total billed charges		18375.32	90			Percent of total billed charges		20672.24		13806.85		Case rate	DRG Factor * DRG Weight	13806.85	85			Percent of total billed charges		19523.78		13806.85		Case rate	DRG Factor * DRG Weight	13806.85		13806.85		Case rate	DRG Factor * DRG Weight	13806.85		13806.85		Case rate	DRG Factor * DRG Weight	13806.85		20259.74		Case rate	DRG Factor * DRG Weight	20259.74		1627		Per Diem		8135		1627		Per Diem		8135		13806.85		Case rate	DRG Factor * DRG Weight	13806.85	8135	20672.24	
digestive malignancy with mcc	374	MS-DRG	Inpatient			30218.78	19642.2		90			Percent of total billed charges		27196.9		14187.82		Case rate	DRG Factor * DRG Weight	14187.82	80			Percent of total billed charges		24175.02	90			Percent of total billed charges		27196.9		13928.79		Case rate	DRG Factor * DRG Weight	13928.79	85			Percent of total billed charges		25685.96		13928.79		Case rate	DRG Factor * DRG Weight	13928.79		13928.79		Case rate	DRG Factor * DRG Weight	13928.79		13928.79		Case rate	DRG Factor * DRG Weight	13928.79		19050.07		Case rate	DRG Factor * DRG Weight	19050.07		1627		Per Diem		4881		1627		Per Diem		4881		13928.79		Case rate	DRG Factor * DRG Weight	13928.79	4881	27196.9	
peritoneal adhesiolysis with cc	336	MS-DRG	Inpatient			33648.75	21871.69		90			Percent of total billed charges		30283.88		14251.95		Case rate	DRG Factor * DRG Weight	14251.95	80			Percent of total billed charges		26919	90			Percent of total billed charges		30283.88		13991.74		Case rate	DRG Factor * DRG Weight	13991.74	85			Percent of total billed charges		28601.44		13991.74		Case rate	DRG Factor * DRG Weight	13991.74		13991.74		Case rate	DRG Factor * DRG Weight	13991.74		13991.74		Case rate	DRG Factor * DRG Weight	13991.74		14167.66		Case rate	DRG Factor * DRG Weight	14167.66		1627		Per Diem		14643		1627		Per Diem		14643		13991.74		Case rate	DRG Factor * DRG Weight	13991.74	13991.74	30283.88	
hip replacement with principal diagnosis of hip fracture without mcc	522	MS-DRG	Inpatient			37378.59	24296.09		90			Percent of total billed charges		33640.73		14314.05		Case rate	DRG Factor * DRG Weight	14314.05	80			Percent of total billed charges		29902.88	90			Percent of total billed charges		33640.73		14052.71		Case rate	DRG Factor * DRG Weight	14052.71	85			Percent of total billed charges		31771.8		14052.71		Case rate	DRG Factor * DRG Weight	14052.71		14052.71		Case rate	DRG Factor * DRG Weight	14052.71		14052.71		Case rate	DRG Factor * DRG Weight	14052.71		17234.82		Case rate	DRG Factor * DRG Weight	17234.82		1627		Per Diem		9762		1627		Per Diem		9762		14052.71		Case rate	DRG Factor * DRG Weight	14052.71	9762	33640.73	
other circulatory system diagnoses with mcc	314	MS-DRG	Inpatient			16116.4	10475.66		90			Percent of total billed charges		14504.76		14485.5		Case rate	DRG Factor * DRG Weight	14485.5	80			Percent of total billed charges		12893.12	90			Percent of total billed charges		14504.76		14221.03		Case rate	DRG Factor * DRG Weight	14221.03	85			Percent of total billed charges		13698.94		14221.03		Case rate	DRG Factor * DRG Weight	14221.03		14221.03		Case rate	DRG Factor * DRG Weight	14221.03		14221.03		Case rate	DRG Factor * DRG Weight	14221.03		14115.03		Case rate	DRG Factor * DRG Weight	14115.03		1627		Per Diem		11389		1627		Per Diem		11389		14221.03		Case rate	DRG Factor * DRG Weight	14221.03	11389	14504.76	
postoperative or posttraumatic infections with o.r. procedures with cc	857	MS-DRG	Inpatient			31651.15	20573.25		90			Percent of total billed charges		28486.04		14704.2		Case rate	DRG Factor * DRG Weight	14704.2	80			Percent of total billed charges		25320.92	90			Percent of total billed charges		28486.04		14435.73		Case rate	DRG Factor * DRG Weight	14435.73	85			Percent of total billed charges		26903.48		14435.73		Case rate	DRG Factor * DRG Weight	14435.73		14435.73		Case rate	DRG Factor * DRG Weight	14435.73		14435.73		Case rate	DRG Factor * DRG Weight	14435.73		12022.57		Case rate	DRG Factor * DRG Weight	12022.57		1627		Per Diem		11389		1627		Per Diem		11389		14435.73		Case rate	DRG Factor * DRG Weight	14435.73	11389	28486.04	
"circulatory disorders except acute myocardial infarction, with cardiac catheterization with mcc"	286	MS-DRG	Inpatient			27121.5	17628.98		90			Percent of total billed charges		24409.35		14908.72		Case rate	DRG Factor * DRG Weight	14908.72	80			Percent of total billed charges		21697.2	90			Percent of total billed charges		24409.35		14636.52		Case rate	DRG Factor * DRG Weight	14636.52	85			Percent of total billed charges		23053.28		14636.52		Case rate	DRG Factor * DRG Weight	14636.52		14636.52		Case rate	DRG Factor * DRG Weight	14636.52		14636.52		Case rate	DRG Factor * DRG Weight	14636.52		14060.18		Case rate	DRG Factor * DRG Weight	14060.18		1627		Per Diem		6508		1627		Per Diem		6508		14636.52		Case rate	DRG Factor * DRG Weight	14636.52	6508	24409.35	
other antepartum diagnoses with o.r. procedures with mcc	817	MS-DRG	Inpatient			34758.15	22592.8		90			Percent of total billed charges		31282.34		14985.68		Case rate	DRG Factor * DRG Weight	14985.68	80			Percent of total billed charges		27806.52	90			Percent of total billed charges		31282.34		14712.07		Case rate	DRG Factor * DRG Weight	14712.07	85			Percent of total billed charges		29544.43		14712.07		Case rate	DRG Factor * DRG Weight	14712.07		14712.07		Case rate	DRG Factor * DRG Weight	14712.07		14712.07		Case rate	DRG Factor * DRG Weight	14712.07		9061.4		Case rate	DRG Factor * DRG Weight	9061.4		1627		Per Diem		9762		1627		Per Diem		9762		14712.07		Case rate	DRG Factor * DRG Weight	14712.07	9061.4	31282.34	
"other endocrine, nutritional and metabolic o.r. procedures with cc"	629	MS-DRG	Inpatient			46851.67	30453.58		90			Percent of total billed charges		42166.5		15161.18		Case rate	DRG Factor * DRG Weight	15161.18	80			Percent of total billed charges		37481.34	90			Percent of total billed charges		42166.5		14884.37		Case rate	DRG Factor * DRG Weight	14884.37	85			Percent of total billed charges		39823.92		14884.37		Case rate	DRG Factor * DRG Weight	14884.37		14884.37		Case rate	DRG Factor * DRG Weight	14884.37		14884.37		Case rate	DRG Factor * DRG Weight	14884.37		14733.21		Case rate	DRG Factor * DRG Weight	14733.21		1627		Per Diem		13016		1627		Per Diem		13016		14884.37		Case rate	DRG Factor * DRG Weight	14884.37	13016	42166.5	
other digestive system o.r. procedures with cc	357	MS-DRG	Inpatient			19452.25	12643.96		90			Percent of total billed charges		17507.02		15223.95		Case rate	DRG Factor * DRG Weight	15223.95	80			Percent of total billed charges		15561.8	90			Percent of total billed charges		17507.02		14945.99		Case rate	DRG Factor * DRG Weight	14945.99	85			Percent of total billed charges		16534.41		14945.99		Case rate	DRG Factor * DRG Weight	14945.99		14945.99		Case rate	DRG Factor * DRG Weight	14945.99		14945.99		Case rate	DRG Factor * DRG Weight	14945.99		13816.32		Case rate	DRG Factor * DRG Weight	13816.32		1627		Per Diem		9762		1627		Per Diem		9762		14945.99		Case rate	DRG Factor * DRG Weight	14945.99	9762	17507.02	
"peripheral, cranial nerve and other nervous system procedures with cc or peripheral neurostimulator"	41	MS-DRG	Inpatient			33964.36	22076.84		90			Percent of total billed charges		30567.93		15285.38		Case rate	DRG Factor * DRG Weight	15285.38	80			Percent of total billed charges		27171.49	90			Percent of total billed charges		30567.93		15006.3		Case rate	DRG Factor * DRG Weight	15006.3	85			Percent of total billed charges		28869.71		15006.3		Case rate	DRG Factor * DRG Weight	15006.3		15006.3		Case rate	DRG Factor * DRG Weight	15006.3		15006.3		Case rate	DRG Factor * DRG Weight	15006.3		17558		Case rate	DRG Factor * DRG Weight	17558		1627		Per Diem		4881		1627		Per Diem		4881		15006.3		Case rate	DRG Factor * DRG Weight	15006.3	4881	30567.93	
permanent cardiac pacemaker implant with cc	243	MS-DRG	Inpatient			41432.75	26931.29		90			Percent of total billed charges		37289.48		15341.4		Case rate	DRG Factor * DRG Weight	15341.4	80			Percent of total billed charges		33146.2	90			Percent of total billed charges		37289.48		15061.3		Case rate	DRG Factor * DRG Weight	15061.3	85			Percent of total billed charges		35217.84		15061.3		Case rate	DRG Factor * DRG Weight	15061.3		15061.3		Case rate	DRG Factor * DRG Weight	15061.3		15061.3		Case rate	DRG Factor * DRG Weight	15061.3		18692.06		Case rate	DRG Factor * DRG Weight	18692.06		1627		Per Diem		8135		1627		Per Diem		8135		15061.3		Case rate	DRG Factor * DRG Weight	15061.3	8135	37289.48	
major hematological and immunological diagnoses except sickle cell crisis and coagulation disorders with mcc	808	MS-DRG	Inpatient			20805.44	13523.54		90			Percent of total billed charges		18724.9		15438.6		Case rate	DRG Factor * DRG Weight	15438.6	80			Percent of total billed charges		16644.35	90			Percent of total billed charges		18724.9		15156.73		Case rate	DRG Factor * DRG Weight	15156.73	85			Percent of total billed charges		17684.62		15156.73		Case rate	DRG Factor * DRG Weight	15156.73		15156.73		Case rate	DRG Factor * DRG Weight	15156.73		15156.73		Case rate	DRG Factor * DRG Weight	15156.73		16127.44		Case rate	DRG Factor * DRG Weight	16127.44		1627		Per Diem		8135		1627		Per Diem		8135		15156.73		Case rate	DRG Factor * DRG Weight	15156.73	8135	18724.9	
other kidney and urinary tract procedures with cc	674	MS-DRG	Inpatient			39561	25714.65		90			Percent of total billed charges		35604.9		15536.48		Case rate	DRG Factor * DRG Weight	15536.48	80			Percent of total billed charges		31648.8	90			Percent of total billed charges		35604.9		15252.81		Case rate	DRG Factor * DRG Weight	15252.81	85			Percent of total billed charges		33626.85		15252.81		Case rate	DRG Factor * DRG Weight	15252.81		15252.81		Case rate	DRG Factor * DRG Weight	15252.81		15252.81		Case rate	DRG Factor * DRG Weight	15252.81		18405.95		Case rate	DRG Factor * DRG Weight	18405.95		1627		Per Diem		21151		1627		Per Diem		21151		15252.81		Case rate	DRG Factor * DRG Weight	15252.81	15252.81	35604.9	
traumatic stupor and coma >1 hour with mcc	82	MS-DRG	Inpatient			59513.25	38683.61		90			Percent of total billed charges		53561.92		15600.6		Case rate	DRG Factor * DRG Weight	15600.6	80			Percent of total billed charges		47610.6	90			Percent of total billed charges		53561.92		15315.77		Case rate	DRG Factor * DRG Weight	15315.77	85			Percent of total billed charges		50586.26		15315.77		Case rate	DRG Factor * DRG Weight	15315.77		15315.77		Case rate	DRG Factor * DRG Weight	15315.77		15315.77		Case rate	DRG Factor * DRG Weight	15315.77		17405.3		Case rate	DRG Factor * DRG Weight	17405.3		1627		Per Diem		30913		1627		Per Diem		30913		15315.77		Case rate	DRG Factor * DRG Weight	15315.77	15315.77	53561.92	
major small and large bowel procedures with cc	330	MS-DRG	Inpatient			28036.3	18223.6		90			Percent of total billed charges		25232.67		15934.72		Case rate	DRG Factor * DRG Weight	15934.72	80			Percent of total billed charges		22429.04	90			Percent of total billed charges		25232.67		15643.79		Case rate	DRG Factor * DRG Weight	15643.79	85			Percent of total billed charges		23830.86		15643.79		Case rate	DRG Factor * DRG Weight	15643.79		15643.79		Case rate	DRG Factor * DRG Weight	15643.79		15643.79		Case rate	DRG Factor * DRG Weight	15643.79		17044.33		Case rate	DRG Factor * DRG Weight	17044.33		1627		Per Diem		8135		1627		Per Diem		8135		15643.79		Case rate	DRG Factor * DRG Weight	15643.79	8135	25232.67	
laparoscopic cholecystectomy without c.d.e. with mcc	417	MS-DRG	Inpatient			30536.52	19848.74		90			Percent of total billed charges		27482.87		16017.75		Case rate	DRG Factor * DRG Weight	16017.75	80			Percent of total billed charges		24429.21	90			Percent of total billed charges		27482.87		15725.3		Case rate	DRG Factor * DRG Weight	15725.3	85			Percent of total billed charges		25956.04		15725.3		Case rate	DRG Factor * DRG Weight	15725.3		15725.3		Case rate	DRG Factor * DRG Weight	15725.3		15725.3		Case rate	DRG Factor * DRG Weight	15725.3		16558.09		Case rate	DRG Factor * DRG Weight	16558.09		1627		Per Diem		8135		1627		Per Diem		8135		15725.3		Case rate	DRG Factor * DRG Weight	15725.3	8135	27482.87	
"lower extremity and humerus procedures except hip, foot, femur with cc"	493	MS-DRG	Inpatient			26706.91	17359.49		90			Percent of total billed charges		24036.22		16287.08		Case rate	DRG Factor * DRG Weight	16287.08	80			Percent of total billed charges		21365.52	90			Percent of total billed charges		24036.22		15989.71		Case rate	DRG Factor * DRG Weight	15989.71	85			Percent of total billed charges		22700.87		15989.71		Case rate	DRG Factor * DRG Weight	15989.71		15989.71		Case rate	DRG Factor * DRG Weight	15989.71		15989.71		Case rate	DRG Factor * DRG Weight	15989.71		22279.56		Case rate	DRG Factor * DRG Weight	22279.56		1627		Per Diem		6508		1627		Per Diem		6508		15989.71		Case rate	DRG Factor * DRG Weight	15989.71	6508	24036.22	
inguinal and femoral hernia procedures with mcc	350	MS-DRG	Inpatient			23066.08	14992.95		90			Percent of total billed charges		20759.47		16292.48		Case rate	DRG Factor * DRG Weight	16292.48	80			Percent of total billed charges		18452.86	90			Percent of total billed charges		20759.47		15995.01		Case rate	DRG Factor * DRG Weight	15995.01	85			Percent of total billed charges		19606.16		15995.01		Case rate	DRG Factor * DRG Weight	15995.01		15995.01		Case rate	DRG Factor * DRG Weight	15995.01		15995.01		Case rate	DRG Factor * DRG Weight	15995.01		19746.07		Case rate	DRG Factor * DRG Weight	19746.07		1627		Per Diem		3254		1627		Per Diem		3254		15995.01		Case rate	DRG Factor * DRG Weight	15995.01	3254	20759.47	
"stomach, esophageal and duodenal procedures with cc"	327	MS-DRG	Inpatient			23224.25	15095.76		90			Percent of total billed charges		20901.82		16410.6		Case rate	DRG Factor * DRG Weight	16410.6	80			Percent of total billed charges		18579.4	90			Percent of total billed charges		20901.82		16110.98		Case rate	DRG Factor * DRG Weight	16110.98	85			Percent of total billed charges		19740.61		16110.98		Case rate	DRG Factor * DRG Weight	16110.98		16110.98		Case rate	DRG Factor * DRG Weight	16110.98		16110.98		Case rate	DRG Factor * DRG Weight	16110.98		20196.74		Case rate	DRG Factor * DRG Weight	20196.74		1627		Per Diem		9762		1627		Per Diem		9762		16110.98		Case rate	DRG Factor * DRG Weight	16110.98	9762	20901.82	
extensive o.r. procedures unrelated to principal diagnosis with cc	982	MS-DRG	Inpatient			37536.52	24398.74		90			Percent of total billed charges		33782.87		16589.48		Case rate	DRG Factor * DRG Weight	16589.48	80			Percent of total billed charges		30029.22	90			Percent of total billed charges		33782.87		16286.59		Case rate	DRG Factor * DRG Weight	16286.59	85			Percent of total billed charges		31906.04		16286.59		Case rate	DRG Factor * DRG Weight	16286.59		16286.59		Case rate	DRG Factor * DRG Weight	16286.59		16286.59		Case rate	DRG Factor * DRG Weight	16286.59		19720.13		Case rate	DRG Factor * DRG Weight	19720.13		1627		Per Diem		9762		1627		Per Diem		9762		16286.59		Case rate	DRG Factor * DRG Weight	16286.59	9762	33782.87	
degenerative nervous system disorders with mcc	56	MS-DRG	Inpatient			113672.5	73887.12		90			Percent of total billed charges		102305.25		16842.6		Case rate	DRG Factor * DRG Weight	16842.6	80			Percent of total billed charges		90938	90			Percent of total billed charges		102305.25		16535.09		Case rate	DRG Factor * DRG Weight	16535.09	85			Percent of total billed charges		96621.62		16535.09		Case rate	DRG Factor * DRG Weight	16535.09		16535.09		Case rate	DRG Factor * DRG Weight	16535.09		16535.09		Case rate	DRG Factor * DRG Weight	16535.09		19268.73		Case rate	DRG Factor * DRG Weight	19268.73		1627		Per Diem		16270		1627		Per Diem		16270		16535.09		Case rate	DRG Factor * DRG Weight	16535.09	16270	102305.25	
connective tissue disorders with mcc	545	MS-DRG	Inpatient			12665.21	8232.39		90			Percent of total billed charges		11398.69		16970.85		Case rate	DRG Factor * DRG Weight	16970.85	80			Percent of total billed charges		10132.17	90			Percent of total billed charges		11398.69		16661		Case rate	DRG Factor * DRG Weight	16661	85			Percent of total billed charges		10765.43		16661		Case rate	DRG Factor * DRG Weight	16661		16661		Case rate	DRG Factor * DRG Weight	16661		16661		Case rate	DRG Factor * DRG Weight	16661		21335.25		Case rate	DRG Factor * DRG Weight	21335.25		1627		Per Diem		4881		1627		Per Diem		4881		16661		Case rate	DRG Factor * DRG Weight	16661	4881	21335.25	
kidney and ureter procedures for non-neoplasm with mcc	659	MS-DRG	Inpatient			17848.31	11601.4		90			Percent of total billed charges		16063.48		17440.65		Case rate	DRG Factor * DRG Weight	17440.65	80			Percent of total billed charges		14278.65	90			Percent of total billed charges		16063.48		17122.22		Case rate	DRG Factor * DRG Weight	17122.22	85			Percent of total billed charges		15171.06		17122.22		Case rate	DRG Factor * DRG Weight	17122.22		17122.22		Case rate	DRG Factor * DRG Weight	17122.22		17122.22		Case rate	DRG Factor * DRG Weight	17122.22		14244.75		Case rate	DRG Factor * DRG Weight	14244.75		1627		Per Diem		4881		1627		Per Diem		4881		17122.22		Case rate	DRG Factor * DRG Weight	17122.22	4881	17440.65	
major joint or limb reattachment procedures of upper extremities	483	MS-DRG	Inpatient			20886.34	13576.12		90			Percent of total billed charges		18797.71		17444.02		Case rate	DRG Factor * DRG Weight	17444.02	80			Percent of total billed charges		16709.07	90			Percent of total billed charges		18797.71		17125.54		Case rate	DRG Factor * DRG Weight	17125.54	85			Percent of total billed charges		17753.39		17125.54		Case rate	DRG Factor * DRG Weight	17125.54		17125.54		Case rate	DRG Factor * DRG Weight	17125.54		17125.54		Case rate	DRG Factor * DRG Weight	17125.54		17352.68		Case rate	DRG Factor * DRG Weight	17352.68		1627		Per Diem		1627		1627		Per Diem		1627		17125.54		Case rate	DRG Factor * DRG Weight	17125.54	1627	18797.71	
revision of hip or knee replacement without cc/mcc	468	MS-DRG	Inpatient			23852.49	15504.12		90			Percent of total billed charges		21467.24		17998.2		Case rate	DRG Factor * DRG Weight	17998.2	80			Percent of total billed charges		19081.99	90			Percent of total billed charges		21467.24		17669.59		Case rate	DRG Factor * DRG Weight	17669.59	85			Percent of total billed charges		20274.62		17669.59		Case rate	DRG Factor * DRG Weight	17669.59		17669.59		Case rate	DRG Factor * DRG Weight	17669.59		17669.59		Case rate	DRG Factor * DRG Weight	17669.59		20915.72		Case rate	DRG Factor * DRG Weight	20915.72		1627		Per Diem		4881		1627		Per Diem		4881		17669.59		Case rate	DRG Factor * DRG Weight	17669.59	4881	21467.24	
"tracheostomy for face, mouth, and neck diagnoses or laryngectomy without cc/mcc"	13	MS-DRG	Inpatient			23018.5	14962.02		90			Percent of total billed charges		20716.65		18030.6		Case rate	DRG Factor * DRG Weight	18030.6	80			Percent of total billed charges		18414.8	90			Percent of total billed charges		20716.65		17701.4		Case rate	DRG Factor * DRG Weight	17701.4	85			Percent of total billed charges		19565.72		17701.4		Case rate	DRG Factor * DRG Weight	17701.4		17701.4		Case rate	DRG Factor * DRG Weight	17701.4		17701.4		Case rate	DRG Factor * DRG Weight	17701.4		22096.48		Case rate	DRG Factor * DRG Weight	22096.48		1627		Per Diem		11389		1627		Per Diem		11389		17701.4		Case rate	DRG Factor * DRG Weight	17701.4	11389	22096.48	
other o.r. procedures for multiple significant trauma without cc/mcc	959	MS-DRG	Inpatient			34455	22395.75		90			Percent of total billed charges		31009.5		18034.65		Case rate	DRG Factor * DRG Weight	18034.65	80			Percent of total billed charges		27564	90			Percent of total billed charges		31009.5		17705.38		Case rate	DRG Factor * DRG Weight	17705.38	85			Percent of total billed charges		29286.75		17705.38		Case rate	DRG Factor * DRG Weight	17705.38		17705.38		Case rate	DRG Factor * DRG Weight	17705.38		17705.38		Case rate	DRG Factor * DRG Weight	17705.38		26314.76		Case rate	DRG Factor * DRG Weight	26314.76		1627		Per Diem		6508		1627		Per Diem		6508		17705.38		Case rate	DRG Factor * DRG Weight	17705.38	6508	31009.5	
respiratory system diagnosis with ventilator support < = 96 hours	208	MS-DRG	Inpatient			38092.44	24760.09		90			Percent of total billed charges		34283.2		18105.52		Case rate	DRG Factor * DRG Weight	18105.52	80			Percent of total billed charges		30473.95	90			Percent of total billed charges		34283.2		17774.96		Case rate	DRG Factor * DRG Weight	17774.96	85			Percent of total billed charges		32378.57		17774.96		Case rate	DRG Factor * DRG Weight	17774.96		17774.96		Case rate	DRG Factor * DRG Weight	17774.96		17774.96		Case rate	DRG Factor * DRG Weight	17774.96		16254.93		Case rate	DRG Factor * DRG Weight	16254.93		1627		Per Diem		8135		1627		Per Diem		8135		17774.96		Case rate	DRG Factor * DRG Weight	17774.96	8135	34283.2	
acute and subacute endocarditis with mcc	288	MS-DRG	Inpatient			46221.05	30043.68		90			Percent of total billed charges		41598.94		18283.05		Case rate	DRG Factor * DRG Weight	18283.05	80			Percent of total billed charges		36976.84	90			Percent of total billed charges		41598.94		17949.24		Case rate	DRG Factor * DRG Weight	17949.24	85			Percent of total billed charges		39287.89		17949.24		Case rate	DRG Factor * DRG Weight	17949.24		17949.24		Case rate	DRG Factor * DRG Weight	17949.24		17949.24		Case rate	DRG Factor * DRG Weight	17949.24		21333.77		Case rate	DRG Factor * DRG Weight	21333.77		1627		Per Diem		26032		1627		Per Diem		26032		17949.24		Case rate	DRG Factor * DRG Weight	17949.24	17949.24	41598.94	
amputation for circulatory system disorders except upper limb and toe with cc	240	MS-DRG	Inpatient			34756.15	22591.5		90			Percent of total billed charges		31280.54		19666.12		Case rate	DRG Factor * DRG Weight	19666.12	80			Percent of total billed charges		27804.92	90			Percent of total billed charges		31280.54		19307.07		Case rate	DRG Factor * DRG Weight	19307.07	85			Percent of total billed charges		29542.73		19307.07		Case rate	DRG Factor * DRG Weight	19307.07		19307.07		Case rate	DRG Factor * DRG Weight	19307.07		19307.07		Case rate	DRG Factor * DRG Weight	19307.07		27019.66		Case rate	DRG Factor * DRG Weight	27019.66		1627		Per Diem		13016		1627		Per Diem		13016		19307.07		Case rate	DRG Factor * DRG Weight	19307.07	13016	31280.54	
hernia procedures except inguinal and femoral with mcc	353	MS-DRG	Inpatient			21782.11	14158.37		90			Percent of total billed charges		19603.9		19732.95		Case rate	DRG Factor * DRG Weight	19732.95	80			Percent of total billed charges		17425.69	90			Percent of total billed charges		19603.9		19372.67		Case rate	DRG Factor * DRG Weight	19372.67	85			Percent of total billed charges		18514.79		19372.67		Case rate	DRG Factor * DRG Weight	19372.67		19372.67		Case rate	DRG Factor * DRG Weight	19372.67		19372.67		Case rate	DRG Factor * DRG Weight	19372.67		24383.14		Case rate	DRG Factor * DRG Weight	24383.14		1627		Per Diem		3254		1627		Per Diem		3254		19372.67		Case rate	DRG Factor * DRG Weight	19372.67	3254	24383.14	
hip replacement with principal diagnosis of hip fracture with mcc	521	MS-DRG	Inpatient			48898.07	31783.74		90			Percent of total billed charges		44008.26		19737		Case rate	DRG Factor * DRG Weight	19737	80			Percent of total billed charges		39118.45	90			Percent of total billed charges		44008.26		19376.65		Case rate	DRG Factor * DRG Weight	19376.65	85			Percent of total billed charges		41563.36		19376.65		Case rate	DRG Factor * DRG Weight	19376.65		19376.65		Case rate	DRG Factor * DRG Weight	19376.65		19376.65		Case rate	DRG Factor * DRG Weight	19376.65		25102.86		Case rate	DRG Factor * DRG Weight	25102.86		1627		Per Diem		11389		1627		Per Diem		11389		19376.65		Case rate	DRG Factor * DRG Weight	19376.65	11389	44008.26	
hip and femur procedures except major joint with mcc	480	MS-DRG	Inpatient			53129.66	34534.28		90			Percent of total billed charges		47816.69		19891.58		Case rate	DRG Factor * DRG Weight	19891.58	80			Percent of total billed charges		42503.73	90			Percent of total billed charges		47816.69		19528.4		Case rate	DRG Factor * DRG Weight	19528.4	85			Percent of total billed charges		45160.21		19528.4		Case rate	DRG Factor * DRG Weight	19528.4		19528.4		Case rate	DRG Factor * DRG Weight	19528.4		19528.4		Case rate	DRG Factor * DRG Weight	19528.4		30186.14		Case rate	DRG Factor * DRG Weight	30186.14		1627		Per Diem		16270		1627		Per Diem		16270		19528.4		Case rate	DRG Factor * DRG Weight	19528.4	16270	47816.69	
wound debridement and skin graft except hand for musculoskeletal and connective tissue disorders with cc	464	MS-DRG	Inpatient			38391.09	24954.21		90			Percent of total billed charges		34551.98		19930.05		Case rate	DRG Factor * DRG Weight	19930.05	80			Percent of total billed charges		30712.87	90			Percent of total billed charges		34551.98		19566.17		Case rate	DRG Factor * DRG Weight	19566.17	85			Percent of total billed charges		32632.42		19566.17		Case rate	DRG Factor * DRG Weight	19566.17		19566.17		Case rate	DRG Factor * DRG Weight	19566.17		19566.17		Case rate	DRG Factor * DRG Weight	19566.17		27474.76		Case rate	DRG Factor * DRG Weight	27474.76		1627		Per Diem		8135		1627		Per Diem		8135		19566.17		Case rate	DRG Factor * DRG Weight	19566.17	8135	34551.98	
hiv with major related condition with mcc	974	MS-DRG	Inpatient			23076.67	14999.83		90			Percent of total billed charges		20769		20075.85		Case rate	DRG Factor * DRG Weight	20075.85	80			Percent of total billed charges		18461.33	90			Percent of total billed charges		20769		19709.31		Case rate	DRG Factor * DRG Weight	19709.31	85			Percent of total billed charges		19615.17		19709.31		Case rate	DRG Factor * DRG Weight	19709.31		19709.31		Case rate	DRG Factor * DRG Weight	19709.31		19709.31		Case rate	DRG Factor * DRG Weight	19709.31		22419.65		Case rate	DRG Factor * DRG Weight	22419.65		1627		Per Diem		4881		1627		Per Diem		4881		19709.31		Case rate	DRG Factor * DRG Weight	19709.31	4881	22419.65	
myeloproliferative disorders or poorly differentiated neoplasms with other procedures with cc/mcc	829	MS-DRG	Inpatient			17576.4	11424.66		90			Percent of total billed charges		15818.76		20823.75		Case rate	DRG Factor * DRG Weight	20823.75	80			Percent of total billed charges		14061.12	90			Percent of total billed charges		15818.76		20443.55		Case rate	DRG Factor * DRG Weight	20443.55	85			Percent of total billed charges		14939.94		20443.55		Case rate	DRG Factor * DRG Weight	20443.55		20443.55		Case rate	DRG Factor * DRG Weight	20443.55		20443.55		Case rate	DRG Factor * DRG Weight	20443.55		20052.94		Case rate	DRG Factor * DRG Weight	20052.94		1627		Per Diem		6508		1627		Per Diem		6508		20443.55		Case rate	DRG Factor * DRG Weight	20443.55	6508	20823.75	
soft tissue procedures with mcc	500	MS-DRG	Inpatient			24697.42	16053.32		90			Percent of total billed charges		22227.68		21388.05		Case rate	DRG Factor * DRG Weight	21388.05	80			Percent of total billed charges		19757.94	90			Percent of total billed charges		22227.68		20997.55		Case rate	DRG Factor * DRG Weight	20997.55	85			Percent of total billed charges		20992.81		20997.55		Case rate	DRG Factor * DRG Weight	20997.55		20997.55		Case rate	DRG Factor * DRG Weight	20997.55		20997.55		Case rate	DRG Factor * DRG Weight	20997.55		20467.28		Case rate	DRG Factor * DRG Weight	20467.28		1627		Per Diem		11389		1627		Per Diem		11389		20997.55		Case rate	DRG Factor * DRG Weight	20997.55	11389	22227.68	
lymphoma and nonacute leukemia with mcc	840	MS-DRG	Inpatient			173904.15	113037.7		90			Percent of total billed charges		156513.74		21471.75		Case rate	DRG Factor * DRG Weight	21471.75	80			Percent of total billed charges		139123.32	90			Percent of total billed charges		156513.74		21079.72		Case rate	DRG Factor * DRG Weight	21079.72	85			Percent of total billed charges		147818.53		21079.72		Case rate	DRG Factor * DRG Weight	21079.72		21079.72		Case rate	DRG Factor * DRG Weight	21079.72		21079.72		Case rate	DRG Factor * DRG Weight	21079.72		30956.27		Case rate	DRG Factor * DRG Weight	30956.27		1627		Per Diem		43929		1627		Per Diem		43929		21079.72		Case rate	DRG Factor * DRG Weight	21079.72	21079.72	156513.74	
"other skin, subcutaneous tissue and breast procedures with mcc"	579	MS-DRG	Inpatient			13903.25	9037.11		90			Percent of total billed charges		12512.92		21739.05		Case rate	DRG Factor * DRG Weight	21739.05	80			Percent of total billed charges		11122.6	90			Percent of total billed charges		12512.92		21342.14		Case rate	DRG Factor * DRG Weight	21342.14	85			Percent of total billed charges		11817.76		21342.14		Case rate	DRG Factor * DRG Weight	21342.14		21342.14		Case rate	DRG Factor * DRG Weight	21342.14		21342.14		Case rate	DRG Factor * DRG Weight	21342.14		20301.99		Case rate	DRG Factor * DRG Weight	20301.99		1627		Per Diem		4881		1627		Per Diem		4881		21342.14		Case rate	DRG Factor * DRG Weight	21342.14	4881	21739.05	
major hip and knee joint replacement or reattachment of lower extremity with mcc or total ankle replacement	469	MS-DRG	Inpatient			40229.78	26149.36		90			Percent of total billed charges		36206.81		22287.82		Case rate	DRG Factor * DRG Weight	22287.82	80			Percent of total billed charges		32183.83	90			Percent of total billed charges		36206.81		21880.9		Case rate	DRG Factor * DRG Weight	21880.9	85			Percent of total billed charges		34195.32		21880.9		Case rate	DRG Factor * DRG Weight	21880.9		21880.9		Case rate	DRG Factor * DRG Weight	21880.9		21880.9		Case rate	DRG Factor * DRG Weight	21880.9		24481.72		Case rate	DRG Factor * DRG Weight	24481.72		1627		Per Diem		8135		1627		Per Diem		8135		21880.9		Case rate	DRG Factor * DRG Weight	21880.9	8135	36206.81	
permanent cardiac pacemaker implant with mcc	242	MS-DRG	Inpatient			60197.55	39128.41		90			Percent of total billed charges		54177.8		23051.25		Case rate	DRG Factor * DRG Weight	23051.25	80			Percent of total billed charges		48158.04	90			Percent of total billed charges		54177.8		22630.39		Case rate	DRG Factor * DRG Weight	22630.39	85			Percent of total billed charges		51167.92		22630.39		Case rate	DRG Factor * DRG Weight	22630.39		22630.39		Case rate	DRG Factor * DRG Weight	22630.39		22630.39		Case rate	DRG Factor * DRG Weight	22630.39		26877.34		Case rate	DRG Factor * DRG Weight	26877.34		1627		Per Diem		6508		1627		Per Diem		6508		22630.39		Case rate	DRG Factor * DRG Weight	22630.39	6508	54177.8	
biopsies of musculoskeletal system and connective tissue with mcc	477	MS-DRG	Inpatient			25305.74	16448.73		90			Percent of total billed charges		22775.17		23203.12		Case rate	DRG Factor * DRG Weight	23203.12	80			Percent of total billed charges		20244.59	90			Percent of total billed charges		22775.17		22779.49		Case rate	DRG Factor * DRG Weight	22779.49	85			Percent of total billed charges		21509.88		22779.49		Case rate	DRG Factor * DRG Weight	22779.49		22779.49		Case rate	DRG Factor * DRG Weight	22779.49		22779.49		Case rate	DRG Factor * DRG Weight	22779.49		23722.71		Case rate	DRG Factor * DRG Weight	23722.71		1627		Per Diem		9762		1627		Per Diem		9762		22779.49		Case rate	DRG Factor * DRG Weight	22779.49	9762	23722.71	
revision of hip or knee replacement with cc	467	MS-DRG	Inpatient			25049.49	16282.17		90			Percent of total billed charges		22544.54		23425.2		Case rate	DRG Factor * DRG Weight	23425.2	80			Percent of total billed charges		20039.59	90			Percent of total billed charges		22544.54		22997.51		Case rate	DRG Factor * DRG Weight	22997.51	85			Percent of total billed charges		21292.07		22997.51		Case rate	DRG Factor * DRG Weight	22997.51		22997.51		Case rate	DRG Factor * DRG Weight	22997.51		22997.51		Case rate	DRG Factor * DRG Weight	22997.51		27798.68		Case rate	DRG Factor * DRG Weight	27798.68		1627		Per Diem		3254		1627		Per Diem		3254		22997.51		Case rate	DRG Factor * DRG Weight	22997.51	3254	27798.68	
other circulatory system o.r. procedures	264	MS-DRG	Inpatient			50492.5	32820.12		90			Percent of total billed charges		45443.25		23544.68		Case rate	DRG Factor * DRG Weight	23544.68	80			Percent of total billed charges		40394	90			Percent of total billed charges		45443.25		23114.8		Case rate	DRG Factor * DRG Weight	23114.8	85			Percent of total billed charges		42918.62		23114.8		Case rate	DRG Factor * DRG Weight	23114.8		23114.8		Case rate	DRG Factor * DRG Weight	23114.8		23114.8		Case rate	DRG Factor * DRG Weight	23114.8		29754.01		Case rate	DRG Factor * DRG Weight	29754.01		1627		Per Diem		9762		1627		Per Diem		9762		23114.8		Case rate	DRG Factor * DRG Weight	23114.8	9762	45443.25	
nonextensive o.r. procedures unrelated to principal diagnosis with mcc	987	MS-DRG	Inpatient			34550	22457.5		90			Percent of total billed charges		31095		23552.1		Case rate	DRG Factor * DRG Weight	23552.1	80			Percent of total billed charges		27640	90			Percent of total billed charges		31095		23122.09		Case rate	DRG Factor * DRG Weight	23122.09	85			Percent of total billed charges		29367.5		23122.09		Case rate	DRG Factor * DRG Weight	23122.09		23122.09		Case rate	DRG Factor * DRG Weight	23122.09		23122.09		Case rate	DRG Factor * DRG Weight	23122.09		29467.9		Case rate	DRG Factor * DRG Weight	29467.9		1627		Per Diem		11389		1627		Per Diem		11389		23122.09		Case rate	DRG Factor * DRG Weight	23122.09	11389	31095	
hepatobiliary diagnostic procedures with mcc	420	MS-DRG	Inpatient			38140.29	24791.19		90			Percent of total billed charges		34326.26		23828.18		Case rate	DRG Factor * DRG Weight	23828.18	80			Percent of total billed charges		30512.23	90			Percent of total billed charges		34326.26		23393.13		Case rate	DRG Factor * DRG Weight	23393.13	85			Percent of total billed charges		32419.25		23393.13		Case rate	DRG Factor * DRG Weight	23393.13		23393.13		Case rate	DRG Factor * DRG Weight	23393.13		23393.13		Case rate	DRG Factor * DRG Weight	23393.13		23785.72		Case rate	DRG Factor * DRG Weight	23785.72		1627		Per Diem		17897		1627		Per Diem		17897		23393.13		Case rate	DRG Factor * DRG Weight	23393.13	17897	34326.26	
"lower extremity and humerus procedures except hip, foot, femur with mcc"	492	MS-DRG	Inpatient			72239.66	46955.78		90			Percent of total billed charges		65015.69		23973.98		Case rate	DRG Factor * DRG Weight	23973.98	80			Percent of total billed charges		57791.73	90			Percent of total billed charges		65015.69		23536.26		Case rate	DRG Factor * DRG Weight	23536.26	85			Percent of total billed charges		61403.71		23536.26		Case rate	DRG Factor * DRG Weight	23536.26		23536.26		Case rate	DRG Factor * DRG Weight	23536.26		23536.26		Case rate	DRG Factor * DRG Weight	23536.26		27519.98		Case rate	DRG Factor * DRG Weight	27519.98		1627		Per Diem		16270		1627		Per Diem		16270		23536.26		Case rate	DRG Factor * DRG Weight	23536.26	16270	65015.69	
bacterial and tuberculous infections of nervous system with mcc	94	MS-DRG	Inpatient			51712.85	33613.35		90			Percent of total billed charges		46541.56		24553.12		Case rate	DRG Factor * DRG Weight	24553.12	80			Percent of total billed charges		41370.28	90			Percent of total billed charges		46541.56		24104.84		Case rate	DRG Factor * DRG Weight	24104.84	85			Percent of total billed charges		43955.92		24104.84		Case rate	DRG Factor * DRG Weight	24104.84		24104.84		Case rate	DRG Factor * DRG Weight	24104.84		24104.84		Case rate	DRG Factor * DRG Weight	24104.84		23840.57		Case rate	DRG Factor * DRG Weight	23840.57		1627		Per Diem		27659		1627		Per Diem		27659		24104.84		Case rate	DRG Factor * DRG Weight	24104.84	23840.57	46541.56	
"skin grafts and wound debridement for endocrine, nutritional and metabolic disorders with mcc"	622	MS-DRG	Inpatient			32813	21328.45		90			Percent of total billed charges		29531.7		25093.8		Case rate	DRG Factor * DRG Weight	25093.8	80			Percent of total billed charges		26250.4	90			Percent of total billed charges		29531.7		24635.64		Case rate	DRG Factor * DRG Weight	24635.64	85			Percent of total billed charges		27891.05		24635.64		Case rate	DRG Factor * DRG Weight	24635.64		24635.64		Case rate	DRG Factor * DRG Weight	24635.64		24635.64		Case rate	DRG Factor * DRG Weight	24635.64		31475.12		Case rate	DRG Factor * DRG Weight	31475.12		1627		Per Diem		11389		1627		Per Diem		11389		24635.64		Case rate	DRG Factor * DRG Weight	24635.64	11389	31475.12	
"limb reattachment, hip and femur procedures for multiple significant trauma"	956	MS-DRG	Inpatient			37881.42	24622.92		90			Percent of total billed charges		34093.28		25759.35		Case rate	DRG Factor * DRG Weight	25759.35	80			Percent of total billed charges		30305.14	90			Percent of total billed charges		34093.28		25289.04		Case rate	DRG Factor * DRG Weight	25289.04	85			Percent of total billed charges		32199.21		25289.04		Case rate	DRG Factor * DRG Weight	25289.04		25289.04		Case rate	DRG Factor * DRG Weight	25289.04		25289.04		Case rate	DRG Factor * DRG Weight	25289.04		64721.76		Case rate	DRG Factor * DRG Weight	64721.76		1627		Per Diem		8135		1627		Per Diem		8135		25289.04		Case rate	DRG Factor * DRG Weight	25289.04	8135	64721.76	
other respiratory system o.r. procedures with mcc	166	MS-DRG	Inpatient			35028.24	22768.36		90			Percent of total billed charges		31525.42		25909.2		Case rate	DRG Factor * DRG Weight	25909.2	80			Percent of total billed charges		28022.59	90			Percent of total billed charges		31525.42		25436.16		Case rate	DRG Factor * DRG Weight	25436.16	85			Percent of total billed charges		29774		25436.16		Case rate	DRG Factor * DRG Weight	25436.16		25436.16		Case rate	DRG Factor * DRG Weight	25436.16		25436.16		Case rate	DRG Factor * DRG Weight	25436.16		40037.69		Case rate	DRG Factor * DRG Weight	40037.69		1627		Per Diem		6508		1627		Per Diem		6508		25436.16		Case rate	DRG Factor * DRG Weight	25436.16	6508	40037.69	
other o.r. procedures for injuries with mcc	907	MS-DRG	Inpatient			105577.17	68625.16		90			Percent of total billed charges		95019.45		26842.05		Case rate	DRG Factor * DRG Weight	26842.05	80			Percent of total billed charges		84461.74	90			Percent of total billed charges		95019.45		26351.97		Case rate	DRG Factor * DRG Weight	26351.97	85			Percent of total billed charges		89740.59		26351.97		Case rate	DRG Factor * DRG Weight	26351.97		26351.97		Case rate	DRG Factor * DRG Weight	26351.97		26351.97		Case rate	DRG Factor * DRG Weight	26351.97		27812.76		Case rate	DRG Factor * DRG Weight	27812.76		1627		Per Diem		35794		1627		Per Diem		35794		26351.97		Case rate	DRG Factor * DRG Weight	26351.97	26351.97	95019.45	
other digestive system o.r. procedures with mcc	356	MS-DRG	Inpatient			19200.25	12480.16		90			Percent of total billed charges		17280.22		28820.48		Case rate	DRG Factor * DRG Weight	28820.48	80			Percent of total billed charges		15360.2	90			Percent of total billed charges		17280.22		28294.28		Case rate	DRG Factor * DRG Weight	28294.28	85			Percent of total billed charges		16320.21		28294.28		Case rate	DRG Factor * DRG Weight	28294.28		28294.28		Case rate	DRG Factor * DRG Weight	28294.28		28294.28		Case rate	DRG Factor * DRG Weight	28294.28		28173.73		Case rate	DRG Factor * DRG Weight	28173.73		1627		Per Diem		6508		1627		Per Diem		6508		28294.28		Case rate	DRG Factor * DRG Weight	28294.28	6508	28820.48	
wound debridements for injuries with mcc	901	MS-DRG	Inpatient			34295.65	22292.17		90			Percent of total billed charges		30866.08		29521.12		Case rate	DRG Factor * DRG Weight	29521.12	80			Percent of total billed charges		27436.52	90			Percent of total billed charges		30866.08		28982.13		Case rate	DRG Factor * DRG Weight	28982.13	85			Percent of total billed charges		29151.3		28982.13		Case rate	DRG Factor * DRG Weight	28982.13		28982.13		Case rate	DRG Factor * DRG Weight	28982.13		28982.13		Case rate	DRG Factor * DRG Weight	28982.13		35607.42		Case rate	DRG Factor * DRG Weight	35607.42		1627		Per Diem		19524		1627		Per Diem		19524		28982.13		Case rate	DRG Factor * DRG Weight	28982.13	19524	35607.42	
major small and large bowel procedures with mcc	329	MS-DRG	Inpatient			37560.38	24414.24		90			Percent of total billed charges		33804.34		30964.95		Case rate	DRG Factor * DRG Weight	30964.95	80			Percent of total billed charges		30048.3	90			Percent of total billed charges		33804.34		30399.6		Case rate	DRG Factor * DRG Weight	30399.6	85			Percent of total billed charges		31926.32		30399.6		Case rate	DRG Factor * DRG Weight	30399.6		30399.6		Case rate	DRG Factor * DRG Weight	30399.6		30399.6		Case rate	DRG Factor * DRG Weight	30399.6		33711.38		Case rate	DRG Factor * DRG Weight	33711.38		1627		Per Diem		8135		1627		Per Diem		8135		30399.6		Case rate	DRG Factor * DRG Weight	30399.6	8135	33804.34	
major chest procedures with mcc	163	MS-DRG	Inpatient			141915.56	92245.11		90			Percent of total billed charges		127724		31172.18		Case rate	DRG Factor * DRG Weight	31172.18	80			Percent of total billed charges		113532.45	90			Percent of total billed charges		127724		30603.04		Case rate	DRG Factor * DRG Weight	30603.04	85			Percent of total billed charges		120628.23		30603.04		Case rate	DRG Factor * DRG Weight	30603.04		30603.04		Case rate	DRG Factor * DRG Weight	30603.04		30603.04		Case rate	DRG Factor * DRG Weight	30603.04		27714.18		Case rate	DRG Factor * DRG Weight	27714.18		1627		Per Diem		26032		1627		Per Diem		26032		30603.04		Case rate	DRG Factor * DRG Weight	30603.04	26032	127724	
extensive o.r. procedures unrelated to principal diagnosis with mcc	981	MS-DRG	Inpatient			168630.17	109609.61		90			Percent of total billed charges		151767.15		32103		Case rate	DRG Factor * DRG Weight	32103	80			Percent of total billed charges		134904.14	90			Percent of total billed charges		151767.15		31516.87		Case rate	DRG Factor * DRG Weight	31516.87	85			Percent of total billed charges		143335.64		31516.87		Case rate	DRG Factor * DRG Weight	31516.87		31516.87		Case rate	DRG Factor * DRG Weight	31516.87		31516.87		Case rate	DRG Factor * DRG Weight	31516.87		38611.58		Case rate	DRG Factor * DRG Weight	38611.58		1627		Per Diem		34167		1627		Per Diem		34167		31516.87		Case rate	DRG Factor * DRG Weight	31516.87	31516.87	151767.15	
infectious and parasitic diseases with o.r. procedures with mcc	853	MS-DRG	Inpatient			64727.85	42073.1		90			Percent of total billed charges		58255.06		33703.42		Case rate	DRG Factor * DRG Weight	33703.42	80			Percent of total billed charges		51782.28	90			Percent of total billed charges		58255.06		33088.08		Case rate	DRG Factor * DRG Weight	33088.08	85			Percent of total billed charges		55018.67		33088.08		Case rate	DRG Factor * DRG Weight	33088.08		33088.08		Case rate	DRG Factor * DRG Weight	33088.08		33088.08		Case rate	DRG Factor * DRG Weight	33088.08		37229.21		Case rate	DRG Factor * DRG Weight	37229.21		1627		Per Diem		22778		1627		Per Diem		22778		33088.08		Case rate	DRG Factor * DRG Weight	33088.08	22778	58255.06	
amputation for circulatory system disorders except upper limb and toe with mcc	239	MS-DRG	Inpatient			64068.95	41644.82		90			Percent of total billed charges		57662.06		33952.5		Case rate	DRG Factor * DRG Weight	33952.5	80			Percent of total billed charges		51255.16	90			Percent of total billed charges		57662.06		33332.6		Case rate	DRG Factor * DRG Weight	33332.6	85			Percent of total billed charges		54458.61		33332.6		Case rate	DRG Factor * DRG Weight	33332.6		33332.6		Case rate	DRG Factor * DRG Weight	33332.6		33332.6		Case rate	DRG Factor * DRG Weight	33332.6		32025.85		Case rate	DRG Factor * DRG Weight	32025.85		1627		Per Diem		8135		1627		Per Diem		8135		33332.6		Case rate	DRG Factor * DRG Weight	33332.6	8135	57662.06	
"stomach, esophageal and duodenal procedures with mcc"	326	MS-DRG	Inpatient			103962.07	67575.35		90			Percent of total billed charges		93565.86		34177.95		Case rate	DRG Factor * DRG Weight	34177.95	80			Percent of total billed charges		83169.66	90			Percent of total billed charges		93565.86		33553.94		Case rate	DRG Factor * DRG Weight	33553.94	85			Percent of total billed charges		88367.76		33553.94		Case rate	DRG Factor * DRG Weight	33553.94		33553.94		Case rate	DRG Factor * DRG Weight	33553.94		33553.94		Case rate	DRG Factor * DRG Weight	33553.94		31462.52		Case rate	DRG Factor * DRG Weight	31462.52		1627		Per Diem		35794		1627		Per Diem		35794		33553.94		Case rate	DRG Factor * DRG Weight	33553.94	31462.52	93565.86	
revision of hip or knee replacement with mcc	466	MS-DRG	Inpatient			31248.9	20311.78		90			Percent of total billed charges		28124.01		34631.55		Case rate	DRG Factor * DRG Weight	34631.55	80			Percent of total billed charges		24999.12	90			Percent of total billed charges		28124.01		33999.25		Case rate	DRG Factor * DRG Weight	33999.25	85			Percent of total billed charges		26561.56		33999.25		Case rate	DRG Factor * DRG Weight	33999.25		33999.25		Case rate	DRG Factor * DRG Weight	33999.25		33999.25		Case rate	DRG Factor * DRG Weight	33999.25		56452.72		Case rate	DRG Factor * DRG Weight	56452.72		1627		Per Diem		4881		1627		Per Diem		4881		33999.25		Case rate	DRG Factor * DRG Weight	33999.25	4881	56452.72	
wound debridement and skin graft except hand for musculoskeletal and connective tissue disorders with mcc	463	MS-DRG	Inpatient			21712	14112.8		90			Percent of total billed charges		19540.8		36312.3		Case rate	DRG Factor * DRG Weight	36312.3	80			Percent of total billed charges		17369.6	90			Percent of total billed charges		19540.8		35649.32		Case rate	DRG Factor * DRG Weight	35649.32	85			Percent of total billed charges		18455.2		35649.32		Case rate	DRG Factor * DRG Weight	35649.32		35649.32		Case rate	DRG Factor * DRG Weight	35649.32		35649.32		Case rate	DRG Factor * DRG Weight	35649.32		40724.05		Case rate	DRG Factor * DRG Weight	40724.05		1627		Per Diem		9762		1627		Per Diem		9762		35649.32		Case rate	DRG Factor * DRG Weight	35649.32	9762	40724.05	
skin graft except for skin ulcer or cellulitis with mcc	576	MS-DRG	Inpatient			26175.9	17014.34		90			Percent of total billed charges		23558.31		36371.02		Case rate	DRG Factor * DRG Weight	36371.02	80			Percent of total billed charges		20940.72	90			Percent of total billed charges		23558.31		35706.97		Case rate	DRG Factor * DRG Weight	35706.97	85			Percent of total billed charges		22249.52		35706.97		Case rate	DRG Factor * DRG Weight	35706.97		35706.97		Case rate	DRG Factor * DRG Weight	35706.97		35706.97		Case rate	DRG Factor * DRG Weight	35706.97		46757.58		Case rate	DRG Factor * DRG Weight	46757.58		1627		Per Diem		9762		1627		Per Diem		9762		35706.97		Case rate	DRG Factor * DRG Weight	35706.97	9762	46757.58	
respiratory system diagnosis with ventilator support >96 hours	207	MS-DRG	Inpatient			179425.75	116626.74		90			Percent of total billed charges		161483.18		43729.88		Case rate	DRG Factor * DRG Weight	43729.88	80			Percent of total billed charges		143540.6	90			Percent of total billed charges		161483.18		42931.46		Case rate	DRG Factor * DRG Weight	42931.46	85			Percent of total billed charges		152511.89		42931.46		Case rate	DRG Factor * DRG Weight	42931.46		42931.46		Case rate	DRG Factor * DRG Weight	42931.46		42931.46		Case rate	DRG Factor * DRG Weight	42931.46		48990.87		Case rate	DRG Factor * DRG Weight	48990.87		1627		Per Diem		30913		1627		Per Diem		30913		42931.46		Case rate	DRG Factor * DRG Weight	42931.46	30913	161483.18	
septicemia or severe sepsis with mechanical ventilation >96 hours	870	MS-DRG	Inpatient			137781	89557.65		90			Percent of total billed charges		124002.9		46955.7		Case rate	DRG Factor * DRG Weight	46955.7	80			Percent of total billed charges		110224.8	90			Percent of total billed charges		124002.9		46098.39		Case rate	DRG Factor * DRG Weight	46098.39	85			Percent of total billed charges		117113.85		46098.39		Case rate	DRG Factor * DRG Weight	46098.39		46098.39		Case rate	DRG Factor * DRG Weight	46098.39		46098.39		Case rate	DRG Factor * DRG Weight	46098.39		55624.78		Case rate	DRG Factor * DRG Weight	55624.78		1627		Per Diem		27659		1627		Per Diem		27659		46098.39		Case rate	DRG Factor * DRG Weight	46098.39	27659	124002.9	
"tracheostomy with mechanical ventilation >96 hours or principal diagnosis except face, mouth and neck without major o.r. procedures"	4	MS-DRG	Inpatient			169085.82	109905.79		90			Percent of total billed charges		152177.24		95117.62		Case rate	DRG Factor * DRG Weight	95117.62	80			Percent of total billed charges		135268.66	90			Percent of total billed charges		152177.24		93380.99		Case rate	DRG Factor * DRG Weight	93380.99	85			Percent of total billed charges		143722.95		93380.99		Case rate	DRG Factor * DRG Weight	93380.99		93380.99		Case rate	DRG Factor * DRG Weight	93380.99		93380.99		Case rate	DRG Factor * DRG Weight	93380.99		125884.19		Case rate	DRG Factor * DRG Weight	125884.19		1627		Per Diem		35794		1627		Per Diem		35794		93380.99		Case rate	DRG Factor * DRG Weight	93380.99	35794	152177.24	
"ecmo or tracheostomy with mechanical ventilation >96 hours or principal diagnosis except face, mouth and neck with major o.r. procedures"	3	MS-DRG	Inpatient			335502.46	218076.6		90			Percent of total billed charges		301952.21		143955.22		Case rate	DRG Factor * DRG Weight	143955.22	80			Percent of total billed charges		268401.97	90			Percent of total billed charges		301952.21		141326.92		Case rate	DRG Factor * DRG Weight	141326.92	85			Percent of total billed charges		285177.09		141326.92		Case rate	DRG Factor * DRG Weight	141326.92		141326.92		Case rate	DRG Factor * DRG Weight	141326.92		141326.92		Case rate	DRG Factor * DRG Weight	141326.92		179035.52		Case rate	DRG Factor * DRG Weight	179035.52		1627		Per Diem		58572		1627		Per Diem		58572		141326.92		Case rate	DRG Factor * DRG Weight	141326.92	58572	301952.21	
principal diagnosis invalid as discharge diagnosis	998	MS-DRG	Inpatient			4173.75	2712.94		90			Percent of total billed charges		3756.38		6.75		Case rate	DRG Factor * DRG Weight	6.75	80			Percent of total billed charges		3339	90			Percent of total billed charges		3756.38		6.63		Case rate	DRG Factor * DRG Weight	6.63	85			Percent of total billed charges		3547.69		6.63		Case rate	DRG Factor * DRG Weight	6.63		6.63		Case rate	DRG Factor * DRG Weight	6.63		6.63		Case rate	DRG Factor * DRG Weight	6.63	100			Percent of total billed charges		4173.75		1627		Per Diem		4881		1627		Per Diem		4881		6.63		Case rate	DRG Factor * DRG Weight	6.63	6.63	4881	
ungroupable	999	MS-DRG	Inpatient			16092.73	10460.28		90			Percent of total billed charges		14483.46		6.75		Case rate	DRG Factor * DRG Weight	6.75	80			Percent of total billed charges		12874.19	90			Percent of total billed charges		14483.46		6.63		Case rate	DRG Factor * DRG Weight	6.63	85			Percent of total billed charges		13678.82		6.63		Case rate	DRG Factor * DRG Weight	6.63		6.63		Case rate	DRG Factor * DRG Weight	6.63		6.63		Case rate	DRG Factor * DRG Weight	6.63	100			Percent of total billed charges		16092.73		1627		Per Diem		4881		1627		Per Diem		4881		6.63		Case rate	DRG Factor * DRG Weight	6.63	6.63	14483.46	
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, without microscopy"	81003	CPT	Outpatient			38	24.7		90			Percent of total billed charges		34.2		2.48		Case rate		2.48	80			Percent of total billed charges		30.4	90			Percent of total billed charges		34.2	100			Fee schedule		2.25	85			Percent of total billed charges		32.3	100			Fee schedule		2.25	100			Fee schedule		2.25	100			Fee schedule		2.25	100			Fee schedule		2.25		2.86		Case rate		2.86		2.86		Case rate		2.86	100			Fee schedule		2.25	2.25	34.2	
Blood count; hemoglobin (Hgb)	85018	CPT	Outpatient			44	28.6		90			Percent of total billed charges		39.6		2.61		Case rate		2.61	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	100			Fee schedule		2.37	85			Percent of total billed charges		37.4	100			Fee schedule		2.37	100			Fee schedule		2.37	100			Fee schedule		2.37	100			Fee schedule		2.37		3.02		Case rate		3.02		3.02		Case rate		3.02	100			Fee schedule		2.37	2.37	39.6	
Blood count; hematocrit (Hct)	85014	CPT	Outpatient			44	28.6		90			Percent of total billed charges		39.6		2.61		Case rate		2.61	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	100			Fee schedule		2.37	85			Percent of total billed charges		37.4	100			Fee schedule		2.37	100			Fee schedule		2.37	100			Fee schedule		2.37	100			Fee schedule		2.37		3.02		Case rate		3.02		3.02		Case rate		3.02	100			Fee schedule		2.37	2.37	39.6	
"Blood count; leukocyte (WBC), automated"	85048	CPT	Outpatient			29	18.85		90			Percent of total billed charges		26.1		2.79		Case rate		2.79	80			Percent of total billed charges		23.2	90			Percent of total billed charges		26.1	100			Fee schedule		2.54	85			Percent of total billed charges		24.65	100			Fee schedule		2.54	100			Fee schedule		2.54	100			Fee schedule		2.54	100			Fee schedule		2.54		3.24		Case rate		3.24		3.24		Case rate		3.24	100			Fee schedule		2.54	2.54	26.1	
Urinalysis; microscopic only	81015	CPT	Outpatient			33.5	21.78		90			Percent of total billed charges		30.15		3.36		Case rate		3.36	80			Percent of total billed charges		26.8	90			Percent of total billed charges		30.15	100			Fee schedule		3.05	85			Percent of total billed charges		28.48	100			Fee schedule		3.05	100			Fee schedule		3.05	100			Fee schedule		3.05	100			Fee schedule		3.05		3.88		Case rate		3.88		3.88		Case rate		3.88	100			Fee schedule		3.05	3.05	30.15	
"Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; automated, with microscopy"	81001	CPT	Outpatient			15	9.75		90			Percent of total billed charges		13.5		3.49		Case rate		3.49	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	100			Fee schedule		3.17	85			Percent of total billed charges		12.75	100			Fee schedule		3.17	100			Fee schedule		3.17	100			Fee schedule		3.17	100			Fee schedule		3.17		4.03		Case rate		4.03		4.03		Case rate		4.03	100			Fee schedule		3.17	3.17	13.5	
"Glucose, blood by glucose monitoring device(s) cleared by the FDA specifically for home use"	82962	CPT	Outpatient			32	20.8		90			Percent of total billed charges		28.8		3.61		Case rate		3.61	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	100			Fee schedule		3.28	85			Percent of total billed charges		27.2	100			Fee schedule		3.28	100			Fee schedule		3.28	100			Fee schedule		3.28	100			Fee schedule		3.28		2.99		Case rate		2.99		2.99		Case rate		2.99	100			Fee schedule		3.28	2.99	28.8	
"pH; body fluid, not otherwise specified"	83986	CPT	Outpatient			44	28.6		90			Percent of total billed charges		39.6		3.94		Case rate		3.94	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	100			Fee schedule		3.58	85			Percent of total billed charges		37.4	100			Fee schedule		3.58	100			Fee schedule		3.58	100			Fee schedule		3.58	100			Fee schedule		3.58		4.56		Case rate		4.56		4.56		Case rate		4.56	100			Fee schedule		3.58	3.58	39.6	
"Protein, total, except by refractometry; serum, plasma or whole blood"	84155	CPT	Outpatient			13	8.45		90			Percent of total billed charges		11.7		4.04		Case rate		4.04	80			Percent of total billed charges		10.4	90			Percent of total billed charges		11.7	100			Fee schedule		3.67	85			Percent of total billed charges		11.05	100			Fee schedule		3.67	100			Fee schedule		3.67	100			Fee schedule		3.67	100			Fee schedule		3.67		4.67		Case rate		4.67		4.67		Case rate		4.67	100			Fee schedule		3.67	3.67	11.7	
"Protein, total, except by refractometry; urine"	84156	CPT	Outpatient			71	46.15		90			Percent of total billed charges		63.9		4.04		Case rate		4.04	80			Percent of total billed charges		56.8	90			Percent of total billed charges		63.9	100			Fee schedule		3.67	85			Percent of total billed charges		60.35	100			Fee schedule		3.67	100			Fee schedule		3.67	100			Fee schedule		3.67	100			Fee schedule		3.67		4.67		Case rate		4.67		4.67		Case rate		4.67	100			Fee schedule		3.67	3.67	63.9	
"Blood count; blood smear, microscopic examination with manual differential WBC count"	85007	CPT	Outpatient			34	22.1		90			Percent of total billed charges		30.6		4.18		Case rate		4.18	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	100			Fee schedule		3.8	85			Percent of total billed charges		28.9	100			Fee schedule		3.8	100			Fee schedule		3.8	100			Fee schedule		3.8	100			Fee schedule		3.8		4.38		Case rate		4.38		4.38		Case rate		4.38	100			Fee schedule		3.8	3.8	30.6	
"Glucose; tolerance test, each additional beyond 3 specimens (List separately in addition to code for primary procedure)"	82952	CPT	Outpatient			31	20.15		90			Percent of total billed charges		27.9		4.31		Case rate		4.31	80			Percent of total billed charges		24.8	90			Percent of total billed charges		27.9	100			Fee schedule		3.92	85			Percent of total billed charges		26.35	100			Fee schedule		3.92	100			Fee schedule		3.92	100			Fee schedule		3.92	100			Fee schedule		3.92		5		Case rate		5		5		Case rate		5	100			Fee schedule		3.92	3.92	27.9	
"Glucose, body fluid, other than blood"	82945	CPT	Outpatient			74	48.1		90			Percent of total billed charges		66.6		4.32		Case rate		4.32	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	100			Fee schedule		3.93	85			Percent of total billed charges		62.9	100			Fee schedule		3.93	100			Fee schedule		3.93	100			Fee schedule		3.93	100			Fee schedule		3.93		5		Case rate		5		5		Case rate		5	100			Fee schedule		3.93	3.93	66.6	
"Glucose; quantitative, blood (except reagent strip)"	82947	CPT	Outpatient			74	48.1		90			Percent of total billed charges		66.6		4.32		Case rate		4.32	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	100			Fee schedule		3.93	85			Percent of total billed charges		62.9	100			Fee schedule		3.93	100			Fee schedule		3.93	100			Fee schedule		3.93	100			Fee schedule		3.93		5		Case rate		5		5		Case rate		5	100			Fee schedule		3.93	3.93	66.6	
"Prothrombin time; substitution, plasma fractions, each"	85611	CPT	Outpatient			64	41.6		90			Percent of total billed charges		57.6		4.33		Case rate		4.33	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	100			Fee schedule		3.94	85			Percent of total billed charges		54.4	100			Fee schedule		3.94	100			Fee schedule		3.94	100			Fee schedule		3.94	100			Fee schedule		3.94		5.02		Case rate		5.02		5.02		Case rate		5.02	100			Fee schedule		3.94	3.94	57.6	
Urea nitrogen; quantitative	84520	CPT	Outpatient			71	46.15		90			Percent of total billed charges		63.9		4.35		Case rate		4.35	80			Percent of total billed charges		56.8	90			Percent of total billed charges		63.9	100			Fee schedule		3.95	85			Percent of total billed charges		60.35	100			Fee schedule		3.95	100			Fee schedule		3.95	100			Fee schedule		3.95	100			Fee schedule		3.95		5.03		Case rate		5.03		5.03		Case rate		5.03	100			Fee schedule		3.95	3.95	63.9	
"Blood count; reticulocyte, automated"	85045	CPT	Outpatient			51	33.15		90			Percent of total billed charges		45.9		4.39		Case rate		4.39	80			Percent of total billed charges		40.8	90			Percent of total billed charges		45.9	100			Fee schedule		3.99	85			Percent of total billed charges		43.35	100			Fee schedule		3.99	100			Fee schedule		3.99	100			Fee schedule		3.99	100			Fee schedule		3.99		5.1		Case rate		5.1		5.1		Case rate		5.1	100			Fee schedule		3.99	3.99	45.9	
"Protein, total, except by refractometry; other source (eg, synovial fluid, cerebrospinal fluid)"	84157	CPT	Outpatient			71	46.15		90			Percent of total billed charges		63.9		4.4		Case rate		4.4	80			Percent of total billed charges		56.8	90			Percent of total billed charges		63.9	100			Fee schedule		4	85			Percent of total billed charges		60.35	100			Fee schedule		4	100			Fee schedule		4	100			Fee schedule		4	100			Fee schedule		4		4.67		Case rate		4.67		4.67		Case rate		4.67	100			Fee schedule		4	4	63.9	
"Blood, occult, by peroxidase activity (eg, guaiac), qualitative, feces, 1-3 simultaneous determinations, performed for other than colorectal neoplasm screening"	82272	CPT	Outpatient			38	24.7		90			Percent of total billed charges		34.2		4.65		Case rate		4.65	80			Percent of total billed charges		30.4	90			Percent of total billed charges		34.2	100			Fee schedule		4.23	85			Percent of total billed charges		32.3	100			Fee schedule		4.23	100			Fee schedule		4.23	100			Fee schedule		4.23	100			Fee schedule		4.23		4.15		Case rate		4.15		4.15		Case rate		4.15	100			Fee schedule		4.23	4.15	34.2	
"Sedimentation rate, erythrocyte; non-automated"	85651	CPT	Outpatient			53	34.45		90			Percent of total billed charges		47.7		4.7		Case rate		4.7	80			Percent of total billed charges		42.4	90			Percent of total billed charges		47.7	100			Fee schedule		4.27	85			Percent of total billed charges		45.05	100			Fee schedule		4.27	100			Fee schedule		4.27	100			Fee schedule		4.27	100			Fee schedule		4.27		4.52		Case rate		4.52		4.52		Case rate		4.52	100			Fee schedule		4.27	4.27	47.7	
"Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART)"	86592	CPT	Outpatient			20	13		90			Percent of total billed charges		18		4.7		Case rate		4.7	80			Percent of total billed charges		16	90			Percent of total billed charges		18	100			Fee schedule		4.27	85			Percent of total billed charges		17	100			Fee schedule		4.27	100			Fee schedule		4.27	100			Fee schedule		4.27	100			Fee schedule		4.27		5.45		Case rate		5.45		5.45		Case rate		5.45	100			Fee schedule		4.27	4.27	18	
Macroscopic examination; arthropod	87168	CPT	Outpatient			25	16.25		90			Percent of total billed charges		22.5		4.7		Case rate		4.7	80			Percent of total billed charges		20	90			Percent of total billed charges		22.5	100			Fee schedule		4.27	85			Percent of total billed charges		21.25	100			Fee schedule		4.27	100			Fee schedule		4.27	100			Fee schedule		4.27	100			Fee schedule		4.27		5.45		Case rate		5.45		5.45		Case rate		5.45	100			Fee schedule		4.27	4.27	22.5	
"Pinworm exam (eg, cellophane tape prep)"	87172	CPT	Outpatient			44	28.6		90			Percent of total billed charges		39.6		4.7		Case rate		4.7	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	100			Fee schedule		4.27	85			Percent of total billed charges		37.4	100			Fee schedule		4.27	100			Fee schedule		4.27	100			Fee schedule		4.27	100			Fee schedule		4.27		5.45		Case rate		5.45		5.45		Case rate		5.45	100			Fee schedule		4.27	4.27	39.6	
"Tissue examination by KOH slide of samples from skin, hair, or nails for fungi or ectoparasite ova or mites (eg, scabies)"	87220	CPT	Outpatient			53	34.45		90			Percent of total billed charges		47.7		4.7		Case rate		4.7	80			Percent of total billed charges		42.4	90			Percent of total billed charges		47.7	100			Fee schedule		4.27	85			Percent of total billed charges		45.05	100			Fee schedule		4.27	100			Fee schedule		4.27	100			Fee schedule		4.27	100			Fee schedule		4.27		5.45		Case rate		5.45		5.45		Case rate		5.45	100			Fee schedule		4.27	4.27	47.7	
"Leukocyte assessment, fecal, qualitative or semiquantitative"	89055	CPT	Outpatient			56	36.4		90			Percent of total billed charges		50.4		4.7		Case rate		4.7	80			Percent of total billed charges		44.8	90			Percent of total billed charges		50.4	100			Fee schedule		4.27	85			Percent of total billed charges		47.6	100			Fee schedule		4.27	100			Fee schedule		4.27	100			Fee schedule		4.27	100			Fee schedule		4.27		5.45		Case rate		5.45		5.45		Case rate		5.45	100			Fee schedule		4.27	4.27	50.4	
"Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types"	87205	CPT	Outpatient			56	36.4		90			Percent of total billed charges		50.4		4.7		Case rate		4.7	80			Percent of total billed charges		44.8	90			Percent of total billed charges		50.4	100			Fee schedule		4.27	85			Percent of total billed charges		47.6	100			Fee schedule		4.27	100			Fee schedule		4.27	100			Fee schedule		4.27	100			Fee schedule		4.27		5.45		Case rate		5.45		5.45		Case rate		5.45	100			Fee schedule		4.27	4.27	50.4	
Prothrombin time	85610	CPT	Outpatient			64	41.6		90			Percent of total billed charges		57.6		4.72		Case rate		4.72	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	100			Fee schedule		4.29	85			Percent of total billed charges		54.4	100			Fee schedule		4.29	100			Fee schedule		4.29	100			Fee schedule		4.29	100			Fee schedule		4.29		5		Case rate		5		5		Case rate		5	100			Fee schedule		4.29	4.29	57.6	
Macroscopic examination; parasite	87169	CPT	Outpatient			25	16.25		90			Percent of total billed charges		22.5		4.74		Case rate		4.74	80			Percent of total billed charges		20	90			Percent of total billed charges		22.5	100			Fee schedule		4.31	85			Percent of total billed charges		21.25	100			Fee schedule		4.31	100			Fee schedule		4.31	100			Fee schedule		4.31	100			Fee schedule		4.31		5.45		Case rate		5.45		5.45		Case rate		5.45	100			Fee schedule		4.31	4.31	22.5	
"Cholesterol, serum or whole blood, total"	82465	CPT	Outpatient			71	46.15		90			Percent of total billed charges		63.9		4.79		Case rate		4.79	80			Percent of total billed charges		56.8	90			Percent of total billed charges		63.9	100			Fee schedule		4.35	85			Percent of total billed charges		60.35	100			Fee schedule		4.35	100			Fee schedule		4.35	100			Fee schedule		4.35	100			Fee schedule		4.35		5.54		Case rate		5.54		5.54		Case rate		5.54	100			Fee schedule		4.35	4.35	63.9	
"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; feces, consecutive collected specimens with single determination, for colorectal neoplasm screening (ie, patient was provided 3 cards or single triple card for consecutive collection)"	82270	CPT	Outpatient			38	24.7		90			Percent of total billed charges		34.2		4.82		Case rate		4.82	80			Percent of total billed charges		30.4	90			Percent of total billed charges		34.2	100			Fee schedule		4.38	85			Percent of total billed charges		32.3	100			Fee schedule		4.38	100			Fee schedule		4.38	100			Fee schedule		4.38	100			Fee schedule		4.38		4.15		Case rate		4.15		4.15		Case rate		4.15	100			Fee schedule		4.38	4.15	34.2	
"Syphilis test, non-treponemal antibody; quantitative"	86593	CPT	Outpatient			20	13		90			Percent of total billed charges		18		4.84		Case rate		4.84	80			Percent of total billed charges		16	90			Percent of total billed charges		18	100			Fee schedule		4.4	85			Percent of total billed charges		17	100			Fee schedule		4.4	100			Fee schedule		4.4	100			Fee schedule		4.4	100			Fee schedule		4.4		5.61		Case rate		5.61		5.61		Case rate		5.61	100			Fee schedule		4.4	4.4	18	
"Blood count; platelet, automated"	85049	CPT	Outpatient			51	33.15		90			Percent of total billed charges		45.9		4.93		Case rate		4.93	80			Percent of total billed charges		40.8	90			Percent of total billed charges		45.9	100			Fee schedule		4.48	85			Percent of total billed charges		43.35	100			Fee schedule		4.48	100			Fee schedule		4.48	100			Fee schedule		4.48	100			Fee schedule		4.48		5.7		Case rate		5.7		5.7		Case rate		5.7	100			Fee schedule		4.48	4.48	45.9	
Uric acid; blood	84550	CPT	Outpatient			71	46.15		90			Percent of total billed charges		63.9		4.97		Case rate		4.97	80			Percent of total billed charges		56.8	90			Percent of total billed charges		63.9	100			Fee schedule		4.52	85			Percent of total billed charges		60.35	100			Fee schedule		4.52	100			Fee schedule		4.52	100			Fee schedule		4.52	100			Fee schedule		4.52		5.76		Case rate		5.76		5.76		Case rate		5.76	100			Fee schedule		4.52	4.52	63.9	
Chloride; blood	82435	CPT	Outpatient			47	30.55		90			Percent of total billed charges		42.3		5.06		Case rate		5.06	80			Percent of total billed charges		37.6	90			Percent of total billed charges		42.3	100			Fee schedule		4.6	85			Percent of total billed charges		39.95	100			Fee schedule		4.6	100			Fee schedule		4.6	100			Fee schedule		4.6	100			Fee schedule		4.6		5.86		Case rate		5.86		5.86		Case rate		5.86	100			Fee schedule		4.6	4.6	42.3	
Potassium; urine	84133	CPT	Outpatient			50	32.5		90			Percent of total billed charges		45		5.2		Case rate		5.2	80			Percent of total billed charges		40	90			Percent of total billed charges		45	100			Fee schedule		4.73	85			Percent of total billed charges		42.5	100			Fee schedule		4.73	100			Fee schedule		4.73	100			Fee schedule		4.73	100			Fee schedule		4.73		5.48		Case rate		5.48		5.48		Case rate		5.48	100			Fee schedule		4.73	4.73	45	
Phosphorus inorganic (phosphate)	84100	CPT	Outpatient			71	46.15		90			Percent of total billed charges		63.9		5.21		Case rate		5.21	80			Percent of total billed charges		56.8	90			Percent of total billed charges		63.9	100			Fee schedule		4.74	85			Percent of total billed charges		60.35	100			Fee schedule		4.74	100			Fee schedule		4.74	100			Fee schedule		4.74	100			Fee schedule		4.74		6.05		Case rate		6.05		6.05		Case rate		6.05	100			Fee schedule		4.74	4.74	63.9	
Glucose; post glucose dose (includes glucose)	82950	CPT	Outpatient			15	9.75		90			Percent of total billed charges		13.5		5.23		Case rate		5.23	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	100			Fee schedule		4.75	85			Percent of total billed charges		12.75	100			Fee schedule		4.75	100			Fee schedule		4.75	100			Fee schedule		4.75	100			Fee schedule		4.75		6.06		Case rate		6.06		6.06		Case rate		6.06	100			Fee schedule		4.75	4.75	13.5	
"Potassium; serum, plasma or whole blood"	84132	CPT	Outpatient			47	30.55		90			Percent of total billed charges		42.3		5.24		Case rate		5.24	80			Percent of total billed charges		37.6	90			Percent of total billed charges		42.3	100			Fee schedule		4.76	85			Percent of total billed charges		39.95	100			Fee schedule		4.76	100			Fee schedule		4.76	100			Fee schedule		4.76	100			Fee schedule		4.76		5.86		Case rate		5.86		5.86		Case rate		5.86	100			Fee schedule		4.76	4.76	42.3	
"Sodium; serum, plasma or whole blood"	84295	CPT	Outpatient			47	30.55		90			Percent of total billed charges		42.3		5.29		Case rate		5.29	80			Percent of total billed charges		37.6	90			Percent of total billed charges		42.3	100			Fee schedule		4.81	85			Percent of total billed charges		39.95	100			Fee schedule		4.81	100			Fee schedule		4.81	100			Fee schedule		4.81	100			Fee schedule		4.81		6.14		Case rate		6.14		6.14		Case rate		6.14	100			Fee schedule		4.81	4.81	42.3	
Bleeding time	85002	CPT	Outpatient			53	34.45		90			Percent of total billed charges		47.7		5.3		Case rate		5.3	80			Percent of total billed charges		42.4	90			Percent of total billed charges		47.7	100			Fee schedule		4.82	85			Percent of total billed charges		45.05	100			Fee schedule		4.82	100			Fee schedule		4.82	100			Fee schedule		4.82	100			Fee schedule		4.82		5.74		Case rate		5.74		5.74		Case rate		5.74	100			Fee schedule		4.82	4.82	47.7	
Sodium; other source	84302	CPT	Outpatient			50	32.5		90			Percent of total billed charges		45		5.35		Case rate		5.35	80			Percent of total billed charges		40	90			Percent of total billed charges		45	100			Fee schedule		4.86	85			Percent of total billed charges		42.5	100			Fee schedule		4.86	100			Fee schedule		4.86	100			Fee schedule		4.86	100			Fee schedule		4.86		6.2		Case rate		6.2		6.2		Case rate		6.2	100			Fee schedule		4.86	4.86	45	
Carbon dioxide (bicarbonate)	82374	CPT	Outpatient			47	30.55		90			Percent of total billed charges		42.3		5.37		Case rate		5.37	80			Percent of total billed charges		37.6	90			Percent of total billed charges		42.3	100			Fee schedule		4.88	85			Percent of total billed charges		39.95	100			Fee schedule		4.88	100			Fee schedule		4.88	100			Fee schedule		4.88	100			Fee schedule		4.88		6.24		Case rate		6.24		6.24		Case rate		6.24	100			Fee schedule		4.88	4.88	42.3	
"Albumin; serum, plasma or whole blood"	82040	CPT	Outpatient			71	46.15		90			Percent of total billed charges		63.9		5.45		Case rate		5.45	80			Percent of total billed charges		56.8	90			Percent of total billed charges		63.9	100			Fee schedule		4.95	85			Percent of total billed charges		60.35	100			Fee schedule		4.95	100			Fee schedule		4.95	100			Fee schedule		4.95	100			Fee schedule		4.95		6.31		Case rate		6.31		6.31		Case rate		6.31	100			Fee schedule		4.95	4.95	63.9	
Chloride; other source	82438	CPT	Outpatient			50	32.5		90			Percent of total billed charges		45		5.5		Case rate		5.5	80			Percent of total billed charges		40	90			Percent of total billed charges		45	100			Fee schedule		5	85			Percent of total billed charges		42.5	100			Fee schedule		5	100			Fee schedule		5	100			Fee schedule		5	100			Fee schedule		5		6.24		Case rate		6.24		6.24		Case rate		6.24	100			Fee schedule		5	5	45	
Application of a modality to 1 or more areas; paraffin bath	97018	CPT	Outpatient			67	43.55		90			Percent of total billed charges		60.3		5.8		Case rate		5.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	100			Fee schedule		5.01	85			Percent of total billed charges		56.95	100			Fee schedule		5.01	100			Fee schedule		5.01	100			Fee schedule		5.01	100			Fee schedule		5.01		107		Case rate	Use Lesser of logic	67		107		Case rate	Use Lesser of logic	67	100			Fee schedule		5.01	5.01	67	
"Hemoglobin (Hgb), quantitative, transcutaneous"	88738	CPT	Outpatient			10	6.5		90			Percent of total billed charges		9		5.52		Case rate		5.52	80			Percent of total billed charges		8	90			Percent of total billed charges		9	100			Fee schedule		5.02	85			Percent of total billed charges		8.5	100			Fee schedule		5.02	100			Fee schedule		5.02	100			Fee schedule		5.02	100			Fee schedule		5.02		6.39		Case rate		6.39		6.39		Case rate		6.39	100			Fee schedule		5.02	5.02	9	
"Bilirubin, total, transcutaneous"	88720	CPT	Outpatient			50	32.5		90			Percent of total billed charges		45		5.52		Case rate		5.52	80			Percent of total billed charges		40	90			Percent of total billed charges		45	100			Fee schedule		5.02	85			Percent of total billed charges		42.5	100			Fee schedule		5.02	100			Fee schedule		5.02	100			Fee schedule		5.02	100			Fee schedule		5.02		6.39		Case rate		6.39		6.39		Case rate		6.39	100			Fee schedule		5.02	5.02	45	
Bilirubin; direct	82248	CPT	Outpatient			67	43.55		90			Percent of total billed charges		60.3		5.52		Case rate		5.52	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	100			Fee schedule		5.02	85			Percent of total billed charges		56.95	100			Fee schedule		5.02	100			Fee schedule		5.02	100			Fee schedule		5.02	100			Fee schedule		5.02		6.39		Case rate		6.39		6.39		Case rate		6.39	100			Fee schedule		5.02	5.02	60.3	
Bilirubin; total	82247	CPT	Outpatient			67	43.55		90			Percent of total billed charges		60.3		5.52		Case rate		5.52	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	100			Fee schedule		5.02	85			Percent of total billed charges		56.95	100			Fee schedule		5.02	100			Fee schedule		5.02	100			Fee schedule		5.02	100			Fee schedule		5.02		6.39		Case rate		6.39		6.39		Case rate		6.39	100			Fee schedule		5.02	5.02	60.3	
Sodium; urine	84300	CPT	Outpatient			50	32.5		90			Percent of total billed charges		45		5.57		Case rate		5.57	80			Percent of total billed charges		40	90			Percent of total billed charges		45	100			Fee schedule		5.06	85			Percent of total billed charges		42.5	100			Fee schedule		5.06	100			Fee schedule		5.06	100			Fee schedule		5.06	100			Fee schedule		5.06		6.2		Case rate		6.2		6.2		Case rate		6.2	100			Fee schedule		5.06	5.06	45	
Uric acid; other source	84560	CPT	Outpatient			39	25.35		90			Percent of total billed charges		35.1		5.59		Case rate		5.59	80			Percent of total billed charges		31.2	90			Percent of total billed charges		35.1	100			Fee schedule		5.08	85			Percent of total billed charges		33.15	100			Fee schedule		5.08	100			Fee schedule		5.08	100			Fee schedule		5.08	100			Fee schedule		5.08		6.06		Case rate		6.06		6.06		Case rate		6.06	100			Fee schedule		5.08	5.08	35.1	
"Fat or lipids, feces; qualitative"	82705	CPT	Outpatient			20	13		90			Percent of total billed charges		18		5.61		Case rate		5.61	80			Percent of total billed charges		16	90			Percent of total billed charges		18	100			Fee schedule		5.1	85			Percent of total billed charges		17	100			Fee schedule		5.1	100			Fee schedule		5.1	100			Fee schedule		5.1	100			Fee schedule		5.1		6.49		Case rate		6.49		6.49		Case rate		6.49	100			Fee schedule		5.1	5.1	18	
Creatinine; blood	82565	CPT	Outpatient			71	46.15		90			Percent of total billed charges		63.9		5.63		Case rate		5.63	80			Percent of total billed charges		56.8	90			Percent of total billed charges		63.9	100			Fee schedule		5.12	85			Percent of total billed charges		60.35	100			Fee schedule		5.12	100			Fee schedule		5.12	100			Fee schedule		5.12	100			Fee schedule		5.12		6.53		Case rate		6.53		6.53		Case rate		6.53	100			Fee schedule		5.12	5.12	63.9	
Calcium; total	82310	CPT	Outpatient			71	46.15		90			Percent of total billed charges		63.9		5.68		Case rate		5.68	80			Percent of total billed charges		56.8	90			Percent of total billed charges		63.9	100			Fee schedule		5.16	85			Percent of total billed charges		60.35	100			Fee schedule		5.16	100			Fee schedule		5.16	100			Fee schedule		5.16	100			Fee schedule		5.16		6.57		Case rate		6.57		6.57		Case rate		6.57	100			Fee schedule		5.16	5.16	63.9	
C-reactive protein	86140	CPT	Outpatient			71	46.15		90			Percent of total billed charges		63.9		5.7		Case rate		5.7	80			Percent of total billed charges		56.8	90			Percent of total billed charges		63.9	100			Fee schedule		5.18	85			Percent of total billed charges		60.35	100			Fee schedule		5.18	100			Fee schedule		5.18	100			Fee schedule		5.18	100			Fee schedule		5.18		6.6		Case rate		6.6		6.6		Case rate		6.6	100			Fee schedule		5.18	5.18	63.9	
Creatinine; other source	82570	CPT	Outpatient			71	46.15		90			Percent of total billed charges		63.9		5.7		Case rate		5.7	80			Percent of total billed charges		56.8	90			Percent of total billed charges		63.9	100			Fee schedule		5.18	85			Percent of total billed charges		60.35	100			Fee schedule		5.18	100			Fee schedule		5.18	100			Fee schedule		5.18	100			Fee schedule		5.18		6.6		Case rate		6.6		6.6		Case rate		6.6	100			Fee schedule		5.18	5.18	63.9	
"Phosphatase, alkaline"	84075	CPT	Outpatient			71	46.15		90			Percent of total billed charges		63.9		5.7		Case rate		5.7	80			Percent of total billed charges		56.8	90			Percent of total billed charges		63.9	100			Fee schedule		5.18	85			Percent of total billed charges		60.35	100			Fee schedule		5.18	100			Fee schedule		5.18	100			Fee schedule		5.18	100			Fee schedule		5.18		6.6		Case rate		6.6		6.6		Case rate		6.6	100			Fee schedule		5.18	5.18	63.9	
Transferase; aspartate amino (AST) (SGOT)	84450	CPT	Outpatient			71	46.15		90			Percent of total billed charges		63.9		5.7		Case rate		5.7	80			Percent of total billed charges		56.8	90			Percent of total billed charges		63.9	100			Fee schedule		5.18	85			Percent of total billed charges		60.35	100			Fee schedule		5.18	100			Fee schedule		5.18	100			Fee schedule		5.18	100			Fee schedule		5.18		6.6		Case rate		6.6		6.6		Case rate		6.6	100			Fee schedule		5.18	5.18	63.9	
Heterophile antibodies; screening	86308	CPT	Outpatient			76	49.4		90			Percent of total billed charges		68.4		5.7		Case rate		5.7	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	100			Fee schedule		5.18	85			Percent of total billed charges		64.6	100			Fee schedule		5.18	100			Fee schedule		5.18	100			Fee schedule		5.18	100			Fee schedule		5.18		6.6		Case rate		6.6		6.6		Case rate		6.6	100			Fee schedule		5.18	5.18	68.4	
"Allergen specific IgE; quantitative or semiquantitative, crude allergen extract, each"	86003	CPT	Outpatient			16	10.4		90			Percent of total billed charges		14.4		5.74		Case rate		5.74	80			Percent of total billed charges		12.8	90			Percent of total billed charges		14.4	100			Fee schedule		5.22	85			Percent of total billed charges		13.6	100			Fee schedule		5.22	100			Fee schedule		5.22	100			Fee schedule		5.22	100			Fee schedule		5.22		6.65		Case rate		6.65		6.65		Case rate		6.65	100			Fee schedule		5.22	5.22	14.4	
Transferase; alanine amino (ALT) (SGPT)	84460	CPT	Outpatient			61	39.65		90			Percent of total billed charges		54.9		5.83		Case rate		5.83	80			Percent of total billed charges		48.8	90			Percent of total billed charges		54.9	100			Fee schedule		5.3	85			Percent of total billed charges		51.85	100			Fee schedule		5.3	100			Fee schedule		5.3	100			Fee schedule		5.3	100			Fee schedule		5.3		6.75		Case rate		6.75		6.75		Case rate		6.75	100			Fee schedule		5.3	5.3	54.9	
"Blood, occult, by peroxidase activity (eg, guaiac), qualitative; other sources"	82271	CPT	Outpatient			38	24.7		90			Percent of total billed charges		34.2		5.85		Case rate		5.85	80			Percent of total billed charges		30.4	90			Percent of total billed charges		34.2	100			Fee schedule		5.32	85			Percent of total billed charges		32.3	100			Fee schedule		5.32	100			Fee schedule		5.32	100			Fee schedule		5.32	100			Fee schedule		5.32		4.15		Case rate		4.15		4.15		Case rate		4.15	100			Fee schedule		5.32	4.15	34.2	
"Smear, primary source with interpretation; fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types"	87206	CPT	Outpatient			80	52		90			Percent of total billed charges		72		5.93		Case rate		5.93	80			Percent of total billed charges		64	90			Percent of total billed charges		72	100			Fee schedule		5.39	85			Percent of total billed charges		68	100			Fee schedule		5.39	100			Fee schedule		5.39	100			Fee schedule		5.39	100			Fee schedule		5.39		6.85		Case rate		6.85		6.85		Case rate		6.85	100			Fee schedule		5.39	5.39	72	
"Sugars (mono-, di-, and oligosaccharides); single qualitative, each specimen"	84376	CPT	Outpatient			39	25.35		90			Percent of total billed charges		35.1		6.05		Case rate		6.05	80			Percent of total billed charges		31.2	90			Percent of total billed charges		35.1	100			Fee schedule		5.5	85			Percent of total billed charges		33.15	100			Fee schedule		5.5	100			Fee schedule		5.5	100			Fee schedule		5.5	100			Fee schedule		5.5		7.01		Case rate		7.01		7.01		Case rate		7.01	100			Fee schedule		5.5	5.5	35.1	
"Sickling of RBC, reduction"	85660	CPT	Outpatient			28	18.2		90			Percent of total billed charges		25.2		6.06		Case rate		6.06	80			Percent of total billed charges		22.4	90			Percent of total billed charges		25.2	100			Fee schedule		5.51	85			Percent of total billed charges		23.8	100			Fee schedule		5.51	100			Fee schedule		5.51	100			Fee schedule		5.51	100			Fee schedule		5.51		7.03		Case rate		7.03		7.03		Case rate		7.03	100			Fee schedule		5.51	5.51	25.2	
"Urea nitrogen, urine"	84540	CPT	Outpatient			71	46.15		90			Percent of total billed charges		63.9		6.12		Case rate		6.12	80			Percent of total billed charges		56.8	90			Percent of total billed charges		63.9	100			Fee schedule		5.56	85			Percent of total billed charges		60.35	100			Fee schedule		5.56	100			Fee schedule		5.56	100			Fee schedule		5.56	100			Fee schedule		5.56		6.06		Case rate		6.06		6.06		Case rate		6.06	100			Fee schedule		5.56	5.56	63.9	
Application of a modality to 1 or more areas; hot or cold packs	97010	CPT	Outpatient			57	37.05		90			Percent of total billed charges		51.3		125		Case rate	Use Lesser of logic	57	80			Percent of total billed charges		45.6	90			Percent of total billed charges		51.3	100			Fee schedule		5.56	85			Percent of total billed charges		48.45	100			Fee schedule		5.56	100			Fee schedule		5.56	100			Fee schedule		5.56	100			Fee schedule		5.56		107		Case rate	Use Lesser of logic	57		107		Case rate	Use Lesser of logic	57	100			Fee schedule		5.56	5.56	57	
"Cell count, miscellaneous body fluids (eg, cerebrospinal fluid, joint fluid), except blood; with differential count"	89051	CPT	Outpatient			92	59.8		90			Percent of total billed charges		82.8		6.16		Case rate		6.16	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	100			Fee schedule		5.6	85			Percent of total billed charges		78.2	100			Fee schedule		5.6	100			Fee schedule		5.6	100			Fee schedule		5.6	100			Fee schedule		5.6		7.02		Case rate		7.02		7.02		Case rate		7.02	100			Fee schedule		5.6	5.6	82.8	
Triglycerides	84478	CPT	Outpatient			71	46.15		90			Percent of total billed charges		63.9		6.31		Case rate		6.31	80			Percent of total billed charges		56.8	90			Percent of total billed charges		63.9	100			Fee schedule		5.74	85			Percent of total billed charges		60.35	100			Fee schedule		5.74	100			Fee schedule		5.74	100			Fee schedule		5.74	100			Fee schedule		5.74		7.34		Case rate		7.34		7.34		Case rate		7.34	100			Fee schedule		5.74	5.74	63.9	
Chloride; urine	82436	CPT	Outpatient			50	32.5		90			Percent of total billed charges		45		6.33		Case rate		6.33	80			Percent of total billed charges		40	90			Percent of total billed charges		45	100			Fee schedule		5.75	85			Percent of total billed charges		42.5	100			Fee schedule		5.75	100			Fee schedule		5.75	100			Fee schedule		5.75	100			Fee schedule		5.75		6.41		Case rate		6.41		6.41		Case rate		6.41	100			Fee schedule		5.75	5.75	45	
Thrombin time; plasma	85670	CPT	Outpatient			106	68.9		90			Percent of total billed charges		95.4		6.35		Case rate		6.35	80			Percent of total billed charges		84.8	90			Percent of total billed charges		95.4	100			Fee schedule		5.77	85			Percent of total billed charges		90.1	100			Fee schedule		5.77	100			Fee schedule		5.77	100			Fee schedule		5.77	100			Fee schedule		5.77		7.36		Case rate		7.36		7.36		Case rate		7.36	100			Fee schedule		5.77	5.77	95.4	
Phosphorus inorganic (phosphate); urine	84105	CPT	Outpatient			42	27.3		90			Percent of total billed charges		37.8		6.36		Case rate		6.36	80			Percent of total billed charges		33.6	90			Percent of total billed charges		37.8	100			Fee schedule		5.78	85			Percent of total billed charges		35.7	100			Fee schedule		5.78	100			Fee schedule		5.78	100			Fee schedule		5.78	100			Fee schedule		5.78		6.6		Case rate		6.6		6.6		Case rate		6.6	100			Fee schedule		5.78	5.78	37.8	
"Albumin; urine (eg, microalbumin), quantitative"	82043	CPT	Outpatient			13	8.45		90			Percent of total billed charges		11.7		6.36		Case rate		6.36	80			Percent of total billed charges		10.4	90			Percent of total billed charges		11.7	100			Fee schedule		5.78	85			Percent of total billed charges		11.05	100			Fee schedule		5.78	100			Fee schedule		5.78	100			Fee schedule		5.78	100			Fee schedule		5.78		7.37		Case rate		7.37		7.37		Case rate		7.37	100			Fee schedule		5.78	5.78	11.7	
"Smear, primary source with interpretation; wet mount for infectious agents (eg, saline, India ink, KOH preps)"	87210	CPT	Outpatient			56	36.4		90			Percent of total billed charges		50.4		6.4		Case rate		6.4	80			Percent of total billed charges		44.8	90			Percent of total billed charges		50.4	100			Fee schedule		5.82	85			Percent of total billed charges		47.6	100			Fee schedule		5.82	100			Fee schedule		5.82	100			Fee schedule		5.82	100			Fee schedule		5.82		5.45		Case rate		5.45		5.45		Case rate		5.45	100			Fee schedule		5.82	5.45	50.4	
Application of a modality to 1 or more areas; infrared	97026	CPT	Outpatient			48	31.2		90			Percent of total billed charges		43.2		6.44		Case rate		6.44	80			Percent of total billed charges		38.4	90			Percent of total billed charges		43.2	100			Fee schedule		5.84	85			Percent of total billed charges		40.8	100			Fee schedule		5.84	100			Fee schedule		5.84	100			Fee schedule		5.84	100			Fee schedule		5.84		107		Case rate	Use Lesser of logic	48		107		Case rate	Use Lesser of logic	48	100			Fee schedule		5.84	5.84	48	
"Smear, primary source with interpretation; special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses)"	87207	CPT	Outpatient			56	36.4		90			Percent of total billed charges		50.4		6.59		Case rate		6.59	80			Percent of total billed charges		44.8	90			Percent of total billed charges		50.4	100			Fee schedule		5.99	85			Percent of total billed charges		47.6	100			Fee schedule		5.99	100			Fee schedule		5.99	100			Fee schedule		5.99	100			Fee schedule		5.99		7.64		Case rate		7.64		7.64		Case rate		7.64	100			Fee schedule		5.99	5.99	50.4	
"Thromboplastin time, partial (PTT); plasma or whole blood"	85730	CPT	Outpatient			71	46.15		90			Percent of total billed charges		63.9		6.61		Case rate		6.61	80			Percent of total billed charges		56.8	90			Percent of total billed charges		63.9	100			Fee schedule		6.01	85			Percent of total billed charges		60.35	100			Fee schedule		6.01	100			Fee schedule		6.01	100			Fee schedule		6.01	100			Fee schedule		6.01		7.65		Case rate		7.65		7.65		Case rate		7.65	100			Fee schedule		6.01	6.01	63.9	
"Calcium; urine quantitative, timed specimen"	82340	CPT	Outpatient			42	27.3		90			Percent of total billed charges		37.8		6.63		Case rate		6.63	80			Percent of total billed charges		33.6	90			Percent of total billed charges		37.8	100			Fee schedule		6.03	85			Percent of total billed charges		35.7	100			Fee schedule		6.03	100			Fee schedule		6.03	100			Fee schedule		6.03	100			Fee schedule		6.03		7.69		Case rate		7.69		7.69		Case rate		7.69	100			Fee schedule		6.03	6.03	37.8	
"Lactate dehydrogenase (LD), (LDH)"	83615	CPT	Outpatient			71	46.15		90			Percent of total billed charges		63.9		6.64		Case rate		6.64	80			Percent of total billed charges		56.8	90			Percent of total billed charges		63.9	100			Fee schedule		6.04	85			Percent of total billed charges		60.35	100			Fee schedule		6.04	100			Fee schedule		6.04	100			Fee schedule		6.04	100			Fee schedule		6.04		7.7		Case rate		7.7		7.7		Case rate		7.7	100			Fee schedule		6.04	6.04	63.9	
"Urobilinogen, urine; semiquantitative"	84583	CPT	Outpatient			29	18.85		90			Percent of total billed charges		26.1		6.66		Case rate		6.66	80			Percent of total billed charges		23.2	90			Percent of total billed charges		26.1	100			Fee schedule		6.05	85			Percent of total billed charges		24.65	100			Fee schedule		6.05	100			Fee schedule		6.05	100			Fee schedule		6.05	100			Fee schedule		6.05		6.41		Case rate		6.41		6.41		Case rate		6.41	100			Fee schedule		6.05	6.05	26.1	
Rheumatoid factor; qualitative	86430	CPT	Outpatient			72	46.8		90			Percent of total billed charges		64.8		6.75		Case rate		6.75	80			Percent of total billed charges		57.6	90			Percent of total billed charges		64.8	100			Fee schedule		6.14	85			Percent of total billed charges		61.2	100			Fee schedule		6.14	100			Fee schedule		6.14	100			Fee schedule		6.14	100			Fee schedule		6.14		7.24		Case rate		7.24		7.24		Case rate		7.24	100			Fee schedule		6.14	6.14	64.8	
Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR)	84479	CPT	Outpatient			13	8.45		90			Percent of total billed charges		11.7		7.12		Case rate		7.12	80			Percent of total billed charges		10.4	90			Percent of total billed charges		11.7	100			Fee schedule		6.47	85			Percent of total billed charges		11.05	100			Fee schedule		6.47	100			Fee schedule		6.47	100			Fee schedule		6.47	100			Fee schedule		6.47		8.25		Case rate		8.25		8.25		Case rate		8.25	100			Fee schedule		6.47	6.47	11.7	
Blood count; automated differential WBC count	85004	CPT	Outpatient			15	9.75		90			Percent of total billed charges		13.5		7.12		Case rate		7.12	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	100			Fee schedule		6.47	85			Percent of total billed charges		12.75	100			Fee schedule		6.47	100			Fee schedule		6.47	100			Fee schedule		6.47	100			Fee schedule		6.47		8.25		Case rate		8.25		8.25		Case rate		8.25	100			Fee schedule		6.47	6.47	13.5	
"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count)"	85027	CPT	Outpatient			94	61.1		90			Percent of total billed charges		84.6		7.12		Case rate		7.12	80			Percent of total billed charges		75.2	90			Percent of total billed charges		84.6	100			Fee schedule		6.47	85			Percent of total billed charges		79.9	100			Fee schedule		6.47	100			Fee schedule		6.47	100			Fee schedule		6.47	100			Fee schedule		6.47		8.25		Case rate		8.25		8.25		Case rate		8.25	100			Fee schedule		6.47	6.47	84.6	
"Thromboplastin time, partial (PTT); substitution, plasma fractions, each"	85732	CPT	Outpatient			106	68.9		90			Percent of total billed charges		95.4		7.12		Case rate		7.12	80			Percent of total billed charges		84.8	90			Percent of total billed charges		95.4	100			Fee schedule		6.47	85			Percent of total billed charges		90.1	100			Fee schedule		6.47	100			Fee schedule		6.47	100			Fee schedule		6.47	100			Fee schedule		6.47		8.25		Case rate		8.25		8.25		Case rate		8.25	100			Fee schedule		6.47	6.47	95.4	
Iron	83540	CPT	Outpatient			71	46.15		90			Percent of total billed charges		63.9		7.12		Case rate		7.12	80			Percent of total billed charges		56.8	90			Percent of total billed charges		63.9	100			Fee schedule		6.47	85			Percent of total billed charges		60.35	100			Fee schedule		6.47	100			Fee schedule		6.47	100			Fee schedule		6.47	100			Fee schedule		6.47		8.26		Case rate		8.26		8.26		Case rate		8.26	100			Fee schedule		6.47	6.47	63.9	
Amylase	82150	CPT	Outpatient			94	61.1		90			Percent of total billed charges		84.6		7.13		Case rate		7.13	80			Percent of total billed charges		75.2	90			Percent of total billed charges		84.6	100			Fee schedule		6.48	85			Percent of total billed charges		79.9	100			Fee schedule		6.48	100			Fee schedule		6.48	100			Fee schedule		6.48	100			Fee schedule		6.48		8.26		Case rate		8.26		8.26		Case rate		8.26	100			Fee schedule		6.48	6.48	84.6	
"Creatine kinase (CK), (CPK); total"	82550	CPT	Outpatient			71	46.15		90			Percent of total billed charges		63.9		7.16		Case rate		7.16	80			Percent of total billed charges		56.8	90			Percent of total billed charges		63.9	100			Fee schedule		6.51	85			Percent of total billed charges		60.35	100			Fee schedule		6.51	100			Fee schedule		6.51	100			Fee schedule		6.51	100			Fee schedule		6.51		8.31		Case rate		8.31		8.31		Case rate		8.31	100			Fee schedule		6.51	6.51	63.9	
Lithium	80178	CPT	Outpatient			20	13		90			Percent of total billed charges		18		7.27		Case rate		7.27	80			Percent of total billed charges		16	90			Percent of total billed charges		18	100			Fee schedule		6.61	85			Percent of total billed charges		17	100			Fee schedule		6.61	100			Fee schedule		6.61	100			Fee schedule		6.61	100			Fee schedule		6.61		8.42		Case rate		8.42		8.42		Case rate		8.42	100			Fee schedule		6.61	6.61	18	
Osmolality; blood	83930	CPT	Outpatient			71	46.15		90			Percent of total billed charges		63.9		7.27		Case rate		7.27	80			Percent of total billed charges		56.8	90			Percent of total billed charges		63.9	100			Fee schedule		6.61	85			Percent of total billed charges		60.35	100			Fee schedule		6.61	100			Fee schedule		6.61	100			Fee schedule		6.61	100			Fee schedule		6.61		8.42		Case rate		8.42		8.42		Case rate		8.42	100			Fee schedule		6.61	6.61	63.9	
"Culture, presumptive, pathogenic organisms, screening only"	87081	CPT	Outpatient			79	51.35		90			Percent of total billed charges		71.1		7.29		Case rate		7.29	80			Percent of total billed charges		63.2	90			Percent of total billed charges		71.1	100			Fee schedule		6.63	85			Percent of total billed charges		67.15	100			Fee schedule		6.63	100			Fee schedule		6.63	100			Fee schedule		6.63	100			Fee schedule		6.63		8.45		Case rate		8.45		8.45		Case rate		8.45	100			Fee schedule		6.63	6.63	71.1	
"Concentration (any type), for infectious agents"	87015	CPT	Outpatient			13	8.45		90			Percent of total billed charges		11.7		7.35		Case rate		7.35	80			Percent of total billed charges		10.4	90			Percent of total billed charges		11.7	100			Fee schedule		6.68	85			Percent of total billed charges		11.05	100			Fee schedule		6.68	100			Fee schedule		6.68	100			Fee schedule		6.68	100			Fee schedule		6.68		8.51		Case rate		8.51		8.51		Case rate		8.51	100			Fee schedule		6.68	6.68	11.7	
Magnesium	83735	CPT	Outpatient			71	46.15		90			Percent of total billed charges		63.9		7.37		Case rate		7.37	80			Percent of total billed charges		56.8	90			Percent of total billed charges		63.9	100			Fee schedule		6.7	85			Percent of total billed charges		60.35	100			Fee schedule		6.7	100			Fee schedule		6.7	100			Fee schedule		6.7	100			Fee schedule		6.7		8.54		Case rate		8.54		8.54		Case rate		8.54	100			Fee schedule		6.7	6.7	63.9	
Osmolality; urine	83935	CPT	Outpatient			71	46.15		90			Percent of total billed charges		63.9		7.5		Case rate		7.5	80			Percent of total billed charges		56.8	90			Percent of total billed charges		63.9	100			Fee schedule		6.82	85			Percent of total billed charges		60.35	100			Fee schedule		6.82	100			Fee schedule		6.82	100			Fee schedule		6.82	100			Fee schedule		6.82		8.69		Case rate		8.69		8.69		Case rate		8.69	100			Fee schedule		6.82	6.82	63.9	
Lipase	83690	CPT	Outpatient			96	62.4		90			Percent of total billed charges		86.4		7.58		Case rate		7.58	80			Percent of total billed charges		76.8	90			Percent of total billed charges		86.4	100			Fee schedule		6.89	85			Percent of total billed charges		81.6	100			Fee schedule		6.89	100			Fee schedule		6.89	100			Fee schedule		6.89	100			Fee schedule		6.89		8.78		Case rate		8.78		8.78		Case rate		8.78	100			Fee schedule		6.89	6.89	86.4	
Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295)	80051	CPT	Outpatient			35	22.75		90			Percent of total billed charges		31.5		7.71		Case rate		7.71	80			Percent of total billed charges		28	90			Percent of total billed charges		31.5	100			Fee schedule		7.01	85			Percent of total billed charges		29.75	100			Fee schedule		7.01	100			Fee schedule		7.01	100			Fee schedule		7.01	100			Fee schedule		7.01		8.95		Case rate		8.95		8.95		Case rate		8.95	100			Fee schedule		7.01	7.01	31.5	
"Urea nitrogen, clearance"	84545	CPT	Outpatient			24	15.6		90			Percent of total billed charges		21.6		7.92		Case rate		7.92	80			Percent of total billed charges		19.2	90			Percent of total billed charges		21.6	100			Fee schedule		7.2	85			Percent of total billed charges		20.4	100			Fee schedule		7.2	100			Fee schedule		7.2	100			Fee schedule		7.2	100			Fee schedule		7.2		8.42		Case rate		8.42		8.42		Case rate		8.42	100			Fee schedule		7.2	7.2	21.6	
"Glutamyltransferase, gamma (GGT)"	82977	CPT	Outpatient			71	46.15		90			Percent of total billed charges		63.9		7.92		Case rate		7.92	80			Percent of total billed charges		56.8	90			Percent of total billed charges		63.9	100			Fee schedule		7.2	85			Percent of total billed charges		60.35	100			Fee schedule		7.2	100			Fee schedule		7.2	100			Fee schedule		7.2	100			Fee schedule		7.2		9.18		Case rate		9.18		9.18		Case rate		9.18	100			Fee schedule		7.2	7.2	63.9	
Antistreptolysin 0; titer	86060	CPT	Outpatient			27	17.55		90			Percent of total billed charges		24.3		8.03		Case rate		8.03	80			Percent of total billed charges		21.6	90			Percent of total billed charges		24.3	100			Fee schedule		7.3	85			Percent of total billed charges		22.95	100			Fee schedule		7.3	100			Fee schedule		7.3	100			Fee schedule		7.3	100			Fee schedule		7.3		9.31		Case rate		9.31		9.31		Case rate		9.31	100			Fee schedule		7.3	7.3	24.3	
Hemoglobin; plasma	83051	CPT	Outpatient			32	20.8		90			Percent of total billed charges		28.8		8.04		Case rate		8.04	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	100			Fee schedule		7.31	85			Percent of total billed charges		27.2	100			Fee schedule		7.31	100			Fee schedule		7.31	100			Fee schedule		7.31	100			Fee schedule		7.31		9.32		Case rate		9.32		9.32		Case rate		9.32	100			Fee schedule		7.31	7.31	28.8	
"Crystal identification by light microscopy with or without polarizing lens analysis, tissue or any body fluid (except urine)"	89060	CPT	Outpatient			56	36.4		90			Percent of total billed charges		50.4		8.06		Case rate		8.06	80			Percent of total billed charges		44.8	90			Percent of total billed charges		50.4	100			Fee schedule		7.33	85			Percent of total billed charges		47.6	100			Fee schedule		7.33	100			Fee schedule		7.33	100			Fee schedule		7.33	100			Fee schedule		7.33		9.12		Case rate		9.12		9.12		Case rate		9.12	100			Fee schedule		7.33	7.33	50.4	
"Gonadotropin, chorionic (hCG); qualitative"	84703	CPT	Outpatient			98	63.7		90			Percent of total billed charges		88.2		8.27		Case rate		8.27	80			Percent of total billed charges		78.4	90			Percent of total billed charges		88.2	100			Fee schedule		7.52	85			Percent of total billed charges		83.3	100			Fee schedule		7.52	100			Fee schedule		7.52	100			Fee schedule		7.52	100			Fee schedule		7.52		9.58		Case rate		9.58		9.58		Case rate		9.58	100			Fee schedule		7.52	7.52	88.2	
"Hemoglobin or RBCs, fetal, for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke)"	85460	CPT	Outpatient			144	93.6		90			Percent of total billed charges		129.6		8.5		Case rate		8.5	80			Percent of total billed charges		115.2	90			Percent of total billed charges		129.6	100			Fee schedule		7.73	85			Percent of total billed charges		122.4	100			Fee schedule		7.73	100			Fee schedule		7.73	100			Fee schedule		7.73	100			Fee schedule		7.73		9.87		Case rate		9.87		9.87		Case rate		9.87	100			Fee schedule		7.73	7.73	129.6	
"Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count"	85025	CPT	Outpatient			107	69.55		90			Percent of total billed charges		96.3		8.55		Case rate		8.55	80			Percent of total billed charges		85.6	90			Percent of total billed charges		96.3	100			Fee schedule		7.77	85			Percent of total billed charges		90.95	100			Fee schedule		7.77	100			Fee schedule		7.77	100			Fee schedule		7.77	100			Fee schedule		7.77		9.92		Case rate		9.92		9.92		Case rate		9.92	100			Fee schedule		7.77	7.77	96.3	
"Albumin; other source, quantitative, each specimen"	82042	CPT	Outpatient			71	46.15		90			Percent of total billed charges		63.9		8.56		Case rate		8.56	80			Percent of total billed charges		56.8	90			Percent of total billed charges		63.9	100			Fee schedule		7.78	85			Percent of total billed charges		60.35	100			Fee schedule		7.78	100			Fee schedule		7.78	100			Fee schedule		7.78	100			Fee schedule		7.78		6.6		Case rate		6.6		6.6		Case rate		6.6	100			Fee schedule		7.78	6.6	63.9	
Helicobacter pylori; drug administration	83014	CPT	Outpatient			30	19.5		90			Percent of total billed charges		27		8.65		Case rate		8.65	80			Percent of total billed charges		24	90			Percent of total billed charges		27	100			Fee schedule		7.86	85			Percent of total billed charges		25.5	100			Fee schedule		7.86	100			Fee schedule		7.86	100			Fee schedule		7.86	100			Fee schedule		7.86		10.03		Case rate		10.03		10.03		Case rate		10.03	100			Fee schedule		7.86	7.86	27	
"Culture, bacterial; aerobic isolate, additional methods required for definitive identification, each isolate"	87077	CPT	Outpatient			22	14.3		90			Percent of total billed charges		19.8		8.89		Case rate		8.89	80			Percent of total billed charges		17.6	90			Percent of total billed charges		19.8	100			Fee schedule		8.08	85			Percent of total billed charges		18.7	100			Fee schedule		8.08	100			Fee schedule		8.08	100			Fee schedule		8.08	100			Fee schedule		8.08		10.31		Case rate		10.31		10.31		Case rate		10.31	100			Fee schedule		8.08	8.08	19.8	
"Culture, bacterial; with isolation and presumptive identification of each isolate, urine"	87088	CPT	Outpatient			100	65		90			Percent of total billed charges		90		8.9		Case rate		8.9	80			Percent of total billed charges		80	90			Percent of total billed charges		90	100			Fee schedule		8.09	85			Percent of total billed charges		85	100			Fee schedule		8.09	100			Fee schedule		8.09	100			Fee schedule		8.09	100			Fee schedule		8.09		10.32		Case rate		10.32		10.32		Case rate		10.32	100			Fee schedule		8.09	8.09	90	
"Spectrophotometry, analyte not elsewhere specified"	84311	CPT	Outpatient			233	151.45		90			Percent of total billed charges		209.7		8.91		Case rate		8.91	80			Percent of total billed charges		186.4	90			Percent of total billed charges		209.7	100			Fee schedule		8.1	85			Percent of total billed charges		198.05	100			Fee schedule		8.1	100			Fee schedule		8.1	100			Fee schedule		8.1	100			Fee schedule		8.1		8.91		Case rate		8.91		8.91		Case rate		8.91	100			Fee schedule		8.1	8.1	209.7	
"Ketone body(s) (eg, acetone, acetoacetic acid, beta-hydroxybutyrate); quantitative"	82010	CPT	Outpatient			87	56.55		90			Percent of total billed charges		78.3		8.99		Case rate		8.99	80			Percent of total billed charges		69.6	90			Percent of total billed charges		78.3	100			Fee schedule		8.17	85			Percent of total billed charges		73.95	100			Fee schedule		8.17	100			Fee schedule		8.17	100			Fee schedule		8.17	100			Fee schedule		8.17		10.41		Case rate		10.41		10.41		Case rate		10.41	100			Fee schedule		8.17	8.17	78.3	
"Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Bilirubin, direct (82248) Phosphatase, alkaline (84075) Protein, total (84155) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate amino (AST) (SGOT) (84450)"	80076	CPT	Outpatient			172	111.8		90			Percent of total billed charges		154.8		8.99		Case rate		8.99	80			Percent of total billed charges		137.6	90			Percent of total billed charges		154.8	100			Fee schedule		8.17	85			Percent of total billed charges		146.2	100			Fee schedule		8.17	100			Fee schedule		8.17	100			Fee schedule		8.17	100			Fee schedule		8.17		10.41		Case rate		10.41		10.41		Case rate		10.41	100			Fee schedule		8.17	8.17	154.8	
"Lipoprotein, direct measurement; high density cholesterol (HDL cholesterol)"	83718	CPT	Outpatient			55	35.75		90			Percent of total billed charges		49.5		9.01		Case rate		9.01	80			Percent of total billed charges		44	90			Percent of total billed charges		49.5	100			Fee schedule		8.19	85			Percent of total billed charges		46.75	100			Fee schedule		8.19	100			Fee schedule		8.19	100			Fee schedule		8.19	100			Fee schedule		8.19		10.44		Case rate		10.44		10.44		Case rate		10.44	100			Fee schedule		8.19	8.19	49.5	
"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; other source (except blood)"	87102	CPT	Outpatient			140	91		90			Percent of total billed charges		126		9.25		Case rate		9.25	80			Percent of total billed charges		112	90			Percent of total billed charges		126	100			Fee schedule		8.41	85			Percent of total billed charges		119	100			Fee schedule		8.41	100			Fee schedule		8.41	100			Fee schedule		8.41	100			Fee schedule		8.41		10.71		Case rate		10.71		10.71		Case rate		10.71	100			Fee schedule		8.41	8.41	126	
"Basic metabolic panel (Calcium, total) This panel must include the following: Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)"	80048	CPT	Outpatient			201	130.65		90			Percent of total billed charges		180.9		9.31		Case rate		9.31	80			Percent of total billed charges		160.8	90			Percent of total billed charges		180.9	100			Fee schedule		8.46	85			Percent of total billed charges		170.85	100			Fee schedule		8.46	100			Fee schedule		8.46	100			Fee schedule		8.46	100			Fee schedule		8.46		10.78		Case rate		10.78		10.78		Case rate		10.78	100			Fee schedule		8.46	8.46	180.9	
Leukocyte alkaline phosphatase with count	85540	CPT	Outpatient			20	13		90			Percent of total billed charges		18		9.46		Case rate		9.46	80			Percent of total billed charges		16	90			Percent of total billed charges		18	100			Fee schedule		8.6	85			Percent of total billed charges		17	100			Fee schedule		8.6	100			Fee schedule		8.6	100			Fee schedule		8.6	100			Fee schedule		8.6		10.97		Case rate		10.97		10.97		Case rate		10.97	100			Fee schedule		8.6	8.6	18	
"Urine pregnancy test, by visual color comparison methods"	81025	CPT	Outpatient			81	52.65		90			Percent of total billed charges		72.9		9.47		Case rate		9.47	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	100			Fee schedule		8.61	85			Percent of total billed charges		68.85	100			Fee schedule		8.61	100			Fee schedule		8.61	100			Fee schedule		8.61	100			Fee schedule		8.61		8.06		Case rate		8.06		8.06		Case rate		8.06	100			Fee schedule		8.61	8.06	72.9	
"Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates"	87070	CPT	Outpatient			103	66.95		90			Percent of total billed charges		92.7		9.48		Case rate		9.48	80			Percent of total billed charges		82.4	90			Percent of total billed charges		92.7	100			Fee schedule		8.62	85			Percent of total billed charges		87.55	100			Fee schedule		8.62	100			Fee schedule		8.62	100			Fee schedule		8.62	100			Fee schedule		8.62		10.98		Case rate		10.98		10.98		Case rate		10.98	100			Fee schedule		8.62	8.62	92.7	
"Susceptibility studies, antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint), each multi-antimicrobial, per plate"	87186	CPT	Outpatient			76	49.4		90			Percent of total billed charges		68.4		9.52		Case rate		9.52	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	100			Fee schedule		8.65	85			Percent of total billed charges		64.6	100			Fee schedule		8.65	100			Fee schedule		8.65	100			Fee schedule		8.65	100			Fee schedule		8.65		11.03		Case rate		11.03		11.03		Case rate		11.03	100			Fee schedule		8.65	8.65	68.4	
"Renal function panel This panel must include the following: Albumin (82040) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus inorganic (phosphate) (84100) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520)"	80069	CPT	Outpatient			199	129.35		90			Percent of total billed charges		179.1		9.55		Case rate		9.55	80			Percent of total billed charges		159.2	90			Percent of total billed charges		179.1	100			Fee schedule		8.68	85			Percent of total billed charges		169.15	100			Fee schedule		8.68	100			Fee schedule		8.68	100			Fee schedule		8.68	100			Fee schedule		8.68		11.07		Case rate		11.07		11.07		Case rate		11.07	100			Fee schedule		8.68	8.68	179.1	
Collection of venous blood by venipuncture	36415	CPT	Outpatient			33	21.45		90			Percent of total billed charges		29.7		3.3		Case rate		3.3	80			Percent of total billed charges		26.4	90			Percent of total billed charges		29.7	100			Fee schedule		8.83	85			Percent of total billed charges		28.05	100			Fee schedule		8.83	100			Fee schedule		8.83	100			Fee schedule		8.83	100			Fee schedule		8.83		2.7		Case rate		2.7		2.7		Case rate		2.7	100			Fee schedule		8.83	2.7	29.7	
"Catheterization for collection of specimen, single patient, all places of service"	P9612	CPT	Outpatient			45	29.25		90			Percent of total billed charges		40.5		3.3		Case rate		3.3	80			Percent of total billed charges		36	90			Percent of total billed charges		40.5	100			Fee schedule		8.83	85			Percent of total billed charges		38.25	100			Fee schedule		8.83	100			Fee schedule		8.83	100			Fee schedule		8.83	100			Fee schedule		8.83		2.7		Case rate		2.7		2.7		Case rate		2.7	100			Fee schedule		8.83	2.7	40.5	
Antibody; HIV-1	86701	CPT	Outpatient			24.33	15.81		90			Percent of total billed charges		21.9		9.78		Case rate		9.78	80			Percent of total billed charges		19.46	90			Percent of total billed charges		21.9	100			Fee schedule		8.89	85			Percent of total billed charges		20.68	100			Fee schedule		8.89	100			Fee schedule		8.89	100			Fee schedule		8.89	100			Fee schedule		8.89		11.32		Case rate		11.32		11.32		Case rate		11.32	100			Fee schedule		8.89	8.89	21.9	
"Ova and parasites, direct smears, concentration and identification"	87177	CPT	Outpatient			94	61.1		90			Percent of total billed charges		84.6		9.79		Case rate		9.79	80			Percent of total billed charges		75.2	90			Percent of total billed charges		84.6	100			Fee schedule		8.9	85			Percent of total billed charges		79.9	100			Fee schedule		8.9	100			Fee schedule		8.9	100			Fee schedule		8.9	100			Fee schedule		8.9		11.34		Case rate		11.34		11.34		Case rate		11.34	100			Fee schedule		8.9	8.9	84.6	
Thyroxine; free	84439	CPT	Outpatient			63	40.95		90			Percent of total billed charges		56.7		9.92		Case rate		9.92	80			Percent of total billed charges		50.4	90			Percent of total billed charges		56.7	100			Fee schedule		9.02	85			Percent of total billed charges		53.55	100			Fee schedule		9.02	100			Fee schedule		9.02	100			Fee schedule		9.02	100			Fee schedule		9.02		11.49		Case rate		11.49		11.49		Case rate		11.49	100			Fee schedule		9.02	9.02	56.7	
"Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each"	82784	CPT	Outpatient			24	15.6		90			Percent of total billed charges		21.6		10.23		Case rate		10.23	80			Percent of total billed charges		19.2	90			Percent of total billed charges		21.6	100			Fee schedule		9.3	85			Percent of total billed charges		20.4	100			Fee schedule		9.3	100			Fee schedule		9.3	100			Fee schedule		9.3	100			Fee schedule		9.3		11.85		Case rate		11.85		11.85		Case rate		11.85	100			Fee schedule		9.3	9.3	21.6	
"Culture, bacterial; stool, aerobic, additional pathogens, isolation and presumptive identification of isolates, each plate"	87046	CPT	Outpatient			43	27.95		90			Percent of total billed charges		38.7		10.38		Case rate		10.38	80			Percent of total billed charges		34.4	90			Percent of total billed charges		38.7	100			Fee schedule		9.44	85			Percent of total billed charges		36.55	100			Fee schedule		9.44	100			Fee schedule		9.44	100			Fee schedule		9.44	100			Fee schedule		9.44		12.02		Case rate		12.02		12.02		Case rate		12.02	100			Fee schedule		9.44	9.44	38.7	
"Culture, bacterial; stool, aerobic, with isolation and preliminary examination (eg, KIA, LIA), Salmonella and Shigella species"	87045	CPT	Outpatient			131	85.15		90			Percent of total billed charges		117.9		10.38		Case rate		10.38	80			Percent of total billed charges		104.8	90			Percent of total billed charges		117.9	100			Fee schedule		9.44	85			Percent of total billed charges		111.35	100			Fee schedule		9.44	100			Fee schedule		9.44	100			Fee schedule		9.44	100			Fee schedule		9.44		12.02		Case rate		12.02		12.02		Case rate		12.02	100			Fee schedule		9.44	9.44	117.9	
Creatinine; clearance	82575	CPT	Outpatient			84	54.6		90			Percent of total billed charges		75.6		10.41		Case rate		10.41	80			Percent of total billed charges		67.2	90			Percent of total billed charges		75.6	100			Fee schedule		9.46	85			Percent of total billed charges		71.4	100			Fee schedule		9.46	100			Fee schedule		9.46	100			Fee schedule		9.46	100			Fee schedule		9.46		12.05		Case rate		12.05		12.05		Case rate		12.05	100			Fee schedule		9.46	9.46	75.6	
Russell viper venom time (includes venom); diluted	85613	CPT	Outpatient			106	68.9		90			Percent of total billed charges		95.4		10.54		Case rate		10.54	80			Percent of total billed charges		84.8	90			Percent of total billed charges		95.4	100			Fee schedule		9.58	85			Percent of total billed charges		90.1	100			Fee schedule		9.58	100			Fee schedule		9.58	100			Fee schedule		9.58	100			Fee schedule		9.58		12.2		Case rate		12.2		12.2		Case rate		12.2	100			Fee schedule		9.58	9.58	95.4	
"Thromboplastin inhibition, tissue"	85705	CPT	Outpatient			106	68.9		90			Percent of total billed charges		95.4		10.59		Case rate		10.59	80			Percent of total billed charges		84.8	90			Percent of total billed charges		95.4	100			Fee schedule		9.63	85			Percent of total billed charges		90.1	100			Fee schedule		9.63	100			Fee schedule		9.63	100			Fee schedule		9.63	100			Fee schedule		9.63		12.28		Case rate		12.28		12.28		Case rate		12.28	100			Fee schedule		9.63	9.63	95.4	
Glucose-6-phosphate dehydrogenase (G6PD); quantitative	82955	CPT	Outpatient			25	16.25		90			Percent of total billed charges		22.5		10.67		Case rate		10.67	80			Percent of total billed charges		20	90			Percent of total billed charges		22.5	100			Fee schedule		9.7	85			Percent of total billed charges		21.25	100			Fee schedule		9.7	100			Fee schedule		9.7	100			Fee schedule		9.7	100			Fee schedule		9.7		12.36		Case rate		12.36		12.36		Case rate		12.36	100			Fee schedule		9.7	9.7	22.5	
Aldolase	82085	CPT	Outpatient			29	18.85		90			Percent of total billed charges		26.1		10.68		Case rate		10.68	80			Percent of total billed charges		23.2	90			Percent of total billed charges		26.1	100			Fee schedule		9.71	85			Percent of total billed charges		24.65	100			Fee schedule		9.71	100			Fee schedule		9.71	100			Fee schedule		9.71	100			Fee schedule		9.71		12.38		Case rate		12.38		12.38		Case rate		12.38	100			Fee schedule		9.71	9.71	26.1	
Hemoglobin; glycosylated (A1C)	83036	CPT	Outpatient			88	57.2		90			Percent of total billed charges		79.2		10.68		Case rate		10.68	80			Percent of total billed charges		70.4	90			Percent of total billed charges		79.2	100			Fee schedule		9.71	85			Percent of total billed charges		74.8	100			Fee schedule		9.71	100			Fee schedule		9.71	100			Fee schedule		9.71	100			Fee schedule		9.71		12.38		Case rate		12.38		12.38		Case rate		12.38	100			Fee schedule		9.71	9.71	79.2	
Fibrinogen; activity	85384	CPT	Outpatient			80	52		90			Percent of total billed charges		72		10.69		Case rate		10.69	80			Percent of total billed charges		64	90			Percent of total billed charges		72	100			Fee schedule		9.72	85			Percent of total billed charges		68	100			Fee schedule		9.72	100			Fee schedule		9.72	100			Fee schedule		9.72	100			Fee schedule		9.72		10.83		Case rate		10.83		10.83		Case rate		10.83	100			Fee schedule		9.72	9.72	72	
Antibody; Bartonella	86611	CPT	Outpatient			18	11.7		90			Percent of total billed charges		16.2		11.2		Case rate		11.2	80			Percent of total billed charges		14.4	90			Percent of total billed charges		16.2	100			Fee schedule		10.18	85			Percent of total billed charges		15.3	100			Fee schedule		10.18	100			Fee schedule		10.18	100			Fee schedule		10.18	100			Fee schedule		10.18		12.98		Case rate		12.98		12.98		Case rate		12.98	100			Fee schedule		10.18	10.18	16.2	
Antibody; Ehrlichia	86666	CPT	Outpatient			68	44.2		90			Percent of total billed charges		61.2		11.2		Case rate		11.2	80			Percent of total billed charges		54.4	90			Percent of total billed charges		61.2	100			Fee schedule		10.18	85			Percent of total billed charges		57.8	100			Fee schedule		10.18	100			Fee schedule		10.18	100			Fee schedule		10.18	100			Fee schedule		10.18		12.98		Case rate		12.98		12.98		Case rate		12.98	100			Fee schedule		10.18	10.18	61.2	
"Fibrin degradation products, D-dimer; quantitative"	85379	CPT	Outpatient			126	81.9		90			Percent of total billed charges		113.4		11.2		Case rate		11.2	80			Percent of total billed charges		100.8	90			Percent of total billed charges		113.4	100			Fee schedule		10.18	85			Percent of total billed charges		107.1	100			Fee schedule		10.18	100			Fee schedule		10.18	100			Fee schedule		10.18	100			Fee schedule		10.18		12.98		Case rate		12.98		12.98		Case rate		12.98	100			Fee schedule		10.18	10.18	113.4	
"Culture, fungi, definitive identification, each organism; yeast"	87106	CPT	Outpatient			25	16.25		90			Percent of total billed charges		22.5		11.35		Case rate		11.35	80			Percent of total billed charges		20	90			Percent of total billed charges		22.5	100			Fee schedule		10.32	85			Percent of total billed charges		21.25	100			Fee schedule		10.32	100			Fee schedule		10.32	100			Fee schedule		10.32	100			Fee schedule		10.32		13.16		Case rate		13.16		13.16		Case rate		13.16	100			Fee schedule		10.32	10.32	22.5	
"Culture, bacterial; blood, aerobic, with isolation and presumptive identification of isolates (includes anaerobic culture, if appropriate)"	87040	CPT	Outpatient			134	87.1		90			Percent of total billed charges		120.6		11.35		Case rate		11.35	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	100			Fee schedule		10.32	85			Percent of total billed charges		113.9	100			Fee schedule		10.32	100			Fee schedule		10.32	100			Fee schedule		10.32	100			Fee schedule		10.32		13.16		Case rate		13.16		13.16		Case rate		13.16	100			Fee schedule		10.32	10.32	120.6	
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis B surface antigen (HBsAg)"	87340	CPT	Outpatient			24	15.6		90			Percent of total billed charges		21.6		11.36		Case rate		11.36	80			Percent of total billed charges		19.2	90			Percent of total billed charges		21.6	100			Fee schedule		10.33	85			Percent of total billed charges		20.4	100			Fee schedule		10.33	100			Fee schedule		10.33	100			Fee schedule		10.33	100			Fee schedule		10.33		13.17		Case rate		13.17		13.17		Case rate		13.17	100			Fee schedule		10.33	10.33	21.6	
"Lipoprotein, direct measurement; LDL cholesterol"	83721	CPT	Outpatient			28	18.2		90			Percent of total billed charges		25.2		11.55		Case rate		11.55	80			Percent of total billed charges		22.4	90			Percent of total billed charges		25.2	100			Fee schedule		10.5	85			Percent of total billed charges		23.8	100			Fee schedule		10.5	100			Fee schedule		10.5	100			Fee schedule		10.5	100			Fee schedule		10.5		12.16		Case rate		12.16		12.16		Case rate		12.16	100			Fee schedule		10.5	10.5	25.2	
"Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin, total (82247) Calcium, total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase, alkaline (84075) Potassium (84132) Protein, total (84155) Sodium (84295) Transferase, alanine amino (ALT) (SGPT) (84460) Transferase, aspartate amino (AST) (SGOT) (84450) Urea nitrogen (BUN) (84520)"	80053	CPT	Outpatient			214	139.1		90			Percent of total billed charges		192.6		11.62		Case rate		11.62	80			Percent of total billed charges		171.2	90			Percent of total billed charges		192.6	100			Fee schedule		10.56	85			Percent of total billed charges		181.9	100			Fee schedule		10.56	100			Fee schedule		10.56	100			Fee schedule		10.56	100			Fee schedule		10.56		13.47		Case rate		13.47		13.47		Case rate		13.47	100			Fee schedule		10.56	10.56	192.6	
Application of a modality to 1 or more areas; vasopneumatic devices	97016	CPT	Outpatient			80	52		90			Percent of total billed charges		72		12.34		Case rate		12.34	80			Percent of total billed charges		64	90			Percent of total billed charges		72	100			Fee schedule		10.61	85			Percent of total billed charges		68	100			Fee schedule		10.61	100			Fee schedule		10.61	100			Fee schedule		10.61	100			Fee schedule		10.61		107		Case rate	Use Lesser of logic	80		107		Case rate	Use Lesser of logic	80	100			Fee schedule		10.61	10.61	80	
"Hemoglobin; F (fetal), chemical"	83030	CPT	Outpatient			104	67.6		90			Percent of total billed charges		93.6		11.81		Case rate		11.81	80			Percent of total billed charges		83.2	90			Percent of total billed charges		93.6	100			Fee schedule		10.74	85			Percent of total billed charges		88.4	100			Fee schedule		10.74	100			Fee schedule		10.74	100			Fee schedule		10.74	100			Fee schedule		10.74		10.54		Case rate		10.54		10.54		Case rate		10.54	100			Fee schedule		10.74	10.54	93.6	
"Protein; electrophoretic fractionation and quantitation, serum"	84165	CPT	Outpatient			28	18.2		90			Percent of total billed charges		25.2		11.81		Case rate		11.81	80			Percent of total billed charges		22.4	90			Percent of total billed charges		25.2	100			Fee schedule		10.74	85			Percent of total billed charges		23.8	100			Fee schedule		10.74	100			Fee schedule		10.74	100			Fee schedule		10.74	100			Fee schedule		10.74		13.69		Case rate		13.69		13.69		Case rate		13.69	100			Fee schedule		10.74	10.74	25.2	
Ceruloplasmin	82390	CPT	Outpatient			32	20.8		90			Percent of total billed charges		28.8		11.81		Case rate		11.81	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	100			Fee schedule		10.74	85			Percent of total billed charges		27.2	100			Fee schedule		10.74	100			Fee schedule		10.74	100			Fee schedule		10.74	100			Fee schedule		10.74		13.69		Case rate		13.69		13.69		Case rate		13.69	100			Fee schedule		10.74	10.74	28.8	
Hepatitis B surface antibody (HBsAb)	86706	CPT	Outpatient			38	24.7		90			Percent of total billed charges		34.2		11.81		Case rate		11.81	80			Percent of total billed charges		30.4	90			Percent of total billed charges		34.2	100			Fee schedule		10.74	85			Percent of total billed charges		32.3	100			Fee schedule		10.74	100			Fee schedule		10.74	100			Fee schedule		10.74	100			Fee schedule		10.74		13.69		Case rate		13.69		13.69		Case rate		13.69	100			Fee schedule		10.74	10.74	34.2	
"Culture, tubercle or other acid-fast bacilli (eg, TB, AFB, mycobacteria) any source, with isolation and presumptive identification of isolates"	87116	CPT	Outpatient			140	91		90			Percent of total billed charges		126		11.88		Case rate		11.88	80			Percent of total billed charges		112	90			Percent of total billed charges		126	100			Fee schedule		10.8	85			Percent of total billed charges		119	100			Fee schedule		10.8	100			Fee schedule		10.8	100			Fee schedule		10.8	100			Fee schedule		10.8		13.77		Case rate		13.77		13.77		Case rate		13.77	100			Fee schedule		10.8	10.8	126	
"Clotting inhibitors or anticoagulants; antithrombin III, antigen assay"	85301	CPT	Outpatient			56	36.4		90			Percent of total billed charges		50.4		11.89		Case rate		11.89	80			Percent of total billed charges		44.8	90			Percent of total billed charges		50.4	100			Fee schedule		10.81	85			Percent of total billed charges		47.6	100			Fee schedule		10.81	100			Fee schedule		10.81	100			Fee schedule		10.81	100			Fee schedule		10.81		13.78		Case rate		13.78		13.78		Case rate		13.78	100			Fee schedule		10.81	10.81	50.4	
"Gases, blood, pH only"	82800	CPT	Outpatient			67	43.55		90			Percent of total billed charges		60.3		12.1		Case rate		12.1	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	100			Fee schedule		11	85			Percent of total billed charges		56.95	100			Fee schedule		11	100			Fee schedule		11	100			Fee schedule		11	100			Fee schedule		11		10.79		Case rate		10.79		10.79		Case rate		10.79	100			Fee schedule		11	10.79	60.3	
Antinuclear antibodies (ANA); titer	86039	CPT	Outpatient			20	13		90			Percent of total billed charges		18		12.28		Case rate		12.28	80			Percent of total billed charges		16	90			Percent of total billed charges		18	100			Fee schedule		11.16	85			Percent of total billed charges		17	100			Fee schedule		11.16	100			Fee schedule		11.16	100			Fee schedule		11.16	100			Fee schedule		11.16		14.23		Case rate		14.23		14.23		Case rate		14.23	100			Fee schedule		11.16	11.16	18	
"Hepatitis A antibody (HAAb), IgM antibody"	86709	CPT	Outpatient			32	20.8		90			Percent of total billed charges		28.8		12.39		Case rate		12.39	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	100			Fee schedule		11.26	85			Percent of total billed charges		27.2	100			Fee schedule		11.26	100			Fee schedule		11.26	100			Fee schedule		11.26	100			Fee schedule		11.26		14.36		Case rate		14.36		14.36		Case rate		14.36	100			Fee schedule		11.26	11.26	28.8	
Zinc	84630	CPT	Outpatient			35	22.75		90			Percent of total billed charges		31.5		12.53		Case rate		12.53	80			Percent of total billed charges		28	90			Percent of total billed charges		31.5	100			Fee schedule		11.39	85			Percent of total billed charges		29.75	100			Fee schedule		11.39	100			Fee schedule		11.39	100			Fee schedule		11.39	100			Fee schedule		11.39		14.51		Case rate		14.51		14.51		Case rate		14.51	100			Fee schedule		11.39	11.39	31.5	
Insulin; total	83525	CPT	Outpatient			29	18.85		90			Percent of total billed charges		26.1		12.57		Case rate		12.57	80			Percent of total billed charges		23.2	90			Percent of total billed charges		26.1	100			Fee schedule		11.43	85			Percent of total billed charges		24.65	100			Fee schedule		11.43	100			Fee schedule		11.43	100			Fee schedule		11.43	100			Fee schedule		11.43		14.57		Case rate		14.57		14.57		Case rate		14.57	100			Fee schedule		11.43	11.43	26.1	
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; hepatitis Be antigen (HBeAg)"	87350	CPT	Outpatient			32	20.8		90			Percent of total billed charges		28.8		12.68		Case rate		12.68	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	100			Fee schedule		11.53	85			Percent of total billed charges		27.2	100			Fee schedule		11.53	100			Fee schedule		11.53	100			Fee schedule		11.53	100			Fee schedule		11.53		14.69		Case rate		14.69		14.69		Case rate		14.69	100			Fee schedule		11.53	11.53	28.8	
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method"	83516	CPT	Outpatient			154	100.1		90			Percent of total billed charges		138.6		12.68		Case rate		12.68	80			Percent of total billed charges		123.2	90			Percent of total billed charges		138.6	100			Fee schedule		11.53	85			Percent of total billed charges		130.9	100			Fee schedule		11.53	100			Fee schedule		11.53	100			Fee schedule		11.53	100			Fee schedule		11.53		14.71		Case rate		14.71		14.71		Case rate		14.71	100			Fee schedule		11.53	11.53	138.6	
"Elastase, pancreatic (EL-1), fecal; qualitative or semi-quantitative"	82656	CPT	Outpatient			244	158.6		90			Percent of total billed charges		219.6		12.68		Case rate		12.68	80			Percent of total billed charges		195.2	90			Percent of total billed charges		219.6	100			Fee schedule		11.53	85			Percent of total billed charges		207.4	100			Fee schedule		11.53	100			Fee schedule		11.53	100			Fee schedule		11.53	100			Fee schedule		11.53		14.71		Case rate		14.71		14.71		Case rate		14.71	100			Fee schedule		11.53	11.53	219.6	
"Particle agglutination; screen, each antibody"	86403	CPT	Outpatient			94	61.1		90			Percent of total billed charges		84.6		12.69		Case rate		12.69	80			Percent of total billed charges		75.2	90			Percent of total billed charges		84.6	100			Fee schedule		11.54	85			Percent of total billed charges		79.9	100			Fee schedule		11.54	100			Fee schedule		11.54	100			Fee schedule		11.54	100			Fee schedule		11.54		13		Case rate		13		13		Case rate		13	100			Fee schedule		11.54	11.54	84.6	
"Creatine kinase (CK), (CPK); MB fraction only"	82553	CPT	Outpatient			106	68.9		90			Percent of total billed charges		95.4		12.71		Case rate		12.71	80			Percent of total billed charges		84.8	90			Percent of total billed charges		95.4	100			Fee schedule		11.55	85			Percent of total billed charges		90.1	100			Fee schedule		11.55	100			Fee schedule		11.55	100			Fee schedule		11.55	100			Fee schedule		11.55		14.72		Case rate		14.72		14.72		Case rate		14.72	100			Fee schedule		11.55	11.55	95.4	
Lactate (lactic acid)	83605	CPT	Outpatient			71	46.15		90			Percent of total billed charges		63.9		12.73		Case rate		12.73	80			Percent of total billed charges		56.8	90			Percent of total billed charges		63.9	100			Fee schedule		11.57	85			Percent of total billed charges		60.35	100			Fee schedule		11.57	100			Fee schedule		11.57	100			Fee schedule		11.57	100			Fee schedule		11.57		13.62		Case rate		13.62		13.62		Case rate		13.62	100			Fee schedule		11.57	11.57	63.9	
Hepatitis Be antibody (HBeAb)	86707	CPT	Outpatient			39.73	25.82		90			Percent of total billed charges		35.76		12.73		Case rate		12.73	80			Percent of total billed charges		31.78	90			Percent of total billed charges		35.76	100			Fee schedule		11.57	85			Percent of total billed charges		33.77	100			Fee schedule		11.57	100			Fee schedule		11.57	100			Fee schedule		11.57	100			Fee schedule		11.57		14.74		Case rate		14.74		14.74		Case rate		14.74	100			Fee schedule		11.57	11.57	35.76	
Calculus; qualitative analysis	82355	CPT	Outpatient			24	15.6		90			Percent of total billed charges		21.6		12.74		Case rate		12.74	80			Percent of total billed charges		19.2	90			Percent of total billed charges		21.6	100			Fee schedule		11.58	85			Percent of total billed charges		20.4	100			Fee schedule		11.58	100			Fee schedule		11.58	100			Fee schedule		11.58	100			Fee schedule		11.58		14.75		Case rate		14.75		14.75		Case rate		14.75	100			Fee schedule		11.58	11.58	21.6	
Vitamin A	84590	CPT	Outpatient			67	43.55		90			Percent of total billed charges		60.3		12.77		Case rate		12.77	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	100			Fee schedule		11.61	85			Percent of total billed charges		56.95	100			Fee schedule		11.61	100			Fee schedule		11.61	100			Fee schedule		11.61	100			Fee schedule		11.61		14.79		Case rate		14.79		14.79		Case rate		14.79	100			Fee schedule		11.61	11.61	60.3	
"Clotting inhibitors or anticoagulants; protein S, total"	85305	CPT	Outpatient			80	52		90			Percent of total billed charges		72		12.77		Case rate		12.77	80			Percent of total billed charges		64	90			Percent of total billed charges		72	100			Fee schedule		11.61	85			Percent of total billed charges		68	100			Fee schedule		11.61	100			Fee schedule		11.61	100			Fee schedule		11.61	100			Fee schedule		11.61		14.79		Case rate		14.79		14.79		Case rate		14.79	100			Fee schedule		11.61	11.61	72	
Hepatitis B core antibody (HBcAb); IgM antibody	86705	CPT	Outpatient			14.22	9.24		90			Percent of total billed charges		12.8		12.95		Case rate		12.95	80			Percent of total billed charges		11.38	90			Percent of total billed charges		12.8	100			Fee schedule		11.77	85			Percent of total billed charges		12.09	100			Fee schedule		11.77	100			Fee schedule		11.77	100			Fee schedule		11.77	100			Fee schedule		11.77		15		Case rate	Use Lesser of logic	14.22		15		Case rate	Use Lesser of logic	14.22	100			Fee schedule		11.77	11.38	14.22	
"Clotting inhibitors or anticoagulants; antithrombin III, activity"	85300	CPT	Outpatient			31	20.15		90			Percent of total billed charges		27.9		13.04		Case rate		13.04	80			Percent of total billed charges		24.8	90			Percent of total billed charges		27.9	100			Fee schedule		11.85	85			Percent of total billed charges		26.35	100			Fee schedule		11.85	100			Fee schedule		11.85	100			Fee schedule		11.85	100			Fee schedule		11.85		15.11		Case rate		15.11		15.11		Case rate		15.11	100			Fee schedule		11.85	11.85	27.9	
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; rotavirus"	87425	CPT	Outpatient			35	22.75		90			Percent of total billed charges		31.5		13.18		Case rate		13.18	80			Percent of total billed charges		28	90			Percent of total billed charges		31.5	100			Fee schedule		11.98	85			Percent of total billed charges		29.75	100			Fee schedule		11.98	100			Fee schedule		11.98	100			Fee schedule		11.98	100			Fee schedule		11.98		15.29		Case rate		15.29		15.29		Case rate		15.29	100			Fee schedule		11.98	11.98	31.5	
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; giardia"	87329	CPT	Outpatient			72	46.8		90			Percent of total billed charges		64.8		13.18		Case rate		13.18	80			Percent of total billed charges		57.6	90			Percent of total billed charges		64.8	100			Fee schedule		11.98	85			Percent of total billed charges		61.2	100			Fee schedule		11.98	100			Fee schedule		11.98	100			Fee schedule		11.98	100			Fee schedule		11.98		15.29		Case rate		15.29		15.29		Case rate		15.29	100			Fee schedule		11.98	11.98	64.8	
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; adenovirus enteric types 40/41"	87301	CPT	Outpatient			84	54.6		90			Percent of total billed charges		75.6		13.18		Case rate		13.18	80			Percent of total billed charges		67.2	90			Percent of total billed charges		75.6	100			Fee schedule		11.98	85			Percent of total billed charges		71.4	100			Fee schedule		11.98	100			Fee schedule		11.98	100			Fee schedule		11.98	100			Fee schedule		11.98		15.29		Case rate		15.29		15.29		Case rate		15.29	100			Fee schedule		11.98	11.98	75.6	
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Aspergillus"	87305	CPT	Outpatient			266	172.9		90			Percent of total billed charges		239.4		13.18		Case rate		13.18	80			Percent of total billed charges		212.8	90			Percent of total billed charges		239.4	100			Fee schedule		11.98	85			Percent of total billed charges		226.1	100			Fee schedule		11.98	100			Fee schedule		11.98	100			Fee schedule		11.98	100			Fee schedule		11.98		15.29		Case rate		15.29		15.29		Case rate		15.29	100			Fee schedule		11.98	11.98	239.4	
"Complement; antigen, each component"	86160	CPT	Outpatient			31	20.15		90			Percent of total billed charges		27.9		13.2		Case rate		13.2	80			Percent of total billed charges		24.8	90			Percent of total billed charges		27.9	100			Fee schedule		12	85			Percent of total billed charges		26.35	100			Fee schedule		12	100			Fee schedule		12	100			Fee schedule		12	100			Fee schedule		12		15.31		Case rate		15.31		15.31		Case rate		15.31	100			Fee schedule		12	12	27.9	
"Clotting inhibitors or anticoagulants; protein C, antigen"	85302	CPT	Outpatient			84	54.6		90			Percent of total billed charges		75.6		13.21		Case rate		13.21	80			Percent of total billed charges		67.2	90			Percent of total billed charges		75.6	100			Fee schedule		12.01	85			Percent of total billed charges		71.4	100			Fee schedule		12.01	100			Fee schedule		12.01	100			Fee schedule		12.01	100			Fee schedule		12.01		15.33		Case rate		15.33		15.33		Case rate		15.33	100			Fee schedule		12.01	12.01	75.6	
Hepatitis B core antibody (HBcAb); total	86704	CPT	Outpatient			32	20.8		90			Percent of total billed charges		28.8		13.26		Case rate		13.26	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	100			Fee schedule		12.05	85			Percent of total billed charges		27.2	100			Fee schedule		12.05	100			Fee schedule		12.05	100			Fee schedule		12.05	100			Fee schedule		12.05		15.36		Case rate		15.36		15.36		Case rate		15.36	100			Fee schedule		12.05	12.05	28.8	
"Fluorescent noninfectious agent antibody; screen, each antibody"	86255	CPT	Outpatient			60	39		90			Percent of total billed charges		54		13.26		Case rate		13.26	80			Percent of total billed charges		48	90			Percent of total billed charges		54	100			Fee schedule		12.05	85			Percent of total billed charges		51	100			Fee schedule		12.05	100			Fee schedule		12.05	100			Fee schedule		12.05	100			Fee schedule		12.05		15.36		Case rate		15.36		15.36		Case rate		15.36	100			Fee schedule		12.05	12.05	54	
"Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion"	98966	CPT	Outpatient			30	19.5		90			Percent of total billed charges		27		13.34		Case rate		13.34	80			Percent of total billed charges		24	90			Percent of total billed charges		27	100			Fee schedule		12.06	85			Percent of total billed charges		25.5	100			Fee schedule		12.06	100			Fee schedule		12.06	100			Fee schedule		12.06	100			Fee schedule		12.06		89		Case rate	Use Lesser of logic	30		89		Case rate	Use Lesser of logic	30	100			Fee schedule		12.06	12.06	30	
Antinuclear antibodies (ANA)	86038	CPT	Outpatient			25	16.25		90			Percent of total billed charges		22.5		13.3		Case rate		13.3	80			Percent of total billed charges		20	90			Percent of total billed charges		22.5	100			Fee schedule		12.09	85			Percent of total billed charges		21.25	100			Fee schedule		12.09	100			Fee schedule		12.09	100			Fee schedule		12.09	100			Fee schedule		12.09		15.41		Case rate		15.41		15.41		Case rate		15.41	100			Fee schedule		12.09	12.09	22.5	
Lead	83655	CPT	Outpatient			31	20.15		90			Percent of total billed charges		27.9		13.32		Case rate		13.32	80			Percent of total billed charges		24.8	90			Percent of total billed charges		27.9	100			Fee schedule		12.11	85			Percent of total billed charges		26.35	100			Fee schedule		12.11	100			Fee schedule		12.11	100			Fee schedule		12.11	100			Fee schedule		12.11		15.44		Case rate		15.44		15.44		Case rate		15.44	100			Fee schedule		12.11	12.11	27.9	
Carboxyhemoglobin; quantitative	82375	CPT	Outpatient			42	27.3		90			Percent of total billed charges		37.8		13.55		Case rate		13.55	80			Percent of total billed charges		33.6	90			Percent of total billed charges		37.8	100			Fee schedule		12.32	85			Percent of total billed charges		35.7	100			Fee schedule		12.32	100			Fee schedule		12.32	100			Fee schedule		12.32	100			Fee schedule		12.32		15.71		Case rate		15.71		15.71		Case rate		15.71	100			Fee schedule		12.32	12.32	37.8	
Hepatitis A antibody (HAAb)	86708	CPT	Outpatient			71.71	46.61		90			Percent of total billed charges		64.54		13.63		Case rate		13.63	80			Percent of total billed charges		57.37	90			Percent of total billed charges		64.54	100			Fee schedule		12.39	85			Percent of total billed charges		60.95	100			Fee schedule		12.39	100			Fee schedule		12.39	100			Fee schedule		12.39	100			Fee schedule		12.39		15.8		Case rate		15.8		15.8		Case rate		15.8	100			Fee schedule		12.39	12.39	64.54	
Copper	82525	CPT	Outpatient			40	26		90			Percent of total billed charges		36		13.65		Case rate		13.65	80			Percent of total billed charges		32	90			Percent of total billed charges		36	100			Fee schedule		12.41	85			Percent of total billed charges		34	100			Fee schedule		12.41	100			Fee schedule		12.41	100			Fee schedule		12.41	100			Fee schedule		12.41		15.82		Case rate		15.82		15.82		Case rate		15.82	100			Fee schedule		12.41	12.41	36	
"Troponin, quantitative"	84484	CPT	Outpatient			88	57.2		90			Percent of total billed charges		79.2		13.72		Case rate		13.72	80			Percent of total billed charges		70.4	90			Percent of total billed charges		79.2	100			Fee schedule		12.47	85			Percent of total billed charges		74.8	100			Fee schedule		12.47	100			Fee schedule		12.47	100			Fee schedule		12.47	100			Fee schedule		12.47		12.55		Case rate		12.55		12.55		Case rate		12.55	100			Fee schedule		12.47	12.47	79.2	
Haptoglobin; quantitative	83010	CPT	Outpatient			32	20.8		90			Percent of total billed charges		28.8		13.84		Case rate		13.84	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	100			Fee schedule		12.58	85			Percent of total billed charges		27.2	100			Fee schedule		12.58	100			Fee schedule		12.58	100			Fee schedule		12.58	100			Fee schedule		12.58		16.04		Case rate		16.04		16.04		Case rate		16.04	100			Fee schedule		12.58	12.58	28.8	
"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; capable of being read by direct optical observation only (eg, utilizing immunoassay [eg, dipsticks, cups, cards, or cartridges]), includes sample validation when performed, per date of service"	80305	CPT	Outpatient			44	28.6		90			Percent of total billed charges		39.6		13.86		Case rate		13.86	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	100			Fee schedule		12.6	85			Percent of total billed charges		37.4	100			Fee schedule		12.6	100			Fee schedule		12.6	100			Fee schedule		12.6	100			Fee schedule		12.6		13.46		Case rate		13.46		13.46		Case rate		13.46	100			Fee schedule		12.6	12.6	39.6	
"Antibody; Chlamydia, IgM"	86632	CPT	Outpatient			120	78		90			Percent of total billed charges		108		13.95		Case rate		13.95	80			Percent of total billed charges		96	90			Percent of total billed charges		108	100			Fee schedule		12.68	85			Percent of total billed charges		102	100			Fee schedule		12.68	100			Fee schedule		12.68	100			Fee schedule		12.68	100			Fee schedule		12.68		16.17		Case rate		16.17		16.17		Case rate		16.17	100			Fee schedule		12.68	12.68	108	
"Application of a modality to 1 or more areas; ultrasound, each 15 minutes"	97035	CPT	Outpatient			77	50.05		90			Percent of total billed charges		69.3		14.78		Case rate		14.78	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	100			Fee schedule		12.71	85			Percent of total billed charges		65.45	100			Fee schedule		12.71	100			Fee schedule		12.71	100			Fee schedule		12.71	100			Fee schedule		12.71		107		Case rate	Use Lesser of logic	77		107		Case rate	Use Lesser of logic	77	100			Fee schedule		12.71	12.71	77	
"Application of a modality to 1 or more areas; contrast baths, each 15 minutes"	97034	CPT	Outpatient			80	52		90			Percent of total billed charges		72		15.1		Case rate		15.1	80			Percent of total billed charges		64	90			Percent of total billed charges		72	100			Fee schedule		12.71	85			Percent of total billed charges		68	100			Fee schedule		12.71	100			Fee schedule		12.71	100			Fee schedule		12.71	100			Fee schedule		12.71		107		Case rate	Use Lesser of logic	80		107		Case rate	Use Lesser of logic	80	100			Fee schedule		12.71	12.71	80	
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group B"	87802	CPT	Outpatient			94	61.1		90			Percent of total billed charges		84.6		14		Case rate		14	80			Percent of total billed charges		75.2	90			Percent of total billed charges		84.6	100			Fee schedule		12.73	85			Percent of total billed charges		79.9	100			Fee schedule		12.73	100			Fee schedule		12.73	100			Fee schedule		12.73	100			Fee schedule		12.73		15.29		Case rate		15.29		15.29		Case rate		15.29	100			Fee schedule		12.73	12.73	84.6	
Transferrin	84466	CPT	Outpatient			71	46.15		90			Percent of total billed charges		63.9		14.04		Case rate		14.04	80			Percent of total billed charges		56.8	90			Percent of total billed charges		63.9	100			Fee schedule		12.76	85			Percent of total billed charges		60.35	100			Fee schedule		12.76	100			Fee schedule		12.76	100			Fee schedule		12.76	100			Fee schedule		12.76		16.28		Case rate		16.28		16.28		Case rate		16.28	100			Fee schedule		12.76	12.76	63.9	
"Calculus; quantitative analysis, chemical"	82360	CPT	Outpatient			24	15.6		90			Percent of total billed charges		21.6		14.16		Case rate		14.16	80			Percent of total billed charges		19.2	90			Percent of total billed charges		21.6	100			Fee schedule		12.87	85			Percent of total billed charges		20.4	100			Fee schedule		12.87	100			Fee schedule		12.87	100			Fee schedule		12.87	100			Fee schedule		12.87		16.41		Case rate		16.41		16.41		Case rate		16.41	100			Fee schedule		12.87	12.87	21.6	
"Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F)"	83020	CPT	Outpatient			41.8	27.17		90			Percent of total billed charges		37.62		14.16		Case rate		14.16	80			Percent of total billed charges		33.44	90			Percent of total billed charges		37.62	100			Fee schedule		12.87	85			Percent of total billed charges		35.53	100			Fee schedule		12.87	100			Fee schedule		12.87	100			Fee schedule		12.87	100			Fee schedule		12.87		16.41		Case rate		16.41		16.41		Case rate		16.41	100			Fee schedule		12.87	12.87	37.62	
"Glucose; tolerance test (GTT), 3 specimens (includes glucose)"	82951	CPT	Outpatient			80	52		90			Percent of total billed charges		72		14.16		Case rate		14.16	80			Percent of total billed charges		64	90			Percent of total billed charges		72	100			Fee schedule		12.87	85			Percent of total billed charges		68	100			Fee schedule		12.87	100			Fee schedule		12.87	100			Fee schedule		12.87	100			Fee schedule		12.87		16.41		Case rate		16.41		16.41		Case rate		16.41	100			Fee schedule		12.87	12.87	72	
Antibody; varicella-zoster	86787	CPT	Outpatient			38	24.7		90			Percent of total billed charges		34.2		14.17		Case rate		14.17	80			Percent of total billed charges		30.4	90			Percent of total billed charges		34.2	100			Fee schedule		12.88	85			Percent of total billed charges		32.3	100			Fee schedule		12.88	100			Fee schedule		12.88	100			Fee schedule		12.88	100			Fee schedule		12.88		16.43		Case rate		16.43		16.43		Case rate		16.43	100			Fee schedule		12.88	12.88	34.2	
Antibody; rubeola	86765	CPT	Outpatient			40	26		90			Percent of total billed charges		36		14.17		Case rate		14.17	80			Percent of total billed charges		32	90			Percent of total billed charges		36	100			Fee schedule		12.88	85			Percent of total billed charges		34	100			Fee schedule		12.88	100			Fee schedule		12.88	100			Fee schedule		12.88	100			Fee schedule		12.88		16.43		Case rate		16.43		16.43		Case rate		16.43	100			Fee schedule		12.88	12.88	36	
"Antibody; bacterium, not elsewhere specified"	86609	CPT	Outpatient			171	111.15		90			Percent of total billed charges		153.9		14.17		Case rate		14.17	80			Percent of total billed charges		136.8	90			Percent of total billed charges		153.9	100			Fee schedule		12.88	85			Percent of total billed charges		145.35	100			Fee schedule		12.88	100			Fee schedule		12.88	100			Fee schedule		12.88	100			Fee schedule		12.88		16.43		Case rate		16.43		16.43		Case rate		16.43	100			Fee schedule		12.88	12.88	153.9	
"Hydroxyindolacetic acid, 5-(HIAA)"	83497	CPT	Outpatient			34	22.1		90			Percent of total billed charges		30.6		14.19		Case rate		14.19	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	100			Fee schedule		12.9	85			Percent of total billed charges		28.9	100			Fee schedule		12.9	100			Fee schedule		12.9	100			Fee schedule		12.9	100			Fee schedule		12.9		16.43		Case rate		16.43		16.43		Case rate		16.43	100			Fee schedule		12.9	12.9	30.6	
"Application of a modality to 1 or more areas; traction, mechanical"	97012	CPT	Outpatient			53	34.45		90			Percent of total billed charges		47.7		15.35		Case rate		15.35	80			Percent of total billed charges		42.4	90			Percent of total billed charges		47.7	100			Fee schedule		12.9	85			Percent of total billed charges		45.05	100			Fee schedule		12.9	100			Fee schedule		12.9	100			Fee schedule		12.9	100			Fee schedule		12.9		107		Case rate	Use Lesser of logic	53		107		Case rate	Use Lesser of logic	53	100			Fee schedule		12.9	12.9	53	
Myoglobin	83874	CPT	Outpatient			88	57.2		90			Percent of total billed charges		79.2		14.21		Case rate		14.21	80			Percent of total billed charges		70.4	90			Percent of total billed charges		79.2	100			Fee schedule		12.92	85			Percent of total billed charges		74.8	100			Fee schedule		12.92	100			Fee schedule		12.92	100			Fee schedule		12.92	100			Fee schedule		12.92		16.46		Case rate		16.46		16.46		Case rate		16.46	100			Fee schedule		12.92	12.92	79.2	
"Cyclic citrullinated peptide (CCP), antibody"	86200	CPT	Outpatient			31	20.15		90			Percent of total billed charges		27.9		14.25		Case rate		14.25	80			Percent of total billed charges		24.8	90			Percent of total billed charges		27.9	100			Fee schedule		12.95	85			Percent of total billed charges		26.35	100			Fee schedule		12.95	100			Fee schedule		12.95	100			Fee schedule		12.95	100			Fee schedule		12.95		16.51		Case rate		16.51		16.51		Case rate		16.51	100			Fee schedule		12.95	12.95	27.9	
"Clotting; factor II, prothrombin, specific"	85210	CPT	Outpatient			126	81.9		90			Percent of total billed charges		113.4		14.28		Case rate		14.28	80			Percent of total billed charges		100.8	90			Percent of total billed charges		113.4	100			Fee schedule		12.98	85			Percent of total billed charges		107.1	100			Fee schedule		12.98	100			Fee schedule		12.98	100			Fee schedule		12.98	100			Fee schedule		12.98		16.55		Case rate		16.55		16.55		Case rate		16.55	100			Fee schedule		12.98	12.98	113.4	
"Antibody; enterovirus (eg, coxsackie, echo, polio)"	86658	CPT	Outpatient			48	31.2		90			Percent of total billed charges		43.2		14.33		Case rate		14.33	80			Percent of total billed charges		38.4	90			Percent of total billed charges		43.2	100			Fee schedule		13.03	85			Percent of total billed charges		40.8	100			Fee schedule		13.03	100			Fee schedule		13.03	100			Fee schedule		13.03	100			Fee schedule		13.03		16.61		Case rate		16.61		16.61		Case rate		16.61	100			Fee schedule		13.03	13.03	43.2	
Antibody; mumps	86735	CPT	Outpatient			67	43.55		90			Percent of total billed charges		60.3		14.36		Case rate		14.36	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	100			Fee schedule		13.05	85			Percent of total billed charges		56.95	100			Fee schedule		13.05	100			Fee schedule		13.05	100			Fee schedule		13.05	100			Fee schedule		13.05		16.64		Case rate		16.64		16.64		Case rate		16.64	100			Fee schedule		13.05	13.05	60.3	
Heparin assay	85520	CPT	Outpatient			102	66.3		90			Percent of total billed charges		91.8		14.4		Case rate		14.4	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	100			Fee schedule		13.09	85			Percent of total billed charges		86.7	100			Fee schedule		13.09	100			Fee schedule		13.09	100			Fee schedule		13.09	100			Fee schedule		13.09		16.69		Case rate		16.69		16.69		Case rate		16.69	100			Fee schedule		13.09	13.09	91.8	
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; respiratory syncytial virus"	87807	CPT	Outpatient			78	50.7		90			Percent of total billed charges		70.2		14.41		Case rate		14.41	80			Percent of total billed charges		62.4	90			Percent of total billed charges		70.2	100			Fee schedule		13.1	85			Percent of total billed charges		66.3	100			Fee schedule		13.1	100			Fee schedule		13.1	100			Fee schedule		13.1	100			Fee schedule		13.1		15.29		Case rate		15.29		15.29		Case rate		15.29	100			Fee schedule		13.1	13.1	70.2	
"Antibody; Epstein-Barr (EB) virus, early antigen (EA)"	86663	CPT	Outpatient			42	27.3		90			Percent of total billed charges		37.8		14.43		Case rate		14.43	80			Percent of total billed charges		33.6	90			Percent of total billed charges		37.8	100			Fee schedule		13.12	85			Percent of total billed charges		35.7	100			Fee schedule		13.12	100			Fee schedule		13.12	100			Fee schedule		13.12	100			Fee schedule		13.12		16.72		Case rate		16.72		16.72		Case rate		16.72	100			Fee schedule		13.12	13.12	37.8	
"Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutes"	97032	CPT	Outpatient			80	52		90			Percent of total billed charges		72		15.35		Case rate		15.35	80			Percent of total billed charges		64	90			Percent of total billed charges		72	100			Fee schedule		13.18	85			Percent of total billed charges		68	100			Fee schedule		13.18	100			Fee schedule		13.18	100			Fee schedule		13.18	100			Fee schedule		13.18		107		Case rate	Use Lesser of logic	80		107		Case rate	Use Lesser of logic	80	100			Fee schedule		13.18	13.18	80	
"Antibody; herpes simplex, type 1"	86695	CPT	Outpatient			17	11.05		90			Percent of total billed charges		15.3		14.51		Case rate		14.51	80			Percent of total billed charges		13.6	90			Percent of total billed charges		15.3	100			Fee schedule		13.19	85			Percent of total billed charges		14.45	100			Fee schedule		13.19	100			Fee schedule		13.19	100			Fee schedule		13.19	100			Fee schedule		13.19		16.81		Case rate		16.81		16.81		Case rate		16.81	100			Fee schedule		13.19	13.19	16.81	
Antibody; Treponema pallidum	86780	CPT	Outpatient			35	22.75		90			Percent of total billed charges		31.5		14.56		Case rate		14.56	80			Percent of total billed charges		28	90			Percent of total billed charges		31.5	100			Fee schedule		13.24	85			Percent of total billed charges		29.75	100			Fee schedule		13.24	100			Fee schedule		13.24	100			Fee schedule		13.24	100			Fee schedule		13.24		16.88		Case rate		16.88		16.88		Case rate		16.88	100			Fee schedule		13.24	13.24	31.5	
Antibody; mycoplasma	86738	CPT	Outpatient			103	66.95		90			Percent of total billed charges		92.7		14.56		Case rate		14.56	80			Percent of total billed charges		82.4	90			Percent of total billed charges		92.7	100			Fee schedule		13.24	85			Percent of total billed charges		87.55	100			Fee schedule		13.24	100			Fee schedule		13.24	100			Fee schedule		13.24	100			Fee schedule		13.24		16.88		Case rate		16.88		16.88		Case rate		16.88	100			Fee schedule		13.24	13.24	92.7	
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Histoplasma capsulatum"	87385	CPT	Outpatient			210	136.5		90			Percent of total billed charges		189		14.58		Case rate		14.58	80			Percent of total billed charges		168	90			Percent of total billed charges		189	100			Fee schedule		13.25	85			Percent of total billed charges		178.5	100			Fee schedule		13.25	100			Fee schedule		13.25	100			Fee schedule		13.25	100			Fee schedule		13.25		15.29		Case rate		15.29		15.29		Case rate		15.29	100			Fee schedule		13.25	13.25	189	
Oxcarbazepine	80183	CPT	Outpatient			27	17.55		90			Percent of total billed charges		24.3		14.58		Case rate		14.58	80			Percent of total billed charges		21.6	90			Percent of total billed charges		24.3	100			Fee schedule		13.25	85			Percent of total billed charges		22.95	100			Fee schedule		13.25	100			Fee schedule		13.25	100			Fee schedule		13.25	100			Fee schedule		13.25		16.28		Case rate		16.28		16.28		Case rate		16.28	100			Fee schedule		13.25	13.25	24.3	
"Deoxyribonuclease, antibody"	86215	CPT	Outpatient			76	49.4		90			Percent of total billed charges		68.4		14.58		Case rate		14.58	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	100			Fee schedule		13.25	85			Percent of total billed charges		64.6	100			Fee schedule		13.25	100			Fee schedule		13.25	100			Fee schedule		13.25	100			Fee schedule		13.25		16.89		Case rate		16.89		16.89		Case rate		16.89	100			Fee schedule		13.25	13.25	68.4	
Phenytoin; total	80185	CPT	Outpatient			80	52		90			Percent of total billed charges		72		14.58		Case rate		14.58	80			Percent of total billed charges		64	90			Percent of total billed charges		72	100			Fee schedule		13.25	85			Percent of total billed charges		68	100			Fee schedule		13.25	100			Fee schedule		13.25	100			Fee schedule		13.25	100			Fee schedule		13.25		16.89		Case rate		16.89		16.89		Case rate		16.89	100			Fee schedule		13.25	13.25	72	
Digoxin; total	80162	CPT	Outpatient			94	61.1		90			Percent of total billed charges		84.6		14.61		Case rate		14.61	80			Percent of total billed charges		75.2	90			Percent of total billed charges		84.6	100			Fee schedule		13.28	85			Percent of total billed charges		79.9	100			Fee schedule		13.28	100			Fee schedule		13.28	100			Fee schedule		13.28	100			Fee schedule		13.28		16.92		Case rate		16.92		16.92		Case rate		16.92	100			Fee schedule		13.28	13.28	84.6	
"Lipid panel This panel must include the following: Cholesterol, serum, total (82465) Lipoprotein, direct measurement, high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478)"	80061	CPT	Outpatient			212	137.8		90			Percent of total billed charges		190.8		14.73		Case rate		14.73	80			Percent of total billed charges		169.6	90			Percent of total billed charges		190.8	100			Fee schedule		13.39	85			Percent of total billed charges		180.2	100			Fee schedule		13.39	100			Fee schedule		13.39	100			Fee schedule		13.39	100			Fee schedule		13.39		17.07		Case rate		17.07		17.07		Case rate		17.07	100			Fee schedule		13.39	13.39	190.8	
Alpha-1-antitrypsin; total	82103	CPT	Outpatient			29	18.85		90			Percent of total billed charges		26.1		14.78		Case rate		14.78	80			Percent of total billed charges		23.2	90			Percent of total billed charges		26.1	100			Fee schedule		13.44	85			Percent of total billed charges		24.65	100			Fee schedule		13.44	100			Fee schedule		13.44	100			Fee schedule		13.44	100			Fee schedule		13.44		17.13		Case rate		17.13		17.13		Case rate		17.13	100			Fee schedule		13.44	13.44	26.1	
Antibody; HIV-2	86702	CPT	Outpatient			30	19.5		90			Percent of total billed charges		27		14.87		Case rate		14.87	80			Percent of total billed charges		24	90			Percent of total billed charges		27	100			Fee schedule		13.52	85			Percent of total billed charges		25.5	100			Fee schedule		13.52	100			Fee schedule		13.52	100			Fee schedule		13.52	100			Fee schedule		13.52		17.23		Case rate		17.23		17.23		Case rate		17.23	100			Fee schedule		13.52	13.52	27	
Valproic acid (dipropylacetic acid); total	80164	CPT	Outpatient			80	52		90			Percent of total billed charges		72		14.89		Case rate		14.89	80			Percent of total billed charges		64	90			Percent of total billed charges		72	100			Fee schedule		13.54	85			Percent of total billed charges		68	100			Fee schedule		13.54	100			Fee schedule		13.54	100			Fee schedule		13.54	100			Fee schedule		13.54		17.27		Case rate		17.27		17.27		Case rate		17.27	100			Fee schedule		13.54	13.54	72	
Vancomycin	80202	CPT	Outpatient			87	56.55		90			Percent of total billed charges		78.3		14.89		Case rate		14.89	80			Percent of total billed charges		69.6	90			Percent of total billed charges		78.3	100			Fee schedule		13.54	85			Percent of total billed charges		73.95	100			Fee schedule		13.54	100			Fee schedule		13.54	100			Fee schedule		13.54	100			Fee schedule		13.54		17.27		Case rate		17.27		17.27		Case rate		17.27	100			Fee schedule		13.54	13.54	78.3	
"Nephelometry, each analyte not elsewhere specified"	83883	CPT	Outpatient			55	35.75		90			Percent of total billed charges		49.5		14.96		Case rate		14.96	80			Percent of total billed charges		44	90			Percent of total billed charges		49.5	100			Fee schedule		13.6	85			Percent of total billed charges		46.75	100			Fee schedule		13.6	100			Fee schedule		13.6	100			Fee schedule		13.6	100			Fee schedule		13.6		17.33		Case rate		17.33		17.33		Case rate		17.33	100			Fee schedule		13.6	13.6	49.5	
Ferritin	82728	CPT	Outpatient			64	41.6		90			Percent of total billed charges		57.6		14.99		Case rate		14.99	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	100			Fee schedule		13.63	85			Percent of total billed charges		54.4	100			Fee schedule		13.63	100			Fee schedule		13.63	100			Fee schedule		13.63	100			Fee schedule		13.63		17.37		Case rate		17.37		17.37		Case rate		17.37	100			Fee schedule		13.63	13.63	57.6	
Calcium; ionized	82330	CPT	Outpatient			61	39.65		90			Percent of total billed charges		54.9		15.05		Case rate		15.05	80			Percent of total billed charges		48.8	90			Percent of total billed charges		54.9	100			Fee schedule		13.68	85			Percent of total billed charges		51.85	100			Fee schedule		13.68	100			Fee schedule		13.68	100			Fee schedule		13.68	100			Fee schedule		13.68		17.42		Case rate		17.42		17.42		Case rate		17.42	100			Fee schedule		13.68	13.68	54.9	
"Antibody; HIV-1 and HIV-2, single result"	86703	CPT	Outpatient			88	57.2		90			Percent of total billed charges		79.2		15.08		Case rate		15.08	80			Percent of total billed charges		70.4	90			Percent of total billed charges		79.2	100			Fee schedule		13.71	85			Percent of total billed charges		74.8	100			Fee schedule		13.71	100			Fee schedule		13.71	100			Fee schedule		13.71	100			Fee schedule		13.71		17.49		Case rate		17.49		17.49		Case rate		17.49	100			Fee schedule		13.71	13.71	79.2	
Sirolimus	80195	CPT	Outpatient			38	24.7		90			Percent of total billed charges		34.2		15.1		Case rate		15.1	80			Percent of total billed charges		30.4	90			Percent of total billed charges		34.2	100			Fee schedule		13.73	85			Percent of total billed charges		32.3	100			Fee schedule		13.73	100			Fee schedule		13.73	100			Fee schedule		13.73	100			Fee schedule		13.73		17.51		Case rate		17.51		17.51		Case rate		17.51	100			Fee schedule		13.73	13.73	34.2	
Tacrolimus	80197	CPT	Outpatient			243	157.95		90			Percent of total billed charges		218.7		15.1		Case rate		15.1	80			Percent of total billed charges		194.4	90			Percent of total billed charges		218.7	100			Fee schedule		13.73	85			Percent of total billed charges		206.55	100			Fee schedule		13.73	100			Fee schedule		13.73	100			Fee schedule		13.73	100			Fee schedule		13.73		17.51		Case rate		17.51		17.51		Case rate		17.51	100			Fee schedule		13.73	13.73	218.7	
Deoxyribonucleic acid (DNA) antibody; native or double stranded	86225	CPT	Outpatient			36	23.4		90			Percent of total billed charges		32.4		15.11		Case rate		15.11	80			Percent of total billed charges		28.8	90			Percent of total billed charges		32.4	100			Fee schedule		13.74	85			Percent of total billed charges		30.6	100			Fee schedule		13.74	100			Fee schedule		13.74	100			Fee schedule		13.74	100			Fee schedule		13.74		17.51		Case rate		17.51		17.51		Case rate		17.51	100			Fee schedule		13.74	13.74	32.4	
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; cryptosporidium"	87328	CPT	Outpatient			72	46.8		90			Percent of total billed charges		64.8		15.2		Case rate		15.2	80			Percent of total billed charges		57.6	90			Percent of total billed charges		64.8	100			Fee schedule		13.82	85			Percent of total billed charges		61.2	100			Fee schedule		13.82	100			Fee schedule		13.82	100			Fee schedule		13.82	100			Fee schedule		13.82		15.29		Case rate		15.29		15.29		Case rate		15.29	100			Fee schedule		13.82	13.82	64.8	
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; respiratory syncytial virus"	87420	CPT	Outpatient			78	50.7		90			Percent of total billed charges		70.2		15.3		Case rate		15.3	80			Percent of total billed charges		62.4	90			Percent of total billed charges		70.2	100			Fee schedule		13.91	85			Percent of total billed charges		66.3	100			Fee schedule		13.91	100			Fee schedule		13.91	100			Fee schedule		13.91	100			Fee schedule		13.91		15.29		Case rate		15.29		15.29		Case rate		15.29	100			Fee schedule		13.91	13.91	70.2	
Chemiluminescent assay	82397	CPT	Outpatient			171	111.15		90			Percent of total billed charges		153.9		15.53		Case rate		15.53	80			Percent of total billed charges		136.8	90			Percent of total billed charges		153.9	100			Fee schedule		14.12	85			Percent of total billed charges		145.35	100			Fee schedule		14.12	100			Fee schedule		14.12	100			Fee schedule		14.12	100			Fee schedule		14.12		18.01		Case rate		18.01		18.01		Case rate		18.01	100			Fee schedule		14.12	14.12	153.9	
Theophylline	80198	CPT	Outpatient			107	69.55		90			Percent of total billed charges		96.3		15.55		Case rate		15.55	80			Percent of total billed charges		85.6	90			Percent of total billed charges		96.3	100			Fee schedule		14.14	85			Percent of total billed charges		90.95	100			Fee schedule		14.14	100			Fee schedule		14.14	100			Fee schedule		14.14	100			Fee schedule		14.14		18.04		Case rate		18.04		18.04		Case rate		18.04	100			Fee schedule		14.14	14.14	96.3	
Triiodothyronine T3; total (TT-3)	84480	CPT	Outpatient			36	23.4		90			Percent of total billed charges		32.4		15.6		Case rate		15.6	80			Percent of total billed charges		28.8	90			Percent of total billed charges		32.4	100			Fee schedule		14.18	85			Percent of total billed charges		30.6	100			Fee schedule		14.18	100			Fee schedule		14.18	100			Fee schedule		14.18	100			Fee schedule		14.18		18.07		Case rate		18.07		18.07		Case rate		18.07	100			Fee schedule		14.18	14.18	32.4	
Tocopherol alpha (Vitamin E)	84446	CPT	Outpatient			68	44.2		90			Percent of total billed charges		61.2		15.6		Case rate		15.6	80			Percent of total billed charges		54.4	90			Percent of total billed charges		61.2	100			Fee schedule		14.18	85			Percent of total billed charges		57.8	100			Fee schedule		14.18	100			Fee schedule		14.18	100			Fee schedule		14.18	100			Fee schedule		14.18		18.07		Case rate		18.07		18.07		Case rate		18.07	100			Fee schedule		14.18	14.18	61.2	
Hepatitis C antibody	86803	CPT	Outpatient			14.27	9.28		90			Percent of total billed charges		12.84		15.7		Case rate	Use Lesser of logic	14.27	80			Percent of total billed charges		11.42	90			Percent of total billed charges		12.84	100			Fee schedule		14.27	85			Percent of total billed charges		12.13	100			Fee schedule		14.27	100			Fee schedule		14.27	100			Fee schedule		14.27	100			Fee schedule		14.27		18.2		Case rate	Use Lesser of logic	14.27		18.2		Case rate	Use Lesser of logic	14.27	100			Fee schedule		14.27	11.42	14.27	
Cyanocobalamin (Vitamin B-12); unsaturated binding capacity	82608	CPT	Outpatient			69	44.85		90			Percent of total billed charges		62.1		15.75		Case rate		15.75	80			Percent of total billed charges		55.2	90			Percent of total billed charges		62.1	100			Fee schedule		14.32	85			Percent of total billed charges		58.65	100			Fee schedule		14.32	100			Fee schedule		14.32	100			Fee schedule		14.32	100			Fee schedule		14.32		18.25		Case rate		18.25		18.25		Case rate		18.25	100			Fee schedule		14.32	14.32	62.1	
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; Helicobacter pylori, stool"	87338	CPT	Outpatient			120	78		90			Percent of total billed charges		108		15.82		Case rate		15.82	80			Percent of total billed charges		96	90			Percent of total billed charges		108	100			Fee schedule		14.38	85			Percent of total billed charges		102	100			Fee schedule		14.38	100			Fee schedule		14.38	100			Fee schedule		14.38	100			Fee schedule		14.38		18.33		Case rate		18.33		18.33		Case rate		18.33	100			Fee schedule		14.38	14.38	108	
Antibody; rubella	86762	CPT	Outpatient			15	9.75		90			Percent of total billed charges		13.5		15.83		Case rate	Use Lesser of logic	15	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	100			Fee schedule		14.39	85			Percent of total billed charges		12.75	100			Fee schedule		14.39	100			Fee schedule		14.39	100			Fee schedule		14.39	100			Fee schedule		14.39		18.35		Case rate	Use Lesser of logic	15		18.35		Case rate	Use Lesser of logic	15	100			Fee schedule		14.39	12	15	
"Antibody; herpes simplex, non-specific type test"	86694	CPT	Outpatient			24	15.6		90			Percent of total billed charges		21.6		15.83		Case rate		15.83	80			Percent of total billed charges		19.2	90			Percent of total billed charges		21.6	100			Fee schedule		14.39	85			Percent of total billed charges		20.4	100			Fee schedule		14.39	100			Fee schedule		14.39	100			Fee schedule		14.39	100			Fee schedule		14.39		18.35		Case rate		18.35		18.35		Case rate		18.35	100			Fee schedule		14.39	14.39	21.6	
Antibody; cytomegalovirus (CMV)	86644	CPT	Outpatient			47	30.55		90			Percent of total billed charges		42.3		15.83		Case rate		15.83	80			Percent of total billed charges		37.6	90			Percent of total billed charges		42.3	100			Fee schedule		14.39	85			Percent of total billed charges		39.95	100			Fee schedule		14.39	100			Fee schedule		14.39	100			Fee schedule		14.39	100			Fee schedule		14.39		18.35		Case rate		18.35		18.35		Case rate		18.35	100			Fee schedule		14.39	14.39	42.3	
Antibody; Toxoplasma	86777	CPT	Outpatient			71	46.15		90			Percent of total billed charges		63.9		15.83		Case rate		15.83	80			Percent of total billed charges		56.8	90			Percent of total billed charges		63.9	100			Fee schedule		14.39	85			Percent of total billed charges		60.35	100			Fee schedule		14.39	100			Fee schedule		14.39	100			Fee schedule		14.39	100			Fee schedule		14.39		18.35		Case rate		18.35		18.35		Case rate		18.35	100			Fee schedule		14.39	14.39	63.9	
Antibody; West Nile virus	86789	CPT	Outpatient			85	55.25		90			Percent of total billed charges		76.5		15.83		Case rate		15.83	80			Percent of total billed charges		68	90			Percent of total billed charges		76.5	100			Fee schedule		14.39	85			Percent of total billed charges		72.25	100			Fee schedule		14.39	100			Fee schedule		14.39	100			Fee schedule		14.39	100			Fee schedule		14.39		18.35		Case rate		18.35		18.35		Case rate		18.35	100			Fee schedule		14.39	14.39	76.5	
"Antibody; Toxoplasma, IgM"	86778	CPT	Outpatient			40	26		90			Percent of total billed charges		36		15.85		Case rate		15.85	80			Percent of total billed charges		32	90			Percent of total billed charges		36	100			Fee schedule		14.41	85			Percent of total billed charges		34	100			Fee schedule		14.41	100			Fee schedule		14.41	100			Fee schedule		14.41	100			Fee schedule		14.41		18.36		Case rate		18.36		18.36		Case rate		18.36	100			Fee schedule		14.41	14.41	36	
Alpha-1-antitrypsin; phenotype	82104	CPT	Outpatient			21	13.65		90			Percent of total billed charges		18.9		15.91		Case rate		15.91	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	100			Fee schedule		14.46	85			Percent of total billed charges		17.85	100			Fee schedule		14.46	100			Fee schedule		14.46	100			Fee schedule		14.46	100			Fee schedule		14.46		18.43		Case rate		18.43		18.43		Case rate		18.43	100			Fee schedule		14.46	14.46	18.9	
"Microsomal antibodies (eg, thyroid or liver-kidney), each"	86376	CPT	Outpatient			60	39		90			Percent of total billed charges		54		16.01		Case rate		16.01	80			Percent of total billed charges		48	90			Percent of total billed charges		54	100			Fee schedule		14.55	85			Percent of total billed charges		51	100			Fee schedule		14.55	100			Fee schedule		14.55	100			Fee schedule		14.55	100			Fee schedule		14.55		18.55		Case rate		18.55		18.55		Case rate		18.55	100			Fee schedule		14.55	14.55	54	
Carbamazepine; total	80156	CPT	Outpatient			80	52		90			Percent of total billed charges		72		16.03		Case rate		16.03	80			Percent of total billed charges		64	90			Percent of total billed charges		72	100			Fee schedule		14.57	85			Percent of total billed charges		68	100			Fee schedule		14.57	100			Fee schedule		14.57	100			Fee schedule		14.57	100			Fee schedule		14.57		18.56		Case rate		18.56		18.56		Case rate		18.56	100			Fee schedule		14.57	14.57	72	
Ammonia	82140	CPT	Outpatient			107	69.55		90			Percent of total billed charges		96.3		16.03		Case rate		16.03	80			Percent of total billed charges		85.6	90			Percent of total billed charges		96.3	100			Fee schedule		14.57	85			Percent of total billed charges		90.95	100			Fee schedule		14.57	100			Fee schedule		14.57	100			Fee schedule		14.57	100			Fee schedule		14.57		18.58		Case rate		18.58		18.58		Case rate		18.58	100			Fee schedule		14.57	14.57	96.3	
Prealbumin	84134	CPT	Outpatient			24	15.6		90			Percent of total billed charges		21.6		16.05		Case rate		16.05	80			Percent of total billed charges		19.2	90			Percent of total billed charges		21.6	100			Fee schedule		14.59	85			Percent of total billed charges		20.4	100			Fee schedule		14.59	100			Fee schedule		14.59	100			Fee schedule		14.59	100			Fee schedule		14.59		18.59		Case rate		18.59		18.59		Case rate		18.59	100			Fee schedule		14.59	14.59	21.6	
Angiotensin I - converting enzyme (ACE)	82164	CPT	Outpatient			40	26		90			Percent of total billed charges		36		16.06		Case rate		16.06	80			Percent of total billed charges		32	90			Percent of total billed charges		36	100			Fee schedule		14.6	85			Percent of total billed charges		34	100			Fee schedule		14.6	100			Fee schedule		14.6	100			Fee schedule		14.6	100			Fee schedule		14.6		18.61		Case rate		18.61		18.61		Case rate		18.61	100			Fee schedule		14.6	14.6	36	
Folic acid; serum	82746	CPT	Outpatient			67	43.55		90			Percent of total billed charges		60.3		16.17		Case rate		16.17	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	100			Fee schedule		14.7	85			Percent of total billed charges		56.95	100			Fee schedule		14.7	100			Fee schedule		14.7	100			Fee schedule		14.7	100			Fee schedule		14.7		18.74		Case rate		18.74		18.74		Case rate		18.74	100			Fee schedule		14.7	14.7	60.3	
"Phosphatase, alkaline; isoenzymes"	84080	CPT	Outpatient			81	52.65		90			Percent of total billed charges		72.9		16.26		Case rate		16.26	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	100			Fee schedule		14.78	85			Percent of total billed charges		68.85	100			Fee schedule		14.78	100			Fee schedule		14.78	100			Fee schedule		14.78	100			Fee schedule		14.78		18.86		Case rate		18.86		18.86		Case rate		18.86	100			Fee schedule		14.78	14.78	72.9	
Ethylene glycol	82693	CPT	Outpatient			55	35.75		90			Percent of total billed charges		49.5		16.39		Case rate		16.39	80			Percent of total billed charges		44	90			Percent of total billed charges		49.5	100			Fee schedule		14.9	85			Percent of total billed charges		46.75	100			Fee schedule		14.9	100			Fee schedule		14.9	100			Fee schedule		14.9	100			Fee schedule		14.9		18.99		Case rate		18.99		18.99		Case rate		18.99	100			Fee schedule		14.9	14.9	49.5	
"Immunoassay for infectious agent antibody, quantitative, not otherwise specified"	86317	CPT	Outpatient			255	165.75		90			Percent of total billed charges		229.5		16.49		Case rate		16.49	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	100			Fee schedule		14.99	85			Percent of total billed charges		216.75	100			Fee schedule		14.99	100			Fee schedule		14.99	100			Fee schedule		14.99	100			Fee schedule		14.99		19.12		Case rate		19.12		19.12		Case rate		19.12	100			Fee schedule		14.99	14.99	229.5	
Application of a modality to 1 or more areas; whirlpool	97022	CPT	Outpatient			100	65		90			Percent of total billed charges		90		17.78		Case rate		17.78	80			Percent of total billed charges		80	90			Percent of total billed charges		90	100			Fee schedule		15.02	85			Percent of total billed charges		85	100			Fee schedule		15.02	100			Fee schedule		15.02	100			Fee schedule		15.02	100			Fee schedule		15.02		107		Case rate	Use Lesser of logic	100		107		Case rate	Use Lesser of logic	100	100			Fee schedule		15.02	15.02	100	
Antibody; parvovirus	86747	CPT	Outpatient			40	26		90			Percent of total billed charges		36		16.53		Case rate		16.53	80			Percent of total billed charges		32	90			Percent of total billed charges		36	100			Fee schedule		15.03	85			Percent of total billed charges		34	100			Fee schedule		15.03	100			Fee schedule		15.03	100			Fee schedule		15.03	100			Fee schedule		15.03		19.17		Case rate		19.17		19.17		Case rate		19.17	100			Fee schedule		15.03	15.03	36	
Antibody; Aspergillus	86606	CPT	Outpatient			64	41.6		90			Percent of total billed charges		57.6		16.56		Case rate		16.56	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	100			Fee schedule		15.05	85			Percent of total billed charges		54.4	100			Fee schedule		15.05	100			Fee schedule		15.05	100			Fee schedule		15.05	100			Fee schedule		15.05		19.2		Case rate		19.2		19.2		Case rate		19.2	100			Fee schedule		15.05	15.05	57.6	
"Gonadotropin, chorionic (hCG); quantitative"	84702	CPT	Outpatient			88	57.2		90			Percent of total billed charges		79.2		16.56		Case rate		16.56	80			Percent of total billed charges		70.4	90			Percent of total billed charges		79.2	100			Fee schedule		15.05	85			Percent of total billed charges		74.8	100			Fee schedule		15.05	100			Fee schedule		15.05	100			Fee schedule		15.05	100			Fee schedule		15.05		19.2		Case rate		19.2		19.2		Case rate		19.2	100			Fee schedule		15.05	15.05	79.2	
Amikacin	80150	CPT	Outpatient			39	25.35		90			Percent of total billed charges		35.1		16.59		Case rate		16.59	80			Percent of total billed charges		31.2	90			Percent of total billed charges		35.1	100			Fee schedule		15.08	85			Percent of total billed charges		33.15	100			Fee schedule		15.08	100			Fee schedule		15.08	100			Fee schedule		15.08	100			Fee schedule		15.08		19.22		Case rate		19.22		19.22		Case rate		19.22	100			Fee schedule		15.08	15.08	35.1	
Cyanocobalamin (Vitamin B-12)	82607	CPT	Outpatient			67	43.55		90			Percent of total billed charges		60.3		16.59		Case rate		16.59	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	100			Fee schedule		15.08	85			Percent of total billed charges		56.95	100			Fee schedule		15.08	100			Fee schedule		15.08	100			Fee schedule		15.08	100			Fee schedule		15.08		19.22		Case rate		19.22		19.22		Case rate		19.22	100			Fee schedule		15.08	15.08	60.3	
Intrinsic factor antibodies	86340	CPT	Outpatient			75	48.75		90			Percent of total billed charges		67.5		16.59		Case rate		16.59	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	100			Fee schedule		15.08	85			Percent of total billed charges		63.75	100			Fee schedule		15.08	100			Fee schedule		15.08	100			Fee schedule		15.08	100			Fee schedule		15.08		19.22		Case rate		19.22		19.22		Case rate		19.22	100			Fee schedule		15.08	15.08	67.5	
"Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes"	97804	CPT	Outpatient			19	12.35		90			Percent of total billed charges		17.1		15.99		Case rate		15.99	80			Percent of total billed charges		15.2	90			Percent of total billed charges		17.1	100			Fee schedule		15.13	85			Percent of total billed charges		16.15	100			Fee schedule		15.13	100			Fee schedule		15.13	100			Fee schedule		15.13	100			Fee schedule		15.13		89		Case rate	Use Lesser of logic	19		89		Case rate	Use Lesser of logic	19	100			Fee schedule		15.13	15.13	19	
"Medical nutrition therapy, reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or treatment regimen (including additional hours needed for renal disease), group (2 or more individuals), each 30 minutes"	G0271	CPT	Outpatient			19	12.35		90			Percent of total billed charges		17.1		15.99		Case rate		15.99	80			Percent of total billed charges		15.2	90			Percent of total billed charges		17.1	100			Fee schedule		15.13	85			Percent of total billed charges		16.15	100			Fee schedule		15.13	100			Fee schedule		15.13	100			Fee schedule		15.13	100			Fee schedule		15.13		89		Case rate	Use Lesser of logic	19		89		Case rate	Use Lesser of logic	19	100			Fee schedule		15.13	15.13	19	
"Antibody; Epstein-Barr (EB) virus, nuclear antigen (EBNA)"	86664	CPT	Outpatient			42	27.3		90			Percent of total billed charges		37.8		16.82		Case rate		16.82	80			Percent of total billed charges		33.6	90			Percent of total billed charges		37.8	100			Fee schedule		15.29	85			Percent of total billed charges		35.7	100			Fee schedule		15.29	100			Fee schedule		15.29	100			Fee schedule		15.29	100			Fee schedule		15.29		19.5		Case rate		19.5		19.5		Case rate		19.5	100			Fee schedule		15.29	15.29	37.8	
Phenobarbital	80184	CPT	Outpatient			86	55.9		90			Percent of total billed charges		77.4		16.83		Case rate		16.83	80			Percent of total billed charges		68.8	90			Percent of total billed charges		77.4	100			Fee schedule		15.3	85			Percent of total billed charges		73.1	100			Fee schedule		15.3	100			Fee schedule		15.3	100			Fee schedule		15.3	100			Fee schedule		15.3		14.6		Case rate		14.6		14.6		Case rate		14.6	100			Fee schedule		15.3	14.6	77.4	
Antibody; Legionella	86713	CPT	Outpatient			38	24.7		90			Percent of total billed charges		34.2		16.83		Case rate		16.83	80			Percent of total billed charges		30.4	90			Percent of total billed charges		34.2	100			Fee schedule		15.3	85			Percent of total billed charges		32.3	100			Fee schedule		15.3	100			Fee schedule		15.3	100			Fee schedule		15.3	100			Fee schedule		15.3		19.5		Case rate		19.5		19.5		Case rate		19.5	100			Fee schedule		15.3	15.3	34.2	
Activated Protein C (APC) resistance assay	85307	CPT	Outpatient			62	40.3		90			Percent of total billed charges		55.8		16.85		Case rate		16.85	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	100			Fee schedule		15.32	85			Percent of total billed charges		52.7	100			Fee schedule		15.32	100			Fee schedule		15.32	100			Fee schedule		15.32	100			Fee schedule		15.32		19.53		Case rate		19.53		19.53		Case rate		19.53	100			Fee schedule		15.32	15.32	55.8	
"Clotting inhibitors or anticoagulants; protein S, free"	85306	CPT	Outpatient			92	59.8		90			Percent of total billed charges		82.8		16.85		Case rate		16.85	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	100			Fee schedule		15.32	85			Percent of total billed charges		78.2	100			Fee schedule		15.32	100			Fee schedule		15.32	100			Fee schedule		15.32	100			Fee schedule		15.32		19.53		Case rate		19.53		19.53		Case rate		19.53	100			Fee schedule		15.32	15.32	82.8	
"Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg, Western Blot or immunoblot)"	86617	CPT	Outpatient			150	97.5		90			Percent of total billed charges		135		17.04		Case rate		17.04	80			Percent of total billed charges		120	90			Percent of total billed charges		135	100			Fee schedule		15.49	85			Percent of total billed charges		127.5	100			Fee schedule		15.49	100			Fee schedule		15.49	100			Fee schedule		15.49	100			Fee schedule		15.49		19.75		Case rate		19.75		19.75		Case rate		19.75	100			Fee schedule		15.49	15.49	135	
"Vanillylmandelic acid (VMA), urine"	84585	CPT	Outpatient			24	15.6		90			Percent of total billed charges		21.6		17.05		Case rate		17.05	80			Percent of total billed charges		19.2	90			Percent of total billed charges		21.6	100			Fee schedule		15.5	85			Percent of total billed charges		20.4	100			Fee schedule		15.5	100			Fee schedule		15.5	100			Fee schedule		15.5	100			Fee schedule		15.5		19.76		Case rate		19.76		19.76		Case rate		19.76	100			Fee schedule		15.5	15.5	21.6	
Thyroglobulin antibody	86800	CPT	Outpatient			24	15.6		90			Percent of total billed charges		21.6		17.5		Case rate		17.5	80			Percent of total billed charges		19.2	90			Percent of total billed charges		21.6	100			Fee schedule		15.91	85			Percent of total billed charges		20.4	100			Fee schedule		15.91	100			Fee schedule		15.91	100			Fee schedule		15.91	100			Fee schedule		15.91		20.28		Case rate		20.28		20.28		Case rate		20.28	100			Fee schedule		15.91	15.91	21.6	
"Blood, occult, by fecal hemoglobin determination by immunoassay, qualitative, feces, 1-3 simultaneous determinations"	82274	CPT	Outpatient			24	15.6		90			Percent of total billed charges		21.6		17.51		Case rate		17.51	80			Percent of total billed charges		19.2	90			Percent of total billed charges		21.6	100			Fee schedule		15.92	85			Percent of total billed charges		20.4	100			Fee schedule		15.92	100			Fee schedule		15.92	100			Fee schedule		15.92	100			Fee schedule		15.92		20.28		Case rate		20.28		20.28		Case rate		20.28	100			Fee schedule		15.92	15.92	21.6	
Thyroglobulin	84432	CPT	Outpatient			46	29.9		90			Percent of total billed charges		41.4		17.67		Case rate		17.67	80			Percent of total billed charges		36.8	90			Percent of total billed charges		41.4	100			Fee schedule		16.06	85			Percent of total billed charges		39.1	100			Fee schedule		16.06	100			Fee schedule		16.06	100			Fee schedule		16.06	100			Fee schedule		16.06		20.48		Case rate		20.48		20.48		Case rate		20.48	100			Fee schedule		16.06	16.06	41.4	
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; not otherwise specified"	87899	CPT	Outpatient			23	14.95		90			Percent of total billed charges		20.7		17.68		Case rate		17.68	80			Percent of total billed charges		18.4	90			Percent of total billed charges		20.7	100			Fee schedule		16.07	85			Percent of total billed charges		19.55	100			Fee schedule		16.07	100			Fee schedule		16.07	100			Fee schedule		16.07	100			Fee schedule		16.07		15.29		Case rate		15.29		15.29		Case rate		15.29	100			Fee schedule		16.07	15.29	20.7	
Tobramycin	80200	CPT	Outpatient			87	56.55		90			Percent of total billed charges		78.3		17.74		Case rate		17.74	80			Percent of total billed charges		69.6	90			Percent of total billed charges		78.3	100			Fee schedule		16.13	85			Percent of total billed charges		73.95	100			Fee schedule		16.13	100			Fee schedule		16.13	100			Fee schedule		16.13	100			Fee schedule		16.13		20.55		Case rate		20.55		20.55		Case rate		20.55	100			Fee schedule		16.13	16.13	78.3	
Beta-2 microglobulin	82232	CPT	Outpatient			109	70.85		90			Percent of total billed charges		98.1		17.8		Case rate		17.8	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	100			Fee schedule		16.18	85			Percent of total billed charges		92.65	100			Fee schedule		16.18	100			Fee schedule		16.18	100			Fee schedule		16.18	100			Fee schedule		16.18		20.62		Case rate		20.62		20.62		Case rate		20.62	100			Fee schedule		16.18	16.18	98.1	
"Mercury, quantitative"	83825	CPT	Outpatient			98	63.7		90			Percent of total billed charges		88.2		17.89		Case rate		17.89	80			Percent of total billed charges		78.4	90			Percent of total billed charges		88.2	100			Fee schedule		16.26	85			Percent of total billed charges		83.3	100			Fee schedule		16.26	100			Fee schedule		16.26	100			Fee schedule		16.26	100			Fee schedule		16.26		20.73		Case rate		20.73		20.73		Case rate		20.73	100			Fee schedule		16.26	16.26	88.2	
Cortisol; total	82533	CPT	Outpatient			96	62.4		90			Percent of total billed charges		86.4		17.93		Case rate		17.93	80			Percent of total billed charges		76.8	90			Percent of total billed charges		86.4	100			Fee schedule		16.3	85			Percent of total billed charges		81.6	100			Fee schedule		16.3	100			Fee schedule		16.3	100			Fee schedule		16.3	100			Fee schedule		16.3		20.79		Case rate		20.79		20.79		Case rate		20.79	100			Fee schedule		16.3	16.3	86.4	
Gentamicin	80170	CPT	Outpatient			87	56.55		90			Percent of total billed charges		78.3		18.02		Case rate		18.02	80			Percent of total billed charges		69.6	90			Percent of total billed charges		78.3	100			Fee schedule		16.38	85			Percent of total billed charges		73.95	100			Fee schedule		16.38	100			Fee schedule		16.38	100			Fee schedule		16.38	100			Fee schedule		16.38		20.89		Case rate		20.89		20.89		Case rate		20.89	100			Fee schedule		16.38	16.38	78.3	
"Therapeutic procedure(s), group (2 or more individuals)"	97150	CPT	Outpatient			53	34.45		90			Percent of total billed charges		47.7		18.5		Case rate		18.5	80			Percent of total billed charges		42.4	90			Percent of total billed charges		47.7	100			Fee schedule		16.44	85			Percent of total billed charges		45.05	100			Fee schedule		16.44	100			Fee schedule		16.44	100			Fee schedule		16.44	100			Fee schedule		16.44		107		Case rate	Use Lesser of logic	53		107		Case rate	Use Lesser of logic	53	100			Fee schedule		16.44	16.44	53	
Gammaglobulin (immunoglobulin); IgE	82785	CPT	Outpatient			38	24.7		90			Percent of total billed charges		34.2		18.11		Case rate		18.11	80			Percent of total billed charges		30.4	90			Percent of total billed charges		34.2	100			Fee schedule		16.46	85			Percent of total billed charges		32.3	100			Fee schedule		16.46	100			Fee schedule		16.46	100			Fee schedule		16.46	100			Fee schedule		16.46		20.99		Case rate		20.99		20.99		Case rate		20.99	100			Fee schedule		16.46	16.46	34.2	
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Streptococcus, group A"	87880	CPT	Outpatient			81	52.65		90			Percent of total billed charges		72.9		18.18		Case rate		18.18	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	100			Fee schedule		16.53	85			Percent of total billed charges		68.85	100			Fee schedule		16.53	100			Fee schedule		16.53	100			Fee schedule		16.53	100			Fee schedule		16.53		15.29		Case rate		15.29		15.29		Case rate		15.29	100			Fee schedule		16.53	15.29	72.9	
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; Influenza"	87804	CPT	Outpatient			53	34.45		90			Percent of total billed charges		47.7		18.21		Case rate		18.21	80			Percent of total billed charges		42.4	90			Percent of total billed charges		47.7	100			Fee schedule		16.55	85			Percent of total billed charges		45.05	100			Fee schedule		16.55	100			Fee schedule		16.55	100			Fee schedule		16.55	100			Fee schedule		16.55		15.29		Case rate		15.29		15.29		Case rate		15.29	100			Fee schedule		16.55	15.29	47.7	
Cortisol; free	82530	CPT	Outpatient			43	27.95		90			Percent of total billed charges		38.7		18.38		Case rate		18.38	80			Percent of total billed charges		34.4	90			Percent of total billed charges		38.7	100			Fee schedule		16.71	85			Percent of total billed charges		36.55	100			Fee schedule		16.71	100			Fee schedule		16.71	100			Fee schedule		16.71	100			Fee schedule		16.71		21.3		Case rate		21.3		21.3		Case rate		21.3	100			Fee schedule		16.71	16.71	38.7	
Alpha-fetoprotein (AFP); serum	82105	CPT	Outpatient			36	23.4		90			Percent of total billed charges		32.4		18.45		Case rate		18.45	80			Percent of total billed charges		28.8	90			Percent of total billed charges		32.4	100			Fee schedule		16.77	85			Percent of total billed charges		30.6	100			Fee schedule		16.77	100			Fee schedule		16.77	100			Fee schedule		16.77	100			Fee schedule		16.77		21.38		Case rate		21.38		21.38		Case rate		21.38	100			Fee schedule		16.77	16.77	32.4	
Thyroid stimulating hormone (TSH)	84443	CPT	Outpatient			95	61.75		90			Percent of total billed charges		85.5		18.48		Case rate		18.48	80			Percent of total billed charges		76	90			Percent of total billed charges		85.5	100			Fee schedule		16.8	85			Percent of total billed charges		80.75	100			Fee schedule		16.8	100			Fee schedule		16.8	100			Fee schedule		16.8	100			Fee schedule		16.8		21.42		Case rate		21.42		21.42		Case rate		21.42	100			Fee schedule		16.8	16.8	85.5	
Antibody; Helicobacter pylori	86677	CPT	Outpatient			116	75.4		90			Percent of total billed charges		104.4		18.54		Case rate		18.54	80			Percent of total billed charges		92.8	90			Percent of total billed charges		104.4	100			Fee schedule		16.85	85			Percent of total billed charges		98.6	100			Fee schedule		16.85	100			Fee schedule		16.85	100			Fee schedule		16.85	100			Fee schedule		16.85		18.5		Case rate		18.5		18.5		Case rate		18.5	100			Fee schedule		16.85	16.85	104.4	
"Antibody; cytomegalovirus (CMV), IgM"	86645	CPT	Outpatient			47	30.55		90			Percent of total billed charges		42.3		18.54		Case rate		18.54	80			Percent of total billed charges		37.6	90			Percent of total billed charges		42.3	100			Fee schedule		16.85	85			Percent of total billed charges		39.95	100			Fee schedule		16.85	100			Fee schedule		16.85	100			Fee schedule		16.85	100			Fee schedule		16.85		21.47		Case rate		21.47		21.47		Case rate		21.47	100			Fee schedule		16.85	16.85	42.3	
"Antibody; West Nile virus, IgM"	86788	CPT	Outpatient			85	55.25		90			Percent of total billed charges		76.5		18.54		Case rate		18.54	80			Percent of total billed charges		68	90			Percent of total billed charges		76.5	100			Fee schedule		16.85	85			Percent of total billed charges		72.25	100			Fee schedule		16.85	100			Fee schedule		16.85	100			Fee schedule		16.85	100			Fee schedule		16.85		21.47		Case rate		21.47		21.47		Case rate		21.47	100			Fee schedule		16.85	16.85	76.5	
Triiodothyronine T3; free	84481	CPT	Outpatient			16	10.4		90			Percent of total billed charges		14.4		18.63		Case rate	Use Lesser of logic	16	80			Percent of total billed charges		12.8	90			Percent of total billed charges		14.4	100			Fee schedule		16.94	85			Percent of total billed charges		13.6	100			Fee schedule		16	100			Fee schedule		16.94	100			Fee schedule		16.94	100			Fee schedule		16.94		21.6		Case rate	Use Lesser of logic	16		21.6		Case rate	Use Lesser of logic	16	100			Fee schedule		16.94	12.8	16.94	
Metanephrines	83835	CPT	Outpatient			65	42.25		90			Percent of total billed charges		58.5		18.63		Case rate		18.63	80			Percent of total billed charges		52	90			Percent of total billed charges		58.5	100			Fee schedule		16.94	85			Percent of total billed charges		55.25	100			Fee schedule		16.94	100			Fee schedule		16.94	100			Fee schedule		16.94	100			Fee schedule		16.94		21.6		Case rate		21.6		21.6		Case rate		21.6	100			Fee schedule		16.94	16.94	58.5	
Antibody; Borrelia burgdorferi (Lyme disease)	86618	CPT	Outpatient			36	23.4		90			Percent of total billed charges		32.4		18.73		Case rate		18.73	80			Percent of total billed charges		28.8	90			Percent of total billed charges		32.4	100			Fee schedule		17.03	85			Percent of total billed charges		30.6	100			Fee schedule		17.03	100			Fee schedule		17.03	100			Fee schedule		17.03	100			Fee schedule		17.03		21.71		Case rate		21.71		21.71		Case rate		21.71	100			Fee schedule		17.03	17.03	32.4	
Bile acids; total	82239	CPT	Outpatient			33	21.45		90			Percent of total billed charges		29.7		18.83		Case rate		18.83	80			Percent of total billed charges		26.4	90			Percent of total billed charges		29.7	100			Fee schedule		17.12	85			Percent of total billed charges		28.05	100			Fee schedule		17.12	100			Fee schedule		17.12	100			Fee schedule		17.12	100			Fee schedule		17.12		21.83		Case rate		21.83		21.83		Case rate		21.83	100			Fee schedule		17.12	17.12	29.7	
"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; read by instrument assisted direct optical observation (eg, utilizing immunoassay [eg, dipsticks, cups, cards, or cartridges]), includes sample validation when performed, per date of service"	80306	CPT	Outpatient			110	71.5		90			Percent of total billed charges		99		18.85		Case rate		18.85	80			Percent of total billed charges		88	90			Percent of total billed charges		99	100			Fee schedule		17.14	85			Percent of total billed charges		93.5	100			Fee schedule		17.14	100			Fee schedule		17.14	100			Fee schedule		17.14	100			Fee schedule		17.14		17.96		Case rate		17.96		17.96		Case rate		17.96	100			Fee schedule		17.14	17.14	99	
"Myelin basic protein, cerebrospinal fluid"	83873	CPT	Outpatient			80	52		90			Percent of total billed charges		72		18.92		Case rate		18.92	80			Percent of total billed charges		64	90			Percent of total billed charges		72	100			Fee schedule		17.2	85			Percent of total billed charges		68	100			Fee schedule		17.2	100			Fee schedule		17.2	100			Fee schedule		17.2	100			Fee schedule		17.2		21.93		Case rate		21.93		21.93		Case rate		21.93	100			Fee schedule		17.2	17.2	72	
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified"	83520	CPT	Outpatient			80	52		90			Percent of total billed charges		72		19		Case rate		19	80			Percent of total billed charges		64	90			Percent of total billed charges		72	100			Fee schedule		17.27	85			Percent of total billed charges		68	100			Fee schedule		17.27	100			Fee schedule		17.27	100			Fee schedule		17.27	100			Fee schedule		17.27		16.51		Case rate		16.51		16.51		Case rate		16.51	100			Fee schedule		17.27	16.51	72	
"Application of a modality to 1 or more areas; iontophoresis, each 15 minutes"	97033	CPT	Outpatient			80	52		90			Percent of total billed charges		72		20.58		Case rate		20.58	80			Percent of total billed charges		64	90			Percent of total billed charges		72	100			Fee schedule		17.41	85			Percent of total billed charges		68	100			Fee schedule		17.41	100			Fee schedule		17.41	100			Fee schedule		17.41	100			Fee schedule		17.41		107		Case rate	Use Lesser of logic	80		107		Case rate	Use Lesser of logic	80	100			Fee schedule		17.41	17.41	80	
Gastrin	82941	CPT	Outpatient			46	29.9		90			Percent of total billed charges		41.4		19.39		Case rate		19.39	80			Percent of total billed charges		36.8	90			Percent of total billed charges		41.4	100			Fee schedule		17.63	85			Percent of total billed charges		39.1	100			Fee schedule		17.63	100			Fee schedule		17.63	100			Fee schedule		17.63	100			Fee schedule		17.63		22.48		Case rate		22.48		22.48		Case rate		22.48	100			Fee schedule		17.63	17.63	41.4	
Folic acid; RBC	82747	CPT	Outpatient			69	44.85		90			Percent of total billed charges		62.1		19.42		Case rate		19.42	80			Percent of total billed charges		55.2	90			Percent of total billed charges		62.1	100			Fee schedule		17.65	85			Percent of total billed charges		58.65	100			Fee schedule		17.65	100			Fee schedule		17.65	100			Fee schedule		17.65	100			Fee schedule		17.65		22.08		Case rate		22.08		22.08		Case rate		22.08	100			Fee schedule		17.65	17.65	62.1	
"Protein; electrophoretic fractionation and quantitation, other fluids with concentration (eg, urine, CSF)"	84166	CPT	Outpatient			71	46.15		90			Percent of total billed charges		63.9		19.61		Case rate		19.61	80			Percent of total billed charges		56.8	90			Percent of total billed charges		63.9	100			Fee schedule		17.83	85			Percent of total billed charges		60.35	100			Fee schedule		17.83	100			Fee schedule		17.83	100			Fee schedule		17.83	100			Fee schedule		17.83		22.73		Case rate		22.73		22.73		Case rate		22.73	100			Fee schedule		17.83	17.83	63.9	
"Clotting; factor VIII (AHG), 1-stage"	85240	CPT	Outpatient			126	81.9		90			Percent of total billed charges		113.4		19.69		Case rate		19.69	80			Percent of total billed charges		100.8	90			Percent of total billed charges		113.4	100			Fee schedule		17.9	85			Percent of total billed charges		107.1	100			Fee schedule		17.9	100			Fee schedule		17.9	100			Fee schedule		17.9	100			Fee schedule		17.9		22.82		Case rate		22.82		22.82		Case rate		22.82	100			Fee schedule		17.9	17.9	113.4	
Clotting; factor XI (PTA)	85270	CPT	Outpatient			126	81.9		90			Percent of total billed charges		113.4		19.69		Case rate		19.69	80			Percent of total billed charges		100.8	90			Percent of total billed charges		113.4	100			Fee schedule		17.9	85			Percent of total billed charges		107.1	100			Fee schedule		17.9	100			Fee schedule		17.9	100			Fee schedule		17.9	100			Fee schedule		17.9		22.82		Case rate		22.82		22.82		Case rate		22.82	100			Fee schedule		17.9	17.9	113.4	
Homocysteine	83090	CPT	Outpatient			87	56.55		90			Percent of total billed charges		78.3		19.71		Case rate		19.71	80			Percent of total billed charges		69.6	90			Percent of total billed charges		78.3	100			Fee schedule		17.92	85			Percent of total billed charges		73.95	100			Fee schedule		17.92	100			Fee schedule		17.92	100			Fee schedule		17.92	100			Fee schedule		17.92		21.5		Case rate		21.5		21.5		Case rate		21.5	100			Fee schedule		17.92	17.92	78.3	
"Extractable nuclear antigen, antibody to, any method (eg, nRNP, SS-A, SS-B, Sm, RNP, Sc170, J01), each antibody"	86235	CPT	Outpatient			48	31.2		90			Percent of total billed charges		43.2		19.72		Case rate		19.72	80			Percent of total billed charges		38.4	90			Percent of total billed charges		43.2	100			Fee schedule		17.93	85			Percent of total billed charges		40.8	100			Fee schedule		17.93	100			Fee schedule		17.93	100			Fee schedule		17.93	100			Fee schedule		17.93		22.86		Case rate		22.86		22.86		Case rate		22.86	100			Fee schedule		17.93	17.93	43.2	
"Smear, primary source with interpretation; complex special stain (eg, trichrome, iron hemotoxylin) for ova and parasites"	87209	CPT	Outpatient			96	62.4		90			Percent of total billed charges		86.4		19.78		Case rate		19.78	80			Percent of total billed charges		76.8	90			Percent of total billed charges		86.4	100			Fee schedule		17.98	85			Percent of total billed charges		81.6	100			Fee schedule		17.98	100			Fee schedule		17.98	100			Fee schedule		17.98	100			Fee schedule		17.98		22.91		Case rate		22.91		22.91		Case rate		22.91	100			Fee schedule		17.98	17.98	86.4	
Cyclosporine	80158	CPT	Outpatient			40	26		90			Percent of total billed charges		36		19.86		Case rate		19.86	80			Percent of total billed charges		32	90			Percent of total billed charges		36	100			Fee schedule		18.05	85			Percent of total billed charges		34	100			Fee schedule		18.05	100			Fee schedule		18.05	100			Fee schedule		18.05	100			Fee schedule		18.05		23.01		Case rate		23.01		23.01		Case rate		23.01	100			Fee schedule		18.05	18.05	36	
"Immunoassay for infectious agent antibody(ies), qualitative or semiquantitative, single-step method (eg, reagent strip)"	86318	CPT	Outpatient			35	22.75		90			Percent of total billed charges		31.5		19.9		Case rate		19.9	80			Percent of total billed charges		28	90			Percent of total billed charges		31.5	100			Fee schedule		18.09	85			Percent of total billed charges		29.75	100			Fee schedule		18.09	100			Fee schedule		18.09	100			Fee schedule		18.09	100			Fee schedule		18.09		16.51		Case rate		16.51		16.51		Case rate		16.51	100			Fee schedule		18.09	16.51	31.5	
"Antibody; Epstein-Barr (EB) virus, viral capsid (VCA)"	86665	CPT	Outpatient			56	36.4		90			Percent of total billed charges		50.4		19.95		Case rate		19.95	80			Percent of total billed charges		44.8	90			Percent of total billed charges		50.4	100			Fee schedule		18.14	85			Percent of total billed charges		47.6	100			Fee schedule		18.14	100			Fee schedule		18.14	100			Fee schedule		18.14	100			Fee schedule		18.14		23.12		Case rate		23.12		23.12		Case rate		23.12	100			Fee schedule		18.14	18.14	50.4	
"Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique, hiv-1 and/or hiv-2, screening"	G0433	CPT	Outpatient			88	57.2		90			Percent of total billed charges		79.2		20.12		Case rate		20.12	80			Percent of total billed charges		70.4	90			Percent of total billed charges		79.2	100			Fee schedule		18.29	85			Percent of total billed charges		74.8	100			Fee schedule		18.29	100			Fee schedule		18.29	100			Fee schedule		18.29	100			Fee schedule		18.29		17.49		Case rate		17.49		17.49		Case rate		17.49	100			Fee schedule		18.29	17.49	79.2	
Antibody identification; platelet antibodies	86022	CPT	Outpatient			128	83.2		90			Percent of total billed charges		115.2		20.21		Case rate		20.21	80			Percent of total billed charges		102.4	90			Percent of total billed charges		115.2	100			Fee schedule		18.37	85			Percent of total billed charges		108.8	100			Fee schedule		18.37	100			Fee schedule		18.37	100			Fee schedule		18.37	100			Fee schedule		18.37		23.42		Case rate		23.42		23.42		Case rate		23.42	100			Fee schedule		18.37	18.37	115.2	
Prostate specific antigen (PSA); total	84153	CPT	Outpatient			89	57.85		90			Percent of total billed charges		80.1		20.23		Case rate		20.23	80			Percent of total billed charges		71.2	90			Percent of total billed charges		80.1	100			Fee schedule		18.39	85			Percent of total billed charges		75.65	100			Fee schedule		18.39	100			Fee schedule		18.39	100			Fee schedule		18.39	100			Fee schedule		18.39		23.45		Case rate		23.45		23.45		Case rate		23.45	100			Fee schedule		18.39	18.39	80.1	
Prostate specific antigen (PSA); free	84154	CPT	Outpatient			120	78		90			Percent of total billed charges		108		20.23		Case rate		20.23	80			Percent of total billed charges		96	90			Percent of total billed charges		108	100			Fee schedule		18.39	85			Percent of total billed charges		102	100			Fee schedule		18.39	100			Fee schedule		18.39	100			Fee schedule		18.39	100			Fee schedule		18.39		23.45		Case rate		23.45		23.45		Case rate		23.45	100			Fee schedule		18.39	18.39	108	
"Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA)"	83519	CPT	Outpatient			233	151.45		90			Percent of total billed charges		209.7		20.24		Case rate		20.24	80			Percent of total billed charges		186.4	90			Percent of total billed charges		209.7	100			Fee schedule		18.4	85			Percent of total billed charges		198.05	100			Fee schedule		18.4	100			Fee schedule		18.4	100			Fee schedule		18.4	100			Fee schedule		18.4		17.23		Case rate		17.23		17.23		Case rate		17.23	100			Fee schedule		18.4	17.23	209.7	
Gonadotropin; luteinizing hormone (LH)	83002	CPT	Outpatient			48	31.2		90			Percent of total billed charges		43.2		20.37		Case rate		20.37	80			Percent of total billed charges		38.4	90			Percent of total billed charges		43.2	100			Fee schedule		18.52	85			Percent of total billed charges		40.8	100			Fee schedule		18.52	100			Fee schedule		18.52	100			Fee schedule		18.52	100			Fee schedule		18.52		23.61		Case rate		23.61		23.61		Case rate		23.61	100			Fee schedule		18.52	18.52	43.2	
Gonadotropin; follicle stimulating hormone (FSH)	83001	CPT	Outpatient			48	31.2		90			Percent of total billed charges		43.2		20.44		Case rate		20.44	80			Percent of total billed charges		38.4	90			Percent of total billed charges		43.2	100			Fee schedule		18.58	85			Percent of total billed charges		40.8	100			Fee schedule		18.58	100			Fee schedule		18.58	100			Fee schedule		18.58	100			Fee schedule		18.58		23.69		Case rate		23.69		23.69		Case rate		23.69	100			Fee schedule		18.58	18.58	43.2	
"Quantitation of therapeutic drug, not elsewhere specified"	80299	CPT	Outpatient			84	54.6		90			Percent of total billed charges		75.6		20.5		Case rate		20.5	80			Percent of total billed charges		67.2	90			Percent of total billed charges		75.6	100			Fee schedule		18.64	85			Percent of total billed charges		71.4	100			Fee schedule		18.64	100			Fee schedule		18.64	100			Fee schedule		18.64	100			Fee schedule		18.64		17.46		Case rate		17.46		17.46		Case rate		17.46	100			Fee schedule		18.64	17.46	75.6	
Erythropoietin	82668	CPT	Outpatient			92	59.8		90			Percent of total billed charges		82.8		20.67		Case rate		20.67	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	100			Fee schedule		18.79	85			Percent of total billed charges		78.2	100			Fee schedule		18.79	100			Fee schedule		18.79	100			Fee schedule		18.79	100			Fee schedule		18.79		23.97		Case rate		23.97		23.97		Case rate		23.97	100			Fee schedule		18.79	18.79	82.8	
Carcinoembryonic antigen (CEA)	82378	CPT	Outpatient			87	56.55		90			Percent of total billed charges		78.3		20.86		Case rate		20.86	80			Percent of total billed charges		69.6	90			Percent of total billed charges		78.3	100			Fee schedule		18.96	85			Percent of total billed charges		73.95	100			Fee schedule		18.96	100			Fee schedule		18.96	100			Fee schedule		18.96	100			Fee schedule		18.96		24.18		Case rate		24.18		24.18		Case rate		24.18	100			Fee schedule		18.96	18.96	78.3	
Arsenic	82175	CPT	Outpatient			98	63.7		90			Percent of total billed charges		88.2		20.87		Case rate		20.87	80			Percent of total billed charges		78.4	90			Percent of total billed charges		88.2	100			Fee schedule		18.97	85			Percent of total billed charges		83.3	100			Fee schedule		18.97	100			Fee schedule		18.97	100			Fee schedule		18.97	100			Fee schedule		18.97		24.18		Case rate		24.18		24.18		Case rate		24.18	100			Fee schedule		18.97	18.97	88.2	
Clotting; factor IX (PTC or Christmas)	85250	CPT	Outpatient			170	110.5		90			Percent of total billed charges		153		20.94		Case rate		20.94	80			Percent of total billed charges		136	90			Percent of total billed charges		153	100			Fee schedule		19.04	85			Percent of total billed charges		144.5	100			Fee schedule		19.04	100			Fee schedule		19.04	100			Fee schedule		19.04	100			Fee schedule		19.04		24.27		Case rate		24.27		24.27		Case rate		24.27	100			Fee schedule		19.04	19.04	153	
Prostate cancer screening; prostate specific antigen test (psa)	G0103	CPT	Outpatient			89	57.85		90			Percent of total billed charges		80.1		21.24		Case rate		21.24	80			Percent of total billed charges		71.2	90			Percent of total billed charges		80.1	100			Fee schedule		19.31	85			Percent of total billed charges		75.65	100			Fee schedule		19.31	100			Fee schedule		19.31	100			Fee schedule		19.31	100			Fee schedule		19.31		23.45		Case rate		23.45		23.45		Case rate		23.45	100			Fee schedule		19.31	19.31	80.1	
Fetal lung maturity assessment; lamellar body density	83664	CPT	Outpatient			108	70.2		90			Percent of total billed charges		97.2		21.25		Case rate		21.25	80			Percent of total billed charges		86.4	90			Percent of total billed charges		97.2	100			Fee schedule		19.32	85			Percent of total billed charges		91.8	100			Fee schedule		19.32	100			Fee schedule		19.32	100			Fee schedule		19.32	100			Fee schedule		19.32		24.12		Case rate		24.12		24.12		Case rate		24.12	100			Fee schedule		19.32	19.32	97.2	
"Antibody; herpes simplex, type 2"	86696	CPT	Outpatient			17	11.05		90			Percent of total billed charges		15.3		21.29		Case rate	Use Lesser of logic	17	80			Percent of total billed charges		13.6	90			Percent of total billed charges		15.3	100			Fee schedule		19.35	85			Percent of total billed charges		14.45	100			Fee schedule		17	100			Fee schedule		19.35	100			Fee schedule		19.35	100			Fee schedule		19.35		24.67		Case rate	Use Lesser of logic	17		24.67		Case rate	Use Lesser of logic	17	100			Fee schedule		19.35	13.6	19.35	
Antibody; Rickettsia	86757	CPT	Outpatient			99	64.35		90			Percent of total billed charges		89.1		21.29		Case rate		21.29	80			Percent of total billed charges		79.2	90			Percent of total billed charges		89.1	100			Fee schedule		19.35	85			Percent of total billed charges		84.15	100			Fee schedule		19.35	100			Fee schedule		19.35	100			Fee schedule		19.35	100			Fee schedule		19.35		24.67		Case rate		24.67		24.67		Case rate		24.67	100			Fee schedule		19.35	19.35	89.1	
Prolactin	84146	CPT	Outpatient			50	32.5		90			Percent of total billed charges		45		21.32		Case rate		21.32	80			Percent of total billed charges		40	90			Percent of total billed charges		45	100			Fee schedule		19.38	85			Percent of total billed charges		42.5	100			Fee schedule		19.38	100			Fee schedule		19.38	100			Fee schedule		19.38	100			Fee schedule		19.38		24.71		Case rate		24.71		24.71		Case rate		24.71	100			Fee schedule		19.38	19.38	45	
"Calprotectin, fecal"	83993	CPT	Outpatient			264	171.6		90			Percent of total billed charges		237.6		21.59		Case rate		21.59	80			Percent of total billed charges		211.2	90			Percent of total billed charges		237.6	100			Fee schedule		19.63	85			Percent of total billed charges		224.4	100			Fee schedule		19.63	100			Fee schedule		19.63	100			Fee schedule		19.63	100			Fee schedule		19.63		25.02		Case rate		25.02		25.02		Case rate		25.02	100			Fee schedule		19.63	19.63	237.6	
Riboflavin (Vitamin B-2)	84252	CPT	Outpatient			17	11.05		90			Percent of total billed charges		15.3		22.26		Case rate	Use Lesser of logic	17	80			Percent of total billed charges		13.6	90			Percent of total billed charges		15.3	100			Fee schedule		20.24	85			Percent of total billed charges		14.45	100			Fee schedule		17	100			Fee schedule		20.24	100			Fee schedule		20.24	100			Fee schedule		20.24		25.79		Case rate	Use Lesser of logic	17		25.79		Case rate	Use Lesser of logic	17	100			Fee schedule		20.24	13.6	20.24	
Complement; total hemolytic (CH50)	86162	CPT	Outpatient			31	20.15		90			Percent of total billed charges		27.9		22.35		Case rate		22.35	80			Percent of total billed charges		24.8	90			Percent of total billed charges		27.9	100			Fee schedule		20.32	85			Percent of total billed charges		26.35	100			Fee schedule		20.32	100			Fee schedule		20.32	100			Fee schedule		20.32	100			Fee schedule		20.32		25.9		Case rate		25.9		25.9		Case rate		25.9	100			Fee schedule		20.32	20.32	27.9	
"Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; blood"	87103	CPT	Outpatient			140	91		90			Percent of total billed charges		126		22.51		Case rate		22.51	80			Percent of total billed charges		112	90			Percent of total billed charges		126	100			Fee schedule		20.46	85			Percent of total billed charges		119	100			Fee schedule		20.46	100			Fee schedule		20.46	100			Fee schedule		20.46	100			Fee schedule		20.46		11.49		Case rate		11.49		11.49		Case rate		11.49	100			Fee schedule		20.46	11.49	126	
C-peptide	84681	CPT	Outpatient			72	46.8		90			Percent of total billed charges		64.8		22.89		Case rate		22.89	80			Percent of total billed charges		57.6	90			Percent of total billed charges		64.8	100			Fee schedule		20.81	85			Percent of total billed charges		61.2	100			Fee schedule		20.81	100			Fee schedule		20.81	100			Fee schedule		20.81	100			Fee schedule		20.81		26.52		Case rate		26.52		26.52		Case rate		26.52	100			Fee schedule		20.81	20.81	64.8	
"Immunoassay for tumor antigen, other antigen, quantitative (eg, CA 50, 72-4, 549), each"	86316	CPT	Outpatient			50	32.5		90			Percent of total billed charges		45		22.89		Case rate		22.89	80			Percent of total billed charges		40	90			Percent of total billed charges		45	100			Fee schedule		20.81	85			Percent of total billed charges		42.5	100			Fee schedule		20.81	100			Fee schedule		20.81	100			Fee schedule		20.81	100			Fee schedule		20.81		26.53		Case rate		26.53		26.53		Case rate		26.53	100			Fee schedule		20.81	20.81	45	
"Immunoassay for tumor antigen, quantitative; CA 19-9"	86301	CPT	Outpatient			68	44.2		90			Percent of total billed charges		61.2		22.89		Case rate		22.89	80			Percent of total billed charges		54.4	90			Percent of total billed charges		61.2	100			Fee schedule		20.81	85			Percent of total billed charges		57.8	100			Fee schedule		20.81	100			Fee schedule		20.81	100			Fee schedule		20.81	100			Fee schedule		20.81		26.53		Case rate		26.53		26.53		Case rate		26.53	100			Fee schedule		20.81	20.81	61.2	
"Immunoassay for tumor antigen, quantitative; CA 15-3 (27.29)"	86300	CPT	Outpatient			72	46.8		90			Percent of total billed charges		64.8		22.89		Case rate		22.89	80			Percent of total billed charges		57.6	90			Percent of total billed charges		64.8	100			Fee schedule		20.81	85			Percent of total billed charges		61.2	100			Fee schedule		20.81	100			Fee schedule		20.81	100			Fee schedule		20.81	100			Fee schedule		20.81		26.53		Case rate		26.53		26.53		Case rate		26.53	100			Fee schedule		20.81	20.81	64.8	
"Immunoassay for tumor antigen, quantitative; CA 125"	86304	CPT	Outpatient			79	51.35		90			Percent of total billed charges		71.1		22.89		Case rate		22.89	80			Percent of total billed charges		63.2	90			Percent of total billed charges		71.1	100			Fee schedule		20.81	85			Percent of total billed charges		67.15	100			Fee schedule		20.81	100			Fee schedule		20.81	100			Fee schedule		20.81	100			Fee schedule		20.81		26.53		Case rate		26.53		26.53		Case rate		26.53	100			Fee schedule		20.81	20.81	71.1	
Progesterone	84144	CPT	Outpatient			53	34.45		90			Percent of total billed charges		47.7		22.95		Case rate		22.95	80			Percent of total billed charges		42.4	90			Percent of total billed charges		47.7	100			Fee schedule		20.86	85			Percent of total billed charges		45.05	100			Fee schedule		20.86	100			Fee schedule		20.86	100			Fee schedule		20.86	100			Fee schedule		20.86		26.6		Case rate		26.6		26.6		Case rate		26.6	100			Fee schedule		20.86	20.86	47.7	
"Heavy metal (eg, arsenic, barium, beryllium, bismuth, antimony, mercury); qualitative, any number of analytes"	83015	CPT	Outpatient			111	72.15		90			Percent of total billed charges		99.9		23.03		Case rate		23.03	80			Percent of total billed charges		88.8	90			Percent of total billed charges		99.9	100			Fee schedule		20.94	85			Percent of total billed charges		94.35	100			Fee schedule		20.94	100			Fee schedule		20.94	100			Fee schedule		20.94	100			Fee schedule		20.94		24		Case rate		24		24		Case rate		24	100			Fee schedule		20.94	20.94	99.9	
"Organic acid, single, quantitative"	83921	CPT	Outpatient			148	96.2		90			Percent of total billed charges		133.2		23.33		Case rate		23.33	80			Percent of total billed charges		118.4	90			Percent of total billed charges		133.2	100			Fee schedule		21.21	85			Percent of total billed charges		125.8	100			Fee schedule		21.21	100			Fee schedule		21.21	100			Fee schedule		21.21	100			Fee schedule		21.21		20.98		Case rate		20.98		20.98		Case rate		20.98	100			Fee schedule		21.21	20.98	133.2	
Thiamine (Vitamin B-1)	84425	CPT	Outpatient			69	44.85		90			Percent of total billed charges		62.1		23.35		Case rate		23.35	80			Percent of total billed charges		55.2	90			Percent of total billed charges		62.1	100			Fee schedule		21.23	85			Percent of total billed charges		58.65	100			Fee schedule		21.23	100			Fee schedule		21.23	100			Fee schedule		21.23	100			Fee schedule		21.23		27.06		Case rate		27.06		27.06		Case rate		27.06	100			Fee schedule		21.23	21.23	62.1	
Somatomedin	84305	CPT	Outpatient			113	73.45		90			Percent of total billed charges		101.7		23.39		Case rate		23.39	80			Percent of total billed charges		90.4	90			Percent of total billed charges		101.7	100			Fee schedule		21.26	85			Percent of total billed charges		96.05	100			Fee schedule		21.26	100			Fee schedule		21.26	100			Fee schedule		21.26	100			Fee schedule		21.26		27.1		Case rate		27.1		27.1		Case rate		27.1	100			Fee schedule		21.26	21.26	101.7	
Insulin antibodies	86337	CPT	Outpatient			75	48.75		90			Percent of total billed charges		67.5		23.55		Case rate		23.55	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	100			Fee schedule		21.41	85			Percent of total billed charges		63.75	100			Fee schedule		21.41	100			Fee schedule		21.41	100			Fee schedule		21.41	100			Fee schedule		21.41		27.3		Case rate		27.3		27.3		Case rate		27.3	100			Fee schedule		21.41	21.41	67.5	
Estrogens; total	82672	CPT	Outpatient			80	52		90			Percent of total billed charges		72		23.87		Case rate		23.87	80			Percent of total billed charges		64	90			Percent of total billed charges		72	100			Fee schedule		21.7	85			Percent of total billed charges		68	100			Fee schedule		21.7	100			Fee schedule		21.7	100			Fee schedule		21.7	100			Fee schedule		21.7		27.65		Case rate		27.65		27.65		Case rate		27.65	100			Fee schedule		21.7	21.7	72	
"Infectious agent antigen detection by immunoassay with direct optical (ie, visual) observation; adenovirus"	87809	CPT	Outpatient			84	54.6		90			Percent of total billed charges		75.6		23.94		Case rate		23.94	80			Percent of total billed charges		67.2	90			Percent of total billed charges		75.6	100			Fee schedule		21.76	85			Percent of total billed charges		71.4	100			Fee schedule		21.76	100			Fee schedule		21.76	100			Fee schedule		21.76	100			Fee schedule		21.76		15.29		Case rate		15.29		15.29		Case rate		15.29	100			Fee schedule		21.76	15.29	75.6	
Renin	84244	CPT	Outpatient			58	37.7		90			Percent of total billed charges		52.2		24.19		Case rate		24.19	80			Percent of total billed charges		46.4	90			Percent of total billed charges		52.2	100			Fee schedule		21.99	85			Percent of total billed charges		49.3	100			Fee schedule		21.99	100			Fee schedule		21.99	100			Fee schedule		21.99	100			Fee schedule		21.99		28.04		Case rate		28.04		28.04		Case rate		28.04	100			Fee schedule		21.99	21.99	52.2	
Dehydroepiandrosterone-sulfate (DHEA-S)	82627	CPT	Outpatient			58	37.7		90			Percent of total billed charges		52.2		24.45		Case rate		24.45	80			Percent of total billed charges		46.4	90			Percent of total billed charges		52.2	100			Fee schedule		22.23	85			Percent of total billed charges		49.3	100			Fee schedule		22.23	100			Fee schedule		22.23	100			Fee schedule		22.23	100			Fee schedule		22.23		28.34		Case rate		28.34		28.34		Case rate		28.34	100			Fee schedule		22.23	22.23	52.2	
"Clotting; factor VIII, VW factor antigen"	85246	CPT	Outpatient			147	95.55		90			Percent of total billed charges		132.3		25.23		Case rate		25.23	80			Percent of total billed charges		117.6	90			Percent of total billed charges		132.3	100			Fee schedule		22.94	85			Percent of total billed charges		124.95	100			Fee schedule		22.94	100			Fee schedule		22.94	100			Fee schedule		22.94	100			Fee schedule		22.94		29.25		Case rate		29.25		29.25		Case rate		29.25	100			Fee schedule		22.94	22.94	132.3	
Islet cell antibody	86341	CPT	Outpatient			108	70.2		90			Percent of total billed charges		97.2		25.93		Case rate		25.93	80			Percent of total billed charges		86.4	90			Percent of total billed charges		97.2	100			Fee schedule		23.57	85			Percent of total billed charges		91.8	100			Fee schedule		23.57	100			Fee schedule		23.57	100			Fee schedule		23.57	100			Fee schedule		23.57		25.22		Case rate		25.22		25.22		Case rate		25.22	100			Fee schedule		23.57	23.57	97.2	
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies, single result"	87389	CPT	Outpatient			24.08	15.65		90			Percent of total billed charges		21.67		26.49		Case rate	Use Lesser of logic	24.08	80			Percent of total billed charges		19.26	90			Percent of total billed charges		21.67	100			Fee schedule		24.08	85			Percent of total billed charges		20.47	100			Fee schedule		24.08	100			Fee schedule		24.08	100			Fee schedule		24.08	100			Fee schedule		24.08		30.71		Case rate	Use Lesser of logic	24.08		30.71		Case rate	Use Lesser of logic	24.08	100			Fee schedule		24.08	19.26	24.08	
"Column chromatography, includes mass spectrometry, if performed (eg, HPLC, LC, LC/MS, LC/MS-MS, GC, GC/MS-MS, GC/MS, HPLC/MS), non-drug analyte(s) not elsewhere specified, qualitative or quantitative, each specimen"	82542	CPT	Outpatient			31	20.15		90			Percent of total billed charges		27.9		26.5		Case rate		26.5	80			Percent of total billed charges		24.8	90			Percent of total billed charges		27.9	100			Fee schedule		24.09	85			Percent of total billed charges		26.35	100			Fee schedule		24.09	100			Fee schedule		24.09	100			Fee schedule		24.09	100			Fee schedule		24.09		23.01		Case rate		23.01		23.01		Case rate		23.01	100			Fee schedule		24.09	23.01	27.9	
"Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes"	97140	CPT	Outpatient			80	52		90			Percent of total billed charges		72		28.34		Case rate		28.34	80			Percent of total billed charges		64	90			Percent of total billed charges		72	100			Fee schedule		24.65	85			Percent of total billed charges		68	100			Fee schedule		24.65	100			Fee schedule		24.65	100			Fee schedule		24.65	100			Fee schedule		24.65		107		Case rate	Use Lesser of logic	80		107		Case rate	Use Lesser of logic	80	100			Fee schedule		24.65	24.65	80	
Estrone	82679	CPT	Outpatient			145	94.25		90			Percent of total billed charges		130.5		27.45		Case rate		27.45	80			Percent of total billed charges		116	90			Percent of total billed charges		130.5	100			Fee schedule		24.95	85			Percent of total billed charges		123.25	100			Fee schedule		24.95	100			Fee schedule		24.95	100			Fee schedule		24.95	100			Fee schedule		24.95		31.82		Case rate		31.82		31.82		Case rate		31.82	100			Fee schedule		24.95	24.95	130.5	
Catecholamines; fractionated	82384	CPT	Outpatient			96	62.4		90			Percent of total billed charges		86.4		27.78		Case rate		27.78	80			Percent of total billed charges		76.8	90			Percent of total billed charges		86.4	100			Fee schedule		25.25	85			Percent of total billed charges		81.6	100			Fee schedule		25.25	100			Fee schedule		25.25	100			Fee schedule		25.25	100			Fee schedule		25.25		32.18		Case rate		32.18		32.18		Case rate		32.18	100			Fee schedule		25.25	25.25	86.4	
Dehydroepiandrosterone (DHEA)	82626	CPT	Outpatient			113	73.45		90			Percent of total billed charges		101.7		27.8		Case rate		27.8	80			Percent of total billed charges		90.4	90			Percent of total billed charges		101.7	100			Fee schedule		25.27	85			Percent of total billed charges		96.05	100			Fee schedule		25.27	100			Fee schedule		25.27	100			Fee schedule		25.27	100			Fee schedule		25.27		32.21		Case rate		32.21		32.21		Case rate		32.21	100			Fee schedule		25.27	25.27	101.7	
"Cardiolipin (phospholipid) antibody, each Ig class"	86147	CPT	Outpatient			31	20.15		90			Percent of total billed charges		27.9		28		Case rate		28	80			Percent of total billed charges		24.8	90			Percent of total billed charges		27.9	100			Fee schedule		25.45	85			Percent of total billed charges		26.35	100			Fee schedule		25.45	100			Fee schedule		25.45	100			Fee schedule		25.45	100			Fee schedule		25.45		32.44		Case rate	Use Lesser of logic	31		32.44		Case rate	Use Lesser of logic	31	100			Fee schedule		25.45	24.8	31	
"Beta 2 Glycoprotein I antibody, each"	86146	CPT	Outpatient			34	22.1		90			Percent of total billed charges		30.6		28		Case rate		28	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	100			Fee schedule		25.45	85			Percent of total billed charges		28.9	100			Fee schedule		25.45	100			Fee schedule		25.45	100			Fee schedule		25.45	100			Fee schedule		25.45		32.44		Case rate		32.44		32.44		Case rate		32.44	100			Fee schedule		25.45	25.45	32.44	
"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation)"	82803	CPT	Outpatient			174	113.1		90			Percent of total billed charges		156.6		28.68		Case rate		28.68	80			Percent of total billed charges		139.2	90			Percent of total billed charges		156.6	100			Fee schedule		26.07	85			Percent of total billed charges		147.9	100			Fee schedule		26.07	100			Fee schedule		26.07	100			Fee schedule		26.07	100			Fee schedule		26.07		24.66		Case rate		24.66		24.66		Case rate		24.66	100			Fee schedule		26.07	24.66	156.6	
"Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect"	87252	CPT	Outpatient			113	73.45		90			Percent of total billed charges		101.7		28.68		Case rate		28.68	80			Percent of total billed charges		90.4	90			Percent of total billed charges		101.7	100			Fee schedule		26.07	85			Percent of total billed charges		96.05	100			Fee schedule		26.07	100			Fee schedule		26.07	100			Fee schedule		26.07	100			Fee schedule		26.07		33.23		Case rate		33.23		33.23		Case rate		33.23	100			Fee schedule		26.07	26.07	101.7	
Proinsulin	84206	CPT	Outpatient			83	53.95		90			Percent of total billed charges		74.7		29.36		Case rate		29.36	80			Percent of total billed charges		66.4	90			Percent of total billed charges		74.7	100			Fee schedule		26.69	85			Percent of total billed charges		70.55	100			Fee schedule		26.69	100			Fee schedule		26.69	100			Fee schedule		26.69	100			Fee schedule		26.69		22.71		Case rate		22.71		22.71		Case rate		22.71	100			Fee schedule		26.69	22.71	74.7	
"Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)"	97116	CPT	Outpatient			80	52		90			Percent of total billed charges		72		30.71		Case rate		30.71	80			Percent of total billed charges		64	90			Percent of total billed charges		72	100			Fee schedule		26.7	85			Percent of total billed charges		68	100			Fee schedule		26.7	100			Fee schedule		26.7	100			Fee schedule		26.7	100			Fee schedule		26.7		107		Case rate	Use Lesser of logic	80		107		Case rate	Use Lesser of logic	80	100			Fee schedule		26.7	26.7	80	
"Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility"	97110	CPT	Outpatient			80	52		90			Percent of total billed charges		72		30.71		Case rate		30.71	80			Percent of total billed charges		64	90			Percent of total billed charges		72	100			Fee schedule		26.7	85			Percent of total billed charges		68	100			Fee schedule		26.7	100			Fee schedule		26.7	100			Fee schedule		26.7	100			Fee schedule		26.7		107		Case rate	Use Lesser of logic	80		107		Case rate	Use Lesser of logic	80	100			Fee schedule		26.7	26.7	80	
T cells; absolute CD4 count	86361	CPT	Outpatient			109	70.85		90			Percent of total billed charges		98.1		29.46		Case rate		29.46	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	100			Fee schedule		26.78	85			Percent of total billed charges		92.65	100			Fee schedule		26.78	100			Fee schedule		26.78	100			Fee schedule		26.78	100			Fee schedule		26.78		34.13		Case rate		34.13		34.13		Case rate		34.13	100			Fee schedule		26.78	26.78	98.1	
Calcitonin	82308	CPT	Outpatient			96	62.4		90			Percent of total billed charges		86.4		29.47		Case rate		29.47	80			Percent of total billed charges		76.8	90			Percent of total billed charges		86.4	100			Fee schedule		26.79	85			Percent of total billed charges		81.6	100			Fee schedule		26.79	100			Fee schedule		26.79	100			Fee schedule		26.79	100			Fee schedule		26.79		34.14		Case rate		34.14		34.14		Case rate		34.14	100			Fee schedule		26.79	26.79	86.4	
"Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, with manual screening and rescreening by cytotechnologist under physician supervision"	G0143	CPT	Outpatient			53	34.45		90			Percent of total billed charges		47.7		29.76		Case rate		29.76	80			Percent of total billed charges		42.4	90			Percent of total billed charges		47.7	100			Fee schedule		27.05	85			Percent of total billed charges		45.05	100			Fee schedule		27.05	100			Fee schedule		27.05	100			Fee schedule		27.05	100			Fee schedule		27.05		25.83		Case rate		25.83		25.83		Case rate		25.83	100			Fee schedule		27.05	25.83	47.7	
"Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)"	97124	CPT	Outpatient			94	61.1		90			Percent of total billed charges		84.6		29.52		Case rate		29.52	80			Percent of total billed charges		75.2	90			Percent of total billed charges		84.6	100			Fee schedule		27.06	85			Percent of total billed charges		79.9	100			Fee schedule		27.06	100			Fee schedule		27.06	100			Fee schedule		27.06	100			Fee schedule		27.06		107		Case rate	Use Lesser of logic	94		107		Case rate	Use Lesser of logic	94	100			Fee schedule		27.06	27.06	94	
Procalcitonin (PCT)	84145	CPT	Outpatient			184	119.6		90			Percent of total billed charges		165.6		29.94		Case rate		29.94	80			Percent of total billed charges		147.2	90			Percent of total billed charges		165.6	100			Fee schedule		27.22	85			Percent of total billed charges		156.4	100			Fee schedule		27.22	100			Fee schedule		27.22	100			Fee schedule		27.22	100			Fee schedule		27.22		34.14		Case rate		34.14		34.14		Case rate		34.14	100			Fee schedule		27.22	27.22	165.6	
Oligoclonal immune (oligoclonal bands)	83916	CPT	Outpatient			128	83.2		90			Percent of total billed charges		115.2		30.13		Case rate		30.13	80			Percent of total billed charges		102.4	90			Percent of total billed charges		115.2	100			Fee schedule		27.39	85			Percent of total billed charges		108.8	100			Fee schedule		27.39	100			Fee schedule		27.39	100			Fee schedule		27.39	100			Fee schedule		27.39		25.63		Case rate		25.63		25.63		Case rate		25.63	100			Fee schedule		27.39	25.63	115.2	
Estradiol; total	82670	CPT	Outpatient			72	46.8		90			Percent of total billed charges		64.8		30.73		Case rate		30.73	80			Percent of total billed charges		57.6	90			Percent of total billed charges		64.8	100			Fee schedule		27.94	85			Percent of total billed charges		61.2	100			Fee schedule		27.94	100			Fee schedule		27.94	100			Fee schedule		27.94	100			Fee schedule		27.94		35.62		Case rate		35.62		35.62		Case rate		35.62	100			Fee schedule		27.94	27.94	64.8	
Pyridoxal phosphate (Vitamin B-6)	84207	CPT	Outpatient			92	59.8		90			Percent of total billed charges		82.8		30.91		Case rate		30.91	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	100			Fee schedule		28.1	85			Percent of total billed charges		78.2	100			Fee schedule		28.1	100			Fee schedule		28.1	100			Fee schedule		28.1	100			Fee schedule		28.1		35.82		Case rate		35.82		35.82		Case rate		35.82	100			Fee schedule		28.1	28.1	82.8	
"Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition or treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each 15 minutes"	G0270	CPT	Outpatient			34	22.1		90			Percent of total billed charges		30.6		28.78		Case rate		28.78	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	100			Fee schedule		28.66	85			Percent of total billed charges		28.9	100			Fee schedule		28.66	100			Fee schedule		28.66	100			Fee schedule		28.66	100			Fee schedule		28.66		89		Case rate	Use Lesser of logic	34		89		Case rate	Use Lesser of logic	34	100			Fee schedule		28.66	27.2	34	
"Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes"	97803	CPT	Outpatient			34	22.1		90			Percent of total billed charges		30.6		28.78		Case rate		28.78	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	100			Fee schedule		28.66	85			Percent of total billed charges		28.9	100			Fee schedule		28.66	100			Fee schedule		28.66	100			Fee schedule		28.66	100			Fee schedule		28.66		89		Case rate	Use Lesser of logic	34		89		Case rate	Use Lesser of logic	34	100			Fee schedule		28.66	27.2	34	
"Wheelchair management (eg, assessment, fitting, training), each 15 minutes"	97542	CPT	Outpatient			80	52		90			Percent of total billed charges		72		33.15		Case rate		33.15	80			Percent of total billed charges		64	90			Percent of total billed charges		72	100			Fee schedule		28.8	85			Percent of total billed charges		68	100			Fee schedule		28.8	100			Fee schedule		28.8	100			Fee schedule		28.8	100			Fee schedule		28.8		107		Case rate	Use Lesser of logic	80		107		Case rate	Use Lesser of logic	80	100			Fee schedule		28.8	28.8	80	
Androstenedione	82157	CPT	Outpatient			102	66.3		90			Percent of total billed charges		91.8		32.21		Case rate		32.21	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	100			Fee schedule		29.28	85			Percent of total billed charges		86.7	100			Fee schedule		29.28	100			Fee schedule		29.28	100			Fee schedule		29.28	100			Fee schedule		29.28		37.31		Case rate		37.31		37.31		Case rate		37.31	100			Fee schedule		29.28	29.28	91.8	
"Immunofixation electrophoresis; other fluids with concentration (eg, urine, CSF)"	86335	CPT	Outpatient			107	69.55		90			Percent of total billed charges		96.3		32.29		Case rate		32.29	80			Percent of total billed charges		85.6	90			Percent of total billed charges		96.3	100			Fee schedule		29.35	85			Percent of total billed charges		90.95	100			Fee schedule		29.35	100			Fee schedule		29.35	100			Fee schedule		29.35	100			Fee schedule		29.35		37.41		Case rate		37.41		37.41		Case rate		37.41	100			Fee schedule		29.35	29.35	96.3	
"Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutes"	97535	CPT	Outpatient			80	52		90			Percent of total billed charges		72		33.95		Case rate		33.95	80			Percent of total billed charges		64	90			Percent of total billed charges		72	100			Fee schedule		29.49	85			Percent of total billed charges		68	100			Fee schedule		29.49	100			Fee schedule		29.49	100			Fee schedule		29.49	100			Fee schedule		29.49		107		Case rate	Use Lesser of logic	80		107		Case rate	Use Lesser of logic	80	100			Fee schedule		29.49	29.49	80	
"Vitamin D; 25 hydroxy, includes fraction(s), if performed"	82306	CPT	Outpatient			100	65		90			Percent of total billed charges		90		32.56		Case rate		32.56	80			Percent of total billed charges		80	90			Percent of total billed charges		90	100			Fee schedule		29.6	85			Percent of total billed charges		85	100			Fee schedule		29.6	100			Fee schedule		29.6	100			Fee schedule		29.6	100			Fee schedule		29.6		37.75		Case rate		37.75		37.75		Case rate		37.75	100			Fee schedule		29.6	29.6	90	
Alcohol (ethanol); breath	82075	CPT	Outpatient			55	35.75		90			Percent of total billed charges		49.5		33		Case rate		33	80			Percent of total billed charges		44	90			Percent of total billed charges		49.5	100			Fee schedule		30	85			Percent of total billed charges		46.75	100			Fee schedule		30	100			Fee schedule		30	100			Fee schedule		30	100			Fee schedule		30		15.36		Case rate		15.36		15.36		Case rate		15.36	100			Fee schedule		30	15.36	49.5	
"Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities"	97112	CPT	Outpatient			80	52		90			Percent of total billed charges		72		35.54		Case rate		35.54	80			Percent of total billed charges		64	90			Percent of total billed charges		72	100			Fee schedule		30.57	85			Percent of total billed charges		68	100			Fee schedule		30.57	100			Fee schedule		30.57	100			Fee schedule		30.57	100			Fee schedule		30.57		107		Case rate	Use Lesser of logic	80		107		Case rate	Use Lesser of logic	80	100			Fee schedule		30.57	30.57	80	
"Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutes"	97750	CPT	Outpatient			1285	835.25		90			Percent of total billed charges		1156.5		34.6		Case rate		34.6	80			Percent of total billed charges		1028	90			Percent of total billed charges		1156.5	100			Fee schedule		30.61	85			Percent of total billed charges		1092.25	100			Fee schedule		30.61	100			Fee schedule		30.61	100			Fee schedule		30.61	100			Fee schedule		30.61		107		Case rate		107		107		Case rate		107	100			Fee schedule		30.61	30.61	1156.5	
Serotonin	84260	CPT	Outpatient			108	70.2		90			Percent of total billed charges		97.2		34.08		Case rate		34.08	80			Percent of total billed charges		86.4	90			Percent of total billed charges		97.2	100			Fee schedule		30.98	85			Percent of total billed charges		91.8	100			Fee schedule		30.98	100			Fee schedule		30.98	100			Fee schedule		30.98	100			Fee schedule		30.98		39.48		Case rate		39.48		39.48		Case rate		39.48	100			Fee schedule		30.98	30.98	97.2	
"Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutes"	97530	CPT	Outpatient			321	208.65		90			Percent of total billed charges		288.9		39.06		Case rate		39.06	80			Percent of total billed charges		256.8	90			Percent of total billed charges		288.9	100			Fee schedule		32.79	85			Percent of total billed charges		272.85	100			Fee schedule		32.79	100			Fee schedule		32.79	100			Fee schedule		32.79	100			Fee schedule		32.79		107		Case rate		107		107		Case rate		107	100			Fee schedule		32.79	32.79	288.9	
"Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes"	97802	CPT	Outpatient			40	26		90			Percent of total billed charges		36		33.78		Case rate		33.78	80			Percent of total billed charges		32	90			Percent of total billed charges		36	100			Fee schedule		32.95	85			Percent of total billed charges		34	100			Fee schedule		32.95	100			Fee schedule		32.95	100			Fee schedule		32.95	100			Fee schedule		32.95		89		Case rate	Use Lesser of logic	40		89		Case rate	Use Lesser of logic	40	100			Fee schedule		32.95	32	40	
"Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercises"	97113	CPT	Outpatient			80	52		90			Percent of total billed charges		72		38.32		Case rate		38.32	80			Percent of total billed charges		64	90			Percent of total billed charges		72	100			Fee schedule		32.99	85			Percent of total billed charges		68	100			Fee schedule		32.99	100			Fee schedule		32.99	100			Fee schedule		32.99	100			Fee schedule		32.99		107		Case rate	Use Lesser of logic	80		107		Case rate	Use Lesser of logic	80	100			Fee schedule		32.99	32.99	80	
"Virus isolation; including identification by non-immunologic method, other than by cytopathic effect (eg, virus specific enzymatic activity)"	87255	CPT	Outpatient			38	24.7		90			Percent of total billed charges		34.2		37.25		Case rate		37.25	80			Percent of total billed charges		30.4	90			Percent of total billed charges		34.2	100			Fee schedule		33.86	85			Percent of total billed charges		32.3	100			Fee schedule		33.86	100			Fee schedule		33.86	100			Fee schedule		33.86	100			Fee schedule		33.86		43.17		Case rate	Use Lesser of logic	38		43.17		Case rate	Use Lesser of logic	38	100			Fee schedule		33.86	30.4	38	
"Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed"	87150	CPT	Outpatient			39	25.35		90			Percent of total billed charges		35.1		38.6		Case rate		38.6	80			Percent of total billed charges		31.2	90			Percent of total billed charges		35.1	100			Fee schedule		35.09	85			Percent of total billed charges		33.15	100			Fee schedule		35.09	100			Fee schedule		35.09	100			Fee schedule		35.09	100			Fee schedule		35.09		44.74		Case rate	Use Lesser of logic	39		44.74		Case rate	Use Lesser of logic	39	100			Fee schedule		35.09	31.2	39	
"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; amplified probe technique, each organism"	87798	CPT	Outpatient			46	29.9		90			Percent of total billed charges		41.4		38.6		Case rate		38.6	80			Percent of total billed charges		36.8	90			Percent of total billed charges		41.4	100			Fee schedule		35.09	85			Percent of total billed charges		39.1	100			Fee schedule		35.09	100			Fee schedule		35.09	100			Fee schedule		35.09	100			Fee schedule		35.09		44.74		Case rate		44.74		44.74		Case rate		44.74	100			Fee schedule		35.09	35.09	44.74	
"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae, amplified probe technique"	87486	CPT	Outpatient			46	29.9		90			Percent of total billed charges		41.4		38.6		Case rate		38.6	80			Percent of total billed charges		36.8	90			Percent of total billed charges		41.4	100			Fee schedule		35.09	85			Percent of total billed charges		39.1	100			Fee schedule		35.09	100			Fee schedule		35.09	100			Fee schedule		35.09	100			Fee schedule		35.09		44.74		Case rate		44.74		44.74		Case rate		44.74	100			Fee schedule		35.09	35.09	44.74	
"Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila, amplified probe technique"	87541	CPT	Outpatient			46	29.9		90			Percent of total billed charges		41.4		38.6		Case rate		38.6	80			Percent of total billed charges		36.8	90			Percent of total billed charges		41.4	100			Fee schedule		35.09	85			Percent of total billed charges		39.1	100			Fee schedule		35.09	100			Fee schedule		35.09	100			Fee schedule		35.09	100			Fee schedule		35.09		44.74		Case rate		44.74		44.74		Case rate		44.74	100			Fee schedule		35.09	35.09	44.74	
"Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae, amplified probe technique"	87581	CPT	Outpatient			46	29.9		90			Percent of total billed charges		41.4		38.6		Case rate		38.6	80			Percent of total billed charges		36.8	90			Percent of total billed charges		41.4	100			Fee schedule		35.09	85			Percent of total billed charges		39.1	100			Fee schedule		35.09	100			Fee schedule		35.09	100			Fee schedule		35.09	100			Fee schedule		35.09		44.74		Case rate		44.74		44.74		Case rate		44.74	100			Fee schedule		35.09	35.09	44.74	
"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, amplified probe technique, includes reverse transcription when performed"	87535	CPT	Outpatient			71.2	46.28		90			Percent of total billed charges		64.08		38.6		Case rate		38.6	80			Percent of total billed charges		56.96	90			Percent of total billed charges		64.08	100			Fee schedule		35.09	85			Percent of total billed charges		60.52	100			Fee schedule		35.09	100			Fee schedule		35.09	100			Fee schedule		35.09	100			Fee schedule		35.09		44.74		Case rate		44.74		44.74		Case rate		44.74	100			Fee schedule		35.09	35.09	64.08	
"Infectious agent detection by nucleic acid (DNA or RNA); HIV-2, amplified probe technique, includes reverse transcription when performed"	87538	CPT	Outpatient			71.2	46.28		90			Percent of total billed charges		64.08		38.6		Case rate		38.6	80			Percent of total billed charges		56.96	90			Percent of total billed charges		64.08	100			Fee schedule		35.09	85			Percent of total billed charges		60.52	100			Fee schedule		35.09	100			Fee schedule		35.09	100			Fee schedule		35.09	100			Fee schedule		35.09		44.74		Case rate		44.74		44.74		Case rate		44.74	100			Fee schedule		35.09	35.09	64.08	
"Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, amplified probe technique"	87491	CPT	Outpatient			74	48.1		90			Percent of total billed charges		66.6		38.6		Case rate		38.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	100			Fee schedule		35.09	85			Percent of total billed charges		62.9	100			Fee schedule		35.09	100			Fee schedule		35.09	100			Fee schedule		35.09	100			Fee schedule		35.09		44.74		Case rate		44.74		44.74		Case rate		44.74	100			Fee schedule		35.09	35.09	66.6	
"Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae, amplified probe technique"	87591	CPT	Outpatient			74	48.1		90			Percent of total billed charges		66.6		38.6		Case rate		38.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	100			Fee schedule		35.09	85			Percent of total billed charges		62.9	100			Fee schedule		35.09	100			Fee schedule		35.09	100			Fee schedule		35.09	100			Fee schedule		35.09		44.74		Case rate		44.74		44.74		Case rate		44.74	100			Fee schedule		35.09	35.09	66.6	
"Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus, amplified probe technique"	87529	CPT	Outpatient			185	120.25		90			Percent of total billed charges		166.5		38.6		Case rate		38.6	80			Percent of total billed charges		148	90			Percent of total billed charges		166.5	100			Fee schedule		35.09	85			Percent of total billed charges		157.25	100			Fee schedule		35.09	100			Fee schedule		35.09	100			Fee schedule		35.09	100			Fee schedule		35.09		44.74		Case rate		44.74		44.74		Case rate		44.74	100			Fee schedule		35.09	35.09	166.5	
"Infectious agent detection by nucleic acid (DNA or RNA); enterovirus, amplified probe technique, includes reverse transcription when performed"	87498	CPT	Outpatient			185	120.25		90			Percent of total billed charges		166.5		38.6		Case rate		38.6	80			Percent of total billed charges		148	90			Percent of total billed charges		166.5	100			Fee schedule		35.09	85			Percent of total billed charges		157.25	100			Fee schedule		35.09	100			Fee schedule		35.09	100			Fee schedule		35.09	100			Fee schedule		35.09		44.74		Case rate		44.74		44.74		Case rate		44.74	100			Fee schedule		35.09	35.09	166.5	
"Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus, amplified probe technique"	87496	CPT	Outpatient			312	202.8		90			Percent of total billed charges		280.8		38.6		Case rate		38.6	80			Percent of total billed charges		249.6	90			Percent of total billed charges		280.8	100			Fee schedule		35.09	85			Percent of total billed charges		265.2	100			Fee schedule		35.09	100			Fee schedule		35.09	100			Fee schedule		35.09	100			Fee schedule		35.09		44.74		Case rate		44.74		44.74		Case rate		44.74	100			Fee schedule		35.09	35.09	280.8	
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, amplified probe technique, includes reverse transcription when performed"	87521	CPT	Outpatient			409	265.85		90			Percent of total billed charges		368.1		38.6		Case rate		38.6	80			Percent of total billed charges		327.2	90			Percent of total billed charges		368.1	100			Fee schedule		35.09	85			Percent of total billed charges		347.65	100			Fee schedule		35.09	100			Fee schedule		35.09	100			Fee schedule		35.09	100			Fee schedule		35.09		44.74		Case rate		44.74		44.74		Case rate		44.74	100			Fee schedule		35.09	35.09	368.1	
Vasoactive intestinal peptide (VIP)	84586	CPT	Outpatient			191	124.15		90			Percent of total billed charges		171.9		38.86		Case rate		38.86	80			Percent of total billed charges		152.8	90			Percent of total billed charges		171.9	100			Fee schedule		35.33	85			Percent of total billed charges		162.35	100			Fee schedule		35.33	100			Fee schedule		35.33	100			Fee schedule		35.33	100			Fee schedule		35.33		45.05		Case rate		45.05		45.05		Case rate		45.05	100			Fee schedule		35.33	35.33	171.9	
Receptor assay; non-endocrine (specify receptor)	84238	CPT	Outpatient			98	63.7		90			Percent of total billed charges		88.2		40.23		Case rate		40.23	80			Percent of total billed charges		78.4	90			Percent of total billed charges		88.2	100			Fee schedule		36.57	85			Percent of total billed charges		83.3	100			Fee schedule		36.57	100			Fee schedule		36.57	100			Fee schedule		36.57	100			Fee schedule		36.57		46.61		Case rate		46.61		46.61		Case rate		46.61	100			Fee schedule		36.57	36.57	88.2	
"Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique"	87493	CPT	Outpatient			152	98.8		90			Percent of total billed charges		136.8		41		Case rate		41	80			Percent of total billed charges		121.6	90			Percent of total billed charges		136.8	100			Fee schedule		37.27	85			Percent of total billed charges		129.2	100			Fee schedule		37.27	100			Fee schedule		37.27	100			Fee schedule		37.27	100			Fee schedule		37.27		44.74		Case rate		44.74		44.74		Case rate		44.74	100			Fee schedule		37.27	37.27	136.8	
"Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutes"	97761	CPT	Outpatient			80	52		90			Percent of total billed charges		72		42.33		Case rate		42.33	80			Percent of total billed charges		64	90			Percent of total billed charges		72	100			Fee schedule		37.27	85			Percent of total billed charges		68	100			Fee schedule		37.27	100			Fee schedule		37.27	100			Fee schedule		37.27	100			Fee schedule		37.27		107		Case rate	Use Lesser of logic	80		107		Case rate	Use Lesser of logic	80	100			Fee schedule		37.27	37.27	80	
"Natural killer (NK) cells, total count"	86357	CPT	Outpatient			432	280.8		90			Percent of total billed charges		388.8		41.5		Case rate		41.5	80			Percent of total billed charges		345.6	90			Percent of total billed charges		388.8	100			Fee schedule		37.73	85			Percent of total billed charges		367.2	100			Fee schedule		37.73	100			Fee schedule		37.73	100			Fee schedule		37.73	100			Fee schedule		37.73		48.09		Case rate		48.09		48.09		Case rate		48.09	100			Fee schedule		37.73	37.73	388.8	
T cells; total count	86359	CPT	Outpatient			432	280.8		90			Percent of total billed charges		388.8		41.5		Case rate		41.5	80			Percent of total billed charges		345.6	90			Percent of total billed charges		388.8	100			Fee schedule		37.73	85			Percent of total billed charges		367.2	100			Fee schedule		37.73	100			Fee schedule		37.73	100			Fee schedule		37.73	100			Fee schedule		37.73		48.09		Case rate		48.09		48.09		Case rate		48.09	100			Fee schedule		37.73	37.73	388.8	
"Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed"	82652	CPT	Outpatient			139	90.35		90			Percent of total billed charges		125.1		42.35		Case rate		42.35	80			Percent of total billed charges		111.2	90			Percent of total billed charges		125.1	100			Fee schedule		38.5	85			Percent of total billed charges		118.15	100			Fee schedule		38.5	100			Fee schedule		38.5	100			Fee schedule		38.5	100			Fee schedule		38.5		49.08		Case rate		49.08		49.08		Case rate		49.08	100			Fee schedule		38.5	38.5	125.1	
Adrenocorticotropic hormone (ACTH)	82024	CPT	Outpatient			162	105.3		90			Percent of total billed charges		145.8		42.48		Case rate		42.48	80			Percent of total billed charges		129.6	90			Percent of total billed charges		145.8	100			Fee schedule		38.62	85			Percent of total billed charges		137.7	100			Fee schedule		38.62	100			Fee schedule		38.62	100			Fee schedule		38.62	100			Fee schedule		38.62		49.24		Case rate		49.24		49.24		Case rate		49.24	100			Fee schedule		38.62	38.62	145.8	
Natriuretic peptide	83880	CPT	Outpatient			185	120.25		90			Percent of total billed charges		166.5		43.19		Case rate		43.19	80			Percent of total billed charges		148	90			Percent of total billed charges		166.5	100			Fee schedule		39.26	85			Percent of total billed charges		157.25	100			Fee schedule		39.26	100			Fee schedule		39.26	100			Fee schedule		39.26	100			Fee schedule		39.26		43.27		Case rate		43.27		43.27		Case rate		43.27	100			Fee schedule		39.26	39.26	166.5	
Aldosterone	82088	CPT	Outpatient			38	24.7		90			Percent of total billed charges		34.2		44.83		Case rate	Use Lesser of logic	38	80			Percent of total billed charges		30.4	90			Percent of total billed charges		34.2	100			Fee schedule		40.75	85			Percent of total billed charges		32.3	100			Fee schedule		38	100			Fee schedule		40.75	100			Fee schedule		40.75	100			Fee schedule		40.75		51.95		Case rate	Use Lesser of logic	38		51.95		Case rate	Use Lesser of logic	38	100			Fee schedule		40.75	30.4	40.75	
Parathormone (parathyroid hormone)	83970	CPT	Outpatient			96	62.4		90			Percent of total billed charges		86.4		45.41		Case rate		45.41	80			Percent of total billed charges		76.8	90			Percent of total billed charges		86.4	100			Fee schedule		41.28	85			Percent of total billed charges		81.6	100			Fee schedule		41.28	100			Fee schedule		41.28	100			Fee schedule		41.28	100			Fee schedule		41.28		52.61		Case rate		52.61		52.61		Case rate		52.61	100			Fee schedule		41.28	41.28	86.4	
"Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis, amplified probe technique"	87556	CPT	Outpatient			328.56	213.56		90			Percent of total billed charges		295.7		45.85		Case rate		45.85	80			Percent of total billed charges		262.85	90			Percent of total billed charges		295.7	100			Fee schedule		41.68	85			Percent of total billed charges		279.28	100			Fee schedule		41.68	100			Fee schedule		41.68	100			Fee schedule		41.68	100			Fee schedule		41.68		44.74		Case rate		44.74		44.74		Case rate		44.74	100			Fee schedule		41.68	41.68	295.7	
"Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutes"	97760	CPT	Outpatient			156	101.4		90			Percent of total billed charges		140.4		49.43		Case rate		49.43	80			Percent of total billed charges		124.8	90			Percent of total billed charges		140.4	100			Fee schedule		42.29	85			Percent of total billed charges		132.6	100			Fee schedule		42.29	100			Fee schedule		42.29	100			Fee schedule		42.29	100			Fee schedule		42.29		107		Case rate		107		107		Case rate		107	100			Fee schedule		42.29	42.29	140.4	
"Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; quantification, each organism"	87799	CPT	Outpatient			46	29.9		90			Percent of total billed charges		41.4		47.12		Case rate	Use Lesser of logic	46	80			Percent of total billed charges		36.8	90			Percent of total billed charges		41.4	100			Fee schedule		42.84	85			Percent of total billed charges		39.1	100			Fee schedule		42.84	100			Fee schedule		42.84	100			Fee schedule		42.84	100			Fee schedule		42.84		54.6		Case rate	Use Lesser of logic	46		54.6		Case rate	Use Lesser of logic	46	100			Fee schedule		42.84	36.8	46	
"Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C, quantification, includes reverse transcription when performed"	87522	CPT	Outpatient			137.9	89.64		90			Percent of total billed charges		124.11		47.12		Case rate		47.12	80			Percent of total billed charges		110.32	90			Percent of total billed charges		124.11	100			Fee schedule		42.84	85			Percent of total billed charges		117.22	100			Fee schedule		42.84	100			Fee schedule		42.84	100			Fee schedule		42.84	100			Fee schedule		42.84		54.6		Case rate		54.6		54.6		Case rate		54.6	100			Fee schedule		42.84	42.84	124.11	
"Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure)"	77063	CPT	Outpatient			70	45.5		90			Percent of total billed charges		63		23.6		Case rate		23.6	80			Percent of total billed charges		56	90			Percent of total billed charges		63	100			Fee schedule		46.35	85			Percent of total billed charges		59.5	100			Fee schedule		46.35	100			Fee schedule		46.35	100			Fee schedule		46.35	100			Fee schedule		46.35		132		Case rate	Use Lesser of logic	70		132		Case rate	Use Lesser of logic	70	100			Fee schedule		46.35	23.6	70	
"T cells; absolute CD4 and CD8 count, including ratio"	86360	CPT	Outpatient			432	280.8		90			Percent of total billed charges		388.8		51.68		Case rate		51.68	80			Percent of total billed charges		345.6	90			Percent of total billed charges		388.8	100			Fee schedule		46.98	85			Percent of total billed charges		367.2	100			Fee schedule		46.98	100			Fee schedule		46.98	100			Fee schedule		46.98	100			Fee schedule		46.98		59.9		Case rate		59.9		59.9		Case rate		59.9	100			Fee schedule		46.98	46.98	388.8	
"Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb), IgM antibody (86709) Hepatitis B core antibody (HBcAb), IgM antibody (86705) Hepatitis B surface antigen (HBsAg) (87340) Hepatitis C antibody (86803)"	80074	CPT	Outpatient			145	94.25		90			Percent of total billed charges		130.5		52.39		Case rate		52.39	80			Percent of total billed charges		116	90			Percent of total billed charges		130.5	100			Fee schedule		47.63	85			Percent of total billed charges		123.25	100			Fee schedule		47.63	100			Fee schedule		47.63	100			Fee schedule		47.63	100			Fee schedule		47.63		60.72		Case rate		60.72		60.72		Case rate		60.72	100			Fee schedule		47.63	47.63	130.5	
Thyroid stimulating immune globulins (TSI)	84445	CPT	Outpatient			243	157.95		90			Percent of total billed charges		218.7		55.95		Case rate		55.95	80			Percent of total billed charges		194.4	90			Percent of total billed charges		218.7	100			Fee schedule		50.86	85			Percent of total billed charges		206.55	100			Fee schedule		50.86	100			Fee schedule		50.86	100			Fee schedule		50.86	100			Fee schedule		50.86		64.82		Case rate		64.82		64.82		Case rate		64.82	100			Fee schedule		50.86	50.86	218.7	
"Testosterone; bioavailable, direct measurement (eg, differential precipitation)"	84410	CPT	Outpatient			27	17.55		90			Percent of total billed charges		24.3		56.41		Case rate	Use Lesser of logic	27	80			Percent of total billed charges		21.6	90			Percent of total billed charges		24.3	100			Fee schedule		51.28	85			Percent of total billed charges		22.95	100			Fee schedule		27	100			Fee schedule		51.28	100			Fee schedule		51.28	100			Fee schedule		51.28		65.3		Case rate	Use Lesser of logic	27		65.3		Case rate	Use Lesser of logic	27	100			Fee schedule		51.28	21.6	51.28	
"Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutes"	97533	CPT	Outpatient			80	52		90			Percent of total billed charges		72		59.02		Case rate		59.02	80			Percent of total billed charges		64	90			Percent of total billed charges		72	100			Fee schedule		54.47	85			Percent of total billed charges		68	100			Fee schedule		54.47	100			Fee schedule		54.47	100			Fee schedule		54.47	100			Fee schedule		54.47		107		Case rate	Use Lesser of logic	80		107		Case rate	Use Lesser of logic	80	100			Fee schedule		54.47	54.47	80	
"Tuberculosis test, cell mediated immunity antigen response measurement; gamma interferon"	86480	CPT	Outpatient			138	89.7		90			Percent of total billed charges		124.2		68.18		Case rate		68.18	80			Percent of total billed charges		110.4	90			Percent of total billed charges		124.2	100			Fee schedule		61.98	85			Percent of total billed charges		117.3	100			Fee schedule		61.98	100			Fee schedule		61.98	100			Fee schedule		61.98	100			Fee schedule		61.98		79.01		Case rate		79.01		79.01		Case rate		79.01	100			Fee schedule		61.98	61.98	124.2	
"Drug test(s), presumptive, any number of drug classes, any number of devices or procedures; by instrument chemistry analyzers (eg, utilizing immunoassay [eg, EIA, ELISA, EMIT, FPIA, IA, KIMS, RIA]), chromatography (eg, GC, HPLC), and mass spectrometry either with or without chromatography, (eg, DART, DESI, GC-MS, GC-MS/MS, LC-MS, LC-MS/MS, LDTD, MALDI, TOF) includes sample validation when performed, per date of service"	80307	CPT	Outpatient			292	189.8		90			Percent of total billed charges		262.8		68.35		Case rate		68.35	80			Percent of total billed charges		233.6	90			Percent of total billed charges		262.8	100			Fee schedule		62.14	85			Percent of total billed charges		248.2	100			Fee schedule		62.14	100			Fee schedule		62.14	100			Fee schedule		62.14	100			Fee schedule		62.14		71.83		Case rate		71.83		71.83		Case rate		71.83	100			Fee schedule		62.14	62.14	262.8	
"Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome Typically, 20 minutes are spent face-to-face with the patient and/or family."	97164	CPT	Outpatient			180	117		90			Percent of total billed charges		162		70.19		Case rate		70.19	80			Percent of total billed charges		144	90			Percent of total billed charges		162	100			Fee schedule		62.88	85			Percent of total billed charges		153	100			Fee schedule		62.88	100			Fee schedule		62.88	100			Fee schedule		62.88	100			Fee schedule		62.88		107		Case rate		107		107		Case rate		107	100			Fee schedule		62.88	62.88	162	
"Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the initial occupational profile to reflect changes in condition or environment that affect future interventions and/or goals; and A revised plan of care. A formal reevaluation is performed when there is a documented change in functional status or a significant change to the plan of care is required. Typically, 30 minutes are spent face-to-face with the patient and/or family."	97168	CPT	Outpatient			180	117		90			Percent of total billed charges		162		67.29		Case rate		67.29	80			Percent of total billed charges		144	90			Percent of total billed charges		162	100			Fee schedule		63.16	85			Percent of total billed charges		153	100			Fee schedule		63.16	100			Fee schedule		63.16	100			Fee schedule		63.16	100			Fee schedule		63.16		107		Case rate		107		107		Case rate		107	100			Fee schedule		63.16	63.16	162	
"Fetal fibronectin, cervicovaginal secretions, semi-quantitative"	82731	CPT	Outpatient			509	330.85		90			Percent of total billed charges		458.1		70.85		Case rate		70.85	80			Percent of total billed charges		407.2	90			Percent of total billed charges		458.1	100			Fee schedule		64.41	85			Percent of total billed charges		432.65	100			Fee schedule		64.41	100			Fee schedule		64.41	100			Fee schedule		64.41	100			Fee schedule		64.41		82.11		Case rate		82.11		82.11		Case rate		82.11	100			Fee schedule		64.41	64.41	458.1	
"HFE (hemochromatosis) (eg, hereditary hemochromatosis) gene analysis, common variants (eg, C282Y, H63D)"	81256	CPT	Outpatient			109.26	71.02		90			Percent of total billed charges		98.33		71.9		Case rate		71.9	80			Percent of total billed charges		87.41	90			Percent of total billed charges		98.33	100			Fee schedule		65.36	85			Percent of total billed charges		92.87	100			Fee schedule		65.36	100			Fee schedule		65.36	100			Fee schedule		65.36	100			Fee schedule		65.36		80.25		Case rate		80.25		80.25		Case rate		80.25	100			Fee schedule		65.36	65.36	98.33	
"F2 (prothrombin, coagulation factor II) (eg, hereditary hypercoagulability) gene analysis, 20210G>A variant"	81240	CPT	Outpatient			159	103.35		90			Percent of total billed charges		143.1		72.26		Case rate		72.26	80			Percent of total billed charges		127.2	90			Percent of total billed charges		143.1	100			Fee schedule		65.69	85			Percent of total billed charges		135.15	100			Fee schedule		65.69	100			Fee schedule		65.69	100			Fee schedule		65.69	100			Fee schedule		65.69		60.42		Case rate		60.42		60.42		Case rate		60.42	100			Fee schedule		65.69	60.42	143.1	
Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech	92597	CPT	Outpatient			234	152.1		90			Percent of total billed charges		210.6		74.54		Case rate		74.54	80			Percent of total billed charges		187.2	90			Percent of total billed charges		210.6	100			Fee schedule		66.53	85			Percent of total billed charges		198.9	100			Fee schedule		66.53	100			Fee schedule		66.53	100			Fee schedule		66.53	100			Fee schedule		66.53		60		Case rate		60		60		Case rate		60	100			Fee schedule		66.53	60	210.6	
Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 4)	80439	CPT	Outpatient			380	247		90			Percent of total billed charges		342		73.93		Case rate		73.93	80			Percent of total billed charges		304	90			Percent of total billed charges		342	100			Fee schedule		67.21	85			Percent of total billed charges		323	100			Fee schedule		67.21	100			Fee schedule		67.21	100			Fee schedule		67.21	100			Fee schedule		67.21		85.68		Case rate		85.68		85.68		Case rate		85.68	100			Fee schedule		67.21	67.21	342	
"Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual"	92507	CPT	Outpatient			180	117		90			Percent of total billed charges		162		79.95		Case rate		79.95	80			Percent of total billed charges		144	90			Percent of total billed charges		162	100			Fee schedule		70.1	85			Percent of total billed charges		153	100			Fee schedule		70.1	100			Fee schedule		70.1	100			Fee schedule		70.1	100			Fee schedule		70.1		107		Case rate		107		107		Case rate		107	100			Fee schedule		70.1	70.1	162	
"F5 (coagulation factor V) (eg, hereditary hypercoagulability) gene analysis, Leiden variant"	81241	CPT	Outpatient			159	103.35		90			Percent of total billed charges		143.1		80.71		Case rate		80.71	80			Percent of total billed charges		127.2	90			Percent of total billed charges		143.1	100			Fee schedule		73.37	85			Percent of total billed charges		135.15	100			Fee schedule		73.37	100			Fee schedule		73.37	100			Fee schedule		73.37	100			Fee schedule		73.37		75.03		Case rate		75.03		75.03		Case rate		75.03	100			Fee schedule		73.37	73.37	143.1	
"HLA Class I typing, low resolution (eg, antigen equivalents); one antigen equivalent (eg, B*27), each"	81374	CPT	Outpatient			135	87.75		90			Percent of total billed charges		121.5		81.76		Case rate		81.76	80			Percent of total billed charges		108	90			Percent of total billed charges		121.5	100			Fee schedule		74.33	85			Percent of total billed charges		114.75	100			Fee schedule		74.33	100			Fee schedule		74.33	100			Fee schedule		74.33	100			Fee schedule		74.33		89.33		Case rate		89.33		89.33		Case rate		89.33	100			Fee schedule		74.33	74.33	121.5	
"Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); with O2 saturation, by direct measurement, except pulse oximetry"	82805	CPT	Outpatient			70	45.5		90			Percent of total billed charges		63		86.65		Case rate	Use Lesser of logic	70	80			Percent of total billed charges		56	90			Percent of total billed charges		63	100			Fee schedule		78.77	85			Percent of total billed charges		59.5	100			Fee schedule		70	100			Fee schedule		78.77	100			Fee schedule		78.77	100			Fee schedule		78.77		36.18		Case rate		36.18		36.18		Case rate		36.18	100			Fee schedule		78.77	36.18	78.77	
"Infectious agent detection by nucleic acid (DNA or RNA); HIV-1, quantification, includes reverse transcription when performed"	87536	CPT	Outpatient			109	70.85		90			Percent of total billed charges		98.1		93.61		Case rate		93.61	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	100			Fee schedule		85.1	85			Percent of total billed charges		92.65	100			Fee schedule		85.1	100			Fee schedule		85.1	100			Fee schedule		85.1	100			Fee schedule		85.1		108.47		Case rate		108.47		108.47		Case rate		108.47	100			Fee schedule		85.1	85.1	108.47	
"Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and report, per hour"	96105	CPT	Outpatient			221	143.65		90			Percent of total billed charges		198.9		104.01		Case rate		104.01	80			Percent of total billed charges		176.8	90			Percent of total billed charges		198.9	100			Fee schedule		88.63	85			Percent of total billed charges		187.85	100			Fee schedule		88.63	100			Fee schedule		88.63	100			Fee schedule		88.63	100			Fee schedule		88.63		237		Case rate	Use Lesser of logic	221		237		Case rate	Use Lesser of logic	221	100			Fee schedule		88.63	88.63	221	
"Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; An evolving clinical presentation with changing characteristics; and Clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 30 minutes are spent face-to-face with the patient and/or family."	97162	CPT	Outpatient			180	117		90			Percent of total billed charges		162		103.38		Case rate		103.38	80			Percent of total billed charges		144	90			Percent of total billed charges		162	100			Fee schedule		91.33	85			Percent of total billed charges		153	100			Fee schedule		91.33	100			Fee schedule		91.33	100			Fee schedule		91.33	100			Fee schedule		91.33		107		Case rate		107		107		Case rate		107	100			Fee schedule		91.33	91.33	162	
"Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with unstable and unpredictable characteristics; and Clinical decision making of high complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 45 minutes are spent face-to-face with the patient and/or family."	97163	CPT	Outpatient			180	117		90			Percent of total billed charges		162		103.38		Case rate		103.38	80			Percent of total billed charges		144	90			Percent of total billed charges		162	100			Fee schedule		91.33	85			Percent of total billed charges		153	100			Fee schedule		91.33	100			Fee schedule		91.33	100			Fee schedule		91.33	100			Fee schedule		91.33		107		Case rate		107		107		Case rate		107	100			Fee schedule		91.33	91.33	162	
"Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and functions, activity limitations, and/or participation restrictions; A clinical presentation with stable and/or uncomplicated characteristics; and Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically, 20 minutes are spent face-to-face with the patient and/or family."	97161	CPT	Outpatient			180	117		90			Percent of total billed charges		162		103.38		Case rate		103.38	80			Percent of total billed charges		144	90			Percent of total billed charges		162	100			Fee schedule		91.33	85			Percent of total billed charges		153	100			Fee schedule		91.33	100			Fee schedule		91.33	100			Fee schedule		91.33	100			Fee schedule		91.33		107		Case rate		107		107		Case rate		107	100			Fee schedule		91.33	91.33	162	
"Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and extensive additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 5 or more performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of high analytic complexity, which includes an analysis of the patient profile, analysis of data from comprehensive assessment(s), and consideration of multiple treatment options. Patient presents with comorbidities that affect occupational performance. Significant modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 60 minutes are spent face-to-face with the patient and/or family."	97167	CPT	Outpatient			180	117		90			Percent of total billed charges		162		100.47		Case rate		100.47	80			Percent of total billed charges		144	90			Percent of total billed charges		162	100			Fee schedule		92.16	85			Percent of total billed charges		153	100			Fee schedule		92.16	100			Fee schedule		92.16	100			Fee schedule		92.16	100			Fee schedule		92.16		107		Case rate		107		107		Case rate		107	100			Fee schedule		92.16	92.16	162	
"Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or therapy records relating to the presenting problem; An assessment(s) that identifies 1-3 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of low complexity, which includes an analysis of the occupational profile, analysis of data from problem-focused assessment(s), and consideration of a limited number of treatment options. Patient presents with no comorbidities that affect occupational performance. Modification of tasks or assistance (eg, physical or verbal) with assessment(s) is not necessary to enable completion of evaluation component. Typically, 30 minutes are spent face-to-face with the patient and/or family."	97165	CPT	Outpatient			180	117		90			Percent of total billed charges		162		100.47		Case rate		100.47	80			Percent of total billed charges		144	90			Percent of total billed charges		162	100			Fee schedule		92.16	85			Percent of total billed charges		153	100			Fee schedule		92.16	100			Fee schedule		92.16	100			Fee schedule		92.16	100			Fee schedule		92.16		107		Case rate		107		107		Case rate		107	100			Fee schedule		92.16	92.16	162	
"Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy records and additional review of physical, cognitive, or psychosocial history related to current functional performance; An assessment(s) that identifies 3-5 performance deficits (ie, relating to physical, cognitive, or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of moderate analytic complexity, which includes an analysis of the occupational profile, analysis of data from detailed assessment(s), and consideration of several treatment options. Patient may present with comorbidities that affect occupational performance. Minimal to moderate modification of tasks or assistance (eg, physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically, 45 minutes are spent face-to-face with the patient and/or family."	97166	CPT	Outpatient			180	117		90			Percent of total billed charges		162		100.47		Case rate		100.47	80			Percent of total billed charges		144	90			Percent of total billed charges		162	100			Fee schedule		92.16	85			Percent of total billed charges		153	100			Fee schedule		92.16	100			Fee schedule		92.16	100			Fee schedule		92.16	100			Fee schedule		92.16		107		Case rate		107		107		Case rate		107	100			Fee schedule		92.16	92.16	162	
"Standardized cognitive performance testing (eg, Ross Information Processing Assessment) per hour of a qualified health care professional's time, both face-to-face time administering tests to the patient and time interpreting these test results and preparing the report"	96125	CPT	Outpatient			234	152.1		90			Percent of total billed charges		210.6		108.93		Case rate		108.93	80			Percent of total billed charges		187.2	90			Percent of total billed charges		210.6	100			Fee schedule		93.72	85			Percent of total billed charges		198.9	100			Fee schedule		93.72	100			Fee schedule		93.72	100			Fee schedule		93.72	100			Fee schedule		93.72		237		Case rate	Use Lesser of logic	234		237		Case rate	Use Lesser of logic	234	100			Fee schedule		93.72	93.72	234	
Behavioral and qualitative analysis of voice and resonance	92524	CPT	Outpatient			123	79.95		90			Percent of total billed charges		110.7		114.8		Case rate		114.8	80			Percent of total billed charges		98.4	90			Percent of total billed charges		110.7	100			Fee schedule		100.9	85			Percent of total billed charges		104.55	100			Fee schedule		100.9	100			Fee schedule		100.9	100			Fee schedule		100.9	100			Fee schedule		100.9		107		Case rate		107		107		Case rate		107	100			Fee schedule		100.9	98.4	114.8	
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)"	92522	CPT	Outpatient			119	77.35		90			Percent of total billed charges		107.1		116.99		Case rate		116.99	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	100			Fee schedule		102.29	85			Percent of total billed charges		101.15	100			Fee schedule		102.29	100			Fee schedule		102.29	100			Fee schedule		102.29	100			Fee schedule		102.29		107		Case rate		107		107		Case rate		107	100			Fee schedule		102.29	95.2	116.99	
"Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral"	77065	CPT	Outpatient			284	184.6		90			Percent of total billed charges		255.6		84.61		Case rate		84.61	80			Percent of total billed charges		227.2	90			Percent of total billed charges		255.6	100			Fee schedule		108.68	85			Percent of total billed charges		241.4	100			Fee schedule		108.68	100			Fee schedule		108.68	100			Fee schedule		108.68	100			Fee schedule		108.68		132		Case rate		132		132		Case rate		132	100			Fee schedule		108.68	84.61	255.6	
"Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed"	77067	CPT	Outpatient			266	172.9		90			Percent of total billed charges		239.4		89.45		Case rate		89.45	80			Percent of total billed charges		212.8	90			Percent of total billed charges		239.4	100			Fee schedule		110.67	85			Percent of total billed charges		226.1	100			Fee schedule		110.67	100			Fee schedule		110.67	100			Fee schedule		110.67	100			Fee schedule		110.67		132		Case rate		132		132		Case rate		132	100			Fee schedule		110.67	89.45	239.4	
"Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed"	G0480	CPT	Outpatient			165	107.25		90			Percent of total billed charges		148.5		125.87		Case rate		125.87	80			Percent of total billed charges		132	90			Percent of total billed charges		148.5	100			Fee schedule		114.43	85			Percent of total billed charges		140.25	100			Fee schedule		114.43	100			Fee schedule		114.43	100			Fee schedule		114.43	100			Fee schedule		114.43		71.95		Case rate		71.95		71.95		Case rate		71.95	100			Fee schedule		114.43	71.95	148.5	
"Evaluation of speech fluency (eg, stuttering, cluttering)"	92521	CPT	Outpatient			146	94.9		90			Percent of total billed charges		131.4		139.68		Case rate		139.68	80			Percent of total billed charges		116.8	90			Percent of total billed charges		131.4	100			Fee schedule		122	85			Percent of total billed charges		124.1	100			Fee schedule		122	100			Fee schedule		122	100			Fee schedule		122	100			Fee schedule		122		107		Case rate		107		107		Case rate		107	100			Fee schedule		122	107	139.68	
"Chromosome analysis; count 15-20 cells, 2 karyotypes, with banding"	88262	CPT	Outpatient			337	219.05		90			Percent of total billed charges		303.3		138.04		Case rate		138.04	80			Percent of total billed charges		269.6	90			Percent of total billed charges		303.3	100			Fee schedule		125.49	85			Percent of total billed charges		286.45	100			Fee schedule		125.49	100			Fee schedule		125.49	100			Fee schedule		125.49	100			Fee schedule		125.49		158.89		Case rate		158.89		158.89		Case rate		158.89	100			Fee schedule		125.49	125.49	303.3	
"Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral"	77066	CPT	Outpatient			332	215.8		90			Percent of total billed charges		298.8		108.2		Case rate		108.2	80			Percent of total billed charges		265.6	90			Percent of total billed charges		298.8	100			Fee schedule		137.45	85			Percent of total billed charges		282.2	100			Fee schedule		137.45	100			Fee schedule		137.45	100			Fee schedule		137.45	100			Fee schedule		137.45		132		Case rate		132		132		Case rate		132	100			Fee schedule		137.45	108.2	298.8	
"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, debris, biofilm), including topical application(s), wound assessment, use of a whirlpool, when performed and instruction(s) for ongoing care, per session, total wound(s) surface area; first 20 sq cm or less"	97597	CPT	Outpatient			499	324.35		90			Percent of total billed charges		449.1		37.95		Case rate		37.95	80			Percent of total billed charges		399.2	90			Percent of total billed charges		449.1	100			Fee schedule		166.14	85			Percent of total billed charges		424.15	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14		216		Case rate		216		216		Case rate		216	100			Fee schedule		166.14	37.95	449.1	
"Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)"	92523	CPT	Outpatient			248	161.2		90			Percent of total billed charges		223.2		240.13		Case rate		240.13	80			Percent of total billed charges		198.4	90			Percent of total billed charges		223.2	100			Fee schedule		209.16	85			Percent of total billed charges		210.8	100			Fee schedule		209.16	100			Fee schedule		209.16	100			Fee schedule		209.16	100			Fee schedule		209.16		107		Case rate		107		107		Case rate		107	100			Fee schedule		209.16	107	240.13	
"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 6-11 targets"	87632	CPT	Outpatient			288	187.2		90			Percent of total billed charges		259.2		239.87		Case rate		239.87	80			Percent of total billed charges		230.4	90			Percent of total billed charges		259.2	100			Fee schedule		218.06	85			Percent of total billed charges		244.8	100			Fee schedule		218.06	100			Fee schedule		218.06	100			Fee schedule		218.06	100			Fee schedule		218.06		264.03		Case rate		264.03		264.03		Case rate		264.03	100			Fee schedule		218.06	218.06	264.03	
Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus	87902	CPT	Outpatient			409	265.85		90			Percent of total billed charges		368.1		283.2		Case rate		283.2	80			Percent of total billed charges		327.2	90			Percent of total billed charges		368.1	100			Fee schedule		257.45	85			Percent of total billed charges		347.65	100			Fee schedule		257.45	100			Fee schedule		257.45	100			Fee schedule		257.45	100			Fee schedule		257.45		328.18		Case rate		328.18		328.18		Case rate		328.18	100			Fee schedule		257.45	257.45	368.1	
"Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg, adenovirus, influenza virus, coronavirus, metapneumovirus, parainfluenza virus, respiratory syncytial virus, rhinovirus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets"	87633	CPT	Outpatient			493	320.45		90			Percent of total billed charges		443.7		458.46		Case rate		458.46	80			Percent of total billed charges		394.4	90			Percent of total billed charges		443.7	100			Fee schedule		416.78	85			Percent of total billed charges		419.05	100			Fee schedule		416.78	100			Fee schedule		416.78	100			Fee schedule		416.78	100			Fee schedule		416.78		515.62		Case rate	Use Lesser of logic	493		515.62		Case rate	Use Lesser of logic	493	100			Fee schedule		416.78	394.4	493	
"Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg, Clostridium difficile, E. coli, Salmonella, Shigella, norovirus, Giardia), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets"	87507	CPT	Outpatient			550	357.5		90			Percent of total billed charges		495		458.46		Case rate		458.46	80			Percent of total billed charges		440	90			Percent of total billed charges		495	100			Fee schedule		416.78	85			Percent of total billed charges		467.5	100			Fee schedule		416.78	100			Fee schedule		416.78	100			Fee schedule		416.78	100			Fee schedule		416.78		510.46		Case rate		510.46		510.46		Case rate		510.46	100			Fee schedule		416.78	416.78	510.46	
"Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg, Neisseria meningitidis, Streptococcus pneumoniae, Listeria, Haemophilus influenzae, E. coli, Streptococcus agalactiae, enterovirus, human parechovirus, herpes simplex virus type 1 and 2, human herpesvirus 6, cytomegalovirus, varicella zoster virus, Cryptococcus), includes multiplex reverse transcription, when performed, and multiplex amplified probe technique, multiple types or subtypes, 12-25 targets"	87483	CPT	Outpatient			550	357.5		90			Percent of total billed charges		495		458.46		Case rate		458.46	80			Percent of total billed charges		440	90			Percent of total billed charges		495	100			Fee schedule		416.78	85			Percent of total billed charges		467.5	100			Fee schedule		416.78	100			Fee schedule		416.78	100			Fee schedule		416.78	100			Fee schedule		416.78		514.55		Case rate		514.55		514.55		Case rate		514.55	100			Fee schedule		416.78	416.78	514.55	
Unlisted therapeutic procedure (specify)	97139	CPT	Outpatient			40	26		90			Percent of total billed charges		36		125		Case rate	Use Lesser of logic	40	80			Percent of total billed charges		32	90			Percent of total billed charges		36	100			Fee schedule	code is bundled with other services	40	85			Percent of total billed charges		34	100			Fee schedule	code is bundled with other services	40	100			Fee schedule	code is bundled with other services	40	100			Fee schedule	code is bundled with other services	40	100			Fee schedule	code is bundled with other services	40		107		Case rate	Use Lesser of logic	40		107		Case rate	Use Lesser of logic	40	100			Fee schedule	code is bundled with other services	40	32	40	
Application of a modality to 1 or more areas; electrical stimulation (unattended)	97014	CPT	Outpatient			64	41.6		90			Percent of total billed charges		57.6		125		Case rate	Use Lesser of logic	64	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	100			Fee schedule	code is bundled with other services	64	85			Percent of total billed charges		54.4	100			Fee schedule	code is bundled with other services	64	100			Fee schedule	code is bundled with other services	64	100			Fee schedule	code is bundled with other services	64	100			Fee schedule	code is bundled with other services	64		107		Case rate	Use Lesser of logic	64		107		Case rate	Use Lesser of logic	64	100			Fee schedule	code is bundled with other services	64	51.2	64	
Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure)	97546	CPT	Outpatient			87	56.55		90			Percent of total billed charges		78.3		125		Case rate	Use Lesser of logic	87	80			Percent of total billed charges		69.6	90			Percent of total billed charges		78.3	100			Fee schedule	code is bundled with other services	87	85			Percent of total billed charges		73.95	100			Fee schedule	code is bundled with other services	87	100			Fee schedule	code is bundled with other services	87	100			Fee schedule	code is bundled with other services	87	100			Fee schedule	code is bundled with other services	87		107		Case rate	Use Lesser of logic	87		107		Case rate	Use Lesser of logic	87	100			Fee schedule	code is bundled with other services	87	69.6	87	
Work hardening/conditioning; initial 2 hours	97545	CPT	Outpatient			234	152.1		90			Percent of total billed charges		210.6		125		Case rate		125	80			Percent of total billed charges		187.2	90			Percent of total billed charges		210.6	100			Fee schedule	code is bundled with other services	234	85			Percent of total billed charges		198.9	100			Fee schedule	code is bundled with other services	234	100			Fee schedule	code is bundled with other services	234	100			Fee schedule	code is bundled with other services	234	100			Fee schedule	code is bundled with other services	234		107		Case rate		107		107		Case rate		107	100			Fee schedule	code is bundled with other services	234	107	210.6	
Unlisted physical medicine/rehabilitation service or procedure	97799	CPT	Outpatient			293	190.45		90			Percent of total billed charges		263.7		125		Case rate		125	80			Percent of total billed charges		234.4	90			Percent of total billed charges		263.7	100			Fee schedule	code is bundled with other services	293	85			Percent of total billed charges		249.05	100			Fee schedule	code is bundled with other services	293	100			Fee schedule	code is bundled with other services	293	100			Fee schedule	code is bundled with other services	293	100			Fee schedule	code is bundled with other services	293		107		Case rate		107		107		Case rate		107	100			Fee schedule	code is bundled with other services	293	107	263.7	
"Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, debris, biofilm), including topical application(s), wound assessment, use of a whirlpool, when performed and instruction(s) for ongoing care, per session, total wound(s) surface area; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)"	97598	CPT	Outpatient			250	162.5		90			Percent of total billed charges		225		26.3		Case rate		26.3	80			Percent of total billed charges		200	90			Percent of total billed charges		225	100			Fee schedule	code is bundled with other services	250	85			Percent of total billed charges		212.5	100			Fee schedule	code is bundled with other services	250	100			Fee schedule	code is bundled with other services	250	100			Fee schedule	code is bundled with other services	250	100			Fee schedule	code is bundled with other services	250		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	250	26.3	225	
"Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use)"	Q0138	CPT	Outpatient			6.55	4.26		90			Percent of total billed charges		5.9	95.46			Fee schedule		0.38	80			Percent of total billed charges		5.24	90			Percent of total billed charges		5.9	100			Fee schedule		0.39	85			Percent of total billed charges		5.57	100			Fee schedule		0.39	100			Fee schedule		0.39	100			Fee schedule		0.39	100			Fee schedule		0.39		1.07		Case rate		1.07		1.07		Case rate		1.07	100			Fee schedule		0.39	0.38	5.9	
"Injection, filgrastim-sndz, biosimilar, (zarxio), 1 microgram"	Q5101	CPT	Outpatient			2.86	1.86		90			Percent of total billed charges		2.57	95.46			Fee schedule		0.4	80			Percent of total billed charges		2.29	90			Percent of total billed charges		2.57	100			Fee schedule		0.42	85			Percent of total billed charges		2.43	100			Fee schedule		0.42	100			Fee schedule		0.42	100			Fee schedule		0.42	100			Fee schedule		0.42		0.68		Case rate		0.68		0.68		Case rate		0.68	100			Fee schedule		0.42	0.4	2.57	
"Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram"	J1442	HCPCS	Outpatient	1	UN	3.28	2.13		90			Percent of total billed charges		2.95	95.46			Fee schedule		0.95	80			Percent of total billed charges		2.62	90			Percent of total billed charges		2.95	100			Fee schedule		0.99	85			Percent of total billed charges		2.79	100			Fee schedule		0.99	100			Fee schedule		0.99	100			Fee schedule		0.99	100			Fee schedule		0.99		1.06		Case rate		1.06		1.06		Case rate		1.06	100			Fee schedule		0.99	0.95	2.95	
"Injection, ferric carboxymaltose, 1 mg"	J1439	HCPCS	Outpatient	1	ME	5.03	3.27		90			Percent of total billed charges		4.53	95.46			Fee schedule		1.04	80			Percent of total billed charges		4.02	90			Percent of total billed charges		4.53	100			Fee schedule		1.09	85			Percent of total billed charges		4.28	100			Fee schedule		1.09	100			Fee schedule		1.09	100			Fee schedule		1.09	100			Fee schedule		1.09		1.14		Case rate		1.14		1.14		Case rate		1.14	100			Fee schedule		1.09	1.04	4.53	
"Injection, von willebrand factor complex (humate-p), per iu vwf:rco"	J7187	HCPCS	Outpatient	1	F2	55	35.75		90			Percent of total billed charges		49.5	95.46			Fee schedule		1.33	80			Percent of total billed charges		44	90			Percent of total billed charges		49.5	100			Fee schedule		1.4	85			Percent of total billed charges		46.75	100			Fee schedule		1.4	100			Fee schedule		1.4	100			Fee schedule		1.4	100			Fee schedule		1.4		1.2		Case rate		1.2		1.2		Case rate		1.2	100			Fee schedule		1.4	1.2	49.5	
"Injection, eptifibatide, 5 mg"	J1327	HCPCS	Outpatient	5	ME	113.2	73.58		90			Percent of total billed charges		101.88	95.46			Fee schedule		1.9	80			Percent of total billed charges		90.56	90			Percent of total billed charges		101.88	100			Fee schedule		1.99	85			Percent of total billed charges		96.22	100			Fee schedule		1.99	100			Fee schedule		1.99	100			Fee schedule		1.99	100			Fee schedule		1.99		16.19		Case rate		16.19		16.19		Case rate		16.19	100			Fee schedule		1.99	1.9	101.88	
"Injection, bortezomib, 0.1 mg"	J9041	HCPCS	Outpatient	0.1	ME	287.13	186.63		90			Percent of total billed charges		258.42	95.46			Fee schedule		1.98	80			Percent of total billed charges		229.7	90			Percent of total billed charges		258.42	100			Fee schedule		2.07	85			Percent of total billed charges		244.06	100			Fee schedule		2.07	100			Fee schedule		2.07	100			Fee schedule		2.07	100			Fee schedule		2.07		48.35		Case rate		48.35		48.35		Case rate		48.35	100			Fee schedule		2.07	1.98	258.42	
"Injection, darbepoetin alfa, 1 microgram (non-esrd use)"	J0881	HCPCS	Outpatient	1	UN	24.15	15.7		90			Percent of total billed charges		21.74	95.46			Fee schedule		2.77	80			Percent of total billed charges		19.32	90			Percent of total billed charges		21.74	100			Fee schedule		2.9	85			Percent of total billed charges		20.53	100			Fee schedule		2.9	100			Fee schedule		2.9	100			Fee schedule		2.9	100			Fee schedule		2.9		4.06		Case rate		4.06		4.06		Case rate		4.06	100			Fee schedule		2.9	2.77	21.74	
"Capsaicin 8% patch, per square centimeter"	J7336	HCPCS	Outpatient	1	UN	5	3.25		90			Percent of total billed charges		4.5	95.46			Fee schedule		3.17	80			Percent of total billed charges		4	90			Percent of total billed charges		4.5	100			Fee schedule		3.32	85			Percent of total billed charges		4.25	100			Fee schedule		3.32	100			Fee schedule		3.32	100			Fee schedule		3.32	100			Fee schedule		3.32		3.34		Case rate		3.34		3.34		Case rate		3.34	100			Fee schedule		3.32	3.17	4.5	
"Injection, ceftaroline fosamil, 10 mg"	J0712	HCPCS	Outpatient	10	ME	20.47	13.3		90			Percent of total billed charges		18.42	95.46			Fee schedule		3.68	80			Percent of total billed charges		16.37	90			Percent of total billed charges		18.42	100			Fee schedule		3.86	85			Percent of total billed charges		17.4	100			Fee schedule		3.86	100			Fee schedule		3.86	100			Fee schedule		3.86	100			Fee schedule		3.86		3.08		Case rate		3.08		3.08		Case rate		3.08	100			Fee schedule		3.86	3.08	18.42	
"Injection, pemetrexed, not otherwise specified, 10 mg"	J9305	HCPCS	Outpatient	10	ME	1443.75	938.44		90			Percent of total billed charges		1299.38	95.46			Fee schedule		3.79	80			Percent of total billed charges		1155	90			Percent of total billed charges		1299.38	100			Fee schedule		3.97	85			Percent of total billed charges		1227.19	100			Fee schedule		3.97	100			Fee schedule		3.97	100			Fee schedule		3.97	100			Fee schedule		3.97		72.2		Case rate		72.2		72.2		Case rate		72.2	100			Fee schedule		3.97	3.79	1299.38	
"Injection, degarelix, 1 mg"	J9155	HCPCS	Outpatient	1	ME	19.36	12.59		90			Percent of total billed charges		17.43	95.46			Fee schedule		4.16	80			Percent of total billed charges		15.49	90			Percent of total billed charges		17.43	100			Fee schedule		4.35	85			Percent of total billed charges		16.46	100			Fee schedule		4.35	100			Fee schedule		4.35	100			Fee schedule		4.35	100			Fee schedule		4.35		4.03		Case rate		4.03		4.03		Case rate		4.03	100			Fee schedule		4.35	4.03	17.43	
"Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)"	J0717	HCPCS	Outpatient	1	ME	19.89	12.93		90			Percent of total billed charges		17.9	95.46			Fee schedule		4.41	80			Percent of total billed charges		15.91	90			Percent of total billed charges		17.9	100			Fee schedule		4.62	85			Percent of total billed charges		16.91	100			Fee schedule		4.62	100			Fee schedule		4.62	100			Fee schedule		4.62	100			Fee schedule		4.62		8.36		Case rate		8.36		8.36		Case rate		8.36	100			Fee schedule		4.62	4.41	17.9	
"Injection, incobotulinumtoxin a, 1 unit"	J0588	HCPCS	Outpatient	1	UN	10	6.5		90			Percent of total billed charges		9	95.46			Fee schedule		4.96	80			Percent of total billed charges		8	90			Percent of total billed charges		9	100			Fee schedule		5.2	85			Percent of total billed charges		8.5	100			Fee schedule		5.2	100			Fee schedule		5.2	100			Fee schedule		5.2	100			Fee schedule		5.2		5.38		Case rate		5.38		5.38		Case rate		5.38	100			Fee schedule		5.2	4.96	9	
"Injection, tocilizumab, 1 mg"	J3262	HCPCS	Outpatient	1	ME	17.99	11.69		90			Percent of total billed charges		16.19	95.46			Fee schedule		5.77	80			Percent of total billed charges		14.39	90			Percent of total billed charges		16.19	100			Fee schedule		6.04	85			Percent of total billed charges		15.29	100			Fee schedule		6.04	100			Fee schedule		6.04	100			Fee schedule		6.04	100			Fee schedule		6.04		5.23		Case rate		5.23		5.23		Case rate		5.23	100			Fee schedule		6.04	5.23	16.19	
"Injection, desmopressin acetate, per 1 mcg"	J2597	HCPCS	Outpatient	1	UN	81.75	53.14		90			Percent of total billed charges		73.58	95.46			Fee schedule		5.99	80			Percent of total billed charges		65.4	90			Percent of total billed charges		73.58	100			Fee schedule		6.27	85			Percent of total billed charges		69.49	100			Fee schedule		6.27	100			Fee schedule		6.27	100			Fee schedule		6.27	100			Fee schedule		6.27		13.21		Case rate		13.21		13.21		Case rate		13.21	100			Fee schedule		6.27	5.99	73.58	
"Injection, onabotulinumtoxina, 1 unit"	J0585	HCPCS	Outpatient	1	UN	18.07	11.75		90			Percent of total billed charges		16.26	95.46			Fee schedule		6.03	80			Percent of total billed charges		14.46	90			Percent of total billed charges		16.26	100			Fee schedule		6.32	85			Percent of total billed charges		15.36	100			Fee schedule		6.32	100			Fee schedule		6.32	100			Fee schedule		6.32	100			Fee schedule		6.32		6.51		Case rate		6.51		6.51		Case rate		6.51	100			Fee schedule		6.32	6.03	16.26	
"Injection, fomepizole, 15 mg"	J1451	HCPCS	Outpatient	15	ME	47.5	30.88		90			Percent of total billed charges		42.75	95.46			Fee schedule		6.28	80			Percent of total billed charges		38	90			Percent of total billed charges		42.75	100			Fee schedule		6.58	85			Percent of total billed charges		40.38	100			Fee schedule		6.58	100			Fee schedule		6.58	100			Fee schedule		6.58	100			Fee schedule		6.58		9.07		Case rate		9.07		9.07		Case rate		9.07	100			Fee schedule		6.58	6.28	42.75	
"Injection, non-radioactive, non-contrast, visualization adjunct (e.g., methylene blue, isosulfan blue), 1 mg"	Q9968	CPT	Outpatient			16.26	10.57		90			Percent of total billed charges		14.63	95.46			Fee schedule		7.37	80			Percent of total billed charges		13.01	90			Percent of total billed charges		14.63	100			Fee schedule		7.72	85			Percent of total billed charges		13.82	100			Fee schedule		7.72	100			Fee schedule		7.72	100			Fee schedule		7.72	100			Fee schedule		7.72		4.53		Case rate		4.53		4.53		Case rate		4.53	100			Fee schedule		7.72	4.53	14.63	
"Injection, fulvestrant, 25 mg"	J9395	HCPCS	Outpatient	25	ME	152.5	99.12		90			Percent of total billed charges		137.25	95.46			Fee schedule		7.8	80			Percent of total billed charges		122	90			Percent of total billed charges		137.25	100			Fee schedule		8.17	85			Percent of total billed charges		129.62	100			Fee schedule		8.17	100			Fee schedule		8.17	100			Fee schedule		8.17	100			Fee schedule		8.17		103.34		Case rate		103.34		103.34		Case rate		103.34	100			Fee schedule		8.17	7.8	137.25	
"Injection, epoetin alfa, (for non-esrd use), 1000 units"	J0885	HCPCS	Outpatient	1000	UN	370	240.5		90			Percent of total billed charges		333	95.46			Fee schedule		7.9	80			Percent of total billed charges		296	90			Percent of total billed charges		333	100			Fee schedule		8.27	85			Percent of total billed charges		314.5	100			Fee schedule		8.27	100			Fee schedule		8.27	100			Fee schedule		8.27	100			Fee schedule		8.27		12.67		Case rate		12.67		12.67		Case rate		12.67	100			Fee schedule		8.27	7.9	333	
"Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg"	J7325	HCPCS	Outpatient	1	ME	23	14.95		90			Percent of total billed charges		20.7	95.46			Fee schedule		8.47	80			Percent of total billed charges		18.4	90			Percent of total billed charges		20.7	100			Fee schedule		8.88	85			Percent of total billed charges		19.55	100			Fee schedule		8.88	100			Fee schedule		8.88	100			Fee schedule		8.88	100			Fee schedule		8.88		12.57		Case rate		12.57		12.57		Case rate		12.57	100			Fee schedule		8.88	8.47	20.7	
"Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose"	Q9969	CPT	Outpatient			10	6.5		90			Percent of total billed charges		9	95.46			Fee schedule		9.55	80			Percent of total billed charges		8	90			Percent of total billed charges		9	100			Fee schedule		10	85			Percent of total billed charges		8.5	100			Fee schedule		10	100			Fee schedule		10	100			Fee schedule		10	100			Fee schedule		10		10.6		Case rate		10.6		10.6		Case rate		10.6	100			Fee schedule		10	8	10.6	
"Ustekinumab, for intravenous injection, 1 mg"	J3358	HCPCS	Outpatient	1	ME	14.83	9.64		90			Percent of total billed charges		13.35	95.46			Fee schedule		11.93	80			Percent of total billed charges		11.86	90			Percent of total billed charges		13.35	100			Fee schedule		12.49	85			Percent of total billed charges		12.61	100			Fee schedule		12.49	100			Fee schedule		12.49	100			Fee schedule		12.49	100			Fee schedule		12.49		12.92		Case rate		12.92		12.92		Case rate		12.92	100			Fee schedule		12.49	11.86	13.35	
"Injection, paclitaxel protein-bound particles, 1 mg"	J9264	HCPCS	Outpatient	1	ME	24.7	16.06		90			Percent of total billed charges		22.23	95.46			Fee schedule		13.09	80			Percent of total billed charges		19.76	90			Percent of total billed charges		22.23	100			Fee schedule		13.71	85			Percent of total billed charges		21	100			Fee schedule		13.71	100			Fee schedule		13.71	100			Fee schedule		13.71	100			Fee schedule		13.71		12.58		Case rate		12.58		12.58		Case rate		12.58	100			Fee schedule		13.71	12.58	22.23	
"Injection, bendamustine hcl (bendeka), 1 mg"	J9034	HCPCS	Outpatient	1	ME	50.14	32.59		90			Percent of total billed charges		45.13	95.46			Fee schedule		13.2	80			Percent of total billed charges		40.11	90			Percent of total billed charges		45.13	100			Fee schedule		13.83	85			Percent of total billed charges		42.62	100			Fee schedule		13.83	100			Fee schedule		13.83	100			Fee schedule		13.83	100			Fee schedule		13.83		25.26		Case rate		25.26		25.26		Case rate		25.26	100			Fee schedule		13.83	13.2	45.13	
"Injection, dalbavancin, 5 mg"	J0875	HCPCS	Outpatient	5	ME	17.44	11.34		90			Percent of total billed charges		15.7	95.46			Fee schedule		14.44	80			Percent of total billed charges		13.95	90			Percent of total billed charges		15.7	100			Fee schedule		15.12	85			Percent of total billed charges		14.82	100			Fee schedule		15.12	100			Fee schedule		15.12	100			Fee schedule		15.12	100			Fee schedule		15.12		14.36		Case rate		14.36		14.36		Case rate		14.36	100			Fee schedule		15.12	13.95	15.7	
"Injection, pertuzumab, 1 mg"	J9306	HCPCS	Outpatient	1	ME	42.99	27.94		90			Percent of total billed charges		38.69	95.46			Fee schedule		14.72	80			Percent of total billed charges		34.39	90			Percent of total billed charges		38.69	100			Fee schedule		15.42	85			Percent of total billed charges		36.54	100			Fee schedule		15.42	100			Fee schedule		15.42	100			Fee schedule		15.42	100			Fee schedule		15.42		12.93		Case rate		12.93		12.93		Case rate		12.93	100			Fee schedule		15.42	12.93	38.69	
"Injection, iron dextran, 50 mg"	J1750	HCPCS	Outpatient	50	ME	7.65	4.97		90			Percent of total billed charges		6.88	95.46			Fee schedule		7.65	80			Percent of total billed charges		6.12	90			Percent of total billed charges		6.88	100			Fee schedule		17.31	85			Percent of total billed charges		6.5	100			Fee schedule		7.65	100			Fee schedule		17.31	100			Fee schedule		17.31	100			Fee schedule		17.31		14.44		Case rate		14.44		14.44		Case rate		14.44	100			Fee schedule		17.31	6.12	17.31	
"Injection, penicillin g benzathine and penicillin g procaine, 100,000 units"	J0558	HCPCS	Outpatient	100000	UN	4.75	3.09		90			Percent of total billed charges		4.28	95.46			Fee schedule		4.75	80			Percent of total billed charges		3.8	90			Percent of total billed charges		4.28	100			Fee schedule		17.37	85			Percent of total billed charges		4.04	100			Fee schedule		4.75	100			Fee schedule		17.37	100			Fee schedule		17.37	100			Fee schedule		17.37		11.62		Case rate		11.62		11.62		Case rate		11.62	100			Fee schedule		17.37	3.8	17.37	
"Iodine i-131 sodium iodide capsule(s), therapeutic, per millicurie"	A9517	CPT	Outpatient			87	56.55		90			Percent of total billed charges		78.3	95.46			Fee schedule		20.37	80			Percent of total billed charges		69.6	90			Percent of total billed charges		78.3	100			Fee schedule		21.34	85			Percent of total billed charges		73.95	100			Fee schedule		21.34	100			Fee schedule		21.34	100			Fee schedule		21.34	100			Fee schedule		21.34		22.01		Case rate		22.01		22.01		Case rate		22.01	100			Fee schedule		21.34	20.37	78.3	
"Injection, vedolizumab, intravenous, 1 mg"	J3380	HCPCS	Outpatient	1	ME	80.3	52.2		90			Percent of total billed charges		72.27	95.46			Fee schedule		20.86	80			Percent of total billed charges		64.24	90			Percent of total billed charges		72.27	100			Fee schedule		21.85	85			Percent of total billed charges		68.26	100			Fee schedule		21.85	100			Fee schedule		21.85	100			Fee schedule		21.85	100			Fee schedule		21.85		21.24		Case rate		21.24		21.24		Case rate		21.24	100			Fee schedule		21.85	20.86	72.27	
"Injection, penicillin g benzathine, 100,000 units"	J0561	HCPCS	Outpatient	100000	UN	83	53.95		90			Percent of total billed charges		74.7	95.46			Fee schedule		21	80			Percent of total billed charges		66.4	90			Percent of total billed charges		74.7	100			Fee schedule		22	85			Percent of total billed charges		70.55	100			Fee schedule		22	100			Fee schedule		22	100			Fee schedule		22	100			Fee schedule		22		14.68		Case rate		14.68		14.68		Case rate		14.68	100			Fee schedule		22	14.68	74.7	
"Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes"	G0446	CPT	Outpatient			40	26		90			Percent of total billed charges		36	95.46			Fee schedule		22.73	80			Percent of total billed charges		32	90			Percent of total billed charges		36	100			Fee schedule		23.81	85			Percent of total billed charges		34	100			Fee schedule		23.81	100			Fee schedule		23.81	100			Fee schedule		23.81	100			Fee schedule		23.81		89		Case rate	Use Lesser of logic	40		89		Case rate	Use Lesser of logic	40	100			Fee schedule		23.81	22.73	40	
"Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutes"	99407	CPT	Outpatient			75	48.75		90			Percent of total billed charges		67.5	95.46			Fee schedule		22.73	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	100			Fee schedule		23.81	85			Percent of total billed charges		63.75	100			Fee schedule		23.81	100			Fee schedule		23.81	100			Fee schedule		23.81	100			Fee schedule		23.81		89		Case rate	Use Lesser of logic	75		89		Case rate	Use Lesser of logic	75	100			Fee schedule		23.81	22.73	75	
"Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes"	99406	CPT	Outpatient			132	85.8		90			Percent of total billed charges		118.8	95.46			Fee schedule		22.73	80			Percent of total billed charges		105.6	90			Percent of total billed charges		118.8	100			Fee schedule		23.81	85			Percent of total billed charges		112.2	100			Fee schedule		23.81	100			Fee schedule		23.81	100			Fee schedule		23.81	100			Fee schedule		23.81		89		Case rate		89		89		Case rate		89	100			Fee schedule		23.81	22.73	118.8	
"Injection, natalizumab, 1 mg"	J2323	HCPCS	Outpatient	1	ME	81.79	53.16		90			Percent of total billed charges		73.61	95.46			Fee schedule		23.13	80			Percent of total billed charges		65.43	90			Percent of total billed charges		73.61	100			Fee schedule		24.22	85			Percent of total billed charges		69.52	100			Fee schedule		24.22	100			Fee schedule		24.22	100			Fee schedule		24.22	100			Fee schedule		24.22		20.91		Case rate		20.91		20.91		Case rate		20.91	100			Fee schedule		24.22	20.91	73.61	
"Skin test; tuberculosis, intradermal"	86580	CPT	Outpatient			44	28.6		90			Percent of total billed charges		39.6	95.46			Fee schedule		23.59	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	100			Fee schedule		24.71	85			Percent of total billed charges		37.4	100			Fee schedule		24.71	100			Fee schedule		24.71	100			Fee schedule		24.71	100			Fee schedule		24.71		5.13		Case rate		5.13		5.13		Case rate		5.13	100			Fee schedule		24.71	5.13	39.6	
"Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory"	Q0091	CPT	Outpatient			75	48.75		90			Percent of total billed charges		67.5	95.46			Fee schedule		23.59	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	100			Fee schedule		24.71	85			Percent of total billed charges		63.75	100			Fee schedule		24.71	100			Fee schedule		24.71	100			Fee schedule		24.71	100			Fee schedule		24.71		8.24		Case rate		8.24		8.24		Case rate		8.24	100			Fee schedule		24.71	8.24	67.5	
"Level I - Surgical pathology, gross examination only"	88300	CPT	Outpatient			33	21.45		90			Percent of total billed charges		29.7	95.46			Fee schedule		23.59	80			Percent of total billed charges		26.4	90			Percent of total billed charges		29.7	100			Fee schedule		24.71	85			Percent of total billed charges		28.05	100			Fee schedule		24.71	100			Fee schedule		24.71	100			Fee schedule		24.71	100			Fee schedule		24.71		10.04		Case rate		10.04		10.04		Case rate		10.04	100			Fee schedule		24.71	10.04	29.7	
"Cytopathology, smears, any other source; preparation, screening and interpretation"	88161	CPT	Outpatient			46	29.9		90			Percent of total billed charges		41.4	95.46			Fee schedule		23.59	80			Percent of total billed charges		36.8	90			Percent of total billed charges		41.4	100			Fee schedule		24.71	85			Percent of total billed charges		39.1	100			Fee schedule		24.71	100			Fee schedule		24.71	100			Fee schedule		24.71	100			Fee schedule		24.71		15.37		Case rate		15.37		15.37		Case rate		15.37	100			Fee schedule		24.71	15.37	41.4	
"Cytopathology, smears, any other source; screening and interpretation"	88160	CPT	Outpatient			64.99	42.24		90			Percent of total billed charges		58.49	95.46			Fee schedule		23.59	80			Percent of total billed charges		51.99	90			Percent of total billed charges		58.49	100			Fee schedule		24.71	85			Percent of total billed charges		55.24	100			Fee schedule		24.71	100			Fee schedule		24.71	100			Fee schedule		24.71	100			Fee schedule		24.71		15.37		Case rate		15.37		15.37		Case rate		15.37	100			Fee schedule		24.71	15.37	58.49	
"Level II - Surgical pathology, gross and microscopic examination Appendix, incidental Fallopian tube, sterilization Fingers/toes, amputation, traumatic Foreskin, newborn Hernia sac, any location Hydrocele sac Nerve Skin, plastic repair Sympathetic ganglion Testis, castration Vaginal mucosa, incidental Vas deferens, sterilization"	88302	CPT	Outpatient			68	44.2		90			Percent of total billed charges		61.2	95.46			Fee schedule		23.59	80			Percent of total billed charges		54.4	90			Percent of total billed charges		61.2	100			Fee schedule		24.71	85			Percent of total billed charges		57.8	100			Fee schedule		24.71	100			Fee schedule		24.71	100			Fee schedule		24.71	100			Fee schedule		24.71		15.37		Case rate		15.37		15.37		Case rate		15.37	100			Fee schedule		24.71	15.37	61.2	
"Cytopathology, fluids, washings or brushings, except cervical or vaginal; simple filter method with interpretation"	88106	CPT	Outpatient			75	48.75		90			Percent of total billed charges		67.5	95.46			Fee schedule		23.59	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	100			Fee schedule		24.71	85			Percent of total billed charges		63.75	100			Fee schedule		24.71	100			Fee schedule		24.71	100			Fee schedule		24.71	100			Fee schedule		24.71		15.37		Case rate		15.37		15.37		Case rate		15.37	100			Fee schedule		24.71	15.37	67.5	
"Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health care professional, includes connection, recording and disconnection per patient encounter; subcutaneous cardiac rhythm monitor system, including heart rhythm derived data analysis"	93291	CPT	Outpatient			60	39		90			Percent of total billed charges		54	95.46			Fee schedule		23.59	80			Percent of total billed charges		48	90			Percent of total billed charges		54	100			Fee schedule		24.71	85			Percent of total billed charges		51	100			Fee schedule		24.71	100			Fee schedule		24.71	100			Fee schedule		24.71	100			Fee schedule		24.71		621		Case rate	Use Lesser of logic	60		621		Case rate	Use Lesser of logic	60	100			Fee schedule		24.71	23.59	60	
"Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring)"	G0238	CPT	Outpatient			80	52		90			Percent of total billed charges		72	95.46			Fee schedule		23.59	80			Percent of total billed charges		64	90			Percent of total billed charges		72	100			Fee schedule		24.71	85			Percent of total billed charges		68	100			Fee schedule		24.71	100			Fee schedule		24.71	100			Fee schedule		24.71	100			Fee schedule		24.71		117		Case rate	Use Lesser of logic	80		117		Case rate	Use Lesser of logic	80	100			Fee schedule		24.71	23.59	80	
"Injection, denosumab, 1 mg"	J0897	HCPCS	Outpatient	1	ME	74.58	48.48		90			Percent of total billed charges		67.12	95.46			Fee schedule		24.05	80			Percent of total billed charges		59.67	90			Percent of total billed charges		67.12	100			Fee schedule		25.19	85			Percent of total billed charges		63.4	100			Fee schedule		25.19	100			Fee schedule		25.19	100			Fee schedule		25.19	100			Fee schedule		25.19		19.73		Case rate		19.73		19.73		Case rate		19.73	100			Fee schedule		25.19	19.73	67.12	
"Injection, amphotericin b liposome, 10 mg"	J0289	HCPCS	Outpatient	10	ME	15.16	9.86		90			Percent of total billed charges		13.65	95.46			Fee schedule		15.16	80			Percent of total billed charges		12.13	90			Percent of total billed charges		13.65	100			Fee schedule		27.68	85			Percent of total billed charges		12.89	100			Fee schedule		15.16	100			Fee schedule		27.68	100			Fee schedule		27.68	100			Fee schedule		27.68		23.52		Case rate		23.52		23.52		Case rate		23.52	100			Fee schedule		27.68	12.13	27.68	
"Injection, mepolizumab, 1 mg"	J2182	HCPCS	Outpatient	1	ME	100.29	65.19		90			Percent of total billed charges		90.26	95.46			Fee schedule		29.1	80			Percent of total billed charges		80.23	90			Percent of total billed charges		90.26	100			Fee schedule		30.48	85			Percent of total billed charges		85.25	100			Fee schedule		30.48	100			Fee schedule		30.48	100			Fee schedule		30.48	100			Fee schedule		30.48		31.27		Case rate		31.27		31.27		Case rate		31.27	100			Fee schedule		30.48	29.1	90.26	
"Injection, rho d immune globulin, intravenous, human, solvent detergent, 100 iu"	J2792	HCPCS	Outpatient	100	F2	89.26	58.02		90			Percent of total billed charges		80.33	95.46			Fee schedule		29.25	80			Percent of total billed charges		71.41	90			Percent of total billed charges		80.33	100			Fee schedule		30.64	85			Percent of total billed charges		75.87	100			Fee schedule		30.64	100			Fee schedule		30.64	100			Fee schedule		30.64	100			Fee schedule		30.64		29.45		Case rate		29.45		29.45		Case rate		29.45	100			Fee schedule		30.64	29.25	80.33	
"Injection, nivolumab, 1 mg"	J9299	HCPCS	Outpatient	1	ME	90	58.5		90			Percent of total billed charges		81	95.46			Fee schedule		29.68	80			Percent of total billed charges		72	90			Percent of total billed charges		81	100			Fee schedule		31.09	85			Percent of total billed charges		76.5	100			Fee schedule		31.09	100			Fee schedule		31.09	100			Fee schedule		31.09	100			Fee schedule		31.09		29.15		Case rate		29.15		29.15		Case rate		29.15	100			Fee schedule		31.09	29.15	81	
"External patient and, when performed, auto activated electrocardiographic rhythm derived event recording with symptom-related memory loop with remote download capability up to 30 days, 24-hour attended monitoring; recording (includes connection, recording, and disconnection)"	93270	CPT	Outpatient			20	13		90			Percent of total billed charges		18	95.46			Fee schedule		20	80			Percent of total billed charges		16	90			Percent of total billed charges		18	100			Fee schedule		31.3	85			Percent of total billed charges		17	100			Fee schedule		20	100			Fee schedule		31.3	100			Fee schedule		31.3	100			Fee schedule		31.3		355		Case rate	Use Lesser of logic	20		355		Case rate	Use Lesser of logic	20	100			Fee schedule		31.3	16	31.3	
"Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, including analysis of 1 or more recorded physiologic cardiovascular data elements from all internal and external sensors, analysis, review(s) and report(s) by a physician or other qualified health care professional"	93297	CPT	Outpatient			45	29.25		90			Percent of total billed charges		40.5	95.46			Fee schedule		29.87	80			Percent of total billed charges		36	90			Percent of total billed charges		40.5	100			Fee schedule		31.3	85			Percent of total billed charges		38.25	100			Fee schedule		31.3	100			Fee schedule		31.3	100			Fee schedule		31.3	100			Fee schedule		31.3		621		Case rate	Use Lesser of logic	45		621		Case rate	Use Lesser of logic	45	100			Fee schedule		31.3	29.87	45	
"Interrogation device evaluation(s), (remote) up to 30 days; subcutaneous cardiac rhythm monitor system, including analysis of recorded heart rhythm data, analysis, review(s) and report(s) by a physician or other qualified health care professional"	93298	CPT	Outpatient			45	29.25		90			Percent of total billed charges		40.5	95.46			Fee schedule		29.87	80			Percent of total billed charges		36	90			Percent of total billed charges		40.5	100			Fee schedule		31.3	85			Percent of total billed charges		38.25	100			Fee schedule		31.3	100			Fee schedule		31.3	100			Fee schedule		31.3	100			Fee schedule		31.3		621		Case rate	Use Lesser of logic	45		621		Case rate	Use Lesser of logic	45	100			Fee schedule		31.3	29.87	45	
"Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health care professional, includes connection, recording and disconnection per patient encounter; implantable cardiovascular physiologic monitor system, including analysis of 1 or more recorded physiologic cardiovascular data elements from all internal and external sensors"	93290	CPT	Outpatient			50	32.5		90			Percent of total billed charges		45	95.46			Fee schedule		29.87	80			Percent of total billed charges		40	90			Percent of total billed charges		45	100			Fee schedule		31.3	85			Percent of total billed charges		42.5	100			Fee schedule		31.3	100			Fee schedule		31.3	100			Fee schedule		31.3	100			Fee schedule		31.3		621		Case rate	Use Lesser of logic	50		621		Case rate	Use Lesser of logic	50	100			Fee schedule		31.3	29.87	50	
"Interrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead pacemaker system, leadless pacemaker system, or implantable defibrillator system, remote data acquisition(s), receipt of transmissions and technician review, technical support and distribution of results"	93296	CPT	Outpatient			50	32.5		90			Percent of total billed charges		45	95.46			Fee schedule		29.87	80			Percent of total billed charges		40	90			Percent of total billed charges		45	100			Fee schedule		31.3	85			Percent of total billed charges		42.5	100			Fee schedule		31.3	100			Fee schedule		31.3	100			Fee schedule		31.3	100			Fee schedule		31.3		621		Case rate	Use Lesser of logic	50		621		Case rate	Use Lesser of logic	50	100			Fee schedule		31.3	29.87	50	
"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review and report by a physician or other qualified health care professional; subcutaneous cardiac rhythm monitor system"	93285	CPT	Outpatient			70	45.5		90			Percent of total billed charges		63	95.46			Fee schedule		29.87	80			Percent of total billed charges		56	90			Percent of total billed charges		63	100			Fee schedule		31.3	85			Percent of total billed charges		59.5	100			Fee schedule		31.3	100			Fee schedule		31.3	100			Fee schedule		31.3	100			Fee schedule		31.3		621		Case rate	Use Lesser of logic	70		621		Case rate	Use Lesser of logic	70	100			Fee schedule		31.3	29.87	70	
"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review and report by a physician or other qualified health care professional; single lead pacemaker system or leadless pacemaker system in one cardiac chamber"	93279	CPT	Outpatient			80	52		90			Percent of total billed charges		72	95.46			Fee schedule		29.87	80			Percent of total billed charges		64	90			Percent of total billed charges		72	100			Fee schedule		31.3	85			Percent of total billed charges		68	100			Fee schedule		31.3	100			Fee schedule		31.3	100			Fee schedule		31.3	100			Fee schedule		31.3		621		Case rate	Use Lesser of logic	80		621		Case rate	Use Lesser of logic	80	100			Fee schedule		31.3	29.87	80	
"Transtelephonic rhythm strip pacemaker evaluation(s) single, dual, or multiple lead pacemaker system, includes recording with and without magnet application with analysis, review and report(s) by a physician or other qualified health care professional, up to 90 days"	93293	CPT	Outpatient			90	58.5		90			Percent of total billed charges		81	95.46			Fee schedule		29.87	80			Percent of total billed charges		72	90			Percent of total billed charges		81	100			Fee schedule		31.3	85			Percent of total billed charges		76.5	100			Fee schedule		31.3	100			Fee schedule		31.3	100			Fee schedule		31.3	100			Fee schedule		31.3		621		Case rate	Use Lesser of logic	90		621		Case rate	Use Lesser of logic	90	100			Fee schedule		31.3	29.87	90	
"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review and report by a physician or other qualified health care professional; dual lead pacemaker system"	93280	CPT	Outpatient			100	65		90			Percent of total billed charges		90	95.46			Fee schedule		29.87	80			Percent of total billed charges		80	90			Percent of total billed charges		90	100			Fee schedule		31.3	85			Percent of total billed charges		85	100			Fee schedule		31.3	100			Fee schedule		31.3	100			Fee schedule		31.3	100			Fee schedule		31.3		621		Case rate	Use Lesser of logic	100		621		Case rate	Use Lesser of logic	100	100			Fee schedule		31.3	29.87	100	
"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review and report by a physician or other qualified health care professional; single lead transvenous implantable defibrillator system"	93282	CPT	Outpatient			100	65		90			Percent of total billed charges		90	95.46			Fee schedule		29.87	80			Percent of total billed charges		80	90			Percent of total billed charges		90	100			Fee schedule		31.3	85			Percent of total billed charges		85	100			Fee schedule		31.3	100			Fee schedule		31.3	100			Fee schedule		31.3	100			Fee schedule		31.3		621		Case rate	Use Lesser of logic	100		621		Case rate	Use Lesser of logic	100	100			Fee schedule		31.3	29.87	100	
"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review and report by a physician or other qualified health care professional; multiple lead pacemaker system"	93281	CPT	Outpatient			110	71.5		90			Percent of total billed charges		99	95.46			Fee schedule		29.87	80			Percent of total billed charges		88	90			Percent of total billed charges		99	100			Fee schedule		31.3	85			Percent of total billed charges		93.5	100			Fee schedule		31.3	100			Fee schedule		31.3	100			Fee schedule		31.3	100			Fee schedule		31.3		621		Case rate	Use Lesser of logic	110		621		Case rate	Use Lesser of logic	110	100			Fee schedule		31.3	29.87	110	
"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review and report by a physician or other qualified health care professional; dual lead transvenous implantable defibrillator system"	93283	CPT	Outpatient			130	84.5		90			Percent of total billed charges		117	95.46			Fee schedule		29.87	80			Percent of total billed charges		104	90			Percent of total billed charges		117	100			Fee schedule		31.3	85			Percent of total billed charges		110.5	100			Fee schedule		31.3	100			Fee schedule		31.3	100			Fee schedule		31.3	100			Fee schedule		31.3		621		Case rate	Use Lesser of logic	130		621		Case rate	Use Lesser of logic	130	100			Fee schedule		31.3	29.87	130	
"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review and report by a physician or other qualified health care professional; multiple lead transvenous implantable defibrillator system"	93284	CPT	Outpatient			150	97.5		90			Percent of total billed charges		135	95.46			Fee schedule		29.87	80			Percent of total billed charges		120	90			Percent of total billed charges		135	100			Fee schedule		31.3	85			Percent of total billed charges		127.5	100			Fee schedule		31.3	100			Fee schedule		31.3	100			Fee schedule		31.3	100			Fee schedule		31.3		621		Case rate	Use Lesser of logic	150		621		Case rate	Use Lesser of logic	150	100			Fee schedule		31.3	29.87	150	
"Injection, infliximab, excludes biosimilar, 10 mg"	J1745	HCPCS	Outpatient	10	ME	60.73	39.48		90			Percent of total billed charges		54.66	95.46			Fee schedule		30.23	80			Percent of total billed charges		48.59	90			Percent of total billed charges		54.66	100			Fee schedule		31.67	85			Percent of total billed charges		51.62	100			Fee schedule		31.67	100			Fee schedule		31.67	100			Fee schedule		31.67	100			Fee schedule		31.67		81.25		Case rate		81.25		81.25		Case rate		81.25	100			Fee schedule		31.67	30.23	81.25	
"Blood typing, serologic; Rh (D)"	86901	CPT	Outpatient			47	30.55		90			Percent of total billed charges		42.3	95.46			Fee schedule		31.77	80			Percent of total billed charges		37.6	90			Percent of total billed charges		42.3	100			Fee schedule		33.28	85			Percent of total billed charges		39.95	100			Fee schedule		33.28	100			Fee schedule		33.28	100			Fee schedule		33.28	100			Fee schedule		33.28		3.81		Case rate		3.81		3.81		Case rate		3.81	100			Fee schedule		33.28	3.81	42.3	
"Cytopathology, fluids, washings or brushings, except cervical or vaginal; smears with interpretation"	88104	CPT	Outpatient			56	36.4		90			Percent of total billed charges		50.4	95.46			Fee schedule		31.77	80			Percent of total billed charges		44.8	90			Percent of total billed charges		50.4	100			Fee schedule		33.28	85			Percent of total billed charges		47.6	100			Fee schedule		33.28	100			Fee schedule		33.28	100			Fee schedule		33.28	100			Fee schedule		33.28		15.37		Case rate		15.37		15.37		Case rate		15.37	100			Fee schedule		33.28	15.37	50.4	
"Cytopathology, concentration technique, smears and interpretation (eg, Saccomanno technique)"	88108	CPT	Outpatient			70	45.5		90			Percent of total billed charges		63	95.46			Fee schedule		31.77	80			Percent of total billed charges		56	90			Percent of total billed charges		63	100			Fee schedule		33.28	85			Percent of total billed charges		59.5	100			Fee schedule		33.28	100			Fee schedule		33.28	100			Fee schedule		33.28	100			Fee schedule		33.28		15.37		Case rate		15.37		15.37		Case rate		15.37	100			Fee schedule		33.28	15.37	63	
External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; recording (includes connection and initial recording)	93246	CPT	Outpatient			25	16.25		90			Percent of total billed charges		22.5	95.46			Fee schedule		25	80			Percent of total billed charges		20	90			Percent of total billed charges		22.5	100			Fee schedule		33.28	85			Percent of total billed charges		21.25	100			Fee schedule		25	100			Fee schedule		33.28	100			Fee schedule		33.28	100			Fee schedule		33.28		60		Case rate	Use Lesser of logic	25		60		Case rate	Use Lesser of logic	25	100			Fee schedule		33.28	20	33.28	
Nitric oxide expired gas determination	95012	CPT	Outpatient			35	22.75		90			Percent of total billed charges		31.5	95.46			Fee schedule		31.77	80			Percent of total billed charges		28	90			Percent of total billed charges		31.5	100			Fee schedule		33.28	85			Percent of total billed charges		29.75	100			Fee schedule		33.28	100			Fee schedule		33.28	100			Fee schedule		33.28	100			Fee schedule		33.28		60		Case rate	Use Lesser of logic	35		60		Case rate	Use Lesser of logic	35	100			Fee schedule		33.28	28	35	
"Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, single dose"	90480	CPT	Outpatient			45	29.25		90			Percent of total billed charges		40.5	95.46			Fee schedule		34.52	80			Percent of total billed charges		36	90			Percent of total billed charges		40.5	100			Fee schedule		36.16	85			Percent of total billed charges		38.25	100			Fee schedule		36.16	100			Fee schedule		36.16	100			Fee schedule		36.16	100			Fee schedule		36.16		141		Case rate	Use Lesser of logic	45		141		Case rate	Use Lesser of logic	45	100			Fee schedule		36.16	34.52	45	
"Injection, omalizumab, 5 mg"	J2357	HCPCS	Outpatient	5	ME	124.57	80.97		90			Percent of total billed charges		112.11	95.46			Fee schedule		35.14	80			Percent of total billed charges		99.65	90			Percent of total billed charges		112.11	100			Fee schedule		36.81	85			Percent of total billed charges		105.88	100			Fee schedule		36.81	100			Fee schedule		36.81	100			Fee schedule		36.81	100			Fee schedule		36.81		39.27		Case rate		39.27		39.27		Case rate		39.27	100			Fee schedule		36.81	35.14	112.11	
"Injection, rituximab 10 mg and hyaluronidase"	J9311	HCPCS	Outpatient	10	ME	146.56	95.27		90			Percent of total billed charges		131.91	95.46			Fee schedule		35.55	80			Percent of total billed charges		117.25	90			Percent of total billed charges		131.91	100			Fee schedule		37.24	85			Percent of total billed charges		124.58	100			Fee schedule		37.24	100			Fee schedule		37.24	100			Fee schedule		37.24	100			Fee schedule		37.24		49.44		Case rate		49.44		49.44		Case rate		49.44	100			Fee schedule		37.24	35.55	131.91	
"Injection, ado-trastuzumab emtansine, 1 mg"	J9354	HCPCS	Outpatient	1	ME	95.81	62.28		90			Percent of total billed charges		86.23	95.46			Fee schedule		36.69	80			Percent of total billed charges		76.65	90			Percent of total billed charges		86.23	100			Fee schedule		38.44	85			Percent of total billed charges		81.44	100			Fee schedule		38.44	100			Fee schedule		38.44	100			Fee schedule		38.44	100			Fee schedule		38.44		33.09		Case rate		33.09		33.09		Case rate		33.09	100			Fee schedule		38.44	33.09	86.23	
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy; single or multiple antigens (specify number of doses)	95165	CPT	Outpatient			20	13		90			Percent of total billed charges		18	95.46			Fee schedule		20	80			Percent of total billed charges		16	90			Percent of total billed charges		18	100			Fee schedule		39.42	85			Percent of total billed charges		17	100			Fee schedule		20	100			Fee schedule		39.42	100			Fee schedule		39.42	100			Fee schedule		39.42		60		Case rate	Use Lesser of logic	20		60		Case rate	Use Lesser of logic	20	100			Fee schedule		39.42	16	39.42	
Professional services for allergen immunotherapy not including provision of allergenic extracts; single injection	95115	CPT	Outpatient			22	14.3		90			Percent of total billed charges		19.8	95.46			Fee schedule		22	80			Percent of total billed charges		17.6	90			Percent of total billed charges		19.8	100			Fee schedule		39.42	85			Percent of total billed charges		18.7	100			Fee schedule		22	100			Fee schedule		39.42	100			Fee schedule		39.42	100			Fee schedule		39.42		60		Case rate	Use Lesser of logic	22		60		Case rate	Use Lesser of logic	22	100			Fee schedule		39.42	17.6	39.42	
Professional services for allergen immunotherapy not including provision of allergenic extracts; 2 or more injections	95117	CPT	Outpatient			30	19.5		90			Percent of total billed charges		27	95.46			Fee schedule		30	80			Percent of total billed charges		24	90			Percent of total billed charges		27	100			Fee schedule		39.42	85			Percent of total billed charges		25.5	100			Fee schedule		30	100			Fee schedule		39.42	100			Fee schedule		39.42	100			Fee schedule		39.42		60		Case rate	Use Lesser of logic	30		60		Case rate	Use Lesser of logic	30	100			Fee schedule		39.42	24	39.42	
Administration of hepatitis b vaccine	G0010	CPT	Outpatient			35	22.75		90			Percent of total billed charges		31.5	95.46			Fee schedule		35	80			Percent of total billed charges		28	90			Percent of total billed charges		31.5	100			Fee schedule		39.42	85			Percent of total billed charges		29.75	100			Fee schedule		35	100			Fee schedule		39.42	100			Fee schedule		39.42	100			Fee schedule		39.42		141		Case rate	Use Lesser of logic	35		141		Case rate	Use Lesser of logic	35	100			Fee schedule		39.42	28	39.42	
Administration of influenza virus vaccine	G0008	CPT	Outpatient			40	26		90			Percent of total billed charges		36	95.46			Fee schedule		37.63	80			Percent of total billed charges		32	90			Percent of total billed charges		36	100			Fee schedule		39.42	85			Percent of total billed charges		34	100			Fee schedule		39.42	100			Fee schedule		39.42	100			Fee schedule		39.42	100			Fee schedule		39.42		141		Case rate	Use Lesser of logic	40		141		Case rate	Use Lesser of logic	40	100			Fee schedule		39.42	32	40	
Administration of pneumococcal vaccine	G0009	CPT	Outpatient			40	26		90			Percent of total billed charges		36	95.46			Fee schedule		37.63	80			Percent of total billed charges		32	90			Percent of total billed charges		36	100			Fee schedule		39.42	85			Percent of total billed charges		34	100			Fee schedule		39.42	100			Fee schedule		39.42	100			Fee schedule		39.42	100			Fee schedule		39.42		141		Case rate	Use Lesser of logic	40		141		Case rate	Use Lesser of logic	40	100			Fee schedule		39.42	32	40	
Unlisted chemotherapy procedure	96549	CPT	Outpatient			62	40.3		90			Percent of total billed charges		55.8	95.46			Fee schedule		37.63	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	100			Fee schedule		39.42	85			Percent of total billed charges		52.7	100			Fee schedule		39.42	100			Fee schedule		39.42	100			Fee schedule		39.42	100			Fee schedule		39.42		237		Case rate	Use Lesser of logic	62		237		Case rate	Use Lesser of logic	62	100			Fee schedule		39.42	37.63	62	
"Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure)"	96361	CPT	Outpatient			100	65		90			Percent of total billed charges		90	95.46			Fee schedule		37.63	80			Percent of total billed charges		80	90			Percent of total billed charges		90	100			Fee schedule		39.42	85			Percent of total billed charges		85	100			Fee schedule		39.42	100			Fee schedule		39.42	100			Fee schedule		39.42	100			Fee schedule		39.42		141		Case rate	Use Lesser of logic	100		141		Case rate	Use Lesser of logic	100	100			Fee schedule		39.42	37.63	100	
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)"	96366	CPT	Outpatient			101	65.65		90			Percent of total billed charges		90.9	95.46			Fee schedule		37.63	80			Percent of total billed charges		80.8	90			Percent of total billed charges		90.9	100			Fee schedule		39.42	85			Percent of total billed charges		85.85	100			Fee schedule		39.42	100			Fee schedule		39.42	100			Fee schedule		39.42	100			Fee schedule		39.42		141		Case rate	Use Lesser of logic	101		141		Case rate	Use Lesser of logic	101	100			Fee schedule		39.42	37.63	101	
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure)"	96375	CPT	Outpatient			120	78		90			Percent of total billed charges		108	95.46			Fee schedule		37.63	80			Percent of total billed charges		96	90			Percent of total billed charges		108	100			Fee schedule		39.42	85			Percent of total billed charges		102	100			Fee schedule		39.42	100			Fee schedule		39.42	100			Fee schedule		39.42	100			Fee schedule		39.42		141		Case rate	Use Lesser of logic	120		141		Case rate	Use Lesser of logic	120	100			Fee schedule		39.42	37.63	120	
"Unlisted therapeutic, prophylactic, or diagnostic intravenous or intra-arterial injection or infusion"	96379	CPT	Outpatient			176	114.4		90			Percent of total billed charges		158.4	95.46			Fee schedule		37.63	80			Percent of total billed charges		140.8	90			Percent of total billed charges		158.4	100			Fee schedule		39.42	85			Percent of total billed charges		149.6	100			Fee schedule		39.42	100			Fee schedule		39.42	100			Fee schedule		39.42	100			Fee schedule		39.42		141		Case rate		141		141		Case rate		141	100			Fee schedule		39.42	37.63	158.4	
"Injection, immune globulin, (gammagard liquid), non-lyophilized, (e.g., liquid), 500 mg"	J1569	HCPCS	Outpatient	500	ME	168.8	109.72		90			Percent of total billed charges		151.92	95.46			Fee schedule		41.26	80			Percent of total billed charges		135.04	90			Percent of total billed charges		151.92	100			Fee schedule		43.22	85			Percent of total billed charges		143.48	100			Fee schedule		43.22	100			Fee schedule		43.22	100			Fee schedule		43.22	100			Fee schedule		43.22		44.76		Case rate		44.76		44.76		Case rate		44.76	100			Fee schedule		43.22	41.26	151.92	
"Antibody screen, RBC, each serum technique"	86850	CPT	Outpatient			81	52.65		90			Percent of total billed charges		72.9	95.46			Fee schedule		42.93	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	100			Fee schedule		44.97	85			Percent of total billed charges		68.85	100			Fee schedule		44.97	100			Fee schedule		44.97	100			Fee schedule		44.97	100			Fee schedule		44.97		13.44		Case rate		13.44		13.44		Case rate		13.44	100			Fee schedule		44.97	13.44	72.9	
"Special stain including interpretation and report; Group I for microorganisms (eg, acid fast, methenamine silver)"	88312	CPT	Outpatient			112.21	72.94		90			Percent of total billed charges		100.99	95.46			Fee schedule		42.93	80			Percent of total billed charges		89.77	90			Percent of total billed charges		100.99	100			Fee schedule		44.97	85			Percent of total billed charges		95.38	100			Fee schedule		44.97	100			Fee schedule		44.97	100			Fee schedule		44.97	100			Fee schedule		44.97		15.37		Case rate		15.37		15.37		Case rate		15.37	100			Fee schedule		44.97	15.37	100.99	
"Cytopathology, selective cellular enhancement technique with interpretation (eg, liquid based slide preparation method), except cervical or vaginal"	88112	CPT	Outpatient			64	41.6		90			Percent of total billed charges		57.6	95.46			Fee schedule		42.93	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	100			Fee schedule		44.97	85			Percent of total billed charges		54.4	100			Fee schedule		44.97	100			Fee schedule		44.97	100			Fee schedule		44.97	100			Fee schedule		44.97		33.13		Case rate		33.13		33.13		Case rate		33.13	100			Fee schedule		44.97	33.13	57.6	
"Level III - Surgical pathology, gross and microscopic examination Abortion, induced Abscess Aneurysm - arterial/ventricular Anus, tag Appendix, other than incidental Artery, atheromatous plaque Bartholin's gland cyst Bone fragment(s), other than pathologic fracture Bursa/synovial cyst Carpal tunnel tissue Cartilage, shavings Cholesteatoma Colon, colostomy stoma Conjunctiva - biopsy/pterygium Cornea Diverticulum - esophagus/small intestine Dupuytren's contracture tissue Femoral head, other than fracture Fissure/fistula Foreskin, other than newborn Gallbladder Ganglion cyst Hematoma Hemorrhoids Hydatid of Morgagni Intervertebral disc Joint, loose body Meniscus Mucocele, salivary Neuroma - Morton's/traumatic Pilonidal cyst/sinus Polyps, inflammatory - nasal/sinusoidal Skin - cyst/tag/debridement Soft tissue, debridement Soft tissue, lipoma Spermatocele Tendon/tendon sheath Testicular appendage Thrombus or embolus Tonsil and/or adenoids Varicocele Vas deferens, other than sterilization Vein, varicosity"	88304	CPT	Outpatient			70	45.5		90			Percent of total billed charges		63	95.46			Fee schedule		42.93	80			Percent of total billed charges		56	90			Percent of total billed charges		63	100			Fee schedule		44.97	85			Percent of total billed charges		59.5	100			Fee schedule		44.97	100			Fee schedule		44.97	100			Fee schedule		44.97	100			Fee schedule		44.97		33.13		Case rate		33.13		33.13		Case rate		33.13	100			Fee schedule		44.97	33.13	63	
Consultation and report on referred material requiring preparation of slides	88323	CPT	Outpatient			82	53.3		90			Percent of total billed charges		73.8	95.46			Fee schedule		42.93	80			Percent of total billed charges		65.6	90			Percent of total billed charges		73.8	100			Fee schedule		44.97	85			Percent of total billed charges		69.7	100			Fee schedule		44.97	100			Fee schedule		44.97	100			Fee schedule		44.97	100			Fee schedule		44.97		33.13		Case rate		33.13		33.13		Case rate		33.13	100			Fee schedule		44.97	33.13	73.8	
"Flow cytometry, cell cycle or DNA analysis"	88182	CPT	Outpatient			94	61.1		90			Percent of total billed charges		84.6	95.46			Fee schedule		42.93	80			Percent of total billed charges		75.2	90			Percent of total billed charges		84.6	100			Fee schedule		44.97	85			Percent of total billed charges		79.9	100			Fee schedule		44.97	100			Fee schedule		44.97	100			Fee schedule		44.97	100			Fee schedule		44.97		33.13		Case rate		33.13		33.13		Case rate		33.13	100			Fee schedule		44.97	33.13	84.6	
"Level IV - Surgical pathology, gross and microscopic examination Abortion - spontaneous/missed Artery, biopsy Bone marrow, biopsy Bone exostosis Brain/meninges, other than for tumor resection Breast, biopsy, not requiring microscopic evaluation of surgical margins Breast, reduction mammoplasty Bronchus, biopsy Cell block, any source Cervix, biopsy Colon, biopsy Duodenum, biopsy Endocervix, curettings/biopsy Endometrium, curettings/biopsy Esophagus, biopsy Extremity, amputation, traumatic Fallopian tube, biopsy Fallopian tube, ectopic pregnancy Femoral head, fracture Fingers/toes, amputation, non-traumatic Gingiva/oral mucosa, biopsy Heart valve Joint, resection Kidney, biopsy Larynx, biopsy Leiomyoma(s), uterine myomectomy - without uterus Lip, biopsy/wedge resection Lung, transbronchial biopsy Lymph node, biopsy Muscle, biopsy Nasal mucosa, biopsy Nasopharynx/oropharynx, biopsy Nerve, biopsy Odontogenic/dental cyst Omentum, biopsy Ovary with or without tube, non-neoplastic Ovary, biopsy/wedge resection Parathyroid gland Peritoneum, biopsy Pituitary tumor Placenta, other than third trimester Pleura/pericardium - biopsy/tissue Polyp, cervical/endometrial Polyp, colorectal Polyp, stomach/small intestine Prostate, needle biopsy Prostate, TUR Salivary gland, biopsy Sinus, paranasal biopsy Skin, other than cyst/tag/debridement/plastic repair Small intestine, biopsy Soft tissue, other than tumor/mass/lipoma/debridement Spleen Stomach, biopsy Synovium Testis, other than tumor/biopsy/castration Thyroglossal duct/brachial cleft cyst Tongue, biopsy Tonsil, biopsy Trachea, biopsy Ureter, biopsy Urethra, biopsy Urinary bladder, biopsy Uterus, with or without tubes and ovaries, for prolapse Vagina, biopsy Vulva/labia, biopsy"	88305	CPT	Outpatient			97	63.05		90			Percent of total billed charges		87.3	95.46			Fee schedule		42.93	80			Percent of total billed charges		77.6	90			Percent of total billed charges		87.3	100			Fee schedule		44.97	85			Percent of total billed charges		82.45	100			Fee schedule		44.97	100			Fee schedule		44.97	100			Fee schedule		44.97	100			Fee schedule		44.97		33.13		Case rate		33.13		33.13		Case rate		33.13	100			Fee schedule		44.97	33.13	87.3	
"Cytopathology, smears, any other source; extended study involving over 5 slides and/or multiple stains"	88162	CPT	Outpatient			104.52	67.94		90			Percent of total billed charges		94.07	95.46			Fee schedule		42.93	80			Percent of total billed charges		83.62	90			Percent of total billed charges		94.07	100			Fee schedule		44.97	85			Percent of total billed charges		88.84	100			Fee schedule		44.97	100			Fee schedule		44.97	100			Fee schedule		44.97	100			Fee schedule		44.97		33.13		Case rate		33.13		33.13		Case rate		33.13	100			Fee schedule		44.97	33.13	94.07	
"Cytopathology, evaluation of fine needle aspirate; interpretation and report"	88173	CPT	Outpatient			121.3	78.84		90			Percent of total billed charges		109.17	95.46			Fee schedule		42.93	80			Percent of total billed charges		97.04	90			Percent of total billed charges		109.17	100			Fee schedule		44.97	85			Percent of total billed charges		103.1	100			Fee schedule		44.97	100			Fee schedule		44.97	100			Fee schedule		44.97	100			Fee schedule		44.97		33.13		Case rate		33.13		33.13		Case rate		33.13	100			Fee schedule		44.97	33.13	109.17	
Morphometric analysis; nerve	88356	CPT	Outpatient			212.4	138.06		90			Percent of total billed charges		191.16	95.46			Fee schedule		42.93	80			Percent of total billed charges		169.92	90			Percent of total billed charges		191.16	100			Fee schedule		44.97	85			Percent of total billed charges		180.54	100			Fee schedule		44.97	100			Fee schedule		44.97	100			Fee schedule		44.97	100			Fee schedule		44.97		51.89		Case rate		51.89		51.89		Case rate		51.89	100			Fee schedule		44.97	42.93	191.16	
"Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g., liquid), 500 mg"	J1459	HCPCS	Outpatient	500	ME	168.75	109.69		90			Percent of total billed charges		151.88	95.46			Fee schedule		45.69	80			Percent of total billed charges		135	90			Percent of total billed charges		151.88	100			Fee schedule		47.86	85			Percent of total billed charges		143.44	100			Fee schedule		47.86	100			Fee schedule		47.86	100			Fee schedule		47.86	100			Fee schedule		47.86		42.74		Case rate		42.74		42.74		Case rate		42.74	100			Fee schedule		47.86	42.74	151.88	
"Injection, lanreotide, 1 mg"	J1930	HCPCS	Outpatient	1	ME	248.61	161.6		90			Percent of total billed charges		223.75	95.46			Fee schedule		45.82	80			Percent of total billed charges		198.89	90			Percent of total billed charges		223.75	100			Fee schedule		48	85			Percent of total billed charges		211.32	100			Fee schedule		48	100			Fee schedule		48	100			Fee schedule		48	100			Fee schedule		48		62.3		Case rate		62.3		62.3		Case rate		62.3	100			Fee schedule		48	45.82	223.75	
"Injection, immune globulin, (gamunex-c/gammaked), non-lyophilized (e.g., liquid), 500 mg"	J1561	HCPCS	Outpatient	500	ME	159.26	103.52		90			Percent of total billed charges		143.33	95.46			Fee schedule		46.66	80			Percent of total billed charges		127.41	90			Percent of total billed charges		143.33	100			Fee schedule		48.88	85			Percent of total billed charges		135.37	100			Fee schedule		48.88	100			Fee schedule		48.88	100			Fee schedule		48.88	100			Fee schedule		48.88		42.52		Case rate		42.52		42.52		Case rate		42.52	100			Fee schedule		48.88	42.52	143.33	
"Antihuman globulin test (Coombs test); direct, each antiserum"	86880	CPT	Outpatient			44	28.6		90			Percent of total billed charges		39.6	95.46			Fee schedule		44	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	100			Fee schedule		50.76	85			Percent of total billed charges		37.4	100			Fee schedule		44	100			Fee schedule		50.76	100			Fee schedule		50.76	100			Fee schedule		50.76		6.85		Case rate		6.85		6.85		Case rate		6.85	100			Fee schedule		50.76	6.85	50.76	
"Special stain including interpretation and report; Group II, all other (eg, iron, trichrome), except stain for microorganisms, stains for enzyme constituents, or immunocytochemistry and immunohistochemistry"	88313	CPT	Outpatient			85.32	55.46		90			Percent of total billed charges		76.79	95.46			Fee schedule		48.46	80			Percent of total billed charges		68.26	90			Percent of total billed charges		76.79	100			Fee schedule		50.76	85			Percent of total billed charges		72.52	100			Fee schedule		50.76	100			Fee schedule		50.76	100			Fee schedule		50.76	100			Fee schedule		50.76		15.37		Case rate		15.37		15.37		Case rate		15.37	100			Fee schedule		50.76	15.37	76.79	
"Rhythm ECG, 1-3 leads; tracing only without interpretation and report"	93041	CPT	Outpatient			69	44.85		90			Percent of total billed charges		62.1	95.46			Fee schedule		48.46	80			Percent of total billed charges		55.2	90			Percent of total billed charges		62.1	100			Fee schedule		50.76	85			Percent of total billed charges		58.65	100			Fee schedule		50.76	100			Fee schedule		50.76	100			Fee schedule		50.76	100			Fee schedule		50.76		60		Case rate		60		60		Case rate		60	100			Fee schedule		50.76	48.46	62.1	
"Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report"	93005	CPT	Outpatient			80	52		90			Percent of total billed charges		72	95.46			Fee schedule		48.46	80			Percent of total billed charges		64	90			Percent of total billed charges		72	100			Fee schedule		50.76	85			Percent of total billed charges		68	100			Fee schedule		50.76	100			Fee schedule		50.76	100			Fee schedule		50.76	100			Fee schedule		50.76		60		Case rate		60		60		Case rate		60	100			Fee schedule		50.76	48.46	72	
Irrigation of implanted venous access device for drug delivery systems	96523	CPT	Outpatient			64	41.6		90			Percent of total billed charges		57.6	95.46			Fee schedule		48.46	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	100			Fee schedule		50.76	85			Percent of total billed charges		54.4	100			Fee schedule		50.76	100			Fee schedule		50.76	100			Fee schedule		50.76	100			Fee schedule		50.76		237		Case rate	Use Lesser of logic	64		237		Case rate	Use Lesser of logic	64	100			Fee schedule		50.76	48.46	64	
"Maximum breathing capacity, maximal voluntary ventilation"	94200	CPT	Outpatient			67	43.55		90			Percent of total billed charges		60.3	95.46			Fee schedule		48.46	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	100			Fee schedule		50.76	85			Percent of total billed charges		56.95	100			Fee schedule		50.76	100			Fee schedule		50.76	100			Fee schedule		50.76	100			Fee schedule		50.76		82		Case rate	Use Lesser of logic	67		82		Case rate	Use Lesser of logic	67	100			Fee schedule		50.76	48.46	67	
"Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging"	51798	CPT	Outpatient			75	48.75		90			Percent of total billed charges		67.5	95.46			Fee schedule		48.46	80			Percent of total billed charges		60	85			Percent of total billed charges		63.75	100			Fee schedule		50.76	85			Percent of total billed charges		63.75	100			Fee schedule		50.76	100			Fee schedule		50.76	100			Fee schedule		50.76	100			Fee schedule		50.76		216		Case rate	Use Lesser of logic	75		216		Case rate	Use Lesser of logic	75	100			Fee schedule		50.76	48.46	75	
"Orbicularis oculi (blink) reflex, by electrodiagnostic testing"	95933	CPT	Outpatient			79	51.35		90			Percent of total billed charges		71.1	95.46			Fee schedule		48.46	80			Percent of total billed charges		63.2	90			Percent of total billed charges		71.1	100			Fee schedule		50.76	85			Percent of total billed charges		67.15	100			Fee schedule		50.76	100			Fee schedule		50.76	100			Fee schedule		50.76	100			Fee schedule		50.76		237		Case rate	Use Lesser of logic	79		237		Case rate	Use Lesser of logic	79	100			Fee schedule		50.76	48.46	79	
Strapping; toes	29550	CPT	Outpatient			85	55.25		90			Percent of total billed charges		76.5	95.46			Fee schedule		48.46	80			Percent of total billed charges		68	85			Percent of total billed charges		72.25	100			Fee schedule		50.76	85			Percent of total billed charges		72.25	100			Fee schedule		50.76	100			Fee schedule		50.76	100			Fee schedule		50.76	100			Fee schedule		50.76		216		Case rate	Use Lesser of logic	85		216		Case rate	Use Lesser of logic	85	100			Fee schedule		50.76	48.46	85	
"Cryotherapy (CO2 slush, liquid N2) for acne"	17340	CPT	Outpatient			110	71.5		90			Percent of total billed charges		99	95.46			Fee schedule		48.46	80			Percent of total billed charges		88	85			Percent of total billed charges		93.5	100			Fee schedule		50.76	85			Percent of total billed charges		93.5	100			Fee schedule		50.76	100			Fee schedule		50.76	100			Fee schedule		50.76	100			Fee schedule		50.76		216		Case rate	Use Lesser of logic	110		216		Case rate	Use Lesser of logic	110	100			Fee schedule		50.76	48.46	110	
Strapping; elbow or wrist	29260	CPT	Outpatient			120	78		90			Percent of total billed charges		108	95.46			Fee schedule		48.46	80			Percent of total billed charges		96	85			Percent of total billed charges		102	100			Fee schedule		50.76	85			Percent of total billed charges		102	100			Fee schedule		50.76	100			Fee schedule		50.76	100			Fee schedule		50.76	100			Fee schedule		50.76		216		Case rate	Use Lesser of logic	120		216		Case rate	Use Lesser of logic	120	100			Fee schedule		50.76	48.46	120	
External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; scanning analysis with report	93226	CPT	Outpatient			127	82.55		90			Percent of total billed charges		114.3	95.46			Fee schedule		48.46	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	100			Fee schedule		50.76	85			Percent of total billed charges		107.95	100			Fee schedule		50.76	100			Fee schedule		50.76	100			Fee schedule		50.76	100			Fee schedule		50.76		355		Case rate	Use Lesser of logic	127		355		Case rate	Use Lesser of logic	127	100			Fee schedule		50.76	48.46	127	
Strapping; hand or finger	29280	CPT	Outpatient			130	84.5		90			Percent of total billed charges		117	95.46			Fee schedule		48.46	80			Percent of total billed charges		104	85			Percent of total billed charges		110.5	100			Fee schedule		50.76	85			Percent of total billed charges		110.5	100			Fee schedule		50.76	100			Fee schedule		50.76	100			Fee schedule		50.76	100			Fee schedule		50.76		216		Case rate	Use Lesser of logic	130		216		Case rate	Use Lesser of logic	130	100			Fee schedule		50.76	48.46	130	
"Removal impacted cerumen using irrigation/lavage, unilateral"	69209	CPT	Outpatient			148	96.2		90			Percent of total billed charges		133.2	95.46			Fee schedule		48.46	80			Percent of total billed charges		118.4	85			Percent of total billed charges		125.8	100			Fee schedule		50.76	85			Percent of total billed charges		125.8	100			Fee schedule		50.76	100			Fee schedule		50.76	100			Fee schedule		50.76	100			Fee schedule		50.76		216		Case rate	Use Lesser of logic	148		216		Case rate	Use Lesser of logic	148	100			Fee schedule		50.76	48.46	148	
"Removal impacted cerumen requiring instrumentation, unilateral"	69210	CPT	Outpatient			153	99.45		90			Percent of total billed charges		137.7	95.46			Fee schedule		48.46	80			Percent of total billed charges		122.4	85			Percent of total billed charges		130.05	100			Fee schedule		50.76	85			Percent of total billed charges		130.05	100			Fee schedule		50.76	100			Fee schedule		50.76	100			Fee schedule		50.76	100			Fee schedule		50.76		216		Case rate	Use Lesser of logic	153		216		Case rate	Use Lesser of logic	153	100			Fee schedule		50.76	48.46	153	
Application of finger splint; dynamic	29131	CPT	Outpatient			165	107.25		90			Percent of total billed charges		148.5	95.46			Fee schedule		48.46	80			Percent of total billed charges		132	85			Percent of total billed charges		140.25	100			Fee schedule		50.76	85			Percent of total billed charges		140.25	100			Fee schedule		50.76	100			Fee schedule		50.76	100			Fee schedule		50.76	100			Fee schedule		50.76		216		Case rate	Use Lesser of logic	165		216		Case rate	Use Lesser of logic	165	100			Fee schedule		50.76	48.46	165	
Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; with continuous oximetry monitoring (per session)	94626	CPT	Outpatient			321	208.65		90			Percent of total billed charges		288.9	95.46			Fee schedule		48.46	80			Percent of total billed charges		256.8	90			Percent of total billed charges		288.9	100			Fee schedule		50.76	85			Percent of total billed charges		272.85	100			Fee schedule		50.76	100			Fee schedule		50.76	100			Fee schedule		50.76	100			Fee schedule		50.76		178		Case rate		178		178		Case rate		178	100			Fee schedule		50.76	48.46	288.9	
Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; without continuous oximetry monitoring (per session)	94625	CPT	Outpatient			321	208.65		90			Percent of total billed charges		288.9	95.46			Fee schedule		48.46	80			Percent of total billed charges		256.8	90			Percent of total billed charges		288.9	100			Fee schedule		50.76	85			Percent of total billed charges		272.85	100			Fee schedule		50.76	100			Fee schedule		50.76	100			Fee schedule		50.76	100			Fee schedule		50.76		178		Case rate		178		178		Case rate		178	100			Fee schedule		50.76	48.46	288.9	
Debridement of nail(s) by any method(s); 6 or more	11721	CPT	Outpatient			208	135.2		90			Percent of total billed charges		187.2	95.46			Fee schedule		48.46	80			Percent of total billed charges		166.4	85			Percent of total billed charges		176.8	100			Fee schedule		50.76	85			Percent of total billed charges		176.8	100			Fee schedule		50.76	100			Fee schedule		50.76	100			Fee schedule		50.76	100			Fee schedule		50.76		216		Case rate	Use Lesser of logic	208		216		Case rate	Use Lesser of logic	208	100			Fee schedule		50.76	48.46	208	
Debridement of nail(s) by any method(s); 1 to 5	11720	CPT	Outpatient			235	152.75		90			Percent of total billed charges		211.5	95.46			Fee schedule		48.46	80			Percent of total billed charges		188	85			Percent of total billed charges		199.75	100			Fee schedule		50.76	85			Percent of total billed charges		199.75	100			Fee schedule		50.76	100			Fee schedule		50.76	100			Fee schedule		50.76	100			Fee schedule		50.76		216		Case rate		216		216		Case rate		216	100			Fee schedule		50.76	48.46	216	
"Trimming of nondystrophic nails, any number"	11719	CPT	Outpatient			285.62	185.65		90			Percent of total billed charges		257.06	95.46			Fee schedule		48.46	80			Percent of total billed charges		228.5	85			Percent of total billed charges		242.78	100			Fee schedule		50.76	85			Percent of total billed charges		242.78	100			Fee schedule		50.76	100			Fee schedule		50.76	100			Fee schedule		50.76	100			Fee schedule		50.76		216		Case rate		216		216		Case rate		216	100			Fee schedule		50.76	48.46	257.06	
"Infusion, albumin (human), 5%, 250 ml"	P9045	CPT	Outpatient			170.63	110.91		90			Percent of total billed charges		153.56	95.46			Fee schedule		50.67	80			Percent of total billed charges		136.5	90			Percent of total billed charges		153.56	100			Fee schedule		53.08	85			Percent of total billed charges		145.03	100			Fee schedule		53.08	100			Fee schedule		53.08	100			Fee schedule		53.08	100			Fee schedule		53.08		55.6		Case rate		55.6		55.6		Case rate		55.6	100			Fee schedule		53.08	50.67	153.56	
"Infusion, albumin (human), 25%, 50 ml"	P9047	CPT	Outpatient			320	208		90			Percent of total billed charges		288	95.46			Fee schedule		50.67	80			Percent of total billed charges		256	90			Percent of total billed charges		288	100			Fee schedule		53.08	85			Percent of total billed charges		272	100			Fee schedule		53.08	100			Fee schedule		53.08	100			Fee schedule		53.08	100			Fee schedule		53.08		55.6		Case rate		55.6		55.6		Case rate		55.6	100			Fee schedule		53.08	50.67	288	
"Injection, pembrolizumab, 1 mg"	J9271	HCPCS	Outpatient	1	ME	80.21	52.13		90			Percent of total billed charges		72.18	95.46			Fee schedule		54.71	80			Percent of total billed charges		64.16	90			Percent of total billed charges		72.18	100			Fee schedule		57.31	85			Percent of total billed charges		68.17	100			Fee schedule		57.31	100			Fee schedule		57.31	100			Fee schedule		57.31	100			Fee schedule		57.31		51.93		Case rate		51.93		51.93		Case rate		51.93	100			Fee schedule		57.31	51.93	72.18	
Immunization administration by intranasal or oral route; 1 vaccine (single or combination vaccine/toxoid)	90473	CPT	Outpatient			30	19.5		90			Percent of total billed charges		27	95.46			Fee schedule		30	80			Percent of total billed charges		24	90			Percent of total billed charges		27	100			Fee schedule		58.46	85			Percent of total billed charges		25.5	100			Fee schedule		30	100			Fee schedule		58.46	100			Fee schedule		58.46	100			Fee schedule		58.46		141		Case rate	Use Lesser of logic	30		141		Case rate	Use Lesser of logic	30	100			Fee schedule		58.46	24	58.46	
"Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)"	90471	CPT	Outpatient			35	22.75		90			Percent of total billed charges		31.5	95.46			Fee schedule		35	80			Percent of total billed charges		28	90			Percent of total billed charges		31.5	100			Fee schedule		58.46	85			Percent of total billed charges		29.75	100			Fee schedule		35	100			Fee schedule		58.46	100			Fee schedule		58.46	100			Fee schedule		58.46		141		Case rate	Use Lesser of logic	35		141		Case rate	Use Lesser of logic	35	100			Fee schedule		58.46	28	58.46	
"Chemotherapy administration, intravenous infusion technique; each additional hour (List separately in addition to code for primary procedure)"	96415	CPT	Outpatient			50	32.5		90			Percent of total billed charges		45	95.46			Fee schedule		50	80			Percent of total billed charges		40	90			Percent of total billed charges		45	100			Fee schedule		58.46	85			Percent of total billed charges		42.5	100			Fee schedule		50	100			Fee schedule		58.46	100			Fee schedule		58.46	100			Fee schedule		58.46		237		Case rate	Use Lesser of logic	50		237		Case rate	Use Lesser of logic	50	100			Fee schedule		58.46	40	58.46	
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular"	96372	CPT	Outpatient			58.96	38.32		90			Percent of total billed charges		53.06	95.46			Fee schedule		55.81	80			Percent of total billed charges		47.17	90			Percent of total billed charges		53.06	100			Fee schedule		58.46	85			Percent of total billed charges		50.12	100			Fee schedule		58.46	100			Fee schedule		58.46	100			Fee schedule		58.46	100			Fee schedule		58.46		141		Case rate	Use Lesser of logic	58.96		141		Case rate	Use Lesser of logic	58.96	100			Fee schedule		58.46	47.17	58.96	
"Chemotherapy administration; intravenous, push technique, each additional substance/drug (List separately in addition to code for primary procedure)"	96411	CPT	Outpatient			65	42.25		90			Percent of total billed charges		58.5	95.46			Fee schedule		55.81	80			Percent of total billed charges		52	90			Percent of total billed charges		58.5	100			Fee schedule		58.46	85			Percent of total billed charges		55.25	100			Fee schedule		58.46	100			Fee schedule		58.46	100			Fee schedule		58.46	100			Fee schedule		58.46		237		Case rate	Use Lesser of logic	65		237		Case rate	Use Lesser of logic	65	100			Fee schedule		58.46	52	65	
"Chemotherapy administration, subcutaneous or intramuscular; hormonal anti-neoplastic"	96402	CPT	Outpatient			75	48.75		90			Percent of total billed charges		67.5	95.46			Fee schedule		55.81	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	100			Fee schedule		58.46	85			Percent of total billed charges		63.75	100			Fee schedule		58.46	100			Fee schedule		58.46	100			Fee schedule		58.46	100			Fee schedule		58.46		237		Case rate	Use Lesser of logic	75		237		Case rate	Use Lesser of logic	75	100			Fee schedule		58.46	55.81	75	
"Chemotherapy administration, subcutaneous or intramuscular; non-hormonal anti-neoplastic"	96401	CPT	Outpatient			105	68.25		90			Percent of total billed charges		94.5	95.46			Fee schedule		55.81	80			Percent of total billed charges		84	90			Percent of total billed charges		94.5	100			Fee schedule		58.46	85			Percent of total billed charges		89.25	100			Fee schedule		58.46	100			Fee schedule		58.46	100			Fee schedule		58.46	100			Fee schedule		58.46		237		Case rate	Use Lesser of logic	105		237		Case rate	Use Lesser of logic	105	100			Fee schedule		58.46	55.81	105	
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); additional sequential infusion of a new drug/substance, up to 1 hour (List separately in addition to code for primary procedure)"	96367	CPT	Outpatient			121	78.65		90			Percent of total billed charges		108.9	95.46			Fee schedule		55.81	80			Percent of total billed charges		96.8	90			Percent of total billed charges		108.9	100			Fee schedule		58.46	85			Percent of total billed charges		102.85	100			Fee schedule		58.46	100			Fee schedule		58.46	100			Fee schedule		58.46	100			Fee schedule		58.46		141		Case rate	Use Lesser of logic	121		141		Case rate	Use Lesser of logic	121	100			Fee schedule		58.46	55.81	121	
"Chemotherapy administration, intravenous infusion technique; each additional sequential infusion (different substance/drug), up to 1 hour (List separately in addition to code for primary procedure)"	96417	CPT	Outpatient			134	87.1		90			Percent of total billed charges		120.6	95.46			Fee schedule		55.81	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	100			Fee schedule		58.46	85			Percent of total billed charges		113.9	100			Fee schedule		58.46	100			Fee schedule		58.46	100			Fee schedule		58.46	100			Fee schedule		58.46		237		Case rate	Use Lesser of logic	134		237		Case rate	Use Lesser of logic	134	100			Fee schedule		58.46	55.81	134	
"Chemotherapy administration; intralesional, up to and including 7 lesions"	96405	CPT	Outpatient			155	100.75		90			Percent of total billed charges		139.5	95.46			Fee schedule		55.81	80			Percent of total billed charges		124	90			Percent of total billed charges		139.5	100			Fee schedule		58.46	85			Percent of total billed charges		131.75	100			Fee schedule		58.46	100			Fee schedule		58.46	100			Fee schedule		58.46	100			Fee schedule		58.46		237		Case rate	Use Lesser of logic	155		237		Case rate	Use Lesser of logic	155	100			Fee schedule		58.46	55.81	155	
"Injection, ocrelizumab, 1 mg"	J2350	HCPCS	Outpatient	1	ME	185.12	120.33		90			Percent of total billed charges		166.61	95.46			Fee schedule		56.09	80			Percent of total billed charges		148.1	90			Percent of total billed charges		166.61	100			Fee schedule		58.76	85			Percent of total billed charges		157.35	100			Fee schedule		58.76	100			Fee schedule		58.76	100			Fee schedule		58.76	100			Fee schedule		58.76		60.81		Case rate		60.81		60.81		Case rate		60.81	100			Fee schedule		58.76	56.09	166.61	
"Injection, irinotecan liposome, 1 mg"	J9205	HCPCS	Outpatient	1	ME	57.42	37.32		90			Percent of total billed charges		51.68	95.46			Fee schedule		57.42	80			Percent of total billed charges		45.93	90			Percent of total billed charges		51.68	100			Fee schedule		63.44	85			Percent of total billed charges		48.81	100			Fee schedule		57.42	100			Fee schedule		63.44	100			Fee schedule		63.44	100			Fee schedule		63.44		48.39		Case rate		48.39		48.39		Case rate		48.39	100			Fee schedule		63.44	45.93	63.44	
"Injection, c-1 esterase inhibitor (human), berinert, 10 units"	J0597	HCPCS	Outpatient	10	UN	112.97	73.43		90			Percent of total billed charges		101.67	95.46			Fee schedule		61.5	80			Percent of total billed charges		90.38	90			Percent of total billed charges		101.67	100			Fee schedule		64.43	85			Percent of total billed charges		96.02	100			Fee schedule		64.43	100			Fee schedule		64.43	100			Fee schedule		64.43	100			Fee schedule		64.43		51.86		Case rate		51.86		51.86		Case rate		51.86	100			Fee schedule		64.43	51.86	101.67	
"Injection, talimogene laherparepvec, per 1 million plaque forming units"	J9325	HCPCS	Outpatient	1	EA	87.75	57.04		90			Percent of total billed charges		78.98	95.46			Fee schedule		63.77	80			Percent of total billed charges		70.2	90			Percent of total billed charges		78.98	100			Fee schedule		66.8	85			Percent of total billed charges		74.59	100			Fee schedule		66.8	100			Fee schedule		66.8	100			Fee schedule		66.8	100			Fee schedule		66.8		53.05		Case rate		53.05		53.05		Case rate		53.05	100			Fee schedule		66.8	53.05	78.98	
"Injection, mitomycin, 5 mg"	J9280	HCPCS	Outpatient	5	ME	499.25	324.51		90			Percent of total billed charges		449.32	95.46			Fee schedule		63.99	80			Percent of total billed charges		399.4	90			Percent of total billed charges		449.32	100			Fee schedule		67.03	85			Percent of total billed charges		424.36	100			Fee schedule		67.03	100			Fee schedule		67.03	100			Fee schedule		67.03	100			Fee schedule		67.03		132.57		Case rate		132.57		132.57		Case rate		132.57	100			Fee schedule		67.03	63.99	449.32	
"Injection, erythromycin lactobionate, per 500 mg"	J1364	HCPCS	Outpatient	500	ME	300	195		90			Percent of total billed charges		270	95.46			Fee schedule		64.73	80			Percent of total billed charges		240	90			Percent of total billed charges		270	100			Fee schedule		67.81	85			Percent of total billed charges		255	100			Fee schedule		67.81	100			Fee schedule		67.81	100			Fee schedule		67.81	100			Fee schedule		67.81		83.6		Case rate		83.6		83.6		Case rate		83.6	100			Fee schedule		67.81	64.73	270	
"Plasma, cryoprecipitate reduced, each unit"	P9044	CPT	Outpatient			116	75.4		90			Percent of total billed charges		104.4	95.46			Fee schedule		66.01	80			Percent of total billed charges		92.8	90			Percent of total billed charges		104.4	100			Fee schedule		69.15	85			Percent of total billed charges		98.6	100			Fee schedule		69.15	100			Fee schedule		69.15	100			Fee schedule		69.15	100			Fee schedule		69.15		196		Case rate	Use Lesser of logic	116		196		Case rate	Use Lesser of logic	116	100			Fee schedule		69.15	66.01	116	
"Injection, ramucirumab, 5 mg"	J9308	HCPCS	Outpatient	5	ME	56.37	36.64		90			Percent of total billed charges		50.74	95.46			Fee schedule		56.37	80			Percent of total billed charges		45.1	90			Percent of total billed charges		50.74	100			Fee schedule		69.65	85			Percent of total billed charges		47.92	100			Fee schedule		56.37	100			Fee schedule		69.65	100			Fee schedule		69.65	100			Fee schedule		69.65		61.08		Case rate		61.08		61.08		Case rate		61.08	100			Fee schedule		69.65	45.1	69.65	
"Injection, obinutuzumab, 10 mg"	J9301	HCPCS	Outpatient	10	ME	222.48	144.61		90			Percent of total billed charges		200.23	95.46			Fee schedule		67.03	80			Percent of total billed charges		177.98	90			Percent of total billed charges		200.23	100			Fee schedule		70.22	85			Percent of total billed charges		189.11	100			Fee schedule		70.22	100			Fee schedule		70.22	100			Fee schedule		70.22	100			Fee schedule		70.22		68.5		Case rate		68.5		68.5		Case rate		68.5	100			Fee schedule		70.22	67.03	200.23	
"Fresh frozen plasma between 8-24 hours of collection, each unit"	P9059	CPT	Outpatient			127	82.55		90			Percent of total billed charges		114.3	95.46			Fee schedule		69.28	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	100			Fee schedule		72.57	85			Percent of total billed charges		107.95	100			Fee schedule		72.57	100			Fee schedule		72.57	100			Fee schedule		72.57	100			Fee schedule		72.57		196		Case rate	Use Lesser of logic	127		196		Case rate	Use Lesser of logic	127	100			Fee schedule		72.57	69.28	127	
"Injection, cetuximab, 10 mg"	J9055	HCPCS	Outpatient	10	ME	124.5	80.92		90			Percent of total billed charges		112.05	95.46			Fee schedule		70.15	80			Percent of total billed charges		99.6	90			Percent of total billed charges		112.05	100			Fee schedule		73.49	85			Percent of total billed charges		105.82	100			Fee schedule		73.49	100			Fee schedule		73.49	100			Fee schedule		73.49	100			Fee schedule		73.49		64.2		Case rate		64.2		64.2		Case rate		64.2	100			Fee schedule		73.49	64.2	112.05	
Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional	99281	CPT	Outpatient			269	174.85		90			Percent of total billed charges		242.1	95.46			Fee schedule		70.33	80			Percent of total billed charges		215.2	90			Percent of total billed charges		242.1	100			Fee schedule		73.68	85			Percent of total billed charges		228.65	100			Fee schedule		73.68	100			Fee schedule		73.68	100			Fee schedule		73.68	100			Fee schedule		73.68		246		Case rate		246		246		Case rate		246	100			Fee schedule		73.68	70.33	246	
"Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes"	G0443	CPT	Outpatient			40	26		90			Percent of total billed charges		36	95.46			Fee schedule		40	80			Percent of total billed charges		32	90			Percent of total billed charges		36	100			Fee schedule		73.97	85			Percent of total billed charges		34	100			Fee schedule		40	100			Fee schedule		73.97	100			Fee schedule		73.97	100			Fee schedule		73.97		89		Case rate	Use Lesser of logic	40		89		Case rate	Use Lesser of logic	40	100			Fee schedule		73.97	32	73.97	
"Face-to-face behavioral counseling for obesity, 15 minutes"	G0447	CPT	Outpatient			40	26		90			Percent of total billed charges		36	95.46			Fee schedule		40	80			Percent of total billed charges		32	90			Percent of total billed charges		36	100			Fee schedule		73.97	85			Percent of total billed charges		34	100			Fee schedule		40	100			Fee schedule		73.97	100			Fee schedule		73.97	100			Fee schedule		73.97		89		Case rate	Use Lesser of logic	40		89		Case rate	Use Lesser of logic	40	100			Fee schedule		73.97	32	73.97	
"Injection, bevacizumab, 10 mg"	J9035	HCPCS	Outpatient	10	ME	85.17	55.36		90			Percent of total billed charges		76.65	95.46			Fee schedule		70.79	80			Percent of total billed charges		68.13	90			Percent of total billed charges		76.65	100			Fee schedule		74.16	85			Percent of total billed charges		72.39	100			Fee schedule		74.16	100			Fee schedule		74.16	100			Fee schedule		74.16	100			Fee schedule		74.16		86.05		Case rate		86.05		86.05		Case rate		86.05	100			Fee schedule		74.16	68.13	86.05	
"Radiologic examination, teeth; single view"	70300	CPT	Outpatient			42	27.3		90			Percent of total billed charges		37.8	95.46			Fee schedule		42	80			Percent of total billed charges		33.6	90			Percent of total billed charges		37.8	100			Fee schedule		75.41	85			Percent of total billed charges		35.7	100			Fee schedule		42	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41		117		Case rate	Use Lesser of logic	42		117		Case rate	Use Lesser of logic	42	100			Fee schedule		75.41	33.6	75.41	
"Manual application of stress performed by physician or other qualified health care professional for joint radiography, including contralateral joint if indicated"	77071	CPT	Outpatient			65	42.25		90			Percent of total billed charges		58.5	95.46			Fee schedule		65	80			Percent of total billed charges		52	90			Percent of total billed charges		58.5	100			Fee schedule		75.41	85			Percent of total billed charges		55.25	100			Fee schedule		65	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41		117		Case rate	Use Lesser of logic	65		117		Case rate	Use Lesser of logic	65	100			Fee schedule		75.41	52	75.41	
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; appendicular skeleton (peripheral) (eg, radius, wrist, heel)"	77081	CPT	Outpatient			100	65		90			Percent of total billed charges		90	95.46			Fee schedule		71.99	80			Percent of total billed charges		80	90			Percent of total billed charges		90	100			Fee schedule		75.41	85			Percent of total billed charges		85	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41		117		Case rate	Use Lesser of logic	100		117		Case rate	Use Lesser of logic	100	100			Fee schedule		75.41	71.99	100	
Unlisted diagnostic radiographic procedure	76499	CPT	Outpatient			105	68.25		90			Percent of total billed charges		94.5	95.46			Fee schedule		71.99	80			Percent of total billed charges		84	90			Percent of total billed charges		94.5	100			Fee schedule		75.41	85			Percent of total billed charges		89.25	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41		117		Case rate	Use Lesser of logic	105		117		Case rate	Use Lesser of logic	105	100			Fee schedule		75.41	71.99	105	
"Radiologic examination, finger(s), minimum of 2 views"	73140	CPT	Outpatient			120	78		90			Percent of total billed charges		108	95.46			Fee schedule		71.99	80			Percent of total billed charges		96	90			Percent of total billed charges		108	100			Fee schedule		75.41	85			Percent of total billed charges		102	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41		117		Case rate		117		117		Case rate		117	100			Fee schedule		75.41	71.99	117	
"Radiologic examination, foot; 2 views"	73620	CPT	Outpatient			120	78		90			Percent of total billed charges		108	95.46			Fee schedule		71.99	80			Percent of total billed charges		96	90			Percent of total billed charges		108	100			Fee schedule		75.41	85			Percent of total billed charges		102	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41		117		Case rate		117		117		Case rate		117	100			Fee schedule		75.41	71.99	117	
"Radiologic examination, hand; minimum of 3 views"	73130	CPT	Outpatient			120	78		90			Percent of total billed charges		108	95.46			Fee schedule		71.99	80			Percent of total billed charges		96	90			Percent of total billed charges		108	100			Fee schedule		75.41	85			Percent of total billed charges		102	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41		117		Case rate		117		117		Case rate		117	100			Fee schedule		75.41	71.99	117	
"Radiologic examination, knee; 1 or 2 views"	73560	CPT	Outpatient			120	78		90			Percent of total billed charges		108	95.46			Fee schedule		71.99	80			Percent of total billed charges		96	90			Percent of total billed charges		108	100			Fee schedule		75.41	85			Percent of total billed charges		102	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41		117		Case rate		117		117		Case rate		117	100			Fee schedule		75.41	71.99	117	
"Radiologic examination, nasal bones, complete, minimum of 3 views"	70160	CPT	Outpatient			120	78		90			Percent of total billed charges		108	95.46			Fee schedule		71.99	80			Percent of total billed charges		96	90			Percent of total billed charges		108	100			Fee schedule		75.41	85			Percent of total billed charges		102	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41		117		Case rate		117		117		Case rate		117	100			Fee schedule		75.41	71.99	117	
"Radiologic examination, sacrum and coccyx, minimum of 2 views"	72220	CPT	Outpatient			120	78		90			Percent of total billed charges		108	95.46			Fee schedule		71.99	80			Percent of total billed charges		96	90			Percent of total billed charges		108	100			Fee schedule		75.41	85			Percent of total billed charges		102	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41		117		Case rate		117		117		Case rate		117	100			Fee schedule		75.41	71.99	117	
"Radiologic examination; calcaneus, minimum of 2 views"	73650	CPT	Outpatient			120	78		90			Percent of total billed charges		108	95.46			Fee schedule		71.99	80			Percent of total billed charges		96	90			Percent of total billed charges		108	100			Fee schedule		75.41	85			Percent of total billed charges		102	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41		117		Case rate		117		117		Case rate		117	100			Fee schedule		75.41	71.99	117	
"Radiologic examination; lower extremity, infant, minimum of 2 views"	73592	CPT	Outpatient			120	78		90			Percent of total billed charges		108	95.46			Fee schedule		71.99	80			Percent of total billed charges		96	90			Percent of total billed charges		108	100			Fee schedule		75.41	85			Percent of total billed charges		102	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41		117		Case rate		117		117		Case rate		117	100			Fee schedule		75.41	71.99	117	
"Radiologic examination; neck, soft tissue"	70360	CPT	Outpatient			120	78		90			Percent of total billed charges		108	95.46			Fee schedule		71.99	80			Percent of total billed charges		96	90			Percent of total billed charges		108	100			Fee schedule		75.41	85			Percent of total billed charges		102	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41		117		Case rate		117		117		Case rate		117	100			Fee schedule		75.41	71.99	117	
"Radiologic examination; toe(s), minimum of 2 views"	73660	CPT	Outpatient			120	78		90			Percent of total billed charges		108	95.46			Fee schedule		71.99	80			Percent of total billed charges		96	90			Percent of total billed charges		108	100			Fee schedule		75.41	85			Percent of total billed charges		102	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41		117		Case rate		117		117		Case rate		117	100			Fee schedule		75.41	71.99	117	
"Radiologic examination, ankle; 2 views"	73600	CPT	Outpatient			120	78		90			Percent of total billed charges		108	95.46			Fee schedule		71.99	80			Percent of total billed charges		96	90			Percent of total billed charges		108	100			Fee schedule		75.41	85			Percent of total billed charges		102	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41		117		Case rate		117		117		Case rate		117	100			Fee schedule		75.41	71.99	117	
"Radiologic examination, ankle; complete, minimum of 3 views"	73610	CPT	Outpatient			120	78		90			Percent of total billed charges		108	95.46			Fee schedule		71.99	80			Percent of total billed charges		96	90			Percent of total billed charges		108	100			Fee schedule		75.41	85			Percent of total billed charges		102	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41		117		Case rate		117		117		Case rate		117	100			Fee schedule		75.41	71.99	117	
"Radiologic examination, foot; complete, minimum of 3 views"	73630	CPT	Outpatient			120	78		90			Percent of total billed charges		108	95.46			Fee schedule		71.99	80			Percent of total billed charges		96	90			Percent of total billed charges		108	100			Fee schedule		75.41	85			Percent of total billed charges		102	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41		117		Case rate		117		117		Case rate		117	100			Fee schedule		75.41	71.99	117	
"Radiologic examination, knee; 3 views"	73562	CPT	Outpatient			120	78		90			Percent of total billed charges		108	95.46			Fee schedule		71.99	80			Percent of total billed charges		96	90			Percent of total billed charges		108	100			Fee schedule		75.41	85			Percent of total billed charges		102	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41		117		Case rate		117		117		Case rate		117	100			Fee schedule		75.41	71.99	117	
"Radiologic examination, shoulder; 1 view"	73020	CPT	Outpatient			120	78		90			Percent of total billed charges		108	95.46			Fee schedule		71.99	80			Percent of total billed charges		96	90			Percent of total billed charges		108	100			Fee schedule		75.41	85			Percent of total billed charges		102	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41		117		Case rate		117		117		Case rate		117	100			Fee schedule		75.41	71.99	117	
"Radiologic examination, sinuses, paranasal, less than 3 views"	70210	CPT	Outpatient			120	78		90			Percent of total billed charges		108	95.46			Fee schedule		71.99	80			Percent of total billed charges		96	90			Percent of total billed charges		108	100			Fee schedule		75.41	85			Percent of total billed charges		102	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41		117		Case rate		117		117		Case rate		117	100			Fee schedule		75.41	71.99	117	
"Radiologic examination, wrist; 2 views"	73100	CPT	Outpatient			120	78		90			Percent of total billed charges		108	95.46			Fee schedule		71.99	80			Percent of total billed charges		96	90			Percent of total billed charges		108	100			Fee schedule		75.41	85			Percent of total billed charges		102	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41		117		Case rate		117		117		Case rate		117	100			Fee schedule		75.41	71.99	117	
"Radiologic examination, wrist; complete, minimum of 3 views"	73110	CPT	Outpatient			120	78		90			Percent of total billed charges		108	95.46			Fee schedule		71.99	80			Percent of total billed charges		96	90			Percent of total billed charges		108	100			Fee schedule		75.41	85			Percent of total billed charges		102	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41		117		Case rate		117		117		Case rate		117	100			Fee schedule		75.41	71.99	117	
"Radiologic examination; humerus, minimum of 2 views"	73060	CPT	Outpatient			120	78		90			Percent of total billed charges		108	95.46			Fee schedule		71.99	80			Percent of total billed charges		96	90			Percent of total billed charges		108	100			Fee schedule		75.41	85			Percent of total billed charges		102	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41		117		Case rate		117		117		Case rate		117	100			Fee schedule		75.41	71.99	117	
"Orthopantogram (eg, panoramic x-ray)"	70355	CPT	Outpatient			127	82.55		90			Percent of total billed charges		114.3	95.46			Fee schedule		71.99	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	100			Fee schedule		75.41	85			Percent of total billed charges		107.95	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41		117		Case rate		117		117		Case rate		117	100			Fee schedule		75.41	71.99	117	
"Radiologic examination, temporomandibular joint, open and closed mouth; unilateral"	70328	CPT	Outpatient			127	82.55		90			Percent of total billed charges		114.3	95.46			Fee schedule		71.99	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	100			Fee schedule		75.41	85			Percent of total billed charges		107.95	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41		117		Case rate		117		117		Case rate		117	100			Fee schedule		75.41	71.99	117	
"Radiologic examination; sternoclavicular joint or joints, minimum of 3 views"	71130	CPT	Outpatient			127	82.55		90			Percent of total billed charges		114.3	95.46			Fee schedule		71.99	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	100			Fee schedule		75.41	85			Percent of total billed charges		107.95	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41		117		Case rate		117		117		Case rate		117	100			Fee schedule		75.41	71.99	117	
"Radiologic examination; sternum, minimum of 2 views"	71120	CPT	Outpatient			127	82.55		90			Percent of total billed charges		114.3	95.46			Fee schedule		71.99	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	100			Fee schedule		75.41	85			Percent of total billed charges		107.95	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41		117		Case rate		117		117		Case rate		117	100			Fee schedule		75.41	71.99	117	
"Radiologic examination, elbow; 2 views"	73070	CPT	Outpatient			127	82.55		90			Percent of total billed charges		114.3	95.46			Fee schedule		71.99	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	100			Fee schedule		75.41	85			Percent of total billed charges		107.95	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41		117		Case rate		117		117		Case rate		117	100			Fee schedule		75.41	71.99	117	
"Radiologic examination, eye, for detection of foreign body"	70030	CPT	Outpatient			127	82.55		90			Percent of total billed charges		114.3	95.46			Fee schedule		71.99	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	100			Fee schedule		75.41	85			Percent of total billed charges		107.95	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41		117		Case rate		117		117		Case rate		117	100			Fee schedule		75.41	71.99	117	
"Radiologic examination, facial bones; less than 3 views"	70140	CPT	Outpatient			127	82.55		90			Percent of total billed charges		114.3	95.46			Fee schedule		71.99	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	100			Fee schedule		75.41	85			Percent of total billed charges		107.95	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41		117		Case rate		117		117		Case rate		117	100			Fee schedule		75.41	71.99	117	
"Radiologic examination; acromioclavicular joints, bilateral, with or without weighted distraction"	73050	CPT	Outpatient			134	87.1		90			Percent of total billed charges		120.6	95.46			Fee schedule		71.99	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	100			Fee schedule		75.41	85			Percent of total billed charges		113.9	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41		117		Case rate		117		117		Case rate		117	100			Fee schedule		75.41	71.99	120.6	
"Radiologic examination, elbow; complete, minimum of 3 views"	73080	CPT	Outpatient			140	91		90			Percent of total billed charges		126	95.46			Fee schedule		71.99	80			Percent of total billed charges		112	90			Percent of total billed charges		126	100			Fee schedule		75.41	85			Percent of total billed charges		119	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41		117		Case rate		117		117		Case rate		117	100			Fee schedule		75.41	71.99	126	
"Radiologic examination, ribs, unilateral; 2 views"	71100	CPT	Outpatient			140	91		90			Percent of total billed charges		126	95.46			Fee schedule		71.99	80			Percent of total billed charges		112	90			Percent of total billed charges		126	100			Fee schedule		75.41	85			Percent of total billed charges		119	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41		117		Case rate		117		117		Case rate		117	100			Fee schedule		75.41	71.99	126	
"Radiologic examination, abdomen; 1 view"	74018	CPT	Outpatient			140	91		90			Percent of total billed charges		126	95.46			Fee schedule		71.99	80			Percent of total billed charges		112	90			Percent of total billed charges		126	100			Fee schedule		75.41	85			Percent of total billed charges		119	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41		117		Case rate		117		117		Case rate		117	100			Fee schedule		75.41	71.99	126	
"Radiologic examination, knee; both knees, standing, anteroposterior"	73565	CPT	Outpatient			140	91		90			Percent of total billed charges		126	95.46			Fee schedule		71.99	80			Percent of total billed charges		112	90			Percent of total billed charges		126	100			Fee schedule		75.41	85			Percent of total billed charges		119	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41		117		Case rate		117		117		Case rate		117	100			Fee schedule		75.41	71.99	126	
"Radiologic examination; forearm, 2 views"	73090	CPT	Outpatient			140	91		90			Percent of total billed charges		126	95.46			Fee schedule		71.99	80			Percent of total billed charges		112	90			Percent of total billed charges		126	100			Fee schedule		75.41	85			Percent of total billed charges		119	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41		117		Case rate		117		117		Case rate		117	100			Fee schedule		75.41	71.99	126	
"Radiologic examination; tibia and fibula, 2 views"	73590	CPT	Outpatient			140	91		90			Percent of total billed charges		126	95.46			Fee schedule		71.99	80			Percent of total billed charges		112	90			Percent of total billed charges		126	100			Fee schedule		75.41	85			Percent of total billed charges		119	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41		117		Case rate		117		117		Case rate		117	100			Fee schedule		75.41	71.99	126	
"Radiologic examination, hip, unilateral, with pelvis when performed; 1 view"	73501	CPT	Outpatient			142	92.3		90			Percent of total billed charges		127.8	95.46			Fee schedule		71.99	80			Percent of total billed charges		113.6	90			Percent of total billed charges		127.8	100			Fee schedule		75.41	85			Percent of total billed charges		120.7	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41		117		Case rate		117		117		Case rate		117	100			Fee schedule		75.41	71.99	127.8	
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view"	72081	CPT	Outpatient			154	100.1		90			Percent of total billed charges		138.6	95.46			Fee schedule		71.99	80			Percent of total billed charges		123.2	90			Percent of total billed charges		138.6	100			Fee schedule		75.41	85			Percent of total billed charges		130.9	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41		117		Case rate		117		117		Case rate		117	100			Fee schedule		75.41	71.99	138.6	
"Radiologic examination, spine; thoracolumbar junction, minimum of 2 views"	72080	CPT	Outpatient			154	100.1		90			Percent of total billed charges		138.6	95.46			Fee schedule		71.99	80			Percent of total billed charges		123.2	90			Percent of total billed charges		138.6	100			Fee schedule		75.41	85			Percent of total billed charges		130.9	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41		117		Case rate		117		117		Case rate		117	100			Fee schedule		75.41	71.99	138.6	
"Radiologic examination, shoulder; complete, minimum of 2 views"	73030	CPT	Outpatient			154	100.1		90			Percent of total billed charges		138.6	95.46			Fee schedule		71.99	80			Percent of total billed charges		123.2	90			Percent of total billed charges		138.6	100			Fee schedule		75.41	85			Percent of total billed charges		130.9	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41		117		Case rate		117		117		Case rate		117	100			Fee schedule		75.41	71.99	138.6	
"Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views"	73502	CPT	Outpatient			157	102.05		90			Percent of total billed charges		141.3	95.46			Fee schedule		71.99	80			Percent of total billed charges		125.6	90			Percent of total billed charges		141.3	100			Fee schedule		75.41	85			Percent of total billed charges		133.45	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41		117		Case rate		117		117		Case rate		117	100			Fee schedule		75.41	71.99	141.3	
"Radiologic examination, spine, cervical; 2 or 3 views"	72040	CPT	Outpatient			167	108.55		90			Percent of total billed charges		150.3	95.46			Fee schedule		71.99	80			Percent of total billed charges		133.6	90			Percent of total billed charges		150.3	100			Fee schedule		75.41	85			Percent of total billed charges		141.95	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41		117		Case rate		117		117		Case rate		117	100			Fee schedule		75.41	71.99	150.3	
"Radiologic examination, spine, single view, specify level"	72020	CPT	Outpatient			167	108.55		90			Percent of total billed charges		150.3	95.46			Fee schedule		71.99	80			Percent of total billed charges		133.6	90			Percent of total billed charges		150.3	100			Fee schedule		75.41	85			Percent of total billed charges		141.95	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41		117		Case rate		117		117		Case rate		117	100			Fee schedule		75.41	71.99	150.3	
"Radiologic examination; clavicle, complete"	73000	CPT	Outpatient			167	108.55		90			Percent of total billed charges		150.3	95.46			Fee schedule		71.99	80			Percent of total billed charges		133.6	90			Percent of total billed charges		150.3	100			Fee schedule		75.41	85			Percent of total billed charges		141.95	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41		117		Case rate		117		117		Case rate		117	100			Fee schedule		75.41	71.99	150.3	
"Radiologic examination, temporomandibular joint, open and closed mouth; bilateral"	70330	CPT	Outpatient			174	113.1		90			Percent of total billed charges		156.6	95.46			Fee schedule		71.99	80			Percent of total billed charges		139.2	90			Percent of total billed charges		156.6	100			Fee schedule		75.41	85			Percent of total billed charges		147.9	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41		117		Case rate		117		117		Case rate		117	100			Fee schedule		75.41	71.99	156.6	
"Radiologic examination, sinuses, paranasal, complete, minimum of 3 views"	70220	CPT	Outpatient			187	121.55		90			Percent of total billed charges		168.3	95.46			Fee schedule		71.99	80			Percent of total billed charges		149.6	90			Percent of total billed charges		168.3	100			Fee schedule		75.41	85			Percent of total billed charges		158.95	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41		117		Case rate		117		117		Case rate		117	100			Fee schedule		75.41	71.99	168.3	
"Trabecular bone score (TBS), structural condition of the bone microarchitecture; technical calculation only"	77091	CPT	Outpatient			200	130		90			Percent of total billed charges		180	95.46			Fee schedule		71.99	80			Percent of total billed charges		160	90			Percent of total billed charges		180	100			Fee schedule		75.41	85			Percent of total billed charges		170	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41		117		Case rate		117		117		Case rate		117	100			Fee schedule		75.41	71.99	180	
Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA)	77086	CPT	Outpatient			200	130		90			Percent of total billed charges		180	95.46			Fee schedule		71.99	80			Percent of total billed charges		160	90			Percent of total billed charges		180	100			Fee schedule		75.41	85			Percent of total billed charges		170	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41		117		Case rate		117		117		Case rate		117	100			Fee schedule		75.41	71.99	180	
"Radiologic examination from nose to rectum for foreign body, single view, child"	76010	CPT	Outpatient			207	134.55		90			Percent of total billed charges		186.3	95.46			Fee schedule		71.99	80			Percent of total billed charges		165.6	90			Percent of total billed charges		186.3	100			Fee schedule		75.41	85			Percent of total billed charges		175.95	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41		117		Case rate		117		117		Case rate		117	100			Fee schedule		75.41	71.99	186.3	
"Radiologic examination, femur; 1 view"	73551	CPT	Outpatient			210	136.5		90			Percent of total billed charges		189	95.46			Fee schedule		71.99	80			Percent of total billed charges		168	90			Percent of total billed charges		189	100			Fee schedule		75.41	85			Percent of total billed charges		178.5	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41		117		Case rate		117		117		Case rate		117	100			Fee schedule		75.41	71.99	189	
"Radiologic examination, chest; 2 views"	71046	CPT	Outpatient			214	139.1		90			Percent of total billed charges		192.6	95.46			Fee schedule		71.99	80			Percent of total billed charges		171.2	90			Percent of total billed charges		192.6	100			Fee schedule		75.41	85			Percent of total billed charges		181.9	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41		117		Case rate		117		117		Case rate		117	100			Fee schedule		75.41	71.99	192.6	
"Radiologic examination, femur; minimum 2 views"	73552	CPT	Outpatient			232	150.8		90			Percent of total billed charges		208.8	95.46			Fee schedule		71.99	80			Percent of total billed charges		185.6	90			Percent of total billed charges		208.8	100			Fee schedule		75.41	85			Percent of total billed charges		197.2	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41		117		Case rate		117		117		Case rate		117	100			Fee schedule		75.41	71.99	208.8	
"Radiologic examination, chest; 3 views"	71047	CPT	Outpatient			261	169.65		90			Percent of total billed charges		234.9	95.46			Fee schedule		71.99	80			Percent of total billed charges		208.8	90			Percent of total billed charges		234.9	100			Fee schedule		75.41	85			Percent of total billed charges		221.85	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41		117		Case rate		117		117		Case rate		117	100			Fee schedule		75.41	71.99	234.9	
"Unlisted fluoroscopic procedure (eg, diagnostic, interventional)"	76496	CPT	Outpatient			330	214.5		90			Percent of total billed charges		297	95.46			Fee schedule		71.99	80			Percent of total billed charges		264	90			Percent of total billed charges		297	100			Fee schedule		75.41	85			Percent of total billed charges		280.5	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41		117		Case rate		117		117		Case rate		117	100			Fee schedule		75.41	71.99	297	
"Radiologic examination, chest; single view"	71045	CPT	Outpatient			362	235.3		90			Percent of total billed charges		325.8	95.46			Fee schedule		71.99	80			Percent of total billed charges		289.6	90			Percent of total billed charges		325.8	100			Fee schedule		75.41	85			Percent of total billed charges		307.7	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41		117		Case rate		117		117		Case rate		117	100			Fee schedule		75.41	71.99	325.8	
"Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium"	75571	CPT	Outpatient			165	107.25		90			Percent of total billed charges		148.5	95.46			Fee schedule		71.99	80			Percent of total billed charges		132	90			Percent of total billed charges		148.5	100			Fee schedule		75.41	85			Percent of total billed charges		140.25	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41		562		Case rate	Use Lesser of logic	165		562		Case rate	Use Lesser of logic	165	100			Fee schedule		75.41	71.99	165	
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited"	76642	CPT	Outpatient			220	143		90			Percent of total billed charges		198	95.46			Fee schedule		71.99	80			Percent of total billed charges		176	90			Percent of total billed charges		198	100			Fee schedule		75.41	85			Percent of total billed charges		187	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41		196		Case rate		196		196		Case rate		196	100			Fee schedule		75.41	71.99	198	
"Ultrasound, infant hips, real time with imaging documentation; limited, static (not requiring physician or other qualified health care professional manipulation)"	76886	CPT	Outpatient			278	180.7		90			Percent of total billed charges		250.2	95.46			Fee schedule		71.99	80			Percent of total billed charges		222.4	90			Percent of total billed charges		250.2	100			Fee schedule		75.41	85			Percent of total billed charges		236.3	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41		196		Case rate		196		196		Case rate		196	100			Fee schedule		75.41	71.99	250.2	
"Unlisted ultrasound procedure (eg, diagnostic, interventional)"	76999	CPT	Outpatient			349	226.85		90			Percent of total billed charges		314.1	95.46			Fee schedule		71.99	80			Percent of total billed charges		279.2	90			Percent of total billed charges		314.1	100			Fee schedule		75.41	85			Percent of total billed charges		296.65	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41		196		Case rate		196		196		Case rate		196	100			Fee schedule		75.41	71.99	314.1	
"Computed tomography, bone mineral density study, 1 or more sites, axial skeleton (eg, hips, pelvis, spine)"	77078	CPT	Outpatient			378	245.7		90			Percent of total billed charges		340.2	95.46			Fee schedule		71.99	80			Percent of total billed charges		302.4	90			Percent of total billed charges		340.2	100			Fee schedule		75.41	85			Percent of total billed charges		321.3	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41		562		Case rate	Use Lesser of logic	378		562		Case rate	Use Lesser of logic	378	100			Fee schedule		75.41	71.99	378	
"Unlisted computed tomography procedure (eg, diagnostic, interventional)"	76497	CPT	Outpatient			400	260		90			Percent of total billed charges		360	95.46			Fee schedule		71.99	80			Percent of total billed charges		320	90			Percent of total billed charges		360	100			Fee schedule		75.41	85			Percent of total billed charges		340	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41		562		Case rate	Use Lesser of logic	400		562		Case rate	Use Lesser of logic	400	100			Fee schedule		75.41	71.99	400	
"Computed tomography, limited or localized follow-up study"	76380	CPT	Outpatient			419	272.35		90			Percent of total billed charges		377.1	95.46			Fee schedule		71.99	80			Percent of total billed charges		335.2	90			Percent of total billed charges		377.1	100			Fee schedule		75.41	85			Percent of total billed charges		356.15	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41		562		Case rate	Use Lesser of logic	419		562		Case rate	Use Lesser of logic	419	100			Fee schedule		75.41	71.99	419	
"Unlisted magnetic resonance procedure (eg, diagnostic, interventional)"	76498	CPT	Outpatient			1738	1129.7		90			Percent of total billed charges		1564.2	95.46			Fee schedule		71.99	80			Percent of total billed charges		1390.4	90			Percent of total billed charges		1564.2	100			Fee schedule		75.41	85			Percent of total billed charges		1477.3	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41	100			Fee schedule		75.41		830		Case rate		830		830		Case rate		830	100			Fee schedule		75.41	71.99	1564.2	
"Injection, immune globulin, intravenous, lyophilized (e.g., powder), not otherwise specified, 500 mg"	J1566	HCPCS	Outpatient	500	ME	56.91	36.99		90			Percent of total billed charges		51.22	95.46			Fee schedule		56.91	80			Percent of total billed charges		45.53	90			Percent of total billed charges		51.22	100			Fee schedule		78.46	85			Percent of total billed charges		48.37	100			Fee schedule		56.91	100			Fee schedule		78.46	100			Fee schedule		78.46	100			Fee schedule		78.46		45.7		Case rate		45.7		45.7		Case rate		45.7	100			Fee schedule		78.46	45.53	78.46	
"Injection, rituximab, 10 mg"	J9312	HCPCS	Outpatient	10	ME	295.7	192.2		90			Percent of total billed charges		266.13	95.46			Fee schedule		75.29	80			Percent of total billed charges		236.56	90			Percent of total billed charges		266.13	100			Fee schedule		78.87	85			Percent of total billed charges		251.34	100			Fee schedule		78.87	100			Fee schedule		78.87	100			Fee schedule		78.87	100			Fee schedule		78.87		101.12		Case rate		101.12		101.12		Case rate		101.12	100			Fee schedule		78.87	75.29	266.13	
"Injection, trastuzumab, excludes biosimilar, 10 mg"	J9355	HCPCS	Outpatient	10	ME	148.09	96.26		90			Percent of total billed charges		133.28	95.46			Fee schedule		76.41	80			Percent of total billed charges		118.47	90			Percent of total billed charges		133.28	100			Fee schedule		80.05	85			Percent of total billed charges		125.88	100			Fee schedule		80.05	100			Fee schedule		80.05	100			Fee schedule		80.05	100			Fee schedule		80.05		113.42		Case rate		113.42		113.42		Case rate		113.42	100			Fee schedule		80.05	76.41	133.28	
"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact group[s], interleaving, amplitude, pulse width, frequency [Hz], on/off cycling, burst, magnet mode, dose lockout, patient selectable parameters, responsive neurostimulation, detection algorithms, closed loop parameters, and passive parameters) by physician or other qualified health care professional; with simple spinal cord or peripheral nerve (eg, sacral nerve) neurostimulator pulse generator/transmitter programming by physician or other qualified health care professional"	95971	CPT	Outpatient			100	65		90			Percent of total billed charges		90	95.46			Fee schedule		76.69	80			Percent of total billed charges		80	90			Percent of total billed charges		90	100			Fee schedule		80.33	85			Percent of total billed charges		85	100			Fee schedule		80.33	100			Fee schedule		80.33	100			Fee schedule		80.33	100			Fee schedule		80.33		237		Case rate	Use Lesser of logic	100		237		Case rate	Use Lesser of logic	100	100			Fee schedule		80.33	76.69	100	
"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact group[s], interleaving, amplitude, pulse width, frequency [Hz], on/off cycling, burst, magnet mode, dose lockout, patient selectable parameters, responsive neurostimulation, detection algorithms, closed loop parameters, and passive parameters) by physician or other qualified health care professional; with complex cranial nerve neurostimulator pulse generator/transmitter programming by physician or other qualified health care professional"	95977	CPT	Outpatient			260	169		90			Percent of total billed charges		234	95.46			Fee schedule		76.69	80			Percent of total billed charges		208	90			Percent of total billed charges		234	100			Fee schedule		80.33	85			Percent of total billed charges		221	100			Fee schedule		80.33	100			Fee schedule		80.33	100			Fee schedule		80.33	100			Fee schedule		80.33		237		Case rate		237		237		Case rate		237	100			Fee schedule		80.33	76.69	237	
"Injection, durvalumab, 10 mg"	J9173	HCPCS	Outpatient	10	ME	281.29	182.84		90			Percent of total billed charges		253.16	95.46			Fee schedule		76.86	80			Percent of total billed charges		225.03	90			Percent of total billed charges		253.16	100			Fee schedule		80.52	85			Percent of total billed charges		239.1	100			Fee schedule		80.52	100			Fee schedule		80.52	100			Fee schedule		80.52	100			Fee schedule		80.52		78.28		Case rate		78.28		78.28		Case rate		78.28	100			Fee schedule		80.52	76.86	253.16	
"Injection, atezolizumab, 10 mg"	J9022	HCPCS	Outpatient	10	ME	256.31	166.6		90			Percent of total billed charges		230.68	95.46			Fee schedule		80.12	80			Percent of total billed charges		205.05	90			Percent of total billed charges		230.68	100			Fee schedule		83.94	85			Percent of total billed charges		217.86	100			Fee schedule		83.94	100			Fee schedule		83.94	100			Fee schedule		83.94	100			Fee schedule		83.94		82.43		Case rate		82.43		82.43		Case rate		82.43	100			Fee schedule		83.94	80.12	230.68	
"Injection, alteplase recombinant, 1 mg"	J2997	HCPCS	Outpatient	1	ME	262	170.3		90			Percent of total billed charges		235.8	95.46			Fee schedule		84.79	80			Percent of total billed charges		209.6	90			Percent of total billed charges		235.8	100			Fee schedule		88.82	85			Percent of total billed charges		222.7	100			Fee schedule		88.82	100			Fee schedule		88.82	100			Fee schedule		88.82	100			Fee schedule		88.82		93.02		Case rate		93.02		93.02		Case rate		93.02	100			Fee schedule		88.82	84.79	235.8	
"Injection, dexrazoxane hydrochloride, per 250 mg"	J1190	HCPCS	Outpatient	250	ME	242.67	157.73		90			Percent of total billed charges		218.4	95.46			Fee schedule		86.95	80			Percent of total billed charges		194.13	90			Percent of total billed charges		218.4	100			Fee schedule		91.09	85			Percent of total billed charges		206.27	100			Fee schedule		91.09	100			Fee schedule		91.09	100			Fee schedule		91.09	100			Fee schedule		91.09		234.23		Case rate		234.23		234.23		Case rate		234.23	100			Fee schedule		91.09	86.95	234.23	
"Radiologic examination, hips, bilateral, with pelvis when performed; 2 views"	73521	CPT	Outpatient			50	32.5		90			Percent of total billed charges		45	95.46			Fee schedule		50	80			Percent of total billed charges		40	90			Percent of total billed charges		45	100			Fee schedule		91.24	85			Percent of total billed charges		42.5	100			Fee schedule		50	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		117		Case rate	Use Lesser of logic	50		117		Case rate	Use Lesser of logic	50	100			Fee schedule		91.24	40	91.24	
"Radiologic examination; scapula, complete"	73010	CPT	Outpatient			120	78		90			Percent of total billed charges		108	95.46			Fee schedule		87.1	80			Percent of total billed charges		96	90			Percent of total billed charges		108	100			Fee schedule		91.24	85			Percent of total billed charges		102	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		117		Case rate		117		117		Case rate		117	100			Fee schedule		91.24	87.1	117	
"Radiologic examination; upper extremity, infant, minimum of 2 views"	73092	CPT	Outpatient			120	78		90			Percent of total billed charges		108	95.46			Fee schedule		87.1	80			Percent of total billed charges		96	90			Percent of total billed charges		108	100			Fee schedule		91.24	85			Percent of total billed charges		102	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		117		Case rate		117		117		Case rate		117	100			Fee schedule		91.24	87.1	117	
"Radiologic examination, hand; 2 views"	73120	CPT	Outpatient			120	78		90			Percent of total billed charges		108	95.46			Fee schedule		87.1	80			Percent of total billed charges		96	90			Percent of total billed charges		108	100			Fee schedule		91.24	85			Percent of total billed charges		102	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		117		Case rate		117		117		Case rate		117	100			Fee schedule		91.24	87.1	117	
"Radiologic examination, sacroiliac joints; 3 or more views"	72202	CPT	Outpatient			127	82.55		90			Percent of total billed charges		114.3	95.46			Fee schedule		87.1	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	100			Fee schedule		91.24	85			Percent of total billed charges		107.95	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		117		Case rate		117		117		Case rate		117	100			Fee schedule		91.24	87.1	117	
"Radiologic examination, skull; less than 4 views"	70250	CPT	Outpatient			127	82.55		90			Percent of total billed charges		114.3	95.46			Fee schedule		87.1	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	100			Fee schedule		91.24	85			Percent of total billed charges		107.95	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		117		Case rate		117		117		Case rate		117	100			Fee schedule		91.24	87.1	117	
"Radiologic examination, osseous survey, infant"	77076	CPT	Outpatient			140	91		90			Percent of total billed charges		126	95.46			Fee schedule		87.1	80			Percent of total billed charges		112	90			Percent of total billed charges		126	100			Fee schedule		91.24	85			Percent of total billed charges		119	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		117		Case rate		117		117		Case rate		117	100			Fee schedule		91.24	87.1	126	
"Radiologic examination, knee; complete, 4 or more views"	73564	CPT	Outpatient			140	91		90			Percent of total billed charges		126	95.46			Fee schedule		87.1	80			Percent of total billed charges		112	90			Percent of total billed charges		126	100			Fee schedule		91.24	85			Percent of total billed charges		119	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		117		Case rate		117		117		Case rate		117	100			Fee schedule		91.24	87.1	126	
"Radiologic examination, ribs, bilateral; 3 views"	71110	CPT	Outpatient			140	91		90			Percent of total billed charges		126	95.46			Fee schedule		87.1	80			Percent of total billed charges		112	90			Percent of total billed charges		126	100			Fee schedule		91.24	85			Percent of total billed charges		119	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		117		Case rate		117		117		Case rate		117	100			Fee schedule		91.24	87.1	126	
"Radiologic examination, spine, lumbosacral; 2 or 3 views"	72100	CPT	Outpatient			154	100.1		90			Percent of total billed charges		138.6	95.46			Fee schedule		87.1	80			Percent of total billed charges		123.2	90			Percent of total billed charges		138.6	100			Fee schedule		91.24	85			Percent of total billed charges		130.9	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		117		Case rate		117		117		Case rate		117	100			Fee schedule		91.24	87.1	138.6	
"Radiologic examination, spine; thoracic, 3 views"	72072	CPT	Outpatient			154	100.1		90			Percent of total billed charges		138.6	95.46			Fee schedule		87.1	80			Percent of total billed charges		123.2	90			Percent of total billed charges		138.6	100			Fee schedule		91.24	85			Percent of total billed charges		130.9	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		117		Case rate		117		117		Case rate		117	100			Fee schedule		91.24	87.1	138.6	
"Radiologic examination, abdomen; 2 views"	74019	CPT	Outpatient			154	100.1		90			Percent of total billed charges		138.6	95.46			Fee schedule		87.1	80			Percent of total billed charges		123.2	90			Percent of total billed charges		138.6	100			Fee schedule		91.24	85			Percent of total billed charges		130.9	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		117		Case rate		117		117		Case rate		117	100			Fee schedule		91.24	87.1	138.6	
"Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views"	73503	CPT	Outpatient			154	100.1		90			Percent of total billed charges		138.6	95.46			Fee schedule		87.1	80			Percent of total billed charges		123.2	90			Percent of total billed charges		138.6	100			Fee schedule		91.24	85			Percent of total billed charges		130.9	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		117		Case rate		117		117		Case rate		117	100			Fee schedule		91.24	87.1	138.6	
"Radiologic examination, pelvis; 1 or 2 views"	72170	CPT	Outpatient			154	100.1		90			Percent of total billed charges		138.6	95.46			Fee schedule		87.1	80			Percent of total billed charges		123.2	90			Percent of total billed charges		138.6	100			Fee schedule		91.24	85			Percent of total billed charges		130.9	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		117		Case rate		117		117		Case rate		117	100			Fee schedule		91.24	87.1	138.6	
"Radiologic examination, spine; thoracic, 2 views"	72070	CPT	Outpatient			154	100.1		90			Percent of total billed charges		138.6	95.46			Fee schedule		87.1	80			Percent of total billed charges		123.2	90			Percent of total billed charges		138.6	100			Fee schedule		91.24	85			Percent of total billed charges		130.9	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		117		Case rate		117		117		Case rate		117	100			Fee schedule		91.24	87.1	138.6	
"Radiologic examination, facial bones; complete, minimum of 3 views"	70150	CPT	Outpatient			167	108.55		90			Percent of total billed charges		150.3	95.46			Fee schedule		87.1	80			Percent of total billed charges		133.6	90			Percent of total billed charges		150.3	100			Fee schedule		91.24	85			Percent of total billed charges		141.95	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		117		Case rate		117		117		Case rate		117	100			Fee schedule		91.24	87.1	150.3	
"Radiologic examination; orbits, complete, minimum of 4 views"	70200	CPT	Outpatient			167	108.55		90			Percent of total billed charges		150.3	95.46			Fee schedule		87.1	80			Percent of total billed charges		133.6	90			Percent of total billed charges		150.3	100			Fee schedule		91.24	85			Percent of total billed charges		141.95	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		117		Case rate		117		117		Case rate		117	100			Fee schedule		91.24	87.1	150.3	
"Radiologic examination, chest; 4 or more views"	71048	CPT	Outpatient			174	113.1		90			Percent of total billed charges		156.6	95.46			Fee schedule		87.1	80			Percent of total billed charges		139.2	90			Percent of total billed charges		156.6	100			Fee schedule		91.24	85			Percent of total billed charges		147.9	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		117		Case rate		117		117		Case rate		117	100			Fee schedule		91.24	87.1	156.6	
"Radiologic examination, complete acute abdomen series, including 2 or more views of the abdomen (eg, supine, erect, decubitus), and a single view chest"	74022	CPT	Outpatient			174	113.1		90			Percent of total billed charges		156.6	95.46			Fee schedule		87.1	80			Percent of total billed charges		139.2	90			Percent of total billed charges		156.6	100			Fee schedule		91.24	85			Percent of total billed charges		147.9	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		117		Case rate		117		117		Case rate		117	100			Fee schedule		91.24	87.1	156.6	
"Radiologic examination, mandible; complete, minimum of 4 views"	70110	CPT	Outpatient			174	113.1		90			Percent of total billed charges		156.6	95.46			Fee schedule		87.1	80			Percent of total billed charges		139.2	90			Percent of total billed charges		156.6	100			Fee schedule		91.24	85			Percent of total billed charges		147.9	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		117		Case rate		117		117		Case rate		117	100			Fee schedule		91.24	87.1	156.6	
"Radiologic examination, mastoids; complete, minimum of 3 views per side"	70130	CPT	Outpatient			174	113.1		90			Percent of total billed charges		156.6	95.46			Fee schedule		87.1	80			Percent of total billed charges		139.2	90			Percent of total billed charges		156.6	100			Fee schedule		91.24	85			Percent of total billed charges		147.9	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		117		Case rate		117		117		Case rate		117	100			Fee schedule		91.24	87.1	156.6	
"Radiologic examination, ribs, unilateral; including posteroanterior chest, minimum of 3 views"	71101	CPT	Outpatient			174	113.1		90			Percent of total billed charges		156.6	95.46			Fee schedule		87.1	80			Percent of total billed charges		139.2	90			Percent of total billed charges		156.6	100			Fee schedule		91.24	85			Percent of total billed charges		147.9	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		117		Case rate		117		117		Case rate		117	100			Fee schedule		91.24	87.1	156.6	
"Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views"	72082	CPT	Outpatient			182	118.3		90			Percent of total billed charges		163.8	95.46			Fee schedule		87.1	80			Percent of total billed charges		145.6	90			Percent of total billed charges		163.8	100			Fee schedule		91.24	85			Percent of total billed charges		154.7	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		117		Case rate		117		117		Case rate		117	100			Fee schedule		91.24	87.1	163.8	
"Radiologic examination, osseous survey; limited (eg, for metastases)"	77074	CPT	Outpatient			201	130.65		90			Percent of total billed charges		180.9	95.46			Fee schedule		87.1	80			Percent of total billed charges		160.8	90			Percent of total billed charges		180.9	100			Fee schedule		91.24	85			Percent of total billed charges		170.85	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		117		Case rate		117		117		Case rate		117	100			Fee schedule		91.24	87.1	180.9	
Bone age studies	77072	CPT	Outpatient			207	134.55		90			Percent of total billed charges		186.3	95.46			Fee schedule		87.1	80			Percent of total billed charges		165.6	90			Percent of total billed charges		186.3	100			Fee schedule		91.24	85			Percent of total billed charges		175.95	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		117		Case rate		117		117		Case rate		117	100			Fee schedule		91.24	87.1	186.3	
"Radiologic examination, pelvis; complete, minimum of 3 views"	72190	CPT	Outpatient			207	134.55		90			Percent of total billed charges		186.3	95.46			Fee schedule		87.1	80			Percent of total billed charges		165.6	90			Percent of total billed charges		186.3	100			Fee schedule		91.24	85			Percent of total billed charges		175.95	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		117		Case rate		117		117		Case rate		117	100			Fee schedule		91.24	87.1	186.3	
"Radiologic examination, spine, cervical; 4 or 5 views"	72050	CPT	Outpatient			207	134.55		90			Percent of total billed charges		186.3	95.46			Fee schedule		87.1	80			Percent of total billed charges		165.6	90			Percent of total billed charges		186.3	100			Fee schedule		91.24	85			Percent of total billed charges		175.95	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		117		Case rate		117		117		Case rate		117	100			Fee schedule		91.24	87.1	186.3	
"Radiologic examination, ribs, bilateral; including posteroanterior chest, minimum of 4 views"	71111	CPT	Outpatient			207	134.55		90			Percent of total billed charges		186.3	95.46			Fee schedule		87.1	80			Percent of total billed charges		165.6	90			Percent of total billed charges		186.3	100			Fee schedule		91.24	85			Percent of total billed charges		175.95	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		117		Case rate		117		117		Case rate		117	100			Fee schedule		91.24	87.1	186.3	
"Radiologic examination, skull; complete, minimum of 4 views"	70260	CPT	Outpatient			207	134.55		90			Percent of total billed charges		186.3	95.46			Fee schedule		87.1	80			Percent of total billed charges		165.6	90			Percent of total billed charges		186.3	100			Fee schedule		91.24	85			Percent of total billed charges		175.95	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		117		Case rate		117		117		Case rate		117	100			Fee schedule		91.24	87.1	186.3	
"Radiologic examination, spine, lumbosacral; minimum of 4 views"	72110	CPT	Outpatient			214	139.1		90			Percent of total billed charges		192.6	95.46			Fee schedule		87.1	80			Percent of total billed charges		171.2	90			Percent of total billed charges		192.6	100			Fee schedule		91.24	85			Percent of total billed charges		181.9	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		117		Case rate		117		117		Case rate		117	100			Fee schedule		91.24	87.1	192.6	
"Radiologic examination, spine, cervical; 6 or more views"	72052	CPT	Outpatient			214	139.1		90			Percent of total billed charges		192.6	95.46			Fee schedule		87.1	80			Percent of total billed charges		171.2	90			Percent of total billed charges		192.6	100			Fee schedule		91.24	85			Percent of total billed charges		181.9	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		117		Case rate		117		117		Case rate		117	100			Fee schedule		91.24	87.1	192.6	
"Radiologic examination, spine; thoracic, minimum of 4 views"	72074	CPT	Outpatient			214	139.1		90			Percent of total billed charges		192.6	95.46			Fee schedule		87.1	80			Percent of total billed charges		171.2	90			Percent of total billed charges		192.6	100			Fee schedule		91.24	85			Percent of total billed charges		181.9	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		117		Case rate		117		117		Case rate		117	100			Fee schedule		91.24	87.1	192.6	
"Radiologic examination, spine, lumbosacral; bending views only, 2 or 3 views"	72120	CPT	Outpatient			229	148.85		90			Percent of total billed charges		206.1	95.46			Fee schedule		87.1	80			Percent of total billed charges		183.2	90			Percent of total billed charges		206.1	100			Fee schedule		91.24	85			Percent of total billed charges		194.65	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		117		Case rate		117		117		Case rate		117	100			Fee schedule		91.24	87.1	206.1	
"Dual-energy X-ray absorptiometry (DXA), bone density study, 1 or more sites; axial skeleton (eg, hips, pelvis, spine)"	77080	CPT	Outpatient			235	152.75		90			Percent of total billed charges		211.5	95.46			Fee schedule		87.1	80			Percent of total billed charges		188	90			Percent of total billed charges		211.5	100			Fee schedule		91.24	85			Percent of total billed charges		199.75	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		117		Case rate		117		117		Case rate		117	100			Fee schedule		91.24	87.1	211.5	
"Joint survey, single view, 2 or more joints (specify)"	77077	CPT	Outpatient			237	154.05		90			Percent of total billed charges		213.3	95.46			Fee schedule		87.1	80			Percent of total billed charges		189.6	90			Percent of total billed charges		213.3	100			Fee schedule		91.24	85			Percent of total billed charges		201.45	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		117		Case rate		117		117		Case rate		117	100			Fee schedule		91.24	87.1	213.3	
"Radiologic examination, spine, lumbosacral; complete, including bending views, minimum of 6 views"	72114	CPT	Outpatient			241	156.65		90			Percent of total billed charges		216.9	95.46			Fee schedule		87.1	80			Percent of total billed charges		192.8	90			Percent of total billed charges		216.9	100			Fee schedule		91.24	85			Percent of total billed charges		204.85	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		117		Case rate		117		117		Case rate		117	100			Fee schedule		91.24	87.1	216.9	
"Radiologic examination, osseous survey; complete (axial and appendicular skeleton)"	77075	CPT	Outpatient			254	165.1		90			Percent of total billed charges		228.6	95.46			Fee schedule		87.1	80			Percent of total billed charges		203.2	90			Percent of total billed charges		228.6	100			Fee schedule		91.24	85			Percent of total billed charges		215.9	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		117		Case rate		117		117		Case rate		117	100			Fee schedule		91.24	87.1	228.6	
"Radiologic examination, single plane body section (eg, tomography), other than with urography"	76100	CPT	Outpatient			254	165.1		90			Percent of total billed charges		228.6	95.46			Fee schedule		87.1	80			Percent of total billed charges		203.2	90			Percent of total billed charges		228.6	100			Fee schedule		91.24	85			Percent of total billed charges		215.9	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		117		Case rate		117		117		Case rate		117	100			Fee schedule		91.24	87.1	228.6	
"Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, LeVeen shunt, ventriculoperitoneal shunt, indwelling infusion pump), radiological supervision and interpretation"	75809	CPT	Outpatient			330	214.5		90			Percent of total billed charges		297	95.46			Fee schedule		87.1	80			Percent of total billed charges		264	90			Percent of total billed charges		297	100			Fee schedule		91.24	85			Percent of total billed charges		280.5	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		117		Case rate		117		117		Case rate		117	100			Fee schedule		91.24	87.1	297	
"Ultrasound, abdominal aorta, real time with image documentation, screening study for abdominal aortic aneurysm (AAA)"	76706	CPT	Outpatient			220	143		90			Percent of total billed charges		198	95.46			Fee schedule		87.1	80			Percent of total billed charges		176	90			Percent of total billed charges		198	100			Fee schedule		91.24	85			Percent of total billed charges		187	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		196		Case rate		196		196		Case rate		196	100			Fee schedule		91.24	87.1	198	
"Ultrasound, pelvic (nonobstetric), real time with image documentation; limited or follow-up (eg, for follicles)"	76857	CPT	Outpatient			248	161.2		90			Percent of total billed charges		223.2	95.46			Fee schedule		87.1	80			Percent of total billed charges		198.4	90			Percent of total billed charges		223.2	100			Fee schedule		91.24	85			Percent of total billed charges		210.8	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		196		Case rate		196		196		Case rate		196	100			Fee schedule		91.24	87.1	223.2	
"Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete"	76641	CPT	Outpatient			275	178.75		90			Percent of total billed charges		247.5	95.46			Fee schedule		87.1	80			Percent of total billed charges		220	90			Percent of total billed charges		247.5	100			Fee schedule		91.24	85			Percent of total billed charges		233.75	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		196		Case rate		196		196		Case rate		196	100			Fee schedule		91.24	87.1	247.5	
"Ultrasound, pregnant uterus, real time with image documentation, follow-up (eg, re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume, re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan), transabdominal approach, per fetus"	76816	CPT	Outpatient			275	178.75		90			Percent of total billed charges		247.5	95.46			Fee schedule		87.1	80			Percent of total billed charges		220	90			Percent of total billed charges		247.5	100			Fee schedule		91.24	85			Percent of total billed charges		233.75	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		196		Case rate		196		196		Case rate		196	100			Fee schedule		91.24	87.1	247.5	
"Ultrasound, pregnant uterus, real time with image documentation, limited (eg, fetal heart beat, placental location, fetal position and/or qualitative amniotic fluid volume), 1 or more fetuses"	76815	CPT	Outpatient			275	178.75		90			Percent of total billed charges		247.5	95.46			Fee schedule		87.1	80			Percent of total billed charges		220	90			Percent of total billed charges		247.5	100			Fee schedule		91.24	85			Percent of total billed charges		233.75	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		196		Case rate		196		196		Case rate		196	100			Fee schedule		91.24	87.1	247.5	
"Ultrasound, transrectal"	76872	CPT	Outpatient			300	195		90			Percent of total billed charges		270	95.46			Fee schedule		87.1	80			Percent of total billed charges		240	90			Percent of total billed charges		270	100			Fee schedule		91.24	85			Percent of total billed charges		255	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		196		Case rate		196		196		Case rate		196	100			Fee schedule		91.24	87.1	270	
"Doppler velocimetry, fetal; umbilical artery"	76820	CPT	Outpatient			330	214.5		90			Percent of total billed charges		297	95.46			Fee schedule		87.1	80			Percent of total billed charges		264	90			Percent of total billed charges		297	100			Fee schedule		91.24	85			Percent of total billed charges		280.5	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		196		Case rate		196		196		Case rate		196	100			Fee schedule		91.24	87.1	297	
"Echoencephalography, real time with image documentation (gray scale) (for determination of ventricular size, delineation of cerebral contents, and detection of fluid masses or other intracranial abnormalities), including A-mode encephalography as secondary component where indicated"	76506	CPT	Outpatient			334	217.1		90			Percent of total billed charges		300.6	95.46			Fee schedule		87.1	80			Percent of total billed charges		267.2	90			Percent of total billed charges		300.6	100			Fee schedule		91.24	85			Percent of total billed charges		283.9	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		196		Case rate		196		196		Case rate		196	100			Fee schedule		91.24	87.1	300.6	
"Ultrasound, soft tissues of head and neck (eg, thyroid, parathyroid, parotid), real time with image documentation"	76536	CPT	Outpatient			349	226.85		90			Percent of total billed charges		314.1	95.46			Fee schedule		87.1	80			Percent of total billed charges		279.2	90			Percent of total billed charges		314.1	100			Fee schedule		91.24	85			Percent of total billed charges		296.65	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		196		Case rate		196		196		Case rate		196	100			Fee schedule		91.24	87.1	314.1	
"Ultrasound, complete joint (ie, joint space and peri-articular soft-tissue structures), real-time with image documentation"	76881	CPT	Outpatient			354	230.1		90			Percent of total billed charges		318.6	95.46			Fee schedule		87.1	80			Percent of total billed charges		283.2	90			Percent of total billed charges		318.6	100			Fee schedule		91.24	85			Percent of total billed charges		300.9	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		196		Case rate		196		196		Case rate		196	100			Fee schedule		91.24	87.1	318.6	
"Ultrasound, scrotum and contents"	76870	CPT	Outpatient			354	230.1		90			Percent of total billed charges		318.6	95.46			Fee schedule		87.1	80			Percent of total billed charges		283.2	90			Percent of total billed charges		318.6	100			Fee schedule		91.24	85			Percent of total billed charges		300.9	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		196		Case rate		196		196		Case rate		196	100			Fee schedule		91.24	87.1	318.6	
"Ultrasound, chest (includes mediastinum), real time with image documentation"	76604	CPT	Outpatient			354	230.1		90			Percent of total billed charges		318.6	95.46			Fee schedule		87.1	80			Percent of total billed charges		283.2	90			Percent of total billed charges		318.6	100			Fee schedule		91.24	85			Percent of total billed charges		300.9	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		196		Case rate		196		196		Case rate		196	100			Fee schedule		91.24	87.1	318.6	
"Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (eg, joint space, peri-articular tendon[s], muscle[s], nerve[s], other soft-tissue structure[s], or soft-tissue mass[es]), real-time with image documentation"	76882	CPT	Outpatient			354	230.1		90			Percent of total billed charges		318.6	95.46			Fee schedule		87.1	80			Percent of total billed charges		283.2	90			Percent of total billed charges		318.6	100			Fee schedule		91.24	85			Percent of total billed charges		300.9	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		196		Case rate		196		196		Case rate		196	100			Fee schedule		91.24	87.1	318.6	
Fetal biophysical profile; with non-stress testing	76818	CPT	Outpatient			361	234.65		90			Percent of total billed charges		324.9	95.46			Fee schedule		87.1	80			Percent of total billed charges		288.8	90			Percent of total billed charges		324.9	100			Fee schedule		91.24	85			Percent of total billed charges		306.85	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		196		Case rate		196		196		Case rate		196	100			Fee schedule		91.24	87.1	324.9	
Fetal biophysical profile; without non-stress testing	76819	CPT	Outpatient			361	234.65		90			Percent of total billed charges		324.9	95.46			Fee schedule		87.1	80			Percent of total billed charges		288.8	90			Percent of total billed charges		324.9	100			Fee schedule		91.24	85			Percent of total billed charges		306.85	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		196		Case rate		196		196		Case rate		196	100			Fee schedule		91.24	87.1	324.9	
"Ultrasound, pregnant uterus, real time with image documentation, transvaginal"	76817	CPT	Outpatient			361	234.65		90			Percent of total billed charges		324.9	95.46			Fee schedule		87.1	80			Percent of total billed charges		288.8	90			Percent of total billed charges		324.9	100			Fee schedule		91.24	85			Percent of total billed charges		306.85	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		196		Case rate		196		196		Case rate		196	100			Fee schedule		91.24	87.1	324.9	
"Ultrasound, transvaginal"	76830	CPT	Outpatient			361	234.65		90			Percent of total billed charges		324.9	95.46			Fee schedule		87.1	80			Percent of total billed charges		288.8	90			Percent of total billed charges		324.9	100			Fee schedule		91.24	85			Percent of total billed charges		306.85	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		196		Case rate		196		196		Case rate		196	100			Fee schedule		91.24	87.1	324.9	
"Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)"	76705	CPT	Outpatient			365	237.25		90			Percent of total billed charges		328.5	95.46			Fee schedule		87.1	80			Percent of total billed charges		292	90			Percent of total billed charges		328.5	100			Fee schedule		91.24	85			Percent of total billed charges		310.25	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		196		Case rate		196		196		Case rate		196	100			Fee schedule		91.24	87.1	328.5	
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; limited"	76775	CPT	Outpatient			372	241.8		90			Percent of total billed charges		334.8	95.46			Fee schedule		87.1	80			Percent of total billed charges		297.6	90			Percent of total billed charges		334.8	100			Fee schedule		91.24	85			Percent of total billed charges		316.2	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		196		Case rate		196		196		Case rate		196	100			Fee schedule		91.24	87.1	334.8	
"Ultrasound, retroperitoneal (eg, renal, aorta, nodes), real time with image documentation; complete"	76770	CPT	Outpatient			429	278.85		90			Percent of total billed charges		386.1	95.46			Fee schedule		87.1	80			Percent of total billed charges		343.2	90			Percent of total billed charges		386.1	100			Fee schedule		91.24	85			Percent of total billed charges		364.65	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		196		Case rate		196		196		Case rate		196	100			Fee schedule		91.24	87.1	386.1	
"Ultrasound, abdominal, real time with image documentation; complete"	76700	CPT	Outpatient			461	299.65		90			Percent of total billed charges		414.9	95.46			Fee schedule		87.1	80			Percent of total billed charges		368.8	90			Percent of total billed charges		414.9	100			Fee schedule		91.24	85			Percent of total billed charges		391.85	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		196		Case rate		196		196		Case rate		196	100			Fee schedule		91.24	87.1	414.9	
"Ultrasound, pelvic (nonobstetric), real time with image documentation; complete"	76856	CPT	Outpatient			574	373.1		90			Percent of total billed charges		516.6	95.46			Fee schedule		87.1	80			Percent of total billed charges		459.2	90			Percent of total billed charges		516.6	100			Fee schedule		91.24	85			Percent of total billed charges		487.9	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		196		Case rate		196		196		Case rate		196	100			Fee schedule		91.24	87.1	516.6	
"Ultrasound, spinal canal and contents"	76800	CPT	Outpatient			586	380.9		90			Percent of total billed charges		527.4	95.46			Fee schedule		87.1	80			Percent of total billed charges		468.8	90			Percent of total billed charges		527.4	100			Fee schedule		91.24	85			Percent of total billed charges		498.1	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		196		Case rate		196		196		Case rate		196	100			Fee schedule		91.24	87.1	527.4	
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; single or first gestation"	76805	CPT	Outpatient			856	556.4		90			Percent of total billed charges		770.4	95.46			Fee schedule		87.1	80			Percent of total billed charges		684.8	90			Percent of total billed charges		770.4	100			Fee schedule		91.24	85			Percent of total billed charges		727.6	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		196		Case rate		196		196		Case rate		196	100			Fee schedule		91.24	87.1	770.4	
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; single or first gestation"	76801	CPT	Outpatient			856	556.4		90			Percent of total billed charges		770.4	95.46			Fee schedule		87.1	80			Percent of total billed charges		684.8	90			Percent of total billed charges		770.4	100			Fee schedule		91.24	85			Percent of total billed charges		727.6	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		196		Case rate		196		196		Case rate		196	100			Fee schedule		91.24	87.1	770.4	
"Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)"	93990	CPT	Outpatient			350	227.5		90			Percent of total billed charges		315	95.46			Fee schedule		87.1	80			Percent of total billed charges		280	90			Percent of total billed charges		315	100			Fee schedule		91.24	85			Percent of total billed charges		297.5	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		201		Case rate		201		201		Case rate		201	100			Fee schedule		91.24	87.1	315	
Duplex scan of extracranial arteries; unilateral or limited study	93882	CPT	Outpatient			548	356.2		90			Percent of total billed charges		493.2	95.46			Fee schedule		87.1	80			Percent of total billed charges		438.4	90			Percent of total billed charges		493.2	100			Fee schedule		91.24	85			Percent of total billed charges		465.8	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		201		Case rate		201		201		Case rate		201	100			Fee schedule		91.24	87.1	493.2	
Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study	93971	CPT	Outpatient			548	356.2		90			Percent of total billed charges		493.2	95.46			Fee schedule		87.1	80			Percent of total billed charges		438.4	90			Percent of total billed charges		493.2	100			Fee schedule		91.24	85			Percent of total billed charges		465.8	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		201		Case rate		201		201		Case rate		201	100			Fee schedule		91.24	87.1	493.2	
Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study	93926	CPT	Outpatient			548	356.2		90			Percent of total billed charges		493.2	95.46			Fee schedule		87.1	80			Percent of total billed charges		438.4	90			Percent of total billed charges		493.2	100			Fee schedule		91.24	85			Percent of total billed charges		465.8	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		201		Case rate		201		201		Case rate		201	100			Fee schedule		91.24	87.1	493.2	
"Computed tomography, thorax, low dose for lung cancer screening, without contrast material(s)"	71271	CPT	Outpatient			413	268.45		90			Percent of total billed charges		371.7	95.46			Fee schedule		87.1	80			Percent of total billed charges		330.4	90			Percent of total billed charges		371.7	100			Fee schedule		91.24	85			Percent of total billed charges		351.05	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		562		Case rate	Use Lesser of logic	413		562		Case rate	Use Lesser of logic	413	100			Fee schedule		91.24	87.1	413	
"Computed tomography, maxillofacial area; without contrast material"	70486	CPT	Outpatient			702	456.3		90			Percent of total billed charges		631.8	95.46			Fee schedule		87.1	80			Percent of total billed charges		561.6	90			Percent of total billed charges		631.8	100			Fee schedule		91.24	85			Percent of total billed charges		596.7	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		562		Case rate		562		562		Case rate		562	100			Fee schedule		91.24	87.1	631.8	
"Computed tomography, lower extremity; without contrast material"	73700	CPT	Outpatient			717	466.05		90			Percent of total billed charges		645.3	95.46			Fee schedule		87.1	80			Percent of total billed charges		573.6	90			Percent of total billed charges		645.3	100			Fee schedule		91.24	85			Percent of total billed charges		609.45	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		562		Case rate		562		562		Case rate		562	100			Fee schedule		91.24	87.1	645.3	
"Computed tomography, upper extremity; without contrast material"	73200	CPT	Outpatient			717	466.05		90			Percent of total billed charges		645.3	95.46			Fee schedule		87.1	80			Percent of total billed charges		573.6	90			Percent of total billed charges		645.3	100			Fee schedule		91.24	85			Percent of total billed charges		609.45	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		562		Case rate		562		562		Case rate		562	100			Fee schedule		91.24	87.1	645.3	
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material"	70480	CPT	Outpatient			761	494.65		90			Percent of total billed charges		684.9	95.46			Fee schedule		87.1	80			Percent of total billed charges		608.8	90			Percent of total billed charges		684.9	100			Fee schedule		91.24	85			Percent of total billed charges		646.85	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		562		Case rate		562		562		Case rate		562	100			Fee schedule		91.24	87.1	684.9	
"Computed tomography, soft tissue neck; without contrast material"	70490	CPT	Outpatient			766	497.9		90			Percent of total billed charges		689.4	95.46			Fee schedule		87.1	80			Percent of total billed charges		612.8	90			Percent of total billed charges		689.4	100			Fee schedule		91.24	85			Percent of total billed charges		651.1	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		562		Case rate		562		562		Case rate		562	100			Fee schedule		91.24	87.1	689.4	
"Computed tomography, thorax, diagnostic; without contrast material"	71250	CPT	Outpatient			915	594.75		90			Percent of total billed charges		823.5	95.46			Fee schedule		87.1	80			Percent of total billed charges		732	90			Percent of total billed charges		823.5	100			Fee schedule		91.24	85			Percent of total billed charges		777.75	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		562		Case rate		562		562		Case rate		562	100			Fee schedule		91.24	87.1	823.5	
"Computed tomography, head or brain; without contrast material"	70450	CPT	Outpatient			948	616.2		90			Percent of total billed charges		853.2	95.46			Fee schedule		87.1	80			Percent of total billed charges		758.4	90			Percent of total billed charges		853.2	100			Fee schedule		91.24	85			Percent of total billed charges		805.8	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		562		Case rate		562		562		Case rate		562	100			Fee schedule		91.24	87.1	853.2	
"Computed tomography, cervical spine; without contrast material"	72125	CPT	Outpatient			1157	752.05		90			Percent of total billed charges		1041.3	95.46			Fee schedule		87.1	80			Percent of total billed charges		925.6	90			Percent of total billed charges		1041.3	100			Fee schedule		91.24	85			Percent of total billed charges		983.45	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		562		Case rate		562		562		Case rate		562	100			Fee schedule		91.24	87.1	1041.3	
"Computed tomography, abdomen; without contrast material"	74150	CPT	Outpatient			1157	752.05		90			Percent of total billed charges		1041.3	95.46			Fee schedule		87.1	80			Percent of total billed charges		925.6	90			Percent of total billed charges		1041.3	100			Fee schedule		91.24	85			Percent of total billed charges		983.45	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		562		Case rate		562		562		Case rate		562	100			Fee schedule		91.24	87.1	1041.3	
"Computed tomography, lumbar spine; without contrast material"	72131	CPT	Outpatient			1157	752.05		90			Percent of total billed charges		1041.3	95.46			Fee schedule		87.1	80			Percent of total billed charges		925.6	90			Percent of total billed charges		1041.3	100			Fee schedule		91.24	85			Percent of total billed charges		983.45	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		562		Case rate		562		562		Case rate		562	100			Fee schedule		91.24	87.1	1041.3	
"Computed tomography, pelvis; without contrast material"	72192	CPT	Outpatient			1157	752.05		90			Percent of total billed charges		1041.3	95.46			Fee schedule		87.1	80			Percent of total billed charges		925.6	90			Percent of total billed charges		1041.3	100			Fee schedule		91.24	85			Percent of total billed charges		983.45	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		562		Case rate		562		562		Case rate		562	100			Fee schedule		91.24	87.1	1041.3	
"Computed tomography, thoracic spine; without contrast material"	72128	CPT	Outpatient			1157	752.05		90			Percent of total billed charges		1041.3	95.46			Fee schedule		87.1	80			Percent of total billed charges		925.6	90			Percent of total billed charges		1041.3	100			Fee schedule		91.24	85			Percent of total billed charges		983.45	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24	100			Fee schedule		91.24		562		Case rate		562		562		Case rate		562	100			Fee schedule		91.24	87.1	1041.3	
"Injection, romiplostim, 10 micrograms"	J2796	HCPCS	Outpatient	10	UN	1072.21	696.94		90			Percent of total billed charges		964.99	95.46			Fee schedule		92.01	80			Percent of total billed charges		857.77	90			Percent of total billed charges		964.99	100			Fee schedule		96.38	85			Percent of total billed charges		911.38	100			Fee schedule		96.38	100			Fee schedule		96.38	100			Fee schedule		96.38	100			Fee schedule		96.38		75.91		Case rate		75.91		75.91		Case rate		75.91	100			Fee schedule		96.38	75.91	964.99	
"Blood typing, serologic; ABO"	86900	CPT	Outpatient			47	30.55		90			Percent of total billed charges		42.3	95.46			Fee schedule		47	80			Percent of total billed charges		37.6	90			Percent of total billed charges		42.3	100			Fee schedule		106.01	85			Percent of total billed charges		39.95	100			Fee schedule		47	100			Fee schedule		106.01	100			Fee schedule		106.01	100			Fee schedule		106.01		3.81		Case rate		3.81		3.81		Case rate		3.81	100			Fee schedule		106.01	3.81	106.01	
"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation"	94667	CPT	Outpatient			46	29.9		90			Percent of total billed charges		41.4	95.46			Fee schedule		46	80			Percent of total billed charges		36.8	90			Percent of total billed charges		41.4	100			Fee schedule		106.01	85			Percent of total billed charges		39.1	100			Fee schedule		46	100			Fee schedule		106.01	100			Fee schedule		106.01	100			Fee schedule		106.01		117		Case rate	Use Lesser of logic	46		117		Case rate	Use Lesser of logic	46	100			Fee schedule		106.01	36.8	106.01	
"Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent"	94668	CPT	Outpatient			46	29.9		90			Percent of total billed charges		41.4	95.46			Fee schedule		46	80			Percent of total billed charges		36.8	90			Percent of total billed charges		41.4	100			Fee schedule		106.01	85			Percent of total billed charges		39.1	100			Fee schedule		46	100			Fee schedule		106.01	100			Fee schedule		106.01	100			Fee schedule		106.01		117		Case rate	Use Lesser of logic	46		117		Case rate	Use Lesser of logic	46	100			Fee schedule		106.01	36.8	106.01	
Collection of blood specimen from a completely implantable venous access device	36591	CPT	Outpatient			63	40.95		90			Percent of total billed charges		56.7	95.46			Fee schedule		63	80			Percent of total billed charges		50.4	85			Percent of total billed charges		53.55	100			Fee schedule		106.01	85			Percent of total billed charges		53.55	100			Fee schedule		63	100			Fee schedule		106.01	100			Fee schedule		106.01	100			Fee schedule		106.01		216		Case rate	Use Lesser of logic	63		216		Case rate	Use Lesser of logic	63	100			Fee schedule		106.01	50.4	106.01	
Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour	94644	CPT	Outpatient			76	49.4		90			Percent of total billed charges		68.4	95.46			Fee schedule		76	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	100			Fee schedule		106.01	85			Percent of total billed charges		64.6	100			Fee schedule		76	100			Fee schedule		106.01	100			Fee schedule		106.01	100			Fee schedule		106.01		117		Case rate	Use Lesser of logic	76		117		Case rate	Use Lesser of logic	76	100			Fee schedule		106.01	60.8	106.01	
"Needle electromyography; limited study of muscles in 1 extremity or non-limb (axial) muscles (unilateral or bilateral), other than thoracic paraspinal, cranial nerve supplied muscles, or sphincters"	95870	CPT	Outpatient			79	51.35		90			Percent of total billed charges		71.1	95.46			Fee schedule		79	80			Percent of total billed charges		63.2	90			Percent of total billed charges		71.1	100			Fee schedule		106.01	85			Percent of total billed charges		67.15	100			Fee schedule		79	100			Fee schedule		106.01	100			Fee schedule		106.01	100			Fee schedule		106.01		237		Case rate	Use Lesser of logic	79		237		Case rate	Use Lesser of logic	79	100			Fee schedule		106.01	63.2	106.01	
"Pulmonary stress testing (eg, 6-minute walk test), including measurement of heart rate, oximetry, and oxygen titration, when performed"	94618	CPT	Outpatient			140	91		90			Percent of total billed charges		126	95.46			Fee schedule		101.2	80			Percent of total billed charges		112	90			Percent of total billed charges		126	100			Fee schedule		106.01	85			Percent of total billed charges		119	100			Fee schedule		106.01	100			Fee schedule		106.01	100			Fee schedule		106.01	100			Fee schedule		106.01		82		Case rate		82		82		Case rate		82	100			Fee schedule		106.01	82	126	
Application of finger splint; static	29130	CPT	Outpatient			95	61.75		90			Percent of total billed charges		85.5	95.46			Fee schedule		95	80			Percent of total billed charges		76	85			Percent of total billed charges		80.75	100			Fee schedule		106.01	85			Percent of total billed charges		80.75	100			Fee schedule		95	100			Fee schedule		106.01	100			Fee schedule		106.01	100			Fee schedule		106.01		216		Case rate	Use Lesser of logic	95		216		Case rate	Use Lesser of logic	95	100			Fee schedule		106.01	76	106.01	
Evacuation of subungual hematoma	11740	CPT	Outpatient			95	61.75		90			Percent of total billed charges		85.5	95.46			Fee schedule		95	80			Percent of total billed charges		76	85			Percent of total billed charges		80.75	100			Fee schedule		106.01	85			Percent of total billed charges		80.75	100			Fee schedule		95	100			Fee schedule		106.01	100			Fee schedule		106.01	100			Fee schedule		106.01		216		Case rate	Use Lesser of logic	95		216		Case rate	Use Lesser of logic	95	100			Fee schedule		106.01	76	106.01	
"External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes connection, recording, and disconnection)"	93225	CPT	Outpatient			100	65		90			Percent of total billed charges		90	95.46			Fee schedule		100	80			Percent of total billed charges		80	90			Percent of total billed charges		90	100			Fee schedule		106.01	85			Percent of total billed charges		85	100			Fee schedule		100	100			Fee schedule		106.01	100			Fee schedule		106.01	100			Fee schedule		106.01		355		Case rate	Use Lesser of logic	100		355		Case rate	Use Lesser of logic	100	100			Fee schedule		106.01	80	106.01	
"Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact group[s], interleaving, amplitude, pulse width, frequency [Hz], on/off cycling, burst, magnet mode, dose lockout, patient selectable parameters, responsive neurostimulation, detection algorithms, closed loop parameters, and passive parameters) by physician or other qualified health care professional; with brain, cranial nerve, spinal cord, peripheral nerve, or sacral nerve, neurostimulator pulse generator/transmitter, without programming"	95970	CPT	Outpatient			122	79.3		90			Percent of total billed charges		109.8	95.46			Fee schedule		101.2	80			Percent of total billed charges		97.6	90			Percent of total billed charges		109.8	100			Fee schedule		106.01	85			Percent of total billed charges		103.7	100			Fee schedule		106.01	100			Fee schedule		106.01	100			Fee schedule		106.01	100			Fee schedule		106.01		237		Case rate	Use Lesser of logic	122		237		Case rate	Use Lesser of logic	122	100			Fee schedule		106.01	97.6	122	
"Insertion of non-indwelling bladder catheter (eg, straight catheterization for residual urine)"	51701	CPT	Outpatient			125	81.25		90			Percent of total billed charges		112.5	95.46			Fee schedule		101.2	80			Percent of total billed charges		100	85			Percent of total billed charges		106.25	100			Fee schedule		106.01	85			Percent of total billed charges		106.25	100			Fee schedule		106.01	100			Fee schedule		106.01	100			Fee schedule		106.01	100			Fee schedule		106.01		216		Case rate	Use Lesser of logic	125		216		Case rate	Use Lesser of logic	125	100			Fee schedule		106.01	100	125	
"Simple uroflowmetry (UFR) (eg, stop-watch flow rate, mechanical uroflowmeter)"	51736	CPT	Outpatient			125	81.25		90			Percent of total billed charges		112.5	95.46			Fee schedule		101.2	80			Percent of total billed charges		100	85			Percent of total billed charges		106.25	100			Fee schedule		106.01	85			Percent of total billed charges		106.25	100			Fee schedule		106.01	100			Fee schedule		106.01	100			Fee schedule		106.01	100			Fee schedule		106.01		216		Case rate	Use Lesser of logic	125		216		Case rate	Use Lesser of logic	125	100			Fee schedule		106.01	100	125	
Strapping; knee	29530	CPT	Outpatient			125	81.25		90			Percent of total billed charges		112.5	95.46			Fee schedule		101.2	80			Percent of total billed charges		100	85			Percent of total billed charges		106.25	100			Fee schedule		106.01	85			Percent of total billed charges		106.25	100			Fee schedule		106.01	100			Fee schedule		106.01	100			Fee schedule		106.01	100			Fee schedule		106.01		216		Case rate	Use Lesser of logic	125		216		Case rate	Use Lesser of logic	125	100			Fee schedule		106.01	100	125	
"Arterial puncture, withdrawal of blood for diagnosis"	36600	CPT	Outpatient			127	82.55		90			Percent of total billed charges		114.3	95.46			Fee schedule		101.2	80			Percent of total billed charges		101.6	85			Percent of total billed charges		107.95	100			Fee schedule		106.01	85			Percent of total billed charges		107.95	100			Fee schedule		106.01	100			Fee schedule		106.01	100			Fee schedule		106.01	100			Fee schedule		106.01		216		Case rate	Use Lesser of logic	127		216		Case rate	Use Lesser of logic	127	100			Fee schedule		106.01	101.2	127	
"Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)"	93922	CPT	Outpatient			127	82.55		90			Percent of total billed charges		114.3	95.46			Fee schedule		101.2	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	100			Fee schedule		106.01	85			Percent of total billed charges		107.95	100			Fee schedule		106.01	100			Fee schedule		106.01	100			Fee schedule		106.01	100			Fee schedule		106.01		201		Case rate	Use Lesser of logic	127		201		Case rate	Use Lesser of logic	127	100			Fee schedule		106.01	101.2	127	
Application of short arm splint (forearm to hand); dynamic	29126	CPT	Outpatient			134	87.1		90			Percent of total billed charges		120.6	95.46			Fee schedule		101.2	80			Percent of total billed charges		107.2	85			Percent of total billed charges		113.9	100			Fee schedule		106.01	85			Percent of total billed charges		113.9	100			Fee schedule		106.01	100			Fee schedule		106.01	100			Fee schedule		106.01	100			Fee schedule		106.01		216		Case rate	Use Lesser of logic	134		216		Case rate	Use Lesser of logic	134	100			Fee schedule		106.01	101.2	134	
Dilation of female urethra including suppository and/or instillation; subsequent	53661	CPT	Outpatient			135	87.75		90			Percent of total billed charges		121.5	95.46			Fee schedule		101.2	80			Percent of total billed charges		108	85			Percent of total billed charges		114.75	100			Fee schedule		106.01	85			Percent of total billed charges		114.75	100			Fee schedule		106.01	100			Fee schedule		106.01	100			Fee schedule		106.01	100			Fee schedule		106.01		216		Case rate	Use Lesser of logic	135		216		Case rate	Use Lesser of logic	135	100			Fee schedule		106.01	101.2	135	
"Anoscopy; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)"	46600	CPT	Outpatient			140	91		90			Percent of total billed charges		126	95.46			Fee schedule		101.2	80			Percent of total billed charges		112	85			Percent of total billed charges		119	100			Fee schedule		106.01	85			Percent of total billed charges		119	100			Fee schedule		106.01	100			Fee schedule		106.01	100			Fee schedule		106.01	100			Fee schedule		106.01		216		Case rate	Use Lesser of logic	140		216		Case rate	Use Lesser of logic	140	100			Fee schedule		106.01	101.2	140	
"Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent"	53601	CPT	Outpatient			140	91		90			Percent of total billed charges		126	95.46			Fee schedule		101.2	80			Percent of total billed charges		112	85			Percent of total billed charges		119	100			Fee schedule		106.01	85			Percent of total billed charges		119	100			Fee schedule		106.01	100			Fee schedule		106.01	100			Fee schedule		106.01	100			Fee schedule		106.01		216		Case rate	Use Lesser of logic	140		216		Case rate	Use Lesser of logic	140	100			Fee schedule		106.01	101.2	140	
"Strapping; shoulder (eg, Velpeau)"	29240	CPT	Outpatient			145	94.25		90			Percent of total billed charges		130.5	95.46			Fee schedule		101.2	80			Percent of total billed charges		116	85			Percent of total billed charges		123.25	100			Fee schedule		106.01	85			Percent of total billed charges		123.25	100			Fee schedule		106.01	100			Fee schedule		106.01	100			Fee schedule		106.01	100			Fee schedule		106.01		216		Case rate	Use Lesser of logic	145		216		Case rate	Use Lesser of logic	145	100			Fee schedule		106.01	101.2	145	
"Correction of trichiasis; epilation, by forceps only"	67820	CPT	Outpatient			150	97.5		90			Percent of total billed charges		135	95.46			Fee schedule		101.2	80			Percent of total billed charges		120	85			Percent of total billed charges		127.5	100			Fee schedule		106.01	85			Percent of total billed charges		127.5	100			Fee schedule		106.01	100			Fee schedule		106.01	100			Fee schedule		106.01	100			Fee schedule		106.01		216		Case rate	Use Lesser of logic	150		216		Case rate	Use Lesser of logic	150	100			Fee schedule		106.01	101.2	150	
"Removal of foreign body, external eye; corneal, with slit lamp"	65222	CPT	Outpatient			155	100.75		90			Percent of total billed charges		139.5	95.46			Fee schedule		101.2	80			Percent of total billed charges		124	85			Percent of total billed charges		131.75	100			Fee schedule		106.01	85			Percent of total billed charges		131.75	100			Fee schedule		106.01	100			Fee schedule		106.01	100			Fee schedule		106.01	100			Fee schedule		106.01		216		Case rate	Use Lesser of logic	155		216		Case rate	Use Lesser of logic	155	100			Fee schedule		106.01	101.2	155	
Application of short arm splint (forearm to hand); static	29125	CPT	Outpatient			159	103.35		90			Percent of total billed charges		143.1	95.46			Fee schedule		101.2	80			Percent of total billed charges		127.2	85			Percent of total billed charges		135.15	100			Fee schedule		106.01	85			Percent of total billed charges		135.15	100			Fee schedule		106.01	100			Fee schedule		106.01	100			Fee schedule		106.01	100			Fee schedule		106.01		216		Case rate	Use Lesser of logic	159		216		Case rate	Use Lesser of logic	159	100			Fee schedule		106.01	101.2	159	
"Removal of foreign body, external eye; conjunctival superficial"	65205	CPT	Outpatient			165	107.25		90			Percent of total billed charges		148.5	95.46			Fee schedule		101.2	80			Percent of total billed charges		132	85			Percent of total billed charges		140.25	100			Fee schedule		106.01	85			Percent of total billed charges		140.25	100			Fee schedule		106.01	100			Fee schedule		106.01	100			Fee schedule		106.01	100			Fee schedule		106.01		216		Case rate	Use Lesser of logic	165		216		Case rate	Use Lesser of logic	165	100			Fee schedule		106.01	101.2	165	
Needle electromyography; 1 extremity with or without related paraspinal areas	95860	CPT	Outpatient			170	110.5		90			Percent of total billed charges		153	95.46			Fee schedule		101.2	80			Percent of total billed charges		136	90			Percent of total billed charges		153	100			Fee schedule		106.01	85			Percent of total billed charges		144.5	100			Fee schedule		106.01	100			Fee schedule		106.01	100			Fee schedule		106.01	100			Fee schedule		106.01		237		Case rate	Use Lesser of logic	170		237		Case rate	Use Lesser of logic	170	100			Fee schedule		106.01	101.2	170	
Removal foreign body from external auditory canal; without general anesthesia	69200	CPT	Outpatient			210	136.5		90			Percent of total billed charges		189	95.46			Fee schedule		101.2	80			Percent of total billed charges		168	85			Percent of total billed charges		178.5	100			Fee schedule		106.01	85			Percent of total billed charges		178.5	100			Fee schedule		106.01	100			Fee schedule		106.01	100			Fee schedule		106.01	100			Fee schedule		106.01		216		Case rate	Use Lesser of logic	210		216		Case rate	Use Lesser of logic	210	100			Fee schedule		106.01	101.2	210	
"Insertion of temporary indwelling bladder catheter; simple (eg, Foley)"	51702	CPT	Outpatient			215	139.75		90			Percent of total billed charges		193.5	95.46			Fee schedule		101.2	80			Percent of total billed charges		172	85			Percent of total billed charges		182.75	100			Fee schedule		106.01	85			Percent of total billed charges		182.75	100			Fee schedule		106.01	100			Fee schedule		106.01	100			Fee schedule		106.01	100			Fee schedule		106.01		216		Case rate	Use Lesser of logic	215		216		Case rate	Use Lesser of logic	215	100			Fee schedule		106.01	101.2	215	
"Insertion, drug-delivery implant (ie, bioresorbable, biodegradable, non-biodegradable)"	11981	CPT	Outpatient			270	175.5		90			Percent of total billed charges		243	95.46			Fee schedule		101.2	80			Percent of total billed charges		216	85			Percent of total billed charges		229.5	100			Fee schedule		106.01	85			Percent of total billed charges		229.5	100			Fee schedule		106.01	100			Fee schedule		106.01	100			Fee schedule		106.01	100			Fee schedule		106.01		216		Case rate		216		216		Case rate		216	100			Fee schedule		106.01	101.2	243	
"Drainage of abscess, cyst, hematoma from dentoalveolar structures"	41800	CPT	Outpatient			315	204.75		90			Percent of total billed charges		283.5	95.46			Fee schedule		101.2	80			Percent of total billed charges		252	85			Percent of total billed charges		267.75	100			Fee schedule		106.01	85			Percent of total billed charges		267.75	100			Fee schedule		106.01	100			Fee schedule		106.01	100			Fee schedule		106.01	100			Fee schedule		106.01		216		Case rate		216		216		Case rate		216	100			Fee schedule		106.01	101.2	283.5	
"Control nasal hemorrhage, anterior, simple (limited cautery and/or packing) any method"	30901	CPT	Outpatient			335	217.75		90			Percent of total billed charges		301.5	95.46			Fee schedule		101.2	80			Percent of total billed charges		268	85			Percent of total billed charges		284.75	100			Fee schedule		106.01	85			Percent of total billed charges		284.75	100			Fee schedule		106.01	100			Fee schedule		106.01	100			Fee schedule		106.01	100			Fee schedule		106.01		216		Case rate		216		216		Case rate		216	100			Fee schedule		106.01	101.2	301.5	
"Removal foreign body, intranasal; office type procedure"	30300	CPT	Outpatient			425	276.25		90			Percent of total billed charges		382.5	95.46			Fee schedule		101.2	80			Percent of total billed charges		340	85			Percent of total billed charges		361.25	100			Fee schedule		106.01	85			Percent of total billed charges		361.25	100			Fee schedule		106.01	100			Fee schedule		106.01	100			Fee schedule		106.01	100			Fee schedule		106.01		216		Case rate		216		216		Case rate		216	100			Fee schedule		106.01	101.2	382.5	
"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; initial"	30905	CPT	Outpatient			465	302.25		90			Percent of total billed charges		418.5	95.46			Fee schedule		101.2	80			Percent of total billed charges		372	85			Percent of total billed charges		395.25	100			Fee schedule		106.01	85			Percent of total billed charges		395.25	100			Fee schedule		106.01	100			Fee schedule		106.01	100			Fee schedule		106.01	100			Fee schedule		106.01		216		Case rate		216		216		Case rate		216	100			Fee schedule		106.01	101.2	418.5	
"Control nasal hemorrhage, anterior, complex (extensive cautery and/or packing) any method"	30903	CPT	Outpatient			495	321.75		90			Percent of total billed charges		445.5	95.46			Fee schedule		101.2	80			Percent of total billed charges		396	85			Percent of total billed charges		420.75	100			Fee schedule		106.01	85			Percent of total billed charges		420.75	100			Fee schedule		106.01	100			Fee schedule		106.01	100			Fee schedule		106.01	100			Fee schedule		106.01		216		Case rate		216		216		Case rate		216	100			Fee schedule		106.01	101.2	445.5	
Needle electromyography; 2 extremities with or without related paraspinal areas	95861	CPT	Outpatient			260	169		90			Percent of total billed charges		234	95.46			Fee schedule		101.2	80			Percent of total billed charges		208	90			Percent of total billed charges		234	100			Fee schedule		106.01	85			Percent of total billed charges		221	100			Fee schedule		106.01	100			Fee schedule		106.01	100			Fee schedule		106.01	100			Fee schedule		106.01		237		Case rate		237		237		Case rate		237	100			Fee schedule		106.01	101.2	237	
Physician or other qualified health care professional services for outpatient cardiac rehabilitation; with continuous ECG monitoring (per session)	93798	CPT	Outpatient			171	111.15		90			Percent of total billed charges		153.9	95.46			Fee schedule		104.68	80			Percent of total billed charges		136.8	90			Percent of total billed charges		153.9	100			Fee schedule		109.66	85			Percent of total billed charges		145.35	100			Fee schedule		109.66	100			Fee schedule		109.66	100			Fee schedule		109.66	100			Fee schedule		109.66		178		Case rate	Use Lesser of logic	171		178		Case rate	Use Lesser of logic	171	100			Fee schedule		109.66	104.68	171	
"Hyperbaric oxygen under pressure, full body chamber, per 30 minute interval"	G0277	CPT	Outpatient			97	63.05		90			Percent of total billed charges		87.3	95.46			Fee schedule		97	80			Percent of total billed charges		77.6	90			Percent of total billed charges		87.3	100			Fee schedule		115.15	85			Percent of total billed charges		82.45	100			Fee schedule		97	100			Fee schedule		115.15	100			Fee schedule		115.15	100			Fee schedule		115.15		136		Case rate	Use Lesser of logic	97		136		Case rate	Use Lesser of logic	97	100			Fee schedule		115.15	77.6	115.15	
"Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose"	J7323	HCPCS	Outpatient	1	UN	285	185.25		90			Percent of total billed charges		256.5	95.46			Fee schedule		110.33	80			Percent of total billed charges		228	90			Percent of total billed charges		256.5	100			Fee schedule		115.57	85			Percent of total billed charges		242.25	100			Fee schedule		115.57	100			Fee schedule		115.57	100			Fee schedule		115.57	100			Fee schedule		115.57		149.49		Case rate		149.49		149.49		Case rate		149.49	100			Fee schedule		115.57	110.33	256.5	
Unlisted pulmonary service or procedure	94799	CPT	Outpatient			67	43.55		90			Percent of total billed charges		60.3	95.46			Fee schedule		67	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	100			Fee schedule		129.63	85			Percent of total billed charges		56.95	100			Fee schedule		67	100			Fee schedule		129.63	100			Fee schedule		129.63	100			Fee schedule		129.63		82		Case rate	Use Lesser of logic	67		82		Case rate	Use Lesser of logic	67	100			Fee schedule		129.63	53.6	129.63	
Unlisted diagnostic gastroenterology procedure	91299	CPT	Outpatient			70	45.5		90			Percent of total billed charges		63	95.46			Fee schedule		70	80			Percent of total billed charges		56	90			Percent of total billed charges		63	100			Fee schedule		129.63	85			Percent of total billed charges		59.5	100			Fee schedule		70	100			Fee schedule		129.63	100			Fee schedule		129.63	100			Fee schedule		129.63		216		Case rate	Use Lesser of logic	70		216		Case rate	Use Lesser of logic	70	100			Fee schedule		129.63	56	129.63	
"Vital capacity, total (separate procedure)"	94150	CPT	Outpatient			77	50.05		90			Percent of total billed charges		69.3	95.46			Fee schedule		77	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	100			Fee schedule		129.63	85			Percent of total billed charges		65.45	100			Fee schedule		77	100			Fee schedule		129.63	100			Fee schedule		129.63	100			Fee schedule		129.63		82		Case rate	Use Lesser of logic	77		82		Case rate	Use Lesser of logic	77	100			Fee schedule		129.63	61.6	129.63	
Noninvasive ear or pulse oximetry for oxygen saturation; by continuous overnight monitoring (separate procedure)	94762	CPT	Outpatient			125	81.25		90			Percent of total billed charges		112.5	95.46			Fee schedule		123.75	80			Percent of total billed charges		100	90			Percent of total billed charges		112.5	100			Fee schedule		129.63	85			Percent of total billed charges		106.25	100			Fee schedule		125	100			Fee schedule		129.63	100			Fee schedule		129.63	100			Fee schedule		129.63		82		Case rate		82		82		Case rate		82	100			Fee schedule		129.63	82	129.63	
Breathing response to hypoxia (hypoxia response curve)	94450	CPT	Outpatient			165	107.25		90			Percent of total billed charges		148.5	95.46			Fee schedule		123.75	80			Percent of total billed charges		132	90			Percent of total billed charges		148.5	100			Fee schedule		129.63	85			Percent of total billed charges		140.25	100			Fee schedule		129.63	100			Fee schedule		129.63	100			Fee schedule		129.63	100			Fee schedule		129.63		82		Case rate		82		82		Case rate		82	100			Fee schedule		129.63	82	148.5	
"Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes"	94727	CPT	Outpatient			326	211.9		90			Percent of total billed charges		293.4	95.46			Fee schedule		123.75	80			Percent of total billed charges		260.8	90			Percent of total billed charges		293.4	100			Fee schedule		129.63	85			Percent of total billed charges		277.1	100			Fee schedule		129.63	100			Fee schedule		129.63	100			Fee schedule		129.63	100			Fee schedule		129.63		82		Case rate		82		82		Case rate		82	100			Fee schedule		129.63	82	293.4	
"Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation"	94010	CPT	Outpatient			326	211.9		90			Percent of total billed charges		293.4	95.46			Fee schedule		123.75	80			Percent of total billed charges		260.8	90			Percent of total billed charges		293.4	100			Fee schedule		129.63	85			Percent of total billed charges		277.1	100			Fee schedule		129.63	100			Fee schedule		129.63	100			Fee schedule		129.63	100			Fee schedule		129.63		82		Case rate		82		82		Case rate		82	100			Fee schedule		129.63	82	293.4	
Dilation of female urethra including suppository and/or instillation; initial	53660	CPT	Outpatient			140	91		90			Percent of total billed charges		126	95.46			Fee schedule		123.75	80			Percent of total billed charges		112	85			Percent of total billed charges		119	100			Fee schedule		129.63	85			Percent of total billed charges		119	100			Fee schedule		129.63	100			Fee schedule		129.63	100			Fee schedule		129.63	100			Fee schedule		129.63		216		Case rate	Use Lesser of logic	140		216		Case rate	Use Lesser of logic	140	100			Fee schedule		129.63	112	140	
"Noninvasive physiologic studies of lower extremity arteries, at rest and following treadmill stress testing, (ie, bidirectional Doppler waveform or volume plethysmography recording and analysis at rest with ankle/brachial indices immediately after and at timed intervals following performance of a standardized protocol on a motorized treadmill plus recording of time of onset of claudication or other symptoms, maximal walking time, and time to recovery) complete bilateral study"	93924	CPT	Outpatient			149	96.85		90			Percent of total billed charges		134.1	95.46			Fee schedule		123.75	80			Percent of total billed charges		119.2	90			Percent of total billed charges		134.1	100			Fee schedule		129.63	85			Percent of total billed charges		126.65	100			Fee schedule		129.63	100			Fee schedule		129.63	100			Fee schedule		129.63	100			Fee schedule		129.63		201		Case rate	Use Lesser of logic	149		201		Case rate	Use Lesser of logic	149	100			Fee schedule		129.63	119.2	149	
"Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 method"	95937	CPT	Outpatient			154	100.1		90			Percent of total billed charges		138.6	95.46			Fee schedule		123.75	80			Percent of total billed charges		123.2	90			Percent of total billed charges		138.6	100			Fee schedule		129.63	85			Percent of total billed charges		130.9	100			Fee schedule		129.63	100			Fee schedule		129.63	100			Fee schedule		129.63	100			Fee schedule		129.63		237		Case rate	Use Lesser of logic	154		237		Case rate	Use Lesser of logic	154	100			Fee schedule		129.63	123.2	154	
"Needle electromyography using single fiber electrode, with quantitative measurement of jitter, blocking and/or fiber density, any/all sites of each muscle studied"	95872	CPT	Outpatient			154	100.1		90			Percent of total billed charges		138.6	95.46			Fee schedule		123.75	80			Percent of total billed charges		123.2	90			Percent of total billed charges		138.6	100			Fee schedule		129.63	85			Percent of total billed charges		130.9	100			Fee schedule		129.63	100			Fee schedule		129.63	100			Fee schedule		129.63	100			Fee schedule		129.63		237		Case rate	Use Lesser of logic	154		237		Case rate	Use Lesser of logic	154	100			Fee schedule		129.63	123.2	154	
"Breath hydrogen or methane test (eg, for detection of lactase deficiency, fructose intolerance, bacterial overgrowth, or oro-cecal gastrointestinal transit)"	91065	CPT	Outpatient			160	104		90			Percent of total billed charges		144	95.46			Fee schedule		123.75	80			Percent of total billed charges		128	90			Percent of total billed charges		144	100			Fee schedule		129.63	85			Percent of total billed charges		136	100			Fee schedule		129.63	100			Fee schedule		129.63	100			Fee schedule		129.63	100			Fee schedule		129.63		216		Case rate	Use Lesser of logic	160		216		Case rate	Use Lesser of logic	160	100			Fee schedule		129.63	123.75	160	
Nerve conduction studies; 1-2 studies	95907	CPT	Outpatient			175	113.75		90			Percent of total billed charges		157.5	95.46			Fee schedule		123.75	80			Percent of total billed charges		140	90			Percent of total billed charges		157.5	100			Fee schedule		129.63	85			Percent of total billed charges		148.75	100			Fee schedule		129.63	100			Fee schedule		129.63	100			Fee schedule		129.63	100			Fee schedule		129.63		237		Case rate	Use Lesser of logic	175		237		Case rate	Use Lesser of logic	175	100			Fee schedule		129.63	123.75	175	
"Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)"	93923	CPT	Outpatient			390	253.5		90			Percent of total billed charges		351	95.46			Fee schedule		123.75	80			Percent of total billed charges		312	90			Percent of total billed charges		351	100			Fee schedule		129.63	85			Percent of total billed charges		331.5	100			Fee schedule		129.63	100			Fee schedule		129.63	100			Fee schedule		129.63	100			Fee schedule		129.63		201		Case rate		201		201		Case rate		201	100			Fee schedule		129.63	123.75	351	
"Insertion of temporary indwelling bladder catheter; complicated (eg, altered anatomy, fractured catheter/balloon)"	51703	CPT	Outpatient			300	195		90			Percent of total billed charges		270	95.46			Fee schedule		123.75	80			Percent of total billed charges		240	85			Percent of total billed charges		255	100			Fee schedule		129.63	85			Percent of total billed charges		255	100			Fee schedule		129.63	100			Fee schedule		129.63	100			Fee schedule		129.63	100			Fee schedule		129.63		216		Case rate		216		216		Case rate		216	100			Fee schedule		129.63	123.75	270	
"Electromyography studies (EMG) of anal or urethral sphincter, other than needle, any technique"	51784	CPT	Outpatient			538	349.7		90			Percent of total billed charges		484.2	95.46			Fee schedule		123.75	80			Percent of total billed charges		430.4	85			Percent of total billed charges		457.3	100			Fee schedule		129.63	85			Percent of total billed charges		457.3	100			Fee schedule		129.63	100			Fee schedule		129.63	100			Fee schedule		129.63	100			Fee schedule		129.63		216		Case rate		216		216		Case rate		216	100			Fee schedule		129.63	123.75	484.2	
Needle electromyography; 3 extremities with or without related paraspinal areas	95863	CPT	Outpatient			300	195		90			Percent of total billed charges		270	95.46			Fee schedule		123.75	80			Percent of total billed charges		240	90			Percent of total billed charges		270	100			Fee schedule		129.63	85			Percent of total billed charges		255	100			Fee schedule		129.63	100			Fee schedule		129.63	100			Fee schedule		129.63	100			Fee schedule		129.63		237		Case rate		237		237		Case rate		237	100			Fee schedule		129.63	123.75	270	
Needle electromyography; 4 extremities with or without related paraspinal areas	95864	CPT	Outpatient			380	247		90			Percent of total billed charges		342	95.46			Fee schedule		123.75	80			Percent of total billed charges		304	90			Percent of total billed charges		342	100			Fee schedule		129.63	85			Percent of total billed charges		323	100			Fee schedule		129.63	100			Fee schedule		129.63	100			Fee schedule		129.63	100			Fee schedule		129.63		237		Case rate		237		237		Case rate		237	100			Fee schedule		129.63	123.75	342	
"Electroencephalogram (EEG) continuous recording, with video when performed, setup, patient education, and takedown when performed, administered in person by EEG technologist, minimum of 8 channels"	95700	CPT	Outpatient			1430	929.5		90			Percent of total billed charges		1287	95.46			Fee schedule		123.75	80			Percent of total billed charges		1144	90			Percent of total billed charges		1287	100			Fee schedule		129.63	85			Percent of total billed charges		1215.5	100			Fee schedule		129.63	100			Fee schedule		129.63	100			Fee schedule		129.63	100			Fee schedule		129.63		268		Case rate		268		268		Case rate		268	100			Fee schedule		129.63	123.75	1287	
"Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (eg, thoracoabdominal movement)"	95806	CPT	Outpatient			550	357.5		90			Percent of total billed charges		495	95.46			Fee schedule		123.75	80			Percent of total billed charges		440	90			Percent of total billed charges		495	100			Fee schedule		129.63	85			Percent of total billed charges		467.5	100			Fee schedule		129.63	100			Fee schedule		129.63	100			Fee schedule		129.63	100			Fee schedule		129.63		532		Case rate		532		532		Case rate		532	100			Fee schedule		129.63	123.75	532	
Application of long leg splint (thigh to ankle or toes)	29505	CPT	Outpatient			148	96.2		90			Percent of total billed charges		133.2	95.46			Fee schedule		124.83	80			Percent of total billed charges		118.4	85			Percent of total billed charges		125.8	100			Fee schedule		130.76	85			Percent of total billed charges		125.8	100			Fee schedule		130.76	100			Fee schedule		130.76	100			Fee schedule		130.76	100			Fee schedule		130.76		216		Case rate	Use Lesser of logic	148		216		Case rate	Use Lesser of logic	148	100			Fee schedule		130.76	118.4	148	
Windowing of cast	29730	CPT	Outpatient			150	97.5		90			Percent of total billed charges		135	95.46			Fee schedule		124.83	80			Percent of total billed charges		120	85			Percent of total billed charges		127.5	100			Fee schedule		130.76	85			Percent of total billed charges		127.5	100			Fee schedule		130.76	100			Fee schedule		130.76	100			Fee schedule		130.76	100			Fee schedule		130.76		216		Case rate	Use Lesser of logic	150		216		Case rate	Use Lesser of logic	150	100			Fee schedule		130.76	120	150	
"Repair of spica, body cast or jacket"	29720	CPT	Outpatient			155	100.75		90			Percent of total billed charges		139.5	95.46			Fee schedule		124.83	80			Percent of total billed charges		124	85			Percent of total billed charges		131.75	100			Fee schedule		130.76	85			Percent of total billed charges		131.75	100			Fee schedule		130.76	100			Fee schedule		130.76	100			Fee schedule		130.76	100			Fee schedule		130.76		216		Case rate	Use Lesser of logic	155		216		Case rate	Use Lesser of logic	155	100			Fee schedule		130.76	124	155	
Application of short leg splint (calf to foot)	29515	CPT	Outpatient			159	103.35		90			Percent of total billed charges		143.1	95.46			Fee schedule		124.83	80			Percent of total billed charges		127.2	85			Percent of total billed charges		135.15	100			Fee schedule		130.76	85			Percent of total billed charges		135.15	100			Fee schedule		130.76	100			Fee schedule		130.76	100			Fee schedule		130.76	100			Fee schedule		130.76		216		Case rate	Use Lesser of logic	159		216		Case rate	Use Lesser of logic	159	100			Fee schedule		130.76	124.83	159	
"Application, cast; hand and lower forearm (gauntlet)"	29085	CPT	Outpatient			165	107.25		90			Percent of total billed charges		148.5	95.46			Fee schedule		124.83	80			Percent of total billed charges		132	85			Percent of total billed charges		140.25	100			Fee schedule		130.76	85			Percent of total billed charges		140.25	100			Fee schedule		130.76	100			Fee schedule		130.76	100			Fee schedule		130.76	100			Fee schedule		130.76		216		Case rate	Use Lesser of logic	165		216		Case rate	Use Lesser of logic	165	100			Fee schedule		130.76	124.83	165	
Application of long arm splint (shoulder to hand)	29105	CPT	Outpatient			225	146.25		90			Percent of total billed charges		202.5	95.46			Fee schedule		124.83	80			Percent of total billed charges		180	85			Percent of total billed charges		191.25	100			Fee schedule		130.76	85			Percent of total billed charges		191.25	100			Fee schedule		130.76	100			Fee schedule		130.76	100			Fee schedule		130.76	100			Fee schedule		130.76		216		Case rate		216		216		Case rate		216	100			Fee schedule		130.76	124.83	216	
"Application of clubfoot cast with molding or manipulation, long or short leg"	29450	CPT	Outpatient			330	214.5		90			Percent of total billed charges		297	95.46			Fee schedule		124.83	80			Percent of total billed charges		264	85			Percent of total billed charges		280.5	100			Fee schedule		130.76	85			Percent of total billed charges		280.5	100			Fee schedule		130.76	100			Fee schedule		130.76	100			Fee schedule		130.76	100			Fee schedule		130.76		216		Case rate		216		216		Case rate		216	100			Fee schedule		130.76	124.83	297	
Strapping; ankle and/or foot	29540	CPT	Outpatient			543	352.95		90			Percent of total billed charges		488.7	95.46			Fee schedule		124.83	80			Percent of total billed charges		434.4	85			Percent of total billed charges		461.55	100			Fee schedule		130.76	85			Percent of total billed charges		461.55	100			Fee schedule		130.76	100			Fee schedule		130.76	100			Fee schedule		130.76	100			Fee schedule		130.76		216		Case rate		216		216		Case rate		216	100			Fee schedule		130.76	124.83	488.7	
Strapping; Unna boot	29580	CPT	Outpatient			543	352.95		90			Percent of total billed charges		488.7	95.46			Fee schedule		124.83	80			Percent of total billed charges		434.4	85			Percent of total billed charges		461.55	100			Fee schedule		130.76	85			Percent of total billed charges		461.55	100			Fee schedule		130.76	100			Fee schedule		130.76	100			Fee schedule		130.76	100			Fee schedule		130.76		216		Case rate		216		216		Case rate		216	100			Fee schedule		130.76	124.83	488.7	
"Application of multi-layer compression system; leg (below knee), including ankle and foot"	29581	CPT	Outpatient			840	546		90			Percent of total billed charges		756	95.46			Fee schedule		124.83	80			Percent of total billed charges		672	85			Percent of total billed charges		714	100			Fee schedule		130.76	85			Percent of total billed charges		714	100			Fee schedule		130.76	100			Fee schedule		130.76	100			Fee schedule		130.76	100			Fee schedule		130.76		216		Case rate		216		216		Case rate		216	100			Fee schedule		130.76	124.83	756	
"Injection, tixagevimab and cilgavimab, for the pre-exposure prophylaxis only, for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known sars-cov-2 exposure, who either have moderate to severely compromised immune  systems or for whom vaccination with any available covid-19 vaccine is not recommended due to a history of severe adverse reaction to a covid-19 vaccine(s) and/or covid-19 vaccine component(s), includes injection and post administration monitoring"	M0220	CPT	Outpatient			150.5	97.82		90			Percent of total billed charges		135.45	95.46			Fee schedule		125.13	80			Percent of total billed charges		120.4	90			Percent of total billed charges		135.45	100			Fee schedule		131.09	85			Percent of total billed charges		127.92	100			Fee schedule		131.09	100			Fee schedule		131.09	100			Fee schedule		131.09	100			Fee schedule		131.09		141		Case rate		141		141		Case rate		141	100			Fee schedule		131.09	120.4	141	
"Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose"	J7324	HCPCS	Outpatient	1	UN	490	318.5		90			Percent of total billed charges		441	95.46			Fee schedule		125.59	80			Percent of total billed charges		392	90			Percent of total billed charges		441	100			Fee schedule		131.56	85			Percent of total billed charges		416.5	100			Fee schedule		131.56	100			Fee schedule		131.56	100			Fee schedule		131.56	100			Fee schedule		131.56		155.72		Case rate		155.72		155.72		Case rate		155.72	100			Fee schedule		131.56	125.59	441	
"Injection, pegfilgrastim-cbqv (udenyca), biosimilar, 0.5 mg"	Q5111	CPT	Outpatient			1085.5	705.58		90			Percent of total billed charges		976.95	95.46			Fee schedule		129.33	80			Percent of total billed charges		868.4	90			Percent of total billed charges		976.95	100			Fee schedule		135.49	85			Percent of total billed charges		922.68	100			Fee schedule		135.49	100			Fee schedule		135.49	100			Fee schedule		135.49	100			Fee schedule		135.49		379.85		Case rate		379.85		379.85		Case rate		379.85	100			Fee schedule		135.49	129.33	976.95	
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making"	99282	CPT	Outpatient			349	226.85		90			Percent of total billed charges		314.1	95.46			Fee schedule		129.57	80			Percent of total billed charges		279.2	90			Percent of total billed charges		314.1	100			Fee schedule		135.73	85			Percent of total billed charges		296.65	100			Fee schedule		135.73	100			Fee schedule		135.73	100			Fee schedule		135.73	100			Fee schedule		135.73		336		Case rate		336		336		Case rate		336	100			Fee schedule		135.73	129.57	336	
"Hepatitis B immune globulin (HBIg), human, for intramuscular use"	90371	CPT	Outpatient			559	363.35		90			Percent of total billed charges		503.1	95.46			Fee schedule		134.71	80			Percent of total billed charges		447.2	90			Percent of total billed charges		503.1	100			Fee schedule		141.12	85			Percent of total billed charges		475.15	100			Fee schedule		141.12	100			Fee schedule		141.12	100			Fee schedule		141.12	100			Fee schedule		141.12		126.71		Case rate		126.71		126.71		Case rate		126.71	100			Fee schedule		141.12	126.71	503.1	
"Fresh frozen plasma, thawing, each unit"	86927	CPT	Outpatient			23	14.95		90			Percent of total billed charges		20.7	95.46			Fee schedule		23	80			Percent of total billed charges		18.4	90			Percent of total billed charges		20.7	100			Fee schedule		141.75	85			Percent of total billed charges		19.55	100			Fee schedule		23	100			Fee schedule		141.75	100			Fee schedule		141.75	100			Fee schedule		141.75		13.44		Case rate		13.44		13.44		Case rate		13.44	100			Fee schedule		141.75	13.44	141.75	
"Splitting of blood or blood products, each unit"	86985	CPT	Outpatient			74	48.1		90			Percent of total billed charges		66.6	95.46			Fee schedule		74	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	100			Fee schedule		141.75	85			Percent of total billed charges		62.9	100			Fee schedule		74	100			Fee schedule		141.75	100			Fee schedule		141.75	100			Fee schedule		141.75		13.44		Case rate		13.44		13.44		Case rate		13.44	100			Fee schedule		141.75	13.44	141.75	
Compatibility test each unit; electronic	86923	CPT	Outpatient			172	111.8		90			Percent of total billed charges		154.8	95.46			Fee schedule		135.31	80			Percent of total billed charges		137.6	90			Percent of total billed charges		154.8	100			Fee schedule		141.75	85			Percent of total billed charges		146.2	100			Fee schedule		141.75	100			Fee schedule		141.75	100			Fee schedule		141.75	100			Fee schedule		141.75		13.44		Case rate		13.44		13.44		Case rate		13.44	100			Fee schedule		141.75	13.44	154.8	
Compatibility test each unit; immediate spin technique	86920	CPT	Outpatient			185	120.25		90			Percent of total billed charges		166.5	95.46			Fee schedule		135.31	80			Percent of total billed charges		148	90			Percent of total billed charges		166.5	100			Fee schedule		141.75	85			Percent of total billed charges		157.25	100			Fee schedule		141.75	100			Fee schedule		141.75	100			Fee schedule		141.75	100			Fee schedule		141.75		13.44		Case rate		13.44		13.44		Case rate		13.44	100			Fee schedule		141.75	13.44	166.5	
"Sputum, obtaining specimen, aerosol induced technique (separate procedure)"	89220	CPT	Outpatient			28	18.2		90			Percent of total billed charges		25.2	95.46			Fee schedule		28	80			Percent of total billed charges		22.4	90			Percent of total billed charges		25.2	100			Fee schedule		141.75	85			Percent of total billed charges		23.8	100			Fee schedule		28	100			Fee schedule		141.75	100			Fee schedule		141.75	100			Fee schedule		141.75		15.37		Case rate		15.37		15.37		Case rate		15.37	100			Fee schedule		141.75	15.37	141.75	
"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each site"	88172	CPT	Outpatient			146.4	95.16		90			Percent of total billed charges		131.76	95.46			Fee schedule		135.31	80			Percent of total billed charges		117.12	90			Percent of total billed charges		131.76	100			Fee schedule		141.75	85			Percent of total billed charges		124.44	100			Fee schedule		141.75	100			Fee schedule		141.75	100			Fee schedule		141.75	100			Fee schedule		141.75		15.37		Case rate		15.37		15.37		Case rate		15.37	100			Fee schedule		141.75	15.37	141.75	
Compatibility test each unit; antiglobulin technique	86922	CPT	Outpatient			197	128.05		90			Percent of total billed charges		177.3	95.46			Fee schedule		135.31	80			Percent of total billed charges		157.6	90			Percent of total billed charges		177.3	100			Fee schedule		141.75	85			Percent of total billed charges		167.45	100			Fee schedule		141.75	100			Fee schedule		141.75	100			Fee schedule		141.75	100			Fee schedule		141.75		22.38		Case rate		22.38		22.38		Case rate		22.38	100			Fee schedule		141.75	22.38	177.3	
"Pathology consultation during surgery; first tissue block, with frozen section(s), single specimen"	88331	CPT	Outpatient			82	53.3		90			Percent of total billed charges		73.8	95.46			Fee schedule		82	80			Percent of total billed charges		65.6	90			Percent of total billed charges		73.8	100			Fee schedule		141.75	85			Percent of total billed charges		69.7	100			Fee schedule		82	100			Fee schedule		141.75	100			Fee schedule		141.75	100			Fee schedule		141.75		33.13		Case rate		33.13		33.13		Case rate		33.13	100			Fee schedule		141.75	33.13	141.75	
"Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure"	88342	CPT	Outpatient			102.01	66.31		90			Percent of total billed charges		91.81	95.46			Fee schedule		102.01	80			Percent of total billed charges		81.61	90			Percent of total billed charges		91.81	100			Fee schedule		141.75	85			Percent of total billed charges		86.71	100			Fee schedule		102.01	100			Fee schedule		141.75	100			Fee schedule		141.75	100			Fee schedule		141.75		33.13		Case rate		33.13		33.13		Case rate		33.13	100			Fee schedule		141.75	33.13	141.75	
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; manual"	88360	CPT	Outpatient			109.53	71.19		90			Percent of total billed charges		98.58	95.46			Fee schedule		109.53	80			Percent of total billed charges		87.62	90			Percent of total billed charges		98.58	100			Fee schedule		141.75	85			Percent of total billed charges		93.1	100			Fee schedule		109.53	100			Fee schedule		141.75	100			Fee schedule		141.75	100			Fee schedule		141.75		33.13		Case rate		33.13		33.13		Case rate		33.13	100			Fee schedule		141.75	33.13	141.75	
"Morphometric analysis; tumor (eg, DNA ploidy)"	88358	CPT	Outpatient			117.86	76.61		90			Percent of total billed charges		106.07	95.46			Fee schedule		117.86	80			Percent of total billed charges		94.29	90			Percent of total billed charges		106.07	100			Fee schedule		141.75	85			Percent of total billed charges		100.18	100			Fee schedule		117.86	100			Fee schedule		141.75	100			Fee schedule		141.75	100			Fee schedule		141.75		33.13		Case rate		33.13		33.13		Case rate		33.13	100			Fee schedule		141.75	33.13	141.75	
"Immunofluorescence, per specimen; initial single antibody stain procedure"	88346	CPT	Outpatient			151.71	98.61		90			Percent of total billed charges		136.54	95.46			Fee schedule		135.31	80			Percent of total billed charges		121.37	90			Percent of total billed charges		136.54	100			Fee schedule		141.75	85			Percent of total billed charges		128.95	100			Fee schedule		141.75	100			Fee schedule		141.75	100			Fee schedule		141.75	100			Fee schedule		141.75		33.13		Case rate		33.13		33.13		Case rate		33.13	100			Fee schedule		141.75	33.13	141.75	
Morphometric analysis; skeletal muscle	88355	CPT	Outpatient			163.92	106.55		90			Percent of total billed charges		147.53	95.46			Fee schedule		135.31	80			Percent of total billed charges		131.14	90			Percent of total billed charges		147.53	100			Fee schedule		141.75	85			Percent of total billed charges		139.33	100			Fee schedule		141.75	100			Fee schedule		141.75	100			Fee schedule		141.75	100			Fee schedule		141.75		33.13		Case rate		33.13		33.13		Case rate		33.13	100			Fee schedule		141.75	33.13	147.53	
"Injection, panitumumab, 10 mg"	J9303	HCPCS	Outpatient	10	ME	402.8	261.82		90			Percent of total billed charges		362.52	95.46			Fee schedule		144.37	80			Percent of total billed charges		322.24	90			Percent of total billed charges		362.52	100			Fee schedule		151.24	85			Percent of total billed charges		342.38	100			Fee schedule		151.24	100			Fee schedule		151.24	100			Fee schedule		151.24	100			Fee schedule		151.24		121.58		Case rate		121.58		121.58		Case rate		121.58	100			Fee schedule		151.24	121.58	362.52	
"Radiologic examination, esophagus, including scout chest radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study"	74220	CPT	Outpatient			214	139.1		90			Percent of total billed charges		192.6	95.46			Fee schedule		145.55	80			Percent of total billed charges		171.2	90			Percent of total billed charges		192.6	100			Fee schedule		152.48	85			Percent of total billed charges		181.9	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48		117		Case rate		117		117		Case rate		117	100			Fee schedule		152.48	117	192.6	
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; single-contrast (eg, barium) study"	74250	CPT	Outpatient			214	139.1		90			Percent of total billed charges		192.6	95.46			Fee schedule		145.55	80			Percent of total billed charges		171.2	90			Percent of total billed charges		192.6	100			Fee schedule		152.48	85			Percent of total billed charges		181.9	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48		117		Case rate		117		117		Case rate		117	100			Fee schedule		152.48	117	192.6	
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study"	74270	CPT	Outpatient			261	169.65		90			Percent of total billed charges		234.9	95.46			Fee schedule		145.55	80			Percent of total billed charges		208.8	90			Percent of total billed charges		234.9	100			Fee schedule		152.48	85			Percent of total billed charges		221.85	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48		117		Case rate		117		117		Case rate		117	100			Fee schedule		152.48	117	234.9	
"Radiologic examination, small intestine, including multiple serial images and scout abdominal radiograph(s), when performed; double-contrast (eg, high-density barium and air via enteroclysis tube) study, including glucagon, when administered"	74251	CPT	Outpatient			270	175.5		90			Percent of total billed charges		243	95.46			Fee schedule		145.55	80			Percent of total billed charges		216	90			Percent of total billed charges		243	100			Fee schedule		152.48	85			Percent of total billed charges		229.5	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48		117		Case rate		117		117		Case rate		117	100			Fee schedule		152.48	117	243	
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; single-contrast (eg, barium) study"	74240	CPT	Outpatient			274	178.1		90			Percent of total billed charges		246.6	95.46			Fee schedule		145.55	80			Percent of total billed charges		219.2	90			Percent of total billed charges		246.6	100			Fee schedule		152.48	85			Percent of total billed charges		232.9	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48		117		Case rate		117		117		Case rate		117	100			Fee schedule		152.48	117	246.6	
"Urography (pyelography), intravenous, with or without KUB, with or without tomography"	74400	CPT	Outpatient			294	191.1		90			Percent of total billed charges		264.6	95.46			Fee schedule		145.55	80			Percent of total billed charges		235.2	90			Percent of total billed charges		264.6	100			Fee schedule		152.48	85			Percent of total billed charges		249.9	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48		117		Case rate		117		117		Case rate		117	100			Fee schedule		152.48	117	264.6	
"Radiologic examination, upper gastrointestinal tract, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high-density barium and effervescent agent) study, including glucagon, when administered"	74246	CPT	Outpatient			301	195.65		90			Percent of total billed charges		270.9	95.46			Fee schedule		145.55	80			Percent of total billed charges		240.8	90			Percent of total billed charges		270.9	100			Fee schedule		152.48	85			Percent of total billed charges		255.85	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48		117		Case rate		117		117		Case rate		117	100			Fee schedule		152.48	117	270.9	
"Radiologic examination, swallowing function, with cineradiography/videoradiography, including scout neck radiograph(s) and delayed image(s), when performed, contrast (eg, barium) study"	74230	CPT	Outpatient			336	218.4		90			Percent of total billed charges		302.4	95.46			Fee schedule		145.55	80			Percent of total billed charges		268.8	90			Percent of total billed charges		302.4	100			Fee schedule		152.48	85			Percent of total billed charges		285.6	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48		117		Case rate		117		117		Case rate		117	100			Fee schedule		152.48	117	302.4	
"Radiologic examination, colon, including scout abdominal radiograph(s) and delayed image(s), when performed; double-contrast (eg, high density barium and air) study, including glucagon, when administered"	74280	CPT	Outpatient			354	230.1		90			Percent of total billed charges		318.6	95.46			Fee schedule		145.55	80			Percent of total billed charges		283.2	90			Percent of total billed charges		318.6	100			Fee schedule		152.48	85			Percent of total billed charges		300.9	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48		117		Case rate		117		117		Case rate		117	100			Fee schedule		152.48	117	318.6	
"Therapeutic enema, contrast or air, for reduction of intussusception or other intraluminal obstruction (eg, meconium ileus)"	74283	CPT	Outpatient			382	248.3		90			Percent of total billed charges		343.8	95.46			Fee schedule		145.55	80			Percent of total billed charges		305.6	90			Percent of total billed charges		343.8	100			Fee schedule		152.48	85			Percent of total billed charges		324.7	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48		117		Case rate		117		117		Case rate		117	100			Fee schedule		152.48	117	343.8	
"Urography, infusion, drip technique and/or bolus technique; with nephrotomography"	74415	CPT	Outpatient			535	347.75		90			Percent of total billed charges		481.5	95.46			Fee schedule		145.55	80			Percent of total billed charges		428	90			Percent of total billed charges		481.5	100			Fee schedule		152.48	85			Percent of total billed charges		454.75	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48		117		Case rate		117		117		Case rate		117	100			Fee schedule		152.48	117	481.5	
"Computed tomography, maxillofacial area; with contrast material(s)"	70487	CPT	Outpatient			809	525.85		90			Percent of total billed charges		728.1	95.46			Fee schedule		145.55	80			Percent of total billed charges		647.2	90			Percent of total billed charges		728.1	100			Fee schedule		152.48	85			Percent of total billed charges		687.65	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48		562		Case rate		562		562		Case rate		562	100			Fee schedule		152.48	145.55	728.1	
"Computed tomography, lower extremity; with contrast material(s)"	73701	CPT	Outpatient			835	542.75		90			Percent of total billed charges		751.5	95.46			Fee schedule		145.55	80			Percent of total billed charges		668	90			Percent of total billed charges		751.5	100			Fee schedule		152.48	85			Percent of total billed charges		709.75	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48		562		Case rate		562		562		Case rate		562	100			Fee schedule		152.48	145.55	751.5	
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; with contrast material(s)"	70481	CPT	Outpatient			841	546.65		90			Percent of total billed charges		756.9	95.46			Fee schedule		145.55	80			Percent of total billed charges		672.8	90			Percent of total billed charges		756.9	100			Fee schedule		152.48	85			Percent of total billed charges		714.85	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48		562		Case rate		562		562		Case rate		562	100			Fee schedule		152.48	145.55	756.9	
"Computed tomography, soft tissue neck; without contrast material followed by contrast material(s) and further sections"	70492	CPT	Outpatient			917	596.05		90			Percent of total billed charges		825.3	95.46			Fee schedule		145.55	80			Percent of total billed charges		733.6	90			Percent of total billed charges		825.3	100			Fee schedule		152.48	85			Percent of total billed charges		779.45	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48		562		Case rate		562		562		Case rate		562	100			Fee schedule		152.48	145.55	825.3	
"Computed tomography, maxillofacial area; without contrast material, followed by contrast material(s) and further sections"	70488	CPT	Outpatient			917	596.05		90			Percent of total billed charges		825.3	95.46			Fee schedule		145.55	80			Percent of total billed charges		733.6	90			Percent of total billed charges		825.3	100			Fee schedule		152.48	85			Percent of total billed charges		779.45	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48		562		Case rate		562		562		Case rate		562	100			Fee schedule		152.48	145.55	825.3	
"Computed tomography, soft tissue neck; with contrast material(s)"	70491	CPT	Outpatient			1004	652.6		90			Percent of total billed charges		903.6	95.46			Fee schedule		145.55	80			Percent of total billed charges		803.2	90			Percent of total billed charges		903.6	100			Fee schedule		152.48	85			Percent of total billed charges		853.4	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48		562		Case rate		562		562		Case rate		562	100			Fee schedule		152.48	145.55	903.6	
"Computed tomography, lower extremity; without contrast material, followed by contrast material(s) and further sections"	73702	CPT	Outpatient			1008	655.2		90			Percent of total billed charges		907.2	95.46			Fee schedule		145.55	80			Percent of total billed charges		806.4	90			Percent of total billed charges		907.2	100			Fee schedule		152.48	85			Percent of total billed charges		856.8	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48		562		Case rate		562		562		Case rate		562	100			Fee schedule		152.48	145.55	907.2	
"Computed tomography, thorax, diagnostic; with contrast material(s)"	71260	CPT	Outpatient			1043	677.95		90			Percent of total billed charges		938.7	95.46			Fee schedule		145.55	80			Percent of total billed charges		834.4	90			Percent of total billed charges		938.7	100			Fee schedule		152.48	85			Percent of total billed charges		886.55	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48		562		Case rate		562		562		Case rate		562	100			Fee schedule		152.48	145.55	938.7	
"Computed tomography, head or brain; with contrast material(s)"	70460	CPT	Outpatient			1050	682.5		90			Percent of total billed charges		945	95.46			Fee schedule		145.55	80			Percent of total billed charges		840	90			Percent of total billed charges		945	100			Fee schedule		152.48	85			Percent of total billed charges		892.5	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48		562		Case rate		562		562		Case rate		562	100			Fee schedule		152.48	145.55	945	
"Computed tomography, upper extremity; without contrast material, followed by contrast material(s) and further sections"	73202	CPT	Outpatient			1101	715.65		90			Percent of total billed charges		990.9	95.46			Fee schedule		145.55	80			Percent of total billed charges		880.8	90			Percent of total billed charges		990.9	100			Fee schedule		152.48	85			Percent of total billed charges		935.85	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48		562		Case rate		562		562		Case rate		562	100			Fee schedule		152.48	145.55	990.9	
"Computed tomography, orbit, sella, or posterior fossa or outer, middle, or inner ear; without contrast material, followed by contrast material(s) and further sections"	70482	CPT	Outpatient			1147	745.55		90			Percent of total billed charges		1032.3	95.46			Fee schedule		145.55	80			Percent of total billed charges		917.6	90			Percent of total billed charges		1032.3	100			Fee schedule		152.48	85			Percent of total billed charges		974.95	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48		562		Case rate		562		562		Case rate		562	100			Fee schedule		152.48	145.55	1032.3	
"Computed tomography, abdomen; with contrast material(s)"	74160	CPT	Outpatient			1184	769.6		90			Percent of total billed charges		1065.6	95.46			Fee schedule		145.55	80			Percent of total billed charges		947.2	90			Percent of total billed charges		1065.6	100			Fee schedule		152.48	85			Percent of total billed charges		1006.4	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48		562		Case rate		562		562		Case rate		562	100			Fee schedule		152.48	145.55	1065.6	
"Computed tomography, thoracic spine; with contrast material"	72129	CPT	Outpatient			1184	769.6		90			Percent of total billed charges		1065.6	95.46			Fee schedule		145.55	80			Percent of total billed charges		947.2	90			Percent of total billed charges		1065.6	100			Fee schedule		152.48	85			Percent of total billed charges		1006.4	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48		562		Case rate		562		562		Case rate		562	100			Fee schedule		152.48	145.55	1065.6	
"Computed tomography, pelvis; with contrast material(s)"	72193	CPT	Outpatient			1184	769.6		90			Percent of total billed charges		1065.6	95.46			Fee schedule		145.55	80			Percent of total billed charges		947.2	90			Percent of total billed charges		1065.6	100			Fee schedule		152.48	85			Percent of total billed charges		1006.4	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48		562		Case rate		562		562		Case rate		562	100			Fee schedule		152.48	145.55	1065.6	
"Computed tomography, cervical spine; without contrast material, followed by contrast material(s) and further sections"	72127	CPT	Outpatient			1223	794.95		90			Percent of total billed charges		1100.7	95.46			Fee schedule		145.55	80			Percent of total billed charges		978.4	90			Percent of total billed charges		1100.7	100			Fee schedule		152.48	85			Percent of total billed charges		1039.55	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48		562		Case rate		562		562		Case rate		562	100			Fee schedule		152.48	145.55	1100.7	
"Computed tomography, head or brain; without contrast material, followed by contrast material(s) and further sections"	70470	CPT	Outpatient			1223	794.95		90			Percent of total billed charges		1100.7	95.46			Fee schedule		145.55	80			Percent of total billed charges		978.4	90			Percent of total billed charges		1100.7	100			Fee schedule		152.48	85			Percent of total billed charges		1039.55	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48		562		Case rate		562		562		Case rate		562	100			Fee schedule		152.48	145.55	1100.7	
"Computed tomography, thorax, diagnostic; without contrast material, followed by contrast material(s) and further sections"	71270	CPT	Outpatient			1223	794.95		90			Percent of total billed charges		1100.7	95.46			Fee schedule		145.55	80			Percent of total billed charges		978.4	90			Percent of total billed charges		1100.7	100			Fee schedule		152.48	85			Percent of total billed charges		1039.55	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48		562		Case rate		562		562		Case rate		562	100			Fee schedule		152.48	145.55	1100.7	
"Computed tomography, abdomen; without contrast material, followed by contrast material(s) and further sections"	74170	CPT	Outpatient			1223	794.95		90			Percent of total billed charges		1100.7	95.46			Fee schedule		145.55	80			Percent of total billed charges		978.4	90			Percent of total billed charges		1100.7	100			Fee schedule		152.48	85			Percent of total billed charges		1039.55	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48		562		Case rate		562		562		Case rate		562	100			Fee schedule		152.48	145.55	1100.7	
"Computed tomography, lumbar spine; without contrast material, followed by contrast material(s) and further sections"	72133	CPT	Outpatient			1223	794.95		90			Percent of total billed charges		1100.7	95.46			Fee schedule		145.55	80			Percent of total billed charges		978.4	90			Percent of total billed charges		1100.7	100			Fee schedule		152.48	85			Percent of total billed charges		1039.55	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48		562		Case rate		562		562		Case rate		562	100			Fee schedule		152.48	145.55	1100.7	
"Computed tomography, pelvis; without contrast material, followed by contrast material(s) and further sections"	72194	CPT	Outpatient			1223	794.95		90			Percent of total billed charges		1100.7	95.46			Fee schedule		145.55	80			Percent of total billed charges		978.4	90			Percent of total billed charges		1100.7	100			Fee schedule		152.48	85			Percent of total billed charges		1039.55	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48		562		Case rate		562		562		Case rate		562	100			Fee schedule		152.48	145.55	1100.7	
"Computed tomography, thoracic spine; without contrast material, followed by contrast material(s) and further sections"	72130	CPT	Outpatient			1223	794.95		90			Percent of total billed charges		1100.7	95.46			Fee schedule		145.55	80			Percent of total billed charges		978.4	90			Percent of total billed charges		1100.7	100			Fee schedule		152.48	85			Percent of total billed charges		1039.55	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48		562		Case rate		562		562		Case rate		562	100			Fee schedule		152.48	145.55	1100.7	
"Computed tomographic angiography, lower extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing"	73706	CPT	Outpatient			1650	1072.5		90			Percent of total billed charges		1485	95.46			Fee schedule		145.55	80			Percent of total billed charges		1320	90			Percent of total billed charges		1485	100			Fee schedule		152.48	85			Percent of total billed charges		1402.5	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48		562		Case rate		562		562		Case rate		562	100			Fee schedule		152.48	145.55	1485	
"Computed tomographic angiography, upper extremity, with contrast material(s), including noncontrast images, if performed, and image postprocessing"	73206	CPT	Outpatient			1650	1072.5		90			Percent of total billed charges		1485	95.46			Fee schedule		145.55	80			Percent of total billed charges		1320	90			Percent of total billed charges		1485	100			Fee schedule		152.48	85			Percent of total billed charges		1402.5	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48		562		Case rate		562		562		Case rate		562	100			Fee schedule		152.48	145.55	1485	
"Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of left ventricular [LV] cardiac function, right ventricular [RV] structure and function and evaluation of vascular structures, if performed)"	75573	CPT	Outpatient			1677	1090.05		90			Percent of total billed charges		1509.3	95.46			Fee schedule		145.55	80			Percent of total billed charges		1341.6	90			Percent of total billed charges		1509.3	100			Fee schedule		152.48	85			Percent of total billed charges		1425.45	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48		562		Case rate		562		562		Case rate		562	100			Fee schedule		152.48	145.55	1509.3	
"Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and morphology, assessment of cardiac function, and evaluation of venous structures, if performed)"	75574	CPT	Outpatient			1677	1090.05		90			Percent of total billed charges		1509.3	95.46			Fee schedule		145.55	80			Percent of total billed charges		1341.6	90			Percent of total billed charges		1509.3	100			Fee schedule		152.48	85			Percent of total billed charges		1425.45	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48		562		Case rate		562		562		Case rate		562	100			Fee schedule		152.48	145.55	1509.3	
"Computed tomographic angiography, abdomen, with contrast material(s), including noncontrast images, if performed, and image postprocessing"	74175	CPT	Outpatient			1940	1261		90			Percent of total billed charges		1746	95.46			Fee schedule		145.55	80			Percent of total billed charges		1552	90			Percent of total billed charges		1746	100			Fee schedule		152.48	85			Percent of total billed charges		1649	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48		562		Case rate		562		562		Case rate		562	100			Fee schedule		152.48	145.55	1746	
"Computed tomographic angiography, pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing"	72191	CPT	Outpatient			1940	1261		90			Percent of total billed charges		1746	95.46			Fee schedule		145.55	80			Percent of total billed charges		1552	90			Percent of total billed charges		1746	100			Fee schedule		152.48	85			Percent of total billed charges		1649	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48		562		Case rate		562		562		Case rate		562	100			Fee schedule		152.48	145.55	1746	
"Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing"	71275	CPT	Outpatient			1944	1263.6		90			Percent of total billed charges		1749.6	95.46			Fee schedule		145.55	80			Percent of total billed charges		1555.2	90			Percent of total billed charges		1749.6	100			Fee schedule		152.48	85			Percent of total billed charges		1652.4	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48		562		Case rate		562		562		Case rate		562	100			Fee schedule		152.48	145.55	1749.6	
"Computed tomographic angiography, neck, with contrast material(s), including noncontrast images, if performed, and image postprocessing"	70498	CPT	Outpatient			1944	1263.6		90			Percent of total billed charges		1749.6	95.46			Fee schedule		145.55	80			Percent of total billed charges		1555.2	90			Percent of total billed charges		1749.6	100			Fee schedule		152.48	85			Percent of total billed charges		1652.4	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48		562		Case rate		562		562		Case rate		562	100			Fee schedule		152.48	145.55	1749.6	
"Computed tomographic angiography, head, with contrast material(s), including noncontrast images, if performed, and image postprocessing"	70496	CPT	Outpatient			1944	1263.6		90			Percent of total billed charges		1749.6	95.46			Fee schedule		145.55	80			Percent of total billed charges		1555.2	90			Percent of total billed charges		1749.6	100			Fee schedule		152.48	85			Percent of total billed charges		1652.4	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48		562		Case rate		562		562		Case rate		562	100			Fee schedule		152.48	145.55	1749.6	
"Computed tomographic angiography, abdominal aorta and bilateral iliofemoral lower extremity runoff, with contrast material(s), including noncontrast images, if performed, and image postprocessing"	75635	CPT	Outpatient			2059	1338.35		90			Percent of total billed charges		1853.1	95.46			Fee schedule		145.55	80			Percent of total billed charges		1647.2	90			Percent of total billed charges		1853.1	100			Fee schedule		152.48	85			Percent of total billed charges		1750.15	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48	100			Fee schedule		152.48		562		Case rate		562		562		Case rate		562	100			Fee schedule		152.48	145.55	1853.1	
"Ustekinumab, for subcutaneous injection, 1 mg"	J3357	HCPCS	Outpatient	1	ME	883.92	574.55		90			Percent of total billed charges		795.53	95.46			Fee schedule		145.64	80			Percent of total billed charges		707.14	90			Percent of total billed charges		795.53	100			Fee schedule		152.56	85			Percent of total billed charges		751.33	100			Fee schedule		152.56	100			Fee schedule		152.56	100			Fee schedule		152.56	100			Fee schedule		152.56		195.09		Case rate		195.09		195.09		Case rate		195.09	100			Fee schedule		152.56	145.64	795.53	
"Injection, pegfilgrastim-jmdb (fulphila), biosimilar, 0.5 mg"	Q5108	CPT	Outpatient			1809.17	1175.96		90			Percent of total billed charges		1628.25	95.46			Fee schedule		156.59	80			Percent of total billed charges		1447.33	90			Percent of total billed charges		1628.25	100			Fee schedule		164.04	85			Percent of total billed charges		1537.79	100			Fee schedule		164.04	100			Fee schedule		164.04	100			Fee schedule		164.04	100			Fee schedule		164.04		379.85		Case rate		379.85		379.85		Case rate		379.85	100			Fee schedule		164.04	156.59	1628.25	
"Laryngoscopy, indirect; diagnostic (separate procedure)"	31505	CPT	Outpatient			130	84.5		90			Percent of total billed charges		117	95.46			Fee schedule		130	80			Percent of total billed charges		104	85			Percent of total billed charges		110.5	100			Fee schedule		164.38	85			Percent of total billed charges		110.5	100			Fee schedule		130	100			Fee schedule		164.38	100			Fee schedule		164.38	100			Fee schedule		164.38		216		Case rate	Use Lesser of logic	130		216		Case rate	Use Lesser of logic	130	100			Fee schedule		164.38	104	164.38	
"Laryngoscopy, indirect; with removal of foreign body"	31511	CPT	Outpatient			300	195		90			Percent of total billed charges		270	95.46			Fee schedule		156.92	80			Percent of total billed charges		240	85			Percent of total billed charges		255	100			Fee schedule		164.38	85			Percent of total billed charges		255	100			Fee schedule		164.38	100			Fee schedule		164.38	100			Fee schedule		164.38	100			Fee schedule		164.38		216		Case rate		216		216		Case rate		216	100			Fee schedule		164.38	156.92	270	
"Laryngoscopy, flexible; diagnostic"	31575	CPT	Outpatient			325	211.25		90			Percent of total billed charges		292.5	95.46			Fee schedule		156.92	80			Percent of total billed charges		260	85			Percent of total billed charges		276.25	100			Fee schedule		164.38	85			Percent of total billed charges		276.25	100			Fee schedule		164.38	100			Fee schedule		164.38	100			Fee schedule		164.38	100			Fee schedule		164.38		216		Case rate		216		216		Case rate		216	100			Fee schedule		164.38	156.92	292.5	
"Nasal endoscopy, diagnostic, unilateral or bilateral (separate procedure)"	31231	CPT	Outpatient			1882	1223.3		90			Percent of total billed charges		1693.8	95.46			Fee schedule		156.92	80			Percent of total billed charges		1505.6	85			Percent of total billed charges		1599.7	100			Fee schedule		164.38	85			Percent of total billed charges		1599.7	100			Fee schedule		164.38	100			Fee schedule		164.38	100			Fee schedule		164.38	100			Fee schedule		164.38		216		Case rate		216		216		Case rate		216	100			Fee schedule		164.38	156.92	1693.8	
"Injection, benralizumab, 1 mg"	J0517	HCPCS	Outpatient	1	ME	556.5	361.72		90			Percent of total billed charges		500.85	95.46			Fee schedule		157.74	80			Percent of total billed charges		445.2	90			Percent of total billed charges		500.85	100			Fee schedule		165.25	85			Percent of total billed charges		473.02	100			Fee schedule		165.25	100			Fee schedule		165.25	100			Fee schedule		165.25	100			Fee schedule		165.25		177.06		Case rate		177.06		177.06		Case rate		177.06	100			Fee schedule		165.25	157.74	500.85	
Fetal non-stress test	59025	CPT	Outpatient			135	87.75		90			Percent of total billed charges		121.5	95.46			Fee schedule		135	80			Percent of total billed charges		108	85			Percent of total billed charges		114.75	100			Fee schedule		165.37	85			Percent of total billed charges		114.75	100			Fee schedule		135	100			Fee schedule		165.37	100			Fee schedule		165.37	100			Fee schedule		165.37		216		Case rate	Use Lesser of logic	135		216		Case rate	Use Lesser of logic	135	100			Fee schedule		165.37	108	165.37	
Fitting and insertion of pessary or other intravaginal support device	57160	CPT	Outpatient			180	117		90			Percent of total billed charges		162	95.46			Fee schedule		157.86	80			Percent of total billed charges		144	85			Percent of total billed charges		153	100			Fee schedule		165.37	85			Percent of total billed charges		153	100			Fee schedule		165.37	100			Fee schedule		165.37	100			Fee schedule		165.37	100			Fee schedule		165.37		216		Case rate	Use Lesser of logic	180		216		Case rate	Use Lesser of logic	180	100			Fee schedule		165.37	144	180	
Diaphragm or cervical cap fitting with instructions	57170	CPT	Outpatient			190	123.5		90			Percent of total billed charges		171	95.46			Fee schedule		157.86	80			Percent of total billed charges		152	85			Percent of total billed charges		161.5	100			Fee schedule		165.37	85			Percent of total billed charges		161.5	100			Fee schedule		165.37	100			Fee schedule		165.37	100			Fee schedule		165.37	100			Fee schedule		165.37		216		Case rate	Use Lesser of logic	190		216		Case rate	Use Lesser of logic	190	100			Fee schedule		165.37	152	190	
Artificial insemination; intra-uterine	58322	CPT	Outpatient			220	143		90			Percent of total billed charges		198	95.46			Fee schedule		157.86	80			Percent of total billed charges		176	85			Percent of total billed charges		187	100			Fee schedule		165.37	85			Percent of total billed charges		187	100			Fee schedule		165.37	100			Fee schedule		165.37	100			Fee schedule		165.37	100			Fee schedule		165.37		216		Case rate		216		216		Case rate		216	100			Fee schedule		165.37	157.86	216	
Colposcopy of the cervix including upper/adjacent vagina	57452	CPT	Outpatient			250	162.5		90			Percent of total billed charges		225	95.46			Fee schedule		157.86	80			Percent of total billed charges		200	85			Percent of total billed charges		212.5	100			Fee schedule		165.37	85			Percent of total billed charges		212.5	100			Fee schedule		165.37	100			Fee schedule		165.37	100			Fee schedule		165.37	100			Fee schedule		165.37		216		Case rate		216		216		Case rate		216	100			Fee schedule		165.37	157.86	225	
"Endometrial sampling (biopsy) with or without endocervical sampling (biopsy), without cervical dilation, any method (separate procedure)"	58100	CPT	Outpatient			280	182		90			Percent of total billed charges		252	95.46			Fee schedule		157.86	80			Percent of total billed charges		224	85			Percent of total billed charges		238	100			Fee schedule		165.37	85			Percent of total billed charges		238	100			Fee schedule		165.37	100			Fee schedule		165.37	100			Fee schedule		165.37	100			Fee schedule		165.37		216		Case rate		216		216		Case rate		216	100			Fee schedule		165.37	157.86	252	
Incision and drainage of Bartholin's gland abscess	56420	CPT	Outpatient			350	227.5		90			Percent of total billed charges		315	95.46			Fee schedule		157.86	80			Percent of total billed charges		280	85			Percent of total billed charges		297.5	100			Fee schedule		165.37	85			Percent of total billed charges		297.5	100			Fee schedule		165.37	100			Fee schedule		165.37	100			Fee schedule		165.37	100			Fee schedule		165.37		216		Case rate		216		216		Case rate		216	100			Fee schedule		165.37	157.86	315	
"Unlisted hysteroscopy procedure, uterus"	58579	CPT	Outpatient			3848.62	2501.61		90			Percent of total billed charges		3463.76	95.46			Fee schedule		157.86	80			Percent of total billed charges		3078.9	85			Percent of total billed charges		3271.33	100			Fee schedule		165.37	85			Percent of total billed charges		3271.33	100			Fee schedule		165.37	100			Fee schedule		165.37	100			Fee schedule		165.37	100			Fee schedule		165.37		216		Case rate		216		216		Case rate		216	100			Fee schedule		165.37	157.86	3463.76	
"Unlisted procedure, female genital system (nonobstetrical)"	58999	CPT	Outpatient			5009.23	3256		90			Percent of total billed charges		4508.31	95.46			Fee schedule		157.86	80			Percent of total billed charges		4007.38	85			Percent of total billed charges		4257.85	100			Fee schedule		165.37	85			Percent of total billed charges		4257.85	100			Fee schedule		165.37	100			Fee schedule		165.37	100			Fee schedule		165.37	100			Fee schedule		165.37		216		Case rate		216		216		Case rate		216	100			Fee schedule		165.37	157.86	4508.31	
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.6 cm to 7.5 cm"	12002	CPT	Outpatient			65	42.25		90			Percent of total billed charges		58.5	95.46			Fee schedule		65	80			Percent of total billed charges		52	85			Percent of total billed charges		55.25	100			Fee schedule		166.14	85			Percent of total billed charges		55.25	100			Fee schedule		65	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14		216		Case rate	Use Lesser of logic	65		216		Case rate	Use Lesser of logic	65	100			Fee schedule		166.14	52	166.14	
"Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter 0.5 cm or less"	11305	CPT	Outpatient			125	81.25		90			Percent of total billed charges		112.5	95.46			Fee schedule		125	80			Percent of total billed charges		100	85			Percent of total billed charges		106.25	100			Fee schedule		166.14	85			Percent of total billed charges		106.25	100			Fee schedule		125	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14		216		Case rate	Use Lesser of logic	125		216		Case rate	Use Lesser of logic	125	100			Fee schedule		166.14	100	166.14	
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less"	12011	CPT	Outpatient			130	84.5		90			Percent of total billed charges		117	95.46			Fee schedule		130	80			Percent of total billed charges		104	85			Percent of total billed charges		110.5	100			Fee schedule		166.14	85			Percent of total billed charges		110.5	100			Fee schedule		130	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14		216		Case rate	Use Lesser of logic	130		216		Case rate	Use Lesser of logic	130	100			Fee schedule		166.14	104	166.14	
"Subcutaneous injection of filling material (eg, collagen); 1 cc or less"	11950	CPT	Outpatient			170	110.5		90			Percent of total billed charges		153	95.46			Fee schedule		158.6	80			Percent of total billed charges		136	85			Percent of total billed charges		144.5	100			Fee schedule		166.14	85			Percent of total billed charges		144.5	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14		216		Case rate	Use Lesser of logic	170		216		Case rate	Use Lesser of logic	170	100			Fee schedule		166.14	136	170	
"Initial treatment, first degree burn, when no more than local treatment is required"	16000	CPT	Outpatient			178.13	115.78		90			Percent of total billed charges		160.31	95.46			Fee schedule		158.6	80			Percent of total billed charges		142.5	85			Percent of total billed charges		151.41	100			Fee schedule		166.14	85			Percent of total billed charges		151.41	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14		216		Case rate	Use Lesser of logic	178.12		216		Case rate	Use Lesser of logic	178.12	100			Fee schedule		166.14	142.5	178.12	
"Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.6 to 1.0 cm"	11311	CPT	Outpatient			185	120.25		90			Percent of total billed charges		166.5	95.46			Fee schedule		158.6	80			Percent of total billed charges		148	85			Percent of total billed charges		157.25	100			Fee schedule		166.14	85			Percent of total billed charges		157.25	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14		216		Case rate	Use Lesser of logic	185		216		Case rate	Use Lesser of logic	185	100			Fee schedule		166.14	148	185	
"Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter 0.6 to 1.0 cm"	11306	CPT	Outpatient			185	120.25		90			Percent of total billed charges		166.5	95.46			Fee schedule		158.6	80			Percent of total billed charges		148	85			Percent of total billed charges		157.25	100			Fee schedule		166.14	85			Percent of total billed charges		157.25	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14		216		Case rate	Use Lesser of logic	185		216		Case rate	Use Lesser of logic	185	100			Fee schedule		166.14	148	185	
"Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 1.1 to 2.0 cm"	11302	CPT	Outpatient			190	123.5		90			Percent of total billed charges		171	95.46			Fee schedule		158.6	80			Percent of total billed charges		152	85			Percent of total billed charges		161.5	100			Fee schedule		166.14	85			Percent of total billed charges		161.5	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14		216		Case rate	Use Lesser of logic	190		216		Case rate	Use Lesser of logic	190	100			Fee schedule		166.14	152	190	
"Debridement, mastoidectomy cavity, simple (eg, routine cleaning)"	69220	CPT	Outpatient			205	133.25		90			Percent of total billed charges		184.5	95.46			Fee schedule		158.6	80			Percent of total billed charges		164	85			Percent of total billed charges		174.25	100			Fee schedule		166.14	85			Percent of total billed charges		174.25	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14		216		Case rate	Use Lesser of logic	205		216		Case rate	Use Lesser of logic	205	100			Fee schedule		166.14	158.6	205	
"Chemical exfoliation for acne (eg, acne paste, acid)"	17360	CPT	Outpatient			205	133.25		90			Percent of total billed charges		184.5	95.46			Fee schedule		158.6	80			Percent of total billed charges		164	85			Percent of total billed charges		174.25	100			Fee schedule		166.14	85			Percent of total billed charges		174.25	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14		216		Case rate	Use Lesser of logic	205		216		Case rate	Use Lesser of logic	205	100			Fee schedule		166.14	158.6	205	
"Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter 1.1 to 2.0 cm"	11307	CPT	Outpatient			210	136.5		90			Percent of total billed charges		189	95.46			Fee schedule		158.6	80			Percent of total billed charges		168	85			Percent of total billed charges		178.5	100			Fee schedule		166.14	85			Percent of total billed charges		178.5	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14		216		Case rate	Use Lesser of logic	210		216		Case rate	Use Lesser of logic	210	100			Fee schedule		166.14	158.6	210	
"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.5 cm or less"	17280	CPT	Outpatient			222.58	144.67		90			Percent of total billed charges		200.32	95.46			Fee schedule		158.6	80			Percent of total billed charges		178.06	85			Percent of total billed charges		189.19	100			Fee schedule		166.14	85			Percent of total billed charges		189.19	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14		216		Case rate		216		216		Case rate		216	100			Fee schedule		166.14	158.6	216	
"Abrasion; single lesion (eg, keratosis, scar)"	15786	CPT	Outpatient			228	148.2		90			Percent of total billed charges		205.2	95.46			Fee schedule		158.6	80			Percent of total billed charges		182.4	85			Percent of total billed charges		193.8	100			Fee schedule		166.14	85			Percent of total billed charges		193.8	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14		216		Case rate		216		216		Case rate		216	100			Fee schedule		166.14	158.6	216	
"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), of benign lesions other than skin tags or cutaneous vascular proliferative lesions; up to 14 lesions"	17110	CPT	Outpatient			236.73	153.87		90			Percent of total billed charges		213.06	95.46			Fee schedule		158.6	80			Percent of total billed charges		189.38	85			Percent of total billed charges		201.22	100			Fee schedule		166.14	85			Percent of total billed charges		201.22	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14		216		Case rate		216		216		Case rate		216	100			Fee schedule		166.14	158.6	216	
"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 1.1 to 2.0 cm"	17262	CPT	Outpatient			236.73	153.87		90			Percent of total billed charges		213.06	95.46			Fee schedule		158.6	80			Percent of total billed charges		189.38	85			Percent of total billed charges		201.22	100			Fee schedule		166.14	85			Percent of total billed charges		201.22	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14		216		Case rate		216		216		Case rate		216	100			Fee schedule		166.14	158.6	216	
"Injection, intralesional; up to and including 7 lesions"	11900	CPT	Outpatient			236.73	153.87		90			Percent of total billed charges		213.06	95.46			Fee schedule		158.6	80			Percent of total billed charges		189.38	85			Percent of total billed charges		201.22	100			Fee schedule		166.14	85			Percent of total billed charges		201.22	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14		216		Case rate		216		216		Case rate		216	100			Fee schedule		166.14	158.6	216	
"Injection, intralesional; more than 7 lesions"	11901	CPT	Outpatient			236.73	153.87		90			Percent of total billed charges		213.06	95.46			Fee schedule		158.6	80			Percent of total billed charges		189.38	85			Percent of total billed charges		201.22	100			Fee schedule		166.14	85			Percent of total billed charges		201.22	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14		216		Case rate		216		216		Case rate		216	100			Fee schedule		166.14	158.6	216	
"Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.6 to 1.0 cm"	11301	CPT	Outpatient			236.73	153.87		90			Percent of total billed charges		213.06	95.46			Fee schedule		158.6	80			Percent of total billed charges		189.38	85			Percent of total billed charges		201.22	100			Fee schedule		166.14	85			Percent of total billed charges		201.22	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14		216		Case rate		216		216		Case rate		216	100			Fee schedule		166.14	158.6	216	
"Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.5 cm or less"	11310	CPT	Outpatient			236.73	153.87		90			Percent of total billed charges		213.06	95.46			Fee schedule		158.6	80			Percent of total billed charges		189.38	85			Percent of total billed charges		201.22	100			Fee schedule		166.14	85			Percent of total billed charges		201.22	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14		216		Case rate		216		216		Case rate		216	100			Fee schedule		166.14	158.6	216	
"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per day"	96567	CPT	Outpatient			239.06	155.39		90			Percent of total billed charges		215.15	95.46			Fee schedule		158.6	80			Percent of total billed charges		191.25	90			Percent of total billed charges		215.15	100			Fee schedule		166.14	85			Percent of total billed charges		203.2	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14		216		Case rate		216		216		Case rate		216	100			Fee schedule		166.14	158.6	216	
"Acne surgery (eg, marsupialization, opening or removal of multiple milia, comedones, cysts, pustules)"	10040	CPT	Outpatient			265	172.25		90			Percent of total billed charges		238.5	95.46			Fee schedule		158.6	80			Percent of total billed charges		212	85			Percent of total billed charges		225.25	100			Fee schedule		166.14	85			Percent of total billed charges		225.25	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14		216		Case rate		216		216		Case rate		216	100			Fee schedule		166.14	158.6	238.5	
"Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided by a physician or other qualified health care professional, per day"	96573	CPT	Outpatient			265	172.25		90			Percent of total billed charges		238.5	95.46			Fee schedule		158.6	80			Percent of total billed charges		212	90			Percent of total billed charges		238.5	100			Fee schedule		166.14	85			Percent of total billed charges		225.25	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14		216		Case rate		216		216		Case rate		216	100			Fee schedule		166.14	158.6	238.5	
"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 0.5 cm or less"	17270	CPT	Outpatient			266.06	172.94		90			Percent of total billed charges		239.46	95.46			Fee schedule		158.6	80			Percent of total billed charges		212.85	85			Percent of total billed charges		226.15	100			Fee schedule		166.14	85			Percent of total billed charges		226.15	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14		216		Case rate		216		216		Case rate		216	100			Fee schedule		166.14	158.6	239.46	
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm"	12013	CPT	Outpatient			300	195		90			Percent of total billed charges		270	95.46			Fee schedule		158.6	80			Percent of total billed charges		240	85			Percent of total billed charges		255	100			Fee schedule		166.14	85			Percent of total billed charges		255	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14		216		Case rate		216		216		Case rate		216	100			Fee schedule		166.14	158.6	270	
"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 0.6 to 1.0 cm"	17271	CPT	Outpatient			308.96	200.82		90			Percent of total billed charges		278.06	95.46			Fee schedule		158.6	80			Percent of total billed charges		247.17	85			Percent of total billed charges		262.62	100			Fee schedule		166.14	85			Percent of total billed charges		262.62	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14		216		Case rate		216		216		Case rate		216	100			Fee schedule		166.14	158.6	278.06	
"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses); first lesion"	17000	CPT	Outpatient			316	205.4		90			Percent of total billed charges		284.4	95.46			Fee schedule		158.6	80			Percent of total billed charges		252.8	85			Percent of total billed charges		268.6	100			Fee schedule		166.14	85			Percent of total billed charges		268.6	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14		216		Case rate		216		216		Case rate		216	100			Fee schedule		166.14	158.6	284.4	
"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 1.1 to 2.0 cm"	17272	CPT	Outpatient			322.01	209.3		90			Percent of total billed charges		289.8	95.46			Fee schedule		158.6	80			Percent of total billed charges		257.6	85			Percent of total billed charges		273.7	100			Fee schedule		166.14	85			Percent of total billed charges		273.7	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14		216		Case rate		216		216		Case rate		216	100			Fee schedule		166.14	158.6	289.8	
"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 0.6 to 1.0 cm"	17261	CPT	Outpatient			324.73	211.07		90			Percent of total billed charges		292.26	95.46			Fee schedule		158.6	80			Percent of total billed charges		259.78	85			Percent of total billed charges		276.02	100			Fee schedule		166.14	85			Percent of total billed charges		276.02	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14		216		Case rate		216		216		Case rate		216	100			Fee schedule		166.14	158.6	292.26	
"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), of benign lesions other than skin tags or cutaneous vascular proliferative lesions; 15 or more lesions"	17111	CPT	Outpatient			324.73	211.07		90			Percent of total billed charges		292.26	95.46			Fee schedule		158.6	80			Percent of total billed charges		259.78	85			Percent of total billed charges		276.02	100			Fee schedule		166.14	85			Percent of total billed charges		276.02	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14		216		Case rate		216		216		Case rate		216	100			Fee schedule		166.14	158.6	292.26	
"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 2.1 to 3.0 cm"	17263	CPT	Outpatient			324.73	211.07		90			Percent of total billed charges		292.26	95.46			Fee schedule		158.6	80			Percent of total billed charges		259.78	85			Percent of total billed charges		276.02	100			Fee schedule		166.14	85			Percent of total billed charges		276.02	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14		216		Case rate		216		216		Case rate		216	100			Fee schedule		166.14	158.6	292.26	
"Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions"	11200	CPT	Outpatient			324.73	211.07		90			Percent of total billed charges		292.26	95.46			Fee schedule		158.6	80			Percent of total billed charges		259.78	85			Percent of total billed charges		276.02	100			Fee schedule		166.14	85			Percent of total billed charges		276.02	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14		216		Case rate		216		216		Case rate		216	100			Fee schedule		166.14	158.6	292.26	
"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 0.5 cm or less"	17260	CPT	Outpatient			331.4	215.41		90			Percent of total billed charges		298.26	95.46			Fee schedule		158.6	80			Percent of total billed charges		265.12	85			Percent of total billed charges		281.69	100			Fee schedule		166.14	85			Percent of total billed charges		281.69	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14		216		Case rate		216		216		Case rate		216	100			Fee schedule		166.14	158.6	298.26	
"Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided by a physician or other qualified health care professional, per day"	96574	CPT	Outpatient			345	224.25		90			Percent of total billed charges		310.5	95.46			Fee schedule		158.6	80			Percent of total billed charges		276	90			Percent of total billed charges		310.5	100			Fee schedule		166.14	85			Percent of total billed charges		293.25	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14		216		Case rate		216		216		Case rate		216	100			Fee schedule		166.14	158.6	310.5	
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm"	12014	CPT	Outpatient			355	230.75		90			Percent of total billed charges		319.5	95.46			Fee schedule		158.6	80			Percent of total billed charges		284	85			Percent of total billed charges		301.75	100			Fee schedule		166.14	85			Percent of total billed charges		301.75	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14		216		Case rate		216		216		Case rate		216	100			Fee schedule		166.14	158.6	319.5	
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 7.6 cm to 12.5 cm"	12004	CPT	Outpatient			384	249.6		90			Percent of total billed charges		345.6	95.46			Fee schedule		158.6	80			Percent of total billed charges		307.2	85			Percent of total billed charges		326.4	100			Fee schedule		166.14	85			Percent of total billed charges		326.4	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14		216		Case rate		216		216		Case rate		216	100			Fee schedule		166.14	158.6	345.6	
"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery"	54056	CPT	Outpatient			390	253.5		90			Percent of total billed charges		351	95.46			Fee schedule		158.6	80			Percent of total billed charges		312	85			Percent of total billed charges		331.5	100			Fee schedule		166.14	85			Percent of total billed charges		331.5	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14		216		Case rate		216		216		Case rate		216	100			Fee schedule		166.14	158.6	351	
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 2.5 cm or less"	12001	CPT	Outpatient			437	284.05		90			Percent of total billed charges		393.3	95.46			Fee schedule		158.6	80			Percent of total billed charges		349.6	85			Percent of total billed charges		371.45	100			Fee schedule		166.14	85			Percent of total billed charges		371.45	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14		216		Case rate		216		216		Case rate		216	100			Fee schedule		166.14	158.6	393.3	
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm"	12015	CPT	Outpatient			450	292.5		90			Percent of total billed charges		405	95.46			Fee schedule		158.6	80			Percent of total billed charges		360	85			Percent of total billed charges		382.5	100			Fee schedule		166.14	85			Percent of total billed charges		382.5	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14		216		Case rate		216		216		Case rate		216	100			Fee schedule		166.14	158.6	405	
"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; cryosurgery"	46916	CPT	Outpatient			460	299		90			Percent of total billed charges		414	95.46			Fee schedule		158.6	80			Percent of total billed charges		368	85			Percent of total billed charges		391	100			Fee schedule		166.14	85			Percent of total billed charges		391	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14		216		Case rate		216		216		Case rate		216	100			Fee schedule		166.14	158.6	414	
"Chemical cauterization of granulation tissue (ie, proud flesh)"	17250	CPT	Outpatient			499	324.35		90			Percent of total billed charges		449.1	95.46			Fee schedule		158.6	80			Percent of total billed charges		399.2	85			Percent of total billed charges		424.15	100			Fee schedule		166.14	85			Percent of total billed charges		424.15	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14		216		Case rate		216		216		Case rate		216	100			Fee schedule		166.14	158.6	449.1	
"Dressings and/or debridement of partial-thickness burns, initial or subsequent; small (less than 5% total body surface area)"	16020	CPT	Outpatient			499	324.35		90			Percent of total billed charges		449.1	95.46			Fee schedule		158.6	80			Percent of total billed charges		399.2	85			Percent of total billed charges		424.15	100			Fee schedule		166.14	85			Percent of total billed charges		424.15	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14		216		Case rate		216		216		Case rate		216	100			Fee schedule		166.14	158.6	449.1	
"Dressings and/or debridement of partial-thickness burns, initial or subsequent; medium (eg, whole face or whole extremity, or 5% to 10% total body surface area)"	16025	CPT	Outpatient			499	324.35		90			Percent of total billed charges		449.1	95.46			Fee schedule		158.6	80			Percent of total billed charges		399.2	85			Percent of total billed charges		424.15	100			Fee schedule		166.14	85			Percent of total billed charges		424.15	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14		216		Case rate		216		216		Case rate		216	100			Fee schedule		166.14	158.6	449.1	
"Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single"	10060	CPT	Outpatient			499	324.35		90			Percent of total billed charges		449.1	95.46			Fee schedule		158.6	80			Percent of total billed charges		399.2	85			Percent of total billed charges		424.15	100			Fee schedule		166.14	85			Percent of total billed charges		424.15	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14		216		Case rate		216		216		Case rate		216	100			Fee schedule		166.14	158.6	449.1	
"Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); 2 to 4 lesions"	11056	CPT	Outpatient			499	324.35		90			Percent of total billed charges		449.1	95.46			Fee schedule		158.6	80			Percent of total billed charges		399.2	85			Percent of total billed charges		424.15	100			Fee schedule		166.14	85			Percent of total billed charges		424.15	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14		216		Case rate		216		216		Case rate		216	100			Fee schedule		166.14	158.6	449.1	
"Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); single lesion"	11055	CPT	Outpatient			499	324.35		90			Percent of total billed charges		449.1	95.46			Fee schedule		158.6	80			Percent of total billed charges		399.2	85			Percent of total billed charges		424.15	100			Fee schedule		166.14	85			Percent of total billed charges		424.15	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14		216		Case rate		216		216		Case rate		216	100			Fee schedule		166.14	158.6	449.1	
"Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion"	11102	CPT	Outpatient			499	324.35		90			Percent of total billed charges		449.1	95.46			Fee schedule		158.6	80			Percent of total billed charges		399.2	85			Percent of total billed charges		424.15	100			Fee schedule		166.14	85			Percent of total billed charges		424.15	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14		216		Case rate		216		216		Case rate		216	100			Fee schedule		166.14	158.6	449.1	
"Paring or cutting of benign hyperkeratotic lesion (eg, corn or callus); more than 4 lesions"	11057	CPT	Outpatient			499	324.35		90			Percent of total billed charges		449.1	95.46			Fee schedule		158.6	80			Percent of total billed charges		399.2	85			Percent of total billed charges		424.15	100			Fee schedule		166.14	85			Percent of total billed charges		424.15	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14		216		Case rate		216		216		Case rate		216	100			Fee schedule		166.14	158.6	449.1	
"Avulsion of nail plate, partial or complete, simple; single"	11730	CPT	Outpatient			589	382.85		90			Percent of total billed charges		530.1	95.46			Fee schedule		158.6	80			Percent of total billed charges		471.2	85			Percent of total billed charges		500.65	100			Fee schedule		166.14	85			Percent of total billed charges		500.65	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14		216		Case rate		216		216		Case rate		216	100			Fee schedule		166.14	158.6	530.1	
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); over 30.0 cm"	12007	CPT	Outpatient			625	406.25		90			Percent of total billed charges		562.5	95.46			Fee schedule		158.6	80			Percent of total billed charges		500	85			Percent of total billed charges		531.25	100			Fee schedule		166.14	85			Percent of total billed charges		531.25	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14		216		Case rate		216		216		Case rate		216	100			Fee schedule		166.14	158.6	562.5	
Drainage of finger abscess; simple	26010	CPT	Outpatient			680	442		90			Percent of total billed charges		612	95.46			Fee schedule		158.6	80			Percent of total billed charges		544	85			Percent of total billed charges		578	100			Fee schedule		166.14	85			Percent of total billed charges		578	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14		216		Case rate		216		216		Case rate		216	100			Fee schedule		166.14	158.6	612	
"Unlisted procedure, skin, mucous membrane and subcutaneous tissue"	17999	CPT	Outpatient			5066	3292.9		90			Percent of total billed charges		4559.4	95.46			Fee schedule		158.6	80			Percent of total billed charges		4052.8	85			Percent of total billed charges		4306.1	100			Fee schedule		166.14	85			Percent of total billed charges		4306.1	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14		216		Case rate		216		216		Case rate		216	100			Fee schedule		166.14	158.6	4559.4	
"Injection, ipilimumab, 1 mg"	J9228	HCPCS	Outpatient	1	ME	492.01	319.8		90			Percent of total billed charges		442.8	95.46			Fee schedule		164.87	80			Percent of total billed charges		393.6	90			Percent of total billed charges		442.8	100			Fee schedule		172.71	85			Percent of total billed charges		418.2	100			Fee schedule		172.71	100			Fee schedule		172.71	100			Fee schedule		172.71	100			Fee schedule		172.71		159.95		Case rate		159.95		159.95		Case rate		159.95	100			Fee schedule		172.71	159.95	442.8	
"Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device"	94640	CPT	Outpatient			53	34.45		90			Percent of total billed charges		47.7	95.46			Fee schedule		53	80			Percent of total billed charges		42.4	90			Percent of total billed charges		47.7	100			Fee schedule		177	85			Percent of total billed charges		45.05	100			Fee schedule		53	100			Fee schedule		177	100			Fee schedule		177	100			Fee schedule		177		117		Case rate	Use Lesser of logic	53		117		Case rate	Use Lesser of logic	53	100			Fee schedule		177	42.4	177	
Intrapulmonary surfactant administration by a physician or other qualified health care professional through endotracheal tube	94610	CPT	Outpatient			125	81.25		90			Percent of total billed charges		112.5	95.46			Fee schedule		125	80			Percent of total billed charges		100	90			Percent of total billed charges		112.5	100			Fee schedule		177	85			Percent of total billed charges		106.25	100			Fee schedule		125	100			Fee schedule		177	100			Fee schedule		177	100			Fee schedule		177		82		Case rate		82		82		Case rate		82	100			Fee schedule		177	82	177	
Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis	94642	CPT	Outpatient			139	90.35		90			Percent of total billed charges		125.1	95.46			Fee schedule		139	80			Percent of total billed charges		111.2	90			Percent of total billed charges		125.1	100			Fee schedule		177	85			Percent of total billed charges		118.15	100			Fee schedule		139	100			Fee schedule		177	100			Fee schedule		177	100			Fee schedule		177		117		Case rate		117		117		Case rate		117	100			Fee schedule		177	111.2	177	
"Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device"	94664	CPT	Outpatient			251.05	163.18		90			Percent of total billed charges		225.94	95.46			Fee schedule		168.97	80			Percent of total billed charges		200.84	90			Percent of total billed charges		225.94	100			Fee schedule		177	85			Percent of total billed charges		213.39	100			Fee schedule		177	100			Fee schedule		177	100			Fee schedule		177	100			Fee schedule		177		117		Case rate		117		117		Case rate		117	100			Fee schedule		177	117	225.94	
"Continuous positive airway pressure ventilation (CPAP), initiation and management"	94660	CPT	Outpatient			325	211.25		90			Percent of total billed charges		292.5	95.46			Fee schedule		168.97	80			Percent of total billed charges		260	90			Percent of total billed charges		292.5	100			Fee schedule		177	85			Percent of total billed charges		276.25	100			Fee schedule		177	100			Fee schedule		177	100			Fee schedule		177	100			Fee schedule		177		117		Case rate		117		117		Case rate		117	100			Fee schedule		177	117	292.5	
Catheter aspiration (separate procedure); nasotracheal	31720	CPT	Outpatient			660	429		90			Percent of total billed charges		594	95.46			Fee schedule		168.97	80			Percent of total billed charges		528	85			Percent of total billed charges		561	100			Fee schedule		177	85			Percent of total billed charges		561	100			Fee schedule		177	100			Fee schedule		177	100			Fee schedule		177	100			Fee schedule		177		216		Case rate		216		216		Case rate		216	100			Fee schedule		177	168.97	594	
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug"	96374	CPT	Outpatient			120	78		90			Percent of total billed charges		108	95.46			Fee schedule		120	80			Percent of total billed charges		96	90			Percent of total billed charges		108	100			Fee schedule		177.88	85			Percent of total billed charges		102	100			Fee schedule		120	100			Fee schedule		177.88	100			Fee schedule		177.88	100			Fee schedule		177.88		141		Case rate	Use Lesser of logic	120		141		Case rate	Use Lesser of logic	120	100			Fee schedule		177.88	96	177.88	
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intra-arterial"	96373	CPT	Outpatient			133	86.45		90			Percent of total billed charges		119.7	95.46			Fee schedule		133	80			Percent of total billed charges		106.4	90			Percent of total billed charges		119.7	100			Fee schedule		177.88	85			Percent of total billed charges		113.05	100			Fee schedule		133	100			Fee schedule		177.88	100			Fee schedule		177.88	100			Fee schedule		177.88		141		Case rate	Use Lesser of logic	133		141		Case rate	Use Lesser of logic	133	100			Fee schedule		177.88	106.4	177.88	
"Intravenous infusion, hydration; initial, 31 minutes to 1 hour"	96360	CPT	Outpatient			190	123.5		90			Percent of total billed charges		171	95.46			Fee schedule		169.8	80			Percent of total billed charges		152	90			Percent of total billed charges		171	100			Fee schedule		177.88	85			Percent of total billed charges		161.5	100			Fee schedule		177.88	100			Fee schedule		177.88	100			Fee schedule		177.88	100			Fee schedule		177.88		141		Case rate		141		141		Case rate		141	100			Fee schedule		177.88	141	177.88	
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour"	96365	CPT	Outpatient			289	187.85		90			Percent of total billed charges		260.1	95.46			Fee schedule		169.8	80			Percent of total billed charges		231.2	90			Percent of total billed charges		260.1	100			Fee schedule		177.88	85			Percent of total billed charges		245.65	100			Fee schedule		177.88	100			Fee schedule		177.88	100			Fee schedule		177.88	100			Fee schedule		177.88		141		Case rate		141		141		Case rate		141	100			Fee schedule		177.88	141	260.1	
"Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image documentation and report"	36598	CPT	Outpatient			361	234.65		90			Percent of total billed charges		324.9	95.46			Fee schedule		169.8	80			Percent of total billed charges		288.8	85			Percent of total billed charges		306.85	100			Fee schedule		177.88	85			Percent of total billed charges		306.85	100			Fee schedule		177.88	100			Fee schedule		177.88	100			Fee schedule		177.88	100			Fee schedule		177.88		216		Case rate		216		216		Case rate		216	100			Fee schedule		177.88	169.8	324.9	
Refilling and maintenance of portable pump	96521	CPT	Outpatient			242	157.3		90			Percent of total billed charges		217.8	95.46			Fee schedule		169.8	80			Percent of total billed charges		193.6	90			Percent of total billed charges		217.8	100			Fee schedule		177.88	85			Percent of total billed charges		205.7	100			Fee schedule		177.88	100			Fee schedule		177.88	100			Fee schedule		177.88	100			Fee schedule		177.88		237		Case rate		237		237		Case rate		237	100			Fee schedule		177.88	169.8	237	
"Chemotherapy administration; intralesional, more than 7 lesions"	96406	CPT	Outpatient			272.36	177.03		90			Percent of total billed charges		245.12	95.46			Fee schedule		169.8	80			Percent of total billed charges		217.89	90			Percent of total billed charges		245.12	100			Fee schedule		177.88	85			Percent of total billed charges		231.51	100			Fee schedule		177.88	100			Fee schedule		177.88	100			Fee schedule		177.88	100			Fee schedule		177.88		237		Case rate		237		237		Case rate		237	100			Fee schedule		177.88	169.8	245.12	
"Red blood cells, leukocytes reduced, each unit"	P9016	CPT	Outpatient			306	198.9		90			Percent of total billed charges		275.4	95.46			Fee schedule		172.61	80			Percent of total billed charges		244.8	90			Percent of total billed charges		275.4	100			Fee schedule		180.82	85			Percent of total billed charges		260.1	100			Fee schedule		180.82	100			Fee schedule		180.82	100			Fee schedule		180.82	100			Fee schedule		180.82		196		Case rate		196		196		Case rate		196	100			Fee schedule		180.82	172.61	275.4	
"Leuprolide acetate (for depot suspension), 7.5 mg"	J9217	HCPCS	Outpatient	7.5	ME	5785	3760.25		90			Percent of total billed charges		5206.5	95.46			Fee schedule		177.23	80			Percent of total billed charges		4628	90			Percent of total billed charges		5206.5	100			Fee schedule		185.66	85			Percent of total billed charges		4917.25	100			Fee schedule		185.66	100			Fee schedule		185.66	100			Fee schedule		185.66	100			Fee schedule		185.66		250.32		Case rate		250.32		250.32		Case rate		250.32	100			Fee schedule		185.66	177.23	5206.5	
"Injection, glucagon hydrochloride, per 1 mg"	J1610	HCPCS	Outpatient	1	ME	874	568.1		90			Percent of total billed charges		786.6	95.46			Fee schedule		182.83	80			Percent of total billed charges		699.2	90			Percent of total billed charges		786.6	100			Fee schedule		191.52	85			Percent of total billed charges		742.9	100			Fee schedule		191.52	100			Fee schedule		191.52	100			Fee schedule		191.52	100			Fee schedule		191.52		233.12		Case rate		233.12		233.12		Case rate		233.12	100			Fee schedule		191.52	182.83	786.6	
Closed treatment of tibial shaft fracture (with or without fibular fracture); without manipulation	27750	CPT	Outpatient			81.38	52.9		90			Percent of total billed charges		73.24	95.46			Fee schedule		81.38	80			Percent of total billed charges		65.1	85			Percent of total billed charges		69.17	100			Fee schedule		195.7	85			Percent of total billed charges		69.17	100			Fee schedule		81.38	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate	Use Lesser of logic	81.38		216		Case rate	Use Lesser of logic	81.38	100			Fee schedule		195.7	65.1	195.7	
Closed treatment of temporomandibular dislocation; initial or subsequent	21480	CPT	Outpatient			121	78.65		90			Percent of total billed charges		108.9	95.46			Fee schedule		121	80			Percent of total billed charges		96.8	85			Percent of total billed charges		102.85	100			Fee schedule		195.7	85			Percent of total billed charges		102.85	100			Fee schedule		121	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate	Use Lesser of logic	121		216		Case rate	Use Lesser of logic	121	100			Fee schedule		195.7	96.8	195.7	
Closed treatment of distal radioulnar dislocation with manipulation	25675	CPT	Outpatient			133	86.45		90			Percent of total billed charges		119.7	95.46			Fee schedule		133	80			Percent of total billed charges		106.4	85			Percent of total billed charges		113.05	100			Fee schedule		195.7	85			Percent of total billed charges		113.05	100			Fee schedule		133	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate	Use Lesser of logic	133		216		Case rate	Use Lesser of logic	133	100			Fee schedule		195.7	106.4	195.7	
Closed treatment of interphalangeal joint dislocation; without anesthesia	28660	CPT	Outpatient			185	120.25		90			Percent of total billed charges		166.5	95.46			Fee schedule		185	80			Percent of total billed charges		148	85			Percent of total billed charges		157.25	100			Fee schedule		195.7	85			Percent of total billed charges		157.25	100			Fee schedule		185	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate	Use Lesser of logic	185		216		Case rate	Use Lesser of logic	185	100			Fee schedule		195.7	148	195.7	
Closed treatment of ulnar shaft fracture; with manipulation	25535	CPT	Outpatient			214.96	139.72		90			Percent of total billed charges		193.46	95.46			Fee schedule		186.82	80			Percent of total billed charges		171.97	85			Percent of total billed charges		182.71	100			Fee schedule		195.7	85			Percent of total billed charges		182.71	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate	Use Lesser of logic	214.96		216		Case rate	Use Lesser of logic	214.96	100			Fee schedule		195.7	171.97	214.96	
"Closed treatment of fracture of weight bearing articular portion of distal tibia (eg, pilon or tibial plafond), with or without anesthesia; without manipulation"	27824	CPT	Outpatient			244.14	158.69		90			Percent of total billed charges		219.73	95.46			Fee schedule		186.82	80			Percent of total billed charges		195.31	85			Percent of total billed charges		207.52	100			Fee schedule		195.7	85			Percent of total billed charges		207.52	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	219.73	
"Closed treatment of metacarpal fracture, single; with manipulation, each bone"	26605	CPT	Outpatient			284.72	185.07		90			Percent of total billed charges		256.25	95.46			Fee schedule		186.82	80			Percent of total billed charges		227.77	85			Percent of total billed charges		242.01	100			Fee schedule		195.7	85			Percent of total billed charges		242.01	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	256.25	
Closed treatment of coccygeal fracture	27200	CPT	Outpatient			304	197.6		90			Percent of total billed charges		273.6	95.46			Fee schedule		186.82	80			Percent of total billed charges		243.2	85			Percent of total billed charges		258.4	100			Fee schedule		195.7	85			Percent of total billed charges		258.4	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	273.6	
"Closed treatment of supracondylar or transcondylar humeral fracture, with or without intercondylar extension; without manipulation"	24530	CPT	Outpatient			330.4	214.76		90			Percent of total billed charges		297.36	95.46			Fee schedule		186.82	80			Percent of total billed charges		264.32	85			Percent of total billed charges		280.84	100			Fee schedule		195.7	85			Percent of total billed charges		280.84	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	297.36	
Closed treatment of metatarsophalangeal joint dislocation; without anesthesia	28630	CPT	Outpatient			345	224.25		90			Percent of total billed charges		310.5	95.46			Fee schedule		186.82	80			Percent of total billed charges		276	85			Percent of total billed charges		293.25	100			Fee schedule		195.7	85			Percent of total billed charges		293.25	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	310.5	
Closed treatment of acromioclavicular dislocation; without manipulation	23540	CPT	Outpatient			370	240.5		90			Percent of total billed charges		333	95.46			Fee schedule		186.82	80			Percent of total billed charges		296	85			Percent of total billed charges		314.5	100			Fee schedule		195.7	85			Percent of total billed charges		314.5	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	333	
"Closed treatment of fracture great toe, phalanx or phalanges; with manipulation"	28495	CPT	Outpatient			387	251.55		90			Percent of total billed charges		348.3	95.46			Fee schedule		186.82	80			Percent of total billed charges		309.6	85			Percent of total billed charges		328.95	100			Fee schedule		195.7	85			Percent of total billed charges		328.95	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	348.3	
"Closed treatment of radial head subluxation in child, nursemaid elbow, with manipulation"	24640	CPT	Outpatient			388	252.2		90			Percent of total billed charges		349.2	95.46			Fee schedule		186.82	80			Percent of total billed charges		310.4	85			Percent of total billed charges		329.8	100			Fee schedule		195.7	85			Percent of total billed charges		329.8	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	349.2	
"Closed treatment of fracture, phalanx or phalanges, other than great toe; without manipulation, each"	28510	CPT	Outpatient			400	260		90			Percent of total billed charges		360	95.46			Fee schedule		186.82	80			Percent of total billed charges		320	85			Percent of total billed charges		340	100			Fee schedule		195.7	85			Percent of total billed charges		340	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	360	
Closed treatment of distal fibular fracture (lateral malleolus); with manipulation	27788	CPT	Outpatient			404.57	262.97		90			Percent of total billed charges		364.11	95.46			Fee schedule		186.82	80			Percent of total billed charges		323.66	85			Percent of total billed charges		343.89	100			Fee schedule		195.7	85			Percent of total billed charges		343.89	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	364.11	
"Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; without anesthesia"	26670	CPT	Outpatient			425	276.25		90			Percent of total billed charges		382.5	95.46			Fee schedule		186.82	80			Percent of total billed charges		340	85			Percent of total billed charges		361.25	100			Fee schedule		195.7	85			Percent of total billed charges		361.25	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	382.5	
Closed treatment of talus fracture; without manipulation	28430	CPT	Outpatient			445	289.25		90			Percent of total billed charges		400.5	95.46			Fee schedule		186.82	80			Percent of total billed charges		356	85			Percent of total billed charges		378.25	100			Fee schedule		195.7	85			Percent of total billed charges		378.25	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	400.5	
"Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; without manipulation, each"	26720	CPT	Outpatient			460	299		90			Percent of total billed charges		414	95.46			Fee schedule		186.82	80			Percent of total billed charges		368	85			Percent of total billed charges		391	100			Fee schedule		195.7	85			Percent of total billed charges		391	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	414	
"Closed treatment of distal phalangeal fracture, finger or thumb; without manipulation, each"	26750	CPT	Outpatient			468	304.2		90			Percent of total billed charges		421.2	95.46			Fee schedule		186.82	80			Percent of total billed charges		374.4	85			Percent of total billed charges		397.8	100			Fee schedule		195.7	85			Percent of total billed charges		397.8	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	421.2	
Closed treatment of tarsometatarsal joint dislocation; requiring anesthesia	28605	CPT	Outpatient			490	318.5		90			Percent of total billed charges		441	95.46			Fee schedule		186.82	80			Percent of total billed charges		392	85			Percent of total billed charges		416.5	100			Fee schedule		195.7	85			Percent of total billed charges		416.5	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	441	
"Closed treatment of fracture, phalanx or phalanges, other than great toe; with manipulation, each"	28515	CPT	Outpatient			505	328.25		90			Percent of total billed charges		454.5	95.46			Fee schedule		186.82	80			Percent of total billed charges		404	85			Percent of total billed charges		429.25	100			Fee schedule		195.7	85			Percent of total billed charges		429.25	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	454.5	
"Closed treatment of fracture great toe, phalanx or phalanges; without manipulation"	28490	CPT	Outpatient			510	331.5		90			Percent of total billed charges		459	95.46			Fee schedule		186.82	80			Percent of total billed charges		408	85			Percent of total billed charges		433.5	100			Fee schedule		195.7	85			Percent of total billed charges		433.5	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	459	
Closed treatment of acromioclavicular dislocation; with manipulation	23545	CPT	Outpatient			520	338		90			Percent of total billed charges		468	95.46			Fee schedule		186.82	80			Percent of total billed charges		416	85			Percent of total billed charges		442	100			Fee schedule		195.7	85			Percent of total billed charges		442	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	468	
Closed treatment of posterior malleolus fracture; without manipulation	27767	CPT	Outpatient			520	338		90			Percent of total billed charges		468	95.46			Fee schedule		186.82	80			Percent of total billed charges		416	85			Percent of total billed charges		442	100			Fee schedule		195.7	85			Percent of total billed charges		442	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	468	
"Closed treatment of metacarpal fracture, single; without manipulation, each bone"	26600	CPT	Outpatient			555	360.75		90			Percent of total billed charges		499.5	95.46			Fee schedule		186.82	80			Percent of total billed charges		444	85			Percent of total billed charges		471.75	100			Fee schedule		195.7	85			Percent of total billed charges		471.75	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	499.5	
"Closed treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint; without manipulation, each"	26740	CPT	Outpatient			565	367.25		90			Percent of total billed charges		508.5	95.46			Fee schedule		186.82	80			Percent of total billed charges		452	85			Percent of total billed charges		480.25	100			Fee schedule		195.7	85			Percent of total billed charges		480.25	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	508.5	
Closed treatment of radial head or neck fracture; without manipulation	24650	CPT	Outpatient			578	375.7		90			Percent of total billed charges		520.2	95.46			Fee schedule		186.82	80			Percent of total billed charges		462.4	85			Percent of total billed charges		491.3	100			Fee schedule		195.7	85			Percent of total billed charges		491.3	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	520.2	
Closed treatment of ulnar shaft fracture; without manipulation	25530	CPT	Outpatient			595	386.75		90			Percent of total billed charges		535.5	95.46			Fee schedule		186.82	80			Percent of total billed charges		476	85			Percent of total billed charges		505.75	100			Fee schedule		195.7	85			Percent of total billed charges		505.75	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	535.5	
Closed treatment of post hip arthroplasty dislocation; without anesthesia	27265	CPT	Outpatient			598	388.7		90			Percent of total billed charges		538.2	95.46			Fee schedule		186.82	80			Percent of total billed charges		478.4	85			Percent of total billed charges		508.3	100			Fee schedule		195.7	85			Percent of total billed charges		508.3	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	538.2	
Closed treatment of radial shaft fracture; without manipulation	25500	CPT	Outpatient			600	390		90			Percent of total billed charges		540	95.46			Fee schedule		186.82	80			Percent of total billed charges		480	85			Percent of total billed charges		510	100			Fee schedule		195.7	85			Percent of total billed charges		510	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	540	
Closed treatment of scapular fracture; without manipulation	23570	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	95.46			Fee schedule		186.82	80			Percent of total billed charges		484	85			Percent of total billed charges		514.25	100			Fee schedule		195.7	85			Percent of total billed charges		514.25	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	544.5	
Closed treatment of clavicular fracture; without manipulation	23500	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	95.46			Fee schedule		186.82	80			Percent of total billed charges		484	85			Percent of total billed charges		514.25	100			Fee schedule		195.7	85			Percent of total billed charges		514.25	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	544.5	
"Closed treatment of metatarsal fracture; without manipulation, each"	28470	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	95.46			Fee schedule		186.82	80			Percent of total billed charges		484	85			Percent of total billed charges		514.25	100			Fee schedule		195.7	85			Percent of total billed charges		514.25	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	544.5	
Closed treatment of radial and ulnar shaft fractures; without manipulation	25560	CPT	Outpatient			610	396.5		90			Percent of total billed charges		549	95.46			Fee schedule		186.82	80			Percent of total billed charges		488	85			Percent of total billed charges		518.5	100			Fee schedule		195.7	85			Percent of total billed charges		518.5	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	549	
"Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each"	28450	CPT	Outpatient			633	411.45		90			Percent of total billed charges		569.7	95.46			Fee schedule		186.82	80			Percent of total billed charges		506.4	85			Percent of total billed charges		538.05	100			Fee schedule		195.7	85			Percent of total billed charges		538.05	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	569.7	
"Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed; without manipulation"	25600	CPT	Outpatient			650	422.5		90			Percent of total billed charges		585	95.46			Fee schedule		186.82	80			Percent of total billed charges		520	85			Percent of total billed charges		552.5	100			Fee schedule		195.7	85			Percent of total billed charges		552.5	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	585	
Closed treatment of proximal tibiofibular joint dislocation; without anesthesia	27830	CPT	Outpatient			655	425.75		90			Percent of total billed charges		589.5	95.46			Fee schedule		186.82	80			Percent of total billed charges		524	85			Percent of total billed charges		556.75	100			Fee schedule		195.7	85			Percent of total billed charges		556.75	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	589.5	
"Closed treatment of vertebral body fracture(s), without manipulation, requiring and including casting or bracing"	22310	CPT	Outpatient			695	451.75		90			Percent of total billed charges		625.5	95.46			Fee schedule		186.82	80			Percent of total billed charges		556	85			Percent of total billed charges		590.75	100			Fee schedule		195.7	85			Percent of total billed charges		590.75	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	625.5	
"Closed treatment of interphalangeal joint dislocation, single, with manipulation; without anesthesia"	26770	CPT	Outpatient			700	455		90			Percent of total billed charges		630	95.46			Fee schedule		186.82	80			Percent of total billed charges		560	85			Percent of total billed charges		595	100			Fee schedule		195.7	85			Percent of total billed charges		595	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	630	
"Closed treatment of ulnar fracture, proximal end (eg, olecranon or coronoid process[es]); without manipulation"	24670	CPT	Outpatient			700	455		90			Percent of total billed charges		630	95.46			Fee schedule		186.82	80			Percent of total billed charges		560	85			Percent of total billed charges		595	100			Fee schedule		195.7	85			Percent of total billed charges		595	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	630	
Closed treatment of carpal scaphoid (navicular) fracture; without manipulation	25622	CPT	Outpatient			705	458.25		90			Percent of total billed charges		634.5	95.46			Fee schedule		186.82	80			Percent of total billed charges		564	85			Percent of total billed charges		599.25	100			Fee schedule		195.7	85			Percent of total billed charges		599.25	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	634.5	
"Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation"	24560	CPT	Outpatient			725	471.25		90			Percent of total billed charges		652.5	95.46			Fee schedule		186.82	80			Percent of total billed charges		580	85			Percent of total billed charges		616.25	100			Fee schedule		195.7	85			Percent of total billed charges		616.25	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	652.5	
Closed treatment of humeral shaft fracture; without manipulation	24500	CPT	Outpatient			725	471.25		90			Percent of total billed charges		652.5	95.46			Fee schedule		186.82	80			Percent of total billed charges		580	85			Percent of total billed charges		616.25	100			Fee schedule		195.7	85			Percent of total billed charges		616.25	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	652.5	
"Closed treatment of distal phalangeal fracture, finger or thumb; with manipulation, each"	26755	CPT	Outpatient			725	471.25		90			Percent of total billed charges		652.5	95.46			Fee schedule		186.82	80			Percent of total billed charges		580	85			Percent of total billed charges		616.25	100			Fee schedule		195.7	85			Percent of total billed charges		616.25	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	652.5	
Closed treatment of greater humeral tuberosity fracture; without manipulation	23620	CPT	Outpatient			730	474.5		90			Percent of total billed charges		657	95.46			Fee schedule		186.82	80			Percent of total billed charges		584	85			Percent of total billed charges		620.5	100			Fee schedule		195.7	85			Percent of total billed charges		620.5	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	657	
"Closed treatment of carpal bone fracture (excluding carpal scaphoid [navicular]); without manipulation, each bone"	25630	CPT	Outpatient			740	481		90			Percent of total billed charges		666	95.46			Fee schedule		186.82	80			Percent of total billed charges		592	85			Percent of total billed charges		629	100			Fee schedule		195.7	85			Percent of total billed charges		629	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	666	
"Closed treatment of humeral condylar fracture, medial or lateral; without manipulation"	24576	CPT	Outpatient			740	481		90			Percent of total billed charges		666	95.46			Fee schedule		186.82	80			Percent of total billed charges		592	85			Percent of total billed charges		629	100			Fee schedule		195.7	85			Percent of total billed charges		629	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	666	
Closed treatment of calcaneal fracture; without manipulation	28400	CPT	Outpatient			750	487.5		90			Percent of total billed charges		675	95.46			Fee schedule		186.82	80			Percent of total billed charges		600	85			Percent of total billed charges		637.5	100			Fee schedule		195.7	85			Percent of total billed charges		637.5	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	675	
Closed treatment of proximal humeral (surgical or anatomical neck) fracture; without manipulation	23600	CPT	Outpatient			795	516.75		90			Percent of total billed charges		715.5	95.46			Fee schedule		186.82	80			Percent of total billed charges		636	85			Percent of total billed charges		675.75	100			Fee schedule		195.7	85			Percent of total billed charges		675.75	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	715.5	
"Closed treatment of metatarsal fracture; with manipulation, each"	28475	CPT	Outpatient			820	533		90			Percent of total billed charges		738	95.46			Fee schedule		186.82	80			Percent of total billed charges		656	85			Percent of total billed charges		697	100			Fee schedule		195.7	85			Percent of total billed charges		697	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	738	
"Closed treatment of shoulder dislocation, with manipulation; without anesthesia"	23650	CPT	Outpatient			840	546		90			Percent of total billed charges		756	95.46			Fee schedule		186.82	80			Percent of total billed charges		672	85			Percent of total billed charges		714	100			Fee schedule		195.7	85			Percent of total billed charges		714	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	756	
Closed treatment of calcaneal fracture; with manipulation	28405	CPT	Outpatient			850	552.5		90			Percent of total billed charges		765	95.46			Fee schedule		186.82	80			Percent of total billed charges		680	85			Percent of total billed charges		722.5	100			Fee schedule		195.7	85			Percent of total billed charges		722.5	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	765	
Closed treatment of proximal fibula or shaft fracture; without manipulation	27780	CPT	Outpatient			855	555.75		90			Percent of total billed charges		769.5	95.46			Fee schedule		186.82	80			Percent of total billed charges		684	85			Percent of total billed charges		726.75	100			Fee schedule		195.7	85			Percent of total billed charges		726.75	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	769.5	
Closed treatment of ulnar styloid fracture	25650	CPT	Outpatient			855	555.75		90			Percent of total billed charges		769.5	95.46			Fee schedule		186.82	80			Percent of total billed charges		684	85			Percent of total billed charges		726.75	100			Fee schedule		195.7	85			Percent of total billed charges		726.75	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	769.5	
Closed treatment of medial malleolus fracture; without manipulation	27760	CPT	Outpatient			865	562.25		90			Percent of total billed charges		778.5	95.46			Fee schedule		186.82	80			Percent of total billed charges		692	85			Percent of total billed charges		735.25	100			Fee schedule		195.7	85			Percent of total billed charges		735.25	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	778.5	
"Closed treatment of patellar fracture, without manipulation"	27520	CPT	Outpatient			865	562.25		90			Percent of total billed charges		778.5	95.46			Fee schedule		186.82	80			Percent of total billed charges		692	85			Percent of total billed charges		735.25	100			Fee schedule		195.7	85			Percent of total billed charges		735.25	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	778.5	
Closed treatment of trimalleolar ankle fracture; without manipulation	27816	CPT	Outpatient			870	565.5		90			Percent of total billed charges		783	95.46			Fee schedule		186.82	80			Percent of total billed charges		696	85			Percent of total billed charges		739.5	100			Fee schedule		195.7	85			Percent of total billed charges		739.5	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	783	
"Closed treatment of metacarpophalangeal dislocation, single, with manipulation; without anesthesia"	26700	CPT	Outpatient			875	568.75		90			Percent of total billed charges		787.5	95.46			Fee schedule		186.82	80			Percent of total billed charges		700	85			Percent of total billed charges		743.75	100			Fee schedule		195.7	85			Percent of total billed charges		743.75	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	787.5	
Closed treatment of distal fibular fracture (lateral malleolus); without manipulation	27786	CPT	Outpatient			885	575.25		90			Percent of total billed charges		796.5	95.46			Fee schedule		186.82	80			Percent of total billed charges		708	85			Percent of total billed charges		752.25	100			Fee schedule		195.7	85			Percent of total billed charges		752.25	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	796.5	
"Closed treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb; with manipulation, with or without skin or skeletal traction, each"	26725	CPT	Outpatient			890	578.5		90			Percent of total billed charges		801	95.46			Fee schedule		186.82	80			Percent of total billed charges		712	85			Percent of total billed charges		756.5	100			Fee schedule		195.7	85			Percent of total billed charges		756.5	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	801	
Treatment of closed elbow dislocation; without anesthesia	24600	CPT	Outpatient			898	583.7		90			Percent of total billed charges		808.2	95.46			Fee schedule		186.82	80			Percent of total billed charges		718.4	85			Percent of total billed charges		763.3	100			Fee schedule		195.7	85			Percent of total billed charges		763.3	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	808.2	
"Closed treatment of hip dislocation, traumatic; without anesthesia"	27250	CPT	Outpatient			935	607.75		90			Percent of total billed charges		841.5	95.46			Fee schedule		186.82	80			Percent of total billed charges		748	85			Percent of total billed charges		794.75	100			Fee schedule		195.7	85			Percent of total billed charges		794.75	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	841.5	
"Unlisted procedure, shoulder"	23929	CPT	Outpatient			945	614.25		90			Percent of total billed charges		850.5	95.46			Fee schedule		186.82	80			Percent of total billed charges		756	85			Percent of total billed charges		803.25	100			Fee schedule		195.7	85			Percent of total billed charges		803.25	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	850.5	
Closed treatment of patellar dislocation; without anesthesia	27560	CPT	Outpatient			960	624		90			Percent of total billed charges		864	95.46			Fee schedule		186.82	80			Percent of total billed charges		768	85			Percent of total billed charges		816	100			Fee schedule		195.7	85			Percent of total billed charges		816	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	864	
"Closed treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli or medial and posterior malleoli); without manipulation"	27808	CPT	Outpatient			965	627.25		90			Percent of total billed charges		868.5	95.46			Fee schedule		186.82	80			Percent of total billed charges		772	85			Percent of total billed charges		820.25	100			Fee schedule		195.7	85			Percent of total billed charges		820.25	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	868.5	
Closed treatment of ankle dislocation; without anesthesia	27840	CPT	Outpatient			975	633.75		90			Percent of total billed charges		877.5	95.46			Fee schedule		186.82	80			Percent of total billed charges		780	85			Percent of total billed charges		828.75	100			Fee schedule		195.7	85			Percent of total billed charges		828.75	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	877.5	
"Closed treatment of tibial fracture, proximal (plateau); without manipulation"	27530	CPT	Outpatient			975	633.75		90			Percent of total billed charges		877.5	95.46			Fee schedule		186.82	80			Percent of total billed charges		780	85			Percent of total billed charges		828.75	100			Fee schedule		195.7	85			Percent of total billed charges		828.75	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	877.5	
Closed treatment of patellar dislocation; requiring anesthesia	27562	CPT	Outpatient			980	637		90			Percent of total billed charges		882	95.46			Fee schedule		186.82	80			Percent of total billed charges		784	85			Percent of total billed charges		833	100			Fee schedule		195.7	85			Percent of total billed charges		833	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	882	
"Closed treatment of carpometacarpal dislocation, thumb, with manipulation"	26641	CPT	Outpatient			1010	656.5		90			Percent of total billed charges		909	95.46			Fee schedule		186.82	80			Percent of total billed charges		808	85			Percent of total billed charges		858.5	100			Fee schedule		195.7	85			Percent of total billed charges		858.5	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	909	
"Closed treatment of femoral fracture, distal end, medial or lateral condyle, without manipulation"	27508	CPT	Outpatient			1065	692.25		90			Percent of total billed charges		958.5	95.46			Fee schedule		186.82	80			Percent of total billed charges		852	85			Percent of total billed charges		905.25	100			Fee schedule		195.7	85			Percent of total billed charges		905.25	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	958.5	
"Closed treatment of greater trochanteric fracture, without manipulation"	27246	CPT	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	95.46			Fee schedule		186.82	80			Percent of total billed charges		948	85			Percent of total billed charges		1007.25	100			Fee schedule		195.7	85			Percent of total billed charges		1007.25	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	1066.5	
Closed treatment of knee dislocation; without anesthesia	27550	CPT	Outpatient			1203	781.95		90			Percent of total billed charges		1082.7	95.46			Fee schedule		186.82	80			Percent of total billed charges		962.4	85			Percent of total billed charges		1022.55	100			Fee schedule		195.7	85			Percent of total billed charges		1022.55	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	1082.7	
"Closed treatment of femoral fracture, proximal end, neck; without manipulation"	27230	CPT	Outpatient			1210	786.5		90			Percent of total billed charges		1089	95.46			Fee schedule		186.82	80			Percent of total billed charges		968	85			Percent of total billed charges		1028.5	100			Fee schedule		195.7	85			Percent of total billed charges		1028.5	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	1089	
"Closed treatment of intercondylar spine(s) and/or tuberosity fracture(s) of knee, with or without manipulation"	27538	CPT	Outpatient			1230	799.5		90			Percent of total billed charges		1107	95.46			Fee schedule		186.82	80			Percent of total billed charges		984	85			Percent of total billed charges		1045.5	100			Fee schedule		195.7	85			Percent of total billed charges		1045.5	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	1107	
"Closed treatment of posterior pelvic ring fracture(s), dislocation(s), diastasis or subluxation of the ilium, sacroiliac joint, and/or sacrum, with or without anterior pelvic ring fracture(s) and/or dislocation(s) of the pubic symphysis and/or superior/inferior rami, unilateral or bilateral; without manipulation"	27197	CPT	Outpatient			1250	812.5		90			Percent of total billed charges		1125	95.46			Fee schedule		186.82	80			Percent of total billed charges		1000	85			Percent of total billed charges		1062.5	100			Fee schedule		195.7	85			Percent of total billed charges		1062.5	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	1125	
"Closed treatment of femoral shaft fracture, without manipulation"	27500	CPT	Outpatient			1278	830.7		90			Percent of total billed charges		1150.2	95.46			Fee schedule		186.82	80			Percent of total billed charges		1022.4	85			Percent of total billed charges		1086.3	100			Fee schedule		195.7	85			Percent of total billed charges		1086.3	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	1150.2	
Closed treatment of acetabulum (hip socket) fracture(s); without manipulation	27220	CPT	Outpatient			1295	841.75		90			Percent of total billed charges		1165.5	95.46			Fee schedule		186.82	80			Percent of total billed charges		1036	85			Percent of total billed charges		1100.75	100			Fee schedule		195.7	85			Percent of total billed charges		1100.75	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	1165.5	
"Closed treatment of supracondylar or transcondylar femoral fracture with or without intercondylar extension, without manipulation"	27501	CPT	Outpatient			1365	887.25		90			Percent of total billed charges		1228.5	95.46			Fee schedule		186.82	80			Percent of total billed charges		1092	85			Percent of total billed charges		1160.25	100			Fee schedule		195.7	85			Percent of total billed charges		1160.25	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	1228.5	
"Unlisted procedure, foot or toes"	28899	CPT	Outpatient			2000	1300		90			Percent of total billed charges		1800	95.46			Fee schedule		186.82	80			Percent of total billed charges		1600	85			Percent of total billed charges		1700	100			Fee schedule		195.7	85			Percent of total billed charges		1700	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	1800	
"Unlisted procedure, abdomen, musculoskeletal system"	22999	CPT	Outpatient			3180	2067		90			Percent of total billed charges		2862	95.46			Fee schedule		186.82	80			Percent of total billed charges		2544	85			Percent of total billed charges		2703	100			Fee schedule		195.7	85			Percent of total billed charges		2703	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	2862	
"Unlisted procedure, pelvis or hip joint"	27299	CPT	Outpatient			4450	2892.5		90			Percent of total billed charges		4005	95.46			Fee schedule		186.82	80			Percent of total billed charges		3560	85			Percent of total billed charges		3782.5	100			Fee schedule		195.7	85			Percent of total billed charges		3782.5	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	4005	
"Unlisted procedure, arthroscopy"	29999	CPT	Outpatient			5825	3786.25		90			Percent of total billed charges		5242.5	95.46			Fee schedule		186.82	80			Percent of total billed charges		4660	85			Percent of total billed charges		4951.25	100			Fee schedule		195.7	85			Percent of total billed charges		4951.25	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	5242.5	
"Unlisted procedure, femur or knee"	27599	CPT	Outpatient			13281.89	8633.23		90			Percent of total billed charges		11953.7	95.46			Fee schedule		186.82	80			Percent of total billed charges		10625.51	85			Percent of total billed charges		11289.61	100			Fee schedule		195.7	85			Percent of total billed charges		11289.61	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7	100			Fee schedule		195.7		216		Case rate		216		216		Case rate		216	100			Fee schedule		195.7	186.82	11953.7	
"Drainage of abscess of palate, uvula"	42000	CPT	Outpatient			197.86	128.61		90			Percent of total billed charges		178.07	95.46			Fee schedule		193.5	80			Percent of total billed charges		158.29	85			Percent of total billed charges		168.18	100			Fee schedule		202.71	85			Percent of total billed charges		168.18	100			Fee schedule		197.86	100			Fee schedule		202.71	100			Fee schedule		202.71	100			Fee schedule		202.71		216		Case rate	Use Lesser of logic	197.86		216		Case rate	Use Lesser of logic	197.86	100			Fee schedule		202.71	158.29	202.71	
Tracheotomy tube change prior to establishment of fistula tract	31502	CPT	Outpatient			254	165.1		90			Percent of total billed charges		228.6	95.46			Fee schedule		193.5	80			Percent of total billed charges		203.2	85			Percent of total billed charges		215.9	100			Fee schedule		202.71	85			Percent of total billed charges		215.9	100			Fee schedule		202.71	100			Fee schedule		202.71	100			Fee schedule		202.71	100			Fee schedule		202.71		216		Case rate		216		216		Case rate		216	100			Fee schedule		202.71	193.5	228.6	
"Unlisted procedure, nose"	30999	CPT	Outpatient			255	165.75		90			Percent of total billed charges		229.5	95.46			Fee schedule		193.5	80			Percent of total billed charges		204	85			Percent of total billed charges		216.75	100			Fee schedule		202.71	85			Percent of total billed charges		216.75	100			Fee schedule		202.71	100			Fee schedule		202.71	100			Fee schedule		202.71	100			Fee schedule		202.71		216		Case rate		216		216		Case rate		216	100			Fee schedule		202.71	193.5	229.5	
Repair of laceration 2.5 cm or less; posterior one-third of tongue	41251	CPT	Outpatient			256.5	166.72		90			Percent of total billed charges		230.85	95.46			Fee schedule		193.5	80			Percent of total billed charges		205.2	85			Percent of total billed charges		218.02	100			Fee schedule		202.71	85			Percent of total billed charges		218.02	100			Fee schedule		202.71	100			Fee schedule		202.71	100			Fee schedule		202.71	100			Fee schedule		202.71		216		Case rate		216		216		Case rate		216	100			Fee schedule		202.71	193.5	230.85	
Biopsy external ear	69100	CPT	Outpatient			272.45	177.09		90			Percent of total billed charges		245.2	95.46			Fee schedule		193.5	80			Percent of total billed charges		217.96	85			Percent of total billed charges		231.58	100			Fee schedule		202.71	85			Percent of total billed charges		231.58	100			Fee schedule		202.71	100			Fee schedule		202.71	100			Fee schedule		202.71	100			Fee schedule		202.71		216		Case rate		216		216		Case rate		216	100			Fee schedule		202.71	193.5	245.2	
Biopsy of lip	40490	CPT	Outpatient			272.45	177.09		90			Percent of total billed charges		245.2	95.46			Fee schedule		193.5	80			Percent of total billed charges		217.96	85			Percent of total billed charges		231.58	100			Fee schedule		202.71	85			Percent of total billed charges		231.58	100			Fee schedule		202.71	100			Fee schedule		202.71	100			Fee schedule		202.71	100			Fee schedule		202.71		216		Case rate		216		216		Case rate		216	100			Fee schedule		202.71	193.5	245.2	
"Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; subsequent"	30906	CPT	Outpatient			345	224.25		90			Percent of total billed charges		310.5	95.46			Fee schedule		193.5	80			Percent of total billed charges		276	85			Percent of total billed charges		293.25	100			Fee schedule		202.71	85			Percent of total billed charges		293.25	100			Fee schedule		202.71	100			Fee schedule		202.71	100			Fee schedule		202.71	100			Fee schedule		202.71		216		Case rate		216		216		Case rate		216	100			Fee schedule		202.71	193.5	310.5	
"Closure of laceration, vestibule of mouth; 2.5 cm or less"	40830	CPT	Outpatient			385	250.25		90			Percent of total billed charges		346.5	95.46			Fee schedule		193.5	80			Percent of total billed charges		308	85			Percent of total billed charges		327.25	100			Fee schedule		202.71	85			Percent of total billed charges		327.25	100			Fee schedule		202.71	100			Fee schedule		202.71	100			Fee schedule		202.71	100			Fee schedule		202.71		216		Case rate		216		216		Case rate		216	100			Fee schedule		202.71	193.5	346.5	
Incision and drainage abscess; peritonsillar	42700	CPT	Outpatient			410	266.5		90			Percent of total billed charges		369	95.46			Fee schedule		193.5	80			Percent of total billed charges		328	85			Percent of total billed charges		348.5	100			Fee schedule		202.71	85			Percent of total billed charges		348.5	100			Fee schedule		202.71	100			Fee schedule		202.71	100			Fee schedule		202.71	100			Fee schedule		202.71		216		Case rate		216		216		Case rate		216	100			Fee schedule		202.71	193.5	369	
"Tracheostomy, emergency procedure; cricothyroid membrane"	31605	CPT	Outpatient			515	334.75		90			Percent of total billed charges		463.5	95.46			Fee schedule		193.5	80			Percent of total billed charges		412	85			Percent of total billed charges		437.75	100			Fee schedule		202.71	85			Percent of total billed charges		437.75	100			Fee schedule		202.71	100			Fee schedule		202.71	100			Fee schedule		202.71	100			Fee schedule		202.71		216		Case rate		216		216		Case rate		216	100			Fee schedule		202.71	193.5	463.5	
"Repair of laceration of tongue, floor of mouth, over 2.6 cm or complex"	41252	CPT	Outpatient			550	357.5		90			Percent of total billed charges		495	95.46			Fee schedule		193.5	80			Percent of total billed charges		440	85			Percent of total billed charges		467.5	100			Fee schedule		202.71	85			Percent of total billed charges		467.5	100			Fee schedule		202.71	100			Fee schedule		202.71	100			Fee schedule		202.71	100			Fee schedule		202.71		216		Case rate		216		216		Case rate		216	100			Fee schedule		202.71	193.5	495	
"Intubation, endotracheal, emergency procedure"	31500	CPT	Outpatient			1140.75	741.49		90			Percent of total billed charges		1026.68	95.46			Fee schedule		193.5	80			Percent of total billed charges		912.6	85			Percent of total billed charges		969.64	100			Fee schedule		202.71	85			Percent of total billed charges		969.64	100			Fee schedule		202.71	100			Fee schedule		202.71	100			Fee schedule		202.71	100			Fee schedule		202.71		216		Case rate		216		216		Case rate		216	100			Fee schedule		202.71	193.5	1026.68	
"Unlisted procedure, external ear"	69399	CPT	Outpatient			1150	747.5		90			Percent of total billed charges		1035	95.46			Fee schedule		193.5	80			Percent of total billed charges		920	85			Percent of total billed charges		977.5	100			Fee schedule		202.71	85			Percent of total billed charges		977.5	100			Fee schedule		202.71	100			Fee schedule		202.71	100			Fee schedule		202.71	100			Fee schedule		202.71		216		Case rate		216		216		Case rate		216	100			Fee schedule		202.71	193.5	1035	
"Unlisted procedure, dentoalveolar structures"	41899	CPT	Outpatient			1570	1020.5		90			Percent of total billed charges		1413	95.46			Fee schedule		193.5	80			Percent of total billed charges		1256	85			Percent of total billed charges		1334.5	100			Fee schedule		202.71	85			Percent of total billed charges		1334.5	100			Fee schedule		202.71	100			Fee schedule		202.71	100			Fee schedule		202.71	100			Fee schedule		202.71		216		Case rate		216		216		Case rate		216	100			Fee schedule		202.71	193.5	1413	
"Radiologic examination, teeth; partial examination, less than full mouth"	70310	CPT	Outpatient			57	37.05		90			Percent of total billed charges		51.3	95.46			Fee schedule		57	80			Percent of total billed charges		45.6	90			Percent of total billed charges		51.3	100			Fee schedule		203.35	85			Percent of total billed charges		48.45	100			Fee schedule		57	100			Fee schedule		203.35	100			Fee schedule		203.35	100			Fee schedule		203.35		117		Case rate	Use Lesser of logic	57		117		Case rate	Use Lesser of logic	57	100			Fee schedule		203.35	45.6	203.35	
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiography"	93307	CPT	Outpatient			473	307.45		90			Percent of total billed charges		425.7	95.46			Fee schedule		194.12	80			Percent of total billed charges		378.4	90			Percent of total billed charges		425.7	100			Fee schedule		203.35	85			Percent of total billed charges		402.05	100			Fee schedule		203.35	100			Fee schedule		203.35	100			Fee schedule		203.35	100			Fee schedule		203.35		89		Case rate		89		89		Case rate		89	100			Fee schedule		203.35	89	425.7	
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study"	93308	CPT	Outpatient			505	328.25		90			Percent of total billed charges		454.5	95.46			Fee schedule		194.12	80			Percent of total billed charges		404	90			Percent of total billed charges		454.5	100			Fee schedule		203.35	85			Percent of total billed charges		429.25	100			Fee schedule		203.35	100			Fee schedule		203.35	100			Fee schedule		203.35	100			Fee schedule		203.35		89		Case rate		89		89		Case rate		89	100			Fee schedule		203.35	89	454.5	
"Radiologic examination, teeth; complete, full mouth"	70320	CPT	Outpatient			98	63.7		90			Percent of total billed charges		88.2	95.46			Fee schedule		98	80			Percent of total billed charges		78.4	90			Percent of total billed charges		88.2	100			Fee schedule		203.35	85			Percent of total billed charges		83.3	100			Fee schedule		98	100			Fee schedule		203.35	100			Fee schedule		203.35	100			Fee schedule		203.35		117		Case rate	Use Lesser of logic	98		117		Case rate	Use Lesser of logic	98	100			Fee schedule		203.35	78.4	203.35	
"Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time"	76000	CPT	Outpatient			221	143.65		90			Percent of total billed charges		198.9	95.46			Fee schedule		194.12	80			Percent of total billed charges		176.8	90			Percent of total billed charges		198.9	100			Fee schedule		203.35	85			Percent of total billed charges		187.85	100			Fee schedule		203.35	100			Fee schedule		203.35	100			Fee schedule		203.35	100			Fee schedule		203.35		117		Case rate		117		117		Case rate		117	100			Fee schedule		203.35	117	203.35	
"Urethrocystography, retrograde, radiological supervision and interpretation"	74450	CPT	Outpatient			252	163.8		90			Percent of total billed charges		226.8	95.46			Fee schedule		194.12	80			Percent of total billed charges		201.6	90			Percent of total billed charges		226.8	100			Fee schedule		203.35	85			Percent of total billed charges		214.2	100			Fee schedule		203.35	100			Fee schedule		203.35	100			Fee schedule		203.35	100			Fee schedule		203.35		117		Case rate		117		117		Case rate		117	100			Fee schedule		203.35	117	226.8	
"Urethrocystography, voiding, radiological supervision and interpretation"	74455	CPT	Outpatient			252	163.8		90			Percent of total billed charges		226.8	95.46			Fee schedule		194.12	80			Percent of total billed charges		201.6	90			Percent of total billed charges		226.8	100			Fee schedule		203.35	85			Percent of total billed charges		214.2	100			Fee schedule		203.35	100			Fee schedule		203.35	100			Fee schedule		203.35	100			Fee schedule		203.35		117		Case rate		117		117		Case rate		117	100			Fee schedule		203.35	117	226.8	
"Hysterosalpingography, radiological supervision and interpretation"	74740	CPT	Outpatient			408	265.2		90			Percent of total billed charges		367.2	95.46			Fee schedule		194.12	80			Percent of total billed charges		326.4	90			Percent of total billed charges		367.2	100			Fee schedule		203.35	85			Percent of total billed charges		346.8	100			Fee schedule		203.35	100			Fee schedule		203.35	100			Fee schedule		203.35	100			Fee schedule		203.35		117		Case rate		117		117		Case rate		117	100			Fee schedule		203.35	117	367.2	
"Saline infusion sonohysterography (SIS), including color flow Doppler, when performed"	76831	CPT	Outpatient			1142	742.3		90			Percent of total billed charges		1027.8	95.46			Fee schedule		194.12	80			Percent of total billed charges		913.6	90			Percent of total billed charges		1027.8	100			Fee schedule		203.35	85			Percent of total billed charges		970.7	100			Fee schedule		203.35	100			Fee schedule		203.35	100			Fee schedule		203.35	100			Fee schedule		203.35		196		Case rate		196		196		Case rate		196	100			Fee schedule		203.35	194.12	1027.8	
"Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete study"	93978	CPT	Outpatient			310	201.5		90			Percent of total billed charges		279	95.46			Fee schedule		194.12	80			Percent of total billed charges		248	90			Percent of total billed charges		279	100			Fee schedule		203.35	85			Percent of total billed charges		263.5	100			Fee schedule		203.35	100			Fee schedule		203.35	100			Fee schedule		203.35	100			Fee schedule		203.35		201		Case rate		201		201		Case rate		201	100			Fee schedule		203.35	194.12	279	
Duplex scan of extracranial arteries; complete bilateral study	93880	CPT	Outpatient			701	455.65		90			Percent of total billed charges		630.9	95.46			Fee schedule		194.12	80			Percent of total billed charges		560.8	90			Percent of total billed charges		630.9	100			Fee schedule		203.35	85			Percent of total billed charges		595.85	100			Fee schedule		203.35	100			Fee schedule		203.35	100			Fee schedule		203.35	100			Fee schedule		203.35		201		Case rate		201		201		Case rate		201	100			Fee schedule		203.35	194.12	630.9	
Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study	93970	CPT	Outpatient			733	476.45		90			Percent of total billed charges		659.7	95.46			Fee schedule		194.12	80			Percent of total billed charges		586.4	90			Percent of total billed charges		659.7	100			Fee schedule		203.35	85			Percent of total billed charges		623.05	100			Fee schedule		203.35	100			Fee schedule		203.35	100			Fee schedule		203.35	100			Fee schedule		203.35		201		Case rate		201		201		Case rate		201	100			Fee schedule		203.35	194.12	659.7	
"Contrast injection(s) for radiological evaluation of existing gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, from a percutaneous approach including image documentation and report"	49465	CPT	Outpatient			300	195		90			Percent of total billed charges		270	95.46			Fee schedule		194.12	80			Percent of total billed charges		240	85			Percent of total billed charges		255	100			Fee schedule		203.35	85			Percent of total billed charges		255	100			Fee schedule		203.35	100			Fee schedule		203.35	100			Fee schedule		203.35	100			Fee schedule		203.35		216		Case rate		216		216		Case rate		216	100			Fee schedule		203.35	194.12	270	
"Computed tomography, abdomen and pelvis; without contrast material"	74176	CPT	Outpatient			1230	799.5		90			Percent of total billed charges		1107	95.46			Fee schedule		194.12	80			Percent of total billed charges		984	90			Percent of total billed charges		1107	100			Fee schedule		203.35	85			Percent of total billed charges		1045.5	100			Fee schedule		203.35	100			Fee schedule		203.35	100			Fee schedule		203.35	100			Fee schedule		203.35		562		Case rate		562		562		Case rate		562	100			Fee schedule		203.35	194.12	1107	
"Magnetic resonance imaging, breast, without contrast material; unilateral"	77046	CPT	Outpatient			1125	731.25		90			Percent of total billed charges		1012.5	95.46			Fee schedule		194.12	80			Percent of total billed charges		900	90			Percent of total billed charges		1012.5	100			Fee schedule		203.35	85			Percent of total billed charges		956.25	100			Fee schedule		203.35	100			Fee schedule		203.35	100			Fee schedule		203.35	100			Fee schedule		203.35		830		Case rate		830		830		Case rate		830	100			Fee schedule		203.35	194.12	1012.5	
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)"	73221	CPT	Outpatient			1738	1129.7		90			Percent of total billed charges		1564.2	95.46			Fee schedule		194.12	80			Percent of total billed charges		1390.4	90			Percent of total billed charges		1564.2	100			Fee schedule		203.35	85			Percent of total billed charges		1477.3	100			Fee schedule		203.35	100			Fee schedule		203.35	100			Fee schedule		203.35	100			Fee schedule		203.35		830		Case rate		830		830		Case rate		830	100			Fee schedule		203.35	194.12	1564.2	
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s)"	71550	CPT	Outpatient			1738	1129.7		90			Percent of total billed charges		1564.2	95.46			Fee schedule		194.12	80			Percent of total billed charges		1390.4	90			Percent of total billed charges		1564.2	100			Fee schedule		203.35	85			Percent of total billed charges		1477.3	100			Fee schedule		203.35	100			Fee schedule		203.35	100			Fee schedule		203.35	100			Fee schedule		203.35		830		Case rate		830		830		Case rate		830	100			Fee schedule		203.35	194.12	1564.2	
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s)"	72195	CPT	Outpatient			1738	1129.7		90			Percent of total billed charges		1564.2	95.46			Fee schedule		194.12	80			Percent of total billed charges		1390.4	90			Percent of total billed charges		1564.2	100			Fee schedule		203.35	85			Percent of total billed charges		1477.3	100			Fee schedule		203.35	100			Fee schedule		203.35	100			Fee schedule		203.35	100			Fee schedule		203.35		830		Case rate		830		830		Case rate		830	100			Fee schedule		203.35	194.12	1564.2	
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material"	72141	CPT	Outpatient			1738	1129.7		90			Percent of total billed charges		1564.2	95.46			Fee schedule		194.12	80			Percent of total billed charges		1390.4	90			Percent of total billed charges		1564.2	100			Fee schedule		203.35	85			Percent of total billed charges		1477.3	100			Fee schedule		203.35	100			Fee schedule		203.35	100			Fee schedule		203.35	100			Fee schedule		203.35		830		Case rate		830		830		Case rate		830	100			Fee schedule		203.35	194.12	1564.2	
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; without contrast material"	72148	CPT	Outpatient			1738	1129.7		90			Percent of total billed charges		1564.2	95.46			Fee schedule		194.12	80			Percent of total billed charges		1390.4	90			Percent of total billed charges		1564.2	100			Fee schedule		203.35	85			Percent of total billed charges		1477.3	100			Fee schedule		203.35	100			Fee schedule		203.35	100			Fee schedule		203.35	100			Fee schedule		203.35		830		Case rate		830		830		Case rate		830	100			Fee schedule		203.35	194.12	1564.2	
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; without contrast material"	72146	CPT	Outpatient			1738	1129.7		90			Percent of total billed charges		1564.2	95.46			Fee schedule		194.12	80			Percent of total billed charges		1390.4	90			Percent of total billed charges		1564.2	100			Fee schedule		203.35	85			Percent of total billed charges		1477.3	100			Fee schedule		203.35	100			Fee schedule		203.35	100			Fee schedule		203.35	100			Fee schedule		203.35		830		Case rate		830		830		Case rate		830	100			Fee schedule		203.35	194.12	1564.2	
"Magnetic resonance (eg, proton) imaging, temporomandibular joint(s)"	70336	CPT	Outpatient			1738	1129.7		90			Percent of total billed charges		1564.2	95.46			Fee schedule		194.12	80			Percent of total billed charges		1390.4	90			Percent of total billed charges		1564.2	100			Fee schedule		203.35	85			Percent of total billed charges		1477.3	100			Fee schedule		203.35	100			Fee schedule		203.35	100			Fee schedule		203.35	100			Fee schedule		203.35		830		Case rate		830		830		Case rate		830	100			Fee schedule		203.35	194.12	1564.2	
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s)"	73218	CPT	Outpatient			1738	1129.7		90			Percent of total billed charges		1564.2	95.46			Fee schedule		194.12	80			Percent of total billed charges		1390.4	90			Percent of total billed charges		1564.2	100			Fee schedule		203.35	85			Percent of total billed charges		1477.3	100			Fee schedule		203.35	100			Fee schedule		203.35	100			Fee schedule		203.35	100			Fee schedule		203.35		830		Case rate		830		830		Case rate		830	100			Fee schedule		203.35	194.12	1564.2	
"Magnetic resonance angiography, head; without contrast material(s)"	70544	CPT	Outpatient			1738	1129.7		90			Percent of total billed charges		1564.2	95.46			Fee schedule		194.12	80			Percent of total billed charges		1390.4	90			Percent of total billed charges		1564.2	100			Fee schedule		203.35	85			Percent of total billed charges		1477.3	100			Fee schedule		203.35	100			Fee schedule		203.35	100			Fee schedule		203.35	100			Fee schedule		203.35		830		Case rate		830		830		Case rate		830	100			Fee schedule		203.35	194.12	1564.2	
"Magnetic resonance angiography, neck; without contrast material(s)"	70547	CPT	Outpatient			1738	1129.7		90			Percent of total billed charges		1564.2	95.46			Fee schedule		194.12	80			Percent of total billed charges		1390.4	90			Percent of total billed charges		1564.2	100			Fee schedule		203.35	85			Percent of total billed charges		1477.3	100			Fee schedule		203.35	100			Fee schedule		203.35	100			Fee schedule		203.35	100			Fee schedule		203.35		830		Case rate		830		830		Case rate		830	100			Fee schedule		203.35	194.12	1564.2	
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s)"	74181	CPT	Outpatient			1738	1129.7		90			Percent of total billed charges		1564.2	95.46			Fee schedule		194.12	80			Percent of total billed charges		1390.4	90			Percent of total billed charges		1564.2	100			Fee schedule		203.35	85			Percent of total billed charges		1477.3	100			Fee schedule		203.35	100			Fee schedule		203.35	100			Fee schedule		203.35	100			Fee schedule		203.35		830		Case rate		830		830		Case rate		830	100			Fee schedule		203.35	194.12	1564.2	
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material"	73721	CPT	Outpatient			1738	1129.7		90			Percent of total billed charges		1564.2	95.46			Fee schedule		194.12	80			Percent of total billed charges		1390.4	90			Percent of total billed charges		1564.2	100			Fee schedule		203.35	85			Percent of total billed charges		1477.3	100			Fee schedule		203.35	100			Fee schedule		203.35	100			Fee schedule		203.35	100			Fee schedule		203.35		830		Case rate		830		830		Case rate		830	100			Fee schedule		203.35	194.12	1564.2	
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material"	70551	CPT	Outpatient			1738	1129.7		90			Percent of total billed charges		1564.2	95.46			Fee schedule		194.12	80			Percent of total billed charges		1390.4	90			Percent of total billed charges		1564.2	100			Fee schedule		203.35	85			Percent of total billed charges		1477.3	100			Fee schedule		203.35	100			Fee schedule		203.35	100			Fee schedule		203.35	100			Fee schedule		203.35		830		Case rate		830		830		Case rate		830	100			Fee schedule		203.35	194.12	1564.2	
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s)"	73718	CPT	Outpatient			1738	1129.7		90			Percent of total billed charges		1564.2	95.46			Fee schedule		194.12	80			Percent of total billed charges		1390.4	90			Percent of total billed charges		1564.2	100			Fee schedule		203.35	85			Percent of total billed charges		1477.3	100			Fee schedule		203.35	100			Fee schedule		203.35	100			Fee schedule		203.35	100			Fee schedule		203.35		830		Case rate		830		830		Case rate		830	100			Fee schedule		203.35	194.12	1564.2	
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s)"	70540	CPT	Outpatient			1738	1129.7		90			Percent of total billed charges		1564.2	95.46			Fee schedule		194.12	80			Percent of total billed charges		1390.4	90			Percent of total billed charges		1564.2	100			Fee schedule		203.35	85			Percent of total billed charges		1477.3	100			Fee schedule		203.35	100			Fee schedule		203.35	100			Fee schedule		203.35	100			Fee schedule		203.35		830		Case rate		830		830		Case rate		830	100			Fee schedule		203.35	194.12	1564.2	
"Magnetic resonance imaging, breast, without contrast material; bilateral"	77047	CPT	Outpatient			1738	1129.7		90			Percent of total billed charges		1564.2	95.46			Fee schedule		194.12	80			Percent of total billed charges		1390.4	90			Percent of total billed charges		1564.2	100			Fee schedule		203.35	85			Percent of total billed charges		1477.3	100			Fee schedule		203.35	100			Fee schedule		203.35	100			Fee schedule		203.35	100			Fee schedule		203.35		830		Case rate		830		830		Case rate		830	100			Fee schedule		203.35	194.12	1564.2	
"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; requiring revision of gastrostomy tract"	43763	CPT	Outpatient			160	104		90			Percent of total billed charges		144	95.46			Fee schedule		160	80			Percent of total billed charges		128	85			Percent of total billed charges		136	100			Fee schedule		205.1	85			Percent of total billed charges		136	100			Fee schedule		160	100			Fee schedule		205.1	100			Fee schedule		205.1	100			Fee schedule		205.1		216		Case rate	Use Lesser of logic	160		216		Case rate	Use Lesser of logic	160	100			Fee schedule		205.1	128	205.1	
"Dilation of urethral stricture by passage of sound or urethral dilator, male; initial"	53600	CPT	Outpatient			170	110.5		90			Percent of total billed charges		153	95.46			Fee schedule		170	80			Percent of total billed charges		136	85			Percent of total billed charges		144.5	100			Fee schedule		205.1	85			Percent of total billed charges		144.5	100			Fee schedule		170	100			Fee schedule		205.1	100			Fee schedule		205.1	100			Fee schedule		205.1		216		Case rate	Use Lesser of logic	170		216		Case rate	Use Lesser of logic	170	100			Fee schedule		205.1	136	205.1	
"Injection of corpora cavernosa with pharmacologic agent(s) (eg, papaverine, phentolamine)"	54235	CPT	Outpatient			175	113.75		90			Percent of total billed charges		157.5	95.46			Fee schedule		175	80			Percent of total billed charges		140	85			Percent of total billed charges		148.75	100			Fee schedule		205.1	85			Percent of total billed charges		148.75	100			Fee schedule		175	100			Fee schedule		205.1	100			Fee schedule		205.1	100			Fee schedule		205.1		216		Case rate	Use Lesser of logic	175		216		Case rate	Use Lesser of logic	175	100			Fee schedule		205.1	140	205.1	
Foreskin manipulation including lysis of preputial adhesions and stretching	54450	CPT	Outpatient			195	126.75		90			Percent of total billed charges		175.5	95.46			Fee schedule		195	80			Percent of total billed charges		156	85			Percent of total billed charges		165.75	100			Fee schedule		205.1	85			Percent of total billed charges		165.75	100			Fee schedule		195	100			Fee schedule		205.1	100			Fee schedule		205.1	100			Fee schedule		205.1		216		Case rate	Use Lesser of logic	195		216		Case rate	Use Lesser of logic	195	100			Fee schedule		205.1	156	205.1	
Aspiration of bladder; by needle	51100	CPT	Outpatient			200	130		90			Percent of total billed charges		180	95.46			Fee schedule		195.79	80			Percent of total billed charges		160	85			Percent of total billed charges		170	100			Fee schedule		205.1	85			Percent of total billed charges		170	100			Fee schedule		200	100			Fee schedule		205.1	100			Fee schedule		205.1	100			Fee schedule		205.1		756		Case rate	Use Lesser of logic	200		756		Case rate	Use Lesser of logic	200	100			Fee schedule		205.1	160	205.1	
"Dilation of urethral stricture by passage of filiform and follower, male; subsequent"	53621	CPT	Outpatient			205	133.25		90			Percent of total billed charges		184.5	95.46			Fee schedule		195.79	80			Percent of total billed charges		164	85			Percent of total billed charges		174.25	100			Fee schedule		205.1	85			Percent of total billed charges		174.25	100			Fee schedule		205	100			Fee schedule		205.1	100			Fee schedule		205.1	100			Fee schedule		205.1		216		Case rate	Use Lesser of logic	205		216		Case rate	Use Lesser of logic	205	100			Fee schedule		205.1	164	205.1	
"Repositioning of a naso- or oro-gastric feeding tube, through the duodenum for enteric nutrition"	43761	CPT	Outpatient			245	159.25		90			Percent of total billed charges		220.5	95.46			Fee schedule		195.79	80			Percent of total billed charges		196	85			Percent of total billed charges		208.25	100			Fee schedule		205.1	85			Percent of total billed charges		208.25	100			Fee schedule		205.1	100			Fee schedule		205.1	100			Fee schedule		205.1	100			Fee schedule		205.1		216		Case rate		216		216		Case rate		216	100			Fee schedule		205.1	195.79	220.5	
"Bladder irrigation, simple, lavage and/or instillation"	51700	CPT	Outpatient			295	191.75		90			Percent of total billed charges		265.5	95.46			Fee schedule		195.79	80			Percent of total billed charges		236	85			Percent of total billed charges		250.75	100			Fee schedule		205.1	85			Percent of total billed charges		250.75	100			Fee schedule		205.1	100			Fee schedule		205.1	100			Fee schedule		205.1	100			Fee schedule		205.1		216		Case rate		216		216		Case rate		216	100			Fee schedule		205.1	195.79	265.5	
Change of cystostomy tube; simple	51705	CPT	Outpatient			315	204.75		90			Percent of total billed charges		283.5	95.46			Fee schedule		195.79	80			Percent of total billed charges		252	85			Percent of total billed charges		267.75	100			Fee schedule		205.1	85			Percent of total billed charges		267.75	100			Fee schedule		205.1	100			Fee schedule		205.1	100			Fee schedule		205.1	100			Fee schedule		205.1		216		Case rate		216		216		Case rate		216	100			Fee schedule		205.1	195.79	283.5	
Injection procedure for Peyronie disease	54200	CPT	Outpatient			335	217.75		90			Percent of total billed charges		301.5	95.46			Fee schedule		195.79	80			Percent of total billed charges		268	85			Percent of total billed charges		284.75	100			Fee schedule		205.1	85			Percent of total billed charges		284.75	100			Fee schedule		205.1	100			Fee schedule		205.1	100			Fee schedule		205.1	100			Fee schedule		205.1		216		Case rate		216		216		Case rate		216	100			Fee schedule		205.1	195.79	301.5	
Irrigation of corpora cavernosa for priapism	54220	CPT	Outpatient			335	217.75		90			Percent of total billed charges		301.5	95.46			Fee schedule		195.79	80			Percent of total billed charges		268	85			Percent of total billed charges		284.75	100			Fee schedule		205.1	85			Percent of total billed charges		284.75	100			Fee schedule		205.1	100			Fee schedule		205.1	100			Fee schedule		205.1	100			Fee schedule		205.1		216		Case rate		216		216		Case rate		216	100			Fee schedule		205.1	195.79	301.5	
Nocturnal penile tumescence and/or rigidity test	54250	CPT	Outpatient			365	237.25		90			Percent of total billed charges		328.5	95.46			Fee schedule		195.79	80			Percent of total billed charges		292	85			Percent of total billed charges		310.25	100			Fee schedule		205.1	85			Percent of total billed charges		310.25	100			Fee schedule		205.1	100			Fee schedule		205.1	100			Fee schedule		205.1	100			Fee schedule		205.1		216		Case rate		216		216		Case rate		216	100			Fee schedule		205.1	195.79	328.5	
"Instillation(s) of therapeutic agent into renal pelvis and/or ureter through established nephrostomy, pyelostomy or ureterostomy tube (eg, anticarcinogenic or antifungal agent)"	50391	CPT	Outpatient			380	247		90			Percent of total billed charges		342	95.46			Fee schedule		195.79	80			Percent of total billed charges		304	85			Percent of total billed charges		323	100			Fee schedule		205.1	85			Percent of total billed charges		323	100			Fee schedule		205.1	100			Fee schedule		205.1	100			Fee schedule		205.1	100			Fee schedule		205.1		216		Case rate		216		216		Case rate		216	100			Fee schedule		205.1	195.79	342	
"Incision of thrombosed hemorrhoid, external"	46083	CPT	Outpatient			510	331.5		90			Percent of total billed charges		459	95.46			Fee schedule		195.79	80			Percent of total billed charges		408	85			Percent of total billed charges		433.5	100			Fee schedule		205.1	85			Percent of total billed charges		433.5	100			Fee schedule		205.1	100			Fee schedule		205.1	100			Fee schedule		205.1	100			Fee schedule		205.1		216		Case rate		216		216		Case rate		216	100			Fee schedule		205.1	195.79	459	
"Unlisted procedure, urinary system"	53899	CPT	Outpatient			547	355.55		90			Percent of total billed charges		492.3	95.46			Fee schedule		195.79	80			Percent of total billed charges		437.6	85			Percent of total billed charges		464.95	100			Fee schedule		205.1	85			Percent of total billed charges		464.95	100			Fee schedule		205.1	100			Fee schedule		205.1	100			Fee schedule		205.1	100			Fee schedule		205.1		216		Case rate		216		216		Case rate		216	100			Fee schedule		205.1	195.79	492.3	
"Replacement of gastrostomy tube, percutaneous, includes removal, when performed, without imaging or endoscopic guidance; not requiring revision of gastrostomy tract"	43762	CPT	Outpatient			735	477.75		90			Percent of total billed charges		661.5	95.46			Fee schedule		195.79	80			Percent of total billed charges		588	85			Percent of total billed charges		624.75	100			Fee schedule		205.1	85			Percent of total billed charges		624.75	100			Fee schedule		205.1	100			Fee schedule		205.1	100			Fee schedule		205.1	100			Fee schedule		205.1		216		Case rate		216		216		Case rate		216	100			Fee schedule		205.1	195.79	661.5	
"Complex cystometrogram (ie, calibrated electronic equipment)"	51726	CPT	Outpatient			650	422.5		90			Percent of total billed charges		585	95.46			Fee schedule		195.79	80			Percent of total billed charges		520	85			Percent of total billed charges		552.5	100			Fee schedule		205.1	85			Percent of total billed charges		552.5	100			Fee schedule		205.1	100			Fee schedule		205.1	100			Fee schedule		205.1	100			Fee schedule		205.1		756		Case rate	Use Lesser of logic	650		756		Case rate	Use Lesser of logic	650	100			Fee schedule		205.1	195.79	650	
"Radiopharmaceutical therapy, by oral administration"	79005	CPT	Outpatient			576	374.4		90			Percent of total billed charges		518.4	95.46			Fee schedule		197.09	80			Percent of total billed charges		460.8	90			Percent of total billed charges		518.4	100			Fee schedule		206.46	85			Percent of total billed charges		489.6	100			Fee schedule		206.46	100			Fee schedule		206.46	100			Fee schedule		206.46	100			Fee schedule		206.46		416		Case rate		416		416		Case rate		416	100			Fee schedule		206.46	197.09	518.4	
"Injection, cabazitaxel, 1 mg"	J9043	HCPCS	Outpatient	1	ME	884.51	574.93		90			Percent of total billed charges		796.06	95.46			Fee schedule		202.14	80			Percent of total billed charges		707.61	90			Percent of total billed charges		796.06	100			Fee schedule		211.76	85			Percent of total billed charges		751.83	100			Fee schedule		211.76	100			Fee schedule		211.76	100			Fee schedule		211.76	100			Fee schedule		211.76		178.41		Case rate		178.41		178.41		Case rate		178.41	100			Fee schedule		211.76	178.41	796.06	
"Removal or bivalving; gauntlet, boot or body cast"	29700	CPT	Outpatient			135	87.75		90			Percent of total billed charges		121.5	95.46			Fee schedule		135	80			Percent of total billed charges		108	85			Percent of total billed charges		114.75	100			Fee schedule		222.87	85			Percent of total billed charges		114.75	100			Fee schedule		135	100			Fee schedule		222.87	100			Fee schedule		222.87	100			Fee schedule		222.87		216		Case rate	Use Lesser of logic	135		216		Case rate	Use Lesser of logic	135	100			Fee schedule		222.87	108	222.87	
"Application, cast; shoulder to hand (long arm)"	29065	CPT	Outpatient			195	126.75		90			Percent of total billed charges		175.5	95.46			Fee schedule		195	80			Percent of total billed charges		156	85			Percent of total billed charges		165.75	100			Fee schedule		222.87	85			Percent of total billed charges		165.75	100			Fee schedule		195	100			Fee schedule		222.87	100			Fee schedule		222.87	100			Fee schedule		222.87		216		Case rate	Use Lesser of logic	195		216		Case rate	Use Lesser of logic	195	100			Fee schedule		222.87	156	222.87	
Removal or bivalving; full arm or full leg cast	29705	CPT	Outpatient			195	126.75		90			Percent of total billed charges		175.5	95.46			Fee schedule		195	80			Percent of total billed charges		156	85			Percent of total billed charges		165.75	100			Fee schedule		222.87	85			Percent of total billed charges		165.75	100			Fee schedule		195	100			Fee schedule		222.87	100			Fee schedule		222.87	100			Fee schedule		222.87		216		Case rate	Use Lesser of logic	195		216		Case rate	Use Lesser of logic	195	100			Fee schedule		222.87	156	222.87	
"Application, cast; elbow to finger (short arm)"	29075	CPT	Outpatient			205	133.25		90			Percent of total billed charges		184.5	95.46			Fee schedule		205	80			Percent of total billed charges		164	85			Percent of total billed charges		174.25	100			Fee schedule		222.87	85			Percent of total billed charges		174.25	100			Fee schedule		205	100			Fee schedule		222.87	100			Fee schedule		222.87	100			Fee schedule		222.87		216		Case rate	Use Lesser of logic	205		216		Case rate	Use Lesser of logic	205	100			Fee schedule		222.87	164	222.87	
"Removal or bivalving; shoulder or hip spica, Minerva, or Risser jacket, etc."	29710	CPT	Outpatient			210	136.5		90			Percent of total billed charges		189	95.46			Fee schedule		210	80			Percent of total billed charges		168	85			Percent of total billed charges		178.5	100			Fee schedule		222.87	85			Percent of total billed charges		178.5	100			Fee schedule		210	100			Fee schedule		222.87	100			Fee schedule		222.87	100			Fee schedule		222.87		216		Case rate	Use Lesser of logic	210		216		Case rate	Use Lesser of logic	210	100			Fee schedule		222.87	168	222.87	
Closed treatment of interphalangeal joint dislocation; requiring anesthesia	28665	CPT	Outpatient			275	178.75		90			Percent of total billed charges		247.5	95.46			Fee schedule		212.75	80			Percent of total billed charges		220	85			Percent of total billed charges		233.75	100			Fee schedule		222.87	85			Percent of total billed charges		233.75	100			Fee schedule		222.87	100			Fee schedule		222.87	100			Fee schedule		222.87	100			Fee schedule		222.87		216		Case rate		216		216		Case rate		216	100			Fee schedule		222.87	212.75	247.5	
Application of long leg cast (thigh to toes)	29345	CPT	Outpatient			305	198.25		90			Percent of total billed charges		274.5	95.46			Fee schedule		212.75	80			Percent of total billed charges		244	85			Percent of total billed charges		259.25	100			Fee schedule		222.87	85			Percent of total billed charges		259.25	100			Fee schedule		222.87	100			Fee schedule		222.87	100			Fee schedule		222.87	100			Fee schedule		222.87		216		Case rate		216		216		Case rate		216	100			Fee schedule		222.87	212.75	274.5	
Application of cylinder cast (thigh to ankle)	29365	CPT	Outpatient			320	208		90			Percent of total billed charges		288	95.46			Fee schedule		212.75	80			Percent of total billed charges		256	85			Percent of total billed charges		272	100			Fee schedule		222.87	85			Percent of total billed charges		272	100			Fee schedule		222.87	100			Fee schedule		222.87	100			Fee schedule		222.87	100			Fee schedule		222.87		216		Case rate		216		216		Case rate		216	100			Fee schedule		222.87	212.75	288	
Application of hip spica cast; 1 leg	29305	CPT	Outpatient			350	227.5		90			Percent of total billed charges		315	95.46			Fee schedule		212.75	80			Percent of total billed charges		280	85			Percent of total billed charges		297.5	100			Fee schedule		222.87	85			Percent of total billed charges		297.5	100			Fee schedule		222.87	100			Fee schedule		222.87	100			Fee schedule		222.87	100			Fee schedule		222.87		216		Case rate		216		216		Case rate		216	100			Fee schedule		222.87	212.75	315	
"Closed treatment of interphalangeal joint dislocation, single, with manipulation; requiring anesthesia"	26775	CPT	Outpatient			595	386.75		90			Percent of total billed charges		535.5	95.46			Fee schedule		212.75	80			Percent of total billed charges		476	85			Percent of total billed charges		505.75	100			Fee schedule		222.87	85			Percent of total billed charges		505.75	100			Fee schedule		222.87	100			Fee schedule		222.87	100			Fee schedule		222.87	100			Fee schedule		222.87		216		Case rate		216		216		Case rate		216	100			Fee schedule		222.87	212.75	535.5	
Application of short leg cast (below knee to toes)	29405	CPT	Outpatient			608	395.2		90			Percent of total billed charges		547.2	95.46			Fee schedule		212.75	80			Percent of total billed charges		486.4	85			Percent of total billed charges		516.8	100			Fee schedule		222.87	85			Percent of total billed charges		516.8	100			Fee schedule		222.87	100			Fee schedule		222.87	100			Fee schedule		222.87	100			Fee schedule		222.87		216		Case rate		216		216		Case rate		216	100			Fee schedule		222.87	212.75	547.2	
Application of short leg cast (below knee to toes); walking or ambulatory type	29425	CPT	Outpatient			608	395.2		90			Percent of total billed charges		547.2	95.46			Fee schedule		212.75	80			Percent of total billed charges		486.4	85			Percent of total billed charges		516.8	100			Fee schedule		222.87	85			Percent of total billed charges		516.8	100			Fee schedule		222.87	100			Fee schedule		222.87	100			Fee schedule		222.87	100			Fee schedule		222.87		216		Case rate		216		216		Case rate		216	100			Fee schedule		222.87	212.75	547.2	
Application of rigid total contact leg cast	29445	CPT	Outpatient			670	435.5		90			Percent of total billed charges		603	95.46			Fee schedule		212.75	80			Percent of total billed charges		536	85			Percent of total billed charges		569.5	100			Fee schedule		222.87	85			Percent of total billed charges		569.5	100			Fee schedule		222.87	100			Fee schedule		222.87	100			Fee schedule		222.87	100			Fee schedule		222.87		216		Case rate		216		216		Case rate		216	100			Fee schedule		222.87	212.75	603	
"Injection, eculizumab, 10 mg"	J1300	HCPCS	Outpatient	10	ME	175.84	114.3		90			Percent of total billed charges		158.26	95.46			Fee schedule		175.84	80			Percent of total billed charges		140.67	90			Percent of total billed charges		158.26	100			Fee schedule		225.7	85			Percent of total billed charges		149.47	100			Fee schedule		175.84	100			Fee schedule		225.7	100			Fee schedule		225.7	100			Fee schedule		225.7		244.31		Case rate		244.31		244.31		Case rate		244.31	100			Fee schedule		225.7	140.67	244.31	
"Injection, brentuximab vedotin, 1 mg"	J9042	HCPCS	Outpatient	1	ME	670.83	436.04		90			Percent of total billed charges		603.74	95.46			Fee schedule		220.27	80			Percent of total billed charges		536.66	90			Percent of total billed charges		603.74	100			Fee schedule		230.74	85			Percent of total billed charges		570.2	100			Fee schedule		230.74	100			Fee schedule		230.74	100			Fee schedule		230.74	100			Fee schedule		230.74		166.12		Case rate		166.12		166.12		Case rate		166.12	100			Fee schedule		230.74	166.12	603.74	
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making"	99283	CPT	Outpatient			430	279.5		90			Percent of total billed charges		387	95.46			Fee schedule		226.03	80			Percent of total billed charges		344	90			Percent of total billed charges		387	100			Fee schedule		236.78	85			Percent of total billed charges		365.5	100			Fee schedule		236.78	100			Fee schedule		236.78	100			Fee schedule		236.78	100			Fee schedule		236.78		458		Case rate	Use Lesser of logic	430		458		Case rate	Use Lesser of logic	430	100			Fee schedule		236.78	226.03	430	
"Azathioprine, parenteral, 100 mg"	J7501	HCPCS	Outpatient	100	ME	1117	726.05		90			Percent of total billed charges		1005.3	95.46			Fee schedule		230.56	80			Percent of total billed charges		893.6	90			Percent of total billed charges		1005.3	100			Fee schedule		241.53	85			Percent of total billed charges		949.45	100			Fee schedule		241.53	100			Fee schedule		241.53	100			Fee schedule		241.53	100			Fee schedule		241.53		253.22		Case rate		253.22		253.22		Case rate		253.22	100			Fee schedule		241.53	230.56	1005.3	
Excision of chalazion; single	67800	CPT	Outpatient			350	227.5		90			Percent of total billed charges		315	95.46			Fee schedule		230.78	80			Percent of total billed charges		280	85			Percent of total billed charges		297.5	100			Fee schedule		241.75	85			Percent of total billed charges		297.5	100			Fee schedule		241.75	100			Fee schedule		241.75	100			Fee schedule		241.75	100			Fee schedule		241.75		216		Case rate		216		216		Case rate		216	100			Fee schedule		241.75	216	315	
Chemodenervation of extraocular muscle	67345	CPT	Outpatient			490	318.5		90			Percent of total billed charges		441	95.46			Fee schedule		230.78	80			Percent of total billed charges		392	85			Percent of total billed charges		416.5	100			Fee schedule		241.75	85			Percent of total billed charges		416.5	100			Fee schedule		241.75	100			Fee schedule		241.75	100			Fee schedule		241.75	100			Fee schedule		241.75		216		Case rate		216		216		Case rate		216	100			Fee schedule		241.75	216	441	
Incisional biopsy of eyelid skin including lid margin	67810	CPT	Outpatient			630	409.5		90			Percent of total billed charges		567	95.46			Fee schedule		230.78	80			Percent of total billed charges		504	85			Percent of total billed charges		535.5	100			Fee schedule		241.75	85			Percent of total billed charges		535.5	100			Fee schedule		241.75	100			Fee schedule		241.75	100			Fee schedule		241.75	100			Fee schedule		241.75		216		Case rate		216		216		Case rate		216	100			Fee schedule		241.75	216	567	
"Removal of embedded foreign body, eyelid"	67938	CPT	Outpatient			675	438.75		90			Percent of total billed charges		607.5	95.46			Fee schedule		230.78	80			Percent of total billed charges		540	85			Percent of total billed charges		573.75	100			Fee schedule		241.75	85			Percent of total billed charges		573.75	100			Fee schedule		241.75	100			Fee schedule		241.75	100			Fee schedule		241.75	100			Fee schedule		241.75		216		Case rate		216		216		Case rate		216	100			Fee schedule		241.75	216	607.5	
"Unlisted procedure, lacrimal system"	68899	CPT	Outpatient			1660	1079		90			Percent of total billed charges		1494	95.46			Fee schedule		230.78	80			Percent of total billed charges		1328	85			Percent of total billed charges		1411	100			Fee schedule		241.75	85			Percent of total billed charges		1411	100			Fee schedule		241.75	100			Fee schedule		241.75	100			Fee schedule		241.75	100			Fee schedule		241.75		216		Case rate		216		216		Case rate		216	100			Fee schedule		241.75	216	1494	
Aspiration and/or injection of ganglion cyst(s) any location	20612	CPT	Outpatient			115	74.75		90			Percent of total billed charges		103.5	95.46			Fee schedule		115	80			Percent of total billed charges		92	85			Percent of total billed charges		97.75	100			Fee schedule		245.8	85			Percent of total billed charges		97.75	100			Fee schedule		115	100			Fee schedule		245.8	100			Fee schedule		245.8	100			Fee schedule		245.8		216		Case rate	Use Lesser of logic	115		216		Case rate	Use Lesser of logic	115	100			Fee schedule		245.8	92	245.8	
"Injection(s), anesthetic agent(s) and/or steroid; plantar common digital nerve(s) (eg, Morton's neuroma)"	64455	CPT	Outpatient			120	78		90			Percent of total billed charges		108	95.46			Fee schedule		120	80			Percent of total billed charges		96	85			Percent of total billed charges		102	100			Fee schedule		245.8	85			Percent of total billed charges		102	100			Fee schedule		120	100			Fee schedule		245.8	100			Fee schedule		245.8	100			Fee schedule		245.8		216		Case rate	Use Lesser of logic	120		216		Case rate	Use Lesser of logic	120	100			Fee schedule		245.8	96	245.8	
"Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s)"	20552	CPT	Outpatient			130	84.5		90			Percent of total billed charges		117	95.46			Fee schedule		130	80			Percent of total billed charges		104	85			Percent of total billed charges		110.5	100			Fee schedule		245.8	85			Percent of total billed charges		110.5	100			Fee schedule		130	100			Fee schedule		245.8	100			Fee schedule		245.8	100			Fee schedule		245.8		216		Case rate	Use Lesser of logic	130		216		Case rate	Use Lesser of logic	130	100			Fee schedule		245.8	104	245.8	
Injection(s); single tendon origin/insertion	20551	CPT	Outpatient			131	85.15		90			Percent of total billed charges		117.9	95.46			Fee schedule		131	80			Percent of total billed charges		104.8	85			Percent of total billed charges		111.35	100			Fee schedule		245.8	85			Percent of total billed charges		111.35	100			Fee schedule		131	100			Fee schedule		245.8	100			Fee schedule		245.8	100			Fee schedule		245.8		216		Case rate	Use Lesser of logic	131		216		Case rate	Use Lesser of logic	131	100			Fee schedule		245.8	104.8	245.8	
"Injection(s); single or multiple trigger point(s), 3 or more muscles"	20553	CPT	Outpatient			145	94.25		90			Percent of total billed charges		130.5	95.46			Fee schedule		145	80			Percent of total billed charges		116	85			Percent of total billed charges		123.25	100			Fee schedule		245.8	85			Percent of total billed charges		123.25	100			Fee schedule		145	100			Fee schedule		245.8	100			Fee schedule		245.8	100			Fee schedule		245.8		216		Case rate	Use Lesser of logic	145		216		Case rate	Use Lesser of logic	145	100			Fee schedule		245.8	116	245.8	
Chemodenervation of eccrine glands; both axillae	64650	CPT	Outpatient			150	97.5		90			Percent of total billed charges		135	95.46			Fee schedule		150	80			Percent of total billed charges		120	85			Percent of total billed charges		127.5	100			Fee schedule		245.8	85			Percent of total billed charges		127.5	100			Fee schedule		150	100			Fee schedule		245.8	100			Fee schedule		245.8	100			Fee schedule		245.8		216		Case rate	Use Lesser of logic	150		216		Case rate	Use Lesser of logic	150	100			Fee schedule		245.8	120	245.8	
"Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar fascia)"	20550	CPT	Outpatient			150	97.5		90			Percent of total billed charges		135	95.46			Fee schedule		150	80			Percent of total billed charges		120	85			Percent of total billed charges		127.5	100			Fee schedule		245.8	85			Percent of total billed charges		127.5	100			Fee schedule		150	100			Fee schedule		245.8	100			Fee schedule		245.8	100			Fee schedule		245.8		216		Case rate	Use Lesser of logic	150		216		Case rate	Use Lesser of logic	150	100			Fee schedule		245.8	120	245.8	
"Injection, therapeutic (eg, local anesthetic, corticosteroid), carpal tunnel"	20526	CPT	Outpatient			160	104		90			Percent of total billed charges		144	95.46			Fee schedule		160	80			Percent of total billed charges		128	85			Percent of total billed charges		136	100			Fee schedule		245.8	85			Percent of total billed charges		136	100			Fee schedule		160	100			Fee schedule		245.8	100			Fee schedule		245.8	100			Fee schedule		245.8		216		Case rate	Use Lesser of logic	160		216		Case rate	Use Lesser of logic	160	100			Fee schedule		245.8	128	245.8	
"Chemodenervation of eccrine glands; other area(s) (eg, scalp, face, neck), per day"	64653	CPT	Outpatient			175	113.75		90			Percent of total billed charges		157.5	95.46			Fee schedule		175	80			Percent of total billed charges		140	85			Percent of total billed charges		148.75	100			Fee schedule		245.8	85			Percent of total billed charges		148.75	100			Fee schedule		175	100			Fee schedule		245.8	100			Fee schedule		245.8	100			Fee schedule		245.8		216		Case rate	Use Lesser of logic	175		216		Case rate	Use Lesser of logic	175	100			Fee schedule		245.8	140	245.8	
Destruction by neurolytic agent; plantar common digital nerve	64632	CPT	Outpatient			210	136.5		90			Percent of total billed charges		189	95.46			Fee schedule		210	80			Percent of total billed charges		168	85			Percent of total billed charges		178.5	100			Fee schedule		245.8	85			Percent of total billed charges		178.5	100			Fee schedule		210	100			Fee schedule		245.8	100			Fee schedule		245.8	100			Fee schedule		245.8		216		Case rate	Use Lesser of logic	210		216		Case rate	Use Lesser of logic	210	100			Fee schedule		245.8	168	245.8	
"Unlisted procedure, nervous system"	64999	CPT	Outpatient			250	162.5		90			Percent of total billed charges		225	95.46			Fee schedule		234.64	80			Percent of total billed charges		200	85			Percent of total billed charges		212.5	100			Fee schedule		245.8	85			Percent of total billed charges		212.5	100			Fee schedule		245.8	100			Fee schedule		245.8	100			Fee schedule		245.8	100			Fee schedule		245.8		216		Case rate		216		216		Case rate		216	100			Fee schedule		245.8	200	245.8	
"Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); without ultrasound guidance"	20605	CPT	Outpatient			253	164.45		90			Percent of total billed charges		227.7	95.46			Fee schedule		234.64	80			Percent of total billed charges		202.4	85			Percent of total billed charges		215.05	100			Fee schedule		245.8	85			Percent of total billed charges		215.05	100			Fee schedule		245.8	100			Fee schedule		245.8	100			Fee schedule		245.8	100			Fee schedule		245.8		216		Case rate		216		216		Case rate		216	100			Fee schedule		245.8	202.4	245.8	
"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance"	20610	CPT	Outpatient			253	164.45		90			Percent of total billed charges		227.7	95.46			Fee schedule		234.64	80			Percent of total billed charges		202.4	85			Percent of total billed charges		215.05	100			Fee schedule		245.8	85			Percent of total billed charges		215.05	100			Fee schedule		245.8	100			Fee schedule		245.8	100			Fee schedule		245.8	100			Fee schedule		245.8		216		Case rate		216		216		Case rate		216	100			Fee schedule		245.8	202.4	245.8	
"Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); without ultrasound guidance"	20600	CPT	Outpatient			253	164.45		90			Percent of total billed charges		227.7	95.46			Fee schedule		234.64	80			Percent of total billed charges		202.4	85			Percent of total billed charges		215.05	100			Fee schedule		245.8	85			Percent of total billed charges		215.05	100			Fee schedule		245.8	100			Fee schedule		245.8	100			Fee schedule		245.8	100			Fee schedule		245.8		216		Case rate		216		216		Case rate		216	100			Fee schedule		245.8	202.4	245.8	
"Injection(s), anesthetic agent(s) and/or steroid; greater occipital nerve"	64405	CPT	Outpatient			290	188.5		90			Percent of total billed charges		261	95.46			Fee schedule		234.64	80			Percent of total billed charges		232	85			Percent of total billed charges		246.5	100			Fee schedule		245.8	85			Percent of total billed charges		246.5	100			Fee schedule		245.8	100			Fee schedule		245.8	100			Fee schedule		245.8	100			Fee schedule		245.8		216		Case rate		216		216		Case rate		216	100			Fee schedule		245.8	216	261	
"Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular)"	64400	CPT	Outpatient			365	237.25		90			Percent of total billed charges		328.5	95.46			Fee schedule		234.64	80			Percent of total billed charges		292	85			Percent of total billed charges		310.25	100			Fee schedule		245.8	85			Percent of total billed charges		310.25	100			Fee schedule		245.8	100			Fee schedule		245.8	100			Fee schedule		245.8	100			Fee schedule		245.8		216		Case rate		216		216		Case rate		216	100			Fee schedule		245.8	216	328.5	
"Chemodenervation of muscle(s); muscle(s) innervated by facial nerve, unilateral (eg, for blepharospasm, hemifacial spasm)"	64612	CPT	Outpatient			390	253.5		90			Percent of total billed charges		351	95.46			Fee schedule		234.64	80			Percent of total billed charges		312	85			Percent of total billed charges		331.5	100			Fee schedule		245.8	85			Percent of total billed charges		331.5	100			Fee schedule		245.8	100			Fee schedule		245.8	100			Fee schedule		245.8	100			Fee schedule		245.8		216		Case rate		216		216		Case rate		216	100			Fee schedule		245.8	216	351	
"Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis)"	64616	CPT	Outpatient			390	253.5		90			Percent of total billed charges		351	95.46			Fee schedule		234.64	80			Percent of total billed charges		312	85			Percent of total billed charges		331.5	100			Fee schedule		245.8	85			Percent of total billed charges		331.5	100			Fee schedule		245.8	100			Fee schedule		245.8	100			Fee schedule		245.8	100			Fee schedule		245.8		216		Case rate		216		216		Case rate		216	100			Fee schedule		245.8	216	351	
"Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal and accessory nerves, bilateral (eg, for chronic migraine)"	64615	CPT	Outpatient			455	295.75		90			Percent of total billed charges		409.5	95.46			Fee schedule		234.64	80			Percent of total billed charges		364	85			Percent of total billed charges		386.75	100			Fee schedule		245.8	85			Percent of total billed charges		386.75	100			Fee schedule		245.8	100			Fee schedule		245.8	100			Fee schedule		245.8	100			Fee schedule		245.8		216		Case rate		216		216		Case rate		216	100			Fee schedule		245.8	216	409.5	
"Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); with ultrasound guidance, with permanent recording and reporting"	20611	CPT	Outpatient			547	355.55		90			Percent of total billed charges		492.3	95.46			Fee schedule		234.64	80			Percent of total billed charges		437.6	85			Percent of total billed charges		464.95	100			Fee schedule		245.8	85			Percent of total billed charges		464.95	100			Fee schedule		245.8	100			Fee schedule		245.8	100			Fee schedule		245.8	100			Fee schedule		245.8		216		Case rate		216		216		Case rate		216	100			Fee schedule		245.8	216	492.3	
"Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); with ultrasound guidance, with permanent recording and reporting"	20604	CPT	Outpatient			547	355.55		90			Percent of total billed charges		492.3	95.46			Fee schedule		234.64	80			Percent of total billed charges		437.6	85			Percent of total billed charges		464.95	100			Fee schedule		245.8	85			Percent of total billed charges		464.95	100			Fee schedule		245.8	100			Fee schedule		245.8	100			Fee schedule		245.8	100			Fee schedule		245.8		216		Case rate		216		216		Case rate		216	100			Fee schedule		245.8	216	492.3	
"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); without reprogramming or refill"	62367	CPT	Outpatient			80	52		90			Percent of total billed charges		72	95.46			Fee schedule		80	80			Percent of total billed charges		64	85			Percent of total billed charges		68	100			Fee schedule		247.88	85			Percent of total billed charges		68	100			Fee schedule		80	100			Fee schedule		247.88	100			Fee schedule		247.88	100			Fee schedule		247.88		216		Case rate	Use Lesser of logic	80		216		Case rate	Use Lesser of logic	80	100			Fee schedule		247.88	64	247.88	
"Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming"	62368	CPT	Outpatient			125	81.25		90			Percent of total billed charges		112.5	95.46			Fee schedule		125	80			Percent of total billed charges		100	85			Percent of total billed charges		106.25	100			Fee schedule		247.88	85			Percent of total billed charges		106.25	100			Fee schedule		125	100			Fee schedule		247.88	100			Fee schedule		247.88	100			Fee schedule		247.88		216		Case rate	Use Lesser of logic	125		216		Case rate	Use Lesser of logic	125	100			Fee schedule		247.88	100	247.88	
"Red blood cells, leukocytes reduced, irradiated, each unit"	P9040	CPT	Outpatient			427	277.55		90			Percent of total billed charges		384.3	95.46			Fee schedule		241.02	80			Percent of total billed charges		341.6	90			Percent of total billed charges		384.3	100			Fee schedule		252.48	85			Percent of total billed charges		362.95	100			Fee schedule		252.48	100			Fee schedule		252.48	100			Fee schedule		252.48	100			Fee schedule		252.48		196		Case rate		196		196		Case rate		196	100			Fee schedule		252.48	196	384.3	
"Distortion product evoked otoacoustic emissions; limited evaluation (to confirm the presence or absence of hearing disorder, 3-6 frequencies) or transient evoked otoacoustic emissions, with interpretation and report"	92587	CPT	Outpatient			59	38.35		90			Percent of total billed charges		53.1	95.46			Fee schedule		59	80			Percent of total billed charges		47.2	90			Percent of total billed charges		53.1	100			Fee schedule		260.48	85			Percent of total billed charges		50.15	100			Fee schedule		59	100			Fee schedule		260.48	100			Fee schedule		260.48	100			Fee schedule		260.48		60		Case rate	Use Lesser of logic	59		60		Case rate	Use Lesser of logic	59	100			Fee schedule		260.48	47.2	260.48	
Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12)	95869	CPT	Outpatient			79	51.35		90			Percent of total billed charges		71.1	95.46			Fee schedule		79	80			Percent of total billed charges		63.2	90			Percent of total billed charges		71.1	100			Fee schedule		260.48	85			Percent of total billed charges		67.15	100			Fee schedule		79	100			Fee schedule		260.48	100			Fee schedule		260.48	100			Fee schedule		260.48		237		Case rate	Use Lesser of logic	79		237		Case rate	Use Lesser of logic	79	100			Fee schedule		260.48	63.2	260.48	
"Plethysmography for determination of lung volumes and, when performed, airway resistance"	94726	CPT	Outpatient			100	65		90			Percent of total billed charges		90	95.46			Fee schedule		100	80			Percent of total billed charges		80	90			Percent of total billed charges		90	100			Fee schedule		260.48	85			Percent of total billed charges		85	100			Fee schedule		100	100			Fee schedule		260.48	100			Fee schedule		260.48	100			Fee schedule		260.48		82		Case rate		82		82		Case rate		82	100			Fee schedule		260.48	80	260.48	
"Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration"	94060	CPT	Outpatient			191	124.15		90			Percent of total billed charges		171.9	95.46			Fee schedule		191	80			Percent of total billed charges		152.8	90			Percent of total billed charges		171.9	100			Fee schedule		260.48	85			Percent of total billed charges		162.35	100			Fee schedule		191	100			Fee schedule		260.48	100			Fee schedule		260.48	100			Fee schedule		260.48		82		Case rate		82		82		Case rate		82	100			Fee schedule		260.48	82	260.48	
"Needle electromyography; cranial nerve supplied muscles, bilateral"	95868	CPT	Outpatient			160	104		90			Percent of total billed charges		144	95.46			Fee schedule		160	80			Percent of total billed charges		128	90			Percent of total billed charges		144	100			Fee schedule		260.48	85			Percent of total billed charges		136	100			Fee schedule		160	100			Fee schedule		260.48	100			Fee schedule		260.48	100			Fee schedule		260.48		237		Case rate	Use Lesser of logic	160		237		Case rate	Use Lesser of logic	160	100			Fee schedule		260.48	128	260.48	
"Complex uroflowmetry (eg, calibrated electronic equipment)"	51741	CPT	Outpatient			175	113.75		90			Percent of total billed charges		157.5	95.46			Fee schedule		175	80			Percent of total billed charges		140	85			Percent of total billed charges		148.75	100			Fee schedule		260.48	85			Percent of total billed charges		148.75	100			Fee schedule		175	100			Fee schedule		260.48	100			Fee schedule		260.48	100			Fee schedule		260.48		216		Case rate	Use Lesser of logic	175		216		Case rate	Use Lesser of logic	175	100			Fee schedule		260.48	140	260.48	
"Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; tracing only, without interpretation and report"	93017	CPT	Outpatient			330	214.5		90			Percent of total billed charges		297	95.46			Fee schedule		248.66	80			Percent of total billed charges		264	90			Percent of total billed charges		297	100			Fee schedule		260.48	85			Percent of total billed charges		280.5	100			Fee schedule		260.48	100			Fee schedule		260.48	100			Fee schedule		260.48	100			Fee schedule		260.48		178		Case rate		178		178		Case rate		178	100			Fee schedule		260.48	178	297	
"Needle electromyography; cranial nerve supplied muscle(s), unilateral"	95867	CPT	Outpatient			180	117		90			Percent of total billed charges		162	95.46			Fee schedule		180	80			Percent of total billed charges		144	90			Percent of total billed charges		162	100			Fee schedule		260.48	85			Percent of total billed charges		153	100			Fee schedule		180	100			Fee schedule		260.48	100			Fee schedule		260.48	100			Fee schedule		260.48		237		Case rate	Use Lesser of logic	180		237		Case rate	Use Lesser of logic	180	100			Fee schedule		260.48	144	260.48	
"Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging)"	76936	CPT	Outpatient			1035	672.75		90			Percent of total billed charges		931.5	95.46			Fee schedule		248.66	80			Percent of total billed charges		828	90			Percent of total billed charges		931.5	100			Fee schedule		260.48	85			Percent of total billed charges		879.75	100			Fee schedule		260.48	100			Fee schedule		260.48	100			Fee schedule		260.48	100			Fee schedule		260.48		196		Case rate		196		196		Case rate		196	100			Fee schedule		260.48	196	931.5	
"Gastric intubation and aspiration(s) therapeutic, necessitating physician's skill (eg, for gastrointestinal hemorrhage), including lavage if performed"	43753	CPT	Outpatient			243	157.95		90			Percent of total billed charges		218.7	95.46			Fee schedule		243	80			Percent of total billed charges		194.4	85			Percent of total billed charges		206.55	100			Fee schedule		260.48	85			Percent of total billed charges		206.55	100			Fee schedule		243	100			Fee schedule		260.48	100			Fee schedule		260.48	100			Fee schedule		260.48		216		Case rate		216		216		Case rate		216	100			Fee schedule		260.48	194.4	260.48	
"Cardiopulmonary resuscitation (eg, in cardiac arrest)"	92950	CPT	Outpatient			266	172.9		90			Percent of total billed charges		239.4	95.46			Fee schedule		248.66	80			Percent of total billed charges		212.8	90			Percent of total billed charges		239.4	100			Fee schedule		260.48	85			Percent of total billed charges		226.1	100			Fee schedule		260.48	100			Fee schedule		260.48	100			Fee schedule		260.48	100			Fee schedule		260.48		216		Case rate		216		216		Case rate		216	100			Fee schedule		260.48	212.8	260.48	
Anorectal manometry	91122	CPT	Outpatient			829	538.85		90			Percent of total billed charges		746.1	95.46			Fee schedule		248.66	80			Percent of total billed charges		663.2	90			Percent of total billed charges		746.1	100			Fee schedule		260.48	85			Percent of total billed charges		704.65	100			Fee schedule		260.48	100			Fee schedule		260.48	100			Fee schedule		260.48	100			Fee schedule		260.48		216		Case rate		216		216		Case rate		216	100			Fee schedule		260.48	216	746.1	
Cholinesterase inhibitor challenge test for myasthenia gravis	95857	CPT	Outpatient			295	191.75		90			Percent of total billed charges		265.5	95.46			Fee schedule		248.66	80			Percent of total billed charges		236	90			Percent of total billed charges		265.5	100			Fee schedule		260.48	85			Percent of total billed charges		250.75	100			Fee schedule		260.48	100			Fee schedule		260.48	100			Fee schedule		260.48	100			Fee schedule		260.48		237		Case rate		237		237		Case rate		237	100			Fee schedule		260.48	236	265.5	
Nerve conduction studies; 3-4 studies	95908	CPT	Outpatient			301	195.65		90			Percent of total billed charges		270.9	95.46			Fee schedule		248.66	80			Percent of total billed charges		240.8	90			Percent of total billed charges		270.9	100			Fee schedule		260.48	85			Percent of total billed charges		255.85	100			Fee schedule		260.48	100			Fee schedule		260.48	100			Fee schedule		260.48	100			Fee schedule		260.48		237		Case rate		237		237		Case rate		237	100			Fee schedule		260.48	237	270.9	
Nerve conduction studies; 5-6 studies	95909	CPT	Outpatient			301	195.65		90			Percent of total billed charges		270.9	95.46			Fee schedule		248.66	80			Percent of total billed charges		240.8	90			Percent of total billed charges		270.9	100			Fee schedule		260.48	85			Percent of total billed charges		255.85	100			Fee schedule		260.48	100			Fee schedule		260.48	100			Fee schedule		260.48	100			Fee schedule		260.48		237		Case rate		237		237		Case rate		237	100			Fee schedule		260.48	237	270.9	
Nerve conduction studies; 7-8 studies	95910	CPT	Outpatient			345	224.25		90			Percent of total billed charges		310.5	95.46			Fee schedule		248.66	80			Percent of total billed charges		276	90			Percent of total billed charges		310.5	100			Fee schedule		260.48	85			Percent of total billed charges		293.25	100			Fee schedule		260.48	100			Fee schedule		260.48	100			Fee schedule		260.48	100			Fee schedule		260.48		237		Case rate		237		237		Case rate		237	100			Fee schedule		260.48	237	310.5	
Electroencephalogram (EEG); including recording awake and asleep	95819	CPT	Outpatient			310	201.5		90			Percent of total billed charges		279	95.46			Fee schedule		248.66	80			Percent of total billed charges		248	90			Percent of total billed charges		279	100			Fee schedule		260.48	85			Percent of total billed charges		263.5	100			Fee schedule		260.48	100			Fee schedule		260.48	100			Fee schedule		260.48	100			Fee schedule		260.48		268		Case rate		268		268		Case rate		268	100			Fee schedule		260.48	248	279	
Electroencephalogram (EEG) extended monitoring; 61-119 minutes	95813	CPT	Outpatient			310	201.5		90			Percent of total billed charges		279	95.46			Fee schedule		248.66	80			Percent of total billed charges		248	90			Percent of total billed charges		279	100			Fee schedule		260.48	85			Percent of total billed charges		263.5	100			Fee schedule		260.48	100			Fee schedule		260.48	100			Fee schedule		260.48	100			Fee schedule		260.48		268		Case rate		268		268		Case rate		268	100			Fee schedule		260.48	248	279	
Electroencephalogram (EEG); including recording awake and drowsy	95816	CPT	Outpatient			310	201.5		90			Percent of total billed charges		279	95.46			Fee schedule		248.66	80			Percent of total billed charges		248	90			Percent of total billed charges		279	100			Fee schedule		260.48	85			Percent of total billed charges		263.5	100			Fee schedule		260.48	100			Fee schedule		260.48	100			Fee schedule		260.48	100			Fee schedule		260.48		268		Case rate		268		268		Case rate		268	100			Fee schedule		260.48	248	279	
Electroencephalogram (EEG); recording in coma or sleep only	95822	CPT	Outpatient			310	201.5		90			Percent of total billed charges		279	95.46			Fee schedule		248.66	80			Percent of total billed charges		248	90			Percent of total billed charges		279	100			Fee schedule		260.48	85			Percent of total billed charges		263.5	100			Fee schedule		260.48	100			Fee schedule		260.48	100			Fee schedule		260.48	100			Fee schedule		260.48		268		Case rate		268		268		Case rate		268	100			Fee schedule		260.48	248	279	
Incision and drainage of vulva or perineal abscess	56405	CPT	Outpatient			163	105.95		90			Percent of total billed charges		146.7	95.46			Fee schedule		163	80			Percent of total billed charges		130.4	85			Percent of total billed charges		138.55	100			Fee schedule		266.23	85			Percent of total billed charges		138.55	100			Fee schedule		163	100			Fee schedule		266.23	100			Fee schedule		266.23	100			Fee schedule		266.23		216		Case rate	Use Lesser of logic	163		216		Case rate	Use Lesser of logic	163	100			Fee schedule		266.23	130.4	266.23	
Removal of intrauterine device (IUD)	58301	CPT	Outpatient			270	175.5		90			Percent of total billed charges		243	95.46			Fee schedule		254.14	80			Percent of total billed charges		216	85			Percent of total billed charges		229.5	100			Fee schedule		266.23	85			Percent of total billed charges		229.5	100			Fee schedule		266.23	100			Fee schedule		266.23	100			Fee schedule		266.23	100			Fee schedule		266.23		216		Case rate		216		216		Case rate		216	100			Fee schedule		266.23	216	266.23	
Colposcopy of the cervix including upper/adjacent vagina; with endocervical curettage	57456	CPT	Outpatient			275	178.75		90			Percent of total billed charges		247.5	95.46			Fee schedule		254.14	80			Percent of total billed charges		220	85			Percent of total billed charges		233.75	100			Fee schedule		266.23	85			Percent of total billed charges		233.75	100			Fee schedule		266.23	100			Fee schedule		266.23	100			Fee schedule		266.23	100			Fee schedule		266.23		216		Case rate		216		216		Case rate		216	100			Fee schedule		266.23	216	266.23	
"Colposcopy of the entire vagina, with cervix if present"	57420	CPT	Outpatient			305	198.25		90			Percent of total billed charges		274.5	95.46			Fee schedule		254.14	80			Percent of total billed charges		244	85			Percent of total billed charges		259.25	100			Fee schedule		266.23	85			Percent of total billed charges		259.25	100			Fee schedule		266.23	100			Fee schedule		266.23	100			Fee schedule		266.23	100			Fee schedule		266.23		216		Case rate		216		216		Case rate		216	100			Fee schedule		266.23	216	274.5	
"Cautery of cervix; cryocautery, initial or repeat"	57511	CPT	Outpatient			325	211.25		90			Percent of total billed charges		292.5	95.46			Fee schedule		254.14	80			Percent of total billed charges		260	85			Percent of total billed charges		276.25	100			Fee schedule		266.23	85			Percent of total billed charges		276.25	100			Fee schedule		266.23	100			Fee schedule		266.23	100			Fee schedule		266.23	100			Fee schedule		266.23		216		Case rate		216		216		Case rate		216	100			Fee schedule		266.23	216	292.5	
Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix	57455	CPT	Outpatient			365	237.25		90			Percent of total billed charges		328.5	95.46			Fee schedule		254.14	80			Percent of total billed charges		292	85			Percent of total billed charges		310.25	100			Fee schedule		266.23	85			Percent of total billed charges		310.25	100			Fee schedule		266.23	100			Fee schedule		266.23	100			Fee schedule		266.23	100			Fee schedule		266.23		216		Case rate		216		216		Case rate		216	100			Fee schedule		266.23	216	328.5	
Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage	57454	CPT	Outpatient			365	237.25		90			Percent of total billed charges		328.5	95.46			Fee schedule		254.14	80			Percent of total billed charges		292	85			Percent of total billed charges		310.25	100			Fee schedule		266.23	85			Percent of total billed charges		310.25	100			Fee schedule		266.23	100			Fee schedule		266.23	100			Fee schedule		266.23	100			Fee schedule		266.23		216		Case rate		216		216		Case rate		216	100			Fee schedule		266.23	216	328.5	
"Thrombolysis, coronary; by intravenous infusion"	92977	CPT	Outpatient			340	221		90			Percent of total billed charges		306	95.46			Fee schedule		268.29	80			Percent of total billed charges		272	90			Percent of total billed charges		306	100			Fee schedule		281.05	85			Percent of total billed charges		289	100			Fee schedule		281.05	100			Fee schedule		281.05	100			Fee schedule		281.05	100			Fee schedule		281.05		216		Case rate		216		216		Case rate		216	100			Fee schedule		281.05	216	306	
"Thrombolysis, cerebral, by intravenous infusion"	37195	CPT	Outpatient			615	399.75		90			Percent of total billed charges		553.5	95.46			Fee schedule		268.29	80			Percent of total billed charges		492	85			Percent of total billed charges		522.75	100			Fee schedule		281.05	85			Percent of total billed charges		522.75	100			Fee schedule		281.05	100			Fee schedule		281.05	100			Fee schedule		281.05	100			Fee schedule		281.05		216		Case rate		216		216		Case rate		216	100			Fee schedule		281.05	216	553.5	
Declotting by thrombolytic agent of implanted vascular access device or catheter	36593	CPT	Outpatient			623	404.95		90			Percent of total billed charges		560.7	95.46			Fee schedule		268.29	80			Percent of total billed charges		498.4	85			Percent of total billed charges		529.55	100			Fee schedule		281.05	85			Percent of total billed charges		529.55	100			Fee schedule		281.05	100			Fee schedule		281.05	100			Fee schedule		281.05	100			Fee schedule		281.05		216		Case rate		216		216		Case rate		216	100			Fee schedule		281.05	216	560.7	
"Chemotherapy administration; intravenous, push technique, single or initial substance/drug"	96409	CPT	Outpatient			234	152.1		90			Percent of total billed charges		210.6	95.46			Fee schedule		234	80			Percent of total billed charges		187.2	90			Percent of total billed charges		210.6	100			Fee schedule		281.05	85			Percent of total billed charges		198.9	100			Fee schedule		234	100			Fee schedule		281.05	100			Fee schedule		281.05	100			Fee schedule		281.05		237		Case rate	Use Lesser of logic	234		237		Case rate	Use Lesser of logic	234	100			Fee schedule		281.05	187.2	281.05	
"Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drug"	96413	CPT	Outpatient			255	165.75		90			Percent of total billed charges		229.5	95.46			Fee schedule		255	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	100			Fee schedule		281.05	85			Percent of total billed charges		216.75	100			Fee schedule		255	100			Fee schedule		281.05	100			Fee schedule		281.05	100			Fee schedule		281.05		237		Case rate		237		237		Case rate		237	100			Fee schedule		281.05	204	281.05	
"Chemotherapy administration, intravenous infusion technique; initiation of prolonged chemotherapy infusion (more than 8 hours), requiring use of a portable or implantable pump"	96416	CPT	Outpatient			342	222.3		90			Percent of total billed charges		307.8	95.46			Fee schedule		268.29	80			Percent of total billed charges		273.6	90			Percent of total billed charges		307.8	100			Fee schedule		281.05	85			Percent of total billed charges		290.7	100			Fee schedule		281.05	100			Fee schedule		281.05	100			Fee schedule		281.05	100			Fee schedule		281.05		237		Case rate		237		237		Case rate		237	100			Fee schedule		281.05	237	307.8	
"Chemotherapy administration, into CNS (eg, intrathecal), requiring and including spinal puncture"	96450	CPT	Outpatient			715	464.75		90			Percent of total billed charges		643.5	95.46			Fee schedule		268.29	80			Percent of total billed charges		572	90			Percent of total billed charges		643.5	100			Fee schedule		281.05	85			Percent of total billed charges		607.75	100			Fee schedule		281.05	100			Fee schedule		281.05	100			Fee schedule		281.05	100			Fee schedule		281.05		237		Case rate		237		237		Case rate		237	100			Fee schedule		281.05	237	643.5	
"Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous use"	90375	CPT	Outpatient			727	472.55		90			Percent of total billed charges		654.3	95.46			Fee schedule		272.68	80			Percent of total billed charges		581.6	90			Percent of total billed charges		654.3	100			Fee schedule		285.65	85			Percent of total billed charges		617.95	100			Fee schedule		285.65	100			Fee schedule		285.65	100			Fee schedule		285.65	100			Fee schedule		285.65		325.44		Case rate		325.44		325.44		Case rate		325.44	100			Fee schedule		285.65	272.68	654.3	
"Blood typing, serologic; RBC antigens, other than ABO or Rh (D), each"	86905	CPT	Outpatient			44	28.6		90			Percent of total billed charges		39.6	95.46			Fee schedule		44	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	100			Fee schedule		298.3	85			Percent of total billed charges		37.4	100			Fee schedule		44	100			Fee schedule		298.3	100			Fee schedule		298.3	100			Fee schedule		298.3		4.88		Case rate		4.88		4.88		Case rate		4.88	100			Fee schedule		298.3	4.88	298.3	
"Blood typing, serologic; antigen testing of donor blood using reagent serum, each antigen test"	86902	CPT	Outpatient			114	74.1		90			Percent of total billed charges		102.6	95.46			Fee schedule		114	80			Percent of total billed charges		91.2	90			Percent of total billed charges		102.6	100			Fee schedule		298.3	85			Percent of total billed charges		96.9	100			Fee schedule		114	100			Fee schedule		298.3	100			Fee schedule		298.3	100			Fee schedule		298.3		4.88		Case rate		4.88		4.88		Case rate		4.88	100			Fee schedule		298.3	4.88	298.3	
"Antibody identification, RBC antibodies, each panel for each serum technique"	86870	CPT	Outpatient			107	69.55		90			Percent of total billed charges		96.3	95.46			Fee schedule		107	80			Percent of total billed charges		85.6	90			Percent of total billed charges		96.3	100			Fee schedule		298.3	85			Percent of total billed charges		90.95	100			Fee schedule		107	100			Fee schedule		298.3	100			Fee schedule		298.3	100			Fee schedule		298.3		22.38		Case rate		22.38		22.38		Case rate		22.38	100			Fee schedule		298.3	22.38	298.3	
"Morphometric analysis, tumor immunohistochemistry (eg, Her-2/neu, estrogen receptor/progesterone receptor), quantitative or semiquantitative, per specimen, each single antibody stain procedure; using computer-assisted technology"	88361	CPT	Outpatient			131	85.15		90			Percent of total billed charges		117.9	95.46			Fee schedule		131	80			Percent of total billed charges		104.8	90			Percent of total billed charges		117.9	100			Fee schedule		298.3	85			Percent of total billed charges		111.35	100			Fee schedule		131	100			Fee schedule		298.3	100			Fee schedule		298.3	100			Fee schedule		298.3		51.89		Case rate		51.89		51.89		Case rate		51.89	100			Fee schedule		298.3	51.89	298.3	
"Level V - Surgical pathology, gross and microscopic examination Adrenal, resection Bone - biopsy/curettings Bone fragment(s), pathologic fracture Brain, biopsy Brain/meninges, tumor resection Breast, excision of lesion, requiring microscopic evaluation of surgical margins Breast, mastectomy - partial/simple Cervix, conization Colon, segmental resection, other than for tumor Extremity, amputation, non-traumatic Eye, enucleation Kidney, partial/total nephrectomy Larynx, partial/total resection Liver, biopsy - needle/wedge Liver, partial resection Lung, wedge biopsy Lymph nodes, regional resection Mediastinum, mass Myocardium, biopsy Odontogenic tumor Ovary with or without tube, neoplastic Pancreas, biopsy Placenta, third trimester Prostate, except radical resection Salivary gland Sentinel lymph node Small intestine, resection, other than for tumor Soft tissue mass (except lipoma) - biopsy/simple excision Stomach - subtotal/total resection, other than for tumor Testis, biopsy Thymus, tumor Thyroid, total/lobe Ureter, resection Urinary bladder, TUR Uterus, with or without tubes and ovaries, other than neoplastic/prolapse"	88307	CPT	Outpatient			251	163.15		90			Percent of total billed charges		225.9	95.46			Fee schedule		251	80			Percent of total billed charges		200.8	90			Percent of total billed charges		225.9	100			Fee schedule		298.3	85			Percent of total billed charges		213.35	100			Fee schedule		251	100			Fee schedule		298.3	100			Fee schedule		298.3	100			Fee schedule		298.3		51.89		Case rate		51.89		51.89		Case rate		51.89	100			Fee schedule		298.3	51.89	298.3	
"Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method"	G0416	CPT	Outpatient			643.09	418.01		90			Percent of total billed charges		578.78	95.46			Fee schedule		284.76	80			Percent of total billed charges		514.47	90			Percent of total billed charges		578.78	100			Fee schedule		298.3	85			Percent of total billed charges		546.63	100			Fee schedule		298.3	100			Fee schedule		298.3	100			Fee schedule		298.3	100			Fee schedule		298.3		147.92		Case rate		147.92		147.92		Case rate		147.92	100			Fee schedule		298.3	147.92	578.78	
"Intravenous injection, bebtelovimab, includes injection and post administration monitoring"	M0222	CPT	Outpatient			450	292.5		90			Percent of total billed charges		405	95.46			Fee schedule		291.43	80			Percent of total billed charges		360	90			Percent of total billed charges		405	100			Fee schedule		305.29	85			Percent of total billed charges		382.5	100			Fee schedule		305.29	100			Fee schedule		305.29	100			Fee schedule		305.29	100			Fee schedule		305.29		141		Case rate		141		141		Case rate		141	100			Fee schedule		305.29	141	405	
"Cystography, minimum of 3 views, radiological supervision and interpretation"	74430	CPT	Outpatient			214	139.1		90			Percent of total billed charges		192.6	95.46			Fee schedule		214	80			Percent of total billed charges		171.2	90			Percent of total billed charges		192.6	100			Fee schedule		319.15	85			Percent of total billed charges		181.9	100			Fee schedule		214	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15		117		Case rate		117		117		Case rate		117	100			Fee schedule		319.15	117	319.15	
"Urography, antegrade, radiological supervision and interpretation"	74425	CPT	Outpatient			252	163.8		90			Percent of total billed charges		226.8	95.46			Fee schedule		252	80			Percent of total billed charges		201.6	90			Percent of total billed charges		226.8	100			Fee schedule		319.15	85			Percent of total billed charges		214.2	100			Fee schedule		252	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15		117		Case rate		117		117		Case rate		117	100			Fee schedule		319.15	117	319.15	
"Urography, retrograde, with or without KUB"	74420	CPT	Outpatient			301	195.65		90			Percent of total billed charges		270.9	95.46			Fee schedule		301	80			Percent of total billed charges		240.8	90			Percent of total billed charges		270.9	100			Fee schedule		319.15	85			Percent of total billed charges		255.85	100			Fee schedule		301	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15		117		Case rate		117		117		Case rate		117	100			Fee schedule		319.15	117	319.15	
"Radiologic examination, ankle, arthrography, radiological supervision and interpretation"	73615	CPT	Outpatient			389	252.85		90			Percent of total billed charges		350.1	95.46			Fee schedule		304.66	80			Percent of total billed charges		311.2	90			Percent of total billed charges		350.1	100			Fee schedule		319.15	85			Percent of total billed charges		330.65	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15		117		Case rate		117		117		Case rate		117	100			Fee schedule		319.15	117	350.1	
"Radiologic examination, elbow, arthrography, radiological supervision and interpretation"	73085	CPT	Outpatient			389	252.85		90			Percent of total billed charges		350.1	95.46			Fee schedule		304.66	80			Percent of total billed charges		311.2	90			Percent of total billed charges		350.1	100			Fee schedule		319.15	85			Percent of total billed charges		330.65	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15		117		Case rate		117		117		Case rate		117	100			Fee schedule		319.15	117	350.1	
"Radiologic examination, wrist, arthrography, radiological supervision and interpretation"	73115	CPT	Outpatient			389	252.85		90			Percent of total billed charges		350.1	95.46			Fee schedule		304.66	80			Percent of total billed charges		311.2	90			Percent of total billed charges		350.1	100			Fee schedule		319.15	85			Percent of total billed charges		330.65	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15		117		Case rate		117		117		Case rate		117	100			Fee schedule		319.15	117	350.1	
"Radiologic examination, hip, arthrography, radiological supervision and interpretation"	73525	CPT	Outpatient			389	252.85		90			Percent of total billed charges		350.1	95.46			Fee schedule		304.66	80			Percent of total billed charges		311.2	90			Percent of total billed charges		350.1	100			Fee schedule		319.15	85			Percent of total billed charges		330.65	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15		117		Case rate		117		117		Case rate		117	100			Fee schedule		319.15	117	350.1	
"Radiologic examination, shoulder, arthrography, radiological supervision and interpretation"	73040	CPT	Outpatient			389	252.85		90			Percent of total billed charges		350.1	95.46			Fee schedule		304.66	80			Percent of total billed charges		311.2	90			Percent of total billed charges		350.1	100			Fee schedule		319.15	85			Percent of total billed charges		330.65	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15		117		Case rate		117		117		Case rate		117	100			Fee schedule		319.15	117	350.1	
"Radiologic examination, knee, arthrography, radiological supervision and interpretation"	73580	CPT	Outpatient			450	292.5		90			Percent of total billed charges		405	95.46			Fee schedule		304.66	80			Percent of total billed charges		360	90			Percent of total billed charges		405	100			Fee schedule		319.15	85			Percent of total billed charges		382.5	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15		117		Case rate		117		117		Case rate		117	100			Fee schedule		319.15	117	405	
"Computed tomography, upper extremity; with contrast material(s)"	73201	CPT	Outpatient			835	542.75		90			Percent of total billed charges		751.5	95.46			Fee schedule		304.66	80			Percent of total billed charges		668	90			Percent of total billed charges		751.5	100			Fee schedule		319.15	85			Percent of total billed charges		709.75	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15		562		Case rate		562		562		Case rate		562	100			Fee schedule		319.15	304.66	751.5	
"Computed tomography, cervical spine; with contrast material"	72126	CPT	Outpatient			1184	769.6		90			Percent of total billed charges		1065.6	95.46			Fee schedule		304.66	80			Percent of total billed charges		947.2	90			Percent of total billed charges		1065.6	100			Fee schedule		319.15	85			Percent of total billed charges		1006.4	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15		562		Case rate		562		562		Case rate		562	100			Fee schedule		319.15	304.66	1065.6	
"Computed tomography, lumbar spine; with contrast material"	72132	CPT	Outpatient			1184	769.6		90			Percent of total billed charges		1065.6	95.46			Fee schedule		304.66	80			Percent of total billed charges		947.2	90			Percent of total billed charges		1065.6	100			Fee schedule		319.15	85			Percent of total billed charges		1006.4	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15		562		Case rate		562		562		Case rate		562	100			Fee schedule		319.15	304.66	1065.6	
"Computed tomography, abdomen and pelvis; with contrast material(s)"	74177	CPT	Outpatient			1477	960.05		90			Percent of total billed charges		1329.3	95.46			Fee schedule		304.66	80			Percent of total billed charges		1181.6	90			Percent of total billed charges		1329.3	100			Fee schedule		319.15	85			Percent of total billed charges		1255.45	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15		562		Case rate		562		562		Case rate		562	100			Fee schedule		319.15	304.66	1329.3	
"Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing"	74174	CPT	Outpatient			1940	1261		90			Percent of total billed charges		1746	95.46			Fee schedule		304.66	80			Percent of total billed charges		1552	90			Percent of total billed charges		1746	100			Fee schedule		319.15	85			Percent of total billed charges		1649	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15		562		Case rate		562		562		Case rate		562	100			Fee schedule		319.15	304.66	1746	
"Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions"	74178	CPT	Outpatient			1987	1291.55		90			Percent of total billed charges		1788.3	95.46			Fee schedule		304.66	80			Percent of total billed charges		1589.6	90			Percent of total billed charges		1788.3	100			Fee schedule		319.15	85			Percent of total billed charges		1688.95	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15		562		Case rate		562		562		Case rate		562	100			Fee schedule		319.15	304.66	1788.3	
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; with contrast material(s)"	70542	CPT	Outpatient			1852	1203.8		90			Percent of total billed charges		1666.8	95.46			Fee schedule		304.66	80			Percent of total billed charges		1481.6	90			Percent of total billed charges		1666.8	100			Fee schedule		319.15	85			Percent of total billed charges		1574.2	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15		830		Case rate		830		830		Case rate		830	100			Fee schedule		319.15	304.66	1666.8	
"Magnetic resonance (eg, proton) imaging, pelvis; with contrast material(s)"	72196	CPT	Outpatient			1852	1203.8		90			Percent of total billed charges		1666.8	95.46			Fee schedule		304.66	80			Percent of total billed charges		1481.6	90			Percent of total billed charges		1666.8	100			Fee schedule		319.15	85			Percent of total billed charges		1574.2	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15		830		Case rate		830		830		Case rate		830	100			Fee schedule		319.15	304.66	1666.8	
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); with contrast material(s)"	70552	CPT	Outpatient			1998	1298.7		90			Percent of total billed charges		1798.2	95.46			Fee schedule		304.66	80			Percent of total billed charges		1598.4	90			Percent of total billed charges		1798.2	100			Fee schedule		319.15	85			Percent of total billed charges		1698.3	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15		830		Case rate		830		830		Case rate		830	100			Fee schedule		319.15	304.66	1798.2	
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, lumbar; with contrast material(s)"	72149	CPT	Outpatient			1999	1299.35		90			Percent of total billed charges		1799.1	95.46			Fee schedule		304.66	80			Percent of total billed charges		1599.2	90			Percent of total billed charges		1799.1	100			Fee schedule		319.15	85			Percent of total billed charges		1699.15	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15		830		Case rate		830		830		Case rate		830	100			Fee schedule		319.15	304.66	1799.1	
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s)"	72147	CPT	Outpatient			1999	1299.35		90			Percent of total billed charges		1799.1	95.46			Fee schedule		304.66	80			Percent of total billed charges		1599.2	90			Percent of total billed charges		1799.1	100			Fee schedule		319.15	85			Percent of total billed charges		1699.15	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15		830		Case rate		830		830		Case rate		830	100			Fee schedule		319.15	304.66	1799.1	
"Magnetic resonance angiography, head; with contrast material(s)"	70545	CPT	Outpatient			1999	1299.35		90			Percent of total billed charges		1799.1	95.46			Fee schedule		304.66	80			Percent of total billed charges		1599.2	90			Percent of total billed charges		1799.1	100			Fee schedule		319.15	85			Percent of total billed charges		1699.15	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15		830		Case rate		830		830		Case rate		830	100			Fee schedule		319.15	304.66	1799.1	
"Magnetic resonance (eg, proton) imaging, abdomen; with contrast material(s)"	74182	CPT	Outpatient			1999	1299.35		90			Percent of total billed charges		1799.1	95.46			Fee schedule		304.66	80			Percent of total billed charges		1599.2	90			Percent of total billed charges		1799.1	100			Fee schedule		319.15	85			Percent of total billed charges		1699.15	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15		830		Case rate		830		830		Case rate		830	100			Fee schedule		319.15	304.66	1799.1	
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; with contrast material(s)"	73719	CPT	Outpatient			1999	1299.35		90			Percent of total billed charges		1799.1	95.46			Fee schedule		304.66	80			Percent of total billed charges		1599.2	90			Percent of total billed charges		1799.1	100			Fee schedule		319.15	85			Percent of total billed charges		1699.15	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15		830		Case rate		830		830		Case rate		830	100			Fee schedule		319.15	304.66	1799.1	
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; with contrast material(s)"	72142	CPT	Outpatient			1999	1299.35		90			Percent of total billed charges		1799.1	95.46			Fee schedule		304.66	80			Percent of total billed charges		1599.2	90			Percent of total billed charges		1799.1	100			Fee schedule		319.15	85			Percent of total billed charges		1699.15	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15		830		Case rate		830		830		Case rate		830	100			Fee schedule		319.15	304.66	1799.1	
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; with contrast material(s)"	73219	CPT	Outpatient			1999	1299.35		90			Percent of total billed charges		1799.1	95.46			Fee schedule		304.66	80			Percent of total billed charges		1599.2	90			Percent of total billed charges		1799.1	100			Fee schedule		319.15	85			Percent of total billed charges		1699.15	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15		830		Case rate		830		830		Case rate		830	100			Fee schedule		319.15	304.66	1799.1	
"Magnetic resonance angiography, neck; with contrast material(s)"	70548	CPT	Outpatient			1999	1299.35		90			Percent of total billed charges		1799.1	95.46			Fee schedule		304.66	80			Percent of total billed charges		1599.2	90			Percent of total billed charges		1799.1	100			Fee schedule		319.15	85			Percent of total billed charges		1699.15	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15		830		Case rate		830		830		Case rate		830	100			Fee schedule		319.15	304.66	1799.1	
"Magnetic resonance (eg, proton) imaging, orbit, face, and/or neck; without contrast material(s), followed by contrast material(s) and further sequences"	70543	CPT	Outpatient			2206	1433.9		90			Percent of total billed charges		1985.4	95.46			Fee schedule		304.66	80			Percent of total billed charges		1764.8	90			Percent of total billed charges		1985.4	100			Fee schedule		319.15	85			Percent of total billed charges		1875.1	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15		830		Case rate		830		830		Case rate		830	100			Fee schedule		319.15	304.66	1985.4	
"Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences"	74183	CPT	Outpatient			2380	1547		90			Percent of total billed charges		2142	95.46			Fee schedule		304.66	80			Percent of total billed charges		1904	90			Percent of total billed charges		2142	100			Fee schedule		319.15	85			Percent of total billed charges		2023	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15		830		Case rate		830		830		Case rate		830	100			Fee schedule		319.15	304.66	2142	
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material(s), followed by contrast material(s) and further sequences"	73723	CPT	Outpatient			2380	1547		90			Percent of total billed charges		2142	95.46			Fee schedule		304.66	80			Percent of total billed charges		1904	90			Percent of total billed charges		2142	100			Fee schedule		319.15	85			Percent of total billed charges		2023	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15		830		Case rate		830		830		Case rate		830	100			Fee schedule		319.15	304.66	2142	
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences"	73223	CPT	Outpatient			2380	1547		90			Percent of total billed charges		2142	95.46			Fee schedule		304.66	80			Percent of total billed charges		1904	90			Percent of total billed charges		2142	100			Fee schedule		319.15	85			Percent of total billed charges		2023	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15		830		Case rate		830		830		Case rate		830	100			Fee schedule		319.15	304.66	2142	
"Magnetic resonance (eg, proton) imaging, brain (including brain stem); without contrast material, followed by contrast material(s) and further sequences"	70553	CPT	Outpatient			2380	1547		90			Percent of total billed charges		2142	95.46			Fee schedule		304.66	80			Percent of total billed charges		1904	90			Percent of total billed charges		2142	100			Fee schedule		319.15	85			Percent of total billed charges		2023	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15		830		Case rate		830		830		Case rate		830	100			Fee schedule		319.15	304.66	2142	
"Magnetic resonance (eg, proton) imaging, lower extremity other than joint; without contrast material(s), followed by contrast material(s) and further sequences"	73720	CPT	Outpatient			2380	1547		90			Percent of total billed charges		2142	95.46			Fee schedule		304.66	80			Percent of total billed charges		1904	90			Percent of total billed charges		2142	100			Fee schedule		319.15	85			Percent of total billed charges		2023	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15		830		Case rate		830		830		Case rate		830	100			Fee schedule		319.15	304.66	2142	
"Magnetic resonance (eg, proton) imaging, pelvis; without contrast material(s), followed by contrast material(s) and further sequences"	72197	CPT	Outpatient			2380	1547		90			Percent of total billed charges		2142	95.46			Fee schedule		304.66	80			Percent of total billed charges		1904	90			Percent of total billed charges		2142	100			Fee schedule		319.15	85			Percent of total billed charges		2023	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15		830		Case rate		830		830		Case rate		830	100			Fee schedule		319.15	304.66	2142	
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; cervical"	72156	CPT	Outpatient			2380	1547		90			Percent of total billed charges		2142	95.46			Fee schedule		304.66	80			Percent of total billed charges		1904	90			Percent of total billed charges		2142	100			Fee schedule		319.15	85			Percent of total billed charges		2023	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15		830		Case rate		830		830		Case rate		830	100			Fee schedule		319.15	304.66	2142	
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; lumbar"	72158	CPT	Outpatient			2380	1547		90			Percent of total billed charges		2142	95.46			Fee schedule		304.66	80			Percent of total billed charges		1904	90			Percent of total billed charges		2142	100			Fee schedule		319.15	85			Percent of total billed charges		2023	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15		830		Case rate		830		830		Case rate		830	100			Fee schedule		319.15	304.66	2142	
"Magnetic resonance angiography, neck; without contrast material(s), followed by contrast material(s) and further sequences"	70549	CPT	Outpatient			2380	1547		90			Percent of total billed charges		2142	95.46			Fee schedule		304.66	80			Percent of total billed charges		1904	90			Percent of total billed charges		2142	100			Fee schedule		319.15	85			Percent of total billed charges		2023	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15		830		Case rate		830		830		Case rate		830	100			Fee schedule		319.15	304.66	2142	
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s), followed by contrast material(s) and further sequences"	71552	CPT	Outpatient			2380	1547		90			Percent of total billed charges		2142	95.46			Fee schedule		304.66	80			Percent of total billed charges		1904	90			Percent of total billed charges		2142	100			Fee schedule		319.15	85			Percent of total billed charges		2023	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15		830		Case rate		830		830		Case rate		830	100			Fee schedule		319.15	304.66	2142	
"Magnetic resonance (eg, proton) imaging, spinal canal and contents, without contrast material, followed by contrast material(s) and further sequences; thoracic"	72157	CPT	Outpatient			2380	1547		90			Percent of total billed charges		2142	95.46			Fee schedule		304.66	80			Percent of total billed charges		1904	90			Percent of total billed charges		2142	100			Fee schedule		319.15	85			Percent of total billed charges		2023	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15		830		Case rate		830		830		Case rate		830	100			Fee schedule		319.15	304.66	2142	
"Magnetic resonance (eg, proton) imaging, upper extremity, other than joint; without contrast material(s), followed by contrast material(s) and further sequences"	73220	CPT	Outpatient			2380	1547		90			Percent of total billed charges		2142	95.46			Fee schedule		304.66	80			Percent of total billed charges		1904	90			Percent of total billed charges		2142	100			Fee schedule		319.15	85			Percent of total billed charges		2023	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15		830		Case rate		830		830		Case rate		830	100			Fee schedule		319.15	304.66	2142	
"Magnetic resonance angiography, head; without contrast material(s), followed by contrast material(s) and further sequences"	70546	CPT	Outpatient			2380	1547		90			Percent of total billed charges		2142	95.46			Fee schedule		304.66	80			Percent of total billed charges		1904	90			Percent of total billed charges		2142	100			Fee schedule		319.15	85			Percent of total billed charges		2023	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15	100			Fee schedule		319.15		830		Case rate		830		830		Case rate		830	100			Fee schedule		319.15	304.66	2142	
"Rabies vaccine, for intramuscular use"	90675	CPT	Outpatient			1242	807.3		90			Percent of total billed charges		1117.8	95.46			Fee schedule		308.11	80			Percent of total billed charges		993.6	90			Percent of total billed charges		1117.8	100			Fee schedule		322.76	85			Percent of total billed charges		1055.7	100			Fee schedule		322.76	100			Fee schedule		322.76	100			Fee schedule		322.76	100			Fee schedule		322.76		307.38		Case rate		307.38		307.38		Case rate		307.38	100			Fee schedule		322.76	307.38	1117.8	
"Motor and/or sensory nerve conduction, using preconfigured electrode array(s), amplitude and latency/velocity study, each limb, includes F-wave study when performed, with interpretation and report"	95905	CPT	Outpatient			130	84.5		90			Percent of total billed charges		117	95.46			Fee schedule		130	80			Percent of total billed charges		104	90			Percent of total billed charges		117	100			Fee schedule		330.66	85			Percent of total billed charges		110.5	100			Fee schedule		130	100			Fee schedule		330.66	100			Fee schedule		330.66	100			Fee schedule		330.66		237		Case rate	Use Lesser of logic	130		237		Case rate	Use Lesser of logic	130	100			Fee schedule		330.66	104	330.66	
Removal of foreign body from pharynx	42809	CPT	Outpatient			159.75	103.84		90			Percent of total billed charges		143.78	95.46			Fee schedule		159.75	80			Percent of total billed charges		127.8	85			Percent of total billed charges		135.79	100			Fee schedule		330.66	85			Percent of total billed charges		135.79	100			Fee schedule		159.75	100			Fee schedule		330.66	100			Fee schedule		330.66	100			Fee schedule		330.66		216		Case rate	Use Lesser of logic	159.75		216		Case rate	Use Lesser of logic	159.75	100			Fee schedule		330.66	127.8	330.66	
"Removal of foreign body, external eye; conjunctival embedded (includes concretions), subconjunctival, or scleral nonperforating"	65210	CPT	Outpatient			165	107.25		90			Percent of total billed charges		148.5	95.46			Fee schedule		165	80			Percent of total billed charges		132	85			Percent of total billed charges		140.25	100			Fee schedule		330.66	85			Percent of total billed charges		140.25	100			Fee schedule		165	100			Fee schedule		330.66	100			Fee schedule		330.66	100			Fee schedule		330.66		216		Case rate	Use Lesser of logic	165		216		Case rate	Use Lesser of logic	165	100			Fee schedule		330.66	132	330.66	
Placement of needle for intraosseous infusion	36680	CPT	Outpatient			185	120.25		90			Percent of total billed charges		166.5	95.46			Fee schedule		185	80			Percent of total billed charges		148	85			Percent of total billed charges		157.25	100			Fee schedule		330.66	85			Percent of total billed charges		157.25	100			Fee schedule		185	100			Fee schedule		330.66	100			Fee schedule		330.66	100			Fee schedule		330.66		216		Case rate	Use Lesser of logic	185		216		Case rate	Use Lesser of logic	185	100			Fee schedule		330.66	148	330.66	
"Removal of foreign body, external eye; corneal, without slit lamp"	65220	CPT	Outpatient			220	143		90			Percent of total billed charges		198	95.46			Fee schedule		220	80			Percent of total billed charges		176	85			Percent of total billed charges		187	100			Fee schedule		330.66	85			Percent of total billed charges		187	100			Fee schedule		220	100			Fee schedule		330.66	100			Fee schedule		330.66	100			Fee schedule		330.66		216		Case rate		216		216		Case rate		216	100			Fee schedule		330.66	176	330.66	
"Injection(s), platelet rich plasma, any site, including image guidance, harvesting and preparation when performed"	0232T	CPT	Outpatient			230	149.5		90			Percent of total billed charges		207	95.46			Fee schedule		230	80			Percent of total billed charges		184	90			Percent of total billed charges		207	100			Fee schedule		330.66	85			Percent of total billed charges		195.5	100			Fee schedule		230	100			Fee schedule		330.66	100			Fee schedule		330.66	100			Fee schedule		330.66		216		Case rate		216		216		Case rate		216	100			Fee schedule		330.66	184	330.66	
"Removal, non-biodegradable drug delivery implant"	11982	CPT	Outpatient			270	175.5		90			Percent of total billed charges		243	95.46			Fee schedule		270	80			Percent of total billed charges		216	85			Percent of total billed charges		229.5	100			Fee schedule		330.66	85			Percent of total billed charges		229.5	100			Fee schedule		270	100			Fee schedule		330.66	100			Fee schedule		330.66	100			Fee schedule		330.66		216		Case rate		216		216		Case rate		216	100			Fee schedule		330.66	216	330.66	
Subcutaneous hormone pellet implantation (implantation of estradiol and/or testosterone pellets beneath the skin)	11980	CPT	Outpatient			350	227.5		90			Percent of total billed charges		315	95.46			Fee schedule		315.65	80			Percent of total billed charges		280	85			Percent of total billed charges		297.5	100			Fee schedule		330.66	85			Percent of total billed charges		297.5	100			Fee schedule		330.66	100			Fee schedule		330.66	100			Fee schedule		330.66	100			Fee schedule		330.66		216		Case rate		216		216		Case rate		216	100			Fee schedule		330.66	216	330.66	
Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue	41250	CPT	Outpatient			395	256.75		90			Percent of total billed charges		355.5	95.46			Fee schedule		315.65	80			Percent of total billed charges		316	85			Percent of total billed charges		335.75	100			Fee schedule		330.66	85			Percent of total billed charges		335.75	100			Fee schedule		330.66	100			Fee schedule		330.66	100			Fee schedule		330.66	100			Fee schedule		330.66		216		Case rate		216		216		Case rate		216	100			Fee schedule		330.66	216	355.5	
"Removal with reinsertion, non-biodegradable drug delivery implant"	11983	CPT	Outpatient			500	325		90			Percent of total billed charges		450	95.46			Fee schedule		315.65	80			Percent of total billed charges		400	85			Percent of total billed charges		425	100			Fee schedule		330.66	85			Percent of total billed charges		425	100			Fee schedule		330.66	100			Fee schedule		330.66	100			Fee schedule		330.66	100			Fee schedule		330.66		216		Case rate		216		216		Case rate		216	100			Fee schedule		330.66	216	450	
"Naso- or oro-gastric tube placement, requiring physician's skill and fluoroscopic guidance (includes fluoroscopy, image documentation and report)"	43752	CPT	Outpatient			501.5	325.98		90			Percent of total billed charges		451.35	95.46			Fee schedule		315.65	80			Percent of total billed charges		401.2	85			Percent of total billed charges		426.28	100			Fee schedule		330.66	85			Percent of total billed charges		426.28	100			Fee schedule		330.66	100			Fee schedule		330.66	100			Fee schedule		330.66	100			Fee schedule		330.66		216		Case rate		216		216		Case rate		216	100			Fee schedule		330.66	216	451.35	
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 20.1 cm to 30.0 cm"	12006	CPT	Outpatient			172	111.8		90			Percent of total billed charges		154.8	95.46			Fee schedule		172	80			Percent of total billed charges		137.6	85			Percent of total billed charges		146.2	100			Fee schedule		330.91	85			Percent of total billed charges		146.2	100			Fee schedule		172	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91		216		Case rate	Use Lesser of logic	172		216		Case rate	Use Lesser of logic	172	100			Fee schedule		330.91	137.6	330.91	
"Wedge excision of skin of nail fold (eg, for ingrown toenail)"	11765	CPT	Outpatient			175	113.75		90			Percent of total billed charges		157.5	95.46			Fee schedule		175	80			Percent of total billed charges		140	85			Percent of total billed charges		148.75	100			Fee schedule		330.91	85			Percent of total billed charges		148.75	100			Fee schedule		175	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91		216		Case rate	Use Lesser of logic	175		216		Case rate	Use Lesser of logic	175	100			Fee schedule		330.91	140	330.91	
"Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 1.1 to 2.0 cm"	11312	CPT	Outpatient			225	146.25		90			Percent of total billed charges		202.5	95.46			Fee schedule		225	80			Percent of total billed charges		180	85			Percent of total billed charges		191.25	100			Fee schedule		330.91	85			Percent of total billed charges		191.25	100			Fee schedule		225	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91		216		Case rate		216		216		Case rate		216	100			Fee schedule		330.91	180	330.91	
Injection of sclerosant; single incompetent vein (other than telangiectasia)	36470	CPT	Outpatient			226	146.9		90			Percent of total billed charges		203.4	95.46			Fee schedule		226	80			Percent of total billed charges		180.8	85			Percent of total billed charges		192.1	100			Fee schedule		330.91	85			Percent of total billed charges		192.1	100			Fee schedule		226	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91		216		Case rate		216		216		Case rate		216	100			Fee schedule		330.91	180.8	330.91	
"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical"	54050	CPT	Outpatient			250	162.5		90			Percent of total billed charges		225	95.46			Fee schedule		250	80			Percent of total billed charges		200	85			Percent of total billed charges		212.5	100			Fee schedule		330.91	85			Percent of total billed charges		212.5	100			Fee schedule		250	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91		216		Case rate		216		216		Case rate		216	100			Fee schedule		330.91	200	330.91	
"Shaving of epidermal or dermal lesion, single lesion, scalp, neck, hands, feet, genitalia; lesion diameter over 2.0 cm"	11308	CPT	Outpatient			280	182		90			Percent of total billed charges		252	95.46			Fee schedule		280	80			Percent of total billed charges		224	85			Percent of total billed charges		238	100			Fee schedule		330.91	85			Percent of total billed charges		238	100			Fee schedule		280	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91		216		Case rate		216		216		Case rate		216	100			Fee schedule		330.91	216	330.91	
"Shaving of epidermal or dermal lesion, single lesion, face, ears, eyelids, nose, lips, mucous membrane; lesion diameter over 2.0 cm"	11313	CPT	Outpatient			300	195		90			Percent of total billed charges		270	95.46			Fee schedule		300	80			Percent of total billed charges		240	85			Percent of total billed charges		255	100			Fee schedule		330.91	85			Percent of total billed charges		255	100			Fee schedule		300	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91		216		Case rate		216		216		Case rate		216	100			Fee schedule		330.91	216	330.91	
"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter 3.1 to 4.0 cm"	17264	CPT	Outpatient			321.35	208.88		90			Percent of total billed charges		289.22	95.46			Fee schedule		315.89	80			Percent of total billed charges		257.08	85			Percent of total billed charges		273.15	100			Fee schedule		330.91	85			Percent of total billed charges		273.15	100			Fee schedule		321.35	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91		216		Case rate		216		216		Case rate		216	100			Fee schedule		330.91	216	330.91	
Treatment of superficial wound dehiscence; with packing	12021	CPT	Outpatient			327	212.55		90			Percent of total billed charges		294.3	95.46			Fee schedule		315.89	80			Percent of total billed charges		261.6	85			Percent of total billed charges		277.95	100			Fee schedule		330.91	85			Percent of total billed charges		277.95	100			Fee schedule		327	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91		216		Case rate		216		216		Case rate		216	100			Fee schedule		330.91	216	330.91	
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.5 cm or less"	12031	CPT	Outpatient			362	235.3		90			Percent of total billed charges		325.8	95.46			Fee schedule		315.89	80			Percent of total billed charges		289.6	85			Percent of total billed charges		307.7	100			Fee schedule		330.91	85			Percent of total billed charges		307.7	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91		216		Case rate		216		216		Case rate		216	100			Fee schedule		330.91	216	330.91	
"Puncture aspiration of abscess, hematoma, bulla, or cyst"	10160	CPT	Outpatient			377	245.05		90			Percent of total billed charges		339.3	95.46			Fee schedule		315.89	80			Percent of total billed charges		301.6	85			Percent of total billed charges		320.45	100			Fee schedule		330.91	85			Percent of total billed charges		320.45	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91		216		Case rate		216		216		Case rate		216	100			Fee schedule		330.91	216	339.3	
"Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet); 12.6 cm to 20.0 cm"	12005	CPT	Outpatient			400	260		90			Percent of total billed charges		360	95.46			Fee schedule		315.89	80			Percent of total billed charges		320	85			Percent of total billed charges		340	100			Fee schedule		330.91	85			Percent of total billed charges		340	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91		216		Case rate		216		216		Case rate		216	100			Fee schedule		330.91	216	360	
"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical"	46900	CPT	Outpatient			405	263.25		90			Percent of total billed charges		364.5	95.46			Fee schedule		315.89	80			Percent of total billed charges		324	85			Percent of total billed charges		344.25	100			Fee schedule		330.91	85			Percent of total billed charges		344.25	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91		216		Case rate		216		216		Case rate		216	100			Fee schedule		330.91	216	364.5	
"Injection of sclerosant; multiple incompetent veins (other than telangiectasia), same leg"	36471	CPT	Outpatient			405	263.25		90			Percent of total billed charges		364.5	95.46			Fee schedule		315.89	80			Percent of total billed charges		324	85			Percent of total billed charges		344.25	100			Fee schedule		330.91	85			Percent of total billed charges		344.25	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91		216		Case rate		216		216		Case rate		216	100			Fee schedule		330.91	216	364.5	
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 2.6 cm to 7.5 cm"	12032	CPT	Outpatient			416	270.4		90			Percent of total billed charges		374.4	95.46			Fee schedule		315.89	80			Percent of total billed charges		332.8	85			Percent of total billed charges		353.6	100			Fee schedule		330.91	85			Percent of total billed charges		353.6	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91		216		Case rate		216		216		Case rate		216	100			Fee schedule		330.91	216	374.4	
"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 3.1 to 4.0 cm"	17274	CPT	Outpatient			420	273		90			Percent of total billed charges		378	95.46			Fee schedule		315.89	80			Percent of total billed charges		336	85			Percent of total billed charges		357	100			Fee schedule		330.91	85			Percent of total billed charges		357	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91		216		Case rate		216		216		Case rate		216	100			Fee schedule		330.91	216	378	
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less"	12051	CPT	Outpatient			435	282.75		90			Percent of total billed charges		391.5	95.46			Fee schedule		315.89	80			Percent of total billed charges		348	85			Percent of total billed charges		369.75	100			Fee schedule		330.91	85			Percent of total billed charges		369.75	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91		216		Case rate		216		216		Case rate		216	100			Fee schedule		330.91	216	391.5	
"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.6 cm to 7.5 cm"	12042	CPT	Outpatient			462	300.3		90			Percent of total billed charges		415.8	95.46			Fee schedule		315.89	80			Percent of total billed charges		369.6	85			Percent of total billed charges		392.7	100			Fee schedule		330.91	85			Percent of total billed charges		392.7	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91		216		Case rate		216		216		Case rate		216	100			Fee schedule		330.91	216	415.8	
"Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter 0.5 cm or less"	11300	CPT	Outpatient			479.06	311.39		90			Percent of total billed charges		431.15	95.46			Fee schedule		315.89	80			Percent of total billed charges		383.25	85			Percent of total billed charges		407.2	100			Fee schedule		330.91	85			Percent of total billed charges		407.2	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91		216		Case rate		216		216		Case rate		216	100			Fee schedule		330.91	216	431.15	
"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), trunk, arms or legs; lesion diameter over 4.0 cm"	17266	CPT	Outpatient			485	315.25		90			Percent of total billed charges		436.5	95.46			Fee schedule		315.89	80			Percent of total billed charges		388	85			Percent of total billed charges		412.25	100			Fee schedule		330.91	85			Percent of total billed charges		412.25	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91		216		Case rate		216		216		Case rate		216	100			Fee schedule		330.91	216	436.5	
"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 2.1 to 3.0 cm"	17283	CPT	Outpatient			489.06	317.89		90			Percent of total billed charges		440.15	95.46			Fee schedule		315.89	80			Percent of total billed charges		391.25	85			Percent of total billed charges		415.7	100			Fee schedule		330.91	85			Percent of total billed charges		415.7	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91		216		Case rate		216		216		Case rate		216	100			Fee schedule		330.91	216	440.15	
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.6 to 1.0 cm"	11401	CPT	Outpatient			489.06	317.89		90			Percent of total billed charges		440.15	95.46			Fee schedule		315.89	80			Percent of total billed charges		391.25	85			Percent of total billed charges		415.7	100			Fee schedule		330.91	85			Percent of total billed charges		415.7	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91		216		Case rate		216		216		Case rate		216	100			Fee schedule		330.91	216	440.15	
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 1.1 to 2.0 cm"	11602	CPT	Outpatient			489.06	317.89		90			Percent of total billed charges		440.15	95.46			Fee schedule		315.89	80			Percent of total billed charges		391.25	85			Percent of total billed charges		415.7	100			Fee schedule		330.91	85			Percent of total billed charges		415.7	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91		216		Case rate		216		216		Case rate		216	100			Fee schedule		330.91	216	440.15	
"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter 2.1 to 3.0 cm"	17273	CPT	Outpatient			489.06	317.89		90			Percent of total billed charges		440.15	95.46			Fee schedule		315.89	80			Percent of total billed charges		391.25	85			Percent of total billed charges		415.7	100			Fee schedule		330.91	85			Percent of total billed charges		415.7	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91		216		Case rate		216		216		Case rate		216	100			Fee schedule		330.91	216	440.15	
"Incision and removal of foreign body, subcutaneous tissues; simple"	10120	CPT	Outpatient			489.06	317.89		90			Percent of total billed charges		440.15	95.46			Fee schedule		315.89	80			Percent of total billed charges		391.25	85			Percent of total billed charges		415.7	100			Fee schedule		330.91	85			Percent of total billed charges		415.7	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91		216		Case rate		216		216		Case rate		216	100			Fee schedule		330.91	216	440.15	
"Shaving of epidermal or dermal lesion, single lesion, trunk, arms or legs; lesion diameter over 2.0 cm"	11303	CPT	Outpatient			489.06	317.89		90			Percent of total billed charges		440.15	95.46			Fee schedule		315.89	80			Percent of total billed charges		391.25	85			Percent of total billed charges		415.7	100			Fee schedule		330.91	85			Percent of total billed charges		415.7	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91		216		Case rate		216		216		Case rate		216	100			Fee schedule		330.91	216	440.15	
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm"	12052	CPT	Outpatient			489.06	317.89		90			Percent of total billed charges		440.15	95.46			Fee schedule		315.89	80			Percent of total billed charges		391.25	85			Percent of total billed charges		415.7	100			Fee schedule		330.91	85			Percent of total billed charges		415.7	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91		216		Case rate		216		216		Case rate		216	100			Fee schedule		330.91	216	440.15	
"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 2.5 cm or less"	12041	CPT	Outpatient			489.06	317.89		90			Percent of total billed charges		440.15	95.46			Fee schedule		315.89	80			Percent of total billed charges		391.25	85			Percent of total billed charges		415.7	100			Fee schedule		330.91	85			Percent of total billed charges		415.7	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91		216		Case rate		216		216		Case rate		216	100			Fee schedule		330.91	216	440.15	
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 7.6 cm to 12.5 cm"	12034	CPT	Outpatient			497	323.05		90			Percent of total billed charges		447.3	95.46			Fee schedule		315.89	80			Percent of total billed charges		397.6	85			Percent of total billed charges		422.45	100			Fee schedule		330.91	85			Percent of total billed charges		422.45	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91		216		Case rate		216		216		Case rate		216	100			Fee schedule		330.91	216	447.3	
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 5.1 cm to 7.5 cm"	12053	CPT	Outpatient			500	325		90			Percent of total billed charges		450	95.46			Fee schedule		315.89	80			Percent of total billed charges		400	85			Percent of total billed charges		425	100			Fee schedule		330.91	85			Percent of total billed charges		425	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91		216		Case rate		216		216		Case rate		216	100			Fee schedule		330.91	216	450	
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 7.6 cm to 12.5 cm"	12054	CPT	Outpatient			520	338		90			Percent of total billed charges		468	95.46			Fee schedule		315.89	80			Percent of total billed charges		416	85			Percent of total billed charges		442	100			Fee schedule		330.91	85			Percent of total billed charges		442	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91		216		Case rate		216		216		Case rate		216	100			Fee schedule		330.91	216	468	
"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.6 to 1.0 cm"	17281	CPT	Outpatient			530.69	344.95		90			Percent of total billed charges		477.62	95.46			Fee schedule		315.89	80			Percent of total billed charges		424.55	85			Percent of total billed charges		451.09	100			Fee schedule		330.91	85			Percent of total billed charges		451.09	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91		216		Case rate		216		216		Case rate		216	100			Fee schedule		330.91	216	477.62	
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 12.6 cm to 20.0 cm"	12035	CPT	Outpatient			534	347.1		90			Percent of total billed charges		480.6	95.46			Fee schedule		315.89	80			Percent of total billed charges		427.2	85			Percent of total billed charges		453.9	100			Fee schedule		330.91	85			Percent of total billed charges		453.9	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91		216		Case rate		216		216		Case rate		216	100			Fee schedule		330.91	216	480.6	
"Fine needle aspiration biopsy, without imaging guidance; first lesion"	10021	CPT	Outpatient			546	354.9		90			Percent of total billed charges		491.4	95.46			Fee schedule		315.89	80			Percent of total billed charges		436.8	85			Percent of total billed charges		464.1	100			Fee schedule		330.91	85			Percent of total billed charges		464.1	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91		216		Case rate		216		216		Case rate		216	100			Fee schedule		330.91	216	491.4	
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm"	12016	CPT	Outpatient			555	360.75		90			Percent of total billed charges		499.5	95.46			Fee schedule		315.89	80			Percent of total billed charges		444	85			Percent of total billed charges		471.75	100			Fee schedule		330.91	85			Percent of total billed charges		471.75	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91		216		Case rate		216		216		Case rate		216	100			Fee schedule		330.91	216	499.5	
"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses), 15 or more lesions"	17004	CPT	Outpatient			577.06	375.09		90			Percent of total billed charges		519.35	95.46			Fee schedule		315.89	80			Percent of total billed charges		461.65	85			Percent of total billed charges		490.5	100			Fee schedule		330.91	85			Percent of total billed charges		490.5	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91		216		Case rate		216		216		Case rate		216	100			Fee schedule		330.91	216	519.35	
"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), scalp, neck, hands, feet, genitalia; lesion diameter over 4.0 cm"	17276	CPT	Outpatient			590	383.5		90			Percent of total billed charges		531	95.46			Fee schedule		315.89	80			Percent of total billed charges		472	85			Percent of total billed charges		501.5	100			Fee schedule		330.91	85			Percent of total billed charges		501.5	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91		216		Case rate		216		216		Case rate		216	100			Fee schedule		330.91	216	531	
"Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 1.1 cm to 2.5 cm"	13131	CPT	Outpatient			600	390		90			Percent of total billed charges		540	95.46			Fee schedule		315.89	80			Percent of total billed charges		480	85			Percent of total billed charges		510	100			Fee schedule		330.91	85			Percent of total billed charges		510	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91		216		Case rate		216		216		Case rate		216	100			Fee schedule		330.91	216	540	
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 12.6 cm to 20.0 cm"	12055	CPT	Outpatient			610	396.5		90			Percent of total billed charges		549	95.46			Fee schedule		315.89	80			Percent of total billed charges		488	85			Percent of total billed charges		518.5	100			Fee schedule		330.91	85			Percent of total billed charges		518.5	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91		216		Case rate		216		216		Case rate		216	100			Fee schedule		330.91	216	549	
Escharotomy; initial incision	16035	CPT	Outpatient			615	399.75		90			Percent of total billed charges		553.5	95.46			Fee schedule		315.89	80			Percent of total billed charges		492	85			Percent of total billed charges		522.75	100			Fee schedule		330.91	85			Percent of total billed charges		522.75	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91		216		Case rate		216		216		Case rate		216	100			Fee schedule		330.91	216	553.5	
"Destruction of cutaneous vascular proliferative lesions (eg, laser technique); less than 10 sq cm"	17106	CPT	Outpatient			725	471.25		90			Percent of total billed charges		652.5	95.46			Fee schedule		315.89	80			Percent of total billed charges		580	85			Percent of total billed charges		616.25	100			Fee schedule		330.91	85			Percent of total billed charges		616.25	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91		216		Case rate		216		216		Case rate		216	100			Fee schedule		330.91	216	652.5	
"Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 20.1 cm to 30.0 cm"	12017	CPT	Outpatient			850	552.5		90			Percent of total billed charges		765	95.46			Fee schedule		315.89	80			Percent of total billed charges		680	85			Percent of total billed charges		722.5	100			Fee schedule		330.91	85			Percent of total billed charges		722.5	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91		216		Case rate		216		216		Case rate		216	100			Fee schedule		330.91	216	765	
"Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 20.1 cm to 30.0 cm"	12056	CPT	Outpatient			875	568.75		90			Percent of total billed charges		787.5	95.46			Fee schedule		315.89	80			Percent of total billed charges		700	85			Percent of total billed charges		743.75	100			Fee schedule		330.91	85			Percent of total billed charges		743.75	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91		216		Case rate		216		216		Case rate		216	100			Fee schedule		330.91	216	787.5	
"Dressings and/or debridement of partial-thickness burns, initial or subsequent; large (eg, more than 1 extremity, or greater than 10% total body surface area)"	16030	CPT	Outpatient			994	646.1		90			Percent of total billed charges		894.6	95.46			Fee schedule		315.89	80			Percent of total billed charges		795.2	85			Percent of total billed charges		844.9	100			Fee schedule		330.91	85			Percent of total billed charges		844.9	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91		216		Case rate		216		216		Case rate		216	100			Fee schedule		330.91	216	894.6	
"Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); complicated or multiple"	10061	CPT	Outpatient			994	646.1		90			Percent of total billed charges		894.6	95.46			Fee schedule		315.89	80			Percent of total billed charges		795.2	85			Percent of total billed charges		844.9	100			Fee schedule		330.91	85			Percent of total billed charges		844.9	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91		216		Case rate		216		216		Case rate		216	100			Fee schedule		330.91	216	894.6	
"Punch biopsy of skin (including simple closure, when performed); single lesion"	11104	CPT	Outpatient			994	646.1		90			Percent of total billed charges		894.6	95.46			Fee schedule		315.89	80			Percent of total billed charges		795.2	85			Percent of total billed charges		844.9	100			Fee schedule		330.91	85			Percent of total billed charges		844.9	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91		216		Case rate		216		216		Case rate		216	100			Fee schedule		330.91	216	894.6	
"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 1.1 to 2.0 cm"	17282	CPT	Outpatient			1007.26	654.72		90			Percent of total billed charges		906.53	95.46			Fee schedule		315.89	80			Percent of total billed charges		805.81	85			Percent of total billed charges		856.17	100			Fee schedule		330.91	85			Percent of total billed charges		856.17	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91		216		Case rate		216		216		Case rate		216	100			Fee schedule		330.91	216	906.53	
"Excision of nail and nail matrix, partial or complete (eg, ingrown or deformed nail), for permanent removal"	11750	CPT	Outpatient			3409	2215.85		90			Percent of total billed charges		3068.1	95.46			Fee schedule		315.89	80			Percent of total billed charges		2727.2	85			Percent of total billed charges		2897.65	100			Fee schedule		330.91	85			Percent of total billed charges		2897.65	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91		216		Case rate		216		216		Case rate		216	100			Fee schedule		330.91	216	3068.1	
"Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); first 20 sq cm or less"	11042	CPT	Outpatient			8201.06	5330.69		90			Percent of total billed charges		7380.96	95.46			Fee schedule		315.89	80			Percent of total billed charges		6560.85	85			Percent of total billed charges		6970.9	100			Fee schedule		330.91	85			Percent of total billed charges		6970.9	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91		216		Case rate		216		216		Case rate		216	100			Fee schedule		330.91	216	7380.96	
"Laryngoscopy direct, with or without tracheoscopy; for aspiration"	31515	CPT	Outpatient			400	260		90			Percent of total billed charges		360	95.46			Fee schedule		323.48	80			Percent of total billed charges		320	85			Percent of total billed charges		340	100			Fee schedule		338.86	85			Percent of total billed charges		340	100			Fee schedule		338.86	100			Fee schedule		338.86	100			Fee schedule		338.86	100			Fee schedule		338.86		216		Case rate		216		216		Case rate		216	100			Fee schedule		338.86	216	360	
"Laryngoscopy, flexible; with removal of foreign body(s)"	31577	CPT	Outpatient			410	266.5		90			Percent of total billed charges		369	95.46			Fee schedule		323.48	80			Percent of total billed charges		328	85			Percent of total billed charges		348.5	100			Fee schedule		338.86	85			Percent of total billed charges		348.5	100			Fee schedule		338.86	100			Fee schedule		338.86	100			Fee schedule		338.86	100			Fee schedule		338.86		216		Case rate		216		216		Case rate		216	100			Fee schedule		338.86	216	369	
Injection procedure; radioactive tracer for identification of sentinel node	38792	CPT	Outpatient			332	215.8		90			Percent of total billed charges		298.8	95.46			Fee schedule		326.74	80			Percent of total billed charges		265.6	85			Percent of total billed charges		282.2	100			Fee schedule		342.28	85			Percent of total billed charges		282.2	100			Fee schedule		332	100			Fee schedule		342.28	100			Fee schedule		342.28	100			Fee schedule		342.28		216		Case rate		216		216		Case rate		216	100			Fee schedule		342.28	216	342.28	
"Thyroid imaging (including vascular flow, when performed)"	78013	CPT	Outpatient			287	186.55		90			Percent of total billed charges		258.3	95.46			Fee schedule		287	80			Percent of total billed charges		229.6	90			Percent of total billed charges		258.3	100			Fee schedule		342.28	85			Percent of total billed charges		243.95	100			Fee schedule		287	100			Fee schedule		342.28	100			Fee schedule		342.28	100			Fee schedule		342.28		416		Case rate	Use Lesser of logic	287		416		Case rate	Use Lesser of logic	287	100			Fee schedule		342.28	229.6	342.28	
"Spleen imaging only, with or without vascular flow"	78185	CPT	Outpatient			461	299.65		90			Percent of total billed charges		414.9	95.46			Fee schedule		326.74	80			Percent of total billed charges		368.8	90			Percent of total billed charges		414.9	100			Fee schedule		342.28	85			Percent of total billed charges		391.85	100			Fee schedule		342.28	100			Fee schedule		342.28	100			Fee schedule		342.28	100			Fee schedule		342.28		416		Case rate		416		416		Case rate		416	100			Fee schedule		342.28	326.74	416	
"Parathyroid planar imaging (including subtraction, when performed)"	78070	CPT	Outpatient			495	321.75		90			Percent of total billed charges		445.5	95.46			Fee schedule		326.74	80			Percent of total billed charges		396	90			Percent of total billed charges		445.5	100			Fee schedule		342.28	85			Percent of total billed charges		420.75	100			Fee schedule		342.28	100			Fee schedule		342.28	100			Fee schedule		342.28	100			Fee schedule		342.28		416		Case rate		416		416		Case rate		416	100			Fee schedule		342.28	326.74	445.5	
"Thyroid imaging (including vascular flow, when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation, suppression, or discharge, when performed)"	78014	CPT	Outpatient			495	321.75		90			Percent of total billed charges		445.5	95.46			Fee schedule		326.74	80			Percent of total billed charges		396	90			Percent of total billed charges		445.5	100			Fee schedule		342.28	85			Percent of total billed charges		420.75	100			Fee schedule		342.28	100			Fee schedule		342.28	100			Fee schedule		342.28	100			Fee schedule		342.28		416		Case rate		416		416		Case rate		416	100			Fee schedule		342.28	326.74	445.5	
Kidney imaging morphology	78700	CPT	Outpatient			529	343.85		90			Percent of total billed charges		476.1	95.46			Fee schedule		326.74	80			Percent of total billed charges		423.2	90			Percent of total billed charges		476.1	100			Fee schedule		342.28	85			Percent of total billed charges		449.65	100			Fee schedule		342.28	100			Fee schedule		342.28	100			Fee schedule		342.28	100			Fee schedule		342.28		416		Case rate		416		416		Case rate		416	100			Fee schedule		342.28	326.74	476.1	
"Intestine imaging (eg, ectopic gastric mucosa, Meckel's localization, volvulus)"	78290	CPT	Outpatient			535	347.75		90			Percent of total billed charges		481.5	95.46			Fee schedule		326.74	80			Percent of total billed charges		428	90			Percent of total billed charges		481.5	100			Fee schedule		342.28	85			Percent of total billed charges		454.75	100			Fee schedule		342.28	100			Fee schedule		342.28	100			Fee schedule		342.28	100			Fee schedule		342.28		416		Case rate		416		416		Case rate		416	100			Fee schedule		342.28	326.74	481.5	
Bone and/or joint imaging; multiple areas	78305	CPT	Outpatient			552	358.8		90			Percent of total billed charges		496.8	95.46			Fee schedule		326.74	80			Percent of total billed charges		441.6	90			Percent of total billed charges		496.8	100			Fee schedule		342.28	85			Percent of total billed charges		469.2	100			Fee schedule		342.28	100			Fee schedule		342.28	100			Fee schedule		342.28	100			Fee schedule		342.28		416		Case rate		416		416		Case rate		416	100			Fee schedule		342.28	326.74	496.8	
Gastroesophageal reflux study	78262	CPT	Outpatient			576	374.4		90			Percent of total billed charges		518.4	95.46			Fee schedule		326.74	80			Percent of total billed charges		460.8	90			Percent of total billed charges		518.4	100			Fee schedule		342.28	85			Percent of total billed charges		489.6	100			Fee schedule		342.28	100			Fee schedule		342.28	100			Fee schedule		342.28	100			Fee schedule		342.28		416		Case rate		416		416		Case rate		416	100			Fee schedule		342.28	326.74	518.4	
"Thyroid carcinoma metastases imaging; limited area (eg, neck and chest only)"	78015	CPT	Outpatient			579	376.35		90			Percent of total billed charges		521.1	95.46			Fee schedule		326.74	80			Percent of total billed charges		463.2	90			Percent of total billed charges		521.1	100			Fee schedule		342.28	85			Percent of total billed charges		492.15	100			Fee schedule		342.28	100			Fee schedule		342.28	100			Fee schedule		342.28	100			Fee schedule		342.28		416		Case rate		416		416		Case rate		416	100			Fee schedule		342.28	326.74	521.1	
"Pulmonary perfusion imaging (eg, particulate)"	78580	CPT	Outpatient			602	391.3		90			Percent of total billed charges		541.8	95.46			Fee schedule		326.74	80			Percent of total billed charges		481.6	90			Percent of total billed charges		541.8	100			Fee schedule		342.28	85			Percent of total billed charges		511.7	100			Fee schedule		342.28	100			Fee schedule		342.28	100			Fee schedule		342.28	100			Fee schedule		342.28		416		Case rate		416		416		Case rate		416	100			Fee schedule		342.28	326.74	541.8	
"Gastric emptying imaging study (eg, solid, liquid, or both)"	78264	CPT	Outpatient			608	395.2		90			Percent of total billed charges		547.2	95.46			Fee schedule		326.74	80			Percent of total billed charges		486.4	90			Percent of total billed charges		547.2	100			Fee schedule		342.28	85			Percent of total billed charges		516.8	100			Fee schedule		342.28	100			Fee schedule		342.28	100			Fee schedule		342.28	100			Fee schedule		342.28		416		Case rate		416		416		Case rate		416	100			Fee schedule		342.28	326.74	547.2	
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, single area (eg, head, neck, chest, pelvis), single day imaging"	78800	CPT	Outpatient			660	429		90			Percent of total billed charges		594	95.46			Fee schedule		326.74	80			Percent of total billed charges		528	90			Percent of total billed charges		594	100			Fee schedule		342.28	85			Percent of total billed charges		561	100			Fee schedule		342.28	100			Fee schedule		342.28	100			Fee schedule		342.28	100			Fee schedule		342.28		416		Case rate		416		416		Case rate		416	100			Fee schedule		342.28	326.74	594	
Liver and spleen imaging; static only	78215	CPT	Outpatient			669	434.85		90			Percent of total billed charges		602.1	95.46			Fee schedule		326.74	80			Percent of total billed charges		535.2	90			Percent of total billed charges		602.1	100			Fee schedule		342.28	85			Percent of total billed charges		568.65	100			Fee schedule		342.28	100			Fee schedule		342.28	100			Fee schedule		342.28	100			Fee schedule		342.28		416		Case rate		416		416		Case rate		416	100			Fee schedule		342.28	326.74	602.1	
Bone and/or joint imaging; whole body	78306	CPT	Outpatient			723	469.95		90			Percent of total billed charges		650.7	95.46			Fee schedule		326.74	80			Percent of total billed charges		578.4	90			Percent of total billed charges		650.7	100			Fee schedule		342.28	85			Percent of total billed charges		614.55	100			Fee schedule		342.28	100			Fee schedule		342.28	100			Fee schedule		342.28	100			Fee schedule		342.28		416		Case rate		416		416		Case rate		416	100			Fee schedule		342.28	326.74	650.7	
Acute gastrointestinal blood loss imaging	78278	CPT	Outpatient			737	479.05		90			Percent of total billed charges		663.3	95.46			Fee schedule		326.74	80			Percent of total billed charges		589.6	90			Percent of total billed charges		663.3	100			Fee schedule		342.28	85			Percent of total billed charges		626.45	100			Fee schedule		342.28	100			Fee schedule		342.28	100			Fee schedule		342.28	100			Fee schedule		342.28		416		Case rate		416		416		Case rate		416	100			Fee schedule		342.28	326.74	663.3	
Bone and/or joint imaging; 3 phase study	78315	CPT	Outpatient			750	487.5		90			Percent of total billed charges		675	95.46			Fee schedule		326.74	80			Percent of total billed charges		600	90			Percent of total billed charges		675	100			Fee schedule		342.28	85			Percent of total billed charges		637.5	100			Fee schedule		342.28	100			Fee schedule		342.28	100			Fee schedule		342.28	100			Fee schedule		342.28		416		Case rate		416		416		Case rate		416	100			Fee schedule		342.28	326.74	675	
"Cardiac blood pool imaging, gated equilibrium; planar, single study at rest or stress (exercise and/or pharmacologic), wall motion study plus ejection fraction, with or without additional quantitative processing"	78472	CPT	Outpatient			766	497.9		90			Percent of total billed charges		689.4	95.46			Fee schedule		326.74	80			Percent of total billed charges		612.8	90			Percent of total billed charges		689.4	100			Fee schedule		342.28	85			Percent of total billed charges		651.1	100			Fee schedule		342.28	100			Fee schedule		342.28	100			Fee schedule		342.28	100			Fee schedule		342.28		416		Case rate		416		416		Case rate		416	100			Fee schedule		342.28	326.74	689.4	
"Labeled red cell sequestration, differential organ/tissue (eg, splenic and/or hepatic)"	78140	CPT	Outpatient			820	533		90			Percent of total billed charges		738	95.46			Fee schedule		326.74	80			Percent of total billed charges		656	90			Percent of total billed charges		738	100			Fee schedule		342.28	85			Percent of total billed charges		697	100			Fee schedule		342.28	100			Fee schedule		342.28	100			Fee schedule		342.28	100			Fee schedule		342.28		416		Case rate		416		416		Case rate		416	100			Fee schedule		342.28	326.74	738	
"Pulmonary ventilation imaging (eg, aerosol or gas)"	78579	CPT	Outpatient			830	539.5		90			Percent of total billed charges		747	95.46			Fee schedule		326.74	80			Percent of total billed charges		664	90			Percent of total billed charges		747	100			Fee schedule		342.28	85			Percent of total billed charges		705.5	100			Fee schedule		342.28	100			Fee schedule		342.28	100			Fee schedule		342.28	100			Fee schedule		342.28		416		Case rate		416		416		Case rate		416	100			Fee schedule		342.28	326.74	747	
"Hepatobiliary system imaging, including gallbladder when present"	78226	CPT	Outpatient			857	557.05		90			Percent of total billed charges		771.3	95.46			Fee schedule		326.74	80			Percent of total billed charges		685.6	90			Percent of total billed charges		771.3	100			Fee schedule		342.28	85			Percent of total billed charges		728.45	100			Fee schedule		342.28	100			Fee schedule		342.28	100			Fee schedule		342.28	100			Fee schedule		342.28		416		Case rate		416		416		Case rate		416	100			Fee schedule		342.28	326.74	771.3	
"Quantitative differential pulmonary perfusion, including imaging when performed"	78597	CPT	Outpatient			1001	650.65		90			Percent of total billed charges		900.9	95.46			Fee schedule		326.74	80			Percent of total billed charges		800.8	90			Percent of total billed charges		900.9	100			Fee schedule		342.28	85			Percent of total billed charges		850.85	100			Fee schedule		342.28	100			Fee schedule		342.28	100			Fee schedule		342.28	100			Fee schedule		342.28		416		Case rate		416		416		Case rate		416	100			Fee schedule		342.28	326.74	900.9	
"Cardiac blood pool imaging, gated equilibrium; multiple studies, wall motion study plus ejection fraction, at rest and stress (exercise and/or pharmacologic), with or without additional quantification"	78473	CPT	Outpatient			1103	716.95		90			Percent of total billed charges		992.7	95.46			Fee schedule		326.74	80			Percent of total billed charges		882.4	90			Percent of total billed charges		992.7	100			Fee schedule		342.28	85			Percent of total billed charges		937.55	100			Fee schedule		342.28	100			Fee schedule		342.28	100			Fee schedule		342.28	100			Fee schedule		342.28		416		Case rate		416		416		Case rate		416	100			Fee schedule		342.28	326.74	992.7	
"Transfusion, blood or blood components"	36430	CPT	Outpatient			457	297.05		90			Percent of total billed charges		411.3	95.46			Fee schedule		343.9	80			Percent of total billed charges		365.6	85			Percent of total billed charges		388.45	100			Fee schedule		360.25	85			Percent of total billed charges		388.45	100			Fee schedule		360.25	100			Fee schedule		360.25	100			Fee schedule		360.25	100			Fee schedule		360.25		216		Case rate		216		216		Case rate		216	100			Fee schedule		360.25	216	411.3	
"Unlisted procedure, hemic or lymphatic system"	38999	CPT	Outpatient			1255	815.75		90			Percent of total billed charges		1129.5	95.46			Fee schedule		343.9	80			Percent of total billed charges		1004	85			Percent of total billed charges		1066.75	100			Fee schedule		360.25	85			Percent of total billed charges		1066.75	100			Fee schedule		360.25	100			Fee schedule		360.25	100			Fee schedule		360.25	100			Fee schedule		360.25		216		Case rate		216		216		Case rate		216	100			Fee schedule		360.25	216	1129.5	
"Injection, rasburicase, 0.5 mg"	J2783	HCPCS	Outpatient	0.5	ME	513.47	333.75		90			Percent of total billed charges		462.12	95.46			Fee schedule		350.8	80			Percent of total billed charges		410.77	90			Percent of total billed charges		462.12	100			Fee schedule		367.48	85			Percent of total billed charges		436.45	100			Fee schedule		367.48	100			Fee schedule		367.48	100			Fee schedule		367.48	100			Fee schedule		367.48		296.61		Case rate		296.61		296.61		Case rate		296.61	100			Fee schedule		367.48	296.61	462.12	
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making"	99284	CPT	Outpatient			724	470.6		90			Percent of total billed charges		651.6	95.46			Fee schedule		350.87	80			Percent of total billed charges		579.2	90			Percent of total billed charges		651.6	100			Fee schedule		367.56	85			Percent of total billed charges		615.4	100			Fee schedule		367.56	100			Fee schedule		367.56	100			Fee schedule		367.56	100			Fee schedule		367.56		687		Case rate		687		687		Case rate		687	100			Fee schedule		367.56	350.87	687	
"Injection, velaglucerase alfa, 100 units"	J3385	HCPCS	Outpatient	100	UN	127.31	82.75		90			Percent of total billed charges		114.58	95.46			Fee schedule		127.31	80			Percent of total billed charges		101.84	90			Percent of total billed charges		114.58	100			Fee schedule		367.84	85			Percent of total billed charges		108.21	100			Fee schedule		127.31	100			Fee schedule		367.84	100			Fee schedule		367.84	100			Fee schedule		367.84		366.36		Case rate		366.36		366.36		Case rate		366.36	100			Fee schedule		367.84	101.84	367.84	
"Intravenous infusion or subcutaneous injection, casirivimab and imdevimab includes infusion or injection, and post administration monitoring"	M0243	CPT	Outpatient			450	292.5		90			Percent of total billed charges		405	95.46			Fee schedule		374.57	80			Percent of total billed charges		360	90			Percent of total billed charges		405	100			Fee schedule		392.39	85			Percent of total billed charges		382.5	100			Fee schedule		392.39	100			Fee schedule		392.39	100			Fee schedule		392.39	100			Fee schedule		392.39		141		Case rate		141		141		Case rate		141	100			Fee schedule		392.39	141	405	
"Intravenous infusion, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, includes infusion and post administration monitoring, first dose"	M0249	CPT	Outpatient			450	292.5		90			Percent of total billed charges		405	95.46			Fee schedule		374.57	80			Percent of total billed charges		360	90			Percent of total billed charges		405	100			Fee schedule		392.39	85			Percent of total billed charges		382.5	100			Fee schedule		392.39	100			Fee schedule		392.39	100			Fee schedule		392.39	100			Fee schedule		392.39		141		Case rate		141		141		Case rate		141	100			Fee schedule		392.39	141	405	
"Intravenous infusion, bamlanivimab and etesevimab, includes infusion and post administration monitoring"	M0245	CPT	Outpatient			450	292.5		90			Percent of total billed charges		405	95.46			Fee schedule		374.57	80			Percent of total billed charges		360	90			Percent of total billed charges		405	100			Fee schedule		392.39	85			Percent of total billed charges		382.5	100			Fee schedule		392.39	100			Fee schedule		392.39	100			Fee schedule		392.39	100			Fee schedule		392.39		141		Case rate		141		141		Case rate		141	100			Fee schedule		392.39	141	405	
"Intravenous infusion, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, includes infusion and post administration monitoring, second dose"	M0250	CPT	Outpatient			450	292.5		90			Percent of total billed charges		405	95.46			Fee schedule		374.57	80			Percent of total billed charges		360	90			Percent of total billed charges		405	100			Fee schedule		392.39	85			Percent of total billed charges		382.5	100			Fee schedule		392.39	100			Fee schedule		392.39	100			Fee schedule		392.39	100			Fee schedule		392.39		141		Case rate		141		141		Case rate		141	100			Fee schedule		392.39	141	405	
"Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)"	J7308	HCPCS	Outpatient	354	ME	546.84	355.45		90			Percent of total billed charges		492.16	95.46			Fee schedule		378.53	80			Percent of total billed charges		437.47	90			Percent of total billed charges		492.16	100			Fee schedule		396.53	85			Percent of total billed charges		464.81	100			Fee schedule		396.53	100			Fee schedule		396.53	100			Fee schedule		396.53	100			Fee schedule		396.53		428.87		Case rate		428.87		428.87		Case rate		428.87	100			Fee schedule		396.53	378.53	492.16	
"Injection, triptorelin pamoate, 3.75 mg"	J3315	HCPCS	Outpatient	3.75	ME	2537.33	1649.27		90			Percent of total billed charges		2283.6	95.46			Fee schedule		397.77	80			Percent of total billed charges		2029.87	90			Percent of total billed charges		2283.6	100			Fee schedule		416.69	85			Percent of total billed charges		2156.73	100			Fee schedule		416.69	100			Fee schedule		416.69	100			Fee schedule		416.69	100			Fee schedule		416.69		259.17		Case rate		259.17		259.17		Case rate		259.17	100			Fee schedule		416.69	259.17	2283.6	
"Injection, phentolamine mesylate, up to 5 mg"	J2760	HCPCS	Outpatient	5	ME	30	19.5		90			Percent of total billed charges		27	95.46			Fee schedule		30	80			Percent of total billed charges		24	90			Percent of total billed charges		27	100			Fee schedule		444.32	85			Percent of total billed charges		25.5	100			Fee schedule		30	100			Fee schedule		444.32	100			Fee schedule		444.32	100			Fee schedule		444.32		402.42		Case rate		402.42		402.42		Case rate		402.42	100			Fee schedule		444.32	24	444.32	
"Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretation"	91035	CPT	Outpatient			401	260.65		90			Percent of total billed charges		360.9	95.46			Fee schedule		401	80			Percent of total billed charges		320.8	90			Percent of total billed charges		360.9	100			Fee schedule		444.8	85			Percent of total billed charges		340.85	100			Fee schedule		401	100			Fee schedule		444.8	100			Fee schedule		444.8	100			Fee schedule		444.8		216		Case rate		216		216		Case rate		216	100			Fee schedule		444.8	216	444.8	
"Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological intervention"	93660	CPT	Outpatient			809	525.85		90			Percent of total billed charges		728.1	95.46			Fee schedule		424.61	80			Percent of total billed charges		647.2	90			Percent of total billed charges		728.1	100			Fee schedule		444.8	85			Percent of total billed charges		687.65	100			Fee schedule		444.8	100			Fee schedule		444.8	100			Fee schedule		444.8	100			Fee schedule		444.8		216		Case rate		216		216		Case rate		216	100			Fee schedule		444.8	216	728.1	
Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report	91010	CPT	Outpatient			829	538.85		90			Percent of total billed charges		746.1	95.46			Fee schedule		424.61	80			Percent of total billed charges		663.2	90			Percent of total billed charges		746.1	100			Fee schedule		444.8	85			Percent of total billed charges		704.65	100			Fee schedule		444.8	100			Fee schedule		444.8	100			Fee schedule		444.8	100			Fee schedule		444.8		216		Case rate		216		216		Case rate		216	100			Fee schedule		444.8	216	746.1	
Nerve conduction studies; 11-12 studies	95912	CPT	Outpatient			540	351		90			Percent of total billed charges		486	95.46			Fee schedule		424.61	80			Percent of total billed charges		432	90			Percent of total billed charges		486	100			Fee schedule		444.8	85			Percent of total billed charges		459	100			Fee schedule		444.8	100			Fee schedule		444.8	100			Fee schedule		444.8	100			Fee schedule		444.8		237		Case rate		237		237		Case rate		237	100			Fee schedule		444.8	237	486	
Nerve conduction studies; 9-10 studies	95911	CPT	Outpatient			540	351		90			Percent of total billed charges		486	95.46			Fee schedule		424.61	80			Percent of total billed charges		432	90			Percent of total billed charges		486	100			Fee schedule		444.8	85			Percent of total billed charges		459	100			Fee schedule		444.8	100			Fee schedule		444.8	100			Fee schedule		444.8	100			Fee schedule		444.8		237		Case rate		237		237		Case rate		237	100			Fee schedule		444.8	237	486	
Nerve conduction studies; 13 or more studies	95913	CPT	Outpatient			565	367.25		90			Percent of total billed charges		508.5	95.46			Fee schedule		424.61	80			Percent of total billed charges		452	90			Percent of total billed charges		508.5	100			Fee schedule		444.8	85			Percent of total billed charges		480.25	100			Fee schedule		444.8	100			Fee schedule		444.8	100			Fee schedule		444.8	100			Fee schedule		444.8		237		Case rate		237		237		Case rate		237	100			Fee schedule		444.8	237	508.5	
Electroencephalogram (EEG); cerebral death evaluation only	95824	CPT	Outpatient			346	224.9		90			Percent of total billed charges		311.4	95.46			Fee schedule		346	80			Percent of total billed charges		276.8	90			Percent of total billed charges		311.4	100			Fee schedule		444.8	85			Percent of total billed charges		294.1	100			Fee schedule		346	100			Fee schedule		444.8	100			Fee schedule		444.8	100			Fee schedule		444.8		268		Case rate		268		268		Case rate		268	100			Fee schedule		444.8	268	444.8	
"Multiple sleep latency or maintenance of wakefulness testing, recording, analysis and interpretation of physiological measurements of sleep during multiple trials to assess sleepiness"	95805	CPT	Outpatient			1100	715		90			Percent of total billed charges		990	95.46			Fee schedule		424.61	80			Percent of total billed charges		880	90			Percent of total billed charges		990	100			Fee schedule		444.8	85			Percent of total billed charges		935	100			Fee schedule		444.8	100			Fee schedule		444.8	100			Fee schedule		444.8	100			Fee schedule		444.8		532		Case rate		532		532		Case rate		532	100			Fee schedule		444.8	424.61	990	
"Brain imaging, vascular flow only"	78610	CPT	Outpatient			289	187.85		90			Percent of total billed charges		260.1	95.46			Fee schedule		289	80			Percent of total billed charges		231.2	90			Percent of total billed charges		260.1	100			Fee schedule		448.56	85			Percent of total billed charges		245.65	100			Fee schedule		289	100			Fee schedule		448.56	100			Fee schedule		448.56	100			Fee schedule		448.56		416		Case rate	Use Lesser of logic	289		416		Case rate	Use Lesser of logic	289	100			Fee schedule		448.56	231.2	448.56	
Liver imaging; static only	78201	CPT	Outpatient			527	342.55		90			Percent of total billed charges		474.3	95.46			Fee schedule		428.19	80			Percent of total billed charges		421.6	90			Percent of total billed charges		474.3	100			Fee schedule		448.56	85			Percent of total billed charges		447.95	100			Fee schedule		448.56	100			Fee schedule		448.56	100			Fee schedule		448.56	100			Fee schedule		448.56		416		Case rate		416		416		Case rate		416	100			Fee schedule		448.56	416	474.3	
"Brain imaging, minimum 4 static views"	78605	CPT	Outpatient			535	347.75		90			Percent of total billed charges		481.5	95.46			Fee schedule		428.19	80			Percent of total billed charges		428	90			Percent of total billed charges		481.5	100			Fee schedule		448.56	85			Percent of total billed charges		454.75	100			Fee schedule		448.56	100			Fee schedule		448.56	100			Fee schedule		448.56	100			Fee schedule		448.56		416		Case rate		416		416		Case rate		416	100			Fee schedule		448.56	416	481.5	
"Kidney imaging morphology; with vascular flow and function, single study, with pharmacological intervention (eg, angiotensin converting enzyme inhibitor and/or diuretic)"	78708	CPT	Outpatient			629	408.85		90			Percent of total billed charges		566.1	95.46			Fee schedule		428.19	80			Percent of total billed charges		503.2	90			Percent of total billed charges		566.1	100			Fee schedule		448.56	85			Percent of total billed charges		534.65	100			Fee schedule		448.56	100			Fee schedule		448.56	100			Fee schedule		448.56	100			Fee schedule		448.56		416		Case rate		416		416		Case rate		416	100			Fee schedule		448.56	416	566.1	
Lymphatics and lymph nodes imaging	78195	CPT	Outpatient			629	408.85		90			Percent of total billed charges		566.1	95.46			Fee schedule		428.19	80			Percent of total billed charges		503.2	90			Percent of total billed charges		566.1	100			Fee schedule		448.56	85			Percent of total billed charges		534.65	100			Fee schedule		448.56	100			Fee schedule		448.56	100			Fee schedule		448.56	100			Fee schedule		448.56		416		Case rate		416		416		Case rate		416	100			Fee schedule		448.56	416	566.1	
"Kidney imaging morphology; with vascular flow and function, single study without pharmacological intervention"	78707	CPT	Outpatient			760	494		90			Percent of total billed charges		684	95.46			Fee schedule		428.19	80			Percent of total billed charges		608	90			Percent of total billed charges		684	100			Fee schedule		448.56	85			Percent of total billed charges		646	100			Fee schedule		448.56	100			Fee schedule		448.56	100			Fee schedule		448.56	100			Fee schedule		448.56		416		Case rate		416		416		Case rate		416	100			Fee schedule		448.56	416	684	
Thyroid carcinoma metastases imaging; whole body	78018	CPT	Outpatient			817	531.05		90			Percent of total billed charges		735.3	95.46			Fee schedule		428.19	80			Percent of total billed charges		653.6	90			Percent of total billed charges		735.3	100			Fee schedule		448.56	85			Percent of total billed charges		694.45	100			Fee schedule		448.56	100			Fee schedule		448.56	100			Fee schedule		448.56	100			Fee schedule		448.56		416		Case rate		416		416		Case rate		416	100			Fee schedule		448.56	416	735.3	
"Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed"	78227	CPT	Outpatient			857	557.05		90			Percent of total billed charges		771.3	95.46			Fee schedule		428.19	80			Percent of total billed charges		685.6	90			Percent of total billed charges		771.3	100			Fee schedule		448.56	85			Percent of total billed charges		728.45	100			Fee schedule		448.56	100			Fee schedule		448.56	100			Fee schedule		448.56	100			Fee schedule		448.56		416		Case rate		416		416		Case rate		416	100			Fee schedule		448.56	416	771.3	
"Brain imaging, minimum 4 static views; with vascular flow"	78606	CPT	Outpatient			881	572.65		90			Percent of total billed charges		792.9	95.46			Fee schedule		428.19	80			Percent of total billed charges		704.8	90			Percent of total billed charges		792.9	100			Fee schedule		448.56	85			Percent of total billed charges		748.85	100			Fee schedule		448.56	100			Fee schedule		448.56	100			Fee schedule		448.56	100			Fee schedule		448.56		416		Case rate		416		416		Case rate		416	100			Fee schedule		448.56	416	792.9	
"Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging"	78582	CPT	Outpatient			909	590.85		90			Percent of total billed charges		818.1	95.46			Fee schedule		428.19	80			Percent of total billed charges		727.2	90			Percent of total billed charges		818.1	100			Fee schedule		448.56	85			Percent of total billed charges		772.65	100			Fee schedule		448.56	100			Fee schedule		448.56	100			Fee schedule		448.56	100			Fee schedule		448.56		416		Case rate		416		416		Case rate		416	100			Fee schedule		448.56	416	818.1	
"Biopsy, vestibule of mouth"	40808	CPT	Outpatient			245	159.25		90			Percent of total billed charges		220.5	95.46			Fee schedule		245	80			Percent of total billed charges		196	85			Percent of total billed charges		208.25	100			Fee schedule		456.6	85			Percent of total billed charges		208.25	100			Fee schedule		245	100			Fee schedule		456.6	100			Fee schedule		456.6	100			Fee schedule		456.6		216		Case rate		216		216		Case rate		216	100			Fee schedule		456.6	196	456.6	
Biopsy of tongue; anterior two-thirds	41100	CPT	Outpatient			350	227.5		90			Percent of total billed charges		315	95.46			Fee schedule		350	80			Percent of total billed charges		280	85			Percent of total billed charges		297.5	100			Fee schedule		456.6	85			Percent of total billed charges		297.5	100			Fee schedule		350	100			Fee schedule		456.6	100			Fee schedule		456.6	100			Fee schedule		456.6		216		Case rate		216		216		Case rate		216	100			Fee schedule		456.6	216	456.6	
"Drainage of abscess, cyst, hematoma, vestibule of mouth; complicated"	40801	CPT	Outpatient			420	273		90			Percent of total billed charges		378	95.46			Fee schedule		420	80			Percent of total billed charges		336	85			Percent of total billed charges		357	100			Fee schedule		456.6	85			Percent of total billed charges		357	100			Fee schedule		420	100			Fee schedule		456.6	100			Fee schedule		456.6	100			Fee schedule		456.6		216		Case rate		216		216		Case rate		216	100			Fee schedule		456.6	216	456.6	
Otolaryngologic examination under general anesthesia	92502	CPT	Outpatient			627.75	408.04		90			Percent of total billed charges		564.98	95.46			Fee schedule		435.87	80			Percent of total billed charges		502.2	90			Percent of total billed charges		564.98	100			Fee schedule		456.6	85			Percent of total billed charges		533.59	100			Fee schedule		456.6	100			Fee schedule		456.6	100			Fee schedule		456.6	100			Fee schedule		456.6		216		Case rate		216		216		Case rate		216	100			Fee schedule		456.6	216	564.98	
"Repair lip, full thickness; vermilion only"	40650	CPT	Outpatient			670	435.5		90			Percent of total billed charges		603	95.46			Fee schedule		435.87	80			Percent of total billed charges		536	85			Percent of total billed charges		569.5	100			Fee schedule		456.6	85			Percent of total billed charges		569.5	100			Fee schedule		456.6	100			Fee schedule		456.6	100			Fee schedule		456.6	100			Fee schedule		456.6		216		Case rate		216		216		Case rate		216	100			Fee schedule		456.6	216	603	
"Repair lip, full thickness; up to half vertical height"	40652	CPT	Outpatient			790	513.5		90			Percent of total billed charges		711	95.46			Fee schedule		435.87	80			Percent of total billed charges		632	85			Percent of total billed charges		671.5	100			Fee schedule		456.6	85			Percent of total billed charges		671.5	100			Fee schedule		456.6	100			Fee schedule		456.6	100			Fee schedule		456.6	100			Fee schedule		456.6		216		Case rate		216		216		Case rate		216	100			Fee schedule		456.6	216	711	
Exploration of penetrating wound (separate procedure); neck	20100	CPT	Outpatient			1700	1105		90			Percent of total billed charges		1530	95.46			Fee schedule		435.87	80			Percent of total billed charges		1360	85			Percent of total billed charges		1445	100			Fee schedule		456.6	85			Percent of total billed charges		1445	100			Fee schedule		456.6	100			Fee schedule		456.6	100			Fee schedule		456.6	100			Fee schedule		456.6		216		Case rate		216		216		Case rate		216	100			Fee schedule		456.6	216	1530	
Incision of labial frenum (frenotomy)	40806	CPT	Outpatient			1983.72	1289.42		90			Percent of total billed charges		1785.35	95.46			Fee schedule		435.87	80			Percent of total billed charges		1586.97	85			Percent of total billed charges		1686.16	100			Fee schedule		456.6	85			Percent of total billed charges		1686.16	100			Fee schedule		456.6	100			Fee schedule		456.6	100			Fee schedule		456.6	100			Fee schedule		456.6		216		Case rate		216		216		Case rate		216	100			Fee schedule		456.6	216	1785.35	
"Repair, laceration of palate; up to 2 cm"	42180	CPT	Outpatient			4789.5	3113.18		90			Percent of total billed charges		4310.55	95.46			Fee schedule		435.87	80			Percent of total billed charges		3831.6	85			Percent of total billed charges		4071.08	100			Fee schedule		456.6	85			Percent of total billed charges		4071.08	100			Fee schedule		456.6	100			Fee schedule		456.6	100			Fee schedule		456.6	100			Fee schedule		456.6		216		Case rate		216		216		Case rate		216	100			Fee schedule		456.6	216	4310.55	
"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); placement of transesophageal probe only"	93313	CPT	Outpatient			70	45.5		90			Percent of total billed charges		63	95.46			Fee schedule		70	80			Percent of total billed charges		56	90			Percent of total billed charges		63	100			Fee schedule		457.82	85			Percent of total billed charges		59.5	100			Fee schedule		70	100			Fee schedule		457.82	100			Fee schedule		457.82	100			Fee schedule		457.82		89		Case rate	Use Lesser of logic	70		89		Case rate	Use Lesser of logic	70	100			Fee schedule		457.82	56	457.82	
Transthoracic echocardiography for congenital cardiac anomalies; follow-up or limited study	93304	CPT	Outpatient			591	384.15		90			Percent of total billed charges		531.9	95.46			Fee schedule		437.04	80			Percent of total billed charges		472.8	90			Percent of total billed charges		531.9	100			Fee schedule		457.82	85			Percent of total billed charges		502.35	100			Fee schedule		457.82	100			Fee schedule		457.82	100			Fee schedule		457.82	100			Fee schedule		457.82		89		Case rate		89		89		Case rate		89	100			Fee schedule		457.82	89	531.9	
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report"	93350	CPT	Outpatient			794	516.1		90			Percent of total billed charges		714.6	95.46			Fee schedule		437.04	80			Percent of total billed charges		635.2	90			Percent of total billed charges		714.6	100			Fee schedule		457.82	85			Percent of total billed charges		674.9	100			Fee schedule		457.82	100			Fee schedule		457.82	100			Fee schedule		457.82	100			Fee schedule		457.82		89		Case rate		89		89		Case rate		89	100			Fee schedule		457.82	89	714.6	
"Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report"	93312	CPT	Outpatient			825	536.25		90			Percent of total billed charges		742.5	95.46			Fee schedule		437.04	80			Percent of total billed charges		660	90			Percent of total billed charges		742.5	100			Fee schedule		457.82	85			Percent of total billed charges		701.25	100			Fee schedule		457.82	100			Fee schedule		457.82	100			Fee schedule		457.82	100			Fee schedule		457.82		89		Case rate		89		89		Case rate		89	100			Fee schedule		457.82	89	742.5	
"Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography"	93306	CPT	Outpatient			988	642.2		90			Percent of total billed charges		889.2	95.46			Fee schedule		437.04	80			Percent of total billed charges		790.4	90			Percent of total billed charges		889.2	100			Fee schedule		457.82	85			Percent of total billed charges		839.8	100			Fee schedule		457.82	100			Fee schedule		457.82	100			Fee schedule		457.82	100			Fee schedule		457.82		89		Case rate		89		89		Case rate		89	100			Fee schedule		457.82	89	889.2	
"Peritoneogram (eg, after injection of air or contrast), radiological supervision and interpretation"	74190	CPT	Outpatient			309	200.85		90			Percent of total billed charges		278.1	95.46			Fee schedule		309	80			Percent of total billed charges		247.2	90			Percent of total billed charges		278.1	100			Fee schedule		457.82	85			Percent of total billed charges		262.65	100			Fee schedule		309	100			Fee schedule		457.82	100			Fee schedule		457.82	100			Fee schedule		457.82		117		Case rate		117		117		Case rate		117	100			Fee schedule		457.82	117	457.82	
"Radiologic examination, abscess, fistula or sinus tract study, radiological supervision and interpretation"	76080	CPT	Outpatient			309	200.85		90			Percent of total billed charges		278.1	95.46			Fee schedule		309	80			Percent of total billed charges		247.2	90			Percent of total billed charges		278.1	100			Fee schedule		457.82	85			Percent of total billed charges		262.65	100			Fee schedule		309	100			Fee schedule		457.82	100			Fee schedule		457.82	100			Fee schedule		457.82		117		Case rate		117		117		Case rate		117	100			Fee schedule		457.82	117	457.82	
"Radiologic examination, renal cyst study, translumbar, contrast visualization, radiological supervision and interpretation"	74470	CPT	Outpatient			309	200.85		90			Percent of total billed charges		278.1	95.46			Fee schedule		309	80			Percent of total billed charges		247.2	90			Percent of total billed charges		278.1	100			Fee schedule		457.82	85			Percent of total billed charges		262.65	100			Fee schedule		309	100			Fee schedule		457.82	100			Fee schedule		457.82	100			Fee schedule		457.82		117		Case rate		117		117		Case rate		117	100			Fee schedule		457.82	117	457.82	
"Radiological examination, surgical specimen"	76098	CPT	Outpatient			518	336.7		90			Percent of total billed charges		466.2	95.46			Fee schedule		437.04	80			Percent of total billed charges		414.4	90			Percent of total billed charges		466.2	100			Fee schedule		457.82	85			Percent of total billed charges		440.3	100			Fee schedule		457.82	100			Fee schedule		457.82	100			Fee schedule		457.82	100			Fee schedule		457.82		117		Case rate		117		117		Case rate		117	100			Fee schedule		457.82	117	466.2	
"Platelets, pheresis, leukocytes reduced, each unit"	P9035	CPT	Outpatient			969	629.85		90			Percent of total billed charges		872.1	95.46			Fee schedule		450.89	80			Percent of total billed charges		775.2	90			Percent of total billed charges		872.1	100			Fee schedule		472.33	85			Percent of total billed charges		823.65	100			Fee schedule		472.33	100			Fee schedule		472.33	100			Fee schedule		472.33	100			Fee schedule		472.33		196		Case rate		196		196		Case rate		196	100			Fee schedule		472.33	196	872.1	
"Rabies immune globulin, heat-treated (RIg-HT), human, for intramuscular and/or subcutaneous use"	90376	CPT	Outpatient			327.11	212.62		90			Percent of total billed charges		294.4	95.46			Fee schedule		327.11	80			Percent of total billed charges		261.69	90			Percent of total billed charges		294.4	100			Fee schedule		479.72	85			Percent of total billed charges		278.04	100			Fee schedule		327.11	100			Fee schedule		479.72	100			Fee schedule		479.72	100			Fee schedule		479.72		330.71		Case rate		330.71		330.71		Case rate		330.71	100			Fee schedule		479.72	261.69	479.72	
"Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, each subsequent day"	94003	CPT	Outpatient			398	258.7		90			Percent of total billed charges		358.2	95.46			Fee schedule		398	80			Percent of total billed charges		318.4	90			Percent of total billed charges		358.2	100			Fee schedule		520.06	85			Percent of total billed charges		338.3	100			Fee schedule		398	100			Fee schedule		520.06	100			Fee schedule		520.06	100			Fee schedule		520.06		117		Case rate		117		117		Case rate		117	100			Fee schedule		520.06	117	520.06	
"Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, initial day"	94002	CPT	Outpatient			894	581.1		90			Percent of total billed charges		804.6	95.46			Fee schedule		496.45	80			Percent of total billed charges		715.2	90			Percent of total billed charges		804.6	100			Fee schedule		520.06	85			Percent of total billed charges		759.9	100			Fee schedule		520.06	100			Fee schedule		520.06	100			Fee schedule		520.06	100			Fee schedule		520.06		117		Case rate		117		117		Case rate		117	100			Fee schedule		520.06	117	804.6	
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 20.1 cm to 30.0 cm"	12036	CPT	Outpatient			170	110.5		90			Percent of total billed charges		153	95.46			Fee schedule		170	80			Percent of total billed charges		136	85			Percent of total billed charges		144.5	100			Fee schedule		521.21	85			Percent of total billed charges		144.5	100			Fee schedule		170	100			Fee schedule		521.21	100			Fee schedule		521.21	100			Fee schedule		521.21		216		Case rate	Use Lesser of logic	170		216		Case rate	Use Lesser of logic	170	100			Fee schedule		521.21	136	521.21	
Dressing change (for other than burns) under anesthesia (other than local)	15852	CPT	Outpatient			236	153.4		90			Percent of total billed charges		212.4	95.46			Fee schedule		236	80			Percent of total billed charges		188.8	85			Percent of total billed charges		200.6	100			Fee schedule		521.21	85			Percent of total billed charges		200.6	100			Fee schedule		236	100			Fee schedule		521.21	100			Fee schedule		521.21	100			Fee schedule		521.21		216		Case rate		216		216		Case rate		216	100			Fee schedule		521.21	188.8	521.21	
"Repair, complex, scalp, arms, and/or legs; 2.6 cm to 7.5 cm"	13121	CPT	Outpatient			252.25	163.96		90			Percent of total billed charges		227.02	95.46			Fee schedule		252.25	80			Percent of total billed charges		201.8	85			Percent of total billed charges		214.41	100			Fee schedule		521.21	85			Percent of total billed charges		214.41	100			Fee schedule		252.25	100			Fee schedule		521.21	100			Fee schedule		521.21	100			Fee schedule		521.21		216		Case rate		216		216		Case rate		216	100			Fee schedule		521.21	201.8	521.21	
"Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; 2.6 cm to 7.5 cm"	13132	CPT	Outpatient			277.7	180.5		90			Percent of total billed charges		249.93	95.46			Fee schedule		277.7	80			Percent of total billed charges		222.16	85			Percent of total billed charges		236.04	100			Fee schedule		521.21	85			Percent of total billed charges		236.04	100			Fee schedule		277.7	100			Fee schedule		521.21	100			Fee schedule		521.21	100			Fee schedule		521.21		216		Case rate		216		216		Case rate		216	100			Fee schedule		521.21	216	521.21	
"Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to 7.5 cm"	13152	CPT	Outpatient			279.75	181.84		90			Percent of total billed charges		251.78	95.46			Fee schedule		279.75	80			Percent of total billed charges		223.8	85			Percent of total billed charges		237.79	100			Fee schedule		521.21	85			Percent of total billed charges		237.79	100			Fee schedule		279.75	100			Fee schedule		521.21	100			Fee schedule		521.21	100			Fee schedule		521.21		216		Case rate		216		216		Case rate		216	100			Fee schedule		521.21	216	521.21	
Repair of nail bed	11760	CPT	Outpatient			282	183.3		90			Percent of total billed charges		253.8	95.46			Fee schedule		282	80			Percent of total billed charges		225.6	85			Percent of total billed charges		239.7	100			Fee schedule		521.21	85			Percent of total billed charges		239.7	100			Fee schedule		282	100			Fee schedule		521.21	100			Fee schedule		521.21	100			Fee schedule		521.21		216		Case rate		216		216		Case rate		216	100			Fee schedule		521.21	216	521.21	
"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 7.6 cm to 12.5 cm"	12044	CPT	Outpatient			516	335.4		90			Percent of total billed charges		464.4	95.46			Fee schedule		497.54	80			Percent of total billed charges		412.8	85			Percent of total billed charges		438.6	100			Fee schedule		521.21	85			Percent of total billed charges		438.6	100			Fee schedule		516	100			Fee schedule		521.21	100			Fee schedule		521.21	100			Fee schedule		521.21		216		Case rate		216		216		Case rate		216	100			Fee schedule		521.21	216	521.21	
"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter 3.1 to 4.0 cm"	17284	CPT	Outpatient			520	338		90			Percent of total billed charges		468	95.46			Fee schedule		497.54	80			Percent of total billed charges		416	85			Percent of total billed charges		442	100			Fee schedule		521.21	85			Percent of total billed charges		442	100			Fee schedule		520	100			Fee schedule		521.21	100			Fee schedule		521.21	100			Fee schedule		521.21		216		Case rate		216		216		Case rate		216	100			Fee schedule		521.21	216	521.21	
"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 12.6 cm to 20.0 cm"	12045	CPT	Outpatient			530	344.5		90			Percent of total billed charges		477	95.46			Fee schedule		497.54	80			Percent of total billed charges		424	85			Percent of total billed charges		450.5	100			Fee schedule		521.21	85			Percent of total billed charges		450.5	100			Fee schedule		521.21	100			Fee schedule		521.21	100			Fee schedule		521.21	100			Fee schedule		521.21		216		Case rate		216		216		Case rate		216	100			Fee schedule		521.21	216	521.21	
"Destruction, malignant lesion (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), face, ears, eyelids, nose, lips, mucous membrane; lesion diameter over 4.0 cm"	17286	CPT	Outpatient			700	455		90			Percent of total billed charges		630	95.46			Fee schedule		497.54	80			Percent of total billed charges		560	85			Percent of total billed charges		595	100			Fee schedule		521.21	85			Percent of total billed charges		595	100			Fee schedule		521.21	100			Fee schedule		521.21	100			Fee schedule		521.21	100			Fee schedule		521.21		216		Case rate		216		216		Case rate		216	100			Fee schedule		521.21	216	630	
"Repair, intermediate, wounds of neck, hands, feet and/or external genitalia; 20.1 cm to 30.0 cm"	12046	CPT	Outpatient			750	487.5		90			Percent of total billed charges		675	95.46			Fee schedule		497.54	80			Percent of total billed charges		600	85			Percent of total billed charges		637.5	100			Fee schedule		521.21	85			Percent of total billed charges		637.5	100			Fee schedule		521.21	100			Fee schedule		521.21	100			Fee schedule		521.21	100			Fee schedule		521.21		216		Case rate		216		216		Case rate		216	100			Fee schedule		521.21	216	675	
Debridement of extensive eczematous or infected skin; up to 10% of body surface	11000	CPT	Outpatient			761.59	495.03		90			Percent of total billed charges		685.43	95.46			Fee schedule		497.54	80			Percent of total billed charges		609.27	85			Percent of total billed charges		647.35	100			Fee schedule		521.21	85			Percent of total billed charges		647.35	100			Fee schedule		521.21	100			Fee schedule		521.21	100			Fee schedule		521.21	100			Fee schedule		521.21		216		Case rate		216		216		Case rate		216	100			Fee schedule		521.21	216	685.43	
"Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and histopathologic preparation including routine stain(s) (eg, hematoxylin and eosin, toluidine blue), head, neck, hands, feet, genitalia, or any location with surgery directly involving muscle, cartilage, bone, tendon, major nerves, or vessels; first stage, up to 5 tissue blocks"	17311	CPT	Outpatient			761.59	495.03		90			Percent of total billed charges		685.43	95.46			Fee schedule		497.54	80			Percent of total billed charges		609.27	85			Percent of total billed charges		647.35	100			Fee schedule		521.21	85			Percent of total billed charges		647.35	100			Fee schedule		521.21	100			Fee schedule		521.21	100			Fee schedule		521.21	100			Fee schedule		521.21		216		Case rate		216		216		Case rate		216	100			Fee schedule		521.21	216	685.43	
"Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and histopathologic preparation including routine stain(s) (eg, hematoxylin and eosin, toluidine blue), of the trunk, arms, or legs; first stage, up to 5 tissue blocks"	17313	CPT	Outpatient			761.59	495.03		90			Percent of total billed charges		685.43	95.46			Fee schedule		497.54	80			Percent of total billed charges		609.27	85			Percent of total billed charges		647.35	100			Fee schedule		521.21	85			Percent of total billed charges		647.35	100			Fee schedule		521.21	100			Fee schedule		521.21	100			Fee schedule		521.21	100			Fee schedule		521.21		216		Case rate		216		216		Case rate		216	100			Fee schedule		521.21	216	685.43	
"Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); single lesion"	11106	CPT	Outpatient			761.59	495.03		90			Percent of total billed charges		685.43	95.46			Fee schedule		497.54	80			Percent of total billed charges		609.27	85			Percent of total billed charges		647.35	100			Fee schedule		521.21	85			Percent of total billed charges		647.35	100			Fee schedule		521.21	100			Fee schedule		521.21	100			Fee schedule		521.21	100			Fee schedule		521.21		216		Case rate		216		216		Case rate		216	100			Fee schedule		521.21	216	685.43	
"Repair, complex, trunk; 1.1 cm to 2.5 cm"	13100	CPT	Outpatient			761.59	495.03		90			Percent of total billed charges		685.43	95.46			Fee schedule		497.54	80			Percent of total billed charges		609.27	85			Percent of total billed charges		647.35	100			Fee schedule		521.21	85			Percent of total billed charges		647.35	100			Fee schedule		521.21	100			Fee schedule		521.21	100			Fee schedule		521.21	100			Fee schedule		521.21		216		Case rate		216		216		Case rate		216	100			Fee schedule		521.21	216	685.43	
"Repair, complex, trunk; 2.6 cm to 7.5 cm"	13101	CPT	Outpatient			761.59	495.03		90			Percent of total billed charges		685.43	95.46			Fee schedule		497.54	80			Percent of total billed charges		609.27	85			Percent of total billed charges		647.35	100			Fee schedule		521.21	85			Percent of total billed charges		647.35	100			Fee schedule		521.21	100			Fee schedule		521.21	100			Fee schedule		521.21	100			Fee schedule		521.21		216		Case rate		216		216		Case rate		216	100			Fee schedule		521.21	216	685.43	
Treatment of superficial wound dehiscence; simple closure	12020	CPT	Outpatient			761.59	495.03		90			Percent of total billed charges		685.43	95.46			Fee schedule		497.54	80			Percent of total billed charges		609.27	85			Percent of total billed charges		647.35	100			Fee schedule		521.21	85			Percent of total billed charges		647.35	100			Fee schedule		521.21	100			Fee schedule		521.21	100			Fee schedule		521.21	100			Fee schedule		521.21		216		Case rate		216		216		Case rate		216	100			Fee schedule		521.21	216	685.43	
"Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to 2.5 cm"	13151	CPT	Outpatient			761.59	495.03		90			Percent of total billed charges		685.43	95.46			Fee schedule		497.54	80			Percent of total billed charges		609.27	85			Percent of total billed charges		647.35	100			Fee schedule		521.21	85			Percent of total billed charges		647.35	100			Fee schedule		521.21	100			Fee schedule		521.21	100			Fee schedule		521.21	100			Fee schedule		521.21		216		Case rate		216		216		Case rate		216	100			Fee schedule		521.21	216	685.43	
"Repair, complex, scalp, arms, and/or legs; 1.1 cm to 2.5 cm"	13120	CPT	Outpatient			761.59	495.03		90			Percent of total billed charges		685.43	95.46			Fee schedule		497.54	80			Percent of total billed charges		609.27	85			Percent of total billed charges		647.35	100			Fee schedule		521.21	85			Percent of total billed charges		647.35	100			Fee schedule		521.21	100			Fee schedule		521.21	100			Fee schedule		521.21	100			Fee schedule		521.21		216		Case rate		216		216		Case rate		216	100			Fee schedule		521.21	216	685.43	
"Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet and/or multiple digits; first 100 sq cm or 1% of body area of infants and children"	15004	CPT	Outpatient			765	497.25		90			Percent of total billed charges		688.5	95.46			Fee schedule		497.54	80			Percent of total billed charges		612	85			Percent of total billed charges		650.25	100			Fee schedule		521.21	85			Percent of total billed charges		650.25	100			Fee schedule		521.21	100			Fee schedule		521.21	100			Fee schedule		521.21	100			Fee schedule		521.21		216		Case rate		216		216		Case rate		216	100			Fee schedule		521.21	216	688.5	
"Pinch graft, single or multiple, to cover small ulcer, tip of digit, or other minimal open area (except on face), up to defect size 2 cm diameter"	15050	CPT	Outpatient			1151	748.15		90			Percent of total billed charges		1035.9	95.46			Fee schedule		497.54	80			Percent of total billed charges		920.8	85			Percent of total billed charges		978.35	100			Fee schedule		521.21	85			Percent of total billed charges		978.35	100			Fee schedule		521.21	100			Fee schedule		521.21	100			Fee schedule		521.21	100			Fee schedule		521.21		216		Case rate		216		216		Case rate		216	100			Fee schedule		521.21	216	1035.9	
"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area"	C5275	CPT	Outpatient			1771	1151.15		90			Percent of total billed charges		1593.9	95.46			Fee schedule		497.54	80			Percent of total billed charges		1416.8	90			Percent of total billed charges		1593.9	100			Fee schedule		521.21	85			Percent of total billed charges		1505.35	100			Fee schedule		521.21	100			Fee schedule		521.21	100			Fee schedule		521.21	100			Fee schedule		521.21		216		Case rate		216		216		Case rate		216	100			Fee schedule		521.21	216	1593.9	
"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children"	C5277	CPT	Outpatient			1771	1151.15		90			Percent of total billed charges		1593.9	95.46			Fee schedule		497.54	80			Percent of total billed charges		1416.8	90			Percent of total billed charges		1593.9	100			Fee schedule		521.21	85			Percent of total billed charges		1505.35	100			Fee schedule		521.21	100			Fee schedule		521.21	100			Fee schedule		521.21	100			Fee schedule		521.21		216		Case rate		216		216		Case rate		216	100			Fee schedule		521.21	216	1593.9	
"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area"	C5271	CPT	Outpatient			1771	1151.15		90			Percent of total billed charges		1593.9	95.46			Fee schedule		497.54	80			Percent of total billed charges		1416.8	90			Percent of total billed charges		1593.9	100			Fee schedule		521.21	85			Percent of total billed charges		1505.35	100			Fee schedule		521.21	100			Fee schedule		521.21	100			Fee schedule		521.21	100			Fee schedule		521.21		216		Case rate		216		216		Case rate		216	100			Fee schedule		521.21	216	1593.9	
"Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); first 20 sq cm or less"	11043	CPT	Outpatient			2217.81	1441.58		90			Percent of total billed charges		1996.03	95.46			Fee schedule		497.54	80			Percent of total billed charges		1774.25	85			Percent of total billed charges		1885.14	100			Fee schedule		521.21	85			Percent of total billed charges		1885.14	100			Fee schedule		521.21	100			Fee schedule		521.21	100			Fee schedule		521.21	100			Fee schedule		521.21		216		Case rate		216		216		Case rate		216	100			Fee schedule		521.21	216	1996.03	
"Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated effusion); subsequent day"	32562	CPT	Outpatient			253	164.45		90			Percent of total billed charges		227.7	95.46			Fee schedule		253	80			Percent of total billed charges		202.4	85			Percent of total billed charges		215.05	100			Fee schedule		521.34	85			Percent of total billed charges		215.05	100			Fee schedule		253	100			Fee schedule		521.34	100			Fee schedule		521.34	100			Fee schedule		521.34		756		Case rate	Use Lesser of logic	253		756		Case rate	Use Lesser of logic	253	100			Fee schedule		521.34	202.4	521.34	
"Removal of tunneled central venous catheter, without subcutaneous port or pump"	36589	CPT	Outpatient			385	250.25		90			Percent of total billed charges		346.5	95.46			Fee schedule		385	80			Percent of total billed charges		308	85			Percent of total billed charges		327.25	100			Fee schedule		521.34	85			Percent of total billed charges		327.25	100			Fee schedule		385	100			Fee schedule		521.34	100			Fee schedule		521.34	100			Fee schedule		521.34		756		Case rate	Use Lesser of logic	385		756		Case rate	Use Lesser of logic	385	100			Fee schedule		521.34	308	521.34	
"Instillation, via chest tube/catheter, agent for pleurodesis (eg, talc for recurrent or persistent pneumothorax)"	32560	CPT	Outpatient			549	356.85		90			Percent of total billed charges		494.1	95.46			Fee schedule		497.67	80			Percent of total billed charges		439.2	85			Percent of total billed charges		466.65	100			Fee schedule		521.34	85			Percent of total billed charges		466.65	100			Fee schedule		521.34	100			Fee schedule		521.34	100			Fee schedule		521.34	100			Fee schedule		521.34		756		Case rate	Use Lesser of logic	549		756		Case rate	Use Lesser of logic	549	100			Fee schedule		521.34	439.2	549	
"Pneumothorax, therapeutic, intrapleural injection of air"	32960	CPT	Outpatient			549	356.85		90			Percent of total billed charges		494.1	95.46			Fee schedule		497.67	80			Percent of total billed charges		439.2	85			Percent of total billed charges		466.65	100			Fee schedule		521.34	85			Percent of total billed charges		466.65	100			Fee schedule		521.34	100			Fee schedule		521.34	100			Fee schedule		521.34	100			Fee schedule		521.34		756		Case rate	Use Lesser of logic	549		756		Case rate	Use Lesser of logic	549	100			Fee schedule		521.34	439.2	549	
"Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated effusion); initial day"	32561	CPT	Outpatient			550	357.5		90			Percent of total billed charges		495	95.46			Fee schedule		497.67	80			Percent of total billed charges		440	85			Percent of total billed charges		467.5	100			Fee schedule		521.34	85			Percent of total billed charges		467.5	100			Fee schedule		521.34	100			Fee schedule		521.34	100			Fee schedule		521.34	100			Fee schedule		521.34		756		Case rate	Use Lesser of logic	550		756		Case rate	Use Lesser of logic	550	100			Fee schedule		521.34	440	550	
"Unlisted procedure, lungs and pleura"	32999	CPT	Outpatient			655	425.75		90			Percent of total billed charges		589.5	95.46			Fee schedule		497.67	80			Percent of total billed charges		524	85			Percent of total billed charges		556.75	100			Fee schedule		521.34	85			Percent of total billed charges		556.75	100			Fee schedule		521.34	100			Fee schedule		521.34	100			Fee schedule		521.34	100			Fee schedule		521.34		756		Case rate	Use Lesser of logic	655		756		Case rate	Use Lesser of logic	655	100			Fee schedule		521.34	497.67	655	
"Unlisted procedure, vascular surgery"	37799	CPT	Outpatient			715	464.75		90			Percent of total billed charges		643.5	95.46			Fee schedule		497.67	80			Percent of total billed charges		572	85			Percent of total billed charges		607.75	100			Fee schedule		521.34	85			Percent of total billed charges		607.75	100			Fee schedule		521.34	100			Fee schedule		521.34	100			Fee schedule		521.34	100			Fee schedule		521.34		756		Case rate	Use Lesser of logic	715		756		Case rate	Use Lesser of logic	715	100			Fee schedule		521.34	497.67	715	
"Thoracentesis, needle or catheter, aspiration of the pleural space; without imaging guidance"	32554	CPT	Outpatient			916	595.4		90			Percent of total billed charges		824.4	95.46			Fee schedule		497.67	80			Percent of total billed charges		732.8	85			Percent of total billed charges		778.6	100			Fee schedule		521.34	85			Percent of total billed charges		778.6	100			Fee schedule		521.34	100			Fee schedule		521.34	100			Fee schedule		521.34	100			Fee schedule		521.34		756		Case rate		756		756		Case rate		756	100			Fee schedule		521.34	497.67	824.4	
"Injection procedures (eg, thrombin) for percutaneous treatment of extremity pseudoaneurysm"	36002	CPT	Outpatient			1003	651.95		90			Percent of total billed charges		902.7	95.46			Fee schedule		497.67	80			Percent of total billed charges		802.4	85			Percent of total billed charges		852.55	100			Fee schedule		521.34	85			Percent of total billed charges		852.55	100			Fee schedule		521.34	100			Fee schedule		521.34	100			Fee schedule		521.34	100			Fee schedule		521.34		756		Case rate		756		756		Case rate		756	100			Fee schedule		521.34	497.67	902.7	
Removal of indwelling tunneled pleural catheter with cuff	32552	CPT	Outpatient			1650	1072.5		90			Percent of total billed charges		1485	95.46			Fee schedule		497.67	80			Percent of total billed charges		1320	85			Percent of total billed charges		1402.5	100			Fee schedule		521.34	85			Percent of total billed charges		1402.5	100			Fee schedule		521.34	100			Fee schedule		521.34	100			Fee schedule		521.34	100			Fee schedule		521.34		756		Case rate		756		756		Case rate		756	100			Fee schedule		521.34	497.67	1485	
"Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance"	32555	CPT	Outpatient			2640	1716		90			Percent of total billed charges		2376	95.46			Fee schedule		497.67	80			Percent of total billed charges		2112	85			Percent of total billed charges		2244	100			Fee schedule		521.34	85			Percent of total billed charges		2244	100			Fee schedule		521.34	100			Fee schedule		521.34	100			Fee schedule		521.34	100			Fee schedule		521.34		756		Case rate		756		756		Case rate		756	100			Fee schedule		521.34	497.67	2376	
"Hyaluronan or derivative, gel-one, for intra-articular injection, per dose"	J7326	HCPCS	Outpatient	1	UN	1010	656.5		90			Percent of total billed charges		909	95.46			Fee schedule		498.66	80			Percent of total billed charges		808	90			Percent of total billed charges		909	100			Fee schedule		522.37	85			Percent of total billed charges		858.5	100			Fee schedule		522.37	100			Fee schedule		522.37	100			Fee schedule		522.37	100			Fee schedule		522.37		1121.35		Case rate		1121.35		1121.35		Case rate		1121.35	100			Fee schedule		522.37	498.66	1121.35	
Direct admission of patient for hospital observation care	G0379	CPT	Outpatient			580	377		90			Percent of total billed charges		522	95.46			Fee schedule		508.84	80			Percent of total billed charges		464	90			Percent of total billed charges		522	100			Fee schedule		533.04	85			Percent of total billed charges		493	100			Fee schedule		533.04	100			Fee schedule		533.04	100			Fee schedule		533.04	100			Fee schedule		533.04		1008		Case rate	Use Lesser of logic	580		1008		Case rate	Use Lesser of logic	580	100			Fee schedule		533.04	464	580	
"Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making"	99285	CPT	Outpatient			1024	665.6		90			Percent of total billed charges		921.6	95.46			Fee schedule		508.84	80			Percent of total billed charges		819.2	90			Percent of total billed charges		921.6	100			Fee schedule		533.04	85			Percent of total billed charges		870.4	100			Fee schedule		533.04	100			Fee schedule		533.04	100			Fee schedule		533.04	100			Fee schedule		533.04		950		Case rate		950		950		Case rate		950	100			Fee schedule		533.04	508.84	950	
"Cardioversion, elective, electrical conversion of arrhythmia; internal (separate procedure)"	92961	CPT	Outpatient			335	217.75		90			Percent of total billed charges		301.5	95.46			Fee schedule		335	80			Percent of total billed charges		268	90			Percent of total billed charges		301.5	100			Fee schedule		540.11	85			Percent of total billed charges		284.75	100			Fee schedule		335	100			Fee schedule		540.11	100			Fee schedule		540.11	100			Fee schedule		540.11		756		Case rate	Use Lesser of logic	335		756		Case rate	Use Lesser of logic	335	100			Fee schedule		540.11	268	540.11	
Temporary transcutaneous pacing	92953	CPT	Outpatient			401	260.65		90			Percent of total billed charges		360.9	95.46			Fee schedule		401	80			Percent of total billed charges		320.8	90			Percent of total billed charges		360.9	100			Fee schedule		540.11	85			Percent of total billed charges		340.85	100			Fee schedule		401	100			Fee schedule		540.11	100			Fee schedule		540.11	100			Fee schedule		540.11		756		Case rate	Use Lesser of logic	401		756		Case rate	Use Lesser of logic	401	100			Fee schedule		540.11	320.8	540.11	
"Cardioversion, elective, electrical conversion of arrhythmia; external"	92960	CPT	Outpatient			555	360.75		90			Percent of total billed charges		499.5	95.46			Fee schedule		515.59	80			Percent of total billed charges		444	90			Percent of total billed charges		499.5	100			Fee schedule		540.11	85			Percent of total billed charges		471.75	100			Fee schedule		540.11	100			Fee schedule		540.11	100			Fee schedule		540.11	100			Fee schedule		540.11		756		Case rate	Use Lesser of logic	555		756		Case rate	Use Lesser of logic	555	100			Fee schedule		540.11	444	555	
"Circumcision, surgical excision other than clamp, device, or dorsal slit; neonate (28 days of age or less)"	54160	CPT	Outpatient			146	94.9		90			Percent of total billed charges		131.4	95.46			Fee schedule		146	80			Percent of total billed charges		116.8	85			Percent of total billed charges		124.1	100			Fee schedule		566.9	85			Percent of total billed charges		124.1	100			Fee schedule		146	100			Fee schedule		566.9	100			Fee schedule		566.9	100			Fee schedule		566.9		1495		Case rate	Use Lesser of logic	146		1495		Case rate	Use Lesser of logic	146	100			Fee schedule		566.9	116.8	566.9	
Bladder instillation of anticarcinogenic agent (including retention time)	51720	CPT	Outpatient			250	162.5		90			Percent of total billed charges		225	95.46			Fee schedule		250	80			Percent of total billed charges		200	85			Percent of total billed charges		212.5	100			Fee schedule		566.9	85			Percent of total billed charges		212.5	100			Fee schedule		250	100			Fee schedule		566.9	100			Fee schedule		566.9	100			Fee schedule		566.9		216		Case rate		216		216		Case rate		216	100			Fee schedule		566.9	200	566.9	
Change of cystostomy tube; complicated	51710	CPT	Outpatient			350	227.5		90			Percent of total billed charges		315	95.46			Fee schedule		350	80			Percent of total billed charges		280	85			Percent of total billed charges		297.5	100			Fee schedule		566.9	85			Percent of total billed charges		297.5	100			Fee schedule		350	100			Fee schedule		566.9	100			Fee schedule		566.9	100			Fee schedule		566.9		756		Case rate	Use Lesser of logic	350		756		Case rate	Use Lesser of logic	350	100			Fee schedule		566.9	280	566.9	
"Dilation of urethral stricture by passage of filiform and follower, male; initial"	53620	CPT	Outpatient			350	227.5		90			Percent of total billed charges		315	95.46			Fee schedule		350	80			Percent of total billed charges		280	85			Percent of total billed charges		297.5	100			Fee schedule		566.9	85			Percent of total billed charges		297.5	100			Fee schedule		350	100			Fee schedule		566.9	100			Fee schedule		566.9	100			Fee schedule		566.9		756		Case rate	Use Lesser of logic	350		756		Case rate	Use Lesser of logic	350	100			Fee schedule		566.9	280	566.9	
Cystourethroscopy (separate procedure)	52000	CPT	Outpatient			371.73	241.63		90			Percent of total billed charges		334.56	95.46			Fee schedule		371.73	80			Percent of total billed charges		297.39	85			Percent of total billed charges		315.97	100			Fee schedule		566.9	85			Percent of total billed charges		315.97	100			Fee schedule		371.73	100			Fee schedule		566.9	100			Fee schedule		566.9	100			Fee schedule		566.9		756		Case rate	Use Lesser of logic	371.73		756		Case rate	Use Lesser of logic	371.73	100			Fee schedule		566.9	297.39	566.9	
"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; existing access"	50431	CPT	Outpatient			455	295.75		90			Percent of total billed charges		409.5	95.46			Fee schedule		455	80			Percent of total billed charges		364	85			Percent of total billed charges		386.75	100			Fee schedule		566.9	85			Percent of total billed charges		386.75	100			Fee schedule		455	100			Fee schedule		566.9	100			Fee schedule		566.9	100			Fee schedule		566.9		756		Case rate	Use Lesser of logic	455		756		Case rate	Use Lesser of logic	455	100			Fee schedule		566.9	364	566.9	
"Injection procedure for antegrade nephrostogram and/or ureterogram, complete diagnostic procedure including imaging guidance (eg, ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; new access"	50430	CPT	Outpatient			455	295.75		90			Percent of total billed charges		409.5	95.46			Fee schedule		455	80			Percent of total billed charges		364	85			Percent of total billed charges		386.75	100			Fee schedule		566.9	85			Percent of total billed charges		386.75	100			Fee schedule		455	100			Fee schedule		566.9	100			Fee schedule		566.9	100			Fee schedule		566.9		756		Case rate	Use Lesser of logic	455		756		Case rate	Use Lesser of logic	455	100			Fee schedule		566.9	364	566.9	
"Removal of nephrostomy tube, requiring fluoroscopic guidance (eg, with concurrent indwelling ureteral stent)"	50389	CPT	Outpatient			705	458.25		90			Percent of total billed charges		634.5	95.46			Fee schedule		541.16	80			Percent of total billed charges		564	85			Percent of total billed charges		599.25	100			Fee schedule		566.9	85			Percent of total billed charges		599.25	100			Fee schedule		566.9	100			Fee schedule		566.9	100			Fee schedule		566.9	100			Fee schedule		566.9		756		Case rate	Use Lesser of logic	705		756		Case rate	Use Lesser of logic	705	100			Fee schedule		566.9	541.16	705	
"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure), any technique"	51728	CPT	Outpatient			720	468		90			Percent of total billed charges		648	95.46			Fee schedule		541.16	80			Percent of total billed charges		576	85			Percent of total billed charges		612	100			Fee schedule		566.9	85			Percent of total billed charges		612	100			Fee schedule		566.9	100			Fee schedule		566.9	100			Fee schedule		566.9	100			Fee schedule		566.9		756		Case rate	Use Lesser of logic	720		756		Case rate	Use Lesser of logic	720	100			Fee schedule		566.9	541.16	720	
"Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure) and urethral pressure profile studies (ie, urethral closure pressure profile), any technique"	51729	CPT	Outpatient			775	503.75		90			Percent of total billed charges		697.5	95.46			Fee schedule		541.16	80			Percent of total billed charges		620	85			Percent of total billed charges		658.75	100			Fee schedule		566.9	85			Percent of total billed charges		658.75	100			Fee schedule		566.9	100			Fee schedule		566.9	100			Fee schedule		566.9	100			Fee schedule		566.9		756		Case rate		756		756		Case rate		756	100			Fee schedule		566.9	541.16	756	
"Cystourethroscopy for treatment of the female urethral syndrome with any or all of the following: urethral meatotomy, urethral dilation, internal urethrotomy, lysis of urethrovaginal septal fibrosis, lateral incisions of the bladder neck, and fulguration of polyp(s) of urethra, bladder neck, and/or trigone"	52285	CPT	Outpatient			775	503.75		90			Percent of total billed charges		697.5	95.46			Fee schedule		541.16	80			Percent of total billed charges		620	85			Percent of total billed charges		658.75	100			Fee schedule		566.9	85			Percent of total billed charges		658.75	100			Fee schedule		566.9	100			Fee schedule		566.9	100			Fee schedule		566.9	100			Fee schedule		566.9		1055		Case rate	Use Lesser of logic	775		1055		Case rate	Use Lesser of logic	775	100			Fee schedule		566.9	541.16	775	
"Injection(s), anesthetic agent(s) and/or steroid; femoral nerve, including imaging guidance, when performed"	64447	CPT	Outpatient			160	104		90			Percent of total billed charges		144	95.46			Fee schedule		160	80			Percent of total billed charges		128	85			Percent of total billed charges		136	100			Fee schedule		573.9	85			Percent of total billed charges		136	100			Fee schedule		160	100			Fee schedule		573.9	100			Fee schedule		573.9	100			Fee schedule		573.9		756		Case rate	Use Lesser of logic	160		756		Case rate	Use Lesser of logic	160	100			Fee schedule		573.9	128	573.9	
"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, cervical or thoracic; without imaging guidance"	62320	CPT	Outpatient			245	159.25		90			Percent of total billed charges		220.5	95.46			Fee schedule		245	80			Percent of total billed charges		196	85			Percent of total billed charges		208.25	100			Fee schedule		573.9	85			Percent of total billed charges		208.25	100			Fee schedule		245	100			Fee schedule		573.9	100			Fee schedule		573.9	100			Fee schedule		573.9		756		Case rate	Use Lesser of logic	245		756		Case rate	Use Lesser of logic	245	100			Fee schedule		573.9	196	573.9	
"Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch"	64450	CPT	Outpatient			332	215.8		90			Percent of total billed charges		298.8	95.46			Fee schedule		332	80			Percent of total billed charges		265.6	85			Percent of total billed charges		282.2	100			Fee schedule		573.9	85			Percent of total billed charges		282.2	100			Fee schedule		332	100			Fee schedule		573.9	100			Fee schedule		573.9	100			Fee schedule		573.9		756		Case rate	Use Lesser of logic	332		756		Case rate	Use Lesser of logic	332	100			Fee schedule		573.9	265.6	573.9	
"Injection(s), anesthetic agent(s) and/or steroid; ilioinguinal, iliohypogastric nerves"	64425	CPT	Outpatient			355	230.75		90			Percent of total billed charges		319.5	95.46			Fee schedule		355	80			Percent of total billed charges		284	85			Percent of total billed charges		301.75	100			Fee schedule		573.9	85			Percent of total billed charges		301.75	100			Fee schedule		355	100			Fee schedule		573.9	100			Fee schedule		573.9	100			Fee schedule		573.9		756		Case rate	Use Lesser of logic	355		756		Case rate	Use Lesser of logic	355	100			Fee schedule		573.9	284	573.9	
"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, single level"	64420	CPT	Outpatient			368	239.2		90			Percent of total billed charges		331.2	95.46			Fee schedule		368	80			Percent of total billed charges		294.4	85			Percent of total billed charges		312.8	100			Fee schedule		573.9	85			Percent of total billed charges		312.8	100			Fee schedule		368	100			Fee schedule		573.9	100			Fee schedule		573.9	100			Fee schedule		573.9		756		Case rate	Use Lesser of logic	368		756		Case rate	Use Lesser of logic	368	100			Fee schedule		573.9	294.4	573.9	
"Injection(s), anesthetic agent(s) and/or steroid; suprascapular nerve"	64418	CPT	Outpatient			385	250.25		90			Percent of total billed charges		346.5	95.46			Fee schedule		385	80			Percent of total billed charges		308	85			Percent of total billed charges		327.25	100			Fee schedule		573.9	85			Percent of total billed charges		327.25	100			Fee schedule		385	100			Fee schedule		573.9	100			Fee schedule		573.9	100			Fee schedule		573.9		756		Case rate	Use Lesser of logic	385		756		Case rate	Use Lesser of logic	385	100			Fee schedule		573.9	308	573.9	
Chemodenervation of one extremity; 1-4 muscle(s)	64642	CPT	Outpatient			390	253.5		90			Percent of total billed charges		351	95.46			Fee schedule		390	80			Percent of total billed charges		312	85			Percent of total billed charges		331.5	100			Fee schedule		573.9	85			Percent of total billed charges		331.5	100			Fee schedule		390	100			Fee schedule		573.9	100			Fee schedule		573.9	100			Fee schedule		573.9		756		Case rate	Use Lesser of logic	390		756		Case rate	Use Lesser of logic	390	100			Fee schedule		573.9	312	573.9	
"Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, including imaging guidance, when performed"	64445	CPT	Outpatient			400	260		90			Percent of total billed charges		360	95.46			Fee schedule		400	80			Percent of total billed charges		320	85			Percent of total billed charges		340	100			Fee schedule		573.9	85			Percent of total billed charges		340	100			Fee schedule		400	100			Fee schedule		573.9	100			Fee schedule		573.9	100			Fee schedule		573.9		756		Case rate	Use Lesser of logic	400		756		Case rate	Use Lesser of logic	400	100			Fee schedule		573.9	320	573.9	
Chemodenervation of trunk muscle(s); 1-5 muscle(s)	64646	CPT	Outpatient			420	273		90			Percent of total billed charges		378	95.46			Fee schedule		420	80			Percent of total billed charges		336	85			Percent of total billed charges		357	100			Fee schedule		573.9	85			Percent of total billed charges		357	100			Fee schedule		420	100			Fee schedule		573.9	100			Fee schedule		573.9	100			Fee schedule		573.9		756		Case rate	Use Lesser of logic	420		756		Case rate	Use Lesser of logic	420	100			Fee schedule		573.9	336	573.9	
Chemodenervation of one extremity; 5 or more muscles	64644	CPT	Outpatient			445	289.25		90			Percent of total billed charges		400.5	95.46			Fee schedule		445	80			Percent of total billed charges		356	85			Percent of total billed charges		378.25	100			Fee schedule		573.9	85			Percent of total billed charges		378.25	100			Fee schedule		445	100			Fee schedule		573.9	100			Fee schedule		573.9	100			Fee schedule		573.9		756		Case rate	Use Lesser of logic	445		756		Case rate	Use Lesser of logic	445	100			Fee schedule		573.9	356	573.9	
"Injection, epidural, of blood or clot patch"	62273	CPT	Outpatient			514	334.1		90			Percent of total billed charges		462.6	95.46			Fee schedule		514	80			Percent of total billed charges		411.2	85			Percent of total billed charges		436.9	100			Fee schedule		573.9	85			Percent of total billed charges		436.9	100			Fee schedule		514	100			Fee schedule		573.9	100			Fee schedule		573.9	100			Fee schedule		573.9		756		Case rate	Use Lesser of logic	514		756		Case rate	Use Lesser of logic	514	100			Fee schedule		573.9	411.2	573.9	
"Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); with ultrasound guidance, with permanent recording and reporting"	20606	CPT	Outpatient			547	355.55		90			Percent of total billed charges		492.3	95.46			Fee schedule		547	80			Percent of total billed charges		437.6	85			Percent of total billed charges		464.95	100			Fee schedule		573.9	85			Percent of total billed charges		464.95	100			Fee schedule		547	100			Fee schedule		573.9	100			Fee schedule		573.9	100			Fee schedule		573.9		756		Case rate	Use Lesser of logic	547		756		Case rate	Use Lesser of logic	547	100			Fee schedule		573.9	437.6	573.9	
"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); with imaging guidance (ie, fluoroscopy or CT)"	62323	CPT	Outpatient			878.15	570.8		90			Percent of total billed charges		790.34	95.46			Fee schedule		547.85	80			Percent of total billed charges		702.52	85			Percent of total billed charges		746.43	100			Fee schedule		573.9	85			Percent of total billed charges		746.43	100			Fee schedule		573.9	100			Fee schedule		573.9	100			Fee schedule		573.9	100			Fee schedule		573.9		756		Case rate		756		756		Case rate		756	100			Fee schedule		573.9	547.85	790.34	
"Spinal puncture, lumbar, diagnostic"	62270	CPT	Outpatient			1938.19	1259.82		90			Percent of total billed charges		1744.37	95.46			Fee schedule		547.85	80			Percent of total billed charges		1550.55	85			Percent of total billed charges		1647.46	100			Fee schedule		573.9	85			Percent of total billed charges		1647.46	100			Fee schedule		573.9	100			Fee schedule		573.9	100			Fee schedule		573.9	100			Fee schedule		573.9		756		Case rate		756		756		Case rate		756	100			Fee schedule		573.9	547.85	1744.37	
"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, cervical or thoracic; with imaging guidance (ie, fluoroscopy or CT)"	62321	CPT	Outpatient			2631.62	1710.55		90			Percent of total billed charges		2368.46	95.46			Fee schedule		547.85	80			Percent of total billed charges		2105.29	85			Percent of total billed charges		2236.87	100			Fee schedule		573.9	85			Percent of total billed charges		2236.87	100			Fee schedule		573.9	100			Fee schedule		573.9	100			Fee schedule		573.9	100			Fee schedule		573.9		756		Case rate		756		756		Case rate		756	100			Fee schedule		573.9	547.85	2368.46	
Aspiration and injection for treatment of bone cyst	20615	CPT	Outpatient			131.25	85.31		90			Percent of total billed charges		118.12	95.46			Fee schedule		131.25	80			Percent of total billed charges		105	85			Percent of total billed charges		111.56	100			Fee schedule		583.88	85			Percent of total billed charges		111.56	100			Fee schedule		131.25	100			Fee schedule		583.88	100			Fee schedule		583.88	100			Fee schedule		583.88		756		Case rate	Use Lesser of logic	131.25		756		Case rate	Use Lesser of logic	131.25	100			Fee schedule		583.88	105	583.88	
"Biopsy of nail unit (eg, plate, bed, matrix, hyponychium, proximal and lateral nail folds) (separate procedure)"	11755	CPT	Outpatient			195	126.75		90			Percent of total billed charges		175.5	95.46			Fee schedule		195	80			Percent of total billed charges		156	85			Percent of total billed charges		165.75	100			Fee schedule		583.88	85			Percent of total billed charges		165.75	100			Fee schedule		195	100			Fee schedule		583.88	100			Fee schedule		583.88	100			Fee schedule		583.88		756		Case rate	Use Lesser of logic	195		756		Case rate	Use Lesser of logic	195	100			Fee schedule		583.88	156	583.88	
Puncture aspiration of cyst of breast	19000	CPT	Outpatient			200	130		90			Percent of total billed charges		180	95.46			Fee schedule		200	80			Percent of total billed charges		160	85			Percent of total billed charges		170	100			Fee schedule		583.88	85			Percent of total billed charges		170	100			Fee schedule		200	100			Fee schedule		583.88	100			Fee schedule		583.88	100			Fee schedule		583.88		756		Case rate	Use Lesser of logic	200		756		Case rate	Use Lesser of logic	200	100			Fee schedule		583.88	160	583.88	
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 0.5 cm or less"	11400	CPT	Outpatient			210	136.5		90			Percent of total billed charges		189	95.46			Fee schedule		210	80			Percent of total billed charges		168	85			Percent of total billed charges		178.5	100			Fee schedule		583.88	85			Percent of total billed charges		178.5	100			Fee schedule		210	100			Fee schedule		583.88	100			Fee schedule		583.88	100			Fee schedule		583.88		756		Case rate	Use Lesser of logic	210		756		Case rate	Use Lesser of logic	210	100			Fee schedule		583.88	168	583.88	
"Aspiration and/or injection, thyroid cyst"	60300	CPT	Outpatient			253	164.45		90			Percent of total billed charges		227.7	95.46			Fee schedule		253	80			Percent of total billed charges		202.4	85			Percent of total billed charges		215.05	100			Fee schedule		583.88	85			Percent of total billed charges		215.05	100			Fee schedule		253	100			Fee schedule		583.88	100			Fee schedule		583.88	100			Fee schedule		583.88		756		Case rate	Use Lesser of logic	253		756		Case rate	Use Lesser of logic	253	100			Fee schedule		583.88	202.4	583.88	
"Drainage of abscess, cyst, hematoma, vestibule of mouth; simple"	40800	CPT	Outpatient			275	178.75		90			Percent of total billed charges		247.5	95.46			Fee schedule		275	80			Percent of total billed charges		220	85			Percent of total billed charges		233.75	100			Fee schedule		583.88	85			Percent of total billed charges		233.75	100			Fee schedule		275	100			Fee schedule		583.88	100			Fee schedule		583.88	100			Fee schedule		583.88		756		Case rate	Use Lesser of logic	275		756		Case rate	Use Lesser of logic	275	100			Fee schedule		583.88	220	583.88	
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.5 cm or less"	11600	CPT	Outpatient			287	186.55		90			Percent of total billed charges		258.3	95.46			Fee schedule		287	80			Percent of total billed charges		229.6	85			Percent of total billed charges		243.95	100			Fee schedule		583.88	85			Percent of total billed charges		243.95	100			Fee schedule		287	100			Fee schedule		583.88	100			Fee schedule		583.88	100			Fee schedule		583.88		756		Case rate	Use Lesser of logic	287		756		Case rate	Use Lesser of logic	287	100			Fee schedule		583.88	229.6	583.88	
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.5 cm or less"	11640	CPT	Outpatient			310	201.5		90			Percent of total billed charges		279	95.46			Fee schedule		310	80			Percent of total billed charges		248	85			Percent of total billed charges		263.5	100			Fee schedule		583.88	85			Percent of total billed charges		263.5	100			Fee schedule		310	100			Fee schedule		583.88	100			Fee schedule		583.88	100			Fee schedule		583.88		756		Case rate	Use Lesser of logic	310		756		Case rate	Use Lesser of logic	310	100			Fee schedule		583.88	248	583.88	
"Drainage external ear, abscess or hematoma; simple"	69000	CPT	Outpatient			330	214.5		90			Percent of total billed charges		297	95.46			Fee schedule		330	80			Percent of total billed charges		264	85			Percent of total billed charges		280.5	100			Fee schedule		583.88	85			Percent of total billed charges		280.5	100			Fee schedule		330	100			Fee schedule		583.88	100			Fee schedule		583.88	100			Fee schedule		583.88		756		Case rate	Use Lesser of logic	330		756		Case rate	Use Lesser of logic	330	100			Fee schedule		583.88	264	583.88	
"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm"	11621	CPT	Outpatient			350	227.5		90			Percent of total billed charges		315	95.46			Fee schedule		350	80			Percent of total billed charges		280	85			Percent of total billed charges		297.5	100			Fee schedule		583.88	85			Percent of total billed charges		297.5	100			Fee schedule		350	100			Fee schedule		583.88	100			Fee schedule		583.88	100			Fee schedule		583.88		756		Case rate	Use Lesser of logic	350		756		Case rate	Use Lesser of logic	350	100			Fee schedule		583.88	280	583.88	
"Puncture aspiration of hydrocele, tunica vaginalis, with or without injection of medication"	55000	CPT	Outpatient			360	234		90			Percent of total billed charges		324	95.46			Fee schedule		360	80			Percent of total billed charges		288	85			Percent of total billed charges		306	100			Fee schedule		583.88	85			Percent of total billed charges		306	100			Fee schedule		360	100			Fee schedule		583.88	100			Fee schedule		583.88	100			Fee schedule		583.88		756		Case rate	Use Lesser of logic	360		756		Case rate	Use Lesser of logic	360	100			Fee schedule		583.88	288	583.88	
Incision and drainage of pilonidal cyst; simple	10080	CPT	Outpatient			377	245.05		90			Percent of total billed charges		339.3	95.46			Fee schedule		377	80			Percent of total billed charges		301.6	85			Percent of total billed charges		320.45	100			Fee schedule		583.88	85			Percent of total billed charges		320.45	100			Fee schedule		377	100			Fee schedule		583.88	100			Fee schedule		583.88	100			Fee schedule		583.88		756		Case rate	Use Lesser of logic	377		756		Case rate	Use Lesser of logic	377	100			Fee schedule		583.88	301.6	583.88	
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 0.6 to 1.0 cm"	11641	CPT	Outpatient			400	260		90			Percent of total billed charges		360	95.46			Fee schedule		400	80			Percent of total billed charges		320	85			Percent of total billed charges		340	100			Fee schedule		583.88	85			Percent of total billed charges		340	100			Fee schedule		400	100			Fee schedule		583.88	100			Fee schedule		583.88	100			Fee schedule		583.88		756		Case rate	Use Lesser of logic	400		756		Case rate	Use Lesser of logic	400	100			Fee schedule		583.88	320	583.88	
"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 0.6 to 1.0 cm"	11441	CPT	Outpatient			450	292.5		90			Percent of total billed charges		405	95.46			Fee schedule		450	80			Percent of total billed charges		360	85			Percent of total billed charges		382.5	100			Fee schedule		583.88	85			Percent of total billed charges		382.5	100			Fee schedule		450	100			Fee schedule		583.88	100			Fee schedule		583.88	100			Fee schedule		583.88		756		Case rate	Use Lesser of logic	450		756		Case rate	Use Lesser of logic	450	100			Fee schedule		583.88	360	583.88	
"Biopsy thyroid, percutaneous core needle"	60100	CPT	Outpatient			455	295.75		90			Percent of total billed charges		409.5	95.46			Fee schedule		455	80			Percent of total billed charges		364	85			Percent of total billed charges		386.75	100			Fee schedule		583.88	85			Percent of total billed charges		386.75	100			Fee schedule		455	100			Fee schedule		583.88	100			Fee schedule		583.88	100			Fee schedule		583.88		756		Case rate	Use Lesser of logic	455		756		Case rate	Use Lesser of logic	455	100			Fee schedule		583.88	364	583.88	
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 1.1 to 2.0 cm"	11642	CPT	Outpatient			456.33	296.62		90			Percent of total billed charges		410.7	95.46			Fee schedule		456.33	80			Percent of total billed charges		365.07	85			Percent of total billed charges		387.88	100			Fee schedule		583.88	85			Percent of total billed charges		387.88	100			Fee schedule		456.33	100			Fee schedule		583.88	100			Fee schedule		583.88	100			Fee schedule		583.88		756		Case rate	Use Lesser of logic	456.33		756		Case rate	Use Lesser of logic	456.33	100			Fee schedule		583.88	365.07	583.88	
"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including ultrasound guidance"	19285	CPT	Outpatient			523	339.95		90			Percent of total billed charges		470.7	95.46			Fee schedule		523	80			Percent of total billed charges		418.4	85			Percent of total billed charges		444.55	100			Fee schedule		583.88	85			Percent of total billed charges		444.55	100			Fee schedule		523	100			Fee schedule		583.88	100			Fee schedule		583.88	100			Fee schedule		583.88		756		Case rate	Use Lesser of logic	523		756		Case rate	Use Lesser of logic	523	100			Fee schedule		583.88	418.4	583.88	
"Fine needle aspiration biopsy, including fluoroscopic guidance; first lesion"	10007	CPT	Outpatient			660	429		90			Percent of total billed charges		594	95.46			Fee schedule		557.38	80			Percent of total billed charges		528	85			Percent of total billed charges		561	100			Fee schedule		583.88	85			Percent of total billed charges		561	100			Fee schedule		583.88	100			Fee schedule		583.88	100			Fee schedule		583.88	100			Fee schedule		583.88		756		Case rate	Use Lesser of logic	660		756		Case rate	Use Lesser of logic	660	100			Fee schedule		583.88	528	660	
"Fine needle aspiration biopsy, including CT guidance; first lesion"	10009	CPT	Outpatient			660	429		90			Percent of total billed charges		594	95.46			Fee schedule		557.38	80			Percent of total billed charges		528	85			Percent of total billed charges		561	100			Fee schedule		583.88	85			Percent of total billed charges		561	100			Fee schedule		583.88	100			Fee schedule		583.88	100			Fee schedule		583.88	100			Fee schedule		583.88		756		Case rate	Use Lesser of logic	660		756		Case rate	Use Lesser of logic	660	100			Fee schedule		583.88	528	660	
"Fine needle aspiration biopsy, including ultrasound guidance; first lesion"	10005	CPT	Outpatient			660	429		90			Percent of total billed charges		594	95.46			Fee schedule		557.38	80			Percent of total billed charges		528	85			Percent of total billed charges		561	100			Fee schedule		583.88	85			Percent of total billed charges		561	100			Fee schedule		583.88	100			Fee schedule		583.88	100			Fee schedule		583.88	100			Fee schedule		583.88		756		Case rate	Use Lesser of logic	660		756		Case rate	Use Lesser of logic	660	100			Fee schedule		583.88	528	660	
"Removal of foreign body, foot; subcutaneous"	28190	CPT	Outpatient			688	447.2		90			Percent of total billed charges		619.2	95.46			Fee schedule		557.38	80			Percent of total billed charges		550.4	85			Percent of total billed charges		584.8	100			Fee schedule		583.88	85			Percent of total billed charges		584.8	100			Fee schedule		583.88	100			Fee schedule		583.88	100			Fee schedule		583.88	100			Fee schedule		583.88		756		Case rate	Use Lesser of logic	688		756		Case rate	Use Lesser of logic	688	100			Fee schedule		583.88	550.4	688	
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 2.1 to 3.0 cm"	11603	CPT	Outpatient			733.55	476.81		90			Percent of total billed charges		660.2	95.46			Fee schedule		557.38	80			Percent of total billed charges		586.84	85			Percent of total billed charges		623.52	100			Fee schedule		583.88	85			Percent of total billed charges		623.52	100			Fee schedule		583.88	100			Fee schedule		583.88	100			Fee schedule		583.88	100			Fee schedule		583.88		756		Case rate	Use Lesser of logic	733.55		756		Case rate	Use Lesser of logic	733.55	100			Fee schedule		583.88	557.38	733.55	
"Fine needle aspiration biopsy, including MR guidance; first lesion"	10011	CPT	Outpatient			770	500.5		90			Percent of total billed charges		693	95.46			Fee schedule		557.38	80			Percent of total billed charges		616	85			Percent of total billed charges		654.5	100			Fee schedule		583.88	85			Percent of total billed charges		654.5	100			Fee schedule		583.88	100			Fee schedule		583.88	100			Fee schedule		583.88	100			Fee schedule		583.88		756		Case rate		756		756		Case rate		756	100			Fee schedule		583.88	557.38	756	
Biopsy of salivary gland; needle	42400	CPT	Outpatient			773	502.45		90			Percent of total billed charges		695.7	95.46			Fee schedule		557.38	80			Percent of total billed charges		618.4	85			Percent of total billed charges		657.05	100			Fee schedule		583.88	85			Percent of total billed charges		657.05	100			Fee schedule		583.88	100			Fee schedule		583.88	100			Fee schedule		583.88	100			Fee schedule		583.88		756		Case rate		756		756		Case rate		756	100			Fee schedule		583.88	557.38	756	
"Percutaneous aspiration within the nucleus pulposus, intervertebral disc, or paravertebral tissue for diagnostic purposes"	62267	CPT	Outpatient			812	527.8		90			Percent of total billed charges		730.8	95.46			Fee schedule		557.38	80			Percent of total billed charges		649.6	85			Percent of total billed charges		690.2	100			Fee schedule		583.88	85			Percent of total billed charges		690.2	100			Fee schedule		583.88	100			Fee schedule		583.88	100			Fee schedule		583.88	100			Fee schedule		583.88		756		Case rate		756		756		Case rate		756	100			Fee schedule		583.88	557.38	756	
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 0.6 to 1.0 cm"	11601	CPT	Outpatient			850.75	552.99		90			Percent of total billed charges		765.68	95.46			Fee schedule		557.38	80			Percent of total billed charges		680.6	85			Percent of total billed charges		723.14	100			Fee schedule		583.88	85			Percent of total billed charges		723.14	100			Fee schedule		583.88	100			Fee schedule		583.88	100			Fee schedule		583.88	100			Fee schedule		583.88		756		Case rate		756		756		Case rate		756	100			Fee schedule		583.88	557.38	765.68	
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter 3.1 to 4.0 cm"	11604	CPT	Outpatient			850.75	552.99		90			Percent of total billed charges		765.68	95.46			Fee schedule		557.38	80			Percent of total billed charges		680.6	85			Percent of total billed charges		723.14	100			Fee schedule		583.88	85			Percent of total billed charges		723.14	100			Fee schedule		583.88	100			Fee schedule		583.88	100			Fee schedule		583.88	100			Fee schedule		583.88		756		Case rate		756		756		Case rate		756	100			Fee schedule		583.88	557.38	765.68	
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 1.1 to 2.0 cm"	11402	CPT	Outpatient			850.75	552.99		90			Percent of total billed charges		765.68	95.46			Fee schedule		557.38	80			Percent of total billed charges		680.6	85			Percent of total billed charges		723.14	100			Fee schedule		583.88	85			Percent of total billed charges		723.14	100			Fee schedule		583.88	100			Fee schedule		583.88	100			Fee schedule		583.88	100			Fee schedule		583.88		756		Case rate		756		756		Case rate		756	100			Fee schedule		583.88	557.38	765.68	
"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 0.5 cm or less"	11440	CPT	Outpatient			850.75	552.99		90			Percent of total billed charges		765.68	95.46			Fee schedule		557.38	80			Percent of total billed charges		680.6	85			Percent of total billed charges		723.14	100			Fee schedule		583.88	85			Percent of total billed charges		723.14	100			Fee schedule		583.88	100			Fee schedule		583.88	100			Fee schedule		583.88	100			Fee schedule		583.88		756		Case rate		756		756		Case rate		756	100			Fee schedule		583.88	557.38	765.68	
"Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous"	50390	CPT	Outpatient			956	621.4		90			Percent of total billed charges		860.4	95.46			Fee schedule		557.38	80			Percent of total billed charges		764.8	85			Percent of total billed charges		812.6	100			Fee schedule		583.88	85			Percent of total billed charges		812.6	100			Fee schedule		583.88	100			Fee schedule		583.88	100			Fee schedule		583.88	100			Fee schedule		583.88		756		Case rate		756		756		Case rate		756	100			Fee schedule		583.88	557.38	860.4	
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.6 to 1.0 cm"	11421	CPT	Outpatient			1033.17	671.56		90			Percent of total billed charges		929.85	95.46			Fee schedule		557.38	80			Percent of total billed charges		826.53	85			Percent of total billed charges		878.19	100			Fee schedule		583.88	85			Percent of total billed charges		878.19	100			Fee schedule		583.88	100			Fee schedule		583.88	100			Fee schedule		583.88	100			Fee schedule		583.88		756		Case rate		756		756		Case rate		756	100			Fee schedule		583.88	557.38	929.85	
"Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin, subcutaneous tissue, muscle fascia, and muscle"	11011	CPT	Outpatient			1131	735.15		90			Percent of total billed charges		1017.9	95.46			Fee schedule		557.38	80			Percent of total billed charges		904.8	85			Percent of total billed charges		961.35	100			Fee schedule		583.88	85			Percent of total billed charges		961.35	100			Fee schedule		583.88	100			Fee schedule		583.88	100			Fee schedule		583.88	100			Fee schedule		583.88		756		Case rate		756		756		Case rate		756	100			Fee schedule		583.88	557.38	1017.9	
"Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin and subcutaneous tissues"	11010	CPT	Outpatient			1131	735.15		90			Percent of total billed charges		1017.9	95.46			Fee schedule		557.38	80			Percent of total billed charges		904.8	85			Percent of total billed charges		961.35	100			Fee schedule		583.88	85			Percent of total billed charges		961.35	100			Fee schedule		583.88	100			Fee schedule		583.88	100			Fee schedule		583.88	100			Fee schedule		583.88		756		Case rate		756		756		Case rate		756	100			Fee schedule		583.88	557.38	1017.9	
"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm"	11622	CPT	Outpatient			1163.17	756.06		90			Percent of total billed charges		1046.86	95.46			Fee schedule		557.38	80			Percent of total billed charges		930.54	85			Percent of total billed charges		988.7	100			Fee schedule		583.88	85			Percent of total billed charges		988.7	100			Fee schedule		583.88	100			Fee schedule		583.88	100			Fee schedule		583.88	100			Fee schedule		583.88		756		Case rate		756		756		Case rate		756	100			Fee schedule		583.88	557.38	1046.86	
"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 1.1 to 2.0 cm"	11442	CPT	Outpatient			1164.78	757.11		90			Percent of total billed charges		1048.3	95.46			Fee schedule		557.38	80			Percent of total billed charges		931.82	85			Percent of total billed charges		990.06	100			Fee schedule		583.88	85			Percent of total billed charges		990.06	100			Fee schedule		583.88	100			Fee schedule		583.88	100			Fee schedule		583.88	100			Fee schedule		583.88		756		Case rate		756		756		Case rate		756	100			Fee schedule		583.88	557.38	1048.3	
"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst), soft tissue (eg, extremity, abdominal wall, neck), percutaneous"	10030	CPT	Outpatient			1430	929.5		90			Percent of total billed charges		1287	95.46			Fee schedule		557.38	80			Percent of total billed charges		1144	85			Percent of total billed charges		1215.5	100			Fee schedule		583.88	85			Percent of total billed charges		1215.5	100			Fee schedule		583.88	100			Fee schedule		583.88	100			Fee schedule		583.88	100			Fee schedule		583.88		756		Case rate		756		756		Case rate		756	100			Fee schedule		583.88	557.38	1287	
"Repair blood vessel, direct; lower extremity"	35226	CPT	Outpatient			2225	1446.25		90			Percent of total billed charges		2002.5	95.46			Fee schedule		557.38	80			Percent of total billed charges		1780	85			Percent of total billed charges		1891.25	100			Fee schedule		583.88	85			Percent of total billed charges		1891.25	100			Fee schedule		583.88	100			Fee schedule		583.88	100			Fee schedule		583.88	100			Fee schedule		583.88		756		Case rate		756		756		Case rate		756	100			Fee schedule		583.88	557.38	2002.5	
"Dermabrasion; segmental, face"	15781	CPT	Outpatient			2613	1698.45		90			Percent of total billed charges		2351.7	95.46			Fee schedule		557.38	80			Percent of total billed charges		2090.4	85			Percent of total billed charges		2221.05	100			Fee schedule		583.88	85			Percent of total billed charges		2221.05	100			Fee schedule		583.88	100			Fee schedule		583.88	100			Fee schedule		583.88	100			Fee schedule		583.88		756		Case rate		756		756		Case rate		756	100			Fee schedule		583.88	557.38	2351.7	
Incision and drainage of pilonidal cyst; complicated	10081	CPT	Outpatient			3273	2127.45		90			Percent of total billed charges		2945.7	95.46			Fee schedule		557.38	80			Percent of total billed charges		2618.4	85			Percent of total billed charges		2782.05	100			Fee schedule		583.88	85			Percent of total billed charges		2782.05	100			Fee schedule		583.88	100			Fee schedule		583.88	100			Fee schedule		583.88	100			Fee schedule		583.88		756		Case rate		756		756		Case rate		756	100			Fee schedule		583.88	557.38	2945.7	
"Removal, implantable contraceptive capsules"	11976	CPT	Outpatient			4208	2735.2		90			Percent of total billed charges		3787.2	95.46			Fee schedule		557.38	80			Percent of total billed charges		3366.4	85			Percent of total billed charges		3576.8	100			Fee schedule		583.88	85			Percent of total billed charges		3576.8	100			Fee schedule		583.88	100			Fee schedule		583.88	100			Fee schedule		583.88	100			Fee schedule		583.88		756		Case rate		756		756		Case rate		756	100			Fee schedule		583.88	557.38	3787.2	
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 2.1 to 3.0 cm"	11403	CPT	Outpatient			4229.75	2749.34		90			Percent of total billed charges		3806.77	95.46			Fee schedule		557.38	80			Percent of total billed charges		3383.8	85			Percent of total billed charges		3595.29	100			Fee schedule		583.88	85			Percent of total billed charges		3595.29	100			Fee schedule		583.88	100			Fee schedule		583.88	100			Fee schedule		583.88	100			Fee schedule		583.88		756		Case rate		756		756		Case rate		756	100			Fee schedule		583.88	557.38	3806.77	
"Removal, subcutaneous cardiac rhythm monitor"	33286	CPT	Outpatient			4497.5	2923.38		90			Percent of total billed charges		4047.75	95.46			Fee schedule		557.38	80			Percent of total billed charges		3598	85			Percent of total billed charges		3822.88	100			Fee schedule		583.88	85			Percent of total billed charges		3822.88	100			Fee schedule		583.88	100			Fee schedule		583.88	100			Fee schedule		583.88	100			Fee schedule		583.88		756		Case rate		756		756		Case rate		756	100			Fee schedule		583.88	557.38	4047.75	
"Goserelin acetate implant, per 3.6 mg"	J9202	HCPCS	Outpatient	3.6	ME	2469	1604.85		90			Percent of total billed charges		2222.1	95.46			Fee schedule		572.13	80			Percent of total billed charges		1975.2	90			Percent of total billed charges		2222.1	100			Fee schedule		599.34	85			Percent of total billed charges		2098.65	100			Fee schedule		599.34	100			Fee schedule		599.34	100			Fee schedule		599.34	100			Fee schedule		599.34		531.28		Case rate		531.28		531.28		Case rate		531.28	100			Fee schedule		599.34	531.28	2222.1	
"Myelography, thoracic, radiological supervision and interpretation"	72255	CPT	Outpatient			620	403		90			Percent of total billed charges		558	95.46			Fee schedule		620	80			Percent of total billed charges		496	90			Percent of total billed charges		558	100			Fee schedule		664.47	85			Percent of total billed charges		527	100			Fee schedule		620	100			Fee schedule		664.47	100			Fee schedule		664.47	100			Fee schedule		664.47		117		Case rate		117		117		Case rate		117	100			Fee schedule		664.47	117	664.47	
"Myelography, cervical, radiological supervision and interpretation"	72240	CPT	Outpatient			669	434.85		90			Percent of total billed charges		602.1	95.46			Fee schedule		634.3	80			Percent of total billed charges		535.2	90			Percent of total billed charges		602.1	100			Fee schedule		664.47	85			Percent of total billed charges		568.65	100			Fee schedule		664.47	100			Fee schedule		664.47	100			Fee schedule		664.47	100			Fee schedule		664.47		117		Case rate		117		117		Case rate		117	100			Fee schedule		664.47	117	664.47	
"Myelography, lumbosacral, radiological supervision and interpretation"	72265	CPT	Outpatient			715	464.75		90			Percent of total billed charges		643.5	95.46			Fee schedule		634.3	80			Percent of total billed charges		572	90			Percent of total billed charges		643.5	100			Fee schedule		664.47	85			Percent of total billed charges		607.75	100			Fee schedule		664.47	100			Fee schedule		664.47	100			Fee schedule		664.47	100			Fee schedule		664.47		117		Case rate		117		117		Case rate		117	100			Fee schedule		664.47	117	664.47	
"Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation"	72270	CPT	Outpatient			848	551.2		90			Percent of total billed charges		763.2	95.46			Fee schedule		634.3	80			Percent of total billed charges		678.4	90			Percent of total billed charges		763.2	100			Fee schedule		664.47	85			Percent of total billed charges		720.8	100			Fee schedule		664.47	100			Fee schedule		664.47	100			Fee schedule		664.47	100			Fee schedule		664.47		117		Case rate		117		117		Case rate		117	100			Fee schedule		664.47	117	763.2	
"Myelography via lumbar injection, including radiological supervision and interpretation; cervical"	62302	CPT	Outpatient			1000	650		90			Percent of total billed charges		900	95.46			Fee schedule		634.3	80			Percent of total billed charges		800	85			Percent of total billed charges		850	100			Fee schedule		664.47	85			Percent of total billed charges		850	100			Fee schedule		664.47	100			Fee schedule		664.47	100			Fee schedule		664.47	100			Fee schedule		664.47		756		Case rate		756		756		Case rate		756	100			Fee schedule		664.47	634.3	900	
"Myelography via lumbar injection, including radiological supervision and interpretation; thoracic"	62303	CPT	Outpatient			1062	690.3		90			Percent of total billed charges		955.8	95.46			Fee schedule		634.3	80			Percent of total billed charges		849.6	85			Percent of total billed charges		902.7	100			Fee schedule		664.47	85			Percent of total billed charges		902.7	100			Fee schedule		664.47	100			Fee schedule		664.47	100			Fee schedule		664.47	100			Fee schedule		664.47		756		Case rate		756		756		Case rate		756	100			Fee schedule		664.47	634.3	955.8	
"Myelography via lumbar injection, including radiological supervision and interpretation; lumbosacral"	62304	CPT	Outpatient			1139	740.35		90			Percent of total billed charges		1025.1	95.46			Fee schedule		634.3	80			Percent of total billed charges		911.2	85			Percent of total billed charges		968.15	100			Fee schedule		664.47	85			Percent of total billed charges		968.15	100			Fee schedule		664.47	100			Fee schedule		664.47	100			Fee schedule		664.47	100			Fee schedule		664.47		756		Case rate		756		756		Case rate		756	100			Fee schedule		664.47	634.3	1025.1	
"Myelography via lumbar injection, including radiological supervision and interpretation; 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical)"	62305	CPT	Outpatient			1179	766.35		90			Percent of total billed charges		1061.1	95.46			Fee schedule		634.3	80			Percent of total billed charges		943.2	85			Percent of total billed charges		1002.15	100			Fee schedule		664.47	85			Percent of total billed charges		1002.15	100			Fee schedule		664.47	100			Fee schedule		664.47	100			Fee schedule		664.47	100			Fee schedule		664.47		756		Case rate		756		756		Case rate		756	100			Fee schedule		664.47	634.3	1061.1	
"Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s)"	73222	CPT	Outpatient			1999	1299.35		90			Percent of total billed charges		1799.1	95.46			Fee schedule		634.3	80			Percent of total billed charges		1599.2	90			Percent of total billed charges		1799.1	100			Fee schedule		664.47	85			Percent of total billed charges		1699.15	100			Fee schedule		664.47	100			Fee schedule		664.47	100			Fee schedule		664.47	100			Fee schedule		664.47		830		Case rate		830		830		Case rate		830	100			Fee schedule		664.47	634.3	1799.1	
"Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s)"	73722	CPT	Outpatient			1999	1299.35		90			Percent of total billed charges		1799.1	95.46			Fee schedule		634.3	80			Percent of total billed charges		1599.2	90			Percent of total billed charges		1799.1	100			Fee schedule		664.47	85			Percent of total billed charges		1699.15	100			Fee schedule		664.47	100			Fee schedule		664.47	100			Fee schedule		664.47	100			Fee schedule		664.47		830		Case rate		830		830		Case rate		830	100			Fee schedule		664.47	634.3	1799.1	
"Magnetic resonance (eg, proton) imaging, chest (eg, for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s)"	71551	CPT	Outpatient			1999	1299.35		90			Percent of total billed charges		1799.1	95.46			Fee schedule		634.3	80			Percent of total billed charges		1599.2	90			Percent of total billed charges		1799.1	100			Fee schedule		664.47	85			Percent of total billed charges		1699.15	100			Fee schedule		664.47	100			Fee schedule		664.47	100			Fee schedule		664.47	100			Fee schedule		664.47		830		Case rate		830		830		Case rate		830	100			Fee schedule		664.47	634.3	1799.1	
Biopsy of vaginal mucosa; simple (separate procedure)	57100	CPT	Outpatient			212	137.8		90			Percent of total billed charges		190.8	95.46			Fee schedule		212	80			Percent of total billed charges		169.6	85			Percent of total billed charges		180.2	100			Fee schedule		667.15	85			Percent of total billed charges		180.2	100			Fee schedule		212	100			Fee schedule		667.15	100			Fee schedule		667.15	100			Fee schedule		667.15		756		Case rate	Use Lesser of logic	212		756		Case rate	Use Lesser of logic	212	100			Fee schedule		667.15	169.6	667.15	
"Biopsy of cervix, single or multiple, or local excision of lesion, with or without fulguration (separate procedure)"	57500	CPT	Outpatient			250	162.5		90			Percent of total billed charges		225	95.46			Fee schedule		250	80			Percent of total billed charges		200	85			Percent of total billed charges		212.5	100			Fee schedule		667.15	85			Percent of total billed charges		212.5	100			Fee schedule		250	100			Fee schedule		667.15	100			Fee schedule		667.15	100			Fee schedule		667.15		756		Case rate	Use Lesser of logic	250		756		Case rate	Use Lesser of logic	250	100			Fee schedule		667.15	200	667.15	
Endocervical curettage (not done as part of a dilation and curettage)	57505	CPT	Outpatient			250	162.5		90			Percent of total billed charges		225	95.46			Fee schedule		250	80			Percent of total billed charges		200	85			Percent of total billed charges		212.5	100			Fee schedule		667.15	85			Percent of total billed charges		212.5	100			Fee schedule		250	100			Fee schedule		667.15	100			Fee schedule		667.15	100			Fee schedule		667.15		756		Case rate	Use Lesser of logic	250		756		Case rate	Use Lesser of logic	250	100			Fee schedule		667.15	200	667.15	
"Colposcopy of the entire vagina, with cervix if present; with biopsy(s) of vagina/cervix"	57421	CPT	Outpatient			365	237.25		90			Percent of total billed charges		328.5	95.46			Fee schedule		365	80			Percent of total billed charges		292	85			Percent of total billed charges		310.25	100			Fee schedule		667.15	85			Percent of total billed charges		310.25	100			Fee schedule		365	100			Fee schedule		667.15	100			Fee schedule		667.15	100			Fee schedule		667.15		756		Case rate	Use Lesser of logic	365		756		Case rate	Use Lesser of logic	365	100			Fee schedule		667.15	292	667.15	
Amniocentesis; diagnostic	59000	CPT	Outpatient			500	325		90			Percent of total billed charges		450	95.46			Fee schedule		500	80			Percent of total billed charges		400	85			Percent of total billed charges		425	100			Fee schedule		667.15	85			Percent of total billed charges		425	100			Fee schedule		500	100			Fee schedule		667.15	100			Fee schedule		667.15	100			Fee schedule		667.15		756		Case rate	Use Lesser of logic	500		756		Case rate	Use Lesser of logic	500	100			Fee schedule		667.15	400	667.15	
Biopsy of vulva or perineum (separate procedure); 1 lesion	56605	CPT	Outpatient			1054.19	685.22		90			Percent of total billed charges		948.77	95.46			Fee schedule		636.86	80			Percent of total billed charges		843.35	85			Percent of total billed charges		896.06	100			Fee schedule		667.15	85			Percent of total billed charges		896.06	100			Fee schedule		667.15	100			Fee schedule		667.15	100			Fee schedule		667.15	100			Fee schedule		667.15		756		Case rate		756		756		Case rate		756	100			Fee schedule		667.15	636.86	948.77	
"Platelets, pheresis, leukocytes reduced, irradiated, each unit"	P9037	CPT	Outpatient			1076	699.4		90			Percent of total billed charges		968.4	95.46			Fee schedule		641.95	80			Percent of total billed charges		860.8	90			Percent of total billed charges		968.4	100			Fee schedule		672.48	85			Percent of total billed charges		914.6	100			Fee schedule		672.48	100			Fee schedule		672.48	100			Fee schedule		672.48	100			Fee schedule		672.48		196		Case rate		196		196		Case rate		196	100			Fee schedule		672.48	196	968.4	
"Injection, dmso, dimethyl sulfoxide, 50%, 50 ml"	J1212	HCPCS	Outpatient	50	ML	120	78		90			Percent of total billed charges		108	95.46			Fee schedule		120	80			Percent of total billed charges		96	90			Percent of total billed charges		108	100			Fee schedule		680.16	85			Percent of total billed charges		102	100			Fee schedule		120	100			Fee schedule		680.16	100			Fee schedule		680.16	100			Fee schedule		680.16		574.11		Case rate		574.11		574.11		Case rate		574.11	100			Fee schedule		680.16	96	680.16	
"Hyaluronan or derivative, monovisc, for intra-articular injection, per dose"	J7327	HCPCS	Outpatient	1	UN	1215	789.75		90			Percent of total billed charges		1093.5	95.46			Fee schedule		679.24	80			Percent of total billed charges		972	90			Percent of total billed charges		1093.5	100			Fee schedule		711.54	85			Percent of total billed charges		1032.75	100			Fee schedule		711.54	100			Fee schedule		711.54	100			Fee schedule		711.54	100			Fee schedule		711.54		838.71		Case rate		838.71		838.71		Case rate		838.71	100			Fee schedule		711.54	679.24	1093.5	
"Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), initial site"	88333	CPT	Outpatient			51	33.15		90			Percent of total billed charges		45.9	95.46			Fee schedule		51	80			Percent of total billed charges		40.8	90			Percent of total billed charges		45.9	100			Fee schedule		713.6	85			Percent of total billed charges		43.35	100			Fee schedule		51	100			Fee schedule		713.6	100			Fee schedule		713.6	100			Fee schedule		713.6		15.37		Case rate		15.37		15.37		Case rate		15.37	100			Fee schedule		713.6	15.37	713.6	
"Level VI - Surgical pathology, gross and microscopic examination Bone resection Breast, mastectomy - with regional lymph nodes Colon, segmental resection for tumor Colon, total resection Esophagus, partial/total resection Extremity, disarticulation Fetus, with dissection Larynx, partial/total resection - with regional lymph nodes Lung - total/lobe/segment resection Pancreas, total/subtotal resection Prostate, radical resection Small intestine, resection for tumor Soft tissue tumor, extensive resection Stomach - subtotal/total resection for tumor Testis, tumor Tongue/tonsil -resection for tumor Urinary bladder, partial/total resection Uterus, with or without tubes and ovaries, neoplastic Vulva, total/subtotal resection"	88309	CPT	Outpatient			357	232.05		90			Percent of total billed charges		321.3	95.46			Fee schedule		357	80			Percent of total billed charges		285.6	90			Percent of total billed charges		321.3	100			Fee schedule		713.6	85			Percent of total billed charges		303.45	100			Fee schedule		357	100			Fee schedule		713.6	100			Fee schedule		713.6	100			Fee schedule		713.6		51.89		Case rate		51.89		51.89		Case rate		51.89	100			Fee schedule		713.6	51.89	713.6	
"Electron microscopy, diagnostic"	88348	CPT	Outpatient			780	507		90			Percent of total billed charges		702	95.46			Fee schedule		681.2	80			Percent of total billed charges		624	90			Percent of total billed charges		702	100			Fee schedule		713.6	85			Percent of total billed charges		663	100			Fee schedule		713.6	100			Fee schedule		713.6	100			Fee schedule		713.6	100			Fee schedule		713.6		147.92		Case rate		147.92		147.92		Case rate		147.92	100			Fee schedule		713.6	147.92	713.6	
"Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes"	99291	CPT	Outpatient			1297	843.05		90			Percent of total billed charges		1167.3	95.46			Fee schedule		702.98	80			Percent of total billed charges		1037.6	90			Percent of total billed charges		1167.3	100			Fee schedule		736.41	85			Percent of total billed charges		1102.45	100			Fee schedule		736.41	100			Fee schedule		736.41	100			Fee schedule		736.41	100			Fee schedule		736.41		1340		Case rate	Use Lesser of logic	1297		1340		Case rate	Use Lesser of logic	1297	100			Fee schedule		736.41	702.98	1297	
"Ileoscopy, through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)"	44380	CPT	Outpatient			215	139.75		90			Percent of total billed charges		193.5	95.46			Fee schedule		215	80			Percent of total billed charges		172	85			Percent of total billed charges		182.75	100			Fee schedule		752.27	85			Percent of total billed charges		182.75	100			Fee schedule		215	100			Fee schedule		752.27	100			Fee schedule		752.27	100			Fee schedule		752.27		1055		Case rate	Use Lesser of logic	215		1055		Case rate	Use Lesser of logic	215	100			Fee schedule		752.27	172	752.27	
"Introduction of long gastrointestinal tube (eg, Miller-Abbott) (separate procedure)"	44500	CPT	Outpatient			220	143		90			Percent of total billed charges		198	95.46			Fee schedule		220	80			Percent of total billed charges		176	85			Percent of total billed charges		187	100			Fee schedule		752.27	85			Percent of total billed charges		187	100			Fee schedule		220	100			Fee schedule		752.27	100			Fee schedule		752.27	100			Fee schedule		752.27		1055		Case rate	Use Lesser of logic	220		1055		Case rate	Use Lesser of logic	220	100			Fee schedule		752.27	176	752.27	
"Removal of embedded foreign body, vestibule of mouth; simple"	40804	CPT	Outpatient			300	195		90			Percent of total billed charges		270	95.46			Fee schedule		300	80			Percent of total billed charges		240	85			Percent of total billed charges		255	100			Fee schedule		752.27	85			Percent of total billed charges		255	100			Fee schedule		300	100			Fee schedule		752.27	100			Fee schedule		752.27	100			Fee schedule		752.27		1055		Case rate	Use Lesser of logic	300		1055		Case rate	Use Lesser of logic	300	100			Fee schedule		752.27	240	752.27	
Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance	49082	CPT	Outpatient			637	414.05		90			Percent of total billed charges		573.3	95.46			Fee schedule		637	80			Percent of total billed charges		509.6	85			Percent of total billed charges		541.45	100			Fee schedule		752.27	85			Percent of total billed charges		541.45	100			Fee schedule		637	100			Fee schedule		752.27	100			Fee schedule		752.27	100			Fee schedule		752.27		1055		Case rate	Use Lesser of logic	637		1055		Case rate	Use Lesser of logic	637	100			Fee schedule		752.27	509.6	752.27	
"Replacement of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report"	49451	CPT	Outpatient			655	425.75		90			Percent of total billed charges		589.5	95.46			Fee schedule		655	80			Percent of total billed charges		524	85			Percent of total billed charges		556.75	100			Fee schedule		752.27	85			Percent of total billed charges		556.75	100			Fee schedule		655	100			Fee schedule		752.27	100			Fee schedule		752.27	100			Fee schedule		752.27		1055		Case rate	Use Lesser of logic	655		1055		Case rate	Use Lesser of logic	655	100			Fee schedule		752.27	524	752.27	
"Replacement of gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report"	49452	CPT	Outpatient			824	535.6		90			Percent of total billed charges		741.6	95.46			Fee schedule		718.12	80			Percent of total billed charges		659.2	85			Percent of total billed charges		700.4	100			Fee schedule		752.27	85			Percent of total billed charges		700.4	100			Fee schedule		752.27	100			Fee schedule		752.27	100			Fee schedule		752.27	100			Fee schedule		752.27		1055		Case rate	Use Lesser of logic	824		1055		Case rate	Use Lesser of logic	824	100			Fee schedule		752.27	659.2	824	
"Mechanical removal of obstructive material from gastrostomy, duodenostomy, jejunostomy, gastro-jejunostomy, or cecostomy (or other colonic) tube, any method, under fluoroscopic guidance including contrast injection(s), if performed, image documentation and report"	49460	CPT	Outpatient			908	590.2		90			Percent of total billed charges		817.2	95.46			Fee schedule		718.12	80			Percent of total billed charges		726.4	85			Percent of total billed charges		771.8	100			Fee schedule		752.27	85			Percent of total billed charges		771.8	100			Fee schedule		752.27	100			Fee schedule		752.27	100			Fee schedule		752.27	100			Fee schedule		752.27		1055		Case rate	Use Lesser of logic	908		1055		Case rate	Use Lesser of logic	908	100			Fee schedule		752.27	718.12	908	
"Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)"	43235	CPT	Outpatient			1137	739.05		90			Percent of total billed charges		1023.3	95.46			Fee schedule		718.12	80			Percent of total billed charges		909.6	85			Percent of total billed charges		966.45	100			Fee schedule		752.27	85			Percent of total billed charges		966.45	100			Fee schedule		752.27	100			Fee schedule		752.27	100			Fee schedule		752.27	100			Fee schedule		752.27		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		752.27	718.12	1055	
Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance	49083	CPT	Outpatient			1213	788.45		90			Percent of total billed charges		1091.7	95.46			Fee schedule		718.12	80			Percent of total billed charges		970.4	85			Percent of total billed charges		1031.05	100			Fee schedule		752.27	85			Percent of total billed charges		1031.05	100			Fee schedule		752.27	100			Fee schedule		752.27	100			Fee schedule		752.27	100			Fee schedule		752.27		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		752.27	718.12	1091.7	
"Dilation of esophagus, by unguided sound or bougie, single or multiple passes"	43450	CPT	Outpatient			1230.52	799.84		90			Percent of total billed charges		1107.47	95.46			Fee schedule		718.12	80			Percent of total billed charges		984.42	85			Percent of total billed charges		1045.94	100			Fee schedule		752.27	85			Percent of total billed charges		1045.94	100			Fee schedule		752.27	100			Fee schedule		752.27	100			Fee schedule		752.27	100			Fee schedule		752.27		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		752.27	718.12	1107.47	
"Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and report"	91110	CPT	Outpatient			1240	806		90			Percent of total billed charges		1116	95.46			Fee schedule		718.12	80			Percent of total billed charges		992	90			Percent of total billed charges		1116	100			Fee schedule		752.27	85			Percent of total billed charges		1054	100			Fee schedule		752.27	100			Fee schedule		752.27	100			Fee schedule		752.27	100			Fee schedule		752.27		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		752.27	718.12	1116	
"Esophagogastroduodenoscopy, flexible, transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire"	43248	CPT	Outpatient			1248.14	811.29		90			Percent of total billed charges		1123.33	95.46			Fee schedule		718.12	80			Percent of total billed charges		998.51	85			Percent of total billed charges		1060.92	100			Fee schedule		752.27	85			Percent of total billed charges		1060.92	100			Fee schedule		752.27	100			Fee schedule		752.27	100			Fee schedule		752.27	100			Fee schedule		752.27		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		752.27	718.12	1123.33	
"Esophagogastroduodenoscopy, flexible, transoral; with directed submucosal injection(s), any substance"	43236	CPT	Outpatient			1248.21	811.34		90			Percent of total billed charges		1123.39	95.46			Fee schedule		718.12	80			Percent of total billed charges		998.57	85			Percent of total billed charges		1060.98	100			Fee schedule		752.27	85			Percent of total billed charges		1060.98	100			Fee schedule		752.27	100			Fee schedule		752.27	100			Fee schedule		752.27	100			Fee schedule		752.27		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		752.27	718.12	1123.39	
"Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple"	43239	CPT	Outpatient			1306.42	849.17		90			Percent of total billed charges		1175.78	95.46			Fee schedule		718.12	80			Percent of total billed charges		1045.14	85			Percent of total billed charges		1110.46	100			Fee schedule		752.27	85			Percent of total billed charges		1110.46	100			Fee schedule		752.27	100			Fee schedule		752.27	100			Fee schedule		752.27	100			Fee schedule		752.27		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		752.27	718.12	1175.78	
"Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report"	49450	CPT	Outpatient			1350	877.5		90			Percent of total billed charges		1215	95.46			Fee schedule		718.12	80			Percent of total billed charges		1080	85			Percent of total billed charges		1147.5	100			Fee schedule		752.27	85			Percent of total billed charges		1147.5	100			Fee schedule		752.27	100			Fee schedule		752.27	100			Fee schedule		752.27	100			Fee schedule		752.27		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		752.27	718.12	1215	
"Esophagogastroduodenoscopy, flexible, transoral; with removal of foreign body(s)"	43247	CPT	Outpatient			1416.81	920.93		90			Percent of total billed charges		1275.13	95.46			Fee schedule		718.12	80			Percent of total billed charges		1133.45	85			Percent of total billed charges		1204.29	100			Fee schedule		752.27	85			Percent of total billed charges		1204.29	100			Fee schedule		752.27	100			Fee schedule		752.27	100			Fee schedule		752.27	100			Fee schedule		752.27		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		752.27	718.12	1275.13	
"Unlisted procedure, stomach"	43999	CPT	Outpatient			1885	1225.25		90			Percent of total billed charges		1696.5	95.46			Fee schedule		718.12	80			Percent of total billed charges		1508	85			Percent of total billed charges		1602.25	100			Fee schedule		752.27	85			Percent of total billed charges		1602.25	100			Fee schedule		752.27	100			Fee schedule		752.27	100			Fee schedule		752.27	100			Fee schedule		752.27		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		752.27	718.12	1696.5	
"Unlisted procedure, abdomen, peritoneum and omentum"	49999	CPT	Outpatient			2750	1787.5		90			Percent of total billed charges		2475	95.46			Fee schedule		718.12	80			Percent of total billed charges		2200	85			Percent of total billed charges		2337.5	100			Fee schedule		752.27	85			Percent of total billed charges		2337.5	100			Fee schedule		752.27	100			Fee schedule		752.27	100			Fee schedule		752.27	100			Fee schedule		752.27		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		752.27	718.12	2475	
"Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, interlaminar epidural or subarachnoid, cervical or thoracic; without imaging guidance"	62324	CPT	Outpatient			205	133.25		90			Percent of total billed charges		184.5	95.46			Fee schedule		205	80			Percent of total billed charges		164	85			Percent of total billed charges		174.25	100			Fee schedule		756.42	85			Percent of total billed charges		174.25	100			Fee schedule		205	100			Fee schedule		756.42	100			Fee schedule		756.42	100			Fee schedule		756.42		756		Case rate	Use Lesser of logic	205		756		Case rate	Use Lesser of logic	205	100			Fee schedule		756.42	164	756.42	
"Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); without imaging guidance"	62322	CPT	Outpatient			205	133.25		90			Percent of total billed charges		184.5	95.46			Fee schedule		205	80			Percent of total billed charges		164	85			Percent of total billed charges		174.25	100			Fee schedule		756.42	85			Percent of total billed charges		174.25	100			Fee schedule		205	100			Fee schedule		756.42	100			Fee schedule		756.42	100			Fee schedule		756.42		756		Case rate	Use Lesser of logic	205		756		Case rate	Use Lesser of logic	205	100			Fee schedule		756.42	164	756.42	
"Injection(s), anesthetic agent(s) and/or steroid; axillary nerve, including imaging guidance, when performed"	64417	CPT	Outpatient			235	152.75		90			Percent of total billed charges		211.5	95.46			Fee schedule		235	80			Percent of total billed charges		188	85			Percent of total billed charges		199.75	100			Fee schedule		756.42	85			Percent of total billed charges		199.75	100			Fee schedule		235	100			Fee schedule		756.42	100			Fee schedule		756.42	100			Fee schedule		756.42		756		Case rate	Use Lesser of logic	235		756		Case rate	Use Lesser of logic	235	100			Fee schedule		756.42	188	756.42	
Destruction by neurolytic agent; other peripheral nerve or branch	64640	CPT	Outpatient			285	185.25		90			Percent of total billed charges		256.5	95.46			Fee schedule		285	80			Percent of total billed charges		228	85			Percent of total billed charges		242.25	100			Fee schedule		756.42	85			Percent of total billed charges		242.25	100			Fee schedule		285	100			Fee schedule		756.42	100			Fee schedule		756.42	100			Fee schedule		756.42		756		Case rate	Use Lesser of logic	285		756		Case rate	Use Lesser of logic	285	100			Fee schedule		756.42	228	756.42	
"Injection(s), anesthetic agent(s) and/or steroid; pudendal nerve"	64430	CPT	Outpatient			315	204.75		90			Percent of total billed charges		283.5	95.46			Fee schedule		315	80			Percent of total billed charges		252	85			Percent of total billed charges		267.75	100			Fee schedule		756.42	85			Percent of total billed charges		267.75	100			Fee schedule		315	100			Fee schedule		756.42	100			Fee schedule		756.42	100			Fee schedule		756.42		756		Case rate	Use Lesser of logic	315		756		Case rate	Use Lesser of logic	315	100			Fee schedule		756.42	252	756.42	
"Injection, anesthetic agent; stellate ganglion (cervical sympathetic)"	64510	CPT	Outpatient			320	208		90			Percent of total billed charges		288	95.46			Fee schedule		320	80			Percent of total billed charges		256	85			Percent of total billed charges		272	100			Fee schedule		756.42	85			Percent of total billed charges		272	100			Fee schedule		320	100			Fee schedule		756.42	100			Fee schedule		756.42	100			Fee schedule		756.42		756		Case rate	Use Lesser of logic	320		756		Case rate	Use Lesser of logic	320	100			Fee schedule		756.42	256	756.42	
"Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, cervical or thoracic"	62281	CPT	Outpatient			368	239.2		90			Percent of total billed charges		331.2	95.46			Fee schedule		368	80			Percent of total billed charges		294.4	85			Percent of total billed charges		312.8	100			Fee schedule		756.42	85			Percent of total billed charges		312.8	100			Fee schedule		368	100			Fee schedule		756.42	100			Fee schedule		756.42	100			Fee schedule		756.42		756		Case rate	Use Lesser of logic	368		756		Case rate	Use Lesser of logic	368	100			Fee schedule		756.42	294.4	756.42	
"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; single level"	64490	CPT	Outpatient			410	266.5		90			Percent of total billed charges		369	95.46			Fee schedule		410	80			Percent of total billed charges		328	85			Percent of total billed charges		348.5	100			Fee schedule		756.42	85			Percent of total billed charges		348.5	100			Fee schedule		410	100			Fee schedule		756.42	100			Fee schedule		756.42	100			Fee schedule		756.42		756		Case rate	Use Lesser of logic	410		756		Case rate	Use Lesser of logic	410	100			Fee schedule		756.42	328	756.42	
"Injection(s), anesthetic agent(s) and/or steroid; brachial plexus, including imaging guidance, when performed"	64415	CPT	Outpatient			440	286		90			Percent of total billed charges		396	95.46			Fee schedule		440	80			Percent of total billed charges		352	85			Percent of total billed charges		374	100			Fee schedule		756.42	85			Percent of total billed charges		374	100			Fee schedule		440	100			Fee schedule		756.42	100			Fee schedule		756.42	100			Fee schedule		756.42		756		Case rate	Use Lesser of logic	440		756		Case rate	Use Lesser of logic	440	100			Fee schedule		756.42	352	756.42	
"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level"	64493	CPT	Outpatient			552	358.8		90			Percent of total billed charges		496.8	95.46			Fee schedule		552	80			Percent of total billed charges		441.6	85			Percent of total billed charges		469.2	100			Fee schedule		756.42	85			Percent of total billed charges		469.2	100			Fee schedule		552	100			Fee schedule		756.42	100			Fee schedule		756.42	100			Fee schedule		756.42		756		Case rate	Use Lesser of logic	552		756		Case rate	Use Lesser of logic	552	100			Fee schedule		756.42	441.6	756.42	
"Injection(s), anesthetic agent(s) and/or steroid; intercostal nerve, each additional level (List separately in addition to code for primary procedure)"	64421	CPT	Outpatient			713	463.45		90			Percent of total billed charges		641.7	95.46			Fee schedule		713	80			Percent of total billed charges		570.4	85			Percent of total billed charges		606.05	100			Fee schedule		756.42	85			Percent of total billed charges		606.05	100			Fee schedule		713	100			Fee schedule		756.42	100			Fee schedule		756.42	100			Fee schedule		756.42		756		Case rate	Use Lesser of logic	713		756		Case rate	Use Lesser of logic	713	100			Fee schedule		756.42	570.4	756.42	
"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, single level"	64479	CPT	Outpatient			713	463.45		90			Percent of total billed charges		641.7	95.46			Fee schedule		713	80			Percent of total billed charges		570.4	85			Percent of total billed charges		606.05	100			Fee schedule		756.42	85			Percent of total billed charges		606.05	100			Fee schedule		713	100			Fee schedule		756.42	100			Fee schedule		756.42	100			Fee schedule		756.42		756		Case rate	Use Lesser of logic	713		756		Case rate	Use Lesser of logic	713	100			Fee schedule		756.42	570.4	756.42	
"Destruction by neurolytic agent, intercostal nerve"	64620	CPT	Outpatient			720	468		90			Percent of total billed charges		648	95.46			Fee schedule		720	80			Percent of total billed charges		576	85			Percent of total billed charges		612	100			Fee schedule		756.42	85			Percent of total billed charges		612	100			Fee schedule		720	100			Fee schedule		756.42	100			Fee schedule		756.42	100			Fee schedule		756.42		756		Case rate	Use Lesser of logic	720		756		Case rate	Use Lesser of logic	720	100			Fee schedule		756.42	576	756.42	
"Percutaneous lysis of epidural adhesions using solution injection (eg, hypertonic saline, enzyme) or mechanical means (eg, catheter) including radiologic localization (includes contrast when administered), multiple adhesiolysis sessions; 1 day"	62264	CPT	Outpatient			1180	767		90			Percent of total billed charges		1062	95.46			Fee schedule		722.08	80			Percent of total billed charges		944	85			Percent of total billed charges		1003	100			Fee schedule		756.42	85			Percent of total billed charges		1003	100			Fee schedule		756.42	100			Fee schedule		756.42	100			Fee schedule		756.42	100			Fee schedule		756.42		756		Case rate		756		756		Case rate		756	100			Fee schedule		756.42	722.08	1062	
"Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring"	64530	CPT	Outpatient			2553.14	1659.54		90			Percent of total billed charges		2297.82	95.46			Fee schedule		722.08	80			Percent of total billed charges		2042.51	85			Percent of total billed charges		2170.17	100			Fee schedule		756.42	85			Percent of total billed charges		2170.17	100			Fee schedule		756.42	100			Fee schedule		756.42	100			Fee schedule		756.42	100			Fee schedule		756.42		756		Case rate		756		756		Case rate		756	100			Fee schedule		756.42	722.08	2297.82	
"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level"	64483	CPT	Outpatient			2750	1787.5		90			Percent of total billed charges		2475	95.46			Fee schedule		722.08	80			Percent of total billed charges		2200	85			Percent of total billed charges		2337.5	100			Fee schedule		756.42	85			Percent of total billed charges		2337.5	100			Fee schedule		756.42	100			Fee schedule		756.42	100			Fee schedule		756.42	100			Fee schedule		756.42		756		Case rate		756		756		Case rate		756	100			Fee schedule		756.42	722.08	2475	
"Injection, anesthetic agent; lumbar or thoracic (paravertebral sympathetic)"	64520	CPT	Outpatient			3362.5	2185.62		90			Percent of total billed charges		3026.25	95.46			Fee schedule		722.08	80			Percent of total billed charges		2690	85			Percent of total billed charges		2858.12	100			Fee schedule		756.42	85			Percent of total billed charges		2858.12	100			Fee schedule		756.42	100			Fee schedule		756.42	100			Fee schedule		756.42	100			Fee schedule		756.42		756		Case rate		756		756		Case rate		756	100			Fee schedule		756.42	722.08	3026.25	
"Proctosigmoidoscopy, rigid; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)"	45300	CPT	Outpatient			230	149.5		90			Percent of total billed charges		207	95.46			Fee schedule		230	80			Percent of total billed charges		184	85			Percent of total billed charges		195.5	100			Fee schedule		758.48	85			Percent of total billed charges		195.5	100			Fee schedule		230	100			Fee schedule		758.48	100			Fee schedule		758.48	100			Fee schedule		758.48		756		Case rate	Use Lesser of logic	230		756		Case rate	Use Lesser of logic	230	100			Fee schedule		758.48	184	758.48	
"Sigmoidoscopy, flexible; with directed submucosal injection(s), any substance"	45335	CPT	Outpatient			280	182		90			Percent of total billed charges		252	95.46			Fee schedule		280	80			Percent of total billed charges		224	85			Percent of total billed charges		238	100			Fee schedule		758.48	85			Percent of total billed charges		238	100			Fee schedule		280	100			Fee schedule		758.48	100			Fee schedule		758.48	100			Fee schedule		758.48		756		Case rate	Use Lesser of logic	280		756		Case rate	Use Lesser of logic	280	100			Fee schedule		758.48	224	758.48	
Reduction of procidentia (separate procedure) under anesthesia	45900	CPT	Outpatient			310	201.5		90			Percent of total billed charges		279	95.46			Fee schedule		310	80			Percent of total billed charges		248	85			Percent of total billed charges		263.5	100			Fee schedule		758.48	85			Percent of total billed charges		263.5	100			Fee schedule		310	100			Fee schedule		758.48	100			Fee schedule		758.48	100			Fee schedule		758.48		756		Case rate	Use Lesser of logic	310		756		Case rate	Use Lesser of logic	310	100			Fee schedule		758.48	248	758.48	
"Sigmoidoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed"	45337	CPT	Outpatient			370	240.5		90			Percent of total billed charges		333	95.46			Fee schedule		370	80			Percent of total billed charges		296	85			Percent of total billed charges		314.5	100			Fee schedule		758.48	85			Percent of total billed charges		314.5	100			Fee schedule		370	100			Fee schedule		758.48	100			Fee schedule		758.48	100			Fee schedule		758.48		1055		Case rate	Use Lesser of logic	370		1055		Case rate	Use Lesser of logic	370	100			Fee schedule		758.48	296	758.48	
Anoscopy; with removal of foreign body	46608	CPT	Outpatient			400	260		90			Percent of total billed charges		360	95.46			Fee schedule		400	80			Percent of total billed charges		320	85			Percent of total billed charges		340	100			Fee schedule		758.48	85			Percent of total billed charges		340	100			Fee schedule		400	100			Fee schedule		758.48	100			Fee schedule		758.48	100			Fee schedule		758.48		1055		Case rate	Use Lesser of logic	400		1055		Case rate	Use Lesser of logic	400	100			Fee schedule		758.48	320	758.48	
"Incision and drainage, perianal abscess, superficial"	46050	CPT	Outpatient			460	299		90			Percent of total billed charges		414	95.46			Fee schedule		460	80			Percent of total billed charges		368	85			Percent of total billed charges		391	100			Fee schedule		758.48	85			Percent of total billed charges		391	100			Fee schedule		460	100			Fee schedule		758.48	100			Fee schedule		758.48	100			Fee schedule		758.48		756		Case rate	Use Lesser of logic	460		756		Case rate	Use Lesser of logic	460	100			Fee schedule		758.48	368	758.48	
"Unlisted procedure, rectum"	45999	CPT	Outpatient			989.11	642.92		90			Percent of total billed charges		890.2	95.46			Fee schedule		724.04	80			Percent of total billed charges		791.29	85			Percent of total billed charges		840.74	100			Fee schedule		758.48	85			Percent of total billed charges		840.74	100			Fee schedule		758.48	100			Fee schedule		758.48	100			Fee schedule		758.48	100			Fee schedule		758.48		756		Case rate		756		756		Case rate		756	100			Fee schedule		758.48	724.04	890.2	
"Sigmoidoscopy, flexible; with biopsy, single or multiple"	45331	CPT	Outpatient			1110	721.5		90			Percent of total billed charges		999	95.46			Fee schedule		724.04	80			Percent of total billed charges		888	85			Percent of total billed charges		943.5	100			Fee schedule		758.48	85			Percent of total billed charges		943.5	100			Fee schedule		758.48	100			Fee schedule		758.48	100			Fee schedule		758.48	100			Fee schedule		758.48		756		Case rate		756		756		Case rate		756	100			Fee schedule		758.48	724.04	999	
Colorectal cancer screening; colonoscopy on individual at high risk	G0105	CPT	Outpatient			1177	765.05		90			Percent of total billed charges		1059.3	95.46			Fee schedule		724.04	80			Percent of total billed charges		941.6	85			Percent of total billed charges		1000.45	100			Fee schedule		758.48	85			Percent of total billed charges		1000.45	100			Fee schedule		758.48	100			Fee schedule		758.48	100			Fee schedule		758.48	100			Fee schedule		758.48		756		Case rate		756		756		Case rate		756	100			Fee schedule		758.48	724.04	1059.3	
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	G0121	CPT	Outpatient			1177	765.05		90			Percent of total billed charges		1059.3	95.46			Fee schedule		724.04	80			Percent of total billed charges		941.6	85			Percent of total billed charges		1000.45	100			Fee schedule		758.48	85			Percent of total billed charges		1000.45	100			Fee schedule		758.48	100			Fee schedule		758.48	100			Fee schedule		758.48	100			Fee schedule		758.48		756		Case rate		756		756		Case rate		756	100			Fee schedule		758.48	724.04	1059.3	
"Sigmoidoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)"	45330	CPT	Outpatient			1205	783.25		90			Percent of total billed charges		1084.5	95.46			Fee schedule		724.04	80			Percent of total billed charges		964	85			Percent of total billed charges		1024.25	100			Fee schedule		758.48	85			Percent of total billed charges		1024.25	100			Fee schedule		758.48	100			Fee schedule		758.48	100			Fee schedule		758.48	100			Fee schedule		758.48		756		Case rate		756		756		Case rate		756	100			Fee schedule		758.48	724.04	1084.5	
"Unlisted procedure, anus"	46999	CPT	Outpatient			1310	851.5		90			Percent of total billed charges		1179	95.46			Fee schedule		724.04	80			Percent of total billed charges		1048	85			Percent of total billed charges		1113.5	100			Fee schedule		758.48	85			Percent of total billed charges		1113.5	100			Fee schedule		758.48	100			Fee schedule		758.48	100			Fee schedule		758.48	100			Fee schedule		758.48		756		Case rate		756		756		Case rate		756	100			Fee schedule		758.48	724.04	1179	
"Hemorrhoidectomy, internal, by rubber band ligation(s)"	46221	CPT	Outpatient			2750	1787.5		90			Percent of total billed charges		2475	95.46			Fee schedule		724.04	80			Percent of total billed charges		2200	85			Percent of total billed charges		2337.5	100			Fee schedule		758.48	85			Percent of total billed charges		2337.5	100			Fee schedule		758.48	100			Fee schedule		758.48	100			Fee schedule		758.48	100			Fee schedule		758.48		756		Case rate		756		756		Case rate		756	100			Fee schedule		758.48	724.04	2475	
"Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)"	45378	CPT	Outpatient			1291.52	839.49		90			Percent of total billed charges		1162.37	95.46			Fee schedule		724.04	80			Percent of total billed charges		1033.22	85			Percent of total billed charges		1097.79	100			Fee schedule		758.48	85			Percent of total billed charges		1097.79	100			Fee schedule		758.48	100			Fee schedule		758.48	100			Fee schedule		758.48	100			Fee schedule		758.48		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		758.48	724.04	1162.37	
"Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)"	44388	CPT	Outpatient			1298.52	844.04		90			Percent of total billed charges		1168.67	95.46			Fee schedule		724.04	80			Percent of total billed charges		1038.82	85			Percent of total billed charges		1103.74	100			Fee schedule		758.48	85			Percent of total billed charges		1103.74	100			Fee schedule		758.48	100			Fee schedule		758.48	100			Fee schedule		758.48	100			Fee schedule		758.48		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		758.48	724.04	1168.67	
"Incision of conjunctiva, drainage of cyst"	68020	CPT	Outpatient			235	152.75		90			Percent of total billed charges		211.5	95.46			Fee schedule		235	80			Percent of total billed charges		188	85			Percent of total billed charges		199.75	100			Fee schedule		840.2	85			Percent of total billed charges		199.75	100			Fee schedule		235	100			Fee schedule		840.2	100			Fee schedule		840.2	100			Fee schedule		840.2		1055		Case rate	Use Lesser of logic	235		1055		Case rate	Use Lesser of logic	235	100			Fee schedule		840.2	188	840.2	
"Temporary closure of eyelids by suture (eg, Frost suture)"	67875	CPT	Outpatient			320	208		90			Percent of total billed charges		288	95.46			Fee schedule		320	80			Percent of total billed charges		256	85			Percent of total billed charges		272	100			Fee schedule		840.2	85			Percent of total billed charges		272	100			Fee schedule		320	100			Fee schedule		840.2	100			Fee schedule		840.2	100			Fee schedule		840.2		1055		Case rate	Use Lesser of logic	320		1055		Case rate	Use Lesser of logic	320	100			Fee schedule		840.2	256	840.2	
"Excision of chalazion; multiple, same lid"	67801	CPT	Outpatient			450	292.5		90			Percent of total billed charges		405	95.46			Fee schedule		450	80			Percent of total billed charges		360	85			Percent of total billed charges		382.5	100			Fee schedule		840.2	85			Percent of total billed charges		382.5	100			Fee schedule		450	100			Fee schedule		840.2	100			Fee schedule		840.2	100			Fee schedule		840.2		1055		Case rate	Use Lesser of logic	450		1055		Case rate	Use Lesser of logic	450	100			Fee schedule		840.2	360	840.2	
Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure	67840	CPT	Outpatient			855	555.75		90			Percent of total billed charges		769.5	95.46			Fee schedule		802.06	80			Percent of total billed charges		684	85			Percent of total billed charges		726.75	100			Fee schedule		840.2	85			Percent of total billed charges		726.75	100			Fee schedule		840.2	100			Fee schedule		840.2	100			Fee schedule		840.2	100			Fee schedule		840.2		1055		Case rate	Use Lesser of logic	855		1055		Case rate	Use Lesser of logic	855	100			Fee schedule		840.2	684	855	
"Percutaneous tests (scratch, puncture, prick) with allergenic extracts, immediate type reaction, including test interpretation and report, specify number of tests"	95004	CPT	Outpatient			8	5.2		90			Percent of total billed charges		7.2	95.46			Fee schedule		8	80			Percent of total billed charges		6.4	90			Percent of total billed charges		7.2	100			Fee schedule		867.67	85			Percent of total billed charges		6.8	100			Fee schedule		8	100			Fee schedule		867.67	100			Fee schedule		867.67	100			Fee schedule		867.67		60		Case rate	Use Lesser of logic	8		60		Case rate	Use Lesser of logic	8	100			Fee schedule		867.67	6.4	867.67	
Patch or application test(s) (specify number of tests)	95044	CPT	Outpatient			15	9.75		90			Percent of total billed charges		13.5	95.46			Fee schedule		15	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	100			Fee schedule		867.67	85			Percent of total billed charges		12.75	100			Fee schedule		15	100			Fee schedule		867.67	100			Fee schedule		867.67	100			Fee schedule		867.67		60		Case rate	Use Lesser of logic	15		60		Case rate	Use Lesser of logic	15	100			Fee schedule		867.67	12	867.67	
Aspiration of bladder; by trocar or intracatheter	51101	CPT	Outpatient			179	116.35		90			Percent of total billed charges		161.1	95.46			Fee schedule		179	80			Percent of total billed charges		143.2	85			Percent of total billed charges		152.15	100			Fee schedule		867.67	85			Percent of total billed charges		152.15	100			Fee schedule		179	100			Fee schedule		867.67	100			Fee schedule		867.67	100			Fee schedule		867.67		1055		Case rate	Use Lesser of logic	179		1055		Case rate	Use Lesser of logic	179	100			Fee schedule		867.67	143.2	867.67	
"Electroencephalogram with video (VEEG), review of data, technical description by EEG technologist, each increment of 12-26 hours; with continuous, real-time monitoring and maintenance"	95716	CPT	Outpatient			1430	929.5		90			Percent of total billed charges		1287	95.46			Fee schedule		828.28	80			Percent of total billed charges		1144	90			Percent of total billed charges		1287	100			Fee schedule		867.67	85			Percent of total billed charges		1215.5	100			Fee schedule		867.67	100			Fee schedule		867.67	100			Fee schedule		867.67	100			Fee schedule		867.67		268		Case rate		268		268		Case rate		268	100			Fee schedule		867.67	268	1287	
"Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist"	95810	CPT	Outpatient			1760	1144		90			Percent of total billed charges		1584	95.46			Fee schedule		828.28	80			Percent of total billed charges		1408	90			Percent of total billed charges		1584	100			Fee schedule		867.67	85			Percent of total billed charges		1496	100			Fee schedule		867.67	100			Fee schedule		867.67	100			Fee schedule		867.67	100			Fee schedule		867.67		532		Case rate		532		532		Case rate		532	100			Fee schedule		867.67	532	1584	
"Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bilevel ventilation, attended by a technologist"	95811	CPT	Outpatient			2090	1358.5		90			Percent of total billed charges		1881	95.46			Fee schedule		828.28	80			Percent of total billed charges		1672	90			Percent of total billed charges		1881	100			Fee schedule		867.67	85			Percent of total billed charges		1776.5	100			Fee schedule		867.67	100			Fee schedule		867.67	100			Fee schedule		867.67	100			Fee schedule		867.67		532		Case rate		532		532		Case rate		532	100			Fee schedule		867.67	532	1881	
"Removal of anal seton, other marker"	46030	CPT	Outpatient			155	100.75		90			Percent of total billed charges		139.5	95.46			Fee schedule		155	80			Percent of total billed charges		124	85			Percent of total billed charges		131.75	100			Fee schedule		979.32	85			Percent of total billed charges		131.75	100			Fee schedule		155	100			Fee schedule		979.32	100			Fee schedule		979.32	100			Fee schedule		979.32		1055		Case rate	Use Lesser of logic	155		1055		Case rate	Use Lesser of logic	155	100			Fee schedule		979.32	124	979.32	
"Proctosigmoidoscopy, rigid; with biopsy, single or multiple"	45305	CPT	Outpatient			255	165.75		90			Percent of total billed charges		229.5	95.46			Fee schedule		255	80			Percent of total billed charges		204	85			Percent of total billed charges		216.75	100			Fee schedule		979.32	85			Percent of total billed charges		216.75	100			Fee schedule		255	100			Fee schedule		979.32	100			Fee schedule		979.32	100			Fee schedule		979.32		1055		Case rate	Use Lesser of logic	255		1055		Case rate	Use Lesser of logic	255	100			Fee schedule		979.32	204	979.32	
"Excision of single external papilla or tag, anus"	46220	CPT	Outpatient			300	195		90			Percent of total billed charges		270	95.46			Fee schedule		300	80			Percent of total billed charges		240	85			Percent of total billed charges		255	100			Fee schedule		979.32	85			Percent of total billed charges		255	100			Fee schedule		300	100			Fee schedule		979.32	100			Fee schedule		979.32	100			Fee schedule		979.32		1055		Case rate	Use Lesser of logic	300		1055		Case rate	Use Lesser of logic	300	100			Fee schedule		979.32	240	979.32	
"Colonoscopy, flexible; with control of bleeding, any method"	45382	CPT	Outpatient			314.39	204.35		90			Percent of total billed charges		282.95	95.46			Fee schedule		314.39	80			Percent of total billed charges		251.51	85			Percent of total billed charges		267.23	100			Fee schedule		979.32	85			Percent of total billed charges		267.23	100			Fee schedule		314.39	100			Fee schedule		979.32	100			Fee schedule		979.32	100			Fee schedule		979.32		1055		Case rate	Use Lesser of logic	314.39		1055		Case rate	Use Lesser of logic	314.39	100			Fee schedule		979.32	251.51	979.32	
"Anoscopy; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator)"	46614	CPT	Outpatient			325	211.25		90			Percent of total billed charges		292.5	95.46			Fee schedule		325	80			Percent of total billed charges		260	85			Percent of total billed charges		276.25	100			Fee schedule		979.32	85			Percent of total billed charges		276.25	100			Fee schedule		325	100			Fee schedule		979.32	100			Fee schedule		979.32	100			Fee schedule		979.32		1055		Case rate	Use Lesser of logic	325		1055		Case rate	Use Lesser of logic	325	100			Fee schedule		979.32	260	979.32	
"Sigmoidoscopy, flexible; with transendoscopic balloon dilation"	45340	CPT	Outpatient			385	250.25		90			Percent of total billed charges		346.5	95.46			Fee schedule		385	80			Percent of total billed charges		308	85			Percent of total billed charges		327.25	100			Fee schedule		979.32	85			Percent of total billed charges		327.25	100			Fee schedule		385	100			Fee schedule		979.32	100			Fee schedule		979.32	100			Fee schedule		979.32		1055		Case rate	Use Lesser of logic	385		1055		Case rate	Use Lesser of logic	385	100			Fee schedule		979.32	308	979.32	
"Anoscopy; with biopsy, single or multiple"	46606	CPT	Outpatient			400	260		90			Percent of total billed charges		360	95.46			Fee schedule		400	80			Percent of total billed charges		320	85			Percent of total billed charges		340	100			Fee schedule		979.32	85			Percent of total billed charges		340	100			Fee schedule		400	100			Fee schedule		979.32	100			Fee schedule		979.32	100			Fee schedule		979.32		1055		Case rate	Use Lesser of logic	400		1055		Case rate	Use Lesser of logic	400	100			Fee schedule		979.32	320	979.32	
"Insertion of cecostomy or other colonic tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report"	49442	CPT	Outpatient			413	268.45		90			Percent of total billed charges		371.7	95.46			Fee schedule		413	80			Percent of total billed charges		330.4	85			Percent of total billed charges		351.05	100			Fee schedule		979.32	85			Percent of total billed charges		351.05	100			Fee schedule		413	100			Fee schedule		979.32	100			Fee schedule		979.32	100			Fee schedule		979.32		1055		Case rate	Use Lesser of logic	413		1055		Case rate	Use Lesser of logic	413	100			Fee schedule		979.32	330.4	979.32	
Incision and drainage of ischiorectal and/or perirectal abscess (separate procedure)	46040	CPT	Outpatient			413.5	268.78		90			Percent of total billed charges		372.15	95.46			Fee schedule		413.5	80			Percent of total billed charges		330.8	85			Percent of total billed charges		351.48	100			Fee schedule		979.32	85			Percent of total billed charges		351.48	100			Fee schedule		413.5	100			Fee schedule		979.32	100			Fee schedule		979.32	100			Fee schedule		979.32		1055		Case rate	Use Lesser of logic	413.5		1055		Case rate	Use Lesser of logic	413.5	100			Fee schedule		979.32	330.8	979.32	
"Sigmoidoscopy, flexible; with control of bleeding, any method"	45334	CPT	Outpatient			440	286		90			Percent of total billed charges		396	95.46			Fee schedule		440	80			Percent of total billed charges		352	85			Percent of total billed charges		374	100			Fee schedule		979.32	85			Percent of total billed charges		374	100			Fee schedule		440	100			Fee schedule		979.32	100			Fee schedule		979.32	100			Fee schedule		979.32		1055		Case rate	Use Lesser of logic	440		1055		Case rate	Use Lesser of logic	440	100			Fee schedule		979.32	352	979.32	
"Excision of thrombosed hemorrhoid, external"	46320	CPT	Outpatient			460	299		90			Percent of total billed charges		414	95.46			Fee schedule		460	80			Percent of total billed charges		368	85			Percent of total billed charges		391	100			Fee schedule		979.32	85			Percent of total billed charges		391	100			Fee schedule		460	100			Fee schedule		979.32	100			Fee schedule		979.32	100			Fee schedule		979.32		1055		Case rate	Use Lesser of logic	460		1055		Case rate	Use Lesser of logic	460	100			Fee schedule		979.32	368	979.32	
Chemodenervation of internal anal sphincter	46505	CPT	Outpatient			495	321.75		90			Percent of total billed charges		445.5	95.46			Fee schedule		495	80			Percent of total billed charges		396	85			Percent of total billed charges		420.75	100			Fee schedule		979.32	85			Percent of total billed charges		420.75	100			Fee schedule		495	100			Fee schedule		979.32	100			Fee schedule		979.32	100			Fee schedule		979.32		1055		Case rate	Use Lesser of logic	495		1055		Case rate	Use Lesser of logic	495	100			Fee schedule		979.32	396	979.32	
"Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique"	45338	CPT	Outpatient			535	347.75		90			Percent of total billed charges		481.5	95.46			Fee schedule		535	80			Percent of total billed charges		428	85			Percent of total billed charges		454.75	100			Fee schedule		979.32	85			Percent of total billed charges		454.75	100			Fee schedule		535	100			Fee schedule		979.32	100			Fee schedule		979.32	100			Fee schedule		979.32		1055		Case rate	Use Lesser of logic	535		1055		Case rate	Use Lesser of logic	535	100			Fee schedule		979.32	428	979.32	
"Colonoscopy through stoma; with biopsy, single or multiple"	44389	CPT	Outpatient			620	403		90			Percent of total billed charges		558	95.46			Fee schedule		620	80			Percent of total billed charges		496	85			Percent of total billed charges		527	100			Fee schedule		979.32	85			Percent of total billed charges		527	100			Fee schedule		620	100			Fee schedule		979.32	100			Fee schedule		979.32	100			Fee schedule		979.32		1055		Case rate	Use Lesser of logic	620		1055		Case rate	Use Lesser of logic	620	100			Fee schedule		979.32	496	979.32	
Removal of fecal impaction or foreign body (separate procedure) under anesthesia	45915	CPT	Outpatient			630	409.5		90			Percent of total billed charges		567	95.46			Fee schedule		630	80			Percent of total billed charges		504	85			Percent of total billed charges		535.5	100			Fee schedule		979.32	85			Percent of total billed charges		535.5	100			Fee schedule		630	100			Fee schedule		979.32	100			Fee schedule		979.32	100			Fee schedule		979.32		1055		Case rate	Use Lesser of logic	630		1055		Case rate	Use Lesser of logic	630	100			Fee schedule		979.32	504	979.32	
"Colonoscopy through stoma; with control of bleeding, any method"	44391	CPT	Outpatient			785	510.25		90			Percent of total billed charges		706.5	95.46			Fee schedule		785	80			Percent of total billed charges		628	85			Percent of total billed charges		667.25	100			Fee schedule		979.32	85			Percent of total billed charges		667.25	100			Fee schedule		785	100			Fee schedule		979.32	100			Fee schedule		979.32	100			Fee schedule		979.32		1055		Case rate	Use Lesser of logic	785		1055		Case rate	Use Lesser of logic	785	100			Fee schedule		979.32	628	979.32	
"Colonoscopy, flexible; with directed submucosal injection(s), any substance"	45381	CPT	Outpatient			852.76	554.29		90			Percent of total billed charges		767.48	95.46			Fee schedule		852.76	80			Percent of total billed charges		682.21	85			Percent of total billed charges		724.84	100			Fee schedule		979.32	85			Percent of total billed charges		724.84	100			Fee schedule		852.76	100			Fee schedule		979.32	100			Fee schedule		979.32	100			Fee schedule		979.32		1055		Case rate	Use Lesser of logic	852.76		1055		Case rate	Use Lesser of logic	852.76	100			Fee schedule		979.32	682.21	979.32	
"Colonoscopy, flexible; with transendoscopic balloon dilation"	45386	CPT	Outpatient			870	565.5		90			Percent of total billed charges		783	95.46			Fee schedule		870	80			Percent of total billed charges		696	85			Percent of total billed charges		739.5	100			Fee schedule		979.32	85			Percent of total billed charges		739.5	100			Fee schedule		870	100			Fee schedule		979.32	100			Fee schedule		979.32	100			Fee schedule		979.32		1055		Case rate	Use Lesser of logic	870		1055		Case rate	Use Lesser of logic	870	100			Fee schedule		979.32	696	979.32	
"Colonoscopy, flexible; with removal of foreign body(s)"	45379	CPT	Outpatient			880	572		90			Percent of total billed charges		792	95.46			Fee schedule		880	80			Percent of total billed charges		704	85			Percent of total billed charges		748	100			Fee schedule		979.32	85			Percent of total billed charges		748	100			Fee schedule		880	100			Fee schedule		979.32	100			Fee schedule		979.32	100			Fee schedule		979.32		1055		Case rate	Use Lesser of logic	880		1055		Case rate	Use Lesser of logic	880	100			Fee schedule		979.32	704	979.32	
"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps"	45384	CPT	Outpatient			1100	715		90			Percent of total billed charges		990	95.46			Fee schedule		934.86	80			Percent of total billed charges		880	85			Percent of total billed charges		935	100			Fee schedule		979.32	85			Percent of total billed charges		935	100			Fee schedule		979.32	100			Fee schedule		979.32	100			Fee schedule		979.32	100			Fee schedule		979.32		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		979.32	880	1055	
"Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)"	45388	CPT	Outpatient			1220	793		90			Percent of total billed charges		1098	95.46			Fee schedule		934.86	80			Percent of total billed charges		976	85			Percent of total billed charges		1037	100			Fee schedule		979.32	85			Percent of total billed charges		1037	100			Fee schedule		979.32	100			Fee schedule		979.32	100			Fee schedule		979.32	100			Fee schedule		979.32		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		979.32	934.86	1098	
"Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique"	45385	CPT	Outpatient			1314.55	854.46		90			Percent of total billed charges		1183.1	95.46			Fee schedule		934.86	80			Percent of total billed charges		1051.64	85			Percent of total billed charges		1117.37	100			Fee schedule		979.32	85			Percent of total billed charges		1117.37	100			Fee schedule		979.32	100			Fee schedule		979.32	100			Fee schedule		979.32	100			Fee schedule		979.32		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		979.32	934.86	1183.1	
"Colonoscopy, flexible; with biopsy, single or multiple"	45380	CPT	Outpatient			1360.42	884.27		90			Percent of total billed charges		1224.38	95.46			Fee schedule		934.86	80			Percent of total billed charges		1088.34	85			Percent of total billed charges		1156.36	100			Fee schedule		979.32	85			Percent of total billed charges		1156.36	100			Fee schedule		979.32	100			Fee schedule		979.32	100			Fee schedule		979.32	100			Fee schedule		979.32		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		979.32	934.86	1224.38	
Transrectal drainage of pelvic abscess	45000	CPT	Outpatient			1396	907.4		90			Percent of total billed charges		1256.4	95.46			Fee schedule		934.86	80			Percent of total billed charges		1116.8	85			Percent of total billed charges		1186.6	100			Fee schedule		979.32	85			Percent of total billed charges		1186.6	100			Fee schedule		979.32	100			Fee schedule		979.32	100			Fee schedule		979.32	100			Fee schedule		979.32		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		979.32	934.86	1256.4	
"Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique"	44394	CPT	Outpatient			1400.15	910.1		90			Percent of total billed charges		1260.14	95.46			Fee schedule		934.86	80			Percent of total billed charges		1120.12	85			Percent of total billed charges		1190.13	100			Fee schedule		979.32	85			Percent of total billed charges		1190.13	100			Fee schedule		979.32	100			Fee schedule		979.32	100			Fee schedule		979.32	100			Fee schedule		979.32		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		979.32	934.86	1260.14	
"Sigmoidoscopy, flexible; with removal of foreign body(s)"	45332	CPT	Outpatient			3717.19	2416.17		90			Percent of total billed charges		3345.47	95.46			Fee schedule		934.86	80			Percent of total billed charges		2973.75	85			Percent of total billed charges		3159.61	100			Fee schedule		979.32	85			Percent of total billed charges		3159.61	100			Fee schedule		979.32	100			Fee schedule		979.32	100			Fee schedule		979.32	100			Fee schedule		979.32		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		979.32	934.86	3345.47	
"Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)"	93642	CPT	Outpatient			962	625.3		90			Percent of total billed charges		865.8	95.46			Fee schedule		942.83	80			Percent of total billed charges		769.6	90			Percent of total billed charges		865.8	100			Fee schedule		987.67	85			Percent of total billed charges		817.7	100			Fee schedule		962	100			Fee schedule		987.67	100			Fee schedule		987.67	100			Fee schedule		987.67		1055		Case rate	Use Lesser of logic	962		1055		Case rate	Use Lesser of logic	962	100			Fee schedule		987.67	769.6	987.67	
Induction of arrhythmia by electrical pacing	93618	CPT	Outpatient			1404	912.6		90			Percent of total billed charges		1263.6	95.46			Fee schedule		942.83	80			Percent of total billed charges		1123.2	90			Percent of total billed charges		1263.6	100			Fee schedule		987.67	85			Percent of total billed charges		1193.4	100			Fee schedule		987.67	100			Fee schedule		987.67	100			Fee schedule		987.67	100			Fee schedule		987.67		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		987.67	942.83	1263.6	
"Injection, calcitonin salmon, up to 400 units"	J0630	HCPCS	Outpatient	400	UN	9771	6351.15		90			Percent of total billed charges		8793.9	95.46			Fee schedule		1051.72	80			Percent of total billed charges		7816.8	90			Percent of total billed charges		8793.9	100			Fee schedule		1101.74	85			Percent of total billed charges		8305.35	100			Fee schedule		1101.74	100			Fee schedule		1101.74	100			Fee schedule		1101.74	100			Fee schedule		1101.74		2810.17		Case rate		2810.17		2810.17		Case rate		2810.17	100			Fee schedule		1101.74	1051.72	8793.9	
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); tomographic (SPECT), single area (eg, head, neck, chest, pelvis) or acquisition, single day imaging"	78803	CPT	Outpatient			935	607.75		90			Percent of total billed charges		841.5	95.46			Fee schedule		935	80			Percent of total billed charges		748	90			Percent of total billed charges		841.5	100			Fee schedule		1178.4	85			Percent of total billed charges		794.75	100			Fee schedule		935	100			Fee schedule		1178.4	100			Fee schedule		1178.4	100			Fee schedule		1178.4		416		Case rate		416		416		Case rate		416	100			Fee schedule		1178.4	416	1178.4	
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, requiring 2 or more days imaging"	78804	CPT	Outpatient			1260	819		90			Percent of total billed charges		1134	95.46			Fee schedule		1124.9	80			Percent of total billed charges		1008	90			Percent of total billed charges		1134	100			Fee schedule		1178.4	85			Percent of total billed charges		1071	100			Fee schedule		1178.4	100			Fee schedule		1178.4	100			Fee schedule		1178.4	100			Fee schedule		1178.4		416		Case rate		416		416		Case rate		416	100			Fee schedule		1178.4	416	1178.4	
"Radiopharmaceutical localization of tumor, inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging, when performed); planar, whole body, single day imaging"	78802	CPT	Outpatient			1539	1000.35		90			Percent of total billed charges		1385.1	95.46			Fee schedule		1124.9	80			Percent of total billed charges		1231.2	90			Percent of total billed charges		1385.1	100			Fee schedule		1178.4	85			Percent of total billed charges		1308.15	100			Fee schedule		1178.4	100			Fee schedule		1178.4	100			Fee schedule		1178.4	100			Fee schedule		1178.4		416		Case rate		416		416		Case rate		416	100			Fee schedule		1178.4	416	1385.1	
"Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection"	78452	CPT	Outpatient			3104	2017.6		90			Percent of total billed charges		2793.6	95.46			Fee schedule		1124.9	80			Percent of total billed charges		2483.2	90			Percent of total billed charges		2793.6	100			Fee schedule		1178.4	85			Percent of total billed charges		2638.4	100			Fee schedule		1178.4	100			Fee schedule		1178.4	100			Fee schedule		1178.4	100			Fee schedule		1178.4		2014		Case rate		2014		2014		Case rate		2014	100			Fee schedule		1178.4	1124.9	2793.6	
"Tympanostomy (requiring insertion of ventilating tube), general anesthesia"	69436	CPT	Outpatient			180.25	117.16		90			Percent of total billed charges		162.22	95.46			Fee schedule		180.25	80			Percent of total billed charges		144.2	85			Percent of total billed charges		153.21	100			Fee schedule		1265.61	85			Percent of total billed charges		153.21	100			Fee schedule		180.25	100			Fee schedule		1265.61	100			Fee schedule		1265.61	100			Fee schedule		1265.61		1055		Case rate	Use Lesser of logic	180.25		1055		Case rate	Use Lesser of logic	180.25	100			Fee schedule		1265.61	144.2	1265.61	
Incision of lingual frenum (frenotomy)	41010	CPT	Outpatient			265	172.25		90			Percent of total billed charges		238.5	95.46			Fee schedule		265	80			Percent of total billed charges		212	85			Percent of total billed charges		225.25	100			Fee schedule		1265.61	85			Percent of total billed charges		225.25	100			Fee schedule		265	100			Fee schedule		1265.61	100			Fee schedule		1265.61	100			Fee schedule		1265.61		1055		Case rate	Use Lesser of logic	265		1055		Case rate	Use Lesser of logic	265	100			Fee schedule		1265.61	212	1265.61	
"Biopsy of palate, uvula"	42100	CPT	Outpatient			335	217.75		90			Percent of total billed charges		301.5	95.46			Fee schedule		335	80			Percent of total billed charges		268	85			Percent of total billed charges		284.75	100			Fee schedule		1265.61	85			Percent of total billed charges		284.75	100			Fee schedule		335	100			Fee schedule		1265.61	100			Fee schedule		1265.61	100			Fee schedule		1265.61		1055		Case rate	Use Lesser of logic	335		1055		Case rate	Use Lesser of logic	335	100			Fee schedule		1265.61	268	1265.61	
Biopsy of salivary gland; incisional	42405	CPT	Outpatient			455	295.75		90			Percent of total billed charges		409.5	95.46			Fee schedule		455	80			Percent of total billed charges		364	85			Percent of total billed charges		386.75	100			Fee schedule		1265.61	85			Percent of total billed charges		386.75	100			Fee schedule		455	100			Fee schedule		1265.61	100			Fee schedule		1265.61	100			Fee schedule		1265.61		1495		Case rate	Use Lesser of logic	455		1495		Case rate	Use Lesser of logic	455	100			Fee schedule		1265.61	364	1265.61	
Closed treatment of nasal bone fracture with manipulation; without stabilization	21315	CPT	Outpatient			460	299		90			Percent of total billed charges		414	95.46			Fee schedule		460	80			Percent of total billed charges		368	85			Percent of total billed charges		391	100			Fee schedule		1265.61	85			Percent of total billed charges		391	100			Fee schedule		460	100			Fee schedule		1265.61	100			Fee schedule		1265.61	100			Fee schedule		1265.61		1055		Case rate	Use Lesser of logic	460		1055		Case rate	Use Lesser of logic	460	100			Fee schedule		1265.61	368	1265.61	
"Tracheostomy, emergency procedure; transtracheal"	31603	CPT	Outpatient			590	383.5		90			Percent of total billed charges		531	95.46			Fee schedule		590	80			Percent of total billed charges		472	85			Percent of total billed charges		501.5	100			Fee schedule		1265.61	85			Percent of total billed charges		501.5	100			Fee schedule		590	100			Fee schedule		1265.61	100			Fee schedule		1265.61	100			Fee schedule		1265.61		1055		Case rate	Use Lesser of logic	590		1055		Case rate	Use Lesser of logic	590	100			Fee schedule		1265.61	472	1265.61	
Injection of sinus tract; therapeutic (separate procedure)	20500	CPT	Outpatient			754	490.1		90			Percent of total billed charges		678.6	95.46			Fee schedule		754	80			Percent of total billed charges		603.2	85			Percent of total billed charges		640.9	100			Fee schedule		1265.61	85			Percent of total billed charges		640.9	100			Fee schedule		754	100			Fee schedule		1265.61	100			Fee schedule		1265.61	100			Fee schedule		1265.61		1055		Case rate	Use Lesser of logic	754		1055		Case rate	Use Lesser of logic	754	100			Fee schedule		1265.61	603.2	1265.61	
"Repair lip, full thickness; over one-half vertical height, or complex"	40654	CPT	Outpatient			1060	689		90			Percent of total billed charges		954	95.46			Fee schedule		1060	80			Percent of total billed charges		848	85			Percent of total billed charges		901	100			Fee schedule		1265.61	85			Percent of total billed charges		901	100			Fee schedule		1060	100			Fee schedule		1265.61	100			Fee schedule		1265.61	100			Fee schedule		1265.61		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1265.61	848	1265.61	
Displacement therapy (Proetz type)	30210	CPT	Outpatient			1909.34	1241.07		90			Percent of total billed charges		1718.4	95.46			Fee schedule		1208.15	80			Percent of total billed charges		1527.47	85			Percent of total billed charges		1622.94	100			Fee schedule		1265.61	85			Percent of total billed charges		1622.94	100			Fee schedule		1265.61	100			Fee schedule		1265.61	100			Fee schedule		1265.61	100			Fee schedule		1265.61		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1265.61	1055	1718.4	
"Tympanic membrane repair, with or without site preparation of perforation for closure, with or without patch"	69610	CPT	Outpatient			1801.36	1170.88		90			Percent of total billed charges		1621.22	95.46			Fee schedule		1208.15	80			Percent of total billed charges		1441.09	85			Percent of total billed charges		1531.15	100			Fee schedule		1265.61	85			Percent of total billed charges		1531.15	100			Fee schedule		1265.61	100			Fee schedule		1265.61	100			Fee schedule		1265.61	100			Fee schedule		1265.61		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		1265.61	1208.15	1621.22	
"Blood-derived hematopoietic progenitor cell harvesting for transplantation, per collection; autologous"	38206	CPT	Outpatient			325	211.25		90			Percent of total billed charges		292.5	95.46			Fee schedule		325	80			Percent of total billed charges		260	85			Percent of total billed charges		276.25	100			Fee schedule		1273.31	85			Percent of total billed charges		276.25	100			Fee schedule		325	100			Fee schedule		1273.31	100			Fee schedule		1273.31	100			Fee schedule		1273.31		1055		Case rate	Use Lesser of logic	325		1055		Case rate	Use Lesser of logic	325	100			Fee schedule		1273.31	260	1273.31	
"Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg, chest, head/neck)"	78814	CPT	Outpatient			4706	3058.9		90			Percent of total billed charges		4235.4	95.46			Fee schedule		1239.37	80			Percent of total billed charges		3764.8	90			Percent of total billed charges		4235.4	100			Fee schedule		1298.31	85			Percent of total billed charges		4000.1	100			Fee schedule		1298.31	100			Fee schedule		1298.31	100			Fee schedule		1298.31	100			Fee schedule		1298.31		2014		Case rate		2014		2014		Case rate		2014	100			Fee schedule		1298.31	1239.37	4235.4	
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh	78815	CPT	Outpatient			4706	3058.9		90			Percent of total billed charges		4235.4	95.46			Fee schedule		1239.37	80			Percent of total billed charges		3764.8	90			Percent of total billed charges		4235.4	100			Fee schedule		1298.31	85			Percent of total billed charges		4000.1	100			Fee schedule		1298.31	100			Fee schedule		1298.31	100			Fee schedule		1298.31	100			Fee schedule		1298.31		2014		Case rate		2014		2014		Case rate		2014	100			Fee schedule		1298.31	1239.37	4235.4	
Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body	78816	CPT	Outpatient			4706	3058.9		90			Percent of total billed charges		4235.4	95.46			Fee schedule		1239.37	80			Percent of total billed charges		3764.8	90			Percent of total billed charges		4235.4	100			Fee schedule		1298.31	85			Percent of total billed charges		4000.1	100			Fee schedule		1298.31	100			Fee schedule		1298.31	100			Fee schedule		1298.31	100			Fee schedule		1298.31		2014		Case rate		2014		2014		Case rate		2014	100			Fee schedule		1298.31	1239.37	4235.4	
"Venography, extremity, bilateral, radiological supervision and interpretation"	75822	CPT	Outpatient			1019	662.35		90			Percent of total billed charges		917.1	95.46			Fee schedule		1019	80			Percent of total billed charges		815.2	90			Percent of total billed charges		917.1	100			Fee schedule		1329.09	85			Percent of total billed charges		866.15	100			Fee schedule		1019	100			Fee schedule		1329.09	100			Fee schedule		1329.09	100			Fee schedule		1329.09		117		Case rate		117		117		Case rate		117	100			Fee schedule		1329.09	117	1329.09	
"Venography, extremity, unilateral, radiological supervision and interpretation"	75820	CPT	Outpatient			1019	662.35		90			Percent of total billed charges		917.1	95.46			Fee schedule		1019	80			Percent of total billed charges		815.2	90			Percent of total billed charges		917.1	100			Fee schedule		1329.09	85			Percent of total billed charges		866.15	100			Fee schedule		1019	100			Fee schedule		1329.09	100			Fee schedule		1329.09	100			Fee schedule		1329.09		117		Case rate		117		117		Case rate		117	100			Fee schedule		1329.09	117	1329.09	
"Venography, caval, superior, with serialography, radiological supervision and interpretation"	75827	CPT	Outpatient			1611	1047.15		90			Percent of total billed charges		1449.9	95.46			Fee schedule		1268.74	80			Percent of total billed charges		1288.8	90			Percent of total billed charges		1449.9	100			Fee schedule		1329.09	85			Percent of total billed charges		1369.35	100			Fee schedule		1329.09	100			Fee schedule		1329.09	100			Fee schedule		1329.09	100			Fee schedule		1329.09		117		Case rate		117		117		Case rate		117	100			Fee schedule		1329.09	117	1449.9	
"Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes"	93503	CPT	Outpatient			340	221		90			Percent of total billed charges		306	95.46			Fee schedule		340	80			Percent of total billed charges		272	90			Percent of total billed charges		306	100			Fee schedule		1329.09	85			Percent of total billed charges		289	100			Fee schedule		340	100			Fee schedule		1329.09	100			Fee schedule		1329.09	100			Fee schedule		1329.09		756		Case rate	Use Lesser of logic	340		756		Case rate	Use Lesser of logic	340	100			Fee schedule		1329.09	272	1329.09	
"Removal of tunneled central venous access device, with subcutaneous port or pump, central or peripheral insertion"	36590	CPT	Outpatient			725	471.25		90			Percent of total billed charges		652.5	95.46			Fee schedule		725	80			Percent of total billed charges		580	85			Percent of total billed charges		616.25	100			Fee schedule		1329.09	85			Percent of total billed charges		616.25	100			Fee schedule		725	100			Fee schedule		1329.09	100			Fee schedule		1329.09	100			Fee schedule		1329.09		756		Case rate	Use Lesser of logic	725		756		Case rate	Use Lesser of logic	725	100			Fee schedule		1329.09	580	1329.09	
"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; age 5 years or older"	36569	CPT	Outpatient			930	604.5		90			Percent of total billed charges		837	95.46			Fee schedule		930	80			Percent of total billed charges		744	85			Percent of total billed charges		790.5	100			Fee schedule		1329.09	85			Percent of total billed charges		790.5	100			Fee schedule		930	100			Fee schedule		1329.09	100			Fee schedule		1329.09	100			Fee schedule		1329.09		756		Case rate		756		756		Case rate		756	100			Fee schedule		1329.09	744	1329.09	
"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, without imaging guidance; younger than 5 years of age"	36568	CPT	Outpatient			1198	778.7		90			Percent of total billed charges		1078.2	95.46			Fee schedule		1198	80			Percent of total billed charges		958.4	85			Percent of total billed charges		1018.3	100			Fee schedule		1329.09	85			Percent of total billed charges		1018.3	100			Fee schedule		1198	100			Fee schedule		1329.09	100			Fee schedule		1329.09	100			Fee schedule		1329.09		756		Case rate		756		756		Case rate		756	100			Fee schedule		1329.09	756	1329.09	
"Replacement, complete, of a non-tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access"	36580	CPT	Outpatient			1198	778.7		90			Percent of total billed charges		1078.2	95.46			Fee schedule		1198	80			Percent of total billed charges		958.4	85			Percent of total billed charges		1018.3	100			Fee schedule		1329.09	85			Percent of total billed charges		1018.3	100			Fee schedule		1198	100			Fee schedule		1329.09	100			Fee schedule		1329.09	100			Fee schedule		1329.09		756		Case rate		756		756		Case rate		756	100			Fee schedule		1329.09	756	1329.09	
"Replacement, complete, of a peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, through same venous access, including all imaging guidance, image documentation, and all associated radiological supervision and interpretation required to perform the replacement"	36584	CPT	Outpatient			1198	778.7		90			Percent of total billed charges		1078.2	95.46			Fee schedule		1198	80			Percent of total billed charges		958.4	85			Percent of total billed charges		1018.3	100			Fee schedule		1329.09	85			Percent of total billed charges		1018.3	100			Fee schedule		1198	100			Fee schedule		1329.09	100			Fee schedule		1329.09	100			Fee schedule		1329.09		756		Case rate		756		756		Case rate		756	100			Fee schedule		1329.09	756	1329.09	
Repositioning of previously placed central venous catheter under fluoroscopic guidance	36597	CPT	Outpatient			1198	778.7		90			Percent of total billed charges		1078.2	95.46			Fee schedule		1198	80			Percent of total billed charges		958.4	85			Percent of total billed charges		1018.3	100			Fee schedule		1329.09	85			Percent of total billed charges		1018.3	100			Fee schedule		1198	100			Fee schedule		1329.09	100			Fee schedule		1329.09	100			Fee schedule		1329.09		756		Case rate		756		756		Case rate		756	100			Fee schedule		1329.09	756	1329.09	
"Pleural drainage, percutaneous, with insertion of indwelling catheter; with imaging guidance"	32557	CPT	Outpatient			1375	893.75		90			Percent of total billed charges		1237.5	95.46			Fee schedule		1268.74	80			Percent of total billed charges		1100	85			Percent of total billed charges		1168.75	100			Fee schedule		1329.09	85			Percent of total billed charges		1168.75	100			Fee schedule		1329.09	100			Fee schedule		1329.09	100			Fee schedule		1329.09	100			Fee schedule		1329.09		756		Case rate		756		756		Case rate		756	100			Fee schedule		1329.09	756	1329.09	
"Tube thoracostomy, includes connection to drainage system (eg, water seal), when performed, open (separate procedure)"	32551	CPT	Outpatient			1409	915.85		90			Percent of total billed charges		1268.1	95.46			Fee schedule		1268.74	80			Percent of total billed charges		1127.2	85			Percent of total billed charges		1197.65	100			Fee schedule		1329.09	85			Percent of total billed charges		1197.65	100			Fee schedule		1329.09	100			Fee schedule		1329.09	100			Fee schedule		1329.09	100			Fee schedule		1329.09		756		Case rate		756		756		Case rate		756	100			Fee schedule		1329.09	756	1329.09	
"Repair of central venous access device, with subcutaneous port or pump, central or peripheral insertion site"	36576	CPT	Outpatient			2506	1628.9		90			Percent of total billed charges		2255.4	95.46			Fee schedule		1268.74	80			Percent of total billed charges		2004.8	85			Percent of total billed charges		2130.1	100			Fee schedule		1329.09	85			Percent of total billed charges		2130.1	100			Fee schedule		1329.09	100			Fee schedule		1329.09	100			Fee schedule		1329.09	100			Fee schedule		1329.09		756		Case rate		756		756		Case rate		756	100			Fee schedule		1329.09	756	2255.4	
"Insertion of peripherally inserted central venous catheter (PICC), without subcutaneous port or pump, including all imaging guidance, image documentation, and all associated radiological supervision and interpretation required to perform the insertion; age 5 years or older"	36573	CPT	Outpatient			930	604.5		90			Percent of total billed charges		837	95.46			Fee schedule		930	80			Percent of total billed charges		744	85			Percent of total billed charges		790.5	100			Fee schedule		1329.09	85			Percent of total billed charges		790.5	100			Fee schedule		930	100			Fee schedule		1329.09	100			Fee schedule		1329.09	100			Fee schedule		1329.09		1055		Case rate	Use Lesser of logic	930		1055		Case rate	Use Lesser of logic	930	100			Fee schedule		1329.09	744	1329.09	
"Closed treatment of shoulder dislocation, with surgical or anatomical neck fracture, with manipulation"	23675	CPT	Outpatient			121	78.65		90			Percent of total billed charges		108.9	95.46			Fee schedule		121	80			Percent of total billed charges		96.8	85			Percent of total billed charges		102.85	100			Fee schedule		1333.79	85			Percent of total billed charges		102.85	100			Fee schedule		121	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		216		Case rate	Use Lesser of logic	121		216		Case rate	Use Lesser of logic	121	100			Fee schedule		1333.79	96.8	1333.79	
Closed treatment of radial and ulnar shaft fractures; with manipulation	25565	CPT	Outpatient			392.75	255.29		90			Percent of total billed charges		353.48	95.46			Fee schedule		392.75	80			Percent of total billed charges		314.2	85			Percent of total billed charges		333.84	100			Fee schedule		1333.79	85			Percent of total billed charges		333.84	100			Fee schedule		392.75	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		216		Case rate		216		216		Case rate		216	100			Fee schedule		1333.79	216	1333.79	
"Closed treatment of humeral shaft fracture; with manipulation, with or without skeletal traction"	24505	CPT	Outpatient			408.58	265.57		90			Percent of total billed charges		367.72	95.46			Fee schedule		408.58	80			Percent of total billed charges		326.86	85			Percent of total billed charges		347.29	100			Fee schedule		1333.79	85			Percent of total billed charges		347.29	100			Fee schedule		408.58	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		216		Case rate		216		216		Case rate		216	100			Fee schedule		1333.79	216	1333.79	
"Closed treatment of femoral fracture, distal end, medial or lateral condyle, with manipulation"	27510	CPT	Outpatient			464.76	302.1		90			Percent of total billed charges		418.29	95.46			Fee schedule		464.76	80			Percent of total billed charges		371.81	85			Percent of total billed charges		395.05	100			Fee schedule		1333.79	85			Percent of total billed charges		395.05	100			Fee schedule		464.76	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		216		Case rate		216		216		Case rate		216	100			Fee schedule		1333.79	216	1333.79	
"Manipulation, finger joint, under anesthesia, each joint"	26340	CPT	Outpatient			595	386.75		90			Percent of total billed charges		535.5	95.46			Fee schedule		595	80			Percent of total billed charges		476	85			Percent of total billed charges		505.75	100			Fee schedule		1333.79	85			Percent of total billed charges		505.75	100			Fee schedule		595	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		216		Case rate		216		216		Case rate		216	100			Fee schedule		1333.79	216	1333.79	
Closed treatment of posterior malleolus fracture; with manipulation	27768	CPT	Outpatient			800	520		90			Percent of total billed charges		720	95.46			Fee schedule		800	80			Percent of total billed charges		640	85			Percent of total billed charges		680	100			Fee schedule		1333.79	85			Percent of total billed charges		680	100			Fee schedule		800	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		216		Case rate		216		216		Case rate		216	100			Fee schedule		1333.79	216	1333.79	
"Closed treatment of humeral epicondylar fracture, medial or lateral; with manipulation"	24565	CPT	Outpatient			865	562.25		90			Percent of total billed charges		778.5	95.46			Fee schedule		865	80			Percent of total billed charges		692	85			Percent of total billed charges		735.25	100			Fee schedule		1333.79	85			Percent of total billed charges		735.25	100			Fee schedule		865	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		216		Case rate		216		216		Case rate		216	100			Fee schedule		1333.79	216	1333.79	
"Closed treatment of carpal bone fracture (excluding carpal scaphoid [navicular]); with manipulation, each bone"	25635	CPT	Outpatient			925	601.25		90			Percent of total billed charges		832.5	95.46			Fee schedule		925	80			Percent of total billed charges		740	85			Percent of total billed charges		786.25	100			Fee schedule		1333.79	85			Percent of total billed charges		786.25	100			Fee schedule		925	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		216		Case rate		216		216		Case rate		216	100			Fee schedule		1333.79	216	1333.79	
"Closed treatment of metacarpophalangeal dislocation, single, with manipulation; requiring anesthesia"	26705	CPT	Outpatient			935	607.75		90			Percent of total billed charges		841.5	95.46			Fee schedule		935	80			Percent of total billed charges		748	85			Percent of total billed charges		794.75	100			Fee schedule		1333.79	85			Percent of total billed charges		794.75	100			Fee schedule		935	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		216		Case rate		216		216		Case rate		216	100			Fee schedule		1333.79	216	1333.79	
"Closed treatment of carpometacarpal fracture dislocation, thumb (Bennett fracture), with manipulation"	26645	CPT	Outpatient			965	627.25		90			Percent of total billed charges		868.5	95.46			Fee schedule		965	80			Percent of total billed charges		772	85			Percent of total billed charges		820.25	100			Fee schedule		1333.79	85			Percent of total billed charges		820.25	100			Fee schedule		965	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		216		Case rate		216		216		Case rate		216	100			Fee schedule		1333.79	216	1333.79	
Closed treatment of radial head or neck fracture; with manipulation	24655	CPT	Outpatient			990	643.5		90			Percent of total billed charges		891	95.46			Fee schedule		990	80			Percent of total billed charges		792	85			Percent of total billed charges		841.5	100			Fee schedule		1333.79	85			Percent of total billed charges		841.5	100			Fee schedule		990	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		216		Case rate		216		216		Case rate		216	100			Fee schedule		1333.79	216	1333.79	
"Closed treatment of ulnar fracture, proximal end (eg, olecranon or coronoid process[es]); with manipulation"	24675	CPT	Outpatient			995	646.75		90			Percent of total billed charges		895.5	95.46			Fee schedule		995	80			Percent of total billed charges		796	85			Percent of total billed charges		845.75	100			Fee schedule		1333.79	85			Percent of total billed charges		845.75	100			Fee schedule		995	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		216		Case rate		216		216		Case rate		216	100			Fee schedule		1333.79	216	1333.79	
"Closed treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; without manipulation"	27238	CPT	Outpatient			1015	659.75		90			Percent of total billed charges		913.5	95.46			Fee schedule		1015	80			Percent of total billed charges		812	85			Percent of total billed charges		862.75	100			Fee schedule		1333.79	85			Percent of total billed charges		862.75	100			Fee schedule		1015	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		216		Case rate		216		216		Case rate		216	100			Fee schedule		1333.79	216	1333.79	
"Closed treatment of carpometacarpal dislocation, other than thumb, with manipulation, each joint; requiring anesthesia"	26675	CPT	Outpatient			1075	698.75		90			Percent of total billed charges		967.5	95.46			Fee schedule		1075	80			Percent of total billed charges		860	85			Percent of total billed charges		913.75	100			Fee schedule		1333.79	85			Percent of total billed charges		913.75	100			Fee schedule		1075	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		216		Case rate		216		216		Case rate		216	100			Fee schedule		1333.79	216	1333.79	
"Closed treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint; with manipulation, each"	26742	CPT	Outpatient			1075	698.75		90			Percent of total billed charges		967.5	95.46			Fee schedule		1075	80			Percent of total billed charges		860	85			Percent of total billed charges		913.75	100			Fee schedule		1333.79	85			Percent of total billed charges		913.75	100			Fee schedule		1075	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		216		Case rate		216		216		Case rate		216	100			Fee schedule		1333.79	216	1333.79	
"Closed treatment of distal femoral epiphyseal separation; with manipulation, with or without skin or skeletal traction"	27517	CPT	Outpatient			1375	893.75		90			Percent of total billed charges		1237.5	95.46			Fee schedule		1273.23	80			Percent of total billed charges		1100	85			Percent of total billed charges		1168.75	100			Fee schedule		1333.79	85			Percent of total billed charges		1168.75	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		216		Case rate		216		216		Case rate		216	100			Fee schedule		1333.79	216	1333.79	
"Closed treatment of humeral condylar fracture, medial or lateral; with manipulation"	24577	CPT	Outpatient			1375	893.75		90			Percent of total billed charges		1237.5	95.46			Fee schedule		1273.23	80			Percent of total billed charges		1100	85			Percent of total billed charges		1168.75	100			Fee schedule		1333.79	85			Percent of total billed charges		1168.75	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		216		Case rate		216		216		Case rate		216	100			Fee schedule		1333.79	216	1333.79	
"Closed treatment of supracondylar or transcondylar humeral fracture, with or without intercondylar extension; with manipulation, with or without skin or skeletal traction"	24535	CPT	Outpatient			1455	945.75		90			Percent of total billed charges		1309.5	95.46			Fee schedule		1273.23	80			Percent of total billed charges		1164	85			Percent of total billed charges		1236.75	100			Fee schedule		1333.79	85			Percent of total billed charges		1236.75	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		216		Case rate		216		216		Case rate		216	100			Fee schedule		1333.79	216	1333.79	
"Closed treatment of supracondylar or transcondylar femoral fracture with or without intercondylar extension, with manipulation, with or without skin or skeletal traction"	27503	CPT	Outpatient			1835	1192.75		90			Percent of total billed charges		1651.5	95.46			Fee schedule		1273.23	80			Percent of total billed charges		1468	85			Percent of total billed charges		1559.75	100			Fee schedule		1333.79	85			Percent of total billed charges		1559.75	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		216		Case rate		216		216		Case rate		216	100			Fee schedule		1333.79	216	1651.5	
"Closed treatment of proximal humeral (surgical or anatomical neck) fracture; with manipulation, with or without skeletal traction"	23605	CPT	Outpatient			278.08	180.75		90			Percent of total billed charges		250.27	95.46			Fee schedule		278.08	80			Percent of total billed charges		222.46	85			Percent of total billed charges		236.37	100			Fee schedule		1333.79	85			Percent of total billed charges		236.37	100			Fee schedule		278.08	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		1495		Case rate	Use Lesser of logic	278.08		1495		Case rate	Use Lesser of logic	278.08	100			Fee schedule		1333.79	222.46	1333.79	
"Closed treatment of tibial shaft fracture (with or without fibular fracture); with manipulation, with or without skeletal traction"	27752	CPT	Outpatient			298.14	193.79		90			Percent of total billed charges		268.32	95.46			Fee schedule		298.14	80			Percent of total billed charges		238.51	85			Percent of total billed charges		253.42	100			Fee schedule		1333.79	85			Percent of total billed charges		253.42	100			Fee schedule		298.14	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		1055		Case rate	Use Lesser of logic	298.14		1055		Case rate	Use Lesser of logic	298.14	100			Fee schedule		1333.79	238.51	1333.79	
Closed treatment of radial shaft fracture; with manipulation	25505	CPT	Outpatient			316.68	205.84		90			Percent of total billed charges		285.01	95.46			Fee schedule		316.68	80			Percent of total billed charges		253.34	85			Percent of total billed charges		269.18	100			Fee schedule		1333.79	85			Percent of total billed charges		269.18	100			Fee schedule		316.68	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		756		Case rate	Use Lesser of logic	316.68		756		Case rate	Use Lesser of logic	316.68	100			Fee schedule		1333.79	253.34	1333.79	
"Closed treatment of medial malleolus fracture; with manipulation, with or without skin or skeletal traction"	27762	CPT	Outpatient			368.85	239.75		90			Percent of total billed charges		331.96	95.46			Fee schedule		368.85	80			Percent of total billed charges		295.08	85			Percent of total billed charges		313.52	100			Fee schedule		1333.79	85			Percent of total billed charges		313.52	100			Fee schedule		368.85	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		1055		Case rate	Use Lesser of logic	368.85		1055		Case rate	Use Lesser of logic	368.85	100			Fee schedule		1333.79	295.08	1333.79	
Closed treatment of metatarsophalangeal joint dislocation; requiring anesthesia	28635	CPT	Outpatient			387	251.55		90			Percent of total billed charges		348.3	95.46			Fee schedule		387	80			Percent of total billed charges		309.6	85			Percent of total billed charges		328.95	100			Fee schedule		1333.79	85			Percent of total billed charges		328.95	100			Fee schedule		387	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		1055		Case rate	Use Lesser of logic	387		1055		Case rate	Use Lesser of logic	387	100			Fee schedule		1333.79	309.6	1333.79	
Closed treatment of proximal fibula or shaft fracture; with manipulation	27781	CPT	Outpatient			387.3	251.74		90			Percent of total billed charges		348.57	95.46			Fee schedule		387.3	80			Percent of total billed charges		309.84	85			Percent of total billed charges		329.2	100			Fee schedule		1333.79	85			Percent of total billed charges		329.2	100			Fee schedule		387.3	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		756		Case rate	Use Lesser of logic	387.3		756		Case rate	Use Lesser of logic	387.3	100			Fee schedule		1333.79	309.84	1333.79	
"Closed treatment of femoral shaft fracture, with manipulation, with or without skin or skeletal traction"	27502	CPT	Outpatient			419.7	272.8		90			Percent of total billed charges		377.73	95.46			Fee schedule		419.7	80			Percent of total billed charges		335.76	85			Percent of total billed charges		356.74	100			Fee schedule		1333.79	85			Percent of total billed charges		356.74	100			Fee schedule		419.7	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		1055		Case rate	Use Lesser of logic	419.7		1055		Case rate	Use Lesser of logic	419.7	100			Fee schedule		1333.79	335.76	1333.79	
"Repair, extensor tendon, hand, primary or secondary; without free graft, each tendon"	26410	CPT	Outpatient			429.49	279.17		90			Percent of total billed charges		386.54	95.46			Fee schedule		429.49	80			Percent of total billed charges		343.59	85			Percent of total billed charges		365.07	100			Fee schedule		1333.79	85			Percent of total billed charges		365.07	100			Fee schedule		429.49	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		1055		Case rate	Use Lesser of logic	429.49		1055		Case rate	Use Lesser of logic	429.49	100			Fee schedule		1333.79	343.59	1333.79	
"Application of cranial tongs, caliper, or stereotactic frame, including removal (separate procedure)"	20660	CPT	Outpatient			455	295.75		90			Percent of total billed charges		409.5	95.46			Fee schedule		455	80			Percent of total billed charges		364	85			Percent of total billed charges		386.75	100			Fee schedule		1333.79	85			Percent of total billed charges		386.75	100			Fee schedule		455	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		1055		Case rate	Use Lesser of logic	455		1055		Case rate	Use Lesser of logic	455	100			Fee schedule		1333.79	364	1333.79	
"Closed treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli or medial and posterior malleoli); with manipulation"	27810	CPT	Outpatient			579.95	376.97		90			Percent of total billed charges		521.95	95.46			Fee schedule		579.95	80			Percent of total billed charges		463.96	85			Percent of total billed charges		492.95	100			Fee schedule		1333.79	85			Percent of total billed charges		492.95	100			Fee schedule		579.95	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		756		Case rate	Use Lesser of logic	579.95		756		Case rate	Use Lesser of logic	579.95	100			Fee schedule		1333.79	463.96	1333.79	
"Tenotomy, percutaneous, toe; multiple tendons"	28011	CPT	Outpatient			590	383.5		90			Percent of total billed charges		531	95.46			Fee schedule		590	80			Percent of total billed charges		472	85			Percent of total billed charges		501.5	100			Fee schedule		1333.79	85			Percent of total billed charges		501.5	100			Fee schedule		590	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		1495		Case rate	Use Lesser of logic	590		1495		Case rate	Use Lesser of logic	590	100			Fee schedule		1333.79	472	1333.79	
Closed treatment of talus fracture; with manipulation	28435	CPT	Outpatient			625.45	406.54		90			Percent of total billed charges		562.91	95.46			Fee schedule		625.45	80			Percent of total billed charges		500.36	85			Percent of total billed charges		531.63	100			Fee schedule		1333.79	85			Percent of total billed charges		531.63	100			Fee schedule		625.45	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		1055		Case rate	Use Lesser of logic	625.45		1055		Case rate	Use Lesser of logic	625.45	100			Fee schedule		1333.79	500.36	1333.79	
"Tenotomy, percutaneous, toe; single tendon"	28010	CPT	Outpatient			630	409.5		90			Percent of total billed charges		567	95.46			Fee schedule		630	80			Percent of total billed charges		504	85			Percent of total billed charges		535.5	100			Fee schedule		1333.79	85			Percent of total billed charges		535.5	100			Fee schedule		630	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		1495		Case rate	Use Lesser of logic	630		1495		Case rate	Use Lesser of logic	630	100			Fee schedule		1333.79	504	1333.79	
"Excision, lesion of tendon sheath, forearm and/or wrist"	25110	CPT	Outpatient			695	451.75		90			Percent of total billed charges		625.5	95.46			Fee schedule		695	80			Percent of total billed charges		556	85			Percent of total billed charges		590.75	100			Fee schedule		1333.79	85			Percent of total billed charges		590.75	100			Fee schedule		695	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		1495		Case rate	Use Lesser of logic	695		1495		Case rate	Use Lesser of logic	695	100			Fee schedule		1333.79	556	1333.79	
"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; carpometacarpal joint"	26070	CPT	Outpatient			725	471.25		90			Percent of total billed charges		652.5	95.46			Fee schedule		725	80			Percent of total billed charges		580	85			Percent of total billed charges		616.25	100			Fee schedule		1333.79	85			Percent of total billed charges		616.25	100			Fee schedule		725	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		1055		Case rate	Use Lesser of logic	725		1055		Case rate	Use Lesser of logic	725	100			Fee schedule		1333.79	580	1333.79	
"Tenotomy, adductor of hip, percutaneous (separate procedure)"	27000	CPT	Outpatient			740	481		90			Percent of total billed charges		666	95.46			Fee schedule		740	80			Percent of total billed charges		592	85			Percent of total billed charges		629	100			Fee schedule		1333.79	85			Percent of total billed charges		629	100			Fee schedule		740	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		1495		Case rate	Use Lesser of logic	740		1495		Case rate	Use Lesser of logic	740	100			Fee schedule		1333.79	592	1333.79	
Closed treatment of greater humeral tuberosity fracture; with manipulation	23625	CPT	Outpatient			745	484.25		90			Percent of total billed charges		670.5	95.46			Fee schedule		745	80			Percent of total billed charges		596	85			Percent of total billed charges		633.25	100			Fee schedule		1333.79	85			Percent of total billed charges		633.25	100			Fee schedule		745	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		1055		Case rate	Use Lesser of logic	745		1055		Case rate	Use Lesser of logic	745	100			Fee schedule		1333.79	596	1333.79	
"Tenotomy, open, extensor, foot or toe, each tendon"	28234	CPT	Outpatient			755	490.75		90			Percent of total billed charges		679.5	95.46			Fee schedule		755	80			Percent of total billed charges		604	85			Percent of total billed charges		641.75	100			Fee schedule		1333.79	85			Percent of total billed charges		641.75	100			Fee schedule		755	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		1495		Case rate	Use Lesser of logic	755		1495		Case rate	Use Lesser of logic	755	100			Fee schedule		1333.79	604	1333.79	
"Treatment of spontaneous hip dislocation (developmental, including congenital or pathological), by abduction, splint or traction; with manipulation, requiring anesthesia"	27257	CPT	Outpatient			785	510.25		90			Percent of total billed charges		706.5	95.46			Fee schedule		785	80			Percent of total billed charges		628	85			Percent of total billed charges		667.25	100			Fee schedule		1333.79	85			Percent of total billed charges		667.25	100			Fee schedule		785	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		756		Case rate		756		756		Case rate		756	100			Fee schedule		1333.79	628	1333.79	
Closed treatment of clavicular fracture; with manipulation	23505	CPT	Outpatient			950	617.5		90			Percent of total billed charges		855	95.46			Fee schedule		950	80			Percent of total billed charges		760	85			Percent of total billed charges		807.5	100			Fee schedule		1333.79	85			Percent of total billed charges		807.5	100			Fee schedule		950	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		756		Case rate		756		756		Case rate		756	100			Fee schedule		1333.79	756	1333.79	
Closed treatment of carpal scaphoid (navicular) fracture; with manipulation	25624	CPT	Outpatient			960	624		90			Percent of total billed charges		864	95.46			Fee schedule		960	80			Percent of total billed charges		768	85			Percent of total billed charges		816	100			Fee schedule		1333.79	85			Percent of total billed charges		816	100			Fee schedule		960	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		756		Case rate		756		756		Case rate		756	100			Fee schedule		1333.79	756	1333.79	
"Closed treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with manipulation"	23665	CPT	Outpatient			980	637		90			Percent of total billed charges		882	95.46			Fee schedule		980	80			Percent of total billed charges		784	85			Percent of total billed charges		833	100			Fee schedule		1333.79	85			Percent of total billed charges		833	100			Fee schedule		980	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		756		Case rate		756		756		Case rate		756	100			Fee schedule		1333.79	756	1333.79	
Closed treatment of trimalleolar ankle fracture; with manipulation	27818	CPT	Outpatient			1300	845		90			Percent of total billed charges		1170	95.46			Fee schedule		1273.23	80			Percent of total billed charges		1040	85			Percent of total billed charges		1105	100			Fee schedule		1333.79	85			Percent of total billed charges		1105	100			Fee schedule		1300	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		756		Case rate		756		756		Case rate		756	100			Fee schedule		1333.79	756	1333.79	
"Closed treatment of hip dislocation, traumatic; requiring anesthesia"	27252	CPT	Outpatient			1733	1126.45		90			Percent of total billed charges		1559.7	95.46			Fee schedule		1273.23	80			Percent of total billed charges		1386.4	85			Percent of total billed charges		1473.05	100			Fee schedule		1333.79	85			Percent of total billed charges		1473.05	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		756		Case rate		756		756		Case rate		756	100			Fee schedule		1333.79	756	1559.7	
"Closed treatment of distal radial fracture (eg, Colles or Smith type) or epiphyseal separation, includes closed treatment of fracture of ulnar styloid, when performed; with manipulation"	25605	CPT	Outpatient			4101	2665.65		90			Percent of total billed charges		3690.9	95.46			Fee schedule		1273.23	80			Percent of total billed charges		3280.8	85			Percent of total billed charges		3485.85	100			Fee schedule		1333.79	85			Percent of total billed charges		3485.85	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		756		Case rate		756		756		Case rate		756	100			Fee schedule		1333.79	756	3690.9	
"Manipulation, wrist, under anesthesia"	25259	CPT	Outpatient			795	516.75		90			Percent of total billed charges		715.5	95.46			Fee schedule		795	80			Percent of total billed charges		636	85			Percent of total billed charges		675.75	100			Fee schedule		1333.79	85			Percent of total billed charges		675.75	100			Fee schedule		795	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		1055		Case rate	Use Lesser of logic	795		1055		Case rate	Use Lesser of logic	795	100			Fee schedule		1333.79	636	1333.79	
"Exploration with removal of deep foreign body, forearm or wrist"	25248	CPT	Outpatient			850	552.5		90			Percent of total billed charges		765	95.46			Fee schedule		850	80			Percent of total billed charges		680	85			Percent of total billed charges		722.5	100			Fee schedule		1333.79	85			Percent of total billed charges		722.5	100			Fee schedule		850	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		1495		Case rate	Use Lesser of logic	850		1495		Case rate	Use Lesser of logic	850	100			Fee schedule		1333.79	680	1333.79	
Treatment of closed elbow dislocation; requiring anesthesia	24605	CPT	Outpatient			885	575.25		90			Percent of total billed charges		796.5	95.46			Fee schedule		885	80			Percent of total billed charges		708	85			Percent of total billed charges		752.25	100			Fee schedule		1333.79	85			Percent of total billed charges		752.25	100			Fee schedule		885	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		1055		Case rate	Use Lesser of logic	885		1055		Case rate	Use Lesser of logic	885	100			Fee schedule		1333.79	708	1333.79	
"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; interphalangeal joint, each"	26080	CPT	Outpatient			895	581.75		90			Percent of total billed charges		805.5	95.46			Fee schedule		895	80			Percent of total billed charges		716	85			Percent of total billed charges		760.75	100			Fee schedule		1333.79	85			Percent of total billed charges		760.75	100			Fee schedule		895	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		1055		Case rate	Use Lesser of logic	895		1055		Case rate	Use Lesser of logic	895	100			Fee schedule		1333.79	716	1333.79	
"Excision of tendon, finger, flexor or extensor, each tendon"	26180	CPT	Outpatient			910	591.5		90			Percent of total billed charges		819	95.46			Fee schedule		910	80			Percent of total billed charges		728	85			Percent of total billed charges		773.5	100			Fee schedule		1333.79	85			Percent of total billed charges		773.5	100			Fee schedule		910	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		1055		Case rate	Use Lesser of logic	910		1055		Case rate	Use Lesser of logic	910	100			Fee schedule		1333.79	728	1333.79	
"Excision of tendon, palm, flexor or extensor, single, each tendon"	26170	CPT	Outpatient			925	601.25		90			Percent of total billed charges		832.5	95.46			Fee schedule		925	80			Percent of total billed charges		740	85			Percent of total billed charges		786.25	100			Fee schedule		1333.79	85			Percent of total billed charges		786.25	100			Fee schedule		925	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		1055		Case rate	Use Lesser of logic	925		1055		Case rate	Use Lesser of logic	925	100			Fee schedule		1333.79	740	1333.79	
"Excision of ganglion, wrist (dorsal or volar); recurrent"	25112	CPT	Outpatient			965	627.25		90			Percent of total billed charges		868.5	95.46			Fee schedule		965	80			Percent of total billed charges		772	85			Percent of total billed charges		820.25	100			Fee schedule		1333.79	85			Percent of total billed charges		820.25	100			Fee schedule		965	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		1495		Case rate	Use Lesser of logic	965		1495		Case rate	Use Lesser of logic	965	100			Fee schedule		1333.79	772	1333.79	
"Excision or curettage of bone cyst or benign tumor of proximal, middle, or distal phalanx of finger"	26210	CPT	Outpatient			995	646.75		90			Percent of total billed charges		895.5	95.46			Fee schedule		995	80			Percent of total billed charges		796	85			Percent of total billed charges		845.75	100			Fee schedule		1333.79	85			Percent of total billed charges		845.75	100			Fee schedule		995	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		1055		Case rate	Use Lesser of logic	995		1055		Case rate	Use Lesser of logic	995	100			Fee schedule		1333.79	796	1333.79	
"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); distal phalanx of finger"	26236	CPT	Outpatient			995	646.75		90			Percent of total billed charges		895.5	95.46			Fee schedule		995	80			Percent of total billed charges		796	85			Percent of total billed charges		845.75	100			Fee schedule		1333.79	85			Percent of total billed charges		845.75	100			Fee schedule		995	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		1055		Case rate	Use Lesser of logic	995		1055		Case rate	Use Lesser of logic	995	100			Fee schedule		1333.79	796	1333.79	
Excision or curettage of bone cyst or benign tumor of metacarpal	26200	CPT	Outpatient			1050	682.5		90			Percent of total billed charges		945	95.46			Fee schedule		1050	80			Percent of total billed charges		840	85			Percent of total billed charges		892.5	100			Fee schedule		1333.79	85			Percent of total billed charges		892.5	100			Fee schedule		1050	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		1055		Case rate	Use Lesser of logic	1050		1055		Case rate	Use Lesser of logic	1050	100			Fee schedule		1333.79	840	1333.79	
"Tenotomy, flexor, finger, open, each tendon"	26455	CPT	Outpatient			1075	698.75		90			Percent of total billed charges		967.5	95.46			Fee schedule		1075	80			Percent of total billed charges		860	85			Percent of total billed charges		913.75	100			Fee schedule		1333.79	85			Percent of total billed charges		913.75	100			Fee schedule		1075	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1333.79	860	1333.79	
"Closed treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of radial head), with manipulation"	24620	CPT	Outpatient			1105	718.25		90			Percent of total billed charges		994.5	95.46			Fee schedule		1105	80			Percent of total billed charges		884	85			Percent of total billed charges		939.25	100			Fee schedule		1333.79	85			Percent of total billed charges		939.25	100			Fee schedule		1105	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1333.79	884	1333.79	
"Synovectomy, tendon sheath, radical (tenosynovectomy), flexor tendon, palm and/or finger, each tendon"	26145	CPT	Outpatient			1115	724.75		90			Percent of total billed charges		1003.5	95.46			Fee schedule		1115	80			Percent of total billed charges		892	85			Percent of total billed charges		947.75	100			Fee schedule		1333.79	85			Percent of total billed charges		947.75	100			Fee schedule		1115	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1333.79	892	1333.79	
"Closed treatment of ankle dislocation; requiring anesthesia, with or without percutaneous skeletal fixation"	27842	CPT	Outpatient			1150	747.5		90			Percent of total billed charges		1035	95.46			Fee schedule		1150	80			Percent of total billed charges		920	85			Percent of total billed charges		977.5	100			Fee schedule		1333.79	85			Percent of total billed charges		977.5	100			Fee schedule		1150	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1333.79	920	1333.79	
"Synovectomy, proximal interphalangeal joint, including extensor reconstruction, each interphalangeal joint"	26140	CPT	Outpatient			1155	750.75		90			Percent of total billed charges		1039.5	95.46			Fee schedule		1155	80			Percent of total billed charges		924	85			Percent of total billed charges		981.75	100			Fee schedule		1333.79	85			Percent of total billed charges		981.75	100			Fee schedule		1155	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1333.79	924	1333.79	
"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); proximal or middle phalanx of finger"	26235	CPT	Outpatient			1180	767		90			Percent of total billed charges		1062	95.46			Fee schedule		1180	80			Percent of total billed charges		944	85			Percent of total billed charges		1003	100			Fee schedule		1333.79	85			Percent of total billed charges		1003	100			Fee schedule		1180	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1333.79	944	1333.79	
"Excision of lesion of tendon sheath or joint capsule (eg, cyst, mucous cyst, or ganglion), hand or finger"	26160	CPT	Outpatient			1191.75	774.63		90			Percent of total billed charges		1072.57	95.46			Fee schedule		1191.75	80			Percent of total billed charges		953.4	85			Percent of total billed charges		1012.98	100			Fee schedule		1333.79	85			Percent of total billed charges		1012.98	100			Fee schedule		1191.75	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1333.79	953.4	1333.79	
Closed treatment of knee dislocation; requiring anesthesia	27552	CPT	Outpatient			1200	780		90			Percent of total billed charges		1080	95.46			Fee schedule		1200	80			Percent of total billed charges		960	85			Percent of total billed charges		1020	100			Fee schedule		1333.79	85			Percent of total billed charges		1020	100			Fee schedule		1200	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1333.79	960	1333.79	
Closed treatment of post hip arthroplasty dislocation; requiring regional or general anesthesia	27266	CPT	Outpatient			1244	808.6		90			Percent of total billed charges		1119.6	95.46			Fee schedule		1244	80			Percent of total billed charges		995.2	85			Percent of total billed charges		1057.4	100			Fee schedule		1333.79	85			Percent of total billed charges		1057.4	100			Fee schedule		1244	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1333.79	995.2	1333.79	
"Incision, bone cortex, hand or finger (eg, osteomyelitis or bone abscess)"	26034	CPT	Outpatient			1250	812.5		90			Percent of total billed charges		1125	95.46			Fee schedule		1250	80			Percent of total billed charges		1000	85			Percent of total billed charges		1062.5	100			Fee schedule		1333.79	85			Percent of total billed charges		1062.5	100			Fee schedule		1250	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1333.79	1000	1333.79	
"Closed treatment of fracture of weight bearing articular portion of distal tibia (eg, pilon or tibial plafond), with or without anesthesia; with skeletal traction and/or requiring manipulation"	27825	CPT	Outpatient			1390	903.5		90			Percent of total billed charges		1251	95.46			Fee schedule		1273.23	80			Percent of total billed charges		1112	85			Percent of total billed charges		1181.5	100			Fee schedule		1333.79	85			Percent of total billed charges		1181.5	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1333.79	1055	1333.79	
"Manipulation under anesthesia, shoulder joint, including application of fixation apparatus (dislocation excluded)"	23700	CPT	Outpatient			1673.55	1087.81		90			Percent of total billed charges		1506.19	95.46			Fee schedule		1273.23	80			Percent of total billed charges		1338.84	85			Percent of total billed charges		1422.51	100			Fee schedule		1333.79	85			Percent of total billed charges		1422.51	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1333.79	1055	1506.19	
"Tenolysis, flexor tendon; palm OR finger, each tendon"	26440	CPT	Outpatient			1840	1196		90			Percent of total billed charges		1656	95.46			Fee schedule		1273.23	80			Percent of total billed charges		1472	85			Percent of total billed charges		1564	100			Fee schedule		1333.79	85			Percent of total billed charges		1564	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1333.79	1055	1656	
"Capsulectomy or capsulotomy; interphalangeal joint, each joint"	26525	CPT	Outpatient			1865	1212.25		90			Percent of total billed charges		1678.5	95.46			Fee schedule		1273.23	80			Percent of total billed charges		1492	85			Percent of total billed charges		1585.25	100			Fee schedule		1333.79	85			Percent of total billed charges		1585.25	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1333.79	1055	1678.5	
"Closed treatment of shoulder dislocation, with manipulation; requiring anesthesia"	23655	CPT	Outpatient			2632.1	1710.86		90			Percent of total billed charges		2368.89	95.46			Fee schedule		1273.23	80			Percent of total billed charges		2105.68	85			Percent of total billed charges		2237.28	100			Fee schedule		1333.79	85			Percent of total billed charges		2237.28	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1333.79	1055	2368.89	
"Removal, under anesthesia, of external fixation system"	20694	CPT	Outpatient			2695.61	1752.15		90			Percent of total billed charges		2426.05	95.46			Fee schedule		1273.23	80			Percent of total billed charges		2156.49	85			Percent of total billed charges		2291.27	100			Fee schedule		1333.79	85			Percent of total billed charges		2291.27	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1333.79	1055	2426.05	
"Repair, extensor tendon, finger, primary or secondary; without free graft, each tendon"	26418	CPT	Outpatient			2865.83	1862.79		90			Percent of total billed charges		2579.25	95.46			Fee schedule		1273.23	80			Percent of total billed charges		2292.66	85			Percent of total billed charges		2435.95	100			Fee schedule		1333.79	85			Percent of total billed charges		2435.95	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1333.79	1055	2579.25	
Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices)	27570	CPT	Outpatient			3365.16	2187.35		90			Percent of total billed charges		3028.64	95.46			Fee schedule		1273.23	80			Percent of total billed charges		2692.12	85			Percent of total billed charges		2860.38	100			Fee schedule		1333.79	85			Percent of total billed charges		2860.38	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1333.79	1055	3028.64	
"Tendon sheath incision (eg, for trigger finger)"	26055	CPT	Outpatient			3523.09	2290.01		90			Percent of total billed charges		3170.78	95.46			Fee schedule		1273.23	80			Percent of total billed charges		2818.47	85			Percent of total billed charges		2994.63	100			Fee schedule		1333.79	85			Percent of total billed charges		2994.63	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1333.79	1055	3170.78	
"Manipulation, elbow, under anesthesia"	24300	CPT	Outpatient			3803.19	2472.07		90			Percent of total billed charges		3422.87	95.46			Fee schedule		1273.23	80			Percent of total billed charges		3042.55	85			Percent of total billed charges		3232.71	100			Fee schedule		1333.79	85			Percent of total billed charges		3232.71	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1333.79	1055	3422.87	
"Closed treatment of distal extensor tendon insertion, with or without percutaneous pinning (eg, mallet finger)"	26432	CPT	Outpatient			5080.91	3302.59		90			Percent of total billed charges		4572.81	95.46			Fee schedule		1273.23	80			Percent of total billed charges		4064.72	85			Percent of total billed charges		4318.77	100			Fee schedule		1333.79	85			Percent of total billed charges		4318.77	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1333.79	1055	4572.81	
"Reconstruction, toe(s); syndactyly, with or without skin graft(s), each web"	28345	CPT	Outpatient			1065	692.25		90			Percent of total billed charges		958.5	95.46			Fee schedule		1065	80			Percent of total billed charges		852	85			Percent of total billed charges		905.25	100			Fee schedule		1333.79	85			Percent of total billed charges		905.25	100			Fee schedule		1065	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		1495		Case rate	Use Lesser of logic	1065		1495		Case rate	Use Lesser of logic	1065	100			Fee schedule		1333.79	852	1333.79	
"Endoscopy, wrist, surgical, with release of transverse carpal ligament"	29848	CPT	Outpatient			1080	702		90			Percent of total billed charges		972	95.46			Fee schedule		1080	80			Percent of total billed charges		864	85			Percent of total billed charges		918	100			Fee schedule		1333.79	85			Percent of total billed charges		918	100			Fee schedule		1080	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		1767		Case rate	Use Lesser of logic	1080		1767		Case rate	Use Lesser of logic	1080	100			Fee schedule		1333.79	864	1333.79	
"Incision and drainage below fascia, with or without tendon sheath involvement, foot; single bursal space"	28002	CPT	Outpatient			1100	715		90			Percent of total billed charges		990	95.46			Fee schedule		1100	80			Percent of total billed charges		880	85			Percent of total billed charges		935	100			Fee schedule		1333.79	85			Percent of total billed charges		935	100			Fee schedule		1100	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		1495		Case rate	Use Lesser of logic	1100		1495		Case rate	Use Lesser of logic	1100	100			Fee schedule		1333.79	880	1333.79	
"Excision or curettage of bone cyst or benign tumor, phalanges of foot"	28108	CPT	Outpatient			1105	718.25		90			Percent of total billed charges		994.5	95.46			Fee schedule		1105	80			Percent of total billed charges		884	85			Percent of total billed charges		939.25	100			Fee schedule		1333.79	85			Percent of total billed charges		939.25	100			Fee schedule		1105	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		1495		Case rate	Use Lesser of logic	1105		1495		Case rate	Use Lesser of logic	1105	100			Fee schedule		1333.79	884	1333.79	
"Excision, interdigital (Morton) neuroma, single, each"	28080	CPT	Outpatient			1110	721.5		90			Percent of total billed charges		999	95.46			Fee schedule		1110	80			Percent of total billed charges		888	85			Percent of total billed charges		943.5	100			Fee schedule		1333.79	85			Percent of total billed charges		943.5	100			Fee schedule		1110	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		1495		Case rate	Use Lesser of logic	1110		1495		Case rate	Use Lesser of logic	1110	100			Fee schedule		1333.79	888	1333.79	
"Synovectomy, extensor tendon sheath, wrist, single compartment"	25118	CPT	Outpatient			1195	776.75		90			Percent of total billed charges		1075.5	95.46			Fee schedule		1195	80			Percent of total billed charges		956	85			Percent of total billed charges		1015.75	100			Fee schedule		1333.79	85			Percent of total billed charges		1015.75	100			Fee schedule		1195	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		1495		Case rate	Use Lesser of logic	1195		1495		Case rate	Use Lesser of logic	1195	100			Fee schedule		1333.79	956	1333.79	
"Arthrotomy, including exploration, drainage, or removal of loose or foreign body; interphalangeal joint"	28024	CPT	Outpatient			1200	780		90			Percent of total billed charges		1080	95.46			Fee schedule		1200	80			Percent of total billed charges		960	85			Percent of total billed charges		1020	100			Fee schedule		1333.79	85			Percent of total billed charges		1020	100			Fee schedule		1200	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		1495		Case rate	Use Lesser of logic	1200		1495		Case rate	Use Lesser of logic	1200	100			Fee schedule		1333.79	960	1333.79	
"Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; without debridement of nonviable muscle and/or nerve"	25020	CPT	Outpatient			1405	913.25		90			Percent of total billed charges		1264.5	95.46			Fee schedule		1273.23	80			Percent of total billed charges		1124	85			Percent of total billed charges		1194.25	100			Fee schedule		1333.79	85			Percent of total billed charges		1194.25	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		1767		Case rate	Use Lesser of logic	1405		1767		Case rate	Use Lesser of logic	1405	100			Fee schedule		1333.79	1124	1405	
"Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis); flexors"	25115	CPT	Outpatient			2070	1345.5		90			Percent of total billed charges		1863	95.46			Fee schedule		1273.23	80			Percent of total billed charges		1656	85			Percent of total billed charges		1759.5	100			Fee schedule		1333.79	85			Percent of total billed charges		1759.5	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		1333.79	1273.23	1863	
"Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); toe(s), each"	28092	CPT	Outpatient			2205.16	1433.35		90			Percent of total billed charges		1984.64	95.46			Fee schedule		1273.23	80			Percent of total billed charges		1764.12	85			Percent of total billed charges		1874.38	100			Fee schedule		1333.79	85			Percent of total billed charges		1874.38	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		1333.79	1273.23	1984.64	
"Excision of ganglion, wrist (dorsal or volar); primary"	25111	CPT	Outpatient			2297.64	1493.47		90			Percent of total billed charges		2067.88	95.46			Fee schedule		1273.23	80			Percent of total billed charges		1838.11	85			Percent of total billed charges		1952.99	100			Fee schedule		1333.79	85			Percent of total billed charges		1952.99	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		1333.79	1273.23	2067.88	
"Incision, extensor tendon sheath, wrist (eg, de Quervains disease)"	25000	CPT	Outpatient			2329	1513.85		90			Percent of total billed charges		2096.1	95.46			Fee schedule		1273.23	80			Percent of total billed charges		1863.2	85			Percent of total billed charges		1979.65	100			Fee schedule		1333.79	85			Percent of total billed charges		1979.65	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		1333.79	1273.23	2096.1	
"Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; with debridement of nonviable muscle and/or nerve"	25025	CPT	Outpatient			2350	1527.5		90			Percent of total billed charges		2115	95.46			Fee schedule		1273.23	80			Percent of total billed charges		1880	85			Percent of total billed charges		1997.5	100			Fee schedule		1333.79	85			Percent of total billed charges		1997.5	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		1333.79	1273.23	2115	
"Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); foot"	28090	CPT	Outpatient			4072.5	2647.12		90			Percent of total billed charges		3665.25	95.46			Fee schedule		1273.23	80			Percent of total billed charges		3258	85			Percent of total billed charges		3461.62	100			Fee schedule		1333.79	85			Percent of total billed charges		3461.62	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		1333.79	1273.23	3665.25	
"Replantation, digit, excluding thumb (includes distal tip to sublimis tendon insertion), complete amputation"	20822	CPT	Outpatient			5845	3799.25		90			Percent of total billed charges		5260.5	95.46			Fee schedule		1273.23	80			Percent of total billed charges		4676	85			Percent of total billed charges		4968.25	100			Fee schedule		1333.79	85			Percent of total billed charges		4968.25	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		1333.79	1273.23	5260.5	
"Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without manipulation; with internal or external fixation (includes arthroscopy)"	29851	CPT	Outpatient			2365	1537.25		90			Percent of total billed charges		2128.5	95.46			Fee schedule		1273.23	80			Percent of total billed charges		1892	85			Percent of total billed charges		2010.25	100			Fee schedule		1333.79	85			Percent of total billed charges		2010.25	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79	100			Fee schedule		1333.79		3486		Case rate	Use Lesser of logic	2365		3486		Case rate	Use Lesser of logic	2365	100			Fee schedule		1333.79	1273.23	2365	
"Biopsy of breast; percutaneous, needle core, not using imaging guidance (separate procedure)"	19100	CPT	Outpatient			220	143		90			Percent of total billed charges		198	95.46			Fee schedule		220	80			Percent of total billed charges		176	85			Percent of total billed charges		187	100			Fee schedule		1345.48	85			Percent of total billed charges		187	100			Fee schedule		220	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		1055		Case rate	Use Lesser of logic	220		1055		Case rate	Use Lesser of logic	220	100			Fee schedule		1345.48	176	1345.48	
"Drainage of finger abscess; complicated (eg, felon)"	26011	CPT	Outpatient			266	172.9		90			Percent of total billed charges		239.4	95.46			Fee schedule		266	80			Percent of total billed charges		212.8	85			Percent of total billed charges		226.1	100			Fee schedule		1345.48	85			Percent of total billed charges		226.1	100			Fee schedule		266	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		1055		Case rate	Use Lesser of logic	266		1055		Case rate	Use Lesser of logic	266	100			Fee schedule		1345.48	212.8	1345.48	
"Biopsy of pancreas, percutaneous needle"	48102	CPT	Outpatient			266.51	173.23		90			Percent of total billed charges		239.86	95.46			Fee schedule		266.51	80			Percent of total billed charges		213.21	85			Percent of total billed charges		226.54	100			Fee schedule		1345.48	85			Percent of total billed charges		226.54	100			Fee schedule		266.51	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		1055		Case rate	Use Lesser of logic	266.51		1055		Case rate	Use Lesser of logic	266.51	100			Fee schedule		1345.48	213.21	1345.48	
"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less"	11620	CPT	Outpatient			275	178.75		90			Percent of total billed charges		247.5	95.46			Fee schedule		275	80			Percent of total billed charges		220	85			Percent of total billed charges		233.75	100			Fee schedule		1345.48	85			Percent of total billed charges		233.75	100			Fee schedule		275	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		756		Case rate	Use Lesser of logic	275		756		Case rate	Use Lesser of logic	275	100			Fee schedule		1345.48	220	1345.48	
"Biopsy, muscle; superficial"	20200	CPT	Outpatient			305	198.25		90			Percent of total billed charges		274.5	95.46			Fee schedule		305	80			Percent of total billed charges		244	85			Percent of total billed charges		259.25	100			Fee schedule		1345.48	85			Percent of total billed charges		259.25	100			Fee schedule		305	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		1055		Case rate	Use Lesser of logic	305		1055		Case rate	Use Lesser of logic	305	100			Fee schedule		1345.48	244	1345.48	
"Removal of foreign body, upper arm or elbow area; subcutaneous"	24200	CPT	Outpatient			360	234		90			Percent of total billed charges		324	95.46			Fee schedule		360	80			Percent of total billed charges		288	85			Percent of total billed charges		306	100			Fee schedule		1345.48	85			Percent of total billed charges		306	100			Fee schedule		360	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		756		Case rate	Use Lesser of logic	360		756		Case rate	Use Lesser of logic	360	100			Fee schedule		1345.48	288	1345.48	
"Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm"	21011	CPT	Outpatient			420	273		90			Percent of total billed charges		378	95.46			Fee schedule		420	80			Percent of total billed charges		336	85			Percent of total billed charges		357	100			Fee schedule		1345.48	85			Percent of total billed charges		357	100			Fee schedule		420	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		756		Case rate	Use Lesser of logic	420		756		Case rate	Use Lesser of logic	420	100			Fee schedule		1345.48	336	1345.48	
"Drainage external ear, abscess or hematoma; complicated"	69005	CPT	Outpatient			425	276.25		90			Percent of total billed charges		382.5	95.46			Fee schedule		425	80			Percent of total billed charges		340	85			Percent of total billed charges		361.25	100			Fee schedule		1345.48	85			Percent of total billed charges		361.25	100			Fee schedule		425	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		1055		Case rate	Use Lesser of logic	425		1055		Case rate	Use Lesser of logic	425	100			Fee schedule		1345.48	340	1345.48	
"Incision and removal of foreign body, subcutaneous tissues; complicated"	10121	CPT	Outpatient			430	279.5		90			Percent of total billed charges		387	95.46			Fee schedule		430	80			Percent of total billed charges		344	85			Percent of total billed charges		365.5	100			Fee schedule		1345.48	85			Percent of total billed charges		365.5	100			Fee schedule		430	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		1055		Case rate	Use Lesser of logic	430		1055		Case rate	Use Lesser of logic	430	100			Fee schedule		1345.48	344	1345.48	
"Mastotomy with exploration or drainage of abscess, deep"	19020	CPT	Outpatient			441.68	287.09		90			Percent of total billed charges		397.51	95.46			Fee schedule		441.68	80			Percent of total billed charges		353.34	85			Percent of total billed charges		375.42	100			Fee schedule		1345.48	85			Percent of total billed charges		375.42	100			Fee schedule		441.68	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		1495		Case rate	Use Lesser of logic	441.68		1495		Case rate	Use Lesser of logic	441.68	100			Fee schedule		1345.48	353.34	1345.48	
"Incision and drainage, upper arm or elbow area; bursa"	23931	CPT	Outpatient			505	328.25		90			Percent of total billed charges		454.5	95.46			Fee schedule		505	80			Percent of total billed charges		404	85			Percent of total billed charges		429.25	100			Fee schedule		1345.48	85			Percent of total billed charges		429.25	100			Fee schedule		505	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		1055		Case rate	Use Lesser of logic	505		1055		Case rate	Use Lesser of logic	505	100			Fee schedule		1345.48	404	1345.48	
Removal of foreign body in muscle or tendon sheath; simple	20520	CPT	Outpatient			520	338		90			Percent of total billed charges		468	95.46			Fee schedule		520	80			Percent of total billed charges		416	85			Percent of total billed charges		442	100			Fee schedule		1345.48	85			Percent of total billed charges		442	100			Fee schedule		520	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		756		Case rate	Use Lesser of logic	520		756		Case rate	Use Lesser of logic	520	100			Fee schedule		1345.48	416	1345.48	
"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm"	11624	CPT	Outpatient			540	351		90			Percent of total billed charges		486	95.46			Fee schedule		540	80			Percent of total billed charges		432	85			Percent of total billed charges		459	100			Fee schedule		1345.48	85			Percent of total billed charges		459	100			Fee schedule		540	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		1055		Case rate	Use Lesser of logic	540		1055		Case rate	Use Lesser of logic	540	100			Fee schedule		1345.48	432	1345.48	
"Biopsy, soft tissue of upper arm or elbow area; superficial"	24065	CPT	Outpatient			600	390		90			Percent of total billed charges		540	95.46			Fee schedule		600	80			Percent of total billed charges		480	85			Percent of total billed charges		510	100			Fee schedule		1345.48	85			Percent of total billed charges		510	100			Fee schedule		600	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		1055		Case rate	Use Lesser of logic	600		1055		Case rate	Use Lesser of logic	600	100			Fee schedule		1345.48	480	1345.48	
"Removal of foreign body, shoulder; subcutaneous"	23330	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	95.46			Fee schedule		605	80			Percent of total billed charges		484	85			Percent of total billed charges		514.25	100			Fee schedule		1345.48	85			Percent of total billed charges		514.25	100			Fee schedule		605	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		756		Case rate	Use Lesser of logic	605		756		Case rate	Use Lesser of logic	605	100			Fee schedule		1345.48	484	1345.48	
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 3.1 to 4.0 cm"	11644	CPT	Outpatient			630	409.5		90			Percent of total billed charges		567	95.46			Fee schedule		630	80			Percent of total billed charges		504	85			Percent of total billed charges		535.5	100			Fee schedule		1345.48	85			Percent of total billed charges		535.5	100			Fee schedule		630	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		1055		Case rate	Use Lesser of logic	630		1055		Case rate	Use Lesser of logic	630	100			Fee schedule		1345.48	504	1345.48	
"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); visceral (eg, kidney, liver, spleen, lung/mediastinum), percutaneous"	49405	CPT	Outpatient			641.25	416.81		90			Percent of total billed charges		577.12	95.46			Fee schedule		641.25	80			Percent of total billed charges		513	85			Percent of total billed charges		545.06	100			Fee schedule		1345.48	85			Percent of total billed charges		545.06	100			Fee schedule		641.25	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		1055		Case rate	Use Lesser of logic	641.25		1055		Case rate	Use Lesser of logic	641.25	100			Fee schedule		1345.48	513	1345.48	
"Incision and drainage of penis, deep"	54015	CPT	Outpatient			650	422.5		90			Percent of total billed charges		585	95.46			Fee schedule		650	80			Percent of total billed charges		520	85			Percent of total billed charges		552.5	100			Fee schedule		1345.48	85			Percent of total billed charges		552.5	100			Fee schedule		650	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		1055		Case rate	Use Lesser of logic	650		1055		Case rate	Use Lesser of logic	650	100			Fee schedule		1345.48	520	1345.48	
Drainage of scrotal wall abscess	55100	CPT	Outpatient			675	438.75		90			Percent of total billed charges		607.5	95.46			Fee schedule		675	80			Percent of total billed charges		540	85			Percent of total billed charges		573.75	100			Fee schedule		1345.48	85			Percent of total billed charges		573.75	100			Fee schedule		675	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		1055		Case rate	Use Lesser of logic	675		1055		Case rate	Use Lesser of logic	675	100			Fee schedule		1345.48	540	1345.48	
"Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm"	23075	CPT	Outpatient			750	487.5		90			Percent of total billed charges		675	95.46			Fee schedule		750	80			Percent of total billed charges		600	85			Percent of total billed charges		637.5	100			Fee schedule		1345.48	85			Percent of total billed charges		637.5	100			Fee schedule		750	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		1055		Case rate	Use Lesser of logic	750		1055		Case rate	Use Lesser of logic	750	100			Fee schedule		1345.48	600	1345.48	
"Biopsy, bone, trocar, or needle; superficial (eg, ilium, sternum, spinous process, ribs)"	20220	CPT	Outpatient			812	527.8		90			Percent of total billed charges		730.8	95.46			Fee schedule		812	80			Percent of total billed charges		649.6	85			Percent of total billed charges		690.2	100			Fee schedule		1345.48	85			Percent of total billed charges		690.2	100			Fee schedule		812	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		756		Case rate		756		756		Case rate		756	100			Fee schedule		1345.48	649.6	1345.48	
"Biopsy, soft tissue of back or flank; superficial"	21920	CPT	Outpatient			812	527.8		90			Percent of total billed charges		730.8	95.46			Fee schedule		812	80			Percent of total billed charges		649.6	85			Percent of total billed charges		690.2	100			Fee schedule		1345.48	85			Percent of total billed charges		690.2	100			Fee schedule		812	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		756		Case rate		756		756		Case rate		756	100			Fee schedule		1345.48	649.6	1345.48	
"Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater"	21012	CPT	Outpatient			860	559		90			Percent of total billed charges		774	95.46			Fee schedule		860	80			Percent of total billed charges		688	85			Percent of total billed charges		731	100			Fee schedule		1345.48	85			Percent of total billed charges		731	100			Fee schedule		860	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		756		Case rate		756		756		Case rate		756	100			Fee schedule		1345.48	688	1345.48	
"Sclerotherapy of a fluid collection (eg, lymphocele, cyst, or seroma), percutaneous, including contrast injection(s), sclerosant injection(s), diagnostic study, imaging guidance (eg, ultrasound, fluoroscopy) and radiological supervision and interpretation when performed"	49185	CPT	Outpatient			935	607.75		90			Percent of total billed charges		841.5	95.46			Fee schedule		935	80			Percent of total billed charges		748	85			Percent of total billed charges		794.75	100			Fee schedule		1345.48	85			Percent of total billed charges		794.75	100			Fee schedule		935	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		756		Case rate		756		756		Case rate		756	100			Fee schedule		1345.48	748	1345.48	
Exploration of penetrating wound (separate procedure); extremity	20103	CPT	Outpatient			950	617.5		90			Percent of total billed charges		855	95.46			Fee schedule		950	80			Percent of total billed charges		760	85			Percent of total billed charges		807.5	100			Fee schedule		1345.48	85			Percent of total billed charges		807.5	100			Fee schedule		950	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		756		Case rate		756		756		Case rate		756	100			Fee schedule		1345.48	756	1345.48	
"Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); less than 2 cm"	21013	CPT	Outpatient			1220	793		90			Percent of total billed charges		1098	95.46			Fee schedule		1220	80			Percent of total billed charges		976	85			Percent of total billed charges		1037	100			Fee schedule		1345.48	85			Percent of total billed charges		1037	100			Fee schedule		1220	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		756		Case rate		756		756		Case rate		756	100			Fee schedule		1345.48	756	1345.48	
"Removal of foreign body, foot; complicated"	28193	CPT	Outpatient			1298	843.7		90			Percent of total billed charges		1168.2	95.46			Fee schedule		1284.39	80			Percent of total billed charges		1038.4	85			Percent of total billed charges		1103.3	100			Fee schedule		1345.48	85			Percent of total billed charges		1103.3	100			Fee schedule		1298	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		756		Case rate		756		756		Case rate		756	100			Fee schedule		1345.48	756	1345.48	
Diagnostic bone marrow; aspiration(s)	38220	CPT	Outpatient			1600	1040		90			Percent of total billed charges		1440	95.46			Fee schedule		1284.39	80			Percent of total billed charges		1280	85			Percent of total billed charges		1360	100			Fee schedule		1345.48	85			Percent of total billed charges		1360	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		756		Case rate		756		756		Case rate		756	100			Fee schedule		1345.48	756	1440	
Diagnostic bone marrow; biopsy(ies)	38221	CPT	Outpatient			1600	1040		90			Percent of total billed charges		1440	95.46			Fee schedule		1284.39	80			Percent of total billed charges		1280	85			Percent of total billed charges		1360	100			Fee schedule		1345.48	85			Percent of total billed charges		1360	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		756		Case rate		756		756		Case rate		756	100			Fee schedule		1345.48	756	1440	
"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 3.1 to 4.0 cm"	11444	CPT	Outpatient			1965.8	1277.77		90			Percent of total billed charges		1769.22	95.46			Fee schedule		1284.39	80			Percent of total billed charges		1572.64	85			Percent of total billed charges		1670.93	100			Fee schedule		1345.48	85			Percent of total billed charges		1670.93	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		756		Case rate		756		756		Case rate		756	100			Fee schedule		1345.48	756	1769.22	
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm"	11643	CPT	Outpatient			2313.79	1503.96		90			Percent of total billed charges		2082.41	95.46			Fee schedule		1284.39	80			Percent of total billed charges		1851.03	85			Percent of total billed charges		1966.72	100			Fee schedule		1345.48	85			Percent of total billed charges		1966.72	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		756		Case rate		756		756		Case rate		756	100			Fee schedule		1345.48	756	2082.41	
"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm"	11623	CPT	Outpatient			2750	1787.5		90			Percent of total billed charges		2475	95.46			Fee schedule		1284.39	80			Percent of total billed charges		2200	85			Percent of total billed charges		2337.5	100			Fee schedule		1345.48	85			Percent of total billed charges		2337.5	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		756		Case rate		756		756		Case rate		756	100			Fee schedule		1345.48	756	2475	
"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including mammographic guidance"	19281	CPT	Outpatient			2750	1787.5		90			Percent of total billed charges		2475	95.46			Fee schedule		1284.39	80			Percent of total billed charges		2200	85			Percent of total billed charges		2337.5	100			Fee schedule		1345.48	85			Percent of total billed charges		2337.5	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		756		Case rate		756		756		Case rate		756	100			Fee schedule		1345.48	756	2475	
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 1.1 to 2.0 cm"	11422	CPT	Outpatient			3404.5	2212.92		90			Percent of total billed charges		3064.05	95.46			Fee schedule		1284.39	80			Percent of total billed charges		2723.6	85			Percent of total billed charges		2893.82	100			Fee schedule		1345.48	85			Percent of total billed charges		2893.82	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		756		Case rate		756		756		Case rate		756	100			Fee schedule		1345.48	756	3064.05	
"Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); first 20 sq cm or less"	11044	CPT	Outpatient			4041	2626.65		90			Percent of total billed charges		3636.9	95.46			Fee schedule		1284.39	80			Percent of total billed charges		3232.8	85			Percent of total billed charges		3434.85	100			Fee schedule		1345.48	85			Percent of total billed charges		3434.85	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		756		Case rate		756		756		Case rate		756	100			Fee schedule		1345.48	756	3636.9	
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less"	11420	CPT	Outpatient			4208	2735.2		90			Percent of total billed charges		3787.2	95.46			Fee schedule		1284.39	80			Percent of total billed charges		3366.4	85			Percent of total billed charges		3576.8	100			Fee schedule		1345.48	85			Percent of total billed charges		3576.8	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		756		Case rate		756		756		Case rate		756	100			Fee schedule		1345.48	756	3787.2	
"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter 2.1 to 3.0 cm"	11443	CPT	Outpatient			7943.12	5163.03		90			Percent of total billed charges		7148.81	95.46			Fee schedule		1284.39	80			Percent of total billed charges		6354.5	85			Percent of total billed charges		6751.66	100			Fee schedule		1345.48	85			Percent of total billed charges		6751.66	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		756		Case rate		756		756		Case rate		756	100			Fee schedule		1345.48	756	7148.81	
"Biopsy, muscle, percutaneous needle"	20206	CPT	Outpatient			773	502.45		90			Percent of total billed charges		695.7	95.46			Fee schedule		773	80			Percent of total billed charges		618.4	85			Percent of total billed charges		657.05	100			Fee schedule		1345.48	85			Percent of total billed charges		657.05	100			Fee schedule		773	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		1055		Case rate	Use Lesser of logic	773		1055		Case rate	Use Lesser of logic	773	100			Fee schedule		1345.48	618.4	1345.48	
"Biopsy or excision of lymph node(s); by needle, superficial (eg, cervical, inguinal, axillary)"	38505	CPT	Outpatient			773	502.45		90			Percent of total billed charges		695.7	95.46			Fee schedule		773	80			Percent of total billed charges		618.4	85			Percent of total billed charges		657.05	100			Fee schedule		1345.48	85			Percent of total billed charges		657.05	100			Fee schedule		773	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		1055		Case rate	Use Lesser of logic	773		1055		Case rate	Use Lesser of logic	773	100			Fee schedule		1345.48	618.4	1345.48	
"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; less than 3 cm"	21555	CPT	Outpatient			845	549.25		90			Percent of total billed charges		760.5	95.46			Fee schedule		845	80			Percent of total billed charges		676	85			Percent of total billed charges		718.25	100			Fee schedule		1345.48	85			Percent of total billed charges		718.25	100			Fee schedule		845	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		1055		Case rate	Use Lesser of logic	845		1055		Case rate	Use Lesser of logic	845	100			Fee schedule		1345.48	676	1345.48	
"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; 1.5 cm or greater"	26111	CPT	Outpatient			850.66	552.93		90			Percent of total billed charges		765.59	95.46			Fee schedule		850.66	80			Percent of total billed charges		680.53	85			Percent of total billed charges		723.06	100			Fee schedule		1345.48	85			Percent of total billed charges		723.06	100			Fee schedule		850.66	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		1495		Case rate	Use Lesser of logic	850.66		1495		Case rate	Use Lesser of logic	850.66	100			Fee schedule		1345.48	680.53	1345.48	
Removal of implant from finger or hand	26320	CPT	Outpatient			880	572		90			Percent of total billed charges		792	95.46			Fee schedule		880	80			Percent of total billed charges		704	85			Percent of total billed charges		748	100			Fee schedule		1345.48	85			Percent of total billed charges		748	100			Fee schedule		880	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		1055		Case rate	Use Lesser of logic	880		1055		Case rate	Use Lesser of logic	880	100			Fee schedule		1345.48	704	1345.48	
"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); less than 1.5 cm"	26116	CPT	Outpatient			895	581.75		90			Percent of total billed charges		805.5	95.46			Fee schedule		895	80			Percent of total billed charges		716	85			Percent of total billed charges		760.75	100			Fee schedule		1345.48	85			Percent of total billed charges		760.75	100			Fee schedule		895	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		1055		Case rate	Use Lesser of logic	895		1055		Case rate	Use Lesser of logic	895	100			Fee schedule		1345.48	716	1345.48	
"Excision, tumor, soft tissue of back or flank, subcutaneous; less than 3 cm"	21930	CPT	Outpatient			945	614.25		90			Percent of total billed charges		850.5	95.46			Fee schedule		945	80			Percent of total billed charges		756	85			Percent of total billed charges		803.25	100			Fee schedule		1345.48	85			Percent of total billed charges		803.25	100			Fee schedule		945	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		1055		Case rate	Use Lesser of logic	945		1055		Case rate	Use Lesser of logic	945	100			Fee schedule		1345.48	756	1345.48	
"Excision, tumor, soft tissue of foot or toe, subcutaneous; less than 1.5 cm"	28043	CPT	Outpatient			950	617.5		90			Percent of total billed charges		855	95.46			Fee schedule		950	80			Percent of total billed charges		760	85			Percent of total billed charges		807.5	100			Fee schedule		1345.48	85			Percent of total billed charges		807.5	100			Fee schedule		950	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		1055		Case rate	Use Lesser of logic	950		1055		Case rate	Use Lesser of logic	950	100			Fee schedule		1345.48	760	1345.48	
"Biopsy, abdominal or retroperitoneal mass, percutaneous needle"	49180	CPT	Outpatient			956	621.4		90			Percent of total billed charges		860.4	95.46			Fee schedule		956	80			Percent of total billed charges		764.8	85			Percent of total billed charges		812.6	100			Fee schedule		1345.48	85			Percent of total billed charges		812.6	100			Fee schedule		956	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		1055		Case rate	Use Lesser of logic	956		1055		Case rate	Use Lesser of logic	956	100			Fee schedule		1345.48	764.8	1345.48	
"Renal biopsy; percutaneous, by trocar or needle"	50200	CPT	Outpatient			956	621.4		90			Percent of total billed charges		860.4	95.46			Fee schedule		956	80			Percent of total billed charges		764.8	85			Percent of total billed charges		812.6	100			Fee schedule		1345.48	85			Percent of total billed charges		812.6	100			Fee schedule		956	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		1055		Case rate	Use Lesser of logic	956		1055		Case rate	Use Lesser of logic	956	100			Fee schedule		1345.48	764.8	1345.48	
"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; less than 3 cm"	25075	CPT	Outpatient			1000	650		90			Percent of total billed charges		900	95.46			Fee schedule		1000	80			Percent of total billed charges		800	85			Percent of total billed charges		850	100			Fee schedule		1345.48	85			Percent of total billed charges		850	100			Fee schedule		1000	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		1055		Case rate	Use Lesser of logic	1000		1055		Case rate	Use Lesser of logic	1000	100			Fee schedule		1345.48	800	1345.48	
"Biopsy, pleura, percutaneous needle"	32400	CPT	Outpatient			1035	672.75		90			Percent of total billed charges		931.5	95.46			Fee schedule		1035	80			Percent of total billed charges		828	85			Percent of total billed charges		879.75	100			Fee schedule		1345.48	85			Percent of total billed charges		879.75	100			Fee schedule		1035	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		1055		Case rate	Use Lesser of logic	1035		1055		Case rate	Use Lesser of logic	1035	100			Fee schedule		1345.48	828	1345.48	
"Biopsy of liver, needle; percutaneous"	47000	CPT	Outpatient			1070	695.5		90			Percent of total billed charges		963	95.46			Fee schedule		1070	80			Percent of total billed charges		856	85			Percent of total billed charges		909.5	100			Fee schedule		1345.48	85			Percent of total billed charges		909.5	100			Fee schedule		1070	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1345.48	856	1345.48	
"Removal of foreign body, foot; deep"	28192	CPT	Outpatient			1096	712.4		90			Percent of total billed charges		986.4	95.46			Fee schedule		1096	80			Percent of total billed charges		876.8	85			Percent of total billed charges		931.6	100			Fee schedule		1345.48	85			Percent of total billed charges		931.6	100			Fee schedule		1096	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1345.48	876.8	1345.48	
"Excision, tumor, soft tissue of abdominal wall, subcutaneous; less than 3 cm"	22902	CPT	Outpatient			1125	731.25		90			Percent of total billed charges		1012.5	95.46			Fee schedule		1125	80			Percent of total billed charges		900	85			Percent of total billed charges		956.25	100			Fee schedule		1345.48	85			Percent of total billed charges		956.25	100			Fee schedule		1125	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1345.48	900	1345.48	
"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; less than 3 cm"	24075	CPT	Outpatient			1175	763.75		90			Percent of total billed charges		1057.5	95.46			Fee schedule		1175	80			Percent of total billed charges		940	85			Percent of total billed charges		998.75	100			Fee schedule		1345.48	85			Percent of total billed charges		998.75	100			Fee schedule		1175	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1345.48	940	1345.48	
"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; less than 3 cm"	27618	CPT	Outpatient			1350	877.5		90			Percent of total billed charges		1215	95.46			Fee schedule		1284.39	80			Percent of total billed charges		1080	85			Percent of total billed charges		1147.5	100			Fee schedule		1345.48	85			Percent of total billed charges		1147.5	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1345.48	1055	1345.48	
"Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); less than 3 cm"	25076	CPT	Outpatient			1445	939.25		90			Percent of total billed charges		1300.5	95.46			Fee schedule		1284.39	80			Percent of total billed charges		1156	85			Percent of total billed charges		1228.25	100			Fee schedule		1345.48	85			Percent of total billed charges		1228.25	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1345.48	1055	1345.48	
"Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; less than 1.5 cm"	26115	CPT	Outpatient			1495	971.75		90			Percent of total billed charges		1345.5	95.46			Fee schedule		1284.39	80			Percent of total billed charges		1196	85			Percent of total billed charges		1270.75	100			Fee schedule		1345.48	85			Percent of total billed charges		1270.75	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1345.48	1055	1345.5	
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 2.1 to 3.0 cm"	11423	CPT	Outpatient			1537.25	999.21		90			Percent of total billed charges		1383.53	95.46			Fee schedule		1284.39	80			Percent of total billed charges		1229.8	85			Percent of total billed charges		1306.66	100			Fee schedule		1345.48	85			Percent of total billed charges		1306.66	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1345.48	1055	1383.53	
"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, percutaneous"	49406	CPT	Outpatient			1745	1134.25		90			Percent of total billed charges		1570.5	95.46			Fee schedule		1284.39	80			Percent of total billed charges		1396	85			Percent of total billed charges		1483.25	100			Fee schedule		1345.48	85			Percent of total billed charges		1483.25	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1345.48	1055	1570.5	
Biopsy of penis; (separate procedure)	54100	CPT	Outpatient			1965.8	1277.77		90			Percent of total billed charges		1769.22	95.46			Fee schedule		1284.39	80			Percent of total billed charges		1572.64	85			Percent of total billed charges		1670.93	100			Fee schedule		1345.48	85			Percent of total billed charges		1670.93	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1345.48	1055	1769.22	
"Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, transvaginal or transrectal"	49407	CPT	Outpatient			1966.39	1278.15		90			Percent of total billed charges		1769.75	95.46			Fee schedule		1284.39	80			Percent of total billed charges		1573.11	85			Percent of total billed charges		1671.43	100			Fee schedule		1345.48	85			Percent of total billed charges		1671.43	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1345.48	1055	1769.75	
"Biopsy, bone, trocar, or needle; deep (eg, vertebral body, femur)"	20225	CPT	Outpatient			2129.03	1383.87		90			Percent of total billed charges		1916.13	95.46			Fee schedule		1284.39	80			Percent of total billed charges		1703.22	85			Percent of total billed charges		1809.68	100			Fee schedule		1345.48	85			Percent of total billed charges		1809.68	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1345.48	1055	1916.13	
"Ligation or biopsy, temporal artery"	37609	CPT	Outpatient			2201.12	1430.73		90			Percent of total billed charges		1981.01	95.46			Fee schedule		1284.39	80			Percent of total billed charges		1760.9	85			Percent of total billed charges		1870.95	100			Fee schedule		1345.48	85			Percent of total billed charges		1870.95	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1345.48	1055	1981.01	
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including ultrasound guidance"	19083	CPT	Outpatient			2600	1690		90			Percent of total billed charges		2340	95.46			Fee schedule		1284.39	80			Percent of total billed charges		2080	85			Percent of total billed charges		2210	100			Fee schedule		1345.48	85			Percent of total billed charges		2210	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1345.48	1055	2340	
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including magnetic resonance guidance"	19085	CPT	Outpatient			2790	1813.5		90			Percent of total billed charges		2511	95.46			Fee schedule		1284.39	80			Percent of total billed charges		2232	85			Percent of total billed charges		2371.5	100			Fee schedule		1345.48	85			Percent of total billed charges		2371.5	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1345.48	1055	2511	
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 3.1 to 4.0 cm"	11424	CPT	Outpatient			2901.2	1885.78		90			Percent of total billed charges		2611.08	95.46			Fee schedule		1284.39	80			Percent of total billed charges		2320.96	85			Percent of total billed charges		2466.02	100			Fee schedule		1345.48	85			Percent of total billed charges		2466.02	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1345.48	1055	2611.08	
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including stereotactic guidance"	19081	CPT	Outpatient			3453.5	2244.78		90			Percent of total billed charges		3108.15	95.46			Fee schedule		1284.39	80			Percent of total billed charges		2762.8	85			Percent of total billed charges		2935.48	100			Fee schedule		1345.48	85			Percent of total billed charges		2935.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1345.48	1055	3108.15	
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter 3.1 to 4.0 cm"	11404	CPT	Outpatient			3549.1	2306.91		90			Percent of total billed charges		3194.19	95.46			Fee schedule		1284.39	80			Percent of total billed charges		2839.28	85			Percent of total billed charges		3016.73	100			Fee schedule		1345.48	85			Percent of total billed charges		3016.73	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1345.48	1055	3194.19	
"Incision and drainage of hematoma, seroma or fluid collection"	10140	CPT	Outpatient			4041	2626.65		90			Percent of total billed charges		3636.9	95.46			Fee schedule		1284.39	80			Percent of total billed charges		3232.8	85			Percent of total billed charges		3434.85	100			Fee schedule		1345.48	85			Percent of total billed charges		3434.85	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1345.48	1055	3636.9	
"Removal of implant; superficial (eg, buried wire, pin or rod) (separate procedure)"	20670	CPT	Outpatient			4208	2735.2		90			Percent of total billed charges		3787.2	95.46			Fee schedule		1284.39	80			Percent of total billed charges		3366.4	85			Percent of total billed charges		3576.8	100			Fee schedule		1345.48	85			Percent of total billed charges		3576.8	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1345.48	1055	3787.2	
"Excision, malignant lesion including margins, trunk, arms, or legs; excised diameter over 4.0 cm"	11606	CPT	Outpatient			4229.69	2749.3		90			Percent of total billed charges		3806.72	95.46			Fee schedule		1284.39	80			Percent of total billed charges		3383.75	85			Percent of total billed charges		3595.23	100			Fee schedule		1345.48	85			Percent of total billed charges		3595.23	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1345.48	1055	3806.72	
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter over 4.0 cm"	11406	CPT	Outpatient			4478.37	2910.94		90			Percent of total billed charges		4030.54	95.46			Fee schedule		1284.39	80			Percent of total billed charges		3582.7	85			Percent of total billed charges		3806.62	100			Fee schedule		1345.48	85			Percent of total billed charges		3806.62	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1345.48	1055	4030.54	
"Excision, trochanteric pressure ulcer, with primary suture"	15950	CPT	Outpatient			1061	689.65		90			Percent of total billed charges		954.9	95.46			Fee schedule		1061	80			Percent of total billed charges		848.8	85			Percent of total billed charges		901.85	100			Fee schedule		1345.48	85			Percent of total billed charges		901.85	100			Fee schedule		1061	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		1495		Case rate	Use Lesser of logic	1061		1495		Case rate	Use Lesser of logic	1061	100			Fee schedule		1345.48	848.8	1345.48	
"Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; 3 cm or greater"	25071	CPT	Outpatient			1075	698.75		90			Percent of total billed charges		967.5	95.46			Fee schedule		1075	80			Percent of total billed charges		860	85			Percent of total billed charges		913.75	100			Fee schedule		1345.48	85			Percent of total billed charges		913.75	100			Fee schedule		1075	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		1495		Case rate	Use Lesser of logic	1075		1495		Case rate	Use Lesser of logic	1075	100			Fee schedule		1345.48	860	1345.48	
"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; less than 3 cm"	27327	CPT	Outpatient			1225	796.25		90			Percent of total billed charges		1102.5	95.46			Fee schedule		1225	80			Percent of total billed charges		980	85			Percent of total billed charges		1041.25	100			Fee schedule		1345.48	85			Percent of total billed charges		1041.25	100			Fee schedule		1225	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		1495		Case rate	Use Lesser of logic	1225		1495		Case rate	Use Lesser of logic	1225	100			Fee schedule		1345.48	980	1345.48	
"Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); 1.5 cm or greater"	26113	CPT	Outpatient			2180.16	1417.1		90			Percent of total billed charges		1962.14	95.46			Fee schedule		1284.39	80			Percent of total billed charges		1744.12	85			Percent of total billed charges		1853.13	100			Fee schedule		1345.48	85			Percent of total billed charges		1853.13	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		1345.48	1284.39	1962.14	
"Excision, tumor, soft tissue of shoulder area, subcutaneous; 3 cm or greater"	23071	CPT	Outpatient			4567.46	2968.85		90			Percent of total billed charges		4110.71	95.46			Fee schedule		1284.39	80			Percent of total billed charges		3653.97	85			Percent of total billed charges		3882.34	100			Fee schedule		1345.48	85			Percent of total billed charges		3882.34	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		1345.48	1284.39	4110.71	
"Excision, tumor, soft tissue of back or flank, subcutaneous; 3 cm or greater"	21931	CPT	Outpatient			5150.91	3348.09		90			Percent of total billed charges		4635.82	95.46			Fee schedule		1284.39	80			Percent of total billed charges		4120.72	85			Percent of total billed charges		4378.27	100			Fee schedule		1345.48	85			Percent of total billed charges		4378.27	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		1345.48	1284.39	4635.82	
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with brushing or protected brushings"	31623	CPT	Outpatient			510	331.5		90			Percent of total billed charges		459	95.46			Fee schedule		510	80			Percent of total billed charges		408	85			Percent of total billed charges		433.5	100			Fee schedule		1408.53	85			Percent of total billed charges		433.5	100			Fee schedule		510	100			Fee schedule		1408.53	100			Fee schedule		1408.53	100			Fee schedule		1408.53		1055		Case rate	Use Lesser of logic	510		1055		Case rate	Use Lesser of logic	510	100			Fee schedule		1408.53	408	1408.53	
"Laryngoscopy direct, with or without tracheoscopy; diagnostic, except newborn"	31525	CPT	Outpatient			525	341.25		90			Percent of total billed charges		472.5	95.46			Fee schedule		525	80			Percent of total billed charges		420	85			Percent of total billed charges		446.25	100			Fee schedule		1408.53	85			Percent of total billed charges		446.25	100			Fee schedule		525	100			Fee schedule		1408.53	100			Fee schedule		1408.53	100			Fee schedule		1408.53		1055		Case rate	Use Lesser of logic	525		1055		Case rate	Use Lesser of logic	525	100			Fee schedule		1408.53	420	1408.53	
"Laryngoscopy, direct, operative, with foreign body removal"	31530	CPT	Outpatient			540	351		90			Percent of total billed charges		486	95.46			Fee schedule		540	80			Percent of total billed charges		432	85			Percent of total billed charges		459	100			Fee schedule		1408.53	85			Percent of total billed charges		459	100			Fee schedule		540	100			Fee schedule		1408.53	100			Fee schedule		1408.53	100			Fee schedule		1408.53		1055		Case rate	Use Lesser of logic	540		1055		Case rate	Use Lesser of logic	540	100			Fee schedule		1408.53	432	1408.53	
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with removal of foreign body"	31635	CPT	Outpatient			615	399.75		90			Percent of total billed charges		553.5	95.46			Fee schedule		615	80			Percent of total billed charges		492	85			Percent of total billed charges		522.75	100			Fee schedule		1408.53	85			Percent of total billed charges		522.75	100			Fee schedule		615	100			Fee schedule		1408.53	100			Fee schedule		1408.53	100			Fee schedule		1408.53		1055		Case rate	Use Lesser of logic	615		1055		Case rate	Use Lesser of logic	615	100			Fee schedule		1408.53	492	1408.53	
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when performed (separate procedure)"	31622	CPT	Outpatient			1457	947.05		90			Percent of total billed charges		1311.3	95.46			Fee schedule		1344.58	80			Percent of total billed charges		1165.6	85			Percent of total billed charges		1238.45	100			Fee schedule		1408.53	85			Percent of total billed charges		1238.45	100			Fee schedule		1408.53	100			Fee schedule		1408.53	100			Fee schedule		1408.53	100			Fee schedule		1408.53		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1408.53	1055	1408.53	
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial alveolar lavage"	31624	CPT	Outpatient			1501.58	976.02		90			Percent of total billed charges		1351.42	95.46			Fee schedule		1344.58	80			Percent of total billed charges		1201.26	85			Percent of total billed charges		1276.34	100			Fee schedule		1408.53	85			Percent of total billed charges		1276.34	100			Fee schedule		1408.53	100			Fee schedule		1408.53	100			Fee schedule		1408.53	100			Fee schedule		1408.53		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1408.53	1055	1408.53	
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial or endobronchial biopsy(s), single or multiple sites"	31625	CPT	Outpatient			1618.21	1051.84		90			Percent of total billed charges		1456.39	95.46			Fee schedule		1344.58	80			Percent of total billed charges		1294.57	85			Percent of total billed charges		1375.48	100			Fee schedule		1408.53	85			Percent of total billed charges		1375.48	100			Fee schedule		1408.53	100			Fee schedule		1408.53	100			Fee schedule		1408.53	100			Fee schedule		1408.53		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1408.53	1055	1456.39	
"Laryngoscopy direct, with or without tracheoscopy; diagnostic, with operating microscope or telescope"	31526	CPT	Outpatient			3597.53	2338.39		90			Percent of total billed charges		3237.78	95.46			Fee schedule		1344.58	80			Percent of total billed charges		2878.02	85			Percent of total billed charges		3057.9	100			Fee schedule		1408.53	85			Percent of total billed charges		3057.9	100			Fee schedule		1408.53	100			Fee schedule		1408.53	100			Fee schedule		1408.53	100			Fee schedule		1408.53		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1408.53	1055	3237.78	
"Removal of sutures or staples requiring anesthesia (ie, general anesthesia, moderate sedation)"	15851	CPT	Outpatient			200	130		90			Percent of total billed charges		180	95.46			Fee schedule		200	80			Percent of total billed charges		160	85			Percent of total billed charges		170	100			Fee schedule		1513.39	85			Percent of total billed charges		170	100			Fee schedule		200	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39		1055		Case rate	Use Lesser of logic	200		1055		Case rate	Use Lesser of logic	200	100			Fee schedule		1513.39	160	1513.39	
"Destruction of lesion(s), vulva; simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery)"	56501	CPT	Outpatient			315	204.75		90			Percent of total billed charges		283.5	95.46			Fee schedule		315	80			Percent of total billed charges		252	85			Percent of total billed charges		267.75	100			Fee schedule		1513.39	85			Percent of total billed charges		267.75	100			Fee schedule		315	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39		1055		Case rate	Use Lesser of logic	315		1055		Case rate	Use Lesser of logic	315	100			Fee schedule		1513.39	252	1513.39	
"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation"	54055	CPT	Outpatient			400	260		90			Percent of total billed charges		360	95.46			Fee schedule		400	80			Percent of total billed charges		320	85			Percent of total billed charges		340	100			Fee schedule		1513.39	85			Percent of total billed charges		340	100			Fee schedule		400	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39		1055		Case rate	Use Lesser of logic	400		1055		Case rate	Use Lesser of logic	400	100			Fee schedule		1513.39	320	1513.39	
"Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; 20 sq cm or less"	15260	CPT	Outpatient			450	292.5		90			Percent of total billed charges		405	95.46			Fee schedule		450	80			Percent of total billed charges		360	85			Percent of total billed charges		382.5	100			Fee schedule		1513.39	85			Percent of total billed charges		382.5	100			Fee schedule		450	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39		1055		Case rate	Use Lesser of logic	450		1055		Case rate	Use Lesser of logic	450	100			Fee schedule		1513.39	360	1513.39	
"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; electrodesiccation"	46910	CPT	Outpatient			500	325		90			Percent of total billed charges		450	95.46			Fee schedule		500	80			Percent of total billed charges		400	85			Percent of total billed charges		425	100			Fee schedule		1513.39	85			Percent of total billed charges		425	100			Fee schedule		500	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39		1055		Case rate	Use Lesser of logic	500		1055		Case rate	Use Lesser of logic	500	100			Fee schedule		1513.39	400	1513.39	
"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision"	54060	CPT	Outpatient			500	325		90			Percent of total billed charges		450	95.46			Fee schedule		500	80			Percent of total billed charges		400	85			Percent of total billed charges		425	100			Fee schedule		1513.39	85			Percent of total billed charges		425	100			Fee schedule		500	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39		1055		Case rate	Use Lesser of logic	500		1055		Case rate	Use Lesser of logic	500	100			Fee schedule		1513.39	400	1513.39	
"Delay of flap or sectioning of flap (division and inset); at scalp, arms, or legs"	15610	CPT	Outpatient			575	373.75		90			Percent of total billed charges		517.5	95.46			Fee schedule		575	80			Percent of total billed charges		460	85			Percent of total billed charges		488.75	100			Fee schedule		1513.39	85			Percent of total billed charges		488.75	100			Fee schedule		575	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39		1495		Case rate	Use Lesser of logic	575		1495		Case rate	Use Lesser of logic	575	100			Fee schedule		1513.39	460	1513.39	
"Destruction of lesion(s), vulva; extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery)"	56515	CPT	Outpatient			600	390		90			Percent of total billed charges		540	95.46			Fee schedule		600	80			Percent of total billed charges		480	85			Percent of total billed charges		510	100			Fee schedule		1513.39	85			Percent of total billed charges		510	100			Fee schedule		600	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39		1495		Case rate	Use Lesser of logic	600		1495		Case rate	Use Lesser of logic	600	100			Fee schedule		1513.39	480	1513.39	
"Destruction of lesion(s), penis (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery)"	54065	CPT	Outpatient			650	422.5		90			Percent of total billed charges		585	95.46			Fee schedule		650	80			Percent of total billed charges		520	85			Percent of total billed charges		552.5	100			Fee schedule		1513.39	85			Percent of total billed charges		552.5	100			Fee schedule		650	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39		1055		Case rate	Use Lesser of logic	650		1055		Case rate	Use Lesser of logic	650	100			Fee schedule		1513.39	520	1513.39	
"Delay of flap or sectioning of flap (division and inset); at forehead, cheeks, chin, neck, axillae, genitalia, hands, or feet"	15620	CPT	Outpatient			660	429		90			Percent of total billed charges		594	95.46			Fee schedule		660	80			Percent of total billed charges		528	85			Percent of total billed charges		561	100			Fee schedule		1513.39	85			Percent of total billed charges		561	100			Fee schedule		660	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39		1055		Case rate	Use Lesser of logic	660		1055		Case rate	Use Lesser of logic	660	100			Fee schedule		1513.39	528	1513.39	
Exploration of penetrating wound (separate procedure); chest	20101	CPT	Outpatient			675	438.75		90			Percent of total billed charges		607.5	95.46			Fee schedule		675	80			Percent of total billed charges		540	85			Percent of total billed charges		573.75	100			Fee schedule		1513.39	85			Percent of total billed charges		573.75	100			Fee schedule		675	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39		1055		Case rate	Use Lesser of logic	675		1055		Case rate	Use Lesser of logic	675	100			Fee schedule		1513.39	540	1513.39	
"Delay of flap or sectioning of flap (division and inset); at eyelids, nose, ears, or lips"	15630	CPT	Outpatient			685	445.25		90			Percent of total billed charges		616.5	95.46			Fee schedule		685	80			Percent of total billed charges		548	85			Percent of total billed charges		582.25	100			Fee schedule		1513.39	85			Percent of total billed charges		582.25	100			Fee schedule		685	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39		1055		Case rate	Use Lesser of logic	685		1055		Case rate	Use Lesser of logic	685	100			Fee schedule		1513.39	548	1513.39	
"Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); over 30.0 cm"	12037	CPT	Outpatient			775	503.75		90			Percent of total billed charges		697.5	95.46			Fee schedule		775	80			Percent of total billed charges		620	85			Percent of total billed charges		658.75	100			Fee schedule		1513.39	85			Percent of total billed charges		658.75	100			Fee schedule		775	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39		1495		Case rate	Use Lesser of logic	775		1495		Case rate	Use Lesser of logic	775	100			Fee schedule		1513.39	620	1513.39	
Exploration of penetrating wound (separate procedure); abdomen/flank/back	20102	CPT	Outpatient			795	516.75		90			Percent of total billed charges		715.5	95.46			Fee schedule		795	80			Percent of total billed charges		636	85			Percent of total billed charges		675.75	100			Fee schedule		1513.39	85			Percent of total billed charges		675.75	100			Fee schedule		795	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39		1055		Case rate	Use Lesser of logic	795		1055		Case rate	Use Lesser of logic	795	100			Fee schedule		1513.39	636	1513.39	
Relocation of skin pocket for pacemaker	33222	CPT	Outpatient			870	565.5		90			Percent of total billed charges		783	95.46			Fee schedule		870	80			Percent of total billed charges		696	85			Percent of total billed charges		739.5	100			Fee schedule		1513.39	85			Percent of total billed charges		739.5	100			Fee schedule		870	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39		1055		Case rate	Use Lesser of logic	870		1055		Case rate	Use Lesser of logic	870	100			Fee schedule		1513.39	696	1513.39	
"Adjacent tissue transfer or rearrangement, trunk; defect 10 sq cm or less"	14000	CPT	Outpatient			950	617.5		90			Percent of total billed charges		855	95.46			Fee schedule		950	80			Percent of total billed charges		760	85			Percent of total billed charges		807.5	100			Fee schedule		1513.39	85			Percent of total billed charges		807.5	100			Fee schedule		950	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39		1055		Case rate	Use Lesser of logic	950		1055		Case rate	Use Lesser of logic	950	100			Fee schedule		1513.39	760	1513.39	
"Blepharoplasty, lower eyelid"	15820	CPT	Outpatient			955	620.75		90			Percent of total billed charges		859.5	95.46			Fee schedule		955	80			Percent of total billed charges		764	85			Percent of total billed charges		811.75	100			Fee schedule		1513.39	85			Percent of total billed charges		811.75	100			Fee schedule		955	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39		1055		Case rate	Use Lesser of logic	955		1055		Case rate	Use Lesser of logic	955	100			Fee schedule		1513.39	764	1513.39	
Relocation of skin pocket for implantable defibrillator	33223	CPT	Outpatient			1000	650		90			Percent of total billed charges		900	95.46			Fee schedule		1000	80			Percent of total billed charges		800	85			Percent of total billed charges		850	100			Fee schedule		1513.39	85			Percent of total billed charges		850	100			Fee schedule		1000	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39		1055		Case rate	Use Lesser of logic	1000		1055		Case rate	Use Lesser of logic	1000	100			Fee schedule		1513.39	800	1513.39	
"Harvest of skin for tissue cultured skin autograft, 100 sq cm or less"	15040	CPT	Outpatient			1151	748.15		90			Percent of total billed charges		1035.9	95.46			Fee schedule		1151	80			Percent of total billed charges		920.8	85			Percent of total billed charges		978.35	100			Fee schedule		1513.39	85			Percent of total billed charges		978.35	100			Fee schedule		1151	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1513.39	920.8	1513.39	
"Full thickness graft, free, including direct closure of donor site, scalp, arms, and/or legs; 20 sq cm or less"	15220	CPT	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	95.46			Fee schedule		1185	80			Percent of total billed charges		948	85			Percent of total billed charges		1007.25	100			Fee schedule		1513.39	85			Percent of total billed charges		1007.25	100			Fee schedule		1185	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1513.39	948	1513.39	
"Adjacent tissue transfer or rearrangement, trunk; defect 10.1 sq cm to 30.0 sq cm"	14001	CPT	Outpatient			1200	780		90			Percent of total billed charges		1080	95.46			Fee schedule		1200	80			Percent of total billed charges		960	85			Percent of total billed charges		1020	100			Fee schedule		1513.39	85			Percent of total billed charges		1020	100			Fee schedule		1200	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1513.39	960	1513.39	
"Blepharoplasty, upper eyelid; with excessive skin weighting down lid"	15823	CPT	Outpatient			1300	845		90			Percent of total billed charges		1170	95.46			Fee schedule		1300	80			Percent of total billed charges		1040	85			Percent of total billed charges		1105	100			Fee schedule		1513.39	85			Percent of total billed charges		1105	100			Fee schedule		1300	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1513.39	1040	1513.39	
"Formation of direct or tubed pedicle, with or without transfer; eyelids, nose, ears, lips, or intraoral"	15576	CPT	Outpatient			1310	851.5		90			Percent of total billed charges		1179	95.46			Fee schedule		1310	80			Percent of total billed charges		1048	85			Percent of total billed charges		1113.5	100			Fee schedule		1513.39	85			Percent of total billed charges		1113.5	100			Fee schedule		1310	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1513.39	1048	1513.39	
"Formation of direct or tubed pedicle, with or without transfer; trunk"	15570	CPT	Outpatient			1330	864.5		90			Percent of total billed charges		1197	95.46			Fee schedule		1330	80			Percent of total billed charges		1064	85			Percent of total billed charges		1130.5	100			Fee schedule		1513.39	85			Percent of total billed charges		1130.5	100			Fee schedule		1330	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1513.39	1055	1513.39	
"Graft; composite (eg, full thickness of external ear or nasal ala), including primary closure, donor area"	15760	CPT	Outpatient			1365	887.25		90			Percent of total billed charges		1228.5	95.46			Fee schedule		1365	80			Percent of total billed charges		1092	85			Percent of total billed charges		1160.25	100			Fee schedule		1513.39	85			Percent of total billed charges		1160.25	100			Fee schedule		1365	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1513.39	1055	1513.39	
"Epidermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children"	15115	CPT	Outpatient			1365	887.25		90			Percent of total billed charges		1228.5	95.46			Fee schedule		1365	80			Percent of total billed charges		1092	85			Percent of total billed charges		1160.25	100			Fee schedule		1513.39	85			Percent of total billed charges		1160.25	100			Fee schedule		1365	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1513.39	1055	1513.39	
"Formation of direct or tubed pedicle, with or without transfer; forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands or feet"	15574	CPT	Outpatient			1380	897		90			Percent of total billed charges		1242	95.46			Fee schedule		1380	80			Percent of total billed charges		1104	85			Percent of total billed charges		1173	100			Fee schedule		1513.39	85			Percent of total billed charges		1173	100			Fee schedule		1380	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1513.39	1055	1513.39	
"Secondary closure of surgical wound or dehiscence, extensive or complicated"	13160	CPT	Outpatient			1400	910		90			Percent of total billed charges		1260	95.46			Fee schedule		1400	80			Percent of total billed charges		1120	85			Percent of total billed charges		1190	100			Fee schedule		1513.39	85			Percent of total billed charges		1190	100			Fee schedule		1400	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1513.39	1055	1513.39	
Suction assisted lipectomy; upper extremity	15878	CPT	Outpatient			1420.63	923.41		90			Percent of total billed charges		1278.56	95.46			Fee schedule		1420.63	80			Percent of total billed charges		1136.5	85			Percent of total billed charges		1207.53	100			Fee schedule		1513.39	85			Percent of total billed charges		1207.53	100			Fee schedule		1420.63	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1513.39	1055	1513.39	
"Epidermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children"	15110	CPT	Outpatient			1480	962		90			Percent of total billed charges		1332	95.46			Fee schedule		1444.68	80			Percent of total billed charges		1184	85			Percent of total billed charges		1258	100			Fee schedule		1513.39	85			Percent of total billed charges		1258	100			Fee schedule		1480	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1513.39	1055	1513.39	
Flap; island pedicle requiring identification and dissection of an anatomically named axial vessel	15740	CPT	Outpatient			1605	1043.25		90			Percent of total billed charges		1444.5	95.46			Fee schedule		1444.68	80			Percent of total billed charges		1284	85			Percent of total billed charges		1364.25	100			Fee schedule		1513.39	85			Percent of total billed charges		1364.25	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1513.39	1055	1513.39	
"Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10.1 sq cm to 30.0 sq cm"	14041	CPT	Outpatient			2262.47	1470.61		90			Percent of total billed charges		2036.22	95.46			Fee schedule		1444.68	80			Percent of total billed charges		1809.98	85			Percent of total billed charges		1923.1	100			Fee schedule		1513.39	85			Percent of total billed charges		1923.1	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1513.39	1055	2036.22	
"Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10.1 sq cm to 30.0 sq cm"	14061	CPT	Outpatient			2262.47	1470.61		90			Percent of total billed charges		2036.22	95.46			Fee schedule		1444.68	80			Percent of total billed charges		1809.98	85			Percent of total billed charges		1923.1	100			Fee schedule		1513.39	85			Percent of total billed charges		1923.1	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1513.39	1055	2036.22	
"Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10 sq cm or less"	14040	CPT	Outpatient			2262.47	1470.61		90			Percent of total billed charges		2036.22	95.46			Fee schedule		1444.68	80			Percent of total billed charges		1809.98	85			Percent of total billed charges		1923.1	100			Fee schedule		1513.39	85			Percent of total billed charges		1923.1	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1513.39	1055	2036.22	
"Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10 sq cm or less"	14020	CPT	Outpatient			2262.47	1470.61		90			Percent of total billed charges		2036.22	95.46			Fee schedule		1444.68	80			Percent of total billed charges		1809.98	85			Percent of total billed charges		1923.1	100			Fee schedule		1513.39	85			Percent of total billed charges		1923.1	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1513.39	1055	2036.22	
"Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10.1 sq cm to 30.0 sq cm"	14021	CPT	Outpatient			2262.47	1470.61		90			Percent of total billed charges		2036.22	95.46			Fee schedule		1444.68	80			Percent of total billed charges		1809.98	85			Percent of total billed charges		1923.1	100			Fee schedule		1513.39	85			Percent of total billed charges		1923.1	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1513.39	1055	2036.22	
"Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, trunk, arms, legs; first 100 sq cm or 1% of body area of infants and children"	15002	CPT	Outpatient			2473.23	1607.6		90			Percent of total billed charges		2225.9	95.46			Fee schedule		1444.68	80			Percent of total billed charges		1978.58	85			Percent of total billed charges		2102.24	100			Fee schedule		1513.39	85			Percent of total billed charges		2102.24	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1513.39	1055	2225.9	
"Blepharoplasty, upper eyelid"	15822	CPT	Outpatient			2888	1877.2		90			Percent of total billed charges		2599.2	95.46			Fee schedule		1444.68	80			Percent of total billed charges		2310.4	85			Percent of total billed charges		2454.8	100			Fee schedule		1513.39	85			Percent of total billed charges		2454.8	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1513.39	1055	2599.2	
"Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; 20 sq cm or less"	15240	CPT	Outpatient			2947.04	1915.57		90			Percent of total billed charges		2652.33	95.46			Fee schedule		1444.68	80			Percent of total billed charges		2357.63	85			Percent of total billed charges		2504.98	100			Fee schedule		1513.39	85			Percent of total billed charges		2504.98	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1513.39	1055	2652.33	
"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area"	15275	CPT	Outpatient			2967	1928.55		90			Percent of total billed charges		2670.3	95.46			Fee schedule		1444.68	80			Percent of total billed charges		2373.6	85			Percent of total billed charges		2521.95	100			Fee schedule		1513.39	85			Percent of total billed charges		2521.95	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1513.39	1055	2670.3	
"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children"	15277	CPT	Outpatient			2967	1928.55		90			Percent of total billed charges		2670.3	95.46			Fee schedule		1444.68	80			Percent of total billed charges		2373.6	85			Percent of total billed charges		2521.95	100			Fee schedule		1513.39	85			Percent of total billed charges		2521.95	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1513.39	1055	2670.3	
"Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area"	15271	CPT	Outpatient			2967	1928.55		90			Percent of total billed charges		2670.3	95.46			Fee schedule		1444.68	80			Percent of total billed charges		2373.6	85			Percent of total billed charges		2521.95	100			Fee schedule		1513.39	85			Percent of total billed charges		2521.95	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1513.39	1055	2670.3	
"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children"	C5273	CPT	Outpatient			2967	1928.55		90			Percent of total billed charges		2670.3	95.46			Fee schedule		1444.68	80			Percent of total billed charges		2373.6	90			Percent of total billed charges		2670.3	100			Fee schedule		1513.39	85			Percent of total billed charges		2521.95	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1513.39	1055	2670.3	
"Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less"	14060	CPT	Outpatient			5027.19	3267.67		90			Percent of total billed charges		4524.47	95.46			Fee schedule		1444.68	80			Percent of total billed charges		4021.75	85			Percent of total billed charges		4273.11	100			Fee schedule		1513.39	85			Percent of total billed charges		4273.11	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1513.39	1055	4524.47	
"Split-thickness autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children (except 15050)"	15100	CPT	Outpatient			6404.75	4163.09		90			Percent of total billed charges		5764.27	95.46			Fee schedule		1444.68	80			Percent of total billed charges		5123.8	85			Percent of total billed charges		5444.04	100			Fee schedule		1513.39	85			Percent of total billed charges		5444.04	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1513.39	1055	5764.27	
Cervicoplasty	15819	CPT	Outpatient			7485.59	4865.64		90			Percent of total billed charges		6737.03	95.46			Fee schedule		1444.68	80			Percent of total billed charges		5988.47	85			Percent of total billed charges		6362.75	100			Fee schedule		1513.39	85			Percent of total billed charges		6362.75	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1513.39	1055	6737.03	
"Tissue cultured skin autograft, trunk, arms, legs; first 25 sq cm or less"	15150	CPT	Outpatient			1160	754		90			Percent of total billed charges		1044	95.46			Fee schedule		1160	80			Percent of total billed charges		928	85			Percent of total billed charges		986	100			Fee schedule		1513.39	85			Percent of total billed charges		986	100			Fee schedule		1160	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39		1495		Case rate	Use Lesser of logic	1160		1495		Case rate	Use Lesser of logic	1160	100			Fee schedule		1513.39	928	1513.39	
"Dermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children"	15130	CPT	Outpatient			1175	763.75		90			Percent of total billed charges		1057.5	95.46			Fee schedule		1175	80			Percent of total billed charges		940	85			Percent of total billed charges		998.75	100			Fee schedule		1513.39	85			Percent of total billed charges		998.75	100			Fee schedule		1175	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39		1495		Case rate	Use Lesser of logic	1175		1495		Case rate	Use Lesser of logic	1175	100			Fee schedule		1513.39	940	1513.39	
"Filleted finger or toe flap, including preparation of recipient site"	14350	CPT	Outpatient			1318	856.7		90			Percent of total billed charges		1186.2	95.46			Fee schedule		1318	80			Percent of total billed charges		1054.4	85			Percent of total billed charges		1120.3	100			Fee schedule		1513.39	85			Percent of total billed charges		1120.3	100			Fee schedule		1318	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39		1495		Case rate	Use Lesser of logic	1318		1495		Case rate	Use Lesser of logic	1318	100			Fee schedule		1513.39	1054.4	1513.39	
"Blepharoplasty, lower eyelid; with extensive herniated fat pad"	15821	CPT	Outpatient			1750	1137.5		90			Percent of total billed charges		1575	95.46			Fee schedule		1444.68	80			Percent of total billed charges		1400	85			Percent of total billed charges		1487.5	100			Fee schedule		1513.39	85			Percent of total billed charges		1487.5	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		1513.39	1400	1575	
"Full thickness graft, free, including direct closure of donor site, trunk; 20 sq cm or less"	15200	CPT	Outpatient			2179	1416.35		90			Percent of total billed charges		1961.1	95.46			Fee schedule		1444.68	80			Percent of total billed charges		1743.2	85			Percent of total billed charges		1852.15	100			Fee schedule		1513.39	85			Percent of total billed charges		1852.15	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		1513.39	1444.68	1961.1	
"Muscle, myocutaneous, or fasciocutaneous flap; upper extremity"	15736	CPT	Outpatient			2420	1573		90			Percent of total billed charges		2178	95.46			Fee schedule		1444.68	80			Percent of total billed charges		1936	85			Percent of total billed charges		2057	100			Fee schedule		1513.39	85			Percent of total billed charges		2057	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39	100			Fee schedule		1513.39		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		1513.39	1444.68	2178	
"Injection, leuprolide acetate (for depot suspension), per 3.75 mg"	J1950	HCPCS	Outpatient	3.75	ME	4854.33	3155.32		90			Percent of total billed charges		4368.9	95.46			Fee schedule		1504.56	80			Percent of total billed charges		3883.47	90			Percent of total billed charges		4368.9	100			Fee schedule		1576.12	85			Percent of total billed charges		4126.18	100			Fee schedule		1576.12	100			Fee schedule		1576.12	100			Fee schedule		1576.12	100			Fee schedule		1576.12		1260.33		Case rate		1260.33		1260.33		Case rate		1260.33	100			Fee schedule		1576.12	1260.33	4368.9	
"Pleural drainage, percutaneous, with insertion of indwelling catheter; without imaging guidance"	32556	CPT	Outpatient			345	224.25		90			Percent of total billed charges		310.5	95.46			Fee schedule		345	80			Percent of total billed charges		276	85			Percent of total billed charges		293.25	100			Fee schedule		1579.11	85			Percent of total billed charges		293.25	100			Fee schedule		345	100			Fee schedule		1579.11	100			Fee schedule		1579.11	100			Fee schedule		1579.11		1055		Case rate	Use Lesser of logic	345		1055		Case rate	Use Lesser of logic	345	100			Fee schedule		1579.11	276	1579.11	
"Esophagogastroduodenoscopy, flexible, transoral; with dilation of gastric/duodenal stricture(s) (eg, balloon, bougie)"	43245	CPT	Outpatient			375	243.75		90			Percent of total billed charges		337.5	95.46			Fee schedule		375	80			Percent of total billed charges		300	85			Percent of total billed charges		318.75	100			Fee schedule		1579.11	85			Percent of total billed charges		318.75	100			Fee schedule		375	100			Fee schedule		1579.11	100			Fee schedule		1579.11	100			Fee schedule		1579.11		1055		Case rate	Use Lesser of logic	375		1055		Case rate	Use Lesser of logic	375	100			Fee schedule		1579.11	300	1579.11	
"Dilation of esophagus, over guide wire"	43453	CPT	Outpatient			400	260		90			Percent of total billed charges		360	95.46			Fee schedule		400	80			Percent of total billed charges		320	85			Percent of total billed charges		340	100			Fee schedule		1579.11	85			Percent of total billed charges		340	100			Fee schedule		400	100			Fee schedule		1579.11	100			Fee schedule		1579.11	100			Fee schedule		1579.11		1055		Case rate	Use Lesser of logic	400		1055		Case rate	Use Lesser of logic	400	100			Fee schedule		1579.11	320	1579.11	
"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)"	44360	CPT	Outpatient			425	276.25		90			Percent of total billed charges		382.5	95.46			Fee schedule		425	80			Percent of total billed charges		340	85			Percent of total billed charges		361.25	100			Fee schedule		1579.11	85			Percent of total billed charges		361.25	100			Fee schedule		425	100			Fee schedule		1579.11	100			Fee schedule		1579.11	100			Fee schedule		1579.11		1055		Case rate	Use Lesser of logic	425		1055		Case rate	Use Lesser of logic	425	100			Fee schedule		1579.11	340	1579.11	
"Esophagogastroduodenoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique"	43251	CPT	Outpatient			479.44	311.64		90			Percent of total billed charges		431.5	95.46			Fee schedule		479.44	80			Percent of total billed charges		383.55	85			Percent of total billed charges		407.52	100			Fee schedule		1579.11	85			Percent of total billed charges		407.52	100			Fee schedule		479.44	100			Fee schedule		1579.11	100			Fee schedule		1579.11	100			Fee schedule		1579.11		1055		Case rate	Use Lesser of logic	479.44		1055		Case rate	Use Lesser of logic	479.44	100			Fee schedule		1579.11	383.55	1579.11	
"Esophagogastroduodenoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)"	43270	CPT	Outpatient			554.52	360.44		90			Percent of total billed charges		499.07	95.46			Fee schedule		554.52	80			Percent of total billed charges		443.62	85			Percent of total billed charges		471.34	100			Fee schedule		1579.11	85			Percent of total billed charges		471.34	100			Fee schedule		554.52	100			Fee schedule		1579.11	100			Fee schedule		1579.11	100			Fee schedule		1579.11		1055		Case rate	Use Lesser of logic	554.52		1055		Case rate	Use Lesser of logic	554.52	100			Fee schedule		1579.11	443.62	1579.11	
"Esophagogastroduodenoscopy, flexible, transoral; with band ligation of esophageal/gastric varices"	43244	CPT	Outpatient			620	403		90			Percent of total billed charges		558	95.46			Fee schedule		620	80			Percent of total billed charges		496	85			Percent of total billed charges		527	100			Fee schedule		1579.11	85			Percent of total billed charges		527	100			Fee schedule		620	100			Fee schedule		1579.11	100			Fee schedule		1579.11	100			Fee schedule		1579.11		1055		Case rate	Use Lesser of logic	620		1055		Case rate	Use Lesser of logic	620	100			Fee schedule		1579.11	496	1579.11	
Endoscopic retrograde cholangiopancreatography (ERCP); with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s)	43275	CPT	Outpatient			785	510.25		90			Percent of total billed charges		706.5	95.46			Fee schedule		785	80			Percent of total billed charges		628	85			Percent of total billed charges		667.25	100			Fee schedule		1579.11	85			Percent of total billed charges		667.25	100			Fee schedule		785	100			Fee schedule		1579.11	100			Fee schedule		1579.11	100			Fee schedule		1579.11		1495		Case rate	Use Lesser of logic	785		1495		Case rate	Use Lesser of logic	785	100			Fee schedule		1579.11	628	1579.11	
"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)"	44376	CPT	Outpatient			795	516.75		90			Percent of total billed charges		715.5	95.46			Fee schedule		795	80			Percent of total billed charges		636	85			Percent of total billed charges		675.75	100			Fee schedule		1579.11	85			Percent of total billed charges		675.75	100			Fee schedule		795	100			Fee schedule		1579.11	100			Fee schedule		1579.11	100			Fee schedule		1579.11		1055		Case rate	Use Lesser of logic	795		1055		Case rate	Use Lesser of logic	795	100			Fee schedule		1579.11	636	1579.11	
"Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with conversion of percutaneous gastrostomy tube to percutaneous jejunostomy tube"	44373	CPT	Outpatient			975	633.75		90			Percent of total billed charges		877.5	95.46			Fee schedule		975	80			Percent of total billed charges		780	85			Percent of total billed charges		828.75	100			Fee schedule		1579.11	85			Percent of total billed charges		828.75	100			Fee schedule		975	100			Fee schedule		1579.11	100			Fee schedule		1579.11	100			Fee schedule		1579.11		1055		Case rate	Use Lesser of logic	975		1055		Case rate	Use Lesser of logic	975	100			Fee schedule		1579.11	780	1579.11	
"Conversion of gastrostomy tube to gastro-jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report"	49446	CPT	Outpatient			1210	786.5		90			Percent of total billed charges		1089	95.46			Fee schedule		1210	80			Percent of total billed charges		968	85			Percent of total billed charges		1028.5	100			Fee schedule		1579.11	85			Percent of total billed charges		1028.5	100			Fee schedule		1210	100			Fee schedule		1579.11	100			Fee schedule		1579.11	100			Fee schedule		1579.11		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1579.11	968	1579.11	
"Insertion of gastrostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report"	49440	CPT	Outpatient			1210	786.5		90			Percent of total billed charges		1089	95.46			Fee schedule		1210	80			Percent of total billed charges		968	85			Percent of total billed charges		1028.5	100			Fee schedule		1579.11	85			Percent of total billed charges		1028.5	100			Fee schedule		1210	100			Fee schedule		1579.11	100			Fee schedule		1579.11	100			Fee schedule		1579.11		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1579.11	968	1579.11	
"Esophagoscopy, flexible, transoral; with removal of foreign body(s)"	43215	CPT	Outpatient			1265.23	822.4		90			Percent of total billed charges		1138.7	95.46			Fee schedule		1265.23	80			Percent of total billed charges		1012.18	85			Percent of total billed charges		1075.44	100			Fee schedule		1579.11	85			Percent of total billed charges		1075.44	100			Fee schedule		1265.23	100			Fee schedule		1579.11	100			Fee schedule		1579.11	100			Fee schedule		1579.11		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1579.11	1012.18	1579.11	
"Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esophagus (less than 30 mm diameter)"	43249	CPT	Outpatient			1400.1	910.06		90			Percent of total billed charges		1260.09	95.46			Fee schedule		1400.1	80			Percent of total billed charges		1120.08	85			Percent of total billed charges		1190.08	100			Fee schedule		1579.11	85			Percent of total billed charges		1190.08	100			Fee schedule		1400.1	100			Fee schedule		1579.11	100			Fee schedule		1579.11	100			Fee schedule		1579.11		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1579.11	1055	1579.11	
"Esophagogastroduodenoscopy, flexible, transoral; with control of bleeding, any method"	43255	CPT	Outpatient			1452.05	943.83		90			Percent of total billed charges		1306.84	95.46			Fee schedule		1452.04	80			Percent of total billed charges		1161.64	85			Percent of total billed charges		1234.24	100			Fee schedule		1579.11	85			Percent of total billed charges		1234.24	100			Fee schedule		1452.04	100			Fee schedule		1579.11	100			Fee schedule		1579.11	100			Fee schedule		1579.11		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1579.11	1055	1579.11	
Exchange of previously placed abscess or cyst drainage catheter under radiological guidance (separate procedure)	49423	CPT	Outpatient			1515	984.75		90			Percent of total billed charges		1363.5	95.46			Fee schedule		1507.42	80			Percent of total billed charges		1212	85			Percent of total billed charges		1287.75	100			Fee schedule		1579.11	85			Percent of total billed charges		1287.75	100			Fee schedule		1515	100			Fee schedule		1579.11	100			Fee schedule		1579.11	100			Fee schedule		1579.11		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1579.11	1055	1579.11	
"Esophagogastroduodenoscopy, flexible, transoral; with directed placement of percutaneous gastrostomy tube"	43246	CPT	Outpatient			1580.01	1027.01		90			Percent of total billed charges		1422.01	95.46			Fee schedule		1507.42	80			Percent of total billed charges		1264.01	85			Percent of total billed charges		1343.01	100			Fee schedule		1579.11	85			Percent of total billed charges		1343.01	100			Fee schedule		1579.11	100			Fee schedule		1579.11	100			Fee schedule		1579.11	100			Fee schedule		1579.11		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1579.11	1055	1579.11	
"Insertion of duodenostomy or jejunostomy tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report"	49441	CPT	Outpatient			2500	1625		90			Percent of total billed charges		2250	95.46			Fee schedule		1507.42	80			Percent of total billed charges		2000	85			Percent of total billed charges		2125	100			Fee schedule		1579.11	85			Percent of total billed charges		2125	100			Fee schedule		1579.11	100			Fee schedule		1579.11	100			Fee schedule		1579.11	100			Fee schedule		1579.11		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1579.11	1055	2250	
"Gastrostomy, open; without construction of gastric tube (eg, Stamm procedure) (separate procedure)"	43830	CPT	Outpatient			1325	861.25		90			Percent of total billed charges		1192.5	95.46			Fee schedule		1325	80			Percent of total billed charges		1060	85			Percent of total billed charges		1126.25	100			Fee schedule		1579.11	85			Percent of total billed charges		1126.25	100			Fee schedule		1325	100			Fee schedule		1579.11	100			Fee schedule		1579.11	100			Fee schedule		1579.11		1495		Case rate	Use Lesser of logic	1325		1495		Case rate	Use Lesser of logic	1325	100			Fee schedule		1579.11	1060	1579.11	
"Discography, cervical or thoracic, radiological supervision and interpretation"	72285	CPT	Outpatient			150	97.5		90			Percent of total billed charges		135	95.46			Fee schedule		150	80			Percent of total billed charges		120	90			Percent of total billed charges		135	100			Fee schedule		1602.32	85			Percent of total billed charges		127.5	100			Fee schedule		150	100			Fee schedule		1602.32	100			Fee schedule		1602.32	100			Fee schedule		1602.32		117		Case rate		117		117		Case rate		117	100			Fee schedule		1602.32	117	1602.32	
"Discography, lumbar, radiological supervision and interpretation"	72295	CPT	Outpatient			355	230.75		90			Percent of total billed charges		319.5	95.46			Fee schedule		355	80			Percent of total billed charges		284	90			Percent of total billed charges		319.5	100			Fee schedule		1602.32	85			Percent of total billed charges		301.75	100			Fee schedule		355	100			Fee schedule		1602.32	100			Fee schedule		1602.32	100			Fee schedule		1602.32		117		Case rate		117		117		Case rate		117	100			Fee schedule		1602.32	117	1602.32	
Biopsy of nerve	64795	CPT	Outpatient			525	341.25		90			Percent of total billed charges		472.5	95.46			Fee schedule		525	80			Percent of total billed charges		420	85			Percent of total billed charges		446.25	100			Fee schedule		1602.32	85			Percent of total billed charges		446.25	100			Fee schedule		525	100			Fee schedule		1602.32	100			Fee schedule		1602.32	100			Fee schedule		1602.32		1495		Case rate	Use Lesser of logic	525		1495		Case rate	Use Lesser of logic	525	100			Fee schedule		1602.32	420	1602.32	
"Excision of neuroma; digital nerve, 1 or both, same digit"	64776	CPT	Outpatient			740	481		90			Percent of total billed charges		666	95.46			Fee schedule		740	80			Percent of total billed charges		592	85			Percent of total billed charges		629	100			Fee schedule		1602.32	85			Percent of total billed charges		629	100			Fee schedule		740	100			Fee schedule		1602.32	100			Fee schedule		1602.32	100			Fee schedule		1602.32		1495		Case rate	Use Lesser of logic	740		1495		Case rate	Use Lesser of logic	740	100			Fee schedule		1602.32	592	1602.32	
Neuroplasty and/or transposition; ulnar nerve at wrist	64719	CPT	Outpatient			760.02	494.01		90			Percent of total billed charges		684.02	95.46			Fee schedule		760.02	80			Percent of total billed charges		608.02	85			Percent of total billed charges		646.02	100			Fee schedule		1602.32	85			Percent of total billed charges		646.02	100			Fee schedule		760.02	100			Fee schedule		1602.32	100			Fee schedule		1602.32	100			Fee schedule		1602.32		1495		Case rate	Use Lesser of logic	760.02		1495		Case rate	Use Lesser of logic	760.02	100			Fee schedule		1602.32	608.02	1602.32	
"Excision of neuroma; cutaneous nerve, surgically identifiable"	64774	CPT	Outpatient			775	503.75		90			Percent of total billed charges		697.5	95.46			Fee schedule		775	80			Percent of total billed charges		620	85			Percent of total billed charges		658.75	100			Fee schedule		1602.32	85			Percent of total billed charges		658.75	100			Fee schedule		775	100			Fee schedule		1602.32	100			Fee schedule		1602.32	100			Fee schedule		1602.32		1495		Case rate	Use Lesser of logic	775		1495		Case rate	Use Lesser of logic	775	100			Fee schedule		1602.32	620	1602.32	
"Neuroplasty; digital, 1 or both, same digit"	64702	CPT	Outpatient			850	552.5		90			Percent of total billed charges		765	95.46			Fee schedule		850	80			Percent of total billed charges		680	85			Percent of total billed charges		722.5	100			Fee schedule		1602.32	85			Percent of total billed charges		722.5	100			Fee schedule		850	100			Fee schedule		1602.32	100			Fee schedule		1602.32	100			Fee schedule		1602.32		1495		Case rate	Use Lesser of logic	850		1495		Case rate	Use Lesser of logic	850	100			Fee schedule		1602.32	680	1602.32	
"Release, tarsal tunnel (posterior tibial nerve decompression)"	28035	CPT	Outpatient			1020	663		90			Percent of total billed charges		918	95.46			Fee schedule		1020	80			Percent of total billed charges		816	85			Percent of total billed charges		867	100			Fee schedule		1602.32	85			Percent of total billed charges		867	100			Fee schedule		1020	100			Fee schedule		1602.32	100			Fee schedule		1602.32	100			Fee schedule		1602.32		1495		Case rate	Use Lesser of logic	1020		1495		Case rate	Use Lesser of logic	1020	100			Fee schedule		1602.32	816	1602.32	
Neuroplasty and/or transposition; median nerve at carpal tunnel	64721	CPT	Outpatient			1062.17	690.41		90			Percent of total billed charges		955.95	95.46			Fee schedule		1062.17	80			Percent of total billed charges		849.73	85			Percent of total billed charges		902.84	100			Fee schedule		1602.32	85			Percent of total billed charges		902.84	100			Fee schedule		1062.17	100			Fee schedule		1602.32	100			Fee schedule		1602.32	100			Fee schedule		1602.32		1495		Case rate	Use Lesser of logic	1062.17		1495		Case rate	Use Lesser of logic	1062.17	100			Fee schedule		1602.32	849.73	1602.32	
Neuroplasty and/or transposition; ulnar nerve at elbow	64718	CPT	Outpatient			1126.94	732.51		90			Percent of total billed charges		1014.25	95.46			Fee schedule		1126.94	80			Percent of total billed charges		901.55	85			Percent of total billed charges		957.9	100			Fee schedule		1602.32	85			Percent of total billed charges		957.9	100			Fee schedule		1126.94	100			Fee schedule		1602.32	100			Fee schedule		1602.32	100			Fee schedule		1602.32		1495		Case rate	Use Lesser of logic	1126.94		1495		Case rate	Use Lesser of logic	1126.94	100			Fee schedule		1602.32	901.55	1602.32	
"Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve"	64712	CPT	Outpatient			1275	828.75		90			Percent of total billed charges		1147.5	95.46			Fee schedule		1275	80			Percent of total billed charges		1020	85			Percent of total billed charges		1083.75	100			Fee schedule		1602.32	85			Percent of total billed charges		1083.75	100			Fee schedule		1275	100			Fee schedule		1602.32	100			Fee schedule		1602.32	100			Fee schedule		1602.32		1495		Case rate	Use Lesser of logic	1275		1495		Case rate	Use Lesser of logic	1275	100			Fee schedule		1602.32	1020	1602.32	
"Excision of neuroma; major peripheral nerve, except sciatic"	64784	CPT	Outpatient			1595	1036.75		90			Percent of total billed charges		1435.5	95.46			Fee schedule		1529.57	80			Percent of total billed charges		1276	85			Percent of total billed charges		1355.75	100			Fee schedule		1602.32	85			Percent of total billed charges		1355.75	100			Fee schedule		1595	100			Fee schedule		1602.32	100			Fee schedule		1602.32	100			Fee schedule		1602.32		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		1602.32	1276	1602.32	
"Neuroplasty, major peripheral nerve, arm or leg, open; brachial plexus"	64713	CPT	Outpatient			1680	1092		90			Percent of total billed charges		1512	95.46			Fee schedule		1529.57	80			Percent of total billed charges		1344	85			Percent of total billed charges		1428	100			Fee schedule		1602.32	85			Percent of total billed charges		1428	100			Fee schedule		1602.32	100			Fee schedule		1602.32	100			Fee schedule		1602.32	100			Fee schedule		1602.32		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		1602.32	1344	1602.32	
"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, single facet joint"	64633	CPT	Outpatient			1836.33	1193.62		90			Percent of total billed charges		1652.7	95.46			Fee schedule		1529.57	80			Percent of total billed charges		1469.07	85			Percent of total billed charges		1560.88	100			Fee schedule		1602.32	85			Percent of total billed charges		1560.88	100			Fee schedule		1602.32	100			Fee schedule		1602.32	100			Fee schedule		1602.32	100			Fee schedule		1602.32		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		1602.32	1469.07	1652.7	
"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, single facet joint"	64635	CPT	Outpatient			3259.91	2118.94		90			Percent of total billed charges		2933.92	95.46			Fee schedule		1529.57	80			Percent of total billed charges		2607.93	85			Percent of total billed charges		2770.92	100			Fee schedule		1602.32	85			Percent of total billed charges		2770.92	100			Fee schedule		1602.32	100			Fee schedule		1602.32	100			Fee schedule		1602.32	100			Fee schedule		1602.32		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		1602.32	1495	2933.92	
"Suture of digital nerve, hand or foot; 1 nerve"	64831	CPT	Outpatient			2329	1513.85		90			Percent of total billed charges		2096.1	95.46			Fee schedule		1529.57	80			Percent of total billed charges		1863.2	85			Percent of total billed charges		1979.65	100			Fee schedule		1602.32	85			Percent of total billed charges		1979.65	100			Fee schedule		1602.32	100			Fee schedule		1602.32	100			Fee schedule		1602.32	100			Fee schedule		1602.32		2168		Case rate		2168		2168		Case rate		2168	100			Fee schedule		1602.32	1529.57	2168	
Suture of sciatic nerve	64858	CPT	Outpatient			2345	1524.25		90			Percent of total billed charges		2110.5	95.46			Fee schedule		1529.57	80			Percent of total billed charges		1876	85			Percent of total billed charges		1993.25	100			Fee schedule		1602.32	85			Percent of total billed charges		1993.25	100			Fee schedule		1602.32	100			Fee schedule		1602.32	100			Fee schedule		1602.32	100			Fee schedule		1602.32		2168		Case rate		2168		2168		Case rate		2168	100			Fee schedule		1602.32	1529.57	2168	
"Decompression procedure, percutaneous, of nucleus pulposus of intervertebral disc, any method utilizing needle based technique to remove disc material under fluoroscopic imaging or other form of indirect visualization, with discography and/or epidural injection(s) at the treated level(s), when performed, single or multiple levels, lumbar"	62287	CPT	Outpatient			5438.04	3534.73		90			Percent of total billed charges		4894.24	95.46			Fee schedule		1529.57	80			Percent of total billed charges		4350.43	85			Percent of total billed charges		4622.33	100			Fee schedule		1602.32	85			Percent of total billed charges		4622.33	100			Fee schedule		1602.32	100			Fee schedule		1602.32	100			Fee schedule		1602.32	100			Fee schedule		1602.32		2168		Case rate		2168		2168		Case rate		2168	100			Fee schedule		1602.32	1529.57	4894.24	
"Convert nephrostomy catheter to nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, via pre-existing nephrostomy tract"	50434	CPT	Outpatient			89.6	58.24		90			Percent of total billed charges		80.64	95.46			Fee schedule		89.6	80			Percent of total billed charges		71.68	85			Percent of total billed charges		76.16	100			Fee schedule		1690.31	85			Percent of total billed charges		76.16	100			Fee schedule		89.6	100			Fee schedule		1690.31	100			Fee schedule		1690.31	100			Fee schedule		1690.31		756		Case rate	Use Lesser of logic	89.6		756		Case rate	Use Lesser of logic	89.6	100			Fee schedule		1690.31	71.68	1690.31	
"Dilation of ureter(s) or urethra, radiological supervision and interpretation"	74485	CPT	Outpatient			1685	1095.25		90			Percent of total billed charges		1516.5	95.46			Fee schedule		1613.57	80			Percent of total billed charges		1348	90			Percent of total billed charges		1516.5	100			Fee schedule		1690.31	85			Percent of total billed charges		1432.25	100			Fee schedule		1685	100			Fee schedule		1690.31	100			Fee schedule		1690.31	100			Fee schedule		1690.31		117		Case rate		117		117		Case rate		117	100			Fee schedule		1690.31	117	1690.31	
"Circumcision, using clamp or other device with regional dorsal penile or ring block"	54150	CPT	Outpatient			175	113.75		90			Percent of total billed charges		157.5	95.46			Fee schedule		175	80			Percent of total billed charges		140	85			Percent of total billed charges		148.75	100			Fee schedule		1690.31	85			Percent of total billed charges		148.75	100			Fee schedule		175	100			Fee schedule		1690.31	100			Fee schedule		1690.31	100			Fee schedule		1690.31		1495		Case rate	Use Lesser of logic	175		1495		Case rate	Use Lesser of logic	175	100			Fee schedule		1690.31	140	1690.31	
Biopsy of urethra	53200	CPT	Outpatient			365	237.25		90			Percent of total billed charges		328.5	95.46			Fee schedule		365	80			Percent of total billed charges		292	85			Percent of total billed charges		310.25	100			Fee schedule		1690.31	85			Percent of total billed charges		310.25	100			Fee schedule		365	100			Fee schedule		1690.31	100			Fee schedule		1690.31	100			Fee schedule		1690.31		1495		Case rate	Use Lesser of logic	365		1495		Case rate	Use Lesser of logic	365	100			Fee schedule		1690.31	292	1690.31	
Drainage of Skene's gland abscess or cyst	53060	CPT	Outpatient			400	260		90			Percent of total billed charges		360	95.46			Fee schedule		400	80			Percent of total billed charges		320	85			Percent of total billed charges		340	100			Fee schedule		1690.31	85			Percent of total billed charges		340	100			Fee schedule		400	100			Fee schedule		1690.31	100			Fee schedule		1690.31	100			Fee schedule		1690.31		1495		Case rate	Use Lesser of logic	400		1495		Case rate	Use Lesser of logic	400	100			Fee schedule		1690.31	320	1690.31	
"Biopsy, prostate; needle or punch, single or multiple, any approach"	55700	CPT	Outpatient			415	269.75		90			Percent of total billed charges		373.5	95.46			Fee schedule		415	80			Percent of total billed charges		332	85			Percent of total billed charges		352.75	100			Fee schedule		1690.31	85			Percent of total billed charges		352.75	100			Fee schedule		415	100			Fee schedule		1690.31	100			Fee schedule		1690.31	100			Fee schedule		1690.31		1055		Case rate	Use Lesser of logic	415		1055		Case rate	Use Lesser of logic	415	100			Fee schedule		1690.31	332	1690.31	
"Cystourethroscopy, with biopsy(s)"	52204	CPT	Outpatient			435.75	283.24		90			Percent of total billed charges		392.17	95.46			Fee schedule		435.75	80			Percent of total billed charges		348.6	85			Percent of total billed charges		370.39	100			Fee schedule		1690.31	85			Percent of total billed charges		370.39	100			Fee schedule		435.75	100			Fee schedule		1690.31	100			Fee schedule		1690.31	100			Fee schedule		1690.31		1495		Case rate	Use Lesser of logic	435.75		1495		Case rate	Use Lesser of logic	435.75	100			Fee schedule		1690.31	348.6	1690.31	
Frenulotomy of penis	54164	CPT	Outpatient			485	315.25		90			Percent of total billed charges		436.5	95.46			Fee schedule		485	80			Percent of total billed charges		388	85			Percent of total billed charges		412.25	100			Fee schedule		1690.31	85			Percent of total billed charges		412.25	100			Fee schedule		485	100			Fee schedule		1690.31	100			Fee schedule		1690.31	100			Fee schedule		1690.31		1495		Case rate	Use Lesser of logic	485		1495		Case rate	Use Lesser of logic	485	100			Fee schedule		1690.31	388	1690.31	
Repair incomplete circumcision	54163	CPT	Outpatient			500	325		90			Percent of total billed charges		450	95.46			Fee schedule		500	80			Percent of total billed charges		400	85			Percent of total billed charges		425	100			Fee schedule		1690.31	85			Percent of total billed charges		425	100			Fee schedule		500	100			Fee schedule		1690.31	100			Fee schedule		1690.31	100			Fee schedule		1690.31		1495		Case rate	Use Lesser of logic	500		1495		Case rate	Use Lesser of logic	500	100			Fee schedule		1690.31	400	1690.31	
"Cystourethroscopy, with injection(s) for chemodenervation of the bladder"	52287	CPT	Outpatient			540	351		90			Percent of total billed charges		486	95.46			Fee schedule		540	80			Percent of total billed charges		432	85			Percent of total billed charges		459	100			Fee schedule		1690.31	85			Percent of total billed charges		459	100			Fee schedule		540	100			Fee schedule		1690.31	100			Fee schedule		1690.31	100			Fee schedule		1690.31		1055		Case rate	Use Lesser of logic	540		1055		Case rate	Use Lesser of logic	540	100			Fee schedule		1690.31	432	1690.31	
Excision or fulguration; urethral caruncle	53265	CPT	Outpatient			550	357.5		90			Percent of total billed charges		495	95.46			Fee schedule		550	80			Percent of total billed charges		440	85			Percent of total billed charges		467.5	100			Fee schedule		1690.31	85			Percent of total billed charges		467.5	100			Fee schedule		550	100			Fee schedule		1690.31	100			Fee schedule		1690.31	100			Fee schedule		1690.31		1495		Case rate	Use Lesser of logic	550		1495		Case rate	Use Lesser of logic	550	100			Fee schedule		1690.31	440	1690.31	
Lysis or excision of penile post-circumcision adhesions	54162	CPT	Outpatient			550	357.5		90			Percent of total billed charges		495	95.46			Fee schedule		550	80			Percent of total billed charges		440	85			Percent of total billed charges		467.5	100			Fee schedule		1690.31	85			Percent of total billed charges		467.5	100			Fee schedule		550	100			Fee schedule		1690.31	100			Fee schedule		1690.31	100			Fee schedule		1690.31		1495		Case rate	Use Lesser of logic	550		1495		Case rate	Use Lesser of logic	550	100			Fee schedule		1690.31	440	1690.31	
"Slitting of prepuce, dorsal or lateral (separate procedure); except newborn"	54001	CPT	Outpatient			550	357.5		90			Percent of total billed charges		495	95.46			Fee schedule		550	80			Percent of total billed charges		440	85			Percent of total billed charges		467.5	100			Fee schedule		1690.31	85			Percent of total billed charges		467.5	100			Fee schedule		550	100			Fee schedule		1690.31	100			Fee schedule		1690.31	100			Fee schedule		1690.31		1495		Case rate	Use Lesser of logic	550		1495		Case rate	Use Lesser of logic	550	100			Fee schedule		1690.31	440	1690.31	
"Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral"	52290	CPT	Outpatient			560	364		90			Percent of total billed charges		504	95.46			Fee schedule		560	80			Percent of total billed charges		448	85			Percent of total billed charges		476	100			Fee schedule		1690.31	85			Percent of total billed charges		476	100			Fee schedule		560	100			Fee schedule		1690.31	100			Fee schedule		1690.31	100			Fee schedule		1690.31		1495		Case rate	Use Lesser of logic	560		1495		Case rate	Use Lesser of logic	560	100			Fee schedule		1690.31	448	1690.31	
"Incision and drainage of epididymis, testis and/or scrotal space (eg, abscess or hematoma)"	54700	CPT	Outpatient			597.34	388.27		90			Percent of total billed charges		537.6	95.46			Fee schedule		597.33	80			Percent of total billed charges		477.87	85			Percent of total billed charges		507.73	100			Fee schedule		1690.31	85			Percent of total billed charges		507.73	100			Fee schedule		597.34	100			Fee schedule		1690.31	100			Fee schedule		1690.31	100			Fee schedule		1690.31		1495		Case rate	Use Lesser of logic	597.34		1495		Case rate	Use Lesser of logic	597.34	100			Fee schedule		1690.31	477.87	1690.31	
"Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service"	52005	CPT	Outpatient			625	406.25		90			Percent of total billed charges		562.5	95.46			Fee schedule		625	80			Percent of total billed charges		500	85			Percent of total billed charges		531.25	100			Fee schedule		1690.31	85			Percent of total billed charges		531.25	100			Fee schedule		625	100			Fee schedule		1690.31	100			Fee schedule		1690.31	100			Fee schedule		1690.31		1495		Case rate	Use Lesser of logic	625		1495		Case rate	Use Lesser of logic	625	100			Fee schedule		1690.31	500	1690.31	
"Cystostomy, cystotomy with drainage"	51040	CPT	Outpatient			725	471.25		90			Percent of total billed charges		652.5	95.46			Fee schedule		725	80			Percent of total billed charges		580	85			Percent of total billed charges		616.25	100			Fee schedule		1690.31	85			Percent of total billed charges		616.25	100			Fee schedule		725	100			Fee schedule		1690.31	100			Fee schedule		1690.31	100			Fee schedule		1690.31		1495		Case rate	Use Lesser of logic	725		1495		Case rate	Use Lesser of logic	725	100			Fee schedule		1690.31	580	1690.31	
"Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia"	52265	CPT	Outpatient			915	594.75		90			Percent of total billed charges		823.5	95.46			Fee schedule		915	80			Percent of total billed charges		732	85			Percent of total billed charges		777.75	100			Fee schedule		1690.31	85			Percent of total billed charges		777.75	100			Fee schedule		915	100			Fee schedule		1690.31	100			Fee schedule		1690.31	100			Fee schedule		1690.31		756		Case rate		756		756		Case rate		756	100			Fee schedule		1690.31	732	1690.31	
"Cystotomy, with insertion of ureteral catheter or stent (separate procedure)"	51045	CPT	Outpatient			1250	812.5		90			Percent of total billed charges		1125	95.46			Fee schedule		1250	80			Percent of total billed charges		1000	85			Percent of total billed charges		1062.5	100			Fee schedule		1690.31	85			Percent of total billed charges		1062.5	100			Fee schedule		1250	100			Fee schedule		1690.31	100			Fee schedule		1690.31	100			Fee schedule		1690.31		756		Case rate		756		756		Case rate		756	100			Fee schedule		1690.31	756	1690.31	
"Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation"	50435	CPT	Outpatient			2262	1470.3		90			Percent of total billed charges		2035.8	95.46			Fee schedule		1613.57	80			Percent of total billed charges		1809.6	85			Percent of total billed charges		1922.7	100			Fee schedule		1690.31	85			Percent of total billed charges		1922.7	100			Fee schedule		1690.31	100			Fee schedule		1690.31	100			Fee schedule		1690.31	100			Fee schedule		1690.31		756		Case rate		756		756		Case rate		756	100			Fee schedule		1690.31	756	2035.8	
"Cystourethroscopy, with calibration and/or dilation of urethral stricture or stenosis, with or without meatotomy, with or without injection procedure for cystography, male or female"	52281	CPT	Outpatient			775	503.75		90			Percent of total billed charges		697.5	95.46			Fee schedule		775	80			Percent of total billed charges		620	85			Percent of total billed charges		658.75	100			Fee schedule		1690.31	85			Percent of total billed charges		658.75	100			Fee schedule		775	100			Fee schedule		1690.31	100			Fee schedule		1690.31	100			Fee schedule		1690.31		1055		Case rate	Use Lesser of logic	775		1055		Case rate	Use Lesser of logic	775	100			Fee schedule		1690.31	620	1690.31	
"Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s)"	55250	CPT	Outpatient			800	520		90			Percent of total billed charges		720	95.46			Fee schedule		800	80			Percent of total billed charges		640	85			Percent of total billed charges		680	100			Fee schedule		1690.31	85			Percent of total billed charges		680	100			Fee schedule		800	100			Fee schedule		1690.31	100			Fee schedule		1690.31	100			Fee schedule		1690.31		1495		Case rate	Use Lesser of logic	800		1495		Case rate	Use Lesser of logic	800	100			Fee schedule		1690.31	640	1690.31	
"Excision of spermatocele, with or without epididymectomy"	54840	CPT	Outpatient			884.97	575.23		90			Percent of total billed charges		796.47	95.46			Fee schedule		884.97	80			Percent of total billed charges		707.97	85			Percent of total billed charges		752.22	100			Fee schedule		1690.31	85			Percent of total billed charges		752.22	100			Fee schedule		884.97	100			Fee schedule		1690.31	100			Fee schedule		1690.31	100			Fee schedule		1690.31		1495		Case rate	Use Lesser of logic	884.97		1495		Case rate	Use Lesser of logic	884.97	100			Fee schedule		1690.31	707.97	1690.31	
"Cystourethroscopy, with internal urethrotomy; male"	52275	CPT	Outpatient			1050	682.5		90			Percent of total billed charges		945	95.46			Fee schedule		1050	80			Percent of total billed charges		840	85			Percent of total billed charges		892.5	100			Fee schedule		1690.31	85			Percent of total billed charges		892.5	100			Fee schedule		1050	100			Fee schedule		1690.31	100			Fee schedule		1690.31	100			Fee schedule		1690.31		1495		Case rate	Use Lesser of logic	1050		1495		Case rate	Use Lesser of logic	1050	100			Fee schedule		1690.31	840	1690.31	
Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit	50688	CPT	Outpatient			1515	984.75		90			Percent of total billed charges		1363.5	95.46			Fee schedule		1515	80			Percent of total billed charges		1212	85			Percent of total billed charges		1287.75	100			Fee schedule		1690.31	85			Percent of total billed charges		1287.75	100			Fee schedule		1515	100			Fee schedule		1690.31	100			Fee schedule		1690.31	100			Fee schedule		1690.31		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1690.31	1055	1690.31	
"Removal and replacement of externally accessible nephroureteral catheter (eg, external/internal stent) requiring fluoroscopic guidance, including radiological supervision and interpretation"	50387	CPT	Outpatient			1515	984.75		90			Percent of total billed charges		1363.5	95.46			Fee schedule		1515	80			Percent of total billed charges		1212	85			Percent of total billed charges		1287.75	100			Fee schedule		1690.31	85			Percent of total billed charges		1287.75	100			Fee schedule		1515	100			Fee schedule		1690.31	100			Fee schedule		1690.31	100			Fee schedule		1690.31		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1690.31	1055	1690.31	
"Cystourethroscopy, with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia"	52260	CPT	Outpatient			3488.56	2267.57		90			Percent of total billed charges		3139.71	95.46			Fee schedule		1613.57	80			Percent of total billed charges		2790.85	85			Percent of total billed charges		2965.28	100			Fee schedule		1690.31	85			Percent of total billed charges		2965.28	100			Fee schedule		1690.31	100			Fee schedule		1690.31	100			Fee schedule		1690.31	100			Fee schedule		1690.31		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1690.31	1055	3139.71	
"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); simple"	52310	CPT	Outpatient			3748.9	2436.78		90			Percent of total billed charges		3374.01	95.46			Fee schedule		1613.57	80			Percent of total billed charges		2999.12	85			Percent of total billed charges		3186.56	100			Fee schedule		1690.31	85			Percent of total billed charges		3186.56	100			Fee schedule		1690.31	100			Fee schedule		1690.31	100			Fee schedule		1690.31	100			Fee schedule		1690.31		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		1690.31	1055	3374.01	
"Removal (via snare/capture) of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation"	50384	CPT	Outpatient			1380	897		90			Percent of total billed charges		1242	95.46			Fee schedule		1380	80			Percent of total billed charges		1104	85			Percent of total billed charges		1173	100			Fee schedule		1690.31	85			Percent of total billed charges		1173	100			Fee schedule		1380	100			Fee schedule		1690.31	100			Fee schedule		1690.31	100			Fee schedule		1690.31		1495		Case rate	Use Lesser of logic	1380		1495		Case rate	Use Lesser of logic	1380	100			Fee schedule		1690.31	1104	1690.31	
Drainage of perineal urinary extravasation; complicated	53085	CPT	Outpatient			1638	1064.7		90			Percent of total billed charges		1474.2	95.46			Fee schedule		1613.57	80			Percent of total billed charges		1310.4	85			Percent of total billed charges		1392.3	100			Fee schedule		1690.31	85			Percent of total billed charges		1392.3	100			Fee schedule		1638	100			Fee schedule		1690.31	100			Fee schedule		1690.31	100			Fee schedule		1690.31		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		1690.31	1310.4	1690.31	
Aspiration of bladder; with insertion of suprapubic catheter	51102	CPT	Outpatient			2031	1320.15		90			Percent of total billed charges		1827.9	95.46			Fee schedule		1613.57	80			Percent of total billed charges		1624.8	85			Percent of total billed charges		1726.35	100			Fee schedule		1690.31	85			Percent of total billed charges		1726.35	100			Fee schedule		1690.31	100			Fee schedule		1690.31	100			Fee schedule		1690.31	100			Fee schedule		1690.31		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		1690.31	1495	1827.9	
"Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach, including radiological supervision and interpretation"	50382	CPT	Outpatient			2480	1612		90			Percent of total billed charges		2232	95.46			Fee schedule		1613.57	80			Percent of total billed charges		1984	85			Percent of total billed charges		2108	100			Fee schedule		1690.31	85			Percent of total billed charges		2108	100			Fee schedule		1690.31	100			Fee schedule		1690.31	100			Fee schedule		1690.31	100			Fee schedule		1690.31		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		1690.31	1495	2232	
"Removal (via snare/capture) of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiological supervision and interpretation"	50386	CPT	Outpatient			2932.44	1906.08		90			Percent of total billed charges		2639.19	95.46			Fee schedule		1613.57	80			Percent of total billed charges		2345.95	85			Percent of total billed charges		2492.57	100			Fee schedule		1690.31	85			Percent of total billed charges		2492.57	100			Fee schedule		1690.31	100			Fee schedule		1690.31	100			Fee schedule		1690.31	100			Fee schedule		1690.31		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		1690.31	1495	2639.19	
"Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation"	50432	CPT	Outpatient			3202.48	2081.61		90			Percent of total billed charges		2882.23	95.46			Fee schedule		1613.57	80			Percent of total billed charges		2561.98	85			Percent of total billed charges		2722.1	100			Fee schedule		1690.31	85			Percent of total billed charges		2722.1	100			Fee schedule		1690.31	100			Fee schedule		1690.31	100			Fee schedule		1690.31	100			Fee schedule		1690.31		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		1690.31	1495	2882.23	
"Meatotomy, cutting of meatus (separate procedure); except infant"	53020	CPT	Outpatient			3312	2152.8		90			Percent of total billed charges		2980.8	95.46			Fee schedule		1613.57	80			Percent of total billed charges		2649.6	85			Percent of total billed charges		2815.2	100			Fee schedule		1690.31	85			Percent of total billed charges		2815.2	100			Fee schedule		1690.31	100			Fee schedule		1690.31	100			Fee schedule		1690.31	100			Fee schedule		1690.31		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		1690.31	1495	2980.8	
"Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age"	54161	CPT	Outpatient			4108.16	2670.3		90			Percent of total billed charges		3697.34	95.46			Fee schedule		1613.57	80			Percent of total billed charges		3286.52	85			Percent of total billed charges		3491.93	100			Fee schedule		1690.31	85			Percent of total billed charges		3491.93	100			Fee schedule		1690.31	100			Fee schedule		1690.31	100			Fee schedule		1690.31	100			Fee schedule		1690.31		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		1690.31	1495	3697.34	
"Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure); complicated"	52315	CPT	Outpatient			4603.06	2991.99		90			Percent of total billed charges		4142.76	95.46			Fee schedule		1613.57	80			Percent of total billed charges		3682.45	85			Percent of total billed charges		3912.6	100			Fee schedule		1690.31	85			Percent of total billed charges		3912.6	100			Fee schedule		1690.31	100			Fee schedule		1690.31	100			Fee schedule		1690.31	100			Fee schedule		1690.31		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		1690.31	1495	4142.76	
Cystourethroscopy with direct vision internal urethrotomy	52276	CPT	Outpatient			5417.7	3521.51		90			Percent of total billed charges		4875.93	95.46			Fee schedule		1613.57	80			Percent of total billed charges		4334.16	85			Percent of total billed charges		4605.05	100			Fee schedule		1690.31	85			Percent of total billed charges		4605.05	100			Fee schedule		1690.31	100			Fee schedule		1690.31	100			Fee schedule		1690.31	100			Fee schedule		1690.31		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		1690.31	1495	4875.93	
"Removal of foreign body, intraocular; from anterior chamber of eye or lens"	65235	CPT	Outpatient			440.5	286.32		90			Percent of total billed charges		396.45	95.46			Fee schedule		440.5	80			Percent of total billed charges		352.4	85			Percent of total billed charges		374.42	100			Fee schedule		1933.92	85			Percent of total billed charges		374.42	100			Fee schedule		440.5	100			Fee schedule		1933.92	100			Fee schedule		1933.92	100			Fee schedule		1933.92		1495		Case rate	Use Lesser of logic	440.5		1495		Case rate	Use Lesser of logic	440.5	100			Fee schedule		1933.92	352.4	1933.92	
Canthotomy (separate procedure)	67715	CPT	Outpatient			550	357.5		90			Percent of total billed charges		495	95.46			Fee schedule		550	80			Percent of total billed charges		440	85			Percent of total billed charges		467.5	100			Fee schedule		1939.26	85			Percent of total billed charges		467.5	100			Fee schedule		550	100			Fee schedule		1939.26	100			Fee schedule		1939.26	100			Fee schedule		1939.26		1495		Case rate	Use Lesser of logic	550		1495		Case rate	Use Lesser of logic	550	100			Fee schedule		1939.26	440	1939.26	
"Repair of brow ptosis (supraciliary, mid-forehead or coronal approach)"	67900	CPT	Outpatient			557.54	362.4		90			Percent of total billed charges		501.79	95.46			Fee schedule		557.54	80			Percent of total billed charges		446.03	85			Percent of total billed charges		473.91	100			Fee schedule		1939.26	85			Percent of total billed charges		473.91	100			Fee schedule		557.54	100			Fee schedule		1939.26	100			Fee schedule		1939.26	100			Fee schedule		1939.26		1495		Case rate	Use Lesser of logic	557.54		1495		Case rate	Use Lesser of logic	557.54	100			Fee schedule		1939.26	446.03	1939.26	
"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; partial thickness"	67930	CPT	Outpatient			710	461.5		90			Percent of total billed charges		639	95.46			Fee schedule		710	80			Percent of total billed charges		568	85			Percent of total billed charges		603.5	100			Fee schedule		1939.26	85			Percent of total billed charges		603.5	100			Fee schedule		710	100			Fee schedule		1939.26	100			Fee schedule		1939.26	100			Fee schedule		1939.26		1495		Case rate	Use Lesser of logic	710		1495		Case rate	Use Lesser of logic	710	100			Fee schedule		1939.26	568	1939.26	
"Excision of chalazion; under general anesthesia and/or requiring hospitalization, single or multiple"	67808	CPT	Outpatient			730	474.5		90			Percent of total billed charges		657	95.46			Fee schedule		730	80			Percent of total billed charges		584	85			Percent of total billed charges		620.5	100			Fee schedule		1939.26	85			Percent of total billed charges		620.5	100			Fee schedule		730	100			Fee schedule		1939.26	100			Fee schedule		1939.26	100			Fee schedule		1939.26		1495		Case rate	Use Lesser of logic	730		1495		Case rate	Use Lesser of logic	730	100			Fee schedule		1939.26	584	1939.26	
Repair of ectropion; suture	67914	CPT	Outpatient			745	484.25		90			Percent of total billed charges		670.5	95.46			Fee schedule		745	80			Percent of total billed charges		596	85			Percent of total billed charges		633.25	100			Fee schedule		1939.26	85			Percent of total billed charges		633.25	100			Fee schedule		745	100			Fee schedule		1939.26	100			Fee schedule		1939.26	100			Fee schedule		1939.26		1495		Case rate	Use Lesser of logic	745		1495		Case rate	Use Lesser of logic	745	100			Fee schedule		1939.26	596	1939.26	
"Repair of entropion; extensive (eg, tarsal strip or capsulopalpebral fascia repairs operation)"	67924	CPT	Outpatient			1050	682.5		90			Percent of total billed charges		945	95.46			Fee schedule		1050	80			Percent of total billed charges		840	85			Percent of total billed charges		892.5	100			Fee schedule		1939.26	85			Percent of total billed charges		892.5	100			Fee schedule		1050	100			Fee schedule		1939.26	100			Fee schedule		1939.26	100			Fee schedule		1939.26		1495		Case rate	Use Lesser of logic	1050		1495		Case rate	Use Lesser of logic	1050	100			Fee schedule		1939.26	840	1939.26	
Repair of entropion; suture	67921	CPT	Outpatient			1050	682.5		90			Percent of total billed charges		945	95.46			Fee schedule		1050	80			Percent of total billed charges		840	85			Percent of total billed charges		892.5	100			Fee schedule		1939.26	85			Percent of total billed charges		892.5	100			Fee schedule		1050	100			Fee schedule		1939.26	100			Fee schedule		1939.26	100			Fee schedule		1939.26		1495		Case rate	Use Lesser of logic	1050		1495		Case rate	Use Lesser of logic	1050	100			Fee schedule		1939.26	840	1939.26	
Canthoplasty (reconstruction of canthus)	67950	CPT	Outpatient			1075	698.75		90			Percent of total billed charges		967.5	95.46			Fee schedule		1075	80			Percent of total billed charges		860	85			Percent of total billed charges		913.75	100			Fee schedule		1939.26	85			Percent of total billed charges		913.75	100			Fee schedule		1075	100			Fee schedule		1939.26	100			Fee schedule		1939.26	100			Fee schedule		1939.26		1495		Case rate	Use Lesser of logic	1075		1495		Case rate	Use Lesser of logic	1075	100			Fee schedule		1939.26	860	1939.26	
"Probing of nasolacrimal duct, with or without irrigation; with insertion of tube or stent"	68815	CPT	Outpatient			1135	737.75		90			Percent of total billed charges		1021.5	95.46			Fee schedule		1135	80			Percent of total billed charges		908	85			Percent of total billed charges		964.75	100			Fee schedule		1939.26	85			Percent of total billed charges		964.75	100			Fee schedule		1135	100			Fee schedule		1939.26	100			Fee schedule		1939.26	100			Fee schedule		1939.26		1495		Case rate	Use Lesser of logic	1135		1495		Case rate	Use Lesser of logic	1135	100			Fee schedule		1939.26	908	1939.26	
"Repair of ectropion; extensive (eg, tarsal strip operations)"	67917	CPT	Outpatient			1159.92	753.95		90			Percent of total billed charges		1043.93	95.46			Fee schedule		1159.92	80			Percent of total billed charges		927.94	85			Percent of total billed charges		985.93	100			Fee schedule		1939.26	85			Percent of total billed charges		985.93	100			Fee schedule		1159.92	100			Fee schedule		1939.26	100			Fee schedule		1939.26	100			Fee schedule		1939.26		1495		Case rate	Use Lesser of logic	1159.92		1495		Case rate	Use Lesser of logic	1159.92	100			Fee schedule		1939.26	927.94	1939.26	
"Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include preparation for skin graft or pedicle flap with adjacent tissue transfer or rearrangement; up to one-fourth of lid margin"	67961	CPT	Outpatient			1355	880.75		90			Percent of total billed charges		1219.5	95.46			Fee schedule		1355	80			Percent of total billed charges		1084	85			Percent of total billed charges		1151.75	100			Fee schedule		1939.26	85			Percent of total billed charges		1151.75	100			Fee schedule		1355	100			Fee schedule		1939.26	100			Fee schedule		1939.26	100			Fee schedule		1939.26		1495		Case rate	Use Lesser of logic	1355		1495		Case rate	Use Lesser of logic	1355	100			Fee schedule		1939.26	1084	1939.26	
"Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include preparation for skin graft or pedicle flap with adjacent tissue transfer or rearrangement; over one-fourth of lid margin"	67966	CPT	Outpatient			1415	919.75		90			Percent of total billed charges		1273.5	95.46			Fee schedule		1415	80			Percent of total billed charges		1132	85			Percent of total billed charges		1202.75	100			Fee schedule		1939.26	85			Percent of total billed charges		1202.75	100			Fee schedule		1415	100			Fee schedule		1939.26	100			Fee schedule		1939.26	100			Fee schedule		1939.26		1495		Case rate	Use Lesser of logic	1415		1495		Case rate	Use Lesser of logic	1415	100			Fee schedule		1939.26	1132	1939.26	
"Suture of recent wound, eyelid, involving lid margin, tarsus, and/or palpebral conjunctiva direct closure; full thickness"	67935	CPT	Outpatient			1575	1023.75		90			Percent of total billed charges		1417.5	95.46			Fee schedule		1575	80			Percent of total billed charges		1260	85			Percent of total billed charges		1338.75	100			Fee schedule		1939.26	85			Percent of total billed charges		1338.75	100			Fee schedule		1575	100			Fee schedule		1939.26	100			Fee schedule		1939.26	100			Fee schedule		1939.26		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		1939.26	1260	1939.26	
Excision of lacrimal gland tumor; frontal approach	68540	CPT	Outpatient			1655	1075.75		90			Percent of total billed charges		1489.5	95.46			Fee schedule		1655	80			Percent of total billed charges		1324	85			Percent of total billed charges		1406.75	100			Fee schedule		1939.26	85			Percent of total billed charges		1406.75	100			Fee schedule		1655	100			Fee schedule		1939.26	100			Fee schedule		1939.26	100			Fee schedule		1939.26		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		1939.26	1324	1939.26	
"Correction of lagophthalmos, with implantation of upper eyelid lid load (eg, gold weight)"	67912	CPT	Outpatient			2140	1391		90			Percent of total billed charges		1926	95.46			Fee schedule		1851.22	80			Percent of total billed charges		1712	85			Percent of total billed charges		1819	100			Fee schedule		1939.26	85			Percent of total billed charges		1819	100			Fee schedule		1939.26	100			Fee schedule		1939.26	100			Fee schedule		1939.26	100			Fee schedule		1939.26		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		1939.26	1495	1939.26	
"Repair of blepharoptosis; conjunctivo-tarso-Muller's muscle-levator resection (eg, Fasanella-Servat type)"	67908	CPT	Outpatient			5532.5	3596.12		90			Percent of total billed charges		4979.25	95.46			Fee schedule		1851.22	80			Percent of total billed charges		4426	85			Percent of total billed charges		4702.62	100			Fee schedule		1939.26	85			Percent of total billed charges		4702.62	100			Fee schedule		1939.26	100			Fee schedule		1939.26	100			Fee schedule		1939.26	100			Fee schedule		1939.26		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		1939.26	1495	4979.25	
"Injection, crotalidae polyvalent immune fab (ovine), up to 1 gram"	J0840	HCPCS	Outpatient	1	GR	2494.5	1621.42		90			Percent of total billed charges		2245.05	95.46			Fee schedule		1889.99	80			Percent of total billed charges		1995.6	90			Percent of total billed charges		2245.05	100			Fee schedule		1979.87	85			Percent of total billed charges		2120.32	100			Fee schedule		1979.87	100			Fee schedule		1979.87	100			Fee schedule		1979.87	100			Fee schedule		1979.87		3488.75		Case rate		3488.75		3488.75		Case rate		3488.75	100			Fee schedule		1979.87	1889.99	3488.75	
"Incision and drainage of intramural, intramuscular, or submucosal abscess, transanal, under anesthesia"	46045	CPT	Outpatient			54.38	35.35		90			Percent of total billed charges		48.94	95.46			Fee schedule		54.38	80			Percent of total billed charges		43.5	85			Percent of total billed charges		46.22	100			Fee schedule		2330.13	85			Percent of total billed charges		46.22	100			Fee schedule		54.38	100			Fee schedule		2330.13	100			Fee schedule		2330.13	100			Fee schedule		2330.13		1495		Case rate	Use Lesser of logic	54.38		1495		Case rate	Use Lesser of logic	54.38	100			Fee schedule		2330.13	43.5	2330.13	
"Proctosigmoidoscopy, rigid; with removal of foreign body"	45307	CPT	Outpatient			260	169		90			Percent of total billed charges		234	95.46			Fee schedule		260	80			Percent of total billed charges		208	85			Percent of total billed charges		221	100			Fee schedule		2330.13	85			Percent of total billed charges		221	100			Fee schedule		260	100			Fee schedule		2330.13	100			Fee schedule		2330.13	100			Fee schedule		2330.13		1495		Case rate	Use Lesser of logic	260		1495		Case rate	Use Lesser of logic	260	100			Fee schedule		2330.13	208	2330.13	
"Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group, without imaging guidance"	46945	CPT	Outpatient			325	211.25		90			Percent of total billed charges		292.5	95.46			Fee schedule		325	80			Percent of total billed charges		260	85			Percent of total billed charges		276.25	100			Fee schedule		2330.13	85			Percent of total billed charges		276.25	100			Fee schedule		325	100			Fee schedule		2330.13	100			Fee schedule		2330.13	100			Fee schedule		2330.13		1495		Case rate	Use Lesser of logic	325		1495		Case rate	Use Lesser of logic	325	100			Fee schedule		2330.13	260	2330.13	
Repair of anal fistula with fibrin glue	46706	CPT	Outpatient			400	260		90			Percent of total billed charges		360	95.46			Fee schedule		400	80			Percent of total billed charges		320	85			Percent of total billed charges		340	100			Fee schedule		2330.13	85			Percent of total billed charges		340	100			Fee schedule		400	100			Fee schedule		2330.13	100			Fee schedule		2330.13	100			Fee schedule		2330.13		1495		Case rate	Use Lesser of logic	400		1495		Case rate	Use Lesser of logic	400	100			Fee schedule		2330.13	320	2330.13	
"Proctosigmoidoscopy, rigid; with decompression of volvulus"	45321	CPT	Outpatient			400	260		90			Percent of total billed charges		360	95.46			Fee schedule		400	80			Percent of total billed charges		320	85			Percent of total billed charges		340	100			Fee schedule		2330.13	85			Percent of total billed charges		340	100			Fee schedule		400	100			Fee schedule		2330.13	100			Fee schedule		2330.13	100			Fee schedule		2330.13		1495		Case rate	Use Lesser of logic	400		1495		Case rate	Use Lesser of logic	400	100			Fee schedule		2330.13	320	2330.13	
"Anoscopy; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar cautery"	46610	CPT	Outpatient			425	276.25		90			Percent of total billed charges		382.5	95.46			Fee schedule		425	80			Percent of total billed charges		340	85			Percent of total billed charges		361.25	100			Fee schedule		2330.13	85			Percent of total billed charges		361.25	100			Fee schedule		425	100			Fee schedule		2330.13	100			Fee schedule		2330.13	100			Fee schedule		2330.13		1495		Case rate	Use Lesser of logic	425		1495		Case rate	Use Lesser of logic	425	100			Fee schedule		2330.13	340	2330.13	
Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage	46285	CPT	Outpatient			463.67	301.39		90			Percent of total billed charges		417.3	95.46			Fee schedule		463.67	80			Percent of total billed charges		370.94	85			Percent of total billed charges		394.12	100			Fee schedule		2330.13	85			Percent of total billed charges		394.12	100			Fee schedule		463.67	100			Fee schedule		2330.13	100			Fee schedule		2330.13	100			Fee schedule		2330.13		1495		Case rate	Use Lesser of logic	463.67		1495		Case rate	Use Lesser of logic	463.67	100			Fee schedule		2330.13	370.94	2330.13	
"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; surgical excision"	46922	CPT	Outpatient			485	315.25		90			Percent of total billed charges		436.5	95.46			Fee schedule		485	80			Percent of total billed charges		388	85			Percent of total billed charges		412.25	100			Fee schedule		2330.13	85			Percent of total billed charges		412.25	100			Fee schedule		485	100			Fee schedule		2330.13	100			Fee schedule		2330.13	100			Fee schedule		2330.13		1495		Case rate	Use Lesser of logic	485		1495		Case rate	Use Lesser of logic	485	100			Fee schedule		2330.13	388	2330.13	
Placement of seton	46020	CPT	Outpatient			485	315.25		90			Percent of total billed charges		436.5	95.46			Fee schedule		485	80			Percent of total billed charges		388	85			Percent of total billed charges		412.25	100			Fee schedule		2330.13	85			Percent of total billed charges		412.25	100			Fee schedule		485	100			Fee schedule		2330.13	100			Fee schedule		2330.13	100			Fee schedule		2330.13		1495		Case rate	Use Lesser of logic	485		1495		Case rate	Use Lesser of logic	485	100			Fee schedule		2330.13	388	2330.13	
"Sphincterotomy, anal, division of sphincter (separate procedure)"	46080	CPT	Outpatient			520	338		90			Percent of total billed charges		468	95.46			Fee schedule		520	80			Percent of total billed charges		416	85			Percent of total billed charges		442	100			Fee schedule		2330.13	85			Percent of total billed charges		442	100			Fee schedule		520	100			Fee schedule		2330.13	100			Fee schedule		2330.13	100			Fee schedule		2330.13		1055		Case rate	Use Lesser of logic	520		1055		Case rate	Use Lesser of logic	520	100			Fee schedule		2330.13	416	2330.13	
"Excision of multiple external papillae or tags, anus"	46230	CPT	Outpatient			560	364		90			Percent of total billed charges		504	95.46			Fee schedule		560	80			Percent of total billed charges		448	85			Percent of total billed charges		476	100			Fee schedule		2330.13	85			Percent of total billed charges		476	100			Fee schedule		560	100			Fee schedule		2330.13	100			Fee schedule		2330.13	100			Fee schedule		2330.13		1055		Case rate	Use Lesser of logic	560		1055		Case rate	Use Lesser of logic	560	100			Fee schedule		2330.13	448	2330.13	
"Fissurectomy, including sphincterotomy, when performed"	46200	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	95.46			Fee schedule		605	80			Percent of total billed charges		484	85			Percent of total billed charges		514.25	100			Fee schedule		2330.13	85			Percent of total billed charges		514.25	100			Fee schedule		605	100			Fee schedule		2330.13	100			Fee schedule		2330.13	100			Fee schedule		2330.13		1495		Case rate	Use Lesser of logic	605		1495		Case rate	Use Lesser of logic	605	100			Fee schedule		2330.13	484	2330.13	
"Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging guidance"	46946	CPT	Outpatient			635	412.75		90			Percent of total billed charges		571.5	95.46			Fee schedule		635	80			Percent of total billed charges		508	85			Percent of total billed charges		539.75	100			Fee schedule		2330.13	85			Percent of total billed charges		539.75	100			Fee schedule		635	100			Fee schedule		2330.13	100			Fee schedule		2330.13	100			Fee schedule		2330.13		1495		Case rate	Use Lesser of logic	635		1495		Case rate	Use Lesser of logic	635	100			Fee schedule		2330.13	508	2330.13	
"Biopsy of anorectal wall, anal approach (eg, congenital megacolon)"	45100	CPT	Outpatient			665	432.25		90			Percent of total billed charges		598.5	95.46			Fee schedule		665	80			Percent of total billed charges		532	85			Percent of total billed charges		565.25	100			Fee schedule		2330.13	85			Percent of total billed charges		565.25	100			Fee schedule		665	100			Fee schedule		2330.13	100			Fee schedule		2330.13	100			Fee schedule		2330.13		1055		Case rate	Use Lesser of logic	665		1055		Case rate	Use Lesser of logic	665	100			Fee schedule		2330.13	532	2330.13	
"Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery)"	46924	CPT	Outpatient			675	438.75		90			Percent of total billed charges		607.5	95.46			Fee schedule		675	80			Percent of total billed charges		540	85			Percent of total billed charges		573.75	100			Fee schedule		2330.13	85			Percent of total billed charges		573.75	100			Fee schedule		675	100			Fee schedule		2330.13	100			Fee schedule		2330.13	100			Fee schedule		2330.13		1495		Case rate	Use Lesser of logic	675		1495		Case rate	Use Lesser of logic	675	100			Fee schedule		2330.13	540	2330.13	
Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous	46270	CPT	Outpatient			742	482.3		90			Percent of total billed charges		667.8	95.46			Fee schedule		742	80			Percent of total billed charges		593.6	85			Percent of total billed charges		630.7	100			Fee schedule		2330.13	85			Percent of total billed charges		630.7	100			Fee schedule		742	100			Fee schedule		2330.13	100			Fee schedule		2330.13	100			Fee schedule		2330.13		1495		Case rate	Use Lesser of logic	742		1495		Case rate	Use Lesser of logic	742	100			Fee schedule		2330.13	593.6	2330.13	
"Incision and drainage of deep supralevator, pelvirectal, or retrorectal abscess"	45020	CPT	Outpatient			850	552.5		90			Percent of total billed charges		765	95.46			Fee schedule		850	80			Percent of total billed charges		680	85			Percent of total billed charges		722.5	100			Fee schedule		2330.13	85			Percent of total billed charges		722.5	100			Fee schedule		850	100			Fee schedule		2330.13	100			Fee schedule		2330.13	100			Fee schedule		2330.13		1055		Case rate	Use Lesser of logic	850		1055		Case rate	Use Lesser of logic	850	100			Fee schedule		2330.13	680	2330.13	
Closure of anal fistula with rectal advancement flap	46288	CPT	Outpatient			970	630.5		90			Percent of total billed charges		873	95.46			Fee schedule		970	80			Percent of total billed charges		776	85			Percent of total billed charges		824.5	100			Fee schedule		2330.13	85			Percent of total billed charges		824.5	100			Fee schedule		970	100			Fee schedule		2330.13	100			Fee schedule		2330.13	100			Fee schedule		2330.13		1767		Case rate	Use Lesser of logic	970		1767		Case rate	Use Lesser of logic	970	100			Fee schedule		2330.13	776	2330.13	
"Repair of anorectal fistula with plug (eg, porcine small intestine submucosa [SIS])"	46707	CPT	Outpatient			975	633.75		90			Percent of total billed charges		877.5	95.46			Fee schedule		975	80			Percent of total billed charges		780	85			Percent of total billed charges		828.75	100			Fee schedule		2330.13	85			Percent of total billed charges		828.75	100			Fee schedule		975	100			Fee schedule		2330.13	100			Fee schedule		2330.13	100			Fee schedule		2330.13		1767		Case rate	Use Lesser of logic	975		1767		Case rate	Use Lesser of logic	975	100			Fee schedule		2330.13	780	2330.13	
"Hemorrhoidectomy, internal and external, single column/group; with fistulectomy, including fissurectomy, when performed"	46258	CPT	Outpatient			980	637		90			Percent of total billed charges		882	95.46			Fee schedule		980	80			Percent of total billed charges		784	85			Percent of total billed charges		833	100			Fee schedule		2330.13	85			Percent of total billed charges		833	100			Fee schedule		980	100			Fee schedule		2330.13	100			Fee schedule		2330.13	100			Fee schedule		2330.13		1495		Case rate	Use Lesser of logic	980		1495		Case rate	Use Lesser of logic	980	100			Fee schedule		2330.13	784	2330.13	
"Hemorrhoidectomy, internal and external, single column/group; with fissurectomy"	46257	CPT	Outpatient			1018	661.7		90			Percent of total billed charges		916.2	95.46			Fee schedule		1018	80			Percent of total billed charges		814.4	85			Percent of total billed charges		865.3	100			Fee schedule		2330.13	85			Percent of total billed charges		865.3	100			Fee schedule		1018	100			Fee schedule		2330.13	100			Fee schedule		2330.13	100			Fee schedule		2330.13		1495		Case rate	Use Lesser of logic	1018		1495		Case rate	Use Lesser of logic	1018	100			Fee schedule		2330.13	814.4	2330.13	
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric	46275	CPT	Outpatient			1050	682.5		90			Percent of total billed charges		945	95.46			Fee schedule		1050	80			Percent of total billed charges		840	85			Percent of total billed charges		892.5	100			Fee schedule		2330.13	85			Percent of total billed charges		892.5	100			Fee schedule		1050	100			Fee schedule		2330.13	100			Fee schedule		2330.13	100			Fee schedule		2330.13		1495		Case rate	Use Lesser of logic	1050		1495		Case rate	Use Lesser of logic	1050	100			Fee schedule		2330.13	840	2330.13	
"Colonoscopy, flexible; with endoscopic mucosal resection"	45390	CPT	Outpatient			1083.93	704.56		90			Percent of total billed charges		975.54	95.46			Fee schedule		1083.93	80			Percent of total billed charges		867.14	85			Percent of total billed charges		921.34	100			Fee schedule		2330.13	85			Percent of total billed charges		921.34	100			Fee schedule		1083.93	100			Fee schedule		2330.13	100			Fee schedule		2330.13	100			Fee schedule		2330.13		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		2330.13	867.14	2330.13	
"Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submuscular, with or without placement of seton"	46060	CPT	Outpatient			2371	1541.15		90			Percent of total billed charges		2133.9	95.46			Fee schedule		2224.35	80			Percent of total billed charges		1896.8	85			Percent of total billed charges		2015.35	100			Fee schedule		2330.13	85			Percent of total billed charges		2015.35	100			Fee schedule		2330.13	100			Fee schedule		2330.13	100			Fee schedule		2330.13	100			Fee schedule		2330.13		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		2330.13	1055	2330.13	
"Anorectal exam, surgical, requiring anesthesia (general, spinal, or epidural), diagnostic"	45990	CPT	Outpatient			3603.03	2341.97		90			Percent of total billed charges		3242.73	95.46			Fee schedule		2224.35	80			Percent of total billed charges		2882.42	85			Percent of total billed charges		3062.58	100			Fee schedule		2330.13	85			Percent of total billed charges		3062.58	100			Fee schedule		2330.13	100			Fee schedule		2330.13	100			Fee schedule		2330.13	100			Fee schedule		2330.13		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		2330.13	1055	3242.73	
"Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when performed"	46262	CPT	Outpatient			1220	793		90			Percent of total billed charges		1098	95.46			Fee schedule		1220	80			Percent of total billed charges		976	85			Percent of total billed charges		1037	100			Fee schedule		2330.13	85			Percent of total billed charges		1037	100			Fee schedule		1220	100			Fee schedule		2330.13	100			Fee schedule		2330.13	100			Fee schedule		2330.13		1495		Case rate	Use Lesser of logic	1220		1495		Case rate	Use Lesser of logic	1220	100			Fee schedule		2330.13	976	2330.13	
"Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy"	46261	CPT	Outpatient			1265	822.25		90			Percent of total billed charges		1138.5	95.46			Fee schedule		1265	80			Percent of total billed charges		1012	85			Percent of total billed charges		1075.25	100			Fee schedule		2330.13	85			Percent of total billed charges		1075.25	100			Fee schedule		1265	100			Fee schedule		2330.13	100			Fee schedule		2330.13	100			Fee schedule		2330.13		1495		Case rate	Use Lesser of logic	1265		1495		Case rate	Use Lesser of logic	1265	100			Fee schedule		2330.13	1012	2330.13	
"Excision of rectal tumor, transanal approach; not including muscularis propria (ie, partial thickness)"	45171	CPT	Outpatient			1300	845		90			Percent of total billed charges		1170	95.46			Fee schedule		1300	80			Percent of total billed charges		1040	85			Percent of total billed charges		1105	100			Fee schedule		2330.13	85			Percent of total billed charges		1105	100			Fee schedule		1300	100			Fee schedule		2330.13	100			Fee schedule		2330.13	100			Fee schedule		2330.13		1495		Case rate	Use Lesser of logic	1300		1495		Case rate	Use Lesser of logic	1300	100			Fee schedule		2330.13	1040	2330.13	
"Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or multiple, including placement of seton, when performed"	46280	CPT	Outpatient			4374.26	2843.27		90			Percent of total billed charges		3936.84	95.46			Fee schedule		2224.35	80			Percent of total billed charges		3499.41	85			Percent of total billed charges		3718.12	100			Fee schedule		2330.13	85			Percent of total billed charges		3718.12	100			Fee schedule		2330.13	100			Fee schedule		2330.13	100			Fee schedule		2330.13	100			Fee schedule		2330.13		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2330.13	1495	3936.84	
"Hemorrhoidectomy, external, 2 or more columns/groups"	46250	CPT	Outpatient			4998.43	3248.98		90			Percent of total billed charges		4498.59	95.46			Fee schedule		2224.35	80			Percent of total billed charges		3998.75	85			Percent of total billed charges		4248.67	100			Fee schedule		2330.13	85			Percent of total billed charges		4248.67	100			Fee schedule		2330.13	100			Fee schedule		2330.13	100			Fee schedule		2330.13	100			Fee schedule		2330.13		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2330.13	1495	4498.59	
"Hemorrhoidectomy, internal and external, 2 or more columns/groups"	46260	CPT	Outpatient			4998.82	3249.23		90			Percent of total billed charges		4498.94	95.46			Fee schedule		2224.35	80			Percent of total billed charges		3999.06	85			Percent of total billed charges		4249	100			Fee schedule		2330.13	85			Percent of total billed charges		4249	100			Fee schedule		2330.13	100			Fee schedule		2330.13	100			Fee schedule		2330.13	100			Fee schedule		2330.13		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2330.13	1495	4498.94	
"Hemorrhoidectomy, internal and external, single column/group"	46255	CPT	Outpatient			5060.56	3289.36		90			Percent of total billed charges		4554.5	95.46			Fee schedule		2224.35	80			Percent of total billed charges		4048.45	85			Percent of total billed charges		4301.47	100			Fee schedule		2330.13	85			Percent of total billed charges		4301.47	100			Fee schedule		2330.13	100			Fee schedule		2330.13	100			Fee schedule		2330.13	100			Fee schedule		2330.13		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2330.13	1495	4554.5	
Repair of rectocele (separate procedure)	45560	CPT	Outpatient			3356.81	2181.93		90			Percent of total billed charges		3021.13	95.46			Fee schedule		2224.35	80			Percent of total billed charges		2685.45	85			Percent of total billed charges		2853.29	100			Fee schedule		2330.13	85			Percent of total billed charges		2853.29	100			Fee schedule		2330.13	100			Fee schedule		2330.13	100			Fee schedule		2330.13	100			Fee schedule		2330.13		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2330.13	1767	3021.13	
"Excision of rectal tumor, transanal approach; including muscularis propria (ie, full thickness)"	45172	CPT	Outpatient			5647.5	3670.87		90			Percent of total billed charges		5082.75	95.46			Fee schedule		2224.35	80			Percent of total billed charges		4518	85			Percent of total billed charges		4800.37	100			Fee schedule		2330.13	85			Percent of total billed charges		4800.37	100			Fee schedule		2330.13	100			Fee schedule		2330.13	100			Fee schedule		2330.13	100			Fee schedule		2330.13		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2330.13	1767	5082.75	
"Removal of foreign body, deep, thigh region or knee area"	27372	CPT	Outpatient			302	196.3		90			Percent of total billed charges		271.8	95.46			Fee schedule		302	80			Percent of total billed charges		241.6	85			Percent of total billed charges		256.7	100			Fee schedule		2358.1	85			Percent of total billed charges		256.7	100			Fee schedule		302	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1495		Case rate	Use Lesser of logic	302		1495		Case rate	Use Lesser of logic	302	100			Fee schedule		2358.1	241.6	2358.1	
"Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg, excisional debridement); skin, subcutaneous tissue, muscle fascia, muscle, and bone"	11012	CPT	Outpatient			394.6	256.49		90			Percent of total billed charges		355.14	95.46			Fee schedule		394.6	80			Percent of total billed charges		315.68	85			Percent of total billed charges		335.41	100			Fee schedule		2358.1	85			Percent of total billed charges		335.41	100			Fee schedule		394.6	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		756		Case rate	Use Lesser of logic	394.6		756		Case rate	Use Lesser of logic	394.6	100			Fee schedule		2358.1	315.68	2358.1	
Excision of pilonidal cyst or sinus; simple	11770	CPT	Outpatient			495	321.75		90			Percent of total billed charges		445.5	95.46			Fee schedule		495	80			Percent of total billed charges		396	85			Percent of total billed charges		420.75	100			Fee schedule		2358.1	85			Percent of total billed charges		420.75	100			Fee schedule		495	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1495		Case rate	Use Lesser of logic	495		1495		Case rate	Use Lesser of logic	495	100			Fee schedule		2358.1	396	2358.1	
"Biopsy, soft tissue of forearm and/or wrist; deep (subfascial or intramuscular)"	25066	CPT	Outpatient			565	367.25		90			Percent of total billed charges		508.5	95.46			Fee schedule		565	80			Percent of total billed charges		452	85			Percent of total billed charges		480.25	100			Fee schedule		2358.1	85			Percent of total billed charges		480.25	100			Fee schedule		565	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1495		Case rate	Use Lesser of logic	565		1495		Case rate	Use Lesser of logic	565	100			Fee schedule		2358.1	452	2358.1	
Incision and drainage of vaginal hematoma; obstetrical/postpartum	57022	CPT	Outpatient			580	377		90			Percent of total billed charges		522	95.46			Fee schedule		580	80			Percent of total billed charges		464	85			Percent of total billed charges		493	100			Fee schedule		2358.1	85			Percent of total billed charges		493	100			Fee schedule		580	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1055		Case rate	Use Lesser of logic	580		1055		Case rate	Use Lesser of logic	580	100			Fee schedule		2358.1	464	2358.1	
"Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with simple or intermediate repair"	11470	CPT	Outpatient			590	383.5		90			Percent of total billed charges		531	95.46			Fee schedule		590	80			Percent of total billed charges		472	85			Percent of total billed charges		501.5	100			Fee schedule		2358.1	85			Percent of total billed charges		501.5	100			Fee schedule		590	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1495		Case rate	Use Lesser of logic	590		1495		Case rate	Use Lesser of logic	590	100			Fee schedule		2358.1	472	2358.1	
"Biopsy, muscle; deep"	20205	CPT	Outpatient			600	390		90			Percent of total billed charges		540	95.46			Fee schedule		600	80			Percent of total billed charges		480	85			Percent of total billed charges		510	100			Fee schedule		2358.1	85			Percent of total billed charges		510	100			Fee schedule		600	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1055		Case rate	Use Lesser of logic	600		1055		Case rate	Use Lesser of logic	600	100			Fee schedule		2358.1	480	2358.1	
"Excision of skin and subcutaneous tissue for hidradenitis, axillary; with simple or intermediate repair"	11450	CPT	Outpatient			600	390		90			Percent of total billed charges		540	95.46			Fee schedule		600	80			Percent of total billed charges		480	85			Percent of total billed charges		510	100			Fee schedule		2358.1	85			Percent of total billed charges		510	100			Fee schedule		600	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1495		Case rate	Use Lesser of logic	600		1495		Case rate	Use Lesser of logic	600	100			Fee schedule		2358.1	480	2358.1	
Drainage of lymph node abscess or lymphadenitis; simple	38300	CPT	Outpatient			650	422.5		90			Percent of total billed charges		585	95.46			Fee schedule		650	80			Percent of total billed charges		520	85			Percent of total billed charges		552.5	100			Fee schedule		2358.1	85			Percent of total billed charges		552.5	100			Fee schedule		650	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1055		Case rate	Use Lesser of logic	650		1055		Case rate	Use Lesser of logic	650	100			Fee schedule		2358.1	520	2358.1	
"Excision external ear; partial, simple repair"	69110	CPT	Outpatient			650	422.5		90			Percent of total billed charges		585	95.46			Fee schedule		650	80			Percent of total billed charges		520	85			Percent of total billed charges		552.5	100			Fee schedule		2358.1	85			Percent of total billed charges		552.5	100			Fee schedule		650	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1055		Case rate	Use Lesser of logic	650		1055		Case rate	Use Lesser of logic	650	100			Fee schedule		2358.1	520	2358.1	
"Excision, other benign lesion including margins, except skin tag (unless listed elsewhere), face, ears, eyelids, nose, lips, mucous membrane; excised diameter over 4.0 cm"	11446	CPT	Outpatient			655	425.75		90			Percent of total billed charges		589.5	95.46			Fee schedule		655	80			Percent of total billed charges		524	85			Percent of total billed charges		556.75	100			Fee schedule		2358.1	85			Percent of total billed charges		556.75	100			Fee schedule		655	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1495		Case rate	Use Lesser of logic	655		1495		Case rate	Use Lesser of logic	655	100			Fee schedule		2358.1	524	2358.1	
"Removal of foreign body, pelvis or hip; subcutaneous tissue"	27086	CPT	Outpatient			655	425.75		90			Percent of total billed charges		589.5	95.46			Fee schedule		655	80			Percent of total billed charges		524	85			Percent of total billed charges		556.75	100			Fee schedule		2358.1	85			Percent of total billed charges		556.75	100			Fee schedule		655	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1055		Case rate	Use Lesser of logic	655		1055		Case rate	Use Lesser of logic	655	100			Fee schedule		2358.1	524	2358.1	
"Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding)"	57023	CPT	Outpatient			675	438.75		90			Percent of total billed charges		607.5	95.46			Fee schedule		675	80			Percent of total billed charges		540	85			Percent of total billed charges		573.75	100			Fee schedule		2358.1	85			Percent of total billed charges		573.75	100			Fee schedule		675	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1495		Case rate	Use Lesser of logic	675		1495		Case rate	Use Lesser of logic	675	100			Fee schedule		2358.1	540	2358.1	
"Excision of skin and subcutaneous tissue for hidradenitis, axillary; with complex repair"	11451	CPT	Outpatient			700	455		90			Percent of total billed charges		630	95.46			Fee schedule		700	80			Percent of total billed charges		560	85			Percent of total billed charges		595	100			Fee schedule		2358.1	85			Percent of total billed charges		595	100			Fee schedule		700	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1495		Case rate	Use Lesser of logic	700		1495		Case rate	Use Lesser of logic	700	100			Fee schedule		2358.1	560	2358.1	
Biopsy of penis; deep structures	54105	CPT	Outpatient			725	471.25		90			Percent of total billed charges		652.5	95.46			Fee schedule		725	80			Percent of total billed charges		580	85			Percent of total billed charges		616.25	100			Fee schedule		2358.1	85			Percent of total billed charges		616.25	100			Fee schedule		725	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1495		Case rate	Use Lesser of logic	725		1495		Case rate	Use Lesser of logic	725	100			Fee schedule		2358.1	580	2358.1	
"Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with complex repair"	11463	CPT	Outpatient			725	471.25		90			Percent of total billed charges		652.5	95.46			Fee schedule		725	80			Percent of total billed charges		580	85			Percent of total billed charges		616.25	100			Fee schedule		2358.1	85			Percent of total billed charges		616.25	100			Fee schedule		725	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1495		Case rate	Use Lesser of logic	725		1495		Case rate	Use Lesser of logic	725	100			Fee schedule		2358.1	580	2358.1	
"Removal of foreign body, upper arm or elbow area; deep (subfascial or intramuscular)"	24201	CPT	Outpatient			735	477.75		90			Percent of total billed charges		661.5	95.46			Fee schedule		735	80			Percent of total billed charges		588	85			Percent of total billed charges		624.75	100			Fee schedule		2358.1	85			Percent of total billed charges		624.75	100			Fee schedule		735	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1055		Case rate	Use Lesser of logic	735		1055		Case rate	Use Lesser of logic	735	100			Fee schedule		2358.1	588	2358.1	
"Excision of skin and subcutaneous tissue for hidradenitis, perianal, perineal, or umbilical; with complex repair"	11471	CPT	Outpatient			750	487.5		90			Percent of total billed charges		675	95.46			Fee schedule		750	80			Percent of total billed charges		600	85			Percent of total billed charges		637.5	100			Fee schedule		2358.1	85			Percent of total billed charges		637.5	100			Fee schedule		750	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1495		Case rate	Use Lesser of logic	750		1495		Case rate	Use Lesser of logic	750	100			Fee schedule		2358.1	600	2358.1	
"Incision and drainage, upper arm or elbow area; deep abscess or hematoma"	23930	CPT	Outpatient			755	490.75		90			Percent of total billed charges		679.5	95.46			Fee schedule		755	80			Percent of total billed charges		604	85			Percent of total billed charges		641.75	100			Fee schedule		2358.1	85			Percent of total billed charges		641.75	100			Fee schedule		755	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1495		Case rate	Use Lesser of logic	755		1495		Case rate	Use Lesser of logic	755	100			Fee schedule		2358.1	604	2358.1	
"Dermabrasion; regional, other than face"	15782	CPT	Outpatient			970	630.5		90			Percent of total billed charges		873	95.46			Fee schedule		970	80			Percent of total billed charges		776	85			Percent of total billed charges		824.5	100			Fee schedule		2358.1	85			Percent of total billed charges		824.5	100			Fee schedule		970	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		756		Case rate		756		756		Case rate		756	100			Fee schedule		2358.1	756	2358.1	
"Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater"	21014	CPT	Outpatient			1450	942.5		90			Percent of total billed charges		1305	95.46			Fee schedule		1450	80			Percent of total billed charges		1160	85			Percent of total billed charges		1232.5	100			Fee schedule		2358.1	85			Percent of total billed charges		1232.5	100			Fee schedule		1450	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		756		Case rate		756		756		Case rate		756	100			Fee schedule		2358.1	756	2358.1	
Removal of tissue expander without insertion of implant	11971	CPT	Outpatient			807	524.55		90			Percent of total billed charges		726.3	95.46			Fee schedule		807	80			Percent of total billed charges		645.6	85			Percent of total billed charges		685.95	100			Fee schedule		2358.1	85			Percent of total billed charges		685.95	100			Fee schedule		807	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1495		Case rate	Use Lesser of logic	807		1495		Case rate	Use Lesser of logic	807	100			Fee schedule		2358.1	645.6	2358.1	
"Biopsy, soft tissue of thigh or knee area; deep (subfascial or intramuscular)"	27324	CPT	Outpatient			940	611		90			Percent of total billed charges		846	95.46			Fee schedule		940	80			Percent of total billed charges		752	85			Percent of total billed charges		799	100			Fee schedule		2358.1	85			Percent of total billed charges		799	100			Fee schedule		940	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1495		Case rate	Use Lesser of logic	940		1495		Case rate	Use Lesser of logic	940	100			Fee schedule		2358.1	752	2358.1	
Drainage of perivesical or prevesical space abscess	51080	CPT	Outpatient			945	614.25		90			Percent of total billed charges		850.5	95.46			Fee schedule		945	80			Percent of total billed charges		756	85			Percent of total billed charges		803.25	100			Fee schedule		2358.1	85			Percent of total billed charges		803.25	100			Fee schedule		945	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1055		Case rate	Use Lesser of logic	945		1055		Case rate	Use Lesser of logic	945	100			Fee schedule		2358.1	756	2358.1	
"Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); less than 5 cm"	22900	CPT	Outpatient			950	617.5		90			Percent of total billed charges		855	95.46			Fee schedule		950	80			Percent of total billed charges		760	85			Percent of total billed charges		807.5	100			Fee schedule		2358.1	85			Percent of total billed charges		807.5	100			Fee schedule		950	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1495		Case rate	Use Lesser of logic	950		1495		Case rate	Use Lesser of logic	950	100			Fee schedule		2358.1	760	2358.1	
"Incision and drainage, shoulder area; deep abscess or hematoma"	23030	CPT	Outpatient			955	620.75		90			Percent of total billed charges		859.5	95.46			Fee schedule		955	80			Percent of total billed charges		764	85			Percent of total billed charges		811.75	100			Fee schedule		2358.1	85			Percent of total billed charges		811.75	100			Fee schedule		955	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1495		Case rate	Use Lesser of logic	955		1495		Case rate	Use Lesser of logic	955	100			Fee schedule		2358.1	764	2358.1	
"Excision, tumor, soft tissue of foot or toe, subfascial (eg, intramuscular); less than 1.5 cm"	28045	CPT	Outpatient			1088	707.2		90			Percent of total billed charges		979.2	95.46			Fee schedule		1088	80			Percent of total billed charges		870.4	85			Percent of total billed charges		924.8	100			Fee schedule		2358.1	85			Percent of total billed charges		924.8	100			Fee schedule		1088	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		2358.1	870.4	2358.1	
"Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); less than 5 cm"	27048	CPT	Outpatient			1135	737.75		90			Percent of total billed charges		1021.5	95.46			Fee schedule		1135	80			Percent of total billed charges		908	85			Percent of total billed charges		964.75	100			Fee schedule		2358.1	85			Percent of total billed charges		964.75	100			Fee schedule		1135	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		2358.1	908	2358.1	
"Excision, tumor, soft tissue of upper arm or elbow area, subfascial (eg, intramuscular); less than 5 cm"	24076	CPT	Outpatient			1143.85	743.5		90			Percent of total billed charges		1029.47	95.46			Fee schedule		1143.85	80			Percent of total billed charges		915.08	85			Percent of total billed charges		972.27	100			Fee schedule		2358.1	85			Percent of total billed charges		972.27	100			Fee schedule		1143.85	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		2358.1	915.08	2358.1	
"Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; less than 2 cm"	21015	CPT	Outpatient			1245	809.25		90			Percent of total billed charges		1120.5	95.46			Fee schedule		1245	80			Percent of total billed charges		996	85			Percent of total billed charges		1058.25	100			Fee schedule		2358.1	85			Percent of total billed charges		1058.25	100			Fee schedule		1245	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		2358.1	996	2358.1	
"Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); less than 5 cm"	27328	CPT	Outpatient			1250	812.5		90			Percent of total billed charges		1125	95.46			Fee schedule		1250	80			Percent of total billed charges		1000	85			Percent of total billed charges		1062.5	100			Fee schedule		2358.1	85			Percent of total billed charges		1062.5	100			Fee schedule		1250	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		2358.1	1000	2358.1	
"Biopsy, soft tissue of upper arm or elbow area; deep (subfascial or intramuscular)"	24066	CPT	Outpatient			1305	848.25		90			Percent of total billed charges		1174.5	95.46			Fee schedule		1305	80			Percent of total billed charges		1044	85			Percent of total billed charges		1109.25	100			Fee schedule		2358.1	85			Percent of total billed charges		1109.25	100			Fee schedule		1305	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		2358.1	1044	2358.1	
"Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; less than 3 cm"	27047	CPT	Outpatient			1425	926.25		90			Percent of total billed charges		1282.5	95.46			Fee schedule		1425	80			Percent of total billed charges		1140	85			Percent of total billed charges		1211.25	100			Fee schedule		2358.1	85			Percent of total billed charges		1211.25	100			Fee schedule		1425	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		2358.1	1055	2358.1	
"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); less than 5 cm"	27619	CPT	Outpatient			1485	965.25		90			Percent of total billed charges		1336.5	95.46			Fee schedule		1485	80			Percent of total billed charges		1188	85			Percent of total billed charges		1262.25	100			Fee schedule		2358.1	85			Percent of total billed charges		1262.25	100			Fee schedule		1485	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		2358.1	1055	2358.1	
"Excision, tumor, soft tissue of shoulder area, subfascial (eg, intramuscular); less than 5 cm"	23076	CPT	Outpatient			1500	975		90			Percent of total billed charges		1350	95.46			Fee schedule		1500	80			Percent of total billed charges		1200	85			Percent of total billed charges		1275	100			Fee schedule		2358.1	85			Percent of total billed charges		1275	100			Fee schedule		1500	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		2358.1	1055	2358.1	
"Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm"	21557	CPT	Outpatient			1610	1046.5		90			Percent of total billed charges		1449	95.46			Fee schedule		1610	80			Percent of total billed charges		1288	85			Percent of total billed charges		1368.5	100			Fee schedule		2358.1	85			Percent of total billed charges		1368.5	100			Fee schedule		1610	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		2358.1	1055	2358.1	
"Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); less than 5 cm"	21932	CPT	Outpatient			1710	1111.5		90			Percent of total billed charges		1539	95.46			Fee schedule		1710	80			Percent of total billed charges		1368	85			Percent of total billed charges		1453.5	100			Fee schedule		2358.1	85			Percent of total billed charges		1453.5	100			Fee schedule		1710	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		2358.1	1055	2358.1	
"Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; less than 5 cm"	24077	CPT	Outpatient			1900	1235		90			Percent of total billed charges		1710	95.46			Fee schedule		1900	80			Percent of total billed charges		1520	85			Percent of total billed charges		1615	100			Fee schedule		2358.1	85			Percent of total billed charges		1615	100			Fee schedule		1900	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		2358.1	1055	2358.1	
"Radical resection of tumor (eg, sarcoma), soft tissue of thigh or knee area; less than 5 cm"	27329	CPT	Outpatient			2215	1439.75		90			Percent of total billed charges		1993.5	95.46			Fee schedule		2215	80			Percent of total billed charges		1772	85			Percent of total billed charges		1882.75	100			Fee schedule		2358.1	85			Percent of total billed charges		1882.75	100			Fee schedule		2215	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		2358.1	1055	2358.1	
"Excision, excessive skin and subcutaneous tissue (includes lipectomy); arm"	15836	CPT	Outpatient			2233.83	1451.99		90			Percent of total billed charges		2010.45	95.46			Fee schedule		2233.83	80			Percent of total billed charges		1787.07	85			Percent of total billed charges		1898.76	100			Fee schedule		2358.1	85			Percent of total billed charges		1898.76	100			Fee schedule		2233.83	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		2358.1	1055	2358.1	
"Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; less than 5 cm"	21935	CPT	Outpatient			2300	1495		90			Percent of total billed charges		2070	95.46			Fee schedule		2251.04	80			Percent of total billed charges		1840	85			Percent of total billed charges		1955	100			Fee schedule		2358.1	85			Percent of total billed charges		1955	100			Fee schedule		2300	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		2358.1	1055	2358.1	
"Radical resection of tumor (eg, sarcoma), soft tissue of shoulder area; less than 5 cm"	23077	CPT	Outpatient			2335	1517.75		90			Percent of total billed charges		2101.5	95.46			Fee schedule		2251.04	80			Percent of total billed charges		1868	85			Percent of total billed charges		1984.75	100			Fee schedule		2358.1	85			Percent of total billed charges		1984.75	100			Fee schedule		2335	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		2358.1	1055	2358.1	
Diagnostic bone marrow; biopsy(ies) and aspiration(s)	38222	CPT	Outpatient			2609.5	1696.18		90			Percent of total billed charges		2348.55	95.46			Fee schedule		2251.04	80			Percent of total billed charges		2087.6	85			Percent of total billed charges		2218.08	100			Fee schedule		2358.1	85			Percent of total billed charges		2218.08	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		2358.1	1055	2358.1	
"Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; less than 5 cm"	27615	CPT	Outpatient			2690	1748.5		90			Percent of total billed charges		2421	95.46			Fee schedule		2251.04	80			Percent of total billed charges		2152	85			Percent of total billed charges		2286.5	100			Fee schedule		2358.1	85			Percent of total billed charges		2286.5	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		2358.1	1055	2421	
"Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area"	15839	CPT	Outpatient			5198.94	3379.31		90			Percent of total billed charges		4679.04	95.46			Fee schedule		2251.04	80			Percent of total billed charges		4159.15	85			Percent of total billed charges		4419.1	100			Fee schedule		2358.1	85			Percent of total billed charges		4419.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		2358.1	1055	4679.04	
"Excision, tumor, soft tissue of thigh or knee area, subcutaneous; 3 cm or greater"	27337	CPT	Outpatient			1125	731.25		90			Percent of total billed charges		1012.5	95.46			Fee schedule		1125	80			Percent of total billed charges		900	85			Percent of total billed charges		956.25	100			Fee schedule		2358.1	85			Percent of total billed charges		956.25	100			Fee schedule		1125	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1495		Case rate	Use Lesser of logic	1125		1495		Case rate	Use Lesser of logic	1125	100			Fee schedule		2358.1	900	2358.1	
"Excision, tumor, soft tissue of foot or toe, subfascial (eg, intramuscular); 1.5 cm or greater"	28041	CPT	Outpatient			1140	741		90			Percent of total billed charges		1026	95.46			Fee schedule		1140	80			Percent of total billed charges		912	85			Percent of total billed charges		969	100			Fee schedule		2358.1	85			Percent of total billed charges		969	100			Fee schedule		1140	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1495		Case rate	Use Lesser of logic	1140		1495		Case rate	Use Lesser of logic	1140	100			Fee schedule		2358.1	912	2358.1	
"Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater"	28039	CPT	Outpatient			1150	747.5		90			Percent of total billed charges		1035	95.46			Fee schedule		1150	80			Percent of total billed charges		920	85			Percent of total billed charges		977.5	100			Fee schedule		2358.1	85			Percent of total billed charges		977.5	100			Fee schedule		1150	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1495		Case rate	Use Lesser of logic	1150		1495		Case rate	Use Lesser of logic	1150	100			Fee schedule		2358.1	920	2358.1	
"Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater"	27043	CPT	Outpatient			1190	773.5		90			Percent of total billed charges		1071	95.46			Fee schedule		1190	80			Percent of total billed charges		952	85			Percent of total billed charges		1011.5	100			Fee schedule		2358.1	85			Percent of total billed charges		1011.5	100			Fee schedule		1190	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1495		Case rate	Use Lesser of logic	1190		1495		Case rate	Use Lesser of logic	1190	100			Fee schedule		2358.1	952	2358.1	
"Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater"	22903	CPT	Outpatient			1200	780		90			Percent of total billed charges		1080	95.46			Fee schedule		1200	80			Percent of total billed charges		960	85			Percent of total billed charges		1020	100			Fee schedule		2358.1	85			Percent of total billed charges		1020	100			Fee schedule		1200	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1495		Case rate	Use Lesser of logic	1200		1495		Case rate	Use Lesser of logic	1200	100			Fee schedule		2358.1	960	2358.1	
"Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater"	27632	CPT	Outpatient			1200	780		90			Percent of total billed charges		1080	95.46			Fee schedule		1200	80			Percent of total billed charges		960	85			Percent of total billed charges		1020	100			Fee schedule		2358.1	85			Percent of total billed charges		1020	100			Fee schedule		1200	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1495		Case rate	Use Lesser of logic	1200		1495		Case rate	Use Lesser of logic	1200	100			Fee schedule		2358.1	960	2358.1	
"Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater"	21552	CPT	Outpatient			1225	796.25		90			Percent of total billed charges		1102.5	95.46			Fee schedule		1225	80			Percent of total billed charges		980	85			Percent of total billed charges		1041.25	100			Fee schedule		2358.1	85			Percent of total billed charges		1041.25	100			Fee schedule		1225	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1495		Case rate	Use Lesser of logic	1225		1495		Case rate	Use Lesser of logic	1225	100			Fee schedule		2358.1	980	2358.1	
"Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater"	25073	CPT	Outpatient			1335	867.75		90			Percent of total billed charges		1201.5	95.46			Fee schedule		1335	80			Percent of total billed charges		1068	85			Percent of total billed charges		1134.75	100			Fee schedule		2358.1	85			Percent of total billed charges		1134.75	100			Fee schedule		1335	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1495		Case rate	Use Lesser of logic	1335		1495		Case rate	Use Lesser of logic	1335	100			Fee schedule		2358.1	1068	2358.1	
"Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater"	21933	CPT	Outpatient			1370.18	890.62		90			Percent of total billed charges		1233.16	95.46			Fee schedule		1370.18	80			Percent of total billed charges		1096.14	85			Percent of total billed charges		1164.65	100			Fee schedule		2358.1	85			Percent of total billed charges		1164.65	100			Fee schedule		1370.18	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1495		Case rate	Use Lesser of logic	1370.18		1495		Case rate	Use Lesser of logic	1370.18	100			Fee schedule		2358.1	1096.14	2358.1	
"Biopsy, bone, open; deep (eg, humeral shaft, ischium, femoral shaft)"	20245	CPT	Outpatient			1450	942.5		90			Percent of total billed charges		1305	95.46			Fee schedule		1450	80			Percent of total billed charges		1160	85			Percent of total billed charges		1232.5	100			Fee schedule		2358.1	85			Percent of total billed charges		1232.5	100			Fee schedule		1450	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1495		Case rate	Use Lesser of logic	1450		1495		Case rate	Use Lesser of logic	1450	100			Fee schedule		2358.1	1160	2358.1	
"Incision and drainage, leg or ankle; deep abscess or hematoma"	27603	CPT	Outpatient			1656	1076.4		90			Percent of total billed charges		1490.4	95.46			Fee schedule		1656	80			Percent of total billed charges		1324.8	85			Percent of total billed charges		1407.6	100			Fee schedule		2358.1	85			Percent of total billed charges		1407.6	100			Fee schedule		1656	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2358.1	1324.8	2358.1	
"Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); 5 cm or greater"	27634	CPT	Outpatient			1710	1111.5		90			Percent of total billed charges		1539	95.46			Fee schedule		1710	80			Percent of total billed charges		1368	85			Percent of total billed charges		1453.5	100			Fee schedule		2358.1	85			Percent of total billed charges		1453.5	100			Fee schedule		1710	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2358.1	1368	2358.1	
"Excision, tumor, soft tissue of upper arm or elbow area, subfascial (eg, intramuscular); 5 cm or greater"	24073	CPT	Outpatient			1810	1176.5		90			Percent of total billed charges		1629	95.46			Fee schedule		1810	80			Percent of total billed charges		1448	85			Percent of total billed charges		1538.5	100			Fee schedule		2358.1	85			Percent of total billed charges		1538.5	100			Fee schedule		1810	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2358.1	1448	2358.1	
"Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater"	22901	CPT	Outpatient			1825	1186.25		90			Percent of total billed charges		1642.5	95.46			Fee schedule		1825	80			Percent of total billed charges		1460	85			Percent of total billed charges		1551.25	100			Fee schedule		2358.1	85			Percent of total billed charges		1551.25	100			Fee schedule		1825	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2358.1	1460	2358.1	
"Excision, tumor, soft tissue of shoulder area, subfascial (eg, intramuscular); 5 cm or greater"	23073	CPT	Outpatient			1850	1202.5		90			Percent of total billed charges		1665	95.46			Fee schedule		1850	80			Percent of total billed charges		1480	85			Percent of total billed charges		1572.5	100			Fee schedule		2358.1	85			Percent of total billed charges		1572.5	100			Fee schedule		1850	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2358.1	1480	2358.1	
"Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter over 4.0 cm"	11646	CPT	Outpatient			1880.22	1222.14		90			Percent of total billed charges		1692.2	95.46			Fee schedule		1880.22	80			Percent of total billed charges		1504.17	85			Percent of total billed charges		1598.18	100			Fee schedule		2358.1	85			Percent of total billed charges		1598.18	100			Fee schedule		1880.22	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2358.1	1495	2358.1	
"Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); 5 cm or greater"	27339	CPT	Outpatient			2025	1316.25		90			Percent of total billed charges		1822.5	95.46			Fee schedule		2025	80			Percent of total billed charges		1620	85			Percent of total billed charges		1721.25	100			Fee schedule		2358.1	85			Percent of total billed charges		1721.25	100			Fee schedule		2025	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2358.1	1495	2358.1	
Removal of foreign body in muscle or tendon sheath; deep or complicated	20525	CPT	Outpatient			2310	1501.5		90			Percent of total billed charges		2079	95.46			Fee schedule		2251.04	80			Percent of total billed charges		1848	85			Percent of total billed charges		1963.5	100			Fee schedule		2358.1	85			Percent of total billed charges		1963.5	100			Fee schedule		2310	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2358.1	1495	2358.1	
"Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater"	27045	CPT	Outpatient			2316.65	1505.82		90			Percent of total billed charges		2084.99	95.46			Fee schedule		2251.04	80			Percent of total billed charges		1853.32	85			Percent of total billed charges		1969.15	100			Fee schedule		2358.1	85			Percent of total billed charges		1969.15	100			Fee schedule		2316.65	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2358.1	1495	2358.1	
"Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; 3 cm or greater"	28047	CPT	Outpatient			2430	1579.5		90			Percent of total billed charges		2187	95.46			Fee schedule		2251.04	80			Percent of total billed charges		1944	85			Percent of total billed charges		2065.5	100			Fee schedule		2358.1	85			Percent of total billed charges		2065.5	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2358.1	1495	2358.1	
"Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; 2 cm or greater"	21016	CPT	Outpatient			2645	1719.25		90			Percent of total billed charges		2380.5	95.46			Fee schedule		2251.04	80			Percent of total billed charges		2116	85			Percent of total billed charges		2248.25	100			Fee schedule		2358.1	85			Percent of total billed charges		2248.25	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2358.1	1495	2380.5	
"Radical resection of tumor (eg, sarcoma), soft tissue of hand or finger; 3 cm or greater"	26118	CPT	Outpatient			2680	1742		90			Percent of total billed charges		2412	95.46			Fee schedule		2251.04	80			Percent of total billed charges		2144	85			Percent of total billed charges		2278	100			Fee schedule		2358.1	85			Percent of total billed charges		2278	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2358.1	1495	2412	
"Radical resection of tumor (eg, sarcoma), soft tissue of forearm and/or wrist area; 3 cm or greater"	25078	CPT	Outpatient			2875	1868.75		90			Percent of total billed charges		2587.5	95.46			Fee schedule		2251.04	80			Percent of total billed charges		2300	85			Percent of total billed charges		2443.75	100			Fee schedule		2358.1	85			Percent of total billed charges		2443.75	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2358.1	1495	2587.5	
"Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; 5 cm or greater"	27616	CPT	Outpatient			3265	2122.25		90			Percent of total billed charges		2938.5	95.46			Fee schedule		2251.04	80			Percent of total billed charges		2612	85			Percent of total billed charges		2775.25	100			Fee schedule		2358.1	85			Percent of total billed charges		2775.25	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2358.1	1495	2938.5	
"Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; 5 cm or greater"	24079	CPT	Outpatient			3295	2141.75		90			Percent of total billed charges		2965.5	95.46			Fee schedule		2251.04	80			Percent of total billed charges		2636	85			Percent of total billed charges		2800.75	100			Fee schedule		2358.1	85			Percent of total billed charges		2800.75	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2358.1	1495	2965.5	
"Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; 5 cm or greater"	21558	CPT	Outpatient			3520	2288		90			Percent of total billed charges		3168	95.46			Fee schedule		2251.04	80			Percent of total billed charges		2816	85			Percent of total billed charges		2992	100			Fee schedule		2358.1	85			Percent of total billed charges		2992	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2358.1	1495	3168	
"Radical resection of tumor (eg, sarcoma), soft tissue of shoulder area; 5 cm or greater"	23078	CPT	Outpatient			3575	2323.75		90			Percent of total billed charges		3217.5	95.46			Fee schedule		2251.04	80			Percent of total billed charges		2860	85			Percent of total billed charges		3038.75	100			Fee schedule		2358.1	85			Percent of total billed charges		3038.75	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2358.1	1495	3217.5	
"Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; 5 cm or greater"	22905	CPT	Outpatient			3585	2330.25		90			Percent of total billed charges		3226.5	95.46			Fee schedule		2251.04	80			Percent of total billed charges		2868	85			Percent of total billed charges		3047.25	100			Fee schedule		2358.1	85			Percent of total billed charges		3047.25	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2358.1	1495	3226.5	
"Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater"	21936	CPT	Outpatient			3665	2382.25		90			Percent of total billed charges		3298.5	95.46			Fee schedule		2251.04	80			Percent of total billed charges		2932	85			Percent of total billed charges		3115.25	100			Fee schedule		2358.1	85			Percent of total billed charges		3115.25	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2358.1	1495	3298.5	
"Incision and drainage, deep abscess, bursa, or hematoma, thigh or knee region"	27301	CPT	Outpatient			3781.68	2458.09		90			Percent of total billed charges		3403.51	95.46			Fee schedule		2251.04	80			Percent of total billed charges		3025.34	85			Percent of total billed charges		3214.42	100			Fee schedule		2358.1	85			Percent of total billed charges		3214.42	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2358.1	1495	3403.51	
"Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm"	11426	CPT	Outpatient			4149.15	2696.95		90			Percent of total billed charges		3734.24	95.46			Fee schedule		2251.04	80			Percent of total billed charges		3319.32	85			Percent of total billed charges		3526.78	100			Fee schedule		2358.1	85			Percent of total billed charges		3526.78	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2358.1	1495	3734.24	
"Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh"	15832	CPT	Outpatient			4150	2697.5		90			Percent of total billed charges		3735	95.46			Fee schedule		2251.04	80			Percent of total billed charges		3320	85			Percent of total billed charges		3527.5	100			Fee schedule		2358.1	85			Percent of total billed charges		3527.5	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2358.1	1495	3735	
"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); less than 5 cm"	21556	CPT	Outpatient			4192.69	2725.25		90			Percent of total billed charges		3773.42	95.46			Fee schedule		2251.04	80			Percent of total billed charges		3354.15	85			Percent of total billed charges		3563.78	100			Fee schedule		2358.1	85			Percent of total billed charges		3563.78	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2358.1	1495	3773.42	
"Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia; excised diameter over 4.0 cm"	11626	CPT	Outpatient			4359.35	2833.58		90			Percent of total billed charges		3923.42	95.46			Fee schedule		2251.04	80			Percent of total billed charges		3487.48	85			Percent of total billed charges		3705.45	100			Fee schedule		2358.1	85			Percent of total billed charges		3705.45	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2358.1	1495	3923.42	
"Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); 5 cm or greater"	21554	CPT	Outpatient			4859.9	3158.94		90			Percent of total billed charges		4373.91	95.46			Fee schedule		2251.04	80			Percent of total billed charges		3887.92	85			Percent of total billed charges		4130.92	100			Fee schedule		2358.1	85			Percent of total billed charges		4130.92	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2358.1	1495	4373.91	
"Incision and drainage, deep abscess or hematoma, soft tissues of neck or thorax"	21501	CPT	Outpatient			4861.65	3160.07		90			Percent of total billed charges		4375.49	95.46			Fee schedule		2251.04	80			Percent of total billed charges		3889.32	85			Percent of total billed charges		4132.4	100			Fee schedule		2358.1	85			Percent of total billed charges		4132.4	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2358.1	1495	4375.49	
"Removal of implant; deep (eg, buried wire, pin, screw, metal band, nail, rod or plate)"	20680	CPT	Outpatient			5011.03	3257.17		90			Percent of total billed charges		4509.93	95.46			Fee schedule		2251.04	80			Percent of total billed charges		4008.83	85			Percent of total billed charges		4259.38	100			Fee schedule		2358.1	85			Percent of total billed charges		4259.38	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2358.1	1495	4509.93	
"Incision and drainage, complex, postoperative wound infection"	10180	CPT	Outpatient			5031	3270.15		90			Percent of total billed charges		4527.9	95.46			Fee schedule		2251.04	80			Percent of total billed charges		4024.8	85			Percent of total billed charges		4276.35	100			Fee schedule		2358.1	85			Percent of total billed charges		4276.35	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2358.1	1495	4527.9	
"Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; 3 cm or greater"	24071	CPT	Outpatient			5097.47	3313.35		90			Percent of total billed charges		4587.72	95.46			Fee schedule		2251.04	80			Percent of total billed charges		4077.97	85			Percent of total billed charges		4332.85	100			Fee schedule		2358.1	85			Percent of total billed charges		4332.85	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2358.1	1495	4587.72	
"Biopsy, bone, open; superficial (eg, sternum, spinous process, rib, patella, olecranon process, calcaneus, tarsal, metatarsal, carpal, metacarpal, phalanx)"	20240	CPT	Outpatient			5898	3833.7		90			Percent of total billed charges		5308.2	95.46			Fee schedule		2251.04	80			Percent of total billed charges		4718.4	85			Percent of total billed charges		5013.3	100			Fee schedule		2358.1	85			Percent of total billed charges		5013.3	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2358.1	1495	5308.2	
Excision of pilonidal cyst or sinus; extensive	11771	CPT	Outpatient			7075.83	4599.29		90			Percent of total billed charges		6368.24	95.46			Fee schedule		2251.04	80			Percent of total billed charges		5660.66	85			Percent of total billed charges		6014.45	100			Fee schedule		2358.1	85			Percent of total billed charges		6014.45	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2358.1	1495	6368.24	
Excision of pilonidal cyst or sinus; complicated	11772	CPT	Outpatient			8952.51	5819.13		90			Percent of total billed charges		8057.26	95.46			Fee schedule		2251.04	80			Percent of total billed charges		7162.01	85			Percent of total billed charges		7609.63	100			Fee schedule		2358.1	85			Percent of total billed charges		7609.63	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1	100			Fee schedule		2358.1		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2358.1	1495	8057.26	
"Dilation of cervical canal, instrumental (separate procedure)"	57800	CPT	Outpatient			285	185.25		90			Percent of total billed charges		256.5	95.46			Fee schedule		285	80			Percent of total billed charges		228	85			Percent of total billed charges		242.25	100			Fee schedule		2594.51	85			Percent of total billed charges		242.25	100			Fee schedule		285	100			Fee schedule		2594.51	100			Fee schedule		2594.51	100			Fee schedule		2594.51		1495		Case rate	Use Lesser of logic	285		1495		Case rate	Use Lesser of logic	285	100			Fee schedule		2594.51	228	2594.51	
"Biopsy of vaginal mucosa; extensive, requiring suture (including cysts)"	57105	CPT	Outpatient			305	198.25		90			Percent of total billed charges		274.5	95.46			Fee schedule		305	80			Percent of total billed charges		244	85			Percent of total billed charges		259.25	100			Fee schedule		2594.51	85			Percent of total billed charges		259.25	100			Fee schedule		305	100			Fee schedule		2594.51	100			Fee schedule		2594.51	100			Fee schedule		2594.51		1495		Case rate	Use Lesser of logic	305		1495		Case rate	Use Lesser of logic	305	100			Fee schedule		2594.51	244	2594.51	
Delivery of placenta (separate procedure)	59414	CPT	Outpatient			345	224.25		90			Percent of total billed charges		310.5	95.46			Fee schedule		345	80			Percent of total billed charges		276	85			Percent of total billed charges		293.25	100			Fee schedule		2594.51	85			Percent of total billed charges		293.25	100			Fee schedule		345	100			Fee schedule		2594.51	100			Fee schedule		2594.51	100			Fee schedule		2594.51		1495		Case rate	Use Lesser of logic	345		1495		Case rate	Use Lesser of logic	345	100			Fee schedule		2594.51	276	2594.51	
"Episiotomy or vaginal repair, by other than attending"	59300	CPT	Outpatient			350	227.5		90			Percent of total billed charges		315	95.46			Fee schedule		350	80			Percent of total billed charges		280	85			Percent of total billed charges		297.5	100			Fee schedule		2594.51	85			Percent of total billed charges		297.5	100			Fee schedule		350	100			Fee schedule		2594.51	100			Fee schedule		2594.51	100			Fee schedule		2594.51		1495		Case rate	Use Lesser of logic	350		1495		Case rate	Use Lesser of logic	350	100			Fee schedule		2594.51	280	2594.51	
Lysis of labial adhesions	56441	CPT	Outpatient			350	227.5		90			Percent of total billed charges		315	95.46			Fee schedule		350	80			Percent of total billed charges		280	85			Percent of total billed charges		297.5	100			Fee schedule		2594.51	85			Percent of total billed charges		297.5	100			Fee schedule		350	100			Fee schedule		2594.51	100			Fee schedule		2594.51	100			Fee schedule		2594.51		1495		Case rate	Use Lesser of logic	350		1495		Case rate	Use Lesser of logic	350	100			Fee schedule		2594.51	280	2594.51	
Pelvic examination under anesthesia (other than local)	57410	CPT	Outpatient			350	227.5		90			Percent of total billed charges		315	95.46			Fee schedule		350	80			Percent of total billed charges		280	85			Percent of total billed charges		297.5	100			Fee schedule		2594.51	85			Percent of total billed charges		297.5	100			Fee schedule		350	100			Fee schedule		2594.51	100			Fee schedule		2594.51	100			Fee schedule		2594.51		1495		Case rate	Use Lesser of logic	350		1495		Case rate	Use Lesser of logic	350	100			Fee schedule		2594.51	280	2594.51	
"Destruction of vaginal lesion(s); simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery)"	57061	CPT	Outpatient			365	237.25		90			Percent of total billed charges		328.5	95.46			Fee schedule		365	80			Percent of total billed charges		292	85			Percent of total billed charges		310.25	100			Fee schedule		2594.51	85			Percent of total billed charges		310.25	100			Fee schedule		365	100			Fee schedule		2594.51	100			Fee schedule		2594.51	100			Fee schedule		2594.51		1495		Case rate	Use Lesser of logic	365		1495		Case rate	Use Lesser of logic	365	100			Fee schedule		2594.51	292	2594.51	
Cautery of cervix; electro or thermal	57510	CPT	Outpatient			500	325		90			Percent of total billed charges		450	95.46			Fee schedule		500	80			Percent of total billed charges		400	85			Percent of total billed charges		425	100			Fee schedule		2594.51	85			Percent of total billed charges		425	100			Fee schedule		500	100			Fee schedule		2594.51	100			Fee schedule		2594.51	100			Fee schedule		2594.51		1495		Case rate	Use Lesser of logic	500		1495		Case rate	Use Lesser of logic	500	100			Fee schedule		2594.51	400	2594.51	
"Cerclage of uterine cervix, nonobstetrical"	57700	CPT	Outpatient			500	325		90			Percent of total billed charges		450	95.46			Fee schedule		500	80			Percent of total billed charges		400	85			Percent of total billed charges		425	100			Fee schedule		2594.51	85			Percent of total billed charges		425	100			Fee schedule		500	100			Fee schedule		2594.51	100			Fee schedule		2594.51	100			Fee schedule		2594.51		1495		Case rate	Use Lesser of logic	500		1495		Case rate	Use Lesser of logic	500	100			Fee schedule		2594.51	400	2594.51	
Removal of cerclage suture under anesthesia (other than local)	59871	CPT	Outpatient			500	325		90			Percent of total billed charges		450	95.46			Fee schedule		500	80			Percent of total billed charges		400	85			Percent of total billed charges		425	100			Fee schedule		2594.51	85			Percent of total billed charges		425	100			Fee schedule		500	100			Fee schedule		2594.51	100			Fee schedule		2594.51	100			Fee schedule		2594.51		1495		Case rate	Use Lesser of logic	500		1495		Case rate	Use Lesser of logic	500	100			Fee schedule		2594.51	400	2594.51	
Partial hymenectomy or revision of hymenal ring	56700	CPT	Outpatient			527	342.55		90			Percent of total billed charges		474.3	95.46			Fee schedule		527	80			Percent of total billed charges		421.6	85			Percent of total billed charges		447.95	100			Fee schedule		2594.51	85			Percent of total billed charges		447.95	100			Fee schedule		527	100			Fee schedule		2594.51	100			Fee schedule		2594.51	100			Fee schedule		2594.51		1495		Case rate	Use Lesser of logic	527		1495		Case rate	Use Lesser of logic	527	100			Fee schedule		2594.51	421.6	2594.51	
"Destruction of vaginal lesion(s); extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery)"	57065	CPT	Outpatient			550	357.5		90			Percent of total billed charges		495	95.46			Fee schedule		550	80			Percent of total billed charges		440	85			Percent of total billed charges		467.5	100			Fee schedule		2594.51	85			Percent of total billed charges		467.5	100			Fee schedule		550	100			Fee schedule		2594.51	100			Fee schedule		2594.51	100			Fee schedule		2594.51		1495		Case rate	Use Lesser of logic	550		1495		Case rate	Use Lesser of logic	550	100			Fee schedule		2594.51	440	2594.51	
"Occlusion of fallopian tube(s) by device (eg, band, clip, Falope ring) vaginal or suprapubic approach"	58615	CPT	Outpatient			600	390		90			Percent of total billed charges		540	95.46			Fee schedule		600	80			Percent of total billed charges		480	85			Percent of total billed charges		510	100			Fee schedule		2594.51	85			Percent of total billed charges		510	100			Fee schedule		600	100			Fee schedule		2594.51	100			Fee schedule		2594.51	100			Fee schedule		2594.51		1495		Case rate	Use Lesser of logic	600		1495		Case rate	Use Lesser of logic	600	100			Fee schedule		2594.51	480	2594.51	
Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix	57461	CPT	Outpatient			625	406.25		90			Percent of total billed charges		562.5	95.46			Fee schedule		625	80			Percent of total billed charges		500	85			Percent of total billed charges		531.25	100			Fee schedule		2594.51	85			Percent of total billed charges		531.25	100			Fee schedule		625	100			Fee schedule		2594.51	100			Fee schedule		2594.51	100			Fee schedule		2594.51		1495		Case rate	Use Lesser of logic	625		1495		Case rate	Use Lesser of logic	625	100			Fee schedule		2594.51	500	2594.51	
"Colporrhaphy, suture of injury of vagina (nonobstetrical)"	57200	CPT	Outpatient			665	432.25		90			Percent of total billed charges		598.5	95.46			Fee schedule		665	80			Percent of total billed charges		532	85			Percent of total billed charges		565.25	100			Fee schedule		2594.51	85			Percent of total billed charges		565.25	100			Fee schedule		665	100			Fee schedule		2594.51	100			Fee schedule		2594.51	100			Fee schedule		2594.51		1495		Case rate	Use Lesser of logic	665		1495		Case rate	Use Lesser of logic	665	100			Fee schedule		2594.51	532	2594.51	
Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix	57460	CPT	Outpatient			685	445.25		90			Percent of total billed charges		616.5	95.46			Fee schedule		685	80			Percent of total billed charges		548	85			Percent of total billed charges		582.25	100			Fee schedule		2594.51	85			Percent of total billed charges		582.25	100			Fee schedule		685	100			Fee schedule		2594.51	100			Fee schedule		2594.51	100			Fee schedule		2594.51		1495		Case rate	Use Lesser of logic	685		1495		Case rate	Use Lesser of logic	685	100			Fee schedule		2594.51	548	2594.51	
"Perineoplasty, repair of perineum, nonobstetrical (separate procedure)"	56810	CPT	Outpatient			700	455		90			Percent of total billed charges		630	95.46			Fee schedule		700	80			Percent of total billed charges		560	85			Percent of total billed charges		595	100			Fee schedule		2594.51	85			Percent of total billed charges		595	100			Fee schedule		700	100			Fee schedule		2594.51	100			Fee schedule		2594.51	100			Fee schedule		2594.51		1495		Case rate	Use Lesser of logic	700		1495		Case rate	Use Lesser of logic	700	100			Fee schedule		2594.51	560	2594.51	
Excision of Bartholin's gland or cyst	56740	CPT	Outpatient			750	487.5		90			Percent of total billed charges		675	95.46			Fee schedule		750	80			Percent of total billed charges		600	85			Percent of total billed charges		637.5	100			Fee schedule		2594.51	85			Percent of total billed charges		637.5	100			Fee schedule		750	100			Fee schedule		2594.51	100			Fee schedule		2594.51	100			Fee schedule		2594.51		1495		Case rate	Use Lesser of logic	750		1495		Case rate	Use Lesser of logic	750	100			Fee schedule		2594.51	600	2594.51	
"Hysteroscopy, diagnostic (separate procedure)"	58555	CPT	Outpatient			760	494		90			Percent of total billed charges		684	95.46			Fee schedule		760	80			Percent of total billed charges		608	85			Percent of total billed charges		646	100			Fee schedule		2594.51	85			Percent of total billed charges		646	100			Fee schedule		760	100			Fee schedule		2594.51	100			Fee schedule		2594.51	100			Fee schedule		2594.51		1495		Case rate	Use Lesser of logic	760		1495		Case rate	Use Lesser of logic	760	100			Fee schedule		2594.51	608	2594.51	
"Colpoperineorrhaphy, suture of injury of vagina and/or perineum (nonobstetrical)"	57210	CPT	Outpatient			765	497.25		90			Percent of total billed charges		688.5	95.46			Fee schedule		765	80			Percent of total billed charges		612	85			Percent of total billed charges		650.25	100			Fee schedule		2594.51	85			Percent of total billed charges		650.25	100			Fee schedule		765	100			Fee schedule		2594.51	100			Fee schedule		2594.51	100			Fee schedule		2594.51		1495		Case rate	Use Lesser of logic	765		1495		Case rate	Use Lesser of logic	765	100			Fee schedule		2594.51	612	2594.51	
"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); vaginal approach"	58800	CPT	Outpatient			800	520		90			Percent of total billed charges		720	95.46			Fee schedule		800	80			Percent of total billed charges		640	85			Percent of total billed charges		680	100			Fee schedule		2594.51	85			Percent of total billed charges		680	100			Fee schedule		800	100			Fee schedule		2594.51	100			Fee schedule		2594.51	100			Fee schedule		2594.51		1495		Case rate	Use Lesser of logic	800		1495		Case rate	Use Lesser of logic	800	100			Fee schedule		2594.51	640	2594.51	
"Vaginectomy, partial removal of vaginal wall"	57106	CPT	Outpatient			820	533		90			Percent of total billed charges		738	95.46			Fee schedule		820	80			Percent of total billed charges		656	85			Percent of total billed charges		697	100			Fee schedule		2594.51	85			Percent of total billed charges		697	100			Fee schedule		820	100			Fee schedule		2594.51	100			Fee schedule		2594.51	100			Fee schedule		2594.51		1495		Case rate	Use Lesser of logic	820		1495		Case rate	Use Lesser of logic	820	100			Fee schedule		2594.51	656	2594.51	
Colpotomy; with drainage of pelvic abscess	57010	CPT	Outpatient			835	542.75		90			Percent of total billed charges		751.5	95.46			Fee schedule		835	80			Percent of total billed charges		668	85			Percent of total billed charges		709.75	100			Fee schedule		2594.51	85			Percent of total billed charges		709.75	100			Fee schedule		835	100			Fee schedule		2594.51	100			Fee schedule		2594.51	100			Fee schedule		2594.51		1495		Case rate	Use Lesser of logic	835		1495		Case rate	Use Lesser of logic	835	100			Fee schedule		2594.51	668	2594.51	
Uterine evacuation and curettage for hydatidiform mole	59870	CPT	Outpatient			835	542.75		90			Percent of total billed charges		751.5	95.46			Fee schedule		835	80			Percent of total billed charges		668	85			Percent of total billed charges		709.75	100			Fee schedule		2594.51	85			Percent of total billed charges		709.75	100			Fee schedule		835	100			Fee schedule		2594.51	100			Fee schedule		2594.51	100			Fee schedule		2594.51		1495		Case rate	Use Lesser of logic	835		1495		Case rate	Use Lesser of logic	835	100			Fee schedule		2594.51	668	2594.51	
"Treatment of missed abortion, completed surgically; second trimester"	59821	CPT	Outpatient			850	552.5		90			Percent of total billed charges		765	95.46			Fee schedule		850	80			Percent of total billed charges		680	85			Percent of total billed charges		722.5	100			Fee schedule		2594.51	85			Percent of total billed charges		722.5	100			Fee schedule		850	100			Fee schedule		2594.51	100			Fee schedule		2594.51	100			Fee schedule		2594.51		1495		Case rate	Use Lesser of logic	850		1495		Case rate	Use Lesser of logic	850	100			Fee schedule		2594.51	680	2594.51	
"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; cold knife or laser"	57520	CPT	Outpatient			875	568.75		90			Percent of total billed charges		787.5	95.46			Fee schedule		875	80			Percent of total billed charges		700	85			Percent of total billed charges		743.75	100			Fee schedule		2594.51	85			Percent of total billed charges		743.75	100			Fee schedule		875	100			Fee schedule		2594.51	100			Fee schedule		2594.51	100			Fee schedule		2594.51		1495		Case rate	Use Lesser of logic	875		1495		Case rate	Use Lesser of logic	875	100			Fee schedule		2594.51	700	2594.51	
"Biopsy of ovary, unilateral or bilateral (separate procedure)"	58900	CPT	Outpatient			980	637		90			Percent of total billed charges		882	95.46			Fee schedule		980	80			Percent of total billed charges		784	85			Percent of total billed charges		833	100			Fee schedule		2594.51	85			Percent of total billed charges		833	100			Fee schedule		980	100			Fee schedule		2594.51	100			Fee schedule		2594.51	100			Fee schedule		2594.51		1495		Case rate	Use Lesser of logic	980		1495		Case rate	Use Lesser of logic	980	100			Fee schedule		2594.51	784	2594.51	
"Drainage of ovarian cyst(s), unilateral or bilateral (separate procedure); abdominal approach"	58805	CPT	Outpatient			985	640.25		90			Percent of total billed charges		886.5	95.46			Fee schedule		985	80			Percent of total billed charges		788	85			Percent of total billed charges		837.25	100			Fee schedule		2594.51	85			Percent of total billed charges		837.25	100			Fee schedule		985	100			Fee schedule		2594.51	100			Fee schedule		2594.51	100			Fee schedule		2594.51		1495		Case rate	Use Lesser of logic	985		1495		Case rate	Use Lesser of logic	985	100			Fee schedule		2594.51	788	2594.51	
"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, unilateral or bilateral"	58600	CPT	Outpatient			990	643.5		90			Percent of total billed charges		891	95.46			Fee schedule		990	80			Percent of total billed charges		792	85			Percent of total billed charges		841.5	100			Fee schedule		2594.51	85			Percent of total billed charges		841.5	100			Fee schedule		990	100			Fee schedule		2594.51	100			Fee schedule		2594.51	100			Fee schedule		2594.51		1495		Case rate	Use Lesser of logic	990		1495		Case rate	Use Lesser of logic	990	100			Fee schedule		2594.51	792	2594.51	
Revision (including removal) of prosthetic vaginal graft; vaginal approach	57295	CPT	Outpatient			995	646.75		90			Percent of total billed charges		895.5	95.46			Fee schedule		995	80			Percent of total billed charges		796	85			Percent of total billed charges		845.75	100			Fee schedule		2594.51	85			Percent of total billed charges		845.75	100			Fee schedule		995	100			Fee schedule		2594.51	100			Fee schedule		2594.51	100			Fee schedule		2594.51		1495		Case rate	Use Lesser of logic	995		1495		Case rate	Use Lesser of logic	995	100			Fee schedule		2594.51	796	2594.51	
"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; vaginal approach"	58145	CPT	Outpatient			1300	845		90			Percent of total billed charges		1170	95.46			Fee schedule		1300	80			Percent of total billed charges		1040	85			Percent of total billed charges		1105	100			Fee schedule		2594.51	85			Percent of total billed charges		1105	100			Fee schedule		1300	100			Fee schedule		2594.51	100			Fee schedule		2594.51	100			Fee schedule		2594.51		1495		Case rate	Use Lesser of logic	1300		1495		Case rate	Use Lesser of logic	1300	100			Fee schedule		2594.51	1040	2594.51	
Closure of rectovaginal fistula; vaginal or transanal approach	57300	CPT	Outpatient			1320	858		90			Percent of total billed charges		1188	95.46			Fee schedule		1320	80			Percent of total billed charges		1056	85			Percent of total billed charges		1122	100			Fee schedule		2594.51	85			Percent of total billed charges		1122	100			Fee schedule		1320	100			Fee schedule		2594.51	100			Fee schedule		2594.51	100			Fee schedule		2594.51		1495		Case rate	Use Lesser of logic	1320		1495		Case rate	Use Lesser of logic	1320	100			Fee schedule		2594.51	1056	2594.51	
"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps)"	59612	CPT	Outpatient			1725	1121.25		90			Percent of total billed charges		1552.5	95.46			Fee schedule		1725	80			Percent of total billed charges		1380	85			Percent of total billed charges		1466.25	100			Fee schedule		2594.51	85			Percent of total billed charges		1466.25	100			Fee schedule		1725	100			Fee schedule		2594.51	100			Fee schedule		2594.51	100			Fee schedule		2594.51		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2594.51	1380	2594.51	
Vaginal delivery only (with or without episiotomy and/or forceps)	59409	CPT	Outpatient			1850	1202.5		90			Percent of total billed charges		1665	95.46			Fee schedule		1850	80			Percent of total billed charges		1480	85			Percent of total billed charges		1572.5	100			Fee schedule		2594.51	85			Percent of total billed charges		1572.5	100			Fee schedule		1850	100			Fee schedule		2594.51	100			Fee schedule		2594.51	100			Fee schedule		2594.51		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2594.51	1480	2594.51	
Removal of impacted vaginal foreign body (separate procedure) under anesthesia (other than local)	57415	CPT	Outpatient			3009.8	1956.37		90			Percent of total billed charges		2708.82	95.46			Fee schedule		2476.72	80			Percent of total billed charges		2407.84	85			Percent of total billed charges		2558.33	100			Fee schedule		2594.51	85			Percent of total billed charges		2558.33	100			Fee schedule		2594.51	100			Fee schedule		2594.51	100			Fee schedule		2594.51	100			Fee schedule		2594.51		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2594.51	1495	2708.82	
"Curettage, postpartum"	59160	CPT	Outpatient			3317	2156.05		90			Percent of total billed charges		2985.3	95.46			Fee schedule		2476.72	80			Percent of total billed charges		2653.6	85			Percent of total billed charges		2819.45	100			Fee schedule		2594.51	85			Percent of total billed charges		2819.45	100			Fee schedule		2594.51	100			Fee schedule		2594.51	100			Fee schedule		2594.51	100			Fee schedule		2594.51		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2594.51	1495	2985.3	
Excision of vaginal septum	57130	CPT	Outpatient			3515.53	2285.09		90			Percent of total billed charges		3163.98	95.46			Fee schedule		2476.72	80			Percent of total billed charges		2812.42	85			Percent of total billed charges		2988.2	100			Fee schedule		2594.51	85			Percent of total billed charges		2988.2	100			Fee schedule		2594.51	100			Fee schedule		2594.51	100			Fee schedule		2594.51	100			Fee schedule		2594.51		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2594.51	1495	3163.98	
"Hysteroscopy, surgical; with removal of impacted foreign body"	58562	CPT	Outpatient			3516.25	2285.56		90			Percent of total billed charges		3164.62	95.46			Fee schedule		2476.72	80			Percent of total billed charges		2813	85			Percent of total billed charges		2988.81	100			Fee schedule		2594.51	85			Percent of total billed charges		2988.81	100			Fee schedule		2594.51	100			Fee schedule		2594.51	100			Fee schedule		2594.51	100			Fee schedule		2594.51		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2594.51	1495	3164.62	
"Removal or revision of sling for stress incontinence (eg, fascia or synthetic)"	57287	CPT	Outpatient			3549.44	2307.13		90			Percent of total billed charges		3194.49	95.46			Fee schedule		2476.72	80			Percent of total billed charges		2839.55	85			Percent of total billed charges		3017.02	100			Fee schedule		2594.51	85			Percent of total billed charges		3017.02	100			Fee schedule		2594.51	100			Fee schedule		2594.51	100			Fee schedule		2594.51	100			Fee schedule		2594.51		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2594.51	1495	3194.49	
"Conization of cervix, with or without fulguration, with or without dilation and curettage, with or without repair; loop electrode excision"	57522	CPT	Outpatient			3603.84	2342.5		90			Percent of total billed charges		3243.46	95.46			Fee schedule		2476.72	80			Percent of total billed charges		2883.07	85			Percent of total billed charges		3063.27	100			Fee schedule		2594.51	85			Percent of total billed charges		3063.27	100			Fee schedule		2594.51	100			Fee schedule		2594.51	100			Fee schedule		2594.51	100			Fee schedule		2594.51		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2594.51	1495	3243.46	
"Treatment of missed abortion, completed surgically; first trimester"	59820	CPT	Outpatient			3628.75	2358.69		90			Percent of total billed charges		3265.87	95.46			Fee schedule		2476.72	80			Percent of total billed charges		2903	85			Percent of total billed charges		3084.44	100			Fee schedule		2594.51	85			Percent of total billed charges		3084.44	100			Fee schedule		2594.51	100			Fee schedule		2594.51	100			Fee schedule		2594.51	100			Fee schedule		2594.51		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2594.51	1495	3265.87	
Vulvectomy simple; partial	56620	CPT	Outpatient			3634.94	2362.71		90			Percent of total billed charges		3271.44	95.46			Fee schedule		2476.72	80			Percent of total billed charges		2907.95	85			Percent of total billed charges		3089.7	100			Fee schedule		2594.51	85			Percent of total billed charges		3089.7	100			Fee schedule		2594.51	100			Fee schedule		2594.51	100			Fee schedule		2594.51	100			Fee schedule		2594.51		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2594.51	1495	3271.44	
Excision of vaginal cyst or tumor	57135	CPT	Outpatient			3661.73	2380.12		90			Percent of total billed charges		3295.55	95.46			Fee schedule		2476.72	80			Percent of total billed charges		2929.38	85			Percent of total billed charges		3112.47	100			Fee schedule		2594.51	85			Percent of total billed charges		3112.47	100			Fee schedule		2594.51	100			Fee schedule		2594.51	100			Fee schedule		2594.51	100			Fee schedule		2594.51		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2594.51	1495	3295.55	
"Treatment of incomplete abortion, any trimester, completed surgically"	59812	CPT	Outpatient			3682.92	2393.9		90			Percent of total billed charges		3314.63	95.46			Fee schedule		2476.72	80			Percent of total billed charges		2946.34	85			Percent of total billed charges		3130.48	100			Fee schedule		2594.51	85			Percent of total billed charges		3130.48	100			Fee schedule		2594.51	100			Fee schedule		2594.51	100			Fee schedule		2594.51	100			Fee schedule		2594.51		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2594.51	1495	3314.63	
"Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical)"	58120	CPT	Outpatient			3786.31	2461.1		90			Percent of total billed charges		3407.68	95.46			Fee schedule		2476.72	80			Percent of total billed charges		3029.05	85			Percent of total billed charges		3218.37	100			Fee schedule		2594.51	85			Percent of total billed charges		3218.37	100			Fee schedule		2594.51	100			Fee schedule		2594.51	100			Fee schedule		2594.51	100			Fee schedule		2594.51		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2594.51	1495	3407.68	
Marsupialization of Bartholin's gland cyst	56440	CPT	Outpatient			4160.87	2704.57		90			Percent of total billed charges		3744.79	95.46			Fee schedule		2476.72	80			Percent of total billed charges		3328.7	85			Percent of total billed charges		3536.74	100			Fee schedule		2594.51	85			Percent of total billed charges		3536.74	100			Fee schedule		2594.51	100			Fee schedule		2594.51	100			Fee schedule		2594.51	100			Fee schedule		2594.51		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2594.51	1495	3744.79	
"Cerclage of cervix, during pregnancy; vaginal"	59320	CPT	Outpatient			4891	3179.15		90			Percent of total billed charges		4401.9	95.46			Fee schedule		2476.72	80			Percent of total billed charges		3912.8	85			Percent of total billed charges		4157.35	100			Fee schedule		2594.51	85			Percent of total billed charges		4157.35	100			Fee schedule		2594.51	100			Fee schedule		2594.51	100			Fee schedule		2594.51	100			Fee schedule		2594.51		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2594.51	1495	4401.9	
"Hysteroscopy, surgical; with sampling (biopsy) of endometrium and/or polypectomy, with or without D & C"	58558	CPT	Outpatient			5058.36	3287.93		90			Percent of total billed charges		4552.52	95.46			Fee schedule		2476.72	80			Percent of total billed charges		4046.69	85			Percent of total billed charges		4299.6	100			Fee schedule		2594.51	85			Percent of total billed charges		4299.6	100			Fee schedule		2594.51	100			Fee schedule		2594.51	100			Fee schedule		2594.51	100			Fee schedule		2594.51		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2594.51	1495	4552.52	
Repositioning of previously implanted transvenous pacemaker or implantable defibrillator (right atrial or right ventricular) electrode	33215	CPT	Outpatient			14.29	9.29		90			Percent of total billed charges		12.86	95.46			Fee schedule		14.29	80			Percent of total billed charges		11.43	85			Percent of total billed charges		12.15	100			Fee schedule		2645.24	85			Percent of total billed charges		12.15	100			Fee schedule		14.29	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24		1767		Case rate	Use Lesser of logic	14.29		1767		Case rate	Use Lesser of logic	14.29	100			Fee schedule		2645.24	11.43	2645.24	
"Angiography through existing catheter for follow-up study for transcatheter therapy, embolization or infusion, other than for thrombolysis"	75898	CPT	Outpatient			368	239.2		90			Percent of total billed charges		331.2	95.46			Fee schedule		368	80			Percent of total billed charges		294.4	90			Percent of total billed charges		331.2	100			Fee schedule		2645.24	85			Percent of total billed charges		312.8	100			Fee schedule		368	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24		117		Case rate		117		117		Case rate		117	100			Fee schedule		2645.24	117	2645.24	
"Angiography, pulmonary, by nonselective catheter or venous injection, radiological supervision and interpretation"	75746	CPT	Outpatient			1611	1047.15		90			Percent of total billed charges		1449.9	95.46			Fee schedule		1611	80			Percent of total billed charges		1288.8	90			Percent of total billed charges		1449.9	100			Fee schedule		2645.24	85			Percent of total billed charges		1369.35	100			Fee schedule		1611	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24		117		Case rate		117		117		Case rate		117	100			Fee schedule		2645.24	117	2645.24	
"Percutaneous transhepatic portography without hemodynamic evaluation, radiological supervision and interpretation"	75887	CPT	Outpatient			1611	1047.15		90			Percent of total billed charges		1449.9	95.46			Fee schedule		1611	80			Percent of total billed charges		1288.8	90			Percent of total billed charges		1449.9	100			Fee schedule		2645.24	85			Percent of total billed charges		1369.35	100			Fee schedule		1611	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24		117		Case rate		117		117		Case rate		117	100			Fee schedule		2645.24	117	2645.24	
"Angiography, adrenal, unilateral, selective, radiological supervision and interpretation"	75731	CPT	Outpatient			2880	1872		90			Percent of total billed charges		2592	95.46			Fee schedule		2525.14	80			Percent of total billed charges		2304	90			Percent of total billed charges		2592	100			Fee schedule		2645.24	85			Percent of total billed charges		2448	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24		117		Case rate		117		117		Case rate		117	100			Fee schedule		2645.24	117	2645.24	
"Angiography, pulmonary, bilateral, selective, radiological supervision and interpretation"	75743	CPT	Outpatient			2880	1872		90			Percent of total billed charges		2592	95.46			Fee schedule		2525.14	80			Percent of total billed charges		2304	90			Percent of total billed charges		2592	100			Fee schedule		2645.24	85			Percent of total billed charges		2448	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24		117		Case rate		117		117		Case rate		117	100			Fee schedule		2645.24	117	2645.24	
"Angiography, adrenal, bilateral, selective, radiological supervision and interpretation"	75733	CPT	Outpatient			2880	1872		90			Percent of total billed charges		2592	95.46			Fee schedule		2525.14	80			Percent of total billed charges		2304	90			Percent of total billed charges		2592	100			Fee schedule		2645.24	85			Percent of total billed charges		2448	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24		117		Case rate		117		117		Case rate		117	100			Fee schedule		2645.24	117	2645.24	
"Angiography, pulmonary, unilateral, selective, radiological supervision and interpretation"	75741	CPT	Outpatient			2880	1872		90			Percent of total billed charges		2592	95.46			Fee schedule		2525.14	80			Percent of total billed charges		2304	90			Percent of total billed charges		2592	100			Fee schedule		2645.24	85			Percent of total billed charges		2448	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24		117		Case rate		117		117		Case rate		117	100			Fee schedule		2645.24	117	2645.24	
"Aortography, abdominal plus bilateral iliofemoral lower extremity, catheter, by serialography, radiological supervision and interpretation"	75630	CPT	Outpatient			2880	1872		90			Percent of total billed charges		2592	95.46			Fee schedule		2525.14	80			Percent of total billed charges		2304	90			Percent of total billed charges		2592	100			Fee schedule		2645.24	85			Percent of total billed charges		2448	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24		117		Case rate		117		117		Case rate		117	100			Fee schedule		2645.24	117	2645.24	
"Aortography, abdominal, by serialography, radiological supervision and interpretation"	75625	CPT	Outpatient			2880	1872		90			Percent of total billed charges		2592	95.46			Fee schedule		2525.14	80			Percent of total billed charges		2304	90			Percent of total billed charges		2592	100			Fee schedule		2645.24	85			Percent of total billed charges		2448	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24		117		Case rate		117		117		Case rate		117	100			Fee schedule		2645.24	117	2645.24	
"Percutaneous transhepatic portography with hemodynamic evaluation, radiological supervision and interpretation"	75885	CPT	Outpatient			2880	1872		90			Percent of total billed charges		2592	95.46			Fee schedule		2525.14	80			Percent of total billed charges		2304	90			Percent of total billed charges		2592	100			Fee schedule		2645.24	85			Percent of total billed charges		2448	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24		117		Case rate		117		117		Case rate		117	100			Fee schedule		2645.24	117	2645.24	
"Splenoportography, radiological supervision and interpretation"	75810	CPT	Outpatient			2880	1872		90			Percent of total billed charges		2592	95.46			Fee schedule		2525.14	80			Percent of total billed charges		2304	90			Percent of total billed charges		2592	100			Fee schedule		2645.24	85			Percent of total billed charges		2448	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24		117		Case rate		117		117		Case rate		117	100			Fee schedule		2645.24	117	2645.24	
"Venography, renal, bilateral, selective, radiological supervision and interpretation"	75833	CPT	Outpatient			2880	1872		90			Percent of total billed charges		2592	95.46			Fee schedule		2525.14	80			Percent of total billed charges		2304	90			Percent of total billed charges		2592	100			Fee schedule		2645.24	85			Percent of total billed charges		2448	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24		117		Case rate		117		117		Case rate		117	100			Fee schedule		2645.24	117	2645.24	
"Venography, renal, unilateral, selective, radiological supervision and interpretation"	75831	CPT	Outpatient			2880	1872		90			Percent of total billed charges		2592	95.46			Fee schedule		2525.14	80			Percent of total billed charges		2304	90			Percent of total billed charges		2592	100			Fee schedule		2645.24	85			Percent of total billed charges		2448	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24		117		Case rate		117		117		Case rate		117	100			Fee schedule		2645.24	117	2645.24	
"Venography, caval, inferior, with serialography, radiological supervision and interpretation"	75825	CPT	Outpatient			2880	1872		90			Percent of total billed charges		2592	95.46			Fee schedule		2525.14	80			Percent of total billed charges		2304	90			Percent of total billed charges		2592	100			Fee schedule		2645.24	85			Percent of total billed charges		2448	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24		117		Case rate		117		117		Case rate		117	100			Fee schedule		2645.24	117	2645.24	
"Angiography, extremity, unilateral, radiological supervision and interpretation"	75710	CPT	Outpatient			2928	1903.2		90			Percent of total billed charges		2635.2	95.46			Fee schedule		2525.14	80			Percent of total billed charges		2342.4	90			Percent of total billed charges		2635.2	100			Fee schedule		2645.24	85			Percent of total billed charges		2488.8	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24		117		Case rate		117		117		Case rate		117	100			Fee schedule		2645.24	117	2645.24	
"Angiography, extremity, bilateral, radiological supervision and interpretation"	75716	CPT	Outpatient			3183	2068.95		90			Percent of total billed charges		2864.7	95.46			Fee schedule		2525.14	80			Percent of total billed charges		2546.4	90			Percent of total billed charges		2864.7	100			Fee schedule		2645.24	85			Percent of total billed charges		2705.55	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24		117		Case rate		117		117		Case rate		117	100			Fee schedule		2645.24	117	2864.7	
"Hepatic venography, wedged or free, without hemodynamic evaluation, radiological supervision and interpretation"	75891	CPT	Outpatient			3521	2288.65		90			Percent of total billed charges		3168.9	95.46			Fee schedule		2525.14	80			Percent of total billed charges		2816.8	90			Percent of total billed charges		3168.9	100			Fee schedule		2645.24	85			Percent of total billed charges		2992.85	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24		117		Case rate		117		117		Case rate		117	100			Fee schedule		2645.24	117	3168.9	
"Hepatic venography, wedged or free, with hemodynamic evaluation, radiological supervision and interpretation"	75889	CPT	Outpatient			3800	2470		90			Percent of total billed charges		3420	95.46			Fee schedule		2525.14	80			Percent of total billed charges		3040	90			Percent of total billed charges		3420	100			Fee schedule		2645.24	85			Percent of total billed charges		3230	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24		117		Case rate		117		117		Case rate		117	100			Fee schedule		2645.24	117	3420	
Removal of tunneled intraperitoneal catheter	49422	CPT	Outpatient			385	250.25		90			Percent of total billed charges		346.5	95.46			Fee schedule		385	80			Percent of total billed charges		308	85			Percent of total billed charges		327.25	100			Fee schedule		2645.24	85			Percent of total billed charges		327.25	100			Fee schedule		385	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24		1767		Case rate	Use Lesser of logic	385		1767		Case rate	Use Lesser of logic	385	100			Fee schedule		2645.24	308	2645.24	
"Transcatheter therapy, arterial or venous infusion for thrombolysis other than coronary, any method, including radiological supervision and interpretation, continued treatment on subsequent day during course of thrombolytic therapy, including follow-up catheter contrast injection, position change, or exchange, when performed; cessation of thrombolysis including removal of catheter and vessel closure by any method"	37214	CPT	Outpatient			590	383.5		90			Percent of total billed charges		531	95.46			Fee schedule		590	80			Percent of total billed charges		472	85			Percent of total billed charges		501.5	100			Fee schedule		2645.24	85			Percent of total billed charges		501.5	100			Fee schedule		590	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24		756		Case rate	Use Lesser of logic	590		756		Case rate	Use Lesser of logic	590	100			Fee schedule		2645.24	472	2645.24	
Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older	36556	CPT	Outpatient			930	604.5		90			Percent of total billed charges		837	95.46			Fee schedule		930	80			Percent of total billed charges		744	85			Percent of total billed charges		790.5	100			Fee schedule		2645.24	85			Percent of total billed charges		790.5	100			Fee schedule		930	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24		756		Case rate		756		756		Case rate		756	100			Fee schedule		2645.24	744	2645.24	
"Ligation, major artery (eg, post-traumatic, rupture); neck"	37615	CPT	Outpatient			1000	650		90			Percent of total billed charges		900	95.46			Fee schedule		1000	80			Percent of total billed charges		800	85			Percent of total billed charges		850	100			Fee schedule		2645.24	85			Percent of total billed charges		850	100			Fee schedule		1000	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24		756		Case rate		756		756		Case rate		756	100			Fee schedule		2645.24	756	2645.24	
"Transcatheter therapy, arterial or venous infusion for thrombolysis other than coronary, any method, including radiological supervision and interpretation, continued treatment on subsequent day during course of thrombolytic therapy, including follow-up catheter contrast injection, position change, or exchange, when performed"	37213	CPT	Outpatient			1010	656.5		90			Percent of total billed charges		909	95.46			Fee schedule		1010	80			Percent of total billed charges		808	85			Percent of total billed charges		858.5	100			Fee schedule		2645.24	85			Percent of total billed charges		858.5	100			Fee schedule		1010	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24		756		Case rate		756		756		Case rate		756	100			Fee schedule		2645.24	756	2645.24	
Insertion of non-tunneled centrally inserted central venous catheter; younger than 5 years of age	36555	CPT	Outpatient			1369	889.85		90			Percent of total billed charges		1232.1	95.46			Fee schedule		1369	80			Percent of total billed charges		1095.2	85			Percent of total billed charges		1163.65	100			Fee schedule		2645.24	85			Percent of total billed charges		1163.65	100			Fee schedule		1369	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24		756		Case rate		756		756		Case rate		756	100			Fee schedule		2645.24	756	2645.24	
"Ligation of perforator vein(s), subfascial, open, including ultrasound guidance, when performed, 1 leg"	37761	CPT	Outpatient			1400	910		90			Percent of total billed charges		1260	95.46			Fee schedule		1400	80			Percent of total billed charges		1120	85			Percent of total billed charges		1190	100			Fee schedule		2645.24	85			Percent of total billed charges		1190	100			Fee schedule		1400	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24		756		Case rate		756		756		Case rate		756	100			Fee schedule		2645.24	756	2645.24	
Ligation and division of short saphenous vein at saphenopopliteal junction (separate procedure)	37780	CPT	Outpatient			3098	2013.7		90			Percent of total billed charges		2788.2	95.46			Fee schedule		2525.14	80			Percent of total billed charges		2478.4	85			Percent of total billed charges		2633.3	100			Fee schedule		2645.24	85			Percent of total billed charges		2633.3	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24		756		Case rate		756		756		Case rate		756	100			Fee schedule		2645.24	756	2788.2	
"Repositioning of previously implanted cardiac venous system (left ventricular) electrode (including removal, insertion and/or replacement of existing generator)"	33226	CPT	Outpatient			1010	656.5		90			Percent of total billed charges		909	95.46			Fee schedule		1010	80			Percent of total billed charges		808	85			Percent of total billed charges		858.5	100			Fee schedule		2645.24	85			Percent of total billed charges		858.5	100			Fee schedule		1010	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24		1767		Case rate	Use Lesser of logic	1010		1767		Case rate	Use Lesser of logic	1010	100			Fee schedule		2645.24	808	2645.24	
"Selective catheter placement (first-order), main renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture and catheter placement(s), fluoroscopy, contrast injection(s), image postprocessing, permanent recording of images, and radiological supervision and interpretation, including pressure gradient measurements when performed, and flush aortogram when performed; bilateral"	36252	CPT	Outpatient			1172.25	761.96		90			Percent of total billed charges		1055.03	95.46			Fee schedule		1172.25	80			Percent of total billed charges		937.8	85			Percent of total billed charges		996.41	100			Fee schedule		2645.24	85			Percent of total billed charges		996.41	100			Fee schedule		1172.25	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24		1767		Case rate	Use Lesser of logic	1172.25		1767		Case rate	Use Lesser of logic	1172.25	100			Fee schedule		2645.24	937.8	2645.24	
"Transcatheter therapy, venous infusion for thrombolysis, any method, including radiological supervision and interpretation, initial treatment day"	37212	CPT	Outpatient			1445	939.25		90			Percent of total billed charges		1300.5	95.46			Fee schedule		1445	80			Percent of total billed charges		1156	85			Percent of total billed charges		1228.25	100			Fee schedule		2645.24	85			Percent of total billed charges		1228.25	100			Fee schedule		1445	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24		1767		Case rate	Use Lesser of logic	1445		1767		Case rate	Use Lesser of logic	1445	100			Fee schedule		2645.24	1156	2645.24	
"Repair blood vessel, direct; upper extremity"	35206	CPT	Outpatient			1690	1098.5		90			Percent of total billed charges		1521	95.46			Fee schedule		1690	80			Percent of total billed charges		1352	85			Percent of total billed charges		1436.5	100			Fee schedule		2645.24	85			Percent of total billed charges		1436.5	100			Fee schedule		1690	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24		1767		Case rate	Use Lesser of logic	1690		1767		Case rate	Use Lesser of logic	1690	100			Fee schedule		2645.24	1352	2645.24	
"Repair blood vessel, direct; hand, finger"	35207	CPT	Outpatient			1930	1254.5		90			Percent of total billed charges		1737	95.46			Fee schedule		1930	80			Percent of total billed charges		1544	85			Percent of total billed charges		1640.5	100			Fee schedule		2645.24	85			Percent of total billed charges		1640.5	100			Fee schedule		1930	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2645.24	1544	2645.24	
"Replacement, complete, of a tunneled centrally inserted central venous access device, with subcutaneous port, through same venous access"	36582	CPT	Outpatient			2350	1527.5		90			Percent of total billed charges		2115	95.46			Fee schedule		2350	80			Percent of total billed charges		1880	85			Percent of total billed charges		1997.5	100			Fee schedule		2645.24	85			Percent of total billed charges		1997.5	100			Fee schedule		2350	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2645.24	1767	2645.24	
"Insertion of peripherally inserted central venous access device, with subcutaneous port; younger than 5 years of age"	36570	CPT	Outpatient			2506	1628.9		90			Percent of total billed charges		2255.4	95.46			Fee schedule		2506	80			Percent of total billed charges		2004.8	85			Percent of total billed charges		2130.1	100			Fee schedule		2645.24	85			Percent of total billed charges		2130.1	100			Fee schedule		2506	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2645.24	1767	2645.24	
"Repositioning of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance (ultrasound and fluoroscopy), when performed"	37192	CPT	Outpatient			2547	1655.55		90			Percent of total billed charges		2292.3	95.46			Fee schedule		2525.14	80			Percent of total billed charges		2037.6	85			Percent of total billed charges		2164.95	100			Fee schedule		2645.24	85			Percent of total billed charges		2164.95	100			Fee schedule		2547	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2645.24	1767	2645.24	
"Replacement, complete, of a peripherally inserted central venous access device, with subcutaneous port, through same venous access"	36585	CPT	Outpatient			2875	1868.75		90			Percent of total billed charges		2587.5	95.46			Fee schedule		2525.14	80			Percent of total billed charges		2300	85			Percent of total billed charges		2443.75	100			Fee schedule		2645.24	85			Percent of total billed charges		2443.75	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2645.24	1767	2645.24	
"Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral extracranial carotid circulation and all associated radiological supervision and interpretation, includes angiography of the cervicocerebral arch, when performed"	36222	CPT	Outpatient			2880	1872		90			Percent of total billed charges		2592	95.46			Fee schedule		2525.14	80			Percent of total billed charges		2304	85			Percent of total billed charges		2448	100			Fee schedule		2645.24	85			Percent of total billed charges		2448	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2645.24	1767	2645.24	
"Selective catheter placement, subclavian or innominate artery, unilateral, with angiography of the ipsilateral vertebral circulation and all associated radiological supervision and interpretation, includes angiography of the cervicocerebral arch, when performed"	36225	CPT	Outpatient			2880	1872		90			Percent of total billed charges		2592	95.46			Fee schedule		2525.14	80			Percent of total billed charges		2304	85			Percent of total billed charges		2448	100			Fee schedule		2645.24	85			Percent of total billed charges		2448	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2645.24	1767	2645.24	
"Insertion of peripherally inserted central venous access device, with subcutaneous port; age 5 years or older"	36571	CPT	Outpatient			2950	1917.5		90			Percent of total billed charges		2655	95.46			Fee schedule		2525.14	80			Percent of total billed charges		2360	85			Percent of total billed charges		2507.5	100			Fee schedule		2645.24	85			Percent of total billed charges		2507.5	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2645.24	1767	2655	
"Insertion of tunneled centrally inserted central venous access device, with subcutaneous port; age 5 years or older"	36561	CPT	Outpatient			2966.25	1928.06		90			Percent of total billed charges		2669.62	95.46			Fee schedule		2525.14	80			Percent of total billed charges		2373	85			Percent of total billed charges		2521.31	100			Fee schedule		2645.24	85			Percent of total billed charges		2521.31	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2645.24	1767	2669.62	
"Transcatheter retrieval, percutaneous, of intravascular foreign body (eg, fractured venous or arterial catheter), includes radiological supervision and interpretation, and imaging guidance (ultrasound or fluoroscopy), when performed"	37197	CPT	Outpatient			3012	1957.8		90			Percent of total billed charges		2710.8	95.46			Fee schedule		2525.14	80			Percent of total billed charges		2409.6	85			Percent of total billed charges		2560.2	100			Fee schedule		2645.24	85			Percent of total billed charges		2560.2	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2645.24	1767	2710.8	
"Ligation and division of long saphenous vein at saphenofemoral junction, or distal interruptions"	37700	CPT	Outpatient			3098	2013.7		90			Percent of total billed charges		2788.2	95.46			Fee schedule		2525.14	80			Percent of total billed charges		2478.4	85			Percent of total billed charges		2633.3	100			Fee schedule		2645.24	85			Percent of total billed charges		2633.3	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2645.24	1767	2788.2	
"Ligation of perforator veins, subfascial, radical (Linton type), including skin graft, when performed, open,1 leg"	37760	CPT	Outpatient			3098	2013.7		90			Percent of total billed charges		2788.2	95.46			Fee schedule		2525.14	80			Percent of total billed charges		2478.4	85			Percent of total billed charges		2633.3	100			Fee schedule		2645.24	85			Percent of total billed charges		2633.3	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2645.24	1767	2788.2	
"Ligation, division, and stripping, short saphenous vein"	37718	CPT	Outpatient			3098	2013.7		90			Percent of total billed charges		2788.2	95.46			Fee schedule		2525.14	80			Percent of total billed charges		2478.4	85			Percent of total billed charges		2633.3	100			Fee schedule		2645.24	85			Percent of total billed charges		2633.3	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2645.24	1767	2788.2	
"Ligation, division, and/or excision of varicose vein cluster(s), 1 leg"	37785	CPT	Outpatient			3098	2013.7		90			Percent of total billed charges		2788.2	95.46			Fee schedule		2525.14	80			Percent of total billed charges		2478.4	85			Percent of total billed charges		2633.3	100			Fee schedule		2645.24	85			Percent of total billed charges		2633.3	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2645.24	1767	2788.2	
"Stab phlebectomy of varicose veins, 1 extremity; 10-20 stab incisions"	37765	CPT	Outpatient			3098	2013.7		90			Percent of total billed charges		2788.2	95.46			Fee schedule		2525.14	80			Percent of total billed charges		2478.4	85			Percent of total billed charges		2633.3	100			Fee schedule		2645.24	85			Percent of total billed charges		2633.3	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2645.24	1767	2788.2	
"Stab phlebectomy of varicose veins, 1 extremity; more than 20 incisions"	37766	CPT	Outpatient			3098	2013.7		90			Percent of total billed charges		2788.2	95.46			Fee schedule		2525.14	80			Percent of total billed charges		2478.4	85			Percent of total billed charges		2633.3	100			Fee schedule		2645.24	85			Percent of total billed charges		2633.3	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2645.24	1767	2788.2	
"Selective catheter placement (first-order), main renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture and catheter placement(s), fluoroscopy, contrast injection(s), image postprocessing, permanent recording of images, and radiological supervision and interpretation, including pressure gradient measurements when performed, and flush aortogram when performed; unilateral"	36251	CPT	Outpatient			3153	2049.45		90			Percent of total billed charges		2837.7	95.46			Fee schedule		2525.14	80			Percent of total billed charges		2522.4	85			Percent of total billed charges		2680.05	100			Fee schedule		2645.24	85			Percent of total billed charges		2680.05	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2645.24	1767	2837.7	
"Superselective catheter placement (one or more second order or higher renal artery branches) renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture, catheterization, fluoroscopy, contrast injection(s), image postprocessing, permanent recording of images, and radiological supervision and interpretation, including pressure gradient measurements when performed, and flush aortogram when performed; bilateral"	36254	CPT	Outpatient			3153	2049.45		90			Percent of total billed charges		2837.7	95.46			Fee schedule		2525.14	80			Percent of total billed charges		2522.4	85			Percent of total billed charges		2680.05	100			Fee schedule		2645.24	85			Percent of total billed charges		2680.05	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2645.24	1767	2837.7	
"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; first vein treated"	36478	CPT	Outpatient			3175	2063.75		90			Percent of total billed charges		2857.5	95.46			Fee schedule		2525.14	80			Percent of total billed charges		2540	85			Percent of total billed charges		2698.75	100			Fee schedule		2645.24	85			Percent of total billed charges		2698.75	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2645.24	1767	2857.5	
"Retrieval (removal) of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance (ultrasound and fluoroscopy), when performed"	37193	CPT	Outpatient			3694	2401.1		90			Percent of total billed charges		3324.6	95.46			Fee schedule		2525.14	80			Percent of total billed charges		2955.2	85			Percent of total billed charges		3139.9	100			Fee schedule		2645.24	85			Percent of total billed charges		3139.9	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2645.24	1767	3324.6	
"Non-selective catheter placement, thoracic aorta, with angiography of the extracranial carotid, vertebral, and/or intracranial vessels, unilateral or bilateral, and all associated radiological supervision and interpretation, includes angiography of the cervicocerebral arch, when performed"	36221	CPT	Outpatient			4538	2949.7		90			Percent of total billed charges		4084.2	95.46			Fee schedule		2525.14	80			Percent of total billed charges		3630.4	85			Percent of total billed charges		3857.3	100			Fee schedule		2645.24	85			Percent of total billed charges		3857.3	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2645.24	1767	4084.2	
"Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or older"	36558	CPT	Outpatient			4600	2990		90			Percent of total billed charges		4140	95.46			Fee schedule		2525.14	80			Percent of total billed charges		3680	85			Percent of total billed charges		3910	100			Fee schedule		2645.24	85			Percent of total billed charges		3910	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2645.24	1767	4140	
"Ligation, division, and stripping, long (greater) saphenous veins from saphenofemoral junction to knee or below"	37722	CPT	Outpatient			4784	3109.6		90			Percent of total billed charges		4305.6	95.46			Fee schedule		2525.14	80			Percent of total billed charges		3827.2	85			Percent of total billed charges		4066.4	100			Fee schedule		2645.24	85			Percent of total billed charges		4066.4	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2645.24	1767	4305.6	
"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated"	36475	CPT	Outpatient			13619	8852.35		90			Percent of total billed charges		12257.1	95.46			Fee schedule		2525.14	80			Percent of total billed charges		10895.2	85			Percent of total billed charges		11576.15	100			Fee schedule		2645.24	85			Percent of total billed charges		11576.15	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24	100			Fee schedule		2645.24		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2645.24	1767	12257.1	
Excision of lip; transverse wedge excision with primary closure	40510	CPT	Outpatient			90	58.5		90			Percent of total billed charges		81	95.46			Fee schedule		90	80			Percent of total billed charges		72	85			Percent of total billed charges		76.5	100			Fee schedule		2671.9	85			Percent of total billed charges		76.5	100			Fee schedule		90	100			Fee schedule		2671.9	100			Fee schedule		2671.9	100			Fee schedule		2671.9		1495		Case rate	Use Lesser of logic	90		1495		Case rate	Use Lesser of logic	90	100			Fee schedule		2671.9	72	2671.9	
"Destruction of lesion, palate or uvula (thermal, cryo or chemical)"	42160	CPT	Outpatient			350	227.5		90			Percent of total billed charges		315	95.46			Fee schedule		350	80			Percent of total billed charges		280	85			Percent of total billed charges		297.5	100			Fee schedule		2671.9	85			Percent of total billed charges		297.5	100			Fee schedule		350	100			Fee schedule		2671.9	100			Fee schedule		2671.9	100			Fee schedule		2671.9		1055		Case rate	Use Lesser of logic	350		1055		Case rate	Use Lesser of logic	350	100			Fee schedule		2671.9	280	2671.9	
"Closed treatment of nasal septal fracture, with or without stabilization"	21337	CPT	Outpatient			550	357.5		90			Percent of total billed charges		495	95.46			Fee schedule		550	80			Percent of total billed charges		440	85			Percent of total billed charges		467.5	100			Fee schedule		2671.9	85			Percent of total billed charges		467.5	100			Fee schedule		550	100			Fee schedule		2671.9	100			Fee schedule		2671.9	100			Fee schedule		2671.9		1055		Case rate	Use Lesser of logic	550		1055		Case rate	Use Lesser of logic	550	100			Fee schedule		2671.9	440	2671.9	
Lateral canthopexy	21282	CPT	Outpatient			655	425.75		90			Percent of total billed charges		589.5	95.46			Fee schedule		655	80			Percent of total billed charges		524	85			Percent of total billed charges		556.75	100			Fee schedule		2671.9	85			Percent of total billed charges		556.75	100			Fee schedule		655	100			Fee schedule		2671.9	100			Fee schedule		2671.9	100			Fee schedule		2671.9		1055		Case rate	Use Lesser of logic	655		1055		Case rate	Use Lesser of logic	655	100			Fee schedule		2671.9	524	2671.9	
"Excision branchial cleft cyst or vestige, confined to skin and subcutaneous tissues"	42810	CPT	Outpatient			740	481		90			Percent of total billed charges		666	95.46			Fee schedule		740	80			Percent of total billed charges		592	85			Percent of total billed charges		629	100			Fee schedule		2671.9	85			Percent of total billed charges		629	100			Fee schedule		740	100			Fee schedule		2671.9	100			Fee schedule		2671.9	100			Fee schedule		2671.9		1495		Case rate	Use Lesser of logic	740		1495		Case rate	Use Lesser of logic	740	100			Fee schedule		2671.9	592	2671.9	
Closure salivary fistula	42600	CPT	Outpatient			810	526.5		90			Percent of total billed charges		729	95.46			Fee schedule		810	80			Percent of total billed charges		648	85			Percent of total billed charges		688.5	100			Fee schedule		2671.9	85			Percent of total billed charges		688.5	100			Fee schedule		810	100			Fee schedule		2671.9	100			Fee schedule		2671.9	100			Fee schedule		2671.9		1055		Case rate	Use Lesser of logic	810		1055		Case rate	Use Lesser of logic	810	100			Fee schedule		2671.9	648	2671.9	
Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia	69421	CPT	Outpatient			824.04	535.63		90			Percent of total billed charges		741.64	95.46			Fee schedule		824.04	80			Percent of total billed charges		659.23	85			Percent of total billed charges		700.44	100			Fee schedule		2671.9	85			Percent of total billed charges		700.44	100			Fee schedule		824.04	100			Fee schedule		2671.9	100			Fee schedule		2671.9	100			Fee schedule		2671.9		1055		Case rate	Use Lesser of logic	824.04		1055		Case rate	Use Lesser of logic	824.04	100			Fee schedule		2671.9	659.23	2671.9	
Excision or surgical planing of skin of nose for rhinophyma	30120	CPT	Outpatient			890	578.5		90			Percent of total billed charges		801	95.46			Fee schedule		890	80			Percent of total billed charges		712	85			Percent of total billed charges		756.5	100			Fee schedule		2671.9	85			Percent of total billed charges		756.5	100			Fee schedule		890	100			Fee schedule		2671.9	100			Fee schedule		2671.9	100			Fee schedule		2671.9		1495		Case rate	Use Lesser of logic	890		1495		Case rate	Use Lesser of logic	890	100			Fee schedule		2671.9	712	2671.9	
"Tracheostomy, planned (separate procedure)"	31600	CPT	Outpatient			927.8	603.07		90			Percent of total billed charges		835.02	95.46			Fee schedule		927.8	80			Percent of total billed charges		742.24	85			Percent of total billed charges		788.63	100			Fee schedule		2671.9	85			Percent of total billed charges		788.63	100			Fee schedule		927.8	100			Fee schedule		2671.9	100			Fee schedule		2671.9	100			Fee schedule		2671.9		1495		Case rate	Use Lesser of logic	927.8		1495		Case rate	Use Lesser of logic	927.8	100			Fee schedule		2671.9	742.24	2671.9	
Excision of lip; V-excision with primary direct linear closure	40520	CPT	Outpatient			1010	656.5		90			Percent of total billed charges		909	95.46			Fee schedule		1010	80			Percent of total billed charges		808	85			Percent of total billed charges		858.5	100			Fee schedule		2671.9	85			Percent of total billed charges		858.5	100			Fee schedule		1010	100			Fee schedule		2671.9	100			Fee schedule		2671.9	100			Fee schedule		2671.9		1055		Case rate	Use Lesser of logic	1010		1055		Case rate	Use Lesser of logic	1010	100			Fee schedule		2671.9	808	2671.9	
Medial canthopexy (separate procedure)	21280	CPT	Outpatient			1045	679.25		90			Percent of total billed charges		940.5	95.46			Fee schedule		1045	80			Percent of total billed charges		836	85			Percent of total billed charges		888.25	100			Fee schedule		2671.9	85			Percent of total billed charges		888.25	100			Fee schedule		1045	100			Fee schedule		2671.9	100			Fee schedule		2671.9	100			Fee schedule		2671.9		2168		Case rate	Use Lesser of logic	1045		2168		Case rate	Use Lesser of logic	1045	100			Fee schedule		2671.9	836	2671.9	
Closed treatment of nasal bone fracture with manipulation; with stabilization	21320	CPT	Outpatient			3592.66	2335.23		90			Percent of total billed charges		3233.39	95.46			Fee schedule		2550.59	80			Percent of total billed charges		2874.12	85			Percent of total billed charges		3053.76	100			Fee schedule		2671.9	85			Percent of total billed charges		3053.76	100			Fee schedule		2671.9	100			Fee schedule		2671.9	100			Fee schedule		2671.9	100			Fee schedule		2671.9		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		2671.9	1055	3233.39	
"Removal foreign body, intranasal; requiring general anesthesia"	30310	CPT	Outpatient			4857.19	3157.17		90			Percent of total billed charges		4371.47	95.46			Fee schedule		2550.59	80			Percent of total billed charges		3885.75	85			Percent of total billed charges		4128.61	100			Fee schedule		2671.9	85			Percent of total billed charges		4128.61	100			Fee schedule		2671.9	100			Fee schedule		2671.9	100			Fee schedule		2671.9	100			Fee schedule		2671.9		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		2671.9	1055	4371.47	
Excision of lesion of tongue with closure; anterior two-thirds	41112	CPT	Outpatient			5016.75	3260.89		90			Percent of total billed charges		4515.08	95.46			Fee schedule		2550.59	80			Percent of total billed charges		4013.4	85			Percent of total billed charges		4264.24	100			Fee schedule		2671.9	85			Percent of total billed charges		4264.24	100			Fee schedule		2671.9	100			Fee schedule		2671.9	100			Fee schedule		2671.9	100			Fee schedule		2671.9		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		2671.9	1055	4515.08	
Repair nasal septal perforations	30630	CPT	Outpatient			1130	734.5		90			Percent of total billed charges		1017	95.46			Fee schedule		1130	80			Percent of total billed charges		904	85			Percent of total billed charges		960.5	100			Fee schedule		2671.9	85			Percent of total billed charges		960.5	100			Fee schedule		1130	100			Fee schedule		2671.9	100			Fee schedule		2671.9	100			Fee schedule		2671.9		1495		Case rate	Use Lesser of logic	1130		1495		Case rate	Use Lesser of logic	1130	100			Fee schedule		2671.9	904	2671.9	
"Removal by contouring of benign tumor of facial bone (eg, fibrous dysplasia)"	21029	CPT	Outpatient			1465	952.25		90			Percent of total billed charges		1318.5	95.46			Fee schedule		1465	80			Percent of total billed charges		1172	85			Percent of total billed charges		1245.25	100			Fee schedule		2671.9	85			Percent of total billed charges		1245.25	100			Fee schedule		1465	100			Fee schedule		2671.9	100			Fee schedule		2671.9	100			Fee schedule		2671.9		1495		Case rate	Use Lesser of logic	1465		1495		Case rate	Use Lesser of logic	1465	100			Fee schedule		2671.9	1172	2671.9	
"Excision or destruction (eg, laser), intranasal lesion; external approach (lateral rhinotomy)"	30118	CPT	Outpatient			1490	968.5		90			Percent of total billed charges		1341	95.46			Fee schedule		1490	80			Percent of total billed charges		1192	85			Percent of total billed charges		1266.5	100			Fee schedule		2671.9	85			Percent of total billed charges		1266.5	100			Fee schedule		1490	100			Fee schedule		2671.9	100			Fee schedule		2671.9	100			Fee schedule		2671.9		1495		Case rate	Use Lesser of logic	1490		1495		Case rate	Use Lesser of logic	1490	100			Fee schedule		2671.9	1192	2671.9	
"Adenoidectomy, primary; younger than age 12"	42830	CPT	Outpatient			1682.06	1093.34		90			Percent of total billed charges		1513.86	95.46			Fee schedule		1682.06	80			Percent of total billed charges		1345.65	85			Percent of total billed charges		1429.75	100			Fee schedule		2671.9	85			Percent of total billed charges		1429.75	100			Fee schedule		1682.06	100			Fee schedule		2671.9	100			Fee schedule		2671.9	100			Fee schedule		2671.9		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2671.9	1345.65	2671.9	
Ventilating tube removal requiring general anesthesia	69424	CPT	Outpatient			2722.65	1769.73		90			Percent of total billed charges		2450.39	95.46			Fee schedule		2550.59	80			Percent of total billed charges		2178.12	85			Percent of total billed charges		2314.26	100			Fee schedule		2671.9	85			Percent of total billed charges		2314.26	100			Fee schedule		2671.9	100			Fee schedule		2671.9	100			Fee schedule		2671.9	100			Fee schedule		2671.9		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2671.9	1495	2671.9	
"Submucous resection inferior turbinate, partial or complete, any method"	30140	CPT	Outpatient			3273.62	2127.85		90			Percent of total billed charges		2946.26	95.46			Fee schedule		2550.59	80			Percent of total billed charges		2618.9	85			Percent of total billed charges		2782.58	100			Fee schedule		2671.9	85			Percent of total billed charges		2782.58	100			Fee schedule		2671.9	100			Fee schedule		2671.9	100			Fee schedule		2671.9	100			Fee schedule		2671.9		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2671.9	1495	2946.26	
"Septoplasty or submucous resection, with or without cartilage scoring, contouring or replacement with graft"	30520	CPT	Outpatient			3273.62	2127.85		90			Percent of total billed charges		2946.26	95.46			Fee schedule		2550.59	80			Percent of total billed charges		2618.9	85			Percent of total billed charges		2782.58	100			Fee schedule		2671.9	85			Percent of total billed charges		2782.58	100			Fee schedule		2671.9	100			Fee schedule		2671.9	100			Fee schedule		2671.9	100			Fee schedule		2671.9		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2671.9	1495	2946.26	
"Otoplasty, protruding ear, with or without size reduction"	69300	CPT	Outpatient			3300	2145		90			Percent of total billed charges		2970	95.46			Fee schedule		2550.59	80			Percent of total billed charges		2640	85			Percent of total billed charges		2805	100			Fee schedule		2671.9	85			Percent of total billed charges		2805	100			Fee schedule		2671.9	100			Fee schedule		2671.9	100			Fee schedule		2671.9	100			Fee schedule		2671.9		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2671.9	1495	2970	
Tonsillectomy and adenoidectomy; age 12 or over	42821	CPT	Outpatient			3786.16	2461		90			Percent of total billed charges		3407.54	95.46			Fee schedule		2550.59	80			Percent of total billed charges		3028.92	85			Percent of total billed charges		3218.23	100			Fee schedule		2671.9	85			Percent of total billed charges		3218.23	100			Fee schedule		2671.9	100			Fee schedule		2671.9	100			Fee schedule		2671.9	100			Fee schedule		2671.9		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2671.9	1495	3407.54	
"Tonsillectomy, primary or secondary; age 12 or over"	42826	CPT	Outpatient			3949.25	2567.01		90			Percent of total billed charges		3554.32	95.46			Fee schedule		2550.59	80			Percent of total billed charges		3159.4	85			Percent of total billed charges		3356.86	100			Fee schedule		2671.9	85			Percent of total billed charges		3356.86	100			Fee schedule		2671.9	100			Fee schedule		2671.9	100			Fee schedule		2671.9	100			Fee schedule		2671.9		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2671.9	1495	3554.32	
"Plastic repair of cleft lip/nasal deformity; secondary, by recreation of defect and reclosure"	40720	CPT	Outpatient			2100	1365		90			Percent of total billed charges		1890	95.46			Fee schedule		2100	80			Percent of total billed charges		1680	85			Percent of total billed charges		1785	100			Fee schedule		2671.9	85			Percent of total billed charges		1785	100			Fee schedule		2100	100			Fee schedule		2671.9	100			Fee schedule		2671.9	100			Fee schedule		2671.9		2168		Case rate	Use Lesser of logic	2100		2168		Case rate	Use Lesser of logic	2100	100			Fee schedule		2671.9	1680	2671.9	
"Open treatment of carpometacarpal fracture dislocation, thumb (Bennett fracture), includes internal fixation, when performed"	26665	CPT	Outpatient			39.82	25.89		90			Percent of total billed charges		35.84	95.46			Fee schedule		39.82	80			Percent of total billed charges		31.86	85			Percent of total billed charges		33.85	100			Fee schedule		2686.19	85			Percent of total billed charges		33.85	100			Fee schedule		39.82	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		3486		Case rate	Use Lesser of logic	39.82		3486		Case rate	Use Lesser of logic	39.82	100			Fee schedule		2686.19	31.86	2686.19	
"Open treatment of fracture, great toe, phalanx or phalanges, includes internal fixation, when performed"	28505	CPT	Outpatient			47.85	31.1		90			Percent of total billed charges		43.06	95.46			Fee schedule		47.85	80			Percent of total billed charges		38.28	85			Percent of total billed charges		40.67	100			Fee schedule		2686.19	85			Percent of total billed charges		40.67	100			Fee schedule		47.85	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate	Use Lesser of logic	47.85		1495		Case rate	Use Lesser of logic	47.85	100			Fee schedule		2686.19	38.28	2686.19	
"Repair or advancement, flexor tendon, not in zone 2 digital flexor tendon sheath (eg, no man's land); primary or secondary without free graft, each tendon"	26350	CPT	Outpatient			68.27	44.38		90			Percent of total billed charges		61.44	95.46			Fee schedule		68.27	80			Percent of total billed charges		54.62	85			Percent of total billed charges		58.03	100			Fee schedule		2686.19	85			Percent of total billed charges		58.03	100			Fee schedule		68.27	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	68.27		1767		Case rate	Use Lesser of logic	68.27	100			Fee schedule		2686.19	54.62	2686.19	
"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); phalanx of toe"	28124	CPT	Outpatient			133.88	87.02		90			Percent of total billed charges		120.49	95.46			Fee schedule		133.88	80			Percent of total billed charges		107.1	85			Percent of total billed charges		113.79	100			Fee schedule		2686.19	85			Percent of total billed charges		113.79	100			Fee schedule		133.88	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate	Use Lesser of logic	133.88		1495		Case rate	Use Lesser of logic	133.88	100			Fee schedule		2686.19	107.1	2686.19	
"Percutaneous vertebroplasty (bone biopsy included when performed), 1 vertebral body, unilateral or bilateral injection, inclusive of all imaging guidance; cervicothoracic"	22510	CPT	Outpatient			155	100.75		90			Percent of total billed charges		139.5	95.46			Fee schedule		155	80			Percent of total billed charges		124	85			Percent of total billed charges		131.75	100			Fee schedule		2686.19	85			Percent of total billed charges		131.75	100			Fee schedule		155	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	155		1767		Case rate	Use Lesser of logic	155	100			Fee schedule		2686.19	124	2686.19	
"Repair, intrinsic muscles of hand, each muscle"	26591	CPT	Outpatient			261.5	169.97		90			Percent of total billed charges		235.35	95.46			Fee schedule		261.5	80			Percent of total billed charges		209.2	85			Percent of total billed charges		222.27	100			Fee schedule		2686.19	85			Percent of total billed charges		222.27	100			Fee schedule		261.5	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate	Use Lesser of logic	261.5		1495		Case rate	Use Lesser of logic	261.5	100			Fee schedule		2686.19	209.2	2686.19	
"Arthrotomy, with exploration, drainage, or removal of loose or foreign body; metacarpophalangeal joint, each"	26075	CPT	Outpatient			329.5	214.18		90			Percent of total billed charges		296.55	95.46			Fee schedule		329.5	80			Percent of total billed charges		263.6	85			Percent of total billed charges		280.08	100			Fee schedule		2686.19	85			Percent of total billed charges		280.08	100			Fee schedule		329.5	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1055		Case rate	Use Lesser of logic	329.5		1055		Case rate	Use Lesser of logic	329.5	100			Fee schedule		2686.19	263.6	2686.19	
Manipulation of ankle under general anesthesia (includes application of traction or other fixation apparatus)	27860	CPT	Outpatient			385	250.25		90			Percent of total billed charges		346.5	95.46			Fee schedule		385	80			Percent of total billed charges		308	85			Percent of total billed charges		327.25	100			Fee schedule		2686.19	85			Percent of total billed charges		327.25	100			Fee schedule		385	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1055		Case rate	Use Lesser of logic	385		1055		Case rate	Use Lesser of logic	385	100			Fee schedule		2686.19	308	2686.19	
"Percutaneous skeletal fixation of metatarsophalangeal joint dislocation, with manipulation"	28636	CPT	Outpatient			515	334.75		90			Percent of total billed charges		463.5	95.46			Fee schedule		515	80			Percent of total billed charges		412	85			Percent of total billed charges		437.75	100			Fee schedule		2686.19	85			Percent of total billed charges		437.75	100			Fee schedule		515	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate	Use Lesser of logic	515		1495		Case rate	Use Lesser of logic	515	100			Fee schedule		2686.19	412	2686.19	
"Open treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, includes internal fixation, when performed, each"	26735	CPT	Outpatient			526.95	342.52		90			Percent of total billed charges		474.25	95.46			Fee schedule		526.95	80			Percent of total billed charges		421.56	85			Percent of total billed charges		447.91	100			Fee schedule		2686.19	85			Percent of total billed charges		447.91	100			Fee schedule		526.95	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate	Use Lesser of logic	526.95		1495		Case rate	Use Lesser of logic	526.95	100			Fee schedule		2686.19	421.56	2686.19	
"Repair of extensor tendon, distal insertion, primary or secondary; without graft (eg, mallet finger)"	26433	CPT	Outpatient			530.48	344.81		90			Percent of total billed charges		477.43	95.46			Fee schedule		530.48	80			Percent of total billed charges		424.38	85			Percent of total billed charges		450.91	100			Fee schedule		2686.19	85			Percent of total billed charges		450.91	100			Fee schedule		530.48	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1055		Case rate	Use Lesser of logic	530.48		1055		Case rate	Use Lesser of logic	530.48	100			Fee schedule		2686.19	424.38	2686.19	
"Insertion of wire or pin with application of skeletal traction, including removal (separate procedure)"	20650	CPT	Outpatient			592	384.8		90			Percent of total billed charges		532.8	95.46			Fee schedule		592	80			Percent of total billed charges		473.6	85			Percent of total billed charges		503.2	100			Fee schedule		2686.19	85			Percent of total billed charges		503.2	100			Fee schedule		592	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	592		1767		Case rate	Use Lesser of logic	592	100			Fee schedule		2686.19	473.6	2686.19	
"Closed treatment of tarsal bone dislocation, other than talotarsal; requiring anesthesia"	28545	CPT	Outpatient			615	399.75		90			Percent of total billed charges		553.5	95.46			Fee schedule		615	80			Percent of total billed charges		492	85			Percent of total billed charges		522.75	100			Fee schedule		2686.19	85			Percent of total billed charges		522.75	100			Fee schedule		615	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate	Use Lesser of logic	615		1495		Case rate	Use Lesser of logic	615	100			Fee schedule		2686.19	492	2686.19	
"Repair and reconstruction, finger, volar plate, interphalangeal joint"	26548	CPT	Outpatient			699.19	454.47		90			Percent of total billed charges		629.27	95.46			Fee schedule		699.19	80			Percent of total billed charges		559.35	85			Percent of total billed charges		594.31	100			Fee schedule		2686.19	85			Percent of total billed charges		594.31	100			Fee schedule		699.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	699.19		1767		Case rate	Use Lesser of logic	699.19	100			Fee schedule		2686.19	559.35	2686.19	
Arthrotomy with biopsy; metatarsophalangeal joint	28052	CPT	Outpatient			735	477.75		90			Percent of total billed charges		661.5	95.46			Fee schedule		735	80			Percent of total billed charges		588	85			Percent of total billed charges		624.75	100			Fee schedule		2686.19	85			Percent of total billed charges		624.75	100			Fee schedule		735	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate	Use Lesser of logic	735		1495		Case rate	Use Lesser of logic	735	100			Fee schedule		2686.19	588	2686.19	
"Arthrotomy, including exploration, drainage, or removal of loose or foreign body; metatarsophalangeal joint"	28022	CPT	Outpatient			755	490.75		90			Percent of total billed charges		679.5	95.46			Fee schedule		755	80			Percent of total billed charges		604	85			Percent of total billed charges		641.75	100			Fee schedule		2686.19	85			Percent of total billed charges		641.75	100			Fee schedule		755	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate	Use Lesser of logic	755		1495		Case rate	Use Lesser of logic	755	100			Fee schedule		2686.19	604	2686.19	
"Percutaneous skeletal fixation of interphalangeal joint dislocation, single, with manipulation"	26776	CPT	Outpatient			775	503.75		90			Percent of total billed charges		697.5	95.46			Fee schedule		775	80			Percent of total billed charges		620	85			Percent of total billed charges		658.75	100			Fee schedule		2686.19	85			Percent of total billed charges		658.75	100			Fee schedule		775	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate	Use Lesser of logic	775		1495		Case rate	Use Lesser of logic	775	100			Fee schedule		2686.19	620	2686.19	
"Excision, olecranon bursa"	24105	CPT	Outpatient			827	537.55		90			Percent of total billed charges		744.3	95.46			Fee schedule		827	80			Percent of total billed charges		661.6	85			Percent of total billed charges		702.95	100			Fee schedule		2686.19	85			Percent of total billed charges		702.95	100			Fee schedule		827	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate	Use Lesser of logic	827		1495		Case rate	Use Lesser of logic	827	100			Fee schedule		2686.19	661.6	2686.19	
"Percutaneous skeletal fixation of metatarsal fracture, with manipulation, each"	28476	CPT	Outpatient			832	540.8		90			Percent of total billed charges		748.8	95.46			Fee schedule		832	80			Percent of total billed charges		665.6	85			Percent of total billed charges		707.2	100			Fee schedule		2686.19	85			Percent of total billed charges		707.2	100			Fee schedule		832	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate	Use Lesser of logic	832		1495		Case rate	Use Lesser of logic	832	100			Fee schedule		2686.19	665.6	2686.19	
"Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed, single"	26785	CPT	Outpatient			840	546		90			Percent of total billed charges		756	95.46			Fee schedule		840	80			Percent of total billed charges		672	85			Percent of total billed charges		714	100			Fee schedule		2686.19	85			Percent of total billed charges		714	100			Fee schedule		840	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate	Use Lesser of logic	840		1495		Case rate	Use Lesser of logic	840	100			Fee schedule		2686.19	672	2686.19	
"Synovectomy, tendon sheath, foot; flexor"	28086	CPT	Outpatient			855	555.75		90			Percent of total billed charges		769.5	95.46			Fee schedule		855	80			Percent of total billed charges		684	85			Percent of total billed charges		726.75	100			Fee schedule		2686.19	85			Percent of total billed charges		726.75	100			Fee schedule		855	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate	Use Lesser of logic	855		1495		Case rate	Use Lesser of logic	855	100			Fee schedule		2686.19	684	2686.19	
"Closed treatment of femoral fracture, proximal end, head; without manipulation"	27267	CPT	Outpatient			860	559		90			Percent of total billed charges		774	95.46			Fee schedule		860	80			Percent of total billed charges		688	85			Percent of total billed charges		731	100			Fee schedule		2686.19	85			Percent of total billed charges		731	100			Fee schedule		860	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1055		Case rate	Use Lesser of logic	860		1055		Case rate	Use Lesser of logic	860	100			Fee schedule		2686.19	688	2686.19	
"Reconstruction, angular deformity of toe, soft tissue procedures only (eg, overlapping second toe, fifth toe, curly toes)"	28313	CPT	Outpatient			865	562.25		90			Percent of total billed charges		778.5	95.46			Fee schedule		865	80			Percent of total billed charges		692	85			Percent of total billed charges		735.25	100			Fee schedule		2686.19	85			Percent of total billed charges		735.25	100			Fee schedule		865	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate	Use Lesser of logic	865		1495		Case rate	Use Lesser of logic	865	100			Fee schedule		2686.19	692	2686.19	
"Biopsy, vertebral body, open; thoracic"	20250	CPT	Outpatient			868	564.2		90			Percent of total billed charges		781.2	95.46			Fee schedule		868	80			Percent of total billed charges		694.4	85			Percent of total billed charges		737.8	100			Fee schedule		2686.19	85			Percent of total billed charges		737.8	100			Fee schedule		868	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	868		1767		Case rate	Use Lesser of logic	868	100			Fee schedule		2686.19	694.4	2686.19	
"Tenotomy, adductor of hip, open"	27001	CPT	Outpatient			870	565.5		90			Percent of total billed charges		783	95.46			Fee schedule		870	80			Percent of total billed charges		696	85			Percent of total billed charges		739.5	100			Fee schedule		2686.19	85			Percent of total billed charges		739.5	100			Fee schedule		870	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	870		1767		Case rate	Use Lesser of logic	870	100			Fee schedule		2686.19	696	2686.19	
"Tenotomy, open, hamstring, knee to hip; multiple tendons, 1 leg"	27391	CPT	Outpatient			870	565.5		90			Percent of total billed charges		783	95.46			Fee schedule		870	80			Percent of total billed charges		696	85			Percent of total billed charges		739.5	100			Fee schedule		2686.19	85			Percent of total billed charges		739.5	100			Fee schedule		870	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate	Use Lesser of logic	870		1495		Case rate	Use Lesser of logic	870	100			Fee schedule		2686.19	696	2686.19	
"Drainage of palmar bursa; single, bursa"	26025	CPT	Outpatient			875	568.75		90			Percent of total billed charges		787.5	95.46			Fee schedule		875	80			Percent of total billed charges		700	85			Percent of total billed charges		743.75	100			Fee schedule		2686.19	85			Percent of total billed charges		743.75	100			Fee schedule		875	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1055		Case rate	Use Lesser of logic	875		1055		Case rate	Use Lesser of logic	875	100			Fee schedule		2686.19	700	2686.19	
"Repair of collateral ligament, metacarpophalangeal or interphalangeal joint"	26540	CPT	Outpatient			886.98	576.53		90			Percent of total billed charges		798.28	95.46			Fee schedule		886.98	80			Percent of total billed charges		709.58	85			Percent of total billed charges		753.93	100			Fee schedule		2686.19	85			Percent of total billed charges		753.93	100			Fee schedule		886.98	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1055		Case rate	Use Lesser of logic	886.98		1055		Case rate	Use Lesser of logic	886.98	100			Fee schedule		2686.19	709.58	2686.19	
"Tenotomy, open, elbow to shoulder, each tendon"	24310	CPT	Outpatient			890	578.5		90			Percent of total billed charges		801	95.46			Fee schedule		890	80			Percent of total billed charges		712	85			Percent of total billed charges		756.5	100			Fee schedule		2686.19	85			Percent of total billed charges		756.5	100			Fee schedule		890	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate	Use Lesser of logic	890		1495		Case rate	Use Lesser of logic	890	100			Fee schedule		2686.19	712	2686.19	
"Tenotomy, percutaneous, Achilles tendon (separate procedure); general anesthesia"	27606	CPT	Outpatient			900	585		90			Percent of total billed charges		810	95.46			Fee schedule		900	80			Percent of total billed charges		720	85			Percent of total billed charges		765	100			Fee schedule		2686.19	85			Percent of total billed charges		765	100			Fee schedule		900	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate	Use Lesser of logic	900		1495		Case rate	Use Lesser of logic	900	100			Fee schedule		2686.19	720	2686.19	
"Shortening of tendon, extensor, hand or finger, each tendon"	26477	CPT	Outpatient			935	607.75		90			Percent of total billed charges		841.5	95.46			Fee schedule		935	80			Percent of total billed charges		748	85			Percent of total billed charges		794.75	100			Fee schedule		2686.19	85			Percent of total billed charges		794.75	100			Fee schedule		935	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1055		Case rate	Use Lesser of logic	935		1055		Case rate	Use Lesser of logic	935	100			Fee schedule		2686.19	748	2686.19	
"Percutaneous skeletal fixation of metacarpophalangeal dislocation, single, with manipulation"	26706	CPT	Outpatient			935	607.75		90			Percent of total billed charges		841.5	95.46			Fee schedule		935	80			Percent of total billed charges		748	85			Percent of total billed charges		794.75	100			Fee schedule		2686.19	85			Percent of total billed charges		794.75	100			Fee schedule		935	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1055		Case rate	Use Lesser of logic	935		1055		Case rate	Use Lesser of logic	935	100			Fee schedule		2686.19	748	2686.19	
"Fasciotomy, iliotibial (tenotomy), open"	27305	CPT	Outpatient			940	611		90			Percent of total billed charges		846	95.46			Fee schedule		940	80			Percent of total billed charges		752	85			Percent of total billed charges		799	100			Fee schedule		2686.19	85			Percent of total billed charges		799	100			Fee schedule		940	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate	Use Lesser of logic	940		1495		Case rate	Use Lesser of logic	940	100			Fee schedule		2686.19	752	2686.19	
"Tenolysis, extensor, foot; single tendon"	28225	CPT	Outpatient			941	611.65		90			Percent of total billed charges		846.9	95.46			Fee schedule		941	80			Percent of total billed charges		752.8	85			Percent of total billed charges		799.85	100			Fee schedule		2686.19	85			Percent of total billed charges		799.85	100			Fee schedule		941	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate	Use Lesser of logic	941		1495		Case rate	Use Lesser of logic	941	100			Fee schedule		2686.19	752.8	2686.19	
"Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head"	28288	CPT	Outpatient			945	614.25		90			Percent of total billed charges		850.5	95.46			Fee schedule		945	80			Percent of total billed charges		756	85			Percent of total billed charges		803.25	100			Fee schedule		2686.19	85			Percent of total billed charges		803.25	100			Fee schedule		945	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate	Use Lesser of logic	945		1495		Case rate	Use Lesser of logic	945	100			Fee schedule		2686.19	756	2686.19	
"Drainage of tendon sheath, digit and/or palm, each"	26020	CPT	Outpatient			950	617.5		90			Percent of total billed charges		855	95.46			Fee schedule		950	80			Percent of total billed charges		760	85			Percent of total billed charges		807.5	100			Fee schedule		2686.19	85			Percent of total billed charges		807.5	100			Fee schedule		950	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1055		Case rate	Use Lesser of logic	950		1055		Case rate	Use Lesser of logic	950	100			Fee schedule		2686.19	760	2686.19	
"Incision and drainage, leg or ankle; infected bursa"	27604	CPT	Outpatient			955	620.75		90			Percent of total billed charges		859.5	95.46			Fee schedule		955	80			Percent of total billed charges		764	85			Percent of total billed charges		811.75	100			Fee schedule		2686.19	85			Percent of total billed charges		811.75	100			Fee schedule		955	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate	Use Lesser of logic	955		1495		Case rate	Use Lesser of logic	955	100			Fee schedule		2686.19	764	2686.19	
"Arthroplasty, interphalangeal joint; each joint"	26535	CPT	Outpatient			980	637		90			Percent of total billed charges		882	95.46			Fee schedule		980	80			Percent of total billed charges		784	85			Percent of total billed charges		833	100			Fee schedule		2686.19	85			Percent of total billed charges		833	100			Fee schedule		980	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		2168		Case rate	Use Lesser of logic	980		2168		Case rate	Use Lesser of logic	980	100			Fee schedule		2686.19	784	2686.19	
"Incision and drainage, pelvis or hip joint area; deep abscess or hematoma"	26990	CPT	Outpatient			980	637		90			Percent of total billed charges		882	95.46			Fee schedule		980	80			Percent of total billed charges		784	85			Percent of total billed charges		833	100			Fee schedule		2686.19	85			Percent of total billed charges		833	100			Fee schedule		980	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate	Use Lesser of logic	980		1495		Case rate	Use Lesser of logic	980	100			Fee schedule		2686.19	784	2686.19	
"Ostectomy, complete excision; first metatarsal head"	28111	CPT	Outpatient			985	640.25		90			Percent of total billed charges		886.5	95.46			Fee schedule		985	80			Percent of total billed charges		788	85			Percent of total billed charges		837.25	100			Fee schedule		2686.19	85			Percent of total billed charges		837.25	100			Fee schedule		985	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate	Use Lesser of logic	985		1495		Case rate	Use Lesser of logic	985	100			Fee schedule		2686.19	788	2686.19	
Percutaneous skeletal fixation of distal radioulnar dislocation	25671	CPT	Outpatient			985	640.25		90			Percent of total billed charges		886.5	95.46			Fee schedule		985	80			Percent of total billed charges		788	85			Percent of total billed charges		837.25	100			Fee schedule		2686.19	85			Percent of total billed charges		837.25	100			Fee schedule		985	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate	Use Lesser of logic	985		1495		Case rate	Use Lesser of logic	985	100			Fee schedule		2686.19	788	2686.19	
"Excision, prepatellar bursa"	27340	CPT	Outpatient			995	646.75		90			Percent of total billed charges		895.5	95.46			Fee schedule		995	80			Percent of total billed charges		796	85			Percent of total billed charges		845.75	100			Fee schedule		2686.19	85			Percent of total billed charges		845.75	100			Fee schedule		995	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate	Use Lesser of logic	995		1495		Case rate	Use Lesser of logic	995	100			Fee schedule		2686.19	796	2686.19	
"Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor)"	27496	CPT	Outpatient			1000	650		90			Percent of total billed charges		900	95.46			Fee schedule		1000	80			Percent of total billed charges		800	85			Percent of total billed charges		850	100			Fee schedule		2686.19	85			Percent of total billed charges		850	100			Fee schedule		1000	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	1000		1767		Case rate	Use Lesser of logic	1000	100			Fee schedule		2686.19	800	2686.19	
"Lengthening of tendon, flexor, hand or finger, each tendon"	26478	CPT	Outpatient			1000	650		90			Percent of total billed charges		900	95.46			Fee schedule		1000	80			Percent of total billed charges		800	85			Percent of total billed charges		850	100			Fee schedule		2686.19	85			Percent of total billed charges		850	100			Fee schedule		1000	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1055		Case rate	Use Lesser of logic	1000		1055		Case rate	Use Lesser of logic	1000	100			Fee schedule		2686.19	800	2686.19	
"Arthrotomy, wrist joint; with joint exploration, with or without biopsy, with or without removal of loose or foreign body"	25101	CPT	Outpatient			1015	659.75		90			Percent of total billed charges		913.5	95.46			Fee schedule		1015	80			Percent of total billed charges		812	85			Percent of total billed charges		862.75	100			Fee schedule		2686.19	85			Percent of total billed charges		862.75	100			Fee schedule		1015	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	1015		1767		Case rate	Use Lesser of logic	1015	100			Fee schedule		2686.19	812	2686.19	
Carpectomy; 1 bone	25210	CPT	Outpatient			1020	663		90			Percent of total billed charges		918	95.46			Fee schedule		1020	80			Percent of total billed charges		816	85			Percent of total billed charges		867	100			Fee schedule		2686.19	85			Percent of total billed charges		867	100			Fee schedule		1020	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	1020		1767		Case rate	Use Lesser of logic	1020	100			Fee schedule		2686.19	816	2686.19	
Excision; trochanteric bursa or calcification	27062	CPT	Outpatient			1025	666.25		90			Percent of total billed charges		922.5	95.46			Fee schedule		1025	80			Percent of total billed charges		820	85			Percent of total billed charges		871.25	100			Fee schedule		2686.19	85			Percent of total billed charges		871.25	100			Fee schedule		1025	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate	Use Lesser of logic	1025		1495		Case rate	Use Lesser of logic	1025	100			Fee schedule		2686.19	820	2686.19	
"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); percutaneous"	24357	CPT	Outpatient			1025	666.25		90			Percent of total billed charges		922.5	95.46			Fee schedule		1025	80			Percent of total billed charges		820	85			Percent of total billed charges		871.25	100			Fee schedule		2686.19	85			Percent of total billed charges		871.25	100			Fee schedule		1025	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate	Use Lesser of logic	1025		1495		Case rate	Use Lesser of logic	1025	100			Fee schedule		2686.19	820	2686.19	
"Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies"	27331	CPT	Outpatient			1030	669.5		90			Percent of total billed charges		927	95.46			Fee schedule		1030	80			Percent of total billed charges		824	85			Percent of total billed charges		875.5	100			Fee schedule		2686.19	85			Percent of total billed charges		875.5	100			Fee schedule		1030	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	1030		1767		Case rate	Use Lesser of logic	1030	100			Fee schedule		2686.19	824	2686.19	
"Resection, condyle(s), distal end of phalanx, each toe"	28153	CPT	Outpatient			1030	669.5		90			Percent of total billed charges		927	95.46			Fee schedule		1030	80			Percent of total billed charges		824	85			Percent of total billed charges		875.5	100			Fee schedule		2686.19	85			Percent of total billed charges		875.5	100			Fee schedule		1030	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate	Use Lesser of logic	1030		1495		Case rate	Use Lesser of logic	1030	100			Fee schedule		2686.19	824	2686.19	
"Open treatment of fracture, phalanx or phalanges, other than great toe, includes internal fixation, when performed, each"	28525	CPT	Outpatient			1035	672.75		90			Percent of total billed charges		931.5	95.46			Fee schedule		1035	80			Percent of total billed charges		828	85			Percent of total billed charges		879.75	100			Fee schedule		2686.19	85			Percent of total billed charges		879.75	100			Fee schedule		1035	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate	Use Lesser of logic	1035		1495		Case rate	Use Lesser of logic	1035	100			Fee schedule		2686.19	828	2686.19	
"Sesamoidectomy, first toe (separate procedure)"	28315	CPT	Outpatient			1035	672.75		90			Percent of total billed charges		931.5	95.46			Fee schedule		1035	80			Percent of total billed charges		828	85			Percent of total billed charges		879.75	100			Fee schedule		2686.19	85			Percent of total billed charges		879.75	100			Fee schedule		1035	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate	Use Lesser of logic	1035		1495		Case rate	Use Lesser of logic	1035	100			Fee schedule		2686.19	828	2686.19	
"Closed treatment of metacarpal fracture, with manipulation, with external fixation, each bone"	26607	CPT	Outpatient			1115	724.75		90			Percent of total billed charges		1003.5	95.46			Fee schedule		1115	80			Percent of total billed charges		892	85			Percent of total billed charges		947.75	100			Fee schedule		2686.19	85			Percent of total billed charges		947.75	100			Fee schedule		1115	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		2686.19	892	2686.19	
Drainage of palmar bursa; multiple bursa	26030	CPT	Outpatient			1140	741		90			Percent of total billed charges		1026	95.46			Fee schedule		1140	80			Percent of total billed charges		912	85			Percent of total billed charges		969	100			Fee schedule		2686.19	85			Percent of total billed charges		969	100			Fee schedule		1140	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		2686.19	912	2686.19	
"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis); metacarpal"	26230	CPT	Outpatient			1170	760.5		90			Percent of total billed charges		1053	95.46			Fee schedule		1170	80			Percent of total billed charges		936	85			Percent of total billed charges		994.5	100			Fee schedule		2686.19	85			Percent of total billed charges		994.5	100			Fee schedule		1170	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		2686.19	936	2686.19	
"Excision or curettage of bone cyst or benign tumor of proximal, middle, or distal phalanx of finger; with autograft (includes obtaining graft)"	26215	CPT	Outpatient			1325	861.25		90			Percent of total billed charges		1192.5	95.46			Fee schedule		1325	80			Percent of total billed charges		1060	85			Percent of total billed charges		1126.25	100			Fee schedule		2686.19	85			Percent of total billed charges		1126.25	100			Fee schedule		1325	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		2686.19	1055	2686.19	
"Decompressive fasciotomy, hand (excludes 26035)"	26037	CPT	Outpatient			1350	877.5		90			Percent of total billed charges		1215	95.46			Fee schedule		1350	80			Percent of total billed charges		1080	85			Percent of total billed charges		1147.5	100			Fee schedule		2686.19	85			Percent of total billed charges		1147.5	100			Fee schedule		1350	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		2686.19	1055	2686.19	
"Radical resection of tumor, metacarpal"	26250	CPT	Outpatient			1400	910		90			Percent of total billed charges		1260	95.46			Fee schedule		1400	80			Percent of total billed charges		1120	85			Percent of total billed charges		1190	100			Fee schedule		2686.19	85			Percent of total billed charges		1190	100			Fee schedule		1400	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		2686.19	1055	2686.19	
"Closed treatment of tibial fracture, proximal (plateau); with or without manipulation, with skeletal traction"	27532	CPT	Outpatient			1425	926.25		90			Percent of total billed charges		1282.5	95.46			Fee schedule		1425	80			Percent of total billed charges		1140	85			Percent of total billed charges		1211.25	100			Fee schedule		2686.19	85			Percent of total billed charges		1211.25	100			Fee schedule		1425	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		2686.19	1055	2686.19	
"Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with direct closure"	26951	CPT	Outpatient			1615	1049.75		90			Percent of total billed charges		1453.5	95.46			Fee schedule		1615	80			Percent of total billed charges		1292	85			Percent of total billed charges		1372.75	100			Fee schedule		2686.19	85			Percent of total billed charges		1372.75	100			Fee schedule		1615	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		2686.19	1055	2686.19	
"Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomies; with local advancement flaps (V-Y, hood)"	26952	CPT	Outpatient			1660	1079		90			Percent of total billed charges		1494	95.46			Fee schedule		1660	80			Percent of total billed charges		1328	85			Percent of total billed charges		1411	100			Fee schedule		2686.19	85			Percent of total billed charges		1411	100			Fee schedule		1660	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		2686.19	1055	2686.19	
"Reconstruction, collateral ligament, metacarpophalangeal joint, single; with local tissue (eg, adductor advancement)"	26542	CPT	Outpatient			1685	1095.25		90			Percent of total billed charges		1516.5	95.46			Fee schedule		1685	80			Percent of total billed charges		1348	85			Percent of total billed charges		1432.25	100			Fee schedule		2686.19	85			Percent of total billed charges		1432.25	100			Fee schedule		1685	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		2686.19	1055	2686.19	
"Decompression fingers and/or hand, injection injury (eg, grease gun)"	26035	CPT	Outpatient			1695	1101.75		90			Percent of total billed charges		1525.5	95.46			Fee schedule		1695	80			Percent of total billed charges		1356	85			Percent of total billed charges		1440.75	100			Fee schedule		2686.19	85			Percent of total billed charges		1440.75	100			Fee schedule		1695	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		2686.19	1055	2686.19	
"Realignment of extensor tendon, hand, each tendon"	26437	CPT	Outpatient			1785	1160.25		90			Percent of total billed charges		1606.5	95.46			Fee schedule		1785	80			Percent of total billed charges		1428	85			Percent of total billed charges		1517.25	100			Fee schedule		2686.19	85			Percent of total billed charges		1517.25	100			Fee schedule		1785	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		2686.19	1055	2686.19	
"Tenolysis, extensor tendon, hand OR finger, each tendon"	26445	CPT	Outpatient			1939	1260.35		90			Percent of total billed charges		1745.1	95.46			Fee schedule		1939	80			Percent of total billed charges		1551.2	85			Percent of total billed charges		1648.15	100			Fee schedule		2686.19	85			Percent of total billed charges		1648.15	100			Fee schedule		1939	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		2686.19	1055	2686.19	
Metatarsectomy	28140	CPT	Outpatient			1060	689		90			Percent of total billed charges		954	95.46			Fee schedule		1060	80			Percent of total billed charges		848	85			Percent of total billed charges		901	100			Fee schedule		2686.19	85			Percent of total billed charges		901	100			Fee schedule		1060	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate	Use Lesser of logic	1060		1495		Case rate	Use Lesser of logic	1060	100			Fee schedule		2686.19	848	2686.19	
"Repair, tendon, extensor, foot; primary or secondary, each tendon"	28208	CPT	Outpatient			1060	689		90			Percent of total billed charges		954	95.46			Fee schedule		1060	80			Percent of total billed charges		848	85			Percent of total billed charges		901	100			Fee schedule		2686.19	85			Percent of total billed charges		901	100			Fee schedule		1060	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate	Use Lesser of logic	1060		1495		Case rate	Use Lesser of logic	1060	100			Fee schedule		2686.19	848	2686.19	
"Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; without free graft, each tendon"	26480	CPT	Outpatient			1062.17	690.41		90			Percent of total billed charges		955.95	95.46			Fee schedule		1062.17	80			Percent of total billed charges		849.73	85			Percent of total billed charges		902.84	100			Fee schedule		2686.19	85			Percent of total billed charges		902.84	100			Fee schedule		1062.17	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	1062.17		1767		Case rate	Use Lesser of logic	1062.17	100			Fee schedule		2686.19	849.73	2686.19	
"Decompression fasciotomy, leg; anterior and/or lateral compartments only"	27600	CPT	Outpatient			1070	695.5		90			Percent of total billed charges		963	95.46			Fee schedule		1070	80			Percent of total billed charges		856	85			Percent of total billed charges		909.5	100			Fee schedule		2686.19	85			Percent of total billed charges		909.5	100			Fee schedule		1070	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate	Use Lesser of logic	1070		1495		Case rate	Use Lesser of logic	1070	100			Fee schedule		2686.19	856	2686.19	
"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open"	24358	CPT	Outpatient			1075	698.75		90			Percent of total billed charges		967.5	95.46			Fee schedule		1075	80			Percent of total billed charges		860	85			Percent of total billed charges		913.75	100			Fee schedule		2686.19	85			Percent of total billed charges		913.75	100			Fee schedule		1075	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	1075		1767		Case rate	Use Lesser of logic	1075	100			Fee schedule		2686.19	860	2686.19	
"Osteotomy, shortening, angular or rotational correction; other phalanges, any toe"	28312	CPT	Outpatient			1077	700.05		90			Percent of total billed charges		969.3	95.46			Fee schedule		1077	80			Percent of total billed charges		861.6	85			Percent of total billed charges		915.45	100			Fee schedule		2686.19	85			Percent of total billed charges		915.45	100			Fee schedule		1077	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate	Use Lesser of logic	1077		1495		Case rate	Use Lesser of logic	1077	100			Fee schedule		2686.19	861.6	2686.19	
"Percutaneous skeletal fixation of distal phalangeal fracture, finger or thumb, each"	26756	CPT	Outpatient			1080	702		90			Percent of total billed charges		972	95.46			Fee schedule		1080	80			Percent of total billed charges		864	85			Percent of total billed charges		918	100			Fee schedule		2686.19	85			Percent of total billed charges		918	100			Fee schedule		1080	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate	Use Lesser of logic	1080		1495		Case rate	Use Lesser of logic	1080	100			Fee schedule		2686.19	864	2686.19	
"Lengthening or shortening of tendon, leg or ankle; single tendon (separate procedure)"	27685	CPT	Outpatient			1085	705.25		90			Percent of total billed charges		976.5	95.46			Fee schedule		1085	80			Percent of total billed charges		868	85			Percent of total billed charges		922.25	100			Fee schedule		2686.19	85			Percent of total billed charges		922.25	100			Fee schedule		1085	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	1085		1767		Case rate	Use Lesser of logic	1085	100			Fee schedule		2686.19	868	2686.19	
"Open treatment of metatarsophalangeal joint dislocation, includes internal fixation, when performed"	28645	CPT	Outpatient			1090	708.5		90			Percent of total billed charges		981	95.46			Fee schedule		1090	80			Percent of total billed charges		872	85			Percent of total billed charges		926.5	100			Fee schedule		2686.19	85			Percent of total billed charges		926.5	100			Fee schedule		1090	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate	Use Lesser of logic	1090		1495		Case rate	Use Lesser of logic	1090	100			Fee schedule		2686.19	872	2686.19	
"Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle"	25272	CPT	Outpatient			1090	708.5		90			Percent of total billed charges		981	95.46			Fee schedule		1090	80			Percent of total billed charges		872	85			Percent of total billed charges		926.5	100			Fee schedule		2686.19	85			Percent of total billed charges		926.5	100			Fee schedule		1090	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	1090		1767		Case rate	Use Lesser of logic	1090	100			Fee schedule		2686.19	872	2686.19	
"Repair, tendon or muscle, flexor, forearm and/or wrist; primary, single, each tendon or muscle"	25260	CPT	Outpatient			1091	709.15		90			Percent of total billed charges		981.9	95.46			Fee schedule		1091	80			Percent of total billed charges		872.8	85			Percent of total billed charges		927.35	100			Fee schedule		2686.19	85			Percent of total billed charges		927.35	100			Fee schedule		1091	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	1091		1767		Case rate	Use Lesser of logic	1091	100			Fee schedule		2686.19	872.8	2686.19	
"Fasciotomy, foot and/or toe"	28008	CPT	Outpatient			1100	715		90			Percent of total billed charges		990	95.46			Fee schedule		1100	80			Percent of total billed charges		880	85			Percent of total billed charges		935	100			Fee schedule		2686.19	85			Percent of total billed charges		935	100			Fee schedule		1100	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate	Use Lesser of logic	1100		1495		Case rate	Use Lesser of logic	1100	100			Fee schedule		2686.19	880	2686.19	
"Arthroscopy, shoulder, diagnostic, with or without synovial biopsy (separate procedure)"	29805	CPT	Outpatient			1105	718.25		90			Percent of total billed charges		994.5	95.46			Fee schedule		1105	80			Percent of total billed charges		884	85			Percent of total billed charges		939.25	100			Fee schedule		2686.19	85			Percent of total billed charges		939.25	100			Fee schedule		1105	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	1105		1767		Case rate	Use Lesser of logic	1105	100			Fee schedule		2686.19	884	2686.19	
"Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure)"	28110	CPT	Outpatient			1105	718.25		90			Percent of total billed charges		994.5	95.46			Fee schedule		1105	80			Percent of total billed charges		884	85			Percent of total billed charges		939.25	100			Fee schedule		2686.19	85			Percent of total billed charges		939.25	100			Fee schedule		1105	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate	Use Lesser of logic	1105		1495		Case rate	Use Lesser of logic	1105	100			Fee schedule		2686.19	884	2686.19	
"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; other than first metatarsal, each"	28308	CPT	Outpatient			1108	720.2		90			Percent of total billed charges		997.2	95.46			Fee schedule		1108	80			Percent of total billed charges		886.4	85			Percent of total billed charges		941.8	100			Fee schedule		2686.19	85			Percent of total billed charges		941.8	100			Fee schedule		1108	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate	Use Lesser of logic	1108		1495		Case rate	Use Lesser of logic	1108	100			Fee schedule		2686.19	886.4	2686.19	
"Lateral retinacular release, open"	27425	CPT	Outpatient			1110	721.5		90			Percent of total billed charges		999	95.46			Fee schedule		1110	80			Percent of total billed charges		888	85			Percent of total billed charges		943.5	100			Fee schedule		2686.19	85			Percent of total billed charges		943.5	100			Fee schedule		1110	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	1110		1767		Case rate	Use Lesser of logic	1110	100			Fee schedule		2686.19	888	2686.19	
"Arthroscopy, knee, surgical; with lateral release"	29873	CPT	Outpatient			1120	728		90			Percent of total billed charges		1008	95.46			Fee schedule		1120	80			Percent of total billed charges		896	85			Percent of total billed charges		952	100			Fee schedule		2686.19	85			Percent of total billed charges		952	100			Fee schedule		1120	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	1120		1767		Case rate	Use Lesser of logic	1120	100			Fee schedule		2686.19	896	2686.19	
"Capsulodesis, metacarpophalangeal joint; single digit"	26516	CPT	Outpatient			1130	734.5		90			Percent of total billed charges		1017	95.46			Fee schedule		1130	80			Percent of total billed charges		904	85			Percent of total billed charges		960.5	100			Fee schedule		2686.19	85			Percent of total billed charges		960.5	100			Fee schedule		1130	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	1130		1767		Case rate	Use Lesser of logic	1130	100			Fee schedule		2686.19	904	2686.19	
"Repair, dislocating peroneal tendons; without fibular osteotomy"	27675	CPT	Outpatient			1130	734.5		90			Percent of total billed charges		1017	95.46			Fee schedule		1130	80			Percent of total billed charges		904	85			Percent of total billed charges		960.5	100			Fee schedule		2686.19	85			Percent of total billed charges		960.5	100			Fee schedule		1130	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate	Use Lesser of logic	1130		1495		Case rate	Use Lesser of logic	1130	100			Fee schedule		2686.19	904	2686.19	
"Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus"	28104	CPT	Outpatient			1136	738.4		90			Percent of total billed charges		1022.4	95.46			Fee schedule		1136	80			Percent of total billed charges		908.8	85			Percent of total billed charges		965.6	100			Fee schedule		2686.19	85			Percent of total billed charges		965.6	100			Fee schedule		1136	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate	Use Lesser of logic	1136		1495		Case rate	Use Lesser of logic	1136	100			Fee schedule		2686.19	908.8	2686.19	
"Fasciectomy, plantar fascia; radical (separate procedure)"	28062	CPT	Outpatient			1140	741		90			Percent of total billed charges		1026	95.46			Fee schedule		1140	80			Percent of total billed charges		912	85			Percent of total billed charges		969	100			Fee schedule		2686.19	85			Percent of total billed charges		969	100			Fee schedule		1140	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate	Use Lesser of logic	1140		1495		Case rate	Use Lesser of logic	1140	100			Fee schedule		2686.19	912	2686.19	
"Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation"	28496	CPT	Outpatient			1140	741		90			Percent of total billed charges		1026	95.46			Fee schedule		1140	80			Percent of total billed charges		912	85			Percent of total billed charges		969	100			Fee schedule		2686.19	85			Percent of total billed charges		969	100			Fee schedule		1140	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate	Use Lesser of logic	1140		1495		Case rate	Use Lesser of logic	1140	100			Fee schedule		2686.19	912	2686.19	
"Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty)"	29877	CPT	Outpatient			1140.96	741.62		90			Percent of total billed charges		1026.86	95.46			Fee schedule		1140.96	80			Percent of total billed charges		912.77	85			Percent of total billed charges		969.81	100			Fee schedule		2686.19	85			Percent of total billed charges		969.81	100			Fee schedule		1140.96	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	1140.96		1767		Case rate	Use Lesser of logic	1140.96	100			Fee schedule		2686.19	912.77	2686.19	
"Hemiphalangectomy or interphalangeal joint excision, toe, proximal end of phalanx, each"	28160	CPT	Outpatient			1145	744.25		90			Percent of total billed charges		1030.5	95.46			Fee schedule		1145	80			Percent of total billed charges		916	85			Percent of total billed charges		973.25	100			Fee schedule		2686.19	85			Percent of total billed charges		973.25	100			Fee schedule		1145	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate	Use Lesser of logic	1145		1495		Case rate	Use Lesser of logic	1145	100			Fee schedule		2686.19	916	2686.19	
"Osteotomy; phalanx of finger, each"	26567	CPT	Outpatient			1145	744.25		90			Percent of total billed charges		1030.5	95.46			Fee schedule		1145	80			Percent of total billed charges		916	85			Percent of total billed charges		973.25	100			Fee schedule		2686.19	85			Percent of total billed charges		973.25	100			Fee schedule		1145	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	1145		1767		Case rate	Use Lesser of logic	1145	100			Fee schedule		2686.19	916	2686.19	
"Arthrotomy, elbow, including exploration, drainage, or removal of foreign body"	24000	CPT	Outpatient			1150	747.5		90			Percent of total billed charges		1035	95.46			Fee schedule		1150	80			Percent of total billed charges		920	85			Percent of total billed charges		977.5	100			Fee schedule		2686.19	85			Percent of total billed charges		977.5	100			Fee schedule		1150	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	1150		1767		Case rate	Use Lesser of logic	1150	100			Fee schedule		2686.19	920	2686.19	
Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process	24120	CPT	Outpatient			1150	747.5		90			Percent of total billed charges		1035	95.46			Fee schedule		1150	80			Percent of total billed charges		920	85			Percent of total billed charges		977.5	100			Fee schedule		2686.19	85			Percent of total billed charges		977.5	100			Fee schedule		1150	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate	Use Lesser of logic	1150		1495		Case rate	Use Lesser of logic	1150	100			Fee schedule		2686.19	920	2686.19	
"Fasciectomy, plantar fascia; partial (separate procedure)"	28060	CPT	Outpatient			1156	751.4		90			Percent of total billed charges		1040.4	95.46			Fee schedule		1156	80			Percent of total billed charges		924.8	85			Percent of total billed charges		982.6	100			Fee schedule		2686.19	85			Percent of total billed charges		982.6	100			Fee schedule		1156	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate	Use Lesser of logic	1156		1495		Case rate	Use Lesser of logic	1156	100			Fee schedule		2686.19	924.8	2686.19	
"Open treatment of metacarpophalangeal dislocation, single, includes internal fixation, when performed"	26715	CPT	Outpatient			1166	757.9		90			Percent of total billed charges		1049.4	95.46			Fee schedule		1166	80			Percent of total billed charges		932.8	85			Percent of total billed charges		991.1	100			Fee schedule		2686.19	85			Percent of total billed charges		991.1	100			Fee schedule		1166	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate	Use Lesser of logic	1166		1495		Case rate	Use Lesser of logic	1166	100			Fee schedule		2686.19	932.8	2686.19	
"Fasciotomy, palmar (eg, Dupuytren's contracture); open, partial"	26045	CPT	Outpatient			1180	767		90			Percent of total billed charges		1062	95.46			Fee schedule		1180	80			Percent of total billed charges		944	85			Percent of total billed charges		1003	100			Fee schedule		2686.19	85			Percent of total billed charges		1003	100			Fee schedule		1180	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	1180		1767		Case rate	Use Lesser of logic	1180	100			Fee schedule		2686.19	944	2686.19	
"Ostectomy, complete excision; other metatarsal head (second, third or fourth)"	28112	CPT	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	95.46			Fee schedule		1185	80			Percent of total billed charges		948	85			Percent of total billed charges		1007.25	100			Fee schedule		2686.19	85			Percent of total billed charges		1007.25	100			Fee schedule		1185	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate	Use Lesser of logic	1185		1495		Case rate	Use Lesser of logic	1185	100			Fee schedule		2686.19	948	2686.19	
"Phalangectomy, toe, each toe"	28150	CPT	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	95.46			Fee schedule		1185	80			Percent of total billed charges		948	85			Percent of total billed charges		1007.25	100			Fee schedule		2686.19	85			Percent of total billed charges		1007.25	100			Fee schedule		1185	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate	Use Lesser of logic	1185		1495		Case rate	Use Lesser of logic	1185	100			Fee schedule		2686.19	948	2686.19	
"Ostectomy, calcaneus; for spur, with or without plantar fascial release"	28119	CPT	Outpatient			1188	772.2		90			Percent of total billed charges		1069.2	95.46			Fee schedule		1188	80			Percent of total billed charges		950.4	85			Percent of total billed charges		1009.8	100			Fee schedule		2686.19	85			Percent of total billed charges		1009.8	100			Fee schedule		1188	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate	Use Lesser of logic	1188		1495		Case rate	Use Lesser of logic	1188	100			Fee schedule		2686.19	950.4	2686.19	
"Open treatment of interphalangeal joint dislocation, includes internal fixation, when performed"	28675	CPT	Outpatient			1200	780		90			Percent of total billed charges		1080	95.46			Fee schedule		1200	80			Percent of total billed charges		960	85			Percent of total billed charges		1020	100			Fee schedule		2686.19	85			Percent of total billed charges		1020	100			Fee schedule		1200	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate	Use Lesser of logic	1200		1495		Case rate	Use Lesser of logic	1200	100			Fee schedule		2686.19	960	2686.19	
Removal of ankle implant	27704	CPT	Outpatient			1215	789.75		90			Percent of total billed charges		1093.5	95.46			Fee schedule		1215	80			Percent of total billed charges		972	85			Percent of total billed charges		1032.75	100			Fee schedule		2686.19	85			Percent of total billed charges		1032.75	100			Fee schedule		1215	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	1215		1767		Case rate	Use Lesser of logic	1215	100			Fee schedule		2686.19	972	2686.19	
"Amputation, metacarpal, with finger or thumb (ray amputation), single, with or without interosseous transfer"	26910	CPT	Outpatient			1225	796.25		90			Percent of total billed charges		1102.5	95.46			Fee schedule		1225	80			Percent of total billed charges		980	85			Percent of total billed charges		1041.25	100			Fee schedule		2686.19	85			Percent of total billed charges		1041.25	100			Fee schedule		1225	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	1225		1767		Case rate	Use Lesser of logic	1225	100			Fee schedule		2686.19	980	2686.19	
"Excision, radial head"	24130	CPT	Outpatient			1225	796.25		90			Percent of total billed charges		1102.5	95.46			Fee schedule		1225	80			Percent of total billed charges		980	85			Percent of total billed charges		1041.25	100			Fee schedule		2686.19	85			Percent of total billed charges		1041.25	100			Fee schedule		1225	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	1225		1767		Case rate	Use Lesser of logic	1225	100			Fee schedule		2686.19	980	2686.19	
"Reconstruction, collateral ligament, interphalangeal joint, single, including graft, each joint"	26545	CPT	Outpatient			1225	796.25		90			Percent of total billed charges		1102.5	95.46			Fee schedule		1225	80			Percent of total billed charges		980	85			Percent of total billed charges		1041.25	100			Fee schedule		2686.19	85			Percent of total billed charges		1041.25	100			Fee schedule		1225	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	1225		1767		Case rate	Use Lesser of logic	1225	100			Fee schedule		2686.19	980	2686.19	
"Excision of synovial cyst of popliteal space (eg, Baker's cyst)"	27345	CPT	Outpatient			1240	806		90			Percent of total billed charges		1116	95.46			Fee schedule		1240	80			Percent of total billed charges		992	85			Percent of total billed charges		1054	100			Fee schedule		2686.19	85			Percent of total billed charges		1054	100			Fee schedule		1240	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate	Use Lesser of logic	1240		1495		Case rate	Use Lesser of logic	1240	100			Fee schedule		2686.19	992	2686.19	
Excision or curettage of bone cyst or benign tumor of carpal bones	25130	CPT	Outpatient			1240	806		90			Percent of total billed charges		1116	95.46			Fee schedule		1240	80			Percent of total billed charges		992	85			Percent of total billed charges		1054	100			Fee schedule		2686.19	85			Percent of total billed charges		1054	100			Fee schedule		1240	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	1240		1767		Case rate	Use Lesser of logic	1240	100			Fee schedule		2686.19	992	2686.19	
"Osteotomy; metacarpal, each"	26565	CPT	Outpatient			1250	812.5		90			Percent of total billed charges		1125	95.46			Fee schedule		1250	80			Percent of total billed charges		1000	85			Percent of total billed charges		1062.5	100			Fee schedule		2686.19	85			Percent of total billed charges		1062.5	100			Fee schedule		1250	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	1250		1767		Case rate	Use Lesser of logic	1250	100			Fee schedule		2686.19	1000	2686.19	
"Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate procedure)"	26502	CPT	Outpatient			1250	812.5		90			Percent of total billed charges		1125	95.46			Fee schedule		1250	80			Percent of total billed charges		1000	85			Percent of total billed charges		1062.5	100			Fee schedule		2686.19	85			Percent of total billed charges		1062.5	100			Fee schedule		1250	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	1250		1767		Case rate	Use Lesser of logic	1250	100			Fee schedule		2686.19	1000	2686.19	
"Excision of lesion of meniscus or capsule (eg, cyst, ganglion), knee"	27347	CPT	Outpatient			1255	815.75		90			Percent of total billed charges		1129.5	95.46			Fee schedule		1255	80			Percent of total billed charges		1004	85			Percent of total billed charges		1066.75	100			Fee schedule		2686.19	85			Percent of total billed charges		1066.75	100			Fee schedule		1255	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate	Use Lesser of logic	1255		1495		Case rate	Use Lesser of logic	1255	100			Fee schedule		2686.19	1004	2686.19	
"Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle"	27630	CPT	Outpatient			1255	815.75		90			Percent of total billed charges		1129.5	95.46			Fee schedule		1255	80			Percent of total billed charges		1004	85			Percent of total billed charges		1066.75	100			Fee schedule		2686.19	85			Percent of total billed charges		1066.75	100			Fee schedule		1255	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate	Use Lesser of logic	1255		1495		Case rate	Use Lesser of logic	1255	100			Fee schedule		2686.19	1004	2686.19	
"Arthrotomy, acromioclavicular, sternoclavicular joint, including exploration, drainage, or removal of foreign body"	23044	CPT	Outpatient			1265	822.25		90			Percent of total billed charges		1138.5	95.46			Fee schedule		1265	80			Percent of total billed charges		1012	85			Percent of total billed charges		1075.25	100			Fee schedule		2686.19	85			Percent of total billed charges		1075.25	100			Fee schedule		1265	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	1265		1767		Case rate	Use Lesser of logic	1265	100			Fee schedule		2686.19	1012	2686.19	
"Percutaneous skeletal fixation of tarsometatarsal joint dislocation, with manipulation"	28606	CPT	Outpatient			1275	828.75		90			Percent of total billed charges		1147.5	95.46			Fee schedule		1275	80			Percent of total billed charges		1020	85			Percent of total billed charges		1083.75	100			Fee schedule		2686.19	85			Percent of total billed charges		1083.75	100			Fee schedule		1275	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate	Use Lesser of logic	1275		1495		Case rate	Use Lesser of logic	1275	100			Fee schedule		2686.19	1020	2686.19	
"Excision distal ulna partial or complete (eg, Darrach type or matched resection)"	25240	CPT	Outpatient			1280	832		90			Percent of total billed charges		1152	95.46			Fee schedule		1280	80			Percent of total billed charges		1024	85			Percent of total billed charges		1088	100			Fee schedule		2686.19	85			Percent of total billed charges		1088	100			Fee schedule		1280	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	1280		1767		Case rate	Use Lesser of logic	1280	100			Fee schedule		2686.19	1024	2686.19	
"Arthrotomy, elbow; with joint exploration, with or without biopsy, with or without removal of loose or foreign body"	24101	CPT	Outpatient			1285	835.25		90			Percent of total billed charges		1156.5	95.46			Fee schedule		1285	80			Percent of total billed charges		1028	85			Percent of total billed charges		1092.25	100			Fee schedule		2686.19	85			Percent of total billed charges		1092.25	100			Fee schedule		1285	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	1285		1767		Case rate	Use Lesser of logic	1285	100			Fee schedule		2686.19	1028	2686.19	
"Removal of prosthesis, includes debridement and synovectomy when performed; humeral and ulnar components"	24160	CPT	Outpatient			1285	835.25		90			Percent of total billed charges		1156.5	95.46			Fee schedule		1285	80			Percent of total billed charges		1028	85			Percent of total billed charges		1092.25	100			Fee schedule		2686.19	85			Percent of total billed charges		1092.25	100			Fee schedule		1285	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	1285		1767		Case rate	Use Lesser of logic	1285	100			Fee schedule		2686.19	1028	2686.19	
"Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release"	23130	CPT	Outpatient			1286.19	836.02		90			Percent of total billed charges		1157.57	95.46			Fee schedule		1286.19	80			Percent of total billed charges		1028.95	85			Percent of total billed charges		1093.26	100			Fee schedule		2686.19	85			Percent of total billed charges		1093.26	100			Fee schedule		1286.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		2168		Case rate	Use Lesser of logic	1286.19		2168		Case rate	Use Lesser of logic	1286.19	100			Fee schedule		2686.19	1028.95	2686.19	
"Repair, extensor tendon, hand, primary or secondary; with free graft (includes obtaining graft), each tendon"	26412	CPT	Outpatient			1290	838.5		90			Percent of total billed charges		1161	95.46			Fee schedule		1290	80			Percent of total billed charges		1032	85			Percent of total billed charges		1096.5	100			Fee schedule		2686.19	85			Percent of total billed charges		1096.5	100			Fee schedule		1290	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	1290		1767		Case rate	Use Lesser of logic	1290	100			Fee schedule		2686.19	1032	2686.19	
"Open treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint, includes internal fixation, when performed, each"	26746	CPT	Outpatient			1300	845		90			Percent of total billed charges		1170	95.46			Fee schedule		1300	80			Percent of total billed charges		1040	85			Percent of total billed charges		1105	100			Fee schedule		2686.19	85			Percent of total billed charges		1105	100			Fee schedule		1300	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate	Use Lesser of logic	1300		1495		Case rate	Use Lesser of logic	1300	100			Fee schedule		2686.19	1040	2686.19	
"Repair, extensor tendon, finger, primary or secondary; with free graft (includes obtaining graft) each tendon"	26420	CPT	Outpatient			1300	845		90			Percent of total billed charges		1170	95.46			Fee schedule		1300	80			Percent of total billed charges		1040	85			Percent of total billed charges		1105	100			Fee schedule		2686.19	85			Percent of total billed charges		1105	100			Fee schedule		1300	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	1300		1767		Case rate	Use Lesser of logic	1300	100			Fee schedule		2686.19	1040	2686.19	
"Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon"	27680	CPT	Outpatient			1300	845		90			Percent of total billed charges		1170	95.46			Fee schedule		1300	80			Percent of total billed charges		1040	85			Percent of total billed charges		1105	100			Fee schedule		2686.19	85			Percent of total billed charges		1105	100			Fee schedule		1300	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	1300		1767		Case rate	Use Lesser of logic	1300	100			Fee schedule		2686.19	1040	2686.19	
"Percutaneous skeletal fixation of carpometacarpal dislocation, other than thumb, with manipulation, each joint"	26676	CPT	Outpatient			1305	848.25		90			Percent of total billed charges		1174.5	95.46			Fee schedule		1305	80			Percent of total billed charges		1044	85			Percent of total billed charges		1109.25	100			Fee schedule		2686.19	85			Percent of total billed charges		1109.25	100			Fee schedule		1305	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate	Use Lesser of logic	1305		1495		Case rate	Use Lesser of logic	1305	100			Fee schedule		2686.19	1044	2686.19	
"Arthrodesis, interphalangeal joint, with or without internal fixation; with autograft (includes obtaining graft)"	26862	CPT	Outpatient			1310	851.5		90			Percent of total billed charges		1179	95.46			Fee schedule		1310	80			Percent of total billed charges		1048	85			Percent of total billed charges		1113.5	100			Fee schedule		2686.19	85			Percent of total billed charges		1113.5	100			Fee schedule		1310	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	1310		1767		Case rate	Use Lesser of logic	1310	100			Fee schedule		2686.19	1048	2686.19	
"Coccygectomy, primary"	27080	CPT	Outpatient			1330	864.5		90			Percent of total billed charges		1197	95.46			Fee schedule		1330	80			Percent of total billed charges		1064	85			Percent of total billed charges		1130.5	100			Fee schedule		2686.19	85			Percent of total billed charges		1130.5	100			Fee schedule		1330	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	1330		1767		Case rate	Use Lesser of logic	1330	100			Fee schedule		2686.19	1064	2686.19	
"Tenotomy, elbow, lateral or medial (eg, epicondylitis, tennis elbow, golfer's elbow); debridement, soft tissue and/or bone, open with tendon repair or reattachment"	24359	CPT	Outpatient			1330	864.5		90			Percent of total billed charges		1197	95.46			Fee schedule		1330	80			Percent of total billed charges		1064	85			Percent of total billed charges		1130.5	100			Fee schedule		2686.19	85			Percent of total billed charges		1130.5	100			Fee schedule		1330	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	1330		1767		Case rate	Use Lesser of logic	1330	100			Fee schedule		2686.19	1064	2686.19	
Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon process); with allograft	25126	CPT	Outpatient			1335	867.75		90			Percent of total billed charges		1201.5	95.46			Fee schedule		1335	80			Percent of total billed charges		1068	85			Percent of total billed charges		1134.75	100			Fee schedule		2686.19	85			Percent of total billed charges		1134.75	100			Fee schedule		1335	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	1335		1767		Case rate	Use Lesser of logic	1335	100			Fee schedule		2686.19	1068	2686.19	
"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited"	29897	CPT	Outpatient			1350	877.5		90			Percent of total billed charges		1215	95.46			Fee schedule		1350	80			Percent of total billed charges		1080	85			Percent of total billed charges		1147.5	100			Fee schedule		2686.19	85			Percent of total billed charges		1147.5	100			Fee schedule		1350	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	1350		1767		Case rate	Use Lesser of logic	1350	100			Fee schedule		2686.19	1080	2686.19	
"Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion"	29886	CPT	Outpatient			1350	877.5		90			Percent of total billed charges		1215	95.46			Fee schedule		1350	80			Percent of total billed charges		1080	85			Percent of total billed charges		1147.5	100			Fee schedule		2686.19	85			Percent of total billed charges		1147.5	100			Fee schedule		1350	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	1350		1767		Case rate	Use Lesser of logic	1350	100			Fee schedule		2686.19	1080	2686.19	
Excision or curettage of bone cyst or benign tumor of clavicle or scapula	23140	CPT	Outpatient			1350	877.5		90			Percent of total billed charges		1215	95.46			Fee schedule		1350	80			Percent of total billed charges		1080	85			Percent of total billed charges		1147.5	100			Fee schedule		2686.19	85			Percent of total billed charges		1147.5	100			Fee schedule		1350	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate	Use Lesser of logic	1350		1495		Case rate	Use Lesser of logic	1350	100			Fee schedule		2686.19	1080	2686.19	
"Arthrotomy, wrist joint; with synovectomy"	25105	CPT	Outpatient			1360	884		90			Percent of total billed charges		1224	95.46			Fee schedule		1360	80			Percent of total billed charges		1088	85			Percent of total billed charges		1156	100			Fee schedule		2686.19	85			Percent of total billed charges		1156	100			Fee schedule		1360	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	1360		1767		Case rate	Use Lesser of logic	1360	100			Fee schedule		2686.19	1088	2686.19	
"Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (separate procedure)"	29875	CPT	Outpatient			1375	893.75		90			Percent of total billed charges		1237.5	95.46			Fee schedule		1375	80			Percent of total billed charges		1100	85			Percent of total billed charges		1168.75	100			Fee schedule		2686.19	85			Percent of total billed charges		1168.75	100			Fee schedule		1375	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	1375		1767		Case rate	Use Lesser of logic	1375	100			Fee schedule		2686.19	1100	2686.19	
"Arthroscopy, knee, surgical; with lysis of adhesions, with or without manipulation (separate procedure)"	29884	CPT	Outpatient			1380	897		90			Percent of total billed charges		1242	95.46			Fee schedule		1380	80			Percent of total billed charges		1104	85			Percent of total billed charges		1173	100			Fee schedule		2686.19	85			Percent of total billed charges		1173	100			Fee schedule		1380	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	1380		1767		Case rate	Use Lesser of logic	1380	100			Fee schedule		2686.19	1104	2686.19	
"Amputation, metatarsal, with toe, single"	28810	CPT	Outpatient			1395	906.75		90			Percent of total billed charges		1255.5	95.46			Fee schedule		1395	80			Percent of total billed charges		1116	85			Percent of total billed charges		1185.75	100			Fee schedule		2686.19	85			Percent of total billed charges		1185.75	100			Fee schedule		1395	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate	Use Lesser of logic	1395		1495		Case rate	Use Lesser of logic	1395	100			Fee schedule		2686.19	1116	2686.19	
"Percutaneous skeletal fixation of carpometacarpal fracture dislocation, thumb (Bennett fracture), with manipulation"	26650	CPT	Outpatient			1395	906.75		90			Percent of total billed charges		1255.5	95.46			Fee schedule		1395	80			Percent of total billed charges		1116	85			Percent of total billed charges		1185.75	100			Fee schedule		2686.19	85			Percent of total billed charges		1185.75	100			Fee schedule		1395	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate	Use Lesser of logic	1395		1495		Case rate	Use Lesser of logic	1395	100			Fee schedule		2686.19	1116	2686.19	
"Open treatment of carpometacarpal dislocation, other than thumb; includes internal fixation, when performed, each joint"	26685	CPT	Outpatient			1400	910		90			Percent of total billed charges		1260	95.46			Fee schedule		1400	80			Percent of total billed charges		1120	85			Percent of total billed charges		1190	100			Fee schedule		2686.19	85			Percent of total billed charges		1190	100			Fee schedule		1400	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate	Use Lesser of logic	1400		1495		Case rate	Use Lesser of logic	1400	100			Fee schedule		2686.19	1120	2686.19	
"Arthrotomy, with synovectomy, knee; anterior OR posterior"	27334	CPT	Outpatient			1405	913.25		90			Percent of total billed charges		1264.5	95.46			Fee schedule		1405	80			Percent of total billed charges		1124	85			Percent of total billed charges		1194.25	100			Fee schedule		2686.19	85			Percent of total billed charges		1194.25	100			Fee schedule		1405	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	1405		1767		Case rate	Use Lesser of logic	1405	100			Fee schedule		2686.19	1124	2686.19	
"Arthroscopy, shoulder, surgical; with lysis and resection of adhesions, with or without manipulation"	29825	CPT	Outpatient			1420	923		90			Percent of total billed charges		1278	95.46			Fee schedule		1420	80			Percent of total billed charges		1136	85			Percent of total billed charges		1207	100			Fee schedule		2686.19	85			Percent of total billed charges		1207	100			Fee schedule		1420	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		3486		Case rate	Use Lesser of logic	1420		3486		Case rate	Use Lesser of logic	1420	100			Fee schedule		2686.19	1136	2686.19	
"Arthroscopy, knee, surgical; for infection, lavage and drainage"	29871	CPT	Outpatient			1425	926.25		90			Percent of total billed charges		1282.5	95.46			Fee schedule		1425	80			Percent of total billed charges		1140	85			Percent of total billed charges		1211.25	100			Fee schedule		2686.19	85			Percent of total billed charges		1211.25	100			Fee schedule		1425	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	1425		1767		Case rate	Use Lesser of logic	1425	100			Fee schedule		2686.19	1140	2686.19	
"Tenotomy, abductors and/or extensor(s) of hip, open (separate procedure)"	27006	CPT	Outpatient			1450	942.5		90			Percent of total billed charges		1305	95.46			Fee schedule		1450	80			Percent of total billed charges		1160	85			Percent of total billed charges		1232.5	100			Fee schedule		2686.19	85			Percent of total billed charges		1232.5	100			Fee schedule		1450	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	1450		1767		Case rate	Use Lesser of logic	1450	100			Fee schedule		2686.19	1160	2686.19	
"Arthrotomy, elbow; with synovectomy"	24102	CPT	Outpatient			1455	945.75		90			Percent of total billed charges		1309.5	95.46			Fee schedule		1455	80			Percent of total billed charges		1164	85			Percent of total billed charges		1236.75	100			Fee schedule		2686.19	85			Percent of total billed charges		1236.75	100			Fee schedule		1455	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	1455		1767		Case rate	Use Lesser of logic	1455	100			Fee schedule		2686.19	1164	2686.19	
Carpectomy; all bones of proximal row	25215	CPT	Outpatient			1465	952.25		90			Percent of total billed charges		1318.5	95.46			Fee schedule		1465	80			Percent of total billed charges		1172	85			Percent of total billed charges		1245.25	100			Fee schedule		2686.19	85			Percent of total billed charges		1245.25	100			Fee schedule		1465	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	1465		1767		Case rate	Use Lesser of logic	1465	100			Fee schedule		2686.19	1172	2686.19	
"Open treatment of carpometacarpal dislocation, other than thumb; complex, multiple, or delayed reduction"	26686	CPT	Outpatient			1465	952.25		90			Percent of total billed charges		1318.5	95.46			Fee schedule		1465	80			Percent of total billed charges		1172	85			Percent of total billed charges		1245.25	100			Fee schedule		2686.19	85			Percent of total billed charges		1245.25	100			Fee schedule		1465	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		3486		Case rate	Use Lesser of logic	1465		3486		Case rate	Use Lesser of logic	1465	100			Fee schedule		2686.19	1172	2686.19	
"Arthroscopy, shoulder, surgical; synovectomy, complete"	29821	CPT	Outpatient			1475	958.75		90			Percent of total billed charges		1327.5	95.46			Fee schedule		1475	80			Percent of total billed charges		1180	85			Percent of total billed charges		1253.75	100			Fee schedule		2686.19	85			Percent of total billed charges		1253.75	100			Fee schedule		1475	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		3486		Case rate	Use Lesser of logic	1475		3486		Case rate	Use Lesser of logic	1475	100			Fee schedule		2686.19	1180	2686.19	
"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial"	29895	CPT	Outpatient			1475	958.75		90			Percent of total billed charges		1327.5	95.46			Fee schedule		1475	80			Percent of total billed charges		1180	85			Percent of total billed charges		1253.75	100			Fee schedule		2686.19	85			Percent of total billed charges		1253.75	100			Fee schedule		1475	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	1475		1767		Case rate	Use Lesser of logic	1475	100			Fee schedule		2686.19	1180	2686.19	
"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); tarsal or metatarsal bone, except talus or calcaneus"	28122	CPT	Outpatient			1490	968.5		90			Percent of total billed charges		1341	95.46			Fee schedule		1490	80			Percent of total billed charges		1192	85			Percent of total billed charges		1266.5	100			Fee schedule		2686.19	85			Percent of total billed charges		1266.5	100			Fee schedule		1490	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate	Use Lesser of logic	1490		1495		Case rate	Use Lesser of logic	1490	100			Fee schedule		2686.19	1192	2686.19	
"Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (Mumford procedure)"	29824	CPT	Outpatient			1495	971.75		90			Percent of total billed charges		1345.5	95.46			Fee schedule		1495	80			Percent of total billed charges		1196	85			Percent of total billed charges		1270.75	100			Fee schedule		2686.19	85			Percent of total billed charges		1270.75	100			Fee schedule		1495	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		3486		Case rate	Use Lesser of logic	1495		3486		Case rate	Use Lesser of logic	1495	100			Fee schedule		2686.19	1196	2686.19	
"Incision and drainage, forearm and/or wrist; deep abscess or hematoma"	25028	CPT	Outpatient			1500	975		90			Percent of total billed charges		1350	95.46			Fee schedule		1500	80			Percent of total billed charges		1200	85			Percent of total billed charges		1275	100			Fee schedule		2686.19	85			Percent of total billed charges		1275	100			Fee schedule		1500	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2686.19	1200	2686.19	
"Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing); talus or calcaneus"	28120	CPT	Outpatient			1565	1017.25		90			Percent of total billed charges		1408.5	95.46			Fee schedule		1565	80			Percent of total billed charges		1252	85			Percent of total billed charges		1330.25	100			Fee schedule		2686.19	85			Percent of total billed charges		1330.25	100			Fee schedule		1565	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2686.19	1252	2686.19	
"Repair, flexor tendon, leg; primary, without graft, each tendon"	27658	CPT	Outpatient			1575	1023.75		90			Percent of total billed charges		1417.5	95.46			Fee schedule		1575	80			Percent of total billed charges		1260	85			Percent of total billed charges		1338.75	100			Fee schedule		2686.19	85			Percent of total billed charges		1338.75	100			Fee schedule		1575	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2686.19	1260	2686.19	
"Excision or curettage of bone cyst or benign tumor, talus or calcaneus"	28100	CPT	Outpatient			1585	1030.25		90			Percent of total billed charges		1426.5	95.46			Fee schedule		1585	80			Percent of total billed charges		1268	85			Percent of total billed charges		1347.25	100			Fee schedule		2686.19	85			Percent of total billed charges		1347.25	100			Fee schedule		1585	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2686.19	1268	2686.19	
"Excision or curettage of bone cyst or benign tumor, humerus"	24110	CPT	Outpatient			1585	1030.25		90			Percent of total billed charges		1426.5	95.46			Fee schedule		1585	80			Percent of total billed charges		1268	85			Percent of total billed charges		1347.25	100			Fee schedule		2686.19	85			Percent of total billed charges		1347.25	100			Fee schedule		1585	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2686.19	1268	2686.19	
"Amputation, foot; transmetatarsal"	28805	CPT	Outpatient			1605	1043.25		90			Percent of total billed charges		1444.5	95.46			Fee schedule		1605	80			Percent of total billed charges		1284	85			Percent of total billed charges		1364.25	100			Fee schedule		2686.19	85			Percent of total billed charges		1364.25	100			Fee schedule		1605	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2686.19	1284	2686.19	
"Amputation, toe; interphalangeal joint"	28825	CPT	Outpatient			1615.72	1050.22		90			Percent of total billed charges		1454.15	95.46			Fee schedule		1615.72	80			Percent of total billed charges		1292.57	85			Percent of total billed charges		1373.36	100			Fee schedule		2686.19	85			Percent of total billed charges		1373.36	100			Fee schedule		1615.72	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2686.19	1292.57	2686.19	
"Incision (eg, osteomyelitis or bone abscess), leg or ankle"	27607	CPT	Outpatient			1670	1085.5		90			Percent of total billed charges		1503	95.46			Fee schedule		1670	80			Percent of total billed charges		1336	85			Percent of total billed charges		1419.5	100			Fee schedule		2686.19	85			Percent of total billed charges		1419.5	100			Fee schedule		1670	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2686.19	1336	2686.19	
"Incision and drainage below fascia, with or without tendon sheath involvement, foot; multiple areas"	28003	CPT	Outpatient			1675	1088.75		90			Percent of total billed charges		1507.5	95.46			Fee schedule		1675	80			Percent of total billed charges		1340	85			Percent of total billed charges		1423.75	100			Fee schedule		2686.19	85			Percent of total billed charges		1423.75	100			Fee schedule		1675	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2686.19	1340	2686.19	
"Hallux rigidus correction with cheilectomy, debridement and capsular release of the first metatarsophalangeal joint; without implant"	28289	CPT	Outpatient			1770	1150.5		90			Percent of total billed charges		1593	95.46			Fee schedule		1770	80			Percent of total billed charges		1416	85			Percent of total billed charges		1504.5	100			Fee schedule		2686.19	85			Percent of total billed charges		1504.5	100			Fee schedule		1770	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2686.19	1416	2686.19	
"Incision, bone cortex (eg, osteomyelitis or bone abscess), foot"	28005	CPT	Outpatient			1772	1151.8		90			Percent of total billed charges		1594.8	95.46			Fee schedule		1772	80			Percent of total billed charges		1417.6	85			Percent of total billed charges		1506.2	100			Fee schedule		2686.19	85			Percent of total billed charges		1506.2	100			Fee schedule		1772	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2686.19	1417.6	2686.19	
"Capsulotomy; metatarsophalangeal joint, with or without tenorrhaphy, each joint (separate procedure)"	28270	CPT	Outpatient			1899.61	1234.74		90			Percent of total billed charges		1709.65	95.46			Fee schedule		1899.61	80			Percent of total billed charges		1519.69	85			Percent of total billed charges		1614.67	100			Fee schedule		2686.19	85			Percent of total billed charges		1614.67	100			Fee schedule		1899.61	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2686.19	1495	2686.19	
"Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon"	25295	CPT	Outpatient			1925	1251.25		90			Percent of total billed charges		1732.5	95.46			Fee schedule		1925	80			Percent of total billed charges		1540	85			Percent of total billed charges		1636.25	100			Fee schedule		2686.19	85			Percent of total billed charges		1636.25	100			Fee schedule		1925	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2686.19	1495	2686.19	
"Radical excision of bursa, synovia of wrist, or forearm tendon sheaths (eg, tenosynovitis, fungus, Tbc, or other granulomas, rheumatoid arthritis); extensors, with or without transposition of dorsal retinaculum"	25116	CPT	Outpatient			2006	1303.9		90			Percent of total billed charges		1805.4	95.46			Fee schedule		2006	80			Percent of total billed charges		1604.8	85			Percent of total billed charges		1705.1	100			Fee schedule		2686.19	85			Percent of total billed charges		1705.1	100			Fee schedule		2006	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2686.19	1495	2686.19	
Percutaneous skeletal fixation of distal radial fracture or epiphyseal separation	25606	CPT	Outpatient			2679.75	1741.84		90			Percent of total billed charges		2411.78	95.46			Fee schedule		2564.24	80			Percent of total billed charges		2143.8	85			Percent of total billed charges		2277.79	100			Fee schedule		2686.19	85			Percent of total billed charges		2277.79	100			Fee schedule		2679.75	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2686.19	1495	2686.19	
"Correction, hammertoe (eg, interphalangeal fusion, partial or total phalangectomy)"	28285	CPT	Outpatient			3069.94	1995.46		90			Percent of total billed charges		2762.94	95.46			Fee schedule		2564.24	80			Percent of total billed charges		2455.95	85			Percent of total billed charges		2609.45	100			Fee schedule		2686.19	85			Percent of total billed charges		2609.45	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2686.19	1495	2762.94	
"Percutaneous skeletal fixation of metacarpal fracture, each bone"	26608	CPT	Outpatient			3288.84	2137.75		90			Percent of total billed charges		2959.96	95.46			Fee schedule		2564.24	80			Percent of total billed charges		2631.07	85			Percent of total billed charges		2795.52	100			Fee schedule		2686.19	85			Percent of total billed charges		2795.52	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2686.19	1495	2959.96	
"Ostectomy, complete excision; fifth metatarsal head"	28113	CPT	Outpatient			3314.37	2154.34		90			Percent of total billed charges		2982.94	95.46			Fee schedule		2564.24	80			Percent of total billed charges		2651.5	85			Percent of total billed charges		2817.22	100			Fee schedule		2686.19	85			Percent of total billed charges		2817.22	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2686.19	1495	2982.94	
"Percutaneous skeletal fixation of unstable phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, with manipulation, each"	26727	CPT	Outpatient			3939.12	2560.43		90			Percent of total billed charges		3545.21	95.46			Fee schedule		2564.24	80			Percent of total billed charges		3151.3	85			Percent of total billed charges		3348.26	100			Fee schedule		2686.19	85			Percent of total billed charges		3348.26	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2686.19	1495	3545.21	
"Amputation, toe; metatarsophalangeal joint"	28820	CPT	Outpatient			4525.5	2941.58		90			Percent of total billed charges		4072.95	95.46			Fee schedule		2564.24	80			Percent of total billed charges		3620.4	85			Percent of total billed charges		3846.68	100			Fee schedule		2686.19	85			Percent of total billed charges		3846.68	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2686.19	1495	4072.95	
"Percutaneous skeletal fixation of interphalangeal joint dislocation, with manipulation"	28666	CPT	Outpatient			5062.94	3290.91		90			Percent of total billed charges		4556.64	95.46			Fee schedule		2564.24	80			Percent of total billed charges		4050.35	85			Percent of total billed charges		4303.5	100			Fee schedule		2686.19	85			Percent of total billed charges		4303.5	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2686.19	1495	4556.64	
"Open treatment of distal phalangeal fracture, finger or thumb, includes internal fixation, when performed, each"	26765	CPT	Outpatient			5247.54	3410.9		90			Percent of total billed charges		4722.79	95.46			Fee schedule		2564.24	80			Percent of total billed charges		4198.03	85			Percent of total billed charges		4460.41	100			Fee schedule		2686.19	85			Percent of total billed charges		4460.41	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2686.19	1495	4722.79	
"Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon"	28200	CPT	Outpatient			5554.62	3610.51		90			Percent of total billed charges		4999.16	95.46			Fee schedule		2564.24	80			Percent of total billed charges		4443.7	85			Percent of total billed charges		4721.43	100			Fee schedule		2686.19	85			Percent of total billed charges		4721.43	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2686.19	1495	4999.16	
"Arthroscopy, ankle, surgical, excision of osteochondral defect of talus and/or tibia, including drilling of the defect"	29891	CPT	Outpatient			1525	991.25		90			Percent of total billed charges		1372.5	95.46			Fee schedule		1525	80			Percent of total billed charges		1220	85			Percent of total billed charges		1296.25	100			Fee schedule		2686.19	85			Percent of total billed charges		1296.25	100			Fee schedule		1525	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		3486		Case rate	Use Lesser of logic	1525		3486		Case rate	Use Lesser of logic	1525	100			Fee schedule		2686.19	1220	2686.19	
"Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, extensive"	29898	CPT	Outpatient			1550	1007.5		90			Percent of total billed charges		1395	95.46			Fee schedule		1550	80			Percent of total billed charges		1240	85			Percent of total billed charges		1317.5	100			Fee schedule		2686.19	85			Percent of total billed charges		1317.5	100			Fee schedule		1550	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	1550		1767		Case rate	Use Lesser of logic	1550	100			Fee schedule		2686.19	1240	2686.19	
"Arthroscopy, knee, surgical; synovectomy, major, 2 or more compartments (eg, medial or lateral)"	29876	CPT	Outpatient			1550	1007.5		90			Percent of total billed charges		1395	95.46			Fee schedule		1550	80			Percent of total billed charges		1240	85			Percent of total billed charges		1317.5	100			Fee schedule		2686.19	85			Percent of total billed charges		1317.5	100			Fee schedule		1550	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	1550		1767		Case rate	Use Lesser of logic	1550	100			Fee schedule		2686.19	1240	2686.19	
"Open treatment of carpal bone fracture (other than carpal scaphoid [navicular]), each bone"	25645	CPT	Outpatient			1550	1007.5		90			Percent of total billed charges		1395	95.46			Fee schedule		1550	80			Percent of total billed charges		1240	85			Percent of total billed charges		1317.5	100			Fee schedule		2686.19	85			Percent of total billed charges		1317.5	100			Fee schedule		1550	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		3486		Case rate	Use Lesser of logic	1550		3486		Case rate	Use Lesser of logic	1550	100			Fee schedule		2686.19	1240	2686.19	
Claviculectomy; partial	23120	CPT	Outpatient			1554	1010.1		90			Percent of total billed charges		1398.6	95.46			Fee schedule		1554	80			Percent of total billed charges		1243.2	85			Percent of total billed charges		1320.9	100			Fee schedule		2686.19	85			Percent of total billed charges		1320.9	100			Fee schedule		1554	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	1554		1767		Case rate	Use Lesser of logic	1554	100			Fee schedule		2686.19	1243.2	2686.19	
"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, without free graft, each tendon"	26357	CPT	Outpatient			1560	1014		90			Percent of total billed charges		1404	95.46			Fee schedule		1560	80			Percent of total billed charges		1248	85			Percent of total billed charges		1326	100			Fee schedule		2686.19	85			Percent of total billed charges		1326	100			Fee schedule		1560	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	1560		1767		Case rate	Use Lesser of logic	1560	100			Fee schedule		2686.19	1248	2686.19	
"Repair lateral collateral ligament, elbow, with local tissue"	24343	CPT	Outpatient			1565	1017.25		90			Percent of total billed charges		1408.5	95.46			Fee schedule		1565	80			Percent of total billed charges		1252	85			Percent of total billed charges		1330.25	100			Fee schedule		2686.19	85			Percent of total billed charges		1330.25	100			Fee schedule		1565	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	1565		1767		Case rate	Use Lesser of logic	1565	100			Fee schedule		2686.19	1252	2686.19	
"Excision or curettage of bone cyst or benign tumor, tibia or fibula"	27635	CPT	Outpatient			1575	1023.75		90			Percent of total billed charges		1417.5	95.46			Fee schedule		1575	80			Percent of total billed charges		1260	85			Percent of total billed charges		1338.75	100			Fee schedule		2686.19	85			Percent of total billed charges		1338.75	100			Fee schedule		1575	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	1575		1767		Case rate	Use Lesser of logic	1575	100			Fee schedule		2686.19	1260	2686.19	
"Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body"	23040	CPT	Outpatient			1590	1033.5		90			Percent of total billed charges		1431	95.46			Fee schedule		1590	80			Percent of total billed charges		1272	85			Percent of total billed charges		1351.5	100			Fee schedule		2686.19	85			Percent of total billed charges		1351.5	100			Fee schedule		1590	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	1590		1767		Case rate	Use Lesser of logic	1590	100			Fee schedule		2686.19	1272	2686.19	
"Arthrotomy, ankle, including exploration, drainage, or removal of foreign body"	27610	CPT	Outpatient			1597	1038.05		90			Percent of total billed charges		1437.3	95.46			Fee schedule		1597	80			Percent of total billed charges		1277.6	85			Percent of total billed charges		1357.45	100			Fee schedule		2686.19	85			Percent of total billed charges		1357.45	100			Fee schedule		1597	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	1597		1767		Case rate	Use Lesser of logic	1597	100			Fee schedule		2686.19	1277.6	2686.19	
"Arthroscopy, knee, surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or microfracture"	29879	CPT	Outpatient			1600	1040		90			Percent of total billed charges		1440	95.46			Fee schedule		1600	80			Percent of total billed charges		1280	85			Percent of total billed charges		1360	100			Fee schedule		2686.19	85			Percent of total billed charges		1360	100			Fee schedule		1600	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	1600		1767		Case rate	Use Lesser of logic	1600	100			Fee schedule		2686.19	1280	2686.19	
"Decompression fasciotomy, leg; anterior and/or lateral, and posterior compartment(s)"	27602	CPT	Outpatient			1600	1040		90			Percent of total billed charges		1440	95.46			Fee schedule		1600	80			Percent of total billed charges		1280	85			Percent of total billed charges		1360	100			Fee schedule		2686.19	85			Percent of total billed charges		1360	100			Fee schedule		1600	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	1600		1767		Case rate	Use Lesser of logic	1600	100			Fee schedule		2686.19	1280	2686.19	
"Arthrotomy, radiocarpal or midcarpal joint, with exploration, drainage, or removal of foreign body"	25040	CPT	Outpatient			1615	1049.75		90			Percent of total billed charges		1453.5	95.46			Fee schedule		1615	80			Percent of total billed charges		1292	85			Percent of total billed charges		1372.75	100			Fee schedule		2686.19	85			Percent of total billed charges		1372.75	100			Fee schedule		1615	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	1615		1767		Case rate	Use Lesser of logic	1615	100			Fee schedule		2686.19	1292	2686.19	
"Arthrotomy, with synovectomy, ankle; including tenosynovectomy"	27626	CPT	Outpatient			1615	1049.75		90			Percent of total billed charges		1453.5	95.46			Fee schedule		1615	80			Percent of total billed charges		1292	85			Percent of total billed charges		1372.75	100			Fee schedule		2686.19	85			Percent of total billed charges		1372.75	100			Fee schedule		1615	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	1615		1767		Case rate	Use Lesser of logic	1615	100			Fee schedule		2686.19	1292	2686.19	
"Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; without debridement of nonviable muscle and/or nerve"	25024	CPT	Outpatient			1620	1053		90			Percent of total billed charges		1458	95.46			Fee schedule		1620	80			Percent of total billed charges		1296	85			Percent of total billed charges		1377	100			Fee schedule		2686.19	85			Percent of total billed charges		1377	100			Fee schedule		1620	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	1620		1767		Case rate	Use Lesser of logic	1620	100			Fee schedule		2686.19	1296	2686.19	
"Opponensplasty; superficialis tendon transfer type, each tendon"	26490	CPT	Outpatient			1625	1056.25		90			Percent of total billed charges		1462.5	95.46			Fee schedule		1625	80			Percent of total billed charges		1300	85			Percent of total billed charges		1381.25	100			Fee schedule		2686.19	85			Percent of total billed charges		1381.25	100			Fee schedule		1625	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	1625		1767		Case rate	Use Lesser of logic	1625	100			Fee schedule		2686.19	1300	2686.19	
"Transfer or transplant of tendon, carpometacarpal area or dorsum of hand; with free tendon graft (includes obtaining graft), each tendon"	26483	CPT	Outpatient			1640	1066		90			Percent of total billed charges		1476	95.46			Fee schedule		1640	80			Percent of total billed charges		1312	85			Percent of total billed charges		1394	100			Fee schedule		2686.19	85			Percent of total billed charges		1394	100			Fee schedule		1640	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	1640		1767		Case rate	Use Lesser of logic	1640	100			Fee schedule		2686.19	1312	2686.19	
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with distal metatarsal osteotomy, any method"	28296	CPT	Outpatient			1655	1075.75		90			Percent of total billed charges		1489.5	95.46			Fee schedule		1655	80			Percent of total billed charges		1324	85			Percent of total billed charges		1406.75	100			Fee schedule		2686.19	85			Percent of total billed charges		1406.75	100			Fee schedule		1655	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	1655		1767		Case rate	Use Lesser of logic	1655	100			Fee schedule		2686.19	1324	2686.19	
"Arthroscopy, shoulder, surgical; debridement, limited, 1 or 2 discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular side of the rotator cuff, bursal side of the rotator cuff, subacromial bursa, foreign body[ies])"	29822	CPT	Outpatient			1675	1088.75		90			Percent of total billed charges		1507.5	95.46			Fee schedule		1675	80			Percent of total billed charges		1340	85			Percent of total billed charges		1423.75	100			Fee schedule		2686.19	85			Percent of total billed charges		1423.75	100			Fee schedule		1675	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	1675		1767		Case rate	Use Lesser of logic	1675	100			Fee schedule		2686.19	1340	2686.19	
"Arthroscopy, knee, surgical; for removal of loose body or foreign body (eg, osteochondritis dissecans fragmentation, chondral fragmentation)"	29874	CPT	Outpatient			1675	1088.75		90			Percent of total billed charges		1507.5	95.46			Fee schedule		1675	80			Percent of total billed charges		1340	85			Percent of total billed charges		1423.75	100			Fee schedule		2686.19	85			Percent of total billed charges		1423.75	100			Fee schedule		1675	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	1675		1767		Case rate	Use Lesser of logic	1675	100			Fee schedule		2686.19	1340	2686.19	
Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon process)	25120	CPT	Outpatient			1675	1088.75		90			Percent of total billed charges		1507.5	95.46			Fee schedule		1675	80			Percent of total billed charges		1340	85			Percent of total billed charges		1423.75	100			Fee schedule		2686.19	85			Percent of total billed charges		1423.75	100			Fee schedule		1675	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	1675		1767		Case rate	Use Lesser of logic	1675	100			Fee schedule		2686.19	1340	2686.19	
Excision or curettage of bone cyst or benign tumor of femur	27355	CPT	Outpatient			1685	1095.25		90			Percent of total billed charges		1516.5	95.46			Fee schedule		1685	80			Percent of total billed charges		1348	85			Percent of total billed charges		1432.25	100			Fee schedule		2686.19	85			Percent of total billed charges		1432.25	100			Fee schedule		1685	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	1685		1767		Case rate	Use Lesser of logic	1685	100			Fee schedule		2686.19	1348	2686.19	
"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), olecranon process"	24147	CPT	Outpatient			1735	1127.75		90			Percent of total billed charges		1561.5	95.46			Fee schedule		1735	80			Percent of total billed charges		1388	85			Percent of total billed charges		1474.75	100			Fee schedule		2686.19	85			Percent of total billed charges		1474.75	100			Fee schedule		1735	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	1735		1767		Case rate	Use Lesser of logic	1735	100			Fee schedule		2686.19	1388	2686.19	
"Repair, tendon or muscle, extensor, forearm and/or wrist; primary, single, each tendon or muscle"	25270	CPT	Outpatient			1740	1131		90			Percent of total billed charges		1566	95.46			Fee schedule		1740	80			Percent of total billed charges		1392	85			Percent of total billed charges		1479	100			Fee schedule		2686.19	85			Percent of total billed charges		1479	100			Fee schedule		1740	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate	Use Lesser of logic	1740		1767		Case rate	Use Lesser of logic	1740	100			Fee schedule		2686.19	1392	2686.19	
Repair of syndactyly (web finger) each web space; with skin flaps and grafts	26561	CPT	Outpatient			1770	1150.5		90			Percent of total billed charges		1593	95.46			Fee schedule		1770	80			Percent of total billed charges		1416	85			Percent of total billed charges		1504.5	100			Fee schedule		2686.19	85			Percent of total billed charges		1504.5	100			Fee schedule		1770	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2686.19	1416	2686.19	
"Fasciectomy, partial palmar with release of single digit including proximal interphalangeal joint, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft)"	26123	CPT	Outpatient			1780	1157		90			Percent of total billed charges		1602	95.46			Fee schedule		1780	80			Percent of total billed charges		1424	85			Percent of total billed charges		1513	100			Fee schedule		2686.19	85			Percent of total billed charges		1513	100			Fee schedule		1780	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2686.19	1424	2686.19	
"Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; with debridement of nonviable muscle and/or nerve"	25023	CPT	Outpatient			1850	1202.5		90			Percent of total billed charges		1665	95.46			Fee schedule		1850	80			Percent of total billed charges		1480	85			Percent of total billed charges		1572.5	100			Fee schedule		2686.19	85			Percent of total billed charges		1572.5	100			Fee schedule		1850	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2686.19	1480	2686.19	
"Tenotomy, open, flexor or extensor tendon, forearm and/or wrist, single, each tendon"	25290	CPT	Outpatient			1860	1209		90			Percent of total billed charges		1674	95.46			Fee schedule		1860	80			Percent of total billed charges		1488	85			Percent of total billed charges		1581	100			Fee schedule		2686.19	85			Percent of total billed charges		1581	100			Fee schedule		1860	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2686.19	1488	2686.19	
"Repair of extensor tendon, central slip, secondary (eg, boutonniere deformity); using local tissue(s), including lateral band(s), each finger"	26426	CPT	Outpatient			1860	1209		90			Percent of total billed charges		1674	95.46			Fee schedule		1860	80			Percent of total billed charges		1488	85			Percent of total billed charges		1581	100			Fee schedule		2686.19	85			Percent of total billed charges		1581	100			Fee schedule		1860	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2686.19	1488	2686.19	
"Arthroscopy, knee, surgical; with meniscectomy (medial OR lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed"	29881	CPT	Outpatient			2086.29	1356.09		90			Percent of total billed charges		1877.66	95.46			Fee schedule		2086.29	80			Percent of total billed charges		1669.03	85			Percent of total billed charges		1773.35	100			Fee schedule		2686.19	85			Percent of total billed charges		1773.35	100			Fee schedule		2086.29	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2686.19	1669.03	2686.19	
"Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); fibula"	27641	CPT	Outpatient			2105	1368.25		90			Percent of total billed charges		1894.5	95.46			Fee schedule		2105	80			Percent of total billed charges		1684	85			Percent of total billed charges		1789.25	100			Fee schedule		2686.19	85			Percent of total billed charges		1789.25	100			Fee schedule		2105	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2686.19	1684	2686.19	
"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); primary, without free graft, each tendon"	26356	CPT	Outpatient			2329	1513.85		90			Percent of total billed charges		2096.1	95.46			Fee schedule		2329	80			Percent of total billed charges		1863.2	85			Percent of total billed charges		1979.65	100			Fee schedule		2686.19	85			Percent of total billed charges		1979.65	100			Fee schedule		2329	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2686.19	1767	2686.19	
"Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon"	25310	CPT	Outpatient			2400	1560		90			Percent of total billed charges		2160	95.46			Fee schedule		2400	80			Percent of total billed charges		1920	85			Percent of total billed charges		2040	100			Fee schedule		2686.19	85			Percent of total billed charges		2040	100			Fee schedule		2400	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2686.19	1767	2686.19	
"Tenolysis, flexor tendon; palm AND finger, each tendon"	26442	CPT	Outpatient			2410	1566.5		90			Percent of total billed charges		2169	95.46			Fee schedule		2410	80			Percent of total billed charges		1928	85			Percent of total billed charges		2048.5	100			Fee schedule		2686.19	85			Percent of total billed charges		2048.5	100			Fee schedule		2410	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2686.19	1767	2686.19	
"Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); tibia"	27640	CPT	Outpatient			2610	1696.5		90			Percent of total billed charges		2349	95.46			Fee schedule		2564.24	80			Percent of total billed charges		2088	85			Percent of total billed charges		2218.5	100			Fee schedule		2686.19	85			Percent of total billed charges		2218.5	100			Fee schedule		2610	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2686.19	1767	2686.19	
"Partial excision (craterization, saucerization, or diaphysectomy) bone, femur, proximal tibia and/or fibula (eg, osteomyelitis or bone abscess)"	27360	CPT	Outpatient			2700	1755		90			Percent of total billed charges		2430	95.46			Fee schedule		2564.24	80			Percent of total billed charges		2160	85			Percent of total billed charges		2295	100			Fee schedule		2686.19	85			Percent of total billed charges		2295	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2686.19	1767	2686.19	
"Arthroscopy, knee, surgical; with meniscus repair (medial OR lateral)"	29882	CPT	Outpatient			2895	1881.75		90			Percent of total billed charges		2605.5	95.46			Fee schedule		2564.24	80			Percent of total billed charges		2316	85			Percent of total billed charges		2460.75	100			Fee schedule		2686.19	85			Percent of total billed charges		2460.75	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2686.19	1767	2686.19	
"Arthrotomy, knee, with exploration, drainage, or removal of foreign body (eg, infection)"	27310	CPT	Outpatient			3180.14	2067.09		90			Percent of total billed charges		2862.12	95.46			Fee schedule		2564.24	80			Percent of total billed charges		2544.11	85			Percent of total billed charges		2703.12	100			Fee schedule		2686.19	85			Percent of total billed charges		2703.12	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2686.19	1767	2862.12	
"Fasciectomy, palm only, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft)"	26121	CPT	Outpatient			3503	2276.95		90			Percent of total billed charges		3152.7	95.46			Fee schedule		2564.24	80			Percent of total billed charges		2802.4	85			Percent of total billed charges		2977.55	100			Fee schedule		2686.19	85			Percent of total billed charges		2977.55	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2686.19	1767	3152.7	
"Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral, including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty), same or separate compartment(s), when performed"	29880	CPT	Outpatient			3603.14	2342.04		90			Percent of total billed charges		3242.82	95.46			Fee schedule		2564.24	80			Percent of total billed charges		2882.51	85			Percent of total billed charges		3062.67	100			Fee schedule		2686.19	85			Percent of total billed charges		3062.67	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2686.19	1767	3242.82	
"Arthrodesis, interphalangeal joint, with or without internal fixation"	26860	CPT	Outpatient			3798.23	2468.85		90			Percent of total billed charges		3418.41	95.46			Fee schedule		2564.24	80			Percent of total billed charges		3038.58	85			Percent of total billed charges		3228.49	100			Fee schedule		2686.19	85			Percent of total billed charges		3228.49	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2686.19	1767	3418.41	
"Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure)"	29870	CPT	Outpatient			3888	2527.2		90			Percent of total billed charges		3499.2	95.46			Fee schedule		2564.24	80			Percent of total billed charges		3110.4	85			Percent of total billed charges		3304.8	100			Fee schedule		2686.19	85			Percent of total billed charges		3304.8	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2686.19	1767	3499.2	
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with resection of proximal phalanx base, when performed, any method"	28292	CPT	Outpatient			4245.67	2759.69		90			Percent of total billed charges		3821.1	95.46			Fee schedule		2564.24	80			Percent of total billed charges		3396.54	85			Percent of total billed charges		3608.82	100			Fee schedule		2686.19	85			Percent of total billed charges		3608.82	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2686.19	1767	3821.1	
"Repair or advancement of profundus tendon, with intact superficialis tendon; primary, each tendon"	26370	CPT	Outpatient			4981.08	3237.7		90			Percent of total billed charges		4482.98	95.46			Fee schedule		2564.24	80			Percent of total billed charges		3984.87	85			Percent of total billed charges		4233.92	100			Fee schedule		2686.19	85			Percent of total billed charges		4233.92	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2686.19	1767	4482.98	
"Arthroscopy, shoulder, surgical; debridement, extensive, 3 or more discrete structures (eg, humeral bone, humeral articular cartilage, glenoid bone, glenoid articular cartilage, biceps tendon, biceps anchor complex, labrum, articular capsule, articular side of the rotator cuff, bursal side of the rotator cuff, subacromial bursa, foreign body[ies])"	29823	CPT	Outpatient			1850	1202.5		90			Percent of total billed charges		1665	95.46			Fee schedule		1850	80			Percent of total billed charges		1480	85			Percent of total billed charges		1572.5	100			Fee schedule		2686.19	85			Percent of total billed charges		1572.5	100			Fee schedule		1850	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		3486		Case rate	Use Lesser of logic	1850		3486		Case rate	Use Lesser of logic	1850	100			Fee schedule		2686.19	1480	2686.19	
"Arthroscopy, shoulder, surgical; with removal of loose body or foreign body"	29819	CPT	Outpatient			1995	1296.75		90			Percent of total billed charges		1795.5	95.46			Fee schedule		1995	80			Percent of total billed charges		1596	85			Percent of total billed charges		1695.75	100			Fee schedule		2686.19	85			Percent of total billed charges		1695.75	100			Fee schedule		1995	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		3486		Case rate	Use Lesser of logic	1995		3486		Case rate	Use Lesser of logic	1995	100			Fee schedule		2686.19	1596	2686.19	
"Arthroplasty, interposition, intercarpal or carpometacarpal joints"	25447	CPT	Outpatient			2501.11	1625.72		90			Percent of total billed charges		2251	95.46			Fee schedule		2501.11	80			Percent of total billed charges		2000.88	85			Percent of total billed charges		2125.94	100			Fee schedule		2686.19	85			Percent of total billed charges		2125.94	100			Fee schedule		2501.11	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		2168		Case rate		2168		2168		Case rate		2168	100			Fee schedule		2686.19	2000.88	2686.19	
"Open treatment of metacarpal fracture, single, includes internal fixation, when performed, each bone"	26615	CPT	Outpatient			5312.83	3453.34		90			Percent of total billed charges		4781.55	95.46			Fee schedule		2564.24	80			Percent of total billed charges		4250.27	85			Percent of total billed charges		4515.91	100			Fee schedule		2686.19	85			Percent of total billed charges		4515.91	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19		3486		Case rate		3486		3486		Case rate		3486	100			Fee schedule		2686.19	2564.24	4781.55	
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right heart catheterization"	93456	CPT	Outpatient			630	409.5		90			Percent of total billed charges		567	95.46			Fee schedule		630	80			Percent of total billed charges		504	90			Percent of total billed charges		567	100			Fee schedule		2704.22	85			Percent of total billed charges		535.5	100			Fee schedule		630	100			Fee schedule		2704.22	100			Fee schedule		2704.22	100			Fee schedule		2704.22		2168		Case rate	Use Lesser of logic	630		2168		Case rate	Use Lesser of logic	630	100			Fee schedule		2704.22	504	2704.22	
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) including intraprocedural injection(s) for bypass graft angiography"	93455	CPT	Outpatient			700	455		90			Percent of total billed charges		630	95.46			Fee schedule		700	80			Percent of total billed charges		560	90			Percent of total billed charges		630	100			Fee schedule		2704.22	85			Percent of total billed charges		595	100			Fee schedule		700	100			Fee schedule		2704.22	100			Fee schedule		2704.22	100			Fee schedule		2704.22		2168		Case rate	Use Lesser of logic	700		2168		Case rate	Use Lesser of logic	700	100			Fee schedule		2704.22	560	2704.22	
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) including intraprocedural injection(s) for bypass graft angiography and right heart catheterization"	93457	CPT	Outpatient			860	559		90			Percent of total billed charges		774	95.46			Fee schedule		860	80			Percent of total billed charges		688	90			Percent of total billed charges		774	100			Fee schedule		2704.22	85			Percent of total billed charges		731	100			Fee schedule		860	100			Fee schedule		2704.22	100			Fee schedule		2704.22	100			Fee schedule		2704.22		2168		Case rate	Use Lesser of logic	860		2168		Case rate	Use Lesser of logic	860	100			Fee schedule		2704.22	688	2704.22	
"Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performed"	93451	CPT	Outpatient			5616	3650.4		90			Percent of total billed charges		5054.4	95.46			Fee schedule		2581.45	80			Percent of total billed charges		4492.8	90			Percent of total billed charges		5054.4	100			Fee schedule		2704.22	85			Percent of total billed charges		4773.6	100			Fee schedule		2704.22	100			Fee schedule		2704.22	100			Fee schedule		2704.22	100			Fee schedule		2704.22		2168		Case rate		2168		2168		Case rate		2168	100			Fee schedule		2704.22	2168	5054.4	
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation"	93454	CPT	Outpatient			6017	3911.05		90			Percent of total billed charges		5415.3	95.46			Fee schedule		2581.45	80			Percent of total billed charges		4813.6	90			Percent of total billed charges		5415.3	100			Fee schedule		2704.22	85			Percent of total billed charges		5114.45	100			Fee schedule		2704.22	100			Fee schedule		2704.22	100			Fee schedule		2704.22	100			Fee schedule		2704.22		2168		Case rate		2168		2168		Case rate		2168	100			Fee schedule		2704.22	2168	5415.3	
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography"	93459	CPT	Outpatient			6017	3911.05		90			Percent of total billed charges		5415.3	95.46			Fee schedule		2581.45	80			Percent of total billed charges		4813.6	90			Percent of total billed charges		5415.3	100			Fee schedule		2704.22	85			Percent of total billed charges		5114.45	100			Fee schedule		2704.22	100			Fee schedule		2704.22	100			Fee schedule		2704.22	100			Fee schedule		2704.22		2168		Case rate		2168		2168		Case rate		2168	100			Fee schedule		2704.22	2168	5415.3	
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed"	93458	CPT	Outpatient			6255	4065.75		90			Percent of total billed charges		5629.5	95.46			Fee schedule		2581.45	80			Percent of total billed charges		5004	90			Percent of total billed charges		5629.5	100			Fee schedule		2704.22	85			Percent of total billed charges		5316.75	100			Fee schedule		2704.22	100			Fee schedule		2704.22	100			Fee schedule		2704.22	100			Fee schedule		2704.22		2168		Case rate		2168		2168		Case rate		2168	100			Fee schedule		2704.22	2168	5629.5	
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography"	93461	CPT	Outpatient			6551	4258.15		90			Percent of total billed charges		5895.9	95.46			Fee schedule		2581.45	80			Percent of total billed charges		5240.8	90			Percent of total billed charges		5895.9	100			Fee schedule		2704.22	85			Percent of total billed charges		5568.35	100			Fee schedule		2704.22	100			Fee schedule		2704.22	100			Fee schedule		2704.22	100			Fee schedule		2704.22		2168		Case rate		2168		2168		Case rate		2168	100			Fee schedule		2704.22	2168	5895.9	
"Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed"	93460	CPT	Outpatient			6551	4258.15		90			Percent of total billed charges		5895.9	95.46			Fee schedule		2581.45	80			Percent of total billed charges		5240.8	90			Percent of total billed charges		5895.9	100			Fee schedule		2704.22	85			Percent of total billed charges		5568.35	100			Fee schedule		2704.22	100			Fee schedule		2704.22	100			Fee schedule		2704.22	100			Fee schedule		2704.22		2168		Case rate		2168		2168		Case rate		2168	100			Fee schedule		2704.22	2168	5895.9	
"Revision or removal of implanted spinal neurostimulator pulse generator or receiver, with detachable connection to electrode array"	63688	CPT	Outpatient			7526.82	4892.44		90			Percent of total billed charges		6774.14	95.46			Fee schedule		2695.5	80			Percent of total billed charges		6021.46	85			Percent of total billed charges		6397.8	100			Fee schedule		2823.69	85			Percent of total billed charges		6397.8	100			Fee schedule		2823.69	100			Fee schedule		2823.69	100			Fee schedule		2823.69	100			Fee schedule		2823.69		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2823.69	1767	6774.14	
"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; existing access"	47531	CPT	Outpatient			578	375.7		90			Percent of total billed charges		520.2	95.46			Fee schedule		578	80			Percent of total billed charges		462.4	85			Percent of total billed charges		491.3	100			Fee schedule		2871.11	85			Percent of total billed charges		491.3	100			Fee schedule		578	100			Fee schedule		2871.11	100			Fee schedule		2871.11	100			Fee schedule		2871.11		1767		Case rate	Use Lesser of logic	578		1767		Case rate	Use Lesser of logic	578	100			Fee schedule		2871.11	462.4	2871.11	
"Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery, with or without hydrocelectomy; reducible"	49495	CPT	Outpatient			990	643.5		90			Percent of total billed charges		891	95.46			Fee schedule		990	80			Percent of total billed charges		792	85			Percent of total billed charges		841.5	100			Fee schedule		2871.11	85			Percent of total billed charges		841.5	100			Fee schedule		990	100			Fee schedule		2871.11	100			Fee schedule		2871.11	100			Fee schedule		2871.11		1767		Case rate	Use Lesser of logic	990		1767		Case rate	Use Lesser of logic	990	100			Fee schedule		2871.11	792	2871.11	
"Repair inguinal hernia, sliding, any age"	49525	CPT	Outpatient			1090	708.5		90			Percent of total billed charges		981	95.46			Fee schedule		1090	80			Percent of total billed charges		872	85			Percent of total billed charges		926.5	100			Fee schedule		2871.11	85			Percent of total billed charges		926.5	100			Fee schedule		1090	100			Fee schedule		2871.11	100			Fee schedule		2871.11	100			Fee schedule		2871.11		1767		Case rate	Use Lesser of logic	1090		1767		Case rate	Use Lesser of logic	1090	100			Fee schedule		2871.11	872	2871.11	
"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or strangulated"	49501	CPT	Outpatient			1105	718.25		90			Percent of total billed charges		994.5	95.46			Fee schedule		1105	80			Percent of total billed charges		884	85			Percent of total billed charges		939.25	100			Fee schedule		2871.11	85			Percent of total billed charges		939.25	100			Fee schedule		1105	100			Fee schedule		2871.11	100			Fee schedule		2871.11	100			Fee schedule		2871.11		1767		Case rate	Use Lesser of logic	1105		1767		Case rate	Use Lesser of logic	1105	100			Fee schedule		2871.11	884	2871.11	
Repair recurrent femoral hernia; reducible	49555	CPT	Outpatient			1140	741		90			Percent of total billed charges		1026	95.46			Fee schedule		1140	80			Percent of total billed charges		912	85			Percent of total billed charges		969	100			Fee schedule		2871.11	85			Percent of total billed charges		969	100			Fee schedule		1140	100			Fee schedule		2871.11	100			Fee schedule		2871.11	100			Fee schedule		2871.11		1767		Case rate	Use Lesser of logic	1140		1767		Case rate	Use Lesser of logic	1140	100			Fee schedule		2871.11	912	2871.11	
Exploration for undescended testis (inguinal or scrotal area)	54550	CPT	Outpatient			1200	780		90			Percent of total billed charges		1080	95.46			Fee schedule		1200	80			Percent of total billed charges		960	85			Percent of total billed charges		1020	100			Fee schedule		2871.11	85			Percent of total billed charges		1020	100			Fee schedule		1200	100			Fee schedule		2871.11	100			Fee schedule		2871.11	100			Fee schedule		2871.11		1767		Case rate	Use Lesser of logic	1200		1767		Case rate	Use Lesser of logic	1200	100			Fee schedule		2871.11	960	2871.11	
"Injection procedure for cholangiography, percutaneous, complete diagnostic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access (eg, percutaneous transhepatic cholangiogram)"	47532	CPT	Outpatient			1219	792.35		90			Percent of total billed charges		1097.1	95.46			Fee schedule		1219	80			Percent of total billed charges		975.2	85			Percent of total billed charges		1036.15	100			Fee schedule		2871.11	85			Percent of total billed charges		1036.15	100			Fee schedule		1219	100			Fee schedule		2871.11	100			Fee schedule		2871.11	100			Fee schedule		2871.11		1767		Case rate	Use Lesser of logic	1219		1767		Case rate	Use Lesser of logic	1219	100			Fee schedule		2871.11	975.2	2871.11	
"Repair recurrent inguinal hernia, any age; reducible"	49520	CPT	Outpatient			1243.01	807.96		90			Percent of total billed charges		1118.71	95.46			Fee schedule		1243.01	80			Percent of total billed charges		994.41	85			Percent of total billed charges		1056.56	100			Fee schedule		2871.11	85			Percent of total billed charges		1056.56	100			Fee schedule		1243.01	100			Fee schedule		2871.11	100			Fee schedule		2871.11	100			Fee schedule		2871.11		1767		Case rate	Use Lesser of logic	1243.01		1767		Case rate	Use Lesser of logic	1243.01	100			Fee schedule		2871.11	994.41	2871.11	
Excision of hydrocele; bilateral	55041	CPT	Outpatient			1250	812.5		90			Percent of total billed charges		1125	95.46			Fee schedule		1250	80			Percent of total billed charges		1000	85			Percent of total billed charges		1062.5	100			Fee schedule		2871.11	85			Percent of total billed charges		1062.5	100			Fee schedule		1250	100			Fee schedule		2871.11	100			Fee schedule		2871.11	100			Fee schedule		2871.11		1767		Case rate	Use Lesser of logic	1250		1767		Case rate	Use Lesser of logic	1250	100			Fee schedule		2871.11	1000	2871.11	
"Repair initial femoral hernia, any age; incarcerated or strangulated"	49553	CPT	Outpatient			1290	838.5		90			Percent of total billed charges		1161	95.46			Fee schedule		1290	80			Percent of total billed charges		1032	85			Percent of total billed charges		1096.5	100			Fee schedule		2871.11	85			Percent of total billed charges		1096.5	100			Fee schedule		1290	100			Fee schedule		2871.11	100			Fee schedule		2871.11	100			Fee schedule		2871.11		1767		Case rate	Use Lesser of logic	1290		1767		Case rate	Use Lesser of logic	1290	100			Fee schedule		2871.11	1032	2871.11	
"Umbilectomy, omphalectomy, excision of umbilicus (separate procedure)"	49250	CPT	Outpatient			1300	845		90			Percent of total billed charges		1170	95.46			Fee schedule		1300	80			Percent of total billed charges		1040	85			Percent of total billed charges		1105	100			Fee schedule		2871.11	85			Percent of total billed charges		1105	100			Fee schedule		1300	100			Fee schedule		2871.11	100			Fee schedule		2871.11	100			Fee schedule		2871.11		1767		Case rate	Use Lesser of logic	1300		1767		Case rate	Use Lesser of logic	1300	100			Fee schedule		2871.11	1040	2871.11	
"Repair initial femoral hernia, any age; reducible"	49550	CPT	Outpatient			1425	926.25		90			Percent of total billed charges		1282.5	95.46			Fee schedule		1425	80			Percent of total billed charges		1140	85			Percent of total billed charges		1211.25	100			Fee schedule		2871.11	85			Percent of total billed charges		1211.25	100			Fee schedule		1425	100			Fee schedule		2871.11	100			Fee schedule		2871.11	100			Fee schedule		2871.11		1767		Case rate	Use Lesser of logic	1425		1767		Case rate	Use Lesser of logic	1425	100			Fee schedule		2871.11	1140	2871.11	
Removal of peritoneal foreign body from peritoneal cavity	49402	CPT	Outpatient			1620	1053		90			Percent of total billed charges		1458	95.46			Fee schedule		1620	80			Percent of total billed charges		1296	85			Percent of total billed charges		1377	100			Fee schedule		2871.11	85			Percent of total billed charges		1377	100			Fee schedule		1620	100			Fee schedule		2871.11	100			Fee schedule		2871.11	100			Fee schedule		2871.11		1767		Case rate	Use Lesser of logic	1620		1767		Case rate	Use Lesser of logic	1620	100			Fee schedule		2871.11	1296	2871.11	
"Conversion of external biliary drainage catheter to internal-external biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	47535	CPT	Outpatient			1862	1210.3		90			Percent of total billed charges		1675.8	95.46			Fee schedule		1862	80			Percent of total billed charges		1489.6	85			Percent of total billed charges		1582.7	100			Fee schedule		2871.11	85			Percent of total billed charges		1582.7	100			Fee schedule		1862	100			Fee schedule		2871.11	100			Fee schedule		2871.11	100			Fee schedule		2871.11		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2871.11	1489.6	2871.11	
"Exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation"	47536	CPT	Outpatient			1869.5	1215.18		90			Percent of total billed charges		1682.55	95.46			Fee schedule		1869.5	80			Percent of total billed charges		1495.6	85			Percent of total billed charges		1589.08	100			Fee schedule		2871.11	85			Percent of total billed charges		1589.08	100			Fee schedule		1869.5	100			Fee schedule		2871.11	100			Fee schedule		2871.11	100			Fee schedule		2871.11		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2871.11	1495.6	2871.11	
"Orchiopexy, inguinal or scrotal approach"	54640	CPT	Outpatient			2329	1513.85		90			Percent of total billed charges		2096.1	95.46			Fee schedule		2329	80			Percent of total billed charges		1863.2	85			Percent of total billed charges		1979.65	100			Fee schedule		2871.11	85			Percent of total billed charges		1979.65	100			Fee schedule		2329	100			Fee schedule		2871.11	100			Fee schedule		2871.11	100			Fee schedule		2871.11		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2871.11	1767	2871.11	
Excision of hydrocele; unilateral	55040	CPT	Outpatient			2896.3	1882.59		90			Percent of total billed charges		2606.67	95.46			Fee schedule		2740.76	80			Percent of total billed charges		2317.04	85			Percent of total billed charges		2461.85	100			Fee schedule		2871.11	85			Percent of total billed charges		2461.85	100			Fee schedule		2871.11	100			Fee schedule		2871.11	100			Fee schedule		2871.11	100			Fee schedule		2871.11		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2871.11	1767	2871.11	
Insertion of indwelling tunneled pleural catheter with cuff	32550	CPT	Outpatient			3013	1958.45		90			Percent of total billed charges		2711.7	95.46			Fee schedule		2740.76	80			Percent of total billed charges		2410.4	85			Percent of total billed charges		2561.05	100			Fee schedule		2871.11	85			Percent of total billed charges		2561.05	100			Fee schedule		2871.11	100			Fee schedule		2871.11	100			Fee schedule		2871.11	100			Fee schedule		2871.11		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2871.11	1767	2871.11	
"Insertion of tunneled intraperitoneal catheter (eg, dialysis, intraperitoneal chemotherapy instillation, management of ascites), complete procedure, including imaging guidance, catheter placement, contrast injection when performed, and radiological supervision and interpretation, percutaneous"	49418	CPT	Outpatient			3013	1958.45		90			Percent of total billed charges		2711.7	95.46			Fee schedule		2740.76	80			Percent of total billed charges		2410.4	85			Percent of total billed charges		2561.05	100			Fee schedule		2871.11	85			Percent of total billed charges		2561.05	100			Fee schedule		2871.11	100			Fee schedule		2871.11	100			Fee schedule		2871.11	100			Fee schedule		2871.11		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2871.11	1767	2871.11	
"Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) without stent"	47555	CPT	Outpatient			3042	1977.3		90			Percent of total billed charges		2737.8	95.46			Fee schedule		2740.76	80			Percent of total billed charges		2433.6	85			Percent of total billed charges		2585.7	100			Fee schedule		2871.11	85			Percent of total billed charges		2585.7	100			Fee schedule		2871.11	100			Fee schedule		2871.11	100			Fee schedule		2871.11	100			Fee schedule		2871.11		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2871.11	1767	2871.11	
"Cholecystostomy, percutaneous, complete procedure, including imaging guidance, catheter placement, cholecystogram when performed, and radiological supervision and interpretation"	47490	CPT	Outpatient			3042	1977.3		90			Percent of total billed charges		2737.8	95.46			Fee schedule		2740.76	80			Percent of total billed charges		2433.6	85			Percent of total billed charges		2585.7	100			Fee schedule		2871.11	85			Percent of total billed charges		2585.7	100			Fee schedule		2871.11	100			Fee schedule		2871.11	100			Fee schedule		2871.11	100			Fee schedule		2871.11		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2871.11	1767	2871.11	
"Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; external"	47533	CPT	Outpatient			3520	2288		90			Percent of total billed charges		3168	95.46			Fee schedule		2740.76	80			Percent of total billed charges		2816	85			Percent of total billed charges		2992	100			Fee schedule		2871.11	85			Percent of total billed charges		2992	100			Fee schedule		2871.11	100			Fee schedule		2871.11	100			Fee schedule		2871.11	100			Fee schedule		2871.11		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2871.11	1767	3168	
"Orchiectomy, radical, for tumor; inguinal approach"	54530	CPT	Outpatient			5252.03	3413.82		90			Percent of total billed charges		4726.83	95.46			Fee schedule		2740.76	80			Percent of total billed charges		4201.62	85			Percent of total billed charges		4464.23	100			Fee schedule		2871.11	85			Percent of total billed charges		4464.23	100			Fee schedule		2871.11	100			Fee schedule		2871.11	100			Fee schedule		2871.11	100			Fee schedule		2871.11		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2871.11	1767	4726.83	
"Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; internal-external"	47534	CPT	Outpatient			5610	3646.5		90			Percent of total billed charges		5049	95.46			Fee schedule		2740.76	80			Percent of total billed charges		4488	85			Percent of total billed charges		4768.5	100			Fee schedule		2871.11	85			Percent of total billed charges		4768.5	100			Fee schedule		2871.11	100			Fee schedule		2871.11	100			Fee schedule		2871.11	100			Fee schedule		2871.11		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2871.11	1767	5049	
"Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated"	49507	CPT	Outpatient			6073.64	3947.86		90			Percent of total billed charges		5466.27	95.46			Fee schedule		2740.76	80			Percent of total billed charges		4858.91	85			Percent of total billed charges		5162.59	100			Fee schedule		2871.11	85			Percent of total billed charges		5162.59	100			Fee schedule		2871.11	100			Fee schedule		2871.11	100			Fee schedule		2871.11	100			Fee schedule		2871.11		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2871.11	1767	5466.27	
"Repair initial inguinal hernia, age 5 years or older; reducible"	49505	CPT	Outpatient			6576.62	4274.8		90			Percent of total billed charges		5918.96	95.46			Fee schedule		2740.76	80			Percent of total billed charges		5261.3	85			Percent of total billed charges		5590.13	100			Fee schedule		2871.11	85			Percent of total billed charges		5590.13	100			Fee schedule		2871.11	100			Fee schedule		2871.11	100			Fee schedule		2871.11	100			Fee schedule		2871.11		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2871.11	1767	5918.96	
"Placement of nephroureteral catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, new access"	50433	CPT	Outpatient			203.08	132		90			Percent of total billed charges		182.77	95.46			Fee schedule		203.08	80			Percent of total billed charges		162.47	85			Percent of total billed charges		172.62	100			Fee schedule		2893.1	85			Percent of total billed charges		172.62	100			Fee schedule		203.08	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1		1495		Case rate	Use Lesser of logic	203.08		1495		Case rate	Use Lesser of logic	203.08	100			Fee schedule		2893.1	162.47	2893.1	
"Reduction of torsion of testis, surgical, with or without fixation of contralateral testis"	54600	CPT	Outpatient			209.17	135.96		90			Percent of total billed charges		188.26	95.46			Fee schedule		209.17	80			Percent of total billed charges		167.34	85			Percent of total billed charges		177.8	100			Fee schedule		2893.1	85			Percent of total billed charges		177.8	100			Fee schedule		209.17	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1		1495		Case rate	Use Lesser of logic	209.17		1495		Case rate	Use Lesser of logic	209.17	100			Fee schedule		2893.1	167.34	2893.1	
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder tumor(s) (0.5 up to 2.0 cm)"	52234	CPT	Outpatient			451.02	293.16		90			Percent of total billed charges		405.91	95.46			Fee schedule		451.02	80			Percent of total billed charges		360.81	85			Percent of total billed charges		383.36	100			Fee schedule		2893.1	85			Percent of total billed charges		383.36	100			Fee schedule		451.02	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1		1495		Case rate	Use Lesser of logic	451.02		1495		Case rate	Use Lesser of logic	451.02	100			Fee schedule		2893.1	360.81	2893.1	
"Dilation of existing tract, percutaneous, for an endourologic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, with postprocedure tube placement, when performed; including new access into the renal collecting system"	50437	CPT	Outpatient			475	308.75		90			Percent of total billed charges		427.5	95.46			Fee schedule		475	80			Percent of total billed charges		380	85			Percent of total billed charges		403.75	100			Fee schedule		2893.1	85			Percent of total billed charges		403.75	100			Fee schedule		475	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1		1767		Case rate	Use Lesser of logic	475		1767		Case rate	Use Lesser of logic	475	100			Fee schedule		2893.1	380	2893.1	
"Dilation of existing tract, percutaneous, for an endourologic procedure including imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation, with postprocedure tube placement, when performed"	50436	CPT	Outpatient			480	312		90			Percent of total billed charges		432	95.46			Fee schedule		480	80			Percent of total billed charges		384	85			Percent of total billed charges		408	100			Fee schedule		2893.1	85			Percent of total billed charges		408	100			Fee schedule		480	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1		1495		Case rate	Use Lesser of logic	480		1495		Case rate	Use Lesser of logic	480	100			Fee schedule		2893.1	384	2893.1	
"Biopsy of testis, incisional (separate procedure)"	54505	CPT	Outpatient			485	315.25		90			Percent of total billed charges		436.5	95.46			Fee schedule		485	80			Percent of total billed charges		388	85			Percent of total billed charges		412.25	100			Fee schedule		2893.1	85			Percent of total billed charges		412.25	100			Fee schedule		485	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1		1495		Case rate	Use Lesser of logic	485		1495		Case rate	Use Lesser of logic	485	100			Fee schedule		2893.1	388	2893.1	
Excision or fulguration; urethral prolapse	53275	CPT	Outpatient			600	390		90			Percent of total billed charges		540	95.46			Fee schedule		600	80			Percent of total billed charges		480	85			Percent of total billed charges		510	100			Fee schedule		2893.1	85			Percent of total billed charges		510	100			Fee schedule		600	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1		1495		Case rate	Use Lesser of logic	600		1495		Case rate	Use Lesser of logic	600	100			Fee schedule		2893.1	480	2893.1	
Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck	51715	CPT	Outpatient			615	399.75		90			Percent of total billed charges		553.5	95.46			Fee schedule		615	80			Percent of total billed charges		492	85			Percent of total billed charges		522.75	100			Fee schedule		2893.1	85			Percent of total billed charges		522.75	100			Fee schedule		615	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1		1767		Case rate	Use Lesser of logic	615		1767		Case rate	Use Lesser of logic	615	100			Fee schedule		2893.1	492	2893.1	
"Excision or fulguration; urethral polyp(s), distal urethra"	53260	CPT	Outpatient			625	406.25		90			Percent of total billed charges		562.5	95.46			Fee schedule		625	80			Percent of total billed charges		500	85			Percent of total billed charges		531.25	100			Fee schedule		2893.1	85			Percent of total billed charges		531.25	100			Fee schedule		625	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1		1495		Case rate	Use Lesser of logic	625		1495		Case rate	Use Lesser of logic	625	100			Fee schedule		2893.1	500	2893.1	
"Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision)"	52342	CPT	Outpatient			700	455		90			Percent of total billed charges		630	95.46			Fee schedule		700	80			Percent of total billed charges		560	85			Percent of total billed charges		595	100			Fee schedule		2893.1	85			Percent of total billed charges		595	100			Fee schedule		700	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1		1495		Case rate	Use Lesser of logic	700		1495		Case rate	Use Lesser of logic	700	100			Fee schedule		2893.1	560	2893.1	
"Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral"	52300	CPT	Outpatient			710	461.5		90			Percent of total billed charges		639	95.46			Fee schedule		710	80			Percent of total billed charges		568	85			Percent of total billed charges		603.5	100			Fee schedule		2893.1	85			Percent of total billed charges		603.5	100			Fee schedule		710	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1		1495		Case rate	Use Lesser of logic	710		1495		Case rate	Use Lesser of logic	710	100			Fee schedule		2893.1	568	2893.1	
"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service"	50951	CPT	Outpatient			715	464.75		90			Percent of total billed charges		643.5	95.46			Fee schedule		715	80			Percent of total billed charges		572	85			Percent of total billed charges		607.75	100			Fee schedule		2893.1	85			Percent of total billed charges		607.75	100			Fee schedule		715	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1		756		Case rate	Use Lesser of logic	715		756		Case rate	Use Lesser of logic	715	100			Fee schedule		2893.1	572	2893.1	
Scrotal exploration	55110	CPT	Outpatient			725	471.25		90			Percent of total billed charges		652.5	95.46			Fee schedule		725	80			Percent of total billed charges		580	85			Percent of total billed charges		616.25	100			Fee schedule		2893.1	85			Percent of total billed charges		616.25	100			Fee schedule		725	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1		1495		Case rate	Use Lesser of logic	725		1495		Case rate	Use Lesser of logic	725	100			Fee schedule		2893.1	580	2893.1	
"Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service"	50970	CPT	Outpatient			1000	650		90			Percent of total billed charges		900	95.46			Fee schedule		1000	80			Percent of total billed charges		800	85			Percent of total billed charges		850	100			Fee schedule		2893.1	85			Percent of total billed charges		850	100			Fee schedule		1000	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1		756		Case rate		756		756		Case rate		756	100			Fee schedule		2893.1	756	2893.1	
Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus	52320	CPT	Outpatient			760	494		90			Percent of total billed charges		684	95.46			Fee schedule		760	80			Percent of total billed charges		608	85			Percent of total billed charges		646	100			Fee schedule		2893.1	85			Percent of total billed charges		646	100			Fee schedule		760	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1		1495		Case rate	Use Lesser of logic	760		1495		Case rate	Use Lesser of logic	760	100			Fee schedule		2893.1	608	2893.1	
Plastic operation of penis for injury	54440	CPT	Outpatient			775	503.75		90			Percent of total billed charges		697.5	95.46			Fee schedule		775	80			Percent of total billed charges		620	85			Percent of total billed charges		658.75	100			Fee schedule		2893.1	85			Percent of total billed charges		658.75	100			Fee schedule		775	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1		1767		Case rate	Use Lesser of logic	775		1767		Case rate	Use Lesser of logic	775	100			Fee schedule		2893.1	620	2893.1	
Scrotoplasty; simple	55175	CPT	Outpatient			800	520		90			Percent of total billed charges		720	95.46			Fee schedule		800	80			Percent of total billed charges		640	85			Percent of total billed charges		680	100			Fee schedule		2893.1	85			Percent of total billed charges		680	100			Fee schedule		800	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1		2168		Case rate	Use Lesser of logic	800		2168		Case rate	Use Lesser of logic	800	100			Fee schedule		2893.1	640	2893.1	
"Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision)"	52343	CPT	Outpatient			810	526.5		90			Percent of total billed charges		729	95.46			Fee schedule		810	80			Percent of total billed charges		648	85			Percent of total billed charges		688.5	100			Fee schedule		2893.1	85			Percent of total billed charges		688.5	100			Fee schedule		810	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1		1495		Case rate	Use Lesser of logic	810		1495		Case rate	Use Lesser of logic	810	100			Fee schedule		2893.1	648	2893.1	
Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure)	55530	CPT	Outpatient			825	536.25		90			Percent of total billed charges		742.5	95.46			Fee schedule		825	80			Percent of total billed charges		660	85			Percent of total billed charges		701.25	100			Fee schedule		2893.1	85			Percent of total billed charges		701.25	100			Fee schedule		825	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1		1495		Case rate	Use Lesser of logic	825		1495		Case rate	Use Lesser of logic	825	100			Fee schedule		2893.1	660	2893.1	
"Exploration of epididymis, with or without biopsy"	54865	CPT	Outpatient			845	549.25		90			Percent of total billed charges		760.5	95.46			Fee schedule		845	80			Percent of total billed charges		676	85			Percent of total billed charges		718.25	100			Fee schedule		2893.1	85			Percent of total billed charges		718.25	100			Fee schedule		845	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1		1495		Case rate	Use Lesser of logic	845		1495		Case rate	Use Lesser of logic	845	100			Fee schedule		2893.1	676	2893.1	
Transurethral resection; of postoperative bladder neck contracture	52640	CPT	Outpatient			865	562.25		90			Percent of total billed charges		778.5	95.46			Fee schedule		865	80			Percent of total billed charges		692	85			Percent of total billed charges		735.25	100			Fee schedule		2893.1	85			Percent of total billed charges		735.25	100			Fee schedule		865	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1		1495		Case rate	Use Lesser of logic	865		1495		Case rate	Use Lesser of logic	865	100			Fee schedule		2893.1	692	2893.1	
"Corpora cavernosa-glans penis fistulization (eg, biopsy needle, Winter procedure, rongeur, or punch) for priapism"	54435	CPT	Outpatient			915	594.75		90			Percent of total billed charges		823.5	95.46			Fee schedule		915	80			Percent of total billed charges		732	85			Percent of total billed charges		777.75	100			Fee schedule		2893.1	85			Percent of total billed charges		777.75	100			Fee schedule		915	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1		1767		Case rate	Use Lesser of logic	915		1767		Case rate	Use Lesser of logic	915	100			Fee schedule		2893.1	732	2893.1	
Drainage of deep periurethral abscess	53040	CPT	Outpatient			1000	650		90			Percent of total billed charges		900	95.46			Fee schedule		1000	80			Percent of total billed charges		800	85			Percent of total billed charges		850	100			Fee schedule		2893.1	85			Percent of total billed charges		850	100			Fee schedule		1000	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1		1495		Case rate	Use Lesser of logic	1000		1495		Case rate	Use Lesser of logic	1000	100			Fee schedule		2893.1	800	2893.1	
"Prostatotomy, external drainage of prostatic abscess, any approach; simple"	55720	CPT	Outpatient			1020	663		90			Percent of total billed charges		918	95.46			Fee schedule		1020	80			Percent of total billed charges		816	85			Percent of total billed charges		867	100			Fee schedule		2893.1	85			Percent of total billed charges		867	100			Fee schedule		1020	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1		1495		Case rate	Use Lesser of logic	1020		1495		Case rate	Use Lesser of logic	1020	100			Fee schedule		2893.1	816	2893.1	
"Marsupialization of urethral diverticulum, male or female"	53240	CPT	Outpatient			1023	664.95		90			Percent of total billed charges		920.7	95.46			Fee schedule		1023	80			Percent of total billed charges		818.4	85			Percent of total billed charges		869.55	100			Fee schedule		2893.1	85			Percent of total billed charges		869.55	100			Fee schedule		1023	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1		1767		Case rate	Use Lesser of logic	1023		1767		Case rate	Use Lesser of logic	1023	100			Fee schedule		2893.1	818.4	2893.1	
"Excision of hydrocele of spermatic cord, unilateral (separate procedure)"	55500	CPT	Outpatient			1024.93	666.21		90			Percent of total billed charges		922.44	95.46			Fee schedule		1024.93	80			Percent of total billed charges		819.95	85			Percent of total billed charges		871.19	100			Fee schedule		2893.1	85			Percent of total billed charges		871.19	100			Fee schedule		1024.93	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1		1767		Case rate	Use Lesser of logic	1024.93		1767		Case rate	Use Lesser of logic	1024.93	100			Fee schedule		2893.1	819.95	2893.1	
Resection of scrotum	55150	CPT	Outpatient			1050	682.5		90			Percent of total billed charges		945	95.46			Fee schedule		1050	80			Percent of total billed charges		840	85			Percent of total billed charges		892.5	100			Fee schedule		2893.1	85			Percent of total billed charges		892.5	100			Fee schedule		1050	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1		1495		Case rate	Use Lesser of logic	1050		1495		Case rate	Use Lesser of logic	1050	100			Fee schedule		2893.1	840	2893.1	
Cystourethroscopy with irrigation and evacuation of multiple obstructing clots	52001	CPT	Outpatient			2726.93	1772.51		90			Percent of total billed charges		2454.24	95.46			Fee schedule		2726.93	80			Percent of total billed charges		2181.55	85			Percent of total billed charges		2317.89	100			Fee schedule		2893.1	85			Percent of total billed charges		2317.89	100			Fee schedule		2726.93	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		2893.1	1055	2893.1	
Transurethral destruction of prostate tissue; by microwave thermotherapy	53850	CPT	Outpatient			5200	3380		90			Percent of total billed charges		4680	95.46			Fee schedule		2761.75	80			Percent of total billed charges		4160	85			Percent of total billed charges		4420	100			Fee schedule		2893.1	85			Percent of total billed charges		4420	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		2893.1	1055	4680	
Repair of traumatic corporeal tear(s)	54437	CPT	Outpatient			1090	708.5		90			Percent of total billed charges		981	95.46			Fee schedule		1090	80			Percent of total billed charges		872	85			Percent of total billed charges		926.5	100			Fee schedule		2893.1	85			Percent of total billed charges		926.5	100			Fee schedule		1090	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1		1495		Case rate	Use Lesser of logic	1090		1495		Case rate	Use Lesser of logic	1090	100			Fee schedule		2893.1	872	2893.1	
"Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg, balloon dilation, laser, electrocautery, and incision)"	52345	CPT	Outpatient			1150	747.5		90			Percent of total billed charges		1035	95.46			Fee schedule		1150	80			Percent of total billed charges		920	85			Percent of total billed charges		977.5	100			Fee schedule		2893.1	85			Percent of total billed charges		977.5	100			Fee schedule		1150	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1		1495		Case rate	Use Lesser of logic	1150		1495		Case rate	Use Lesser of logic	1150	100			Fee schedule		2893.1	920	2893.1	
Epididymectomy; bilateral	54861	CPT	Outpatient			1200	780		90			Percent of total billed charges		1080	95.46			Fee schedule		1200	80			Percent of total billed charges		960	85			Percent of total billed charges		1020	100			Fee schedule		2893.1	85			Percent of total billed charges		1020	100			Fee schedule		1200	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1		1495		Case rate	Use Lesser of logic	1200		1495		Case rate	Use Lesser of logic	1200	100			Fee schedule		2893.1	960	2893.1	
Transurethral resection of bladder neck (separate procedure)	52500	CPT	Outpatient			1200	780		90			Percent of total billed charges		1080	95.46			Fee schedule		1200	80			Percent of total billed charges		960	85			Percent of total billed charges		1020	100			Fee schedule		2893.1	85			Percent of total billed charges		1020	100			Fee schedule		1200	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1		1495		Case rate	Use Lesser of logic	1200		1495		Case rate	Use Lesser of logic	1200	100			Fee schedule		2893.1	960	2893.1	
"Orchiectomy, partial"	54522	CPT	Outpatient			1300	845		90			Percent of total billed charges		1170	95.46			Fee schedule		1300	80			Percent of total billed charges		1040	85			Percent of total billed charges		1105	100			Fee schedule		2893.1	85			Percent of total billed charges		1105	100			Fee schedule		1300	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1		1495		Case rate	Use Lesser of logic	1300		1495		Case rate	Use Lesser of logic	1300	100			Fee schedule		2893.1	1040	2893.1	
Transurethral incision of prostate	52450	CPT	Outpatient			1350	877.5		90			Percent of total billed charges		1215	95.46			Fee schedule		1350	80			Percent of total billed charges		1080	85			Percent of total billed charges		1147.5	100			Fee schedule		2893.1	85			Percent of total billed charges		1147.5	100			Fee schedule		1350	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1		1495		Case rate	Use Lesser of logic	1350		1495		Case rate	Use Lesser of logic	1350	100			Fee schedule		2893.1	1080	2893.1	
"Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision)"	52344	CPT	Outpatient			1352	878.8		90			Percent of total billed charges		1216.8	95.46			Fee schedule		1352	80			Percent of total billed charges		1081.6	85			Percent of total billed charges		1149.2	100			Fee schedule		2893.1	85			Percent of total billed charges		1149.2	100			Fee schedule		1352	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1		1495		Case rate	Use Lesser of logic	1352		1495		Case rate	Use Lesser of logic	1352	100			Fee schedule		2893.1	1081.6	2893.1	
Amputation of penis; partial	54120	CPT	Outpatient			1355	880.75		90			Percent of total billed charges		1219.5	95.46			Fee schedule		1355	80			Percent of total billed charges		1084	85			Percent of total billed charges		1151.75	100			Fee schedule		2893.1	85			Percent of total billed charges		1151.75	100			Fee schedule		1355	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1		1767		Case rate	Use Lesser of logic	1355		1767		Case rate	Use Lesser of logic	1355	100			Fee schedule		2893.1	1084	2893.1	
Excision of extraparenchymal lesion of testis	54512	CPT	Outpatient			1426.5	927.22		90			Percent of total billed charges		1283.85	95.46			Fee schedule		1426.5	80			Percent of total billed charges		1141.2	85			Percent of total billed charges		1212.52	100			Fee schedule		2893.1	85			Percent of total billed charges		1212.52	100			Fee schedule		1426.5	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1		1495		Case rate	Use Lesser of logic	1426.5		1495		Case rate	Use Lesser of logic	1426.5	100			Fee schedule		2893.1	1141.2	2893.1	
"Removal of all components of a multi-component, inflatable penile prosthesis without replacement of prosthesis"	54406	CPT	Outpatient			1450	942.5		90			Percent of total billed charges		1305	95.46			Fee schedule		1450	80			Percent of total billed charges		1160	85			Percent of total billed charges		1232.5	100			Fee schedule		2893.1	85			Percent of total billed charges		1232.5	100			Fee schedule		1450	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1		1767		Case rate	Use Lesser of logic	1450		1767		Case rate	Use Lesser of logic	1450	100			Fee schedule		2893.1	1160	2893.1	
"Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus"	52330	CPT	Outpatient			1472	956.8		90			Percent of total billed charges		1324.8	95.46			Fee schedule		1472	80			Percent of total billed charges		1177.6	85			Percent of total billed charges		1251.2	100			Fee schedule		2893.1	85			Percent of total billed charges		1251.2	100			Fee schedule		1472	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1		1495		Case rate	Use Lesser of logic	1472		1495		Case rate	Use Lesser of logic	1472	100			Fee schedule		2893.1	1177.6	2893.1	
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included)"	52352	CPT	Outpatient			1559.61	1013.75		90			Percent of total billed charges		1403.65	95.46			Fee schedule		1559.61	80			Percent of total billed charges		1247.69	85			Percent of total billed charges		1325.67	100			Fee schedule		2893.1	85			Percent of total billed charges		1325.67	100			Fee schedule		1559.61	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2893.1	1247.69	2893.1	
Transplantation of testis(es) to thigh (because of scrotal destruction)	54680	CPT	Outpatient			1650	1072.5		90			Percent of total billed charges		1485	95.46			Fee schedule		1650	80			Percent of total billed charges		1320	85			Percent of total billed charges		1402.5	100			Fee schedule		2893.1	85			Percent of total billed charges		1402.5	100			Fee schedule		1650	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2893.1	1320	2893.1	
Excision of lesion of spermatic cord (separate procedure)	55520	CPT	Outpatient			1794.08	1166.15		90			Percent of total billed charges		1614.67	95.46			Fee schedule		1794.08	80			Percent of total billed charges		1435.27	85			Percent of total billed charges		1524.97	100			Fee schedule		2893.1	85			Percent of total billed charges		1524.97	100			Fee schedule		1794.08	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2893.1	1435.27	2893.1	
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm) lesion(s) with or without biopsy"	52224	CPT	Outpatient			1975	1283.75		90			Percent of total billed charges		1777.5	95.46			Fee schedule		1975	80			Percent of total billed charges		1580	85			Percent of total billed charges		1678.75	100			Fee schedule		2893.1	85			Percent of total billed charges		1678.75	100			Fee schedule		1975	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2893.1	1495	2893.1	
Fixation of contralateral testis (separate procedure)	54620	CPT	Outpatient			2104.55	1367.96		90			Percent of total billed charges		1894.1	95.46			Fee schedule		2104.55	80			Percent of total billed charges		1683.64	85			Percent of total billed charges		1788.87	100			Fee schedule		2893.1	85			Percent of total billed charges		1788.87	100			Fee schedule		2104.55	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2893.1	1495	2893.1	
"Cystourethroscopy; with treatment of ureteral stricture (eg, balloon dilation, laser, electrocautery, and incision)"	52341	CPT	Outpatient			2525	1641.25		90			Percent of total billed charges		2272.5	95.46			Fee schedule		2525	80			Percent of total billed charges		2020	85			Percent of total billed charges		2146.25	100			Fee schedule		2893.1	85			Percent of total billed charges		2146.25	100			Fee schedule		2525	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2893.1	1495	2893.1	
Epididymectomy; unilateral	54860	CPT	Outpatient			2576.25	1674.56		90			Percent of total billed charges		2318.62	95.46			Fee schedule		2576.25	80			Percent of total billed charges		2061	85			Percent of total billed charges		2189.81	100			Fee schedule		2893.1	85			Percent of total billed charges		2189.81	100			Fee schedule		2576.25	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2893.1	1495	2893.1	
Repair of tunica vaginalis hydrocele (Bottle type)	55060	CPT	Outpatient			2609	1695.85		90			Percent of total billed charges		2348.1	95.46			Fee schedule		2609	80			Percent of total billed charges		2087.2	85			Percent of total billed charges		2217.65	100			Fee schedule		2893.1	85			Percent of total billed charges		2217.65	100			Fee schedule		2609	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2893.1	1495	2893.1	
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands"	52214	CPT	Outpatient			4931.02	3205.17		90			Percent of total billed charges		4437.92	95.46			Fee schedule		2761.75	80			Percent of total billed charges		3944.82	85			Percent of total billed charges		4191.37	100			Fee schedule		2893.1	85			Percent of total billed charges		4191.37	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2893.1	1495	4437.92	
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic"	52351	CPT	Outpatient			4932.39	3206.05		90			Percent of total billed charges		4439.15	95.46			Fee schedule		2761.75	80			Percent of total billed charges		3945.91	85			Percent of total billed charges		4192.53	100			Fee schedule		2893.1	85			Percent of total billed charges		4192.53	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2893.1	1495	4439.15	
"Cystourethroscopy, with insertion of indwelling ureteral stent (eg, Gibbons or double-J type)"	52332	CPT	Outpatient			5046.69	3280.35		90			Percent of total billed charges		4542.02	95.46			Fee schedule		2761.75	80			Percent of total billed charges		4037.35	85			Percent of total billed charges		4289.68	100			Fee schedule		2893.1	85			Percent of total billed charges		4289.68	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2893.1	1495	4542.02	
Excision of local lesion of epididymis	54830	CPT	Outpatient			5212.06	3387.84		90			Percent of total billed charges		4690.85	95.46			Fee schedule		2761.75	80			Percent of total billed charges		4169.64	85			Percent of total billed charges		4430.25	100			Fee schedule		2893.1	85			Percent of total billed charges		4430.25	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2893.1	1495	4690.85	
Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2.5 cm)	52317	CPT	Outpatient			5763.44	3746.23		90			Percent of total billed charges		5187.09	95.46			Fee schedule		2761.75	80			Percent of total billed charges		4610.75	85			Percent of total billed charges		4898.92	100			Fee schedule		2893.1	85			Percent of total billed charges		4898.92	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2893.1	1495	5187.09	
Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or large (over 2.5 cm)	52318	CPT	Outpatient			6149.5	3997.18		90			Percent of total billed charges		5534.55	95.46			Fee schedule		2761.75	80			Percent of total billed charges		4919.6	85			Percent of total billed charges		5227.08	100			Fee schedule		2893.1	85			Percent of total billed charges		5227.08	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2893.1	1495	5534.55	
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder tumor(s) (2.0 to 5.0 cm)"	52235	CPT	Outpatient			6391.06	4154.19		90			Percent of total billed charges		5751.95	95.46			Fee schedule		2761.75	80			Percent of total billed charges		5112.84	85			Percent of total billed charges		5432.4	100			Fee schedule		2893.1	85			Percent of total billed charges		5432.4	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2893.1	1495	5751.95	
Cystourethroscopy with transurethral resection or incision of ejaculatory ducts	52402	CPT	Outpatient			7529.94	4894.46		90			Percent of total billed charges		6776.95	95.46			Fee schedule		2761.75	80			Percent of total billed charges		6023.95	85			Percent of total billed charges		6400.45	100			Fee schedule		2893.1	85			Percent of total billed charges		6400.45	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		2893.1	1495	6776.95	
"1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi, V-flap)"	54322	CPT	Outpatient			1700	1105		90			Percent of total billed charges		1530	95.46			Fee schedule		1700	80			Percent of total billed charges		1360	85			Percent of total billed charges		1445	100			Fee schedule		2893.1	85			Percent of total billed charges		1445	100			Fee schedule		1700	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1		1767		Case rate	Use Lesser of logic	1700		1767		Case rate	Use Lesser of logic	1700	100			Fee schedule		2893.1	1360	2893.1	
"Orchiectomy, simple (including subcapsular), with or without testicular prosthesis, scrotal or inguinal approach"	54520	CPT	Outpatient			2329	1513.85		90			Percent of total billed charges		2096.1	95.46			Fee schedule		2329	80			Percent of total billed charges		1863.2	85			Percent of total billed charges		1979.65	100			Fee schedule		2893.1	85			Percent of total billed charges		1979.65	100			Fee schedule		2329	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2893.1	1767	2893.1	
"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; pre-existing nephrostomy tract"	50693	CPT	Outpatient			4211	2737.15		90			Percent of total billed charges		3789.9	95.46			Fee schedule		2761.75	80			Percent of total billed charges		3368.8	85			Percent of total billed charges		3579.35	100			Fee schedule		2893.1	85			Percent of total billed charges		3579.35	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2893.1	1767	3789.9	
"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; new access, without separate nephrostomy catheter"	50694	CPT	Outpatient			4345	2824.25		90			Percent of total billed charges		3910.5	95.46			Fee schedule		2761.75	80			Percent of total billed charges		3476	85			Percent of total billed charges		3693.25	100			Fee schedule		2893.1	85			Percent of total billed charges		3693.25	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2893.1	1767	3910.5	
"Placement of ureteral stent, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; new access, with separate nephrostomy catheter"	50695	CPT	Outpatient			4538	2949.7		90			Percent of total billed charges		4084.2	95.46			Fee schedule		2761.75	80			Percent of total billed charges		3630.4	85			Percent of total billed charges		3857.3	100			Fee schedule		2893.1	85			Percent of total billed charges		3857.3	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2893.1	1767	4084.2	
"1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps (eg, flip-flap, prepucial flap)"	54324	CPT	Outpatient			2335	1517.75		90			Percent of total billed charges		2101.5	95.46			Fee schedule		2335	80			Percent of total billed charges		1868	85			Percent of total billed charges		1984.75	100			Fee schedule		2893.1	85			Percent of total billed charges		1984.75	100			Fee schedule		2335	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1		2168		Case rate		2168		2168		Case rate		2168	100			Fee schedule		2893.1	1868	2893.1	
Transurethral destruction of prostate tissue; by radiofrequency thermotherapy	53852	CPT	Outpatient			4850	3152.5		90			Percent of total billed charges		4365	95.46			Fee schedule		2761.75	80			Percent of total billed charges		3880	85			Percent of total billed charges		4122.5	100			Fee schedule		2893.1	85			Percent of total billed charges		4122.5	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1		2168		Case rate		2168		2168		Case rate		2168	100			Fee schedule		2893.1	2168	4365	
"Lithotripsy, extracorporeal shock wave"	50590	CPT	Outpatient			14095.7	9162.21		90			Percent of total billed charges		12686.13	95.46			Fee schedule		2761.75	80			Percent of total billed charges		11276.56	85			Percent of total billed charges		11981.35	100			Fee schedule		2893.1	85			Percent of total billed charges		11981.35	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1	100			Fee schedule		2893.1		3486		Case rate		3486		3486		Case rate		3486	100			Fee schedule		2893.1	2761.75	12686.13	
Suction assisted lipectomy; head and neck	15876	CPT	Outpatient			616.99	401.04		90			Percent of total billed charges		555.29	95.46			Fee schedule		616.99	80			Percent of total billed charges		493.59	85			Percent of total billed charges		524.44	100			Fee schedule		2977.3	85			Percent of total billed charges		524.44	100			Fee schedule		616.99	100			Fee schedule		2977.3	100			Fee schedule		2977.3	100			Fee schedule		2977.3		1767		Case rate	Use Lesser of logic	616.99		1767		Case rate	Use Lesser of logic	616.99	100			Fee schedule		2977.3	493.59	2977.3	
Delay of flap or sectioning of flap (division and inset); at trunk	15600	CPT	Outpatient			625	406.25		90			Percent of total billed charges		562.5	95.46			Fee schedule		625	80			Percent of total billed charges		500	85			Percent of total billed charges		531.25	100			Fee schedule		2977.3	85			Percent of total billed charges		531.25	100			Fee schedule		625	100			Fee schedule		2977.3	100			Fee schedule		2977.3	100			Fee schedule		2977.3		1767		Case rate	Use Lesser of logic	625		1767		Case rate	Use Lesser of logic	625	100			Fee schedule		2977.3	500	2977.3	
"Gastric restrictive procedure, open; revision of subcutaneous port component only"	43886	CPT	Outpatient			630	409.5		90			Percent of total billed charges		567	95.46			Fee schedule		630	80			Percent of total billed charges		504	85			Percent of total billed charges		535.5	100			Fee schedule		2977.3	85			Percent of total billed charges		535.5	100			Fee schedule		630	100			Fee schedule		2977.3	100			Fee schedule		2977.3	100			Fee schedule		2977.3		1767		Case rate	Use Lesser of logic	630		1767		Case rate	Use Lesser of logic	630	100			Fee schedule		2977.3	504	2977.3	
Revision of ileostomy; simple (release of superficial scar) (separate procedure)	44312	CPT	Outpatient			900	585		90			Percent of total billed charges		810	95.46			Fee schedule		900	80			Percent of total billed charges		720	85			Percent of total billed charges		765	100			Fee schedule		2977.3	85			Percent of total billed charges		765	100			Fee schedule		900	100			Fee schedule		2977.3	100			Fee schedule		2977.3	100			Fee schedule		2977.3		1767		Case rate	Use Lesser of logic	900		1767		Case rate	Use Lesser of logic	900	100			Fee schedule		2977.3	720	2977.3	
"Tissue cultured skin autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 25 sq cm or less"	15155	CPT	Outpatient			1165	757.25		90			Percent of total billed charges		1048.5	95.46			Fee schedule		1165	80			Percent of total billed charges		932	85			Percent of total billed charges		990.25	100			Fee schedule		2977.3	85			Percent of total billed charges		990.25	100			Fee schedule		1165	100			Fee schedule		2977.3	100			Fee schedule		2977.3	100			Fee schedule		2977.3		1767		Case rate	Use Lesser of logic	1165		1767		Case rate	Use Lesser of logic	1165	100			Fee schedule		2977.3	932	2977.3	
Graft; derma-fat-fascia	15770	CPT	Outpatient			1285	835.25		90			Percent of total billed charges		1156.5	95.46			Fee schedule		1285	80			Percent of total billed charges		1028	85			Percent of total billed charges		1092.25	100			Fee schedule		2977.3	85			Percent of total billed charges		1092.25	100			Fee schedule		1285	100			Fee schedule		2977.3	100			Fee schedule		2977.3	100			Fee schedule		2977.3		1767		Case rate	Use Lesser of logic	1285		1767		Case rate	Use Lesser of logic	1285	100			Fee schedule		2977.3	1028	2977.3	
"Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs"	15572	CPT	Outpatient			1305	848.25		90			Percent of total billed charges		1174.5	95.46			Fee schedule		1305	80			Percent of total billed charges		1044	85			Percent of total billed charges		1109.25	100			Fee schedule		2977.3	85			Percent of total billed charges		1109.25	100			Fee schedule		1305	100			Fee schedule		2977.3	100			Fee schedule		2977.3	100			Fee schedule		2977.3		1767		Case rate	Use Lesser of logic	1305		1767		Case rate	Use Lesser of logic	1305	100			Fee schedule		2977.3	1044	2977.3	
"Dermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children"	15135	CPT	Outpatient			1405	913.25		90			Percent of total billed charges		1264.5	95.46			Fee schedule		1405	80			Percent of total billed charges		1124	85			Percent of total billed charges		1194.25	100			Fee schedule		2977.3	85			Percent of total billed charges		1194.25	100			Fee schedule		1405	100			Fee schedule		2977.3	100			Fee schedule		2977.3	100			Fee schedule		2977.3		1767		Case rate	Use Lesser of logic	1405		1767		Case rate	Use Lesser of logic	1405	100			Fee schedule		2977.3	1124	2977.3	
"Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children (except 15050)"	15120	CPT	Outpatient			1450	942.5		90			Percent of total billed charges		1305	95.46			Fee schedule		1450	80			Percent of total billed charges		1160	85			Percent of total billed charges		1232.5	100			Fee schedule		2977.3	85			Percent of total billed charges		1232.5	100			Fee schedule		1450	100			Fee schedule		2977.3	100			Fee schedule		2977.3	100			Fee schedule		2977.3		1767		Case rate	Use Lesser of logic	1450		1767		Case rate	Use Lesser of logic	1450	100			Fee schedule		2977.3	1160	2977.3	
"Insertion of tissue expander(s) for other than breast, including subsequent expansion"	11960	CPT	Outpatient			1500	975		90			Percent of total billed charges		1350	95.46			Fee schedule		1500	80			Percent of total billed charges		1200	85			Percent of total billed charges		1275	100			Fee schedule		2977.3	85			Percent of total billed charges		1275	100			Fee schedule		1500	100			Fee schedule		2977.3	100			Fee schedule		2977.3	100			Fee schedule		2977.3		1767		Case rate	Use Lesser of logic	1500		1767		Case rate	Use Lesser of logic	1500	100			Fee schedule		2977.3	1200	2977.3	
Suction assisted lipectomy; lower extremity	15879	CPT	Outpatient			1506.5	979.22		90			Percent of total billed charges		1355.85	95.46			Fee schedule		1506.5	80			Percent of total billed charges		1205.2	85			Percent of total billed charges		1280.52	100			Fee schedule		2977.3	85			Percent of total billed charges		1280.52	100			Fee schedule		1506.5	100			Fee schedule		2977.3	100			Fee schedule		2977.3	100			Fee schedule		2977.3		1767		Case rate	Use Lesser of logic	1506.5		1767		Case rate	Use Lesser of logic	1506.5	100			Fee schedule		2977.3	1205.2	2977.3	
Flap; neurovascular pedicle	15750	CPT	Outpatient			1780	1157		90			Percent of total billed charges		1602	95.46			Fee schedule		1780	80			Percent of total billed charges		1424	85			Percent of total billed charges		1513	100			Fee schedule		2977.3	85			Percent of total billed charges		1513	100			Fee schedule		1780	100			Fee schedule		2977.3	100			Fee schedule		2977.3	100			Fee schedule		2977.3		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2977.3	1424	2977.3	
"Midface flap (ie, zygomaticofacial flap) with preservation of vascular pedicle(s)"	15730	CPT	Outpatient			2250	1462.5		90			Percent of total billed charges		2025	95.46			Fee schedule		2250	80			Percent of total billed charges		1800	85			Percent of total billed charges		1912.5	100			Fee schedule		2977.3	85			Percent of total billed charges		1912.5	100			Fee schedule		2250	100			Fee schedule		2977.3	100			Fee schedule		2977.3	100			Fee schedule		2977.3		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2977.3	1767	2977.3	
"Muscle, myocutaneous, or fasciocutaneous flap; lower extremity"	15738	CPT	Outpatient			2355	1530.75		90			Percent of total billed charges		2119.5	95.46			Fee schedule		2355	80			Percent of total billed charges		1884	85			Percent of total billed charges		2001.75	100			Fee schedule		2977.3	85			Percent of total billed charges		2001.75	100			Fee schedule		2355	100			Fee schedule		2977.3	100			Fee schedule		2977.3	100			Fee schedule		2977.3		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2977.3	1767	2977.3	
"Muscle, myocutaneous, or fasciocutaneous flap; trunk"	15734	CPT	Outpatient			2675	1738.75		90			Percent of total billed charges		2407.5	95.46			Fee schedule		2675	80			Percent of total billed charges		2140	85			Percent of total billed charges		2273.75	100			Fee schedule		2977.3	85			Percent of total billed charges		2273.75	100			Fee schedule		2675	100			Fee schedule		2977.3	100			Fee schedule		2977.3	100			Fee schedule		2977.3		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2977.3	1767	2977.3	
"Muscle, myocutaneous, or fasciocutaneous flap; head and neck with named vascular pedicle (ie, buccinators, genioglossus, temporalis, masseter, sternocleidomastoid, levator scapulae)"	15733	CPT	Outpatient			2685	1745.25		90			Percent of total billed charges		2416.5	95.46			Fee schedule		2685	80			Percent of total billed charges		2148	85			Percent of total billed charges		2282.25	100			Fee schedule		2977.3	85			Percent of total billed charges		2282.25	100			Fee schedule		2685	100			Fee schedule		2977.3	100			Fee schedule		2977.3	100			Fee schedule		2977.3		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2977.3	1767	2977.3	
"Forehead flap with preservation of vascular pedicle (eg, axial pattern flap, paramedian forehead flap)"	15731	CPT	Outpatient			3202.17	2081.41		90			Percent of total billed charges		2881.96	95.46			Fee schedule		2842.13	80			Percent of total billed charges		2561.74	85			Percent of total billed charges		2721.85	100			Fee schedule		2977.3	85			Percent of total billed charges		2721.85	100			Fee schedule		2977.3	100			Fee schedule		2977.3	100			Fee schedule		2977.3	100			Fee schedule		2977.3		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2977.3	1767	2977.3	
"Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm"	14301	CPT	Outpatient			4264.5	2771.92		90			Percent of total billed charges		3838.05	95.46			Fee schedule		2842.13	80			Percent of total billed charges		3411.6	85			Percent of total billed charges		3624.82	100			Fee schedule		2977.3	85			Percent of total billed charges		3624.82	100			Fee schedule		2977.3	100			Fee schedule		2977.3	100			Fee schedule		2977.3	100			Fee schedule		2977.3		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2977.3	1767	3838.05	
Suction assisted lipectomy; trunk	15877	CPT	Outpatient			5136.16	3338.5		90			Percent of total billed charges		4622.54	95.46			Fee schedule		2842.13	80			Percent of total billed charges		4108.93	85			Percent of total billed charges		4365.74	100			Fee schedule		2977.3	85			Percent of total billed charges		4365.74	100			Fee schedule		2977.3	100			Fee schedule		2977.3	100			Fee schedule		2977.3	100			Fee schedule		2977.3		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2977.3	1767	4622.54	
"Rhytidectomy; cheek, chin, and neck"	15828	CPT	Outpatient			5165.83	3357.79		90			Percent of total billed charges		4649.25	95.46			Fee schedule		2842.13	80			Percent of total billed charges		4132.67	85			Percent of total billed charges		4390.96	100			Fee schedule		2977.3	85			Percent of total billed charges		4390.96	100			Fee schedule		2977.3	100			Fee schedule		2977.3	100			Fee schedule		2977.3	100			Fee schedule		2977.3		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2977.3	1767	4649.25	
Rhytidectomy; superficial musculoaponeurotic system (SMAS) flap	15829	CPT	Outpatient			5200	3380		90			Percent of total billed charges		4680	95.46			Fee schedule		2842.13	80			Percent of total billed charges		4160	85			Percent of total billed charges		4420	100			Fee schedule		2977.3	85			Percent of total billed charges		4420	100			Fee schedule		2977.3	100			Fee schedule		2977.3	100			Fee schedule		2977.3	100			Fee schedule		2977.3		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2977.3	1767	4680	
Revision of colostomy; simple (release of superficial scar) (separate procedure)	44340	CPT	Outpatient			6631.25	4310.31		90			Percent of total billed charges		5968.12	95.46			Fee schedule		2842.13	80			Percent of total billed charges		5305	85			Percent of total billed charges		5636.56	100			Fee schedule		2977.3	85			Percent of total billed charges		5636.56	100			Fee schedule		2977.3	100			Fee schedule		2977.3	100			Fee schedule		2977.3	100			Fee schedule		2977.3		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2977.3	1767	5968.12	
"Application of skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area, or 1% of body area of infants and children"	15273	CPT	Outpatient			10753	6989.45		90			Percent of total billed charges		9677.7	95.46			Fee schedule		2842.13	80			Percent of total billed charges		8602.4	85			Percent of total billed charges		9140.05	100			Fee schedule		2977.3	85			Percent of total billed charges		9140.05	100			Fee schedule		2977.3	100			Fee schedule		2977.3	100			Fee schedule		2977.3	100			Fee schedule		2977.3		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		2977.3	1767	9677.7	
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial needle aspiration biopsy(s), trachea, main stem and/or lobar bronchus(i)"	31629	CPT	Outpatient			820	533		90			Percent of total billed charges		738	95.46			Fee schedule		820	80			Percent of total billed charges		656	85			Percent of total billed charges		697	100			Fee schedule		3107.77	85			Percent of total billed charges		697	100			Fee schedule		820	100			Fee schedule		3107.77	100			Fee schedule		3107.77	100			Fee schedule		3107.77		1767		Case rate	Use Lesser of logic	820		1767		Case rate	Use Lesser of logic	820	100			Fee schedule		3107.77	656	3107.77	
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial lung biopsy(s), single lobe"	31628	CPT	Outpatient			919.1	597.41		90			Percent of total billed charges		827.19	95.46			Fee schedule		919.1	80			Percent of total billed charges		735.28	85			Percent of total billed charges		781.23	100			Fee schedule		3107.77	85			Percent of total billed charges		781.23	100			Fee schedule		919.1	100			Fee schedule		3107.77	100			Fee schedule		3107.77	100			Fee schedule		3107.77		1055		Case rate	Use Lesser of logic	919.1		1055		Case rate	Use Lesser of logic	919.1	100			Fee schedule		3107.77	735.28	3107.77	
"Nasal/sinus endoscopy, surgical, with maxillary antrostomy"	31256	CPT	Outpatient			1904.44	1237.88		90			Percent of total billed charges		1713.99	95.46			Fee schedule		1904.44	80			Percent of total billed charges		1523.55	85			Percent of total billed charges		1618.77	100			Fee schedule		3107.77	85			Percent of total billed charges		1618.77	100			Fee schedule		1904.44	100			Fee schedule		3107.77	100			Fee schedule		3107.77	100			Fee schedule		3107.77		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		3107.77	1495	3107.77	
"Laryngoscopy, direct, operative, with excision of tumor and/or stripping of vocal cords or epiglottis; with operating microscope or telescope"	31541	CPT	Outpatient			3378	2195.7		90			Percent of total billed charges		3040.2	95.46			Fee schedule		2966.68	80			Percent of total billed charges		2702.4	85			Percent of total billed charges		2871.3	100			Fee schedule		3107.77	85			Percent of total billed charges		2871.3	100			Fee schedule		3107.77	100			Fee schedule		3107.77	100			Fee schedule		3107.77	100			Fee schedule		3107.77		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		3107.77	1495	3107.77	
"Laryngoscopy, direct, operative, with biopsy"	31535	CPT	Outpatient			3452.84	2244.35		90			Percent of total billed charges		3107.56	95.46			Fee schedule		2966.68	80			Percent of total billed charges		2762.27	85			Percent of total billed charges		2934.92	100			Fee schedule		3107.77	85			Percent of total billed charges		2934.92	100			Fee schedule		3107.77	100			Fee schedule		3107.77	100			Fee schedule		3107.77	100			Fee schedule		3107.77		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		3107.77	1495	3107.77	
"Laryngoscopy, direct, operative, with biopsy; with operating microscope or telescope"	31536	CPT	Outpatient			3682.62	2393.71		90			Percent of total billed charges		3314.36	95.46			Fee schedule		2966.68	80			Percent of total billed charges		2946.1	85			Percent of total billed charges		3130.23	100			Fee schedule		3107.77	85			Percent of total billed charges		3130.23	100			Fee schedule		3107.77	100			Fee schedule		3107.77	100			Fee schedule		3107.77	100			Fee schedule		3107.77		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		3107.77	1495	3314.36	
"Biopsy or excision of lymph node(s); open, deep axillary node(s)"	38525	CPT	Outpatient			254.38	165.34		90			Percent of total billed charges		228.94	95.46			Fee schedule		254.38	80			Percent of total billed charges		203.5	85			Percent of total billed charges		216.22	100			Fee schedule		3163.29	85			Percent of total billed charges		216.22	100			Fee schedule		254.37	100			Fee schedule		3163.29	100			Fee schedule		3163.29	100			Fee schedule		3163.29		1495		Case rate	Use Lesser of logic	254.38		1495		Case rate	Use Lesser of logic	254.38	100			Fee schedule		3163.29	203.5	3163.29	
"Biopsy of breast; open, incisional"	19101	CPT	Outpatient			633	411.45		90			Percent of total billed charges		569.7	95.46			Fee schedule		633	80			Percent of total billed charges		506.4	85			Percent of total billed charges		538.05	100			Fee schedule		3163.29	85			Percent of total billed charges		538.05	100			Fee schedule		633	100			Fee schedule		3163.29	100			Fee schedule		3163.29	100			Fee schedule		3163.29		1495		Case rate	Use Lesser of logic	633		1495		Case rate	Use Lesser of logic	633	100			Fee schedule		3163.29	506.4	3163.29	
"Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad"	38520	CPT	Outpatient			815	529.75		90			Percent of total billed charges		733.5	95.46			Fee schedule		815	80			Percent of total billed charges		652	85			Percent of total billed charges		692.75	100			Fee schedule		3163.29	85			Percent of total billed charges		692.75	100			Fee schedule		815	100			Fee schedule		3163.29	100			Fee schedule		3163.29	100			Fee schedule		3163.29		1495		Case rate	Use Lesser of logic	815		1495		Case rate	Use Lesser of logic	815	100			Fee schedule		3163.29	652	3163.29	
"Biopsy or excision of lymph node(s); open, internal mammary node(s)"	38530	CPT	Outpatient			842	547.3		90			Percent of total billed charges		757.8	95.46			Fee schedule		842	80			Percent of total billed charges		673.6	85			Percent of total billed charges		715.7	100			Fee schedule		3163.29	85			Percent of total billed charges		715.7	100			Fee schedule		842	100			Fee schedule		3163.29	100			Fee schedule		3163.29	100			Fee schedule		3163.29		1495		Case rate	Use Lesser of logic	842		1495		Case rate	Use Lesser of logic	842	100			Fee schedule		3163.29	673.6	3163.29	
"Nipple exploration, with or without excision of a solitary lactiferous duct or a papilloma lactiferous duct"	19110	CPT	Outpatient			970	630.5		90			Percent of total billed charges		873	95.46			Fee schedule		970	80			Percent of total billed charges		776	85			Percent of total billed charges		824.5	100			Fee schedule		3163.29	85			Percent of total billed charges		824.5	100			Fee schedule		970	100			Fee schedule		3163.29	100			Fee schedule		3163.29	100			Fee schedule		3163.29		1495		Case rate	Use Lesser of logic	970		1495		Case rate	Use Lesser of logic	970	100			Fee schedule		3163.29	776	3163.29	
"Excision of cystic hygroma, axillary or cervical; without deep neurovascular dissection"	38550	CPT	Outpatient			1145	744.25		90			Percent of total billed charges		1030.5	95.46			Fee schedule		1145	80			Percent of total billed charges		916	85			Percent of total billed charges		973.25	100			Fee schedule		3163.29	85			Percent of total billed charges		973.25	100			Fee schedule		1145	100			Fee schedule		3163.29	100			Fee schedule		3163.29	100			Fee schedule		3163.29		1495		Case rate	Use Lesser of logic	1145		1495		Case rate	Use Lesser of logic	1145	100			Fee schedule		3163.29	916	3163.29	
"Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy)"	19301	CPT	Outpatient			1505.66	978.68		90			Percent of total billed charges		1355.09	95.46			Fee schedule		1505.66	80			Percent of total billed charges		1204.53	85			Percent of total billed charges		1279.81	100			Fee schedule		3163.29	85			Percent of total billed charges		1279.81	100			Fee schedule		1505.66	100			Fee schedule		3163.29	100			Fee schedule		3163.29	100			Fee schedule		3163.29		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		3163.29	1204.53	3163.29	
Nipple/areola reconstruction	19350	CPT	Outpatient			1660	1079		90			Percent of total billed charges		1494	95.46			Fee schedule		1660	80			Percent of total billed charges		1328	85			Percent of total billed charges		1411	100			Fee schedule		3163.29	85			Percent of total billed charges		1411	100			Fee schedule		1660	100			Fee schedule		3163.29	100			Fee schedule		3163.29	100			Fee schedule		3163.29		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		3163.29	1328	3163.29	
"Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19300), open, male or female, 1 or more lesions"	19120	CPT	Outpatient			2165.67	1407.69		90			Percent of total billed charges		1949.1	95.46			Fee schedule		2165.67	80			Percent of total billed charges		1732.54	85			Percent of total billed charges		1840.82	100			Fee schedule		3163.29	85			Percent of total billed charges		1840.82	100			Fee schedule		2165.67	100			Fee schedule		3163.29	100			Fee schedule		3163.29	100			Fee schedule		3163.29		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		3163.29	1495	3163.29	
"Excision of breast lesion identified by preoperative placement of radiological marker, open; single lesion"	19125	CPT	Outpatient			2216.5	1440.72		90			Percent of total billed charges		1994.85	95.46			Fee schedule		2216.5	80			Percent of total billed charges		1773.2	85			Percent of total billed charges		1884.02	100			Fee schedule		3163.29	85			Percent of total billed charges		1884.02	100			Fee schedule		2216.5	100			Fee schedule		3163.29	100			Fee schedule		3163.29	100			Fee schedule		3163.29		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		3163.29	1495	3163.29	
"Biopsy or excision of lymph node(s); open, deep cervical node(s)"	38510	CPT	Outpatient			3239.89	2105.93		90			Percent of total billed charges		2915.9	95.46			Fee schedule		3019.68	80			Percent of total billed charges		2591.91	85			Percent of total billed charges		2753.91	100			Fee schedule		3163.29	85			Percent of total billed charges		2753.91	100			Fee schedule		3163.29	100			Fee schedule		3163.29	100			Fee schedule		3163.29	100			Fee schedule		3163.29		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		3163.29	1495	3163.29	
Mastectomy for gynecomastia	19300	CPT	Outpatient			4667.02	3033.56		90			Percent of total billed charges		4200.32	95.46			Fee schedule		3019.68	80			Percent of total billed charges		3733.62	85			Percent of total billed charges		3966.97	100			Fee schedule		3163.29	85			Percent of total billed charges		3966.97	100			Fee schedule		3163.29	100			Fee schedule		3163.29	100			Fee schedule		3163.29	100			Fee schedule		3163.29		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		3163.29	1495	4200.32	
"Biopsy or excision of lymph node(s); open, superficial"	38500	CPT	Outpatient			5547.31	3605.75		90			Percent of total billed charges		4992.58	95.46			Fee schedule		3019.68	80			Percent of total billed charges		4437.85	85			Percent of total billed charges		4715.22	100			Fee schedule		3163.29	85			Percent of total billed charges		4715.22	100			Fee schedule		3163.29	100			Fee schedule		3163.29	100			Fee schedule		3163.29	100			Fee schedule		3163.29		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		3163.29	1495	4992.58	
Removal of intact breast implant	19328	CPT	Outpatient			1621.8	1054.17		90			Percent of total billed charges		1459.62	95.46			Fee schedule		1621.8	80			Percent of total billed charges		1297.44	85			Percent of total billed charges		1378.53	100			Fee schedule		3163.29	85			Percent of total billed charges		1378.53	100			Fee schedule		1621.8	100			Fee schedule		3163.29	100			Fee schedule		3163.29	100			Fee schedule		3163.29		1767		Case rate	Use Lesser of logic	1621.8		1767		Case rate	Use Lesser of logic	1621.8	100			Fee schedule		3163.29	1297.44	3163.29	
"Biopsy or excision of lymph node(s); open, inguinofemoral node(s)"	38531	CPT	Outpatient			2404.92	1563.2		90			Percent of total billed charges		2164.43	95.46			Fee schedule		2404.92	80			Percent of total billed charges		1923.94	85			Percent of total billed charges		2044.19	100			Fee schedule		3163.29	85			Percent of total billed charges		2044.19	100			Fee schedule		2404.92	100			Fee schedule		3163.29	100			Fee schedule		3163.29	100			Fee schedule		3163.29		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		3163.29	1767	3163.29	
"Removal of ruptured breast implant, including implant contents (eg, saline, silicone gel)"	19330	CPT	Outpatient			2551.76	1658.64		90			Percent of total billed charges		2296.58	95.46			Fee schedule		2551.76	80			Percent of total billed charges		2041.41	85			Percent of total billed charges		2169	100			Fee schedule		3163.29	85			Percent of total billed charges		2169	100			Fee schedule		2551.76	100			Fee schedule		3163.29	100			Fee schedule		3163.29	100			Fee schedule		3163.29		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		3163.29	1767	3163.29	
"Revision of peri-implant capsule, breast, including capsulotomy, capsulorrhaphy, and/or partial capsulectomy"	19370	CPT	Outpatient			2615	1699.75		90			Percent of total billed charges		2353.5	95.46			Fee schedule		2615	80			Percent of total billed charges		2092	85			Percent of total billed charges		2222.75	100			Fee schedule		3163.29	85			Percent of total billed charges		2222.75	100			Fee schedule		2615	100			Fee schedule		3163.29	100			Fee schedule		3163.29	100			Fee schedule		3163.29		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		3163.29	1767	3163.29	
"Peri-implant capsulectomy, breast, complete, including removal of all intracapsular contents"	19371	CPT	Outpatient			3630	2359.5		90			Percent of total billed charges		3267	95.46			Fee schedule		3019.68	80			Percent of total billed charges		2904	85			Percent of total billed charges		3085.5	100			Fee schedule		3163.29	85			Percent of total billed charges		3085.5	100			Fee schedule		3163.29	100			Fee schedule		3163.29	100			Fee schedule		3163.29	100			Fee schedule		3163.29		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		3163.29	1767	3267	
"Endoscopic retrograde cholangiopancreatography (ERCP); with trans-endoscopic balloon dilation of biliary/pancreatic duct(s) or of ampulla (sphincteroplasty), including sphincterotomy, when performed, each duct"	43277	CPT	Outpatient			790	513.5		90			Percent of total billed charges		711	95.46			Fee schedule		790	80			Percent of total billed charges		632	85			Percent of total billed charges		671.5	100			Fee schedule		3178.24	85			Percent of total billed charges		671.5	100			Fee schedule		790	100			Fee schedule		3178.24	100			Fee schedule		3178.24	100			Fee schedule		3178.24		1495		Case rate	Use Lesser of logic	790		1495		Case rate	Use Lesser of logic	790	100			Fee schedule		3178.24	632	3178.24	
Endoscopic retrograde cholangiopancreatography (ERCP); with removal of calculi/debris from biliary/pancreatic duct(s)	43264	CPT	Outpatient			990	643.5		90			Percent of total billed charges		891	95.46			Fee schedule		990	80			Percent of total billed charges		792	85			Percent of total billed charges		841.5	100			Fee schedule		3178.24	85			Percent of total billed charges		841.5	100			Fee schedule		990	100			Fee schedule		3178.24	100			Fee schedule		3178.24	100			Fee schedule		3178.24		1495		Case rate	Use Lesser of logic	990		1495		Case rate	Use Lesser of logic	990	100			Fee schedule		3178.24	792	3178.24	
"Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)"	43260	CPT	Outpatient			1045	679.25		90			Percent of total billed charges		940.5	95.46			Fee schedule		1045	80			Percent of total billed charges		836	85			Percent of total billed charges		888.25	100			Fee schedule		3178.24	85			Percent of total billed charges		888.25	100			Fee schedule		1045	100			Fee schedule		3178.24	100			Fee schedule		3178.24	100			Fee schedule		3178.24		1495		Case rate	Use Lesser of logic	1045		1495		Case rate	Use Lesser of logic	1045	100			Fee schedule		3178.24	836	3178.24	
Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy	43262	CPT	Outpatient			1130	734.5		90			Percent of total billed charges		1017	95.46			Fee schedule		1130	80			Percent of total billed charges		904	85			Percent of total billed charges		960.5	100			Fee schedule		3178.24	85			Percent of total billed charges		960.5	100			Fee schedule		1130	100			Fee schedule		3178.24	100			Fee schedule		3178.24	100			Fee schedule		3178.24		1495		Case rate	Use Lesser of logic	1130		1495		Case rate	Use Lesser of logic	1130	100			Fee schedule		3178.24	904	3178.24	
"Closure of gastrostomy, surgical"	43870	CPT	Outpatient			1150	747.5		90			Percent of total billed charges		1035	95.46			Fee schedule		1150	80			Percent of total billed charges		920	85			Percent of total billed charges		977.5	100			Fee schedule		3178.24	85			Percent of total billed charges		977.5	100			Fee schedule		1150	100			Fee schedule		3178.24	100			Fee schedule		3178.24	100			Fee schedule		3178.24		1495		Case rate	Use Lesser of logic	1150		1495		Case rate	Use Lesser of logic	1150	100			Fee schedule		3178.24	920	3178.24	
"Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous port components"	43774	CPT	Outpatient			1945	1264.25		90			Percent of total billed charges		1750.5	95.46			Fee schedule		1945	80			Percent of total billed charges		1556	85			Percent of total billed charges		1653.25	100			Fee schedule		3178.24	85			Percent of total billed charges		1653.25	100			Fee schedule		1945	100			Fee schedule		3178.24	100			Fee schedule		3178.24	100			Fee schedule		3178.24		5938		Case rate	Use Lesser of logic	1945		5938		Case rate	Use Lesser of logic	1945	100			Fee schedule		3178.24	1556	3178.24	
"Excision of lacrimal gland (dacryoadenectomy), except for tumor; partial"	68505	CPT	Outpatient			1735	1127.75		90			Percent of total billed charges		1561.5	95.46			Fee schedule		1735	80			Percent of total billed charges		1388	85			Percent of total billed charges		1474.75	100			Fee schedule		3208.64	85			Percent of total billed charges		1474.75	100			Fee schedule		1735	100			Fee schedule		3208.64	100			Fee schedule		3208.64	100			Fee schedule		3208.64		1767		Case rate	Use Lesser of logic	1735		1767		Case rate	Use Lesser of logic	1735	100			Fee schedule		3208.64	1388	3208.64	
Removal of implantable defibrillator pulse generator only	33241	CPT	Outpatient			535	347.75		90			Percent of total billed charges		481.5	95.46			Fee schedule		535	80			Percent of total billed charges		428	85			Percent of total billed charges		454.75	100			Fee schedule		3258.95	85			Percent of total billed charges		454.75	100			Fee schedule		535	100			Fee schedule		3258.95	100			Fee schedule		3258.95	100			Fee schedule		3258.95		1767		Case rate	Use Lesser of logic	535		1767		Case rate	Use Lesser of logic	535	100			Fee schedule		3258.95	428	3258.95	
"Repair of single transvenous electrode, permanent pacemaker or implantable defibrillator"	33218	CPT	Outpatient			870	565.5		90			Percent of total billed charges		783	95.46			Fee schedule		870	80			Percent of total billed charges		696	85			Percent of total billed charges		739.5	100			Fee schedule		3258.95	85			Percent of total billed charges		739.5	100			Fee schedule		870	100			Fee schedule		3258.95	100			Fee schedule		3258.95	100			Fee schedule		3258.95		1767		Case rate	Use Lesser of logic	870		1767		Case rate	Use Lesser of logic	870	100			Fee schedule		3258.95	696	3258.95	
Repair of 2 transvenous electrodes for permanent pacemaker or implantable defibrillator	33220	CPT	Outpatient			980	637		90			Percent of total billed charges		882	95.46			Fee schedule		980	80			Percent of total billed charges		784	85			Percent of total billed charges		833	100			Fee schedule		3258.95	85			Percent of total billed charges		833	100			Fee schedule		980	100			Fee schedule		3258.95	100			Fee schedule		3258.95	100			Fee schedule		3258.95		1767		Case rate	Use Lesser of logic	980		1767		Case rate	Use Lesser of logic	980	100			Fee schedule		3258.95	784	3258.95	
"Removal of transvenous pacemaker electrode(s); single lead system, atrial or ventricular"	33234	CPT	Outpatient			1050	682.5		90			Percent of total billed charges		945	95.46			Fee schedule		1050	80			Percent of total billed charges		840	85			Percent of total billed charges		892.5	100			Fee schedule		3258.95	85			Percent of total billed charges		892.5	100			Fee schedule		1050	100			Fee schedule		3258.95	100			Fee schedule		3258.95	100			Fee schedule		3258.95		1767		Case rate	Use Lesser of logic	1050		1767		Case rate	Use Lesser of logic	1050	100			Fee schedule		3258.95	840	3258.95	
Removal of single or dual chamber implantable defibrillator electrode(s); by transvenous extraction	33244	CPT	Outpatient			1690	1098.5		90			Percent of total billed charges		1521	95.46			Fee schedule		1690	80			Percent of total billed charges		1352	85			Percent of total billed charges		1436.5	100			Fee schedule		3258.95	85			Percent of total billed charges		1436.5	100			Fee schedule		1690	100			Fee schedule		3258.95	100			Fee schedule		3258.95	100			Fee schedule		3258.95		1767		Case rate	Use Lesser of logic	1690		1767		Case rate	Use Lesser of logic	1690	100			Fee schedule		3258.95	1352	3258.95	
"Chromotubation of oviduct, including materials"	58350	CPT	Outpatient			219.53	142.7		90			Percent of total billed charges		197.58	95.46			Fee schedule		219.53	80			Percent of total billed charges		175.63	85			Percent of total billed charges		186.6	100			Fee schedule		4127.76	85			Percent of total billed charges		186.6	100			Fee schedule		219.53	100			Fee schedule		4127.76	100			Fee schedule		4127.76	100			Fee schedule		4127.76		1767		Case rate	Use Lesser of logic	219.53		1767		Case rate	Use Lesser of logic	219.53	100			Fee schedule		4127.76	175.63	4127.76	
"Trachelectomy (cervicectomy), amputation of cervix (separate procedure)"	57530	CPT	Outpatient			850	552.5		90			Percent of total billed charges		765	95.46			Fee schedule		850	80			Percent of total billed charges		680	85			Percent of total billed charges		722.5	100			Fee schedule		4127.76	85			Percent of total billed charges		722.5	100			Fee schedule		850	100			Fee schedule		4127.76	100			Fee schedule		4127.76	100			Fee schedule		4127.76		1495		Case rate	Use Lesser of logic	850		1495		Case rate	Use Lesser of logic	850	100			Fee schedule		4127.76	680	4127.76	
"Repair of enterocele, vaginal approach (separate procedure)"	57268	CPT	Outpatient			1200	780		90			Percent of total billed charges		1080	95.46			Fee schedule		1200	80			Percent of total billed charges		960	85			Percent of total billed charges		1020	100			Fee schedule		4127.76	85			Percent of total billed charges		1020	100			Fee schedule		1200	100			Fee schedule		4127.76	100			Fee schedule		4127.76	100			Fee schedule		4127.76		1495		Case rate	Use Lesser of logic	1200		1495		Case rate	Use Lesser of logic	1200	100			Fee schedule		4127.76	960	4127.76	
"Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy"	57250	CPT	Outpatient			1225.19	796.37		90			Percent of total billed charges		1102.67	95.46			Fee schedule		1225.19	80			Percent of total billed charges		980.15	85			Percent of total billed charges		1041.41	100			Fee schedule		4127.76	85			Percent of total billed charges		1041.41	100			Fee schedule		1225.19	100			Fee schedule		4127.76	100			Fee schedule		4127.76	100			Fee schedule		4127.76		1767		Case rate	Use Lesser of logic	1225.19		1767		Case rate	Use Lesser of logic	1225.19	100			Fee schedule		4127.76	980.15	4127.76	
"Hysterotomy, abdominal (eg, for hydatidiform mole, abortion)"	59100	CPT	Outpatient			1585	1030.25		90			Percent of total billed charges		1426.5	95.46			Fee schedule		1585	80			Percent of total billed charges		1268	85			Percent of total billed charges		1347.25	100			Fee schedule		4127.76	85			Percent of total billed charges		1347.25	100			Fee schedule		1585	100			Fee schedule		4127.76	100			Fee schedule		4127.76	100			Fee schedule		4127.76		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		4127.76	1268	4127.76	
"Ovarian cystectomy, unilateral or bilateral"	58925	CPT	Outpatient			1700	1105		90			Percent of total billed charges		1530	95.46			Fee schedule		1700	80			Percent of total billed charges		1360	85			Percent of total billed charges		1445	100			Fee schedule		4127.76	85			Percent of total billed charges		1445	100			Fee schedule		1700	100			Fee schedule		4127.76	100			Fee schedule		4127.76	100			Fee schedule		4127.76		1767		Case rate	Use Lesser of logic	1700		1767		Case rate	Use Lesser of logic	1700	100			Fee schedule		4127.76	1360	4127.76	
"Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele"	58270	CPT	Outpatient			2300	1495		90			Percent of total billed charges		2070	95.46			Fee schedule		2300	80			Percent of total billed charges		1840	85			Percent of total billed charges		1955	100			Fee schedule		4127.76	85			Percent of total billed charges		1955	100			Fee schedule		2300	100			Fee schedule		4127.76	100			Fee schedule		4127.76	100			Fee schedule		4127.76		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		4127.76	1767	4127.76	
"Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s), with repair of enterocele"	58263	CPT	Outpatient			2600	1690		90			Percent of total billed charges		2340	95.46			Fee schedule		2600	80			Percent of total billed charges		2080	85			Percent of total billed charges		2210	100			Fee schedule		4127.76	85			Percent of total billed charges		2210	100			Fee schedule		2600	100			Fee schedule		4127.76	100			Fee schedule		4127.76	100			Fee schedule		4127.76		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		4127.76	1767	4127.76	
"Vaginal hysterectomy, for uterus 250 g or less"	58260	CPT	Outpatient			2600	1690		90			Percent of total billed charges		2340	95.46			Fee schedule		2600	80			Percent of total billed charges		2080	85			Percent of total billed charges		2210	100			Fee schedule		4127.76	85			Percent of total billed charges		2210	100			Fee schedule		2600	100			Fee schedule		4127.76	100			Fee schedule		4127.76	100			Fee schedule		4127.76		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		4127.76	1767	4127.76	
"Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s), and/or ovary(s)"	58262	CPT	Outpatient			2675	1738.75		90			Percent of total billed charges		2407.5	95.46			Fee schedule		2675	80			Percent of total billed charges		2140	85			Percent of total billed charges		2273.75	100			Fee schedule		4127.76	85			Percent of total billed charges		2273.75	100			Fee schedule		2675	100			Fee schedule		4127.76	100			Fee schedule		4127.76	100			Fee schedule		4127.76		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		4127.76	1767	4127.76	
"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed"	57260	CPT	Outpatient			4240.36	2756.24		90			Percent of total billed charges		3816.33	95.46			Fee schedule		3940.36	80			Percent of total billed charges		3392.29	85			Percent of total billed charges		3604.31	100			Fee schedule		4127.76	85			Percent of total billed charges		3604.31	100			Fee schedule		4127.76	100			Fee schedule		4127.76	100			Fee schedule		4127.76	100			Fee schedule		4127.76		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		4127.76	1767	4127.76	
"Endometrial ablation, thermal, without hysteroscopic guidance"	58353	CPT	Outpatient			4516.19	2935.52		90			Percent of total billed charges		4064.57	95.46			Fee schedule		3940.36	80			Percent of total billed charges		3612.95	85			Percent of total billed charges		3838.76	100			Fee schedule		4127.76	85			Percent of total billed charges		3838.76	100			Fee schedule		4127.76	100			Fee schedule		4127.76	100			Fee schedule		4127.76	100			Fee schedule		4127.76		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		4127.76	1767	4127.76	
"Hysteroscopy, surgical; with endometrial ablation (eg, endometrial resection, electrosurgical ablation, thermoablation)"	58563	CPT	Outpatient			7058.37	4587.94		90			Percent of total billed charges		6352.54	95.46			Fee schedule		3940.36	80			Percent of total billed charges		5646.7	85			Percent of total billed charges		5999.62	100			Fee schedule		4127.76	85			Percent of total billed charges		5999.62	100			Fee schedule		4127.76	100			Fee schedule		4127.76	100			Fee schedule		4127.76	100			Fee schedule		4127.76		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		4127.76	1767	6352.54	
"Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when performed"	57240	CPT	Outpatient			9520.66	6188.43		90			Percent of total billed charges		8568.59	95.46			Fee schedule		3940.36	80			Percent of total billed charges		7616.52	85			Percent of total billed charges		8092.56	100			Fee schedule		4127.76	85			Percent of total billed charges		8092.56	100			Fee schedule		4127.76	100			Fee schedule		4127.76	100			Fee schedule		4127.76	100			Fee schedule		4127.76		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		4127.76	1767	8568.59	
"Hysteroscopy, surgical; with removal of leiomyomata"	58561	CPT	Outpatient			10092.31	6560		90			Percent of total billed charges		9083.08	95.46			Fee schedule		3940.36	80			Percent of total billed charges		8073.85	85			Percent of total billed charges		8578.46	100			Fee schedule		4127.76	85			Percent of total billed charges		8578.46	100			Fee schedule		4127.76	100			Fee schedule		4127.76	100			Fee schedule		4127.76	100			Fee schedule		4127.76		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		4127.76	1767	9083.08	
"Paravaginal defect repair (including repair of cystocele, if performed); open abdominal approach"	57284	CPT	Outpatient			1800	1170		90			Percent of total billed charges		1620	95.46			Fee schedule		1800	80			Percent of total billed charges		1440	85			Percent of total billed charges		1530	100			Fee schedule		4127.76	85			Percent of total billed charges		1530	100			Fee schedule		1800	100			Fee schedule		4127.76	100			Fee schedule		4127.76	100			Fee schedule		4127.76		2168		Case rate	Use Lesser of logic	1800		2168		Case rate	Use Lesser of logic	1800	100			Fee schedule		4127.76	1440	4127.76	
"Combined anteroposterior colporrhaphy, including cystourethroscopy, when performed; with enterocele repair"	57265	CPT	Outpatient			1850	1202.5		90			Percent of total billed charges		1665	95.46			Fee schedule		1850	80			Percent of total billed charges		1480	85			Percent of total billed charges		1572.5	100			Fee schedule		4127.76	85			Percent of total billed charges		1572.5	100			Fee schedule		1850	100			Fee schedule		4127.76	100			Fee schedule		4127.76	100			Fee schedule		4127.76		2168		Case rate	Use Lesser of logic	1850		2168		Case rate	Use Lesser of logic	1850	100			Fee schedule		4127.76	1480	4127.76	
"Sling operation for stress incontinence (eg, fascia or synthetic)"	57288	CPT	Outpatient			2050.57	1332.87		90			Percent of total billed charges		1845.51	95.46			Fee schedule		2050.57	80			Percent of total billed charges		1640.45	85			Percent of total billed charges		1742.98	100			Fee schedule		4127.76	85			Percent of total billed charges		1742.98	100			Fee schedule		2050.57	100			Fee schedule		4127.76	100			Fee schedule		4127.76	100			Fee schedule		4127.76		2168		Case rate	Use Lesser of logic	2050.57		2168		Case rate	Use Lesser of logic	2050.57	100			Fee schedule		4127.76	1640.45	4127.76	
"Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent implants"	58565	CPT	Outpatient			4365	2837.25		90			Percent of total billed charges		3928.5	95.46			Fee schedule		3940.36	80			Percent of total billed charges		3492	85			Percent of total billed charges		3710.25	100			Fee schedule		4127.76	85			Percent of total billed charges		3710.25	100			Fee schedule		4127.76	100			Fee schedule		4127.76	100			Fee schedule		4127.76	100			Fee schedule		4127.76		2168		Case rate		2168		2168		Case rate		2168	100			Fee schedule		4127.76	2168	4127.76	
"Urethrotomy or urethrostomy, external (separate procedure); perineal urethra, external"	53010	CPT	Outpatient			655	425.75		90			Percent of total billed charges		589.5	95.46			Fee schedule		655	80			Percent of total billed charges		524	85			Percent of total billed charges		556.75	100			Fee schedule		4294.1	85			Percent of total billed charges		556.75	100			Fee schedule		655	100			Fee schedule		4294.1	100			Fee schedule		4294.1	100			Fee schedule		4294.1		1495		Case rate	Use Lesser of logic	655		1495		Case rate	Use Lesser of logic	655	100			Fee schedule		4294.1	524	4294.1	
"Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple"	52305	CPT	Outpatient			715	464.75		90			Percent of total billed charges		643.5	95.46			Fee schedule		715	80			Percent of total billed charges		572	85			Percent of total billed charges		607.75	100			Fee schedule		4294.1	85			Percent of total billed charges		607.75	100			Fee schedule		715	100			Fee schedule		4294.1	100			Fee schedule		4294.1	100			Fee schedule		4294.1		1495		Case rate	Use Lesser of logic	715		1495		Case rate	Use Lesser of logic	715	100			Fee schedule		4294.1	572	4294.1	
Insertion of testicular prosthesis (separate procedure)	54660	CPT	Outpatient			725	471.25		90			Percent of total billed charges		652.5	95.46			Fee schedule		725	80			Percent of total billed charges		580	85			Percent of total billed charges		616.25	100			Fee schedule		4294.1	85			Percent of total billed charges		616.25	100			Fee schedule		725	100			Fee schedule		4294.1	100			Fee schedule		4294.1	100			Fee schedule		4294.1		1495		Case rate	Use Lesser of logic	725		1495		Case rate	Use Lesser of logic	725	100			Fee schedule		4294.1	580	4294.1	
"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service"	50551	CPT	Outpatient			814	529.1		90			Percent of total billed charges		732.6	95.46			Fee schedule		814	80			Percent of total billed charges		651.2	85			Percent of total billed charges		691.9	100			Fee schedule		4294.1	85			Percent of total billed charges		691.9	100			Fee schedule		814	100			Fee schedule		4294.1	100			Fee schedule		4294.1	100			Fee schedule		4294.1		1055		Case rate	Use Lesser of logic	814		1055		Case rate	Use Lesser of logic	814	100			Fee schedule		4294.1	651.2	4294.1	
"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy"	50955	CPT	Outpatient			920	598		90			Percent of total billed charges		828	95.46			Fee schedule		920	80			Percent of total billed charges		736	85			Percent of total billed charges		782	100			Fee schedule		4294.1	85			Percent of total billed charges		782	100			Fee schedule		920	100			Fee schedule		4294.1	100			Fee schedule		4294.1	100			Fee schedule		4294.1		1495		Case rate	Use Lesser of logic	920		1495		Case rate	Use Lesser of logic	920	100			Fee schedule		4294.1	736	4294.1	
"Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus"	50961	CPT	Outpatient			950	617.5		90			Percent of total billed charges		855	95.46			Fee schedule		950	80			Percent of total billed charges		760	85			Percent of total billed charges		807.5	100			Fee schedule		4294.1	85			Percent of total billed charges		807.5	100			Fee schedule		950	100			Fee schedule		4294.1	100			Fee schedule		4294.1	100			Fee schedule		4294.1		1495		Case rate	Use Lesser of logic	950		1495		Case rate	Use Lesser of logic	950	100			Fee schedule		4294.1	760	4294.1	
"Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or electro-hydraulic technique)"	52325	CPT	Outpatient			965	627.25		90			Percent of total billed charges		868.5	95.46			Fee schedule		965	80			Percent of total billed charges		772	85			Percent of total billed charges		820.25	100			Fee schedule		4294.1	85			Percent of total billed charges		820.25	100			Fee schedule		965	100			Fee schedule		4294.1	100			Fee schedule		4294.1	100			Fee schedule		4294.1		1495		Case rate	Use Lesser of logic	965		1495		Case rate	Use Lesser of logic	965	100			Fee schedule		4294.1	772	4294.1	
"Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus"	50580	CPT	Outpatient			1440	936		90			Percent of total billed charges		1296	95.46			Fee schedule		1440	80			Percent of total billed charges		1152	85			Percent of total billed charges		1224	100			Fee schedule		4294.1	85			Percent of total billed charges		1224	100			Fee schedule		1440	100			Fee schedule		4294.1	100			Fee schedule		4294.1	100			Fee schedule		4294.1		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		4294.1	1055	4294.1	
"Cystolithotomy, cystotomy with removal of calculus, without vesical neck resection"	51050	CPT	Outpatient			1150	747.5		90			Percent of total billed charges		1035	95.46			Fee schedule		1150	80			Percent of total billed charges		920	85			Percent of total billed charges		977.5	100			Fee schedule		4294.1	85			Percent of total billed charges		977.5	100			Fee schedule		1150	100			Fee schedule		4294.1	100			Fee schedule		4294.1	100			Fee schedule		4294.1		1495		Case rate	Use Lesser of logic	1150		1495		Case rate	Use Lesser of logic	1150	100			Fee schedule		4294.1	920	4294.1	
"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus"	50561	CPT	Outpatient			1350	877.5		90			Percent of total billed charges		1215	95.46			Fee schedule		1350	80			Percent of total billed charges		1080	85			Percent of total billed charges		1147.5	100			Fee schedule		4294.1	85			Percent of total billed charges		1147.5	100			Fee schedule		1350	100			Fee schedule		4294.1	100			Fee schedule		4294.1	100			Fee schedule		4294.1		1495		Case rate	Use Lesser of logic	1350		1495		Case rate	Use Lesser of logic	1350	100			Fee schedule		4294.1	1080	4294.1	
"Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision)"	52346	CPT	Outpatient			1383.33	899.16		90			Percent of total billed charges		1244.99	95.46			Fee schedule		1383.33	80			Percent of total billed charges		1106.66	85			Percent of total billed charges		1175.83	100			Fee schedule		4294.1	85			Percent of total billed charges		1175.83	100			Fee schedule		1383.33	100			Fee schedule		4294.1	100			Fee schedule		4294.1	100			Fee schedule		4294.1		1495		Case rate	Use Lesser of logic	1383.33		1495		Case rate	Use Lesser of logic	1383.33	100			Fee schedule		4294.1	1106.66	4294.1	
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor"	52355	CPT	Outpatient			1390	903.5		90			Percent of total billed charges		1251	95.46			Fee schedule		1390	80			Percent of total billed charges		1112	85			Percent of total billed charges		1181.5	100			Fee schedule		4294.1	85			Percent of total billed charges		1181.5	100			Fee schedule		1390	100			Fee schedule		4294.1	100			Fee schedule		4294.1	100			Fee schedule		4294.1		1495		Case rate	Use Lesser of logic	1390		1495		Case rate	Use Lesser of logic	1390	100			Fee schedule		4294.1	1112	4294.1	
Scrotoplasty; complicated	55180	CPT	Outpatient			1400	910		90			Percent of total billed charges		1260	95.46			Fee schedule		1400	80			Percent of total billed charges		1120	85			Percent of total billed charges		1190	100			Fee schedule		4294.1	85			Percent of total billed charges		1190	100			Fee schedule		1400	100			Fee schedule		4294.1	100			Fee schedule		4294.1	100			Fee schedule		4294.1		1495		Case rate	Use Lesser of logic	1400		1495		Case rate	Use Lesser of logic	1400	100			Fee schedule		4294.1	1120	4294.1	
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included)"	52353	CPT	Outpatient			1450	942.5		90			Percent of total billed charges		1305	95.46			Fee schedule		1450	80			Percent of total billed charges		1160	85			Percent of total billed charges		1232.5	100			Fee schedule		4294.1	85			Percent of total billed charges		1232.5	100			Fee schedule		1450	100			Fee schedule		4294.1	100			Fee schedule		4294.1	100			Fee schedule		4294.1		2168		Case rate	Use Lesser of logic	1450		2168		Case rate	Use Lesser of logic	1450	100			Fee schedule		4294.1	1160	4294.1	
"Urethrorrhaphy, suture of urethral wound or injury; perineal"	53510	CPT	Outpatient			1450	942.5		90			Percent of total billed charges		1305	95.46			Fee schedule		1450	80			Percent of total billed charges		1160	85			Percent of total billed charges		1232.5	100			Fee schedule		4294.1	85			Percent of total billed charges		1232.5	100			Fee schedule		1450	100			Fee schedule		4294.1	100			Fee schedule		4294.1	100			Fee schedule		4294.1		1495		Case rate	Use Lesser of logic	1450		1495		Case rate	Use Lesser of logic	1450	100			Fee schedule		4294.1	1160	4294.1	
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion"	52354	CPT	Outpatient			1661.01	1079.66		90			Percent of total billed charges		1494.91	95.46			Fee schedule		1661.01	80			Percent of total billed charges		1328.81	85			Percent of total billed charges		1411.86	100			Fee schedule		4294.1	85			Percent of total billed charges		1411.86	100			Fee schedule		1661.01	100			Fee schedule		4294.1	100			Fee schedule		4294.1	100			Fee schedule		4294.1		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		4294.1	1328.81	4294.1	
"Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder tumor(s)"	52240	CPT	Outpatient			5869.53	3815.19		90			Percent of total billed charges		5282.58	95.46			Fee schedule		4099.15	80			Percent of total billed charges		4695.62	85			Percent of total billed charges		4989.1	100			Fee schedule		4294.1	85			Percent of total billed charges		4989.1	100			Fee schedule		4294.1	100			Fee schedule		4294.1	100			Fee schedule		4294.1	100			Fee schedule		4294.1		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		4294.1	1495	5282.58	
Excision of urethral diverticulum (separate procedure); female	53230	CPT	Outpatient			1540	1001		90			Percent of total billed charges		1386	95.46			Fee schedule		1540	80			Percent of total billed charges		1232	85			Percent of total billed charges		1309	100			Fee schedule		4294.1	85			Percent of total billed charges		1309	100			Fee schedule		1540	100			Fee schedule		4294.1	100			Fee schedule		4294.1	100			Fee schedule		4294.1		1767		Case rate	Use Lesser of logic	1540		1767		Case rate	Use Lesser of logic	1540	100			Fee schedule		4294.1	1232	4294.1	
"Transurethral resection; residual or regrowth of obstructive prostate tissue including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are included)"	52630	CPT	Outpatient			1550	1007.5		90			Percent of total billed charges		1395	95.46			Fee schedule		1550	80			Percent of total billed charges		1240	85			Percent of total billed charges		1317.5	100			Fee schedule		4294.1	85			Percent of total billed charges		1317.5	100			Fee schedule		1550	100			Fee schedule		4294.1	100			Fee schedule		4294.1	100			Fee schedule		4294.1		2168		Case rate	Use Lesser of logic	1550		2168		Case rate	Use Lesser of logic	1550	100			Fee schedule		4294.1	1240	4294.1	
Cystourethroscopy (including ureteral catheterization); with subureteric injection of implant material	52327	CPT	Outpatient			1570	1020.5		90			Percent of total billed charges		1413	95.46			Fee schedule		1570	80			Percent of total billed charges		1256	85			Percent of total billed charges		1334.5	100			Fee schedule		4294.1	85			Percent of total billed charges		1334.5	100			Fee schedule		1570	100			Fee schedule		4294.1	100			Fee schedule		4294.1	100			Fee schedule		4294.1		2168		Case rate	Use Lesser of logic	1570		2168		Case rate	Use Lesser of logic	1570	100			Fee schedule		4294.1	1256	4294.1	
"Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type)"	53400	CPT	Outpatient			1890	1228.5		90			Percent of total billed charges		1701	95.46			Fee schedule		1890	80			Percent of total billed charges		1512	85			Percent of total billed charges		1606.5	100			Fee schedule		4294.1	85			Percent of total billed charges		1606.5	100			Fee schedule		1890	100			Fee schedule		4294.1	100			Fee schedule		4294.1	100			Fee schedule		4294.1		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		4294.1	1512	4294.1	
"Urethroplasty, 1-stage reconstruction of male anterior urethra"	53410	CPT	Outpatient			2080	1352		90			Percent of total billed charges		1872	95.46			Fee schedule		2080	80			Percent of total billed charges		1664	85			Percent of total billed charges		1768	100			Fee schedule		4294.1	85			Percent of total billed charges		1768	100			Fee schedule		2080	100			Fee schedule		4294.1	100			Fee schedule		4294.1	100			Fee schedule		4294.1		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		4294.1	1664	4294.1	
"Urethroplasty, reconstruction of female urethra"	53430	CPT	Outpatient			2200	1430		90			Percent of total billed charges		1980	95.46			Fee schedule		2200	80			Percent of total billed charges		1760	85			Percent of total billed charges		1870	100			Fee schedule		4294.1	85			Percent of total billed charges		1870	100			Fee schedule		2200	100			Fee schedule		4294.1	100			Fee schedule		4294.1	100			Fee schedule		4294.1		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		4294.1	1760	4294.1	
"Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transurethral resection of prostate are included if performed)"	52649	CPT	Outpatient			2150	1397.5		90			Percent of total billed charges		1935	95.46			Fee schedule		2150	80			Percent of total billed charges		1720	85			Percent of total billed charges		1827.5	100			Fee schedule		4294.1	85			Percent of total billed charges		1827.5	100			Fee schedule		2150	100			Fee schedule		4294.1	100			Fee schedule		4294.1	100			Fee schedule		4294.1		2168		Case rate	Use Lesser of logic	2150		2168		Case rate	Use Lesser of logic	2150	100			Fee schedule		4294.1	1720	4294.1	
"Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-J type)"	52356	CPT	Outpatient			3387.91	2202.14		90			Percent of total billed charges		3049.11	95.46			Fee schedule		3387.91	80			Percent of total billed charges		2710.32	85			Percent of total billed charges		2879.72	100			Fee schedule		4294.1	85			Percent of total billed charges		2879.72	100			Fee schedule		3387.91	100			Fee schedule		4294.1	100			Fee schedule		4294.1	100			Fee schedule		4294.1		2168		Case rate		2168		2168		Case rate		2168	100			Fee schedule		4294.1	2168	4294.1	
"Laser vaporization of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, internal urethrotomy and transurethral resection of prostate are included if performed)"	52648	CPT	Outpatient			5855	3805.75		90			Percent of total billed charges		5269.5	95.46			Fee schedule		4099.15	80			Percent of total billed charges		4684	85			Percent of total billed charges		4976.75	100			Fee schedule		4294.1	85			Percent of total billed charges		4976.75	100			Fee schedule		4294.1	100			Fee schedule		4294.1	100			Fee schedule		4294.1	100			Fee schedule		4294.1		2168		Case rate		2168		2168		Case rate		2168	100			Fee schedule		4294.1	2168	5269.5	
"Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, complete (vasectomy, meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are included)"	52601	CPT	Outpatient			6196.25	4027.56		90			Percent of total billed charges		5576.62	95.46			Fee schedule		4099.15	80			Percent of total billed charges		4957	85			Percent of total billed charges		5266.81	100			Fee schedule		4294.1	85			Percent of total billed charges		5266.81	100			Fee schedule		4294.1	100			Fee schedule		4294.1	100			Fee schedule		4294.1	100			Fee schedule		4294.1		2168		Case rate		2168		2168		Case rate		2168	100			Fee schedule		4294.1	2168	5576.62	
"Angiography, visceral, selective or supraselective (with or without flush aortogram), radiological supervision and interpretation"	75726	CPT	Outpatient			2674	1738.1		90			Percent of total billed charges		2406.6	95.46			Fee schedule		2674	80			Percent of total billed charges		2139.2	90			Percent of total billed charges		2406.6	100			Fee schedule		4560.49	85			Percent of total billed charges		2272.9	100			Fee schedule		2674	100			Fee schedule		4560.49	100			Fee schedule		4560.49	100			Fee schedule		4560.49		117		Case rate		117		117		Case rate		117	100			Fee schedule		4560.49	117	4560.49	
"Angiography, pelvic, selective or supraselective, radiological supervision and interpretation"	75736	CPT	Outpatient			2880	1872		90			Percent of total billed charges		2592	95.46			Fee schedule		2880	80			Percent of total billed charges		2304	90			Percent of total billed charges		2592	100			Fee schedule		4560.49	85			Percent of total billed charges		2448	100			Fee schedule		2880	100			Fee schedule		4560.49	100			Fee schedule		4560.49	100			Fee schedule		4560.49		117		Case rate		117		117		Case rate		117	100			Fee schedule		4560.49	117	4560.49	
"Aortography, thoracic, by serialography, radiological supervision and interpretation"	75605	CPT	Outpatient			2880	1872		90			Percent of total billed charges		2592	95.46			Fee schedule		2880	80			Percent of total billed charges		2304	90			Percent of total billed charges		2592	100			Fee schedule		4560.49	85			Percent of total billed charges		2448	100			Fee schedule		2880	100			Fee schedule		4560.49	100			Fee schedule		4560.49	100			Fee schedule		4560.49		117		Case rate		117		117		Case rate		117	100			Fee schedule		4560.49	117	4560.49	
"Venous sampling through catheter, with or without angiography (eg, for parathyroid hormone, renin), radiological supervision and interpretation"	75893	CPT	Outpatient			3521	2288.65		90			Percent of total billed charges		3168.9	95.46			Fee schedule		3521	80			Percent of total billed charges		2816.8	90			Percent of total billed charges		3168.9	100			Fee schedule		4560.49	85			Percent of total billed charges		2992.85	100			Fee schedule		3521	100			Fee schedule		4560.49	100			Fee schedule		4560.49	100			Fee schedule		4560.49		117		Case rate		117		117		Case rate		117	100			Fee schedule		4560.49	117	4560.49	
"Repair blood vessel, direct; neck"	35201	CPT	Outpatient			1650	1072.5		90			Percent of total billed charges		1485	95.46			Fee schedule		1650	80			Percent of total billed charges		1320	85			Percent of total billed charges		1402.5	100			Fee schedule		4560.49	85			Percent of total billed charges		1402.5	100			Fee schedule		1650	100			Fee schedule		4560.49	100			Fee schedule		4560.49	100			Fee schedule		4560.49		3486		Case rate	Use Lesser of logic	1650		3486		Case rate	Use Lesser of logic	1650	100			Fee schedule		4560.49	1320	4560.49	
Ligation of inferior vena cava	37619	CPT	Outpatient			2050	1332.5		90			Percent of total billed charges		1845	95.46			Fee schedule		2050	80			Percent of total billed charges		1640	85			Percent of total billed charges		1742.5	100			Fee schedule		4560.49	85			Percent of total billed charges		1742.5	100			Fee schedule		2050	100			Fee schedule		4560.49	100			Fee schedule		4560.49	100			Fee schedule		4560.49		3486		Case rate	Use Lesser of logic	2050		3486		Case rate	Use Lesser of logic	2050	100			Fee schedule		4560.49	1640	4560.49	
"Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; younger than 5 years of age"	36557	CPT	Outpatient			2506	1628.9		90			Percent of total billed charges		2255.4	95.46			Fee schedule		2506	80			Percent of total billed charges		2004.8	85			Percent of total billed charges		2130.1	100			Fee schedule		4560.49	85			Percent of total billed charges		2130.1	100			Fee schedule		2506	100			Fee schedule		4560.49	100			Fee schedule		4560.49	100			Fee schedule		4560.49		3486		Case rate	Use Lesser of logic	2506		3486		Case rate	Use Lesser of logic	2506	100			Fee schedule		4560.49	2004.8	4560.49	
"Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral intracranial carotid circulation and all associated radiological supervision and interpretation, includes angiography of the extracranial carotid and cervicocerebral arch, when performed"	36223	CPT	Outpatient			2880	1872		90			Percent of total billed charges		2592	95.46			Fee schedule		2880	80			Percent of total billed charges		2304	85			Percent of total billed charges		2448	100			Fee schedule		4560.49	85			Percent of total billed charges		2448	100			Fee schedule		2880	100			Fee schedule		4560.49	100			Fee schedule		4560.49	100			Fee schedule		4560.49		3486		Case rate	Use Lesser of logic	2880		3486		Case rate	Use Lesser of logic	2880	100			Fee schedule		4560.49	2304	4560.49	
"Selective catheter placement, vertebral artery, unilateral, with angiography of the ipsilateral vertebral circulation and all associated radiological supervision and interpretation, includes angiography of the cervicocerebral arch, when performed"	36226	CPT	Outpatient			2880	1872		90			Percent of total billed charges		2592	95.46			Fee schedule		2880	80			Percent of total billed charges		2304	85			Percent of total billed charges		2448	100			Fee schedule		4560.49	85			Percent of total billed charges		2448	100			Fee schedule		2880	100			Fee schedule		4560.49	100			Fee schedule		4560.49	100			Fee schedule		4560.49		3486		Case rate	Use Lesser of logic	2880		3486		Case rate	Use Lesser of logic	2880	100			Fee schedule		4560.49	2304	4560.49	
Transcatheter biopsy	37200	CPT	Outpatient			3012	1957.8		90			Percent of total billed charges		2710.8	95.46			Fee schedule		3012	80			Percent of total billed charges		2409.6	85			Percent of total billed charges		2560.2	100			Fee schedule		4560.49	85			Percent of total billed charges		2560.2	100			Fee schedule		3012	100			Fee schedule		4560.49	100			Fee schedule		4560.49	100			Fee schedule		4560.49		3486		Case rate	Use Lesser of logic	3012		3486		Case rate	Use Lesser of logic	3012	100			Fee schedule		4560.49	2409.6	4560.49	
"Superselective catheter placement (one or more second order or higher renal artery branches) renal artery and any accessory renal artery(s) for renal angiography, including arterial puncture, catheterization, fluoroscopy, contrast injection(s), image postprocessing, permanent recording of images, and radiological supervision and interpretation, including pressure gradient measurements when performed, and flush aortogram when performed; unilateral"	36253	CPT	Outpatient			3153	2049.45		90			Percent of total billed charges		2837.7	95.46			Fee schedule		3153	80			Percent of total billed charges		2522.4	85			Percent of total billed charges		2680.05	100			Fee schedule		4560.49	85			Percent of total billed charges		2680.05	100			Fee schedule		3153	100			Fee schedule		4560.49	100			Fee schedule		4560.49	100			Fee schedule		4560.49		3486		Case rate	Use Lesser of logic	3153		3486		Case rate	Use Lesser of logic	3153	100			Fee schedule		4560.49	2522.4	4560.49	
"Thrombectomy, open, arteriovenous fistula without revision, autogenous or nonautogenous dialysis graft (separate procedure)"	36831	CPT	Outpatient			4046	2629.9		90			Percent of total billed charges		3641.4	95.46			Fee schedule		4046	80			Percent of total billed charges		3236.8	85			Percent of total billed charges		3439.1	100			Fee schedule		4560.49	85			Percent of total billed charges		3439.1	100			Fee schedule		4046	100			Fee schedule		4560.49	100			Fee schedule		4560.49	100			Fee schedule		4560.49		3486		Case rate		3486		3486		Case rate		3486	100			Fee schedule		4560.49	3236.8	4560.49	
"Vascular endoscopy, surgical, with ligation of perforator veins, subfascial (SEPS)"	37500	CPT	Outpatient			4784	3109.6		90			Percent of total billed charges		4305.6	95.46			Fee schedule		4353.44	80			Percent of total billed charges		3827.2	85			Percent of total billed charges		4066.4	100			Fee schedule		4560.49	85			Percent of total billed charges		4066.4	100			Fee schedule		4560.49	100			Fee schedule		4560.49	100			Fee schedule		4560.49	100			Fee schedule		4560.49		3486		Case rate		3486		3486		Case rate		3486	100			Fee schedule		4560.49	3486	4560.49	
"Insertion of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance (ultrasound and fluoroscopy), when performed"	37191	CPT	Outpatient			6284.99	4085.24		90			Percent of total billed charges		5656.49	95.46			Fee schedule		4353.44	80			Percent of total billed charges		5027.99	85			Percent of total billed charges		5342.24	100			Fee schedule		4560.49	85			Percent of total billed charges		5342.24	100			Fee schedule		4560.49	100			Fee schedule		4560.49	100			Fee schedule		4560.49	100			Fee schedule		4560.49		3486		Case rate		3486		3486		Case rate		3486	100			Fee schedule		4560.49	3486	5656.49	
"Endoscopic retrograde cholangiopancreatography (ERCP); with removal and exchange of stent(s), biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, including sphincterotomy, when performed, each stent exchanged"	43276	CPT	Outpatient			990	643.5		90			Percent of total billed charges		891	95.46			Fee schedule		990	80			Percent of total billed charges		792	85			Percent of total billed charges		841.5	100			Fee schedule		4729.7	85			Percent of total billed charges		841.5	100			Fee schedule		990	100			Fee schedule		4729.7	100			Fee schedule		4729.7	100			Fee schedule		4729.7		1495		Case rate	Use Lesser of logic	990		1495		Case rate	Use Lesser of logic	990	100			Fee schedule		4729.7	792	4729.7	
"Endoscopic retrograde cholangiopancreatography (ERCP); with placement of endoscopic stent into biliary or pancreatic duct, including pre- and post-dilation and guide wire passage, when performed, including sphincterotomy, when performed, each stent"	43274	CPT	Outpatient			1220	793		90			Percent of total billed charges		1098	95.46			Fee schedule		1220	80			Percent of total billed charges		976	85			Percent of total billed charges		1037	100			Fee schedule		4729.7	85			Percent of total billed charges		1037	100			Fee schedule		1220	100			Fee schedule		4729.7	100			Fee schedule		4729.7	100			Fee schedule		4729.7		1495		Case rate	Use Lesser of logic	1220		1495		Case rate	Use Lesser of logic	1220	100			Fee schedule		4729.7	976	4729.7	
"Thoracoscopy, diagnostic (separate procedure); lungs, pericardial sac, mediastinal or pleural space, without biopsy"	32601	CPT	Outpatient			750	487.5		90			Percent of total billed charges		675	95.46			Fee schedule		750	80			Percent of total billed charges		600	85			Percent of total billed charges		637.5	100			Fee schedule		4788.4	85			Percent of total billed charges		637.5	100			Fee schedule		750	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4		2168		Case rate	Use Lesser of logic	750		2168		Case rate	Use Lesser of logic	750	100			Fee schedule		4788.4	600	4788.4	
Thoracoscopy; with biopsy(ies) of pleura	32609	CPT	Outpatient			970	630.5		90			Percent of total billed charges		873	95.46			Fee schedule		970	80			Percent of total billed charges		776	85			Percent of total billed charges		824.5	100			Fee schedule		4788.4	85			Percent of total billed charges		824.5	100			Fee schedule		970	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4		2168		Case rate	Use Lesser of logic	970		2168		Case rate	Use Lesser of logic	970	100			Fee schedule		4788.4	776	4788.4	
"Mediastinoscopy; includes biopsy(ies) of mediastinal mass (eg, lymphoma), when performed"	39401	CPT	Outpatient			1050	682.5		90			Percent of total billed charges		945	95.46			Fee schedule		1050	80			Percent of total billed charges		840	85			Percent of total billed charges		892.5	100			Fee schedule		4788.4	85			Percent of total billed charges		892.5	100			Fee schedule		1050	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4		2168		Case rate	Use Lesser of logic	1050		2168		Case rate	Use Lesser of logic	1050	100			Fee schedule		4788.4	840	4788.4	
"Laparoscopy, surgical; gastrostomy, without construction of gastric tube (eg, Stamm procedure) (separate procedure)"	43653	CPT	Outpatient			1115	724.75		90			Percent of total billed charges		1003.5	95.46			Fee schedule		1115	80			Percent of total billed charges		892	85			Percent of total billed charges		947.75	100			Fee schedule		4788.4	85			Percent of total billed charges		947.75	100			Fee schedule		1115	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4		3486		Case rate	Use Lesser of logic	1115		3486		Case rate	Use Lesser of logic	1115	100			Fee schedule		4788.4	892	4788.4	
"Laparoscopy, surgical; repair initial inguinal hernia"	49650	CPT	Outpatient			1183.21	769.09		90			Percent of total billed charges		1064.89	95.46			Fee schedule		1183.21	80			Percent of total billed charges		946.57	85			Percent of total billed charges		1005.73	100			Fee schedule		4788.4	85			Percent of total billed charges		1005.73	100			Fee schedule		1183.21	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4		3486		Case rate	Use Lesser of logic	1183.21		3486		Case rate	Use Lesser of logic	1183.21	100			Fee schedule		4788.4	946.57	4788.4	
"Dissection, deep jugular node(s)"	38542	CPT	Outpatient			1190	773.5		90			Percent of total billed charges		1071	95.46			Fee schedule		1190	80			Percent of total billed charges		952	85			Percent of total billed charges		1011.5	100			Fee schedule		4788.4	85			Percent of total billed charges		1011.5	100			Fee schedule		1190	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4		3486		Case rate	Use Lesser of logic	1190		3486		Case rate	Use Lesser of logic	1190	100			Fee schedule		4788.4	952	4788.4	
"Laparoscopy, surgical; with retroperitoneal lymph node sampling (biopsy), single or multiple"	38570	CPT	Outpatient			1355	880.75		90			Percent of total billed charges		1219.5	95.46			Fee schedule		1355	80			Percent of total billed charges		1084	85			Percent of total billed charges		1151.75	100			Fee schedule		4788.4	85			Percent of total billed charges		1151.75	100			Fee schedule		1355	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4		3486		Case rate	Use Lesser of logic	1355		3486		Case rate	Use Lesser of logic	1355	100			Fee schedule		4788.4	1084	4788.4	
"Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to 50 weeks postconception age, with or without hydrocelectomy; reducible"	49491	CPT	Outpatient			1405	913.25		90			Percent of total billed charges		1264.5	95.46			Fee schedule		1405	80			Percent of total billed charges		1124	85			Percent of total billed charges		1194.25	100			Fee schedule		4788.4	85			Percent of total billed charges		1194.25	100			Fee schedule		1405	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4		1767		Case rate	Use Lesser of logic	1405		1767		Case rate	Use Lesser of logic	1405	100			Fee schedule		4788.4	1124	4788.4	
"Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding)"	44186	CPT	Outpatient			1420	923		90			Percent of total billed charges		1278	95.46			Fee schedule		1420	80			Percent of total billed charges		1136	85			Percent of total billed charges		1207	100			Fee schedule		4788.4	85			Percent of total billed charges		1207	100			Fee schedule		1420	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4		3486		Case rate	Use Lesser of logic	1420		3486		Case rate	Use Lesser of logic	1420	100			Fee schedule		4788.4	1136	4788.4	
Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy	59150	CPT	Outpatient			1450	942.5		90			Percent of total billed charges		1305	95.46			Fee schedule		1450	80			Percent of total billed charges		1160	85			Percent of total billed charges		1232.5	100			Fee schedule		4788.4	85			Percent of total billed charges		1232.5	100			Fee schedule		1450	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4		3486		Case rate	Use Lesser of logic	1450		3486		Case rate	Use Lesser of logic	1450	100			Fee schedule		4788.4	1160	4788.4	
"Thoracoscopy, diagnostic (separate procedure); mediastinal space, with biopsy"	32606	CPT	Outpatient			1475	958.75		90			Percent of total billed charges		1327.5	95.46			Fee schedule		1475	80			Percent of total billed charges		1180	85			Percent of total billed charges		1253.75	100			Fee schedule		4788.4	85			Percent of total billed charges		1253.75	100			Fee schedule		1475	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4		2168		Case rate	Use Lesser of logic	1475		2168		Case rate	Use Lesser of logic	1475	100			Fee schedule		4788.4	1180	4788.4	
"Unlisted laparoscopic procedure, liver"	47379	CPT	Outpatient			1494.16	971.21		90			Percent of total billed charges		1344.75	95.46			Fee schedule		1494.16	80			Percent of total billed charges		1195.33	85			Percent of total billed charges		1270.04	100			Fee schedule		4788.4	85			Percent of total billed charges		1270.04	100			Fee schedule		1494.16	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4		2168		Case rate	Use Lesser of logic	1494.16		2168		Case rate	Use Lesser of logic	1494.16	100			Fee schedule		4788.4	1195.33	4788.4	
"Excision of cyst or adenoma of thyroid, or transection of isthmus"	60200	CPT	Outpatient			1525	991.25		90			Percent of total billed charges		1372.5	95.46			Fee schedule		1525	80			Percent of total billed charges		1220	85			Percent of total billed charges		1296.25	100			Fee schedule		4788.4	85			Percent of total billed charges		1296.25	100			Fee schedule		1525	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4		3486		Case rate	Use Lesser of logic	1525		3486		Case rate	Use Lesser of logic	1525	100			Fee schedule		4788.4	1220	4788.4	
"Laparoscopy, surgical; with lysis of adhesions (salpingolysis, ovariolysis) (separate procedure)"	58660	CPT	Outpatient			1570	1020.5		90			Percent of total billed charges		1413	95.46			Fee schedule		1570	80			Percent of total billed charges		1256	85			Percent of total billed charges		1334.5	100			Fee schedule		4788.4	85			Percent of total billed charges		1334.5	100			Fee schedule		1570	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4		3486		Case rate	Use Lesser of logic	1570		3486		Case rate	Use Lesser of logic	1570	100			Fee schedule		4788.4	1256	4788.4	
"Unlisted laparoscopy procedure, spermatic cord"	55559	CPT	Outpatient			1570	1020.5		90			Percent of total billed charges		1413	95.46			Fee schedule		1570	80			Percent of total billed charges		1256	85			Percent of total billed charges		1334.5	100			Fee schedule		4788.4	85			Percent of total billed charges		1334.5	100			Fee schedule		1570	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4		2168		Case rate	Use Lesser of logic	1570		2168		Case rate	Use Lesser of logic	1570	100			Fee schedule		4788.4	1256	4788.4	
"Unlisted laparoscopy procedure, appendix"	44979	CPT	Outpatient			1570	1020.5		90			Percent of total billed charges		1413	95.46			Fee schedule		1570	80			Percent of total billed charges		1256	85			Percent of total billed charges		1334.5	100			Fee schedule		4788.4	85			Percent of total billed charges		1334.5	100			Fee schedule		1570	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4		2168		Case rate	Use Lesser of logic	1570		2168		Case rate	Use Lesser of logic	1570	100			Fee schedule		4788.4	1256	4788.4	
Axillary lymphadenectomy; superficial	38740	CPT	Outpatient			1620	1053		90			Percent of total billed charges		1458	95.46			Fee schedule		1620	80			Percent of total billed charges		1296	85			Percent of total billed charges		1377	100			Fee schedule		4788.4	85			Percent of total billed charges		1377	100			Fee schedule		1620	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4		3486		Case rate	Use Lesser of logic	1620		3486		Case rate	Use Lesser of logic	1620	100			Fee schedule		4788.4	1296	4788.4	
"Unlisted laparoscopy procedure, stomach"	43659	CPT	Outpatient			1640	1066		90			Percent of total billed charges		1476	95.46			Fee schedule		1640	80			Percent of total billed charges		1312	85			Percent of total billed charges		1394	100			Fee schedule		4788.4	85			Percent of total billed charges		1394	100			Fee schedule		1640	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4		2168		Case rate	Use Lesser of logic	1640		2168		Case rate	Use Lesser of logic	1640	100			Fee schedule		4788.4	1312	4788.4	
"Unlisted laparoscopy procedure, intestine (except rectum)"	44238	CPT	Outpatient			1725	1121.25		90			Percent of total billed charges		1552.5	95.46			Fee schedule		1725	80			Percent of total billed charges		1380	85			Percent of total billed charges		1466.25	100			Fee schedule		4788.4	85			Percent of total billed charges		1466.25	100			Fee schedule		1725	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4		2168		Case rate	Use Lesser of logic	1725		2168		Case rate	Use Lesser of logic	1725	100			Fee schedule		4788.4	1380	4788.4	
"Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure)"	44180	CPT	Outpatient			1750	1137.5		90			Percent of total billed charges		1575	95.46			Fee schedule		1750	80			Percent of total billed charges		1400	85			Percent of total billed charges		1487.5	100			Fee schedule		4788.4	85			Percent of total billed charges		1487.5	100			Fee schedule		1750	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4		3486		Case rate	Use Lesser of logic	1750		3486		Case rate	Use Lesser of logic	1750	100			Fee schedule		4788.4	1400	4788.4	
"Partial thyroid lobectomy, unilateral; with or without isthmusectomy"	60210	CPT	Outpatient			1750	1137.5		90			Percent of total billed charges		1575	95.46			Fee schedule		1750	80			Percent of total billed charges		1400	85			Percent of total billed charges		1487.5	100			Fee schedule		4788.4	85			Percent of total billed charges		1487.5	100			Fee schedule		1750	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4		3486		Case rate	Use Lesser of logic	1750		3486		Case rate	Use Lesser of logic	1750	100			Fee schedule		4788.4	1400	4788.4	
"Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal of surface myomas"	58545	CPT	Outpatient			1850	1202.5		90			Percent of total billed charges		1665	95.46			Fee schedule		1850	80			Percent of total billed charges		1480	85			Percent of total billed charges		1572.5	100			Fee schedule		4788.4	85			Percent of total billed charges		1572.5	100			Fee schedule		1850	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4		2168		Case rate	Use Lesser of logic	1850		2168		Case rate	Use Lesser of logic	1850	100			Fee schedule		4788.4	1480	4788.4	
Axillary lymphadenectomy; complete	38745	CPT	Outpatient			2100	1365		90			Percent of total billed charges		1890	95.46			Fee schedule		2100	80			Percent of total billed charges		1680	85			Percent of total billed charges		1785	100			Fee schedule		4788.4	85			Percent of total billed charges		1785	100			Fee schedule		2100	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4		3486		Case rate	Use Lesser of logic	2100		3486		Case rate	Use Lesser of logic	2100	100			Fee schedule		4788.4	1680	4788.4	
"Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy"	49659	CPT	Outpatient			2200	1430		90			Percent of total billed charges		1980	95.46			Fee schedule		2200	80			Percent of total billed charges		1760	85			Percent of total billed charges		1870	100			Fee schedule		4788.4	85			Percent of total billed charges		1870	100			Fee schedule		2200	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4		2168		Case rate		2168		2168		Case rate		2168	100			Fee schedule		4788.4	1760	4788.4	
"Unlisted laparoscopy procedure, uterus"	58578	CPT	Outpatient			3517.6	2286.44		90			Percent of total billed charges		3165.84	95.46			Fee schedule		3517.6	80			Percent of total billed charges		2814.08	85			Percent of total billed charges		2989.96	100			Fee schedule		4788.4	85			Percent of total billed charges		2989.96	100			Fee schedule		3517.6	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4		2168		Case rate		2168		2168		Case rate		2168	100			Fee schedule		4788.4	2168	4788.4	
"Unlisted laparoscopy procedure, bladder"	51999	CPT	Outpatient			4325	2811.25		90			Percent of total billed charges		3892.5	95.46			Fee schedule		4325	80			Percent of total billed charges		3460	85			Percent of total billed charges		3676.25	100			Fee schedule		4788.4	85			Percent of total billed charges		3676.25	100			Fee schedule		4325	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4		2168		Case rate		2168		2168		Case rate		2168	100			Fee schedule		4788.4	2168	4788.4	
"Laparoscopy, surgical; with aspiration of cavity or cyst (eg, ovarian cyst) (single or multiple)"	49322	CPT	Outpatient			6072.03	3946.82		90			Percent of total billed charges		5464.83	95.46			Fee schedule		4571.01	80			Percent of total billed charges		4857.62	85			Percent of total billed charges		5161.23	100			Fee schedule		4788.4	85			Percent of total billed charges		5161.23	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4		2168		Case rate		2168		2168		Case rate		2168	100			Fee schedule		4788.4	2168	5464.83	
"Unlisted laparoscopy procedure, abdomen, peritoneum and omentum"	49329	CPT	Outpatient			7025.78	4566.76		90			Percent of total billed charges		6323.2	95.46			Fee schedule		4571.01	80			Percent of total billed charges		5620.62	85			Percent of total billed charges		5971.91	100			Fee schedule		4788.4	85			Percent of total billed charges		5971.91	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4		2168		Case rate		2168		2168		Case rate		2168	100			Fee schedule		4788.4	2168	6323.2	
"Laparoscopy, surgical; with biopsy (single or multiple)"	49321	CPT	Outpatient			7474.78	4858.61		90			Percent of total billed charges		6727.3	95.46			Fee schedule		4571.01	80			Percent of total billed charges		5979.82	85			Percent of total billed charges		6353.56	100			Fee schedule		4788.4	85			Percent of total billed charges		6353.56	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4		2168		Case rate		2168		2168		Case rate		2168	100			Fee schedule		4788.4	2168	6727.3	
"Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)"	49320	CPT	Outpatient			9859.54	6408.7		90			Percent of total billed charges		8873.58	95.46			Fee schedule		4571.01	80			Percent of total billed charges		7887.63	85			Percent of total billed charges		8380.61	100			Fee schedule		4788.4	85			Percent of total billed charges		8380.61	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4		2168		Case rate		2168		2168		Case rate		2168	100			Fee schedule		4788.4	2168	8873.58	
"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less"	58550	CPT	Outpatient			2200	1430		90			Percent of total billed charges		1980	95.46			Fee schedule		2200	80			Percent of total billed charges		1760	85			Percent of total billed charges		1870	100			Fee schedule		4788.4	85			Percent of total billed charges		1870	100			Fee schedule		2200	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4		3486		Case rate	Use Lesser of logic	2200		3486		Case rate	Use Lesser of logic	2200	100			Fee schedule		4788.4	1760	4788.4	
"Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy"	60225	CPT	Outpatient			2300	1495		90			Percent of total billed charges		2070	95.46			Fee schedule		2300	80			Percent of total billed charges		1840	85			Percent of total billed charges		1955	100			Fee schedule		4788.4	85			Percent of total billed charges		1955	100			Fee schedule		2300	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4		3486		Case rate	Use Lesser of logic	2300		3486		Case rate	Use Lesser of logic	2300	100			Fee schedule		4788.4	1840	4788.4	
"Laparoscopy, surgical, gastric restrictive procedure; removal and replacement of adjustable gastric restrictive device component only"	43773	CPT	Outpatient			2540	1651		90			Percent of total billed charges		2286	95.46			Fee schedule		2540	80			Percent of total billed charges		2032	85			Percent of total billed charges		2159	100			Fee schedule		4788.4	85			Percent of total billed charges		2159	100			Fee schedule		2540	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4		5938		Case rate	Use Lesser of logic	2540		5938		Case rate	Use Lesser of logic	2540	100			Fee schedule		4788.4	2032	4788.4	
"Laparoscopy, surgical; with occlusion of oviducts by device (eg, band, clip, or Falope ring)"	58671	CPT	Outpatient			5309.87	3451.42		90			Percent of total billed charges		4778.89	95.46			Fee schedule		4571.01	80			Percent of total billed charges		4247.9	85			Percent of total billed charges		4513.39	100			Fee schedule		4788.4	85			Percent of total billed charges		4513.39	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4		3486		Case rate		3486		3486		Case rate		3486	100			Fee schedule		4788.4	3486	4788.4	
"Placement of stent(s) into a bile duct, percutaneous, including diagnostic cholangiography, imaging guidance (eg, fluoroscopy and/or ultrasound), balloon dilation, catheter exchange(s) and catheter removal(s) when performed, and all associated radiological supervision and interpretation; existing access"	47538	CPT	Outpatient			6320	4108		90			Percent of total billed charges		5688	95.46			Fee schedule		4571.01	80			Percent of total billed charges		5056	85			Percent of total billed charges		5372	100			Fee schedule		4788.4	85			Percent of total billed charges		5372	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4		3486		Case rate		3486		3486		Case rate		3486	100			Fee schedule		4788.4	3486	5688	
"Laparoscopy, surgical; with fulguration of oviducts (with or without transection)"	58670	CPT	Outpatient			7065.16	4592.35		90			Percent of total billed charges		6358.64	95.46			Fee schedule		4571.01	80			Percent of total billed charges		5652.12	85			Percent of total billed charges		6005.38	100			Fee schedule		4788.4	85			Percent of total billed charges		6005.38	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4		3486		Case rate		3486		3486		Case rate		3486	100			Fee schedule		4788.4	3486	6358.64	
"Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy)"	58661	CPT	Outpatient			7245.09	4709.31		90			Percent of total billed charges		6520.58	95.46			Fee schedule		4571.01	80			Percent of total billed charges		5796.07	85			Percent of total billed charges		6158.32	100			Fee schedule		4788.4	85			Percent of total billed charges		6158.32	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4		3486		Case rate		3486		3486		Case rate		3486	100			Fee schedule		4788.4	3486	6520.58	
Excision of thyroglossal duct cyst or sinus	60280	CPT	Outpatient			7560.75	4914.49		90			Percent of total billed charges		6804.67	95.46			Fee schedule		4571.01	80			Percent of total billed charges		6048.6	85			Percent of total billed charges		6426.64	100			Fee schedule		4788.4	85			Percent of total billed charges		6426.64	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4		3486		Case rate		3486		3486		Case rate		3486	100			Fee schedule		4788.4	3486	6804.67	
Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy	59151	CPT	Outpatient			7627	4957.55		90			Percent of total billed charges		6864.3	95.46			Fee schedule		4571.01	80			Percent of total billed charges		6101.6	85			Percent of total billed charges		6482.95	100			Fee schedule		4788.4	85			Percent of total billed charges		6482.95	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4		3486		Case rate		3486		3486		Case rate		3486	100			Fee schedule		4788.4	3486	6864.3	
"Laparoscopy, surgical; cholecystectomy with cholangiography"	47563	CPT	Outpatient			8501.47	5525.95		90			Percent of total billed charges		7651.32	95.46			Fee schedule		4571.01	80			Percent of total billed charges		6801.17	85			Percent of total billed charges		7226.25	100			Fee schedule		4788.4	85			Percent of total billed charges		7226.25	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4		3486		Case rate		3486		3486		Case rate		3486	100			Fee schedule		4788.4	3486	7651.32	
"Laparoscopy, surgical, appendectomy"	44970	CPT	Outpatient			9389.73	6103.33		90			Percent of total billed charges		8450.76	95.46			Fee schedule		4571.01	80			Percent of total billed charges		7511.79	85			Percent of total billed charges		7981.27	100			Fee schedule		4788.4	85			Percent of total billed charges		7981.27	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4		3486		Case rate		3486		3486		Case rate		3486	100			Fee schedule		4788.4	3486	8450.76	
"Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic viscera, or peritoneal surface by any method"	58662	CPT	Outpatient			9895.19	6431.87		90			Percent of total billed charges		8905.67	95.46			Fee schedule		4571.01	80			Percent of total billed charges		7916.15	85			Percent of total billed charges		8410.91	100			Fee schedule		4788.4	85			Percent of total billed charges		8410.91	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4		3486		Case rate		3486		3486		Case rate		3486	100			Fee schedule		4788.4	3486	8905.67	
"Ablation, 1 or more liver tumor(s), percutaneous, radiofrequency"	47382	CPT	Outpatient			10824	7035.6		90			Percent of total billed charges		9741.6	95.46			Fee schedule		4571.01	80			Percent of total billed charges		8659.2	85			Percent of total billed charges		9200.4	100			Fee schedule		4788.4	85			Percent of total billed charges		9200.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4		3486		Case rate		3486		3486		Case rate		3486	100			Fee schedule		4788.4	3486	9741.6	
"Laparoscopy, surgical; cholecystectomy"	47562	CPT	Outpatient			11270.72	7325.97		90			Percent of total billed charges		10143.65	95.46			Fee schedule		4571.01	80			Percent of total billed charges		9016.58	85			Percent of total billed charges		9580.12	100			Fee schedule		4788.4	85			Percent of total billed charges		9580.12	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4		3486		Case rate		3486		3486		Case rate		3486	100			Fee schedule		4788.4	3486	10143.65	
"Laparoscopy, surgical; repair recurrent inguinal hernia"	49651	CPT	Outpatient			12671.49	8236.47		90			Percent of total billed charges		11404.34	95.46			Fee schedule		4571.01	80			Percent of total billed charges		10137.19	85			Percent of total billed charges		10770.77	100			Fee schedule		4788.4	85			Percent of total billed charges		10770.77	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4		3486		Case rate		3486		3486		Case rate		3486	100			Fee schedule		4788.4	3486	11404.34	
"Total thyroid lobectomy, unilateral; with or without isthmusectomy"	60220	CPT	Outpatient			12969.29	8430.04		90			Percent of total billed charges		11672.36	95.46			Fee schedule		4571.01	80			Percent of total billed charges		10375.43	85			Percent of total billed charges		11023.89	100			Fee schedule		4788.4	85			Percent of total billed charges		11023.89	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4		3486		Case rate		3486		3486		Case rate		3486	100			Fee schedule		4788.4	3486	11672.36	
"Thyroidectomy, total or complete"	60240	CPT	Outpatient			13582.98	8828.94		90			Percent of total billed charges		12224.68	95.46			Fee schedule		4571.01	80			Percent of total billed charges		10866.38	85			Percent of total billed charges		11545.53	100			Fee schedule		4788.4	85			Percent of total billed charges		11545.53	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4		3486		Case rate		3486		3486		Case rate		3486	100			Fee schedule		4788.4	3486	12224.68	
"Open treatment of depressed zygomatic arch fracture (eg, Gillies approach)"	21356	CPT	Outpatient			750	487.5		90			Percent of total billed charges		675	95.46			Fee schedule		750	80			Percent of total billed charges		600	85			Percent of total billed charges		637.5	100			Fee schedule		4859.93	85			Percent of total billed charges		637.5	100			Fee schedule		750	100			Fee schedule		4859.93	100			Fee schedule		4859.93	100			Fee schedule		4859.93		1495		Case rate	Use Lesser of logic	750		1495		Case rate	Use Lesser of logic	750	100			Fee schedule		4859.93	600	4859.93	
"Plastic repair of salivary duct, sialodochoplasty; primary or simple"	42500	CPT	Outpatient			760	494		90			Percent of total billed charges		684	95.46			Fee schedule		760	80			Percent of total billed charges		608	85			Percent of total billed charges		646	100			Fee schedule		4859.93	85			Percent of total billed charges		646	100			Fee schedule		760	100			Fee schedule		4859.93	100			Fee schedule		4859.93	100			Fee schedule		4859.93		1495		Case rate	Use Lesser of logic	760		1495		Case rate	Use Lesser of logic	760	100			Fee schedule		4859.93	608	4859.93	
"Excision of bone (eg, for osteomyelitis or bone abscess); facial bone(s)"	21026	CPT	Outpatient			780	507		90			Percent of total billed charges		702	95.46			Fee schedule		780	80			Percent of total billed charges		624	85			Percent of total billed charges		663	100			Fee schedule		4859.93	85			Percent of total billed charges		663	100			Fee schedule		780	100			Fee schedule		4859.93	100			Fee schedule		4859.93	100			Fee schedule		4859.93		1495		Case rate	Use Lesser of logic	780		1495		Case rate	Use Lesser of logic	780	100			Fee schedule		4859.93	624	4859.93	
"Graft; ear cartilage, autogenous, to nose or ear (includes obtaining graft)"	21235	CPT	Outpatient			1300	845		90			Percent of total billed charges		1170	95.46			Fee schedule		1300	80			Percent of total billed charges		1040	85			Percent of total billed charges		1105	100			Fee schedule		4859.93	85			Percent of total billed charges		1105	100			Fee schedule		1300	100			Fee schedule		4859.93	100			Fee schedule		4859.93	100			Fee schedule		4859.93		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		4859.93	1040	4859.93	
"Open treatment of nasal fracture; complicated, with internal and/or external skeletal fixation"	21330	CPT	Outpatient			1125	731.25		90			Percent of total billed charges		1012.5	95.46			Fee schedule		1125	80			Percent of total billed charges		900	85			Percent of total billed charges		956.25	100			Fee schedule		4859.93	85			Percent of total billed charges		956.25	100			Fee schedule		1125	100			Fee schedule		4859.93	100			Fee schedule		4859.93	100			Fee schedule		4859.93		1495		Case rate	Use Lesser of logic	1125		1495		Case rate	Use Lesser of logic	1125	100			Fee schedule		4859.93	900	4859.93	
"Rhinoplasty, secondary; minor revision (small amount of nasal tip work)"	30430	CPT	Outpatient			1160	754		90			Percent of total billed charges		1044	95.46			Fee schedule		1160	80			Percent of total billed charges		928	85			Percent of total billed charges		986	100			Fee schedule		4859.93	85			Percent of total billed charges		986	100			Fee schedule		1160	100			Fee schedule		4859.93	100			Fee schedule		4859.93	100			Fee schedule		4859.93		1495		Case rate	Use Lesser of logic	1160		1495		Case rate	Use Lesser of logic	1160	100			Fee schedule		4859.93	928	4859.93	
"Reconstruction by contouring of benign tumor of cranial bones (eg, fibrous dysplasia), extracranial"	21181	CPT	Outpatient			1750	1137.5		90			Percent of total billed charges		1575	95.46			Fee schedule		1750	80			Percent of total billed charges		1400	85			Percent of total billed charges		1487.5	100			Fee schedule		4859.93	85			Percent of total billed charges		1487.5	100			Fee schedule		1750	100			Fee schedule		4859.93	100			Fee schedule		4859.93	100			Fee schedule		4859.93		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		4859.93	1400	4859.93	
"Rhinoplasty, primary; lateral and alar cartilages and/or elevation of nasal tip"	30400	CPT	Outpatient			3520	2288		90			Percent of total billed charges		3168	95.46			Fee schedule		3520	80			Percent of total billed charges		2816	85			Percent of total billed charges		2992	100			Fee schedule		4859.93	85			Percent of total billed charges		2992	100			Fee schedule		3520	100			Fee schedule		4859.93	100			Fee schedule		4859.93	100			Fee schedule		4859.93		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		4859.93	1495	4859.93	
Tonsillectomy and adenoidectomy; younger than age 12	42820	CPT	Outpatient			3944.4	2563.86		90			Percent of total billed charges		3549.96	95.46			Fee schedule		3944.4	80			Percent of total billed charges		3155.52	85			Percent of total billed charges		3352.74	100			Fee schedule		4859.93	85			Percent of total billed charges		3352.74	100			Fee schedule		3944.4	100			Fee schedule		4859.93	100			Fee schedule		4859.93	100			Fee schedule		4859.93		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		4859.93	1495	4859.93	
"Repair of nasal vestibular stenosis (eg, spreader grafting, lateral nasal wall reconstruction)"	30465	CPT	Outpatient			1610	1046.5		90			Percent of total billed charges		1449	95.46			Fee schedule		1610	80			Percent of total billed charges		1288	85			Percent of total billed charges		1368.5	100			Fee schedule		4859.93	85			Percent of total billed charges		1368.5	100			Fee schedule		1610	100			Fee schedule		4859.93	100			Fee schedule		4859.93	100			Fee schedule		4859.93		2168		Case rate	Use Lesser of logic	1610		2168		Case rate	Use Lesser of logic	1610	100			Fee schedule		4859.93	1288	4859.93	
"Excision of parotid tumor or parotid gland; lateral lobe, without nerve dissection"	42410	CPT	Outpatient			1634.11	1062.17		90			Percent of total billed charges		1470.7	95.46			Fee schedule		1634.11	80			Percent of total billed charges		1307.29	85			Percent of total billed charges		1388.99	100			Fee schedule		4859.93	85			Percent of total billed charges		1388.99	100			Fee schedule		1634.11	100			Fee schedule		4859.93	100			Fee schedule		4859.93	100			Fee schedule		4859.93		2168		Case rate	Use Lesser of logic	1634.11		2168		Case rate	Use Lesser of logic	1634.11	100			Fee schedule		4859.93	1307.29	4859.93	
"Excision branchial cleft cyst, vestige, or fistula, extending beneath subcutaneous tissues and/or into pharynx"	42815	CPT	Outpatient			2216.5	1440.72		90			Percent of total billed charges		1994.85	95.46			Fee schedule		2216.5	80			Percent of total billed charges		1773.2	85			Percent of total billed charges		1884.02	100			Fee schedule		4859.93	85			Percent of total billed charges		1884.02	100			Fee schedule		2216.5	100			Fee schedule		4859.93	100			Fee schedule		4859.93	100			Fee schedule		4859.93		2168		Case rate		2168		2168		Case rate		2168	100			Fee schedule		4859.93	1773.2	4859.93	
Parathyroidectomy or exploration of parathyroid(s); re-exploration	60502	CPT	Outpatient			2650	1722.5		90			Percent of total billed charges		2385	95.46			Fee schedule		2650	80			Percent of total billed charges		2120	85			Percent of total billed charges		2252.5	100			Fee schedule		4859.93	85			Percent of total billed charges		2252.5	100			Fee schedule		2650	100			Fee schedule		4859.93	100			Fee schedule		4859.93	100			Fee schedule		4859.93		2168		Case rate		2168		2168		Case rate		2168	100			Fee schedule		4859.93	2120	4859.93	
"Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid"	60260	CPT	Outpatient			3332.22	2165.94		90			Percent of total billed charges		2999	95.46			Fee schedule		3332.22	80			Percent of total billed charges		2665.78	85			Percent of total billed charges		2832.39	100			Fee schedule		4859.93	85			Percent of total billed charges		2832.39	100			Fee schedule		3332.22	100			Fee schedule		4859.93	100			Fee schedule		4859.93	100			Fee schedule		4859.93		2168		Case rate		2168		2168		Case rate		2168	100			Fee schedule		4859.93	2168	4859.93	
Excision of submandibular (submaxillary) gland	42440	CPT	Outpatient			3907.88	2540.12		90			Percent of total billed charges		3517.09	95.46			Fee schedule		3907.88	80			Percent of total billed charges		3126.3	85			Percent of total billed charges		3321.7	100			Fee schedule		4859.93	85			Percent of total billed charges		3321.7	100			Fee schedule		3907.88	100			Fee schedule		4859.93	100			Fee schedule		4859.93	100			Fee schedule		4859.93		2168		Case rate		2168		2168		Case rate		2168	100			Fee schedule		4859.93	2168	4859.93	
"Rhinoplasty, primary; complete, external parts including bony pyramid, lateral and alar cartilages, and/or elevation of nasal tip"	30410	CPT	Outpatient			5198	3378.7		90			Percent of total billed charges		4678.2	95.46			Fee schedule		4639.29	80			Percent of total billed charges		4158.4	85			Percent of total billed charges		4418.3	100			Fee schedule		4859.93	85			Percent of total billed charges		4418.3	100			Fee schedule		4859.93	100			Fee schedule		4859.93	100			Fee schedule		4859.93	100			Fee schedule		4859.93		2168		Case rate		2168		2168		Case rate		2168	100			Fee schedule		4859.93	2168	4859.93	
"Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve"	42415	CPT	Outpatient			5613.08	3648.5		90			Percent of total billed charges		5051.77	95.46			Fee schedule		4639.29	80			Percent of total billed charges		4490.46	85			Percent of total billed charges		4771.11	100			Fee schedule		4859.93	85			Percent of total billed charges		4771.11	100			Fee schedule		4859.93	100			Fee schedule		4859.93	100			Fee schedule		4859.93	100			Fee schedule		4859.93		2168		Case rate		2168		2168		Case rate		2168	100			Fee schedule		4859.93	2168	5051.77	
Parathyroidectomy or exploration of parathyroid(s)	60500	CPT	Outpatient			9564.68	6217.04		90			Percent of total billed charges		8608.22	95.46			Fee schedule		4639.29	80			Percent of total billed charges		7651.75	85			Percent of total billed charges		8129.98	100			Fee schedule		4859.93	85			Percent of total billed charges		8129.98	100			Fee schedule		4859.93	100			Fee schedule		4859.93	100			Fee schedule		4859.93	100			Fee schedule		4859.93		2168		Case rate		2168		2168		Case rate		2168	100			Fee schedule		4859.93	2168	8608.22	
"Thyroidectomy, total or subtotal for malignancy; with limited neck dissection"	60252	CPT	Outpatient			10667.5	6933.88		90			Percent of total billed charges		9600.75	95.46			Fee schedule		4639.29	80			Percent of total billed charges		8534	85			Percent of total billed charges		9067.38	100			Fee schedule		4859.93	85			Percent of total billed charges		9067.38	100			Fee schedule		4859.93	100			Fee schedule		4859.93	100			Fee schedule		4859.93	100			Fee schedule		4859.93		2168		Case rate		2168		2168		Case rate		2168	100			Fee schedule		4859.93	2168	9600.75	
"Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pectoralis major muscle"	19307	CPT	Outpatient			116.17	75.51		90			Percent of total billed charges		104.55	95.46			Fee schedule		116.17	80			Percent of total billed charges		92.93	85			Percent of total billed charges		98.74	100			Fee schedule		5411.73	85			Percent of total billed charges		98.74	100			Fee schedule		116.17	100			Fee schedule		5411.73	100			Fee schedule		5411.73	100			Fee schedule		5411.73		2168		Case rate	Use Lesser of logic	116.17		2168		Case rate	Use Lesser of logic	116.17	100			Fee schedule		5411.73	92.93	5411.73	
"Mastectomy, simple, complete"	19303	CPT	Outpatient			1278.13	830.78		90			Percent of total billed charges		1150.32	95.46			Fee schedule		1278.13	80			Percent of total billed charges		1022.5	85			Percent of total billed charges		1086.41	100			Fee schedule		5411.73	85			Percent of total billed charges		1086.41	100			Fee schedule		1278.13	100			Fee schedule		5411.73	100			Fee schedule		5411.73	100			Fee schedule		5411.73		1767		Case rate	Use Lesser of logic	1278.13		1767		Case rate	Use Lesser of logic	1278.13	100			Fee schedule		5411.73	1022.5	5411.73	
"Revision of reconstructed breast (eg, significant removal of tissue, re-advancement and/or re-inset of flaps in autologous reconstruction or significant capsular revision combined with soft tissue excision in implant-based reconstruction)"	19380	CPT	Outpatient			1400	910		90			Percent of total billed charges		1260	95.46			Fee schedule		1400	80			Percent of total billed charges		1120	85			Percent of total billed charges		1190	100			Fee schedule		5411.73	85			Percent of total billed charges		1190	100			Fee schedule		1400	100			Fee schedule		5411.73	100			Fee schedule		5411.73	100			Fee schedule		5411.73		2168		Case rate	Use Lesser of logic	1400		2168		Case rate	Use Lesser of logic	1400	100			Fee schedule		5411.73	1120	5411.73	
"Inguinofemoral lymphadenectomy, superficial, including Cloquet's node (separate procedure)"	38760	CPT	Outpatient			1975	1283.75		90			Percent of total billed charges		1777.5	95.46			Fee schedule		1975	80			Percent of total billed charges		1580	85			Percent of total billed charges		1678.75	100			Fee schedule		5411.73	85			Percent of total billed charges		1678.75	100			Fee schedule		1975	100			Fee schedule		5411.73	100			Fee schedule		5411.73	100			Fee schedule		5411.73		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		5411.73	1495	5411.73	
Cervical lymphadenectomy (complete)	38720	CPT	Outpatient			2901.2	1885.78		90			Percent of total billed charges		2611.08	95.46			Fee schedule		2901.2	80			Percent of total billed charges		2320.96	85			Percent of total billed charges		2466.02	100			Fee schedule		5411.73	85			Percent of total billed charges		2466.02	100			Fee schedule		2901.2	100			Fee schedule		5411.73	100			Fee schedule		5411.73	100			Fee schedule		5411.73		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		5411.73	1495	5411.73	
"Insertion of breast implant on same day of mastectomy (ie, immediate)"	19340	CPT	Outpatient			1600	1040		90			Percent of total billed charges		1440	95.46			Fee schedule		1600	80			Percent of total billed charges		1280	85			Percent of total billed charges		1360	100			Fee schedule		5411.73	85			Percent of total billed charges		1360	100			Fee schedule		1600	100			Fee schedule		5411.73	100			Fee schedule		5411.73	100			Fee schedule		5411.73		2168		Case rate	Use Lesser of logic	1600		2168		Case rate	Use Lesser of logic	1600	100			Fee schedule		5411.73	1280	5411.73	
Mastopexy	19316	CPT	Outpatient			3207.12	2084.63		90			Percent of total billed charges		2886.41	95.46			Fee schedule		3207.12	80			Percent of total billed charges		2565.7	85			Percent of total billed charges		2726.05	100			Fee schedule		5411.73	85			Percent of total billed charges		2726.05	100			Fee schedule		3207.12	100			Fee schedule		5411.73	100			Fee schedule		5411.73	100			Fee schedule		5411.73		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		5411.73	1767	5411.73	
"Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy); with axillary lymphadenectomy"	19302	CPT	Outpatient			3254.92	2115.7		90			Percent of total billed charges		2929.42	95.46			Fee schedule		3254.92	80			Percent of total billed charges		2603.93	85			Percent of total billed charges		2766.68	100			Fee schedule		5411.73	85			Percent of total billed charges		2766.68	100			Fee schedule		3254.92	100			Fee schedule		5411.73	100			Fee schedule		5411.73	100			Fee schedule		5411.73		2168		Case rate		2168		2168		Case rate		2168	100			Fee schedule		5411.73	2168	5411.73	
Breast reduction	19318	CPT	Outpatient			3921.06	2548.69		90			Percent of total billed charges		3528.95	95.46			Fee schedule		3921.06	80			Percent of total billed charges		3136.85	85			Percent of total billed charges		3332.9	100			Fee schedule		5411.73	85			Percent of total billed charges		3332.9	100			Fee schedule		3921.06	100			Fee schedule		5411.73	100			Fee schedule		5411.73	100			Fee schedule		5411.73		2168		Case rate		2168		2168		Case rate		2168	100			Fee schedule		5411.73	2168	5411.73	
"Excision, excessive skin and subcutaneous tissue (includes lipectomy); abdomen, infraumbilical panniculectomy"	15830	CPT	Outpatient			6772.86	4402.36		90			Percent of total billed charges		6095.58	95.46			Fee schedule		5166.04	80			Percent of total billed charges		5418.29	85			Percent of total billed charges		5756.93	100			Fee schedule		5411.73	85			Percent of total billed charges		5756.93	100			Fee schedule		5411.73	100			Fee schedule		5411.73	100			Fee schedule		5411.73	100			Fee schedule		5411.73		2168		Case rate		2168		2168		Case rate		2168	100			Fee schedule		5411.73	2168	6095.58	
"Suture of 1 nerve; hand or foot, common sensory nerve"	64834	CPT	Outpatient			1091	709.15		90			Percent of total billed charges		981.9	95.46			Fee schedule		1091	80			Percent of total billed charges		872.8	85			Percent of total billed charges		927.35	100			Fee schedule		5528.21	85			Percent of total billed charges		927.35	100			Fee schedule		1091	100			Fee schedule		5528.21	100			Fee schedule		5528.21	100			Fee schedule		5528.21		2168		Case rate	Use Lesser of logic	1091		2168		Case rate	Use Lesser of logic	1091	100			Fee schedule		5528.21	872.8	5528.21	
Suture of 1 nerve; ulnar motor	64836	CPT	Outpatient			1425	926.25		90			Percent of total billed charges		1282.5	95.46			Fee schedule		1425	80			Percent of total billed charges		1140	85			Percent of total billed charges		1211.25	100			Fee schedule		5528.21	85			Percent of total billed charges		1211.25	100			Fee schedule		1425	100			Fee schedule		5528.21	100			Fee schedule		5528.21	100			Fee schedule		5528.21		2168		Case rate	Use Lesser of logic	1425		2168		Case rate	Use Lesser of logic	1425	100			Fee schedule		5528.21	1140	5528.21	
"Nerve repair; with synthetic conduit or vein allograft (eg, nerve tube), each nerve"	64910	CPT	Outpatient			1530	994.5		90			Percent of total billed charges		1377	95.46			Fee schedule		1530	80			Percent of total billed charges		1224	85			Percent of total billed charges		1300.5	100			Fee schedule		5528.21	85			Percent of total billed charges		1300.5	100			Fee schedule		1530	100			Fee schedule		5528.21	100			Fee schedule		5528.21	100			Fee schedule		5528.21		2168		Case rate	Use Lesser of logic	1530		2168		Case rate	Use Lesser of logic	1530	100			Fee schedule		5528.21	1224	5528.21	
Suture of 1 nerve; median motor thenar	64835	CPT	Outpatient			1705	1108.25		90			Percent of total billed charges		1534.5	95.46			Fee schedule		1705	80			Percent of total billed charges		1364	85			Percent of total billed charges		1449.25	100			Fee schedule		5528.21	85			Percent of total billed charges		1449.25	100			Fee schedule		1705	100			Fee schedule		5528.21	100			Fee schedule		5528.21	100			Fee schedule		5528.21		2168		Case rate	Use Lesser of logic	1705		2168		Case rate	Use Lesser of logic	1705	100			Fee schedule		5528.21	1364	5528.21	
"Suture of major peripheral nerve, arm or leg, except sciatic; including transposition"	64856	CPT	Outpatient			1850	1202.5		90			Percent of total billed charges		1665	95.46			Fee schedule		1850	80			Percent of total billed charges		1480	85			Percent of total billed charges		1572.5	100			Fee schedule		5528.21	85			Percent of total billed charges		1572.5	100			Fee schedule		1850	100			Fee schedule		5528.21	100			Fee schedule		5528.21	100			Fee schedule		5528.21		2168		Case rate	Use Lesser of logic	1850		2168		Case rate	Use Lesser of logic	1850	100			Fee schedule		5528.21	1480	5528.21	
"Suture of major peripheral nerve, arm or leg, except sciatic; without transposition"	64857	CPT	Outpatient			2050	1332.5		90			Percent of total billed charges		1845	95.46			Fee schedule		2050	80			Percent of total billed charges		1640	85			Percent of total billed charges		1742.5	100			Fee schedule		5528.21	85			Percent of total billed charges		1742.5	100			Fee schedule		2050	100			Fee schedule		5528.21	100			Fee schedule		5528.21	100			Fee schedule		5528.21		2168		Case rate	Use Lesser of logic	2050		2168		Case rate	Use Lesser of logic	2050	100			Fee schedule		5528.21	1640	5528.21	
"Nerve graft (includes obtaining graft), single strand, arm or leg; up to 4 cm length"	64892	CPT	Outpatient			2240	1456		90			Percent of total billed charges		2016	95.46			Fee schedule		2240	80			Percent of total billed charges		1792	85			Percent of total billed charges		1904	100			Fee schedule		5528.21	85			Percent of total billed charges		1904	100			Fee schedule		2240	100			Fee schedule		5528.21	100			Fee schedule		5528.21	100			Fee schedule		5528.21		2168		Case rate		2168		2168		Case rate		2168	100			Fee schedule		5528.21	1792	5528.21	
"Nerve graft (includes obtaining graft), single strand, hand or foot; up to 4 cm length"	64890	CPT	Outpatient			2315	1504.75		90			Percent of total billed charges		2083.5	95.46			Fee schedule		2315	80			Percent of total billed charges		1852	85			Percent of total billed charges		1967.75	100			Fee schedule		5528.21	85			Percent of total billed charges		1967.75	100			Fee schedule		2315	100			Fee schedule		5528.21	100			Fee schedule		5528.21	100			Fee schedule		5528.21		2168		Case rate		2168		2168		Case rate		2168	100			Fee schedule		5528.21	1852	5528.21	
"Percutaneous implantation of neurostimulator electrode array, epidural"	63650	CPT	Outpatient			13495.25	8771.91		90			Percent of total billed charges		12145.72	95.46			Fee schedule		5418	80			Percent of total billed charges		10796.2	85			Percent of total billed charges		11470.96	100			Fee schedule		5675.68	85			Percent of total billed charges		11470.96	100			Fee schedule		5675.68	100			Fee schedule		5675.68	100			Fee schedule		5675.68	100			Fee schedule		5675.68		3486		Case rate		3486		3486		Case rate		3486	100			Fee schedule		5675.68	3486	12145.72	
"Revision including replacement, when performed, of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed"	63663	CPT	Outpatient			13799.18	8969.46		90			Percent of total billed charges		12419.26	95.46			Fee schedule		5418	80			Percent of total billed charges		11039.34	85			Percent of total billed charges		11729.3	100			Fee schedule		5675.68	85			Percent of total billed charges		11729.3	100			Fee schedule		5675.68	100			Fee schedule		5675.68	100			Fee schedule		5675.68	100			Fee schedule		5675.68		3486		Case rate		3486		3486		Case rate		3486	100			Fee schedule		5675.68	3486	12419.26	
"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); frontal sinus ostium"	31296	CPT	Outpatient			1201.3	780.84		90			Percent of total billed charges		1081.17	95.46			Fee schedule		1201.3	80			Percent of total billed charges		961.04	85			Percent of total billed charges		1021.1	100			Fee schedule		5679.96	85			Percent of total billed charges		1021.1	100			Fee schedule		1201.3	100			Fee schedule		5679.96	100			Fee schedule		5679.96	100			Fee schedule		5679.96		1767		Case rate	Use Lesser of logic	1201.3		1767		Case rate	Use Lesser of logic	1201.3	100			Fee schedule		5679.96	961.04	5679.96	
"Nasal/sinus endoscopy, surgical, with sphenoidotomy"	31287	CPT	Outpatient			1201.3	780.84		90			Percent of total billed charges		1081.17	95.46			Fee schedule		1201.3	80			Percent of total billed charges		961.04	85			Percent of total billed charges		1021.1	100			Fee schedule		5679.96	85			Percent of total billed charges		1021.1	100			Fee schedule		1201.3	100			Fee schedule		5679.96	100			Fee schedule		5679.96	100			Fee schedule		5679.96		1767		Case rate	Use Lesser of logic	1201.3		1767		Case rate	Use Lesser of logic	1201.3	100			Fee schedule		5679.96	961.04	5679.96	
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy"	31257	CPT	Outpatient			1201.3	780.84		90			Percent of total billed charges		1081.17	95.46			Fee schedule		1201.3	80			Percent of total billed charges		961.04	85			Percent of total billed charges		1021.1	100			Fee schedule		5679.96	85			Percent of total billed charges		1021.1	100			Fee schedule		1201.3	100			Fee schedule		5679.96	100			Fee schedule		5679.96	100			Fee schedule		5679.96		1767		Case rate	Use Lesser of logic	1201.3		1767		Case rate	Use Lesser of logic	1201.3	100			Fee schedule		5679.96	961.04	5679.96	
"Nasal/sinus endoscopy, surgical with ethmoidectomy; partial (anterior)"	31254	CPT	Outpatient			1904.44	1237.88		90			Percent of total billed charges		1713.99	95.46			Fee schedule		1904.44	80			Percent of total billed charges		1523.55	85			Percent of total billed charges		1618.77	100			Fee schedule		5679.96	85			Percent of total billed charges		1618.77	100			Fee schedule		1904.44	100			Fee schedule		5679.96	100			Fee schedule		5679.96	100			Fee schedule		5679.96		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		5679.96	1495	5679.96	
"Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior)"	31255	CPT	Outpatient			1675.81	1089.28		90			Percent of total billed charges		1508.23	95.46			Fee schedule		1675.81	80			Percent of total billed charges		1340.65	85			Percent of total billed charges		1424.44	100			Fee schedule		5679.96	85			Percent of total billed charges		1424.44	100			Fee schedule		1675.81	100			Fee schedule		5679.96	100			Fee schedule		5679.96	100			Fee schedule		5679.96		1767		Case rate	Use Lesser of logic	1675.81		1767		Case rate	Use Lesser of logic	1675.81	100			Fee schedule		5679.96	1340.65	5679.96	
"Nasal/sinus endoscopy, surgical, with dilation (eg, balloon dilation); maxillary sinus ostium, transnasal or via canine fossa"	31295	CPT	Outpatient			3184.75	2070.09		90			Percent of total billed charges		2866.27	95.46			Fee schedule		3184.75	80			Percent of total billed charges		2547.8	85			Percent of total billed charges		2707.04	100			Fee schedule		5679.96	85			Percent of total billed charges		2707.04	100			Fee schedule		3184.75	100			Fee schedule		5679.96	100			Fee schedule		5679.96	100			Fee schedule		5679.96		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		5679.96	1767	5679.96	
"Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius AND ulna"	25575	CPT	Outpatient			58.44	37.98		90			Percent of total billed charges		52.59	95.46			Fee schedule		58.44	80			Percent of total billed charges		46.75	85			Percent of total billed charges		49.67	100			Fee schedule		5937.02	85			Percent of total billed charges		49.67	100			Fee schedule		58.44	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		3486		Case rate	Use Lesser of logic	58.44		3486		Case rate	Use Lesser of logic	58.44	100			Fee schedule		5937.02	46.75	5937.02	
"Arthrotomy, with synovectomy, knee; anterior AND posterior including popliteal area"	27335	CPT	Outpatient			68.31	44.4		90			Percent of total billed charges		61.48	95.46			Fee schedule		68.31	80			Percent of total billed charges		54.65	85			Percent of total billed charges		58.07	100			Fee schedule		5937.02	85			Percent of total billed charges		58.07	100			Fee schedule		68.31	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		1767		Case rate	Use Lesser of logic	68.31		1767		Case rate	Use Lesser of logic	68.31	100			Fee schedule		5937.02	54.65	5937.02	
"Open treatment of ulnar fracture, proximal end (eg, olecranon or coronoid process[es]), includes internal fixation, when performed"	24685	CPT	Outpatient			88.39	57.46		90			Percent of total billed charges		79.55	95.46			Fee schedule		88.39	80			Percent of total billed charges		70.72	85			Percent of total billed charges		75.13	100			Fee schedule		5937.02	85			Percent of total billed charges		75.13	100			Fee schedule		88.39	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		3486		Case rate	Use Lesser of logic	88.39		3486		Case rate	Use Lesser of logic	88.39	100			Fee schedule		5937.02	70.72	5937.02	
"Open treatment of medial malleolus fracture, includes internal fixation, when performed"	27766	CPT	Outpatient			555.85	361.3		90			Percent of total billed charges		500.26	95.46			Fee schedule		555.85	80			Percent of total billed charges		444.68	85			Percent of total billed charges		472.47	100			Fee schedule		5937.02	85			Percent of total billed charges		472.47	100			Fee schedule		555.85	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		3486		Case rate	Use Lesser of logic	555.85		3486		Case rate	Use Lesser of logic	555.85	100			Fee schedule		5937.02	444.68	5937.02	
"Adjustment or revision of external fixation system requiring anesthesia (eg, new pin[s] or wire[s] and/or new ring[s] or bar[s])"	20693	CPT	Outpatient			955	620.75		90			Percent of total billed charges		859.5	95.46			Fee schedule		955	80			Percent of total billed charges		764	85			Percent of total billed charges		811.75	100			Fee schedule		5937.02	85			Percent of total billed charges		811.75	100			Fee schedule		955	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		1767		Case rate	Use Lesser of logic	955		1767		Case rate	Use Lesser of logic	955	100			Fee schedule		5937.02	764	5937.02	
"Bone graft, any donor area; minor or small (eg, dowel or button)"	20900	CPT	Outpatient			961	624.65		90			Percent of total billed charges		864.9	95.46			Fee schedule		961	80			Percent of total billed charges		768.8	85			Percent of total billed charges		816.85	100			Fee schedule		5937.02	85			Percent of total billed charges		816.85	100			Fee schedule		961	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		1767		Case rate	Use Lesser of logic	961		1767		Case rate	Use Lesser of logic	961	100			Fee schedule		5937.02	768.8	5937.02	
"Reconstruction of tendon pulley, each tendon; with local tissues (separate procedure)"	26500	CPT	Outpatient			985	640.25		90			Percent of total billed charges		886.5	95.46			Fee schedule		985	80			Percent of total billed charges		788	85			Percent of total billed charges		837.25	100			Fee schedule		5937.02	85			Percent of total billed charges		837.25	100			Fee schedule		985	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		1055		Case rate	Use Lesser of logic	985		1055		Case rate	Use Lesser of logic	985	100			Fee schedule		5937.02	788	5937.02	
"Tendon graft, from a distance (eg, palmaris, toe extensor, plantaris)"	20924	CPT	Outpatient			1103	716.95		90			Percent of total billed charges		992.7	95.46			Fee schedule		1103	80			Percent of total billed charges		882.4	85			Percent of total billed charges		937.55	100			Fee schedule		5937.02	85			Percent of total billed charges		937.55	100			Fee schedule		1103	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		1767		Case rate	Use Lesser of logic	1103		1767		Case rate	Use Lesser of logic	1103	100			Fee schedule		5937.02	882.4	5937.02	
"Bone graft, any donor area; major or large"	20902	CPT	Outpatient			1105	718.25		90			Percent of total billed charges		994.5	95.46			Fee schedule		1105	80			Percent of total billed charges		884	85			Percent of total billed charges		939.25	100			Fee schedule		5937.02	85			Percent of total billed charges		939.25	100			Fee schedule		1105	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		1767		Case rate	Use Lesser of logic	1105		1767		Case rate	Use Lesser of logic	1105	100			Fee schedule		5937.02	884	5937.02	
"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft (other than first toe)"	28307	CPT	Outpatient			1120	728		90			Percent of total billed charges		1008	95.46			Fee schedule		1120	80			Percent of total billed charges		896	85			Percent of total billed charges		952	100			Fee schedule		5937.02	85			Percent of total billed charges		952	100			Fee schedule		1120	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		1495		Case rate	Use Lesser of logic	1120		1495		Case rate	Use Lesser of logic	1120	100			Fee schedule		5937.02	896	5937.02	
"Radical resection of tumor, radial head or neck"	24152	CPT	Outpatient			1180	767		90			Percent of total billed charges		1062	95.46			Fee schedule		1180	80			Percent of total billed charges		944	85			Percent of total billed charges		1003	100			Fee schedule		5937.02	85			Percent of total billed charges		1003	100			Fee schedule		1180	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		2168		Case rate	Use Lesser of logic	1180		2168		Case rate	Use Lesser of logic	1180	100			Fee schedule		5937.02	944	5937.02	
Open treatment of ulnar styloid fracture	25652	CPT	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	95.46			Fee schedule		1185	80			Percent of total billed charges		948	85			Percent of total billed charges		1007.25	100			Fee schedule		5937.02	85			Percent of total billed charges		1007.25	100			Fee schedule		1185	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		3486		Case rate	Use Lesser of logic	1185		3486		Case rate	Use Lesser of logic	1185	100			Fee schedule		5937.02	948	5937.02	
"Open treatment of talotarsal joint dislocation, includes internal fixation, when performed"	28585	CPT	Outpatient			1225	796.25		90			Percent of total billed charges		1102.5	95.46			Fee schedule		1225	80			Percent of total billed charges		980	85			Percent of total billed charges		1041.25	100			Fee schedule		5937.02	85			Percent of total billed charges		1041.25	100			Fee schedule		1225	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		1495		Case rate	Use Lesser of logic	1225		1495		Case rate	Use Lesser of logic	1225	100			Fee schedule		5937.02	980	5937.02	
"Repair, flexor tendon, leg; secondary, with or without graft, each tendon"	27659	CPT	Outpatient			1225	796.25		90			Percent of total billed charges		1102.5	95.46			Fee schedule		1225	80			Percent of total billed charges		980	85			Percent of total billed charges		1041.25	100			Fee schedule		5937.02	85			Percent of total billed charges		1041.25	100			Fee schedule		1225	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		1495		Case rate	Use Lesser of logic	1225		1495		Case rate	Use Lesser of logic	1225	100			Fee schedule		5937.02	980	5937.02	
"Arthrodesis, great toe; interphalangeal joint"	28755	CPT	Outpatient			1257	817.05		90			Percent of total billed charges		1131.3	95.46			Fee schedule		1257	80			Percent of total billed charges		1005.6	85			Percent of total billed charges		1068.45	100			Fee schedule		5937.02	85			Percent of total billed charges		1068.45	100			Fee schedule		1257	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		1495		Case rate	Use Lesser of logic	1257		1495		Case rate	Use Lesser of logic	1257	100			Fee schedule		5937.02	1005.6	5937.02	
"Repair, extensor tendon, leg; primary, without graft, each tendon"	27664	CPT	Outpatient			1259.89	818.93		90			Percent of total billed charges		1133.9	95.46			Fee schedule		1259.89	80			Percent of total billed charges		1007.91	85			Percent of total billed charges		1070.91	100			Fee schedule		5937.02	85			Percent of total billed charges		1070.91	100			Fee schedule		1259.89	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		1767		Case rate	Use Lesser of logic	1259.89		1767		Case rate	Use Lesser of logic	1259.89	100			Fee schedule		5937.02	1007.91	5937.02	
"Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal"	28306	CPT	Outpatient			1285	835.25		90			Percent of total billed charges		1156.5	95.46			Fee schedule		1285	80			Percent of total billed charges		1028	85			Percent of total billed charges		1092.25	100			Fee schedule		5937.02	85			Percent of total billed charges		1092.25	100			Fee schedule		1285	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		1495		Case rate	Use Lesser of logic	1285		1495		Case rate	Use Lesser of logic	1285	100			Fee schedule		5937.02	1028	5937.02	
"Open treatment of proximal fibula or shaft fracture, includes internal fixation, when performed"	27784	CPT	Outpatient			1294	841.1		90			Percent of total billed charges		1164.6	95.46			Fee schedule		1294	80			Percent of total billed charges		1035.2	85			Percent of total billed charges		1099.9	100			Fee schedule		5937.02	85			Percent of total billed charges		1099.9	100			Fee schedule		1294	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		3486		Case rate	Use Lesser of logic	1294		3486		Case rate	Use Lesser of logic	1294	100			Fee schedule		5937.02	1035.2	5937.02	
"Percutaneous skeletal fixation of calcaneal fracture, with manipulation"	28406	CPT	Outpatient			1340	871		90			Percent of total billed charges		1206	95.46			Fee schedule		1340	80			Percent of total billed charges		1072	85			Percent of total billed charges		1139	100			Fee schedule		5937.02	85			Percent of total billed charges		1139	100			Fee schedule		1340	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		1495		Case rate	Use Lesser of logic	1340		1495		Case rate	Use Lesser of logic	1340	100			Fee schedule		5937.02	1072	5937.02	
"Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), radial head or neck"	24145	CPT	Outpatient			1347	875.55		90			Percent of total billed charges		1212.3	95.46			Fee schedule		1347	80			Percent of total billed charges		1077.6	85			Percent of total billed charges		1144.95	100			Fee schedule		5937.02	85			Percent of total billed charges		1144.95	100			Fee schedule		1347	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		1767		Case rate	Use Lesser of logic	1347		1767		Case rate	Use Lesser of logic	1347	100			Fee schedule		5937.02	1077.6	5937.02	
Open treatment of lunate dislocation	25695	CPT	Outpatient			1365	887.25		90			Percent of total billed charges		1228.5	95.46			Fee schedule		1365	80			Percent of total billed charges		1092	85			Percent of total billed charges		1160.25	100			Fee schedule		5937.02	85			Percent of total billed charges		1160.25	100			Fee schedule		1365	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		1495		Case rate	Use Lesser of logic	1365		1495		Case rate	Use Lesser of logic	1365	100			Fee schedule		5937.02	1092	5937.02	
Tenodesis of biceps tendon at elbow (separate procedure)	24340	CPT	Outpatient			1375	893.75		90			Percent of total billed charges		1237.5	95.46			Fee schedule		1375	80			Percent of total billed charges		1100	85			Percent of total billed charges		1168.75	100			Fee schedule		5937.02	85			Percent of total billed charges		1168.75	100			Fee schedule		1375	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		2168		Case rate	Use Lesser of logic	1375		2168		Case rate	Use Lesser of logic	1375	100			Fee schedule		5937.02	1100	5937.02	
"Arthroscopy, shoulder, surgical; synovectomy, partial"	29820	CPT	Outpatient			1378	895.7		90			Percent of total billed charges		1240.2	95.46			Fee schedule		1378	80			Percent of total billed charges		1102.4	85			Percent of total billed charges		1171.3	100			Fee schedule		5937.02	85			Percent of total billed charges		1171.3	100			Fee schedule		1378	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		3486		Case rate	Use Lesser of logic	1378		3486		Case rate	Use Lesser of logic	1378	100			Fee schedule		5937.02	1102.4	5937.02	
"Arthrotomy with meniscus repair, knee"	27403	CPT	Outpatient			1380	897		90			Percent of total billed charges		1242	95.46			Fee schedule		1380	80			Percent of total billed charges		1104	85			Percent of total billed charges		1173	100			Fee schedule		5937.02	85			Percent of total billed charges		1173	100			Fee schedule		1380	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		1767		Case rate	Use Lesser of logic	1380		1767		Case rate	Use Lesser of logic	1380	100			Fee schedule		5937.02	1104	5937.02	
"Osteotomy, shortening, angular or rotational correction; proximal phalanx, first toe (separate procedure)"	28310	CPT	Outpatient			1385	900.25		90			Percent of total billed charges		1246.5	95.46			Fee schedule		1385	80			Percent of total billed charges		1108	85			Percent of total billed charges		1177.25	100			Fee schedule		5937.02	85			Percent of total billed charges		1177.25	100			Fee schedule		1385	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		1495		Case rate	Use Lesser of logic	1385		1495		Case rate	Use Lesser of logic	1385	100			Fee schedule		5937.02	1108	5937.02	
"Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, includes internal fixation, when performed"	23670	CPT	Outpatient			1410	916.5		90			Percent of total billed charges		1269	95.46			Fee schedule		1410	80			Percent of total billed charges		1128	85			Percent of total billed charges		1198.5	100			Fee schedule		5937.02	85			Percent of total billed charges		1198.5	100			Fee schedule		1410	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		3486		Case rate	Use Lesser of logic	1410		3486		Case rate	Use Lesser of logic	1410	100			Fee schedule		5937.02	1128	5937.02	
"Open treatment of posterior malleolus fracture, includes internal fixation, when performed"	27769	CPT	Outpatient			1415	919.75		90			Percent of total billed charges		1273.5	95.46			Fee schedule		1415	80			Percent of total billed charges		1132	85			Percent of total billed charges		1202.75	100			Fee schedule		5937.02	85			Percent of total billed charges		1202.75	100			Fee schedule		1415	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		3486		Case rate	Use Lesser of logic	1415		3486		Case rate	Use Lesser of logic	1415	100			Fee schedule		5937.02	1132	5937.02	
Patellectomy or hemipatellectomy	27350	CPT	Outpatient			1420	923		90			Percent of total billed charges		1278	95.46			Fee schedule		1420	80			Percent of total billed charges		1136	85			Percent of total billed charges		1207	100			Fee schedule		5937.02	85			Percent of total billed charges		1207	100			Fee schedule		1420	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		1767		Case rate	Use Lesser of logic	1420		1767		Case rate	Use Lesser of logic	1420	100			Fee schedule		5937.02	1136	5937.02	
"Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation"	24582	CPT	Outpatient			1435	932.75		90			Percent of total billed charges		1291.5	95.46			Fee schedule		1435	80			Percent of total billed charges		1148	85			Percent of total billed charges		1219.75	100			Fee schedule		5937.02	85			Percent of total billed charges		1219.75	100			Fee schedule		1435	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		1495		Case rate	Use Lesser of logic	1435		1495		Case rate	Use Lesser of logic	1435	100			Fee schedule		5937.02	1148	5937.02	
"Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 1-3 ribs"	21811	CPT	Outpatient			1460	949		90			Percent of total billed charges		1314	95.46			Fee schedule		1460	80			Percent of total billed charges		1168	85			Percent of total billed charges		1241	100			Fee schedule		5937.02	85			Percent of total billed charges		1241	100			Fee schedule		1460	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		1495		Case rate	Use Lesser of logic	1460		1495		Case rate	Use Lesser of logic	1460	100			Fee schedule		5937.02	1168	5937.02	
"Repair, primary, disrupted ligament, ankle; both collateral ligaments"	27696	CPT	Outpatient			1474	958.1		90			Percent of total billed charges		1326.6	95.46			Fee schedule		1474	80			Percent of total billed charges		1179.2	85			Percent of total billed charges		1252.9	100			Fee schedule		5937.02	85			Percent of total billed charges		1252.9	100			Fee schedule		1474	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		1767		Case rate	Use Lesser of logic	1474		1767		Case rate	Use Lesser of logic	1474	100			Fee schedule		5937.02	1179.2	5937.02	
"Arthroplasty, metacarpophalangeal joint; with prosthetic implant, each joint"	26531	CPT	Outpatient			1475	958.75		90			Percent of total billed charges		1327.5	95.46			Fee schedule		1475	80			Percent of total billed charges		1180	85			Percent of total billed charges		1253.75	100			Fee schedule		5937.02	85			Percent of total billed charges		1253.75	100			Fee schedule		1475	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		2168		Case rate	Use Lesser of logic	1475		2168		Case rate	Use Lesser of logic	1475	100			Fee schedule		5937.02	1180	5937.02	
"Repair medial collateral ligament, elbow, with local tissue"	24345	CPT	Outpatient			1475	958.75		90			Percent of total billed charges		1327.5	95.46			Fee schedule		1475	80			Percent of total billed charges		1180	85			Percent of total billed charges		1253.75	100			Fee schedule		5937.02	85			Percent of total billed charges		1253.75	100			Fee schedule		1475	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		1767		Case rate	Use Lesser of logic	1475		1767		Case rate	Use Lesser of logic	1475	100			Fee schedule		5937.02	1180	5937.02	
"Repair, primary, torn ligament and/or capsule, knee; collateral"	27405	CPT	Outpatient			1475	958.75		90			Percent of total billed charges		1327.5	95.46			Fee schedule		1475	80			Percent of total billed charges		1180	85			Percent of total billed charges		1253.75	100			Fee schedule		5937.02	85			Percent of total billed charges		1253.75	100			Fee schedule		1475	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		2168		Case rate	Use Lesser of logic	1475		2168		Case rate	Use Lesser of logic	1475	100			Fee schedule		5937.02	1180	5937.02	
"Repair, tendon or muscle, upper arm or elbow, each tendon or muscle, primary or secondary (excludes rotator cuff)"	24341	CPT	Outpatient			1480	962		90			Percent of total billed charges		1332	95.46			Fee schedule		1480	80			Percent of total billed charges		1184	85			Percent of total billed charges		1258	100			Fee schedule		5937.02	85			Percent of total billed charges		1258	100			Fee schedule		1480	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		2168		Case rate	Use Lesser of logic	1480		2168		Case rate	Use Lesser of logic	1480	100			Fee schedule		5937.02	1184	5937.02	
"Open treatment of clavicular fracture, includes internal fixation, when performed"	23515	CPT	Outpatient			1485	965.25		90			Percent of total billed charges		1336.5	95.46			Fee schedule		1485	80			Percent of total billed charges		1188	85			Percent of total billed charges		1262.25	100			Fee schedule		5937.02	85			Percent of total billed charges		1262.25	100			Fee schedule		1485	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		3486		Case rate	Use Lesser of logic	1485		3486		Case rate	Use Lesser of logic	1485	100			Fee schedule		5937.02	1188	5937.02	
"Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna"	25574	CPT	Outpatient			1485	965.25		90			Percent of total billed charges		1336.5	95.46			Fee schedule		1485	80			Percent of total billed charges		1188	85			Percent of total billed charges		1262.25	100			Fee schedule		5937.02	85			Percent of total billed charges		1262.25	100			Fee schedule		1485	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		3486		Case rate	Use Lesser of logic	1485		3486		Case rate	Use Lesser of logic	1485	100			Fee schedule		5937.02	1188	5937.02	
"Open treatment of radiocarpal or intercarpal dislocation, 1 or more bones"	25670	CPT	Outpatient			1485	965.25		90			Percent of total billed charges		1336.5	95.46			Fee schedule		1485	80			Percent of total billed charges		1188	85			Percent of total billed charges		1262.25	100			Fee schedule		5937.02	85			Percent of total billed charges		1262.25	100			Fee schedule		1485	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		1495		Case rate	Use Lesser of logic	1485		1495		Case rate	Use Lesser of logic	1485	100			Fee schedule		5937.02	1188	5937.02	
"Repair, primary, disrupted ligament, ankle; collateral"	27695	CPT	Outpatient			1485	965.25		90			Percent of total billed charges		1336.5	95.46			Fee schedule		1485	80			Percent of total billed charges		1188	85			Percent of total billed charges		1262.25	100			Fee schedule		5937.02	85			Percent of total billed charges		1262.25	100			Fee schedule		1485	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		1767		Case rate	Use Lesser of logic	1485		1767		Case rate	Use Lesser of logic	1485	100			Fee schedule		5937.02	1188	5937.02	
Open treatment of acute or chronic elbow dislocation	24615	CPT	Outpatient			1486	965.9		90			Percent of total billed charges		1337.4	95.46			Fee schedule		1486	80			Percent of total billed charges		1188.8	85			Percent of total billed charges		1263.1	100			Fee schedule		5937.02	85			Percent of total billed charges		1263.1	100			Fee schedule		1486	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		3486		Case rate	Use Lesser of logic	1486		3486		Case rate	Use Lesser of logic	1486	100			Fee schedule		5937.02	1188.8	5937.02	
"Quadricepsplasty (eg, Bennett or Thompson type)"	27430	CPT	Outpatient			1495	971.75		90			Percent of total billed charges		1345.5	95.46			Fee schedule		1495	80			Percent of total billed charges		1196	85			Percent of total billed charges		1270.75	100			Fee schedule		5937.02	85			Percent of total billed charges		1270.75	100			Fee schedule		1495	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		2168		Case rate	Use Lesser of logic	1495		2168		Case rate	Use Lesser of logic	1495	100			Fee schedule		5937.02	1196	5937.02	
"Percutaneous skeletal fixation of tibial shaft fracture (with or without fibular fracture) (eg, pins or screws)"	27756	CPT	Outpatient			1566	1017.9		90			Percent of total billed charges		1409.4	95.46			Fee schedule		1566	80			Percent of total billed charges		1252.8	85			Percent of total billed charges		1331.1	100			Fee schedule		5937.02	85			Percent of total billed charges		1331.1	100			Fee schedule		1566	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		5937.02	1252.8	5937.02	
"Percutaneous skeletal fixation of femoral fracture, distal end, medial or lateral condyle, or supracondylar or transcondylar, with or without intercondylar extension, or distal femoral epiphyseal separation"	27509	CPT	Outpatient			1615	1049.75		90			Percent of total billed charges		1453.5	95.46			Fee schedule		1615	80			Percent of total billed charges		1292	85			Percent of total billed charges		1372.75	100			Fee schedule		5937.02	85			Percent of total billed charges		1372.75	100			Fee schedule		1615	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		5937.02	1292	5937.02	
"Percutaneous skeletal fixation of supracondylar or transcondylar humeral fracture, with or without intercondylar extension"	24538	CPT	Outpatient			1825	1186.25		90			Percent of total billed charges		1642.5	95.46			Fee schedule		1825	80			Percent of total billed charges		1460	85			Percent of total billed charges		1551.25	100			Fee schedule		5937.02	85			Percent of total billed charges		1551.25	100			Fee schedule		1825	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		5937.02	1460	5937.02	
"Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; lumbar"	63267	CPT	Outpatient			3650	2372.5		90			Percent of total billed charges		3285	95.46			Fee schedule		3650	80			Percent of total billed charges		2920	85			Percent of total billed charges		3102.5	100			Fee schedule		5937.02	85			Percent of total billed charges		3102.5	100			Fee schedule		3650	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		5937.02	1495	5937.02	
"Repair, nonunion or malunion; metatarsal, with or without bone graft (includes obtaining graft)"	28322	CPT	Outpatient			4120.22	2678.14		90			Percent of total billed charges		3708.2	95.46			Fee schedule		4120.22	80			Percent of total billed charges		3296.17	85			Percent of total billed charges		3502.18	100			Fee schedule		5937.02	85			Percent of total billed charges		3502.18	100			Fee schedule		4120.22	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		5937.02	1495	5937.02	
"Arthrotomy; glenohumeral joint, with synovectomy, with or without biopsy"	23105	CPT	Outpatient			1497	973.05		90			Percent of total billed charges		1347.3	95.46			Fee schedule		1497	80			Percent of total billed charges		1197.6	85			Percent of total billed charges		1272.45	100			Fee schedule		5937.02	85			Percent of total billed charges		1272.45	100			Fee schedule		1497	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		1767		Case rate	Use Lesser of logic	1497		1767		Case rate	Use Lesser of logic	1497	100			Fee schedule		5937.02	1197.6	5937.02	
"Open treatment of tarsal bone fracture (except talus and calcaneus), includes internal fixation, when performed, each"	28465	CPT	Outpatient			1500	975		90			Percent of total billed charges		1350	95.46			Fee schedule		1500	80			Percent of total billed charges		1200	85			Percent of total billed charges		1275	100			Fee schedule		5937.02	85			Percent of total billed charges		1275	100			Fee schedule		1500	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		3486		Case rate	Use Lesser of logic	1500		3486		Case rate	Use Lesser of logic	1500	100			Fee schedule		5937.02	1200	5937.02	
"Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed"	24665	CPT	Outpatient			1510	981.5		90			Percent of total billed charges		1359	95.46			Fee schedule		1510	80			Percent of total billed charges		1208	85			Percent of total billed charges		1283.5	100			Fee schedule		5937.02	85			Percent of total billed charges		1283.5	100			Fee schedule		1510	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		3486		Case rate	Use Lesser of logic	1510		3486		Case rate	Use Lesser of logic	1510	100			Fee schedule		5937.02	1208	5937.02	
"Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; without repair or internal fixation"	27846	CPT	Outpatient			1525	991.25		90			Percent of total billed charges		1372.5	95.46			Fee schedule		1525	80			Percent of total billed charges		1220	85			Percent of total billed charges		1296.25	100			Fee schedule		5937.02	85			Percent of total billed charges		1296.25	100			Fee schedule		1525	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		3486		Case rate	Use Lesser of logic	1525		3486		Case rate	Use Lesser of logic	1525	100			Fee schedule		5937.02	1220	5937.02	
"Arthrotomy, glenohumeral joint, with joint exploration, with or without removal of loose or foreign body"	23107	CPT	Outpatient			1548	1006.2		90			Percent of total billed charges		1393.2	95.46			Fee schedule		1548	80			Percent of total billed charges		1238.4	85			Percent of total billed charges		1315.8	100			Fee schedule		5937.02	85			Percent of total billed charges		1315.8	100			Fee schedule		1548	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		1767		Case rate	Use Lesser of logic	1548		1767		Case rate	Use Lesser of logic	1548	100			Fee schedule		5937.02	1238.4	5937.02	
"Open treatment of acromioclavicular dislocation, acute or chronic"	23550	CPT	Outpatient			1550	1007.5		90			Percent of total billed charges		1395	95.46			Fee schedule		1550	80			Percent of total billed charges		1240	85			Percent of total billed charges		1317.5	100			Fee schedule		5937.02	85			Percent of total billed charges		1317.5	100			Fee schedule		1550	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		3486		Case rate	Use Lesser of logic	1550		3486		Case rate	Use Lesser of logic	1550	100			Fee schedule		5937.02	1240	5937.02	
"Fusion in opposition, thumb, with autogenous graft (includes obtaining graft)"	26820	CPT	Outpatient			1555	1010.75		90			Percent of total billed charges		1399.5	95.46			Fee schedule		1555	80			Percent of total billed charges		1244	85			Percent of total billed charges		1321.75	100			Fee schedule		5937.02	85			Percent of total billed charges		1321.75	100			Fee schedule		1555	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		1767		Case rate	Use Lesser of logic	1555		1767		Case rate	Use Lesser of logic	1555	100			Fee schedule		5937.02	1244	5937.02	
"Correction, hallux valgus with bunionectomy, with sesamoidectomy when performed; with first metatarsal and medial cuneiform joint arthrodesis, any method"	28297	CPT	Outpatient			1563.35	1016.17		90			Percent of total billed charges		1407.01	95.46			Fee schedule		1563.35	80			Percent of total billed charges		1250.68	85			Percent of total billed charges		1328.84	100			Fee schedule		5937.02	85			Percent of total billed charges		1328.84	100			Fee schedule		1563.35	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		1767		Case rate	Use Lesser of logic	1563.35		1767		Case rate	Use Lesser of logic	1563.35	100			Fee schedule		5937.02	1250.68	5937.02	
"Resection, humeral head"	23195	CPT	Outpatient			1565	1017.25		90			Percent of total billed charges		1408.5	95.46			Fee schedule		1565	80			Percent of total billed charges		1252	85			Percent of total billed charges		1330.25	100			Fee schedule		5937.02	85			Percent of total billed charges		1330.25	100			Fee schedule		1565	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		1767		Case rate	Use Lesser of logic	1565		1767		Case rate	Use Lesser of logic	1565	100			Fee schedule		5937.02	1252	5937.02	
"Repair, dislocating peroneal tendons; with fibular osteotomy"	27676	CPT	Outpatient			1580	1027		90			Percent of total billed charges		1422	95.46			Fee schedule		1580	80			Percent of total billed charges		1264	85			Percent of total billed charges		1343	100			Fee schedule		5937.02	85			Percent of total billed charges		1343	100			Fee schedule		1580	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		1767		Case rate	Use Lesser of logic	1580		1767		Case rate	Use Lesser of logic	1580	100			Fee schedule		5937.02	1264	5937.02	
"Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral malleolus; without fixation of posterior lip"	27822	CPT	Outpatient			1582.7	1028.75		90			Percent of total billed charges		1424.43	95.46			Fee schedule		1582.7	80			Percent of total billed charges		1266.16	85			Percent of total billed charges		1345.29	100			Fee schedule		5937.02	85			Percent of total billed charges		1345.29	100			Fee schedule		1582.7	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		3486		Case rate	Use Lesser of logic	1582.7		3486		Case rate	Use Lesser of logic	1582.7	100			Fee schedule		5937.02	1266.16	5937.02	
"Ligamentous reconstruction (augmentation), knee; extra-articular"	27427	CPT	Outpatient			1600	1040		90			Percent of total billed charges		1440	95.46			Fee schedule		1600	80			Percent of total billed charges		1280	85			Percent of total billed charges		1360	100			Fee schedule		5937.02	85			Percent of total billed charges		1360	100			Fee schedule		1600	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		3486		Case rate	Use Lesser of logic	1600		3486		Case rate	Use Lesser of logic	1600	100			Fee schedule		5937.02	1280	5937.02	
"Reconstruction for stabilization of unstable distal ulna or distal radioulnar joint, secondary by soft tissue stabilization (eg, tendon transfer, tendon graft or weave, or tenodesis) with or without open reduction of distal radioulnar joint"	25337	CPT	Outpatient			1625	1056.25		90			Percent of total billed charges		1462.5	95.46			Fee schedule		1625	80			Percent of total billed charges		1300	85			Percent of total billed charges		1381.25	100			Fee schedule		5937.02	85			Percent of total billed charges		1381.25	100			Fee schedule		1625	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		2168		Case rate	Use Lesser of logic	1625		2168		Case rate	Use Lesser of logic	1625	100			Fee schedule		5937.02	1300	5937.02	
Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 3 or more fragments	25609	CPT	Outpatient			1630.01	1059.51		90			Percent of total billed charges		1467.01	95.46			Fee schedule		1630.01	80			Percent of total billed charges		1304.01	85			Percent of total billed charges		1385.51	100			Fee schedule		5937.02	85			Percent of total billed charges		1385.51	100			Fee schedule		1630.01	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		3486		Case rate	Use Lesser of logic	1630.01		3486		Case rate	Use Lesser of logic	1630.01	100			Fee schedule		5937.02	1304.01	5937.02	
"Open treatment of carpal scaphoid (navicular) fracture, includes internal fixation, when performed"	25628	CPT	Outpatient			1635	1062.75		90			Percent of total billed charges		1471.5	95.46			Fee schedule		1635	80			Percent of total billed charges		1308	85			Percent of total billed charges		1389.75	100			Fee schedule		5937.02	85			Percent of total billed charges		1389.75	100			Fee schedule		1635	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		3486		Case rate	Use Lesser of logic	1635		3486		Case rate	Use Lesser of logic	1635	100			Fee schedule		5937.02	1308	5937.02	
"Arthroscopy, knee, surgical; drilling for intact osteochondritis dissecans lesion with internal fixation"	29887	CPT	Outpatient			1665	1082.25		90			Percent of total billed charges		1498.5	95.46			Fee schedule		1665	80			Percent of total billed charges		1332	85			Percent of total billed charges		1415.25	100			Fee schedule		5937.02	85			Percent of total billed charges		1415.25	100			Fee schedule		1665	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		1767		Case rate	Use Lesser of logic	1665		1767		Case rate	Use Lesser of logic	1665	100			Fee schedule		5937.02	1332	5937.02	
"Arthroscopy, knee, surgical; drilling for osteochondritis dissecans with bone grafting, with or without internal fixation (including debridement of base of lesion)"	29885	CPT	Outpatient			1670	1085.5		90			Percent of total billed charges		1503	95.46			Fee schedule		1670	80			Percent of total billed charges		1336	85			Percent of total billed charges		1419.5	100			Fee schedule		5937.02	85			Percent of total billed charges		1419.5	100			Fee schedule		1670	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		3486		Case rate	Use Lesser of logic	1670		3486		Case rate	Use Lesser of logic	1670	100			Fee schedule		5937.02	1336	5937.02	
"Open treatment of tarsometatarsal joint dislocation, includes internal fixation, when performed"	28615	CPT	Outpatient			1695	1101.75		90			Percent of total billed charges		1525.5	95.46			Fee schedule		1695	80			Percent of total billed charges		1356	85			Percent of total billed charges		1440.75	100			Fee schedule		5937.02	85			Percent of total billed charges		1440.75	100			Fee schedule		1695	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		3486		Case rate	Use Lesser of logic	1695		3486		Case rate	Use Lesser of logic	1695	100			Fee schedule		5937.02	1356	5937.02	
"Repair non-union, metacarpal or phalanx (includes obtaining bone graft with or without external or internal fixation)"	26546	CPT	Outpatient			1700	1105		90			Percent of total billed charges		1530	95.46			Fee schedule		1700	80			Percent of total billed charges		1360	85			Percent of total billed charges		1445	100			Fee schedule		5937.02	85			Percent of total billed charges		1445	100			Fee schedule		1700	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		1767		Case rate	Use Lesser of logic	1700		1767		Case rate	Use Lesser of logic	1700	100			Fee schedule		5937.02	1360	5937.02	
"Open treatment of ulnar shaft fracture, includes internal fixation, when performed"	25545	CPT	Outpatient			1715	1114.75		90			Percent of total billed charges		1543.5	95.46			Fee schedule		1715	80			Percent of total billed charges		1372	85			Percent of total billed charges		1457.75	100			Fee schedule		5937.02	85			Percent of total billed charges		1457.75	100			Fee schedule		1715	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		3486		Case rate	Use Lesser of logic	1715		3486		Case rate	Use Lesser of logic	1715	100			Fee schedule		5937.02	1372	5937.02	
"Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft"	27381	CPT	Outpatient			1725	1121.25		90			Percent of total billed charges		1552.5	95.46			Fee schedule		1725	80			Percent of total billed charges		1380	85			Percent of total billed charges		1466.25	100			Fee schedule		5937.02	85			Percent of total billed charges		1466.25	100			Fee schedule		1725	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		1767		Case rate	Use Lesser of logic	1725		1767		Case rate	Use Lesser of logic	1725	100			Fee schedule		5937.02	1380	5937.02	
"Repair or advancement, flexor tendon, in zone 2 digital flexor tendon sheath (eg, no man's land); secondary, with free graft (includes obtaining graft), each tendon"	26358	CPT	Outpatient			1750	1137.5		90			Percent of total billed charges		1575	95.46			Fee schedule		1750	80			Percent of total billed charges		1400	85			Percent of total billed charges		1487.5	100			Fee schedule		5937.02	85			Percent of total billed charges		1487.5	100			Fee schedule		1750	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		1767		Case rate	Use Lesser of logic	1750		1767		Case rate	Use Lesser of logic	1750	100			Fee schedule		5937.02	1400	5937.02	
"Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft"	27386	CPT	Outpatient			1800	1170		90			Percent of total billed charges		1620	95.46			Fee schedule		1800	80			Percent of total billed charges		1440	85			Percent of total billed charges		1530	100			Fee schedule		5937.02	85			Percent of total billed charges		1530	100			Fee schedule		1800	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		5937.02	1440	5937.02	
"Repair, secondary, disrupted ligament, ankle, collateral (eg, Watson-Jones procedure)"	27698	CPT	Outpatient			1985	1290.25		90			Percent of total billed charges		1786.5	95.46			Fee schedule		1985	80			Percent of total billed charges		1588	85			Percent of total billed charges		1687.25	100			Fee schedule		5937.02	85			Percent of total billed charges		1687.25	100			Fee schedule		1985	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		5937.02	1588	5937.02	
"Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle"	25263	CPT	Outpatient			1995	1296.75		90			Percent of total billed charges		1795.5	95.46			Fee schedule		1995	80			Percent of total billed charges		1596	85			Percent of total billed charges		1695.75	100			Fee schedule		5937.02	85			Percent of total billed charges		1695.75	100			Fee schedule		1995	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		5937.02	1596	5937.02	
Resection or transplantation of long tendon of biceps	23440	CPT	Outpatient			2041	1326.65		90			Percent of total billed charges		1836.9	95.46			Fee schedule		2041	80			Percent of total billed charges		1632.8	85			Percent of total billed charges		1734.85	100			Fee schedule		5937.02	85			Percent of total billed charges		1734.85	100			Fee schedule		2041	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		5937.02	1632.8	5937.02	
"Percutaneous skeletal fixation of femoral fracture, proximal end, neck"	27235	CPT	Outpatient			2230	1449.5		90			Percent of total billed charges		2007	95.46			Fee schedule		2230	80			Percent of total billed charges		1784	85			Percent of total billed charges		1895.5	100			Fee schedule		5937.02	85			Percent of total billed charges		1895.5	100			Fee schedule		2230	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		5937.02	1767	5937.02	
Suture of infrapatellar tendon; primary	27380	CPT	Outpatient			3572.5	2322.12		90			Percent of total billed charges		3215.25	95.46			Fee schedule		3572.5	80			Percent of total billed charges		2858	85			Percent of total billed charges		3036.62	100			Fee schedule		5937.02	85			Percent of total billed charges		3036.62	100			Fee schedule		3572.5	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		5937.02	1767	5937.02	
Suture of quadriceps or hamstring muscle rupture; primary	27385	CPT	Outpatient			4044.87	2629.16		90			Percent of total billed charges		3640.38	95.46			Fee schedule		4044.87	80			Percent of total billed charges		3235.89	85			Percent of total billed charges		3438.14	100			Fee schedule		5937.02	85			Percent of total billed charges		3438.14	100			Fee schedule		4044.87	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		5937.02	1767	5937.02	
"Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system"	20690	CPT	Outpatient			4208	2735.2		90			Percent of total billed charges		3787.2	95.46			Fee schedule		4208	80			Percent of total billed charges		3366.4	85			Percent of total billed charges		3576.8	100			Fee schedule		5937.02	85			Percent of total billed charges		3576.8	100			Fee schedule		4208	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		5937.02	1767	5937.02	
"Arthroscopically aided treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed (includes arthroscopy)"	29855	CPT	Outpatient			1775	1153.75		90			Percent of total billed charges		1597.5	95.46			Fee schedule		1775	80			Percent of total billed charges		1420	85			Percent of total billed charges		1508.75	100			Fee schedule		5937.02	85			Percent of total billed charges		1508.75	100			Fee schedule		1775	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		3486		Case rate	Use Lesser of logic	1775		3486		Case rate	Use Lesser of logic	1775	100			Fee schedule		5937.02	1420	5937.02	
"Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell, Goldwaite type procedure)"	27422	CPT	Outpatient			1795	1166.75		90			Percent of total billed charges		1615.5	95.46			Fee schedule		1795	80			Percent of total billed charges		1436	85			Percent of total billed charges		1525.75	100			Fee schedule		5937.02	85			Percent of total billed charges		1525.75	100			Fee schedule		1795	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		2168		Case rate	Use Lesser of logic	1795		2168		Case rate	Use Lesser of logic	1795	100			Fee schedule		5937.02	1436	5937.02	
"Arthrodesis, wrist; complete, without bone graft (includes radiocarpal and/or intercarpal and/or carpometacarpal joints)"	25800	CPT	Outpatient			1800	1170		90			Percent of total billed charges		1620	95.46			Fee schedule		1800	80			Percent of total billed charges		1440	85			Percent of total billed charges		1530	100			Fee schedule		5937.02	85			Percent of total billed charges		1530	100			Fee schedule		1800	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		3486		Case rate	Use Lesser of logic	1800		3486		Case rate	Use Lesser of logic	1800	100			Fee schedule		5937.02	1440	5937.02	
"Reconstruction of dislocating patella; (eg, Hauser type procedure)"	27420	CPT	Outpatient			1810	1176.5		90			Percent of total billed charges		1629	95.46			Fee schedule		1810	80			Percent of total billed charges		1448	85			Percent of total billed charges		1538.5	100			Fee schedule		5937.02	85			Percent of total billed charges		1538.5	100			Fee schedule		1810	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		2168		Case rate	Use Lesser of logic	1810		2168		Case rate	Use Lesser of logic	1810	100			Fee schedule		5937.02	1448	5937.02	
"Arthrodesis, midtarsal or tarsometatarsal, single joint"	28740	CPT	Outpatient			1823.43	1185.23		90			Percent of total billed charges		1641.09	95.46			Fee schedule		1823.43	80			Percent of total billed charges		1458.75	85			Percent of total billed charges		1549.92	100			Fee schedule		5937.02	85			Percent of total billed charges		1549.92	100			Fee schedule		1823.43	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		3486		Case rate	Use Lesser of logic	1823.43		3486		Case rate	Use Lesser of logic	1823.43	100			Fee schedule		5937.02	1458.75	5937.02	
"Coracoacromial ligament release, with or without acromioplasty"	23415	CPT	Outpatient			1825	1186.25		90			Percent of total billed charges		1642.5	95.46			Fee schedule		1825	80			Percent of total billed charges		1460	85			Percent of total billed charges		1551.25	100			Fee schedule		5937.02	85			Percent of total billed charges		1551.25	100			Fee schedule		1825	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		2168		Case rate	Use Lesser of logic	1825		2168		Case rate	Use Lesser of logic	1825	100			Fee schedule		5937.02	1460	5937.02	
Replacement of tissue expander with permanent implant	11970	CPT	Outpatient			1889.06	1227.89		90			Percent of total billed charges		1700.16	95.46			Fee schedule		1889.06	80			Percent of total billed charges		1511.25	85			Percent of total billed charges		1605.7	100			Fee schedule		5937.02	85			Percent of total billed charges		1605.7	100			Fee schedule		1889.06	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		2168		Case rate	Use Lesser of logic	1889.06		2168		Case rate	Use Lesser of logic	1889.06	100			Fee schedule		5937.02	1511.25	5937.02	
"Repair of nonunion, scaphoid carpal (navicular) bone, with or without radial styloidectomy (includes obtaining graft and necessary fixation)"	25440	CPT	Outpatient			1895	1231.75		90			Percent of total billed charges		1705.5	95.46			Fee schedule		1895	80			Percent of total billed charges		1516	85			Percent of total billed charges		1610.75	100			Fee schedule		5937.02	85			Percent of total billed charges		1610.75	100			Fee schedule		1895	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		2168		Case rate	Use Lesser of logic	1895		2168		Case rate	Use Lesser of logic	1895	100			Fee schedule		5937.02	1516	5937.02	
"Arthroplasty, interphalangeal joint; with prosthetic implant, each joint"	26536	CPT	Outpatient			1920	1248		90			Percent of total billed charges		1728	95.46			Fee schedule		1920	80			Percent of total billed charges		1536	85			Percent of total billed charges		1632	100			Fee schedule		5937.02	85			Percent of total billed charges		1632	100			Fee schedule		1920	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		2168		Case rate	Use Lesser of logic	1920		2168		Case rate	Use Lesser of logic	1920	100			Fee schedule		5937.02	1536	5937.02	
Repair of fibula nonunion and/or malunion with internal fixation	27726	CPT	Outpatient			1925	1251.25		90			Percent of total billed charges		1732.5	95.46			Fee schedule		1925	80			Percent of total billed charges		1540	85			Percent of total billed charges		1636.25	100			Fee schedule		5937.02	85			Percent of total billed charges		1636.25	100			Fee schedule		1925	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		3486		Case rate	Use Lesser of logic	1925		3486		Case rate	Use Lesser of logic	1925	100			Fee schedule		5937.02	1540	5937.02	
"Repair, secondary, Achilles tendon, with or without graft"	27654	CPT	Outpatient			1935	1257.75		90			Percent of total billed charges		1741.5	95.46			Fee schedule		1935	80			Percent of total billed charges		1548	85			Percent of total billed charges		1644.75	100			Fee schedule		5937.02	85			Percent of total billed charges		1644.75	100			Fee schedule		1935	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		2168		Case rate	Use Lesser of logic	1935		2168		Case rate	Use Lesser of logic	1935	100			Fee schedule		5937.02	1548	5937.02	
"Osteotomy, radius; distal third"	25350	CPT	Outpatient			2060	1339		90			Percent of total billed charges		1854	95.46			Fee schedule		2060	80			Percent of total billed charges		1648	85			Percent of total billed charges		1751	100			Fee schedule		5937.02	85			Percent of total billed charges		1751	100			Fee schedule		2060	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		2168		Case rate	Use Lesser of logic	2060		2168		Case rate	Use Lesser of logic	2060	100			Fee schedule		5937.02	1648	5937.02	
"Open treatment of ankle dislocation, with or without percutaneous skeletal fixation; with repair or internal or external fixation"	27848	CPT	Outpatient			2105	1368.25		90			Percent of total billed charges		1894.5	95.46			Fee schedule		2105	80			Percent of total billed charges		1684	85			Percent of total billed charges		1789.25	100			Fee schedule		5937.02	85			Percent of total billed charges		1789.25	100			Fee schedule		2105	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		3486		Case rate	Use Lesser of logic	2105		3486		Case rate	Use Lesser of logic	2105	100			Fee schedule		5937.02	1684	5937.02	
"Osteoplasty, radius OR ulna; shortening"	25390	CPT	Outpatient			2145	1394.25		90			Percent of total billed charges		1930.5	95.46			Fee schedule		2145	80			Percent of total billed charges		1716	85			Percent of total billed charges		1823.25	100			Fee schedule		5937.02	85			Percent of total billed charges		1823.25	100			Fee schedule		2145	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		2168		Case rate	Use Lesser of logic	2145		2168		Case rate	Use Lesser of logic	2145	100			Fee schedule		5937.02	1716	5937.02	
"Arthrotomy, hip, including exploration or removal of loose or foreign body"	27033	CPT	Outpatient			2150	1397.5		90			Percent of total billed charges		1935	95.46			Fee schedule		2150	80			Percent of total billed charges		1720	85			Percent of total billed charges		1827.5	100			Fee schedule		5937.02	85			Percent of total billed charges		1827.5	100			Fee schedule		2150	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		2168		Case rate	Use Lesser of logic	2150		2168		Case rate	Use Lesser of logic	2150	100			Fee schedule		5937.02	1720	5937.02	
"Anterior tibial tubercleplasty (eg, Maquet type procedure)"	27418	CPT	Outpatient			2155	1400.75		90			Percent of total billed charges		1939.5	95.46			Fee schedule		2155	80			Percent of total billed charges		1724	85			Percent of total billed charges		1831.75	100			Fee schedule		5937.02	85			Percent of total billed charges		1831.75	100			Fee schedule		2155	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		2168		Case rate	Use Lesser of logic	2155		2168		Case rate	Use Lesser of logic	2155	100			Fee schedule		5937.02	1724	5937.02	
"Open treatment of bimalleolar ankle fracture (eg, lateral and medial malleoli, or lateral and posterior malleoli, or medial and posterior malleoli), includes internal fixation, when performed"	27814	CPT	Outpatient			2160.25	1404.16		90			Percent of total billed charges		1944.22	95.46			Fee schedule		2160.25	80			Percent of total billed charges		1728.2	85			Percent of total billed charges		1836.21	100			Fee schedule		5937.02	85			Percent of total billed charges		1836.21	100			Fee schedule		2160.25	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		3486		Case rate	Use Lesser of logic	2160.25		3486		Case rate	Use Lesser of logic	2160.25	100			Fee schedule		5937.02	1728.2	5937.02	
"Reconstruction of complete shoulder (rotator) cuff avulsion, chronic (includes acromioplasty)"	23420	CPT	Outpatient			2380	1547		90			Percent of total billed charges		2142	95.46			Fee schedule		2380	80			Percent of total billed charges		1904	85			Percent of total billed charges		2023	100			Fee schedule		5937.02	85			Percent of total billed charges		2023	100			Fee schedule		2380	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		2168		Case rate		2168		2168		Case rate		2168	100			Fee schedule		5937.02	1904	5937.02	
"Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic"	23412	CPT	Outpatient			2385	1550.25		90			Percent of total billed charges		2146.5	95.46			Fee schedule		2385	80			Percent of total billed charges		1908	85			Percent of total billed charges		2027.25	100			Fee schedule		5937.02	85			Percent of total billed charges		2027.25	100			Fee schedule		2385	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		2168		Case rate		2168		2168		Case rate		2168	100			Fee schedule		5937.02	1908	5937.02	
Tenodesis of long tendon of biceps	23430	CPT	Outpatient			2533.42	1646.72		90			Percent of total billed charges		2280.08	95.46			Fee schedule		2533.42	80			Percent of total billed charges		2026.74	85			Percent of total billed charges		2153.41	100			Fee schedule		5937.02	85			Percent of total billed charges		2153.41	100			Fee schedule		2533.42	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		2168		Case rate		2168		2168		Case rate		2168	100			Fee schedule		5937.02	2026.74	5937.02	
"Capsulorrhaphy, anterior, any type; with coracoid process transfer"	23462	CPT	Outpatient			2700	1755		90			Percent of total billed charges		2430	95.46			Fee schedule		2700	80			Percent of total billed charges		2160	85			Percent of total billed charges		2295	100			Fee schedule		5937.02	85			Percent of total billed charges		2295	100			Fee schedule		2700	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		2168		Case rate		2168		2168		Case rate		2168	100			Fee schedule		5937.02	2160	5937.02	
"Capsulorrhaphy, glenohumeral joint, any type multidirectional instability"	23466	CPT	Outpatient			2740	1781		90			Percent of total billed charges		2466	95.46			Fee schedule		2740	80			Percent of total billed charges		2192	85			Percent of total billed charges		2329	100			Fee schedule		5937.02	85			Percent of total billed charges		2329	100			Fee schedule		2740	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		2168		Case rate		2168		2168		Case rate		2168	100			Fee schedule		5937.02	2168	5937.02	
"Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; acute"	23410	CPT	Outpatient			3075.79	1999.26		90			Percent of total billed charges		2768.21	95.46			Fee schedule		3075.79	80			Percent of total billed charges		2460.63	85			Percent of total billed charges		2614.42	100			Fee schedule		5937.02	85			Percent of total billed charges		2614.42	100			Fee schedule		3075.79	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		2168		Case rate		2168		2168		Case rate		2168	100			Fee schedule		5937.02	2168	5937.02	
"Repair, primary, open or percutaneous, ruptured Achilles tendon"	27650	CPT	Outpatient			3143.56	2043.32		90			Percent of total billed charges		2829.21	95.46			Fee schedule		3143.56	80			Percent of total billed charges		2514.85	85			Percent of total billed charges		2672.03	100			Fee schedule		5937.02	85			Percent of total billed charges		2672.03	100			Fee schedule		3143.56	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		2168		Case rate		2168		2168		Case rate		2168	100			Fee schedule		5937.02	2168	5937.02	
"Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique)"	25400	CPT	Outpatient			3424.95	2226.22		90			Percent of total billed charges		3082.46	95.46			Fee schedule		3424.95	80			Percent of total billed charges		2739.96	85			Percent of total billed charges		2911.21	100			Fee schedule		5937.02	85			Percent of total billed charges		2911.21	100			Fee schedule		3424.95	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		2168		Case rate		2168		2168		Case rate		2168	100			Fee schedule		5937.02	2168	5937.02	
"Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft"	24342	CPT	Outpatient			4782.67	3108.74		90			Percent of total billed charges		4304.4	95.46			Fee schedule		4782.67	80			Percent of total billed charges		3826.14	85			Percent of total billed charges		4065.27	100			Fee schedule		5937.02	85			Percent of total billed charges		4065.27	100			Fee schedule		4782.67	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		2168		Case rate		2168		2168		Case rate		2168	100			Fee schedule		5937.02	2168	5937.02	
"Osteotomy, clavicle, with or without internal fixation"	23480	CPT	Outpatient			9949.93	6467.46		90			Percent of total billed charges		8954.94	95.46			Fee schedule		5667.48	80			Percent of total billed charges		7959.95	85			Percent of total billed charges		8457.44	100			Fee schedule		5937.02	85			Percent of total billed charges		8457.44	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		2168		Case rate		2168		2168		Case rate		2168	100			Fee schedule		5937.02	2168	8954.94	
"Open treatment of radial shaft fracture, includes internal fixation, when performed, and closed treatment of distal radioulnar joint dislocation (Galeazzi fracture/ dislocation), includes percutaneous skeletal fixation, when performed"	25525	CPT	Outpatient			2210	1436.5		90			Percent of total billed charges		1989	95.46			Fee schedule		2210	80			Percent of total billed charges		1768	85			Percent of total billed charges		1878.5	100			Fee schedule		5937.02	85			Percent of total billed charges		1878.5	100			Fee schedule		2210	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		3486		Case rate	Use Lesser of logic	2210		3486		Case rate	Use Lesser of logic	2210	100			Fee schedule		5937.02	1768	5937.02	
"Arthroscopy, shoulder, surgical; repair of SLAP lesion"	29807	CPT	Outpatient			2238	1454.7		90			Percent of total billed charges		2014.2	95.46			Fee schedule		2238	80			Percent of total billed charges		1790.4	85			Percent of total billed charges		1902.3	100			Fee schedule		5937.02	85			Percent of total billed charges		1902.3	100			Fee schedule		2238	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		3486		Case rate	Use Lesser of logic	2238		3486		Case rate	Use Lesser of logic	2238	100			Fee schedule		5937.02	1790.4	5937.02	
"Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral malleolus; with fixation of posterior lip"	27823	CPT	Outpatient			2295	1491.75		90			Percent of total billed charges		2065.5	95.46			Fee schedule		2295	80			Percent of total billed charges		1836	85			Percent of total billed charges		1950.75	100			Fee schedule		5937.02	85			Percent of total billed charges		1950.75	100			Fee schedule		2295	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		3486		Case rate	Use Lesser of logic	2295		3486		Case rate	Use Lesser of logic	2295	100			Fee schedule		5937.02	1836	5937.02	
"Repair of nonunion or malunion, radius AND ulna; without graft (eg, compression technique)"	25415	CPT	Outpatient			2300	1495		90			Percent of total billed charges		2070	95.46			Fee schedule		2300	80			Percent of total billed charges		1840	85			Percent of total billed charges		1955	100			Fee schedule		5937.02	85			Percent of total billed charges		1955	100			Fee schedule		2300	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		3486		Case rate	Use Lesser of logic	2300		3486		Case rate	Use Lesser of logic	2300	100			Fee schedule		5937.02	1840	5937.02	
"Arthroscopy, shoulder, surgical; biceps tenodesis"	29828	CPT	Outpatient			2393.15	1555.55		90			Percent of total billed charges		2153.83	95.46			Fee schedule		2393.15	80			Percent of total billed charges		1914.52	85			Percent of total billed charges		2034.17	100			Fee schedule		5937.02	85			Percent of total billed charges		2034.17	100			Fee schedule		2393.15	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		3486		Case rate	Use Lesser of logic	2393.15		3486		Case rate	Use Lesser of logic	2393.15	100			Fee schedule		5937.02	1914.52	5937.02	
"Capsulorrhaphy, anterior; with labral repair (eg, Bankart procedure)"	23455	CPT	Outpatient			2435	1582.75		90			Percent of total billed charges		2191.5	95.46			Fee schedule		2435	80			Percent of total billed charges		1948	85			Percent of total billed charges		2069.75	100			Fee schedule		5937.02	85			Percent of total billed charges		2069.75	100			Fee schedule		2435	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		3486		Case rate	Use Lesser of logic	2435		3486		Case rate	Use Lesser of logic	2435	100			Fee schedule		5937.02	1948	5937.02	
"Open treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of radial head), includes internal fixation, when performed"	24635	CPT	Outpatient			2485	1615.25		90			Percent of total billed charges		2236.5	95.46			Fee schedule		2485	80			Percent of total billed charges		1988	85			Percent of total billed charges		2112.25	100			Fee schedule		5937.02	85			Percent of total billed charges		2112.25	100			Fee schedule		2485	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		3486		Case rate	Use Lesser of logic	2485		3486		Case rate	Use Lesser of logic	2485	100			Fee schedule		5937.02	1988	5937.02	
"Repair of nonunion or malunion, tibia; without graft, (eg, compression technique)"	27720	CPT	Outpatient			2525	1641.25		90			Percent of total billed charges		2272.5	95.46			Fee schedule		2525	80			Percent of total billed charges		2020	85			Percent of total billed charges		2146.25	100			Fee schedule		5937.02	85			Percent of total billed charges		2146.25	100			Fee schedule		2525	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		3486		Case rate	Use Lesser of logic	2525		3486		Case rate	Use Lesser of logic	2525	100			Fee schedule		5937.02	2020	5937.02	
"Arthroscopy, shoulder, surgical; with rotator cuff repair"	29827	CPT	Outpatient			2533.42	1646.72		90			Percent of total billed charges		2280.08	95.46			Fee schedule		2533.42	80			Percent of total billed charges		2026.74	85			Percent of total billed charges		2153.41	100			Fee schedule		5937.02	85			Percent of total billed charges		2153.41	100			Fee schedule		2533.42	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		3486		Case rate	Use Lesser of logic	2533.42		3486		Case rate	Use Lesser of logic	2533.42	100			Fee schedule		5937.02	2026.74	5937.02	
"Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograft[s])"	29866	CPT	Outpatient			2540	1651		90			Percent of total billed charges		2286	95.46			Fee schedule		2540	80			Percent of total billed charges		2032	85			Percent of total billed charges		2159	100			Fee schedule		5937.02	85			Percent of total billed charges		2159	100			Fee schedule		2540	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		3486		Case rate	Use Lesser of logic	2540		3486		Case rate	Use Lesser of logic	2540	100			Fee schedule		5937.02	2032	5937.02	
"Open treatment of talus fracture, includes internal fixation, when performed"	28445	CPT	Outpatient			2615	1699.75		90			Percent of total billed charges		2353.5	95.46			Fee schedule		2615	80			Percent of total billed charges		2092	85			Percent of total billed charges		2222.75	100			Fee schedule		5937.02	85			Percent of total billed charges		2222.75	100			Fee schedule		2615	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		3486		Case rate	Use Lesser of logic	2615		3486		Case rate	Use Lesser of logic	2615	100			Fee schedule		5937.02	2092	5937.02	
Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction	29888	CPT	Outpatient			2650	1722.5		90			Percent of total billed charges		2385	95.46			Fee schedule		2650	80			Percent of total billed charges		2120	85			Percent of total billed charges		2252.5	100			Fee schedule		5937.02	85			Percent of total billed charges		2252.5	100			Fee schedule		2650	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		3486		Case rate	Use Lesser of logic	2650		3486		Case rate	Use Lesser of logic	2650	100			Fee schedule		5937.02	2120	5937.02	
"Open treatment of distal fibular fracture (lateral malleolus), includes internal fixation, when performed"	27792	CPT	Outpatient			2671.59	1736.54		90			Percent of total billed charges		2404.43	95.46			Fee schedule		2671.59	80			Percent of total billed charges		2137.27	85			Percent of total billed charges		2270.85	100			Fee schedule		5937.02	85			Percent of total billed charges		2270.85	100			Fee schedule		2671.59	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		3486		Case rate	Use Lesser of logic	2671.59		3486		Case rate	Use Lesser of logic	2671.59	100			Fee schedule		5937.02	2137.27	5937.02	
"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, cervical"	63020	CPT	Outpatient			2758	1792.7		90			Percent of total billed charges		2482.2	95.46			Fee schedule		2758	80			Percent of total billed charges		2206.4	85			Percent of total billed charges		2344.3	100			Fee schedule		5937.02	85			Percent of total billed charges		2344.3	100			Fee schedule		2758	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		3486		Case rate	Use Lesser of logic	2758		3486		Case rate	Use Lesser of logic	2758	100			Fee schedule		5937.02	2206.4	5937.02	
"Open treatment of radial shaft fracture, includes internal fixation, when performed"	25515	CPT	Outpatient			2804.8	1823.12		90			Percent of total billed charges		2524.32	95.46			Fee schedule		2804.8	80			Percent of total billed charges		2243.84	85			Percent of total billed charges		2384.08	100			Fee schedule		5937.02	85			Percent of total billed charges		2384.08	100			Fee schedule		2804.8	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		3486		Case rate	Use Lesser of logic	2804.8		3486		Case rate	Use Lesser of logic	2804.8	100			Fee schedule		5937.02	2243.84	5937.02	
"Open treatment of calcaneal fracture, includes internal fixation, when performed"	28415	CPT	Outpatient			2805	1823.25		90			Percent of total billed charges		2524.5	95.46			Fee schedule		2805	80			Percent of total billed charges		2244	85			Percent of total billed charges		2384.25	100			Fee schedule		5937.02	85			Percent of total billed charges		2384.25	100			Fee schedule		2805	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		3486		Case rate	Use Lesser of logic	2805		3486		Case rate	Use Lesser of logic	2805	100			Fee schedule		5937.02	2244	5937.02	
"Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft)"	25405	CPT	Outpatient			2840	1846		90			Percent of total billed charges		2556	95.46			Fee schedule		2840	80			Percent of total billed charges		2272	85			Percent of total billed charges		2414	100			Fee schedule		5937.02	85			Percent of total billed charges		2414	100			Fee schedule		2840	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		3486		Case rate	Use Lesser of logic	2840		3486		Case rate	Use Lesser of logic	2840	100			Fee schedule		5937.02	2272	5937.02	
"Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft)"	25420	CPT	Outpatient			2850	1852.5		90			Percent of total billed charges		2565	95.46			Fee schedule		2850	80			Percent of total billed charges		2280	85			Percent of total billed charges		2422.5	100			Fee schedule		5937.02	85			Percent of total billed charges		2422.5	100			Fee schedule		2850	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		3486		Case rate	Use Lesser of logic	2850		3486		Case rate	Use Lesser of logic	2850	100			Fee schedule		5937.02	2280	5937.02	
"Open treatment of distal tibiofibular joint (syndesmosis) disruption, includes internal fixation, when performed"	27829	CPT	Outpatient			2860.8	1859.52		90			Percent of total billed charges		2574.72	95.46			Fee schedule		2860.8	80			Percent of total billed charges		2288.64	85			Percent of total billed charges		2431.68	100			Fee schedule		5937.02	85			Percent of total billed charges		2431.68	100			Fee schedule		2860.8	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		3486		Case rate	Use Lesser of logic	2860.8		3486		Case rate	Use Lesser of logic	2860.8	100			Fee schedule		5937.02	2288.64	5937.02	
"Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda equina and nerve roots for spondylolisthesis, lumbar (Gill type procedure)"	63012	CPT	Outpatient			2900	1885		90			Percent of total billed charges		2610	95.46			Fee schedule		2900	80			Percent of total billed charges		2320	85			Percent of total billed charges		2465	100			Fee schedule		5937.02	85			Percent of total billed charges		2465	100			Fee schedule		2900	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		3486		Case rate	Use Lesser of logic	2900		3486		Case rate	Use Lesser of logic	2900	100			Fee schedule		5937.02	2320	5937.02	
"Open treatment of patellar fracture, with internal fixation and/or partial or complete patellectomy and soft tissue repair"	27524	CPT	Outpatient			3043.77	1978.45		90			Percent of total billed charges		2739.39	95.46			Fee schedule		3043.77	80			Percent of total billed charges		2435.01	85			Percent of total billed charges		2587.2	100			Fee schedule		5937.02	85			Percent of total billed charges		2587.2	100			Fee schedule		3043.77	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		3486		Case rate	Use Lesser of logic	3043.77		3486		Case rate	Use Lesser of logic	3043.77	100			Fee schedule		5937.02	2435.01	5937.02	
"Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s], [eg, spinal or lateral recess stenosis]), single vertebral segment; cervical"	63045	CPT	Outpatient			3125	2031.25		90			Percent of total billed charges		2812.5	95.46			Fee schedule		3125	80			Percent of total billed charges		2500	85			Percent of total billed charges		2656.25	100			Fee schedule		5937.02	85			Percent of total billed charges		2656.25	100			Fee schedule		3125	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		3486		Case rate	Use Lesser of logic	3125		3486		Case rate	Use Lesser of logic	3125	100			Fee schedule		5937.02	2500	5937.02	
"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; 1 interspace, lumbar"	63030	CPT	Outpatient			3275	2128.75		90			Percent of total billed charges		2947.5	95.46			Fee schedule		3275	80			Percent of total billed charges		2620	85			Percent of total billed charges		2783.75	100			Fee schedule		5937.02	85			Percent of total billed charges		2783.75	100			Fee schedule		3275	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		3486		Case rate	Use Lesser of logic	3275		3486		Case rate	Use Lesser of logic	3275	100			Fee schedule		5937.02	2620	5937.02	
"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, single interspace"	63075	CPT	Outpatient			3425	2226.25		90			Percent of total billed charges		3082.5	95.46			Fee schedule		3425	80			Percent of total billed charges		2740	85			Percent of total billed charges		2911.25	100			Fee schedule		5937.02	85			Percent of total billed charges		2911.25	100			Fee schedule		3425	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		3486		Case rate	Use Lesser of logic	3425		3486		Case rate	Use Lesser of logic	3425	100			Fee schedule		5937.02	2740	5937.02	
"Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s], [eg, spinal or lateral recess stenosis]), single vertebral segment; lumbar"	63047	CPT	Outpatient			3450	2242.5		90			Percent of total billed charges		3105	95.46			Fee schedule		3450	80			Percent of total billed charges		2760	85			Percent of total billed charges		2932.5	100			Fee schedule		5937.02	85			Percent of total billed charges		2932.5	100			Fee schedule		3450	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		3486		Case rate	Use Lesser of logic	3450		3486		Case rate	Use Lesser of logic	3450	100			Fee schedule		5937.02	2760	5937.02	
"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc, reexploration, single interspace; lumbar"	63042	CPT	Outpatient			3555	2310.75		90			Percent of total billed charges		3199.5	95.46			Fee schedule		3555	80			Percent of total billed charges		2844	85			Percent of total billed charges		3021.75	100			Fee schedule		5937.02	85			Percent of total billed charges		3021.75	100			Fee schedule		3555	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		3486		Case rate		3486		3486		Case rate		3486	100			Fee schedule		5937.02	2844	5937.02	
"Open treatment of metatarsal fracture, includes internal fixation, when performed, each"	28485	CPT	Outpatient			3862.16	2510.4		90			Percent of total billed charges		3475.94	95.46			Fee schedule		3862.16	80			Percent of total billed charges		3089.73	85			Percent of total billed charges		3282.83	100			Fee schedule		5937.02	85			Percent of total billed charges		3282.83	100			Fee schedule		3862.16	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		3486		Case rate		3486		3486		Case rate		3486	100			Fee schedule		5937.02	3089.73	5937.02	
"Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device (eg, kyphoplasty), 1 vertebral body, unilateral or bilateral cannulation, inclusive of all imaging guidance; thoracic"	22513	CPT	Outpatient			4279.88	2781.92		90			Percent of total billed charges		3851.89	95.46			Fee schedule		4279.88	80			Percent of total billed charges		3423.9	85			Percent of total billed charges		3637.9	100			Fee schedule		5937.02	85			Percent of total billed charges		3637.9	100			Fee schedule		4279.88	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		3486		Case rate		3486		3486		Case rate		3486	100			Fee schedule		5937.02	3423.9	5937.02	
"Arthrodesis, great toe; metatarsophalangeal joint"	28750	CPT	Outpatient			4368.49	2839.52		90			Percent of total billed charges		3931.65	95.46			Fee schedule		4368.49	80			Percent of total billed charges		3494.8	85			Percent of total billed charges		3713.22	100			Fee schedule		5937.02	85			Percent of total billed charges		3713.22	100			Fee schedule		4368.49	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		3486		Case rate		3486		3486		Case rate		3486	100			Fee schedule		5937.02	3486	5937.02	
Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 2 fragments	25608	CPT	Outpatient			5113.04	3323.48		90			Percent of total billed charges		4601.74	95.46			Fee schedule		5113.04	80			Percent of total billed charges		4090.43	85			Percent of total billed charges		4346.09	100			Fee schedule		5937.02	85			Percent of total billed charges		4346.09	100			Fee schedule		5113.04	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		3486		Case rate		3486		3486		Case rate		3486	100			Fee schedule		5937.02	3486	5937.02	
"Arthroscopy, shoulder, surgical; capsulorrhaphy"	29806	CPT	Outpatient			5367.44	3488.84		90			Percent of total billed charges		4830.7	95.46			Fee schedule		5367.44	80			Percent of total billed charges		4293.95	85			Percent of total billed charges		4562.33	100			Fee schedule		5937.02	85			Percent of total billed charges		4562.33	100			Fee schedule		5367.44	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		3486		Case rate		3486		3486		Case rate		3486	100			Fee schedule		5937.02	3486	5937.02	
"Open treatment of greater humeral tuberosity fracture, includes internal fixation, when performed"	23630	CPT	Outpatient			5427.05	3527.58		90			Percent of total billed charges		4884.34	95.46			Fee schedule		5427.05	80			Percent of total billed charges		4341.64	85			Percent of total billed charges		4612.99	100			Fee schedule		5937.02	85			Percent of total billed charges		4612.99	100			Fee schedule		5427.05	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		3486		Case rate		3486		3486		Case rate		3486	100			Fee schedule		5937.02	3486	5937.02	
"Open treatment of distal radial extra-articular fracture or epiphyseal separation, with internal fixation"	25607	CPT	Outpatient			6147.16	3995.66		90			Percent of total billed charges		5532.45	95.46			Fee schedule		5667.48	80			Percent of total billed charges		4917.73	85			Percent of total billed charges		5225.09	100			Fee schedule		5937.02	85			Percent of total billed charges		5225.09	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		3486		Case rate		3486		3486		Case rate		3486	100			Fee schedule		5937.02	3486	5937.02	
"Open treatment of patellar dislocation, with or without partial or total patellectomy"	27566	CPT	Outpatient			7016.42	4560.67		90			Percent of total billed charges		6314.78	95.46			Fee schedule		5667.48	80			Percent of total billed charges		5613.14	85			Percent of total billed charges		5963.96	100			Fee schedule		5937.02	85			Percent of total billed charges		5963.96	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		3486		Case rate		3486		3486		Case rate		3486	100			Fee schedule		5937.02	3486	6314.78	
"Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device (eg, kyphoplasty), 1 vertebral body, unilateral or bilateral cannulation, inclusive of all imaging guidance; lumbar"	22514	CPT	Outpatient			7200.8	4680.52		90			Percent of total billed charges		6480.72	95.46			Fee schedule		5667.48	80			Percent of total billed charges		5760.64	85			Percent of total billed charges		6120.68	100			Fee schedule		5937.02	85			Percent of total billed charges		6120.68	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		3486		Case rate		3486		3486		Case rate		3486	100			Fee schedule		5937.02	3486	6480.72	
"Percutaneous laminotomy/laminectomy (interlaminar approach) for decompression of neural elements, (with or without ligamentous resection, discectomy, facetectomy and/or foraminotomy), any method, under indirect image guidance (eg, fluoroscopic, CT), single or multiple levels, unilateral or bilateral; lumbar"	0275T	CPT	Outpatient			7811	5077.15		90			Percent of total billed charges		7029.9	95.46			Fee schedule		5667.48	80			Percent of total billed charges		6248.8	90			Percent of total billed charges		7029.9	100			Fee schedule		5937.02	85			Percent of total billed charges		6639.35	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02	100			Fee schedule		5937.02		3486		Case rate		3486		3486		Case rate		3486	100			Fee schedule		5937.02	3486	7029.9	
Intraventricular pacing	93612	CPT	Outpatient			948	616.2		90			Percent of total billed charges		853.2	95.46			Fee schedule		948	80			Percent of total billed charges		758.4	90			Percent of total billed charges		853.2	100			Fee schedule		6197.71	85			Percent of total billed charges		805.8	100			Fee schedule		948	100			Fee schedule		6197.71	100			Fee schedule		6197.71	100			Fee schedule		6197.71		1055		Case rate	Use Lesser of logic	948		1055		Case rate	Use Lesser of logic	948	100			Fee schedule		6197.71	758.4	6197.71	
"Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus)"	57282	CPT	Outpatient			1175.62	764.15		90			Percent of total billed charges		1058.06	95.46			Fee schedule		1175.62	80			Percent of total billed charges		940.5	85			Percent of total billed charges		999.28	100			Fee schedule		6271.03	85			Percent of total billed charges		999.28	100			Fee schedule		1175.62	100			Fee schedule		6271.03	100			Fee schedule		6271.03	100			Fee schedule		6271.03		2168		Case rate	Use Lesser of logic	1175.62		2168		Case rate	Use Lesser of logic	1175.62	100			Fee schedule		6271.03	940.5	6271.03	
"Paravaginal defect repair (including repair of cystocele, if performed); vaginal approach"	57285	CPT	Outpatient			1225.19	796.37		90			Percent of total billed charges		1102.67	95.46			Fee schedule		1225.19	80			Percent of total billed charges		980.15	85			Percent of total billed charges		1041.41	100			Fee schedule		6271.03	85			Percent of total billed charges		1041.41	100			Fee schedule		1225.19	100			Fee schedule		6271.03	100			Fee schedule		6271.03	100			Fee schedule		6271.03		2168		Case rate	Use Lesser of logic	1225.19		2168		Case rate	Use Lesser of logic	1225.19	100			Fee schedule		6271.03	980.15	6271.03	
Appendectomy	44950	CPT	Outpatient			1470	955.5		90			Percent of total billed charges		1323	95.46			Fee schedule		1470	80			Percent of total billed charges		1176	85			Percent of total billed charges		1249.5	100			Fee schedule		6278.53	85			Percent of total billed charges		1249.5	100			Fee schedule		1470	100			Fee schedule		6278.53	100			Fee schedule		6278.53	100			Fee schedule		6278.53		1767		Case rate	Use Lesser of logic	1470		1767		Case rate	Use Lesser of logic	1470	100			Fee schedule		6278.53	1176	6278.53	
"Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; reducible"	49500	CPT	Outpatient			1515	984.75		90			Percent of total billed charges		1363.5	95.46			Fee schedule		1515	80			Percent of total billed charges		1212	85			Percent of total billed charges		1287.75	100			Fee schedule		6278.53	85			Percent of total billed charges		1287.75	100			Fee schedule		1515	100			Fee schedule		6278.53	100			Fee schedule		6278.53	100			Fee schedule		6278.53		1767		Case rate	Use Lesser of logic	1515		1767		Case rate	Use Lesser of logic	1515	100			Fee schedule		6278.53	1212	6278.53	
"Repair recurrent inguinal hernia, any age; incarcerated or strangulated"	49521	CPT	Outpatient			1525	991.25		90			Percent of total billed charges		1372.5	95.46			Fee schedule		1525	80			Percent of total billed charges		1220	85			Percent of total billed charges		1296.25	100			Fee schedule		6278.53	85			Percent of total billed charges		1296.25	100			Fee schedule		1525	100			Fee schedule		6278.53	100			Fee schedule		6278.53	100			Fee schedule		6278.53		1767		Case rate	Use Lesser of logic	1525		1767		Case rate	Use Lesser of logic	1525	100			Fee schedule		6278.53	1220	6278.53	
Removal of permanent pacemaker pulse generator only	33233	CPT	Outpatient			545	354.25		90			Percent of total billed charges		490.5	95.46			Fee schedule		545	80			Percent of total billed charges		436	85			Percent of total billed charges		463.25	100			Fee schedule		7050.41	85			Percent of total billed charges		463.25	100			Fee schedule		545	100			Fee schedule		7050.41	100			Fee schedule		7050.41	100			Fee schedule		7050.41		1767		Case rate	Use Lesser of logic	545		1767		Case rate	Use Lesser of logic	545	100			Fee schedule		7050.41	436	7050.41	
"Insertion of a single transvenous electrode, permanent pacemaker or implantable defibrillator"	33216	CPT	Outpatient			865	562.25		90			Percent of total billed charges		778.5	95.46			Fee schedule		865	80			Percent of total billed charges		692	85			Percent of total billed charges		735.25	100			Fee schedule		7050.41	85			Percent of total billed charges		735.25	100			Fee schedule		865	100			Fee schedule		7050.41	100			Fee schedule		7050.41	100			Fee schedule		7050.41		3486		Case rate	Use Lesser of logic	865		3486		Case rate	Use Lesser of logic	865	100			Fee schedule		7050.41	692	7050.41	
Insertion of pacemaker pulse generator only; with existing single lead	33212	CPT	Outpatient			925	601.25		90			Percent of total billed charges		832.5	95.46			Fee schedule		925	80			Percent of total billed charges		740	85			Percent of total billed charges		786.25	100			Fee schedule		7050.41	85			Percent of total billed charges		786.25	100			Fee schedule		925	100			Fee schedule		7050.41	100			Fee schedule		7050.41	100			Fee schedule		7050.41		5002		Case rate	Use Lesser of logic	925		5002		Case rate	Use Lesser of logic	925	100			Fee schedule		7050.41	740	7050.41	
Insertion or replacement of temporary transvenous dual chamber pacing electrodes (separate procedure)	33211	CPT	Outpatient			4841	3146.65		90			Percent of total billed charges		4356.9	95.46			Fee schedule		4841	80			Percent of total billed charges		3872.8	85			Percent of total billed charges		4114.85	100			Fee schedule		7050.41	85			Percent of total billed charges		4114.85	100			Fee schedule		4841	100			Fee schedule		7050.41	100			Fee schedule		7050.41	100			Fee schedule		7050.41		3486		Case rate		3486		3486		Case rate		3486	100			Fee schedule		7050.41	3486	7050.41	
Insertion or replacement of temporary transvenous single chamber cardiac electrode or pacemaker catheter (separate procedure)	33210	CPT	Outpatient			7167.82	4659.08		90			Percent of total billed charges		6451.04	95.46			Fee schedule		6730.32	80			Percent of total billed charges		5734.26	85			Percent of total billed charges		6092.65	100			Fee schedule		7050.41	85			Percent of total billed charges		6092.65	100			Fee schedule		7050.41	100			Fee schedule		7050.41	100			Fee schedule		7050.41	100			Fee schedule		7050.41		3486		Case rate		3486		3486		Case rate		3486	100			Fee schedule		7050.41	3486	7050.41	
"Insertion, subcutaneous cardiac rhythm monitor, including programming"	33285	CPT	Outpatient			4474.5	2908.42		90			Percent of total billed charges		4027.05	95.46			Fee schedule		4474.5	80			Percent of total billed charges		3579.6	85			Percent of total billed charges		3803.32	100			Fee schedule		7050.41	85			Percent of total billed charges		3803.32	100			Fee schedule		4474.5	100			Fee schedule		7050.41	100			Fee schedule		7050.41	100			Fee schedule		7050.41		5002		Case rate	Use Lesser of logic	4474.5		5002		Case rate	Use Lesser of logic	4474.5	100			Fee schedule		7050.41	3579.6	7050.41	
Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; single lead system	33227	CPT	Outpatient			6468.5	4204.52		90			Percent of total billed charges		5821.65	95.46			Fee schedule		6468.5	80			Percent of total billed charges		5174.8	85			Percent of total billed charges		5498.22	100			Fee schedule		7050.41	85			Percent of total billed charges		5498.22	100			Fee schedule		6468.5	100			Fee schedule		7050.41	100			Fee schedule		7050.41	100			Fee schedule		7050.41		5002		Case rate		5002		5002		Case rate		5002	100			Fee schedule		7050.41	5002	7050.41	
"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guidance; simple (eg, stone[s] up to 2 cm in single location of kidney or renal pelvis, nonbranching stones)"	50080	CPT	Outpatient			146.29	95.09		90			Percent of total billed charges		131.66	95.46			Fee schedule		146.29	80			Percent of total billed charges		117.03	85			Percent of total billed charges		124.35	100			Fee schedule		7645.12	85			Percent of total billed charges		124.35	100			Fee schedule		146.29	100			Fee schedule		7645.12	100			Fee schedule		7645.12	100			Fee schedule		7645.12		2168		Case rate	Use Lesser of logic	146.29		2168		Case rate	Use Lesser of logic	146.29	100			Fee schedule		7645.12	117.03	7645.12	
"Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without biopsy"	50557	CPT	Outpatient			1200	780		90			Percent of total billed charges		1080	95.46			Fee schedule		1200	80			Percent of total billed charges		960	85			Percent of total billed charges		1020	100			Fee schedule		7645.12	85			Percent of total billed charges		1020	100			Fee schedule		1200	100			Fee schedule		7645.12	100			Fee schedule		7645.12	100			Fee schedule		7645.12		1495		Case rate	Use Lesser of logic	1200		1495		Case rate	Use Lesser of logic	1200	100			Fee schedule		7645.12	960	7645.12	
"Cystorrhaphy, suture of bladder wound, injury or rupture; simple"	51860	CPT	Outpatient			1660	1079		90			Percent of total billed charges		1494	95.46			Fee schedule		1660	80			Percent of total billed charges		1328	85			Percent of total billed charges		1411	100			Fee schedule		7645.12	85			Percent of total billed charges		1411	100			Fee schedule		1660	100			Fee schedule		7645.12	100			Fee schedule		7645.12	100			Fee schedule		7645.12		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule		7645.12	1328	7645.12	
"Percutaneous nephrolithotomy or pyelolithotomy, lithotripsy, stone extraction, antegrade ureteroscopy, antegrade stent placement and nephrostomy tube placement, when performed, including imaging guidance; complex (eg, stone[s] > 2 cm, branching stones, stones in multiple locations, ureter stones, complicated anatomy)"	50081	CPT	Outpatient			5128.46	3333.5		90			Percent of total billed charges		4615.61	95.46			Fee schedule		5128.46	80			Percent of total billed charges		4102.77	85			Percent of total billed charges		4359.19	100			Fee schedule		7645.12	85			Percent of total billed charges		4359.19	100			Fee schedule		5128.46	100			Fee schedule		7645.12	100			Fee schedule		7645.12	100			Fee schedule		7645.12		2168		Case rate		2168		2168		Case rate		2168	100			Fee schedule		7645.12	2168	7645.12	
Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring)	55873	CPT	Outpatient			5400	3510		90			Percent of total billed charges		4860	95.46			Fee schedule		5400	80			Percent of total billed charges		4320	85			Percent of total billed charges		4590	100			Fee schedule		7645.12	85			Percent of total billed charges		4590	100			Fee schedule		5400	100			Fee schedule		7645.12	100			Fee schedule		7645.12	100			Fee schedule		7645.12		5002		Case rate		5002		5002		Case rate		5002	100			Fee schedule		7645.12	4320	7645.12	
Insertion or replacement of breast implant on separate day from mastectomy	19342	CPT	Outpatient			1738.66	1130.13		90			Percent of total billed charges		1564.79	95.46			Fee schedule		1738.66	80			Percent of total billed charges		1390.93	85			Percent of total billed charges		1477.86	100			Fee schedule		7822.99	85			Percent of total billed charges		1477.86	100			Fee schedule		1738.66	100			Fee schedule		7822.99	100			Fee schedule		7822.99	100			Fee schedule		7822.99		3486		Case rate	Use Lesser of logic	1738.66		3486		Case rate	Use Lesser of logic	1738.66	100			Fee schedule		7822.99	1390.93	7822.99	
Breast augmentation with implant	19325	CPT	Outpatient			2698.21	1753.84		90			Percent of total billed charges		2428.39	95.46			Fee schedule		2698.21	80			Percent of total billed charges		2158.57	85			Percent of total billed charges		2293.48	100			Fee schedule		7822.99	85			Percent of total billed charges		2293.48	100			Fee schedule		2698.21	100			Fee schedule		7822.99	100			Fee schedule		7822.99	100			Fee schedule		7822.99		3486		Case rate	Use Lesser of logic	2698.21		3486		Case rate	Use Lesser of logic	2698.21	100			Fee schedule		7822.99	2158.57	7822.99	
"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh"	43282	CPT	Outpatient			261	169.65		90			Percent of total billed charges		234.9	95.46			Fee schedule		261	80			Percent of total billed charges		208.8	85			Percent of total billed charges		221.85	100			Fee schedule		8542.56	85			Percent of total billed charges		221.85	100			Fee schedule		261	100			Fee schedule		8542.56	100			Fee schedule		8542.56	100			Fee schedule		8542.56		3486		Case rate	Use Lesser of logic	261		3486		Case rate	Use Lesser of logic	261	100			Fee schedule		8542.56	208.8	8542.56	
"Thoracoscopy; with diagnostic biopsy(ies) of lung nodule(s) or mass(es) (eg, wedge, incisional), unilateral"	32608	CPT	Outpatient			1030	669.5		90			Percent of total billed charges		927	95.46			Fee schedule		1030	80			Percent of total billed charges		824	85			Percent of total billed charges		875.5	100			Fee schedule		8542.56	85			Percent of total billed charges		875.5	100			Fee schedule		1030	100			Fee schedule		8542.56	100			Fee schedule		8542.56	100			Fee schedule		8542.56		2168		Case rate	Use Lesser of logic	1030		2168		Case rate	Use Lesser of logic	1030	100			Fee schedule		8542.56	824	8542.56	
"Biliary endoscopy, percutaneous via T-tube or other tract; with removal of calculus/calculi"	47554	CPT	Outpatient			1075	698.75		90			Percent of total billed charges		967.5	95.46			Fee schedule		1075	80			Percent of total billed charges		860	85			Percent of total billed charges		913.75	100			Fee schedule		8542.56	85			Percent of total billed charges		913.75	100			Fee schedule		1075	100			Fee schedule		8542.56	100			Fee schedule		8542.56	100			Fee schedule		8542.56		3486		Case rate	Use Lesser of logic	1075		3486		Case rate	Use Lesser of logic	1075	100			Fee schedule		8542.56	860	8542.56	
"Laparoscopy, surgical, colpopexy (suspension of vaginal apex)"	57425	CPT	Outpatient			1388.77	902.7		90			Percent of total billed charges		1249.89	95.46			Fee schedule		1388.77	80			Percent of total billed charges		1111.01	85			Percent of total billed charges		1180.45	100			Fee schedule		8542.56	85			Percent of total billed charges		1180.45	100			Fee schedule		1388.77	100			Fee schedule		8542.56	100			Fee schedule		8542.56	100			Fee schedule		8542.56		3486		Case rate	Use Lesser of logic	1388.77		3486		Case rate	Use Lesser of logic	1388.77	100			Fee schedule		8542.56	1111.01	8542.56	
"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less"	58541	CPT	Outpatient			1775	1153.75		90			Percent of total billed charges		1597.5	95.46			Fee schedule		1775	80			Percent of total billed charges		1420	85			Percent of total billed charges		1508.75	100			Fee schedule		8542.56	85			Percent of total billed charges		1508.75	100			Fee schedule		1775	100			Fee schedule		8542.56	100			Fee schedule		8542.56	100			Fee schedule		8542.56		3486		Case rate	Use Lesser of logic	1775		3486		Case rate	Use Lesser of logic	1775	100			Fee schedule		8542.56	1420	8542.56	
"Laparoscopy, surgical, supracervical hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)"	58542	CPT	Outpatient			1950	1267.5		90			Percent of total billed charges		1755	95.46			Fee schedule		1950	80			Percent of total billed charges		1560	85			Percent of total billed charges		1657.5	100			Fee schedule		8542.56	85			Percent of total billed charges		1657.5	100			Fee schedule		1950	100			Fee schedule		8542.56	100			Fee schedule		8542.56	100			Fee schedule		8542.56		3486		Case rate	Use Lesser of logic	1950		3486		Case rate	Use Lesser of logic	1950	100			Fee schedule		8542.56	1560	8542.56	
"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g"	58553	CPT	Outpatient			2100	1365		90			Percent of total billed charges		1890	95.46			Fee schedule		2100	80			Percent of total billed charges		1680	85			Percent of total billed charges		1785	100			Fee schedule		8542.56	85			Percent of total billed charges		1785	100			Fee schedule		2100	100			Fee schedule		8542.56	100			Fee schedule		8542.56	100			Fee schedule		8542.56		3486		Case rate	Use Lesser of logic	2100		3486		Case rate	Use Lesser of logic	2100	100			Fee schedule		8542.56	1680	8542.56	
"Laparoscopy, surgical, supracervical hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)"	58544	CPT	Outpatient			2200	1430		90			Percent of total billed charges		1980	95.46			Fee schedule		2200	80			Percent of total billed charges		1760	85			Percent of total billed charges		1870	100			Fee schedule		8542.56	85			Percent of total billed charges		1870	100			Fee schedule		2200	100			Fee schedule		8542.56	100			Fee schedule		8542.56	100			Fee schedule		8542.56		3486		Case rate	Use Lesser of logic	2200		3486		Case rate	Use Lesser of logic	2200	100			Fee schedule		8542.56	1760	8542.56	
"Laparoscopy, surgical; cholecystectomy with exploration of common duct"	47564	CPT	Outpatient			2225	1446.25		90			Percent of total billed charges		2002.5	95.46			Fee schedule		2225	80			Percent of total billed charges		1780	85			Percent of total billed charges		1891.25	100			Fee schedule		8542.56	85			Percent of total billed charges		1891.25	100			Fee schedule		2225	100			Fee schedule		8542.56	100			Fee schedule		8542.56	100			Fee schedule		8542.56		3486		Case rate	Use Lesser of logic	2225		3486		Case rate	Use Lesser of logic	2225	100			Fee schedule		8542.56	1780	8542.56	
"Laparoscopy, surgical, splenectomy"	38120	CPT	Outpatient			2300	1495		90			Percent of total billed charges		2070	95.46			Fee schedule		2300	80			Percent of total billed charges		1840	85			Percent of total billed charges		1955	100			Fee schedule		8542.56	85			Percent of total billed charges		1955	100			Fee schedule		2300	100			Fee schedule		8542.56	100			Fee schedule		8542.56	100			Fee schedule		8542.56		3486		Case rate	Use Lesser of logic	2300		3486		Case rate	Use Lesser of logic	2300	100			Fee schedule		8542.56	1840	8542.56	
"Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)"	58552	CPT	Outpatient			2450	1592.5		90			Percent of total billed charges		2205	95.46			Fee schedule		2450	80			Percent of total billed charges		1960	85			Percent of total billed charges		2082.5	100			Fee schedule		8542.56	85			Percent of total billed charges		2082.5	100			Fee schedule		2450	100			Fee schedule		8542.56	100			Fee schedule		8542.56	100			Fee schedule		8542.56		3486		Case rate	Use Lesser of logic	2450		3486		Case rate	Use Lesser of logic	2450	100			Fee schedule		8542.56	1960	8542.56	
"Paravaginal defect repair (including repair of cystocele, if performed), laparoscopic approach"	57423	CPT	Outpatient			2450	1592.5		90			Percent of total billed charges		2205	95.46			Fee schedule		2450	80			Percent of total billed charges		1960	85			Percent of total billed charges		2082.5	100			Fee schedule		8542.56	85			Percent of total billed charges		2082.5	100			Fee schedule		2450	100			Fee schedule		8542.56	100			Fee schedule		8542.56	100			Fee schedule		8542.56		3486		Case rate	Use Lesser of logic	2450		3486		Case rate	Use Lesser of logic	2450	100			Fee schedule		8542.56	1960	8542.56	
"Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)"	58554	CPT	Outpatient			2500	1625		90			Percent of total billed charges		2250	95.46			Fee schedule		2500	80			Percent of total billed charges		2000	85			Percent of total billed charges		2125	100			Fee schedule		8542.56	85			Percent of total billed charges		2125	100			Fee schedule		2500	100			Fee schedule		8542.56	100			Fee schedule		8542.56	100			Fee schedule		8542.56		3486		Case rate	Use Lesser of logic	2500		3486		Case rate	Use Lesser of logic	2500	100			Fee schedule		8542.56	2000	8542.56	
"Laparoscopy, surgical; partial nephrectomy"	50543	CPT	Outpatient			2805	1823.25		90			Percent of total billed charges		2524.5	95.46			Fee schedule		2805	80			Percent of total billed charges		2244	85			Percent of total billed charges		2384.25	100			Fee schedule		8542.56	85			Percent of total billed charges		2384.25	100			Fee schedule		2805	100			Fee schedule		8542.56	100			Fee schedule		8542.56	100			Fee schedule		8542.56		3486		Case rate	Use Lesser of logic	2805		3486		Case rate	Use Lesser of logic	2805	100			Fee schedule		8542.56	2244	8542.56	
"Biliary endoscopy, percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) with stent"	47556	CPT	Outpatient			3042	1977.3		90			Percent of total billed charges		2737.8	95.46			Fee schedule		3042	80			Percent of total billed charges		2433.6	85			Percent of total billed charges		2585.7	100			Fee schedule		8542.56	85			Percent of total billed charges		2585.7	100			Fee schedule		3042	100			Fee schedule		8542.56	100			Fee schedule		8542.56	100			Fee schedule		8542.56		3486		Case rate	Use Lesser of logic	3042		3486		Case rate	Use Lesser of logic	3042	100			Fee schedule		8542.56	2433.6	8542.56	
"Laparoscopy, surgical; with salpingostomy (salpingoneostomy)"	58673	CPT	Outpatient			3235.31	2102.95		90			Percent of total billed charges		2911.78	95.46			Fee schedule		3235.31	80			Percent of total billed charges		2588.25	85			Percent of total billed charges		2750.01	100			Fee schedule		8542.56	85			Percent of total billed charges		2750.01	100			Fee schedule		3235.31	100			Fee schedule		8542.56	100			Fee schedule		8542.56	100			Fee schedule		8542.56		3486		Case rate	Use Lesser of logic	3235.31		3486		Case rate	Use Lesser of logic	3235.31	100			Fee schedule		8542.56	2588.25	8542.56	
"Laparoscopy, surgical, esophagogastric fundoplasty (eg, Nissen, Toupet procedures)"	43280	CPT	Outpatient			9158.8	5953.22		90			Percent of total billed charges		8242.92	95.46			Fee schedule		8154.73	80			Percent of total billed charges		7327.04	85			Percent of total billed charges		7784.98	100			Fee schedule		8542.56	85			Percent of total billed charges		7784.98	100			Fee schedule		8542.56	100			Fee schedule		8542.56	100			Fee schedule		8542.56	100			Fee schedule		8542.56		3486		Case rate		3486		3486		Case rate		3486	100			Fee schedule		8542.56	3486	8542.56	
"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less"	58570	CPT	Outpatient			10832.96	7041.43		90			Percent of total billed charges		9749.67	95.46			Fee schedule		8154.73	80			Percent of total billed charges		8666.37	85			Percent of total billed charges		9208.02	100			Fee schedule		8542.56	85			Percent of total billed charges		9208.02	100			Fee schedule		8542.56	100			Fee schedule		8542.56	100			Fee schedule		8542.56	100			Fee schedule		8542.56		3486		Case rate		3486		3486		Case rate		3486	100			Fee schedule		8542.56	3486	9749.67	
"Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)"	58571	CPT	Outpatient			13807.95	8975.17		90			Percent of total billed charges		12427.16	95.46			Fee schedule		8154.73	80			Percent of total billed charges		11046.36	85			Percent of total billed charges		11736.76	100			Fee schedule		8542.56	85			Percent of total billed charges		11736.76	100			Fee schedule		8542.56	100			Fee schedule		8542.56	100			Fee schedule		8542.56	100			Fee schedule		8542.56		3486		Case rate		3486		3486		Case rate		3486	100			Fee schedule		8542.56	3486	12427.16	
"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g"	58572	CPT	Outpatient			13857.75	9007.54		90			Percent of total billed charges		12471.97	95.46			Fee schedule		8154.73	80			Percent of total billed charges		11086.2	85			Percent of total billed charges		11779.09	100			Fee schedule		8542.56	85			Percent of total billed charges		11779.09	100			Fee schedule		8542.56	100			Fee schedule		8542.56	100			Fee schedule		8542.56	100			Fee schedule		8542.56		3486		Case rate		3486		3486		Case rate		3486	100			Fee schedule		8542.56	3486	12471.97	
"Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s)"	58573	CPT	Outpatient			14422.01	9374.31		90			Percent of total billed charges		12979.81	95.46			Fee schedule		8154.73	80			Percent of total billed charges		11537.61	85			Percent of total billed charges		12258.71	100			Fee schedule		8542.56	85			Percent of total billed charges		12258.71	100			Fee schedule		8542.56	100			Fee schedule		8542.56	100			Fee schedule		8542.56	100			Fee schedule		8542.56		3486		Case rate		3486		3486		Case rate		3486	100			Fee schedule		8542.56	3486	12979.81	
"Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of mesh"	43281	CPT	Outpatient			17663.91	11481.54		90			Percent of total billed charges		15897.51	95.46			Fee schedule		8154.73	80			Percent of total billed charges		14131.12	85			Percent of total billed charges		15014.32	100			Fee schedule		8542.56	85			Percent of total billed charges		15014.32	100			Fee schedule		8542.56	100			Fee schedule		8542.56	100			Fee schedule		8542.56	100			Fee schedule		8542.56		3486		Case rate		3486		3486		Case rate		3486	100			Fee schedule		8542.56	3486	15897.51	
"Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric band and subcutaneous port components)"	43770	CPT	Outpatient			12250	7962.5		90			Percent of total billed charges		11025	95.46			Fee schedule		8154.73	80			Percent of total billed charges		9800	85			Percent of total billed charges		10412.5	100			Fee schedule		8542.56	85			Percent of total billed charges		10412.5	100			Fee schedule		8542.56	100			Fee schedule		8542.56	100			Fee schedule		8542.56	100			Fee schedule		8542.56		5938		Case rate		5938		5938		Case rate		5938	100			Fee schedule		8542.56	5938	11025	
Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial	33206	CPT	Outpatient			1120	728		90			Percent of total billed charges		1008	95.46			Fee schedule		1120	80			Percent of total billed charges		896	85			Percent of total billed charges		952	100			Fee schedule		8861.69	85			Percent of total billed charges		952	100			Fee schedule		1120	100			Fee schedule		8861.69	100			Fee schedule		8861.69	100			Fee schedule		8861.69		5002		Case rate	Use Lesser of logic	1120		5002		Case rate	Use Lesser of logic	1120	100			Fee schedule		8861.69	896	8861.69	
Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; dual lead system	33228	CPT	Outpatient			6450.75	4192.99		90			Percent of total billed charges		5805.68	95.46			Fee schedule		6450.75	80			Percent of total billed charges		5160.6	85			Percent of total billed charges		5483.14	100			Fee schedule		8861.69	85			Percent of total billed charges		5483.14	100			Fee schedule		6450.75	100			Fee schedule		8861.69	100			Fee schedule		8861.69	100			Fee schedule		8861.69		5002		Case rate		5002		5002		Case rate		5002	100			Fee schedule		8861.69	5002	8861.69	
Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); ventricular	33207	CPT	Outpatient			15499.25	10074.51		90			Percent of total billed charges		13949.32	95.46			Fee schedule		8459.37	80			Percent of total billed charges		12399.4	85			Percent of total billed charges		13174.36	100			Fee schedule		8861.69	85			Percent of total billed charges		13174.36	100			Fee schedule		8861.69	100			Fee schedule		8861.69	100			Fee schedule		8861.69	100			Fee schedule		8861.69		5002		Case rate		5002		5002		Case rate		5002	100			Fee schedule		8861.69	5002	13949.32	
Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular	33208	CPT	Outpatient			14089.55	9158.21		90			Percent of total billed charges		12680.6	95.46			Fee schedule		8459.37	80			Percent of total billed charges		11271.64	85			Percent of total billed charges		11976.12	100			Fee schedule		8861.69	85			Percent of total billed charges		11976.12	100			Fee schedule		8861.69	100			Fee schedule		8861.69	100			Fee schedule		8861.69	100			Fee schedule		8861.69		7775		Case rate		7775		7775		Case rate		7775	100			Fee schedule		8861.69	7775	12680.6	
"Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed; single major coronary artery or branch"	92924	CPT	Outpatient			1075	698.75		90			Percent of total billed charges		967.5	95.46			Fee schedule		1075	80			Percent of total billed charges		860	90			Percent of total billed charges		967.5	100			Fee schedule		9129.66	85			Percent of total billed charges		913.75	100			Fee schedule		1075	100			Fee schedule		9129.66	100			Fee schedule		9129.66	100			Fee schedule		9129.66		5002		Case rate	Use Lesser of logic	1075		5002		Case rate	Use Lesser of logic	1075	100			Fee schedule		9129.66	860	9129.66	
"Transcatheter placement of an intravascular stent(s) (except lower extremity artery(s) for occlusive disease, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or coronary), open or percutaneous, including radiological supervision and interpretation and including all angioplasty within the same vessel, when performed; initial artery"	37236	CPT	Outpatient			9625	6256.25		90			Percent of total billed charges		8662.5	95.46			Fee schedule		8715.17	80			Percent of total billed charges		7700	85			Percent of total billed charges		8181.25	100			Fee schedule		9129.66	85			Percent of total billed charges		8181.25	100			Fee schedule		9129.66	100			Fee schedule		9129.66	100			Fee schedule		9129.66	100			Fee schedule		9129.66		5002		Case rate		5002		5002		Case rate		5002	100			Fee schedule		9129.66	5002	9129.66	
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for tumors, organ ischemia, or infarction"	37243	CPT	Outpatient			10569	6869.85		90			Percent of total billed charges		9512.1	95.46			Fee schedule		8715.17	80			Percent of total billed charges		8455.2	85			Percent of total billed charges		8983.65	100			Fee schedule		9129.66	85			Percent of total billed charges		8983.65	100			Fee schedule		9129.66	100			Fee schedule		9129.66	100			Fee schedule		9129.66	100			Fee schedule		9129.66		5002		Case rate		5002		5002		Case rate		5002	100			Fee schedule		9129.66	5002	9512.1	
"Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for arterial or venous hemorrhage or lymphatic extravasation"	37244	CPT	Outpatient			14931.85	9705.7		90			Percent of total billed charges		13438.67	95.46			Fee schedule		8715.17	80			Percent of total billed charges		11945.48	85			Percent of total billed charges		12692.07	100			Fee schedule		9129.66	85			Percent of total billed charges		12692.07	100			Fee schedule		9129.66	100			Fee schedule		9129.66	100			Fee schedule		9129.66	100			Fee schedule		9129.66		5002		Case rate		5002		5002		Case rate		5002	100			Fee schedule		9129.66	5002	13438.67	
"Sling operation for correction of male urinary incontinence (eg, fascia or synthetic)"	53440	CPT	Outpatient			1885	1225.25		90			Percent of total billed charges		1696.5	95.46			Fee schedule		1885	80			Percent of total billed charges		1508	85			Percent of total billed charges		1602.25	100			Fee schedule		10653.05	85			Percent of total billed charges		1602.25	100			Fee schedule		1885	100			Fee schedule		10653.05	100			Fee schedule		10653.05	100			Fee schedule		10653.05		5002		Case rate	Use Lesser of logic	1885		5002		Case rate	Use Lesser of logic	1885	100			Fee schedule		10653.05	1508	10653.05	
"Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty)"	27447	CPT	Outpatient			419.37	272.59		90			Percent of total billed charges		377.43	95.46			Fee schedule		419.37	80			Percent of total billed charges		335.5	85			Percent of total billed charges		356.47	100			Fee schedule		10922.18	85			Percent of total billed charges		356.47	100			Fee schedule		419.37	100			Fee schedule		10922.18	100			Fee schedule		10922.18	100			Fee schedule		10922.18		5002		Case rate	Use Lesser of logic	419.37		5002		Case rate	Use Lesser of logic	419.37	100			Fee schedule		10922.18	335.5	10922.18	
"Open treatment of tibial shaft fracture (with or without fibular fracture), with plate/screws, with or without cerclage"	27758	CPT	Outpatient			689.39	448.1		90			Percent of total billed charges		620.45	95.46			Fee schedule		689.39	80			Percent of total billed charges		551.51	85			Percent of total billed charges		585.98	100			Fee schedule		10922.18	85			Percent of total billed charges		585.98	100			Fee schedule		689.39	100			Fee schedule		10922.18	100			Fee schedule		10922.18	100			Fee schedule		10922.18		3486		Case rate	Use Lesser of logic	689.39		3486		Case rate	Use Lesser of logic	689.39	100			Fee schedule		10922.18	551.51	10922.18	
"Ablation therapy for reduction or eradication of 1 or more bone tumors (eg, metastasis) including adjacent soft tissue when involved by tumor extension, percutaneous, including imaging guidance when performed; radiofrequency"	20982	CPT	Outpatient			940	611		90			Percent of total billed charges		846	95.46			Fee schedule		940	80			Percent of total billed charges		752	85			Percent of total billed charges		799	100			Fee schedule		10922.18	85			Percent of total billed charges		799	100			Fee schedule		940	100			Fee schedule		10922.18	100			Fee schedule		10922.18	100			Fee schedule		10922.18		2168		Case rate	Use Lesser of logic	940		2168		Case rate	Use Lesser of logic	940	100			Fee schedule		10922.18	752	10922.18	
"Arthrodesis, tibiofibular joint, proximal or distal"	27871	CPT	Outpatient			1480	962		90			Percent of total billed charges		1332	95.46			Fee schedule		1480	80			Percent of total billed charges		1184	85			Percent of total billed charges		1258	100			Fee schedule		10922.18	85			Percent of total billed charges		1258	100			Fee schedule		1480	100			Fee schedule		10922.18	100			Fee schedule		10922.18	100			Fee schedule		10922.18		3486		Case rate	Use Lesser of logic	1480		3486		Case rate	Use Lesser of logic	1480	100			Fee schedule		10922.18	1184	10922.18	
"Open treatment of radial head or neck fracture, includes internal fixation or radial head excision, when performed; with radial head prosthetic replacement"	24666	CPT	Outpatient			1595	1036.75		90			Percent of total billed charges		1435.5	95.46			Fee schedule		1595	80			Percent of total billed charges		1276	85			Percent of total billed charges		1355.75	100			Fee schedule		10922.18	85			Percent of total billed charges		1355.75	100			Fee schedule		1595	100			Fee schedule		10922.18	100			Fee schedule		10922.18	100			Fee schedule		10922.18		3486		Case rate	Use Lesser of logic	1595		3486		Case rate	Use Lesser of logic	1595	100			Fee schedule		10922.18	1276	10922.18	
"Arthroplasty, radial head; with implant"	24366	CPT	Outpatient			1600	1040		90			Percent of total billed charges		1440	95.46			Fee schedule		1600	80			Percent of total billed charges		1280	85			Percent of total billed charges		1360	100			Fee schedule		10922.18	85			Percent of total billed charges		1360	100			Fee schedule		1600	100			Fee schedule		10922.18	100			Fee schedule		10922.18	100			Fee schedule		10922.18		5002		Case rate	Use Lesser of logic	1600		5002		Case rate	Use Lesser of logic	1600	100			Fee schedule		10922.18	1280	10922.18	
Excision or curettage of bone cyst or benign tumor of femur; with allograft	27356	CPT	Outpatient			1635	1062.75		90			Percent of total billed charges		1471.5	95.46			Fee schedule		1635	80			Percent of total billed charges		1308	85			Percent of total billed charges		1389.75	100			Fee schedule		10922.18	85			Percent of total billed charges		1389.75	100			Fee schedule		1635	100			Fee schedule		10922.18	100			Fee schedule		10922.18	100			Fee schedule		10922.18		1767		Case rate	Use Lesser of logic	1635		1767		Case rate	Use Lesser of logic	1635	100			Fee schedule		10922.18	1308	10922.18	
"Application of a multiplane (pins or wires in more than 1 plane), unilateral, external fixation system (eg, Ilizarov, Monticelli type)"	20692	CPT	Outpatient			1700	1105		90			Percent of total billed charges		1530	95.46			Fee schedule		1700	80			Percent of total billed charges		1360	85			Percent of total billed charges		1445	100			Fee schedule		10922.18	85			Percent of total billed charges		1445	100			Fee schedule		1700	100			Fee schedule		10922.18	100			Fee schedule		10922.18	100			Fee schedule		10922.18		1767		Case rate	Use Lesser of logic	1700		1767		Case rate	Use Lesser of logic	1700	100			Fee schedule		10922.18	1360	10922.18	
"Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse; with osteotomy (eg, flatfoot correction)"	28735	CPT	Outpatient			1735	1127.75		90			Percent of total billed charges		1561.5	95.46			Fee schedule		1735	80			Percent of total billed charges		1388	85			Percent of total billed charges		1474.75	100			Fee schedule		10922.18	85			Percent of total billed charges		1474.75	100			Fee schedule		1735	100			Fee schedule		10922.18	100			Fee schedule		10922.18	100			Fee schedule		10922.18		3486		Case rate	Use Lesser of logic	1735		3486		Case rate	Use Lesser of logic	1735	100			Fee schedule		10922.18	1388	10922.18	
"Open treatment of proximal humeral (surgical or anatomical neck) fracture, includes internal fixation, when performed, includes repair of tuberosity(s), when performed"	23615	CPT	Outpatient			1790	1163.5		90			Percent of total billed charges		1611	95.46			Fee schedule		1790	80			Percent of total billed charges		1432	85			Percent of total billed charges		1521.5	100			Fee schedule		10922.18	85			Percent of total billed charges		1521.5	100			Fee schedule		1790	100			Fee schedule		10922.18	100			Fee schedule		10922.18	100			Fee schedule		10922.18		3486		Case rate	Use Lesser of logic	1790		3486		Case rate	Use Lesser of logic	1790	100			Fee schedule		10922.18	1432	10922.18	
"Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft)"	25810	CPT	Outpatient			1860	1209		90			Percent of total billed charges		1674	95.46			Fee schedule		1860	80			Percent of total billed charges		1488	85			Percent of total billed charges		1581	100			Fee schedule		10922.18	85			Percent of total billed charges		1581	100			Fee schedule		1860	100			Fee schedule		10922.18	100			Fee schedule		10922.18	100			Fee schedule		10922.18		3486		Case rate	Use Lesser of logic	1860		3486		Case rate	Use Lesser of logic	1860	100			Fee schedule		10922.18	1488	10922.18	
"Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; without intercondylar extension"	24545	CPT	Outpatient			1885	1225.25		90			Percent of total billed charges		1696.5	95.46			Fee schedule		1885	80			Percent of total billed charges		1508	85			Percent of total billed charges		1602.25	100			Fee schedule		10922.18	85			Percent of total billed charges		1602.25	100			Fee schedule		1885	100			Fee schedule		10922.18	100			Fee schedule		10922.18	100			Fee schedule		10922.18		3486		Case rate	Use Lesser of logic	1885		3486		Case rate	Use Lesser of logic	1885	100			Fee schedule		10922.18	1508	10922.18	
Arthrodesis; subtalar	28725	CPT	Outpatient			2040	1326		90			Percent of total billed charges		1836	95.46			Fee schedule		2040	80			Percent of total billed charges		1632	85			Percent of total billed charges		1734	100			Fee schedule		10922.18	85			Percent of total billed charges		1734	100			Fee schedule		2040	100			Fee schedule		10922.18	100			Fee schedule		10922.18	100			Fee schedule		10922.18		3486		Case rate	Use Lesser of logic	2040		3486		Case rate	Use Lesser of logic	2040	100			Fee schedule		10922.18	1632	10922.18	
"Osteotomy, clavicle, with or without internal fixation; with bone graft for nonunion or malunion (includes obtaining graft and/or necessary fixation)"	23485	CPT	Outpatient			2075	1348.75		90			Percent of total billed charges		1867.5	95.46			Fee schedule		2075	80			Percent of total billed charges		1660	85			Percent of total billed charges		1763.75	100			Fee schedule		10922.18	85			Percent of total billed charges		1763.75	100			Fee schedule		2075	100			Fee schedule		10922.18	100			Fee schedule		10922.18	100			Fee schedule		10922.18		3486		Case rate	Use Lesser of logic	2075		3486		Case rate	Use Lesser of logic	2075	100			Fee schedule		10922.18	1660	10922.18	
"Open treatment of humeral condylar fracture, medial or lateral, includes internal fixation, when performed"	24579	CPT	Outpatient			2095	1361.75		90			Percent of total billed charges		1885.5	95.46			Fee schedule		2095	80			Percent of total billed charges		1676	85			Percent of total billed charges		1780.75	100			Fee schedule		10922.18	85			Percent of total billed charges		1780.75	100			Fee schedule		2095	100			Fee schedule		10922.18	100			Fee schedule		10922.18	100			Fee schedule		10922.18		3486		Case rate	Use Lesser of logic	2095		3486		Case rate	Use Lesser of logic	2095	100			Fee schedule		10922.18	1676	10922.18	
"Open treatment of humeral shaft fracture with plate/screws, with or without cerclage"	24515	CPT	Outpatient			2145	1394.25		90			Percent of total billed charges		1930.5	95.46			Fee schedule		2145	80			Percent of total billed charges		1716	85			Percent of total billed charges		1823.25	100			Fee schedule		10922.18	85			Percent of total billed charges		1823.25	100			Fee schedule		2145	100			Fee schedule		10922.18	100			Fee schedule		10922.18	100			Fee schedule		10922.18		3486		Case rate	Use Lesser of logic	2145		3486		Case rate	Use Lesser of logic	2145	100			Fee schedule		10922.18	1716	10922.18	
"Reconstruction medial collateral ligament, elbow, with tendon graft (includes harvesting of graft)"	24346	CPT	Outpatient			2475	1608.75		90			Percent of total billed charges		2227.5	95.46			Fee schedule		2475	80			Percent of total billed charges		1980	85			Percent of total billed charges		2103.75	100			Fee schedule		10922.18	85			Percent of total billed charges		2103.75	100			Fee schedule		2475	100			Fee schedule		10922.18	100			Fee schedule		10922.18	100			Fee schedule		10922.18		2168		Case rate		2168		2168		Case rate		2168	100			Fee schedule		10922.18	1980	10922.18	
"Revision of total shoulder arthroplasty, including allograft when performed; humeral or glenoid component"	23473	CPT	Outpatient			4635	3012.75		90			Percent of total billed charges		4171.5	95.46			Fee schedule		4635	80			Percent of total billed charges		3708	85			Percent of total billed charges		3939.75	100			Fee schedule		10922.18	85			Percent of total billed charges		3939.75	100			Fee schedule		4635	100			Fee schedule		10922.18	100			Fee schedule		10922.18	100			Fee schedule		10922.18		2168		Case rate		2168		2168		Case rate		2168	100			Fee schedule		10922.18	2168	10922.18	
"Treatment of humeral shaft fracture, with insertion of intramedullary implant, with or without cerclage and/or locking screws"	24516	CPT	Outpatient			2215	1439.75		90			Percent of total billed charges		1993.5	95.46			Fee schedule		2215	80			Percent of total billed charges		1772	85			Percent of total billed charges		1882.75	100			Fee schedule		10922.18	85			Percent of total billed charges		1882.75	100			Fee schedule		2215	100			Fee schedule		10922.18	100			Fee schedule		10922.18	100			Fee schedule		10922.18		3486		Case rate	Use Lesser of logic	2215		3486		Case rate	Use Lesser of logic	2215	100			Fee schedule		10922.18	1772	10922.18	
"Repair of nonunion or malunion, humerus; without graft (eg, compression technique)"	24430	CPT	Outpatient			2335	1517.75		90			Percent of total billed charges		2101.5	95.46			Fee schedule		2335	80			Percent of total billed charges		1868	85			Percent of total billed charges		1984.75	100			Fee schedule		10922.18	85			Percent of total billed charges		1984.75	100			Fee schedule		2335	100			Fee schedule		10922.18	100			Fee schedule		10922.18	100			Fee schedule		10922.18		3486		Case rate	Use Lesser of logic	2335		3486		Case rate	Use Lesser of logic	2335	100			Fee schedule		10922.18	1868	10922.18	
"Repair of nonunion or malunion, humerus; with iliac or other autograft (includes obtaining graft)"	24435	CPT	Outpatient			2368	1539.2		90			Percent of total billed charges		2131.2	95.46			Fee schedule		2368	80			Percent of total billed charges		1894.4	85			Percent of total billed charges		2012.8	100			Fee schedule		10922.18	85			Percent of total billed charges		2012.8	100			Fee schedule		2368	100			Fee schedule		10922.18	100			Fee schedule		10922.18	100			Fee schedule		10922.18		3486		Case rate	Use Lesser of logic	2368		3486		Case rate	Use Lesser of logic	2368	100			Fee schedule		10922.18	1894.4	10922.18	
Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/or proximal radius)	24586	CPT	Outpatient			2435	1582.75		90			Percent of total billed charges		2191.5	95.46			Fee schedule		2435	80			Percent of total billed charges		1948	85			Percent of total billed charges		2069.75	100			Fee schedule		10922.18	85			Percent of total billed charges		2069.75	100			Fee schedule		2435	100			Fee schedule		10922.18	100			Fee schedule		10922.18	100			Fee schedule		10922.18		3486		Case rate	Use Lesser of logic	2435		3486		Case rate	Use Lesser of logic	2435	100			Fee schedule		10922.18	1948	10922.18	
"Treatment of tibial shaft fracture (with or without fibular fracture) by intramedullary implant, with or without interlocking screws and/or cerclage"	27759	CPT	Outpatient			2525	1641.25		90			Percent of total billed charges		2272.5	95.46			Fee schedule		2525	80			Percent of total billed charges		2020	85			Percent of total billed charges		2146.25	100			Fee schedule		10922.18	85			Percent of total billed charges		2146.25	100			Fee schedule		2525	100			Fee schedule		10922.18	100			Fee schedule		10922.18	100			Fee schedule		10922.18		3486		Case rate	Use Lesser of logic	2525		3486		Case rate	Use Lesser of logic	2525	100			Fee schedule		10922.18	2020	10922.18	
"Arthroplasty, knee, condyle and plateau; medial OR lateral compartment"	27446	CPT	Outpatient			2585	1680.25		90			Percent of total billed charges		2326.5	95.46			Fee schedule		2585	80			Percent of total billed charges		2068	85			Percent of total billed charges		2197.25	100			Fee schedule		10922.18	85			Percent of total billed charges		2197.25	100			Fee schedule		2585	100			Fee schedule		10922.18	100			Fee schedule		10922.18	100			Fee schedule		10922.18		5002		Case rate	Use Lesser of logic	2585		5002		Case rate	Use Lesser of logic	2585	100			Fee schedule		10922.18	2068	10922.18	
"Arthrodesis, ankle, open"	27870	CPT	Outpatient			2590	1683.5		90			Percent of total billed charges		2331	95.46			Fee schedule		2590	80			Percent of total billed charges		2072	85			Percent of total billed charges		2201.5	100			Fee schedule		10922.18	85			Percent of total billed charges		2201.5	100			Fee schedule		2590	100			Fee schedule		10922.18	100			Fee schedule		10922.18	100			Fee schedule		10922.18		3486		Case rate	Use Lesser of logic	2590		3486		Case rate	Use Lesser of logic	2590	100			Fee schedule		10922.18	2072	10922.18	
"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed; of tibia only"	27827	CPT	Outpatient			2605	1693.25		90			Percent of total billed charges		2344.5	95.46			Fee schedule		2605	80			Percent of total billed charges		2084	85			Percent of total billed charges		2214.25	100			Fee schedule		10922.18	85			Percent of total billed charges		2214.25	100			Fee schedule		2605	100			Fee schedule		10922.18	100			Fee schedule		10922.18	100			Fee schedule		10922.18		3486		Case rate	Use Lesser of logic	2605		3486		Case rate	Use Lesser of logic	2605	100			Fee schedule		10922.18	2084	10922.18	
"Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with intercondylar extension"	24546	CPT	Outpatient			2615	1699.75		90			Percent of total billed charges		2353.5	95.46			Fee schedule		2615	80			Percent of total billed charges		2092	85			Percent of total billed charges		2222.75	100			Fee schedule		10922.18	85			Percent of total billed charges		2222.75	100			Fee schedule		2615	100			Fee schedule		10922.18	100			Fee schedule		10922.18	100			Fee schedule		10922.18		3486		Case rate	Use Lesser of logic	2615		3486		Case rate	Use Lesser of logic	2615	100			Fee schedule		10922.18	2092	10922.18	
Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction	29889	CPT	Outpatient			2785	1810.25		90			Percent of total billed charges		2506.5	95.46			Fee schedule		2785	80			Percent of total billed charges		2228	85			Percent of total billed charges		2367.25	100			Fee schedule		10922.18	85			Percent of total billed charges		2367.25	100			Fee schedule		2785	100			Fee schedule		10922.18	100			Fee schedule		10922.18	100			Fee schedule		10922.18		3486		Case rate	Use Lesser of logic	2785		3486		Case rate	Use Lesser of logic	2785	100			Fee schedule		10922.18	2228	10922.18	
"Arthroplasty, glenohumeral joint; hemiarthroplasty"	23470	CPT	Outpatient			2786	1810.9		90			Percent of total billed charges		2507.4	95.46			Fee schedule		2786	80			Percent of total billed charges		2228.8	85			Percent of total billed charges		2368.1	100			Fee schedule		10922.18	85			Percent of total billed charges		2368.1	100			Fee schedule		2786	100			Fee schedule		10922.18	100			Fee schedule		10922.18	100			Fee schedule		10922.18		5002		Case rate	Use Lesser of logic	2786		5002		Case rate	Use Lesser of logic	2786	100			Fee schedule		10922.18	2228.8	10922.18	
"Arthroscopy, knee, surgical; osteochondral allograft (eg, mosaicplasty)"	29867	CPT	Outpatient			2900	1885		90			Percent of total billed charges		2610	95.46			Fee schedule		2900	80			Percent of total billed charges		2320	85			Percent of total billed charges		2465	100			Fee schedule		10922.18	85			Percent of total billed charges		2465	100			Fee schedule		2900	100			Fee schedule		10922.18	100			Fee schedule		10922.18	100			Fee schedule		10922.18		3486		Case rate	Use Lesser of logic	2900		3486		Case rate	Use Lesser of logic	2900	100			Fee schedule		10922.18	2320	10922.18	
"Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond), with internal fixation, when performed; of both tibia and fibula"	27828	CPT	Outpatient			2900	1885		90			Percent of total billed charges		2610	95.46			Fee schedule		2900	80			Percent of total billed charges		2320	85			Percent of total billed charges		2465	100			Fee schedule		10922.18	85			Percent of total billed charges		2465	100			Fee schedule		2900	100			Fee schedule		10922.18	100			Fee schedule		10922.18	100			Fee schedule		10922.18		3486		Case rate	Use Lesser of logic	2900		3486		Case rate	Use Lesser of logic	2900	100			Fee schedule		10922.18	2320	10922.18	
"Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse"	28730	CPT	Outpatient			3042.71	1977.76		90			Percent of total billed charges		2738.44	95.46			Fee schedule		3042.71	80			Percent of total billed charges		2434.17	85			Percent of total billed charges		2586.31	100			Fee schedule		10922.18	85			Percent of total billed charges		2586.31	100			Fee schedule		3042.71	100			Fee schedule		10922.18	100			Fee schedule		10922.18	100			Fee schedule		10922.18		3486		Case rate	Use Lesser of logic	3042.71		3486		Case rate	Use Lesser of logic	3042.71	100			Fee schedule		10922.18	2434.17	10922.18	
"Osteochondral allograft, knee, open"	27415	CPT	Outpatient			3250	2112.5		90			Percent of total billed charges		2925	95.46			Fee schedule		3250	80			Percent of total billed charges		2600	85			Percent of total billed charges		2762.5	100			Fee schedule		10922.18	85			Percent of total billed charges		2762.5	100			Fee schedule		3250	100			Fee schedule		10922.18	100			Fee schedule		10922.18	100			Fee schedule		10922.18		3486		Case rate	Use Lesser of logic	3250		3486		Case rate	Use Lesser of logic	3250	100			Fee schedule		10922.18	2600	10922.18	
"Open treatment of humeral epicondylar fracture, medial or lateral, includes internal fixation, when performed"	24575	CPT	Outpatient			3287.76	2137.05		90			Percent of total billed charges		2958.99	95.46			Fee schedule		3287.76	80			Percent of total billed charges		2630.21	85			Percent of total billed charges		2794.6	100			Fee schedule		10922.18	85			Percent of total billed charges		2794.6	100			Fee schedule		3287.76	100			Fee schedule		10922.18	100			Fee schedule		10922.18	100			Fee schedule		10922.18		3486		Case rate	Use Lesser of logic	3287.76		3486		Case rate	Use Lesser of logic	3287.76	100			Fee schedule		10922.18	2630.21	10922.18	
"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); cervical below C2"	22554	CPT	Outpatient			3500	2275		90			Percent of total billed charges		3150	95.46			Fee schedule		3500	80			Percent of total billed charges		2800	85			Percent of total billed charges		2975	100			Fee schedule		10922.18	85			Percent of total billed charges		2975	100			Fee schedule		3500	100			Fee schedule		10922.18	100			Fee schedule		10922.18	100			Fee schedule		10922.18		3486		Case rate		3486		3486		Case rate		3486	100			Fee schedule		10922.18	2800	10922.18	
"Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2"	22551	CPT	Outpatient			3900	2535		90			Percent of total billed charges		3510	95.46			Fee schedule		3900	80			Percent of total billed charges		3120	85			Percent of total billed charges		3315	100			Fee schedule		10922.18	85			Percent of total billed charges		3315	100			Fee schedule		3900	100			Fee schedule		10922.18	100			Fee schedule		10922.18	100			Fee schedule		10922.18		3486		Case rate		3486		3486		Case rate		3486	100			Fee schedule		10922.18	3120	10922.18	
"Arthroplasty, patella; with prosthesis"	27438	CPT	Outpatient			4422.45	2874.59		90			Percent of total billed charges		3980.21	95.46			Fee schedule		4422.45	80			Percent of total billed charges		3537.96	85			Percent of total billed charges		3759.08	100			Fee schedule		10922.18	85			Percent of total billed charges		3759.08	100			Fee schedule		4422.45	100			Fee schedule		10922.18	100			Fee schedule		10922.18	100			Fee schedule		10922.18		3486		Case rate		3486		3486		Case rate		3486	100			Fee schedule		10922.18	3486	10922.18	
"Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with or without autograft or allograft"	27130	CPT	Outpatient			9162.66	5955.73		90			Percent of total billed charges		8246.4	95.46			Fee schedule		9162.66	80			Percent of total billed charges		7330.13	85			Percent of total billed charges		7788.26	100			Fee schedule		10922.18	85			Percent of total billed charges		7788.26	100			Fee schedule		9162.66	100			Fee schedule		10922.18	100			Fee schedule		10922.18	100			Fee schedule		10922.18		5002		Case rate		5002		5002		Case rate		5002	100			Fee schedule		10922.18	5002	10922.18	
"Tissue expander placement in breast reconstruction, including subsequent expansion(s)"	19357	CPT	Outpatient			2825	1836.25		90			Percent of total billed charges		2542.5	95.46			Fee schedule		2825	80			Percent of total billed charges		2260	85			Percent of total billed charges		2401.25	100			Fee schedule		14624.1	85			Percent of total billed charges		2401.25	100			Fee schedule		2825	100			Fee schedule		14624.1	100			Fee schedule		14624.1	100			Fee schedule		14624.1		3486		Case rate	Use Lesser of logic	2825		3486		Case rate	Use Lesser of logic	2825	100			Fee schedule		14624.1	2260	14624.1	
"Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace, lumbar"	22630	CPT	Outpatient			3900	2535		90			Percent of total billed charges		3510	95.46			Fee schedule		3900	80			Percent of total billed charges		3120	85			Percent of total billed charges		3315	100			Fee schedule		15465.72	85			Percent of total billed charges		3315	100			Fee schedule		3900	100			Fee schedule		15465.72	100			Fee schedule		15465.72	100			Fee schedule		15465.72		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		15465.72	1055	15465.72	
"Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other than for decompression), single interspace, lumbar"	22633	CPT	Outpatient			5280	3432		90			Percent of total billed charges		4752	95.46			Fee schedule		5280	80			Percent of total billed charges		4224	85			Percent of total billed charges		4488	100			Fee schedule		15465.72	85			Percent of total billed charges		4488	100			Fee schedule		5280	100			Fee schedule		15465.72	100			Fee schedule		15465.72	100			Fee schedule		15465.72		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule		15465.72	1055	15465.72	
"Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic computer-assisted adjustment (eg, spatial frame), including imaging; initial and subsequent alignment(s), assessment(s), and computation(s) of adjustment schedule(s)"	20696	CPT	Outpatient			2900	1885		90			Percent of total billed charges		2610	95.46			Fee schedule		2900	80			Percent of total billed charges		2320	85			Percent of total billed charges		2465	100			Fee schedule		15465.72	85			Percent of total billed charges		2465	100			Fee schedule		2900	100			Fee schedule		15465.72	100			Fee schedule		15465.72	100			Fee schedule		15465.72		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule		15465.72	1767	15465.72	
"Open treatment of proximal humeral (surgical or anatomical neck) fracture, includes internal fixation, when performed, includes repair of tuberosity(s), when performed; with proximal humeral prosthetic replacement"	23616	CPT	Outpatient			3475	2258.75		90			Percent of total billed charges		3127.5	95.46			Fee schedule		3475	80			Percent of total billed charges		2780	85			Percent of total billed charges		2953.75	100			Fee schedule		15465.72	85			Percent of total billed charges		2953.75	100			Fee schedule		3475	100			Fee schedule		15465.72	100			Fee schedule		15465.72	100			Fee schedule		15465.72		3486		Case rate	Use Lesser of logic	3475		3486		Case rate	Use Lesser of logic	3475	100			Fee schedule		15465.72	2780	15465.72	
"Arthrodesis, posterior or posterolateral technique, single interspace; lumbar (with lateral transverse technique, when performed)"	22612	CPT	Outpatient			3600	2340		90			Percent of total billed charges		3240	95.46			Fee schedule		3600	80			Percent of total billed charges		2880	85			Percent of total billed charges		3060	100			Fee schedule		15465.72	85			Percent of total billed charges		3060	100			Fee schedule		3600	100			Fee schedule		15465.72	100			Fee schedule		15465.72	100			Fee schedule		15465.72		3486		Case rate		3486		3486		Case rate		3486	100			Fee schedule		15465.72	2880	15465.72	
"Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes osteophytectomy for nerve root or spinal cord decompression and microdissection); single interspace, cervical"	22856	CPT	Outpatient			3890	2528.5		90			Percent of total billed charges		3501	95.46			Fee schedule		3890	80			Percent of total billed charges		3112	85			Percent of total billed charges		3306.5	100			Fee schedule		15465.72	85			Percent of total billed charges		3306.5	100			Fee schedule		3890	100			Fee schedule		15465.72	100			Fee schedule		15465.72	100			Fee schedule		15465.72		3486		Case rate		3486		3486		Case rate		3486	100			Fee schedule		15465.72	3112	15465.72	
"Arthroplasty, glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg, total shoulder))"	23472	CPT	Outpatient			10910.48	7091.81		90			Percent of total billed charges		9819.43	95.46			Fee schedule		10910.48	80			Percent of total billed charges		8728.38	85			Percent of total billed charges		9273.91	100			Fee schedule		15465.72	85			Percent of total billed charges		9273.91	100			Fee schedule		10910.48	100			Fee schedule		15465.72	100			Fee schedule		15465.72	100			Fee schedule		15465.72		5002		Case rate		5002		5002		Case rate		5002	100			Fee schedule		15465.72	5002	15465.72	
Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; multiple lead system	33229	CPT	Outpatient			550	357.5		90			Percent of total billed charges		495	95.46			Fee schedule		550	80			Percent of total billed charges		440	85			Percent of total billed charges		467.5	100			Fee schedule		16170.42	85			Percent of total billed charges		467.5	100			Fee schedule		550	100			Fee schedule		16170.42	100			Fee schedule		16170.42	100			Fee schedule		16170.42		5002		Case rate	Use Lesser of logic	550		5002		Case rate	Use Lesser of logic	550	100			Fee schedule		16170.42	440	16170.42	
Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same operative session	54416	CPT	Outpatient			1575	1023.75		90			Percent of total billed charges		1417.5	95.46			Fee schedule		1575	80			Percent of total billed charges		1260	85			Percent of total billed charges		1338.75	100			Fee schedule		16740.18	85			Percent of total billed charges		1338.75	100			Fee schedule		1575	100			Fee schedule		16740.18	100			Fee schedule		16740.18	100			Fee schedule		16740.18		7775		Case rate	Use Lesser of logic	1575		7775		Case rate	Use Lesser of logic	1575	100			Fee schedule		16740.18	1260	16740.18	
"Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir"	54405	CPT	Outpatient			2050	1332.5		90			Percent of total billed charges		1845	95.46			Fee schedule		2050	80			Percent of total billed charges		1640	85			Percent of total billed charges		1742.5	100			Fee schedule		16740.18	85			Percent of total billed charges		1742.5	100			Fee schedule		2050	100			Fee schedule		16740.18	100			Fee schedule		16740.18	100			Fee schedule		16740.18		7775		Case rate	Use Lesser of logic	2050		7775		Case rate	Use Lesser of logic	2050	100			Fee schedule		16740.18	1640	16740.18	
"Removal and replacement of all component(s) of a multi-component, inflatable penile prosthesis at the same operative session"	54410	CPT	Outpatient			2400	1560		90			Percent of total billed charges		2160	95.46			Fee schedule		2400	80			Percent of total billed charges		1920	85			Percent of total billed charges		2040	100			Fee schedule		16740.18	85			Percent of total billed charges		2040	100			Fee schedule		2400	100			Fee schedule		16740.18	100			Fee schedule		16740.18	100			Fee schedule		16740.18		7775		Case rate	Use Lesser of logic	2400		7775		Case rate	Use Lesser of logic	2400	100			Fee schedule		16740.18	1920	16740.18	
"Samarium sm-153 lexidronam, therapeutic, per treatment dose, up to 150 millicuries"	A9604	CPT	Outpatient			5094	3311.1		90			Percent of total billed charges		4584.6	95.46			Fee schedule		5094	80			Percent of total billed charges		4075.2	90			Percent of total billed charges		4584.6	100			Fee schedule		17259.85	85			Percent of total billed charges		4329.9	100			Fee schedule		5094	100			Fee schedule		17259.85	100			Fee schedule		17259.85	100			Fee schedule		17259.85		15529.23		Case rate		15529.23		15529.23		Case rate		15529.23	100			Fee schedule		17259.85	4075.2	17259.85	
"Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural"	63655	CPT	Outpatient			1790	1163.5		90			Percent of total billed charges		1611	95.46			Fee schedule		1790	80			Percent of total billed charges		1432	85			Percent of total billed charges		1521.5	100			Fee schedule		18154.11	85			Percent of total billed charges		1521.5	100			Fee schedule		1790	100			Fee schedule		18154.11	100			Fee schedule		18154.11	100			Fee schedule		18154.11		5002		Case rate	Use Lesser of logic	1790		5002		Case rate	Use Lesser of logic	1790	100			Fee schedule		18154.11	1432	18154.11	
Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; dual lead system	33263	CPT	Outpatient			8021.5	5213.98		90			Percent of total billed charges		7219.35	95.46			Fee schedule		8021.5	80			Percent of total billed charges		6417.2	85			Percent of total billed charges		6818.28	100			Fee schedule		19561.48	85			Percent of total billed charges		6818.28	100			Fee schedule		8021.5	100			Fee schedule		19561.48	100			Fee schedule		19561.48	100			Fee schedule		19561.48		11459		Case rate	Use Lesser of logic	8021.5		11459		Case rate	Use Lesser of logic	8021.5	100			Fee schedule		19561.48	6417.2	19561.48	
Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; single lead system	33262	CPT	Outpatient			8350.71	5427.96		90			Percent of total billed charges		7515.64	95.46			Fee schedule		8350.71	80			Percent of total billed charges		6680.57	85			Percent of total billed charges		7098.1	100			Fee schedule		19561.48	85			Percent of total billed charges		7098.1	100			Fee schedule		8350.71	100			Fee schedule		19561.48	100			Fee schedule		19561.48	100			Fee schedule		19561.48		11459		Case rate	Use Lesser of logic	8350.71		11459		Case rate	Use Lesser of logic	8350.71	100			Fee schedule		19561.48	6680.57	19561.48	
"Insertion or replacement of spinal neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver"	63685	CPT	Outpatient			7616.18	4950.51		90			Percent of total billed charges		6854.56	95.46			Fee schedule		7616.18	80			Percent of total billed charges		6092.94	85			Percent of total billed charges		6473.75	100			Fee schedule		25769.66	85			Percent of total billed charges		6473.75	100			Fee schedule		7616.18	100			Fee schedule		25769.66	100			Fee schedule		25769.66	100			Fee schedule		25769.66		8897		Case rate	Use Lesser of logic	7616.18		8897		Case rate	Use Lesser of logic	7616.18	100			Fee schedule		25769.66	6092.94	25769.66	
"Insertion or replacement of permanent subcutaneous implantable defibrillator system, with subcutaneous electrode, including defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters, when performed"	33270	CPT	Outpatient			390.25	253.66		90			Percent of total billed charges		351.22	95.46			Fee schedule		390.25	80			Percent of total billed charges		312.2	85			Percent of total billed charges		331.71	100			Fee schedule		27302.35	85			Percent of total billed charges		331.71	100			Fee schedule		390.25	100			Fee schedule		27302.35	100			Fee schedule		27302.35	100			Fee schedule		27302.35		11459		Case rate	Use Lesser of logic	390.25		11459		Case rate	Use Lesser of logic	390.25	100			Fee schedule		27302.35	312.2	27302.35	
Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; multiple lead system	33264	CPT	Outpatient			1100	715		90			Percent of total billed charges		990	95.46			Fee schedule		1100	80			Percent of total billed charges		880	85			Percent of total billed charges		935	100			Fee schedule		27302.35	85			Percent of total billed charges		935	100			Fee schedule		1100	100			Fee schedule		27302.35	100			Fee schedule		27302.35	100			Fee schedule		27302.35		11459		Case rate	Use Lesser of logic	1100		11459		Case rate	Use Lesser of logic	1100	100			Fee schedule		27302.35	880	27302.35	
"Insertion or replacement of permanent implantable defibrillator system, with transvenous lead(s), single or dual chamber"	33249	CPT	Outpatient			9691.88	6299.72		90			Percent of total billed charges		8722.69	95.46			Fee schedule		9691.88	80			Percent of total billed charges		7753.5	85			Percent of total billed charges		8238.09	100			Fee schedule		27302.35	85			Percent of total billed charges		8238.09	100			Fee schedule		9691.87	100			Fee schedule		27302.35	100			Fee schedule		27302.35	100			Fee schedule		27302.35		11459		Case rate	Use Lesser of logic	9691.88		11459		Case rate	Use Lesser of logic	9691.88	100			Fee schedule		27302.35	7753.5	27302.35	
"Injection, daptomycin, 1 mg"	J0878	HCPCS	Outpatient	1	ME	2.78	1.81		90			Percent of total billed charges		2.5	40			Percent of total billed charges		1.11	80			Percent of total billed charges		2.22	90			Percent of total billed charges		2.5	100			Fee schedule	code is bundled with other services	2.78	85			Percent of total billed charges		2.36	100			Fee schedule	code is bundled with other services	2.78	100			Fee schedule	code is bundled with other services	2.78	100			Fee schedule	code is bundled with other services	2.78	100			Fee schedule	code is bundled with other services	2.78		0.43		Case rate		0.43		0.43		Case rate		0.43	100			Fee schedule	code is bundled with other services	2.78	0.43	2.5	
"Injection, azacitidine, 1 mg"	J9025	HCPCS	Outpatient	1	ME	29.68	19.29		90			Percent of total billed charges		26.71	40			Percent of total billed charges		11.87	80			Percent of total billed charges		23.75	90			Percent of total billed charges		26.71	100			Fee schedule	code is bundled with other services	29.68	85			Percent of total billed charges		25.23	100			Fee schedule	code is bundled with other services	29.68	100			Fee schedule	code is bundled with other services	29.68	100			Fee schedule	code is bundled with other services	29.68	100			Fee schedule	code is bundled with other services	29.68		1.39		Case rate		1.39		1.39		Case rate		1.39	100			Fee schedule	code is bundled with other services	29.68	1.39	26.71	
"Injection, docetaxel, 1 mg"	J9171	HCPCS	Outpatient	1	ME	0.08	0.05		90			Percent of total billed charges		0.07	40			Percent of total billed charges		0.03	80			Percent of total billed charges		0.06	90			Percent of total billed charges		0.07	100			Fee schedule	code is bundled with other services	0.08	85			Percent of total billed charges		0.07	100			Fee schedule	code is bundled with other services	0.08	100			Fee schedule	code is bundled with other services	0.08	100			Fee schedule	code is bundled with other services	0.08	100			Fee schedule	code is bundled with other services	0.08		1.43		Case rate		1.43		1.43		Case rate		1.43	100			Fee schedule	code is bundled with other services	0.08	0.03	1.43	
"Injection, tigecycline, 1 mg"	J3243	HCPCS	Outpatient	1	ME	5.36	3.48		90			Percent of total billed charges		4.82	40			Percent of total billed charges		2.14	80			Percent of total billed charges		4.29	90			Percent of total billed charges		4.82	100			Fee schedule	code is bundled with other services	5.36	85			Percent of total billed charges		4.56	100			Fee schedule	code is bundled with other services	5.36	100			Fee schedule	code is bundled with other services	5.36	100			Fee schedule	code is bundled with other services	5.36	100			Fee schedule	code is bundled with other services	5.36		1.98		Case rate		1.98		1.98		Case rate		1.98	100			Fee schedule	code is bundled with other services	5.36	1.98	4.82	
"Injection, fosaprepitant, 1 mg"	J1453	HCPCS	Outpatient	1	ME	6.97	4.53		90			Percent of total billed charges		6.27	40			Percent of total billed charges		2.79	80			Percent of total billed charges		5.57	90			Percent of total billed charges		6.27	100			Fee schedule	code is bundled with other services	6.97	85			Percent of total billed charges		5.92	100			Fee schedule	code is bundled with other services	6.97	100			Fee schedule	code is bundled with other services	6.97	100			Fee schedule	code is bundled with other services	6.97	100			Fee schedule	code is bundled with other services	6.97		2.23		Case rate		2.23		2.23		Case rate		2.23	100			Fee schedule	code is bundled with other services	6.97	2.23	6.27	
"Collection of capillary blood specimen (eg, finger, heel, ear stick)"	36416	CPT	Outpatient			10	6.5		90			Percent of total billed charges		9	40			Percent of total billed charges		4	80			Percent of total billed charges		8	90			Percent of total billed charges		9	100			Fee schedule	code is bundled with other services	10	85			Percent of total billed charges		8.5	100			Fee schedule	code is bundled with other services	10	100			Fee schedule	code is bundled with other services	10	100			Fee schedule	code is bundled with other services	10	100			Fee schedule	code is bundled with other services	10		2.58		Case rate		2.58		2.58		Case rate		2.58	100			Fee schedule	code is bundled with other services	10	2.58	9	
Handling and/or conveyance of specimen for transfer from the office to a laboratory	99000	CPT	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	100			Fee schedule	code is bundled with other services	15	85			Percent of total billed charges		12.75	100			Fee schedule	code is bundled with other services	15	100			Fee schedule	code is bundled with other services	15	100			Fee schedule	code is bundled with other services	15	100			Fee schedule	code is bundled with other services	15		6.13		Case rate		6.13		6.13		Case rate		6.13	100			Fee schedule	code is bundled with other services	15	6	13.5	
"Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.25 mL dosage, for intramuscular use"	90687	CPT	Outpatient			25	16.25		90			Percent of total billed charges		22.5	40			Percent of total billed charges		10	80			Percent of total billed charges		20	90			Percent of total billed charges		22.5	100			Fee schedule	code is bundled with other services	25	85			Percent of total billed charges		21.25	100			Fee schedule	code is bundled with other services	25	100			Fee schedule	code is bundled with other services	25	100			Fee schedule	code is bundled with other services	25	100			Fee schedule	code is bundled with other services	25		9.96		Case rate		9.96		9.96		Case rate		9.96	100			Fee schedule	code is bundled with other services	25	9.96	22.5	
Decalcification procedure (List separately in addition to code for surgical pathology examination)	88311	CPT	Outpatient			41.4	26.91		90			Percent of total billed charges		37.26	40			Percent of total billed charges		16.56	80			Percent of total billed charges		33.12	90			Percent of total billed charges		37.26	100			Fee schedule	code is bundled with other services	41.4	85			Percent of total billed charges		35.19	100			Fee schedule	code is bundled with other services	41.4	100			Fee schedule	code is bundled with other services	41.4	100			Fee schedule	code is bundled with other services	41.4	100			Fee schedule	code is bundled with other services	41.4		10.04		Case rate		10.04		10.04		Case rate		10.04	100			Fee schedule	code is bundled with other services	41.4	10.04	37.26	
Pathology consultation during surgery; each additional tissue block with frozen section(s) (List separately in addition to code for primary procedure)	88332	CPT	Outpatient			68.25	44.36		90			Percent of total billed charges		61.42	40			Percent of total billed charges		27.3	80			Percent of total billed charges		54.6	90			Percent of total billed charges		61.42	100			Fee schedule	code is bundled with other services	68.25	85			Percent of total billed charges		58.01	100			Fee schedule	code is bundled with other services	68.25	100			Fee schedule	code is bundled with other services	68.25	100			Fee schedule	code is bundled with other services	68.25	100			Fee schedule	code is bundled with other services	68.25		10.04		Case rate		10.04		10.04		Case rate		10.04	100			Fee schedule	code is bundled with other services	68.25	10.04	61.42	
"Cytopathology, evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis, each separate additional evaluation episode, same site (List separately in addition to code for primary procedure)"	88177	CPT	Outpatient			146.4	95.16		90			Percent of total billed charges		131.76	40			Percent of total billed charges		58.56	80			Percent of total billed charges		117.12	90			Percent of total billed charges		131.76	100			Fee schedule	code is bundled with other services	146.4	85			Percent of total billed charges		124.44	100			Fee schedule	code is bundled with other services	146.4	100			Fee schedule	code is bundled with other services	146.4	100			Fee schedule	code is bundled with other services	146.4	100			Fee schedule	code is bundled with other services	146.4		10.04		Case rate		10.04		10.04		Case rate		10.04	100			Fee schedule	code is bundled with other services	146.4	10.04	131.76	
"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.25 mL dosage, for intramuscular use"	90655	CPT	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	100			Fee schedule	code is bundled with other services	15	85			Percent of total billed charges		12.75	100			Fee schedule	code is bundled with other services	15	100			Fee schedule	code is bundled with other services	15	100			Fee schedule	code is bundled with other services	15	100			Fee schedule	code is bundled with other services	15		12.6		Case rate		12.6		12.6		Case rate		12.6	100			Fee schedule	code is bundled with other services	15	6	13.5	
"Influenza virus vaccine, trivalent (IIV3), split virus, 0.25 mL dosage, for intramuscular use"	90657	CPT	Outpatient			20	13		90			Percent of total billed charges		18	40			Percent of total billed charges		8	80			Percent of total billed charges		16	90			Percent of total billed charges		18	100			Fee schedule	code is bundled with other services	20	85			Percent of total billed charges		17	100			Fee schedule	code is bundled with other services	20	100			Fee schedule	code is bundled with other services	20	100			Fee schedule	code is bundled with other services	20	100			Fee schedule	code is bundled with other services	20		12.99		Case rate		12.99		12.99		Case rate		12.99	100			Fee schedule	code is bundled with other services	20	8	18	
"Injection, decitabine, 1 mg"	J0894	HCPCS	Outpatient	1	ME	132.45	86.09		90			Percent of total billed charges		119.2	40			Percent of total billed charges		52.98	80			Percent of total billed charges		105.96	90			Percent of total billed charges		119.2	100			Fee schedule	code is bundled with other services	132.45	85			Percent of total billed charges		112.58	100			Fee schedule	code is bundled with other services	132.45	100			Fee schedule	code is bundled with other services	132.45	100			Fee schedule	code is bundled with other services	132.45	100			Fee schedule	code is bundled with other services	132.45		13.39		Case rate		13.39		13.39		Case rate		13.39	100			Fee schedule	code is bundled with other services	132.45	13.39	119.2	
Barbiturates	80345	CPT	Outpatient			165	107.25		90			Percent of total billed charges		148.5	40			Percent of total billed charges		66	80			Percent of total billed charges		132	90			Percent of total billed charges		148.5	100			Fee schedule	code is bundled with other services	165	85			Percent of total billed charges		140.25	100			Fee schedule	code is bundled with other services	165	100			Fee schedule	code is bundled with other services	165	100			Fee schedule	code is bundled with other services	165	100			Fee schedule	code is bundled with other services	165		14.02		Case rate		14.02		14.02		Case rate		14.02	100			Fee schedule	code is bundled with other services	165	14.02	148.5	
"Immunization administration through 18 years of age via any route of administration, with counseling by physician or other qualified health care professional; each additional vaccine or toxoid component administered (List separately in addition to code for primary procedure)"	90461	CPT	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	100			Fee schedule	code is bundled with other services	15	85			Percent of total billed charges		12.75	100			Fee schedule	code is bundled with other services	15	100			Fee schedule	code is bundled with other services	15	100			Fee schedule	code is bundled with other services	15	100			Fee schedule	code is bundled with other services	15		141		Case rate	Use Lesser of logic	15		141		Case rate	Use Lesser of logic	15	100			Fee schedule	code is bundled with other services	15	6	15	
"Pathology consultation during surgery; cytologic examination (eg, touch prep, squash prep), each additional site (List separately in addition to code for primary procedure)"	88334	CPT	Outpatient			58.48	38.01		90			Percent of total billed charges		52.63	40			Percent of total billed charges		23.39	80			Percent of total billed charges		46.78	90			Percent of total billed charges		52.63	100			Fee schedule	code is bundled with other services	58.48	85			Percent of total billed charges		49.71	100			Fee schedule	code is bundled with other services	58.48	100			Fee schedule	code is bundled with other services	58.48	100			Fee schedule	code is bundled with other services	58.48	100			Fee schedule	code is bundled with other services	58.48		15.37		Case rate		15.37		15.37		Case rate		15.37	100			Fee schedule	code is bundled with other services	58.48	15.37	52.63	
Special stain including interpretation and report; histochemical stain on frozen tissue block (List separately in addition to code for primary procedure)	88314	CPT	Outpatient			85.32	55.46		90			Percent of total billed charges		76.79	40			Percent of total billed charges		34.13	80			Percent of total billed charges		68.26	90			Percent of total billed charges		76.79	100			Fee schedule	code is bundled with other services	85.32	85			Percent of total billed charges		72.52	100			Fee schedule	code is bundled with other services	85.32	100			Fee schedule	code is bundled with other services	85.32	100			Fee schedule	code is bundled with other services	85.32	100			Fee schedule	code is bundled with other services	85.32		15.37		Case rate		15.37		15.37		Case rate		15.37	100			Fee schedule	code is bundled with other services	85.32	15.37	76.79	
"Injection, palonosetron hcl, 25 mcg"	J2469	HCPCS	Outpatient	25	UN	28.5	18.52		90			Percent of total billed charges		25.65	40			Percent of total billed charges		11.4	80			Percent of total billed charges		22.8	90			Percent of total billed charges		25.65	100			Fee schedule	code is bundled with other services	28.5	85			Percent of total billed charges		24.22	100			Fee schedule	code is bundled with other services	28.5	100			Fee schedule	code is bundled with other services	28.5	100			Fee schedule	code is bundled with other services	28.5	100			Fee schedule	code is bundled with other services	28.5		15.85		Case rate		15.85		15.85		Case rate		15.85	100			Fee schedule	code is bundled with other services	28.5	11.4	25.65	
"Influenza virus vaccine, trivalent, live (LAIV3), for intranasal use"	90660	CPT	Outpatient			25	16.25		90			Percent of total billed charges		22.5	40			Percent of total billed charges		10	80			Percent of total billed charges		20	90			Percent of total billed charges		22.5	100			Fee schedule	code is bundled with other services	25	85			Percent of total billed charges		21.25	100			Fee schedule	code is bundled with other services	25	100			Fee schedule	code is bundled with other services	25	100			Fee schedule	code is bundled with other services	25	100			Fee schedule	code is bundled with other services	25		17.19		Case rate		17.19		17.19		Case rate		17.19	100			Fee schedule	code is bundled with other services	25	10	22.5	
Cocaine	80353	CPT	Outpatient			165	107.25		90			Percent of total billed charges		148.5	40			Percent of total billed charges		66	80			Percent of total billed charges		132	90			Percent of total billed charges		148.5	100			Fee schedule	code is bundled with other services	165	85			Percent of total billed charges		140.25	100			Fee schedule	code is bundled with other services	165	100			Fee schedule	code is bundled with other services	165	100			Fee schedule	code is bundled with other services	165	100			Fee schedule	code is bundled with other services	165		18.56		Case rate		18.56		18.56		Case rate		18.56	100			Fee schedule	code is bundled with other services	165	18.56	148.5	
Phencyclidine (PCP)	83992	CPT	Outpatient			165	107.25		90			Percent of total billed charges		148.5	40			Percent of total billed charges		66	80			Percent of total billed charges		132	90			Percent of total billed charges		148.5	100			Fee schedule	code is bundled with other services	165	85			Percent of total billed charges		140.25	100			Fee schedule	code is bundled with other services	165	100			Fee schedule	code is bundled with other services	165	100			Fee schedule	code is bundled with other services	165	100			Fee schedule	code is bundled with other services	165		18.74		Case rate		18.74		18.74		Case rate		18.74	100			Fee schedule	code is bundled with other services	165	18.74	148.5	
"Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular use"	90688	CPT	Outpatient			20	13		90			Percent of total billed charges		18	40			Percent of total billed charges		8	80			Percent of total billed charges		16	90			Percent of total billed charges		18	100			Fee schedule	code is bundled with other services	20	85			Percent of total billed charges		17	100			Fee schedule	code is bundled with other services	20	100			Fee schedule	code is bundled with other services	20	100			Fee schedule	code is bundled with other services	20	100			Fee schedule	code is bundled with other services	20		18.91		Case rate		18.91		18.91		Case rate		18.91	100			Fee schedule	code is bundled with other services	20	8	18.91	
Amphetamines; 1 or 2	80324	CPT	Outpatient			165	107.25		90			Percent of total billed charges		148.5	40			Percent of total billed charges		66	80			Percent of total billed charges		132	90			Percent of total billed charges		148.5	100			Fee schedule	code is bundled with other services	165	85			Percent of total billed charges		140.25	100			Fee schedule	code is bundled with other services	165	100			Fee schedule	code is bundled with other services	165	100			Fee schedule	code is bundled with other services	165	100			Fee schedule	code is bundled with other services	165		19.04		Case rate		19.04		19.04		Case rate		19.04	100			Fee schedule	code is bundled with other services	165	19.04	148.5	
"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)"	Q2037	CPT	Outpatient			20	13		90			Percent of total billed charges		18	40			Percent of total billed charges		8	80			Percent of total billed charges		16	90			Percent of total billed charges		18	100			Fee schedule	code is bundled with other services	20	85			Percent of total billed charges		17	100			Fee schedule	code is bundled with other services	20	100			Fee schedule	code is bundled with other services	20	100			Fee schedule	code is bundled with other services	20	100			Fee schedule	code is bundled with other services	20		19.74		Case rate		19.74		19.74		Case rate		19.74	100			Fee schedule	code is bundled with other services	20	8	19.74	
Immunization administration by intranasal or oral route; each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure)	90474	CPT	Outpatient			20	13		90			Percent of total billed charges		18	40			Percent of total billed charges		8	80			Percent of total billed charges		16	90			Percent of total billed charges		18	100			Fee schedule	code is bundled with other services	20	85			Percent of total billed charges		17	100			Fee schedule	code is bundled with other services	20	100			Fee schedule	code is bundled with other services	20	100			Fee schedule	code is bundled with other services	20	100			Fee schedule	code is bundled with other services	20		141		Case rate	Use Lesser of logic	20		141		Case rate	Use Lesser of logic	20	100			Fee schedule	code is bundled with other services	20	8	20	
Myocardial strain imaging using speckle tracking-derived assessment of myocardial mechanics (List separately in addition to codes for echocardiography imaging)	93356	CPT	Outpatient			20	13		90			Percent of total billed charges		18	40			Percent of total billed charges		8	80			Percent of total billed charges		16	90			Percent of total billed charges		18	100			Fee schedule	code is bundled with other services	20	85			Percent of total billed charges		17	100			Fee schedule	code is bundled with other services	20	100			Fee schedule	code is bundled with other services	20	100			Fee schedule	code is bundled with other services	20	100			Fee schedule	code is bundled with other services	20		89		Case rate	Use Lesser of logic	20		89		Case rate	Use Lesser of logic	20	100			Fee schedule	code is bundled with other services	20	8	20	
Methadone	80358	CPT	Outpatient			165	107.25		90			Percent of total billed charges		148.5	40			Percent of total billed charges		66	80			Percent of total billed charges		132	90			Percent of total billed charges		148.5	100			Fee schedule	code is bundled with other services	165	85			Percent of total billed charges		140.25	100			Fee schedule	code is bundled with other services	165	100			Fee schedule	code is bundled with other services	165	100			Fee schedule	code is bundled with other services	165	100			Fee schedule	code is bundled with other services	165		20		Case rate		20		20		Case rate		20	100			Fee schedule	code is bundled with other services	165	20	148.5	
"Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular use"	90686	CPT	Outpatient			100	65		90			Percent of total billed charges		90	40			Percent of total billed charges		40	80			Percent of total billed charges		80	90			Percent of total billed charges		90	100			Fee schedule	code is bundled with other services	100	85			Percent of total billed charges		85	100			Fee schedule	code is bundled with other services	100	100			Fee schedule	code is bundled with other services	100	100			Fee schedule	code is bundled with other services	100	100			Fee schedule	code is bundled with other services	100		20.17		Case rate		20.17		20.17		Case rate		20.17	100			Fee schedule	code is bundled with other services	100	20.17	90	
"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval)"	Q2036	CPT	Outpatient			20	13		90			Percent of total billed charges		18	40			Percent of total billed charges		8	80			Percent of total billed charges		16	90			Percent of total billed charges		18	100			Fee schedule	code is bundled with other services	20	85			Percent of total billed charges		17	100			Fee schedule	code is bundled with other services	20	100			Fee schedule	code is bundled with other services	20	100			Fee schedule	code is bundled with other services	20	100			Fee schedule	code is bundled with other services	20		20.6		Case rate		20.6		20.6		Case rate		20.6	100			Fee schedule	code is bundled with other services	20	8	20.6	
"Blood smear, peripheral, interpretation by physician with written report"	85060	CPT	Outpatient			50	32.5		90			Percent of total billed charges		45	40			Percent of total billed charges		20	80			Percent of total billed charges		40	90			Percent of total billed charges		45	100			Fee schedule	code is bundled with other services	50	85			Percent of total billed charges		42.5	100			Fee schedule	code is bundled with other services	50	100			Fee schedule	code is bundled with other services	50	100			Fee schedule	code is bundled with other services	50	100			Fee schedule	code is bundled with other services	50		20.84		Case rate		20.84		20.84		Case rate		20.84	100			Fee schedule	code is bundled with other services	50	20	45	
"Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular use"	90656	CPT	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	100			Fee schedule	code is bundled with other services	15	85			Percent of total billed charges		12.75	100			Fee schedule	code is bundled with other services	15	100			Fee schedule	code is bundled with other services	15	100			Fee schedule	code is bundled with other services	15	100			Fee schedule	code is bundled with other services	15		20.96		Case rate		20.96		20.96		Case rate		20.96	100			Fee schedule	code is bundled with other services	15	6	20.96	
"Cannabinoids, natural"	80349	CPT	Outpatient			165	107.25		90			Percent of total billed charges		148.5	40			Percent of total billed charges		66	80			Percent of total billed charges		132	90			Percent of total billed charges		148.5	100			Fee schedule	code is bundled with other services	165	85			Percent of total billed charges		140.25	100			Fee schedule	code is bundled with other services	165	100			Fee schedule	code is bundled with other services	165	100			Fee schedule	code is bundled with other services	165	100			Fee schedule	code is bundled with other services	165		21.99		Case rate		21.99		21.99		Case rate		21.99	100			Fee schedule	code is bundled with other services	165	21.99	148.5	
Propoxyphene	80367	CPT	Outpatient			165	107.25		90			Percent of total billed charges		148.5	40			Percent of total billed charges		66	80			Percent of total billed charges		132	90			Percent of total billed charges		148.5	100			Fee schedule	code is bundled with other services	165	85			Percent of total billed charges		140.25	100			Fee schedule	code is bundled with other services	165	100			Fee schedule	code is bundled with other services	165	100			Fee schedule	code is bundled with other services	165	100			Fee schedule	code is bundled with other services	165		21.99		Case rate		21.99		21.99		Case rate		21.99	100			Fee schedule	code is bundled with other services	165	21.99	148.5	
"Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.25 mL dosage, for intramuscular use"	90685	CPT	Outpatient			27	17.55		90			Percent of total billed charges		24.3	40			Percent of total billed charges		10.8	80			Percent of total billed charges		21.6	90			Percent of total billed charges		24.3	100			Fee schedule	code is bundled with other services	27	85			Percent of total billed charges		22.95	100			Fee schedule	code is bundled with other services	27	100			Fee schedule	code is bundled with other services	27	100			Fee schedule	code is bundled with other services	27	100			Fee schedule	code is bundled with other services	27		23.12		Case rate		23.12		23.12		Case rate		23.12	100			Fee schedule	code is bundled with other services	27	10.8	24.3	
Oxycodone	80365	CPT	Outpatient			165	107.25		90			Percent of total billed charges		148.5	40			Percent of total billed charges		66	80			Percent of total billed charges		132	90			Percent of total billed charges		148.5	100			Fee schedule	code is bundled with other services	165	85			Percent of total billed charges		140.25	100			Fee schedule	code is bundled with other services	165	100			Fee schedule	code is bundled with other services	165	100			Fee schedule	code is bundled with other services	165	100			Fee schedule	code is bundled with other services	165		23.93		Case rate		23.93		23.93		Case rate		23.93	100			Fee schedule	code is bundled with other services	165	23.93	148.5	
Benzodiazepines; 13 or more	80347	CPT	Outpatient			165	107.25		90			Percent of total billed charges		148.5	40			Percent of total billed charges		66	80			Percent of total billed charges		132	90			Percent of total billed charges		148.5	100			Fee schedule	code is bundled with other services	165	85			Percent of total billed charges		140.25	100			Fee schedule	code is bundled with other services	165	100			Fee schedule	code is bundled with other services	165	100			Fee schedule	code is bundled with other services	165	100			Fee schedule	code is bundled with other services	165		24.25		Case rate		24.25		24.25		Case rate		24.25	100			Fee schedule	code is bundled with other services	165	24.25	148.5	
"Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, preservative and antibiotic free, 0.5 mL dosage, for intramuscular use"	90674	CPT	Outpatient			40	26		90			Percent of total billed charges		36	40			Percent of total billed charges		16	80			Percent of total billed charges		32	90			Percent of total billed charges		36	100			Fee schedule	code is bundled with other services	40	85			Percent of total billed charges		34	100			Fee schedule	code is bundled with other services	40	100			Fee schedule	code is bundled with other services	40	100			Fee schedule	code is bundled with other services	40	100			Fee schedule	code is bundled with other services	40		25.49		Case rate		25.49		25.49		Case rate		25.49	100			Fee schedule	code is bundled with other services	40	16	36	
"Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular use"	90744	CPT	Outpatient			124	80.6		90			Percent of total billed charges		111.6	40			Percent of total billed charges		49.6	80			Percent of total billed charges		99.2	90			Percent of total billed charges		111.6	100			Fee schedule	code is bundled with other services	124	85			Percent of total billed charges		105.4	100			Fee schedule	code is bundled with other services	124	100			Fee schedule	code is bundled with other services	124	100			Fee schedule	code is bundled with other services	124	100			Fee schedule	code is bundled with other services	124		27.71		Case rate		27.71		27.71		Case rate		27.71	100			Fee schedule	code is bundled with other services	124	27.71	111.6	
"Hospital observation service, per hour"	G0378	CPT	Outpatient			28	18.2		90			Percent of total billed charges		25.2	40			Percent of total billed charges		11.2	80			Percent of total billed charges		22.4	90			Percent of total billed charges		25.2	100			Fee schedule	code is bundled with other services	28	85			Percent of total billed charges		23.8	100			Fee schedule	code is bundled with other services	28	100			Fee schedule	code is bundled with other services	28	100			Fee schedule	code is bundled with other services	28	100			Fee schedule	code is bundled with other services	28		1008		Case rate	Use Lesser of logic	28		1008		Case rate	Use Lesser of logic	28	100			Fee schedule	code is bundled with other services	28	11.2	28	
"Influenza virus vaccine, quadrivalent, live (LAIV4), for intranasal use"	90672	CPT	Outpatient			25	16.25		90			Percent of total billed charges		22.5	40			Percent of total billed charges		10	80			Percent of total billed charges		20	90			Percent of total billed charges		22.5	100			Fee schedule	code is bundled with other services	25	85			Percent of total billed charges		21.25	100			Fee schedule	code is bundled with other services	25	100			Fee schedule	code is bundled with other services	25	100			Fee schedule	code is bundled with other services	25	100			Fee schedule	code is bundled with other services	25		29.99		Case rate		29.99		29.99		Case rate		29.99	100			Fee schedule	code is bundled with other services	25	10	29.99	
"Immunization administration through 18 years of age via any route of administration, with counseling by physician or other qualified health care professional; first or only component of each vaccine or toxoid administered"	90460	CPT	Outpatient			30	19.5		90			Percent of total billed charges		27	40			Percent of total billed charges		12	80			Percent of total billed charges		24	90			Percent of total billed charges		27	100			Fee schedule	code is bundled with other services	30	85			Percent of total billed charges		25.5	100			Fee schedule	code is bundled with other services	30	100			Fee schedule	code is bundled with other services	30	100			Fee schedule	code is bundled with other services	30	100			Fee schedule	code is bundled with other services	30		141		Case rate	Use Lesser of logic	30		141		Case rate	Use Lesser of logic	30	100			Fee schedule	code is bundled with other services	30	12	30	
"Opiates, 1 or more"	80361	CPT	Outpatient			165	107.25		90			Percent of total billed charges		148.5	40			Percent of total billed charges		66	80			Percent of total billed charges		132	90			Percent of total billed charges		148.5	100			Fee schedule	code is bundled with other services	165	85			Percent of total billed charges		140.25	100			Fee schedule	code is bundled with other services	165	100			Fee schedule	code is bundled with other services	165	100			Fee schedule	code is bundled with other services	165	100			Fee schedule	code is bundled with other services	165		31.48		Case rate		31.48		31.48		Case rate		31.48	100			Fee schedule	code is bundled with other services	165	31.48	148.5	
"Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure)"	90472	CPT	Outpatient			35	22.75		90			Percent of total billed charges		31.5	40			Percent of total billed charges		14	80			Percent of total billed charges		28	90			Percent of total billed charges		31.5	100			Fee schedule	code is bundled with other services	35	85			Percent of total billed charges		29.75	100			Fee schedule	code is bundled with other services	35	100			Fee schedule	code is bundled with other services	35	100			Fee schedule	code is bundled with other services	35	100			Fee schedule	code is bundled with other services	35		141		Case rate	Use Lesser of logic	35		141		Case rate	Use Lesser of logic	35	100			Fee schedule	code is bundled with other services	35	14	35	
"Education and training for patient self-management by a qualified, nonphysician health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) each 30 minutes; individual patient"	98960	CPT	Outpatient			35	22.75		90			Percent of total billed charges		31.5	40			Percent of total billed charges		14	80			Percent of total billed charges		28	90			Percent of total billed charges		31.5	100			Fee schedule	code is bundled with other services	35	85			Percent of total billed charges		29.75	100			Fee schedule	code is bundled with other services	35	100			Fee schedule	code is bundled with other services	35	100			Fee schedule	code is bundled with other services	35	100			Fee schedule	code is bundled with other services	35		89		Case rate	Use Lesser of logic	35		89		Case rate	Use Lesser of logic	35	100			Fee schedule	code is bundled with other services	35	14	35	
"Rhythm ECG, 1-3 leads; with interpretation and report"	93040	CPT	Outpatient			35	22.75		90			Percent of total billed charges		31.5	40			Percent of total billed charges		14	80			Percent of total billed charges		28	90			Percent of total billed charges		31.5	100			Fee schedule	code is bundled with other services	35	85			Percent of total billed charges		29.75	100			Fee schedule	code is bundled with other services	35	100			Fee schedule	code is bundled with other services	35	100			Fee schedule	code is bundled with other services	35	100			Fee schedule	code is bundled with other services	35		60		Case rate	Use Lesser of logic	35		60		Case rate	Use Lesser of logic	35	100			Fee schedule	code is bundled with other services	35	14	35	
"General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated (85027) and appropriate manual differential WBC count (85007 or 85009) Thyroid stimulating hormone (TSH) (84443)"	80050	CPT	Outpatient			416	270.4		90			Percent of total billed charges		374.4	40			Percent of total billed charges		166.4	80			Percent of total billed charges		332.8	90			Percent of total billed charges		374.4	100			Fee schedule	code is bundled with other services	416	85			Percent of total billed charges		353.6	100			Fee schedule	code is bundled with other services	416	100			Fee schedule	code is bundled with other services	416	100			Fee schedule	code is bundled with other services	416	100			Fee schedule	code is bundled with other services	416		35.53		Case rate		35.53		35.53		Case rate		35.53	100			Fee schedule	code is bundled with other services	416	35.53	374.4	
Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echocardiography)	93325	CPT	Outpatient			40	26		90			Percent of total billed charges		36	40			Percent of total billed charges		16	80			Percent of total billed charges		32	90			Percent of total billed charges		36	100			Fee schedule	code is bundled with other services	40	85			Percent of total billed charges		34	100			Fee schedule	code is bundled with other services	40	100			Fee schedule	code is bundled with other services	40	100			Fee schedule	code is bundled with other services	40	100			Fee schedule	code is bundled with other services	40		89		Case rate	Use Lesser of logic	40		89		Case rate	Use Lesser of logic	40	100			Fee schedule	code is bundled with other services	40	16	40	
"Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure)"	88341	CPT	Outpatient			102.01	66.31		90			Percent of total billed charges		91.81	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.61	90			Percent of total billed charges		91.81	100			Fee schedule	code is bundled with other services	102.01	85			Percent of total billed charges		86.71	100			Fee schedule	code is bundled with other services	102.01	100			Fee schedule	code is bundled with other services	102.01	100			Fee schedule	code is bundled with other services	102.01	100			Fee schedule	code is bundled with other services	102.01		40.92		Case rate		40.92		40.92		Case rate		40.92	100			Fee schedule	code is bundled with other services	102.01	40.8	91.81	
Noninvasive ear or pulse oximetry for oxygen saturation; single determination	94760	CPT	Outpatient			43	27.95		90			Percent of total billed charges		38.7	40			Percent of total billed charges		17.2	80			Percent of total billed charges		34.4	90			Percent of total billed charges		38.7	100			Fee schedule	code is bundled with other services	43	85			Percent of total billed charges		36.55	100			Fee schedule	code is bundled with other services	43	100			Fee schedule	code is bundled with other services	43	100			Fee schedule	code is bundled with other services	43	100			Fee schedule	code is bundled with other services	43		82		Case rate	Use Lesser of logic	43		82		Case rate	Use Lesser of logic	43	100			Fee schedule	code is bundled with other services	43	17.2	43	
"Administration of respiratory syncytial virus, monoclonal antibody, seasonal dose by intramuscular injection, with counseling by physician or other qualified health care professional"	96380	CPT	Outpatient			45	29.25		90			Percent of total billed charges		40.5	40			Percent of total billed charges		18	80			Percent of total billed charges		36	90			Percent of total billed charges		40.5	100			Fee schedule	code is bundled with other services	45	85			Percent of total billed charges		38.25	100			Fee schedule	code is bundled with other services	45	100			Fee schedule	code is bundled with other services	45	100			Fee schedule	code is bundled with other services	45	100			Fee schedule	code is bundled with other services	45		141		Case rate	Use Lesser of logic	45		141		Case rate	Use Lesser of logic	45	100			Fee schedule	code is bundled with other services	45	18	45	
"Administration of respiratory syncytial virus, monoclonal antibody, seasonal dose by intramuscular injection"	96381	CPT	Outpatient			45	29.25		90			Percent of total billed charges		40.5	40			Percent of total billed charges		18	80			Percent of total billed charges		36	90			Percent of total billed charges		40.5	100			Fee schedule	code is bundled with other services	45	85			Percent of total billed charges		38.25	100			Fee schedule	code is bundled with other services	45	100			Fee schedule	code is bundled with other services	45	100			Fee schedule	code is bundled with other services	45	100			Fee schedule	code is bundled with other services	45		141		Case rate	Use Lesser of logic	45		141		Case rate	Use Lesser of logic	45	100			Fee schedule	code is bundled with other services	45	18	45	
External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; review and interpretation	93248	CPT	Outpatient			45	29.25		90			Percent of total billed charges		40.5	40			Percent of total billed charges		18	80			Percent of total billed charges		36	90			Percent of total billed charges		40.5	100			Fee schedule	code is bundled with other services	45	85			Percent of total billed charges		38.25	100			Fee schedule	code is bundled with other services	45	100			Fee schedule	code is bundled with other services	45	100			Fee schedule	code is bundled with other services	45	100			Fee schedule	code is bundled with other services	45		60		Case rate	Use Lesser of logic	45		60		Case rate	Use Lesser of logic	45	100			Fee schedule	code is bundled with other services	45	18	45	
"Removal of skin tags, multiple fibrocutaneous tags, any area; each additional 10 lesions, or part thereof (List separately in addition to code for primary procedure)"	11201	CPT	Outpatient			55	35.75		90			Percent of total billed charges		49.5	40			Percent of total billed charges		22	80			Percent of total billed charges		44	85			Percent of total billed charges		46.75	100			Fee schedule	code is bundled with other services	55	85			Percent of total billed charges		46.75	100			Fee schedule	code is bundled with other services	55	100			Fee schedule	code is bundled with other services	55	100			Fee schedule	code is bundled with other services	55	100			Fee schedule	code is bundled with other services	55		216		Case rate	Use Lesser of logic	55		216		Case rate	Use Lesser of logic	55	100			Fee schedule	code is bundled with other services	55	22	55	
"Interrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead pacemaker system, or leadless pacemaker system with interim analysis, review(s) and report(s) by a physician or other qualified health care professional"	93294	CPT	Outpatient			55	35.75		90			Percent of total billed charges		49.5	40			Percent of total billed charges		22	80			Percent of total billed charges		44	90			Percent of total billed charges		49.5	100			Fee schedule	code is bundled with other services	55	85			Percent of total billed charges		46.75	100			Fee schedule	code is bundled with other services	55	100			Fee schedule	code is bundled with other services	55	100			Fee schedule	code is bundled with other services	55	100			Fee schedule	code is bundled with other services	55		621		Case rate	Use Lesser of logic	55		621		Case rate	Use Lesser of logic	55	100			Fee schedule	code is bundled with other services	55	22	55	
Set-up portable x-ray equipment	Q0092	CPT	Outpatient			55	35.75		90			Percent of total billed charges		49.5	40			Percent of total billed charges		22	80			Percent of total billed charges		44	90			Percent of total billed charges		49.5	100			Fee schedule	code is bundled with other services	55	85			Percent of total billed charges		46.75	100			Fee schedule	code is bundled with other services	55	100			Fee schedule	code is bundled with other services	55	100			Fee schedule	code is bundled with other services	55	100			Fee schedule	code is bundled with other services	55		117		Case rate	Use Lesser of logic	55		117		Case rate	Use Lesser of logic	55	100			Fee schedule	code is bundled with other services	55	22	55	
"Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular use"	90662	CPT	Outpatient			259	168.35		90			Percent of total billed charges		233.1	40			Percent of total billed charges		103.6	80			Percent of total billed charges		207.2	90			Percent of total billed charges		233.1	100			Fee schedule	code is bundled with other services	259	85			Percent of total billed charges		220.15	100			Fee schedule	code is bundled with other services	259	100			Fee schedule	code is bundled with other services	259	100			Fee schedule	code is bundled with other services	259	100			Fee schedule	code is bundled with other services	259		56.57		Case rate		56.57		56.57		Case rate		56.57	100			Fee schedule	code is bundled with other services	259	56.57	233.1	
"Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular use"	90653	CPT	Outpatient			135	87.75		90			Percent of total billed charges		121.5	40			Percent of total billed charges		54	80			Percent of total billed charges		108	90			Percent of total billed charges		121.5	100			Fee schedule	code is bundled with other services	135	85			Percent of total billed charges		114.75	100			Fee schedule	code is bundled with other services	135	100			Fee schedule	code is bundled with other services	135	100			Fee schedule	code is bundled with other services	135	100			Fee schedule	code is bundled with other services	135		57.95		Case rate		57.95		57.95		Case rate		57.95	100			Fee schedule	code is bundled with other services	135	54	121.5	
"Injection, ibandronate sodium, 1 mg"	J1740	HCPCS	Outpatient	1	ME	165	107.25		90			Percent of total billed charges		148.5	40			Percent of total billed charges		66	80			Percent of total billed charges		132	90			Percent of total billed charges		148.5	100			Fee schedule	code is bundled with other services	165	85			Percent of total billed charges		140.25	100			Fee schedule	code is bundled with other services	165	100			Fee schedule	code is bundled with other services	165	100			Fee schedule	code is bundled with other services	165	100			Fee schedule	code is bundled with other services	165		58.77		Case rate		58.77		58.77		Case rate		58.77	100			Fee schedule	code is bundled with other services	165	58.77	148.5	
"Screening test, pure tone, air only"	92551	CPT	Outpatient			59	38.35		90			Percent of total billed charges		53.1	40			Percent of total billed charges		23.6	80			Percent of total billed charges		47.2	90			Percent of total billed charges		53.1	100			Fee schedule	code is bundled with other services	59	85			Percent of total billed charges		50.15	100			Fee schedule	code is bundled with other services	59	100			Fee schedule	code is bundled with other services	59	100			Fee schedule	code is bundled with other services	59	100			Fee schedule	code is bundled with other services	59		60		Case rate	Use Lesser of logic	59		60		Case rate	Use Lesser of logic	59	100			Fee schedule	code is bundled with other services	59	23.6	59	
"Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone)"	Q2038	CPT	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	100			Fee schedule	code is bundled with other services	15	85			Percent of total billed charges		12.75	100			Fee schedule	code is bundled with other services	15	100			Fee schedule	code is bundled with other services	15	100			Fee schedule	code is bundled with other services	15	100			Fee schedule	code is bundled with other services	15		59.55		Case rate		59.55		59.55		Case rate		59.55	100			Fee schedule	code is bundled with other services	15	6	59.55	
"Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report"	G0403	CPT	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	100			Fee schedule	code is bundled with other services	62	85			Percent of total billed charges		52.7	100			Fee schedule	code is bundled with other services	62	100			Fee schedule	code is bundled with other services	62	100			Fee schedule	code is bundled with other services	62	100			Fee schedule	code is bundled with other services	62		60		Case rate		60		60		Case rate		60	100			Fee schedule	code is bundled with other services	62	24.8	60	
"Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report"	93000	CPT	Outpatient			65	42.25		90			Percent of total billed charges		58.5	40			Percent of total billed charges		26	80			Percent of total billed charges		52	90			Percent of total billed charges		58.5	100			Fee schedule	code is bundled with other services	65	85			Percent of total billed charges		55.25	100			Fee schedule	code is bundled with other services	65	100			Fee schedule	code is bundled with other services	65	100			Fee schedule	code is bundled with other services	65	100			Fee schedule	code is bundled with other services	65		60		Case rate		60		60		Case rate		60	100			Fee schedule	code is bundled with other services	65	26	60	
"Revision of total knee arthroplasty, with or without allograft; femoral and entire tibial component"	27487	CPT	Outpatient			68.31	44.4		90			Percent of total billed charges		61.48	40			Percent of total billed charges		27.32	80			Percent of total billed charges		54.65	85			Percent of total billed charges		58.07	100			Fee schedule	code is bundled with other services	68.31	85			Percent of total billed charges		58.07	100			Fee schedule	code is bundled with other services	68.31	100			Fee schedule	code is bundled with other services	68.31	100			Fee schedule	code is bundled with other services	68.31	100			Fee schedule	code is bundled with other services	68.31		5002		Case rate	Use Lesser of logic	68.31		5002		Case rate	Use Lesser of logic	68.31	100			Fee schedule	code is bundled with other services	68.31	27.32	68.31	
"Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular use"	90746	CPT	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	100			Fee schedule	code is bundled with other services	75	85			Percent of total billed charges		63.75	100			Fee schedule	code is bundled with other services	75	100			Fee schedule	code is bundled with other services	75	100			Fee schedule	code is bundled with other services	75	100			Fee schedule	code is bundled with other services	75		69.03		Case rate		69.03		69.03		Case rate		69.03	100			Fee schedule	code is bundled with other services	75	30	69.03	
Diagnostic digital breast tomosynthesis; unilateral	77061	CPT	Outpatient			70	45.5		90			Percent of total billed charges		63	40			Percent of total billed charges		28	80			Percent of total billed charges		56	90			Percent of total billed charges		63	100			Fee schedule	code is bundled with other services	70	85			Percent of total billed charges		59.5	100			Fee schedule	code is bundled with other services	70	100			Fee schedule	code is bundled with other services	70	100			Fee schedule	code is bundled with other services	70	100			Fee schedule	code is bundled with other services	70		132		Case rate	Use Lesser of logic	70		132		Case rate	Use Lesser of logic	70	100			Fee schedule	code is bundled with other services	70	28	70	
"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective right ventricular or right atrial angiography (List separately in addition to code for primary procedure)"	93566	CPT	Outpatient			70	45.5		90			Percent of total billed charges		63	40			Percent of total billed charges		28	80			Percent of total billed charges		56	90			Percent of total billed charges		63	100			Fee schedule	code is bundled with other services	70	85			Percent of total billed charges		59.5	100			Fee schedule	code is bundled with other services	70	100			Fee schedule	code is bundled with other services	70	100			Fee schedule	code is bundled with other services	70	100			Fee schedule	code is bundled with other services	70		216		Case rate	Use Lesser of logic	70		216		Case rate	Use Lesser of logic	70	100			Fee schedule	code is bundled with other services	70	28	70	
Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure)	94645	CPT	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	100			Fee schedule	code is bundled with other services	76	85			Percent of total billed charges		64.6	100			Fee schedule	code is bundled with other services	76	100			Fee schedule	code is bundled with other services	76	100			Fee schedule	code is bundled with other services	76	100			Fee schedule	code is bundled with other services	76		117		Case rate	Use Lesser of logic	76		117		Case rate	Use Lesser of logic	76	100			Fee schedule	code is bundled with other services	76	30.4	76	
"Introduction of needle or intracatheter, vein"	36000	CPT	Outpatient			80	52		90			Percent of total billed charges		72	40			Percent of total billed charges		32	80			Percent of total billed charges		64	85			Percent of total billed charges		68	100			Fee schedule	code is bundled with other services	80	85			Percent of total billed charges		68	100			Fee schedule	code is bundled with other services	80	100			Fee schedule	code is bundled with other services	80	100			Fee schedule	code is bundled with other services	80	100			Fee schedule	code is bundled with other services	80		216		Case rate	Use Lesser of logic	80		216		Case rate	Use Lesser of logic	80	100			Fee schedule	code is bundled with other services	80	32	80	
"Education and training for patient self-management by a qualified, nonphysician health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) each 30 minutes; 2-4 patients"	98961	CPT	Outpatient			80	52		90			Percent of total billed charges		72	40			Percent of total billed charges		32	80			Percent of total billed charges		64	90			Percent of total billed charges		72	100			Fee schedule	code is bundled with other services	80	85			Percent of total billed charges		68	100			Fee schedule	code is bundled with other services	80	100			Fee schedule	code is bundled with other services	80	100			Fee schedule	code is bundled with other services	80	100			Fee schedule	code is bundled with other services	80		89		Case rate	Use Lesser of logic	80		89		Case rate	Use Lesser of logic	80	100			Fee schedule	code is bundled with other services	80	32	80	
"Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure)"	94729	CPT	Outpatient			233	151.45		90			Percent of total billed charges		209.7	40			Percent of total billed charges		93.2	80			Percent of total billed charges		186.4	90			Percent of total billed charges		209.7	100			Fee schedule	code is bundled with other services	233	85			Percent of total billed charges		198.05	100			Fee schedule	code is bundled with other services	233	100			Fee schedule	code is bundled with other services	233	100			Fee schedule	code is bundled with other services	233	100			Fee schedule	code is bundled with other services	233		82		Case rate		82		82		Case rate		82	100			Fee schedule	code is bundled with other services	233	82	209.7	
"Noninvasive ear or pulse oximetry for oxygen saturation; multiple determinations (eg, during exercise)"	94761	CPT	Outpatient			248	161.2		90			Percent of total billed charges		223.2	40			Percent of total billed charges		99.2	80			Percent of total billed charges		198.4	90			Percent of total billed charges		223.2	100			Fee schedule	code is bundled with other services	248	85			Percent of total billed charges		210.8	100			Fee schedule	code is bundled with other services	248	100			Fee schedule	code is bundled with other services	248	100			Fee schedule	code is bundled with other services	248	100			Fee schedule	code is bundled with other services	248		82		Case rate		82		82		Case rate		82	100			Fee schedule	code is bundled with other services	248	82	223.2	
Training and educational services related to the care and treatment of patient's disabling mental health problems per session (45 minutes or more)	G0177	CPT	Outpatient			91	59.15		90			Percent of total billed charges		81.9	40			Percent of total billed charges		36.4	80			Percent of total billed charges		72.8	90			Percent of total billed charges		81.9	100			Fee schedule	code is bundled with other services	91	85			Percent of total billed charges		77.35	100			Fee schedule	code is bundled with other services	91	100			Fee schedule	code is bundled with other services	91	100			Fee schedule	code is bundled with other services	91	100			Fee schedule	code is bundled with other services	91		89		Case rate		89		89		Case rate		89	100			Fee schedule	code is bundled with other services	91	36.4	89	
"Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); complete"	93320	CPT	Outpatient			140	91		90			Percent of total billed charges		126	40			Percent of total billed charges		56	80			Percent of total billed charges		112	90			Percent of total billed charges		126	100			Fee schedule	code is bundled with other services	140	85			Percent of total billed charges		119	100			Fee schedule	code is bundled with other services	140	100			Fee schedule	code is bundled with other services	140	100			Fee schedule	code is bundled with other services	140	100			Fee schedule	code is bundled with other services	140		89		Case rate		89		89		Case rate		89	100			Fee schedule	code is bundled with other services	140	56	126	
"Removal of intra-aortic balloon assist device, percutaneous"	33968	CPT	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	85			Percent of total billed charges		76.5	100			Fee schedule	code is bundled with other services	90	85			Percent of total billed charges		76.5	100			Fee schedule	code is bundled with other services	90	100			Fee schedule	code is bundled with other services	90	100			Fee schedule	code is bundled with other services	90	100			Fee schedule	code is bundled with other services	90		8897		Case rate	Use Lesser of logic	90		8897		Case rate	Use Lesser of logic	90	100			Fee schedule	code is bundled with other services	90	36	90	
Needle electromyography for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure)	95874	CPT	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	100			Fee schedule	code is bundled with other services	90	85			Percent of total billed charges		76.5	100			Fee schedule	code is bundled with other services	90	100			Fee schedule	code is bundled with other services	90	100			Fee schedule	code is bundled with other services	90	100			Fee schedule	code is bundled with other services	90		237		Case rate	Use Lesser of logic	90		237		Case rate	Use Lesser of logic	90	100			Fee schedule	code is bundled with other services	90	36	90	
Injection procedure and placement of chain for contrast and/or chain urethrocystography	51605	CPT	Outpatient			91	59.15		90			Percent of total billed charges		81.9	40			Percent of total billed charges		36.4	80			Percent of total billed charges		72.8	85			Percent of total billed charges		77.35	100			Fee schedule	code is bundled with other services	91	85			Percent of total billed charges		77.35	100			Fee schedule	code is bundled with other services	91	100			Fee schedule	code is bundled with other services	91	100			Fee schedule	code is bundled with other services	91	100			Fee schedule	code is bundled with other services	91		216		Case rate	Use Lesser of logic	91		216		Case rate	Use Lesser of logic	91	100			Fee schedule	code is bundled with other services	91	36.4	91	
Biopsy of vulva or perineum (separate procedure); each separate additional lesion (List separately in addition to code for primary procedure)	56606	CPT	Outpatient			95	61.75		90			Percent of total billed charges		85.5	40			Percent of total billed charges		38	80			Percent of total billed charges		76	85			Percent of total billed charges		80.75	100			Fee schedule	code is bundled with other services	95	85			Percent of total billed charges		80.75	100			Fee schedule	code is bundled with other services	95	100			Fee schedule	code is bundled with other services	95	100			Fee schedule	code is bundled with other services	95	100			Fee schedule	code is bundled with other services	95		216		Case rate	Use Lesser of logic	95		216		Case rate	Use Lesser of logic	95	100			Fee schedule	code is bundled with other services	95	38	95	
Electrical stimulation for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure)	95873	CPT	Outpatient			98	63.7		90			Percent of total billed charges		88.2	40			Percent of total billed charges		39.2	80			Percent of total billed charges		78.4	90			Percent of total billed charges		88.2	100			Fee schedule	code is bundled with other services	98	85			Percent of total billed charges		83.3	100			Fee schedule	code is bundled with other services	98	100			Fee schedule	code is bundled with other services	98	100			Fee schedule	code is bundled with other services	98	100			Fee schedule	code is bundled with other services	98		237		Case rate	Use Lesser of logic	98		237		Case rate	Use Lesser of logic	98	100			Fee schedule	code is bundled with other services	98	39.2	98	
Ear piercing	69090	CPT	Outpatient			100	65		90			Percent of total billed charges		90	40			Percent of total billed charges		40	80			Percent of total billed charges		80	85			Percent of total billed charges		85	100			Fee schedule	code is bundled with other services	100	85			Percent of total billed charges		85	100			Fee schedule	code is bundled with other services	100	100			Fee schedule	code is bundled with other services	100	100			Fee schedule	code is bundled with other services	100	100			Fee schedule	code is bundled with other services	100		1055		Case rate	Use Lesser of logic	100		1055		Case rate	Use Lesser of logic	100	100			Fee schedule	code is bundled with other services	100	40	100	
"Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); concurrent infusion (List separately in addition to code for primary procedure)"	96368	CPT	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	100			Fee schedule	code is bundled with other services	102	85			Percent of total billed charges		86.7	100			Fee schedule	code is bundled with other services	102	100			Fee schedule	code is bundled with other services	102	100			Fee schedule	code is bundled with other services	102	100			Fee schedule	code is bundled with other services	102		141		Case rate	Use Lesser of logic	102		141		Case rate	Use Lesser of logic	102	100			Fee schedule	code is bundled with other services	102	40.8	102	
"Selective catheter placement, arterial system; additional second order, third order, and beyond, abdominal, pelvic, or lower extremity artery branch, within a vascular family (List in addition to code for initial second or third order vessel as appropriate)"	36248	CPT	Outpatient			103	66.95		90			Percent of total billed charges		92.7	40			Percent of total billed charges		41.2	80			Percent of total billed charges		82.4	85			Percent of total billed charges		87.55	100			Fee schedule	code is bundled with other services	103	85			Percent of total billed charges		87.55	100			Fee schedule	code is bundled with other services	103	100			Fee schedule	code is bundled with other services	103	100			Fee schedule	code is bundled with other services	103	100			Fee schedule	code is bundled with other services	103		216		Case rate	Use Lesser of logic	103		216		Case rate	Use Lesser of logic	103	100			Fee schedule	code is bundled with other services	103	41.2	103	
"Selective catheter placement, arterial system; additional second order, third order, and beyond, thoracic or brachiocephalic branch, within a vascular family (List in addition to code for initial second or third order vessel as appropriate)"	36218	CPT	Outpatient			103	66.95		90			Percent of total billed charges		92.7	40			Percent of total billed charges		41.2	80			Percent of total billed charges		82.4	85			Percent of total billed charges		87.55	100			Fee schedule	code is bundled with other services	103	85			Percent of total billed charges		87.55	100			Fee schedule	code is bundled with other services	103	100			Fee schedule	code is bundled with other services	103	100			Fee schedule	code is bundled with other services	103	100			Fee schedule	code is bundled with other services	103		216		Case rate	Use Lesser of logic	103		216		Case rate	Use Lesser of logic	103	100			Fee schedule	code is bundled with other services	103	41.2	103	
"Interrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead implantable defibrillator system with interim analysis, review(s) and report(s) by a physician or other qualified health care professional"	93295	CPT	Outpatient			105	68.25		90			Percent of total billed charges		94.5	40			Percent of total billed charges		42	80			Percent of total billed charges		84	90			Percent of total billed charges		94.5	100			Fee schedule	code is bundled with other services	105	85			Percent of total billed charges		89.25	100			Fee schedule	code is bundled with other services	105	100			Fee schedule	code is bundled with other services	105	100			Fee schedule	code is bundled with other services	105	100			Fee schedule	code is bundled with other services	105		621		Case rate	Use Lesser of logic	105		621		Case rate	Use Lesser of logic	105	100			Fee schedule	code is bundled with other services	105	42	105	
"Needle electromyography, non-extremity (cranial nerve supplied or axial) muscle(s) done with nerve conduction, amplitude and latency/velocity study (List separately in addition to code for primary procedure)"	95887	CPT	Outpatient			110	71.5		90			Percent of total billed charges		99	40			Percent of total billed charges		44	80			Percent of total billed charges		88	90			Percent of total billed charges		99	100			Fee schedule	code is bundled with other services	110	85			Percent of total billed charges		93.5	100			Fee schedule	code is bundled with other services	110	100			Fee schedule	code is bundled with other services	110	100			Fee schedule	code is bundled with other services	110	100			Fee schedule	code is bundled with other services	110		237		Case rate	Use Lesser of logic	110		237		Case rate	Use Lesser of logic	110	100			Fee schedule	code is bundled with other services	110	44	110	
"Punch biopsy of skin (including simple closure, when performed); each separate/additional lesion (List separately in addition to code for primary procedure)"	11105	CPT	Outpatient			112	72.8		90			Percent of total billed charges		100.8	40			Percent of total billed charges		44.8	80			Percent of total billed charges		89.6	85			Percent of total billed charges		95.2	100			Fee schedule	code is bundled with other services	112	85			Percent of total billed charges		95.2	100			Fee schedule	code is bundled with other services	112	100			Fee schedule	code is bundled with other services	112	100			Fee schedule	code is bundled with other services	112	100			Fee schedule	code is bundled with other services	112		216		Case rate	Use Lesser of logic	112		216		Case rate	Use Lesser of logic	112	100			Fee schedule	code is bundled with other services	112	44.8	112	
"Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular use"	90732	CPT	Outpatient			360	234		90			Percent of total billed charges		324	40			Percent of total billed charges		144	80			Percent of total billed charges		288	90			Percent of total billed charges		324	100			Fee schedule	code is bundled with other services	360	85			Percent of total billed charges		306	100			Fee schedule	code is bundled with other services	360	100			Fee schedule	code is bundled with other services	360	100			Fee schedule	code is bundled with other services	360	100			Fee schedule	code is bundled with other services	360		114.22		Case rate		114.22		114.22		Case rate		114.22	100			Fee schedule	code is bundled with other services	360	114.22	324	
Injection procedure for temporomandibular joint arthrography	21116	CPT	Outpatient			116	75.4		90			Percent of total billed charges		104.4	40			Percent of total billed charges		46.4	80			Percent of total billed charges		92.8	85			Percent of total billed charges		98.6	100			Fee schedule	code is bundled with other services	116	85			Percent of total billed charges		98.6	100			Fee schedule	code is bundled with other services	116	100			Fee schedule	code is bundled with other services	116	100			Fee schedule	code is bundled with other services	116	100			Fee schedule	code is bundled with other services	116		216		Case rate	Use Lesser of logic	116		216		Case rate	Use Lesser of logic	116	100			Fee schedule	code is bundled with other services	116	46.4	116	
"Cholangiography and/or pancreatography; additional set intraoperative, radiological supervision and interpretation (List separately in addition to code for primary procedure)"	74301	CPT	Outpatient			120	78		90			Percent of total billed charges		108	40			Percent of total billed charges		48	80			Percent of total billed charges		96	90			Percent of total billed charges		108	100			Fee schedule	code is bundled with other services	120	85			Percent of total billed charges		102	100			Fee schedule	code is bundled with other services	120	100			Fee schedule	code is bundled with other services	120	100			Fee schedule	code is bundled with other services	120	100			Fee schedule	code is bundled with other services	120		117		Case rate		117		117		Case rate		117	100			Fee schedule	code is bundled with other services	120	48	117	
"Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, one patient seen"	R0070	CPT	Outpatient			182	118.3		90			Percent of total billed charges		163.8	40			Percent of total billed charges		72.8	80			Percent of total billed charges		145.6	90			Percent of total billed charges		163.8	100			Fee schedule	code is bundled with other services	182	85			Percent of total billed charges		154.7	100			Fee schedule	code is bundled with other services	182	100			Fee schedule	code is bundled with other services	182	100			Fee schedule	code is bundled with other services	182	100			Fee schedule	code is bundled with other services	182		117		Case rate		117		117		Case rate		117	100			Fee schedule	code is bundled with other services	182	72.8	163.8	
"Transportation of portable x-ray equipment and personnel to home or nursing home, per trip to facility or location, more than one patient seen"	R0075	CPT	Outpatient			182	118.3		90			Percent of total billed charges		163.8	40			Percent of total billed charges		72.8	80			Percent of total billed charges		145.6	90			Percent of total billed charges		163.8	100			Fee schedule	code is bundled with other services	182	85			Percent of total billed charges		154.7	100			Fee schedule	code is bundled with other services	182	100			Fee schedule	code is bundled with other services	182	100			Fee schedule	code is bundled with other services	182	100			Fee schedule	code is bundled with other services	182		117		Case rate		117		117		Case rate		117	100			Fee schedule	code is bundled with other services	182	72.8	163.8	
"Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization device) (List separately in addition to code for primary procedure)"	77002	CPT	Outpatient			193	125.45		90			Percent of total billed charges		173.7	40			Percent of total billed charges		77.2	80			Percent of total billed charges		154.4	90			Percent of total billed charges		173.7	100			Fee schedule	code is bundled with other services	193	85			Percent of total billed charges		164.05	100			Fee schedule	code is bundled with other services	193	100			Fee schedule	code is bundled with other services	193	100			Fee schedule	code is bundled with other services	193	100			Fee schedule	code is bundled with other services	193		117		Case rate		117		117		Case rate		117	100			Fee schedule	code is bundled with other services	193	77.2	173.7	
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure)	77003	CPT	Outpatient			222	144.3		90			Percent of total billed charges		199.8	40			Percent of total billed charges		88.8	80			Percent of total billed charges		177.6	90			Percent of total billed charges		199.8	100			Fee schedule	code is bundled with other services	222	85			Percent of total billed charges		188.7	100			Fee schedule	code is bundled with other services	222	100			Fee schedule	code is bundled with other services	222	100			Fee schedule	code is bundled with other services	222	100			Fee schedule	code is bundled with other services	222		117		Case rate		117		117		Case rate		117	100			Fee schedule	code is bundled with other services	222	88.8	199.8	
"Radiologic small intestine follow-through study, including multiple serial images (List separately in addition to code for primary procedure for upper GI radiologic examination)"	74248	CPT	Outpatient			248	161.2		90			Percent of total billed charges		223.2	40			Percent of total billed charges		99.2	80			Percent of total billed charges		198.4	90			Percent of total billed charges		223.2	100			Fee schedule	code is bundled with other services	248	85			Percent of total billed charges		210.8	100			Fee schedule	code is bundled with other services	248	100			Fee schedule	code is bundled with other services	248	100			Fee schedule	code is bundled with other services	248	100			Fee schedule	code is bundled with other services	248		117		Case rate		117		117		Case rate		117	100			Fee schedule	code is bundled with other services	248	99.2	223.2	
"Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)"	77001	CPT	Outpatient			275	178.75		90			Percent of total billed charges		247.5	40			Percent of total billed charges		110	80			Percent of total billed charges		220	90			Percent of total billed charges		247.5	100			Fee schedule	code is bundled with other services	275	85			Percent of total billed charges		233.75	100			Fee schedule	code is bundled with other services	275	100			Fee schedule	code is bundled with other services	275	100			Fee schedule	code is bundled with other services	275	100			Fee schedule	code is bundled with other services	275		117		Case rate		117		117		Case rate		117	100			Fee schedule	code is bundled with other services	275	110	247.5	
"Cholangiography and/or pancreatography; intraoperative, radiological supervision and interpretation"	74300	CPT	Outpatient			294	191.1		90			Percent of total billed charges		264.6	40			Percent of total billed charges		117.6	80			Percent of total billed charges		235.2	90			Percent of total billed charges		264.6	100			Fee schedule	code is bundled with other services	294	85			Percent of total billed charges		249.9	100			Fee schedule	code is bundled with other services	294	100			Fee schedule	code is bundled with other services	294	100			Fee schedule	code is bundled with other services	294	100			Fee schedule	code is bundled with other services	294		117		Case rate		117		117		Case rate		117	100			Fee schedule	code is bundled with other services	294	117	264.6	
"Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation"	75984	CPT	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	100			Fee schedule	code is bundled with other services	348	85			Percent of total billed charges		295.8	100			Fee schedule	code is bundled with other services	348	100			Fee schedule	code is bundled with other services	348	100			Fee schedule	code is bundled with other services	348	100			Fee schedule	code is bundled with other services	348		117		Case rate		117		117		Case rate		117	100			Fee schedule	code is bundled with other services	348	117	313.2	
"Combined endoscopic catheterization of the biliary and pancreatic ductal systems, radiological supervision and interpretation"	74330	CPT	Outpatient			505	328.25		90			Percent of total billed charges		454.5	40			Percent of total billed charges		202	80			Percent of total billed charges		404	90			Percent of total billed charges		454.5	100			Fee schedule	code is bundled with other services	505	85			Percent of total billed charges		429.25	100			Fee schedule	code is bundled with other services	505	100			Fee schedule	code is bundled with other services	505	100			Fee schedule	code is bundled with other services	505	100			Fee schedule	code is bundled with other services	505		117		Case rate		117		117		Case rate		117	100			Fee schedule	code is bundled with other services	505	117	454.5	
"Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation"	75989	CPT	Outpatient			596	387.4		90			Percent of total billed charges		536.4	40			Percent of total billed charges		238.4	80			Percent of total billed charges		476.8	90			Percent of total billed charges		536.4	100			Fee schedule	code is bundled with other services	596	85			Percent of total billed charges		506.6	100			Fee schedule	code is bundled with other services	596	100			Fee schedule	code is bundled with other services	596	100			Fee schedule	code is bundled with other services	596	100			Fee schedule	code is bundled with other services	596		117		Case rate		117		117		Case rate		117	100			Fee schedule	code is bundled with other services	596	117	536.4	
"Introduction of long gastrointestinal tube (eg, Miller-Abbott), including multiple fluoroscopies and images, radiological supervision and interpretation"	74340	CPT	Outpatient			1081	702.65		90			Percent of total billed charges		972.9	40			Percent of total billed charges		432.4	80			Percent of total billed charges		864.8	90			Percent of total billed charges		972.9	100			Fee schedule	code is bundled with other services	1081	85			Percent of total billed charges		918.85	100			Fee schedule	code is bundled with other services	1081	100			Fee schedule	code is bundled with other services	1081	100			Fee schedule	code is bundled with other services	1081	100			Fee schedule	code is bundled with other services	1081		117		Case rate		117		117		Case rate		117	100			Fee schedule	code is bundled with other services	1081	117	972.9	
"Transcatheter biopsy, radiological supervision and interpretation"	75970	CPT	Outpatient			1346	874.9		90			Percent of total billed charges		1211.4	40			Percent of total billed charges		538.4	80			Percent of total billed charges		1076.8	90			Percent of total billed charges		1211.4	100			Fee schedule	code is bundled with other services	1346	85			Percent of total billed charges		1144.1	100			Fee schedule	code is bundled with other services	1346	100			Fee schedule	code is bundled with other services	1346	100			Fee schedule	code is bundled with other services	1346	100			Fee schedule	code is bundled with other services	1346		117		Case rate		117		117		Case rate		117	100			Fee schedule	code is bundled with other services	1346	117	1211.4	
"Angiography, selective, each additional vessel studied after basic examination, radiological supervision and interpretation (List separately in addition to code for primary procedure)"	75774	CPT	Outpatient			1381	897.65		90			Percent of total billed charges		1242.9	40			Percent of total billed charges		552.4	80			Percent of total billed charges		1104.8	90			Percent of total billed charges		1242.9	100			Fee schedule	code is bundled with other services	1381	85			Percent of total billed charges		1173.85	100			Fee schedule	code is bundled with other services	1381	100			Fee schedule	code is bundled with other services	1381	100			Fee schedule	code is bundled with other services	1381	100			Fee schedule	code is bundled with other services	1381		117		Case rate		117		117		Case rate		117	100			Fee schedule	code is bundled with other services	1381	117	1242.9	
"Transcatheter therapy, embolization, any method, radiological supervision and interpretation"	75894	CPT	Outpatient			2743	1782.95		90			Percent of total billed charges		2468.7	40			Percent of total billed charges		1097.2	80			Percent of total billed charges		2194.4	90			Percent of total billed charges		2468.7	100			Fee schedule	code is bundled with other services	2743	85			Percent of total billed charges		2331.55	100			Fee schedule	code is bundled with other services	2743	100			Fee schedule	code is bundled with other services	2743	100			Fee schedule	code is bundled with other services	2743	100			Fee schedule	code is bundled with other services	2743		117		Case rate		117		117		Case rate		117	100			Fee schedule	code is bundled with other services	2743	117	2468.7	
Diagnostic digital breast tomosynthesis; bilateral	77062	CPT	Outpatient			120	78		90			Percent of total billed charges		108	40			Percent of total billed charges		48	80			Percent of total billed charges		96	90			Percent of total billed charges		108	100			Fee schedule	code is bundled with other services	120	85			Percent of total billed charges		102	100			Fee schedule	code is bundled with other services	120	100			Fee schedule	code is bundled with other services	120	100			Fee schedule	code is bundled with other services	120	100			Fee schedule	code is bundled with other services	120		132		Case rate	Use Lesser of logic	120		132		Case rate	Use Lesser of logic	120	100			Fee schedule	code is bundled with other services	120	48	120	
"Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of the same substance/drug provided in a facility (List separately in addition to code for primary procedure)"	96376	CPT	Outpatient			121	78.65		90			Percent of total billed charges		108.9	40			Percent of total billed charges		48.4	80			Percent of total billed charges		96.8	90			Percent of total billed charges		108.9	100			Fee schedule	code is bundled with other services	121	85			Percent of total billed charges		102.85	100			Fee schedule	code is bundled with other services	121	100			Fee schedule	code is bundled with other services	121	100			Fee schedule	code is bundled with other services	121	100			Fee schedule	code is bundled with other services	121		141		Case rate	Use Lesser of logic	121		141		Case rate	Use Lesser of logic	121	100			Fee schedule	code is bundled with other services	121	48.4	121	
"Omentectomy, epiploectomy, resection of omentum (separate procedure)"	49255	CPT	Outpatient			123.91	80.54		90			Percent of total billed charges		111.52	40			Percent of total billed charges		49.56	80			Percent of total billed charges		99.13	85			Percent of total billed charges		105.33	100			Fee schedule	code is bundled with other services	123.91	85			Percent of total billed charges		105.33	100			Fee schedule	code is bundled with other services	123.91	100			Fee schedule	code is bundled with other services	123.91	100			Fee schedule	code is bundled with other services	123.91	100			Fee schedule	code is bundled with other services	123.91		1055		Case rate	Use Lesser of logic	123.91		1055		Case rate	Use Lesser of logic	123.91	100			Fee schedule	code is bundled with other services	123.91	49.56	123.91	
"Incisional biopsy of skin (eg, wedge) (including simple closure, when performed); each separate/additional lesion (List separately in addition to code for primary procedure)"	11107	CPT	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	85			Percent of total billed charges		107.95	100			Fee schedule	code is bundled with other services	127	85			Percent of total billed charges		107.95	100			Fee schedule	code is bundled with other services	127	100			Fee schedule	code is bundled with other services	127	100			Fee schedule	code is bundled with other services	127	100			Fee schedule	code is bundled with other services	127		216		Case rate	Use Lesser of logic	127		216		Case rate	Use Lesser of logic	127	100			Fee schedule	code is bundled with other services	127	50.8	127	
"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for nonselective pulmonary arterial angiography (List separately in addition to code for primary procedure)"	93568	CPT	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	100			Fee schedule	code is bundled with other services	127	85			Percent of total billed charges		107.95	100			Fee schedule	code is bundled with other services	127	100			Fee schedule	code is bundled with other services	127	100			Fee schedule	code is bundled with other services	127	100			Fee schedule	code is bundled with other services	127		216		Case rate	Use Lesser of logic	127		216		Case rate	Use Lesser of logic	127	100			Fee schedule	code is bundled with other services	127	50.8	127	
"Magnetic resonance imaging guidance for needle placement (eg, for biopsy, needle aspiration, injection, or placement of localization device) radiological supervision and interpretation"	77021	CPT	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	100			Fee schedule	code is bundled with other services	127	85			Percent of total billed charges		107.95	100			Fee schedule	code is bundled with other services	127	100			Fee schedule	code is bundled with other services	127	100			Fee schedule	code is bundled with other services	127	100			Fee schedule	code is bundled with other services	127		830		Case rate	Use Lesser of logic	127		830		Case rate	Use Lesser of logic	127	100			Fee schedule	code is bundled with other services	127	50.8	127	
"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective left ventricular or left atrial angiography (List separately in addition to code for primary procedure)"	93565	CPT	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	100			Fee schedule	code is bundled with other services	127	85			Percent of total billed charges		107.95	100			Fee schedule	code is bundled with other services	127	100			Fee schedule	code is bundled with other services	127	100			Fee schedule	code is bundled with other services	127	100			Fee schedule	code is bundled with other services	127		216		Case rate	Use Lesser of logic	127		216		Case rate	Use Lesser of logic	127	100			Fee schedule	code is bundled with other services	127	50.8	127	
"Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for supravalvular aortography (List separately in addition to code for primary procedure)"	93567	CPT	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	100			Fee schedule	code is bundled with other services	127	85			Percent of total billed charges		107.95	100			Fee schedule	code is bundled with other services	127	100			Fee schedule	code is bundled with other services	127	100			Fee schedule	code is bundled with other services	127	100			Fee schedule	code is bundled with other services	127		216		Case rate	Use Lesser of logic	127		216		Case rate	Use Lesser of logic	127	100			Fee schedule	code is bundled with other services	127	50.8	127	
"Puraply am, per square centimeter"	Q4196	CPT	Outpatient			311	202.15		90			Percent of total billed charges		279.9	40			Percent of total billed charges		124.4	80			Percent of total billed charges		248.8	90			Percent of total billed charges		279.9	100			Fee schedule	code is bundled with other services	311	85			Percent of total billed charges		264.35	100			Fee schedule	code is bundled with other services	311	100			Fee schedule	code is bundled with other services	311	100			Fee schedule	code is bundled with other services	311	100			Fee schedule	code is bundled with other services	311		128.03		Case rate		128.03		128.03		Case rate		128.03	100			Fee schedule	code is bundled with other services	311	124.4	279.9	
"Electroencephalogram (EEG), continuous recording, physician or other qualified health care professional review of recorded events, analysis of spike and seizure detection, each increment of greater than 12 hours, up to 26 hours of EEG recording, interpretation and report after each 24-hour period; without video"	95719	CPT	Outpatient			130	84.5		90			Percent of total billed charges		117	40			Percent of total billed charges		52	80			Percent of total billed charges		104	90			Percent of total billed charges		117	100			Fee schedule	code is bundled with other services	130	85			Percent of total billed charges		110.5	100			Fee schedule	code is bundled with other services	130	100			Fee schedule	code is bundled with other services	130	100			Fee schedule	code is bundled with other services	130	100			Fee schedule	code is bundled with other services	130		268		Case rate	Use Lesser of logic	130		268		Case rate	Use Lesser of logic	130	100			Fee schedule	code is bundled with other services	130	52	130	
Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress; initial vessel (List separately in addition to code for primary procedure)	93571	CPT	Outpatient			130	84.5		90			Percent of total billed charges		117	40			Percent of total billed charges		52	80			Percent of total billed charges		104	90			Percent of total billed charges		117	100			Fee schedule	code is bundled with other services	130	85			Percent of total billed charges		110.5	100			Fee schedule	code is bundled with other services	130	100			Fee schedule	code is bundled with other services	130	100			Fee schedule	code is bundled with other services	130	100			Fee schedule	code is bundled with other services	130		216		Case rate	Use Lesser of logic	130		216		Case rate	Use Lesser of logic	130	100			Fee schedule	code is bundled with other services	130	52	130	
"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; limited (List separately in addition to code for primary procedure)"	95885	CPT	Outpatient			130	84.5		90			Percent of total billed charges		117	40			Percent of total billed charges		52	80			Percent of total billed charges		104	90			Percent of total billed charges		117	100			Fee schedule	code is bundled with other services	130	85			Percent of total billed charges		110.5	100			Fee schedule	code is bundled with other services	130	100			Fee schedule	code is bundled with other services	130	100			Fee schedule	code is bundled with other services	130	100			Fee schedule	code is bundled with other services	130		237		Case rate	Use Lesser of logic	130		237		Case rate	Use Lesser of logic	130	100			Fee schedule	code is bundled with other services	130	52	130	
"Debridement, subcutaneous tissue (includes epidermis and dermis, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)"	11045	CPT	Outpatient			133.2	86.58		90			Percent of total billed charges		119.88	40			Percent of total billed charges		53.28	80			Percent of total billed charges		106.56	85			Percent of total billed charges		113.22	100			Fee schedule	code is bundled with other services	133.2	85			Percent of total billed charges		113.22	100			Fee schedule	code is bundled with other services	133.2	100			Fee schedule	code is bundled with other services	133.2	100			Fee schedule	code is bundled with other services	133.2	100			Fee schedule	code is bundled with other services	133.2		216		Case rate	Use Lesser of logic	133.2		216		Case rate	Use Lesser of logic	133.2	100			Fee schedule	code is bundled with other services	133.2	53.28	133.2	
"Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; complete, five or more muscles studied, innervated by three or more nerves or four or more spinal levels (List separately in addition to code for primary procedure)"	95886	CPT	Outpatient			135	87.75		90			Percent of total billed charges		121.5	40			Percent of total billed charges		54	80			Percent of total billed charges		108	90			Percent of total billed charges		121.5	100			Fee schedule	code is bundled with other services	135	85			Percent of total billed charges		114.75	100			Fee schedule	code is bundled with other services	135	100			Fee schedule	code is bundled with other services	135	100			Fee schedule	code is bundled with other services	135	100			Fee schedule	code is bundled with other services	135		237		Case rate	Use Lesser of logic	135		237		Case rate	Use Lesser of logic	135	100			Fee schedule	code is bundled with other services	135	54	135	
Wound closure utilizing tissue adhesive(s) only	G0168	CPT	Outpatient			135	87.75		90			Percent of total billed charges		121.5	40			Percent of total billed charges		54	80			Percent of total billed charges		108	90			Percent of total billed charges		121.5	100			Fee schedule	code is bundled with other services	135	85			Percent of total billed charges		114.75	100			Fee schedule	code is bundled with other services	135	100			Fee schedule	code is bundled with other services	135	100			Fee schedule	code is bundled with other services	135	100			Fee schedule	code is bundled with other services	135		216		Case rate	Use Lesser of logic	135		216		Case rate	Use Lesser of logic	135	100			Fee schedule	code is bundled with other services	135	54	135	
"Physician or other qualified health care professional attendance and supervision of hyperbaric oxygen therapy, per session"	99183	CPT	Outpatient			1382	898.3		90			Percent of total billed charges		1243.8	40			Percent of total billed charges		552.8	80			Percent of total billed charges		1105.6	90			Percent of total billed charges		1243.8	100			Fee schedule	code is bundled with other services	1382	85			Percent of total billed charges		1174.7	100			Fee schedule	code is bundled with other services	1382	100			Fee schedule	code is bundled with other services	1382	100			Fee schedule	code is bundled with other services	1382	100			Fee schedule	code is bundled with other services	1382		136		Case rate		136		136		Case rate		136	100			Fee schedule	code is bundled with other services	1382	136	1243.8	
"Fine needle aspiration biopsy, without imaging guidance; each additional lesion (List separately in addition to code for primary procedure)"	10004	CPT	Outpatient			138	89.7		90			Percent of total billed charges		124.2	40			Percent of total billed charges		55.2	80			Percent of total billed charges		110.4	85			Percent of total billed charges		117.3	100			Fee schedule	code is bundled with other services	138	85			Percent of total billed charges		117.3	100			Fee schedule	code is bundled with other services	138	100			Fee schedule	code is bundled with other services	138	100			Fee schedule	code is bundled with other services	138	100			Fee schedule	code is bundled with other services	138		216		Case rate	Use Lesser of logic	138		216		Case rate	Use Lesser of logic	138	100			Fee schedule	code is bundled with other services	138	55.2	138	
Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress; each additional vessel (List separately in addition to code for primary procedure)	93572	CPT	Outpatient			140	91		90			Percent of total billed charges		126	40			Percent of total billed charges		56	80			Percent of total billed charges		112	90			Percent of total billed charges		126	100			Fee schedule	code is bundled with other services	140	85			Percent of total billed charges		119	100			Fee schedule	code is bundled with other services	140	100			Fee schedule	code is bundled with other services	140	100			Fee schedule	code is bundled with other services	140	100			Fee schedule	code is bundled with other services	140		216		Case rate	Use Lesser of logic	140		216		Case rate	Use Lesser of logic	140	100			Fee schedule	code is bundled with other services	140	56	140	
"Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and histopathologic preparation including routine stain(s) (eg, hematoxylin and eosin, toluidine blue), each additional block after the first 5 tissue blocks, any stage (List separately in addition to code for primary procedure)"	17315	CPT	Outpatient			155	100.75		90			Percent of total billed charges		139.5	40			Percent of total billed charges		62	80			Percent of total billed charges		124	85			Percent of total billed charges		131.75	100			Fee schedule	code is bundled with other services	155	85			Percent of total billed charges		131.75	100			Fee schedule	code is bundled with other services	155	100			Fee schedule	code is bundled with other services	155	100			Fee schedule	code is bundled with other services	155	100			Fee schedule	code is bundled with other services	155		216		Case rate	Use Lesser of logic	155		216		Case rate	Use Lesser of logic	155	100			Fee schedule	code is bundled with other services	155	62	155	
Catheterization and introduction of saline or contrast material for saline infusion sonohysterography (SIS) or hysterosalpingography	58340	CPT	Outpatient			159	103.35		90			Percent of total billed charges		143.1	40			Percent of total billed charges		63.6	80			Percent of total billed charges		127.2	85			Percent of total billed charges		135.15	100			Fee schedule	code is bundled with other services	159	85			Percent of total billed charges		135.15	100			Fee schedule	code is bundled with other services	159	100			Fee schedule	code is bundled with other services	159	100			Fee schedule	code is bundled with other services	159	100			Fee schedule	code is bundled with other services	159		216		Case rate	Use Lesser of logic	159		216		Case rate	Use Lesser of logic	159	100			Fee schedule	code is bundled with other services	159	63.6	159	
"Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial lung biopsy(s), each additional lobe (List separately in addition to code for primary procedure)"	31632	CPT	Outpatient			160	104		90			Percent of total billed charges		144	40			Percent of total billed charges		64	80			Percent of total billed charges		128	85			Percent of total billed charges		136	100			Fee schedule	code is bundled with other services	160	85			Percent of total billed charges		136	100			Fee schedule	code is bundled with other services	160	100			Fee schedule	code is bundled with other services	160	100			Fee schedule	code is bundled with other services	160	100			Fee schedule	code is bundled with other services	160		216		Case rate	Use Lesser of logic	160		216		Case rate	Use Lesser of logic	160	100			Fee schedule	code is bundled with other services	160	64	160	
"Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation"	27536	CPT	Outpatient			170.13	110.58		90			Percent of total billed charges		153.11	40			Percent of total billed charges		68.05	80			Percent of total billed charges		136.1	85			Percent of total billed charges		144.61	100			Fee schedule	code is bundled with other services	170.13	85			Percent of total billed charges		144.61	100			Fee schedule	code is bundled with other services	170.13	100			Fee schedule	code is bundled with other services	170.13	100			Fee schedule	code is bundled with other services	170.13	100			Fee schedule	code is bundled with other services	170.13		1767		Case rate	Use Lesser of logic	170.12		1767		Case rate	Use Lesser of logic	170.12	100			Fee schedule	code is bundled with other services	170.13	68.05	170.12	
External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; review and interpretation by a physician or other qualified health care professional	93227	CPT	Outpatient			173	112.45		90			Percent of total billed charges		155.7	40			Percent of total billed charges		69.2	80			Percent of total billed charges		138.4	90			Percent of total billed charges		155.7	100			Fee schedule	code is bundled with other services	173	85			Percent of total billed charges		147.05	100			Fee schedule	code is bundled with other services	173	100			Fee schedule	code is bundled with other services	173	100			Fee schedule	code is bundled with other services	173	100			Fee schedule	code is bundled with other services	173		355		Case rate	Use Lesser of logic	173		355		Case rate	Use Lesser of logic	173	100			Fee schedule	code is bundled with other services	173	69.2	173	
Appendectomy; when done for indicated purpose at time of other major procedure (not as separate procedure) (List separately in addition to code for primary procedure)	44955	CPT	Outpatient			175	113.75		90			Percent of total billed charges		157.5	40			Percent of total billed charges		70	80			Percent of total billed charges		140	85			Percent of total billed charges		148.75	100			Fee schedule	code is bundled with other services	175	85			Percent of total billed charges		148.75	100			Fee schedule	code is bundled with other services	175	100			Fee schedule	code is bundled with other services	175	100			Fee schedule	code is bundled with other services	175	100			Fee schedule	code is bundled with other services	175		216		Case rate	Use Lesser of logic	175		216		Case rate	Use Lesser of logic	175	100			Fee schedule	code is bundled with other services	175	70	175	
"Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; with supervision, interpretation and report"	93015	CPT	Outpatient			279	181.35		90			Percent of total billed charges		251.1	40			Percent of total billed charges		111.6	80			Percent of total billed charges		223.2	90			Percent of total billed charges		251.1	100			Fee schedule	code is bundled with other services	279	85			Percent of total billed charges		237.15	100			Fee schedule	code is bundled with other services	279	100			Fee schedule	code is bundled with other services	279	100			Fee schedule	code is bundled with other services	279	100			Fee schedule	code is bundled with other services	279		178		Case rate		178		178		Case rate		178	100			Fee schedule	code is bundled with other services	279	111.6	251.1	
"Catheterization of umbilical vein for diagnosis or therapy, newborn"	36510	CPT	Outpatient			185	120.25		90			Percent of total billed charges		166.5	40			Percent of total billed charges		74	80			Percent of total billed charges		148	85			Percent of total billed charges		157.25	100			Fee schedule	code is bundled with other services	185	85			Percent of total billed charges		157.25	100			Fee schedule	code is bundled with other services	185	100			Fee schedule	code is bundled with other services	185	100			Fee schedule	code is bundled with other services	185	100			Fee schedule	code is bundled with other services	185		216		Case rate	Use Lesser of logic	185		216		Case rate	Use Lesser of logic	185	100			Fee schedule	code is bundled with other services	185	74	185	
"Electroencephalogram (EEG), continuous recording, physician or other qualified health care professional review of recorded events, analysis of spike and seizure detection, interpretation and report, 2-12 hours of EEG recording; with video (VEEG)"	95718	CPT	Outpatient			185	120.25		90			Percent of total billed charges		166.5	40			Percent of total billed charges		74	80			Percent of total billed charges		148	90			Percent of total billed charges		166.5	100			Fee schedule	code is bundled with other services	185	85			Percent of total billed charges		157.25	100			Fee schedule	code is bundled with other services	185	100			Fee schedule	code is bundled with other services	185	100			Fee schedule	code is bundled with other services	185	100			Fee schedule	code is bundled with other services	185		268		Case rate	Use Lesser of logic	185		268		Case rate	Use Lesser of logic	185	100			Fee schedule	code is bundled with other services	185	74	185	
Puncture aspiration of cyst of breast; each additional cyst (List separately in addition to code for primary procedure)	19001	CPT	Outpatient			193	125.45		90			Percent of total billed charges		173.7	40			Percent of total billed charges		77.2	80			Percent of total billed charges		154.4	85			Percent of total billed charges		164.05	100			Fee schedule	code is bundled with other services	193	85			Percent of total billed charges		164.05	100			Fee schedule	code is bundled with other services	193	100			Fee schedule	code is bundled with other services	193	100			Fee schedule	code is bundled with other services	193	100			Fee schedule	code is bundled with other services	193		216		Case rate	Use Lesser of logic	193		216		Case rate	Use Lesser of logic	193	100			Fee schedule	code is bundled with other services	193	77.2	193	
"Ultrasonic guidance for endomyocardial biopsy, imaging supervision and interpretation"	76932	CPT	Outpatient			349	226.85		90			Percent of total billed charges		314.1	40			Percent of total billed charges		139.6	80			Percent of total billed charges		279.2	90			Percent of total billed charges		314.1	100			Fee schedule	code is bundled with other services	349	85			Percent of total billed charges		296.65	100			Fee schedule	code is bundled with other services	349	100			Fee schedule	code is bundled with other services	349	100			Fee schedule	code is bundled with other services	349	100			Fee schedule	code is bundled with other services	349		196		Case rate		196		196		Case rate		196	100			Fee schedule	code is bundled with other services	349	139.6	314.1	
"Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation"	76942	CPT	Outpatient			350	227.5		90			Percent of total billed charges		315	40			Percent of total billed charges		140	80			Percent of total billed charges		280	90			Percent of total billed charges		315	100			Fee schedule	code is bundled with other services	350	85			Percent of total billed charges		297.5	100			Fee schedule	code is bundled with other services	350	100			Fee schedule	code is bundled with other services	350	100			Fee schedule	code is bundled with other services	350	100			Fee schedule	code is bundled with other services	350		196		Case rate		196		196		Case rate		196	100			Fee schedule	code is bundled with other services	350	140	315	
"Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)"	76937	CPT	Outpatient			352	228.8		90			Percent of total billed charges		316.8	40			Percent of total billed charges		140.8	80			Percent of total billed charges		281.6	90			Percent of total billed charges		316.8	100			Fee schedule	code is bundled with other services	352	85			Percent of total billed charges		299.2	100			Fee schedule	code is bundled with other services	352	100			Fee schedule	code is bundled with other services	352	100			Fee schedule	code is bundled with other services	352	100			Fee schedule	code is bundled with other services	352		196		Case rate		196		196		Case rate		196	100			Fee schedule	code is bundled with other services	352	140.8	316.8	
"Ultrasound, pregnant uterus, real time with image documentation, first trimester fetal nuchal translucency measurement, transabdominal or transvaginal approach; each additional gestation (List separately in addition to code for primary procedure)"	76814	CPT	Outpatient			361	234.65		90			Percent of total billed charges		324.9	40			Percent of total billed charges		144.4	80			Percent of total billed charges		288.8	90			Percent of total billed charges		324.9	100			Fee schedule	code is bundled with other services	361	85			Percent of total billed charges		306.85	100			Fee schedule	code is bundled with other services	361	100			Fee schedule	code is bundled with other services	361	100			Fee schedule	code is bundled with other services	361	100			Fee schedule	code is bundled with other services	361		196		Case rate		196		196		Case rate		196	100			Fee schedule	code is bundled with other services	361	144.4	324.9	
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation plus detailed fetal anatomic examination, transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)"	76812	CPT	Outpatient			370	240.5		90			Percent of total billed charges		333	40			Percent of total billed charges		148	80			Percent of total billed charges		296	90			Percent of total billed charges		333	100			Fee schedule	code is bundled with other services	370	85			Percent of total billed charges		314.5	100			Fee schedule	code is bundled with other services	370	100			Fee schedule	code is bundled with other services	370	100			Fee schedule	code is bundled with other services	370	100			Fee schedule	code is bundled with other services	370		196		Case rate		196		196		Case rate		196	100			Fee schedule	code is bundled with other services	370	148	333	
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, first trimester (< 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)"	76802	CPT	Outpatient			427	277.55		90			Percent of total billed charges		384.3	40			Percent of total billed charges		170.8	80			Percent of total billed charges		341.6	90			Percent of total billed charges		384.3	100			Fee schedule	code is bundled with other services	427	85			Percent of total billed charges		362.95	100			Fee schedule	code is bundled with other services	427	100			Fee schedule	code is bundled with other services	427	100			Fee schedule	code is bundled with other services	427	100			Fee schedule	code is bundled with other services	427		196		Case rate		196		196		Case rate		196	100			Fee schedule	code is bundled with other services	427	170.8	384.3	
"Ultrasonic guidance for amniocentesis, imaging supervision and interpretation"	76946	CPT	Outpatient			461	299.65		90			Percent of total billed charges		414.9	40			Percent of total billed charges		184.4	80			Percent of total billed charges		368.8	90			Percent of total billed charges		414.9	100			Fee schedule	code is bundled with other services	461	85			Percent of total billed charges		391.85	100			Fee schedule	code is bundled with other services	461	100			Fee schedule	code is bundled with other services	461	100			Fee schedule	code is bundled with other services	461	100			Fee schedule	code is bundled with other services	461		196		Case rate		196		196		Case rate		196	100			Fee schedule	code is bundled with other services	461	184.4	414.9	
"Ultrasonic guidance, intraoperative"	76998	CPT	Outpatient			481	312.65		90			Percent of total billed charges		432.9	40			Percent of total billed charges		192.4	80			Percent of total billed charges		384.8	90			Percent of total billed charges		432.9	100			Fee schedule	code is bundled with other services	481	85			Percent of total billed charges		408.85	100			Fee schedule	code is bundled with other services	481	100			Fee schedule	code is bundled with other services	481	100			Fee schedule	code is bundled with other services	481	100			Fee schedule	code is bundled with other services	481		196		Case rate		196		196		Case rate		196	100			Fee schedule	code is bundled with other services	481	192.4	432.9	
"Ultrasound guidance for, and monitoring of, parenchymal tissue ablation"	76940	CPT	Outpatient			637	414.05		90			Percent of total billed charges		573.3	40			Percent of total billed charges		254.8	80			Percent of total billed charges		509.6	90			Percent of total billed charges		573.3	100			Fee schedule	code is bundled with other services	637	85			Percent of total billed charges		541.45	100			Fee schedule	code is bundled with other services	637	100			Fee schedule	code is bundled with other services	637	100			Fee schedule	code is bundled with other services	637	100			Fee schedule	code is bundled with other services	637		196		Case rate		196		196		Case rate		196	100			Fee schedule	code is bundled with other services	637	196	573.3	
"Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, after first trimester (> or = 14 weeks 0 days), transabdominal approach; each additional gestation (List separately in addition to code for primary procedure)"	76810	CPT	Outpatient			661	429.65		90			Percent of total billed charges		594.9	40			Percent of total billed charges		264.4	80			Percent of total billed charges		528.8	90			Percent of total billed charges		594.9	100			Fee schedule	code is bundled with other services	661	85			Percent of total billed charges		561.85	100			Fee schedule	code is bundled with other services	661	100			Fee schedule	code is bundled with other services	661	100			Fee schedule	code is bundled with other services	661	100			Fee schedule	code is bundled with other services	661		196		Case rate		196		196		Case rate		196	100			Fee schedule	code is bundled with other services	661	196	594.9	
Injection procedure for ankle arthrography	27648	CPT	Outpatient			200	130		90			Percent of total billed charges		180	40			Percent of total billed charges		80	80			Percent of total billed charges		160	85			Percent of total billed charges		170	100			Fee schedule	code is bundled with other services	200	85			Percent of total billed charges		170	100			Fee schedule	code is bundled with other services	200	100			Fee schedule	code is bundled with other services	200	100			Fee schedule	code is bundled with other services	200	100			Fee schedule	code is bundled with other services	200		216		Case rate	Use Lesser of logic	200		216		Case rate	Use Lesser of logic	200	100			Fee schedule	code is bundled with other services	200	80	200	
Injection procedure for elbow arthrography	24220	CPT	Outpatient			200	130		90			Percent of total billed charges		180	40			Percent of total billed charges		80	80			Percent of total billed charges		160	85			Percent of total billed charges		170	100			Fee schedule	code is bundled with other services	200	85			Percent of total billed charges		170	100			Fee schedule	code is bundled with other services	200	100			Fee schedule	code is bundled with other services	200	100			Fee schedule	code is bundled with other services	200	100			Fee schedule	code is bundled with other services	200		216		Case rate	Use Lesser of logic	200		216		Case rate	Use Lesser of logic	200	100			Fee schedule	code is bundled with other services	200	80	200	
Injection procedure for hip arthrography; without anesthesia	27093	CPT	Outpatient			200	130		90			Percent of total billed charges		180	40			Percent of total billed charges		80	80			Percent of total billed charges		160	85			Percent of total billed charges		170	100			Fee schedule	code is bundled with other services	200	85			Percent of total billed charges		170	100			Fee schedule	code is bundled with other services	200	100			Fee schedule	code is bundled with other services	200	100			Fee schedule	code is bundled with other services	200	100			Fee schedule	code is bundled with other services	200		216		Case rate	Use Lesser of logic	200		216		Case rate	Use Lesser of logic	200	100			Fee schedule	code is bundled with other services	200	80	200	
Injection procedure for shoulder arthrography or enhanced CT/MRI shoulder arthrography	23350	CPT	Outpatient			200	130		90			Percent of total billed charges		180	40			Percent of total billed charges		80	80			Percent of total billed charges		160	85			Percent of total billed charges		170	100			Fee schedule	code is bundled with other services	200	85			Percent of total billed charges		170	100			Fee schedule	code is bundled with other services	200	100			Fee schedule	code is bundled with other services	200	100			Fee schedule	code is bundled with other services	200	100			Fee schedule	code is bundled with other services	200		216		Case rate	Use Lesser of logic	200		216		Case rate	Use Lesser of logic	200	100			Fee schedule	code is bundled with other services	200	80	200	
Injection procedure for wrist arthrography	25246	CPT	Outpatient			200	130		90			Percent of total billed charges		180	40			Percent of total billed charges		80	80			Percent of total billed charges		160	85			Percent of total billed charges		170	100			Fee schedule	code is bundled with other services	200	85			Percent of total billed charges		170	100			Fee schedule	code is bundled with other services	200	100			Fee schedule	code is bundled with other services	200	100			Fee schedule	code is bundled with other services	200	100			Fee schedule	code is bundled with other services	200		216		Case rate	Use Lesser of logic	200		216		Case rate	Use Lesser of logic	200	100			Fee schedule	code is bundled with other services	200	80	200	
Insertion of intrauterine device (IUD)	58300	CPT	Outpatient			200	130		90			Percent of total billed charges		180	40			Percent of total billed charges		80	80			Percent of total billed charges		160	85			Percent of total billed charges		170	100			Fee schedule	code is bundled with other services	200	85			Percent of total billed charges		170	100			Fee schedule	code is bundled with other services	200	100			Fee schedule	code is bundled with other services	200	100			Fee schedule	code is bundled with other services	200	100			Fee schedule	code is bundled with other services	200		216		Case rate	Use Lesser of logic	200		216		Case rate	Use Lesser of logic	200	100			Fee schedule	code is bundled with other services	200	80	200	
Injection procedure for corpora cavernosography	54230	CPT	Outpatient			205	133.25		90			Percent of total billed charges		184.5	40			Percent of total billed charges		82	80			Percent of total billed charges		164	85			Percent of total billed charges		174.25	100			Fee schedule	code is bundled with other services	205	85			Percent of total billed charges		174.25	100			Fee schedule	code is bundled with other services	205	100			Fee schedule	code is bundled with other services	205	100			Fee schedule	code is bundled with other services	205	100			Fee schedule	code is bundled with other services	205		216		Case rate	Use Lesser of logic	205		216		Case rate	Use Lesser of logic	205	100			Fee schedule	code is bundled with other services	205	82	205	
"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; third and any additional level(s) (List separately in addition to code for primary procedure)"	64492	CPT	Outpatient			210	136.5		90			Percent of total billed charges		189	40			Percent of total billed charges		84	80			Percent of total billed charges		168	85			Percent of total billed charges		178.5	100			Fee schedule	code is bundled with other services	210	85			Percent of total billed charges		178.5	100			Fee schedule	code is bundled with other services	210	100			Fee schedule	code is bundled with other services	210	100			Fee schedule	code is bundled with other services	210	100			Fee schedule	code is bundled with other services	210		216		Case rate	Use Lesser of logic	210		216		Case rate	Use Lesser of logic	210	100			Fee schedule	code is bundled with other services	210	84	210	
"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; second level (List separately in addition to code for primary procedure)"	64491	CPT	Outpatient			210	136.5		90			Percent of total billed charges		189	40			Percent of total billed charges		84	80			Percent of total billed charges		168	85			Percent of total billed charges		178.5	100			Fee schedule	code is bundled with other services	210	85			Percent of total billed charges		178.5	100			Fee schedule	code is bundled with other services	210	100			Fee schedule	code is bundled with other services	210	100			Fee schedule	code is bundled with other services	210	100			Fee schedule	code is bundled with other services	210		216		Case rate	Use Lesser of logic	210		216		Case rate	Use Lesser of logic	210	100			Fee schedule	code is bundled with other services	210	84	210	
"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, each additional level (List separately in addition to code for primary procedure)"	64480	CPT	Outpatient			215	139.75		90			Percent of total billed charges		193.5	40			Percent of total billed charges		86	80			Percent of total billed charges		172	85			Percent of total billed charges		182.75	100			Fee schedule	code is bundled with other services	215	85			Percent of total billed charges		182.75	100			Fee schedule	code is bundled with other services	215	100			Fee schedule	code is bundled with other services	215	100			Fee schedule	code is bundled with other services	215	100			Fee schedule	code is bundled with other services	215		216		Case rate	Use Lesser of logic	215		216		Case rate	Use Lesser of logic	215	100			Fee schedule	code is bundled with other services	215	86	215	
"Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (eg, actinic keratoses); second through 14 lesions, each (List separately in addition to code for first lesion)"	17003	CPT	Outpatient			218.79	142.22		90			Percent of total billed charges		196.91	40			Percent of total billed charges		87.52	80			Percent of total billed charges		175.03	85			Percent of total billed charges		185.97	100			Fee schedule	code is bundled with other services	218.79	85			Percent of total billed charges		185.97	100			Fee schedule	code is bundled with other services	218.79	100			Fee schedule	code is bundled with other services	218.79	100			Fee schedule	code is bundled with other services	218.79	100			Fee schedule	code is bundled with other services	218.79		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	218.79	87.52	216	
"Fine needle aspiration biopsy, including CT guidance; each additional lesion (List separately in addition to code for primary procedure)"	10010	CPT	Outpatient			220	143		90			Percent of total billed charges		198	40			Percent of total billed charges		88	80			Percent of total billed charges		176	85			Percent of total billed charges		187	100			Fee schedule	code is bundled with other services	220	85			Percent of total billed charges		187	100			Fee schedule	code is bundled with other services	220	100			Fee schedule	code is bundled with other services	220	100			Fee schedule	code is bundled with other services	220	100			Fee schedule	code is bundled with other services	220		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	220	88	216	
"Fine needle aspiration biopsy, including fluoroscopic guidance; each additional lesion (List separately in addition to code for primary procedure)"	10008	CPT	Outpatient			220	143		90			Percent of total billed charges		198	40			Percent of total billed charges		88	80			Percent of total billed charges		176	85			Percent of total billed charges		187	100			Fee schedule	code is bundled with other services	220	85			Percent of total billed charges		187	100			Fee schedule	code is bundled with other services	220	100			Fee schedule	code is bundled with other services	220	100			Fee schedule	code is bundled with other services	220	100			Fee schedule	code is bundled with other services	220		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	220	88	216	
"Fine needle aspiration biopsy, including MR guidance; each additional lesion (List separately in addition to code for primary procedure)"	10012	CPT	Outpatient			220	143		90			Percent of total billed charges		198	40			Percent of total billed charges		88	80			Percent of total billed charges		176	85			Percent of total billed charges		187	100			Fee schedule	code is bundled with other services	220	85			Percent of total billed charges		187	100			Fee schedule	code is bundled with other services	220	100			Fee schedule	code is bundled with other services	220	100			Fee schedule	code is bundled with other services	220	100			Fee schedule	code is bundled with other services	220		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	220	88	216	
"Fine needle aspiration biopsy, including ultrasound guidance; each additional lesion (List separately in addition to code for primary procedure)"	10006	CPT	Outpatient			220	143		90			Percent of total billed charges		198	40			Percent of total billed charges		88	80			Percent of total billed charges		176	85			Percent of total billed charges		187	100			Fee schedule	code is bundled with other services	220	85			Percent of total billed charges		187	100			Fee schedule	code is bundled with other services	220	100			Fee schedule	code is bundled with other services	220	100			Fee schedule	code is bundled with other services	220	100			Fee schedule	code is bundled with other services	220		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	220	88	216	
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; each additional vessel (List separately in addition to code for primary procedure)"	92979	CPT	Outpatient			220	143		90			Percent of total billed charges		198	40			Percent of total billed charges		88	80			Percent of total billed charges		176	90			Percent of total billed charges		198	100			Fee schedule	code is bundled with other services	220	85			Percent of total billed charges		187	100			Fee schedule	code is bundled with other services	220	100			Fee schedule	code is bundled with other services	220	100			Fee schedule	code is bundled with other services	220	100			Fee schedule	code is bundled with other services	220		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	220	88	216	
Endometrial sampling (biopsy) performed in conjunction with colposcopy (List separately in addition to code for primary procedure)	58110	CPT	Outpatient			225	146.25		90			Percent of total billed charges		202.5	40			Percent of total billed charges		90	80			Percent of total billed charges		180	85			Percent of total billed charges		191.25	100			Fee schedule	code is bundled with other services	225	85			Percent of total billed charges		191.25	100			Fee schedule	code is bundled with other services	225	100			Fee schedule	code is bundled with other services	225	100			Fee schedule	code is bundled with other services	225	100			Fee schedule	code is bundled with other services	225		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	225	90	216	
Venous catheterization for selective organ blood sampling	36500	CPT	Outpatient			225	146.25		90			Percent of total billed charges		202.5	40			Percent of total billed charges		90	80			Percent of total billed charges		180	85			Percent of total billed charges		191.25	100			Fee schedule	code is bundled with other services	225	85			Percent of total billed charges		191.25	100			Fee schedule	code is bundled with other services	225	100			Fee schedule	code is bundled with other services	225	100			Fee schedule	code is bundled with other services	225	100			Fee schedule	code is bundled with other services	225		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	225	90	216	
Abrasion; each additional 4 lesions or less (List separately in addition to code for primary procedure)	15787	CPT	Outpatient			228	148.2		90			Percent of total billed charges		205.2	40			Percent of total billed charges		91.2	80			Percent of total billed charges		182.4	85			Percent of total billed charges		193.8	100			Fee schedule	code is bundled with other services	228	85			Percent of total billed charges		193.8	100			Fee schedule	code is bundled with other services	228	100			Fee schedule	code is bundled with other services	228	100			Fee schedule	code is bundled with other services	228	100			Fee schedule	code is bundled with other services	228		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	228	91.2	216	
"Debridement of extensive eczematous or infected skin; each additional 10% of the body surface, or part thereof (List separately in addition to code for primary procedure)"	11001	CPT	Outpatient			228	148.2		90			Percent of total billed charges		205.2	40			Percent of total billed charges		91.2	80			Percent of total billed charges		182.4	85			Percent of total billed charges		193.8	100			Fee schedule	code is bundled with other services	228	85			Percent of total billed charges		193.8	100			Fee schedule	code is bundled with other services	228	100			Fee schedule	code is bundled with other services	228	100			Fee schedule	code is bundled with other services	228	100			Fee schedule	code is bundled with other services	228		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	228	91.2	216	
"Repair, complex, trunk; each additional 5 cm or less (List separately in addition to code for primary procedure)"	13102	CPT	Outpatient			231	150.15		90			Percent of total billed charges		207.9	40			Percent of total billed charges		92.4	80			Percent of total billed charges		184.8	85			Percent of total billed charges		196.35	100			Fee schedule	code is bundled with other services	231	85			Percent of total billed charges		196.35	100			Fee schedule	code is bundled with other services	231	100			Fee schedule	code is bundled with other services	231	100			Fee schedule	code is bundled with other services	231	100			Fee schedule	code is bundled with other services	231		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	231	92.4	216	
"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; each additional lesion, including ultrasound guidance (List separately in addition to code for primary procedure)"	19286	CPT	Outpatient			248	161.2		90			Percent of total billed charges		223.2	40			Percent of total billed charges		99.2	80			Percent of total billed charges		198.4	85			Percent of total billed charges		210.8	100			Fee schedule	code is bundled with other services	248	85			Percent of total billed charges		210.8	100			Fee schedule	code is bundled with other services	248	100			Fee schedule	code is bundled with other services	248	100			Fee schedule	code is bundled with other services	248	100			Fee schedule	code is bundled with other services	248		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	248	99.2	223.2	
"Avulsion of nail plate, partial or complete, simple; each additional nail plate (List separately in addition to code for primary procedure)"	11732	CPT	Outpatient			250	162.5		90			Percent of total billed charges		225	40			Percent of total billed charges		100	80			Percent of total billed charges		200	85			Percent of total billed charges		212.5	100			Fee schedule	code is bundled with other services	250	85			Percent of total billed charges		212.5	100			Fee schedule	code is bundled with other services	250	100			Fee schedule	code is bundled with other services	250	100			Fee schedule	code is bundled with other services	250	100			Fee schedule	code is bundled with other services	250		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	250	100	225	
Injection procedure for contrast knee arthrography or contrast enhanced CT/MRI knee arthrography	27369	CPT	Outpatient			250	162.5		90			Percent of total billed charges		225	40			Percent of total billed charges		100	80			Percent of total billed charges		200	85			Percent of total billed charges		212.5	100			Fee schedule	code is bundled with other services	250	85			Percent of total billed charges		212.5	100			Fee schedule	code is bundled with other services	250	100			Fee schedule	code is bundled with other services	250	100			Fee schedule	code is bundled with other services	250	100			Fee schedule	code is bundled with other services	250		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	250	100	225	
"Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); each separate/additional lesion (List separately in addition to code for primary procedure)"	11103	CPT	Outpatient			250	162.5		90			Percent of total billed charges		225	40			Percent of total billed charges		100	80			Percent of total billed charges		200	85			Percent of total billed charges		212.5	100			Fee schedule	code is bundled with other services	250	85			Percent of total billed charges		212.5	100			Fee schedule	code is bundled with other services	250	100			Fee schedule	code is bundled with other services	250	100			Fee schedule	code is bundled with other services	250	100			Fee schedule	code is bundled with other services	250		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	250	100	225	
"Chemodenervation of one extremity; each additional extremity, 1-4 muscle(s) (List separately in addition to code for primary procedure)"	64643	CPT	Outpatient			260	169		90			Percent of total billed charges		234	40			Percent of total billed charges		104	80			Percent of total billed charges		208	85			Percent of total billed charges		221	100			Fee schedule	code is bundled with other services	260	85			Percent of total billed charges		221	100			Fee schedule	code is bundled with other services	260	100			Fee schedule	code is bundled with other services	260	100			Fee schedule	code is bundled with other services	260	100			Fee schedule	code is bundled with other services	260		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	260	104	234	
"Dermal autograft, trunk, arms, legs; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)"	15131	CPT	Outpatient			280	182		90			Percent of total billed charges		252	40			Percent of total billed charges		112	80			Percent of total billed charges		224	85			Percent of total billed charges		238	100			Fee schedule	code is bundled with other services	280	85			Percent of total billed charges		238	100			Fee schedule	code is bundled with other services	280	100			Fee schedule	code is bundled with other services	280	100			Fee schedule	code is bundled with other services	280	100			Fee schedule	code is bundled with other services	280		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	280	112	252	
"Dermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)"	15136	CPT	Outpatient			280	182		90			Percent of total billed charges		252	40			Percent of total billed charges		112	80			Percent of total billed charges		224	85			Percent of total billed charges		238	100			Fee schedule	code is bundled with other services	280	85			Percent of total billed charges		238	100			Fee schedule	code is bundled with other services	280	100			Fee schedule	code is bundled with other services	280	100			Fee schedule	code is bundled with other services	280	100			Fee schedule	code is bundled with other services	280		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	280	112	252	
"Introduction of catheter, superior or inferior vena cava"	36010	CPT	Outpatient			294	191.1		90			Percent of total billed charges		264.6	40			Percent of total billed charges		117.6	80			Percent of total billed charges		235.2	85			Percent of total billed charges		249.9	100			Fee schedule	code is bundled with other services	294	85			Percent of total billed charges		249.9	100			Fee schedule	code is bundled with other services	294	100			Fee schedule	code is bundled with other services	294	100			Fee schedule	code is bundled with other services	294	100			Fee schedule	code is bundled with other services	294		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	294	117.6	264.6	
Injection procedure for retrograde urethrocystography	51610	CPT	Outpatient			295	191.75		90			Percent of total billed charges		265.5	40			Percent of total billed charges		118	80			Percent of total billed charges		236	85			Percent of total billed charges		250.75	100			Fee schedule	code is bundled with other services	295	85			Percent of total billed charges		250.75	100			Fee schedule	code is bundled with other services	295	100			Fee schedule	code is bundled with other services	295	100			Fee schedule	code is bundled with other services	295	100			Fee schedule	code is bundled with other services	295		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	295	118	265.5	
"Repair, complex, eyelids, nose, ears and/or lips; each additional 5 cm or less (List separately in addition to code for primary procedure)"	13153	CPT	Outpatient			300	195		90			Percent of total billed charges		270	40			Percent of total billed charges		120	80			Percent of total billed charges		240	85			Percent of total billed charges		255	100			Fee schedule	code is bundled with other services	300	85			Percent of total billed charges		255	100			Fee schedule	code is bundled with other services	300	100			Fee schedule	code is bundled with other services	300	100			Fee schedule	code is bundled with other services	300	100			Fee schedule	code is bundled with other services	300		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	300	120	270	
"Chemodenervation of one extremity; each additional extremity, 5 or more muscles (List separately in addition to code for primary procedure)"	64645	CPT	Outpatient			315	204.75		90			Percent of total billed charges		283.5	40			Percent of total billed charges		126	80			Percent of total billed charges		252	85			Percent of total billed charges		267.75	100			Fee schedule	code is bundled with other services	315	85			Percent of total billed charges		267.75	100			Fee schedule	code is bundled with other services	315	100			Fee schedule	code is bundled with other services	315	100			Fee schedule	code is bundled with other services	315	100			Fee schedule	code is bundled with other services	315		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	315	126	283.5	
"Full thickness graft, free, including direct closure of donor site, scalp, arms, and/or legs; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)"	15221	CPT	Outpatient			315	204.75		90			Percent of total billed charges		283.5	40			Percent of total billed charges		126	80			Percent of total billed charges		252	85			Percent of total billed charges		267.75	100			Fee schedule	code is bundled with other services	315	85			Percent of total billed charges		267.75	100			Fee schedule	code is bundled with other services	315	100			Fee schedule	code is bundled with other services	315	100			Fee schedule	code is bundled with other services	315	100			Fee schedule	code is bundled with other services	315		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	315	126	283.5	
"Intraoperative identification (eg, mapping) of sentinel lymph node(s) includes injection of non-radioactive dye, when performed (List separately in addition to code for primary procedure)"	38900	CPT	Outpatient			315	204.75		90			Percent of total billed charges		283.5	40			Percent of total billed charges		126	80			Percent of total billed charges		252	85			Percent of total billed charges		267.75	100			Fee schedule	code is bundled with other services	315	85			Percent of total billed charges		267.75	100			Fee schedule	code is bundled with other services	315	100			Fee schedule	code is bundled with other services	315	100			Fee schedule	code is bundled with other services	315	100			Fee schedule	code is bundled with other services	315		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	315	126	283.5	
"Repair, complex, scalp, arms, and/or legs; each additional 5 cm or less (List separately in addition to code for primary procedure)"	13122	CPT	Outpatient			315	204.75		90			Percent of total billed charges		283.5	40			Percent of total billed charges		126	80			Percent of total billed charges		252	85			Percent of total billed charges		267.75	100			Fee schedule	code is bundled with other services	315	85			Percent of total billed charges		267.75	100			Fee schedule	code is bundled with other services	315	100			Fee schedule	code is bundled with other services	315	100			Fee schedule	code is bundled with other services	315	100			Fee schedule	code is bundled with other services	315		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	315	126	283.5	
"Epidermal autograft, trunk, arms, legs; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)"	15111	CPT	Outpatient			320	208		90			Percent of total billed charges		288	40			Percent of total billed charges		128	80			Percent of total billed charges		256	85			Percent of total billed charges		272	100			Fee schedule	code is bundled with other services	320	85			Percent of total billed charges		272	100			Fee schedule	code is bundled with other services	320	100			Fee schedule	code is bundled with other services	320	100			Fee schedule	code is bundled with other services	320	100			Fee schedule	code is bundled with other services	320		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	320	128	288	
Intraoperative colonic lavage (List separately in addition to code for primary procedure)	44701	CPT	Outpatient			325	211.25		90			Percent of total billed charges		292.5	40			Percent of total billed charges		130	80			Percent of total billed charges		260	85			Percent of total billed charges		276.25	100			Fee schedule	code is bundled with other services	325	85			Percent of total billed charges		276.25	100			Fee schedule	code is bundled with other services	325	100			Fee schedule	code is bundled with other services	325	100			Fee schedule	code is bundled with other services	325	100			Fee schedule	code is bundled with other services	325		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	325	130	292.5	
"Full thickness graft, free, including direct closure of donor site, trunk; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)"	15201	CPT	Outpatient			330	214.5		90			Percent of total billed charges		297	40			Percent of total billed charges		132	80			Percent of total billed charges		264	85			Percent of total billed charges		280.5	100			Fee schedule	code is bundled with other services	330	85			Percent of total billed charges		280.5	100			Fee schedule	code is bundled with other services	330	100			Fee schedule	code is bundled with other services	330	100			Fee schedule	code is bundled with other services	330	100			Fee schedule	code is bundled with other services	330		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	330	132	297	
"Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; each additional lesion, including mammographic guidance (List separately in addition to code for primary procedure)"	19282	CPT	Outpatient			330	214.5		90			Percent of total billed charges		297	40			Percent of total billed charges		132	80			Percent of total billed charges		264	85			Percent of total billed charges		280.5	100			Fee schedule	code is bundled with other services	330	85			Percent of total billed charges		280.5	100			Fee schedule	code is bundled with other services	330	100			Fee schedule	code is bundled with other services	330	100			Fee schedule	code is bundled with other services	330	100			Fee schedule	code is bundled with other services	330		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	330	132	297	
Contrast injection for assessment of abscess or cyst via previously placed drainage catheter or tube (separate procedure)	49424	CPT	Outpatient			332	215.8		90			Percent of total billed charges		298.8	40			Percent of total billed charges		132.8	80			Percent of total billed charges		265.6	85			Percent of total billed charges		282.2	100			Fee schedule	code is bundled with other services	332	85			Percent of total billed charges		282.2	100			Fee schedule	code is bundled with other services	332	100			Fee schedule	code is bundled with other services	332	100			Fee schedule	code is bundled with other services	332	100			Fee schedule	code is bundled with other services	332		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	332	132.8	298.8	
"Injection procedure for myelography and/or computed tomography, lumbar"	62284	CPT	Outpatient			332	215.8		90			Percent of total billed charges		298.8	40			Percent of total billed charges		132.8	80			Percent of total billed charges		265.6	85			Percent of total billed charges		282.2	100			Fee schedule	code is bundled with other services	332	85			Percent of total billed charges		282.2	100			Fee schedule	code is bundled with other services	332	100			Fee schedule	code is bundled with other services	332	100			Fee schedule	code is bundled with other services	332	100			Fee schedule	code is bundled with other services	332		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	332	132.8	298.8	
Injection of sinus tract; diagnostic (sinogram)	20501	CPT	Outpatient			332	215.8		90			Percent of total billed charges		298.8	40			Percent of total billed charges		132.8	80			Percent of total billed charges		265.6	85			Percent of total billed charges		282.2	100			Fee schedule	code is bundled with other services	332	85			Percent of total billed charges		282.2	100			Fee schedule	code is bundled with other services	332	100			Fee schedule	code is bundled with other services	332	100			Fee schedule	code is bundled with other services	332	100			Fee schedule	code is bundled with other services	332		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	332	132.8	298.8	
Injection procedure for splenoportography	38200	CPT	Outpatient			332	215.8		90			Percent of total billed charges		298.8	40			Percent of total billed charges		132.8	80			Percent of total billed charges		265.6	85			Percent of total billed charges		282.2	100			Fee schedule	code is bundled with other services	332	85			Percent of total billed charges		282.2	100			Fee schedule	code is bundled with other services	332	100			Fee schedule	code is bundled with other services	332	100			Fee schedule	code is bundled with other services	332	100			Fee schedule	code is bundled with other services	332		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	332	132.8	298.8	
Injection procedure for ureterography or ureteropyelography through ureterostomy or indwelling ureteral catheter	50684	CPT	Outpatient			332	215.8		90			Percent of total billed charges		298.8	40			Percent of total billed charges		132.8	80			Percent of total billed charges		265.6	85			Percent of total billed charges		282.2	100			Fee schedule	code is bundled with other services	332	85			Percent of total billed charges		282.2	100			Fee schedule	code is bundled with other services	332	100			Fee schedule	code is bundled with other services	332	100			Fee schedule	code is bundled with other services	332	100			Fee schedule	code is bundled with other services	332		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	332	132.8	298.8	
"Injection procedure for visualization of ileal conduit and/or ureteropyelography, exclusive of radiologic service"	50690	CPT	Outpatient			332	215.8		90			Percent of total billed charges		298.8	40			Percent of total billed charges		132.8	80			Percent of total billed charges		265.6	85			Percent of total billed charges		282.2	100			Fee schedule	code is bundled with other services	332	85			Percent of total billed charges		282.2	100			Fee schedule	code is bundled with other services	332	100			Fee schedule	code is bundled with other services	332	100			Fee schedule	code is bundled with other services	332	100			Fee schedule	code is bundled with other services	332		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	332	132.8	298.8	
"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by injection(s) (includes imaging guidance, when performed)"	64486	CPT	Outpatient			350	227.5		90			Percent of total billed charges		315	40			Percent of total billed charges		140	80			Percent of total billed charges		280	85			Percent of total billed charges		297.5	100			Fee schedule	code is bundled with other services	350	85			Percent of total billed charges		297.5	100			Fee schedule	code is bundled with other services	350	100			Fee schedule	code is bundled with other services	350	100			Fee schedule	code is bundled with other services	350	100			Fee schedule	code is bundled with other services	350		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	350	140	315	
"Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; initial vessel (List separately in addition to code for primary procedure)"	92978	CPT	Outpatient			350	227.5		90			Percent of total billed charges		315	40			Percent of total billed charges		140	80			Percent of total billed charges		280	90			Percent of total billed charges		315	100			Fee schedule	code is bundled with other services	350	85			Percent of total billed charges		297.5	100			Fee schedule	code is bundled with other services	350	100			Fee schedule	code is bundled with other services	350	100			Fee schedule	code is bundled with other services	350	100			Fee schedule	code is bundled with other services	350		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	350	140	315	
"Tissue cultured skin autograft, trunk, arms, legs; additional 1 sq cm to 75 sq cm (List separately in addition to code for primary procedure)"	15151	CPT	Outpatient			355	230.75		90			Percent of total billed charges		319.5	40			Percent of total billed charges		142	80			Percent of total billed charges		284	85			Percent of total billed charges		301.75	100			Fee schedule	code is bundled with other services	355	85			Percent of total billed charges		301.75	100			Fee schedule	code is bundled with other services	355	100			Fee schedule	code is bundled with other services	355	100			Fee schedule	code is bundled with other services	355	100			Fee schedule	code is bundled with other services	355		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	355	142	319.5	
"Biopsy of liver, needle; when done for indicated purpose at time of other major procedure (List separately in addition to code for primary procedure)"	47001	CPT	Outpatient			372.31	242		90			Percent of total billed charges		335.07	40			Percent of total billed charges		148.92	80			Percent of total billed charges		297.84	85			Percent of total billed charges		316.46	100			Fee schedule	code is bundled with other services	372.31	85			Percent of total billed charges		316.46	100			Fee schedule	code is bundled with other services	372.31	100			Fee schedule	code is bundled with other services	372.31	100			Fee schedule	code is bundled with other services	372.31	100			Fee schedule	code is bundled with other services	372.31		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	372.31	148.92	335.07	
"Excision of breast lesion identified by preoperative placement of radiological marker, open; each additional lesion separately identified by a preoperative radiological marker (List separately in addition to code for primary procedure)"	19126	CPT	Outpatient			375	243.75		90			Percent of total billed charges		337.5	40			Percent of total billed charges		150	80			Percent of total billed charges		300	85			Percent of total billed charges		318.75	100			Fee schedule	code is bundled with other services	375	85			Percent of total billed charges		318.75	100			Fee schedule	code is bundled with other services	375	100			Fee schedule	code is bundled with other services	375	100			Fee schedule	code is bundled with other services	375	100			Fee schedule	code is bundled with other services	375		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	375	150	337.5	
"Epidermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)"	15116	CPT	Outpatient			380	247		90			Percent of total billed charges		342	40			Percent of total billed charges		152	80			Percent of total billed charges		304	85			Percent of total billed charges		323	100			Fee schedule	code is bundled with other services	380	85			Percent of total billed charges		323	100			Fee schedule	code is bundled with other services	380	100			Fee schedule	code is bundled with other services	380	100			Fee schedule	code is bundled with other services	380	100			Fee schedule	code is bundled with other services	380		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	380	152	342	
"Tissue cultured skin autograft, trunk, arms, legs; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)"	15152	CPT	Outpatient			380	247		90			Percent of total billed charges		342	40			Percent of total billed charges		152	80			Percent of total billed charges		304	85			Percent of total billed charges		323	100			Fee schedule	code is bundled with other services	380	85			Percent of total billed charges		323	100			Fee schedule	code is bundled with other services	380	100			Fee schedule	code is bundled with other services	380	100			Fee schedule	code is bundled with other services	380	100			Fee schedule	code is bundled with other services	380		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	380	152	342	
"Tissue cultured skin autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; additional 1 sq cm to 75 sq cm (List separately in addition to code for primary procedure)"	15156	CPT	Outpatient			390	253.5		90			Percent of total billed charges		351	40			Percent of total billed charges		156	80			Percent of total billed charges		312	85			Percent of total billed charges		331.5	100			Fee schedule	code is bundled with other services	390	85			Percent of total billed charges		331.5	100			Fee schedule	code is bundled with other services	390	100			Fee schedule	code is bundled with other services	390	100			Fee schedule	code is bundled with other services	390	100			Fee schedule	code is bundled with other services	390		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	390	156	351	
"Split-thickness autograft, trunk, arms, legs; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)"	15101	CPT	Outpatient			395	256.75		90			Percent of total billed charges		355.5	40			Percent of total billed charges		158	80			Percent of total billed charges		316	85			Percent of total billed charges		335.75	100			Fee schedule	code is bundled with other services	395	85			Percent of total billed charges		335.75	100			Fee schedule	code is bundled with other services	395	100			Fee schedule	code is bundled with other services	395	100			Fee schedule	code is bundled with other services	395	100			Fee schedule	code is bundled with other services	395		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	395	158	355.5	
"Arthrodesis, interphalangeal joint, with or without internal fixation; each additional interphalangeal joint (List separately in addition to code for primary procedure)"	26861	CPT	Outpatient			405	263.25		90			Percent of total billed charges		364.5	40			Percent of total billed charges		162	80			Percent of total billed charges		324	85			Percent of total billed charges		344.25	100			Fee schedule	code is bundled with other services	405	85			Percent of total billed charges		344.25	100			Fee schedule	code is bundled with other services	405	100			Fee schedule	code is bundled with other services	405	100			Fee schedule	code is bundled with other services	405	100			Fee schedule	code is bundled with other services	405		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	405	162	364.5	
Electrical stimulation to aid bone healing; invasive (operative)	20975	CPT	Outpatient			415	269.75		90			Percent of total billed charges		373.5	40			Percent of total billed charges		166	80			Percent of total billed charges		332	85			Percent of total billed charges		352.75	100			Fee schedule	code is bundled with other services	415	85			Percent of total billed charges		352.75	100			Fee schedule	code is bundled with other services	415	100			Fee schedule	code is bundled with other services	415	100			Fee schedule	code is bundled with other services	415	100			Fee schedule	code is bundled with other services	415		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	415	166	373.5	
"Introduction of catheter, aorta"	36200	CPT	Outpatient			420	273		90			Percent of total billed charges		378	40			Percent of total billed charges		168	80			Percent of total billed charges		336	85			Percent of total billed charges		357	100			Fee schedule	code is bundled with other services	420	85			Percent of total billed charges		357	100			Fee schedule	code is bundled with other services	420	100			Fee schedule	code is bundled with other services	420	100			Fee schedule	code is bundled with other services	420	100			Fee schedule	code is bundled with other services	420		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	420	168	378	
"Tissue cultured skin autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)"	15157	CPT	Outpatient			420	273		90			Percent of total billed charges		378	40			Percent of total billed charges		168	80			Percent of total billed charges		336	85			Percent of total billed charges		357	100			Fee schedule	code is bundled with other services	420	85			Percent of total billed charges		357	100			Fee schedule	code is bundled with other services	420	100			Fee schedule	code is bundled with other services	420	100			Fee schedule	code is bundled with other services	420	100			Fee schedule	code is bundled with other services	420		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	420	168	378	
"Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by injections (includes imaging guidance, when performed)"	64488	CPT	Outpatient			420	273		90			Percent of total billed charges		378	40			Percent of total billed charges		168	80			Percent of total billed charges		336	85			Percent of total billed charges		357	100			Fee schedule	code is bundled with other services	420	85			Percent of total billed charges		357	100			Fee schedule	code is bundled with other services	420	100			Fee schedule	code is bundled with other services	420	100			Fee schedule	code is bundled with other services	420	100			Fee schedule	code is bundled with other services	420		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	420	168	378	
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; each additional lesion, including magnetic resonance guidance (List separately in addition to code for primary procedure)"	19086	CPT	Outpatient			440	286		90			Percent of total billed charges		396	40			Percent of total billed charges		176	80			Percent of total billed charges		352	85			Percent of total billed charges		374	100			Fee schedule	code is bundled with other services	440	85			Percent of total billed charges		374	100			Fee schedule	code is bundled with other services	440	100			Fee schedule	code is bundled with other services	440	100			Fee schedule	code is bundled with other services	440	100			Fee schedule	code is bundled with other services	440		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	440	176	396	
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; each additional lesion, including ultrasound guidance (List separately in addition to code for primary procedure)"	19084	CPT	Outpatient			440	286		90			Percent of total billed charges		396	40			Percent of total billed charges		176	80			Percent of total billed charges		352	85			Percent of total billed charges		374	100			Fee schedule	code is bundled with other services	440	85			Percent of total billed charges		374	100			Fee schedule	code is bundled with other services	440	100			Fee schedule	code is bundled with other services	440	100			Fee schedule	code is bundled with other services	440	100			Fee schedule	code is bundled with other services	440		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	440	176	396	
"Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids, and/or lips; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)"	15261	CPT	Outpatient			440	286		90			Percent of total billed charges		396	40			Percent of total billed charges		176	80			Percent of total billed charges		352	85			Percent of total billed charges		374	100			Fee schedule	code is bundled with other services	440	85			Percent of total billed charges		374	100			Fee schedule	code is bundled with other services	440	100			Fee schedule	code is bundled with other services	440	100			Fee schedule	code is bundled with other services	440	100			Fee schedule	code is bundled with other services	440		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	440	176	396	
"Electrophysiologic evaluation of subcutaneous implantable defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters)"	93644	CPT	Outpatient			450	292.5		90			Percent of total billed charges		405	40			Percent of total billed charges		180	80			Percent of total billed charges		360	90			Percent of total billed charges		405	100			Fee schedule	code is bundled with other services	450	85			Percent of total billed charges		382.5	100			Fee schedule	code is bundled with other services	450	100			Fee schedule	code is bundled with other services	450	100			Fee schedule	code is bundled with other services	450	100			Fee schedule	code is bundled with other services	450		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	450	180	405	
"Arthroscopy, knee, surgical, for removal of loose body, foreign body, debridement/shaving of articular cartilage (chondroplasty) at the time of other surgical knee arthroscopy in a different compartment of the same knee"	G0289	CPT	Outpatient			465	302.25		90			Percent of total billed charges		418.5	40			Percent of total billed charges		186	80			Percent of total billed charges		372	90			Percent of total billed charges		418.5	100			Fee schedule	code is bundled with other services	465	85			Percent of total billed charges		395.25	100			Fee schedule	code is bundled with other services	465	100			Fee schedule	code is bundled with other services	465	100			Fee schedule	code is bundled with other services	465	100			Fee schedule	code is bundled with other services	465		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	465	186	418.5	
"Voiding pressure studies, intra-abdominal (ie, rectal, gastric, intraperitoneal) (List separately in addition to code for primary procedure)"	51797	CPT	Outpatient			470	305.5		90			Percent of total billed charges		423	40			Percent of total billed charges		188	80			Percent of total billed charges		376	85			Percent of total billed charges		399.5	100			Fee schedule	code is bundled with other services	470	85			Percent of total billed charges		399.5	100			Fee schedule	code is bundled with other services	470	100			Fee schedule	code is bundled with other services	470	100			Fee schedule	code is bundled with other services	470	100			Fee schedule	code is bundled with other services	470		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	470	188	423	
"Selective catheter placement, arterial system; each first order thoracic or brachiocephalic branch, within a vascular family"	36215	CPT	Outpatient			471	306.15		90			Percent of total billed charges		423.9	40			Percent of total billed charges		188.4	80			Percent of total billed charges		376.8	85			Percent of total billed charges		400.35	100			Fee schedule	code is bundled with other services	471	85			Percent of total billed charges		400.35	100			Fee schedule	code is bundled with other services	471	100			Fee schedule	code is bundled with other services	471	100			Fee schedule	code is bundled with other services	471	100			Fee schedule	code is bundled with other services	471		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	471	188.4	423.9	
"Suture of digital nerve, hand or foot; each additional digital nerve (List separately in addition to code for primary procedure)"	64832	CPT	Outpatient			477.81	310.58		90			Percent of total billed charges		430.03	40			Percent of total billed charges		191.12	80			Percent of total billed charges		382.25	85			Percent of total billed charges		406.14	100			Fee schedule	code is bundled with other services	477.81	85			Percent of total billed charges		406.14	100			Fee schedule	code is bundled with other services	477.81	100			Fee schedule	code is bundled with other services	477.81	100			Fee schedule	code is bundled with other services	477.81	100			Fee schedule	code is bundled with other services	477.81		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	477.81	191.12	430.03	
"Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; each additional 5 cm or less (List separately in addition to code for primary procedure)"	13133	CPT	Outpatient			490	318.5		90			Percent of total billed charges		441	40			Percent of total billed charges		196	80			Percent of total billed charges		392	85			Percent of total billed charges		416.5	100			Fee schedule	code is bundled with other services	490	85			Percent of total billed charges		416.5	100			Fee schedule	code is bundled with other services	490	100			Fee schedule	code is bundled with other services	490	100			Fee schedule	code is bundled with other services	490	100			Fee schedule	code is bundled with other services	490		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	490	196	441	
"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; third and any additional level(s) (List separately in addition to code for primary procedure)"	64495	CPT	Outpatient			495	321.75		90			Percent of total billed charges		445.5	40			Percent of total billed charges		198	80			Percent of total billed charges		396	85			Percent of total billed charges		420.75	100			Fee schedule	code is bundled with other services	495	85			Percent of total billed charges		420.75	100			Fee schedule	code is bundled with other services	495	100			Fee schedule	code is bundled with other services	495	100			Fee schedule	code is bundled with other services	495	100			Fee schedule	code is bundled with other services	495		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	495	198	445.5	
"Microsurgical techniques, requiring use of operating microscope (List separately in addition to code for primary procedure)"	69990	CPT	Outpatient			500	325		90			Percent of total billed charges		450	40			Percent of total billed charges		200	80			Percent of total billed charges		400	85			Percent of total billed charges		425	100			Fee schedule	code is bundled with other services	500	85			Percent of total billed charges		425	100			Fee schedule	code is bundled with other services	500	100			Fee schedule	code is bundled with other services	500	100			Fee schedule	code is bundled with other services	500	100			Fee schedule	code is bundled with other services	500		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	500	200	450	
"Arterial catheterization or cannulation for sampling, monitoring or transfusion (separate procedure); percutaneous"	36620	CPT	Outpatient			516.34	335.62		90			Percent of total billed charges		464.71	40			Percent of total billed charges		206.54	80			Percent of total billed charges		413.07	85			Percent of total billed charges		438.89	100			Fee schedule	code is bundled with other services	516.34	85			Percent of total billed charges		438.89	100			Fee schedule	code is bundled with other services	516.34	100			Fee schedule	code is bundled with other services	516.34	100			Fee schedule	code is bundled with other services	516.34	100			Fee schedule	code is bundled with other services	516.34		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	516.34	206.54	464.71	
Injection procedure for cystography or voiding urethrocystography	51600	CPT	Outpatient			525	341.25		90			Percent of total billed charges		472.5	40			Percent of total billed charges		210	80			Percent of total billed charges		420	85			Percent of total billed charges		446.25	100			Fee schedule	code is bundled with other services	525	85			Percent of total billed charges		446.25	100			Fee schedule	code is bundled with other services	525	100			Fee schedule	code is bundled with other services	525	100			Fee schedule	code is bundled with other services	525	100			Fee schedule	code is bundled with other services	525		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	525	210	472.5	
"Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)"	15121	CPT	Outpatient			530	344.5		90			Percent of total billed charges		477	40			Percent of total billed charges		212	80			Percent of total billed charges		424	85			Percent of total billed charges		450.5	100			Fee schedule	code is bundled with other services	530	85			Percent of total billed charges		450.5	100			Fee schedule	code is bundled with other services	530	100			Fee schedule	code is bundled with other services	530	100			Fee schedule	code is bundled with other services	530	100			Fee schedule	code is bundled with other services	530		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	530	212	477	
"Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination) at time of initial implantation or replacement; with testing of single or dual chamber pacing cardioverter-defibrillator pulse generator"	93641	CPT	Outpatient			530	344.5		90			Percent of total billed charges		477	40			Percent of total billed charges		212	80			Percent of total billed charges		424	90			Percent of total billed charges		477	100			Fee schedule	code is bundled with other services	530	85			Percent of total billed charges		450.5	100			Fee schedule	code is bundled with other services	530	100			Fee schedule	code is bundled with other services	530	100			Fee schedule	code is bundled with other services	530	100			Fee schedule	code is bundled with other services	530		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	530	212	477	
"Allograft, morselized, or placement of osteopromotive material, for spine surgery only (List separately in addition to code for primary procedure)"	20930	CPT	Outpatient			540	351		90			Percent of total billed charges		486	40			Percent of total billed charges		216	80			Percent of total billed charges		432	85			Percent of total billed charges		459	100			Fee schedule	code is bundled with other services	540	85			Percent of total billed charges		459	100			Fee schedule	code is bundled with other services	540	100			Fee schedule	code is bundled with other services	540	100			Fee schedule	code is bundled with other services	540	100			Fee schedule	code is bundled with other services	540		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	540	216	486	
"Selective catheter placement, arterial system; initial second order thoracic or brachiocephalic branch, within a vascular family"	36216	CPT	Outpatient			541	351.65		90			Percent of total billed charges		486.9	40			Percent of total billed charges		216.4	80			Percent of total billed charges		432.8	85			Percent of total billed charges		459.85	100			Fee schedule	code is bundled with other services	541	85			Percent of total billed charges		459.85	100			Fee schedule	code is bundled with other services	541	100			Fee schedule	code is bundled with other services	541	100			Fee schedule	code is bundled with other services	541	100			Fee schedule	code is bundled with other services	541		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	541	216	486.9	
"Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; second level (List separately in addition to code for primary procedure)"	64494	CPT	Outpatient			552	358.8		90			Percent of total billed charges		496.8	40			Percent of total billed charges		220.8	80			Percent of total billed charges		441.6	85			Percent of total billed charges		469.2	100			Fee schedule	code is bundled with other services	552	85			Percent of total billed charges		469.2	100			Fee schedule	code is bundled with other services	552	100			Fee schedule	code is bundled with other services	552	100			Fee schedule	code is bundled with other services	552	100			Fee schedule	code is bundled with other services	552		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	552	216	496.8	
"Internal neurolysis, requiring use of operating microscope (List separately in addition to code for neuroplasty) (Neuroplasty includes external neurolysis)"	64727	CPT	Outpatient			565	367.25		90			Percent of total billed charges		508.5	40			Percent of total billed charges		226	80			Percent of total billed charges		452	85			Percent of total billed charges		480.25	100			Fee schedule	code is bundled with other services	565	85			Percent of total billed charges		480.25	100			Fee schedule	code is bundled with other services	565	100			Fee schedule	code is bundled with other services	565	100			Fee schedule	code is bundled with other services	565	100			Fee schedule	code is bundled with other services	565		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	565	216	508.5	
"Fasciectomy, partial palmar with release of single digit including proximal interphalangeal joint, with or without Z-plasty, other local tissue rearrangement, or skin grafting (includes obtaining graft); each additional digit (List separately in addition to code for primary procedure)"	26125	CPT	Outpatient			595	386.75		90			Percent of total billed charges		535.5	40			Percent of total billed charges		238	80			Percent of total billed charges		476	85			Percent of total billed charges		505.75	100			Fee schedule	code is bundled with other services	595	85			Percent of total billed charges		505.75	100			Fee schedule	code is bundled with other services	595	100			Fee schedule	code is bundled with other services	595	100			Fee schedule	code is bundled with other services	595	100			Fee schedule	code is bundled with other services	595		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	595	216	535.5	
"Implantation of biologic implant (eg, acellular dermal matrix) for soft tissue reinforcement (ie, breast, trunk) (List separately in addition to code for primary procedure)"	15777	CPT	Outpatient			600	390		90			Percent of total billed charges		540	40			Percent of total billed charges		240	80			Percent of total billed charges		480	85			Percent of total billed charges		510	100			Fee schedule	code is bundled with other services	600	85			Percent of total billed charges		510	100			Fee schedule	code is bundled with other services	600	100			Fee schedule	code is bundled with other services	600	100			Fee schedule	code is bundled with other services	600	100			Fee schedule	code is bundled with other services	600		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	600	216	540	
"Selective catheter placement, venous system; second order, or more selective, branch (eg, left adrenal vein, petrosal sinus)"	36012	CPT	Outpatient			603	391.95		90			Percent of total billed charges		542.7	40			Percent of total billed charges		241.2	80			Percent of total billed charges		482.4	85			Percent of total billed charges		512.55	100			Fee schedule	code is bundled with other services	603	85			Percent of total billed charges		512.55	100			Fee schedule	code is bundled with other services	603	100			Fee schedule	code is bundled with other services	603	100			Fee schedule	code is bundled with other services	603	100			Fee schedule	code is bundled with other services	603		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	603	216	542.7	
Suture of each additional major peripheral nerve (List separately in addition to code for primary procedure)	64859	CPT	Outpatient			620	403		90			Percent of total billed charges		558	40			Percent of total billed charges		248	80			Percent of total billed charges		496	85			Percent of total billed charges		527	100			Fee schedule	code is bundled with other services	620	85			Percent of total billed charges		527	100			Fee schedule	code is bundled with other services	620	100			Fee schedule	code is bundled with other services	620	100			Fee schedule	code is bundled with other services	620	100			Fee schedule	code is bundled with other services	620		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	620	216	558	
"Selective catheter placement, arterial system; initial third order or more selective abdominal, pelvic, or lower extremity artery branch, within a vascular family"	36247	CPT	Outpatient			646	419.9		90			Percent of total billed charges		581.4	40			Percent of total billed charges		258.4	80			Percent of total billed charges		516.8	85			Percent of total billed charges		549.1	100			Fee schedule	code is bundled with other services	646	85			Percent of total billed charges		549.1	100			Fee schedule	code is bundled with other services	646	100			Fee schedule	code is bundled with other services	646	100			Fee schedule	code is bundled with other services	646	100			Fee schedule	code is bundled with other services	646		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	646	216	581.4	
"Selective catheter placement, arterial system; initial third order or more selective thoracic or brachiocephalic branch, within a vascular family"	36217	CPT	Outpatient			646	419.9		90			Percent of total billed charges		581.4	40			Percent of total billed charges		258.4	80			Percent of total billed charges		516.8	85			Percent of total billed charges		549.1	100			Fee schedule	code is bundled with other services	646	85			Percent of total billed charges		549.1	100			Fee schedule	code is bundled with other services	646	100			Fee schedule	code is bundled with other services	646	100			Fee schedule	code is bundled with other services	646	100			Fee schedule	code is bundled with other services	646		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	646	216	581.4	
Parathyroid autotransplantation (List separately in addition to code for primary procedure)	60512	CPT	Outpatient			660	429		90			Percent of total billed charges		594	40			Percent of total billed charges		264	80			Percent of total billed charges		528	85			Percent of total billed charges		561	100			Fee schedule	code is bundled with other services	660	85			Percent of total billed charges		561	100			Fee schedule	code is bundled with other services	660	100			Fee schedule	code is bundled with other services	660	100			Fee schedule	code is bundled with other services	660	100			Fee schedule	code is bundled with other services	660		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	660	216	594	
"Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or excision of herniated intervertebral disc; each additional interspace, cervical or lumbar (List separately in addition to code for primary procedure)"	63035	CPT	Outpatient			665	432.25		90			Percent of total billed charges		598.5	40			Percent of total billed charges		266	80			Percent of total billed charges		532	85			Percent of total billed charges		565.25	100			Fee schedule	code is bundled with other services	665	85			Percent of total billed charges		565.25	100			Fee schedule	code is bundled with other services	665	100			Fee schedule	code is bundled with other services	665	100			Fee schedule	code is bundled with other services	665	100			Fee schedule	code is bundled with other services	665		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	665	216	598.5	
"Introduction of needle or intracatheter, upper or lower extremity artery"	36140	CPT	Outpatient			690	448.5		90			Percent of total billed charges		621	40			Percent of total billed charges		276	80			Percent of total billed charges		552	85			Percent of total billed charges		586.5	100			Fee schedule	code is bundled with other services	690	85			Percent of total billed charges		586.5	100			Fee schedule	code is bundled with other services	690	100			Fee schedule	code is bundled with other services	690	100			Fee schedule	code is bundled with other services	690	100			Fee schedule	code is bundled with other services	690		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	690	216	621	
Injection procedure for extremity venography (including introduction of needle or intracatheter)	36005	CPT	Outpatient			700	455		90			Percent of total billed charges		630	40			Percent of total billed charges		280	80			Percent of total billed charges		560	85			Percent of total billed charges		595	100			Fee schedule	code is bundled with other services	700	85			Percent of total billed charges		595	100			Fee schedule	code is bundled with other services	700	100			Fee schedule	code is bundled with other services	700	100			Fee schedule	code is bundled with other services	700	100			Fee schedule	code is bundled with other services	700		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	700	216	630	
"Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s], [eg, spinal or lateral recess stenosis]), single vertebral segment; each additional vertebral segment, cervical, thoracic, or lumbar (List separately in addition to code for primary procedure)"	63048	CPT	Outpatient			715	464.75		90			Percent of total billed charges		643.5	40			Percent of total billed charges		286	80			Percent of total billed charges		572	85			Percent of total billed charges		607.75	100			Fee schedule	code is bundled with other services	715	85			Percent of total billed charges		607.75	100			Fee schedule	code is bundled with other services	715	100			Fee schedule	code is bundled with other services	715	100			Fee schedule	code is bundled with other services	715	100			Fee schedule	code is bundled with other services	715		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	715	216	643.5	
"Debridement, muscle and/or fascia (includes epidermis, dermis, and subcutaneous tissue, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)"	11046	CPT	Outpatient			783	508.95		90			Percent of total billed charges		704.7	40			Percent of total billed charges		313.2	80			Percent of total billed charges		626.4	85			Percent of total billed charges		665.55	100			Fee schedule	code is bundled with other services	783	85			Percent of total billed charges		665.55	100			Fee schedule	code is bundled with other services	783	100			Fee schedule	code is bundled with other services	783	100			Fee schedule	code is bundled with other services	783	100			Fee schedule	code is bundled with other services	783		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	783	216	704.7	
"Adjacent tissue transfer or rearrangement, any area; each additional 30.0 sq cm, or part thereof (List separately in addition to code for primary procedure)"	14302	CPT	Outpatient			792.84	515.34		90			Percent of total billed charges		713.55	40			Percent of total billed charges		317.13	80			Percent of total billed charges		634.27	85			Percent of total billed charges		673.91	100			Fee schedule	code is bundled with other services	792.84	85			Percent of total billed charges		673.91	100			Fee schedule	code is bundled with other services	792.84	100			Fee schedule	code is bundled with other services	792.84	100			Fee schedule	code is bundled with other services	792.84	100			Fee schedule	code is bundled with other services	792.84		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	792.84	216	713.55	
"Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; each additional lesion, including stereotactic guidance (List separately in addition to code for primary procedure)"	19082	CPT	Outpatient			815	529.75		90			Percent of total billed charges		733.5	40			Percent of total billed charges		326	80			Percent of total billed charges		652	85			Percent of total billed charges		692.75	100			Fee schedule	code is bundled with other services	815	85			Percent of total billed charges		692.75	100			Fee schedule	code is bundled with other services	815	100			Fee schedule	code is bundled with other services	815	100			Fee schedule	code is bundled with other services	815	100			Fee schedule	code is bundled with other services	815		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	815	216	733.5	
"Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical, each additional interspace (List separately in addition to code for primary procedure)"	63076	CPT	Outpatient			815	529.75		90			Percent of total billed charges		733.5	40			Percent of total billed charges		326	80			Percent of total billed charges		652	85			Percent of total billed charges		692.75	100			Fee schedule	code is bundled with other services	815	85			Percent of total billed charges		692.75	100			Fee schedule	code is bundled with other services	815	100			Fee schedule	code is bundled with other services	815	100			Fee schedule	code is bundled with other services	815	100			Fee schedule	code is bundled with other services	815		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	815	216	733.5	
"Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)"	15241	CPT	Outpatient			868.58	564.58		90			Percent of total billed charges		781.72	40			Percent of total billed charges		347.43	80			Percent of total billed charges		694.86	85			Percent of total billed charges		738.29	100			Fee schedule	code is bundled with other services	868.58	85			Percent of total billed charges		738.29	100			Fee schedule	code is bundled with other services	868.58	100			Fee schedule	code is bundled with other services	868.58	100			Fee schedule	code is bundled with other services	868.58	100			Fee schedule	code is bundled with other services	868.58		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	868.58	216	781.72	
"Selective catheter placement, arterial system; initial second order abdominal, pelvic, or lower extremity artery branch, within a vascular family"	36246	CPT	Outpatient			878.25	570.86		90			Percent of total billed charges		790.42	40			Percent of total billed charges		351.3	80			Percent of total billed charges		702.6	85			Percent of total billed charges		746.51	100			Fee schedule	code is bundled with other services	878.25	85			Percent of total billed charges		746.51	100			Fee schedule	code is bundled with other services	878.25	100			Fee schedule	code is bundled with other services	878.25	100			Fee schedule	code is bundled with other services	878.25	100			Fee schedule	code is bundled with other services	878.25		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	878.25	216	790.42	
"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each additional 1% of body area of infants and children, or part thereof (list separately in addition to code for primary procedure)"	C5278	CPT	Outpatient			886	575.9		90			Percent of total billed charges		797.4	40			Percent of total billed charges		354.4	80			Percent of total billed charges		708.8	90			Percent of total billed charges		797.4	100			Fee schedule	code is bundled with other services	886	85			Percent of total billed charges		753.1	100			Fee schedule	code is bundled with other services	886	100			Fee schedule	code is bundled with other services	886	100			Fee schedule	code is bundled with other services	886	100			Fee schedule	code is bundled with other services	886		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	886	216	797.4	
"Application of low cost skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (list separately in addition to code for primary procedure)"	C5276	CPT	Outpatient			886	575.9		90			Percent of total billed charges		797.4	40			Percent of total billed charges		354.4	80			Percent of total billed charges		708.8	90			Percent of total billed charges		797.4	100			Fee schedule	code is bundled with other services	886	85			Percent of total billed charges		753.1	100			Fee schedule	code is bundled with other services	886	100			Fee schedule	code is bundled with other services	886	100			Fee schedule	code is bundled with other services	886	100			Fee schedule	code is bundled with other services	886		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	886	216	797.4	
"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (list separately in addition to code for primary procedure)"	C5272	CPT	Outpatient			886	575.9		90			Percent of total billed charges		797.4	40			Percent of total billed charges		354.4	80			Percent of total billed charges		708.8	90			Percent of total billed charges		797.4	100			Fee schedule	code is bundled with other services	886	85			Percent of total billed charges		753.1	100			Fee schedule	code is bundled with other services	886	100			Fee schedule	code is bundled with other services	886	100			Fee schedule	code is bundled with other services	886	100			Fee schedule	code is bundled with other services	886		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	886	216	797.4	
"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, each additional facet joint (List separately in addition to code for primary procedure)"	64636	CPT	Outpatient			889.07	577.89		90			Percent of total billed charges		800.16	40			Percent of total billed charges		355.63	80			Percent of total billed charges		711.25	85			Percent of total billed charges		755.71	100			Fee schedule	code is bundled with other services	889.07	85			Percent of total billed charges		755.71	100			Fee schedule	code is bundled with other services	889.07	100			Fee schedule	code is bundled with other services	889.07	100			Fee schedule	code is bundled with other services	889.07	100			Fee schedule	code is bundled with other services	889.07		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	889.07	216	800.16	
"Introduction of needle or intracatheter, carotid or vertebral artery"	36100	CPT	Outpatient			950	617.5		90			Percent of total billed charges		855	40			Percent of total billed charges		380	80			Percent of total billed charges		760	85			Percent of total billed charges		807.5	100			Fee schedule	code is bundled with other services	950	85			Percent of total billed charges		807.5	100			Fee schedule	code is bundled with other services	950	100			Fee schedule	code is bundled with other services	950	100			Fee schedule	code is bundled with other services	950	100			Fee schedule	code is bundled with other services	950		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	950	216	855	
"Injection procedure for sacroiliac joint, anesthetic/steroid, with image guidance (fluoroscopy or CT) including arthrography when performed"	27096	CPT	Outpatient			990	643.5		90			Percent of total billed charges		891	40			Percent of total billed charges		396	80			Percent of total billed charges		792	85			Percent of total billed charges		841.5	100			Fee schedule	code is bundled with other services	990	85			Percent of total billed charges		841.5	100			Fee schedule	code is bundled with other services	990	100			Fee schedule	code is bundled with other services	990	100			Fee schedule	code is bundled with other services	990	100			Fee schedule	code is bundled with other services	990		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	990	216	891	
"Injection procedure for discography, each level; lumbar"	62290	CPT	Outpatient			1000	650		90			Percent of total billed charges		900	40			Percent of total billed charges		400	80			Percent of total billed charges		800	85			Percent of total billed charges		850	100			Fee schedule	code is bundled with other services	1000	85			Percent of total billed charges		850	100			Fee schedule	code is bundled with other services	1000	100			Fee schedule	code is bundled with other services	1000	100			Fee schedule	code is bundled with other services	1000	100			Fee schedule	code is bundled with other services	1000		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	1000	216	900	
"Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and histopathologic preparation including routine stain(s) (eg, hematoxylin and eosin, toluidine blue), of the trunk, arms, or legs; each additional stage after the first stage, up to 5 tissue blocks (List separately in addition to code for primary procedure)"	17314	CPT	Outpatient			1117.03	726.07		90			Percent of total billed charges		1005.32	40			Percent of total billed charges		446.81	80			Percent of total billed charges		893.62	85			Percent of total billed charges		949.47	100			Fee schedule	code is bundled with other services	1117.03	85			Percent of total billed charges		949.47	100			Fee schedule	code is bundled with other services	1117.03	100			Fee schedule	code is bundled with other services	1117.03	100			Fee schedule	code is bundled with other services	1117.03	100			Fee schedule	code is bundled with other services	1117.03		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	1117.03	216	1005.32	
"Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet and/or multiple digits; each additional 100 sq cm, or part thereof, or each additional 1% of body area of infants and children (List separately in addition to code for primary procedure)"	15005	CPT	Outpatient			1151	748.15		90			Percent of total billed charges		1035.9	40			Percent of total billed charges		460.4	80			Percent of total billed charges		920.8	85			Percent of total billed charges		978.35	100			Fee schedule	code is bundled with other services	1151	85			Percent of total billed charges		978.35	100			Fee schedule	code is bundled with other services	1151	100			Fee schedule	code is bundled with other services	1151	100			Fee schedule	code is bundled with other services	1151	100			Fee schedule	code is bundled with other services	1151		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	1151	216	1035.9	
"Selective catheter placement, left or right pulmonary artery"	36014	CPT	Outpatient			1175	763.75		90			Percent of total billed charges		1057.5	40			Percent of total billed charges		470	80			Percent of total billed charges		940	85			Percent of total billed charges		998.75	100			Fee schedule	code is bundled with other services	1175	85			Percent of total billed charges		998.75	100			Fee schedule	code is bundled with other services	1175	100			Fee schedule	code is bundled with other services	1175	100			Fee schedule	code is bundled with other services	1175	100			Fee schedule	code is bundled with other services	1175		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	1175	216	1057.5	
"Arthrodesis, posterior or posterolateral technique, single interspace; each additional interspace (List separately in addition to code for primary procedure)"	22614	CPT	Outpatient			1200	780		90			Percent of total billed charges		1080	40			Percent of total billed charges		480	80			Percent of total billed charges		960	85			Percent of total billed charges		1020	100			Fee schedule	code is bundled with other services	1200	85			Percent of total billed charges		1020	100			Fee schedule	code is bundled with other services	1200	100			Fee schedule	code is bundled with other services	1200	100			Fee schedule	code is bundled with other services	1200	100			Fee schedule	code is bundled with other services	1200		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	1200	216	1080	
"Insertion of mesh or other prosthesis for repair of pelvic floor defect, each site (anterior, posterior compartment), vaginal approach (List separately in addition to code for primary procedure)"	57267	CPT	Outpatient			1225.19	796.37		90			Percent of total billed charges		1102.67	40			Percent of total billed charges		490.07	80			Percent of total billed charges		980.15	85			Percent of total billed charges		1041.41	100			Fee schedule	code is bundled with other services	1225.19	85			Percent of total billed charges		1041.41	100			Fee schedule	code is bundled with other services	1225.19	100			Fee schedule	code is bundled with other services	1225.19	100			Fee schedule	code is bundled with other services	1225.19	100			Fee schedule	code is bundled with other services	1225.19		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	1225.19	216	1102.67	
"Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, trunk, arms, legs; each additional 100 sq cm, or part thereof, or each additional 1% of body area of infants and children (List separately in addition to code for primary procedure)"	15003	CPT	Outpatient			1259.89	818.93		90			Percent of total billed charges		1133.9	40			Percent of total billed charges		503.96	80			Percent of total billed charges		1007.91	85			Percent of total billed charges		1070.91	100			Fee schedule	code is bundled with other services	1259.89	85			Percent of total billed charges		1070.91	100			Fee schedule	code is bundled with other services	1259.89	100			Fee schedule	code is bundled with other services	1259.89	100			Fee schedule	code is bundled with other services	1259.89	100			Fee schedule	code is bundled with other services	1259.89		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	1259.89	216	1133.9	
"Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and histopathologic preparation including routine stain(s) (eg, hematoxylin and eosin, toluidine blue), head, neck, hands, feet, genitalia, or any location with surgery directly involving muscle, cartilage, bone, tendon, major nerves, or vessels; each additional stage after the first stage, up to 5 tissue blocks (List separately in addition to code for primary procedure)"	17312	CPT	Outpatient			1324.37	860.84		90			Percent of total billed charges		1191.93	40			Percent of total billed charges		529.75	80			Percent of total billed charges		1059.49	85			Percent of total billed charges		1125.71	100			Fee schedule	code is bundled with other services	1324.37	85			Percent of total billed charges		1125.71	100			Fee schedule	code is bundled with other services	1324.37	100			Fee schedule	code is bundled with other services	1324.37	100			Fee schedule	code is bundled with other services	1324.37	100			Fee schedule	code is bundled with other services	1324.37		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	1324.37	216	1191.93	
Percutaneous portal vein catheterization by any method	36481	CPT	Outpatient			1369	889.85		90			Percent of total billed charges		1232.1	40			Percent of total billed charges		547.6	80			Percent of total billed charges		1095.2	85			Percent of total billed charges		1163.65	100			Fee schedule	code is bundled with other services	1369	85			Percent of total billed charges		1163.65	100			Fee schedule	code is bundled with other services	1369	100			Fee schedule	code is bundled with other services	1369	100			Fee schedule	code is bundled with other services	1369	100			Fee schedule	code is bundled with other services	1369		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	1369	216	1232.1	
"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)"	15278	CPT	Outpatient			1484	964.6		90			Percent of total billed charges		1335.6	40			Percent of total billed charges		593.6	80			Percent of total billed charges		1187.2	85			Percent of total billed charges		1261.4	100			Fee schedule	code is bundled with other services	1484	85			Percent of total billed charges		1261.4	100			Fee schedule	code is bundled with other services	1484	100			Fee schedule	code is bundled with other services	1484	100			Fee schedule	code is bundled with other services	1484	100			Fee schedule	code is bundled with other services	1484		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	1484	216	1335.6	
"Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (List separately in addition to code for primary procedure)"	15276	CPT	Outpatient			1484	964.6		90			Percent of total billed charges		1335.6	40			Percent of total billed charges		593.6	80			Percent of total billed charges		1187.2	85			Percent of total billed charges		1261.4	100			Fee schedule	code is bundled with other services	1484	85			Percent of total billed charges		1261.4	100			Fee schedule	code is bundled with other services	1484	100			Fee schedule	code is bundled with other services	1484	100			Fee schedule	code is bundled with other services	1484	100			Fee schedule	code is bundled with other services	1484		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	1484	216	1335.6	
"Application of skin substitute graft to trunk, arms, legs, total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area, or part thereof (List separately in addition to code for primary procedure)"	15272	CPT	Outpatient			1484	964.6		90			Percent of total billed charges		1335.6	40			Percent of total billed charges		593.6	80			Percent of total billed charges		1187.2	85			Percent of total billed charges		1261.4	100			Fee schedule	code is bundled with other services	1484	85			Percent of total billed charges		1261.4	100			Fee schedule	code is bundled with other services	1484	100			Fee schedule	code is bundled with other services	1484	100			Fee schedule	code is bundled with other services	1484	100			Fee schedule	code is bundled with other services	1484		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	1484	216	1335.6	
"Application of low cost skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each additional 1% of body area of infants and children, or part thereof (list separately in addition to code for primary procedure)"	C5274	CPT	Outpatient			1484	964.6		90			Percent of total billed charges		1335.6	40			Percent of total billed charges		593.6	80			Percent of total billed charges		1187.2	90			Percent of total billed charges		1335.6	100			Fee schedule	code is bundled with other services	1484	85			Percent of total billed charges		1261.4	100			Fee schedule	code is bundled with other services	1484	100			Fee schedule	code is bundled with other services	1484	100			Fee schedule	code is bundled with other services	1484	100			Fee schedule	code is bundled with other services	1484		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	1484	216	1335.6	
"Introduction of catheter, right heart or main pulmonary artery"	36013	CPT	Outpatient			1575	1023.75		90			Percent of total billed charges		1417.5	40			Percent of total billed charges		630	80			Percent of total billed charges		1260	85			Percent of total billed charges		1338.75	100			Fee schedule	code is bundled with other services	1575	85			Percent of total billed charges		1338.75	100			Fee schedule	code is bundled with other services	1575	100			Fee schedule	code is bundled with other services	1575	100			Fee schedule	code is bundled with other services	1575	100			Fee schedule	code is bundled with other services	1575		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	1575	216	1417.5	
"Selective catheter placement, venous system; first order branch (eg, renal vein, jugular vein)"	36011	CPT	Outpatient			1670	1085.5		90			Percent of total billed charges		1503	40			Percent of total billed charges		668	80			Percent of total billed charges		1336	85			Percent of total billed charges		1419.5	100			Fee schedule	code is bundled with other services	1670	85			Percent of total billed charges		1419.5	100			Fee schedule	code is bundled with other services	1670	100			Fee schedule	code is bundled with other services	1670	100			Fee schedule	code is bundled with other services	1670	100			Fee schedule	code is bundled with other services	1670		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	1670	216	1503	
"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; each additional permanent adjustable transprostatic implant (List separately in addition to code for primary procedure)"	52442	CPT	Outpatient			1785	1160.25		90			Percent of total billed charges		1606.5	40			Percent of total billed charges		714	80			Percent of total billed charges		1428	85			Percent of total billed charges		1517.25	100			Fee schedule	code is bundled with other services	1785	85			Percent of total billed charges		1517.25	100			Fee schedule	code is bundled with other services	1785	100			Fee schedule	code is bundled with other services	1785	100			Fee schedule	code is bundled with other services	1785	100			Fee schedule	code is bundled with other services	1785		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	1785	216	1606.5	
"Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, each additional facet joint (List separately in addition to code for primary procedure)"	64634	CPT	Outpatient			1836.33	1193.62		90			Percent of total billed charges		1652.7	40			Percent of total billed charges		734.53	80			Percent of total billed charges		1469.07	85			Percent of total billed charges		1560.88	100			Fee schedule	code is bundled with other services	1836.33	85			Percent of total billed charges		1560.88	100			Fee schedule	code is bundled with other services	1836.33	100			Fee schedule	code is bundled with other services	1836.33	100			Fee schedule	code is bundled with other services	1836.33	100			Fee schedule	code is bundled with other services	1836.33		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	1836.33	216	1652.7	
"Selective catheter placement, segmental or subsegmental pulmonary artery"	36015	CPT	Outpatient			1985	1290.25		90			Percent of total billed charges		1786.5	40			Percent of total billed charges		794	80			Percent of total billed charges		1588	85			Percent of total billed charges		1687.25	100			Fee schedule	code is bundled with other services	1985	85			Percent of total billed charges		1687.25	100			Fee schedule	code is bundled with other services	1985	100			Fee schedule	code is bundled with other services	1985	100			Fee schedule	code is bundled with other services	1985	100			Fee schedule	code is bundled with other services	1985		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	1985	216	1786.5	
"Debridement, bone (includes epidermis, dermis, subcutaneous tissue, muscle and/or fascia, if performed); each additional 20 sq cm, or part thereof (List separately in addition to code for primary procedure)"	11047	CPT	Outpatient			2021	1313.65		90			Percent of total billed charges		1818.9	40			Percent of total billed charges		808.4	80			Percent of total billed charges		1616.8	85			Percent of total billed charges		1717.85	100			Fee schedule	code is bundled with other services	2021	85			Percent of total billed charges		1717.85	100			Fee schedule	code is bundled with other services	2021	100			Fee schedule	code is bundled with other services	2021	100			Fee schedule	code is bundled with other services	2021	100			Fee schedule	code is bundled with other services	2021		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	2021	216	1818.9	
"Selective catheter placement, arterial system; each first order abdominal, pelvic, or lower extremity artery branch, within a vascular family"	36245	CPT	Outpatient			2065	1342.25		90			Percent of total billed charges		1858.5	40			Percent of total billed charges		826	80			Percent of total billed charges		1652	85			Percent of total billed charges		1755.25	100			Fee schedule	code is bundled with other services	2065	85			Percent of total billed charges		1755.25	100			Fee schedule	code is bundled with other services	2065	100			Fee schedule	code is bundled with other services	2065	100			Fee schedule	code is bundled with other services	2065	100			Fee schedule	code is bundled with other services	2065		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	2065	216	1858.5	
"Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device (eg, kyphoplasty), 1 vertebral body, unilateral or bilateral cannulation, inclusive of all imaging guidance; each additional thoracic or lumbar vertebral body (List separately in addition to code for primary procedure)"	22515	CPT	Outpatient			2231.65	1450.57		90			Percent of total billed charges		2008.49	40			Percent of total billed charges		892.66	80			Percent of total billed charges		1785.32	85			Percent of total billed charges		1896.9	100			Fee schedule	code is bundled with other services	2231.65	85			Percent of total billed charges		1896.9	100			Fee schedule	code is bundled with other services	2231.65	100			Fee schedule	code is bundled with other services	2231.65	100			Fee schedule	code is bundled with other services	2231.65	100			Fee schedule	code is bundled with other services	2231.65		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	2231.65	216	2008.49	
"Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; single implant"	52441	CPT	Outpatient			2350	1527.5		90			Percent of total billed charges		2115	40			Percent of total billed charges		940	80			Percent of total billed charges		1880	85			Percent of total billed charges		1997.5	100			Fee schedule	code is bundled with other services	2350	85			Percent of total billed charges		1997.5	100			Fee schedule	code is bundled with other services	2350	100			Fee schedule	code is bundled with other services	2350	100			Fee schedule	code is bundled with other services	2350	100			Fee schedule	code is bundled with other services	2350		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	2350	216	2115	
"Arthroscopy, shoulder, surgical; decompression of subacromial space with partial acromioplasty, with coracoacromial ligament (ie, arch) release, when performed (List separately in addition to code for primary procedure)"	29826	CPT	Outpatient			2533.42	1646.72		90			Percent of total billed charges		2280.08	40			Percent of total billed charges		1013.37	80			Percent of total billed charges		2026.74	85			Percent of total billed charges		2153.41	100			Fee schedule	code is bundled with other services	2533.42	85			Percent of total billed charges		2153.41	100			Fee schedule	code is bundled with other services	2533.42	100			Fee schedule	code is bundled with other services	2533.42	100			Fee schedule	code is bundled with other services	2533.42	100			Fee schedule	code is bundled with other services	2533.42		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	2533.42	216	2280.08	
"Excision, excessive skin and subcutaneous tissue (includes lipectomy), abdomen (eg, abdominoplasty) (includes umbilical transposition and fascial plication) (List separately in addition to code for primary procedure)"	15847	CPT	Outpatient			2608	1695.2		90			Percent of total billed charges		2347.2	40			Percent of total billed charges		1043.2	80			Percent of total billed charges		2086.4	85			Percent of total billed charges		2216.8	100			Fee schedule	code is bundled with other services	2608	85			Percent of total billed charges		2216.8	100			Fee schedule	code is bundled with other services	2608	100			Fee schedule	code is bundled with other services	2608	100			Fee schedule	code is bundled with other services	2608	100			Fee schedule	code is bundled with other services	2608		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	2608	216	2347.2	
"Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, each additional level (List separately in addition to code for primary procedure)"	64484	CPT	Outpatient			2750	1787.5		90			Percent of total billed charges		2475	40			Percent of total billed charges		1100	80			Percent of total billed charges		2200	85			Percent of total billed charges		2337.5	100			Fee schedule	code is bundled with other services	2750	85			Percent of total billed charges		2337.5	100			Fee schedule	code is bundled with other services	2750	100			Fee schedule	code is bundled with other services	2750	100			Fee schedule	code is bundled with other services	2750	100			Fee schedule	code is bundled with other services	2750		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	2750	216	2475	
"Posterior non-segmental instrumentation (eg, Harrington rod technique, pedicle fixation across 1 interspace, atlantoaxial transarticular screw fixation, sublaminar wiring at C1, facet screw fixation) (List separately in addition to code for primary procedure)"	22840	CPT	Outpatient			2950	1917.5		90			Percent of total billed charges		2655	40			Percent of total billed charges		1180	80			Percent of total billed charges		2360	85			Percent of total billed charges		2507.5	100			Fee schedule	code is bundled with other services	2950	85			Percent of total billed charges		2507.5	100			Fee schedule	code is bundled with other services	2950	100			Fee schedule	code is bundled with other services	2950	100			Fee schedule	code is bundled with other services	2950	100			Fee schedule	code is bundled with other services	2950		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	2950	216	2655	
"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; subsequent vein(s) treated in a single extremity, each through separate access sites (List separately in addition to code for primary procedure)"	36476	CPT	Outpatient			3098	2013.7		90			Percent of total billed charges		2788.2	40			Percent of total billed charges		1239.2	80			Percent of total billed charges		2478.4	85			Percent of total billed charges		2633.3	100			Fee schedule	code is bundled with other services	3098	85			Percent of total billed charges		2633.3	100			Fee schedule	code is bundled with other services	3098	100			Fee schedule	code is bundled with other services	3098	100			Fee schedule	code is bundled with other services	3098	100			Fee schedule	code is bundled with other services	3098		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	3098	216	2788.2	
"Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, laser; subsequent vein(s) treated in a single extremity, each through separate access sites (List separately in addition to code for primary procedure)"	36479	CPT	Outpatient			3098	2013.7		90			Percent of total billed charges		2788.2	40			Percent of total billed charges		1239.2	80			Percent of total billed charges		2478.4	85			Percent of total billed charges		2633.3	100			Fee schedule	code is bundled with other services	3098	85			Percent of total billed charges		2633.3	100			Fee schedule	code is bundled with other services	3098	100			Fee schedule	code is bundled with other services	3098	100			Fee schedule	code is bundled with other services	3098	100			Fee schedule	code is bundled with other services	3098		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	3098	216	2788.2	
Injection of air or contrast into peritoneal cavity (separate procedure)	49400	CPT	Outpatient			3695	2401.75		90			Percent of total billed charges		3325.5	40			Percent of total billed charges		1478	80			Percent of total billed charges		2956	85			Percent of total billed charges		3140.75	100			Fee schedule	code is bundled with other services	3695	85			Percent of total billed charges		3140.75	100			Fee schedule	code is bundled with other services	3695	100			Fee schedule	code is bundled with other services	3695	100			Fee schedule	code is bundled with other services	3695	100			Fee schedule	code is bundled with other services	3695		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	3695	216	3325.5	
"Computer-assisted surgical navigational procedure for musculoskeletal procedures, image-less (List separately in addition to code for primary procedure)"	20985	CPT	Outpatient			4165.57	2707.62		90			Percent of total billed charges		3749.02	40			Percent of total billed charges		1666.23	80			Percent of total billed charges		3332.46	85			Percent of total billed charges		3540.74	100			Fee schedule	code is bundled with other services	4165.57	85			Percent of total billed charges		3540.74	100			Fee schedule	code is bundled with other services	4165.57	100			Fee schedule	code is bundled with other services	4165.57	100			Fee schedule	code is bundled with other services	4165.57	100			Fee schedule	code is bundled with other services	4165.57		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	4165.57	216	3749.02	
"Application of skin substitute graft to trunk, arms, legs, total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area, or part thereof, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)"	15274	CPT	Outpatient			4487	2916.55		90			Percent of total billed charges		4038.3	40			Percent of total billed charges		1794.8	80			Percent of total billed charges		3589.6	85			Percent of total billed charges		3813.95	100			Fee schedule	code is bundled with other services	4487	85			Percent of total billed charges		3813.95	100			Fee schedule	code is bundled with other services	4487	100			Fee schedule	code is bundled with other services	4487	100			Fee schedule	code is bundled with other services	4487	100			Fee schedule	code is bundled with other services	4487		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	4487	216	4038.3	
"Selective catheter placement, external carotid artery, unilateral, with angiography of the ipsilateral external carotid circulation and all associated radiological supervision and interpretation (List separately in addition to code for primary procedure)"	36227	CPT	Outpatient			4538	2949.7		90			Percent of total billed charges		4084.2	40			Percent of total billed charges		1815.2	80			Percent of total billed charges		3630.4	85			Percent of total billed charges		3857.3	100			Fee schedule	code is bundled with other services	4538	85			Percent of total billed charges		3857.3	100			Fee schedule	code is bundled with other services	4538	100			Fee schedule	code is bundled with other services	4538	100			Fee schedule	code is bundled with other services	4538	100			Fee schedule	code is bundled with other services	4538		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	4538	216	4084.2	
"Posterior segmental instrumentation (eg, pedicle fixation, dual rods with multiple hooks and sublaminar wires); 3 to 6 vertebral segments (List separately in addition to code for primary procedure)"	22842	CPT	Outpatient			4950	3217.5		90			Percent of total billed charges		4455	40			Percent of total billed charges		1980	80			Percent of total billed charges		3960	85			Percent of total billed charges		4207.5	100			Fee schedule	code is bundled with other services	4950	85			Percent of total billed charges		4207.5	100			Fee schedule	code is bundled with other services	4950	100			Fee schedule	code is bundled with other services	4950	100			Fee schedule	code is bundled with other services	4950	100			Fee schedule	code is bundled with other services	4950		216		Case rate		216		216		Case rate		216	100			Fee schedule	code is bundled with other services	4950	216	4455	
"Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular use"	90670	CPT	Outpatient			689	447.85		90			Percent of total billed charges		620.1	40			Percent of total billed charges		275.6	80			Percent of total billed charges		551.2	90			Percent of total billed charges		620.1	100			Fee schedule	code is bundled with other services	689	85			Percent of total billed charges		585.65	100			Fee schedule	code is bundled with other services	689	100			Fee schedule	code is bundled with other services	689	100			Fee schedule	code is bundled with other services	689	100			Fee schedule	code is bundled with other services	689		217.42		Case rate		217.42		217.42		Case rate		217.42	100			Fee schedule	code is bundled with other services	689	217.42	620.1	
"External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; includes recording, scanning analysis with report, review and interpretation by a physician or other qualified health care professional"	93224	CPT	Outpatient			220	143		90			Percent of total billed charges		198	40			Percent of total billed charges		88	80			Percent of total billed charges		176	90			Percent of total billed charges		198	100			Fee schedule	code is bundled with other services	220	85			Percent of total billed charges		187	100			Fee schedule	code is bundled with other services	220	100			Fee schedule	code is bundled with other services	220	100			Fee schedule	code is bundled with other services	220	100			Fee schedule	code is bundled with other services	220		355		Case rate	Use Lesser of logic	220		355		Case rate	Use Lesser of logic	220	100			Fee schedule	code is bundled with other services	220	88	220	
"Esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code for primary procedure)"	43338	CPT	Outpatient			240	156		90			Percent of total billed charges		216	40			Percent of total billed charges		96	80			Percent of total billed charges		192	85			Percent of total billed charges		204	100			Fee schedule	code is bundled with other services	240	85			Percent of total billed charges		204	100			Fee schedule	code is bundled with other services	240	100			Fee schedule	code is bundled with other services	240	100			Fee schedule	code is bundled with other services	240	100			Fee schedule	code is bundled with other services	240		1055		Case rate	Use Lesser of logic	240		1055		Case rate	Use Lesser of logic	240	100			Fee schedule	code is bundled with other services	240	96	240	
"Critical care, evaluation and management of the critically ill or critically injured patient; each additional 30 minutes (List separately in addition to code for primary service)"	99292	CPT	Outpatient			246	159.9		90			Percent of total billed charges		221.4	40			Percent of total billed charges		98.4	80			Percent of total billed charges		196.8	90			Percent of total billed charges		221.4	100			Fee schedule	code is bundled with other services	246	85			Percent of total billed charges		209.1	100			Fee schedule	code is bundled with other services	246	100			Fee schedule	code is bundled with other services	246	100			Fee schedule	code is bundled with other services	246	100			Fee schedule	code is bundled with other services	246		1340		Case rate	Use Lesser of logic	246		1340		Case rate	Use Lesser of logic	246	100			Fee schedule	code is bundled with other services	246	98.4	246	
"Bypass graft, with other than vein; axillary-axillary"	35650	CPT	Outpatient			249	161.85		90			Percent of total billed charges		224.1	40			Percent of total billed charges		99.6	80			Percent of total billed charges		199.2	85			Percent of total billed charges		211.65	100			Fee schedule	code is bundled with other services	249	85			Percent of total billed charges		211.65	100			Fee schedule	code is bundled with other services	249	100			Fee schedule	code is bundled with other services	249	100			Fee schedule	code is bundled with other services	249	100			Fee schedule	code is bundled with other services	249		1055		Case rate	Use Lesser of logic	249		1055		Case rate	Use Lesser of logic	249	100			Fee schedule	code is bundled with other services	249	99.6	249	
"Bypass graft, with other than vein; femoral-popliteal"	35656	CPT	Outpatient			249	161.85		90			Percent of total billed charges		224.1	40			Percent of total billed charges		99.6	80			Percent of total billed charges		199.2	85			Percent of total billed charges		211.65	100			Fee schedule	code is bundled with other services	249	85			Percent of total billed charges		211.65	100			Fee schedule	code is bundled with other services	249	100			Fee schedule	code is bundled with other services	249	100			Fee schedule	code is bundled with other services	249	100			Fee schedule	code is bundled with other services	249		1055		Case rate	Use Lesser of logic	249		1055		Case rate	Use Lesser of logic	249	100			Fee schedule	code is bundled with other services	249	99.6	249	
"Electroencephalogram (EEG), continuous recording, physician or other qualified health care professional review of recorded events, analysis of spike and seizure detection, each increment of greater than 12 hours, up to 26 hours of EEG recording, interpretation and report after each 24-hour period; with video (VEEG)"	95720	CPT	Outpatient			290	188.5		90			Percent of total billed charges		261	40			Percent of total billed charges		116	80			Percent of total billed charges		232	90			Percent of total billed charges		261	100			Fee schedule	code is bundled with other services	290	85			Percent of total billed charges		246.5	100			Fee schedule	code is bundled with other services	290	100			Fee schedule	code is bundled with other services	290	100			Fee schedule	code is bundled with other services	290	100			Fee schedule	code is bundled with other services	290		268		Case rate		268		268		Case rate		268	100			Fee schedule	code is bundled with other services	290	116	268	
"Digital analysis of electroencephalogram (EEG) (eg, for epileptic spike analysis)"	95957	CPT	Outpatient			310	201.5		90			Percent of total billed charges		279	40			Percent of total billed charges		124	80			Percent of total billed charges		248	90			Percent of total billed charges		279	100			Fee schedule	code is bundled with other services	310	85			Percent of total billed charges		263.5	100			Fee schedule	code is bundled with other services	310	100			Fee schedule	code is bundled with other services	310	100			Fee schedule	code is bundled with other services	310	100			Fee schedule	code is bundled with other services	310		268		Case rate		268		268		Case rate		268	100			Fee schedule	code is bundled with other services	310	124	279	
"Electroencephalogram (EEG) during nonintracranial surgery (eg, carotid surgery)"	95955	CPT	Outpatient			346	224.9		90			Percent of total billed charges		311.4	40			Percent of total billed charges		138.4	80			Percent of total billed charges		276.8	90			Percent of total billed charges		311.4	100			Fee schedule	code is bundled with other services	346	85			Percent of total billed charges		294.1	100			Fee schedule	code is bundled with other services	346	100			Fee schedule	code is bundled with other services	346	100			Fee schedule	code is bundled with other services	346	100			Fee schedule	code is bundled with other services	346		268		Case rate		268		268		Case rate		268	100			Fee schedule	code is bundled with other services	346	138.4	311.4	
"Electroencephalogram (EEG), continuous recording, physician or other qualified health care professional review of recorded events, analysis of spike and seizure detection, interpretation, and summary report, complete study; greater than 84 hours of EEG recording, with video (VEEG)"	95726	CPT	Outpatient			650	422.5		90			Percent of total billed charges		585	40			Percent of total billed charges		260	80			Percent of total billed charges		520	90			Percent of total billed charges		585	100			Fee schedule	code is bundled with other services	650	85			Percent of total billed charges		552.5	100			Fee schedule	code is bundled with other services	650	100			Fee schedule	code is bundled with other services	650	100			Fee schedule	code is bundled with other services	650	100			Fee schedule	code is bundled with other services	650		268		Case rate		268		268		Case rate		268	100			Fee schedule	code is bundled with other services	650	260	585	
"Laparoscopy, surgical, esophageal lengthening procedure (eg, Collis gastroplasty or wedge gastroplasty) (List separately in addition to code for primary procedure)"	43283	CPT	Outpatient			290	188.5		90			Percent of total billed charges		261	40			Percent of total billed charges		116	80			Percent of total billed charges		232	85			Percent of total billed charges		246.5	100			Fee schedule	code is bundled with other services	290	85			Percent of total billed charges		246.5	100			Fee schedule	code is bundled with other services	290	100			Fee schedule	code is bundled with other services	290	100			Fee schedule	code is bundled with other services	290	100			Fee schedule	code is bundled with other services	290		1055		Case rate	Use Lesser of logic	290		1055		Case rate	Use Lesser of logic	290	100			Fee schedule	code is bundled with other services	290	116	290	
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation"	76376	CPT	Outpatient			323	209.95		90			Percent of total billed charges		290.7	40			Percent of total billed charges		129.2	80			Percent of total billed charges		258.4	90			Percent of total billed charges		290.7	100			Fee schedule	code is bundled with other services	323	85			Percent of total billed charges		274.55	100			Fee schedule	code is bundled with other services	323	100			Fee schedule	code is bundled with other services	323	100			Fee schedule	code is bundled with other services	323	100			Fee schedule	code is bundled with other services	323		562		Case rate	Use Lesser of logic	323		562		Case rate	Use Lesser of logic	323	100			Fee schedule	code is bundled with other services	323	129.2	323	
"3D rendering with interpretation and reporting of computed tomography, magnetic resonance imaging, ultrasound, or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation"	76377	CPT	Outpatient			323	209.95		90			Percent of total billed charges		290.7	40			Percent of total billed charges		129.2	80			Percent of total billed charges		258.4	90			Percent of total billed charges		290.7	100			Fee schedule	code is bundled with other services	323	85			Percent of total billed charges		274.55	100			Fee schedule	code is bundled with other services	323	100			Fee schedule	code is bundled with other services	323	100			Fee schedule	code is bundled with other services	323	100			Fee schedule	code is bundled with other services	323		562		Case rate	Use Lesser of logic	323		562		Case rate	Use Lesser of logic	323	100			Fee schedule	code is bundled with other services	323	129.2	323	
"External patient and, when performed, auto activated electrocardiographic rhythm derived event recording with symptom-related memory loop with remote download capability up to 30 days, 24-hour attended monitoring; includes transmission, review and interpretation by a physician or other qualified health care professional"	93268	CPT	Outpatient			540	351		90			Percent of total billed charges		486	40			Percent of total billed charges		216	80			Percent of total billed charges		432	90			Percent of total billed charges		486	100			Fee schedule	code is bundled with other services	540	85			Percent of total billed charges		459	100			Fee schedule	code is bundled with other services	540	100			Fee schedule	code is bundled with other services	540	100			Fee schedule	code is bundled with other services	540	100			Fee schedule	code is bundled with other services	540		355		Case rate		355		355		Case rate		355	100			Fee schedule	code is bundled with other services	540	216	486	
Ligation or transection of fallopian tube(s) when done at the time of cesarean delivery or intra-abdominal surgery (not a separate procedure) (List separately in addition to code for primary procedure)	58611	CPT	Outpatient			380	247		90			Percent of total billed charges		342	40			Percent of total billed charges		152	80			Percent of total billed charges		304	85			Percent of total billed charges		323	100			Fee schedule	code is bundled with other services	380	85			Percent of total billed charges		323	100			Fee schedule	code is bundled with other services	380	100			Fee schedule	code is bundled with other services	380	100			Fee schedule	code is bundled with other services	380	100			Fee schedule	code is bundled with other services	380		1055		Case rate	Use Lesser of logic	380		1055		Case rate	Use Lesser of logic	380	100			Fee schedule	code is bundled with other services	380	152	380	
Mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List separately in addition to primary procedure)	44139	CPT	Outpatient			385	250.25		90			Percent of total billed charges		346.5	40			Percent of total billed charges		154	80			Percent of total billed charges		308	85			Percent of total billed charges		327.25	100			Fee schedule	code is bundled with other services	385	85			Percent of total billed charges		327.25	100			Fee schedule	code is bundled with other services	385	100			Fee schedule	code is bundled with other services	385	100			Fee schedule	code is bundled with other services	385	100			Fee schedule	code is bundled with other services	385		1055		Case rate	Use Lesser of logic	385		1055		Case rate	Use Lesser of logic	385	100			Fee schedule	code is bundled with other services	385	154	385	
"Computed tomography guidance for needle placement (eg, biopsy, aspiration, injection, localization device), radiological supervision and interpretation"	77012	CPT	Outpatient			427	277.55		90			Percent of total billed charges		384.3	40			Percent of total billed charges		170.8	80			Percent of total billed charges		341.6	90			Percent of total billed charges		384.3	100			Fee schedule	code is bundled with other services	427	85			Percent of total billed charges		362.95	100			Fee schedule	code is bundled with other services	427	100			Fee schedule	code is bundled with other services	427	100			Fee schedule	code is bundled with other services	427	100			Fee schedule	code is bundled with other services	427		562		Case rate	Use Lesser of logic	427		562		Case rate	Use Lesser of logic	427	100			Fee schedule	code is bundled with other services	427	170.8	427	
"Biliary endoscopy, intraoperative (choledochoscopy) (List separately in addition to code for primary procedure)"	47550	CPT	Outpatient			445	289.25		90			Percent of total billed charges		400.5	40			Percent of total billed charges		178	80			Percent of total billed charges		356	85			Percent of total billed charges		378.25	100			Fee schedule	code is bundled with other services	445	85			Percent of total billed charges		378.25	100			Fee schedule	code is bundled with other services	445	100			Fee schedule	code is bundled with other services	445	100			Fee schedule	code is bundled with other services	445	100			Fee schedule	code is bundled with other services	445		756		Case rate	Use Lesser of logic	445		756		Case rate	Use Lesser of logic	445	100			Fee schedule	code is bundled with other services	445	178	445	
"Laparoscopy, surgical, mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List separately in addition to primary procedure)"	44213	CPT	Outpatient			450	292.5		90			Percent of total billed charges		405	40			Percent of total billed charges		180	80			Percent of total billed charges		360	85			Percent of total billed charges		382.5	100			Fee schedule	code is bundled with other services	450	85			Percent of total billed charges		382.5	100			Fee schedule	code is bundled with other services	450	100			Fee schedule	code is bundled with other services	450	100			Fee schedule	code is bundled with other services	450	100			Fee schedule	code is bundled with other services	450		1055		Case rate	Use Lesser of logic	450		1055		Case rate	Use Lesser of logic	450	100			Fee schedule	code is bundled with other services	450	180	450	
Vagotomy when performed with partial distal gastrectomy (List separately in addition to code[s] for primary procedure)	43635	CPT	Outpatient			450	292.5		90			Percent of total billed charges		405	40			Percent of total billed charges		180	80			Percent of total billed charges		360	85			Percent of total billed charges		382.5	100			Fee schedule	code is bundled with other services	450	85			Percent of total billed charges		382.5	100			Fee schedule	code is bundled with other services	450	100			Fee schedule	code is bundled with other services	450	100			Fee schedule	code is bundled with other services	450	100			Fee schedule	code is bundled with other services	450		1055		Case rate	Use Lesser of logic	450		1055		Case rate	Use Lesser of logic	450	100			Fee schedule	code is bundled with other services	450	180	450	
"Removal of prosthetic material or mesh, abdominal wall for infection (eg, for chronic or recurrent mesh infection or necrotizing soft tissue infection) (List separately in addition to code for primary procedure)"	11008	CPT	Outpatient			455	295.75		90			Percent of total billed charges		409.5	40			Percent of total billed charges		182	80			Percent of total billed charges		364	85			Percent of total billed charges		386.75	100			Fee schedule	code is bundled with other services	455	85			Percent of total billed charges		386.75	100			Fee schedule	code is bundled with other services	455	100			Fee schedule	code is bundled with other services	455	100			Fee schedule	code is bundled with other services	455	100			Fee schedule	code is bundled with other services	455		1767		Case rate	Use Lesser of logic	455		1767		Case rate	Use Lesser of logic	455	100			Fee schedule	code is bundled with other services	455	182	455	
"Tube or needle catheter jejunostomy for enteral alimentation, intraoperative, any method (List separately in addition to primary procedure)"	44015	CPT	Outpatient			495	321.75		90			Percent of total billed charges		445.5	40			Percent of total billed charges		198	80			Percent of total billed charges		396	85			Percent of total billed charges		420.75	100			Fee schedule	code is bundled with other services	495	85			Percent of total billed charges		420.75	100			Fee schedule	code is bundled with other services	495	100			Fee schedule	code is bundled with other services	495	100			Fee schedule	code is bundled with other services	495	100			Fee schedule	code is bundled with other services	495		1055		Case rate	Use Lesser of logic	495		1055		Case rate	Use Lesser of logic	495	100			Fee schedule	code is bundled with other services	495	198	495	
Autograft for spine surgery only (includes harvesting the graft); morselized (through separate skin or fascial incision) (List separately in addition to code for primary procedure)	20937	CPT	Outpatient			545	354.25		90			Percent of total billed charges		490.5	40			Percent of total billed charges		218	80			Percent of total billed charges		436	85			Percent of total billed charges		463.25	100			Fee schedule	code is bundled with other services	545	85			Percent of total billed charges		463.25	100			Fee schedule	code is bundled with other services	545	100			Fee schedule	code is bundled with other services	545	100			Fee schedule	code is bundled with other services	545	100			Fee schedule	code is bundled with other services	545		1767		Case rate	Use Lesser of logic	545		1767		Case rate	Use Lesser of logic	545	100			Fee schedule	code is bundled with other services	545	218	545	
Computed tomography guidance for placement of radiation therapy fields	77014	CPT	Outpatient			717	466.05		90			Percent of total billed charges		645.3	40			Percent of total billed charges		286.8	80			Percent of total billed charges		573.6	90			Percent of total billed charges		645.3	100			Fee schedule	code is bundled with other services	717	85			Percent of total billed charges		609.45	100			Fee schedule	code is bundled with other services	717	100			Fee schedule	code is bundled with other services	717	100			Fee schedule	code is bundled with other services	717	100			Fee schedule	code is bundled with other services	717		562		Case rate		562		562		Case rate		562	100			Fee schedule	code is bundled with other services	717	286.8	645.3	
"Computed tomography guidance for, and monitoring of, parenchymal tissue ablation"	77013	CPT	Outpatient			1082	703.3		90			Percent of total billed charges		973.8	40			Percent of total billed charges		432.8	80			Percent of total billed charges		865.6	90			Percent of total billed charges		973.8	100			Fee schedule	code is bundled with other services	1082	85			Percent of total billed charges		919.7	100			Fee schedule	code is bundled with other services	1082	100			Fee schedule	code is bundled with other services	1082	100			Fee schedule	code is bundled with other services	1082	100			Fee schedule	code is bundled with other services	1082		562		Case rate		562		562		Case rate		562	100			Fee schedule	code is bundled with other services	1082	432.8	973.8	
"Enterectomy, resection of small intestine; each additional resection and anastomosis (List separately in addition to code for primary procedure)"	44121	CPT	Outpatient			615	399.75		90			Percent of total billed charges		553.5	40			Percent of total billed charges		246	80			Percent of total billed charges		492	85			Percent of total billed charges		522.75	100			Fee schedule	code is bundled with other services	615	85			Percent of total billed charges		522.75	100			Fee schedule	code is bundled with other services	615	100			Fee schedule	code is bundled with other services	615	100			Fee schedule	code is bundled with other services	615	100			Fee schedule	code is bundled with other services	615		1055		Case rate	Use Lesser of logic	615		1055		Case rate	Use Lesser of logic	615	100			Fee schedule	code is bundled with other services	615	246	615	
"Autograft for spine surgery only (includes harvesting the graft); structural, bicortical or tricortical (through separate skin or fascial incision) (List separately in addition to code for primary procedure)"	20938	CPT	Outpatient			665	432.25		90			Percent of total billed charges		598.5	40			Percent of total billed charges		266	80			Percent of total billed charges		532	85			Percent of total billed charges		565.25	100			Fee schedule	code is bundled with other services	665	85			Percent of total billed charges		565.25	100			Fee schedule	code is bundled with other services	665	100			Fee schedule	code is bundled with other services	665	100			Fee schedule	code is bundled with other services	665	100			Fee schedule	code is bundled with other services	665		1767		Case rate	Use Lesser of logic	665		1767		Case rate	Use Lesser of logic	665	100			Fee schedule	code is bundled with other services	665	266	665	
Cholecystectomy with exploration of common duct	47610	CPT	Outpatient			725	471.25		90			Percent of total billed charges		652.5	40			Percent of total billed charges		290	80			Percent of total billed charges		580	85			Percent of total billed charges		616.25	100			Fee schedule	code is bundled with other services	725	85			Percent of total billed charges		616.25	100			Fee schedule	code is bundled with other services	725	100			Fee schedule	code is bundled with other services	725	100			Fee schedule	code is bundled with other services	725	100			Fee schedule	code is bundled with other services	725		1055		Case rate	Use Lesser of logic	725		1055		Case rate	Use Lesser of logic	725	100			Fee schedule	code is bundled with other services	725	290	725	
"Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff through an infected field at the same operative session including irrigation and debridement of infected tissue"	53448	CPT	Outpatient			2700	1755		90			Percent of total billed charges		2430	40			Percent of total billed charges		1080	80			Percent of total billed charges		2160	85			Percent of total billed charges		2295	100			Fee schedule	code is bundled with other services	2700	85			Percent of total billed charges		2295	100			Fee schedule	code is bundled with other services	2700	100			Fee schedule	code is bundled with other services	2700	100			Fee schedule	code is bundled with other services	2700	100			Fee schedule	code is bundled with other services	2700		756		Case rate		756		756		Case rate		756	100			Fee schedule	code is bundled with other services	2700	756	2430	
"Omental flap, intra-abdominal (List separately in addition to code for primary procedure)"	49905	CPT	Outpatient			805	523.25		90			Percent of total billed charges		724.5	40			Percent of total billed charges		322	80			Percent of total billed charges		644	85			Percent of total billed charges		684.25	100			Fee schedule	code is bundled with other services	805	85			Percent of total billed charges		684.25	100			Fee schedule	code is bundled with other services	805	100			Fee schedule	code is bundled with other services	805	100			Fee schedule	code is bundled with other services	805	100			Fee schedule	code is bundled with other services	805		1055		Case rate	Use Lesser of logic	805		1055		Case rate	Use Lesser of logic	805	100			Fee schedule	code is bundled with other services	805	322	805	
"Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace (other than for decompression), single interspace, lumbar; each additional interspace (List separately in addition to code for primary procedure)"	22632	CPT	Outpatient			825	536.25		90			Percent of total billed charges		742.5	40			Percent of total billed charges		330	80			Percent of total billed charges		660	85			Percent of total billed charges		701.25	100			Fee schedule	code is bundled with other services	825	85			Percent of total billed charges		701.25	100			Fee schedule	code is bundled with other services	825	100			Fee schedule	code is bundled with other services	825	100			Fee schedule	code is bundled with other services	825	100			Fee schedule	code is bundled with other services	825		1055		Case rate	Use Lesser of logic	825		1055		Case rate	Use Lesser of logic	825	100			Fee schedule	code is bundled with other services	825	330	825	
"Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; each additional vertebral segment (List separately in addition to primary procedure)"	22216	CPT	Outpatient			830	539.5		90			Percent of total billed charges		747	40			Percent of total billed charges		332	80			Percent of total billed charges		664	85			Percent of total billed charges		705.5	100			Fee schedule	code is bundled with other services	830	85			Percent of total billed charges		705.5	100			Fee schedule	code is bundled with other services	830	100			Fee schedule	code is bundled with other services	830	100			Fee schedule	code is bundled with other services	830	100			Fee schedule	code is bundled with other services	830		1055		Case rate	Use Lesser of logic	830		1055		Case rate	Use Lesser of logic	830	100			Fee schedule	code is bundled with other services	830	332	830	
"Magnetic resonance imaging guidance for, and monitoring of, parenchymal tissue ablation"	77022	CPT	Outpatient			1082	703.3		90			Percent of total billed charges		973.8	40			Percent of total billed charges		432.8	80			Percent of total billed charges		865.6	90			Percent of total billed charges		973.8	100			Fee schedule	code is bundled with other services	1082	85			Percent of total billed charges		919.7	100			Fee schedule	code is bundled with other services	1082	100			Fee schedule	code is bundled with other services	1082	100			Fee schedule	code is bundled with other services	1082	100			Fee schedule	code is bundled with other services	1082		830		Case rate		830		830		Case rate		830	100			Fee schedule	code is bundled with other services	1082	432.8	973.8	
"Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when performed; unilateral"	77048	CPT	Outpatient			1738	1129.7		90			Percent of total billed charges		1564.2	40			Percent of total billed charges		695.2	80			Percent of total billed charges		1390.4	90			Percent of total billed charges		1564.2	100			Fee schedule	code is bundled with other services	1738	85			Percent of total billed charges		1477.3	100			Fee schedule	code is bundled with other services	1738	100			Fee schedule	code is bundled with other services	1738	100			Fee schedule	code is bundled with other services	1738	100			Fee schedule	code is bundled with other services	1738		830		Case rate		830		830		Case rate		830	100			Fee schedule	code is bundled with other services	1738	695.2	1564.2	
"Magnetic resonance angiography, lower extremity, with or without contrast material(s)"	73725	CPT	Outpatient			1825	1186.25		90			Percent of total billed charges		1642.5	40			Percent of total billed charges		730	80			Percent of total billed charges		1460	90			Percent of total billed charges		1642.5	100			Fee schedule	code is bundled with other services	1825	85			Percent of total billed charges		1551.25	100			Fee schedule	code is bundled with other services	1825	100			Fee schedule	code is bundled with other services	1825	100			Fee schedule	code is bundled with other services	1825	100			Fee schedule	code is bundled with other services	1825		830		Case rate		830		830		Case rate		830	100			Fee schedule	code is bundled with other services	1825	730	1642.5	
"Magnetic resonance angiography, upper extremity, with or without contrast material(s)"	73225	CPT	Outpatient			1825	1186.25		90			Percent of total billed charges		1642.5	40			Percent of total billed charges		730	80			Percent of total billed charges		1460	90			Percent of total billed charges		1642.5	100			Fee schedule	code is bundled with other services	1825	85			Percent of total billed charges		1551.25	100			Fee schedule	code is bundled with other services	1825	100			Fee schedule	code is bundled with other services	1825	100			Fee schedule	code is bundled with other services	1825	100			Fee schedule	code is bundled with other services	1825		830		Case rate		830		830		Case rate		830	100			Fee schedule	code is bundled with other services	1825	730	1642.5	
"Magnetic resonance angiography, abdomen, with or without contrast material(s)"	74185	CPT	Outpatient			1999	1299.35		90			Percent of total billed charges		1799.1	40			Percent of total billed charges		799.6	80			Percent of total billed charges		1599.2	90			Percent of total billed charges		1799.1	100			Fee schedule	code is bundled with other services	1999	85			Percent of total billed charges		1699.15	100			Fee schedule	code is bundled with other services	1999	100			Fee schedule	code is bundled with other services	1999	100			Fee schedule	code is bundled with other services	1999	100			Fee schedule	code is bundled with other services	1999		830		Case rate		830		830		Case rate		830	100			Fee schedule	code is bundled with other services	1999	799.6	1799.1	
"Magnetic resonance angiography, chest (excluding myocardium), with or without contrast material(s)"	71555	CPT	Outpatient			1999	1299.35		90			Percent of total billed charges		1799.1	40			Percent of total billed charges		799.6	80			Percent of total billed charges		1599.2	90			Percent of total billed charges		1799.1	100			Fee schedule	code is bundled with other services	1999	85			Percent of total billed charges		1699.15	100			Fee schedule	code is bundled with other services	1999	100			Fee schedule	code is bundled with other services	1999	100			Fee schedule	code is bundled with other services	1999	100			Fee schedule	code is bundled with other services	1999		830		Case rate		830		830		Case rate		830	100			Fee schedule	code is bundled with other services	1999	799.6	1799.1	
"Magnetic resonance angiography, pelvis, with or without contrast material(s)"	72198	CPT	Outpatient			1999	1299.35		90			Percent of total billed charges		1799.1	40			Percent of total billed charges		799.6	80			Percent of total billed charges		1599.2	90			Percent of total billed charges		1799.1	100			Fee schedule	code is bundled with other services	1999	85			Percent of total billed charges		1699.15	100			Fee schedule	code is bundled with other services	1999	100			Fee schedule	code is bundled with other services	1999	100			Fee schedule	code is bundled with other services	1999	100			Fee schedule	code is bundled with other services	1999		830		Case rate		830		830		Case rate		830	100			Fee schedule	code is bundled with other services	1999	799.6	1799.1	
"Magnetic resonance angiography, spinal canal and contents, with or without contrast material(s)"	72159	CPT	Outpatient			1999	1299.35		90			Percent of total billed charges		1799.1	40			Percent of total billed charges		799.6	80			Percent of total billed charges		1599.2	90			Percent of total billed charges		1799.1	100			Fee schedule	code is bundled with other services	1999	85			Percent of total billed charges		1699.15	100			Fee schedule	code is bundled with other services	1999	100			Fee schedule	code is bundled with other services	1999	100			Fee schedule	code is bundled with other services	1999	100			Fee schedule	code is bundled with other services	1999		830		Case rate		830		830		Case rate		830	100			Fee schedule	code is bundled with other services	1999	799.6	1799.1	
"Magnetic resonance imaging, breast, without and with contrast material(s), including computer-aided detection (CAD real-time lesion detection, characterization and pharmacokinetic analysis), when performed; bilateral"	77049	CPT	Outpatient			2380	1547		90			Percent of total billed charges		2142	40			Percent of total billed charges		952	80			Percent of total billed charges		1904	90			Percent of total billed charges		2142	100			Fee schedule	code is bundled with other services	2380	85			Percent of total billed charges		2023	100			Fee schedule	code is bundled with other services	2380	100			Fee schedule	code is bundled with other services	2380	100			Fee schedule	code is bundled with other services	2380	100			Fee schedule	code is bundled with other services	2380		830		Case rate		830		830		Case rate		830	100			Fee schedule	code is bundled with other services	2380	830	2142	
"Autograft for spine surgery only (includes harvesting the graft); local (eg, ribs, spinous process, or laminar fragments) obtained from same incision (List separately in addition to code for primary procedure)"	20936	CPT	Outpatient			885	575.25		90			Percent of total billed charges		796.5	40			Percent of total billed charges		354	80			Percent of total billed charges		708	85			Percent of total billed charges		752.25	100			Fee schedule	code is bundled with other services	885	85			Percent of total billed charges		752.25	100			Fee schedule	code is bundled with other services	885	100			Fee schedule	code is bundled with other services	885	100			Fee schedule	code is bundled with other services	885	100			Fee schedule	code is bundled with other services	885		1767		Case rate	Use Lesser of logic	885		1767		Case rate	Use Lesser of logic	885	100			Fee schedule	code is bundled with other services	885	354	885	
"Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines"	59855	CPT	Outpatient			900	585		90			Percent of total billed charges		810	40			Percent of total billed charges		360	80			Percent of total billed charges		720	85			Percent of total billed charges		765	100			Fee schedule	code is bundled with other services	900	85			Percent of total billed charges		765	100			Fee schedule	code is bundled with other services	900	100			Fee schedule	code is bundled with other services	900	100			Fee schedule	code is bundled with other services	900	100			Fee schedule	code is bundled with other services	900		1055		Case rate	Use Lesser of logic	900		1055		Case rate	Use Lesser of logic	900	100			Fee schedule	code is bundled with other services	900	360	900	
"Ligation, major artery (eg, post-traumatic, rupture); extremity"	37618	CPT	Outpatient			900	585		90			Percent of total billed charges		810	40			Percent of total billed charges		360	80			Percent of total billed charges		720	85			Percent of total billed charges		765	100			Fee schedule	code is bundled with other services	900	85			Percent of total billed charges		765	100			Fee schedule	code is bundled with other services	900	100			Fee schedule	code is bundled with other services	900	100			Fee schedule	code is bundled with other services	900	100			Fee schedule	code is bundled with other services	900		1055		Case rate	Use Lesser of logic	900		1055		Case rate	Use Lesser of logic	900	100			Fee schedule	code is bundled with other services	900	360	900	
"Arthrodesis, anterior interbody, including disc space preparation, discectomy, osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2, each additional interspace (List separately in addition to code for primary procedure)"	22552	CPT	Outpatient			915	594.75		90			Percent of total billed charges		823.5	40			Percent of total billed charges		366	80			Percent of total billed charges		732	85			Percent of total billed charges		777.75	100			Fee schedule	code is bundled with other services	915	85			Percent of total billed charges		777.75	100			Fee schedule	code is bundled with other services	915	100			Fee schedule	code is bundled with other services	915	100			Fee schedule	code is bundled with other services	915	100			Fee schedule	code is bundled with other services	915		2168		Case rate	Use Lesser of logic	915		2168		Case rate	Use Lesser of logic	915	100			Fee schedule	code is bundled with other services	915	366	915	
"Insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertion of implantable defibrillator or pacemaker pulse generator (eg, for upgrade to dual chamber system) (List separately in addition to code for primary procedure)"	33225	CPT	Outpatient			930	604.5		90			Percent of total billed charges		837	40			Percent of total billed charges		372	80			Percent of total billed charges		744	85			Percent of total billed charges		790.5	100			Fee schedule	code is bundled with other services	930	85			Percent of total billed charges		790.5	100			Fee schedule	code is bundled with other services	930	100			Fee schedule	code is bundled with other services	930	100			Fee schedule	code is bundled with other services	930	100			Fee schedule	code is bundled with other services	930		7775		Case rate	Use Lesser of logic	930		7775		Case rate	Use Lesser of logic	930	100			Fee schedule	code is bundled with other services	930	372	930	
"Ligation or transection of fallopian tube(s), abdominal or vaginal approach, postpartum, unilateral or bilateral, during same hospitalization (separate procedure)"	58605	CPT	Outpatient			970	630.5		90			Percent of total billed charges		873	40			Percent of total billed charges		388	80			Percent of total billed charges		776	85			Percent of total billed charges		824.5	100			Fee schedule	code is bundled with other services	970	85			Percent of total billed charges		824.5	100			Fee schedule	code is bundled with other services	970	100			Fee schedule	code is bundled with other services	970	100			Fee schedule	code is bundled with other services	970	100			Fee schedule	code is bundled with other services	970		1055		Case rate	Use Lesser of logic	970		1055		Case rate	Use Lesser of logic	970	100			Fee schedule	code is bundled with other services	970	388	970	
"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); each additional interspace (List separately in addition to code for primary procedure)"	22585	CPT	Outpatient			1000	650		90			Percent of total billed charges		900	40			Percent of total billed charges		400	80			Percent of total billed charges		800	85			Percent of total billed charges		850	100			Fee schedule	code is bundled with other services	1000	85			Percent of total billed charges		850	100			Fee schedule	code is bundled with other services	1000	100			Fee schedule	code is bundled with other services	1000	100			Fee schedule	code is bundled with other services	1000	100			Fee schedule	code is bundled with other services	1000		3486		Case rate	Use Lesser of logic	1000		3486		Case rate	Use Lesser of logic	1000	100			Fee schedule	code is bundled with other services	1000	400	1000	
"Debridement of skin, subcutaneous tissue, muscle and fascia for necrotizing soft tissue infection; external genitalia and perineum"	11004	CPT	Outpatient			1050	682.5		90			Percent of total billed charges		945	40			Percent of total billed charges		420	80			Percent of total billed charges		840	85			Percent of total billed charges		892.5	100			Fee schedule	code is bundled with other services	1050	85			Percent of total billed charges		892.5	100			Fee schedule	code is bundled with other services	1050	100			Fee schedule	code is bundled with other services	1050	100			Fee schedule	code is bundled with other services	1050	100			Fee schedule	code is bundled with other services	1050		1055		Case rate	Use Lesser of logic	1050		1055		Case rate	Use Lesser of logic	1050	100			Fee schedule	code is bundled with other services	1050	420	1050	
"Induced abortion, by 1 or more vaginal suppositories (eg, prostaglandin) with or without cervical dilation (eg, laminaria), including hospital admission and visits, delivery of fetus and secundines; with dilation and curettage and/or evacuation"	59856	CPT	Outpatient			1060	689		90			Percent of total billed charges		954	40			Percent of total billed charges		424	80			Percent of total billed charges		848	85			Percent of total billed charges		901	100			Fee schedule	code is bundled with other services	1060	85			Percent of total billed charges		901	100			Fee schedule	code is bundled with other services	1060	100			Fee schedule	code is bundled with other services	1060	100			Fee schedule	code is bundled with other services	1060	100			Fee schedule	code is bundled with other services	1060		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	1060	424	1055	
"Closed treatment of femoral fracture, proximal end, head; with manipulation"	27268	CPT	Outpatient			1065	692.25		90			Percent of total billed charges		958.5	40			Percent of total billed charges		426	80			Percent of total billed charges		852	85			Percent of total billed charges		905.25	100			Fee schedule	code is bundled with other services	1065	85			Percent of total billed charges		905.25	100			Fee schedule	code is bundled with other services	1065	100			Fee schedule	code is bundled with other services	1065	100			Fee schedule	code is bundled with other services	1065	100			Fee schedule	code is bundled with other services	1065		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	1065	426	1055	
"Exploration for postoperative hemorrhage, thrombosis or infection; abdomen"	35840	CPT	Outpatient			1164.41	756.87		90			Percent of total billed charges		1047.97	40			Percent of total billed charges		465.77	80			Percent of total billed charges		931.53	85			Percent of total billed charges		989.75	100			Fee schedule	code is bundled with other services	1164.41	85			Percent of total billed charges		989.75	100			Fee schedule	code is bundled with other services	1164.41	100			Fee schedule	code is bundled with other services	1164.41	100			Fee schedule	code is bundled with other services	1164.41	100			Fee schedule	code is bundled with other services	1164.41		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	1164.41	465.77	1055	
"Incision and drainage of appendiceal abscess, open"	44900	CPT	Outpatient			1250	812.5		90			Percent of total billed charges		1125	40			Percent of total billed charges		500	80			Percent of total billed charges		1000	85			Percent of total billed charges		1062.5	100			Fee schedule	code is bundled with other services	1250	85			Percent of total billed charges		1062.5	100			Fee schedule	code is bundled with other services	1250	100			Fee schedule	code is bundled with other services	1250	100			Fee schedule	code is bundled with other services	1250	100			Fee schedule	code is bundled with other services	1250		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	1250	500	1125	
Gastrotomy; with exploration or foreign body removal	43500	CPT	Outpatient			1300	845		90			Percent of total billed charges		1170	40			Percent of total billed charges		520	80			Percent of total billed charges		1040	85			Percent of total billed charges		1105	100			Fee schedule	code is bundled with other services	1300	85			Percent of total billed charges		1105	100			Fee schedule	code is bundled with other services	1300	100			Fee schedule	code is bundled with other services	1300	100			Fee schedule	code is bundled with other services	1300	100			Fee schedule	code is bundled with other services	1300		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	1300	520	1170	
"Unlisted procedure, Meckel's diverticulum and the mesentery"	44899	CPT	Outpatient			1310	851.5		90			Percent of total billed charges		1179	40			Percent of total billed charges		524	80			Percent of total billed charges		1048	85			Percent of total billed charges		1113.5	100			Fee schedule	code is bundled with other services	1310	85			Percent of total billed charges		1113.5	100			Fee schedule	code is bundled with other services	1310	100			Fee schedule	code is bundled with other services	1310	100			Fee schedule	code is bundled with other services	1310	100			Fee schedule	code is bundled with other services	1310		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	1310	524	1179	
Suture of mesentery (separate procedure)	44850	CPT	Outpatient			1330	864.5		90			Percent of total billed charges		1197	40			Percent of total billed charges		532	80			Percent of total billed charges		1064	85			Percent of total billed charges		1130.5	100			Fee schedule	code is bundled with other services	1330	85			Percent of total billed charges		1130.5	100			Fee schedule	code is bundled with other services	1330	100			Fee schedule	code is bundled with other services	1330	100			Fee schedule	code is bundled with other services	1330	100			Fee schedule	code is bundled with other services	1330		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	1330	532	1197	
"Debridement of skin, subcutaneous tissue, muscle and fascia for necrotizing soft tissue infection; abdominal wall, with or without fascial closure"	11005	CPT	Outpatient			1375	893.75		90			Percent of total billed charges		1237.5	40			Percent of total billed charges		550	80			Percent of total billed charges		1100	85			Percent of total billed charges		1168.75	100			Fee schedule	code is bundled with other services	1375	85			Percent of total billed charges		1168.75	100			Fee schedule	code is bundled with other services	1375	100			Fee schedule	code is bundled with other services	1375	100			Fee schedule	code is bundled with other services	1375	100			Fee schedule	code is bundled with other services	1375		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	1375	550	1237.5	
"Pyloromyotomy, cutting of pyloric muscle (Fredet-Ramstedt type operation)"	43520	CPT	Outpatient			1375	893.75		90			Percent of total billed charges		1237.5	40			Percent of total billed charges		550	80			Percent of total billed charges		1100	85			Percent of total billed charges		1168.75	100			Fee schedule	code is bundled with other services	1375	85			Percent of total billed charges		1168.75	100			Fee schedule	code is bundled with other services	1375	100			Fee schedule	code is bundled with other services	1375	100			Fee schedule	code is bundled with other services	1375	100			Fee schedule	code is bundled with other services	1375		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	1375	550	1237.5	
"Amputation, foot; midtarsal (eg, Chopart type procedure)"	28800	CPT	Outpatient			1397	908.05		90			Percent of total billed charges		1257.3	40			Percent of total billed charges		558.8	80			Percent of total billed charges		1117.6	85			Percent of total billed charges		1187.45	100			Fee schedule	code is bundled with other services	1397	85			Percent of total billed charges		1187.45	100			Fee schedule	code is bundled with other services	1397	100			Fee schedule	code is bundled with other services	1397	100			Fee schedule	code is bundled with other services	1397	100			Fee schedule	code is bundled with other services	1397		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	1397	558.8	1257.3	
"Mediastinotomy with exploration, drainage, removal of foreign body, or biopsy; cervical approach"	39000	CPT	Outpatient			1425	926.25		90			Percent of total billed charges		1282.5	40			Percent of total billed charges		570	80			Percent of total billed charges		1140	85			Percent of total billed charges		1211.25	100			Fee schedule	code is bundled with other services	1425	85			Percent of total billed charges		1211.25	100			Fee schedule	code is bundled with other services	1425	100			Fee schedule	code is bundled with other services	1425	100			Fee schedule	code is bundled with other services	1425	100			Fee schedule	code is bundled with other services	1425		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	1425	570	1282.5	
"Corpora cavernosa-corpus spongiosum shunt (priapism operation), unilateral or bilateral"	54430	CPT	Outpatient			1435	932.75		90			Percent of total billed charges		1291.5	40			Percent of total billed charges		574	80			Percent of total billed charges		1148	85			Percent of total billed charges		1219.75	100			Fee schedule	code is bundled with other services	1435	85			Percent of total billed charges		1219.75	100			Fee schedule	code is bundled with other services	1435	100			Fee schedule	code is bundled with other services	1435	100			Fee schedule	code is bundled with other services	1435	100			Fee schedule	code is bundled with other services	1435		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	1435	574	1291.5	
Pyloroplasty	43800	CPT	Outpatient			1445	939.25		90			Percent of total billed charges		1300.5	40			Percent of total billed charges		578	80			Percent of total billed charges		1156	85			Percent of total billed charges		1228.25	100			Fee schedule	code is bundled with other services	1445	85			Percent of total billed charges		1228.25	100			Fee schedule	code is bundled with other services	1445	100			Fee schedule	code is bundled with other services	1445	100			Fee schedule	code is bundled with other services	1445	100			Fee schedule	code is bundled with other services	1445		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	1445	578	1300.5	
"Cholecystotomy or cholecystostomy, open, with exploration, drainage, or removal of calculus (separate procedure)"	47480	CPT	Outpatient			1450	942.5		90			Percent of total billed charges		1305	40			Percent of total billed charges		580	80			Percent of total billed charges		1160	85			Percent of total billed charges		1232.5	100			Fee schedule	code is bundled with other services	1450	85			Percent of total billed charges		1232.5	100			Fee schedule	code is bundled with other services	1450	100			Fee schedule	code is bundled with other services	1450	100			Fee schedule	code is bundled with other services	1450	100			Fee schedule	code is bundled with other services	1450		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	1450	580	1305	
Esophagogastric fundoplasty partial or complete; laparotomy	43327	CPT	Outpatient			1450	942.5		90			Percent of total billed charges		1305	40			Percent of total billed charges		580	80			Percent of total billed charges		1160	85			Percent of total billed charges		1232.5	100			Fee schedule	code is bundled with other services	1450	85			Percent of total billed charges		1232.5	100			Fee schedule	code is bundled with other services	1450	100			Fee schedule	code is bundled with other services	1450	100			Fee schedule	code is bundled with other services	1450	100			Fee schedule	code is bundled with other services	1450		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	1450	580	1305	
"Excision of 1 or more lesions of small or large intestine not requiring anastomosis, exteriorization, or fistulization; single enterotomy"	44110	CPT	Outpatient			1450	942.5		90			Percent of total billed charges		1305	40			Percent of total billed charges		580	80			Percent of total billed charges		1160	85			Percent of total billed charges		1232.5	100			Fee schedule	code is bundled with other services	1450	85			Percent of total billed charges		1232.5	100			Fee schedule	code is bundled with other services	1450	100			Fee schedule	code is bundled with other services	1450	100			Fee schedule	code is bundled with other services	1450	100			Fee schedule	code is bundled with other services	1450		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	1450	580	1305	
Excision of Meckel's diverticulum (diverticulectomy) or omphalomesenteric duct	44800	CPT	Outpatient			1475	958.75		90			Percent of total billed charges		1327.5	40			Percent of total billed charges		590	80			Percent of total billed charges		1180	85			Percent of total billed charges		1253.75	100			Fee schedule	code is bundled with other services	1475	85			Percent of total billed charges		1253.75	100			Fee schedule	code is bundled with other services	1475	100			Fee schedule	code is bundled with other services	1475	100			Fee schedule	code is bundled with other services	1475	100			Fee schedule	code is bundled with other services	1475		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	1475	590	1327.5	
"Transcatheter placement of intravascular stent(s), cervical carotid artery, open or percutaneous, including angioplasty, when performed, and radiological supervision and interpretation; without distal embolic protection"	37216	CPT	Outpatient			1487	966.55		90			Percent of total billed charges		1338.3	40			Percent of total billed charges		594.8	80			Percent of total billed charges		1189.6	85			Percent of total billed charges		1263.95	100			Fee schedule	code is bundled with other services	1487	85			Percent of total billed charges		1263.95	100			Fee schedule	code is bundled with other services	1487	100			Fee schedule	code is bundled with other services	1487	100			Fee schedule	code is bundled with other services	1487	100			Fee schedule	code is bundled with other services	1487		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	1487	594.8	1338.3	
"Drainage of subdiaphragmatic or subphrenic abscess, open"	49040	CPT	Outpatient			1500	975		90			Percent of total billed charges		1350	40			Percent of total billed charges		600	80			Percent of total billed charges		1200	85			Percent of total billed charges		1275	100			Fee schedule	code is bundled with other services	1500	85			Percent of total billed charges		1275	100			Fee schedule	code is bundled with other services	1500	100			Fee schedule	code is bundled with other services	1500	100			Fee schedule	code is bundled with other services	1500	100			Fee schedule	code is bundled with other services	1500		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	1500	600	1350	
Limited lymphadenectomy for staging (separate procedure); retroperitoneal (aortic and/or splenic)	38564	CPT	Outpatient			1500	975		90			Percent of total billed charges		1350	40			Percent of total billed charges		600	80			Percent of total billed charges		1200	85			Percent of total billed charges		1275	100			Fee schedule	code is bundled with other services	1500	85			Percent of total billed charges		1275	100			Fee schedule	code is bundled with other services	1500	100			Fee schedule	code is bundled with other services	1500	100			Fee schedule	code is bundled with other services	1500	100			Fee schedule	code is bundled with other services	1500		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	1500	600	1350	
"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; (separate procedure)"	58400	CPT	Outpatient			1500	975		90			Percent of total billed charges		1350	40			Percent of total billed charges		600	80			Percent of total billed charges		1200	85			Percent of total billed charges		1275	100			Fee schedule	code is bundled with other services	1500	85			Percent of total billed charges		1275	100			Fee schedule	code is bundled with other services	1500	100			Fee schedule	code is bundled with other services	1500	100			Fee schedule	code is bundled with other services	1500	100			Fee schedule	code is bundled with other services	1500		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	1500	600	1350	
"Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (separate procedure)"	44300	CPT	Outpatient			1525	991.25		90			Percent of total billed charges		1372.5	40			Percent of total billed charges		610	80			Percent of total billed charges		1220	85			Percent of total billed charges		1296.25	100			Fee schedule	code is bundled with other services	1525	85			Percent of total billed charges		1296.25	100			Fee schedule	code is bundled with other services	1525	100			Fee schedule	code is bundled with other services	1525	100			Fee schedule	code is bundled with other services	1525	100			Fee schedule	code is bundled with other services	1525		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	1525	610	1372.5	
"Closure of enterostomy, large or small intestine"	44620	CPT	Outpatient			1530	994.5		90			Percent of total billed charges		1377	40			Percent of total billed charges		612	80			Percent of total billed charges		1224	85			Percent of total billed charges		1300.5	100			Fee schedule	code is bundled with other services	1530	85			Percent of total billed charges		1300.5	100			Fee schedule	code is bundled with other services	1530	100			Fee schedule	code is bundled with other services	1530	100			Fee schedule	code is bundled with other services	1530	100			Fee schedule	code is bundled with other services	1530		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	1530	612	1377	
"Biopsy of liver, wedge"	47100	CPT	Outpatient			1530	994.5		90			Percent of total billed charges		1377	40			Percent of total billed charges		612	80			Percent of total billed charges		1224	85			Percent of total billed charges		1300.5	100			Fee schedule	code is bundled with other services	1530	85			Percent of total billed charges		1300.5	100			Fee schedule	code is bundled with other services	1530	100			Fee schedule	code is bundled with other services	1530	100			Fee schedule	code is bundled with other services	1530	100			Fee schedule	code is bundled with other services	1530		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	1530	612	1377	
Excision of lesion of mesentery (separate procedure)	44820	CPT	Outpatient			1530	994.5		90			Percent of total billed charges		1377	40			Percent of total billed charges		612	80			Percent of total billed charges		1224	85			Percent of total billed charges		1300.5	100			Fee schedule	code is bundled with other services	1530	85			Percent of total billed charges		1300.5	100			Fee schedule	code is bundled with other services	1530	100			Fee schedule	code is bundled with other services	1530	100			Fee schedule	code is bundled with other services	1530	100			Fee schedule	code is bundled with other services	1530		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	1530	612	1377	
"Renal exploration, not necessitating other specific procedures"	50010	CPT	Outpatient			1545	1004.25		90			Percent of total billed charges		1390.5	40			Percent of total billed charges		618	80			Percent of total billed charges		1236	85			Percent of total billed charges		1313.25	100			Fee schedule	code is bundled with other services	1545	85			Percent of total billed charges		1313.25	100			Fee schedule	code is bundled with other services	1545	100			Fee schedule	code is bundled with other services	1545	100			Fee schedule	code is bundled with other services	1545	100			Fee schedule	code is bundled with other services	1545		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	1545	618	1390.5	
"Debridement of skin, subcutaneous tissue, muscle and fascia for necrotizing soft tissue infection; external genitalia, perineum and abdominal wall, with or without fascial closure"	11006	CPT	Outpatient			1550	1007.5		90			Percent of total billed charges		1395	40			Percent of total billed charges		620	80			Percent of total billed charges		1240	85			Percent of total billed charges		1317.5	100			Fee schedule	code is bundled with other services	1550	85			Percent of total billed charges		1317.5	100			Fee schedule	code is bundled with other services	1550	100			Fee schedule	code is bundled with other services	1550	100			Fee schedule	code is bundled with other services	1550	100			Fee schedule	code is bundled with other services	1550		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	1550	620	1395	
Reopening of recent laparotomy	49002	CPT	Outpatient			1550	1007.5		90			Percent of total billed charges		1395	40			Percent of total billed charges		620	80			Percent of total billed charges		1240	85			Percent of total billed charges		1317.5	100			Fee schedule	code is bundled with other services	1550	85			Percent of total billed charges		1317.5	100			Fee schedule	code is bundled with other services	1550	100			Fee schedule	code is bundled with other services	1550	100			Fee schedule	code is bundled with other services	1550	100			Fee schedule	code is bundled with other services	1550		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	1550	620	1395	
"Amputation, forearm, through radius and ulna"	25900	CPT	Outpatient			1555	1010.75		90			Percent of total billed charges		1399.5	40			Percent of total billed charges		622	80			Percent of total billed charges		1244	85			Percent of total billed charges		1321.75	100			Fee schedule	code is bundled with other services	1555	85			Percent of total billed charges		1321.75	100			Fee schedule	code is bundled with other services	1555	100			Fee schedule	code is bundled with other services	1555	100			Fee schedule	code is bundled with other services	1555	100			Fee schedule	code is bundled with other services	1555		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	1555	622	1399.5	
"Suture, secondary, of abdominal wall for evisceration or dehiscence"	49900	CPT	Outpatient			1555	1010.75		90			Percent of total billed charges		1399.5	40			Percent of total billed charges		622	80			Percent of total billed charges		1244	85			Percent of total billed charges		1321.75	100			Fee schedule	code is bundled with other services	1555	85			Percent of total billed charges		1321.75	100			Fee schedule	code is bundled with other services	1555	100			Fee schedule	code is bundled with other services	1555	100			Fee schedule	code is bundled with other services	1555	100			Fee schedule	code is bundled with other services	1555		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	1555	622	1399.5	
"Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral"	22015	CPT	Outpatient			1580	1027		90			Percent of total billed charges		1422	40			Percent of total billed charges		632	80			Percent of total billed charges		1264	85			Percent of total billed charges		1343	100			Fee schedule	code is bundled with other services	1580	85			Percent of total billed charges		1343	100			Fee schedule	code is bundled with other services	1580	100			Fee schedule	code is bundled with other services	1580	100			Fee schedule	code is bundled with other services	1580	100			Fee schedule	code is bundled with other services	1580		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	1580	632	1422	
"Excision, local; ulcer or benign tumor of stomach"	43610	CPT	Outpatient			1585	1030.25		90			Percent of total billed charges		1426.5	40			Percent of total billed charges		634	80			Percent of total billed charges		1268	85			Percent of total billed charges		1347.25	100			Fee schedule	code is bundled with other services	1585	85			Percent of total billed charges		1347.25	100			Fee schedule	code is bundled with other services	1585	100			Fee schedule	code is bundled with other services	1585	100			Fee schedule	code is bundled with other services	1585	100			Fee schedule	code is bundled with other services	1585		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	1585	634	1426.5	
Transmetacarpal amputation	25927	CPT	Outpatient			1590	1033.5		90			Percent of total billed charges		1431	40			Percent of total billed charges		636	80			Percent of total billed charges		1272	85			Percent of total billed charges		1351.5	100			Fee schedule	code is bundled with other services	1590	85			Percent of total billed charges		1351.5	100			Fee schedule	code is bundled with other services	1590	100			Fee schedule	code is bundled with other services	1590	100			Fee schedule	code is bundled with other services	1590	100			Fee schedule	code is bundled with other services	1590		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	1590	636	1431	
Appendectomy; for ruptured appendix with abscess or generalized peritonitis	44960	CPT	Outpatient			1600	1040		90			Percent of total billed charges		1440	40			Percent of total billed charges		640	80			Percent of total billed charges		1280	85			Percent of total billed charges		1360	100			Fee schedule	code is bundled with other services	1600	85			Percent of total billed charges		1360	100			Fee schedule	code is bundled with other services	1600	100			Fee schedule	code is bundled with other services	1600	100			Fee schedule	code is bundled with other services	1600	100			Fee schedule	code is bundled with other services	1600		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	1600	640	1440	
Insertion of intra-aortic balloon assist device through the ascending aorta	33973	CPT	Outpatient			1605	1043.25		90			Percent of total billed charges		1444.5	40			Percent of total billed charges		642	80			Percent of total billed charges		1284	85			Percent of total billed charges		1364.25	100			Fee schedule	code is bundled with other services	1605	85			Percent of total billed charges		1364.25	100			Fee schedule	code is bundled with other services	1605	100			Fee schedule	code is bundled with other services	1605	100			Fee schedule	code is bundled with other services	1605	100			Fee schedule	code is bundled with other services	1605		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	1605	642	1444.5	
Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure)	44314	CPT	Outpatient			1620	1053		90			Percent of total billed charges		1458	40			Percent of total billed charges		648	80			Percent of total billed charges		1296	85			Percent of total billed charges		1377	100			Fee schedule	code is bundled with other services	1620	85			Percent of total billed charges		1377	100			Fee schedule	code is bundled with other services	1620	100			Fee schedule	code is bundled with other services	1620	100			Fee schedule	code is bundled with other services	1620	100			Fee schedule	code is bundled with other services	1620		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	1620	648	1458	
"Ileostomy or jejunostomy, non-tube"	44310	CPT	Outpatient			1625	1056.25		90			Percent of total billed charges		1462.5	40			Percent of total billed charges		650	80			Percent of total billed charges		1300	85			Percent of total billed charges		1381.25	100			Fee schedule	code is bundled with other services	1625	85			Percent of total billed charges		1381.25	100			Fee schedule	code is bundled with other services	1625	100			Fee schedule	code is bundled with other services	1625	100			Fee schedule	code is bundled with other services	1625	100			Fee schedule	code is bundled with other services	1625		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	1625	650	1462.5	
"Fasciotomy, hip or thigh, any type"	27025	CPT	Outpatient			1645	1069.25		90			Percent of total billed charges		1480.5	40			Percent of total billed charges		658	80			Percent of total billed charges		1316	85			Percent of total billed charges		1398.25	100			Fee schedule	code is bundled with other services	1645	85			Percent of total billed charges		1398.25	100			Fee schedule	code is bundled with other services	1645	100			Fee schedule	code is bundled with other services	1645	100			Fee schedule	code is bundled with other services	1645	100			Fee schedule	code is bundled with other services	1645		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	1645	658	1480.5	
"Enterotomy, small intestine, other than duodenum; for exploration, biopsy(s), or foreign body removal"	44020	CPT	Outpatient			1650	1072.5		90			Percent of total billed charges		1485	40			Percent of total billed charges		660	80			Percent of total billed charges		1320	85			Percent of total billed charges		1402.5	100			Fee schedule	code is bundled with other services	1650	85			Percent of total billed charges		1402.5	100			Fee schedule	code is bundled with other services	1650	100			Fee schedule	code is bundled with other services	1650	100			Fee schedule	code is bundled with other services	1650	100			Fee schedule	code is bundled with other services	1650		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	1650	660	1485	
"Colotomy, for exploration, biopsy(s), or foreign body removal"	44025	CPT	Outpatient			1655	1075.75		90			Percent of total billed charges		1489.5	40			Percent of total billed charges		662	80			Percent of total billed charges		1324	85			Percent of total billed charges		1406.75	100			Fee schedule	code is bundled with other services	1655	85			Percent of total billed charges		1406.75	100			Fee schedule	code is bundled with other services	1655	100			Fee schedule	code is bundled with other services	1655	100			Fee schedule	code is bundled with other services	1655	100			Fee schedule	code is bundled with other services	1655		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	1655	662	1489.5	
"Amputation, leg, through tibia and fibula; re-amputation"	27886	CPT	Outpatient			1671	1086.15		90			Percent of total billed charges		1503.9	40			Percent of total billed charges		668.4	80			Percent of total billed charges		1336.8	85			Percent of total billed charges		1420.35	100			Fee schedule	code is bundled with other services	1671	85			Percent of total billed charges		1420.35	100			Fee schedule	code is bundled with other services	1671	100			Fee schedule	code is bundled with other services	1671	100			Fee schedule	code is bundled with other services	1671	100			Fee schedule	code is bundled with other services	1671		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	1671	668.4	1503.9	
"Removal of posterior nonsegmental instrumentation (eg, Harrington rod)"	22850	CPT	Outpatient			1676	1089.4		90			Percent of total billed charges		1508.4	40			Percent of total billed charges		670.4	80			Percent of total billed charges		1340.8	85			Percent of total billed charges		1424.6	100			Fee schedule	code is bundled with other services	1676	85			Percent of total billed charges		1424.6	100			Fee schedule	code is bundled with other services	1676	100			Fee schedule	code is bundled with other services	1676	100			Fee schedule	code is bundled with other services	1676	100			Fee schedule	code is bundled with other services	1676		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	1676	670.4	1508.4	
"Closed treatment of acetabulum (hip socket) fracture(s); with manipulation, with or without skeletal traction"	27222	CPT	Outpatient			1685	1095.25		90			Percent of total billed charges		1516.5	40			Percent of total billed charges		674	80			Percent of total billed charges		1348	85			Percent of total billed charges		1432.25	100			Fee schedule	code is bundled with other services	1685	85			Percent of total billed charges		1432.25	100			Fee schedule	code is bundled with other services	1685	100			Fee schedule	code is bundled with other services	1685	100			Fee schedule	code is bundled with other services	1685	100			Fee schedule	code is bundled with other services	1685		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	1685	674	1516.5	
"Closed treatment of femoral fracture, proximal end, neck; with manipulation, with or without skeletal traction"	27232	CPT	Outpatient			1695	1101.75		90			Percent of total billed charges		1525.5	40			Percent of total billed charges		678	80			Percent of total billed charges		1356	85			Percent of total billed charges		1440.75	100			Fee schedule	code is bundled with other services	1695	85			Percent of total billed charges		1440.75	100			Fee schedule	code is bundled with other services	1695	100			Fee schedule	code is bundled with other services	1695	100			Fee schedule	code is bundled with other services	1695	100			Fee schedule	code is bundled with other services	1695		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	1695	678	1525.5	
"Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and resection of nerves"	27888	CPT	Outpatient			1705	1108.25		90			Percent of total billed charges		1534.5	40			Percent of total billed charges		682	80			Percent of total billed charges		1364	85			Percent of total billed charges		1449.25	100			Fee schedule	code is bundled with other services	1705	85			Percent of total billed charges		1449.25	100			Fee schedule	code is bundled with other services	1705	100			Fee schedule	code is bundled with other services	1705	100			Fee schedule	code is bundled with other services	1705	100			Fee schedule	code is bundled with other services	1705		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	1705	682	1534.5	
Exploration of spinal fusion	22830	CPT	Outpatient			1705	1108.25		90			Percent of total billed charges		1534.5	40			Percent of total billed charges		682	80			Percent of total billed charges		1364	85			Percent of total billed charges		1449.25	100			Fee schedule	code is bundled with other services	1705	85			Percent of total billed charges		1449.25	100			Fee schedule	code is bundled with other services	1705	100			Fee schedule	code is bundled with other services	1705	100			Fee schedule	code is bundled with other services	1705	100			Fee schedule	code is bundled with other services	1705		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	1705	682	1534.5	
"Enteroenterostomy, anastomosis of intestine, with or without cutaneous enterostomy (separate procedure)"	44130	CPT	Outpatient			1740	1131		90			Percent of total billed charges		1566	40			Percent of total billed charges		696	80			Percent of total billed charges		1392	85			Percent of total billed charges		1479	100			Fee schedule	code is bundled with other services	1740	85			Percent of total billed charges		1479	100			Fee schedule	code is bundled with other services	1740	100			Fee schedule	code is bundled with other services	1740	100			Fee schedule	code is bundled with other services	1740	100			Fee schedule	code is bundled with other services	1740		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	1740	696	1566	
Thoracotomy; with cardiac massage	32160	CPT	Outpatient			1745	1134.25		90			Percent of total billed charges		1570.5	40			Percent of total billed charges		698	80			Percent of total billed charges		1396	85			Percent of total billed charges		1483.25	100			Fee schedule	code is bundled with other services	1745	85			Percent of total billed charges		1483.25	100			Fee schedule	code is bundled with other services	1745	100			Fee schedule	code is bundled with other services	1745	100			Fee schedule	code is bundled with other services	1745	100			Fee schedule	code is bundled with other services	1745		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	1745	698	1570.5	
"Exploration, retroperitoneal area with or without biopsy(s) (separate procedure)"	49010	CPT	Outpatient			1770	1150.5		90			Percent of total billed charges		1593	40			Percent of total billed charges		708	80			Percent of total billed charges		1416	85			Percent of total billed charges		1504.5	100			Fee schedule	code is bundled with other services	1770	85			Percent of total billed charges		1504.5	100			Fee schedule	code is bundled with other services	1770	100			Fee schedule	code is bundled with other services	1770	100			Fee schedule	code is bundled with other services	1770	100			Fee schedule	code is bundled with other services	1770		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	1770	708	1593	
"Amputation, leg, through tibia and fibula; open, circular (guillotine)"	27882	CPT	Outpatient			1790	1163.5		90			Percent of total billed charges		1611	40			Percent of total billed charges		716	80			Percent of total billed charges		1432	85			Percent of total billed charges		1521.5	100			Fee schedule	code is bundled with other services	1790	85			Percent of total billed charges		1521.5	100			Fee schedule	code is bundled with other services	1790	100			Fee schedule	code is bundled with other services	1790	100			Fee schedule	code is bundled with other services	1790	100			Fee schedule	code is bundled with other services	1790		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	1790	716	1611	
"Reduction of volvulus, intussusception, internal hernia, by laparotomy"	44050	CPT	Outpatient			1800	1170		90			Percent of total billed charges		1620	40			Percent of total billed charges		720	80			Percent of total billed charges		1440	85			Percent of total billed charges		1530	100			Fee schedule	code is bundled with other services	1800	85			Percent of total billed charges		1530	100			Fee schedule	code is bundled with other services	1800	100			Fee schedule	code is bundled with other services	1800	100			Fee schedule	code is bundled with other services	1800	100			Fee schedule	code is bundled with other services	1800		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	1800	720	1620	
"Uterine suspension, with or without shortening of round ligaments, with or without shortening of sacrouterine ligaments; with presacral sympathectomy"	58410	CPT	Outpatient			1800	1170		90			Percent of total billed charges		1620	40			Percent of total billed charges		720	80			Percent of total billed charges		1440	85			Percent of total billed charges		1530	100			Fee schedule	code is bundled with other services	1800	85			Percent of total billed charges		1530	100			Fee schedule	code is bundled with other services	1800	100			Fee schedule	code is bundled with other services	1800	100			Fee schedule	code is bundled with other services	1800	100			Fee schedule	code is bundled with other services	1800		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	1800	720	1620	
"Open treatment of greater trochanteric fracture, includes internal fixation, when performed"	27248	CPT	Outpatient			1845	1199.25		90			Percent of total billed charges		1660.5	40			Percent of total billed charges		738	80			Percent of total billed charges		1476	85			Percent of total billed charges		1568.25	100			Fee schedule	code is bundled with other services	1845	85			Percent of total billed charges		1568.25	100			Fee schedule	code is bundled with other services	1845	100			Fee schedule	code is bundled with other services	1845	100			Fee schedule	code is bundled with other services	1845	100			Fee schedule	code is bundled with other services	1845		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	1845	738	1660.5	
Disarticulation at knee	27598	CPT	Outpatient			1850	1202.5		90			Percent of total billed charges		1665	40			Percent of total billed charges		740	80			Percent of total billed charges		1480	85			Percent of total billed charges		1572.5	100			Fee schedule	code is bundled with other services	1850	85			Percent of total billed charges		1572.5	100			Fee schedule	code is bundled with other services	1850	100			Fee schedule	code is bundled with other services	1850	100			Fee schedule	code is bundled with other services	1850	100			Fee schedule	code is bundled with other services	1850		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	1850	740	1665	
"Closed treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with manipulation, with or without skin or skeletal traction"	27240	CPT	Outpatient			1875	1218.75		90			Percent of total billed charges		1687.5	40			Percent of total billed charges		750	80			Percent of total billed charges		1500	85			Percent of total billed charges		1593.75	100			Fee schedule	code is bundled with other services	1875	85			Percent of total billed charges		1593.75	100			Fee schedule	code is bundled with other services	1875	100			Fee schedule	code is bundled with other services	1875	100			Fee schedule	code is bundled with other services	1875	100			Fee schedule	code is bundled with other services	1875		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	1875	750	1687.5	
"Proctopexy (eg, for prolapse); abdominal approach"	45540	CPT	Outpatient			1875	1218.75		90			Percent of total billed charges		1687.5	40			Percent of total billed charges		750	80			Percent of total billed charges		1500	85			Percent of total billed charges		1593.75	100			Fee schedule	code is bundled with other services	1875	85			Percent of total billed charges		1593.75	100			Fee schedule	code is bundled with other services	1875	100			Fee schedule	code is bundled with other services	1875	100			Fee schedule	code is bundled with other services	1875	100			Fee schedule	code is bundled with other services	1875		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	1875	750	1687.5	
Closure of rectovaginal fistula; abdominal approach	57305	CPT	Outpatient			1895	1231.75		90			Percent of total billed charges		1705.5	40			Percent of total billed charges		758	80			Percent of total billed charges		1516	85			Percent of total billed charges		1610.75	100			Fee schedule	code is bundled with other services	1895	85			Percent of total billed charges		1610.75	100			Fee schedule	code is bundled with other services	1895	100			Fee schedule	code is bundled with other services	1895	100			Fee schedule	code is bundled with other services	1895	100			Fee schedule	code is bundled with other services	1895		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	1895	758	1705.5	
"Amputation, thigh, through femur, any level; re-amputation"	27596	CPT	Outpatient			1898	1233.7		90			Percent of total billed charges		1708.2	40			Percent of total billed charges		759.2	80			Percent of total billed charges		1518.4	85			Percent of total billed charges		1613.3	100			Fee schedule	code is bundled with other services	1898	85			Percent of total billed charges		1613.3	100			Fee schedule	code is bundled with other services	1898	100			Fee schedule	code is bundled with other services	1898	100			Fee schedule	code is bundled with other services	1898	100			Fee schedule	code is bundled with other services	1898		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	1898	759.2	1708.2	
Cholecystectomy; with cholangiography	47605	CPT	Outpatient			1940	1261		90			Percent of total billed charges		1746	40			Percent of total billed charges		776	80			Percent of total billed charges		1552	85			Percent of total billed charges		1649	100			Fee schedule	code is bundled with other services	1940	85			Percent of total billed charges		1649	100			Fee schedule	code is bundled with other services	1940	100			Fee schedule	code is bundled with other services	1940	100			Fee schedule	code is bundled with other services	1940	100			Fee schedule	code is bundled with other services	1940		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	1940	776	1746	
Enterolysis (freeing of intestinal adhesion) (separate procedure)	44005	CPT	Outpatient			1950	1267.5		90			Percent of total billed charges		1755	40			Percent of total billed charges		780	80			Percent of total billed charges		1560	85			Percent of total billed charges		1657.5	100			Fee schedule	code is bundled with other services	1950	85			Percent of total billed charges		1657.5	100			Fee schedule	code is bundled with other services	1950	100			Fee schedule	code is bundled with other services	1950	100			Fee schedule	code is bundled with other services	1950	100			Fee schedule	code is bundled with other services	1950		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	1950	780	1755	
Removal of posterior segmental instrumentation	22852	CPT	Outpatient			1950	1267.5		90			Percent of total billed charges		1755	40			Percent of total billed charges		780	80			Percent of total billed charges		1560	85			Percent of total billed charges		1657.5	100			Fee schedule	code is bundled with other services	1950	85			Percent of total billed charges		1657.5	100			Fee schedule	code is bundled with other services	1950	100			Fee schedule	code is bundled with other services	1950	100			Fee schedule	code is bundled with other services	1950	100			Fee schedule	code is bundled with other services	1950		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	1950	780	1755	
"Repair of dural/cerebrospinal fluid leak, not requiring laminectomy"	63707	CPT	Outpatient			1950	1267.5		90			Percent of total billed charges		1755	40			Percent of total billed charges		780	80			Percent of total billed charges		1560	85			Percent of total billed charges		1657.5	100			Fee schedule	code is bundled with other services	1950	85			Percent of total billed charges		1657.5	100			Fee schedule	code is bundled with other services	1950	100			Fee schedule	code is bundled with other services	1950	100			Fee schedule	code is bundled with other services	1950	100			Fee schedule	code is bundled with other services	1950		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	1950	780	1755	
"Supracervical abdominal hysterectomy (subtotal hysterectomy), with or without removal of tube(s), with or without removal of ovary(s)"	58180	CPT	Outpatient			1975	1283.75		90			Percent of total billed charges		1777.5	40			Percent of total billed charges		790	80			Percent of total billed charges		1580	85			Percent of total billed charges		1678.75	100			Fee schedule	code is bundled with other services	1975	85			Percent of total billed charges		1678.75	100			Fee schedule	code is bundled with other services	1975	100			Fee schedule	code is bundled with other services	1975	100			Fee schedule	code is bundled with other services	1975	100			Fee schedule	code is bundled with other services	1975		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	1975	790	1777.5	
Closure of enteroenteric or enterocolic fistula	44650	CPT	Outpatient			2000	1300		90			Percent of total billed charges		1800	40			Percent of total billed charges		800	80			Percent of total billed charges		1600	85			Percent of total billed charges		1700	100			Fee schedule	code is bundled with other services	2000	85			Percent of total billed charges		1700	100			Fee schedule	code is bundled with other services	2000	100			Fee schedule	code is bundled with other services	2000	100			Fee schedule	code is bundled with other services	2000	100			Fee schedule	code is bundled with other services	2000		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2000	800	1800	
"Amputation, thigh, through femur, any level; open, circular (guillotine)"	27592	CPT	Outpatient			2000	1300		90			Percent of total billed charges		1800	40			Percent of total billed charges		800	80			Percent of total billed charges		1600	85			Percent of total billed charges		1700	100			Fee schedule	code is bundled with other services	2000	85			Percent of total billed charges		1700	100			Fee schedule	code is bundled with other services	2000	100			Fee schedule	code is bundled with other services	2000	100			Fee schedule	code is bundled with other services	2000	100			Fee schedule	code is bundled with other services	2000		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2000	800	1800	
"Cystectomy, partial; simple"	51550	CPT	Outpatient			2000	1300		90			Percent of total billed charges		1800	40			Percent of total billed charges		800	80			Percent of total billed charges		1600	85			Percent of total billed charges		1700	100			Fee schedule	code is bundled with other services	2000	85			Percent of total billed charges		1700	100			Fee schedule	code is bundled with other services	2000	100			Fee schedule	code is bundled with other services	2000	100			Fee schedule	code is bundled with other services	2000	100			Fee schedule	code is bundled with other services	2000		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2000	800	1800	
"Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury"	43840	CPT	Outpatient			2000	1300		90			Percent of total billed charges		1800	40			Percent of total billed charges		800	80			Percent of total billed charges		1600	85			Percent of total billed charges		1700	100			Fee schedule	code is bundled with other services	2000	85			Percent of total billed charges		1700	100			Fee schedule	code is bundled with other services	2000	100			Fee schedule	code is bundled with other services	2000	100			Fee schedule	code is bundled with other services	2000	100			Fee schedule	code is bundled with other services	2000		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2000	800	1800	
"Ligation, major artery (eg, post-traumatic, rupture); abdomen"	37617	CPT	Outpatient			2000	1300		90			Percent of total billed charges		1800	40			Percent of total billed charges		800	80			Percent of total billed charges		1600	85			Percent of total billed charges		1700	100			Fee schedule	code is bundled with other services	2000	85			Percent of total billed charges		1700	100			Fee schedule	code is bundled with other services	2000	100			Fee schedule	code is bundled with other services	2000	100			Fee schedule	code is bundled with other services	2000	100			Fee schedule	code is bundled with other services	2000		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2000	800	1800	
"Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); with colostomy"	44605	CPT	Outpatient			2000	1300		90			Percent of total billed charges		1800	40			Percent of total billed charges		800	80			Percent of total billed charges		1600	85			Percent of total billed charges		1700	100			Fee schedule	code is bundled with other services	2000	85			Percent of total billed charges		1700	100			Fee schedule	code is bundled with other services	2000	100			Fee schedule	code is bundled with other services	2000	100			Fee schedule	code is bundled with other services	2000	100			Fee schedule	code is bundled with other services	2000		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2000	800	1800	
Thoracotomy; with exploration	32100	CPT	Outpatient			2025	1316.25		90			Percent of total billed charges		1822.5	40			Percent of total billed charges		810	80			Percent of total billed charges		1620	85			Percent of total billed charges		1721.25	100			Fee schedule	code is bundled with other services	2025	85			Percent of total billed charges		1721.25	100			Fee schedule	code is bundled with other services	2025	100			Fee schedule	code is bundled with other services	2025	100			Fee schedule	code is bundled with other services	2025	100			Fee schedule	code is bundled with other services	2025		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2025	810	1822.5	
"Repair, laceration of diaphragm, any approach"	39501	CPT	Outpatient			2045	1329.25		90			Percent of total billed charges		1840.5	40			Percent of total billed charges		818	80			Percent of total billed charges		1636	85			Percent of total billed charges		1738.25	100			Fee schedule	code is bundled with other services	2045	85			Percent of total billed charges		1738.25	100			Fee schedule	code is bundled with other services	2045	100			Fee schedule	code is bundled with other services	2045	100			Fee schedule	code is bundled with other services	2045	100			Fee schedule	code is bundled with other services	2045		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2045	818	1840.5	
Colostomy or skin level cecostomy	44320	CPT	Outpatient			2050	1332.5		90			Percent of total billed charges		1845	40			Percent of total billed charges		820	80			Percent of total billed charges		1640	85			Percent of total billed charges		1742.5	100			Fee schedule	code is bundled with other services	2050	85			Percent of total billed charges		1742.5	100			Fee schedule	code is bundled with other services	2050	100			Fee schedule	code is bundled with other services	2050	100			Fee schedule	code is bundled with other services	2050	100			Fee schedule	code is bundled with other services	2050		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2050	820	1845	
"Intestinal stricturoplasty (enterotomy and enterorrhaphy) with or without dilation, for intestinal obstruction"	44615	CPT	Outpatient			2060	1339		90			Percent of total billed charges		1854	40			Percent of total billed charges		824	80			Percent of total billed charges		1648	85			Percent of total billed charges		1751	100			Fee schedule	code is bundled with other services	2060	85			Percent of total billed charges		1751	100			Fee schedule	code is bundled with other services	2060	100			Fee schedule	code is bundled with other services	2060	100			Fee schedule	code is bundled with other services	2060	100			Fee schedule	code is bundled with other services	2060		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2060	824	1854	
"Open treatment of hip dislocation, traumatic, without internal fixation"	27253	CPT	Outpatient			2070	1345.5		90			Percent of total billed charges		1863	40			Percent of total billed charges		828	80			Percent of total billed charges		1656	85			Percent of total billed charges		1759.5	100			Fee schedule	code is bundled with other services	2070	85			Percent of total billed charges		1759.5	100			Fee schedule	code is bundled with other services	2070	100			Fee schedule	code is bundled with other services	2070	100			Fee schedule	code is bundled with other services	2070	100			Fee schedule	code is bundled with other services	2070		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2070	828	1863	
"Mastectomy, radical, including pectoral muscles, axillary lymph nodes"	19305	CPT	Outpatient			2080	1352		90			Percent of total billed charges		1872	40			Percent of total billed charges		832	80			Percent of total billed charges		1664	85			Percent of total billed charges		1768	100			Fee schedule	code is bundled with other services	2080	85			Percent of total billed charges		1768	100			Fee schedule	code is bundled with other services	2080	100			Fee schedule	code is bundled with other services	2080	100			Fee schedule	code is bundled with other services	2080	100			Fee schedule	code is bundled with other services	2080		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2080	832	1872	
"Closure of enterostomy, large or small intestine; with resection and anastomosis other than colorectal"	44625	CPT	Outpatient			2100	1365		90			Percent of total billed charges		1890	40			Percent of total billed charges		840	80			Percent of total billed charges		1680	85			Percent of total billed charges		1785	100			Fee schedule	code is bundled with other services	2100	85			Percent of total billed charges		1785	100			Fee schedule	code is bundled with other services	2100	100			Fee schedule	code is bundled with other services	2100	100			Fee schedule	code is bundled with other services	2100	100			Fee schedule	code is bundled with other services	2100		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2100	840	1890	
Cholecystectomy	47600	CPT	Outpatient			2105	1368.25		90			Percent of total billed charges		1894.5	40			Percent of total billed charges		842	80			Percent of total billed charges		1684	85			Percent of total billed charges		1789.25	100			Fee schedule	code is bundled with other services	2105	85			Percent of total billed charges		1789.25	100			Fee schedule	code is bundled with other services	2105	100			Fee schedule	code is bundled with other services	2105	100			Fee schedule	code is bundled with other services	2105	100			Fee schedule	code is bundled with other services	2105		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2105	842	1894.5	
"Gastrojejunostomy; with vagotomy, any type"	43825	CPT	Outpatient			2115	1374.75		90			Percent of total billed charges		1903.5	40			Percent of total billed charges		846	80			Percent of total billed charges		1692	85			Percent of total billed charges		1797.75	100			Fee schedule	code is bundled with other services	2115	85			Percent of total billed charges		1797.75	100			Fee schedule	code is bundled with other services	2115	100			Fee schedule	code is bundled with other services	2115	100			Fee schedule	code is bundled with other services	2115	100			Fee schedule	code is bundled with other services	2115		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2115	846	1903.5	
"Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed"	27280	CPT	Outpatient			2135	1387.75		90			Percent of total billed charges		1921.5	40			Percent of total billed charges		854	80			Percent of total billed charges		1708	85			Percent of total billed charges		1814.75	100			Fee schedule	code is bundled with other services	2135	85			Percent of total billed charges		1814.75	100			Fee schedule	code is bundled with other services	2135	100			Fee schedule	code is bundled with other services	2135	100			Fee schedule	code is bundled with other services	2135	100			Fee schedule	code is bundled with other services	2135		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2135	854	1921.5	
"Drainage of retroperitoneal abscess, open"	49060	CPT	Outpatient			2135	1387.75		90			Percent of total billed charges		1921.5	40			Percent of total billed charges		854	80			Percent of total billed charges		1708	85			Percent of total billed charges		1814.75	100			Fee schedule	code is bundled with other services	2135	85			Percent of total billed charges		1814.75	100			Fee schedule	code is bundled with other services	2135	100			Fee schedule	code is bundled with other services	2135	100			Fee schedule	code is bundled with other services	2135	100			Fee schedule	code is bundled with other services	2135		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2135	854	1921.5	
Pericardiotomy for removal of clot or foreign body (primary procedure)	33020	CPT	Outpatient			2180	1417		90			Percent of total billed charges		1962	40			Percent of total billed charges		872	80			Percent of total billed charges		1744	85			Percent of total billed charges		1853	100			Fee schedule	code is bundled with other services	2180	85			Percent of total billed charges		1853	100			Fee schedule	code is bundled with other services	2180	100			Fee schedule	code is bundled with other services	2180	100			Fee schedule	code is bundled with other services	2180	100			Fee schedule	code is bundled with other services	2180		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2180	872	1962	
"Repair, diaphragmatic hernia (other than neonatal), traumatic; acute"	39540	CPT	Outpatient			2185	1420.25		90			Percent of total billed charges		1966.5	40			Percent of total billed charges		874	80			Percent of total billed charges		1748	85			Percent of total billed charges		1857.25	100			Fee schedule	code is bundled with other services	2185	85			Percent of total billed charges		1857.25	100			Fee schedule	code is bundled with other services	2185	100			Fee schedule	code is bundled with other services	2185	100			Fee schedule	code is bundled with other services	2185	100			Fee schedule	code is bundled with other services	2185		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2185	874	1966.5	
"Excision, local; malignant tumor of stomach"	43611	CPT	Outpatient			2215	1439.75		90			Percent of total billed charges		1993.5	40			Percent of total billed charges		886	80			Percent of total billed charges		1772	85			Percent of total billed charges		1882.75	100			Fee schedule	code is bundled with other services	2215	85			Percent of total billed charges		1882.75	100			Fee schedule	code is bundled with other services	2215	100			Fee schedule	code is bundled with other services	2215	100			Fee schedule	code is bundled with other services	2215	100			Fee schedule	code is bundled with other services	2215		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2215	886	1993.5	
"Hepatotomy, for open drainage of abscess or cyst, 1 or 2 stages"	47010	CPT	Outpatient			2240	1456		90			Percent of total billed charges		2016	40			Percent of total billed charges		896	80			Percent of total billed charges		1792	85			Percent of total billed charges		1904	100			Fee schedule	code is bundled with other services	2240	85			Percent of total billed charges		1904	100			Fee schedule	code is bundled with other services	2240	100			Fee schedule	code is bundled with other services	2240	100			Fee schedule	code is bundled with other services	2240	100			Fee schedule	code is bundled with other services	2240		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2240	896	2016	
"Proctectomy; partial resection of rectum, transabdominal approach"	45111	CPT	Outpatient			2250	1462.5		90			Percent of total billed charges		2025	40			Percent of total billed charges		900	80			Percent of total billed charges		1800	85			Percent of total billed charges		1912.5	100			Fee schedule	code is bundled with other services	2250	85			Percent of total billed charges		1912.5	100			Fee schedule	code is bundled with other services	2250	100			Fee schedule	code is bundled with other services	2250	100			Fee schedule	code is bundled with other services	2250	100			Fee schedule	code is bundled with other services	2250		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2250	900	2025	
"Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; without implantation of mesh or other prosthesis"	43332	CPT	Outpatient			2250	1462.5		90			Percent of total billed charges		2025	40			Percent of total billed charges		900	80			Percent of total billed charges		1800	85			Percent of total billed charges		1912.5	100			Fee schedule	code is bundled with other services	2250	85			Percent of total billed charges		1912.5	100			Fee schedule	code is bundled with other services	2250	100			Fee schedule	code is bundled with other services	2250	100			Fee schedule	code is bundled with other services	2250	100			Fee schedule	code is bundled with other services	2250		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2250	900	2025	
"Amputation, thigh, through femur, any level"	27590	CPT	Outpatient			2265	1472.25		90			Percent of total billed charges		2038.5	40			Percent of total billed charges		906	80			Percent of total billed charges		1812	85			Percent of total billed charges		1925.25	100			Fee schedule	code is bundled with other services	2265	85			Percent of total billed charges		1925.25	100			Fee schedule	code is bundled with other services	2265	100			Fee schedule	code is bundled with other services	2265	100			Fee schedule	code is bundled with other services	2265	100			Fee schedule	code is bundled with other services	2265		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2265	906	2038.5	
"Choledochotomy or choledochostomy with exploration, drainage, or removal of calculus, with or without cholecystotomy; without transduodenal sphincterotomy or sphincteroplasty"	47420	CPT	Outpatient			2300	1495		90			Percent of total billed charges		2070	40			Percent of total billed charges		920	80			Percent of total billed charges		1840	85			Percent of total billed charges		1955	100			Fee schedule	code is bundled with other services	2300	85			Percent of total billed charges		1955	100			Fee schedule	code is bundled with other services	2300	100			Fee schedule	code is bundled with other services	2300	100			Fee schedule	code is bundled with other services	2300	100			Fee schedule	code is bundled with other services	2300		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2300	920	2070	
"Laparoscopy, surgical; ileostomy or jejunostomy, non-tube"	44187	CPT	Outpatient			2300	1495		90			Percent of total billed charges		2070	40			Percent of total billed charges		920	80			Percent of total billed charges		1840	85			Percent of total billed charges		1955	100			Fee schedule	code is bundled with other services	2300	85			Percent of total billed charges		1955	100			Fee schedule	code is bundled with other services	2300	100			Fee schedule	code is bundled with other services	2300	100			Fee schedule	code is bundled with other services	2300	100			Fee schedule	code is bundled with other services	2300		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2300	920	2070	
Gastrojejunostomy; without vagotomy	43820	CPT	Outpatient			2300	1495		90			Percent of total billed charges		2070	40			Percent of total billed charges		920	80			Percent of total billed charges		1840	85			Percent of total billed charges		1955	100			Fee schedule	code is bundled with other services	2300	85			Percent of total billed charges		1955	100			Fee schedule	code is bundled with other services	2300	100			Fee schedule	code is bundled with other services	2300	100			Fee schedule	code is bundled with other services	2300	100			Fee schedule	code is bundled with other services	2300		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2300	920	2070	
"Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; single perforation"	44602	CPT	Outpatient			2300	1495		90			Percent of total billed charges		2070	40			Percent of total billed charges		920	80			Percent of total billed charges		1840	85			Percent of total billed charges		1955	100			Fee schedule	code is bundled with other services	2300	85			Percent of total billed charges		1955	100			Fee schedule	code is bundled with other services	2300	100			Fee schedule	code is bundled with other services	2300	100			Fee schedule	code is bundled with other services	2300	100			Fee schedule	code is bundled with other services	2300		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2300	920	2070	
"Amputation, leg, through tibia and fibula"	27880	CPT	Outpatient			2350	1527.5		90			Percent of total billed charges		2115	40			Percent of total billed charges		940	80			Percent of total billed charges		1880	85			Percent of total billed charges		1997.5	100			Fee schedule	code is bundled with other services	2350	85			Percent of total billed charges		1997.5	100			Fee schedule	code is bundled with other services	2350	100			Fee schedule	code is bundled with other services	2350	100			Fee schedule	code is bundled with other services	2350	100			Fee schedule	code is bundled with other services	2350		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2350	940	2115	
"Laparoscopy, surgical; colectomy, partial, with removal of terminal ileum with ileocolostomy"	44205	CPT	Outpatient			2350	1527.5		90			Percent of total billed charges		2115	40			Percent of total billed charges		940	80			Percent of total billed charges		1880	85			Percent of total billed charges		1997.5	100			Fee schedule	code is bundled with other services	2350	85			Percent of total billed charges		1997.5	100			Fee schedule	code is bundled with other services	2350	100			Fee schedule	code is bundled with other services	2350	100			Fee schedule	code is bundled with other services	2350	100			Fee schedule	code is bundled with other services	2350		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2350	940	2115	
"Laparoscopy, surgical, colostomy or skin level cecostomy"	44188	CPT	Outpatient			2385	1550.25		90			Percent of total billed charges		2146.5	40			Percent of total billed charges		954	80			Percent of total billed charges		1908	85			Percent of total billed charges		2027.25	100			Fee schedule	code is bundled with other services	2385	85			Percent of total billed charges		2027.25	100			Fee schedule	code is bundled with other services	2385	100			Fee schedule	code is bundled with other services	2385	100			Fee schedule	code is bundled with other services	2385	100			Fee schedule	code is bundled with other services	2385		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2385	954	2146.5	
"Ureterolysis, with or without repositioning of ureter for retroperitoneal fibrosis"	50715	CPT	Outpatient			2385	1550.25		90			Percent of total billed charges		2146.5	40			Percent of total billed charges		954	80			Percent of total billed charges		1908	85			Percent of total billed charges		2027.25	100			Fee schedule	code is bundled with other services	2385	85			Percent of total billed charges		2027.25	100			Fee schedule	code is bundled with other services	2385	100			Fee schedule	code is bundled with other services	2385	100			Fee schedule	code is bundled with other services	2385	100			Fee schedule	code is bundled with other services	2385		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2385	954	2146.5	
"Repair of dural/cerebrospinal fluid leak or pseudomeningocele, with laminectomy"	63709	CPT	Outpatient			2400	1560		90			Percent of total billed charges		2160	40			Percent of total billed charges		960	80			Percent of total billed charges		1920	85			Percent of total billed charges		2040	100			Fee schedule	code is bundled with other services	2400	85			Percent of total billed charges		2040	100			Fee schedule	code is bundled with other services	2400	100			Fee schedule	code is bundled with other services	2400	100			Fee schedule	code is bundled with other services	2400	100			Fee schedule	code is bundled with other services	2400		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2400	960	2160	
Repair of ruptured spleen (splenorrhaphy) with or without partial splenectomy	38115	CPT	Outpatient			2400	1560		90			Percent of total billed charges		2160	40			Percent of total billed charges		960	80			Percent of total billed charges		1920	85			Percent of total billed charges		2040	100			Fee schedule	code is bundled with other services	2400	85			Percent of total billed charges		2040	100			Fee schedule	code is bundled with other services	2400	100			Fee schedule	code is bundled with other services	2400	100			Fee schedule	code is bundled with other services	2400	100			Fee schedule	code is bundled with other services	2400		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2400	960	2160	
"Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of femoral head in acetabulum (including tenotomy, etc)"	27258	CPT	Outpatient			2415	1569.75		90			Percent of total billed charges		2173.5	40			Percent of total billed charges		966	80			Percent of total billed charges		1932	85			Percent of total billed charges		2052.75	100			Fee schedule	code is bundled with other services	2415	85			Percent of total billed charges		2052.75	100			Fee schedule	code is bundled with other services	2415	100			Fee schedule	code is bundled with other services	2415	100			Fee schedule	code is bundled with other services	2415	100			Fee schedule	code is bundled with other services	2415		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2415	966	2173.5	
"Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate, femoral neck and proximal femur"	27187	CPT	Outpatient			2425	1576.25		90			Percent of total billed charges		2182.5	40			Percent of total billed charges		970	80			Percent of total billed charges		1940	85			Percent of total billed charges		2061.25	100			Fee schedule	code is bundled with other services	2425	85			Percent of total billed charges		2061.25	100			Fee schedule	code is bundled with other services	2425	100			Fee schedule	code is bundled with other services	2425	100			Fee schedule	code is bundled with other services	2425	100			Fee schedule	code is bundled with other services	2425		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2425	970	2182.5	
Suture of extrahepatic biliary duct for pre-existing injury (separate procedure)	47900	CPT	Outpatient			2445	1589.25		90			Percent of total billed charges		2200.5	40			Percent of total billed charges		978	80			Percent of total billed charges		1956	85			Percent of total billed charges		2078.25	100			Fee schedule	code is bundled with other services	2445	85			Percent of total billed charges		2078.25	100			Fee schedule	code is bundled with other services	2445	100			Fee schedule	code is bundled with other services	2445	100			Fee schedule	code is bundled with other services	2445	100			Fee schedule	code is bundled with other services	2445		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2445	978	2200.5	
Management of liver hemorrhage; simple suture of liver wound or injury	47350	CPT	Outpatient			2450	1592.5		90			Percent of total billed charges		2205	40			Percent of total billed charges		980	80			Percent of total billed charges		1960	85			Percent of total billed charges		2082.5	100			Fee schedule	code is bundled with other services	2450	85			Percent of total billed charges		2082.5	100			Fee schedule	code is bundled with other services	2450	100			Fee schedule	code is bundled with other services	2450	100			Fee schedule	code is bundled with other services	2450	100			Fee schedule	code is bundled with other services	2450		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2450	980	2205	
"Repair, paraesophageal hiatal hernia (including fundoplication), via laparotomy, except neonatal; with implantation of mesh or other prosthesis"	43333	CPT	Outpatient			2450	1592.5		90			Percent of total billed charges		2205	40			Percent of total billed charges		980	80			Percent of total billed charges		1960	85			Percent of total billed charges		2082.5	100			Fee schedule	code is bundled with other services	2450	85			Percent of total billed charges		2082.5	100			Fee schedule	code is bundled with other services	2450	100			Fee schedule	code is bundled with other services	2450	100			Fee schedule	code is bundled with other services	2450	100			Fee schedule	code is bundled with other services	2450		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2450	980	2205	
"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s)"	58150	CPT	Outpatient			2450	1592.5		90			Percent of total billed charges		2205	40			Percent of total billed charges		980	80			Percent of total billed charges		1960	85			Percent of total billed charges		2082.5	100			Fee schedule	code is bundled with other services	2450	85			Percent of total billed charges		2082.5	100			Fee schedule	code is bundled with other services	2450	100			Fee schedule	code is bundled with other services	2450	100			Fee schedule	code is bundled with other services	2450	100			Fee schedule	code is bundled with other services	2450		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2450	980	2205	
Thoracotomy; with control of traumatic hemorrhage and/or repair of lung tear	32110	CPT	Outpatient			2500	1625		90			Percent of total billed charges		2250	40			Percent of total billed charges		1000	80			Percent of total billed charges		2000	85			Percent of total billed charges		2125	100			Fee schedule	code is bundled with other services	2500	85			Percent of total billed charges		2125	100			Fee schedule	code is bundled with other services	2500	100			Fee schedule	code is bundled with other services	2500	100			Fee schedule	code is bundled with other services	2500	100			Fee schedule	code is bundled with other services	2500		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2500	1000	2250	
Ureteroureterostomy	50760	CPT	Outpatient			2500	1625		90			Percent of total billed charges		2250	40			Percent of total billed charges		1000	80			Percent of total billed charges		2000	85			Percent of total billed charges		2125	100			Fee schedule	code is bundled with other services	2500	85			Percent of total billed charges		2125	100			Fee schedule	code is bundled with other services	2500	100			Fee schedule	code is bundled with other services	2500	100			Fee schedule	code is bundled with other services	2500	100			Fee schedule	code is bundled with other services	2500		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2500	1000	2250	
"Arthrodesis, posterior or posterolateral technique, single interspace; thoracic (with lateral transverse technique, when performed)"	22610	CPT	Outpatient			2515	1634.75		90			Percent of total billed charges		2263.5	40			Percent of total billed charges		1006	80			Percent of total billed charges		2012	85			Percent of total billed charges		2137.75	100			Fee schedule	code is bundled with other services	2515	85			Percent of total billed charges		2137.75	100			Fee schedule	code is bundled with other services	2515	100			Fee schedule	code is bundled with other services	2515	100			Fee schedule	code is bundled with other services	2515	100			Fee schedule	code is bundled with other services	2515		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2515	1006	2263.5	
"Acetabuloplasty; resection, femoral head (eg, Girdlestone procedure)"	27122	CPT	Outpatient			2520	1638		90			Percent of total billed charges		2268	40			Percent of total billed charges		1008	80			Percent of total billed charges		2016	85			Percent of total billed charges		2142	100			Fee schedule	code is bundled with other services	2520	85			Percent of total billed charges		2142	100			Fee schedule	code is bundled with other services	2520	100			Fee schedule	code is bundled with other services	2520	100			Fee schedule	code is bundled with other services	2520	100			Fee schedule	code is bundled with other services	2520		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2520	1008	2268	
"Decortication, pulmonary (separate procedure); partial"	32225	CPT	Outpatient			2545	1654.25		90			Percent of total billed charges		2290.5	40			Percent of total billed charges		1018	80			Percent of total billed charges		2036	85			Percent of total billed charges		2163.25	100			Fee schedule	code is bundled with other services	2545	85			Percent of total billed charges		2163.25	100			Fee schedule	code is bundled with other services	2545	100			Fee schedule	code is bundled with other services	2545	100			Fee schedule	code is bundled with other services	2545	100			Fee schedule	code is bundled with other services	2545		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2545	1018	2290.5	
"Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture; multiple perforations"	44603	CPT	Outpatient			2550	1657.5		90			Percent of total billed charges		2295	40			Percent of total billed charges		1020	80			Percent of total billed charges		2040	85			Percent of total billed charges		2167.5	100			Fee schedule	code is bundled with other services	2550	85			Percent of total billed charges		2167.5	100			Fee schedule	code is bundled with other services	2550	100			Fee schedule	code is bundled with other services	2550	100			Fee schedule	code is bundled with other services	2550	100			Fee schedule	code is bundled with other services	2550		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2550	1020	2295	
"Prophylactic treatment (nailing, pinning, plating, or wiring) with or without methylmethacrylate, femur"	27495	CPT	Outpatient			2555	1660.75		90			Percent of total billed charges		2299.5	40			Percent of total billed charges		1022	80			Percent of total billed charges		2044	85			Percent of total billed charges		2171.75	100			Fee schedule	code is bundled with other services	2555	85			Percent of total billed charges		2171.75	100			Fee schedule	code is bundled with other services	2555	100			Fee schedule	code is bundled with other services	2555	100			Fee schedule	code is bundled with other services	2555	100			Fee schedule	code is bundled with other services	2555		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2555	1022	2299.5	
"Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed"	27514	CPT	Outpatient			2595	1686.75		90			Percent of total billed charges		2335.5	40			Percent of total billed charges		1038	80			Percent of total billed charges		2076	85			Percent of total billed charges		2205.75	100			Fee schedule	code is bundled with other services	2595	85			Percent of total billed charges		2205.75	100			Fee schedule	code is bundled with other services	2595	100			Fee schedule	code is bundled with other services	2595	100			Fee schedule	code is bundled with other services	2595	100			Fee schedule	code is bundled with other services	2595		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2595	1038	2335.5	
"Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s); with colpo-urethrocystopexy (eg, Marshall-Marchetti-Krantz, Burch)"	58152	CPT	Outpatient			2600	1690		90			Percent of total billed charges		2340	40			Percent of total billed charges		1040	80			Percent of total billed charges		2080	85			Percent of total billed charges		2210	100			Fee schedule	code is bundled with other services	2600	85			Percent of total billed charges		2210	100			Fee schedule	code is bundled with other services	2600	100			Fee schedule	code is bundled with other services	2600	100			Fee schedule	code is bundled with other services	2600	100			Fee schedule	code is bundled with other services	2600		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2600	1040	2340	
"Cystectomy, partial; complicated (eg, postradiation, previous surgery, difficult location)"	51555	CPT	Outpatient			2610	1696.5		90			Percent of total billed charges		2349	40			Percent of total billed charges		1044	80			Percent of total billed charges		2088	85			Percent of total billed charges		2218.5	100			Fee schedule	code is bundled with other services	2610	85			Percent of total billed charges		2218.5	100			Fee schedule	code is bundled with other services	2610	100			Fee schedule	code is bundled with other services	2610	100			Fee schedule	code is bundled with other services	2610	100			Fee schedule	code is bundled with other services	2610		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2610	1044	2349	
"Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant, with or without cerclage"	27244	CPT	Outpatient			2625	1706.25		90			Percent of total billed charges		2362.5	40			Percent of total billed charges		1050	80			Percent of total billed charges		2100	85			Percent of total billed charges		2231.25	100			Fee schedule	code is bundled with other services	2625	85			Percent of total billed charges		2231.25	100			Fee schedule	code is bundled with other services	2625	100			Fee schedule	code is bundled with other services	2625	100			Fee schedule	code is bundled with other services	2625	100			Fee schedule	code is bundled with other services	2625		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2625	1050	2362.5	
"Colectomy, partial; with anastomosis"	44140	CPT	Outpatient			2638	1714.7		90			Percent of total billed charges		2374.2	40			Percent of total billed charges		1055.2	80			Percent of total billed charges		2110.4	85			Percent of total billed charges		2242.3	100			Fee schedule	code is bundled with other services	2638	85			Percent of total billed charges		2242.3	100			Fee schedule	code is bundled with other services	2638	100			Fee schedule	code is bundled with other services	2638	100			Fee schedule	code is bundled with other services	2638	100			Fee schedule	code is bundled with other services	2638		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2638	1055	2374.2	
"Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other than for decompression), single interspace, lumbar; each additional interspace (List separately in addition to code for primary procedure)"	22634	CPT	Outpatient			2650	1722.5		90			Percent of total billed charges		2385	40			Percent of total billed charges		1060	80			Percent of total billed charges		2120	85			Percent of total billed charges		2252.5	100			Fee schedule	code is bundled with other services	2650	85			Percent of total billed charges		2252.5	100			Fee schedule	code is bundled with other services	2650	100			Fee schedule	code is bundled with other services	2650	100			Fee schedule	code is bundled with other services	2650	100			Fee schedule	code is bundled with other services	2650		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2650	1055	2385	
"Removal of prosthesis, including total knee prosthesis, methylmethacrylate with or without insertion of spacer, knee"	27488	CPT	Outpatient			2650	1722.5		90			Percent of total billed charges		2385	40			Percent of total billed charges		1060	80			Percent of total billed charges		2120	85			Percent of total billed charges		2252.5	100			Fee schedule	code is bundled with other services	2650	85			Percent of total billed charges		2252.5	100			Fee schedule	code is bundled with other services	2650	100			Fee schedule	code is bundled with other services	2650	100			Fee schedule	code is bundled with other services	2650	100			Fee schedule	code is bundled with other services	2650		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2650	1055	2385	
"Inguinofemoral lymphadenectomy, superficial, in continuity with pelvic lymphadenectomy, including external iliac, hypogastric, and obturator nodes (separate procedure)"	38765	CPT	Outpatient			2657	1727.05		90			Percent of total billed charges		2391.3	40			Percent of total billed charges		1062.8	80			Percent of total billed charges		2125.6	85			Percent of total billed charges		2258.45	100			Fee schedule	code is bundled with other services	2657	85			Percent of total billed charges		2258.45	100			Fee schedule	code is bundled with other services	2657	100			Fee schedule	code is bundled with other services	2657	100			Fee schedule	code is bundled with other services	2657	100			Fee schedule	code is bundled with other services	2657		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2657	1055	2391.3	
"Cystectomy, partial, with reimplantation of ureter(s) into bladder (ureteroneocystostomy)"	51565	CPT	Outpatient			2700	1755		90			Percent of total billed charges		2430	40			Percent of total billed charges		1080	80			Percent of total billed charges		2160	85			Percent of total billed charges		2295	100			Fee schedule	code is bundled with other services	2700	85			Percent of total billed charges		2295	100			Fee schedule	code is bundled with other services	2700	100			Fee schedule	code is bundled with other services	2700	100			Fee schedule	code is bundled with other services	2700	100			Fee schedule	code is bundled with other services	2700		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2700	1055	2430	
"Enterectomy, resection of small intestine; with enterostomy"	44125	CPT	Outpatient			2700	1755		90			Percent of total billed charges		2430	40			Percent of total billed charges		1080	80			Percent of total billed charges		2160	85			Percent of total billed charges		2295	100			Fee schedule	code is bundled with other services	2700	85			Percent of total billed charges		2295	100			Fee schedule	code is bundled with other services	2700	100			Fee schedule	code is bundled with other services	2700	100			Fee schedule	code is bundled with other services	2700	100			Fee schedule	code is bundled with other services	2700		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2700	1055	2430	
"Gastrectomy, partial, distal; with Roux-en-Y reconstruction"	43633	CPT	Outpatient			2700	1755		90			Percent of total billed charges		2430	40			Percent of total billed charges		1080	80			Percent of total billed charges		2160	85			Percent of total billed charges		2295	100			Fee schedule	code is bundled with other services	2700	85			Percent of total billed charges		2295	100			Fee schedule	code is bundled with other services	2700	100			Fee schedule	code is bundled with other services	2700	100			Fee schedule	code is bundled with other services	2700	100			Fee schedule	code is bundled with other services	2700		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2700	1055	2430	
Reinsertion of spinal fixation device	22849	CPT	Outpatient			2711	1762.15		90			Percent of total billed charges		2439.9	40			Percent of total billed charges		1084.4	80			Percent of total billed charges		2168.8	85			Percent of total billed charges		2304.35	100			Fee schedule	code is bundled with other services	2711	85			Percent of total billed charges		2304.35	100			Fee schedule	code is bundled with other services	2711	100			Fee schedule	code is bundled with other services	2711	100			Fee schedule	code is bundled with other services	2711	100			Fee schedule	code is bundled with other services	2711		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2711	1055	2439.9	
"Drainage of peritoneal abscess or localized peritonitis, exclusive of appendiceal abscess, open"	49020	CPT	Outpatient			2717	1766.05		90			Percent of total billed charges		2445.3	40			Percent of total billed charges		1086.8	80			Percent of total billed charges		2173.6	85			Percent of total billed charges		2309.45	100			Fee schedule	code is bundled with other services	2717	85			Percent of total billed charges		2309.45	100			Fee schedule	code is bundled with other services	2717	100			Fee schedule	code is bundled with other services	2717	100			Fee schedule	code is bundled with other services	2717	100			Fee schedule	code is bundled with other services	2717		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2717	1055	2445.3	
Closure of intestinal cutaneous fistula	44640	CPT	Outpatient			2720	1768		90			Percent of total billed charges		2448	40			Percent of total billed charges		1088	80			Percent of total billed charges		2176	85			Percent of total billed charges		2312	100			Fee schedule	code is bundled with other services	2720	85			Percent of total billed charges		2312	100			Fee schedule	code is bundled with other services	2720	100			Fee schedule	code is bundled with other services	2720	100			Fee schedule	code is bundled with other services	2720	100			Fee schedule	code is bundled with other services	2720		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2720	1055	2448	
"Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; lumbar"	22214	CPT	Outpatient			2725	1771.25		90			Percent of total billed charges		2452.5	40			Percent of total billed charges		1090	80			Percent of total billed charges		2180	85			Percent of total billed charges		2316.25	100			Fee schedule	code is bundled with other services	2725	85			Percent of total billed charges		2316.25	100			Fee schedule	code is bundled with other services	2725	100			Fee schedule	code is bundled with other services	2725	100			Fee schedule	code is bundled with other services	2725	100			Fee schedule	code is bundled with other services	2725		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2725	1055	2452.5	
"Colectomy, partial, with removal of terminal ileum with ileocolostomy"	44160	CPT	Outpatient			2730	1774.5		90			Percent of total billed charges		2457	40			Percent of total billed charges		1092	80			Percent of total billed charges		2184	85			Percent of total billed charges		2320.5	100			Fee schedule	code is bundled with other services	2730	85			Percent of total billed charges		2320.5	100			Fee schedule	code is bundled with other services	2730	100			Fee schedule	code is bundled with other services	2730	100			Fee schedule	code is bundled with other services	2730	100			Fee schedule	code is bundled with other services	2730		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2730	1055	2457	
"Colectomy, partial; abdominal and transanal approach"	44147	CPT	Outpatient			2745	1784.25		90			Percent of total billed charges		2470.5	40			Percent of total billed charges		1098	80			Percent of total billed charges		2196	85			Percent of total billed charges		2333.25	100			Fee schedule	code is bundled with other services	2745	85			Percent of total billed charges		2333.25	100			Fee schedule	code is bundled with other services	2745	100			Fee schedule	code is bundled with other services	2745	100			Fee schedule	code is bundled with other services	2745	100			Fee schedule	code is bundled with other services	2745		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2745	1055	2470.5	
"Osteotomy, multiple, with realignment on intramedullary rod, femoral shaft (eg, Sofield type procedure)"	27454	CPT	Outpatient			2750	1787.5		90			Percent of total billed charges		2475	40			Percent of total billed charges		1100	80			Percent of total billed charges		2200	85			Percent of total billed charges		2337.5	100			Fee schedule	code is bundled with other services	2750	85			Percent of total billed charges		2337.5	100			Fee schedule	code is bundled with other services	2750	100			Fee schedule	code is bundled with other services	2750	100			Fee schedule	code is bundled with other services	2750	100			Fee schedule	code is bundled with other services	2750		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2750	1055	2475	
"Gastrectomy, partial, distal; with gastroduodenostomy"	43631	CPT	Outpatient			2775	1803.75		90			Percent of total billed charges		2497.5	40			Percent of total billed charges		1110	80			Percent of total billed charges		2220	85			Percent of total billed charges		2358.75	100			Fee schedule	code is bundled with other services	2775	85			Percent of total billed charges		2358.75	100			Fee schedule	code is bundled with other services	2775	100			Fee schedule	code is bundled with other services	2775	100			Fee schedule	code is bundled with other services	2775	100			Fee schedule	code is bundled with other services	2775		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2775	1055	2497.5	
"Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement"	27236	CPT	Outpatient			2775	1803.75		90			Percent of total billed charges		2497.5	40			Percent of total billed charges		1110	80			Percent of total billed charges		2220	85			Percent of total billed charges		2358.75	100			Fee schedule	code is bundled with other services	2775	85			Percent of total billed charges		2358.75	100			Fee schedule	code is bundled with other services	2775	100			Fee schedule	code is bundled with other services	2775	100			Fee schedule	code is bundled with other services	2775	100			Fee schedule	code is bundled with other services	2775		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2775	1055	2497.5	
"Gastrectomy, partial, distal; with gastrojejunostomy"	43632	CPT	Outpatient			2780	1807		90			Percent of total billed charges		2502	40			Percent of total billed charges		1112	80			Percent of total billed charges		2224	85			Percent of total billed charges		2363	100			Fee schedule	code is bundled with other services	2780	85			Percent of total billed charges		2363	100			Fee schedule	code is bundled with other services	2780	100			Fee schedule	code is bundled with other services	2780	100			Fee schedule	code is bundled with other services	2780	100			Fee schedule	code is bundled with other services	2780		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2780	1055	2502	
Ureteroneocystostomy; with vesico-psoas hitch or bladder flap	50785	CPT	Outpatient			2795	1816.75		90			Percent of total billed charges		2515.5	40			Percent of total billed charges		1118	80			Percent of total billed charges		2236	85			Percent of total billed charges		2375.75	100			Fee schedule	code is bundled with other services	2795	85			Percent of total billed charges		2375.75	100			Fee schedule	code is bundled with other services	2795	100			Fee schedule	code is bundled with other services	2795	100			Fee schedule	code is bundled with other services	2795	100			Fee schedule	code is bundled with other services	2795		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2795	1055	2515.5	
Ureteroneocystostomy; anastomosis of single ureter to bladder	50780	CPT	Outpatient			2800	1820		90			Percent of total billed charges		2520	40			Percent of total billed charges		1120	80			Percent of total billed charges		2240	85			Percent of total billed charges		2380	100			Fee schedule	code is bundled with other services	2800	85			Percent of total billed charges		2380	100			Fee schedule	code is bundled with other services	2800	100			Fee schedule	code is bundled with other services	2800	100			Fee schedule	code is bundled with other services	2800	100			Fee schedule	code is bundled with other services	2800		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2800	1055	2520	
"Colectomy, partial; with end colostomy and closure of distal segment (Hartmann type procedure)"	44143	CPT	Outpatient			2870	1865.5		90			Percent of total billed charges		2583	40			Percent of total billed charges		1148	80			Percent of total billed charges		2296	85			Percent of total billed charges		2439.5	100			Fee schedule	code is bundled with other services	2870	85			Percent of total billed charges		2439.5	100			Fee schedule	code is bundled with other services	2870	100			Fee schedule	code is bundled with other services	2870	100			Fee schedule	code is bundled with other services	2870	100			Fee schedule	code is bundled with other services	2870		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2870	1055	2583	
"Nephrectomy, including partial ureterectomy, any open approach including rib resection; radical, with regional lymphadenectomy and/or vena caval thrombectomy"	50230	CPT	Outpatient			2900	1885		90			Percent of total billed charges		2610	40			Percent of total billed charges		1160	80			Percent of total billed charges		2320	85			Percent of total billed charges		2465	100			Fee schedule	code is bundled with other services	2900	85			Percent of total billed charges		2465	100			Fee schedule	code is bundled with other services	2900	100			Fee schedule	code is bundled with other services	2900	100			Fee schedule	code is bundled with other services	2900	100			Fee schedule	code is bundled with other services	2900		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2900	1055	2610	
"Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction, with or without partial gastrectomy or intestine resection; without vagotomy"	43860	CPT	Outpatient			2900	1885		90			Percent of total billed charges		2610	40			Percent of total billed charges		1160	80			Percent of total billed charges		2320	85			Percent of total billed charges		2465	100			Fee schedule	code is bundled with other services	2900	85			Percent of total billed charges		2465	100			Fee schedule	code is bundled with other services	2900	100			Fee schedule	code is bundled with other services	2900	100			Fee schedule	code is bundled with other services	2900	100			Fee schedule	code is bundled with other services	2900		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2900	1055	2610	
"Pancreatectomy, distal subtotal, with or without splenectomy; without pancreaticojejunostomy"	48140	CPT	Outpatient			2900	1885		90			Percent of total billed charges		2610	40			Percent of total billed charges		1160	80			Percent of total billed charges		2320	85			Percent of total billed charges		2465	100			Fee schedule	code is bundled with other services	2900	85			Percent of total billed charges		2465	100			Fee schedule	code is bundled with other services	2900	100			Fee schedule	code is bundled with other services	2900	100			Fee schedule	code is bundled with other services	2900	100			Fee schedule	code is bundled with other services	2900		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2900	1055	2610	
Internal anastomosis of pancreatic cyst to gastrointestinal tract; Roux-en-Y	48540	CPT	Outpatient			2920	1898		90			Percent of total billed charges		2628	40			Percent of total billed charges		1168	80			Percent of total billed charges		2336	85			Percent of total billed charges		2482	100			Fee schedule	code is bundled with other services	2920	85			Percent of total billed charges		2482	100			Fee schedule	code is bundled with other services	2920	100			Fee schedule	code is bundled with other services	2920	100			Fee schedule	code is bundled with other services	2920	100			Fee schedule	code is bundled with other services	2920		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2920	1055	2628	
Suture of esophageal wound or injury; transthoracic or transabdominal approach	43415	CPT	Outpatient			2925	1901.25		90			Percent of total billed charges		2632.5	40			Percent of total billed charges		1170	80			Percent of total billed charges		2340	85			Percent of total billed charges		2486.25	100			Fee schedule	code is bundled with other services	2925	85			Percent of total billed charges		2486.25	100			Fee schedule	code is bundled with other services	2925	100			Fee schedule	code is bundled with other services	2925	100			Fee schedule	code is bundled with other services	2925	100			Fee schedule	code is bundled with other services	2925		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2925	1055	2632.5	
Closure of enterovesical fistula; with intestine and/or bladder resection	44661	CPT	Outpatient			2950	1917.5		90			Percent of total billed charges		2655	40			Percent of total billed charges		1180	80			Percent of total billed charges		2360	85			Percent of total billed charges		2507.5	100			Fee schedule	code is bundled with other services	2950	85			Percent of total billed charges		2507.5	100			Fee schedule	code is bundled with other services	2950	100			Fee schedule	code is bundled with other services	2950	100			Fee schedule	code is bundled with other services	2950	100			Fee schedule	code is bundled with other services	2950		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2950	1055	2655	
"Exploration, repair, and presacral drainage for rectal injury; with colostomy"	45563	CPT	Outpatient			2950	1917.5		90			Percent of total billed charges		2655	40			Percent of total billed charges		1180	80			Percent of total billed charges		2360	85			Percent of total billed charges		2507.5	100			Fee schedule	code is bundled with other services	2950	85			Percent of total billed charges		2507.5	100			Fee schedule	code is bundled with other services	2950	100			Fee schedule	code is bundled with other services	2950	100			Fee schedule	code is bundled with other services	2950	100			Fee schedule	code is bundled with other services	2950		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2950	1055	2655	
"Thoracoscopy, surgical; with lobectomy (single lobe)"	32663	CPT	Outpatient			2950	1917.5		90			Percent of total billed charges		2655	40			Percent of total billed charges		1180	80			Percent of total billed charges		2360	85			Percent of total billed charges		2507.5	100			Fee schedule	code is bundled with other services	2950	85			Percent of total billed charges		2507.5	100			Fee schedule	code is bundled with other services	2950	100			Fee schedule	code is bundled with other services	2950	100			Fee schedule	code is bundled with other services	2950	100			Fee schedule	code is bundled with other services	2950		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2950	1055	2655	
"Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant, with or without cerclage and/or locking screws"	27506	CPT	Outpatient			2960	1924		90			Percent of total billed charges		2664	40			Percent of total billed charges		1184	80			Percent of total billed charges		2368	85			Percent of total billed charges		2516	100			Fee schedule	code is bundled with other services	2960	85			Percent of total billed charges		2516	100			Fee schedule	code is bundled with other services	2960	100			Fee schedule	code is bundled with other services	2960	100			Fee schedule	code is bundled with other services	2960	100			Fee schedule	code is bundled with other services	2960		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2960	1055	2664	
"Colectomy, partial; with resection, with colostomy or ileostomy and creation of mucofistula"	44144	CPT	Outpatient			2990	1943.5		90			Percent of total billed charges		2691	40			Percent of total billed charges		1196	80			Percent of total billed charges		2392	85			Percent of total billed charges		2541.5	100			Fee schedule	code is bundled with other services	2990	85			Percent of total billed charges		2541.5	100			Fee schedule	code is bundled with other services	2990	100			Fee schedule	code is bundled with other services	2990	100			Fee schedule	code is bundled with other services	2990	100			Fee schedule	code is bundled with other services	2990		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2990	1055	2691	
"Acetabuloplasty; (eg, Whitman, Colonna, Haygroves, or cup type)"	27120	CPT	Outpatient			2995	1946.75		90			Percent of total billed charges		2695.5	40			Percent of total billed charges		1198	80			Percent of total billed charges		2396	85			Percent of total billed charges		2545.75	100			Fee schedule	code is bundled with other services	2995	85			Percent of total billed charges		2545.75	100			Fee schedule	code is bundled with other services	2995	100			Fee schedule	code is bundled with other services	2995	100			Fee schedule	code is bundled with other services	2995	100			Fee schedule	code is bundled with other services	2995		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	2995	1055	2695.5	
"Colectomy, partial; with coloproctostomy (low pelvic anastomosis)"	44145	CPT	Outpatient			3015	1959.75		90			Percent of total billed charges		2713.5	40			Percent of total billed charges		1206	80			Percent of total billed charges		2412	85			Percent of total billed charges		2562.75	100			Fee schedule	code is bundled with other services	3015	85			Percent of total billed charges		2562.75	100			Fee schedule	code is bundled with other services	3015	100			Fee schedule	code is bundled with other services	3015	100			Fee schedule	code is bundled with other services	3015	100			Fee schedule	code is bundled with other services	3015		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	3015	1055	2713.5	
"Closure of enterostomy, large or small intestine; with resection and colorectal anastomosis (eg, closure of Hartmann type procedure)"	44626	CPT	Outpatient			3100	2015		90			Percent of total billed charges		2790	40			Percent of total billed charges		1240	80			Percent of total billed charges		2480	85			Percent of total billed charges		2635	100			Fee schedule	code is bundled with other services	3100	85			Percent of total billed charges		2635	100			Fee schedule	code is bundled with other services	3100	100			Fee schedule	code is bundled with other services	3100	100			Fee schedule	code is bundled with other services	3100	100			Fee schedule	code is bundled with other services	3100		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	3100	1055	2790	
"Colectomy, partial; with skin level cecostomy or colostomy"	44141	CPT	Outpatient			3100	2015		90			Percent of total billed charges		2790	40			Percent of total billed charges		1240	80			Percent of total billed charges		2480	85			Percent of total billed charges		2635	100			Fee schedule	code is bundled with other services	3100	85			Percent of total billed charges		2635	100			Fee schedule	code is bundled with other services	3100	100			Fee schedule	code is bundled with other services	3100	100			Fee schedule	code is bundled with other services	3100	100			Fee schedule	code is bundled with other services	3100		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	3100	1055	2790	
"Gastrectomy, total; with esophagoenterostomy"	43620	CPT	Outpatient			3100	2015		90			Percent of total billed charges		2790	40			Percent of total billed charges		1240	80			Percent of total billed charges		2480	85			Percent of total billed charges		2635	100			Fee schedule	code is bundled with other services	3100	85			Percent of total billed charges		2635	100			Fee schedule	code is bundled with other services	3100	100			Fee schedule	code is bundled with other services	3100	100			Fee schedule	code is bundled with other services	3100	100			Fee schedule	code is bundled with other services	3100		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	3100	1055	2790	
"Colectomy, total, abdominal, without proctectomy; with ileostomy or ileoproctostomy"	44150	CPT	Outpatient			3150	2047.5		90			Percent of total billed charges		2835	40			Percent of total billed charges		1260	80			Percent of total billed charges		2520	85			Percent of total billed charges		2677.5	100			Fee schedule	code is bundled with other services	3150	85			Percent of total billed charges		2677.5	100			Fee schedule	code is bundled with other services	3150	100			Fee schedule	code is bundled with other services	3150	100			Fee schedule	code is bundled with other services	3150	100			Fee schedule	code is bundled with other services	3150		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	3150	1055	2835	
"Thoracotomy; with therapeutic wedge resection (eg, mass, nodule), initial"	32505	CPT	Outpatient			3160	2054		90			Percent of total billed charges		2844	40			Percent of total billed charges		1264	80			Percent of total billed charges		2528	85			Percent of total billed charges		2686	100			Fee schedule	code is bundled with other services	3160	85			Percent of total billed charges		2686	100			Fee schedule	code is bundled with other services	3160	100			Fee schedule	code is bundled with other services	3160	100			Fee schedule	code is bundled with other services	3160	100			Fee schedule	code is bundled with other services	3160		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	3160	1055	2844	
"Anastomosis, of extrahepatic biliary ducts and gastrointestinal tract"	47760	CPT	Outpatient			3200	2080		90			Percent of total billed charges		2880	40			Percent of total billed charges		1280	80			Percent of total billed charges		2560	85			Percent of total billed charges		2720	100			Fee schedule	code is bundled with other services	3200	85			Percent of total billed charges		2720	100			Fee schedule	code is bundled with other services	3200	100			Fee schedule	code is bundled with other services	3200	100			Fee schedule	code is bundled with other services	3200	100			Fee schedule	code is bundled with other services	3200		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	3200	1055	2880	
"Laparoscopy, surgical; colectomy, total, abdominal, without proctectomy, with ileostomy or ileoproctostomy"	44210	CPT	Outpatient			3250	2112.5		90			Percent of total billed charges		2925	40			Percent of total billed charges		1300	80			Percent of total billed charges		2600	85			Percent of total billed charges		2762.5	100			Fee schedule	code is bundled with other services	3250	85			Percent of total billed charges		2762.5	100			Fee schedule	code is bundled with other services	3250	100			Fee schedule	code is bundled with other services	3250	100			Fee schedule	code is bundled with other services	3250	100			Fee schedule	code is bundled with other services	3250		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	3250	1055	2925	
"Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with intramedullary implant, with or without interlocking screws and/or cerclage"	27245	CPT	Outpatient			3250	2112.5		90			Percent of total billed charges		2925	40			Percent of total billed charges		1300	80			Percent of total billed charges		2600	85			Percent of total billed charges		2762.5	100			Fee schedule	code is bundled with other services	3250	85			Percent of total billed charges		2762.5	100			Fee schedule	code is bundled with other services	3250	100			Fee schedule	code is bundled with other services	3250	100			Fee schedule	code is bundled with other services	3250	100			Fee schedule	code is bundled with other services	3250		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	3250	1055	2925	
"Removal of lung, other than pneumonectomy; 2 lobes (bilobectomy)"	32482	CPT	Outpatient			3252	2113.8		90			Percent of total billed charges		2926.8	40			Percent of total billed charges		1300.8	80			Percent of total billed charges		2601.6	85			Percent of total billed charges		2764.2	100			Fee schedule	code is bundled with other services	3252	85			Percent of total billed charges		2764.2	100			Fee schedule	code is bundled with other services	3252	100			Fee schedule	code is bundled with other services	3252	100			Fee schedule	code is bundled with other services	3252	100			Fee schedule	code is bundled with other services	3252		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	3252	1055	2926.8	
"Hemiarthroplasty, hip, partial (eg, femoral stem prosthesis, bipolar arthroplasty)"	27125	CPT	Outpatient			3300	2145		90			Percent of total billed charges		2970	40			Percent of total billed charges		1320	80			Percent of total billed charges		2640	85			Percent of total billed charges		2805	100			Fee schedule	code is bundled with other services	3300	85			Percent of total billed charges		2805	100			Fee schedule	code is bundled with other services	3300	100			Fee schedule	code is bundled with other services	3300	100			Fee schedule	code is bundled with other services	3300	100			Fee schedule	code is bundled with other services	3300		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	3300	1055	2970	
"Repair of nonunion or malunion, tibia; with iliac or other autograft (includes obtaining graft)"	27724	CPT	Outpatient			3310	2151.5		90			Percent of total billed charges		2979	40			Percent of total billed charges		1324	80			Percent of total billed charges		2648	85			Percent of total billed charges		2813.5	100			Fee schedule	code is bundled with other services	3310	85			Percent of total billed charges		2813.5	100			Fee schedule	code is bundled with other services	3310	100			Fee schedule	code is bundled with other services	3310	100			Fee schedule	code is bundled with other services	3310	100			Fee schedule	code is bundled with other services	3310		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	3310	1055	2979	
"Laparoscopy, surgical; colectomy, partial, with end colostomy and closure of distal segment (Hartmann type procedure)"	44206	CPT	Outpatient			3325	2161.25		90			Percent of total billed charges		2992.5	40			Percent of total billed charges		1330	80			Percent of total billed charges		2660	85			Percent of total billed charges		2826.25	100			Fee schedule	code is bundled with other services	3325	85			Percent of total billed charges		2826.25	100			Fee schedule	code is bundled with other services	3325	100			Fee schedule	code is bundled with other services	3325	100			Fee schedule	code is bundled with other services	3325	100			Fee schedule	code is bundled with other services	3325		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	3325	1055	2992.5	
"Management of liver hemorrhage; complex suture of liver wound or injury, with or without hepatic artery ligation"	47360	CPT	Outpatient			3360	2184		90			Percent of total billed charges		3024	40			Percent of total billed charges		1344	80			Percent of total billed charges		2688	85			Percent of total billed charges		2856	100			Fee schedule	code is bundled with other services	3360	85			Percent of total billed charges		2856	100			Fee schedule	code is bundled with other services	3360	100			Fee schedule	code is bundled with other services	3360	100			Fee schedule	code is bundled with other services	3360	100			Fee schedule	code is bundled with other services	3360		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	3360	1055	3024	
"Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis)"	44207	CPT	Outpatient			3400	2210		90			Percent of total billed charges		3060	40			Percent of total billed charges		1360	80			Percent of total billed charges		2720	85			Percent of total billed charges		2890	100			Fee schedule	code is bundled with other services	3400	85			Percent of total billed charges		2890	100			Fee schedule	code is bundled with other services	3400	100			Fee schedule	code is bundled with other services	3400	100			Fee schedule	code is bundled with other services	3400	100			Fee schedule	code is bundled with other services	3400		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	3400	1055	3060	
"Repair blood vessel, direct; intra-abdominal"	35221	CPT	Outpatient			3413	2218.45		90			Percent of total billed charges		3071.7	40			Percent of total billed charges		1365.2	80			Percent of total billed charges		2730.4	85			Percent of total billed charges		2901.05	100			Fee schedule	code is bundled with other services	3413	85			Percent of total billed charges		2901.05	100			Fee schedule	code is bundled with other services	3413	100			Fee schedule	code is bundled with other services	3413	100			Fee schedule	code is bundled with other services	3413	100			Fee schedule	code is bundled with other services	3413		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	3413	1055	3071.7	
"Removal of lung, other than pneumonectomy; single lobe (lobectomy)"	32480	CPT	Outpatient			3450	2242.5		90			Percent of total billed charges		3105	40			Percent of total billed charges		1380	80			Percent of total billed charges		2760	85			Percent of total billed charges		2932.5	100			Fee schedule	code is bundled with other services	3450	85			Percent of total billed charges		2932.5	100			Fee schedule	code is bundled with other services	3450	100			Fee schedule	code is bundled with other services	3450	100			Fee schedule	code is bundled with other services	3450	100			Fee schedule	code is bundled with other services	3450		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	3450	1055	3105	
"Resection (initial) of ovarian, tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with radical dissection for debulking (ie, radical excision or destruction, intra-abdominal or retroperitoneal tumors)"	58952	CPT	Outpatient			3450	2242.5		90			Percent of total billed charges		3105	40			Percent of total billed charges		1380	80			Percent of total billed charges		2760	85			Percent of total billed charges		2932.5	100			Fee schedule	code is bundled with other services	3450	85			Percent of total billed charges		2932.5	100			Fee schedule	code is bundled with other services	3450	100			Fee schedule	code is bundled with other services	3450	100			Fee schedule	code is bundled with other services	3450	100			Fee schedule	code is bundled with other services	3450		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	3450	1055	3105	
"Anastomosis, Roux-en-Y, of extrahepatic biliary ducts and gastrointestinal tract"	47780	CPT	Outpatient			3455	2245.75		90			Percent of total billed charges		3109.5	40			Percent of total billed charges		1382	80			Percent of total billed charges		2764	85			Percent of total billed charges		2936.75	100			Fee schedule	code is bundled with other services	3455	85			Percent of total billed charges		2936.75	100			Fee schedule	code is bundled with other services	3455	100			Fee schedule	code is bundled with other services	3455	100			Fee schedule	code is bundled with other services	3455	100			Fee schedule	code is bundled with other services	3455		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	3455	1055	3109.5	
"Proctectomy; complete, combined abdominoperineal, with colostomy"	45110	CPT	Outpatient			3485	2265.25		90			Percent of total billed charges		3136.5	40			Percent of total billed charges		1394	80			Percent of total billed charges		2788	85			Percent of total billed charges		2962.25	100			Fee schedule	code is bundled with other services	3485	85			Percent of total billed charges		2962.25	100			Fee schedule	code is bundled with other services	3485	100			Fee schedule	code is bundled with other services	3485	100			Fee schedule	code is bundled with other services	3485	100			Fee schedule	code is bundled with other services	3485		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	3485	1055	3136.5	
"Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for decompression); lumbar"	22558	CPT	Outpatient			3500	2275		90			Percent of total billed charges		3150	40			Percent of total billed charges		1400	80			Percent of total billed charges		2800	85			Percent of total billed charges		2975	100			Fee schedule	code is bundled with other services	3500	85			Percent of total billed charges		2975	100			Fee schedule	code is bundled with other services	3500	100			Fee schedule	code is bundled with other services	3500	100			Fee schedule	code is bundled with other services	3500	100			Fee schedule	code is bundled with other services	3500		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	3500	1055	3150	
"Colectomy, partial; with coloproctostomy (low pelvic anastomosis), with colostomy"	44146	CPT	Outpatient			3500	2275		90			Percent of total billed charges		3150	40			Percent of total billed charges		1400	80			Percent of total billed charges		2800	85			Percent of total billed charges		2975	100			Fee schedule	code is bundled with other services	3500	85			Percent of total billed charges		2975	100			Fee schedule	code is bundled with other services	3500	100			Fee schedule	code is bundled with other services	3500	100			Fee schedule	code is bundled with other services	3500	100			Fee schedule	code is bundled with other services	3500		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	3500	1055	3150	
"Gastrectomy, total; with Roux-en-Y reconstruction"	43621	CPT	Outpatient			3500	2275		90			Percent of total billed charges		3150	40			Percent of total billed charges		1400	80			Percent of total billed charges		2800	85			Percent of total billed charges		2975	100			Fee schedule	code is bundled with other services	3500	85			Percent of total billed charges		2975	100			Fee schedule	code is bundled with other services	3500	100			Fee schedule	code is bundled with other services	3500	100			Fee schedule	code is bundled with other services	3500	100			Fee schedule	code is bundled with other services	3500		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	3500	1055	3150	
"Laparoscopy, surgical, closure of enterostomy, large or small intestine, with resection and anastomosis"	44227	CPT	Outpatient			3500	2275		90			Percent of total billed charges		3150	40			Percent of total billed charges		1400	80			Percent of total billed charges		2800	85			Percent of total billed charges		2975	100			Fee schedule	code is bundled with other services	3500	85			Percent of total billed charges		2975	100			Fee schedule	code is bundled with other services	3500	100			Fee schedule	code is bundled with other services	3500	100			Fee schedule	code is bundled with other services	3500	100			Fee schedule	code is bundled with other services	3500		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	3500	1055	3150	
"Pancreatectomy, distal subtotal, with or without splenectomy; with pancreaticojejunostomy"	48145	CPT	Outpatient			3500	2275		90			Percent of total billed charges		3150	40			Percent of total billed charges		1400	80			Percent of total billed charges		2800	85			Percent of total billed charges		2975	100			Fee schedule	code is bundled with other services	3500	85			Percent of total billed charges		2975	100			Fee schedule	code is bundled with other services	3500	100			Fee schedule	code is bundled with other services	3500	100			Fee schedule	code is bundled with other services	3500	100			Fee schedule	code is bundled with other services	3500		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	3500	1055	3150	
"Removal of lung, pneumonectomy"	32440	CPT	Outpatient			3650	2372.5		90			Percent of total billed charges		3285	40			Percent of total billed charges		1460	80			Percent of total billed charges		2920	85			Percent of total billed charges		3102.5	100			Fee schedule	code is bundled with other services	3650	85			Percent of total billed charges		3102.5	100			Fee schedule	code is bundled with other services	3650	100			Fee schedule	code is bundled with other services	3650	100			Fee schedule	code is bundled with other services	3650	100			Fee schedule	code is bundled with other services	3650		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	3650	1055	3285	
"Laparoscopy, surgical; colectomy, partial, with anastomosis, with coloproctostomy (low pelvic anastomosis) with colostomy"	44208	CPT	Outpatient			3675	2388.75		90			Percent of total billed charges		3307.5	40			Percent of total billed charges		1470	80			Percent of total billed charges		2940	85			Percent of total billed charges		3123.75	100			Fee schedule	code is bundled with other services	3675	85			Percent of total billed charges		3123.75	100			Fee schedule	code is bundled with other services	3675	100			Fee schedule	code is bundled with other services	3675	100			Fee schedule	code is bundled with other services	3675	100			Fee schedule	code is bundled with other services	3675		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	3675	1055	3307.5	
"Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of spacer"	27091	CPT	Outpatient			3675	2388.75		90			Percent of total billed charges		3307.5	40			Percent of total billed charges		1470	80			Percent of total billed charges		2940	85			Percent of total billed charges		3123.75	100			Fee schedule	code is bundled with other services	3675	85			Percent of total billed charges		3123.75	100			Fee schedule	code is bundled with other services	3675	100			Fee schedule	code is bundled with other services	3675	100			Fee schedule	code is bundled with other services	3675	100			Fee schedule	code is bundled with other services	3675		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	3675	1055	3307.5	
"Proctectomy, partial, with rectal mucosectomy, ileoanal anastomosis, creation of ileal reservoir (S or J), with or without loop ileostomy"	45113	CPT	Outpatient			3725	2421.25		90			Percent of total billed charges		3352.5	40			Percent of total billed charges		1490	80			Percent of total billed charges		2980	85			Percent of total billed charges		3166.25	100			Fee schedule	code is bundled with other services	3725	85			Percent of total billed charges		3166.25	100			Fee schedule	code is bundled with other services	3725	100			Fee schedule	code is bundled with other services	3725	100			Fee schedule	code is bundled with other services	3725	100			Fee schedule	code is bundled with other services	3725		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	3725	1055	3352.5	
"Laparoscopy, surgical; colectomy, total, abdominal, with proctectomy, with ileostomy"	44212	CPT	Outpatient			3750	2437.5		90			Percent of total billed charges		3375	40			Percent of total billed charges		1500	80			Percent of total billed charges		3000	85			Percent of total billed charges		3187.5	100			Fee schedule	code is bundled with other services	3750	85			Percent of total billed charges		3187.5	100			Fee schedule	code is bundled with other services	3750	100			Fee schedule	code is bundled with other services	3750	100			Fee schedule	code is bundled with other services	3750	100			Fee schedule	code is bundled with other services	3750		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	3750	1055	3375	
Breast reconstruction; with latissimus dorsi flap	19361	CPT	Outpatient			3800	2470		90			Percent of total billed charges		3420	40			Percent of total billed charges		1520	80			Percent of total billed charges		3040	85			Percent of total billed charges		3230	100			Fee schedule	code is bundled with other services	3800	85			Percent of total billed charges		3230	100			Fee schedule	code is bundled with other services	3800	100			Fee schedule	code is bundled with other services	3800	100			Fee schedule	code is bundled with other services	3800	100			Fee schedule	code is bundled with other services	3800		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	3800	1055	3420	
"Colectomy, total, abdominal, with proctectomy; with ileostomy"	44155	CPT	Outpatient			3800	2470		90			Percent of total billed charges		3420	40			Percent of total billed charges		1520	80			Percent of total billed charges		3040	85			Percent of total billed charges		3230	100			Fee schedule	code is bundled with other services	3800	85			Percent of total billed charges		3230	100			Fee schedule	code is bundled with other services	3800	100			Fee schedule	code is bundled with other services	3800	100			Fee schedule	code is bundled with other services	3800	100			Fee schedule	code is bundled with other services	3800		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	3800	1055	3420	
"Laparoscopy, surgical; proctectomy, complete, combined abdominoperineal, with colostomy"	45395	CPT	Outpatient			4030	2619.5		90			Percent of total billed charges		3627	40			Percent of total billed charges		1612	80			Percent of total billed charges		3224	85			Percent of total billed charges		3425.5	100			Fee schedule	code is bundled with other services	4030	85			Percent of total billed charges		3425.5	100			Fee schedule	code is bundled with other services	4030	100			Fee schedule	code is bundled with other services	4030	100			Fee schedule	code is bundled with other services	4030	100			Fee schedule	code is bundled with other services	4030		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	4030	1055	3627	
Splenectomy; total (separate procedure)	38100	CPT	Outpatient			4107.35	2669.78		90			Percent of total billed charges		3696.61	40			Percent of total billed charges		1642.94	80			Percent of total billed charges		3285.88	85			Percent of total billed charges		3491.25	100			Fee schedule	code is bundled with other services	4107.35	85			Percent of total billed charges		3491.25	100			Fee schedule	code is bundled with other services	4107.35	100			Fee schedule	code is bundled with other services	4107.35	100			Fee schedule	code is bundled with other services	4107.35	100			Fee schedule	code is bundled with other services	4107.35		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	4107.35	1055	3696.61	
"Laparoscopy, surgical; proctectomy, combined abdominoperineal pull-through procedure (eg, colo-anal anastomosis), with creation of colonic reservoir (eg, J-pouch), with diverting enterostomy, when performed"	45397	CPT	Outpatient			4320	2808		90			Percent of total billed charges		3888	40			Percent of total billed charges		1728	80			Percent of total billed charges		3456	85			Percent of total billed charges		3672	100			Fee schedule	code is bundled with other services	4320	85			Percent of total billed charges		3672	100			Fee schedule	code is bundled with other services	4320	100			Fee schedule	code is bundled with other services	4320	100			Fee schedule	code is bundled with other services	4320	100			Fee schedule	code is bundled with other services	4320		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	4320	1055	3888	
"Hepatectomy, resection of liver; partial lobectomy"	47120	CPT	Outpatient			4425	2876.25		90			Percent of total billed charges		3982.5	40			Percent of total billed charges		1770	80			Percent of total billed charges		3540	85			Percent of total billed charges		3761.25	100			Fee schedule	code is bundled with other services	4425	85			Percent of total billed charges		3761.25	100			Fee schedule	code is bundled with other services	4425	100			Fee schedule	code is bundled with other services	4425	100			Fee schedule	code is bundled with other services	4425	100			Fee schedule	code is bundled with other services	4425		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	4425	1055	3982.5	
"Colectomy, total, abdominal, with proctectomy; with ileoanal anastomosis, includes loop ileostomy, and rectal mucosectomy, when performed"	44157	CPT	Outpatient			4500	2925		90			Percent of total billed charges		4050	40			Percent of total billed charges		1800	80			Percent of total billed charges		3600	85			Percent of total billed charges		3825	100			Fee schedule	code is bundled with other services	4500	85			Percent of total billed charges		3825	100			Fee schedule	code is bundled with other services	4500	100			Fee schedule	code is bundled with other services	4500	100			Fee schedule	code is bundled with other services	4500	100			Fee schedule	code is bundled with other services	4500		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	4500	1055	4050	
"Management of liver hemorrhage; exploration of hepatic wound, extensive debridement, coagulation and/or suture, with or without packing of liver"	47361	CPT	Outpatient			4500	2925		90			Percent of total billed charges		4050	40			Percent of total billed charges		1800	80			Percent of total billed charges		3600	85			Percent of total billed charges		3825	100			Fee schedule	code is bundled with other services	4500	85			Percent of total billed charges		3825	100			Fee schedule	code is bundled with other services	4500	100			Fee schedule	code is bundled with other services	4500	100			Fee schedule	code is bundled with other services	4500	100			Fee schedule	code is bundled with other services	4500		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	4500	1055	4050	
"Nephrectomy, including partial ureterectomy, any open approach including rib resection"	50220	CPT	Outpatient			4563.72	2966.42		90			Percent of total billed charges		4107.35	40			Percent of total billed charges		1825.49	80			Percent of total billed charges		3650.98	85			Percent of total billed charges		3879.16	100			Fee schedule	code is bundled with other services	4563.72	85			Percent of total billed charges		3879.16	100			Fee schedule	code is bundled with other services	4563.72	100			Fee schedule	code is bundled with other services	4563.72	100			Fee schedule	code is bundled with other services	4563.72	100			Fee schedule	code is bundled with other services	4563.72		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	4563.72	1055	4107.35	
"Insertion of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract formation/dilatation, stent placement and all associated imaging guidance and documentation)"	37182	CPT	Outpatient			4730	3074.5		90			Percent of total billed charges		4257	40			Percent of total billed charges		1892	80			Percent of total billed charges		3784	85			Percent of total billed charges		4020.5	100			Fee schedule	code is bundled with other services	4730	85			Percent of total billed charges		4020.5	100			Fee schedule	code is bundled with other services	4730	100			Fee schedule	code is bundled with other services	4730	100			Fee schedule	code is bundled with other services	4730	100			Fee schedule	code is bundled with other services	4730		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	4730	1055	4257	
"Pancreatectomy, proximal subtotal with total duodenectomy, partial gastrectomy, choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); with pancreatojejunostomy"	48150	CPT	Outpatient			5400	3510		90			Percent of total billed charges		4860	40			Percent of total billed charges		2160	80			Percent of total billed charges		4320	85			Percent of total billed charges		4590	100			Fee schedule	code is bundled with other services	5400	85			Percent of total billed charges		4590	100			Fee schedule	code is bundled with other services	5400	100			Fee schedule	code is bundled with other services	5400	100			Fee schedule	code is bundled with other services	5400	100			Fee schedule	code is bundled with other services	5400		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	5400	1055	4860	
Bone graft with microvascular anastomosis; iliac crest	20956	CPT	Outpatient			5555	3610.75		90			Percent of total billed charges		4999.5	40			Percent of total billed charges		2222	80			Percent of total billed charges		4444	85			Percent of total billed charges		4721.75	100			Fee schedule	code is bundled with other services	5555	85			Percent of total billed charges		4721.75	100			Fee schedule	code is bundled with other services	5555	100			Fee schedule	code is bundled with other services	5555	100			Fee schedule	code is bundled with other services	5555	100			Fee schedule	code is bundled with other services	5555		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	5555	1055	4999.5	
"Transcatheter placement of intravascular stent(s), cervical carotid artery, open or percutaneous, including angioplasty, when performed, and radiological supervision and interpretation; with distal embolic protection"	37215	CPT	Outpatient			9625	6256.25		90			Percent of total billed charges		8662.5	40			Percent of total billed charges		3850	80			Percent of total billed charges		7700	85			Percent of total billed charges		8181.25	100			Fee schedule	code is bundled with other services	9625	85			Percent of total billed charges		8181.25	100			Fee schedule	code is bundled with other services	9625	100			Fee schedule	code is bundled with other services	9625	100			Fee schedule	code is bundled with other services	9625	100			Fee schedule	code is bundled with other services	9625		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	9625	1055	8662.5	
"Enterectomy, resection of small intestine; single resection and anastomosis"	44120	CPT	Outpatient			40427.33	26277.76		90			Percent of total billed charges		36384.6	40			Percent of total billed charges		16170.93	80			Percent of total billed charges		32341.86	85			Percent of total billed charges		34363.23	100			Fee schedule	code is bundled with other services	40427.33	85			Percent of total billed charges		34363.23	100			Fee schedule	code is bundled with other services	40427.33	100			Fee schedule	code is bundled with other services	40427.33	100			Fee schedule	code is bundled with other services	40427.33	100			Fee schedule	code is bundled with other services	40427.33		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	40427.33	1055	36384.6	
"Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); without colostomy"	44604	CPT	Outpatient			40808.72	26525.67		90			Percent of total billed charges		36727.85	40			Percent of total billed charges		16323.49	80			Percent of total billed charges		32646.97	85			Percent of total billed charges		34687.41	100			Fee schedule	code is bundled with other services	40808.72	85			Percent of total billed charges		34687.41	100			Fee schedule	code is bundled with other services	40808.72	100			Fee schedule	code is bundled with other services	40808.72	100			Fee schedule	code is bundled with other services	40808.72	100			Fee schedule	code is bundled with other services	40808.72		1055		Case rate		1055		1055		Case rate		1055	100			Fee schedule	code is bundled with other services	40808.72	1055	36727.85	
"Biopsy of stomach, by laparotomy"	43605	CPT	Outpatient			1310	851.5		90			Percent of total billed charges		1179	40			Percent of total billed charges		524	80			Percent of total billed charges		1048	85			Percent of total billed charges		1113.5	100			Fee schedule	code is bundled with other services	1310	85			Percent of total billed charges		1113.5	100			Fee schedule	code is bundled with other services	1310	100			Fee schedule	code is bundled with other services	1310	100			Fee schedule	code is bundled with other services	1310	100			Fee schedule	code is bundled with other services	1310		1495		Case rate	Use Lesser of logic	1310		1495		Case rate	Use Lesser of logic	1310	100			Fee schedule	code is bundled with other services	1310	524	1310	
Revision of colostomy; complicated (reconstruction in-depth) (separate procedure)	44345	CPT	Outpatient			1445	939.25		90			Percent of total billed charges		1300.5	40			Percent of total billed charges		578	80			Percent of total billed charges		1156	85			Percent of total billed charges		1228.25	100			Fee schedule	code is bundled with other services	1445	85			Percent of total billed charges		1228.25	100			Fee schedule	code is bundled with other services	1445	100			Fee schedule	code is bundled with other services	1445	100			Fee schedule	code is bundled with other services	1445	100			Fee schedule	code is bundled with other services	1445		1767		Case rate	Use Lesser of logic	1445		1767		Case rate	Use Lesser of logic	1445	100			Fee schedule	code is bundled with other services	1445	578	1445	
"Repair of enterocele, abdominal approach (separate procedure)"	57270	CPT	Outpatient			1500	975		90			Percent of total billed charges		1350	40			Percent of total billed charges		600	80			Percent of total billed charges		1200	85			Percent of total billed charges		1275	100			Fee schedule	code is bundled with other services	1500	85			Percent of total billed charges		1275	100			Fee schedule	code is bundled with other services	1500	100			Fee schedule	code is bundled with other services	1500	100			Fee schedule	code is bundled with other services	1500	100			Fee schedule	code is bundled with other services	1500		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule	code is bundled with other services	1500	600	1495	
"Lysis of adhesions (salpingolysis, ovariolysis)"	58740	CPT	Outpatient			1665	1082.25		90			Percent of total billed charges		1498.5	40			Percent of total billed charges		666	80			Percent of total billed charges		1332	85			Percent of total billed charges		1415.25	100			Fee schedule	code is bundled with other services	1665	85			Percent of total billed charges		1415.25	100			Fee schedule	code is bundled with other services	1665	100			Fee schedule	code is bundled with other services	1665	100			Fee schedule	code is bundled with other services	1665	100			Fee schedule	code is bundled with other services	1665		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule	code is bundled with other services	1665	666	1498.5	
"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); simple"	51840	CPT	Outpatient			1685	1095.25		90			Percent of total billed charges		1516.5	40			Percent of total billed charges		674	80			Percent of total billed charges		1348	85			Percent of total billed charges		1432.25	100			Fee schedule	code is bundled with other services	1685	85			Percent of total billed charges		1432.25	100			Fee schedule	code is bundled with other services	1685	100			Fee schedule	code is bundled with other services	1685	100			Fee schedule	code is bundled with other services	1685	100			Fee schedule	code is bundled with other services	1685		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule	code is bundled with other services	1685	674	1516.5	
"Colpopexy, abdominal approach"	57280	CPT	Outpatient			2080	1352		90			Percent of total billed charges		1872	40			Percent of total billed charges		832	80			Percent of total billed charges		1664	85			Percent of total billed charges		1768	100			Fee schedule	code is bundled with other services	2080	85			Percent of total billed charges		1768	100			Fee schedule	code is bundled with other services	2080	100			Fee schedule	code is bundled with other services	2080	100			Fee schedule	code is bundled with other services	2080	100			Fee schedule	code is bundled with other services	2080		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule	code is bundled with other services	2080	832	1872	
"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5 cm diameter or less"	49203	CPT	Outpatient			2150	1397.5		90			Percent of total billed charges		1935	40			Percent of total billed charges		860	80			Percent of total billed charges		1720	85			Percent of total billed charges		1827.5	100			Fee schedule	code is bundled with other services	2150	85			Percent of total billed charges		1827.5	100			Fee schedule	code is bundled with other services	2150	100			Fee schedule	code is bundled with other services	2150	100			Fee schedule	code is bundled with other services	2150	100			Fee schedule	code is bundled with other services	2150		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule	code is bundled with other services	2150	860	1935	
"Anterior vesicourethropexy, or urethropexy (eg, Marshall-Marchetti-Krantz, Burch); complicated (eg, secondary repair)"	51841	CPT	Outpatient			2200	1430		90			Percent of total billed charges		1980	40			Percent of total billed charges		880	80			Percent of total billed charges		1760	85			Percent of total billed charges		1870	100			Fee schedule	code is bundled with other services	2200	85			Percent of total billed charges		1870	100			Fee schedule	code is bundled with other services	2200	100			Fee schedule	code is bundled with other services	2200	100			Fee schedule	code is bundled with other services	2200	100			Fee schedule	code is bundled with other services	2200		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule	code is bundled with other services	2200	880	1980	
"Arthrotomy, hip, with drainage (eg, infection)"	27030	CPT	Outpatient			2400	1560		90			Percent of total billed charges		2160	40			Percent of total billed charges		960	80			Percent of total billed charges		1920	85			Percent of total billed charges		2040	100			Fee schedule	code is bundled with other services	2400	85			Percent of total billed charges		2040	100			Fee schedule	code is bundled with other services	2400	100			Fee schedule	code is bundled with other services	2400	100			Fee schedule	code is bundled with other services	2400	100			Fee schedule	code is bundled with other services	2400		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule	code is bundled with other services	2400	960	2160	
"Open treatment of posterior or anterior acetabular wall fracture, with internal fixation"	27226	CPT	Outpatient			2475	1608.75		90			Percent of total billed charges		2227.5	40			Percent of total billed charges		990	80			Percent of total billed charges		1980	85			Percent of total billed charges		2103.75	100			Fee schedule	code is bundled with other services	2475	85			Percent of total billed charges		2103.75	100			Fee schedule	code is bundled with other services	2475	100			Fee schedule	code is bundled with other services	2475	100			Fee schedule	code is bundled with other services	2475	100			Fee schedule	code is bundled with other services	2475		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule	code is bundled with other services	2475	990	2227.5	
Free fascial flap with microvascular anastomosis	15758	CPT	Outpatient			4760	3094		90			Percent of total billed charges		4284	40			Percent of total billed charges		1904	80			Percent of total billed charges		3808	85			Percent of total billed charges		4046	100			Fee schedule	code is bundled with other services	4760	85			Percent of total billed charges		4046	100			Fee schedule	code is bundled with other services	4760	100			Fee schedule	code is bundled with other services	4760	100			Fee schedule	code is bundled with other services	4760	100			Fee schedule	code is bundled with other services	4760		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule	code is bundled with other services	4760	1495	4284	
Free muscle or myocutaneous flap with microvascular anastomosis	15756	CPT	Outpatient			4760	3094		90			Percent of total billed charges		4284	40			Percent of total billed charges		1904	80			Percent of total billed charges		3808	85			Percent of total billed charges		4046	100			Fee schedule	code is bundled with other services	4760	85			Percent of total billed charges		4046	100			Fee schedule	code is bundled with other services	4760	100			Fee schedule	code is bundled with other services	4760	100			Fee schedule	code is bundled with other services	4760	100			Fee schedule	code is bundled with other services	4760		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule	code is bundled with other services	4760	1495	4284	
Free skin flap with microvascular anastomosis	15757	CPT	Outpatient			4770	3100.5		90			Percent of total billed charges		4293	40			Percent of total billed charges		1908	80			Percent of total billed charges		3816	85			Percent of total billed charges		4054.5	100			Fee schedule	code is bundled with other services	4770	85			Percent of total billed charges		4054.5	100			Fee schedule	code is bundled with other services	4770	100			Fee schedule	code is bundled with other services	4770	100			Fee schedule	code is bundled with other services	4770	100			Fee schedule	code is bundled with other services	4770		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule	code is bundled with other services	4770	1495	4293	
"Open treatment of tibial fracture, proximal (plateau); unicondylar, includes internal fixation, when performed"	27535	CPT	Outpatient			5191.3	3374.34		90			Percent of total billed charges		4672.17	40			Percent of total billed charges		2076.52	80			Percent of total billed charges		4153.04	85			Percent of total billed charges		4412.6	100			Fee schedule	code is bundled with other services	5191.3	85			Percent of total billed charges		4412.6	100			Fee schedule	code is bundled with other services	5191.3	100			Fee schedule	code is bundled with other services	5191.3	100			Fee schedule	code is bundled with other services	5191.3	100			Fee schedule	code is bundled with other services	5191.3		1495		Case rate		1495		1495		Case rate		1495	100			Fee schedule	code is bundled with other services	5191.3	1495	4672.17	
"Salpingectomy, complete or partial, unilateral or bilateral (separate procedure)"	58700	CPT	Outpatient			1595	1036.75		90			Percent of total billed charges		1435.5	40			Percent of total billed charges		638	80			Percent of total billed charges		1276	85			Percent of total billed charges		1355.75	100			Fee schedule	code is bundled with other services	1595	85			Percent of total billed charges		1355.75	100			Fee schedule	code is bundled with other services	1595	100			Fee schedule	code is bundled with other services	1595	100			Fee schedule	code is bundled with other services	1595	100			Fee schedule	code is bundled with other services	1595		1767		Case rate	Use Lesser of logic	1595		1767		Case rate	Use Lesser of logic	1595	100			Fee schedule	code is bundled with other services	1595	638	1595	
"Surgical treatment of ectopic pregnancy; tubal or ovarian, without salpingectomy and/or oophorectomy"	59121	CPT	Outpatient			1600	1040		90			Percent of total billed charges		1440	40			Percent of total billed charges		640	80			Percent of total billed charges		1280	85			Percent of total billed charges		1360	100			Fee schedule	code is bundled with other services	1600	85			Percent of total billed charges		1360	100			Fee schedule	code is bundled with other services	1600	100			Fee schedule	code is bundled with other services	1600	100			Fee schedule	code is bundled with other services	1600	100			Fee schedule	code is bundled with other services	1600		1767		Case rate	Use Lesser of logic	1600		1767		Case rate	Use Lesser of logic	1600	100			Fee schedule	code is bundled with other services	1600	640	1600	
"Insertion of intra-aortic balloon assist device, percutaneous"	33967	CPT	Outpatient			1605	1043.25		90			Percent of total billed charges		1444.5	40			Percent of total billed charges		642	80			Percent of total billed charges		1284	85			Percent of total billed charges		1364.25	100			Fee schedule	code is bundled with other services	1605	85			Percent of total billed charges		1364.25	100			Fee schedule	code is bundled with other services	1605	100			Fee schedule	code is bundled with other services	1605	100			Fee schedule	code is bundled with other services	1605	100			Fee schedule	code is bundled with other services	1605		8897		Case rate	Use Lesser of logic	1605		8897		Case rate	Use Lesser of logic	1605	100			Fee schedule	code is bundled with other services	1605	642	1605	
"Surgical treatment of ectopic pregnancy; tubal or ovarian, requiring salpingectomy and/or oophorectomy, abdominal or vaginal approach"	59120	CPT	Outpatient			1665	1082.25		90			Percent of total billed charges		1498.5	40			Percent of total billed charges		666	80			Percent of total billed charges		1332	85			Percent of total billed charges		1415.25	100			Fee schedule	code is bundled with other services	1665	85			Percent of total billed charges		1415.25	100			Fee schedule	code is bundled with other services	1665	100			Fee schedule	code is bundled with other services	1665	100			Fee schedule	code is bundled with other services	1665	100			Fee schedule	code is bundled with other services	1665		1767		Case rate	Use Lesser of logic	1665		1767		Case rate	Use Lesser of logic	1665	100			Fee schedule	code is bundled with other services	1665	666	1665	
"Oophorectomy, partial or total, unilateral or bilateral"	58940	CPT	Outpatient			1700	1105		90			Percent of total billed charges		1530	40			Percent of total billed charges		680	80			Percent of total billed charges		1360	85			Percent of total billed charges		1445	100			Fee schedule	code is bundled with other services	1700	85			Percent of total billed charges		1445	100			Fee schedule	code is bundled with other services	1700	100			Fee schedule	code is bundled with other services	1700	100			Fee schedule	code is bundled with other services	1700	100			Fee schedule	code is bundled with other services	1700		1767		Case rate	Use Lesser of logic	1700		1767		Case rate	Use Lesser of logic	1700	100			Fee schedule	code is bundled with other services	1700	680	1700	
"Myomectomy, excision of fibroid tumor(s) of uterus, 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; abdominal approach"	58140	CPT	Outpatient			1725	1121.25		90			Percent of total billed charges		1552.5	40			Percent of total billed charges		690	80			Percent of total billed charges		1380	85			Percent of total billed charges		1466.25	100			Fee schedule	code is bundled with other services	1725	85			Percent of total billed charges		1466.25	100			Fee schedule	code is bundled with other services	1725	100			Fee schedule	code is bundled with other services	1725	100			Fee schedule	code is bundled with other services	1725	100			Fee schedule	code is bundled with other services	1725		1767		Case rate	Use Lesser of logic	1725		1767		Case rate	Use Lesser of logic	1725	100			Fee schedule	code is bundled with other services	1725	690	1725	
Cystotomy; for excision of bladder tumor	51530	CPT	Outpatient			1740	1131		90			Percent of total billed charges		1566	40			Percent of total billed charges		696	80			Percent of total billed charges		1392	85			Percent of total billed charges		1479	100			Fee schedule	code is bundled with other services	1740	85			Percent of total billed charges		1479	100			Fee schedule	code is bundled with other services	1740	100			Fee schedule	code is bundled with other services	1740	100			Fee schedule	code is bundled with other services	1740	100			Fee schedule	code is bundled with other services	1740		1767		Case rate	Use Lesser of logic	1740		1767		Case rate	Use Lesser of logic	1740	100			Fee schedule	code is bundled with other services	1740	696	1740	
"Cystorrhaphy, suture of bladder wound, injury or rupture; complicated"	51865	CPT	Outpatient			2100	1365		90			Percent of total billed charges		1890	40			Percent of total billed charges		840	80			Percent of total billed charges		1680	85			Percent of total billed charges		1785	100			Fee schedule	code is bundled with other services	2100	85			Percent of total billed charges		1785	100			Fee schedule	code is bundled with other services	2100	100			Fee schedule	code is bundled with other services	2100	100			Fee schedule	code is bundled with other services	2100	100			Fee schedule	code is bundled with other services	2100		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule	code is bundled with other services	2100	840	1890	
Revision of colostomy; with repair of paracolostomy hernia (separate procedure)	44346	CPT	Outpatient			2100	1365		90			Percent of total billed charges		1890	40			Percent of total billed charges		840	80			Percent of total billed charges		1680	85			Percent of total billed charges		1785	100			Fee schedule	code is bundled with other services	2100	85			Percent of total billed charges		1785	100			Fee schedule	code is bundled with other services	2100	100			Fee schedule	code is bundled with other services	2100	100			Fee schedule	code is bundled with other services	2100	100			Fee schedule	code is bundled with other services	2100		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule	code is bundled with other services	2100	840	1890	
"Myomectomy, excision of fibroid tumor(s) of uterus, 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g, abdominal approach"	58146	CPT	Outpatient			2200	1430		90			Percent of total billed charges		1980	40			Percent of total billed charges		880	80			Percent of total billed charges		1760	85			Percent of total billed charges		1870	100			Fee schedule	code is bundled with other services	2200	85			Percent of total billed charges		1870	100			Fee schedule	code is bundled with other services	2200	100			Fee schedule	code is bundled with other services	2200	100			Fee schedule	code is bundled with other services	2200	100			Fee schedule	code is bundled with other services	2200		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule	code is bundled with other services	2200	880	1980	
"Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, includes internal fixation, when performed"	27511	CPT	Outpatient			2365	1537.25		90			Percent of total billed charges		2128.5	40			Percent of total billed charges		946	80			Percent of total billed charges		1892	85			Percent of total billed charges		2010.25	100			Fee schedule	code is bundled with other services	2365	85			Percent of total billed charges		2010.25	100			Fee schedule	code is bundled with other services	2365	100			Fee schedule	code is bundled with other services	2365	100			Fee schedule	code is bundled with other services	2365	100			Fee schedule	code is bundled with other services	2365		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule	code is bundled with other services	2365	946	2128.5	
"Open treatment of femoral shaft fracture with plate/screws, with or without cerclage"	27507	CPT	Outpatient			2495	1621.75		90			Percent of total billed charges		2245.5	40			Percent of total billed charges		998	80			Percent of total billed charges		1996	85			Percent of total billed charges		2120.75	100			Fee schedule	code is bundled with other services	2495	85			Percent of total billed charges		2120.75	100			Fee schedule	code is bundled with other services	2495	100			Fee schedule	code is bundled with other services	2495	100			Fee schedule	code is bundled with other services	2495	100			Fee schedule	code is bundled with other services	2495		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule	code is bundled with other services	2495	998	2245.5	
Tubotubal anastomosis	58750	CPT	Outpatient			6412.6	4168.19		90			Percent of total billed charges		5771.34	40			Percent of total billed charges		2565.04	80			Percent of total billed charges		5130.08	85			Percent of total billed charges		5450.71	100			Fee schedule	code is bundled with other services	6412.6	85			Percent of total billed charges		5450.71	100			Fee schedule	code is bundled with other services	6412.6	100			Fee schedule	code is bundled with other services	6412.6	100			Fee schedule	code is bundled with other services	6412.6	100			Fee schedule	code is bundled with other services	6412.6		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule	code is bundled with other services	6412.6	1767	5771.34	
"Exploratory laparotomy, exploratory celiotomy with or without biopsy(s) (separate procedure)"	49000	CPT	Outpatient			27460.07	17849.05		90			Percent of total billed charges		24714.07	40			Percent of total billed charges		10984.03	80			Percent of total billed charges		21968.06	85			Percent of total billed charges		23341.06	100			Fee schedule	code is bundled with other services	27460.07	85			Percent of total billed charges		23341.06	100			Fee schedule	code is bundled with other services	27460.07	100			Fee schedule	code is bundled with other services	27460.07	100			Fee schedule	code is bundled with other services	27460.07	100			Fee schedule	code is bundled with other services	27460.07		1767		Case rate		1767		1767		Case rate		1767	100			Fee schedule	code is bundled with other services	27460.07	1767	24714.07	
Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning	27178	CPT	Outpatient			1775	1153.75		90			Percent of total billed charges		1597.5	40			Percent of total billed charges		710	80			Percent of total billed charges		1420	85			Percent of total billed charges		1508.75	100			Fee schedule	code is bundled with other services	1775	85			Percent of total billed charges		1508.75	100			Fee schedule	code is bundled with other services	1775	100			Fee schedule	code is bundled with other services	1775	100			Fee schedule	code is bundled with other services	1775	100			Fee schedule	code is bundled with other services	1775		3486		Case rate	Use Lesser of logic	1775		3486		Case rate	Use Lesser of logic	1775	100			Fee schedule	code is bundled with other services	1775	710	1775	
"Thoracoscopy, surgical; with pleurodesis (eg, mechanical or chemical)"	32650	CPT	Outpatient			1890	1228.5		90			Percent of total billed charges		1701	40			Percent of total billed charges		756	80			Percent of total billed charges		1512	85			Percent of total billed charges		1606.5	100			Fee schedule	code is bundled with other services	1890	85			Percent of total billed charges		1606.5	100			Fee schedule	code is bundled with other services	1890	100			Fee schedule	code is bundled with other services	1890	100			Fee schedule	code is bundled with other services	1890	100			Fee schedule	code is bundled with other services	1890		5002		Case rate	Use Lesser of logic	1890		5002		Case rate	Use Lesser of logic	1890	100			Fee schedule	code is bundled with other services	1890	756	1890	
"Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ"	27176	CPT	Outpatient			1935	1257.75		90			Percent of total billed charges		1741.5	40			Percent of total billed charges		774	80			Percent of total billed charges		1548	85			Percent of total billed charges		1644.75	100			Fee schedule	code is bundled with other services	1935	85			Percent of total billed charges		1644.75	100			Fee schedule	code is bundled with other services	1935	100			Fee schedule	code is bundled with other services	1935	100			Fee schedule	code is bundled with other services	1935	100			Fee schedule	code is bundled with other services	1935		3486		Case rate	Use Lesser of logic	1935		3486		Case rate	Use Lesser of logic	1935	100			Fee schedule	code is bundled with other services	1935	774	1935	
"Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, includes internal fixation, when performed"	27540	CPT	Outpatient			2185	1420.25		90			Percent of total billed charges		1966.5	40			Percent of total billed charges		874	80			Percent of total billed charges		1748	85			Percent of total billed charges		1857.25	100			Fee schedule	code is bundled with other services	2185	85			Percent of total billed charges		1857.25	100			Fee schedule	code is bundled with other services	2185	100			Fee schedule	code is bundled with other services	2185	100			Fee schedule	code is bundled with other services	2185	100			Fee schedule	code is bundled with other services	2185		2168		Case rate		2168		2168		Case rate		2168	100			Fee schedule	code is bundled with other services	2185	874	2168	
"Gastric restrictive procedure, without gastric bypass, for morbid obesity; other than vertical-banded gastroplasty"	43843	CPT	Outpatient			2350	1527.5		90			Percent of total billed charges		2115	40			Percent of total billed charges		940	80			Percent of total billed charges		1880	85			Percent of total billed charges		1997.5	100			Fee schedule	code is bundled with other services	2350	85			Percent of total billed charges		1997.5	100			Fee schedule	code is bundled with other services	2350	100			Fee schedule	code is bundled with other services	2350	100			Fee schedule	code is bundled with other services	2350	100			Fee schedule	code is bundled with other services	2350		2168		Case rate		2168		2168		Case rate		2168	100			Fee schedule	code is bundled with other services	2350	940	2168	
"Laparoscopy, surgical, with adrenalectomy, partial or complete, or exploration of adrenal gland with or without biopsy, transabdominal, lumbar or dorsal"	60650	CPT	Outpatient			2700	1755		90			Percent of total billed charges		2430	40			Percent of total billed charges		1080	80			Percent of total billed charges		2160	85			Percent of total billed charges		2295	100			Fee schedule	code is bundled with other services	2700	85			Percent of total billed charges		2295	100			Fee schedule	code is bundled with other services	2700	100			Fee schedule	code is bundled with other services	2700	100			Fee schedule	code is bundled with other services	2700	100			Fee schedule	code is bundled with other services	2700		2168		Case rate		2168		2168		Case rate		2168	100			Fee schedule	code is bundled with other services	2700	1080	2430	
"Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal fixation, when performed"	27513	CPT	Outpatient			2774	1803.1		90			Percent of total billed charges		2496.6	40			Percent of total billed charges		1109.6	80			Percent of total billed charges		2219.2	85			Percent of total billed charges		2357.9	100			Fee schedule	code is bundled with other services	2774	85			Percent of total billed charges		2357.9	100			Fee schedule	code is bundled with other services	2774	100			Fee schedule	code is bundled with other services	2774	100			Fee schedule	code is bundled with other services	2774	100			Fee schedule	code is bundled with other services	2774		2168		Case rate		2168		2168		Case rate		2168	100			Fee schedule	code is bundled with other services	2774	1109.6	2496.6	
"Laparoscopy, surgical; enterectomy, resection of small intestine, single resection and anastomosis"	44202	CPT	Outpatient			2850	1852.5		90			Percent of total billed charges		2565	40			Percent of total billed charges		1140	80			Percent of total billed charges		2280	85			Percent of total billed charges		2422.5	100			Fee schedule	code is bundled with other services	2850	85			Percent of total billed charges		2422.5	100			Fee schedule	code is bundled with other services	2850	100			Fee schedule	code is bundled with other services	2850	100			Fee schedule	code is bundled with other services	2850	100			Fee schedule	code is bundled with other services	2850		2168		Case rate		2168		2168		Case rate		2168	100			Fee schedule	code is bundled with other services	2850	1140	2565	
"Laparoscopy, surgical; colectomy, partial, with anastomosis"	44204	CPT	Outpatient			2875	1868.75		90			Percent of total billed charges		2587.5	40			Percent of total billed charges		1150	80			Percent of total billed charges		2300	85			Percent of total billed charges		2443.75	100			Fee schedule	code is bundled with other services	2875	85			Percent of total billed charges		2443.75	100			Fee schedule	code is bundled with other services	2875	100			Fee schedule	code is bundled with other services	2875	100			Fee schedule	code is bundled with other services	2875	100			Fee schedule	code is bundled with other services	2875		2168		Case rate		2168		2168		Case rate		2168	100			Fee schedule	code is bundled with other services	2875	1150	2587.5	
Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap	19367	CPT	Outpatient			3730	2424.5		90			Percent of total billed charges		3357	40			Percent of total billed charges		1492	80			Percent of total billed charges		2984	85			Percent of total billed charges		3170.5	100			Fee schedule	code is bundled with other services	3730	85			Percent of total billed charges		3170.5	100			Fee schedule	code is bundled with other services	3730	100			Fee schedule	code is bundled with other services	3730	100			Fee schedule	code is bundled with other services	3730	100			Fee schedule	code is bundled with other services	3730		2168		Case rate		2168		2168		Case rate		2168	100			Fee schedule	code is bundled with other services	3730	1492	3357	
"Salpingo-oophorectomy, complete or partial, unilateral or bilateral (separate procedure)"	58720	CPT	Outpatient			6253.6	4064.84		90			Percent of total billed charges		5628.24	40			Percent of total billed charges		2501.44	80			Percent of total billed charges		5002.88	85			Percent of total billed charges		5315.56	100			Fee schedule	code is bundled with other services	6253.6	85			Percent of total billed charges		5315.56	100			Fee schedule	code is bundled with other services	6253.6	100			Fee schedule	code is bundled with other services	6253.6	100			Fee schedule	code is bundled with other services	6253.6	100			Fee schedule	code is bundled with other services	6253.6		2168		Case rate		2168		2168		Case rate		2168	100			Fee schedule	code is bundled with other services	6253.6	2168	5628.24	
"Thoracoscopy, surgical; with partial pulmonary decortication"	32651	CPT	Outpatient			2205	1433.25		90			Percent of total billed charges		1984.5	40			Percent of total billed charges		882	80			Percent of total billed charges		1764	85			Percent of total billed charges		1874.25	100			Fee schedule	code is bundled with other services	2205	85			Percent of total billed charges		1874.25	100			Fee schedule	code is bundled with other services	2205	100			Fee schedule	code is bundled with other services	2205	100			Fee schedule	code is bundled with other services	2205	100			Fee schedule	code is bundled with other services	2205		5002		Case rate	Use Lesser of logic	2205		5002		Case rate	Use Lesser of logic	2205	100			Fee schedule	code is bundled with other services	2205	882	2205	
"Thoracoscopy, surgical; with resection-plication of bullae, includes any pleural procedure when performed"	32655	CPT	Outpatient			2235	1452.75		90			Percent of total billed charges		2011.5	40			Percent of total billed charges		894	80			Percent of total billed charges		1788	85			Percent of total billed charges		1899.75	100			Fee schedule	code is bundled with other services	2235	85			Percent of total billed charges		1899.75	100			Fee schedule	code is bundled with other services	2235	100			Fee schedule	code is bundled with other services	2235	100			Fee schedule	code is bundled with other services	2235	100			Fee schedule	code is bundled with other services	2235		5002		Case rate	Use Lesser of logic	2235		5002		Case rate	Use Lesser of logic	2235	100			Fee schedule	code is bundled with other services	2235	894	2235	
Anterior instrumentation; 2 to 3 vertebral segments (List separately in addition to code for primary procedure)	22845	CPT	Outpatient			2455	1595.75		90			Percent of total billed charges		2209.5	40			Percent of total billed charges		982	80			Percent of total billed charges		1964	85			Percent of total billed charges		2086.75	100			Fee schedule	code is bundled with other services	2455	85			Percent of total billed charges		2086.75	100			Fee schedule	code is bundled with other services	2455	100			Fee schedule	code is bundled with other services	2455	100			Fee schedule	code is bundled with other services	2455	100			Fee schedule	code is bundled with other services	2455		3486		Case rate	Use Lesser of logic	2455		3486		Case rate	Use Lesser of logic	2455	100			Fee schedule	code is bundled with other services	2455	982	2455	
"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5.1-10.0 cm diameter"	49204	CPT	Outpatient			2500	1625		90			Percent of total billed charges		2250	40			Percent of total billed charges		1000	80			Percent of total billed charges		2000	85			Percent of total billed charges		2125	100			Fee schedule	code is bundled with other services	2500	85			Percent of total billed charges		2125	100			Fee schedule	code is bundled with other services	2500	100			Fee schedule	code is bundled with other services	2500	100			Fee schedule	code is bundled with other services	2500	100			Fee schedule	code is bundled with other services	2500		3486		Case rate	Use Lesser of logic	2500		3486		Case rate	Use Lesser of logic	2500	100			Fee schedule	code is bundled with other services	2500	1000	2500	
"Laparoscopy, surgical, gastric restrictive procedure; revision of adjustable gastric restrictive device component only"	43771	CPT	Outpatient			2640	1716		90			Percent of total billed charges		2376	40			Percent of total billed charges		1056	80			Percent of total billed charges		2112	85			Percent of total billed charges		2244	100			Fee schedule	code is bundled with other services	2640	85			Percent of total billed charges		2244	100			Fee schedule	code is bundled with other services	2640	100			Fee schedule	code is bundled with other services	2640	100			Fee schedule	code is bundled with other services	2640	100			Fee schedule	code is bundled with other services	2640		5938		Case rate	Use Lesser of logic	2640		5938		Case rate	Use Lesser of logic	2640	100			Fee schedule	code is bundled with other services	2640	1056	2640	
"Thoracoscopy, surgical; with total pulmonary decortication, including intrapleural pneumonolysis"	32652	CPT	Outpatient			3054	1985.1		90			Percent of total billed charges		2748.6	40			Percent of total billed charges		1221.6	80			Percent of total billed charges		2443.2	85			Percent of total billed charges		2595.9	100			Fee schedule	code is bundled with other services	3054	85			Percent of total billed charges		2595.9	100			Fee schedule	code is bundled with other services	3054	100			Fee schedule	code is bundled with other services	3054	100			Fee schedule	code is bundled with other services	3054	100			Fee schedule	code is bundled with other services	3054		5002		Case rate	Use Lesser of logic	3054		5002		Case rate	Use Lesser of logic	3054	100			Fee schedule	code is bundled with other services	3054	1221.6	3054	
"Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor greater than 10.0 cm diameter"	49205	CPT	Outpatient			3100	2015		90			Percent of total billed charges		2790	40			Percent of total billed charges		1240	80			Percent of total billed charges		2480	85			Percent of total billed charges		2635	100			Fee schedule	code is bundled with other services	3100	85			Percent of total billed charges		2635	100			Fee schedule	code is bundled with other services	3100	100			Fee schedule	code is bundled with other services	3100	100			Fee schedule	code is bundled with other services	3100	100			Fee schedule	code is bundled with other services	3100		3486		Case rate	Use Lesser of logic	3100		3486		Case rate	Use Lesser of logic	3100	100			Fee schedule	code is bundled with other services	3100	1240	3100	
"Transcatheter placement of an intravascular stent(s) (except lower extremity artery(s) for occlusive disease, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or coronary), open or percutaneous, including radiological supervision and interpretation and including all angioplasty within the same vessel, when performed; each additional artery (List separately in addition to code for primary procedure)"	37237	CPT	Outpatient			9625	6256.25		90			Percent of total billed charges		8662.5	40			Percent of total billed charges		3850	80			Percent of total billed charges		7700	85			Percent of total billed charges		8181.25	100			Fee schedule	code is bundled with other services	9625	85			Percent of total billed charges		8181.25	100			Fee schedule	code is bundled with other services	9625	100			Fee schedule	code is bundled with other services	9625	100			Fee schedule	code is bundled with other services	9625	100			Fee schedule	code is bundled with other services	9625		3486		Case rate		3486		3486		Case rate		3486	100			Fee schedule	code is bundled with other services	9625	3486	8662.5	
"Revision of total hip arthroplasty; femoral component only, with or without allograft"	27138	CPT	Outpatient			3725	2421.25		90			Percent of total billed charges		3352.5	40			Percent of total billed charges		1490	80			Percent of total billed charges		2980	85			Percent of total billed charges		3166.25	100			Fee schedule	code is bundled with other services	3725	85			Percent of total billed charges		3166.25	100			Fee schedule	code is bundled with other services	3725	100			Fee schedule	code is bundled with other services	3725	100			Fee schedule	code is bundled with other services	3725	100			Fee schedule	code is bundled with other services	3725		5002		Case rate	Use Lesser of logic	3725		5002		Case rate	Use Lesser of logic	3725	100			Fee schedule	code is bundled with other services	3725	1490	3725	
"Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft"	27137	CPT	Outpatient			3995	2596.75		90			Percent of total billed charges		3595.5	40			Percent of total billed charges		1598	80			Percent of total billed charges		3196	85			Percent of total billed charges		3395.75	100			Fee schedule	code is bundled with other services	3995	85			Percent of total billed charges		3395.75	100			Fee schedule	code is bundled with other services	3995	100			Fee schedule	code is bundled with other services	3995	100			Fee schedule	code is bundled with other services	3995	100			Fee schedule	code is bundled with other services	3995		5002		Case rate	Use Lesser of logic	3995		5002		Case rate	Use Lesser of logic	3995	100			Fee schedule	code is bundled with other services	3995	1598	3995	
"Revision of total hip arthroplasty; both components, with or without autograft or allograft"	27134	CPT	Outpatient			4925	3201.25		90			Percent of total billed charges		4432.5	40			Percent of total billed charges		1970	80			Percent of total billed charges		3940	85			Percent of total billed charges		4186.25	100			Fee schedule	code is bundled with other services	4925	85			Percent of total billed charges		4186.25	100			Fee schedule	code is bundled with other services	4925	100			Fee schedule	code is bundled with other services	4925	100			Fee schedule	code is bundled with other services	4925	100			Fee schedule	code is bundled with other services	4925		5002		Case rate	Use Lesser of logic	4925		5002		Case rate	Use Lesser of logic	4925	100			Fee schedule	code is bundled with other services	4925	1970	4925	
"Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft"	27132	CPT	Outpatient			4995	3246.75		90			Percent of total billed charges		4495.5	40			Percent of total billed charges		1998	80			Percent of total billed charges		3996	85			Percent of total billed charges		4245.75	100			Fee schedule	code is bundled with other services	4995	85			Percent of total billed charges		4245.75	100			Fee schedule	code is bundled with other services	4995	100			Fee schedule	code is bundled with other services	4995	100			Fee schedule	code is bundled with other services	4995	100			Fee schedule	code is bundled with other services	4995		5002		Case rate	Use Lesser of logic	4995		5002		Case rate	Use Lesser of logic	4995	100			Fee schedule	code is bundled with other services	4995	1998	4995	
"Revision of total knee arthroplasty, with or without allograft; 1 component"	27486	CPT	Outpatient			9023.59	5865.33		90			Percent of total billed charges		8121.23	40			Percent of total billed charges		3609.43	80			Percent of total billed charges		7218.87	85			Percent of total billed charges		7670.05	100			Fee schedule	code is bundled with other services	9023.59	85			Percent of total billed charges		7670.05	100			Fee schedule	code is bundled with other services	9023.59	100			Fee schedule	code is bundled with other services	9023.59	100			Fee schedule	code is bundled with other services	9023.59	100			Fee schedule	code is bundled with other services	9023.59		5002		Case rate		5002		5002		Case rate		5002	100			Fee schedule	code is bundled with other services	9023.59	3609.43	8121.23	
"Diabetes outpatient self-management training services, group session (2 or more), per 30 minutes"	G0109	CPT	Outpatient			19	12.35		90			Percent of total billed charges		17.1		15.99		Case rate		15.99	80			Percent of total billed charges		15.2	90			Percent of total billed charges		17.1	100			Fee schedule		14.3	85			Percent of total billed charges		16.15	100			Fee schedule		14.3	100			Fee schedule		14.3	100			Fee schedule		14.3	100			Fee schedule		14.3	33.3			Percent of total billed charges		6.33	33.3			Percent of total billed charges		6.33	100			Fee schedule		14.3	6.33	17.1	
"Alcohol (ethanol); any specimen except urine and breath, immunoassay (eg, IA, EIA, ELISA, RIA, EMIT, FPIA) and enzymatic methods (eg, alcohol dehydrogenase)"	82077	CPT	Outpatient			107	69.55		90			Percent of total billed charges		96.3		19		Case rate		19	80			Percent of total billed charges		85.6	90			Percent of total billed charges		96.3	100			Fee schedule		17.27	85			Percent of total billed charges		90.95	100			Fee schedule		17.27	100			Fee schedule		17.27	100			Fee schedule		17.27	100			Fee schedule		17.27	33.3			Percent of total billed charges		35.63	33.3			Percent of total billed charges		35.63	100			Fee schedule		17.27	17.27	96.3	
Acetaminophen	80143	CPT	Outpatient			80	52		90			Percent of total billed charges		72		20.5		Case rate		20.5	80			Percent of total billed charges		64	90			Percent of total billed charges		72	100			Fee schedule		18.64	85			Percent of total billed charges		68	100			Fee schedule		18.64	100			Fee schedule		18.64	100			Fee schedule		18.64	100			Fee schedule		18.64	33.3			Percent of total billed charges		26.64	33.3			Percent of total billed charges		26.64	100			Fee schedule		18.64	18.64	72	
Salicylate	80179	CPT	Outpatient			80	52		90			Percent of total billed charges		72		20.5		Case rate		20.5	80			Percent of total billed charges		64	90			Percent of total billed charges		72	100			Fee schedule		18.64	85			Percent of total billed charges		68	100			Fee schedule		18.64	100			Fee schedule		18.64	100			Fee schedule		18.64	100			Fee schedule		18.64	33.3			Percent of total billed charges		26.64	33.3			Percent of total billed charges		26.64	100			Fee schedule		18.64	18.64	72	
Heel wedge	L3350	CPT	Outpatient			36	23.4		90			Percent of total billed charges		32.4		186.35		Case rate	Use Lesser of logic	36	80			Percent of total billed charges		28.8	90			Percent of total billed charges		32.4	100			Fee schedule		27.06	85			Percent of total billed charges		30.6	100			Fee schedule		27.06	100			Fee schedule		27.06	100			Fee schedule		27.06	100			Fee schedule		27.06	33.3			Percent of total billed charges		11.99	33.3			Percent of total billed charges		11.99	100			Fee schedule		27.06	11.99	36	
"Finger orthosis, proximal interphalangeal (pip)/distal interphalangeal (dip), without joint/spring, extension/flexion (e.g., static or ring type), may include soft interface material, prefabricated, off-the-shelf"	L3927	CPT	Outpatient			35	22.75		90			Percent of total billed charges		31.5		602.68		Case rate	Use Lesser of logic	35	80			Percent of total billed charges		28	90			Percent of total billed charges		31.5	100			Fee schedule		37.67	85			Percent of total billed charges		29.75	100			Fee schedule		35	100			Fee schedule		37.67	100			Fee schedule		37.67	100			Fee schedule		37.67	33.3			Percent of total billed charges		11.66	33.3			Percent of total billed charges		11.66	100			Fee schedule		37.67	11.66	37.67	
"Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per day"	95992	CPT	Outpatient			160	104		90			Percent of total billed charges		144		38.86		Case rate		38.86	80			Percent of total billed charges		128	90			Percent of total billed charges		144	100			Fee schedule		38.98	85			Percent of total billed charges		136	100			Fee schedule		38.98	100			Fee schedule		38.98	100			Fee schedule		38.98	100			Fee schedule		38.98	33.3			Percent of total billed charges		53.28	33.3			Percent of total billed charges		53.28	100			Fee schedule		38.98	38.86	144	
Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19])	86769	CPT	Outpatient			72	46.8		90			Percent of total billed charges		64.8		46.34		Case rate		46.34	80			Percent of total billed charges		57.6	90			Percent of total billed charges		64.8	100			Fee schedule		42.13	85			Percent of total billed charges		61.2	100			Fee schedule		42.13	100			Fee schedule		42.13	100			Fee schedule		42.13	100			Fee schedule		42.13	33.3			Percent of total billed charges		23.98	33.3			Percent of total billed charges		23.98	100			Fee schedule		42.13	23.98	64.8	
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for primary procedure)"	92608	CPT	Outpatient			64	41.6		90			Percent of total billed charges		57.6		51.49		Case rate		51.49	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	100			Fee schedule		44.07	85			Percent of total billed charges		54.4	100			Fee schedule		44.07	100			Fee schedule		44.07	100			Fee schedule		44.07	100			Fee schedule		44.07	33.3			Percent of total billed charges		21.31	33.3			Percent of total billed charges		21.31	100			Fee schedule		44.07	21.31	57.6	
"Foot, arch support, non-removable attached to shoe, longitudinal/metatarsal, each"	L3090	CPT	Outpatient			50	32.5		90			Percent of total billed charges		45		97.68		Case rate	Use Lesser of logic	50	80			Percent of total billed charges		40	90			Percent of total billed charges		45	100			Fee schedule		48.16	85			Percent of total billed charges		42.5	100			Fee schedule		48.16	100			Fee schedule		48.16	100			Fee schedule		48.16	100			Fee schedule		48.16	33.3			Percent of total billed charges		16.65	33.3			Percent of total billed charges		16.65	100			Fee schedule		48.16	16.65	50	
"Diabetes outpatient self-management training services, individual, per 30 minutes"	G0108	CPT	Outpatient			69	44.85		90			Percent of total billed charges		62.1		57.17		Case rate		57.17	80			Percent of total billed charges		55.2	90			Percent of total billed charges		62.1	100			Fee schedule		49.73	85			Percent of total billed charges		58.65	100			Fee schedule		49.73	100			Fee schedule		49.73	100			Fee schedule		49.73	100			Fee schedule		49.73	33.3			Percent of total billed charges		22.98	33.3			Percent of total billed charges		22.98	100			Fee schedule		49.73	22.98	62.1	
"Hallus-valgus night dynamic splint, prefabricated, off-the-shelf"	L3100	CPT	Outpatient			45	29.25		90			Percent of total billed charges		40.5		110.18		Case rate	Use Lesser of logic	45	80			Percent of total billed charges		36	90			Percent of total billed charges		40.5	100			Fee schedule		51.13	85			Percent of total billed charges		38.25	100			Fee schedule		45	100			Fee schedule		51.13	100			Fee schedule		51.13	100			Fee schedule		51.13	33.3			Percent of total billed charges		14.98	33.3			Percent of total billed charges		14.98	100			Fee schedule		51.13	14.98	51.13	
"Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]), amplified probe technique"	87635	CPT	Outpatient			89.5	58.18		90			Percent of total billed charges		80.55		56.44		Case rate		56.44	80			Percent of total billed charges		71.6	90			Percent of total billed charges		80.55	100			Fee schedule		51.31	85			Percent of total billed charges		76.08	100			Fee schedule		51.31	100			Fee schedule		51.31	100			Fee schedule		51.31	100			Fee schedule		51.31	33.3			Percent of total billed charges		29.8	33.3			Percent of total billed charges		29.8	100			Fee schedule		51.31	29.8	80.55	
"2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc"	U0002	CPT	Outpatient			100	65		90			Percent of total billed charges		90		56.44		Case rate		56.44	80			Percent of total billed charges		80	90			Percent of total billed charges		90	100			Fee schedule		51.31	85			Percent of total billed charges		85	100			Fee schedule		51.31	100			Fee schedule		51.31	100			Fee schedule		51.31	100			Fee schedule		51.31	33.3			Percent of total billed charges		33.3	33.3			Percent of total billed charges		33.3	100			Fee schedule		51.31	33.3	90	
"Gradient compression stocking, thigh length, 18-30 mmhg, each"	A6533	CPT	Outpatient			40	26		90			Percent of total billed charges		36		34.29		Case rate		34.29	80			Percent of total billed charges		32	90			Percent of total billed charges		36	100			Fee schedule		51.86	85			Percent of total billed charges		34	100			Fee schedule		40	100			Fee schedule		51.86	100			Fee schedule		51.86	100			Fee schedule		51.86	33.3			Percent of total billed charges		13.32	33.3			Percent of total billed charges		13.32	100			Fee schedule		51.86	13.32	51.86	
"Foot, arch support, removable, premolded, metatarsal, each"	L3050	CPT	Outpatient			55	35.75		90			Percent of total billed charges		49.5		276.01		Case rate	Use Lesser of logic	55	80			Percent of total billed charges		44	90			Percent of total billed charges		49.5	100			Fee schedule		55.67	85			Percent of total billed charges		46.75	100			Fee schedule		55	100			Fee schedule		55.67	100			Fee schedule		55.67	100			Fee schedule		55.67	33.3			Percent of total billed charges		18.32	33.3			Percent of total billed charges		18.32	100			Fee schedule		55.67	18.32	55.67	
"Foot, plastic, silicone or equal, heel stabilizer, prefabricated, off-the-shelf, each"	L3170	CPT	Outpatient			20	13		90			Percent of total billed charges		18		26.3		Case rate	Use Lesser of logic	20	80			Percent of total billed charges		16	90			Percent of total billed charges		18	100			Fee schedule		60.2	85			Percent of total billed charges		17	100			Fee schedule		20	100			Fee schedule		60.2	100			Fee schedule		60.2	100			Fee schedule		60.2	33.3			Percent of total billed charges		6.66	33.3			Percent of total billed charges		6.66	100			Fee schedule		60.2	6.66	60.2	
"Shoulder orthosis, figure of eight design abduction restrainer, prefabricated, off-the-shelf"	L3650	CPT	Outpatient			150	97.5		90			Percent of total billed charges		135		1953.85		Case rate	Use Lesser of logic	150	80			Percent of total billed charges		120	90			Percent of total billed charges		135	100			Fee schedule		64.44	85			Percent of total billed charges		127.5	100			Fee schedule		64.44	100			Fee schedule		64.44	100			Fee schedule		64.44	100			Fee schedule		64.44	33.3			Percent of total billed charges		49.95	33.3			Percent of total billed charges		49.95	100			Fee schedule		64.44	49.95	150	
"Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf"	L3908	CPT	Outpatient			88	57.2		90			Percent of total billed charges		79.2		483.31		Case rate	Use Lesser of logic	88	80			Percent of total billed charges		70.4	90			Percent of total billed charges		79.2	100			Fee schedule		64.5	85			Percent of total billed charges		74.8	100			Fee schedule		64.5	100			Fee schedule		64.5	100			Fee schedule		64.5	100			Fee schedule		64.5	33.3			Percent of total billed charges		29.3	33.3			Percent of total billed charges		29.3	100			Fee schedule		64.5	29.3	88	
"Rural health clinic or federally qualified health center (rhc or fqhc) only, general care management, 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician, np, pa, or cnm), per calendar month"	G0511	CPT	Outpatient			100	65		90			Percent of total billed charges		90		67.56		Case rate		67.56	80			Percent of total billed charges		80	90			Percent of total billed charges		90	100			Fee schedule		66.52	85			Percent of total billed charges		85	100			Fee schedule		66.52	100			Fee schedule		66.52	100			Fee schedule		66.52	100			Fee schedule		66.52	33.3			Percent of total billed charges		33.3	33.3			Percent of total billed charges		33.3	100			Fee schedule		66.52	33.3	90	
"Knee orthosis, immobilizer, canvas longitudinal, prefabricated, off-the-shelf"	L1830	CPT	Outpatient			85	55.25		90			Percent of total billed charges		76.5		735.03		Case rate	Use Lesser of logic	85	80			Percent of total billed charges		68	90			Percent of total billed charges		76.5	100			Fee schedule		73.01	85			Percent of total billed charges		72.25	100			Fee schedule		73.01	100			Fee schedule		73.01	100			Fee schedule		73.01	100			Fee schedule		73.01	33.3			Percent of total billed charges		28.3	33.3			Percent of total billed charges		28.3	100			Fee schedule		73.01	28.3	85	
Treatment of swallowing dysfunction and/or oral function for feeding	92526	CPT	Outpatient			187	121.55		90			Percent of total billed charges		168.3		87.95		Case rate		87.95	80			Percent of total billed charges		149.6	90			Percent of total billed charges		168.3	100			Fee schedule		77.27	85			Percent of total billed charges		158.95	100			Fee schedule		77.27	100			Fee schedule		77.27	100			Fee schedule		77.27	100			Fee schedule		77.27	33.3			Percent of total billed charges		62.27	33.3			Percent of total billed charges		62.27	100			Fee schedule		77.27	62.27	168.3	
Evaluation of oral and pharyngeal swallowing function	92610	CPT	Outpatient			334	217.1		90			Percent of total billed charges		300.6		73.16		Case rate		73.16	80			Percent of total billed charges		267.2	90			Percent of total billed charges		300.6	100			Fee schedule		77.61	85			Percent of total billed charges		283.9	100			Fee schedule		77.61	100			Fee schedule		77.61	100			Fee schedule		77.61	100			Fee schedule		77.61	33.3			Percent of total billed charges		111.22	33.3			Percent of total billed charges		111.22	100			Fee schedule		77.61	73.16	300.6	
"Knee orthosis, elastic with joints, prefabricated, off-the-shelf"	L1812	CPT	Outpatient			135	87.75		90			Percent of total billed charges		121.5		1881.34		Case rate	Use Lesser of logic	135	80			Percent of total billed charges		108	90			Percent of total billed charges		121.5	100			Fee schedule		81.02	85			Percent of total billed charges		114.75	100			Fee schedule		81.02	100			Fee schedule		81.02	100			Fee schedule		81.02	100			Fee schedule		81.02	33.3			Percent of total billed charges		44.96	33.3			Percent of total billed charges		44.96	100			Fee schedule		81.02	44.96	135	
Motion fluoroscopic evaluation of swallowing function by cine or video recording	92611	CPT	Outpatient			401	260.65		90			Percent of total billed charges		360.9		94.47		Case rate		94.47	80			Percent of total billed charges		320.8	90			Percent of total billed charges		360.9	100			Fee schedule		83.3	85			Percent of total billed charges		340.85	100			Fee schedule		83.3	100			Fee schedule		83.3	100			Fee schedule		83.3	100			Fee schedule		83.3	33.3			Percent of total billed charges		133.53	33.3			Percent of total billed charges		133.53	100			Fee schedule		83.3	83.3	360.9	
"Foot, arch support, removable, premolded, longitudinal/ metatarsal, each"	L3060	CPT	Outpatient			80	52		90			Percent of total billed charges		72		328.12		Case rate	Use Lesser of logic	80	80			Percent of total billed charges		64	90			Percent of total billed charges		72	100			Fee schedule		87.26	85			Percent of total billed charges		68	100			Fee schedule		80	100			Fee schedule		87.26	100			Fee schedule		87.26	100			Fee schedule		87.26	33.3			Percent of total billed charges		26.64	33.3			Percent of total billed charges		26.64	100			Fee schedule		87.26	26.64	87.26	
"Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf"	L1902	CPT	Outpatient			138	89.7		90			Percent of total billed charges		124.2		56.28		Case rate		56.28	80			Percent of total billed charges		110.4	90			Percent of total billed charges		124.2	100			Fee schedule		90.37	85			Percent of total billed charges		117.3	100			Fee schedule		90.37	100			Fee schedule		90.37	100			Fee schedule		90.37	100			Fee schedule		90.37	33.3			Percent of total billed charges		45.95	33.3			Percent of total billed charges		45.95	100			Fee schedule		90.37	45.95	124.2	
"Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise"	L3929	CPT	Outpatient			85	55.25		90			Percent of total billed charges		76.5		874.98		Case rate	Use Lesser of logic	85	80			Percent of total billed charges		68	90			Percent of total billed charges		76.5	100			Fee schedule		90.63	85			Percent of total billed charges		72.25	100			Fee schedule		85	100			Fee schedule		90.63	100			Fee schedule		90.63	100			Fee schedule		90.63	33.3			Percent of total billed charges		28.3	33.3			Percent of total billed charges		28.3	100			Fee schedule		90.63	28.3	90.63	
"Hand finger orthosis, includes one or more nontorsion joint(s), turnbuckles, elastic bands/springs, may include soft interface material, straps, prefabricated, off-the-shelf"	L3930	CPT	Outpatient			85	55.25		90			Percent of total billed charges		76.5		724.2		Case rate	Use Lesser of logic	85	80			Percent of total billed charges		68	90			Percent of total billed charges		76.5	100			Fee schedule		90.63	85			Percent of total billed charges		72.25	100			Fee schedule		85	100			Fee schedule		90.63	100			Fee schedule		90.63	100			Fee schedule		90.63	33.3			Percent of total billed charges		28.3	33.3			Percent of total billed charges		28.3	100			Fee schedule		90.63	28.3	90.63	
"Hand finger orthosis, without joints, may include soft interface, straps, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise"	L3923	CPT	Outpatient			86	55.9		90			Percent of total billed charges		77.4		1712.04		Case rate	Use Lesser of logic	86	80			Percent of total billed charges		68.8	90			Percent of total billed charges		77.4	100			Fee schedule		93.65	85			Percent of total billed charges		73.1	100			Fee schedule		86	100			Fee schedule		93.65	100			Fee schedule		93.65	100			Fee schedule		93.65	33.3			Percent of total billed charges		28.64	33.3			Percent of total billed charges		28.64	100			Fee schedule		93.65	28.64	93.65	
"Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf"	L3660	CPT	Outpatient			105	68.25		90			Percent of total billed charges		94.5		1601.41		Case rate	Use Lesser of logic	105	80			Percent of total billed charges		84	90			Percent of total billed charges		94.5	100			Fee schedule		110.65	85			Percent of total billed charges		89.25	100			Fee schedule		105	100			Fee schedule		110.65	100			Fee schedule		110.65	100			Fee schedule		110.65	33.3			Percent of total billed charges		34.96	33.3			Percent of total billed charges		34.96	100			Fee schedule		110.65	34.96	110.65	
"Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hour"	92607	CPT	Outpatient			234	152.1		90			Percent of total billed charges		210.6		129.11		Case rate		129.11	80			Percent of total billed charges		187.2	90			Percent of total billed charges		210.6	100			Fee schedule		112.61	85			Percent of total billed charges		198.9	100			Fee schedule		112.61	100			Fee schedule		112.61	100			Fee schedule		112.61	100			Fee schedule		112.61	33.3			Percent of total billed charges		77.92	33.3			Percent of total billed charges		77.92	100			Fee schedule		112.61	77.92	210.6	
"Hand orthosis, metacarpal fracture orthosis, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise"	L3917	CPT	Outpatient			88	57.2		90			Percent of total billed charges		79.2		553.54		Case rate	Use Lesser of logic	88	80			Percent of total billed charges		70.4	90			Percent of total billed charges		79.2	100			Fee schedule		113.73	85			Percent of total billed charges		74.8	100			Fee schedule		88	100			Fee schedule		113.73	100			Fee schedule		113.73	100			Fee schedule		113.73	33.3			Percent of total billed charges		29.3	33.3			Percent of total billed charges		29.3	100			Fee schedule		113.73	29.3	113.73	
"Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf"	L4350	CPT	Outpatient			132	85.8		90			Percent of total billed charges		118.8		144.4		Case rate	Use Lesser of logic	132	80			Percent of total billed charges		105.6	90			Percent of total billed charges		118.8	100			Fee schedule		115.68	85			Percent of total billed charges		112.2	100			Fee schedule		115.68	100			Fee schedule		115.68	100			Fee schedule		115.68	100			Fee schedule		115.68	33.3			Percent of total billed charges		43.96	33.3			Percent of total billed charges		43.96	100			Fee schedule		115.68	43.96	132	
"Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit"	G0439	CPT	Outpatient			165	107.25		90			Percent of total billed charges		148.5		134.56		Case rate		134.56	80			Percent of total billed charges		132	90			Percent of total billed charges		148.5	100			Fee schedule		118.03	85			Percent of total billed charges		140.25	100			Fee schedule		118.03	100			Fee schedule		118.03	100			Fee schedule		118.03	100			Fee schedule		118.03	33.3			Percent of total billed charges		54.94	33.3			Percent of total billed charges		54.94	100			Fee schedule		118.03	54.94	148.5	
"Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any type"	L8509	CPT	Outpatient			159	103.35		90			Percent of total billed charges		143.1		135.25		Case rate		135.25	80			Percent of total billed charges		127.2	90			Percent of total billed charges		143.1	100			Fee schedule		129.46	85			Percent of total billed charges		135.15	100			Fee schedule		129.46	100			Fee schedule		129.46	100			Fee schedule		129.46	100			Fee schedule		129.46	33.3			Percent of total billed charges		52.95	33.3			Percent of total billed charges		52.95	100			Fee schedule		129.46	52.95	143.1	
"Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment"	L1820	CPT	Outpatient			150	97.5		90			Percent of total billed charges		135		726.88		Case rate	Use Lesser of logic	150	80			Percent of total billed charges		120	90			Percent of total billed charges		135	100			Fee schedule		142.65	85			Percent of total billed charges		127.5	100			Fee schedule		142.65	100			Fee schedule		142.65	100			Fee schedule		142.65	100			Fee schedule		142.65	33.3			Percent of total billed charges		49.95	33.3			Percent of total billed charges		49.95	100			Fee schedule		142.65	49.95	150	
"Knee orthosis, elastic with joints, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise"	L1810	CPT	Outpatient			170	110.5		90			Percent of total billed charges		153		1898.45		Case rate	Use Lesser of logic	170	80			Percent of total billed charges		136	90			Percent of total billed charges		153	100			Fee schedule		143.22	85			Percent of total billed charges		144.5	100			Fee schedule		143.22	100			Fee schedule		143.22	100			Fee schedule		143.22	100			Fee schedule		143.22	33.3			Percent of total billed charges		56.61	33.3			Percent of total billed charges		56.61	100			Fee schedule		143.22	56.61	170	
"Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit"	G0438	CPT	Outpatient			180	117		90			Percent of total billed charges		162		171.52		Case rate		171.52	80			Percent of total billed charges		144	90			Percent of total billed charges		162	100			Fee schedule		150.79	85			Percent of total billed charges		153	100			Fee schedule		150.79	100			Fee schedule		150.79	100			Fee schedule		150.79	100			Fee schedule		150.79	33.3			Percent of total billed charges		59.94	33.3			Percent of total billed charges		59.94	100			Fee schedule		150.79	59.94	171.52	
"Ankle foot orthosis, multiligamentous ankle support, prefabricated, off-the-shelf"	L1906	CPT	Outpatient			160	104		90			Percent of total billed charges		144		348.76		Case rate	Use Lesser of logic	160	80			Percent of total billed charges		128	90			Percent of total billed charges		144	100			Fee schedule		151.19	85			Percent of total billed charges		136	100			Fee schedule		151.19	100			Fee schedule		151.19	100			Fee schedule		151.19	100			Fee schedule		151.19	33.3			Percent of total billed charges		53.28	33.3			Percent of total billed charges		53.28	100			Fee schedule		151.19	53.28	160	
"Shoulder orthosis, acromio/clavicular (canvas and webbing type), prefabricated, off-the-shelf"	L3670	CPT	Outpatient			188	122.2		90			Percent of total billed charges		169.2		1581.82		Case rate	Use Lesser of logic	188	80			Percent of total billed charges		150.4	90			Percent of total billed charges		169.2	100			Fee schedule		154.22	85			Percent of total billed charges		159.8	100			Fee schedule		154.22	100			Fee schedule		154.22	100			Fee schedule		154.22	100			Fee schedule		154.22	33.3			Percent of total billed charges		62.6	33.3			Percent of total billed charges		62.6	100			Fee schedule		154.22	62.6	188	
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters"	97605	CPT	Outpatient			589	382.85		90			Percent of total billed charges		530.1		26.8		Case rate		26.8	80			Percent of total billed charges		471.2	90			Percent of total billed charges		530.1	100			Fee schedule		166.14	85			Percent of total billed charges		500.65	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14	33.3			Percent of total billed charges		196.14	33.3			Percent of total billed charges		196.14	100			Fee schedule		166.14	26.8	530.1	
"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated, off-the-shelf"	L4387	CPT	Outpatient			175	113.75		90			Percent of total billed charges		157.5		2478.06		Case rate	Use Lesser of logic	175	80			Percent of total billed charges		140	90			Percent of total billed charges		157.5	100			Fee schedule		187.55	85			Percent of total billed charges		148.75	100			Fee schedule		175	100			Fee schedule		187.55	100			Fee schedule		187.55	100			Fee schedule		187.55	33.3			Percent of total billed charges		58.28	33.3			Percent of total billed charges		58.28	100			Fee schedule		187.55	58.28	187.55	
"Walking boot, non-pneumatic, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise"	L4386	CPT	Outpatient			357	232.05		90			Percent of total billed charges		321.3		4788.41		Case rate	Use Lesser of logic	357	80			Percent of total billed charges		285.6	90			Percent of total billed charges		321.3	100			Fee schedule		187.55	85			Percent of total billed charges		303.45	100			Fee schedule		187.55	100			Fee schedule		187.55	100			Fee schedule		187.55	100			Fee schedule		187.55	33.3			Percent of total billed charges		118.88	33.3			Percent of total billed charges		118.88	100			Fee schedule		187.55	118.88	357	
"Heel, counter, plastic reinforced"	L3430	CPT	Outpatient			30	19.5		90			Percent of total billed charges		27		3038.13		Case rate	Use Lesser of logic	30	80			Percent of total billed charges		24	90			Percent of total billed charges		27	100			Fee schedule		189.57	85			Percent of total billed charges		25.5	100			Fee schedule		30	100			Fee schedule		189.57	100			Fee schedule		189.57	100			Fee schedule		189.57	33.3			Percent of total billed charges		9.99	33.3			Percent of total billed charges		9.99	100			Fee schedule		189.57	9.99	189.57	
"Lumbar-sacral orthosis, sagittal control, with rigid posterior panel(s), posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, stays, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise"	L0630	CPT	Outpatient			200	130		90			Percent of total billed charges		180		1286.16		Case rate	Use Lesser of logic	200	80			Percent of total billed charges		160	90			Percent of total billed charges		180	100			Fee schedule		191.55	85			Percent of total billed charges		170	100			Fee schedule		191.55	100			Fee schedule		191.55	100			Fee schedule		191.55	100			Fee schedule		191.55	33.3			Percent of total billed charges		66.6	33.3			Percent of total billed charges		66.6	100			Fee schedule		191.55	66.6	200	
"Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous use"	90377	CPT	Outpatient			1163.2	756.08		90			Percent of total billed charges		1046.88		439.3		Case rate		439.3	80			Percent of total billed charges		930.56	90			Percent of total billed charges		1046.88	100			Fee schedule		250.98	85			Percent of total billed charges		988.72	100			Fee schedule		250.98	100			Fee schedule		250.98	100			Fee schedule		250.98	100			Fee schedule		250.98	50			Percent of total billed charges		581.6	50			Percent of total billed charges		581.6	100			Fee schedule		250.98	250.98	1046.88	
"Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type"	L3809	CPT	Outpatient			250	162.5		90			Percent of total billed charges		225		398.77		Case rate	Use Lesser of logic	250	80			Percent of total billed charges		200	90			Percent of total billed charges		225	100			Fee schedule		269.22	85			Percent of total billed charges		212.5	100			Fee schedule		250	100			Fee schedule		269.22	100			Fee schedule		269.22	100			Fee schedule		269.22	33.3			Percent of total billed charges		83.25	33.3			Percent of total billed charges		83.25	100			Fee schedule		269.22	83.25	269.22	
"Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise"	L3807	CPT	Outpatient			285	185.25		90			Percent of total billed charges		256.5		329.25		Case rate	Use Lesser of logic	285	80			Percent of total billed charges		228	90			Percent of total billed charges		256.5	100			Fee schedule		269.22	85			Percent of total billed charges		242.25	100			Fee schedule		269.22	100			Fee schedule		269.22	100			Fee schedule		269.22	100			Fee schedule		269.22	33.3			Percent of total billed charges		94.9	33.3			Percent of total billed charges		94.9	100			Fee schedule		269.22	94.9	285	
"Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise"	L4360	CPT	Outpatient			300	195		90			Percent of total billed charges		270		260.13		Case rate		260.13	80			Percent of total billed charges		240	90			Percent of total billed charges		270	100			Fee schedule		323.66	85			Percent of total billed charges		255	100			Fee schedule		300	100			Fee schedule		323.66	100			Fee schedule		323.66	100			Fee schedule		323.66	33.3			Percent of total billed charges		99.9	33.3			Percent of total billed charges		99.9	100			Fee schedule		323.66	99.9	323.66	
"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical application(s), wound assessment, and instructions for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters"	97607	CPT	Outpatient			994	646.1		90			Percent of total billed charges		894.6		23.55		Case rate		23.55	80			Percent of total billed charges		795.2	90			Percent of total billed charges		894.6	100			Fee schedule		330.91	85			Percent of total billed charges		844.9	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91	33.3			Percent of total billed charges		331	33.3			Percent of total billed charges		331	100			Fee schedule		330.91	23.55	894.6	
"Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical application(s), wound assessment, and instructions for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters"	97608	CPT	Outpatient			994	646.1		90			Percent of total billed charges		894.6		26.11		Case rate		26.11	80			Percent of total billed charges		795.2	90			Percent of total billed charges		894.6	100			Fee schedule		330.91	85			Percent of total billed charges		844.9	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91	33.3			Percent of total billed charges		331	33.3			Percent of total billed charges		331	100			Fee schedule		330.91	26.11	894.6	
"Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area greater than 50 square centimeters"	97606	CPT	Outpatient			994	646.1		90			Percent of total billed charges		894.6		29.36		Case rate		29.36	80			Percent of total billed charges		795.2	90			Percent of total billed charges		894.6	100			Fee schedule		330.91	85			Percent of total billed charges		844.9	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91	33.3			Percent of total billed charges		331	33.3			Percent of total billed charges		331	100			Fee schedule		330.91	29.36	894.6	
"Upper extremity fracture orthosis, humeral, prefabricated, includes fitting and adjustment"	L3980	CPT	Outpatient			305	198.25		90			Percent of total billed charges		274.5		298.49		Case rate		298.49	80			Percent of total billed charges		244	90			Percent of total billed charges		274.5	100			Fee schedule		332.82	85			Percent of total billed charges		259.25	100			Fee schedule		305	100			Fee schedule		332.82	100			Fee schedule		332.82	100			Fee schedule		332.82	33.3			Percent of total billed charges		101.56	33.3			Percent of total billed charges		101.56	100			Fee schedule		332.82	101.56	332.82	
"Wrist hand finger orthosis, rigid without joints, may include soft interface material; straps, custom fabricated, includes fitting and adjustment"	L3808	CPT	Outpatient			121	78.65		90			Percent of total billed charges		108.9		305.81		Case rate	Use Lesser of logic	121	80			Percent of total billed charges		96.8	90			Percent of total billed charges		108.9	100			Fee schedule		359.6	85			Percent of total billed charges		102.85	100			Fee schedule		121	100			Fee schedule		359.6	100			Fee schedule		359.6	100			Fee schedule		359.6	33.3			Percent of total billed charges		40.29	33.3			Percent of total billed charges		40.29	100			Fee schedule		359.6	40.29	359.6	
"Upper extremity fracture orthosis, radius/ulnar, prefabricated, includes fitting and adjustment"	L3982	CPT	Outpatient			375	243.75		90			Percent of total billed charges		337.5		328		Case rate		328	80			Percent of total billed charges		300	90			Percent of total billed charges		337.5	100			Fee schedule		411.19	85			Percent of total billed charges		318.75	100			Fee schedule		375	100			Fee schedule		411.19	100			Fee schedule		411.19	100			Fee schedule		411.19	33.3			Percent of total billed charges		124.88	33.3			Percent of total billed charges		124.88	100			Fee schedule		411.19	124.88	411.19	
"Infectious disease (bacterial or viral respiratory tract infection), pathogen-specific nucleic acid (DNA or RNA), 22 targets including severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), qualitative RT-PCR, nasopharyngeal swab, each pathogen reported as detected or not detected"	0202U	CPT	Outpatient			550	357.5		90			Percent of total billed charges		495		458.46		Case rate		458.46	80			Percent of total billed charges		440	90			Percent of total billed charges		495	100			Fee schedule		416.78	85			Percent of total billed charges		467.5	100			Fee schedule		416.78	100			Fee schedule		416.78	100			Fee schedule		416.78	100			Fee schedule		416.78	33.3			Percent of total billed charges		183.15	33.3			Percent of total billed charges		183.15	100			Fee schedule		416.78	183.15	495	
"Upper extremity fracture orthosis, wrist, prefabricated, includes fitting and adjustment"	L3984	CPT	Outpatient			400	260		90			Percent of total billed charges		360		782.14		Case rate	Use Lesser of logic	400	80			Percent of total billed charges		320	90			Percent of total billed charges		360	100			Fee schedule		438.92	85			Percent of total billed charges		340	100			Fee schedule		400	100			Fee schedule		438.92	100			Fee schedule		438.92	100			Fee schedule		438.92	33.3			Percent of total billed charges		133.2	33.3			Percent of total billed charges		133.2	100			Fee schedule		438.92	133.2	438.92	
"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated, off-the shelf"	L1833	CPT	Outpatient			825	536.25		90			Percent of total billed charges		742.5		45.85		Case rate		45.85	80			Percent of total billed charges		660	90			Percent of total billed charges		742.5	100			Fee schedule		525.91	85			Percent of total billed charges		701.25	100			Fee schedule		525.91	100			Fee schedule		525.91	100			Fee schedule		525.91	100			Fee schedule		525.91	33.3			Percent of total billed charges		274.72	33.3			Percent of total billed charges		274.72	100			Fee schedule		525.91	45.85	742.5	
"Elbow orthosis (eo), with adjustable position locking joint(s), prefabricated, item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific  patient by an individual with expertise"	L3760	CPT	Outpatient			620	403		90			Percent of total billed charges		558		4671.45		Case rate	Use Lesser of logic	620	80			Percent of total billed charges		496	90			Percent of total billed charges		558	100			Fee schedule		538.4	85			Percent of total billed charges		527	100			Fee schedule		538.4	100			Fee schedule		538.4	100			Fee schedule		538.4	100			Fee schedule		538.4	33.3			Percent of total billed charges		206.46	33.3			Percent of total billed charges		206.46	100			Fee schedule		538.4	206.46	620	
"Knee orthosis (ko), double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated, off-the-shelf"	L1852	CPT	Outpatient			1145	744.25		90			Percent of total billed charges		1030.5		465.56		Case rate		465.56	80			Percent of total billed charges		916	90			Percent of total billed charges		1030.5	100			Fee schedule		662.21	85			Percent of total billed charges		973.25	100			Fee schedule		662.21	100			Fee schedule		662.21	100			Fee schedule		662.21	100			Fee schedule		662.21	33.3			Percent of total billed charges		381.28	33.3			Percent of total billed charges		381.28	100			Fee schedule		662.21	381.28	1030.5	
"Ankle foot orthosis, fracture orthosis, tibial fracture orthosis, rigid, prefabricated, includes fitting and adjustment"	L2116	CPT	Outpatient			255	165.75		90			Percent of total billed charges		229.5		84.73		Case rate		84.73	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	100			Fee schedule		841.34	85			Percent of total billed charges		216.75	100			Fee schedule		255	100			Fee schedule		841.34	100			Fee schedule		841.34	100			Fee schedule		841.34	33.3			Percent of total billed charges		84.92	33.3			Percent of total billed charges		84.92	100			Fee schedule		841.34	84.73	841.34	
"Knee orthosis, adjustable knee joints (unicentric or polycentric), positional orthosis, rigid support, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise"	L1832	CPT	Outpatient			868	564.2		90			Percent of total billed charges		781.2		73.37		Case rate		73.37	80			Percent of total billed charges		694.4	90			Percent of total billed charges		781.2	100			Fee schedule		891.83	85			Percent of total billed charges		737.8	100			Fee schedule		868	100			Fee schedule		891.83	100			Fee schedule		891.83	100			Fee schedule		891.83	33.3			Percent of total billed charges		289.04	33.3			Percent of total billed charges		289.04	100			Fee schedule		891.83	73.37	891.83	
"Shoulder orthosis, shoulder joint design, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment"	L3671	CPT	Outpatient			208	135.2		90			Percent of total billed charges		187.2		1899.91		Case rate	Use Lesser of logic	208	80			Percent of total billed charges		166.4	90			Percent of total billed charges		187.2	100			Fee schedule		970.09	85			Percent of total billed charges		176.8	100			Fee schedule		208	100			Fee schedule		970.09	100			Fee schedule		970.09	100			Fee schedule		970.09	33.3			Percent of total billed charges		69.26	33.3			Percent of total billed charges		69.26	100			Fee schedule		970.09	69.26	970.09	
"Knee orthosis, double upright, thigh and calf, with adjustable flexion and extension joint (unicentric or polycentric), medial-lateral and rotation control, with or without varus/valgus adjustment, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise"	L1845	CPT	Outpatient			1035	672.75		90			Percent of total billed charges		931.5		36.78		Case rate		36.78	80			Percent of total billed charges		828	90			Percent of total billed charges		931.5	100			Fee schedule		1108.06	85			Percent of total billed charges		879.75	100			Fee schedule		1035	100			Fee schedule		1108.06	100			Fee schedule		1108.06	100			Fee schedule		1108.06	33.3			Percent of total billed charges		344.66	33.3			Percent of total billed charges		344.66	100			Fee schedule		1108.06	36.78	1108.06	
"Lumbar-sacral orthosis, sagittal control, with rigid anterior and posterior panels, posterior extends from sacrococcygeal junction to t-9 vertebra, produces intracavitary pressure to reduce load on the intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise"	L0631	CPT	Outpatient			1275	828.75		90			Percent of total billed charges		1147.5		2561.31		Case rate	Use Lesser of logic	1275	80			Percent of total billed charges		1020	90			Percent of total billed charges		1147.5	100			Fee schedule		1214.45	85			Percent of total billed charges		1083.75	100			Fee schedule		1214.45	100			Fee schedule		1214.45	100			Fee schedule		1214.45	100			Fee schedule		1214.45	33.3			Percent of total billed charges		424.58	33.3			Percent of total billed charges		424.58	100			Fee schedule		1214.45	424.58	1275	
"Adhesive bandage, first-aid type, any size, each"	A6413	CPT	Outpatient			7.5	4.88		90			Percent of total billed charges		6.75		1.83		Case rate		1.83	80			Percent of total billed charges		6	90			Percent of total billed charges		6.75	100			Fee schedule	code is bundled with other services	7.5	85			Percent of total billed charges		6.38	100			Fee schedule	code is bundled with other services	7.5	100			Fee schedule	code is bundled with other services	7.5	100			Fee schedule	code is bundled with other services	7.5	100			Fee schedule	code is bundled with other services	7.5	33.3			Percent of total billed charges		2.5	33.3			Percent of total billed charges		2.5	100			Fee schedule	code is bundled with other services	7.5	1.83	6.75	
"Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion"	G2012	CPT	Outpatient			20	13		90			Percent of total billed charges		18		13.66		Case rate		13.66	80			Percent of total billed charges		16	90			Percent of total billed charges		18	100			Fee schedule	code is bundled with other services	20	85			Percent of total billed charges		17	100			Fee schedule	code is bundled with other services	20	100			Fee schedule	code is bundled with other services	20	100			Fee schedule	code is bundled with other services	20	100			Fee schedule	code is bundled with other services	20	33.3			Percent of total billed charges		6.66	33.3			Percent of total billed charges		6.66	100			Fee schedule	code is bundled with other services	20	6.66	18	
"Gradient compression garment, not otherwise specified"	A6549	CPT	Outpatient			24	15.6		90			Percent of total billed charges		21.6		41.69		Case rate	Use Lesser of logic	24	80			Percent of total billed charges		19.2	90			Percent of total billed charges		21.6	100			Fee schedule	code is bundled with other services	24	85			Percent of total billed charges		20.4	100			Fee schedule	code is bundled with other services	24	100			Fee schedule	code is bundled with other services	24	100			Fee schedule	code is bundled with other services	24	100			Fee schedule	code is bundled with other services	24	33.3			Percent of total billed charges		7.99	33.3			Percent of total billed charges		7.99	100			Fee schedule	code is bundled with other services	24	7.99	24	
Splint	A4570	CPT	Outpatient			36	23.4		90			Percent of total billed charges		32.4		7.47		Case rate		7.47	80			Percent of total billed charges		28.8	90			Percent of total billed charges		32.4	100			Fee schedule	code is bundled with other services	36	85			Percent of total billed charges		30.6	100			Fee schedule	code is bundled with other services	36	100			Fee schedule	code is bundled with other services	36	100			Fee schedule	code is bundled with other services	36	100			Fee schedule	code is bundled with other services	36	33.3			Percent of total billed charges		11.99	33.3			Percent of total billed charges		11.99	100			Fee schedule	code is bundled with other services	36	7.47	32.4	
"Advance care planning including the explanation and discussion of advance directives such as standard forms (with completion of such forms, when performed), by the physician or other qualified health care professional; each additional 30 minutes (List separately in addition to code for primary procedure)"	99498	CPT	Outpatient			50	32.5		90			Percent of total billed charges		45		76.42		Case rate	Use Lesser of logic	50	80			Percent of total billed charges		40	90			Percent of total billed charges		45	100			Fee schedule	code is bundled with other services	50	85			Percent of total billed charges		42.5	100			Fee schedule	code is bundled with other services	50	100			Fee schedule	code is bundled with other services	50	100			Fee schedule	code is bundled with other services	50	100			Fee schedule	code is bundled with other services	50	33.3			Percent of total billed charges		16.65	33.3			Percent of total billed charges		16.65	100			Fee schedule	code is bundled with other services	50	16.65	50	
"Buprenorphine, oral, 1 mg"	J0571	HCPCS	Outpatient	1	ME	1.53	1		90			Percent of total billed charges		1.38		0.42		Case rate		0.42	80			Percent of total billed charges		1.23	90			Percent of total billed charges		1.38	100			Fee schedule	code is bundled with other services	1.53	85			Percent of total billed charges		1.3	100			Fee schedule	code is bundled with other services	1.53	100			Fee schedule	code is bundled with other services	1.53	100			Fee schedule	code is bundled with other services	1.53	100			Fee schedule	code is bundled with other services	1.53	33.3			Percent of total billed charges		0.5049	33.3			Percent of total billed charges		0.5049	100			Fee schedule	code is bundled with other services	1.53	0.42	1.38	
"Influenza virus vaccine, trivalent (IIV3), split virus, 0.5 mL dosage, for intramuscular use"	90658	CPT	Outpatient			20	13		90			Percent of total billed charges		18		19.86		Case rate		19.86	80			Percent of total billed charges		16	90			Percent of total billed charges		18	100			Fee schedule	code is bundled with other services	20	85			Percent of total billed charges		17	100			Fee schedule	code is bundled with other services	20	100			Fee schedule	code is bundled with other services	20	100			Fee schedule	code is bundled with other services	20	100			Fee schedule	code is bundled with other services	20	33.3			Percent of total billed charges		6.6	33.3			Percent of total billed charges		6.6	100			Fee schedule	code is bundled with other services	20	16	19.86	
"Buprenorphine/naloxone, oral, greater than 6 mg, but less than or equal to 10 mg buprenorphine"	J0574	HCPCS	Outpatient	1	EA	38.75	25.19		90			Percent of total billed charges		34.88		8.7		Case rate		8.7	80			Percent of total billed charges		31	90			Percent of total billed charges		34.88	100			Fee schedule	code is bundled with other services	38.75	85			Percent of total billed charges		32.94	100			Fee schedule	code is bundled with other services	38.75	100			Fee schedule	code is bundled with other services	38.75	100			Fee schedule	code is bundled with other services	38.75	100			Fee schedule	code is bundled with other services	38.75	33.3			Percent of total billed charges		12.7875	33.3			Percent of total billed charges		12.7875	100			Fee schedule	code is bundled with other services	38.75	8.7	34.88	
"5% dextrose in lactated ringers infusion, up to 1000 cc"	J7121	HCPCS	Outpatient	1	EA	60.5	39.32		90			Percent of total billed charges		54.45		6.46		Case rate		6.46	80			Percent of total billed charges		48.4	90			Percent of total billed charges		54.45	100			Fee schedule	code is bundled with other services	60.5	85			Percent of total billed charges		51.42	100			Fee schedule	code is bundled with other services	60.5	100			Fee schedule	code is bundled with other services	60.5	100			Fee schedule	code is bundled with other services	60.5	100			Fee schedule	code is bundled with other services	60.5	33.3			Percent of total billed charges		19.965	33.3			Percent of total billed charges		19.965	100			Fee schedule	code is bundled with other services	60.5	6.46	54.45	
"Diphtheria, tetanus toxoids, acellular pertussis vaccine, hepatitis B, and inactivated poliovirus vaccine (DTaP-HepB-IPV), for intramuscular use"	90723	CPT	Outpatient			76	49.4		90			Percent of total billed charges		68.4		102.16		Case rate	Use Lesser of logic	76	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	100			Fee schedule	code is bundled with other services	76	85			Percent of total billed charges		64.6	100			Fee schedule	code is bundled with other services	76	100			Fee schedule	code is bundled with other services	76	100			Fee schedule	code is bundled with other services	76	100			Fee schedule	code is bundled with other services	76	33.3			Percent of total billed charges		25.08	33.3			Percent of total billed charges		25.08	100			Fee schedule	code is bundled with other services	76	60.8	76	
"Rotavirus vaccine, human, attenuated (RV1), 2 dose schedule, live, for oral use"	90681	CPT	Outpatient			125	81.25		90			Percent of total billed charges		112.5		153.46		Case rate	Use Lesser of logic	125	80			Percent of total billed charges		100	90			Percent of total billed charges		112.5	100			Fee schedule	code is bundled with other services	125	85			Percent of total billed charges		106.25	100			Fee schedule	code is bundled with other services	125	100			Fee schedule	code is bundled with other services	125	100			Fee schedule	code is bundled with other services	125	100			Fee schedule	code is bundled with other services	125	33.3			Percent of total billed charges		41.25	33.3			Percent of total billed charges		41.25	100			Fee schedule	code is bundled with other services	125	100	125	
"Varicella virus vaccine (VAR), live, for subcutaneous use"	90716	CPT	Outpatient			135	87.75		90			Percent of total billed charges		121.5		175.53		Case rate	Use Lesser of logic	135	80			Percent of total billed charges		108	90			Percent of total billed charges		121.5	100			Fee schedule	code is bundled with other services	135	85			Percent of total billed charges		114.75	100			Fee schedule	code is bundled with other services	135	100			Fee schedule	code is bundled with other services	135	100			Fee schedule	code is bundled with other services	135	100			Fee schedule	code is bundled with other services	135	33.3			Percent of total billed charges		44.55	33.3			Percent of total billed charges		44.55	100			Fee schedule	code is bundled with other services	135	108	135	
"Zoster (shingles) vaccine (HZV), recombinant, subunit, adjuvanted, for intramuscular use"	90750	CPT	Outpatient			165	107.25		90			Percent of total billed charges		148.5		186.54		Case rate	Use Lesser of logic	165	80			Percent of total billed charges		132	90			Percent of total billed charges		148.5	100			Fee schedule	code is bundled with other services	165	85			Percent of total billed charges		140.25	100			Fee schedule	code is bundled with other services	165	100			Fee schedule	code is bundled with other services	165	100			Fee schedule	code is bundled with other services	165	100			Fee schedule	code is bundled with other services	165	33.3			Percent of total billed charges		54.45	33.3			Percent of total billed charges		54.45	100			Fee schedule	code is bundled with other services	165	132	165	
"Human Papillomavirus vaccine, types 6, 11, 16, 18, quadrivalent (4vHPV), 3 dose schedule, for intramuscular use"	90649	CPT	Outpatient			175	113.75		90			Percent of total billed charges		157.5		197.33		Case rate	Use Lesser of logic	175	80			Percent of total billed charges		140	90			Percent of total billed charges		157.5	100			Fee schedule	code is bundled with other services	175	85			Percent of total billed charges		148.75	100			Fee schedule	code is bundled with other services	175	100			Fee schedule	code is bundled with other services	175	100			Fee schedule	code is bundled with other services	175	100			Fee schedule	code is bundled with other services	175	33.3			Percent of total billed charges		57.75	33.3			Percent of total billed charges		57.75	100			Fee schedule	code is bundled with other services	175	140	175	
"Diphtheria, tetanus toxoids, acellular pertussis vaccine, inactivated poliovirus vaccine, Haemophilus influenzae type b PRP-OMP conjugate vaccine, and hepatitis B vaccine (DTaP-IPV-Hib-HepB), for intramuscular use"	90697	CPT	Outpatient			175	113.75		90			Percent of total billed charges		157.5		163.57		Case rate		163.57	80			Percent of total billed charges		140	90			Percent of total billed charges		157.5	100			Fee schedule	code is bundled with other services	175	85			Percent of total billed charges		148.75	100			Fee schedule	code is bundled with other services	175	100			Fee schedule	code is bundled with other services	175	100			Fee schedule	code is bundled with other services	175	100			Fee schedule	code is bundled with other services	175	33.3			Percent of total billed charges		57.75	33.3			Percent of total billed charges		57.75	100			Fee schedule	code is bundled with other services	175	140	163.57	
"Zoster (shingles) vaccine (HZV), live, for subcutaneous injection"	90736	CPT	Outpatient			220	143		90			Percent of total billed charges		198		262.01		Case rate	Use Lesser of logic	220	80			Percent of total billed charges		176	90			Percent of total billed charges		198	100			Fee schedule	code is bundled with other services	220	85			Percent of total billed charges		187	100			Fee schedule	code is bundled with other services	220	100			Fee schedule	code is bundled with other services	220	100			Fee schedule	code is bundled with other services	220	100			Fee schedule	code is bundled with other services	220	33.3			Percent of total billed charges		72.6	33.3			Percent of total billed charges		72.6	100			Fee schedule	code is bundled with other services	220	176	220	
"Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent (9vHPV), 2 or 3 dose schedule, for intramuscular use"	90651	CPT	Outpatient			280	182		90			Percent of total billed charges		252		294.8		Case rate	Use Lesser of logic	280	80			Percent of total billed charges		224	90			Percent of total billed charges		252	100			Fee schedule	code is bundled with other services	280	85			Percent of total billed charges		238	100			Fee schedule	code is bundled with other services	280	100			Fee schedule	code is bundled with other services	280	100			Fee schedule	code is bundled with other services	280	100			Fee schedule	code is bundled with other services	280	33.3			Percent of total billed charges		92.4	33.3			Percent of total billed charges		92.4	100			Fee schedule	code is bundled with other services	280	224	280	
"Bacillus Calmette-Guerin vaccine (BCG) for bladder cancer, live, for intravesical use"	90586	CPT	Outpatient			325	211.25		90			Percent of total billed charges		292.5		193.51		Case rate		193.51	80			Percent of total billed charges		260	90			Percent of total billed charges		292.5	100			Fee schedule	code is bundled with other services	325	85			Percent of total billed charges		276.25	100			Fee schedule	code is bundled with other services	325	100			Fee schedule	code is bundled with other services	325	100			Fee schedule	code is bundled with other services	325	100			Fee schedule	code is bundled with other services	325	33.3			Percent of total billed charges		107.25	33.3			Percent of total billed charges		107.25	100			Fee schedule	code is bundled with other services	325	193.51	292.5	
"Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, diphtheria toxoid carrier (MenACWY-D) or CRM197 carrier (MenACWY-CRM), for intramuscular use"	90734	CPT	Outpatient			437	284.05		90			Percent of total billed charges		393.3		165.89		Case rate		165.89	80			Percent of total billed charges		349.6	90			Percent of total billed charges		393.3	100			Fee schedule	code is bundled with other services	437	85			Percent of total billed charges		371.45	100			Fee schedule	code is bundled with other services	437	100			Fee schedule	code is bundled with other services	437	100			Fee schedule	code is bundled with other services	437	100			Fee schedule	code is bundled with other services	437	33.3			Percent of total billed charges		144.21	33.3			Percent of total billed charges		144.21	100			Fee schedule	code is bundled with other services	437	165.89	393.3	
"Meningococcal recombinant protein and outer membrane vesicle vaccine, serogroup B (MenB-4C), 2 dose schedule, for intramuscular use"	90620	CPT	Outpatient			577.5	375.38		90			Percent of total billed charges		519.75		220.84		Case rate		220.84	80			Percent of total billed charges		462	90			Percent of total billed charges		519.75	100			Fee schedule	code is bundled with other services	577.5	85			Percent of total billed charges		490.88	100			Fee schedule	code is bundled with other services	577.5	100			Fee schedule	code is bundled with other services	577.5	100			Fee schedule	code is bundled with other services	577.5	100			Fee schedule	code is bundled with other services	577.5	33.3			Percent of total billed charges		190.575	33.3			Percent of total billed charges		190.575	100			Fee schedule	code is bundled with other services	577.5	220.84	519.75	
"Levonorgestrel-releasing intrauterine contraceptive system (liletta), 52 mg"	J7297	HCPCS	Outpatient	52	ME	850	552.5		90			Percent of total billed charges		765		882.86		Case rate	Use Lesser of logic	850	80			Percent of total billed charges		680	90			Percent of total billed charges		765	100			Fee schedule	code is bundled with other services	850	85			Percent of total billed charges		722.5	100			Fee schedule	code is bundled with other services	850	100			Fee schedule	code is bundled with other services	850	100			Fee schedule	code is bundled with other services	850	100			Fee schedule	code is bundled with other services	850	33.3			Percent of total billed charges		280.5	33.3			Percent of total billed charges		280.5	100			Fee schedule	code is bundled with other services	850	680	850	
"Levonorgestrel-releasing intrauterine contraceptive system (skyla), 13.5 mg"	J7301	HCPCS	Outpatient	13.5	ME	915	594.75		90			Percent of total billed charges		823.5		890.82		Case rate		890.82	80			Percent of total billed charges		732	90			Percent of total billed charges		823.5	100			Fee schedule	code is bundled with other services	915	85			Percent of total billed charges		777.75	100			Fee schedule	code is bundled with other services	915	100			Fee schedule	code is bundled with other services	915	100			Fee schedule	code is bundled with other services	915	100			Fee schedule	code is bundled with other services	915	33.3			Percent of total billed charges		301.95	33.3			Percent of total billed charges		301.95	100			Fee schedule	code is bundled with other services	915	732	890.82	
Intrauterine copper contraceptive	J7300	HCPCS	Outpatient	1	EA	980	637		90			Percent of total billed charges		882		992.41		Case rate	Use Lesser of logic	980	80			Percent of total billed charges		784	90			Percent of total billed charges		882	100			Fee schedule	code is bundled with other services	980	85			Percent of total billed charges		833	100			Fee schedule	code is bundled with other services	980	100			Fee schedule	code is bundled with other services	980	100			Fee schedule	code is bundled with other services	980	100			Fee schedule	code is bundled with other services	980	33.3			Percent of total billed charges		323.4	33.3			Percent of total billed charges		323.4	100			Fee schedule	code is bundled with other services	980	784	980	
"Levonorgestrel-releasing intrauterine contraceptive system (mirena), 52 mg"	J7298	HCPCS	Outpatient	52	ME	1100	715		90			Percent of total billed charges		990		1069.84		Case rate		1069.84	80			Percent of total billed charges		880	90			Percent of total billed charges		990	100			Fee schedule	code is bundled with other services	1100	85			Percent of total billed charges		935	100			Fee schedule	code is bundled with other services	1100	100			Fee schedule	code is bundled with other services	1100	100			Fee schedule	code is bundled with other services	1100	100			Fee schedule	code is bundled with other services	1100	33.3			Percent of total billed charges		363	33.3			Percent of total billed charges		363	100			Fee schedule	code is bundled with other services	1100	880	1069.84	
"Etonogestrel (contraceptive) implant system, including implant and supplies"	J7307	HCPCS	Outpatient	1	EA	1125	731.25		90			Percent of total billed charges		1012.5		1101.31		Case rate		1101.31	80			Percent of total billed charges		900	90			Percent of total billed charges		1012.5	100			Fee schedule	code is bundled with other services	1125	85			Percent of total billed charges		956.25	100			Fee schedule	code is bundled with other services	1125	100			Fee schedule	code is bundled with other services	1125	100			Fee schedule	code is bundled with other services	1125	100			Fee schedule	code is bundled with other services	1125	33.3			Percent of total billed charges		371.25	33.3			Percent of total billed charges		371.25	100			Fee schedule	code is bundled with other services	1125	900	1101.31	
"Levonorgestrel-releasing intrauterine contraceptive system, (kyleena), 19.5 mg"	J7296	HCPCS	Outpatient	19.5	ME	1200	780		90			Percent of total billed charges		1080		1069.84		Case rate		1069.84	80			Percent of total billed charges		960	90			Percent of total billed charges		1080	100			Fee schedule	code is bundled with other services	1200	85			Percent of total billed charges		1020	100			Fee schedule	code is bundled with other services	1200	100			Fee schedule	code is bundled with other services	1200	100			Fee schedule	code is bundled with other services	1200	100			Fee schedule	code is bundled with other services	1200	33.3			Percent of total billed charges		396	33.3			Percent of total billed charges		396	100			Fee schedule	code is bundled with other services	1200	960	1080	
"Injection, bupivicaine, not otherwise specified, 0.5 mg"	J0665	HCPCS	Outpatient	0.5	ME	0.35	0.23		90			Percent of total billed charges		0.32	95.46			Fee schedule		0.01	80			Percent of total billed charges		0.28	90			Percent of total billed charges		0.32	100			Fee schedule		0.02	85			Percent of total billed charges		0.3	100			Fee schedule		0.02	100			Fee schedule		0.02	100			Fee schedule		0.02	100			Fee schedule		0.02	33.3			Percent of total billed charges		0.12	33.3			Percent of total billed charges		0.12	100			Fee schedule		0.02	0.01	0.32	
"Injection, calcium gluconate, not otherwise specified, 10 mg"	J0612	HCPCS	Outpatient	10	ME	0.53	0.34		90			Percent of total billed charges		0.47	95.46			Fee schedule		0.04	80			Percent of total billed charges		0.42	90			Percent of total billed charges		0.47	100			Fee schedule		0.04	85			Percent of total billed charges		0.45	100			Fee schedule		0.04	100			Fee schedule		0.04	100			Fee schedule		0.04	100			Fee schedule		0.04	50			Percent of total billed charges		0.26	50			Percent of total billed charges		0.26	100			Fee schedule		0.04	0.04	0.47	
"Injection, chloroprocaine hydrochloride, per 1 mg"	J2401	HCPCS	Outpatient	1	ME	1.58	1.03		90			Percent of total billed charges		1.42	95.46			Fee schedule		0.04	80			Percent of total billed charges		1.26	90			Percent of total billed charges		1.42	100			Fee schedule		0.04	85			Percent of total billed charges		1.34	100			Fee schedule		0.04	100			Fee schedule		0.04	100			Fee schedule		0.04	100			Fee schedule		0.04	33.3			Percent of total billed charges		0.53	33.3			Percent of total billed charges		0.53	100			Fee schedule		0.04	0.04	1.42	
"Instillation, bupivacaine and meloxicam, 1 mg/0.03 mg"	C9088	CPT	Outpatient			1.22	0.79		90			Percent of total billed charges		1.1	95.46			Fee schedule		0.7	80			Percent of total billed charges		0.97	90			Percent of total billed charges		1.1	100			Fee schedule		0.73	85			Percent of total billed charges		1.03	100			Fee schedule		0.73	100			Fee schedule		0.73	100			Fee schedule		0.73	100			Fee schedule		0.73	50			Percent of total billed charges		0.61	50			Percent of total billed charges		0.61	100			Fee schedule		0.73	0.61	1.1	
"Injection, olanzapine, 0.5 mg"	J2359	HCPCS	Outpatient	0.5	ME	223.15	145.05		90			Percent of total billed charges		200.84	95.46			Fee schedule		0.91	80			Percent of total billed charges		178.52	90			Percent of total billed charges		200.84	100			Fee schedule		0.96	85			Percent of total billed charges		189.68	100			Fee schedule		0.96	100			Fee schedule		0.96	100			Fee schedule		0.96	100			Fee schedule		0.96	50			Percent of total billed charges		111.58	50			Percent of total billed charges		111.58	100			Fee schedule		0.96	0.91	200.84	
"Injection, aprepitant, (aponvie), 1 mg"	C9145	CPT	Outpatient			7.31	4.75		90			Percent of total billed charges		6.58	95.46			Fee schedule		1.79	80			Percent of total billed charges		5.85	90			Percent of total billed charges		6.58	100			Fee schedule		1.88	85			Percent of total billed charges		6.22	100			Fee schedule		1.88	100			Fee schedule		1.88	100			Fee schedule		1.88	100			Fee schedule		1.88	50			Percent of total billed charges		3.66	50			Percent of total billed charges		3.66	100			Fee schedule		1.88	1.79	6.58	
"Injection, meropenem (b. braun) not therapeutically equivalent to j2185, 100 mg"	J2184	HCPCS	Outpatient	100	ME	34	22.1		90			Percent of total billed charges		30.6	95.46			Fee schedule		1.93	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	100			Fee schedule		2.02	85			Percent of total billed charges		28.9	100			Fee schedule		2.02	100			Fee schedule		2.02	100			Fee schedule		2.02	100			Fee schedule		2.02	50			Percent of total billed charges		17	50			Percent of total billed charges		17	100			Fee schedule		2.02	1.93	30.6	
"Prothrombin complex concentrate (human), kcentra, per i.u. of factor ix activity"	J7168	HCPCS	Outpatient	1	F2	35.76	23.24		90			Percent of total billed charges		32.18	95.46			Fee schedule		2.17	80			Percent of total billed charges		28.61	90			Percent of total billed charges		32.18	100			Fee schedule		2.28	85			Percent of total billed charges		30.39	100			Fee schedule		2.28	100			Fee schedule		2.28	100			Fee schedule		2.28	100			Fee schedule		2.28	33.3			Percent of total billed charges		11.91	33.3			Percent of total billed charges		11.91	100			Fee schedule		2.28	2.17	32.18	
"Injection, cefepime hydrochloride (b braun), not therapeutically equivalent to maxipime, 500 mg"	J0703	HCPCS	Outpatient	500	ME	77	50.05		90			Percent of total billed charges		69.3	95.46			Fee schedule		4.73	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	100			Fee schedule		4.95	85			Percent of total billed charges		65.45	100			Fee schedule		4.95	100			Fee schedule		4.95	100			Fee schedule		4.95	100			Fee schedule		4.95	33.3			Percent of total billed charges		25.64	33.3			Percent of total billed charges		25.64	100			Fee schedule		4.95	4.73	69.3	
"Injection, trilaciclib, 1mg"	J1448	HCPCS	Outpatient	1	ME	11.73	7.63		90			Percent of total billed charges		10.56	95.46			Fee schedule		5.05	80			Percent of total billed charges		9.39	90			Percent of total billed charges		10.56	100			Fee schedule		5.29	85			Percent of total billed charges		9.97	100			Fee schedule		5.29	100			Fee schedule		5.29	100			Fee schedule		5.29	100			Fee schedule		5.29	33.3			Percent of total billed charges		3.91	33.3			Percent of total billed charges		3.91	100			Fee schedule		5.29	3.91	10.56	
"Injection, aducanumab-avwa, 2 mg"	J0172	HCPCS	Outpatient	2	ME	9.08	5.9		90			Percent of total billed charges		8.17	95.46			Fee schedule		5.71	80			Percent of total billed charges		7.26	90			Percent of total billed charges		8.17	100			Fee schedule		5.98	85			Percent of total billed charges		7.72	100			Fee schedule		5.98	100			Fee schedule		5.98	100			Fee schedule		5.98	100			Fee schedule		5.98	33.3			Percent of total billed charges		3.02	33.3			Percent of total billed charges		3.02	100			Fee schedule		5.98	3.02	8.17	
"Injection, remdesivir, 1 mg"	J0248	HCPCS	Outpatient	1	ME	16.23	10.55		90			Percent of total billed charges		14.61	95.46			Fee schedule		5.78	80			Percent of total billed charges		12.98	90			Percent of total billed charges		14.61	100			Fee schedule		6.06	85			Percent of total billed charges		13.8	100			Fee schedule		6.06	100			Fee schedule		6.06	100			Fee schedule		6.06	100			Fee schedule		6.06	50			Percent of total billed charges		8.12	50			Percent of total billed charges		8.12	100			Fee schedule		6.06	5.78	14.61	
"Injection, romosozumab-aqqg, 1 mg"	J3111	HCPCS	Outpatient	1	ME	15.2	9.88		90			Percent of total billed charges		13.68	95.46			Fee schedule		10.21	80			Percent of total billed charges		12.16	90			Percent of total billed charges		13.68	100			Fee schedule		10.69	85			Percent of total billed charges		12.92	100			Fee schedule		10.69	100			Fee schedule		10.69	100			Fee schedule		10.69	100			Fee schedule		10.69	33.3			Percent of total billed charges		5.06	33.3			Percent of total billed charges		5.06	100			Fee schedule		10.69	5.06	13.68	
"Injection, inclisiran, 1 mg"	J1306	HCPCS	Outpatient	1	ME	35.7	23.21		90			Percent of total billed charges		32.13	95.46			Fee schedule		11.57	80			Percent of total billed charges		28.56	90			Percent of total billed charges		32.13	100			Fee schedule		12.12	85			Percent of total billed charges		30.35	100			Fee schedule		12.12	100			Fee schedule		12.12	100			Fee schedule		12.12	100			Fee schedule		12.12	50			Percent of total billed charges		17.85	50			Percent of total billed charges		17.85	100			Fee schedule		12.12	11.57	32.13	
"Injection, risankizumab-rzaa, intravenous, 1 mg"	J2327	HCPCS	Outpatient	1	ME	47.51	30.88		90			Percent of total billed charges		42.76	95.46			Fee schedule		14.32	80			Percent of total billed charges		38.01	90			Percent of total billed charges		42.76	100			Fee schedule		15	85			Percent of total billed charges		40.38	100			Fee schedule		15	100			Fee schedule		15	100			Fee schedule		15	100			Fee schedule		15	33.3			Percent of total billed charges		15.82	33.3			Percent of total billed charges		15.82	100			Fee schedule		15	14.32	42.76	
"Injection, paclitaxel protein-bound particles (american regent) not therapeutically equivalent to j9264, 1 mg"	J9259	HCPCS	Outpatient	1	ME	24.7	16.06		90			Percent of total billed charges		22.23	95.46			Fee schedule		14.46	80			Percent of total billed charges		19.76	90			Percent of total billed charges		22.23	100			Fee schedule		15.14	85			Percent of total billed charges		21	100			Fee schedule		15.14	100			Fee schedule		15.14	100			Fee schedule		15.14	100			Fee schedule		15.14	33.3			Percent of total billed charges		8.23	33.3			Percent of total billed charges		8.23	100			Fee schedule		15.14	8.23	22.23	
"Injection, trastuzumab-anns, biosimilar, (kanjinti), 10 mg"	Q5117	CPT	Outpatient			474.33	308.32		90			Percent of total billed charges		426.9	95.46			Fee schedule		14.7	80			Percent of total billed charges		379.47	90			Percent of total billed charges		426.9	100			Fee schedule		15.4	85			Percent of total billed charges		403.18	100			Fee schedule		15.4	100			Fee schedule		15.4	100			Fee schedule		15.4	100			Fee schedule		15.4	50			Percent of total billed charges		237.17	50			Percent of total billed charges		237.17	100			Fee schedule		15.4	14.7	426.9	
"Injection, eptinezumab-jjmr, 1 mg"	J3032	HCPCS	Outpatient	1	ME	16.34	10.62		90			Percent of total billed charges		14.7	95.46			Fee schedule		16.34	80			Percent of total billed charges		13.07	90			Percent of total billed charges		14.7	100			Fee schedule		18.05	85			Percent of total billed charges		13.89	100			Fee schedule		16.34	100			Fee schedule		18.05	100			Fee schedule		18.05	100			Fee schedule		18.05	33.3			Percent of total billed charges		5.44	33.3			Percent of total billed charges		5.44	100			Fee schedule		18.05	5.44	18.05	
"Injection, ferric derisomaltose, 10 mg"	J1437	HCPCS	Outpatient	10	ME	93.8	60.97		90			Percent of total billed charges		84.42	95.46			Fee schedule		19.03	80			Percent of total billed charges		75.04	90			Percent of total billed charges		84.42	100			Fee schedule		19.94	85			Percent of total billed charges		79.73	100			Fee schedule		19.94	100			Fee schedule		19.94	100			Fee schedule		19.94	100			Fee schedule		19.94	50			Percent of total billed charges		46.9	50			Percent of total billed charges		46.9	100			Fee schedule		19.94	19.03	84.42	
"Injection, amivantamab-vmjw, 2 mg"	J9061	HCPCS	Outpatient	2	ME	19.57	12.72		90			Percent of total billed charges		17.61	95.46			Fee schedule		19.08	80			Percent of total billed charges		15.65	90			Percent of total billed charges		17.61	100			Fee schedule		19.98	85			Percent of total billed charges		16.63	100			Fee schedule		19.57	100			Fee schedule		19.98	100			Fee schedule		19.98	100			Fee schedule		19.98	33.3			Percent of total billed charges		6.52	33.3			Percent of total billed charges		6.52	100			Fee schedule		19.98	6.52	19.98	
"Injection, rituximab-pvvr, biosimilar, (ruxience), 10 mg"	Q5119	CPT	Outpatient			224.1	145.66		90			Percent of total billed charges		201.69	95.46			Fee schedule		19.35	80			Percent of total billed charges		179.28	90			Percent of total billed charges		201.69	100			Fee schedule		20.28	85			Percent of total billed charges		190.48	100			Fee schedule		20.28	100			Fee schedule		20.28	100			Fee schedule		20.28	100			Fee schedule		20.28	50			Percent of total billed charges		112.05	50			Percent of total billed charges		112.05	100			Fee schedule		20.28	19.35	201.69	
Osteopathic manipulative treatment (OMT); 1-2 body regions involved	98925	CPT	Outpatient			50	32.5		90			Percent of total billed charges		45	95.46			Fee schedule		20.55	80			Percent of total billed charges		40	90			Percent of total billed charges		45	100			Fee schedule		21.53	85			Percent of total billed charges		42.5	100			Fee schedule		21.53	100			Fee schedule		21.53	100			Fee schedule		21.53	100			Fee schedule		21.53	33.3			Percent of total billed charges		16.65	33.3			Percent of total billed charges		16.65	100			Fee schedule		21.53	16.65	45	
Osteopathic manipulative treatment (OMT); 3-4 body regions involved	98926	CPT	Outpatient			65	42.25		90			Percent of total billed charges		58.5	95.46			Fee schedule		20.55	80			Percent of total billed charges		52	90			Percent of total billed charges		58.5	100			Fee schedule		21.53	85			Percent of total billed charges		55.25	100			Fee schedule		21.53	100			Fee schedule		21.53	100			Fee schedule		21.53	100			Fee schedule		21.53	33.3			Percent of total billed charges		21.64	33.3			Percent of total billed charges		21.64	100			Fee schedule		21.53	20.55	58.5	
Osteopathic manipulative treatment (OMT); 5-6 body regions involved	98927	CPT	Outpatient			85	55.25		90			Percent of total billed charges		76.5	95.46			Fee schedule		20.55	80			Percent of total billed charges		68	90			Percent of total billed charges		76.5	100			Fee schedule		21.53	85			Percent of total billed charges		72.25	100			Fee schedule		21.53	100			Fee schedule		21.53	100			Fee schedule		21.53	100			Fee schedule		21.53	33.3			Percent of total billed charges		28.3	33.3			Percent of total billed charges		28.3	100			Fee schedule		21.53	20.55	76.5	
Osteopathic manipulative treatment (OMT); 7-8 body regions involved	98928	CPT	Outpatient			100	65		90			Percent of total billed charges		90	95.46			Fee schedule		20.55	80			Percent of total billed charges		80	90			Percent of total billed charges		90	100			Fee schedule		21.53	85			Percent of total billed charges		85	100			Fee schedule		21.53	100			Fee schedule		21.53	100			Fee schedule		21.53	100			Fee schedule		21.53	33.3			Percent of total billed charges		33.3	33.3			Percent of total billed charges		33.3	100			Fee schedule		21.53	20.55	90	
Osteopathic manipulative treatment (OMT); 9-10 body regions involved	98929	CPT	Outpatient			110	71.5		90			Percent of total billed charges		99	95.46			Fee schedule		20.55	80			Percent of total billed charges		88	90			Percent of total billed charges		99	100			Fee schedule		21.53	85			Percent of total billed charges		93.5	100			Fee schedule		21.53	100			Fee schedule		21.53	100			Fee schedule		21.53	100			Fee schedule		21.53	33.3			Percent of total billed charges		36.63	33.3			Percent of total billed charges		36.63	100			Fee schedule		21.53	20.55	99	
"Annual alcohol misuse screening, 5 to 15 minutes"	G0442	CPT	Outpatient			30	19.5		90			Percent of total billed charges		27	95.46			Fee schedule		22.73	80			Percent of total billed charges		24	90			Percent of total billed charges		27	100			Fee schedule		23.81	85			Percent of total billed charges		25.5	100			Fee schedule		23.81	100			Fee schedule		23.81	100			Fee schedule		23.81	100			Fee schedule		23.81	33.3			Percent of total billed charges		9.99	33.3			Percent of total billed charges		9.99	100			Fee schedule		23.81	9.99	27	
"Annual depression screening, 5 to 15 minutes"	G0444	CPT	Outpatient			30	19.5		90			Percent of total billed charges		27	95.46			Fee schedule		22.73	80			Percent of total billed charges		24	90			Percent of total billed charges		27	100			Fee schedule		23.81	85			Percent of total billed charges		25.5	100			Fee schedule		23.81	100			Fee schedule		23.81	100			Fee schedule		23.81	100			Fee schedule		23.81	33.3			Percent of total billed charges		9.99	33.3			Percent of total billed charges		9.99	100			Fee schedule		23.81	9.99	27	
Needle insertion(s) without injection(s); 1 or 2 muscle(s)	20560	CPT	Outpatient			80	52		90			Percent of total billed charges		72	95.46			Fee schedule		23.59	80			Percent of total billed charges		64	85			Percent of total billed charges		68	100			Fee schedule		24.71	85			Percent of total billed charges		68	100			Fee schedule		24.71	100			Fee schedule		24.71	100			Fee schedule		24.71	100			Fee schedule		24.71	33.3			Percent of total billed charges		26.64	33.3			Percent of total billed charges		26.64	100			Fee schedule		24.71	23.59	72	
Needle insertion(s) without injection(s); 3 or more muscles	20561	CPT	Outpatient			80	52		90			Percent of total billed charges		72	95.46			Fee schedule		23.59	80			Percent of total billed charges		64	85			Percent of total billed charges		68	100			Fee schedule		24.71	85			Percent of total billed charges		68	100			Fee schedule		24.71	100			Fee schedule		24.71	100			Fee schedule		24.71	100			Fee schedule		24.71	33.3			Percent of total billed charges		26.64	33.3			Percent of total billed charges		26.64	100			Fee schedule		24.71	23.59	72	
"Injection, fam-trastuzumab deruxtecan-nxki, 1 mg"	J9358	HCPCS	Outpatient	1	ME	18.97	12.33		90			Percent of total billed charges		17.08	95.46			Fee schedule		18.97	80			Percent of total billed charges		15.18	90			Percent of total billed charges		17.08	100			Fee schedule		27.27	85			Percent of total billed charges		16.13	100			Fee schedule		18.97	100			Fee schedule		27.27	100			Fee schedule		27.27	100			Fee schedule		27.27	50			Percent of total billed charges		9.49	50			Percent of total billed charges		9.49	100			Fee schedule		27.27	9.49	27.27	
"Injection, cemiplimab-rwlc, 1 mg"	J9119	HCPCS	Outpatient	1	ME	84.05	54.63		90			Percent of total billed charges		75.65	95.46			Fee schedule		26.32	80			Percent of total billed charges		67.24	90			Percent of total billed charges		75.65	100			Fee schedule		27.58	85			Percent of total billed charges		71.44	100			Fee schedule		27.58	100			Fee schedule		27.58	100			Fee schedule		27.58	100			Fee schedule		27.58	50			Percent of total billed charges		42.03	50			Percent of total billed charges		42.03	100			Fee schedule		27.58	26.32	75.65	
"Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health care professional, includes connection, recording and disconnection per patient encounter; single, dual, or multiple lead pacemaker system, or leadless pacemaker system"	93288	CPT	Outpatient			60	39		90			Percent of total billed charges		54	95.46			Fee schedule		29.87	80			Percent of total billed charges		48	90			Percent of total billed charges		54	100			Fee schedule		31.3	85			Percent of total billed charges		51	100			Fee schedule		31.3	100			Fee schedule		31.3	100			Fee schedule		31.3	100			Fee schedule		31.3	33.3			Percent of total billed charges		19.98	33.3			Percent of total billed charges		19.98	100			Fee schedule		31.3	19.98	54	
"Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review and report by a physician or other qualified health care professional; implantable subcutaneous lead defibrillator system"	93260	CPT	Outpatient			70	45.5		90			Percent of total billed charges		63	95.46			Fee schedule		29.87	80			Percent of total billed charges		56	90			Percent of total billed charges		63	100			Fee schedule		31.3	85			Percent of total billed charges		59.5	100			Fee schedule		31.3	100			Fee schedule		31.3	100			Fee schedule		31.3	100			Fee schedule		31.3	33.3			Percent of total billed charges		23.31	33.3			Percent of total billed charges		23.31	100			Fee schedule		31.3	23.31	63	
"Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health care professional, includes connection, recording and disconnection per patient encounter; implantable subcutaneous lead defibrillator system"	93261	CPT	Outpatient			90	58.5		90			Percent of total billed charges		81	95.46			Fee schedule		29.87	80			Percent of total billed charges		72	90			Percent of total billed charges		81	100			Fee schedule		31.3	85			Percent of total billed charges		76.5	100			Fee schedule		31.3	100			Fee schedule		31.3	100			Fee schedule		31.3	100			Fee schedule		31.3	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Fee schedule		31.3	29.87	81	
"Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health care professional, includes connection, recording and disconnection per patient encounter; single, dual, or multiple lead transvenous implantable defibrillator system, including analysis of heart rhythm derived data elements"	93289	CPT	Outpatient			110	71.5		90			Percent of total billed charges		99	95.46			Fee schedule		29.87	80			Percent of total billed charges		88	90			Percent of total billed charges		99	100			Fee schedule		31.3	85			Percent of total billed charges		93.5	100			Fee schedule		31.3	100			Fee schedule		31.3	100			Fee schedule		31.3	100			Fee schedule		31.3	33.3			Percent of total billed charges		36.63	33.3			Percent of total billed charges		36.63	100			Fee schedule		31.3	29.87	99	
"Injection, efgartigimod alfa-fcab, 2mg"	J9332	HCPCS	Outpatient	2	ME	371.78	241.66		90			Percent of total billed charges		334.6	95.46			Fee schedule		30.61	80			Percent of total billed charges		297.42	90			Percent of total billed charges		334.6	100			Fee schedule		32.07	85			Percent of total billed charges		316.01	100			Fee schedule		32.07	100			Fee schedule		32.07	100			Fee schedule		32.07	100			Fee schedule		32.07	50			Percent of total billed charges		185.89	50			Percent of total billed charges		185.89	100			Fee schedule		32.07	30.61	334.6	
Actinotherapy (ultraviolet light)	96900	CPT	Outpatient			30	19.5		90			Percent of total billed charges		27	95.46			Fee schedule		30	80			Percent of total billed charges		24	90			Percent of total billed charges		27	100			Fee schedule		33.28	85			Percent of total billed charges		25.5	100			Fee schedule		30	100			Fee schedule		33.28	100			Fee schedule		33.28	100			Fee schedule		33.28	33.3			Percent of total billed charges		9.99	33.3			Percent of total billed charges		9.99	100			Fee schedule		33.28	9.99	33.28	
"Injection, sacituzumab govitecan-hziy, 2.5 mg"	J9317	HCPCS	Outpatient	2.5	ME	30.06	19.54		90			Percent of total billed charges		27.06	95.46			Fee schedule		30.06	80			Percent of total billed charges		24.05	90			Percent of total billed charges		27.06	100			Fee schedule		34.1	85			Percent of total billed charges		25.56	100			Fee schedule		30.06	100			Fee schedule		34.1	100			Fee schedule		34.1	100			Fee schedule		34.1	50			Percent of total billed charges		15.03	50			Percent of total billed charges		15.03	100			Fee schedule		34.1	15.03	34.1	
"Injection, luspatercept-aamt, 0.25 mg"	J0896	HCPCS	Outpatient	0.25	ME	107.37	69.79		90			Percent of total billed charges		96.64	95.46			Fee schedule		38.17	80			Percent of total billed charges		85.9	90			Percent of total billed charges		96.64	100			Fee schedule		39.98	85			Percent of total billed charges		91.27	100			Fee schedule		39.98	100			Fee schedule		39.98	100			Fee schedule		39.98	100			Fee schedule		39.98	50			Percent of total billed charges		53.69	50			Percent of total billed charges		53.69	100			Fee schedule		39.98	38.17	96.64	
"Injection, daratumumab, 10 mg and hyaluronidase-fihj"	J9144	HCPCS	Outpatient	10	ME	26091	16959.15		90			Percent of total billed charges		23481.9	95.46			Fee schedule		46.58	80			Percent of total billed charges		20872.8	90			Percent of total billed charges		23481.9	100			Fee schedule		48.8	85			Percent of total billed charges		22177.35	100			Fee schedule		48.8	100			Fee schedule		48.8	100			Fee schedule		48.8	100			Fee schedule		48.8	50			Percent of total billed charges		13045.5	50			Percent of total billed charges		13045.5	100			Fee schedule		48.8	46.58	23481.9	
"Visual field examination, unilateral or bilateral, with interpretation and report; limited examination (eg, tangent screen, Autoplot, arc perimeter, or single stimulus level automated test, such as Octopus 3 or 7 equivalent)"	92081	CPT	Outpatient			85	55.25		90			Percent of total billed charges		76.5	95.46			Fee schedule		48.46	80			Percent of total billed charges		68	90			Percent of total billed charges		76.5	100			Fee schedule		50.76	85			Percent of total billed charges		72.25	100			Fee schedule		50.76	100			Fee schedule		50.76	100			Fee schedule		50.76	100			Fee schedule		50.76	33.3			Percent of total billed charges		28.3	33.3			Percent of total billed charges		28.3	100			Fee schedule		50.76	28.3	76.5	
Photochemotherapy; psoralens and ultraviolet A (PUVA)	96912	CPT	Outpatient			100	65		90			Percent of total billed charges		90	95.46			Fee schedule		48.46	80			Percent of total billed charges		80	90			Percent of total billed charges		90	100			Fee schedule		50.76	85			Percent of total billed charges		85	100			Fee schedule		50.76	100			Fee schedule		50.76	100			Fee schedule		50.76	100			Fee schedule		50.76	33.3			Percent of total billed charges		33.3	33.3			Percent of total billed charges		33.3	100			Fee schedule		50.76	33.3	90	
Photochemotherapy; tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet B	96910	CPT	Outpatient			100	65		90			Percent of total billed charges		90	95.46			Fee schedule		48.46	80			Percent of total billed charges		80	90			Percent of total billed charges		90	100			Fee schedule		50.76	85			Percent of total billed charges		85	100			Fee schedule		50.76	100			Fee schedule		50.76	100			Fee schedule		50.76	100			Fee schedule		50.76	33.3			Percent of total billed charges		33.3	33.3			Percent of total billed charges		33.3	100			Fee schedule		50.76	33.3	90	
"Actigraphy testing, recording, analysis, interpretation, and report (minimum of 72 hours to 14 consecutive days of recording)"	95803	CPT	Outpatient			275	178.75		90			Percent of total billed charges		247.5	95.46			Fee schedule		48.46	80			Percent of total billed charges		220	90			Percent of total billed charges		247.5	100			Fee schedule		50.76	85			Percent of total billed charges		233.75	100			Fee schedule		50.76	100			Fee schedule		50.76	100			Fee schedule		50.76	100			Fee schedule		50.76	33.3			Percent of total billed charges		91.58	33.3			Percent of total billed charges		91.58	100			Fee schedule		50.76	48.46	247.5	
"Injection, trastuzumab-dkst, biosimilar, (ogivri), 10 mg"	Q5114	CPT	Outpatient			92.42	60.07		90			Percent of total billed charges		83.18	95.46			Fee schedule		59.78	80			Percent of total billed charges		73.94	90			Percent of total billed charges		83.18	100			Fee schedule		62.62	85			Percent of total billed charges		78.56	100			Fee schedule		62.62	100			Fee schedule		62.62	100			Fee schedule		62.62	100			Fee schedule		62.62	50			Percent of total billed charges		46.21	50			Percent of total billed charges		46.21	100			Fee schedule		62.62	46.21	83.18	
"Fecal microbiota, live - jslm, 1 ml"	J1440	HCPCS	Outpatient	1	ML	187.2	121.68		90			Percent of total billed charges		168.48	95.46			Fee schedule		60.34	80			Percent of total billed charges		149.76	90			Percent of total billed charges		168.48	100			Fee schedule		63.21	85			Percent of total billed charges		159.12	100			Fee schedule		63.21	100			Fee schedule		63.21	100			Fee schedule		63.21	100			Fee schedule		63.21	50			Percent of total billed charges		93.6	50			Percent of total billed charges		93.6	100			Fee schedule		63.21	60.34	168.48	
Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making)	G0296	CPT	Outpatient			90	58.5		90			Percent of total billed charges		81	95.46			Fee schedule		70.62	80			Percent of total billed charges		72	90			Percent of total billed charges		81	100			Fee schedule		73.97	85			Percent of total billed charges		76.5	100			Fee schedule		73.97	100			Fee schedule		73.97	100			Fee schedule		73.97	100			Fee schedule		73.97	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Fee schedule		73.97	29.97	81	
"Advance care planning including the explanation and discussion of advance directives such as standard forms (with completion of such forms, when performed), by the physician or other qualified health care professional; first 30 minutes, face-to-face with the patient, family member(s), and/or surrogate"	99497	CPT	Outpatient			95	61.75		90			Percent of total billed charges		85.5	95.46			Fee schedule		70.62	80			Percent of total billed charges		76	90			Percent of total billed charges		85.5	100			Fee schedule		73.97	85			Percent of total billed charges		80.75	100			Fee schedule		73.97	100			Fee schedule		73.97	100			Fee schedule		73.97	100			Fee schedule		73.97	33.3			Percent of total billed charges		31.64	33.3			Percent of total billed charges		31.64	100			Fee schedule		73.97	31.64	85.5	
"Chronic care management services with the following required elements: multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient, chronic conditions that place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline, comprehensive care plan established, implemented, revised, or monitored; first 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month."	99490	CPT	Outpatient			100	65		90			Percent of total billed charges		90	95.46			Fee schedule		70.62	80			Percent of total billed charges		80	90			Percent of total billed charges		90	100			Fee schedule		73.97	85			Percent of total billed charges		85	100			Fee schedule		73.97	100			Fee schedule		73.97	100			Fee schedule		73.97	100			Fee schedule		73.97	33.3			Percent of total billed charges		33.3	33.3			Percent of total billed charges		33.3	100			Fee schedule		73.97	33.3	90	
Group psychotherapy (other than of a multiple-family group)	90853	CPT	Outpatient			121	78.65		90			Percent of total billed charges		108.9	95.46			Fee schedule		70.62	80			Percent of total billed charges		96.8	90			Percent of total billed charges		108.9	100			Fee schedule		73.97	85			Percent of total billed charges		102.85	100			Fee schedule		73.97	100			Fee schedule		73.97	100			Fee schedule		73.97	100			Fee schedule		73.97	33.3			Percent of total billed charges		40.29	33.3			Percent of total billed charges		40.29	100			Fee schedule		73.97	40.29	108.9	
Cervical or vaginal cancer screening; pelvic and clinical breast examination	G0101	CPT	Outpatient			180	117		90			Percent of total billed charges		162	95.46			Fee schedule		70.62	80			Percent of total billed charges		144	90			Percent of total billed charges		162	100			Fee schedule		73.97	85			Percent of total billed charges		153	100			Fee schedule		73.97	100			Fee schedule		73.97	100			Fee schedule		73.97	100			Fee schedule		73.97	33.3			Percent of total billed charges		59.94	33.3			Percent of total billed charges		59.94	100			Fee schedule		73.97	59.94	162	
"Positional nystagmus test, minimum of 4 positions, with recording"	92542	CPT	Outpatient			80	52		90			Percent of total billed charges		72	95.46			Fee schedule		80	80			Percent of total billed charges		64	90			Percent of total billed charges		72	100			Fee schedule		106.01	85			Percent of total billed charges		68	100			Fee schedule		80	100			Fee schedule		106.01	100			Fee schedule		106.01	100			Fee schedule		106.01	33.3			Percent of total billed charges		26.64	33.3			Percent of total billed charges		26.64	100			Fee schedule		106.01	26.64	106.01	
"Spontaneous nystagmus test, including gaze and fixation nystagmus, with recording"	92541	CPT	Outpatient			90	58.5		90			Percent of total billed charges		81	95.46			Fee schedule		90	80			Percent of total billed charges		72	90			Percent of total billed charges		81	100			Fee schedule		106.01	85			Percent of total billed charges		76.5	100			Fee schedule		90	100			Fee schedule		106.01	100			Fee schedule		106.01	100			Fee schedule		106.01	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Fee schedule		106.01	29.97	106.01	
"Phlebotomy, therapeutic (separate procedure)"	99195	CPT	Outpatient			130	84.5		90			Percent of total billed charges		117	95.46			Fee schedule		101.2	80			Percent of total billed charges		104	90			Percent of total billed charges		117	100			Fee schedule		106.01	85			Percent of total billed charges		110.5	100			Fee schedule		106.01	100			Fee schedule		106.01	100			Fee schedule		106.01	100			Fee schedule		106.01	33.3			Percent of total billed charges		43.29	33.3			Percent of total billed charges		43.29	100			Fee schedule		106.01	43.29	117	
Instillation of fecal microbiota suspension via rectal enema into lower gastrointestinal tract	0780T	CPT	Outpatient			152.21	98.94		90			Percent of total billed charges		136.99	95.46			Fee schedule		101.2	80			Percent of total billed charges		121.77	90			Percent of total billed charges		136.99	100			Fee schedule		106.01	85			Percent of total billed charges		129.38	100			Fee schedule		106.01	100			Fee schedule		106.01	100			Fee schedule		106.01	100			Fee schedule		106.01	33.3			Percent of total billed charges		50.69	33.3			Percent of total billed charges		50.69	100			Fee schedule		106.01	50.69	136.99	
"Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient"	92012	CPT	Outpatient			115	74.75		90			Percent of total billed charges		103.5	95.46			Fee schedule		104.72	80			Percent of total billed charges		92	90			Percent of total billed charges		103.5	100			Fee schedule		109.7	85			Percent of total billed charges		97.75	100			Fee schedule		109.7	100			Fee schedule		109.7	100			Fee schedule		109.7	100			Fee schedule		109.7	33.3			Percent of total billed charges		38.3	33.3			Percent of total billed charges		38.3	100			Fee schedule		109.7	38.3	109.7	
Hospital outpatient clinic visit for assessment and management of a patient	G0463	CPT	Outpatient			147	95.55		90			Percent of total billed charges		132.3	95.46			Fee schedule		104.72	80			Percent of total billed charges		117.6	90			Percent of total billed charges		132.3	100			Fee schedule		109.7	85			Percent of total billed charges		124.95	100			Fee schedule		109.7	100			Fee schedule		109.7	100			Fee schedule		109.7	100			Fee schedule		109.7	33.3			Percent of total billed charges		48.95	33.3			Percent of total billed charges		48.95	100			Fee schedule		109.7	48.95	132.3	
"Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant admitted and discharged on the same date"	99463	CPT	Outpatient			150	97.5		90			Percent of total billed charges		135	95.46			Fee schedule		104.72	80			Percent of total billed charges		120	90			Percent of total billed charges		135	100			Fee schedule		109.7	85			Percent of total billed charges		127.5	100			Fee schedule		109.7	100			Fee schedule		109.7	100			Fee schedule		109.7	100			Fee schedule		109.7	33.3			Percent of total billed charges		49.95	33.3			Percent of total billed charges		49.95	100			Fee schedule		109.7	49.95	135	
"Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant"	99460	CPT	Outpatient			150	97.5		90			Percent of total billed charges		135	95.46			Fee schedule		104.72	80			Percent of total billed charges		120	90			Percent of total billed charges		135	100			Fee schedule		109.7	85			Percent of total billed charges		127.5	100			Fee schedule		109.7	100			Fee schedule		109.7	100			Fee schedule		109.7	100			Fee schedule		109.7	33.3			Percent of total billed charges		49.95	33.3			Percent of total billed charges		49.95	100			Fee schedule		109.7	49.95	135	
"Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive, new patient, 1 or more visits"	92004	CPT	Outpatient			175	113.75		90			Percent of total billed charges		157.5	95.46			Fee schedule		104.72	80			Percent of total billed charges		140	90			Percent of total billed charges		157.5	100			Fee schedule		109.7	85			Percent of total billed charges		148.75	100			Fee schedule		109.7	100			Fee schedule		109.7	100			Fee schedule		109.7	100			Fee schedule		109.7	33.3			Percent of total billed charges		58.28	33.3			Percent of total billed charges		58.28	100			Fee schedule		109.7	58.28	157.5	
"Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment"	G0402	CPT	Outpatient			180	117		90			Percent of total billed charges		162	95.46			Fee schedule		104.72	80			Percent of total billed charges		144	90			Percent of total billed charges		162	100			Fee schedule		109.7	85			Percent of total billed charges		153	100			Fee schedule		109.7	100			Fee schedule		109.7	100			Fee schedule		109.7	100			Fee schedule		109.7	33.3			Percent of total billed charges		59.94	33.3			Percent of total billed charges		59.94	100			Fee schedule		109.7	59.94	162	
"Transitional care management services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge At least moderate level of medical decision making during the service period Face-to-face visit, within 14 calendar days of discharge"	99495	CPT	Outpatient			205	133.25		90			Percent of total billed charges		184.5	95.46			Fee schedule		104.72	80			Percent of total billed charges		164	90			Percent of total billed charges		184.5	100			Fee schedule		109.7	85			Percent of total billed charges		174.25	100			Fee schedule		109.7	100			Fee schedule		109.7	100			Fee schedule		109.7	100			Fee schedule		109.7	33.3			Percent of total billed charges		68.26	33.3			Percent of total billed charges		68.26	100			Fee schedule		109.7	68.26	184.5	
"Transitional care management services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge High level of medical decision making during the service period Face-to-face visit, within 7 calendar days of discharge"	99496	CPT	Outpatient			285	185.25		90			Percent of total billed charges		256.5	95.46			Fee schedule		104.72	80			Percent of total billed charges		228	90			Percent of total billed charges		256.5	100			Fee schedule		109.7	85			Percent of total billed charges		242.25	100			Fee schedule		109.7	100			Fee schedule		109.7	100			Fee schedule		109.7	100			Fee schedule		109.7	33.3			Percent of total billed charges		94.9	33.3			Percent of total billed charges		94.9	100			Fee schedule		109.7	94.9	256.5	
"Injection, pegfilgrastim, excludes biosimilar, 0.5 mg"	J2506	HCPCS	Outpatient	0.5	ME	1668.83	1084.74		90			Percent of total billed charges		1501.95	95.46			Fee schedule		104.77	80			Percent of total billed charges		1335.07	90			Percent of total billed charges		1501.95	100			Fee schedule		109.75	85			Percent of total billed charges		1418.51	100			Fee schedule		109.75	100			Fee schedule		109.75	100			Fee schedule		109.75	100			Fee schedule		109.75	50			Percent of total billed charges		834.42	50			Percent of total billed charges		834.42	100			Fee schedule		109.75	104.77	1501.95	
"Optokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recording"	92544	CPT	Outpatient			55	35.75		90			Percent of total billed charges		49.5	95.46			Fee schedule		55	80			Percent of total billed charges		44	90			Percent of total billed charges		49.5	100			Fee schedule		129.63	85			Percent of total billed charges		46.75	100			Fee schedule		55	100			Fee schedule		129.63	100			Fee schedule		129.63	100			Fee schedule		129.63	33.3			Percent of total billed charges		18.32	33.3			Percent of total billed charges		18.32	100			Fee schedule		129.63	18.32	129.63	
"Caloric vestibular test with recording, bilateral; bithermal (ie, one warm and one cool irrigation in each ear for a total of four irrigations)"	92537	CPT	Outpatient			130	84.5		90			Percent of total billed charges		117	95.46			Fee schedule		123.75	80			Percent of total billed charges		104	90			Percent of total billed charges		117	100			Fee schedule		129.63	85			Percent of total billed charges		110.5	100			Fee schedule		129.63	100			Fee schedule		129.63	100			Fee schedule		129.63	100			Fee schedule		129.63	33.3			Percent of total billed charges		43.29	33.3			Percent of total billed charges		43.29	100			Fee schedule		129.63	43.29	129.63	
Sinusoidal vertical axis rotational testing	92546	CPT	Outpatient			145	94.25		90			Percent of total billed charges		130.5	95.46			Fee schedule		123.75	80			Percent of total billed charges		116	90			Percent of total billed charges		130.5	100			Fee schedule		129.63	85			Percent of total billed charges		123.25	100			Fee schedule		129.63	100			Fee schedule		129.63	100			Fee schedule		129.63	100			Fee schedule		129.63	33.3			Percent of total billed charges		48.28	33.3			Percent of total billed charges		48.28	100			Fee schedule		129.63	48.28	130.5	
"Basic vestibular evaluation, includes spontaneous nystagmus test with eccentric gaze fixation nystagmus, with recording, positional nystagmus test, minimum of 4 positions, with recording, optokinetic nystagmus test, bidirectional foveal and peripheral stimulation, with recording, and oscillating tracking test, with recording"	92540	CPT	Outpatient			170	110.5		90			Percent of total billed charges		153	95.46			Fee schedule		123.75	80			Percent of total billed charges		136	90			Percent of total billed charges		153	100			Fee schedule		129.63	85			Percent of total billed charges		144.5	100			Fee schedule		129.63	100			Fee schedule		129.63	100			Fee schedule		129.63	100			Fee schedule		129.63	33.3			Percent of total billed charges		56.61	33.3			Percent of total billed charges		56.61	100			Fee schedule		129.63	56.61	153	
"Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and report"	91200	CPT	Outpatient			193	125.45		90			Percent of total billed charges		173.7	95.46			Fee schedule		123.75	80			Percent of total billed charges		154.4	90			Percent of total billed charges		173.7	100			Fee schedule		129.63	85			Percent of total billed charges		164.05	100			Fee schedule		129.63	100			Fee schedule		129.63	100			Fee schedule		129.63	100			Fee schedule		129.63	33.3			Percent of total billed charges		64.27	33.3			Percent of total billed charges		64.27	100			Fee schedule		129.63	64.27	173.7	
"Injection, coagulation factor xa (recombinant), inactivated-zhzo (andexxa), 10 mg"	J7169	HCPCS	Outpatient	10	ME	357.5	232.38		90			Percent of total billed charges		321.75	95.46			Fee schedule		126.18	80			Percent of total billed charges		286	90			Percent of total billed charges		321.75	100			Fee schedule		132.18	85			Percent of total billed charges		303.88	100			Fee schedule		132.18	100			Fee schedule		132.18	100			Fee schedule		132.18	100			Fee schedule		132.18	50			Percent of total billed charges		178.75	50			Percent of total billed charges		178.75	100			Fee schedule		132.18	126.18	321.75	
"Complex chronic care management services with the following required elements: multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient, chronic conditions that place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline, comprehensive care plan established, implemented, revised, or monitored, moderate or high complexity medical decision making; first 60 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month."	99487	CPT	Outpatient			100	65		90			Percent of total billed charges		90	95.46			Fee schedule		100	80			Percent of total billed charges		80	90			Percent of total billed charges		90	100			Fee schedule		132.31	85			Percent of total billed charges		85	100			Fee schedule		100	100			Fee schedule		132.31	100			Fee schedule		132.31	100			Fee schedule		132.31	33.3			Percent of total billed charges		33.3	33.3			Percent of total billed charges		33.3	100			Fee schedule		132.31	33.3	132.31	
"Family psychotherapy (conjoint psychotherapy) (with patient present), 50 minutes"	90847	CPT	Outpatient			182	118.3		90			Percent of total billed charges		163.8	95.46			Fee schedule		126.31	80			Percent of total billed charges		145.6	90			Percent of total billed charges		163.8	100			Fee schedule		132.31	85			Percent of total billed charges		154.7	100			Fee schedule		132.31	100			Fee schedule		132.31	100			Fee schedule		132.31	100			Fee schedule		132.31	33.3			Percent of total billed charges		60.61	33.3			Percent of total billed charges		60.61	100			Fee schedule		132.31	60.61	163.8	
"Family psychotherapy (without the patient present), 50 minutes"	90846	CPT	Outpatient			182	118.3		90			Percent of total billed charges		163.8	95.46			Fee schedule		126.31	80			Percent of total billed charges		145.6	90			Percent of total billed charges		163.8	100			Fee schedule		132.31	85			Percent of total billed charges		154.7	100			Fee schedule		132.31	100			Fee schedule		132.31	100			Fee schedule		132.31	100			Fee schedule		132.31	33.3			Percent of total billed charges		60.61	33.3			Percent of total billed charges		60.61	100			Fee schedule		132.31	60.61	163.8	
"Psychotherapy, 30 minutes with patient"	90832	CPT	Outpatient			182	118.3		90			Percent of total billed charges		163.8	95.46			Fee schedule		126.31	80			Percent of total billed charges		145.6	90			Percent of total billed charges		163.8	100			Fee schedule		132.31	85			Percent of total billed charges		154.7	100			Fee schedule		132.31	100			Fee schedule		132.31	100			Fee schedule		132.31	100			Fee schedule		132.31	33.3			Percent of total billed charges		60.61	33.3			Percent of total billed charges		60.61	100			Fee schedule		132.31	60.61	163.8	
"Psychotherapy, 45 minutes with patient"	90834	CPT	Outpatient			182	118.3		90			Percent of total billed charges		163.8	95.46			Fee schedule		126.31	80			Percent of total billed charges		145.6	90			Percent of total billed charges		163.8	100			Fee schedule		132.31	85			Percent of total billed charges		154.7	100			Fee schedule		132.31	100			Fee schedule		132.31	100			Fee schedule		132.31	100			Fee schedule		132.31	33.3			Percent of total billed charges		60.61	33.3			Percent of total billed charges		60.61	100			Fee schedule		132.31	60.61	163.8	
"Psychotherapy, 60 minutes with patient"	90837	CPT	Outpatient			220	143		90			Percent of total billed charges		198	95.46			Fee schedule		126.31	80			Percent of total billed charges		176	90			Percent of total billed charges		198	100			Fee schedule		132.31	85			Percent of total billed charges		187	100			Fee schedule		132.31	100			Fee schedule		132.31	100			Fee schedule		132.31	100			Fee schedule		132.31	33.3			Percent of total billed charges		73.26	33.3			Percent of total billed charges		73.26	100			Fee schedule		132.31	73.26	198	
Psychiatric diagnostic evaluation	90791	CPT	Outpatient			230	149.5		90			Percent of total billed charges		207	95.46			Fee schedule		126.31	80			Percent of total billed charges		184	90			Percent of total billed charges		207	100			Fee schedule		132.31	85			Percent of total billed charges		195.5	100			Fee schedule		132.31	100			Fee schedule		132.31	100			Fee schedule		132.31	100			Fee schedule		132.31	33.3			Percent of total billed charges		76.59	33.3			Percent of total billed charges		76.59	100			Fee schedule		132.31	76.59	207	
Psychiatric diagnostic evaluation with medical services	90792	CPT	Outpatient			250	162.5		90			Percent of total billed charges		225	95.46			Fee schedule		126.31	80			Percent of total billed charges		200	90			Percent of total billed charges		225	100			Fee schedule		132.31	85			Percent of total billed charges		212.5	100			Fee schedule		132.31	100			Fee schedule		132.31	100			Fee schedule		132.31	100			Fee schedule		132.31	33.3			Percent of total billed charges		83.25	33.3			Percent of total billed charges		83.25	100			Fee schedule		132.31	83.25	225	
Psychotherapy for crisis; first 60 minutes	90839	CPT	Outpatient			300	195		90			Percent of total billed charges		270	95.46			Fee schedule		126.31	80			Percent of total billed charges		240	90			Percent of total billed charges		270	100			Fee schedule		132.31	85			Percent of total billed charges		255	100			Fee schedule		132.31	100			Fee schedule		132.31	100			Fee schedule		132.31	100			Fee schedule		132.31	33.3			Percent of total billed charges		99.9	33.3			Percent of total billed charges		99.9	100			Fee schedule		132.31	99.9	270	
"Injection, tremelimumab-actl, 1 mg"	J9347	HCPCS	Outpatient	1	ME	405.68	263.69		90			Percent of total billed charges		365.11	95.46			Fee schedule		129.58	80			Percent of total billed charges		324.55	90			Percent of total billed charges		365.11	100			Fee schedule		135.75	85			Percent of total billed charges		344.83	100			Fee schedule		135.75	100			Fee schedule		135.75	100			Fee schedule		135.75	100			Fee schedule		135.75	50			Percent of total billed charges		202.84	50			Percent of total billed charges		202.84	100			Fee schedule		135.75	129.58	365.11	
Nasopharyngoscopy with endoscope (separate procedure)	92511	CPT	Outpatient			245	159.25		90			Percent of total billed charges		220.5	95.46			Fee schedule		156.92	80			Percent of total billed charges		196	90			Percent of total billed charges		220.5	100			Fee schedule		164.38	85			Percent of total billed charges		208.25	100			Fee schedule		164.38	100			Fee schedule		164.38	100			Fee schedule		164.38	100			Fee schedule		164.38	33.3			Percent of total billed charges		81.58	33.3			Percent of total billed charges		81.58	100			Fee schedule		164.38	81.58	220.5	
Excimer laser treatment for psoriasis; 250 sq cm to 500 sq cm	96921	CPT	Outpatient			236.73	153.87		90			Percent of total billed charges		213.06	95.46			Fee schedule		158.6	80			Percent of total billed charges		189.38	90			Percent of total billed charges		213.06	100			Fee schedule		166.14	85			Percent of total billed charges		201.22	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14	33.3			Percent of total billed charges		78.83	33.3			Percent of total billed charges		78.83	100			Fee schedule		166.14	78.83	213.06	
Excimer laser treatment for psoriasis; total area less than 250 sq cm	96920	CPT	Outpatient			236.73	153.87		90			Percent of total billed charges		213.06	95.46			Fee schedule		158.6	80			Percent of total billed charges		189.38	90			Percent of total billed charges		213.06	100			Fee schedule		166.14	85			Percent of total billed charges		201.22	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14	33.3			Percent of total billed charges		78.83	33.3			Percent of total billed charges		78.83	100			Fee schedule		166.14	78.83	213.06	
"Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session"	97602	CPT	Outpatient			499	324.35		90			Percent of total billed charges		449.1	95.46			Fee schedule		158.6	80			Percent of total billed charges		399.2	90			Percent of total billed charges		449.1	100			Fee schedule		166.14	85			Percent of total billed charges		424.15	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14	100			Fee schedule		166.14	33.3			Percent of total billed charges		166.17	33.3			Percent of total billed charges		166.17	100			Fee schedule		166.14	158.6	449.1	
"Injection, nivolumab and relatlimab-rmbw, 3 mg/1 mg"	J9298	HCPCS	Outpatient	1	EA	272.46	177.1		90			Percent of total billed charges		245.21	95.46			Fee schedule		178.51	80			Percent of total billed charges		217.97	90			Percent of total billed charges		245.21	100			Fee schedule		187	85			Percent of total billed charges		231.59	100			Fee schedule		187	100			Fee schedule		187	100			Fee schedule		187	100			Fee schedule		187	50			Percent of total billed charges		136.23	50			Percent of total billed charges		136.23	100			Fee schedule		187	136.23	245.21	
"Injection, lurbinectedin, 0.1 mg"	J9223	HCPCS	Outpatient	0.1	ME	414.4	269.36		90			Percent of total billed charges		372.96	95.46			Fee schedule		190.46	80			Percent of total billed charges		331.52	90			Percent of total billed charges		372.96	100			Fee schedule		199.52	85			Percent of total billed charges		352.24	100			Fee schedule		199.52	100			Fee schedule		199.52	100			Fee schedule		199.52	100			Fee schedule		199.52	50			Percent of total billed charges		207.2	50			Percent of total billed charges		207.2	100			Fee schedule		199.52	190.46	372.96	
"Injection, pegfilgrastim-pbbk (fylnetra), biosimilar, 0.5 mg"	Q5130	CPT	Outpatient			650	422.5		90			Percent of total billed charges		585	95.46			Fee schedule		192.18	80			Percent of total billed charges		520	90			Percent of total billed charges		585	100			Fee schedule		201.32	85			Percent of total billed charges		552.5	100			Fee schedule		201.32	100			Fee schedule		201.32	100			Fee schedule		201.32	100			Fee schedule		201.32	50			Percent of total billed charges		325	50			Percent of total billed charges		325	100			Fee schedule		201.32	192.18	585	
"Injection, ravulizumab-cwvz, 10 mg"	J1303	HCPCS	Outpatient	10	ME	666.03	432.92		90			Percent of total billed charges		599.43	95.46			Fee schedule		211.68	80			Percent of total billed charges		532.83	90			Percent of total billed charges		599.43	100			Fee schedule		221.74	85			Percent of total billed charges		566.13	100			Fee schedule		221.74	100			Fee schedule		221.74	100			Fee schedule		221.74	100			Fee schedule		221.74	50			Percent of total billed charges		333.02	50			Percent of total billed charges		333.02	100			Fee schedule		221.74	211.68	599.43	
"Injection, dostarlimab-gxly, 10 mg"	J9272	HCPCS	Outpatient	10	ME	694.18	451.22		90			Percent of total billed charges		624.76	95.46			Fee schedule		222	80			Percent of total billed charges		555.34	90			Percent of total billed charges		624.76	100			Fee schedule		232.55	85			Percent of total billed charges		590.05	100			Fee schedule		232.55	100			Fee schedule		232.55	100			Fee schedule		232.55	100			Fee schedule		232.55	50			Percent of total billed charges		347.09	50			Percent of total billed charges		347.09	100			Fee schedule		232.55	222	624.76	
"Oscillating tracking test, with recording"	92545	CPT	Outpatient			50	32.5		90			Percent of total billed charges		45	95.46			Fee schedule		50	80			Percent of total billed charges		40	90			Percent of total billed charges		45	100			Fee schedule		260.48	85			Percent of total billed charges		42.5	100			Fee schedule		50	100			Fee schedule		260.48	100			Fee schedule		260.48	100			Fee schedule		260.48	33.3			Percent of total billed charges		16.65	33.3			Percent of total billed charges		16.65	100			Fee schedule		260.48	16.65	260.48	
"Noncontact real-time fluorescence wound imaging, for bacterial presence, location, and load, per session; first anatomic site (eg, lower extremity)"	0598T	CPT	Outpatient			354.02	230.11		90			Percent of total billed charges		318.62	95.46			Fee schedule		248.66	80			Percent of total billed charges		283.22	90			Percent of total billed charges		318.62	100			Fee schedule		260.48	85			Percent of total billed charges		300.92	100			Fee schedule		260.48	100			Fee schedule		260.48	100			Fee schedule		260.48	100			Fee schedule		260.48	33.3			Percent of total billed charges		117.89	33.3			Percent of total billed charges		117.89	100			Fee schedule		260.48	117.89	318.62	
"Treatment devices, design and construction; complex (irregular blocks, special shields, compensators, wedges, molds or casts)"	77334	CPT	Outpatient			55.77	36.25		90			Percent of total billed charges		50.19	95.46			Fee schedule		55.77	80			Percent of total billed charges		44.62	90			Percent of total billed charges		50.19	100			Fee schedule		306.64	85			Percent of total billed charges		47.4	100			Fee schedule		55.77	100			Fee schedule		306.64	100			Fee schedule		306.64	100			Fee schedule		306.64	33.3			Percent of total billed charges		18.57	33.3			Percent of total billed charges		18.57	100			Fee schedule		306.64	18.57	306.64	
Photochemotherapy (Goeckerman and/or PUVA) for severe photoresponsive dermatoses requiring at least 4-8 hours of care under direct supervision of the physician (includes application of medication and dressings)	96913	CPT	Outpatient			165	107.25		90			Percent of total billed charges		148.5	95.46			Fee schedule		165	80			Percent of total billed charges		132	90			Percent of total billed charges		148.5	100			Fee schedule		330.91	85			Percent of total billed charges		140.25	100			Fee schedule		165	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91	33.3			Percent of total billed charges		54.94	33.3			Percent of total billed charges		54.94	100			Fee schedule		330.91	54.94	330.91	
Excimer laser treatment for psoriasis; over 500 sq cm	96922	CPT	Outpatient			460.15	299.1		90			Percent of total billed charges		414.14	95.46			Fee schedule		315.89	80			Percent of total billed charges		368.12	90			Percent of total billed charges		414.14	100			Fee schedule		330.91	85			Percent of total billed charges		391.13	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91	100			Fee schedule		330.91	33.3			Percent of total billed charges		153.23	33.3			Percent of total billed charges		153.23	100			Fee schedule		330.91	153.23	414.14	
"Injection, pegfilgrastim-bmez (ziextenzo), biosimilar, 0.5 mg"	Q5120	CPT	Outpatient			1020.67	663.43		90			Percent of total billed charges		918.6	95.46			Fee schedule		331.01	80			Percent of total billed charges		816.53	90			Percent of total billed charges		918.6	100			Fee schedule		346.76	85			Percent of total billed charges		867.57	100			Fee schedule		346.76	100			Fee schedule		346.76	100			Fee schedule		346.76	100			Fee schedule		346.76	50			Percent of total billed charges		510.33	50			Percent of total billed charges		510.33	100			Fee schedule		346.76	331.01	918.6	
"Delivery/birthing room resuscitation, provision of positive pressure ventilation and/or chest compressions in the presence of acute inadequate ventilation and/or cardiac output"	99465	CPT	Outpatient			250	162.5		90			Percent of total billed charges		225	95.46			Fee schedule		250	80			Percent of total billed charges		200	90			Percent of total billed charges		225	100			Fee schedule		540.11	85			Percent of total billed charges		212.5	100			Fee schedule		250	100			Fee schedule		540.11	100			Fee schedule		540.11	100			Fee schedule		540.11	33.3			Percent of total billed charges		83.25	33.3			Percent of total billed charges		83.25	100			Fee schedule		540.11	83.25	540.11	
"Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed"	64454	CPT	Outpatient			325	211.25		90			Percent of total billed charges		292.5	95.46			Fee schedule		325	80			Percent of total billed charges		260	85			Percent of total billed charges		276.25	100			Fee schedule		573.9	85			Percent of total billed charges		276.25	100			Fee schedule		325	100			Fee schedule		573.9	100			Fee schedule		573.9	100			Fee schedule		573.9	33.3			Percent of total billed charges		108.22	33.3			Percent of total billed charges		108.22	100			Fee schedule		573.9	108.22	573.9	
"Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance"	62329	CPT	Outpatient			332	215.8		90			Percent of total billed charges		298.8	95.46			Fee schedule		332	80			Percent of total billed charges		265.6	85			Percent of total billed charges		282.2	100			Fee schedule		573.9	85			Percent of total billed charges		282.2	100			Fee schedule		332	100			Fee schedule		573.9	100			Fee schedule		573.9	100			Fee schedule		573.9	33.3			Percent of total billed charges		110.56	33.3			Percent of total billed charges		110.56	100			Fee schedule		573.9	110.56	573.9	
"Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance"	62328	CPT	Outpatient			368	239.2		90			Percent of total billed charges		331.2	95.46			Fee schedule		368	80			Percent of total billed charges		294.4	85			Percent of total billed charges		312.8	100			Fee schedule		573.9	85			Percent of total billed charges		312.8	100			Fee schedule		368	100			Fee schedule		573.9	100			Fee schedule		573.9	100			Fee schedule		573.9	33.3			Percent of total billed charges		122.54	33.3			Percent of total billed charges		122.54	100			Fee schedule		573.9	122.54	573.9	
amalgam one surface permanen	D2140	CPT	Outpatient			83	53.95		90			Percent of total billed charges		74.7	95.46			Fee schedule		83	80			Percent of total billed charges		66.4	90			Percent of total billed charges		74.7	100			Fee schedule		730.68	85			Percent of total billed charges		70.55	100			Fee schedule		83	100			Fee schedule		730.68	100			Fee schedule		730.68	100			Fee schedule		730.68	33.3			Percent of total billed charges		27.64	33.3			Percent of total billed charges		27.64	100			Fee schedule		730.68	27.64	730.68	
resin one surface-anterior	D2330	CPT	Outpatient			88	57.2		90			Percent of total billed charges		79.2	95.46			Fee schedule		88	80			Percent of total billed charges		70.4	90			Percent of total billed charges		79.2	100			Fee schedule		730.68	85			Percent of total billed charges		74.8	100			Fee schedule		88	100			Fee schedule		730.68	100			Fee schedule		730.68	100			Fee schedule		730.68	33.3			Percent of total billed charges		29.3	33.3			Percent of total billed charges		29.3	100			Fee schedule		730.68	29.3	730.68	
therapeutic pulpotomy	D3220	CPT	Outpatient			105	68.25		90			Percent of total billed charges		94.5	95.46			Fee schedule		105	80			Percent of total billed charges		84	90			Percent of total billed charges		94.5	100			Fee schedule		730.68	85			Percent of total billed charges		89.25	100			Fee schedule		105	100			Fee schedule		730.68	100			Fee schedule		730.68	100			Fee schedule		730.68	33.3			Percent of total billed charges		34.96	33.3			Percent of total billed charges		34.96	100			Fee schedule		730.68	34.96	730.68	
amalgam two surfaces permane	D2150	CPT	Outpatient			110	71.5		90			Percent of total billed charges		99	95.46			Fee schedule		110	80			Percent of total billed charges		88	90			Percent of total billed charges		99	100			Fee schedule		730.68	85			Percent of total billed charges		93.5	100			Fee schedule		110	100			Fee schedule		730.68	100			Fee schedule		730.68	100			Fee schedule		730.68	33.3			Percent of total billed charges		36.63	33.3			Percent of total billed charges		36.63	100			Fee schedule		730.68	36.63	730.68	
post 1 srfc resinbased cmpst	D2391	CPT	Outpatient			112	72.8		90			Percent of total billed charges		100.8	95.46			Fee schedule		112	80			Percent of total billed charges		89.6	90			Percent of total billed charges		100.8	100			Fee schedule		730.68	85			Percent of total billed charges		95.2	100			Fee schedule		112	100			Fee schedule		730.68	100			Fee schedule		730.68	100			Fee schedule		730.68	33.3			Percent of total billed charges		37.3	33.3			Percent of total billed charges		37.3	100			Fee schedule		730.68	37.3	730.68	
resin two surfaces-anterior	D2331	CPT	Outpatient			116	75.4		90			Percent of total billed charges		104.4	95.46			Fee schedule		116	80			Percent of total billed charges		92.8	90			Percent of total billed charges		104.4	100			Fee schedule		730.68	85			Percent of total billed charges		98.6	100			Fee schedule		116	100			Fee schedule		730.68	100			Fee schedule		730.68	100			Fee schedule		730.68	33.3			Percent of total billed charges		38.63	33.3			Percent of total billed charges		38.63	100			Fee schedule		730.68	38.63	730.68	
periodontal scaling & root	D4341	CPT	Outpatient			121	78.65		90			Percent of total billed charges		108.9	95.46			Fee schedule		121	80			Percent of total billed charges		96.8	90			Percent of total billed charges		108.9	100			Fee schedule		730.68	85			Percent of total billed charges		102.85	100			Fee schedule		121	100			Fee schedule		730.68	100			Fee schedule		730.68	100			Fee schedule		730.68	33.3			Percent of total billed charges		40.29	33.3			Percent of total billed charges		40.29	100			Fee schedule		730.68	40.29	730.68	
post 2 srfc resinbased cmpst	D2392	CPT	Outpatient			121	78.65		90			Percent of total billed charges		108.9	95.46			Fee schedule		121	80			Percent of total billed charges		96.8	90			Percent of total billed charges		108.9	100			Fee schedule		730.68	85			Percent of total billed charges		102.85	100			Fee schedule		121	100			Fee schedule		730.68	100			Fee schedule		730.68	100			Fee schedule		730.68	33.3			Percent of total billed charges		40.29	33.3			Percent of total billed charges		40.29	100			Fee schedule		730.68	40.29	730.68	
amalgam three surfaces perma	D2160	CPT	Outpatient			127	82.55		90			Percent of total billed charges		114.3	95.46			Fee schedule		127	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	100			Fee schedule		730.68	85			Percent of total billed charges		107.95	100			Fee schedule		127	100			Fee schedule		730.68	100			Fee schedule		730.68	100			Fee schedule		730.68	33.3			Percent of total billed charges		42.29	33.3			Percent of total billed charges		42.29	100			Fee schedule		730.68	42.29	730.68	
amalgam 4 or > surfaces perm	D2161	CPT	Outpatient			165	107.25		90			Percent of total billed charges		148.5	95.46			Fee schedule		165	80			Percent of total billed charges		132	90			Percent of total billed charges		148.5	100			Fee schedule		730.68	85			Percent of total billed charges		140.25	100			Fee schedule		165	100			Fee schedule		730.68	100			Fee schedule		730.68	100			Fee schedule		730.68	33.3			Percent of total billed charges		54.94	33.3			Percent of total billed charges		54.94	100			Fee schedule		730.68	54.94	730.68	
prefab stnlss steel crwn pri	D2930	CPT	Outpatient			176	114.4		90			Percent of total billed charges		158.4	95.46			Fee schedule		176	80			Percent of total billed charges		140.8	90			Percent of total billed charges		158.4	100			Fee schedule		730.68	85			Percent of total billed charges		149.6	100			Fee schedule		176	100			Fee schedule		730.68	100			Fee schedule		730.68	100			Fee schedule		730.68	33.3			Percent of total billed charges		58.61	33.3			Percent of total billed charges		58.61	100			Fee schedule		730.68	58.61	730.68	
post 3 srfc resinbased cmpst	D2393	CPT	Outpatient			193	125.45		90			Percent of total billed charges		173.7	95.46			Fee schedule		193	80			Percent of total billed charges		154.4	90			Percent of total billed charges		173.7	100			Fee schedule		730.68	85			Percent of total billed charges		164.05	100			Fee schedule		193	100			Fee schedule		730.68	100			Fee schedule		730.68	100			Fee schedule		730.68	33.3			Percent of total billed charges		64.27	33.3			Percent of total billed charges		64.27	100			Fee schedule		730.68	64.27	730.68	
prefab stainless steel crown	D2933	CPT	Outpatient			198	128.7		90			Percent of total billed charges		178.2	95.46			Fee schedule		198	80			Percent of total billed charges		158.4	90			Percent of total billed charges		178.2	100			Fee schedule		730.68	85			Percent of total billed charges		168.3	100			Fee schedule		198	100			Fee schedule		730.68	100			Fee schedule		730.68	100			Fee schedule		730.68	33.3			Percent of total billed charges		65.93	33.3			Percent of total billed charges		65.93	100			Fee schedule		730.68	65.93	730.68	
ant resin-based cmpst crown	D2390	CPT	Outpatient			200	130		90			Percent of total billed charges		180	95.46			Fee schedule		200	80			Percent of total billed charges		160	90			Percent of total billed charges		180	100			Fee schedule		730.68	85			Percent of total billed charges		170	100			Fee schedule		200	100			Fee schedule		730.68	100			Fee schedule		730.68	100			Fee schedule		730.68	33.3			Percent of total billed charges		66.6	33.3			Percent of total billed charges		66.6	100			Fee schedule		730.68	66.6	730.68	
prefab stnlss steel crown pe	D2931	CPT	Outpatient			204	132.6		90			Percent of total billed charges		183.6	95.46			Fee schedule		204	80			Percent of total billed charges		163.2	90			Percent of total billed charges		183.6	100			Fee schedule		730.68	85			Percent of total billed charges		173.4	100			Fee schedule		204	100			Fee schedule		730.68	100			Fee schedule		730.68	100			Fee schedule		730.68	33.3			Percent of total billed charges		67.93	33.3			Percent of total billed charges		67.93	100			Fee schedule		730.68	67.93	730.68	
extraction erupted tooth/exr	D7140	CPT	Outpatient			545	354.25		90			Percent of total billed charges		490.5	95.46			Fee schedule		545	80			Percent of total billed charges		436	90			Percent of total billed charges		490.5	100			Fee schedule		730.68	85			Percent of total billed charges		463.25	100			Fee schedule		545	100			Fee schedule		730.68	100			Fee schedule		730.68	100			Fee schedule		730.68	33.3			Percent of total billed charges		181.48	33.3			Percent of total billed charges		181.48	100			Fee schedule		730.68	181.48	730.68	
space maintainer fxd unilat	D1510	CPT	Outpatient			545	354.25		90			Percent of total billed charges		490.5	95.46			Fee schedule		545	80			Percent of total billed charges		436	90			Percent of total billed charges		490.5	100			Fee schedule		730.68	85			Percent of total billed charges		463.25	100			Fee schedule		545	100			Fee schedule		730.68	100			Fee schedule		730.68	100			Fee schedule		730.68	33.3			Percent of total billed charges		181.48	33.3			Percent of total billed charges		181.48	100			Fee schedule		730.68	181.48	730.68	
"end thxpy, molar"	D3330	CPT	Outpatient			578	375.7		90			Percent of total billed charges		520.2	95.46			Fee schedule		578	80			Percent of total billed charges		462.4	90			Percent of total billed charges		520.2	100			Fee schedule		730.68	85			Percent of total billed charges		491.3	100			Fee schedule		578	100			Fee schedule		730.68	100			Fee schedule		730.68	100			Fee schedule		730.68	33.3			Percent of total billed charges		192.47	33.3			Percent of total billed charges		192.47	100			Fee schedule		730.68	192.47	730.68	
"Preparation with instillation of fecal microbiota by any method, including assessment of donor specimen"	G0455	CPT	Outpatient			152.21	98.94		90			Percent of total billed charges		136.99	95.46			Fee schedule		152.21	80			Percent of total billed charges		121.77	90			Percent of total billed charges		136.99	100			Fee schedule		758.48	85			Percent of total billed charges		129.38	100			Fee schedule		152.21	100			Fee schedule		758.48	100			Fee schedule		758.48	100			Fee schedule		758.48	33.3			Percent of total billed charges		50.69	33.3			Percent of total billed charges		50.69	100			Fee schedule		758.48	50.69	758.48	
Trauma response team associated with hospital critical care service	G0390	CPT	Outpatient			2255	1465.75		90			Percent of total billed charges		2029.5	95.46			Fee schedule		1084.61	80			Percent of total billed charges		1804	90			Percent of total billed charges		2029.5	100			Fee schedule		1136.19	85			Percent of total billed charges		1916.75	100			Fee schedule		1136.19	100			Fee schedule		1136.19	100			Fee schedule		1136.19	100			Fee schedule		1136.19	33.3			Percent of total billed charges		750.92	33.3			Percent of total billed charges		750.92	100			Fee schedule		1136.19	750.92	2029.5	
"Pericardiocentesis, including imaging guidance, when performed"	33016	CPT	Outpatient			370	240.5		90			Percent of total billed charges		333	95.46			Fee schedule		370	80			Percent of total billed charges		296	85			Percent of total billed charges		314.5	100			Fee schedule		1329.09	85			Percent of total billed charges		314.5	100			Fee schedule		370	100			Fee schedule		1329.09	100			Fee schedule		1329.09	100			Fee schedule		1329.09	33.3			Percent of total billed charges		123.21	33.3			Percent of total billed charges		123.21	100			Fee schedule		1329.09	123.21	1329.09	
"Core needle biopsy, lung or mediastinum, percutaneous, including imaging guidance, when performed"	32408	CPT	Outpatient			1742	1132.3		90			Percent of total billed charges		1567.8	95.46			Fee schedule		1284.39	80			Percent of total billed charges		1393.6	85			Percent of total billed charges		1480.7	100			Fee schedule		1345.48	85			Percent of total billed charges		1480.7	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48	100			Fee schedule		1345.48	33.3			Percent of total billed charges		580.09	33.3			Percent of total billed charges		580.09	100			Fee schedule		1345.48	580.09	1567.8	
"Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography)"	64625	CPT	Outpatient			2029.33	1319.07		90			Percent of total billed charges		1826.4	95.46			Fee schedule		1529.57	80			Percent of total billed charges		1623.47	85			Percent of total billed charges		1724.93	100			Fee schedule		1602.32	85			Percent of total billed charges		1724.93	100			Fee schedule		1602.32	100			Fee schedule		1602.32	100			Fee schedule		1602.32	100			Fee schedule		1602.32	33.3			Percent of total billed charges		675.77	33.3			Percent of total billed charges		675.77	100			Fee schedule		1602.32	675.77	1826.4	
"Destruction by neurolytic agent, genicular nerve branches including imaging guidance, when performed"	64624	CPT	Outpatient			5374.5	3493.42		90			Percent of total billed charges		4837.05	95.46			Fee schedule		1529.57	80			Percent of total billed charges		4299.6	85			Percent of total billed charges		4568.32	100			Fee schedule		1602.32	85			Percent of total billed charges		4568.32	100			Fee schedule		1602.32	100			Fee schedule		1602.32	100			Fee schedule		1602.32	100			Fee schedule		1602.32	33.3			Percent of total billed charges		1789.71	33.3			Percent of total billed charges		1789.71	100			Fee schedule		1602.32	1529.57	4837.05	
"Injection(s), bone-substitute material (eg, calcium phosphate) into subchondral bone defect (ie, bone marrow lesion, bone bruise, stress injury, microtrabecular fracture), including imaging guidance and arthroscopic assistance for joint visualization"	0707T	CPT	Outpatient			3411.97	2217.78		90			Percent of total billed charges		3070.77	95.46			Fee schedule		2564.24	80			Percent of total billed charges		2729.57	85			Percent of total billed charges		2900.17	100			Fee schedule		2686.19	85			Percent of total billed charges		2900.17	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19	100			Fee schedule		2686.19	33.3			Percent of total billed charges		1136.19	33.3			Percent of total billed charges		1136.19	100			Fee schedule		2686.19	1136.19	3070.77	
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); greater than 10 cm, reducible"	49595	CPT	Outpatient			334.3	217.3		90			Percent of total billed charges		300.87	95.46			Fee schedule		334.3	80			Percent of total billed charges		267.44	85			Percent of total billed charges		284.16	100			Fee schedule		2871.11	85			Percent of total billed charges		284.16	100			Fee schedule		334.3	100			Fee schedule		2871.11	100			Fee schedule		2871.11	100			Fee schedule		2871.11	33.3			Percent of total billed charges		111.32	33.3			Percent of total billed charges		111.32	100			Fee schedule		2871.11	111.32	2871.11	
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, reducible"	49613	CPT	Outpatient			490	318.5		90			Percent of total billed charges		441	95.46			Fee schedule		490	80			Percent of total billed charges		392	85			Percent of total billed charges		416.5	100			Fee schedule		2871.11	85			Percent of total billed charges		416.5	100			Fee schedule		490	100			Fee schedule		2871.11	100			Fee schedule		2871.11	100			Fee schedule		2871.11	33.3			Percent of total billed charges		163.17	33.3			Percent of total billed charges		163.17	100			Fee schedule		2871.11	163.17	2871.11	
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, reducible"	49615	CPT	Outpatient			4255.35	2765.98		90			Percent of total billed charges		3829.81	95.46			Fee schedule		2740.76	80			Percent of total billed charges		3404.28	85			Percent of total billed charges		3617.05	100			Fee schedule		2871.11	85			Percent of total billed charges		3617.05	100			Fee schedule		2871.11	100			Fee schedule		2871.11	100			Fee schedule		2871.11	100			Fee schedule		2871.11	33.3			Percent of total billed charges		1417.03	33.3			Percent of total billed charges		1417.03	100			Fee schedule		2871.11	1417.03	3829.81	
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, reducible"	49591	CPT	Outpatient			5767.62	3748.96		90			Percent of total billed charges		5190.86	95.46			Fee schedule		2740.76	80			Percent of total billed charges		4614.1	85			Percent of total billed charges		4902.48	100			Fee schedule		2871.11	85			Percent of total billed charges		4902.48	100			Fee schedule		2871.11	100			Fee schedule		2871.11	100			Fee schedule		2871.11	100			Fee schedule		2871.11	33.3			Percent of total billed charges		1920.62	33.3			Percent of total billed charges		1920.62	100			Fee schedule		2871.11	1920.62	5190.86	
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, reducible"	49593	CPT	Outpatient			8245.34	5359.47		90			Percent of total billed charges		7420.8	95.46			Fee schedule		2740.76	80			Percent of total billed charges		6596.27	85			Percent of total billed charges		7008.54	100			Fee schedule		2871.11	85			Percent of total billed charges		7008.54	100			Fee schedule		2871.11	100			Fee schedule		2871.11	100			Fee schedule		2871.11	100			Fee schedule		2871.11	33.3			Percent of total billed charges		2745.7	33.3			Percent of total billed charges		2745.7	100			Fee schedule		2871.11	2740.76	7420.8	
"Grafting of autologous soft tissue, other, harvested by direct excision (eg, fat, dermis, fascia)"	15769	CPT	Outpatient			519.12	337.43		90			Percent of total billed charges		467.21	95.46			Fee schedule		519.12	80			Percent of total billed charges		415.3	85			Percent of total billed charges		441.26	100			Fee schedule		2977.3	85			Percent of total billed charges		441.26	100			Fee schedule		519.12	100			Fee schedule		2977.3	100			Fee schedule		2977.3	100			Fee schedule		2977.3	33.3			Percent of total billed charges		172.87	33.3			Percent of total billed charges		172.87	100			Fee schedule		2977.3	172.87	2977.3	
"Grafting of autologous fat harvested by liposuction technique to trunk, breasts, scalp, arms, and/or legs; 50 cc or less injectate"	15771	CPT	Outpatient			958.57	623.07		90			Percent of total billed charges		862.71	95.46			Fee schedule		958.57	80			Percent of total billed charges		766.86	85			Percent of total billed charges		814.78	100			Fee schedule		2977.3	85			Percent of total billed charges		814.78	100			Fee schedule		958.57	100			Fee schedule		2977.3	100			Fee schedule		2977.3	100			Fee schedule		2977.3	33.3			Percent of total billed charges		319.2	33.3			Percent of total billed charges		319.2	100			Fee schedule		2977.3	319.2	2977.3	
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, incarcerated or strangulated"	49614	CPT	Outpatient			675	438.75		90			Percent of total billed charges		607.5	95.46			Fee schedule		675	80			Percent of total billed charges		540	85			Percent of total billed charges		573.75	100			Fee schedule		4788.4	85			Percent of total billed charges		573.75	100			Fee schedule		675	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4	33.3			Percent of total billed charges		224.78	33.3			Percent of total billed charges		224.78	100			Fee schedule		4788.4	224.78	4788.4	
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); less than 3 cm, incarcerated or strangulated"	49592	CPT	Outpatient			8652.74	5624.28		90			Percent of total billed charges		7787.46	95.46			Fee schedule		4571.01	80			Percent of total billed charges		6922.19	85			Percent of total billed charges		7354.83	100			Fee schedule		4788.4	85			Percent of total billed charges		7354.83	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4	33.3			Percent of total billed charges		2881.36	33.3			Percent of total billed charges		2881.36	100			Fee schedule		4788.4	2881.36	7787.46	
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, incarcerated or strangulated"	49594	CPT	Outpatient			13386.57	8701.27		90			Percent of total billed charges		12047.91	95.46			Fee schedule		4571.01	80			Percent of total billed charges		10709.25	85			Percent of total billed charges		11378.58	100			Fee schedule		4788.4	85			Percent of total billed charges		11378.58	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4	100			Fee schedule		4788.4	33.3			Percent of total billed charges		4457.73	33.3			Percent of total billed charges		4457.73	100			Fee schedule		4788.4	4457.73	12047.91	
"Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral injection, with fluoroscopic guidance, lumbar; first level"	0627T	CPT	Outpatient			1400	910		90			Percent of total billed charges		1260	95.46			Fee schedule		1400	80			Percent of total billed charges		1120	85			Percent of total billed charges		1190	100			Fee schedule		10922.18	85			Percent of total billed charges		1190	100			Fee schedule		1400	100			Fee schedule		10922.18	100			Fee schedule		10922.18	100			Fee schedule		10922.18	33.3			Percent of total billed charges		466.2	33.3			Percent of total billed charges		466.2	100			Fee schedule		10922.18	466.2	10922.18	
"Injection, methylnaltrexone, 0.1 mg"	J2212	HCPCS	Outpatient	0.1	ME	3.56	2.31		90			Percent of total billed charges		3.2	95.46			Fee schedule		1.1	80			Percent of total billed charges		2.85	90			Percent of total billed charges		3.2	100			Fee schedule		1.15	85			Percent of total billed charges		3.02	100			Fee schedule		1.15	100			Fee schedule		1.15	100			Fee schedule		1.15	100			Fee schedule		1.15	33.3			Percent of total billed charges		1.1748	33.3			Percent of total billed charges		1.1748	100			Fee schedule		1.15	1.1	3.2	
"Injection, fosphenytoin, 50 mg phenytoin equivalent"	Q2009	CPT	Outpatient			18.85	12.25		90			Percent of total billed charges		16.96	95.46			Fee schedule		5.26	80			Percent of total billed charges		15.08	90			Percent of total billed charges		16.96	100			Fee schedule		5.51	85			Percent of total billed charges		16.02	100			Fee schedule		5.51	100			Fee schedule		5.51	100			Fee schedule		5.51	100			Fee schedule		5.51	33.3			Percent of total billed charges		6.2205	33.3			Percent of total billed charges		6.2205	100			Fee schedule		5.51	5.26	16.96	
"Injection, bevacizumab-awwb, biosimilar, (mvasi), 10 mg"	Q5107	CPT	Outpatient			72.78	47.3		90			Percent of total billed charges		65.5	95.46			Fee schedule		25.54	80			Percent of total billed charges		58.22	90			Percent of total billed charges		65.5	100			Fee schedule		26.75	85			Percent of total billed charges		61.86	100			Fee schedule		26.75	100			Fee schedule		26.75	100			Fee schedule		26.75	100			Fee schedule		26.75	33.3			Percent of total billed charges		24.0174	33.3			Percent of total billed charges		24.0174	100			Fee schedule		26.75	25.54	65.5	
"Measles, mumps, rubella, and varicella vaccine (MMRV), live, for subcutaneous use"	90710	CPT	Outpatient			220	143		90			Percent of total billed charges		198	95.46			Fee schedule		110.33	80			Percent of total billed charges		176	90			Percent of total billed charges		198	100			Fee schedule		115.57	85			Percent of total billed charges		187	100			Fee schedule		115.57	100			Fee schedule		115.57	100			Fee schedule		115.57	100			Fee schedule		115.57	33.3			Percent of total billed charges		72.6	33.3			Percent of total billed charges		72.6	100			Fee schedule		115.57	110.33	198	
"Injection, tildrakizumab, 1 mg"	J3245	HCPCS	Outpatient	1	ME	455.86	296.31		90			Percent of total billed charges		410.27	95.46			Fee schedule		133.86	80			Percent of total billed charges		364.69	90			Percent of total billed charges		410.27	100			Fee schedule		140.23	85			Percent of total billed charges		387.48	100			Fee schedule		140.23	100			Fee schedule		140.23	100			Fee schedule		140.23	100			Fee schedule		140.23	33.3			Percent of total billed charges		150.4338	33.3			Percent of total billed charges		150.4338	100			Fee schedule		140.23	133.86	410.27	
"Injection, procainamide hcl, up to 1 gm"	J2690	HCPCS	Outpatient	1	GR	266	172.9		90			Percent of total billed charges		239.4	95.46			Fee schedule		178.7	80			Percent of total billed charges		212.8	90			Percent of total billed charges		239.4	100			Fee schedule		187.2	85			Percent of total billed charges		226.1	100			Fee schedule		187.2	100			Fee schedule		187.2	100			Fee schedule		187.2	100			Fee schedule		187.2	33.3			Percent of total billed charges		87.78	33.3			Percent of total billed charges		87.78	100			Fee schedule		187.2	178.7	239.4	
"Filter, disposable, used with positive airway pressure device"	A7038	CPT	Outpatient			13	8.45		90			Percent of total billed charges		11.7	40			Percent of total billed charges		5.2	80			Percent of total billed charges		10.4	90			Percent of total billed charges		11.7	100			Fee schedule		2.44	85			Percent of total billed charges		11.05	100			Fee schedule		2.44	100			Fee schedule		2.44	100			Fee schedule		2.44	100			Fee schedule		2.44	33.3			Percent of total billed charges		4.33	33.3			Percent of total billed charges		4.33	100			Fee schedule		2.44	2.44	11.7	
"Filter, non disposable, used with positive airway pressure device"	A7039	CPT	Outpatient			22	14.3		90			Percent of total billed charges		19.8	40			Percent of total billed charges		8.8	80			Percent of total billed charges		17.6	90			Percent of total billed charges		19.8	100			Fee schedule		7.15	85			Percent of total billed charges		18.7	100			Fee schedule		7.15	100			Fee schedule		7.15	100			Fee schedule		7.15	100			Fee schedule		7.15	33.3			Percent of total billed charges		7.33	33.3			Percent of total billed charges		7.33	100			Fee schedule		7.15	7.15	19.8	
"Antineutrophil cytoplasmic antibody (ANCA); titer, each antibody"	86037	CPT	Outpatient			54.5	35.42		90			Percent of total billed charges		49.05	40			Percent of total billed charges		21.8	80			Percent of total billed charges		43.6	90			Percent of total billed charges		49.05	100			Fee schedule		12.05	85			Percent of total billed charges		46.32	100			Fee schedule		12.05	100			Fee schedule		12.05	100			Fee schedule		12.05	100			Fee schedule		12.05	33.3			Percent of total billed charges		18.15	33.3			Percent of total billed charges		18.15	100			Fee schedule		12.05	12.05	49.05	
"Actin (smooth muscle) antibody (ASMA), each"	86015	CPT	Outpatient			58	37.7		90			Percent of total billed charges		52.2	40			Percent of total billed charges		23.2	80			Percent of total billed charges		46.4	90			Percent of total billed charges		52.2	100			Fee schedule		12.05	85			Percent of total billed charges		49.3	100			Fee schedule		12.05	100			Fee schedule		12.05	100			Fee schedule		12.05	100			Fee schedule		12.05	33.3			Percent of total billed charges		19.31	33.3			Percent of total billed charges		19.31	100			Fee schedule		12.05	12.05	52.2	
Chinstrap used with positive airway pressure device	A7036	CPT	Outpatient			28	18.2		90			Percent of total billed charges		25.2	40			Percent of total billed charges		11.2	80			Percent of total billed charges		22.4	90			Percent of total billed charges		25.2	100			Fee schedule		12.59	85			Percent of total billed charges		23.8	100			Fee schedule		12.59	100			Fee schedule		12.59	100			Fee schedule		12.59	100			Fee schedule		12.59	33.3			Percent of total billed charges		9.32	33.3			Percent of total billed charges		9.32	100			Fee schedule		12.59	9.32	25.2	
Tubing used with positive airway pressure device	A7037	CPT	Outpatient			64	41.6		90			Percent of total billed charges		57.6	40			Percent of total billed charges		25.6	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	100			Fee schedule		13.97	85			Percent of total billed charges		54.4	100			Fee schedule		13.97	100			Fee schedule		13.97	100			Fee schedule		13.97	100			Fee schedule		13.97	33.3			Percent of total billed charges		21.31	33.3			Percent of total billed charges		21.31	100			Fee schedule		13.97	13.97	57.6	
"Water chamber for humidifier, used with positive airway pressure device, replacement, each"	A7046	CPT	Outpatient			46	29.9		90			Percent of total billed charges		41.4	40			Percent of total billed charges		18.4	80			Percent of total billed charges		36.8	90			Percent of total billed charges		41.4	100			Fee schedule		16.08	85			Percent of total billed charges		39.1	100			Fee schedule		16.08	100			Fee schedule		16.08	100			Fee schedule		16.08	100			Fee schedule		16.08	33.3			Percent of total billed charges		15.32	33.3			Percent of total billed charges		15.32	100			Fee schedule		16.08	15.32	41.4	
"Immunoglobulin light chains (ie, kappa, lambda), free, each"	83521	CPT	Outpatient			61	39.65		90			Percent of total billed charges		54.9	40			Percent of total billed charges		24.4	80			Percent of total billed charges		48.8	90			Percent of total billed charges		54.9	100			Fee schedule		17.27	85			Percent of total billed charges		51.85	100			Fee schedule		17.27	100			Fee schedule		17.27	100			Fee schedule		17.27	100			Fee schedule		17.27	33.3			Percent of total billed charges		20.31	33.3			Percent of total billed charges		20.31	100			Fee schedule		17.27	17.27	54.9	
"Pillow for use on nasal cannula type interface, replacement only, pair"	A7033	CPT	Outpatient			33	21.45		90			Percent of total billed charges		29.7	40			Percent of total billed charges		13.2	80			Percent of total billed charges		26.4	90			Percent of total billed charges		29.7	100			Fee schedule		18.3	85			Percent of total billed charges		28.05	100			Fee schedule		18.3	100			Fee schedule		18.3	100			Fee schedule		18.3	100			Fee schedule		18.3	33.3			Percent of total billed charges		10.99	33.3			Percent of total billed charges		10.99	100			Fee schedule		18.3	10.99	29.7	
Anesthesia for percutaneous image-guided destruction procedures by neurolytic agent on the spine or spinal cord; cervical or thoracic	1939	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule		19.97	85			Percent of total billed charges		514.25	100			Fee schedule		19.97	100			Fee schedule		19.97	100			Fee schedule		19.97	100			Fee schedule		19.97	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule		19.97	19.97	544.5	
Anesthesia for percutaneous image-guided destruction procedures by neurolytic agent on the spine or spinal cord; lumbar or sacral	1940	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule		19.97	85			Percent of total billed charges		514.25	100			Fee schedule		19.97	100			Fee schedule		19.97	100			Fee schedule		19.97	100			Fee schedule		19.97	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule		19.97	19.97	544.5	
"Anesthesia for percutaneous image-guided injection, drainage or aspiration procedures on the spine or spinal cord; cervical or thoracic"	1937	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule		19.97	85			Percent of total billed charges		514.25	100			Fee schedule		19.97	100			Fee schedule		19.97	100			Fee schedule		19.97	100			Fee schedule		19.97	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule		19.97	19.97	544.5	
"Anesthesia for percutaneous image-guided neuromodulation or intravertebral procedures (eg, kyphoplasty, vertebroplasty) on the spine or spinal cord; cervical or thoracic"	1941	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule		19.97	85			Percent of total billed charges		514.25	100			Fee schedule		19.97	100			Fee schedule		19.97	100			Fee schedule		19.97	100			Fee schedule		19.97	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule		19.97	19.97	544.5	
"Anesthesia for percutaneous image-guided injection, drainage or aspiration procedures on the spine or spinal cord; lumbar or sacral"	1938	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule		19.97	85			Percent of total billed charges		514.25	100			Fee schedule		19.97	100			Fee schedule		19.97	100			Fee schedule		19.97	100			Fee schedule		19.97	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule		19.97	19.97	544.5	
"Anesthesia for percutaneous image-guided neuromodulation or intravertebral procedures (eg, kyphoplasty, vertebroplasty) on the spine or spinal cord; lumbar or sacral"	1942	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule		19.97	85			Percent of total billed charges		514.25	100			Fee schedule		19.97	100			Fee schedule		19.97	100			Fee schedule		19.97	100			Fee schedule		19.97	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule		19.97	19.97	544.5	
Headgear used with positive airway pressure device	A7035	CPT	Outpatient			55	35.75		90			Percent of total billed charges		49.5	40			Percent of total billed charges		22	80			Percent of total billed charges		44	90			Percent of total billed charges		49.5	100			Fee schedule		21.64	85			Percent of total billed charges		46.75	100			Fee schedule		21.64	100			Fee schedule		21.64	100			Fee schedule		21.64	100			Fee schedule		21.64	33.3			Percent of total billed charges		18.32	33.3			Percent of total billed charges		18.32	100			Fee schedule		21.64	18.32	49.5	
"Cushion for use on nasal mask interface, replacement only, each"	A7032	CPT	Outpatient			61	39.65		90			Percent of total billed charges		54.9	40			Percent of total billed charges		24.4	80			Percent of total billed charges		48.8	90			Percent of total billed charges		54.9	100			Fee schedule		22.74	85			Percent of total billed charges		51.85	100			Fee schedule		22.74	100			Fee schedule		22.74	100			Fee schedule		22.74	100			Fee schedule		22.74	33.3			Percent of total billed charges		20.31	33.3			Percent of total billed charges		20.31	100			Fee schedule		22.74	20.31	54.9	
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; severe acute respiratory syndrome coronavirus (eg, SARS-CoV, SARS-CoV-2 [COVID-19])"	87426	CPT	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	100			Fee schedule		35.33	85			Percent of total billed charges		76.5	100			Fee schedule		35.33	100			Fee schedule		35.33	100			Fee schedule		35.33	100			Fee schedule		35.33	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Fee schedule		35.33	29.97	81	
"Face mask interface, replacement for full face mask, each"	A7031	CPT	Outpatient			110	71.5		90			Percent of total billed charges		99	40			Percent of total billed charges		44	80			Percent of total billed charges		88	90			Percent of total billed charges		99	100			Fee schedule		40.53	85			Percent of total billed charges		93.5	100			Fee schedule		40.53	100			Fee schedule		40.53	100			Fee schedule		40.53	100			Fee schedule		40.53	33.3			Percent of total billed charges		36.63	33.3			Percent of total billed charges		36.63	100			Fee schedule		40.53	36.63	99	
Continuous positive airway pressure (cpap) device	E0601	CPT	Outpatient			1815	1179.75		90			Percent of total billed charges		1633.5	40			Percent of total billed charges		726	80			Percent of total billed charges		1452	90			Percent of total billed charges		1633.5	100			Fee schedule		49.11	85			Percent of total billed charges		1542.75	100			Fee schedule		49.11	100			Fee schedule		49.11	100			Fee schedule		49.11	100			Fee schedule		49.11	33.3			Percent of total billed charges		604.4	33.3			Percent of total billed charges		604.4	100			Fee schedule		49.11	49.11	1633.5	
"Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips"	E0114	CPT	Outpatient			70	45.5		90			Percent of total billed charges		63	40			Percent of total billed charges		28	80			Percent of total billed charges		56	90			Percent of total billed charges		63	100			Fee schedule		64.39	85			Percent of total billed charges		59.5	100			Fee schedule		64.39	100			Fee schedule		64.39	100			Fee schedule		64.39	100			Fee schedule		64.39	33.3			Percent of total billed charges		23.31	33.3			Percent of total billed charges		23.31	100			Fee schedule		64.39	23.31	64.39	
"Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap"	A7034	CPT	Outpatient			176	114.4		90			Percent of total billed charges		158.4	40			Percent of total billed charges		70.4	80			Percent of total billed charges		140.8	90			Percent of total billed charges		158.4	100			Fee schedule		65.94	85			Percent of total billed charges		149.6	100			Fee schedule		65.94	100			Fee schedule		65.94	100			Fee schedule		65.94	100			Fee schedule		65.94	33.3			Percent of total billed charges		58.61	33.3			Percent of total billed charges		58.61	100			Fee schedule		65.94	58.61	158.4	
"Infectious agent antigen detection by immunoassay technique (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; severe acute respiratory syndrome coronavirus (eg, SARS-CoV, SARS-CoV-2 [COVID-19]) and influenza virus types A and B"	87428	CPT	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	100			Fee schedule		70.29	85			Percent of total billed charges		63.75	100			Fee schedule		70.29	100			Fee schedule		70.29	100			Fee schedule		70.29	100			Fee schedule		70.29	33.3			Percent of total billed charges		24.98	33.3			Percent of total billed charges		24.98	100			Fee schedule		70.29	24.98	70.29	
"Full face mask used with positive airway pressure device, each"	A7030	CPT	Outpatient			275	178.75		90			Percent of total billed charges		247.5	40			Percent of total billed charges		110	80			Percent of total billed charges		220	90			Percent of total billed charges		247.5	100			Fee schedule		104.51	85			Percent of total billed charges		233.75	100			Fee schedule		104.51	100			Fee schedule		104.51	100			Fee schedule		104.51	100			Fee schedule		104.51	33.3			Percent of total billed charges		91.58	33.3			Percent of total billed charges		91.58	100			Fee schedule		104.51	91.58	247.5	
"Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)"	E0470	CPT	Outpatient			3410	2216.5		90			Percent of total billed charges		3069	40			Percent of total billed charges		1364	80			Percent of total billed charges		2728	90			Percent of total billed charges		3069	100			Fee schedule		126.62	85			Percent of total billed charges		2898.5	100			Fee schedule		126.62	100			Fee schedule		126.62	100			Fee schedule		126.62	100			Fee schedule		126.62	33.3			Percent of total billed charges		1135.53	33.3			Percent of total billed charges		1135.53	100			Fee schedule		126.62	126.62	3069	
"Humidifier, heated, used with positive airway pressure device"	E0562	CPT	Outpatient			468	304.2		90			Percent of total billed charges		421.2	40			Percent of total billed charges		187.2	80			Percent of total billed charges		374.4	90			Percent of total billed charges		421.2	100			Fee schedule		164.33	85			Percent of total billed charges		397.8	100			Fee schedule		164.33	100			Fee schedule		164.33	100			Fee schedule		164.33	100			Fee schedule		164.33	33.3			Percent of total billed charges		155.84	33.3			Percent of total billed charges		155.84	100			Fee schedule		164.33	155.84	421.2	
Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; radical hysterectomy	846	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule		179.73	85			Percent of total billed charges		514.25	100			Fee schedule		179.73	100			Fee schedule		179.73	100			Fee schedule		179.73	100			Fee schedule		179.73	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule		179.73	179.73	544.5	
"Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)"	E0471	CPT	Outpatient			792	514.8		90			Percent of total billed charges		712.8	40			Percent of total billed charges		316.8	80			Percent of total billed charges		633.6	90			Percent of total billed charges		712.8	100			Fee schedule		311.84	85			Percent of total billed charges		673.2	100			Fee schedule		311.84	100			Fee schedule		311.84	100			Fee schedule		311.84	100			Fee schedule		311.84	33.3			Percent of total billed charges		263.74	33.3			Percent of total billed charges		263.74	100			Fee schedule		311.84	263.74	712.8	
"Injection, phenylephrine hydrochloride, 20 micrograms"	J2371	HCPCS	Outpatient	20	UN	0.13	0.08		90			Percent of total billed charges		0.11	40			Percent of total billed charges		0.05	80			Percent of total billed charges		0.1	90			Percent of total billed charges		0.11	100			Fee schedule	code is bundled with other services	0.13	85			Percent of total billed charges		0.11	100			Fee schedule	code is bundled with other services	0.13	100			Fee schedule	code is bundled with other services	0.13	100			Fee schedule	code is bundled with other services	0.13	100			Fee schedule	code is bundled with other services	0.13	50			Percent of total billed charges		0.06	50			Percent of total billed charges		0.06	100			Fee schedule	code is bundled with other services	0.13	0.05	0.11	
"Durable medical equipment, miscellaneous"	E1399	CPT	Outpatient			5	3.25		90			Percent of total billed charges		4.5	40			Percent of total billed charges		2	80			Percent of total billed charges		4	90			Percent of total billed charges		4.5	100			Fee schedule	code is bundled with other services	5	85			Percent of total billed charges		4.25	100			Fee schedule	code is bundled with other services	5	100			Fee schedule	code is bundled with other services	5	100			Fee schedule	code is bundled with other services	5	100			Fee schedule	code is bundled with other services	5	33.3			Percent of total billed charges		1.66	33.3			Percent of total billed charges		1.66	100			Fee schedule	code is bundled with other services	5	1.66	4.5	
Mouth piece	A4617	CPT	Outpatient			5	3.25		90			Percent of total billed charges		4.5	40			Percent of total billed charges		2	80			Percent of total billed charges		4	90			Percent of total billed charges		4.5	100			Fee schedule	code is bundled with other services	5	85			Percent of total billed charges		4.25	100			Fee schedule	code is bundled with other services	5	100			Fee schedule	code is bundled with other services	5	100			Fee schedule	code is bundled with other services	5	100			Fee schedule	code is bundled with other services	5	33.3			Percent of total billed charges		1.66	33.3			Percent of total billed charges		1.66	100			Fee schedule	code is bundled with other services	5	1.66	4.5	
"Artificial saliva, 30 ml"	A9155	CPT	Outpatient			6.28	4.08		90			Percent of total billed charges		5.65	40			Percent of total billed charges		2.51	80			Percent of total billed charges		5.03	90			Percent of total billed charges		5.65	100			Fee schedule	code is bundled with other services	6.28	85			Percent of total billed charges		5.34	100			Fee schedule	code is bundled with other services	6.28	100			Fee schedule	code is bundled with other services	6.28	100			Fee schedule	code is bundled with other services	6.28	100			Fee schedule	code is bundled with other services	6.28	33.3			Percent of total billed charges		2.09	33.3			Percent of total billed charges		2.09	100			Fee schedule	code is bundled with other services	6.28	2.09	5.65	
"Bcg live intravesical instillation, 1 mg"	J9030	HCPCS	Outpatient	1	ME	4.25	2.76		90			Percent of total billed charges		3.82	40			Percent of total billed charges		1.7	80			Percent of total billed charges		3.4	90			Percent of total billed charges		3.82	100			Fee schedule	code is bundled with other services	4.25	85			Percent of total billed charges		3.61	100			Fee schedule	code is bundled with other services	4.25	100			Fee schedule	code is bundled with other services	4.25	100			Fee schedule	code is bundled with other services	4.25	100			Fee schedule	code is bundled with other services	4.25	50			Percent of total billed charges		2.12	50			Percent of total billed charges		2.12	100			Fee schedule	code is bundled with other services	4.25	1.7	3.82	
"Cast supplies, long arm splint, pediatric (0-10 years), plaster"	Q4019	CPT	Outpatient			8	5.2		90			Percent of total billed charges		7.2	40			Percent of total billed charges		3.2	80			Percent of total billed charges		6.4	90			Percent of total billed charges		7.2	100			Fee schedule	code is bundled with other services	8	85			Percent of total billed charges		6.8	100			Fee schedule	code is bundled with other services	8	100			Fee schedule	code is bundled with other services	8	100			Fee schedule	code is bundled with other services	8	100			Fee schedule	code is bundled with other services	8	33.3			Percent of total billed charges		2.66	33.3			Percent of total billed charges		2.66	100			Fee schedule	code is bundled with other services	8	2.66	7.2	
"Cast supplies, short leg splint, pediatric (0-10 years), plaster"	Q4047	CPT	Outpatient			8	5.2		90			Percent of total billed charges		7.2	40			Percent of total billed charges		3.2	80			Percent of total billed charges		6.4	90			Percent of total billed charges		7.2	100			Fee schedule	code is bundled with other services	8	85			Percent of total billed charges		6.8	100			Fee schedule	code is bundled with other services	8	100			Fee schedule	code is bundled with other services	8	100			Fee schedule	code is bundled with other services	8	100			Fee schedule	code is bundled with other services	8	33.3			Percent of total billed charges		2.66	33.3			Percent of total billed charges		2.66	100			Fee schedule	code is bundled with other services	8	2.66	7.2	
"Gauze, impregnated, water or normal saline, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing"	A6228	CPT	Outpatient			9	5.85		90			Percent of total billed charges		8.1	40			Percent of total billed charges		3.6	80			Percent of total billed charges		7.2	90			Percent of total billed charges		8.1	100			Fee schedule	code is bundled with other services	9	85			Percent of total billed charges		7.65	100			Fee schedule	code is bundled with other services	9	100			Fee schedule	code is bundled with other services	9	100			Fee schedule	code is bundled with other services	9	100			Fee schedule	code is bundled with other services	9	33.3			Percent of total billed charges		3	33.3			Percent of total billed charges		3	100			Fee schedule	code is bundled with other services	9	3	8.1	
"Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing"	A6196	CPT	Outpatient			10	6.5		90			Percent of total billed charges		9	40			Percent of total billed charges		4	80			Percent of total billed charges		8	90			Percent of total billed charges		9	100			Fee schedule	code is bundled with other services	10	85			Percent of total billed charges		8.5	100			Fee schedule	code is bundled with other services	10	100			Fee schedule	code is bundled with other services	10	100			Fee schedule	code is bundled with other services	10	100			Fee schedule	code is bundled with other services	10	33.3			Percent of total billed charges		3.33	33.3			Percent of total billed charges		3.33	100			Fee schedule	code is bundled with other services	10	3.33	9	
"Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), plaster"	Q4015	CPT	Outpatient			10	6.5		90			Percent of total billed charges		9	40			Percent of total billed charges		4	80			Percent of total billed charges		8	90			Percent of total billed charges		9	100			Fee schedule	code is bundled with other services	10	85			Percent of total billed charges		8.5	100			Fee schedule	code is bundled with other services	10	100			Fee schedule	code is bundled with other services	10	100			Fee schedule	code is bundled with other services	10	100			Fee schedule	code is bundled with other services	10	33.3			Percent of total billed charges		3.33	33.3			Percent of total billed charges		3.33	100			Fee schedule	code is bundled with other services	10	3.33	9	
"Cast supplies, short arm cast, pediatric (0-10 years), plaster"	Q4011	CPT	Outpatient			10	6.5		90			Percent of total billed charges		9	40			Percent of total billed charges		4	80			Percent of total billed charges		8	90			Percent of total billed charges		9	100			Fee schedule	code is bundled with other services	10	85			Percent of total billed charges		8.5	100			Fee schedule	code is bundled with other services	10	100			Fee schedule	code is bundled with other services	10	100			Fee schedule	code is bundled with other services	10	100			Fee schedule	code is bundled with other services	10	33.3			Percent of total billed charges		3.33	33.3			Percent of total billed charges		3.33	100			Fee schedule	code is bundled with other services	10	3.33	9	
"Cast supplies, short arm splint, pediatric (0-10 years), plaster"	Q4023	CPT	Outpatient			10	6.5		90			Percent of total billed charges		9	40			Percent of total billed charges		4	80			Percent of total billed charges		8	90			Percent of total billed charges		9	100			Fee schedule	code is bundled with other services	10	85			Percent of total billed charges		8.5	100			Fee schedule	code is bundled with other services	10	100			Fee schedule	code is bundled with other services	10	100			Fee schedule	code is bundled with other services	10	100			Fee schedule	code is bundled with other services	10	33.3			Percent of total billed charges		3.33	33.3			Percent of total billed charges		3.33	100			Fee schedule	code is bundled with other services	10	3.33	9	
"Light compression bandage, elastic, knitted/woven, width less than three inches, per yard"	A6448	CPT	Outpatient			10	6.5		90			Percent of total billed charges		9	40			Percent of total billed charges		4	80			Percent of total billed charges		8	90			Percent of total billed charges		9	100			Fee schedule	code is bundled with other services	10	85			Percent of total billed charges		8.5	100			Fee schedule	code is bundled with other services	10	100			Fee schedule	code is bundled with other services	10	100			Fee schedule	code is bundled with other services	10	100			Fee schedule	code is bundled with other services	10	33.3			Percent of total billed charges		3.33	33.3			Percent of total billed charges		3.33	100			Fee schedule	code is bundled with other services	10	3.33	9	
Non-coring needle or stylet with or without catheter	A4212	CPT	Outpatient			10	6.5		90			Percent of total billed charges		9	40			Percent of total billed charges		4	80			Percent of total billed charges		8	90			Percent of total billed charges		9	100			Fee schedule	code is bundled with other services	10	85			Percent of total billed charges		8.5	100			Fee schedule	code is bundled with other services	10	100			Fee schedule	code is bundled with other services	10	100			Fee schedule	code is bundled with other services	10	100			Fee schedule	code is bundled with other services	10	33.3			Percent of total billed charges		3.33	33.3			Percent of total billed charges		3.33	100			Fee schedule	code is bundled with other services	10	3.33	9	
"Screening test of visual acuity, quantitative, bilateral"	99173	CPT	Outpatient			10	6.5		90			Percent of total billed charges		9	40			Percent of total billed charges		4	80			Percent of total billed charges		8	90			Percent of total billed charges		9	100			Fee schedule	code is bundled with other services	10	85			Percent of total billed charges		8.5	100			Fee schedule	code is bundled with other services	10	100			Fee schedule	code is bundled with other services	10	100			Fee schedule	code is bundled with other services	10	100			Fee schedule	code is bundled with other services	10	33.3			Percent of total billed charges		3.33	33.3			Percent of total billed charges		3.33	100			Fee schedule	code is bundled with other services	10	3.33	9	
"Transparent film, sterile, 16 sq. in. or less, each dressing"	A6257	CPT	Outpatient			10	6.5		90			Percent of total billed charges		9	40			Percent of total billed charges		4	80			Percent of total billed charges		8	90			Percent of total billed charges		9	100			Fee schedule	code is bundled with other services	10	85			Percent of total billed charges		8.5	100			Fee schedule	code is bundled with other services	10	100			Fee schedule	code is bundled with other services	10	100			Fee schedule	code is bundled with other services	10	100			Fee schedule	code is bundled with other services	10	33.3			Percent of total billed charges		3.33	33.3			Percent of total billed charges		3.33	100			Fee schedule	code is bundled with other services	10	3.33	9	
"Cast supplies, short arm cast, adult (11 years +), plaster"	Q4009	CPT	Outpatient			12	7.8		90			Percent of total billed charges		10.8	40			Percent of total billed charges		4.8	80			Percent of total billed charges		9.6	90			Percent of total billed charges		10.8	100			Fee schedule	code is bundled with other services	12	85			Percent of total billed charges		10.2	100			Fee schedule	code is bundled with other services	12	100			Fee schedule	code is bundled with other services	12	100			Fee schedule	code is bundled with other services	12	100			Fee schedule	code is bundled with other services	12	33.3			Percent of total billed charges		4	33.3			Percent of total billed charges		4	100			Fee schedule	code is bundled with other services	12	4	10.8	
"Cast supplies, short arm splint, adult (11 years +), plaster"	Q4021	CPT	Outpatient			12	7.8		90			Percent of total billed charges		10.8	40			Percent of total billed charges		4.8	80			Percent of total billed charges		9.6	90			Percent of total billed charges		10.8	100			Fee schedule	code is bundled with other services	12	85			Percent of total billed charges		10.2	100			Fee schedule	code is bundled with other services	12	100			Fee schedule	code is bundled with other services	12	100			Fee schedule	code is bundled with other services	12	100			Fee schedule	code is bundled with other services	12	33.3			Percent of total billed charges		4	33.3			Percent of total billed charges		4	100			Fee schedule	code is bundled with other services	12	4	10.8	
"Cast supplies, long arm cast, adult (11 years +), plaster"	Q4005	CPT	Outpatient			12	7.8		90			Percent of total billed charges		10.8	40			Percent of total billed charges		4.8	80			Percent of total billed charges		9.6	90			Percent of total billed charges		10.8	100			Fee schedule	code is bundled with other services	12	85			Percent of total billed charges		10.2	100			Fee schedule	code is bundled with other services	12	100			Fee schedule	code is bundled with other services	12	100			Fee schedule	code is bundled with other services	12	100			Fee schedule	code is bundled with other services	12	33.3			Percent of total billed charges		4	33.3			Percent of total billed charges		4	100			Fee schedule	code is bundled with other services	12	4	10.8	
"Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing"	A6216	CPT	Outpatient			12	7.8		90			Percent of total billed charges		10.8	40			Percent of total billed charges		4.8	80			Percent of total billed charges		9.6	90			Percent of total billed charges		10.8	100			Fee schedule	code is bundled with other services	12	85			Percent of total billed charges		10.2	100			Fee schedule	code is bundled with other services	12	100			Fee schedule	code is bundled with other services	12	100			Fee schedule	code is bundled with other services	12	100			Fee schedule	code is bundled with other services	12	33.3			Percent of total billed charges		4	33.3			Percent of total billed charges		4	100			Fee schedule	code is bundled with other services	12	4	10.8	
"Injection, tocilizumab, for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen, non-invasive or invasive mechanical ventilation, or extracorporeal membrane oxygenation (ecmo) only, 1 mg"	Q0249	CPT	Outpatient			9.22	6		90			Percent of total billed charges		8.3	40			Percent of total billed charges		3.69	80			Percent of total billed charges		7.38	90			Percent of total billed charges		8.3	100			Fee schedule	code is bundled with other services	9.22	85			Percent of total billed charges		7.84	100			Fee schedule	code is bundled with other services	9.22	100			Fee schedule	code is bundled with other services	9.22	100			Fee schedule	code is bundled with other services	9.22	100			Fee schedule	code is bundled with other services	9.22	50			Percent of total billed charges		4.61	50			Percent of total billed charges		4.61	100			Fee schedule	code is bundled with other services	9.22	3.69	8.3	
"Cast supplies, long arm splint, adult (11 years +), plaster"	Q4017	CPT	Outpatient			14	9.1		90			Percent of total billed charges		12.6	40			Percent of total billed charges		5.6	80			Percent of total billed charges		11.2	90			Percent of total billed charges		12.6	100			Fee schedule	code is bundled with other services	14	85			Percent of total billed charges		11.9	100			Fee schedule	code is bundled with other services	14	100			Fee schedule	code is bundled with other services	14	100			Fee schedule	code is bundled with other services	14	100			Fee schedule	code is bundled with other services	14	33.3			Percent of total billed charges		4.66	33.3			Percent of total billed charges		4.66	100			Fee schedule	code is bundled with other services	14	4.66	12.6	
"Cast supplies, short leg cast, pediatric (0-10 years), plaster"	Q4039	CPT	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	100			Fee schedule	code is bundled with other services	15	85			Percent of total billed charges		12.75	100			Fee schedule	code is bundled with other services	15	100			Fee schedule	code is bundled with other services	15	100			Fee schedule	code is bundled with other services	15	100			Fee schedule	code is bundled with other services	15	33.3			Percent of total billed charges		5	33.3			Percent of total billed charges		5	100			Fee schedule	code is bundled with other services	15	5	13.5	
"Cast supplies, short leg splint, adult (11 years +), fiberglass"	Q4046	CPT	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	100			Fee schedule	code is bundled with other services	15	85			Percent of total billed charges		12.75	100			Fee schedule	code is bundled with other services	15	100			Fee schedule	code is bundled with other services	15	100			Fee schedule	code is bundled with other services	15	100			Fee schedule	code is bundled with other services	15	33.3			Percent of total billed charges		5	33.3			Percent of total billed charges		5	100			Fee schedule	code is bundled with other services	15	5	13.5	
"Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), plaster"	Q4013	CPT	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	100			Fee schedule	code is bundled with other services	15	85			Percent of total billed charges		12.75	100			Fee schedule	code is bundled with other services	15	100			Fee schedule	code is bundled with other services	15	100			Fee schedule	code is bundled with other services	15	100			Fee schedule	code is bundled with other services	15	33.3			Percent of total billed charges		5	33.3			Percent of total billed charges		5	100			Fee schedule	code is bundled with other services	15	5	13.5	
"Cast supplies, long leg cylinder cast, pediatric (0-10 years), plaster"	Q4035	CPT	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	100			Fee schedule	code is bundled with other services	15	85			Percent of total billed charges		12.75	100			Fee schedule	code is bundled with other services	15	100			Fee schedule	code is bundled with other services	15	100			Fee schedule	code is bundled with other services	15	100			Fee schedule	code is bundled with other services	15	33.3			Percent of total billed charges		5	33.3			Percent of total billed charges		5	100			Fee schedule	code is bundled with other services	15	5	13.5	
"Cast supplies, long leg splint, pediatric (0-10 years), plaster"	Q4043	CPT	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	100			Fee schedule	code is bundled with other services	15	85			Percent of total billed charges		12.75	100			Fee schedule	code is bundled with other services	15	100			Fee schedule	code is bundled with other services	15	100			Fee schedule	code is bundled with other services	15	100			Fee schedule	code is bundled with other services	15	33.3			Percent of total billed charges		5	33.3			Percent of total billed charges		5	100			Fee schedule	code is bundled with other services	15	5	13.5	
"Cast supplies, short leg splint, pediatric (0-10 years), fiberglass"	Q4048	CPT	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	100			Fee schedule	code is bundled with other services	15	85			Percent of total billed charges		12.75	100			Fee schedule	code is bundled with other services	15	100			Fee schedule	code is bundled with other services	15	100			Fee schedule	code is bundled with other services	15	100			Fee schedule	code is bundled with other services	15	33.3			Percent of total billed charges		5	33.3			Percent of total billed charges		5	100			Fee schedule	code is bundled with other services	15	5	13.5	
"Light compression bandage, elastic, knitted/woven, width greater than or equal to five inches, per yard"	A6450	CPT	Outpatient			16	10.4		90			Percent of total billed charges		14.4	40			Percent of total billed charges		6.4	80			Percent of total billed charges		12.8	90			Percent of total billed charges		14.4	100			Fee schedule	code is bundled with other services	16	85			Percent of total billed charges		13.6	100			Fee schedule	code is bundled with other services	16	100			Fee schedule	code is bundled with other services	16	100			Fee schedule	code is bundled with other services	16	100			Fee schedule	code is bundled with other services	16	33.3			Percent of total billed charges		5.33	33.3			Percent of total billed charges		5.33	100			Fee schedule	code is bundled with other services	16	5.33	14.4	
"Sterile water, saline and/or dextrose, diluent/flush, 10 ml"	A4216	CPT	Outpatient			17.5	11.38		90			Percent of total billed charges		15.75	40			Percent of total billed charges		7	80			Percent of total billed charges		14	90			Percent of total billed charges		15.75	100			Fee schedule	code is bundled with other services	17.5	85			Percent of total billed charges		14.88	100			Fee schedule	code is bundled with other services	17.5	100			Fee schedule	code is bundled with other services	17.5	100			Fee schedule	code is bundled with other services	17.5	100			Fee schedule	code is bundled with other services	17.5	33.3			Percent of total billed charges		5.83	33.3			Percent of total billed charges		5.83	100			Fee schedule	code is bundled with other services	17.5	5.83	15.75	
"Cast supplies, short arm cast, pediatric (0-10 years), fiberglass"	Q4012	CPT	Outpatient			18	11.7		90			Percent of total billed charges		16.2	40			Percent of total billed charges		7.2	80			Percent of total billed charges		14.4	90			Percent of total billed charges		16.2	100			Fee schedule	code is bundled with other services	18	85			Percent of total billed charges		15.3	100			Fee schedule	code is bundled with other services	18	100			Fee schedule	code is bundled with other services	18	100			Fee schedule	code is bundled with other services	18	100			Fee schedule	code is bundled with other services	18	33.3			Percent of total billed charges		5.99	33.3			Percent of total billed charges		5.99	100			Fee schedule	code is bundled with other services	18	5.99	16.2	
"Cast supplies, short arm splint, pediatric (0-10 years), fiberglass"	Q4024	CPT	Outpatient			18	11.7		90			Percent of total billed charges		16.2	40			Percent of total billed charges		7.2	80			Percent of total billed charges		14.4	90			Percent of total billed charges		16.2	100			Fee schedule	code is bundled with other services	18	85			Percent of total billed charges		15.3	100			Fee schedule	code is bundled with other services	18	100			Fee schedule	code is bundled with other services	18	100			Fee schedule	code is bundled with other services	18	100			Fee schedule	code is bundled with other services	18	33.3			Percent of total billed charges		5.99	33.3			Percent of total billed charges		5.99	100			Fee schedule	code is bundled with other services	18	5.99	16.2	
"Cast supplies, short leg splint, adult (11 years +), plaster"	Q4045	CPT	Outpatient			18	11.7		90			Percent of total billed charges		16.2	40			Percent of total billed charges		7.2	80			Percent of total billed charges		14.4	90			Percent of total billed charges		16.2	100			Fee schedule	code is bundled with other services	18	85			Percent of total billed charges		15.3	100			Fee schedule	code is bundled with other services	18	100			Fee schedule	code is bundled with other services	18	100			Fee schedule	code is bundled with other services	18	100			Fee schedule	code is bundled with other services	18	33.3			Percent of total billed charges		5.99	33.3			Percent of total billed charges		5.99	100			Fee schedule	code is bundled with other services	18	5.99	16.2	
"Electrodes, (e.g., apnea monitor), per pair"	A4556	CPT	Outpatient			18	11.7		90			Percent of total billed charges		16.2	40			Percent of total billed charges		7.2	80			Percent of total billed charges		14.4	90			Percent of total billed charges		16.2	100			Fee schedule	code is bundled with other services	18	85			Percent of total billed charges		15.3	100			Fee schedule	code is bundled with other services	18	100			Fee schedule	code is bundled with other services	18	100			Fee schedule	code is bundled with other services	18	100			Fee schedule	code is bundled with other services	18	33.3			Percent of total billed charges		5.99	33.3			Percent of total billed charges		5.99	100			Fee schedule	code is bundled with other services	18	5.99	16.2	
Removal of sutures or staples not requiring anesthesia (List separately in addition to E/M code)	15853	CPT	Outpatient			20	13		90			Percent of total billed charges		18	40			Percent of total billed charges		8	80			Percent of total billed charges		16	85			Percent of total billed charges		17	100			Fee schedule	code is bundled with other services	20	85			Percent of total billed charges		17	100			Fee schedule	code is bundled with other services	20	100			Fee schedule	code is bundled with other services	20	100			Fee schedule	code is bundled with other services	20	100			Fee schedule	code is bundled with other services	20	33.3			Percent of total billed charges		6.66	33.3			Percent of total billed charges		6.66	100			Fee schedule	code is bundled with other services	20	6.66	18	
"Cast supplies, long leg cylinder cast, adult (11 years +), plaster"	Q4033	CPT	Outpatient			20	13		90			Percent of total billed charges		18	40			Percent of total billed charges		8	80			Percent of total billed charges		16	90			Percent of total billed charges		18	100			Fee schedule	code is bundled with other services	20	85			Percent of total billed charges		17	100			Fee schedule	code is bundled with other services	20	100			Fee schedule	code is bundled with other services	20	100			Fee schedule	code is bundled with other services	20	100			Fee schedule	code is bundled with other services	20	33.3			Percent of total billed charges		6.66	33.3			Percent of total billed charges		6.66	100			Fee schedule	code is bundled with other services	20	6.66	18	
"Cast supplies, long leg splint, adult (11 years +), plaster"	Q4041	CPT	Outpatient			20	13		90			Percent of total billed charges		18	40			Percent of total billed charges		8	80			Percent of total billed charges		16	90			Percent of total billed charges		18	100			Fee schedule	code is bundled with other services	20	85			Percent of total billed charges		17	100			Fee schedule	code is bundled with other services	20	100			Fee schedule	code is bundled with other services	20	100			Fee schedule	code is bundled with other services	20	100			Fee schedule	code is bundled with other services	20	33.3			Percent of total billed charges		6.66	33.3			Percent of total billed charges		6.66	100			Fee schedule	code is bundled with other services	20	6.66	18	
"Cast supplies, gauntlet cast (includes lower forearm and hand), pediatric (0-10 years), fiberglass"	Q4016	CPT	Outpatient			20	13		90			Percent of total billed charges		18	40			Percent of total billed charges		8	80			Percent of total billed charges		16	90			Percent of total billed charges		18	100			Fee schedule	code is bundled with other services	20	85			Percent of total billed charges		17	100			Fee schedule	code is bundled with other services	20	100			Fee schedule	code is bundled with other services	20	100			Fee schedule	code is bundled with other services	20	100			Fee schedule	code is bundled with other services	20	33.3			Percent of total billed charges		6.66	33.3			Percent of total billed charges		6.66	100			Fee schedule	code is bundled with other services	20	6.66	18	
"Cast supplies, long arm splint, pediatric (0-10 years), fiberglass"	Q4020	CPT	Outpatient			20	13		90			Percent of total billed charges		18	40			Percent of total billed charges		8	80			Percent of total billed charges		16	90			Percent of total billed charges		18	100			Fee schedule	code is bundled with other services	20	85			Percent of total billed charges		17	100			Fee schedule	code is bundled with other services	20	100			Fee schedule	code is bundled with other services	20	100			Fee schedule	code is bundled with other services	20	100			Fee schedule	code is bundled with other services	20	33.3			Percent of total billed charges		6.66	33.3			Percent of total billed charges		6.66	100			Fee schedule	code is bundled with other services	20	6.66	18	
"Iliac and/or femoral artery angiography, non-selective, bilateral or ipsilateral to catheter insertion, performed at the same time as cardiac catheterization and/or coronary angiography, includes positioning or placement of the catheter in the distal aorta or ipsilateral femoral or iliac artery, injection of dye, production of permanent images, and radiologic supervision and interpretation (list separately in addition to primary procedure)"	G0278	CPT	Outpatient			20	13		90			Percent of total billed charges		18	40			Percent of total billed charges		8	80			Percent of total billed charges		16	90			Percent of total billed charges		18	100			Fee schedule	code is bundled with other services	20	85			Percent of total billed charges		17	100			Fee schedule	code is bundled with other services	20	100			Fee schedule	code is bundled with other services	20	100			Fee schedule	code is bundled with other services	20	100			Fee schedule	code is bundled with other services	20	33.3			Percent of total billed charges		6.66	33.3			Percent of total billed charges		6.66	100			Fee schedule	code is bundled with other services	20	6.66	18	
"Online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 5-10 minutes"	99421	CPT	Outpatient			20	13		90			Percent of total billed charges		18	40			Percent of total billed charges		8	80			Percent of total billed charges		16	90			Percent of total billed charges		18	100			Fee schedule	code is bundled with other services	20	85			Percent of total billed charges		17	100			Fee schedule	code is bundled with other services	20	100			Fee schedule	code is bundled with other services	20	100			Fee schedule	code is bundled with other services	20	100			Fee schedule	code is bundled with other services	20	33.3			Percent of total billed charges		6.66	33.3			Percent of total billed charges		6.66	100			Fee schedule	code is bundled with other services	20	6.66	18	
"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient younger than 5 years of age"	99151	CPT	Outpatient			20	13		90			Percent of total billed charges		18	40			Percent of total billed charges		8	80			Percent of total billed charges		16	90			Percent of total billed charges		18	100			Fee schedule	code is bundled with other services	20	85			Percent of total billed charges		17	100			Fee schedule	code is bundled with other services	20	100			Fee schedule	code is bundled with other services	20	100			Fee schedule	code is bundled with other services	20	100			Fee schedule	code is bundled with other services	20	33.3			Percent of total billed charges		6.66	33.3			Percent of total billed charges		6.66	100			Fee schedule	code is bundled with other services	20	6.66	18	
"Service(s) provided in the office during regularly scheduled evening, weekend, or holiday office hours, in addition to basic service"	99051	CPT	Outpatient			20	13		90			Percent of total billed charges		18	40			Percent of total billed charges		8	80			Percent of total billed charges		16	90			Percent of total billed charges		18	100			Fee schedule	code is bundled with other services	20	85			Percent of total billed charges		17	100			Fee schedule	code is bundled with other services	20	100			Fee schedule	code is bundled with other services	20	100			Fee schedule	code is bundled with other services	20	100			Fee schedule	code is bundled with other services	20	33.3			Percent of total billed charges		6.66	33.3			Percent of total billed charges		6.66	100			Fee schedule	code is bundled with other services	20	6.66	18	
"Cast supplies, long arm cast, pediatric (0-10 years), fiberglass"	Q4008	CPT	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	100			Fee schedule	code is bundled with other services	21	85			Percent of total billed charges		17.85	100			Fee schedule	code is bundled with other services	21	100			Fee schedule	code is bundled with other services	21	100			Fee schedule	code is bundled with other services	21	100			Fee schedule	code is bundled with other services	21	33.3			Percent of total billed charges		6.99	33.3			Percent of total billed charges		6.99	100			Fee schedule	code is bundled with other services	21	6.99	18.9	
Exercise equipment	A9300	CPT	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	100			Fee schedule	code is bundled with other services	21	85			Percent of total billed charges		17.85	100			Fee schedule	code is bundled with other services	21	100			Fee schedule	code is bundled with other services	21	100			Fee schedule	code is bundled with other services	21	100			Fee schedule	code is bundled with other services	21	33.3			Percent of total billed charges		6.99	33.3			Percent of total billed charges		6.99	100			Fee schedule	code is bundled with other services	21	6.99	18.9	
"Rhythm ECG, 1-3 leads; interpretation and report only"	93042	CPT	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	100			Fee schedule	code is bundled with other services	21	85			Percent of total billed charges		17.85	100			Fee schedule	code is bundled with other services	21	100			Fee schedule	code is bundled with other services	21	100			Fee schedule	code is bundled with other services	21	100			Fee schedule	code is bundled with other services	21	33.3			Percent of total billed charges		6.99	33.3			Percent of total billed charges		6.99	100			Fee schedule	code is bundled with other services	21	6.99	18.9	
"Cast supplies, long arm splint, adult (11 years +), fiberglass"	Q4018	CPT	Outpatient			22	14.3		90			Percent of total billed charges		19.8	40			Percent of total billed charges		8.8	80			Percent of total billed charges		17.6	90			Percent of total billed charges		19.8	100			Fee schedule	code is bundled with other services	22	85			Percent of total billed charges		18.7	100			Fee schedule	code is bundled with other services	22	100			Fee schedule	code is bundled with other services	22	100			Fee schedule	code is bundled with other services	22	100			Fee schedule	code is bundled with other services	22	33.3			Percent of total billed charges		7.33	33.3			Percent of total billed charges		7.33	100			Fee schedule	code is bundled with other services	22	7.33	19.8	
"Cast supplies, short arm splint, adult (11 years +), fiberglass"	Q4022	CPT	Outpatient			22	14.3		90			Percent of total billed charges		19.8	40			Percent of total billed charges		8.8	80			Percent of total billed charges		17.6	90			Percent of total billed charges		19.8	100			Fee schedule	code is bundled with other services	22	85			Percent of total billed charges		18.7	100			Fee schedule	code is bundled with other services	22	100			Fee schedule	code is bundled with other services	22	100			Fee schedule	code is bundled with other services	22	100			Fee schedule	code is bundled with other services	22	33.3			Percent of total billed charges		7.33	33.3			Percent of total billed charges		7.33	100			Fee schedule	code is bundled with other services	22	7.33	19.8	
"Sterile water/saline, 500 ml"	A4217	CPT	Outpatient			22	14.3		90			Percent of total billed charges		19.8	40			Percent of total billed charges		8.8	80			Percent of total billed charges		17.6	90			Percent of total billed charges		19.8	100			Fee schedule	code is bundled with other services	22	85			Percent of total billed charges		18.7	100			Fee schedule	code is bundled with other services	22	100			Fee schedule	code is bundled with other services	22	100			Fee schedule	code is bundled with other services	22	100			Fee schedule	code is bundled with other services	22	33.3			Percent of total billed charges		7.33	33.3			Percent of total billed charges		7.33	100			Fee schedule	code is bundled with other services	22	7.33	19.8	
"Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each"	A4351	CPT	Outpatient			24	15.6		90			Percent of total billed charges		21.6	40			Percent of total billed charges		9.6	80			Percent of total billed charges		19.2	90			Percent of total billed charges		21.6	100			Fee schedule	code is bundled with other services	24	85			Percent of total billed charges		20.4	100			Fee schedule	code is bundled with other services	24	100			Fee schedule	code is bundled with other services	24	100			Fee schedule	code is bundled with other services	24	100			Fee schedule	code is bundled with other services	24	33.3			Percent of total billed charges		7.99	33.3			Percent of total billed charges		7.99	100			Fee schedule	code is bundled with other services	24	7.99	21.6	
"Finger splint, static"	Q4049	CPT	Outpatient			24	15.6		90			Percent of total billed charges		21.6	40			Percent of total billed charges		9.6	80			Percent of total billed charges		19.2	90			Percent of total billed charges		21.6	100			Fee schedule	code is bundled with other services	24	85			Percent of total billed charges		20.4	100			Fee schedule	code is bundled with other services	24	100			Fee schedule	code is bundled with other services	24	100			Fee schedule	code is bundled with other services	24	100			Fee schedule	code is bundled with other services	24	33.3			Percent of total billed charges		7.99	33.3			Percent of total billed charges		7.99	100			Fee schedule	code is bundled with other services	24	7.99	21.6	
"Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each"	A4338	CPT	Outpatient			24	15.6		90			Percent of total billed charges		21.6	40			Percent of total billed charges		9.6	80			Percent of total billed charges		19.2	90			Percent of total billed charges		21.6	100			Fee schedule	code is bundled with other services	24	85			Percent of total billed charges		20.4	100			Fee schedule	code is bundled with other services	24	100			Fee schedule	code is bundled with other services	24	100			Fee schedule	code is bundled with other services	24	100			Fee schedule	code is bundled with other services	24	33.3			Percent of total billed charges		7.99	33.3			Percent of total billed charges		7.99	100			Fee schedule	code is bundled with other services	24	7.99	21.6	
Removal of sutures and staples not requiring anesthesia (List separately in addition to E/M code)	15854	CPT	Outpatient			25	16.25		90			Percent of total billed charges		22.5	40			Percent of total billed charges		10	80			Percent of total billed charges		20	85			Percent of total billed charges		21.25	100			Fee schedule	code is bundled with other services	25	85			Percent of total billed charges		21.25	100			Fee schedule	code is bundled with other services	25	100			Fee schedule	code is bundled with other services	25	100			Fee schedule	code is bundled with other services	25	100			Fee schedule	code is bundled with other services	25	33.3			Percent of total billed charges		8.32	33.3			Percent of total billed charges		8.32	100			Fee schedule	code is bundled with other services	25	8.32	22.5	
"Cast supplies, long arm cast, pediatric (0-10 years), plaster"	Q4007	CPT	Outpatient			25	16.25		90			Percent of total billed charges		22.5	40			Percent of total billed charges		10	80			Percent of total billed charges		20	90			Percent of total billed charges		22.5	100			Fee schedule	code is bundled with other services	25	85			Percent of total billed charges		21.25	100			Fee schedule	code is bundled with other services	25	100			Fee schedule	code is bundled with other services	25	100			Fee schedule	code is bundled with other services	25	100			Fee schedule	code is bundled with other services	25	33.3			Percent of total billed charges		8.32	33.3			Percent of total billed charges		8.32	100			Fee schedule	code is bundled with other services	25	8.32	22.5	
"Cast supplies, short leg cast, adult (11 years +), plaster"	Q4037	CPT	Outpatient			25	16.25		90			Percent of total billed charges		22.5	40			Percent of total billed charges		10	80			Percent of total billed charges		20	90			Percent of total billed charges		22.5	100			Fee schedule	code is bundled with other services	25	85			Percent of total billed charges		21.25	100			Fee schedule	code is bundled with other services	25	100			Fee schedule	code is bundled with other services	25	100			Fee schedule	code is bundled with other services	25	100			Fee schedule	code is bundled with other services	25	33.3			Percent of total billed charges		8.32	33.3			Percent of total billed charges		8.32	100			Fee schedule	code is bundled with other services	25	8.32	22.5	
"Cast supplies, short leg cast, pediatric (0-10 years), fiberglass"	Q4040	CPT	Outpatient			25	16.25		90			Percent of total billed charges		22.5	40			Percent of total billed charges		10	80			Percent of total billed charges		20	90			Percent of total billed charges		22.5	100			Fee schedule	code is bundled with other services	25	85			Percent of total billed charges		21.25	100			Fee schedule	code is bundled with other services	25	100			Fee schedule	code is bundled with other services	25	100			Fee schedule	code is bundled with other services	25	100			Fee schedule	code is bundled with other services	25	33.3			Percent of total billed charges		8.32	33.3			Percent of total billed charges		8.32	100			Fee schedule	code is bundled with other services	25	8.32	22.5	
"Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only"	93010	CPT	Outpatient			25	16.25		90			Percent of total billed charges		22.5	40			Percent of total billed charges		10	80			Percent of total billed charges		20	90			Percent of total billed charges		22.5	100			Fee schedule	code is bundled with other services	25	85			Percent of total billed charges		21.25	100			Fee schedule	code is bundled with other services	25	100			Fee schedule	code is bundled with other services	25	100			Fee schedule	code is bundled with other services	25	100			Fee schedule	code is bundled with other services	25	33.3			Percent of total billed charges		8.32	33.3			Percent of total billed charges		8.32	100			Fee schedule	code is bundled with other services	25	8.32	22.5	
"Special reports such as insurance forms, more than the information conveyed in the usual medical communications or standard reporting form"	99080	CPT	Outpatient			25	16.25		90			Percent of total billed charges		22.5	40			Percent of total billed charges		10	80			Percent of total billed charges		20	90			Percent of total billed charges		22.5	100			Fee schedule	code is bundled with other services	25	85			Percent of total billed charges		21.25	100			Fee schedule	code is bundled with other services	25	100			Fee schedule	code is bundled with other services	25	100			Fee schedule	code is bundled with other services	25	100			Fee schedule	code is bundled with other services	25	33.3			Percent of total billed charges		8.32	33.3			Percent of total billed charges		8.32	100			Fee schedule	code is bundled with other services	25	8.32	22.5	
"Injection, amiodarone hydrochloride (nexterone), 30 mg"	J0283	HCPCS	Outpatient	30	ME	18.6	12.09		90			Percent of total billed charges		16.74	40			Percent of total billed charges		7.44	80			Percent of total billed charges		14.88	90			Percent of total billed charges		16.74	100			Fee schedule	code is bundled with other services	18.6	85			Percent of total billed charges		15.81	100			Fee schedule	code is bundled with other services	18.6	100			Fee schedule	code is bundled with other services	18.6	100			Fee schedule	code is bundled with other services	18.6	100			Fee schedule	code is bundled with other services	18.6	50			Percent of total billed charges		9.3	50			Percent of total billed charges		9.3	100			Fee schedule	code is bundled with other services	18.6	7.44	16.74	
Embolization protective system	C1884	CPT	Outpatient			28	18.2		90			Percent of total billed charges		25.2	40			Percent of total billed charges		11.2	80			Percent of total billed charges		22.4	90			Percent of total billed charges		25.2	100			Fee schedule	code is bundled with other services	28	85			Percent of total billed charges		23.8	100			Fee schedule	code is bundled with other services	28	100			Fee schedule	code is bundled with other services	28	100			Fee schedule	code is bundled with other services	28	100			Fee schedule	code is bundled with other services	28	33.3			Percent of total billed charges		9.32	33.3			Percent of total billed charges		9.32	100			Fee schedule	code is bundled with other services	28	9.32	25.2	
Surgical supply; miscellaneous	A4649	CPT	Outpatient			28	18.2		90			Percent of total billed charges		25.2	40			Percent of total billed charges		11.2	80			Percent of total billed charges		22.4	90			Percent of total billed charges		25.2	100			Fee schedule	code is bundled with other services	28	85			Percent of total billed charges		23.8	100			Fee schedule	code is bundled with other services	28	100			Fee schedule	code is bundled with other services	28	100			Fee schedule	code is bundled with other services	28	100			Fee schedule	code is bundled with other services	28	33.3			Percent of total billed charges		9.32	33.3			Percent of total billed charges		9.32	100			Fee schedule	code is bundled with other services	28	9.32	25.2	
"Cast supplies, short arm cast, adult (11 years +), fiberglass"	Q4010	CPT	Outpatient			30	19.5		90			Percent of total billed charges		27	40			Percent of total billed charges		12	80			Percent of total billed charges		24	90			Percent of total billed charges		27	100			Fee schedule	code is bundled with other services	30	85			Percent of total billed charges		25.5	100			Fee schedule	code is bundled with other services	30	100			Fee schedule	code is bundled with other services	30	100			Fee schedule	code is bundled with other services	30	100			Fee schedule	code is bundled with other services	30	33.3			Percent of total billed charges		9.99	33.3			Percent of total billed charges		9.99	100			Fee schedule	code is bundled with other services	30	9.99	27	
"Cast supplies, long leg cylinder cast, pediatric (0-10 years), fiberglass"	Q4036	CPT	Outpatient			30	19.5		90			Percent of total billed charges		27	40			Percent of total billed charges		12	80			Percent of total billed charges		24	90			Percent of total billed charges		27	100			Fee schedule	code is bundled with other services	30	85			Percent of total billed charges		25.5	100			Fee schedule	code is bundled with other services	30	100			Fee schedule	code is bundled with other services	30	100			Fee schedule	code is bundled with other services	30	100			Fee schedule	code is bundled with other services	30	33.3			Percent of total billed charges		9.99	33.3			Percent of total billed charges		9.99	100			Fee schedule	code is bundled with other services	30	9.99	27	
"Cast supplies, long leg splint, pediatric (0-10 years), fiberglass"	Q4044	CPT	Outpatient			30	19.5		90			Percent of total billed charges		27	40			Percent of total billed charges		12	80			Percent of total billed charges		24	90			Percent of total billed charges		27	100			Fee schedule	code is bundled with other services	30	85			Percent of total billed charges		25.5	100			Fee schedule	code is bundled with other services	30	100			Fee schedule	code is bundled with other services	30	100			Fee schedule	code is bundled with other services	30	100			Fee schedule	code is bundled with other services	30	33.3			Percent of total billed charges		9.99	33.3			Percent of total billed charges		9.99	100			Fee schedule	code is bundled with other services	30	9.99	27	
"Heel, pad, removable for spur"	L3485	CPT	Outpatient			30	19.5		90			Percent of total billed charges		27	40			Percent of total billed charges		12	80			Percent of total billed charges		24	90			Percent of total billed charges		27	100			Fee schedule	code is bundled with other services	30	85			Percent of total billed charges		25.5	100			Fee schedule	code is bundled with other services	30	100			Fee schedule	code is bundled with other services	30	100			Fee schedule	code is bundled with other services	30	100			Fee schedule	code is bundled with other services	30	33.3			Percent of total billed charges		9.99	33.3			Percent of total billed charges		9.99	100			Fee schedule	code is bundled with other services	30	9.99	27	
Positional nystagmus test	92532	CPT	Outpatient			30	19.5		90			Percent of total billed charges		27	40			Percent of total billed charges		12	80			Percent of total billed charges		24	90			Percent of total billed charges		27	100			Fee schedule	code is bundled with other services	30	85			Percent of total billed charges		25.5	100			Fee schedule	code is bundled with other services	30	100			Fee schedule	code is bundled with other services	30	100			Fee schedule	code is bundled with other services	30	100			Fee schedule	code is bundled with other services	30	33.3			Percent of total billed charges		9.99	33.3			Percent of total billed charges		9.99	100			Fee schedule	code is bundled with other services	30	9.99	27	
Non-elastic binder for extremity	A4465	CPT	Outpatient			33	21.45		90			Percent of total billed charges		29.7	40			Percent of total billed charges		13.2	80			Percent of total billed charges		26.4	90			Percent of total billed charges		29.7	100			Fee schedule	code is bundled with other services	33	85			Percent of total billed charges		28.05	100			Fee schedule	code is bundled with other services	33	100			Fee schedule	code is bundled with other services	33	100			Fee schedule	code is bundled with other services	33	100			Fee schedule	code is bundled with other services	33	33.3			Percent of total billed charges		10.99	33.3			Percent of total billed charges		10.99	100			Fee schedule	code is bundled with other services	33	10.99	29.7	
"Plastazote sandal, each"	L3265	CPT	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	100			Fee schedule	code is bundled with other services	34	85			Percent of total billed charges		28.9	100			Fee schedule	code is bundled with other services	34	100			Fee schedule	code is bundled with other services	34	100			Fee schedule	code is bundled with other services	34	100			Fee schedule	code is bundled with other services	34	33.3			Percent of total billed charges		11.32	33.3			Percent of total billed charges		11.32	100			Fee schedule	code is bundled with other services	34	11.32	30.6	
dental sealant per tooth	D1351	CPT	Outpatient			35	22.75		90			Percent of total billed charges		31.5	40			Percent of total billed charges		14	80			Percent of total billed charges		28	90			Percent of total billed charges		31.5	100			Fee schedule	code is bundled with other services	35	85			Percent of total billed charges		29.75	100			Fee schedule	code is bundled with other services	35	100			Fee schedule	code is bundled with other services	35	100			Fee schedule	code is bundled with other services	35	100			Fee schedule	code is bundled with other services	35	33.3			Percent of total billed charges		11.66	33.3			Percent of total billed charges		11.66	100			Fee schedule	code is bundled with other services	35	11.66	31.5	
"Belt, strap, sleeve, garment, or covering, any type"	A4467	CPT	Outpatient			36	23.4		90			Percent of total billed charges		32.4	40			Percent of total billed charges		14.4	80			Percent of total billed charges		28.8	90			Percent of total billed charges		32.4	100			Fee schedule	code is bundled with other services	36	85			Percent of total billed charges		30.6	100			Fee schedule	code is bundled with other services	36	100			Fee schedule	code is bundled with other services	36	100			Fee schedule	code is bundled with other services	36	100			Fee schedule	code is bundled with other services	36	33.3			Percent of total billed charges		11.99	33.3			Percent of total billed charges		11.99	100			Fee schedule	code is bundled with other services	36	11.99	32.4	
"Microscopic examination of hairs plucked or clipped by the examiner (excluding hair collected by the patient) to determine telogen and anagen counts, or structural hair shaft abnormality"	96902	CPT	Outpatient			36	23.4		90			Percent of total billed charges		32.4	40			Percent of total billed charges		14.4	80			Percent of total billed charges		28.8	90			Percent of total billed charges		32.4	100			Fee schedule	code is bundled with other services	36	85			Percent of total billed charges		30.6	100			Fee schedule	code is bundled with other services	36	100			Fee schedule	code is bundled with other services	36	100			Fee schedule	code is bundled with other services	36	100			Fee schedule	code is bundled with other services	36	33.3			Percent of total billed charges		11.99	33.3			Percent of total billed charges		11.99	100			Fee schedule	code is bundled with other services	36	11.99	32.4	
"Cast supplies, gauntlet cast (includes lower forearm and hand), adult (11 years +), fiberglass"	Q4014	CPT	Outpatient			37	24.05		90			Percent of total billed charges		33.3	40			Percent of total billed charges		14.8	80			Percent of total billed charges		29.6	90			Percent of total billed charges		33.3	100			Fee schedule	code is bundled with other services	37	85			Percent of total billed charges		31.45	100			Fee schedule	code is bundled with other services	37	100			Fee schedule	code is bundled with other services	37	100			Fee schedule	code is bundled with other services	37	100			Fee schedule	code is bundled with other services	37	33.3			Percent of total billed charges		12.32	33.3			Percent of total billed charges		12.32	100			Fee schedule	code is bundled with other services	37	12.32	33.3	
"Surgical boot/shoe, each"	L3260	CPT	Outpatient			39	25.35		90			Percent of total billed charges		35.1	40			Percent of total billed charges		15.6	80			Percent of total billed charges		31.2	90			Percent of total billed charges		35.1	100			Fee schedule	code is bundled with other services	39	85			Percent of total billed charges		33.15	100			Fee schedule	code is bundled with other services	39	100			Fee schedule	code is bundled with other services	39	100			Fee schedule	code is bundled with other services	39	100			Fee schedule	code is bundled with other services	39	33.3			Percent of total billed charges		12.99	33.3			Percent of total billed charges		12.99	100			Fee schedule	code is bundled with other services	39	12.99	35.1	
"Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; interpretation and report only"	93018	CPT	Outpatient			40	26		90			Percent of total billed charges		36	40			Percent of total billed charges		16	80			Percent of total billed charges		32	90			Percent of total billed charges		36	100			Fee schedule	code is bundled with other services	40	85			Percent of total billed charges		34	100			Fee schedule	code is bundled with other services	40	100			Fee schedule	code is bundled with other services	40	100			Fee schedule	code is bundled with other services	40	100			Fee schedule	code is bundled with other services	40	33.3			Percent of total billed charges		13.32	33.3			Percent of total billed charges		13.32	100			Fee schedule	code is bundled with other services	40	13.32	36	
"Cast supplies, long leg splint, adult (11 years +), fiberglass"	Q4042	CPT	Outpatient			40	26		90			Percent of total billed charges		36	40			Percent of total billed charges		16	80			Percent of total billed charges		32	90			Percent of total billed charges		36	100			Fee schedule	code is bundled with other services	40	85			Percent of total billed charges		34	100			Fee schedule	code is bundled with other services	40	100			Fee schedule	code is bundled with other services	40	100			Fee schedule	code is bundled with other services	40	100			Fee schedule	code is bundled with other services	40	33.3			Percent of total billed charges		13.32	33.3			Percent of total billed charges		13.32	100			Fee schedule	code is bundled with other services	40	13.32	36	
"Online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 11-20 minutes"	99422	CPT	Outpatient			40	26		90			Percent of total billed charges		36	40			Percent of total billed charges		16	80			Percent of total billed charges		32	90			Percent of total billed charges		36	100			Fee schedule	code is bundled with other services	40	85			Percent of total billed charges		34	100			Fee schedule	code is bundled with other services	40	100			Fee schedule	code is bundled with other services	40	100			Fee schedule	code is bundled with other services	40	100			Fee schedule	code is bundled with other services	40	33.3			Percent of total billed charges		13.32	33.3			Percent of total billed charges		13.32	100			Fee schedule	code is bundled with other services	40	13.32	36	
"Prolonged inpatient or observation evaluation and management service(s) time with or without direct patient contact beyond the required time of the primary service when the primary service level has been selected using total time, each 15 minutes of total time (List separately in addition to the code of the inpatient and observation Evaluation and Management service)"	99418	CPT	Outpatient			40	26		90			Percent of total billed charges		36	40			Percent of total billed charges		16	80			Percent of total billed charges		32	90			Percent of total billed charges		36	100			Fee schedule	code is bundled with other services	40	85			Percent of total billed charges		34	100			Fee schedule	code is bundled with other services	40	100			Fee schedule	code is bundled with other services	40	100			Fee schedule	code is bundled with other services	40	100			Fee schedule	code is bundled with other services	40	33.3			Percent of total billed charges		13.32	33.3			Percent of total billed charges		13.32	100			Fee schedule	code is bundled with other services	40	13.32	36	
"Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious condition or a complex condition.  (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established)"	G2211	CPT	Outpatient			40	26		90			Percent of total billed charges		36	40			Percent of total billed charges		16	80			Percent of total billed charges		32	90			Percent of total billed charges		36	100			Fee schedule	code is bundled with other services	40	85			Percent of total billed charges		34	100			Fee schedule	code is bundled with other services	40	100			Fee schedule	code is bundled with other services	40	100			Fee schedule	code is bundled with other services	40	100			Fee schedule	code is bundled with other services	40	33.3			Percent of total billed charges		13.32	33.3			Percent of total billed charges		13.32	100			Fee schedule	code is bundled with other services	40	13.32	36	
"Cast supplies, long arm cast, adult (11 years +), fiberglass"	Q4006	CPT	Outpatient			41	26.65		90			Percent of total billed charges		36.9	40			Percent of total billed charges		16.4	80			Percent of total billed charges		32.8	90			Percent of total billed charges		36.9	100			Fee schedule	code is bundled with other services	41	85			Percent of total billed charges		34.85	100			Fee schedule	code is bundled with other services	41	100			Fee schedule	code is bundled with other services	41	100			Fee schedule	code is bundled with other services	41	100			Fee schedule	code is bundled with other services	41	33.3			Percent of total billed charges		13.65	33.3			Percent of total billed charges		13.65	100			Fee schedule	code is bundled with other services	41	13.65	36.9	
"External mobile cardiovascular telemetry with electrocardiographic recording, concurrent computerized real time data analysis and greater than 24 hours of accessible ECG data storage (retrievable with query) with ECG triggered and patient selected events transmitted to a remote attended surveillance center for up to 30 days; review and interpretation with report by a physician or other qualified health care professional"	93228	CPT	Outpatient			45	29.25		90			Percent of total billed charges		40.5	40			Percent of total billed charges		18	80			Percent of total billed charges		36	90			Percent of total billed charges		40.5	100			Fee schedule	code is bundled with other services	45	85			Percent of total billed charges		38.25	100			Fee schedule	code is bundled with other services	45	100			Fee schedule	code is bundled with other services	45	100			Fee schedule	code is bundled with other services	45	100			Fee schedule	code is bundled with other services	45	33.3			Percent of total billed charges		14.98	33.3			Percent of total billed charges		14.98	100			Fee schedule	code is bundled with other services	45	14.98	40.5	
Slings	A4565	CPT	Outpatient			48	31.2		90			Percent of total billed charges		43.2	40			Percent of total billed charges		19.2	80			Percent of total billed charges		38.4	90			Percent of total billed charges		43.2	100			Fee schedule	code is bundled with other services	48	85			Percent of total billed charges		40.8	100			Fee schedule	code is bundled with other services	48	100			Fee schedule	code is bundled with other services	48	100			Fee schedule	code is bundled with other services	48	100			Fee schedule	code is bundled with other services	48	33.3			Percent of total billed charges		15.98	33.3			Percent of total billed charges		15.98	100			Fee schedule	code is bundled with other services	48	15.98	43.2	
"Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; supervision only, without interpretation and report"	93016	CPT	Outpatient			50	32.5		90			Percent of total billed charges		45	40			Percent of total billed charges		20	80			Percent of total billed charges		40	90			Percent of total billed charges		45	100			Fee schedule	code is bundled with other services	50	85			Percent of total billed charges		42.5	100			Fee schedule	code is bundled with other services	50	100			Fee schedule	code is bundled with other services	50	100			Fee schedule	code is bundled with other services	50	100			Fee schedule	code is bundled with other services	50	33.3			Percent of total billed charges		16.65	33.3			Percent of total billed charges		16.65	100			Fee schedule	code is bundled with other services	50	16.65	45	
"Complex chronic care management services with the following required elements: multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient, chronic conditions that place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline, comprehensive care plan established, implemented, revised, or monitored, moderate or high complexity medical decision making; each additional 30 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (List separately in addition to code for primary procedure)"	99489	CPT	Outpatient			50	32.5		90			Percent of total billed charges		45	40			Percent of total billed charges		20	80			Percent of total billed charges		40	90			Percent of total billed charges		45	100			Fee schedule	code is bundled with other services	50	85			Percent of total billed charges		42.5	100			Fee schedule	code is bundled with other services	50	100			Fee schedule	code is bundled with other services	50	100			Fee schedule	code is bundled with other services	50	100			Fee schedule	code is bundled with other services	50	33.3			Percent of total billed charges		16.65	33.3			Percent of total billed charges		16.65	100			Fee schedule	code is bundled with other services	50	16.65	45	
"Neuromuscular electrical stimulator (nmes), disposable, replacement only"	A4560	CPT	Outpatient			50	32.5		90			Percent of total billed charges		45	40			Percent of total billed charges		20	80			Percent of total billed charges		40	90			Percent of total billed charges		45	100			Fee schedule	code is bundled with other services	50	85			Percent of total billed charges		42.5	100			Fee schedule	code is bundled with other services	50	100			Fee schedule	code is bundled with other services	50	100			Fee schedule	code is bundled with other services	50	100			Fee schedule	code is bundled with other services	50	33.3			Percent of total billed charges		16.65	33.3			Percent of total billed charges		16.65	100			Fee schedule	code is bundled with other services	50	16.65	45	
"Pessary, reusable, rubber, any type"	A4561	CPT	Outpatient			50	32.5		90			Percent of total billed charges		45	40			Percent of total billed charges		20	80			Percent of total billed charges		40	90			Percent of total billed charges		45	100			Fee schedule	code is bundled with other services	50	85			Percent of total billed charges		42.5	100			Fee schedule	code is bundled with other services	50	100			Fee schedule	code is bundled with other services	50	100			Fee schedule	code is bundled with other services	50	100			Fee schedule	code is bundled with other services	50	33.3			Percent of total billed charges		16.65	33.3			Percent of total billed charges		16.65	100			Fee schedule	code is bundled with other services	50	16.65	45	
"Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion"	99441	CPT	Outpatient			50	32.5		90			Percent of total billed charges		45	40			Percent of total billed charges		20	80			Percent of total billed charges		40	90			Percent of total billed charges		45	100			Fee schedule	code is bundled with other services	50	85			Percent of total billed charges		42.5	100			Fee schedule	code is bundled with other services	50	100			Fee schedule	code is bundled with other services	50	100			Fee schedule	code is bundled with other services	50	100			Fee schedule	code is bundled with other services	50	33.3			Percent of total billed charges		16.65	33.3			Percent of total billed charges		16.65	100			Fee schedule	code is bundled with other services	50	16.65	45	
"Venipuncture, younger than age 3 years, necessitating the skill of a physician or other qualified health care professional, not to be used for routine venipuncture; femoral or jugular vein"	36400	CPT	Outpatient			55	35.75		90			Percent of total billed charges		49.5	40			Percent of total billed charges		22	80			Percent of total billed charges		44	85			Percent of total billed charges		46.75	100			Fee schedule	code is bundled with other services	55	85			Percent of total billed charges		46.75	100			Fee schedule	code is bundled with other services	55	100			Fee schedule	code is bundled with other services	55	100			Fee schedule	code is bundled with other services	55	100			Fee schedule	code is bundled with other services	55	33.3			Percent of total billed charges		18.32	33.3			Percent of total billed charges		18.32	100			Fee schedule	code is bundled with other services	55	18.32	49.5	
"Anesthesia for patient of extreme age, younger than 1 year and older than 70 (List separately in addition to code for primary anesthesia procedure)"	99100	CPT	Outpatient			55	35.75		90			Percent of total billed charges		49.5	40			Percent of total billed charges		22	80			Percent of total billed charges		44	90			Percent of total billed charges		49.5	100			Fee schedule	code is bundled with other services	55	85			Percent of total billed charges		46.75	100			Fee schedule	code is bundled with other services	55	100			Fee schedule	code is bundled with other services	55	100			Fee schedule	code is bundled with other services	55	100			Fee schedule	code is bundled with other services	55	33.3			Percent of total billed charges		18.32	33.3			Percent of total billed charges		18.32	100			Fee schedule	code is bundled with other services	55	18.32	49.5	
"Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded."	99307	CPT	Outpatient			55	35.75		90			Percent of total billed charges		49.5	40			Percent of total billed charges		22	80			Percent of total billed charges		44	90			Percent of total billed charges		49.5	100			Fee schedule	code is bundled with other services	55	85			Percent of total billed charges		46.75	100			Fee schedule	code is bundled with other services	55	100			Fee schedule	code is bundled with other services	55	100			Fee schedule	code is bundled with other services	55	100			Fee schedule	code is bundled with other services	55	33.3			Percent of total billed charges		18.32	33.3			Percent of total billed charges		18.32	100			Fee schedule	code is bundled with other services	55	18.32	49.5	
"Venipuncture, age 3 years or older, necessitating the skill of a physician or other qualified health care professional (separate procedure), for diagnostic or therapeutic purposes (not to be used for routine venipuncture)"	36410	CPT	Outpatient			60	39		90			Percent of total billed charges		54	40			Percent of total billed charges		24	80			Percent of total billed charges		48	85			Percent of total billed charges		51	100			Fee schedule	code is bundled with other services	60	85			Percent of total billed charges		51	100			Fee schedule	code is bundled with other services	60	100			Fee schedule	code is bundled with other services	60	100			Fee schedule	code is bundled with other services	60	100			Fee schedule	code is bundled with other services	60	33.3			Percent of total billed charges		19.98	33.3			Percent of total billed charges		19.98	100			Fee schedule	code is bundled with other services	60	19.98	54	
"Interprofessional telephone/Internet/electronic health record assessment and management service provided by a consultative physician or other qualified health care professional, including a verbal and written report to the patient's treating/requesting physician or other qualified health care professional; 11-20 minutes of medical consultative discussion and review"	99447	CPT	Outpatient			60	39		90			Percent of total billed charges		54	40			Percent of total billed charges		24	80			Percent of total billed charges		48	90			Percent of total billed charges		54	100			Fee schedule	code is bundled with other services	60	85			Percent of total billed charges		51	100			Fee schedule	code is bundled with other services	60	100			Fee schedule	code is bundled with other services	60	100			Fee schedule	code is bundled with other services	60	100			Fee schedule	code is bundled with other services	60	33.3			Percent of total billed charges		19.98	33.3			Percent of total billed charges		19.98	100			Fee schedule	code is bundled with other services	60	19.98	54	
"External patient and, when performed, auto activated electrocardiographic rhythm derived event recording with symptom-related memory loop with remote download capability up to 30 days, 24-hour attended monitoring; review and interpretation by a physician or other qualified health care professional"	93272	CPT	Outpatient			60	39		90			Percent of total billed charges		54	40			Percent of total billed charges		24	80			Percent of total billed charges		48	90			Percent of total billed charges		54	100			Fee schedule	code is bundled with other services	60	85			Percent of total billed charges		51	100			Fee schedule	code is bundled with other services	60	100			Fee schedule	code is bundled with other services	60	100			Fee schedule	code is bundled with other services	60	100			Fee schedule	code is bundled with other services	60	33.3			Percent of total billed charges		19.98	33.3			Percent of total billed charges		19.98	100			Fee schedule	code is bundled with other services	60	19.98	54	
"Online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 21 or more minutes"	99423	CPT	Outpatient			60	39		90			Percent of total billed charges		54	40			Percent of total billed charges		24	80			Percent of total billed charges		48	90			Percent of total billed charges		54	100			Fee schedule	code is bundled with other services	60	85			Percent of total billed charges		51	100			Fee schedule	code is bundled with other services	60	100			Fee schedule	code is bundled with other services	60	100			Fee schedule	code is bundled with other services	60	100			Fee schedule	code is bundled with other services	60	33.3			Percent of total billed charges		19.98	33.3			Percent of total billed charges		19.98	100			Fee schedule	code is bundled with other services	60	19.98	54	
Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 15 minutes	99401	CPT	Outpatient			60	39		90			Percent of total billed charges		54	40			Percent of total billed charges		24	80			Percent of total billed charges		48	90			Percent of total billed charges		54	100			Fee schedule	code is bundled with other services	60	85			Percent of total billed charges		51	100			Fee schedule	code is bundled with other services	60	100			Fee schedule	code is bundled with other services	60	100			Fee schedule	code is bundled with other services	60	100			Fee schedule	code is bundled with other services	60	33.3			Percent of total billed charges		19.98	33.3			Percent of total billed charges		19.98	100			Fee schedule	code is bundled with other services	60	19.98	54	
Unlisted evaluation and management service	99499	CPT	Outpatient			60	39		90			Percent of total billed charges		54	40			Percent of total billed charges		24	80			Percent of total billed charges		48	90			Percent of total billed charges		54	100			Fee schedule	code is bundled with other services	60	85			Percent of total billed charges		51	100			Fee schedule	code is bundled with other services	60	100			Fee schedule	code is bundled with other services	60	100			Fee schedule	code is bundled with other services	60	100			Fee schedule	code is bundled with other services	60	33.3			Percent of total billed charges		19.98	33.3			Percent of total billed charges		19.98	100			Fee schedule	code is bundled with other services	60	19.98	54	
"Cast supplies, short leg cast, adult (11 years +), fiberglass"	Q4038	CPT	Outpatient			61	39.65		90			Percent of total billed charges		54.9	40			Percent of total billed charges		24.4	80			Percent of total billed charges		48.8	90			Percent of total billed charges		54.9	100			Fee schedule	code is bundled with other services	61	85			Percent of total billed charges		51.85	100			Fee schedule	code is bundled with other services	61	100			Fee schedule	code is bundled with other services	61	100			Fee schedule	code is bundled with other services	61	100			Fee schedule	code is bundled with other services	61	33.3			Percent of total billed charges		20.31	33.3			Percent of total billed charges		20.31	100			Fee schedule	code is bundled with other services	61	20.31	54.9	
"Cast supplies, long leg cast, pediatric (0-10 years), plaster"	Q4031	CPT	Outpatient			65	42.25		90			Percent of total billed charges		58.5	40			Percent of total billed charges		26	80			Percent of total billed charges		52	90			Percent of total billed charges		58.5	100			Fee schedule	code is bundled with other services	65	85			Percent of total billed charges		55.25	100			Fee schedule	code is bundled with other services	65	100			Fee schedule	code is bundled with other services	65	100			Fee schedule	code is bundled with other services	65	100			Fee schedule	code is bundled with other services	65	33.3			Percent of total billed charges		21.64	33.3			Percent of total billed charges		21.64	100			Fee schedule	code is bundled with other services	65	21.64	58.5	
"Catheter, ureteral"	C1758	CPT	Outpatient			70	45.5		90			Percent of total billed charges		63	40			Percent of total billed charges		28	80			Percent of total billed charges		56	90			Percent of total billed charges		63	100			Fee schedule	code is bundled with other services	70	85			Percent of total billed charges		59.5	100			Fee schedule	code is bundled with other services	70	100			Fee schedule	code is bundled with other services	70	100			Fee schedule	code is bundled with other services	70	100			Fee schedule	code is bundled with other services	70	33.3			Percent of total billed charges		23.31	33.3			Percent of total billed charges		23.31	100			Fee schedule	code is bundled with other services	70	23.31	63	
"Cast supplies, for unlisted types and materials of casts"	Q4050	CPT	Outpatient			70	45.5		90			Percent of total billed charges		63	40			Percent of total billed charges		28	80			Percent of total billed charges		56	90			Percent of total billed charges		63	100			Fee schedule	code is bundled with other services	70	85			Percent of total billed charges		59.5	100			Fee schedule	code is bundled with other services	70	100			Fee schedule	code is bundled with other services	70	100			Fee schedule	code is bundled with other services	70	100			Fee schedule	code is bundled with other services	70	33.3			Percent of total billed charges		23.31	33.3			Percent of total billed charges		23.31	100			Fee schedule	code is bundled with other services	70	23.31	63	
"Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 25 minutes must be met or exceeded."	99231	CPT	Outpatient			72	46.8		90			Percent of total billed charges		64.8	40			Percent of total billed charges		28.8	80			Percent of total billed charges		57.6	90			Percent of total billed charges		64.8	100			Fee schedule	code is bundled with other services	72	85			Percent of total billed charges		61.2	100			Fee schedule	code is bundled with other services	72	100			Fee schedule	code is bundled with other services	72	100			Fee schedule	code is bundled with other services	72	100			Fee schedule	code is bundled with other services	72	33.3			Percent of total billed charges		23.98	33.3			Percent of total billed charges		23.98	100			Fee schedule	code is bundled with other services	72	23.98	64.8	
"Supplies and materials (except spectacles), provided by the physician or other qualified health care professional over and above those usually included with the office visit or other services rendered (list drugs, trays, supplies, or materials provided)"	99070	CPT	Outpatient			72	46.8		90			Percent of total billed charges		64.8	40			Percent of total billed charges		28.8	80			Percent of total billed charges		57.6	90			Percent of total billed charges		64.8	100			Fee schedule	code is bundled with other services	72	85			Percent of total billed charges		61.2	100			Fee schedule	code is bundled with other services	72	100			Fee schedule	code is bundled with other services	72	100			Fee schedule	code is bundled with other services	72	100			Fee schedule	code is bundled with other services	72	33.3			Percent of total billed charges		23.98	33.3			Percent of total billed charges		23.98	100			Fee schedule	code is bundled with other services	72	23.98	64.8	
"Cast supplies, long leg cast, adult (11 years +), fiberglass"	Q4030	CPT	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	100			Fee schedule	code is bundled with other services	74	85			Percent of total billed charges		62.9	100			Fee schedule	code is bundled with other services	74	100			Fee schedule	code is bundled with other services	74	100			Fee schedule	code is bundled with other services	74	100			Fee schedule	code is bundled with other services	74	33.3			Percent of total billed charges		24.64	33.3			Percent of total billed charges		24.64	100			Fee schedule	code is bundled with other services	74	24.64	66.6	
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	G0506	CPT	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	100			Fee schedule	code is bundled with other services	75	85			Percent of total billed charges		63.75	100			Fee schedule	code is bundled with other services	75	100			Fee schedule	code is bundled with other services	75	100			Fee schedule	code is bundled with other services	75	100			Fee schedule	code is bundled with other services	75	33.3			Percent of total billed charges		24.98	33.3			Percent of total billed charges		24.98	100			Fee schedule	code is bundled with other services	75	24.98	67.5	
"Pessary, reusable, non rubber, any type"	A4562	CPT	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	100			Fee schedule	code is bundled with other services	75	85			Percent of total billed charges		63.75	100			Fee schedule	code is bundled with other services	75	100			Fee schedule	code is bundled with other services	75	100			Fee schedule	code is bundled with other services	75	100			Fee schedule	code is bundled with other services	75	33.3			Percent of total billed charges		24.98	33.3			Percent of total billed charges		24.98	100			Fee schedule	code is bundled with other services	75	24.98	67.5	
Surgical trays	A4550	CPT	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	100			Fee schedule	code is bundled with other services	75	85			Percent of total billed charges		63.75	100			Fee schedule	code is bundled with other services	75	100			Fee schedule	code is bundled with other services	75	100			Fee schedule	code is bundled with other services	75	100			Fee schedule	code is bundled with other services	75	33.3			Percent of total billed charges		24.98	33.3			Percent of total billed charges		24.98	100			Fee schedule	code is bundled with other services	75	24.98	67.5	
Physician service required to establish and document the need for a power mobility device	G0372	CPT	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	100			Fee schedule	code is bundled with other services	75	85			Percent of total billed charges		63.75	100			Fee schedule	code is bundled with other services	75	100			Fee schedule	code is bundled with other services	75	100			Fee schedule	code is bundled with other services	75	100			Fee schedule	code is bundled with other services	75	33.3			Percent of total billed charges		24.98	33.3			Percent of total billed charges		24.98	100			Fee schedule	code is bundled with other services	75	24.98	67.5	
"Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes)"	G2212	CPT	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	100			Fee schedule	code is bundled with other services	75	85			Percent of total billed charges		63.75	100			Fee schedule	code is bundled with other services	75	100			Fee schedule	code is bundled with other services	75	100			Fee schedule	code is bundled with other services	75	100			Fee schedule	code is bundled with other services	75	33.3			Percent of total billed charges		24.98	33.3			Percent of total billed charges		24.98	100			Fee schedule	code is bundled with other services	75	24.98	67.5	
"Prolonged outpatient evaluation and management service(s) time with or without direct patient contact beyond the required time of the primary service when the primary service level has been selected using total time, each 15 minutes of total time (List separately in addition to the code of the outpatient Evaluation and Management service)"	99417	CPT	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	100			Fee schedule	code is bundled with other services	75	85			Percent of total billed charges		63.75	100			Fee schedule	code is bundled with other services	75	100			Fee schedule	code is bundled with other services	75	100			Fee schedule	code is bundled with other services	75	100			Fee schedule	code is bundled with other services	75	33.3			Percent of total billed charges		24.98	33.3			Percent of total billed charges		24.98	100			Fee schedule	code is bundled with other services	75	24.98	67.5	
Unlisted chemistry procedure	84999	CPT	Outpatient			50	32.5		90			Percent of total billed charges		45	40			Percent of total billed charges		20	80			Percent of total billed charges		40	90			Percent of total billed charges		45	100			Fee schedule	code is bundled with other services	50	85			Percent of total billed charges		42.5	100			Fee schedule	code is bundled with other services	50	100			Fee schedule	code is bundled with other services	50	100			Fee schedule	code is bundled with other services	50	100			Fee schedule	code is bundled with other services	50	50			Percent of total billed charges		25	50			Percent of total billed charges		25	100			Fee schedule	code is bundled with other services	50	20	45	
Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports; each additional 15 minutes intraservice time (List separately in addition to code for primary service)	99157	CPT	Outpatient			80	52		90			Percent of total billed charges		72	40			Percent of total billed charges		32	80			Percent of total billed charges		64	90			Percent of total billed charges		72	100			Fee schedule	code is bundled with other services	80	85			Percent of total billed charges		68	100			Fee schedule	code is bundled with other services	80	100			Fee schedule	code is bundled with other services	80	100			Fee schedule	code is bundled with other services	80	100			Fee schedule	code is bundled with other services	80	33.3			Percent of total billed charges		26.64	33.3			Percent of total billed charges		26.64	100			Fee schedule	code is bundled with other services	80	26.64	72	
"Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion"	99442	CPT	Outpatient			80	52		90			Percent of total billed charges		72	40			Percent of total billed charges		32	80			Percent of total billed charges		64	90			Percent of total billed charges		72	100			Fee schedule	code is bundled with other services	80	85			Percent of total billed charges		68	100			Fee schedule	code is bundled with other services	80	100			Fee schedule	code is bundled with other services	80	100			Fee schedule	code is bundled with other services	80	100			Fee schedule	code is bundled with other services	80	33.3			Percent of total billed charges		26.64	33.3			Percent of total billed charges		26.64	100			Fee schedule	code is bundled with other services	80	26.64	72	
"Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser"	C1894	CPT	Outpatient			83	53.95		90			Percent of total billed charges		74.7	40			Percent of total billed charges		33.2	80			Percent of total billed charges		66.4	90			Percent of total billed charges		74.7	100			Fee schedule	code is bundled with other services	83	85			Percent of total billed charges		70.55	100			Fee schedule	code is bundled with other services	83	100			Fee schedule	code is bundled with other services	83	100			Fee schedule	code is bundled with other services	83	100			Fee schedule	code is bundled with other services	83	33.3			Percent of total billed charges		27.64	33.3			Percent of total billed charges		27.64	100			Fee schedule	code is bundled with other services	83	27.64	74.7	
"Cast supplies, long leg cast, adult (11 years +), plaster"	Q4029	CPT	Outpatient			85	55.25		90			Percent of total billed charges		76.5	40			Percent of total billed charges		34	80			Percent of total billed charges		68	90			Percent of total billed charges		76.5	100			Fee schedule	code is bundled with other services	85	85			Percent of total billed charges		72.25	100			Fee schedule	code is bundled with other services	85	100			Fee schedule	code is bundled with other services	85	100			Fee schedule	code is bundled with other services	85	100			Fee schedule	code is bundled with other services	85	33.3			Percent of total billed charges		28.3	33.3			Percent of total billed charges		28.3	100			Fee schedule	code is bundled with other services	85	28.3	76.5	
"Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded."	99308	CPT	Outpatient			85	55.25		90			Percent of total billed charges		76.5	40			Percent of total billed charges		34	80			Percent of total billed charges		68	90			Percent of total billed charges		76.5	100			Fee schedule	code is bundled with other services	85	85			Percent of total billed charges		72.25	100			Fee schedule	code is bundled with other services	85	100			Fee schedule	code is bundled with other services	85	100			Fee schedule	code is bundled with other services	85	100			Fee schedule	code is bundled with other services	85	33.3			Percent of total billed charges		28.3	33.3			Percent of total billed charges		28.3	100			Fee schedule	code is bundled with other services	85	28.3	76.5	
"Needle, sterile, any size, each"	A4215	CPT	Outpatient			88	57.2		90			Percent of total billed charges		79.2	40			Percent of total billed charges		35.2	80			Percent of total billed charges		70.4	90			Percent of total billed charges		79.2	100			Fee schedule	code is bundled with other services	88	85			Percent of total billed charges		74.8	100			Fee schedule	code is bundled with other services	88	100			Fee schedule	code is bundled with other services	88	100			Fee schedule	code is bundled with other services	88	100			Fee schedule	code is bundled with other services	88	33.3			Percent of total billed charges		29.3	33.3			Percent of total billed charges		29.3	100			Fee schedule	code is bundled with other services	88	29.3	79.2	
Surgical tissue localization and excision device (implantable)	C1819	CPT	Outpatient			88	57.2		90			Percent of total billed charges		79.2	40			Percent of total billed charges		35.2	80			Percent of total billed charges		70.4	90			Percent of total billed charges		79.2	100			Fee schedule	code is bundled with other services	88	85			Percent of total billed charges		74.8	100			Fee schedule	code is bundled with other services	88	100			Fee schedule	code is bundled with other services	88	100			Fee schedule	code is bundled with other services	88	100			Fee schedule	code is bundled with other services	88	33.3			Percent of total billed charges		29.3	33.3			Percent of total billed charges		29.3	100			Fee schedule	code is bundled with other services	88	29.3	79.2	
"Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care"	G0179	CPT	Outpatient			89	57.85		90			Percent of total billed charges		80.1	40			Percent of total billed charges		35.6	80			Percent of total billed charges		71.2	90			Percent of total billed charges		80.1	100			Fee schedule	code is bundled with other services	89	85			Percent of total billed charges		75.65	100			Fee schedule	code is bundled with other services	89	100			Fee schedule	code is bundled with other services	89	100			Fee schedule	code is bundled with other services	89	100			Fee schedule	code is bundled with other services	89	33.3			Percent of total billed charges		29.64	33.3			Percent of total billed charges		29.64	100			Fee schedule	code is bundled with other services	89	29.64	80.1	
Nursing facility discharge management; 30 minutes or less total time on the date of the encounter	99315	CPT	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	100			Fee schedule	code is bundled with other services	90	85			Percent of total billed charges		76.5	100			Fee schedule	code is bundled with other services	90	100			Fee schedule	code is bundled with other services	90	100			Fee schedule	code is bundled with other services	90	100			Fee schedule	code is bundled with other services	90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Fee schedule	code is bundled with other services	90	29.97	81	
Unlisted hematology and coagulation procedure	85999	CPT	Outpatient			63	40.95		90			Percent of total billed charges		56.7	40			Percent of total billed charges		25.2	80			Percent of total billed charges		50.4	90			Percent of total billed charges		56.7	100			Fee schedule	code is bundled with other services	63	85			Percent of total billed charges		53.55	100			Fee schedule	code is bundled with other services	63	100			Fee schedule	code is bundled with other services	63	100			Fee schedule	code is bundled with other services	63	100			Fee schedule	code is bundled with other services	63	50			Percent of total billed charges		31.5	50			Percent of total billed charges		31.5	100			Fee schedule	code is bundled with other services	63	25.2	56.7	
"Subsequent hospital care, per day, for evaluation and management of normal newborn"	99462	CPT	Outpatient			95	61.75		90			Percent of total billed charges		85.5	40			Percent of total billed charges		38	80			Percent of total billed charges		76	90			Percent of total billed charges		85.5	100			Fee schedule	code is bundled with other services	95	85			Percent of total billed charges		80.75	100			Fee schedule	code is bundled with other services	95	100			Fee schedule	code is bundled with other services	95	100			Fee schedule	code is bundled with other services	95	100			Fee schedule	code is bundled with other services	95	33.3			Percent of total billed charges		31.64	33.3			Percent of total billed charges		31.64	100			Fee schedule	code is bundled with other services	95	31.64	85.5	
"Cast supplies, long leg cylinder cast, adult (11 years +), fiberglass"	Q4034	CPT	Outpatient			96	62.4		90			Percent of total billed charges		86.4	40			Percent of total billed charges		38.4	80			Percent of total billed charges		76.8	90			Percent of total billed charges		86.4	100			Fee schedule	code is bundled with other services	96	85			Percent of total billed charges		81.6	100			Fee schedule	code is bundled with other services	96	100			Fee schedule	code is bundled with other services	96	100			Fee schedule	code is bundled with other services	96	100			Fee schedule	code is bundled with other services	96	33.3			Percent of total billed charges		31.97	33.3			Percent of total billed charges		31.97	100			Fee schedule	code is bundled with other services	96	31.97	86.4	
"Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded."	99348	CPT	Outpatient			100	65		90			Percent of total billed charges		90	40			Percent of total billed charges		40	80			Percent of total billed charges		80	90			Percent of total billed charges		90	100			Fee schedule	code is bundled with other services	100	85			Percent of total billed charges		85	100			Fee schedule	code is bundled with other services	100	100			Fee schedule	code is bundled with other services	100	100			Fee schedule	code is bundled with other services	100	100			Fee schedule	code is bundled with other services	100	33.3			Percent of total billed charges		33.3	33.3			Percent of total billed charges		33.3	100			Fee schedule	code is bundled with other services	100	33.3	90	
"Initial nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 25 minutes must be met or exceeded."	99304	CPT	Outpatient			100	65		90			Percent of total billed charges		90	40			Percent of total billed charges		40	80			Percent of total billed charges		80	90			Percent of total billed charges		90	100			Fee schedule	code is bundled with other services	100	85			Percent of total billed charges		85	100			Fee schedule	code is bundled with other services	100	100			Fee schedule	code is bundled with other services	100	100			Fee schedule	code is bundled with other services	100	100			Fee schedule	code is bundled with other services	100	33.3			Percent of total billed charges		33.3	33.3			Percent of total billed charges		33.3	100			Fee schedule	code is bundled with other services	100	33.3	90	
"Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports; initial 15 minutes of intraservice time, patient age 5 years or older"	99156	CPT	Outpatient			105	68.25		90			Percent of total billed charges		94.5	40			Percent of total billed charges		42	80			Percent of total billed charges		84	90			Percent of total billed charges		94.5	100			Fee schedule	code is bundled with other services	105	85			Percent of total billed charges		89.25	100			Fee schedule	code is bundled with other services	105	100			Fee schedule	code is bundled with other services	105	100			Fee schedule	code is bundled with other services	105	100			Fee schedule	code is bundled with other services	105	33.3			Percent of total billed charges		34.96	33.3			Percent of total billed charges		34.96	100			Fee schedule	code is bundled with other services	105	34.96	94.5	
"Catheter, drainage"	C1729	CPT	Outpatient			106	68.9		90			Percent of total billed charges		95.4	40			Percent of total billed charges		42.4	80			Percent of total billed charges		84.8	90			Percent of total billed charges		95.4	100			Fee schedule	code is bundled with other services	106	85			Percent of total billed charges		90.1	100			Fee schedule	code is bundled with other services	106	100			Fee schedule	code is bundled with other services	106	100			Fee schedule	code is bundled with other services	106	100			Fee schedule	code is bundled with other services	106	33.3			Percent of total billed charges		35.3	33.3			Percent of total billed charges		35.3	100			Fee schedule	code is bundled with other services	106	35.3	95.4	
"Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care"	G0180	CPT	Outpatient			107	69.55		90			Percent of total billed charges		96.3	40			Percent of total billed charges		42.8	80			Percent of total billed charges		85.6	90			Percent of total billed charges		96.3	100			Fee schedule	code is bundled with other services	107	85			Percent of total billed charges		90.95	100			Fee schedule	code is bundled with other services	107	100			Fee schedule	code is bundled with other services	107	100			Fee schedule	code is bundled with other services	107	100			Fee schedule	code is bundled with other services	107	33.3			Percent of total billed charges		35.63	33.3			Percent of total billed charges		35.63	100			Fee schedule	code is bundled with other services	107	35.63	96.3	
Anesthesia complicated by emergency conditions (specify) (List separately in addition to code for primary anesthesia procedure)	99140	CPT	Outpatient			110	71.5		90			Percent of total billed charges		99	40			Percent of total billed charges		44	80			Percent of total billed charges		88	90			Percent of total billed charges		99	100			Fee schedule	code is bundled with other services	110	85			Percent of total billed charges		93.5	100			Fee schedule	code is bundled with other services	110	100			Fee schedule	code is bundled with other services	110	100			Fee schedule	code is bundled with other services	110	100			Fee schedule	code is bundled with other services	110	33.3			Percent of total billed charges		36.63	33.3			Percent of total billed charges		36.63	100			Fee schedule	code is bundled with other services	110	36.63	99	
"Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded."	99309	CPT	Outpatient			110	71.5		90			Percent of total billed charges		99	40			Percent of total billed charges		44	80			Percent of total billed charges		88	90			Percent of total billed charges		99	100			Fee schedule	code is bundled with other services	110	85			Percent of total billed charges		93.5	100			Fee schedule	code is bundled with other services	110	100			Fee schedule	code is bundled with other services	110	100			Fee schedule	code is bundled with other services	110	100			Fee schedule	code is bundled with other services	110	33.3			Percent of total billed charges		36.63	33.3			Percent of total billed charges		36.63	100			Fee schedule	code is bundled with other services	110	36.63	99	
Tubing with integrated heating element for use with positive airway pressure device	A4604	CPT	Outpatient			110	71.5		90			Percent of total billed charges		99	40			Percent of total billed charges		44	80			Percent of total billed charges		88	90			Percent of total billed charges		99	100			Fee schedule	code is bundled with other services	110	85			Percent of total billed charges		93.5	100			Fee schedule	code is bundled with other services	110	100			Fee schedule	code is bundled with other services	110	100			Fee schedule	code is bundled with other services	110	100			Fee schedule	code is bundled with other services	110	33.3			Percent of total billed charges		36.63	33.3			Percent of total billed charges		36.63	100			Fee schedule	code is bundled with other services	110	36.63	99	
Nursing facility discharge management; more than 30 minutes total time on the date of the encounter	99316	CPT	Outpatient			115	74.75		90			Percent of total billed charges		103.5	40			Percent of total billed charges		46	80			Percent of total billed charges		92	90			Percent of total billed charges		103.5	100			Fee schedule	code is bundled with other services	115	85			Percent of total billed charges		97.75	100			Fee schedule	code is bundled with other services	115	100			Fee schedule	code is bundled with other services	115	100			Fee schedule	code is bundled with other services	115	100			Fee schedule	code is bundled with other services	115	33.3			Percent of total billed charges		38.3	33.3			Percent of total billed charges		38.3	100			Fee schedule	code is bundled with other services	115	38.3	103.5	
"Whole body integumentary photography, for monitoring of high risk patients with dysplastic nevus syndrome or a history of dysplastic nevi, or patients with a personal or familial history of melanoma"	96904	CPT	Outpatient			115	74.75		90			Percent of total billed charges		103.5	40			Percent of total billed charges		46	80			Percent of total billed charges		92	90			Percent of total billed charges		103.5	100			Fee schedule	code is bundled with other services	115	85			Percent of total billed charges		97.75	100			Fee schedule	code is bundled with other services	115	100			Fee schedule	code is bundled with other services	115	100			Fee schedule	code is bundled with other services	115	100			Fee schedule	code is bundled with other services	115	33.3			Percent of total billed charges		38.3	33.3			Percent of total billed charges		38.3	100			Fee schedule	code is bundled with other services	115	38.3	103.5	
"Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded."	99232	CPT	Outpatient			116	75.4		90			Percent of total billed charges		104.4	40			Percent of total billed charges		46.4	80			Percent of total billed charges		92.8	90			Percent of total billed charges		104.4	100			Fee schedule	code is bundled with other services	116	85			Percent of total billed charges		98.6	100			Fee schedule	code is bundled with other services	116	100			Fee schedule	code is bundled with other services	116	100			Fee schedule	code is bundled with other services	116	100			Fee schedule	code is bundled with other services	116	33.3			Percent of total billed charges		38.63	33.3			Percent of total billed charges		38.63	100			Fee schedule	code is bundled with other services	116	38.63	104.4	
"Psychotherapy, 45 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)"	90836	CPT	Outpatient			120	78		90			Percent of total billed charges		108	40			Percent of total billed charges		48	80			Percent of total billed charges		96	90			Percent of total billed charges		108	100			Fee schedule	code is bundled with other services	120	85			Percent of total billed charges		102	100			Fee schedule	code is bundled with other services	120	100			Fee schedule	code is bundled with other services	120	100			Fee schedule	code is bundled with other services	120	100			Fee schedule	code is bundled with other services	120	33.3			Percent of total billed charges		39.96	33.3			Percent of total billed charges		39.96	100			Fee schedule	code is bundled with other services	120	39.96	108	
"Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion"	99443	CPT	Outpatient			120	78		90			Percent of total billed charges		108	40			Percent of total billed charges		48	80			Percent of total billed charges		96	90			Percent of total billed charges		108	100			Fee schedule	code is bundled with other services	120	85			Percent of total billed charges		102	100			Fee schedule	code is bundled with other services	120	100			Fee schedule	code is bundled with other services	120	100			Fee schedule	code is bundled with other services	120	100			Fee schedule	code is bundled with other services	120	33.3			Percent of total billed charges		39.96	33.3			Percent of total billed charges		39.96	100			Fee schedule	code is bundled with other services	120	39.96	108	
"Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and straightforward or low level medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded."	99221	CPT	Outpatient			121	78.65		90			Percent of total billed charges		108.9	40			Percent of total billed charges		48.4	80			Percent of total billed charges		96.8	90			Percent of total billed charges		108.9	100			Fee schedule	code is bundled with other services	121	85			Percent of total billed charges		102.85	100			Fee schedule	code is bundled with other services	121	100			Fee schedule	code is bundled with other services	121	100			Fee schedule	code is bundled with other services	121	100			Fee schedule	code is bundled with other services	121	33.3			Percent of total billed charges		40.29	33.3			Percent of total billed charges		40.29	100			Fee schedule	code is bundled with other services	121	40.29	108.9	
"Home or residence visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded."	99342	CPT	Outpatient			125	81.25		90			Percent of total billed charges		112.5	40			Percent of total billed charges		50	80			Percent of total billed charges		100	90			Percent of total billed charges		112.5	100			Fee schedule	code is bundled with other services	125	85			Percent of total billed charges		106.25	100			Fee schedule	code is bundled with other services	125	100			Fee schedule	code is bundled with other services	125	100			Fee schedule	code is bundled with other services	125	100			Fee schedule	code is bundled with other services	125	33.3			Percent of total billed charges		41.62	33.3			Percent of total billed charges		41.62	100			Fee schedule	code is bundled with other services	125	41.62	112.5	
"Psychotherapy, 30 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)"	90833	CPT	Outpatient			125	81.25		90			Percent of total billed charges		112.5	40			Percent of total billed charges		50	80			Percent of total billed charges		100	90			Percent of total billed charges		112.5	100			Fee schedule	code is bundled with other services	125	85			Percent of total billed charges		106.25	100			Fee schedule	code is bundled with other services	125	100			Fee schedule	code is bundled with other services	125	100			Fee schedule	code is bundled with other services	125	100			Fee schedule	code is bundled with other services	125	33.3			Percent of total billed charges		41.62	33.3			Percent of total billed charges		41.62	100			Fee schedule	code is bundled with other services	125	41.62	112.5	
"Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 18-39 years"	99395	CPT	Outpatient			125	81.25		90			Percent of total billed charges		112.5	40			Percent of total billed charges		50	80			Percent of total billed charges		100	90			Percent of total billed charges		112.5	100			Fee schedule	code is bundled with other services	125	85			Percent of total billed charges		106.25	100			Fee schedule	code is bundled with other services	125	100			Fee schedule	code is bundled with other services	125	100			Fee schedule	code is bundled with other services	125	100			Fee schedule	code is bundled with other services	125	33.3			Percent of total billed charges		41.62	33.3			Percent of total billed charges		41.62	100			Fee schedule	code is bundled with other services	125	41.62	112.5	
"Chronic care management services with the following required elements: multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient, chronic conditions that place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline, comprehensive care plan established, implemented, revised, or monitored; first 30 minutes provided personally by a physician or other qualified health care professional, per calendar month."	99491	CPT	Outpatient			126	81.9		90			Percent of total billed charges		113.4	40			Percent of total billed charges		50.4	80			Percent of total billed charges		100.8	90			Percent of total billed charges		113.4	100			Fee schedule	code is bundled with other services	126	85			Percent of total billed charges		107.1	100			Fee schedule	code is bundled with other services	126	100			Fee schedule	code is bundled with other services	126	100			Fee schedule	code is bundled with other services	126	100			Fee schedule	code is bundled with other services	126	33.3			Percent of total billed charges		41.96	33.3			Percent of total billed charges		41.96	100			Fee schedule	code is bundled with other services	126	41.96	113.4	
"Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; early childhood (age 1 through 4 years)"	99392	CPT	Outpatient			126	81.9		90			Percent of total billed charges		113.4	40			Percent of total billed charges		50.4	80			Percent of total billed charges		100.8	90			Percent of total billed charges		113.4	100			Fee schedule	code is bundled with other services	126	85			Percent of total billed charges		107.1	100			Fee schedule	code is bundled with other services	126	100			Fee schedule	code is bundled with other services	126	100			Fee schedule	code is bundled with other services	126	100			Fee schedule	code is bundled with other services	126	33.3			Percent of total billed charges		41.96	33.3			Percent of total billed charges		41.96	100			Fee schedule	code is bundled with other services	126	41.96	113.4	
"Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; adolescent (age 12 through 17 years)"	99394	CPT	Outpatient			126	81.9		90			Percent of total billed charges		113.4	40			Percent of total billed charges		50.4	80			Percent of total billed charges		100.8	90			Percent of total billed charges		113.4	100			Fee schedule	code is bundled with other services	126	85			Percent of total billed charges		107.1	100			Fee schedule	code is bundled with other services	126	100			Fee schedule	code is bundled with other services	126	100			Fee schedule	code is bundled with other services	126	100			Fee schedule	code is bundled with other services	126	33.3			Percent of total billed charges		41.96	33.3			Percent of total billed charges		41.96	100			Fee schedule	code is bundled with other services	126	41.96	113.4	
"Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; infant (age younger than 1 year)"	99391	CPT	Outpatient			126	81.9		90			Percent of total billed charges		113.4	40			Percent of total billed charges		50.4	80			Percent of total billed charges		100.8	90			Percent of total billed charges		113.4	100			Fee schedule	code is bundled with other services	126	85			Percent of total billed charges		107.1	100			Fee schedule	code is bundled with other services	126	100			Fee schedule	code is bundled with other services	126	100			Fee schedule	code is bundled with other services	126	100			Fee schedule	code is bundled with other services	126	33.3			Percent of total billed charges		41.96	33.3			Percent of total billed charges		41.96	100			Fee schedule	code is bundled with other services	126	41.96	113.4	
"Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; late childhood (age 5 through 11 years)"	99393	CPT	Outpatient			126	81.9		90			Percent of total billed charges		113.4	40			Percent of total billed charges		50.4	80			Percent of total billed charges		100.8	90			Percent of total billed charges		113.4	100			Fee schedule	code is bundled with other services	126	85			Percent of total billed charges		107.1	100			Fee schedule	code is bundled with other services	126	100			Fee schedule	code is bundled with other services	126	100			Fee schedule	code is bundled with other services	126	100			Fee schedule	code is bundled with other services	126	33.3			Percent of total billed charges		41.96	33.3			Percent of total billed charges		41.96	100			Fee schedule	code is bundled with other services	126	41.96	113.4	
"Cast supplies, long leg cast, pediatric (0-10 years), fiberglass"	Q4032	CPT	Outpatient			130	84.5		90			Percent of total billed charges		117	40			Percent of total billed charges		52	80			Percent of total billed charges		104	90			Percent of total billed charges		117	100			Fee schedule	code is bundled with other services	130	85			Percent of total billed charges		110.5	100			Fee schedule	code is bundled with other services	130	100			Fee schedule	code is bundled with other services	130	100			Fee schedule	code is bundled with other services	130	100			Fee schedule	code is bundled with other services	130	33.3			Percent of total billed charges		43.29	33.3			Percent of total billed charges		43.29	100			Fee schedule	code is bundled with other services	130	43.29	117	
Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter	99238	CPT	Outpatient			132	85.8		90			Percent of total billed charges		118.8	40			Percent of total billed charges		52.8	80			Percent of total billed charges		105.6	90			Percent of total billed charges		118.8	100			Fee schedule	code is bundled with other services	132	85			Percent of total billed charges		112.2	100			Fee schedule	code is bundled with other services	132	100			Fee schedule	code is bundled with other services	132	100			Fee schedule	code is bundled with other services	132	100			Fee schedule	code is bundled with other services	132	33.3			Percent of total billed charges		43.96	33.3			Percent of total billed charges		43.96	100			Fee schedule	code is bundled with other services	132	43.96	118.8	
"Introducer/sheath, other than guiding, other than intracardiac electrophysiological, laser"	C2629	CPT	Outpatient			132	85.8		90			Percent of total billed charges		118.8	40			Percent of total billed charges		52.8	80			Percent of total billed charges		105.6	90			Percent of total billed charges		118.8	100			Fee schedule	code is bundled with other services	132	85			Percent of total billed charges		112.2	100			Fee schedule	code is bundled with other services	132	100			Fee schedule	code is bundled with other services	132	100			Fee schedule	code is bundled with other services	132	100			Fee schedule	code is bundled with other services	132	33.3			Percent of total billed charges		43.96	33.3			Percent of total billed charges		43.96	100			Fee schedule	code is bundled with other services	132	43.96	118.8	
"Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded."	99242	CPT	Outpatient			132	85.8		90			Percent of total billed charges		118.8	40			Percent of total billed charges		52.8	80			Percent of total billed charges		105.6	90			Percent of total billed charges		118.8	100			Fee schedule	code is bundled with other services	132	85			Percent of total billed charges		112.2	100			Fee schedule	code is bundled with other services	132	100			Fee schedule	code is bundled with other services	132	100			Fee schedule	code is bundled with other services	132	100			Fee schedule	code is bundled with other services	132	33.3			Percent of total billed charges		43.96	33.3			Percent of total billed charges		43.96	100			Fee schedule	code is bundled with other services	132	43.96	118.8	
"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 15 minutes must be met or exceeded."	99202	CPT	Outpatient			132	85.8		90			Percent of total billed charges		118.8	40			Percent of total billed charges		52.8	80			Percent of total billed charges		105.6	90			Percent of total billed charges		118.8	100			Fee schedule	code is bundled with other services	132	85			Percent of total billed charges		112.2	100			Fee schedule	code is bundled with other services	132	100			Fee schedule	code is bundled with other services	132	100			Fee schedule	code is bundled with other services	132	100			Fee schedule	code is bundled with other services	132	33.3			Percent of total billed charges		43.96	33.3			Percent of total billed charges		43.96	100			Fee schedule	code is bundled with other services	132	43.96	118.8	
"Service(s) provided on an emergency basis in the office, which disrupts other scheduled office services, in addition to basic service"	99058	CPT	Outpatient			132	85.8		90			Percent of total billed charges		118.8	40			Percent of total billed charges		52.8	80			Percent of total billed charges		105.6	90			Percent of total billed charges		118.8	100			Fee schedule	code is bundled with other services	132	85			Percent of total billed charges		112.2	100			Fee schedule	code is bundled with other services	132	100			Fee schedule	code is bundled with other services	132	100			Fee schedule	code is bundled with other services	132	100			Fee schedule	code is bundled with other services	132	33.3			Percent of total billed charges		43.96	33.3			Percent of total billed charges		43.96	100			Fee schedule	code is bundled with other services	132	43.96	118.8	
"Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; early childhood (age 1 through 4 years)"	99382	CPT	Outpatient			135	87.75		90			Percent of total billed charges		121.5	40			Percent of total billed charges		54	80			Percent of total billed charges		108	90			Percent of total billed charges		121.5	100			Fee schedule	code is bundled with other services	135	85			Percent of total billed charges		114.75	100			Fee schedule	code is bundled with other services	135	100			Fee schedule	code is bundled with other services	135	100			Fee schedule	code is bundled with other services	135	100			Fee schedule	code is bundled with other services	135	33.3			Percent of total billed charges		44.96	33.3			Percent of total billed charges		44.96	100			Fee schedule	code is bundled with other services	135	44.96	121.5	
"Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 40-64 years"	99396	CPT	Outpatient			135	87.75		90			Percent of total billed charges		121.5	40			Percent of total billed charges		54	80			Percent of total billed charges		108	90			Percent of total billed charges		121.5	100			Fee schedule	code is bundled with other services	135	85			Percent of total billed charges		114.75	100			Fee schedule	code is bundled with other services	135	100			Fee schedule	code is bundled with other services	135	100			Fee schedule	code is bundled with other services	135	100			Fee schedule	code is bundled with other services	135	33.3			Percent of total billed charges		44.96	33.3			Percent of total billed charges		44.96	100			Fee schedule	code is bundled with other services	135	44.96	121.5	
"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 20 minutes must be met or exceeded."	99213	CPT	Outpatient			139	90.35		90			Percent of total billed charges		125.1	40			Percent of total billed charges		55.6	80			Percent of total billed charges		111.2	90			Percent of total billed charges		125.1	100			Fee schedule	code is bundled with other services	139	85			Percent of total billed charges		118.15	100			Fee schedule	code is bundled with other services	139	100			Fee schedule	code is bundled with other services	139	100			Fee schedule	code is bundled with other services	139	100			Fee schedule	code is bundled with other services	139	33.3			Percent of total billed charges		46.29	33.3			Percent of total billed charges		46.29	100			Fee schedule	code is bundled with other services	139	46.29	125.1	
"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 10 minutes must be met or exceeded."	99212	CPT	Outpatient			139	90.35		90			Percent of total billed charges		125.1	40			Percent of total billed charges		55.6	80			Percent of total billed charges		111.2	90			Percent of total billed charges		125.1	100			Fee schedule	code is bundled with other services	139	85			Percent of total billed charges		118.15	100			Fee schedule	code is bundled with other services	139	100			Fee schedule	code is bundled with other services	139	100			Fee schedule	code is bundled with other services	139	100			Fee schedule	code is bundled with other services	139	33.3			Percent of total billed charges		46.29	33.3			Percent of total billed charges		46.29	100			Fee schedule	code is bundled with other services	139	46.29	125.1	
"Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; infant (age younger than 1 year)"	99381	CPT	Outpatient			140	91		90			Percent of total billed charges		126	40			Percent of total billed charges		56	80			Percent of total billed charges		112	90			Percent of total billed charges		126	100			Fee schedule	code is bundled with other services	140	85			Percent of total billed charges		119	100			Fee schedule	code is bundled with other services	140	100			Fee schedule	code is bundled with other services	140	100			Fee schedule	code is bundled with other services	140	100			Fee schedule	code is bundled with other services	140	33.3			Percent of total billed charges		46.62	33.3			Percent of total billed charges		46.62	100			Fee schedule	code is bundled with other services	140	46.62	126	
"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded."	99203	CPT	Outpatient			140	91		90			Percent of total billed charges		126	40			Percent of total billed charges		56	80			Percent of total billed charges		112	90			Percent of total billed charges		126	100			Fee schedule	code is bundled with other services	140	85			Percent of total billed charges		119	100			Fee schedule	code is bundled with other services	140	100			Fee schedule	code is bundled with other services	140	100			Fee schedule	code is bundled with other services	140	100			Fee schedule	code is bundled with other services	140	33.3			Percent of total billed charges		46.62	33.3			Percent of total billed charges		46.62	100			Fee schedule	code is bundled with other services	140	46.62	126	
Binocular microscopy (separate diagnostic procedure)	92504	CPT	Outpatient			142.7	92.76		90			Percent of total billed charges		128.43	40			Percent of total billed charges		57.08	80			Percent of total billed charges		114.16	90			Percent of total billed charges		128.43	100			Fee schedule	code is bundled with other services	142.7	85			Percent of total billed charges		121.3	100			Fee schedule	code is bundled with other services	142.7	100			Fee schedule	code is bundled with other services	142.7	100			Fee schedule	code is bundled with other services	142.7	100			Fee schedule	code is bundled with other services	142.7	33.3			Percent of total billed charges		47.52	33.3			Percent of total billed charges		47.52	100			Fee schedule	code is bundled with other services	142.7	47.52	128.43	
"Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; adolescent (age 12 through 17 years)"	99384	CPT	Outpatient			145	94.25		90			Percent of total billed charges		130.5	40			Percent of total billed charges		58	80			Percent of total billed charges		116	90			Percent of total billed charges		130.5	100			Fee schedule	code is bundled with other services	145	85			Percent of total billed charges		123.25	100			Fee schedule	code is bundled with other services	145	100			Fee schedule	code is bundled with other services	145	100			Fee schedule	code is bundled with other services	145	100			Fee schedule	code is bundled with other services	145	33.3			Percent of total billed charges		48.28	33.3			Percent of total billed charges		48.28	100			Fee schedule	code is bundled with other services	145	48.28	130.5	
"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded."	99214	CPT	Outpatient			145	94.25		90			Percent of total billed charges		130.5	40			Percent of total billed charges		58	80			Percent of total billed charges		116	90			Percent of total billed charges		130.5	100			Fee schedule	code is bundled with other services	145	85			Percent of total billed charges		123.25	100			Fee schedule	code is bundled with other services	145	100			Fee schedule	code is bundled with other services	145	100			Fee schedule	code is bundled with other services	145	100			Fee schedule	code is bundled with other services	145	33.3			Percent of total billed charges		48.28	33.3			Percent of total billed charges		48.28	100			Fee schedule	code is bundled with other services	145	48.28	130.5	
"Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded."	99349	CPT	Outpatient			150	97.5		90			Percent of total billed charges		135	40			Percent of total billed charges		60	80			Percent of total billed charges		120	90			Percent of total billed charges		135	100			Fee schedule	code is bundled with other services	150	85			Percent of total billed charges		127.5	100			Fee schedule	code is bundled with other services	150	100			Fee schedule	code is bundled with other services	150	100			Fee schedule	code is bundled with other services	150	100			Fee schedule	code is bundled with other services	150	33.3			Percent of total billed charges		49.95	33.3			Percent of total billed charges		49.95	100			Fee schedule	code is bundled with other services	150	49.95	135	
"Noncontact real-time fluorescence wound imaging, for bacterial presence, location, and load, per session; each additional anatomic site (eg, upper extremity) (List separately in addition to code for primary procedure)"	0599T	CPT	Outpatient			150	97.5		90			Percent of total billed charges		135	40			Percent of total billed charges		60	80			Percent of total billed charges		120	90			Percent of total billed charges		135	100			Fee schedule	code is bundled with other services	150	85			Percent of total billed charges		127.5	100			Fee schedule	code is bundled with other services	150	100			Fee schedule	code is bundled with other services	150	100			Fee schedule	code is bundled with other services	150	100			Fee schedule	code is bundled with other services	150	33.3			Percent of total billed charges		49.95	33.3			Percent of total billed charges		49.95	100			Fee schedule	code is bundled with other services	150	49.95	135	
"Initial nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded."	99305	CPT	Outpatient			155	100.75		90			Percent of total billed charges		139.5	40			Percent of total billed charges		62	80			Percent of total billed charges		124	90			Percent of total billed charges		139.5	100			Fee schedule	code is bundled with other services	155	85			Percent of total billed charges		131.75	100			Fee schedule	code is bundled with other services	155	100			Fee schedule	code is bundled with other services	155	100			Fee schedule	code is bundled with other services	155	100			Fee schedule	code is bundled with other services	155	33.3			Percent of total billed charges		51.62	33.3			Percent of total billed charges		51.62	100			Fee schedule	code is bundled with other services	155	51.62	139.5	
Psychotherapy for crisis; each additional 30 minutes (List separately in addition to code for primary service)	90840	CPT	Outpatient			155	100.75		90			Percent of total billed charges		139.5	40			Percent of total billed charges		62	80			Percent of total billed charges		124	90			Percent of total billed charges		139.5	100			Fee schedule	code is bundled with other services	155	85			Percent of total billed charges		131.75	100			Fee schedule	code is bundled with other services	155	100			Fee schedule	code is bundled with other services	155	100			Fee schedule	code is bundled with other services	155	100			Fee schedule	code is bundled with other services	155	33.3			Percent of total billed charges		51.62	33.3			Percent of total billed charges		51.62	100			Fee schedule	code is bundled with other services	155	51.62	139.5	
Therapeutic radiology treatment planning; complex	77263	CPT	Outpatient			155.41	101.02		90			Percent of total billed charges		139.87	40			Percent of total billed charges		62.16	80			Percent of total billed charges		124.33	90			Percent of total billed charges		139.87	100			Fee schedule	code is bundled with other services	155.41	85			Percent of total billed charges		132.1	100			Fee schedule	code is bundled with other services	155.41	100			Fee schedule	code is bundled with other services	155.41	100			Fee schedule	code is bundled with other services	155.41	100			Fee schedule	code is bundled with other services	155.41	33.3			Percent of total billed charges		51.75	33.3			Percent of total billed charges		51.75	100			Fee schedule	code is bundled with other services	155.41	51.75	139.87	
"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; each additional 15 minutes intraservice time (List separately in addition to code for primary service)"	99153	CPT	Outpatient			159	103.35		90			Percent of total billed charges		143.1	40			Percent of total billed charges		63.6	80			Percent of total billed charges		127.2	90			Percent of total billed charges		143.1	100			Fee schedule	code is bundled with other services	159	85			Percent of total billed charges		135.15	100			Fee schedule	code is bundled with other services	159	100			Fee schedule	code is bundled with other services	159	100			Fee schedule	code is bundled with other services	159	100			Fee schedule	code is bundled with other services	159	33.3			Percent of total billed charges		52.95	33.3			Percent of total billed charges		52.95	100			Fee schedule	code is bundled with other services	159	52.95	143.1	
"Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 18-39 years"	99385	CPT	Outpatient			160	104		90			Percent of total billed charges		144	40			Percent of total billed charges		64	80			Percent of total billed charges		128	90			Percent of total billed charges		144	100			Fee schedule	code is bundled with other services	160	85			Percent of total billed charges		136	100			Fee schedule	code is bundled with other services	160	100			Fee schedule	code is bundled with other services	160	100			Fee schedule	code is bundled with other services	160	100			Fee schedule	code is bundled with other services	160	33.3			Percent of total billed charges		53.28	33.3			Percent of total billed charges		53.28	100			Fee schedule	code is bundled with other services	160	53.28	144	
"Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded."	99252	CPT	Outpatient			165	107.25		90			Percent of total billed charges		148.5	40			Percent of total billed charges		66	80			Percent of total billed charges		132	90			Percent of total billed charges		148.5	100			Fee schedule	code is bundled with other services	165	85			Percent of total billed charges		140.25	100			Fee schedule	code is bundled with other services	165	100			Fee schedule	code is bundled with other services	165	100			Fee schedule	code is bundled with other services	165	100			Fee schedule	code is bundled with other services	165	33.3			Percent of total billed charges		54.94	33.3			Percent of total billed charges		54.94	100			Fee schedule	code is bundled with other services	165	54.94	148.5	
"Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; 65 years and older"	99397	CPT	Outpatient			165	107.25		90			Percent of total billed charges		148.5	40			Percent of total billed charges		66	80			Percent of total billed charges		132	90			Percent of total billed charges		148.5	100			Fee schedule	code is bundled with other services	165	85			Percent of total billed charges		140.25	100			Fee schedule	code is bundled with other services	165	100			Fee schedule	code is bundled with other services	165	100			Fee schedule	code is bundled with other services	165	100			Fee schedule	code is bundled with other services	165	33.3			Percent of total billed charges		54.94	33.3			Percent of total billed charges		54.94	100			Fee schedule	code is bundled with other services	165	54.94	148.5	
Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 30 minutes	99402	CPT	Outpatient			165	107.25		90			Percent of total billed charges		148.5	40			Percent of total billed charges		66	80			Percent of total billed charges		132	90			Percent of total billed charges		148.5	100			Fee schedule	code is bundled with other services	165	85			Percent of total billed charges		140.25	100			Fee schedule	code is bundled with other services	165	100			Fee schedule	code is bundled with other services	165	100			Fee schedule	code is bundled with other services	165	100			Fee schedule	code is bundled with other services	165	33.3			Percent of total billed charges		54.94	33.3			Percent of total billed charges		54.94	100			Fee schedule	code is bundled with other services	165	54.94	148.5	
"Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded."	99310	CPT	Outpatient			165	107.25		90			Percent of total billed charges		148.5	40			Percent of total billed charges		66	80			Percent of total billed charges		132	90			Percent of total billed charges		148.5	100			Fee schedule	code is bundled with other services	165	85			Percent of total billed charges		140.25	100			Fee schedule	code is bundled with other services	165	100			Fee schedule	code is bundled with other services	165	100			Fee schedule	code is bundled with other services	165	100			Fee schedule	code is bundled with other services	165	33.3			Percent of total billed charges		54.94	33.3			Percent of total billed charges		54.94	100			Fee schedule	code is bundled with other services	165	54.94	148.5	
"Introducer/sheath, guiding, intracardiac electrophysiological, fixed-curve, peel-away"	C1892	CPT	Outpatient			166	107.9		90			Percent of total billed charges		149.4	40			Percent of total billed charges		66.4	80			Percent of total billed charges		132.8	90			Percent of total billed charges		149.4	100			Fee schedule	code is bundled with other services	166	85			Percent of total billed charges		141.1	100			Fee schedule	code is bundled with other services	166	100			Fee schedule	code is bundled with other services	166	100			Fee schedule	code is bundled with other services	166	100			Fee schedule	code is bundled with other services	166	33.3			Percent of total billed charges		55.28	33.3			Percent of total billed charges		55.28	100			Fee schedule	code is bundled with other services	166	55.28	149.4	
"Subsequent hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 50 minutes must be met or exceeded."	99233	CPT	Outpatient			171	111.15		90			Percent of total billed charges		153.9	40			Percent of total billed charges		68.4	80			Percent of total billed charges		136.8	90			Percent of total billed charges		153.9	100			Fee schedule	code is bundled with other services	171	85			Percent of total billed charges		145.35	100			Fee schedule	code is bundled with other services	171	100			Fee schedule	code is bundled with other services	171	100			Fee schedule	code is bundled with other services	171	100			Fee schedule	code is bundled with other services	171	33.3			Percent of total billed charges		56.94	33.3			Percent of total billed charges		56.94	100			Fee schedule	code is bundled with other services	171	56.94	153.9	
"Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 40-64 years"	99386	CPT	Outpatient			175	113.75		90			Percent of total billed charges		157.5	40			Percent of total billed charges		70	80			Percent of total billed charges		140	90			Percent of total billed charges		157.5	100			Fee schedule	code is bundled with other services	175	85			Percent of total billed charges		148.75	100			Fee schedule	code is bundled with other services	175	100			Fee schedule	code is bundled with other services	175	100			Fee schedule	code is bundled with other services	175	100			Fee schedule	code is bundled with other services	175	33.3			Percent of total billed charges		58.28	33.3			Percent of total billed charges		58.28	100			Fee schedule	code is bundled with other services	175	58.28	157.5	
"Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; late childhood (age 5 through 11 years)"	99383	CPT	Outpatient			175	113.75		90			Percent of total billed charges		157.5	40			Percent of total billed charges		70	80			Percent of total billed charges		140	90			Percent of total billed charges		157.5	100			Fee schedule	code is bundled with other services	175	85			Percent of total billed charges		148.75	100			Fee schedule	code is bundled with other services	175	100			Fee schedule	code is bundled with other services	175	100			Fee schedule	code is bundled with other services	175	100			Fee schedule	code is bundled with other services	175	33.3			Percent of total billed charges		58.28	33.3			Percent of total billed charges		58.28	100			Fee schedule	code is bundled with other services	175	58.28	157.5	
"Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded."	99253	CPT	Outpatient			176	114.4		90			Percent of total billed charges		158.4	40			Percent of total billed charges		70.4	80			Percent of total billed charges		140.8	90			Percent of total billed charges		158.4	100			Fee schedule	code is bundled with other services	176	85			Percent of total billed charges		149.6	100			Fee schedule	code is bundled with other services	176	100			Fee schedule	code is bundled with other services	176	100			Fee schedule	code is bundled with other services	176	100			Fee schedule	code is bundled with other services	176	33.3			Percent of total billed charges		58.61	33.3			Percent of total billed charges		58.61	100			Fee schedule	code is bundled with other services	176	58.61	158.4	
"Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection, 30 minutes must be met or exceeded."	99243	CPT	Outpatient			176	114.4		90			Percent of total billed charges		158.4	40			Percent of total billed charges		70.4	80			Percent of total billed charges		140.8	90			Percent of total billed charges		158.4	100			Fee schedule	code is bundled with other services	176	85			Percent of total billed charges		149.6	100			Fee schedule	code is bundled with other services	176	100			Fee schedule	code is bundled with other services	176	100			Fee schedule	code is bundled with other services	176	100			Fee schedule	code is bundled with other services	176	33.3			Percent of total billed charges		58.61	33.3			Percent of total billed charges		58.61	100			Fee schedule	code is bundled with other services	176	58.61	158.4	
"Catheter, suprapubic/cystoscopic"	C2627	CPT	Outpatient			180	117		90			Percent of total billed charges		162	40			Percent of total billed charges		72	80			Percent of total billed charges		144	90			Percent of total billed charges		162	100			Fee schedule	code is bundled with other services	180	85			Percent of total billed charges		153	100			Fee schedule	code is bundled with other services	180	100			Fee schedule	code is bundled with other services	180	100			Fee schedule	code is bundled with other services	180	100			Fee schedule	code is bundled with other services	180	33.3			Percent of total billed charges		59.94	33.3			Percent of total billed charges		59.94	100			Fee schedule	code is bundled with other services	180	59.94	162	
"Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded."	99234	CPT	Outpatient			180	117		90			Percent of total billed charges		162	40			Percent of total billed charges		72	80			Percent of total billed charges		144	90			Percent of total billed charges		162	100			Fee schedule	code is bundled with other services	180	85			Percent of total billed charges		153	100			Fee schedule	code is bundled with other services	180	100			Fee schedule	code is bundled with other services	180	100			Fee schedule	code is bundled with other services	180	100			Fee schedule	code is bundled with other services	180	33.3			Percent of total billed charges		59.94	33.3			Percent of total billed charges		59.94	100			Fee schedule	code is bundled with other services	180	59.94	162	
"Initial nursing facility care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 50 minutes must be met or exceeded."	99306	CPT	Outpatient			180	117		90			Percent of total billed charges		162	40			Percent of total billed charges		72	80			Percent of total billed charges		144	90			Percent of total billed charges		162	100			Fee schedule	code is bundled with other services	180	85			Percent of total billed charges		153	100			Fee schedule	code is bundled with other services	180	100			Fee schedule	code is bundled with other services	180	100			Fee schedule	code is bundled with other services	180	100			Fee schedule	code is bundled with other services	180	33.3			Percent of total billed charges		59.94	33.3			Percent of total billed charges		59.94	100			Fee schedule	code is bundled with other services	180	59.94	162	
"Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 65 years and older"	99387	CPT	Outpatient			180	117		90			Percent of total billed charges		162	40			Percent of total billed charges		72	80			Percent of total billed charges		144	90			Percent of total billed charges		162	100			Fee schedule	code is bundled with other services	180	85			Percent of total billed charges		153	100			Fee schedule	code is bundled with other services	180	100			Fee schedule	code is bundled with other services	180	100			Fee schedule	code is bundled with other services	180	100			Fee schedule	code is bundled with other services	180	33.3			Percent of total billed charges		59.94	33.3			Percent of total billed charges		59.94	100			Fee schedule	code is bundled with other services	180	59.94	162	
"Subsequent intensive care, per day, for the evaluation and management of the recovering low birth weight infant (present body weight of 1500-2500 grams)"	99479	CPT	Outpatient			195	126.75		90			Percent of total billed charges		175.5	40			Percent of total billed charges		78	80			Percent of total billed charges		156	90			Percent of total billed charges		175.5	100			Fee schedule	code is bundled with other services	195	85			Percent of total billed charges		165.75	100			Fee schedule	code is bundled with other services	195	100			Fee schedule	code is bundled with other services	195	100			Fee schedule	code is bundled with other services	195	100			Fee schedule	code is bundled with other services	195	33.3			Percent of total billed charges		64.94	33.3			Percent of total billed charges		64.94	100			Fee schedule	code is bundled with other services	195	64.94	175.5	
"Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 55 minutes must be met or exceeded."	99222	CPT	Outpatient			198	128.7		90			Percent of total billed charges		178.2	40			Percent of total billed charges		79.2	80			Percent of total billed charges		158.4	90			Percent of total billed charges		178.2	100			Fee schedule	code is bundled with other services	198	85			Percent of total billed charges		168.3	100			Fee schedule	code is bundled with other services	198	100			Fee schedule	code is bundled with other services	198	100			Fee schedule	code is bundled with other services	198	100			Fee schedule	code is bundled with other services	198	33.3			Percent of total billed charges		65.93	33.3			Percent of total billed charges		65.93	100			Fee schedule	code is bundled with other services	198	65.93	178.2	
Attendance at delivery (when requested by the delivering physician or other qualified health care professional) and initial stabilization of newborn	99464	CPT	Outpatient			200	130		90			Percent of total billed charges		180	40			Percent of total billed charges		80	80			Percent of total billed charges		160	90			Percent of total billed charges		180	100			Fee schedule	code is bundled with other services	200	85			Percent of total billed charges		170	100			Fee schedule	code is bundled with other services	200	100			Fee schedule	code is bundled with other services	200	100			Fee schedule	code is bundled with other services	200	100			Fee schedule	code is bundled with other services	200	33.3			Percent of total billed charges		66.6	33.3			Percent of total billed charges		66.6	100			Fee schedule	code is bundled with other services	200	66.6	180	
Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter	99239	CPT	Outpatient			204	132.6		90			Percent of total billed charges		183.6	40			Percent of total billed charges		81.6	80			Percent of total billed charges		163.2	90			Percent of total billed charges		183.6	100			Fee schedule	code is bundled with other services	204	85			Percent of total billed charges		173.4	100			Fee schedule	code is bundled with other services	204	100			Fee schedule	code is bundled with other services	204	100			Fee schedule	code is bundled with other services	204	100			Fee schedule	code is bundled with other services	204	33.3			Percent of total billed charges		67.93	33.3			Percent of total billed charges		67.93	100			Fee schedule	code is bundled with other services	204	67.93	183.6	
"Home or residence visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded."	99350	CPT	Outpatient			205	133.25		90			Percent of total billed charges		184.5	40			Percent of total billed charges		82	80			Percent of total billed charges		164	90			Percent of total billed charges		184.5	100			Fee schedule	code is bundled with other services	205	85			Percent of total billed charges		174.25	100			Fee schedule	code is bundled with other services	205	100			Fee schedule	code is bundled with other services	205	100			Fee schedule	code is bundled with other services	205	100			Fee schedule	code is bundled with other services	205	33.3			Percent of total billed charges		68.26	33.3			Percent of total billed charges		68.26	100			Fee schedule	code is bundled with other services	205	68.26	184.5	
"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 45 minutes must be met or exceeded."	99204	CPT	Outpatient			210	136.5		90			Percent of total billed charges		189	40			Percent of total billed charges		84	80			Percent of total billed charges		168	90			Percent of total billed charges		189	100			Fee schedule	code is bundled with other services	210	85			Percent of total billed charges		178.5	100			Fee schedule	code is bundled with other services	210	100			Fee schedule	code is bundled with other services	210	100			Fee schedule	code is bundled with other services	210	100			Fee schedule	code is bundled with other services	210	33.3			Percent of total billed charges		69.93	33.3			Percent of total billed charges		69.93	100			Fee schedule	code is bundled with other services	210	69.93	189	
"Implantable access catheter, (e.g., venous, arterial, epidural subarachnoid, or peritoneal, etc.) external access"	A4300	CPT	Outpatient			220	143		90			Percent of total billed charges		198	40			Percent of total billed charges		88	80			Percent of total billed charges		176	90			Percent of total billed charges		198	100			Fee schedule	code is bundled with other services	220	85			Percent of total billed charges		187	100			Fee schedule	code is bundled with other services	220	100			Fee schedule	code is bundled with other services	220	100			Fee schedule	code is bundled with other services	220	100			Fee schedule	code is bundled with other services	220	33.3			Percent of total billed charges		73.26	33.3			Percent of total billed charges		73.26	100			Fee schedule	code is bundled with other services	220	73.26	198	
"Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient age 5 years or older"	99152	CPT	Outpatient			220	143		90			Percent of total billed charges		198	40			Percent of total billed charges		88	80			Percent of total billed charges		176	90			Percent of total billed charges		198	100			Fee schedule	code is bundled with other services	220	85			Percent of total billed charges		187	100			Fee schedule	code is bundled with other services	220	100			Fee schedule	code is bundled with other services	220	100			Fee schedule	code is bundled with other services	220	100			Fee schedule	code is bundled with other services	220	33.3			Percent of total billed charges		73.26	33.3			Percent of total billed charges		73.26	100			Fee schedule	code is bundled with other services	220	73.26	198	
"Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 70 minutes must be met or exceeded."	99235	CPT	Outpatient			230	149.5		90			Percent of total billed charges		207	40			Percent of total billed charges		92	80			Percent of total billed charges		184	90			Percent of total billed charges		207	100			Fee schedule	code is bundled with other services	230	85			Percent of total billed charges		195.5	100			Fee schedule	code is bundled with other services	230	100			Fee schedule	code is bundled with other services	230	100			Fee schedule	code is bundled with other services	230	100			Fee schedule	code is bundled with other services	230	33.3			Percent of total billed charges		76.59	33.3			Percent of total billed charges		76.59	100			Fee schedule	code is bundled with other services	230	76.59	207	
"Removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair, any approach (ie, open, laparoscopic, robotic) (List separately in addition to code for primary procedure)"	49623	CPT	Outpatient			235.52	153.09		90			Percent of total billed charges		211.97	40			Percent of total billed charges		94.21	80			Percent of total billed charges		188.42	85			Percent of total billed charges		200.19	100			Fee schedule	code is bundled with other services	235.52	85			Percent of total billed charges		200.19	100			Fee schedule	code is bundled with other services	235.52	100			Fee schedule	code is bundled with other services	235.52	100			Fee schedule	code is bundled with other services	235.52	100			Fee schedule	code is bundled with other services	235.52	33.3			Percent of total billed charges		78.43	33.3			Percent of total billed charges		78.43	100			Fee schedule	code is bundled with other services	235.52	78.43	211.97	
"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, 50 mcg/0.5 mL dosage, for intramuscular use"	91322	CPT	Outpatient			160	104		90			Percent of total billed charges		144	40			Percent of total billed charges		64	80			Percent of total billed charges		128	90			Percent of total billed charges		144	100			Fee schedule	code is bundled with other services	160	85			Percent of total billed charges		136	100			Fee schedule	code is bundled with other services	160	100			Fee schedule	code is bundled with other services	160	100			Fee schedule	code is bundled with other services	160	100			Fee schedule	code is bundled with other services	160	50			Percent of total billed charges		80	50			Percent of total billed charges		80	100			Fee schedule	code is bundled with other services	160	64	144	
"Initial hospital inpatient or observation care, per day, for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 75 minutes must be met or exceeded."	99223	CPT	Outpatient			242	157.3		90			Percent of total billed charges		217.8	40			Percent of total billed charges		96.8	80			Percent of total billed charges		193.6	90			Percent of total billed charges		217.8	100			Fee schedule	code is bundled with other services	242	85			Percent of total billed charges		205.7	100			Fee schedule	code is bundled with other services	242	100			Fee schedule	code is bundled with other services	242	100			Fee schedule	code is bundled with other services	242	100			Fee schedule	code is bundled with other services	242	33.3			Percent of total billed charges		80.59	33.3			Percent of total billed charges		80.59	100			Fee schedule	code is bundled with other services	242	80.59	217.8	
"Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded."	99254	CPT	Outpatient			242	157.3		90			Percent of total billed charges		217.8	40			Percent of total billed charges		96.8	80			Percent of total billed charges		193.6	90			Percent of total billed charges		217.8	100			Fee schedule	code is bundled with other services	242	85			Percent of total billed charges		205.7	100			Fee schedule	code is bundled with other services	242	100			Fee schedule	code is bundled with other services	242	100			Fee schedule	code is bundled with other services	242	100			Fee schedule	code is bundled with other services	242	33.3			Percent of total billed charges		80.59	33.3			Percent of total billed charges		80.59	100			Fee schedule	code is bundled with other services	242	80.59	217.8	
"Subsequent intensive care, per day, for the evaluation and management of the recovering very low birth weight infant (present body weight less than 1500 grams)"	99478	CPT	Outpatient			245	159.25		90			Percent of total billed charges		220.5	40			Percent of total billed charges		98	80			Percent of total billed charges		196	90			Percent of total billed charges		220.5	100			Fee schedule	code is bundled with other services	245	85			Percent of total billed charges		208.25	100			Fee schedule	code is bundled with other services	245	100			Fee schedule	code is bundled with other services	245	100			Fee schedule	code is bundled with other services	245	100			Fee schedule	code is bundled with other services	245	33.3			Percent of total billed charges		81.58	33.3			Percent of total billed charges		81.58	100			Fee schedule	code is bundled with other services	245	81.58	220.5	
"Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded."	99244	CPT	Outpatient			248	161.2		90			Percent of total billed charges		223.2	40			Percent of total billed charges		99.2	80			Percent of total billed charges		198.4	90			Percent of total billed charges		223.2	100			Fee schedule	code is bundled with other services	248	85			Percent of total billed charges		210.8	100			Fee schedule	code is bundled with other services	248	100			Fee schedule	code is bundled with other services	248	100			Fee schedule	code is bundled with other services	248	100			Fee schedule	code is bundled with other services	248	33.3			Percent of total billed charges		82.58	33.3			Percent of total billed charges		82.58	100			Fee schedule	code is bundled with other services	248	82.58	223.2	
"Tissue marker, implantable, any type, each"	A4648	CPT	Outpatient			248	161.2		90			Percent of total billed charges		223.2	40			Percent of total billed charges		99.2	80			Percent of total billed charges		198.4	90			Percent of total billed charges		223.2	100			Fee schedule	code is bundled with other services	248	85			Percent of total billed charges		210.8	100			Fee schedule	code is bundled with other services	248	100			Fee schedule	code is bundled with other services	248	100			Fee schedule	code is bundled with other services	248	100			Fee schedule	code is bundled with other services	248	33.3			Percent of total billed charges		82.58	33.3			Percent of total billed charges		82.58	100			Fee schedule	code is bundled with other services	248	82.58	223.2	
"Work related or medical disability examination by other than the treating physician that includes: Completion of a medical history commensurate with the patient's condition; Performance of an examination commensurate with the patient's condition; Formulation of a diagnosis, assessment of capabilities and stability, and calculation of impairment; Development of future medical treatment plan; and Completion of necessary documentation/certificates and report."	99456	CPT	Outpatient			250	162.5		90			Percent of total billed charges		225	40			Percent of total billed charges		100	80			Percent of total billed charges		200	90			Percent of total billed charges		225	100			Fee schedule	code is bundled with other services	250	85			Percent of total billed charges		212.5	100			Fee schedule	code is bundled with other services	250	100			Fee schedule	code is bundled with other services	250	100			Fee schedule	code is bundled with other services	250	100			Fee schedule	code is bundled with other services	250	33.3			Percent of total billed charges		83.25	33.3			Percent of total billed charges		83.25	100			Fee schedule	code is bundled with other services	250	83.25	225	
"Work related or medical disability examination by the treating physician that includes: Completion of a medical history commensurate with the patient's condition; Performance of an examination commensurate with the patient's condition; Formulation of a diagnosis, assessment of capabilities and stability, and calculation of impairment; Development of future medical treatment plan; and Completion of necessary documentation/certificates and report."	99455	CPT	Outpatient			250	162.5		90			Percent of total billed charges		225	40			Percent of total billed charges		100	80			Percent of total billed charges		200	90			Percent of total billed charges		225	100			Fee schedule	code is bundled with other services	250	85			Percent of total billed charges		212.5	100			Fee schedule	code is bundled with other services	250	100			Fee schedule	code is bundled with other services	250	100			Fee schedule	code is bundled with other services	250	100			Fee schedule	code is bundled with other services	250	33.3			Percent of total billed charges		83.25	33.3			Percent of total billed charges		83.25	100			Fee schedule	code is bundled with other services	250	83.25	225	
"Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 60 minutes must be met or exceeded."	99205	CPT	Outpatient			253	164.45		90			Percent of total billed charges		227.7	40			Percent of total billed charges		101.2	80			Percent of total billed charges		202.4	90			Percent of total billed charges		227.7	100			Fee schedule	code is bundled with other services	253	85			Percent of total billed charges		215.05	100			Fee schedule	code is bundled with other services	253	100			Fee schedule	code is bundled with other services	253	100			Fee schedule	code is bundled with other services	253	100			Fee schedule	code is bundled with other services	253	33.3			Percent of total billed charges		84.25	33.3			Percent of total billed charges		84.25	100			Fee schedule	code is bundled with other services	253	84.25	227.7	
Postpartum care only (separate procedure)	59430	CPT	Outpatient			260	169		90			Percent of total billed charges		234	40			Percent of total billed charges		104	80			Percent of total billed charges		208	85			Percent of total billed charges		221	100			Fee schedule	code is bundled with other services	260	85			Percent of total billed charges		221	100			Fee schedule	code is bundled with other services	260	100			Fee schedule	code is bundled with other services	260	100			Fee schedule	code is bundled with other services	260	100			Fee schedule	code is bundled with other services	260	33.3			Percent of total billed charges		86.58	33.3			Percent of total billed charges		86.58	100			Fee schedule	code is bundled with other services	260	86.58	234	
"Subsequent intensive care, per day, for the evaluation and management of the recovering infant (present body weight of 2501-5000 grams)"	99480	CPT	Outpatient			265	172.25		90			Percent of total billed charges		238.5	40			Percent of total billed charges		106	80			Percent of total billed charges		212	90			Percent of total billed charges		238.5	100			Fee schedule	code is bundled with other services	265	85			Percent of total billed charges		225.25	100			Fee schedule	code is bundled with other services	265	100			Fee schedule	code is bundled with other services	265	100			Fee schedule	code is bundled with other services	265	100			Fee schedule	code is bundled with other services	265	33.3			Percent of total billed charges		88.24	33.3			Percent of total billed charges		88.24	100			Fee schedule	code is bundled with other services	265	88.24	238.5	
Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional	99211	CPT	Outpatient			267	173.55		90			Percent of total billed charges		240.3	40			Percent of total billed charges		106.8	80			Percent of total billed charges		213.6	90			Percent of total billed charges		240.3	100			Fee schedule	code is bundled with other services	267	85			Percent of total billed charges		226.95	100			Fee schedule	code is bundled with other services	267	100			Fee schedule	code is bundled with other services	267	100			Fee schedule	code is bundled with other services	267	100			Fee schedule	code is bundled with other services	267	33.3			Percent of total billed charges		88.91	33.3			Percent of total billed charges		88.91	100			Fee schedule	code is bundled with other services	267	88.91	240.3	
Prolonged evaluation and management service before and/or after direct patient care; first hour	99358	CPT	Outpatient			275	178.75		90			Percent of total billed charges		247.5	40			Percent of total billed charges		110	80			Percent of total billed charges		220	90			Percent of total billed charges		247.5	100			Fee schedule	code is bundled with other services	275	85			Percent of total billed charges		233.75	100			Fee schedule	code is bundled with other services	275	100			Fee schedule	code is bundled with other services	275	100			Fee schedule	code is bundled with other services	275	100			Fee schedule	code is bundled with other services	275	33.3			Percent of total billed charges		91.58	33.3			Percent of total billed charges		91.58	100			Fee schedule	code is bundled with other services	275	91.58	247.5	
"Hospital inpatient or observation care, for the evaluation and management of a patient including admission and discharge on the same date, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 85 minutes must be met or exceeded."	99236	CPT	Outpatient			285	185.25		90			Percent of total billed charges		256.5	40			Percent of total billed charges		114	80			Percent of total billed charges		228	90			Percent of total billed charges		256.5	100			Fee schedule	code is bundled with other services	285	85			Percent of total billed charges		242.25	100			Fee schedule	code is bundled with other services	285	100			Fee schedule	code is bundled with other services	285	100			Fee schedule	code is bundled with other services	285	100			Fee schedule	code is bundled with other services	285	33.3			Percent of total billed charges		94.9	33.3			Percent of total billed charges		94.9	100			Fee schedule	code is bundled with other services	285	94.9	256.5	
"Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 80 minutes must be met or exceeded."	99255	CPT	Outpatient			286	185.9		90			Percent of total billed charges		257.4	40			Percent of total billed charges		114.4	80			Percent of total billed charges		228.8	90			Percent of total billed charges		257.4	100			Fee schedule	code is bundled with other services	286	85			Percent of total billed charges		243.1	100			Fee schedule	code is bundled with other services	286	100			Fee schedule	code is bundled with other services	286	100			Fee schedule	code is bundled with other services	286	100			Fee schedule	code is bundled with other services	286	33.3			Percent of total billed charges		95.24	33.3			Percent of total billed charges		95.24	100			Fee schedule	code is bundled with other services	286	95.24	257.4	
"Catheter, hemodialysis/peritoneal, short-term"	C1752	CPT	Outpatient			323	209.95		90			Percent of total billed charges		290.7	40			Percent of total billed charges		129.2	80			Percent of total billed charges		258.4	90			Percent of total billed charges		290.7	100			Fee schedule	code is bundled with other services	323	85			Percent of total billed charges		274.55	100			Fee schedule	code is bundled with other services	323	100			Fee schedule	code is bundled with other services	323	100			Fee schedule	code is bundled with other services	323	100			Fee schedule	code is bundled with other services	323	33.3			Percent of total billed charges		107.56	33.3			Percent of total billed charges		107.56	100			Fee schedule	code is bundled with other services	323	107.56	290.7	
"Stent, non-coronary, temporary, without delivery system"	C2617	CPT	Outpatient			327	212.55		90			Percent of total billed charges		294.3	40			Percent of total billed charges		130.8	80			Percent of total billed charges		261.6	90			Percent of total billed charges		294.3	100			Fee schedule	code is bundled with other services	327	85			Percent of total billed charges		277.95	100			Fee schedule	code is bundled with other services	327	100			Fee schedule	code is bundled with other services	327	100			Fee schedule	code is bundled with other services	327	100			Fee schedule	code is bundled with other services	327	33.3			Percent of total billed charges		108.89	33.3			Percent of total billed charges		108.89	100			Fee schedule	code is bundled with other services	327	108.89	294.3	
"Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 55 minutes must be met or exceeded."	99245	CPT	Outpatient			336	218.4		90			Percent of total billed charges		302.4	40			Percent of total billed charges		134.4	80			Percent of total billed charges		268.8	90			Percent of total billed charges		302.4	100			Fee schedule	code is bundled with other services	336	85			Percent of total billed charges		285.6	100			Fee schedule	code is bundled with other services	336	100			Fee schedule	code is bundled with other services	336	100			Fee schedule	code is bundled with other services	336	100			Fee schedule	code is bundled with other services	336	33.3			Percent of total billed charges		111.89	33.3			Percent of total billed charges		111.89	100			Fee schedule	code is bundled with other services	336	111.89	302.4	
"Group psychotherapy other than of a multiple-family group, in a partial hospitalization or intensive outpatient setting, approximately 45 to 50 minutes"	G0410	CPT	Outpatient			356	231.4		90			Percent of total billed charges		320.4	40			Percent of total billed charges		142.4	80			Percent of total billed charges		284.8	90			Percent of total billed charges		320.4	100			Fee schedule	code is bundled with other services	356	85			Percent of total billed charges		302.6	100			Fee schedule	code is bundled with other services	356	100			Fee schedule	code is bundled with other services	356	100			Fee schedule	code is bundled with other services	356	100			Fee schedule	code is bundled with other services	356	33.3			Percent of total billed charges		118.55	33.3			Percent of total billed charges		118.55	100			Fee schedule	code is bundled with other services	356	118.55	320.4	
"Pericardial drainage with insertion of indwelling catheter, percutaneous, including fluoroscopy and/or ultrasound guidance, when performed; 6 years and older without congenital cardiac anomaly"	33017	CPT	Outpatient			385	250.25		90			Percent of total billed charges		346.5	40			Percent of total billed charges		154	80			Percent of total billed charges		308	85			Percent of total billed charges		327.25	100			Fee schedule	code is bundled with other services	385	85			Percent of total billed charges		327.25	100			Fee schedule	code is bundled with other services	385	100			Fee schedule	code is bundled with other services	385	100			Fee schedule	code is bundled with other services	385	100			Fee schedule	code is bundled with other services	385	33.3			Percent of total billed charges		128.2	33.3			Percent of total billed charges		128.2	100			Fee schedule	code is bundled with other services	385	128.2	346.5	
"Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis)"	C1751	CPT	Outpatient			394	256.1		90			Percent of total billed charges		354.6	40			Percent of total billed charges		157.6	80			Percent of total billed charges		315.2	90			Percent of total billed charges		354.6	100			Fee schedule	code is bundled with other services	394	85			Percent of total billed charges		334.9	100			Fee schedule	code is bundled with other services	394	100			Fee schedule	code is bundled with other services	394	100			Fee schedule	code is bundled with other services	394	100			Fee schedule	code is bundled with other services	394	33.3			Percent of total billed charges		131.2	33.3			Percent of total billed charges		131.2	100			Fee schedule	code is bundled with other services	394	131.2	354.6	
"Influenza virus vaccine, quadrivalent (aIIV4), inactivated, adjuvanted, preservative free, 0.5 mL dosage, for intramuscular use"	90694	CPT	Outpatient			273	177.45		90			Percent of total billed charges		245.7	40			Percent of total billed charges		109.2	80			Percent of total billed charges		218.4	90			Percent of total billed charges		245.7	100			Fee schedule	code is bundled with other services	273	85			Percent of total billed charges		232.05	100			Fee schedule	code is bundled with other services	273	100			Fee schedule	code is bundled with other services	273	100			Fee schedule	code is bundled with other services	273	100			Fee schedule	code is bundled with other services	273	50			Percent of total billed charges		136.5	50			Percent of total billed charges		136.5	100			Fee schedule	code is bundled with other services	273	109.2	245.7	
"Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use"	90671	CPT	Outpatient			285	185.25		90			Percent of total billed charges		256.5	40			Percent of total billed charges		114	80			Percent of total billed charges		228	90			Percent of total billed charges		256.5	100			Fee schedule	code is bundled with other services	285	85			Percent of total billed charges		242.25	100			Fee schedule	code is bundled with other services	285	100			Fee schedule	code is bundled with other services	285	100			Fee schedule	code is bundled with other services	285	100			Fee schedule	code is bundled with other services	285	50			Percent of total billed charges		142.5	50			Percent of total billed charges		142.5	100			Fee schedule	code is bundled with other services	285	114	256.5	
"Catheter, balloon dilatation, non-vascular"	C1726	CPT	Outpatient			433	281.45		90			Percent of total billed charges		389.7	40			Percent of total billed charges		173.2	80			Percent of total billed charges		346.4	90			Percent of total billed charges		389.7	100			Fee schedule	code is bundled with other services	433	85			Percent of total billed charges		368.05	100			Fee schedule	code is bundled with other services	433	100			Fee schedule	code is bundled with other services	433	100			Fee schedule	code is bundled with other services	433	100			Fee schedule	code is bundled with other services	433	33.3			Percent of total billed charges		144.19	33.3			Percent of total billed charges		144.19	100			Fee schedule	code is bundled with other services	433	144.19	389.7	
Lung biopsy plug with delivery system	C2613	CPT	Outpatient			440	286		90			Percent of total billed charges		396	40			Percent of total billed charges		176	80			Percent of total billed charges		352	90			Percent of total billed charges		396	100			Fee schedule	code is bundled with other services	440	85			Percent of total billed charges		374	100			Fee schedule	code is bundled with other services	440	100			Fee schedule	code is bundled with other services	440	100			Fee schedule	code is bundled with other services	440	100			Fee schedule	code is bundled with other services	440	33.3			Percent of total billed charges		146.52	33.3			Percent of total billed charges		146.52	100			Fee schedule	code is bundled with other services	440	146.52	396	
"Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection, 40 minutes must be met or exceeded."	99215	CPT	Outpatient			452	293.8		90			Percent of total billed charges		406.8	40			Percent of total billed charges		180.8	80			Percent of total billed charges		361.6	90			Percent of total billed charges		406.8	100			Fee schedule	code is bundled with other services	452	85			Percent of total billed charges		384.2	100			Fee schedule	code is bundled with other services	452	100			Fee schedule	code is bundled with other services	452	100			Fee schedule	code is bundled with other services	452	100			Fee schedule	code is bundled with other services	452	33.3			Percent of total billed charges		150.52	33.3			Percent of total billed charges		150.52	100			Fee schedule	code is bundled with other services	452	150.52	406.8	
"Catheter, hemodialysis/peritoneal, long-term"	C1750	CPT	Outpatient			460	299		90			Percent of total billed charges		414	40			Percent of total billed charges		184	80			Percent of total billed charges		368	90			Percent of total billed charges		414	100			Fee schedule	code is bundled with other services	460	85			Percent of total billed charges		391	100			Fee schedule	code is bundled with other services	460	100			Fee schedule	code is bundled with other services	460	100			Fee schedule	code is bundled with other services	460	100			Fee schedule	code is bundled with other services	460	33.3			Percent of total billed charges		153.18	33.3			Percent of total billed charges		153.18	100			Fee schedule	code is bundled with other services	460	153.18	414	
"Initial hospital care, per day, for the evaluation and management of the neonate, 28 days of age or younger, who requires intensive observation, frequent interventions, and other intensive care services"	99477	CPT	Outpatient			485	315.25		90			Percent of total billed charges		436.5	40			Percent of total billed charges		194	80			Percent of total billed charges		388	90			Percent of total billed charges		436.5	100			Fee schedule	code is bundled with other services	485	85			Percent of total billed charges		412.25	100			Fee schedule	code is bundled with other services	485	100			Fee schedule	code is bundled with other services	485	100			Fee schedule	code is bundled with other services	485	100			Fee schedule	code is bundled with other services	485	33.3			Percent of total billed charges		161.5	33.3			Percent of total billed charges		161.5	100			Fee schedule	code is bundled with other services	485	161.5	436.5	
"Catheter, electrophysiology, diagnostic, other than 3d mapping (19 or fewer electrodes)"	C1730	CPT	Outpatient			492	319.8		90			Percent of total billed charges		442.8	40			Percent of total billed charges		196.8	80			Percent of total billed charges		393.6	90			Percent of total billed charges		442.8	100			Fee schedule	code is bundled with other services	492	85			Percent of total billed charges		418.2	100			Fee schedule	code is bundled with other services	492	100			Fee schedule	code is bundled with other services	492	100			Fee schedule	code is bundled with other services	492	100			Fee schedule	code is bundled with other services	492	33.3			Percent of total billed charges		163.84	33.3			Percent of total billed charges		163.84	100			Fee schedule	code is bundled with other services	492	163.84	442.8	
Guide wire	C1769	CPT	Outpatient			535	347.75		90			Percent of total billed charges		481.5	40			Percent of total billed charges		214	80			Percent of total billed charges		428	90			Percent of total billed charges		481.5	100			Fee schedule	code is bundled with other services	535	85			Percent of total billed charges		454.75	100			Fee schedule	code is bundled with other services	535	100			Fee schedule	code is bundled with other services	535	100			Fee schedule	code is bundled with other services	535	100			Fee schedule	code is bundled with other services	535	33.3			Percent of total billed charges		178.16	33.3			Percent of total billed charges		178.16	100			Fee schedule	code is bundled with other services	535	178.16	481.5	
"Respiratory syncytial virus vaccine, preF, recombinant, subunit, adjuvanted, for intramuscular use"	90679	CPT	Outpatient			365	237.25		90			Percent of total billed charges		328.5	40			Percent of total billed charges		146	80			Percent of total billed charges		292	90			Percent of total billed charges		328.5	100			Fee schedule	code is bundled with other services	365	85			Percent of total billed charges		310.25	100			Fee schedule	code is bundled with other services	365	100			Fee schedule	code is bundled with other services	365	100			Fee schedule	code is bundled with other services	365	100			Fee schedule	code is bundled with other services	365	50			Percent of total billed charges		182.5	50			Percent of total billed charges		182.5	100			Fee schedule	code is bundled with other services	365	146	328.5	
Dialysis access system (implantable)	C1881	CPT	Outpatient			555	360.75		90			Percent of total billed charges		499.5	40			Percent of total billed charges		222	80			Percent of total billed charges		444	90			Percent of total billed charges		499.5	100			Fee schedule	code is bundled with other services	555	85			Percent of total billed charges		471.75	100			Fee schedule	code is bundled with other services	555	100			Fee schedule	code is bundled with other services	555	100			Fee schedule	code is bundled with other services	555	100			Fee schedule	code is bundled with other services	555	33.3			Percent of total billed charges		184.82	33.3			Percent of total billed charges		184.82	100			Fee schedule	code is bundled with other services	555	184.82	499.5	
Adhesion barrier	C1765	CPT	Outpatient			559	363.35		90			Percent of total billed charges		503.1	40			Percent of total billed charges		223.6	80			Percent of total billed charges		447.2	90			Percent of total billed charges		503.1	100			Fee schedule	code is bundled with other services	559	85			Percent of total billed charges		475.15	100			Fee schedule	code is bundled with other services	559	100			Fee schedule	code is bundled with other services	559	100			Fee schedule	code is bundled with other services	559	100			Fee schedule	code is bundled with other services	559	33.3			Percent of total billed charges		186.15	33.3			Percent of total billed charges		186.15	100			Fee schedule	code is bundled with other services	559	186.15	503.1	
"Breast prosthesis, not otherwise specified"	L8039	CPT	Outpatient			578	375.7		90			Percent of total billed charges		520.2	40			Percent of total billed charges		231.2	80			Percent of total billed charges		462.4	90			Percent of total billed charges		520.2	100			Fee schedule	code is bundled with other services	578	85			Percent of total billed charges		491.3	100			Fee schedule	code is bundled with other services	578	100			Fee schedule	code is bundled with other services	578	100			Fee schedule	code is bundled with other services	578	100			Fee schedule	code is bundled with other services	578	33.3			Percent of total billed charges		192.47	33.3			Percent of total billed charges		192.47	100			Fee schedule	code is bundled with other services	578	192.47	520.2	
"Respiratory syncytial virus vaccine, preF, subunit, bivalent, for intramuscular use"	90678	CPT	Outpatient			385	250.25		90			Percent of total billed charges		346.5	40			Percent of total billed charges		154	80			Percent of total billed charges		308	90			Percent of total billed charges		346.5	100			Fee schedule	code is bundled with other services	385	85			Percent of total billed charges		327.25	100			Fee schedule	code is bundled with other services	385	100			Fee schedule	code is bundled with other services	385	100			Fee schedule	code is bundled with other services	385	100			Fee schedule	code is bundled with other services	385	50			Percent of total billed charges		192.5	50			Percent of total billed charges		192.5	100			Fee schedule	code is bundled with other services	385	154	346.5	
"Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, 30 mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use"	91320	CPT	Outpatient			394	256.1		90			Percent of total billed charges		354.6	40			Percent of total billed charges		157.6	80			Percent of total billed charges		315.2	90			Percent of total billed charges		354.6	100			Fee schedule	code is bundled with other services	394	85			Percent of total billed charges		334.9	100			Fee schedule	code is bundled with other services	394	100			Fee schedule	code is bundled with other services	394	100			Fee schedule	code is bundled with other services	394	100			Fee schedule	code is bundled with other services	394	50			Percent of total billed charges		197	50			Percent of total billed charges		197	100			Fee schedule	code is bundled with other services	394	157.6	354.6	
"Introducer/sheath, guiding, intracardiac electrophysiological, steerable, other than peel-away"	C1766	CPT	Outpatient			602	391.3		90			Percent of total billed charges		541.8	40			Percent of total billed charges		240.8	80			Percent of total billed charges		481.6	90			Percent of total billed charges		541.8	100			Fee schedule	code is bundled with other services	602	85			Percent of total billed charges		511.7	100			Fee schedule	code is bundled with other services	602	100			Fee schedule	code is bundled with other services	602	100			Fee schedule	code is bundled with other services	602	100			Fee schedule	code is bundled with other services	602	33.3			Percent of total billed charges		200.47	33.3			Percent of total billed charges		200.47	100			Fee schedule	code is bundled with other services	602	200.47	541.8	
Anesthesia for access to central venous circulation	532	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
Anesthesia for all closed procedures on humerus and elbow	1730	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
"Anesthesia for all closed procedures on lower leg, ankle, and foot"	1462	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
"Anesthesia for all closed procedures on radius, ulna, wrist, or hand bones"	1820	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
"Anesthesia for all open procedures on upper ends of tibia, fibula, and/or patella"	1392	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
"Anesthesia for all procedures on esophagus, thyroid, larynx, trachea and lymphatic system of neck; not otherwise specified, age 1 year or older"	320	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
"Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of forearm, wrist, and hand"	1810	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
"Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of knee and/or popliteal area"	1320	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
"Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of upper leg"	1250	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
Anesthesia for closed procedures involving symphysis pubis or sacroiliac joint	1160	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
"Anesthesia for combined upper and lower gastrointestinal endoscopic procedures, endoscope introduced both proximal to and distal to the duodenum"	813	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
"Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; not otherwise specified"	860	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
"Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; renal procedures, including upper one-third of ureter, or donor nephrectomy"	862	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
Anesthesia for hernia repairs in upper abdomen; lumbar and ventral (incisional) hernias and/or wound dehiscence	752	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
Anesthesia for hernia repairs in upper abdomen; not otherwise specified	750	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
"Anesthesia for intraoral procedures, including biopsy; not otherwise specified"	170	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; not otherwise specified	790	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
"Anesthesia for lithotripsy, extracorporeal shock wave; without water bath"	873	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
"Anesthesia for procedures on external, middle, and inner ear including biopsy; not otherwise specified"	120	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
Anesthesia for procedures on lower anterior abdominal wall; not otherwise specified	800	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
Anesthesia for procedures on lower anterior abdominal wall; panniculectomy	802	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
"Anesthesia for procedures on male genitalia (including open urethral procedures); orchiopexy, unilateral or bilateral"	930	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
"Anesthesia for procedures on male genitalia (including open urethral procedures); radical orchiectomy, inguinal"	926	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
"Anesthesia for procedures on nerves, muscles, tendons, and fascia of lower leg, ankle, and foot; not otherwise specified"	1470	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
"Anesthesia for procedures on nerves, muscles, tendons, fascia, and bursae of upper arm and elbow; tenoplasty, elbow to shoulder"	1714	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
"Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineum; radical or modified radical procedures on breast"	404	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
Anesthesia for procedures on upper anterior abdominal wall; not otherwise specified	700	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
"Anesthesia for reconstructive procedures of eyelid (eg, blepharoplasty, ptosis surgery)"	103	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
"Anesthesia for transurethral procedures (including urethrocystoscopy); with fragmentation, manipulation and/or removal of ureteral calculus"	918	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
"Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duodenum; endoscopic retrograde cholangiopancreatography (ERCP)"	732	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
Anesthesia for; vulvectomy	906	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
"Anesthesia for all cast applications, removal, or repair involving knee joint"	1420	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
Anesthesia for all closed procedures involving hip joint	1200	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
"Anesthesia for all closed procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint"	1620	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
Anesthesia for all closed procedures on knee joint	1380	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
"Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of shoulder and axilla"	1610	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
"Anesthesia for all procedures on the integumentary system, muscles and nerves of head, neck, and posterior trunk, not otherwise specified"	300	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
Anesthesia for closed chest procedures; (including bronchoscopy) not otherwise specified	520	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
Anesthesia for diagnostic arthroscopic procedures of knee joint	1382	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
Anesthesia for diagnostic or therapeutic nerve blocks and injections (when block or injection is performed by a different physician or other qualified health care professional); prone position	1992	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
Anesthesia for hernia repairs in lower abdomen; not otherwise specified	830	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
Anesthesia for hernia repairs in lower abdomen; ventral and incisional hernias	832	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
Anesthesia for incomplete or missed abortion procedures	1965	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; not otherwise specified	840	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; tubal ligation/transection	851	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not otherwise specified"	811	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
"Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopy"	812	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
Anesthesia for open or surgical arthroscopic procedures of the elbow; not otherwise specified	1740	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
"Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint; not otherwise specified"	1630	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
"Anesthesia for open or surgical arthroscopic procedures on humeral head and neck, sternoclavicular joint, acromioclavicular joint, and shoulder joint; total shoulder replacement"	1638	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
Anesthesia for open or surgical arthroscopic procedures on knee joint; not otherwise specified	1400	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
Anesthesia for open or surgical arthroscopic procedures on knee joint; total knee arthroplasty	1402	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
"Anesthesia for open or surgical arthroscopic/endoscopic procedures on distal radius, distal ulna, wrist, or hand joints; not otherwise specified"	1830	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
Anesthesia for open procedures involving hip joint; total hip arthroplasty	1214	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
Anesthesia for open procedures involving upper two-thirds of femur; not otherwise specified	1230	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
"Anesthesia for open procedures on bones of lower leg, ankle, and foot; not otherwise specified"	1480	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
Anesthesia for procedures on clavicle and scapula; not otherwise specified	450	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
"Anesthesia for procedures on external, middle, and inner ear including biopsy; tympanotomy"	126	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
Anesthesia for procedures on eye; not otherwise specified	140	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
Anesthesia for procedures on major vessels of neck; simple ligation	352	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
Anesthesia for procedures on male genitalia (including open urethral procedures); not otherwise specified	920	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
"Anesthesia for procedures on nerves, muscles, tendons, and fascia of lower leg, ankle, and foot; repair of ruptured Achilles tendon, with or without graft"	1472	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
"Anesthesia for procedures on nerves, muscles, tendons, fascia, and bursae of upper arm and elbow; not otherwise specified"	1710	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
Anesthesia for procedures on nose and accessory sinuses; not otherwise specified	160	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
"Anesthesia for procedures on salivary glands, including biopsy"	100	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
"Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineum; not otherwise specified"	400	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
"Anesthesia for procedures on the integumentary system on the extremities, anterior trunk and perineum; reconstructive procedures on breast (eg, reduction or augmentation mammoplasty, muscle flaps)"	402	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
Anesthesia for transurethral procedures (including urethrocystoscopy); not otherwise specified	910	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
Anesthesia for transurethral procedures (including urethrocystoscopy); transurethral resection of bladder tumor(s)	912	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
Anesthesia for transurethral procedures (including urethrocystoscopy); transurethral resection of prostate	914	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
"Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duodenum; not otherwise specified"	731	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
"Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); cervical cerclage"	948	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
"Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); colpotomy, vaginectomy, colporrhaphy, and open urethral procedures"	942	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
"Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); hysteroscopy and/or hysterosalpingography"	952	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
"Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); not otherwise specified"	940	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
Anesthesia for; anorectal procedure	902	CPT	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	100			Fee schedule	code is bundled with other services	605	85			Percent of total billed charges		514.25	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	100			Fee schedule	code is bundled with other services	605	33.3			Percent of total billed charges		201.46	33.3			Percent of total billed charges		201.46	100			Fee schedule	code is bundled with other services	605	201.46	544.5	
"Injectable bulking agent, synthetic implant, urinary tract, 1 ml syringe, includes shipping and necessary supplies"	L8606	CPT	Outpatient			606	393.9		90			Percent of total billed charges		545.4	40			Percent of total billed charges		242.4	80			Percent of total billed charges		484.8	90			Percent of total billed charges		545.4	100			Fee schedule	code is bundled with other services	606	85			Percent of total billed charges		515.1	100			Fee schedule	code is bundled with other services	606	100			Fee schedule	code is bundled with other services	606	100			Fee schedule	code is bundled with other services	606	100			Fee schedule	code is bundled with other services	606	33.3			Percent of total billed charges		201.8	33.3			Percent of total billed charges		201.8	100			Fee schedule	code is bundled with other services	606	201.8	545.4	
"Stent, coated/covered, without delivery system"	C1875	CPT	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	100			Fee schedule	code is bundled with other services	611	85			Percent of total billed charges		519.35	100			Fee schedule	code is bundled with other services	611	100			Fee schedule	code is bundled with other services	611	100			Fee schedule	code is bundled with other services	611	100			Fee schedule	code is bundled with other services	611	33.3			Percent of total billed charges		203.46	33.3			Percent of total billed charges		203.46	100			Fee schedule	code is bundled with other services	611	203.46	549.9	
"Subsequent inpatient neonatal critical care, per day, for the evaluation and management of a critically ill neonate, 28 days of age or younger"	99469	CPT	Outpatient			640	416		90			Percent of total billed charges		576	40			Percent of total billed charges		256	80			Percent of total billed charges		512	90			Percent of total billed charges		576	100			Fee schedule	code is bundled with other services	640	85			Percent of total billed charges		544	100			Fee schedule	code is bundled with other services	640	100			Fee schedule	code is bundled with other services	640	100			Fee schedule	code is bundled with other services	640	100			Fee schedule	code is bundled with other services	640	33.3			Percent of total billed charges		213.12	33.3			Percent of total billed charges		213.12	100			Fee schedule	code is bundled with other services	640	213.12	576	
"Closure device, vascular (implantable/insertable)"	C1760	CPT	Outpatient			647	420.55		90			Percent of total billed charges		582.3	40			Percent of total billed charges		258.8	80			Percent of total billed charges		517.6	90			Percent of total billed charges		582.3	100			Fee schedule	code is bundled with other services	647	85			Percent of total billed charges		549.95	100			Fee schedule	code is bundled with other services	647	100			Fee schedule	code is bundled with other services	647	100			Fee schedule	code is bundled with other services	647	100			Fee schedule	code is bundled with other services	647	33.3			Percent of total billed charges		215.45	33.3			Percent of total billed charges		215.45	100			Fee schedule	code is bundled with other services	647	215.45	582.3	
Anesthesia for all open procedures on lower one-third of femur	1360	CPT	Outpatient			667	433.55		90			Percent of total billed charges		600.3	40			Percent of total billed charges		266.8	80			Percent of total billed charges		533.6	90			Percent of total billed charges		600.3	100			Fee schedule	code is bundled with other services	667	85			Percent of total billed charges		566.95	100			Fee schedule	code is bundled with other services	667	100			Fee schedule	code is bundled with other services	667	100			Fee schedule	code is bundled with other services	667	100			Fee schedule	code is bundled with other services	667	33.3			Percent of total billed charges		222.11	33.3			Percent of total billed charges		222.11	100			Fee schedule	code is bundled with other services	667	222.11	600.3	
Antepartum care only; 4-6 visits	59425	CPT	Outpatient			775	503.75		90			Percent of total billed charges		697.5	40			Percent of total billed charges		310	80			Percent of total billed charges		620	85			Percent of total billed charges		658.75	100			Fee schedule	code is bundled with other services	775	85			Percent of total billed charges		658.75	100			Fee schedule	code is bundled with other services	775	100			Fee schedule	code is bundled with other services	775	100			Fee schedule	code is bundled with other services	775	100			Fee schedule	code is bundled with other services	775	33.3			Percent of total billed charges		258.08	33.3			Percent of total billed charges		258.08	100			Fee schedule	code is bundled with other services	775	258.08	697.5	
"Lead, pacemaker, transvenous vdd single pass"	C1779	CPT	Outpatient			825	536.25		90			Percent of total billed charges		742.5	40			Percent of total billed charges		330	80			Percent of total billed charges		660	90			Percent of total billed charges		742.5	100			Fee schedule	code is bundled with other services	825	85			Percent of total billed charges		701.25	100			Fee schedule	code is bundled with other services	825	100			Fee schedule	code is bundled with other services	825	100			Fee schedule	code is bundled with other services	825	100			Fee schedule	code is bundled with other services	825	33.3			Percent of total billed charges		274.72	33.3			Percent of total billed charges		274.72	100			Fee schedule	code is bundled with other services	825	274.72	742.5	
"Repair device, urinary, incontinence, without sling graft"	C2631	CPT	Outpatient			837	544.05		90			Percent of total billed charges		753.3	40			Percent of total billed charges		334.8	80			Percent of total billed charges		669.6	90			Percent of total billed charges		753.3	100			Fee schedule	code is bundled with other services	837	85			Percent of total billed charges		711.45	100			Fee schedule	code is bundled with other services	837	100			Fee schedule	code is bundled with other services	837	100			Fee schedule	code is bundled with other services	837	100			Fee schedule	code is bundled with other services	837	33.3			Percent of total billed charges		278.72	33.3			Percent of total billed charges		278.72	100			Fee schedule	code is bundled with other services	837	278.72	753.3	
"Port, indwelling (implantable)"	C1788	CPT	Outpatient			880	572		90			Percent of total billed charges		792	40			Percent of total billed charges		352	80			Percent of total billed charges		704	90			Percent of total billed charges		792	100			Fee schedule	code is bundled with other services	880	85			Percent of total billed charges		748	100			Fee schedule	code is bundled with other services	880	100			Fee schedule	code is bundled with other services	880	100			Fee schedule	code is bundled with other services	880	100			Fee schedule	code is bundled with other services	880	33.3			Percent of total billed charges		293.04	33.3			Percent of total billed charges		293.04	100			Fee schedule	code is bundled with other services	880	293.04	792	
"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; reducible"	49621	CPT	Outpatient			885	575.25		90			Percent of total billed charges		796.5	40			Percent of total billed charges		354	80			Percent of total billed charges		708	85			Percent of total billed charges		752.25	100			Fee schedule	code is bundled with other services	885	85			Percent of total billed charges		752.25	100			Fee schedule	code is bundled with other services	885	100			Fee schedule	code is bundled with other services	885	100			Fee schedule	code is bundled with other services	885	100			Fee schedule	code is bundled with other services	885	33.3			Percent of total billed charges		294.7	33.3			Percent of total billed charges		294.7	100			Fee schedule	code is bundled with other services	885	294.7	796.5	
"Grafting of autologous fat harvested by liposuction technique to trunk, breasts, scalp, arms, and/or legs; each additional 50 cc injectate, or part thereof (List separately in addition to code for primary procedure)"	15772	CPT	Outpatient			958.57	623.07		90			Percent of total billed charges		862.71	40			Percent of total billed charges		383.43	80			Percent of total billed charges		766.86	85			Percent of total billed charges		814.78	100			Fee schedule	code is bundled with other services	958.57	85			Percent of total billed charges		814.78	100			Fee schedule	code is bundled with other services	958.57	100			Fee schedule	code is bundled with other services	958.57	100			Fee schedule	code is bundled with other services	958.57	100			Fee schedule	code is bundled with other services	958.57	33.3			Percent of total billed charges		319.2	33.3			Percent of total billed charges		319.2	100			Fee schedule	code is bundled with other services	958.57	319.2	862.71	
"Respiratory syncytial virus, monoclonal antibody, seasonal dose; 1 mL dosage, for intramuscular use"	90381	CPT	Outpatient			645	419.25		90			Percent of total billed charges		580.5	40			Percent of total billed charges		258	80			Percent of total billed charges		516	90			Percent of total billed charges		580.5	100			Fee schedule	code is bundled with other services	645	85			Percent of total billed charges		548.25	100			Fee schedule	code is bundled with other services	645	100			Fee schedule	code is bundled with other services	645	100			Fee schedule	code is bundled with other services	645	100			Fee schedule	code is bundled with other services	645	50			Percent of total billed charges		322.5	50			Percent of total billed charges		322.5	100			Fee schedule	code is bundled with other services	645	258	580.5	
"Respiratory syncytial virus, monoclonal antibody, seasonal dose; 0.5 mL dosage, for intramuscular use"	90380	CPT	Outpatient			645	419.25		90			Percent of total billed charges		580.5	40			Percent of total billed charges		258	80			Percent of total billed charges		516	90			Percent of total billed charges		580.5	100			Fee schedule	code is bundled with other services	645	85			Percent of total billed charges		548.25	100			Fee schedule	code is bundled with other services	645	100			Fee schedule	code is bundled with other services	645	100			Fee schedule	code is bundled with other services	645	100			Fee schedule	code is bundled with other services	645	50			Percent of total billed charges		322.5	50			Percent of total billed charges		322.5	100			Fee schedule	code is bundled with other services	645	258	580.5	
"Prosthesis, breast (implantable)"	C1789	CPT	Outpatient			990	643.5		90			Percent of total billed charges		891	40			Percent of total billed charges		396	80			Percent of total billed charges		792	90			Percent of total billed charges		891	100			Fee schedule	code is bundled with other services	990	85			Percent of total billed charges		841.5	100			Fee schedule	code is bundled with other services	990	100			Fee schedule	code is bundled with other services	990	100			Fee schedule	code is bundled with other services	990	100			Fee schedule	code is bundled with other services	990	33.3			Percent of total billed charges		329.67	33.3			Percent of total billed charges		329.67	100			Fee schedule	code is bundled with other services	990	329.67	891	
"Initial inpatient pediatric critical care, per day, for the evaluation and management of a critically ill infant or young child, 29 days through 24 months of age"	99471	CPT	Outpatient			1000	650		90			Percent of total billed charges		900	40			Percent of total billed charges		400	80			Percent of total billed charges		800	90			Percent of total billed charges		900	100			Fee schedule	code is bundled with other services	1000	85			Percent of total billed charges		850	100			Fee schedule	code is bundled with other services	1000	100			Fee schedule	code is bundled with other services	1000	100			Fee schedule	code is bundled with other services	1000	100			Fee schedule	code is bundled with other services	1000	33.3			Percent of total billed charges		333	33.3			Percent of total billed charges		333	100			Fee schedule	code is bundled with other services	1000	333	900	
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other prosthesis when performed, total length of defect(s); 3 cm to 10 cm, incarcerated or strangulated"	49616	CPT	Outpatient			1020	663		90			Percent of total billed charges		918	40			Percent of total billed charges		408	80			Percent of total billed charges		816	85			Percent of total billed charges		867	100			Fee schedule	code is bundled with other services	1020	85			Percent of total billed charges		867	100			Fee schedule	code is bundled with other services	1020	100			Fee schedule	code is bundled with other services	1020	100			Fee schedule	code is bundled with other services	1020	100			Fee schedule	code is bundled with other services	1020	33.3			Percent of total billed charges		339.66	33.3			Percent of total billed charges		339.66	100			Fee schedule	code is bundled with other services	1020	339.66	918	
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other prosthesis when performed, total length of defect(s); greater than 10 cm, reducible"	49617	CPT	Outpatient			1050	682.5		90			Percent of total billed charges		945	40			Percent of total billed charges		420	80			Percent of total billed charges		840	85			Percent of total billed charges		892.5	100			Fee schedule	code is bundled with other services	1050	85			Percent of total billed charges		892.5	100			Fee schedule	code is bundled with other services	1050	100			Fee schedule	code is bundled with other services	1050	100			Fee schedule	code is bundled with other services	1050	100			Fee schedule	code is bundled with other services	1050	33.3			Percent of total billed charges		349.65	33.3			Percent of total billed charges		349.65	100			Fee schedule	code is bundled with other services	1050	349.65	945	
Subtotal or total hysterectomy after cesarean delivery (List separately in addition to code for primary procedure)	59525	CPT	Outpatient			1070	695.5		90			Percent of total billed charges		963	40			Percent of total billed charges		428	80			Percent of total billed charges		856	85			Percent of total billed charges		909.5	100			Fee schedule	code is bundled with other services	1070	85			Percent of total billed charges		909.5	100			Fee schedule	code is bundled with other services	1070	100			Fee schedule	code is bundled with other services	1070	100			Fee schedule	code is bundled with other services	1070	100			Fee schedule	code is bundled with other services	1070	33.3			Percent of total billed charges		356.31	33.3			Percent of total billed charges		356.31	100			Fee schedule	code is bundled with other services	1070	356.31	963	
"Repair of parastomal hernia, any approach (ie, open, laparoscopic, robotic), initial or recurrent, including implantation of mesh or other prosthesis, when performed; incarcerated or strangulated"	49622	CPT	Outpatient			1100	715		90			Percent of total billed charges		990	40			Percent of total billed charges		440	80			Percent of total billed charges		880	85			Percent of total billed charges		935	100			Fee schedule	code is bundled with other services	1100	85			Percent of total billed charges		935	100			Fee schedule	code is bundled with other services	1100	100			Fee schedule	code is bundled with other services	1100	100			Fee schedule	code is bundled with other services	1100	100			Fee schedule	code is bundled with other services	1100	33.3			Percent of total billed charges		366.3	33.3			Percent of total billed charges		366.3	100			Fee schedule	code is bundled with other services	1100	366.3	990	
"Pneumococcal conjugate vaccine, 20 valent (PCV20), for intramuscular use"	90677	CPT	Outpatient			778	505.7		90			Percent of total billed charges		700.2	40			Percent of total billed charges		311.2	80			Percent of total billed charges		622.4	90			Percent of total billed charges		700.2	100			Fee schedule	code is bundled with other services	778	85			Percent of total billed charges		661.3	100			Fee schedule	code is bundled with other services	778	100			Fee schedule	code is bundled with other services	778	100			Fee schedule	code is bundled with other services	778	100			Fee schedule	code is bundled with other services	778	50			Percent of total billed charges		389	50			Percent of total billed charges		389	100			Fee schedule	code is bundled with other services	778	311.2	700.2	
"Clinical decision support mechanism ehealthline clinical decision support mechanism, as defined by the medicare appropriate use criteria program"	G1021	CPT	Outpatient			1177	765.05		90			Percent of total billed charges		1059.3	40			Percent of total billed charges		470.8	80			Percent of total billed charges		941.6	90			Percent of total billed charges		1059.3	100			Fee schedule	code is bundled with other services	1177	85			Percent of total billed charges		1000.45	100			Fee schedule	code is bundled with other services	1177	100			Fee schedule	code is bundled with other services	1177	100			Fee schedule	code is bundled with other services	1177	100			Fee schedule	code is bundled with other services	1177	33.3			Percent of total billed charges		391.94	33.3			Percent of total billed charges		391.94	100			Fee schedule	code is bundled with other services	1177	391.94	1059.3	
"Catheter, guiding (may include infusion/perfusion capability)"	C1887	CPT	Outpatient			1250	812.5		90			Percent of total billed charges		1125	40			Percent of total billed charges		500	80			Percent of total billed charges		1000	90			Percent of total billed charges		1125	100			Fee schedule	code is bundled with other services	1250	85			Percent of total billed charges		1062.5	100			Fee schedule	code is bundled with other services	1250	100			Fee schedule	code is bundled with other services	1250	100			Fee schedule	code is bundled with other services	1250	100			Fee schedule	code is bundled with other services	1250	33.3			Percent of total billed charges		416.25	33.3			Percent of total billed charges		416.25	100			Fee schedule	code is bundled with other services	1250	416.25	1125	
Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable)	C1713	CPT	Outpatient			1311.75	852.64		90			Percent of total billed charges		1180.58	40			Percent of total billed charges		524.7	80			Percent of total billed charges		1049.4	90			Percent of total billed charges		1180.58	100			Fee schedule	code is bundled with other services	1311.75	85			Percent of total billed charges		1114.99	100			Fee schedule	code is bundled with other services	1311.75	100			Fee schedule	code is bundled with other services	1311.75	100			Fee schedule	code is bundled with other services	1311.75	100			Fee schedule	code is bundled with other services	1311.75	33.3			Percent of total billed charges		436.81	33.3			Percent of total billed charges		436.81	100			Fee schedule	code is bundled with other services	1311.75	436.81	1180.58	
Mesh (implantable)	C1781	CPT	Outpatient			1335	867.75		90			Percent of total billed charges		1201.5	40			Percent of total billed charges		534	80			Percent of total billed charges		1068	90			Percent of total billed charges		1201.5	100			Fee schedule	code is bundled with other services	1335	85			Percent of total billed charges		1134.75	100			Fee schedule	code is bundled with other services	1335	100			Fee schedule	code is bundled with other services	1335	100			Fee schedule	code is bundled with other services	1335	100			Fee schedule	code is bundled with other services	1335	33.3			Percent of total billed charges		444.56	33.3			Percent of total billed charges		444.56	100			Fee schedule	code is bundled with other services	1335	444.56	1201.5	
"Initial inpatient neonatal critical care, per day, for the evaluation and management of a critically ill neonate, 28 days of age or younger"	99468	CPT	Outpatient			1350	877.5		90			Percent of total billed charges		1215	40			Percent of total billed charges		540	80			Percent of total billed charges		1080	90			Percent of total billed charges		1215	100			Fee schedule	code is bundled with other services	1350	85			Percent of total billed charges		1147.5	100			Fee schedule	code is bundled with other services	1350	100			Fee schedule	code is bundled with other services	1350	100			Fee schedule	code is bundled with other services	1350	100			Fee schedule	code is bundled with other services	1350	33.3			Percent of total billed charges		449.55	33.3			Percent of total billed charges		449.55	100			Fee schedule	code is bundled with other services	1350	449.55	1215	
Joint device (implantable)	C1776	CPT	Outpatient			1386	900.9		90			Percent of total billed charges		1247.4	40			Percent of total billed charges		554.4	80			Percent of total billed charges		1108.8	90			Percent of total billed charges		1247.4	100			Fee schedule	code is bundled with other services	1386	85			Percent of total billed charges		1178.1	100			Fee schedule	code is bundled with other services	1386	100			Fee schedule	code is bundled with other services	1386	100			Fee schedule	code is bundled with other services	1386	100			Fee schedule	code is bundled with other services	1386	33.3			Percent of total billed charges		461.54	33.3			Percent of total billed charges		461.54	100			Fee schedule	code is bundled with other services	1386	461.54	1247.4	
"Catheter, ablation, non-cardiac, endovascular (implantable)"	C1888	CPT	Outpatient			1388	902.2		90			Percent of total billed charges		1249.2	40			Percent of total billed charges		555.2	80			Percent of total billed charges		1110.4	90			Percent of total billed charges		1249.2	100			Fee schedule	code is bundled with other services	1388	85			Percent of total billed charges		1179.8	100			Fee schedule	code is bundled with other services	1388	100			Fee schedule	code is bundled with other services	1388	100			Fee schedule	code is bundled with other services	1388	100			Fee schedule	code is bundled with other services	1388	33.3			Percent of total billed charges		462.2	33.3			Percent of total billed charges		462.2	100			Fee schedule	code is bundled with other services	1388	462.2	1249.2	
Antepartum care only; 7 or more visits	59426	CPT	Outpatient			1400	910		90			Percent of total billed charges		1260	40			Percent of total billed charges		560	80			Percent of total billed charges		1120	85			Percent of total billed charges		1190	100			Fee schedule	code is bundled with other services	1400	85			Percent of total billed charges		1190	100			Fee schedule	code is bundled with other services	1400	100			Fee schedule	code is bundled with other services	1400	100			Fee schedule	code is bundled with other services	1400	100			Fee schedule	code is bundled with other services	1400	33.3			Percent of total billed charges		466.2	33.3			Percent of total billed charges		466.2	100			Fee schedule	code is bundled with other services	1400	466.2	1260	
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), recurrent, including implantation of mesh or other prosthesis when performed, total length of defect(s); greater than 10 cm, incarcerated or strangulated"	49618	CPT	Outpatient			1480	962		90			Percent of total billed charges		1332	40			Percent of total billed charges		592	80			Percent of total billed charges		1184	85			Percent of total billed charges		1258	100			Fee schedule	code is bundled with other services	1480	85			Percent of total billed charges		1258	100			Fee schedule	code is bundled with other services	1480	100			Fee schedule	code is bundled with other services	1480	100			Fee schedule	code is bundled with other services	1480	100			Fee schedule	code is bundled with other services	1480	33.3			Percent of total billed charges		492.84	33.3			Percent of total billed charges		492.84	100			Fee schedule	code is bundled with other services	1480	492.84	1332	
"Prosthetic implant, not otherwise specified"	L8699	CPT	Outpatient			1526.25	992.06		90			Percent of total billed charges		1373.62	40			Percent of total billed charges		610.5	80			Percent of total billed charges		1221	90			Percent of total billed charges		1373.62	100			Fee schedule	code is bundled with other services	1526.25	85			Percent of total billed charges		1297.31	100			Fee schedule	code is bundled with other services	1526.25	100			Fee schedule	code is bundled with other services	1526.25	100			Fee schedule	code is bundled with other services	1526.25	100			Fee schedule	code is bundled with other services	1526.25	33.3			Percent of total billed charges		508.24	33.3			Percent of total billed charges		508.24	100			Fee schedule	code is bundled with other services	1526.25	508.24	1373.62	
"Lead, pacemaker, other than transvenous vdd single pass"	C1898	CPT	Outpatient			1576	1024.4		90			Percent of total billed charges		1418.4	40			Percent of total billed charges		630.4	80			Percent of total billed charges		1260.8	90			Percent of total billed charges		1418.4	100			Fee schedule	code is bundled with other services	1576	85			Percent of total billed charges		1339.6	100			Fee schedule	code is bundled with other services	1576	100			Fee schedule	code is bundled with other services	1576	100			Fee schedule	code is bundled with other services	1576	100			Fee schedule	code is bundled with other services	1576	33.3			Percent of total billed charges		524.81	33.3			Percent of total billed charges		524.81	100			Fee schedule	code is bundled with other services	1576	524.81	1418.4	
"Intravertebral body fracture augmentation with implant (e.g., metal, polymer)"	C1062	CPT	Outpatient			1717.51	1116.38		90			Percent of total billed charges		1545.76	40			Percent of total billed charges		687	80			Percent of total billed charges		1374.01	90			Percent of total billed charges		1545.76	100			Fee schedule	code is bundled with other services	1717.51	85			Percent of total billed charges		1459.88	100			Fee schedule	code is bundled with other services	1717.51	100			Fee schedule	code is bundled with other services	1717.51	100			Fee schedule	code is bundled with other services	1717.51	100			Fee schedule	code is bundled with other services	1717.51	33.3			Percent of total billed charges		571.93	33.3			Percent of total billed charges		571.93	100			Fee schedule	code is bundled with other services	1717.51	571.93	1545.76	
Cesarean delivery only	59514	CPT	Outpatient			1904	1237.6		90			Percent of total billed charges		1713.6	40			Percent of total billed charges		761.6	80			Percent of total billed charges		1523.2	85			Percent of total billed charges		1618.4	100			Fee schedule	code is bundled with other services	1904	85			Percent of total billed charges		1618.4	100			Fee schedule	code is bundled with other services	1904	100			Fee schedule	code is bundled with other services	1904	100			Fee schedule	code is bundled with other services	1904	100			Fee schedule	code is bundled with other services	1904	33.3			Percent of total billed charges		634.03	33.3			Percent of total billed charges		634.03	100			Fee schedule	code is bundled with other services	1904	634.03	1713.6	
Vaginal delivery only (with or without episiotomy and/or forceps); including postpartum care	59410	CPT	Outpatient			1950	1267.5		90			Percent of total billed charges		1755	40			Percent of total billed charges		780	80			Percent of total billed charges		1560	85			Percent of total billed charges		1657.5	100			Fee schedule	code is bundled with other services	1950	85			Percent of total billed charges		1657.5	100			Fee schedule	code is bundled with other services	1950	100			Fee schedule	code is bundled with other services	1950	100			Fee schedule	code is bundled with other services	1950	100			Fee schedule	code is bundled with other services	1950	33.3			Percent of total billed charges		649.35	33.3			Percent of total billed charges		649.35	100			Fee schedule	code is bundled with other services	1950	649.35	1755	
"Repair device, urinary, incontinence, with sling graft"	C1771	CPT	Outpatient			1995	1296.75		90			Percent of total billed charges		1795.5	40			Percent of total billed charges		798	80			Percent of total billed charges		1596	90			Percent of total billed charges		1795.5	100			Fee schedule	code is bundled with other services	1995	85			Percent of total billed charges		1695.75	100			Fee schedule	code is bundled with other services	1995	100			Fee schedule	code is bundled with other services	1995	100			Fee schedule	code is bundled with other services	1995	100			Fee schedule	code is bundled with other services	1995	33.3			Percent of total billed charges		664.34	33.3			Percent of total billed charges		664.34	100			Fee schedule	code is bundled with other services	1995	664.34	1795.5	
"Lead, neurostimulator test kit (implantable)"	C1897	CPT	Outpatient			1996	1297.4		90			Percent of total billed charges		1796.4	40			Percent of total billed charges		798.4	80			Percent of total billed charges		1596.8	90			Percent of total billed charges		1796.4	100			Fee schedule	code is bundled with other services	1996	85			Percent of total billed charges		1696.6	100			Fee schedule	code is bundled with other services	1996	100			Fee schedule	code is bundled with other services	1996	100			Fee schedule	code is bundled with other services	1996	100			Fee schedule	code is bundled with other services	1996	33.3			Percent of total billed charges		664.67	33.3			Percent of total billed charges		664.67	100			Fee schedule	code is bundled with other services	1996	664.67	1796.4	
"Vaginal delivery only, after previous cesarean delivery (with or without episiotomy and/or forceps); including postpartum care"	59614	CPT	Outpatient			2000	1300		90			Percent of total billed charges		1800	40			Percent of total billed charges		800	80			Percent of total billed charges		1600	85			Percent of total billed charges		1700	100			Fee schedule	code is bundled with other services	2000	85			Percent of total billed charges		1700	100			Fee schedule	code is bundled with other services	2000	100			Fee schedule	code is bundled with other services	2000	100			Fee schedule	code is bundled with other services	2000	100			Fee schedule	code is bundled with other services	2000	33.3			Percent of total billed charges		666	33.3			Percent of total billed charges		666	100			Fee schedule	code is bundled with other services	2000	666	1800	
Orthopedic/device/drug matrix for opposing bone-to-bone or soft tissue-to bone (implantable)	C1734	CPT	Outpatient			2072.81	1347.33		90			Percent of total billed charges		1865.53	40			Percent of total billed charges		829.12	80			Percent of total billed charges		1658.25	90			Percent of total billed charges		1865.53	100			Fee schedule	code is bundled with other services	2072.81	85			Percent of total billed charges		1761.89	100			Fee schedule	code is bundled with other services	2072.81	100			Fee schedule	code is bundled with other services	2072.81	100			Fee schedule	code is bundled with other services	2072.81	100			Fee schedule	code is bundled with other services	2072.81	33.3			Percent of total billed charges		690.25	33.3			Percent of total billed charges		690.25	100			Fee schedule	code is bundled with other services	2072.81	690.25	1865.53	
"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery"	59620	CPT	Outpatient			2085	1355.25		90			Percent of total billed charges		1876.5	40			Percent of total billed charges		834	80			Percent of total billed charges		1668	85			Percent of total billed charges		1772.25	100			Fee schedule	code is bundled with other services	2085	85			Percent of total billed charges		1772.25	100			Fee schedule	code is bundled with other services	2085	100			Fee schedule	code is bundled with other services	2085	100			Fee schedule	code is bundled with other services	2085	100			Fee schedule	code is bundled with other services	2085	33.3			Percent of total billed charges		694.3	33.3			Percent of total billed charges		694.3	100			Fee schedule	code is bundled with other services	2085	694.3	1876.5	
"Connective tissue, human (includes fascia lata)"	C1762	CPT	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	100			Fee schedule	code is bundled with other services	2106	85			Percent of total billed charges		1790.1	100			Fee schedule	code is bundled with other services	2106	100			Fee schedule	code is bundled with other services	2106	100			Fee schedule	code is bundled with other services	2106	100			Fee schedule	code is bundled with other services	2106	33.3			Percent of total billed charges		701.3	33.3			Percent of total billed charges		701.3	100			Fee schedule	code is bundled with other services	2106	701.3	1895.4	
Cesarean delivery only; including postpartum care	59515	CPT	Outpatient			2220	1443		90			Percent of total billed charges		1998	40			Percent of total billed charges		888	80			Percent of total billed charges		1776	85			Percent of total billed charges		1887	100			Fee schedule	code is bundled with other services	2220	85			Percent of total billed charges		1887	100			Fee schedule	code is bundled with other services	2220	100			Fee schedule	code is bundled with other services	2220	100			Fee schedule	code is bundled with other services	2220	100			Fee schedule	code is bundled with other services	2220	33.3			Percent of total billed charges		739.26	33.3			Percent of total billed charges		739.26	100			Fee schedule	code is bundled with other services	2220	739.26	1998	
"Cesarean delivery only, following attempted vaginal delivery after previous cesarean delivery; including postpartum care"	59622	CPT	Outpatient			2350	1527.5		90			Percent of total billed charges		2115	40			Percent of total billed charges		940	80			Percent of total billed charges		1880	85			Percent of total billed charges		1997.5	100			Fee schedule	code is bundled with other services	2350	85			Percent of total billed charges		1997.5	100			Fee schedule	code is bundled with other services	2350	100			Fee schedule	code is bundled with other services	2350	100			Fee schedule	code is bundled with other services	2350	100			Fee schedule	code is bundled with other services	2350	33.3			Percent of total billed charges		782.55	33.3			Percent of total billed charges		782.55	100			Fee schedule	code is bundled with other services	2350	782.55	2115	
Vena cava filter	C1880	CPT	Outpatient			2750	1787.5		90			Percent of total billed charges		2475	40			Percent of total billed charges		1100	80			Percent of total billed charges		2200	90			Percent of total billed charges		2475	100			Fee schedule	code is bundled with other services	2750	85			Percent of total billed charges		2337.5	100			Fee schedule	code is bundled with other services	2750	100			Fee schedule	code is bundled with other services	2750	100			Fee schedule	code is bundled with other services	2750	100			Fee schedule	code is bundled with other services	2750	33.3			Percent of total billed charges		915.75	33.3			Percent of total billed charges		915.75	100			Fee schedule	code is bundled with other services	2750	915.75	2475	
"Catheter, thrombectomy/embolectomy"	C1757	CPT	Outpatient			2918	1896.7		90			Percent of total billed charges		2626.2	40			Percent of total billed charges		1167.2	80			Percent of total billed charges		2334.4	90			Percent of total billed charges		2626.2	100			Fee schedule	code is bundled with other services	2918	85			Percent of total billed charges		2480.3	100			Fee schedule	code is bundled with other services	2918	100			Fee schedule	code is bundled with other services	2918	100			Fee schedule	code is bundled with other services	2918	100			Fee schedule	code is bundled with other services	2918	33.3			Percent of total billed charges		971.69	33.3			Percent of total billed charges		971.69	100			Fee schedule	code is bundled with other services	2918	971.69	2626.2	
"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care"	59400	CPT	Outpatient			2975	1933.75		90			Percent of total billed charges		2677.5	40			Percent of total billed charges		1190	80			Percent of total billed charges		2380	85			Percent of total billed charges		2528.75	100			Fee schedule	code is bundled with other services	2975	85			Percent of total billed charges		2528.75	100			Fee schedule	code is bundled with other services	2975	100			Fee schedule	code is bundled with other services	2975	100			Fee schedule	code is bundled with other services	2975	100			Fee schedule	code is bundled with other services	2975	33.3			Percent of total billed charges		990.68	33.3			Percent of total billed charges		990.68	100			Fee schedule	code is bundled with other services	2975	990.68	2677.5	
"Catheter, occlusion"	C2628	CPT	Outpatient			3073	1997.45		90			Percent of total billed charges		2765.7	40			Percent of total billed charges		1229.2	80			Percent of total billed charges		2458.4	90			Percent of total billed charges		2765.7	100			Fee schedule	code is bundled with other services	3073	85			Percent of total billed charges		2612.05	100			Fee schedule	code is bundled with other services	3073	100			Fee schedule	code is bundled with other services	3073	100			Fee schedule	code is bundled with other services	3073	100			Fee schedule	code is bundled with other services	3073	33.3			Percent of total billed charges		1023.31	33.3			Percent of total billed charges		1023.31	100			Fee schedule	code is bundled with other services	3073	1023.31	2765.7	
"Stent, non-coated/non-covered, without delivery system"	C1877	CPT	Outpatient			3109	2020.85		90			Percent of total billed charges		2798.1	40			Percent of total billed charges		1243.6	80			Percent of total billed charges		2487.2	90			Percent of total billed charges		2798.1	100			Fee schedule	code is bundled with other services	3109	85			Percent of total billed charges		2642.65	100			Fee schedule	code is bundled with other services	3109	100			Fee schedule	code is bundled with other services	3109	100			Fee schedule	code is bundled with other services	3109	100			Fee schedule	code is bundled with other services	3109	33.3			Percent of total billed charges		1035.3	33.3			Percent of total billed charges		1035.3	100			Fee schedule	code is bundled with other services	3109	1035.3	2798.1	
"Routine obstetric care including antepartum care, vaginal delivery (with or without episiotomy, and/or forceps) and postpartum care, after previous cesarean delivery"	59610	CPT	Outpatient			3115	2024.75		90			Percent of total billed charges		2803.5	40			Percent of total billed charges		1246	80			Percent of total billed charges		2492	85			Percent of total billed charges		2647.75	100			Fee schedule	code is bundled with other services	3115	85			Percent of total billed charges		2647.75	100			Fee schedule	code is bundled with other services	3115	100			Fee schedule	code is bundled with other services	3115	100			Fee schedule	code is bundled with other services	3115	100			Fee schedule	code is bundled with other services	3115	33.3			Percent of total billed charges		1037.3	33.3			Percent of total billed charges		1037.3	100			Fee schedule	code is bundled with other services	3115	1037.3	2803.5	
"Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability)"	C1725	CPT	Outpatient			3203	2081.95		90			Percent of total billed charges		2882.7	40			Percent of total billed charges		1281.2	80			Percent of total billed charges		2562.4	90			Percent of total billed charges		2882.7	100			Fee schedule	code is bundled with other services	3203	85			Percent of total billed charges		2722.55	100			Fee schedule	code is bundled with other services	3203	100			Fee schedule	code is bundled with other services	3203	100			Fee schedule	code is bundled with other services	3203	100			Fee schedule	code is bundled with other services	3203	33.3			Percent of total billed charges		1066.6	33.3			Percent of total billed charges		1066.6	100			Fee schedule	code is bundled with other services	3203	1066.6	2882.7	
"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care"	59510	CPT	Outpatient			3350	2177.5		90			Percent of total billed charges		3015	40			Percent of total billed charges		1340	80			Percent of total billed charges		2680	85			Percent of total billed charges		2847.5	100			Fee schedule	code is bundled with other services	3350	85			Percent of total billed charges		2847.5	100			Fee schedule	code is bundled with other services	3350	100			Fee schedule	code is bundled with other services	3350	100			Fee schedule	code is bundled with other services	3350	100			Fee schedule	code is bundled with other services	3350	33.3			Percent of total billed charges		1115.55	33.3			Percent of total billed charges		1115.55	100			Fee schedule	code is bundled with other services	3350	1115.55	3015	
"Routine obstetric care including antepartum care, cesarean delivery, and postpartum care, following attempted vaginal delivery after previous cesarean delivery"	59618	CPT	Outpatient			3485	2265.25		90			Percent of total billed charges		3136.5	40			Percent of total billed charges		1394	80			Percent of total billed charges		2788	85			Percent of total billed charges		2962.25	100			Fee schedule	code is bundled with other services	3485	85			Percent of total billed charges		2962.25	100			Fee schedule	code is bundled with other services	3485	100			Fee schedule	code is bundled with other services	3485	100			Fee schedule	code is bundled with other services	3485	100			Fee schedule	code is bundled with other services	3485	33.3			Percent of total billed charges		1160.5	33.3			Percent of total billed charges		1160.5	100			Fee schedule	code is bundled with other services	3485	1160.5	3136.5	
"Lead, left ventricular coronary venous system"	C1900	CPT	Outpatient			4125	2681.25		90			Percent of total billed charges		3712.5	40			Percent of total billed charges		1650	80			Percent of total billed charges		3300	90			Percent of total billed charges		3712.5	100			Fee schedule	code is bundled with other services	4125	85			Percent of total billed charges		3506.25	100			Fee schedule	code is bundled with other services	4125	100			Fee schedule	code is bundled with other services	4125	100			Fee schedule	code is bundled with other services	4125	100			Fee schedule	code is bundled with other services	4125	33.3			Percent of total billed charges		1373.62	33.3			Percent of total billed charges		1373.62	100			Fee schedule	code is bundled with other services	4125	1373.62	3712.5	
"Connective tissue, non-human (includes synthetic)"	C1763	CPT	Outpatient			4412	2867.8		90			Percent of total billed charges		3970.8	40			Percent of total billed charges		1764.8	80			Percent of total billed charges		3529.6	90			Percent of total billed charges		3970.8	100			Fee schedule	code is bundled with other services	4412	85			Percent of total billed charges		3750.2	100			Fee schedule	code is bundled with other services	4412	100			Fee schedule	code is bundled with other services	4412	100			Fee schedule	code is bundled with other services	4412	100			Fee schedule	code is bundled with other services	4412	33.3			Percent of total billed charges		1469.2	33.3			Percent of total billed charges		1469.2	100			Fee schedule	code is bundled with other services	4412	1469.2	3970.8	
"Stent, non-coated/non-covered, with delivery system"	C1876	CPT	Outpatient			4563	2965.95		90			Percent of total billed charges		4106.7	40			Percent of total billed charges		1825.2	80			Percent of total billed charges		3650.4	90			Percent of total billed charges		4106.7	100			Fee schedule	code is bundled with other services	4563	85			Percent of total billed charges		3878.55	100			Fee schedule	code is bundled with other services	4563	100			Fee schedule	code is bundled with other services	4563	100			Fee schedule	code is bundled with other services	4563	100			Fee schedule	code is bundled with other services	4563	33.3			Percent of total billed charges		1519.48	33.3			Percent of total billed charges		1519.48	100			Fee schedule	code is bundled with other services	4563	1519.48	4106.7	
"Lead, cardioverter-defibrillator, endocardial single coil (implantable)"	C1777	CPT	Outpatient			5273	3427.45		90			Percent of total billed charges		4745.7	40			Percent of total billed charges		2109.2	80			Percent of total billed charges		4218.4	90			Percent of total billed charges		4745.7	100			Fee schedule	code is bundled with other services	5273	85			Percent of total billed charges		4482.05	100			Fee schedule	code is bundled with other services	5273	100			Fee schedule	code is bundled with other services	5273	100			Fee schedule	code is bundled with other services	5273	100			Fee schedule	code is bundled with other services	5273	33.3			Percent of total billed charges		1755.91	33.3			Percent of total billed charges		1755.91	100			Fee schedule	code is bundled with other services	5273	1755.91	4745.7	
"Prosthesis, urinary sphincter (implantable)"	C1815	CPT	Outpatient			5335	3467.75		90			Percent of total billed charges		4801.5	40			Percent of total billed charges		2134	80			Percent of total billed charges		4268	90			Percent of total billed charges		4801.5	100			Fee schedule	code is bundled with other services	5335	85			Percent of total billed charges		4534.75	100			Fee schedule	code is bundled with other services	5335	100			Fee schedule	code is bundled with other services	5335	100			Fee schedule	code is bundled with other services	5335	100			Fee schedule	code is bundled with other services	5335	33.3			Percent of total billed charges		1776.56	33.3			Percent of total billed charges		1776.56	100			Fee schedule	code is bundled with other services	5335	1776.56	4801.5	
"Pacemaker, single chamber, rate-responsive (implantable)"	C1786	CPT	Outpatient			5940	3861		90			Percent of total billed charges		5346	40			Percent of total billed charges		2376	80			Percent of total billed charges		4752	90			Percent of total billed charges		5346	100			Fee schedule	code is bundled with other services	5940	85			Percent of total billed charges		5049	100			Fee schedule	code is bundled with other services	5940	100			Fee schedule	code is bundled with other services	5940	100			Fee schedule	code is bundled with other services	5940	100			Fee schedule	code is bundled with other services	5940	33.3			Percent of total billed charges		1978.02	33.3			Percent of total billed charges		1978.02	100			Fee schedule	code is bundled with other services	5940	1978.02	5346	
"Lead, neurostimulator (implantable)"	C1778	CPT	Outpatient			6097	3963.05		90			Percent of total billed charges		5487.3	40			Percent of total billed charges		2438.8	80			Percent of total billed charges		4877.6	90			Percent of total billed charges		5487.3	100			Fee schedule	code is bundled with other services	6097	85			Percent of total billed charges		5182.45	100			Fee schedule	code is bundled with other services	6097	100			Fee schedule	code is bundled with other services	6097	100			Fee schedule	code is bundled with other services	6097	100			Fee schedule	code is bundled with other services	6097	33.3			Percent of total billed charges		2030.3	33.3			Percent of total billed charges		2030.3	100			Fee schedule	code is bundled with other services	6097	2030.3	5487.3	
"Retrieval device, insertable (used to retrieve fractured medical devices)"	C1773	CPT	Outpatient			6619	4302.35		90			Percent of total billed charges		5957.1	40			Percent of total billed charges		2647.6	80			Percent of total billed charges		5295.2	90			Percent of total billed charges		5957.1	100			Fee schedule	code is bundled with other services	6619	85			Percent of total billed charges		5626.15	100			Fee schedule	code is bundled with other services	6619	100			Fee schedule	code is bundled with other services	6619	100			Fee schedule	code is bundled with other services	6619	100			Fee schedule	code is bundled with other services	6619	33.3			Percent of total billed charges		2204.13	33.3			Percent of total billed charges		2204.13	100			Fee schedule	code is bundled with other services	6619	2204.13	5957.1	
"Event recorder, cardiac (implantable)"	C1764	CPT	Outpatient			7281	4732.65		90			Percent of total billed charges		6552.9	40			Percent of total billed charges		2912.4	80			Percent of total billed charges		5824.8	90			Percent of total billed charges		6552.9	100			Fee schedule	code is bundled with other services	7281	85			Percent of total billed charges		6188.85	100			Fee schedule	code is bundled with other services	7281	100			Fee schedule	code is bundled with other services	7281	100			Fee schedule	code is bundled with other services	7281	100			Fee schedule	code is bundled with other services	7281	33.3			Percent of total billed charges		2424.57	33.3			Percent of total billed charges		2424.57	100			Fee schedule	code is bundled with other services	7281	2424.57	6552.9	
"Probe/needle, cryoablation"	C2618	CPT	Outpatient			7371	4791.15		90			Percent of total billed charges		6633.9	40			Percent of total billed charges		2948.4	80			Percent of total billed charges		5896.8	90			Percent of total billed charges		6633.9	100			Fee schedule	code is bundled with other services	7371	85			Percent of total billed charges		6265.35	100			Fee schedule	code is bundled with other services	7371	100			Fee schedule	code is bundled with other services	7371	100			Fee schedule	code is bundled with other services	7371	100			Fee schedule	code is bundled with other services	7371	33.3			Percent of total billed charges		2454.54	33.3			Percent of total billed charges		2454.54	100			Fee schedule	code is bundled with other services	7371	2454.54	6633.9	
"Pacemaker, dual chamber, rate-responsive (implantable)"	C1785	CPT	Outpatient			7582	4928.3		90			Percent of total billed charges		6823.8	40			Percent of total billed charges		3032.8	80			Percent of total billed charges		6065.6	90			Percent of total billed charges		6823.8	100			Fee schedule	code is bundled with other services	7582	85			Percent of total billed charges		6444.7	100			Fee schedule	code is bundled with other services	7582	100			Fee schedule	code is bundled with other services	7582	100			Fee schedule	code is bundled with other services	7582	100			Fee schedule	code is bundled with other services	7582	33.3			Percent of total billed charges		2524.81	33.3			Percent of total billed charges		2524.81	100			Fee schedule	code is bundled with other services	7582	2524.81	6823.8	
"Lead, cardioverter-defibrillator, endocardial dual coil (implantable)"	C1895	CPT	Outpatient			10028	6518.2		90			Percent of total billed charges		9025.2	40			Percent of total billed charges		4011.2	80			Percent of total billed charges		8022.4	90			Percent of total billed charges		9025.2	100			Fee schedule	code is bundled with other services	10028	85			Percent of total billed charges		8523.8	100			Fee schedule	code is bundled with other services	10028	100			Fee schedule	code is bundled with other services	10028	100			Fee schedule	code is bundled with other services	10028	100			Fee schedule	code is bundled with other services	10028	33.3			Percent of total billed charges		3339.32	33.3			Percent of total billed charges		3339.32	100			Fee schedule	code is bundled with other services	10028	3339.32	9025.2	
"Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie, open, laparoscopic, robotic), initial, including implantation of mesh or other prosthesis when performed, total length of defect(s); greater than 10 cm, incarcerated or strangulated"	49596	CPT	Outpatient			12389.37	8053.09		90			Percent of total billed charges		11150.43	40			Percent of total billed charges		4955.75	80			Percent of total billed charges		9911.5	85			Percent of total billed charges		10530.97	100			Fee schedule	code is bundled with other services	12389.37	85			Percent of total billed charges		10530.97	100			Fee schedule	code is bundled with other services	12389.37	100			Fee schedule	code is bundled with other services	12389.37	100			Fee schedule	code is bundled with other services	12389.37	100			Fee schedule	code is bundled with other services	12389.37	33.3			Percent of total billed charges		4125.66	33.3			Percent of total billed charges		4125.66	100			Fee schedule	code is bundled with other services	12389.37	4125.66	11150.43	
"Implantable/insertable device, not otherwise classified"	C1889	CPT	Outpatient			13200	8580		90			Percent of total billed charges		11880	40			Percent of total billed charges		5280	80			Percent of total billed charges		10560	90			Percent of total billed charges		11880	100			Fee schedule	code is bundled with other services	13200	85			Percent of total billed charges		11220	100			Fee schedule	code is bundled with other services	13200	100			Fee schedule	code is bundled with other services	13200	100			Fee schedule	code is bundled with other services	13200	100			Fee schedule	code is bundled with other services	13200	33.3			Percent of total billed charges		4395.6	33.3			Percent of total billed charges		4395.6	100			Fee schedule	code is bundled with other services	13200	4395.6	11880	
"Prosthesis, penile, inflatable"	C1813	CPT	Outpatient			13767	8948.55		90			Percent of total billed charges		12390.3	40			Percent of total billed charges		5506.8	80			Percent of total billed charges		11013.6	90			Percent of total billed charges		12390.3	100			Fee schedule	code is bundled with other services	13767	85			Percent of total billed charges		11701.95	100			Fee schedule	code is bundled with other services	13767	100			Fee schedule	code is bundled with other services	13767	100			Fee schedule	code is bundled with other services	13767	100			Fee schedule	code is bundled with other services	13767	33.3			Percent of total billed charges		4584.41	33.3			Percent of total billed charges		4584.41	100			Fee schedule	code is bundled with other services	13767	4584.41	12390.3	
"Patient programmer, neurostimulator"	C1787	CPT	Outpatient			15633	10161.45		90			Percent of total billed charges		14069.7	40			Percent of total billed charges		6253.2	80			Percent of total billed charges		12506.4	90			Percent of total billed charges		14069.7	100			Fee schedule	code is bundled with other services	15633	85			Percent of total billed charges		13288.05	100			Fee schedule	code is bundled with other services	15633	100			Fee schedule	code is bundled with other services	15633	100			Fee schedule	code is bundled with other services	15633	100			Fee schedule	code is bundled with other services	15633	33.3			Percent of total billed charges		5205.79	33.3			Percent of total billed charges		5205.79	100			Fee schedule	code is bundled with other services	15633	5205.79	14069.7	
"Generator, neurostimulator (implantable), non-rechargeable"	C1767	CPT	Outpatient			20016	13010.4		90			Percent of total billed charges		18014.4	40			Percent of total billed charges		8006.4	80			Percent of total billed charges		16012.8	90			Percent of total billed charges		18014.4	100			Fee schedule	code is bundled with other services	20016	85			Percent of total billed charges		17013.6	100			Fee schedule	code is bundled with other services	20016	100			Fee schedule	code is bundled with other services	20016	100			Fee schedule	code is bundled with other services	20016	100			Fee schedule	code is bundled with other services	20016	33.3			Percent of total billed charges		6665.33	33.3			Percent of total billed charges		6665.33	100			Fee schedule	code is bundled with other services	20016	6665.33	18014.4	
"Cardioverter-defibrillator, single chamber (implantable)"	C1722	CPT	Outpatient			20858	13557.7		90			Percent of total billed charges		18772.2	40			Percent of total billed charges		8343.2	80			Percent of total billed charges		16686.4	90			Percent of total billed charges		18772.2	100			Fee schedule	code is bundled with other services	20858	85			Percent of total billed charges		17729.3	100			Fee schedule	code is bundled with other services	20858	100			Fee schedule	code is bundled with other services	20858	100			Fee schedule	code is bundled with other services	20858	100			Fee schedule	code is bundled with other services	20858	33.3			Percent of total billed charges		6945.71	33.3			Percent of total billed charges		6945.71	100			Fee schedule	code is bundled with other services	20858	6945.71	18772.2	
"Graft, vascular"	C1768	CPT	Outpatient			21650	14072.5		90			Percent of total billed charges		19485	40			Percent of total billed charges		8660	80			Percent of total billed charges		17320	90			Percent of total billed charges		19485	100			Fee schedule	code is bundled with other services	21650	85			Percent of total billed charges		18402.5	100			Fee schedule	code is bundled with other services	21650	100			Fee schedule	code is bundled with other services	21650	100			Fee schedule	code is bundled with other services	21650	100			Fee schedule	code is bundled with other services	21650	33.3			Percent of total billed charges		7209.45	33.3			Percent of total billed charges		7209.45	100			Fee schedule	code is bundled with other services	21650	7209.45	19485	
"Adapter/extension, pacing lead or neurostimulator lead (implantable)"	C1883	CPT	Outpatient			26400	17160		90			Percent of total billed charges		23760	40			Percent of total billed charges		10560	80			Percent of total billed charges		21120	90			Percent of total billed charges		23760	100			Fee schedule	code is bundled with other services	26400	85			Percent of total billed charges		22440	100			Fee schedule	code is bundled with other services	26400	100			Fee schedule	code is bundled with other services	26400	100			Fee schedule	code is bundled with other services	26400	100			Fee schedule	code is bundled with other services	26400	33.3			Percent of total billed charges		8791.2	33.3			Percent of total billed charges		8791.2	100			Fee schedule	code is bundled with other services	26400	8791.2	23760	
"Generator, neurostimulator (implantable), non-rechargeable, with transvenous sensing and stimulation leads"	C1823	CPT	Outpatient			27390	17803.5		90			Percent of total billed charges		24651	40			Percent of total billed charges		10956	80			Percent of total billed charges		21912	90			Percent of total billed charges		24651	100			Fee schedule	code is bundled with other services	27390	85			Percent of total billed charges		23281.5	100			Fee schedule	code is bundled with other services	27390	100			Fee schedule	code is bundled with other services	27390	100			Fee schedule	code is bundled with other services	27390	100			Fee schedule	code is bundled with other services	27390	33.3			Percent of total billed charges		9120.87	33.3			Percent of total billed charges		9120.87	100			Fee schedule	code is bundled with other services	27390	9120.87	24651	
"Stent, coated/covered, with delivery system"	C1874	CPT	Outpatient			29582	19228.3		90			Percent of total billed charges		26623.8	40			Percent of total billed charges		11832.8	80			Percent of total billed charges		23665.6	90			Percent of total billed charges		26623.8	100			Fee schedule	code is bundled with other services	29582	85			Percent of total billed charges		25144.7	100			Fee schedule	code is bundled with other services	29582	100			Fee schedule	code is bundled with other services	29582	100			Fee schedule	code is bundled with other services	29582	100			Fee schedule	code is bundled with other services	29582	33.3			Percent of total billed charges		9850.81	33.3			Percent of total billed charges		9850.81	100			Fee schedule	code is bundled with other services	29582	9850.81	26623.8	
"Generator, neurostimulator (implantable), with rechargeable battery and charging system"	C1820	CPT	Outpatient			30525	19841.25		90			Percent of total billed charges		27472.5	40			Percent of total billed charges		12210	80			Percent of total billed charges		24420	90			Percent of total billed charges		27472.5	100			Fee schedule	code is bundled with other services	30525	85			Percent of total billed charges		25946.25	100			Fee schedule	code is bundled with other services	30525	100			Fee schedule	code is bundled with other services	30525	100			Fee schedule	code is bundled with other services	30525	100			Fee schedule	code is bundled with other services	30525	33.3			Percent of total billed charges		10164.82	33.3			Percent of total billed charges		10164.82	100			Fee schedule	code is bundled with other services	30525	10164.82	27472.5	
"Cardioverter-defibrillator, dual chamber (implantable)"	C1721	CPT	Outpatient			31185	20270.25		90			Percent of total billed charges		28066.5	40			Percent of total billed charges		12474	80			Percent of total billed charges		24948	90			Percent of total billed charges		28066.5	100			Fee schedule	code is bundled with other services	31185	85			Percent of total billed charges		26507.25	100			Fee schedule	code is bundled with other services	31185	100			Fee schedule	code is bundled with other services	31185	100			Fee schedule	code is bundled with other services	31185	100			Fee schedule	code is bundled with other services	31185	33.3			Percent of total billed charges		10384.6	33.3			Percent of total billed charges		10384.6	100			Fee schedule	code is bundled with other services	31185	10384.6	28066.5	
"Cardioverter-defibrillator, other than single or dual chamber (implantable)"	C1882	CPT	Outpatient			51143	33242.95		90			Percent of total billed charges		46028.7	40			Percent of total billed charges		20457.2	80			Percent of total billed charges		40914.4	90			Percent of total billed charges		46028.7	100			Fee schedule	code is bundled with other services	51143	85			Percent of total billed charges		43471.55	100			Fee schedule	code is bundled with other services	51143	100			Fee schedule	code is bundled with other services	51143	100			Fee schedule	code is bundled with other services	51143	100			Fee schedule	code is bundled with other services	51143	33.3			Percent of total billed charges		17030.62	33.3			Percent of total billed charges		17030.62	100			Fee schedule	code is bundled with other services	51143	17030.62	46028.7	
"Advance Care Planning discussed and documented in the medical record, patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan (DEM) (GER, Pall Cr)"	1124F	CPT	Outpatient			0.01	0.01		90			Percent of total billed charges		0.01	40			Percent of total billed charges	code is bundled with other services	0.004	80			Percent of total billed charges		0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	33.3			Percent of total billed charges	code is bundled with other services	0.0033	33.3			Percent of total billed charges	code is bundled with other services	0.0033	100			Fee schedule	code is bundled with other services	0.01	0.01	0.01	
Aspirin or clopidogrel prescribed or currently being taken (CAD)	4086F	CPT	Outpatient			0.01	0.01		90			Percent of total billed charges		0.01	40			Percent of total billed charges	code is bundled with other services	0.004	80			Percent of total billed charges		0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	33.3			Percent of total billed charges	code is bundled with other services	0.0033	33.3			Percent of total billed charges	code is bundled with other services	0.0033	100			Fee schedule	code is bundled with other services	0.01	0.01	0.01	
"Beta-blocker therapy prescribed or currently being taken (CAD,HF)"	4008F	CPT	Outpatient			0.01	0.01		90			Percent of total billed charges		0.01	40			Percent of total billed charges	code is bundled with other services	0.004	80			Percent of total billed charges		0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	33.3			Percent of total billed charges	code is bundled with other services	0.0033	33.3			Percent of total billed charges	code is bundled with other services	0.0033	100			Fee schedule	code is bundled with other services	0.01	0.01	0.01	
"Body Mass Index (BMI), documented (PV)"	3008F	CPT	Outpatient			0.01	0.01		90			Percent of total billed charges		0.01	40			Percent of total billed charges	code is bundled with other services	0.004	80			Percent of total billed charges		0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	33.3			Percent of total billed charges	code is bundled with other services	0.0033	33.3			Percent of total billed charges	code is bundled with other services	0.0033	100			Fee schedule	code is bundled with other services	0.01	0.01	0.01	
Central dual-energy X-ray absorptiometry (DXA) ordered (OP) (IBD)	3096F	CPT	Outpatient			0.01	0.01		90			Percent of total billed charges		0.01	40			Percent of total billed charges	code is bundled with other services	0.004	80			Percent of total billed charges		0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	33.3			Percent of total billed charges	code is bundled with other services	0.0033	33.3			Percent of total billed charges	code is bundled with other services	0.0033	100			Fee schedule	code is bundled with other services	0.01	0.01	0.01	
Cognition assessed and reviewed (DEM)	1494F	CPT	Outpatient			0.01	0.01		90			Percent of total billed charges		0.01	40			Percent of total billed charges	code is bundled with other services	0.004	80			Percent of total billed charges		0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	33.3			Percent of total billed charges	code is bundled with other services	0.0033	33.3			Percent of total billed charges	code is bundled with other services	0.0033	100			Fee schedule	code is bundled with other services	0.01	0.01	0.01	
Colorectal cancer screening results documented and reviewed (PV)	3017F	CPT	Outpatient			0.01	0.01		90			Percent of total billed charges		0.01	40			Percent of total billed charges	code is bundled with other services	0.004	80			Percent of total billed charges		0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	33.3			Percent of total billed charges	code is bundled with other services	0.0033	33.3			Percent of total billed charges	code is bundled with other services	0.0033	100			Fee schedule	code is bundled with other services	0.01	0.01	0.01	
"Current smokeless tobacco user (eg, chew, snuff) (PV)"	1035F	CPT	Outpatient			0.01	0.01		90			Percent of total billed charges		0.01	40			Percent of total billed charges	code is bundled with other services	0.004	80			Percent of total billed charges		0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	33.3			Percent of total billed charges	code is bundled with other services	0.0033	33.3			Percent of total billed charges	code is bundled with other services	0.0033	100			Fee schedule	code is bundled with other services	0.01	0.01	0.01	
"Current tobacco non-user (CAD, CAP, COPD, PV) (DM) (IBD)"	1036F	CPT	Outpatient			0.01	0.01		90			Percent of total billed charges		0.01	40			Percent of total billed charges	code is bundled with other services	0.004	80			Percent of total billed charges		0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	33.3			Percent of total billed charges	code is bundled with other services	0.0033	33.3			Percent of total billed charges	code is bundled with other services	0.0033	100			Fee schedule	code is bundled with other services	0.01	0.01	0.01	
"Advance Care Planning discussed and documented advance care plan or surrogate decision maker documented in the medical record (DEM) (GER, Pall Cr)"	1123F	CPT	Outpatient			0.01	0.01		90			Percent of total billed charges		0.01	40			Percent of total billed charges	code is bundled with other services	0.004	80			Percent of total billed charges		0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	33.3			Percent of total billed charges	code is bundled with other services	0.0033	33.3			Percent of total billed charges	code is bundled with other services	0.0033	100			Fee schedule	code is bundled with other services	0.01	0.01	0.01	
Advance care planning discussion documented in the medical record (COA)	1158F	CPT	Outpatient			0.01	0.01		90			Percent of total billed charges		0.01	40			Percent of total billed charges	code is bundled with other services	0.004	80			Percent of total billed charges		0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	33.3			Percent of total billed charges	code is bundled with other services	0.0033	33.3			Percent of total billed charges	code is bundled with other services	0.0033	100			Fee schedule	code is bundled with other services	0.01	0.01	0.01	
Central dual-energy X-ray absorptiometry (DXA) results documented (OP) (IBD)	3095F	CPT	Outpatient			0.01	0.01		90			Percent of total billed charges		0.01	40			Percent of total billed charges	code is bundled with other services	0.004	80			Percent of total billed charges		0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	33.3			Percent of total billed charges	code is bundled with other services	0.0033	33.3			Percent of total billed charges	code is bundled with other services	0.0033	100			Fee schedule	code is bundled with other services	0.01	0.01	0.01	
"Current tobacco smoker (CAD, CAP, COPD, PV) (DM)"	1034F	CPT	Outpatient			0.01	0.01		90			Percent of total billed charges		0.01	40			Percent of total billed charges	code is bundled with other services	0.004	80			Percent of total billed charges		0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	33.3			Percent of total billed charges	code is bundled with other services	0.0033	33.3			Percent of total billed charges	code is bundled with other services	0.0033	100			Fee schedule	code is bundled with other services	0.01	0.01	0.01	
Falls risk assessment documented (GER)	3288F	CPT	Outpatient			0.01	0.01		90			Percent of total billed charges		0.01	40			Percent of total billed charges	code is bundled with other services	0.004	80			Percent of total billed charges		0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	33.3			Percent of total billed charges	code is bundled with other services	0.0033	33.3			Percent of total billed charges	code is bundled with other services	0.0033	100			Fee schedule	code is bundled with other services	0.01	0.01	0.01	
Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist documented and reviewed; with evidence of retinopathy (DM)	2022F	CPT	Outpatient			0.01	0.01		90			Percent of total billed charges		0.01	40			Percent of total billed charges	code is bundled with other services	0.004	80			Percent of total billed charges		0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	33.3			Percent of total billed charges	code is bundled with other services	0.0033	33.3			Percent of total billed charges	code is bundled with other services	0.0033	100			Fee schedule	code is bundled with other services	0.01	0.01	0.01	
Discharge medications reconciled with the current medication list in outpatient medical record (COA) (GER)	1111F	CPT	Outpatient			0.01	0.01		90			Percent of total billed charges		0.01	40			Percent of total billed charges	code is bundled with other services	0.004	80			Percent of total billed charges		0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	33.3			Percent of total billed charges	code is bundled with other services	0.0033	33.3			Percent of total billed charges	code is bundled with other services	0.0033	100			Fee schedule	code is bundled with other services	0.01	0.01	0.01	
Functional status assessed (COA) (RA)	1170F	CPT	Outpatient			0.01	0.01		90			Percent of total billed charges		0.01	40			Percent of total billed charges	code is bundled with other services	0.004	80			Percent of total billed charges		0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	33.3			Percent of total billed charges	code is bundled with other services	0.0033	33.3			Percent of total billed charges	code is bundled with other services	0.0033	100			Fee schedule	code is bundled with other services	0.01	0.01	0.01	
"Most recent diastolic blood pressure 80-89 mm Hg (HTN, CKD, CAD) (DM)"	3079F	CPT	Outpatient			0.01	0.01		90			Percent of total billed charges		0.01	40			Percent of total billed charges	code is bundled with other services	0.004	80			Percent of total billed charges		0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	33.3			Percent of total billed charges	code is bundled with other services	0.0033	33.3			Percent of total billed charges	code is bundled with other services	0.0033	100			Fee schedule	code is bundled with other services	0.01	0.01	0.01	
"Most recent diastolic blood pressure greater than or equal to 90 mm Hg (HTN, CKD, CAD) (DM)"	3080F	CPT	Outpatient			0.01	0.01		90			Percent of total billed charges		0.01	40			Percent of total billed charges	code is bundled with other services	0.004	80			Percent of total billed charges		0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	33.3			Percent of total billed charges	code is bundled with other services	0.0033	33.3			Percent of total billed charges	code is bundled with other services	0.0033	100			Fee schedule	code is bundled with other services	0.01	0.01	0.01	
"Most recent diastolic blood pressure less than 80 mm Hg (HTN, CKD, CAD) (DM)"	3078F	CPT	Outpatient			0.01	0.01		90			Percent of total billed charges		0.01	40			Percent of total billed charges	code is bundled with other services	0.004	80			Percent of total billed charges		0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	33.3			Percent of total billed charges	code is bundled with other services	0.0033	33.3			Percent of total billed charges	code is bundled with other services	0.0033	100			Fee schedule	code is bundled with other services	0.01	0.01	0.01	
Most recent hemoglobin A1c (HbA1c) level greater than or equal to 7.0% and less than 8.0% (DM)	3051F	CPT	Outpatient			0.01	0.01		90			Percent of total billed charges		0.01	40			Percent of total billed charges	code is bundled with other services	0.004	80			Percent of total billed charges		0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	33.3			Percent of total billed charges	code is bundled with other services	0.0033	33.3			Percent of total billed charges	code is bundled with other services	0.0033	100			Fee schedule	code is bundled with other services	0.01	0.01	0.01	
Most recent hemoglobin A1c (HbA1c) level greater than or equal to 8.0% and less than or equal to 9.0% (DM)	3052F	CPT	Outpatient			0.01	0.01		90			Percent of total billed charges		0.01	40			Percent of total billed charges	code is bundled with other services	0.004	80			Percent of total billed charges		0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	33.3			Percent of total billed charges	code is bundled with other services	0.0033	33.3			Percent of total billed charges	code is bundled with other services	0.0033	100			Fee schedule	code is bundled with other services	0.01	0.01	0.01	
"Most recent systolic blood pressure greater than or equal to 140 mm Hg (HTN, CKD, CAD) (DM)"	3077F	CPT	Outpatient			0.01	0.01		90			Percent of total billed charges		0.01	40			Percent of total billed charges	code is bundled with other services	0.004	80			Percent of total billed charges		0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	33.3			Percent of total billed charges	code is bundled with other services	0.0033	33.3			Percent of total billed charges	code is bundled with other services	0.0033	100			Fee schedule	code is bundled with other services	0.01	0.01	0.01	
"Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN, CKD, CAD)"	3074F	CPT	Outpatient			0.01	0.01		90			Percent of total billed charges		0.01	40			Percent of total billed charges	code is bundled with other services	0.004	80			Percent of total billed charges		0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	33.3			Percent of total billed charges	code is bundled with other services	0.0033	33.3			Percent of total billed charges	code is bundled with other services	0.0033	100			Fee schedule	code is bundled with other services	0.01	0.01	0.01	
Influenza immunization status assessed (CAP)	1030F	CPT	Outpatient			0.01	0.01		90			Percent of total billed charges		0.01	40			Percent of total billed charges	code is bundled with other services	0.004	80			Percent of total billed charges		0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	33.3			Percent of total billed charges	code is bundled with other services	0.0033	33.3			Percent of total billed charges	code is bundled with other services	0.0033	100			Fee schedule	code is bundled with other services	0.01	0.01	0.01	
Medication list documented in medical record (COA)	1159F	CPT	Outpatient			0.01	0.01		90			Percent of total billed charges		0.01	40			Percent of total billed charges	code is bundled with other services	0.004	80			Percent of total billed charges		0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	33.3			Percent of total billed charges	code is bundled with other services	0.0033	33.3			Percent of total billed charges	code is bundled with other services	0.0033	100			Fee schedule	code is bundled with other services	0.01	0.01	0.01	
Most recent hemoglobin A1c (HbA1c) level less than 7.0% (DM)	3044F	CPT	Outpatient			0.01	0.01		90			Percent of total billed charges		0.01	40			Percent of total billed charges	code is bundled with other services	0.004	80			Percent of total billed charges		0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	33.3			Percent of total billed charges	code is bundled with other services	0.0033	33.3			Percent of total billed charges	code is bundled with other services	0.0033	100			Fee schedule	code is bundled with other services	0.01	0.01	0.01	
Most recent hemoglobin A1c level greater than 9.0% (DM)	3046F	CPT	Outpatient			0.01	0.01		90			Percent of total billed charges		0.01	40			Percent of total billed charges	code is bundled with other services	0.004	80			Percent of total billed charges		0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	33.3			Percent of total billed charges	code is bundled with other services	0.0033	33.3			Percent of total billed charges	code is bundled with other services	0.0033	100			Fee schedule	code is bundled with other services	0.01	0.01	0.01	
"Most recent systolic blood pressure 130-139 mm Hg (DM) (HTN, CKD, CAD)"	3075F	CPT	Outpatient			0.01	0.01		90			Percent of total billed charges		0.01	40			Percent of total billed charges	code is bundled with other services	0.004	80			Percent of total billed charges		0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	33.3			Percent of total billed charges	code is bundled with other services	0.0033	33.3			Percent of total billed charges	code is bundled with other services	0.0033	100			Fee schedule	code is bundled with other services	0.01	0.01	0.01	
Pain severity quantified; no pain present (COA) (ONC)	1126F	CPT	Outpatient			0.01	0.01		90			Percent of total billed charges		0.01	40			Percent of total billed charges	code is bundled with other services	0.004	80			Percent of total billed charges		0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	33.3			Percent of total billed charges	code is bundled with other services	0.0033	33.3			Percent of total billed charges	code is bundled with other services	0.0033	100			Fee schedule	code is bundled with other services	0.01	0.01	0.01	
Pain severity quantified; pain present (COA) (ONC)	1125F	CPT	Outpatient			0.01	0.01		90			Percent of total billed charges		0.01	40			Percent of total billed charges	code is bundled with other services	0.004	80			Percent of total billed charges		0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	33.3			Percent of total billed charges	code is bundled with other services	0.0033	33.3			Percent of total billed charges	code is bundled with other services	0.0033	100			Fee schedule	code is bundled with other services	0.01	0.01	0.01	
Positive microalbuminuria test result documented and reviewed (DM)	3060F	CPT	Outpatient			0.01	0.01		90			Percent of total billed charges		0.01	40			Percent of total billed charges	code is bundled with other services	0.004	80			Percent of total billed charges		0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	33.3			Percent of total billed charges	code is bundled with other services	0.0033	33.3			Percent of total billed charges	code is bundled with other services	0.0033	100			Fee schedule	code is bundled with other services	0.01	0.01	0.01	
Screening for depression performed (DEM)	3725F	CPT	Outpatient			0.01	0.01		90			Percent of total billed charges		0.01	40			Percent of total billed charges	code is bundled with other services	0.004	80			Percent of total billed charges		0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	33.3			Percent of total billed charges	code is bundled with other services	0.0033	33.3			Percent of total billed charges	code is bundled with other services	0.0033	100			Fee schedule	code is bundled with other services	0.01	0.01	0.01	
Patient screened for depression (SUD)	1220F	CPT	Outpatient			0.01	0.01		90			Percent of total billed charges		0.01	40			Percent of total billed charges	code is bundled with other services	0.004	80			Percent of total billed charges		0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	33.3			Percent of total billed charges	code is bundled with other services	0.0033	33.3			Percent of total billed charges	code is bundled with other services	0.0033	100			Fee schedule	code is bundled with other services	0.01	0.01	0.01	
"Patient screened for tobacco use and received tobacco cessation intervention (counseling, pharmacotherapy, or both), if identified as a tobacco user (PV, CAD)"	4004F	CPT	Outpatient			0.01	0.01		90			Percent of total billed charges		0.01	40			Percent of total billed charges	code is bundled with other services	0.004	80			Percent of total billed charges		0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	33.3			Percent of total billed charges	code is bundled with other services	0.0033	33.3			Percent of total billed charges	code is bundled with other services	0.0033	100			Fee schedule	code is bundled with other services	0.01	0.01	0.01	
"Review of all medications by a prescribing practitioner or clinical pharmacist (such as, prescriptions, OTCs, herbal therapies and supplements) documented in the medical record (COA)"	1160F	CPT	Outpatient			0.01	0.01		90			Percent of total billed charges		0.01	40			Percent of total billed charges	code is bundled with other services	0.004	80			Percent of total billed charges		0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	33.3			Percent of total billed charges	code is bundled with other services	0.0033	33.3			Percent of total billed charges	code is bundled with other services	0.0033	100			Fee schedule	code is bundled with other services	0.01	0.01	0.01	
Ribonucleic acid (RNA) testing for Hepatitis C viremia ordered or results documented (HEP C)	3265F	CPT	Outpatient			0.01	0.01		90			Percent of total billed charges		0.01	40			Percent of total billed charges	code is bundled with other services	0.004	80			Percent of total billed charges		0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	33.3			Percent of total billed charges	code is bundled with other services	0.0033	33.3			Percent of total billed charges	code is bundled with other services	0.0033	100			Fee schedule	code is bundled with other services	0.01	0.01	0.01	
Screening mammography results documented and reviewed (PV)	3014F	CPT	Outpatient			0.01	0.01		90			Percent of total billed charges		0.01	40			Percent of total billed charges	code is bundled with other services	0.004	80			Percent of total billed charges		0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	33.3			Percent of total billed charges	code is bundled with other services	0.0033	33.3			Percent of total billed charges	code is bundled with other services	0.0033	100			Fee schedule	code is bundled with other services	0.01	0.01	0.01	
Statin therapy prescribed or currently being taken (CAD)	4013F	CPT	Outpatient			0.01	0.01		90			Percent of total billed charges		0.01	40			Percent of total billed charges	code is bundled with other services	0.004	80			Percent of total billed charges		0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	85			Percent of total billed charges		0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	100			Fee schedule	code is bundled with other services	0.01	33.3			Percent of total billed charges	code is bundled with other services	0.0033	33.3			Percent of total billed charges	code is bundled with other services	0.0033	100			Fee schedule	code is bundled with other services	0.01	0.01	0.01	
"Injection, paclitaxel, 1 mg"	J9267	HCPCS	Outpatient	1	ME	0.06	0.04		90			Percent of total billed charges		0.06	40			Percent of total billed charges		0.03	80			Percent of total billed charges		0.05	90			Percent of total billed charges		0.06	100			Fee schedule	code is bundled with other services	0.06	85			Percent of total billed charges		0.05	100			Fee schedule	code is bundled with other services	0.06	100			Fee schedule	code is bundled with other services	0.06	100			Fee schedule	code is bundled with other services	0.06	100			Fee schedule	code is bundled with other services	0.06	33.3			Percent of total billed charges		0.0198	33.3			Percent of total billed charges		0.0198	100			Fee schedule	code is bundled with other services	0.06	0.03	0.06	
"Prednisone, immediate release or delayed release, oral, 1 mg"	J7512	HCPCS	Outpatient	1	ME	0.08	0.05		90			Percent of total billed charges		0.07	40			Percent of total billed charges		0.03	80			Percent of total billed charges		0.06	90			Percent of total billed charges		0.07	100			Fee schedule	code is bundled with other services	0.08	85			Percent of total billed charges		0.06	100			Fee schedule	code is bundled with other services	0.08	100			Fee schedule	code is bundled with other services	0.08	100			Fee schedule	code is bundled with other services	0.08	100			Fee schedule	code is bundled with other services	0.08	33.3			Percent of total billed charges		0.0264	33.3			Percent of total billed charges		0.0264	100			Fee schedule	code is bundled with other services	0.08	0.03	0.07	
Unclassified drugs	J3490	HCPCS	Outpatient	1	UN	0.16	0.1		90			Percent of total billed charges		0.14	40			Percent of total billed charges		0.06	80			Percent of total billed charges		0.13	90			Percent of total billed charges		0.14	100			Fee schedule	code is bundled with other services	0.16	85			Percent of total billed charges		0.13	100			Fee schedule	code is bundled with other services	0.16	100			Fee schedule	code is bundled with other services	0.16	100			Fee schedule	code is bundled with other services	0.16	100			Fee schedule	code is bundled with other services	0.16	33.3			Percent of total billed charges		0.0528	33.3			Percent of total billed charges		0.0528	100			Fee schedule	code is bundled with other services	0.16	0.06	0.14	
"Dexamethasone, oral, 0.25 mg"	J8540	HCPCS	Outpatient	0.25	ME	0.17	0.11		90			Percent of total billed charges		0.15	40			Percent of total billed charges		0.07	80			Percent of total billed charges		0.14	90			Percent of total billed charges		0.15	100			Fee schedule	code is bundled with other services	0.17	85			Percent of total billed charges		0.15	100			Fee schedule	code is bundled with other services	0.17	100			Fee schedule	code is bundled with other services	0.17	100			Fee schedule	code is bundled with other services	0.17	100			Fee schedule	code is bundled with other services	0.17	33.3			Percent of total billed charges		0.0561	33.3			Percent of total billed charges		0.0561	100			Fee schedule	code is bundled with other services	0.17	0.07	0.15	
"Injection, heparin sodium, (heparin lock flush), per 10 units"	J1642	HCPCS	Outpatient	10	UN	0.35	0.23		90			Percent of total billed charges		0.32	40			Percent of total billed charges		0.14	80			Percent of total billed charges		0.28	90			Percent of total billed charges		0.32	100			Fee schedule	code is bundled with other services	0.35	85			Percent of total billed charges		0.3	100			Fee schedule	code is bundled with other services	0.35	100			Fee schedule	code is bundled with other services	0.35	100			Fee schedule	code is bundled with other services	0.35	100			Fee schedule	code is bundled with other services	0.35	33.3			Percent of total billed charges		0.1155	33.3			Percent of total billed charges		0.1155	100			Fee schedule	code is bundled with other services	0.35	0.14	0.32	
"Injection, etoposide, 10 mg"	J9181	HCPCS	Outpatient	10	ME	0.45	0.29		90			Percent of total billed charges		0.41	40			Percent of total billed charges		0.18	80			Percent of total billed charges		0.36	90			Percent of total billed charges		0.41	100			Fee schedule	code is bundled with other services	0.45	85			Percent of total billed charges		0.38	100			Fee schedule	code is bundled with other services	0.45	100			Fee schedule	code is bundled with other services	0.45	100			Fee schedule	code is bundled with other services	0.45	100			Fee schedule	code is bundled with other services	0.45	33.3			Percent of total billed charges		0.1485	33.3			Percent of total billed charges		0.1485	100			Fee schedule	code is bundled with other services	0.45	0.18	0.41	
"Injection, atropine sulfate, 0.01 mg"	J0461	HCPCS	Outpatient	0.01	ME	0.55	0.36		90			Percent of total billed charges		0.5	40			Percent of total billed charges		0.22	80			Percent of total billed charges		0.44	90			Percent of total billed charges		0.5	100			Fee schedule	code is bundled with other services	0.55	85			Percent of total billed charges		0.47	100			Fee schedule	code is bundled with other services	0.55	100			Fee schedule	code is bundled with other services	0.55	100			Fee schedule	code is bundled with other services	0.55	100			Fee schedule	code is bundled with other services	0.55	33.3			Percent of total billed charges		0.1815	33.3			Percent of total billed charges		0.1815	100			Fee schedule	code is bundled with other services	0.55	0.22	0.5	
"Injection, potassium chloride, per 2 meq"	J3480	HCPCS	Outpatient	2	UN	0.55	0.36		90			Percent of total billed charges		0.5	40			Percent of total billed charges		0.22	80			Percent of total billed charges		0.44	90			Percent of total billed charges		0.5	100			Fee schedule	code is bundled with other services	0.55	85			Percent of total billed charges		0.47	100			Fee schedule	code is bundled with other services	0.55	100			Fee schedule	code is bundled with other services	0.55	100			Fee schedule	code is bundled with other services	0.55	100			Fee schedule	code is bundled with other services	0.55	33.3			Percent of total billed charges		0.1815	33.3			Percent of total billed charges		0.1815	100			Fee schedule	code is bundled with other services	0.55	0.22	0.5	
"Injection, ropivacaine hydrochloride, 1 mg"	J2795	HCPCS	Outpatient	1	ME	0.55	0.36		90			Percent of total billed charges		0.5	40			Percent of total billed charges		0.22	80			Percent of total billed charges		0.44	90			Percent of total billed charges		0.5	100			Fee schedule	code is bundled with other services	0.55	85			Percent of total billed charges		0.47	100			Fee schedule	code is bundled with other services	0.55	100			Fee schedule	code is bundled with other services	0.55	100			Fee schedule	code is bundled with other services	0.55	100			Fee schedule	code is bundled with other services	0.55	33.3			Percent of total billed charges		0.1815	33.3			Percent of total billed charges		0.1815	100			Fee schedule	code is bundled with other services	0.55	0.22	0.5	
"Injection, testosterone cypionate, 1 mg"	J1071	HCPCS	Outpatient	1	ME	0.65	0.42		90			Percent of total billed charges		0.58	40			Percent of total billed charges		0.26	80			Percent of total billed charges		0.52	90			Percent of total billed charges		0.58	100			Fee schedule	code is bundled with other services	0.65	85			Percent of total billed charges		0.55	100			Fee schedule	code is bundled with other services	0.65	100			Fee schedule	code is bundled with other services	0.65	100			Fee schedule	code is bundled with other services	0.65	100			Fee schedule	code is bundled with other services	0.65	33.3			Percent of total billed charges		0.2145	33.3			Percent of total billed charges		0.2145	100			Fee schedule	code is bundled with other services	0.65	0.26	0.58	
"Injection, acyclovir, 5 mg"	J0133	HCPCS	Outpatient	5	ME	0.78	0.51		90			Percent of total billed charges		0.7	40			Percent of total billed charges		0.31	80			Percent of total billed charges		0.62	90			Percent of total billed charges		0.7	100			Fee schedule	code is bundled with other services	0.78	85			Percent of total billed charges		0.66	100			Fee schedule	code is bundled with other services	0.78	100			Fee schedule	code is bundled with other services	0.78	100			Fee schedule	code is bundled with other services	0.78	100			Fee schedule	code is bundled with other services	0.78	33.3			Percent of total billed charges		0.2574	33.3			Percent of total billed charges		0.2574	100			Fee schedule	code is bundled with other services	0.78	0.31	0.7	
"Hypertonic saline solution, 1 ml"	J7131	HCPCS	Outpatient	1	ML	1.03	0.67		90			Percent of total billed charges		0.93	40			Percent of total billed charges		0.41	80			Percent of total billed charges		0.83	90			Percent of total billed charges		0.93	100			Fee schedule	code is bundled with other services	1.03	85			Percent of total billed charges		0.88	100			Fee schedule	code is bundled with other services	1.03	100			Fee schedule	code is bundled with other services	1.03	100			Fee schedule	code is bundled with other services	1.03	100			Fee schedule	code is bundled with other services	1.03	33.3			Percent of total billed charges		0.3399	33.3			Percent of total billed charges		0.3399	100			Fee schedule	code is bundled with other services	1.03	0.41	0.93	
"Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen"	Q0163	CPT	Outpatient			1.25	0.81		90			Percent of total billed charges		1.12	40			Percent of total billed charges		0.5	80			Percent of total billed charges		1	90			Percent of total billed charges		1.12	100			Fee schedule	code is bundled with other services	1.25	85			Percent of total billed charges		1.06	100			Fee schedule	code is bundled with other services	1.25	100			Fee schedule	code is bundled with other services	1.25	100			Fee schedule	code is bundled with other services	1.25	100			Fee schedule	code is bundled with other services	1.25	33.3			Percent of total billed charges		0.4125	33.3			Percent of total billed charges		0.4125	100			Fee schedule	code is bundled with other services	1.25	0.5	1.12	
"Promethazine hydrochloride, 12.5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen"	Q0169	CPT	Outpatient			1.25	0.81		90			Percent of total billed charges		1.12	40			Percent of total billed charges		0.5	80			Percent of total billed charges		1	90			Percent of total billed charges		1.12	100			Fee schedule	code is bundled with other services	1.25	85			Percent of total billed charges		1.06	100			Fee schedule	code is bundled with other services	1.25	100			Fee schedule	code is bundled with other services	1.25	100			Fee schedule	code is bundled with other services	1.25	100			Fee schedule	code is bundled with other services	1.25	33.3			Percent of total billed charges		0.4125	33.3			Percent of total billed charges		0.4125	100			Fee schedule	code is bundled with other services	1.25	0.5	1.12	
"Acetylcysteine, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per gram"	J7608	HCPCS	Outpatient	1	GR	1.31	0.85		90			Percent of total billed charges		1.18	40			Percent of total billed charges		0.52	80			Percent of total billed charges		1.05	90			Percent of total billed charges		1.18	100			Fee schedule	code is bundled with other services	1.31	85			Percent of total billed charges		1.11	100			Fee schedule	code is bundled with other services	1.31	100			Fee schedule	code is bundled with other services	1.31	100			Fee schedule	code is bundled with other services	1.31	100			Fee schedule	code is bundled with other services	1.31	33.3			Percent of total billed charges		0.4323	33.3			Percent of total billed charges		0.4323	100			Fee schedule	code is bundled with other services	1.31	0.52	1.18	
"Insulin for administration through dme (i.e., insulin pump) per 50 units"	J1817	HCPCS	Outpatient	50	UN	1.37	0.89		90			Percent of total billed charges		1.23	40			Percent of total billed charges		0.55	80			Percent of total billed charges		1.09	90			Percent of total billed charges		1.23	100			Fee schedule	code is bundled with other services	1.37	85			Percent of total billed charges		1.16	100			Fee schedule	code is bundled with other services	1.37	100			Fee schedule	code is bundled with other services	1.37	100			Fee schedule	code is bundled with other services	1.37	100			Fee schedule	code is bundled with other services	1.37	33.3			Percent of total billed charges		0.4521	33.3			Percent of total billed charges		0.4521	100			Fee schedule	code is bundled with other services	1.37	0.55	1.23	
"Hydroxyzine pamoate, 25 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen"	Q0177	CPT	Outpatient			1.5	0.98		90			Percent of total billed charges		1.35	40			Percent of total billed charges		0.6	80			Percent of total billed charges		1.2	90			Percent of total billed charges		1.35	100			Fee schedule	code is bundled with other services	1.5	85			Percent of total billed charges		1.28	100			Fee schedule	code is bundled with other services	1.5	100			Fee schedule	code is bundled with other services	1.5	100			Fee schedule	code is bundled with other services	1.5	100			Fee schedule	code is bundled with other services	1.5	33.3			Percent of total billed charges		0.495	33.3			Percent of total billed charges		0.495	100			Fee schedule	code is bundled with other services	1.5	0.6	1.35	
"Injection, iron sucrose, 1 mg"	J1756	HCPCS	Outpatient	1	ME	1.98	1.29		90			Percent of total billed charges		1.78	40			Percent of total billed charges		0.79	80			Percent of total billed charges		1.58	90			Percent of total billed charges		1.78	100			Fee schedule	code is bundled with other services	1.98	85			Percent of total billed charges		1.68	100			Fee schedule	code is bundled with other services	1.98	100			Fee schedule	code is bundled with other services	1.98	100			Fee schedule	code is bundled with other services	1.98	100			Fee schedule	code is bundled with other services	1.98	33.3			Percent of total billed charges		0.6534	33.3			Percent of total billed charges		0.6534	100			Fee schedule	code is bundled with other services	1.98	0.79	1.78	
"Methotrexate; oral, 2.5 mg"	J8610	HCPCS	Outpatient	2.5	ME	2.22	1.44		90			Percent of total billed charges		2	40			Percent of total billed charges		0.89	80			Percent of total billed charges		1.78	90			Percent of total billed charges		2	100			Fee schedule	code is bundled with other services	2.22	85			Percent of total billed charges		1.89	100			Fee schedule	code is bundled with other services	2.22	100			Fee schedule	code is bundled with other services	2.22	100			Fee schedule	code is bundled with other services	2.22	100			Fee schedule	code is bundled with other services	2.22	33.3			Percent of total billed charges		0.7326	33.3			Percent of total billed charges		0.7326	100			Fee schedule	code is bundled with other services	2.22	0.89	2	
"Injection, acetaminophen, not otherwise specified,10 mg"	J0131	HCPCS	Outpatient	10	ME	2.23	1.45		90			Percent of total billed charges		2.01	40			Percent of total billed charges		0.89	80			Percent of total billed charges		1.79	90			Percent of total billed charges		2.01	100			Fee schedule	code is bundled with other services	2.23	85			Percent of total billed charges		1.9	100			Fee schedule	code is bundled with other services	2.23	100			Fee schedule	code is bundled with other services	2.23	100			Fee schedule	code is bundled with other services	2.23	100			Fee schedule	code is bundled with other services	2.23	33.3			Percent of total billed charges		0.7359	33.3			Percent of total billed charges		0.7359	100			Fee schedule	code is bundled with other services	2.23	0.89	2.01	
"Injection, insulin, per 5 units"	J1815	HCPCS	Outpatient	5	UN	2.43	1.58		90			Percent of total billed charges		2.19	40			Percent of total billed charges		0.97	80			Percent of total billed charges		1.95	90			Percent of total billed charges		2.19	100			Fee schedule	code is bundled with other services	2.43	85			Percent of total billed charges		2.07	100			Fee schedule	code is bundled with other services	2.43	100			Fee schedule	code is bundled with other services	2.43	100			Fee schedule	code is bundled with other services	2.43	100			Fee schedule	code is bundled with other services	2.43	33.3			Percent of total billed charges		0.8019	33.3			Percent of total billed charges		0.8019	100			Fee schedule	code is bundled with other services	2.43	0.97	2.19	
"Injection, medroxyprogesterone acetate, 1 mg"	J1050	HCPCS	Outpatient	1	ME	2.57	1.67		90			Percent of total billed charges		2.31	40			Percent of total billed charges		1.03	80			Percent of total billed charges		2.05	90			Percent of total billed charges		2.31	100			Fee schedule	code is bundled with other services	2.57	85			Percent of total billed charges		2.18	100			Fee schedule	code is bundled with other services	2.57	100			Fee schedule	code is bundled with other services	2.57	100			Fee schedule	code is bundled with other services	2.57	100			Fee schedule	code is bundled with other services	2.57	33.3			Percent of total billed charges		0.8481	33.3			Percent of total billed charges		0.8481	100			Fee schedule	code is bundled with other services	2.57	1.03	2.31	
"Prochlorperazine maleate, 5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen"	Q0164	CPT	Outpatient			2.75	1.79		90			Percent of total billed charges		2.48	40			Percent of total billed charges		1.1	80			Percent of total billed charges		2.2	90			Percent of total billed charges		2.48	100			Fee schedule	code is bundled with other services	2.75	85			Percent of total billed charges		2.34	100			Fee schedule	code is bundled with other services	2.75	100			Fee schedule	code is bundled with other services	2.75	100			Fee schedule	code is bundled with other services	2.75	100			Fee schedule	code is bundled with other services	2.75	33.3			Percent of total billed charges		0.9075	33.3			Percent of total billed charges		0.9075	100			Fee schedule	code is bundled with other services	2.75	1.1	2.48	
"Injection, adrenalin, epinephrine, 0.1 mg"	J0171	HCPCS	Outpatient	0.1	ME	2.9	1.88		90			Percent of total billed charges		2.61	40			Percent of total billed charges		1.16	80			Percent of total billed charges		2.32	90			Percent of total billed charges		2.61	100			Fee schedule	code is bundled with other services	2.9	85			Percent of total billed charges		2.46	100			Fee schedule	code is bundled with other services	2.9	100			Fee schedule	code is bundled with other services	2.9	100			Fee schedule	code is bundled with other services	2.9	100			Fee schedule	code is bundled with other services	2.9	33.3			Percent of total billed charges		0.957	33.3			Percent of total billed charges		0.957	100			Fee schedule	code is bundled with other services	2.9	1.16	2.61	
"Injection, doxorubicin hydrochloride, 10 mg"	J9000	HCPCS	Outpatient	10	ME	2.99	1.95		90			Percent of total billed charges		2.69	40			Percent of total billed charges		1.2	80			Percent of total billed charges		2.39	90			Percent of total billed charges		2.69	100			Fee schedule	code is bundled with other services	2.99	85			Percent of total billed charges		2.54	100			Fee schedule	code is bundled with other services	2.99	100			Fee schedule	code is bundled with other services	2.99	100			Fee schedule	code is bundled with other services	2.99	100			Fee schedule	code is bundled with other services	2.99	33.3			Percent of total billed charges		0.9867	33.3			Percent of total billed charges		0.9867	100			Fee schedule	code is bundled with other services	2.99	1.2	2.69	
"Injection, propofol, 10 mg"	J2704	HCPCS	Outpatient	10	ME	3.03	1.97		90			Percent of total billed charges		2.72	40			Percent of total billed charges		1.21	80			Percent of total billed charges		2.42	90			Percent of total billed charges		2.72	100			Fee schedule	code is bundled with other services	3.03	85			Percent of total billed charges		2.57	100			Fee schedule	code is bundled with other services	3.03	100			Fee schedule	code is bundled with other services	3.03	100			Fee schedule	code is bundled with other services	3.03	100			Fee schedule	code is bundled with other services	3.03	33.3			Percent of total billed charges		0.9999	33.3			Percent of total billed charges		0.9999	100			Fee schedule	code is bundled with other services	3.03	1.21	2.72	
"Injection, gadobutrol, 0.1 ml"	A9585	CPT	Outpatient			3.04	1.98		90			Percent of total billed charges		2.74	40			Percent of total billed charges		1.22	80			Percent of total billed charges		2.43	90			Percent of total billed charges		2.74	100			Fee schedule	code is bundled with other services	3.04	85			Percent of total billed charges		2.58	100			Fee schedule	code is bundled with other services	3.04	100			Fee schedule	code is bundled with other services	3.04	100			Fee schedule	code is bundled with other services	3.04	100			Fee schedule	code is bundled with other services	3.04	33.3			Percent of total billed charges		1.0032	33.3			Percent of total billed charges		1.0032	100			Fee schedule	code is bundled with other services	3.04	1.22	2.74	
"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 1 mg"	J7611	HCPCS	Outpatient	1	ME	3.2	2.08		90			Percent of total billed charges		2.88	40			Percent of total billed charges		1.28	80			Percent of total billed charges		2.56	90			Percent of total billed charges		2.88	100			Fee schedule	code is bundled with other services	3.2	85			Percent of total billed charges		2.72	100			Fee schedule	code is bundled with other services	3.2	100			Fee schedule	code is bundled with other services	3.2	100			Fee schedule	code is bundled with other services	3.2	100			Fee schedule	code is bundled with other services	3.2	33.3			Percent of total billed charges		1.056	33.3			Percent of total billed charges		1.056	100			Fee schedule	code is bundled with other services	3.2	1.28	2.88	
"High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml"	Q9963	CPT	Outpatient			3.23	2.1		90			Percent of total billed charges		2.91	40			Percent of total billed charges		1.29	80			Percent of total billed charges		2.59	90			Percent of total billed charges		2.91	100			Fee schedule	code is bundled with other services	3.23	85			Percent of total billed charges		2.75	100			Fee schedule	code is bundled with other services	3.23	100			Fee schedule	code is bundled with other services	3.23	100			Fee schedule	code is bundled with other services	3.23	100			Fee schedule	code is bundled with other services	3.23	33.3			Percent of total billed charges		1.0659	33.3			Percent of total billed charges		1.0659	100			Fee schedule	code is bundled with other services	3.23	1.29	2.91	
"Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml"	Q9967	CPT	Outpatient			3.33	2.16		90			Percent of total billed charges		3	40			Percent of total billed charges		1.33	80			Percent of total billed charges		2.66	90			Percent of total billed charges		3	100			Fee schedule	code is bundled with other services	3.33	85			Percent of total billed charges		2.83	100			Fee schedule	code is bundled with other services	3.33	100			Fee schedule	code is bundled with other services	3.33	100			Fee schedule	code is bundled with other services	3.33	100			Fee schedule	code is bundled with other services	3.33	33.3			Percent of total billed charges		1.0989	33.3			Percent of total billed charges		1.0989	100			Fee schedule	code is bundled with other services	3.33	1.33	3	
"Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, per milligram"	J7644	HCPCS	Outpatient	1	ME	3.38	2.19		90			Percent of total billed charges		3.04	40			Percent of total billed charges		1.35	80			Percent of total billed charges		2.7	90			Percent of total billed charges		3.04	100			Fee schedule	code is bundled with other services	3.38	85			Percent of total billed charges		2.87	100			Fee schedule	code is bundled with other services	3.38	100			Fee schedule	code is bundled with other services	3.38	100			Fee schedule	code is bundled with other services	3.38	100			Fee schedule	code is bundled with other services	3.38	33.3			Percent of total billed charges		1.1154	33.3			Percent of total billed charges		1.1154	100			Fee schedule	code is bundled with other services	3.38	1.35	3.04	
"Injection, acetylcysteine, 100 mg"	J0132	HCPCS	Outpatient	100	ME	3.43	2.23		90			Percent of total billed charges		3.09	40			Percent of total billed charges		1.37	80			Percent of total billed charges		2.74	90			Percent of total billed charges		3.09	100			Fee schedule	code is bundled with other services	3.43	85			Percent of total billed charges		2.91	100			Fee schedule	code is bundled with other services	3.43	100			Fee schedule	code is bundled with other services	3.43	100			Fee schedule	code is bundled with other services	3.43	100			Fee schedule	code is bundled with other services	3.43	33.3			Percent of total billed charges		1.1319	33.3			Percent of total billed charges		1.1319	100			Fee schedule	code is bundled with other services	3.43	1.37	3.09	
"Injection, heparin sodium, per 1000 units"	J1644	HCPCS	Outpatient	1000	UN	3.5	2.28		90			Percent of total billed charges		3.15	40			Percent of total billed charges		1.4	80			Percent of total billed charges		2.8	90			Percent of total billed charges		3.15	100			Fee schedule	code is bundled with other services	3.5	85			Percent of total billed charges		2.98	100			Fee schedule	code is bundled with other services	3.5	100			Fee schedule	code is bundled with other services	3.5	100			Fee schedule	code is bundled with other services	3.5	100			Fee schedule	code is bundled with other services	3.5	33.3			Percent of total billed charges		1.155	33.3			Percent of total billed charges		1.155	100			Fee schedule	code is bundled with other services	3.5	1.4	3.15	
"Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg"	J7613	HCPCS	Outpatient	1	ME	3.6	2.34		90			Percent of total billed charges		3.24	40			Percent of total billed charges		1.44	80			Percent of total billed charges		2.88	90			Percent of total billed charges		3.24	100			Fee schedule	code is bundled with other services	3.6	85			Percent of total billed charges		3.06	100			Fee schedule	code is bundled with other services	3.6	100			Fee schedule	code is bundled with other services	3.6	100			Fee schedule	code is bundled with other services	3.6	100			Fee schedule	code is bundled with other services	3.6	33.3			Percent of total billed charges		1.188	33.3			Percent of total billed charges		1.188	100			Fee schedule	code is bundled with other services	3.6	1.44	3.24	
"Injection, carboplatin, 50 mg"	J9045	HCPCS	Outpatient	50	ME	3.71	2.41		90			Percent of total billed charges		3.34	40			Percent of total billed charges		1.48	80			Percent of total billed charges		2.97	90			Percent of total billed charges		3.34	100			Fee schedule	code is bundled with other services	3.71	85			Percent of total billed charges		3.15	100			Fee schedule	code is bundled with other services	3.71	100			Fee schedule	code is bundled with other services	3.71	100			Fee schedule	code is bundled with other services	3.71	100			Fee schedule	code is bundled with other services	3.71	33.3			Percent of total billed charges		1.2243	33.3			Percent of total billed charges		1.2243	100			Fee schedule	code is bundled with other services	3.71	1.48	3.34	
"Methylprednisolone oral, per 4 mg"	J7509	HCPCS	Outpatient	4	ME	3.94	2.56		90			Percent of total billed charges		3.54	40			Percent of total billed charges		1.58	80			Percent of total billed charges		3.15	90			Percent of total billed charges		3.54	100			Fee schedule	code is bundled with other services	3.94	85			Percent of total billed charges		3.35	100			Fee schedule	code is bundled with other services	3.94	100			Fee schedule	code is bundled with other services	3.94	100			Fee schedule	code is bundled with other services	3.94	100			Fee schedule	code is bundled with other services	3.94	33.3			Percent of total billed charges		1.3002	33.3			Percent of total billed charges		1.3002	100			Fee schedule	code is bundled with other services	3.94	1.58	3.54	
"Injection, cisplatin, powder or solution, 10 mg"	J9060	HCPCS	Outpatient	10	ME	4.22	2.74		90			Percent of total billed charges		3.8	40			Percent of total billed charges		1.69	80			Percent of total billed charges		3.38	90			Percent of total billed charges		3.8	100			Fee schedule	code is bundled with other services	4.22	85			Percent of total billed charges		3.59	100			Fee schedule	code is bundled with other services	4.22	100			Fee schedule	code is bundled with other services	4.22	100			Fee schedule	code is bundled with other services	4.22	100			Fee schedule	code is bundled with other services	4.22	33.3			Percent of total billed charges		1.3926	33.3			Percent of total billed charges		1.3926	100			Fee schedule	code is bundled with other services	4.22	1.69	3.8	
"Injection, ondansetron hydrochloride, per 1 mg"	J2405	HCPCS	Outpatient	1	ME	4.38	2.84		90			Percent of total billed charges		3.94	40			Percent of total billed charges		1.75	80			Percent of total billed charges		3.5	90			Percent of total billed charges		3.94	100			Fee schedule	code is bundled with other services	4.38	85			Percent of total billed charges		3.72	100			Fee schedule	code is bundled with other services	4.38	100			Fee schedule	code is bundled with other services	4.38	100			Fee schedule	code is bundled with other services	4.38	100			Fee schedule	code is bundled with other services	4.38	33.3			Percent of total billed charges		1.4454	33.3			Percent of total billed charges		1.4454	100			Fee schedule	code is bundled with other services	4.38	1.75	3.94	
"Injection, bupivacaine liposome, 1 mg"	C9290	CPT	Outpatient			4.67	3.03		90			Percent of total billed charges		4.2	40			Percent of total billed charges		1.87	80			Percent of total billed charges		3.74	90			Percent of total billed charges		4.2	100			Fee schedule	code is bundled with other services	4.67	85			Percent of total billed charges		3.97	100			Fee schedule	code is bundled with other services	4.67	100			Fee schedule	code is bundled with other services	4.67	100			Fee schedule	code is bundled with other services	4.67	100			Fee schedule	code is bundled with other services	4.67	33.3			Percent of total billed charges		1.5411	33.3			Percent of total billed charges		1.5411	100			Fee schedule	code is bundled with other services	4.67	1.87	4.2	
"Cyclosporine, oral, 25 mg"	J7515	HCPCS	Outpatient	25	ME	4.75	3.09		90			Percent of total billed charges		4.28	40			Percent of total billed charges		1.9	80			Percent of total billed charges		3.8	90			Percent of total billed charges		4.28	100			Fee schedule	code is bundled with other services	4.75	85			Percent of total billed charges		4.04	100			Fee schedule	code is bundled with other services	4.75	100			Fee schedule	code is bundled with other services	4.75	100			Fee schedule	code is bundled with other services	4.75	100			Fee schedule	code is bundled with other services	4.75	33.3			Percent of total billed charges		1.5675	33.3			Percent of total billed charges		1.5675	100			Fee schedule	code is bundled with other services	4.75	1.9	4.28	
"Injection, levetiracetam, 10 mg"	J1953	HCPCS	Outpatient	10	ME	5.04	3.28		90			Percent of total billed charges		4.54	40			Percent of total billed charges		2.02	80			Percent of total billed charges		4.03	90			Percent of total billed charges		4.54	100			Fee schedule	code is bundled with other services	5.04	85			Percent of total billed charges		4.28	100			Fee schedule	code is bundled with other services	5.04	100			Fee schedule	code is bundled with other services	5.04	100			Fee schedule	code is bundled with other services	5.04	100			Fee schedule	code is bundled with other services	5.04	33.3			Percent of total billed charges		1.6632	33.3			Percent of total billed charges		1.6632	100			Fee schedule	code is bundled with other services	5.04	2.02	4.54	
"Prednisolone oral, per 5 mg"	J7510	HCPCS	Outpatient	5	ME	5.23	3.4		90			Percent of total billed charges		4.71	40			Percent of total billed charges		2.09	80			Percent of total billed charges		4.18	90			Percent of total billed charges		4.71	100			Fee schedule	code is bundled with other services	5.23	85			Percent of total billed charges		4.45	100			Fee schedule	code is bundled with other services	5.23	100			Fee schedule	code is bundled with other services	5.23	100			Fee schedule	code is bundled with other services	5.23	100			Fee schedule	code is bundled with other services	5.23	33.3			Percent of total billed charges		1.7259	33.3			Percent of total billed charges		1.7259	100			Fee schedule	code is bundled with other services	5.23	2.09	4.71	
"Injection, dexamethasone sodium phosphate, 1 mg"	J1100	HCPCS	Outpatient	1	ME	5.5	3.58		90			Percent of total billed charges		4.95	40			Percent of total billed charges		2.2	80			Percent of total billed charges		4.4	90			Percent of total billed charges		4.95	100			Fee schedule	code is bundled with other services	5.5	85			Percent of total billed charges		4.68	100			Fee schedule	code is bundled with other services	5.5	100			Fee schedule	code is bundled with other services	5.5	100			Fee schedule	code is bundled with other services	5.5	100			Fee schedule	code is bundled with other services	5.5	33.3			Percent of total billed charges		1.815	33.3			Percent of total billed charges		1.815	100			Fee schedule	code is bundled with other services	5.5	2.2	4.95	
"Noc drugs, inhalation solution administered through dme"	J7699	HCPCS	Outpatient	1	UN	5.5	3.58		90			Percent of total billed charges		4.95	40			Percent of total billed charges		2.2	80			Percent of total billed charges		4.4	90			Percent of total billed charges		4.95	100			Fee schedule	code is bundled with other services	5.5	85			Percent of total billed charges		4.68	100			Fee schedule	code is bundled with other services	5.5	100			Fee schedule	code is bundled with other services	5.5	100			Fee schedule	code is bundled with other services	5.5	100			Fee schedule	code is bundled with other services	5.5	33.3			Percent of total billed charges		1.815	33.3			Percent of total billed charges		1.815	100			Fee schedule	code is bundled with other services	5.5	2.2	4.95	
"Injection, micafungin sodium, 1 mg"	J2248	HCPCS	Outpatient	1	ME	5.84	3.8		90			Percent of total billed charges		5.26	40			Percent of total billed charges		2.34	80			Percent of total billed charges		4.67	90			Percent of total billed charges		5.26	100			Fee schedule	code is bundled with other services	5.84	85			Percent of total billed charges		4.96	100			Fee schedule	code is bundled with other services	5.84	100			Fee schedule	code is bundled with other services	5.84	100			Fee schedule	code is bundled with other services	5.84	100			Fee schedule	code is bundled with other services	5.84	33.3			Percent of total billed charges		1.9272	33.3			Percent of total billed charges		1.9272	100			Fee schedule	code is bundled with other services	5.84	2.34	5.26	
"Injection, triamcinolone acetonide, not otherwise specified, 10 mg"	J3301	HCPCS	Outpatient	10	ME	7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	100			Fee schedule	code is bundled with other services	7	85			Percent of total billed charges		5.95	100			Fee schedule	code is bundled with other services	7	100			Fee schedule	code is bundled with other services	7	100			Fee schedule	code is bundled with other services	7	100			Fee schedule	code is bundled with other services	7	33.3			Percent of total billed charges		2.31	33.3			Percent of total billed charges		2.31	100			Fee schedule	code is bundled with other services	7	2.8	6.3	
"Injection, amiodarone hydrochloride, 30 mg"	J0282	HCPCS	Outpatient	30	ME	7.6	4.94		90			Percent of total billed charges		6.84	40			Percent of total billed charges		3.04	80			Percent of total billed charges		6.08	90			Percent of total billed charges		6.84	100			Fee schedule	code is bundled with other services	7.6	85			Percent of total billed charges		6.46	100			Fee schedule	code is bundled with other services	7.6	100			Fee schedule	code is bundled with other services	7.6	100			Fee schedule	code is bundled with other services	7.6	100			Fee schedule	code is bundled with other services	7.6	33.3			Percent of total billed charges		2.508	33.3			Percent of total billed charges		2.508	100			Fee schedule	code is bundled with other services	7.6	3.04	6.84	
"Injection, voriconazole, 10 mg"	J3465	HCPCS	Outpatient	10	ME	8.52	5.54		90			Percent of total billed charges		7.67	40			Percent of total billed charges		3.41	80			Percent of total billed charges		6.81	90			Percent of total billed charges		7.67	100			Fee schedule	code is bundled with other services	8.52	85			Percent of total billed charges		7.24	100			Fee schedule	code is bundled with other services	8.52	100			Fee schedule	code is bundled with other services	8.52	100			Fee schedule	code is bundled with other services	8.52	100			Fee schedule	code is bundled with other services	8.52	33.3			Percent of total billed charges		2.8116	33.3			Percent of total billed charges		2.8116	100			Fee schedule	code is bundled with other services	8.52	3.41	7.67	
"Injection, ketorolac tromethamine, per 15 mg"	J1885	HCPCS	Outpatient	15	ME	8.75	5.69		90			Percent of total billed charges		7.88	40			Percent of total billed charges		3.5	80			Percent of total billed charges		7	90			Percent of total billed charges		7.88	100			Fee schedule	code is bundled with other services	8.75	85			Percent of total billed charges		7.44	100			Fee schedule	code is bundled with other services	8.75	100			Fee schedule	code is bundled with other services	8.75	100			Fee schedule	code is bundled with other services	8.75	100			Fee schedule	code is bundled with other services	8.75	33.3			Percent of total billed charges		2.8875	33.3			Percent of total billed charges		2.8875	100			Fee schedule	code is bundled with other services	8.75	3.5	7.88	
"Mycophenolate mofetil, oral, 250 mg"	J7517	HCPCS	Outpatient	250	ME	9.63	6.26		90			Percent of total billed charges		8.66	40			Percent of total billed charges		3.85	80			Percent of total billed charges		7.7	90			Percent of total billed charges		8.66	100			Fee schedule	code is bundled with other services	9.63	85			Percent of total billed charges		8.18	100			Fee schedule	code is bundled with other services	9.63	100			Fee schedule	code is bundled with other services	9.63	100			Fee schedule	code is bundled with other services	9.63	100			Fee schedule	code is bundled with other services	9.63	33.3			Percent of total billed charges		3.1779	33.3			Percent of total billed charges		3.1779	100			Fee schedule	code is bundled with other services	9.63	3.85	8.66	
Unlisted vaccine/toxoid	90749	CPT	Outpatient			10	6.5		90			Percent of total billed charges		9	40			Percent of total billed charges		4	80			Percent of total billed charges		8	90			Percent of total billed charges		9	100			Fee schedule	code is bundled with other services	10	85			Percent of total billed charges		8.5	100			Fee schedule	code is bundled with other services	10	100			Fee schedule	code is bundled with other services	10	100			Fee schedule	code is bundled with other services	10	100			Fee schedule	code is bundled with other services	10	33.3			Percent of total billed charges		3.3	33.3			Percent of total billed charges		3.3	100			Fee schedule	code is bundled with other services	10	4	9	
"Injection, dimenhydrinate, up to 50 mg"	J1240	HCPCS	Outpatient	50	ME	10.25	6.66		90			Percent of total billed charges		9.22	40			Percent of total billed charges		4.1	80			Percent of total billed charges		8.2	90			Percent of total billed charges		9.22	100			Fee schedule	code is bundled with other services	10.25	85			Percent of total billed charges		8.71	100			Fee schedule	code is bundled with other services	10.25	100			Fee schedule	code is bundled with other services	10.25	100			Fee schedule	code is bundled with other services	10.25	100			Fee schedule	code is bundled with other services	10.25	33.3			Percent of total billed charges		3.3825	33.3			Percent of total billed charges		3.3825	100			Fee schedule	code is bundled with other services	10.25	4.1	9.22	
"Tacrolimus, immediate release, oral, 1 mg"	J7507	HCPCS	Outpatient	1	ME	10.38	6.74		90			Percent of total billed charges		9.34	40			Percent of total billed charges		4.15	80			Percent of total billed charges		8.3	90			Percent of total billed charges		9.34	100			Fee schedule	code is bundled with other services	10.38	85			Percent of total billed charges		8.82	100			Fee schedule	code is bundled with other services	10.38	100			Fee schedule	code is bundled with other services	10.38	100			Fee schedule	code is bundled with other services	10.38	100			Fee schedule	code is bundled with other services	10.38	33.3			Percent of total billed charges		3.4254	33.3			Percent of total billed charges		3.4254	100			Fee schedule	code is bundled with other services	10.38	4.15	9.34	
"Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme"	J7620	HCPCS	Outpatient	2.5	ME	10.75	6.99		90			Percent of total billed charges		9.68	40			Percent of total billed charges		4.3	80			Percent of total billed charges		8.6	90			Percent of total billed charges		9.68	100			Fee schedule	code is bundled with other services	10.75	85			Percent of total billed charges		9.14	100			Fee schedule	code is bundled with other services	10.75	100			Fee schedule	code is bundled with other services	10.75	100			Fee schedule	code is bundled with other services	10.75	100			Fee schedule	code is bundled with other services	10.75	33.3			Percent of total billed charges		3.5475	33.3			Percent of total billed charges		3.5475	100			Fee schedule	code is bundled with other services	10.75	4.3	9.68	
"Matristem micromatrix, 1 mg"	Q4118	CPT	Outpatient			11	7.15		90			Percent of total billed charges		9.9	40			Percent of total billed charges		4.4	80			Percent of total billed charges		8.8	90			Percent of total billed charges		9.9	100			Fee schedule	code is bundled with other services	11	85			Percent of total billed charges		9.35	100			Fee schedule	code is bundled with other services	11	100			Fee schedule	code is bundled with other services	11	100			Fee schedule	code is bundled with other services	11	100			Fee schedule	code is bundled with other services	11	33.3			Percent of total billed charges		3.63	33.3			Percent of total billed charges		3.63	100			Fee schedule	code is bundled with other services	11	4.4	9.9	
"Injection, mannitol, 25% in 50 ml"	J2150	HCPCS	Outpatient	50	ML	12	7.8		90			Percent of total billed charges		10.8	40			Percent of total billed charges		4.8	80			Percent of total billed charges		9.6	90			Percent of total billed charges		10.8	100			Fee schedule	code is bundled with other services	12	85			Percent of total billed charges		10.2	100			Fee schedule	code is bundled with other services	12	100			Fee schedule	code is bundled with other services	12	100			Fee schedule	code is bundled with other services	12	100			Fee schedule	code is bundled with other services	12	33.3			Percent of total billed charges		3.96	33.3			Percent of total billed charges		3.96	100			Fee schedule	code is bundled with other services	12	4.8	10.8	
"Injection, nalbuphine hydrochloride, per 10 mg"	J2300	HCPCS	Outpatient	10	ME	12	7.8		90			Percent of total billed charges		10.8	40			Percent of total billed charges		4.8	80			Percent of total billed charges		9.6	90			Percent of total billed charges		10.8	100			Fee schedule	code is bundled with other services	12	85			Percent of total billed charges		10.2	100			Fee schedule	code is bundled with other services	12	100			Fee schedule	code is bundled with other services	12	100			Fee schedule	code is bundled with other services	12	100			Fee schedule	code is bundled with other services	12	33.3			Percent of total billed charges		3.96	33.3			Percent of total billed charges		3.96	100			Fee schedule	code is bundled with other services	12	4.8	10.8	
"Injection, dopamine hcl, 40 mg"	J1265	HCPCS	Outpatient	40	ME	12.35	8.03		90			Percent of total billed charges		11.12	40			Percent of total billed charges		4.94	80			Percent of total billed charges		9.88	90			Percent of total billed charges		11.12	100			Fee schedule	code is bundled with other services	12.35	85			Percent of total billed charges		10.5	100			Fee schedule	code is bundled with other services	12.35	100			Fee schedule	code is bundled with other services	12.35	100			Fee schedule	code is bundled with other services	12.35	100			Fee schedule	code is bundled with other services	12.35	33.3			Percent of total billed charges		4.0755	33.3			Percent of total billed charges		4.0755	100			Fee schedule	code is bundled with other services	12.35	4.94	11.12	
"Injection, amikacin sulfate, 100 mg"	J0278	HCPCS	Outpatient	100	ME	12.8	8.32		90			Percent of total billed charges		11.52	40			Percent of total billed charges		5.12	80			Percent of total billed charges		10.24	90			Percent of total billed charges		11.52	100			Fee schedule	code is bundled with other services	12.8	85			Percent of total billed charges		10.88	100			Fee schedule	code is bundled with other services	12.8	100			Fee schedule	code is bundled with other services	12.8	100			Fee schedule	code is bundled with other services	12.8	100			Fee schedule	code is bundled with other services	12.8	33.3			Percent of total billed charges		4.224	33.3			Percent of total billed charges		4.224	100			Fee schedule	code is bundled with other services	12.8	5.12	11.52	
"Injection, protamine sulfate, per 10 mg"	J2720	HCPCS	Outpatient	10	ME	13	8.45		90			Percent of total billed charges		11.7	40			Percent of total billed charges		5.2	80			Percent of total billed charges		10.4	90			Percent of total billed charges		11.7	100			Fee schedule	code is bundled with other services	13	85			Percent of total billed charges		11.05	100			Fee schedule	code is bundled with other services	13	100			Fee schedule	code is bundled with other services	13	100			Fee schedule	code is bundled with other services	13	100			Fee schedule	code is bundled with other services	13	33.3			Percent of total billed charges		4.29	33.3			Percent of total billed charges		4.29	100			Fee schedule	code is bundled with other services	13	5.2	11.7	
"Injection, midazolam hydrochloride, per 1 mg"	J2250	HCPCS	Outpatient	1	ME	13.75	8.94		90			Percent of total billed charges		12.38	40			Percent of total billed charges		5.5	80			Percent of total billed charges		11	90			Percent of total billed charges		12.38	100			Fee schedule	code is bundled with other services	13.75	85			Percent of total billed charges		11.69	100			Fee schedule	code is bundled with other services	13.75	100			Fee schedule	code is bundled with other services	13.75	100			Fee schedule	code is bundled with other services	13.75	100			Fee schedule	code is bundled with other services	13.75	33.3			Percent of total billed charges		4.5375	33.3			Percent of total billed charges		4.5375	100			Fee schedule	code is bundled with other services	13.75	5.5	12.38	
"Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)"	J0153	HCPCS	Outpatient	1	ME	13.83	8.99		90			Percent of total billed charges		12.45	40			Percent of total billed charges		5.53	80			Percent of total billed charges		11.07	90			Percent of total billed charges		12.45	100			Fee schedule	code is bundled with other services	13.83	85			Percent of total billed charges		11.76	100			Fee schedule	code is bundled with other services	13.83	100			Fee schedule	code is bundled with other services	13.83	100			Fee schedule	code is bundled with other services	13.83	100			Fee schedule	code is bundled with other services	13.83	33.3			Percent of total billed charges		4.5639	33.3			Percent of total billed charges		4.5639	100			Fee schedule	code is bundled with other services	13.83	5.53	12.45	
"Injection, oxaliplatin, 0.5 mg"	J9263	HCPCS	Outpatient	0.5	ME	14.43	9.38		90			Percent of total billed charges		12.98	40			Percent of total billed charges		5.77	80			Percent of total billed charges		11.54	90			Percent of total billed charges		12.98	100			Fee schedule	code is bundled with other services	14.43	85			Percent of total billed charges		12.26	100			Fee schedule	code is bundled with other services	14.43	100			Fee schedule	code is bundled with other services	14.43	100			Fee schedule	code is bundled with other services	14.43	100			Fee schedule	code is bundled with other services	14.43	33.3			Percent of total billed charges		4.7619	33.3			Percent of total billed charges		4.7619	100			Fee schedule	code is bundled with other services	14.43	5.77	12.98	
"Azathioprine, oral, 50 mg"	J7500	HCPCS	Outpatient	50	ME	14.88	9.67		90			Percent of total billed charges		13.39	40			Percent of total billed charges		5.95	80			Percent of total billed charges		11.9	90			Percent of total billed charges		13.39	100			Fee schedule	code is bundled with other services	14.88	85			Percent of total billed charges		12.64	100			Fee schedule	code is bundled with other services	14.88	100			Fee schedule	code is bundled with other services	14.88	100			Fee schedule	code is bundled with other services	14.88	100			Fee schedule	code is bundled with other services	14.88	33.3			Percent of total billed charges		4.9104	33.3			Percent of total billed charges		4.9104	100			Fee schedule	code is bundled with other services	14.88	5.95	13.39	
"Injection, papaverine hcl, up to 60 mg"	J2440	HCPCS	Outpatient	60	ME	15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	100			Fee schedule	code is bundled with other services	15	85			Percent of total billed charges		12.75	100			Fee schedule	code is bundled with other services	15	100			Fee schedule	code is bundled with other services	15	100			Fee schedule	code is bundled with other services	15	100			Fee schedule	code is bundled with other services	15	33.3			Percent of total billed charges		4.95	33.3			Percent of total billed charges		4.95	100			Fee schedule	code is bundled with other services	15	6	13.5	
"Injection, mesna, 200 mg"	J9209	HCPCS	Outpatient	200	ME	15.11	9.82		90			Percent of total billed charges		13.6	40			Percent of total billed charges		6.04	80			Percent of total billed charges		12.09	90			Percent of total billed charges		13.6	100			Fee schedule	code is bundled with other services	15.11	85			Percent of total billed charges		12.84	100			Fee schedule	code is bundled with other services	15.11	100			Fee schedule	code is bundled with other services	15.11	100			Fee schedule	code is bundled with other services	15.11	100			Fee schedule	code is bundled with other services	15.11	33.3			Percent of total billed charges		4.9863	33.3			Percent of total billed charges		4.9863	100			Fee schedule	code is bundled with other services	15.11	6.04	13.6	
"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, concentrated form, 0.5 mg"	J7612	HCPCS	Outpatient	0.5	ME	15.22	9.89		90			Percent of total billed charges		13.7	40			Percent of total billed charges		6.09	80			Percent of total billed charges		12.18	90			Percent of total billed charges		13.7	100			Fee schedule	code is bundled with other services	15.22	85			Percent of total billed charges		12.94	100			Fee schedule	code is bundled with other services	15.22	100			Fee schedule	code is bundled with other services	15.22	100			Fee schedule	code is bundled with other services	15.22	100			Fee schedule	code is bundled with other services	15.22	33.3			Percent of total billed charges		5.0226	33.3			Percent of total billed charges		5.0226	100			Fee schedule	code is bundled with other services	15.22	6.09	13.7	
"Injection, caffeine citrate, 5 mg"	J0706	HCPCS	Outpatient	5	ME	15.25	9.91		90			Percent of total billed charges		13.72	40			Percent of total billed charges		6.1	80			Percent of total billed charges		12.2	90			Percent of total billed charges		13.72	100			Fee schedule	code is bundled with other services	15.25	85			Percent of total billed charges		12.96	100			Fee schedule	code is bundled with other services	15.25	100			Fee schedule	code is bundled with other services	15.25	100			Fee schedule	code is bundled with other services	15.25	100			Fee schedule	code is bundled with other services	15.25	33.3			Percent of total billed charges		5.0325	33.3			Percent of total billed charges		5.0325	100			Fee schedule	code is bundled with other services	15.25	6.1	13.72	
"Injection, oxacillin sodium, up to 250 mg"	J2700	HCPCS	Outpatient	250	ME	15.5	10.08		90			Percent of total billed charges		13.95	40			Percent of total billed charges		6.2	80			Percent of total billed charges		12.4	90			Percent of total billed charges		13.95	100			Fee schedule	code is bundled with other services	15.5	85			Percent of total billed charges		13.18	100			Fee schedule	code is bundled with other services	15.5	100			Fee schedule	code is bundled with other services	15.5	100			Fee schedule	code is bundled with other services	15.5	100			Fee schedule	code is bundled with other services	15.5	33.3			Percent of total billed charges		5.115	33.3			Percent of total billed charges		5.115	100			Fee schedule	code is bundled with other services	15.5	6.2	13.95	
"Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml"	Q9966	CPT	Outpatient			16	10.4		90			Percent of total billed charges		14.4	40			Percent of total billed charges		6.4	80			Percent of total billed charges		12.8	90			Percent of total billed charges		14.4	100			Fee schedule	code is bundled with other services	16	85			Percent of total billed charges		13.6	100			Fee schedule	code is bundled with other services	16	100			Fee schedule	code is bundled with other services	16	100			Fee schedule	code is bundled with other services	16	100			Fee schedule	code is bundled with other services	16	33.3			Percent of total billed charges		5.28	33.3			Percent of total billed charges		5.28	100			Fee schedule	code is bundled with other services	16	6.4	14.4	
"Injection, lincomycin hcl, up to 300 mg"	J2010	HCPCS	Outpatient	300	ME	16	10.4		90			Percent of total billed charges		14.4	40			Percent of total billed charges		6.4	80			Percent of total billed charges		12.8	90			Percent of total billed charges		14.4	100			Fee schedule	code is bundled with other services	16	85			Percent of total billed charges		13.6	100			Fee schedule	code is bundled with other services	16	100			Fee schedule	code is bundled with other services	16	100			Fee schedule	code is bundled with other services	16	100			Fee schedule	code is bundled with other services	16	33.3			Percent of total billed charges		5.28	33.3			Percent of total billed charges		5.28	100			Fee schedule	code is bundled with other services	16	6.4	14.4	
Unclassified biologics	J3590	HCPCS	Outpatient	1	EA	16.17	10.51		90			Percent of total billed charges		14.56	40			Percent of total billed charges		6.47	80			Percent of total billed charges		12.94	90			Percent of total billed charges		14.56	100			Fee schedule	code is bundled with other services	16.17	85			Percent of total billed charges		13.75	100			Fee schedule	code is bundled with other services	16.17	100			Fee schedule	code is bundled with other services	16.17	100			Fee schedule	code is bundled with other services	16.17	100			Fee schedule	code is bundled with other services	16.17	33.3			Percent of total billed charges		5.3361	33.3			Percent of total billed charges		5.3361	100			Fee schedule	code is bundled with other services	16.17	6.47	14.56	
"Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg"	J2916	HCPCS	Outpatient	12.5	ME	16.6	10.79		90			Percent of total billed charges		14.94	40			Percent of total billed charges		6.64	80			Percent of total billed charges		13.28	90			Percent of total billed charges		14.94	100			Fee schedule	code is bundled with other services	16.6	85			Percent of total billed charges		14.11	100			Fee schedule	code is bundled with other services	16.6	100			Fee schedule	code is bundled with other services	16.6	100			Fee schedule	code is bundled with other services	16.6	100			Fee schedule	code is bundled with other services	16.6	33.3			Percent of total billed charges		5.478	33.3			Percent of total billed charges		5.478	100			Fee schedule	code is bundled with other services	16.6	6.64	14.94	
"Injection, diphenhydramine hcl, up to 50 mg"	J1200	HCPCS	Outpatient	50	ME	17.5	11.38		90			Percent of total billed charges		15.75	40			Percent of total billed charges		7	80			Percent of total billed charges		14	90			Percent of total billed charges		15.75	100			Fee schedule	code is bundled with other services	17.5	85			Percent of total billed charges		14.88	100			Fee schedule	code is bundled with other services	17.5	100			Fee schedule	code is bundled with other services	17.5	100			Fee schedule	code is bundled with other services	17.5	100			Fee schedule	code is bundled with other services	17.5	33.3			Percent of total billed charges		5.775	33.3			Percent of total billed charges		5.775	100			Fee schedule	code is bundled with other services	17.5	7	15.75	
"Injection, progesterone, per 50 mg"	J2675	HCPCS	Outpatient	50	ME	17.5	11.38		90			Percent of total billed charges		15.75	40			Percent of total billed charges		7	80			Percent of total billed charges		14	90			Percent of total billed charges		15.75	100			Fee schedule	code is bundled with other services	17.5	85			Percent of total billed charges		14.88	100			Fee schedule	code is bundled with other services	17.5	100			Fee schedule	code is bundled with other services	17.5	100			Fee schedule	code is bundled with other services	17.5	100			Fee schedule	code is bundled with other services	17.5	33.3			Percent of total billed charges		5.775	33.3			Percent of total billed charges		5.775	100			Fee schedule	code is bundled with other services	17.5	7	15.75	
"Injection, lidocaine hcl for intravenous infusion, 10 mg"	J2001	HCPCS	Outpatient	10	ME	17.5	11.38		90			Percent of total billed charges		15.75	40			Percent of total billed charges		7	80			Percent of total billed charges		14	90			Percent of total billed charges		15.75	100			Fee schedule	code is bundled with other services	17.5	85			Percent of total billed charges		14.88	100			Fee schedule	code is bundled with other services	17.5	100			Fee schedule	code is bundled with other services	17.5	100			Fee schedule	code is bundled with other services	17.5	100			Fee schedule	code is bundled with other services	17.5	33.3			Percent of total billed charges		5.775	33.3			Percent of total billed charges		5.775	100			Fee schedule	code is bundled with other services	17.5	7	15.75	
"Injection, metoclopramide hcl, up to 10 mg"	J2765	HCPCS	Outpatient	10	ME	17.5	11.38		90			Percent of total billed charges		15.75	40			Percent of total billed charges		7	80			Percent of total billed charges		14	90			Percent of total billed charges		15.75	100			Fee schedule	code is bundled with other services	17.5	85			Percent of total billed charges		14.88	100			Fee schedule	code is bundled with other services	17.5	100			Fee schedule	code is bundled with other services	17.5	100			Fee schedule	code is bundled with other services	17.5	100			Fee schedule	code is bundled with other services	17.5	33.3			Percent of total billed charges		5.775	33.3			Percent of total billed charges		5.775	100			Fee schedule	code is bundled with other services	17.5	7	15.75	
"Injection, promethazine hcl, up to 50 mg"	J2550	HCPCS	Outpatient	50	ME	17.5	11.38		90			Percent of total billed charges		15.75	40			Percent of total billed charges		7	80			Percent of total billed charges		14	90			Percent of total billed charges		15.75	100			Fee schedule	code is bundled with other services	17.5	85			Percent of total billed charges		14.88	100			Fee schedule	code is bundled with other services	17.5	100			Fee schedule	code is bundled with other services	17.5	100			Fee schedule	code is bundled with other services	17.5	100			Fee schedule	code is bundled with other services	17.5	33.3			Percent of total billed charges		5.775	33.3			Percent of total billed charges		5.775	100			Fee schedule	code is bundled with other services	17.5	7	15.75	
"Injection, magnesium sulfate, per 500 mg"	J3475	HCPCS	Outpatient	500	ME	21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	100			Fee schedule	code is bundled with other services	21	85			Percent of total billed charges		17.85	100			Fee schedule	code is bundled with other services	21	100			Fee schedule	code is bundled with other services	21	100			Fee schedule	code is bundled with other services	21	100			Fee schedule	code is bundled with other services	21	33.3			Percent of total billed charges		6.93	33.3			Percent of total billed charges		6.93	100			Fee schedule	code is bundled with other services	21	8.4	18.9	
"Injection, succinylcholine chloride, up to 20 mg"	J0330	HCPCS	Outpatient	20	ME	21.8	14.17		90			Percent of total billed charges		19.62	40			Percent of total billed charges		8.72	80			Percent of total billed charges		17.44	90			Percent of total billed charges		19.62	100			Fee schedule	code is bundled with other services	21.8	85			Percent of total billed charges		18.53	100			Fee schedule	code is bundled with other services	21.8	100			Fee schedule	code is bundled with other services	21.8	100			Fee schedule	code is bundled with other services	21.8	100			Fee schedule	code is bundled with other services	21.8	33.3			Percent of total billed charges		7.194	33.3			Percent of total billed charges		7.194	100			Fee schedule	code is bundled with other services	21.8	8.72	19.62	
"Injection, phytonadione (vitamin k), per 1 mg"	J3430	HCPCS	Outpatient	1	ME	22.32	14.5		90			Percent of total billed charges		20.08	40			Percent of total billed charges		8.93	80			Percent of total billed charges		17.85	90			Percent of total billed charges		20.08	100			Fee schedule	code is bundled with other services	22.32	85			Percent of total billed charges		18.97	100			Fee schedule	code is bundled with other services	22.32	100			Fee schedule	code is bundled with other services	22.32	100			Fee schedule	code is bundled with other services	22.32	100			Fee schedule	code is bundled with other services	22.32	33.3			Percent of total billed charges		7.3656	33.3			Percent of total billed charges		7.3656	100			Fee schedule	code is bundled with other services	22.32	8.93	20.08	
"Injection, cefazolin sodium, 500 mg"	J0690	HCPCS	Outpatient	500	ME	24.5	15.92		90			Percent of total billed charges		22.05	40			Percent of total billed charges		9.8	80			Percent of total billed charges		19.6	90			Percent of total billed charges		22.05	100			Fee schedule	code is bundled with other services	24.5	85			Percent of total billed charges		20.82	100			Fee schedule	code is bundled with other services	24.5	100			Fee schedule	code is bundled with other services	24.5	100			Fee schedule	code is bundled with other services	24.5	100			Fee schedule	code is bundled with other services	24.5	33.3			Percent of total billed charges		8.085	33.3			Percent of total billed charges		8.085	100			Fee schedule	code is bundled with other services	24.5	9.8	22.05	
"Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen"	Q0162	CPT	Outpatient			25.19	16.37		90			Percent of total billed charges		22.67	40			Percent of total billed charges		10.08	80			Percent of total billed charges		20.15	90			Percent of total billed charges		22.67	100			Fee schedule	code is bundled with other services	25.19	85			Percent of total billed charges		21.41	100			Fee schedule	code is bundled with other services	25.19	100			Fee schedule	code is bundled with other services	25.19	100			Fee schedule	code is bundled with other services	25.19	100			Fee schedule	code is bundled with other services	25.19	33.3			Percent of total billed charges		8.3127	33.3			Percent of total billed charges		8.3127	100			Fee schedule	code is bundled with other services	25.19	10.08	22.67	
"Cyclosporine, oral, 100 mg"	J7502	HCPCS	Outpatient	100	ME	25.25	16.41		90			Percent of total billed charges		22.72	40			Percent of total billed charges		10.1	80			Percent of total billed charges		20.2	90			Percent of total billed charges		22.72	100			Fee schedule	code is bundled with other services	25.25	85			Percent of total billed charges		21.46	100			Fee schedule	code is bundled with other services	25.25	100			Fee schedule	code is bundled with other services	25.25	100			Fee schedule	code is bundled with other services	25.25	100			Fee schedule	code is bundled with other services	25.25	33.3			Percent of total billed charges		8.3325	33.3			Percent of total billed charges		8.3325	100			Fee schedule	code is bundled with other services	25.25	10.1	22.72	
"Injection, meropenem, 100 mg"	J2185	HCPCS	Outpatient	100	ME	25.8	16.77		90			Percent of total billed charges		23.22	40			Percent of total billed charges		10.32	80			Percent of total billed charges		20.64	90			Percent of total billed charges		23.22	100			Fee schedule	code is bundled with other services	25.8	85			Percent of total billed charges		21.93	100			Fee schedule	code is bundled with other services	25.8	100			Fee schedule	code is bundled with other services	25.8	100			Fee schedule	code is bundled with other services	25.8	100			Fee schedule	code is bundled with other services	25.8	33.3			Percent of total billed charges		8.514	33.3			Percent of total billed charges		8.514	100			Fee schedule	code is bundled with other services	25.8	10.32	23.22	
"Injection, fluorouracil, 500 mg"	J9190	HCPCS	Outpatient	500	ME	25.9	16.84		90			Percent of total billed charges		23.31	40			Percent of total billed charges		10.36	80			Percent of total billed charges		20.72	90			Percent of total billed charges		23.31	100			Fee schedule	code is bundled with other services	25.9	85			Percent of total billed charges		22.02	100			Fee schedule	code is bundled with other services	25.9	100			Fee schedule	code is bundled with other services	25.9	100			Fee schedule	code is bundled with other services	25.9	100			Fee schedule	code is bundled with other services	25.9	33.3			Percent of total billed charges		8.547	33.3			Percent of total billed charges		8.547	100			Fee schedule	code is bundled with other services	25.9	10.36	23.31	
"Injection, neostigmine methylsulfate, up to 0.5 mg"	J2710	HCPCS	Outpatient	0.5	ME	26	16.9		90			Percent of total billed charges		23.4	40			Percent of total billed charges		10.4	80			Percent of total billed charges		20.8	90			Percent of total billed charges		23.4	100			Fee schedule	code is bundled with other services	26	85			Percent of total billed charges		22.1	100			Fee schedule	code is bundled with other services	26	100			Fee schedule	code is bundled with other services	26	100			Fee schedule	code is bundled with other services	26	100			Fee schedule	code is bundled with other services	26	33.3			Percent of total billed charges		8.58	33.3			Percent of total billed charges		8.58	100			Fee schedule	code is bundled with other services	26	10.4	23.4	
"Injection, octreotide, non-depot form for subcutaneous or intravenous injection, 25 mcg"	J2354	HCPCS	Outpatient	25	UN	26.25	17.06		90			Percent of total billed charges		23.62	40			Percent of total billed charges		10.5	80			Percent of total billed charges		21	90			Percent of total billed charges		23.62	100			Fee schedule	code is bundled with other services	26.25	85			Percent of total billed charges		22.31	100			Fee schedule	code is bundled with other services	26.25	100			Fee schedule	code is bundled with other services	26.25	100			Fee schedule	code is bundled with other services	26.25	100			Fee schedule	code is bundled with other services	26.25	33.3			Percent of total billed charges		8.6625	33.3			Percent of total billed charges		8.6625	100			Fee schedule	code is bundled with other services	26.25	10.5	23.62	
"Injection, ceftazidime, per 500 mg"	J0713	HCPCS	Outpatient	500	ME	26.5	17.22		90			Percent of total billed charges		23.85	40			Percent of total billed charges		10.6	80			Percent of total billed charges		21.2	90			Percent of total billed charges		23.85	100			Fee schedule	code is bundled with other services	26.5	85			Percent of total billed charges		22.52	100			Fee schedule	code is bundled with other services	26.5	100			Fee schedule	code is bundled with other services	26.5	100			Fee schedule	code is bundled with other services	26.5	100			Fee schedule	code is bundled with other services	26.5	33.3			Percent of total billed charges		8.745	33.3			Percent of total billed charges		8.745	100			Fee schedule	code is bundled with other services	26.5	10.6	23.85	
"Injection, tobramycin sulfate, up to 80 mg"	J3260	HCPCS	Outpatient	80	ME	26.67	17.33		90			Percent of total billed charges		24	40			Percent of total billed charges		10.67	80			Percent of total billed charges		21.33	90			Percent of total billed charges		24	100			Fee schedule	code is bundled with other services	26.67	85			Percent of total billed charges		22.67	100			Fee schedule	code is bundled with other services	26.67	100			Fee schedule	code is bundled with other services	26.67	100			Fee schedule	code is bundled with other services	26.67	100			Fee schedule	code is bundled with other services	26.67	33.3			Percent of total billed charges		8.8011	33.3			Percent of total billed charges		8.8011	100			Fee schedule	code is bundled with other services	26.67	10.67	24	
"Injection, fentanyl citrate, 0.1 mg"	J3010	HCPCS	Outpatient	0.1	ME	27.5	17.88		90			Percent of total billed charges		24.75	40			Percent of total billed charges		11	80			Percent of total billed charges		22	90			Percent of total billed charges		24.75	100			Fee schedule	code is bundled with other services	27.5	85			Percent of total billed charges		23.38	100			Fee schedule	code is bundled with other services	27.5	100			Fee schedule	code is bundled with other services	27.5	100			Fee schedule	code is bundled with other services	27.5	100			Fee schedule	code is bundled with other services	27.5	33.3			Percent of total billed charges		9.075	33.3			Percent of total billed charges		9.075	100			Fee schedule	code is bundled with other services	27.5	11	24.75	
"Injection, morphine sulfate, up to 10 mg"	J2270	HCPCS	Outpatient	10	ME	27.5	17.88		90			Percent of total billed charges		24.75	40			Percent of total billed charges		11	80			Percent of total billed charges		22	90			Percent of total billed charges		24.75	100			Fee schedule	code is bundled with other services	27.5	85			Percent of total billed charges		23.38	100			Fee schedule	code is bundled with other services	27.5	100			Fee schedule	code is bundled with other services	27.5	100			Fee schedule	code is bundled with other services	27.5	100			Fee schedule	code is bundled with other services	27.5	33.3			Percent of total billed charges		9.075	33.3			Percent of total billed charges		9.075	100			Fee schedule	code is bundled with other services	27.5	11	24.75	
"Injection, hydromorphone, up to 4 mg"	J1170	HCPCS	Outpatient	4	ME	27.5	17.88		90			Percent of total billed charges		24.75	40			Percent of total billed charges		11	80			Percent of total billed charges		22	90			Percent of total billed charges		24.75	100			Fee schedule	code is bundled with other services	27.5	85			Percent of total billed charges		23.38	100			Fee schedule	code is bundled with other services	27.5	100			Fee schedule	code is bundled with other services	27.5	100			Fee schedule	code is bundled with other services	27.5	100			Fee schedule	code is bundled with other services	27.5	33.3			Percent of total billed charges		9.075	33.3			Percent of total billed charges		9.075	100			Fee schedule	code is bundled with other services	27.5	11	24.75	
"Injection, lorazepam, 2 mg"	J2060	HCPCS	Outpatient	2	ME	27.5	17.88		90			Percent of total billed charges		24.75	40			Percent of total billed charges		11	80			Percent of total billed charges		22	90			Percent of total billed charges		24.75	100			Fee schedule	code is bundled with other services	27.5	85			Percent of total billed charges		23.38	100			Fee schedule	code is bundled with other services	27.5	100			Fee schedule	code is bundled with other services	27.5	100			Fee schedule	code is bundled with other services	27.5	100			Fee schedule	code is bundled with other services	27.5	33.3			Percent of total billed charges		9.075	33.3			Percent of total billed charges		9.075	100			Fee schedule	code is bundled with other services	27.5	11	24.75	
"Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular use"	90714	CPT	Outpatient			28	18.2		90			Percent of total billed charges		25.2	40			Percent of total billed charges		11.2	80			Percent of total billed charges		22.4	90			Percent of total billed charges		25.2	100			Fee schedule	code is bundled with other services	28	85			Percent of total billed charges		23.8	100			Fee schedule	code is bundled with other services	28	100			Fee schedule	code is bundled with other services	28	100			Fee schedule	code is bundled with other services	28	100			Fee schedule	code is bundled with other services	28	33.3			Percent of total billed charges		9.24	33.3			Percent of total billed charges		9.24	100			Fee schedule	code is bundled with other services	28	11.2	25.2	
"Levalbuterol, inhalation solution, compounded product, administered through dme, concentrated form, 0.5 mg"	J7607	HCPCS	Outpatient	0.5	ME	29.8	19.37		90			Percent of total billed charges		26.82	40			Percent of total billed charges		11.92	80			Percent of total billed charges		23.84	90			Percent of total billed charges		26.82	100			Fee schedule	code is bundled with other services	29.8	85			Percent of total billed charges		25.33	100			Fee schedule	code is bundled with other services	29.8	100			Fee schedule	code is bundled with other services	29.8	100			Fee schedule	code is bundled with other services	29.8	100			Fee schedule	code is bundled with other services	29.8	33.3			Percent of total billed charges		9.834	33.3			Percent of total billed charges		9.834	100			Fee schedule	code is bundled with other services	29.8	11.92	26.82	
"Injection, butorphanol tartrate, 1 mg"	J0595	HCPCS	Outpatient	1	ME	30	19.5		90			Percent of total billed charges		27	40			Percent of total billed charges		12	80			Percent of total billed charges		24	90			Percent of total billed charges		27	100			Fee schedule	code is bundled with other services	30	85			Percent of total billed charges		25.5	100			Fee schedule	code is bundled with other services	30	100			Fee schedule	code is bundled with other services	30	100			Fee schedule	code is bundled with other services	30	100			Fee schedule	code is bundled with other services	30	33.3			Percent of total billed charges		9.9	33.3			Percent of total billed charges		9.9	100			Fee schedule	code is bundled with other services	30	12	27	
"Levalbuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 0.5 mg"	J7614	HCPCS	Outpatient	0.5	ME	30.16	19.6		90			Percent of total billed charges		27.14	40			Percent of total billed charges		12.06	80			Percent of total billed charges		24.13	90			Percent of total billed charges		27.14	100			Fee schedule	code is bundled with other services	30.16	85			Percent of total billed charges		25.63	100			Fee schedule	code is bundled with other services	30.16	100			Fee schedule	code is bundled with other services	30.16	100			Fee schedule	code is bundled with other services	30.16	100			Fee schedule	code is bundled with other services	30.16	33.3			Percent of total billed charges		9.9528	33.3			Percent of total billed charges		9.9528	100			Fee schedule	code is bundled with other services	30.16	12.06	27.14	
5% dextrose/normal saline (500 ml = 1 unit)	J7042	HCPCS	Outpatient	500	ML	30.25	19.66		90			Percent of total billed charges		27.22	40			Percent of total billed charges		12.1	80			Percent of total billed charges		24.2	90			Percent of total billed charges		27.22	100			Fee schedule	code is bundled with other services	30.25	85			Percent of total billed charges		25.71	100			Fee schedule	code is bundled with other services	30.25	100			Fee schedule	code is bundled with other services	30.25	100			Fee schedule	code is bundled with other services	30.25	100			Fee schedule	code is bundled with other services	30.25	33.3			Percent of total billed charges		9.9825	33.3			Percent of total billed charges		9.9825	100			Fee schedule	code is bundled with other services	30.25	12.1	27.22	
"Infusion, d5w, 1000 cc"	J7070	HCPCS	Outpatient	1000	ML	30.25	19.66		90			Percent of total billed charges		27.22	40			Percent of total billed charges		12.1	80			Percent of total billed charges		24.2	90			Percent of total billed charges		27.22	100			Fee schedule	code is bundled with other services	30.25	85			Percent of total billed charges		25.71	100			Fee schedule	code is bundled with other services	30.25	100			Fee schedule	code is bundled with other services	30.25	100			Fee schedule	code is bundled with other services	30.25	100			Fee schedule	code is bundled with other services	30.25	33.3			Percent of total billed charges		9.9825	33.3			Percent of total billed charges		9.9825	100			Fee schedule	code is bundled with other services	30.25	12.1	27.22	
"Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams)"	J2543	HCPCS	Outpatient	1.125	GR	31.67	20.58		90			Percent of total billed charges		28.5	40			Percent of total billed charges		12.67	80			Percent of total billed charges		25.33	90			Percent of total billed charges		28.5	100			Fee schedule	code is bundled with other services	31.67	85			Percent of total billed charges		26.92	100			Fee schedule	code is bundled with other services	31.67	100			Fee schedule	code is bundled with other services	31.67	100			Fee schedule	code is bundled with other services	31.67	100			Fee schedule	code is bundled with other services	31.67	33.3			Percent of total billed charges		10.4511	33.3			Percent of total billed charges		10.4511	100			Fee schedule	code is bundled with other services	31.67	12.67	28.5	
"Gammagraft, per square centimeter"	Q4111	CPT	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	100			Fee schedule	code is bundled with other services	32	85			Percent of total billed charges		27.2	100			Fee schedule	code is bundled with other services	32	100			Fee schedule	code is bundled with other services	32	100			Fee schedule	code is bundled with other services	32	100			Fee schedule	code is bundled with other services	32	33.3			Percent of total billed charges		10.56	33.3			Percent of total billed charges		10.56	100			Fee schedule	code is bundled with other services	32	12.8	28.8	
"Injection, haloperidol, up to 5 mg"	J1630	HCPCS	Outpatient	5	ME	33	21.45		90			Percent of total billed charges		29.7	40			Percent of total billed charges		13.2	80			Percent of total billed charges		26.4	90			Percent of total billed charges		29.7	100			Fee schedule	code is bundled with other services	33	85			Percent of total billed charges		28.05	100			Fee schedule	code is bundled with other services	33	100			Fee schedule	code is bundled with other services	33	100			Fee schedule	code is bundled with other services	33	100			Fee schedule	code is bundled with other services	33	33.3			Percent of total billed charges		10.89	33.3			Percent of total billed charges		10.89	100			Fee schedule	code is bundled with other services	33	13.2	29.7	
"Injection, meperidine hydrochloride, per 100 mg"	J2175	HCPCS	Outpatient	100	ME	33	21.45		90			Percent of total billed charges		29.7	40			Percent of total billed charges		13.2	80			Percent of total billed charges		26.4	90			Percent of total billed charges		29.7	100			Fee schedule	code is bundled with other services	33	85			Percent of total billed charges		28.05	100			Fee schedule	code is bundled with other services	33	100			Fee schedule	code is bundled with other services	33	100			Fee schedule	code is bundled with other services	33	100			Fee schedule	code is bundled with other services	33	33.3			Percent of total billed charges		10.89	33.3			Percent of total billed charges		10.89	100			Fee schedule	code is bundled with other services	33	13.2	29.7	
"Poliovirus vaccine, inactivated (IPV), for subcutaneous or intramuscular use"	90713	CPT	Outpatient			35	22.75		90			Percent of total billed charges		31.5	40			Percent of total billed charges		14	80			Percent of total billed charges		28	90			Percent of total billed charges		31.5	100			Fee schedule	code is bundled with other services	35	85			Percent of total billed charges		29.75	100			Fee schedule	code is bundled with other services	35	100			Fee schedule	code is bundled with other services	35	100			Fee schedule	code is bundled with other services	35	100			Fee schedule	code is bundled with other services	35	33.3			Percent of total billed charges		11.55	33.3			Percent of total billed charges		11.55	100			Fee schedule	code is bundled with other services	35	14	31.5	
"Injection, irinotecan, 20 mg"	J9206	HCPCS	Outpatient	20	ME	35.87	23.31		90			Percent of total billed charges		32.28	40			Percent of total billed charges		14.35	80			Percent of total billed charges		28.69	90			Percent of total billed charges		32.28	100			Fee schedule	code is bundled with other services	35.87	85			Percent of total billed charges		30.49	100			Fee schedule	code is bundled with other services	35.87	100			Fee schedule	code is bundled with other services	35.87	100			Fee schedule	code is bundled with other services	35.87	100			Fee schedule	code is bundled with other services	35.87	33.3			Percent of total billed charges		11.8371	33.3			Percent of total billed charges		11.8371	100			Fee schedule	code is bundled with other services	35.87	14.35	32.28	
"Injection, ampicillin sodium/sulbactam sodium, per 1.5 gm"	J0295	HCPCS	Outpatient	1.5	GR	36	23.4		90			Percent of total billed charges		32.4	40			Percent of total billed charges		14.4	80			Percent of total billed charges		28.8	90			Percent of total billed charges		32.4	100			Fee schedule	code is bundled with other services	36	85			Percent of total billed charges		30.6	100			Fee schedule	code is bundled with other services	36	100			Fee schedule	code is bundled with other services	36	100			Fee schedule	code is bundled with other services	36	100			Fee schedule	code is bundled with other services	36	33.3			Percent of total billed charges		11.88	33.3			Percent of total billed charges		11.88	100			Fee schedule	code is bundled with other services	36	14.4	32.4	
"Injection, furosemide, up to 20 mg"	J1940	HCPCS	Outpatient	20	ME	36	23.4		90			Percent of total billed charges		32.4	40			Percent of total billed charges		14.4	80			Percent of total billed charges		28.8	90			Percent of total billed charges		32.4	100			Fee schedule	code is bundled with other services	36	85			Percent of total billed charges		30.6	100			Fee schedule	code is bundled with other services	36	100			Fee schedule	code is bundled with other services	36	100			Fee schedule	code is bundled with other services	36	100			Fee schedule	code is bundled with other services	36	33.3			Percent of total billed charges		11.88	33.3			Percent of total billed charges		11.88	100			Fee schedule	code is bundled with other services	36	14.4	32.4	
"Dacarbazine, 100 mg"	J9130	HCPCS	Outpatient	100	ME	37.5	24.38		90			Percent of total billed charges		33.75	40			Percent of total billed charges		15	80			Percent of total billed charges		30	90			Percent of total billed charges		33.75	100			Fee schedule	code is bundled with other services	37.5	85			Percent of total billed charges		31.88	100			Fee schedule	code is bundled with other services	37.5	100			Fee schedule	code is bundled with other services	37.5	100			Fee schedule	code is bundled with other services	37.5	100			Fee schedule	code is bundled with other services	37.5	33.3			Percent of total billed charges		12.375	33.3			Percent of total billed charges		12.375	100			Fee schedule	code is bundled with other services	37.5	15	33.75	
"Oasis wound matrix, per square centimeter"	Q4102	CPT	Outpatient			38	24.7		90			Percent of total billed charges		34.2	40			Percent of total billed charges		15.2	80			Percent of total billed charges		30.4	90			Percent of total billed charges		34.2	100			Fee schedule	code is bundled with other services	38	85			Percent of total billed charges		32.3	100			Fee schedule	code is bundled with other services	38	100			Fee schedule	code is bundled with other services	38	100			Fee schedule	code is bundled with other services	38	100			Fee schedule	code is bundled with other services	38	33.3			Percent of total billed charges		12.54	33.3			Percent of total billed charges		12.54	100			Fee schedule	code is bundled with other services	38	15.2	34.2	
"Oasis burn matrix, per square centimeter"	Q4103	CPT	Outpatient			39	25.35		90			Percent of total billed charges		35.1	40			Percent of total billed charges		15.6	80			Percent of total billed charges		31.2	90			Percent of total billed charges		35.1	100			Fee schedule	code is bundled with other services	39	85			Percent of total billed charges		33.15	100			Fee schedule	code is bundled with other services	39	100			Fee schedule	code is bundled with other services	39	100			Fee schedule	code is bundled with other services	39	100			Fee schedule	code is bundled with other services	39	33.3			Percent of total billed charges		12.87	33.3			Percent of total billed charges		12.87	100			Fee schedule	code is bundled with other services	39	15.6	35.1	
5% dextrose/water (500 ml = 1 unit)	J7060	HCPCS	Outpatient	500	ML	40.5	26.32		90			Percent of total billed charges		36.45	40			Percent of total billed charges		16.2	80			Percent of total billed charges		32.4	90			Percent of total billed charges		36.45	100			Fee schedule	code is bundled with other services	40.5	85			Percent of total billed charges		34.42	100			Fee schedule	code is bundled with other services	40.5	100			Fee schedule	code is bundled with other services	40.5	100			Fee schedule	code is bundled with other services	40.5	100			Fee schedule	code is bundled with other services	40.5	33.3			Percent of total billed charges		13.365	33.3			Percent of total billed charges		13.365	100			Fee schedule	code is bundled with other services	40.5	16.2	36.45	
"Hepatitis A vaccine (HepA), pediatric/adolescent dosage-2 dose schedule, for intramuscular use"	90633	CPT	Outpatient			42	27.3		90			Percent of total billed charges		37.8	40			Percent of total billed charges		16.8	80			Percent of total billed charges		33.6	90			Percent of total billed charges		37.8	100			Fee schedule	code is bundled with other services	42	85			Percent of total billed charges		35.7	100			Fee schedule	code is bundled with other services	42	100			Fee schedule	code is bundled with other services	42	100			Fee schedule	code is bundled with other services	42	100			Fee schedule	code is bundled with other services	42	33.3			Percent of total billed charges		13.86	33.3			Percent of total billed charges		13.86	100			Fee schedule	code is bundled with other services	42	16.8	37.8	
"Injection, penicillin g potassium, up to 600,000 units"	J2540	HCPCS	Outpatient	600000	UN	42.01	27.31		90			Percent of total billed charges		37.81	40			Percent of total billed charges		16.8	80			Percent of total billed charges		33.61	90			Percent of total billed charges		37.81	100			Fee schedule	code is bundled with other services	42.01	85			Percent of total billed charges		35.71	100			Fee schedule	code is bundled with other services	42.01	100			Fee schedule	code is bundled with other services	42.01	100			Fee schedule	code is bundled with other services	42.01	100			Fee schedule	code is bundled with other services	42.01	33.3			Percent of total billed charges		13.8633	33.3			Percent of total billed charges		13.8633	100			Fee schedule	code is bundled with other services	42.01	16.8	37.81	
"Dronabinol, 2.5 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen"	Q0167	CPT	Outpatient			43	27.95		90			Percent of total billed charges		38.7	40			Percent of total billed charges		17.2	80			Percent of total billed charges		34.4	90			Percent of total billed charges		38.7	100			Fee schedule	code is bundled with other services	43	85			Percent of total billed charges		36.55	100			Fee schedule	code is bundled with other services	43	100			Fee schedule	code is bundled with other services	43	100			Fee schedule	code is bundled with other services	43	100			Fee schedule	code is bundled with other services	43	33.3			Percent of total billed charges		14.19	33.3			Percent of total billed charges		14.19	100			Fee schedule	code is bundled with other services	43	17.2	38.7	
"Vincristine sulfate, 1 mg"	J9370	HCPCS	Outpatient	1	ME	43	27.95		90			Percent of total billed charges		38.7	40			Percent of total billed charges		17.2	80			Percent of total billed charges		34.4	90			Percent of total billed charges		38.7	100			Fee schedule	code is bundled with other services	43	85			Percent of total billed charges		36.55	100			Fee schedule	code is bundled with other services	43	100			Fee schedule	code is bundled with other services	43	100			Fee schedule	code is bundled with other services	43	100			Fee schedule	code is bundled with other services	43	33.3			Percent of total billed charges		14.19	33.3			Percent of total billed charges		14.19	100			Fee schedule	code is bundled with other services	43	17.2	38.7	
"Injection, enoxaparin sodium, 10 mg"	J1650	HCPCS	Outpatient	10	ME	43.25	28.11		90			Percent of total billed charges		38.92	40			Percent of total billed charges		17.3	80			Percent of total billed charges		34.6	90			Percent of total billed charges		38.92	100			Fee schedule	code is bundled with other services	43.25	85			Percent of total billed charges		36.76	100			Fee schedule	code is bundled with other services	43.25	100			Fee schedule	code is bundled with other services	43.25	100			Fee schedule	code is bundled with other services	43.25	100			Fee schedule	code is bundled with other services	43.25	33.3			Percent of total billed charges		14.2725	33.3			Percent of total billed charges		14.2725	100			Fee schedule	code is bundled with other services	43.25	17.3	38.92	
"Injection, fondaparinux sodium, 0.5 mg"	J1652	HCPCS	Outpatient	0.5	ME	44.63	29.01		90			Percent of total billed charges		40.17	40			Percent of total billed charges		17.85	80			Percent of total billed charges		35.7	90			Percent of total billed charges		40.17	100			Fee schedule	code is bundled with other services	44.63	85			Percent of total billed charges		37.94	100			Fee schedule	code is bundled with other services	44.63	100			Fee schedule	code is bundled with other services	44.63	100			Fee schedule	code is bundled with other services	44.63	100			Fee schedule	code is bundled with other services	44.63	33.3			Percent of total billed charges		14.7279	33.3			Percent of total billed charges		14.7279	100			Fee schedule	code is bundled with other services	44.63	17.85	40.17	
"Diphtheria and tetanus toxoids adsorbed (DT) when administered to individuals younger than 7 years, for intramuscular use"	90702	CPT	Outpatient			45	29.25		90			Percent of total billed charges		40.5	40			Percent of total billed charges		18	80			Percent of total billed charges		36	90			Percent of total billed charges		40.5	100			Fee schedule	code is bundled with other services	45	85			Percent of total billed charges		38.25	100			Fee schedule	code is bundled with other services	45	100			Fee schedule	code is bundled with other services	45	100			Fee schedule	code is bundled with other services	45	100			Fee schedule	code is bundled with other services	45	33.3			Percent of total billed charges		14.85	33.3			Percent of total billed charges		14.85	100			Fee schedule	code is bundled with other services	45	18	40.5	
"Injection, vancomycin hcl, 500 mg"	J3370	HCPCS	Outpatient	500	ME	45.83	29.79		90			Percent of total billed charges		41.25	40			Percent of total billed charges		18.33	80			Percent of total billed charges		36.67	90			Percent of total billed charges		41.25	100			Fee schedule	code is bundled with other services	45.83	85			Percent of total billed charges		38.96	100			Fee schedule	code is bundled with other services	45.83	100			Fee schedule	code is bundled with other services	45.83	100			Fee schedule	code is bundled with other services	45.83	100			Fee schedule	code is bundled with other services	45.83	33.3			Percent of total billed charges		15.1239	33.3			Percent of total billed charges		15.1239	100			Fee schedule	code is bundled with other services	45.83	18.33	41.25	
"Injection, thiamine hcl, 100 mg"	J3411	HCPCS	Outpatient	100	ME	46.5	30.22		90			Percent of total billed charges		41.85	40			Percent of total billed charges		18.6	80			Percent of total billed charges		37.2	90			Percent of total billed charges		41.85	100			Fee schedule	code is bundled with other services	46.5	85			Percent of total billed charges		39.52	100			Fee schedule	code is bundled with other services	46.5	100			Fee schedule	code is bundled with other services	46.5	100			Fee schedule	code is bundled with other services	46.5	100			Fee schedule	code is bundled with other services	46.5	33.3			Percent of total billed charges		15.345	33.3			Percent of total billed charges		15.345	100			Fee schedule	code is bundled with other services	46.5	18.6	41.85	
"Injection, topotecan, 0.1 mg"	J9351	HCPCS	Outpatient	0.1	ME	47.43	30.83		90			Percent of total billed charges		42.68	40			Percent of total billed charges		18.97	80			Percent of total billed charges		37.94	90			Percent of total billed charges		42.68	100			Fee schedule	code is bundled with other services	47.43	85			Percent of total billed charges		40.31	100			Fee schedule	code is bundled with other services	47.43	100			Fee schedule	code is bundled with other services	47.43	100			Fee schedule	code is bundled with other services	47.43	100			Fee schedule	code is bundled with other services	47.43	33.3			Percent of total billed charges		15.6519	33.3			Percent of total billed charges		15.6519	100			Fee schedule	code is bundled with other services	47.43	18.97	42.68	
"Oasis ultra tri-layer wound matrix, per square centimeter"	Q4124	CPT	Outpatient			49	31.85		90			Percent of total billed charges		44.1	40			Percent of total billed charges		19.6	80			Percent of total billed charges		39.2	90			Percent of total billed charges		44.1	100			Fee schedule	code is bundled with other services	49	85			Percent of total billed charges		41.65	100			Fee schedule	code is bundled with other services	49	100			Fee schedule	code is bundled with other services	49	100			Fee schedule	code is bundled with other services	49	100			Fee schedule	code is bundled with other services	49	33.3			Percent of total billed charges		16.17	33.3			Percent of total billed charges		16.17	100			Fee schedule	code is bundled with other services	49	19.6	44.1	
"Aprepitant, oral, 5 mg"	J8501	HCPCS	Outpatient	5	ME	50	32.5		90			Percent of total billed charges		45	40			Percent of total billed charges		20	80			Percent of total billed charges		40	90			Percent of total billed charges		45	100			Fee schedule	code is bundled with other services	50	85			Percent of total billed charges		42.5	100			Fee schedule	code is bundled with other services	50	100			Fee schedule	code is bundled with other services	50	100			Fee schedule	code is bundled with other services	50	100			Fee schedule	code is bundled with other services	50	33.3			Percent of total billed charges		16.5	33.3			Percent of total billed charges		16.5	100			Fee schedule	code is bundled with other services	50	20	45	
"Injection, deferoxamine mesylate, 500 mg"	J0895	HCPCS	Outpatient	500	ME	50.5	32.82		90			Percent of total billed charges		45.45	40			Percent of total billed charges		20.2	80			Percent of total billed charges		40.4	90			Percent of total billed charges		45.45	100			Fee schedule	code is bundled with other services	50.5	85			Percent of total billed charges		42.92	100			Fee schedule	code is bundled with other services	50.5	100			Fee schedule	code is bundled with other services	50.5	100			Fee schedule	code is bundled with other services	50.5	100			Fee schedule	code is bundled with other services	50.5	33.3			Percent of total billed charges		16.665	33.3			Percent of total billed charges		16.665	100			Fee schedule	code is bundled with other services	50.5	20.2	45.45	
"Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg"	J7626	HCPCS	Outpatient	0.5	ME	51	33.15		90			Percent of total billed charges		45.9	40			Percent of total billed charges		20.4	80			Percent of total billed charges		40.8	90			Percent of total billed charges		45.9	100			Fee schedule	code is bundled with other services	51	85			Percent of total billed charges		43.35	100			Fee schedule	code is bundled with other services	51	100			Fee schedule	code is bundled with other services	51	100			Fee schedule	code is bundled with other services	51	100			Fee schedule	code is bundled with other services	51	33.3			Percent of total billed charges		16.83	33.3			Percent of total billed charges		16.83	100			Fee schedule	code is bundled with other services	51	20.4	45.9	
"Injection, propranolol hcl, up to 1 mg"	J1800	HCPCS	Outpatient	1	ME	53	34.45		90			Percent of total billed charges		47.7	40			Percent of total billed charges		21.2	80			Percent of total billed charges		42.4	90			Percent of total billed charges		47.7	100			Fee schedule	code is bundled with other services	53	85			Percent of total billed charges		45.05	100			Fee schedule	code is bundled with other services	53	100			Fee schedule	code is bundled with other services	53	100			Fee schedule	code is bundled with other services	53	100			Fee schedule	code is bundled with other services	53	33.3			Percent of total billed charges		17.49	33.3			Percent of total billed charges		17.49	100			Fee schedule	code is bundled with other services	53	21.2	47.7	
"Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg"	J3420	HCPCS	Outpatient	1000	UN	53	34.45		90			Percent of total billed charges		47.7	40			Percent of total billed charges		21.2	80			Percent of total billed charges		42.4	90			Percent of total billed charges		47.7	100			Fee schedule	code is bundled with other services	53	85			Percent of total billed charges		45.05	100			Fee schedule	code is bundled with other services	53	100			Fee schedule	code is bundled with other services	53	100			Fee schedule	code is bundled with other services	53	100			Fee schedule	code is bundled with other services	53	33.3			Percent of total billed charges		17.49	33.3			Percent of total billed charges		17.49	100			Fee schedule	code is bundled with other services	53	21.2	47.7	
"Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg"	J0702	HCPCS	Outpatient	3	ME	54	35.1		90			Percent of total billed charges		48.6	40			Percent of total billed charges		21.6	80			Percent of total billed charges		43.2	90			Percent of total billed charges		48.6	100			Fee schedule	code is bundled with other services	54	85			Percent of total billed charges		45.9	100			Fee schedule	code is bundled with other services	54	100			Fee schedule	code is bundled with other services	54	100			Fee schedule	code is bundled with other services	54	100			Fee schedule	code is bundled with other services	54	33.3			Percent of total billed charges		17.82	33.3			Percent of total billed charges		17.82	100			Fee schedule	code is bundled with other services	54	21.6	48.6	
"Integra dermal regeneration template (drt) or integra omnigraft dermal regeneration matrix, per square centimeter"	Q4105	CPT	Outpatient			54	35.1		90			Percent of total billed charges		48.6	40			Percent of total billed charges		21.6	80			Percent of total billed charges		43.2	90			Percent of total billed charges		48.6	100			Fee schedule	code is bundled with other services	54	85			Percent of total billed charges		45.9	100			Fee schedule	code is bundled with other services	54	100			Fee schedule	code is bundled with other services	54	100			Fee schedule	code is bundled with other services	54	100			Fee schedule	code is bundled with other services	54	33.3			Percent of total billed charges		17.82	33.3			Percent of total billed charges		17.82	100			Fee schedule	code is bundled with other services	54	21.6	48.6	
"Injection, cefoxitin sodium, 1 gm"	J0694	HCPCS	Outpatient	1	GR	54.5	35.42		90			Percent of total billed charges		49.05	40			Percent of total billed charges		21.8	80			Percent of total billed charges		43.6	90			Percent of total billed charges		49.05	100			Fee schedule	code is bundled with other services	54.5	85			Percent of total billed charges		46.32	100			Fee schedule	code is bundled with other services	54.5	100			Fee schedule	code is bundled with other services	54.5	100			Fee schedule	code is bundled with other services	54.5	100			Fee schedule	code is bundled with other services	54.5	33.3			Percent of total billed charges		17.985	33.3			Percent of total billed charges		17.985	100			Fee schedule	code is bundled with other services	54.5	21.8	49.05	
"Injection, garamycin, gentamicin, up to 80 mg"	J1580	HCPCS	Outpatient	80	ME	55	35.75		90			Percent of total billed charges		49.5	40			Percent of total billed charges		22	80			Percent of total billed charges		44	90			Percent of total billed charges		49.5	100			Fee schedule	code is bundled with other services	55	85			Percent of total billed charges		46.75	100			Fee schedule	code is bundled with other services	55	100			Fee schedule	code is bundled with other services	55	100			Fee schedule	code is bundled with other services	55	100			Fee schedule	code is bundled with other services	55	33.3			Percent of total billed charges		18.15	33.3			Percent of total billed charges		18.15	100			Fee schedule	code is bundled with other services	55	22	49.5	
"Infusion, normal saline solution, 250 cc"	J7050	HCPCS	Outpatient	250	ML	55	35.75		90			Percent of total billed charges		49.5	40			Percent of total billed charges		22	80			Percent of total billed charges		44	90			Percent of total billed charges		49.5	100			Fee schedule	code is bundled with other services	55	85			Percent of total billed charges		46.75	100			Fee schedule	code is bundled with other services	55	100			Fee schedule	code is bundled with other services	55	100			Fee schedule	code is bundled with other services	55	100			Fee schedule	code is bundled with other services	55	33.3			Percent of total billed charges		18.15	33.3			Percent of total billed charges		18.15	100			Fee schedule	code is bundled with other services	55	22	49.5	
"Capecitabine, oral, 500 mg"	J8521	HCPCS	Outpatient	500	ME	55.79	36.26		90			Percent of total billed charges		50.21	40			Percent of total billed charges		22.32	80			Percent of total billed charges		44.63	90			Percent of total billed charges		50.21	100			Fee schedule	code is bundled with other services	55.79	85			Percent of total billed charges		47.42	100			Fee schedule	code is bundled with other services	55.79	100			Fee schedule	code is bundled with other services	55.79	100			Fee schedule	code is bundled with other services	55.79	100			Fee schedule	code is bundled with other services	55.79	33.3			Percent of total billed charges		18.4107	33.3			Percent of total billed charges		18.4107	100			Fee schedule	code is bundled with other services	55.79	22.32	50.21	
"Azithromycin dihydrate, oral, capsules/powder, 1 gram"	Q0144	CPT	Outpatient			56.5	36.72		90			Percent of total billed charges		50.85	40			Percent of total billed charges		22.6	80			Percent of total billed charges		45.2	90			Percent of total billed charges		50.85	100			Fee schedule	code is bundled with other services	56.5	85			Percent of total billed charges		48.02	100			Fee schedule	code is bundled with other services	56.5	100			Fee schedule	code is bundled with other services	56.5	100			Fee schedule	code is bundled with other services	56.5	100			Fee schedule	code is bundled with other services	56.5	33.3			Percent of total billed charges		18.645	33.3			Percent of total billed charges		18.645	100			Fee schedule	code is bundled with other services	56.5	22.6	50.85	
"Injection, hydroxyzine hcl, up to 25 mg"	J3410	HCPCS	Outpatient	25	ME	58.5	38.02		90			Percent of total billed charges		52.65	40			Percent of total billed charges		23.4	80			Percent of total billed charges		46.8	90			Percent of total billed charges		52.65	100			Fee schedule	code is bundled with other services	58.5	85			Percent of total billed charges		49.72	100			Fee schedule	code is bundled with other services	58.5	100			Fee schedule	code is bundled with other services	58.5	100			Fee schedule	code is bundled with other services	58.5	100			Fee schedule	code is bundled with other services	58.5	33.3			Percent of total billed charges		19.305	33.3			Percent of total billed charges		19.305	100			Fee schedule	code is bundled with other services	58.5	23.4	52.65	
"Injection, leucovorin calcium, per 50 mg"	J0640	HCPCS	Outpatient	50	ME	58.5	38.02		90			Percent of total billed charges		52.65	40			Percent of total billed charges		23.4	80			Percent of total billed charges		46.8	90			Percent of total billed charges		52.65	100			Fee schedule	code is bundled with other services	58.5	85			Percent of total billed charges		49.72	100			Fee schedule	code is bundled with other services	58.5	100			Fee schedule	code is bundled with other services	58.5	100			Fee schedule	code is bundled with other services	58.5	100			Fee schedule	code is bundled with other services	58.5	33.3			Percent of total billed charges		19.305	33.3			Percent of total billed charges		19.305	100			Fee schedule	code is bundled with other services	58.5	23.4	52.65	
"Injection, cytarabine, 100 mg"	J9100	HCPCS	Outpatient	100	ME	59	38.35		90			Percent of total billed charges		53.1	40			Percent of total billed charges		23.6	80			Percent of total billed charges		47.2	90			Percent of total billed charges		53.1	100			Fee schedule	code is bundled with other services	59	85			Percent of total billed charges		50.15	100			Fee schedule	code is bundled with other services	59	100			Fee schedule	code is bundled with other services	59	100			Fee schedule	code is bundled with other services	59	100			Fee schedule	code is bundled with other services	59	33.3			Percent of total billed charges		19.47	33.3			Percent of total billed charges		19.47	100			Fee schedule	code is bundled with other services	59	23.6	53.1	
"Diphtheria, tetanus toxoids, acellular pertussis vaccine and inactivated poliovirus vaccine (DTaP-IPV), when administered to children 4 through 6 years of age, for intramuscular use"	90696	CPT	Outpatient			60	39		90			Percent of total billed charges		54	40			Percent of total billed charges		24	80			Percent of total billed charges		48	90			Percent of total billed charges		54	100			Fee schedule	code is bundled with other services	60	85			Percent of total billed charges		51	100			Fee schedule	code is bundled with other services	60	100			Fee schedule	code is bundled with other services	60	100			Fee schedule	code is bundled with other services	60	100			Fee schedule	code is bundled with other services	60	33.3			Percent of total billed charges		19.8	33.3			Percent of total billed charges		19.8	100			Fee schedule	code is bundled with other services	60	24	54	
"Infusion, normal saline solution , 1000 cc"	J7030	HCPCS	Outpatient	1000	ML	60.5	39.32		90			Percent of total billed charges		54.45	40			Percent of total billed charges		24.2	80			Percent of total billed charges		48.4	90			Percent of total billed charges		54.45	100			Fee schedule	code is bundled with other services	60.5	85			Percent of total billed charges		51.42	100			Fee schedule	code is bundled with other services	60.5	100			Fee schedule	code is bundled with other services	60.5	100			Fee schedule	code is bundled with other services	60.5	100			Fee schedule	code is bundled with other services	60.5	33.3			Percent of total billed charges		19.965	33.3			Percent of total billed charges		19.965	100			Fee schedule	code is bundled with other services	60.5	24.2	54.45	
"Infusion, normal saline solution, sterile (500 ml = 1 unit)"	J7040	HCPCS	Outpatient	500	ML	60.5	39.32		90			Percent of total billed charges		54.45	40			Percent of total billed charges		24.2	80			Percent of total billed charges		48.4	90			Percent of total billed charges		54.45	100			Fee schedule	code is bundled with other services	60.5	85			Percent of total billed charges		51.42	100			Fee schedule	code is bundled with other services	60.5	100			Fee schedule	code is bundled with other services	60.5	100			Fee schedule	code is bundled with other services	60.5	100			Fee schedule	code is bundled with other services	60.5	33.3			Percent of total billed charges		19.965	33.3			Percent of total billed charges		19.965	100			Fee schedule	code is bundled with other services	60.5	24.2	54.45	
"Ringers lactate infusion, up to 1000 cc"	J7120	HCPCS	Outpatient	1000	ML	60.5	39.32		90			Percent of total billed charges		54.45	40			Percent of total billed charges		24.2	80			Percent of total billed charges		48.4	90			Percent of total billed charges		54.45	100			Fee schedule	code is bundled with other services	60.5	85			Percent of total billed charges		51.42	100			Fee schedule	code is bundled with other services	60.5	100			Fee schedule	code is bundled with other services	60.5	100			Fee schedule	code is bundled with other services	60.5	100			Fee schedule	code is bundled with other services	60.5	33.3			Percent of total billed charges		19.965	33.3			Percent of total billed charges		19.965	100			Fee schedule	code is bundled with other services	60.5	24.2	54.45	
"Injection, pyridoxine hcl, 100 mg"	J3415	HCPCS	Outpatient	100	ME	62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	100			Fee schedule	code is bundled with other services	62	85			Percent of total billed charges		52.7	100			Fee schedule	code is bundled with other services	62	100			Fee schedule	code is bundled with other services	62	100			Fee schedule	code is bundled with other services	62	100			Fee schedule	code is bundled with other services	62	33.3			Percent of total billed charges		20.46	33.3			Percent of total billed charges		20.46	100			Fee schedule	code is bundled with other services	62	24.8	55.8	
"Technetium tc-99m pertechnetate, diagnostic, per millicurie"	A9512	CPT	Outpatient			63	40.95		90			Percent of total billed charges		56.7	40			Percent of total billed charges		25.2	80			Percent of total billed charges		50.4	90			Percent of total billed charges		56.7	100			Fee schedule	code is bundled with other services	63	85			Percent of total billed charges		53.55	100			Fee schedule	code is bundled with other services	63	100			Fee schedule	code is bundled with other services	63	100			Fee schedule	code is bundled with other services	63	100			Fee schedule	code is bundled with other services	63	33.3			Percent of total billed charges		20.79	33.3			Percent of total billed charges		20.79	100			Fee schedule	code is bundled with other services	63	25.2	56.7	
"Injection, pantoprazole sodium, per vial"	C9113	CPT	Outpatient			66	42.9		90			Percent of total billed charges		59.4	40			Percent of total billed charges		26.4	80			Percent of total billed charges		52.8	90			Percent of total billed charges		59.4	100			Fee schedule	code is bundled with other services	66	85			Percent of total billed charges		56.1	100			Fee schedule	code is bundled with other services	66	100			Fee schedule	code is bundled with other services	66	100			Fee schedule	code is bundled with other services	66	100			Fee schedule	code is bundled with other services	66	33.3			Percent of total billed charges		21.78	33.3			Percent of total billed charges		21.78	100			Fee schedule	code is bundled with other services	66	26.4	59.4	
"Injection, ciprofloxacin for intravenous infusion, 200 mg"	J0744	HCPCS	Outpatient	200	ME	68	44.2		90			Percent of total billed charges		61.2	40			Percent of total billed charges		27.2	80			Percent of total billed charges		54.4	90			Percent of total billed charges		61.2	100			Fee schedule	code is bundled with other services	68	85			Percent of total billed charges		57.8	100			Fee schedule	code is bundled with other services	68	100			Fee schedule	code is bundled with other services	68	100			Fee schedule	code is bundled with other services	68	100			Fee schedule	code is bundled with other services	68	33.3			Percent of total billed charges		22.44	33.3			Percent of total billed charges		22.44	100			Fee schedule	code is bundled with other services	68	27.2	61.2	
"Injection, estradiol valerate, up to 10 mg"	J1380	HCPCS	Outpatient	10	ME	70	45.5		90			Percent of total billed charges		63	40			Percent of total billed charges		28	80			Percent of total billed charges		56	90			Percent of total billed charges		63	100			Fee schedule	code is bundled with other services	70	85			Percent of total billed charges		59.5	100			Fee schedule	code is bundled with other services	70	100			Fee schedule	code is bundled with other services	70	100			Fee schedule	code is bundled with other services	70	100			Fee schedule	code is bundled with other services	70	33.3			Percent of total billed charges		23.1	33.3			Percent of total billed charges		23.1	100			Fee schedule	code is bundled with other services	70	28	63	
"Injection, pamidronate disodium, per 30 mg"	J2430	HCPCS	Outpatient	30	ME	70.5	45.82		90			Percent of total billed charges		63.45	40			Percent of total billed charges		28.2	80			Percent of total billed charges		56.4	90			Percent of total billed charges		63.45	100			Fee schedule	code is bundled with other services	70.5	85			Percent of total billed charges		59.92	100			Fee schedule	code is bundled with other services	70.5	100			Fee schedule	code is bundled with other services	70.5	100			Fee schedule	code is bundled with other services	70.5	100			Fee schedule	code is bundled with other services	70.5	33.3			Percent of total billed charges		23.265	33.3			Percent of total billed charges		23.265	100			Fee schedule	code is bundled with other services	70.5	28.2	63.45	
"Injection, diazepam, up to 5 mg"	J3360	HCPCS	Outpatient	5	ME	71.5	46.48		90			Percent of total billed charges		64.35	40			Percent of total billed charges		28.6	80			Percent of total billed charges		57.2	90			Percent of total billed charges		64.35	100			Fee schedule	code is bundled with other services	71.5	85			Percent of total billed charges		60.78	100			Fee schedule	code is bundled with other services	71.5	100			Fee schedule	code is bundled with other services	71.5	100			Fee schedule	code is bundled with other services	71.5	100			Fee schedule	code is bundled with other services	71.5	33.3			Percent of total billed charges		23.595	33.3			Percent of total billed charges		23.595	100			Fee schedule	code is bundled with other services	71.5	28.6	64.35	
"Injection, oxytocin, up to 10 units"	J2590	HCPCS	Outpatient	10	UN	71.5	46.48		90			Percent of total billed charges		64.35	40			Percent of total billed charges		28.6	80			Percent of total billed charges		57.2	90			Percent of total billed charges		64.35	100			Fee schedule	code is bundled with other services	71.5	85			Percent of total billed charges		60.78	100			Fee schedule	code is bundled with other services	71.5	100			Fee schedule	code is bundled with other services	71.5	100			Fee schedule	code is bundled with other services	71.5	100			Fee schedule	code is bundled with other services	71.5	33.3			Percent of total billed charges		23.595	33.3			Percent of total billed charges		23.595	100			Fee schedule	code is bundled with other services	71.5	28.6	64.35	
"Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries"	A9503	CPT	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	100			Fee schedule	code is bundled with other services	74	85			Percent of total billed charges		62.9	100			Fee schedule	code is bundled with other services	74	100			Fee schedule	code is bundled with other services	74	100			Fee schedule	code is bundled with other services	74	100			Fee schedule	code is bundled with other services	74	33.3			Percent of total billed charges		24.42	33.3			Percent of total billed charges		24.42	100			Fee schedule	code is bundled with other services	74	29.6	66.6	
"Injection, hydrocortisone sodium succinate, up to 100 mg"	J1720	HCPCS	Outpatient	100	ME	77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	100			Fee schedule	code is bundled with other services	77	85			Percent of total billed charges		65.45	100			Fee schedule	code is bundled with other services	77	100			Fee schedule	code is bundled with other services	77	100			Fee schedule	code is bundled with other services	77	100			Fee schedule	code is bundled with other services	77	33.3			Percent of total billed charges		25.41	33.3			Percent of total billed charges		25.41	100			Fee schedule	code is bundled with other services	77	30.8	69.3	
"Technetium tc-99m pyrophosphate, diagnostic, per study dose, up to 25 millicuries"	A9538	CPT	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	100			Fee schedule	code is bundled with other services	77	85			Percent of total billed charges		65.45	100			Fee schedule	code is bundled with other services	77	100			Fee schedule	code is bundled with other services	77	100			Fee schedule	code is bundled with other services	77	100			Fee schedule	code is bundled with other services	77	33.3			Percent of total billed charges		25.41	33.3			Percent of total billed charges		25.41	100			Fee schedule	code is bundled with other services	77	30.8	69.3	
"Injection, hydralazine hcl, up to 20 mg"	J0360	HCPCS	Outpatient	20	ME	79	51.35		90			Percent of total billed charges		71.1	40			Percent of total billed charges		31.6	80			Percent of total billed charges		63.2	90			Percent of total billed charges		71.1	100			Fee schedule	code is bundled with other services	79	85			Percent of total billed charges		67.15	100			Fee schedule	code is bundled with other services	79	100			Fee schedule	code is bundled with other services	79	100			Fee schedule	code is bundled with other services	79	100			Fee schedule	code is bundled with other services	79	33.3			Percent of total billed charges		26.07	33.3			Percent of total billed charges		26.07	100			Fee schedule	code is bundled with other services	79	31.6	71.1	
"Hepatitis A vaccine (HepA), adult dosage, for intramuscular use"	90632	CPT	Outpatient			80	52		90			Percent of total billed charges		72	40			Percent of total billed charges		32	80			Percent of total billed charges		64	90			Percent of total billed charges		72	100			Fee schedule	code is bundled with other services	80	85			Percent of total billed charges		68	100			Fee schedule	code is bundled with other services	80	100			Fee schedule	code is bundled with other services	80	100			Fee schedule	code is bundled with other services	80	100			Fee schedule	code is bundled with other services	80	33.3			Percent of total billed charges		26.4	33.3			Percent of total billed charges		26.4	100			Fee schedule	code is bundled with other services	80	32	72	
"Injection, methotrexate sodium, 50 mg"	J9260	HCPCS	Outpatient	50	ME	80	52		90			Percent of total billed charges		72	40			Percent of total billed charges		32	80			Percent of total billed charges		64	90			Percent of total billed charges		72	100			Fee schedule	code is bundled with other services	80	85			Percent of total billed charges		68	100			Fee schedule	code is bundled with other services	80	100			Fee schedule	code is bundled with other services	80	100			Fee schedule	code is bundled with other services	80	100			Fee schedule	code is bundled with other services	80	33.3			Percent of total billed charges		26.4	33.3			Percent of total billed charges		26.4	100			Fee schedule	code is bundled with other services	80	32	72	
"Dermagraft, per square centimeter"	Q4106	CPT	Outpatient			84	54.6		90			Percent of total billed charges		75.6	40			Percent of total billed charges		33.6	80			Percent of total billed charges		67.2	90			Percent of total billed charges		75.6	100			Fee schedule	code is bundled with other services	84	85			Percent of total billed charges		71.4	100			Fee schedule	code is bundled with other services	84	100			Fee schedule	code is bundled with other services	84	100			Fee schedule	code is bundled with other services	84	100			Fee schedule	code is bundled with other services	84	33.3			Percent of total billed charges		27.72	33.3			Percent of total billed charges		27.72	100			Fee schedule	code is bundled with other services	84	33.6	75.6	
"Injection, linezolid, 200 mg"	J2020	HCPCS	Outpatient	200	ME	84	54.6		90			Percent of total billed charges		75.6	40			Percent of total billed charges		33.6	80			Percent of total billed charges		67.2	90			Percent of total billed charges		75.6	100			Fee schedule	code is bundled with other services	84	85			Percent of total billed charges		71.4	100			Fee schedule	code is bundled with other services	84	100			Fee schedule	code is bundled with other services	84	100			Fee schedule	code is bundled with other services	84	100			Fee schedule	code is bundled with other services	84	33.3			Percent of total billed charges		27.72	33.3			Percent of total billed charges		27.72	100			Fee schedule	code is bundled with other services	84	33.6	75.6	
"Rotavirus vaccine, pentavalent (RV5), 3 dose schedule, live, for oral use"	90680	CPT	Outpatient			86	55.9		90			Percent of total billed charges		77.4	40			Percent of total billed charges		34.4	80			Percent of total billed charges		68.8	90			Percent of total billed charges		77.4	100			Fee schedule	code is bundled with other services	86	85			Percent of total billed charges		73.1	100			Fee schedule	code is bundled with other services	86	100			Fee schedule	code is bundled with other services	86	100			Fee schedule	code is bundled with other services	86	100			Fee schedule	code is bundled with other services	86	33.3			Percent of total billed charges		28.38	33.3			Percent of total billed charges		28.38	100			Fee schedule	code is bundled with other services	86	34.4	77.4	
"Injection, azithromycin, 500 mg"	J0456	HCPCS	Outpatient	500	ME	87	56.55		90			Percent of total billed charges		78.3	40			Percent of total billed charges		34.8	80			Percent of total billed charges		69.6	90			Percent of total billed charges		78.3	100			Fee schedule	code is bundled with other services	87	85			Percent of total billed charges		73.95	100			Fee schedule	code is bundled with other services	87	100			Fee schedule	code is bundled with other services	87	100			Fee schedule	code is bundled with other services	87	100			Fee schedule	code is bundled with other services	87	33.3			Percent of total billed charges		28.71	33.3			Percent of total billed charges		28.71	100			Fee schedule	code is bundled with other services	87	34.8	78.3	
"Injection, naloxone hydrochloride, per 1 mg"	J2310	HCPCS	Outpatient	1	ME	87.5	56.88		90			Percent of total billed charges		78.75	40			Percent of total billed charges		35	80			Percent of total billed charges		70	90			Percent of total billed charges		78.75	100			Fee schedule	code is bundled with other services	87.5	85			Percent of total billed charges		74.38	100			Fee schedule	code is bundled with other services	87.5	100			Fee schedule	code is bundled with other services	87.5	100			Fee schedule	code is bundled with other services	87.5	100			Fee schedule	code is bundled with other services	87.5	33.3			Percent of total billed charges		28.875	33.3			Percent of total billed charges		28.875	100			Fee schedule	code is bundled with other services	87.5	35	78.75	
"Diphtheria, tetanus toxoids, acellular pertussis vaccine, Haemophilus influenzae type b, and inactivated poliovirus vaccine, (DTaP-IPV/Hib), for intramuscular use"	90698	CPT	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	100			Fee schedule	code is bundled with other services	90	85			Percent of total billed charges		76.5	100			Fee schedule	code is bundled with other services	90	100			Fee schedule	code is bundled with other services	90	100			Fee schedule	code is bundled with other services	90	100			Fee schedule	code is bundled with other services	90	33.3			Percent of total billed charges		29.7	33.3			Percent of total billed charges		29.7	100			Fee schedule	code is bundled with other services	90	36	81	
"Apligraf, per square centimeter"	Q4101	CPT	Outpatient			91	59.15		90			Percent of total billed charges		81.9	40			Percent of total billed charges		36.4	80			Percent of total billed charges		72.8	90			Percent of total billed charges		81.9	100			Fee schedule	code is bundled with other services	91	85			Percent of total billed charges		77.35	100			Fee schedule	code is bundled with other services	91	100			Fee schedule	code is bundled with other services	91	100			Fee schedule	code is bundled with other services	91	100			Fee schedule	code is bundled with other services	91	33.3			Percent of total billed charges		30.03	33.3			Percent of total billed charges		30.03	100			Fee schedule	code is bundled with other services	91	36.4	81.9	
"Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms"	J7605	HCPCS	Outpatient	15	UN	93.5	60.78		90			Percent of total billed charges		84.15	40			Percent of total billed charges		37.4	80			Percent of total billed charges		74.8	90			Percent of total billed charges		84.15	100			Fee schedule	code is bundled with other services	93.5	85			Percent of total billed charges		79.48	100			Fee schedule	code is bundled with other services	93.5	100			Fee schedule	code is bundled with other services	93.5	100			Fee schedule	code is bundled with other services	93.5	100			Fee schedule	code is bundled with other services	93.5	33.3			Percent of total billed charges		30.855	33.3			Percent of total billed charges		30.855	100			Fee schedule	code is bundled with other services	93.5	37.4	84.15	
"Technetium tc-99m macroaggregated albumin, diagnostic, per study dose, up to 10 millicuries"	A9540	CPT	Outpatient			94	61.1		90			Percent of total billed charges		84.6	40			Percent of total billed charges		37.6	80			Percent of total billed charges		75.2	90			Percent of total billed charges		84.6	100			Fee schedule	code is bundled with other services	94	85			Percent of total billed charges		79.9	100			Fee schedule	code is bundled with other services	94	100			Fee schedule	code is bundled with other services	94	100			Fee schedule	code is bundled with other services	94	100			Fee schedule	code is bundled with other services	94	33.3			Percent of total billed charges		31.02	33.3			Percent of total billed charges		31.02	100			Fee schedule	code is bundled with other services	94	37.6	84.6	
"Technetium tc-99m mertiatide, diagnostic, per study dose, up to 15 millicuries"	A9562	CPT	Outpatient			94	61.1		90			Percent of total billed charges		84.6	40			Percent of total billed charges		37.6	80			Percent of total billed charges		75.2	90			Percent of total billed charges		84.6	100			Fee schedule	code is bundled with other services	94	85			Percent of total billed charges		79.9	100			Fee schedule	code is bundled with other services	94	100			Fee schedule	code is bundled with other services	94	100			Fee schedule	code is bundled with other services	94	100			Fee schedule	code is bundled with other services	94	33.3			Percent of total billed charges		31.02	33.3			Percent of total billed charges		31.02	100			Fee schedule	code is bundled with other services	94	37.6	84.6	
"Technetium tc-99m pentetate, diagnostic, per study dose, up to 25 millicuries"	A9539	CPT	Outpatient			94	61.1		90			Percent of total billed charges		84.6	40			Percent of total billed charges		37.6	80			Percent of total billed charges		75.2	90			Percent of total billed charges		84.6	100			Fee schedule	code is bundled with other services	94	85			Percent of total billed charges		79.9	100			Fee schedule	code is bundled with other services	94	100			Fee schedule	code is bundled with other services	94	100			Fee schedule	code is bundled with other services	94	100			Fee schedule	code is bundled with other services	94	33.3			Percent of total billed charges		31.02	33.3			Percent of total billed charges		31.02	100			Fee schedule	code is bundled with other services	94	37.6	84.6	
"Technetium tc-99m sulfur colloid, diagnostic, per study dose, up to 20 millicuries"	A9541	CPT	Outpatient			94	61.1		90			Percent of total billed charges		84.6	40			Percent of total billed charges		37.6	80			Percent of total billed charges		75.2	90			Percent of total billed charges		84.6	100			Fee schedule	code is bundled with other services	94	85			Percent of total billed charges		79.9	100			Fee schedule	code is bundled with other services	94	100			Fee schedule	code is bundled with other services	94	100			Fee schedule	code is bundled with other services	94	100			Fee schedule	code is bundled with other services	94	33.3			Percent of total billed charges		31.02	33.3			Percent of total billed charges		31.02	100			Fee schedule	code is bundled with other services	94	37.6	84.6	
"Injection, prochlorperazine, up to 10 mg"	J0780	HCPCS	Outpatient	10	ME	97	63.05		90			Percent of total billed charges		87.3	40			Percent of total billed charges		38.8	80			Percent of total billed charges		77.6	90			Percent of total billed charges		87.3	100			Fee schedule	code is bundled with other services	97	85			Percent of total billed charges		82.45	100			Fee schedule	code is bundled with other services	97	100			Fee schedule	code is bundled with other services	97	100			Fee schedule	code is bundled with other services	97	100			Fee schedule	code is bundled with other services	97	33.3			Percent of total billed charges		32.01	33.3			Percent of total billed charges		32.01	100			Fee schedule	code is bundled with other services	97	38.8	87.3	
"Injection, orphenadrine citrate, up to 60 mg"	J2360	HCPCS	Outpatient	60	ME	98	63.7		90			Percent of total billed charges		88.2	40			Percent of total billed charges		39.2	80			Percent of total billed charges		78.4	90			Percent of total billed charges		88.2	100			Fee schedule	code is bundled with other services	98	85			Percent of total billed charges		83.3	100			Fee schedule	code is bundled with other services	98	100			Fee schedule	code is bundled with other services	98	100			Fee schedule	code is bundled with other services	98	100			Fee schedule	code is bundled with other services	98	33.3			Percent of total billed charges		32.34	33.3			Percent of total billed charges		32.34	100			Fee schedule	code is bundled with other services	98	39.2	88.2	
"Injection, terbutaline sulfate, up to 1 mg"	J3105	HCPCS	Outpatient	1	ME	98	63.7		90			Percent of total billed charges		88.2	40			Percent of total billed charges		39.2	80			Percent of total billed charges		78.4	90			Percent of total billed charges		88.2	100			Fee schedule	code is bundled with other services	98	85			Percent of total billed charges		83.3	100			Fee schedule	code is bundled with other services	98	100			Fee schedule	code is bundled with other services	98	100			Fee schedule	code is bundled with other services	98	100			Fee schedule	code is bundled with other services	98	33.3			Percent of total billed charges		32.34	33.3			Percent of total billed charges		32.34	100			Fee schedule	code is bundled with other services	98	39.2	88.2	
"Injection, levofloxacin, 250 mg"	J1956	HCPCS	Outpatient	250	ME	99.5	64.68		90			Percent of total billed charges		89.55	40			Percent of total billed charges		39.8	80			Percent of total billed charges		79.6	90			Percent of total billed charges		89.55	100			Fee schedule	code is bundled with other services	99.5	85			Percent of total billed charges		84.58	100			Fee schedule	code is bundled with other services	99.5	100			Fee schedule	code is bundled with other services	99.5	100			Fee schedule	code is bundled with other services	99.5	100			Fee schedule	code is bundled with other services	99.5	33.3			Percent of total billed charges		32.835	33.3			Percent of total billed charges		32.835	100			Fee schedule	code is bundled with other services	99.5	39.8	89.55	
"Injection, clonidine hydrochloride, 1 mg"	J0735	HCPCS	Outpatient	1	ME	101	65.65		90			Percent of total billed charges		90.9	40			Percent of total billed charges		40.4	80			Percent of total billed charges		80.8	90			Percent of total billed charges		90.9	100			Fee schedule	code is bundled with other services	101	85			Percent of total billed charges		85.85	100			Fee schedule	code is bundled with other services	101	100			Fee schedule	code is bundled with other services	101	100			Fee schedule	code is bundled with other services	101	100			Fee schedule	code is bundled with other services	101	33.3			Percent of total billed charges		33.33	33.3			Percent of total billed charges		33.33	100			Fee schedule	code is bundled with other services	101	40.4	90.9	
"Injection, dobutamine hydrochloride, per 250 mg"	J1250	HCPCS	Outpatient	250	ME	103.63	67.36		90			Percent of total billed charges		93.26	40			Percent of total billed charges		41.45	80			Percent of total billed charges		82.9	90			Percent of total billed charges		93.26	100			Fee schedule	code is bundled with other services	103.63	85			Percent of total billed charges		88.08	100			Fee schedule	code is bundled with other services	103.63	100			Fee schedule	code is bundled with other services	103.63	100			Fee schedule	code is bundled with other services	103.63	100			Fee schedule	code is bundled with other services	103.63	33.3			Percent of total billed charges		34.1979	33.3			Percent of total billed charges		34.1979	100			Fee schedule	code is bundled with other services	103.63	41.45	93.26	
"Integra bilayer matrix wound dressing (bmwd), per square centimeter"	Q4104	CPT	Outpatient			105	68.25		90			Percent of total billed charges		94.5	40			Percent of total billed charges		42	80			Percent of total billed charges		84	90			Percent of total billed charges		94.5	100			Fee schedule	code is bundled with other services	105	85			Percent of total billed charges		89.25	100			Fee schedule	code is bundled with other services	105	100			Fee schedule	code is bundled with other services	105	100			Fee schedule	code is bundled with other services	105	100			Fee schedule	code is bundled with other services	105	33.3			Percent of total billed charges		34.65	33.3			Percent of total billed charges		34.65	100			Fee schedule	code is bundled with other services	105	42	94.5	
"Injection, ziprasidone mesylate, 10 mg"	J3486	HCPCS	Outpatient	10	ME	111.58	72.52		90			Percent of total billed charges		100.42	40			Percent of total billed charges		44.63	80			Percent of total billed charges		89.26	90			Percent of total billed charges		100.42	100			Fee schedule	code is bundled with other services	111.58	85			Percent of total billed charges		94.84	100			Fee schedule	code is bundled with other services	111.58	100			Fee schedule	code is bundled with other services	111.58	100			Fee schedule	code is bundled with other services	111.58	100			Fee schedule	code is bundled with other services	111.58	33.3			Percent of total billed charges		36.8214	33.3			Percent of total billed charges		36.8214	100			Fee schedule	code is bundled with other services	111.58	44.63	100.42	
"Technetium tc-99m mebrofenin, diagnostic, per study dose, up to 15 millicuries"	A9537	CPT	Outpatient			114	74.1		90			Percent of total billed charges		102.6	40			Percent of total billed charges		45.6	80			Percent of total billed charges		91.2	90			Percent of total billed charges		102.6	100			Fee schedule	code is bundled with other services	114	85			Percent of total billed charges		96.9	100			Fee schedule	code is bundled with other services	114	100			Fee schedule	code is bundled with other services	114	100			Fee schedule	code is bundled with other services	114	100			Fee schedule	code is bundled with other services	114	33.3			Percent of total billed charges		37.62	33.3			Percent of total billed charges		37.62	100			Fee schedule	code is bundled with other services	114	45.6	102.6	
"Integra matrix, per square centimeter"	Q4108	CPT	Outpatient			116	75.4		90			Percent of total billed charges		104.4	40			Percent of total billed charges		46.4	80			Percent of total billed charges		92.8	90			Percent of total billed charges		104.4	100			Fee schedule	code is bundled with other services	116	85			Percent of total billed charges		98.6	100			Fee schedule	code is bundled with other services	116	100			Fee schedule	code is bundled with other services	116	100			Fee schedule	code is bundled with other services	116	100			Fee schedule	code is bundled with other services	116	33.3			Percent of total billed charges		38.28	33.3			Percent of total billed charges		38.28	100			Fee schedule	code is bundled with other services	116	46.4	104.4	
"Injection, hyoscyamine sulfate, up to 0.25 mg"	J1980	HCPCS	Outpatient	0.25	ME	120	78		90			Percent of total billed charges		108	40			Percent of total billed charges		48	80			Percent of total billed charges		96	90			Percent of total billed charges		108	100			Fee schedule	code is bundled with other services	120	85			Percent of total billed charges		102	100			Fee schedule	code is bundled with other services	120	100			Fee schedule	code is bundled with other services	120	100			Fee schedule	code is bundled with other services	120	100			Fee schedule	code is bundled with other services	120	33.3			Percent of total billed charges		39.6	33.3			Percent of total billed charges		39.6	100			Fee schedule	code is bundled with other services	120	48	108	
"Injection, benztropine mesylate, per 1 mg"	J0515	HCPCS	Outpatient	1	ME	126	81.9		90			Percent of total billed charges		113.4	40			Percent of total billed charges		50.4	80			Percent of total billed charges		100.8	90			Percent of total billed charges		113.4	100			Fee schedule	code is bundled with other services	126	85			Percent of total billed charges		107.1	100			Fee schedule	code is bundled with other services	126	100			Fee schedule	code is bundled with other services	126	100			Fee schedule	code is bundled with other services	126	100			Fee schedule	code is bundled with other services	126	33.3			Percent of total billed charges		41.58	33.3			Percent of total billed charges		41.58	100			Fee schedule	code is bundled with other services	126	50.4	113.4	
"Diphtheria, tetanus toxoids, and acellular pertussis vaccine (DTaP), when administered to individuals younger than 7 years, for intramuscular use"	90700	CPT	Outpatient			132.75	86.29		90			Percent of total billed charges		119.48	40			Percent of total billed charges		53.1	80			Percent of total billed charges		106.2	90			Percent of total billed charges		119.48	100			Fee schedule	code is bundled with other services	132.75	85			Percent of total billed charges		112.84	100			Fee schedule	code is bundled with other services	132.75	100			Fee schedule	code is bundled with other services	132.75	100			Fee schedule	code is bundled with other services	132.75	100			Fee schedule	code is bundled with other services	132.75	33.3			Percent of total billed charges		43.8075	33.3			Percent of total billed charges		43.8075	100			Fee schedule	code is bundled with other services	132.75	53.1	119.48	
"Theraskin, per square centimeter"	Q4121	CPT	Outpatient			136.79	88.91		90			Percent of total billed charges		123.11	40			Percent of total billed charges		54.72	80			Percent of total billed charges		109.43	90			Percent of total billed charges		123.11	100			Fee schedule	code is bundled with other services	136.79	85			Percent of total billed charges		116.27	100			Fee schedule	code is bundled with other services	136.79	100			Fee schedule	code is bundled with other services	136.79	100			Fee schedule	code is bundled with other services	136.79	100			Fee schedule	code is bundled with other services	136.79	33.3			Percent of total billed charges		45.1407	33.3			Percent of total billed charges		45.1407	100			Fee schedule	code is bundled with other services	136.79	54.72	123.11	
"Haemophilus influenzae type b vaccine (Hib), PRP-OMP conjugate, 3 dose schedule, for intramuscular use"	90647	CPT	Outpatient			137	89.05		90			Percent of total billed charges		123.3	40			Percent of total billed charges		54.8	80			Percent of total billed charges		109.6	90			Percent of total billed charges		123.3	100			Fee schedule	code is bundled with other services	137	85			Percent of total billed charges		116.45	100			Fee schedule	code is bundled with other services	137	100			Fee schedule	code is bundled with other services	137	100			Fee schedule	code is bundled with other services	137	100			Fee schedule	code is bundled with other services	137	33.3			Percent of total billed charges		45.21	33.3			Percent of total billed charges		45.21	100			Fee schedule	code is bundled with other services	137	54.8	123.3	
"Injection, ampicillin sodium, 500 mg"	J0290	HCPCS	Outpatient	500	ME	139	90.35		90			Percent of total billed charges		125.1	40			Percent of total billed charges		55.6	80			Percent of total billed charges		111.2	90			Percent of total billed charges		125.1	100			Fee schedule	code is bundled with other services	139	85			Percent of total billed charges		118.15	100			Fee schedule	code is bundled with other services	139	100			Fee schedule	code is bundled with other services	139	100			Fee schedule	code is bundled with other services	139	100			Fee schedule	code is bundled with other services	139	33.3			Percent of total billed charges		45.87	33.3			Percent of total billed charges		45.87	100			Fee schedule	code is bundled with other services	139	55.6	125.1	
"Injection, methylergonovine maleate, up to 0.2 mg"	J2210	HCPCS	Outpatient	0.2	ME	142	92.3		90			Percent of total billed charges		127.8	40			Percent of total billed charges		56.8	80			Percent of total billed charges		113.6	90			Percent of total billed charges		127.8	100			Fee schedule	code is bundled with other services	142	85			Percent of total billed charges		120.7	100			Fee schedule	code is bundled with other services	142	100			Fee schedule	code is bundled with other services	142	100			Fee schedule	code is bundled with other services	142	100			Fee schedule	code is bundled with other services	142	33.3			Percent of total billed charges		46.86	33.3			Percent of total billed charges		46.86	100			Fee schedule	code is bundled with other services	142	56.8	127.8	
"Haemophilus influenzae type b vaccine (Hib), PRP-T conjugate, 4 dose schedule, for intramuscular use"	90648	CPT	Outpatient			150	97.5		90			Percent of total billed charges		135	40			Percent of total billed charges		60	80			Percent of total billed charges		120	90			Percent of total billed charges		135	100			Fee schedule	code is bundled with other services	150	85			Percent of total billed charges		127.5	100			Fee schedule	code is bundled with other services	150	100			Fee schedule	code is bundled with other services	150	100			Fee schedule	code is bundled with other services	150	100			Fee schedule	code is bundled with other services	150	33.3			Percent of total billed charges		49.5	33.3			Percent of total billed charges		49.5	100			Fee schedule	code is bundled with other services	150	60	135	
"Injection, cefepime hydrochloride, 500 mg"	J0692	HCPCS	Outpatient	500	ME	154	100.1		90			Percent of total billed charges		138.6	40			Percent of total billed charges		61.6	80			Percent of total billed charges		123.2	90			Percent of total billed charges		138.6	100			Fee schedule	code is bundled with other services	154	85			Percent of total billed charges		130.9	100			Fee schedule	code is bundled with other services	154	100			Fee schedule	code is bundled with other services	154	100			Fee schedule	code is bundled with other services	154	100			Fee schedule	code is bundled with other services	154	33.3			Percent of total billed charges		50.82	33.3			Percent of total billed charges		50.82	100			Fee schedule	code is bundled with other services	154	61.6	138.6	
"Hepatitis A and hepatitis B vaccine (HepA-HepB), adult dosage, for intramuscular use"	90636	CPT	Outpatient			155	100.75		90			Percent of total billed charges		139.5	40			Percent of total billed charges		62	80			Percent of total billed charges		124	90			Percent of total billed charges		139.5	100			Fee schedule	code is bundled with other services	155	85			Percent of total billed charges		131.75	100			Fee schedule	code is bundled with other services	155	100			Fee schedule	code is bundled with other services	155	100			Fee schedule	code is bundled with other services	155	100			Fee schedule	code is bundled with other services	155	33.3			Percent of total billed charges		51.15	33.3			Percent of total billed charges		51.15	100			Fee schedule	code is bundled with other services	155	62	139.5	
"Primatrix, per square centimeter"	Q4110	CPT	Outpatient			158	102.7		90			Percent of total billed charges		142.2	40			Percent of total billed charges		63.2	80			Percent of total billed charges		126.4	90			Percent of total billed charges		142.2	100			Fee schedule	code is bundled with other services	158	85			Percent of total billed charges		134.3	100			Fee schedule	code is bundled with other services	158	100			Fee schedule	code is bundled with other services	158	100			Fee schedule	code is bundled with other services	158	100			Fee schedule	code is bundled with other services	158	33.3			Percent of total billed charges		52.14	33.3			Percent of total billed charges		52.14	100			Fee schedule	code is bundled with other services	158	63.2	142.2	
"Injection, vinorelbine tartrate, 10 mg"	J9390	HCPCS	Outpatient	10	ME	158.2	102.83		90			Percent of total billed charges		142.38	40			Percent of total billed charges		63.28	80			Percent of total billed charges		126.56	90			Percent of total billed charges		142.38	100			Fee schedule	code is bundled with other services	158.2	85			Percent of total billed charges		134.47	100			Fee schedule	code is bundled with other services	158.2	100			Fee schedule	code is bundled with other services	158.2	100			Fee schedule	code is bundled with other services	158.2	100			Fee schedule	code is bundled with other services	158.2	33.3			Percent of total billed charges		52.206	33.3			Percent of total billed charges		52.206	100			Fee schedule	code is bundled with other services	158.2	63.28	142.38	
"Injection, chlorpromazine hcl, up to 50 mg"	J3230	HCPCS	Outpatient	50	ME	174	113.1		90			Percent of total billed charges		156.6	40			Percent of total billed charges		69.6	80			Percent of total billed charges		139.2	90			Percent of total billed charges		156.6	100			Fee schedule	code is bundled with other services	174	85			Percent of total billed charges		147.9	100			Fee schedule	code is bundled with other services	174	100			Fee schedule	code is bundled with other services	174	100			Fee schedule	code is bundled with other services	174	100			Fee schedule	code is bundled with other services	174	33.3			Percent of total billed charges		57.42	33.3			Percent of total billed charges		57.42	100			Fee schedule	code is bundled with other services	174	69.6	156.6	
"High osmolar contrast material, up to 149 mg/ml iodine concentration, per ml"	Q9958	CPT	Outpatient			193	125.45		90			Percent of total billed charges		173.7	40			Percent of total billed charges		77.2	80			Percent of total billed charges		154.4	90			Percent of total billed charges		173.7	100			Fee schedule	code is bundled with other services	193	85			Percent of total billed charges		164.05	100			Fee schedule	code is bundled with other services	193	100			Fee schedule	code is bundled with other services	193	100			Fee schedule	code is bundled with other services	193	100			Fee schedule	code is bundled with other services	193	33.3			Percent of total billed charges		63.69	33.3			Percent of total billed charges		63.69	100			Fee schedule	code is bundled with other services	193	77.2	173.7	
"Injection, bleomycin sulfate, 15 units"	J9040	HCPCS	Outpatient	15	UN	194	126.1		90			Percent of total billed charges		174.6	40			Percent of total billed charges		77.6	80			Percent of total billed charges		155.2	90			Percent of total billed charges		174.6	100			Fee schedule	code is bundled with other services	194	85			Percent of total billed charges		164.9	100			Fee schedule	code is bundled with other services	194	100			Fee schedule	code is bundled with other services	194	100			Fee schedule	code is bundled with other services	194	100			Fee schedule	code is bundled with other services	194	33.3			Percent of total billed charges		64.02	33.3			Percent of total billed charges		64.02	100			Fee schedule	code is bundled with other services	194	77.6	174.6	
"Injection, regadenoson, 0.1 mg"	J2785	HCPCS	Outpatient	0.1	ME	201.25	130.81		90			Percent of total billed charges		181.12	40			Percent of total billed charges		80.5	80			Percent of total billed charges		161	90			Percent of total billed charges		181.12	100			Fee schedule	code is bundled with other services	201.25	85			Percent of total billed charges		171.06	100			Fee schedule	code is bundled with other services	201.25	100			Fee schedule	code is bundled with other services	201.25	100			Fee schedule	code is bundled with other services	201.25	100			Fee schedule	code is bundled with other services	201.25	33.3			Percent of total billed charges		66.4125	33.3			Percent of total billed charges		66.4125	100			Fee schedule	code is bundled with other services	201.25	80.5	181.12	
"Technetium tc-99m labeled red blood cells, diagnostic, per study dose, up to 30 millicuries"	A9560	CPT	Outpatient			220	143		90			Percent of total billed charges		198	40			Percent of total billed charges		88	80			Percent of total billed charges		176	90			Percent of total billed charges		198	100			Fee schedule	code is bundled with other services	220	85			Percent of total billed charges		187	100			Fee schedule	code is bundled with other services	220	100			Fee schedule	code is bundled with other services	220	100			Fee schedule	code is bundled with other services	220	100			Fee schedule	code is bundled with other services	220	33.3			Percent of total billed charges		72.6	33.3			Percent of total billed charges		72.6	100			Fee schedule	code is bundled with other services	220	88	198	
"Injection, rho d immune globulin, human, minidose, 50 micrograms (250 i.u.)"	J2788	HCPCS	Outpatient	50	UN	223.15	145.05		90			Percent of total billed charges		200.84	40			Percent of total billed charges		89.26	80			Percent of total billed charges		178.52	90			Percent of total billed charges		200.84	100			Fee schedule	code is bundled with other services	223.15	85			Percent of total billed charges		189.68	100			Fee schedule	code is bundled with other services	223.15	100			Fee schedule	code is bundled with other services	223.15	100			Fee schedule	code is bundled with other services	223.15	100			Fee schedule	code is bundled with other services	223.15	33.3			Percent of total billed charges		73.6395	33.3			Percent of total billed charges		73.6395	100			Fee schedule	code is bundled with other services	223.15	89.26	200.84	
"Injection, ceftriaxone sodium, per 250 mg"	J0696	HCPCS	Outpatient	250	ME	223.15	145.05		90			Percent of total billed charges		200.84	40			Percent of total billed charges		89.26	80			Percent of total billed charges		178.52	90			Percent of total billed charges		200.84	100			Fee schedule	code is bundled with other services	223.15	85			Percent of total billed charges		189.68	100			Fee schedule	code is bundled with other services	223.15	100			Fee schedule	code is bundled with other services	223.15	100			Fee schedule	code is bundled with other services	223.15	100			Fee schedule	code is bundled with other services	223.15	33.3			Percent of total billed charges		73.6395	33.3			Percent of total billed charges		73.6395	100			Fee schedule	code is bundled with other services	223.15	89.26	200.84	
"Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular use"	90715	CPT	Outpatient			223.15	145.05		90			Percent of total billed charges		200.84	40			Percent of total billed charges		89.26	80			Percent of total billed charges		178.52	90			Percent of total billed charges		200.84	100			Fee schedule	code is bundled with other services	223.15	85			Percent of total billed charges		189.68	100			Fee schedule	code is bundled with other services	223.15	100			Fee schedule	code is bundled with other services	223.15	100			Fee schedule	code is bundled with other services	223.15	100			Fee schedule	code is bundled with other services	223.15	33.3			Percent of total billed charges		73.6395	33.3			Percent of total billed charges		73.6395	100			Fee schedule	code is bundled with other services	223.15	89.26	200.84	
"Technetium tc-99m sestamibi, diagnostic, per study dose"	A9500	CPT	Outpatient			262	170.3		90			Percent of total billed charges		235.8	40			Percent of total billed charges		104.8	80			Percent of total billed charges		209.6	90			Percent of total billed charges		235.8	100			Fee schedule	code is bundled with other services	262	85			Percent of total billed charges		222.7	100			Fee schedule	code is bundled with other services	262	100			Fee schedule	code is bundled with other services	262	100			Fee schedule	code is bundled with other services	262	100			Fee schedule	code is bundled with other services	262	33.3			Percent of total billed charges		86.46	33.3			Percent of total billed charges		86.46	100			Fee schedule	code is bundled with other services	262	104.8	235.8	
"Technetium tc-99m tetrofosmin, diagnostic, per study dose"	A9502	CPT	Outpatient			262	170.3		90			Percent of total billed charges		235.8	40			Percent of total billed charges		104.8	80			Percent of total billed charges		209.6	90			Percent of total billed charges		235.8	100			Fee schedule	code is bundled with other services	262	85			Percent of total billed charges		222.7	100			Fee schedule	code is bundled with other services	262	100			Fee schedule	code is bundled with other services	262	100			Fee schedule	code is bundled with other services	262	100			Fee schedule	code is bundled with other services	262	33.3			Percent of total billed charges		86.46	33.3			Percent of total billed charges		86.46	100			Fee schedule	code is bundled with other services	262	104.8	235.8	
"Injection, methocarbamol, up to 10 ml"	J2800	HCPCS	Outpatient	10	ML	266	172.9		90			Percent of total billed charges		239.4	40			Percent of total billed charges		106.4	80			Percent of total billed charges		212.8	90			Percent of total billed charges		239.4	100			Fee schedule	code is bundled with other services	266	85			Percent of total billed charges		226.1	100			Fee schedule	code is bundled with other services	266	100			Fee schedule	code is bundled with other services	266	100			Fee schedule	code is bundled with other services	266	100			Fee schedule	code is bundled with other services	266	33.3			Percent of total billed charges		87.78	33.3			Percent of total billed charges		87.78	100			Fee schedule	code is bundled with other services	266	106.4	239.4	
"Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous use"	90707	CPT	Outpatient			317	206.05		90			Percent of total billed charges		285.3	40			Percent of total billed charges		126.8	80			Percent of total billed charges		253.6	90			Percent of total billed charges		285.3	100			Fee schedule	code is bundled with other services	317	85			Percent of total billed charges		269.45	100			Fee schedule	code is bundled with other services	317	100			Fee schedule	code is bundled with other services	317	100			Fee schedule	code is bundled with other services	317	100			Fee schedule	code is bundled with other services	317	33.3			Percent of total billed charges		104.61	33.3			Percent of total billed charges		104.61	100			Fee schedule	code is bundled with other services	317	126.8	285.3	
"Iodine i-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries"	A9516	CPT	Outpatient			332	215.8		90			Percent of total billed charges		298.8	40			Percent of total billed charges		132.8	80			Percent of total billed charges		265.6	90			Percent of total billed charges		298.8	100			Fee schedule	code is bundled with other services	332	85			Percent of total billed charges		282.2	100			Fee schedule	code is bundled with other services	332	100			Fee schedule	code is bundled with other services	332	100			Fee schedule	code is bundled with other services	332	100			Fee schedule	code is bundled with other services	332	33.3			Percent of total billed charges		109.56	33.3			Percent of total billed charges		109.56	100			Fee schedule	code is bundled with other services	332	132.8	298.8	
"Injection, dicyclomine hcl, up to 20 mg"	J0500	HCPCS	Outpatient	20	ME	341.25	221.81		90			Percent of total billed charges		307.12	40			Percent of total billed charges		136.5	80			Percent of total billed charges		273	90			Percent of total billed charges		307.12	100			Fee schedule	code is bundled with other services	341.25	85			Percent of total billed charges		290.06	100			Fee schedule	code is bundled with other services	341.25	100			Fee schedule	code is bundled with other services	341.25	100			Fee schedule	code is bundled with other services	341.25	100			Fee schedule	code is bundled with other services	341.25	33.3			Percent of total billed charges		112.6125	33.3			Percent of total billed charges		112.6125	100			Fee schedule	code is bundled with other services	341.25	136.5	307.12	
"Injection fluconazole, 200 mg"	J1450	HCPCS	Outpatient	200	ME	341.25	221.81		90			Percent of total billed charges		307.12	40			Percent of total billed charges		136.5	80			Percent of total billed charges		273	90			Percent of total billed charges		307.12	100			Fee schedule	code is bundled with other services	341.25	85			Percent of total billed charges		290.06	100			Fee schedule	code is bundled with other services	341.25	100			Fee schedule	code is bundled with other services	341.25	100			Fee schedule	code is bundled with other services	341.25	100			Fee schedule	code is bundled with other services	341.25	33.3			Percent of total billed charges		112.6125	33.3			Percent of total billed charges		112.6125	100			Fee schedule	code is bundled with other services	341.25	136.5	307.12	
"Injection, sincalide, 5 micrograms"	J2805	HCPCS	Outpatient	5	UN	341.25	221.81		90			Percent of total billed charges		307.12	40			Percent of total billed charges		136.5	80			Percent of total billed charges		273	90			Percent of total billed charges		307.12	100			Fee schedule	code is bundled with other services	341.25	85			Percent of total billed charges		290.06	100			Fee schedule	code is bundled with other services	341.25	100			Fee schedule	code is bundled with other services	341.25	100			Fee schedule	code is bundled with other services	341.25	100			Fee schedule	code is bundled with other services	341.25	33.3			Percent of total billed charges		112.6125	33.3			Percent of total billed charges		112.6125	100			Fee schedule	code is bundled with other services	341.25	136.5	307.12	
"Gallium ga-67 citrate, diagnostic, per millicurie"	A9556	CPT	Outpatient			356	231.4		90			Percent of total billed charges		320.4	40			Percent of total billed charges		142.4	80			Percent of total billed charges		284.8	90			Percent of total billed charges		320.4	100			Fee schedule	code is bundled with other services	356	85			Percent of total billed charges		302.6	100			Fee schedule	code is bundled with other services	356	100			Fee schedule	code is bundled with other services	356	100			Fee schedule	code is bundled with other services	356	100			Fee schedule	code is bundled with other services	356	33.3			Percent of total billed charges		117.48	33.3			Percent of total billed charges		117.48	100			Fee schedule	code is bundled with other services	356	142.4	320.4	
"Injection, rho d immune globulin, human, full dose, 300 micrograms (1500 i.u.)"	J2790	HCPCS	Outpatient	300	UN	378	245.7		90			Percent of total billed charges		340.2	40			Percent of total billed charges		151.2	80			Percent of total billed charges		302.4	90			Percent of total billed charges		340.2	100			Fee schedule	code is bundled with other services	378	85			Percent of total billed charges		321.3	100			Fee schedule	code is bundled with other services	378	100			Fee schedule	code is bundled with other services	378	100			Fee schedule	code is bundled with other services	378	100			Fee schedule	code is bundled with other services	378	33.3			Percent of total billed charges		124.74	33.3			Percent of total billed charges		124.74	100			Fee schedule	code is bundled with other services	378	151.2	340.2	
"Injection, cosyntropin, 0.25 mg"	J0834	HCPCS	Outpatient	0.25	ME	380	247		90			Percent of total billed charges		342	40			Percent of total billed charges		152	80			Percent of total billed charges		304	90			Percent of total billed charges		342	100			Fee schedule	code is bundled with other services	380	85			Percent of total billed charges		323	100			Fee schedule	code is bundled with other services	380	100			Fee schedule	code is bundled with other services	380	100			Fee schedule	code is bundled with other services	380	100			Fee schedule	code is bundled with other services	380	33.3			Percent of total billed charges		125.4	33.3			Percent of total billed charges		125.4	100			Fee schedule	code is bundled with other services	380	152	342	
"Injection, sumatriptan succinate, 6 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)"	J3030	HCPCS	Outpatient	6	ME	392	254.8		90			Percent of total billed charges		352.8	40			Percent of total billed charges		156.8	80			Percent of total billed charges		313.6	90			Percent of total billed charges		352.8	100			Fee schedule	code is bundled with other services	392	85			Percent of total billed charges		333.2	100			Fee schedule	code is bundled with other services	392	100			Fee schedule	code is bundled with other services	392	100			Fee schedule	code is bundled with other services	392	100			Fee schedule	code is bundled with other services	392	33.3			Percent of total billed charges		129.36	33.3			Percent of total billed charges		129.36	100			Fee schedule	code is bundled with other services	392	156.8	352.8	
"Thallium tl-201 thallous chloride, diagnostic, per millicurie"	A9505	CPT	Outpatient			396	257.4		90			Percent of total billed charges		356.4	40			Percent of total billed charges		158.4	80			Percent of total billed charges		316.8	90			Percent of total billed charges		356.4	100			Fee schedule	code is bundled with other services	396	85			Percent of total billed charges		336.6	100			Fee schedule	code is bundled with other services	396	100			Fee schedule	code is bundled with other services	396	100			Fee schedule	code is bundled with other services	396	100			Fee schedule	code is bundled with other services	396	33.3			Percent of total billed charges		130.68	33.3			Percent of total billed charges		130.68	100			Fee schedule	code is bundled with other services	396	158.4	356.4	
"Technetium tc-99m tilmanocept, diagnostic, up to 0.5 millicuries"	A9520	CPT	Outpatient			396	257.4		90			Percent of total billed charges		356.4	40			Percent of total billed charges		158.4	80			Percent of total billed charges		316.8	90			Percent of total billed charges		356.4	100			Fee schedule	code is bundled with other services	396	85			Percent of total billed charges		336.6	100			Fee schedule	code is bundled with other services	396	100			Fee schedule	code is bundled with other services	396	100			Fee schedule	code is bundled with other services	396	100			Fee schedule	code is bundled with other services	396	33.3			Percent of total billed charges		130.68	33.3			Percent of total billed charges		130.68	100			Fee schedule	code is bundled with other services	396	158.4	356.4	
"Injection, ertapenem sodium, 500 mg"	J1335	HCPCS	Outpatient	500	ME	398	258.7		90			Percent of total billed charges		358.2	40			Percent of total billed charges		159.2	80			Percent of total billed charges		318.4	90			Percent of total billed charges		358.2	100			Fee schedule	code is bundled with other services	398	85			Percent of total billed charges		338.3	100			Fee schedule	code is bundled with other services	398	100			Fee schedule	code is bundled with other services	398	100			Fee schedule	code is bundled with other services	398	100			Fee schedule	code is bundled with other services	398	33.3			Percent of total billed charges		131.34	33.3			Percent of total billed charges		131.34	100			Fee schedule	code is bundled with other services	398	159.2	358.2	
"Graftjacket, per square centimeter"	Q4107	CPT	Outpatient			402	261.3		90			Percent of total billed charges		361.8	40			Percent of total billed charges		160.8	80			Percent of total billed charges		321.6	90			Percent of total billed charges		361.8	100			Fee schedule	code is bundled with other services	402	85			Percent of total billed charges		341.7	100			Fee schedule	code is bundled with other services	402	100			Fee schedule	code is bundled with other services	402	100			Fee schedule	code is bundled with other services	402	100			Fee schedule	code is bundled with other services	402	33.3			Percent of total billed charges		132.66	33.3			Percent of total billed charges		132.66	100			Fee schedule	code is bundled with other services	402	160.8	361.8	
"Radiopharmaceutical, diagnostic, not otherwise classified"	A4641	CPT	Outpatient			429	278.85		90			Percent of total billed charges		386.1	40			Percent of total billed charges		171.6	80			Percent of total billed charges		343.2	90			Percent of total billed charges		386.1	100			Fee schedule	code is bundled with other services	429	85			Percent of total billed charges		364.65	100			Fee schedule	code is bundled with other services	429	100			Fee schedule	code is bundled with other services	429	100			Fee schedule	code is bundled with other services	429	100			Fee schedule	code is bundled with other services	429	33.3			Percent of total billed charges		141.57	33.3			Percent of total billed charges		141.57	100			Fee schedule	code is bundled with other services	429	171.6	386.1	
"Injection, digoxin, up to 0.5 mg"	J1160	HCPCS	Outpatient	0.5	ME	450	292.5		90			Percent of total billed charges		405	40			Percent of total billed charges		180	80			Percent of total billed charges		360	90			Percent of total billed charges		405	100			Fee schedule	code is bundled with other services	450	85			Percent of total billed charges		382.5	100			Fee schedule	code is bundled with other services	450	100			Fee schedule	code is bundled with other services	450	100			Fee schedule	code is bundled with other services	450	100			Fee schedule	code is bundled with other services	450	33.3			Percent of total billed charges		148.5	33.3			Percent of total billed charges		148.5	100			Fee schedule	code is bundled with other services	450	180	405	
"Epifix, per square centimeter"	Q4186	CPT	Outpatient			450	292.5		90			Percent of total billed charges		405	40			Percent of total billed charges		180	80			Percent of total billed charges		360	90			Percent of total billed charges		405	100			Fee schedule	code is bundled with other services	450	85			Percent of total billed charges		382.5	100			Fee schedule	code is bundled with other services	450	100			Fee schedule	code is bundled with other services	450	100			Fee schedule	code is bundled with other services	450	100			Fee schedule	code is bundled with other services	450	33.3			Percent of total billed charges		148.5	33.3			Percent of total billed charges		148.5	100			Fee schedule	code is bundled with other services	450	180	405	
"Grafix prime, grafixpl prime, stravix and stravixpl, per square centimeter"	Q4133	CPT	Outpatient			470	305.5		90			Percent of total billed charges		423	40			Percent of total billed charges		188	80			Percent of total billed charges		376	90			Percent of total billed charges		423	100			Fee schedule	code is bundled with other services	470	85			Percent of total billed charges		399.5	100			Fee schedule	code is bundled with other services	470	100			Fee schedule	code is bundled with other services	470	100			Fee schedule	code is bundled with other services	470	100			Fee schedule	code is bundled with other services	470	33.3			Percent of total billed charges		155.1	33.3			Percent of total billed charges		155.1	100			Fee schedule	code is bundled with other services	470	188	423	
"Amnioexcel, amnioexcel plus or biodexcel, per square centimeter"	Q4137	CPT	Outpatient			493	320.45		90			Percent of total billed charges		443.7	40			Percent of total billed charges		197.2	80			Percent of total billed charges		394.4	90			Percent of total billed charges		443.7	100			Fee schedule	code is bundled with other services	493	85			Percent of total billed charges		419.05	100			Fee schedule	code is bundled with other services	493	100			Fee schedule	code is bundled with other services	493	100			Fee schedule	code is bundled with other services	493	100			Fee schedule	code is bundled with other services	493	33.3			Percent of total billed charges		162.69	33.3			Percent of total billed charges		162.69	100			Fee schedule	code is bundled with other services	493	197.2	443.7	
"Injection, zoledronic acid, 1 mg"	J3489	HCPCS	Outpatient	1	ME	676.4	439.66		90			Percent of total billed charges		608.76	40			Percent of total billed charges		270.56	80			Percent of total billed charges		541.12	90			Percent of total billed charges		608.76	100			Fee schedule	code is bundled with other services	676.4	85			Percent of total billed charges		574.94	100			Fee schedule	code is bundled with other services	676.4	100			Fee schedule	code is bundled with other services	676.4	100			Fee schedule	code is bundled with other services	676.4	100			Fee schedule	code is bundled with other services	676.4	33.3			Percent of total billed charges		223.212	33.3			Percent of total billed charges		223.212	100			Fee schedule	code is bundled with other services	676.4	270.56	608.76	
"Nushield, per square centimeter"	Q4160	CPT	Outpatient			705	458.25		90			Percent of total billed charges		634.5	40			Percent of total billed charges		282	80			Percent of total billed charges		564	90			Percent of total billed charges		634.5	100			Fee schedule	code is bundled with other services	705	85			Percent of total billed charges		599.25	100			Fee schedule	code is bundled with other services	705	100			Fee schedule	code is bundled with other services	705	100			Fee schedule	code is bundled with other services	705	100			Fee schedule	code is bundled with other services	705	33.3			Percent of total billed charges		232.65	33.3			Percent of total billed charges		232.65	100			Fee schedule	code is bundled with other services	705	282	634.5	
"Injection, gemcitabine hydrochloride, not otherwise specified, 200 mg"	J9201	HCPCS	Outpatient	200	ME	759	493.35		90			Percent of total billed charges		683.1	40			Percent of total billed charges		303.6	80			Percent of total billed charges		607.2	90			Percent of total billed charges		683.1	100			Fee schedule	code is bundled with other services	759	85			Percent of total billed charges		645.15	100			Fee schedule	code is bundled with other services	759	100			Fee schedule	code is bundled with other services	759	100			Fee schedule	code is bundled with other services	759	100			Fee schedule	code is bundled with other services	759	33.3			Percent of total billed charges		250.47	33.3			Percent of total billed charges		250.47	100			Fee schedule	code is bundled with other services	759	303.6	683.1	
"Injection, chlorothiazide sodium, per 500 mg"	J1205	HCPCS	Outpatient	500	ME	929	603.85		90			Percent of total billed charges		836.1	40			Percent of total billed charges		371.6	80			Percent of total billed charges		743.2	90			Percent of total billed charges		836.1	100			Fee schedule	code is bundled with other services	929	85			Percent of total billed charges		789.65	100			Fee schedule	code is bundled with other services	929	100			Fee schedule	code is bundled with other services	929	100			Fee schedule	code is bundled with other services	929	100			Fee schedule	code is bundled with other services	929	33.3			Percent of total billed charges		306.57	33.3			Percent of total billed charges		306.57	100			Fee schedule	code is bundled with other services	929	371.6	836.1	
"Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries"	A9552	CPT	Outpatient			936	608.4		90			Percent of total billed charges		842.4	40			Percent of total billed charges		374.4	80			Percent of total billed charges		748.8	90			Percent of total billed charges		842.4	100			Fee schedule	code is bundled with other services	936	85			Percent of total billed charges		795.6	100			Fee schedule	code is bundled with other services	936	100			Fee schedule	code is bundled with other services	936	100			Fee schedule	code is bundled with other services	936	100			Fee schedule	code is bundled with other services	936	33.3			Percent of total billed charges		308.88	33.3			Percent of total billed charges		308.88	100			Fee schedule	code is bundled with other services	936	374.4	842.4	
Drug administered through a metered dose inhaler	J3535	HCPCS	Outpatient	1	EA	1330.75	864.99		90			Percent of total billed charges		1197.68	40			Percent of total billed charges		532.3	80			Percent of total billed charges		1064.6	90			Percent of total billed charges		1197.68	100			Fee schedule	code is bundled with other services	1330.75	85			Percent of total billed charges		1131.14	100			Fee schedule	code is bundled with other services	1330.75	100			Fee schedule	code is bundled with other services	1330.75	100			Fee schedule	code is bundled with other services	1330.75	100			Fee schedule	code is bundled with other services	1330.75	33.3			Percent of total billed charges		439.1475	33.3			Percent of total billed charges		439.1475	100			Fee schedule	code is bundled with other services	1330.75	532.3	1197.68	
"Cymetra, injectable, 1 cc"	Q4112	CPT	Outpatient			1460	949		90			Percent of total billed charges		1314	40			Percent of total billed charges		584	80			Percent of total billed charges		1168	90			Percent of total billed charges		1314	100			Fee schedule	code is bundled with other services	1460	85			Percent of total billed charges		1241	100			Fee schedule	code is bundled with other services	1460	100			Fee schedule	code is bundled with other services	1460	100			Fee schedule	code is bundled with other services	1460	100			Fee schedule	code is bundled with other services	1460	33.3			Percent of total billed charges		481.8	33.3			Percent of total billed charges		481.8	100			Fee schedule	code is bundled with other services	1460	584	1314	
"Graftjacket xpress, injectable, 1 cc"	Q4113	CPT	Outpatient			1460	949		90			Percent of total billed charges		1314	40			Percent of total billed charges		584	80			Percent of total billed charges		1168	90			Percent of total billed charges		1314	100			Fee schedule	code is bundled with other services	1460	85			Percent of total billed charges		1241	100			Fee schedule	code is bundled with other services	1460	100			Fee schedule	code is bundled with other services	1460	100			Fee schedule	code is bundled with other services	1460	100			Fee schedule	code is bundled with other services	1460	33.3			Percent of total billed charges		481.8	33.3			Percent of total billed charges		481.8	100			Fee schedule	code is bundled with other services	1460	584	1314	
"Grafix core and grafixpl core, per square centimeter"	Q4132	CPT	Outpatient			1715	1114.75		90			Percent of total billed charges		1543.5	40			Percent of total billed charges		686	80			Percent of total billed charges		1372	90			Percent of total billed charges		1543.5	100			Fee schedule	code is bundled with other services	1715	85			Percent of total billed charges		1457.75	100			Fee schedule	code is bundled with other services	1715	100			Fee schedule	code is bundled with other services	1715	100			Fee schedule	code is bundled with other services	1715	100			Fee schedule	code is bundled with other services	1715	33.3			Percent of total billed charges		565.95	33.3			Percent of total billed charges		565.95	100			Fee schedule	code is bundled with other services	1715	686	1543.5	
"Indium in-111 labeled autologous white blood cells, diagnostic, per study dose"	A9570	CPT	Outpatient			1818	1181.7		90			Percent of total billed charges		1636.2	40			Percent of total billed charges		727.2	80			Percent of total billed charges		1454.4	90			Percent of total billed charges		1636.2	100			Fee schedule	code is bundled with other services	1818	85			Percent of total billed charges		1545.3	100			Fee schedule	code is bundled with other services	1818	100			Fee schedule	code is bundled with other services	1818	100			Fee schedule	code is bundled with other services	1818	100			Fee schedule	code is bundled with other services	1818	33.3			Percent of total billed charges		599.94	33.3			Percent of total billed charges		599.94	100			Fee schedule	code is bundled with other services	1818	727.2	1636.2	
"Technetium tc-99m exametazime labeled autologous white blood cells, diagnostic, per study dose"	A9569	CPT	Outpatient			2246	1459.9		90			Percent of total billed charges		2021.4	40			Percent of total billed charges		898.4	80			Percent of total billed charges		1796.8	90			Percent of total billed charges		2021.4	100			Fee schedule	code is bundled with other services	2246	85			Percent of total billed charges		1909.1	100			Fee schedule	code is bundled with other services	2246	100			Fee schedule	code is bundled with other services	2246	100			Fee schedule	code is bundled with other services	2246	100			Fee schedule	code is bundled with other services	2246	33.3			Percent of total billed charges		741.18	33.3			Percent of total billed charges		741.18	100			Fee schedule	code is bundled with other services	2246	898.4	2021.4	
"Iodine i-131 sodium iodide solution, diagnostic, per millicurie"	A9529	CPT	Outpatient			2979	1936.35		90			Percent of total billed charges		2681.1	40			Percent of total billed charges		1191.6	80			Percent of total billed charges		2383.2	90			Percent of total billed charges		2681.1	100			Fee schedule	code is bundled with other services	2979	85			Percent of total billed charges		2532.15	100			Fee schedule	code is bundled with other services	2979	100			Fee schedule	code is bundled with other services	2979	100			Fee schedule	code is bundled with other services	2979	100			Fee schedule	code is bundled with other services	2979	33.3			Percent of total billed charges		983.07	33.3			Percent of total billed charges		983.07	100			Fee schedule	code is bundled with other services	2979	1191.6	2681.1	
"Integra flowable wound matrix, injectable, 1 cc"	Q4114	CPT	Outpatient			4044	2628.6		90			Percent of total billed charges		3639.6	40			Percent of total billed charges		1617.6	80			Percent of total billed charges		3235.2	90			Percent of total billed charges		3639.6	100			Fee schedule	code is bundled with other services	4044	85			Percent of total billed charges		3437.4	100			Fee schedule	code is bundled with other services	4044	100			Fee schedule	code is bundled with other services	4044	100			Fee schedule	code is bundled with other services	4044	100			Fee schedule	code is bundled with other services	4044	33.3			Percent of total billed charges		1334.52	33.3			Percent of total billed charges		1334.52	100			Fee schedule	code is bundled with other services	4044	1617.6	3639.6	
"Indium in-111 pentetreotide, diagnostic, per study dose, up to 6 millicuries"	A9572	CPT	Outpatient			4620	3003		90			Percent of total billed charges		4158	40			Percent of total billed charges		1848	80			Percent of total billed charges		3696	90			Percent of total billed charges		4158	100			Fee schedule	code is bundled with other services	4620	85			Percent of total billed charges		3927	100			Fee schedule	code is bundled with other services	4620	100			Fee schedule	code is bundled with other services	4620	100			Fee schedule	code is bundled with other services	4620	100			Fee schedule	code is bundled with other services	4620	33.3			Percent of total billed charges		1524.6	33.3			Percent of total billed charges		1524.6	100			Fee schedule	code is bundled with other services	4620	1848	4158	
"Alloderm, per square centimeter"	Q4116	CPT	Outpatient			9205	5983.25		90			Percent of total billed charges		8284.5	40			Percent of total billed charges		3682	80			Percent of total billed charges		7364	90			Percent of total billed charges		8284.5	100			Fee schedule	code is bundled with other services	9205	85			Percent of total billed charges		7824.25	100			Fee schedule	code is bundled with other services	9205	100			Fee schedule	code is bundled with other services	9205	100			Fee schedule	code is bundled with other services	9205	100			Fee schedule	code is bundled with other services	9205	33.3			Percent of total billed charges		3037.65	33.3			Percent of total billed charges		3037.65	100			Fee schedule	code is bundled with other services	9205	3682	8284.5	
vaginal delivery without complicating diagnoses	775	MS-DRG	Inpatient			4470.63	2905.91		90			Percent of total billed charges		4023.56	40			Percent of total billed charges		1788.252	80			Percent of total billed charges		3576.5	90			Percent of total billed charges		4023.56	85			Percent of total billed charges		3800.0355	85			Percent of total billed charges		3800.03	85			Percent of total billed charges		3800.0355	100			Percent of total billed charges		4470.63	100			Percent of total billed charges		4470.63	100			Percent of total billed charges		4470.63		2844		Case rate		2844		2844		Case rate		2844	100			Percent of total billed charges		4470.63	2844	4023.56	
vaginal delivery with complicating diagnoses	774	MS-DRG	Inpatient			4882.26	3173.47		90			Percent of total billed charges		4394.03	40			Percent of total billed charges		1952.904	80			Percent of total billed charges		3905.8	90			Percent of total billed charges		4394.03	85			Percent of total billed charges		4149.921	85			Percent of total billed charges		4149.92	85			Percent of total billed charges		4149.921	100			Percent of total billed charges		4882.26	100			Percent of total billed charges		4882.26	100			Percent of total billed charges		4882.26		2844		Case rate		2844		2844		Case rate		2844	100			Percent of total billed charges		4882.26	2844	4394.03	
vaginal delivery with sterilization and/or d&c	767	MS-DRG	Inpatient			11025.65	7166.67		90			Percent of total billed charges		9923.08	40			Percent of total billed charges		4410.26	80			Percent of total billed charges		8820.52	90			Percent of total billed charges		9923.08	85			Percent of total billed charges		9371.8025	85			Percent of total billed charges		9371.8	85			Percent of total billed charges		9371.8025	100			Percent of total billed charges		11025.65	100			Percent of total billed charges		11025.65	100			Percent of total billed charges		11025.65		2844		Case rate		3554		2844		Case rate		3554	100			Percent of total billed charges		11025.65	3554	9923.08	
cesarean section without cc/mcc	766	MS-DRG	Inpatient			5895.4	3832.01		90			Percent of total billed charges		5305.86	40			Percent of total billed charges		2358.16	80			Percent of total billed charges		4716.32	90			Percent of total billed charges		5305.86	85			Percent of total billed charges		5011.09	85			Percent of total billed charges		5011.09	85			Percent of total billed charges		5011.09	100			Percent of total billed charges		5895.4	100			Percent of total billed charges		5895.4	100			Percent of total billed charges		5895.4		3908		Case rate		3908		3908		Case rate		3908	100			Percent of total billed charges		5895.4	3908	5305.86	
cesarean section with cc/mcc	765	MS-DRG	Inpatient			5921.5	3848.98		90			Percent of total billed charges		5329.35	40			Percent of total billed charges		2368.6	80			Percent of total billed charges		4737.2	90			Percent of total billed charges		5329.35	85			Percent of total billed charges		5033.275	85			Percent of total billed charges		5033.28	85			Percent of total billed charges		5033.275	100			Percent of total billed charges		5921.5	100			Percent of total billed charges		5921.5	100			Percent of total billed charges		5921.5		3908		Case rate		3908		3908		Case rate		3908	100			Percent of total billed charges		5921.5	3908	5329.35	
"Splint, prefabricated, wrist or ankle"	S8451	CPT	Outpatient			72	46.8		90			Percent of total billed charges		64.8		12.73		Case rate		12.73	80			Percent of total billed charges		57.6	90			Percent of total billed charges		64.8	85			Percent of total billed charges		61.2	85			Percent of total billed charges		61.2	85			Percent of total billed charges		61.2	100			Percent of total billed charges		72	100			Percent of total billed charges		72	100			Percent of total billed charges		72	33.3			Percent of total billed charges		23.98	33.3			Percent of total billed charges		23.98	100			Percent of total billed charges		72	12.73	64.8	
Removal of sutures; by a physician other than the physician who originally closed the wound	S0630	CPT	Outpatient			110	71.5		90			Percent of total billed charges		99		25.98		Case rate		25.98	80			Percent of total billed charges		88	90			Percent of total billed charges		99	85			Percent of total billed charges		93.5	85			Percent of total billed charges		93.5	85			Percent of total billed charges		93.5	100			Percent of total billed charges		110	100			Percent of total billed charges		110	100			Percent of total billed charges		110	33.3			Percent of total billed charges		36.63	33.3			Percent of total billed charges		36.63	100			Percent of total billed charges		110	25.98	99	
"Ondansetron, oral, 4 mg (for circumstances falling under the medicare statute, use hcpcs q code)"	S0119	CPT	Outpatient			3.36	2.18		90			Percent of total billed charges		3.02		0.52		Case rate		0.52	80			Percent of total billed charges		2.69	90			Percent of total billed charges		3.02	85			Percent of total billed charges		2.856	85			Percent of total billed charges		2.86	85			Percent of total billed charges		2.856	100			Percent of total billed charges		3.36	100			Percent of total billed charges		3.36	100			Percent of total billed charges		3.36	33.3			Percent of total billed charges		1.1088	33.3			Percent of total billed charges		1.1088	100			Percent of total billed charges		3.36	0.52	3.02	
"Hydroxyurea, oral, 500 mg"	S0176	CPT	Outpatient			6.75	4.39		90			Percent of total billed charges		6.08		0.97		Case rate		0.97	80			Percent of total billed charges		5.4	90			Percent of total billed charges		6.08	85			Percent of total billed charges		5.7375	85			Percent of total billed charges		5.74	85			Percent of total billed charges		5.7375	100			Percent of total billed charges		6.75	100			Percent of total billed charges		6.75	100			Percent of total billed charges		6.75	33.3			Percent of total billed charges		2.2275	33.3			Percent of total billed charges		2.2275	100			Percent of total billed charges		6.75	0.97	6.08	
"Calcitrol, 0.25 microgram"	S0169	CPT	Outpatient			7	4.55		90			Percent of total billed charges		6.3		0.31		Case rate		0.31	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.31	33.3			Percent of total billed charges		2.31	100			Percent of total billed charges		7	0.31	6.3	
"Finasteride, 5 mg"	S0138	CPT	Outpatient			19	12.35		90			Percent of total billed charges		17.1		0.43		Case rate		0.43	80			Percent of total billed charges		15.2	90			Percent of total billed charges		17.1	85			Percent of total billed charges		16.15	85			Percent of total billed charges		16.15	85			Percent of total billed charges		16.15	100			Percent of total billed charges		19	100			Percent of total billed charges		19	100			Percent of total billed charges		19	33.3			Percent of total billed charges		6.27	33.3			Percent of total billed charges		6.27	100			Percent of total billed charges		19	0.43	17.1	
"Testosterone pellet, 75 mg"	S0189	CPT	Outpatient			125	81.25		90			Percent of total billed charges		112.5		117.96		Case rate		117.96	80			Percent of total billed charges		100	90			Percent of total billed charges		112.5	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	100			Percent of total billed charges		125	100			Percent of total billed charges		125	100			Percent of total billed charges		125	33.3			Percent of total billed charges		41.25	33.3			Percent of total billed charges		41.25	100			Percent of total billed charges		125	100	117.96	
covid testing charge	1	RC	Outpatient			0.01	0.01		90			Percent of total billed charges		0.009	40			Percent of total billed charges		0.004	80			Percent of total billed charges		0.008	90			Percent of total billed charges		0.009	85			Percent of total billed charges		0.0085	85			Percent of total billed charges		0.0085	85			Percent of total billed charges		0.0085	100			Percent of total billed charges		0.01	100			Percent of total billed charges		0.01	100			Percent of total billed charges		0.01	33.3			Percent of total billed charges		0.0033	33.3			Percent of total billed charges		0.0033	100			Percent of total billed charges		0.01	0.0033	0.009	
19 g metal infuser syringe tip 089-3958 patterson	272	RC	Outpatient			1	0.65		90			Percent of total billed charges		0.9	40			Percent of total billed charges		0.4	80			Percent of total billed charges		0.8	90			Percent of total billed charges		0.9	85			Percent of total billed charges		0.85	85			Percent of total billed charges		0.85	85			Percent of total billed charges		0.85	100			Percent of total billed charges		1	100			Percent of total billed charges		1	100			Percent of total billed charges		1	33.3			Percent of total billed charges		0.333	33.3			Percent of total billed charges		0.333	100			Percent of total billed charges		1	0.333	0.9	
3% acetic acid	250	RC	Outpatient			1	0.65		90			Percent of total billed charges		0.9	40			Percent of total billed charges		0.4	80			Percent of total billed charges		0.8	90			Percent of total billed charges		0.9	85			Percent of total billed charges		0.85	85			Percent of total billed charges		0.85	85			Percent of total billed charges		0.85	100			Percent of total billed charges		1	100			Percent of total billed charges		1	100			Percent of total billed charges		1	33.3			Percent of total billed charges		0.333	33.3			Percent of total billed charges		0.333	100			Percent of total billed charges		1	0.333	0.9	
additional surgery procedure charge	360	RC	Outpatient			1	0.65		90			Percent of total billed charges		0.9	40			Percent of total billed charges		0.4	80			Percent of total billed charges		0.8	90			Percent of total billed charges		0.9	85			Percent of total billed charges		0.85	85			Percent of total billed charges		0.85	85			Percent of total billed charges		0.85	100			Percent of total billed charges		1	100			Percent of total billed charges		1	100			Percent of total billed charges		1	33.3			Percent of total billed charges		0.333	33.3			Percent of total billed charges		0.333	100			Percent of total billed charges		1	0.333	0.9	
betadine sterile packet apll100 applicare	272	RC	Outpatient			1	0.65		90			Percent of total billed charges		0.9	40			Percent of total billed charges		0.4	80			Percent of total billed charges		0.8	90			Percent of total billed charges		0.9	85			Percent of total billed charges		0.85	85			Percent of total billed charges		0.85	85			Percent of total billed charges		0.85	100			Percent of total billed charges		1	100			Percent of total billed charges		1	100			Percent of total billed charges		1	33.3			Percent of total billed charges		0.333	33.3			Percent of total billed charges		0.333	100			Percent of total billed charges		1	0.333	0.9	
cath ureth 8fr	270	RC	Outpatient			1	0.65		90			Percent of total billed charges		0.9	40			Percent of total billed charges		0.4	80			Percent of total billed charges		0.8	90			Percent of total billed charges		0.9	85			Percent of total billed charges		0.85	85			Percent of total billed charges		0.85	85			Percent of total billed charges		0.85	100			Percent of total billed charges		1	100			Percent of total billed charges		1	100			Percent of total billed charges		1	33.3			Percent of total billed charges		0.333	33.3			Percent of total billed charges		0.333	100			Percent of total billed charges		1	0.333	0.9	
collodian	250	RC	Outpatient			1	0.65		90			Percent of total billed charges		0.9	40			Percent of total billed charges		0.4	80			Percent of total billed charges		0.8	90			Percent of total billed charges		0.9	85			Percent of total billed charges		0.85	85			Percent of total billed charges		0.85	85			Percent of total billed charges		0.85	100			Percent of total billed charges		1	100			Percent of total billed charges		1	100			Percent of total billed charges		1	33.3			Percent of total billed charges		0.333	33.3			Percent of total billed charges		0.333	100			Percent of total billed charges		1	0.333	0.9	
dental air/water syr	272	RC	Outpatient			1	0.65		90			Percent of total billed charges		0.9	40			Percent of total billed charges		0.4	80			Percent of total billed charges		0.8	90			Percent of total billed charges		0.9	85			Percent of total billed charges		0.85	85			Percent of total billed charges		0.85	85			Percent of total billed charges		0.85	100			Percent of total billed charges		1	100			Percent of total billed charges		1	100			Percent of total billed charges		1	33.3			Percent of total billed charges		0.333	33.3			Percent of total billed charges		0.333	100			Percent of total billed charges		1	0.333	0.9	
dental tooth saver	270	RC	Outpatient			1	0.65		90			Percent of total billed charges		0.9	40			Percent of total billed charges		0.4	80			Percent of total billed charges		0.8	90			Percent of total billed charges		0.9	85			Percent of total billed charges		0.85	85			Percent of total billed charges		0.85	85			Percent of total billed charges		0.85	100			Percent of total billed charges		1	100			Percent of total billed charges		1	100			Percent of total billed charges		1	33.3			Percent of total billed charges		0.333	33.3			Percent of total billed charges		0.333	100			Percent of total billed charges		1	0.333	0.9	
"diaper, peds."	270	RC	Outpatient			1	0.65		90			Percent of total billed charges		0.9	40			Percent of total billed charges		0.4	80			Percent of total billed charges		0.8	90			Percent of total billed charges		0.9	85			Percent of total billed charges		0.85	85			Percent of total billed charges		0.85	85			Percent of total billed charges		0.85	100			Percent of total billed charges		1	100			Percent of total billed charges		1	100			Percent of total billed charges		1	33.3			Percent of total billed charges		0.333	33.3			Percent of total billed charges		0.333	100			Percent of total billed charges		1	0.333	0.9	
ferric subsulfate solution 5548	250	RC	Outpatient			1	0.65		90			Percent of total billed charges		0.9	40			Percent of total billed charges		0.4	80			Percent of total billed charges		0.8	90			Percent of total billed charges		0.9	85			Percent of total billed charges		0.85	85			Percent of total billed charges		0.85	85			Percent of total billed charges		0.85	100			Percent of total billed charges		1	100			Percent of total billed charges		1	100			Percent of total billed charges		1	33.3			Percent of total billed charges		0.333	33.3			Percent of total billed charges		0.333	100			Percent of total billed charges		1	0.333	0.9	
dental startflow tip	272	RC	Outpatient			1	0.65		90			Percent of total billed charges		0.9	40			Percent of total billed charges		0.4	80			Percent of total billed charges		0.8	90			Percent of total billed charges		0.9	85			Percent of total billed charges		0.85	85			Percent of total billed charges		0.85	85			Percent of total billed charges		0.85	100			Percent of total billed charges		1	100			Percent of total billed charges		1	100			Percent of total billed charges		1	33.3			Percent of total billed charges		0.333	33.3			Percent of total billed charges		0.333	100			Percent of total billed charges		1	0.333	0.9	
"diaper, adult"	270	RC	Outpatient			1	0.65		90			Percent of total billed charges		0.9	40			Percent of total billed charges		0.4	80			Percent of total billed charges		0.8	90			Percent of total billed charges		0.9	85			Percent of total billed charges		0.85	85			Percent of total billed charges		0.85	85			Percent of total billed charges		0.85	100			Percent of total billed charges		1	100			Percent of total billed charges		1	100			Percent of total billed charges		1	33.3			Percent of total billed charges		0.333	33.3			Percent of total billed charges		0.333	100			Percent of total billed charges		1	0.333	0.9	
incutemp teddy adhesive	270	RC	Outpatient			1	0.65		90			Percent of total billed charges		0.9	40			Percent of total billed charges		0.4	80			Percent of total billed charges		0.8	90			Percent of total billed charges		0.9	85			Percent of total billed charges		0.85	85			Percent of total billed charges		0.85	85			Percent of total billed charges		0.85	100			Percent of total billed charges		1	100			Percent of total billed charges		1	100			Percent of total billed charges		1	33.3			Percent of total billed charges		0.333	33.3			Percent of total billed charges		0.333	100			Percent of total billed charges		1	0.333	0.9	
"k y jelly, individual"	270	RC	Outpatient			1	0.65		90			Percent of total billed charges		0.9	40			Percent of total billed charges		0.4	80			Percent of total billed charges		0.8	90			Percent of total billed charges		0.9	85			Percent of total billed charges		0.85	85			Percent of total billed charges		0.85	85			Percent of total billed charges		0.85	100			Percent of total billed charges		1	100			Percent of total billed charges		1	100			Percent of total billed charges		1	33.3			Percent of total billed charges		0.333	33.3			Percent of total billed charges		0.333	100			Percent of total billed charges		1	0.333	0.9	
flexible dressing  collodion	250	RC	Outpatient			1	0.65		90			Percent of total billed charges		0.9	40			Percent of total billed charges		0.4	80			Percent of total billed charges		0.8	90			Percent of total billed charges		0.9	85			Percent of total billed charges		0.85	85			Percent of total billed charges		0.85	85			Percent of total billed charges		0.85	100			Percent of total billed charges		1	100			Percent of total billed charges		1	100			Percent of total billed charges		1	33.3			Percent of total billed charges		0.333	33.3			Percent of total billed charges		0.333	100			Percent of total billed charges		1	0.333	0.9	
lugol's solution	250	RC	Outpatient			1	0.65		90			Percent of total billed charges		0.9	40			Percent of total billed charges		0.4	80			Percent of total billed charges		0.8	90			Percent of total billed charges		0.9	85			Percent of total billed charges		0.85	85			Percent of total billed charges		0.85	85			Percent of total billed charges		0.85	100			Percent of total billed charges		1	100			Percent of total billed charges		1	100			Percent of total billed charges		1	33.3			Percent of total billed charges		0.333	33.3			Percent of total billed charges		0.333	100			Percent of total billed charges		1	0.333	0.9	
monsel's solution	250	RC	Outpatient			1	0.65		90			Percent of total billed charges		0.9	40			Percent of total billed charges		0.4	80			Percent of total billed charges		0.8	90			Percent of total billed charges		0.9	85			Percent of total billed charges		0.85	85			Percent of total billed charges		0.85	85			Percent of total billed charges		0.85	100			Percent of total billed charges		1	100			Percent of total billed charges		1	100			Percent of total billed charges		1	33.3			Percent of total billed charges		0.333	33.3			Percent of total billed charges		0.333	100			Percent of total billed charges		1	0.333	0.9	
nebulizer kit handheld	270	RC	Outpatient			1	0.65		90			Percent of total billed charges		0.9	40			Percent of total billed charges		0.4	80			Percent of total billed charges		0.8	90			Percent of total billed charges		0.9	85			Percent of total billed charges		0.85	85			Percent of total billed charges		0.85	85			Percent of total billed charges		0.85	100			Percent of total billed charges		1	100			Percent of total billed charges		1	100			Percent of total billed charges		1	33.3			Percent of total billed charges		0.333	33.3			Percent of total billed charges		0.333	100			Percent of total billed charges		1	0.333	0.9	
lugols	250	RC	Outpatient			1	0.65		90			Percent of total billed charges		0.9	40			Percent of total billed charges		0.4	80			Percent of total billed charges		0.8	90			Percent of total billed charges		0.9	85			Percent of total billed charges		0.85	85			Percent of total billed charges		0.85	85			Percent of total billed charges		0.85	100			Percent of total billed charges		1	100			Percent of total billed charges		1	100			Percent of total billed charges		1	33.3			Percent of total billed charges		0.333	33.3			Percent of total billed charges		0.333	100			Percent of total billed charges		1	0.333	0.9	
perforated rubber tip	270	RC	Outpatient			1	0.65		90			Percent of total billed charges		0.9	40			Percent of total billed charges		0.4	80			Percent of total billed charges		0.8	90			Percent of total billed charges		0.9	85			Percent of total billed charges		0.85	85			Percent of total billed charges		0.85	85			Percent of total billed charges		0.85	100			Percent of total billed charges		1	100			Percent of total billed charges		1	100			Percent of total billed charges		1	33.3			Percent of total billed charges		0.333	33.3			Percent of total billed charges		0.333	100			Percent of total billed charges		1	0.333	0.9	
rainbow tooth saver 028-3127 patterson	270	RC	Outpatient			1	0.65		90			Percent of total billed charges		0.9	40			Percent of total billed charges		0.4	80			Percent of total billed charges		0.8	90			Percent of total billed charges		0.9	85			Percent of total billed charges		0.85	85			Percent of total billed charges		0.85	85			Percent of total billed charges		0.85	100			Percent of total billed charges		1	100			Percent of total billed charges		1	100			Percent of total billed charges		1	33.3			Percent of total billed charges		0.333	33.3			Percent of total billed charges		0.333	100			Percent of total billed charges		1	0.333	0.9	
startflow syringe tip 2336-3836 pattersen	272	RC	Outpatient			1	0.65		90			Percent of total billed charges		0.9	40			Percent of total billed charges		0.4	80			Percent of total billed charges		0.8	90			Percent of total billed charges		0.9	85			Percent of total billed charges		0.85	85			Percent of total billed charges		0.85	85			Percent of total billed charges		0.85	100			Percent of total billed charges		1	100			Percent of total billed charges		1	100			Percent of total billed charges		1	33.3			Percent of total billed charges		0.333	33.3			Percent of total billed charges		0.333	100			Percent of total billed charges		1	0.333	0.9	
sterile rubber bands	270	RC	Outpatient			1	0.65		90			Percent of total billed charges		0.9	40			Percent of total billed charges		0.4	80			Percent of total billed charges		0.8	90			Percent of total billed charges		0.9	85			Percent of total billed charges		0.85	85			Percent of total billed charges		0.85	85			Percent of total billed charges		0.85	100			Percent of total billed charges		1	100			Percent of total billed charges		1	100			Percent of total billed charges		1	33.3			Percent of total billed charges		0.333	33.3			Percent of total billed charges		0.333	100			Percent of total billed charges		1	0.333	0.9	
suction yankauer k80	270	RC	Outpatient			1	0.65		90			Percent of total billed charges		0.9	40			Percent of total billed charges		0.4	80			Percent of total billed charges		0.8	90			Percent of total billed charges		0.9	85			Percent of total billed charges		0.85	85			Percent of total billed charges		0.85	85			Percent of total billed charges		0.85	100			Percent of total billed charges		1	100			Percent of total billed charges		1	100			Percent of total billed charges		1	33.3			Percent of total billed charges		0.333	33.3			Percent of total billed charges		0.333	100			Percent of total billed charges		1	0.333	0.9	
tampon regular tampax	270	RC	Outpatient			1	0.65		90			Percent of total billed charges		0.9	40			Percent of total billed charges		0.4	80			Percent of total billed charges		0.8	90			Percent of total billed charges		0.9	85			Percent of total billed charges		0.85	85			Percent of total billed charges		0.85	85			Percent of total billed charges		0.85	100			Percent of total billed charges		1	100			Percent of total billed charges		1	100			Percent of total billed charges		1	33.3			Percent of total billed charges		0.333	33.3			Percent of total billed charges		0.333	100			Percent of total billed charges		1	0.333	0.9	
pin safety #2 steel imported c18740-020	270	RC	Outpatient			1	0.65		90			Percent of total billed charges		0.9	40			Percent of total billed charges		0.4	80			Percent of total billed charges		0.8	90			Percent of total billed charges		0.9	85			Percent of total billed charges		0.85	85			Percent of total billed charges		0.85	85			Percent of total billed charges		0.85	100			Percent of total billed charges		1	100			Percent of total billed charges		1	100			Percent of total billed charges		1	33.3			Percent of total billed charges		0.333	33.3			Percent of total billed charges		0.333	100			Percent of total billed charges		1	0.333	0.9	
pin safety 1  st 2201	270	RC	Outpatient			1	0.65		90			Percent of total billed charges		0.9	40			Percent of total billed charges		0.4	80			Percent of total billed charges		0.8	90			Percent of total billed charges		0.9	85			Percent of total billed charges		0.85	85			Percent of total billed charges		0.85	85			Percent of total billed charges		0.85	100			Percent of total billed charges		1	100			Percent of total billed charges		1	100			Percent of total billed charges		1	33.3			Percent of total billed charges		0.333	33.3			Percent of total billed charges		0.333	100			Percent of total billed charges		1	0.333	0.9	
rubber bands	270	RC	Outpatient			1	0.65		90			Percent of total billed charges		0.9	40			Percent of total billed charges		0.4	80			Percent of total billed charges		0.8	90			Percent of total billed charges		0.9	85			Percent of total billed charges		0.85	85			Percent of total billed charges		0.85	85			Percent of total billed charges		0.85	100			Percent of total billed charges		1	100			Percent of total billed charges		1	100			Percent of total billed charges		1	33.3			Percent of total billed charges		0.333	33.3			Percent of total billed charges		0.333	100			Percent of total billed charges		1	0.333	0.9	
safety pin 2202 (dr ivey)	270	RC	Outpatient			1	0.65		90			Percent of total billed charges		0.9	40			Percent of total billed charges		0.4	80			Percent of total billed charges		0.8	90			Percent of total billed charges		0.9	85			Percent of total billed charges		0.85	85			Percent of total billed charges		0.85	85			Percent of total billed charges		0.85	100			Percent of total billed charges		1	100			Percent of total billed charges		1	100			Percent of total billed charges		1	33.3			Percent of total billed charges		0.333	33.3			Percent of total billed charges		0.333	100			Percent of total billed charges		1	0.333	0.9	
safety pins	270	RC	Outpatient			1	0.65		90			Percent of total billed charges		0.9	40			Percent of total billed charges		0.4	80			Percent of total billed charges		0.8	90			Percent of total billed charges		0.9	85			Percent of total billed charges		0.85	85			Percent of total billed charges		0.85	85			Percent of total billed charges		0.85	100			Percent of total billed charges		1	100			Percent of total billed charges		1	100			Percent of total billed charges		1	33.3			Percent of total billed charges		0.333	33.3			Percent of total billed charges		0.333	100			Percent of total billed charges		1	0.333	0.9	
seal tight air water syringe 630-1691 patterson	272	RC	Outpatient			1	0.65		90			Percent of total billed charges		0.9	40			Percent of total billed charges		0.4	80			Percent of total billed charges		0.8	90			Percent of total billed charges		0.9	85			Percent of total billed charges		0.85	85			Percent of total billed charges		0.85	85			Percent of total billed charges		0.85	100			Percent of total billed charges		1	100			Percent of total billed charges		1	100			Percent of total billed charges		1	33.3			Percent of total billed charges		0.333	33.3			Percent of total billed charges		0.333	100			Percent of total billed charges		1	0.333	0.9	
tip rubber .8 karl storz 27550a/10	270	RC	Outpatient			1	0.65		90			Percent of total billed charges		0.9	40			Percent of total billed charges		0.4	80			Percent of total billed charges		0.8	90			Percent of total billed charges		0.9	85			Percent of total billed charges		0.85	85			Percent of total billed charges		0.85	85			Percent of total billed charges		0.85	100			Percent of total billed charges		1	100			Percent of total billed charges		1	100			Percent of total billed charges		1	33.3			Percent of total billed charges		0.333	33.3			Percent of total billed charges		0.333	100			Percent of total billed charges		1	0.333	0.9	
vaseline gauze 3 x 18	270	RC	Outpatient			1	0.65		90			Percent of total billed charges		0.9	40			Percent of total billed charges		0.4	80			Percent of total billed charges		0.8	90			Percent of total billed charges		0.9	85			Percent of total billed charges		0.85	85			Percent of total billed charges		0.85	85			Percent of total billed charges		0.85	100			Percent of total billed charges		1	100			Percent of total billed charges		1	100			Percent of total billed charges		1	33.3			Percent of total billed charges		0.333	33.3			Percent of total billed charges		0.333	100			Percent of total billed charges		1	0.333	0.9	
wrap ez	270	RC	Outpatient			1	0.65		90			Percent of total billed charges		0.9	40			Percent of total billed charges		0.4	80			Percent of total billed charges		0.8	90			Percent of total billed charges		0.9	85			Percent of total billed charges		0.85	85			Percent of total billed charges		0.85	85			Percent of total billed charges		0.85	100			Percent of total billed charges		1	100			Percent of total billed charges		1	100			Percent of total billed charges		1	33.3			Percent of total billed charges		0.333	33.3			Percent of total billed charges		0.333	100			Percent of total billed charges		1	0.333	0.9	
4975 dsg opsite	272	RC	Outpatient			2	1.3		90			Percent of total billed charges		1.8	40			Percent of total billed charges		0.8	80			Percent of total billed charges		1.6	90			Percent of total billed charges		1.8	85			Percent of total billed charges		1.7	85			Percent of total billed charges		1.7	85			Percent of total billed charges		1.7	100			Percent of total billed charges		2	100			Percent of total billed charges		2	100			Percent of total billed charges		2	33.3			Percent of total billed charges		0.666	33.3			Percent of total billed charges		0.666	100			Percent of total billed charges		2	0.666	1.8	
adapter valved-tee airlife	270	RC	Outpatient			2	1.3		90			Percent of total billed charges		1.8	40			Percent of total billed charges		0.8	80			Percent of total billed charges		1.6	90			Percent of total billed charges		1.8	85			Percent of total billed charges		1.7	85			Percent of total billed charges		1.7	85			Percent of total billed charges		1.7	100			Percent of total billed charges		2	100			Percent of total billed charges		2	100			Percent of total billed charges		2	33.3			Percent of total billed charges		0.666	33.3			Percent of total billed charges		0.666	100			Percent of total billed charges		2	0.666	1.8	
arm board infant	270	RC	Outpatient			2	1.3		90			Percent of total billed charges		1.8	40			Percent of total billed charges		0.8	80			Percent of total billed charges		1.6	90			Percent of total billed charges		1.8	85			Percent of total billed charges		1.7	85			Percent of total billed charges		1.7	85			Percent of total billed charges		1.7	100			Percent of total billed charges		2	100			Percent of total billed charges		2	100			Percent of total billed charges		2	33.3			Percent of total billed charges		0.666	33.3			Percent of total billed charges		0.666	100			Percent of total billed charges		2	0.666	1.8	
blue corragated tubing	270	RC	Outpatient			2	1.3		90			Percent of total billed charges		1.8	40			Percent of total billed charges		0.8	80			Percent of total billed charges		1.6	90			Percent of total billed charges		1.8	85			Percent of total billed charges		1.7	85			Percent of total billed charges		1.7	85			Percent of total billed charges		1.7	100			Percent of total billed charges		2	100			Percent of total billed charges		2	100			Percent of total billed charges		2	33.3			Percent of total billed charges		0.666	33.3			Percent of total billed charges		0.666	100			Percent of total billed charges		2	0.666	1.8	
"cath,suct. w-tip #10"	270	RC	Outpatient			2	1.3		90			Percent of total billed charges		1.8	40			Percent of total billed charges		0.8	80			Percent of total billed charges		1.6	90			Percent of total billed charges		1.8	85			Percent of total billed charges		1.7	85			Percent of total billed charges		1.7	85			Percent of total billed charges		1.7	100			Percent of total billed charges		2	100			Percent of total billed charges		2	100			Percent of total billed charges		2	33.3			Percent of total billed charges		0.666	33.3			Percent of total billed charges		0.666	100			Percent of total billed charges		2	0.666	1.8	
"applicator stick, sterile"	270	RC	Outpatient			2	1.3		90			Percent of total billed charges		1.8	40			Percent of total billed charges		0.8	80			Percent of total billed charges		1.6	90			Percent of total billed charges		1.8	85			Percent of total billed charges		1.7	85			Percent of total billed charges		1.7	85			Percent of total billed charges		1.7	100			Percent of total billed charges		2	100			Percent of total billed charges		2	100			Percent of total billed charges		2	33.3			Percent of total billed charges		0.666	33.3			Percent of total billed charges		0.666	100			Percent of total billed charges		2	0.666	1.8	
cd's	270	RC	Outpatient			2	1.3		90			Percent of total billed charges		1.8	40			Percent of total billed charges		0.8	80			Percent of total billed charges		1.6	90			Percent of total billed charges		1.8	85			Percent of total billed charges		1.7	85			Percent of total billed charges		1.7	85			Percent of total billed charges		1.7	100			Percent of total billed charges		2	100			Percent of total billed charges		2	100			Percent of total billed charges		2	33.3			Percent of total billed charges		0.666	33.3			Percent of total billed charges		0.666	100			Percent of total billed charges		2	0.666	1.8	
denture cup	250	RC	Outpatient			2	1.3		90			Percent of total billed charges		1.8	40			Percent of total billed charges		0.8	80			Percent of total billed charges		1.6	90			Percent of total billed charges		1.8	85			Percent of total billed charges		1.7	85			Percent of total billed charges		1.7	85			Percent of total billed charges		1.7	100			Percent of total billed charges		2	100			Percent of total billed charges		2	100			Percent of total billed charges		2	33.3			Percent of total billed charges		0.666	33.3			Percent of total billed charges		0.666	100			Percent of total billed charges		2	0.666	1.8	
emesis basin	270	RC	Outpatient			2	1.3		90			Percent of total billed charges		1.8	40			Percent of total billed charges		0.8	80			Percent of total billed charges		1.6	90			Percent of total billed charges		1.8	85			Percent of total billed charges		1.7	85			Percent of total billed charges		1.7	85			Percent of total billed charges		1.7	100			Percent of total billed charges		2	100			Percent of total billed charges		2	100			Percent of total billed charges		2	33.3			Percent of total billed charges		0.666	33.3			Percent of total billed charges		0.666	100			Percent of total billed charges		2	0.666	1.8	
humidifier pref kit disp tall (500ml)	270	RC	Outpatient			2	1.3		90			Percent of total billed charges		1.8	40			Percent of total billed charges		0.8	80			Percent of total billed charges		1.6	90			Percent of total billed charges		1.8	85			Percent of total billed charges		1.7	85			Percent of total billed charges		1.7	85			Percent of total billed charges		1.7	100			Percent of total billed charges		2	100			Percent of total billed charges		2	100			Percent of total billed charges		2	33.3			Percent of total billed charges		0.666	33.3			Percent of total billed charges		0.666	100			Percent of total billed charges		2	0.666	1.8	
dressing medipore precut 15x28 2957	270	RC	Outpatient			2	1.3		90			Percent of total billed charges		1.8	40			Percent of total billed charges		0.8	80			Percent of total billed charges		1.6	90			Percent of total billed charges		1.8	85			Percent of total billed charges		1.7	85			Percent of total billed charges		1.7	85			Percent of total billed charges		1.7	100			Percent of total billed charges		2	100			Percent of total billed charges		2	100			Percent of total billed charges		2	33.3			Percent of total billed charges		0.666	33.3			Percent of total billed charges		0.666	100			Percent of total billed charges		2	0.666	1.8	
flexisensor 3in 15mmx22mm	270	RC	Outpatient			2	1.3		90			Percent of total billed charges		1.8	40			Percent of total billed charges		0.8	80			Percent of total billed charges		1.6	90			Percent of total billed charges		1.8	85			Percent of total billed charges		1.7	85			Percent of total billed charges		1.7	85			Percent of total billed charges		1.7	100			Percent of total billed charges		2	100			Percent of total billed charges		2	100			Percent of total billed charges		2	33.3			Percent of total billed charges		0.666	33.3			Percent of total billed charges		0.666	100			Percent of total billed charges		2	0.666	1.8	
mask vent adult oxygen adult venturi	270	RC	Outpatient			2	1.3		90			Percent of total billed charges		1.8	40			Percent of total billed charges		0.8	80			Percent of total billed charges		1.6	90			Percent of total billed charges		1.8	85			Percent of total billed charges		1.7	85			Percent of total billed charges		1.7	85			Percent of total billed charges		1.7	100			Percent of total billed charges		2	100			Percent of total billed charges		2	100			Percent of total billed charges		2	33.3			Percent of total billed charges		0.666	33.3			Percent of total billed charges		0.666	100			Percent of total billed charges		2	0.666	1.8	
mask vent pediatric oxygen pediatric venturi	270	RC	Outpatient			2	1.3		90			Percent of total billed charges		1.8	40			Percent of total billed charges		0.8	80			Percent of total billed charges		1.6	90			Percent of total billed charges		1.8	85			Percent of total billed charges		1.7	85			Percent of total billed charges		1.7	85			Percent of total billed charges		1.7	100			Percent of total billed charges		2	100			Percent of total billed charges		2	100			Percent of total billed charges		2	33.3			Percent of total billed charges		0.666	33.3			Percent of total billed charges		0.666	100			Percent of total billed charges		2	0.666	1.8	
kit abg sampling provent	270	RC	Outpatient			2	1.3		90			Percent of total billed charges		1.8	40			Percent of total billed charges		0.8	80			Percent of total billed charges		1.6	90			Percent of total billed charges		1.8	85			Percent of total billed charges		1.7	85			Percent of total billed charges		1.7	85			Percent of total billed charges		1.7	100			Percent of total billed charges		2	100			Percent of total billed charges		2	100			Percent of total billed charges		2	33.3			Percent of total billed charges		0.666	33.3			Percent of total billed charges		0.666	100			Percent of total billed charges		2	0.666	1.8	
mask elong n/rebr w/o sfty adult non-rebreather	270	RC	Outpatient			2	1.3		90			Percent of total billed charges		1.8	40			Percent of total billed charges		0.8	80			Percent of total billed charges		1.6	90			Percent of total billed charges		1.8	85			Percent of total billed charges		1.7	85			Percent of total billed charges		1.7	85			Percent of total billed charges		1.7	100			Percent of total billed charges		2	100			Percent of total billed charges		2	100			Percent of total billed charges		2	33.3			Percent of total billed charges		0.666	33.3			Percent of total billed charges		0.666	100			Percent of total billed charges		2	0.666	1.8	
mask trach w/o tubing adult	270	RC	Outpatient			2	1.3		90			Percent of total billed charges		1.8	40			Percent of total billed charges		0.8	80			Percent of total billed charges		1.6	90			Percent of total billed charges		1.8	85			Percent of total billed charges		1.7	85			Percent of total billed charges		1.7	85			Percent of total billed charges		1.7	100			Percent of total billed charges		2	100			Percent of total billed charges		2	100			Percent of total billed charges		2	33.3			Percent of total billed charges		0.666	33.3			Percent of total billed charges		0.666	100			Percent of total billed charges		2	0.666	1.8	
mask trach w/o tubing ped	270	RC	Outpatient			2	1.3		90			Percent of total billed charges		1.8	40			Percent of total billed charges		0.8	80			Percent of total billed charges		1.6	90			Percent of total billed charges		1.8	85			Percent of total billed charges		1.7	85			Percent of total billed charges		1.7	85			Percent of total billed charges		1.7	100			Percent of total billed charges		2	100			Percent of total billed charges		2	100			Percent of total billed charges		2	33.3			Percent of total billed charges		0.666	33.3			Percent of total billed charges		0.666	100			Percent of total billed charges		2	0.666	1.8	
scalpel disp w/blade	270	RC	Outpatient			2	1.3		90			Percent of total billed charges		1.8	40			Percent of total billed charges		0.8	80			Percent of total billed charges		1.6	90			Percent of total billed charges		1.8	85			Percent of total billed charges		1.7	85			Percent of total billed charges		1.7	85			Percent of total billed charges		1.7	100			Percent of total billed charges		2	100			Percent of total billed charges		2	100			Percent of total billed charges		2	33.3			Percent of total billed charges		0.666	33.3			Percent of total billed charges		0.666	100			Percent of total billed charges		2	0.666	1.8	
set b-ext 20	270	RC	Outpatient			2	1.3		90			Percent of total billed charges		1.8	40			Percent of total billed charges		0.8	80			Percent of total billed charges		1.6	90			Percent of total billed charges		1.8	85			Percent of total billed charges		1.7	85			Percent of total billed charges		1.7	85			Percent of total billed charges		1.7	100			Percent of total billed charges		2	100			Percent of total billed charges		2	100			Percent of total billed charges		2	33.3			Percent of total billed charges		0.666	33.3			Percent of total billed charges		0.666	100			Percent of total billed charges		2	0.666	1.8	
strainer	270	RC	Outpatient			2	1.3		90			Percent of total billed charges		1.8	40			Percent of total billed charges		0.8	80			Percent of total billed charges		1.6	90			Percent of total billed charges		1.8	85			Percent of total billed charges		1.7	85			Percent of total billed charges		1.7	85			Percent of total billed charges		1.7	100			Percent of total billed charges		2	100			Percent of total billed charges		2	100			Percent of total billed charges		2	33.3			Percent of total billed charges		0.666	33.3			Percent of total billed charges		0.666	100			Percent of total billed charges		2	0.666	1.8	
suction  tip yankauer	270	RC	Outpatient			2	1.3		90			Percent of total billed charges		1.8	40			Percent of total billed charges		0.8	80			Percent of total billed charges		1.6	90			Percent of total billed charges		1.8	85			Percent of total billed charges		1.7	85			Percent of total billed charges		1.7	85			Percent of total billed charges		1.7	100			Percent of total billed charges		2	100			Percent of total billed charges		2	100			Percent of total billed charges		2	33.3			Percent of total billed charges		0.666	33.3			Percent of total billed charges		0.666	100			Percent of total billed charges		2	0.666	1.8	
syr 10cc control l/l tip  309695 bd	270	RC	Outpatient			2	1.3		90			Percent of total billed charges		1.8	40			Percent of total billed charges		0.8	80			Percent of total billed charges		1.6	90			Percent of total billed charges		1.8	85			Percent of total billed charges		1.7	85			Percent of total billed charges		1.7	85			Percent of total billed charges		1.7	100			Percent of total billed charges		2	100			Percent of total billed charges		2	100			Percent of total billed charges		2	33.3			Percent of total billed charges		0.666	33.3			Percent of total billed charges		0.666	100			Percent of total billed charges		2	0.666	1.8	
spling alum. finger 2 1/4	270	RC	Outpatient			2	1.3		90			Percent of total billed charges		1.8	40			Percent of total billed charges		0.8	80			Percent of total billed charges		1.6	90			Percent of total billed charges		1.8	85			Percent of total billed charges		1.7	85			Percent of total billed charges		1.7	85			Percent of total billed charges		1.7	100			Percent of total billed charges		2	100			Percent of total billed charges		2	100			Percent of total billed charges		2	33.3			Percent of total billed charges		0.666	33.3			Percent of total billed charges		0.666	100			Percent of total billed charges		2	0.666	1.8	
splint alum. finger 1 1/4	270	RC	Outpatient			2	1.3		90			Percent of total billed charges		1.8	40			Percent of total billed charges		0.8	80			Percent of total billed charges		1.6	90			Percent of total billed charges		1.8	85			Percent of total billed charges		1.7	85			Percent of total billed charges		1.7	85			Percent of total billed charges		1.7	100			Percent of total billed charges		2	100			Percent of total billed charges		2	100			Percent of total billed charges		2	33.3			Percent of total billed charges		0.666	33.3			Percent of total billed charges		0.666	100			Percent of total billed charges		2	0.666	1.8	
syringe control charge	270	RC	Outpatient			2	1.3		90			Percent of total billed charges		1.8	40			Percent of total billed charges		0.8	80			Percent of total billed charges		1.6	90			Percent of total billed charges		1.8	85			Percent of total billed charges		1.7	85			Percent of total billed charges		1.7	85			Percent of total billed charges		1.7	100			Percent of total billed charges		2	100			Percent of total billed charges		2	100			Percent of total billed charges		2	33.3			Percent of total billed charges		0.666	33.3			Percent of total billed charges		0.666	100			Percent of total billed charges		2	0.666	1.8	
urine strainer	270	RC	Outpatient			2	1.3		90			Percent of total billed charges		1.8	40			Percent of total billed charges		0.8	80			Percent of total billed charges		1.6	90			Percent of total billed charges		1.8	85			Percent of total billed charges		1.7	85			Percent of total billed charges		1.7	85			Percent of total billed charges		1.7	100			Percent of total billed charges		2	100			Percent of total billed charges		2	100			Percent of total billed charges		2	33.3			Percent of total billed charges		0.666	33.3			Percent of total billed charges		0.666	100			Percent of total billed charges		2	0.666	1.8	
veni-gard jr sv30nxt	270	RC	Outpatient			2	1.3		90			Percent of total billed charges		1.8	40			Percent of total billed charges		0.8	80			Percent of total billed charges		1.6	90			Percent of total billed charges		1.8	85			Percent of total billed charges		1.7	85			Percent of total billed charges		1.7	85			Percent of total billed charges		1.7	100			Percent of total billed charges		2	100			Percent of total billed charges		2	100			Percent of total billed charges		2	33.3			Percent of total billed charges		0.666	33.3			Percent of total billed charges		0.666	100			Percent of total billed charges		2	0.666	1.8	
venigard	270	RC	Outpatient			2	1.3		90			Percent of total billed charges		1.8	40			Percent of total billed charges		0.8	80			Percent of total billed charges		1.6	90			Percent of total billed charges		1.8	85			Percent of total billed charges		1.7	85			Percent of total billed charges		1.7	85			Percent of total billed charges		1.7	100			Percent of total billed charges		2	100			Percent of total billed charges		2	100			Percent of total billed charges		2	33.3			Percent of total billed charges		0.666	33.3			Percent of total billed charges		0.666	100			Percent of total billed charges		2	0.666	1.8	
veniguard	270	RC	Outpatient			2	1.3		90			Percent of total billed charges		1.8	40			Percent of total billed charges		0.8	80			Percent of total billed charges		1.6	90			Percent of total billed charges		1.8	85			Percent of total billed charges		1.7	85			Percent of total billed charges		1.7	85			Percent of total billed charges		1.7	100			Percent of total billed charges		2	100			Percent of total billed charges		2	100			Percent of total billed charges		2	33.3			Percent of total billed charges		0.666	33.3			Percent of total billed charges		0.666	100			Percent of total billed charges		2	0.666	1.8	
3586 tegaderm 3 1/2 x 4	272	RC	Outpatient			3	1.95		90			Percent of total billed charges		2.7	40			Percent of total billed charges		1.2	80			Percent of total billed charges		2.4	90			Percent of total billed charges		2.7	85			Percent of total billed charges		2.55	85			Percent of total billed charges		2.55	85			Percent of total billed charges		2.55	100			Percent of total billed charges		3	100			Percent of total billed charges		3	100			Percent of total billed charges		3	33.3			Percent of total billed charges		0.999	33.3			Percent of total billed charges		0.999	100			Percent of total billed charges		3	0.999	2.7	
4090 syr bulb	270	RC	Outpatient			3	1.95		90			Percent of total billed charges		2.7	40			Percent of total billed charges		1.2	80			Percent of total billed charges		2.4	90			Percent of total billed charges		2.7	85			Percent of total billed charges		2.55	85			Percent of total billed charges		2.55	85			Percent of total billed charges		2.55	100			Percent of total billed charges		3	100			Percent of total billed charges		3	100			Percent of total billed charges		3	33.3			Percent of total billed charges		0.999	33.3			Percent of total billed charges		0.999	100			Percent of total billed charges		3	0.999	2.7	
cannula o2 pediatric nasal crv n-f tp	270	RC	Outpatient			3	1.95		90			Percent of total billed charges		2.7	40			Percent of total billed charges		1.2	80			Percent of total billed charges		2.4	90			Percent of total billed charges		2.7	85			Percent of total billed charges		2.55	85			Percent of total billed charges		2.55	85			Percent of total billed charges		2.55	100			Percent of total billed charges		3	100			Percent of total billed charges		3	100			Percent of total billed charges		3	33.3			Percent of total billed charges		0.999	33.3			Percent of total billed charges		0.999	100			Percent of total billed charges		3	0.999	2.7	
circuit ventilator 72w/o ex vlv	270	RC	Outpatient			3	1.95		90			Percent of total billed charges		2.7	40			Percent of total billed charges		1.2	80			Percent of total billed charges		2.4	90			Percent of total billed charges		2.7	85			Percent of total billed charges		2.55	85			Percent of total billed charges		2.55	85			Percent of total billed charges		2.55	100			Percent of total billed charges		3	100			Percent of total billed charges		3	100			Percent of total billed charges		3	33.3			Percent of total billed charges		0.999	33.3			Percent of total billed charges		0.999	100			Percent of total billed charges		3	0.999	2.7	
conditioner 2ni squ324804	272	RC	Outpatient			3	1.95		90			Percent of total billed charges		2.7	40			Percent of total billed charges		1.2	80			Percent of total billed charges		2.4	90			Percent of total billed charges		2.7	85			Percent of total billed charges		2.55	85			Percent of total billed charges		2.55	85			Percent of total billed charges		2.55	100			Percent of total billed charges		3	100			Percent of total billed charges		3	100			Percent of total billed charges		3	33.3			Percent of total billed charges		0.999	33.3			Percent of total billed charges		0.999	100			Percent of total billed charges		3	0.999	2.7	
dynj07254a suture rem kit	272	RC	Outpatient			3	1.95		90			Percent of total billed charges		2.7	40			Percent of total billed charges		1.2	80			Percent of total billed charges		2.4	90			Percent of total billed charges		2.7	85			Percent of total billed charges		2.55	85			Percent of total billed charges		2.55	85			Percent of total billed charges		2.55	100			Percent of total billed charges		3	100			Percent of total billed charges		3	100			Percent of total billed charges		3	33.3			Percent of total billed charges		0.999	33.3			Percent of total billed charges		0.999	100			Percent of total billed charges		3	0.999	2.7	
gluma 2157501 patterson	272	RC	Outpatient			3	1.95		90			Percent of total billed charges		2.7	40			Percent of total billed charges		1.2	80			Percent of total billed charges		2.4	90			Percent of total billed charges		2.7	85			Percent of total billed charges		2.55	85			Percent of total billed charges		2.55	85			Percent of total billed charges		2.55	100			Percent of total billed charges		3	100			Percent of total billed charges		3	100			Percent of total billed charges		3	33.3			Percent of total billed charges		0.999	33.3			Percent of total billed charges		0.999	100			Percent of total billed charges		3	0.999	2.7	
dental gluma	272	RC	Outpatient			3	1.95		90			Percent of total billed charges		2.7	40			Percent of total billed charges		1.2	80			Percent of total billed charges		2.4	90			Percent of total billed charges		2.7	85			Percent of total billed charges		2.55	85			Percent of total billed charges		2.55	85			Percent of total billed charges		2.55	100			Percent of total billed charges		3	100			Percent of total billed charges		3	100			Percent of total billed charges		3	33.3			Percent of total billed charges		0.999	33.3			Percent of total billed charges		0.999	100			Percent of total billed charges		3	0.999	2.7	
dental stasis	270	RC	Outpatient			3	1.95		90			Percent of total billed charges		2.7	40			Percent of total billed charges		1.2	80			Percent of total billed charges		2.4	90			Percent of total billed charges		2.7	85			Percent of total billed charges		2.55	85			Percent of total billed charges		2.55	85			Percent of total billed charges		2.55	100			Percent of total billed charges		3	100			Percent of total billed charges		3	100			Percent of total billed charges		3	33.3			Percent of total billed charges		0.999	33.3			Percent of total billed charges		0.999	100			Percent of total billed charges		3	0.999	2.7	
device suct tube attachment 9785	270	RC	Outpatient			3	1.95		90			Percent of total billed charges		2.7	40			Percent of total billed charges		1.2	80			Percent of total billed charges		2.4	90			Percent of total billed charges		2.7	85			Percent of total billed charges		2.55	85			Percent of total billed charges		2.55	85			Percent of total billed charges		2.55	100			Percent of total billed charges		3	100			Percent of total billed charges		3	100			Percent of total billed charges		3	33.3			Percent of total billed charges		0.999	33.3			Percent of total billed charges		0.999	100			Percent of total billed charges		3	0.999	2.7	
dressing tegaderm 6x8 transp	270	RC	Outpatient			3	1.95		90			Percent of total billed charges		2.7	40			Percent of total billed charges		1.2	80			Percent of total billed charges		2.4	90			Percent of total billed charges		2.7	85			Percent of total billed charges		2.55	85			Percent of total billed charges		2.55	85			Percent of total billed charges		2.55	100			Percent of total billed charges		3	100			Percent of total billed charges		3	100			Percent of total billed charges		3	33.3			Percent of total billed charges		0.999	33.3			Percent of total billed charges		0.999	100			Percent of total billed charges		3	0.999	2.7	
mdi adapter	270	RC	Outpatient			3	1.95		90			Percent of total billed charges		2.7	40			Percent of total billed charges		1.2	80			Percent of total billed charges		2.4	90			Percent of total billed charges		2.7	85			Percent of total billed charges		2.55	85			Percent of total billed charges		2.55	85			Percent of total billed charges		2.55	100			Percent of total billed charges		3	100			Percent of total billed charges		3	100			Percent of total billed charges		3	33.3			Percent of total billed charges		0.999	33.3			Percent of total billed charges		0.999	100			Percent of total billed charges		3	0.999	2.7	
normal saline ed charge scnt	270	RC	Outpatient			3	1.95		90			Percent of total billed charges		2.7	40			Percent of total billed charges		1.2	80			Percent of total billed charges		2.4	90			Percent of total billed charges		2.7	85			Percent of total billed charges		2.55	85			Percent of total billed charges		2.55	85			Percent of total billed charges		2.55	100			Percent of total billed charges		3	100			Percent of total billed charges		3	100			Percent of total billed charges		3	33.3			Percent of total billed charges		0.999	33.3			Percent of total billed charges		0.999	100			Percent of total billed charges		3	0.999	2.7	
iovera cartridge ref: crx0111-20	272	RC	Outpatient			3	1.95		90			Percent of total billed charges		2.7	40			Percent of total billed charges		1.2	80			Percent of total billed charges		2.4	90			Percent of total billed charges		2.7	85			Percent of total billed charges		2.55	85			Percent of total billed charges		2.55	85			Percent of total billed charges		2.55	100			Percent of total billed charges		3	100			Percent of total billed charges		3	100			Percent of total billed charges		3	33.3			Percent of total billed charges		0.999	33.3			Percent of total billed charges		0.999	100			Percent of total billed charges		3	0.999	2.7	
mask oxygen non-rebreather pediatric	270	RC	Outpatient			3	1.95		90			Percent of total billed charges		2.7	40			Percent of total billed charges		1.2	80			Percent of total billed charges		2.4	90			Percent of total billed charges		2.7	85			Percent of total billed charges		2.55	85			Percent of total billed charges		2.55	85			Percent of total billed charges		2.55	100			Percent of total billed charges		3	100			Percent of total billed charges		3	100			Percent of total billed charges		3	33.3			Percent of total billed charges		0.999	33.3			Percent of total billed charges		0.999	100			Percent of total billed charges		3	0.999	2.7	
stasis retration liquid 342-8364 patterson	270	RC	Outpatient			3	1.95		90			Percent of total billed charges		2.7	40			Percent of total billed charges		1.2	80			Percent of total billed charges		2.4	90			Percent of total billed charges		2.7	85			Percent of total billed charges		2.55	85			Percent of total billed charges		2.55	85			Percent of total billed charges		2.55	100			Percent of total billed charges		3	100			Percent of total billed charges		3	100			Percent of total billed charges		3	33.3			Percent of total billed charges		0.999	33.3			Percent of total billed charges		0.999	100			Percent of total billed charges		3	0.999	2.7	
water 1070ml sterile	270	RC	Outpatient			3	1.95		90			Percent of total billed charges		2.7	40			Percent of total billed charges		1.2	80			Percent of total billed charges		2.4	90			Percent of total billed charges		2.7	85			Percent of total billed charges		2.55	85			Percent of total billed charges		2.55	85			Percent of total billed charges		2.55	100			Percent of total billed charges		3	100			Percent of total billed charges		3	100			Percent of total billed charges		3	33.3			Percent of total billed charges		0.999	33.3			Percent of total billed charges		0.999	100			Percent of total billed charges		3	0.999	2.7	
water trap rain trap w/clip	270	RC	Outpatient			3	1.95		90			Percent of total billed charges		2.7	40			Percent of total billed charges		1.2	80			Percent of total billed charges		2.4	90			Percent of total billed charges		2.7	85			Percent of total billed charges		2.55	85			Percent of total billed charges		2.55	85			Percent of total billed charges		2.55	100			Percent of total billed charges		3	100			Percent of total billed charges		3	100			Percent of total billed charges		3	33.3			Percent of total billed charges		0.999	33.3			Percent of total billed charges		0.999	100			Percent of total billed charges		3	0.999	2.7	
s/n renasys adhesive gel patch ref 66801082	272	RC	Outpatient			3.47	2.26		90			Percent of total billed charges		3.123	40			Percent of total billed charges		1.388	80			Percent of total billed charges		2.776	90			Percent of total billed charges		3.123	85			Percent of total billed charges		2.9495	85			Percent of total billed charges		2.9495	85			Percent of total billed charges		2.9495	100			Percent of total billed charges		3.47	100			Percent of total billed charges		3.47	100			Percent of total billed charges		3.47	33.3			Percent of total billed charges		1.1555	33.3			Percent of total billed charges		1.1555	100			Percent of total billed charges		3.47	1.1555	3.123	
abg kit quik	270	RC	Outpatient			4	2.6		90			Percent of total billed charges		3.6	40			Percent of total billed charges		1.6	80			Percent of total billed charges		3.2	90			Percent of total billed charges		3.6	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	33.3			Percent of total billed charges		1.332	33.3			Percent of total billed charges		1.332	100			Percent of total billed charges		4	1.332	3.6	
bedpan stackable lg gl	270	RC	Outpatient			4	2.6		90			Percent of total billed charges		3.6	40			Percent of total billed charges		1.6	80			Percent of total billed charges		3.2	90			Percent of total billed charges		3.6	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	33.3			Percent of total billed charges		1.332	33.3			Percent of total billed charges		1.332	100			Percent of total billed charges		4	1.332	3.6	
betadine surgical scrub	270	RC	Outpatient			4	2.6		90			Percent of total billed charges		3.6	40			Percent of total billed charges		1.6	80			Percent of total billed charges		3.2	90			Percent of total billed charges		3.6	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	33.3			Percent of total billed charges		1.332	33.3			Percent of total billed charges		1.332	100			Percent of total billed charges		4	1.332	3.6	
bodywash squ324609	270	RC	Outpatient			4	2.6		90			Percent of total billed charges		3.6	40			Percent of total billed charges		1.6	80			Percent of total billed charges		3.2	90			Percent of total billed charges		3.6	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	33.3			Percent of total billed charges		1.332	33.3			Percent of total billed charges		1.332	100			Percent of total billed charges		4	1.332	3.6	
cath iv jelco20x1 4067	270	RC	Outpatient			4	2.6		90			Percent of total billed charges		3.6	40			Percent of total billed charges		1.6	80			Percent of total billed charges		3.2	90			Percent of total billed charges		3.6	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	33.3			Percent of total billed charges		1.332	33.3			Percent of total billed charges		1.332	100			Percent of total billed charges		4	1.332	3.6	
"cath,suct. w-tip #12"	270	RC	Outpatient			4	2.6		90			Percent of total billed charges		3.6	40			Percent of total billed charges		1.6	80			Percent of total billed charges		3.2	90			Percent of total billed charges		3.6	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	33.3			Percent of total billed charges		1.332	33.3			Percent of total billed charges		1.332	100			Percent of total billed charges		4	1.332	3.6	
"cath,suct. w-tip #14"	270	RC	Outpatient			4	2.6		90			Percent of total billed charges		3.6	40			Percent of total billed charges		1.6	80			Percent of total billed charges		3.2	90			Percent of total billed charges		3.6	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	33.3			Percent of total billed charges		1.332	33.3			Percent of total billed charges		1.332	100			Percent of total billed charges		4	1.332	3.6	
"cath,suct. w-tip #8"	270	RC	Outpatient			4	2.6		90			Percent of total billed charges		3.6	40			Percent of total billed charges		1.6	80			Percent of total billed charges		3.2	90			Percent of total billed charges		3.6	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	33.3			Percent of total billed charges		1.332	33.3			Percent of total billed charges		1.332	100			Percent of total billed charges		4	1.332	3.6	
abg kit	270	RC	Outpatient			4	2.6		90			Percent of total billed charges		3.6	40			Percent of total billed charges		1.6	80			Percent of total billed charges		3.2	90			Percent of total billed charges		3.6	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	33.3			Percent of total billed charges		1.332	33.3			Percent of total billed charges		1.332	100			Percent of total billed charges		4	1.332	3.6	
abg kit provent 4699p-1 smiths med	270	RC	Outpatient			4	2.6		90			Percent of total billed charges		3.6	40			Percent of total billed charges		1.6	80			Percent of total billed charges		3.2	90			Percent of total billed charges		3.6	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	33.3			Percent of total billed charges		1.332	33.3			Percent of total billed charges		1.332	100			Percent of total billed charges		4	1.332	3.6	
adapter nebulizer	270	RC	Outpatient			4	2.6		90			Percent of total billed charges		3.6	40			Percent of total billed charges		1.6	80			Percent of total billed charges		3.2	90			Percent of total billed charges		3.6	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	33.3			Percent of total billed charges		1.332	33.3			Percent of total billed charges		1.332	100			Percent of total billed charges		4	1.332	3.6	
arm board adult	270	RC	Outpatient			4	2.6		90			Percent of total billed charges		3.6	40			Percent of total billed charges		1.6	80			Percent of total billed charges		3.2	90			Percent of total billed charges		3.6	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	33.3			Percent of total billed charges		1.332	33.3			Percent of total billed charges		1.332	100			Percent of total billed charges		4	1.332	3.6	
arm board child	270	RC	Outpatient			4	2.6		90			Percent of total billed charges		3.6	40			Percent of total billed charges		1.6	80			Percent of total billed charges		3.2	90			Percent of total billed charges		3.6	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	33.3			Percent of total billed charges		1.332	33.3			Percent of total billed charges		1.332	100			Percent of total billed charges		4	1.332	3.6	
arm board neo-natal	270	RC	Outpatient			4	2.6		90			Percent of total billed charges		3.6	40			Percent of total billed charges		1.6	80			Percent of total billed charges		3.2	90			Percent of total billed charges		3.6	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	33.3			Percent of total billed charges		1.332	33.3			Percent of total billed charges		1.332	100			Percent of total billed charges		4	1.332	3.6	
bag sponge counter curity 5096	270	RC	Outpatient			4	2.6		90			Percent of total billed charges		3.6	40			Percent of total billed charges		1.6	80			Percent of total billed charges		3.2	90			Percent of total billed charges		3.6	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	33.3			Percent of total billed charges		1.332	33.3			Percent of total billed charges		1.332	100			Percent of total billed charges		4	1.332	3.6	
bandaid btl	270	RC	Outpatient			4	2.6		90			Percent of total billed charges		3.6	40			Percent of total billed charges		1.6	80			Percent of total billed charges		3.2	90			Percent of total billed charges		3.6	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	33.3			Percent of total billed charges		1.332	33.3			Percent of total billed charges		1.332	100			Percent of total billed charges		4	1.332	3.6	
betadine solution	270	RC	Outpatient			4	2.6		90			Percent of total billed charges		3.6	40			Percent of total billed charges		1.6	80			Percent of total billed charges		3.2	90			Percent of total billed charges		3.6	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	33.3			Percent of total billed charges		1.332	33.3			Percent of total billed charges		1.332	100			Percent of total billed charges		4	1.332	3.6	
bilisoft pad cover small	270	RC	Outpatient			4	2.6		90			Percent of total billed charges		3.6	40			Percent of total billed charges		1.6	80			Percent of total billed charges		3.2	90			Percent of total billed charges		3.6	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	33.3			Percent of total billed charges		1.332	33.3			Percent of total billed charges		1.332	100			Percent of total billed charges		4	1.332	3.6	
brief stretch bari actric xxxl 52000003	270	RC	Outpatient			4	2.6		90			Percent of total billed charges		3.6	40			Percent of total billed charges		1.6	80			Percent of total billed charges		3.2	90			Percent of total billed charges		3.6	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	33.3			Percent of total billed charges		1.332	33.3			Percent of total billed charges		1.332	100			Percent of total billed charges		4	1.332	3.6	
cannula nasal infant oxygen	270	RC	Outpatient			4	2.6		90			Percent of total billed charges		3.6	40			Percent of total billed charges		1.6	80			Percent of total billed charges		3.2	90			Percent of total billed charges		3.6	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	33.3			Percent of total billed charges		1.332	33.3			Percent of total billed charges		1.332	100			Percent of total billed charges		4	1.332	3.6	
cannula nasal neonate oxygen	270	RC	Outpatient			4	2.6		90			Percent of total billed charges		3.6	40			Percent of total billed charges		1.6	80			Percent of total billed charges		3.2	90			Percent of total billed charges		3.6	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	33.3			Percent of total billed charges		1.332	33.3			Percent of total billed charges		1.332	100			Percent of total billed charges		4	1.332	3.6	
cannula nasal premature  oxygen	270	RC	Outpatient			4	2.6		90			Percent of total billed charges		3.6	40			Percent of total billed charges		1.6	80			Percent of total billed charges		3.2	90			Percent of total billed charges		3.6	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	33.3			Percent of total billed charges		1.332	33.3			Percent of total billed charges		1.332	100			Percent of total billed charges		4	1.332	3.6	
cath external small	270	RC	Outpatient			4	2.6		90			Percent of total billed charges		3.6	40			Percent of total billed charges		1.6	80			Percent of total billed charges		3.2	90			Percent of total billed charges		3.6	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	33.3			Percent of total billed charges		1.332	33.3			Percent of total billed charges		1.332	100			Percent of total billed charges		4	1.332	3.6	
"cath,suct. w-tip #16"	270	RC	Outpatient			4	2.6		90			Percent of total billed charges		3.6	40			Percent of total billed charges		1.6	80			Percent of total billed charges		3.2	90			Percent of total billed charges		3.6	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	33.3			Percent of total billed charges		1.332	33.3			Percent of total billed charges		1.332	100			Percent of total billed charges		4	1.332	3.6	
"cath,suct. w-tip #18"	270	RC	Outpatient			4	2.6		90			Percent of total billed charges		3.6	40			Percent of total billed charges		1.6	80			Percent of total billed charges		3.2	90			Percent of total billed charges		3.6	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	33.3			Percent of total billed charges		1.332	33.3			Percent of total billed charges		1.332	100			Percent of total billed charges		4	1.332	3.6	
"cath,suct. w/glove kit"	270	RC	Outpatient			4	2.6		90			Percent of total billed charges		3.6	40			Percent of total billed charges		1.6	80			Percent of total billed charges		3.2	90			Percent of total billed charges		3.6	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	33.3			Percent of total billed charges		1.332	33.3			Percent of total billed charges		1.332	100			Percent of total billed charges		4	1.332	3.6	
dressing allevyn life 4x4	270	RC	Outpatient			4	2.6		90			Percent of total billed charges		3.6	40			Percent of total billed charges		1.6	80			Percent of total billed charges		3.2	90			Percent of total billed charges		3.6	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	33.3			Percent of total billed charges		1.332	33.3			Percent of total billed charges		1.332	100			Percent of total billed charges		4	1.332	3.6	
dressing polyderm 46-906 deroyal	270	RC	Outpatient			4	2.6		90			Percent of total billed charges		3.6	40			Percent of total billed charges		1.6	80			Percent of total billed charges		3.2	90			Percent of total billed charges		3.6	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	33.3			Percent of total billed charges		1.332	33.3			Percent of total billed charges		1.332	100			Percent of total billed charges		4	1.332	3.6	
hibistat germ hand rinse	270	RC	Outpatient			4	2.6		90			Percent of total billed charges		3.6	40			Percent of total billed charges		1.6	80			Percent of total billed charges		3.2	90			Percent of total billed charges		3.6	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	33.3			Percent of total billed charges		1.332	33.3			Percent of total billed charges		1.332	100			Percent of total billed charges		4	1.332	3.6	
dental max probe	272	RC	Outpatient			4	2.6		90			Percent of total billed charges		3.6	40			Percent of total billed charges		1.6	80			Percent of total billed charges		3.2	90			Percent of total billed charges		3.6	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	33.3			Percent of total billed charges		1.332	33.3			Percent of total billed charges		1.332	100			Percent of total billed charges		4	1.332	3.6	
incentive spirometer	270	RC	Outpatient			4	2.6		90			Percent of total billed charges		3.6	40			Percent of total billed charges		1.6	80			Percent of total billed charges		3.2	90			Percent of total billed charges		3.6	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	33.3			Percent of total billed charges		1.332	33.3			Percent of total billed charges		1.332	100			Percent of total billed charges		4	1.332	3.6	
feeding tube 5 fr 1896-515	270	RC	Outpatient			4	2.6		90			Percent of total billed charges		3.6	40			Percent of total billed charges		1.6	80			Percent of total billed charges		3.2	90			Percent of total billed charges		3.6	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	33.3			Percent of total billed charges		1.332	33.3			Percent of total billed charges		1.332	100			Percent of total billed charges		4	1.332	3.6	
hydrasorb dressing  55535 covidien	272	RC	Outpatient			4	2.6		90			Percent of total billed charges		3.6	40			Percent of total billed charges		1.6	80			Percent of total billed charges		3.2	90			Percent of total billed charges		3.6	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	33.3			Percent of total billed charges		1.332	33.3			Percent of total billed charges		1.332	100			Percent of total billed charges		4	1.332	3.6	
ice bag perineal	270	RC	Outpatient			4	2.6		90			Percent of total billed charges		3.6	40			Percent of total billed charges		1.6	80			Percent of total billed charges		3.2	90			Percent of total billed charges		3.6	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	33.3			Percent of total billed charges		1.332	33.3			Percent of total billed charges		1.332	100			Percent of total billed charges		4	1.332	3.6	
infant feeding tube	270	RC	Outpatient			4	2.6		90			Percent of total billed charges		3.6	40			Percent of total billed charges		1.6	80			Percent of total billed charges		3.2	90			Percent of total billed charges		3.6	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	33.3			Percent of total billed charges		1.332	33.3			Percent of total billed charges		1.332	100			Percent of total billed charges		4	1.332	3.6	
ostomy flange 1.75 3702	270	RC	Outpatient			4	2.6		90			Percent of total billed charges		3.6	40			Percent of total billed charges		1.6	80			Percent of total billed charges		3.2	90			Percent of total billed charges		3.6	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	33.3			Percent of total billed charges		1.332	33.3			Percent of total billed charges		1.332	100			Percent of total billed charges		4	1.332	3.6	
kendall 5fr feeding tube 261008	270	RC	Outpatient			4	2.6		90			Percent of total billed charges		3.6	40			Percent of total billed charges		1.6	80			Percent of total billed charges		3.2	90			Percent of total billed charges		3.6	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	33.3			Percent of total billed charges		1.332	33.3			Percent of total billed charges		1.332	100			Percent of total billed charges		4	1.332	3.6	
kendall 8fr feeding tube 260406	270	RC	Outpatient			4	2.6		90			Percent of total billed charges		3.6	40			Percent of total billed charges		1.6	80			Percent of total billed charges		3.2	90			Percent of total billed charges		3.6	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	33.3			Percent of total billed charges		1.332	33.3			Percent of total billed charges		1.332	100			Percent of total billed charges		4	1.332	3.6	
kit abg mini sticks p9025	270	RC	Outpatient			4	2.6		90			Percent of total billed charges		3.6	40			Percent of total billed charges		1.6	80			Percent of total billed charges		3.2	90			Percent of total billed charges		3.6	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	33.3			Percent of total billed charges		1.332	33.3			Percent of total billed charges		1.332	100			Percent of total billed charges		4	1.332	3.6	
"l&d cover, set-up, clear medline dynje5600"	272	RC	Outpatient			4	2.6		90			Percent of total billed charges		3.6	40			Percent of total billed charges		1.6	80			Percent of total billed charges		3.2	90			Percent of total billed charges		3.6	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	33.3			Percent of total billed charges		1.332	33.3			Percent of total billed charges		1.332	100			Percent of total billed charges		4	1.332	3.6	
max i probe irrigation probe 531-1360 pattersen	272	RC	Outpatient			4	2.6		90			Percent of total billed charges		3.6	40			Percent of total billed charges		1.6	80			Percent of total billed charges		3.2	90			Percent of total billed charges		3.6	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	33.3			Percent of total billed charges		1.332	33.3			Percent of total billed charges		1.332	100			Percent of total billed charges		4	1.332	3.6	
ostomy pouch 4 3806 (l)	270	RC	Outpatient			4	2.6		90			Percent of total billed charges		3.6	40			Percent of total billed charges		1.6	80			Percent of total billed charges		3.2	90			Percent of total billed charges		3.6	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	33.3			Percent of total billed charges		1.332	33.3			Percent of total billed charges		1.332	100			Percent of total billed charges		4	1.332	3.6	
scalpel disp w/blade #11	270	RC	Outpatient			4	2.6		90			Percent of total billed charges		3.6	40			Percent of total billed charges		1.6	80			Percent of total billed charges		3.2	90			Percent of total billed charges		3.6	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	33.3			Percent of total billed charges		1.332	33.3			Percent of total billed charges		1.332	100			Percent of total billed charges		4	1.332	3.6	
schilling's solution	272	RC	Outpatient			4	2.6		90			Percent of total billed charges		3.6	40			Percent of total billed charges		1.6	80			Percent of total billed charges		3.2	90			Percent of total billed charges		3.6	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	33.3			Percent of total billed charges		1.332	33.3			Percent of total billed charges		1.332	100			Percent of total billed charges		4	1.332	3.6	
schillings solution	272	RC	Outpatient			4	2.6		90			Percent of total billed charges		3.6	40			Percent of total billed charges		1.6	80			Percent of total billed charges		3.2	90			Percent of total billed charges		3.6	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	33.3			Percent of total billed charges		1.332	33.3			Percent of total billed charges		1.332	100			Percent of total billed charges		4	1.332	3.6	
set bl coll/adat a/wing	270	RC	Outpatient			4	2.6		90			Percent of total billed charges		3.6	40			Percent of total billed charges		1.6	80			Percent of total billed charges		3.2	90			Percent of total billed charges		3.6	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	33.3			Percent of total billed charges		1.332	33.3			Percent of total billed charges		1.332	100			Percent of total billed charges		4	1.332	3.6	
set bl collect 225208	270	RC	Outpatient			4	2.6		90			Percent of total billed charges		3.6	40			Percent of total billed charges		1.6	80			Percent of total billed charges		3.2	90			Percent of total billed charges		3.6	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	33.3			Percent of total billed charges		1.332	33.3			Percent of total billed charges		1.332	100			Percent of total billed charges		4	1.332	3.6	
set mini vol ext	270	RC	Outpatient			4	2.6		90			Percent of total billed charges		3.6	40			Percent of total billed charges		1.6	80			Percent of total billed charges		3.2	90			Percent of total billed charges		3.6	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	33.3			Percent of total billed charges		1.332	33.3			Percent of total billed charges		1.332	100			Percent of total billed charges		4	1.332	3.6	
slipper red mdt2185571	270	RC	Outpatient			4	2.6		90			Percent of total billed charges		3.6	40			Percent of total billed charges		1.6	80			Percent of total billed charges		3.2	90			Percent of total billed charges		3.6	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	33.3			Percent of total billed charges		1.332	33.3			Percent of total billed charges		1.332	100			Percent of total billed charges		4	1.332	3.6	
splint alum. finger 4 1/4	270	RC	Outpatient			4	2.6		90			Percent of total billed charges		3.6	40			Percent of total billed charges		1.6	80			Percent of total billed charges		3.2	90			Percent of total billed charges		3.6	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	33.3			Percent of total billed charges		1.332	33.3			Percent of total billed charges		1.332	100			Percent of total billed charges		4	1.332	3.6	
sponge counter bag	270	RC	Outpatient			4	2.6		90			Percent of total billed charges		3.6	40			Percent of total billed charges		1.6	80			Percent of total billed charges		3.2	90			Percent of total billed charges		3.6	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	33.3			Percent of total billed charges		1.332	33.3			Percent of total billed charges		1.332	100			Percent of total billed charges		4	1.332	3.6	
ready bath	270	RC	Outpatient			4	2.6		90			Percent of total billed charges		3.6	40			Percent of total billed charges		1.6	80			Percent of total billed charges		3.2	90			Percent of total billed charges		3.6	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	33.3			Percent of total billed charges		1.332	33.3			Percent of total billed charges		1.332	100			Percent of total billed charges		4	1.332	3.6	
scalpel disp w/blade #15	270	RC	Outpatient			4	2.6		90			Percent of total billed charges		3.6	40			Percent of total billed charges		1.6	80			Percent of total billed charges		3.2	90			Percent of total billed charges		3.6	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	33.3			Percent of total billed charges		1.332	33.3			Percent of total billed charges		1.332	100			Percent of total billed charges		4	1.332	3.6	
set bl female adap a/wing	270	RC	Outpatient			4	2.6		90			Percent of total billed charges		3.6	40			Percent of total billed charges		1.6	80			Percent of total billed charges		3.2	90			Percent of total billed charges		3.6	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	33.3			Percent of total billed charges		1.332	33.3			Percent of total billed charges		1.332	100			Percent of total billed charges		4	1.332	3.6	
splint alum. finger 3 1/4	270	RC	Outpatient			4	2.6		90			Percent of total billed charges		3.6	40			Percent of total billed charges		1.6	80			Percent of total billed charges		3.2	90			Percent of total billed charges		3.6	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	33.3			Percent of total billed charges		1.332	33.3			Percent of total billed charges		1.332	100			Percent of total billed charges		4	1.332	3.6	
"sponges 3x3, individual"	270	RC	Outpatient			4	2.6		90			Percent of total billed charges		3.6	40			Percent of total billed charges		1.6	80			Percent of total billed charges		3.2	90			Percent of total billed charges		3.6	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	33.3			Percent of total billed charges		1.332	33.3			Percent of total billed charges		1.332	100			Percent of total billed charges		4	1.332	3.6	
sterile tape umbilical braided  83-3031	270	RC	Outpatient			4	2.6		90			Percent of total billed charges		3.6	40			Percent of total billed charges		1.6	80			Percent of total billed charges		3.2	90			Percent of total billed charges		3.6	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	33.3			Percent of total billed charges		1.332	33.3			Percent of total billed charges		1.332	100			Percent of total billed charges		4	1.332	3.6	
tegaderm 6x8	270	RC	Outpatient			4	2.6		90			Percent of total billed charges		3.6	40			Percent of total billed charges		1.6	80			Percent of total billed charges		3.2	90			Percent of total billed charges		3.6	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	33.3			Percent of total billed charges		1.332	33.3			Percent of total billed charges		1.332	100			Percent of total billed charges		4	1.332	3.6	
umbilical tape	270	RC	Outpatient			4	2.6		90			Percent of total billed charges		3.6	40			Percent of total billed charges		1.6	80			Percent of total billed charges		3.2	90			Percent of total billed charges		3.6	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	33.3			Percent of total billed charges		1.332	33.3			Percent of total billed charges		1.332	100			Percent of total billed charges		4	1.332	3.6	
vaseline gauze pkg 1/2x72	270	RC	Outpatient			4	2.6		90			Percent of total billed charges		3.6	40			Percent of total billed charges		1.6	80			Percent of total billed charges		3.2	90			Percent of total billed charges		3.6	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	33.3			Percent of total billed charges		1.332	33.3			Percent of total billed charges		1.332	100			Percent of total billed charges		4	1.332	3.6	
tube feeding vinyl infant premature 5fr 15 15520 pmp	270	RC	Outpatient			4	2.6		90			Percent of total billed charges		3.6	40			Percent of total billed charges		1.6	80			Percent of total billed charges		3.2	90			Percent of total billed charges		3.6	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	33.3			Percent of total billed charges		1.332	33.3			Percent of total billed charges		1.332	100			Percent of total billed charges		4	1.332	3.6	
umbilical cord clamp	270	RC	Outpatient			4	2.6		90			Percent of total billed charges		3.6	40			Percent of total billed charges		1.6	80			Percent of total billed charges		3.2	90			Percent of total billed charges		3.6	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	33.3			Percent of total billed charges		1.332	33.3			Percent of total billed charges		1.332	100			Percent of total billed charges		4	1.332	3.6	
venti-mask	270	RC	Outpatient			4	2.6		90			Percent of total billed charges		3.6	40			Percent of total billed charges		1.6	80			Percent of total billed charges		3.2	90			Percent of total billed charges		3.6	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	85			Percent of total billed charges		3.4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	100			Percent of total billed charges		4	33.3			Percent of total billed charges		1.332	33.3			Percent of total billed charges		1.332	100			Percent of total billed charges		4	1.332	3.6	
specimen trap 80ml busse ref#407	272	RC	Outpatient			4.81	3.13		90			Percent of total billed charges		4.329	40			Percent of total billed charges		1.924	80			Percent of total billed charges		3.848	90			Percent of total billed charges		4.329	85			Percent of total billed charges		4.0885	85			Percent of total billed charges		4.0885	85			Percent of total billed charges		4.0885	100			Percent of total billed charges		4.81	100			Percent of total billed charges		4.81	100			Percent of total billed charges		4.81	33.3			Percent of total billed charges		1.6017	33.3			Percent of total billed charges		1.6017	100			Percent of total billed charges		4.81	1.6017	4.329	
scpf tray irrigation piston syringe	270	RC	Outpatient			4.88	3.17		90			Percent of total billed charges		4.392	40			Percent of total billed charges		1.952	80			Percent of total billed charges		3.904	90			Percent of total billed charges		4.392	85			Percent of total billed charges		4.148	85			Percent of total billed charges		4.148	85			Percent of total billed charges		4.148	100			Percent of total billed charges		4.88	100			Percent of total billed charges		4.88	100			Percent of total billed charges		4.88	33.3			Percent of total billed charges		1.625	33.3			Percent of total billed charges		1.625	100			Percent of total billed charges		4.88	1.625	4.392	
adapter valved-tee airlife 002060	270	RC	Outpatient			5	3.25		90			Percent of total billed charges		4.5	40			Percent of total billed charges		2	80			Percent of total billed charges		4	90			Percent of total billed charges		4.5	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	100			Percent of total billed charges		5	100			Percent of total billed charges		5	100			Percent of total billed charges		5	33.3			Percent of total billed charges		1.665	33.3			Percent of total billed charges		1.665	100			Percent of total billed charges		5	1.665	4.5	
adapter vented spike	270	RC	Outpatient			5	3.25		90			Percent of total billed charges		4.5	40			Percent of total billed charges		2	80			Percent of total billed charges		4	90			Percent of total billed charges		4.5	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	100			Percent of total billed charges		5	100			Percent of total billed charges		5	100			Percent of total billed charges		5	33.3			Percent of total billed charges		1.665	33.3			Percent of total billed charges		1.665	100			Percent of total billed charges		5	1.665	4.5	
book-after your heart att	270	RC	Outpatient			5	3.25		90			Percent of total billed charges		4.5	40			Percent of total billed charges		2	80			Percent of total billed charges		4	90			Percent of total billed charges		4.5	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	100			Percent of total billed charges		5	100			Percent of total billed charges		5	100			Percent of total billed charges		5	33.3			Percent of total billed charges		1.665	33.3			Percent of total billed charges		1.665	100			Percent of total billed charges		5	1.665	4.5	
adapter vented spike 2cd471	270	RC	Outpatient			5	3.25		90			Percent of total billed charges		4.5	40			Percent of total billed charges		2	80			Percent of total billed charges		4	90			Percent of total billed charges		4.5	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	100			Percent of total billed charges		5	100			Percent of total billed charges		5	100			Percent of total billed charges		5	33.3			Percent of total billed charges		1.665	33.3			Percent of total billed charges		1.665	100			Percent of total billed charges		5	1.665	4.5	
alleryn 3x3	270	RC	Outpatient			5	3.25		90			Percent of total billed charges		4.5	40			Percent of total billed charges		2	80			Percent of total billed charges		4	90			Percent of total billed charges		4.5	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	100			Percent of total billed charges		5	100			Percent of total billed charges		5	100			Percent of total billed charges		5	33.3			Percent of total billed charges		1.665	33.3			Percent of total billed charges		1.665	100			Percent of total billed charges		5	1.665	4.5	
cannula nasal adult 1600 highflow oxygen	270	RC	Outpatient			5	3.25		90			Percent of total billed charges		4.5	40			Percent of total billed charges		2	80			Percent of total billed charges		4	90			Percent of total billed charges		4.5	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	100			Percent of total billed charges		5	100			Percent of total billed charges		5	100			Percent of total billed charges		5	33.3			Percent of total billed charges		1.665	33.3			Percent of total billed charges		1.665	100			Percent of total billed charges		5	1.665	4.5	
dressing medipore strip 2inch 2962	270	RC	Outpatient			5	3.25		90			Percent of total billed charges		4.5	40			Percent of total billed charges		2	80			Percent of total billed charges		4	90			Percent of total billed charges		4.5	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	100			Percent of total billed charges		5	100			Percent of total billed charges		5	100			Percent of total billed charges		5	33.3			Percent of total billed charges		1.665	33.3			Percent of total billed charges		1.665	100			Percent of total billed charges		5	1.665	4.5	
dressing telfa 6x8 kc2563	272	RC	Outpatient			5	3.25		90			Percent of total billed charges		4.5	40			Percent of total billed charges		2	80			Percent of total billed charges		4	90			Percent of total billed charges		4.5	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	100			Percent of total billed charges		5	100			Percent of total billed charges		5	100			Percent of total billed charges		5	33.3			Percent of total billed charges		1.665	33.3			Percent of total billed charges		1.665	100			Percent of total billed charges		5	1.665	4.5	
filter/hme hygrobac mallin	270	RC	Outpatient			5	3.25		90			Percent of total billed charges		4.5	40			Percent of total billed charges		2	80			Percent of total billed charges		4	90			Percent of total billed charges		4.5	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	100			Percent of total billed charges		5	100			Percent of total billed charges		5	100			Percent of total billed charges		5	33.3			Percent of total billed charges		1.665	33.3			Percent of total billed charges		1.665	100			Percent of total billed charges		5	1.665	4.5	
humidifier bubble high flow	270	RC	Outpatient			5	3.25		90			Percent of total billed charges		4.5	40			Percent of total billed charges		2	80			Percent of total billed charges		4	90			Percent of total billed charges		4.5	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	100			Percent of total billed charges		5	100			Percent of total billed charges		5	100			Percent of total billed charges		5	33.3			Percent of total billed charges		1.665	33.3			Percent of total billed charges		1.665	100			Percent of total billed charges		5	1.665	4.5	
drain tube adapter 7331	270	RC	Outpatient			5	3.25		90			Percent of total billed charges		4.5	40			Percent of total billed charges		2	80			Percent of total billed charges		4	90			Percent of total billed charges		4.5	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	100			Percent of total billed charges		5	100			Percent of total billed charges		5	100			Percent of total billed charges		5	33.3			Percent of total billed charges		1.665	33.3			Percent of total billed charges		1.665	100			Percent of total billed charges		5	1.665	4.5	
dressing allevyn life 5 1/16x 5 1/16	270	RC	Outpatient			5	3.25		90			Percent of total billed charges		4.5	40			Percent of total billed charges		2	80			Percent of total billed charges		4	90			Percent of total billed charges		4.5	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	100			Percent of total billed charges		5	100			Percent of total billed charges		5	100			Percent of total billed charges		5	33.3			Percent of total billed charges		1.665	33.3			Percent of total billed charges		1.665	100			Percent of total billed charges		5	1.665	4.5	
dressing hydrasorb 3x3	270	RC	Outpatient			5	3.25		90			Percent of total billed charges		4.5	40			Percent of total billed charges		2	80			Percent of total billed charges		4	90			Percent of total billed charges		4.5	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	100			Percent of total billed charges		5	100			Percent of total billed charges		5	100			Percent of total billed charges		5	33.3			Percent of total billed charges		1.665	33.3			Percent of total billed charges		1.665	100			Percent of total billed charges		5	1.665	4.5	
kit suction brush	270	RC	Outpatient			5	3.25		90			Percent of total billed charges		4.5	40			Percent of total billed charges		2	80			Percent of total billed charges		4	90			Percent of total billed charges		4.5	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	100			Percent of total billed charges		5	100			Percent of total billed charges		5	100			Percent of total billed charges		5	33.3			Percent of total billed charges		1.665	33.3			Percent of total billed charges		1.665	100			Percent of total billed charges		5	1.665	4.5	
male adaptor (long)	270	RC	Outpatient			5	3.25		90			Percent of total billed charges		4.5	40			Percent of total billed charges		2	80			Percent of total billed charges		4	90			Percent of total billed charges		4.5	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	100			Percent of total billed charges		5	100			Percent of total billed charges		5	100			Percent of total billed charges		5	33.3			Percent of total billed charges		1.665	33.3			Percent of total billed charges		1.665	100			Percent of total billed charges		5	1.665	4.5	
non-vent luer lock cap	270	RC	Outpatient			5	3.25		90			Percent of total billed charges		4.5	40			Percent of total billed charges		2	80			Percent of total billed charges		4	90			Percent of total billed charges		4.5	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	100			Percent of total billed charges		5	100			Percent of total billed charges		5	100			Percent of total billed charges		5	33.3			Percent of total billed charges		1.665	33.3			Percent of total billed charges		1.665	100			Percent of total billed charges		5	1.665	4.5	
ostomy pouch 2.25 3833	270	RC	Outpatient			5	3.25		90			Percent of total billed charges		4.5	40			Percent of total billed charges		2	80			Percent of total billed charges		4	90			Percent of total billed charges		4.5	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	100			Percent of total billed charges		5	100			Percent of total billed charges		5	100			Percent of total billed charges		5	33.3			Percent of total billed charges		1.665	33.3			Percent of total billed charges		1.665	100			Percent of total billed charges		5	1.665	4.5	
ostomy pouch 2.253803(j)	270	RC	Outpatient			5	3.25		90			Percent of total billed charges		4.5	40			Percent of total billed charges		2	80			Percent of total billed charges		4	90			Percent of total billed charges		4.5	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	100			Percent of total billed charges		5	100			Percent of total billed charges		5	100			Percent of total billed charges		5	33.3			Percent of total billed charges		1.665	33.3			Percent of total billed charges		1.665	100			Percent of total billed charges		5	1.665	4.5	
ostomy pouch clamp 8770	270	RC	Outpatient			5	3.25		90			Percent of total billed charges		4.5	40			Percent of total billed charges		2	80			Percent of total billed charges		4	90			Percent of total billed charges		4.5	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	100			Percent of total billed charges		5	100			Percent of total billed charges		5	100			Percent of total billed charges		5	33.3			Percent of total billed charges		1.665	33.3			Percent of total billed charges		1.665	100			Percent of total billed charges		5	1.665	4.5	
md5088015cp cofelx	270	RC	Outpatient			5	3.25		90			Percent of total billed charges		4.5	40			Percent of total billed charges		2	80			Percent of total billed charges		4	90			Percent of total billed charges		4.5	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	100			Percent of total billed charges		5	100			Percent of total billed charges		5	100			Percent of total billed charges		5	33.3			Percent of total billed charges		1.665	33.3			Percent of total billed charges		1.665	100			Percent of total billed charges		5	1.665	4.5	
miltex biopsy punch 2mm 33-31	270	RC	Outpatient			5	3.25		90			Percent of total billed charges		4.5	40			Percent of total billed charges		2	80			Percent of total billed charges		4	90			Percent of total billed charges		4.5	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	100			Percent of total billed charges		5	100			Percent of total billed charges		5	100			Percent of total billed charges		5	33.3			Percent of total billed charges		1.665	33.3			Percent of total billed charges		1.665	100			Percent of total billed charges		5	1.665	4.5	
miltex biopsy punch 4mm 33-34	270	RC	Outpatient			5	3.25		90			Percent of total billed charges		4.5	40			Percent of total billed charges		2	80			Percent of total billed charges		4	90			Percent of total billed charges		4.5	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	100			Percent of total billed charges		5	100			Percent of total billed charges		5	100			Percent of total billed charges		5	33.3			Percent of total billed charges		1.665	33.3			Percent of total billed charges		1.665	100			Percent of total billed charges		5	1.665	4.5	
ostomy pouch 1.753892(i)	270	RC	Outpatient			5	3.25		90			Percent of total billed charges		4.5	40			Percent of total billed charges		2	80			Percent of total billed charges		4	90			Percent of total billed charges		4.5	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	100			Percent of total billed charges		5	100			Percent of total billed charges		5	100			Percent of total billed charges		5	33.3			Percent of total billed charges		1.665	33.3			Percent of total billed charges		1.665	100			Percent of total billed charges		5	1.665	4.5	
ostomy pouch 2 3/4 3894	270	RC	Outpatient			5	3.25		90			Percent of total billed charges		4.5	40			Percent of total billed charges		2	80			Percent of total billed charges		4	90			Percent of total billed charges		4.5	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	100			Percent of total billed charges		5	100			Percent of total billed charges		5	100			Percent of total billed charges		5	33.3			Percent of total billed charges		1.665	33.3			Percent of total billed charges		1.665	100			Percent of total billed charges		5	1.665	4.5	
perineal supplies	270	RC	Outpatient			5	3.25		90			Percent of total billed charges		4.5	40			Percent of total billed charges		2	80			Percent of total billed charges		4	90			Percent of total billed charges		4.5	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	100			Percent of total billed charges		5	100			Percent of total billed charges		5	100			Percent of total billed charges		5	33.3			Percent of total billed charges		1.665	33.3			Percent of total billed charges		1.665	100			Percent of total billed charges		5	1.665	4.5	
phisohex	270	RC	Outpatient			5	3.25		90			Percent of total billed charges		4.5	40			Percent of total billed charges		2	80			Percent of total billed charges		4	90			Percent of total billed charges		4.5	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	100			Percent of total billed charges		5	100			Percent of total billed charges		5	100			Percent of total billed charges		5	33.3			Percent of total billed charges		1.665	33.3			Percent of total billed charges		1.665	100			Percent of total billed charges		5	1.665	4.5	
pistol irrigation tray	270	RC	Outpatient			5	3.25		90			Percent of total billed charges		4.5	40			Percent of total billed charges		2	80			Percent of total billed charges		4	90			Percent of total billed charges		4.5	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	100			Percent of total billed charges		5	100			Percent of total billed charges		5	100			Percent of total billed charges		5	33.3			Percent of total billed charges		1.665	33.3			Percent of total billed charges		1.665	100			Percent of total billed charges		5	1.665	4.5	
premium skin barrier7800	272	RC	Outpatient			5	3.25		90			Percent of total billed charges		4.5	40			Percent of total billed charges		2	80			Percent of total billed charges		4	90			Percent of total billed charges		4.5	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	100			Percent of total billed charges		5	100			Percent of total billed charges		5	100			Percent of total billed charges		5	33.3			Percent of total billed charges		1.665	33.3			Percent of total billed charges		1.665	100			Percent of total billed charges		5	1.665	4.5	
punch biopsy 2mm 33-31 miltex	270	RC	Outpatient			5	3.25		90			Percent of total billed charges		4.5	40			Percent of total billed charges		2	80			Percent of total billed charges		4	90			Percent of total billed charges		4.5	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	100			Percent of total billed charges		5	100			Percent of total billed charges		5	100			Percent of total billed charges		5	33.3			Percent of total billed charges		1.665	33.3			Percent of total billed charges		1.665	100			Percent of total billed charges		5	1.665	4.5	
punch biopsy 4mm 33-34 miltex	270	RC	Outpatient			5	3.25		90			Percent of total billed charges		4.5	40			Percent of total billed charges		2	80			Percent of total billed charges		4	90			Percent of total billed charges		4.5	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	100			Percent of total billed charges		5	100			Percent of total billed charges		5	100			Percent of total billed charges		5	33.3			Percent of total billed charges		1.665	33.3			Percent of total billed charges		1.665	100			Percent of total billed charges		5	1.665	4.5	
punch biopsy 90-1160	270	RC	Outpatient			5	3.25		90			Percent of total billed charges		4.5	40			Percent of total billed charges		2	80			Percent of total billed charges		4	90			Percent of total billed charges		4.5	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	100			Percent of total billed charges		5	100			Percent of total billed charges		5	100			Percent of total billed charges		5	33.3			Percent of total billed charges		1.665	33.3			Percent of total billed charges		1.665	100			Percent of total billed charges		5	1.665	4.5	
reflux valve &cap safsite	270	RC	Outpatient			5	3.25		90			Percent of total billed charges		4.5	40			Percent of total billed charges		2	80			Percent of total billed charges		4	90			Percent of total billed charges		4.5	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	100			Percent of total billed charges		5	100			Percent of total billed charges		5	100			Percent of total billed charges		5	33.3			Percent of total billed charges		1.665	33.3			Percent of total billed charges		1.665	100			Percent of total billed charges		5	1.665	4.5	
skin biopsy punch	270	RC	Outpatient			5	3.25		90			Percent of total billed charges		4.5	40			Percent of total billed charges		2	80			Percent of total billed charges		4	90			Percent of total billed charges		4.5	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	100			Percent of total billed charges		5	100			Percent of total billed charges		5	100			Percent of total billed charges		5	33.3			Percent of total billed charges		1.665	33.3			Percent of total billed charges		1.665	100			Percent of total billed charges		5	1.665	4.5	
tray irrigation w/piston syringe 60 ml dynd20302 medl	270	RC	Outpatient			5	3.25		90			Percent of total billed charges		4.5	40			Percent of total billed charges		2	80			Percent of total billed charges		4	90			Percent of total billed charges		4.5	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	100			Percent of total billed charges		5	100			Percent of total billed charges		5	100			Percent of total billed charges		5	33.3			Percent of total billed charges		1.665	33.3			Percent of total billed charges		1.665	100			Percent of total billed charges		5	1.665	4.5	
peri-wash	270	RC	Outpatient			5	3.25		90			Percent of total billed charges		4.5	40			Percent of total billed charges		2	80			Percent of total billed charges		4	90			Percent of total billed charges		4.5	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	100			Percent of total billed charges		5	100			Percent of total billed charges		5	100			Percent of total billed charges		5	33.3			Percent of total billed charges		1.665	33.3			Percent of total billed charges		1.665	100			Percent of total billed charges		5	1.665	4.5	
phisohex 5ox bottle p314	270	RC	Outpatient			5	3.25		90			Percent of total billed charges		4.5	40			Percent of total billed charges		2	80			Percent of total billed charges		4	90			Percent of total billed charges		4.5	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	100			Percent of total billed charges		5	100			Percent of total billed charges		5	100			Percent of total billed charges		5	33.3			Percent of total billed charges		1.665	33.3			Percent of total billed charges		1.665	100			Percent of total billed charges		5	1.665	4.5	
telfa pad 8 x 3	270	RC	Outpatient			5	3.25		90			Percent of total billed charges		4.5	40			Percent of total billed charges		2	80			Percent of total billed charges		4	90			Percent of total billed charges		4.5	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	100			Percent of total billed charges		5	100			Percent of total billed charges		5	100			Percent of total billed charges		5	33.3			Percent of total billed charges		1.665	33.3			Percent of total billed charges		1.665	100			Percent of total billed charges		5	1.665	4.5	
tube et 2.0 slick set uncuff 1500-20	270	RC	Outpatient			5	3.25		90			Percent of total billed charges		4.5	40			Percent of total billed charges		2	80			Percent of total billed charges		4	90			Percent of total billed charges		4.5	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	100			Percent of total billed charges		5	100			Percent of total billed charges		5	100			Percent of total billed charges		5	33.3			Percent of total billed charges		1.665	33.3			Percent of total billed charges		1.665	100			Percent of total billed charges		5	1.665	4.5	
vent spike adapter	270	RC	Outpatient			5	3.25		90			Percent of total billed charges		4.5	40			Percent of total billed charges		2	80			Percent of total billed charges		4	90			Percent of total billed charges		4.5	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	100			Percent of total billed charges		5	100			Percent of total billed charges		5	100			Percent of total billed charges		5	33.3			Percent of total billed charges		1.665	33.3			Percent of total billed charges		1.665	100			Percent of total billed charges		5	1.665	4.5	
wipe baby unscented	270	RC	Outpatient			5	3.25		90			Percent of total billed charges		4.5	40			Percent of total billed charges		2	80			Percent of total billed charges		4	90			Percent of total billed charges		4.5	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	85			Percent of total billed charges		4.25	100			Percent of total billed charges		5	100			Percent of total billed charges		5	100			Percent of total billed charges		5	33.3			Percent of total billed charges		1.665	33.3			Percent of total billed charges		1.665	100			Percent of total billed charges		5	1.665	4.5	
filtered mouthpiece	270	RC	Outpatient			5.9	3.84		90			Percent of total billed charges		5.31	40			Percent of total billed charges		2.36	80			Percent of total billed charges		4.72	90			Percent of total billed charges		5.31	85			Percent of total billed charges		5.015	85			Percent of total billed charges		5.015	85			Percent of total billed charges		5.015	100			Percent of total billed charges		5.9	100			Percent of total billed charges		5.9	100			Percent of total billed charges		5.9	33.3			Percent of total billed charges		1.9647	33.3			Percent of total billed charges		1.9647	100			Percent of total billed charges		5.9	1.9647	5.31	
1627 tegaderm dsg	272	RC	Outpatient			6	3.9		90			Percent of total billed charges		5.4	40			Percent of total billed charges		2.4	80			Percent of total billed charges		4.8	90			Percent of total billed charges		5.4	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	100			Percent of total billed charges		6	100			Percent of total billed charges		6	100			Percent of total billed charges		6	33.3			Percent of total billed charges		1.998	33.3			Percent of total billed charges		1.998	100			Percent of total billed charges		6	1.998	5.4	
abd surgi pad	270	RC	Outpatient			6	3.9		90			Percent of total billed charges		5.4	40			Percent of total billed charges		2.4	80			Percent of total billed charges		4.8	90			Percent of total billed charges		5.4	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	100			Percent of total billed charges		6	100			Percent of total billed charges		6	100			Percent of total billed charges		6	33.3			Percent of total billed charges		1.998	33.3			Percent of total billed charges		1.998	100			Percent of total billed charges		6	1.998	5.4	
abd surgi pad ed charge scnt	270	RC	Outpatient			6	3.9		90			Percent of total billed charges		5.4	40			Percent of total billed charges		2.4	80			Percent of total billed charges		4.8	90			Percent of total billed charges		5.4	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	100			Percent of total billed charges		6	100			Percent of total billed charges		6	100			Percent of total billed charges		6	33.3			Percent of total billed charges		1.998	33.3			Percent of total billed charges		1.998	100			Percent of total billed charges		6	1.998	5.4	
bedpan fracture	270	RC	Outpatient			6	3.9		90			Percent of total billed charges		5.4	40			Percent of total billed charges		2.4	80			Percent of total billed charges		4.8	90			Percent of total billed charges		5.4	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	100			Percent of total billed charges		6	100			Percent of total billed charges		6	100			Percent of total billed charges		6	33.3			Percent of total billed charges		1.998	33.3			Percent of total billed charges		1.998	100			Percent of total billed charges		6	1.998	5.4	
castro oil 2 oz.	270	RC	Outpatient			6	3.9		90			Percent of total billed charges		5.4	40			Percent of total billed charges		2.4	80			Percent of total billed charges		4.8	90			Percent of total billed charges		5.4	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	100			Percent of total billed charges		6	100			Percent of total billed charges		6	100			Percent of total billed charges		6	33.3			Percent of total billed charges		1.998	33.3			Percent of total billed charges		1.998	100			Percent of total billed charges		6	1.998	5.4	
1 3/4 pouch (colostomy)	270	RC	Outpatient			6	3.9		90			Percent of total billed charges		5.4	40			Percent of total billed charges		2.4	80			Percent of total billed charges		4.8	90			Percent of total billed charges		5.4	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	100			Percent of total billed charges		6	100			Percent of total billed charges		6	100			Percent of total billed charges		6	33.3			Percent of total billed charges		1.998	33.3			Percent of total billed charges		1.998	100			Percent of total billed charges		6	1.998	5.4	
2 1/4 pouch (colostomy)	270	RC	Outpatient			6	3.9		90			Percent of total billed charges		5.4	40			Percent of total billed charges		2.4	80			Percent of total billed charges		4.8	90			Percent of total billed charges		5.4	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	100			Percent of total billed charges		6	100			Percent of total billed charges		6	100			Percent of total billed charges		6	33.3			Percent of total billed charges		1.998	33.3			Percent of total billed charges		1.998	100			Percent of total billed charges		6	1.998	5.4	
armboards	270	RC	Outpatient			6	3.9		90			Percent of total billed charges		5.4	40			Percent of total billed charges		2.4	80			Percent of total billed charges		4.8	90			Percent of total billed charges		5.4	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	100			Percent of total billed charges		6	100			Percent of total billed charges		6	100			Percent of total billed charges		6	33.3			Percent of total billed charges		1.998	33.3			Percent of total billed charges		1.998	100			Percent of total billed charges		6	1.998	5.4	
clamp ostomy pouch f/ odor barrier 7765	270	RC	Outpatient			6	3.9		90			Percent of total billed charges		5.4	40			Percent of total billed charges		2.4	80			Percent of total billed charges		4.8	90			Percent of total billed charges		5.4	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	100			Percent of total billed charges		6	100			Percent of total billed charges		6	100			Percent of total billed charges		6	33.3			Percent of total billed charges		1.998	33.3			Percent of total billed charges		1.998	100			Percent of total billed charges		6	1.998	5.4	
cream cavilon barrier	259	RC	Outpatient			6	3.9		90			Percent of total billed charges		5.4	40			Percent of total billed charges		2.4	80			Percent of total billed charges		4.8	90			Percent of total billed charges		5.4	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	100			Percent of total billed charges		6	100			Percent of total billed charges		6	100			Percent of total billed charges		6	33.3			Percent of total billed charges		1.998	33.3			Percent of total billed charges		1.998	100			Percent of total billed charges		6	1.998	5.4	
"gauze, plain 1/4"	270	RC	Outpatient			6	3.9		90			Percent of total billed charges		5.4	40			Percent of total billed charges		2.4	80			Percent of total billed charges		4.8	90			Percent of total billed charges		5.4	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	100			Percent of total billed charges		6	100			Percent of total billed charges		6	100			Percent of total billed charges		6	33.3			Percent of total billed charges		1.998	33.3			Percent of total billed charges		1.998	100			Percent of total billed charges		6	1.998	5.4	
gu irrigant 2000ml	270	RC	Outpatient			6	3.9		90			Percent of total billed charges		5.4	40			Percent of total billed charges		2.4	80			Percent of total billed charges		4.8	90			Percent of total billed charges		5.4	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	100			Percent of total billed charges		6	100			Percent of total billed charges		6	100			Percent of total billed charges		6	33.3			Percent of total billed charges		1.998	33.3			Percent of total billed charges		1.998	100			Percent of total billed charges		6	1.998	5.4	
dressing silver site ss853xt	270	RC	Outpatient			6	3.9		90			Percent of total billed charges		5.4	40			Percent of total billed charges		2.4	80			Percent of total billed charges		4.8	90			Percent of total billed charges		5.4	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	100			Percent of total billed charges		6	100			Percent of total billed charges		6	100			Percent of total billed charges		6	33.3			Percent of total billed charges		1.998	33.3			Percent of total billed charges		1.998	100			Percent of total billed charges		6	1.998	5.4	
ear wick	270	RC	Outpatient			6	3.9		90			Percent of total billed charges		5.4	40			Percent of total billed charges		2.4	80			Percent of total billed charges		4.8	90			Percent of total billed charges		5.4	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	100			Percent of total billed charges		6	100			Percent of total billed charges		6	100			Percent of total billed charges		6	33.3			Percent of total billed charges		1.998	33.3			Percent of total billed charges		1.998	100			Percent of total billed charges		6	1.998	5.4	
kit nebulizer prefilled 1070ml	270	RC	Outpatient			6	3.9		90			Percent of total billed charges		5.4	40			Percent of total billed charges		2.4	80			Percent of total billed charges		4.8	90			Percent of total billed charges		5.4	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	100			Percent of total billed charges		6	100			Percent of total billed charges		6	100			Percent of total billed charges		6	33.3			Percent of total billed charges		1.998	33.3			Percent of total billed charges		1.998	100			Percent of total billed charges		6	1.998	5.4	
kit ped urine collector	270	RC	Outpatient			6	3.9		90			Percent of total billed charges		5.4	40			Percent of total billed charges		2.4	80			Percent of total billed charges		4.8	90			Percent of total billed charges		5.4	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	100			Percent of total billed charges		6	100			Percent of total billed charges		6	100			Percent of total billed charges		6	33.3			Percent of total billed charges		1.998	33.3			Percent of total billed charges		1.998	100			Percent of total billed charges		6	1.998	5.4	
"gauze, plain 1/2"	270	RC	Outpatient			6	3.9		90			Percent of total billed charges		5.4	40			Percent of total billed charges		2.4	80			Percent of total billed charges		4.8	90			Percent of total billed charges		5.4	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	100			Percent of total billed charges		6	100			Percent of total billed charges		6	100			Percent of total billed charges		6	33.3			Percent of total billed charges		1.998	33.3			Percent of total billed charges		1.998	100			Percent of total billed charges		6	1.998	5.4	
gelfoam	270	RC	Outpatient			6	3.9		90			Percent of total billed charges		5.4	40			Percent of total billed charges		2.4	80			Percent of total billed charges		4.8	90			Percent of total billed charges		5.4	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	100			Percent of total billed charges		6	100			Percent of total billed charges		6	100			Percent of total billed charges		6	33.3			Percent of total billed charges		1.998	33.3			Percent of total billed charges		1.998	100			Percent of total billed charges		6	1.998	5.4	
grounding pad	270	RC	Outpatient			6	3.9		90			Percent of total billed charges		5.4	40			Percent of total billed charges		2.4	80			Percent of total billed charges		4.8	90			Percent of total billed charges		5.4	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	100			Percent of total billed charges		6	100			Percent of total billed charges		6	100			Percent of total billed charges		6	33.3			Percent of total billed charges		1.998	33.3			Percent of total billed charges		1.998	100			Percent of total billed charges		6	1.998	5.4	
mask elong n/rebr w/o sfty vnt hud 1060	270	RC	Outpatient			6	3.9		90			Percent of total billed charges		5.4	40			Percent of total billed charges		2.4	80			Percent of total billed charges		4.8	90			Percent of total billed charges		5.4	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	100			Percent of total billed charges		6	100			Percent of total billed charges		6	100			Percent of total billed charges		6	33.3			Percent of total billed charges		1.998	33.3			Percent of total billed charges		1.998	100			Percent of total billed charges		6	1.998	5.4	
ice pack small non4410	272	RC	Outpatient			6	3.9		90			Percent of total billed charges		5.4	40			Percent of total billed charges		2.4	80			Percent of total billed charges		4.8	90			Percent of total billed charges		5.4	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	100			Percent of total billed charges		6	100			Percent of total billed charges		6	100			Percent of total billed charges		6	33.3			Percent of total billed charges		1.998	33.3			Percent of total billed charges		1.998	100			Percent of total billed charges		6	1.998	5.4	
nonrebreathing mask	270	RC	Outpatient			6	3.9		90			Percent of total billed charges		5.4	40			Percent of total billed charges		2.4	80			Percent of total billed charges		4.8	90			Percent of total billed charges		5.4	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	100			Percent of total billed charges		6	100			Percent of total billed charges		6	100			Percent of total billed charges		6	33.3			Percent of total billed charges		1.998	33.3			Percent of total billed charges		1.998	100			Percent of total billed charges		6	1.998	5.4	
ostomy pouch 1 3/4 3802 transparent hollister	270	RC	Outpatient			6	3.9		90			Percent of total billed charges		5.4	40			Percent of total billed charges		2.4	80			Percent of total billed charges		4.8	90			Percent of total billed charges		5.4	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	100			Percent of total billed charges		6	100			Percent of total billed charges		6	100			Percent of total billed charges		6	33.3			Percent of total billed charges		1.998	33.3			Percent of total billed charges		1.998	100			Percent of total billed charges		6	1.998	5.4	
ostomy pouch 4in 3806tran	272	RC	Outpatient			6	3.9		90			Percent of total billed charges		5.4	40			Percent of total billed charges		2.4	80			Percent of total billed charges		4.8	90			Percent of total billed charges		5.4	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	100			Percent of total billed charges		6	100			Percent of total billed charges		6	100			Percent of total billed charges		6	33.3			Percent of total billed charges		1.998	33.3			Percent of total billed charges		1.998	100			Percent of total billed charges		6	1.998	5.4	
pad defibrillator 2345n	270	RC	Outpatient			6	3.9		90			Percent of total billed charges		5.4	40			Percent of total billed charges		2.4	80			Percent of total billed charges		4.8	90			Percent of total billed charges		5.4	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	100			Percent of total billed charges		6	100			Percent of total billed charges		6	100			Percent of total billed charges		6	33.3			Percent of total billed charges		1.998	33.3			Percent of total billed charges		1.998	100			Percent of total billed charges		6	1.998	5.4	
ostomy 2pc cut to ft88501	270	RC	Outpatient			6	3.9		90			Percent of total billed charges		5.4	40			Percent of total billed charges		2.4	80			Percent of total billed charges		4.8	90			Percent of total billed charges		5.4	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	100			Percent of total billed charges		6	100			Percent of total billed charges		6	100			Percent of total billed charges		6	33.3			Percent of total billed charges		1.998	33.3			Percent of total billed charges		1.998	100			Percent of total billed charges		6	1.998	5.4	
ostomy flange 2.25 3703	270	RC	Outpatient			6	3.9		90			Percent of total billed charges		5.4	40			Percent of total billed charges		2.4	80			Percent of total billed charges		4.8	90			Percent of total billed charges		5.4	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	100			Percent of total billed charges		6	100			Percent of total billed charges		6	100			Percent of total billed charges		6	33.3			Percent of total billed charges		1.998	33.3			Percent of total billed charges		1.998	100			Percent of total billed charges		6	1.998	5.4	
ostomy flange 2.75 3704	270	RC	Outpatient			6	3.9		90			Percent of total billed charges		5.4	40			Percent of total billed charges		2.4	80			Percent of total billed charges		4.8	90			Percent of total billed charges		5.4	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	100			Percent of total billed charges		6	100			Percent of total billed charges		6	100			Percent of total billed charges		6	33.3			Percent of total billed charges		1.998	33.3			Percent of total billed charges		1.998	100			Percent of total billed charges		6	1.998	5.4	
ostomy pouch 2 1/4 3893 transparent hollister	270	RC	Outpatient			6	3.9		90			Percent of total billed charges		5.4	40			Percent of total billed charges		2.4	80			Percent of total billed charges		4.8	90			Percent of total billed charges		5.4	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	100			Percent of total billed charges		6	100			Percent of total billed charges		6	100			Percent of total billed charges		6	33.3			Percent of total billed charges		1.998	33.3			Percent of total billed charges		1.998	100			Percent of total billed charges		6	1.998	5.4	
ostomy pouch 2 3/4 3894 transparent hollister	270	RC	Outpatient			6	3.9		90			Percent of total billed charges		5.4	40			Percent of total billed charges		2.4	80			Percent of total billed charges		4.8	90			Percent of total billed charges		5.4	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	100			Percent of total billed charges		6	100			Percent of total billed charges		6	100			Percent of total billed charges		6	33.3			Percent of total billed charges		1.998	33.3			Percent of total billed charges		1.998	100			Percent of total billed charges		6	1.998	5.4	
pouch (colostomy)  3806 hollister	270	RC	Outpatient			6	3.9		90			Percent of total billed charges		5.4	40			Percent of total billed charges		2.4	80			Percent of total billed charges		4.8	90			Percent of total billed charges		5.4	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	100			Percent of total billed charges		6	100			Percent of total billed charges		6	100			Percent of total billed charges		6	33.3			Percent of total billed charges		1.998	33.3			Percent of total billed charges		1.998	100			Percent of total billed charges		6	1.998	5.4	
set inf feeding tube #5	270	RC	Outpatient			6	3.9		90			Percent of total billed charges		5.4	40			Percent of total billed charges		2.4	80			Percent of total billed charges		4.8	90			Percent of total billed charges		5.4	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	100			Percent of total billed charges		6	100			Percent of total billed charges		6	100			Percent of total billed charges		6	33.3			Percent of total billed charges		1.998	33.3			Percent of total billed charges		1.998	100			Percent of total billed charges		6	1.998	5.4	
set inf feeding tube #8	270	RC	Outpatient			6	3.9		90			Percent of total billed charges		5.4	40			Percent of total billed charges		2.4	80			Percent of total billed charges		4.8	90			Percent of total billed charges		5.4	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	100			Percent of total billed charges		6	100			Percent of total billed charges		6	100			Percent of total billed charges		6	33.3			Percent of total billed charges		1.998	33.3			Percent of total billed charges		1.998	100			Percent of total billed charges		6	1.998	5.4	
tissue swipes	270	RC	Outpatient			6	3.9		90			Percent of total billed charges		5.4	40			Percent of total billed charges		2.4	80			Percent of total billed charges		4.8	90			Percent of total billed charges		5.4	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	100			Percent of total billed charges		6	100			Percent of total billed charges		6	100			Percent of total billed charges		6	33.3			Percent of total billed charges		1.998	33.3			Percent of total billed charges		1.998	100			Percent of total billed charges		6	1.998	5.4	
perifix 8ml loss of resistance syringe 332150 braun	272	RC	Outpatient			6	3.9		90			Percent of total billed charges		5.4	40			Percent of total billed charges		2.4	80			Percent of total billed charges		4.8	90			Percent of total billed charges		5.4	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	100			Percent of total billed charges		6	100			Percent of total billed charges		6	100			Percent of total billed charges		6	33.3			Percent of total billed charges		1.998	33.3			Percent of total billed charges		1.998	100			Percent of total billed charges		6	1.998	5.4	
polymim meplex border 4x4	270	RC	Outpatient			6	3.9		90			Percent of total billed charges		5.4	40			Percent of total billed charges		2.4	80			Percent of total billed charges		4.8	90			Percent of total billed charges		5.4	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	100			Percent of total billed charges		6	100			Percent of total billed charges		6	100			Percent of total billed charges		6	33.3			Percent of total billed charges		1.998	33.3			Percent of total billed charges		1.998	100			Percent of total billed charges		6	1.998	5.4	
tube lukens tomac 6 1/4 20cc	270	RC	Outpatient			6	3.9		90			Percent of total billed charges		5.4	40			Percent of total billed charges		2.4	80			Percent of total billed charges		4.8	90			Percent of total billed charges		5.4	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	100			Percent of total billed charges		6	100			Percent of total billed charges		6	100			Percent of total billed charges		6	33.3			Percent of total billed charges		1.998	33.3			Percent of total billed charges		1.998	100			Percent of total billed charges		6	1.998	5.4	
water refill concha 1650 ml	270	RC	Outpatient			6	3.9		90			Percent of total billed charges		5.4	40			Percent of total billed charges		2.4	80			Percent of total billed charges		4.8	90			Percent of total billed charges		5.4	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	100			Percent of total billed charges		6	100			Percent of total billed charges		6	100			Percent of total billed charges		6	33.3			Percent of total billed charges		1.998	33.3			Percent of total billed charges		1.998	100			Percent of total billed charges		6	1.998	5.4	
urostomy pouch 1.75 3902	270	RC	Outpatient			6	3.9		90			Percent of total billed charges		5.4	40			Percent of total billed charges		2.4	80			Percent of total billed charges		4.8	90			Percent of total billed charges		5.4	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	100			Percent of total billed charges		6	100			Percent of total billed charges		6	100			Percent of total billed charges		6	33.3			Percent of total billed charges		1.998	33.3			Percent of total billed charges		1.998	100			Percent of total billed charges		6	1.998	5.4	
urostomy pouch 2.75 3904	270	RC	Outpatient			6	3.9		90			Percent of total billed charges		5.4	40			Percent of total billed charges		2.4	80			Percent of total billed charges		4.8	90			Percent of total billed charges		5.4	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	100			Percent of total billed charges		6	100			Percent of total billed charges		6	100			Percent of total billed charges		6	33.3			Percent of total billed charges		1.998	33.3			Percent of total billed charges		1.998	100			Percent of total billed charges		6	1.998	5.4	
wound vac barrier film 3345 420796	272	RC	Outpatient			6	3.9		90			Percent of total billed charges		5.4	40			Percent of total billed charges		2.4	80			Percent of total billed charges		4.8	90			Percent of total billed charges		5.4	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	85			Percent of total billed charges		5.1	100			Percent of total billed charges		6	100			Percent of total billed charges		6	100			Percent of total billed charges		6	33.3			Percent of total billed charges		1.998	33.3			Percent of total billed charges		1.998	100			Percent of total billed charges		6	1.998	5.4	
3800022 lac-mouth/tongue/sngl/lay ed charge	450	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
abd pads	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
access pin safsite	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
accu-check	300	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
ace bandage ed charge scnt	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
adaptic dressing 3x3 pk	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
angel wing blood collection set 225265 kendall	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
"bag,enema"	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
bandage kling 3	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
bandage kling 4	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
blade electrode e1551x v.l.	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
book chemotherapy	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
bundle cataract cs supply	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
cannula infant	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
"cath,tube protector"	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
bandage kling 2	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
book contr type 2 diabet	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
book radiation therapy	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
"book,in balance/in contrl"	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
button hook	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
cup graduate measure	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
"drain, penrose 1/4#"	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
dressing medipore strip 3inch 2963	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
electrode needle 1  2.5cm e1552	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
fall prevention kit	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
footswitching  bovie pencil e2504h	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
gu irrigant 5000ml	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
disposable biopsy punch 2mm-6mm 33-38 integra miltex	272	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
"drain, penrose 1/2"	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
"dress, montgomery straps"	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
dressing allevyn life 6 1/16x 6 1/16	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
dressing surgipad 5x9  ster 8137-002145	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
electrode needle 1   e1552	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
kit abg mini p9025	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
kit fall prevent yel l/xl	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
kit fall prevent yell s/m	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
l/d pad telfa	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
l/d pad under per pack	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
l/d prep kit	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
"gauze, plain 1"	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
ice bag disp. small	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
moisturizer mouth 1/2 oz	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
mouthwash	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
nugauze 2 kc 7634	272	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
op site dressing 5 1/2 x4	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
ostomy no sting film	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
ostomy pouch 1.75 3229	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
iodoform nu gauze	272	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
jorbasan pad	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
l/d airway	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
l/d syringe-bulb	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
l/d tray de lee suction	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
metal eye shield	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
newborn admit kit	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
normal saline 1000	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
"pad, telfa 3 x 4"	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
pads eye	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
pads nursing disposable	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
pediatric iv start kit	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
plug catheter protector p9660 baxter	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
scrub disp xxl top	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
smallbore extension set nf1312 braun	272	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
"splint,finger/alum. 3.25"	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
"splint,finger/alum. 5.25"	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
"splint,finger/alum. 6.25"	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
"splint,finger/metal 18"	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
sponge 4 x 4	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
stockinette 2	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
strip pack iodoform .25x5yd 8755	272	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
strip pack iodoform .5x5yd  8756	272	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
strip pack iodoform 1x5yd 8757	272	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
strip pack iodoform 2 x 5 yd 8758	272	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
strip pack nugauze 1/4 plain #8750/7631	272	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
sutures	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
technicare	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
telfa pad	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
"thermometer, rectal"	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
trach. dressing sponge	272	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
tray clean catch	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
pampers premature	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
shield nipple	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
"splint,finger/alum. 4.25"	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
"splint,finger/alum. 7.25"	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
split gauze	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
sponge 3 x 3	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
sponges sof-wick 4 x 4	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
sterile water 1500cc	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
sterile water bottle for irrigation	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
strip pack nugauze 1/2 x 5 yds 8751/7632	272	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
techni-care	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
telfa pad ed charge scnt	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
"thermometer, oral"	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
tube bandage 1	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
tube bandage 10	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
tube rectal 24fr	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
v.l. short electrodes	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
vac connector y wound	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
vaseline tube	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
venigard jr	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
xeroform 5x9	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
xeroform guaze 1x8	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
venigard adult	270	RC	Outpatient			7	4.55		90			Percent of total billed charges		6.3	40			Percent of total billed charges		2.8	80			Percent of total billed charges		5.6	90			Percent of total billed charges		6.3	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	85			Percent of total billed charges		5.95	100			Percent of total billed charges		7	100			Percent of total billed charges		7	100			Percent of total billed charges		7	33.3			Percent of total billed charges		2.331	33.3			Percent of total billed charges		2.331	100			Percent of total billed charges		7	2.331	6.3	
3800034 exc.bn/lesn-tk/am/lg ed charge	450	RC	Outpatient			8	5.2		90			Percent of total billed charges		7.2	40			Percent of total billed charges		3.2	80			Percent of total billed charges		6.4	90			Percent of total billed charges		7.2	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	33.3			Percent of total billed charges		2.664	33.3			Percent of total billed charges		2.664	100			Percent of total billed charges		8	2.664	7.2	
alleryn 5x5	270	RC	Outpatient			8	5.2		90			Percent of total billed charges		7.2	40			Percent of total billed charges		3.2	80			Percent of total billed charges		6.4	90			Percent of total billed charges		7.2	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	33.3			Percent of total billed charges		2.664	33.3			Percent of total billed charges		2.664	100			Percent of total billed charges		8	2.664	7.2	
bandage kerlex	270	RC	Outpatient			8	5.2		90			Percent of total billed charges		7.2	40			Percent of total billed charges		3.2	80			Percent of total billed charges		6.4	90			Percent of total billed charges		7.2	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	33.3			Percent of total billed charges		2.664	33.3			Percent of total billed charges		2.664	100			Percent of total billed charges		8	2.664	7.2	
calculi strainer	270	RC	Outpatient			8	5.2		90			Percent of total billed charges		7.2	40			Percent of total billed charges		3.2	80			Percent of total billed charges		6.4	90			Percent of total billed charges		7.2	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	33.3			Percent of total billed charges		2.664	33.3			Percent of total billed charges		2.664	100			Percent of total billed charges		8	2.664	7.2	
cath male self w/f1431614	272	RC	Outpatient			8	5.2		90			Percent of total billed charges		7.2	40			Percent of total billed charges		3.2	80			Percent of total billed charges		6.4	90			Percent of total billed charges		7.2	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	33.3			Percent of total billed charges		2.664	33.3			Percent of total billed charges		2.664	100			Percent of total billed charges		8	2.664	7.2	
aeroclipse	270	RC	Outpatient			8	5.2		90			Percent of total billed charges		7.2	40			Percent of total billed charges		3.2	80			Percent of total billed charges		6.4	90			Percent of total billed charges		7.2	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	33.3			Percent of total billed charges		2.664	33.3			Percent of total billed charges		2.664	100			Percent of total billed charges		8	2.664	7.2	
bovie tip cleaner	270	RC	Outpatient			8	5.2		90			Percent of total billed charges		7.2	40			Percent of total billed charges		3.2	80			Percent of total billed charges		6.4	90			Percent of total billed charges		7.2	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	33.3			Percent of total billed charges		2.664	33.3			Percent of total billed charges		2.664	100			Percent of total billed charges		8	2.664	7.2	
button ortho tendon pl\olypropylene 520g ethi	270	RC	Outpatient			8	5.2		90			Percent of total billed charges		7.2	40			Percent of total billed charges		3.2	80			Percent of total billed charges		6.4	90			Percent of total billed charges		7.2	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	33.3			Percent of total billed charges		2.664	33.3			Percent of total billed charges		2.664	100			Percent of total billed charges		8	2.664	7.2	
cath lab clearlink ext set 2c8606	272	RC	Outpatient			8	5.2		90			Percent of total billed charges		7.2	40			Percent of total billed charges		3.2	80			Percent of total billed charges		6.4	90			Percent of total billed charges		7.2	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	33.3			Percent of total billed charges		2.664	33.3			Percent of total billed charges		2.664	100			Percent of total billed charges		8	2.664	7.2	
cath uretheral 14fr	270	RC	Outpatient			8	5.2		90			Percent of total billed charges		7.2	40			Percent of total billed charges		3.2	80			Percent of total billed charges		6.4	90			Percent of total billed charges		7.2	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	33.3			Percent of total billed charges		2.664	33.3			Percent of total billed charges		2.664	100			Percent of total billed charges		8	2.664	7.2	
dress mepilex border 2x5	270	RC	Outpatient			8	5.2		90			Percent of total billed charges		7.2	40			Percent of total billed charges		3.2	80			Percent of total billed charges		6.4	90			Percent of total billed charges		7.2	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	33.3			Percent of total billed charges		2.664	33.3			Percent of total billed charges		2.664	100			Percent of total billed charges		8	2.664	7.2	
dressing flexderm	270	RC	Outpatient			8	5.2		90			Percent of total billed charges		7.2	40			Percent of total billed charges		3.2	80			Percent of total billed charges		6.4	90			Percent of total billed charges		7.2	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	33.3			Percent of total billed charges		2.664	33.3			Percent of total billed charges		2.664	100			Percent of total billed charges		8	2.664	7.2	
feeding tube infant/premie ed charge scnt	450	RC	Outpatient			8	5.2		90			Percent of total billed charges		7.2	40			Percent of total billed charges		3.2	80			Percent of total billed charges		6.4	90			Percent of total billed charges		7.2	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	33.3			Percent of total billed charges		2.664	33.3			Percent of total billed charges		2.664	100			Percent of total billed charges		8	2.664	7.2	
female cath kit	270	RC	Outpatient			8	5.2		90			Percent of total billed charges		7.2	40			Percent of total billed charges		3.2	80			Percent of total billed charges		6.4	90			Percent of total billed charges		7.2	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	33.3			Percent of total billed charges		2.664	33.3			Percent of total billed charges		2.664	100			Percent of total billed charges		8	2.664	7.2	
ilizarov sponge 102140 s/n	272	RC	Outpatient			8	5.2		90			Percent of total billed charges		7.2	40			Percent of total billed charges		3.2	80			Percent of total billed charges		6.4	90			Percent of total billed charges		7.2	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	33.3			Percent of total billed charges		2.664	33.3			Percent of total billed charges		2.664	100			Percent of total billed charges		8	2.664	7.2	
dressing tegaderm 8x12	270	RC	Outpatient			8	5.2		90			Percent of total billed charges		7.2	40			Percent of total billed charges		3.2	80			Percent of total billed charges		6.4	90			Percent of total billed charges		7.2	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	33.3			Percent of total billed charges		2.664	33.3			Percent of total billed charges		2.664	100			Percent of total billed charges		8	2.664	7.2	
infant disposable ambu ba	270	RC	Outpatient			8	5.2		90			Percent of total billed charges		7.2	40			Percent of total billed charges		3.2	80			Percent of total billed charges		6.4	90			Percent of total billed charges		7.2	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	33.3			Percent of total billed charges		2.664	33.3			Percent of total billed charges		2.664	100			Percent of total billed charges		8	2.664	7.2	
instrument boots	270	RC	Outpatient			8	5.2		90			Percent of total billed charges		7.2	40			Percent of total billed charges		3.2	80			Percent of total billed charges		6.4	90			Percent of total billed charges		7.2	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	33.3			Percent of total billed charges		2.664	33.3			Percent of total billed charges		2.664	100			Percent of total billed charges		8	2.664	7.2	
ilizarov sponge	272	RC	Outpatient			8	5.2		90			Percent of total billed charges		7.2	40			Percent of total billed charges		3.2	80			Percent of total billed charges		6.4	90			Percent of total billed charges		7.2	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	33.3			Percent of total billed charges		2.664	33.3			Percent of total billed charges		2.664	100			Percent of total billed charges		8	2.664	7.2	
ostomy drops deo 7715	270	RC	Outpatient			8	5.2		90			Percent of total billed charges		7.2	40			Percent of total billed charges		3.2	80			Percent of total billed charges		6.4	90			Percent of total billed charges		7.2	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	33.3			Percent of total billed charges		2.664	33.3			Percent of total billed charges		2.664	100			Percent of total billed charges		8	2.664	7.2	
ostomy flange 2.75 87711	270	RC	Outpatient			8	5.2		90			Percent of total billed charges		7.2	40			Percent of total billed charges		3.2	80			Percent of total billed charges		6.4	90			Percent of total billed charges		7.2	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	33.3			Percent of total billed charges		2.664	33.3			Percent of total billed charges		2.664	100			Percent of total billed charges		8	2.664	7.2	
kit fall prevent yell bar	270	RC	Outpatient			8	5.2		90			Percent of total billed charges		7.2	40			Percent of total billed charges		3.2	80			Percent of total billed charges		6.4	90			Percent of total billed charges		7.2	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	33.3			Percent of total billed charges		2.664	33.3			Percent of total billed charges		2.664	100			Percent of total billed charges		8	2.664	7.2	
pad ob peach (promise) 23090-020	270	RC	Outpatient			8	5.2		90			Percent of total billed charges		7.2	40			Percent of total billed charges		3.2	80			Percent of total billed charges		6.4	90			Percent of total billed charges		7.2	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	33.3			Percent of total billed charges		2.664	33.3			Percent of total billed charges		2.664	100			Percent of total billed charges		8	2.664	7.2	
padding cast specialist 4x4yd 9044	270	RC	Outpatient			8	5.2		90			Percent of total billed charges		7.2	40			Percent of total billed charges		3.2	80			Percent of total billed charges		6.4	90			Percent of total billed charges		7.2	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	33.3			Percent of total billed charges		2.664	33.3			Percent of total billed charges		2.664	100			Percent of total billed charges		8	2.664	7.2	
"padding, cast"	270	RC	Outpatient			8	5.2		90			Percent of total billed charges		7.2	40			Percent of total billed charges		3.2	80			Percent of total billed charges		6.4	90			Percent of total billed charges		7.2	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	33.3			Percent of total billed charges		2.664	33.3			Percent of total billed charges		2.664	100			Percent of total billed charges		8	2.664	7.2	
peri-pad kotex maxi 339-135	270	RC	Outpatient			8	5.2		90			Percent of total billed charges		7.2	40			Percent of total billed charges		3.2	80			Percent of total billed charges		6.4	90			Percent of total billed charges		7.2	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	33.3			Percent of total billed charges		2.664	33.3			Percent of total billed charges		2.664	100			Percent of total billed charges		8	2.664	7.2	
reston mmm1561h 3m	272	RC	Outpatient			8	5.2		90			Percent of total billed charges		7.2	40			Percent of total billed charges		3.2	80			Percent of total billed charges		6.4	90			Percent of total billed charges		7.2	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	33.3			Percent of total billed charges		2.664	33.3			Percent of total billed charges		2.664	100			Percent of total billed charges		8	2.664	7.2	
set clearlk ext set2c8606	272	RC	Outpatient			8	5.2		90			Percent of total billed charges		7.2	40			Percent of total billed charges		3.2	80			Percent of total billed charges		6.4	90			Percent of total billed charges		7.2	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	33.3			Percent of total billed charges		2.664	33.3			Percent of total billed charges		2.664	100			Percent of total billed charges		8	2.664	7.2	
sterile water 1000cc	270	RC	Outpatient			8	5.2		90			Percent of total billed charges		7.2	40			Percent of total billed charges		3.2	80			Percent of total billed charges		6.4	90			Percent of total billed charges		7.2	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	33.3			Percent of total billed charges		2.664	33.3			Percent of total billed charges		2.664	100			Percent of total billed charges		8	2.664	7.2	
tip cleaner  45150	270	RC	Outpatient			8	5.2		90			Percent of total billed charges		7.2	40			Percent of total billed charges		3.2	80			Percent of total billed charges		6.4	90			Percent of total billed charges		7.2	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	33.3			Percent of total billed charges		2.664	33.3			Percent of total billed charges		2.664	100			Percent of total billed charges		8	2.664	7.2	
pampers toddler	270	RC	Outpatient			8	5.2		90			Percent of total billed charges		7.2	40			Percent of total billed charges		3.2	80			Percent of total billed charges		6.4	90			Percent of total billed charges		7.2	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	33.3			Percent of total billed charges		2.664	33.3			Percent of total billed charges		2.664	100			Percent of total billed charges		8	2.664	7.2	
peri pad	270	RC	Outpatient			8	5.2		90			Percent of total billed charges		7.2	40			Percent of total billed charges		3.2	80			Percent of total billed charges		6.4	90			Percent of total billed charges		7.2	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	33.3			Percent of total billed charges		2.664	33.3			Percent of total billed charges		2.664	100			Percent of total billed charges		8	2.664	7.2	
readicat-2       450ml	270	RC	Outpatient			8	5.2		90			Percent of total billed charges		7.2	40			Percent of total billed charges		3.2	80			Percent of total billed charges		6.4	90			Percent of total billed charges		7.2	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	33.3			Percent of total billed charges		2.664	33.3			Percent of total billed charges		2.664	100			Percent of total billed charges		8	2.664	7.2	
reston	272	RC	Outpatient			8	5.2		90			Percent of total billed charges		7.2	40			Percent of total billed charges		3.2	80			Percent of total billed charges		6.4	90			Percent of total billed charges		7.2	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	33.3			Percent of total billed charges		2.664	33.3			Percent of total billed charges		2.664	100			Percent of total billed charges		8	2.664	7.2	
scrub disp xxl pant	270	RC	Outpatient			8	5.2		90			Percent of total billed charges		7.2	40			Percent of total billed charges		3.2	80			Percent of total billed charges		6.4	90			Percent of total billed charges		7.2	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	33.3			Percent of total billed charges		2.664	33.3			Percent of total billed charges		2.664	100			Percent of total billed charges		8	2.664	7.2	
small buttons	270	RC	Outpatient			8	5.2		90			Percent of total billed charges		7.2	40			Percent of total billed charges		3.2	80			Percent of total billed charges		6.4	90			Percent of total billed charges		7.2	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	33.3			Percent of total billed charges		2.664	33.3			Percent of total billed charges		2.664	100			Percent of total billed charges		8	2.664	7.2	
sterile water ed charge scnt	270	RC	Outpatient			8	5.2		90			Percent of total billed charges		7.2	40			Percent of total billed charges		3.2	80			Percent of total billed charges		6.4	90			Percent of total billed charges		7.2	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	33.3			Percent of total billed charges		2.664	33.3			Percent of total billed charges		2.664	100			Percent of total billed charges		8	2.664	7.2	
tip cleaner 100/bx 45150	270	RC	Outpatient			8	5.2		90			Percent of total billed charges		7.2	40			Percent of total billed charges		3.2	80			Percent of total billed charges		6.4	90			Percent of total billed charges		7.2	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	33.3			Percent of total billed charges		2.664	33.3			Percent of total billed charges		2.664	100			Percent of total billed charges		8	2.664	7.2	
tubing pca 3559-03	270	RC	Outpatient			8	5.2		90			Percent of total billed charges		7.2	40			Percent of total billed charges		3.2	80			Percent of total billed charges		6.4	90			Percent of total billed charges		7.2	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	33.3			Percent of total billed charges		2.664	33.3			Percent of total billed charges		2.664	100			Percent of total billed charges		8	2.664	7.2	
vaginal packing	270	RC	Outpatient			8	5.2		90			Percent of total billed charges		7.2	40			Percent of total billed charges		3.2	80			Percent of total billed charges		6.4	90			Percent of total billed charges		7.2	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	33.3			Percent of total billed charges		2.664	33.3			Percent of total billed charges		2.664	100			Percent of total billed charges		8	2.664	7.2	
vaseline gauze 3x36	270	RC	Outpatient			8	5.2		90			Percent of total billed charges		7.2	40			Percent of total billed charges		3.2	80			Percent of total billed charges		6.4	90			Percent of total billed charges		7.2	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	33.3			Percent of total billed charges		2.664	33.3			Percent of total billed charges		2.664	100			Percent of total billed charges		8	2.664	7.2	
"vial decanter, #2006"	270	RC	Outpatient			8	5.2		90			Percent of total billed charges		7.2	40			Percent of total billed charges		3.2	80			Percent of total billed charges		6.4	90			Percent of total billed charges		7.2	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	33.3			Percent of total billed charges		2.664	33.3			Percent of total billed charges		2.664	100			Percent of total billed charges		8	2.664	7.2	
xeroform ed charge scnt	270	RC	Outpatient			8	5.2		90			Percent of total billed charges		7.2	40			Percent of total billed charges		3.2	80			Percent of total billed charges		6.4	90			Percent of total billed charges		7.2	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	33.3			Percent of total billed charges		2.664	33.3			Percent of total billed charges		2.664	100			Percent of total billed charges		8	2.664	7.2	
tube infant feeding #5	270	RC	Outpatient			8	5.2		90			Percent of total billed charges		7.2	40			Percent of total billed charges		3.2	80			Percent of total billed charges		6.4	90			Percent of total billed charges		7.2	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	33.3			Percent of total billed charges		2.664	33.3			Percent of total billed charges		2.664	100			Percent of total billed charges		8	2.664	7.2	
"tube,feeding,premie #8"	270	RC	Outpatient			8	5.2		90			Percent of total billed charges		7.2	40			Percent of total billed charges		3.2	80			Percent of total billed charges		6.4	90			Percent of total billed charges		7.2	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	33.3			Percent of total billed charges		2.664	33.3			Percent of total billed charges		2.664	100			Percent of total billed charges		8	2.664	7.2	
"valve, lopez"	270	RC	Outpatient			8	5.2		90			Percent of total billed charges		7.2	40			Percent of total billed charges		3.2	80			Percent of total billed charges		6.4	90			Percent of total billed charges		7.2	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	33.3			Percent of total billed charges		2.664	33.3			Percent of total billed charges		2.664	100			Percent of total billed charges		8	2.664	7.2	
vascular pledgett 1/4 x 1/8 x 1/16 pcp50 ethicon	278	RC	Outpatient			8	5.2		90			Percent of total billed charges		7.2	40			Percent of total billed charges		3.2	80			Percent of total billed charges		6.4	90			Percent of total billed charges		7.2	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	33.3			Percent of total billed charges		2.664	33.3			Percent of total billed charges		2.664	100			Percent of total billed charges		8	2.664	7.2	
vascular pledgetts	278	RC	Outpatient			8	5.2		90			Percent of total billed charges		7.2	40			Percent of total billed charges		3.2	80			Percent of total billed charges		6.4	90			Percent of total billed charges		7.2	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	33.3			Percent of total billed charges		2.664	33.3			Percent of total billed charges		2.664	100			Percent of total billed charges		8	2.664	7.2	
vial decanter (local)	270	RC	Outpatient			8	5.2		90			Percent of total billed charges		7.2	40			Percent of total billed charges		3.2	80			Percent of total billed charges		6.4	90			Percent of total billed charges		7.2	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	33.3			Percent of total billed charges		2.664	33.3			Percent of total billed charges		2.664	100			Percent of total billed charges		8	2.664	7.2	
vial decanter 2006s	270	RC	Outpatient			8	5.2		90			Percent of total billed charges		7.2	40			Percent of total billed charges		3.2	80			Percent of total billed charges		6.4	90			Percent of total billed charges		7.2	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	33.3			Percent of total billed charges		2.664	33.3			Percent of total billed charges		2.664	100			Percent of total billed charges		8	2.664	7.2	
xero form dressing	270	RC	Outpatient			8	5.2		90			Percent of total billed charges		7.2	40			Percent of total billed charges		3.2	80			Percent of total billed charges		6.4	90			Percent of total billed charges		7.2	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	33.3			Percent of total billed charges		2.664	33.3			Percent of total billed charges		2.664	100			Percent of total billed charges		8	2.664	7.2	
y tubing ext	272	RC	Outpatient			8	5.2		90			Percent of total billed charges		7.2	40			Percent of total billed charges		3.2	80			Percent of total billed charges		6.4	90			Percent of total billed charges		7.2	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	85			Percent of total billed charges		6.8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	100			Percent of total billed charges		8	33.3			Percent of total billed charges		2.664	33.3			Percent of total billed charges		2.664	100			Percent of total billed charges		8	2.664	7.2	
grounding pad covidien ref # e7507	270	RC	Outpatient			8.07	5.25		90			Percent of total billed charges		7.263	40			Percent of total billed charges		3.228	80			Percent of total billed charges		6.456	90			Percent of total billed charges		7.263	85			Percent of total billed charges		6.8595	85			Percent of total billed charges		6.8595	85			Percent of total billed charges		6.8595	100			Percent of total billed charges		8.07	100			Percent of total billed charges		8.07	100			Percent of total billed charges		8.07	33.3			Percent of total billed charges		2.6873	33.3			Percent of total billed charges		2.6873	100			Percent of total billed charges		8.07	2.6873	7.263	
snare cold exacto steris ref # bx 00711115	272	RC	Outpatient			8.25	5.36		90			Percent of total billed charges		7.425	40			Percent of total billed charges		3.3	80			Percent of total billed charges		6.6	90			Percent of total billed charges		7.425	85			Percent of total billed charges		7.0125	85			Percent of total billed charges		7.0125	85			Percent of total billed charges		7.0125	100			Percent of total billed charges		8.25	100			Percent of total billed charges		8.25	100			Percent of total billed charges		8.25	33.3			Percent of total billed charges		2.7473	33.3			Percent of total billed charges		2.7473	100			Percent of total billed charges		8.25	2.7473	7.425	
accu chek	270	RC	Outpatient			9	5.85		90			Percent of total billed charges		8.1	40			Percent of total billed charges		3.6	80			Percent of total billed charges		7.2	90			Percent of total billed charges		8.1	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	100			Percent of total billed charges		9	100			Percent of total billed charges		9	100			Percent of total billed charges		9	33.3			Percent of total billed charges		2.997	33.3			Percent of total billed charges		2.997	100			Percent of total billed charges		9	2.997	8.1	
3800031 infusion ed charge	450	RC	Outpatient			9	5.85		90			Percent of total billed charges		8.1	40			Percent of total billed charges		3.6	80			Percent of total billed charges		7.2	90			Percent of total billed charges		8.1	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	100			Percent of total billed charges		9	100			Percent of total billed charges		9	100			Percent of total billed charges		9	33.3			Percent of total billed charges		2.997	33.3			Percent of total billed charges		2.997	100			Percent of total billed charges		9	2.997	8.1	
athletic support xl basp10	270	RC	Outpatient			9	5.85		90			Percent of total billed charges		8.1	40			Percent of total billed charges		3.6	80			Percent of total billed charges		7.2	90			Percent of total billed charges		8.1	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	100			Percent of total billed charges		9	100			Percent of total billed charges		9	100			Percent of total billed charges		9	33.3			Percent of total billed charges		2.997	33.3			Percent of total billed charges		2.997	100			Percent of total billed charges		9	2.997	8.1	
bandage webril 6 x 4 yd	270	RC	Outpatient			9	5.85		90			Percent of total billed charges		8.1	40			Percent of total billed charges		3.6	80			Percent of total billed charges		7.2	90			Percent of total billed charges		8.1	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	100			Percent of total billed charges		9	100			Percent of total billed charges		9	100			Percent of total billed charges		9	33.3			Percent of total billed charges		2.997	33.3			Percent of total billed charges		2.997	100			Percent of total billed charges		9	2.997	8.1	
"bandage, tube 14"	270	RC	Outpatient			9	5.85		90			Percent of total billed charges		8.1	40			Percent of total billed charges		3.6	80			Percent of total billed charges		7.2	90			Percent of total billed charges		8.1	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	100			Percent of total billed charges		9	100			Percent of total billed charges		9	100			Percent of total billed charges		9	33.3			Percent of total billed charges		2.997	33.3			Percent of total billed charges		2.997	100			Percent of total billed charges		9	2.997	8.1	
bed pan - disposable	270	RC	Outpatient			9	5.85		90			Percent of total billed charges		8.1	40			Percent of total billed charges		3.6	80			Percent of total billed charges		7.2	90			Percent of total billed charges		8.1	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	100			Percent of total billed charges		9	100			Percent of total billed charges		9	100			Percent of total billed charges		9	33.3			Percent of total billed charges		2.997	33.3			Percent of total billed charges		2.997	100			Percent of total billed charges		9	2.997	8.1	
dental futrabond dc	272	RC	Outpatient			9	5.85		90			Percent of total billed charges		8.1	40			Percent of total billed charges		3.6	80			Percent of total billed charges		7.2	90			Percent of total billed charges		8.1	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	100			Percent of total billed charges		9	100			Percent of total billed charges		9	100			Percent of total billed charges		9	33.3			Percent of total billed charges		2.997	33.3			Percent of total billed charges		2.997	100			Percent of total billed charges		9	2.997	8.1	
dental irm	272	RC	Outpatient			9	5.85		90			Percent of total billed charges		8.1	40			Percent of total billed charges		3.6	80			Percent of total billed charges		7.2	90			Percent of total billed charges		8.1	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	100			Percent of total billed charges		9	100			Percent of total billed charges		9	100			Percent of total billed charges		9	33.3			Percent of total billed charges		2.997	33.3			Percent of total billed charges		2.997	100			Percent of total billed charges		9	2.997	8.1	
derma finger sleeve/inch	270	RC	Outpatient			9	5.85		90			Percent of total billed charges		8.1	40			Percent of total billed charges		3.6	80			Percent of total billed charges		7.2	90			Percent of total billed charges		8.1	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	100			Percent of total billed charges		9	100			Percent of total billed charges		9	100			Percent of total billed charges		9	33.3			Percent of total billed charges		2.997	33.3			Percent of total billed charges		2.997	100			Percent of total billed charges		9	2.997	8.1	
drain penrose 12 gr101	270	RC	Outpatient			9	5.85		90			Percent of total billed charges		8.1	40			Percent of total billed charges		3.6	80			Percent of total billed charges		7.2	90			Percent of total billed charges		8.1	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	100			Percent of total billed charges		9	100			Percent of total billed charges		9	100			Percent of total billed charges		9	33.3			Percent of total billed charges		2.997	33.3			Percent of total billed charges		2.997	100			Percent of total billed charges		9	2.997	8.1	
dressing xeroform 1x8  owp str 431302	272	RC	Outpatient			9	5.85		90			Percent of total billed charges		8.1	40			Percent of total billed charges		3.6	80			Percent of total billed charges		7.2	90			Percent of total billed charges		8.1	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	100			Percent of total billed charges		9	100			Percent of total billed charges		9	100			Percent of total billed charges		9	33.3			Percent of total billed charges		2.997	33.3			Percent of total billed charges		2.997	100			Percent of total billed charges		9	2.997	8.1	
drain penrose 18 gr205-001	270	RC	Outpatient			9	5.85		90			Percent of total billed charges		8.1	40			Percent of total billed charges		3.6	80			Percent of total billed charges		7.2	90			Percent of total billed charges		8.1	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	100			Percent of total billed charges		9	100			Percent of total billed charges		9	100			Percent of total billed charges		9	33.3			Percent of total billed charges		2.997	33.3			Percent of total billed charges		2.997	100			Percent of total billed charges		9	2.997	8.1	
dressing xeroform 5x9 ster 433605	272	RC	Outpatient			9	5.85		90			Percent of total billed charges		8.1	40			Percent of total billed charges		3.6	80			Percent of total billed charges		7.2	90			Percent of total billed charges		8.1	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	100			Percent of total billed charges		9	100			Percent of total billed charges		9	100			Percent of total billed charges		9	33.3			Percent of total billed charges		2.997	33.3			Percent of total billed charges		2.997	100			Percent of total billed charges		9	2.997	8.1	
futurebond dc patterson	272	RC	Outpatient			9	5.85		90			Percent of total billed charges		8.1	40			Percent of total billed charges		3.6	80			Percent of total billed charges		7.2	90			Percent of total billed charges		8.1	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	100			Percent of total billed charges		9	100			Percent of total billed charges		9	100			Percent of total billed charges		9	33.3			Percent of total billed charges		2.997	33.3			Percent of total billed charges		2.997	100			Percent of total billed charges		9	2.997	8.1	
normal saline 250	270	RC	Outpatient			9	5.85		90			Percent of total billed charges		8.1	40			Percent of total billed charges		3.6	80			Percent of total billed charges		7.2	90			Percent of total billed charges		8.1	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	100			Percent of total billed charges		9	100			Percent of total billed charges		9	100			Percent of total billed charges		9	33.3			Percent of total billed charges		2.997	33.3			Percent of total billed charges		2.997	100			Percent of total billed charges		9	2.997	8.1	
ostomy pouch 2.753894(k)	270	RC	Outpatient			9	5.85		90			Percent of total billed charges		8.1	40			Percent of total billed charges		3.6	80			Percent of total billed charges		7.2	90			Percent of total billed charges		8.1	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	100			Percent of total billed charges		9	100			Percent of total billed charges		9	100			Percent of total billed charges		9	33.3			Percent of total billed charges		2.997	33.3			Percent of total billed charges		2.997	100			Percent of total billed charges		9	2.997	8.1	
irm intermediate restorative material 173-7444 patterson	272	RC	Outpatient			9	5.85		90			Percent of total billed charges		8.1	40			Percent of total billed charges		3.6	80			Percent of total billed charges		7.2	90			Percent of total billed charges		8.1	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	100			Percent of total billed charges		9	100			Percent of total billed charges		9	100			Percent of total billed charges		9	33.3			Percent of total billed charges		2.997	33.3			Percent of total billed charges		2.997	100			Percent of total billed charges		9	2.997	8.1	
j-wire (bard)	270	RC	Outpatient			9	5.85		90			Percent of total billed charges		8.1	40			Percent of total billed charges		3.6	80			Percent of total billed charges		7.2	90			Percent of total billed charges		8.1	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	100			Percent of total billed charges		9	100			Percent of total billed charges		9	100			Percent of total billed charges		9	33.3			Percent of total billed charges		2.997	33.3			Percent of total billed charges		2.997	100			Percent of total billed charges		9	2.997	8.1	
l/d sponges-ray-tex-per p	270	RC	Outpatient			9	5.85		90			Percent of total billed charges		8.1	40			Percent of total billed charges		3.6	80			Percent of total billed charges		7.2	90			Percent of total billed charges		8.1	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	100			Percent of total billed charges		9	100			Percent of total billed charges		9	100			Percent of total billed charges		9	33.3			Percent of total billed charges		2.997	33.3			Percent of total billed charges		2.997	100			Percent of total billed charges		9	2.997	8.1	
ostomy pouch 2 1/4 3893	270	RC	Outpatient			9	5.85		90			Percent of total billed charges		8.1	40			Percent of total billed charges		3.6	80			Percent of total billed charges		7.2	90			Percent of total billed charges		8.1	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	100			Percent of total billed charges		9	100			Percent of total billed charges		9	100			Percent of total billed charges		9	33.3			Percent of total billed charges		2.997	33.3			Percent of total billed charges		2.997	100			Percent of total billed charges		9	2.997	8.1	
penrose drain	270	RC	Outpatient			9	5.85		90			Percent of total billed charges		8.1	40			Percent of total billed charges		3.6	80			Percent of total billed charges		7.2	90			Percent of total billed charges		8.1	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	100			Percent of total billed charges		9	100			Percent of total billed charges		9	100			Percent of total billed charges		9	33.3			Percent of total billed charges		2.997	33.3			Percent of total billed charges		2.997	100			Percent of total billed charges		9	2.997	8.1	
shea head holder	270	RC	Outpatient			9	5.85		90			Percent of total billed charges		8.1	40			Percent of total billed charges		3.6	80			Percent of total billed charges		7.2	90			Percent of total billed charges		8.1	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	100			Percent of total billed charges		9	100			Percent of total billed charges		9	100			Percent of total billed charges		9	33.3			Percent of total billed charges		2.997	33.3			Percent of total billed charges		2.997	100			Percent of total billed charges		9	2.997	8.1	
shea headrest lg shea foam 150180	270	RC	Outpatient			9	5.85		90			Percent of total billed charges		8.1	40			Percent of total billed charges		3.6	80			Percent of total billed charges		7.2	90			Percent of total billed charges		8.1	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	100			Percent of total billed charges		9	100			Percent of total billed charges		9	100			Percent of total billed charges		9	33.3			Percent of total billed charges		2.997	33.3			Percent of total billed charges		2.997	100			Percent of total billed charges		9	2.997	8.1	
sitz bath disposable	270	RC	Outpatient			9	5.85		90			Percent of total billed charges		8.1	40			Percent of total billed charges		3.6	80			Percent of total billed charges		7.2	90			Percent of total billed charges		8.1	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	100			Percent of total billed charges		9	100			Percent of total billed charges		9	100			Percent of total billed charges		9	33.3			Percent of total billed charges		2.997	33.3			Percent of total billed charges		2.997	100			Percent of total billed charges		9	2.997	8.1	
skin scribe pen	270	RC	Outpatient			9	5.85		90			Percent of total billed charges		8.1	40			Percent of total billed charges		3.6	80			Percent of total billed charges		7.2	90			Percent of total billed charges		8.1	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	100			Percent of total billed charges		9	100			Percent of total billed charges		9	100			Percent of total billed charges		9	33.3			Percent of total billed charges		2.997	33.3			Percent of total billed charges		2.997	100			Percent of total billed charges		9	2.997	8.1	
sponges raytex	270	RC	Outpatient			9	5.85		90			Percent of total billed charges		8.1	40			Percent of total billed charges		3.6	80			Percent of total billed charges		7.2	90			Percent of total billed charges		8.1	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	100			Percent of total billed charges		9	100			Percent of total billed charges		9	100			Percent of total billed charges		9	33.3			Percent of total billed charges		2.997	33.3			Percent of total billed charges		2.997	100			Percent of total billed charges		9	2.997	8.1	
stylet 6fr 85863	270	RC	Outpatient			9	5.85		90			Percent of total billed charges		8.1	40			Percent of total billed charges		3.6	80			Percent of total billed charges		7.2	90			Percent of total billed charges		8.1	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	100			Percent of total billed charges		9	100			Percent of total billed charges		9	100			Percent of total billed charges		9	33.3			Percent of total billed charges		2.997	33.3			Percent of total billed charges		2.997	100			Percent of total billed charges		9	2.997	8.1	
silipos caps	270	RC	Outpatient			9	5.85		90			Percent of total billed charges		8.1	40			Percent of total billed charges		3.6	80			Percent of total billed charges		7.2	90			Percent of total billed charges		8.1	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	100			Percent of total billed charges		9	100			Percent of total billed charges		9	100			Percent of total billed charges		9	33.3			Percent of total billed charges		2.997	33.3			Percent of total billed charges		2.997	100			Percent of total billed charges		9	2.997	8.1	
sodium chloride inj 150cc	270	RC	Outpatient			9	5.85		90			Percent of total billed charges		8.1	40			Percent of total billed charges		3.6	80			Percent of total billed charges		7.2	90			Percent of total billed charges		8.1	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	100			Percent of total billed charges		9	100			Percent of total billed charges		9	100			Percent of total billed charges		9	33.3			Percent of total billed charges		2.997	33.3			Percent of total billed charges		2.997	100			Percent of total billed charges		9	2.997	8.1	
sponge xray lotry4x4 16ply st 2515	270	RC	Outpatient			9	5.85		90			Percent of total billed charges		8.1	40			Percent of total billed charges		3.6	80			Percent of total billed charges		7.2	90			Percent of total billed charges		8.1	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	100			Percent of total billed charges		9	100			Percent of total billed charges		9	100			Percent of total billed charges		9	33.3			Percent of total billed charges		2.997	33.3			Percent of total billed charges		2.997	100			Percent of total billed charges		9	2.997	8.1	
strip pack nugauze 1/4 pl	270	RC	Outpatient			9	5.85		90			Percent of total billed charges		8.1	40			Percent of total billed charges		3.6	80			Percent of total billed charges		7.2	90			Percent of total billed charges		8.1	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	100			Percent of total billed charges		9	100			Percent of total billed charges		9	100			Percent of total billed charges		9	33.3			Percent of total billed charges		2.997	33.3			Percent of total billed charges		2.997	100			Percent of total billed charges		9	2.997	8.1	
stylet statin ti 6fr85863	272	RC	Outpatient			9	5.85		90			Percent of total billed charges		8.1	40			Percent of total billed charges		3.6	80			Percent of total billed charges		7.2	90			Percent of total billed charges		8.1	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	100			Percent of total billed charges		9	100			Percent of total billed charges		9	100			Percent of total billed charges		9	33.3			Percent of total billed charges		2.997	33.3			Percent of total billed charges		2.997	100			Percent of total billed charges		9	2.997	8.1	
tube gauze	270	RC	Outpatient			9	5.85		90			Percent of total billed charges		8.1	40			Percent of total billed charges		3.6	80			Percent of total billed charges		7.2	90			Percent of total billed charges		8.1	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	100			Percent of total billed charges		9	100			Percent of total billed charges		9	100			Percent of total billed charges		9	33.3			Percent of total billed charges		2.997	33.3			Percent of total billed charges		2.997	100			Percent of total billed charges		9	2.997	8.1	
tubing [rmtpdr 3/4 x 18 888-515601	270	RC	Outpatient			9	5.85		90			Percent of total billed charges		8.1	40			Percent of total billed charges		3.6	80			Percent of total billed charges		7.2	90			Percent of total billed charges		8.1	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	100			Percent of total billed charges		9	100			Percent of total billed charges		9	100			Percent of total billed charges		9	33.3			Percent of total billed charges		2.997	33.3			Percent of total billed charges		2.997	100			Percent of total billed charges		9	2.997	8.1	
tubing penrose xray .5x18  str 515205	270	RC	Outpatient			9	5.85		90			Percent of total billed charges		8.1	40			Percent of total billed charges		3.6	80			Percent of total billed charges		7.2	90			Percent of total billed charges		8.1	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	100			Percent of total billed charges		9	100			Percent of total billed charges		9	100			Percent of total billed charges		9	33.3			Percent of total billed charges		2.997	33.3			Percent of total billed charges		2.997	100			Percent of total billed charges		9	2.997	8.1	
tubing penrose xray 1/4x18 str  30416-025 cardinal	270	RC	Outpatient			9	5.85		90			Percent of total billed charges		8.1	40			Percent of total billed charges		3.6	80			Percent of total billed charges		7.2	90			Percent of total billed charges		8.1	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	100			Percent of total billed charges		9	100			Percent of total billed charges		9	100			Percent of total billed charges		9	33.3			Percent of total billed charges		2.997	33.3			Percent of total billed charges		2.997	100			Percent of total billed charges		9	2.997	8.1	
tubing penrose xray 1/4x18 str  514604	270	RC	Outpatient			9	5.85		90			Percent of total billed charges		8.1	40			Percent of total billed charges		3.6	80			Percent of total billed charges		7.2	90			Percent of total billed charges		8.1	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	100			Percent of total billed charges		9	100			Percent of total billed charges		9	100			Percent of total billed charges		9	33.3			Percent of total billed charges		2.997	33.3			Percent of total billed charges		2.997	100			Percent of total billed charges		9	2.997	8.1	
urinals disp	270	RC	Outpatient			9	5.85		90			Percent of total billed charges		8.1	40			Percent of total billed charges		3.6	80			Percent of total billed charges		7.2	90			Percent of total billed charges		8.1	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	100			Percent of total billed charges		9	100			Percent of total billed charges		9	100			Percent of total billed charges		9	33.3			Percent of total billed charges		2.997	33.3			Percent of total billed charges		2.997	100			Percent of total billed charges		9	2.997	8.1	
xeroform	272	RC	Outpatient			9	5.85		90			Percent of total billed charges		8.1	40			Percent of total billed charges		3.6	80			Percent of total billed charges		7.2	90			Percent of total billed charges		8.1	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	100			Percent of total billed charges		9	100			Percent of total billed charges		9	100			Percent of total billed charges		9	33.3			Percent of total billed charges		2.997	33.3			Percent of total billed charges		2.997	100			Percent of total billed charges		9	2.997	8.1	
tubing penrose 3/4 x 18 888 515601	270	RC	Outpatient			9	5.85		90			Percent of total billed charges		8.1	40			Percent of total billed charges		3.6	80			Percent of total billed charges		7.2	90			Percent of total billed charges		8.1	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	85			Percent of total billed charges		7.65	100			Percent of total billed charges		9	100			Percent of total billed charges		9	100			Percent of total billed charges		9	33.3			Percent of total billed charges		2.997	33.3			Percent of total billed charges		2.997	100			Percent of total billed charges		9	2.997	8.1	
adapt premium paste	272	RC	Outpatient			10	6.5		90			Percent of total billed charges		9	40			Percent of total billed charges		4	80			Percent of total billed charges		8	90			Percent of total billed charges		9	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	100			Percent of total billed charges		10	100			Percent of total billed charges		10	100			Percent of total billed charges		10	33.3			Percent of total billed charges		3.33	33.3			Percent of total billed charges		3.33	100			Percent of total billed charges		10	3.33	9	
adaptic dressing 3x8 pk	270	RC	Outpatient			10	6.5		90			Percent of total billed charges		9	40			Percent of total billed charges		4	80			Percent of total billed charges		8	90			Percent of total billed charges		9	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	100			Percent of total billed charges		10	100			Percent of total billed charges		10	100			Percent of total billed charges		10	33.3			Percent of total billed charges		3.33	33.3			Percent of total billed charges		3.33	100			Percent of total billed charges		10	3.33	9	
"bag,ostomy w/seal 1.25"	270	RC	Outpatient			10	6.5		90			Percent of total billed charges		9	40			Percent of total billed charges		4	80			Percent of total billed charges		8	90			Percent of total billed charges		9	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	100			Percent of total billed charges		10	100			Percent of total billed charges		10	100			Percent of total billed charges		10	33.3			Percent of total billed charges		3.33	33.3			Percent of total billed charges		3.33	100			Percent of total billed charges		10	3.33	9	
"bag,ostomy/2 piece 1.75"	270	RC	Outpatient			10	6.5		90			Percent of total billed charges		9	40			Percent of total billed charges		4	80			Percent of total billed charges		8	90			Percent of total billed charges		9	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	100			Percent of total billed charges		10	100			Percent of total billed charges		10	100			Percent of total billed charges		10	33.3			Percent of total billed charges		3.33	33.3			Percent of total billed charges		3.33	100			Percent of total billed charges		10	3.33	9	
"bag,ostomy/2 piece 2.75"	270	RC	Outpatient			10	6.5		90			Percent of total billed charges		9	40			Percent of total billed charges		4	80			Percent of total billed charges		8	90			Percent of total billed charges		9	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	100			Percent of total billed charges		10	100			Percent of total billed charges		10	100			Percent of total billed charges		10	33.3			Percent of total billed charges		3.33	33.3			Percent of total billed charges		3.33	100			Percent of total billed charges		10	3.33	9	
blade clip surg.dynd70850	270	RC	Outpatient			10	6.5		90			Percent of total billed charges		9	40			Percent of total billed charges		4	80			Percent of total billed charges		8	90			Percent of total billed charges		9	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	100			Percent of total billed charges		10	100			Percent of total billed charges		10	100			Percent of total billed charges		10	33.3			Percent of total billed charges		3.33	33.3			Percent of total billed charges		3.33	100			Percent of total billed charges		10	3.33	9	
cup palm 35 mm neo	270	RC	Outpatient			10	6.5		90			Percent of total billed charges		9	40			Percent of total billed charges		4	80			Percent of total billed charges		8	90			Percent of total billed charges		9	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	100			Percent of total billed charges		10	100			Percent of total billed charges		10	100			Percent of total billed charges		10	33.3			Percent of total billed charges		3.33	33.3			Percent of total billed charges		3.33	100			Percent of total billed charges		10	3.33	9	
cup palm 45 mm ped	270	RC	Outpatient			10	6.5		90			Percent of total billed charges		9	40			Percent of total billed charges		4	80			Percent of total billed charges		8	90			Percent of total billed charges		9	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	100			Percent of total billed charges		10	100			Percent of total billed charges		10	100			Percent of total billed charges		10	33.3			Percent of total billed charges		3.33	33.3			Percent of total billed charges		3.33	100			Percent of total billed charges		10	3.33	9	
ace bandage 2	270	RC	Outpatient			10	6.5		90			Percent of total billed charges		9	40			Percent of total billed charges		4	80			Percent of total billed charges		8	90			Percent of total billed charges		9	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	100			Percent of total billed charges		10	100			Percent of total billed charges		10	100			Percent of total billed charges		10	33.3			Percent of total billed charges		3.33	33.3			Percent of total billed charges		3.33	100			Percent of total billed charges		10	3.33	9	
adapt premium paste 79300	272	RC	Outpatient			10	6.5		90			Percent of total billed charges		9	40			Percent of total billed charges		4	80			Percent of total billed charges		8	90			Percent of total billed charges		9	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	100			Percent of total billed charges		10	100			Percent of total billed charges		10	100			Percent of total billed charges		10	33.3			Percent of total billed charges		3.33	33.3			Percent of total billed charges		3.33	100			Percent of total billed charges		10	3.33	9	
"bag,ostomy/2 piece 2.25"	270	RC	Outpatient			10	6.5		90			Percent of total billed charges		9	40			Percent of total billed charges		4	80			Percent of total billed charges		8	90			Percent of total billed charges		9	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	100			Percent of total billed charges		10	100			Percent of total billed charges		10	100			Percent of total billed charges		10	33.3			Percent of total billed charges		3.33	33.3			Percent of total billed charges		3.33	100			Percent of total billed charges		10	3.33	9	
"bag,ostomy/2 piece 4"	270	RC	Outpatient			10	6.5		90			Percent of total billed charges		9	40			Percent of total billed charges		4	80			Percent of total billed charges		8	90			Percent of total billed charges		9	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	100			Percent of total billed charges		10	100			Percent of total billed charges		10	100			Percent of total billed charges		10	33.3			Percent of total billed charges		3.33	33.3			Percent of total billed charges		3.33	100			Percent of total billed charges		10	3.33	9	
cosmetic - acyclovir	983	RC	Outpatient			10	6.5		90			Percent of total billed charges		9	40			Percent of total billed charges		4	80			Percent of total billed charges		8	90			Percent of total billed charges		9	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	100			Percent of total billed charges		10	100			Percent of total billed charges		10	100			Percent of total billed charges		10	33.3			Percent of total billed charges		3.33	33.3			Percent of total billed charges		3.33	100			Percent of total billed charges		10	3.33	9	
dress duoderm 4x4 signal	270	RC	Outpatient			10	6.5		90			Percent of total billed charges		9	40			Percent of total billed charges		4	80			Percent of total billed charges		8	90			Percent of total billed charges		9	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	100			Percent of total billed charges		10	100			Percent of total billed charges		10	100			Percent of total billed charges		10	33.3			Percent of total billed charges		3.33	33.3			Percent of total billed charges		3.33	100			Percent of total billed charges		10	3.33	9	
extension set 20 inch	270	RC	Outpatient			10	6.5		90			Percent of total billed charges		9	40			Percent of total billed charges		4	80			Percent of total billed charges		8	90			Percent of total billed charges		9	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	100			Percent of total billed charges		10	100			Percent of total billed charges		10	100			Percent of total billed charges		10	33.3			Percent of total billed charges		3.33	33.3			Percent of total billed charges		3.33	100			Percent of total billed charges		10	3.33	9	
"gauze, plain 2"	270	RC	Outpatient			10	6.5		90			Percent of total billed charges		9	40			Percent of total billed charges		4	80			Percent of total billed charges		8	90			Percent of total billed charges		9	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	100			Percent of total billed charges		10	100			Percent of total billed charges		10	100			Percent of total billed charges		10	33.3			Percent of total billed charges		3.33	33.3			Percent of total billed charges		3.33	100			Percent of total billed charges		10	3.33	9	
ice pack non 4460	270	RC	Outpatient			10	6.5		90			Percent of total billed charges		9	40			Percent of total billed charges		4	80			Percent of total billed charges		8	90			Percent of total billed charges		9	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	100			Percent of total billed charges		10	100			Percent of total billed charges		10	100			Percent of total billed charges		10	33.3			Percent of total billed charges		3.33	33.3			Percent of total billed charges		3.33	100			Percent of total billed charges		10	3.33	9	
dressing gauze vaseline petrolatum 1/2 x 72 8884-42600 sher	270	RC	Outpatient			10	6.5		90			Percent of total billed charges		9	40			Percent of total billed charges		4	80			Percent of total billed charges		8	90			Percent of total billed charges		9	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	100			Percent of total billed charges		10	100			Percent of total billed charges		10	100			Percent of total billed charges		10	33.3			Percent of total billed charges		3.33	33.3			Percent of total billed charges		3.33	100			Percent of total billed charges		10	3.33	9	
drugs dispensed at sandersville family clinic - $10	983	RC	Outpatient			10	6.5		90			Percent of total billed charges		9	40			Percent of total billed charges		4	80			Percent of total billed charges		8	90			Percent of total billed charges		9	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	100			Percent of total billed charges		10	100			Percent of total billed charges		10	100			Percent of total billed charges		10	33.3			Percent of total billed charges		3.33	33.3			Percent of total billed charges		3.33	100			Percent of total billed charges		10	3.33	9	
"intracath, 22ga #3166"	270	RC	Outpatient			10	6.5		90			Percent of total billed charges		9	40			Percent of total billed charges		4	80			Percent of total billed charges		8	90			Percent of total billed charges		9	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	100			Percent of total billed charges		10	100			Percent of total billed charges		10	100			Percent of total billed charges		10	33.3			Percent of total billed charges		3.33	33.3			Percent of total billed charges		3.33	100			Percent of total billed charges		10	3.33	9	
obturator va 8fr a0-09000	272	RC	Outpatient			10	6.5		90			Percent of total billed charges		9	40			Percent of total billed charges		4	80			Percent of total billed charges		8	90			Percent of total billed charges		9	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	100			Percent of total billed charges		10	100			Percent of total billed charges		10	100			Percent of total billed charges		10	33.3			Percent of total billed charges		3.33	33.3			Percent of total billed charges		3.33	100			Percent of total billed charges		10	3.33	9	
obturator val 8f a0-09000	272	RC	Outpatient			10	6.5		90			Percent of total billed charges		9	40			Percent of total billed charges		4	80			Percent of total billed charges		8	90			Percent of total billed charges		9	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	100			Percent of total billed charges		10	100			Percent of total billed charges		10	100			Percent of total billed charges		10	33.3			Percent of total billed charges		3.33	33.3			Percent of total billed charges		3.33	100			Percent of total billed charges		10	3.33	9	
ostomy pouch 1.75 3669	270	RC	Outpatient			10	6.5		90			Percent of total billed charges		9	40			Percent of total billed charges		4	80			Percent of total billed charges		8	90			Percent of total billed charges		9	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	100			Percent of total billed charges		10	100			Percent of total billed charges		10	100			Percent of total billed charges		10	33.3			Percent of total billed charges		3.33	33.3			Percent of total billed charges		3.33	100			Percent of total billed charges		10	3.33	9	
"intracath, 16ga #3162"	270	RC	Outpatient			10	6.5		90			Percent of total billed charges		9	40			Percent of total billed charges		4	80			Percent of total billed charges		8	90			Percent of total billed charges		9	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	100			Percent of total billed charges		10	100			Percent of total billed charges		10	100			Percent of total billed charges		10	33.3			Percent of total billed charges		3.33	33.3			Percent of total billed charges		3.33	100			Percent of total billed charges		10	3.33	9	
ost pouch/flan 1.50 3663	270	RC	Outpatient			10	6.5		90			Percent of total billed charges		9	40			Percent of total billed charges		4	80			Percent of total billed charges		8	90			Percent of total billed charges		9	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	100			Percent of total billed charges		10	100			Percent of total billed charges		10	100			Percent of total billed charges		10	33.3			Percent of total billed charges		3.33	33.3			Percent of total billed charges		3.33	100			Percent of total billed charges		10	3.33	9	
ostomy pouch 1/2 3663	270	RC	Outpatient			10	6.5		90			Percent of total billed charges		9	40			Percent of total billed charges		4	80			Percent of total billed charges		8	90			Percent of total billed charges		9	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	100			Percent of total billed charges		10	100			Percent of total billed charges		10	100			Percent of total billed charges		10	33.3			Percent of total billed charges		3.33	33.3			Percent of total billed charges		3.33	100			Percent of total billed charges		10	3.33	9	
pack cold inst colpress 6x10 6620	270	RC	Outpatient			10	6.5		90			Percent of total billed charges		9	40			Percent of total billed charges		4	80			Percent of total billed charges		8	90			Percent of total billed charges		9	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	100			Percent of total billed charges		10	100			Percent of total billed charges		10	100			Percent of total billed charges		10	33.3			Percent of total billed charges		3.33	33.3			Percent of total billed charges		3.33	100			Percent of total billed charges		10	3.33	9	
petrolatum gauze overwrap 1/2x72 kendall 421600	270	RC	Outpatient			10	6.5		90			Percent of total billed charges		9	40			Percent of total billed charges		4	80			Percent of total billed charges		8	90			Percent of total billed charges		9	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	100			Percent of total billed charges		10	100			Percent of total billed charges		10	100			Percent of total billed charges		10	33.3			Percent of total billed charges		3.33	33.3			Percent of total billed charges		3.33	100			Percent of total billed charges		10	3.33	9	
polymin meplex border 6x6	270	RC	Outpatient			10	6.5		90			Percent of total billed charges		9	40			Percent of total billed charges		4	80			Percent of total billed charges		8	90			Percent of total billed charges		9	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	100			Percent of total billed charges		10	100			Percent of total billed charges		10	100			Percent of total billed charges		10	33.3			Percent of total billed charges		3.33	33.3			Percent of total billed charges		3.33	100			Percent of total billed charges		10	3.33	9	
poole suction tip	270	RC	Outpatient			10	6.5		90			Percent of total billed charges		9	40			Percent of total billed charges		4	80			Percent of total billed charges		8	90			Percent of total billed charges		9	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	100			Percent of total billed charges		10	100			Percent of total billed charges		10	100			Percent of total billed charges		10	33.3			Percent of total billed charges		3.33	33.3			Percent of total billed charges		3.33	100			Percent of total billed charges		10	3.33	9	
sponge peanut3/8 st x-ray det  23275470  311010  mds72038	270	RC	Outpatient			10	6.5		90			Percent of total billed charges		9	40			Percent of total billed charges		4	80			Percent of total billed charges		8	90			Percent of total billed charges		9	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	100			Percent of total billed charges		10	100			Percent of total billed charges		10	100			Percent of total billed charges		10	33.3			Percent of total billed charges		3.33	33.3			Percent of total billed charges		3.33	100			Percent of total billed charges		10	3.33	9	
sponges peanut dissectors	270	RC	Outpatient			10	6.5		90			Percent of total billed charges		9	40			Percent of total billed charges		4	80			Percent of total billed charges		8	90			Percent of total billed charges		9	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	100			Percent of total billed charges		10	100			Percent of total billed charges		10	100			Percent of total billed charges		10	33.3			Percent of total billed charges		3.33	33.3			Percent of total billed charges		3.33	100			Percent of total billed charges		10	3.33	9	
stylet satin-ti 14fr85865	272	RC	Outpatient			10	6.5		90			Percent of total billed charges		9	40			Percent of total billed charges		4	80			Percent of total billed charges		8	90			Percent of total billed charges		9	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	100			Percent of total billed charges		10	100			Percent of total billed charges		10	100			Percent of total billed charges		10	33.3			Percent of total billed charges		3.33	33.3			Percent of total billed charges		3.33	100			Percent of total billed charges		10	3.33	9	
ted hosing thigh high	270	RC	Outpatient			10	6.5		90			Percent of total billed charges		9	40			Percent of total billed charges		4	80			Percent of total billed charges		8	90			Percent of total billed charges		9	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	100			Percent of total billed charges		10	100			Percent of total billed charges		10	100			Percent of total billed charges		10	33.3			Percent of total billed charges		3.33	33.3			Percent of total billed charges		3.33	100			Percent of total billed charges		10	3.33	9	
physical for special olympic participants	983	RC	Outpatient			10	6.5		90			Percent of total billed charges		9	40			Percent of total billed charges		4	80			Percent of total billed charges		8	90			Percent of total billed charges		9	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	100			Percent of total billed charges		10	100			Percent of total billed charges		10	100			Percent of total billed charges		10	33.3			Percent of total billed charges		3.33	33.3			Percent of total billed charges		3.33	100			Percent of total billed charges		10	3.33	9	
tube endo lopro cuff 4.0	270	RC	Outpatient			10	6.5		90			Percent of total billed charges		9	40			Percent of total billed charges		4	80			Percent of total billed charges		8	90			Percent of total billed charges		9	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	100			Percent of total billed charges		10	100			Percent of total billed charges		10	100			Percent of total billed charges		10	33.3			Percent of total billed charges		3.33	33.3			Percent of total billed charges		3.33	100			Percent of total billed charges		10	3.33	9	
tube endo lopro cuff 4.5	270	RC	Outpatient			10	6.5		90			Percent of total billed charges		9	40			Percent of total billed charges		4	80			Percent of total billed charges		8	90			Percent of total billed charges		9	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	100			Percent of total billed charges		10	100			Percent of total billed charges		10	100			Percent of total billed charges		10	33.3			Percent of total billed charges		3.33	33.3			Percent of total billed charges		3.33	100			Percent of total billed charges		10	3.33	9	
urost pouch/bar 1.50 7483	272	RC	Outpatient			10	6.5		90			Percent of total billed charges		9	40			Percent of total billed charges		4	80			Percent of total billed charges		8	90			Percent of total billed charges		9	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	100			Percent of total billed charges		10	100			Percent of total billed charges		10	100			Percent of total billed charges		10	33.3			Percent of total billed charges		3.33	33.3			Percent of total billed charges		3.33	100			Percent of total billed charges		10	3.33	9	
vaseline guaze 3 x 36 str 415600	270	RC	Outpatient			10	6.5		90			Percent of total billed charges		9	40			Percent of total billed charges		4	80			Percent of total billed charges		8	90			Percent of total billed charges		9	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	100			Percent of total billed charges		10	100			Percent of total billed charges		10	100			Percent of total billed charges		10	33.3			Percent of total billed charges		3.33	33.3			Percent of total billed charges		3.33	100			Percent of total billed charges		10	3.33	9	
tube endo lopro cuff 3.0	270	RC	Outpatient			10	6.5		90			Percent of total billed charges		9	40			Percent of total billed charges		4	80			Percent of total billed charges		8	90			Percent of total billed charges		9	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	100			Percent of total billed charges		10	100			Percent of total billed charges		10	100			Percent of total billed charges		10	33.3			Percent of total billed charges		3.33	33.3			Percent of total billed charges		3.33	100			Percent of total billed charges		10	3.33	9	
vaseline gauze	270	RC	Outpatient			10	6.5		90			Percent of total billed charges		9	40			Percent of total billed charges		4	80			Percent of total billed charges		8	90			Percent of total billed charges		9	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	100			Percent of total billed charges		10	100			Percent of total billed charges		10	100			Percent of total billed charges		10	33.3			Percent of total billed charges		3.33	33.3			Percent of total billed charges		3.33	100			Percent of total billed charges		10	3.33	9	
vaseline guaze 3 x 18 str 414600	270	RC	Outpatient			10	6.5		90			Percent of total billed charges		9	40			Percent of total billed charges		4	80			Percent of total billed charges		8	90			Percent of total billed charges		9	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	100			Percent of total billed charges		10	100			Percent of total billed charges		10	100			Percent of total billed charges		10	33.3			Percent of total billed charges		3.33	33.3			Percent of total billed charges		3.33	100			Percent of total billed charges		10	3.33	9	
y-site heplock	272	RC	Outpatient			10	6.5		90			Percent of total billed charges		9	40			Percent of total billed charges		4	80			Percent of total billed charges		8	90			Percent of total billed charges		9	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	85			Percent of total billed charges		8.5	100			Percent of total billed charges		10	100			Percent of total billed charges		10	100			Percent of total billed charges		10	33.3			Percent of total billed charges		3.33	33.3			Percent of total billed charges		3.33	100			Percent of total billed charges		10	3.33	9	
1000cc sterile water (gyn cysto)	270	RC	Outpatient			11	7.15		90			Percent of total billed charges		9.9	40			Percent of total billed charges		4.4	80			Percent of total billed charges		8.8	90			Percent of total billed charges		9.9	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	100			Percent of total billed charges		11	100			Percent of total billed charges		11	100			Percent of total billed charges		11	33.3			Percent of total billed charges		3.663	33.3			Percent of total billed charges		3.663	100			Percent of total billed charges		11	3.663	9.9	
6  extra long ace	272	RC	Outpatient			11	7.15		90			Percent of total billed charges		9.9	40			Percent of total billed charges		4.4	80			Percent of total billed charges		8.8	90			Percent of total billed charges		9.9	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	100			Percent of total billed charges		11	100			Percent of total billed charges		11	100			Percent of total billed charges		11	33.3			Percent of total billed charges		3.663	33.3			Percent of total billed charges		3.663	100			Percent of total billed charges		11	3.663	9.9	
breast nipple shield	270	RC	Outpatient			11	7.15		90			Percent of total billed charges		9.9	40			Percent of total billed charges		4.4	80			Percent of total billed charges		8.8	90			Percent of total billed charges		9.9	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	100			Percent of total billed charges		11	100			Percent of total billed charges		11	100			Percent of total billed charges		11	33.3			Percent of total billed charges		3.663	33.3			Percent of total billed charges		3.663	100			Percent of total billed charges		11	3.663	9.9	
cath lab duraprep	272	RC	Outpatient			11	7.15		90			Percent of total billed charges		9.9	40			Percent of total billed charges		4.4	80			Percent of total billed charges		8.8	90			Percent of total billed charges		9.9	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	100			Percent of total billed charges		11	100			Percent of total billed charges		11	100			Percent of total billed charges		11	33.3			Percent of total billed charges		3.663	33.3			Percent of total billed charges		3.663	100			Percent of total billed charges		11	3.663	9.9	
cath secureing device f/indwel 54453	270	RC	Outpatient			11	7.15		90			Percent of total billed charges		9.9	40			Percent of total billed charges		4.4	80			Percent of total billed charges		8.8	90			Percent of total billed charges		9.9	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	100			Percent of total billed charges		11	100			Percent of total billed charges		11	100			Percent of total billed charges		11	33.3			Percent of total billed charges		3.663	33.3			Percent of total billed charges		3.663	100			Percent of total billed charges		11	3.663	9.9	
"cath,external large"	270	RC	Outpatient			11	7.15		90			Percent of total billed charges		9.9	40			Percent of total billed charges		4.4	80			Percent of total billed charges		8.8	90			Percent of total billed charges		9.9	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	100			Percent of total billed charges		11	100			Percent of total billed charges		11	100			Percent of total billed charges		11	33.3			Percent of total billed charges		3.663	33.3			Percent of total billed charges		3.663	100			Percent of total billed charges		11	3.663	9.9	
1000cc sterile water (rec irrig)	270	RC	Outpatient			11	7.15		90			Percent of total billed charges		9.9	40			Percent of total billed charges		4.4	80			Percent of total billed charges		8.8	90			Percent of total billed charges		9.9	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	100			Percent of total billed charges		11	100			Percent of total billed charges		11	100			Percent of total billed charges		11	33.3			Percent of total billed charges		3.663	33.3			Percent of total billed charges		3.663	100			Percent of total billed charges		11	3.663	9.9	
2 3/4 pouch (colostomy)	270	RC	Outpatient			11	7.15		90			Percent of total billed charges		9.9	40			Percent of total billed charges		4.4	80			Percent of total billed charges		8.8	90			Percent of total billed charges		9.9	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	100			Percent of total billed charges		11	100			Percent of total billed charges		11	100			Percent of total billed charges		11	33.3			Percent of total billed charges		3.663	33.3			Percent of total billed charges		3.663	100			Percent of total billed charges		11	3.663	9.9	
3800023 lac-mouth/tongue/mult/lay ed charge	450	RC	Outpatient			11	7.15		90			Percent of total billed charges		9.9	40			Percent of total billed charges		4.4	80			Percent of total billed charges		8.8	90			Percent of total billed charges		9.9	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	100			Percent of total billed charges		11	100			Percent of total billed charges		11	100			Percent of total billed charges		11	33.3			Percent of total billed charges		3.663	33.3			Percent of total billed charges		3.663	100			Percent of total billed charges		11	3.663	9.9	
3800035 tendon repair/incision ed charge	450	RC	Outpatient			11	7.15		90			Percent of total billed charges		9.9	40			Percent of total billed charges		4.4	80			Percent of total billed charges		8.8	90			Percent of total billed charges		9.9	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	100			Percent of total billed charges		11	100			Percent of total billed charges		11	100			Percent of total billed charges		11	33.3			Percent of total billed charges		3.663	33.3			Percent of total billed charges		3.663	100			Percent of total billed charges		11	3.663	9.9	
3800050 control of hemmorage ed charge	450	RC	Outpatient			11	7.15		90			Percent of total billed charges		9.9	40			Percent of total billed charges		4.4	80			Percent of total billed charges		8.8	90			Percent of total billed charges		9.9	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	100			Percent of total billed charges		11	100			Percent of total billed charges		11	100			Percent of total billed charges		11	33.3			Percent of total billed charges		3.663	33.3			Percent of total billed charges		3.663	100			Percent of total billed charges		11	3.663	9.9	
adaptic dressing	270	RC	Outpatient			11	7.15		90			Percent of total billed charges		9.9	40			Percent of total billed charges		4.4	80			Percent of total billed charges		8.8	90			Percent of total billed charges		9.9	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	100			Percent of total billed charges		11	100			Percent of total billed charges		11	100			Percent of total billed charges		11	33.3			Percent of total billed charges		3.663	33.3			Percent of total billed charges		3.663	100			Percent of total billed charges		11	3.663	9.9	
bag ostomy 1.75 3832	270	RC	Outpatient			11	7.15		90			Percent of total billed charges		9.9	40			Percent of total billed charges		4.4	80			Percent of total billed charges		8.8	90			Percent of total billed charges		9.9	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	100			Percent of total billed charges		11	100			Percent of total billed charges		11	100			Percent of total billed charges		11	33.3			Percent of total billed charges		3.663	33.3			Percent of total billed charges		3.663	100			Percent of total billed charges		11	3.663	9.9	
buttons 14mm small	270	RC	Outpatient			11	7.15		90			Percent of total billed charges		9.9	40			Percent of total billed charges		4.4	80			Percent of total billed charges		8.8	90			Percent of total billed charges		9.9	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	100			Percent of total billed charges		11	100			Percent of total billed charges		11	100			Percent of total billed charges		11	33.3			Percent of total billed charges		3.663	33.3			Percent of total billed charges		3.663	100			Percent of total billed charges		11	3.663	9.9	
cath suction system closed ven px6101-14	270	RC	Outpatient			11	7.15		90			Percent of total billed charges		9.9	40			Percent of total billed charges		4.4	80			Percent of total billed charges		8.8	90			Percent of total billed charges		9.9	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	100			Percent of total billed charges		11	100			Percent of total billed charges		11	100			Percent of total billed charges		11	33.3			Percent of total billed charges		3.663	33.3			Percent of total billed charges		3.663	100			Percent of total billed charges		11	3.663	9.9	
"cath,external medium"	270	RC	Outpatient			11	7.15		90			Percent of total billed charges		9.9	40			Percent of total billed charges		4.4	80			Percent of total billed charges		8.8	90			Percent of total billed charges		9.9	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	100			Percent of total billed charges		11	100			Percent of total billed charges		11	100			Percent of total billed charges		11	33.3			Percent of total billed charges		3.663	33.3			Percent of total billed charges		3.663	100			Percent of total billed charges		11	3.663	9.9	
"cath,secure"	270	RC	Outpatient			11	7.15		90			Percent of total billed charges		9.9	40			Percent of total billed charges		4.4	80			Percent of total billed charges		8.8	90			Percent of total billed charges		9.9	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	100			Percent of total billed charges		11	100			Percent of total billed charges		11	100			Percent of total billed charges		11	33.3			Percent of total billed charges		3.663	33.3			Percent of total billed charges		3.663	100			Percent of total billed charges		11	3.663	9.9	
"cath,ubilical artery"	270	RC	Outpatient			11	7.15		90			Percent of total billed charges		9.9	40			Percent of total billed charges		4.4	80			Percent of total billed charges		8.8	90			Percent of total billed charges		9.9	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	100			Percent of total billed charges		11	100			Percent of total billed charges		11	100			Percent of total billed charges		11	33.3			Percent of total billed charges		3.663	33.3			Percent of total billed charges		3.663	100			Percent of total billed charges		11	3.663	9.9	
colostomy pouch-sur fit	270	RC	Outpatient			11	7.15		90			Percent of total billed charges		9.9	40			Percent of total billed charges		4.4	80			Percent of total billed charges		8.8	90			Percent of total billed charges		9.9	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	100			Percent of total billed charges		11	100			Percent of total billed charges		11	100			Percent of total billed charges		11	33.3			Percent of total billed charges		3.663	33.3			Percent of total billed charges		3.663	100			Percent of total billed charges		11	3.663	9.9	
distilled water 1000cc	270	RC	Outpatient			11	7.15		90			Percent of total billed charges		9.9	40			Percent of total billed charges		4.4	80			Percent of total billed charges		8.8	90			Percent of total billed charges		9.9	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	100			Percent of total billed charges		11	100			Percent of total billed charges		11	100			Percent of total billed charges		11	33.3			Percent of total billed charges		3.663	33.3			Percent of total billed charges		3.663	100			Percent of total billed charges		11	3.663	9.9	
foley cath legband 20 316 dale  36600	270	RC	Outpatient			11	7.15		90			Percent of total billed charges		9.9	40			Percent of total billed charges		4.4	80			Percent of total billed charges		8.8	90			Percent of total billed charges		9.9	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	100			Percent of total billed charges		11	100			Percent of total billed charges		11	100			Percent of total billed charges		11	33.3			Percent of total billed charges		3.663	33.3			Percent of total billed charges		3.663	100			Percent of total billed charges		11	3.663	9.9	
ice pack cold	270	RC	Outpatient			11	7.15		90			Percent of total billed charges		9.9	40			Percent of total billed charges		4.4	80			Percent of total billed charges		8.8	90			Percent of total billed charges		9.9	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	100			Percent of total billed charges		11	100			Percent of total billed charges		11	100			Percent of total billed charges		11	33.3			Percent of total billed charges		3.663	33.3			Percent of total billed charges		3.663	100			Percent of total billed charges		11	3.663	9.9	
dental sure cap	270	RC	Outpatient			11	7.15		90			Percent of total billed charges		9.9	40			Percent of total billed charges		4.4	80			Percent of total billed charges		8.8	90			Percent of total billed charges		9.9	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	100			Percent of total billed charges		11	100			Percent of total billed charges		11	100			Percent of total billed charges		11	33.3			Percent of total billed charges		3.663	33.3			Percent of total billed charges		3.663	100			Percent of total billed charges		11	3.663	9.9	
device stat lock bard fol0102	270	RC	Outpatient			11	7.15		90			Percent of total billed charges		9.9	40			Percent of total billed charges		4.4	80			Percent of total billed charges		8.8	90			Percent of total billed charges		9.9	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	100			Percent of total billed charges		11	100			Percent of total billed charges		11	100			Percent of total billed charges		11	33.3			Percent of total billed charges		3.663	33.3			Percent of total billed charges		3.663	100			Percent of total billed charges		11	3.663	9.9	
dressing flexzan	270	RC	Outpatient			11	7.15		90			Percent of total billed charges		9.9	40			Percent of total billed charges		4.4	80			Percent of total billed charges		8.8	90			Percent of total billed charges		9.9	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	100			Percent of total billed charges		11	100			Percent of total billed charges		11	100			Percent of total billed charges		11	33.3			Percent of total billed charges		3.663	33.3			Percent of total billed charges		3.663	100			Percent of total billed charges		11	3.663	9.9	
dressing sorbaview ij ult	272	RC	Outpatient			11	7.15		90			Percent of total billed charges		9.9	40			Percent of total billed charges		4.4	80			Percent of total billed charges		8.8	90			Percent of total billed charges		9.9	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	100			Percent of total billed charges		11	100			Percent of total billed charges		11	100			Percent of total billed charges		11	33.3			Percent of total billed charges		3.663	33.3			Percent of total billed charges		3.663	100			Percent of total billed charges		11	3.663	9.9	
dressing stick	270	RC	Outpatient			11	7.15		90			Percent of total billed charges		9.9	40			Percent of total billed charges		4.4	80			Percent of total billed charges		8.8	90			Percent of total billed charges		9.9	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	100			Percent of total billed charges		11	100			Percent of total billed charges		11	100			Percent of total billed charges		11	33.3			Percent of total billed charges		3.663	33.3			Percent of total billed charges		3.663	100			Percent of total billed charges		11	3.663	9.9	
dressing tegaderm 4x10  transp 8333-1627-01	270	RC	Outpatient			11	7.15		90			Percent of total billed charges		9.9	40			Percent of total billed charges		4.4	80			Percent of total billed charges		8.8	90			Percent of total billed charges		9.9	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	100			Percent of total billed charges		11	100			Percent of total billed charges		11	100			Percent of total billed charges		11	33.3			Percent of total billed charges		3.663	33.3			Percent of total billed charges		3.663	100			Percent of total billed charges		11	3.663	9.9	
dura prep	272	RC	Outpatient			11	7.15		90			Percent of total billed charges		9.9	40			Percent of total billed charges		4.4	80			Percent of total billed charges		8.8	90			Percent of total billed charges		9.9	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	100			Percent of total billed charges		11	100			Percent of total billed charges		11	100			Percent of total billed charges		11	33.3			Percent of total billed charges		3.663	33.3			Percent of total billed charges		3.663	100			Percent of total billed charges		11	3.663	9.9	
l/d catheter suction disp	270	RC	Outpatient			11	7.15		90			Percent of total billed charges		9.9	40			Percent of total billed charges		4.4	80			Percent of total billed charges		8.8	90			Percent of total billed charges		9.9	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	100			Percent of total billed charges		11	100			Percent of total billed charges		11	100			Percent of total billed charges		11	33.3			Percent of total billed charges		3.663	33.3			Percent of total billed charges		3.663	100			Percent of total billed charges		11	3.663	9.9	
foley cath legband 56 330 dale	270	RC	Outpatient			11	7.15		90			Percent of total billed charges		9.9	40			Percent of total billed charges		4.4	80			Percent of total billed charges		8.8	90			Percent of total billed charges		9.9	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	100			Percent of total billed charges		11	100			Percent of total billed charges		11	100			Percent of total billed charges		11	33.3			Percent of total billed charges		3.663	33.3			Percent of total billed charges		3.663	100			Percent of total billed charges		11	3.663	9.9	
goulian spare blade	272	RC	Outpatient			11	7.15		90			Percent of total billed charges		9.9	40			Percent of total billed charges		4.4	80			Percent of total billed charges		8.8	90			Percent of total billed charges		9.9	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	100			Percent of total billed charges		11	100			Percent of total billed charges		11	100			Percent of total billed charges		11	33.3			Percent of total billed charges		3.663	33.3			Percent of total billed charges		3.663	100			Percent of total billed charges		11	3.663	9.9	
goulian spare blade ba 711r aesculap	272	RC	Outpatient			11	7.15		90			Percent of total billed charges		9.9	40			Percent of total billed charges		4.4	80			Percent of total billed charges		8.8	90			Percent of total billed charges		9.9	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	100			Percent of total billed charges		11	100			Percent of total billed charges		11	100			Percent of total billed charges		11	33.3			Percent of total billed charges		3.663	33.3			Percent of total billed charges		3.663	100			Percent of total billed charges		11	3.663	9.9	
medline start kit	272	RC	Outpatient			11	7.15		90			Percent of total billed charges		9.9	40			Percent of total billed charges		4.4	80			Percent of total billed charges		8.8	90			Percent of total billed charges		9.9	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	100			Percent of total billed charges		11	100			Percent of total billed charges		11	100			Percent of total billed charges		11	33.3			Percent of total billed charges		3.663	33.3			Percent of total billed charges		3.663	100			Percent of total billed charges		11	3.663	9.9	
ostomy pouch 2.753824(k)	270	RC	Outpatient			11	7.15		90			Percent of total billed charges		9.9	40			Percent of total billed charges		4.4	80			Percent of total billed charges		8.8	90			Percent of total billed charges		9.9	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	100			Percent of total billed charges		11	100			Percent of total billed charges		11	100			Percent of total billed charges		11	33.3			Percent of total billed charges		3.663	33.3			Percent of total billed charges		3.663	100			Percent of total billed charges		11	3.663	9.9	
needle	272	RC	Outpatient			11	7.15		90			Percent of total billed charges		9.9	40			Percent of total billed charges		4.4	80			Percent of total billed charges		8.8	90			Percent of total billed charges		9.9	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	100			Percent of total billed charges		11	100			Percent of total billed charges		11	100			Percent of total billed charges		11	33.3			Percent of total billed charges		3.663	33.3			Percent of total billed charges		3.663	100			Percent of total billed charges		11	3.663	9.9	
ost drain/irr 2.25 3823	272	RC	Outpatient			11	7.15		90			Percent of total billed charges		9.9	40			Percent of total billed charges		4.4	80			Percent of total billed charges		8.8	90			Percent of total billed charges		9.9	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	100			Percent of total billed charges		11	100			Percent of total billed charges		11	100			Percent of total billed charges		11	33.3			Percent of total billed charges		3.663	33.3			Percent of total billed charges		3.663	100			Percent of total billed charges		11	3.663	9.9	
ostomy belt 7300	270	RC	Outpatient			11	7.15		90			Percent of total billed charges		9.9	40			Percent of total billed charges		4.4	80			Percent of total billed charges		8.8	90			Percent of total billed charges		9.9	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	100			Percent of total billed charges		11	100			Percent of total billed charges		11	100			Percent of total billed charges		11	33.3			Percent of total billed charges		3.663	33.3			Percent of total billed charges		3.663	100			Percent of total billed charges		11	3.663	9.9	
ostomy flange 4 3706	270	RC	Outpatient			11	7.15		90			Percent of total billed charges		9.9	40			Percent of total billed charges		4.4	80			Percent of total billed charges		8.8	90			Percent of total billed charges		9.9	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	100			Percent of total billed charges		11	100			Percent of total billed charges		11	100			Percent of total billed charges		11	33.3			Percent of total billed charges		3.663	33.3			Percent of total billed charges		3.663	100			Percent of total billed charges		11	3.663	9.9	
ostomy pouch 2 3664	270	RC	Outpatient			11	7.15		90			Percent of total billed charges		9.9	40			Percent of total billed charges		4.4	80			Percent of total billed charges		8.8	90			Percent of total billed charges		9.9	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	100			Percent of total billed charges		11	100			Percent of total billed charges		11	100			Percent of total billed charges		11	33.3			Percent of total billed charges		3.663	33.3			Percent of total billed charges		3.663	100			Percent of total billed charges		11	3.663	9.9	
pouch bio tube system 076-1319-03	270	RC	Outpatient			11	7.15		90			Percent of total billed charges		9.9	40			Percent of total billed charges		4.4	80			Percent of total billed charges		8.8	90			Percent of total billed charges		9.9	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	100			Percent of total billed charges		11	100			Percent of total billed charges		11	100			Percent of total billed charges		11	33.3			Percent of total billed charges		3.663	33.3			Percent of total billed charges		3.663	100			Percent of total billed charges		11	3.663	9.9	
set-extension mic key sec	270	RC	Outpatient			11	7.15		90			Percent of total billed charges		9.9	40			Percent of total billed charges		4.4	80			Percent of total billed charges		8.8	90			Percent of total billed charges		9.9	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	100			Percent of total billed charges		11	100			Percent of total billed charges		11	100			Percent of total billed charges		11	33.3			Percent of total billed charges		3.663	33.3			Percent of total billed charges		3.663	100			Percent of total billed charges		11	3.663	9.9	
"pampers,dispos. medium"	270	RC	Outpatient			11	7.15		90			Percent of total billed charges		9.9	40			Percent of total billed charges		4.4	80			Percent of total billed charges		8.8	90			Percent of total billed charges		9.9	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	100			Percent of total billed charges		11	100			Percent of total billed charges		11	100			Percent of total billed charges		11	33.3			Percent of total billed charges		3.663	33.3			Percent of total billed charges		3.663	100			Percent of total billed charges		11	3.663	9.9	
pantie mesh	270	RC	Outpatient			11	7.15		90			Percent of total billed charges		9.9	40			Percent of total billed charges		4.4	80			Percent of total billed charges		8.8	90			Percent of total billed charges		9.9	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	100			Percent of total billed charges		11	100			Percent of total billed charges		11	100			Percent of total billed charges		11	33.3			Percent of total billed charges		3.663	33.3			Percent of total billed charges		3.663	100			Percent of total billed charges		11	3.663	9.9	
pump sof care	270	RC	Outpatient			11	7.15		90			Percent of total billed charges		9.9	40			Percent of total billed charges		4.4	80			Percent of total billed charges		8.8	90			Percent of total billed charges		9.9	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	100			Percent of total billed charges		11	100			Percent of total billed charges		11	100			Percent of total billed charges		11	33.3			Percent of total billed charges		3.663	33.3			Percent of total billed charges		3.663	100			Percent of total billed charges		11	3.663	9.9	
sling arm youth	270	RC	Outpatient			11	7.15		90			Percent of total billed charges		9.9	40			Percent of total billed charges		4.4	80			Percent of total billed charges		8.8	90			Percent of total billed charges		9.9	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	100			Percent of total billed charges		11	100			Percent of total billed charges		11	100			Percent of total billed charges		11	33.3			Percent of total billed charges		3.663	33.3			Percent of total billed charges		3.663	100			Percent of total billed charges		11	3.663	9.9	
stat lock secu dev0672010	272	RC	Outpatient			11	7.15		90			Percent of total billed charges		9.9	40			Percent of total billed charges		4.4	80			Percent of total billed charges		8.8	90			Percent of total billed charges		9.9	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	100			Percent of total billed charges		11	100			Percent of total billed charges		11	100			Percent of total billed charges		11	33.3			Percent of total billed charges		3.663	33.3			Percent of total billed charges		3.663	100			Percent of total billed charges		11	3.663	9.9	
sterile water 1/2 gallon	270	RC	Outpatient			11	7.15		90			Percent of total billed charges		9.9	40			Percent of total billed charges		4.4	80			Percent of total billed charges		8.8	90			Percent of total billed charges		9.9	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	100			Percent of total billed charges		11	100			Percent of total billed charges		11	100			Percent of total billed charges		11	33.3			Percent of total billed charges		3.663	33.3			Percent of total billed charges		3.663	100			Percent of total billed charges		11	3.663	9.9	
sterile water irrigation 1000cc bag	270	RC	Outpatient			11	7.15		90			Percent of total billed charges		9.9	40			Percent of total billed charges		4.4	80			Percent of total billed charges		8.8	90			Percent of total billed charges		9.9	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	100			Percent of total billed charges		11	100			Percent of total billed charges		11	100			Percent of total billed charges		11	33.3			Percent of total billed charges		3.663	33.3			Percent of total billed charges		3.663	100			Percent of total billed charges		11	3.663	9.9	
"tegaderm, large"	270	RC	Outpatient			11	7.15		90			Percent of total billed charges		9.9	40			Percent of total billed charges		4.4	80			Percent of total billed charges		8.8	90			Percent of total billed charges		9.9	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	100			Percent of total billed charges		11	100			Percent of total billed charges		11	100			Percent of total billed charges		11	33.3			Percent of total billed charges		3.663	33.3			Percent of total billed charges		3.663	100			Percent of total billed charges		11	3.663	9.9	
valiant ph d sure cap (amalgam) 167-9596 patterson	270	RC	Outpatient			11	7.15		90			Percent of total billed charges		9.9	40			Percent of total billed charges		4.4	80			Percent of total billed charges		8.8	90			Percent of total billed charges		9.9	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	100			Percent of total billed charges		11	100			Percent of total billed charges		11	100			Percent of total billed charges		11	33.3			Percent of total billed charges		3.663	33.3			Percent of total billed charges		3.663	100			Percent of total billed charges		11	3.663	9.9	
yankauer covered on/off	272	RC	Outpatient			11	7.15		90			Percent of total billed charges		9.9	40			Percent of total billed charges		4.4	80			Percent of total billed charges		8.8	90			Percent of total billed charges		9.9	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	85			Percent of total billed charges		9.35	100			Percent of total billed charges		11	100			Percent of total billed charges		11	100			Percent of total billed charges		11	33.3			Percent of total billed charges		3.663	33.3			Percent of total billed charges		3.663	100			Percent of total billed charges		11	3.663	9.9	
44mm wafer (colostomy)	272	RC	Outpatient			12	7.8		90			Percent of total billed charges		10.8	40			Percent of total billed charges		4.8	80			Percent of total billed charges		9.6	90			Percent of total billed charges		10.8	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	100			Percent of total billed charges		12	100			Percent of total billed charges		12	100			Percent of total billed charges		12	33.3			Percent of total billed charges		3.996	33.3			Percent of total billed charges		3.996	100			Percent of total billed charges		12	3.996	10.8	
57mm wafer (colostomy)	272	RC	Outpatient			12	7.8		90			Percent of total billed charges		10.8	40			Percent of total billed charges		4.8	80			Percent of total billed charges		9.6	90			Percent of total billed charges		10.8	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	100			Percent of total billed charges		12	100			Percent of total billed charges		12	100			Percent of total billed charges		12	33.3			Percent of total billed charges		3.996	33.3			Percent of total billed charges		3.996	100			Percent of total billed charges		12	3.996	10.8	
5fr 21ga perc cook needl	272	RC	Outpatient			12	7.8		90			Percent of total billed charges		10.8	40			Percent of total billed charges		4.8	80			Percent of total billed charges		9.6	90			Percent of total billed charges		10.8	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	100			Percent of total billed charges		12	100			Percent of total billed charges		12	100			Percent of total billed charges		12	33.3			Percent of total billed charges		3.996	33.3			Percent of total billed charges		3.996	100			Percent of total billed charges		12	3.996	10.8	
bandage kling 3 x5yd	270	RC	Outpatient			12	7.8		90			Percent of total billed charges		10.8	40			Percent of total billed charges		4.8	80			Percent of total billed charges		9.6	90			Percent of total billed charges		10.8	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	100			Percent of total billed charges		12	100			Percent of total billed charges		12	100			Percent of total billed charges		12	33.3			Percent of total billed charges		3.996	33.3			Percent of total billed charges		3.996	100			Percent of total billed charges		12	3.996	10.8	
butterfly	270	RC	Outpatient			12	7.8		90			Percent of total billed charges		10.8	40			Percent of total billed charges		4.8	80			Percent of total billed charges		9.6	90			Percent of total billed charges		10.8	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	100			Percent of total billed charges		12	100			Percent of total billed charges		12	100			Percent of total billed charges		12	33.3			Percent of total billed charges		3.996	33.3			Percent of total billed charges		3.996	100			Percent of total billed charges		12	3.996	10.8	
"cath,plain/red rubber #10"	270	RC	Outpatient			12	7.8		90			Percent of total billed charges		10.8	40			Percent of total billed charges		4.8	80			Percent of total billed charges		9.6	90			Percent of total billed charges		10.8	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	100			Percent of total billed charges		12	100			Percent of total billed charges		12	100			Percent of total billed charges		12	33.3			Percent of total billed charges		3.996	33.3			Percent of total billed charges		3.996	100			Percent of total billed charges		12	3.996	10.8	
"cath,plain/red rubber #12"	270	RC	Outpatient			12	7.8		90			Percent of total billed charges		10.8	40			Percent of total billed charges		4.8	80			Percent of total billed charges		9.6	90			Percent of total billed charges		10.8	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	100			Percent of total billed charges		12	100			Percent of total billed charges		12	100			Percent of total billed charges		12	33.3			Percent of total billed charges		3.996	33.3			Percent of total billed charges		3.996	100			Percent of total billed charges		12	3.996	10.8	
"cath,plain/red rubber #18"	270	RC	Outpatient			12	7.8		90			Percent of total billed charges		10.8	40			Percent of total billed charges		4.8	80			Percent of total billed charges		9.6	90			Percent of total billed charges		10.8	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	100			Percent of total billed charges		12	100			Percent of total billed charges		12	100			Percent of total billed charges		12	33.3			Percent of total billed charges		3.996	33.3			Percent of total billed charges		3.996	100			Percent of total billed charges		12	3.996	10.8	
"cath,plain/red rubber #20"	270	RC	Outpatient			12	7.8		90			Percent of total billed charges		10.8	40			Percent of total billed charges		4.8	80			Percent of total billed charges		9.6	90			Percent of total billed charges		10.8	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	100			Percent of total billed charges		12	100			Percent of total billed charges		12	100			Percent of total billed charges		12	33.3			Percent of total billed charges		3.996	33.3			Percent of total billed charges		3.996	100			Percent of total billed charges		12	3.996	10.8	
colostomy flange-holister	272	RC	Outpatient			12	7.8		90			Percent of total billed charges		10.8	40			Percent of total billed charges		4.8	80			Percent of total billed charges		9.6	90			Percent of total billed charges		10.8	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	100			Percent of total billed charges		12	100			Percent of total billed charges		12	100			Percent of total billed charges		12	33.3			Percent of total billed charges		3.996	33.3			Percent of total billed charges		3.996	100			Percent of total billed charges		12	3.996	10.8	
70mm wafer (colostomy)	272	RC	Outpatient			12	7.8		90			Percent of total billed charges		10.8	40			Percent of total billed charges		4.8	80			Percent of total billed charges		9.6	90			Percent of total billed charges		10.8	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	100			Percent of total billed charges		12	100			Percent of total billed charges		12	100			Percent of total billed charges		12	33.3			Percent of total billed charges		3.996	33.3			Percent of total billed charges		3.996	100			Percent of total billed charges		12	3.996	10.8	
bandage kling  4.x5yd	270	RC	Outpatient			12	7.8		90			Percent of total billed charges		10.8	40			Percent of total billed charges		4.8	80			Percent of total billed charges		9.6	90			Percent of total billed charges		10.8	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	100			Percent of total billed charges		12	100			Percent of total billed charges		12	100			Percent of total billed charges		12	33.3			Percent of total billed charges		3.996	33.3			Percent of total billed charges		3.996	100			Percent of total billed charges		12	3.996	10.8	
bandage kling conform 2 x 5yd	270	RC	Outpatient			12	7.8		90			Percent of total billed charges		10.8	40			Percent of total billed charges		4.8	80			Percent of total billed charges		9.6	90			Percent of total billed charges		10.8	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	100			Percent of total billed charges		12	100			Percent of total billed charges		12	100			Percent of total billed charges		12	33.3			Percent of total billed charges		3.996	33.3			Percent of total billed charges		3.996	100			Percent of total billed charges		12	3.996	10.8	
bracket wall suction	272	RC	Outpatient			12	7.8		90			Percent of total billed charges		10.8	40			Percent of total billed charges		4.8	80			Percent of total billed charges		9.6	90			Percent of total billed charges		10.8	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	100			Percent of total billed charges		12	100			Percent of total billed charges		12	100			Percent of total billed charges		12	33.3			Percent of total billed charges		3.996	33.3			Percent of total billed charges		3.996	100			Percent of total billed charges		12	3.996	10.8	
brief small	270	RC	Outpatient			12	7.8		90			Percent of total billed charges		10.8	40			Percent of total billed charges		4.8	80			Percent of total billed charges		9.6	90			Percent of total billed charges		10.8	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	100			Percent of total billed charges		12	100			Percent of total billed charges		12	100			Percent of total billed charges		12	33.3			Percent of total billed charges		3.996	33.3			Percent of total billed charges		3.996	100			Percent of total billed charges		12	3.996	10.8	
cath lab 5 french 21 gauge perc cook needle	272	RC	Outpatient			12	7.8		90			Percent of total billed charges		10.8	40			Percent of total billed charges		4.8	80			Percent of total billed charges		9.6	90			Percent of total billed charges		10.8	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	100			Percent of total billed charges		12	100			Percent of total billed charges		12	100			Percent of total billed charges		12	33.3			Percent of total billed charges		3.996	33.3			Percent of total billed charges		3.996	100			Percent of total billed charges		12	3.996	10.8	
cath lab set secondary iv vent 7462	270	RC	Outpatient			12	7.8		90			Percent of total billed charges		10.8	40			Percent of total billed charges		4.8	80			Percent of total billed charges		9.6	90			Percent of total billed charges		10.8	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	100			Percent of total billed charges		12	100			Percent of total billed charges		12	100			Percent of total billed charges		12	33.3			Percent of total billed charges		3.996	33.3			Percent of total billed charges		3.996	100			Percent of total billed charges		12	3.996	10.8	
"cath,plain/red rubber #14"	270	RC	Outpatient			12	7.8		90			Percent of total billed charges		10.8	40			Percent of total billed charges		4.8	80			Percent of total billed charges		9.6	90			Percent of total billed charges		10.8	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	100			Percent of total billed charges		12	100			Percent of total billed charges		12	100			Percent of total billed charges		12	33.3			Percent of total billed charges		3.996	33.3			Percent of total billed charges		3.996	100			Percent of total billed charges		12	3.996	10.8	
"cath,plain/red rubber #16"	270	RC	Outpatient			12	7.8		90			Percent of total billed charges		10.8	40			Percent of total billed charges		4.8	80			Percent of total billed charges		9.6	90			Percent of total billed charges		10.8	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	100			Percent of total billed charges		12	100			Percent of total billed charges		12	100			Percent of total billed charges		12	33.3			Percent of total billed charges		3.996	33.3			Percent of total billed charges		3.996	100			Percent of total billed charges		12	3.996	10.8	
"cath,plain/red rubber-#8"	270	RC	Outpatient			12	7.8		90			Percent of total billed charges		10.8	40			Percent of total billed charges		4.8	80			Percent of total billed charges		9.6	90			Percent of total billed charges		10.8	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	100			Percent of total billed charges		12	100			Percent of total billed charges		12	100			Percent of total billed charges		12	33.3			Percent of total billed charges		3.996	33.3			Percent of total billed charges		3.996	100			Percent of total billed charges		12	3.996	10.8	
cysto irrigation tubing	270	RC	Outpatient			12	7.8		90			Percent of total billed charges		10.8	40			Percent of total billed charges		4.8	80			Percent of total billed charges		9.6	90			Percent of total billed charges		10.8	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	100			Percent of total billed charges		12	100			Percent of total billed charges		12	100			Percent of total billed charges		12	33.3			Percent of total billed charges		3.996	33.3			Percent of total billed charges		3.996	100			Percent of total billed charges		12	3.996	10.8	
doppler per use 1 time	270	RC	Outpatient			12	7.8		90			Percent of total billed charges		10.8	40			Percent of total billed charges		4.8	80			Percent of total billed charges		9.6	90			Percent of total billed charges		10.8	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	100			Percent of total billed charges		12	100			Percent of total billed charges		12	100			Percent of total billed charges		12	33.3			Percent of total billed charges		3.996	33.3			Percent of total billed charges		3.996	100			Percent of total billed charges		12	3.996	10.8	
dressing allevyn 3x3	270	RC	Outpatient			12	7.8		90			Percent of total billed charges		10.8	40			Percent of total billed charges		4.8	80			Percent of total billed charges		9.6	90			Percent of total billed charges		10.8	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	100			Percent of total billed charges		12	100			Percent of total billed charges		12	100			Percent of total billed charges		12	33.3			Percent of total billed charges		3.996	33.3			Percent of total billed charges		3.996	100			Percent of total billed charges		12	3.996	10.8	
dressing allevyn life 8 1/4 x 8 1/4	270	RC	Outpatient			12	7.8		90			Percent of total billed charges		10.8	40			Percent of total billed charges		4.8	80			Percent of total billed charges		9.6	90			Percent of total billed charges		10.8	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	100			Percent of total billed charges		12	100			Percent of total billed charges		12	100			Percent of total billed charges		12	33.3			Percent of total billed charges		3.996	33.3			Percent of total billed charges		3.996	100			Percent of total billed charges		12	3.996	10.8	
"dressing, airstrip 7542"	270	RC	Outpatient			12	7.8		90			Percent of total billed charges		10.8	40			Percent of total billed charges		4.8	80			Percent of total billed charges		9.6	90			Percent of total billed charges		10.8	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	100			Percent of total billed charges		12	100			Percent of total billed charges		12	100			Percent of total billed charges		12	33.3			Percent of total billed charges		3.996	33.3			Percent of total billed charges		3.996	100			Percent of total billed charges		12	3.996	10.8	
dress island bord2563 6x7	270	RC	Outpatient			12	7.8		90			Percent of total billed charges		10.8	40			Percent of total billed charges		4.8	80			Percent of total billed charges		9.6	90			Percent of total billed charges		10.8	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	100			Percent of total billed charges		12	100			Percent of total billed charges		12	100			Percent of total billed charges		12	33.3			Percent of total billed charges		3.996	33.3			Percent of total billed charges		3.996	100			Percent of total billed charges		12	3.996	10.8	
dressing tegaderm 23/8x23/4 1624w anesth	270	RC	Outpatient			12	7.8		90			Percent of total billed charges		10.8	40			Percent of total billed charges		4.8	80			Percent of total billed charges		9.6	90			Percent of total billed charges		10.8	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	100			Percent of total billed charges		12	100			Percent of total billed charges		12	100			Percent of total billed charges		12	33.3			Percent of total billed charges		3.996	33.3			Percent of total billed charges		3.996	100			Percent of total billed charges		12	3.996	10.8	
dressing tegaderm 4x4 3/4 1626w anesth	270	RC	Outpatient			12	7.8		90			Percent of total billed charges		10.8	40			Percent of total billed charges		4.8	80			Percent of total billed charges		9.6	90			Percent of total billed charges		10.8	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	100			Percent of total billed charges		12	100			Percent of total billed charges		12	100			Percent of total billed charges		12	33.3			Percent of total billed charges		3.996	33.3			Percent of total billed charges		3.996	100			Percent of total billed charges		12	3.996	10.8	
hemovac bulb	272	RC	Outpatient			12	7.8		90			Percent of total billed charges		10.8	40			Percent of total billed charges		4.8	80			Percent of total billed charges		9.6	90			Percent of total billed charges		10.8	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	100			Percent of total billed charges		12	100			Percent of total billed charges		12	100			Percent of total billed charges		12	33.3			Percent of total billed charges		3.996	33.3			Percent of total billed charges		3.996	100			Percent of total billed charges		12	3.996	10.8	
hemovac bulb  blake drain 100cc  su130-1305 cardinal	272	RC	Outpatient			12	7.8		90			Percent of total billed charges		10.8	40			Percent of total billed charges		4.8	80			Percent of total billed charges		9.6	90			Percent of total billed charges		10.8	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	100			Percent of total billed charges		12	100			Percent of total billed charges		12	100			Percent of total billed charges		12	33.3			Percent of total billed charges		3.996	33.3			Percent of total billed charges		3.996	100			Percent of total billed charges		12	3.996	10.8	
ostomy flange/barrier 1.75 3702 hollister	272	RC	Outpatient			12	7.8		90			Percent of total billed charges		10.8	40			Percent of total billed charges		4.8	80			Percent of total billed charges		9.6	90			Percent of total billed charges		10.8	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	100			Percent of total billed charges		12	100			Percent of total billed charges		12	100			Percent of total billed charges		12	33.3			Percent of total billed charges		3.996	33.3			Percent of total billed charges		3.996	100			Percent of total billed charges		12	3.996	10.8	
jelco 14g non protectiv	270	RC	Outpatient			12	7.8		90			Percent of total billed charges		10.8	40			Percent of total billed charges		4.8	80			Percent of total billed charges		9.6	90			Percent of total billed charges		10.8	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	100			Percent of total billed charges		12	100			Percent of total billed charges		12	100			Percent of total billed charges		12	33.3			Percent of total billed charges		3.996	33.3			Percent of total billed charges		3.996	100			Percent of total billed charges		12	3.996	10.8	
kling all sizes	270	RC	Outpatient			12	7.8		90			Percent of total billed charges		10.8	40			Percent of total billed charges		4.8	80			Percent of total billed charges		9.6	90			Percent of total billed charges		10.8	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	100			Percent of total billed charges		12	100			Percent of total billed charges		12	100			Percent of total billed charges		12	33.3			Percent of total billed charges		3.996	33.3			Percent of total billed charges		3.996	100			Percent of total billed charges		12	3.996	10.8	
"kling, all sizes"	270	RC	Outpatient			12	7.8		90			Percent of total billed charges		10.8	40			Percent of total billed charges		4.8	80			Percent of total billed charges		9.6	90			Percent of total billed charges		10.8	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	100			Percent of total billed charges		12	100			Percent of total billed charges		12	100			Percent of total billed charges		12	33.3			Percent of total billed charges		3.996	33.3			Percent of total billed charges		3.996	100			Percent of total billed charges		12	3.996	10.8	
ostomy flange 2 1/4 3703 hollister	272	RC	Outpatient			12	7.8		90			Percent of total billed charges		10.8	40			Percent of total billed charges		4.8	80			Percent of total billed charges		9.6	90			Percent of total billed charges		10.8	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	100			Percent of total billed charges		12	100			Percent of total billed charges		12	100			Percent of total billed charges		12	33.3			Percent of total billed charges		3.996	33.3			Percent of total billed charges		3.996	100			Percent of total billed charges		12	3.996	10.8	
ostomy flange 2.25 8778	270	RC	Outpatient			12	7.8		90			Percent of total billed charges		10.8	40			Percent of total billed charges		4.8	80			Percent of total billed charges		9.6	90			Percent of total billed charges		10.8	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	100			Percent of total billed charges		12	100			Percent of total billed charges		12	100			Percent of total billed charges		12	33.3			Percent of total billed charges		3.996	33.3			Percent of total billed charges		3.996	100			Percent of total billed charges		12	3.996	10.8	
ostomy flange/barrier 2 3/4 87711 hollister	272	RC	Outpatient			12	7.8		90			Percent of total billed charges		10.8	40			Percent of total billed charges		4.8	80			Percent of total billed charges		9.6	90			Percent of total billed charges		10.8	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	100			Percent of total billed charges		12	100			Percent of total billed charges		12	100			Percent of total billed charges		12	33.3			Percent of total billed charges		3.996	33.3			Percent of total billed charges		3.996	100			Percent of total billed charges		12	3.996	10.8	
ostomy flange/barrier 2.75 3704	272	RC	Outpatient			12	7.8		90			Percent of total billed charges		10.8	40			Percent of total billed charges		4.8	80			Percent of total billed charges		9.6	90			Percent of total billed charges		10.8	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	100			Percent of total billed charges		12	100			Percent of total billed charges		12	100			Percent of total billed charges		12	33.3			Percent of total billed charges		3.996	33.3			Percent of total billed charges		3.996	100			Percent of total billed charges		12	3.996	10.8	
ostomy flange/barrier 4in 3706	272	RC	Outpatient			12	7.8		90			Percent of total billed charges		10.8	40			Percent of total billed charges		4.8	80			Percent of total billed charges		9.6	90			Percent of total billed charges		10.8	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	100			Percent of total billed charges		12	100			Percent of total billed charges		12	100			Percent of total billed charges		12	33.3			Percent of total billed charges		3.996	33.3			Percent of total billed charges		3.996	100			Percent of total billed charges		12	3.996	10.8	
oxisensor pediatric 1860	270	RC	Outpatient			12	7.8		90			Percent of total billed charges		10.8	40			Percent of total billed charges		4.8	80			Percent of total billed charges		9.6	90			Percent of total billed charges		10.8	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	100			Percent of total billed charges		12	100			Percent of total billed charges		12	100			Percent of total billed charges		12	33.3			Percent of total billed charges		3.996	33.3			Percent of total billed charges		3.996	100			Percent of total billed charges		12	3.996	10.8	
peak flow meter	270	RC	Outpatient			12	7.8		90			Percent of total billed charges		10.8	40			Percent of total billed charges		4.8	80			Percent of total billed charges		9.6	90			Percent of total billed charges		10.8	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	100			Percent of total billed charges		12	100			Percent of total billed charges		12	100			Percent of total billed charges		12	33.3			Percent of total billed charges		3.996	33.3			Percent of total billed charges		3.996	100			Percent of total billed charges		12	3.996	10.8	
secondary tubing	270	RC	Outpatient			12	7.8		90			Percent of total billed charges		10.8	40			Percent of total billed charges		4.8	80			Percent of total billed charges		9.6	90			Percent of total billed charges		10.8	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	100			Percent of total billed charges		12	100			Percent of total billed charges		12	100			Percent of total billed charges		12	33.3			Percent of total billed charges		3.996	33.3			Percent of total billed charges		3.996	100			Percent of total billed charges		12	3.996	10.8	
steri drape m1074	270	RC	Outpatient			12	7.8		90			Percent of total billed charges		10.8	40			Percent of total billed charges		4.8	80			Percent of total billed charges		9.6	90			Percent of total billed charges		10.8	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	100			Percent of total billed charges		12	100			Percent of total billed charges		12	100			Percent of total billed charges		12	33.3			Percent of total billed charges		3.996	33.3			Percent of total billed charges		3.996	100			Percent of total billed charges		12	3.996	10.8	
tegaderm (anesth cart)	270	RC	Outpatient			12	7.8		90			Percent of total billed charges		10.8	40			Percent of total billed charges		4.8	80			Percent of total billed charges		9.6	90			Percent of total billed charges		10.8	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	100			Percent of total billed charges		12	100			Percent of total billed charges		12	100			Percent of total billed charges		12	33.3			Percent of total billed charges		3.996	33.3			Percent of total billed charges		3.996	100			Percent of total billed charges		12	3.996	10.8	
pamper  dispos  toddler	270	RC	Outpatient			12	7.8		90			Percent of total billed charges		10.8	40			Percent of total billed charges		4.8	80			Percent of total billed charges		9.6	90			Percent of total billed charges		10.8	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	100			Percent of total billed charges		12	100			Percent of total billed charges		12	100			Percent of total billed charges		12	33.3			Percent of total billed charges		3.996	33.3			Percent of total billed charges		3.996	100			Percent of total billed charges		12	3.996	10.8	
premium powder 79300	270	RC	Outpatient			12	7.8		90			Percent of total billed charges		10.8	40			Percent of total billed charges		4.8	80			Percent of total billed charges		9.6	90			Percent of total billed charges		10.8	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	100			Percent of total billed charges		12	100			Percent of total billed charges		12	100			Percent of total billed charges		12	33.3			Percent of total billed charges		3.996	33.3			Percent of total billed charges		3.996	100			Percent of total billed charges		12	3.996	10.8	
set butterfly 19x7/8 4590	270	RC	Outpatient			12	7.8		90			Percent of total billed charges		10.8	40			Percent of total billed charges		4.8	80			Percent of total billed charges		9.6	90			Percent of total billed charges		10.8	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	100			Percent of total billed charges		12	100			Percent of total billed charges		12	100			Percent of total billed charges		12	33.3			Percent of total billed charges		3.996	33.3			Percent of total billed charges		3.996	100			Percent of total billed charges		12	3.996	10.8	
set butterfly 27x3/8 4995	270	RC	Outpatient			12	7.8		90			Percent of total billed charges		10.8	40			Percent of total billed charges		4.8	80			Percent of total billed charges		9.6	90			Percent of total billed charges		10.8	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	100			Percent of total billed charges		12	100			Percent of total billed charges		12	100			Percent of total billed charges		12	33.3			Percent of total billed charges		3.996	33.3			Percent of total billed charges		3.996	100			Percent of total billed charges		12	3.996	10.8	
stockinette 4	270	RC	Outpatient			12	7.8		90			Percent of total billed charges		10.8	40			Percent of total billed charges		4.8	80			Percent of total billed charges		9.6	90			Percent of total billed charges		10.8	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	100			Percent of total billed charges		12	100			Percent of total billed charges		12	100			Percent of total billed charges		12	33.3			Percent of total billed charges		3.996	33.3			Percent of total billed charges		3.996	100			Percent of total billed charges		12	3.996	10.8	
stockinette 4 ed charge scnt	450	RC	Outpatient			12	7.8		90			Percent of total billed charges		10.8	40			Percent of total billed charges		4.8	80			Percent of total billed charges		9.6	90			Percent of total billed charges		10.8	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	100			Percent of total billed charges		12	100			Percent of total billed charges		12	100			Percent of total billed charges		12	33.3			Percent of total billed charges		3.996	33.3			Percent of total billed charges		3.996	100			Percent of total billed charges		12	3.996	10.8	
ted hose knee-lg	272	RC	Outpatient			12	7.8		90			Percent of total billed charges		10.8	40			Percent of total billed charges		4.8	80			Percent of total billed charges		9.6	90			Percent of total billed charges		10.8	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	100			Percent of total billed charges		12	100			Percent of total billed charges		12	100			Percent of total billed charges		12	33.3			Percent of total billed charges		3.996	33.3			Percent of total billed charges		3.996	100			Percent of total billed charges		12	3.996	10.8	
ted hose knee-med	272	RC	Outpatient			12	7.8		90			Percent of total billed charges		10.8	40			Percent of total billed charges		4.8	80			Percent of total billed charges		9.6	90			Percent of total billed charges		10.8	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	100			Percent of total billed charges		12	100			Percent of total billed charges		12	100			Percent of total billed charges		12	33.3			Percent of total billed charges		3.996	33.3			Percent of total billed charges		3.996	100			Percent of total billed charges		12	3.996	10.8	
tube  ng  levine #12	270	RC	Outpatient			12	7.8		90			Percent of total billed charges		10.8	40			Percent of total billed charges		4.8	80			Percent of total billed charges		9.6	90			Percent of total billed charges		10.8	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	100			Percent of total billed charges		12	100			Percent of total billed charges		12	100			Percent of total billed charges		12	33.3			Percent of total billed charges		3.996	33.3			Percent of total billed charges		3.996	100			Percent of total billed charges		12	3.996	10.8	
tube  ng  levine #14	270	RC	Outpatient			12	7.8		90			Percent of total billed charges		10.8	40			Percent of total billed charges		4.8	80			Percent of total billed charges		9.6	90			Percent of total billed charges		10.8	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	100			Percent of total billed charges		12	100			Percent of total billed charges		12	100			Percent of total billed charges		12	33.3			Percent of total billed charges		3.996	33.3			Percent of total billed charges		3.996	100			Percent of total billed charges		12	3.996	10.8	
tube  ng  levine #16	270	RC	Outpatient			12	7.8		90			Percent of total billed charges		10.8	40			Percent of total billed charges		4.8	80			Percent of total billed charges		9.6	90			Percent of total billed charges		10.8	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	100			Percent of total billed charges		12	100			Percent of total billed charges		12	100			Percent of total billed charges		12	33.3			Percent of total billed charges		3.996	33.3			Percent of total billed charges		3.996	100			Percent of total billed charges		12	3.996	10.8	
wound protector drape	270	RC	Outpatient			12	7.8		90			Percent of total billed charges		10.8	40			Percent of total billed charges		4.8	80			Percent of total billed charges		9.6	90			Percent of total billed charges		10.8	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	100			Percent of total billed charges		12	100			Percent of total billed charges		12	100			Percent of total billed charges		12	33.3			Percent of total billed charges		3.996	33.3			Percent of total billed charges		3.996	100			Percent of total billed charges		12	3.996	10.8	
tube  ng  levine #10	270	RC	Outpatient			12	7.8		90			Percent of total billed charges		10.8	40			Percent of total billed charges		4.8	80			Percent of total billed charges		9.6	90			Percent of total billed charges		10.8	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	100			Percent of total billed charges		12	100			Percent of total billed charges		12	100			Percent of total billed charges		12	33.3			Percent of total billed charges		3.996	33.3			Percent of total billed charges		3.996	100			Percent of total billed charges		12	3.996	10.8	
tube  ng  levine #18	270	RC	Outpatient			12	7.8		90			Percent of total billed charges		10.8	40			Percent of total billed charges		4.8	80			Percent of total billed charges		9.6	90			Percent of total billed charges		10.8	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	100			Percent of total billed charges		12	100			Percent of total billed charges		12	100			Percent of total billed charges		12	33.3			Percent of total billed charges		3.996	33.3			Percent of total billed charges		3.996	100			Percent of total billed charges		12	3.996	10.8	
tubigrip	270	RC	Outpatient			12	7.8		90			Percent of total billed charges		10.8	40			Percent of total billed charges		4.8	80			Percent of total billed charges		9.6	90			Percent of total billed charges		10.8	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	85			Percent of total billed charges		10.2	100			Percent of total billed charges		12	100			Percent of total billed charges		12	100			Percent of total billed charges		12	33.3			Percent of total billed charges		3.996	33.3			Percent of total billed charges		3.996	100			Percent of total billed charges		12	3.996	10.8	
scpf dressing mepilex border 4x4	270	RC	Outpatient			12.5	8.13		90			Percent of total billed charges		11.25	40			Percent of total billed charges		5	80			Percent of total billed charges		10	90			Percent of total billed charges		11.25	85			Percent of total billed charges		10.625	85			Percent of total billed charges		10.625	85			Percent of total billed charges		10.625	100			Percent of total billed charges		12.5	100			Percent of total billed charges		12.5	100			Percent of total billed charges		12.5	33.3			Percent of total billed charges		4.1625	33.3			Percent of total billed charges		4.1625	100			Percent of total billed charges		12.5	4.1625	11.25	
bandage orthoflex plaster	272	RC	Outpatient			13	8.45		90			Percent of total billed charges		11.7	40			Percent of total billed charges		5.2	80			Percent of total billed charges		10.4	90			Percent of total billed charges		11.7	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	100			Percent of total billed charges		13	100			Percent of total billed charges		13	100			Percent of total billed charges		13	33.3			Percent of total billed charges		4.329	33.3			Percent of total billed charges		4.329	100			Percent of total billed charges		13	4.329	11.7	
barrier convex ring 79530	272	RC	Outpatient			13	8.45		90			Percent of total billed charges		11.7	40			Percent of total billed charges		5.2	80			Percent of total billed charges		10.4	90			Percent of total billed charges		11.7	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	100			Percent of total billed charges		13	100			Percent of total billed charges		13	100			Percent of total billed charges		13	33.3			Percent of total billed charges		4.329	33.3			Percent of total billed charges		4.329	100			Percent of total billed charges		13	4.329	11.7	
bier block	270	RC	Outpatient			13	8.45		90			Percent of total billed charges		11.7	40			Percent of total billed charges		5.2	80			Percent of total billed charges		10.4	90			Percent of total billed charges		11.7	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	100			Percent of total billed charges		13	100			Percent of total billed charges		13	100			Percent of total billed charges		13	33.3			Percent of total billed charges		4.329	33.3			Percent of total billed charges		4.329	100			Percent of total billed charges		13	4.329	11.7	
cath foley 16fr 30cc sil 1768si16	270	RC	Outpatient			13	8.45		90			Percent of total billed charges		11.7	40			Percent of total billed charges		5.2	80			Percent of total billed charges		10.4	90			Percent of total billed charges		11.7	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	100			Percent of total billed charges		13	100			Percent of total billed charges		13	100			Percent of total billed charges		13	33.3			Percent of total billed charges		4.329	33.3			Percent of total billed charges		4.329	100			Percent of total billed charges		13	4.329	11.7	
cath foley 18fr 5cc sil	272	RC	Outpatient			13	8.45		90			Percent of total billed charges		11.7	40			Percent of total billed charges		5.2	80			Percent of total billed charges		10.4	90			Percent of total billed charges		11.7	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	100			Percent of total billed charges		13	100			Percent of total billed charges		13	100			Percent of total billed charges		13	33.3			Percent of total billed charges		4.329	33.3			Percent of total billed charges		4.329	100			Percent of total billed charges		13	4.329	11.7	
cath foley 22fr 5cc sil	270	RC	Outpatient			13	8.45		90			Percent of total billed charges		11.7	40			Percent of total billed charges		5.2	80			Percent of total billed charges		10.4	90			Percent of total billed charges		11.7	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	100			Percent of total billed charges		13	100			Percent of total billed charges		13	100			Percent of total billed charges		13	33.3			Percent of total billed charges		4.329	33.3			Percent of total billed charges		4.329	100			Percent of total billed charges		13	4.329	11.7	
coleman ll cap	272	RC	Outpatient			13	8.45		90			Percent of total billed charges		11.7	40			Percent of total billed charges		5.2	80			Percent of total billed charges		10.4	90			Percent of total billed charges		11.7	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	100			Percent of total billed charges		13	100			Percent of total billed charges		13	100			Percent of total billed charges		13	33.3			Percent of total billed charges		4.329	33.3			Percent of total billed charges		4.329	100			Percent of total billed charges		13	4.329	11.7	
coleman ll caps co-llcap mentor	272	RC	Outpatient			13	8.45		90			Percent of total billed charges		11.7	40			Percent of total billed charges		5.2	80			Percent of total billed charges		10.4	90			Percent of total billed charges		11.7	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	100			Percent of total billed charges		13	100			Percent of total billed charges		13	100			Percent of total billed charges		13	33.3			Percent of total billed charges		4.329	33.3			Percent of total billed charges		4.329	100			Percent of total billed charges		13	4.329	11.7	
cord bipolar disp e0509	270	RC	Outpatient			13	8.45		90			Percent of total billed charges		11.7	40			Percent of total billed charges		5.2	80			Percent of total billed charges		10.4	90			Percent of total billed charges		11.7	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	100			Percent of total billed charges		13	100			Percent of total billed charges		13	100			Percent of total billed charges		13	33.3			Percent of total billed charges		4.329	33.3			Percent of total billed charges		4.329	100			Percent of total billed charges		13	4.329	11.7	
cup palm 90 mm lg	270	RC	Outpatient			13	8.45		90			Percent of total billed charges		11.7	40			Percent of total billed charges		5.2	80			Percent of total billed charges		10.4	90			Percent of total billed charges		11.7	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	100			Percent of total billed charges		13	100			Percent of total billed charges		13	100			Percent of total billed charges		13	33.3			Percent of total billed charges		4.329	33.3			Percent of total billed charges		4.329	100			Percent of total billed charges		13	4.329	11.7	
3800062 tendon repair ed charge	450	RC	Outpatient			13	8.45		90			Percent of total billed charges		11.7	40			Percent of total billed charges		5.2	80			Percent of total billed charges		10.4	90			Percent of total billed charges		11.7	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	100			Percent of total billed charges		13	100			Percent of total billed charges		13	100			Percent of total billed charges		13	33.3			Percent of total billed charges		4.329	33.3			Percent of total billed charges		4.329	100			Percent of total billed charges		13	4.329	11.7	
ankle block	270	RC	Outpatient			13	8.45		90			Percent of total billed charges		11.7	40			Percent of total billed charges		5.2	80			Percent of total billed charges		10.4	90			Percent of total billed charges		11.7	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	100			Percent of total billed charges		13	100			Percent of total billed charges		13	100			Percent of total billed charges		13	33.3			Percent of total billed charges		4.329	33.3			Percent of total billed charges		4.329	100			Percent of total billed charges		13	4.329	11.7	
bandage orthoflex plaster 5 x 4 yds 7325 jjmed	272	RC	Outpatient			13	8.45		90			Percent of total billed charges		11.7	40			Percent of total billed charges		5.2	80			Percent of total billed charges		10.4	90			Percent of total billed charges		11.7	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	100			Percent of total billed charges		13	100			Percent of total billed charges		13	100			Percent of total billed charges		13	33.3			Percent of total billed charges		4.329	33.3			Percent of total billed charges		4.329	100			Percent of total billed charges		13	4.329	11.7	
bipolar cord disp	270	RC	Outpatient			13	8.45		90			Percent of total billed charges		11.7	40			Percent of total billed charges		5.2	80			Percent of total billed charges		10.4	90			Percent of total billed charges		11.7	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	100			Percent of total billed charges		13	100			Percent of total billed charges		13	100			Percent of total billed charges		13	33.3			Percent of total billed charges		4.329	33.3			Percent of total billed charges		4.329	100			Percent of total billed charges		13	4.329	11.7	
blood warmer & bag	270	RC	Outpatient			13	8.45		90			Percent of total billed charges		11.7	40			Percent of total billed charges		5.2	80			Percent of total billed charges		10.4	90			Percent of total billed charges		11.7	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	100			Percent of total billed charges		13	100			Percent of total billed charges		13	100			Percent of total billed charges		13	33.3			Percent of total billed charges		4.329	33.3			Percent of total billed charges		4.329	100			Percent of total billed charges		13	4.329	11.7	
cath foley 24fr 5cc	272	RC	Outpatient			13	8.45		90			Percent of total billed charges		11.7	40			Percent of total billed charges		5.2	80			Percent of total billed charges		10.4	90			Percent of total billed charges		11.7	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	100			Percent of total billed charges		13	100			Percent of total billed charges		13	100			Percent of total billed charges		13	33.3			Percent of total billed charges		4.329	33.3			Percent of total billed charges		4.329	100			Percent of total billed charges		13	4.329	11.7	
control syr	270	RC	Outpatient			13	8.45		90			Percent of total billed charges		11.7	40			Percent of total billed charges		5.2	80			Percent of total billed charges		10.4	90			Percent of total billed charges		11.7	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	100			Percent of total billed charges		13	100			Percent of total billed charges		13	100			Percent of total billed charges		13	33.3			Percent of total billed charges		4.329	33.3			Percent of total billed charges		4.329	100			Percent of total billed charges		13	4.329	11.7	
cup palm 60 mm med	270	RC	Outpatient			13	8.45		90			Percent of total billed charges		11.7	40			Percent of total billed charges		5.2	80			Percent of total billed charges		10.4	90			Percent of total billed charges		11.7	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	100			Percent of total billed charges		13	100			Percent of total billed charges		13	100			Percent of total billed charges		13	33.3			Percent of total billed charges		4.329	33.3			Percent of total billed charges		4.329	100			Percent of total billed charges		13	4.329	11.7	
double bent 27g cannula storz e7117	272	RC	Outpatient			13	8.45		90			Percent of total billed charges		11.7	40			Percent of total billed charges		5.2	80			Percent of total billed charges		10.4	90			Percent of total billed charges		11.7	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	100			Percent of total billed charges		13	100			Percent of total billed charges		13	100			Percent of total billed charges		13	33.3			Percent of total billed charges		4.329	33.3			Percent of total billed charges		4.329	100			Percent of total billed charges		13	4.329	11.7	
electrodes (set of 3)	270	RC	Outpatient			13	8.45		90			Percent of total billed charges		11.7	40			Percent of total billed charges		5.2	80			Percent of total billed charges		10.4	90			Percent of total billed charges		11.7	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	100			Percent of total billed charges		13	100			Percent of total billed charges		13	100			Percent of total billed charges		13	33.3			Percent of total billed charges		4.329	33.3			Percent of total billed charges		4.329	100			Percent of total billed charges		13	4.329	11.7	
dental g-coat	270	RC	Outpatient			13	8.45		90			Percent of total billed charges		11.7	40			Percent of total billed charges		5.2	80			Percent of total billed charges		10.4	90			Percent of total billed charges		11.7	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	100			Percent of total billed charges		13	100			Percent of total billed charges		13	100			Percent of total billed charges		13	33.3			Percent of total billed charges		4.329	33.3			Percent of total billed charges		4.329	100			Percent of total billed charges		13	4.329	11.7	
dress mepilex border 4x4	270	RC	Outpatient			13	8.45		90			Percent of total billed charges		11.7	40			Percent of total billed charges		5.2	80			Percent of total billed charges		10.4	90			Percent of total billed charges		11.7	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	100			Percent of total billed charges		13	100			Percent of total billed charges		13	100			Percent of total billed charges		13	33.3			Percent of total billed charges		4.329	33.3			Percent of total billed charges		4.329	100			Percent of total billed charges		13	4.329	11.7	
dressing sorbaview ij	272	RC	Outpatient			13	8.45		90			Percent of total billed charges		11.7	40			Percent of total billed charges		5.2	80			Percent of total billed charges		10.4	90			Percent of total billed charges		11.7	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	100			Percent of total billed charges		13	100			Percent of total billed charges		13	100			Percent of total billed charges		13	33.3			Percent of total billed charges		4.329	33.3			Percent of total billed charges		4.329	100			Percent of total billed charges		13	4.329	11.7	
fallopian ring bander	270	RC	Outpatient			13	8.45		90			Percent of total billed charges		11.7	40			Percent of total billed charges		5.2	80			Percent of total billed charges		10.4	90			Percent of total billed charges		11.7	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	100			Percent of total billed charges		13	100			Percent of total billed charges		13	100			Percent of total billed charges		13	33.3			Percent of total billed charges		4.329	33.3			Percent of total billed charges		4.329	100			Percent of total billed charges		13	4.329	11.7	
falope  ring bander	270	RC	Outpatient			13	8.45		90			Percent of total billed charges		11.7	40			Percent of total billed charges		5.2	80			Percent of total billed charges		10.4	90			Percent of total billed charges		11.7	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	100			Percent of total billed charges		13	100			Percent of total billed charges		13	100			Percent of total billed charges		13	33.3			Percent of total billed charges		4.329	33.3			Percent of total billed charges		4.329	100			Percent of total billed charges		13	4.329	11.7	
kit debridement	270	RC	Outpatient			13	8.45		90			Percent of total billed charges		11.7	40			Percent of total billed charges		5.2	80			Percent of total billed charges		10.4	90			Percent of total billed charges		11.7	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	100			Percent of total billed charges		13	100			Percent of total billed charges		13	100			Percent of total billed charges		13	33.3			Percent of total billed charges		4.329	33.3			Percent of total billed charges		4.329	100			Percent of total billed charges		13	4.329	11.7	
g coat pluse 326-2474 patterson	270	RC	Outpatient			13	8.45		90			Percent of total billed charges		11.7	40			Percent of total billed charges		5.2	80			Percent of total billed charges		10.4	90			Percent of total billed charges		11.7	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	100			Percent of total billed charges		13	100			Percent of total billed charges		13	100			Percent of total billed charges		13	33.3			Percent of total billed charges		4.329	33.3			Percent of total billed charges		4.329	100			Percent of total billed charges		13	4.329	11.7	
hibiclens skin cleanser	270	RC	Outpatient			13	8.45		90			Percent of total billed charges		11.7	40			Percent of total billed charges		5.2	80			Percent of total billed charges		10.4	90			Percent of total billed charges		11.7	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	100			Percent of total billed charges		13	100			Percent of total billed charges		13	100			Percent of total billed charges		13	33.3			Percent of total billed charges		4.329	33.3			Percent of total billed charges		4.329	100			Percent of total billed charges		13	4.329	11.7	
meconium aspirator	270	RC	Outpatient			13	8.45		90			Percent of total billed charges		11.7	40			Percent of total billed charges		5.2	80			Percent of total billed charges		10.4	90			Percent of total billed charges		11.7	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	100			Percent of total billed charges		13	100			Percent of total billed charges		13	100			Percent of total billed charges		13	33.3			Percent of total billed charges		4.329	33.3			Percent of total billed charges		4.329	100			Percent of total billed charges		13	4.329	11.7	
meplex transfer	270	RC	Outpatient			13	8.45		90			Percent of total billed charges		11.7	40			Percent of total billed charges		5.2	80			Percent of total billed charges		10.4	90			Percent of total billed charges		11.7	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	100			Percent of total billed charges		13	100			Percent of total billed charges		13	100			Percent of total billed charges		13	33.3			Percent of total billed charges		4.329	33.3			Percent of total billed charges		4.329	100			Percent of total billed charges		13	4.329	11.7	
nasal airway trumpet 9.0	270	RC	Outpatient			13	8.45		90			Percent of total billed charges		11.7	40			Percent of total billed charges		5.2	80			Percent of total billed charges		10.4	90			Percent of total billed charges		11.7	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	100			Percent of total billed charges		13	100			Percent of total billed charges		13	100			Percent of total billed charges		13	33.3			Percent of total billed charges		4.329	33.3			Percent of total billed charges		4.329	100			Percent of total billed charges		13	4.329	11.7	
lead hand	270	RC	Outpatient			13	8.45		90			Percent of total billed charges		11.7	40			Percent of total billed charges		5.2	80			Percent of total billed charges		10.4	90			Percent of total billed charges		11.7	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	100			Percent of total billed charges		13	100			Percent of total billed charges		13	100			Percent of total billed charges		13	33.3			Percent of total billed charges		4.329	33.3			Percent of total billed charges		4.329	100			Percent of total billed charges		13	4.329	11.7	
neo-bridge   lg	270	RC	Outpatient			13	8.45		90			Percent of total billed charges		11.7	40			Percent of total billed charges		5.2	80			Percent of total billed charges		10.4	90			Percent of total billed charges		11.7	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	100			Percent of total billed charges		13	100			Percent of total billed charges		13	100			Percent of total billed charges		13	33.3			Percent of total billed charges		4.329	33.3			Percent of total billed charges		4.329	100			Percent of total billed charges		13	4.329	11.7	
neo-bridge   sm	270	RC	Outpatient			13	8.45		90			Percent of total billed charges		11.7	40			Percent of total billed charges		5.2	80			Percent of total billed charges		10.4	90			Percent of total billed charges		11.7	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	100			Percent of total billed charges		13	100			Percent of total billed charges		13	100			Percent of total billed charges		13	33.3			Percent of total billed charges		4.329	33.3			Percent of total billed charges		4.329	100			Percent of total billed charges		13	4.329	11.7	
nichols veronikis instr	270	RC	Outpatient			13	8.45		90			Percent of total billed charges		11.7	40			Percent of total billed charges		5.2	80			Percent of total billed charges		10.4	90			Percent of total billed charges		11.7	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	100			Percent of total billed charges		13	100			Percent of total billed charges		13	100			Percent of total billed charges		13	33.3			Percent of total billed charges		4.329	33.3			Percent of total billed charges		4.329	100			Percent of total billed charges		13	4.329	11.7	
skin stapler extractor	270	RC	Outpatient			13	8.45		90			Percent of total billed charges		11.7	40			Percent of total billed charges		5.2	80			Percent of total billed charges		10.4	90			Percent of total billed charges		11.7	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	100			Percent of total billed charges		13	100			Percent of total billed charges		13	100			Percent of total billed charges		13	33.3			Percent of total billed charges		4.329	33.3			Percent of total billed charges		4.329	100			Percent of total billed charges		13	4.329	11.7	
sponge lap 4x18 sterile 407	270	RC	Outpatient			13	8.45		90			Percent of total billed charges		11.7	40			Percent of total billed charges		5.2	80			Percent of total billed charges		10.4	90			Percent of total billed charges		11.7	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	100			Percent of total billed charges		13	100			Percent of total billed charges		13	100			Percent of total billed charges		13	33.3			Percent of total billed charges		4.329	33.3			Percent of total billed charges		4.329	100			Percent of total billed charges		13	4.329	11.7	
sponge surgical eye lgt blue(10's) 8065-1000-10 alcos	270	RC	Outpatient			13	8.45		90			Percent of total billed charges		11.7	40			Percent of total billed charges		5.2	80			Percent of total billed charges		10.4	90			Percent of total billed charges		11.7	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	100			Percent of total billed charges		13	100			Percent of total billed charges		13	100			Percent of total billed charges		13	33.3			Percent of total billed charges		4.329	33.3			Percent of total billed charges		4.329	100			Percent of total billed charges		13	4.329	11.7	
sponges lap 4x18	270	RC	Outpatient			13	8.45		90			Percent of total billed charges		11.7	40			Percent of total billed charges		5.2	80			Percent of total billed charges		10.4	90			Percent of total billed charges		11.7	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	100			Percent of total billed charges		13	100			Percent of total billed charges		13	100			Percent of total billed charges		13	33.3			Percent of total billed charges		4.329	33.3			Percent of total billed charges		4.329	100			Percent of total billed charges		13	4.329	11.7	
stylet tip for intub.6 fr	270	RC	Outpatient			13	8.45		90			Percent of total billed charges		11.7	40			Percent of total billed charges		5.2	80			Percent of total billed charges		10.4	90			Percent of total billed charges		11.7	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	100			Percent of total billed charges		13	100			Percent of total billed charges		13	100			Percent of total billed charges		13	33.3			Percent of total billed charges		4.329	33.3			Percent of total billed charges		4.329	100			Percent of total billed charges		13	4.329	11.7	
ted hose knee sm	272	RC	Outpatient			13	8.45		90			Percent of total billed charges		11.7	40			Percent of total billed charges		5.2	80			Percent of total billed charges		10.4	90			Percent of total billed charges		11.7	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	100			Percent of total billed charges		13	100			Percent of total billed charges		13	100			Percent of total billed charges		13	33.3			Percent of total billed charges		4.329	33.3			Percent of total billed charges		4.329	100			Percent of total billed charges		13	4.329	11.7	
temp indicator crystaline ll 5101c-ll	270	RC	Outpatient			13	8.45		90			Percent of total billed charges		11.7	40			Percent of total billed charges		5.2	80			Percent of total billed charges		10.4	90			Percent of total billed charges		11.7	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	100			Percent of total billed charges		13	100			Percent of total billed charges		13	100			Percent of total billed charges		13	33.3			Percent of total billed charges		4.329	33.3			Percent of total billed charges		4.329	100			Percent of total billed charges		13	4.329	11.7	
temp strip	270	RC	Outpatient			13	8.45		90			Percent of total billed charges		11.7	40			Percent of total billed charges		5.2	80			Percent of total billed charges		10.4	90			Percent of total billed charges		11.7	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	100			Percent of total billed charges		13	100			Percent of total billed charges		13	100			Percent of total billed charges		13	33.3			Percent of total billed charges		4.329	33.3			Percent of total billed charges		4.329	100			Percent of total billed charges		13	4.329	11.7	
"sling, arm, x-large"	270	RC	Outpatient			13	8.45		90			Percent of total billed charges		11.7	40			Percent of total billed charges		5.2	80			Percent of total billed charges		10.4	90			Percent of total billed charges		11.7	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	100			Percent of total billed charges		13	100			Percent of total billed charges		13	100			Percent of total billed charges		13	33.3			Percent of total billed charges		4.329	33.3			Percent of total billed charges		4.329	100			Percent of total billed charges		13	4.329	11.7	
sponge micro teardrop regular tip (10's) 8065-1000-02 alcos	270	RC	Outpatient			13	8.45		90			Percent of total billed charges		11.7	40			Percent of total billed charges		5.2	80			Percent of total billed charges		10.4	90			Percent of total billed charges		11.7	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	100			Percent of total billed charges		13	100			Percent of total billed charges		13	100			Percent of total billed charges		13	33.3			Percent of total billed charges		4.329	33.3			Percent of total billed charges		4.329	100			Percent of total billed charges		13	4.329	11.7	
ted hose knee xl	272	RC	Outpatient			13	8.45		90			Percent of total billed charges		11.7	40			Percent of total billed charges		5.2	80			Percent of total billed charges		10.4	90			Percent of total billed charges		11.7	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	100			Percent of total billed charges		13	100			Percent of total billed charges		13	100			Percent of total billed charges		13	33.3			Percent of total billed charges		4.329	33.3			Percent of total billed charges		4.329	100			Percent of total billed charges		13	4.329	11.7	
tube vac pink 6ml	272	RC	Outpatient			13	8.45		90			Percent of total billed charges		11.7	40			Percent of total billed charges		5.2	80			Percent of total billed charges		10.4	90			Percent of total billed charges		11.7	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	100			Percent of total billed charges		13	100			Percent of total billed charges		13	100			Percent of total billed charges		13	33.3			Percent of total billed charges		4.329	33.3			Percent of total billed charges		4.329	100			Percent of total billed charges		13	4.329	11.7	
unaboot	270	RC	Outpatient			13	8.45		90			Percent of total billed charges		11.7	40			Percent of total billed charges		5.2	80			Percent of total billed charges		10.4	90			Percent of total billed charges		11.7	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	100			Percent of total billed charges		13	100			Percent of total billed charges		13	100			Percent of total billed charges		13	33.3			Percent of total billed charges		4.329	33.3			Percent of total billed charges		4.329	100			Percent of total billed charges		13	4.329	11.7	
weck cel sponges	270	RC	Outpatient			13	8.45		90			Percent of total billed charges		11.7	40			Percent of total billed charges		5.2	80			Percent of total billed charges		10.4	90			Percent of total billed charges		11.7	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	100			Percent of total billed charges		13	100			Percent of total billed charges		13	100			Percent of total billed charges		13	33.3			Percent of total billed charges		4.329	33.3			Percent of total billed charges		4.329	100			Percent of total billed charges		13	4.329	11.7	
veronika's nichols pelvic reconst set	270	RC	Outpatient			13	8.45		90			Percent of total billed charges		11.7	40			Percent of total billed charges		5.2	80			Percent of total billed charges		10.4	90			Percent of total billed charges		11.7	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	100			Percent of total billed charges		13	100			Percent of total billed charges		13	100			Percent of total billed charges		13	33.3			Percent of total billed charges		4.329	33.3			Percent of total billed charges		4.329	100			Percent of total billed charges		13	4.329	11.7	
vitrectomy cannula	272	RC	Outpatient			13	8.45		90			Percent of total billed charges		11.7	40			Percent of total billed charges		5.2	80			Percent of total billed charges		10.4	90			Percent of total billed charges		11.7	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	85			Percent of total billed charges		11.05	100			Percent of total billed charges		13	100			Percent of total billed charges		13	100			Percent of total billed charges		13	33.3			Percent of total billed charges		4.329	33.3			Percent of total billed charges		4.329	100			Percent of total billed charges		13	4.329	11.7	
airstrip bandage	270	RC	Outpatient			14	9.1		90			Percent of total billed charges		12.6	40			Percent of total billed charges		5.6	80			Percent of total billed charges		11.2	90			Percent of total billed charges		12.6	85			Percent of total billed charges		11.9	85			Percent of total billed charges		11.9	85			Percent of total billed charges		11.9	100			Percent of total billed charges		14	100			Percent of total billed charges		14	100			Percent of total billed charges		14	33.3			Percent of total billed charges		4.662	33.3			Percent of total billed charges		4.662	100			Percent of total billed charges		14	4.662	12.6	
applicator cotton tip	272	RC	Outpatient			14	9.1		90			Percent of total billed charges		12.6	40			Percent of total billed charges		5.6	80			Percent of total billed charges		11.2	90			Percent of total billed charges		12.6	85			Percent of total billed charges		11.9	85			Percent of total billed charges		11.9	85			Percent of total billed charges		11.9	100			Percent of total billed charges		14	100			Percent of total billed charges		14	100			Percent of total billed charges		14	33.3			Percent of total billed charges		4.662	33.3			Percent of total billed charges		4.662	100			Percent of total billed charges		14	4.662	12.6	
book blood pressure contr	270	RC	Outpatient			14	9.1		90			Percent of total billed charges		12.6	40			Percent of total billed charges		5.6	80			Percent of total billed charges		11.2	90			Percent of total billed charges		12.6	85			Percent of total billed charges		11.9	85			Percent of total billed charges		11.9	85			Percent of total billed charges		11.9	100			Percent of total billed charges		14	100			Percent of total billed charges		14	100			Percent of total billed charges		14	33.3			Percent of total billed charges		4.662	33.3			Percent of total billed charges		4.662	100			Percent of total billed charges		14	4.662	12.6	
book cardiac catheterizat	270	RC	Outpatient			14	9.1		90			Percent of total billed charges		12.6	40			Percent of total billed charges		5.6	80			Percent of total billed charges		11.2	90			Percent of total billed charges		12.6	85			Percent of total billed charges		11.9	85			Percent of total billed charges		11.9	85			Percent of total billed charges		11.9	100			Percent of total billed charges		14	100			Percent of total billed charges		14	100			Percent of total billed charges		14	33.3			Percent of total billed charges		4.662	33.3			Percent of total billed charges		4.662	100			Percent of total billed charges		14	4.662	12.6	
book heart attack	270	RC	Outpatient			14	9.1		90			Percent of total billed charges		12.6	40			Percent of total billed charges		5.6	80			Percent of total billed charges		11.2	90			Percent of total billed charges		12.6	85			Percent of total billed charges		11.9	85			Percent of total billed charges		11.9	85			Percent of total billed charges		11.9	100			Percent of total billed charges		14	100			Percent of total billed charges		14	100			Percent of total billed charges		14	33.3			Percent of total billed charges		4.662	33.3			Percent of total billed charges		4.662	100			Percent of total billed charges		14	4.662	12.6	
bridge ostomy loop 8300-007767 holl	270	RC	Outpatient			14	9.1		90			Percent of total billed charges		12.6	40			Percent of total billed charges		5.6	80			Percent of total billed charges		11.2	90			Percent of total billed charges		12.6	85			Percent of total billed charges		11.9	85			Percent of total billed charges		11.9	85			Percent of total billed charges		11.9	100			Percent of total billed charges		14	100			Percent of total billed charges		14	100			Percent of total billed charges		14	33.3			Percent of total billed charges		4.662	33.3			Percent of total billed charges		4.662	100			Percent of total billed charges		14	4.662	12.6	
burritrol set	270	RC	Outpatient			14	9.1		90			Percent of total billed charges		12.6	40			Percent of total billed charges		5.6	80			Percent of total billed charges		11.2	90			Percent of total billed charges		12.6	85			Percent of total billed charges		11.9	85			Percent of total billed charges		11.9	85			Percent of total billed charges		11.9	100			Percent of total billed charges		14	100			Percent of total billed charges		14	100			Percent of total billed charges		14	33.3			Percent of total billed charges		4.662	33.3			Percent of total billed charges		4.662	100			Percent of total billed charges		14	4.662	12.6	
compression bandage 4 x 5 cb-co-4x5 covidien	272	RC	Outpatient			14	9.1		90			Percent of total billed charges		12.6	40			Percent of total billed charges		5.6	80			Percent of total billed charges		11.2	90			Percent of total billed charges		12.6	85			Percent of total billed charges		11.9	85			Percent of total billed charges		11.9	85			Percent of total billed charges		11.9	100			Percent of total billed charges		14	100			Percent of total billed charges		14	100			Percent of total billed charges		14	33.3			Percent of total billed charges		4.662	33.3			Percent of total billed charges		4.662	100			Percent of total billed charges		14	4.662	12.6	
compression bandage 4	272	RC	Outpatient			14	9.1		90			Percent of total billed charges		12.6	40			Percent of total billed charges		5.6	80			Percent of total billed charges		11.2	90			Percent of total billed charges		12.6	85			Percent of total billed charges		11.9	85			Percent of total billed charges		11.9	85			Percent of total billed charges		11.9	100			Percent of total billed charges		14	100			Percent of total billed charges		14	100			Percent of total billed charges		14	33.3			Percent of total billed charges		4.662	33.3			Percent of total billed charges		4.662	100			Percent of total billed charges		14	4.662	12.6	
cotton tip applicators 3 9320/100 bioseal med	272	RC	Outpatient			14	9.1		90			Percent of total billed charges		12.6	40			Percent of total billed charges		5.6	80			Percent of total billed charges		11.2	90			Percent of total billed charges		12.6	85			Percent of total billed charges		11.9	85			Percent of total billed charges		11.9	85			Percent of total billed charges		11.9	100			Percent of total billed charges		14	100			Percent of total billed charges		14	100			Percent of total billed charges		14	33.3			Percent of total billed charges		4.662	33.3			Percent of total billed charges		4.662	100			Percent of total billed charges		14	4.662	12.6	
bag urine leg	270	RC	Outpatient			14	9.1		90			Percent of total billed charges		12.6	40			Percent of total billed charges		5.6	80			Percent of total billed charges		11.2	90			Percent of total billed charges		12.6	85			Percent of total billed charges		11.9	85			Percent of total billed charges		11.9	85			Percent of total billed charges		11.9	100			Percent of total billed charges		14	100			Percent of total billed charges		14	100			Percent of total billed charges		14	33.3			Percent of total billed charges		4.662	33.3			Percent of total billed charges		4.662	100			Percent of total billed charges		14	4.662	12.6	
cotton tip applicators 6 9620/100 bioseal med	272	RC	Outpatient			14	9.1		90			Percent of total billed charges		12.6	40			Percent of total billed charges		5.6	80			Percent of total billed charges		11.2	90			Percent of total billed charges		12.6	85			Percent of total billed charges		11.9	85			Percent of total billed charges		11.9	85			Percent of total billed charges		11.9	100			Percent of total billed charges		14	100			Percent of total billed charges		14	100			Percent of total billed charges		14	33.3			Percent of total billed charges		4.662	33.3			Percent of total billed charges		4.662	100			Percent of total billed charges		14	4.662	12.6	
dress mepil sp 4x4 294190	270	RC	Outpatient			14	9.1		90			Percent of total billed charges		12.6	40			Percent of total billed charges		5.6	80			Percent of total billed charges		11.2	90			Percent of total billed charges		12.6	85			Percent of total billed charges		11.9	85			Percent of total billed charges		11.9	85			Percent of total billed charges		11.9	100			Percent of total billed charges		14	100			Percent of total billed charges		14	100			Percent of total billed charges		14	33.3			Percent of total billed charges		4.662	33.3			Percent of total billed charges		4.662	100			Percent of total billed charges		14	4.662	12.6	
detector co2 end tidal	270	RC	Outpatient			14	9.1		90			Percent of total billed charges		12.6	40			Percent of total billed charges		5.6	80			Percent of total billed charges		11.2	90			Percent of total billed charges		12.6	85			Percent of total billed charges		11.9	85			Percent of total billed charges		11.9	85			Percent of total billed charges		11.9	100			Percent of total billed charges		14	100			Percent of total billed charges		14	100			Percent of total billed charges		14	33.3			Percent of total billed charges		4.662	33.3			Percent of total billed charges		4.662	100			Percent of total billed charges		14	4.662	12.6	
dressing telfa 4 x 8 st 7541/ibg68	270	RC	Outpatient			14	9.1		90			Percent of total billed charges		12.6	40			Percent of total billed charges		5.6	80			Percent of total billed charges		11.2	90			Percent of total billed charges		12.6	85			Percent of total billed charges		11.9	85			Percent of total billed charges		11.9	85			Percent of total billed charges		11.9	100			Percent of total billed charges		14	100			Percent of total billed charges		14	100			Percent of total billed charges		14	33.3			Percent of total billed charges		4.662	33.3			Percent of total billed charges		4.662	100			Percent of total billed charges		14	4.662	12.6	
dressing wound airstrip 7195/7542	270	RC	Outpatient			14	9.1		90			Percent of total billed charges		12.6	40			Percent of total billed charges		5.6	80			Percent of total billed charges		11.2	90			Percent of total billed charges		12.6	85			Percent of total billed charges		11.9	85			Percent of total billed charges		11.9	85			Percent of total billed charges		11.9	100			Percent of total billed charges		14	100			Percent of total billed charges		14	100			Percent of total billed charges		14	33.3			Percent of total billed charges		4.662	33.3			Percent of total billed charges		4.662	100			Percent of total billed charges		14	4.662	12.6	
loop ostomy bridge	270	RC	Outpatient			14	9.1		90			Percent of total billed charges		12.6	40			Percent of total billed charges		5.6	80			Percent of total billed charges		11.2	90			Percent of total billed charges		12.6	85			Percent of total billed charges		11.9	85			Percent of total billed charges		11.9	85			Percent of total billed charges		11.9	100			Percent of total billed charges		14	100			Percent of total billed charges		14	100			Percent of total billed charges		14	33.3			Percent of total billed charges		4.662	33.3			Percent of total billed charges		4.662	100			Percent of total billed charges		14	4.662	12.6	
loop ostomy bridge sur-fit 65mm 0-223-55	270	RC	Outpatient			14	9.1		90			Percent of total billed charges		12.6	40			Percent of total billed charges		5.6	80			Percent of total billed charges		11.2	90			Percent of total billed charges		12.6	85			Percent of total billed charges		11.9	85			Percent of total billed charges		11.9	85			Percent of total billed charges		11.9	100			Percent of total billed charges		14	100			Percent of total billed charges		14	100			Percent of total billed charges		14	33.3			Percent of total billed charges		4.662	33.3			Percent of total billed charges		4.662	100			Percent of total billed charges		14	4.662	12.6	
med rad syr	272	RC	Outpatient			14	9.1		90			Percent of total billed charges		12.6	40			Percent of total billed charges		5.6	80			Percent of total billed charges		11.2	90			Percent of total billed charges		12.6	85			Percent of total billed charges		11.9	85			Percent of total billed charges		11.9	85			Percent of total billed charges		11.9	100			Percent of total billed charges		14	100			Percent of total billed charges		14	100			Percent of total billed charges		14	33.3			Percent of total billed charges		4.662	33.3			Percent of total billed charges		4.662	100			Percent of total billed charges		14	4.662	12.6	
op site dressing 11 x 4	270	RC	Outpatient			14	9.1		90			Percent of total billed charges		12.6	40			Percent of total billed charges		5.6	80			Percent of total billed charges		11.2	90			Percent of total billed charges		12.6	85			Percent of total billed charges		11.9	85			Percent of total billed charges		11.9	85			Percent of total billed charges		11.9	100			Percent of total billed charges		14	100			Percent of total billed charges		14	100			Percent of total billed charges		14	33.3			Percent of total billed charges		4.662	33.3			Percent of total billed charges		4.662	100			Percent of total billed charges		14	4.662	12.6	
ostomy 1 choice drain pou	270	RC	Outpatient			14	9.1		90			Percent of total billed charges		12.6	40			Percent of total billed charges		5.6	80			Percent of total billed charges		11.2	90			Percent of total billed charges		12.6	85			Percent of total billed charges		11.9	85			Percent of total billed charges		11.9	85			Percent of total billed charges		11.9	100			Percent of total billed charges		14	100			Percent of total billed charges		14	100			Percent of total billed charges		14	33.3			Percent of total billed charges		4.662	33.3			Percent of total billed charges		4.662	100			Percent of total billed charges		14	4.662	12.6	
set intrlnk buretrol .65mic 2c7564 2c7564	270	RC	Outpatient			14	9.1		90			Percent of total billed charges		12.6	40			Percent of total billed charges		5.6	80			Percent of total billed charges		11.2	90			Percent of total billed charges		12.6	85			Percent of total billed charges		11.9	85			Percent of total billed charges		11.9	85			Percent of total billed charges		11.9	100			Percent of total billed charges		14	100			Percent of total billed charges		14	100			Percent of total billed charges		14	33.3			Percent of total billed charges		4.662	33.3			Percent of total billed charges		4.662	100			Percent of total billed charges		14	4.662	12.6	
trach plug disp.#ddcp	270	RC	Outpatient			14	9.1		90			Percent of total billed charges		12.6	40			Percent of total billed charges		5.6	80			Percent of total billed charges		11.2	90			Percent of total billed charges		12.6	85			Percent of total billed charges		11.9	85			Percent of total billed charges		11.9	85			Percent of total billed charges		11.9	100			Percent of total billed charges		14	100			Percent of total billed charges		14	100			Percent of total billed charges		14	33.3			Percent of total billed charges		4.662	33.3			Percent of total billed charges		4.662	100			Percent of total billed charges		14	4.662	12.6	
tray vag irrigation bag	270	RC	Outpatient			14	9.1		90			Percent of total billed charges		12.6	40			Percent of total billed charges		5.6	80			Percent of total billed charges		11.2	90			Percent of total billed charges		12.6	85			Percent of total billed charges		11.9	85			Percent of total billed charges		11.9	85			Percent of total billed charges		11.9	100			Percent of total billed charges		14	100			Percent of total billed charges		14	100			Percent of total billed charges		14	33.3			Percent of total billed charges		4.662	33.3			Percent of total billed charges		4.662	100			Percent of total billed charges		14	4.662	12.6	
rod loop ostomy sur fit 90mm 0003-0223-56 convtc	270	RC	Outpatient			14	9.1		90			Percent of total billed charges		12.6	40			Percent of total billed charges		5.6	80			Percent of total billed charges		11.2	90			Percent of total billed charges		12.6	85			Percent of total billed charges		11.9	85			Percent of total billed charges		11.9	85			Percent of total billed charges		11.9	100			Percent of total billed charges		14	100			Percent of total billed charges		14	100			Percent of total billed charges		14	33.3			Percent of total billed charges		4.662	33.3			Percent of total billed charges		4.662	100			Percent of total billed charges		14	4.662	12.6	
"set, solution buterol 150ml baxter 2c7564s"	270	RC	Outpatient			14	9.1		90			Percent of total billed charges		12.6	40			Percent of total billed charges		5.6	80			Percent of total billed charges		11.2	90			Percent of total billed charges		12.6	85			Percent of total billed charges		11.9	85			Percent of total billed charges		11.9	85			Percent of total billed charges		11.9	100			Percent of total billed charges		14	100			Percent of total billed charges		14	100			Percent of total billed charges		14	33.3			Percent of total billed charges		4.662	33.3			Percent of total billed charges		4.662	100			Percent of total billed charges		14	4.662	12.6	
urine collector bag-pedia	270	RC	Outpatient			14	9.1		90			Percent of total billed charges		12.6	40			Percent of total billed charges		5.6	80			Percent of total billed charges		11.2	90			Percent of total billed charges		12.6	85			Percent of total billed charges		11.9	85			Percent of total billed charges		11.9	85			Percent of total billed charges		11.9	100			Percent of total billed charges		14	100			Percent of total billed charges		14	100			Percent of total billed charges		14	33.3			Percent of total billed charges		4.662	33.3			Percent of total billed charges		4.662	100			Percent of total billed charges		14	4.662	12.6	
tur extension set	270	RC	Outpatient			14	9.1		90			Percent of total billed charges		12.6	40			Percent of total billed charges		5.6	80			Percent of total billed charges		11.2	90			Percent of total billed charges		12.6	85			Percent of total billed charges		11.9	85			Percent of total billed charges		11.9	85			Percent of total billed charges		11.9	100			Percent of total billed charges		14	100			Percent of total billed charges		14	100			Percent of total billed charges		14	33.3			Percent of total billed charges		4.662	33.3			Percent of total billed charges		4.662	100			Percent of total billed charges		14	4.662	12.6	
"diversatek gi jaw biopsy forceps, ref #1190-01"	272	RC	Outpatient			14.02	9.11		90			Percent of total billed charges		12.618	40			Percent of total billed charges		5.608	80			Percent of total billed charges		11.216	90			Percent of total billed charges		12.618	85			Percent of total billed charges		11.917	85			Percent of total billed charges		11.917	85			Percent of total billed charges		11.917	100			Percent of total billed charges		14.02	100			Percent of total billed charges		14.02	100			Percent of total billed charges		14.02	33.3			Percent of total billed charges		4.6687	33.3			Percent of total billed charges		4.6687	100			Percent of total billed charges		14.02	4.6687	12.618	
scpf huber needle 20 g 3/4 or 1 inch	270	RC	Outpatient			14.5	9.43		90			Percent of total billed charges		13.05	40			Percent of total billed charges		5.8	80			Percent of total billed charges		11.6	90			Percent of total billed charges		13.05	85			Percent of total billed charges		12.325	85			Percent of total billed charges		12.325	85			Percent of total billed charges		12.325	100			Percent of total billed charges		14.5	100			Percent of total billed charges		14.5	100			Percent of total billed charges		14.5	33.3			Percent of total billed charges		4.8285	33.3			Percent of total billed charges		4.8285	100			Percent of total billed charges		14.5	4.8285	13.05	
adhesive liquid mastisol sterile vial	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
alleryn 7x7	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
baxter y-set w/press.pump	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
bone wax	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
briefs adult med	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
cath foley 22fr 30cc sil	272	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
"cath,coudet-tip #14"	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
"cath,coudet-tip, #12"	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
circuit ventilator neonatal	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
cotton ball double strung ster 30-035	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
"cotton ball, prestrung"	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
18 g entry needle medi-tech 44-169	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
axillary block	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
cath lab adhesive liquid mastisol	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
cath lab huber needle	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
cotton ball double strung ster 30-035 t&a	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
dental fuji plus	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
drape steri	272	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
drugs dispensed at sandersville family clinic - $15	983	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
filter neonate	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
free mayo needles 209505	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
free needle 1/2 cutting 216407 richard allan	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
free needle mayo 1/2 taper 216735 s/nard-allen	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
"hose, a.e. knee, lg-r"	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
dinapt adapter bipolor kt	272	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
dr. peasley liver bx tray	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
dressing aquacel ag .75x18 rope/ribbon	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
endo tube cuffed	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
endo tube uncuffed	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
entry needle	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
free needle keith s/nard allen 2134-5	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
gc fuji plus capsule 326-0932 patterson	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
gortex tunneler	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
mastisol adhesive	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
mastisol liquid adhesive	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
huber needle 20g 1 inch	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
huber needle 20g 3/4 inch	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
huber needle 20g 3/4 inch scnt	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
hypo blanket csz873 12x18	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
nasal aspirator bbg93032	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
needle spinal 22 x 1 1/2g 405161 bd	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
needle surgeon 2091-16 ra	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
needle surgeon 2095-16 ra	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
needle surgeon 2095-6 ra	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
needle surgeon 209505 anch	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
needle surgeon 2164-7 ra	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
needle surgeon 2167 ra	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
needle surgeon 2180-20 ra	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
needle surgeon mayo catgut 1/2 circle taper #6 1824-6dg anch	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
ostomy eakins cohes seal	272	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
keith needle 213405	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
level 1 y-connector	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
lph (b basket)	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
metal tunneler	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
needle angio onewall 18 x 7cm an18t71w majestik	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
needle spinal 22gx31/2 bd405181	272	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
needle surgeon 1095-16 ra	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
needle surgeon 2091-13 ra	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
needle surgeon 2169-5 ra	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
needle surgeon 2181-03 ra	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
needle surgeon 22673.5 ra	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
needle surgeon murphy hemo 1/2 circle taper #00 2180-00 ra	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
ointment 2ni squ324908	272	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
reston pad	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
resuscitator bag adult w/nom	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
set adm blood y type baxter 2c7623	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
set blood/sol y-type w/2 inj 4c8723  (ld)	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
spinal needle 20g x 3.5 405182 bd	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
spinal needle 22g  5 1/2  havel hxn140-22	272	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
spinal needle 22g x 5 bd 405148	272	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
strap cold therapy 50620	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
suture needle	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
toomey syringe 60cc 5603-tce mentor	272	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
trach care kit	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
spinal needle 18g 6 t418g601 myco	272	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
spinal needle 18g x 3 405174 bd	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
spinal needle 22g x 7 che22g701 myco med	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
spinal needle 25g 31/2 405138 bd	272	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
sponge lap prewash 18x18 ster 400/kc6522	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
sponges lap 18 x 18	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
steri-drape 12 x 18 05-td1218 advance	272	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
suture w31g bone wax 2.5grams	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
syringe toomey	272	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
toomey syringe 041170	272	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
trach tube 4.5 uncuffed	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
tube cuffed lo pro 4.5	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
tube lo pro cuffed 6.5	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
tube trach lo pro uncuffed 3.5	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
tube trach lo pro uncuffed 4.0 86225	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
tube trach lo pro uncuffed 5.0	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
tube trach lo-pro 4.0mm	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
tube trach ped id3.0mm od4.5 30ped	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
tube trach ped id4.5mm 0d6.5 45ped	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
"tube, trach cuff oral/nasal murphy w/con 3.0mm mallm 86043"	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
"tube, trach cuff oral/nasal murphy w/con 3.5mm mallm 86044"	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
"tube, trach cuff oral/nasal murphy w/con 5.0mm mallm 86047"	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
"tube, trach uncuf oral/nasal murphy  6.5mm mallm 86230"	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
"tube, tracheal uncuf nasal murphy 4.0mm kend 5-22108"	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
"tube, tracheal uncuf nasal murphy 4.5mm kend 5-22109"	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
tunneler	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
tunneler 601930 disposable bard	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
zzscrmc cluco disp.needle guides	621	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
tube endo cuffed 7.0	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
tube lo pro cuffed 7.0	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
tube lo pro cuffed 7.5 86052	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
tube lo pro cuffed 8.0	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
tube rectal	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
tube rectal lub 24 fr 20 n/s 155731	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
tube trach cuff 6.0 86049	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
tube trach ped id3.5mm od5.2 35 ped	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
tube trach ped id4.0mm 0d5.9 40ped	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
tube trach ped id5.0mm 0d7.1 50 ped	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
"tube, trach uncuf oral/nasal murphy 3.0mm mallm 86223"	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
"tube, trach uncuf oral/nasal murphy 6.0mm mallm 86229"	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
wire cutters take home	270	RC	Outpatient			15	9.75		90			Percent of total billed charges		13.5	40			Percent of total billed charges		6	80			Percent of total billed charges		12	90			Percent of total billed charges		13.5	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	85			Percent of total billed charges		12.75	100			Percent of total billed charges		15	100			Percent of total billed charges		15	100			Percent of total billed charges		15	33.3			Percent of total billed charges		4.995	33.3			Percent of total billed charges		4.995	100			Percent of total billed charges		15	4.995	13.5	
cathay grounding pad w/ cabel ref gp2020d-ac	270	RC	Outpatient			15.4	10.01		90			Percent of total billed charges		13.86	40			Percent of total billed charges		6.16	80			Percent of total billed charges		12.32	90			Percent of total billed charges		13.86	85			Percent of total billed charges		13.09	85			Percent of total billed charges		13.09	85			Percent of total billed charges		13.09	100			Percent of total billed charges		15.4	100			Percent of total billed charges		15.4	100			Percent of total billed charges		15.4	33.3			Percent of total billed charges		5.1282	33.3			Percent of total billed charges		5.1282	100			Percent of total billed charges		15.4	5.1282	13.86	
18 fr un-vented leveen tube davol 4418	270	RC	Outpatient			16	10.4		90			Percent of total billed charges		14.4	40			Percent of total billed charges		6.4	80			Percent of total billed charges		12.8	90			Percent of total billed charges		14.4	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	100			Percent of total billed charges		16	100			Percent of total billed charges		16	100			Percent of total billed charges		16	33.3			Percent of total billed charges		5.328	33.3			Percent of total billed charges		5.328	100			Percent of total billed charges		16	5.328	14.4	
boot suture 1001-514	270	RC	Outpatient			16	10.4		90			Percent of total billed charges		14.4	40			Percent of total billed charges		6.4	80			Percent of total billed charges		12.8	90			Percent of total billed charges		14.4	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	100			Percent of total billed charges		16	100			Percent of total billed charges		16	100			Percent of total billed charges		16	33.3			Percent of total billed charges		5.328	33.3			Percent of total billed charges		5.328	100			Percent of total billed charges		16	5.328	14.4	
brachial plexus set	270	RC	Outpatient			16	10.4		90			Percent of total billed charges		14.4	40			Percent of total billed charges		6.4	80			Percent of total billed charges		12.8	90			Percent of total billed charges		14.4	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	100			Percent of total billed charges		16	100			Percent of total billed charges		16	100			Percent of total billed charges		16	33.3			Percent of total billed charges		5.328	33.3			Percent of total billed charges		5.328	100			Percent of total billed charges		16	5.328	14.4	
"briefs, adult-youth"	270	RC	Outpatient			16	10.4		90			Percent of total billed charges		14.4	40			Percent of total billed charges		6.4	80			Percent of total billed charges		12.8	90			Percent of total billed charges		14.4	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	100			Percent of total billed charges		16	100			Percent of total billed charges		16	100			Percent of total billed charges		16	33.3			Percent of total billed charges		5.328	33.3			Percent of total billed charges		5.328	100			Percent of total billed charges		16	5.328	14.4	
"cast, sugar tong, child"	270	RC	Outpatient			16	10.4		90			Percent of total billed charges		14.4	40			Percent of total billed charges		6.4	80			Percent of total billed charges		12.8	90			Percent of total billed charges		14.4	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	100			Percent of total billed charges		16	100			Percent of total billed charges		16	100			Percent of total billed charges		16	33.3			Percent of total billed charges		5.328	33.3			Percent of total billed charges		5.328	100			Percent of total billed charges		16	5.328	14.4	
cchd screening	270	RC	Outpatient			16	10.4		90			Percent of total billed charges		14.4	40			Percent of total billed charges		6.4	80			Percent of total billed charges		12.8	90			Percent of total billed charges		14.4	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	100			Percent of total billed charges		16	100			Percent of total billed charges		16	100			Percent of total billed charges		16	33.3			Percent of total billed charges		5.328	33.3			Percent of total billed charges		5.328	100			Percent of total billed charges		16	5.328	14.4	
10 fr leveen tube mallinckrott 85780	270	RC	Outpatient			16	10.4		90			Percent of total billed charges		14.4	40			Percent of total billed charges		6.4	80			Percent of total billed charges		12.8	90			Percent of total billed charges		14.4	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	100			Percent of total billed charges		16	100			Percent of total billed charges		16	100			Percent of total billed charges		16	33.3			Percent of total billed charges		5.328	33.3			Percent of total billed charges		5.328	100			Percent of total billed charges		16	5.328	14.4	
ace bandage 3	270	RC	Outpatient			16	10.4		90			Percent of total billed charges		14.4	40			Percent of total billed charges		6.4	80			Percent of total billed charges		12.8	90			Percent of total billed charges		14.4	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	100			Percent of total billed charges		16	100			Percent of total billed charges		16	100			Percent of total billed charges		16	33.3			Percent of total billed charges		5.328	33.3			Percent of total billed charges		5.328	100			Percent of total billed charges		16	5.328	14.4	
athletic support med	270	RC	Outpatient			16	10.4		90			Percent of total billed charges		14.4	40			Percent of total billed charges		6.4	80			Percent of total billed charges		12.8	90			Percent of total billed charges		14.4	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	100			Percent of total billed charges		16	100			Percent of total billed charges		16	100			Percent of total billed charges		16	33.3			Percent of total billed charges		5.328	33.3			Percent of total billed charges		5.328	100			Percent of total billed charges		16	5.328	14.4	
cath foley 20fr 30cc	272	RC	Outpatient			16	10.4		90			Percent of total billed charges		14.4	40			Percent of total billed charges		6.4	80			Percent of total billed charges		12.8	90			Percent of total billed charges		14.4	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	100			Percent of total billed charges		16	100			Percent of total billed charges		16	100			Percent of total billed charges		16	33.3			Percent of total billed charges		5.328	33.3			Percent of total billed charges		5.328	100			Percent of total billed charges		16	5.328	14.4	
collector fecal drain9821	272	RC	Outpatient			16	10.4		90			Percent of total billed charges		14.4	40			Percent of total billed charges		6.4	80			Percent of total billed charges		12.8	90			Percent of total billed charges		14.4	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	100			Percent of total billed charges		16	100			Percent of total billed charges		16	100			Percent of total billed charges		16	33.3			Percent of total billed charges		5.328	33.3			Percent of total billed charges		5.328	100			Percent of total billed charges		16	5.328	14.4	
elbow sleeve	270	RC	Outpatient			16	10.4		90			Percent of total billed charges		14.4	40			Percent of total billed charges		6.4	80			Percent of total billed charges		12.8	90			Percent of total billed charges		14.4	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	100			Percent of total billed charges		16	100			Percent of total billed charges		16	100			Percent of total billed charges		16	33.3			Percent of total billed charges		5.328	33.3			Percent of total billed charges		5.328	100			Percent of total billed charges		16	5.328	14.4	
enteral feeding pumps per	270	RC	Outpatient			16	10.4		90			Percent of total billed charges		14.4	40			Percent of total billed charges		6.4	80			Percent of total billed charges		12.8	90			Percent of total billed charges		14.4	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	100			Percent of total billed charges		16	100			Percent of total billed charges		16	100			Percent of total billed charges		16	33.3			Percent of total billed charges		5.328	33.3			Percent of total billed charges		5.328	100			Percent of total billed charges		16	5.328	14.4	
"flange, durahesive 2 1/4"	270	RC	Outpatient			16	10.4		90			Percent of total billed charges		14.4	40			Percent of total billed charges		6.4	80			Percent of total billed charges		12.8	90			Percent of total billed charges		14.4	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	100			Percent of total billed charges		16	100			Percent of total billed charges		16	100			Percent of total billed charges		16	33.3			Percent of total billed charges		5.328	33.3			Percent of total billed charges		5.328	100			Percent of total billed charges		16	5.328	14.4	
"flange, ostomy 1 1/2"	270	RC	Outpatient			16	10.4		90			Percent of total billed charges		14.4	40			Percent of total billed charges		6.4	80			Percent of total billed charges		12.8	90			Percent of total billed charges		14.4	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	100			Percent of total billed charges		16	100			Percent of total billed charges		16	100			Percent of total billed charges		16	33.3			Percent of total billed charges		5.328	33.3			Percent of total billed charges		5.328	100			Percent of total billed charges		16	5.328	14.4	
"flange,ostomy 1.75"	270	RC	Outpatient			16	10.4		90			Percent of total billed charges		14.4	40			Percent of total billed charges		6.4	80			Percent of total billed charges		12.8	90			Percent of total billed charges		14.4	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	100			Percent of total billed charges		16	100			Percent of total billed charges		16	100			Percent of total billed charges		16	33.3			Percent of total billed charges		5.328	33.3			Percent of total billed charges		5.328	100			Percent of total billed charges		16	5.328	14.4	
"flange,ostomy 2.75"	270	RC	Outpatient			16	10.4		90			Percent of total billed charges		14.4	40			Percent of total billed charges		6.4	80			Percent of total billed charges		12.8	90			Percent of total billed charges		14.4	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	100			Percent of total billed charges		16	100			Percent of total billed charges		16	100			Percent of total billed charges		16	33.3			Percent of total billed charges		5.328	33.3			Percent of total billed charges		5.328	100			Percent of total billed charges		16	5.328	14.4	
dressing allevyn life sacrum large	270	RC	Outpatient			16	10.4		90			Percent of total billed charges		14.4	40			Percent of total billed charges		6.4	80			Percent of total billed charges		12.8	90			Percent of total billed charges		14.4	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	100			Percent of total billed charges		16	100			Percent of total billed charges		16	100			Percent of total billed charges		16	33.3			Percent of total billed charges		5.328	33.3			Percent of total billed charges		5.328	100			Percent of total billed charges		16	5.328	14.4	
"flange, ostomy 2"	270	RC	Outpatient			16	10.4		90			Percent of total billed charges		14.4	40			Percent of total billed charges		6.4	80			Percent of total billed charges		12.8	90			Percent of total billed charges		14.4	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	100			Percent of total billed charges		16	100			Percent of total billed charges		16	100			Percent of total billed charges		16	33.3			Percent of total billed charges		5.328	33.3			Percent of total billed charges		5.328	100			Percent of total billed charges		16	5.328	14.4	
"flange,ostomy 2.25"	270	RC	Outpatient			16	10.4		90			Percent of total billed charges		14.4	40			Percent of total billed charges		6.4	80			Percent of total billed charges		12.8	90			Percent of total billed charges		14.4	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	100			Percent of total billed charges		16	100			Percent of total billed charges		16	100			Percent of total billed charges		16	33.3			Percent of total billed charges		5.328	33.3			Percent of total billed charges		5.328	100			Percent of total billed charges		16	5.328	14.4	
"flange,ostomy 4"	270	RC	Outpatient			16	10.4		90			Percent of total billed charges		14.4	40			Percent of total billed charges		6.4	80			Percent of total billed charges		12.8	90			Percent of total billed charges		14.4	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	100			Percent of total billed charges		16	100			Percent of total billed charges		16	100			Percent of total billed charges		16	33.3			Percent of total billed charges		5.328	33.3			Percent of total billed charges		5.328	100			Percent of total billed charges		16	5.328	14.4	
multi-pack sponges	270	RC	Outpatient			16	10.4		90			Percent of total billed charges		14.4	40			Percent of total billed charges		6.4	80			Percent of total billed charges		12.8	90			Percent of total billed charges		14.4	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	100			Percent of total billed charges		16	100			Percent of total billed charges		16	100			Percent of total billed charges		16	33.3			Percent of total billed charges		5.328	33.3			Percent of total billed charges		5.328	100			Percent of total billed charges		16	5.328	14.4	
jet-x nut	278	RC	Outpatient			16	10.4		90			Percent of total billed charges		14.4	40			Percent of total billed charges		6.4	80			Percent of total billed charges		12.8	90			Percent of total billed charges		14.4	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	100			Percent of total billed charges		16	100			Percent of total billed charges		16	100			Percent of total billed charges		16	33.3			Percent of total billed charges		5.328	33.3			Percent of total billed charges		5.328	100			Percent of total billed charges		16	5.328	14.4	
pack colorado  algo pack  040546	270	RC	Outpatient			16	10.4		90			Percent of total billed charges		14.4	40			Percent of total billed charges		6.4	80			Percent of total billed charges		12.8	90			Percent of total billed charges		14.4	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	100			Percent of total billed charges		16	100			Percent of total billed charges		16	100			Percent of total billed charges		16	33.3			Percent of total billed charges		5.328	33.3			Percent of total billed charges		5.328	100			Percent of total billed charges		16	5.328	14.4	
sheath ob turator 7fr	270	RC	Outpatient			16	10.4		90			Percent of total billed charges		14.4	40			Percent of total billed charges		6.4	80			Percent of total billed charges		12.8	90			Percent of total billed charges		14.4	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	100			Percent of total billed charges		16	100			Percent of total billed charges		16	100			Percent of total billed charges		16	33.3			Percent of total billed charges		5.328	33.3			Percent of total billed charges		5.328	100			Percent of total billed charges		16	5.328	14.4	
suture boots	270	RC	Outpatient			16	10.4		90			Percent of total billed charges		14.4	40			Percent of total billed charges		6.4	80			Percent of total billed charges		12.8	90			Percent of total billed charges		14.4	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	100			Percent of total billed charges		16	100			Percent of total billed charges		16	100			Percent of total billed charges		16	33.3			Percent of total billed charges		5.328	33.3			Percent of total billed charges		5.328	100			Percent of total billed charges		16	5.328	14.4	
s/n jet-x fixator 10mm nut 10-3300	278	RC	Outpatient			16	10.4		90			Percent of total billed charges		14.4	40			Percent of total billed charges		6.4	80			Percent of total billed charges		12.8	90			Percent of total billed charges		14.4	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	100			Percent of total billed charges		16	100			Percent of total billed charges		16	100			Percent of total billed charges		16	33.3			Percent of total billed charges		5.328	33.3			Percent of total billed charges		5.328	100			Percent of total billed charges		16	5.328	14.4	
"scrub suit, disposable"	270	RC	Outpatient			16	10.4		90			Percent of total billed charges		14.4	40			Percent of total billed charges		6.4	80			Percent of total billed charges		12.8	90			Percent of total billed charges		14.4	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	100			Percent of total billed charges		16	100			Percent of total billed charges		16	100			Percent of total billed charges		16	33.3			Percent of total billed charges		5.328	33.3			Percent of total billed charges		5.328	100			Percent of total billed charges		16	5.328	14.4	
set anes brachial plexus	270	RC	Outpatient			16	10.4		90			Percent of total billed charges		14.4	40			Percent of total billed charges		6.4	80			Percent of total billed charges		12.8	90			Percent of total billed charges		14.4	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	100			Percent of total billed charges		16	100			Percent of total billed charges		16	100			Percent of total billed charges		16	33.3			Percent of total billed charges		5.328	33.3			Percent of total billed charges		5.328	100			Percent of total billed charges		16	5.328	14.4	
tube et 4.0 slick set	272	RC	Outpatient			16	10.4		90			Percent of total billed charges		14.4	40			Percent of total billed charges		6.4	80			Percent of total billed charges		12.8	90			Percent of total billed charges		14.4	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	100			Percent of total billed charges		16	100			Percent of total billed charges		16	100			Percent of total billed charges		16	33.3			Percent of total billed charges		5.328	33.3			Percent of total billed charges		5.328	100			Percent of total billed charges		16	5.328	14.4	
tube ventrol levin 18 fr 85754  8888 266148	270	RC	Outpatient			16	10.4		90			Percent of total billed charges		14.4	40			Percent of total billed charges		6.4	80			Percent of total billed charges		12.8	90			Percent of total billed charges		14.4	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	100			Percent of total billed charges		16	100			Percent of total billed charges		16	100			Percent of total billed charges		16	33.3			Percent of total billed charges		5.328	33.3			Percent of total billed charges		5.328	100			Percent of total billed charges		16	5.328	14.4	
tube ng levin	270	RC	Outpatient			16	10.4		90			Percent of total billed charges		14.4	40			Percent of total billed charges		6.4	80			Percent of total billed charges		12.8	90			Percent of total billed charges		14.4	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	100			Percent of total billed charges		16	100			Percent of total billed charges		16	100			Percent of total billed charges		16	33.3			Percent of total billed charges		5.328	33.3			Percent of total billed charges		5.328	100			Percent of total billed charges		16	5.328	14.4	
tube ventrol levin 12fr 85751  888 266114	270	RC	Outpatient			16	10.4		90			Percent of total billed charges		14.4	40			Percent of total billed charges		6.4	80			Percent of total billed charges		12.8	90			Percent of total billed charges		14.4	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	100			Percent of total billed charges		16	100			Percent of total billed charges		16	100			Percent of total billed charges		16	33.3			Percent of total billed charges		5.328	33.3			Percent of total billed charges		5.328	100			Percent of total billed charges		16	5.328	14.4	
tube ventrol levin 14fr 85752 8888 266122	270	RC	Outpatient			16	10.4		90			Percent of total billed charges		14.4	40			Percent of total billed charges		6.4	80			Percent of total billed charges		12.8	90			Percent of total billed charges		14.4	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	100			Percent of total billed charges		16	100			Percent of total billed charges		16	100			Percent of total billed charges		16	33.3			Percent of total billed charges		5.328	33.3			Percent of total billed charges		5.328	100			Percent of total billed charges		16	5.328	14.4	
tube ventrol levin 16fr 85753 8888 266130	270	RC	Outpatient			16	10.4		90			Percent of total billed charges		14.4	40			Percent of total billed charges		6.4	80			Percent of total billed charges		12.8	90			Percent of total billed charges		14.4	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	85			Percent of total billed charges		13.6	100			Percent of total billed charges		16	100			Percent of total billed charges		16	100			Percent of total billed charges		16	33.3			Percent of total billed charges		5.328	33.3			Percent of total billed charges		5.328	100			Percent of total billed charges		16	5.328	14.4	
d-rad plate template left 71158017 s/n	272	RC	Outpatient			17	11.05		90			Percent of total billed charges		15.3	40			Percent of total billed charges		6.8	80			Percent of total billed charges		13.6	90			Percent of total billed charges		15.3	85			Percent of total billed charges		14.45	85			Percent of total billed charges		14.45	85			Percent of total billed charges		14.45	100			Percent of total billed charges		17	100			Percent of total billed charges		17	100			Percent of total billed charges		17	33.3			Percent of total billed charges		5.661	33.3			Percent of total billed charges		5.661	100			Percent of total billed charges		17	5.661	15.3	
d-rad plate template right 71158018 s/n	272	RC	Outpatient			17	11.05		90			Percent of total billed charges		15.3	40			Percent of total billed charges		6.8	80			Percent of total billed charges		13.6	90			Percent of total billed charges		15.3	85			Percent of total billed charges		14.45	85			Percent of total billed charges		14.45	85			Percent of total billed charges		14.45	100			Percent of total billed charges		17	100			Percent of total billed charges		17	100			Percent of total billed charges		17	33.3			Percent of total billed charges		5.661	33.3			Percent of total billed charges		5.661	100			Percent of total billed charges		17	5.661	15.3	
0.9% sodium chloride 3000cc  normal saline 3000cc bag	258	RC	Outpatient			17	11.05		90			Percent of total billed charges		15.3	40			Percent of total billed charges		6.8	80			Percent of total billed charges		13.6	90			Percent of total billed charges		15.3	85			Percent of total billed charges		14.45	85			Percent of total billed charges		14.45	85			Percent of total billed charges		14.45	100			Percent of total billed charges		17	100			Percent of total billed charges		17	100			Percent of total billed charges		17	33.3			Percent of total billed charges		5.661	33.3			Percent of total billed charges		5.661	100			Percent of total billed charges		17	5.661	15.3	
athletic support large	270	RC	Outpatient			17	11.05		90			Percent of total billed charges		15.3	40			Percent of total billed charges		6.8	80			Percent of total billed charges		13.6	90			Percent of total billed charges		15.3	85			Percent of total billed charges		14.45	85			Percent of total billed charges		14.45	85			Percent of total billed charges		14.45	100			Percent of total billed charges		17	100			Percent of total billed charges		17	100			Percent of total billed charges		17	33.3			Percent of total billed charges		5.661	33.3			Percent of total billed charges		5.661	100			Percent of total billed charges		17	5.661	15.3	
blood component recip set	270	RC	Outpatient			17	11.05		90			Percent of total billed charges		15.3	40			Percent of total billed charges		6.8	80			Percent of total billed charges		13.6	90			Percent of total billed charges		15.3	85			Percent of total billed charges		14.45	85			Percent of total billed charges		14.45	85			Percent of total billed charges		14.45	100			Percent of total billed charges		17	100			Percent of total billed charges		17	100			Percent of total billed charges		17	33.3			Percent of total billed charges		5.661	33.3			Percent of total billed charges		5.661	100			Percent of total billed charges		17	5.661	15.3	
bottle spray trigger st 16oz	270	RC	Outpatient			17	11.05		90			Percent of total billed charges		15.3	40			Percent of total billed charges		6.8	80			Percent of total billed charges		13.6	90			Percent of total billed charges		15.3	85			Percent of total billed charges		14.45	85			Percent of total billed charges		14.45	85			Percent of total billed charges		14.45	100			Percent of total billed charges		17	100			Percent of total billed charges		17	100			Percent of total billed charges		17	33.3			Percent of total billed charges		5.661	33.3			Percent of total billed charges		5.661	100			Percent of total billed charges		17	5.661	15.3	
cath suct stercath w/flx adapter	270	RC	Outpatient			17	11.05		90			Percent of total billed charges		15.3	40			Percent of total billed charges		6.8	80			Percent of total billed charges		13.6	90			Percent of total billed charges		15.3	85			Percent of total billed charges		14.45	85			Percent of total billed charges		14.45	85			Percent of total billed charges		14.45	100			Percent of total billed charges		17	100			Percent of total billed charges		17	100			Percent of total billed charges		17	33.3			Percent of total billed charges		5.661	33.3			Percent of total billed charges		5.661	100			Percent of total billed charges		17	5.661	15.3	
dental cavity lnr	272	RC	Outpatient			17	11.05		90			Percent of total billed charges		15.3	40			Percent of total billed charges		6.8	80			Percent of total billed charges		13.6	90			Percent of total billed charges		15.3	85			Percent of total billed charges		14.45	85			Percent of total billed charges		14.45	85			Percent of total billed charges		14.45	100			Percent of total billed charges		17	100			Percent of total billed charges		17	100			Percent of total billed charges		17	33.3			Percent of total billed charges		5.661	33.3			Percent of total billed charges		5.661	100			Percent of total billed charges		17	5.661	15.3	
duo derm x-thin oval 4x6	270	RC	Outpatient			17	11.05		90			Percent of total billed charges		15.3	40			Percent of total billed charges		6.8	80			Percent of total billed charges		13.6	90			Percent of total billed charges		15.3	85			Percent of total billed charges		14.45	85			Percent of total billed charges		14.45	85			Percent of total billed charges		14.45	100			Percent of total billed charges		17	100			Percent of total billed charges		17	100			Percent of total billed charges		17	33.3			Percent of total billed charges		5.661	33.3			Percent of total billed charges		5.661	100			Percent of total billed charges		17	5.661	15.3	
hose ted anti-emb th me-long 3549lf	270	RC	Outpatient			17	11.05		90			Percent of total billed charges		15.3	40			Percent of total billed charges		6.8	80			Percent of total billed charges		13.6	90			Percent of total billed charges		15.3	85			Percent of total billed charges		14.45	85			Percent of total billed charges		14.45	85			Percent of total billed charges		14.45	100			Percent of total billed charges		17	100			Percent of total billed charges		17	100			Percent of total billed charges		17	33.3			Percent of total billed charges		5.661	33.3			Percent of total billed charges		5.661	100			Percent of total billed charges		17	5.661	15.3	
hose ted anti-emb thigh lg-reg 3728lf	270	RC	Outpatient			17	11.05		90			Percent of total billed charges		15.3	40			Percent of total billed charges		6.8	80			Percent of total billed charges		13.6	90			Percent of total billed charges		15.3	85			Percent of total billed charges		14.45	85			Percent of total billed charges		14.45	85			Percent of total billed charges		14.45	100			Percent of total billed charges		17	100			Percent of total billed charges		17	100			Percent of total billed charges		17	33.3			Percent of total billed charges		5.661	33.3			Percent of total billed charges		5.661	100			Percent of total billed charges		17	5.661	15.3	
hose ted anti-emb thigh lg-short 3634lf	270	RC	Outpatient			17	11.05		90			Percent of total billed charges		15.3	40			Percent of total billed charges		6.8	80			Percent of total billed charges		13.6	90			Percent of total billed charges		15.3	85			Percent of total billed charges		14.45	85			Percent of total billed charges		14.45	85			Percent of total billed charges		14.45	100			Percent of total billed charges		17	100			Percent of total billed charges		17	100			Percent of total billed charges		17	33.3			Percent of total billed charges		5.661	33.3			Percent of total billed charges		5.661	100			Percent of total billed charges		17	5.661	15.3	
hose ted anti-emb thigh md-short 3310lf	270	RC	Outpatient			17	11.05		90			Percent of total billed charges		15.3	40			Percent of total billed charges		6.8	80			Percent of total billed charges		13.6	90			Percent of total billed charges		15.3	85			Percent of total billed charges		14.45	85			Percent of total billed charges		14.45	85			Percent of total billed charges		14.45	100			Percent of total billed charges		17	100			Percent of total billed charges		17	100			Percent of total billed charges		17	33.3			Percent of total billed charges		5.661	33.3			Percent of total billed charges		5.661	100			Percent of total billed charges		17	5.661	15.3	
hose ted anti-emb thigh sm short 3071lf	270	RC	Outpatient			17	11.05		90			Percent of total billed charges		15.3	40			Percent of total billed charges		6.8	80			Percent of total billed charges		13.6	90			Percent of total billed charges		15.3	85			Percent of total billed charges		14.45	85			Percent of total billed charges		14.45	85			Percent of total billed charges		14.45	100			Percent of total billed charges		17	100			Percent of total billed charges		17	100			Percent of total billed charges		17	33.3			Percent of total billed charges		5.661	33.3			Percent of total billed charges		5.661	100			Percent of total billed charges		17	5.661	15.3	
hose ted anti-emb thigh sm-long 3222lf	270	RC	Outpatient			17	11.05		90			Percent of total billed charges		15.3	40			Percent of total billed charges		6.8	80			Percent of total billed charges		13.6	90			Percent of total billed charges		15.3	85			Percent of total billed charges		14.45	85			Percent of total billed charges		14.45	85			Percent of total billed charges		14.45	100			Percent of total billed charges		17	100			Percent of total billed charges		17	100			Percent of total billed charges		17	33.3			Percent of total billed charges		5.661	33.3			Percent of total billed charges		5.661	100			Percent of total billed charges		17	5.661	15.3	
dressing carra gauze 2x2	270	RC	Outpatient			17	11.05		90			Percent of total billed charges		15.3	40			Percent of total billed charges		6.8	80			Percent of total billed charges		13.6	90			Percent of total billed charges		15.3	85			Percent of total billed charges		14.45	85			Percent of total billed charges		14.45	85			Percent of total billed charges		14.45	100			Percent of total billed charges		17	100			Percent of total billed charges		17	100			Percent of total billed charges		17	33.3			Percent of total billed charges		5.661	33.3			Percent of total billed charges		5.661	100			Percent of total billed charges		17	5.661	15.3	
dressing wound air st7542	272	RC	Outpatient			17	11.05		90			Percent of total billed charges		15.3	40			Percent of total billed charges		6.8	80			Percent of total billed charges		13.6	90			Percent of total billed charges		15.3	85			Percent of total billed charges		14.45	85			Percent of total billed charges		14.45	85			Percent of total billed charges		14.45	100			Percent of total billed charges		17	100			Percent of total billed charges		17	100			Percent of total billed charges		17	33.3			Percent of total billed charges		5.661	33.3			Percent of total billed charges		5.661	100			Percent of total billed charges		17	5.661	15.3	
hearing screening supply charge	270	RC	Outpatient			17	11.05		90			Percent of total billed charges		15.3	40			Percent of total billed charges		6.8	80			Percent of total billed charges		13.6	90			Percent of total billed charges		15.3	85			Percent of total billed charges		14.45	85			Percent of total billed charges		14.45	85			Percent of total billed charges		14.45	100			Percent of total billed charges		17	100			Percent of total billed charges		17	100			Percent of total billed charges		17	33.3			Percent of total billed charges		5.661	33.3			Percent of total billed charges		5.661	100			Percent of total billed charges		17	5.661	15.3	
hose ted anti-emb thigh lg-long 3856lf	270	RC	Outpatient			17	11.05		90			Percent of total billed charges		15.3	40			Percent of total billed charges		6.8	80			Percent of total billed charges		13.6	90			Percent of total billed charges		15.3	85			Percent of total billed charges		14.45	85			Percent of total billed charges		14.45	85			Percent of total billed charges		14.45	100			Percent of total billed charges		17	100			Percent of total billed charges		17	100			Percent of total billed charges		17	33.3			Percent of total billed charges		5.661	33.3			Percent of total billed charges		5.661	100			Percent of total billed charges		17	5.661	15.3	
hose ted anti-emb thigh md-reg 3416lf	270	RC	Outpatient			17	11.05		90			Percent of total billed charges		15.3	40			Percent of total billed charges		6.8	80			Percent of total billed charges		13.6	90			Percent of total billed charges		15.3	85			Percent of total billed charges		14.45	85			Percent of total billed charges		14.45	85			Percent of total billed charges		14.45	100			Percent of total billed charges		17	100			Percent of total billed charges		17	100			Percent of total billed charges		17	33.3			Percent of total billed charges		5.661	33.3			Percent of total billed charges		5.661	100			Percent of total billed charges		17	5.661	15.3	
hose ted anti-emb thigh sm-reg 3130lf	270	RC	Outpatient			17	11.05		90			Percent of total billed charges		15.3	40			Percent of total billed charges		6.8	80			Percent of total billed charges		13.6	90			Percent of total billed charges		15.3	85			Percent of total billed charges		14.45	85			Percent of total billed charges		14.45	85			Percent of total billed charges		14.45	100			Percent of total billed charges		17	100			Percent of total billed charges		17	100			Percent of total billed charges		17	33.3			Percent of total billed charges		5.661	33.3			Percent of total billed charges		5.661	100			Percent of total billed charges		17	5.661	15.3	
oxisensor neonatal max-n	270	RC	Outpatient			17	11.05		90			Percent of total billed charges		15.3	40			Percent of total billed charges		6.8	80			Percent of total billed charges		13.6	90			Percent of total billed charges		15.3	85			Percent of total billed charges		14.45	85			Percent of total billed charges		14.45	85			Percent of total billed charges		14.45	100			Percent of total billed charges		17	100			Percent of total billed charges		17	100			Percent of total billed charges		17	33.3			Percent of total billed charges		5.661	33.3			Percent of total billed charges		5.661	100			Percent of total billed charges		17	5.661	15.3	
padded wrist band	270	RC	Outpatient			17	11.05		90			Percent of total billed charges		15.3	40			Percent of total billed charges		6.8	80			Percent of total billed charges		13.6	90			Percent of total billed charges		15.3	85			Percent of total billed charges		14.45	85			Percent of total billed charges		14.45	85			Percent of total billed charges		14.45	100			Percent of total billed charges		17	100			Percent of total billed charges		17	100			Percent of total billed charges		17	33.3			Percent of total billed charges		5.661	33.3			Percent of total billed charges		5.661	100			Percent of total billed charges		17	5.661	15.3	
life cavity liner pck fast set 427-6986 patterson	272	RC	Outpatient			17	11.05		90			Percent of total billed charges		15.3	40			Percent of total billed charges		6.8	80			Percent of total billed charges		13.6	90			Percent of total billed charges		15.3	85			Percent of total billed charges		14.45	85			Percent of total billed charges		14.45	85			Percent of total billed charges		14.45	100			Percent of total billed charges		17	100			Percent of total billed charges		17	100			Percent of total billed charges		17	33.3			Percent of total billed charges		5.661	33.3			Percent of total billed charges		5.661	100			Percent of total billed charges		17	5.661	15.3	
matristem wnd mat per1sqc	272	RC	Outpatient			17	11.05		90			Percent of total billed charges		15.3	40			Percent of total billed charges		6.8	80			Percent of total billed charges		13.6	90			Percent of total billed charges		15.3	85			Percent of total billed charges		14.45	85			Percent of total billed charges		14.45	85			Percent of total billed charges		14.45	100			Percent of total billed charges		17	100			Percent of total billed charges		17	100			Percent of total billed charges		17	33.3			Percent of total billed charges		5.661	33.3			Percent of total billed charges		5.661	100			Percent of total billed charges		17	5.661	15.3	
normal saline nacl 2000cc bag	258	RC	Outpatient			17	11.05		90			Percent of total billed charges		15.3	40			Percent of total billed charges		6.8	80			Percent of total billed charges		13.6	90			Percent of total billed charges		15.3	85			Percent of total billed charges		14.45	85			Percent of total billed charges		14.45	85			Percent of total billed charges		14.45	100			Percent of total billed charges		17	100			Percent of total billed charges		17	100			Percent of total billed charges		17	33.3			Percent of total billed charges		5.661	33.3			Percent of total billed charges		5.661	100			Percent of total billed charges		17	5.661	15.3	
oxisensor neonatal 1862	270	RC	Outpatient			17	11.05		90			Percent of total billed charges		15.3	40			Percent of total billed charges		6.8	80			Percent of total billed charges		13.6	90			Percent of total billed charges		15.3	85			Percent of total billed charges		14.45	85			Percent of total billed charges		14.45	85			Percent of total billed charges		14.45	100			Percent of total billed charges		17	100			Percent of total billed charges		17	100			Percent of total billed charges		17	33.3			Percent of total billed charges		5.661	33.3			Percent of total billed charges		5.661	100			Percent of total billed charges		17	5.661	15.3	
padded wrist restraint--holde limb easy on wrist univ m20 qtxm2011du	270	RC	Outpatient			17	11.05		90			Percent of total billed charges		15.3	40			Percent of total billed charges		6.8	80			Percent of total billed charges		13.6	90			Percent of total billed charges		15.3	85			Percent of total billed charges		14.45	85			Percent of total billed charges		14.45	85			Percent of total billed charges		14.45	100			Percent of total billed charges		17	100			Percent of total billed charges		17	100			Percent of total billed charges		17	33.3			Percent of total billed charges		5.661	33.3			Percent of total billed charges		5.661	100			Percent of total billed charges		17	5.661	15.3	
s/n rad template	272	RC	Outpatient			17	11.05		90			Percent of total billed charges		15.3	40			Percent of total billed charges		6.8	80			Percent of total billed charges		13.6	90			Percent of total billed charges		15.3	85			Percent of total billed charges		14.45	85			Percent of total billed charges		14.45	85			Percent of total billed charges		14.45	100			Percent of total billed charges		17	100			Percent of total billed charges		17	100			Percent of total billed charges		17	33.3			Percent of total billed charges		5.661	33.3			Percent of total billed charges		5.661	100			Percent of total billed charges		17	5.661	15.3	
spray bottle sterile	270	RC	Outpatient			17	11.05		90			Percent of total billed charges		15.3	40			Percent of total billed charges		6.8	80			Percent of total billed charges		13.6	90			Percent of total billed charges		15.3	85			Percent of total billed charges		14.45	85			Percent of total billed charges		14.45	85			Percent of total billed charges		14.45	100			Percent of total billed charges		17	100			Percent of total billed charges		17	100			Percent of total billed charges		17	33.3			Percent of total billed charges		5.661	33.3			Percent of total billed charges		5.661	100			Percent of total billed charges		17	5.661	15.3	
scpf huber needle 20 g 1 1/2 inch	270	RC	Outpatient			17	11.05		90			Percent of total billed charges		15.3	40			Percent of total billed charges		6.8	80			Percent of total billed charges		13.6	90			Percent of total billed charges		15.3	85			Percent of total billed charges		14.45	85			Percent of total billed charges		14.45	85			Percent of total billed charges		14.45	100			Percent of total billed charges		17	100			Percent of total billed charges		17	100			Percent of total billed charges		17	33.3			Percent of total billed charges		5.661	33.3			Percent of total billed charges		5.661	100			Percent of total billed charges		17	5.661	15.3	
scpf huber needle 22 g 3/4 inch	270	RC	Outpatient			17	11.05		90			Percent of total billed charges		15.3	40			Percent of total billed charges		6.8	80			Percent of total billed charges		13.6	90			Percent of total billed charges		15.3	85			Percent of total billed charges		14.45	85			Percent of total billed charges		14.45	85			Percent of total billed charges		14.45	100			Percent of total billed charges		17	100			Percent of total billed charges		17	100			Percent of total billed charges		17	33.3			Percent of total billed charges		5.661	33.3			Percent of total billed charges		5.661	100			Percent of total billed charges		17	5.661	15.3	
sodium chloride 3000cc	258	RC	Outpatient			17	11.05		90			Percent of total billed charges		15.3	40			Percent of total billed charges		6.8	80			Percent of total billed charges		13.6	90			Percent of total billed charges		15.3	85			Percent of total billed charges		14.45	85			Percent of total billed charges		14.45	85			Percent of total billed charges		14.45	100			Percent of total billed charges		17	100			Percent of total billed charges		17	100			Percent of total billed charges		17	33.3			Percent of total billed charges		5.661	33.3			Percent of total billed charges		5.661	100			Percent of total billed charges		17	5.661	15.3	
wrist restraint	270	RC	Outpatient			17	11.05		90			Percent of total billed charges		15.3	40			Percent of total billed charges		6.8	80			Percent of total billed charges		13.6	90			Percent of total billed charges		15.3	85			Percent of total billed charges		14.45	85			Percent of total billed charges		14.45	85			Percent of total billed charges		14.45	100			Percent of total billed charges		17	100			Percent of total billed charges		17	100			Percent of total billed charges		17	33.3			Percent of total billed charges		5.661	33.3			Percent of total billed charges		5.661	100			Percent of total billed charges		17	5.661	15.3	
12fr red rubber cath (cbe)	270	RC	Outpatient			18	11.7		90			Percent of total billed charges		16.2	40			Percent of total billed charges		7.2	80			Percent of total billed charges		14.4	90			Percent of total billed charges		16.2	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	100			Percent of total billed charges		18	100			Percent of total billed charges		18	100			Percent of total billed charges		18	33.3			Percent of total billed charges		5.994	33.3			Percent of total billed charges		5.994	100			Percent of total billed charges		18	5.994	16.2	
2c8750 bloodset	272	RC	Outpatient			18	11.7		90			Percent of total billed charges		16.2	40			Percent of total billed charges		7.2	80			Percent of total billed charges		14.4	90			Percent of total billed charges		16.2	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	100			Percent of total billed charges		18	100			Percent of total billed charges		18	100			Percent of total billed charges		18	33.3			Percent of total billed charges		5.994	33.3			Percent of total billed charges		5.994	100			Percent of total billed charges		18	5.994	16.2	
blade ear angled #72 au0573201	270	RC	Outpatient			18	11.7		90			Percent of total billed charges		16.2	40			Percent of total billed charges		7.2	80			Percent of total billed charges		14.4	90			Percent of total billed charges		16.2	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	100			Percent of total billed charges		18	100			Percent of total billed charges		18	100			Percent of total billed charges		18	33.3			Percent of total billed charges		5.994	33.3			Percent of total billed charges		5.994	100			Percent of total billed charges		18	5.994	16.2	
blade surgical ear spear tip  #71 au05733	270	RC	Outpatient			18	11.7		90			Percent of total billed charges		16.2	40			Percent of total billed charges		7.2	80			Percent of total billed charges		14.4	90			Percent of total billed charges		16.2	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	100			Percent of total billed charges		18	100			Percent of total billed charges		18	100			Percent of total billed charges		18	33.3			Percent of total billed charges		5.994	33.3			Percent of total billed charges		5.994	100			Percent of total billed charges		18	5.994	16.2	
briefs pull-up x-large	270	RC	Outpatient			18	11.7		90			Percent of total billed charges		16.2	40			Percent of total billed charges		7.2	80			Percent of total billed charges		14.4	90			Percent of total billed charges		16.2	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	100			Percent of total billed charges		18	100			Percent of total billed charges		18	100			Percent of total billed charges		18	33.3			Percent of total billed charges		5.994	33.3			Percent of total billed charges		5.994	100			Percent of total billed charges		18	5.994	16.2	
buttons (gastro)	270	RC	Outpatient			18	11.7		90			Percent of total billed charges		16.2	40			Percent of total billed charges		7.2	80			Percent of total billed charges		14.4	90			Percent of total billed charges		16.2	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	100			Percent of total billed charges		18	100			Percent of total billed charges		18	100			Percent of total billed charges		18	33.3			Percent of total billed charges		5.994	33.3			Percent of total billed charges		5.994	100			Percent of total billed charges		18	5.994	16.2	
cath red rubber 18fr str	270	RC	Outpatient			18	11.7		90			Percent of total billed charges		16.2	40			Percent of total billed charges		7.2	80			Percent of total billed charges		14.4	90			Percent of total billed charges		16.2	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	100			Percent of total billed charges		18	100			Percent of total billed charges		18	100			Percent of total billed charges		18	33.3			Percent of total billed charges		5.994	33.3			Percent of total billed charges		5.994	100			Percent of total billed charges		18	5.994	16.2	
cath ureth all purp red rubber 20 fr 246020	270	RC	Outpatient			18	11.7		90			Percent of total billed charges		16.2	40			Percent of total billed charges		7.2	80			Percent of total billed charges		14.4	90			Percent of total billed charges		16.2	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	100			Percent of total billed charges		18	100			Percent of total billed charges		18	100			Percent of total billed charges		18	33.3			Percent of total billed charges		5.994	33.3			Percent of total billed charges		5.994	100			Percent of total billed charges		18	5.994	16.2	
cath urethl all pur red rubber 12fr 0094120	270	RC	Outpatient			18	11.7		90			Percent of total billed charges		16.2	40			Percent of total billed charges		7.2	80			Percent of total billed charges		14.4	90			Percent of total billed charges		16.2	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	100			Percent of total billed charges		18	100			Percent of total billed charges		18	100			Percent of total billed charges		18	33.3			Percent of total billed charges		5.994	33.3			Percent of total billed charges		5.994	100			Percent of total billed charges		18	5.994	16.2	
cobe double stopcock	270	RC	Outpatient			18	11.7		90			Percent of total billed charges		16.2	40			Percent of total billed charges		7.2	80			Percent of total billed charges		14.4	90			Percent of total billed charges		16.2	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	100			Percent of total billed charges		18	100			Percent of total billed charges		18	100			Percent of total billed charges		18	33.3			Percent of total billed charges		5.994	33.3			Percent of total billed charges		5.994	100			Percent of total billed charges		18	5.994	16.2	
10fr red rubber cath (cbe)	270	RC	Outpatient			18	11.7		90			Percent of total billed charges		16.2	40			Percent of total billed charges		7.2	80			Percent of total billed charges		14.4	90			Percent of total billed charges		16.2	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	100			Percent of total billed charges		18	100			Percent of total billed charges		18	100			Percent of total billed charges		18	33.3			Percent of total billed charges		5.994	33.3			Percent of total billed charges		5.994	100			Percent of total billed charges		18	5.994	16.2	
18fr red rubber cath (cbe)	270	RC	Outpatient			18	11.7		90			Percent of total billed charges		16.2	40			Percent of total billed charges		7.2	80			Percent of total billed charges		14.4	90			Percent of total billed charges		16.2	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	100			Percent of total billed charges		18	100			Percent of total billed charges		18	100			Percent of total billed charges		18	33.3			Percent of total billed charges		5.994	33.3			Percent of total billed charges		5.994	100			Percent of total billed charges		18	5.994	16.2	
bag decanter (3562362)	270	RC	Outpatient			18	11.7		90			Percent of total billed charges		16.2	40			Percent of total billed charges		7.2	80			Percent of total billed charges		14.4	90			Percent of total billed charges		16.2	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	100			Percent of total billed charges		18	100			Percent of total billed charges		18	100			Percent of total billed charges		18	33.3			Percent of total billed charges		5.994	33.3			Percent of total billed charges		5.994	100			Percent of total billed charges		18	5.994	16.2	
blade #71 auo5133 v mulleur	270	RC	Outpatient			18	11.7		90			Percent of total billed charges		16.2	40			Percent of total billed charges		7.2	80			Percent of total billed charges		14.4	90			Percent of total billed charges		16.2	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	100			Percent of total billed charges		18	100			Percent of total billed charges		18	100			Percent of total billed charges		18	33.3			Percent of total billed charges		5.994	33.3			Percent of total billed charges		5.994	100			Percent of total billed charges		18	5.994	16.2	
briefs adult xl	270	RC	Outpatient			18	11.7		90			Percent of total billed charges		16.2	40			Percent of total billed charges		7.2	80			Percent of total billed charges		14.4	90			Percent of total billed charges		16.2	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	100			Percent of total billed charges		18	100			Percent of total billed charges		18	100			Percent of total billed charges		18	33.3			Percent of total billed charges		5.994	33.3			Percent of total billed charges		5.994	100			Percent of total billed charges		18	5.994	16.2	
cath red rubber 20fr str 660218	270	RC	Outpatient			18	11.7		90			Percent of total billed charges		16.2	40			Percent of total billed charges		7.2	80			Percent of total billed charges		14.4	90			Percent of total billed charges		16.2	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	100			Percent of total billed charges		18	100			Percent of total billed charges		18	100			Percent of total billed charges		18	33.3			Percent of total billed charges		5.994	33.3			Percent of total billed charges		5.994	100			Percent of total billed charges		18	5.994	16.2	
cath ureth  all purp red rubber 14fr 0094140	270	RC	Outpatient			18	11.7		90			Percent of total billed charges		16.2	40			Percent of total billed charges		7.2	80			Percent of total billed charges		14.4	90			Percent of total billed charges		16.2	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	100			Percent of total billed charges		18	100			Percent of total billed charges		18	100			Percent of total billed charges		18	33.3			Percent of total billed charges		5.994	33.3			Percent of total billed charges		5.994	100			Percent of total billed charges		18	5.994	16.2	
cath ureth  all purp red rubber 16fr dynd41903	270	RC	Outpatient			18	11.7		90			Percent of total billed charges		16.2	40			Percent of total billed charges		7.2	80			Percent of total billed charges		14.4	90			Percent of total billed charges		16.2	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	100			Percent of total billed charges		18	100			Percent of total billed charges		18	100			Percent of total billed charges		18	33.3			Percent of total billed charges		5.994	33.3			Percent of total billed charges		5.994	100			Percent of total billed charges		18	5.994	16.2	
cath ureth all purp 10fr str 0094100	270	RC	Outpatient			18	11.7		90			Percent of total billed charges		16.2	40			Percent of total billed charges		7.2	80			Percent of total billed charges		14.4	90			Percent of total billed charges		16.2	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	100			Percent of total billed charges		18	100			Percent of total billed charges		18	100			Percent of total billed charges		18	33.3			Percent of total billed charges		5.994	33.3			Percent of total billed charges		5.994	100			Percent of total billed charges		18	5.994	16.2	
catheter urethral all purpose red rubber 8fr 00964080	270	RC	Outpatient			18	11.7		90			Percent of total billed charges		16.2	40			Percent of total billed charges		7.2	80			Percent of total billed charges		14.4	90			Percent of total billed charges		16.2	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	100			Percent of total billed charges		18	100			Percent of total billed charges		18	100			Percent of total billed charges		18	33.3			Percent of total billed charges		5.994	33.3			Percent of total billed charges		5.994	100			Percent of total billed charges		18	5.994	16.2	
dressing allevyn 5x5	270	RC	Outpatient			18	11.7		90			Percent of total billed charges		16.2	40			Percent of total billed charges		7.2	80			Percent of total billed charges		14.4	90			Percent of total billed charges		16.2	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	100			Percent of total billed charges		18	100			Percent of total billed charges		18	100			Percent of total billed charges		18	33.3			Percent of total billed charges		5.994	33.3			Percent of total billed charges		5.994	100			Percent of total billed charges		18	5.994	16.2	
dressing allevyn life heel cnt 5	270	RC	Outpatient			18	11.7		90			Percent of total billed charges		16.2	40			Percent of total billed charges		7.2	80			Percent of total billed charges		14.4	90			Percent of total billed charges		16.2	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	100			Percent of total billed charges		18	100			Percent of total billed charges		18	100			Percent of total billed charges		18	33.3			Percent of total billed charges		5.994	33.3			Percent of total billed charges		5.994	100			Percent of total billed charges		18	5.994	16.2	
electrode extended stl disp e1450-6	270	RC	Outpatient			18	11.7		90			Percent of total billed charges		16.2	40			Percent of total billed charges		7.2	80			Percent of total billed charges		14.4	90			Percent of total billed charges		16.2	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	100			Percent of total billed charges		18	100			Percent of total billed charges		18	100			Percent of total billed charges		18	33.3			Percent of total billed charges		5.994	33.3			Percent of total billed charges		5.994	100			Percent of total billed charges		18	5.994	16.2	
electrode extended stl disp e15516	270	RC	Outpatient			18	11.7		90			Percent of total billed charges		16.2	40			Percent of total billed charges		7.2	80			Percent of total billed charges		14.4	90			Percent of total billed charges		16.2	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	100			Percent of total billed charges		18	100			Percent of total billed charges		18	100			Percent of total billed charges		18	33.3			Percent of total billed charges		5.994	33.3			Percent of total billed charges		5.994	100			Percent of total billed charges		18	5.994	16.2	
endo huber needle	272	RC	Outpatient			18	11.7		90			Percent of total billed charges		16.2	40			Percent of total billed charges		7.2	80			Percent of total billed charges		14.4	90			Percent of total billed charges		16.2	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	100			Percent of total billed charges		18	100			Percent of total billed charges		18	100			Percent of total billed charges		18	33.3			Percent of total billed charges		5.994	33.3			Percent of total billed charges		5.994	100			Percent of total billed charges		18	5.994	16.2	
huber needle 20g 1-inch	270	RC	Outpatient			18	11.7		90			Percent of total billed charges		16.2	40			Percent of total billed charges		7.2	80			Percent of total billed charges		14.4	90			Percent of total billed charges		16.2	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	100			Percent of total billed charges		18	100			Percent of total billed charges		18	100			Percent of total billed charges		18	33.3			Percent of total billed charges		5.994	33.3			Percent of total billed charges		5.994	100			Percent of total billed charges		18	5.994	16.2	
huber needle 22g 3/4	270	RC	Outpatient			18	11.7		90			Percent of total billed charges		16.2	40			Percent of total billed charges		7.2	80			Percent of total billed charges		14.4	90			Percent of total billed charges		16.2	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	100			Percent of total billed charges		18	100			Percent of total billed charges		18	100			Percent of total billed charges		18	33.3			Percent of total billed charges		5.994	33.3			Percent of total billed charges		5.994	100			Percent of total billed charges		18	5.994	16.2	
demtal fuji lc	270	RC	Outpatient			18	11.7		90			Percent of total billed charges		16.2	40			Percent of total billed charges		7.2	80			Percent of total billed charges		14.4	90			Percent of total billed charges		16.2	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	100			Percent of total billed charges		18	100			Percent of total billed charges		18	100			Percent of total billed charges		18	33.3			Percent of total billed charges		5.994	33.3			Percent of total billed charges		5.994	100			Percent of total billed charges		18	5.994	16.2	
jurgan pin ball .045 wo45-yl	270	RC	Outpatient			18	11.7		90			Percent of total billed charges		16.2	40			Percent of total billed charges		7.2	80			Percent of total billed charges		14.4	90			Percent of total billed charges		16.2	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	100			Percent of total billed charges		18	100			Percent of total billed charges		18	100			Percent of total billed charges		18	33.3			Percent of total billed charges		5.994	33.3			Percent of total billed charges		5.994	100			Percent of total billed charges		18	5.994	16.2	
jurgan pin ball .062 wo62-gn	270	RC	Outpatient			18	11.7		90			Percent of total billed charges		16.2	40			Percent of total billed charges		7.2	80			Percent of total billed charges		14.4	90			Percent of total billed charges		16.2	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	100			Percent of total billed charges		18	100			Percent of total billed charges		18	100			Percent of total billed charges		18	33.3			Percent of total billed charges		5.994	33.3			Percent of total billed charges		5.994	100			Percent of total billed charges		18	5.994	16.2	
jurgan pin ball .065 w564-bl	270	RC	Outpatient			18	11.7		90			Percent of total billed charges		16.2	40			Percent of total billed charges		7.2	80			Percent of total billed charges		14.4	90			Percent of total billed charges		16.2	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	100			Percent of total billed charges		18	100			Percent of total billed charges		18	100			Percent of total billed charges		18	33.3			Percent of total billed charges		5.994	33.3			Percent of total billed charges		5.994	100			Percent of total billed charges		18	5.994	16.2	
jurgan pin ball 2.5mm w322cr	270	RC	Outpatient			18	11.7		90			Percent of total billed charges		16.2	40			Percent of total billed charges		7.2	80			Percent of total billed charges		14.4	90			Percent of total billed charges		16.2	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	100			Percent of total billed charges		18	100			Percent of total billed charges		18	100			Percent of total billed charges		18	33.3			Percent of total billed charges		5.994	33.3			Percent of total billed charges		5.994	100			Percent of total billed charges		18	5.994	16.2	
gc fuji lc capsule 326-0411 patterson	270	RC	Outpatient			18	11.7		90			Percent of total billed charges		16.2	40			Percent of total billed charges		7.2	80			Percent of total billed charges		14.4	90			Percent of total billed charges		16.2	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	100			Percent of total billed charges		18	100			Percent of total billed charges		18	100			Percent of total billed charges		18	33.3			Percent of total billed charges		5.994	33.3			Percent of total billed charges		5.994	100			Percent of total billed charges		18	5.994	16.2	
leg band	270	RC	Outpatient			18	11.7		90			Percent of total billed charges		16.2	40			Percent of total billed charges		7.2	80			Percent of total billed charges		14.4	90			Percent of total billed charges		16.2	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	100			Percent of total billed charges		18	100			Percent of total billed charges		18	100			Percent of total billed charges		18	33.3			Percent of total billed charges		5.994	33.3			Percent of total billed charges		5.994	100			Percent of total billed charges		18	5.994	16.2	
gomco suction per day	270	RC	Outpatient			18	11.7		90			Percent of total billed charges		16.2	40			Percent of total billed charges		7.2	80			Percent of total billed charges		14.4	90			Percent of total billed charges		16.2	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	100			Percent of total billed charges		18	100			Percent of total billed charges		18	100			Percent of total billed charges		18	33.3			Percent of total billed charges		5.994	33.3			Percent of total billed charges		5.994	100			Percent of total billed charges		18	5.994	16.2	
huber needle 20g 1 inch scnt	270	RC	Outpatient			18	11.7		90			Percent of total billed charges		16.2	40			Percent of total billed charges		7.2	80			Percent of total billed charges		14.4	90			Percent of total billed charges		16.2	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	100			Percent of total billed charges		18	100			Percent of total billed charges		18	100			Percent of total billed charges		18	33.3			Percent of total billed charges		5.994	33.3			Percent of total billed charges		5.994	100			Percent of total billed charges		18	5.994	16.2	
huber needle ed charger scnt	270	RC	Outpatient			18	11.7		90			Percent of total billed charges		16.2	40			Percent of total billed charges		7.2	80			Percent of total billed charges		14.4	90			Percent of total billed charges		16.2	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	100			Percent of total billed charges		18	100			Percent of total billed charges		18	100			Percent of total billed charges		18	33.3			Percent of total billed charges		5.994	33.3			Percent of total billed charges		5.994	100			Percent of total billed charges		18	5.994	16.2	
hypo blanket csz872 25x19	270	RC	Outpatient			18	11.7		90			Percent of total billed charges		16.2	40			Percent of total billed charges		7.2	80			Percent of total billed charges		14.4	90			Percent of total billed charges		16.2	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	100			Percent of total billed charges		18	100			Percent of total billed charges		18	100			Percent of total billed charges		18	33.3			Percent of total billed charges		5.994	33.3			Percent of total billed charges		5.994	100			Percent of total billed charges		18	5.994	16.2	
"ice bag,disposable,large"	270	RC	Outpatient			18	11.7		90			Percent of total billed charges		16.2	40			Percent of total billed charges		7.2	80			Percent of total billed charges		14.4	90			Percent of total billed charges		16.2	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	100			Percent of total billed charges		18	100			Percent of total billed charges		18	100			Percent of total billed charges		18	33.3			Percent of total billed charges		5.994	33.3			Percent of total billed charges		5.994	100			Percent of total billed charges		18	5.994	16.2	
jurgan pin ball  3/32 w332-cr	270	RC	Outpatient			18	11.7		90			Percent of total billed charges		16.2	40			Percent of total billed charges		7.2	80			Percent of total billed charges		14.4	90			Percent of total billed charges		16.2	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	100			Percent of total billed charges		18	100			Percent of total billed charges		18	100			Percent of total billed charges		18	33.3			Percent of total billed charges		5.994	33.3			Percent of total billed charges		5.994	100			Percent of total billed charges		18	5.994	16.2	
jurgen ball	270	RC	Outpatient			18	11.7		90			Percent of total billed charges		16.2	40			Percent of total billed charges		7.2	80			Percent of total billed charges		14.4	90			Percent of total billed charges		16.2	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	100			Percent of total billed charges		18	100			Percent of total billed charges		18	100			Percent of total billed charges		18	33.3			Percent of total billed charges		5.994	33.3			Percent of total billed charges		5.994	100			Percent of total billed charges		18	5.994	16.2	
k thermia pump daily	270	RC	Outpatient			18	11.7		90			Percent of total billed charges		16.2	40			Percent of total billed charges		7.2	80			Percent of total billed charges		14.4	90			Percent of total billed charges		16.2	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	100			Percent of total billed charges		18	100			Percent of total billed charges		18	100			Percent of total billed charges		18	33.3			Percent of total billed charges		5.994	33.3			Percent of total billed charges		5.994	100			Percent of total billed charges		18	5.994	16.2	
myringotomy lancet blade	270	RC	Outpatient			18	11.7		90			Percent of total billed charges		16.2	40			Percent of total billed charges		7.2	80			Percent of total billed charges		14.4	90			Percent of total billed charges		16.2	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	100			Percent of total billed charges		18	100			Percent of total billed charges		18	100			Percent of total billed charges		18	33.3			Percent of total billed charges		5.994	33.3			Percent of total billed charges		5.994	100			Percent of total billed charges		18	5.994	16.2	
sponge 3x3 2346 unsterile	270	RC	Outpatient			18	11.7		90			Percent of total billed charges		16.2	40			Percent of total billed charges		7.2	80			Percent of total billed charges		14.4	90			Percent of total billed charges		16.2	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	100			Percent of total billed charges		18	100			Percent of total billed charges		18	100			Percent of total billed charges		18	33.3			Percent of total billed charges		5.994	33.3			Percent of total billed charges		5.994	100			Percent of total billed charges		18	5.994	16.2	
sterile water irrig3000cc	272	RC	Outpatient			18	11.7		90			Percent of total billed charges		16.2	40			Percent of total billed charges		7.2	80			Percent of total billed charges		14.4	90			Percent of total billed charges		16.2	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	100			Percent of total billed charges		18	100			Percent of total billed charges		18	100			Percent of total billed charges		18	33.3			Percent of total billed charges		5.994	33.3			Percent of total billed charges		5.994	100			Percent of total billed charges		18	5.994	16.2	
suture bridges	270	RC	Outpatient			18	11.7		90			Percent of total billed charges		16.2	40			Percent of total billed charges		7.2	80			Percent of total billed charges		14.4	90			Percent of total billed charges		16.2	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	100			Percent of total billed charges		18	100			Percent of total billed charges		18	100			Percent of total billed charges		18	33.3			Percent of total billed charges		5.994	33.3			Percent of total billed charges		5.994	100			Percent of total billed charges		18	5.994	16.2	
suture rsb5 retention bridge	270	RC	Outpatient			18	11.7		90			Percent of total billed charges		16.2	40			Percent of total billed charges		7.2	80			Percent of total billed charges		14.4	90			Percent of total billed charges		16.2	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	100			Percent of total billed charges		18	100			Percent of total billed charges		18	100			Percent of total billed charges		18	33.3			Percent of total billed charges		5.994	33.3			Percent of total billed charges		5.994	100			Percent of total billed charges		18	5.994	16.2	
"tape, gelfoam"	270	RC	Outpatient			18	11.7		90			Percent of total billed charges		16.2	40			Percent of total billed charges		7.2	80			Percent of total billed charges		14.4	90			Percent of total billed charges		16.2	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	100			Percent of total billed charges		18	100			Percent of total billed charges		18	100			Percent of total billed charges		18	33.3			Percent of total billed charges		5.994	33.3			Percent of total billed charges		5.994	100			Percent of total billed charges		18	5.994	16.2	
pampers	270	RC	Outpatient			18	11.7		90			Percent of total billed charges		16.2	40			Percent of total billed charges		7.2	80			Percent of total billed charges		14.4	90			Percent of total billed charges		16.2	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	100			Percent of total billed charges		18	100			Percent of total billed charges		18	100			Percent of total billed charges		18	33.3			Percent of total billed charges		5.994	33.3			Percent of total billed charges		5.994	100			Percent of total billed charges		18	5.994	16.2	
red rubber catheter	270	RC	Outpatient			18	11.7		90			Percent of total billed charges		16.2	40			Percent of total billed charges		7.2	80			Percent of total billed charges		14.4	90			Percent of total billed charges		16.2	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	100			Percent of total billed charges		18	100			Percent of total billed charges		18	100			Percent of total billed charges		18	33.3			Percent of total billed charges		5.994	33.3			Percent of total billed charges		5.994	100			Percent of total billed charges		18	5.994	16.2	
sterile water irrigation 3000ml bag	272	RC	Outpatient			18	11.7		90			Percent of total billed charges		16.2	40			Percent of total billed charges		7.2	80			Percent of total billed charges		14.4	90			Percent of total billed charges		16.2	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	100			Percent of total billed charges		18	100			Percent of total billed charges		18	100			Percent of total billed charges		18	33.3			Percent of total billed charges		5.994	33.3			Percent of total billed charges		5.994	100			Percent of total billed charges		18	5.994	16.2	
stylet tip for intub #14	270	RC	Outpatient			18	11.7		90			Percent of total billed charges		16.2	40			Percent of total billed charges		7.2	80			Percent of total billed charges		14.4	90			Percent of total billed charges		16.2	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	100			Percent of total billed charges		18	100			Percent of total billed charges		18	100			Percent of total billed charges		18	33.3			Percent of total billed charges		5.994	33.3			Percent of total billed charges		5.994	100			Percent of total billed charges		18	5.994	16.2	
"tubing anchor, anc32xt"	272	RC	Outpatient			18	11.7		90			Percent of total billed charges		16.2	40			Percent of total billed charges		7.2	80			Percent of total billed charges		14.4	90			Percent of total billed charges		16.2	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	100			Percent of total billed charges		18	100			Percent of total billed charges		18	100			Percent of total billed charges		18	33.3			Percent of total billed charges		5.994	33.3			Percent of total billed charges		5.994	100			Percent of total billed charges		18	5.994	16.2	
v.l. extended electrode	270	RC	Outpatient			18	11.7		90			Percent of total billed charges		16.2	40			Percent of total billed charges		7.2	80			Percent of total billed charges		14.4	90			Percent of total billed charges		16.2	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	100			Percent of total billed charges		18	100			Percent of total billed charges		18	100			Percent of total billed charges		18	33.3			Percent of total billed charges		5.994	33.3			Percent of total billed charges		5.994	100			Percent of total billed charges		18	5.994	16.2	
v.l. ulpa filter	270	RC	Outpatient			18	11.7		90			Percent of total billed charges		16.2	40			Percent of total billed charges		7.2	80			Percent of total billed charges		14.4	90			Percent of total billed charges		16.2	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	100			Percent of total billed charges		18	100			Percent of total billed charges		18	100			Percent of total billed charges		18	33.3			Percent of total billed charges		5.994	33.3			Percent of total billed charges		5.994	100			Percent of total billed charges		18	5.994	16.2	
wall suction daily charge	270	RC	Outpatient			18	11.7		90			Percent of total billed charges		16.2	40			Percent of total billed charges		7.2	80			Percent of total billed charges		14.4	90			Percent of total billed charges		16.2	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	100			Percent of total billed charges		18	100			Percent of total billed charges		18	100			Percent of total billed charges		18	33.3			Percent of total billed charges		5.994	33.3			Percent of total billed charges		5.994	100			Percent of total billed charges		18	5.994	16.2	
zzscrmc sherwood med.feed.tube 14	621	RC	Outpatient			18	11.7		90			Percent of total billed charges		16.2	40			Percent of total billed charges		7.2	80			Percent of total billed charges		14.4	90			Percent of total billed charges		16.2	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	85			Percent of total billed charges		15.3	100			Percent of total billed charges		18	100			Percent of total billed charges		18	100			Percent of total billed charges		18	33.3			Percent of total billed charges		5.994	33.3			Percent of total billed charges		5.994	100			Percent of total billed charges		18	5.994	16.2	
biopsy valve olympus ref # maj-210	272	RC	Outpatient			18.18	11.82		90			Percent of total billed charges		16.362	40			Percent of total billed charges		7.272	80			Percent of total billed charges		14.544	90			Percent of total billed charges		16.362	85			Percent of total billed charges		15.453	85			Percent of total billed charges		15.453	85			Percent of total billed charges		15.453	100			Percent of total billed charges		18.18	100			Percent of total billed charges		18.18	100			Percent of total billed charges		18.18	33.3			Percent of total billed charges		6.0539	33.3			Percent of total billed charges		6.0539	100			Percent of total billed charges		18.18	6.0539	16.362	
ethibond excel 3-0 rb-1 ref x558h ethicon	272	RC	Outpatient			18.58	12.08		90			Percent of total billed charges		16.722	40			Percent of total billed charges		7.432	80			Percent of total billed charges		14.864	90			Percent of total billed charges		16.722	85			Percent of total billed charges		15.793	85			Percent of total billed charges		15.793	85			Percent of total billed charges		15.793	100			Percent of total billed charges		18.58	100			Percent of total billed charges		18.58	100			Percent of total billed charges		18.58	33.3			Percent of total billed charges		6.1871	33.3			Percent of total billed charges		6.1871	100			Percent of total billed charges		18.58	6.1871	16.722	
ethibond 4-0 rb ref x557h medline	272	RC	Outpatient			18.61	12.1		90			Percent of total billed charges		16.749	40			Percent of total billed charges		7.444	80			Percent of total billed charges		14.888	90			Percent of total billed charges		16.749	85			Percent of total billed charges		15.8185	85			Percent of total billed charges		15.8185	85			Percent of total billed charges		15.8185	100			Percent of total billed charges		18.61	100			Percent of total billed charges		18.61	100			Percent of total billed charges		18.61	33.3			Percent of total billed charges		6.1971	33.3			Percent of total billed charges		6.1971	100			Percent of total billed charges		18.61	6.1971	16.749	
bag decanter	270	RC	Outpatient			19	12.35		90			Percent of total billed charges		17.1	40			Percent of total billed charges		7.6	80			Percent of total billed charges		15.2	90			Percent of total billed charges		17.1	85			Percent of total billed charges		16.15	85			Percent of total billed charges		16.15	85			Percent of total billed charges		16.15	100			Percent of total billed charges		19	100			Percent of total billed charges		19	100			Percent of total billed charges		19	33.3			Percent of total billed charges		6.327	33.3			Percent of total billed charges		6.327	100			Percent of total billed charges		19	6.327	17.1	
bag decanter (arterio)	270	RC	Outpatient			19	12.35		90			Percent of total billed charges		17.1	40			Percent of total billed charges		7.6	80			Percent of total billed charges		15.2	90			Percent of total billed charges		17.1	85			Percent of total billed charges		16.15	85			Percent of total billed charges		16.15	85			Percent of total billed charges		16.15	100			Percent of total billed charges		19	100			Percent of total billed charges		19	100			Percent of total billed charges		19	33.3			Percent of total billed charges		6.327	33.3			Percent of total billed charges		6.327	100			Percent of total billed charges		19	6.327	17.1	
bag decanter (cholangio)	270	RC	Outpatient			19	12.35		90			Percent of total billed charges		17.1	40			Percent of total billed charges		7.6	80			Percent of total billed charges		15.2	90			Percent of total billed charges		17.1	85			Percent of total billed charges		16.15	85			Percent of total billed charges		16.15	85			Percent of total billed charges		16.15	100			Percent of total billed charges		19	100			Percent of total billed charges		19	100			Percent of total billed charges		19	33.3			Percent of total billed charges		6.327	33.3			Percent of total billed charges		6.327	100			Percent of total billed charges		19	6.327	17.1	
bag decanter ii 2002	270	RC	Outpatient			19	12.35		90			Percent of total billed charges		17.1	40			Percent of total billed charges		7.6	80			Percent of total billed charges		15.2	90			Percent of total billed charges		17.1	85			Percent of total billed charges		16.15	85			Percent of total billed charges		16.15	85			Percent of total billed charges		16.15	100			Percent of total billed charges		19	100			Percent of total billed charges		19	100			Percent of total billed charges		19	33.3			Percent of total billed charges		6.327	33.3			Percent of total billed charges		6.327	100			Percent of total billed charges		19	6.327	17.1	
bolt 16mm 103201 s/n	278	RC	Outpatient			19	12.35		90			Percent of total billed charges		17.1	40			Percent of total billed charges		7.6	80			Percent of total billed charges		15.2	90			Percent of total billed charges		17.1	85			Percent of total billed charges		16.15	85			Percent of total billed charges		16.15	85			Percent of total billed charges		16.15	100			Percent of total billed charges		19	100			Percent of total billed charges		19	100			Percent of total billed charges		19	33.3			Percent of total billed charges		6.327	33.3			Percent of total billed charges		6.327	100			Percent of total billed charges		19	6.327	17.1	
"cautery, fine tip"	270	RC	Outpatient			19	12.35		90			Percent of total billed charges		17.1	40			Percent of total billed charges		7.6	80			Percent of total billed charges		15.2	90			Percent of total billed charges		17.1	85			Percent of total billed charges		16.15	85			Percent of total billed charges		16.15	85			Percent of total billed charges		16.15	100			Percent of total billed charges		19	100			Percent of total billed charges		19	100			Percent of total billed charges		19	33.3			Percent of total billed charges		6.327	33.3			Percent of total billed charges		6.327	100			Percent of total billed charges		19	6.327	17.1	
circuit ped str y 40 gas samp	270	RC	Outpatient			19	12.35		90			Percent of total billed charges		17.1	40			Percent of total billed charges		7.6	80			Percent of total billed charges		15.2	90			Percent of total billed charges		17.1	85			Percent of total billed charges		16.15	85			Percent of total billed charges		16.15	85			Percent of total billed charges		16.15	100			Percent of total billed charges		19	100			Percent of total billed charges		19	100			Percent of total billed charges		19	33.3			Percent of total billed charges		6.327	33.3			Percent of total billed charges		6.327	100			Percent of total billed charges		19	6.327	17.1	
colostomy flange-sur fit	272	RC	Outpatient			19	12.35		90			Percent of total billed charges		17.1	40			Percent of total billed charges		7.6	80			Percent of total billed charges		15.2	90			Percent of total billed charges		17.1	85			Percent of total billed charges		16.15	85			Percent of total billed charges		16.15	85			Percent of total billed charges		16.15	100			Percent of total billed charges		19	100			Percent of total billed charges		19	100			Percent of total billed charges		19	33.3			Percent of total billed charges		6.327	33.3			Percent of total billed charges		6.327	100			Percent of total billed charges		19	6.327	17.1	
convertor	270	RC	Outpatient			19	12.35		90			Percent of total billed charges		17.1	40			Percent of total billed charges		7.6	80			Percent of total billed charges		15.2	90			Percent of total billed charges		17.1	85			Percent of total billed charges		16.15	85			Percent of total billed charges		16.15	85			Percent of total billed charges		16.15	100			Percent of total billed charges		19	100			Percent of total billed charges		19	100			Percent of total billed charges		19	33.3			Percent of total billed charges		6.327	33.3			Percent of total billed charges		6.327	100			Percent of total billed charges		19	6.327	17.1	
aqua plast splint	270	RC	Outpatient			19	12.35		90			Percent of total billed charges		17.1	40			Percent of total billed charges		7.6	80			Percent of total billed charges		15.2	90			Percent of total billed charges		17.1	85			Percent of total billed charges		16.15	85			Percent of total billed charges		16.15	85			Percent of total billed charges		16.15	100			Percent of total billed charges		19	100			Percent of total billed charges		19	100			Percent of total billed charges		19	33.3			Percent of total billed charges		6.327	33.3			Percent of total billed charges		6.327	100			Percent of total billed charges		19	6.327	17.1	
bolt 10mm 103200 s/n	278	RC	Outpatient			19	12.35		90			Percent of total billed charges		17.1	40			Percent of total billed charges		7.6	80			Percent of total billed charges		15.2	90			Percent of total billed charges		17.1	85			Percent of total billed charges		16.15	85			Percent of total billed charges		16.15	85			Percent of total billed charges		16.15	100			Percent of total billed charges		19	100			Percent of total billed charges		19	100			Percent of total billed charges		19	33.3			Percent of total billed charges		6.327	33.3			Percent of total billed charges		6.327	100			Percent of total billed charges		19	6.327	17.1	
breathing circuit - ped	270	RC	Outpatient			19	12.35		90			Percent of total billed charges		17.1	40			Percent of total billed charges		7.6	80			Percent of total billed charges		15.2	90			Percent of total billed charges		17.1	85			Percent of total billed charges		16.15	85			Percent of total billed charges		16.15	85			Percent of total billed charges		16.15	100			Percent of total billed charges		19	100			Percent of total billed charges		19	100			Percent of total billed charges		19	33.3			Percent of total billed charges		6.327	33.3			Percent of total billed charges		6.327	100			Percent of total billed charges		19	6.327	17.1	
endometrial curette	272	RC	Outpatient			19	12.35		90			Percent of total billed charges		17.1	40			Percent of total billed charges		7.6	80			Percent of total billed charges		15.2	90			Percent of total billed charges		17.1	85			Percent of total billed charges		16.15	85			Percent of total billed charges		16.15	85			Percent of total billed charges		16.15	100			Percent of total billed charges		19	100			Percent of total billed charges		19	100			Percent of total billed charges		19	33.3			Percent of total billed charges		6.327	33.3			Percent of total billed charges		6.327	100			Percent of total billed charges		19	6.327	17.1	
"hose, a.e. knee, xl-l"	270	RC	Outpatient			19	12.35		90			Percent of total billed charges		17.1	40			Percent of total billed charges		7.6	80			Percent of total billed charges		15.2	90			Percent of total billed charges		17.1	85			Percent of total billed charges		16.15	85			Percent of total billed charges		16.15	85			Percent of total billed charges		16.15	100			Percent of total billed charges		19	100			Percent of total billed charges		19	100			Percent of total billed charges		19	33.3			Percent of total billed charges		6.327	33.3			Percent of total billed charges		6.327	100			Percent of total billed charges		19	6.327	17.1	
drape magnetic inst 16x20 repl 31140562	270	RC	Outpatient			19	12.35		90			Percent of total billed charges		17.1	40			Percent of total billed charges		7.6	80			Percent of total billed charges		15.2	90			Percent of total billed charges		17.1	85			Percent of total billed charges		16.15	85			Percent of total billed charges		16.15	85			Percent of total billed charges		16.15	100			Percent of total billed charges		19	100			Percent of total billed charges		19	100			Percent of total billed charges		19	33.3			Percent of total billed charges		6.327	33.3			Percent of total billed charges		6.327	100			Percent of total billed charges		19	6.327	17.1	
mag pad (b basket)	270	RC	Outpatient			19	12.35		90			Percent of total billed charges		17.1	40			Percent of total billed charges		7.6	80			Percent of total billed charges		15.2	90			Percent of total billed charges		17.1	85			Percent of total billed charges		16.15	85			Percent of total billed charges		16.15	85			Percent of total billed charges		16.15	100			Percent of total billed charges		19	100			Percent of total billed charges		19	100			Percent of total billed charges		19	33.3			Percent of total billed charges		6.327	33.3			Percent of total billed charges		6.327	100			Percent of total billed charges		19	6.327	17.1	
magnetic pad	270	RC	Outpatient			19	12.35		90			Percent of total billed charges		17.1	40			Percent of total billed charges		7.6	80			Percent of total billed charges		15.2	90			Percent of total billed charges		17.1	85			Percent of total billed charges		16.15	85			Percent of total billed charges		16.15	85			Percent of total billed charges		16.15	100			Percent of total billed charges		19	100			Percent of total billed charges		19	100			Percent of total billed charges		19	33.3			Percent of total billed charges		6.327	33.3			Percent of total billed charges		6.327	100			Percent of total billed charges		19	6.327	17.1	
jet-x connect bolt	278	RC	Outpatient			19	12.35		90			Percent of total billed charges		17.1	40			Percent of total billed charges		7.6	80			Percent of total billed charges		15.2	90			Percent of total billed charges		17.1	85			Percent of total billed charges		16.15	85			Percent of total billed charges		16.15	85			Percent of total billed charges		16.15	100			Percent of total billed charges		19	100			Percent of total billed charges		19	100			Percent of total billed charges		19	33.3			Percent of total billed charges		6.327	33.3			Percent of total billed charges		6.327	100			Percent of total billed charges		19	6.327	17.1	
l/d sponges-lap	270	RC	Outpatient			19	12.35		90			Percent of total billed charges		17.1	40			Percent of total billed charges		7.6	80			Percent of total billed charges		15.2	90			Percent of total billed charges		17.1	85			Percent of total billed charges		16.15	85			Percent of total billed charges		16.15	85			Percent of total billed charges		16.15	100			Percent of total billed charges		19	100			Percent of total billed charges		19	100			Percent of total billed charges		19	33.3			Percent of total billed charges		6.327	33.3			Percent of total billed charges		6.327	100			Percent of total billed charges		19	6.327	17.1	
mask isolation yellow/bx	270	RC	Outpatient			19	12.35		90			Percent of total billed charges		17.1	40			Percent of total billed charges		7.6	80			Percent of total billed charges		15.2	90			Percent of total billed charges		17.1	85			Percent of total billed charges		16.15	85			Percent of total billed charges		16.15	85			Percent of total billed charges		16.15	100			Percent of total billed charges		19	100			Percent of total billed charges		19	100			Percent of total billed charges		19	33.3			Percent of total billed charges		6.327	33.3			Percent of total billed charges		6.327	100			Percent of total billed charges		19	6.327	17.1	
s/n jet-x  20mm connection bolt 10-3203	278	RC	Outpatient			19	12.35		90			Percent of total billed charges		17.1	40			Percent of total billed charges		7.6	80			Percent of total billed charges		15.2	90			Percent of total billed charges		17.1	85			Percent of total billed charges		16.15	85			Percent of total billed charges		16.15	85			Percent of total billed charges		16.15	100			Percent of total billed charges		19	100			Percent of total billed charges		19	100			Percent of total billed charges		19	33.3			Percent of total billed charges		6.327	33.3			Percent of total billed charges		6.327	100			Percent of total billed charges		19	6.327	17.1	
splint aquaplast 3x3 blanks blush ps1300	270	RC	Outpatient			19	12.35		90			Percent of total billed charges		17.1	40			Percent of total billed charges		7.6	80			Percent of total billed charges		15.2	90			Percent of total billed charges		17.1	85			Percent of total billed charges		16.15	85			Percent of total billed charges		16.15	85			Percent of total billed charges		16.15	100			Percent of total billed charges		19	100			Percent of total billed charges		19	100			Percent of total billed charges		19	33.3			Percent of total billed charges		6.327	33.3			Percent of total billed charges		6.327	100			Percent of total billed charges		19	6.327	17.1	
stockinette 6	270	RC	Outpatient			19	12.35		90			Percent of total billed charges		17.1	40			Percent of total billed charges		7.6	80			Percent of total billed charges		15.2	90			Percent of total billed charges		17.1	85			Percent of total billed charges		16.15	85			Percent of total billed charges		16.15	85			Percent of total billed charges		16.15	100			Percent of total billed charges		19	100			Percent of total billed charges		19	100			Percent of total billed charges		19	33.3			Percent of total billed charges		6.327	33.3			Percent of total billed charges		6.327	100			Percent of total billed charges		19	6.327	17.1	
stockinette 6 ed charge scnt	450	RC	Outpatient			19	12.35		90			Percent of total billed charges		17.1	40			Percent of total billed charges		7.6	80			Percent of total billed charges		15.2	90			Percent of total billed charges		17.1	85			Percent of total billed charges		16.15	85			Percent of total billed charges		16.15	85			Percent of total billed charges		16.15	100			Percent of total billed charges		19	100			Percent of total billed charges		19	100			Percent of total billed charges		19	33.3			Percent of total billed charges		6.327	33.3			Percent of total billed charges		6.327	100			Percent of total billed charges		19	6.327	17.1	
tape measure adult	270	RC	Outpatient			19	12.35		90			Percent of total billed charges		17.1	40			Percent of total billed charges		7.6	80			Percent of total billed charges		15.2	90			Percent of total billed charges		17.1	85			Percent of total billed charges		16.15	85			Percent of total billed charges		16.15	85			Percent of total billed charges		16.15	100			Percent of total billed charges		19	100			Percent of total billed charges		19	100			Percent of total billed charges		19	33.3			Percent of total billed charges		6.327	33.3			Percent of total billed charges		6.327	100			Percent of total billed charges		19	6.327	17.1	
"pump, seq. comp. device"	270	RC	Outpatient			19	12.35		90			Percent of total billed charges		17.1	40			Percent of total billed charges		7.6	80			Percent of total billed charges		15.2	90			Percent of total billed charges		17.1	85			Percent of total billed charges		16.15	85			Percent of total billed charges		16.15	85			Percent of total billed charges		16.15	100			Percent of total billed charges		19	100			Percent of total billed charges		19	100			Percent of total billed charges		19	33.3			Percent of total billed charges		6.327	33.3			Percent of total billed charges		6.327	100			Percent of total billed charges		19	6.327	17.1	
seal up  #1seal	270	RC	Outpatient			19	12.35		90			Percent of total billed charges		17.1	40			Percent of total billed charges		7.6	80			Percent of total billed charges		15.2	90			Percent of total billed charges		17.1	85			Percent of total billed charges		16.15	85			Percent of total billed charges		16.15	85			Percent of total billed charges		16.15	100			Percent of total billed charges		19	100			Percent of total billed charges		19	100			Percent of total billed charges		19	33.3			Percent of total billed charges		6.327	33.3			Percent of total billed charges		6.327	100			Percent of total billed charges		19	6.327	17.1	
ted hose thigh med	272	RC	Outpatient			19	12.35		90			Percent of total billed charges		17.1	40			Percent of total billed charges		7.6	80			Percent of total billed charges		15.2	90			Percent of total billed charges		17.1	85			Percent of total billed charges		16.15	85			Percent of total billed charges		16.15	85			Percent of total billed charges		16.15	100			Percent of total billed charges		19	100			Percent of total billed charges		19	100			Percent of total billed charges		19	33.3			Percent of total billed charges		6.327	33.3			Percent of total billed charges		6.327	100			Percent of total billed charges		19	6.327	17.1	
uminar pipelle endometrial suction curette 8200 cooper surgical	272	RC	Outpatient			19	12.35		90			Percent of total billed charges		17.1	40			Percent of total billed charges		7.6	80			Percent of total billed charges		15.2	90			Percent of total billed charges		17.1	85			Percent of total billed charges		16.15	85			Percent of total billed charges		16.15	85			Percent of total billed charges		16.15	100			Percent of total billed charges		19	100			Percent of total billed charges		19	100			Percent of total billed charges		19	33.3			Percent of total billed charges		6.327	33.3			Percent of total billed charges		6.327	100			Percent of total billed charges		19	6.327	17.1	
urinary leg bag medline dynd12451	270	RC	Outpatient			19	12.35		90			Percent of total billed charges		17.1	40			Percent of total billed charges		7.6	80			Percent of total billed charges		15.2	90			Percent of total billed charges		17.1	85			Percent of total billed charges		16.15	85			Percent of total billed charges		16.15	85			Percent of total billed charges		16.15	100			Percent of total billed charges		19	100			Percent of total billed charges		19	100			Percent of total billed charges		19	33.3			Percent of total billed charges		6.327	33.3			Percent of total billed charges		6.327	100			Percent of total billed charges		19	6.327	17.1	
urinary leg bag	270	RC	Outpatient			19	12.35		90			Percent of total billed charges		17.1	40			Percent of total billed charges		7.6	80			Percent of total billed charges		15.2	90			Percent of total billed charges		17.1	85			Percent of total billed charges		16.15	85			Percent of total billed charges		16.15	85			Percent of total billed charges		16.15	100			Percent of total billed charges		19	100			Percent of total billed charges		19	100			Percent of total billed charges		19	33.3			Percent of total billed charges		6.327	33.3			Percent of total billed charges		6.327	100			Percent of total billed charges		19	6.327	17.1	
stay fix merit medical ref 680-me	272	RC	Outpatient			19.25	12.51		90			Percent of total billed charges		17.325	40			Percent of total billed charges		7.7	80			Percent of total billed charges		15.4	90			Percent of total billed charges		17.325	85			Percent of total billed charges		16.3625	85			Percent of total billed charges		16.3625	85			Percent of total billed charges		16.3625	100			Percent of total billed charges		19.25	100			Percent of total billed charges		19.25	100			Percent of total billed charges		19.25	33.3			Percent of total billed charges		6.4103	33.3			Percent of total billed charges		6.4103	100			Percent of total billed charges		19.25	6.4103	17.325	
actcel topical hemostatic dressing 102-1005  patterson	270	RC	Outpatient			20	13		90			Percent of total billed charges		18	40			Percent of total billed charges		8	80			Percent of total billed charges		16	90			Percent of total billed charges		18	85			Percent of total billed charges		17	85			Percent of total billed charges		17	85			Percent of total billed charges		17	100			Percent of total billed charges		20	100			Percent of total billed charges		20	100			Percent of total billed charges		20	33.3			Percent of total billed charges		6.66	33.3			Percent of total billed charges		6.66	100			Percent of total billed charges		20	6.66	18	
anti-em hose thigh m/l	270	RC	Outpatient			20	13		90			Percent of total billed charges		18	40			Percent of total billed charges		8	80			Percent of total billed charges		16	90			Percent of total billed charges		18	85			Percent of total billed charges		17	85			Percent of total billed charges		17	85			Percent of total billed charges		17	100			Percent of total billed charges		20	100			Percent of total billed charges		20	100			Percent of total billed charges		20	33.3			Percent of total billed charges		6.66	33.3			Percent of total billed charges		6.66	100			Percent of total billed charges		20	6.66	18	
cath foley 16fr 5cc carson 0168si16	270	RC	Outpatient			20	13		90			Percent of total billed charges		18	40			Percent of total billed charges		8	80			Percent of total billed charges		16	90			Percent of total billed charges		18	85			Percent of total billed charges		17	85			Percent of total billed charges		17	85			Percent of total billed charges		17	100			Percent of total billed charges		20	100			Percent of total billed charges		20	100			Percent of total billed charges		20	33.3			Percent of total billed charges		6.66	33.3			Percent of total billed charges		6.66	100			Percent of total billed charges		20	6.66	18	
cath foley 18fr 5cc carson 0168si18	270	RC	Outpatient			20	13		90			Percent of total billed charges		18	40			Percent of total billed charges		8	80			Percent of total billed charges		16	90			Percent of total billed charges		18	85			Percent of total billed charges		17	85			Percent of total billed charges		17	85			Percent of total billed charges		17	100			Percent of total billed charges		20	100			Percent of total billed charges		20	100			Percent of total billed charges		20	33.3			Percent of total billed charges		6.66	33.3			Percent of total billed charges		6.66	100			Percent of total billed charges		20	6.66	18	
chloraprep 10.5ml orange 260715 carefusion	272	RC	Outpatient			20	13		90			Percent of total billed charges		18	40			Percent of total billed charges		8	80			Percent of total billed charges		16	90			Percent of total billed charges		18	85			Percent of total billed charges		17	85			Percent of total billed charges		17	85			Percent of total billed charges		17	100			Percent of total billed charges		20	100			Percent of total billed charges		20	100			Percent of total billed charges		20	33.3			Percent of total billed charges		6.66	33.3			Percent of total billed charges		6.66	100			Percent of total billed charges		20	6.66	18	
chloraprep orange	272	RC	Outpatient			20	13		90			Percent of total billed charges		18	40			Percent of total billed charges		8	80			Percent of total billed charges		16	90			Percent of total billed charges		18	85			Percent of total billed charges		17	85			Percent of total billed charges		17	85			Percent of total billed charges		17	100			Percent of total billed charges		20	100			Percent of total billed charges		20	100			Percent of total billed charges		20	33.3			Percent of total billed charges		6.66	33.3			Percent of total billed charges		6.66	100			Percent of total billed charges		20	6.66	18	
compression bandage 6	272	RC	Outpatient			20	13		90			Percent of total billed charges		18	40			Percent of total billed charges		8	80			Percent of total billed charges		16	90			Percent of total billed charges		18	85			Percent of total billed charges		17	85			Percent of total billed charges		17	85			Percent of total billed charges		17	100			Percent of total billed charges		20	100			Percent of total billed charges		20	100			Percent of total billed charges		20	33.3			Percent of total billed charges		6.66	33.3			Percent of total billed charges		6.66	100			Percent of total billed charges		20	6.66	18	
anesthesia support kit 332116 braun	272	RC	Outpatient			20	13		90			Percent of total billed charges		18	40			Percent of total billed charges		8	80			Percent of total billed charges		16	90			Percent of total billed charges		18	85			Percent of total billed charges		17	85			Percent of total billed charges		17	85			Percent of total billed charges		17	100			Percent of total billed charges		20	100			Percent of total billed charges		20	100			Percent of total billed charges		20	33.3			Percent of total billed charges		6.66	33.3			Percent of total billed charges		6.66	100			Percent of total billed charges		20	6.66	18	
anti-em hose thigh m/r	270	RC	Outpatient			20	13		90			Percent of total billed charges		18	40			Percent of total billed charges		8	80			Percent of total billed charges		16	90			Percent of total billed charges		18	85			Percent of total billed charges		17	85			Percent of total billed charges		17	85			Percent of total billed charges		17	100			Percent of total billed charges		20	100			Percent of total billed charges		20	100			Percent of total billed charges		20	33.3			Percent of total billed charges		6.66	33.3			Percent of total billed charges		6.66	100			Percent of total billed charges		20	6.66	18	
briefs adult large	270	RC	Outpatient			20	13		90			Percent of total billed charges		18	40			Percent of total billed charges		8	80			Percent of total billed charges		16	90			Percent of total billed charges		18	85			Percent of total billed charges		17	85			Percent of total billed charges		17	85			Percent of total billed charges		17	100			Percent of total billed charges		20	100			Percent of total billed charges		20	100			Percent of total billed charges		20	33.3			Percent of total billed charges		6.66	33.3			Percent of total billed charges		6.66	100			Percent of total billed charges		20	6.66	18	
cath foley 20fr 5cc carson 168si20	270	RC	Outpatient			20	13		90			Percent of total billed charges		18	40			Percent of total billed charges		8	80			Percent of total billed charges		16	90			Percent of total billed charges		18	85			Percent of total billed charges		17	85			Percent of total billed charges		17	85			Percent of total billed charges		17	100			Percent of total billed charges		20	100			Percent of total billed charges		20	100			Percent of total billed charges		20	33.3			Percent of total billed charges		6.66	33.3			Percent of total billed charges		6.66	100			Percent of total billed charges		20	6.66	18	
chloraprep 26ml orange 260815 carefusion	272	RC	Outpatient			20	13		90			Percent of total billed charges		18	40			Percent of total billed charges		8	80			Percent of total billed charges		16	90			Percent of total billed charges		18	85			Percent of total billed charges		17	85			Percent of total billed charges		17	85			Percent of total billed charges		17	100			Percent of total billed charges		20	100			Percent of total billed charges		20	100			Percent of total billed charges		20	33.3			Percent of total billed charges		6.66	33.3			Percent of total billed charges		6.66	100			Percent of total billed charges		20	6.66	18	
compression bandage 6 x 5 cb-co-6x5 covidien	272	RC	Outpatient			20	13		90			Percent of total billed charges		18	40			Percent of total billed charges		8	80			Percent of total billed charges		16	90			Percent of total billed charges		18	85			Percent of total billed charges		17	85			Percent of total billed charges		17	85			Percent of total billed charges		17	100			Percent of total billed charges		20	100			Percent of total billed charges		20	100			Percent of total billed charges		20	33.3			Percent of total billed charges		6.66	33.3			Percent of total billed charges		6.66	100			Percent of total billed charges		20	6.66	18	
cosmetic - urine drug	983	RC	Outpatient			20	13		90			Percent of total billed charges		18	40			Percent of total billed charges		8	80			Percent of total billed charges		16	90			Percent of total billed charges		18	85			Percent of total billed charges		17	85			Percent of total billed charges		17	85			Percent of total billed charges		17	100			Percent of total billed charges		20	100			Percent of total billed charges		20	100			Percent of total billed charges		20	33.3			Percent of total billed charges		6.66	33.3			Percent of total billed charges		6.66	100			Percent of total billed charges		20	6.66	18	
et holder	270	RC	Outpatient			20	13		90			Percent of total billed charges		18	40			Percent of total billed charges		8	80			Percent of total billed charges		16	90			Percent of total billed charges		18	85			Percent of total billed charges		17	85			Percent of total billed charges		17	85			Percent of total billed charges		17	100			Percent of total billed charges		20	100			Percent of total billed charges		20	100			Percent of total billed charges		20	33.3			Percent of total billed charges		6.66	33.3			Percent of total billed charges		6.66	100			Percent of total billed charges		20	6.66	18	
glide lens intraocular implantation	270	RC	Outpatient			20	13		90			Percent of total billed charges		18	40			Percent of total billed charges		8	80			Percent of total billed charges		16	90			Percent of total billed charges		18	85			Percent of total billed charges		17	85			Percent of total billed charges		17	85			Percent of total billed charges		17	100			Percent of total billed charges		20	100			Percent of total billed charges		20	100			Percent of total billed charges		20	33.3			Percent of total billed charges		6.66	33.3			Percent of total billed charges		6.66	100			Percent of total billed charges		20	6.66	18	
dress mepitel 3x4 290790	270	RC	Outpatient			20	13		90			Percent of total billed charges		18	40			Percent of total billed charges		8	80			Percent of total billed charges		16	90			Percent of total billed charges		18	85			Percent of total billed charges		17	85			Percent of total billed charges		17	85			Percent of total billed charges		17	100			Percent of total billed charges		20	100			Percent of total billed charges		20	100			Percent of total billed charges		20	33.3			Percent of total billed charges		6.66	33.3			Percent of total billed charges		6.66	100			Percent of total billed charges		20	6.66	18	
duoderm 4x4	270	RC	Outpatient			20	13		90			Percent of total billed charges		18	40			Percent of total billed charges		8	80			Percent of total billed charges		16	90			Percent of total billed charges		18	85			Percent of total billed charges		17	85			Percent of total billed charges		17	85			Percent of total billed charges		17	100			Percent of total billed charges		20	100			Percent of total billed charges		20	100			Percent of total billed charges		20	33.3			Percent of total billed charges		6.66	33.3			Percent of total billed charges		6.66	100			Percent of total billed charges		20	6.66	18	
duoderm granules	270	RC	Outpatient			20	13		90			Percent of total billed charges		18	40			Percent of total billed charges		8	80			Percent of total billed charges		16	90			Percent of total billed charges		18	85			Percent of total billed charges		17	85			Percent of total billed charges		17	85			Percent of total billed charges		17	100			Percent of total billed charges		20	100			Percent of total billed charges		20	100			Percent of total billed charges		20	33.3			Percent of total billed charges		6.66	33.3			Percent of total billed charges		6.66	100			Percent of total billed charges		20	6.66	18	
eyeclose film tape	270	RC	Outpatient			20	13		90			Percent of total billed charges		18	40			Percent of total billed charges		8	80			Percent of total billed charges		16	90			Percent of total billed charges		18	85			Percent of total billed charges		17	85			Percent of total billed charges		17	85			Percent of total billed charges		17	100			Percent of total billed charges		20	100			Percent of total billed charges		20	100			Percent of total billed charges		20	33.3			Percent of total billed charges		6.66	33.3			Percent of total billed charges		6.66	100			Percent of total billed charges		20	6.66	18	
kit platelet conct4510-58	272	RC	Outpatient			20	13		90			Percent of total billed charges		18	40			Percent of total billed charges		8	80			Percent of total billed charges		16	90			Percent of total billed charges		18	85			Percent of total billed charges		17	85			Percent of total billed charges		17	85			Percent of total billed charges		17	100			Percent of total billed charges		20	100			Percent of total billed charges		20	100			Percent of total billed charges		20	33.3			Percent of total billed charges		6.66	33.3			Percent of total billed charges		6.66	100			Percent of total billed charges		20	6.66	18	
l/d uretheral catheter ki	270	RC	Outpatient			20	13		90			Percent of total billed charges		18	40			Percent of total billed charges		8	80			Percent of total billed charges		16	90			Percent of total billed charges		18	85			Percent of total billed charges		17	85			Percent of total billed charges		17	85			Percent of total billed charges		17	100			Percent of total billed charges		20	100			Percent of total billed charges		20	100			Percent of total billed charges		20	33.3			Percent of total billed charges		6.66	33.3			Percent of total billed charges		6.66	100			Percent of total billed charges		20	6.66	18	
lens guide sheets	270	RC	Outpatient			20	13		90			Percent of total billed charges		18	40			Percent of total billed charges		8	80			Percent of total billed charges		16	90			Percent of total billed charges		18	85			Percent of total billed charges		17	85			Percent of total billed charges		17	85			Percent of total billed charges		17	100			Percent of total billed charges		20	100			Percent of total billed charges		20	100			Percent of total billed charges		20	33.3			Percent of total billed charges		6.66	33.3			Percent of total billed charges		6.66	100			Percent of total billed charges		20	6.66	18	
luki-aspiratory tube 61/4	270	RC	Outpatient			20	13		90			Percent of total billed charges		18	40			Percent of total billed charges		8	80			Percent of total billed charges		16	90			Percent of total billed charges		18	85			Percent of total billed charges		17	85			Percent of total billed charges		17	85			Percent of total billed charges		17	100			Percent of total billed charges		20	100			Percent of total billed charges		20	100			Percent of total billed charges		20	33.3			Percent of total billed charges		6.66	33.3			Percent of total billed charges		6.66	100			Percent of total billed charges		20	6.66	18	
"hose, a.e. thigh lg-r"	270	RC	Outpatient			20	13		90			Percent of total billed charges		18	40			Percent of total billed charges		8	80			Percent of total billed charges		16	90			Percent of total billed charges		18	85			Percent of total billed charges		17	85			Percent of total billed charges		17	85			Percent of total billed charges		17	100			Percent of total billed charges		20	100			Percent of total billed charges		20	100			Percent of total billed charges		20	33.3			Percent of total billed charges		6.66	33.3			Percent of total billed charges		6.66	100			Percent of total billed charges		20	6.66	18	
"hose, a.e. thigh lg-s"	270	RC	Outpatient			20	13		90			Percent of total billed charges		18	40			Percent of total billed charges		8	80			Percent of total billed charges		16	90			Percent of total billed charges		18	85			Percent of total billed charges		17	85			Percent of total billed charges		17	85			Percent of total billed charges		17	100			Percent of total billed charges		20	100			Percent of total billed charges		20	100			Percent of total billed charges		20	33.3			Percent of total billed charges		6.66	33.3			Percent of total billed charges		6.66	100			Percent of total billed charges		20	6.66	18	
"hose, a.e. thigh med-l"	270	RC	Outpatient			20	13		90			Percent of total billed charges		18	40			Percent of total billed charges		8	80			Percent of total billed charges		16	90			Percent of total billed charges		18	85			Percent of total billed charges		17	85			Percent of total billed charges		17	85			Percent of total billed charges		17	100			Percent of total billed charges		20	100			Percent of total billed charges		20	100			Percent of total billed charges		20	33.3			Percent of total billed charges		6.66	33.3			Percent of total billed charges		6.66	100			Percent of total billed charges		20	6.66	18	
"hose, a.e. thigh med-r"	270	RC	Outpatient			20	13		90			Percent of total billed charges		18	40			Percent of total billed charges		8	80			Percent of total billed charges		16	90			Percent of total billed charges		18	85			Percent of total billed charges		17	85			Percent of total billed charges		17	85			Percent of total billed charges		17	100			Percent of total billed charges		20	100			Percent of total billed charges		20	100			Percent of total billed charges		20	33.3			Percent of total billed charges		6.66	33.3			Percent of total billed charges		6.66	100			Percent of total billed charges		20	6.66	18	
"hose, a.e. thigh med-s"	270	RC	Outpatient			20	13		90			Percent of total billed charges		18	40			Percent of total billed charges		8	80			Percent of total billed charges		16	90			Percent of total billed charges		18	85			Percent of total billed charges		17	85			Percent of total billed charges		17	85			Percent of total billed charges		17	100			Percent of total billed charges		20	100			Percent of total billed charges		20	100			Percent of total billed charges		20	33.3			Percent of total billed charges		6.66	33.3			Percent of total billed charges		6.66	100			Percent of total billed charges		20	6.66	18	
"hose, a.e. thigh sm-r"	270	RC	Outpatient			20	13		90			Percent of total billed charges		18	40			Percent of total billed charges		8	80			Percent of total billed charges		16	90			Percent of total billed charges		18	85			Percent of total billed charges		17	85			Percent of total billed charges		17	85			Percent of total billed charges		17	100			Percent of total billed charges		20	100			Percent of total billed charges		20	100			Percent of total billed charges		20	33.3			Percent of total billed charges		6.66	33.3			Percent of total billed charges		6.66	100			Percent of total billed charges		20	6.66	18	
nasal trumpet airway 7.0	270	RC	Outpatient			20	13		90			Percent of total billed charges		18	40			Percent of total billed charges		8	80			Percent of total billed charges		16	90			Percent of total billed charges		18	85			Percent of total billed charges		17	85			Percent of total billed charges		17	85			Percent of total billed charges		17	100			Percent of total billed charges		20	100			Percent of total billed charges		20	100			Percent of total billed charges		20	33.3			Percent of total billed charges		6.66	33.3			Percent of total billed charges		6.66	100			Percent of total billed charges		20	6.66	18	
nasal trumpet airway 7.5	270	RC	Outpatient			20	13		90			Percent of total billed charges		18	40			Percent of total billed charges		8	80			Percent of total billed charges		16	90			Percent of total billed charges		18	85			Percent of total billed charges		17	85			Percent of total billed charges		17	85			Percent of total billed charges		17	100			Percent of total billed charges		20	100			Percent of total billed charges		20	100			Percent of total billed charges		20	33.3			Percent of total billed charges		6.66	33.3			Percent of total billed charges		6.66	100			Percent of total billed charges		20	6.66	18	
nasal trumpet airway 8.0	270	RC	Outpatient			20	13		90			Percent of total billed charges		18	40			Percent of total billed charges		8	80			Percent of total billed charges		16	90			Percent of total billed charges		18	85			Percent of total billed charges		17	85			Percent of total billed charges		17	85			Percent of total billed charges		17	100			Percent of total billed charges		20	100			Percent of total billed charges		20	100			Percent of total billed charges		20	33.3			Percent of total billed charges		6.66	33.3			Percent of total billed charges		6.66	100			Percent of total billed charges		20	6.66	18	
prisma	270	RC	Outpatient			20	13		90			Percent of total billed charges		18	40			Percent of total billed charges		8	80			Percent of total billed charges		16	90			Percent of total billed charges		18	85			Percent of total billed charges		17	85			Percent of total billed charges		17	85			Percent of total billed charges		17	100			Percent of total billed charges		20	100			Percent of total billed charges		20	100			Percent of total billed charges		20	33.3			Percent of total billed charges		6.66	33.3			Percent of total billed charges		6.66	100			Percent of total billed charges		20	6.66	18	
strip adhesive eye closed ll0500	270	RC	Outpatient			20	13		90			Percent of total billed charges		18	40			Percent of total billed charges		8	80			Percent of total billed charges		16	90			Percent of total billed charges		18	85			Percent of total billed charges		17	85			Percent of total billed charges		17	85			Percent of total billed charges		17	100			Percent of total billed charges		20	100			Percent of total billed charges		20	100			Percent of total billed charges		20	33.3			Percent of total billed charges		6.66	33.3			Percent of total billed charges		6.66	100			Percent of total billed charges		20	6.66	18	
single spike tumescent set with out chamber cms-1212 custom medical	272	RC	Outpatient			20	13		90			Percent of total billed charges		18	40			Percent of total billed charges		8	80			Percent of total billed charges		16	90			Percent of total billed charges		18	85			Percent of total billed charges		17	85			Percent of total billed charges		17	85			Percent of total billed charges		17	100			Percent of total billed charges		20	100			Percent of total billed charges		20	100			Percent of total billed charges		20	33.3			Percent of total billed charges		6.66	33.3			Percent of total billed charges		6.66	100			Percent of total billed charges		20	6.66	18	
"splint,finger/metal 2.25#"	270	RC	Outpatient			20	13		90			Percent of total billed charges		18	40			Percent of total billed charges		8	80			Percent of total billed charges		16	90			Percent of total billed charges		18	85			Percent of total billed charges		17	85			Percent of total billed charges		17	85			Percent of total billed charges		17	100			Percent of total billed charges		20	100			Percent of total billed charges		20	100			Percent of total billed charges		20	33.3			Percent of total billed charges		6.66	33.3			Percent of total billed charges		6.66	100			Percent of total billed charges		20	6.66	18	
tumescent tubing	272	RC	Outpatient			20	13		90			Percent of total billed charges		18	40			Percent of total billed charges		8	80			Percent of total billed charges		16	90			Percent of total billed charges		18	85			Percent of total billed charges		17	85			Percent of total billed charges		17	85			Percent of total billed charges		17	100			Percent of total billed charges		20	100			Percent of total billed charges		20	100			Percent of total billed charges		20	33.3			Percent of total billed charges		6.66	33.3			Percent of total billed charges		6.66	100			Percent of total billed charges		20	6.66	18	
xpress 6mm lo profile lplf-106 entellus	272	RC	Outpatient			20	13		90			Percent of total billed charges		18	40			Percent of total billed charges		8	80			Percent of total billed charges		16	90			Percent of total billed charges		18	85			Percent of total billed charges		17	85			Percent of total billed charges		17	85			Percent of total billed charges		17	100			Percent of total billed charges		20	100			Percent of total billed charges		20	100			Percent of total billed charges		20	33.3			Percent of total billed charges		6.66	33.3			Percent of total billed charges		6.66	100			Percent of total billed charges		20	6.66	18	
zzscrmc celect 1vc filter	270	RC	Outpatient			20	13		90			Percent of total billed charges		18	40			Percent of total billed charges		8	80			Percent of total billed charges		16	90			Percent of total billed charges		18	85			Percent of total billed charges		17	85			Percent of total billed charges		17	85			Percent of total billed charges		17	100			Percent of total billed charges		20	100			Percent of total billed charges		20	100			Percent of total billed charges		20	33.3			Percent of total billed charges		6.66	33.3			Percent of total billed charges		6.66	100			Percent of total billed charges		20	6.66	18	
27g ant chamber irr cannu	270	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
bag fecal collector411101	270	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
c-wire 0.035 trocar 00505004700 conmed	278	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
circuit vision (invasive)	270	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
collector specimen lukens tube 6 1/4 20cc 19510-065 baxter	270	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
curette vacuum 9mm  21552 acmi	270	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
curette vacuum straight 10mm x20-20657 buckley	270	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
curette vacuum straight 14mm 21464 acmi	270	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
curette vacuum straight round tip 09mm 21413 cirac	270	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
curette vacuum straight round tip 12mm 40788-312 american	270	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
adapter branch swiv625191	272	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
athletic support	272	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
c-wire 0.028 spade 00505004100 conmed	278	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
c-wire 0.045 spade 00505004300 conmed	278	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
c-wire 0062 spade 00505004400 conmed	278	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
cannula irrigating anterior chamber 27g x 7 581280 bdac	270	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
cast cart	270	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
cath foley 8fr 3cc	272	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
cath thor str 12fr.570507	270	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
"cath,suct."	270	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
curette vacuum straight 16mm 21561 cirac	270	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
curette vacuum straight 6mm 21665 cirac	270	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
curette vacuum straight round tip 08mm 40788-308 baxter	270	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
curette vacuum straight round tip 11mm 21415 cirac	270	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
diapers disposable-pamper	270	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
dinamap	270	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
dressing mepitel	270	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
duo derm x-thin tri 6x7	270	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
fascia dilator	272	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
fascia dilator 6 fr with hub cook 72106	272	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
heel protector sheepskin	270	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
dressing mepilex bord 6x6	270	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
endotracheal tube changer	270	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
endotube changer / bougie	270	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
evacuette tip	270	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
fascia dilator 10 fr with hub cook 72110	272	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
fascia dilator 8 fr with hub cook 72108	272	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
lo-profile drain tube	270	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
hypo probe csz	270	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
"pads, promise"	270	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
mepilex boarder 4 x 10	272	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
mepilex border 4 x 10 295850 molnlycke	272	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
obturator 6fr x 10cm	270	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
retracted penis pouch	270	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
sween cream	270	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
tray u cath 14fr 3410	270	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
specials monitor dinamap	270	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
sterile compressar disc	270	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
support athletic lg 202636	272	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
support athletic med 202549	272	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
support athletic sm 202460	272	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
tube endo lopro cuff 7.5	270	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
tube endo lopro cuff 9.0	270	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
tube uncuff endo #2.5	270	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
tube uncuff endo #3.5	270	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
"tube,endotrach/cuff #10.0"	270	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
urostomy drain tube #7328	270	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
vacurette 9mm curved acmi/circon 21551	270	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
vacurette adapter 14mm ref# 003696	272	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
vacurette curved 12mm 21555	270	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
vacurette curved 16mm 21594 cirac	270	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
vacurette curved 8mm 20317 acmi	270	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
vag. examination	270	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
tube endo lopro cuff 5	270	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
tube endo lopro cuff 5.5	270	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
tube endo lopro cuff 6	270	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
tube endo lopro cuff 6.5	270	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
tube endo lopro cuff 7	270	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
tube endo lopro cuff 8	270	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
tube endo lopro cuff 8.5	270	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
tube endo lopro cuff 9.5	270	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
tube luki	270	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
tube uncuff endo #3	270	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
tube uncuff endo #4	270	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
tube uncuff endo #4.5	270	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
tube uncuff endo #5	270	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
tube uncuff endo #5.5	270	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
tube uncuff endo #6	270	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
vacurette curved 10mm 21553	270	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
vacurette curved 11mm 21554	270	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
vacurette curved 7mm 21853 acmi	270	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
vacurette vacuum curved tip 14mm 21593 acmi	270	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
zzscrmc tuohy borst adapters	621	RC	Outpatient			21	13.65		90			Percent of total billed charges		18.9	40			Percent of total billed charges		8.4	80			Percent of total billed charges		16.8	90			Percent of total billed charges		18.9	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	85			Percent of total billed charges		17.85	100			Percent of total billed charges		21	100			Percent of total billed charges		21	100			Percent of total billed charges		21	33.3			Percent of total billed charges		6.993	33.3			Percent of total billed charges		6.993	100			Percent of total billed charges		21	6.993	18.9	
polyp trap us endoscopy ref # 00711099	272	RC	Outpatient			21.78	14.16		90			Percent of total billed charges		19.602	40			Percent of total billed charges		8.712	80			Percent of total billed charges		17.424	90			Percent of total billed charges		19.602	85			Percent of total billed charges		18.513	85			Percent of total billed charges		18.513	85			Percent of total billed charges		18.513	100			Percent of total billed charges		21.78	100			Percent of total billed charges		21.78	100			Percent of total billed charges		21.78	33.3			Percent of total billed charges		7.2527	33.3			Percent of total billed charges		7.2527	100			Percent of total billed charges		21.78	7.2527	19.602	
bandage elas coban 6 x5 yd st mmm1586s	270	RC	Outpatient			22	14.3		90			Percent of total billed charges		19.8	40			Percent of total billed charges		8.8	80			Percent of total billed charges		17.6	90			Percent of total billed charges		19.8	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	100			Percent of total billed charges		22	100			Percent of total billed charges		22	100			Percent of total billed charges		22	33.3			Percent of total billed charges		7.326	33.3			Percent of total billed charges		7.326	100			Percent of total billed charges		22	7.326	19.8	
"book, angina pectoris"	270	RC	Outpatient			22	14.3		90			Percent of total billed charges		19.8	40			Percent of total billed charges		8.8	80			Percent of total billed charges		17.6	90			Percent of total billed charges		19.8	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	100			Percent of total billed charges		22	100			Percent of total billed charges		22	100			Percent of total billed charges		22	33.3			Percent of total billed charges		7.326	33.3			Percent of total billed charges		7.326	100			Percent of total billed charges		22	7.326	19.8	
cath foley 24fr 5cc carson 0168si24	270	RC	Outpatient			22	14.3		90			Percent of total billed charges		19.8	40			Percent of total billed charges		8.8	80			Percent of total billed charges		17.6	90			Percent of total billed charges		19.8	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	100			Percent of total billed charges		22	100			Percent of total billed charges		22	100			Percent of total billed charges		22	33.3			Percent of total billed charges		7.326	33.3			Percent of total billed charges		7.326	100			Percent of total billed charges		22	7.326	19.8	
cervical collar	272	RC	Outpatient			22	14.3		90			Percent of total billed charges		19.8	40			Percent of total billed charges		8.8	80			Percent of total billed charges		17.6	90			Percent of total billed charges		19.8	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	100			Percent of total billed charges		22	100			Percent of total billed charges		22	100			Percent of total billed charges		22	33.3			Percent of total billed charges		7.326	33.3			Percent of total billed charges		7.326	100			Percent of total billed charges		22	7.326	19.8	
4 coban (axil node)	270	RC	Outpatient			22	14.3		90			Percent of total billed charges		19.8	40			Percent of total billed charges		8.8	80			Percent of total billed charges		17.6	90			Percent of total billed charges		19.8	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	100			Percent of total billed charges		22	100			Percent of total billed charges		22	100			Percent of total billed charges		22	33.3			Percent of total billed charges		7.326	33.3			Percent of total billed charges		7.326	100			Percent of total billed charges		22	7.326	19.8	
abd hip splint pads	270	RC	Outpatient			22	14.3		90			Percent of total billed charges		19.8	40			Percent of total billed charges		8.8	80			Percent of total billed charges		17.6	90			Percent of total billed charges		19.8	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	100			Percent of total billed charges		22	100			Percent of total billed charges		22	100			Percent of total billed charges		22	33.3			Percent of total billed charges		7.326	33.3			Percent of total billed charges		7.326	100			Percent of total billed charges		22	7.326	19.8	
bandage coban/ co flex  4 x5 dynj05129  avc5400s	270	RC	Outpatient			22	14.3		90			Percent of total billed charges		19.8	40			Percent of total billed charges		8.8	80			Percent of total billed charges		17.6	90			Percent of total billed charges		19.8	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	100			Percent of total billed charges		22	100			Percent of total billed charges		22	100			Percent of total billed charges		22	33.3			Percent of total billed charges		7.326	33.3			Percent of total billed charges		7.326	100			Percent of total billed charges		22	7.326	19.8	
"book, a stronger pump"	270	RC	Outpatient			22	14.3		90			Percent of total billed charges		19.8	40			Percent of total billed charges		8.8	80			Percent of total billed charges		17.6	90			Percent of total billed charges		19.8	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	100			Percent of total billed charges		22	100			Percent of total billed charges		22	100			Percent of total billed charges		22	33.3			Percent of total billed charges		7.326	33.3			Percent of total billed charges		7.326	100			Percent of total billed charges		22	7.326	19.8	
"book, breathing for peopl"	270	RC	Outpatient			22	14.3		90			Percent of total billed charges		19.8	40			Percent of total billed charges		8.8	80			Percent of total billed charges		17.6	90			Percent of total billed charges		19.8	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	100			Percent of total billed charges		22	100			Percent of total billed charges		22	100			Percent of total billed charges		22	33.3			Percent of total billed charges		7.326	33.3			Percent of total billed charges		7.326	100			Percent of total billed charges		22	7.326	19.8	
"book, you have a pacemakr"	270	RC	Outpatient			22	14.3		90			Percent of total billed charges		19.8	40			Percent of total billed charges		8.8	80			Percent of total billed charges		17.6	90			Percent of total billed charges		19.8	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	100			Percent of total billed charges		22	100			Percent of total billed charges		22	100			Percent of total billed charges		22	33.3			Percent of total billed charges		7.326	33.3			Percent of total billed charges		7.326	100			Percent of total billed charges		22	7.326	19.8	
cath stright 16fr. 570515	270	RC	Outpatient			22	14.3		90			Percent of total billed charges		19.8	40			Percent of total billed charges		8.8	80			Percent of total billed charges		17.6	90			Percent of total billed charges		19.8	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	100			Percent of total billed charges		22	100			Percent of total billed charges		22	100			Percent of total billed charges		22	33.3			Percent of total billed charges		7.326	33.3			Percent of total billed charges		7.326	100			Percent of total billed charges		22	7.326	19.8	
cath thor str 20fr.570523	270	RC	Outpatient			22	14.3		90			Percent of total billed charges		19.8	40			Percent of total billed charges		8.8	80			Percent of total billed charges		17.6	90			Percent of total billed charges		19.8	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	100			Percent of total billed charges		22	100			Percent of total billed charges		22	100			Percent of total billed charges		22	33.3			Percent of total billed charges		7.326	33.3			Percent of total billed charges		7.326	100			Percent of total billed charges		22	7.326	19.8	
cautery pencil	270	RC	Outpatient			22	14.3		90			Percent of total billed charges		19.8	40			Percent of total billed charges		8.8	80			Percent of total billed charges		17.6	90			Percent of total billed charges		19.8	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	100			Percent of total billed charges		22	100			Percent of total billed charges		22	100			Percent of total billed charges		22	33.3			Percent of total billed charges		7.326	33.3			Percent of total billed charges		7.326	100			Percent of total billed charges		22	7.326	19.8	
genesis ii nonporous posterior stabilized femoral size 2 right 71420114 s/n	270	RC	Outpatient			22	14.3		90			Percent of total billed charges		19.8	40			Percent of total billed charges		8.8	80			Percent of total billed charges		17.6	90			Percent of total billed charges		19.8	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	100			Percent of total billed charges		22	100			Percent of total billed charges		22	100			Percent of total billed charges		22	33.3			Percent of total billed charges		7.326	33.3			Percent of total billed charges		7.326	100			Percent of total billed charges		22	7.326	19.8	
"hose, a.e. thigh lg-l"	270	RC	Outpatient			22	14.3		90			Percent of total billed charges		19.8	40			Percent of total billed charges		8.8	80			Percent of total billed charges		17.6	90			Percent of total billed charges		19.8	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	100			Percent of total billed charges		22	100			Percent of total billed charges		22	100			Percent of total billed charges		22	33.3			Percent of total billed charges		7.326	33.3			Percent of total billed charges		7.326	100			Percent of total billed charges		22	7.326	19.8	
"hose, a.e. thigh sm-l"	270	RC	Outpatient			22	14.3		90			Percent of total billed charges		19.8	40			Percent of total billed charges		8.8	80			Percent of total billed charges		17.6	90			Percent of total billed charges		19.8	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	100			Percent of total billed charges		22	100			Percent of total billed charges		22	100			Percent of total billed charges		22	33.3			Percent of total billed charges		7.326	33.3			Percent of total billed charges		7.326	100			Percent of total billed charges		22	7.326	19.8	
dressing carra gauze 4x4	270	RC	Outpatient			22	14.3		90			Percent of total billed charges		19.8	40			Percent of total billed charges		8.8	80			Percent of total billed charges		17.6	90			Percent of total billed charges		19.8	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	100			Percent of total billed charges		22	100			Percent of total billed charges		22	100			Percent of total billed charges		22	33.3			Percent of total billed charges		7.326	33.3			Percent of total billed charges		7.326	100			Percent of total billed charges		22	7.326	19.8	
endowrist medium-large clip applier ref 470327 isi	272	RC	Outpatient			22	14.3		90			Percent of total billed charges		19.8	40			Percent of total billed charges		8.8	80			Percent of total billed charges		17.6	90			Percent of total billed charges		19.8	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	100			Percent of total billed charges		22	100			Percent of total billed charges		22	100			Percent of total billed charges		22	33.3			Percent of total billed charges		7.326	33.3			Percent of total billed charges		7.326	100			Percent of total billed charges		22	7.326	19.8	
jock strap lg	270	RC	Outpatient			22	14.3		90			Percent of total billed charges		19.8	40			Percent of total billed charges		8.8	80			Percent of total billed charges		17.6	90			Percent of total billed charges		19.8	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	100			Percent of total billed charges		22	100			Percent of total billed charges		22	100			Percent of total billed charges		22	33.3			Percent of total billed charges		7.326	33.3			Percent of total billed charges		7.326	100			Percent of total billed charges		22	7.326	19.8	
jock strap med	270	RC	Outpatient			22	14.3		90			Percent of total billed charges		19.8	40			Percent of total billed charges		8.8	80			Percent of total billed charges		17.6	90			Percent of total billed charges		19.8	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	100			Percent of total billed charges		22	100			Percent of total billed charges		22	100			Percent of total billed charges		22	33.3			Percent of total billed charges		7.326	33.3			Percent of total billed charges		7.326	100			Percent of total billed charges		22	7.326	19.8	
filter exp bacteria pb	270	RC	Outpatient			22	14.3		90			Percent of total billed charges		19.8	40			Percent of total billed charges		8.8	80			Percent of total billed charges		17.6	90			Percent of total billed charges		19.8	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	100			Percent of total billed charges		22	100			Percent of total billed charges		22	100			Percent of total billed charges		22	33.3			Percent of total billed charges		7.326	33.3			Percent of total billed charges		7.326	100			Percent of total billed charges		22	7.326	19.8	
hypo probe gaymer	270	RC	Outpatient			22	14.3		90			Percent of total billed charges		19.8	40			Percent of total billed charges		8.8	80			Percent of total billed charges		17.6	90			Percent of total billed charges		19.8	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	100			Percent of total billed charges		22	100			Percent of total billed charges		22	100			Percent of total billed charges		22	33.3			Percent of total billed charges		7.326	33.3			Percent of total billed charges		7.326	100			Percent of total billed charges		22	7.326	19.8	
jock strap sm	270	RC	Outpatient			22	14.3		90			Percent of total billed charges		19.8	40			Percent of total billed charges		8.8	80			Percent of total billed charges		17.6	90			Percent of total billed charges		19.8	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	100			Percent of total billed charges		22	100			Percent of total billed charges		22	100			Percent of total billed charges		22	33.3			Percent of total billed charges		7.326	33.3			Percent of total billed charges		7.326	100			Percent of total billed charges		22	7.326	19.8	
probe rectal/esoph disp	272	RC	Outpatient			22	14.3		90			Percent of total billed charges		19.8	40			Percent of total billed charges		8.8	80			Percent of total billed charges		17.6	90			Percent of total billed charges		19.8	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	100			Percent of total billed charges		22	100			Percent of total billed charges		22	100			Percent of total billed charges		22	33.3			Percent of total billed charges		7.326	33.3			Percent of total billed charges		7.326	100			Percent of total billed charges		22	7.326	19.8	
scrmc mammotome stereotactic probe guide (mg08a)	621	RC	Outpatient			22	14.3		90			Percent of total billed charges		19.8	40			Percent of total billed charges		8.8	80			Percent of total billed charges		17.6	90			Percent of total billed charges		19.8	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	100			Percent of total billed charges		22	100			Percent of total billed charges		22	100			Percent of total billed charges		22	33.3			Percent of total billed charges		7.326	33.3			Percent of total billed charges		7.326	100			Percent of total billed charges		22	7.326	19.8	
"scrmc needle guide, 9 ga"	621	RC	Outpatient			22	14.3		90			Percent of total billed charges		19.8	40			Percent of total billed charges		8.8	80			Percent of total billed charges		17.6	90			Percent of total billed charges		19.8	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	100			Percent of total billed charges		22	100			Percent of total billed charges		22	100			Percent of total billed charges		22	33.3			Percent of total billed charges		7.326	33.3			Percent of total billed charges		7.326	100			Percent of total billed charges		22	7.326	19.8	
scrmc suction canister w/ lid	621	RC	Outpatient			22	14.3		90			Percent of total billed charges		19.8	40			Percent of total billed charges		8.8	80			Percent of total billed charges		17.6	90			Percent of total billed charges		19.8	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	100			Percent of total billed charges		22	100			Percent of total billed charges		22	100			Percent of total billed charges		22	33.3			Percent of total billed charges		7.326	33.3			Percent of total billed charges		7.326	100			Percent of total billed charges		22	7.326	19.8	
support scrotal sm 202110	270	RC	Outpatient			22	14.3		90			Percent of total billed charges		19.8	40			Percent of total billed charges		8.8	80			Percent of total billed charges		17.6	90			Percent of total billed charges		19.8	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	100			Percent of total billed charges		22	100			Percent of total billed charges		22	100			Percent of total billed charges		22	33.3			Percent of total billed charges		7.326	33.3			Percent of total billed charges		7.326	100			Percent of total billed charges		22	7.326	19.8	
support scrotal sm 512cs hibbetts	270	RC	Outpatient			22	14.3		90			Percent of total billed charges		19.8	40			Percent of total billed charges		8.8	80			Percent of total billed charges		17.6	90			Percent of total billed charges		19.8	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	100			Percent of total billed charges		22	100			Percent of total billed charges		22	100			Percent of total billed charges		22	33.3			Percent of total billed charges		7.326	33.3			Percent of total billed charges		7.326	100			Percent of total billed charges		22	7.326	19.8	
scrmc cover site rite probe	621	RC	Outpatient			22	14.3		90			Percent of total billed charges		19.8	40			Percent of total billed charges		8.8	80			Percent of total billed charges		17.6	90			Percent of total billed charges		19.8	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	100			Percent of total billed charges		22	100			Percent of total billed charges		22	100			Percent of total billed charges		22	33.3			Percent of total billed charges		7.326	33.3			Percent of total billed charges		7.326	100			Percent of total billed charges		22	7.326	19.8	
scrmc mammotome vacuum canister	621	RC	Outpatient			22	14.3		90			Percent of total billed charges		19.8	40			Percent of total billed charges		8.8	80			Percent of total billed charges		17.6	90			Percent of total billed charges		19.8	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	100			Percent of total billed charges		22	100			Percent of total billed charges		22	100			Percent of total billed charges		22	33.3			Percent of total billed charges		7.326	33.3			Percent of total billed charges		7.326	100			Percent of total billed charges		22	7.326	19.8	
scrotal support  lrg 202430	270	RC	Outpatient			22	14.3		90			Percent of total billed charges		19.8	40			Percent of total billed charges		8.8	80			Percent of total billed charges		17.6	90			Percent of total billed charges		19.8	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	100			Percent of total billed charges		22	100			Percent of total billed charges		22	100			Percent of total billed charges		22	33.3			Percent of total billed charges		7.326	33.3			Percent of total billed charges		7.326	100			Percent of total billed charges		22	7.326	19.8	
scrotal support med 202262	270	RC	Outpatient			22	14.3		90			Percent of total billed charges		19.8	40			Percent of total billed charges		8.8	80			Percent of total billed charges		17.6	90			Percent of total billed charges		19.8	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	100			Percent of total billed charges		22	100			Percent of total billed charges		22	100			Percent of total billed charges		22	33.3			Percent of total billed charges		7.326	33.3			Percent of total billed charges		7.326	100			Percent of total billed charges		22	7.326	19.8	
"support, scrotal-xlg"	270	RC	Outpatient			22	14.3		90			Percent of total billed charges		19.8	40			Percent of total billed charges		8.8	80			Percent of total billed charges		17.6	90			Percent of total billed charges		19.8	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	100			Percent of total billed charges		22	100			Percent of total billed charges		22	100			Percent of total billed charges		22	33.3			Percent of total billed charges		7.326	33.3			Percent of total billed charges		7.326	100			Percent of total billed charges		22	7.326	19.8	
"support,scrotal-lg"	270	RC	Outpatient			22	14.3		90			Percent of total billed charges		19.8	40			Percent of total billed charges		8.8	80			Percent of total billed charges		17.6	90			Percent of total billed charges		19.8	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	100			Percent of total billed charges		22	100			Percent of total billed charges		22	100			Percent of total billed charges		22	33.3			Percent of total billed charges		7.326	33.3			Percent of total billed charges		7.326	100			Percent of total billed charges		22	7.326	19.8	
"support,scrotal-med"	270	RC	Outpatient			22	14.3		90			Percent of total billed charges		19.8	40			Percent of total billed charges		8.8	80			Percent of total billed charges		17.6	90			Percent of total billed charges		19.8	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	100			Percent of total billed charges		22	100			Percent of total billed charges		22	100			Percent of total billed charges		22	33.3			Percent of total billed charges		7.326	33.3			Percent of total billed charges		7.326	100			Percent of total billed charges		22	7.326	19.8	
"support,scrotal-sm"	270	RC	Outpatient			22	14.3		90			Percent of total billed charges		19.8	40			Percent of total billed charges		8.8	80			Percent of total billed charges		17.6	90			Percent of total billed charges		19.8	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	100			Percent of total billed charges		22	100			Percent of total billed charges		22	100			Percent of total billed charges		22	33.3			Percent of total billed charges		7.326	33.3			Percent of total billed charges		7.326	100			Percent of total billed charges		22	7.326	19.8	
sween ointment	270	RC	Outpatient			22	14.3		90			Percent of total billed charges		19.8	40			Percent of total billed charges		8.8	80			Percent of total billed charges		17.6	90			Percent of total billed charges		19.8	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	100			Percent of total billed charges		22	100			Percent of total billed charges		22	100			Percent of total billed charges		22	33.3			Percent of total billed charges		7.326	33.3			Percent of total billed charges		7.326	100			Percent of total billed charges		22	7.326	19.8	
ted hose thigh lg	272	RC	Outpatient			22	14.3		90			Percent of total billed charges		19.8	40			Percent of total billed charges		8.8	80			Percent of total billed charges		17.6	90			Percent of total billed charges		19.8	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	100			Percent of total billed charges		22	100			Percent of total billed charges		22	100			Percent of total billed charges		22	33.3			Percent of total billed charges		7.326	33.3			Percent of total billed charges		7.326	100			Percent of total billed charges		22	7.326	19.8	
v. l. 4 bovie blade e1450-4 covidien	272	RC	Outpatient			22	14.3		90			Percent of total billed charges		19.8	40			Percent of total billed charges		8.8	80			Percent of total billed charges		17.6	90			Percent of total billed charges		19.8	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	100			Percent of total billed charges		22	100			Percent of total billed charges		22	100			Percent of total billed charges		22	33.3			Percent of total billed charges		7.326	33.3			Percent of total billed charges		7.326	100			Percent of total billed charges		22	7.326	19.8	
vita trac monitor	270	RC	Outpatient			22	14.3		90			Percent of total billed charges		19.8	40			Percent of total billed charges		8.8	80			Percent of total billed charges		17.6	90			Percent of total billed charges		19.8	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	100			Percent of total billed charges		22	100			Percent of total billed charges		22	100			Percent of total billed charges		22	33.3			Percent of total billed charges		7.326	33.3			Percent of total billed charges		7.326	100			Percent of total billed charges		22	7.326	19.8	
wound vac drape m6275009/10 kci	272	RC	Outpatient			22	14.3		90			Percent of total billed charges		19.8	40			Percent of total billed charges		8.8	80			Percent of total billed charges		17.6	90			Percent of total billed charges		19.8	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	100			Percent of total billed charges		22	100			Percent of total billed charges		22	100			Percent of total billed charges		22	33.3			Percent of total billed charges		7.326	33.3			Percent of total billed charges		7.326	100			Percent of total billed charges		22	7.326	19.8	
tube collar button 145214 gyrus	270	RC	Outpatient			22	14.3		90			Percent of total billed charges		19.8	40			Percent of total billed charges		8.8	80			Percent of total billed charges		17.6	90			Percent of total billed charges		19.8	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	100			Percent of total billed charges		22	100			Percent of total billed charges		22	100			Percent of total billed charges		22	33.3			Percent of total billed charges		7.326	33.3			Percent of total billed charges		7.326	100			Percent of total billed charges		22	7.326	19.8	
urinary drainage bag 2000	270	RC	Outpatient			22	14.3		90			Percent of total billed charges		19.8	40			Percent of total billed charges		8.8	80			Percent of total billed charges		17.6	90			Percent of total billed charges		19.8	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	100			Percent of total billed charges		22	100			Percent of total billed charges		22	100			Percent of total billed charges		22	33.3			Percent of total billed charges		7.326	33.3			Percent of total billed charges		7.326	100			Percent of total billed charges		22	7.326	19.8	
urinary drainage bag 4000	270	RC	Outpatient			22	14.3		90			Percent of total billed charges		19.8	40			Percent of total billed charges		8.8	80			Percent of total billed charges		17.6	90			Percent of total billed charges		19.8	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	100			Percent of total billed charges		22	100			Percent of total billed charges		22	100			Percent of total billed charges		22	33.3			Percent of total billed charges		7.326	33.3			Percent of total billed charges		7.326	100			Percent of total billed charges		22	7.326	19.8	
v. l. 4 electrode	272	RC	Outpatient			22	14.3		90			Percent of total billed charges		19.8	40			Percent of total billed charges		8.8	80			Percent of total billed charges		17.6	90			Percent of total billed charges		19.8	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	100			Percent of total billed charges		22	100			Percent of total billed charges		22	100			Percent of total billed charges		22	33.3			Percent of total billed charges		7.326	33.3			Percent of total billed charges		7.326	100			Percent of total billed charges		22	7.326	19.8	
vent tube collar button	270	RC	Outpatient			22	14.3		90			Percent of total billed charges		19.8	40			Percent of total billed charges		8.8	80			Percent of total billed charges		17.6	90			Percent of total billed charges		19.8	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	85			Percent of total billed charges		18.7	100			Percent of total billed charges		22	100			Percent of total billed charges		22	100			Percent of total billed charges		22	33.3			Percent of total billed charges		7.326	33.3			Percent of total billed charges		7.326	100			Percent of total billed charges		22	7.326	19.8	
ace bandage 4	270	RC	Outpatient			23	14.95		90			Percent of total billed charges		20.7	40			Percent of total billed charges		9.2	80			Percent of total billed charges		18.4	90			Percent of total billed charges		20.7	85			Percent of total billed charges		19.55	85			Percent of total billed charges		19.55	85			Percent of total billed charges		19.55	100			Percent of total billed charges		23	100			Percent of total billed charges		23	100			Percent of total billed charges		23	33.3			Percent of total billed charges		7.659	33.3			Percent of total billed charges		7.659	100			Percent of total billed charges		23	7.659	20.7	
application/splint-finger	270	RC	Outpatient			23	14.95		90			Percent of total billed charges		20.7	40			Percent of total billed charges		9.2	80			Percent of total billed charges		18.4	90			Percent of total billed charges		20.7	85			Percent of total billed charges		19.55	85			Percent of total billed charges		19.55	85			Percent of total billed charges		19.55	100			Percent of total billed charges		23	100			Percent of total billed charges		23	100			Percent of total billed charges		23	33.3			Percent of total billed charges		7.659	33.3			Percent of total billed charges		7.659	100			Percent of total billed charges		23	7.659	20.7	
bag urinary drainage 2000cc 6308a/154004a	270	RC	Outpatient			23	14.95		90			Percent of total billed charges		20.7	40			Percent of total billed charges		9.2	80			Percent of total billed charges		18.4	90			Percent of total billed charges		20.7	85			Percent of total billed charges		19.55	85			Percent of total billed charges		19.55	85			Percent of total billed charges		19.55	100			Percent of total billed charges		23	100			Percent of total billed charges		23	100			Percent of total billed charges		23	33.3			Percent of total billed charges		7.659	33.3			Percent of total billed charges		7.659	100			Percent of total billed charges		23	7.659	20.7	
cath lab suture	270	RC	Outpatient			23	14.95		90			Percent of total billed charges		20.7	40			Percent of total billed charges		9.2	80			Percent of total billed charges		18.4	90			Percent of total billed charges		20.7	85			Percent of total billed charges		19.55	85			Percent of total billed charges		19.55	85			Percent of total billed charges		19.55	100			Percent of total billed charges		23	100			Percent of total billed charges		23	100			Percent of total billed charges		23	33.3			Percent of total billed charges		7.659	33.3			Percent of total billed charges		7.659	100			Percent of total billed charges		23	7.659	20.7	
cath lab suture 0 ethibond	270	RC	Outpatient			23	14.95		90			Percent of total billed charges		20.7	40			Percent of total billed charges		9.2	80			Percent of total billed charges		18.4	90			Percent of total billed charges		20.7	85			Percent of total billed charges		19.55	85			Percent of total billed charges		19.55	85			Percent of total billed charges		19.55	100			Percent of total billed charges		23	100			Percent of total billed charges		23	100			Percent of total billed charges		23	33.3			Percent of total billed charges		7.659	33.3			Percent of total billed charges		7.659	100			Percent of total billed charges		23	7.659	20.7	
cath lab suture 0 silk	270	RC	Outpatient			23	14.95		90			Percent of total billed charges		20.7	40			Percent of total billed charges		9.2	80			Percent of total billed charges		18.4	90			Percent of total billed charges		20.7	85			Percent of total billed charges		19.55	85			Percent of total billed charges		19.55	85			Percent of total billed charges		19.55	100			Percent of total billed charges		23	100			Percent of total billed charges		23	100			Percent of total billed charges		23	33.3			Percent of total billed charges		7.659	33.3			Percent of total billed charges		7.659	100			Percent of total billed charges		23	7.659	20.7	
cath lab suture 2-0 vicryl	270	RC	Outpatient			23	14.95		90			Percent of total billed charges		20.7	40			Percent of total billed charges		9.2	80			Percent of total billed charges		18.4	90			Percent of total billed charges		20.7	85			Percent of total billed charges		19.55	85			Percent of total billed charges		19.55	85			Percent of total billed charges		19.55	100			Percent of total billed charges		23	100			Percent of total billed charges		23	100			Percent of total billed charges		23	33.3			Percent of total billed charges		7.659	33.3			Percent of total billed charges		7.659	100			Percent of total billed charges		23	7.659	20.7	
cdis machine	270	RC	Outpatient			23	14.95		90			Percent of total billed charges		20.7	40			Percent of total billed charges		9.2	80			Percent of total billed charges		18.4	90			Percent of total billed charges		20.7	85			Percent of total billed charges		19.55	85			Percent of total billed charges		19.55	85			Percent of total billed charges		19.55	100			Percent of total billed charges		23	100			Percent of total billed charges		23	100			Percent of total billed charges		23	33.3			Percent of total billed charges		7.659	33.3			Percent of total billed charges		7.659	100			Percent of total billed charges		23	7.659	20.7	
cdis machine (endo ablat)	270	RC	Outpatient			23	14.95		90			Percent of total billed charges		20.7	40			Percent of total billed charges		9.2	80			Percent of total billed charges		18.4	90			Percent of total billed charges		20.7	85			Percent of total billed charges		19.55	85			Percent of total billed charges		19.55	85			Percent of total billed charges		19.55	100			Percent of total billed charges		23	100			Percent of total billed charges		23	100			Percent of total billed charges		23	33.3			Percent of total billed charges		7.659	33.3			Percent of total billed charges		7.659	100			Percent of total billed charges		23	7.659	20.7	
bath mit	270	RC	Outpatient			23	14.95		90			Percent of total billed charges		20.7	40			Percent of total billed charges		9.2	80			Percent of total billed charges		18.4	90			Percent of total billed charges		20.7	85			Percent of total billed charges		19.55	85			Percent of total billed charges		19.55	85			Percent of total billed charges		19.55	100			Percent of total billed charges		23	100			Percent of total billed charges		23	100			Percent of total billed charges		23	33.3			Percent of total billed charges		7.659	33.3			Percent of total billed charges		7.659	100			Percent of total billed charges		23	7.659	20.7	
cath lab suture 3-0 ethilon	270	RC	Outpatient			23	14.95		90			Percent of total billed charges		20.7	40			Percent of total billed charges		9.2	80			Percent of total billed charges		18.4	90			Percent of total billed charges		20.7	85			Percent of total billed charges		19.55	85			Percent of total billed charges		19.55	85			Percent of total billed charges		19.55	100			Percent of total billed charges		23	100			Percent of total billed charges		23	100			Percent of total billed charges		23	33.3			Percent of total billed charges		7.659	33.3			Percent of total billed charges		7.659	100			Percent of total billed charges		23	7.659	20.7	
cath lab suture 4-0 vicryl	270	RC	Outpatient			23	14.95		90			Percent of total billed charges		20.7	40			Percent of total billed charges		9.2	80			Percent of total billed charges		18.4	90			Percent of total billed charges		20.7	85			Percent of total billed charges		19.55	85			Percent of total billed charges		19.55	85			Percent of total billed charges		19.55	100			Percent of total billed charges		23	100			Percent of total billed charges		23	100			Percent of total billed charges		23	33.3			Percent of total billed charges		7.659	33.3			Percent of total billed charges		7.659	100			Percent of total billed charges		23	7.659	20.7	
cold therapy liner small	270	RC	Outpatient			23	14.95		90			Percent of total billed charges		20.7	40			Percent of total billed charges		9.2	80			Percent of total billed charges		18.4	90			Percent of total billed charges		20.7	85			Percent of total billed charges		19.55	85			Percent of total billed charges		19.55	85			Percent of total billed charges		19.55	100			Percent of total billed charges		23	100			Percent of total billed charges		23	100			Percent of total billed charges		23	33.3			Percent of total billed charges		7.659	33.3			Percent of total billed charges		7.659	100			Percent of total billed charges		23	7.659	20.7	
epidural cath w/ stylet 333532 braun	272	RC	Outpatient			23	14.95		90			Percent of total billed charges		20.7	40			Percent of total billed charges		9.2	80			Percent of total billed charges		18.4	90			Percent of total billed charges		20.7	85			Percent of total billed charges		19.55	85			Percent of total billed charges		19.55	85			Percent of total billed charges		19.55	100			Percent of total billed charges		23	100			Percent of total billed charges		23	100			Percent of total billed charges		23	33.3			Percent of total billed charges		7.659	33.3			Percent of total billed charges		7.659	100			Percent of total billed charges		23	7.659	20.7	
industrial exam	460	RC	Outpatient			23	14.95		90			Percent of total billed charges		20.7	40			Percent of total billed charges		9.2	80			Percent of total billed charges		18.4	90			Percent of total billed charges		20.7	85			Percent of total billed charges		19.55	85			Percent of total billed charges		19.55	85			Percent of total billed charges		19.55	100			Percent of total billed charges		23	100			Percent of total billed charges		23	100			Percent of total billed charges		23	33.3			Percent of total billed charges		7.659	33.3			Percent of total billed charges		7.659	100			Percent of total billed charges		23	7.659	20.7	
handle steering ac4006 medtronic ave	270	RC	Outpatient			23	14.95		90			Percent of total billed charges		20.7	40			Percent of total billed charges		9.2	80			Percent of total billed charges		18.4	90			Percent of total billed charges		20.7	85			Percent of total billed charges		19.55	85			Percent of total billed charges		19.55	85			Percent of total billed charges		19.55	100			Percent of total billed charges		23	100			Percent of total billed charges		23	100			Percent of total billed charges		23	33.3			Percent of total billed charges		7.659	33.3			Percent of total billed charges		7.659	100			Percent of total billed charges		23	7.659	20.7	
med conc rad/bra drpd2364	272	RC	Outpatient			23	14.95		90			Percent of total billed charges		20.7	40			Percent of total billed charges		9.2	80			Percent of total billed charges		18.4	90			Percent of total billed charges		20.7	85			Percent of total billed charges		19.55	85			Percent of total billed charges		19.55	85			Percent of total billed charges		19.55	100			Percent of total billed charges		23	100			Percent of total billed charges		23	100			Percent of total billed charges		23	33.3			Percent of total billed charges		7.659	33.3			Percent of total billed charges		7.659	100			Percent of total billed charges		23	7.659	20.7	
med conc sp proc drpd2224	272	RC	Outpatient			23	14.95		90			Percent of total billed charges		20.7	40			Percent of total billed charges		9.2	80			Percent of total billed charges		18.4	90			Percent of total billed charges		20.7	85			Percent of total billed charges		19.55	85			Percent of total billed charges		19.55	85			Percent of total billed charges		19.55	100			Percent of total billed charges		23	100			Percent of total billed charges		23	100			Percent of total billed charges		23	33.3			Percent of total billed charges		7.659	33.3			Percent of total billed charges		7.659	100			Percent of total billed charges		23	7.659	20.7	
oxygen usage ed charge scnt	270	RC	Outpatient			23	14.95		90			Percent of total billed charges		20.7	40			Percent of total billed charges		9.2	80			Percent of total billed charges		18.4	90			Percent of total billed charges		20.7	85			Percent of total billed charges		19.55	85			Percent of total billed charges		19.55	85			Percent of total billed charges		19.55	100			Percent of total billed charges		23	100			Percent of total billed charges		23	100			Percent of total billed charges		23	33.3			Percent of total billed charges		7.659	33.3			Percent of total billed charges		7.659	100			Percent of total billed charges		23	7.659	20.7	
oxygen usage er	270	RC	Outpatient			23	14.95		90			Percent of total billed charges		20.7	40			Percent of total billed charges		9.2	80			Percent of total billed charges		18.4	90			Percent of total billed charges		20.7	85			Percent of total billed charges		19.55	85			Percent of total billed charges		19.55	85			Percent of total billed charges		19.55	100			Percent of total billed charges		23	100			Percent of total billed charges		23	100			Percent of total billed charges		23	33.3			Percent of total billed charges		7.659	33.3			Percent of total billed charges		7.659	100			Percent of total billed charges		23	7.659	20.7	
oxygen usage labor and de	270	RC	Outpatient			23	14.95		90			Percent of total billed charges		20.7	40			Percent of total billed charges		9.2	80			Percent of total billed charges		18.4	90			Percent of total billed charges		20.7	85			Percent of total billed charges		19.55	85			Percent of total billed charges		19.55	85			Percent of total billed charges		19.55	100			Percent of total billed charges		23	100			Percent of total billed charges		23	100			Percent of total billed charges		23	33.3			Percent of total billed charges		7.659	33.3			Percent of total billed charges		7.659	100			Percent of total billed charges		23	7.659	20.7	
pacu speciality procedure	270	RC	Outpatient			23	14.95		90			Percent of total billed charges		20.7	40			Percent of total billed charges		9.2	80			Percent of total billed charges		18.4	90			Percent of total billed charges		20.7	85			Percent of total billed charges		19.55	85			Percent of total billed charges		19.55	85			Percent of total billed charges		19.55	100			Percent of total billed charges		23	100			Percent of total billed charges		23	100			Percent of total billed charges		23	33.3			Percent of total billed charges		7.659	33.3			Percent of total billed charges		7.659	100			Percent of total billed charges		23	7.659	20.7	
ted hose thigh sm-l	272	RC	Outpatient			23	14.95		90			Percent of total billed charges		20.7	40			Percent of total billed charges		9.2	80			Percent of total billed charges		18.4	90			Percent of total billed charges		20.7	85			Percent of total billed charges		19.55	85			Percent of total billed charges		19.55	85			Percent of total billed charges		19.55	100			Percent of total billed charges		23	100			Percent of total billed charges		23	100			Percent of total billed charges		23	33.3			Percent of total billed charges		7.659	33.3			Percent of total billed charges		7.659	100			Percent of total billed charges		23	7.659	20.7	
torque device g13811 cook	270	RC	Outpatient			23	14.95		90			Percent of total billed charges		20.7	40			Percent of total billed charges		9.2	80			Percent of total billed charges		18.4	90			Percent of total billed charges		20.7	85			Percent of total billed charges		19.55	85			Percent of total billed charges		19.55	85			Percent of total billed charges		19.55	100			Percent of total billed charges		23	100			Percent of total billed charges		23	100			Percent of total billed charges		23	33.3			Percent of total billed charges		7.659	33.3			Percent of total billed charges		7.659	100			Percent of total billed charges		23	7.659	20.7	
torque vice m00146550 bos scient  46-550	270	RC	Outpatient			23	14.95		90			Percent of total billed charges		20.7	40			Percent of total billed charges		9.2	80			Percent of total billed charges		18.4	90			Percent of total billed charges		20.7	85			Percent of total billed charges		19.55	85			Percent of total billed charges		19.55	85			Percent of total billed charges		19.55	100			Percent of total billed charges		23	100			Percent of total billed charges		23	100			Percent of total billed charges		23	33.3			Percent of total billed charges		7.659	33.3			Percent of total billed charges		7.659	100			Percent of total billed charges		23	7.659	20.7	
speciality procedure	270	RC	Outpatient			23	14.95		90			Percent of total billed charges		20.7	40			Percent of total billed charges		9.2	80			Percent of total billed charges		18.4	90			Percent of total billed charges		20.7	85			Percent of total billed charges		19.55	85			Percent of total billed charges		19.55	85			Percent of total billed charges		19.55	100			Percent of total billed charges		23	100			Percent of total billed charges		23	100			Percent of total billed charges		23	33.3			Percent of total billed charges		7.659	33.3			Percent of total billed charges		7.659	100			Percent of total billed charges		23	7.659	20.7	
suture	270	RC	Outpatient			23	14.95		90			Percent of total billed charges		20.7	40			Percent of total billed charges		9.2	80			Percent of total billed charges		18.4	90			Percent of total billed charges		20.7	85			Percent of total billed charges		19.55	85			Percent of total billed charges		19.55	85			Percent of total billed charges		19.55	100			Percent of total billed charges		23	100			Percent of total billed charges		23	100			Percent of total billed charges		23	33.3			Percent of total billed charges		7.659	33.3			Percent of total billed charges		7.659	100			Percent of total billed charges		23	7.659	20.7	
torque vise	270	RC	Outpatient			23	14.95		90			Percent of total billed charges		20.7	40			Percent of total billed charges		9.2	80			Percent of total billed charges		18.4	90			Percent of total billed charges		20.7	85			Percent of total billed charges		19.55	85			Percent of total billed charges		19.55	85			Percent of total billed charges		19.55	100			Percent of total billed charges		23	100			Percent of total billed charges		23	100			Percent of total billed charges		23	33.3			Percent of total billed charges		7.659	33.3			Percent of total billed charges		7.659	100			Percent of total billed charges		23	7.659	20.7	
umbilical catheter tray	270	RC	Outpatient			23	14.95		90			Percent of total billed charges		20.7	40			Percent of total billed charges		9.2	80			Percent of total billed charges		18.4	90			Percent of total billed charges		20.7	85			Percent of total billed charges		19.55	85			Percent of total billed charges		19.55	85			Percent of total billed charges		19.55	100			Percent of total billed charges		23	100			Percent of total billed charges		23	100			Percent of total billed charges		23	33.3			Percent of total billed charges		7.659	33.3			Percent of total billed charges		7.659	100			Percent of total billed charges		23	7.659	20.7	
urinary drain 2l	270	RC	Outpatient			23	14.95		90			Percent of total billed charges		20.7	40			Percent of total billed charges		9.2	80			Percent of total billed charges		18.4	90			Percent of total billed charges		20.7	85			Percent of total billed charges		19.55	85			Percent of total billed charges		19.55	85			Percent of total billed charges		19.55	100			Percent of total billed charges		23	100			Percent of total billed charges		23	100			Percent of total billed charges		23	33.3			Percent of total billed charges		7.659	33.3			Percent of total billed charges		7.659	100			Percent of total billed charges		23	7.659	20.7	
zimmer cdis	270	RC	Outpatient			23	14.95		90			Percent of total billed charges		20.7	40			Percent of total billed charges		9.2	80			Percent of total billed charges		18.4	90			Percent of total billed charges		20.7	85			Percent of total billed charges		19.55	85			Percent of total billed charges		19.55	85			Percent of total billed charges		19.55	100			Percent of total billed charges		23	100			Percent of total billed charges		23	100			Percent of total billed charges		23	33.3			Percent of total billed charges		7.659	33.3			Percent of total billed charges		7.659	100			Percent of total billed charges		23	7.659	20.7	
capture 2-tray polyp trap ref# 1202-02	272	RC	Outpatient			23.1	15.02		90			Percent of total billed charges		20.79	40			Percent of total billed charges		9.24	80			Percent of total billed charges		18.48	90			Percent of total billed charges		20.79	85			Percent of total billed charges		19.635	85			Percent of total billed charges		19.635	85			Percent of total billed charges		19.635	100			Percent of total billed charges		23.1	100			Percent of total billed charges		23.1	100			Percent of total billed charges		23.1	33.3			Percent of total billed charges		7.6923	33.3			Percent of total billed charges		7.6923	100			Percent of total billed charges		23.1	7.6923	20.79	
soclean f & p icon adapter	290	RC	Outpatient			23.54	15.3		90			Percent of total billed charges		21.186	40			Percent of total billed charges		9.416	80			Percent of total billed charges		18.832	90			Percent of total billed charges		21.186	85			Percent of total billed charges		20.009	85			Percent of total billed charges		20.009	85			Percent of total billed charges		20.009	100			Percent of total billed charges		23.54	100			Percent of total billed charges		23.54	100			Percent of total billed charges		23.54	33.3			Percent of total billed charges		7.8388	33.3			Percent of total billed charges		7.8388	100			Percent of total billed charges		23.54	7.8388	21.186	
soclean s9 adapter	290	RC	Outpatient			23.54	15.3		90			Percent of total billed charges		21.186	40			Percent of total billed charges		9.416	80			Percent of total billed charges		18.832	90			Percent of total billed charges		21.186	85			Percent of total billed charges		20.009	85			Percent of total billed charges		20.009	85			Percent of total billed charges		20.009	100			Percent of total billed charges		23.54	100			Percent of total billed charges		23.54	100			Percent of total billed charges		23.54	33.3			Percent of total billed charges		7.8388	33.3			Percent of total billed charges		7.8388	100			Percent of total billed charges		23.54	7.8388	21.186	
soclean sys one/dreamstation adapter	290	RC	Outpatient			23.54	15.3		90			Percent of total billed charges		21.186	40			Percent of total billed charges		9.416	80			Percent of total billed charges		18.832	90			Percent of total billed charges		21.186	85			Percent of total billed charges		20.009	85			Percent of total billed charges		20.009	85			Percent of total billed charges		20.009	100			Percent of total billed charges		23.54	100			Percent of total billed charges		23.54	100			Percent of total billed charges		23.54	33.3			Percent of total billed charges		7.8388	33.3			Percent of total billed charges		7.8388	100			Percent of total billed charges		23.54	7.8388	21.186	
soclean airsense 10 adapter	290	RC	Outpatient			23.54	15.3		90			Percent of total billed charges		21.186	40			Percent of total billed charges		9.416	80			Percent of total billed charges		18.832	90			Percent of total billed charges		21.186	85			Percent of total billed charges		20.009	85			Percent of total billed charges		20.009	85			Percent of total billed charges		20.009	100			Percent of total billed charges		23.54	100			Percent of total billed charges		23.54	100			Percent of total billed charges		23.54	33.3			Percent of total billed charges		7.8388	33.3			Percent of total billed charges		7.8388	100			Percent of total billed charges		23.54	7.8388	21.186	
anti reflux-valve	270	RC	Outpatient			24	15.6		90			Percent of total billed charges		21.6	40			Percent of total billed charges		9.6	80			Percent of total billed charges		19.2	90			Percent of total billed charges		21.6	85			Percent of total billed charges		20.4	85			Percent of total billed charges		20.4	85			Percent of total billed charges		20.4	100			Percent of total billed charges		24	100			Percent of total billed charges		24	100			Percent of total billed charges		24	33.3			Percent of total billed charges		7.992	33.3			Percent of total billed charges		7.992	100			Percent of total billed charges		24	7.992	21.6	
cath foley 20fr 5cc tieman  0102si20	272	RC	Outpatient			24	15.6		90			Percent of total billed charges		21.6	40			Percent of total billed charges		9.6	80			Percent of total billed charges		19.2	90			Percent of total billed charges		21.6	85			Percent of total billed charges		20.4	85			Percent of total billed charges		20.4	85			Percent of total billed charges		20.4	100			Percent of total billed charges		24	100			Percent of total billed charges		24	100			Percent of total billed charges		24	33.3			Percent of total billed charges		7.992	33.3			Percent of total billed charges		7.992	100			Percent of total billed charges		24	7.992	21.6	
cath umbil 5.0fr single/lumen 4175005	270	RC	Outpatient			24	15.6		90			Percent of total billed charges		21.6	40			Percent of total billed charges		9.6	80			Percent of total billed charges		19.2	90			Percent of total billed charges		21.6	85			Percent of total billed charges		20.4	85			Percent of total billed charges		20.4	85			Percent of total billed charges		20.4	100			Percent of total billed charges		24	100			Percent of total billed charges		24	100			Percent of total billed charges		24	33.3			Percent of total billed charges		7.992	33.3			Percent of total billed charges		7.992	100			Percent of total billed charges		24	7.992	21.6	
ace bandage 6	270	RC	Outpatient			24	15.6		90			Percent of total billed charges		21.6	40			Percent of total billed charges		9.6	80			Percent of total billed charges		19.2	90			Percent of total billed charges		21.6	85			Percent of total billed charges		20.4	85			Percent of total billed charges		20.4	85			Percent of total billed charges		20.4	100			Percent of total billed charges		24	100			Percent of total billed charges		24	100			Percent of total billed charges		24	33.3			Percent of total billed charges		7.992	33.3			Percent of total billed charges		7.992	100			Percent of total billed charges		24	7.992	21.6	
anti-em hose knee m/l	270	RC	Outpatient			24	15.6		90			Percent of total billed charges		21.6	40			Percent of total billed charges		9.6	80			Percent of total billed charges		19.2	90			Percent of total billed charges		21.6	85			Percent of total billed charges		20.4	85			Percent of total billed charges		20.4	85			Percent of total billed charges		20.4	100			Percent of total billed charges		24	100			Percent of total billed charges		24	100			Percent of total billed charges		24	33.3			Percent of total billed charges		7.992	33.3			Percent of total billed charges		7.992	100			Percent of total billed charges		24	7.992	21.6	
cath foley 16 fr 5cc tieman 0102si16	272	RC	Outpatient			24	15.6		90			Percent of total billed charges		21.6	40			Percent of total billed charges		9.6	80			Percent of total billed charges		19.2	90			Percent of total billed charges		21.6	85			Percent of total billed charges		20.4	85			Percent of total billed charges		20.4	85			Percent of total billed charges		20.4	100			Percent of total billed charges		24	100			Percent of total billed charges		24	100			Percent of total billed charges		24	33.3			Percent of total billed charges		7.992	33.3			Percent of total billed charges		7.992	100			Percent of total billed charges		24	7.992	21.6	
cath foley 18 fr 5cc tieman 0102si18	272	RC	Outpatient			24	15.6		90			Percent of total billed charges		21.6	40			Percent of total billed charges		9.6	80			Percent of total billed charges		19.2	90			Percent of total billed charges		21.6	85			Percent of total billed charges		20.4	85			Percent of total billed charges		20.4	85			Percent of total billed charges		20.4	100			Percent of total billed charges		24	100			Percent of total billed charges		24	100			Percent of total billed charges		24	33.3			Percent of total billed charges		7.992	33.3			Percent of total billed charges		7.992	100			Percent of total billed charges		24	7.992	21.6	
collection set ster (hhs-153) 23116	270	RC	Outpatient			24	15.6		90			Percent of total billed charges		21.6	40			Percent of total billed charges		9.6	80			Percent of total billed charges		19.2	90			Percent of total billed charges		21.6	85			Percent of total billed charges		20.4	85			Percent of total billed charges		20.4	85			Percent of total billed charges		20.4	100			Percent of total billed charges		24	100			Percent of total billed charges		24	100			Percent of total billed charges		24	33.3			Percent of total billed charges		7.992	33.3			Percent of total billed charges		7.992	100			Percent of total billed charges		24	7.992	21.6	
evacuette tubing	270	RC	Outpatient			24	15.6		90			Percent of total billed charges		21.6	40			Percent of total billed charges		9.6	80			Percent of total billed charges		19.2	90			Percent of total billed charges		21.6	85			Percent of total billed charges		20.4	85			Percent of total billed charges		20.4	85			Percent of total billed charges		20.4	100			Percent of total billed charges		24	100			Percent of total billed charges		24	100			Percent of total billed charges		24	33.3			Percent of total billed charges		7.992	33.3			Percent of total billed charges		7.992	100			Percent of total billed charges		24	7.992	21.6	
hose ted anti-emb kn me-long 7480	270	RC	Outpatient			24	15.6		90			Percent of total billed charges		21.6	40			Percent of total billed charges		9.6	80			Percent of total billed charges		19.2	90			Percent of total billed charges		21.6	85			Percent of total billed charges		20.4	85			Percent of total billed charges		20.4	85			Percent of total billed charges		20.4	100			Percent of total billed charges		24	100			Percent of total billed charges		24	100			Percent of total billed charges		24	33.3			Percent of total billed charges		7.992	33.3			Percent of total billed charges		7.992	100			Percent of total billed charges		24	7.992	21.6	
"hose, a.e. knee sm-r"	270	RC	Outpatient			24	15.6		90			Percent of total billed charges		21.6	40			Percent of total billed charges		9.6	80			Percent of total billed charges		19.2	90			Percent of total billed charges		21.6	85			Percent of total billed charges		20.4	85			Percent of total billed charges		20.4	85			Percent of total billed charges		20.4	100			Percent of total billed charges		24	100			Percent of total billed charges		24	100			Percent of total billed charges		24	33.3			Percent of total billed charges		7.992	33.3			Percent of total billed charges		7.992	100			Percent of total billed charges		24	7.992	21.6	
"hose, a.e. knee, med-l"	274	RC	Outpatient			24	15.6		90			Percent of total billed charges		21.6	40			Percent of total billed charges		9.6	80			Percent of total billed charges		19.2	90			Percent of total billed charges		21.6	85			Percent of total billed charges		20.4	85			Percent of total billed charges		20.4	85			Percent of total billed charges		20.4	100			Percent of total billed charges		24	100			Percent of total billed charges		24	100			Percent of total billed charges		24	33.3			Percent of total billed charges		7.992	33.3			Percent of total billed charges		7.992	100			Percent of total billed charges		24	7.992	21.6	
"hose, a.e. knee, med-r"	270	RC	Outpatient			24	15.6		90			Percent of total billed charges		21.6	40			Percent of total billed charges		9.6	80			Percent of total billed charges		19.2	90			Percent of total billed charges		21.6	85			Percent of total billed charges		20.4	85			Percent of total billed charges		20.4	85			Percent of total billed charges		20.4	100			Percent of total billed charges		24	100			Percent of total billed charges		24	100			Percent of total billed charges		24	33.3			Percent of total billed charges		7.992	33.3			Percent of total billed charges		7.992	100			Percent of total billed charges		24	7.992	21.6	
"hose, a.e. knee, sm-l"	270	RC	Outpatient			24	15.6		90			Percent of total billed charges		21.6	40			Percent of total billed charges		9.6	80			Percent of total billed charges		19.2	90			Percent of total billed charges		21.6	85			Percent of total billed charges		20.4	85			Percent of total billed charges		20.4	85			Percent of total billed charges		20.4	100			Percent of total billed charges		24	100			Percent of total billed charges		24	100			Percent of total billed charges		24	33.3			Percent of total billed charges		7.992	33.3			Percent of total billed charges		7.992	100			Percent of total billed charges		24	7.992	21.6	
"diapers, dispos. newborn"	270	RC	Outpatient			24	15.6		90			Percent of total billed charges		21.6	40			Percent of total billed charges		9.6	80			Percent of total billed charges		19.2	90			Percent of total billed charges		21.6	85			Percent of total billed charges		20.4	85			Percent of total billed charges		20.4	85			Percent of total billed charges		20.4	100			Percent of total billed charges		24	100			Percent of total billed charges		24	100			Percent of total billed charges		24	33.3			Percent of total billed charges		7.992	33.3			Percent of total billed charges		7.992	100			Percent of total billed charges		24	7.992	21.6	
immob wrist xs-l	270	RC	Outpatient			24	15.6		90			Percent of total billed charges		21.6	40			Percent of total billed charges		9.6	80			Percent of total billed charges		19.2	90			Percent of total billed charges		21.6	85			Percent of total billed charges		20.4	85			Percent of total billed charges		20.4	85			Percent of total billed charges		20.4	100			Percent of total billed charges		24	100			Percent of total billed charges		24	100			Percent of total billed charges		24	33.3			Percent of total billed charges		7.992	33.3			Percent of total billed charges		7.992	100			Percent of total billed charges		24	7.992	21.6	
dressing sorbsan 2x2	270	RC	Outpatient			24	15.6		90			Percent of total billed charges		21.6	40			Percent of total billed charges		9.6	80			Percent of total billed charges		19.2	90			Percent of total billed charges		21.6	85			Percent of total billed charges		20.4	85			Percent of total billed charges		20.4	85			Percent of total billed charges		20.4	100			Percent of total billed charges		24	100			Percent of total billed charges		24	100			Percent of total billed charges		24	33.3			Percent of total billed charges		7.992	33.3			Percent of total billed charges		7.992	100			Percent of total billed charges		24	7.992	21.6	
"kit,redress dt13420"	270	RC	Outpatient			24	15.6		90			Percent of total billed charges		21.6	40			Percent of total billed charges		9.6	80			Percent of total billed charges		19.2	90			Percent of total billed charges		21.6	85			Percent of total billed charges		20.4	85			Percent of total billed charges		20.4	85			Percent of total billed charges		20.4	100			Percent of total billed charges		24	100			Percent of total billed charges		24	100			Percent of total billed charges		24	33.3			Percent of total billed charges		7.992	33.3			Percent of total billed charges		7.992	100			Percent of total billed charges		24	7.992	21.6	
knee cartiledge instrumnt	270	RC	Outpatient			24	15.6		90			Percent of total billed charges		21.6	40			Percent of total billed charges		9.6	80			Percent of total billed charges		19.2	90			Percent of total billed charges		21.6	85			Percent of total billed charges		20.4	85			Percent of total billed charges		20.4	85			Percent of total billed charges		20.4	100			Percent of total billed charges		24	100			Percent of total billed charges		24	100			Percent of total billed charges		24	33.3			Percent of total billed charges		7.992	33.3			Percent of total billed charges		7.992	100			Percent of total billed charges		24	7.992	21.6	
"hose, a.e. knee, xl-r"	270	RC	Outpatient			24	15.6		90			Percent of total billed charges		21.6	40			Percent of total billed charges		9.6	80			Percent of total billed charges		19.2	90			Percent of total billed charges		21.6	85			Percent of total billed charges		20.4	85			Percent of total billed charges		20.4	85			Percent of total billed charges		20.4	100			Percent of total billed charges		24	100			Percent of total billed charges		24	100			Percent of total billed charges		24	33.3			Percent of total billed charges		7.992	33.3			Percent of total billed charges		7.992	100			Percent of total billed charges		24	7.992	21.6	
immob wrist xsm-r	270	RC	Outpatient			24	15.6		90			Percent of total billed charges		21.6	40			Percent of total billed charges		9.6	80			Percent of total billed charges		19.2	90			Percent of total billed charges		21.6	85			Percent of total billed charges		20.4	85			Percent of total billed charges		20.4	85			Percent of total billed charges		20.4	100			Percent of total billed charges		24	100			Percent of total billed charges		24	100			Percent of total billed charges		24	33.3			Percent of total billed charges		7.992	33.3			Percent of total billed charges		7.992	100			Percent of total billed charges		24	7.992	21.6	
neph drainage kit	272	RC	Outpatient			24	15.6		90			Percent of total billed charges		21.6	40			Percent of total billed charges		9.6	80			Percent of total billed charges		19.2	90			Percent of total billed charges		21.6	85			Percent of total billed charges		20.4	85			Percent of total billed charges		20.4	85			Percent of total billed charges		20.4	100			Percent of total billed charges		24	100			Percent of total billed charges		24	100			Percent of total billed charges		24	33.3			Percent of total billed charges		7.992	33.3			Percent of total billed charges		7.992	100			Percent of total billed charges		24	7.992	21.6	
pressure tubing	270	RC	Outpatient			24	15.6		90			Percent of total billed charges		21.6	40			Percent of total billed charges		9.6	80			Percent of total billed charges		19.2	90			Percent of total billed charges		21.6	85			Percent of total billed charges		20.4	85			Percent of total billed charges		20.4	85			Percent of total billed charges		20.4	100			Percent of total billed charges		24	100			Percent of total billed charges		24	100			Percent of total billed charges		24	33.3			Percent of total billed charges		7.992	33.3			Percent of total billed charges		7.992	100			Percent of total billed charges		24	7.992	21.6	
scrmc stomy measuring device	621	RC	Outpatient			24	15.6		90			Percent of total billed charges		21.6	40			Percent of total billed charges		9.6	80			Percent of total billed charges		19.2	90			Percent of total billed charges		21.6	85			Percent of total billed charges		20.4	85			Percent of total billed charges		20.4	85			Percent of total billed charges		20.4	100			Percent of total billed charges		24	100			Percent of total billed charges		24	100			Percent of total billed charges		24	33.3			Percent of total billed charges		7.992	33.3			Percent of total billed charges		7.992	100			Percent of total billed charges		24	7.992	21.6	
ventilator tube	270	RC	Outpatient			24	15.6		90			Percent of total billed charges		21.6	40			Percent of total billed charges		9.6	80			Percent of total billed charges		19.2	90			Percent of total billed charges		21.6	85			Percent of total billed charges		20.4	85			Percent of total billed charges		20.4	85			Percent of total billed charges		20.4	100			Percent of total billed charges		24	100			Percent of total billed charges		24	100			Percent of total billed charges		24	33.3			Percent of total billed charges		7.992	33.3			Percent of total billed charges		7.992	100			Percent of total billed charges		24	7.992	21.6	
scpf kit powerwand dressing change	270	RC	Outpatient			24.75	16.08		90			Percent of total billed charges		22.275	40			Percent of total billed charges		9.9	80			Percent of total billed charges		19.8	90			Percent of total billed charges		22.275	85			Percent of total billed charges		21.0375	85			Percent of total billed charges		21.0375	85			Percent of total billed charges		21.0375	100			Percent of total billed charges		24.75	100			Percent of total billed charges		24.75	100			Percent of total billed charges		24.75	33.3			Percent of total billed charges		8.2418	33.3			Percent of total billed charges		8.2418	100			Percent of total billed charges		24.75	8.2418	22.275	
bronch swivel adapter smiths medical ref # 62591	272	RC	Outpatient			24.95	16.22		90			Percent of total billed charges		22.455	40			Percent of total billed charges		9.98	80			Percent of total billed charges		19.96	90			Percent of total billed charges		22.455	85			Percent of total billed charges		21.2075	85			Percent of total billed charges		21.2075	85			Percent of total billed charges		21.2075	100			Percent of total billed charges		24.95	100			Percent of total billed charges		24.95	100			Percent of total billed charges		24.95	33.3			Percent of total billed charges		8.3084	33.3			Percent of total billed charges		8.3084	100			Percent of total billed charges		24.95	8.3084	22.455	
biopatch	272	RC	Outpatient			25	16.25		90			Percent of total billed charges		22.5	40			Percent of total billed charges		10	80			Percent of total billed charges		20	90			Percent of total billed charges		22.5	85			Percent of total billed charges		21.25	85			Percent of total billed charges		21.25	85			Percent of total billed charges		21.25	100			Percent of total billed charges		25	100			Percent of total billed charges		25	100			Percent of total billed charges		25	33.3			Percent of total billed charges		8.325	33.3			Percent of total billed charges		8.325	100			Percent of total billed charges		25	8.325	22.5	
cath lab drape ioban 13 x 13	270	RC	Outpatient			25	16.25		90			Percent of total billed charges		22.5	40			Percent of total billed charges		10	80			Percent of total billed charges		20	90			Percent of total billed charges		22.5	85			Percent of total billed charges		21.25	85			Percent of total billed charges		21.25	85			Percent of total billed charges		21.25	100			Percent of total billed charges		25	100			Percent of total billed charges		25	100			Percent of total billed charges		25	33.3			Percent of total billed charges		8.325	33.3			Percent of total billed charges		8.325	100			Percent of total billed charges		25	8.325	22.5	
cath lab ioban	270	RC	Outpatient			25	16.25		90			Percent of total billed charges		22.5	40			Percent of total billed charges		10	80			Percent of total billed charges		20	90			Percent of total billed charges		22.5	85			Percent of total billed charges		21.25	85			Percent of total billed charges		21.25	85			Percent of total billed charges		21.25	100			Percent of total billed charges		25	100			Percent of total billed charges		25	100			Percent of total billed charges		25	33.3			Percent of total billed charges		8.325	33.3			Percent of total billed charges		8.325	100			Percent of total billed charges		25	8.325	22.5	
cloud 9	270	RC	Outpatient			25	16.25		90			Percent of total billed charges		22.5	40			Percent of total billed charges		10	80			Percent of total billed charges		20	90			Percent of total billed charges		22.5	85			Percent of total billed charges		21.25	85			Percent of total billed charges		21.25	85			Percent of total billed charges		21.25	100			Percent of total billed charges		25	100			Percent of total billed charges		25	100			Percent of total billed charges		25	33.3			Percent of total billed charges		8.325	33.3			Percent of total billed charges		8.325	100			Percent of total billed charges		25	8.325	22.5	
bolt 12mm 71070515 s/n	278	RC	Outpatient			25	16.25		90			Percent of total billed charges		22.5	40			Percent of total billed charges		10	80			Percent of total billed charges		20	90			Percent of total billed charges		22.5	85			Percent of total billed charges		21.25	85			Percent of total billed charges		21.25	85			Percent of total billed charges		21.25	100			Percent of total billed charges		25	100			Percent of total billed charges		25	100			Percent of total billed charges		25	33.3			Percent of total billed charges		8.325	33.3			Percent of total billed charges		8.325	100			Percent of total billed charges		25	8.325	22.5	
"c-wire, trocar point"	270	RC	Outpatient			25	16.25		90			Percent of total billed charges		22.5	40			Percent of total billed charges		10	80			Percent of total billed charges		20	90			Percent of total billed charges		22.5	85			Percent of total billed charges		21.25	85			Percent of total billed charges		21.25	85			Percent of total billed charges		21.25	100			Percent of total billed charges		25	100			Percent of total billed charges		25	100			Percent of total billed charges		25	33.3			Percent of total billed charges		8.325	33.3			Percent of total billed charges		8.325	100			Percent of total billed charges		25	8.325	22.5	
cath thor str 24fr 570531	270	RC	Outpatient			25	16.25		90			Percent of total billed charges		22.5	40			Percent of total billed charges		10	80			Percent of total billed charges		20	90			Percent of total billed charges		22.5	85			Percent of total billed charges		21.25	85			Percent of total billed charges		21.25	85			Percent of total billed charges		21.25	100			Percent of total billed charges		25	100			Percent of total billed charges		25	100			Percent of total billed charges		25	33.3			Percent of total billed charges		8.325	33.3			Percent of total billed charges		8.325	100			Percent of total billed charges		25	8.325	22.5	
"eye burr, corneal"	270	RC	Outpatient			25	16.25		90			Percent of total billed charges		22.5	40			Percent of total billed charges		10	80			Percent of total billed charges		20	90			Percent of total billed charges		22.5	85			Percent of total billed charges		21.25	85			Percent of total billed charges		21.25	85			Percent of total billed charges		21.25	100			Percent of total billed charges		25	100			Percent of total billed charges		25	100			Percent of total billed charges		25	33.3			Percent of total billed charges		8.325	33.3			Percent of total billed charges		8.325	100			Percent of total billed charges		25	8.325	22.5	
drape ioban 13x13 cardina	270	RC	Outpatient			25	16.25		90			Percent of total billed charges		22.5	40			Percent of total billed charges		10	80			Percent of total billed charges		20	90			Percent of total billed charges		22.5	85			Percent of total billed charges		21.25	85			Percent of total billed charges		21.25	85			Percent of total billed charges		21.25	100			Percent of total billed charges		25	100			Percent of total billed charges		25	100			Percent of total billed charges		25	33.3			Percent of total billed charges		8.325	33.3			Percent of total billed charges		8.325	100			Percent of total billed charges		25	8.325	22.5	
dresssing puracol plus ag 2x2 msc8722epi medline	272	RC	Outpatient			25	16.25		90			Percent of total billed charges		22.5	40			Percent of total billed charges		10	80			Percent of total billed charges		20	90			Percent of total billed charges		22.5	85			Percent of total billed charges		21.25	85			Percent of total billed charges		21.25	85			Percent of total billed charges		21.25	100			Percent of total billed charges		25	100			Percent of total billed charges		25	100			Percent of total billed charges		25	33.3			Percent of total billed charges		8.325	33.3			Percent of total billed charges		8.325	100			Percent of total billed charges		25	8.325	22.5	
duo derm x-thin  sq 6x6	270	RC	Outpatient			25	16.25		90			Percent of total billed charges		22.5	40			Percent of total billed charges		10	80			Percent of total billed charges		20	90			Percent of total billed charges		22.5	85			Percent of total billed charges		21.25	85			Percent of total billed charges		21.25	85			Percent of total billed charges		21.25	100			Percent of total billed charges		25	100			Percent of total billed charges		25	100			Percent of total billed charges		25	33.3			Percent of total billed charges		8.325	33.3			Percent of total billed charges		8.325	100			Percent of total billed charges		25	8.325	22.5	
iodoform gauze 1/2	270	RC	Outpatient			25	16.25		90			Percent of total billed charges		22.5	40			Percent of total billed charges		10	80			Percent of total billed charges		20	90			Percent of total billed charges		22.5	85			Percent of total billed charges		21.25	85			Percent of total billed charges		21.25	85			Percent of total billed charges		21.25	100			Percent of total billed charges		25	100			Percent of total billed charges		25	100			Percent of total billed charges		25	33.3			Percent of total billed charges		8.325	33.3			Percent of total billed charges		8.325	100			Percent of total billed charges		25	8.325	22.5	
gauze iodofoam 1/4	270	RC	Outpatient			25	16.25		90			Percent of total billed charges		22.5	40			Percent of total billed charges		10	80			Percent of total billed charges		20	90			Percent of total billed charges		22.5	85			Percent of total billed charges		21.25	85			Percent of total billed charges		21.25	85			Percent of total billed charges		21.25	100			Percent of total billed charges		25	100			Percent of total billed charges		25	100			Percent of total billed charges		25	33.3			Percent of total billed charges		8.325	33.3			Percent of total billed charges		8.325	100			Percent of total billed charges		25	8.325	22.5	
iodo form gauze 1	270	RC	Outpatient			25	16.25		90			Percent of total billed charges		22.5	40			Percent of total billed charges		10	80			Percent of total billed charges		20	90			Percent of total billed charges		22.5	85			Percent of total billed charges		21.25	85			Percent of total billed charges		21.25	85			Percent of total billed charges		21.25	100			Percent of total billed charges		25	100			Percent of total billed charges		25	100			Percent of total billed charges		25	33.3			Percent of total billed charges		8.325	33.3			Percent of total billed charges		8.325	100			Percent of total billed charges		25	8.325	22.5	
iodo form gauze 2	270	RC	Outpatient			25	16.25		90			Percent of total billed charges		22.5	40			Percent of total billed charges		10	80			Percent of total billed charges		20	90			Percent of total billed charges		22.5	85			Percent of total billed charges		21.25	85			Percent of total billed charges		21.25	85			Percent of total billed charges		21.25	100			Percent of total billed charges		25	100			Percent of total billed charges		25	100			Percent of total billed charges		25	33.3			Percent of total billed charges		8.325	33.3			Percent of total billed charges		8.325	100			Percent of total billed charges		25	8.325	22.5	
mat absorbtion cloud 9 10227	270	RC	Outpatient			25	16.25		90			Percent of total billed charges		22.5	40			Percent of total billed charges		10	80			Percent of total billed charges		20	90			Percent of total billed charges		22.5	85			Percent of total billed charges		21.25	85			Percent of total billed charges		21.25	85			Percent of total billed charges		21.25	100			Percent of total billed charges		25	100			Percent of total billed charges		25	100			Percent of total billed charges		25	33.3			Percent of total billed charges		8.325	33.3			Percent of total billed charges		8.325	100			Percent of total billed charges		25	8.325	22.5	
patch bio 4150 ethicon	272	RC	Outpatient			25	16.25		90			Percent of total billed charges		22.5	40			Percent of total billed charges		10	80			Percent of total billed charges		20	90			Percent of total billed charges		22.5	85			Percent of total billed charges		21.25	85			Percent of total billed charges		21.25	85			Percent of total billed charges		21.25	100			Percent of total billed charges		25	100			Percent of total billed charges		25	100			Percent of total billed charges		25	33.3			Percent of total billed charges		8.325	33.3			Percent of total billed charges		8.325	100			Percent of total billed charges		25	8.325	22.5	
smoke evacuation tubing 7/8 in x 10ft vt10624 conmed	272	RC	Outpatient			25	16.25		90			Percent of total billed charges		22.5	40			Percent of total billed charges		10	80			Percent of total billed charges		20	90			Percent of total billed charges		22.5	85			Percent of total billed charges		21.25	85			Percent of total billed charges		21.25	85			Percent of total billed charges		21.25	100			Percent of total billed charges		25	100			Percent of total billed charges		25	100			Percent of total billed charges		25	33.3			Percent of total billed charges		8.325	33.3			Percent of total billed charges		8.325	100			Percent of total billed charges		25	8.325	22.5	
"strap,clavicle,med"	270	RC	Outpatient			25	16.25		90			Percent of total billed charges		22.5	40			Percent of total billed charges		10	80			Percent of total billed charges		20	90			Percent of total billed charges		22.5	85			Percent of total billed charges		21.25	85			Percent of total billed charges		21.25	85			Percent of total billed charges		21.25	100			Percent of total billed charges		25	100			Percent of total billed charges		25	100			Percent of total billed charges		25	33.3			Percent of total billed charges		8.325	33.3			Percent of total billed charges		8.325	100			Percent of total billed charges		25	8.325	22.5	
taylor spatial bolt	278	RC	Outpatient			25	16.25		90			Percent of total billed charges		22.5	40			Percent of total billed charges		10	80			Percent of total billed charges		20	90			Percent of total billed charges		22.5	85			Percent of total billed charges		21.25	85			Percent of total billed charges		21.25	85			Percent of total billed charges		21.25	100			Percent of total billed charges		25	100			Percent of total billed charges		25	100			Percent of total billed charges		25	33.3			Percent of total billed charges		8.325	33.3			Percent of total billed charges		8.325	100			Percent of total billed charges		25	8.325	22.5	
universal drape	270	RC	Outpatient			25	16.25		90			Percent of total billed charges		22.5	40			Percent of total billed charges		10	80			Percent of total billed charges		20	90			Percent of total billed charges		22.5	85			Percent of total billed charges		21.25	85			Percent of total billed charges		21.25	85			Percent of total billed charges		21.25	100			Percent of total billed charges		25	100			Percent of total billed charges		25	100			Percent of total billed charges		25	33.3			Percent of total billed charges		8.325	33.3			Percent of total billed charges		8.325	100			Percent of total billed charges		25	8.325	22.5	
soclean 8 oz prewash	290	RC	Outpatient			25.89	16.83		90			Percent of total billed charges		23.301	40			Percent of total billed charges		10.356	80			Percent of total billed charges		20.712	90			Percent of total billed charges		23.301	85			Percent of total billed charges		22.0065	85			Percent of total billed charges		22.0065	85			Percent of total billed charges		22.0065	100			Percent of total billed charges		25.89	100			Percent of total billed charges		25.89	100			Percent of total billed charges		25.89	33.3			Percent of total billed charges		8.6214	33.3			Percent of total billed charges		8.6214	100			Percent of total billed charges		25.89	8.6214	23.301	
cardiac sheaths	272	RC	Outpatient			26	16.9		90			Percent of total billed charges		23.4	40			Percent of total billed charges		10.4	80			Percent of total billed charges		20.8	90			Percent of total billed charges		23.4	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	100			Percent of total billed charges		26	100			Percent of total billed charges		26	100			Percent of total billed charges		26	33.3			Percent of total billed charges		8.658	33.3			Percent of total billed charges		8.658	100			Percent of total billed charges		26	8.658	23.4	
cath foley 18fr 5cc council 0196si18	270	RC	Outpatient			26	16.9		90			Percent of total billed charges		23.4	40			Percent of total billed charges		10.4	80			Percent of total billed charges		20.8	90			Percent of total billed charges		23.4	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	100			Percent of total billed charges		26	100			Percent of total billed charges		26	100			Percent of total billed charges		26	33.3			Percent of total billed charges		8.658	33.3			Percent of total billed charges		8.658	100			Percent of total billed charges		26	8.658	23.4	
cath thor str 32fr 570556	270	RC	Outpatient			26	16.9		90			Percent of total billed charges		23.4	40			Percent of total billed charges		10.4	80			Percent of total billed charges		20.8	90			Percent of total billed charges		23.4	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	100			Percent of total billed charges		26	100			Percent of total billed charges		26	100			Percent of total billed charges		26	33.3			Percent of total billed charges		8.658	33.3			Percent of total billed charges		8.658	100			Percent of total billed charges		26	8.658	23.4	
brief pull up child lg	270	RC	Outpatient			26	16.9		90			Percent of total billed charges		23.4	40			Percent of total billed charges		10.4	80			Percent of total billed charges		20.8	90			Percent of total billed charges		23.4	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	100			Percent of total billed charges		26	100			Percent of total billed charges		26	100			Percent of total billed charges		26	33.3			Percent of total billed charges		8.658	33.3			Percent of total billed charges		8.658	100			Percent of total billed charges		26	8.658	23.4	
cath foley 20fr 5cc council 0196s120	270	RC	Outpatient			26	16.9		90			Percent of total billed charges		23.4	40			Percent of total billed charges		10.4	80			Percent of total billed charges		20.8	90			Percent of total billed charges		23.4	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	100			Percent of total billed charges		26	100			Percent of total billed charges		26	100			Percent of total billed charges		26	33.3			Percent of total billed charges		8.658	33.3			Percent of total billed charges		8.658	100			Percent of total billed charges		26	8.658	23.4	
cath thor str 36fr 570564	270	RC	Outpatient			26	16.9		90			Percent of total billed charges		23.4	40			Percent of total billed charges		10.4	80			Percent of total billed charges		20.8	90			Percent of total billed charges		23.4	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	100			Percent of total billed charges		26	100			Percent of total billed charges		26	100			Percent of total billed charges		26	33.3			Percent of total billed charges		8.658	33.3			Percent of total billed charges		8.658	100			Percent of total billed charges		26	8.658	23.4	
fecal incontinent coll	270	RC	Outpatient			26	16.9		90			Percent of total billed charges		23.4	40			Percent of total billed charges		10.4	80			Percent of total billed charges		20.8	90			Percent of total billed charges		23.4	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	100			Percent of total billed charges		26	100			Percent of total billed charges		26	100			Percent of total billed charges		26	33.3			Percent of total billed charges		8.658	33.3			Percent of total billed charges		8.658	100			Percent of total billed charges		26	8.658	23.4	
high pressure tubing hpc590e merit	272	RC	Outpatient			26	16.9		90			Percent of total billed charges		23.4	40			Percent of total billed charges		10.4	80			Percent of total billed charges		20.8	90			Percent of total billed charges		23.4	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	100			Percent of total billed charges		26	100			Percent of total billed charges		26	100			Percent of total billed charges		26	33.3			Percent of total billed charges		8.658	33.3			Percent of total billed charges		8.658	100			Percent of total billed charges		26	8.658	23.4	
dilator endovascular	272	RC	Outpatient			26	16.9		90			Percent of total billed charges		23.4	40			Percent of total billed charges		10.4	80			Percent of total billed charges		20.8	90			Percent of total billed charges		23.4	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	100			Percent of total billed charges		26	100			Percent of total billed charges		26	100			Percent of total billed charges		26	33.3			Percent of total billed charges		8.658	33.3			Percent of total billed charges		8.658	100			Percent of total billed charges		26	8.658	23.4	
drain tube attach device	270	RC	Outpatient			26	16.9		90			Percent of total billed charges		23.4	40			Percent of total billed charges		10.4	80			Percent of total billed charges		20.8	90			Percent of total billed charges		23.4	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	100			Percent of total billed charges		26	100			Percent of total billed charges		26	100			Percent of total billed charges		26	33.3			Percent of total billed charges		8.658	33.3			Percent of total billed charges		8.658	100			Percent of total billed charges		26	8.658	23.4	
kit powerwand dressing change	270	RC	Outpatient			26	16.9		90			Percent of total billed charges		23.4	40			Percent of total billed charges		10.4	80			Percent of total billed charges		20.8	90			Percent of total billed charges		23.4	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	100			Percent of total billed charges		26	100			Percent of total billed charges		26	100			Percent of total billed charges		26	33.3			Percent of total billed charges		8.658	33.3			Percent of total billed charges		8.658	100			Percent of total billed charges		26	8.658	23.4	
lta kit	270	RC	Outpatient			26	16.9		90			Percent of total billed charges		23.4	40			Percent of total billed charges		10.4	80			Percent of total billed charges		20.8	90			Percent of total billed charges		23.4	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	100			Percent of total billed charges		26	100			Percent of total billed charges		26	100			Percent of total billed charges		26	33.3			Percent of total billed charges		8.658	33.3			Percent of total billed charges		8.658	100			Percent of total billed charges		26	8.658	23.4	
"hose, a.e., thigh sm-s"	270	RC	Outpatient			26	16.9		90			Percent of total billed charges		23.4	40			Percent of total billed charges		10.4	80			Percent of total billed charges		20.8	90			Percent of total billed charges		23.4	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	100			Percent of total billed charges		26	100			Percent of total billed charges		26	100			Percent of total billed charges		26	33.3			Percent of total billed charges		8.658	33.3			Percent of total billed charges		8.658	100			Percent of total billed charges		26	8.658	23.4	
immob. shoulder xs9015-00	270	RC	Outpatient			26	16.9		90			Percent of total billed charges		23.4	40			Percent of total billed charges		10.4	80			Percent of total billed charges		20.8	90			Percent of total billed charges		23.4	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	100			Percent of total billed charges		26	100			Percent of total billed charges		26	100			Percent of total billed charges		26	33.3			Percent of total billed charges		8.658	33.3			Percent of total billed charges		8.658	100			Percent of total billed charges		26	8.658	23.4	
multi set pre-filter 7/8 connect bspf7-8-30 buffalo	270	RC	Outpatient			26	16.9		90			Percent of total billed charges		23.4	40			Percent of total billed charges		10.4	80			Percent of total billed charges		20.8	90			Percent of total billed charges		23.4	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	100			Percent of total billed charges		26	100			Percent of total billed charges		26	100			Percent of total billed charges		26	33.3			Percent of total billed charges		8.658	33.3			Percent of total billed charges		8.658	100			Percent of total billed charges		26	8.658	23.4	
kit personal care kit	272	RC	Outpatient			26	16.9		90			Percent of total billed charges		23.4	40			Percent of total billed charges		10.4	80			Percent of total billed charges		20.8	90			Percent of total billed charges		23.4	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	100			Percent of total billed charges		26	100			Percent of total billed charges		26	100			Percent of total billed charges		26	33.3			Percent of total billed charges		8.658	33.3			Percent of total billed charges		8.658	100			Percent of total billed charges		26	8.658	23.4	
lidocaine hcl top sol syringe abbott 74-1001-01	270	RC	Outpatient			26	16.9		90			Percent of total billed charges		23.4	40			Percent of total billed charges		10.4	80			Percent of total billed charges		20.8	90			Percent of total billed charges		23.4	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	100			Percent of total billed charges		26	100			Percent of total billed charges		26	100			Percent of total billed charges		26	33.3			Percent of total billed charges		8.658	33.3			Percent of total billed charges		8.658	100			Percent of total billed charges		26	8.658	23.4	
ost no string barrier3345	270	RC	Outpatient			26	16.9		90			Percent of total billed charges		23.4	40			Percent of total billed charges		10.4	80			Percent of total billed charges		20.8	90			Percent of total billed charges		23.4	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	100			Percent of total billed charges		26	100			Percent of total billed charges		26	100			Percent of total billed charges		26	33.3			Percent of total billed charges		8.658	33.3			Percent of total billed charges		8.658	100			Percent of total billed charges		26	8.658	23.4	
pack basic	270	RC	Outpatient			26	16.9		90			Percent of total billed charges		23.4	40			Percent of total billed charges		10.4	80			Percent of total billed charges		20.8	90			Percent of total billed charges		23.4	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	100			Percent of total billed charges		26	100			Percent of total billed charges		26	100			Percent of total billed charges		26	33.3			Percent of total billed charges		8.658	33.3			Percent of total billed charges		8.658	100			Percent of total billed charges		26	8.658	23.4	
procare shoulder immobilizer x-large  79-84168 djo	270	RC	Outpatient			26	16.9		90			Percent of total billed charges		23.4	40			Percent of total billed charges		10.4	80			Percent of total billed charges		20.8	90			Percent of total billed charges		23.4	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	100			Percent of total billed charges		26	100			Percent of total billed charges		26	100			Percent of total billed charges		26	33.3			Percent of total billed charges		8.658	33.3			Percent of total billed charges		8.658	100			Percent of total billed charges		26	8.658	23.4	
rib belt mens (univ)	270	RC	Outpatient			26	16.9		90			Percent of total billed charges		23.4	40			Percent of total billed charges		10.4	80			Percent of total billed charges		20.8	90			Percent of total billed charges		23.4	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	100			Percent of total billed charges		26	100			Percent of total billed charges		26	100			Percent of total billed charges		26	33.3			Percent of total billed charges		8.658	33.3			Percent of total billed charges		8.658	100			Percent of total billed charges		26	8.658	23.4	
rib belt mens (univ) ed charge scnt	450	RC	Outpatient			26	16.9		90			Percent of total billed charges		23.4	40			Percent of total billed charges		10.4	80			Percent of total billed charges		20.8	90			Percent of total billed charges		23.4	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	100			Percent of total billed charges		26	100			Percent of total billed charges		26	100			Percent of total billed charges		26	33.3			Percent of total billed charges		8.658	33.3			Percent of total billed charges		8.658	100			Percent of total billed charges		26	8.658	23.4	
rib belt womens (univ)	270	RC	Outpatient			26	16.9		90			Percent of total billed charges		23.4	40			Percent of total billed charges		10.4	80			Percent of total billed charges		20.8	90			Percent of total billed charges		23.4	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	100			Percent of total billed charges		26	100			Percent of total billed charges		26	100			Percent of total billed charges		26	33.3			Percent of total billed charges		8.658	33.3			Percent of total billed charges		8.658	100			Percent of total billed charges		26	8.658	23.4	
rib belt womens (univ) ed charge scnt	450	RC	Outpatient			26	16.9		90			Percent of total billed charges		23.4	40			Percent of total billed charges		10.4	80			Percent of total billed charges		20.8	90			Percent of total billed charges		23.4	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	100			Percent of total billed charges		26	100			Percent of total billed charges		26	100			Percent of total billed charges		26	33.3			Percent of total billed charges		8.658	33.3			Percent of total billed charges		8.658	100			Percent of total billed charges		26	8.658	23.4	
smoke evac. pre-filter	270	RC	Outpatient			26	16.9		90			Percent of total billed charges		23.4	40			Percent of total billed charges		10.4	80			Percent of total billed charges		20.8	90			Percent of total billed charges		23.4	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	100			Percent of total billed charges		26	100			Percent of total billed charges		26	100			Percent of total billed charges		26	33.3			Percent of total billed charges		8.658	33.3			Percent of total billed charges		8.658	100			Percent of total billed charges		26	8.658	23.4	
tourni-cot tourniquet large tcl-3001	272	RC	Outpatient			26	16.9		90			Percent of total billed charges		23.4	40			Percent of total billed charges		10.4	80			Percent of total billed charges		20.8	90			Percent of total billed charges		23.4	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	100			Percent of total billed charges		26	100			Percent of total billed charges		26	100			Percent of total billed charges		26	33.3			Percent of total billed charges		8.658	33.3			Percent of total billed charges		8.658	100			Percent of total billed charges		26	8.658	23.4	
prefilter airforce  e3510/e3630 new	270	RC	Outpatient			26	16.9		90			Percent of total billed charges		23.4	40			Percent of total billed charges		10.4	80			Percent of total billed charges		20.8	90			Percent of total billed charges		23.4	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	100			Percent of total billed charges		26	100			Percent of total billed charges		26	100			Percent of total billed charges		26	33.3			Percent of total billed charges		8.658	33.3			Percent of total billed charges		8.658	100			Percent of total billed charges		26	8.658	23.4	
procare shoulder immobilizer large 79-84167 djo	270	RC	Outpatient			26	16.9		90			Percent of total billed charges		23.4	40			Percent of total billed charges		10.4	80			Percent of total billed charges		20.8	90			Percent of total billed charges		23.4	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	100			Percent of total billed charges		26	100			Percent of total billed charges		26	100			Percent of total billed charges		26	33.3			Percent of total billed charges		8.658	33.3			Percent of total billed charges		8.658	100			Percent of total billed charges		26	8.658	23.4	
procare shoulder immobilizer medium 79-84165 djo	270	RC	Outpatient			26	16.9		90			Percent of total billed charges		23.4	40			Percent of total billed charges		10.4	80			Percent of total billed charges		20.8	90			Percent of total billed charges		23.4	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	100			Percent of total billed charges		26	100			Percent of total billed charges		26	100			Percent of total billed charges		26	33.3			Percent of total billed charges		8.658	33.3			Percent of total billed charges		8.658	100			Percent of total billed charges		26	8.658	23.4	
procare shoulder immobilizer small 79-84163 djo	270	RC	Outpatient			26	16.9		90			Percent of total billed charges		23.4	40			Percent of total billed charges		10.4	80			Percent of total billed charges		20.8	90			Percent of total billed charges		23.4	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	100			Percent of total billed charges		26	100			Percent of total billed charges		26	100			Percent of total billed charges		26	33.3			Percent of total billed charges		8.658	33.3			Percent of total billed charges		8.658	100			Percent of total billed charges		26	8.658	23.4	
tourni-cot tourniquet medium tcm-2001	272	RC	Outpatient			26	16.9		90			Percent of total billed charges		23.4	40			Percent of total billed charges		10.4	80			Percent of total billed charges		20.8	90			Percent of total billed charges		23.4	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	100			Percent of total billed charges		26	100			Percent of total billed charges		26	100			Percent of total billed charges		26	33.3			Percent of total billed charges		8.658	33.3			Percent of total billed charges		8.658	100			Percent of total billed charges		26	8.658	23.4	
tourni-cot tourniquet small tcs-1001	272	RC	Outpatient			26	16.9		90			Percent of total billed charges		23.4	40			Percent of total billed charges		10.4	80			Percent of total billed charges		20.8	90			Percent of total billed charges		23.4	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	100			Percent of total billed charges		26	100			Percent of total billed charges		26	100			Percent of total billed charges		26	33.3			Percent of total billed charges		8.658	33.3			Percent of total billed charges		8.658	100			Percent of total billed charges		26	8.658	23.4	
tourni-cot tourniquet x-large txl-4001	272	RC	Outpatient			26	16.9		90			Percent of total billed charges		23.4	40			Percent of total billed charges		10.4	80			Percent of total billed charges		20.8	90			Percent of total billed charges		23.4	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	100			Percent of total billed charges		26	100			Percent of total billed charges		26	100			Percent of total billed charges		26	33.3			Percent of total billed charges		8.658	33.3			Percent of total billed charges		8.658	100			Percent of total billed charges		26	8.658	23.4	
tubing high pressure meri	272	RC	Outpatient			26	16.9		90			Percent of total billed charges		23.4	40			Percent of total billed charges		10.4	80			Percent of total billed charges		20.8	90			Percent of total billed charges		23.4	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	100			Percent of total billed charges		26	100			Percent of total billed charges		26	100			Percent of total billed charges		26	33.3			Percent of total billed charges		8.658	33.3			Percent of total billed charges		8.658	100			Percent of total billed charges		26	8.658	23.4	
vascular dilator 9 fr 20cm 504-509x cordis	272	RC	Outpatient			26	16.9		90			Percent of total billed charges		23.4	40			Percent of total billed charges		10.4	80			Percent of total billed charges		20.8	90			Percent of total billed charges		23.4	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	100			Percent of total billed charges		26	100			Percent of total billed charges		26	100			Percent of total billed charges		26	33.3			Percent of total billed charges		8.658	33.3			Percent of total billed charges		8.658	100			Percent of total billed charges		26	8.658	23.4	
vascular dilator5 fr 20cm 504-405x cordis	272	RC	Outpatient			26	16.9		90			Percent of total billed charges		23.4	40			Percent of total billed charges		10.4	80			Percent of total billed charges		20.8	90			Percent of total billed charges		23.4	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	100			Percent of total billed charges		26	100			Percent of total billed charges		26	100			Percent of total billed charges		26	33.3			Percent of total billed charges		8.658	33.3			Percent of total billed charges		8.658	100			Percent of total billed charges		26	8.658	23.4	
vascular dilator 4 fr 20cm 504-404x cordis	272	RC	Outpatient			26	16.9		90			Percent of total billed charges		23.4	40			Percent of total billed charges		10.4	80			Percent of total billed charges		20.8	90			Percent of total billed charges		23.4	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	100			Percent of total billed charges		26	100			Percent of total billed charges		26	100			Percent of total billed charges		26	33.3			Percent of total billed charges		8.658	33.3			Percent of total billed charges		8.658	100			Percent of total billed charges		26	8.658	23.4	
vascular dilator 6 fr 20cm 504-406x cordis	272	RC	Outpatient			26	16.9		90			Percent of total billed charges		23.4	40			Percent of total billed charges		10.4	80			Percent of total billed charges		20.8	90			Percent of total billed charges		23.4	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	100			Percent of total billed charges		26	100			Percent of total billed charges		26	100			Percent of total billed charges		26	33.3			Percent of total billed charges		8.658	33.3			Percent of total billed charges		8.658	100			Percent of total billed charges		26	8.658	23.4	
vascular dilator 7 fr 20cm 504-507x cordis	272	RC	Outpatient			26	16.9		90			Percent of total billed charges		23.4	40			Percent of total billed charges		10.4	80			Percent of total billed charges		20.8	90			Percent of total billed charges		23.4	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	100			Percent of total billed charges		26	100			Percent of total billed charges		26	100			Percent of total billed charges		26	33.3			Percent of total billed charges		8.658	33.3			Percent of total billed charges		8.658	100			Percent of total billed charges		26	8.658	23.4	
vascular dilator 8 fr 20cm 504-508x cordis	272	RC	Outpatient			26	16.9		90			Percent of total billed charges		23.4	40			Percent of total billed charges		10.4	80			Percent of total billed charges		20.8	90			Percent of total billed charges		23.4	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	85			Percent of total billed charges		22.1	100			Percent of total billed charges		26	100			Percent of total billed charges		26	100			Percent of total billed charges		26	33.3			Percent of total billed charges		8.658	33.3			Percent of total billed charges		8.658	100			Percent of total billed charges		26	8.658	23.4	
abbott curved 10 cm long x 10 mm active tip 18 g ref sl-c1010-18	272	RC	Outpatient			26.4	17.16		90			Percent of total billed charges		23.76	40			Percent of total billed charges		10.56	80			Percent of total billed charges		21.12	90			Percent of total billed charges		23.76	85			Percent of total billed charges		22.44	85			Percent of total billed charges		22.44	85			Percent of total billed charges		22.44	100			Percent of total billed charges		26.4	100			Percent of total billed charges		26.4	100			Percent of total billed charges		26.4	33.3			Percent of total billed charges		8.7912	33.3			Percent of total billed charges		8.7912	100			Percent of total billed charges		26.4	8.7912	23.76	
bag urinary drainage 4000cc 153509	270	RC	Outpatient			27	17.55		90			Percent of total billed charges		24.3	40			Percent of total billed charges		10.8	80			Percent of total billed charges		21.6	90			Percent of total billed charges		24.3	85			Percent of total billed charges		22.95	85			Percent of total billed charges		22.95	85			Percent of total billed charges		22.95	100			Percent of total billed charges		27	100			Percent of total billed charges		27	100			Percent of total billed charges		27	33.3			Percent of total billed charges		8.991	33.3			Percent of total billed charges		8.991	100			Percent of total billed charges		27	8.991	24.3	
bair hugger/forced air warming blanket	272	RC	Outpatient			27	17.55		90			Percent of total billed charges		24.3	40			Percent of total billed charges		10.8	80			Percent of total billed charges		21.6	90			Percent of total billed charges		24.3	85			Percent of total billed charges		22.95	85			Percent of total billed charges		22.95	85			Percent of total billed charges		22.95	100			Percent of total billed charges		27	100			Percent of total billed charges		27	100			Percent of total billed charges		27	33.3			Percent of total billed charges		8.991	33.3			Percent of total billed charges		8.991	100			Percent of total billed charges		27	8.991	24.3	
blanket warming full body (anes)	272	RC	Outpatient			27	17.55		90			Percent of total billed charges		24.3	40			Percent of total billed charges		10.8	80			Percent of total billed charges		21.6	90			Percent of total billed charges		24.3	85			Percent of total billed charges		22.95	85			Percent of total billed charges		22.95	85			Percent of total billed charges		22.95	100			Percent of total billed charges		27	100			Percent of total billed charges		27	100			Percent of total billed charges		27	33.3			Percent of total billed charges		8.991	33.3			Percent of total billed charges		8.991	100			Percent of total billed charges		27	8.991	24.3	
blanket warming upper body sw2003 level 1	272	RC	Outpatient			27	17.55		90			Percent of total billed charges		24.3	40			Percent of total billed charges		10.8	80			Percent of total billed charges		21.6	90			Percent of total billed charges		24.3	85			Percent of total billed charges		22.95	85			Percent of total billed charges		22.95	85			Percent of total billed charges		22.95	100			Percent of total billed charges		27	100			Percent of total billed charges		27	100			Percent of total billed charges		27	33.3			Percent of total billed charges		8.991	33.3			Percent of total billed charges		8.991	100			Percent of total billed charges		27	8.991	24.3	
blanket warming lower body (anes)	272	RC	Outpatient			27	17.55		90			Percent of total billed charges		24.3	40			Percent of total billed charges		10.8	80			Percent of total billed charges		21.6	90			Percent of total billed charges		24.3	85			Percent of total billed charges		22.95	85			Percent of total billed charges		22.95	85			Percent of total billed charges		22.95	100			Percent of total billed charges		27	100			Percent of total billed charges		27	100			Percent of total billed charges		27	33.3			Percent of total billed charges		8.991	33.3			Percent of total billed charges		8.991	100			Percent of total billed charges		27	8.991	24.3	
"cath,guide"	270	RC	Outpatient			27	17.55		90			Percent of total billed charges		24.3	40			Percent of total billed charges		10.8	80			Percent of total billed charges		21.6	90			Percent of total billed charges		24.3	85			Percent of total billed charges		22.95	85			Percent of total billed charges		22.95	85			Percent of total billed charges		22.95	100			Percent of total billed charges		27	100			Percent of total billed charges		27	100			Percent of total billed charges		27	33.3			Percent of total billed charges		8.991	33.3			Percent of total billed charges		8.991	100			Percent of total billed charges		27	8.991	24.3	
electric clipper blade	270	RC	Outpatient			27	17.55		90			Percent of total billed charges		24.3	40			Percent of total billed charges		10.8	80			Percent of total billed charges		21.6	90			Percent of total billed charges		24.3	85			Percent of total billed charges		22.95	85			Percent of total billed charges		22.95	85			Percent of total billed charges		22.95	100			Percent of total billed charges		27	100			Percent of total billed charges		27	100			Percent of total billed charges		27	33.3			Percent of total billed charges		8.991	33.3			Percent of total billed charges		8.991	100			Percent of total billed charges		27	8.991	24.3	
electric clipper blades p4406	270	RC	Outpatient			27	17.55		90			Percent of total billed charges		24.3	40			Percent of total billed charges		10.8	80			Percent of total billed charges		21.6	90			Percent of total billed charges		24.3	85			Percent of total billed charges		22.95	85			Percent of total billed charges		22.95	85			Percent of total billed charges		22.95	100			Percent of total billed charges		27	100			Percent of total billed charges		27	100			Percent of total billed charges		27	33.3			Percent of total billed charges		8.991	33.3			Percent of total billed charges		8.991	100			Percent of total billed charges		27	8.991	24.3	
hyperthermia probe disp	270	RC	Outpatient			27	17.55		90			Percent of total billed charges		24.3	40			Percent of total billed charges		10.8	80			Percent of total billed charges		21.6	90			Percent of total billed charges		24.3	85			Percent of total billed charges		22.95	85			Percent of total billed charges		22.95	85			Percent of total billed charges		22.95	100			Percent of total billed charges		27	100			Percent of total billed charges		27	100			Percent of total billed charges		27	33.3			Percent of total billed charges		8.991	33.3			Percent of total billed charges		8.991	100			Percent of total billed charges		27	8.991	24.3	
hose a.e. thigh x-lg reg	270	RC	Outpatient			27	17.55		90			Percent of total billed charges		24.3	40			Percent of total billed charges		10.8	80			Percent of total billed charges		21.6	90			Percent of total billed charges		24.3	85			Percent of total billed charges		22.95	85			Percent of total billed charges		22.95	85			Percent of total billed charges		22.95	100			Percent of total billed charges		27	100			Percent of total billed charges		27	100			Percent of total billed charges		27	33.3			Percent of total billed charges		8.991	33.3			Percent of total billed charges		8.991	100			Percent of total billed charges		27	8.991	24.3	
urinary drain 4l	270	RC	Outpatient			27	17.55		90			Percent of total billed charges		24.3	40			Percent of total billed charges		10.8	80			Percent of total billed charges		21.6	90			Percent of total billed charges		24.3	85			Percent of total billed charges		22.95	85			Percent of total billed charges		22.95	85			Percent of total billed charges		22.95	100			Percent of total billed charges		27	100			Percent of total billed charges		27	100			Percent of total billed charges		27	33.3			Percent of total billed charges		8.991	33.3			Percent of total billed charges		8.991	100			Percent of total billed charges		27	8.991	24.3	
vac drape	270	RC	Outpatient			27	17.55		90			Percent of total billed charges		24.3	40			Percent of total billed charges		10.8	80			Percent of total billed charges		21.6	90			Percent of total billed charges		24.3	85			Percent of total billed charges		22.95	85			Percent of total billed charges		22.95	85			Percent of total billed charges		22.95	100			Percent of total billed charges		27	100			Percent of total billed charges		27	100			Percent of total billed charges		27	33.3			Percent of total billed charges		8.991	33.3			Percent of total billed charges		8.991	100			Percent of total billed charges		27	8.991	24.3	
mini-hexagonal acusnare cook medical ref # g22701	272	RC	Outpatient			27.5	17.88		90			Percent of total billed charges		24.75	40			Percent of total billed charges		11	80			Percent of total billed charges		22	90			Percent of total billed charges		24.75	85			Percent of total billed charges		23.375	85			Percent of total billed charges		23.375	85			Percent of total billed charges		23.375	100			Percent of total billed charges		27.5	100			Percent of total billed charges		27.5	100			Percent of total billed charges		27.5	33.3			Percent of total billed charges		9.1575	33.3			Percent of total billed charges		9.1575	100			Percent of total billed charges		27.5	9.1575	24.75	
scpf dressing mepilex trans6x8	272	RC	Outpatient			27.63	17.96		90			Percent of total billed charges		24.867	40			Percent of total billed charges		11.052	80			Percent of total billed charges		22.104	90			Percent of total billed charges		24.867	85			Percent of total billed charges		23.4855	85			Percent of total billed charges		23.4855	85			Percent of total billed charges		23.4855	100			Percent of total billed charges		27.63	100			Percent of total billed charges		27.63	100			Percent of total billed charges		27.63	33.3			Percent of total billed charges		9.2008	33.3			Percent of total billed charges		9.2008	100			Percent of total billed charges		27.63	9.2008	24.867	
22g x 8 metal hub spinal needle ref 8-1149-22 hakko	272	RC	Outpatient			27.89	18.13		90			Percent of total billed charges		25.101	40			Percent of total billed charges		11.156	80			Percent of total billed charges		22.312	90			Percent of total billed charges		25.101	85			Percent of total billed charges		23.7065	85			Percent of total billed charges		23.7065	85			Percent of total billed charges		23.7065	100			Percent of total billed charges		27.89	100			Percent of total billed charges		27.89	100			Percent of total billed charges		27.89	33.3			Percent of total billed charges		9.2874	33.3			Percent of total billed charges		9.2874	100			Percent of total billed charges		27.89	9.2874	25.101	
cardiac catheters 6f	272	RC	Outpatient			28	18.2		90			Percent of total billed charges		25.2	40			Percent of total billed charges		11.2	80			Percent of total billed charges		22.4	90			Percent of total billed charges		25.2	85			Percent of total billed charges		23.8	85			Percent of total billed charges		23.8	85			Percent of total billed charges		23.8	100			Percent of total billed charges		28	100			Percent of total billed charges		28	100			Percent of total billed charges		28	33.3			Percent of total billed charges		9.324	33.3			Percent of total billed charges		9.324	100			Percent of total billed charges		28	9.324	25.2	
cath lab cardiac catheters 5f	272	RC	Outpatient			28	18.2		90			Percent of total billed charges		25.2	40			Percent of total billed charges		11.2	80			Percent of total billed charges		22.4	90			Percent of total billed charges		25.2	85			Percent of total billed charges		23.8	85			Percent of total billed charges		23.8	85			Percent of total billed charges		23.8	100			Percent of total billed charges		28	100			Percent of total billed charges		28	100			Percent of total billed charges		28	33.3			Percent of total billed charges		9.324	33.3			Percent of total billed charges		9.324	100			Percent of total billed charges		28	9.324	25.2	
cavity conditioner 204-4808 patterson	270	RC	Outpatient			28	18.2		90			Percent of total billed charges		25.2	40			Percent of total billed charges		11.2	80			Percent of total billed charges		22.4	90			Percent of total billed charges		25.2	85			Percent of total billed charges		23.8	85			Percent of total billed charges		23.8	85			Percent of total billed charges		23.8	100			Percent of total billed charges		28	100			Percent of total billed charges		28	100			Percent of total billed charges		28	33.3			Percent of total billed charges		9.324	33.3			Percent of total billed charges		9.324	100			Percent of total billed charges		28	9.324	25.2	
chiba-type  needle 6 18g 6ptc3018 havel	272	RC	Outpatient			28	18.2		90			Percent of total billed charges		25.2	40			Percent of total billed charges		11.2	80			Percent of total billed charges		22.4	90			Percent of total billed charges		25.2	85			Percent of total billed charges		23.8	85			Percent of total billed charges		23.8	85			Percent of total billed charges		23.8	100			Percent of total billed charges		28	100			Percent of total billed charges		28	100			Percent of total billed charges		28	33.3			Percent of total billed charges		9.324	33.3			Percent of total billed charges		9.324	100			Percent of total billed charges		28	9.324	25.2	
accutarg nerve blk ndl	272	RC	Outpatient			28	18.2		90			Percent of total billed charges		25.2	40			Percent of total billed charges		11.2	80			Percent of total billed charges		22.4	90			Percent of total billed charges		25.2	85			Percent of total billed charges		23.8	85			Percent of total billed charges		23.8	85			Percent of total billed charges		23.8	100			Percent of total billed charges		28	100			Percent of total billed charges		28	100			Percent of total billed charges		28	33.3			Percent of total billed charges		9.324	33.3			Percent of total billed charges		9.324	100			Percent of total billed charges		28	9.324	25.2	
bair hugger	270	RC	Outpatient			28	18.2		90			Percent of total billed charges		25.2	40			Percent of total billed charges		11.2	80			Percent of total billed charges		22.4	90			Percent of total billed charges		25.2	85			Percent of total billed charges		23.8	85			Percent of total billed charges		23.8	85			Percent of total billed charges		23.8	100			Percent of total billed charges		28	100			Percent of total billed charges		28	100			Percent of total billed charges		28	33.3			Percent of total billed charges		9.324	33.3			Percent of total billed charges		9.324	100			Percent of total billed charges		28	9.324	25.2	
dressing change kit pow g	270	RC	Outpatient			28	18.2		90			Percent of total billed charges		25.2	40			Percent of total billed charges		11.2	80			Percent of total billed charges		22.4	90			Percent of total billed charges		25.2	85			Percent of total billed charges		23.8	85			Percent of total billed charges		23.8	85			Percent of total billed charges		23.8	100			Percent of total billed charges		28	100			Percent of total billed charges		28	100			Percent of total billed charges		28	33.3			Percent of total billed charges		9.324	33.3			Percent of total billed charges		9.324	100			Percent of total billed charges		28	9.324	25.2	
dressing fourflex msc4400	270	RC	Outpatient			28	18.2		90			Percent of total billed charges		25.2	40			Percent of total billed charges		11.2	80			Percent of total billed charges		22.4	90			Percent of total billed charges		25.2	85			Percent of total billed charges		23.8	85			Percent of total billed charges		23.8	85			Percent of total billed charges		23.8	100			Percent of total billed charges		28	100			Percent of total billed charges		28	100			Percent of total billed charges		28	33.3			Percent of total billed charges		9.324	33.3			Percent of total billed charges		9.324	100			Percent of total billed charges		28	9.324	25.2	
dressing sorbsan 4x4	270	RC	Outpatient			28	18.2		90			Percent of total billed charges		25.2	40			Percent of total billed charges		11.2	80			Percent of total billed charges		22.4	90			Percent of total billed charges		25.2	85			Percent of total billed charges		23.8	85			Percent of total billed charges		23.8	85			Percent of total billed charges		23.8	100			Percent of total billed charges		28	100			Percent of total billed charges		28	100			Percent of total billed charges		28	33.3			Percent of total billed charges		9.324	33.3			Percent of total billed charges		9.324	100			Percent of total billed charges		28	9.324	25.2	
epidural needle 18g 6 332-160 braun	272	RC	Outpatient			28	18.2		90			Percent of total billed charges		25.2	40			Percent of total billed charges		11.2	80			Percent of total billed charges		22.4	90			Percent of total billed charges		25.2	85			Percent of total billed charges		23.8	85			Percent of total billed charges		23.8	85			Percent of total billed charges		23.8	100			Percent of total billed charges		28	100			Percent of total billed charges		28	100			Percent of total billed charges		28	33.3			Percent of total billed charges		9.324	33.3			Percent of total billed charges		9.324	100			Percent of total billed charges		28	9.324	25.2	
epidural needle-long	272	RC	Outpatient			28	18.2		90			Percent of total billed charges		25.2	40			Percent of total billed charges		11.2	80			Percent of total billed charges		22.4	90			Percent of total billed charges		25.2	85			Percent of total billed charges		23.8	85			Percent of total billed charges		23.8	85			Percent of total billed charges		23.8	100			Percent of total billed charges		28	100			Percent of total billed charges		28	100			Percent of total billed charges		28	33.3			Percent of total billed charges		9.324	33.3			Percent of total billed charges		9.324	100			Percent of total billed charges		28	9.324	25.2	
hose a.e. thigh x-lg long	270	RC	Outpatient			28	18.2		90			Percent of total billed charges		25.2	40			Percent of total billed charges		11.2	80			Percent of total billed charges		22.4	90			Percent of total billed charges		25.2	85			Percent of total billed charges		23.8	85			Percent of total billed charges		23.8	85			Percent of total billed charges		23.8	100			Percent of total billed charges		28	100			Percent of total billed charges		28	100			Percent of total billed charges		28	33.3			Percent of total billed charges		9.324	33.3			Percent of total billed charges		9.324	100			Percent of total billed charges		28	9.324	25.2	
dental cavity donditioner	270	RC	Outpatient			28	18.2		90			Percent of total billed charges		25.2	40			Percent of total billed charges		11.2	80			Percent of total billed charges		22.4	90			Percent of total billed charges		25.2	85			Percent of total billed charges		23.8	85			Percent of total billed charges		23.8	85			Percent of total billed charges		23.8	100			Percent of total billed charges		28	100			Percent of total billed charges		28	100			Percent of total billed charges		28	33.3			Percent of total billed charges		9.324	33.3			Percent of total billed charges		9.324	100			Percent of total billed charges		28	9.324	25.2	
harm scpl sleeve	272	RC	Outpatient			28	18.2		90			Percent of total billed charges		25.2	40			Percent of total billed charges		11.2	80			Percent of total billed charges		22.4	90			Percent of total billed charges		25.2	85			Percent of total billed charges		23.8	85			Percent of total billed charges		23.8	85			Percent of total billed charges		23.8	100			Percent of total billed charges		28	100			Percent of total billed charges		28	100			Percent of total billed charges		28	33.3			Percent of total billed charges		9.324	33.3			Percent of total billed charges		9.324	100			Percent of total billed charges		28	9.324	25.2	
mcgrath mac blade	270	RC	Outpatient			28	18.2		90			Percent of total billed charges		25.2	40			Percent of total billed charges		11.2	80			Percent of total billed charges		22.4	90			Percent of total billed charges		25.2	85			Percent of total billed charges		23.8	85			Percent of total billed charges		23.8	85			Percent of total billed charges		23.8	100			Percent of total billed charges		28	100			Percent of total billed charges		28	100			Percent of total billed charges		28	33.3			Percent of total billed charges		9.324	33.3			Percent of total billed charges		9.324	100			Percent of total billed charges		28	9.324	25.2	
mumps vaccine charge	983	RC	Outpatient			28	18.2		90			Percent of total billed charges		25.2	40			Percent of total billed charges		11.2	80			Percent of total billed charges		22.4	90			Percent of total billed charges		25.2	85			Percent of total billed charges		23.8	85			Percent of total billed charges		23.8	85			Percent of total billed charges		23.8	100			Percent of total billed charges		28	100			Percent of total billed charges		28	100			Percent of total billed charges		28	33.3			Percent of total billed charges		9.324	33.3			Percent of total billed charges		9.324	100			Percent of total billed charges		28	9.324	25.2	
nasal tampon	270	RC	Outpatient			28	18.2		90			Percent of total billed charges		25.2	40			Percent of total billed charges		11.2	80			Percent of total billed charges		22.4	90			Percent of total billed charges		25.2	85			Percent of total billed charges		23.8	85			Percent of total billed charges		23.8	85			Percent of total billed charges		23.8	100			Percent of total billed charges		28	100			Percent of total billed charges		28	100			Percent of total billed charges		28	33.3			Percent of total billed charges		9.324	33.3			Percent of total billed charges		9.324	100			Percent of total billed charges		28	9.324	25.2	
open sleeve ha055l for ace145 ethicon	272	RC	Outpatient			28	18.2		90			Percent of total billed charges		25.2	40			Percent of total billed charges		11.2	80			Percent of total billed charges		22.4	90			Percent of total billed charges		25.2	85			Percent of total billed charges		23.8	85			Percent of total billed charges		23.8	85			Percent of total billed charges		23.8	100			Percent of total billed charges		28	100			Percent of total billed charges		28	100			Percent of total billed charges		28	33.3			Percent of total billed charges		9.324	33.3			Percent of total billed charges		9.324	100			Percent of total billed charges		28	9.324	25.2	
power port huber needle	270	RC	Outpatient			28	18.2		90			Percent of total billed charges		25.2	40			Percent of total billed charges		11.2	80			Percent of total billed charges		22.4	90			Percent of total billed charges		25.2	85			Percent of total billed charges		23.8	85			Percent of total billed charges		23.8	85			Percent of total billed charges		23.8	100			Percent of total billed charges		28	100			Percent of total billed charges		28	100			Percent of total billed charges		28	33.3			Percent of total billed charges		9.324	33.3			Percent of total billed charges		9.324	100			Percent of total billed charges		28	9.324	25.2	
power port huber needle ed charge scnt	270	RC	Outpatient			28	18.2		90			Percent of total billed charges		25.2	40			Percent of total billed charges		11.2	80			Percent of total billed charges		22.4	90			Percent of total billed charges		25.2	85			Percent of total billed charges		23.8	85			Percent of total billed charges		23.8	85			Percent of total billed charges		23.8	100			Percent of total billed charges		28	100			Percent of total billed charges		28	100			Percent of total billed charges		28	33.3			Percent of total billed charges		9.324	33.3			Percent of total billed charges		9.324	100			Percent of total billed charges		28	9.324	25.2	
tampon nasal merocel 440-400	270	RC	Outpatient			28	18.2		90			Percent of total billed charges		25.2	40			Percent of total billed charges		11.2	80			Percent of total billed charges		22.4	90			Percent of total billed charges		25.2	85			Percent of total billed charges		23.8	85			Percent of total billed charges		23.8	85			Percent of total billed charges		23.8	100			Percent of total billed charges		28	100			Percent of total billed charges		28	100			Percent of total billed charges		28	33.3			Percent of total billed charges		9.324	33.3			Percent of total billed charges		9.324	100			Percent of total billed charges		28	9.324	25.2	
power port. huber needle	270	RC	Outpatient			28	18.2		90			Percent of total billed charges		25.2	40			Percent of total billed charges		11.2	80			Percent of total billed charges		22.4	90			Percent of total billed charges		25.2	85			Percent of total billed charges		23.8	85			Percent of total billed charges		23.8	85			Percent of total billed charges		23.8	100			Percent of total billed charges		28	100			Percent of total billed charges		28	100			Percent of total billed charges		28	33.3			Percent of total billed charges		9.324	33.3			Percent of total billed charges		9.324	100			Percent of total billed charges		28	9.324	25.2	
ted hose thigh sm-r	272	RC	Outpatient			28	18.2		90			Percent of total billed charges		25.2	40			Percent of total billed charges		11.2	80			Percent of total billed charges		22.4	90			Percent of total billed charges		25.2	85			Percent of total billed charges		23.8	85			Percent of total billed charges		23.8	85			Percent of total billed charges		23.8	100			Percent of total billed charges		28	100			Percent of total billed charges		28	100			Percent of total billed charges		28	33.3			Percent of total billed charges		9.324	33.3			Percent of total billed charges		9.324	100			Percent of total billed charges		28	9.324	25.2	
wound wash saline	270	RC	Outpatient			28	18.2		90			Percent of total billed charges		25.2	40			Percent of total billed charges		11.2	80			Percent of total billed charges		22.4	90			Percent of total billed charges		25.2	85			Percent of total billed charges		23.8	85			Percent of total billed charges		23.8	85			Percent of total billed charges		23.8	100			Percent of total billed charges		28	100			Percent of total billed charges		28	100			Percent of total billed charges		28	33.3			Percent of total billed charges		9.324	33.3			Percent of total billed charges		9.324	100			Percent of total billed charges		28	9.324	25.2	
tuohy epidural needle 20gx 6 ref tu20g601 myco medical	272	RC	Outpatient			28.16	18.3		90			Percent of total billed charges		25.344	40			Percent of total billed charges		11.264	80			Percent of total billed charges		22.528	90			Percent of total billed charges		25.344	85			Percent of total billed charges		23.936	85			Percent of total billed charges		23.936	85			Percent of total billed charges		23.936	100			Percent of total billed charges		28.16	100			Percent of total billed charges		28.16	100			Percent of total billed charges		28.16	33.3			Percent of total billed charges		9.3773	33.3			Percent of total billed charges		9.3773	100			Percent of total billed charges		28.16	9.3773	25.344	
button1 3/819986/50 bio stat	272	RC	Outpatient			29	18.85		90			Percent of total billed charges		26.1	40			Percent of total billed charges		11.6	80			Percent of total billed charges		23.2	90			Percent of total billed charges		26.1	85			Percent of total billed charges		24.65	85			Percent of total billed charges		24.65	85			Percent of total billed charges		24.65	100			Percent of total billed charges		29	100			Percent of total billed charges		29	100			Percent of total billed charges		29	33.3			Percent of total billed charges		9.657	33.3			Percent of total billed charges		9.657	100			Percent of total billed charges		29	9.657	26.1	
"cath,foley 12fr 5cc 2way"	270	RC	Outpatient			29	18.85		90			Percent of total billed charges		26.1	40			Percent of total billed charges		11.6	80			Percent of total billed charges		23.2	90			Percent of total billed charges		26.1	85			Percent of total billed charges		24.65	85			Percent of total billed charges		24.65	85			Percent of total billed charges		24.65	100			Percent of total billed charges		29	100			Percent of total billed charges		29	100			Percent of total billed charges		29	33.3			Percent of total billed charges		9.657	33.3			Percent of total billed charges		9.657	100			Percent of total billed charges		29	9.657	26.1	
"cath,foley 14fr 30cc 2way"	270	RC	Outpatient			29	18.85		90			Percent of total billed charges		26.1	40			Percent of total billed charges		11.6	80			Percent of total billed charges		23.2	90			Percent of total billed charges		26.1	85			Percent of total billed charges		24.65	85			Percent of total billed charges		24.65	85			Percent of total billed charges		24.65	100			Percent of total billed charges		29	100			Percent of total billed charges		29	100			Percent of total billed charges		29	33.3			Percent of total billed charges		9.657	33.3			Percent of total billed charges		9.657	100			Percent of total billed charges		29	9.657	26.1	
"cath,foley 14fr 5cc 2way"	270	RC	Outpatient			29	18.85		90			Percent of total billed charges		26.1	40			Percent of total billed charges		11.6	80			Percent of total billed charges		23.2	90			Percent of total billed charges		26.1	85			Percent of total billed charges		24.65	85			Percent of total billed charges		24.65	85			Percent of total billed charges		24.65	100			Percent of total billed charges		29	100			Percent of total billed charges		29	100			Percent of total billed charges		29	33.3			Percent of total billed charges		9.657	33.3			Percent of total billed charges		9.657	100			Percent of total billed charges		29	9.657	26.1	
"cath,foley 16fr 5cc 2way"	270	RC	Outpatient			29	18.85		90			Percent of total billed charges		26.1	40			Percent of total billed charges		11.6	80			Percent of total billed charges		23.2	90			Percent of total billed charges		26.1	85			Percent of total billed charges		24.65	85			Percent of total billed charges		24.65	85			Percent of total billed charges		24.65	100			Percent of total billed charges		29	100			Percent of total billed charges		29	100			Percent of total billed charges		29	33.3			Percent of total billed charges		9.657	33.3			Percent of total billed charges		9.657	100			Percent of total billed charges		29	9.657	26.1	
"cath,foley 18fr 30cc 2way"	270	RC	Outpatient			29	18.85		90			Percent of total billed charges		26.1	40			Percent of total billed charges		11.6	80			Percent of total billed charges		23.2	90			Percent of total billed charges		26.1	85			Percent of total billed charges		24.65	85			Percent of total billed charges		24.65	85			Percent of total billed charges		24.65	100			Percent of total billed charges		29	100			Percent of total billed charges		29	100			Percent of total billed charges		29	33.3			Percent of total billed charges		9.657	33.3			Percent of total billed charges		9.657	100			Percent of total billed charges		29	9.657	26.1	
"cath,foley 20fr 30cc 2way"	270	RC	Outpatient			29	18.85		90			Percent of total billed charges		26.1	40			Percent of total billed charges		11.6	80			Percent of total billed charges		23.2	90			Percent of total billed charges		26.1	85			Percent of total billed charges		24.65	85			Percent of total billed charges		24.65	85			Percent of total billed charges		24.65	100			Percent of total billed charges		29	100			Percent of total billed charges		29	100			Percent of total billed charges		29	33.3			Percent of total billed charges		9.657	33.3			Percent of total billed charges		9.657	100			Percent of total billed charges		29	9.657	26.1	
"cath,foley 22fr 5cc 2way"	270	RC	Outpatient			29	18.85		90			Percent of total billed charges		26.1	40			Percent of total billed charges		11.6	80			Percent of total billed charges		23.2	90			Percent of total billed charges		26.1	85			Percent of total billed charges		24.65	85			Percent of total billed charges		24.65	85			Percent of total billed charges		24.65	100			Percent of total billed charges		29	100			Percent of total billed charges		29	100			Percent of total billed charges		29	33.3			Percent of total billed charges		9.657	33.3			Percent of total billed charges		9.657	100			Percent of total billed charges		29	9.657	26.1	
"cath,foley 24fr 30cc 2way"	270	RC	Outpatient			29	18.85		90			Percent of total billed charges		26.1	40			Percent of total billed charges		11.6	80			Percent of total billed charges		23.2	90			Percent of total billed charges		26.1	85			Percent of total billed charges		24.65	85			Percent of total billed charges		24.65	85			Percent of total billed charges		24.65	100			Percent of total billed charges		29	100			Percent of total billed charges		29	100			Percent of total billed charges		29	33.3			Percent of total billed charges		9.657	33.3			Percent of total billed charges		9.657	100			Percent of total billed charges		29	9.657	26.1	
cold therapy liner medium	270	RC	Outpatient			29	18.85		90			Percent of total billed charges		26.1	40			Percent of total billed charges		11.6	80			Percent of total billed charges		23.2	90			Percent of total billed charges		26.1	85			Percent of total billed charges		24.65	85			Percent of total billed charges		24.65	85			Percent of total billed charges		24.65	100			Percent of total billed charges		29	100			Percent of total billed charges		29	100			Percent of total billed charges		29	33.3			Percent of total billed charges		9.657	33.3			Percent of total billed charges		9.657	100			Percent of total billed charges		29	9.657	26.1	
aquacel extra ag 10 x 12 32728 squ0086 convetec	272	RC	Outpatient			29	18.85		90			Percent of total billed charges		26.1	40			Percent of total billed charges		11.6	80			Percent of total billed charges		23.2	90			Percent of total billed charges		26.1	85			Percent of total billed charges		24.65	85			Percent of total billed charges		24.65	85			Percent of total billed charges		24.65	100			Percent of total billed charges		29	100			Percent of total billed charges		29	100			Percent of total billed charges		29	33.3			Percent of total billed charges		9.657	33.3			Percent of total billed charges		9.657	100			Percent of total billed charges		29	9.657	26.1	
aquadel extra ag 10x12	272	RC	Outpatient			29	18.85		90			Percent of total billed charges		26.1	40			Percent of total billed charges		11.6	80			Percent of total billed charges		23.2	90			Percent of total billed charges		26.1	85			Percent of total billed charges		24.65	85			Percent of total billed charges		24.65	85			Percent of total billed charges		24.65	100			Percent of total billed charges		29	100			Percent of total billed charges		29	100			Percent of total billed charges		29	33.3			Percent of total billed charges		9.657	33.3			Percent of total billed charges		9.657	100			Percent of total billed charges		29	9.657	26.1	
cast shoe x-small	270	RC	Outpatient			29	18.85		90			Percent of total billed charges		26.1	40			Percent of total billed charges		11.6	80			Percent of total billed charges		23.2	90			Percent of total billed charges		26.1	85			Percent of total billed charges		24.65	85			Percent of total billed charges		24.65	85			Percent of total billed charges		24.65	100			Percent of total billed charges		29	100			Percent of total billed charges		29	100			Percent of total billed charges		29	33.3			Percent of total billed charges		9.657	33.3			Percent of total billed charges		9.657	100			Percent of total billed charges		29	9.657	26.1	
"cath,foley 16fr 30cc 2way"	270	RC	Outpatient			29	18.85		90			Percent of total billed charges		26.1	40			Percent of total billed charges		11.6	80			Percent of total billed charges		23.2	90			Percent of total billed charges		26.1	85			Percent of total billed charges		24.65	85			Percent of total billed charges		24.65	85			Percent of total billed charges		24.65	100			Percent of total billed charges		29	100			Percent of total billed charges		29	100			Percent of total billed charges		29	33.3			Percent of total billed charges		9.657	33.3			Percent of total billed charges		9.657	100			Percent of total billed charges		29	9.657	26.1	
"cath,foley 18fr 5cc 2way"	270	RC	Outpatient			29	18.85		90			Percent of total billed charges		26.1	40			Percent of total billed charges		11.6	80			Percent of total billed charges		23.2	90			Percent of total billed charges		26.1	85			Percent of total billed charges		24.65	85			Percent of total billed charges		24.65	85			Percent of total billed charges		24.65	100			Percent of total billed charges		29	100			Percent of total billed charges		29	100			Percent of total billed charges		29	33.3			Percent of total billed charges		9.657	33.3			Percent of total billed charges		9.657	100			Percent of total billed charges		29	9.657	26.1	
"cath,foley 20fr 5cc 2way"	270	RC	Outpatient			29	18.85		90			Percent of total billed charges		26.1	40			Percent of total billed charges		11.6	80			Percent of total billed charges		23.2	90			Percent of total billed charges		26.1	85			Percent of total billed charges		24.65	85			Percent of total billed charges		24.65	85			Percent of total billed charges		24.65	100			Percent of total billed charges		29	100			Percent of total billed charges		29	100			Percent of total billed charges		29	33.3			Percent of total billed charges		9.657	33.3			Percent of total billed charges		9.657	100			Percent of total billed charges		29	9.657	26.1	
"cath,foley 22fr 30cc 2way"	270	RC	Outpatient			29	18.85		90			Percent of total billed charges		26.1	40			Percent of total billed charges		11.6	80			Percent of total billed charges		23.2	90			Percent of total billed charges		26.1	85			Percent of total billed charges		24.65	85			Percent of total billed charges		24.65	85			Percent of total billed charges		24.65	100			Percent of total billed charges		29	100			Percent of total billed charges		29	100			Percent of total billed charges		29	33.3			Percent of total billed charges		9.657	33.3			Percent of total billed charges		9.657	100			Percent of total billed charges		29	9.657	26.1	
"cath,foley 24fr 5cc 2way"	270	RC	Outpatient			29	18.85		90			Percent of total billed charges		26.1	40			Percent of total billed charges		11.6	80			Percent of total billed charges		23.2	90			Percent of total billed charges		26.1	85			Percent of total billed charges		24.65	85			Percent of total billed charges		24.65	85			Percent of total billed charges		24.65	100			Percent of total billed charges		29	100			Percent of total billed charges		29	100			Percent of total billed charges		29	33.3			Percent of total billed charges		9.657	33.3			Percent of total billed charges		9.657	100			Percent of total billed charges		29	9.657	26.1	
dressing mepilex trans6x8	272	RC	Outpatient			29	18.85		90			Percent of total billed charges		26.1	40			Percent of total billed charges		11.6	80			Percent of total billed charges		23.2	90			Percent of total billed charges		26.1	85			Percent of total billed charges		24.65	85			Percent of total billed charges		24.65	85			Percent of total billed charges		24.65	100			Percent of total billed charges		29	100			Percent of total billed charges		29	100			Percent of total billed charges		29	33.3			Percent of total billed charges		9.657	33.3			Percent of total billed charges		9.657	100			Percent of total billed charges		29	9.657	26.1	
"drain penrose, e-large"	270	RC	Outpatient			29	18.85		90			Percent of total billed charges		26.1	40			Percent of total billed charges		11.6	80			Percent of total billed charges		23.2	90			Percent of total billed charges		26.1	85			Percent of total billed charges		24.65	85			Percent of total billed charges		24.65	85			Percent of total billed charges		24.65	100			Percent of total billed charges		29	100			Percent of total billed charges		29	100			Percent of total billed charges		29	33.3			Percent of total billed charges		9.657	33.3			Percent of total billed charges		9.657	100			Percent of total billed charges		29	9.657	26.1	
dressing tegasorb	270	RC	Outpatient			29	18.85		90			Percent of total billed charges		26.1	40			Percent of total billed charges		11.6	80			Percent of total billed charges		23.2	90			Percent of total billed charges		26.1	85			Percent of total billed charges		24.65	85			Percent of total billed charges		24.65	85			Percent of total billed charges		24.65	100			Percent of total billed charges		29	100			Percent of total billed charges		29	100			Percent of total billed charges		29	33.3			Percent of total billed charges		9.657	33.3			Percent of total billed charges		9.657	100			Percent of total billed charges		29	9.657	26.1	
lidocaine jelly	270	RC	Outpatient			29	18.85		90			Percent of total billed charges		26.1	40			Percent of total billed charges		11.6	80			Percent of total billed charges		23.2	90			Percent of total billed charges		26.1	85			Percent of total billed charges		24.65	85			Percent of total billed charges		24.65	85			Percent of total billed charges		24.65	100			Percent of total billed charges		29	100			Percent of total billed charges		29	100			Percent of total billed charges		29	33.3			Percent of total billed charges		9.657	33.3			Percent of total billed charges		9.657	100			Percent of total billed charges		29	9.657	26.1	
lidocaine jelly 10ml urojet 2% 3013sp	270	RC	Outpatient			29	18.85		90			Percent of total billed charges		26.1	40			Percent of total billed charges		11.6	80			Percent of total billed charges		23.2	90			Percent of total billed charges		26.1	85			Percent of total billed charges		24.65	85			Percent of total billed charges		24.65	85			Percent of total billed charges		24.65	100			Percent of total billed charges		29	100			Percent of total billed charges		29	100			Percent of total billed charges		29	33.3			Percent of total billed charges		9.657	33.3			Percent of total billed charges		9.657	100			Percent of total billed charges		29	9.657	26.1	
pall blood trnsfsn filter	270	RC	Outpatient			29	18.85		90			Percent of total billed charges		26.1	40			Percent of total billed charges		11.6	80			Percent of total billed charges		23.2	90			Percent of total billed charges		26.1	85			Percent of total billed charges		24.65	85			Percent of total billed charges		24.65	85			Percent of total billed charges		24.65	100			Percent of total billed charges		29	100			Percent of total billed charges		29	100			Percent of total billed charges		29	33.3			Percent of total billed charges		9.657	33.3			Percent of total billed charges		9.657	100			Percent of total billed charges		29	9.657	26.1	
penrose drain x-long	270	RC	Outpatient			29	18.85		90			Percent of total billed charges		26.1	40			Percent of total billed charges		11.6	80			Percent of total billed charges		23.2	90			Percent of total billed charges		26.1	85			Percent of total billed charges		24.65	85			Percent of total billed charges		24.65	85			Percent of total billed charges		24.65	100			Percent of total billed charges		29	100			Percent of total billed charges		29	100			Percent of total billed charges		29	33.3			Percent of total billed charges		9.657	33.3			Percent of total billed charges		9.657	100			Percent of total billed charges		29	9.657	26.1	
proguide	270	RC	Outpatient			29	18.85		90			Percent of total billed charges		26.1	40			Percent of total billed charges		11.6	80			Percent of total billed charges		23.2	90			Percent of total billed charges		26.1	85			Percent of total billed charges		24.65	85			Percent of total billed charges		24.65	85			Percent of total billed charges		24.65	100			Percent of total billed charges		29	100			Percent of total billed charges		29	100			Percent of total billed charges		29	33.3			Percent of total billed charges		9.657	33.3			Percent of total billed charges		9.657	100			Percent of total billed charges		29	9.657	26.1	
"suture #10-0, mani"	272	RC	Outpatient			29	18.85		90			Percent of total billed charges		26.1	40			Percent of total billed charges		11.6	80			Percent of total billed charges		23.2	90			Percent of total billed charges		26.1	85			Percent of total billed charges		24.65	85			Percent of total billed charges		24.65	85			Percent of total billed charges		24.65	100			Percent of total billed charges		29	100			Percent of total billed charges		29	100			Percent of total billed charges		29	33.3			Percent of total billed charges		9.657	33.3			Percent of total billed charges		9.657	100			Percent of total billed charges		29	9.657	26.1	
temp probe disp	270	RC	Outpatient			29	18.85		90			Percent of total billed charges		26.1	40			Percent of total billed charges		11.6	80			Percent of total billed charges		23.2	90			Percent of total billed charges		26.1	85			Percent of total billed charges		24.65	85			Percent of total billed charges		24.65	85			Percent of total billed charges		24.65	100			Percent of total billed charges		29	100			Percent of total billed charges		29	100			Percent of total billed charges		29	33.3			Percent of total billed charges		9.657	33.3			Percent of total billed charges		9.657	100			Percent of total billed charges		29	9.657	26.1	
set iv pump #3704-48	270	RC	Outpatient			29	18.85		90			Percent of total billed charges		26.1	40			Percent of total billed charges		11.6	80			Percent of total billed charges		23.2	90			Percent of total billed charges		26.1	85			Percent of total billed charges		24.65	85			Percent of total billed charges		24.65	85			Percent of total billed charges		24.65	100			Percent of total billed charges		29	100			Percent of total billed charges		29	100			Percent of total billed charges		29	33.3			Percent of total billed charges		9.657	33.3			Percent of total billed charges		9.657	100			Percent of total billed charges		29	9.657	26.1	
splint clauicle xl	270	RC	Outpatient			29	18.85		90			Percent of total billed charges		26.1	40			Percent of total billed charges		11.6	80			Percent of total billed charges		23.2	90			Percent of total billed charges		26.1	85			Percent of total billed charges		24.65	85			Percent of total billed charges		24.65	85			Percent of total billed charges		24.65	100			Percent of total billed charges		29	100			Percent of total billed charges		29	100			Percent of total billed charges		29	33.3			Percent of total billed charges		9.657	33.3			Percent of total billed charges		9.657	100			Percent of total billed charges		29	9.657	26.1	
suture mani 10-0 nylon 1482 accutome	272	RC	Outpatient			29	18.85		90			Percent of total billed charges		26.1	40			Percent of total billed charges		11.6	80			Percent of total billed charges		23.2	90			Percent of total billed charges		26.1	85			Percent of total billed charges		24.65	85			Percent of total billed charges		24.65	85			Percent of total billed charges		24.65	100			Percent of total billed charges		29	100			Percent of total billed charges		29	100			Percent of total billed charges		29	33.3			Percent of total billed charges		9.657	33.3			Percent of total billed charges		9.657	100			Percent of total billed charges		29	9.657	26.1	
ted hose thigh x-lg	272	RC	Outpatient			29	18.85		90			Percent of total billed charges		26.1	40			Percent of total billed charges		11.6	80			Percent of total billed charges		23.2	90			Percent of total billed charges		26.1	85			Percent of total billed charges		24.65	85			Percent of total billed charges		24.65	85			Percent of total billed charges		24.65	100			Percent of total billed charges		29	100			Percent of total billed charges		29	100			Percent of total billed charges		29	33.3			Percent of total billed charges		9.657	33.3			Percent of total billed charges		9.657	100			Percent of total billed charges		29	9.657	26.1	
tube feeding weighted 10f	270	RC	Outpatient			29	18.85		90			Percent of total billed charges		26.1	40			Percent of total billed charges		11.6	80			Percent of total billed charges		23.2	90			Percent of total billed charges		26.1	85			Percent of total billed charges		24.65	85			Percent of total billed charges		24.65	85			Percent of total billed charges		24.65	100			Percent of total billed charges		29	100			Percent of total billed charges		29	100			Percent of total billed charges		29	33.3			Percent of total billed charges		9.657	33.3			Percent of total billed charges		9.657	100			Percent of total billed charges		29	9.657	26.1	
"tube,feeding weighted 8fr"	270	RC	Outpatient			29	18.85		90			Percent of total billed charges		26.1	40			Percent of total billed charges		11.6	80			Percent of total billed charges		23.2	90			Percent of total billed charges		26.1	85			Percent of total billed charges		24.65	85			Percent of total billed charges		24.65	85			Percent of total billed charges		24.65	100			Percent of total billed charges		29	100			Percent of total billed charges		29	100			Percent of total billed charges		29	33.3			Percent of total billed charges		9.657	33.3			Percent of total billed charges		9.657	100			Percent of total billed charges		29	9.657	26.1	
gi jaw jumbo bx forcep diversatek ref # 1190-04	272	RC	Outpatient			29.7	19.31		90			Percent of total billed charges		26.73	40			Percent of total billed charges		11.88	80			Percent of total billed charges		23.76	90			Percent of total billed charges		26.73	85			Percent of total billed charges		25.245	85			Percent of total billed charges		25.245	85			Percent of total billed charges		25.245	100			Percent of total billed charges		29.7	100			Percent of total billed charges		29.7	100			Percent of total billed charges		29.7	33.3			Percent of total billed charges		9.8901	33.3			Percent of total billed charges		9.8901	100			Percent of total billed charges		29.7	9.8901	26.73	
snare acu mini cook ref #asm-1-s	272	RC	Outpatient			29.7	19.31		90			Percent of total billed charges		26.73	40			Percent of total billed charges		11.88	80			Percent of total billed charges		23.76	90			Percent of total billed charges		26.73	85			Percent of total billed charges		25.245	85			Percent of total billed charges		25.245	85			Percent of total billed charges		25.245	100			Percent of total billed charges		29.7	100			Percent of total billed charges		29.7	100			Percent of total billed charges		29.7	33.3			Percent of total billed charges		9.8901	33.3			Percent of total billed charges		9.8901	100			Percent of total billed charges		29.7	9.8901	26.73	
snare jumbo oval cook ref # asj-1	272	RC	Outpatient			29.7	19.31		90			Percent of total billed charges		26.73	40			Percent of total billed charges		11.88	80			Percent of total billed charges		23.76	90			Percent of total billed charges		26.73	85			Percent of total billed charges		25.245	85			Percent of total billed charges		25.245	85			Percent of total billed charges		25.245	100			Percent of total billed charges		29.7	100			Percent of total billed charges		29.7	100			Percent of total billed charges		29.7	33.3			Percent of total billed charges		9.8901	33.3			Percent of total billed charges		9.8901	100			Percent of total billed charges		29.7	9.8901	26.73	
brief pull up med	270	RC	Outpatient			30	19.5		90			Percent of total billed charges		27	40			Percent of total billed charges		12	80			Percent of total billed charges		24	90			Percent of total billed charges		27	85			Percent of total billed charges		25.5	85			Percent of total billed charges		25.5	85			Percent of total billed charges		25.5	100			Percent of total billed charges		30	100			Percent of total billed charges		30	100			Percent of total billed charges		30	33.3			Percent of total billed charges		9.99	33.3			Percent of total billed charges		9.99	100			Percent of total billed charges		30	9.99	27	
acumed aculoc guidewire	272	RC	Outpatient			30	19.5		90			Percent of total billed charges		27	40			Percent of total billed charges		12	80			Percent of total billed charges		24	90			Percent of total billed charges		27	85			Percent of total billed charges		25.5	85			Percent of total billed charges		25.5	85			Percent of total billed charges		25.5	100			Percent of total billed charges		30	100			Percent of total billed charges		30	100			Percent of total billed charges		30	33.3			Percent of total billed charges		9.99	33.3			Percent of total billed charges		9.99	100			Percent of total billed charges		30	9.99	27	
blade electrode w/insulatione1455b vl	272	RC	Outpatient			30	19.5		90			Percent of total billed charges		27	40			Percent of total billed charges		12	80			Percent of total billed charges		24	90			Percent of total billed charges		27	85			Percent of total billed charges		25.5	85			Percent of total billed charges		25.5	85			Percent of total billed charges		25.5	100			Percent of total billed charges		30	100			Percent of total billed charges		30	100			Percent of total billed charges		30	33.3			Percent of total billed charges		9.99	33.3			Percent of total billed charges		9.99	100			Percent of total billed charges		30	9.99	27	
chest pump daily charge s	270	RC	Outpatient			30	19.5		90			Percent of total billed charges		27	40			Percent of total billed charges		12	80			Percent of total billed charges		24	90			Percent of total billed charges		27	85			Percent of total billed charges		25.5	85			Percent of total billed charges		25.5	85			Percent of total billed charges		25.5	100			Percent of total billed charges		30	100			Percent of total billed charges		30	100			Percent of total billed charges		30	33.3			Percent of total billed charges		9.99	33.3			Percent of total billed charges		9.99	100			Percent of total billed charges		30	9.99	27	
"g0477 drug tests(s), presumptive, any number of drug classes"	983	RC	Outpatient			30	19.5		90			Percent of total billed charges		27	40			Percent of total billed charges		12	80			Percent of total billed charges		24	90			Percent of total billed charges		27	85			Percent of total billed charges		25.5	85			Percent of total billed charges		25.5	85			Percent of total billed charges		25.5	100			Percent of total billed charges		30	100			Percent of total billed charges		30	100			Percent of total billed charges		30	33.3			Percent of total billed charges		9.99	33.3			Percent of total billed charges		9.99	100			Percent of total billed charges		30	9.99	27	
endo button extension	272	RC	Outpatient			30	19.5		90			Percent of total billed charges		27	40			Percent of total billed charges		12	80			Percent of total billed charges		24	90			Percent of total billed charges		27	85			Percent of total billed charges		25.5	85			Percent of total billed charges		25.5	85			Percent of total billed charges		25.5	100			Percent of total billed charges		30	100			Percent of total billed charges		30	100			Percent of total billed charges		30	33.3			Percent of total billed charges		9.99	33.3			Percent of total billed charges		9.99	100			Percent of total billed charges		30	9.99	27	
jock strap xl	272	RC	Outpatient			30	19.5		90			Percent of total billed charges		27	40			Percent of total billed charges		12	80			Percent of total billed charges		24	90			Percent of total billed charges		27	85			Percent of total billed charges		25.5	85			Percent of total billed charges		25.5	85			Percent of total billed charges		25.5	100			Percent of total billed charges		30	100			Percent of total billed charges		30	100			Percent of total billed charges		30	33.3			Percent of total billed charges		9.99	33.3			Percent of total billed charges		9.99	100			Percent of total billed charges		30	9.99	27	
nsf check fee	983	RC	Outpatient			30	19.5		90			Percent of total billed charges		27	40			Percent of total billed charges		12	80			Percent of total billed charges		24	90			Percent of total billed charges		27	85			Percent of total billed charges		25.5	85			Percent of total billed charges		25.5	85			Percent of total billed charges		25.5	100			Percent of total billed charges		30	100			Percent of total billed charges		30	100			Percent of total billed charges		30	33.3			Percent of total billed charges		9.99	33.3			Percent of total billed charges		9.99	100			Percent of total billed charges		30	9.99	27	
l/d adult heart monitor	270	RC	Outpatient			30	19.5		90			Percent of total billed charges		27	40			Percent of total billed charges		12	80			Percent of total billed charges		24	90			Percent of total billed charges		27	85			Percent of total billed charges		25.5	85			Percent of total billed charges		25.5	85			Percent of total billed charges		25.5	100			Percent of total billed charges		30	100			Percent of total billed charges		30	100			Percent of total billed charges		30	33.3			Percent of total billed charges		9.99	33.3			Percent of total billed charges		9.99	100			Percent of total billed charges		30	9.99	27	
rascal monitor	270	RC	Outpatient			30	19.5		90			Percent of total billed charges		27	40			Percent of total billed charges		12	80			Percent of total billed charges		24	90			Percent of total billed charges		27	85			Percent of total billed charges		25.5	85			Percent of total billed charges		25.5	85			Percent of total billed charges		25.5	100			Percent of total billed charges		30	100			Percent of total billed charges		30	100			Percent of total billed charges		30	33.3			Percent of total billed charges		9.99	33.3			Percent of total billed charges		9.99	100			Percent of total billed charges		30	9.99	27	
silverlon dsg 2 x 3	272	RC	Outpatient			30	19.5		90			Percent of total billed charges		27	40			Percent of total billed charges		12	80			Percent of total billed charges		24	90			Percent of total billed charges		27	85			Percent of total billed charges		25.5	85			Percent of total billed charges		25.5	85			Percent of total billed charges		25.5	100			Percent of total billed charges		30	100			Percent of total billed charges		30	100			Percent of total billed charges		30	33.3			Percent of total billed charges		9.99	33.3			Percent of total billed charges		9.99	100			Percent of total billed charges		30	9.99	27	
support scrotal lg 202612	272	RC	Outpatient			30	19.5		90			Percent of total billed charges		27	40			Percent of total billed charges		12	80			Percent of total billed charges		24	90			Percent of total billed charges		27	85			Percent of total billed charges		25.5	85			Percent of total billed charges		25.5	85			Percent of total billed charges		25.5	100			Percent of total billed charges		30	100			Percent of total billed charges		30	100			Percent of total billed charges		30	33.3			Percent of total billed charges		9.99	33.3			Percent of total billed charges		9.99	100			Percent of total billed charges		30	9.99	27	
sween attractain	270	RC	Outpatient			30	19.5		90			Percent of total billed charges		27	40			Percent of total billed charges		12	80			Percent of total billed charges		24	90			Percent of total billed charges		27	85			Percent of total billed charges		25.5	85			Percent of total billed charges		25.5	85			Percent of total billed charges		25.5	100			Percent of total billed charges		30	100			Percent of total billed charges		30	100			Percent of total billed charges		30	33.3			Percent of total billed charges		9.99	33.3			Percent of total billed charges		9.99	100			Percent of total billed charges		30	9.99	27	
silverlon dressing 2 x 3 wpd-23 cura	272	RC	Outpatient			30	19.5		90			Percent of total billed charges		27	40			Percent of total billed charges		12	80			Percent of total billed charges		24	90			Percent of total billed charges		27	85			Percent of total billed charges		25.5	85			Percent of total billed charges		25.5	85			Percent of total billed charges		25.5	100			Percent of total billed charges		30	100			Percent of total billed charges		30	100			Percent of total billed charges		30	33.3			Percent of total billed charges		9.99	33.3			Percent of total billed charges		9.99	100			Percent of total billed charges		30	9.99	27	
specials monitor heart	270	RC	Outpatient			30	19.5		90			Percent of total billed charges		27	40			Percent of total billed charges		12	80			Percent of total billed charges		24	90			Percent of total billed charges		27	85			Percent of total billed charges		25.5	85			Percent of total billed charges		25.5	85			Percent of total billed charges		25.5	100			Percent of total billed charges		30	100			Percent of total billed charges		30	100			Percent of total billed charges		30	33.3			Percent of total billed charges		9.99	33.3			Percent of total billed charges		9.99	100			Percent of total billed charges		30	9.99	27	
v.l. insulated blade	272	RC	Outpatient			30	19.5		90			Percent of total billed charges		27	40			Percent of total billed charges		12	80			Percent of total billed charges		24	90			Percent of total billed charges		27	85			Percent of total billed charges		25.5	85			Percent of total billed charges		25.5	85			Percent of total billed charges		25.5	100			Percent of total billed charges		30	100			Percent of total billed charges		30	100			Percent of total billed charges		30	33.3			Percent of total billed charges		9.99	33.3			Percent of total billed charges		9.99	100			Percent of total billed charges		30	9.99	27	
blood glucose monitor dev	270	RC	Outpatient			31	20.15		90			Percent of total billed charges		27.9	40			Percent of total billed charges		12.4	80			Percent of total billed charges		24.8	90			Percent of total billed charges		27.9	85			Percent of total billed charges		26.35	85			Percent of total billed charges		26.35	85			Percent of total billed charges		26.35	100			Percent of total billed charges		31	100			Percent of total billed charges		31	100			Percent of total billed charges		31	33.3			Percent of total billed charges		10.323	33.3			Percent of total billed charges		10.323	100			Percent of total billed charges		31	10.323	27.9	
abrahmson filter	270	RC	Outpatient			31	20.15		90			Percent of total billed charges		27.9	40			Percent of total billed charges		12.4	80			Percent of total billed charges		24.8	90			Percent of total billed charges		27.9	85			Percent of total billed charges		26.35	85			Percent of total billed charges		26.35	85			Percent of total billed charges		26.35	100			Percent of total billed charges		31	100			Percent of total billed charges		31	100			Percent of total billed charges		31	33.3			Percent of total billed charges		10.323	33.3			Percent of total billed charges		10.323	100			Percent of total billed charges		31	10.323	27.9	
arthrex guide wire .062	272	RC	Outpatient			31	20.15		90			Percent of total billed charges		27.9	40			Percent of total billed charges		12.4	80			Percent of total billed charges		24.8	90			Percent of total billed charges		27.9	85			Percent of total billed charges		26.35	85			Percent of total billed charges		26.35	85			Percent of total billed charges		26.35	100			Percent of total billed charges		31	100			Percent of total billed charges		31	100			Percent of total billed charges		31	33.3			Percent of total billed charges		10.323	33.3			Percent of total billed charges		10.323	100			Percent of total billed charges		31	10.323	27.9	
arthrex guidewire .062 ar 8941k	272	RC	Outpatient			31	20.15		90			Percent of total billed charges		27.9	40			Percent of total billed charges		12.4	80			Percent of total billed charges		24.8	90			Percent of total billed charges		27.9	85			Percent of total billed charges		26.35	85			Percent of total billed charges		26.35	85			Percent of total billed charges		26.35	100			Percent of total billed charges		31	100			Percent of total billed charges		31	100			Percent of total billed charges		31	33.3			Percent of total billed charges		10.323	33.3			Percent of total billed charges		10.323	100			Percent of total billed charges		31	10.323	27.9	
breast shell system	270	RC	Outpatient			31	20.15		90			Percent of total billed charges		27.9	40			Percent of total billed charges		12.4	80			Percent of total billed charges		24.8	90			Percent of total billed charges		27.9	85			Percent of total billed charges		26.35	85			Percent of total billed charges		26.35	85			Percent of total billed charges		26.35	100			Percent of total billed charges		31	100			Percent of total billed charges		31	100			Percent of total billed charges		31	33.3			Percent of total billed charges		10.323	33.3			Percent of total billed charges		10.323	100			Percent of total billed charges		31	10.323	27.9	
colostomy wafer sur-fit	272	RC	Outpatient			31	20.15		90			Percent of total billed charges		27.9	40			Percent of total billed charges		12.4	80			Percent of total billed charges		24.8	90			Percent of total billed charges		27.9	85			Percent of total billed charges		26.35	85			Percent of total billed charges		26.35	85			Percent of total billed charges		26.35	100			Percent of total billed charges		31	100			Percent of total billed charges		31	100			Percent of total billed charges		31	33.3			Percent of total billed charges		10.323	33.3			Percent of total billed charges		10.323	100			Percent of total billed charges		31	10.323	27.9	
gastrstmy decompresn tube	270	RC	Outpatient			31	20.15		90			Percent of total billed charges		27.9	40			Percent of total billed charges		12.4	80			Percent of total billed charges		24.8	90			Percent of total billed charges		27.9	85			Percent of total billed charges		26.35	85			Percent of total billed charges		26.35	85			Percent of total billed charges		26.35	100			Percent of total billed charges		31	100			Percent of total billed charges		31	100			Percent of total billed charges		31	33.3			Percent of total billed charges		10.323	33.3			Percent of total billed charges		10.323	100			Percent of total billed charges		31	10.323	27.9	
drain filter 8050	270	RC	Outpatient			31	20.15		90			Percent of total billed charges		27.9	40			Percent of total billed charges		12.4	80			Percent of total billed charges		24.8	90			Percent of total billed charges		27.9	85			Percent of total billed charges		26.35	85			Percent of total billed charges		26.35	85			Percent of total billed charges		26.35	100			Percent of total billed charges		31	100			Percent of total billed charges		31	100			Percent of total billed charges		31	33.3			Percent of total billed charges		10.323	33.3			Percent of total billed charges		10.323	100			Percent of total billed charges		31	10.323	27.9	
dress mepil sp 6x6 294390	270	RC	Outpatient			31	20.15		90			Percent of total billed charges		27.9	40			Percent of total billed charges		12.4	80			Percent of total billed charges		24.8	90			Percent of total billed charges		27.9	85			Percent of total billed charges		26.35	85			Percent of total billed charges		26.35	85			Percent of total billed charges		26.35	100			Percent of total billed charges		31	100			Percent of total billed charges		31	100			Percent of total billed charges		31	33.3			Percent of total billed charges		10.323	33.3			Percent of total billed charges		10.323	100			Percent of total billed charges		31	10.323	27.9	
normal saline nacl 5000cc bag	272	RC	Outpatient			31	20.15		90			Percent of total billed charges		27.9	40			Percent of total billed charges		12.4	80			Percent of total billed charges		24.8	90			Percent of total billed charges		27.9	85			Percent of total billed charges		26.35	85			Percent of total billed charges		26.35	85			Percent of total billed charges		26.35	100			Percent of total billed charges		31	100			Percent of total billed charges		31	100			Percent of total billed charges		31	33.3			Percent of total billed charges		10.323	33.3			Percent of total billed charges		10.323	100			Percent of total billed charges		31	10.323	27.9	
inner cannula sz10	270	RC	Outpatient			31	20.15		90			Percent of total billed charges		27.9	40			Percent of total billed charges		12.4	80			Percent of total billed charges		24.8	90			Percent of total billed charges		27.9	85			Percent of total billed charges		26.35	85			Percent of total billed charges		26.35	85			Percent of total billed charges		26.35	100			Percent of total billed charges		31	100			Percent of total billed charges		31	100			Percent of total billed charges		31	33.3			Percent of total billed charges		10.323	33.3			Percent of total billed charges		10.323	100			Percent of total billed charges		31	10.323	27.9	
normal saline 5000cc	272	RC	Outpatient			31	20.15		90			Percent of total billed charges		27.9	40			Percent of total billed charges		12.4	80			Percent of total billed charges		24.8	90			Percent of total billed charges		27.9	85			Percent of total billed charges		26.35	85			Percent of total billed charges		26.35	85			Percent of total billed charges		26.35	100			Percent of total billed charges		31	100			Percent of total billed charges		31	100			Percent of total billed charges		31	33.3			Percent of total billed charges		10.323	33.3			Percent of total billed charges		10.323	100			Percent of total billed charges		31	10.323	27.9	
prep trays	270	RC	Outpatient			31	20.15		90			Percent of total billed charges		27.9	40			Percent of total billed charges		12.4	80			Percent of total billed charges		24.8	90			Percent of total billed charges		27.9	85			Percent of total billed charges		26.35	85			Percent of total billed charges		26.35	85			Percent of total billed charges		26.35	100			Percent of total billed charges		31	100			Percent of total billed charges		31	100			Percent of total billed charges		31	33.3			Percent of total billed charges		10.323	33.3			Percent of total billed charges		10.323	100			Percent of total billed charges		31	10.323	27.9	
resuscitator bag pediatric w/ mask	270	RC	Outpatient			31	20.15		90			Percent of total billed charges		27.9	40			Percent of total billed charges		12.4	80			Percent of total billed charges		24.8	90			Percent of total billed charges		27.9	85			Percent of total billed charges		26.35	85			Percent of total billed charges		26.35	85			Percent of total billed charges		26.35	100			Percent of total billed charges		31	100			Percent of total billed charges		31	100			Percent of total billed charges		31	33.3			Percent of total billed charges		10.323	33.3			Percent of total billed charges		10.323	100			Percent of total billed charges		31	10.323	27.9	
sensor skin	270	RC	Outpatient			31	20.15		90			Percent of total billed charges		27.9	40			Percent of total billed charges		12.4	80			Percent of total billed charges		24.8	90			Percent of total billed charges		27.9	85			Percent of total billed charges		26.35	85			Percent of total billed charges		26.35	85			Percent of total billed charges		26.35	100			Percent of total billed charges		31	100			Percent of total billed charges		31	100			Percent of total billed charges		31	33.3			Percent of total billed charges		10.323	33.3			Percent of total billed charges		10.323	100			Percent of total billed charges		31	10.323	27.9	
premium paste 2 oz	270	RC	Outpatient			31	20.15		90			Percent of total billed charges		27.9	40			Percent of total billed charges		12.4	80			Percent of total billed charges		24.8	90			Percent of total billed charges		27.9	85			Percent of total billed charges		26.35	85			Percent of total billed charges		26.35	85			Percent of total billed charges		26.35	100			Percent of total billed charges		31	100			Percent of total billed charges		31	100			Percent of total billed charges		31	33.3			Percent of total billed charges		10.323	33.3			Percent of total billed charges		10.323	100			Percent of total billed charges		31	10.323	27.9	
premium paste 79300	270	RC	Outpatient			31	20.15		90			Percent of total billed charges		27.9	40			Percent of total billed charges		12.4	80			Percent of total billed charges		24.8	90			Percent of total billed charges		27.9	85			Percent of total billed charges		26.35	85			Percent of total billed charges		26.35	85			Percent of total billed charges		26.35	100			Percent of total billed charges		31	100			Percent of total billed charges		31	100			Percent of total billed charges		31	33.3			Percent of total billed charges		10.323	33.3			Percent of total billed charges		10.323	100			Percent of total billed charges		31	10.323	27.9	
resuscitator manual infant	270	RC	Outpatient			31	20.15		90			Percent of total billed charges		27.9	40			Percent of total billed charges		12.4	80			Percent of total billed charges		24.8	90			Percent of total billed charges		27.9	85			Percent of total billed charges		26.35	85			Percent of total billed charges		26.35	85			Percent of total billed charges		26.35	100			Percent of total billed charges		31	100			Percent of total billed charges		31	100			Percent of total billed charges		31	33.3			Percent of total billed charges		10.323	33.3			Percent of total billed charges		10.323	100			Percent of total billed charges		31	10.323	27.9	
sub clavian tray	270	RC	Outpatient			31	20.15		90			Percent of total billed charges		27.9	40			Percent of total billed charges		12.4	80			Percent of total billed charges		24.8	90			Percent of total billed charges		27.9	85			Percent of total billed charges		26.35	85			Percent of total billed charges		26.35	85			Percent of total billed charges		26.35	100			Percent of total billed charges		31	100			Percent of total billed charges		31	100			Percent of total billed charges		31	33.3			Percent of total billed charges		10.323	33.3			Percent of total billed charges		10.323	100			Percent of total billed charges		31	10.323	27.9	
"tray, er small"	270	RC	Outpatient			31	20.15		90			Percent of total billed charges		27.9	40			Percent of total billed charges		12.4	80			Percent of total billed charges		24.8	90			Percent of total billed charges		27.9	85			Percent of total billed charges		26.35	85			Percent of total billed charges		26.35	85			Percent of total billed charges		26.35	100			Percent of total billed charges		31	100			Percent of total billed charges		31	100			Percent of total billed charges		31	33.3			Percent of total billed charges		10.323	33.3			Percent of total billed charges		10.323	100			Percent of total billed charges		31	10.323	27.9	
"tray, small ed charge scnt"	270	RC	Outpatient			31	20.15		90			Percent of total billed charges		27.9	40			Percent of total billed charges		12.4	80			Percent of total billed charges		24.8	90			Percent of total billed charges		27.9	85			Percent of total billed charges		26.35	85			Percent of total billed charges		26.35	85			Percent of total billed charges		26.35	100			Percent of total billed charges		31	100			Percent of total billed charges		31	100			Percent of total billed charges		31	33.3			Percent of total billed charges		10.323	33.3			Percent of total billed charges		10.323	100			Percent of total billed charges		31	10.323	27.9	
storz endoscopic seal osfa ref 27550zag/1	272	RC	Outpatient			31.5	20.48		90			Percent of total billed charges		28.35	40			Percent of total billed charges		12.6	80			Percent of total billed charges		25.2	90			Percent of total billed charges		28.35	85			Percent of total billed charges		26.775	85			Percent of total billed charges		26.775	85			Percent of total billed charges		26.775	100			Percent of total billed charges		31.5	100			Percent of total billed charges		31.5	100			Percent of total billed charges		31.5	33.3			Percent of total billed charges		10.4895	33.3			Percent of total billed charges		10.4895	100			Percent of total billed charges		31.5	10.4895	28.35	
4.0mm canc screw sm hex 12mm partial thd 5mm 00-4840-012-01 zimmer	278	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
4.0mm canc screw sm hex 14mm partial thd 5mm 00-4840-014-01 zimmer	278	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
4.0mm canc screw sm hex 24mm partial thd 10mm 00-4840-024-01 zimmer	278	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
4.0mm canc screw sm hex 26mm partial thd 12mm 00-4840-026-01 zimmer	278	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
4.0mm canc screw sm hex 28mm partial thd 14mm 00-4840-028-01 zimmer	278	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
4.0mm canc screw sm hex 35mm partial thd 14mm 00-4840-035-01 zimmer	278	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
4.0mm canc screw sm hex 40mm partial thd 14mm 00-4840-040-01 zimmer	278	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
4.0mm cancellous screw sm hex 10mm fully thd 00-4840-010-00 zimmer	278	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
4.0mm cancellous screw sm hex 16mm fully thd 00-4840-016-00 zimmer	278	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
4.0mm cancellous screw sm hex 22mm fully thd 00-4840-022-00 zimmer	278	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
4.0mm cancellous screw sm hex 24mm fully thd 00-4840-024-00 zimmer	278	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
4.0mm cancellous screw sm hex 26mm fully thd 00-4840-026-00 zimmer	278	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
4.0mm cancellous screw sm hex 28mm fully thd 00-4840-028-00 zimmer	278	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
4.0mm cancellous screw sm hex 30mm fully thd 00-4840-030-00 zimmer	278	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
4.0mm cancellous screw sm hex 32mm fully thd 00-4840-032-00 zimmer	278	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
4.0mm cancellous screw sm hex 34mm fully thd 00-4840-034-00 zimmer	278	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
4.0mm cancellous screw sm hex 50mm fully thd 00-4840-050-00 zimmer	278	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
4.0mm cancellous screw sm hex 55mm fully thd 00-4840-055-00 zimmer	278	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
4.0mm cancellous screw sm hex part thd 100mm 00-4840-100-01 zimmer	278	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
4.0mm cancellous screw sm hex part thd 55mm 00-4840-055-01 zimmer	278	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
4.0mm cancellous screw sm hex part thd 65mm 00-4840-065-01 zimmer	278	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
4.0mm cancellous screw sm hex part thd 70mm 00-4840-070-01 zimmer	278	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
4.0mm cancellous screw sm hex part thd 80mm 00-4840-080-01 zimmer	278	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
4.0mm cancellous screw sm hex part thd 95mm 00-4840-095-01 zimmer	278	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
4.5mm cancellous screw sm hex full thd 70mm 00-4840-070-00 zimmer	278	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
4.5mm cancellous screw sm hex full thd 80mm 00-4840-080-00 zimmer	278	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
4.5mm cancellous screw sm hex full thd 95mm 00-4840-095-00 zimmer	278	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
arrow cath-gard shield	270	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
band implant stabilizer	272	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
band implant stabilizer isb2 marena	272	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
4.0mm canc screw sm hex 10mm partial thd 4.5mm 00-4840-010-01 zimmer	278	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
4.0mm canc screw sm hex 16mm partial thd 6mm 00-4840-016-01 zimmer	278	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
4.0mm canc screw sm hex 18mm partial thd 7mm 00-4840-018-01 zimmer	278	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
4.0mm canc screw sm hex 20mm partial thd 8mm 00-4840-020-01 zimmer	278	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
4.0mm canc screw sm hex 22mm partial thd 9mm 00-4840-022-01 zimmer	278	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
4.0mm canc screw sm hex 30mm partial thd 14mm 00-4840-030-01 zimmer	278	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
4.0mm canc screw sm hex 45mm partial thd 15mm 00-4840-045-01 zimmer	278	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
4.0mm canc screw sm hex 50mm partial thd 15mm 00-4840-050-01 zimmer	278	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
4.0mm cancellous screw sm hex 12mm fully thd 00-4840-012-00 zimmer	278	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
4.0mm cancellous screw sm hex 14mm fully thd 00-4840-014-00 zimmer	278	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
4.0mm cancellous screw sm hex 18mm fully thd 00-4840-018-00 zimmer	278	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
4.0mm cancellous screw sm hex 20mm fully thd 00-4840-020-00 zimmer	278	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
4.0mm cancellous screw sm hex 36mm fully thd 00-4840-036-00 zimmer	278	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
4.0mm cancellous screw sm hex 38mm fully thd 00-4840-038-00 zimmer	278	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
4.0mm cancellous screw sm hex 40mm fully thd 00-4840-040-00 zimmer	278	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
4.0mm cancellous screw sm hex 45mm fully thd 00-4840-045-00 zimmer	278	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
4.0mm cancellous screw sm hex 60mm fully thd 00-4840-060-00 zimmer	278	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
4.0mm cancellous screw sm hex part thd 60mm 00-4840-060-01 zimmer	278	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
4.0mm cancellous screw sm hex part thd 75mm 00-4840-075-01 zimmer	278	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
4.0mm cancellous screw sm hex part thd 85mm 00-4840-085-01 zimmer	278	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
4.0mm cancellous screw sm hex part thd 90mm 00-4840-090-01 zimmer	278	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
4.5mm cancellous screw sm hex full thd 100mm 00-4840-100-00 zimmer	278	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
4.5mm cancellous screw sm hex full thd 65mm 00-4840-065-00 zimmer	278	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
4.5mm cancellous screw sm hex full thd 75mm 00-4840-075-00 zimmer	278	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
4.5mm cancellous screw sm hex full thd 85mm 00-4840-085-00 zimmer	278	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
4.5mm cancellous screw sm hex full thd 90mm 00-4840-090-00 zimmer	278	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
arm sling	270	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
blood glucose monitor acc	270	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
cath thor str 28fr 570549	270	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
"cath,radial artery #20 ga"	270	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
cg infiltration tubing cg-inf-t mentor	272	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
coban	270	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
coban 2	270	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
cover site-rite	272	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
headrest gentle touch	270	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
hose ted anti-emb thigh xl-reg 3181lf	270	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
hose ted anti-emb thigh xx-lg long 3185lf	270	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
hose ted anti-emb thigh xx-lg-regular 3184lf	270	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
incomplete abortion tray	270	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
l/d scalp electrode & str	270	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
headrest pillow gentletouch 7in 1937	270	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
hemovac 400ml	270	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
hf cannula large	270	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
hf cannula medium	270	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
hose ted anti-emb thigh xl-long 3182lf	270	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
hose ted anti-emb thigh xl-short 3180lf	270	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
hose ted anti-emb thigh xxl-short 3183lf	270	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
interlink cont flow sol set 1c8669 baxter	272	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
lipo infiltration tubing	272	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
s/n washer 2mm	278	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
shields stackhouse	270	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
sling arm youth tx9901-41 deroyal	270	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
"sling, arm, large"	270	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
sling/swathe universal 389901	270	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
pleurx drainage acc. kit	270	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
post nasal balloon pk	270	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
post nasal balloon pk ed charge scnt	450	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
sling arm medium tx9901-43	270	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
sling arm small 1796-011-10 zimmer	270	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
sling fashion arm lg tx9901-44	270	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
"sling, arm  small"	270	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
"sling, arm infant"	270	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
"sling, arm, medium"	270	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
stackhouse anti infection shield acs-10	270	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
sterile iv tubing	272	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
washer 2 x 14mm 102701 s/n	278	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
zimm 4.0-4.5 cann.scw	278	RC	Outpatient			32	20.8		90			Percent of total billed charges		28.8	40			Percent of total billed charges		12.8	80			Percent of total billed charges		25.6	90			Percent of total billed charges		28.8	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	85			Percent of total billed charges		27.2	100			Percent of total billed charges		32	100			Percent of total billed charges		32	100			Percent of total billed charges		32	33.3			Percent of total billed charges		10.656	33.3			Percent of total billed charges		10.656	100			Percent of total billed charges		32	10.656	28.8	
aquacel 4 x 4	272	RC	Outpatient			33	21.45		90			Percent of total billed charges		29.7	40			Percent of total billed charges		13.2	80			Percent of total billed charges		26.4	90			Percent of total billed charges		29.7	85			Percent of total billed charges		28.05	85			Percent of total billed charges		28.05	85			Percent of total billed charges		28.05	100			Percent of total billed charges		33	100			Percent of total billed charges		33	100			Percent of total billed charges		33	33.3			Percent of total billed charges		10.989	33.3			Percent of total billed charges		10.989	100			Percent of total billed charges		33	10.989	29.7	
"bag,urostomy w/seal 1.5"	270	RC	Outpatient			33	21.45		90			Percent of total billed charges		29.7	40			Percent of total billed charges		13.2	80			Percent of total billed charges		26.4	90			Percent of total billed charges		29.7	85			Percent of total billed charges		28.05	85			Percent of total billed charges		28.05	85			Percent of total billed charges		28.05	100			Percent of total billed charges		33	100			Percent of total billed charges		33	100			Percent of total billed charges		33	33.3			Percent of total billed charges		10.989	33.3			Percent of total billed charges		10.989	100			Percent of total billed charges		33	10.989	29.7	
"bag,urostomy w/seal 1.75"	270	RC	Outpatient			33	21.45		90			Percent of total billed charges		29.7	40			Percent of total billed charges		13.2	80			Percent of total billed charges		26.4	90			Percent of total billed charges		29.7	85			Percent of total billed charges		28.05	85			Percent of total billed charges		28.05	85			Percent of total billed charges		28.05	100			Percent of total billed charges		33	100			Percent of total billed charges		33	100			Percent of total billed charges		33	33.3			Percent of total billed charges		10.989	33.3			Percent of total billed charges		10.989	100			Percent of total billed charges		33	10.989	29.7	
cath foley 16fr 5cc silve	272	RC	Outpatient			33	21.45		90			Percent of total billed charges		29.7	40			Percent of total billed charges		13.2	80			Percent of total billed charges		26.4	90			Percent of total billed charges		29.7	85			Percent of total billed charges		28.05	85			Percent of total billed charges		28.05	85			Percent of total billed charges		28.05	100			Percent of total billed charges		33	100			Percent of total billed charges		33	100			Percent of total billed charges		33	33.3			Percent of total billed charges		10.989	33.3			Percent of total billed charges		10.989	100			Percent of total billed charges		33	10.989	29.7	
"bag,urostomy w/seal 1.25"	270	RC	Outpatient			33	21.45		90			Percent of total billed charges		29.7	40			Percent of total billed charges		13.2	80			Percent of total billed charges		26.4	90			Percent of total billed charges		29.7	85			Percent of total billed charges		28.05	85			Percent of total billed charges		28.05	85			Percent of total billed charges		28.05	100			Percent of total billed charges		33	100			Percent of total billed charges		33	100			Percent of total billed charges		33	33.3			Percent of total billed charges		10.989	33.3			Percent of total billed charges		10.989	100			Percent of total billed charges		33	10.989	29.7	
cath foley 14fr 5cc silve	272	RC	Outpatient			33	21.45		90			Percent of total billed charges		29.7	40			Percent of total billed charges		13.2	80			Percent of total billed charges		26.4	90			Percent of total billed charges		29.7	85			Percent of total billed charges		28.05	85			Percent of total billed charges		28.05	85			Percent of total billed charges		28.05	100			Percent of total billed charges		33	100			Percent of total billed charges		33	100			Percent of total billed charges		33	33.3			Percent of total billed charges		10.989	33.3			Percent of total billed charges		10.989	100			Percent of total billed charges		33	10.989	29.7	
dressing aquacel ag 4 x 4 403765 420677	272	RC	Outpatient			33	21.45		90			Percent of total billed charges		29.7	40			Percent of total billed charges		13.2	80			Percent of total billed charges		26.4	90			Percent of total billed charges		29.7	85			Percent of total billed charges		28.05	85			Percent of total billed charges		28.05	85			Percent of total billed charges		28.05	100			Percent of total billed charges		33	100			Percent of total billed charges		33	100			Percent of total billed charges		33	33.3			Percent of total billed charges		10.989	33.3			Percent of total billed charges		10.989	100			Percent of total billed charges		33	10.989	29.7	
dressing tegaderm 8 x 7.5 90805	272	RC	Outpatient			33	21.45		90			Percent of total billed charges		29.7	40			Percent of total billed charges		13.2	80			Percent of total billed charges		26.4	90			Percent of total billed charges		29.7	85			Percent of total billed charges		28.05	85			Percent of total billed charges		28.05	85			Percent of total billed charges		28.05	100			Percent of total billed charges		33	100			Percent of total billed charges		33	100			Percent of total billed charges		33	33.3			Percent of total billed charges		10.989	33.3			Percent of total billed charges		10.989	100			Percent of total billed charges		33	10.989	29.7	
manometer cvp #p4338a	270	RC	Outpatient			33	21.45		90			Percent of total billed charges		29.7	40			Percent of total billed charges		13.2	80			Percent of total billed charges		26.4	90			Percent of total billed charges		29.7	85			Percent of total billed charges		28.05	85			Percent of total billed charges		28.05	85			Percent of total billed charges		28.05	100			Percent of total billed charges		33	100			Percent of total billed charges		33	100			Percent of total billed charges		33	33.3			Percent of total billed charges		10.989	33.3			Percent of total billed charges		10.989	100			Percent of total billed charges		33	10.989	29.7	
manifold	270	RC	Outpatient			33	21.45		90			Percent of total billed charges		29.7	40			Percent of total billed charges		13.2	80			Percent of total billed charges		26.4	90			Percent of total billed charges		29.7	85			Percent of total billed charges		28.05	85			Percent of total billed charges		28.05	85			Percent of total billed charges		28.05	100			Percent of total billed charges		33	100			Percent of total billed charges		33	100			Percent of total billed charges		33	33.3			Percent of total billed charges		10.989	33.3			Percent of total billed charges		10.989	100			Percent of total billed charges		33	10.989	29.7	
manometer cvp #p4338a ed charge scnt	450	RC	Outpatient			33	21.45		90			Percent of total billed charges		29.7	40			Percent of total billed charges		13.2	80			Percent of total billed charges		26.4	90			Percent of total billed charges		29.7	85			Percent of total billed charges		28.05	85			Percent of total billed charges		28.05	85			Percent of total billed charges		28.05	100			Percent of total billed charges		33	100			Percent of total billed charges		33	100			Percent of total billed charges		33	33.3			Percent of total billed charges		10.989	33.3			Percent of total billed charges		10.989	100			Percent of total billed charges		33	10.989	29.7	
mask respirator ngs	270	RC	Outpatient			33	21.45		90			Percent of total billed charges		29.7	40			Percent of total billed charges		13.2	80			Percent of total billed charges		26.4	90			Percent of total billed charges		29.7	85			Percent of total billed charges		28.05	85			Percent of total billed charges		28.05	85			Percent of total billed charges		28.05	100			Percent of total billed charges		33	100			Percent of total billed charges		33	100			Percent of total billed charges		33	33.3			Percent of total billed charges		10.989	33.3			Percent of total billed charges		10.989	100			Percent of total billed charges		33	10.989	29.7	
ted hose thigh sm-s	272	RC	Outpatient			33	21.45		90			Percent of total billed charges		29.7	40			Percent of total billed charges		13.2	80			Percent of total billed charges		26.4	90			Percent of total billed charges		29.7	85			Percent of total billed charges		28.05	85			Percent of total billed charges		28.05	85			Percent of total billed charges		28.05	100			Percent of total billed charges		33	100			Percent of total billed charges		33	100			Percent of total billed charges		33	33.3			Percent of total billed charges		10.989	33.3			Percent of total billed charges		10.989	100			Percent of total billed charges		33	10.989	29.7	
pump spr plus	270	RC	Outpatient			33	21.45		90			Percent of total billed charges		29.7	40			Percent of total billed charges		13.2	80			Percent of total billed charges		26.4	90			Percent of total billed charges		29.7	85			Percent of total billed charges		28.05	85			Percent of total billed charges		28.05	85			Percent of total billed charges		28.05	100			Percent of total billed charges		33	100			Percent of total billed charges		33	100			Percent of total billed charges		33	33.3			Percent of total billed charges		10.989	33.3			Percent of total billed charges		10.989	100			Percent of total billed charges		33	10.989	29.7	
puracol plus ag	272	RC	Outpatient			33	21.45		90			Percent of total billed charges		29.7	40			Percent of total billed charges		13.2	80			Percent of total billed charges		26.4	90			Percent of total billed charges		29.7	85			Percent of total billed charges		28.05	85			Percent of total billed charges		28.05	85			Percent of total billed charges		28.05	100			Percent of total billed charges		33	100			Percent of total billed charges		33	100			Percent of total billed charges		33	33.3			Percent of total billed charges		10.989	33.3			Percent of total billed charges		10.989	100			Percent of total billed charges		33	10.989	29.7	
tegaderm 7.5 x 8	272	RC	Outpatient			33	21.45		90			Percent of total billed charges		29.7	40			Percent of total billed charges		13.2	80			Percent of total billed charges		26.4	90			Percent of total billed charges		29.7	85			Percent of total billed charges		28.05	85			Percent of total billed charges		28.05	85			Percent of total billed charges		28.05	100			Percent of total billed charges		33	100			Percent of total billed charges		33	100			Percent of total billed charges		33	33.3			Percent of total billed charges		10.989	33.3			Percent of total billed charges		10.989	100			Percent of total billed charges		33	10.989	29.7	
vent tube ultra seal	278	RC	Outpatient			33	21.45		90			Percent of total billed charges		29.7	40			Percent of total billed charges		13.2	80			Percent of total billed charges		26.4	90			Percent of total billed charges		29.7	85			Percent of total billed charges		28.05	85			Percent of total billed charges		28.05	85			Percent of total billed charges		28.05	100			Percent of total billed charges		33	100			Percent of total billed charges		33	100			Percent of total billed charges		33	33.3			Percent of total billed charges		10.989	33.3			Percent of total billed charges		10.989	100			Percent of total billed charges		33	10.989	29.7	
ultrasil silicone collar button vent tube 70241314 gyrus	278	RC	Outpatient			33	21.45		90			Percent of total billed charges		29.7	40			Percent of total billed charges		13.2	80			Percent of total billed charges		26.4	90			Percent of total billed charges		29.7	85			Percent of total billed charges		28.05	85			Percent of total billed charges		28.05	85			Percent of total billed charges		28.05	100			Percent of total billed charges		33	100			Percent of total billed charges		33	100			Percent of total billed charges		33	33.3			Percent of total billed charges		10.989	33.3			Percent of total billed charges		10.989	100			Percent of total billed charges		33	10.989	29.7	
3000 cc glycine	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
3000cc glycine (endo ablat)	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
cautery battery operated fine 65410040 aa21	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
collar cervical ed charge scnt	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
collector woun drain 9773	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
daily chg lap airfloat sy	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
book ostomy care	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
c-clamp	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
cap 394.97 synthes	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
cautery disp. opth.	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
chiba bx needle 18g/15cm goo850 cook	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
chiba bx needle 18g/20cm go1047 cook	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
chiba bx needle 21g/20cm goo895 cook	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
collar cervical large	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
collar cervical med x-lng	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
collar cervical medium	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
collar cervical small	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
dressing allevyn 7x7	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
elevator arm sling garner 79-84051 79-84052 dj ortho	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
endo gastrostomy tube adaptor	272	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
gelfoam small	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
hemovac drain 1/4 inch	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
hemovac drain 3/16 inch	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
dressing auquacel 4x4 pln	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
glycine solution 3000cc	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
immob. shoulderxxl9015-05	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
mlt enod tube	272	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
mlt tracheal tube 5.0 86587 mmj	272	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
moss decompression tube	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
ndl power loc huber 20x1	272	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
needle biopsy	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
inner cannula trach 6sic	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
mayfield headrest	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
mayfield headrest with skull clamp	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
oral rae cuffed 7.5	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
syn x-fix cap	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
teeth guard	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
tooth protector 9-3041-03 mainline med	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
radial head trials	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
rae et tube oral/nasal	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
sponge gelfoam sz12-7mm 0009031503	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
tegaderm 7.5 x 8clr-acryl	272	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
ti radial head sizing set  4861000 wright	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
tray lumbar puncture 22g	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
tube decompression nasal esophageal 20 fr 85791 mallm	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
tube nasal rae cuffed 6.5 86213	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
tube oral rae cuffed 4.5	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
tube oral rae cuffed 6.0	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
tube oral rae uncuffed 4.0	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
tube oral rae uncuffed 5.0	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
tube oral rae uncuffed 6.0	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
tube oral rae uncuffed 7.0	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
tube trach rae oral cuffed 5.0	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
"tube, trach rae nasal uncuff 4.0 mallm 86285"	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
"tube, trach rae nasal uncuff 4.5 mallm 86286"	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
"tube, trach rae nasal uncuff 5.0 mallm 86287"	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
"tube, trach rae oral 8.5mm mallm 86274"	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
wound cleanser 9975	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
wound col med sterile	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
tube nasal rae cuffed 7.0	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
tube nasal rae cuffed 7.5	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
tube oral rae cuffed 4.0	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
tube oral rae cuffed 7.0	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
tube oral rae cufffed 8.0	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
tube oral rae uncuffed 3.0	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
tube oral rae uncuffed 3.5	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
tube oral rae uncuffed 4.5 86266	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
tube oral rae uncuffed 5.5	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
tube oral rae uncuffed 6.5	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
tube trach rae nasal cuffed 6.0	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
tube trach rae oral cuffed 5.5	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
tube trach rae oral cuffed 6.5	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
tube trach rae oral cuffed 8.5	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
"tube, trach rae nasal uncuff 3.0 mallm 86283"	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
"tube, trach rae nasal uncuff 3.5 mallm 86284"	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
"tube, trach rae nasal uncuff 5.5 mallm 86288"	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
"tube, trach rae nasal uncuff 6.0 mallm 86289"	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
"tube, trach rae oral uncuffed 8.0mm mallm 86273"	270	RC	Outpatient			34	22.1		90			Percent of total billed charges		30.6	40			Percent of total billed charges		13.6	80			Percent of total billed charges		27.2	90			Percent of total billed charges		30.6	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	85			Percent of total billed charges		28.9	100			Percent of total billed charges		34	100			Percent of total billed charges		34	100			Percent of total billed charges		34	33.3			Percent of total billed charges		11.322	33.3			Percent of total billed charges		11.322	100			Percent of total billed charges		34	11.322	30.6	
arthroscopy drape w/ fluid control pouch ref dynjp8101	272	RC	Outpatient			34.88	22.67		90			Percent of total billed charges		31.392	40			Percent of total billed charges		13.952	80			Percent of total billed charges		27.904	90			Percent of total billed charges		31.392	85			Percent of total billed charges		29.648	85			Percent of total billed charges		29.648	85			Percent of total billed charges		29.648	100			Percent of total billed charges		34.88	100			Percent of total billed charges		34.88	100			Percent of total billed charges		34.88	33.3			Percent of total billed charges		11.615	33.3			Percent of total billed charges		11.615	100			Percent of total billed charges		34.88	11.615	31.392	
athletic support small	270	RC	Outpatient			35	22.75		90			Percent of total billed charges		31.5	40			Percent of total billed charges		14	80			Percent of total billed charges		28	90			Percent of total billed charges		31.5	85			Percent of total billed charges		29.75	85			Percent of total billed charges		29.75	85			Percent of total billed charges		29.75	100			Percent of total billed charges		35	100			Percent of total billed charges		35	100			Percent of total billed charges		35	33.3			Percent of total billed charges		11.655	33.3			Percent of total billed charges		11.655	100			Percent of total billed charges		35	11.655	31.5	
cath angio str 5fr 110cm  451-501l5 cordis	272	RC	Outpatient			35	22.75		90			Percent of total billed charges		31.5	40			Percent of total billed charges		14	80			Percent of total billed charges		28	90			Percent of total billed charges		31.5	85			Percent of total billed charges		29.75	85			Percent of total billed charges		29.75	85			Percent of total billed charges		29.75	100			Percent of total billed charges		35	100			Percent of total billed charges		35	100			Percent of total billed charges		35	33.3			Percent of total billed charges		11.655	33.3			Percent of total billed charges		11.655	100			Percent of total billed charges		35	11.655	31.5	
corneal shield	270	RC	Outpatient			35	22.75		90			Percent of total billed charges		31.5	40			Percent of total billed charges		14	80			Percent of total billed charges		28	90			Percent of total billed charges		31.5	85			Percent of total billed charges		29.75	85			Percent of total billed charges		29.75	85			Percent of total billed charges		29.75	100			Percent of total billed charges		35	100			Percent of total billed charges		35	100			Percent of total billed charges		35	33.3			Percent of total billed charges		11.655	33.3			Percent of total billed charges		11.655	100			Percent of total billed charges		35	11.655	31.5	
cosmetic - compound - benzocaine/lidocaine/tetracaine (20/6/20)	983	RC	Outpatient			35	22.75		90			Percent of total billed charges		31.5	40			Percent of total billed charges		14	80			Percent of total billed charges		28	90			Percent of total billed charges		31.5	85			Percent of total billed charges		29.75	85			Percent of total billed charges		29.75	85			Percent of total billed charges		29.75	100			Percent of total billed charges		35	100			Percent of total billed charges		35	100			Percent of total billed charges		35	33.3			Percent of total billed charges		11.655	33.3			Percent of total billed charges		11.655	100			Percent of total billed charges		35	11.655	31.5	
dressing mepitel 4 x 7 291099	272	RC	Outpatient			35	22.75		90			Percent of total billed charges		31.5	40			Percent of total billed charges		14	80			Percent of total billed charges		28	90			Percent of total billed charges		31.5	85			Percent of total billed charges		29.75	85			Percent of total billed charges		29.75	85			Percent of total billed charges		29.75	100			Percent of total billed charges		35	100			Percent of total billed charges		35	100			Percent of total billed charges		35	33.3			Percent of total billed charges		11.655	33.3			Percent of total billed charges		11.655	100			Percent of total billed charges		35	11.655	31.5	
endo lavacuator lavage tube	270	RC	Outpatient			35	22.75		90			Percent of total billed charges		31.5	40			Percent of total billed charges		14	80			Percent of total billed charges		28	90			Percent of total billed charges		31.5	85			Percent of total billed charges		29.75	85			Percent of total billed charges		29.75	85			Percent of total billed charges		29.75	100			Percent of total billed charges		35	100			Percent of total billed charges		35	100			Percent of total billed charges		35	33.3			Percent of total billed charges		11.655	33.3			Percent of total billed charges		11.655	100			Percent of total billed charges		35	11.655	31.5	
flexiflo tube ed charge scnt	270	RC	Outpatient			35	22.75		90			Percent of total billed charges		31.5	40			Percent of total billed charges		14	80			Percent of total billed charges		28	90			Percent of total billed charges		31.5	85			Percent of total billed charges		29.75	85			Percent of total billed charges		29.75	85			Percent of total billed charges		29.75	100			Percent of total billed charges		35	100			Percent of total billed charges		35	100			Percent of total billed charges		35	33.3			Percent of total billed charges		11.655	33.3			Percent of total billed charges		11.655	100			Percent of total billed charges		35	11.655	31.5	
dressing aquacel ag 4x4	270	RC	Outpatient			35	22.75		90			Percent of total billed charges		31.5	40			Percent of total billed charges		14	80			Percent of total billed charges		28	90			Percent of total billed charges		31.5	85			Percent of total billed charges		29.75	85			Percent of total billed charges		29.75	85			Percent of total billed charges		29.75	100			Percent of total billed charges		35	100			Percent of total billed charges		35	100			Percent of total billed charges		35	33.3			Percent of total billed charges		11.655	33.3			Percent of total billed charges		11.655	100			Percent of total billed charges		35	11.655	31.5	
inner cann trach 6oxltin	272	RC	Outpatient			35	22.75		90			Percent of total billed charges		31.5	40			Percent of total billed charges		14	80			Percent of total billed charges		28	90			Percent of total billed charges		31.5	85			Percent of total billed charges		29.75	85			Percent of total billed charges		29.75	85			Percent of total billed charges		29.75	100			Percent of total billed charges		35	100			Percent of total billed charges		35	100			Percent of total billed charges		35	33.3			Percent of total billed charges		11.655	33.3			Percent of total billed charges		11.655	100			Percent of total billed charges		35	11.655	31.5	
jo hall morris titanium nex nut 01-0030 walter lorenze	278	RC	Outpatient			35	22.75		90			Percent of total billed charges		31.5	40			Percent of total billed charges		14	80			Percent of total billed charges		28	90			Percent of total billed charges		31.5	85			Percent of total billed charges		29.75	85			Percent of total billed charges		29.75	85			Percent of total billed charges		29.75	100			Percent of total billed charges		35	100			Percent of total billed charges		35	100			Percent of total billed charges		35	33.3			Percent of total billed charges		11.655	33.3			Percent of total billed charges		11.655	100			Percent of total billed charges		35	11.655	31.5	
flush cath	272	RC	Outpatient			35	22.75		90			Percent of total billed charges		31.5	40			Percent of total billed charges		14	80			Percent of total billed charges		28	90			Percent of total billed charges		31.5	85			Percent of total billed charges		29.75	85			Percent of total billed charges		29.75	85			Percent of total billed charges		29.75	100			Percent of total billed charges		35	100			Percent of total billed charges		35	100			Percent of total billed charges		35	33.3			Percent of total billed charges		11.655	33.3			Percent of total billed charges		11.655	100			Percent of total billed charges		35	11.655	31.5	
lg washer 00-4800-065-51 zimmer	278	RC	Outpatient			35	22.75		90			Percent of total billed charges		31.5	40			Percent of total billed charges		14	80			Percent of total billed charges		28	90			Percent of total billed charges		31.5	85			Percent of total billed charges		29.75	85			Percent of total billed charges		29.75	85			Percent of total billed charges		29.75	100			Percent of total billed charges		35	100			Percent of total billed charges		35	100			Percent of total billed charges		35	33.3			Percent of total billed charges		11.655	33.3			Percent of total billed charges		11.655	100			Percent of total billed charges		35	11.655	31.5	
lorenz titanium hex nut	278	RC	Outpatient			35	22.75		90			Percent of total billed charges		31.5	40			Percent of total billed charges		14	80			Percent of total billed charges		28	90			Percent of total billed charges		31.5	85			Percent of total billed charges		29.75	85			Percent of total billed charges		29.75	85			Percent of total billed charges		29.75	100			Percent of total billed charges		35	100			Percent of total billed charges		35	100			Percent of total billed charges		35	33.3			Percent of total billed charges		11.655	33.3			Percent of total billed charges		11.655	100			Percent of total billed charges		35	11.655	31.5	
mepitel 4 x 7	272	RC	Outpatient			35	22.75		90			Percent of total billed charges		31.5	40			Percent of total billed charges		14	80			Percent of total billed charges		28	90			Percent of total billed charges		31.5	85			Percent of total billed charges		29.75	85			Percent of total billed charges		29.75	85			Percent of total billed charges		29.75	100			Percent of total billed charges		35	100			Percent of total billed charges		35	100			Percent of total billed charges		35	33.3			Percent of total billed charges		11.655	33.3			Percent of total billed charges		11.655	100			Percent of total billed charges		35	11.655	31.5	
inner canner trach 8sic	270	RC	Outpatient			35	22.75		90			Percent of total billed charges		31.5	40			Percent of total billed charges		14	80			Percent of total billed charges		28	90			Percent of total billed charges		31.5	85			Percent of total billed charges		29.75	85			Percent of total billed charges		29.75	85			Percent of total billed charges		29.75	100			Percent of total billed charges		35	100			Percent of total billed charges		35	100			Percent of total billed charges		35	33.3			Percent of total billed charges		11.655	33.3			Percent of total billed charges		11.655	100			Percent of total billed charges		35	11.655	31.5	
mini washer  00-4900-020-51 zimmer	278	RC	Outpatient			35	22.75		90			Percent of total billed charges		31.5	40			Percent of total billed charges		14	80			Percent of total billed charges		28	90			Percent of total billed charges		31.5	85			Percent of total billed charges		29.75	85			Percent of total billed charges		29.75	85			Percent of total billed charges		29.75	100			Percent of total billed charges		35	100			Percent of total billed charges		35	100			Percent of total billed charges		35	33.3			Percent of total billed charges		11.655	33.3			Percent of total billed charges		11.655	100			Percent of total billed charges		35	11.655	31.5	
nasal splint	270	RC	Outpatient			35	22.75		90			Percent of total billed charges		31.5	40			Percent of total billed charges		14	80			Percent of total billed charges		28	90			Percent of total billed charges		31.5	85			Percent of total billed charges		29.75	85			Percent of total billed charges		29.75	85			Percent of total billed charges		29.75	100			Percent of total billed charges		35	100			Percent of total billed charges		35	100			Percent of total billed charges		35	33.3			Percent of total billed charges		11.655	33.3			Percent of total billed charges		11.655	100			Percent of total billed charges		35	11.655	31.5	
sm washer for 2.7mm 3.5mm & 4.0mm screws 00-4900-040-51 zimmer	278	RC	Outpatient			35	22.75		90			Percent of total billed charges		31.5	40			Percent of total billed charges		14	80			Percent of total billed charges		28	90			Percent of total billed charges		31.5	85			Percent of total billed charges		29.75	85			Percent of total billed charges		29.75	85			Percent of total billed charges		29.75	100			Percent of total billed charges		35	100			Percent of total billed charges		35	100			Percent of total billed charges		35	33.3			Percent of total billed charges		11.655	33.3			Percent of total billed charges		11.655	100			Percent of total billed charges		35	11.655	31.5	
strap clavicle univ-ajust	272	RC	Outpatient			35	22.75		90			Percent of total billed charges		31.5	40			Percent of total billed charges		14	80			Percent of total billed charges		28	90			Percent of total billed charges		31.5	85			Percent of total billed charges		29.75	85			Percent of total billed charges		29.75	85			Percent of total billed charges		29.75	100			Percent of total billed charges		35	100			Percent of total billed charges		35	100			Percent of total billed charges		35	33.3			Percent of total billed charges		11.655	33.3			Percent of total billed charges		11.655	100			Percent of total billed charges		35	11.655	31.5	
syn scr titan 2.0 cortex	278	RC	Outpatient			35	22.75		90			Percent of total billed charges		31.5	40			Percent of total billed charges		14	80			Percent of total billed charges		28	90			Percent of total billed charges		31.5	85			Percent of total billed charges		29.75	85			Percent of total billed charges		29.75	85			Percent of total billed charges		29.75	100			Percent of total billed charges		35	100			Percent of total billed charges		35	100			Percent of total billed charges		35	33.3			Percent of total billed charges		11.655	33.3			Percent of total billed charges		11.655	100			Percent of total billed charges		35	11.655	31.5	
tube chest 28fr rt angle	270	RC	Outpatient			35	22.75		90			Percent of total billed charges		31.5	40			Percent of total billed charges		14	80			Percent of total billed charges		28	90			Percent of total billed charges		31.5	85			Percent of total billed charges		29.75	85			Percent of total billed charges		29.75	85			Percent of total billed charges		29.75	100			Percent of total billed charges		35	100			Percent of total billed charges		35	100			Percent of total billed charges		35	33.3			Percent of total billed charges		11.655	33.3			Percent of total billed charges		11.655	100			Percent of total billed charges		35	11.655	31.5	
"tube, flexiflo gas size16"	270	RC	Outpatient			35	22.75		90			Percent of total billed charges		31.5	40			Percent of total billed charges		14	80			Percent of total billed charges		28	90			Percent of total billed charges		31.5	85			Percent of total billed charges		29.75	85			Percent of total billed charges		29.75	85			Percent of total billed charges		29.75	100			Percent of total billed charges		35	100			Percent of total billed charges		35	100			Percent of total billed charges		35	33.3			Percent of total billed charges		11.655	33.3			Percent of total billed charges		11.655	100			Percent of total billed charges		35	11.655	31.5	
"tube, flexiflo ges size20"	272	RC	Outpatient			35	22.75		90			Percent of total billed charges		31.5	40			Percent of total billed charges		14	80			Percent of total billed charges		28	90			Percent of total billed charges		31.5	85			Percent of total billed charges		29.75	85			Percent of total billed charges		29.75	85			Percent of total billed charges		29.75	100			Percent of total billed charges		35	100			Percent of total billed charges		35	100			Percent of total billed charges		35	33.3			Percent of total billed charges		11.655	33.3			Percent of total billed charges		11.655	100			Percent of total billed charges		35	11.655	31.5	
"tube,flexiflo bas size 18"	272	RC	Outpatient			35	22.75		90			Percent of total billed charges		31.5	40			Percent of total billed charges		14	80			Percent of total billed charges		28	90			Percent of total billed charges		31.5	85			Percent of total billed charges		29.75	85			Percent of total billed charges		29.75	85			Percent of total billed charges		29.75	100			Percent of total billed charges		35	100			Percent of total billed charges		35	100			Percent of total billed charges		35	33.3			Percent of total billed charges		11.655	33.3			Percent of total billed charges		11.655	100			Percent of total billed charges		35	11.655	31.5	
zimmer washer	278	RC	Outpatient			35	22.75		90			Percent of total billed charges		31.5	40			Percent of total billed charges		14	80			Percent of total billed charges		28	90			Percent of total billed charges		31.5	85			Percent of total billed charges		29.75	85			Percent of total billed charges		29.75	85			Percent of total billed charges		29.75	100			Percent of total billed charges		35	100			Percent of total billed charges		35	100			Percent of total billed charges		35	33.3			Percent of total billed charges		11.655	33.3			Percent of total billed charges		11.655	100			Percent of total billed charges		35	11.655	31.5	
soclean 2 cartridge filter kit	290	RC	Outpatient			35.31	22.95		90			Percent of total billed charges		31.779	40			Percent of total billed charges		14.124	80			Percent of total billed charges		28.248	90			Percent of total billed charges		31.779	85			Percent of total billed charges		30.0135	85			Percent of total billed charges		30.0135	85			Percent of total billed charges		30.0135	100			Percent of total billed charges		35.31	100			Percent of total billed charges		35.31	100			Percent of total billed charges		35.31	33.3			Percent of total billed charges		11.7582	33.3			Percent of total billed charges		11.7582	100			Percent of total billed charges		35.31	11.7582	31.779	
bile bag (cbde)	270	RC	Outpatient			36	23.4		90			Percent of total billed charges		32.4	40			Percent of total billed charges		14.4	80			Percent of total billed charges		28.8	90			Percent of total billed charges		32.4	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	100			Percent of total billed charges		36	100			Percent of total billed charges		36	100			Percent of total billed charges		36	33.3			Percent of total billed charges		11.988	33.3			Percent of total billed charges		11.988	100			Percent of total billed charges		36	11.988	32.4	
blanket hypo csz876 25x64	270	RC	Outpatient			36	23.4		90			Percent of total billed charges		32.4	40			Percent of total billed charges		14.4	80			Percent of total billed charges		28.8	90			Percent of total billed charges		32.4	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	100			Percent of total billed charges		36	100			Percent of total billed charges		36	100			Percent of total billed charges		36	33.3			Percent of total billed charges		11.988	33.3			Percent of total billed charges		11.988	100			Percent of total billed charges		36	11.988	32.4	
brief adult xxl	272	RC	Outpatient			36	23.4		90			Percent of total billed charges		32.4	40			Percent of total billed charges		14.4	80			Percent of total billed charges		28.8	90			Percent of total billed charges		32.4	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	100			Percent of total billed charges		36	100			Percent of total billed charges		36	100			Percent of total billed charges		36	33.3			Percent of total billed charges		11.988	33.3			Percent of total billed charges		11.988	100			Percent of total billed charges		36	11.988	32.4	
cardiac sheath long	272	RC	Outpatient			36	23.4		90			Percent of total billed charges		32.4	40			Percent of total billed charges		14.4	80			Percent of total billed charges		28.8	90			Percent of total billed charges		32.4	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	100			Percent of total billed charges		36	100			Percent of total billed charges		36	100			Percent of total billed charges		36	33.3			Percent of total billed charges		11.988	33.3			Percent of total billed charges		11.988	100			Percent of total billed charges		36	11.988	32.4	
collector woun drain 9776	270	RC	Outpatient			36	23.4		90			Percent of total billed charges		32.4	40			Percent of total billed charges		14.4	80			Percent of total billed charges		28.8	90			Percent of total billed charges		32.4	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	100			Percent of total billed charges		36	100			Percent of total billed charges		36	100			Percent of total billed charges		36	33.3			Percent of total billed charges		11.988	33.3			Percent of total billed charges		11.988	100			Percent of total billed charges		36	11.988	32.4	
arm elevator	270	RC	Outpatient			36	23.4		90			Percent of total billed charges		32.4	40			Percent of total billed charges		14.4	80			Percent of total billed charges		28.8	90			Percent of total billed charges		32.4	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	100			Percent of total billed charges		36	100			Percent of total billed charges		36	100			Percent of total billed charges		36	33.3			Percent of total billed charges		11.988	33.3			Percent of total billed charges		11.988	100			Percent of total billed charges		36	11.988	32.4	
bag bile reg 19oz w/t-tb adapt 0015850	270	RC	Outpatient			36	23.4		90			Percent of total billed charges		32.4	40			Percent of total billed charges		14.4	80			Percent of total billed charges		28.8	90			Percent of total billed charges		32.4	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	100			Percent of total billed charges		36	100			Percent of total billed charges		36	100			Percent of total billed charges		36	33.3			Percent of total billed charges		11.988	33.3			Percent of total billed charges		11.988	100			Percent of total billed charges		36	11.988	32.4	
bile bag	270	RC	Outpatient			36	23.4		90			Percent of total billed charges		32.4	40			Percent of total billed charges		14.4	80			Percent of total billed charges		28.8	90			Percent of total billed charges		32.4	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	100			Percent of total billed charges		36	100			Percent of total billed charges		36	100			Percent of total billed charges		36	33.3			Percent of total billed charges		11.988	33.3			Percent of total billed charges		11.988	100			Percent of total billed charges		36	11.988	32.4	
collector wound drain9777	272	RC	Outpatient			36	23.4		90			Percent of total billed charges		32.4	40			Percent of total billed charges		14.4	80			Percent of total billed charges		28.8	90			Percent of total billed charges		32.4	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	100			Percent of total billed charges		36	100			Percent of total billed charges		36	100			Percent of total billed charges		36	33.3			Percent of total billed charges		11.988	33.3			Percent of total billed charges		11.988	100			Percent of total billed charges		36	11.988	32.4	
esophageal therm.& steth	270	RC	Outpatient			36	23.4		90			Percent of total billed charges		32.4	40			Percent of total billed charges		14.4	80			Percent of total billed charges		28.8	90			Percent of total billed charges		32.4	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	100			Percent of total billed charges		36	100			Percent of total billed charges		36	100			Percent of total billed charges		36	33.3			Percent of total billed charges		11.988	33.3			Percent of total billed charges		11.988	100			Percent of total billed charges		36	11.988	32.4	
garner arm sling	272	RC	Outpatient			36	23.4		90			Percent of total billed charges		32.4	40			Percent of total billed charges		14.4	80			Percent of total billed charges		28.8	90			Percent of total billed charges		32.4	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	100			Percent of total billed charges		36	100			Percent of total billed charges		36	100			Percent of total billed charges		36	33.3			Percent of total billed charges		11.988	33.3			Percent of total billed charges		11.988	100			Percent of total billed charges		36	11.988	32.4	
haberman feeder w/80ml bo	270	RC	Outpatient			36	23.4		90			Percent of total billed charges		32.4	40			Percent of total billed charges		14.4	80			Percent of total billed charges		28.8	90			Percent of total billed charges		32.4	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	100			Percent of total billed charges		36	100			Percent of total billed charges		36	100			Percent of total billed charges		36	33.3			Percent of total billed charges		11.988	33.3			Percent of total billed charges		11.988	100			Percent of total billed charges		36	11.988	32.4	
hot ice machine daily	270	RC	Outpatient			36	23.4		90			Percent of total billed charges		32.4	40			Percent of total billed charges		14.4	80			Percent of total billed charges		28.8	90			Percent of total billed charges		32.4	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	100			Percent of total billed charges		36	100			Percent of total billed charges		36	100			Percent of total billed charges		36	33.3			Percent of total billed charges		11.988	33.3			Percent of total billed charges		11.988	100			Percent of total billed charges		36	11.988	32.4	
doppler per day	270	RC	Outpatient			36	23.4		90			Percent of total billed charges		32.4	40			Percent of total billed charges		14.4	80			Percent of total billed charges		28.8	90			Percent of total billed charges		32.4	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	100			Percent of total billed charges		36	100			Percent of total billed charges		36	100			Percent of total billed charges		36	33.3			Percent of total billed charges		11.988	33.3			Percent of total billed charges		11.988	100			Percent of total billed charges		36	11.988	32.4	
epidural tray-single	272	RC	Outpatient			36	23.4		90			Percent of total billed charges		32.4	40			Percent of total billed charges		14.4	80			Percent of total billed charges		28.8	90			Percent of total billed charges		32.4	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	100			Percent of total billed charges		36	100			Percent of total billed charges		36	100			Percent of total billed charges		36	33.3			Percent of total billed charges		11.988	33.3			Percent of total billed charges		11.988	100			Percent of total billed charges		36	11.988	32.4	
l/d surgi-seal	270	RC	Outpatient			36	23.4		90			Percent of total billed charges		32.4	40			Percent of total billed charges		14.4	80			Percent of total billed charges		28.8	90			Percent of total billed charges		32.4	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	100			Percent of total billed charges		36	100			Percent of total billed charges		36	100			Percent of total billed charges		36	33.3			Percent of total billed charges		11.988	33.3			Percent of total billed charges		11.988	100			Percent of total billed charges		36	11.988	32.4	
gastroview	270	RC	Outpatient			36	23.4		90			Percent of total billed charges		32.4	40			Percent of total billed charges		14.4	80			Percent of total billed charges		28.8	90			Percent of total billed charges		32.4	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	100			Percent of total billed charges		36	100			Percent of total billed charges		36	100			Percent of total billed charges		36	33.3			Percent of total billed charges		11.988	33.3			Percent of total billed charges		11.988	100			Percent of total billed charges		36	11.988	32.4	
loop vascular silicone rubber mini blue (2's) 1001-77 scan	270	RC	Outpatient			36	23.4		90			Percent of total billed charges		32.4	40			Percent of total billed charges		14.4	80			Percent of total billed charges		28.8	90			Percent of total billed charges		32.4	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	100			Percent of total billed charges		36	100			Percent of total billed charges		36	100			Percent of total billed charges		36	33.3			Percent of total billed charges		11.988	33.3			Percent of total billed charges		11.988	100			Percent of total billed charges		36	11.988	32.4	
hypo blanket csz876 25x64	270	RC	Outpatient			36	23.4		90			Percent of total billed charges		32.4	40			Percent of total billed charges		14.4	80			Percent of total billed charges		28.8	90			Percent of total billed charges		32.4	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	100			Percent of total billed charges		36	100			Percent of total billed charges		36	100			Percent of total billed charges		36	33.3			Percent of total billed charges		11.988	33.3			Percent of total billed charges		11.988	100			Percent of total billed charges		36	11.988	32.4	
pads sheepskin	270	RC	Outpatient			36	23.4		90			Percent of total billed charges		32.4	40			Percent of total billed charges		14.4	80			Percent of total billed charges		28.8	90			Percent of total billed charges		32.4	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	100			Percent of total billed charges		36	100			Percent of total billed charges		36	100			Percent of total billed charges		36	33.3			Percent of total billed charges		11.988	33.3			Percent of total billed charges		11.988	100			Percent of total billed charges		36	11.988	32.4	
loop vascular silicone rubber maxi blue (2's) 1011-78 scan	270	RC	Outpatient			36	23.4		90			Percent of total billed charges		32.4	40			Percent of total billed charges		14.4	80			Percent of total billed charges		28.8	90			Percent of total billed charges		32.4	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	100			Percent of total billed charges		36	100			Percent of total billed charges		36	100			Percent of total billed charges		36	33.3			Percent of total billed charges		11.988	33.3			Percent of total billed charges		11.988	100			Percent of total billed charges		36	11.988	32.4	
neuro patties cottonoids 1/2 x 1 1/2 30-056	270	RC	Outpatient			36	23.4		90			Percent of total billed charges		32.4	40			Percent of total billed charges		14.4	80			Percent of total billed charges		28.8	90			Percent of total billed charges		32.4	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	100			Percent of total billed charges		36	100			Percent of total billed charges		36	100			Percent of total billed charges		36	33.3			Percent of total billed charges		11.988	33.3			Percent of total billed charges		11.988	100			Percent of total billed charges		36	11.988	32.4	
neuro patty 1/2 x 3 80-1407 codman	270	RC	Outpatient			36	23.4		90			Percent of total billed charges		32.4	40			Percent of total billed charges		14.4	80			Percent of total billed charges		28.8	90			Percent of total billed charges		32.4	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	100			Percent of total billed charges		36	100			Percent of total billed charges		36	100			Percent of total billed charges		36	33.3			Percent of total billed charges		11.988	33.3			Percent of total billed charges		11.988	100			Percent of total billed charges		36	11.988	32.4	
perifix single dose epidural tray 332247 braun	272	RC	Outpatient			36	23.4		90			Percent of total billed charges		32.4	40			Percent of total billed charges		14.4	80			Percent of total billed charges		28.8	90			Percent of total billed charges		32.4	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	100			Percent of total billed charges		36	100			Percent of total billed charges		36	100			Percent of total billed charges		36	33.3			Percent of total billed charges		11.988	33.3			Percent of total billed charges		11.988	100			Percent of total billed charges		36	11.988	32.4	
rocker knife	270	RC	Outpatient			36	23.4		90			Percent of total billed charges		32.4	40			Percent of total billed charges		14.4	80			Percent of total billed charges		28.8	90			Percent of total billed charges		32.4	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	100			Percent of total billed charges		36	100			Percent of total billed charges		36	100			Percent of total billed charges		36	33.3			Percent of total billed charges		11.988	33.3			Percent of total billed charges		11.988	100			Percent of total billed charges		36	11.988	32.4	
sponge neuro 1/2 x 1/2 pattie 30-056	270	RC	Outpatient			36	23.4		90			Percent of total billed charges		32.4	40			Percent of total billed charges		14.4	80			Percent of total billed charges		28.8	90			Percent of total billed charges		32.4	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	100			Percent of total billed charges		36	100			Percent of total billed charges		36	100			Percent of total billed charges		36	33.3			Percent of total billed charges		11.988	33.3			Percent of total billed charges		11.988	100			Percent of total billed charges		36	11.988	32.4	
"strap,clavicle,x/large"	270	RC	Outpatient			36	23.4		90			Percent of total billed charges		32.4	40			Percent of total billed charges		14.4	80			Percent of total billed charges		28.8	90			Percent of total billed charges		32.4	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	100			Percent of total billed charges		36	100			Percent of total billed charges		36	100			Percent of total billed charges		36	33.3			Percent of total billed charges		11.988	33.3			Percent of total billed charges		11.988	100			Percent of total billed charges		36	11.988	32.4	
perifix single dose epidural tray 332251 braun	272	RC	Outpatient			36	23.4		90			Percent of total billed charges		32.4	40			Percent of total billed charges		14.4	80			Percent of total billed charges		28.8	90			Percent of total billed charges		32.4	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	100			Percent of total billed charges		36	100			Percent of total billed charges		36	100			Percent of total billed charges		36	33.3			Percent of total billed charges		11.988	33.3			Percent of total billed charges		11.988	100			Percent of total billed charges		36	11.988	32.4	
pledgetts	270	RC	Outpatient			36	23.4		90			Percent of total billed charges		32.4	40			Percent of total billed charges		14.4	80			Percent of total billed charges		28.8	90			Percent of total billed charges		32.4	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	100			Percent of total billed charges		36	100			Percent of total billed charges		36	100			Percent of total billed charges		36	33.3			Percent of total billed charges		11.988	33.3			Percent of total billed charges		11.988	100			Percent of total billed charges		36	11.988	32.4	
probe temp esoph 18fr	270	RC	Outpatient			36	23.4		90			Percent of total billed charges		32.4	40			Percent of total billed charges		14.4	80			Percent of total billed charges		28.8	90			Percent of total billed charges		32.4	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	100			Percent of total billed charges		36	100			Percent of total billed charges		36	100			Percent of total billed charges		36	33.3			Percent of total billed charges		11.988	33.3			Percent of total billed charges		11.988	100			Percent of total billed charges		36	11.988	32.4	
sponge surg patxray .5x.5 801400	270	RC	Outpatient			36	23.4		90			Percent of total billed charges		32.4	40			Percent of total billed charges		14.4	80			Percent of total billed charges		28.8	90			Percent of total billed charges		32.4	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	100			Percent of total billed charges		36	100			Percent of total billed charges		36	100			Percent of total billed charges		36	33.3			Percent of total billed charges		11.988	33.3			Percent of total billed charges		11.988	100			Percent of total billed charges		36	11.988	32.4	
surg pat 1x3 80-1408	270	RC	Outpatient			36	23.4		90			Percent of total billed charges		32.4	40			Percent of total billed charges		14.4	80			Percent of total billed charges		28.8	90			Percent of total billed charges		32.4	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	100			Percent of total billed charges		36	100			Percent of total billed charges		36	100			Percent of total billed charges		36	33.3			Percent of total billed charges		11.988	33.3			Percent of total billed charges		11.988	100			Percent of total billed charges		36	11.988	32.4	
vessel loop	270	RC	Outpatient			36	23.4		90			Percent of total billed charges		32.4	40			Percent of total billed charges		14.4	80			Percent of total billed charges		28.8	90			Percent of total billed charges		32.4	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	100			Percent of total billed charges		36	100			Percent of total billed charges		36	100			Percent of total billed charges		36	33.3			Percent of total billed charges		11.988	33.3			Percent of total billed charges		11.988	100			Percent of total billed charges		36	11.988	32.4	
vessel loops-reds 3901 ra	270	RC	Outpatient			36	23.4		90			Percent of total billed charges		32.4	40			Percent of total billed charges		14.4	80			Percent of total billed charges		28.8	90			Percent of total billed charges		32.4	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	100			Percent of total billed charges		36	100			Percent of total billed charges		36	100			Percent of total billed charges		36	33.3			Percent of total billed charges		11.988	33.3			Percent of total billed charges		11.988	100			Percent of total billed charges		36	11.988	32.4	
tube stomach evac/lav34fr	272	RC	Outpatient			36	23.4		90			Percent of total billed charges		32.4	40			Percent of total billed charges		14.4	80			Percent of total billed charges		28.8	90			Percent of total billed charges		32.4	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	85			Percent of total billed charges		30.6	100			Percent of total billed charges		36	100			Percent of total billed charges		36	100			Percent of total billed charges		36	33.3			Percent of total billed charges		11.988	33.3			Percent of total billed charges		11.988	100			Percent of total billed charges		36	11.988	32.4	
2-way foley cath ed charge scnt	270	RC	Outpatient			37	24.05		90			Percent of total billed charges		33.3	40			Percent of total billed charges		14.8	80			Percent of total billed charges		29.6	90			Percent of total billed charges		33.3	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	100			Percent of total billed charges		37	100			Percent of total billed charges		37	100			Percent of total billed charges		37	33.3			Percent of total billed charges		12.321	33.3			Percent of total billed charges		12.321	100			Percent of total billed charges		37	12.321	33.3	
cath cont irrig 3way 30cc	272	RC	Outpatient			37	24.05		90			Percent of total billed charges		33.3	40			Percent of total billed charges		14.8	80			Percent of total billed charges		29.6	90			Percent of total billed charges		33.3	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	100			Percent of total billed charges		37	100			Percent of total billed charges		37	100			Percent of total billed charges		37	33.3			Percent of total billed charges		12.321	33.3			Percent of total billed charges		12.321	100			Percent of total billed charges		37	12.321	33.3	
"cath,foley 18fr 5cc 3way"	270	RC	Outpatient			37	24.05		90			Percent of total billed charges		33.3	40			Percent of total billed charges		14.8	80			Percent of total billed charges		29.6	90			Percent of total billed charges		33.3	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	100			Percent of total billed charges		37	100			Percent of total billed charges		37	100			Percent of total billed charges		37	33.3			Percent of total billed charges		12.321	33.3			Percent of total billed charges		12.321	100			Percent of total billed charges		37	12.321	33.3	
"cath,foley 22fr 30cc 3way"	270	RC	Outpatient			37	24.05		90			Percent of total billed charges		33.3	40			Percent of total billed charges		14.8	80			Percent of total billed charges		29.6	90			Percent of total billed charges		33.3	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	100			Percent of total billed charges		37	100			Percent of total billed charges		37	100			Percent of total billed charges		37	33.3			Percent of total billed charges		12.321	33.3			Percent of total billed charges		12.321	100			Percent of total billed charges		37	12.321	33.3	
"cath,foley 24fr 5cc 3way"	270	RC	Outpatient			37	24.05		90			Percent of total billed charges		33.3	40			Percent of total billed charges		14.8	80			Percent of total billed charges		29.6	90			Percent of total billed charges		33.3	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	100			Percent of total billed charges		37	100			Percent of total billed charges		37	100			Percent of total billed charges		37	33.3			Percent of total billed charges		12.321	33.3			Percent of total billed charges		12.321	100			Percent of total billed charges		37	12.321	33.3	
"cath,silicone 12fr5cc2wy"	270	RC	Outpatient			37	24.05		90			Percent of total billed charges		33.3	40			Percent of total billed charges		14.8	80			Percent of total billed charges		29.6	90			Percent of total billed charges		33.3	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	100			Percent of total billed charges		37	100			Percent of total billed charges		37	100			Percent of total billed charges		37	33.3			Percent of total billed charges		12.321	33.3			Percent of total billed charges		12.321	100			Percent of total billed charges		37	12.321	33.3	
"cath,silicone 14fr5cc2way"	270	RC	Outpatient			37	24.05		90			Percent of total billed charges		33.3	40			Percent of total billed charges		14.8	80			Percent of total billed charges		29.6	90			Percent of total billed charges		33.3	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	100			Percent of total billed charges		37	100			Percent of total billed charges		37	100			Percent of total billed charges		37	33.3			Percent of total billed charges		12.321	33.3			Percent of total billed charges		12.321	100			Percent of total billed charges		37	12.321	33.3	
"cath,silicone 18fr30cc2wy"	270	RC	Outpatient			37	24.05		90			Percent of total billed charges		33.3	40			Percent of total billed charges		14.8	80			Percent of total billed charges		29.6	90			Percent of total billed charges		33.3	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	100			Percent of total billed charges		37	100			Percent of total billed charges		37	100			Percent of total billed charges		37	33.3			Percent of total billed charges		12.321	33.3			Percent of total billed charges		12.321	100			Percent of total billed charges		37	12.321	33.3	
"cath,silicone 18fr5cc2way"	270	RC	Outpatient			37	24.05		90			Percent of total billed charges		33.3	40			Percent of total billed charges		14.8	80			Percent of total billed charges		29.6	90			Percent of total billed charges		33.3	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	100			Percent of total billed charges		37	100			Percent of total billed charges		37	100			Percent of total billed charges		37	33.3			Percent of total billed charges		12.321	33.3			Percent of total billed charges		12.321	100			Percent of total billed charges		37	12.321	33.3	
"cath,silicone 20fr30cc2wy"	270	RC	Outpatient			37	24.05		90			Percent of total billed charges		33.3	40			Percent of total billed charges		14.8	80			Percent of total billed charges		29.6	90			Percent of total billed charges		33.3	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	100			Percent of total billed charges		37	100			Percent of total billed charges		37	100			Percent of total billed charges		37	33.3			Percent of total billed charges		12.321	33.3			Percent of total billed charges		12.321	100			Percent of total billed charges		37	12.321	33.3	
"cath,silicone 20fr5cc2way"	270	RC	Outpatient			37	24.05		90			Percent of total billed charges		33.3	40			Percent of total billed charges		14.8	80			Percent of total billed charges		29.6	90			Percent of total billed charges		33.3	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	100			Percent of total billed charges		37	100			Percent of total billed charges		37	100			Percent of total billed charges		37	33.3			Percent of total billed charges		12.321	33.3			Percent of total billed charges		12.321	100			Percent of total billed charges		37	12.321	33.3	
"cath,silicone 24fr30cc2wy"	270	RC	Outpatient			37	24.05		90			Percent of total billed charges		33.3	40			Percent of total billed charges		14.8	80			Percent of total billed charges		29.6	90			Percent of total billed charges		33.3	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	100			Percent of total billed charges		37	100			Percent of total billed charges		37	100			Percent of total billed charges		37	33.3			Percent of total billed charges		12.321	33.3			Percent of total billed charges		12.321	100			Percent of total billed charges		37	12.321	33.3	
"cath,silicone 24fr5cc2way"	270	RC	Outpatient			37	24.05		90			Percent of total billed charges		33.3	40			Percent of total billed charges		14.8	80			Percent of total billed charges		29.6	90			Percent of total billed charges		33.3	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	100			Percent of total billed charges		37	100			Percent of total billed charges		37	100			Percent of total billed charges		37	33.3			Percent of total billed charges		12.321	33.3			Percent of total billed charges		12.321	100			Percent of total billed charges		37	12.321	33.3	
"cath,silicone 8fr3cc2way"	270	RC	Outpatient			37	24.05		90			Percent of total billed charges		33.3	40			Percent of total billed charges		14.8	80			Percent of total billed charges		29.6	90			Percent of total billed charges		33.3	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	100			Percent of total billed charges		37	100			Percent of total billed charges		37	100			Percent of total billed charges		37	33.3			Percent of total billed charges		12.321	33.3			Percent of total billed charges		12.321	100			Percent of total billed charges		37	12.321	33.3	
collector woun drain 9702	272	RC	Outpatient			37	24.05		90			Percent of total billed charges		33.3	40			Percent of total billed charges		14.8	80			Percent of total billed charges		29.6	90			Percent of total billed charges		33.3	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	100			Percent of total billed charges		37	100			Percent of total billed charges		37	100			Percent of total billed charges		37	33.3			Percent of total billed charges		12.321	33.3			Percent of total billed charges		12.321	100			Percent of total billed charges		37	12.321	33.3	
crossbar fracture equipme	270	RC	Outpatient			37	24.05		90			Percent of total billed charges		33.3	40			Percent of total billed charges		14.8	80			Percent of total billed charges		29.6	90			Percent of total billed charges		33.3	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	100			Percent of total billed charges		37	100			Percent of total billed charges		37	100			Percent of total billed charges		37	33.3			Percent of total billed charges		12.321	33.3			Percent of total billed charges		12.321	100			Percent of total billed charges		37	12.321	33.3	
d/m acumed system	270	RC	Outpatient			37	24.05		90			Percent of total billed charges		33.3	40			Percent of total billed charges		14.8	80			Percent of total billed charges		29.6	90			Percent of total billed charges		33.3	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	100			Percent of total billed charges		37	100			Percent of total billed charges		37	100			Percent of total billed charges		37	33.3			Percent of total billed charges		12.321	33.3			Percent of total billed charges		12.321	100			Percent of total billed charges		37	12.321	33.3	
arm elevator sling garner	270	RC	Outpatient			37	24.05		90			Percent of total billed charges		33.3	40			Percent of total billed charges		14.8	80			Percent of total billed charges		29.6	90			Percent of total billed charges		33.3	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	100			Percent of total billed charges		37	100			Percent of total billed charges		37	100			Percent of total billed charges		37	33.3			Percent of total billed charges		12.321	33.3			Percent of total billed charges		12.321	100			Percent of total billed charges		37	12.321	33.3	
art femoral a-line 18ga	270	RC	Outpatient			37	24.05		90			Percent of total billed charges		33.3	40			Percent of total billed charges		14.8	80			Percent of total billed charges		29.6	90			Percent of total billed charges		33.3	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	100			Percent of total billed charges		37	100			Percent of total billed charges		37	100			Percent of total billed charges		37	33.3			Percent of total billed charges		12.321	33.3			Percent of total billed charges		12.321	100			Percent of total billed charges		37	12.321	33.3	
"bag,bile drainage"	270	RC	Outpatient			37	24.05		90			Percent of total billed charges		33.3	40			Percent of total billed charges		14.8	80			Percent of total billed charges		29.6	90			Percent of total billed charges		33.3	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	100			Percent of total billed charges		37	100			Percent of total billed charges		37	100			Percent of total billed charges		37	33.3			Percent of total billed charges		12.321	33.3			Percent of total billed charges		12.321	100			Percent of total billed charges		37	12.321	33.3	
bil & pan cytology brushs	270	RC	Outpatient			37	24.05		90			Percent of total billed charges		33.3	40			Percent of total billed charges		14.8	80			Percent of total billed charges		29.6	90			Percent of total billed charges		33.3	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	100			Percent of total billed charges		37	100			Percent of total billed charges		37	100			Percent of total billed charges		37	33.3			Percent of total billed charges		12.321	33.3			Percent of total billed charges		12.321	100			Percent of total billed charges		37	12.321	33.3	
c.v.p. dressing tray	622	RC	Outpatient			37	24.05		90			Percent of total billed charges		33.3	40			Percent of total billed charges		14.8	80			Percent of total billed charges		29.6	90			Percent of total billed charges		33.3	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	100			Percent of total billed charges		37	100			Percent of total billed charges		37	100			Percent of total billed charges		37	33.3			Percent of total billed charges		12.321	33.3			Percent of total billed charges		12.321	100			Percent of total billed charges		37	12.321	33.3	
cath foley 18fr 30cc	272	RC	Outpatient			37	24.05		90			Percent of total billed charges		33.3	40			Percent of total billed charges		14.8	80			Percent of total billed charges		29.6	90			Percent of total billed charges		33.3	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	100			Percent of total billed charges		37	100			Percent of total billed charges		37	100			Percent of total billed charges		37	33.3			Percent of total billed charges		12.321	33.3			Percent of total billed charges		12.321	100			Percent of total billed charges		37	12.321	33.3	
cath lab tray dressing tpn	622	RC	Outpatient			37	24.05		90			Percent of total billed charges		33.3	40			Percent of total billed charges		14.8	80			Percent of total billed charges		29.6	90			Percent of total billed charges		33.3	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	100			Percent of total billed charges		37	100			Percent of total billed charges		37	100			Percent of total billed charges		37	33.3			Percent of total billed charges		12.321	33.3			Percent of total billed charges		12.321	100			Percent of total billed charges		37	12.321	33.3	
"cath,foley 16fr 30cc 3way"	270	RC	Outpatient			37	24.05		90			Percent of total billed charges		33.3	40			Percent of total billed charges		14.8	80			Percent of total billed charges		29.6	90			Percent of total billed charges		33.3	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	100			Percent of total billed charges		37	100			Percent of total billed charges		37	100			Percent of total billed charges		37	33.3			Percent of total billed charges		12.321	33.3			Percent of total billed charges		12.321	100			Percent of total billed charges		37	12.321	33.3	
"cath,foley 16fr 5cc 3way"	270	RC	Outpatient			37	24.05		90			Percent of total billed charges		33.3	40			Percent of total billed charges		14.8	80			Percent of total billed charges		29.6	90			Percent of total billed charges		33.3	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	100			Percent of total billed charges		37	100			Percent of total billed charges		37	100			Percent of total billed charges		37	33.3			Percent of total billed charges		12.321	33.3			Percent of total billed charges		12.321	100			Percent of total billed charges		37	12.321	33.3	
"cath,foley 18fr 30cc 3way"	270	RC	Outpatient			37	24.05		90			Percent of total billed charges		33.3	40			Percent of total billed charges		14.8	80			Percent of total billed charges		29.6	90			Percent of total billed charges		33.3	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	100			Percent of total billed charges		37	100			Percent of total billed charges		37	100			Percent of total billed charges		37	33.3			Percent of total billed charges		12.321	33.3			Percent of total billed charges		12.321	100			Percent of total billed charges		37	12.321	33.3	
"cath,foley 20fr 30cc 3way"	270	RC	Outpatient			37	24.05		90			Percent of total billed charges		33.3	40			Percent of total billed charges		14.8	80			Percent of total billed charges		29.6	90			Percent of total billed charges		33.3	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	100			Percent of total billed charges		37	100			Percent of total billed charges		37	100			Percent of total billed charges		37	33.3			Percent of total billed charges		12.321	33.3			Percent of total billed charges		12.321	100			Percent of total billed charges		37	12.321	33.3	
"cath,foley 20fr 5cc 3way"	270	RC	Outpatient			37	24.05		90			Percent of total billed charges		33.3	40			Percent of total billed charges		14.8	80			Percent of total billed charges		29.6	90			Percent of total billed charges		33.3	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	100			Percent of total billed charges		37	100			Percent of total billed charges		37	100			Percent of total billed charges		37	33.3			Percent of total billed charges		12.321	33.3			Percent of total billed charges		12.321	100			Percent of total billed charges		37	12.321	33.3	
"cath,foley 22fr 5cc 3way"	270	RC	Outpatient			37	24.05		90			Percent of total billed charges		33.3	40			Percent of total billed charges		14.8	80			Percent of total billed charges		29.6	90			Percent of total billed charges		33.3	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	100			Percent of total billed charges		37	100			Percent of total billed charges		37	100			Percent of total billed charges		37	33.3			Percent of total billed charges		12.321	33.3			Percent of total billed charges		12.321	100			Percent of total billed charges		37	12.321	33.3	
"cath,foley 24fr 30cc 3way"	270	RC	Outpatient			37	24.05		90			Percent of total billed charges		33.3	40			Percent of total billed charges		14.8	80			Percent of total billed charges		29.6	90			Percent of total billed charges		33.3	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	100			Percent of total billed charges		37	100			Percent of total billed charges		37	100			Percent of total billed charges		37	33.3			Percent of total billed charges		12.321	33.3			Percent of total billed charges		12.321	100			Percent of total billed charges		37	12.321	33.3	
"cath,foley 3-way ed charge scnt"	270	RC	Outpatient			37	24.05		90			Percent of total billed charges		33.3	40			Percent of total billed charges		14.8	80			Percent of total billed charges		29.6	90			Percent of total billed charges		33.3	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	100			Percent of total billed charges		37	100			Percent of total billed charges		37	100			Percent of total billed charges		37	33.3			Percent of total billed charges		12.321	33.3			Percent of total billed charges		12.321	100			Percent of total billed charges		37	12.321	33.3	
"cath,silicone 16fr5cc2way"	270	RC	Outpatient			37	24.05		90			Percent of total billed charges		33.3	40			Percent of total billed charges		14.8	80			Percent of total billed charges		29.6	90			Percent of total billed charges		33.3	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	100			Percent of total billed charges		37	100			Percent of total billed charges		37	100			Percent of total billed charges		37	33.3			Percent of total billed charges		12.321	33.3			Percent of total billed charges		12.321	100			Percent of total billed charges		37	12.321	33.3	
"cath,silicone 22fr30cc2wy"	270	RC	Outpatient			37	24.05		90			Percent of total billed charges		33.3	40			Percent of total billed charges		14.8	80			Percent of total billed charges		29.6	90			Percent of total billed charges		33.3	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	100			Percent of total billed charges		37	100			Percent of total billed charges		37	100			Percent of total billed charges		37	33.3			Percent of total billed charges		12.321	33.3			Percent of total billed charges		12.321	100			Percent of total billed charges		37	12.321	33.3	
"cath,silicone 22fr5cc2way"	270	RC	Outpatient			37	24.05		90			Percent of total billed charges		33.3	40			Percent of total billed charges		14.8	80			Percent of total billed charges		29.6	90			Percent of total billed charges		33.3	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	100			Percent of total billed charges		37	100			Percent of total billed charges		37	100			Percent of total billed charges		37	33.3			Percent of total billed charges		12.321	33.3			Percent of total billed charges		12.321	100			Percent of total billed charges		37	12.321	33.3	
hex-fix set screw 112727 s/n	278	RC	Outpatient			37	24.05		90			Percent of total billed charges		33.3	40			Percent of total billed charges		14.8	80			Percent of total billed charges		29.6	90			Percent of total billed charges		33.3	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	100			Percent of total billed charges		37	100			Percent of total billed charges		37	100			Percent of total billed charges		37	33.3			Percent of total billed charges		12.321	33.3			Percent of total billed charges		12.321	100			Percent of total billed charges		37	12.321	33.3	
dressing gelfoam 12-7mm	270	RC	Outpatient			37	24.05		90			Percent of total billed charges		33.3	40			Percent of total billed charges		14.8	80			Percent of total billed charges		29.6	90			Percent of total billed charges		33.3	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	100			Percent of total billed charges		37	100			Percent of total billed charges		37	100			Percent of total billed charges		37	33.3			Percent of total billed charges		12.321	33.3			Percent of total billed charges		12.321	100			Percent of total billed charges		37	12.321	33.3	
dressing restore cont sil	270	RC	Outpatient			37	24.05		90			Percent of total billed charges		33.3	40			Percent of total billed charges		14.8	80			Percent of total billed charges		29.6	90			Percent of total billed charges		33.3	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	100			Percent of total billed charges		37	100			Percent of total billed charges		37	100			Percent of total billed charges		37	33.3			Percent of total billed charges		12.321	33.3			Percent of total billed charges		12.321	100			Percent of total billed charges		37	12.321	33.3	
"dressing,odor-absorb 6x10"	270	RC	Outpatient			37	24.05		90			Percent of total billed charges		33.3	40			Percent of total billed charges		14.8	80			Percent of total billed charges		29.6	90			Percent of total billed charges		33.3	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	100			Percent of total billed charges		37	100			Percent of total billed charges		37	100			Percent of total billed charges		37	33.3			Percent of total billed charges		12.321	33.3			Percent of total billed charges		12.321	100			Percent of total billed charges		37	12.321	33.3	
"dressing,odor-absorb. 4x4"	270	RC	Outpatient			37	24.05		90			Percent of total billed charges		33.3	40			Percent of total billed charges		14.8	80			Percent of total billed charges		29.6	90			Percent of total billed charges		33.3	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	100			Percent of total billed charges		37	100			Percent of total billed charges		37	100			Percent of total billed charges		37	33.3			Percent of total billed charges		12.321	33.3			Percent of total billed charges		12.321	100			Percent of total billed charges		37	12.321	33.3	
filter blood transfusion sq40s	270	RC	Outpatient			37	24.05		90			Percent of total billed charges		33.3	40			Percent of total billed charges		14.8	80			Percent of total billed charges		29.6	90			Percent of total billed charges		33.3	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	100			Percent of total billed charges		37	100			Percent of total billed charges		37	100			Percent of total billed charges		37	33.3			Percent of total billed charges		12.321	33.3			Percent of total billed charges		12.321	100			Percent of total billed charges		37	12.321	33.3	
lavacuator tube 34fr	270	RC	Outpatient			37	24.05		90			Percent of total billed charges		33.3	40			Percent of total billed charges		14.8	80			Percent of total billed charges		29.6	90			Percent of total billed charges		33.3	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	100			Percent of total billed charges		37	100			Percent of total billed charges		37	100			Percent of total billed charges		37	33.3			Percent of total billed charges		12.321	33.3			Percent of total billed charges		12.321	100			Percent of total billed charges		37	12.321	33.3	
hf circuit adult	270	RC	Outpatient			37	24.05		90			Percent of total billed charges		33.3	40			Percent of total billed charges		14.8	80			Percent of total billed charges		29.6	90			Percent of total billed charges		33.3	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	100			Percent of total billed charges		37	100			Percent of total billed charges		37	100			Percent of total billed charges		37	33.3			Percent of total billed charges		12.321	33.3			Percent of total billed charges		12.321	100			Percent of total billed charges		37	12.321	33.3	
mask cpap lg	270	RC	Outpatient			37	24.05		90			Percent of total billed charges		33.3	40			Percent of total billed charges		14.8	80			Percent of total billed charges		29.6	90			Percent of total billed charges		33.3	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	100			Percent of total billed charges		37	100			Percent of total billed charges		37	100			Percent of total billed charges		37	33.3			Percent of total billed charges		12.321	33.3			Percent of total billed charges		12.321	100			Percent of total billed charges		37	12.321	33.3	
pall blood filter	270	RC	Outpatient			37	24.05		90			Percent of total billed charges		33.3	40			Percent of total billed charges		14.8	80			Percent of total billed charges		29.6	90			Percent of total billed charges		33.3	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	100			Percent of total billed charges		37	100			Percent of total billed charges		37	100			Percent of total billed charges		37	33.3			Percent of total billed charges		12.321	33.3			Percent of total billed charges		12.321	100			Percent of total billed charges		37	12.321	33.3	
mask cpap med	270	RC	Outpatient			37	24.05		90			Percent of total billed charges		33.3	40			Percent of total billed charges		14.8	80			Percent of total billed charges		29.6	90			Percent of total billed charges		33.3	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	100			Percent of total billed charges		37	100			Percent of total billed charges		37	100			Percent of total billed charges		37	33.3			Percent of total billed charges		12.321	33.3			Percent of total billed charges		12.321	100			Percent of total billed charges		37	12.321	33.3	
pall blood adm. supplies	270	RC	Outpatient			37	24.05		90			Percent of total billed charges		33.3	40			Percent of total billed charges		14.8	80			Percent of total billed charges		29.6	90			Percent of total billed charges		33.3	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	100			Percent of total billed charges		37	100			Percent of total billed charges		37	100			Percent of total billed charges		37	33.3			Percent of total billed charges		12.321	33.3			Percent of total billed charges		12.321	100			Percent of total billed charges		37	12.321	33.3	
room humidifier	270	RC	Outpatient			37	24.05		90			Percent of total billed charges		33.3	40			Percent of total billed charges		14.8	80			Percent of total billed charges		29.6	90			Percent of total billed charges		33.3	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	100			Percent of total billed charges		37	100			Percent of total billed charges		37	100			Percent of total billed charges		37	33.3			Percent of total billed charges		12.321	33.3			Percent of total billed charges		12.321	100			Percent of total billed charges		37	12.321	33.3	
rush instrumentation	270	RC	Outpatient			37	24.05		90			Percent of total billed charges		33.3	40			Percent of total billed charges		14.8	80			Percent of total billed charges		29.6	90			Percent of total billed charges		33.3	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	100			Percent of total billed charges		37	100			Percent of total billed charges		37	100			Percent of total billed charges		37	33.3			Percent of total billed charges		12.321	33.3			Percent of total billed charges		12.321	100			Percent of total billed charges		37	12.321	33.3	
room humidifier at bedside	270	RC	Outpatient			37	24.05		90			Percent of total billed charges		33.3	40			Percent of total billed charges		14.8	80			Percent of total billed charges		29.6	90			Percent of total billed charges		33.3	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	100			Percent of total billed charges		37	100			Percent of total billed charges		37	100			Percent of total billed charges		37	33.3			Percent of total billed charges		12.321	33.3			Percent of total billed charges		12.321	100			Percent of total billed charges		37	12.321	33.3	
splints metal arm	270	RC	Outpatient			37	24.05		90			Percent of total billed charges		33.3	40			Percent of total billed charges		14.8	80			Percent of total billed charges		29.6	90			Percent of total billed charges		33.3	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	100			Percent of total billed charges		37	100			Percent of total billed charges		37	100			Percent of total billed charges		37	33.3			Percent of total billed charges		12.321	33.3			Percent of total billed charges		12.321	100			Percent of total billed charges		37	12.321	33.3	
suture 29.00-30.00	272	RC	Outpatient			37	24.05		90			Percent of total billed charges		33.3	40			Percent of total billed charges		14.8	80			Percent of total billed charges		29.6	90			Percent of total billed charges		33.3	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	100			Percent of total billed charges		37	100			Percent of total billed charges		37	100			Percent of total billed charges		37	33.3			Percent of total billed charges		12.321	33.3			Percent of total billed charges		12.321	100			Percent of total billed charges		37	12.321	33.3	
taylor spatial set screw	278	RC	Outpatient			37	24.05		90			Percent of total billed charges		33.3	40			Percent of total billed charges		14.8	80			Percent of total billed charges		29.6	90			Percent of total billed charges		33.3	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	85			Percent of total billed charges		31.45	100			Percent of total billed charges		37	100			Percent of total billed charges		37	100			Percent of total billed charges		37	33.3			Percent of total billed charges		12.321	33.3			Percent of total billed charges		12.321	100			Percent of total billed charges		37	12.321	33.3	
"kit, endo carry on steris corp ref # 100802"	272	RC	Outpatient			37.12	24.13		90			Percent of total billed charges		33.408	40			Percent of total billed charges		14.848	80			Percent of total billed charges		29.696	90			Percent of total billed charges		33.408	85			Percent of total billed charges		31.552	85			Percent of total billed charges		31.552	85			Percent of total billed charges		31.552	100			Percent of total billed charges		37.12	100			Percent of total billed charges		37.12	100			Percent of total billed charges		37.12	33.3			Percent of total billed charges		12.361	33.3			Percent of total billed charges		12.361	100			Percent of total billed charges		37.12	12.361	33.408	
bard mesh 1 x 4 0112640	278	RC	Outpatient			38	24.7		90			Percent of total billed charges		34.2	40			Percent of total billed charges		15.2	80			Percent of total billed charges		30.4	90			Percent of total billed charges		34.2	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	100			Percent of total billed charges		38	100			Percent of total billed charges		38	100			Percent of total billed charges		38	33.3			Percent of total billed charges		12.654	33.3			Percent of total billed charges		12.654	100			Percent of total billed charges		38	12.654	34.2	
blake hemovac	272	RC	Outpatient			38	24.7		90			Percent of total billed charges		34.2	40			Percent of total billed charges		15.2	80			Percent of total billed charges		30.4	90			Percent of total billed charges		34.2	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	100			Percent of total billed charges		38	100			Percent of total billed charges		38	100			Percent of total billed charges		38	33.3			Percent of total billed charges		12.654	33.3			Percent of total billed charges		12.654	100			Percent of total billed charges		38	12.654	34.2	
arterial wrist splint	270	RC	Outpatient			38	24.7		90			Percent of total billed charges		34.2	40			Percent of total billed charges		15.2	80			Percent of total billed charges		30.4	90			Percent of total billed charges		34.2	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	100			Percent of total billed charges		38	100			Percent of total billed charges		38	100			Percent of total billed charges		38	33.3			Percent of total billed charges		12.654	33.3			Percent of total billed charges		12.654	100			Percent of total billed charges		38	12.654	34.2	
cath foley 22fr 5cc coude	272	RC	Outpatient			38	24.7		90			Percent of total billed charges		34.2	40			Percent of total billed charges		15.2	80			Percent of total billed charges		30.4	90			Percent of total billed charges		34.2	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	100			Percent of total billed charges		38	100			Percent of total billed charges		38	100			Percent of total billed charges		38	33.3			Percent of total billed charges		12.654	33.3			Percent of total billed charges		12.654	100			Percent of total billed charges		38	12.654	34.2	
collector wound drain9776	272	RC	Outpatient			38	24.7		90			Percent of total billed charges		34.2	40			Percent of total billed charges		15.2	80			Percent of total billed charges		30.4	90			Percent of total billed charges		34.2	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	100			Percent of total billed charges		38	100			Percent of total billed charges		38	100			Percent of total billed charges		38	33.3			Percent of total billed charges		12.654	33.3			Percent of total billed charges		12.654	100			Percent of total billed charges		38	12.654	34.2	
corrugated comfort flo humdification system	270	RC	Outpatient			38	24.7		90			Percent of total billed charges		34.2	40			Percent of total billed charges		15.2	80			Percent of total billed charges		30.4	90			Percent of total billed charges		34.2	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	100			Percent of total billed charges		38	100			Percent of total billed charges		38	100			Percent of total billed charges		38	33.3			Percent of total billed charges		12.654	33.3			Percent of total billed charges		12.654	100			Percent of total billed charges		38	12.654	34.2	
guidewire .025 double	272	RC	Outpatient			38	24.7		90			Percent of total billed charges		34.2	40			Percent of total billed charges		15.2	80			Percent of total billed charges		30.4	90			Percent of total billed charges		34.2	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	100			Percent of total billed charges		38	100			Percent of total billed charges		38	100			Percent of total billed charges		38	33.3			Percent of total billed charges		12.654	33.3			Percent of total billed charges		12.654	100			Percent of total billed charges		38	12.654	34.2	
hemovac blake 10  jp-2227 cardinal	272	RC	Outpatient			38	24.7		90			Percent of total billed charges		34.2	40			Percent of total billed charges		15.2	80			Percent of total billed charges		30.4	90			Percent of total billed charges		34.2	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	100			Percent of total billed charges		38	100			Percent of total billed charges		38	100			Percent of total billed charges		38	33.3			Percent of total billed charges		12.654	33.3			Percent of total billed charges		12.654	100			Percent of total billed charges		38	12.654	34.2	
heyman follower open end coude tip 12 fr 021312 bard	272	RC	Outpatient			38	24.7		90			Percent of total billed charges		34.2	40			Percent of total billed charges		15.2	80			Percent of total billed charges		30.4	90			Percent of total billed charges		34.2	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	100			Percent of total billed charges		38	100			Percent of total billed charges		38	100			Percent of total billed charges		38	33.3			Percent of total billed charges		12.654	33.3			Percent of total billed charges		12.654	100			Percent of total billed charges		38	12.654	34.2	
heyman follower open end coude tip 14 fr 021314 bard	272	RC	Outpatient			38	24.7		90			Percent of total billed charges		34.2	40			Percent of total billed charges		15.2	80			Percent of total billed charges		30.4	90			Percent of total billed charges		34.2	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	100			Percent of total billed charges		38	100			Percent of total billed charges		38	100			Percent of total billed charges		38	33.3			Percent of total billed charges		12.654	33.3			Percent of total billed charges		12.654	100			Percent of total billed charges		38	12.654	34.2	
endo clips	270	RC	Outpatient			38	24.7		90			Percent of total billed charges		34.2	40			Percent of total billed charges		15.2	80			Percent of total billed charges		30.4	90			Percent of total billed charges		34.2	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	100			Percent of total billed charges		38	100			Percent of total billed charges		38	100			Percent of total billed charges		38	33.3			Percent of total billed charges		12.654	33.3			Percent of total billed charges		12.654	100			Percent of total billed charges		38	12.654	34.2	
guidewire .025 150cm gw-025-150-de1.5j covidien	272	RC	Outpatient			38	24.7		90			Percent of total billed charges		34.2	40			Percent of total billed charges		15.2	80			Percent of total billed charges		30.4	90			Percent of total billed charges		34.2	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	100			Percent of total billed charges		38	100			Percent of total billed charges		38	100			Percent of total billed charges		38	33.3			Percent of total billed charges		12.654	33.3			Percent of total billed charges		12.654	100			Percent of total billed charges		38	12.654	34.2	
hemovac blake 15  jp-2229 cardinal	272	RC	Outpatient			38	24.7		90			Percent of total billed charges		34.2	40			Percent of total billed charges		15.2	80			Percent of total billed charges		30.4	90			Percent of total billed charges		34.2	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	100			Percent of total billed charges		38	100			Percent of total billed charges		38	100			Percent of total billed charges		38	33.3			Percent of total billed charges		12.654	33.3			Percent of total billed charges		12.654	100			Percent of total billed charges		38	12.654	34.2	
hemovac blake 19  jp-2231 cardinal	272	RC	Outpatient			38	24.7		90			Percent of total billed charges		34.2	40			Percent of total billed charges		15.2	80			Percent of total billed charges		30.4	90			Percent of total billed charges		34.2	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	100			Percent of total billed charges		38	100			Percent of total billed charges		38	100			Percent of total billed charges		38	33.3			Percent of total billed charges		12.654	33.3			Percent of total billed charges		12.654	100			Percent of total billed charges		38	12.654	34.2	
heyman follower open end coude tip 16 fr 021316 bard	272	RC	Outpatient			38	24.7		90			Percent of total billed charges		34.2	40			Percent of total billed charges		15.2	80			Percent of total billed charges		30.4	90			Percent of total billed charges		34.2	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	100			Percent of total billed charges		38	100			Percent of total billed charges		38	100			Percent of total billed charges		38	33.3			Percent of total billed charges		12.654	33.3			Percent of total billed charges		12.654	100			Percent of total billed charges		38	12.654	34.2	
heyman follower open end coude tip 18 fr 021318 bard	272	RC	Outpatient			38	24.7		90			Percent of total billed charges		34.2	40			Percent of total billed charges		15.2	80			Percent of total billed charges		30.4	90			Percent of total billed charges		34.2	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	100			Percent of total billed charges		38	100			Percent of total billed charges		38	100			Percent of total billed charges		38	33.3			Percent of total billed charges		12.654	33.3			Percent of total billed charges		12.654	100			Percent of total billed charges		38	12.654	34.2	
malecot catheter 12fr 086012 bard	278	RC	Outpatient			38	24.7		90			Percent of total billed charges		34.2	40			Percent of total billed charges		15.2	80			Percent of total billed charges		30.4	90			Percent of total billed charges		34.2	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	100			Percent of total billed charges		38	100			Percent of total billed charges		38	100			Percent of total billed charges		38	33.3			Percent of total billed charges		12.654	33.3			Percent of total billed charges		12.654	100			Percent of total billed charges		38	12.654	34.2	
malecot catheter 14fr 086014 bard	278	RC	Outpatient			38	24.7		90			Percent of total billed charges		34.2	40			Percent of total billed charges		15.2	80			Percent of total billed charges		30.4	90			Percent of total billed charges		34.2	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	100			Percent of total billed charges		38	100			Percent of total billed charges		38	100			Percent of total billed charges		38	33.3			Percent of total billed charges		12.654	33.3			Percent of total billed charges		12.654	100			Percent of total billed charges		38	12.654	34.2	
malecot catheter 18fr 086018 bard	278	RC	Outpatient			38	24.7		90			Percent of total billed charges		34.2	40			Percent of total billed charges		15.2	80			Percent of total billed charges		30.4	90			Percent of total billed charges		34.2	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	100			Percent of total billed charges		38	100			Percent of total billed charges		38	100			Percent of total billed charges		38	33.3			Percent of total billed charges		12.654	33.3			Percent of total billed charges		12.654	100			Percent of total billed charges		38	12.654	34.2	
malecot catheter 28fr 086028 bard	278	RC	Outpatient			38	24.7		90			Percent of total billed charges		34.2	40			Percent of total billed charges		15.2	80			Percent of total billed charges		30.4	90			Percent of total billed charges		34.2	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	100			Percent of total billed charges		38	100			Percent of total billed charges		38	100			Percent of total billed charges		38	33.3			Percent of total billed charges		12.654	33.3			Percent of total billed charges		12.654	100			Percent of total billed charges		38	12.654	34.2	
malecot catheter 32fr 086032 bard	278	RC	Outpatient			38	24.7		90			Percent of total billed charges		34.2	40			Percent of total billed charges		15.2	80			Percent of total billed charges		30.4	90			Percent of total billed charges		34.2	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	100			Percent of total billed charges		38	100			Percent of total billed charges		38	100			Percent of total billed charges		38	33.3			Percent of total billed charges		12.654	33.3			Percent of total billed charges		12.654	100			Percent of total billed charges		38	12.654	34.2	
il sternal needle 16ga	270	RC	Outpatient			38	24.7		90			Percent of total billed charges		34.2	40			Percent of total billed charges		15.2	80			Percent of total billed charges		30.4	90			Percent of total billed charges		34.2	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	100			Percent of total billed charges		38	100			Percent of total billed charges		38	100			Percent of total billed charges		38	33.3			Percent of total billed charges		12.654	33.3			Percent of total billed charges		12.654	100			Percent of total billed charges		38	12.654	34.2	
navigation battery 6000-006-000 stryker	278	RC	Outpatient			38	24.7		90			Percent of total billed charges		34.2	40			Percent of total billed charges		15.2	80			Percent of total billed charges		30.4	90			Percent of total billed charges		34.2	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	100			Percent of total billed charges		38	100			Percent of total billed charges		38	100			Percent of total billed charges		38	33.3			Percent of total billed charges		12.654	33.3			Percent of total billed charges		12.654	100			Percent of total billed charges		38	12.654	34.2	
l/d multi-pak sutures	270	RC	Outpatient			38	24.7		90			Percent of total billed charges		34.2	40			Percent of total billed charges		15.2	80			Percent of total billed charges		30.4	90			Percent of total billed charges		34.2	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	100			Percent of total billed charges		38	100			Percent of total billed charges		38	100			Percent of total billed charges		38	33.3			Percent of total billed charges		12.654	33.3			Percent of total billed charges		12.654	100			Percent of total billed charges		38	12.654	34.2	
malecot cath	278	RC	Outpatient			38	24.7		90			Percent of total billed charges		34.2	40			Percent of total billed charges		15.2	80			Percent of total billed charges		30.4	90			Percent of total billed charges		34.2	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	100			Percent of total billed charges		38	100			Percent of total billed charges		38	100			Percent of total billed charges		38	33.3			Percent of total billed charges		12.654	33.3			Percent of total billed charges		12.654	100			Percent of total billed charges		38	12.654	34.2	
malecot catheter 24fr 086024 bard	278	RC	Outpatient			38	24.7		90			Percent of total billed charges		34.2	40			Percent of total billed charges		15.2	80			Percent of total billed charges		30.4	90			Percent of total billed charges		34.2	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	100			Percent of total billed charges		38	100			Percent of total billed charges		38	100			Percent of total billed charges		38	33.3			Percent of total billed charges		12.654	33.3			Percent of total billed charges		12.654	100			Percent of total billed charges		38	12.654	34.2	
mesh bard 1 x 4	278	RC	Outpatient			38	24.7		90			Percent of total billed charges		34.2	40			Percent of total billed charges		15.2	80			Percent of total billed charges		30.4	90			Percent of total billed charges		34.2	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	100			Percent of total billed charges		38	100			Percent of total billed charges		38	100			Percent of total billed charges		38	33.3			Percent of total billed charges		12.654	33.3			Percent of total billed charges		12.654	100			Percent of total billed charges		38	12.654	34.2	
navigation battery	278	RC	Outpatient			38	24.7		90			Percent of total billed charges		34.2	40			Percent of total billed charges		15.2	80			Percent of total billed charges		30.4	90			Percent of total billed charges		34.2	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	100			Percent of total billed charges		38	100			Percent of total billed charges		38	100			Percent of total billed charges		38	33.3			Percent of total billed charges		12.654	33.3			Percent of total billed charges		12.654	100			Percent of total billed charges		38	12.654	34.2	
pads cubic	270	RC	Outpatient			38	24.7		90			Percent of total billed charges		34.2	40			Percent of total billed charges		15.2	80			Percent of total billed charges		30.4	90			Percent of total billed charges		34.2	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	100			Percent of total billed charges		38	100			Percent of total billed charges		38	100			Percent of total billed charges		38	33.3			Percent of total billed charges		12.654	33.3			Percent of total billed charges		12.654	100			Percent of total billed charges		38	12.654	34.2	
powder karaya	270	RC	Outpatient			38	24.7		90			Percent of total billed charges		34.2	40			Percent of total billed charges		15.2	80			Percent of total billed charges		30.4	90			Percent of total billed charges		34.2	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	100			Percent of total billed charges		38	100			Percent of total billed charges		38	100			Percent of total billed charges		38	33.3			Percent of total billed charges		12.654	33.3			Percent of total billed charges		12.654	100			Percent of total billed charges		38	12.654	34.2	
ranger blood/fluid warming tubing standard 24200 arizant	272	RC	Outpatient			38	24.7		90			Percent of total billed charges		34.2	40			Percent of total billed charges		15.2	80			Percent of total billed charges		30.4	90			Percent of total billed charges		34.2	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	100			Percent of total billed charges		38	100			Percent of total billed charges		38	100			Percent of total billed charges		38	33.3			Percent of total billed charges		12.654	33.3			Percent of total billed charges		12.654	100			Percent of total billed charges		38	12.654	34.2	
ranger standard tubing	272	RC	Outpatient			38	24.7		90			Percent of total billed charges		34.2	40			Percent of total billed charges		15.2	80			Percent of total billed charges		30.4	90			Percent of total billed charges		34.2	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	100			Percent of total billed charges		38	100			Percent of total billed charges		38	100			Percent of total billed charges		38	33.3			Percent of total billed charges		12.654	33.3			Percent of total billed charges		12.654	100			Percent of total billed charges		38	12.654	34.2	
scrmc cad-diagnostic exam	401	RC	Outpatient			38	24.7		90			Percent of total billed charges		34.2	40			Percent of total billed charges		15.2	80			Percent of total billed charges		30.4	90			Percent of total billed charges		34.2	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	100			Percent of total billed charges		38	100			Percent of total billed charges		38	100			Percent of total billed charges		38	33.3			Percent of total billed charges		12.654	33.3			Percent of total billed charges		12.654	100			Percent of total billed charges		38	12.654	34.2	
sensor nasopharyngeal	270	RC	Outpatient			38	24.7		90			Percent of total billed charges		34.2	40			Percent of total billed charges		15.2	80			Percent of total billed charges		30.4	90			Percent of total billed charges		34.2	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	100			Percent of total billed charges		38	100			Percent of total billed charges		38	100			Percent of total billed charges		38	33.3			Percent of total billed charges		12.654	33.3			Percent of total billed charges		12.654	100			Percent of total billed charges		38	12.654	34.2	
scrmc cad-screening	403	RC	Outpatient			38	24.7		90			Percent of total billed charges		34.2	40			Percent of total billed charges		15.2	80			Percent of total billed charges		30.4	90			Percent of total billed charges		34.2	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	100			Percent of total billed charges		38	100			Percent of total billed charges		38	100			Percent of total billed charges		38	33.3			Percent of total billed charges		12.654	33.3			Percent of total billed charges		12.654	100			Percent of total billed charges		38	12.654	34.2	
tray add a foley w/bag	270	RC	Outpatient			38	24.7		90			Percent of total billed charges		34.2	40			Percent of total billed charges		15.2	80			Percent of total billed charges		30.4	90			Percent of total billed charges		34.2	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	85			Percent of total billed charges		32.3	100			Percent of total billed charges		38	100			Percent of total billed charges		38	100			Percent of total billed charges		38	33.3			Percent of total billed charges		12.654	33.3			Percent of total billed charges		12.654	100			Percent of total billed charges		38	12.654	34.2	
endowrist large hem-o-lok clip applier ref 470230 isi	272	RC	Outpatient			38.5	25.03		90			Percent of total billed charges		34.65	40			Percent of total billed charges		15.4	80			Percent of total billed charges		30.8	90			Percent of total billed charges		34.65	85			Percent of total billed charges		32.725	85			Percent of total billed charges		32.725	85			Percent of total billed charges		32.725	100			Percent of total billed charges		38.5	100			Percent of total billed charges		38.5	100			Percent of total billed charges		38.5	33.3			Percent of total billed charges		12.8205	33.3			Percent of total billed charges		12.8205	100			Percent of total billed charges		38.5	12.8205	34.65	
dress mepitel 4x7 291090	270	RC	Outpatient			39	25.35		90			Percent of total billed charges		35.1	40			Percent of total billed charges		15.6	80			Percent of total billed charges		31.2	90			Percent of total billed charges		35.1	85			Percent of total billed charges		33.15	85			Percent of total billed charges		33.15	85			Percent of total billed charges		33.15	100			Percent of total billed charges		39	100			Percent of total billed charges		39	100			Percent of total billed charges		39	33.3			Percent of total billed charges		12.987	33.3			Percent of total billed charges		12.987	100			Percent of total billed charges		39	12.987	35.1	
flow cytometry/handling fee	300	RC	Outpatient			39	25.35		90			Percent of total billed charges		35.1	40			Percent of total billed charges		15.6	80			Percent of total billed charges		31.2	90			Percent of total billed charges		35.1	85			Percent of total billed charges		33.15	85			Percent of total billed charges		33.15	85			Percent of total billed charges		33.15	100			Percent of total billed charges		39	100			Percent of total billed charges		39	100			Percent of total billed charges		39	33.3			Percent of total billed charges		12.987	33.3			Percent of total billed charges		12.987	100			Percent of total billed charges		39	12.987	35.1	
immobalizer shxxxl9008-06	270	RC	Outpatient			39	25.35		90			Percent of total billed charges		35.1	40			Percent of total billed charges		15.6	80			Percent of total billed charges		31.2	90			Percent of total billed charges		35.1	85			Percent of total billed charges		33.15	85			Percent of total billed charges		33.15	85			Percent of total billed charges		33.15	100			Percent of total billed charges		39	100			Percent of total billed charges		39	100			Percent of total billed charges		39	33.3			Percent of total billed charges		12.987	33.3			Percent of total billed charges		12.987	100			Percent of total billed charges		39	12.987	35.1	
needle stimplex 20g x 150mm stim-a2250 333680 braun	270	RC	Outpatient			39	25.35		90			Percent of total billed charges		35.1	40			Percent of total billed charges		15.6	80			Percent of total billed charges		31.2	90			Percent of total billed charges		35.1	85			Percent of total billed charges		33.15	85			Percent of total billed charges		33.15	85			Percent of total billed charges		33.15	100			Percent of total billed charges		39	100			Percent of total billed charges		39	100			Percent of total billed charges		39	33.3			Percent of total billed charges		12.987	33.3			Percent of total billed charges		12.987	100			Percent of total billed charges		39	12.987	35.1	
insulated periperal nerve block needel ab-22050-sse arrow	272	RC	Outpatient			39	25.35		90			Percent of total billed charges		35.1	40			Percent of total billed charges		15.6	80			Percent of total billed charges		31.2	90			Percent of total billed charges		35.1	85			Percent of total billed charges		33.15	85			Percent of total billed charges		33.15	85			Percent of total billed charges		33.15	100			Percent of total billed charges		39	100			Percent of total billed charges		39	100			Percent of total billed charges		39	33.3			Percent of total billed charges		12.987	33.3			Percent of total billed charges		12.987	100			Percent of total billed charges		39	12.987	35.1	
oxisensor infant max i	270	RC	Outpatient			39	25.35		90			Percent of total billed charges		35.1	40			Percent of total billed charges		15.6	80			Percent of total billed charges		31.2	90			Percent of total billed charges		35.1	85			Percent of total billed charges		33.15	85			Percent of total billed charges		33.15	85			Percent of total billed charges		33.15	100			Percent of total billed charges		39	100			Percent of total billed charges		39	100			Percent of total billed charges		39	33.3			Percent of total billed charges		12.987	33.3			Percent of total billed charges		12.987	100			Percent of total billed charges		39	12.987	35.1	
oxygen	270	RC	Outpatient			39	25.35		90			Percent of total billed charges		35.1	40			Percent of total billed charges		15.6	80			Percent of total billed charges		31.2	90			Percent of total billed charges		35.1	85			Percent of total billed charges		33.15	85			Percent of total billed charges		33.15	85			Percent of total billed charges		33.15	100			Percent of total billed charges		39	100			Percent of total billed charges		39	100			Percent of total billed charges		39	33.3			Percent of total billed charges		12.987	33.3			Percent of total billed charges		12.987	100			Percent of total billed charges		39	12.987	35.1	
needle insulated tfn-coated blk bvl 22g x 2 1/8 8290-404204 bd	270	RC	Outpatient			39	25.35		90			Percent of total billed charges		35.1	40			Percent of total billed charges		15.6	80			Percent of total billed charges		31.2	90			Percent of total billed charges		35.1	85			Percent of total billed charges		33.15	85			Percent of total billed charges		33.15	85			Percent of total billed charges		33.15	100			Percent of total billed charges		39	100			Percent of total billed charges		39	100			Percent of total billed charges		39	33.3			Percent of total billed charges		12.987	33.3			Percent of total billed charges		12.987	100			Percent of total billed charges		39	12.987	35.1	
needle stimplex insulated 21g x 100mm 333686 braun	270	RC	Outpatient			39	25.35		90			Percent of total billed charges		35.1	40			Percent of total billed charges		15.6	80			Percent of total billed charges		31.2	90			Percent of total billed charges		35.1	85			Percent of total billed charges		33.15	85			Percent of total billed charges		33.15	85			Percent of total billed charges		33.15	100			Percent of total billed charges		39	100			Percent of total billed charges		39	100			Percent of total billed charges		39	33.3			Percent of total billed charges		12.987	33.3			Percent of total billed charges		12.987	100			Percent of total billed charges		39	12.987	35.1	
needle stimplex insulated stim-a2250 333690 braun	270	RC	Outpatient			39	25.35		90			Percent of total billed charges		35.1	40			Percent of total billed charges		15.6	80			Percent of total billed charges		31.2	90			Percent of total billed charges		35.1	85			Percent of total billed charges		33.15	85			Percent of total billed charges		33.15	85			Percent of total billed charges		33.15	100			Percent of total billed charges		39	100			Percent of total billed charges		39	100			Percent of total billed charges		39	33.3			Percent of total billed charges		12.987	33.3			Percent of total billed charges		12.987	100			Percent of total billed charges		39	12.987	35.1	
stimuplex ins needle	270	RC	Outpatient			39	25.35		90			Percent of total billed charges		35.1	40			Percent of total billed charges		15.6	80			Percent of total billed charges		31.2	90			Percent of total billed charges		35.1	85			Percent of total billed charges		33.15	85			Percent of total billed charges		33.15	85			Percent of total billed charges		33.15	100			Percent of total billed charges		39	100			Percent of total billed charges		39	100			Percent of total billed charges		39	33.3			Percent of total billed charges		12.987	33.3			Percent of total billed charges		12.987	100			Percent of total billed charges		39	12.987	35.1	
protective cap 5mm - black s/n ref 290061	278	RC	Outpatient			39.8	25.87		90			Percent of total billed charges		35.82	40			Percent of total billed charges		15.92	80			Percent of total billed charges		31.84	90			Percent of total billed charges		35.82	85			Percent of total billed charges		33.83	85			Percent of total billed charges		33.83	85			Percent of total billed charges		33.83	100			Percent of total billed charges		39.8	100			Percent of total billed charges		39.8	100			Percent of total billed charges		39.8	33.3			Percent of total billed charges		13.2534	33.3			Percent of total billed charges		13.2534	100			Percent of total billed charges		39.8	13.2534	35.82	
2-way foley cath	270	RC	Outpatient			40	26		90			Percent of total billed charges		36	40			Percent of total billed charges		16	80			Percent of total billed charges		32	90			Percent of total billed charges		36	85			Percent of total billed charges		34	85			Percent of total billed charges		34	85			Percent of total billed charges		34	100			Percent of total billed charges		40	100			Percent of total billed charges		40	100			Percent of total billed charges		40	33.3			Percent of total billed charges		13.32	33.3			Percent of total billed charges		13.32	100			Percent of total billed charges		40	13.32	36	
24fr foley 2-way w/30cc balloon (ret irrig)	270	RC	Outpatient			40	26		90			Percent of total billed charges		36	40			Percent of total billed charges		16	80			Percent of total billed charges		32	90			Percent of total billed charges		36	85			Percent of total billed charges		34	85			Percent of total billed charges		34	85			Percent of total billed charges		34	100			Percent of total billed charges		40	100			Percent of total billed charges		40	100			Percent of total billed charges		40	33.3			Percent of total billed charges		13.32	33.3			Percent of total billed charges		13.32	100			Percent of total billed charges		40	13.32	36	
cath foley 14fr 5cc 2way o165si14	270	RC	Outpatient			40	26		90			Percent of total billed charges		36	40			Percent of total billed charges		16	80			Percent of total billed charges		32	90			Percent of total billed charges		36	85			Percent of total billed charges		34	85			Percent of total billed charges		34	85			Percent of total billed charges		34	100			Percent of total billed charges		40	100			Percent of total billed charges		40	100			Percent of total billed charges		40	33.3			Percent of total billed charges		13.32	33.3			Percent of total billed charges		13.32	100			Percent of total billed charges		40	13.32	36	
cath foley 18 fr 30cc 2way  0166si18	270	RC	Outpatient			40	26		90			Percent of total billed charges		36	40			Percent of total billed charges		16	80			Percent of total billed charges		32	90			Percent of total billed charges		36	85			Percent of total billed charges		34	85			Percent of total billed charges		34	85			Percent of total billed charges		34	100			Percent of total billed charges		40	100			Percent of total billed charges		40	100			Percent of total billed charges		40	33.3			Percent of total billed charges		13.32	33.3			Percent of total billed charges		13.32	100			Percent of total billed charges		40	13.32	36	
cath foley 18 fr 5cc 2-way  sil 1758si18	272	RC	Outpatient			40	26		90			Percent of total billed charges		36	40			Percent of total billed charges		16	80			Percent of total billed charges		32	90			Percent of total billed charges		36	85			Percent of total billed charges		34	85			Percent of total billed charges		34	85			Percent of total billed charges		34	100			Percent of total billed charges		40	100			Percent of total billed charges		40	100			Percent of total billed charges		40	33.3			Percent of total billed charges		13.32	33.3			Percent of total billed charges		13.32	100			Percent of total billed charges		40	13.32	36	
cath foley 20fr 30cc sil 1768si20	270	RC	Outpatient			40	26		90			Percent of total billed charges		36	40			Percent of total billed charges		16	80			Percent of total billed charges		32	90			Percent of total billed charges		36	85			Percent of total billed charges		34	85			Percent of total billed charges		34	85			Percent of total billed charges		34	100			Percent of total billed charges		40	100			Percent of total billed charges		40	100			Percent of total billed charges		40	33.3			Percent of total billed charges		13.32	33.3			Percent of total billed charges		13.32	100			Percent of total billed charges		40	13.32	36	
cath foley 22 fr 5cc 2-way 0165si22	270	RC	Outpatient			40	26		90			Percent of total billed charges		36	40			Percent of total billed charges		16	80			Percent of total billed charges		32	90			Percent of total billed charges		36	85			Percent of total billed charges		34	85			Percent of total billed charges		34	85			Percent of total billed charges		34	100			Percent of total billed charges		40	100			Percent of total billed charges		40	100			Percent of total billed charges		40	33.3			Percent of total billed charges		13.32	33.3			Percent of total billed charges		13.32	100			Percent of total billed charges		40	13.32	36	
cath foley 24fr 5cc sil 1758si24	270	RC	Outpatient			40	26		90			Percent of total billed charges		36	40			Percent of total billed charges		16	80			Percent of total billed charges		32	90			Percent of total billed charges		36	85			Percent of total billed charges		34	85			Percent of total billed charges		34	85			Percent of total billed charges		34	100			Percent of total billed charges		40	100			Percent of total billed charges		40	100			Percent of total billed charges		40	33.3			Percent of total billed charges		13.32	33.3			Percent of total billed charges		13.32	100			Percent of total billed charges		40	13.32	36	
cath foley 8 fr 3cc ped 0165si08	270	RC	Outpatient			40	26		90			Percent of total billed charges		36	40			Percent of total billed charges		16	80			Percent of total billed charges		32	90			Percent of total billed charges		36	85			Percent of total billed charges		34	85			Percent of total billed charges		34	85			Percent of total billed charges		34	100			Percent of total billed charges		40	100			Percent of total billed charges		40	100			Percent of total billed charges		40	33.3			Percent of total billed charges		13.32	33.3			Percent of total billed charges		13.32	100			Percent of total billed charges		40	13.32	36	
crl wellness screening	983	RC	Outpatient			40	26		90			Percent of total billed charges		36	40			Percent of total billed charges		16	80			Percent of total billed charges		32	90			Percent of total billed charges		36	85			Percent of total billed charges		34	85			Percent of total billed charges		34	85			Percent of total billed charges		34	100			Percent of total billed charges		40	100			Percent of total billed charges		40	100			Percent of total billed charges		40	33.3			Percent of total billed charges		13.32	33.3			Percent of total billed charges		13.32	100			Percent of total billed charges		40	13.32	36	
12 fr 2-way 5cc foley cath bard 165v-12	270	RC	Outpatient			40	26		90			Percent of total billed charges		36	40			Percent of total billed charges		16	80			Percent of total billed charges		32	90			Percent of total billed charges		36	85			Percent of total billed charges		34	85			Percent of total billed charges		34	85			Percent of total billed charges		34	100			Percent of total billed charges		40	100			Percent of total billed charges		40	100			Percent of total billed charges		40	33.3			Percent of total billed charges		13.32	33.3			Percent of total billed charges		13.32	100			Percent of total billed charges		40	13.32	36	
20  fr 2-way 30cc foley cath bard 166v-20	270	RC	Outpatient			40	26		90			Percent of total billed charges		36	40			Percent of total billed charges		16	80			Percent of total billed charges		32	90			Percent of total billed charges		36	85			Percent of total billed charges		34	85			Percent of total billed charges		34	85			Percent of total billed charges		34	100			Percent of total billed charges		40	100			Percent of total billed charges		40	100			Percent of total billed charges		40	33.3			Percent of total billed charges		13.32	33.3			Percent of total billed charges		13.32	100			Percent of total billed charges		40	13.32	36	
4-0 surgical steel pull-out surture set 540g	270	RC	Outpatient			40	26		90			Percent of total billed charges		36	40			Percent of total billed charges		16	80			Percent of total billed charges		32	90			Percent of total billed charges		36	85			Percent of total billed charges		34	85			Percent of total billed charges		34	85			Percent of total billed charges		34	100			Percent of total billed charges		40	100			Percent of total billed charges		40	100			Percent of total billed charges		40	33.3			Percent of total billed charges		13.32	33.3			Percent of total billed charges		13.32	100			Percent of total billed charges		40	13.32	36	
baxter epidural pump set	270	RC	Outpatient			40	26		90			Percent of total billed charges		36	40			Percent of total billed charges		16	80			Percent of total billed charges		32	90			Percent of total billed charges		36	85			Percent of total billed charges		34	85			Percent of total billed charges		34	85			Percent of total billed charges		34	100			Percent of total billed charges		40	100			Percent of total billed charges		40	100			Percent of total billed charges		40	33.3			Percent of total billed charges		13.32	33.3			Percent of total billed charges		13.32	100			Percent of total billed charges		40	13.32	36	
cath foley 10fr 5cc ped 0165si10	270	RC	Outpatient			40	26		90			Percent of total billed charges		36	40			Percent of total billed charges		16	80			Percent of total billed charges		32	90			Percent of total billed charges		36	85			Percent of total billed charges		34	85			Percent of total billed charges		34	85			Percent of total billed charges		34	100			Percent of total billed charges		40	100			Percent of total billed charges		40	100			Percent of total billed charges		40	33.3			Percent of total billed charges		13.32	33.3			Percent of total billed charges		13.32	100			Percent of total billed charges		40	13.32	36	
cath foley 16 fr 30cc 2-way 0166si16	270	RC	Outpatient			40	26		90			Percent of total billed charges		36	40			Percent of total billed charges		16	80			Percent of total billed charges		32	90			Percent of total billed charges		36	85			Percent of total billed charges		34	85			Percent of total billed charges		34	85			Percent of total billed charges		34	100			Percent of total billed charges		40	100			Percent of total billed charges		40	100			Percent of total billed charges		40	33.3			Percent of total billed charges		13.32	33.3			Percent of total billed charges		13.32	100			Percent of total billed charges		40	13.32	36	
cath foley 16 fr 5cc 2-way  sil 1758si16	270	RC	Outpatient			40	26		90			Percent of total billed charges		36	40			Percent of total billed charges		16	80			Percent of total billed charges		32	90			Percent of total billed charges		36	85			Percent of total billed charges		34	85			Percent of total billed charges		34	85			Percent of total billed charges		34	100			Percent of total billed charges		40	100			Percent of total billed charges		40	100			Percent of total billed charges		40	33.3			Percent of total billed charges		13.32	33.3			Percent of total billed charges		13.32	100			Percent of total billed charges		40	13.32	36	
cath foley 16 fr 5cc 2-way 0165si16	270	RC	Outpatient			40	26		90			Percent of total billed charges		36	40			Percent of total billed charges		16	80			Percent of total billed charges		32	90			Percent of total billed charges		36	85			Percent of total billed charges		34	85			Percent of total billed charges		34	85			Percent of total billed charges		34	100			Percent of total billed charges		40	100			Percent of total billed charges		40	100			Percent of total billed charges		40	33.3			Percent of total billed charges		13.32	33.3			Percent of total billed charges		13.32	100			Percent of total billed charges		40	13.32	36	
cath foley 18 fr 5cc 2-way 165si18	270	RC	Outpatient			40	26		90			Percent of total billed charges		36	40			Percent of total billed charges		16	80			Percent of total billed charges		32	90			Percent of total billed charges		36	85			Percent of total billed charges		34	85			Percent of total billed charges		34	85			Percent of total billed charges		34	100			Percent of total billed charges		40	100			Percent of total billed charges		40	100			Percent of total billed charges		40	33.3			Percent of total billed charges		13.32	33.3			Percent of total billed charges		13.32	100			Percent of total billed charges		40	13.32	36	
cath foley 20 fr 30cc 2-way 0166si20	270	RC	Outpatient			40	26		90			Percent of total billed charges		36	40			Percent of total billed charges		16	80			Percent of total billed charges		32	90			Percent of total billed charges		36	85			Percent of total billed charges		34	85			Percent of total billed charges		34	85			Percent of total billed charges		34	100			Percent of total billed charges		40	100			Percent of total billed charges		40	100			Percent of total billed charges		40	33.3			Percent of total billed charges		13.32	33.3			Percent of total billed charges		13.32	100			Percent of total billed charges		40	13.32	36	
cath foley 20 fr 5cc 2-way 0165si20	270	RC	Outpatient			40	26		90			Percent of total billed charges		36	40			Percent of total billed charges		16	80			Percent of total billed charges		32	90			Percent of total billed charges		36	85			Percent of total billed charges		34	85			Percent of total billed charges		34	85			Percent of total billed charges		34	100			Percent of total billed charges		40	100			Percent of total billed charges		40	100			Percent of total billed charges		40	33.3			Percent of total billed charges		13.32	33.3			Percent of total billed charges		13.32	100			Percent of total billed charges		40	13.32	36	
cath foley 20fr 5cc 2way sil 1768si22	270	RC	Outpatient			40	26		90			Percent of total billed charges		36	40			Percent of total billed charges		16	80			Percent of total billed charges		32	90			Percent of total billed charges		36	85			Percent of total billed charges		34	85			Percent of total billed charges		34	85			Percent of total billed charges		34	100			Percent of total billed charges		40	100			Percent of total billed charges		40	100			Percent of total billed charges		40	33.3			Percent of total billed charges		13.32	33.3			Percent of total billed charges		13.32	100			Percent of total billed charges		40	13.32	36	
cath foley 24 fr 30cc sil 0166v24s	270	RC	Outpatient			40	26		90			Percent of total billed charges		36	40			Percent of total billed charges		16	80			Percent of total billed charges		32	90			Percent of total billed charges		36	85			Percent of total billed charges		34	85			Percent of total billed charges		34	85			Percent of total billed charges		34	100			Percent of total billed charges		40	100			Percent of total billed charges		40	100			Percent of total billed charges		40	33.3			Percent of total billed charges		13.32	33.3			Percent of total billed charges		13.32	100			Percent of total billed charges		40	13.32	36	
cath foley 24 fr 5cc 2-way 0165si24	270	RC	Outpatient			40	26		90			Percent of total billed charges		36	40			Percent of total billed charges		16	80			Percent of total billed charges		32	90			Percent of total billed charges		36	85			Percent of total billed charges		34	85			Percent of total billed charges		34	85			Percent of total billed charges		34	100			Percent of total billed charges		40	100			Percent of total billed charges		40	100			Percent of total billed charges		40	33.3			Percent of total billed charges		13.32	33.3			Percent of total billed charges		13.32	100			Percent of total billed charges		40	13.32	36	
cath foley 24fr 30cc 2-way 0166si24	270	RC	Outpatient			40	26		90			Percent of total billed charges		36	40			Percent of total billed charges		16	80			Percent of total billed charges		32	90			Percent of total billed charges		36	85			Percent of total billed charges		34	85			Percent of total billed charges		34	85			Percent of total billed charges		34	100			Percent of total billed charges		40	100			Percent of total billed charges		40	100			Percent of total billed charges		40	33.3			Percent of total billed charges		13.32	33.3			Percent of total billed charges		13.32	100			Percent of total billed charges		40	13.32	36	
catheter foley all silicone 16fr 5cc 8887-6051-63 sher	270	RC	Outpatient			40	26		90			Percent of total billed charges		36	40			Percent of total billed charges		16	80			Percent of total billed charges		32	90			Percent of total billed charges		36	85			Percent of total billed charges		34	85			Percent of total billed charges		34	85			Percent of total billed charges		34	100			Percent of total billed charges		40	100			Percent of total billed charges		40	100			Percent of total billed charges		40	33.3			Percent of total billed charges		13.32	33.3			Percent of total billed charges		13.32	100			Percent of total billed charges		40	13.32	36	
catheter foley latex med round tip 14fr 30cc 0166l14 bardu	270	RC	Outpatient			40	26		90			Percent of total billed charges		36	40			Percent of total billed charges		16	80			Percent of total billed charges		32	90			Percent of total billed charges		36	85			Percent of total billed charges		34	85			Percent of total billed charges		34	85			Percent of total billed charges		34	100			Percent of total billed charges		40	100			Percent of total billed charges		40	100			Percent of total billed charges		40	33.3			Percent of total billed charges		13.32	33.3			Percent of total billed charges		13.32	100			Percent of total billed charges		40	13.32	36	
central supply	270	RC	Outpatient			40	26		90			Percent of total billed charges		36	40			Percent of total billed charges		16	80			Percent of total billed charges		32	90			Percent of total billed charges		36	85			Percent of total billed charges		34	85			Percent of total billed charges		34	85			Percent of total billed charges		34	100			Percent of total billed charges		40	100			Percent of total billed charges		40	100			Percent of total billed charges		40	33.3			Percent of total billed charges		13.32	33.3			Percent of total billed charges		13.32	100			Percent of total billed charges		40	13.32	36	
foley cath tray 16fr 861416 bard	270	RC	Outpatient			40	26		90			Percent of total billed charges		36	40			Percent of total billed charges		16	80			Percent of total billed charges		32	90			Percent of total billed charges		36	85			Percent of total billed charges		34	85			Percent of total billed charges		34	85			Percent of total billed charges		34	100			Percent of total billed charges		40	100			Percent of total billed charges		40	100			Percent of total billed charges		40	33.3			Percent of total billed charges		13.32	33.3			Percent of total billed charges		13.32	100			Percent of total billed charges		40	13.32	36	
foley catheter 22fr 30cc 0198l122 bard	270	RC	Outpatient			40	26		90			Percent of total billed charges		36	40			Percent of total billed charges		16	80			Percent of total billed charges		32	90			Percent of total billed charges		36	85			Percent of total billed charges		34	85			Percent of total billed charges		34	85			Percent of total billed charges		34	100			Percent of total billed charges		40	100			Percent of total billed charges		40	100			Percent of total billed charges		40	33.3			Percent of total billed charges		13.32	33.3			Percent of total billed charges		13.32	100			Percent of total billed charges		40	13.32	36	
evacuette cannister kit	270	RC	Outpatient			40	26		90			Percent of total billed charges		36	40			Percent of total billed charges		16	80			Percent of total billed charges		32	90			Percent of total billed charges		36	85			Percent of total billed charges		34	85			Percent of total billed charges		34	85			Percent of total billed charges		34	100			Percent of total billed charges		40	100			Percent of total billed charges		40	100			Percent of total billed charges		40	33.3			Percent of total billed charges		13.32	33.3			Percent of total billed charges		13.32	100			Percent of total billed charges		40	13.32	36	
large wound drainage bag	270	RC	Outpatient			40	26		90			Percent of total billed charges		36	40			Percent of total billed charges		16	80			Percent of total billed charges		32	90			Percent of total billed charges		36	85			Percent of total billed charges		34	85			Percent of total billed charges		34	85			Percent of total billed charges		34	100			Percent of total billed charges		40	100			Percent of total billed charges		40	100			Percent of total billed charges		40	33.3			Percent of total billed charges		13.32	33.3			Percent of total billed charges		13.32	100			Percent of total billed charges		40	13.32	36	
nasal packing	270	RC	Outpatient			40	26		90			Percent of total billed charges		36	40			Percent of total billed charges		16	80			Percent of total billed charges		32	90			Percent of total billed charges		36	85			Percent of total billed charges		34	85			Percent of total billed charges		34	85			Percent of total billed charges		34	100			Percent of total billed charges		40	100			Percent of total billed charges		40	100			Percent of total billed charges		40	33.3			Percent of total billed charges		13.32	33.3			Percent of total billed charges		13.32	100			Percent of total billed charges		40	13.32	36	
irrigation drug delivery device	983	RC	Outpatient			40	26		90			Percent of total billed charges		36	40			Percent of total billed charges		16	80			Percent of total billed charges		32	90			Percent of total billed charges		36	85			Percent of total billed charges		34	85			Percent of total billed charges		34	85			Percent of total billed charges		34	100			Percent of total billed charges		40	100			Percent of total billed charges		40	100			Percent of total billed charges		40	33.3			Percent of total billed charges		13.32	33.3			Percent of total billed charges		13.32	100			Percent of total billed charges		40	13.32	36	
medium wound drain bag	270	RC	Outpatient			40	26		90			Percent of total billed charges		36	40			Percent of total billed charges		16	80			Percent of total billed charges		32	90			Percent of total billed charges		36	85			Percent of total billed charges		34	85			Percent of total billed charges		34	85			Percent of total billed charges		34	100			Percent of total billed charges		40	100			Percent of total billed charges		40	100			Percent of total billed charges		40	33.3			Percent of total billed charges		13.32	33.3			Percent of total billed charges		13.32	100			Percent of total billed charges		40	13.32	36	
oxisensor infant 1861	270	RC	Outpatient			40	26		90			Percent of total billed charges		36	40			Percent of total billed charges		16	80			Percent of total billed charges		32	90			Percent of total billed charges		36	85			Percent of total billed charges		34	85			Percent of total billed charges		34	85			Percent of total billed charges		34	100			Percent of total billed charges		40	100			Percent of total billed charges		40	100			Percent of total billed charges		40	33.3			Percent of total billed charges		13.32	33.3			Percent of total billed charges		13.32	100			Percent of total billed charges		40	13.32	36	
"pump, life care 1-12 hrs"	270	RC	Outpatient			40	26		90			Percent of total billed charges		36	40			Percent of total billed charges		16	80			Percent of total billed charges		32	90			Percent of total billed charges		36	85			Percent of total billed charges		34	85			Percent of total billed charges		34	85			Percent of total billed charges		34	100			Percent of total billed charges		40	100			Percent of total billed charges		40	100			Percent of total billed charges		40	33.3			Percent of total billed charges		13.32	33.3			Percent of total billed charges		13.32	100			Percent of total billed charges		40	13.32	36	
scrmc brevera breast biopsy system tissue filter	621	RC	Outpatient			40	26		90			Percent of total billed charges		36	40			Percent of total billed charges		16	80			Percent of total billed charges		32	90			Percent of total billed charges		36	85			Percent of total billed charges		34	85			Percent of total billed charges		34	85			Percent of total billed charges		34	100			Percent of total billed charges		40	100			Percent of total billed charges		40	100			Percent of total billed charges		40	33.3			Percent of total billed charges		13.32	33.3			Percent of total billed charges		13.32	100			Percent of total billed charges		40	13.32	36	
set iv pump #1774-48	270	RC	Outpatient			40	26		90			Percent of total billed charges		36	40			Percent of total billed charges		16	80			Percent of total billed charges		32	90			Percent of total billed charges		36	85			Percent of total billed charges		34	85			Percent of total billed charges		34	85			Percent of total billed charges		34	100			Percent of total billed charges		40	100			Percent of total billed charges		40	100			Percent of total billed charges		40	33.3			Percent of total billed charges		13.32	33.3			Percent of total billed charges		13.32	100			Percent of total billed charges		40	13.32	36	
thumb spica lt large 347ll deroyal	270	RC	Outpatient			40	26		90			Percent of total billed charges		36	40			Percent of total billed charges		16	80			Percent of total billed charges		32	90			Percent of total billed charges		36	85			Percent of total billed charges		34	85			Percent of total billed charges		34	85			Percent of total billed charges		34	100			Percent of total billed charges		40	100			Percent of total billed charges		40	100			Percent of total billed charges		40	33.3			Percent of total billed charges		13.32	33.3			Percent of total billed charges		13.32	100			Percent of total billed charges		40	13.32	36	
thumb spica lt small 347sl deroyal	270	RC	Outpatient			40	26		90			Percent of total billed charges		36	40			Percent of total billed charges		16	80			Percent of total billed charges		32	90			Percent of total billed charges		36	85			Percent of total billed charges		34	85			Percent of total billed charges		34	85			Percent of total billed charges		34	100			Percent of total billed charges		40	100			Percent of total billed charges		40	100			Percent of total billed charges		40	33.3			Percent of total billed charges		13.32	33.3			Percent of total billed charges		13.32	100			Percent of total billed charges		40	13.32	36	
thumb spica sm/med rt 343s/mr deroyal	270	RC	Outpatient			40	26		90			Percent of total billed charges		36	40			Percent of total billed charges		16	80			Percent of total billed charges		32	90			Percent of total billed charges		36	85			Percent of total billed charges		34	85			Percent of total billed charges		34	85			Percent of total billed charges		34	100			Percent of total billed charges		40	100			Percent of total billed charges		40	100			Percent of total billed charges		40	33.3			Percent of total billed charges		13.32	33.3			Percent of total billed charges		13.32	100			Percent of total billed charges		40	13.32	36	
tray aspirating	270	RC	Outpatient			40	26		90			Percent of total billed charges		36	40			Percent of total billed charges		16	80			Percent of total billed charges		32	90			Percent of total billed charges		36	85			Percent of total billed charges		34	85			Percent of total billed charges		34	85			Percent of total billed charges		34	100			Percent of total billed charges		40	100			Percent of total billed charges		40	100			Percent of total billed charges		40	33.3			Percent of total billed charges		13.32	33.3			Percent of total billed charges		13.32	100			Percent of total billed charges		40	13.32	36	
tray urine foley 899616 bard	270	RC	Outpatient			40	26		90			Percent of total billed charges		36	40			Percent of total billed charges		16	80			Percent of total billed charges		32	90			Percent of total billed charges		36	85			Percent of total billed charges		34	85			Percent of total billed charges		34	85			Percent of total billed charges		34	100			Percent of total billed charges		40	100			Percent of total billed charges		40	100			Percent of total billed charges		40	33.3			Percent of total billed charges		13.32	33.3			Percent of total billed charges		13.32	100			Percent of total billed charges		40	13.32	36	
pull-out wire set	270	RC	Outpatient			40	26		90			Percent of total billed charges		36	40			Percent of total billed charges		16	80			Percent of total billed charges		32	90			Percent of total billed charges		36	85			Percent of total billed charges		34	85			Percent of total billed charges		34	85			Percent of total billed charges		34	100			Percent of total billed charges		40	100			Percent of total billed charges		40	100			Percent of total billed charges		40	33.3			Percent of total billed charges		13.32	33.3			Percent of total billed charges		13.32	100			Percent of total billed charges		40	13.32	36	
sol 0.9% sod chloride 300	270	RC	Outpatient			40	26		90			Percent of total billed charges		36	40			Percent of total billed charges		16	80			Percent of total billed charges		32	90			Percent of total billed charges		36	85			Percent of total billed charges		34	85			Percent of total billed charges		34	85			Percent of total billed charges		34	100			Percent of total billed charges		40	100			Percent of total billed charges		40	100			Percent of total billed charges		40	33.3			Percent of total billed charges		13.32	33.3			Percent of total billed charges		13.32	100			Percent of total billed charges		40	13.32	36	
soluset #1770-01 150x15	270	RC	Outpatient			40	26		90			Percent of total billed charges		36	40			Percent of total billed charges		16	80			Percent of total billed charges		32	90			Percent of total billed charges		36	85			Percent of total billed charges		34	85			Percent of total billed charges		34	85			Percent of total billed charges		34	100			Percent of total billed charges		40	100			Percent of total billed charges		40	100			Percent of total billed charges		40	33.3			Percent of total billed charges		13.32	33.3			Percent of total billed charges		13.32	100			Percent of total billed charges		40	13.32	36	
thumb spica  md/lg rt  343m/lr	270	RC	Outpatient			40	26		90			Percent of total billed charges		36	40			Percent of total billed charges		16	80			Percent of total billed charges		32	90			Percent of total billed charges		36	85			Percent of total billed charges		34	85			Percent of total billed charges		34	85			Percent of total billed charges		34	100			Percent of total billed charges		40	100			Percent of total billed charges		40	100			Percent of total billed charges		40	33.3			Percent of total billed charges		13.32	33.3			Percent of total billed charges		13.32	100			Percent of total billed charges		40	13.32	36	
thumb spica lt med 347ml deroyal	270	RC	Outpatient			40	26		90			Percent of total billed charges		36	40			Percent of total billed charges		16	80			Percent of total billed charges		32	90			Percent of total billed charges		36	85			Percent of total billed charges		34	85			Percent of total billed charges		34	85			Percent of total billed charges		34	100			Percent of total billed charges		40	100			Percent of total billed charges		40	100			Percent of total billed charges		40	33.3			Percent of total billed charges		13.32	33.3			Percent of total billed charges		13.32	100			Percent of total billed charges		40	13.32	36	
thumb spica med/lg lt 343m/ll deroyal	270	RC	Outpatient			40	26		90			Percent of total billed charges		36	40			Percent of total billed charges		16	80			Percent of total billed charges		32	90			Percent of total billed charges		36	85			Percent of total billed charges		34	85			Percent of total billed charges		34	85			Percent of total billed charges		34	100			Percent of total billed charges		40	100			Percent of total billed charges		40	100			Percent of total billed charges		40	33.3			Percent of total billed charges		13.32	33.3			Percent of total billed charges		13.32	100			Percent of total billed charges		40	13.32	36	
thumb spica rt large 347rl deroyal	270	RC	Outpatient			40	26		90			Percent of total billed charges		36	40			Percent of total billed charges		16	80			Percent of total billed charges		32	90			Percent of total billed charges		36	85			Percent of total billed charges		34	85			Percent of total billed charges		34	85			Percent of total billed charges		34	100			Percent of total billed charges		40	100			Percent of total billed charges		40	100			Percent of total billed charges		40	33.3			Percent of total billed charges		13.32	33.3			Percent of total billed charges		13.32	100			Percent of total billed charges		40	13.32	36	
thumb spica rt med 347ml deroyal	270	RC	Outpatient			40	26		90			Percent of total billed charges		36	40			Percent of total billed charges		16	80			Percent of total billed charges		32	90			Percent of total billed charges		36	85			Percent of total billed charges		34	85			Percent of total billed charges		34	85			Percent of total billed charges		34	100			Percent of total billed charges		40	100			Percent of total billed charges		40	100			Percent of total billed charges		40	33.3			Percent of total billed charges		13.32	33.3			Percent of total billed charges		13.32	100			Percent of total billed charges		40	13.32	36	
thumb spica rt small 347sl deroyal	270	RC	Outpatient			40	26		90			Percent of total billed charges		36	40			Percent of total billed charges		16	80			Percent of total billed charges		32	90			Percent of total billed charges		36	85			Percent of total billed charges		34	85			Percent of total billed charges		34	85			Percent of total billed charges		34	100			Percent of total billed charges		40	100			Percent of total billed charges		40	100			Percent of total billed charges		40	33.3			Percent of total billed charges		13.32	33.3			Percent of total billed charges		13.32	100			Percent of total billed charges		40	13.32	36	
tray tissue safetouch bottle t 3984901	270	RC	Outpatient			40	26		90			Percent of total billed charges		36	40			Percent of total billed charges		16	80			Percent of total billed charges		32	90			Percent of total billed charges		36	85			Percent of total billed charges		34	85			Percent of total billed charges		34	85			Percent of total billed charges		34	100			Percent of total billed charges		40	100			Percent of total billed charges		40	100			Percent of total billed charges		40	33.3			Percent of total billed charges		13.32	33.3			Percent of total billed charges		13.32	100			Percent of total billed charges		40	13.32	36	
vac white foam lg dress	272	RC	Outpatient			40	26		90			Percent of total billed charges		36	40			Percent of total billed charges		16	80			Percent of total billed charges		32	90			Percent of total billed charges		36	85			Percent of total billed charges		34	85			Percent of total billed charges		34	85			Percent of total billed charges		34	100			Percent of total billed charges		40	100			Percent of total billed charges		40	100			Percent of total billed charges		40	33.3			Percent of total billed charges		13.32	33.3			Percent of total billed charges		13.32	100			Percent of total billed charges		40	13.32	36	
xmcp guidewire	272	RC	Outpatient			40	26		90			Percent of total billed charges		36	40			Percent of total billed charges		16	80			Percent of total billed charges		32	90			Percent of total billed charges		36	85			Percent of total billed charges		34	85			Percent of total billed charges		34	85			Percent of total billed charges		34	100			Percent of total billed charges		40	100			Percent of total billed charges		40	100			Percent of total billed charges		40	33.3			Percent of total billed charges		13.32	33.3			Percent of total billed charges		13.32	100			Percent of total billed charges		40	13.32	36	
xmcp guidewire 1.6 102-0023 extremity med	272	RC	Outpatient			40	26		90			Percent of total billed charges		36	40			Percent of total billed charges		16	80			Percent of total billed charges		32	90			Percent of total billed charges		36	85			Percent of total billed charges		34	85			Percent of total billed charges		34	85			Percent of total billed charges		34	100			Percent of total billed charges		40	100			Percent of total billed charges		40	100			Percent of total billed charges		40	33.3			Percent of total billed charges		13.32	33.3			Percent of total billed charges		13.32	100			Percent of total billed charges		40	13.32	36	
wound collection bags	270	RC	Outpatient			40	26		90			Percent of total billed charges		36	40			Percent of total billed charges		16	80			Percent of total billed charges		32	90			Percent of total billed charges		36	85			Percent of total billed charges		34	85			Percent of total billed charges		34	85			Percent of total billed charges		34	100			Percent of total billed charges		40	100			Percent of total billed charges		40	100			Percent of total billed charges		40	33.3			Percent of total billed charges		13.32	33.3			Percent of total billed charges		13.32	100			Percent of total billed charges		40	13.32	36	
zzscrmc crown needles	621	RC	Outpatient			40	26		90			Percent of total billed charges		36	40			Percent of total billed charges		16	80			Percent of total billed charges		32	90			Percent of total billed charges		36	85			Percent of total billed charges		34	85			Percent of total billed charges		34	85			Percent of total billed charges		34	100			Percent of total billed charges		40	100			Percent of total billed charges		40	100			Percent of total billed charges		40	33.3			Percent of total billed charges		13.32	33.3			Percent of total billed charges		13.32	100			Percent of total billed charges		40	13.32	36	
cath lab kit right heart	272	RC	Outpatient			41	26.65		90			Percent of total billed charges		36.9	40			Percent of total billed charges		16.4	80			Percent of total billed charges		32.8	90			Percent of total billed charges		36.9	85			Percent of total billed charges		34.85	85			Percent of total billed charges		34.85	85			Percent of total billed charges		34.85	100			Percent of total billed charges		41	100			Percent of total billed charges		41	100			Percent of total billed charges		41	33.3			Percent of total billed charges		13.653	33.3			Percent of total billed charges		13.653	100			Percent of total billed charges		41	13.653	36.9	
cath pig 5fr  70cm g08832 cook	272	RC	Outpatient			41	26.65		90			Percent of total billed charges		36.9	40			Percent of total billed charges		16.4	80			Percent of total billed charges		32.8	90			Percent of total billed charges		36.9	85			Percent of total billed charges		34.85	85			Percent of total billed charges		34.85	85			Percent of total billed charges		34.85	100			Percent of total billed charges		41	100			Percent of total billed charges		41	100			Percent of total billed charges		41	33.3			Percent of total billed charges		13.653	33.3			Percent of total billed charges		13.653	100			Percent of total billed charges		41	13.653	36.9	
cytology brush waxed-end	270	RC	Outpatient			41	26.65		90			Percent of total billed charges		36.9	40			Percent of total billed charges		16.4	80			Percent of total billed charges		32.8	90			Percent of total billed charges		36.9	85			Percent of total billed charges		34.85	85			Percent of total billed charges		34.85	85			Percent of total billed charges		34.85	100			Percent of total billed charges		41	100			Percent of total billed charges		41	100			Percent of total billed charges		41	33.3			Percent of total billed charges		13.653	33.3			Percent of total billed charges		13.653	100			Percent of total billed charges		41	13.653	36.9	
arthrex guidewire w/ trocar 0.062 ar-8941k	272	RC	Outpatient			41	26.65		90			Percent of total billed charges		36.9	40			Percent of total billed charges		16.4	80			Percent of total billed charges		32.8	90			Percent of total billed charges		36.9	85			Percent of total billed charges		34.85	85			Percent of total billed charges		34.85	85			Percent of total billed charges		34.85	100			Percent of total billed charges		41	100			Percent of total billed charges		41	100			Percent of total billed charges		41	33.3			Percent of total billed charges		13.653	33.3			Percent of total billed charges		13.653	100			Percent of total billed charges		41	13.653	36.9	
cath pig	272	RC	Outpatient			41	26.65		90			Percent of total billed charges		36.9	40			Percent of total billed charges		16.4	80			Percent of total billed charges		32.8	90			Percent of total billed charges		36.9	85			Percent of total billed charges		34.85	85			Percent of total billed charges		34.85	85			Percent of total billed charges		34.85	100			Percent of total billed charges		41	100			Percent of total billed charges		41	100			Percent of total billed charges		41	33.3			Percent of total billed charges		13.653	33.3			Percent of total billed charges		13.653	100			Percent of total billed charges		41	13.653	36.9	
chest restraint small	270	RC	Outpatient			41	26.65		90			Percent of total billed charges		36.9	40			Percent of total billed charges		16.4	80			Percent of total billed charges		32.8	90			Percent of total billed charges		36.9	85			Percent of total billed charges		34.85	85			Percent of total billed charges		34.85	85			Percent of total billed charges		34.85	100			Percent of total billed charges		41	100			Percent of total billed charges		41	100			Percent of total billed charges		41	33.3			Percent of total billed charges		13.653	33.3			Percent of total billed charges		13.653	100			Percent of total billed charges		41	13.653	36.9	
hemovac	270	RC	Outpatient			41	26.65		90			Percent of total billed charges		36.9	40			Percent of total billed charges		16.4	80			Percent of total billed charges		32.8	90			Percent of total billed charges		36.9	85			Percent of total billed charges		34.85	85			Percent of total billed charges		34.85	85			Percent of total billed charges		34.85	100			Percent of total billed charges		41	100			Percent of total billed charges		41	100			Percent of total billed charges		41	33.3			Percent of total billed charges		13.653	33.3			Percent of total billed charges		13.653	100			Percent of total billed charges		41	13.653	36.9	
hemovac 1/4 00259000010 zimmer	270	RC	Outpatient			41	26.65		90			Percent of total billed charges		36.9	40			Percent of total billed charges		16.4	80			Percent of total billed charges		32.8	90			Percent of total billed charges		36.9	85			Percent of total billed charges		34.85	85			Percent of total billed charges		34.85	85			Percent of total billed charges		34.85	100			Percent of total billed charges		41	100			Percent of total billed charges		41	100			Percent of total billed charges		41	33.3			Percent of total billed charges		13.653	33.3			Percent of total billed charges		13.653	100			Percent of total billed charges		41	13.653	36.9	
hemovac 1/8 3.18mm drain su130-402d cardinal	270	RC	Outpatient			41	26.65		90			Percent of total billed charges		36.9	40			Percent of total billed charges		16.4	80			Percent of total billed charges		32.8	90			Percent of total billed charges		36.9	85			Percent of total billed charges		34.85	85			Percent of total billed charges		34.85	85			Percent of total billed charges		34.85	100			Percent of total billed charges		41	100			Percent of total billed charges		41	100			Percent of total billed charges		41	33.3			Percent of total billed charges		13.653	33.3			Percent of total billed charges		13.653	100			Percent of total billed charges		41	13.653	36.9	
hemovac 3/16 4.768mm drain su130-403d cardinal	270	RC	Outpatient			41	26.65		90			Percent of total billed charges		36.9	40			Percent of total billed charges		16.4	80			Percent of total billed charges		32.8	90			Percent of total billed charges		36.9	85			Percent of total billed charges		34.85	85			Percent of total billed charges		34.85	85			Percent of total billed charges		34.85	100			Percent of total billed charges		41	100			Percent of total billed charges		41	100			Percent of total billed charges		41	33.3			Percent of total billed charges		13.653	33.3			Percent of total billed charges		13.653	100			Percent of total billed charges		41	13.653	36.9	
immob shoulder lg9015-03	270	RC	Outpatient			41	26.65		90			Percent of total billed charges		36.9	40			Percent of total billed charges		16.4	80			Percent of total billed charges		32.8	90			Percent of total billed charges		36.9	85			Percent of total billed charges		34.85	85			Percent of total billed charges		34.85	85			Percent of total billed charges		34.85	100			Percent of total billed charges		41	100			Percent of total billed charges		41	100			Percent of total billed charges		41	33.3			Percent of total billed charges		13.653	33.3			Percent of total billed charges		13.653	100			Percent of total billed charges		41	13.653	36.9	
immob shoulder m-lg	270	RC	Outpatient			41	26.65		90			Percent of total billed charges		36.9	40			Percent of total billed charges		16.4	80			Percent of total billed charges		32.8	90			Percent of total billed charges		36.9	85			Percent of total billed charges		34.85	85			Percent of total billed charges		34.85	85			Percent of total billed charges		34.85	100			Percent of total billed charges		41	100			Percent of total billed charges		41	100			Percent of total billed charges		41	33.3			Percent of total billed charges		13.653	33.3			Percent of total billed charges		13.653	100			Percent of total billed charges		41	13.653	36.9	
immob shoulder m-sm	270	RC	Outpatient			41	26.65		90			Percent of total billed charges		36.9	40			Percent of total billed charges		16.4	80			Percent of total billed charges		32.8	90			Percent of total billed charges		36.9	85			Percent of total billed charges		34.85	85			Percent of total billed charges		34.85	85			Percent of total billed charges		34.85	100			Percent of total billed charges		41	100			Percent of total billed charges		41	100			Percent of total billed charges		41	33.3			Percent of total billed charges		13.653	33.3			Percent of total billed charges		13.653	100			Percent of total billed charges		41	13.653	36.9	
immob shoulder xlg9015-04	270	RC	Outpatient			41	26.65		90			Percent of total billed charges		36.9	40			Percent of total billed charges		16.4	80			Percent of total billed charges		32.8	90			Percent of total billed charges		36.9	85			Percent of total billed charges		34.85	85			Percent of total billed charges		34.85	85			Percent of total billed charges		34.85	100			Percent of total billed charges		41	100			Percent of total billed charges		41	100			Percent of total billed charges		41	33.3			Percent of total billed charges		13.653	33.3			Percent of total billed charges		13.653	100			Percent of total billed charges		41	13.653	36.9	
drain dbl cbcii 3/16 trc 0225-028-626	270	RC	Outpatient			41	26.65		90			Percent of total billed charges		36.9	40			Percent of total billed charges		16.4	80			Percent of total billed charges		32.8	90			Percent of total billed charges		36.9	85			Percent of total billed charges		34.85	85			Percent of total billed charges		34.85	85			Percent of total billed charges		34.85	100			Percent of total billed charges		41	100			Percent of total billed charges		41	100			Percent of total billed charges		41	33.3			Percent of total billed charges		13.653	33.3			Percent of total billed charges		13.653	100			Percent of total billed charges		41	13.653	36.9	
elastic garment/covering	274	RC	Outpatient			41	26.65		90			Percent of total billed charges		36.9	40			Percent of total billed charges		16.4	80			Percent of total billed charges		32.8	90			Percent of total billed charges		36.9	85			Percent of total billed charges		34.85	85			Percent of total billed charges		34.85	85			Percent of total billed charges		34.85	100			Percent of total billed charges		41	100			Percent of total billed charges		41	100			Percent of total billed charges		41	33.3			Percent of total billed charges		13.653	33.3			Percent of total billed charges		13.653	100			Percent of total billed charges		41	13.653	36.9	
kit-rt heart nav(xtratra)	272	RC	Outpatient			41	26.65		90			Percent of total billed charges		36.9	40			Percent of total billed charges		16.4	80			Percent of total billed charges		32.8	90			Percent of total billed charges		36.9	85			Percent of total billed charges		34.85	85			Percent of total billed charges		34.85	85			Percent of total billed charges		34.85	100			Percent of total billed charges		41	100			Percent of total billed charges		41	100			Percent of total billed charges		41	33.3			Percent of total billed charges		13.653	33.3			Percent of total billed charges		13.653	100			Percent of total billed charges		41	13.653	36.9	
hemovac 1/4  drain su130-404d cardinal	270	RC	Outpatient			41	26.65		90			Percent of total billed charges		36.9	40			Percent of total billed charges		16.4	80			Percent of total billed charges		32.8	90			Percent of total billed charges		36.9	85			Percent of total billed charges		34.85	85			Percent of total billed charges		34.85	85			Percent of total billed charges		34.85	100			Percent of total billed charges		41	100			Percent of total billed charges		41	100			Percent of total billed charges		41	33.3			Percent of total billed charges		13.653	33.3			Percent of total billed charges		13.653	100			Percent of total billed charges		41	13.653	36.9	
hemovac 1/4 43620 bard	270	RC	Outpatient			41	26.65		90			Percent of total billed charges		36.9	40			Percent of total billed charges		16.4	80			Percent of total billed charges		32.8	90			Percent of total billed charges		36.9	85			Percent of total billed charges		34.85	85			Percent of total billed charges		34.85	85			Percent of total billed charges		34.85	100			Percent of total billed charges		41	100			Percent of total billed charges		41	100			Percent of total billed charges		41	33.3			Percent of total billed charges		13.653	33.3			Percent of total billed charges		13.653	100			Percent of total billed charges		41	13.653	36.9	
hemovac 1/8 dc4361	270	RC	Outpatient			41	26.65		90			Percent of total billed charges		36.9	40			Percent of total billed charges		16.4	80			Percent of total billed charges		32.8	90			Percent of total billed charges		36.9	85			Percent of total billed charges		34.85	85			Percent of total billed charges		34.85	85			Percent of total billed charges		34.85	100			Percent of total billed charges		41	100			Percent of total billed charges		41	100			Percent of total billed charges		41	33.3			Percent of total billed charges		13.653	33.3			Percent of total billed charges		13.653	100			Percent of total billed charges		41	13.653	36.9	
hemovac 3/16 dc4363	270	RC	Outpatient			41	26.65		90			Percent of total billed charges		36.9	40			Percent of total billed charges		16.4	80			Percent of total billed charges		32.8	90			Percent of total billed charges		36.9	85			Percent of total billed charges		34.85	85			Percent of total billed charges		34.85	85			Percent of total billed charges		34.85	100			Percent of total billed charges		41	100			Percent of total billed charges		41	100			Percent of total billed charges		41	33.3			Percent of total billed charges		13.653	33.3			Percent of total billed charges		13.653	100			Percent of total billed charges		41	13.653	36.9	
hemovac wound drain 3/16 00250500010  0043630	270	RC	Outpatient			41	26.65		90			Percent of total billed charges		36.9	40			Percent of total billed charges		16.4	80			Percent of total billed charges		32.8	90			Percent of total billed charges		36.9	85			Percent of total billed charges		34.85	85			Percent of total billed charges		34.85	85			Percent of total billed charges		34.85	100			Percent of total billed charges		41	100			Percent of total billed charges		41	100			Percent of total billed charges		41	33.3			Percent of total billed charges		13.653	33.3			Percent of total billed charges		13.653	100			Percent of total billed charges		41	13.653	36.9	
immob shoulder m-med	270	RC	Outpatient			41	26.65		90			Percent of total billed charges		36.9	40			Percent of total billed charges		16.4	80			Percent of total billed charges		32.8	90			Percent of total billed charges		36.9	85			Percent of total billed charges		34.85	85			Percent of total billed charges		34.85	85			Percent of total billed charges		34.85	100			Percent of total billed charges		41	100			Percent of total billed charges		41	100			Percent of total billed charges		41	33.3			Percent of total billed charges		13.653	33.3			Percent of total billed charges		13.653	100			Percent of total billed charges		41	13.653	36.9	
immob shoulder m-xlg	270	RC	Outpatient			41	26.65		90			Percent of total billed charges		36.9	40			Percent of total billed charges		16.4	80			Percent of total billed charges		32.8	90			Percent of total billed charges		36.9	85			Percent of total billed charges		34.85	85			Percent of total billed charges		34.85	85			Percent of total billed charges		34.85	100			Percent of total billed charges		41	100			Percent of total billed charges		41	100			Percent of total billed charges		41	33.3			Percent of total billed charges		13.653	33.3			Percent of total billed charges		13.653	100			Percent of total billed charges		41	13.653	36.9	
immob shoulder med9015-02	270	RC	Outpatient			41	26.65		90			Percent of total billed charges		36.9	40			Percent of total billed charges		16.4	80			Percent of total billed charges		32.8	90			Percent of total billed charges		36.9	85			Percent of total billed charges		34.85	85			Percent of total billed charges		34.85	85			Percent of total billed charges		34.85	100			Percent of total billed charges		41	100			Percent of total billed charges		41	100			Percent of total billed charges		41	33.3			Percent of total billed charges		13.653	33.3			Percent of total billed charges		13.653	100			Percent of total billed charges		41	13.653	36.9	
immob shoulder sm 9015-01	270	RC	Outpatient			41	26.65		90			Percent of total billed charges		36.9	40			Percent of total billed charges		16.4	80			Percent of total billed charges		32.8	90			Percent of total billed charges		36.9	85			Percent of total billed charges		34.85	85			Percent of total billed charges		34.85	85			Percent of total billed charges		34.85	100			Percent of total billed charges		41	100			Percent of total billed charges		41	100			Percent of total billed charges		41	33.3			Percent of total billed charges		13.653	33.3			Percent of total billed charges		13.653	100			Percent of total billed charges		41	13.653	36.9	
lavacuator tube 22fr .	270	RC	Outpatient			41	26.65		90			Percent of total billed charges		36.9	40			Percent of total billed charges		16.4	80			Percent of total billed charges		32.8	90			Percent of total billed charges		36.9	85			Percent of total billed charges		34.85	85			Percent of total billed charges		34.85	85			Percent of total billed charges		34.85	100			Percent of total billed charges		41	100			Percent of total billed charges		41	100			Percent of total billed charges		41	33.3			Percent of total billed charges		13.653	33.3			Percent of total billed charges		13.653	100			Percent of total billed charges		41	13.653	36.9	
oxisensor ii - adult	270	RC	Outpatient			41	26.65		90			Percent of total billed charges		36.9	40			Percent of total billed charges		16.4	80			Percent of total billed charges		32.8	90			Percent of total billed charges		36.9	85			Percent of total billed charges		34.85	85			Percent of total billed charges		34.85	85			Percent of total billed charges		34.85	100			Percent of total billed charges		41	100			Percent of total billed charges		41	100			Percent of total billed charges		41	33.3			Percent of total billed charges		13.653	33.3			Percent of total billed charges		13.653	100			Percent of total billed charges		41	13.653	36.9	
shoulder immobilizer ed charge scnt	270	RC	Outpatient			41	26.65		90			Percent of total billed charges		36.9	40			Percent of total billed charges		16.4	80			Percent of total billed charges		32.8	90			Percent of total billed charges		36.9	85			Percent of total billed charges		34.85	85			Percent of total billed charges		34.85	85			Percent of total billed charges		34.85	100			Percent of total billed charges		41	100			Percent of total billed charges		41	100			Percent of total billed charges		41	33.3			Percent of total billed charges		13.653	33.3			Percent of total billed charges		13.653	100			Percent of total billed charges		41	13.653	36.9	
arrow spring wire	270	RC	Outpatient			42	27.3		90			Percent of total billed charges		37.8	40			Percent of total billed charges		16.8	80			Percent of total billed charges		33.6	90			Percent of total billed charges		37.8	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	100			Percent of total billed charges		42	100			Percent of total billed charges		42	100			Percent of total billed charges		42	33.3			Percent of total billed charges		13.986	33.3			Percent of total billed charges		13.986	100			Percent of total billed charges		42	13.986	37.8	
arterial wrist support tecnol 18686-010	270	RC	Outpatient			42	27.3		90			Percent of total billed charges		37.8	40			Percent of total billed charges		16.8	80			Percent of total billed charges		33.6	90			Percent of total billed charges		37.8	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	100			Percent of total billed charges		42	100			Percent of total billed charges		42	100			Percent of total billed charges		42	33.3			Percent of total billed charges		13.986	33.3			Percent of total billed charges		13.986	100			Percent of total billed charges		42	13.986	37.8	
bag hyperinflation 3 liter 166303lp	270	RC	Outpatient			42	27.3		90			Percent of total billed charges		37.8	40			Percent of total billed charges		16.8	80			Percent of total billed charges		33.6	90			Percent of total billed charges		37.8	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	100			Percent of total billed charges		42	100			Percent of total billed charges		42	100			Percent of total billed charges		42	33.3			Percent of total billed charges		13.986	33.3			Percent of total billed charges		13.986	100			Percent of total billed charges		42	13.986	37.8	
catherer wheeler	272	RC	Outpatient			42	27.3		90			Percent of total billed charges		37.8	40			Percent of total billed charges		16.8	80			Percent of total billed charges		33.6	90			Percent of total billed charges		37.8	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	100			Percent of total billed charges		42	100			Percent of total billed charges		42	100			Percent of total billed charges		42	33.3			Percent of total billed charges		13.986	33.3			Percent of total billed charges		13.986	100			Percent of total billed charges		42	13.986	37.8	
cold therapy liner large	270	RC	Outpatient			42	27.3		90			Percent of total billed charges		37.8	40			Percent of total billed charges		16.8	80			Percent of total billed charges		33.6	90			Percent of total billed charges		37.8	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	100			Percent of total billed charges		42	100			Percent of total billed charges		42	100			Percent of total billed charges		42	33.3			Percent of total billed charges		13.986	33.3			Percent of total billed charges		13.986	100			Percent of total billed charges		42	13.986	37.8	
critic-aid skin paste	270	RC	Outpatient			42	27.3		90			Percent of total billed charges		37.8	40			Percent of total billed charges		16.8	80			Percent of total billed charges		33.6	90			Percent of total billed charges		37.8	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	100			Percent of total billed charges		42	100			Percent of total billed charges		42	100			Percent of total billed charges		42	33.3			Percent of total billed charges		13.986	33.3			Percent of total billed charges		13.986	100			Percent of total billed charges		42	13.986	37.8	
arterial wrist support	270	RC	Outpatient			42	27.3		90			Percent of total billed charges		37.8	40			Percent of total billed charges		16.8	80			Percent of total billed charges		33.6	90			Percent of total billed charges		37.8	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	100			Percent of total billed charges		42	100			Percent of total billed charges		42	100			Percent of total billed charges		42	33.3			Percent of total billed charges		13.986	33.3			Percent of total billed charges		13.986	100			Percent of total billed charges		42	13.986	37.8	
arthrex guide wire 2mm	272	RC	Outpatient			42	27.3		90			Percent of total billed charges		37.8	40			Percent of total billed charges		16.8	80			Percent of total billed charges		33.6	90			Percent of total billed charges		37.8	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	100			Percent of total billed charges		42	100			Percent of total billed charges		42	100			Percent of total billed charges		42	33.3			Percent of total billed charges		13.986	33.3			Percent of total billed charges		13.986	100			Percent of total billed charges		42	13.986	37.8	
arthrex guidewire 2.0 ar-8945k	272	RC	Outpatient			42	27.3		90			Percent of total billed charges		37.8	40			Percent of total billed charges		16.8	80			Percent of total billed charges		33.6	90			Percent of total billed charges		37.8	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	100			Percent of total billed charges		42	100			Percent of total billed charges		42	100			Percent of total billed charges		42	33.3			Percent of total billed charges		13.986	33.3			Percent of total billed charges		13.986	100			Percent of total billed charges		42	13.986	37.8	
arthrex locking straight plate 4  hole ar-8943c-04	272	RC	Outpatient			42	27.3		90			Percent of total billed charges		37.8	40			Percent of total billed charges		16.8	80			Percent of total billed charges		33.6	90			Percent of total billed charges		37.8	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	100			Percent of total billed charges		42	100			Percent of total billed charges		42	100			Percent of total billed charges		42	33.3			Percent of total billed charges		13.986	33.3			Percent of total billed charges		13.986	100			Percent of total billed charges		42	13.986	37.8	
bard percut intro set 5fr	270	RC	Outpatient			42	27.3		90			Percent of total billed charges		37.8	40			Percent of total billed charges		16.8	80			Percent of total billed charges		33.6	90			Percent of total billed charges		37.8	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	100			Percent of total billed charges		42	100			Percent of total billed charges		42	100			Percent of total billed charges		42	33.3			Percent of total billed charges		13.986	33.3			Percent of total billed charges		13.986	100			Percent of total billed charges		42	13.986	37.8	
catheter wheeler	272	RC	Outpatient			42	27.3		90			Percent of total billed charges		37.8	40			Percent of total billed charges		16.8	80			Percent of total billed charges		33.6	90			Percent of total billed charges		37.8	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	100			Percent of total billed charges		42	100			Percent of total billed charges		42	100			Percent of total billed charges		42	33.3			Percent of total billed charges		13.986	33.3			Percent of total billed charges		13.986	100			Percent of total billed charges		42	13.986	37.8	
dressing profore	270	RC	Outpatient			42	27.3		90			Percent of total billed charges		37.8	40			Percent of total billed charges		16.8	80			Percent of total billed charges		33.6	90			Percent of total billed charges		37.8	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	100			Percent of total billed charges		42	100			Percent of total billed charges		42	100			Percent of total billed charges		42	33.3			Percent of total billed charges		13.986	33.3			Percent of total billed charges		13.986	100			Percent of total billed charges		42	13.986	37.8	
"ept,dressing profore"	270	RC	Outpatient			42	27.3		90			Percent of total billed charges		37.8	40			Percent of total billed charges		16.8	80			Percent of total billed charges		33.6	90			Percent of total billed charges		37.8	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	100			Percent of total billed charges		42	100			Percent of total billed charges		42	100			Percent of total billed charges		42	33.3			Percent of total billed charges		13.986	33.3			Percent of total billed charges		13.986	100			Percent of total billed charges		42	13.986	37.8	
femerol canal brush	270	RC	Outpatient			42	27.3		90			Percent of total billed charges		37.8	40			Percent of total billed charges		16.8	80			Percent of total billed charges		33.6	90			Percent of total billed charges		37.8	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	100			Percent of total billed charges		42	100			Percent of total billed charges		42	100			Percent of total billed charges		42	33.3			Percent of total billed charges		13.986	33.3			Percent of total billed charges		13.986	100			Percent of total billed charges		42	13.986	37.8	
femoral canal brush 12.5mm 11-0033	270	RC	Outpatient			42	27.3		90			Percent of total billed charges		37.8	40			Percent of total billed charges		16.8	80			Percent of total billed charges		33.6	90			Percent of total billed charges		37.8	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	100			Percent of total billed charges		42	100			Percent of total billed charges		42	100			Percent of total billed charges		42	33.3			Percent of total billed charges		13.986	33.3			Percent of total billed charges		13.986	100			Percent of total billed charges		42	13.986	37.8	
femoral canal brush 19mm 11-0003	270	RC	Outpatient			42	27.3		90			Percent of total billed charges		37.8	40			Percent of total billed charges		16.8	80			Percent of total billed charges		33.6	90			Percent of total billed charges		37.8	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	100			Percent of total billed charges		42	100			Percent of total billed charges		42	100			Percent of total billed charges		42	33.3			Percent of total billed charges		13.986	33.3			Percent of total billed charges		13.986	100			Percent of total billed charges		42	13.986	37.8	
"heelbo, pads"	270	RC	Outpatient			42	27.3		90			Percent of total billed charges		37.8	40			Percent of total billed charges		16.8	80			Percent of total billed charges		33.6	90			Percent of total billed charges		37.8	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	100			Percent of total billed charges		42	100			Percent of total billed charges		42	100			Percent of total billed charges		42	33.3			Percent of total billed charges		13.986	33.3			Percent of total billed charges		13.986	100			Percent of total billed charges		42	13.986	37.8	
hyperinflation bag	270	RC	Outpatient			42	27.3		90			Percent of total billed charges		37.8	40			Percent of total billed charges		16.8	80			Percent of total billed charges		33.6	90			Percent of total billed charges		37.8	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	100			Percent of total billed charges		42	100			Percent of total billed charges		42	100			Percent of total billed charges		42	33.3			Percent of total billed charges		13.986	33.3			Percent of total billed charges		13.986	100			Percent of total billed charges		42	13.986	37.8	
l/d disp-pre-op-prep kit	270	RC	Outpatient			42	27.3		90			Percent of total billed charges		37.8	40			Percent of total billed charges		16.8	80			Percent of total billed charges		33.6	90			Percent of total billed charges		37.8	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	100			Percent of total billed charges		42	100			Percent of total billed charges		42	100			Percent of total billed charges		42	33.3			Percent of total billed charges		13.986	33.3			Percent of total billed charges		13.986	100			Percent of total billed charges		42	13.986	37.8	
kit newborn admit 52865	270	RC	Outpatient			42	27.3		90			Percent of total billed charges		37.8	40			Percent of total billed charges		16.8	80			Percent of total billed charges		33.6	90			Percent of total billed charges		37.8	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	100			Percent of total billed charges		42	100			Percent of total billed charges		42	100			Percent of total billed charges		42	33.3			Percent of total billed charges		13.986	33.3			Percent of total billed charges		13.986	100			Percent of total billed charges		42	13.986	37.8	
precip tray	270	RC	Outpatient			42	27.3		90			Percent of total billed charges		37.8	40			Percent of total billed charges		16.8	80			Percent of total billed charges		33.6	90			Percent of total billed charges		37.8	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	100			Percent of total billed charges		42	100			Percent of total billed charges		42	100			Percent of total billed charges		42	33.3			Percent of total billed charges		13.986	33.3			Percent of total billed charges		13.986	100			Percent of total billed charges		42	13.986	37.8	
set bl col angel w 225119	270	RC	Outpatient			42	27.3		90			Percent of total billed charges		37.8	40			Percent of total billed charges		16.8	80			Percent of total billed charges		33.6	90			Percent of total billed charges		37.8	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	100			Percent of total billed charges		42	100			Percent of total billed charges		42	100			Percent of total billed charges		42	33.3			Percent of total billed charges		13.986	33.3			Percent of total billed charges		13.986	100			Percent of total billed charges		42	13.986	37.8	
suction bovie 8fr e2608-6 covidien	270	RC	Outpatient			42	27.3		90			Percent of total billed charges		37.8	40			Percent of total billed charges		16.8	80			Percent of total billed charges		33.6	90			Percent of total billed charges		37.8	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	100			Percent of total billed charges		42	100			Percent of total billed charges		42	100			Percent of total billed charges		42	33.3			Percent of total billed charges		13.986	33.3			Percent of total billed charges		13.986	100			Percent of total billed charges		42	13.986	37.8	
suction bovie e3310 covidien	270	RC	Outpatient			42	27.3		90			Percent of total billed charges		37.8	40			Percent of total billed charges		16.8	80			Percent of total billed charges		33.6	90			Percent of total billed charges		37.8	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	100			Percent of total billed charges		42	100			Percent of total billed charges		42	100			Percent of total billed charges		42	33.3			Percent of total billed charges		13.986	33.3			Percent of total billed charges		13.986	100			Percent of total billed charges		42	13.986	37.8	
profore dressing	270	RC	Outpatient			42	27.3		90			Percent of total billed charges		37.8	40			Percent of total billed charges		16.8	80			Percent of total billed charges		33.6	90			Percent of total billed charges		37.8	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	100			Percent of total billed charges		42	100			Percent of total billed charges		42	100			Percent of total billed charges		42	33.3			Percent of total billed charges		13.986	33.3			Percent of total billed charges		13.986	100			Percent of total billed charges		42	13.986	37.8	
"pt,dressing profore"	270	RC	Outpatient			42	27.3		90			Percent of total billed charges		37.8	40			Percent of total billed charges		16.8	80			Percent of total billed charges		33.6	90			Percent of total billed charges		37.8	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	100			Percent of total billed charges		42	100			Percent of total billed charges		42	100			Percent of total billed charges		42	33.3			Percent of total billed charges		13.986	33.3			Percent of total billed charges		13.986	100			Percent of total billed charges		42	13.986	37.8	
suction bovie	270	RC	Outpatient			42	27.3		90			Percent of total billed charges		37.8	40			Percent of total billed charges		16.8	80			Percent of total billed charges		33.6	90			Percent of total billed charges		37.8	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	100			Percent of total billed charges		42	100			Percent of total billed charges		42	100			Percent of total billed charges		42	33.3			Percent of total billed charges		13.986	33.3			Percent of total billed charges		13.986	100			Percent of total billed charges		42	13.986	37.8	
suction bovie foot 6-10fr e2505-10fr vl	270	RC	Outpatient			42	27.3		90			Percent of total billed charges		37.8	40			Percent of total billed charges		16.8	80			Percent of total billed charges		33.6	90			Percent of total billed charges		37.8	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	100			Percent of total billed charges		42	100			Percent of total billed charges		42	100			Percent of total billed charges		42	33.3			Percent of total billed charges		13.986	33.3			Percent of total billed charges		13.986	100			Percent of total billed charges		42	13.986	37.8	
"tray,disposable delivery"	270	RC	Outpatient			42	27.3		90			Percent of total billed charges		37.8	40			Percent of total billed charges		16.8	80			Percent of total billed charges		33.6	90			Percent of total billed charges		37.8	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	100			Percent of total billed charges		42	100			Percent of total billed charges		42	100			Percent of total billed charges		42	33.3			Percent of total billed charges		13.986	33.3			Percent of total billed charges		13.986	100			Percent of total billed charges		42	13.986	37.8	
tube chest thoracic 16	270	RC	Outpatient			42	27.3		90			Percent of total billed charges		37.8	40			Percent of total billed charges		16.8	80			Percent of total billed charges		33.6	90			Percent of total billed charges		37.8	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	100			Percent of total billed charges		42	100			Percent of total billed charges		42	100			Percent of total billed charges		42	33.3			Percent of total billed charges		13.986	33.3			Percent of total billed charges		13.986	100			Percent of total billed charges		42	13.986	37.8	
tube chest thoracic 24	270	RC	Outpatient			42	27.3		90			Percent of total billed charges		37.8	40			Percent of total billed charges		16.8	80			Percent of total billed charges		33.6	90			Percent of total billed charges		37.8	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	100			Percent of total billed charges		42	100			Percent of total billed charges		42	100			Percent of total billed charges		42	33.3			Percent of total billed charges		13.986	33.3			Percent of total billed charges		13.986	100			Percent of total billed charges		42	13.986	37.8	
tube chest thoracic 36	270	RC	Outpatient			42	27.3		90			Percent of total billed charges		37.8	40			Percent of total billed charges		16.8	80			Percent of total billed charges		33.6	90			Percent of total billed charges		37.8	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	100			Percent of total billed charges		42	100			Percent of total billed charges		42	100			Percent of total billed charges		42	33.3			Percent of total billed charges		13.986	33.3			Percent of total billed charges		13.986	100			Percent of total billed charges		42	13.986	37.8	
wheeler cath 22 fr 30cc bard 0198l22	272	RC	Outpatient			42	27.3		90			Percent of total billed charges		37.8	40			Percent of total billed charges		16.8	80			Percent of total billed charges		33.6	90			Percent of total billed charges		37.8	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	100			Percent of total billed charges		42	100			Percent of total billed charges		42	100			Percent of total billed charges		42	33.3			Percent of total billed charges		13.986	33.3			Percent of total billed charges		13.986	100			Percent of total billed charges		42	13.986	37.8	
wound vac white foam large m6275034	272	RC	Outpatient			42	27.3		90			Percent of total billed charges		37.8	40			Percent of total billed charges		16.8	80			Percent of total billed charges		33.6	90			Percent of total billed charges		37.8	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	100			Percent of total billed charges		42	100			Percent of total billed charges		42	100			Percent of total billed charges		42	33.3			Percent of total billed charges		13.986	33.3			Percent of total billed charges		13.986	100			Percent of total billed charges		42	13.986	37.8	
xr hip 1 view rt w/ pelvis	983	RC	Outpatient			42	27.3		90			Percent of total billed charges		37.8	40			Percent of total billed charges		16.8	80			Percent of total billed charges		33.6	90			Percent of total billed charges		37.8	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	100			Percent of total billed charges		42	100			Percent of total billed charges		42	100			Percent of total billed charges		42	33.3			Percent of total billed charges		13.986	33.3			Percent of total billed charges		13.986	100			Percent of total billed charges		42	13.986	37.8	
tube chest thoracic 12	270	RC	Outpatient			42	27.3		90			Percent of total billed charges		37.8	40			Percent of total billed charges		16.8	80			Percent of total billed charges		33.6	90			Percent of total billed charges		37.8	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	100			Percent of total billed charges		42	100			Percent of total billed charges		42	100			Percent of total billed charges		42	33.3			Percent of total billed charges		13.986	33.3			Percent of total billed charges		13.986	100			Percent of total billed charges		42	13.986	37.8	
tube chest thoracic 20	270	RC	Outpatient			42	27.3		90			Percent of total billed charges		37.8	40			Percent of total billed charges		16.8	80			Percent of total billed charges		33.6	90			Percent of total billed charges		37.8	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	100			Percent of total billed charges		42	100			Percent of total billed charges		42	100			Percent of total billed charges		42	33.3			Percent of total billed charges		13.986	33.3			Percent of total billed charges		13.986	100			Percent of total billed charges		42	13.986	37.8	
tube chest thoracic 28	270	RC	Outpatient			42	27.3		90			Percent of total billed charges		37.8	40			Percent of total billed charges		16.8	80			Percent of total billed charges		33.6	90			Percent of total billed charges		37.8	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	100			Percent of total billed charges		42	100			Percent of total billed charges		42	100			Percent of total billed charges		42	33.3			Percent of total billed charges		13.986	33.3			Percent of total billed charges		13.986	100			Percent of total billed charges		42	13.986	37.8	
tube chest thoracic 32	270	RC	Outpatient			42	27.3		90			Percent of total billed charges		37.8	40			Percent of total billed charges		16.8	80			Percent of total billed charges		33.6	90			Percent of total billed charges		37.8	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	100			Percent of total billed charges		42	100			Percent of total billed charges		42	100			Percent of total billed charges		42	33.3			Percent of total billed charges		13.986	33.3			Percent of total billed charges		13.986	100			Percent of total billed charges		42	13.986	37.8	
urine meters 8000	270	RC	Outpatient			42	27.3		90			Percent of total billed charges		37.8	40			Percent of total billed charges		16.8	80			Percent of total billed charges		33.6	90			Percent of total billed charges		37.8	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	100			Percent of total billed charges		42	100			Percent of total billed charges		42	100			Percent of total billed charges		42	33.3			Percent of total billed charges		13.986	33.3			Percent of total billed charges		13.986	100			Percent of total billed charges		42	13.986	37.8	
wound vac lg white sponge	272	RC	Outpatient			42	27.3		90			Percent of total billed charges		37.8	40			Percent of total billed charges		16.8	80			Percent of total billed charges		33.6	90			Percent of total billed charges		37.8	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	100			Percent of total billed charges		42	100			Percent of total billed charges		42	100			Percent of total billed charges		42	33.3			Percent of total billed charges		13.986	33.3			Percent of total billed charges		13.986	100			Percent of total billed charges		42	13.986	37.8	
xr hip 1 view lt w/ pelvis	983	RC	Outpatient			42	27.3		90			Percent of total billed charges		37.8	40			Percent of total billed charges		16.8	80			Percent of total billed charges		33.6	90			Percent of total billed charges		37.8	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	85			Percent of total billed charges		35.7	100			Percent of total billed charges		42	100			Percent of total billed charges		42	100			Percent of total billed charges		42	33.3			Percent of total billed charges		13.986	33.3			Percent of total billed charges		13.986	100			Percent of total billed charges		42	13.986	37.8	
bag uro drain disp system u2-033 e9100as	270	RC	Outpatient			43	27.95		90			Percent of total billed charges		38.7	40			Percent of total billed charges		17.2	80			Percent of total billed charges		34.4	90			Percent of total billed charges		38.7	85			Percent of total billed charges		36.55	85			Percent of total billed charges		36.55	85			Percent of total billed charges		36.55	100			Percent of total billed charges		43	100			Percent of total billed charges		43	100			Percent of total billed charges		43	33.3			Percent of total billed charges		14.319	33.3			Percent of total billed charges		14.319	100			Percent of total billed charges		43	14.319	38.7	
clearify 21-345 covidien	270	RC	Outpatient			43	27.95		90			Percent of total billed charges		38.7	40			Percent of total billed charges		17.2	80			Percent of total billed charges		34.4	90			Percent of total billed charges		38.7	85			Percent of total billed charges		36.55	85			Percent of total billed charges		36.55	85			Percent of total billed charges		36.55	100			Percent of total billed charges		43	100			Percent of total billed charges		43	100			Percent of total billed charges		43	33.3			Percent of total billed charges		14.319	33.3			Percent of total billed charges		14.319	100			Percent of total billed charges		43	14.319	38.7	
brief pull-up large	270	RC	Outpatient			43	27.95		90			Percent of total billed charges		38.7	40			Percent of total billed charges		17.2	80			Percent of total billed charges		34.4	90			Percent of total billed charges		38.7	85			Percent of total billed charges		36.55	85			Percent of total billed charges		36.55	85			Percent of total billed charges		36.55	100			Percent of total billed charges		43	100			Percent of total billed charges		43	100			Percent of total billed charges		43	33.3			Percent of total billed charges		14.319	33.3			Percent of total billed charges		14.319	100			Percent of total billed charges		43	14.319	38.7	
cath foley 16 fr 5cc  edelman  8011-087016 bard	270	RC	Outpatient			43	27.95		90			Percent of total billed charges		38.7	40			Percent of total billed charges		17.2	80			Percent of total billed charges		34.4	90			Percent of total billed charges		38.7	85			Percent of total billed charges		36.55	85			Percent of total billed charges		36.55	85			Percent of total billed charges		36.55	100			Percent of total billed charges		43	100			Percent of total billed charges		43	100			Percent of total billed charges		43	33.3			Percent of total billed charges		14.319	33.3			Percent of total billed charges		14.319	100			Percent of total billed charges		43	14.319	38.7	
"cath,edelman"	270	RC	Outpatient			43	27.95		90			Percent of total billed charges		38.7	40			Percent of total billed charges		17.2	80			Percent of total billed charges		34.4	90			Percent of total billed charges		38.7	85			Percent of total billed charges		36.55	85			Percent of total billed charges		36.55	85			Percent of total billed charges		36.55	100			Percent of total billed charges		43	100			Percent of total billed charges		43	100			Percent of total billed charges		43	33.3			Percent of total billed charges		14.319	33.3			Percent of total billed charges		14.319	100			Percent of total billed charges		43	14.319	38.7	
drain bag/hose oec table	270	RC	Outpatient			43	27.95		90			Percent of total billed charges		38.7	40			Percent of total billed charges		17.2	80			Percent of total billed charges		34.4	90			Percent of total billed charges		38.7	85			Percent of total billed charges		36.55	85			Percent of total billed charges		36.55	85			Percent of total billed charges		36.55	100			Percent of total billed charges		43	100			Percent of total billed charges		43	100			Percent of total billed charges		43	33.3			Percent of total billed charges		14.319	33.3			Percent of total billed charges		14.319	100			Percent of total billed charges		43	14.319	38.7	
derma carrier ii	270	RC	Outpatient			43	27.95		90			Percent of total billed charges		38.7	40			Percent of total billed charges		17.2	80			Percent of total billed charges		34.4	90			Percent of total billed charges		38.7	85			Percent of total billed charges		36.55	85			Percent of total billed charges		36.55	85			Percent of total billed charges		36.55	100			Percent of total billed charges		43	100			Percent of total billed charges		43	100			Percent of total billed charges		43	33.3			Percent of total billed charges		14.319	33.3			Percent of total billed charges		14.319	100			Percent of total billed charges		43	14.319	38.7	
lavacuator tube 28fr	270	RC	Outpatient			43	27.95		90			Percent of total billed charges		38.7	40			Percent of total billed charges		17.2	80			Percent of total billed charges		34.4	90			Percent of total billed charges		38.7	85			Percent of total billed charges		36.55	85			Percent of total billed charges		36.55	85			Percent of total billed charges		36.55	100			Percent of total billed charges		43	100			Percent of total billed charges		43	100			Percent of total billed charges		43	33.3			Percent of total billed charges		14.319	33.3			Percent of total billed charges		14.319	100			Percent of total billed charges		43	14.319	38.7	
lavacuator tube 32fr	270	RC	Outpatient			43	27.95		90			Percent of total billed charges		38.7	40			Percent of total billed charges		17.2	80			Percent of total billed charges		34.4	90			Percent of total billed charges		38.7	85			Percent of total billed charges		36.55	85			Percent of total billed charges		36.55	85			Percent of total billed charges		36.55	100			Percent of total billed charges		43	100			Percent of total billed charges		43	100			Percent of total billed charges		43	33.3			Percent of total billed charges		14.319	33.3			Percent of total billed charges		14.319	100			Percent of total billed charges		43	14.319	38.7	
lavacuator tube 36fr	270	RC	Outpatient			43	27.95		90			Percent of total billed charges		38.7	40			Percent of total billed charges		17.2	80			Percent of total billed charges		34.4	90			Percent of total billed charges		38.7	85			Percent of total billed charges		36.55	85			Percent of total billed charges		36.55	85			Percent of total billed charges		36.55	100			Percent of total billed charges		43	100			Percent of total billed charges		43	100			Percent of total billed charges		43	33.3			Percent of total billed charges		14.319	33.3			Percent of total billed charges		14.319	100			Percent of total billed charges		43	14.319	38.7	
maxon suture	270	RC	Outpatient			43	27.95		90			Percent of total billed charges		38.7	40			Percent of total billed charges		17.2	80			Percent of total billed charges		34.4	90			Percent of total billed charges		38.7	85			Percent of total billed charges		36.55	85			Percent of total billed charges		36.55	85			Percent of total billed charges		36.55	100			Percent of total billed charges		43	100			Percent of total billed charges		43	100			Percent of total billed charges		43	33.3			Percent of total billed charges		14.319	33.3			Percent of total billed charges		14.319	100			Percent of total billed charges		43	14.319	38.7	
pad scd sleeve knee large 9789	270	RC	Outpatient			43	27.95		90			Percent of total billed charges		38.7	40			Percent of total billed charges		17.2	80			Percent of total billed charges		34.4	90			Percent of total billed charges		38.7	85			Percent of total billed charges		36.55	85			Percent of total billed charges		36.55	85			Percent of total billed charges		36.55	100			Percent of total billed charges		43	100			Percent of total billed charges		43	100			Percent of total billed charges		43	33.3			Percent of total billed charges		14.319	33.3			Percent of total billed charges		14.319	100			Percent of total billed charges		43	14.319	38.7	
"positioner, ureteral stent 7 fr mivi"	270	RC	Outpatient			43	27.95		90			Percent of total billed charges		38.7	40			Percent of total billed charges		17.2	80			Percent of total billed charges		34.4	90			Percent of total billed charges		38.7	85			Percent of total billed charges		36.55	85			Percent of total billed charges		36.55	85			Percent of total billed charges		36.55	100			Percent of total billed charges		43	100			Percent of total billed charges		43	100			Percent of total billed charges		43	33.3			Percent of total billed charges		14.319	33.3			Percent of total billed charges		14.319	100			Percent of total billed charges		43	14.319	38.7	
"positioner, ureteral stent 8 fr mivi"	270	RC	Outpatient			43	27.95		90			Percent of total billed charges		38.7	40			Percent of total billed charges		17.2	80			Percent of total billed charges		34.4	90			Percent of total billed charges		38.7	85			Percent of total billed charges		36.55	85			Percent of total billed charges		36.55	85			Percent of total billed charges		36.55	100			Percent of total billed charges		43	100			Percent of total billed charges		43	100			Percent of total billed charges		43	33.3			Percent of total billed charges		14.319	33.3			Percent of total billed charges		14.319	100			Percent of total billed charges		43	14.319	38.7	
set iv blood fluid wrm di	272	RC	Outpatient			43	27.95		90			Percent of total billed charges		38.7	40			Percent of total billed charges		17.2	80			Percent of total billed charges		34.4	90			Percent of total billed charges		38.7	85			Percent of total billed charges		36.55	85			Percent of total billed charges		36.55	85			Percent of total billed charges		36.55	100			Percent of total billed charges		43	100			Percent of total billed charges		43	100			Percent of total billed charges		43	33.3			Percent of total billed charges		14.319	33.3			Percent of total billed charges		14.319	100			Percent of total billed charges		43	14.319	38.7	
stent positioner	270	RC	Outpatient			43	27.95		90			Percent of total billed charges		38.7	40			Percent of total billed charges		17.2	80			Percent of total billed charges		34.4	90			Percent of total billed charges		38.7	85			Percent of total billed charges		36.55	85			Percent of total billed charges		36.55	85			Percent of total billed charges		36.55	100			Percent of total billed charges		43	100			Percent of total billed charges		43	100			Percent of total billed charges		43	33.3			Percent of total billed charges		14.319	33.3			Percent of total billed charges		14.319	100			Percent of total billed charges		43	14.319	38.7	
0.9% sodium chloride inj 10cc	250	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
12 mm & stapler cannula seal ref 470380	272	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
4.5 locking screw 35mm 12-2293 russell	278	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
4.5 locking screw 40mm 12-2294 russell51	278	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
4.5 locking screw 45mm 12-2295 russell	278	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
4.5 locking screw 50mm 12-2296 russell	278	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
4.5 locking screw 55mm 12-2297 russell	278	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
4.5 locking screw 65mm 12-2299 russell	278	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
cortical screw 4.5mm x 36mm 71225036 s/n	278	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
crtx scrw 4.5 x 14mm 71826014 s\n	278	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
crtx scrw 4.5 x 22mm 71826022 s\n	278	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
crtx scrw 4.5 x 26mm 71826026 s\n	278	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
crtx scrw 4.5 x 32mm 71826032 s\n	278	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
crtx scrw 4.5 x 34mm 71826034 s\n	278	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
crtx scrw 4.5 x 40mm 71826040 s\n	278	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
crtx scrw 4.5 x 42mm 71826042 s\n	278	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
crtx scrw 4.5 x 44mm 71826044 s\n	278	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
crtx scrw 4.5 x 50mm 71826050 s\n	278	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
crtx scrw 4.5 x 52mm 71826052 s\n	278	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
crtx scrw 4.5 x 56mm 71826056 s\n	278	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
crtx scrw 4.5 x 58mm 71826058 s\n	278	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
crtx scrw 4.5 x 64mm 71826064 s\n	278	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
crtx scrw 4.5 x 66mm 71826066 s\n	278	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
crtx scrw 4.5 x 68mm 71826068 s\n	278	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
crtx scrw 4.5 x 79mm 71826079 s\n	278	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
10 vial sterile saline (gyn local)	250	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
4.5 locking screw 20mm 12-2290 s/n	278	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
4.5 locking screw 25mm 12-2291 russell	278	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
4.5 locking screw 30mm 12-2292 russell	278	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
4.5 locking screw 60mm 12-2298 russell	278	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
arrow rad artery cath #22	270	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
burron accu-blck peri ned	270	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
cath filiform heyman	272	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
cath lab squeeze contrast controll	270	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
"cath,silicone #10"	270	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
"cath,silicone #8"	270	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
catheter ureteral filiform heyman spiral tip 4fr 137984 bard	272	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
crtx scrw 4.5 x 16mm 71826016 s\n	278	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
crtx scrw 4.5 x 18mm 71826018 s\n	278	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
crtx scrw 4.5 x 20mm 71826020 s\n	278	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
crtx scrw 4.5 x 24mm 71826024 s\n	278	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
crtx scrw 4.5 x 28mm 71826028 s\n	278	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
crtx scrw 4.5 x 30mm 71826030 s\n	278	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
crtx scrw 4.5 x 36mm 71826036 s\n	278	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
crtx scrw 4.5 x 38mm 71826038 s\n	278	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
crtx scrw 4.5 x 46mm 71826046 s\n	278	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
crtx scrw 4.5 x 48mm 71826048 s\n	278	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
crtx scrw 4.5 x 54mm 71826054 s\n	278	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
crtx scrw 4.5 x 60mm 71826060 s\n	278	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
crtx scrw 4.5 x 62mm 71826062 s\n	278	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
crtx scrw 4.5 x 70mm 71826070 s\n	278	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
nj feeding tube	270	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
single lumen infusion cat	270	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
sodium chloride inj 12cc	250	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
stockinette 4in n/s 59965	270	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
stockinette imper med 1585	270	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
stockinette med (axil node)	270	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
stockinette sterile	270	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
stockinette sterile bias cut 8x4 23646-184 alba	270	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
stockinette tubular 6 x 25 yds 23612-006 baxter	270	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
suction polyp trap	270	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
syringe saline flush 12cc 8881570121	250	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
syringe saline flush 12cc 8881570121 baxter	250	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
syringe saline flush 12cc 8881570121 baxter (anesth)	272	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
tray add a cath	270	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
r/t 4.5 screw	278	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
s/n 4.5 cort screw lp s-t	278	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
scrmc tube feeding ng or nj	270	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
sodium chloride inj 10cc	272	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
stockinette	270	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
stockinette bias 8x4 9800-84 deroyal	270	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
stockinette imper 12x48 ca 1587	270	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
tubular stockinette 2 inch 226269	270	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
weck hemoclip	270	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
weck hemoclip med titanium cartridge ws23800	270	RC	Outpatient			44	28.6		90			Percent of total billed charges		39.6	40			Percent of total billed charges		17.6	80			Percent of total billed charges		35.2	90			Percent of total billed charges		39.6	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	85			Percent of total billed charges		37.4	100			Percent of total billed charges		44	100			Percent of total billed charges		44	100			Percent of total billed charges		44	33.3			Percent of total billed charges		14.652	33.3			Percent of total billed charges		14.652	100			Percent of total billed charges		44	14.652	39.6	
#10 deaver t-tube 0099800 bard	270	RC	Outpatient			45	29.25		90			Percent of total billed charges		40.5	40			Percent of total billed charges		18	80			Percent of total billed charges		36	90			Percent of total billed charges		40.5	85			Percent of total billed charges		38.25	85			Percent of total billed charges		38.25	85			Percent of total billed charges		38.25	100			Percent of total billed charges		45	100			Percent of total billed charges		45	100			Percent of total billed charges		45	33.3			Percent of total billed charges		14.985	33.3			Percent of total billed charges		14.985	100			Percent of total billed charges		45	14.985	40.5	
asa per unit - crna	983	RC	Outpatient			45	29.25		90			Percent of total billed charges		40.5	40			Percent of total billed charges		18	80			Percent of total billed charges		36	90			Percent of total billed charges		40.5	85			Percent of total billed charges		38.25	85			Percent of total billed charges		38.25	85			Percent of total billed charges		38.25	100			Percent of total billed charges		45	100			Percent of total billed charges		45	100			Percent of total billed charges		45	33.3			Percent of total billed charges		14.985	33.3			Percent of total billed charges		14.985	100			Percent of total billed charges		45	14.985	40.5	
cath t-tube deaver 14 fr 0099820 bard	270	RC	Outpatient			45	29.25		90			Percent of total billed charges		40.5	40			Percent of total billed charges		18	80			Percent of total billed charges		36	90			Percent of total billed charges		40.5	85			Percent of total billed charges		38.25	85			Percent of total billed charges		38.25	85			Percent of total billed charges		38.25	100			Percent of total billed charges		45	100			Percent of total billed charges		45	100			Percent of total billed charges		45	33.3			Percent of total billed charges		14.985	33.3			Percent of total billed charges		14.985	100			Percent of total billed charges		45	14.985	40.5	
cosmetic - laser hair removal foot and toes each addt'l session	983	RC	Outpatient			45	29.25		90			Percent of total billed charges		40.5	40			Percent of total billed charges		18	80			Percent of total billed charges		36	90			Percent of total billed charges		40.5	85			Percent of total billed charges		38.25	85			Percent of total billed charges		38.25	85			Percent of total billed charges		38.25	100			Percent of total billed charges		45	100			Percent of total billed charges		45	100			Percent of total billed charges		45	33.3			Percent of total billed charges		14.985	33.3			Percent of total billed charges		14.985	100			Percent of total billed charges		45	14.985	40.5	
#16 deaver t-tube	270	RC	Outpatient			45	29.25		90			Percent of total billed charges		40.5	40			Percent of total billed charges		18	80			Percent of total billed charges		36	90			Percent of total billed charges		40.5	85			Percent of total billed charges		38.25	85			Percent of total billed charges		38.25	85			Percent of total billed charges		38.25	100			Percent of total billed charges		45	100			Percent of total billed charges		45	100			Percent of total billed charges		45	33.3			Percent of total billed charges		14.985	33.3			Percent of total billed charges		14.985	100			Percent of total billed charges		45	14.985	40.5	
cold therapy liner xlarge	270	RC	Outpatient			45	29.25		90			Percent of total billed charges		40.5	40			Percent of total billed charges		18	80			Percent of total billed charges		36	90			Percent of total billed charges		40.5	85			Percent of total billed charges		38.25	85			Percent of total billed charges		38.25	85			Percent of total billed charges		38.25	100			Percent of total billed charges		45	100			Percent of total billed charges		45	100			Percent of total billed charges		45	33.3			Percent of total billed charges		14.985	33.3			Percent of total billed charges		14.985	100			Percent of total billed charges		45	14.985	40.5	
drain deaver t 18fr 1-2570-18 inme	270	RC	Outpatient			45	29.25		90			Percent of total billed charges		40.5	40			Percent of total billed charges		18	80			Percent of total billed charges		36	90			Percent of total billed charges		40.5	85			Percent of total billed charges		38.25	85			Percent of total billed charges		38.25	85			Percent of total billed charges		38.25	100			Percent of total billed charges		45	100			Percent of total billed charges		45	100			Percent of total billed charges		45	33.3			Percent of total billed charges		14.985	33.3			Percent of total billed charges		14.985	100			Percent of total billed charges		45	14.985	40.5	
flexi tip xl	272	RC	Outpatient			45	29.25		90			Percent of total billed charges		40.5	40			Percent of total billed charges		18	80			Percent of total billed charges		36	90			Percent of total billed charges		40.5	85			Percent of total billed charges		38.25	85			Percent of total billed charges		38.25	85			Percent of total billed charges		38.25	100			Percent of total billed charges		45	100			Percent of total billed charges		45	100			Percent of total billed charges		45	33.3			Percent of total billed charges		14.985	33.3			Percent of total billed charges		14.985	100			Percent of total billed charges		45	14.985	40.5	
hypo blanket gaymar 25x64	270	RC	Outpatient			45	29.25		90			Percent of total billed charges		40.5	40			Percent of total billed charges		18	80			Percent of total billed charges		36	90			Percent of total billed charges		40.5	85			Percent of total billed charges		38.25	85			Percent of total billed charges		38.25	85			Percent of total billed charges		38.25	100			Percent of total billed charges		45	100			Percent of total billed charges		45	100			Percent of total billed charges		45	33.3			Percent of total billed charges		14.985	33.3			Percent of total billed charges		14.985	100			Percent of total billed charges		45	14.985	40.5	
flexitip xl arista applicator am0005 bard	272	RC	Outpatient			45	29.25		90			Percent of total billed charges		40.5	40			Percent of total billed charges		18	80			Percent of total billed charges		36	90			Percent of total billed charges		40.5	85			Percent of total billed charges		38.25	85			Percent of total billed charges		38.25	85			Percent of total billed charges		38.25	100			Percent of total billed charges		45	100			Percent of total billed charges		45	100			Percent of total billed charges		45	33.3			Percent of total billed charges		14.985	33.3			Percent of total billed charges		14.985	100			Percent of total billed charges		45	14.985	40.5	
hib vaccine charge prp-d im	983	RC	Outpatient			45	29.25		90			Percent of total billed charges		40.5	40			Percent of total billed charges		18	80			Percent of total billed charges		36	90			Percent of total billed charges		40.5	85			Percent of total billed charges		38.25	85			Percent of total billed charges		38.25	85			Percent of total billed charges		38.25	100			Percent of total billed charges		45	100			Percent of total billed charges		45	100			Percent of total billed charges		45	33.3			Percent of total billed charges		14.985	33.3			Percent of total billed charges		14.985	100			Percent of total billed charges		45	14.985	40.5	
"post op shoe, men, medium"	270	RC	Outpatient			45	29.25		90			Percent of total billed charges		40.5	40			Percent of total billed charges		18	80			Percent of total billed charges		36	90			Percent of total billed charges		40.5	85			Percent of total billed charges		38.25	85			Percent of total billed charges		38.25	85			Percent of total billed charges		38.25	100			Percent of total billed charges		45	100			Percent of total billed charges		45	100			Percent of total billed charges		45	33.3			Percent of total billed charges		14.985	33.3			Percent of total billed charges		14.985	100			Percent of total billed charges		45	14.985	40.5	
"post op shoe, men, small"	270	RC	Outpatient			45	29.25		90			Percent of total billed charges		40.5	40			Percent of total billed charges		18	80			Percent of total billed charges		36	90			Percent of total billed charges		40.5	85			Percent of total billed charges		38.25	85			Percent of total billed charges		38.25	85			Percent of total billed charges		38.25	100			Percent of total billed charges		45	100			Percent of total billed charges		45	100			Percent of total billed charges		45	33.3			Percent of total billed charges		14.985	33.3			Percent of total billed charges		14.985	100			Percent of total billed charges		45	14.985	40.5	
"post op shoe, women, med"	270	RC	Outpatient			45	29.25		90			Percent of total billed charges		40.5	40			Percent of total billed charges		18	80			Percent of total billed charges		36	90			Percent of total billed charges		40.5	85			Percent of total billed charges		38.25	85			Percent of total billed charges		38.25	85			Percent of total billed charges		38.25	100			Percent of total billed charges		45	100			Percent of total billed charges		45	100			Percent of total billed charges		45	33.3			Percent of total billed charges		14.985	33.3			Percent of total billed charges		14.985	100			Percent of total billed charges		45	14.985	40.5	
"post op shoe, women,small"	270	RC	Outpatient			45	29.25		90			Percent of total billed charges		40.5	40			Percent of total billed charges		18	80			Percent of total billed charges		36	90			Percent of total billed charges		40.5	85			Percent of total billed charges		38.25	85			Percent of total billed charges		38.25	85			Percent of total billed charges		38.25	100			Percent of total billed charges		45	100			Percent of total billed charges		45	100			Percent of total billed charges		45	33.3			Percent of total billed charges		14.985	33.3			Percent of total billed charges		14.985	100			Percent of total billed charges		45	14.985	40.5	
sock aide jcot	270	RC	Outpatient			45	29.25		90			Percent of total billed charges		40.5	40			Percent of total billed charges		18	80			Percent of total billed charges		36	90			Percent of total billed charges		40.5	85			Percent of total billed charges		38.25	85			Percent of total billed charges		38.25	85			Percent of total billed charges		38.25	100			Percent of total billed charges		45	100			Percent of total billed charges		45	100			Percent of total billed charges		45	33.3			Percent of total billed charges		14.985	33.3			Percent of total billed charges		14.985	100			Percent of total billed charges		45	14.985	40.5	
soluset #1991-68 150x60	270	RC	Outpatient			45	29.25		90			Percent of total billed charges		40.5	40			Percent of total billed charges		18	80			Percent of total billed charges		36	90			Percent of total billed charges		40.5	85			Percent of total billed charges		38.25	85			Percent of total billed charges		38.25	85			Percent of total billed charges		38.25	100			Percent of total billed charges		45	100			Percent of total billed charges		45	100			Percent of total billed charges		45	33.3			Percent of total billed charges		14.985	33.3			Percent of total billed charges		14.985	100			Percent of total billed charges		45	14.985	40.5	
tpn dressing	270	RC	Outpatient			45	29.25		90			Percent of total billed charges		40.5	40			Percent of total billed charges		18	80			Percent of total billed charges		36	90			Percent of total billed charges		40.5	85			Percent of total billed charges		38.25	85			Percent of total billed charges		38.25	85			Percent of total billed charges		38.25	100			Percent of total billed charges		45	100			Percent of total billed charges		45	100			Percent of total billed charges		45	33.3			Percent of total billed charges		14.985	33.3			Percent of total billed charges		14.985	100			Percent of total billed charges		45	14.985	40.5	
post op shoe ed charge scnt	270	RC	Outpatient			45	29.25		90			Percent of total billed charges		40.5	40			Percent of total billed charges		18	80			Percent of total billed charges		36	90			Percent of total billed charges		40.5	85			Percent of total billed charges		38.25	85			Percent of total billed charges		38.25	85			Percent of total billed charges		38.25	100			Percent of total billed charges		45	100			Percent of total billed charges		45	100			Percent of total billed charges		45	33.3			Percent of total billed charges		14.985	33.3			Percent of total billed charges		14.985	100			Percent of total billed charges		45	14.985	40.5	
"post op shoe, men, large"	270	RC	Outpatient			45	29.25		90			Percent of total billed charges		40.5	40			Percent of total billed charges		18	80			Percent of total billed charges		36	90			Percent of total billed charges		40.5	85			Percent of total billed charges		38.25	85			Percent of total billed charges		38.25	85			Percent of total billed charges		38.25	100			Percent of total billed charges		45	100			Percent of total billed charges		45	100			Percent of total billed charges		45	33.3			Percent of total billed charges		14.985	33.3			Percent of total billed charges		14.985	100			Percent of total billed charges		45	14.985	40.5	
"post op shoe, women,large"	270	RC	Outpatient			45	29.25		90			Percent of total billed charges		40.5	40			Percent of total billed charges		18	80			Percent of total billed charges		36	90			Percent of total billed charges		40.5	85			Percent of total billed charges		38.25	85			Percent of total billed charges		38.25	85			Percent of total billed charges		38.25	100			Percent of total billed charges		45	100			Percent of total billed charges		45	100			Percent of total billed charges		45	33.3			Percent of total billed charges		14.985	33.3			Percent of total billed charges		14.985	100			Percent of total billed charges		45	14.985	40.5	
t-tube deavers 5 crossbar 12 stem 12fr 00999810 bardu	270	RC	Outpatient			45	29.25		90			Percent of total billed charges		40.5	40			Percent of total billed charges		18	80			Percent of total billed charges		36	90			Percent of total billed charges		40.5	85			Percent of total billed charges		38.25	85			Percent of total billed charges		38.25	85			Percent of total billed charges		38.25	100			Percent of total billed charges		45	100			Percent of total billed charges		45	100			Percent of total billed charges		45	33.3			Percent of total billed charges		14.985	33.3			Percent of total billed charges		14.985	100			Percent of total billed charges		45	14.985	40.5	
t-tube drain-deaver	270	RC	Outpatient			45	29.25		90			Percent of total billed charges		40.5	40			Percent of total billed charges		18	80			Percent of total billed charges		36	90			Percent of total billed charges		40.5	85			Percent of total billed charges		38.25	85			Percent of total billed charges		38.25	85			Percent of total billed charges		38.25	100			Percent of total billed charges		45	100			Percent of total billed charges		45	100			Percent of total billed charges		45	33.3			Percent of total billed charges		14.985	33.3			Percent of total billed charges		14.985	100			Percent of total billed charges		45	14.985	40.5	
tray tpn central line 73818 central line securment kit medical action	270	RC	Outpatient			45	29.25		90			Percent of total billed charges		40.5	40			Percent of total billed charges		18	80			Percent of total billed charges		36	90			Percent of total billed charges		40.5	85			Percent of total billed charges		38.25	85			Percent of total billed charges		38.25	85			Percent of total billed charges		38.25	100			Percent of total billed charges		45	100			Percent of total billed charges		45	100			Percent of total billed charges		45	33.3			Percent of total billed charges		14.985	33.3			Percent of total billed charges		14.985	100			Percent of total billed charges		45	14.985	40.5	
xr mandible partial less than 4 views	983	RC	Outpatient			45	29.25		90			Percent of total billed charges		40.5	40			Percent of total billed charges		18	80			Percent of total billed charges		36	90			Percent of total billed charges		40.5	85			Percent of total billed charges		38.25	85			Percent of total billed charges		38.25	85			Percent of total billed charges		38.25	100			Percent of total billed charges		45	100			Percent of total billed charges		45	100			Percent of total billed charges		45	33.3			Percent of total billed charges		14.985	33.3			Percent of total billed charges		14.985	100			Percent of total billed charges		45	14.985	40.5	
cath foley 16 fr 30cc 3-way 167si16	270	RC	Outpatient			46	29.9		90			Percent of total billed charges		41.4	40			Percent of total billed charges		18.4	80			Percent of total billed charges		36.8	90			Percent of total billed charges		41.4	85			Percent of total billed charges		39.1	85			Percent of total billed charges		39.1	85			Percent of total billed charges		39.1	100			Percent of total billed charges		46	100			Percent of total billed charges		46	100			Percent of total billed charges		46	33.3			Percent of total billed charges		15.318	33.3			Percent of total billed charges		15.318	100			Percent of total billed charges		46	15.318	41.4	
cath foley 16 fr 5cc 3-way 0119si16	270	RC	Outpatient			46	29.9		90			Percent of total billed charges		41.4	40			Percent of total billed charges		18.4	80			Percent of total billed charges		36.8	90			Percent of total billed charges		41.4	85			Percent of total billed charges		39.1	85			Percent of total billed charges		39.1	85			Percent of total billed charges		39.1	100			Percent of total billed charges		46	100			Percent of total billed charges		46	100			Percent of total billed charges		46	33.3			Percent of total billed charges		15.318	33.3			Percent of total billed charges		15.318	100			Percent of total billed charges		46	15.318	41.4	
cath foley 18 fr 30cc 3-way 0167si18	270	RC	Outpatient			46	29.9		90			Percent of total billed charges		41.4	40			Percent of total billed charges		18.4	80			Percent of total billed charges		36.8	90			Percent of total billed charges		41.4	85			Percent of total billed charges		39.1	85			Percent of total billed charges		39.1	85			Percent of total billed charges		39.1	100			Percent of total billed charges		46	100			Percent of total billed charges		46	100			Percent of total billed charges		46	33.3			Percent of total billed charges		15.318	33.3			Percent of total billed charges		15.318	100			Percent of total billed charges		46	15.318	41.4	
cath foley 20 fr 30cc 3-way 0167si20	270	RC	Outpatient			46	29.9		90			Percent of total billed charges		41.4	40			Percent of total billed charges		18.4	80			Percent of total billed charges		36.8	90			Percent of total billed charges		41.4	85			Percent of total billed charges		39.1	85			Percent of total billed charges		39.1	85			Percent of total billed charges		39.1	100			Percent of total billed charges		46	100			Percent of total billed charges		46	100			Percent of total billed charges		46	33.3			Percent of total billed charges		15.318	33.3			Percent of total billed charges		15.318	100			Percent of total billed charges		46	15.318	41.4	
cath foley 22 fr 30cc 2-way 0166v22s	270	RC	Outpatient			46	29.9		90			Percent of total billed charges		41.4	40			Percent of total billed charges		18.4	80			Percent of total billed charges		36.8	90			Percent of total billed charges		41.4	85			Percent of total billed charges		39.1	85			Percent of total billed charges		39.1	85			Percent of total billed charges		39.1	100			Percent of total billed charges		46	100			Percent of total billed charges		46	100			Percent of total billed charges		46	33.3			Percent of total billed charges		15.318	33.3			Percent of total billed charges		15.318	100			Percent of total billed charges		46	15.318	41.4	
cath foley 22 fr 30cc 3-way 0167si22	270	RC	Outpatient			46	29.9		90			Percent of total billed charges		41.4	40			Percent of total billed charges		18.4	80			Percent of total billed charges		36.8	90			Percent of total billed charges		41.4	85			Percent of total billed charges		39.1	85			Percent of total billed charges		39.1	85			Percent of total billed charges		39.1	100			Percent of total billed charges		46	100			Percent of total billed charges		46	100			Percent of total billed charges		46	33.3			Percent of total billed charges		15.318	33.3			Percent of total billed charges		15.318	100			Percent of total billed charges		46	15.318	41.4	
cath foley 24 fr 5cc 3-way 0119si24	270	RC	Outpatient			46	29.9		90			Percent of total billed charges		41.4	40			Percent of total billed charges		18.4	80			Percent of total billed charges		36.8	90			Percent of total billed charges		41.4	85			Percent of total billed charges		39.1	85			Percent of total billed charges		39.1	85			Percent of total billed charges		39.1	100			Percent of total billed charges		46	100			Percent of total billed charges		46	100			Percent of total billed charges		46	33.3			Percent of total billed charges		15.318	33.3			Percent of total billed charges		15.318	100			Percent of total billed charges		46	15.318	41.4	
cath lab arterial wrist support	272	RC	Outpatient			46	29.9		90			Percent of total billed charges		41.4	40			Percent of total billed charges		18.4	80			Percent of total billed charges		36.8	90			Percent of total billed charges		41.4	85			Percent of total billed charges		39.1	85			Percent of total billed charges		39.1	85			Percent of total billed charges		39.1	100			Percent of total billed charges		46	100			Percent of total billed charges		46	100			Percent of total billed charges		46	33.3			Percent of total billed charges		15.318	33.3			Percent of total billed charges		15.318	100			Percent of total billed charges		46	15.318	41.4	
"cath,foley 3-way"	270	RC	Outpatient			46	29.9		90			Percent of total billed charges		41.4	40			Percent of total billed charges		18.4	80			Percent of total billed charges		36.8	90			Percent of total billed charges		41.4	85			Percent of total billed charges		39.1	85			Percent of total billed charges		39.1	85			Percent of total billed charges		39.1	100			Percent of total billed charges		46	100			Percent of total billed charges		46	100			Percent of total billed charges		46	33.3			Percent of total billed charges		15.318	33.3			Percent of total billed charges		15.318	100			Percent of total billed charges		46	15.318	41.4	
catheter foley  continuous irrig 18fr 5cc 0119l18 bardu 0119si18	270	RC	Outpatient			46	29.9		90			Percent of total billed charges		41.4	40			Percent of total billed charges		18.4	80			Percent of total billed charges		36.8	90			Percent of total billed charges		41.4	85			Percent of total billed charges		39.1	85			Percent of total billed charges		39.1	85			Percent of total billed charges		39.1	100			Percent of total billed charges		46	100			Percent of total billed charges		46	100			Percent of total billed charges		46	33.3			Percent of total billed charges		15.318	33.3			Percent of total billed charges		15.318	100			Percent of total billed charges		46	15.318	41.4	
chest restraint medium	270	RC	Outpatient			46	29.9		90			Percent of total billed charges		41.4	40			Percent of total billed charges		18.4	80			Percent of total billed charges		36.8	90			Percent of total billed charges		41.4	85			Percent of total billed charges		39.1	85			Percent of total billed charges		39.1	85			Percent of total billed charges		39.1	100			Percent of total billed charges		46	100			Percent of total billed charges		46	100			Percent of total billed charges		46	33.3			Percent of total billed charges		15.318	33.3			Percent of total billed charges		15.318	100			Percent of total billed charges		46	15.318	41.4	
cath foley 18 fr 5cc 3-way 0119si18	270	RC	Outpatient			46	29.9		90			Percent of total billed charges		41.4	40			Percent of total billed charges		18.4	80			Percent of total billed charges		36.8	90			Percent of total billed charges		41.4	85			Percent of total billed charges		39.1	85			Percent of total billed charges		39.1	85			Percent of total billed charges		39.1	100			Percent of total billed charges		46	100			Percent of total billed charges		46	100			Percent of total billed charges		46	33.3			Percent of total billed charges		15.318	33.3			Percent of total billed charges		15.318	100			Percent of total billed charges		46	15.318	41.4	
cath foley 22 fr 30cc 2way  166si22	270	RC	Outpatient			46	29.9		90			Percent of total billed charges		41.4	40			Percent of total billed charges		18.4	80			Percent of total billed charges		36.8	90			Percent of total billed charges		41.4	85			Percent of total billed charges		39.1	85			Percent of total billed charges		39.1	85			Percent of total billed charges		39.1	100			Percent of total billed charges		46	100			Percent of total billed charges		46	100			Percent of total billed charges		46	33.3			Percent of total billed charges		15.318	33.3			Percent of total billed charges		15.318	100			Percent of total billed charges		46	15.318	41.4	
cath foley 22 fr 5cc 3-way 0119si22	270	RC	Outpatient			46	29.9		90			Percent of total billed charges		41.4	40			Percent of total billed charges		18.4	80			Percent of total billed charges		36.8	90			Percent of total billed charges		41.4	85			Percent of total billed charges		39.1	85			Percent of total billed charges		39.1	85			Percent of total billed charges		39.1	100			Percent of total billed charges		46	100			Percent of total billed charges		46	100			Percent of total billed charges		46	33.3			Percent of total billed charges		15.318	33.3			Percent of total billed charges		15.318	100			Percent of total billed charges		46	15.318	41.4	
cath foley 24 fr 30cc 3-way 0167si24	270	RC	Outpatient			46	29.9		90			Percent of total billed charges		41.4	40			Percent of total billed charges		18.4	80			Percent of total billed charges		36.8	90			Percent of total billed charges		41.4	85			Percent of total billed charges		39.1	85			Percent of total billed charges		39.1	85			Percent of total billed charges		39.1	100			Percent of total billed charges		46	100			Percent of total billed charges		46	100			Percent of total billed charges		46	33.3			Percent of total billed charges		15.318	33.3			Percent of total billed charges		15.318	100			Percent of total billed charges		46	15.318	41.4	
"cath,access port"	270	RC	Outpatient			46	29.9		90			Percent of total billed charges		41.4	40			Percent of total billed charges		18.4	80			Percent of total billed charges		36.8	90			Percent of total billed charges		41.4	85			Percent of total billed charges		39.1	85			Percent of total billed charges		39.1	85			Percent of total billed charges		39.1	100			Percent of total billed charges		46	100			Percent of total billed charges		46	100			Percent of total billed charges		46	33.3			Percent of total billed charges		15.318	33.3			Percent of total billed charges		15.318	100			Percent of total billed charges		46	15.318	41.4	
foley cath 20 fr 5cc 3-way 0119si20	270	RC	Outpatient			46	29.9		90			Percent of total billed charges		41.4	40			Percent of total billed charges		18.4	80			Percent of total billed charges		36.8	90			Percent of total billed charges		41.4	85			Percent of total billed charges		39.1	85			Percent of total billed charges		39.1	85			Percent of total billed charges		39.1	100			Percent of total billed charges		46	100			Percent of total billed charges		46	100			Percent of total billed charges		46	33.3			Percent of total billed charges		15.318	33.3			Percent of total billed charges		15.318	100			Percent of total billed charges		46	15.318	41.4	
knee crutch pad	270	RC	Outpatient			46	29.9		90			Percent of total billed charges		41.4	40			Percent of total billed charges		18.4	80			Percent of total billed charges		36.8	90			Percent of total billed charges		41.4	85			Percent of total billed charges		39.1	85			Percent of total billed charges		39.1	85			Percent of total billed charges		39.1	100			Percent of total billed charges		46	100			Percent of total billed charges		46	100			Percent of total billed charges		46	33.3			Percent of total billed charges		15.318	33.3			Percent of total billed charges		15.318	100			Percent of total billed charges		46	15.318	41.4	
laryngoscope and blade	270	RC	Outpatient			46	29.9		90			Percent of total billed charges		41.4	40			Percent of total billed charges		18.4	80			Percent of total billed charges		36.8	90			Percent of total billed charges		41.4	85			Percent of total billed charges		39.1	85			Percent of total billed charges		39.1	85			Percent of total billed charges		39.1	100			Percent of total billed charges		46	100			Percent of total billed charges		46	100			Percent of total billed charges		46	33.3			Percent of total billed charges		15.318	33.3			Percent of total billed charges		15.318	100			Percent of total billed charges		46	15.318	41.4	
pad knee crutch 64718-010	270	RC	Outpatient			46	29.9		90			Percent of total billed charges		41.4	40			Percent of total billed charges		18.4	80			Percent of total billed charges		36.8	90			Percent of total billed charges		41.4	85			Percent of total billed charges		39.1	85			Percent of total billed charges		39.1	85			Percent of total billed charges		39.1	100			Percent of total billed charges		46	100			Percent of total billed charges		46	100			Percent of total billed charges		46	33.3			Percent of total billed charges		15.318	33.3			Percent of total billed charges		15.318	100			Percent of total billed charges		46	15.318	41.4	
set iv pump #4193-48	270	RC	Outpatient			46	29.9		90			Percent of total billed charges		41.4	40			Percent of total billed charges		18.4	80			Percent of total billed charges		36.8	90			Percent of total billed charges		41.4	85			Percent of total billed charges		39.1	85			Percent of total billed charges		39.1	85			Percent of total billed charges		39.1	100			Percent of total billed charges		46	100			Percent of total billed charges		46	100			Percent of total billed charges		46	33.3			Percent of total billed charges		15.318	33.3			Percent of total billed charges		15.318	100			Percent of total billed charges		46	15.318	41.4	
silverlon dressing 2 x 8 wpd-28 cura	272	RC	Outpatient			46	29.9		90			Percent of total billed charges		41.4	40			Percent of total billed charges		18.4	80			Percent of total billed charges		36.8	90			Percent of total billed charges		41.4	85			Percent of total billed charges		39.1	85			Percent of total billed charges		39.1	85			Percent of total billed charges		39.1	100			Percent of total billed charges		46	100			Percent of total billed charges		46	100			Percent of total billed charges		46	33.3			Percent of total billed charges		15.318	33.3			Percent of total billed charges		15.318	100			Percent of total billed charges		46	15.318	41.4	
scrmc set y connector	270	RC	Outpatient			46	29.9		90			Percent of total billed charges		41.4	40			Percent of total billed charges		18.4	80			Percent of total billed charges		36.8	90			Percent of total billed charges		41.4	85			Percent of total billed charges		39.1	85			Percent of total billed charges		39.1	85			Percent of total billed charges		39.1	100			Percent of total billed charges		46	100			Percent of total billed charges		46	100			Percent of total billed charges		46	33.3			Percent of total billed charges		15.318	33.3			Percent of total billed charges		15.318	100			Percent of total billed charges		46	15.318	41.4	
silverlon dsg 2 x 8	272	RC	Outpatient			46	29.9		90			Percent of total billed charges		41.4	40			Percent of total billed charges		18.4	80			Percent of total billed charges		36.8	90			Percent of total billed charges		41.4	85			Percent of total billed charges		39.1	85			Percent of total billed charges		39.1	85			Percent of total billed charges		39.1	100			Percent of total billed charges		46	100			Percent of total billed charges		46	100			Percent of total billed charges		46	33.3			Percent of total billed charges		15.318	33.3			Percent of total billed charges		15.318	100			Percent of total billed charges		46	15.318	41.4	
tube trach ped id3.5mm od5.2 3.5 ped	270	RC	Outpatient			46	29.9		90			Percent of total billed charges		41.4	40			Percent of total billed charges		18.4	80			Percent of total billed charges		36.8	90			Percent of total billed charges		41.4	85			Percent of total billed charges		39.1	85			Percent of total billed charges		39.1	85			Percent of total billed charges		39.1	100			Percent of total billed charges		46	100			Percent of total billed charges		46	100			Percent of total billed charges		46	33.3			Percent of total billed charges		15.318	33.3			Percent of total billed charges		15.318	100			Percent of total billed charges		46	15.318	41.4	
y connector set	270	RC	Outpatient			46	29.9		90			Percent of total billed charges		41.4	40			Percent of total billed charges		18.4	80			Percent of total billed charges		36.8	90			Percent of total billed charges		41.4	85			Percent of total billed charges		39.1	85			Percent of total billed charges		39.1	85			Percent of total billed charges		39.1	100			Percent of total billed charges		46	100			Percent of total billed charges		46	100			Percent of total billed charges		46	33.3			Percent of total billed charges		15.318	33.3			Percent of total billed charges		15.318	100			Percent of total billed charges		46	15.318	41.4	
sensicare pi radiation pro surgical glove 7.5  msg3975h	272	RC	Outpatient			46.67	30.34		90			Percent of total billed charges		42.003	40			Percent of total billed charges		18.668	80			Percent of total billed charges		37.336	90			Percent of total billed charges		42.003	85			Percent of total billed charges		39.6695	85			Percent of total billed charges		39.6695	85			Percent of total billed charges		39.6695	100			Percent of total billed charges		46.67	100			Percent of total billed charges		46.67	100			Percent of total billed charges		46.67	33.3			Percent of total billed charges		15.5411	33.3			Percent of total billed charges		15.5411	100			Percent of total billed charges		46.67	15.5411	42.003	
acutrak .094 x 8mm guidew	272	RC	Outpatient			47	30.55		90			Percent of total billed charges		42.3	40			Percent of total billed charges		18.8	80			Percent of total billed charges		37.6	90			Percent of total billed charges		42.3	85			Percent of total billed charges		39.95	85			Percent of total billed charges		39.95	85			Percent of total billed charges		39.95	100			Percent of total billed charges		47	100			Percent of total billed charges		47	100			Percent of total billed charges		47	33.3			Percent of total billed charges		15.651	33.3			Percent of total billed charges		15.651	100			Percent of total billed charges		47	15.651	42.3	
cast boot	270	RC	Outpatient			47	30.55		90			Percent of total billed charges		42.3	40			Percent of total billed charges		18.8	80			Percent of total billed charges		37.6	90			Percent of total billed charges		42.3	85			Percent of total billed charges		39.95	85			Percent of total billed charges		39.95	85			Percent of total billed charges		39.95	100			Percent of total billed charges		47	100			Percent of total billed charges		47	100			Percent of total billed charges		47	33.3			Percent of total billed charges		15.651	33.3			Percent of total billed charges		15.651	100			Percent of total billed charges		47	15.651	42.3	
chest tube 24fr ra573006	270	RC	Outpatient			47	30.55		90			Percent of total billed charges		42.3	40			Percent of total billed charges		18.8	80			Percent of total billed charges		37.6	90			Percent of total billed charges		42.3	85			Percent of total billed charges		39.95	85			Percent of total billed charges		39.95	85			Percent of total billed charges		39.95	100			Percent of total billed charges		47	100			Percent of total billed charges		47	100			Percent of total billed charges		47	33.3			Percent of total billed charges		15.651	33.3			Percent of total billed charges		15.651	100			Percent of total billed charges		47	15.651	42.3	
chest tube 28fr ra573014	270	RC	Outpatient			47	30.55		90			Percent of total billed charges		42.3	40			Percent of total billed charges		18.8	80			Percent of total billed charges		37.6	90			Percent of total billed charges		42.3	85			Percent of total billed charges		39.95	85			Percent of total billed charges		39.95	85			Percent of total billed charges		39.95	100			Percent of total billed charges		47	100			Percent of total billed charges		47	100			Percent of total billed charges		47	33.3			Percent of total billed charges		15.651	33.3			Percent of total billed charges		15.651	100			Percent of total billed charges		47	15.651	42.3	
chest tube 32fr ra573022	270	RC	Outpatient			47	30.55		90			Percent of total billed charges		42.3	40			Percent of total billed charges		18.8	80			Percent of total billed charges		37.6	90			Percent of total billed charges		42.3	85			Percent of total billed charges		39.95	85			Percent of total billed charges		39.95	85			Percent of total billed charges		39.95	100			Percent of total billed charges		47	100			Percent of total billed charges		47	100			Percent of total billed charges		47	33.3			Percent of total billed charges		15.651	33.3			Percent of total billed charges		15.651	100			Percent of total billed charges		47	15.651	42.3	
hemovac box	270	RC	Outpatient			47	30.55		90			Percent of total billed charges		42.3	40			Percent of total billed charges		18.8	80			Percent of total billed charges		37.6	90			Percent of total billed charges		42.3	85			Percent of total billed charges		39.95	85			Percent of total billed charges		39.95	85			Percent of total billed charges		39.95	100			Percent of total billed charges		47	100			Percent of total billed charges		47	100			Percent of total billed charges		47	33.3			Percent of total billed charges		15.651	33.3			Percent of total billed charges		15.651	100			Percent of total billed charges		47	15.651	42.3	
hot line tubing l-70	270	RC	Outpatient			47	30.55		90			Percent of total billed charges		42.3	40			Percent of total billed charges		18.8	80			Percent of total billed charges		37.6	90			Percent of total billed charges		42.3	85			Percent of total billed charges		39.95	85			Percent of total billed charges		39.95	85			Percent of total billed charges		39.95	100			Percent of total billed charges		47	100			Percent of total billed charges		47	100			Percent of total billed charges		47	33.3			Percent of total billed charges		15.651	33.3			Percent of total billed charges		15.651	100			Percent of total billed charges		47	15.651	42.3	
endo cytology brush	270	RC	Outpatient			47	30.55		90			Percent of total billed charges		42.3	40			Percent of total billed charges		18.8	80			Percent of total billed charges		37.6	90			Percent of total billed charges		42.3	85			Percent of total billed charges		39.95	85			Percent of total billed charges		39.95	85			Percent of total billed charges		39.95	100			Percent of total billed charges		47	100			Percent of total billed charges		47	100			Percent of total billed charges		47	33.3			Percent of total billed charges		15.651	33.3			Percent of total billed charges		15.651	100			Percent of total billed charges		47	15.651	42.3	
kit central line securemt	270	RC	Outpatient			47	30.55		90			Percent of total billed charges		42.3	40			Percent of total billed charges		18.8	80			Percent of total billed charges		37.6	90			Percent of total billed charges		42.3	85			Percent of total billed charges		39.95	85			Percent of total billed charges		39.95	85			Percent of total billed charges		39.95	100			Percent of total billed charges		47	100			Percent of total billed charges		47	100			Percent of total billed charges		47	33.3			Percent of total billed charges		15.651	33.3			Percent of total billed charges		15.651	100			Percent of total billed charges		47	15.651	42.3	
k-wire hand innov	278	RC	Outpatient			47	30.55		90			Percent of total billed charges		42.3	40			Percent of total billed charges		18.8	80			Percent of total billed charges		37.6	90			Percent of total billed charges		42.3	85			Percent of total billed charges		39.95	85			Percent of total billed charges		39.95	85			Percent of total billed charges		39.95	100			Percent of total billed charges		47	100			Percent of total billed charges		47	100			Percent of total billed charges		47	33.3			Percent of total billed charges		15.651	33.3			Percent of total billed charges		15.651	100			Percent of total billed charges		47	15.651	42.3	
pall blood set	270	RC	Outpatient			47	30.55		90			Percent of total billed charges		42.3	40			Percent of total billed charges		18.8	80			Percent of total billed charges		37.6	90			Percent of total billed charges		42.3	85			Percent of total billed charges		39.95	85			Percent of total billed charges		39.95	85			Percent of total billed charges		39.95	100			Percent of total billed charges		47	100			Percent of total billed charges		47	100			Percent of total billed charges		47	33.3			Percent of total billed charges		15.651	33.3			Percent of total billed charges		15.651	100			Percent of total billed charges		47	15.651	42.3	
set - fluid warmer	270	RC	Outpatient			47	30.55		90			Percent of total billed charges		42.3	40			Percent of total billed charges		18.8	80			Percent of total billed charges		37.6	90			Percent of total billed charges		42.3	85			Percent of total billed charges		39.95	85			Percent of total billed charges		39.95	85			Percent of total billed charges		39.95	100			Percent of total billed charges		47	100			Percent of total billed charges		47	100			Percent of total billed charges		47	33.3			Percent of total billed charges		15.651	33.3			Percent of total billed charges		15.651	100			Percent of total billed charges		47	15.651	42.3	
set iv blood fluid warming dis l-70	270	RC	Outpatient			47	30.55		90			Percent of total billed charges		42.3	40			Percent of total billed charges		18.8	80			Percent of total billed charges		37.6	90			Percent of total billed charges		42.3	85			Percent of total billed charges		39.95	85			Percent of total billed charges		39.95	85			Percent of total billed charges		39.95	100			Percent of total billed charges		47	100			Percent of total billed charges		47	100			Percent of total billed charges		47	33.3			Percent of total billed charges		15.651	33.3			Percent of total billed charges		15.651	100			Percent of total billed charges		47	15.651	42.3	
threaded guidewire .094  ws-2408stt acumed	272	RC	Outpatient			47	30.55		90			Percent of total billed charges		42.3	40			Percent of total billed charges		18.8	80			Percent of total billed charges		37.6	90			Percent of total billed charges		42.3	85			Percent of total billed charges		39.95	85			Percent of total billed charges		39.95	85			Percent of total billed charges		39.95	100			Percent of total billed charges		47	100			Percent of total billed charges		47	100			Percent of total billed charges		47	33.3			Percent of total billed charges		15.651	33.3			Percent of total billed charges		15.651	100			Percent of total billed charges		47	15.651	42.3	
tray cath foley 14fr	272	RC	Outpatient			47	30.55		90			Percent of total billed charges		42.3	40			Percent of total billed charges		18.8	80			Percent of total billed charges		37.6	90			Percent of total billed charges		42.3	85			Percent of total billed charges		39.95	85			Percent of total billed charges		39.95	85			Percent of total billed charges		39.95	100			Percent of total billed charges		47	100			Percent of total billed charges		47	100			Percent of total billed charges		47	33.3			Percent of total billed charges		15.651	33.3			Percent of total billed charges		15.651	100			Percent of total billed charges		47	15.651	42.3	
"set, platelet"	270	RC	Outpatient			47	30.55		90			Percent of total billed charges		42.3	40			Percent of total billed charges		18.8	80			Percent of total billed charges		37.6	90			Percent of total billed charges		42.3	85			Percent of total billed charges		39.95	85			Percent of total billed charges		39.95	85			Percent of total billed charges		39.95	100			Percent of total billed charges		47	100			Percent of total billed charges		47	100			Percent of total billed charges		47	33.3			Percent of total billed charges		15.651	33.3			Percent of total billed charges		15.651	100			Percent of total billed charges		47	15.651	42.3	
threaded guidewire .094 x 8mm ws-24088tt acumed	272	RC	Outpatient			47	30.55		90			Percent of total billed charges		42.3	40			Percent of total billed charges		18.8	80			Percent of total billed charges		37.6	90			Percent of total billed charges		42.3	85			Percent of total billed charges		39.95	85			Percent of total billed charges		39.95	85			Percent of total billed charges		39.95	100			Percent of total billed charges		47	100			Percent of total billed charges		47	100			Percent of total billed charges		47	33.3			Percent of total billed charges		15.651	33.3			Percent of total billed charges		15.651	100			Percent of total billed charges		47	15.651	42.3	
tube chest 32fr rt angle	270	RC	Outpatient			47	30.55		90			Percent of total billed charges		42.3	40			Percent of total billed charges		18.8	80			Percent of total billed charges		37.6	90			Percent of total billed charges		42.3	85			Percent of total billed charges		39.95	85			Percent of total billed charges		39.95	85			Percent of total billed charges		39.95	100			Percent of total billed charges		47	100			Percent of total billed charges		47	100			Percent of total billed charges		47	33.3			Percent of total billed charges		15.651	33.3			Percent of total billed charges		15.651	100			Percent of total billed charges		47	15.651	42.3	
vas wire pusher	272	RC	Outpatient			47	30.55		90			Percent of total billed charges		42.3	40			Percent of total billed charges		18.8	80			Percent of total billed charges		37.6	90			Percent of total billed charges		42.3	85			Percent of total billed charges		39.95	85			Percent of total billed charges		39.95	85			Percent of total billed charges		39.95	100			Percent of total billed charges		47	100			Percent of total billed charges		47	100			Percent of total billed charges		47	33.3			Percent of total billed charges		15.651	33.3			Percent of total billed charges		15.651	100			Percent of total billed charges		47	15.651	42.3	
zzscrmc encore inflation device	621	RC	Outpatient			47	30.55		90			Percent of total billed charges		42.3	40			Percent of total billed charges		18.8	80			Percent of total billed charges		37.6	90			Percent of total billed charges		42.3	85			Percent of total billed charges		39.95	85			Percent of total billed charges		39.95	85			Percent of total billed charges		39.95	100			Percent of total billed charges		47	100			Percent of total billed charges		47	100			Percent of total billed charges		47	33.3			Percent of total billed charges		15.651	33.3			Percent of total billed charges		15.651	100			Percent of total billed charges		47	15.651	42.3	
tube chest 24fr rt angle	270	RC	Outpatient			47	30.55		90			Percent of total billed charges		42.3	40			Percent of total billed charges		18.8	80			Percent of total billed charges		37.6	90			Percent of total billed charges		42.3	85			Percent of total billed charges		39.95	85			Percent of total billed charges		39.95	85			Percent of total billed charges		39.95	100			Percent of total billed charges		47	100			Percent of total billed charges		47	100			Percent of total billed charges		47	33.3			Percent of total billed charges		15.651	33.3			Percent of total billed charges		15.651	100			Percent of total billed charges		47	15.651	42.3	
tube chest trocar 24	270	RC	Outpatient			47	30.55		90			Percent of total billed charges		42.3	40			Percent of total billed charges		18.8	80			Percent of total billed charges		37.6	90			Percent of total billed charges		42.3	85			Percent of total billed charges		39.95	85			Percent of total billed charges		39.95	85			Percent of total billed charges		39.95	100			Percent of total billed charges		47	100			Percent of total billed charges		47	100			Percent of total billed charges		47	33.3			Percent of total billed charges		15.651	33.3			Percent of total billed charges		15.651	100			Percent of total billed charges		47	15.651	42.3	
wire pusher sf-45-145-aso cook	272	RC	Outpatient			47	30.55		90			Percent of total billed charges		42.3	40			Percent of total billed charges		18.8	80			Percent of total billed charges		37.6	90			Percent of total billed charges		42.3	85			Percent of total billed charges		39.95	85			Percent of total billed charges		39.95	85			Percent of total billed charges		39.95	100			Percent of total billed charges		47	100			Percent of total billed charges		47	100			Percent of total billed charges		47	33.3			Percent of total billed charges		15.651	33.3			Percent of total billed charges		15.651	100			Percent of total billed charges		47	15.651	42.3	
brush cytology boston scientific ref #1601	272	RC	Outpatient			47.76	31.04		90			Percent of total billed charges		42.984	40			Percent of total billed charges		19.104	80			Percent of total billed charges		38.208	90			Percent of total billed charges		42.984	85			Percent of total billed charges		40.596	85			Percent of total billed charges		40.596	85			Percent of total billed charges		40.596	100			Percent of total billed charges		47.76	100			Percent of total billed charges		47.76	100			Percent of total billed charges		47.76	33.3			Percent of total billed charges		15.9041	33.3			Percent of total billed charges		15.9041	100			Percent of total billed charges		47.76	15.9041	42.984	
abdominal binder	270	RC	Outpatient			48	31.2		90			Percent of total billed charges		43.2	40			Percent of total billed charges		19.2	80			Percent of total billed charges		38.4	90			Percent of total billed charges		43.2	85			Percent of total billed charges		40.8	85			Percent of total billed charges		40.8	85			Percent of total billed charges		40.8	100			Percent of total billed charges		48	100			Percent of total billed charges		48	100			Percent of total billed charges		48	33.3			Percent of total billed charges		15.984	33.3			Percent of total billed charges		15.984	100			Percent of total billed charges		48	15.984	43.2	
arthrex guidewire .094	272	RC	Outpatient			48	31.2		90			Percent of total billed charges		43.2	40			Percent of total billed charges		19.2	80			Percent of total billed charges		38.4	90			Percent of total billed charges		43.2	85			Percent of total billed charges		40.8	85			Percent of total billed charges		40.8	85			Percent of total billed charges		40.8	100			Percent of total billed charges		48	100			Percent of total billed charges		48	100			Percent of total billed charges		48	33.3			Percent of total billed charges		15.984	33.3			Percent of total billed charges		15.984	100			Percent of total billed charges		48	15.984	43.2	
arthrex guidewire w/ trocar 0.94 x 8 ar-8967k	272	RC	Outpatient			48	31.2		90			Percent of total billed charges		43.2	40			Percent of total billed charges		19.2	80			Percent of total billed charges		38.4	90			Percent of total billed charges		43.2	85			Percent of total billed charges		40.8	85			Percent of total billed charges		40.8	85			Percent of total billed charges		40.8	100			Percent of total billed charges		48	100			Percent of total billed charges		48	100			Percent of total billed charges		48	33.3			Percent of total billed charges		15.984	33.3			Percent of total billed charges		15.984	100			Percent of total billed charges		48	15.984	43.2	
breast pad nursing disp	270	RC	Outpatient			48	31.2		90			Percent of total billed charges		43.2	40			Percent of total billed charges		19.2	80			Percent of total billed charges		38.4	90			Percent of total billed charges		43.2	85			Percent of total billed charges		40.8	85			Percent of total billed charges		40.8	85			Percent of total billed charges		40.8	100			Percent of total billed charges		48	100			Percent of total billed charges		48	100			Percent of total billed charges		48	33.3			Percent of total billed charges		15.984	33.3			Percent of total billed charges		15.984	100			Percent of total billed charges		48	15.984	43.2	
"cath,coude tip"	270	RC	Outpatient			48	31.2		90			Percent of total billed charges		43.2	40			Percent of total billed charges		19.2	80			Percent of total billed charges		38.4	90			Percent of total billed charges		43.2	85			Percent of total billed charges		40.8	85			Percent of total billed charges		40.8	85			Percent of total billed charges		40.8	100			Percent of total billed charges		48	100			Percent of total billed charges		48	100			Percent of total billed charges		48	33.3			Percent of total billed charges		15.984	33.3			Percent of total billed charges		15.984	100			Percent of total billed charges		48	15.984	43.2	
dressing silverlon 4 x 6	270	RC	Outpatient			48	31.2		90			Percent of total billed charges		43.2	40			Percent of total billed charges		19.2	80			Percent of total billed charges		38.4	90			Percent of total billed charges		43.2	85			Percent of total billed charges		40.8	85			Percent of total billed charges		40.8	85			Percent of total billed charges		40.8	100			Percent of total billed charges		48	100			Percent of total billed charges		48	100			Percent of total billed charges		48	33.3			Percent of total billed charges		15.984	33.3			Percent of total billed charges		15.984	100			Percent of total billed charges		48	15.984	43.2	
guidewire rosen	272	RC	Outpatient			48	31.2		90			Percent of total billed charges		43.2	40			Percent of total billed charges		19.2	80			Percent of total billed charges		38.4	90			Percent of total billed charges		43.2	85			Percent of total billed charges		40.8	85			Percent of total billed charges		40.8	85			Percent of total billed charges		40.8	100			Percent of total billed charges		48	100			Percent of total billed charges		48	100			Percent of total billed charges		48	33.3			Percent of total billed charges		15.984	33.3			Percent of total billed charges		15.984	100			Percent of total billed charges		48	15.984	43.2	
j-wire ed charge scnt	270	RC	Outpatient			48	31.2		90			Percent of total billed charges		43.2	40			Percent of total billed charges		19.2	80			Percent of total billed charges		38.4	90			Percent of total billed charges		43.2	85			Percent of total billed charges		40.8	85			Percent of total billed charges		40.8	85			Percent of total billed charges		40.8	100			Percent of total billed charges		48	100			Percent of total billed charges		48	100			Percent of total billed charges		48	33.3			Percent of total billed charges		15.984	33.3			Percent of total billed charges		15.984	100			Percent of total billed charges		48	15.984	43.2	
j-wire	270	RC	Outpatient			48	31.2		90			Percent of total billed charges		43.2	40			Percent of total billed charges		19.2	80			Percent of total billed charges		38.4	90			Percent of total billed charges		43.2	85			Percent of total billed charges		40.8	85			Percent of total billed charges		40.8	85			Percent of total billed charges		40.8	100			Percent of total billed charges		48	100			Percent of total billed charges		48	100			Percent of total billed charges		48	33.3			Percent of total billed charges		15.984	33.3			Percent of total billed charges		15.984	100			Percent of total billed charges		48	15.984	43.2	
j-wire (arrow)	270	RC	Outpatient			48	31.2		90			Percent of total billed charges		43.2	40			Percent of total billed charges		19.2	80			Percent of total billed charges		38.4	90			Percent of total billed charges		43.2	85			Percent of total billed charges		40.8	85			Percent of total billed charges		40.8	85			Percent of total billed charges		40.8	100			Percent of total billed charges		48	100			Percent of total billed charges		48	100			Percent of total billed charges		48	33.3			Percent of total billed charges		15.984	33.3			Percent of total billed charges		15.984	100			Percent of total billed charges		48	15.984	43.2	
parham band thin	278	RC	Outpatient			48	31.2		90			Percent of total billed charges		43.2	40			Percent of total billed charges		19.2	80			Percent of total billed charges		38.4	90			Percent of total billed charges		43.2	85			Percent of total billed charges		40.8	85			Percent of total billed charges		40.8	85			Percent of total billed charges		40.8	100			Percent of total billed charges		48	100			Percent of total billed charges		48	100			Percent of total billed charges		48	33.3			Percent of total billed charges		15.984	33.3			Percent of total billed charges		15.984	100			Percent of total billed charges		48	15.984	43.2	
"tray, large ed charge scnt"	270	RC	Outpatient			48	31.2		90			Percent of total billed charges		43.2	40			Percent of total billed charges		19.2	80			Percent of total billed charges		38.4	90			Percent of total billed charges		43.2	85			Percent of total billed charges		40.8	85			Percent of total billed charges		40.8	85			Percent of total billed charges		40.8	100			Percent of total billed charges		48	100			Percent of total billed charges		48	100			Percent of total billed charges		48	33.3			Percent of total billed charges		15.984	33.3			Percent of total billed charges		15.984	100			Percent of total billed charges		48	15.984	43.2	
rosen glidewire 260cm curved g02246 cook	272	RC	Outpatient			48	31.2		90			Percent of total billed charges		43.2	40			Percent of total billed charges		19.2	80			Percent of total billed charges		38.4	90			Percent of total billed charges		43.2	85			Percent of total billed charges		40.8	85			Percent of total billed charges		40.8	85			Percent of total billed charges		40.8	100			Percent of total billed charges		48	100			Percent of total billed charges		48	100			Percent of total billed charges		48	33.3			Percent of total billed charges		15.984	33.3			Percent of total billed charges		15.984	100			Percent of total billed charges		48	15.984	43.2	
sugar tong splint	270	RC	Outpatient			48	31.2		90			Percent of total billed charges		43.2	40			Percent of total billed charges		19.2	80			Percent of total billed charges		38.4	90			Percent of total billed charges		43.2	85			Percent of total billed charges		40.8	85			Percent of total billed charges		40.8	85			Percent of total billed charges		40.8	100			Percent of total billed charges		48	100			Percent of total billed charges		48	100			Percent of total billed charges		48	33.3			Percent of total billed charges		15.984	33.3			Percent of total billed charges		15.984	100			Percent of total billed charges		48	15.984	43.2	
support abdominal universal 2732-10	270	RC	Outpatient			48	31.2		90			Percent of total billed charges		43.2	40			Percent of total billed charges		19.2	80			Percent of total billed charges		38.4	90			Percent of total billed charges		43.2	85			Percent of total billed charges		40.8	85			Percent of total billed charges		40.8	85			Percent of total billed charges		40.8	100			Percent of total billed charges		48	100			Percent of total billed charges		48	100			Percent of total billed charges		48	33.3			Percent of total billed charges		15.984	33.3			Percent of total billed charges		15.984	100			Percent of total billed charges		48	15.984	43.2	
"tray, er large"	270	RC	Outpatient			48	31.2		90			Percent of total billed charges		43.2	40			Percent of total billed charges		19.2	80			Percent of total billed charges		38.4	90			Percent of total billed charges		43.2	85			Percent of total billed charges		40.8	85			Percent of total billed charges		40.8	85			Percent of total billed charges		40.8	100			Percent of total billed charges		48	100			Percent of total billed charges		48	100			Percent of total billed charges		48	33.3			Percent of total billed charges		15.984	33.3			Percent of total billed charges		15.984	100			Percent of total billed charges		48	15.984	43.2	
tube chest thoracic 36fr	270	RC	Outpatient			48	31.2		90			Percent of total billed charges		43.2	40			Percent of total billed charges		19.2	80			Percent of total billed charges		38.4	90			Percent of total billed charges		43.2	85			Percent of total billed charges		40.8	85			Percent of total billed charges		40.8	85			Percent of total billed charges		40.8	100			Percent of total billed charges		48	100			Percent of total billed charges		48	100			Percent of total billed charges		48	33.3			Percent of total billed charges		15.984	33.3			Percent of total billed charges		15.984	100			Percent of total billed charges		48	15.984	43.2	
tumescent infiltration kit tik-01 covidien	272	RC	Outpatient			48	31.2		90			Percent of total billed charges		43.2	40			Percent of total billed charges		19.2	80			Percent of total billed charges		38.4	90			Percent of total billed charges		43.2	85			Percent of total billed charges		40.8	85			Percent of total billed charges		40.8	85			Percent of total billed charges		40.8	100			Percent of total billed charges		48	100			Percent of total billed charges		48	100			Percent of total billed charges		48	33.3			Percent of total billed charges		15.984	33.3			Percent of total billed charges		15.984	100			Percent of total billed charges		48	15.984	43.2	
tur flow pouch	270	RC	Outpatient			48	31.2		90			Percent of total billed charges		43.2	40			Percent of total billed charges		19.2	80			Percent of total billed charges		38.4	90			Percent of total billed charges		43.2	85			Percent of total billed charges		40.8	85			Percent of total billed charges		40.8	85			Percent of total billed charges		40.8	100			Percent of total billed charges		48	100			Percent of total billed charges		48	100			Percent of total billed charges		48	33.3			Percent of total billed charges		15.984	33.3			Percent of total billed charges		15.984	100			Percent of total billed charges		48	15.984	43.2	
"wire guide, fix core 3mmj .035od x 40cm argo 395271"	270	RC	Outpatient			48	31.2		90			Percent of total billed charges		43.2	40			Percent of total billed charges		19.2	80			Percent of total billed charges		38.4	90			Percent of total billed charges		43.2	85			Percent of total billed charges		40.8	85			Percent of total billed charges		40.8	85			Percent of total billed charges		40.8	100			Percent of total billed charges		48	100			Percent of total billed charges		48	100			Percent of total billed charges		48	33.3			Percent of total billed charges		15.984	33.3			Percent of total billed charges		15.984	100			Percent of total billed charges		48	15.984	43.2	
tumescent infilt kit	272	RC	Outpatient			48	31.2		90			Percent of total billed charges		43.2	40			Percent of total billed charges		19.2	80			Percent of total billed charges		38.4	90			Percent of total billed charges		43.2	85			Percent of total billed charges		40.8	85			Percent of total billed charges		40.8	85			Percent of total billed charges		40.8	100			Percent of total billed charges		48	100			Percent of total billed charges		48	100			Percent of total billed charges		48	33.3			Percent of total billed charges		15.984	33.3			Percent of total billed charges		15.984	100			Percent of total billed charges		48	15.984	43.2	
arm sling ed charge scnt	270	RC	Outpatient			49	31.85		90			Percent of total billed charges		44.1	40			Percent of total billed charges		19.6	80			Percent of total billed charges		39.2	90			Percent of total billed charges		44.1	85			Percent of total billed charges		41.65	85			Percent of total billed charges		41.65	85			Percent of total billed charges		41.65	100			Percent of total billed charges		49	100			Percent of total billed charges		49	100			Percent of total billed charges		49	33.3			Percent of total billed charges		16.317	33.3			Percent of total billed charges		16.317	100			Percent of total billed charges		49	16.317	44.1	
sling arm univ. swathe	270	RC	Outpatient			49	31.85		90			Percent of total billed charges		44.1	40			Percent of total billed charges		19.6	80			Percent of total billed charges		39.2	90			Percent of total billed charges		44.1	85			Percent of total billed charges		41.65	85			Percent of total billed charges		41.65	85			Percent of total billed charges		41.65	100			Percent of total billed charges		49	100			Percent of total billed charges		49	100			Percent of total billed charges		49	33.3			Percent of total billed charges		16.317	33.3			Percent of total billed charges		16.317	100			Percent of total billed charges		49	16.317	44.1	
speed pin 110mm non rimmed s/n 74013401	278	RC	Outpatient			49	31.85		90			Percent of total billed charges		44.1	40			Percent of total billed charges		19.6	80			Percent of total billed charges		39.2	90			Percent of total billed charges		44.1	85			Percent of total billed charges		41.65	85			Percent of total billed charges		41.65	85			Percent of total billed charges		41.65	100			Percent of total billed charges		49	100			Percent of total billed charges		49	100			Percent of total billed charges		49	33.3			Percent of total billed charges		16.317	33.3			Percent of total billed charges		16.317	100			Percent of total billed charges		49	16.317	44.1	
5-8 mm cannula seal ref 470361 isi	272	RC	Outpatient			49.5	32.18		90			Percent of total billed charges		44.55	40			Percent of total billed charges		19.8	80			Percent of total billed charges		39.6	90			Percent of total billed charges		44.55	85			Percent of total billed charges		42.075	85			Percent of total billed charges		42.075	85			Percent of total billed charges		42.075	100			Percent of total billed charges		49.5	100			Percent of total billed charges		49.5	100			Percent of total billed charges		49.5	33.3			Percent of total billed charges		16.4835	33.3			Percent of total billed charges		16.4835	100			Percent of total billed charges		49.5	16.4835	44.55	
isi xi column drape ref 470341	272	RC	Outpatient			49.5	32.18		90			Percent of total billed charges		44.55	40			Percent of total billed charges		19.8	80			Percent of total billed charges		39.6	90			Percent of total billed charges		44.55	85			Percent of total billed charges		42.075	85			Percent of total billed charges		42.075	85			Percent of total billed charges		42.075	100			Percent of total billed charges		49.5	100			Percent of total billed charges		49.5	100			Percent of total billed charges		49.5	33.3			Percent of total billed charges		16.4835	33.3			Percent of total billed charges		16.4835	100			Percent of total billed charges		49.5	16.4835	44.55	
large bone hall blade 12.5 x 76 x 1.27 mm ref 5052-291	272	RC	Outpatient			49.5	32.18		90			Percent of total billed charges		44.55	40			Percent of total billed charges		19.8	80			Percent of total billed charges		39.6	90			Percent of total billed charges		44.55	85			Percent of total billed charges		42.075	85			Percent of total billed charges		42.075	85			Percent of total billed charges		42.075	100			Percent of total billed charges		49.5	100			Percent of total billed charges		49.5	100			Percent of total billed charges		49.5	33.3			Percent of total billed charges		16.4835	33.3			Percent of total billed charges		16.4835	100			Percent of total billed charges		49.5	16.4835	44.55	
access vessel dilator 504-407x cordis	272	RC	Outpatient			50	32.5		90			Percent of total billed charges		45	40			Percent of total billed charges		20	80			Percent of total billed charges		40	90			Percent of total billed charges		45	85			Percent of total billed charges		42.5	85			Percent of total billed charges		42.5	85			Percent of total billed charges		42.5	100			Percent of total billed charges		50	100			Percent of total billed charges		50	100			Percent of total billed charges		50	33.3			Percent of total billed charges		16.65	33.3			Percent of total billed charges		16.65	100			Percent of total billed charges		50	16.65	45	
96415 each add'l hr 1-8	983	RC	Outpatient			50	32.5		90			Percent of total billed charges		45	40			Percent of total billed charges		20	80			Percent of total billed charges		40	90			Percent of total billed charges		45	85			Percent of total billed charges		42.5	85			Percent of total billed charges		42.5	85			Percent of total billed charges		42.5	100			Percent of total billed charges		50	100			Percent of total billed charges		50	100			Percent of total billed charges		50	33.3			Percent of total billed charges		16.65	33.3			Percent of total billed charges		16.65	100			Percent of total billed charges		50	16.65	45	
cath trocar 8fr. 560805	270	RC	Outpatient			50	32.5		90			Percent of total billed charges		45	40			Percent of total billed charges		20	80			Percent of total billed charges		40	90			Percent of total billed charges		45	85			Percent of total billed charges		42.5	85			Percent of total billed charges		42.5	85			Percent of total billed charges		42.5	100			Percent of total billed charges		50	100			Percent of total billed charges		50	100			Percent of total billed charges		50	33.3			Percent of total billed charges		16.65	33.3			Percent of total billed charges		16.65	100			Percent of total billed charges		50	16.65	45	
chest restraint large	270	RC	Outpatient			50	32.5		90			Percent of total billed charges		45	40			Percent of total billed charges		20	80			Percent of total billed charges		40	90			Percent of total billed charges		45	85			Percent of total billed charges		42.5	85			Percent of total billed charges		42.5	85			Percent of total billed charges		42.5	100			Percent of total billed charges		50	100			Percent of total billed charges		50	100			Percent of total billed charges		50	33.3			Percent of total billed charges		16.65	33.3			Percent of total billed charges		16.65	100			Percent of total billed charges		50	16.65	45	
electroshield diamnd hook	270	RC	Outpatient			50	32.5		90			Percent of total billed charges		45	40			Percent of total billed charges		20	80			Percent of total billed charges		40	90			Percent of total billed charges		45	85			Percent of total billed charges		42.5	85			Percent of total billed charges		42.5	85			Percent of total billed charges		42.5	100			Percent of total billed charges		50	100			Percent of total billed charges		50	100			Percent of total billed charges		50	33.3			Percent of total billed charges		16.65	33.3			Percent of total billed charges		16.65	100			Percent of total billed charges		50	16.65	45	
electroshield square hook	270	RC	Outpatient			50	32.5		90			Percent of total billed charges		45	40			Percent of total billed charges		20	80			Percent of total billed charges		40	90			Percent of total billed charges		45	85			Percent of total billed charges		42.5	85			Percent of total billed charges		42.5	85			Percent of total billed charges		42.5	100			Percent of total billed charges		50	100			Percent of total billed charges		50	100			Percent of total billed charges		50	33.3			Percent of total billed charges		16.65	33.3			Percent of total billed charges		16.65	100			Percent of total billed charges		50	16.65	45	
gel psd psdgel	270	RC	Outpatient			50	32.5		90			Percent of total billed charges		45	40			Percent of total billed charges		20	80			Percent of total billed charges		40	90			Percent of total billed charges		45	85			Percent of total billed charges		42.5	85			Percent of total billed charges		42.5	85			Percent of total billed charges		42.5	100			Percent of total billed charges		50	100			Percent of total billed charges		50	100			Percent of total billed charges		50	33.3			Percent of total billed charges		16.65	33.3			Percent of total billed charges		16.65	100			Percent of total billed charges		50	16.65	45	
electro l-diamond 5mm 35cm es3514b	270	RC	Outpatient			50	32.5		90			Percent of total billed charges		45	40			Percent of total billed charges		20	80			Percent of total billed charges		40	90			Percent of total billed charges		45	85			Percent of total billed charges		42.5	85			Percent of total billed charges		42.5	85			Percent of total billed charges		42.5	100			Percent of total billed charges		50	100			Percent of total billed charges		50	100			Percent of total billed charges		50	33.3			Percent of total billed charges		16.65	33.3			Percent of total billed charges		16.65	100			Percent of total billed charges		50	16.65	45	
electroshield needle tip	270	RC	Outpatient			50	32.5		90			Percent of total billed charges		45	40			Percent of total billed charges		20	80			Percent of total billed charges		40	90			Percent of total billed charges		45	85			Percent of total billed charges		42.5	85			Percent of total billed charges		42.5	85			Percent of total billed charges		42.5	100			Percent of total billed charges		50	100			Percent of total billed charges		50	100			Percent of total billed charges		50	33.3			Percent of total billed charges		16.65	33.3			Percent of total billed charges		16.65	100			Percent of total billed charges		50	16.65	45	
ems needle tip electrode	270	RC	Outpatient			50	32.5		90			Percent of total billed charges		45	40			Percent of total billed charges		20	80			Percent of total billed charges		40	90			Percent of total billed charges		45	85			Percent of total billed charges		42.5	85			Percent of total billed charges		42.5	85			Percent of total billed charges		42.5	100			Percent of total billed charges		50	100			Percent of total billed charges		50	100			Percent of total billed charges		50	33.3			Percent of total billed charges		16.65	33.3			Percent of total billed charges		16.65	100			Percent of total billed charges		50	16.65	45	
kit transducer pressure pole m dt4812	270	RC	Outpatient			50	32.5		90			Percent of total billed charges		45	40			Percent of total billed charges		20	80			Percent of total billed charges		40	90			Percent of total billed charges		45	85			Percent of total billed charges		42.5	85			Percent of total billed charges		42.5	85			Percent of total billed charges		42.5	100			Percent of total billed charges		50	100			Percent of total billed charges		50	100			Percent of total billed charges		50	33.3			Percent of total billed charges		16.65	33.3			Percent of total billed charges		16.65	100			Percent of total billed charges		50	16.65	45	
hook square l electrode es3514b	270	RC	Outpatient			50	32.5		90			Percent of total billed charges		45	40			Percent of total billed charges		20	80			Percent of total billed charges		40	90			Percent of total billed charges		45	85			Percent of total billed charges		42.5	85			Percent of total billed charges		42.5	85			Percent of total billed charges		42.5	100			Percent of total billed charges		50	100			Percent of total billed charges		50	100			Percent of total billed charges		50	33.3			Percent of total billed charges		16.65	33.3			Percent of total billed charges		16.65	100			Percent of total billed charges		50	16.65	45	
nebulizer heart direct connect large volume	270	RC	Outpatient			50	32.5		90			Percent of total billed charges		45	40			Percent of total billed charges		20	80			Percent of total billed charges		40	90			Percent of total billed charges		45	85			Percent of total billed charges		42.5	85			Percent of total billed charges		42.5	85			Percent of total billed charges		42.5	100			Percent of total billed charges		50	100			Percent of total billed charges		50	100			Percent of total billed charges		50	33.3			Percent of total billed charges		16.65	33.3			Percent of total billed charges		16.65	100			Percent of total billed charges		50	16.65	45	
psd gel	270	RC	Outpatient			50	32.5		90			Percent of total billed charges		45	40			Percent of total billed charges		20	80			Percent of total billed charges		40	90			Percent of total billed charges		45	85			Percent of total billed charges		42.5	85			Percent of total billed charges		42.5	85			Percent of total billed charges		42.5	100			Percent of total billed charges		50	100			Percent of total billed charges		50	100			Percent of total billed charges		50	33.3			Percent of total billed charges		16.65	33.3			Percent of total billed charges		16.65	100			Percent of total billed charges		50	16.65	45	
rf cannula 100mm sl-c1010-18 st jude	272	RC	Outpatient			50	32.5		90			Percent of total billed charges		45	40			Percent of total billed charges		20	80			Percent of total billed charges		40	90			Percent of total billed charges		45	85			Percent of total billed charges		42.5	85			Percent of total billed charges		42.5	85			Percent of total billed charges		42.5	100			Percent of total billed charges		50	100			Percent of total billed charges		50	100			Percent of total billed charges		50	33.3			Percent of total billed charges		16.65	33.3			Percent of total billed charges		16.65	100			Percent of total billed charges		50	16.65	45	
rf cannula 150mm sl-c1510-18 st jude	272	RC	Outpatient			50	32.5		90			Percent of total billed charges		45	40			Percent of total billed charges		20	80			Percent of total billed charges		40	90			Percent of total billed charges		45	85			Percent of total billed charges		42.5	85			Percent of total billed charges		42.5	85			Percent of total billed charges		42.5	100			Percent of total billed charges		50	100			Percent of total billed charges		50	100			Percent of total billed charges		50	33.3			Percent of total billed charges		16.65	33.3			Percent of total billed charges		16.65	100			Percent of total billed charges		50	16.65	45	
silverlon dsg 4x6	272	RC	Outpatient			50	32.5		90			Percent of total billed charges		45	40			Percent of total billed charges		20	80			Percent of total billed charges		40	90			Percent of total billed charges		45	85			Percent of total billed charges		42.5	85			Percent of total billed charges		42.5	85			Percent of total billed charges		42.5	100			Percent of total billed charges		50	100			Percent of total billed charges		50	100			Percent of total billed charges		50	33.3			Percent of total billed charges		16.65	33.3			Percent of total billed charges		16.65	100			Percent of total billed charges		50	16.65	45	
silverlon island dressing 4 x 6 id-46 argentum med	272	RC	Outpatient			50	32.5		90			Percent of total billed charges		45	40			Percent of total billed charges		20	80			Percent of total billed charges		40	90			Percent of total billed charges		45	85			Percent of total billed charges		42.5	85			Percent of total billed charges		42.5	85			Percent of total billed charges		42.5	100			Percent of total billed charges		50	100			Percent of total billed charges		50	100			Percent of total billed charges		50	33.3			Percent of total billed charges		16.65	33.3			Percent of total billed charges		16.65	100			Percent of total billed charges		50	16.65	45	
transducer kit	270	RC	Outpatient			50	32.5		90			Percent of total billed charges		45	40			Percent of total billed charges		20	80			Percent of total billed charges		40	90			Percent of total billed charges		45	85			Percent of total billed charges		42.5	85			Percent of total billed charges		42.5	85			Percent of total billed charges		42.5	100			Percent of total billed charges		50	100			Percent of total billed charges		50	100			Percent of total billed charges		50	33.3			Percent of total billed charges		16.65	33.3			Percent of total billed charges		16.65	100			Percent of total billed charges		50	16.65	45	
simuplex nerve stimulator	270	RC	Outpatient			50	32.5		90			Percent of total billed charges		45	40			Percent of total billed charges		20	80			Percent of total billed charges		40	90			Percent of total billed charges		45	85			Percent of total billed charges		42.5	85			Percent of total billed charges		42.5	85			Percent of total billed charges		42.5	100			Percent of total billed charges		50	100			Percent of total billed charges		50	100			Percent of total billed charges		50	33.3			Percent of total billed charges		16.65	33.3			Percent of total billed charges		16.65	100			Percent of total billed charges		50	16.65	45	
skin - bond (cement)	270	RC	Outpatient			50	32.5		90			Percent of total billed charges		45	40			Percent of total billed charges		20	80			Percent of total billed charges		40	90			Percent of total billed charges		45	85			Percent of total billed charges		42.5	85			Percent of total billed charges		42.5	85			Percent of total billed charges		42.5	100			Percent of total billed charges		50	100			Percent of total billed charges		50	100			Percent of total billed charges		50	33.3			Percent of total billed charges		16.65	33.3			Percent of total billed charges		16.65	100			Percent of total billed charges		50	16.65	45	
stimuplex nerve stimulato	270	RC	Outpatient			50	32.5		90			Percent of total billed charges		45	40			Percent of total billed charges		20	80			Percent of total billed charges		40	90			Percent of total billed charges		45	85			Percent of total billed charges		42.5	85			Percent of total billed charges		42.5	85			Percent of total billed charges		42.5	100			Percent of total billed charges		50	100			Percent of total billed charges		50	100			Percent of total billed charges		50	33.3			Percent of total billed charges		16.65	33.3			Percent of total billed charges		16.65	100			Percent of total billed charges		50	16.65	45	
suction set smp-001s smp-2006001ss	270	RC	Outpatient			50	32.5		90			Percent of total billed charges		45	40			Percent of total billed charges		20	80			Percent of total billed charges		40	90			Percent of total billed charges		45	85			Percent of total billed charges		42.5	85			Percent of total billed charges		42.5	85			Percent of total billed charges		42.5	100			Percent of total billed charges		50	100			Percent of total billed charges		50	100			Percent of total billed charges		50	33.3			Percent of total billed charges		16.65	33.3			Percent of total billed charges		16.65	100			Percent of total billed charges		50	16.65	45	
tube evac hi/lo 7.5	270	RC	Outpatient			50	32.5		90			Percent of total billed charges		45	40			Percent of total billed charges		20	80			Percent of total billed charges		40	90			Percent of total billed charges		45	85			Percent of total billed charges		42.5	85			Percent of total billed charges		42.5	85			Percent of total billed charges		42.5	100			Percent of total billed charges		50	100			Percent of total billed charges		50	100			Percent of total billed charges		50	33.3			Percent of total billed charges		16.65	33.3			Percent of total billed charges		16.65	100			Percent of total billed charges		50	16.65	45	
tube feed weighted 12fr d	270	RC	Outpatient			50	32.5		90			Percent of total billed charges		45	40			Percent of total billed charges		20	80			Percent of total billed charges		40	90			Percent of total billed charges		45	85			Percent of total billed charges		42.5	85			Percent of total billed charges		42.5	85			Percent of total billed charges		42.5	100			Percent of total billed charges		50	100			Percent of total billed charges		50	100			Percent of total billed charges		50	33.3			Percent of total billed charges		16.65	33.3			Percent of total billed charges		16.65	100			Percent of total billed charges		50	16.65	45	
vessel dilator	272	RC	Outpatient			50	32.5		90			Percent of total billed charges		45	40			Percent of total billed charges		20	80			Percent of total billed charges		40	90			Percent of total billed charges		45	85			Percent of total billed charges		42.5	85			Percent of total billed charges		42.5	85			Percent of total billed charges		42.5	100			Percent of total billed charges		50	100			Percent of total billed charges		50	100			Percent of total billed charges		50	33.3			Percent of total billed charges		16.65	33.3			Percent of total billed charges		16.65	100			Percent of total billed charges		50	16.65	45	
via guard (b basket)	270	RC	Outpatient			50	32.5		90			Percent of total billed charges		45	40			Percent of total billed charges		20	80			Percent of total billed charges		40	90			Percent of total billed charges		45	85			Percent of total billed charges		42.5	85			Percent of total billed charges		42.5	85			Percent of total billed charges		42.5	100			Percent of total billed charges		50	100			Percent of total billed charges		50	100			Percent of total billed charges		50	33.3			Percent of total billed charges		16.65	33.3			Percent of total billed charges		16.65	100			Percent of total billed charges		50	16.65	45	
via-guard tip	270	RC	Outpatient			50	32.5		90			Percent of total billed charges		45	40			Percent of total billed charges		20	80			Percent of total billed charges		40	90			Percent of total billed charges		45	85			Percent of total billed charges		42.5	85			Percent of total billed charges		42.5	85			Percent of total billed charges		42.5	100			Percent of total billed charges		50	100			Percent of total billed charges		50	100			Percent of total billed charges		50	33.3			Percent of total billed charges		16.65	33.3			Percent of total billed charges		16.65	100			Percent of total billed charges		50	16.65	45	
tube evac hi/lo 8.0	270	RC	Outpatient			50	32.5		90			Percent of total billed charges		45	40			Percent of total billed charges		20	80			Percent of total billed charges		40	90			Percent of total billed charges		45	85			Percent of total billed charges		42.5	85			Percent of total billed charges		42.5	85			Percent of total billed charges		42.5	100			Percent of total billed charges		50	100			Percent of total billed charges		50	100			Percent of total billed charges		50	33.3			Percent of total billed charges		16.65	33.3			Percent of total billed charges		16.65	100			Percent of total billed charges		50	16.65	45	
tube evac hi/lo 8.5	270	RC	Outpatient			50	32.5		90			Percent of total billed charges		45	40			Percent of total billed charges		20	80			Percent of total billed charges		40	90			Percent of total billed charges		45	85			Percent of total billed charges		42.5	85			Percent of total billed charges		42.5	85			Percent of total billed charges		42.5	100			Percent of total billed charges		50	100			Percent of total billed charges		50	100			Percent of total billed charges		50	33.3			Percent of total billed charges		16.65	33.3			Percent of total billed charges		16.65	100			Percent of total billed charges		50	16.65	45	
vapotherm subsequent	410	RC	Outpatient			50	32.5		90			Percent of total billed charges		45	40			Percent of total billed charges		20	80			Percent of total billed charges		40	90			Percent of total billed charges		45	85			Percent of total billed charges		42.5	85			Percent of total billed charges		42.5	85			Percent of total billed charges		42.5	100			Percent of total billed charges		50	100			Percent of total billed charges		50	100			Percent of total billed charges		50	33.3			Percent of total billed charges		16.65	33.3			Percent of total billed charges		16.65	100			Percent of total billed charges		50	16.65	45	
cath trocar 9.6 4149609	270	RC	Outpatient			51	33.15		90			Percent of total billed charges		45.9	40			Percent of total billed charges		20.4	80			Percent of total billed charges		40.8	90			Percent of total billed charges		45.9	85			Percent of total billed charges		43.35	85			Percent of total billed charges		43.35	85			Percent of total billed charges		43.35	100			Percent of total billed charges		51	100			Percent of total billed charges		51	100			Percent of total billed charges		51	33.3			Percent of total billed charges		16.983	33.3			Percent of total billed charges		16.983	100			Percent of total billed charges		51	16.983	45.9	
cpap nasal cannula	270	RC	Outpatient			51	33.15		90			Percent of total billed charges		45.9	40			Percent of total billed charges		20.4	80			Percent of total billed charges		40.8	90			Percent of total billed charges		45.9	85			Percent of total billed charges		43.35	85			Percent of total billed charges		43.35	85			Percent of total billed charges		43.35	100			Percent of total billed charges		51	100			Percent of total billed charges		51	100			Percent of total billed charges		51	33.3			Percent of total billed charges		16.983	33.3			Percent of total billed charges		16.983	100			Percent of total billed charges		51	16.983	45.9	
cath picc care kitdt11180	270	RC	Outpatient			51	33.15		90			Percent of total billed charges		45.9	40			Percent of total billed charges		20.4	80			Percent of total billed charges		40.8	90			Percent of total billed charges		45.9	85			Percent of total billed charges		43.35	85			Percent of total billed charges		43.35	85			Percent of total billed charges		43.35	100			Percent of total billed charges		51	100			Percent of total billed charges		51	100			Percent of total billed charges		51	33.3			Percent of total billed charges		16.983	33.3			Percent of total billed charges		16.983	100			Percent of total billed charges		51	16.983	45.9	
hemovac 100ml	270	RC	Outpatient			51	33.15		90			Percent of total billed charges		45.9	40			Percent of total billed charges		20.4	80			Percent of total billed charges		40.8	90			Percent of total billed charges		45.9	85			Percent of total billed charges		43.35	85			Percent of total billed charges		43.35	85			Percent of total billed charges		43.35	100			Percent of total billed charges		51	100			Percent of total billed charges		51	100			Percent of total billed charges		51	33.3			Percent of total billed charges		16.983	33.3			Percent of total billed charges		16.983	100			Percent of total billed charges		51	16.983	45.9	
ns irrigant 3000 cc	270	RC	Outpatient			51	33.15		90			Percent of total billed charges		45.9	40			Percent of total billed charges		20.4	80			Percent of total billed charges		40.8	90			Percent of total billed charges		45.9	85			Percent of total billed charges		43.35	85			Percent of total billed charges		43.35	85			Percent of total billed charges		43.35	100			Percent of total billed charges		51	100			Percent of total billed charges		51	100			Percent of total billed charges		51	33.3			Percent of total billed charges		16.983	33.3			Percent of total billed charges		16.983	100			Percent of total billed charges		51	16.983	45.9	
room/bed: observation ob	762	RC	Outpatient			51	33.15		90			Percent of total billed charges		45.9	40			Percent of total billed charges		20.4	80			Percent of total billed charges		40.8	90			Percent of total billed charges		45.9	85			Percent of total billed charges		43.35	85			Percent of total billed charges		43.35	85			Percent of total billed charges		43.35	100			Percent of total billed charges		51	100			Percent of total billed charges		51	100			Percent of total billed charges		51	33.3			Percent of total billed charges		16.983	33.3			Percent of total billed charges		16.983	100			Percent of total billed charges		51	16.983	45.9	
cath trocar 12fr. 561027	270	RC	Outpatient			52	33.8		90			Percent of total billed charges		46.8	40			Percent of total billed charges		20.8	80			Percent of total billed charges		41.6	90			Percent of total billed charges		46.8	85			Percent of total billed charges		44.2	85			Percent of total billed charges		44.2	85			Percent of total billed charges		44.2	100			Percent of total billed charges		52	100			Percent of total billed charges		52	100			Percent of total billed charges		52	33.3			Percent of total billed charges		17.316	33.3			Percent of total billed charges		17.316	100			Percent of total billed charges		52	17.316	46.8	
collector woun drain 9777	270	RC	Outpatient			52	33.8		90			Percent of total billed charges		46.8	40			Percent of total billed charges		20.8	80			Percent of total billed charges		41.6	90			Percent of total billed charges		46.8	85			Percent of total billed charges		44.2	85			Percent of total billed charges		44.2	85			Percent of total billed charges		44.2	100			Percent of total billed charges		52	100			Percent of total billed charges		52	100			Percent of total billed charges		52	33.3			Percent of total billed charges		17.316	33.3			Percent of total billed charges		17.316	100			Percent of total billed charges		52	17.316	46.8	
15mm x 12mm lletz loop electrode e1560	270	RC	Outpatient			52	33.8		90			Percent of total billed charges		46.8	40			Percent of total billed charges		20.8	80			Percent of total billed charges		41.6	90			Percent of total billed charges		46.8	85			Percent of total billed charges		44.2	85			Percent of total billed charges		44.2	85			Percent of total billed charges		44.2	100			Percent of total billed charges		52	100			Percent of total billed charges		52	100			Percent of total billed charges		52	33.3			Percent of total billed charges		17.316	33.3			Percent of total billed charges		17.316	100			Percent of total billed charges		52	17.316	46.8	
cath trocar 10fr. 561019	270	RC	Outpatient			52	33.8		90			Percent of total billed charges		46.8	40			Percent of total billed charges		20.8	80			Percent of total billed charges		41.6	90			Percent of total billed charges		46.8	85			Percent of total billed charges		44.2	85			Percent of total billed charges		44.2	85			Percent of total billed charges		44.2	100			Percent of total billed charges		52	100			Percent of total billed charges		52	100			Percent of total billed charges		52	33.3			Percent of total billed charges		17.316	33.3			Percent of total billed charges		17.316	100			Percent of total billed charges		52	17.316	46.8	
gynex 5mm ball electrode 2-52	270	RC	Outpatient			52	33.8		90			Percent of total billed charges		46.8	40			Percent of total billed charges		20.8	80			Percent of total billed charges		41.6	90			Percent of total billed charges		46.8	85			Percent of total billed charges		44.2	85			Percent of total billed charges		44.2	85			Percent of total billed charges		44.2	100			Percent of total billed charges		52	100			Percent of total billed charges		52	100			Percent of total billed charges		52	33.3			Percent of total billed charges		17.316	33.3			Percent of total billed charges		17.316	100			Percent of total billed charges		52	17.316	46.8	
electrode ball tip	270	RC	Outpatient			52	33.8		90			Percent of total billed charges		46.8	40			Percent of total billed charges		20.8	80			Percent of total billed charges		41.6	90			Percent of total billed charges		46.8	85			Percent of total billed charges		44.2	85			Percent of total billed charges		44.2	85			Percent of total billed charges		44.2	100			Percent of total billed charges		52	100			Percent of total billed charges		52	100			Percent of total billed charges		52	33.3			Percent of total billed charges		17.316	33.3			Percent of total billed charges		17.316	100			Percent of total billed charges		52	17.316	46.8	
electrode loop 20 x 15 e1562	270	RC	Outpatient			52	33.8		90			Percent of total billed charges		46.8	40			Percent of total billed charges		20.8	80			Percent of total billed charges		41.6	90			Percent of total billed charges		46.8	85			Percent of total billed charges		44.2	85			Percent of total billed charges		44.2	85			Percent of total billed charges		44.2	100			Percent of total billed charges		52	100			Percent of total billed charges		52	100			Percent of total billed charges		52	33.3			Percent of total billed charges		17.316	33.3			Percent of total billed charges		17.316	100			Percent of total billed charges		52	17.316	46.8	
felt - orthropedic	270	RC	Outpatient			52	33.8		90			Percent of total billed charges		46.8	40			Percent of total billed charges		20.8	80			Percent of total billed charges		41.6	90			Percent of total billed charges		46.8	85			Percent of total billed charges		44.2	85			Percent of total billed charges		44.2	85			Percent of total billed charges		44.2	100			Percent of total billed charges		52	100			Percent of total billed charges		52	100			Percent of total billed charges		52	33.3			Percent of total billed charges		17.316	33.3			Percent of total billed charges		17.316	100			Percent of total billed charges		52	17.316	46.8	
"kit,paracntsis dr peasley"	270	RC	Outpatient			52	33.8		90			Percent of total billed charges		46.8	40			Percent of total billed charges		20.8	80			Percent of total billed charges		41.6	90			Percent of total billed charges		46.8	85			Percent of total billed charges		44.2	85			Percent of total billed charges		44.2	85			Percent of total billed charges		44.2	100			Percent of total billed charges		52	100			Percent of total billed charges		52	100			Percent of total billed charges		52	33.3			Percent of total billed charges		17.316	33.3			Percent of total billed charges		17.316	100			Percent of total billed charges		52	17.316	46.8	
o.b. pack e. r.	270	RC	Outpatient			52	33.8		90			Percent of total billed charges		46.8	40			Percent of total billed charges		20.8	80			Percent of total billed charges		41.6	90			Percent of total billed charges		46.8	85			Percent of total billed charges		44.2	85			Percent of total billed charges		44.2	85			Percent of total billed charges		44.2	100			Percent of total billed charges		52	100			Percent of total billed charges		52	100			Percent of total billed charges		52	33.3			Percent of total billed charges		17.316	33.3			Percent of total billed charges		17.316	100			Percent of total billed charges		52	17.316	46.8	
orthopedic felt profex 132	270	RC	Outpatient			52	33.8		90			Percent of total billed charges		46.8	40			Percent of total billed charges		20.8	80			Percent of total billed charges		41.6	90			Percent of total billed charges		46.8	85			Percent of total billed charges		44.2	85			Percent of total billed charges		44.2	85			Percent of total billed charges		44.2	100			Percent of total billed charges		52	100			Percent of total billed charges		52	100			Percent of total billed charges		52	33.3			Percent of total billed charges		17.316	33.3			Percent of total billed charges		17.316	100			Percent of total billed charges		52	17.316	46.8	
sock aide	270	RC	Outpatient			52	33.8		90			Percent of total billed charges		46.8	40			Percent of total billed charges		20.8	80			Percent of total billed charges		41.6	90			Percent of total billed charges		46.8	85			Percent of total billed charges		44.2	85			Percent of total billed charges		44.2	85			Percent of total billed charges		44.2	100			Percent of total billed charges		52	100			Percent of total billed charges		52	100			Percent of total billed charges		52	33.3			Percent of total billed charges		17.316	33.3			Percent of total billed charges		17.316	100			Percent of total billed charges		52	17.316	46.8	
"splint,finger/burnham unv"	270	RC	Outpatient			52	33.8		90			Percent of total billed charges		46.8	40			Percent of total billed charges		20.8	80			Percent of total billed charges		41.6	90			Percent of total billed charges		46.8	85			Percent of total billed charges		44.2	85			Percent of total billed charges		44.2	85			Percent of total billed charges		44.2	100			Percent of total billed charges		52	100			Percent of total billed charges		52	100			Percent of total billed charges		52	33.3			Percent of total billed charges		17.316	33.3			Percent of total billed charges		17.316	100			Percent of total billed charges		52	17.316	46.8	
"splint,thumb/burnham 13l"	270	RC	Outpatient			52	33.8		90			Percent of total billed charges		46.8	40			Percent of total billed charges		20.8	80			Percent of total billed charges		41.6	90			Percent of total billed charges		46.8	85			Percent of total billed charges		44.2	85			Percent of total billed charges		44.2	85			Percent of total billed charges		44.2	100			Percent of total billed charges		52	100			Percent of total billed charges		52	100			Percent of total billed charges		52	33.3			Percent of total billed charges		17.316	33.3			Percent of total billed charges		17.316	100			Percent of total billed charges		52	17.316	46.8	
"splint,thumb/burnham 13r"	270	RC	Outpatient			52	33.8		90			Percent of total billed charges		46.8	40			Percent of total billed charges		20.8	80			Percent of total billed charges		41.6	90			Percent of total billed charges		46.8	85			Percent of total billed charges		44.2	85			Percent of total billed charges		44.2	85			Percent of total billed charges		44.2	100			Percent of total billed charges		52	100			Percent of total billed charges		52	100			Percent of total billed charges		52	33.3			Percent of total billed charges		17.316	33.3			Percent of total billed charges		17.316	100			Percent of total billed charges		52	17.316	46.8	
surgiseal	272	RC	Outpatient			52	33.8		90			Percent of total billed charges		46.8	40			Percent of total billed charges		20.8	80			Percent of total billed charges		41.6	90			Percent of total billed charges		46.8	85			Percent of total billed charges		44.2	85			Percent of total billed charges		44.2	85			Percent of total billed charges		44.2	100			Percent of total billed charges		52	100			Percent of total billed charges		52	100			Percent of total billed charges		52	33.3			Percent of total billed charges		17.316	33.3			Percent of total billed charges		17.316	100			Percent of total billed charges		52	17.316	46.8	
surgiseal ss-035t adhezion	272	RC	Outpatient			52	33.8		90			Percent of total billed charges		46.8	40			Percent of total billed charges		20.8	80			Percent of total billed charges		41.6	90			Percent of total billed charges		46.8	85			Percent of total billed charges		44.2	85			Percent of total billed charges		44.2	85			Percent of total billed charges		44.2	100			Percent of total billed charges		52	100			Percent of total billed charges		52	100			Percent of total billed charges		52	33.3			Percent of total billed charges		17.316	33.3			Percent of total billed charges		17.316	100			Percent of total billed charges		52	17.316	46.8	
wire cautery electro loop 10x10 e1570	270	RC	Outpatient			52	33.8		90			Percent of total billed charges		46.8	40			Percent of total billed charges		20.8	80			Percent of total billed charges		41.6	90			Percent of total billed charges		46.8	85			Percent of total billed charges		44.2	85			Percent of total billed charges		44.2	85			Percent of total billed charges		44.2	100			Percent of total billed charges		52	100			Percent of total billed charges		52	100			Percent of total billed charges		52	33.3			Percent of total billed charges		17.316	33.3			Percent of total billed charges		17.316	100			Percent of total billed charges		52	17.316	46.8	
wire cautery electro loop 15x12 e1571	270	RC	Outpatient			52	33.8		90			Percent of total billed charges		46.8	40			Percent of total billed charges		20.8	80			Percent of total billed charges		41.6	90			Percent of total billed charges		46.8	85			Percent of total billed charges		44.2	85			Percent of total billed charges		44.2	85			Percent of total billed charges		44.2	100			Percent of total billed charges		52	100			Percent of total billed charges		52	100			Percent of total billed charges		52	33.3			Percent of total billed charges		17.316	33.3			Percent of total billed charges		17.316	100			Percent of total billed charges		52	17.316	46.8	
wire cautery electro loop 20x1 e1562	270	RC	Outpatient			52	33.8		90			Percent of total billed charges		46.8	40			Percent of total billed charges		20.8	80			Percent of total billed charges		41.6	90			Percent of total billed charges		46.8	85			Percent of total billed charges		44.2	85			Percent of total billed charges		44.2	85			Percent of total billed charges		44.2	100			Percent of total billed charges		52	100			Percent of total billed charges		52	100			Percent of total billed charges		52	33.3			Percent of total billed charges		17.316	33.3			Percent of total billed charges		17.316	100			Percent of total billed charges		52	17.316	46.8	
underbody blanket mistral air ma2400 stryker	271	RC	Outpatient			52	33.8		90			Percent of total billed charges		46.8	40			Percent of total billed charges		20.8	80			Percent of total billed charges		41.6	90			Percent of total billed charges		46.8	85			Percent of total billed charges		44.2	85			Percent of total billed charges		44.2	85			Percent of total billed charges		44.2	100			Percent of total billed charges		52	100			Percent of total billed charges		52	100			Percent of total billed charges		52	33.3			Percent of total billed charges		17.316	33.3			Percent of total billed charges		17.316	100			Percent of total billed charges		52	17.316	46.8	
v.l. loop electrode10mm x 10mm lletz e1559	270	RC	Outpatient			52	33.8		90			Percent of total billed charges		46.8	40			Percent of total billed charges		20.8	80			Percent of total billed charges		41.6	90			Percent of total billed charges		46.8	85			Percent of total billed charges		44.2	85			Percent of total billed charges		44.2	85			Percent of total billed charges		44.2	100			Percent of total billed charges		52	100			Percent of total billed charges		52	100			Percent of total billed charges		52	33.3			Percent of total billed charges		17.316	33.3			Percent of total billed charges		17.316	100			Percent of total billed charges		52	17.316	46.8	
v.l.loop electro cautery	270	RC	Outpatient			52	33.8		90			Percent of total billed charges		46.8	40			Percent of total billed charges		20.8	80			Percent of total billed charges		41.6	90			Percent of total billed charges		46.8	85			Percent of total billed charges		44.2	85			Percent of total billed charges		44.2	85			Percent of total billed charges		44.2	100			Percent of total billed charges		52	100			Percent of total billed charges		52	100			Percent of total billed charges		52	33.3			Percent of total billed charges		17.316	33.3			Percent of total billed charges		17.316	100			Percent of total billed charges		52	17.316	46.8	
wire cautery electro loop 20x1 e1561	270	RC	Outpatient			52	33.8		90			Percent of total billed charges		46.8	40			Percent of total billed charges		20.8	80			Percent of total billed charges		41.6	90			Percent of total billed charges		46.8	85			Percent of total billed charges		44.2	85			Percent of total billed charges		44.2	85			Percent of total billed charges		44.2	100			Percent of total billed charges		52	100			Percent of total billed charges		52	100			Percent of total billed charges		52	33.3			Percent of total billed charges		17.316	33.3			Percent of total billed charges		17.316	100			Percent of total billed charges		52	17.316	46.8	
3800057 dis/reductn. w/anesthesia ed charge	450	RC	Outpatient			53	34.45		90			Percent of total billed charges		47.7	40			Percent of total billed charges		21.2	80			Percent of total billed charges		42.4	90			Percent of total billed charges		47.7	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	100			Percent of total billed charges		53	100			Percent of total billed charges		53	100			Percent of total billed charges		53	33.3			Percent of total billed charges		17.649	33.3			Percent of total billed charges		17.649	100			Percent of total billed charges		53	17.649	47.7	
acmi resectoscope cord	270	RC	Outpatient			53	34.45		90			Percent of total billed charges		47.7	40			Percent of total billed charges		21.2	80			Percent of total billed charges		42.4	90			Percent of total billed charges		47.7	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	100			Percent of total billed charges		53	100			Percent of total billed charges		53	100			Percent of total billed charges		53	33.3			Percent of total billed charges		17.649	33.3			Percent of total billed charges		17.649	100			Percent of total billed charges		53	17.649	47.7	
cath lab immobilizer x-lg	622	RC	Outpatient			53	34.45		90			Percent of total billed charges		47.7	40			Percent of total billed charges		21.2	80			Percent of total billed charges		42.4	90			Percent of total billed charges		47.7	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	100			Percent of total billed charges		53	100			Percent of total billed charges		53	100			Percent of total billed charges		53	33.3			Percent of total billed charges		17.649	33.3			Percent of total billed charges		17.649	100			Percent of total billed charges		53	17.649	47.7	
cath lab shoulder immobilizer	622	RC	Outpatient			53	34.45		90			Percent of total billed charges		47.7	40			Percent of total billed charges		21.2	80			Percent of total billed charges		42.4	90			Percent of total billed charges		47.7	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	100			Percent of total billed charges		53	100			Percent of total billed charges		53	100			Percent of total billed charges		53	33.3			Percent of total billed charges		17.649	33.3			Percent of total billed charges		17.649	100			Percent of total billed charges		53	17.649	47.7	
cath umbil 3.5fr stopcock	270	RC	Outpatient			53	34.45		90			Percent of total billed charges		47.7	40			Percent of total billed charges		21.2	80			Percent of total billed charges		42.4	90			Percent of total billed charges		47.7	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	100			Percent of total billed charges		53	100			Percent of total billed charges		53	100			Percent of total billed charges		53	33.3			Percent of total billed charges		17.649	33.3			Percent of total billed charges		17.649	100			Percent of total billed charges		53	17.649	47.7	
4069999 central supply ed charge	1	RC	Outpatient			53	34.45		90			Percent of total billed charges		47.7	40			Percent of total billed charges		21.2	80			Percent of total billed charges		42.4	90			Percent of total billed charges		47.7	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	100			Percent of total billed charges		53	100			Percent of total billed charges		53	100			Percent of total billed charges		53	33.3			Percent of total billed charges		17.649	33.3			Percent of total billed charges		17.649	100			Percent of total billed charges		53	17.649	47.7	
additional catheter	270	RC	Outpatient			53	34.45		90			Percent of total billed charges		47.7	40			Percent of total billed charges		21.2	80			Percent of total billed charges		42.4	90			Percent of total billed charges		47.7	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	100			Percent of total billed charges		53	100			Percent of total billed charges		53	100			Percent of total billed charges		53	33.3			Percent of total billed charges		17.649	33.3			Percent of total billed charges		17.649	100			Percent of total billed charges		53	17.649	47.7	
cath lab immobilizer lg	622	RC	Outpatient			53	34.45		90			Percent of total billed charges		47.7	40			Percent of total billed charges		21.2	80			Percent of total billed charges		42.4	90			Percent of total billed charges		47.7	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	100			Percent of total billed charges		53	100			Percent of total billed charges		53	100			Percent of total billed charges		53	33.3			Percent of total billed charges		17.649	33.3			Percent of total billed charges		17.649	100			Percent of total billed charges		53	17.649	47.7	
cath lab immobilizer xxlg	622	RC	Outpatient			53	34.45		90			Percent of total billed charges		47.7	40			Percent of total billed charges		21.2	80			Percent of total billed charges		42.4	90			Percent of total billed charges		47.7	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	100			Percent of total billed charges		53	100			Percent of total billed charges		53	100			Percent of total billed charges		53	33.3			Percent of total billed charges		17.649	33.3			Percent of total billed charges		17.649	100			Percent of total billed charges		53	17.649	47.7	
cath lab oximar adult oxygen sensor	272	RC	Outpatient			53	34.45		90			Percent of total billed charges		47.7	40			Percent of total billed charges		21.2	80			Percent of total billed charges		42.4	90			Percent of total billed charges		47.7	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	100			Percent of total billed charges		53	100			Percent of total billed charges		53	100			Percent of total billed charges		53	33.3			Percent of total billed charges		17.649	33.3			Percent of total billed charges		17.649	100			Percent of total billed charges		53	17.649	47.7	
endotracheal tube	270	RC	Outpatient			53	34.45		90			Percent of total billed charges		47.7	40			Percent of total billed charges		21.2	80			Percent of total billed charges		42.4	90			Percent of total billed charges		47.7	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	100			Percent of total billed charges		53	100			Percent of total billed charges		53	100			Percent of total billed charges		53	33.3			Percent of total billed charges		17.649	33.3			Percent of total billed charges		17.649	100			Percent of total billed charges		53	17.649	47.7	
foam head rest	270	RC	Outpatient			53	34.45		90			Percent of total billed charges		47.7	40			Percent of total billed charges		21.2	80			Percent of total billed charges		42.4	90			Percent of total billed charges		47.7	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	100			Percent of total billed charges		53	100			Percent of total billed charges		53	100			Percent of total billed charges		53	33.3			Percent of total billed charges		17.649	33.3			Percent of total billed charges		17.649	100			Percent of total billed charges		53	17.649	47.7	
guide pin 2.4 4102-36 s/n	270	RC	Outpatient			53	34.45		90			Percent of total billed charges		47.7	40			Percent of total billed charges		21.2	80			Percent of total billed charges		42.4	90			Percent of total billed charges		47.7	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	100			Percent of total billed charges		53	100			Percent of total billed charges		53	100			Percent of total billed charges		53	33.3			Percent of total billed charges		17.649	33.3			Percent of total billed charges		17.649	100			Percent of total billed charges		53	17.649	47.7	
"immobilizer, shoulder"	622	RC	Outpatient			53	34.45		90			Percent of total billed charges		47.7	40			Percent of total billed charges		21.2	80			Percent of total billed charges		42.4	90			Percent of total billed charges		47.7	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	100			Percent of total billed charges		53	100			Percent of total billed charges		53	100			Percent of total billed charges		53	33.3			Percent of total billed charges		17.649	33.3			Percent of total billed charges		17.649	100			Percent of total billed charges		53	17.649	47.7	
implant pin steinman  1/8 x 9 1627-38-000 depu	278	RC	Outpatient			53	34.45		90			Percent of total billed charges		47.7	40			Percent of total billed charges		21.2	80			Percent of total billed charges		42.4	90			Percent of total billed charges		47.7	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	100			Percent of total billed charges		53	100			Percent of total billed charges		53	100			Percent of total billed charges		53	33.3			Percent of total billed charges		17.649	33.3			Percent of total billed charges		17.649	100			Percent of total billed charges		53	17.649	47.7	
implant pin steinman  5/32 x 9 1628-38-000 depu	278	RC	Outpatient			53	34.45		90			Percent of total billed charges		47.7	40			Percent of total billed charges		21.2	80			Percent of total billed charges		42.4	90			Percent of total billed charges		47.7	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	100			Percent of total billed charges		53	100			Percent of total billed charges		53	100			Percent of total billed charges		53	33.3			Percent of total billed charges		17.649	33.3			Percent of total billed charges		17.649	100			Percent of total billed charges		53	17.649	47.7	
implant pin steinman 1/8 x 9 1614-58-000 depu	278	RC	Outpatient			53	34.45		90			Percent of total billed charges		47.7	40			Percent of total billed charges		21.2	80			Percent of total billed charges		42.4	90			Percent of total billed charges		47.7	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	100			Percent of total billed charges		53	100			Percent of total billed charges		53	100			Percent of total billed charges		53	33.3			Percent of total billed charges		17.649	33.3			Percent of total billed charges		17.649	100			Percent of total billed charges		53	17.649	47.7	
endotracheal tube ed charge scnt	270	RC	Outpatient			53	34.45		90			Percent of total billed charges		47.7	40			Percent of total billed charges		21.2	80			Percent of total billed charges		42.4	90			Percent of total billed charges		47.7	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	100			Percent of total billed charges		53	100			Percent of total billed charges		53	100			Percent of total billed charges		53	33.3			Percent of total billed charges		17.649	33.3			Percent of total billed charges		17.649	100			Percent of total billed charges		53	17.649	47.7	
intraosseous needle	270	RC	Outpatient			53	34.45		90			Percent of total billed charges		47.7	40			Percent of total billed charges		21.2	80			Percent of total billed charges		42.4	90			Percent of total billed charges		47.7	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	100			Percent of total billed charges		53	100			Percent of total billed charges		53	100			Percent of total billed charges		53	33.3			Percent of total billed charges		17.649	33.3			Percent of total billed charges		17.649	100			Percent of total billed charges		53	17.649	47.7	
extra scrub nurse	270	RC	Outpatient			53	34.45		90			Percent of total billed charges		47.7	40			Percent of total billed charges		21.2	80			Percent of total billed charges		42.4	90			Percent of total billed charges		47.7	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	100			Percent of total billed charges		53	100			Percent of total billed charges		53	100			Percent of total billed charges		53	33.3			Percent of total billed charges		17.649	33.3			Percent of total billed charges		17.649	100			Percent of total billed charges		53	17.649	47.7	
medline iv cath 20ga 8cm	272	RC	Outpatient			53	34.45		90			Percent of total billed charges		47.7	40			Percent of total billed charges		21.2	80			Percent of total billed charges		42.4	90			Percent of total billed charges		47.7	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	100			Percent of total billed charges		53	100			Percent of total billed charges		53	100			Percent of total billed charges		53	33.3			Percent of total billed charges		17.649	33.3			Percent of total billed charges		17.649	100			Percent of total billed charges		53	17.649	47.7	
implant pin seinman  9/64  x 9 1628-38-000 depu	278	RC	Outpatient			53	34.45		90			Percent of total billed charges		47.7	40			Percent of total billed charges		21.2	80			Percent of total billed charges		42.4	90			Percent of total billed charges		47.7	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	100			Percent of total billed charges		53	100			Percent of total billed charges		53	100			Percent of total billed charges		53	33.3			Percent of total billed charges		17.649	33.3			Percent of total billed charges		17.649	100			Percent of total billed charges		53	17.649	47.7	
implant pin steinman  5/64 x 9 1611-58-000 depu	278	RC	Outpatient			53	34.45		90			Percent of total billed charges		47.7	40			Percent of total billed charges		21.2	80			Percent of total billed charges		42.4	90			Percent of total billed charges		47.7	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	100			Percent of total billed charges		53	100			Percent of total billed charges		53	100			Percent of total billed charges		53	33.3			Percent of total billed charges		17.649	33.3			Percent of total billed charges		17.649	100			Percent of total billed charges		53	17.649	47.7	
implant pin steinman 3/32 x 9 1612-58-000 depu	278	RC	Outpatient			53	34.45		90			Percent of total billed charges		47.7	40			Percent of total billed charges		21.2	80			Percent of total billed charges		42.4	90			Percent of total billed charges		47.7	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	100			Percent of total billed charges		53	100			Percent of total billed charges		53	100			Percent of total billed charges		53	33.3			Percent of total billed charges		17.649	33.3			Percent of total billed charges		17.649	100			Percent of total billed charges		53	17.649	47.7	
o.b. gyn & biopsy tray	270	RC	Outpatient			53	34.45		90			Percent of total billed charges		47.7	40			Percent of total billed charges		21.2	80			Percent of total billed charges		42.4	90			Percent of total billed charges		47.7	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	100			Percent of total billed charges		53	100			Percent of total billed charges		53	100			Percent of total billed charges		53	33.3			Percent of total billed charges		17.649	33.3			Percent of total billed charges		17.649	100			Percent of total billed charges		53	17.649	47.7	
oximar adult oxygen senso	272	RC	Outpatient			53	34.45		90			Percent of total billed charges		47.7	40			Percent of total billed charges		21.2	80			Percent of total billed charges		42.4	90			Percent of total billed charges		47.7	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	100			Percent of total billed charges		53	100			Percent of total billed charges		53	100			Percent of total billed charges		53	33.3			Percent of total billed charges		17.649	33.3			Percent of total billed charges		17.649	100			Percent of total billed charges		53	17.649	47.7	
medline iv cath 18ga 10cm	272	RC	Outpatient			53	34.45		90			Percent of total billed charges		47.7	40			Percent of total billed charges		21.2	80			Percent of total billed charges		42.4	90			Percent of total billed charges		47.7	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	100			Percent of total billed charges		53	100			Percent of total billed charges		53	100			Percent of total billed charges		53	33.3			Percent of total billed charges		17.649	33.3			Percent of total billed charges		17.649	100			Percent of total billed charges		53	17.649	47.7	
medline iv cath 18ga 8cm	272	RC	Outpatient			53	34.45		90			Percent of total billed charges		47.7	40			Percent of total billed charges		21.2	80			Percent of total billed charges		42.4	90			Percent of total billed charges		47.7	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	100			Percent of total billed charges		53	100			Percent of total billed charges		53	100			Percent of total billed charges		53	33.3			Percent of total billed charges		17.649	33.3			Percent of total billed charges		17.649	100			Percent of total billed charges		53	17.649	47.7	
medline iv cath 20ga 10cm	272	RC	Outpatient			53	34.45		90			Percent of total billed charges		47.7	40			Percent of total billed charges		21.2	80			Percent of total billed charges		42.4	90			Percent of total billed charges		47.7	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	100			Percent of total billed charges		53	100			Percent of total billed charges		53	100			Percent of total billed charges		53	33.3			Percent of total billed charges		17.649	33.3			Percent of total billed charges		17.649	100			Percent of total billed charges		53	17.649	47.7	
midline iv cath ed charges scnt	272	RC	Outpatient			53	34.45		90			Percent of total billed charges		47.7	40			Percent of total billed charges		21.2	80			Percent of total billed charges		42.4	90			Percent of total billed charges		47.7	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	100			Percent of total billed charges		53	100			Percent of total billed charges		53	100			Percent of total billed charges		53	33.3			Percent of total billed charges		17.649	33.3			Percent of total billed charges		17.649	100			Percent of total billed charges		53	17.649	47.7	
pin steinman  1 9/64 dia 9 187-05-19 zimmer	278	RC	Outpatient			53	34.45		90			Percent of total billed charges		47.7	40			Percent of total billed charges		21.2	80			Percent of total billed charges		42.4	90			Percent of total billed charges		47.7	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	100			Percent of total billed charges		53	100			Percent of total billed charges		53	100			Percent of total billed charges		53	33.3			Percent of total billed charges		17.649	33.3			Percent of total billed charges		17.649	100			Percent of total billed charges		53	17.649	47.7	
pin steinman 5 9/64 dia 9 0187-005-59	278	RC	Outpatient			53	34.45		90			Percent of total billed charges		47.7	40			Percent of total billed charges		21.2	80			Percent of total billed charges		42.4	90			Percent of total billed charges		47.7	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	100			Percent of total billed charges		53	100			Percent of total billed charges		53	100			Percent of total billed charges		53	33.3			Percent of total billed charges		17.649	33.3			Percent of total billed charges		17.649	100			Percent of total billed charges		53	17.649	47.7	
richard guide 2.4 pin	270	RC	Outpatient			53	34.45		90			Percent of total billed charges		47.7	40			Percent of total billed charges		21.2	80			Percent of total billed charges		42.4	90			Percent of total billed charges		47.7	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	100			Percent of total billed charges		53	100			Percent of total billed charges		53	100			Percent of total billed charges		53	33.3			Percent of total billed charges		17.649	33.3			Percent of total billed charges		17.649	100			Percent of total billed charges		53	17.649	47.7	
scrmc catheter	621	RC	Outpatient			53	34.45		90			Percent of total billed charges		47.7	40			Percent of total billed charges		21.2	80			Percent of total billed charges		42.4	90			Percent of total billed charges		47.7	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	100			Percent of total billed charges		53	100			Percent of total billed charges		53	100			Percent of total billed charges		53	33.3			Percent of total billed charges		17.649	33.3			Percent of total billed charges		17.649	100			Percent of total billed charges		53	17.649	47.7	
steinman pins 5.0 x 175mm synthes 293.69	278	RC	Outpatient			53	34.45		90			Percent of total billed charges		47.7	40			Percent of total billed charges		21.2	80			Percent of total billed charges		42.4	90			Percent of total billed charges		47.7	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	100			Percent of total billed charges		53	100			Percent of total billed charges		53	100			Percent of total billed charges		53	33.3			Percent of total billed charges		17.649	33.3			Percent of total billed charges		17.649	100			Percent of total billed charges		53	17.649	47.7	
steinman pins 5.0 x 200mm 293.74	278	RC	Outpatient			53	34.45		90			Percent of total billed charges		47.7	40			Percent of total billed charges		21.2	80			Percent of total billed charges		42.4	90			Percent of total billed charges		47.7	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	100			Percent of total billed charges		53	100			Percent of total billed charges		53	100			Percent of total billed charges		53	33.3			Percent of total billed charges		17.649	33.3			Percent of total billed charges		17.649	100			Percent of total billed charges		53	17.649	47.7	
pin steinman 1 1/8 dia 9 187-04-19 zimmer	278	RC	Outpatient			53	34.45		90			Percent of total billed charges		47.7	40			Percent of total billed charges		21.2	80			Percent of total billed charges		42.4	90			Percent of total billed charges		47.7	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	100			Percent of total billed charges		53	100			Percent of total billed charges		53	100			Percent of total billed charges		53	33.3			Percent of total billed charges		17.649	33.3			Percent of total billed charges		17.649	100			Percent of total billed charges		53	17.649	47.7	
pin steinman 5.0mm dia 180mm 293.69 synthes	278	RC	Outpatient			53	34.45		90			Percent of total billed charges		47.7	40			Percent of total billed charges		21.2	80			Percent of total billed charges		42.4	90			Percent of total billed charges		47.7	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	100			Percent of total billed charges		53	100			Percent of total billed charges		53	100			Percent of total billed charges		53	33.3			Percent of total billed charges		17.649	33.3			Percent of total billed charges		17.649	100			Percent of total billed charges		53	17.649	47.7	
s/n 1/8 steiman pin 12-8081	278	RC	Outpatient			53	34.45		90			Percent of total billed charges		47.7	40			Percent of total billed charges		21.2	80			Percent of total billed charges		42.4	90			Percent of total billed charges		47.7	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	100			Percent of total billed charges		53	100			Percent of total billed charges		53	100			Percent of total billed charges		53	33.3			Percent of total billed charges		17.649	33.3			Percent of total billed charges		17.649	100			Percent of total billed charges		53	17.649	47.7	
steinman pin	278	RC	Outpatient			53	34.45		90			Percent of total billed charges		47.7	40			Percent of total billed charges		21.2	80			Percent of total billed charges		42.4	90			Percent of total billed charges		47.7	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	100			Percent of total billed charges		53	100			Percent of total billed charges		53	100			Percent of total billed charges		53	33.3			Percent of total billed charges		17.649	33.3			Percent of total billed charges		17.649	100			Percent of total billed charges		53	17.649	47.7	
steinmann pin 187-04-59 zimmer	278	RC	Outpatient			53	34.45		90			Percent of total billed charges		47.7	40			Percent of total billed charges		21.2	80			Percent of total billed charges		42.4	90			Percent of total billed charges		47.7	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	100			Percent of total billed charges		53	100			Percent of total billed charges		53	100			Percent of total billed charges		53	33.3			Percent of total billed charges		17.649	33.3			Percent of total billed charges		17.649	100			Percent of total billed charges		53	17.649	47.7	
tube chest trocar  20	270	RC	Outpatient			53	34.45		90			Percent of total billed charges		47.7	40			Percent of total billed charges		21.2	80			Percent of total billed charges		42.4	90			Percent of total billed charges		47.7	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	100			Percent of total billed charges		53	100			Percent of total billed charges		53	100			Percent of total billed charges		53	33.3			Percent of total billed charges		17.649	33.3			Percent of total billed charges		17.649	100			Percent of total billed charges		53	17.649	47.7	
washer zimmer 1142-18	278	RC	Outpatient			53	34.45		90			Percent of total billed charges		47.7	40			Percent of total billed charges		21.2	80			Percent of total billed charges		42.4	90			Percent of total billed charges		47.7	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	100			Percent of total billed charges		53	100			Percent of total billed charges		53	100			Percent of total billed charges		53	33.3			Percent of total billed charges		17.649	33.3			Percent of total billed charges		17.649	100			Percent of total billed charges		53	17.649	47.7	
zimmer con.washer	278	RC	Outpatient			53	34.45		90			Percent of total billed charges		47.7	40			Percent of total billed charges		21.2	80			Percent of total billed charges		42.4	90			Percent of total billed charges		47.7	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	100			Percent of total billed charges		53	100			Percent of total billed charges		53	100			Percent of total billed charges		53	33.3			Percent of total billed charges		17.649	33.3			Percent of total billed charges		17.649	100			Percent of total billed charges		53	17.649	47.7	
tube chest trocar 10	270	RC	Outpatient			53	34.45		90			Percent of total billed charges		47.7	40			Percent of total billed charges		21.2	80			Percent of total billed charges		42.4	90			Percent of total billed charges		47.7	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	100			Percent of total billed charges		53	100			Percent of total billed charges		53	100			Percent of total billed charges		53	33.3			Percent of total billed charges		17.649	33.3			Percent of total billed charges		17.649	100			Percent of total billed charges		53	17.649	47.7	
tube chest trocar 28	270	RC	Outpatient			53	34.45		90			Percent of total billed charges		47.7	40			Percent of total billed charges		21.2	80			Percent of total billed charges		42.4	90			Percent of total billed charges		47.7	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	100			Percent of total billed charges		53	100			Percent of total billed charges		53	100			Percent of total billed charges		53	33.3			Percent of total billed charges		17.649	33.3			Percent of total billed charges		17.649	100			Percent of total billed charges		53	17.649	47.7	
tube chest trocar 32	270	RC	Outpatient			53	34.45		90			Percent of total billed charges		47.7	40			Percent of total billed charges		21.2	80			Percent of total billed charges		42.4	90			Percent of total billed charges		47.7	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	100			Percent of total billed charges		53	100			Percent of total billed charges		53	100			Percent of total billed charges		53	33.3			Percent of total billed charges		17.649	33.3			Percent of total billed charges		17.649	100			Percent of total billed charges		53	17.649	47.7	
tube chest trocar 8	270	RC	Outpatient			53	34.45		90			Percent of total billed charges		47.7	40			Percent of total billed charges		21.2	80			Percent of total billed charges		42.4	90			Percent of total billed charges		47.7	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	100			Percent of total billed charges		53	100			Percent of total billed charges		53	100			Percent of total billed charges		53	33.3			Percent of total billed charges		17.649	33.3			Percent of total billed charges		17.649	100			Percent of total billed charges		53	17.649	47.7	
zzscrmc additional catheter	270	RC	Outpatient			53	34.45		90			Percent of total billed charges		47.7	40			Percent of total billed charges		21.2	80			Percent of total billed charges		42.4	90			Percent of total billed charges		47.7	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	85			Percent of total billed charges		45.05	100			Percent of total billed charges		53	100			Percent of total billed charges		53	100			Percent of total billed charges		53	33.3			Percent of total billed charges		17.649	33.3			Percent of total billed charges		17.649	100			Percent of total billed charges		53	17.649	47.7	
apnea monitor	270	RC	Outpatient			54	35.1		90			Percent of total billed charges		48.6	40			Percent of total billed charges		21.6	80			Percent of total billed charges		43.2	90			Percent of total billed charges		48.6	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	100			Percent of total billed charges		54	100			Percent of total billed charges		54	100			Percent of total billed charges		54	33.3			Percent of total billed charges		17.982	33.3			Percent of total billed charges		17.982	100			Percent of total billed charges		54	17.982	48.6	
cath coude	272	RC	Outpatient			54	35.1		90			Percent of total billed charges		48.6	40			Percent of total billed charges		21.6	80			Percent of total billed charges		43.2	90			Percent of total billed charges		48.6	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	100			Percent of total billed charges		54	100			Percent of total billed charges		54	100			Percent of total billed charges		54	33.3			Percent of total billed charges		17.982	33.3			Percent of total billed charges		17.982	100			Percent of total billed charges		54	17.982	48.6	
cath foley 20 fr 5cc coude  168l20	272	RC	Outpatient			54	35.1		90			Percent of total billed charges		48.6	40			Percent of total billed charges		21.6	80			Percent of total billed charges		43.2	90			Percent of total billed charges		48.6	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	100			Percent of total billed charges		54	100			Percent of total billed charges		54	100			Percent of total billed charges		54	33.3			Percent of total billed charges		17.982	33.3			Percent of total billed charges		17.982	100			Percent of total billed charges		54	17.982	48.6	
cath foley 22 fr 5cc coude 0102si22	272	RC	Outpatient			54	35.1		90			Percent of total billed charges		48.6	40			Percent of total billed charges		21.6	80			Percent of total billed charges		43.2	90			Percent of total billed charges		48.6	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	100			Percent of total billed charges		54	100			Percent of total billed charges		54	100			Percent of total billed charges		54	33.3			Percent of total billed charges		17.982	33.3			Percent of total billed charges		17.982	100			Percent of total billed charges		54	17.982	48.6	
cath foley 24 fr 5cc coude 102si16  0102si24	272	RC	Outpatient			54	35.1		90			Percent of total billed charges		48.6	40			Percent of total billed charges		21.6	80			Percent of total billed charges		43.2	90			Percent of total billed charges		48.6	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	100			Percent of total billed charges		54	100			Percent of total billed charges		54	100			Percent of total billed charges		54	33.3			Percent of total billed charges		17.982	33.3			Percent of total billed charges		17.982	100			Percent of total billed charges		54	17.982	48.6	
cath foley18 fr 5cc carson coude	272	RC	Outpatient			54	35.1		90			Percent of total billed charges		48.6	40			Percent of total billed charges		21.6	80			Percent of total billed charges		43.2	90			Percent of total billed charges		48.6	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	100			Percent of total billed charges		54	100			Percent of total billed charges		54	100			Percent of total billed charges		54	33.3			Percent of total billed charges		17.982	33.3			Percent of total billed charges		17.982	100			Percent of total billed charges		54	17.982	48.6	
cath simplastic 24fr 30ml	272	RC	Outpatient			54	35.1		90			Percent of total billed charges		48.6	40			Percent of total billed charges		21.6	80			Percent of total billed charges		43.2	90			Percent of total billed charges		48.6	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	100			Percent of total billed charges		54	100			Percent of total billed charges		54	100			Percent of total billed charges		54	33.3			Percent of total billed charges		17.982	33.3			Percent of total billed charges		17.982	100			Percent of total billed charges		54	17.982	48.6	
"cath,foley,ped. #8/3cc"	270	RC	Outpatient			54	35.1		90			Percent of total billed charges		48.6	40			Percent of total billed charges		21.6	80			Percent of total billed charges		43.2	90			Percent of total billed charges		48.6	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	100			Percent of total billed charges		54	100			Percent of total billed charges		54	100			Percent of total billed charges		54	33.3			Percent of total billed charges		17.982	33.3			Percent of total billed charges		17.982	100			Percent of total billed charges		54	17.982	48.6	
crtx scrw 4.5 x 14mm 71806014 s/n	278	RC	Outpatient			54	35.1		90			Percent of total billed charges		48.6	40			Percent of total billed charges		21.6	80			Percent of total billed charges		43.2	90			Percent of total billed charges		48.6	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	100			Percent of total billed charges		54	100			Percent of total billed charges		54	100			Percent of total billed charges		54	33.3			Percent of total billed charges		17.982	33.3			Percent of total billed charges		17.982	100			Percent of total billed charges		54	17.982	48.6	
crtx scrw 4.5 x 16mm 71806016 s/n	278	RC	Outpatient			54	35.1		90			Percent of total billed charges		48.6	40			Percent of total billed charges		21.6	80			Percent of total billed charges		43.2	90			Percent of total billed charges		48.6	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	100			Percent of total billed charges		54	100			Percent of total billed charges		54	100			Percent of total billed charges		54	33.3			Percent of total billed charges		17.982	33.3			Percent of total billed charges		17.982	100			Percent of total billed charges		54	17.982	48.6	
crtx scrw 4.5 x 18mm 71806018 s/n	278	RC	Outpatient			54	35.1		90			Percent of total billed charges		48.6	40			Percent of total billed charges		21.6	80			Percent of total billed charges		43.2	90			Percent of total billed charges		48.6	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	100			Percent of total billed charges		54	100			Percent of total billed charges		54	100			Percent of total billed charges		54	33.3			Percent of total billed charges		17.982	33.3			Percent of total billed charges		17.982	100			Percent of total billed charges		54	17.982	48.6	
crtx scrw 4.5 x 20mm 71806020 s/n	278	RC	Outpatient			54	35.1		90			Percent of total billed charges		48.6	40			Percent of total billed charges		21.6	80			Percent of total billed charges		43.2	90			Percent of total billed charges		48.6	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	100			Percent of total billed charges		54	100			Percent of total billed charges		54	100			Percent of total billed charges		54	33.3			Percent of total billed charges		17.982	33.3			Percent of total billed charges		17.982	100			Percent of total billed charges		54	17.982	48.6	
crtx scrw 4.5 x 24mm 71806024 s/n	278	RC	Outpatient			54	35.1		90			Percent of total billed charges		48.6	40			Percent of total billed charges		21.6	80			Percent of total billed charges		43.2	90			Percent of total billed charges		48.6	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	100			Percent of total billed charges		54	100			Percent of total billed charges		54	100			Percent of total billed charges		54	33.3			Percent of total billed charges		17.982	33.3			Percent of total billed charges		17.982	100			Percent of total billed charges		54	17.982	48.6	
crtx scrw 4.5 x 32mm 71806032 s/n	278	RC	Outpatient			54	35.1		90			Percent of total billed charges		48.6	40			Percent of total billed charges		21.6	80			Percent of total billed charges		43.2	90			Percent of total billed charges		48.6	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	100			Percent of total billed charges		54	100			Percent of total billed charges		54	100			Percent of total billed charges		54	33.3			Percent of total billed charges		17.982	33.3			Percent of total billed charges		17.982	100			Percent of total billed charges		54	17.982	48.6	
crtx scrw 4.5 x 38mm 71806038 s/n	278	RC	Outpatient			54	35.1		90			Percent of total billed charges		48.6	40			Percent of total billed charges		21.6	80			Percent of total billed charges		43.2	90			Percent of total billed charges		48.6	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	100			Percent of total billed charges		54	100			Percent of total billed charges		54	100			Percent of total billed charges		54	33.3			Percent of total billed charges		17.982	33.3			Percent of total billed charges		17.982	100			Percent of total billed charges		54	17.982	48.6	
crtx scrw 4.5 x 40mm 71806040 s/n	278	RC	Outpatient			54	35.1		90			Percent of total billed charges		48.6	40			Percent of total billed charges		21.6	80			Percent of total billed charges		43.2	90			Percent of total billed charges		48.6	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	100			Percent of total billed charges		54	100			Percent of total billed charges		54	100			Percent of total billed charges		54	33.3			Percent of total billed charges		17.982	33.3			Percent of total billed charges		17.982	100			Percent of total billed charges		54	17.982	48.6	
crtx scrw 4.5 x 42mm 71806042 s/n	278	RC	Outpatient			54	35.1		90			Percent of total billed charges		48.6	40			Percent of total billed charges		21.6	80			Percent of total billed charges		43.2	90			Percent of total billed charges		48.6	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	100			Percent of total billed charges		54	100			Percent of total billed charges		54	100			Percent of total billed charges		54	33.3			Percent of total billed charges		17.982	33.3			Percent of total billed charges		17.982	100			Percent of total billed charges		54	17.982	48.6	
crtx scrw 4.5 x 44mm 71806044 s/n	278	RC	Outpatient			54	35.1		90			Percent of total billed charges		48.6	40			Percent of total billed charges		21.6	80			Percent of total billed charges		43.2	90			Percent of total billed charges		48.6	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	100			Percent of total billed charges		54	100			Percent of total billed charges		54	100			Percent of total billed charges		54	33.3			Percent of total billed charges		17.982	33.3			Percent of total billed charges		17.982	100			Percent of total billed charges		54	17.982	48.6	
crtx scrw 4.5 x 46mm 71806046 s/n	278	RC	Outpatient			54	35.1		90			Percent of total billed charges		48.6	40			Percent of total billed charges		21.6	80			Percent of total billed charges		43.2	90			Percent of total billed charges		48.6	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	100			Percent of total billed charges		54	100			Percent of total billed charges		54	100			Percent of total billed charges		54	33.3			Percent of total billed charges		17.982	33.3			Percent of total billed charges		17.982	100			Percent of total billed charges		54	17.982	48.6	
crtx scrw 4.5 x 48mm 71806048 s/n	278	RC	Outpatient			54	35.1		90			Percent of total billed charges		48.6	40			Percent of total billed charges		21.6	80			Percent of total billed charges		43.2	90			Percent of total billed charges		48.6	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	100			Percent of total billed charges		54	100			Percent of total billed charges		54	100			Percent of total billed charges		54	33.3			Percent of total billed charges		17.982	33.3			Percent of total billed charges		17.982	100			Percent of total billed charges		54	17.982	48.6	
crtx scrw 4.5 x 50mm 71806050 s/n	278	RC	Outpatient			54	35.1		90			Percent of total billed charges		48.6	40			Percent of total billed charges		21.6	80			Percent of total billed charges		43.2	90			Percent of total billed charges		48.6	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	100			Percent of total billed charges		54	100			Percent of total billed charges		54	100			Percent of total billed charges		54	33.3			Percent of total billed charges		17.982	33.3			Percent of total billed charges		17.982	100			Percent of total billed charges		54	17.982	48.6	
crtx scrw 4.5 x 54mm 71806054 s/n	278	RC	Outpatient			54	35.1		90			Percent of total billed charges		48.6	40			Percent of total billed charges		21.6	80			Percent of total billed charges		43.2	90			Percent of total billed charges		48.6	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	100			Percent of total billed charges		54	100			Percent of total billed charges		54	100			Percent of total billed charges		54	33.3			Percent of total billed charges		17.982	33.3			Percent of total billed charges		17.982	100			Percent of total billed charges		54	17.982	48.6	
crtx scrw 4.5 x 56mm 71806056 s/n	278	RC	Outpatient			54	35.1		90			Percent of total billed charges		48.6	40			Percent of total billed charges		21.6	80			Percent of total billed charges		43.2	90			Percent of total billed charges		48.6	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	100			Percent of total billed charges		54	100			Percent of total billed charges		54	100			Percent of total billed charges		54	33.3			Percent of total billed charges		17.982	33.3			Percent of total billed charges		17.982	100			Percent of total billed charges		54	17.982	48.6	
crtx scrw 4.5 x 58mm 71806058 s/n	278	RC	Outpatient			54	35.1		90			Percent of total billed charges		48.6	40			Percent of total billed charges		21.6	80			Percent of total billed charges		43.2	90			Percent of total billed charges		48.6	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	100			Percent of total billed charges		54	100			Percent of total billed charges		54	100			Percent of total billed charges		54	33.3			Percent of total billed charges		17.982	33.3			Percent of total billed charges		17.982	100			Percent of total billed charges		54	17.982	48.6	
crtx scrw 4.5 x 62mm 71806062 s/n	278	RC	Outpatient			54	35.1		90			Percent of total billed charges		48.6	40			Percent of total billed charges		21.6	80			Percent of total billed charges		43.2	90			Percent of total billed charges		48.6	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	100			Percent of total billed charges		54	100			Percent of total billed charges		54	100			Percent of total billed charges		54	33.3			Percent of total billed charges		17.982	33.3			Percent of total billed charges		17.982	100			Percent of total billed charges		54	17.982	48.6	
crtx scrw 4.5 x 66mm 71806066 s/n	278	RC	Outpatient			54	35.1		90			Percent of total billed charges		48.6	40			Percent of total billed charges		21.6	80			Percent of total billed charges		43.2	90			Percent of total billed charges		48.6	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	100			Percent of total billed charges		54	100			Percent of total billed charges		54	100			Percent of total billed charges		54	33.3			Percent of total billed charges		17.982	33.3			Percent of total billed charges		17.982	100			Percent of total billed charges		54	17.982	48.6	
crtx scrw 4.5 x 68mm 71806068 s/n	278	RC	Outpatient			54	35.1		90			Percent of total billed charges		48.6	40			Percent of total billed charges		21.6	80			Percent of total billed charges		43.2	90			Percent of total billed charges		48.6	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	100			Percent of total billed charges		54	100			Percent of total billed charges		54	100			Percent of total billed charges		54	33.3			Percent of total billed charges		17.982	33.3			Percent of total billed charges		17.982	100			Percent of total billed charges		54	17.982	48.6	
crtx scrw 4.5 x 70mm 71806070 s/n	278	RC	Outpatient			54	35.1		90			Percent of total billed charges		48.6	40			Percent of total billed charges		21.6	80			Percent of total billed charges		43.2	90			Percent of total billed charges		48.6	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	100			Percent of total billed charges		54	100			Percent of total billed charges		54	100			Percent of total billed charges		54	33.3			Percent of total billed charges		17.982	33.3			Percent of total billed charges		17.982	100			Percent of total billed charges		54	17.982	48.6	
"crutches,complete-child"	270	RC	Outpatient			54	35.1		90			Percent of total billed charges		48.6	40			Percent of total billed charges		21.6	80			Percent of total billed charges		43.2	90			Percent of total billed charges		48.6	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	100			Percent of total billed charges		54	100			Percent of total billed charges		54	100			Percent of total billed charges		54	33.3			Percent of total billed charges		17.982	33.3			Percent of total billed charges		17.982	100			Percent of total billed charges		54	17.982	48.6	
"crutches,complete-medium"	270	RC	Outpatient			54	35.1		90			Percent of total billed charges		48.6	40			Percent of total billed charges		21.6	80			Percent of total billed charges		43.2	90			Percent of total billed charges		48.6	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	100			Percent of total billed charges		54	100			Percent of total billed charges		54	100			Percent of total billed charges		54	33.3			Percent of total billed charges		17.982	33.3			Percent of total billed charges		17.982	100			Percent of total billed charges		54	17.982	48.6	
"crutches,complete-youth"	270	RC	Outpatient			54	35.1		90			Percent of total billed charges		48.6	40			Percent of total billed charges		21.6	80			Percent of total billed charges		43.2	90			Percent of total billed charges		48.6	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	100			Percent of total billed charges		54	100			Percent of total billed charges		54	100			Percent of total billed charges		54	33.3			Percent of total billed charges		17.982	33.3			Percent of total billed charges		17.982	100			Percent of total billed charges		54	17.982	48.6	
cath foley16 fr 5cc carson coude  0168si16 bard	272	RC	Outpatient			54	35.1		90			Percent of total billed charges		48.6	40			Percent of total billed charges		21.6	80			Percent of total billed charges		43.2	90			Percent of total billed charges		48.6	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	100			Percent of total billed charges		54	100			Percent of total billed charges		54	100			Percent of total billed charges		54	33.3			Percent of total billed charges		17.982	33.3			Percent of total billed charges		17.982	100			Percent of total billed charges		54	17.982	48.6	
"cath,foley,ped #10/3cc"	270	RC	Outpatient			54	35.1		90			Percent of total billed charges		48.6	40			Percent of total billed charges		21.6	80			Percent of total billed charges		43.2	90			Percent of total billed charges		48.6	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	100			Percent of total billed charges		54	100			Percent of total billed charges		54	100			Percent of total billed charges		54	33.3			Percent of total billed charges		17.982	33.3			Percent of total billed charges		17.982	100			Percent of total billed charges		54	17.982	48.6	
clavicle strap ed charge scnt	450	RC	Outpatient			54	35.1		90			Percent of total billed charges		48.6	40			Percent of total billed charges		21.6	80			Percent of total billed charges		43.2	90			Percent of total billed charges		48.6	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	100			Percent of total billed charges		54	100			Percent of total billed charges		54	100			Percent of total billed charges		54	33.3			Percent of total billed charges		17.982	33.3			Percent of total billed charges		17.982	100			Percent of total billed charges		54	17.982	48.6	
crtx scrw 4.5 x 22mm 71806022 s/n	278	RC	Outpatient			54	35.1		90			Percent of total billed charges		48.6	40			Percent of total billed charges		21.6	80			Percent of total billed charges		43.2	90			Percent of total billed charges		48.6	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	100			Percent of total billed charges		54	100			Percent of total billed charges		54	100			Percent of total billed charges		54	33.3			Percent of total billed charges		17.982	33.3			Percent of total billed charges		17.982	100			Percent of total billed charges		54	17.982	48.6	
crtx scrw 4.5 x 26mm 71806026 s/n	278	RC	Outpatient			54	35.1		90			Percent of total billed charges		48.6	40			Percent of total billed charges		21.6	80			Percent of total billed charges		43.2	90			Percent of total billed charges		48.6	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	100			Percent of total billed charges		54	100			Percent of total billed charges		54	100			Percent of total billed charges		54	33.3			Percent of total billed charges		17.982	33.3			Percent of total billed charges		17.982	100			Percent of total billed charges		54	17.982	48.6	
crtx scrw 4.5 x 28mm 71806028 s/n	278	RC	Outpatient			54	35.1		90			Percent of total billed charges		48.6	40			Percent of total billed charges		21.6	80			Percent of total billed charges		43.2	90			Percent of total billed charges		48.6	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	100			Percent of total billed charges		54	100			Percent of total billed charges		54	100			Percent of total billed charges		54	33.3			Percent of total billed charges		17.982	33.3			Percent of total billed charges		17.982	100			Percent of total billed charges		54	17.982	48.6	
crtx scrw 4.5 x 30mm 71806030 s/n	278	RC	Outpatient			54	35.1		90			Percent of total billed charges		48.6	40			Percent of total billed charges		21.6	80			Percent of total billed charges		43.2	90			Percent of total billed charges		48.6	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	100			Percent of total billed charges		54	100			Percent of total billed charges		54	100			Percent of total billed charges		54	33.3			Percent of total billed charges		17.982	33.3			Percent of total billed charges		17.982	100			Percent of total billed charges		54	17.982	48.6	
crtx scrw 4.5 x 34mm 71806034 s/n	278	RC	Outpatient			54	35.1		90			Percent of total billed charges		48.6	40			Percent of total billed charges		21.6	80			Percent of total billed charges		43.2	90			Percent of total billed charges		48.6	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	100			Percent of total billed charges		54	100			Percent of total billed charges		54	100			Percent of total billed charges		54	33.3			Percent of total billed charges		17.982	33.3			Percent of total billed charges		17.982	100			Percent of total billed charges		54	17.982	48.6	
crtx scrw 4.5 x 36mm 71806036 s/n	278	RC	Outpatient			54	35.1		90			Percent of total billed charges		48.6	40			Percent of total billed charges		21.6	80			Percent of total billed charges		43.2	90			Percent of total billed charges		48.6	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	100			Percent of total billed charges		54	100			Percent of total billed charges		54	100			Percent of total billed charges		54	33.3			Percent of total billed charges		17.982	33.3			Percent of total billed charges		17.982	100			Percent of total billed charges		54	17.982	48.6	
crtx scrw 4.5 x 52mm 71806052 s/n	278	RC	Outpatient			54	35.1		90			Percent of total billed charges		48.6	40			Percent of total billed charges		21.6	80			Percent of total billed charges		43.2	90			Percent of total billed charges		48.6	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	100			Percent of total billed charges		54	100			Percent of total billed charges		54	100			Percent of total billed charges		54	33.3			Percent of total billed charges		17.982	33.3			Percent of total billed charges		17.982	100			Percent of total billed charges		54	17.982	48.6	
crtx scrw 4.5 x 60mm 71806060 s/n	278	RC	Outpatient			54	35.1		90			Percent of total billed charges		48.6	40			Percent of total billed charges		21.6	80			Percent of total billed charges		43.2	90			Percent of total billed charges		48.6	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	100			Percent of total billed charges		54	100			Percent of total billed charges		54	100			Percent of total billed charges		54	33.3			Percent of total billed charges		17.982	33.3			Percent of total billed charges		17.982	100			Percent of total billed charges		54	17.982	48.6	
crtx scrw 4.5 x 64mm 71806064 s/n	278	RC	Outpatient			54	35.1		90			Percent of total billed charges		48.6	40			Percent of total billed charges		21.6	80			Percent of total billed charges		43.2	90			Percent of total billed charges		48.6	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	100			Percent of total billed charges		54	100			Percent of total billed charges		54	100			Percent of total billed charges		54	33.3			Percent of total billed charges		17.982	33.3			Percent of total billed charges		17.982	100			Percent of total billed charges		54	17.982	48.6	
"crutches,complete-adult"	270	RC	Outpatient			54	35.1		90			Percent of total billed charges		48.6	40			Percent of total billed charges		21.6	80			Percent of total billed charges		43.2	90			Percent of total billed charges		48.6	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	100			Percent of total billed charges		54	100			Percent of total billed charges		54	100			Percent of total billed charges		54	33.3			Percent of total billed charges		17.982	33.3			Percent of total billed charges		17.982	100			Percent of total billed charges		54	17.982	48.6	
dinamap 24 hr use	270	RC	Outpatient			54	35.1		90			Percent of total billed charges		48.6	40			Percent of total billed charges		21.6	80			Percent of total billed charges		43.2	90			Percent of total billed charges		48.6	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	100			Percent of total billed charges		54	100			Percent of total billed charges		54	100			Percent of total billed charges		54	33.3			Percent of total billed charges		17.982	33.3			Percent of total billed charges		17.982	100			Percent of total billed charges		54	17.982	48.6	
duoderm 8 x 8	270	RC	Outpatient			54	35.1		90			Percent of total billed charges		48.6	40			Percent of total billed charges		21.6	80			Percent of total billed charges		43.2	90			Percent of total billed charges		48.6	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	100			Percent of total billed charges		54	100			Percent of total billed charges		54	100			Percent of total billed charges		54	33.3			Percent of total billed charges		17.982	33.3			Percent of total billed charges		17.982	100			Percent of total billed charges		54	17.982	48.6	
essential parts kit	270	RC	Outpatient			54	35.1		90			Percent of total billed charges		48.6	40			Percent of total billed charges		21.6	80			Percent of total billed charges		43.2	90			Percent of total billed charges		48.6	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	100			Percent of total billed charges		54	100			Percent of total billed charges		54	100			Percent of total billed charges		54	33.3			Percent of total billed charges		17.982	33.3			Percent of total billed charges		17.982	100			Percent of total billed charges		54	17.982	48.6	
guidewire .025 260cm gw-025-260-1.5j covidien	272	RC	Outpatient			54	35.1		90			Percent of total billed charges		48.6	40			Percent of total billed charges		21.6	80			Percent of total billed charges		43.2	90			Percent of total billed charges		48.6	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	100			Percent of total billed charges		54	100			Percent of total billed charges		54	100			Percent of total billed charges		54	33.3			Percent of total billed charges		17.982	33.3			Percent of total billed charges		17.982	100			Percent of total billed charges		54	17.982	48.6	
guidewire .025 single	272	RC	Outpatient			54	35.1		90			Percent of total billed charges		48.6	40			Percent of total billed charges		21.6	80			Percent of total billed charges		43.2	90			Percent of total billed charges		48.6	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	100			Percent of total billed charges		54	100			Percent of total billed charges		54	100			Percent of total billed charges		54	33.3			Percent of total billed charges		17.982	33.3			Percent of total billed charges		17.982	100			Percent of total billed charges		54	17.982	48.6	
"hose, a.e. full med-r"	270	RC	Outpatient			54	35.1		90			Percent of total billed charges		48.6	40			Percent of total billed charges		21.6	80			Percent of total billed charges		43.2	90			Percent of total billed charges		48.6	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	100			Percent of total billed charges		54	100			Percent of total billed charges		54	100			Percent of total billed charges		54	33.3			Percent of total billed charges		17.982	33.3			Percent of total billed charges		17.982	100			Percent of total billed charges		54	17.982	48.6	
imp jardan and conformer #18	278	RC	Outpatient			54	35.1		90			Percent of total billed charges		48.6	40			Percent of total billed charges		21.6	80			Percent of total billed charges		43.2	90			Percent of total billed charges		48.6	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	100			Percent of total billed charges		54	100			Percent of total billed charges		54	100			Percent of total billed charges		54	33.3			Percent of total billed charges		17.982	33.3			Percent of total billed charges		17.982	100			Percent of total billed charges		54	17.982	48.6	
jordon implant	278	RC	Outpatient			54	35.1		90			Percent of total billed charges		48.6	40			Percent of total billed charges		21.6	80			Percent of total billed charges		43.2	90			Percent of total billed charges		48.6	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	100			Percent of total billed charges		54	100			Percent of total billed charges		54	100			Percent of total billed charges		54	33.3			Percent of total billed charges		17.982	33.3			Percent of total billed charges		17.982	100			Percent of total billed charges		54	17.982	48.6	
s/n 4.5 cort screw	278	RC	Outpatient			54	35.1		90			Percent of total billed charges		48.6	40			Percent of total billed charges		21.6	80			Percent of total billed charges		43.2	90			Percent of total billed charges		48.6	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	100			Percent of total billed charges		54	100			Percent of total billed charges		54	100			Percent of total billed charges		54	33.3			Percent of total billed charges		17.982	33.3			Percent of total billed charges		17.982	100			Percent of total billed charges		54	17.982	48.6	
"strap,clavicle,large"	270	RC	Outpatient			54	35.1		90			Percent of total billed charges		48.6	40			Percent of total billed charges		21.6	80			Percent of total billed charges		43.2	90			Percent of total billed charges		48.6	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	100			Percent of total billed charges		54	100			Percent of total billed charges		54	100			Percent of total billed charges		54	33.3			Percent of total billed charges		17.982	33.3			Percent of total billed charges		17.982	100			Percent of total billed charges		54	17.982	48.6	
"strap,clavicle,sm"	270	RC	Outpatient			54	35.1		90			Percent of total billed charges		48.6	40			Percent of total billed charges		21.6	80			Percent of total billed charges		43.2	90			Percent of total billed charges		48.6	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	100			Percent of total billed charges		54	100			Percent of total billed charges		54	100			Percent of total billed charges		54	33.3			Percent of total billed charges		17.982	33.3			Percent of total billed charges		17.982	100			Percent of total billed charges		54	17.982	48.6	
respiratory isolation pkt	270	RC	Outpatient			54	35.1		90			Percent of total billed charges		48.6	40			Percent of total billed charges		21.6	80			Percent of total billed charges		43.2	90			Percent of total billed charges		48.6	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	100			Percent of total billed charges		54	100			Percent of total billed charges		54	100			Percent of total billed charges		54	33.3			Percent of total billed charges		17.982	33.3			Percent of total billed charges		17.982	100			Percent of total billed charges		54	17.982	48.6	
s/n ultra braid	272	RC	Outpatient			54	35.1		90			Percent of total billed charges		48.6	40			Percent of total billed charges		21.6	80			Percent of total billed charges		43.2	90			Percent of total billed charges		48.6	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	100			Percent of total billed charges		54	100			Percent of total billed charges		54	100			Percent of total billed charges		54	33.3			Percent of total billed charges		17.982	33.3			Percent of total billed charges		17.982	100			Percent of total billed charges		54	17.982	48.6	
"strap,clavicle,xs"	270	RC	Outpatient			54	35.1		90			Percent of total billed charges		48.6	40			Percent of total billed charges		21.6	80			Percent of total billed charges		43.2	90			Percent of total billed charges		48.6	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	100			Percent of total billed charges		54	100			Percent of total billed charges		54	100			Percent of total billed charges		54	33.3			Percent of total billed charges		17.982	33.3			Percent of total billed charges		17.982	100			Percent of total billed charges		54	17.982	48.6	
ultrabraid co suture  s/n 72200886	272	RC	Outpatient			54	35.1		90			Percent of total billed charges		48.6	40			Percent of total billed charges		21.6	80			Percent of total billed charges		43.2	90			Percent of total billed charges		48.6	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	100			Percent of total billed charges		54	100			Percent of total billed charges		54	100			Percent of total billed charges		54	33.3			Percent of total billed charges		17.982	33.3			Percent of total billed charges		17.982	100			Percent of total billed charges		54	17.982	48.6	
ultrabraid ii #2 blue suture 38 72202965 s/n	272	RC	Outpatient			54	35.1		90			Percent of total billed charges		48.6	40			Percent of total billed charges		21.6	80			Percent of total billed charges		43.2	90			Percent of total billed charges		48.6	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	100			Percent of total billed charges		54	100			Percent of total billed charges		54	100			Percent of total billed charges		54	33.3			Percent of total billed charges		17.982	33.3			Percent of total billed charges		17.982	100			Percent of total billed charges		54	17.982	48.6	
underbody bair hugger blanket 63500 3m	270	RC	Outpatient			54	35.1		90			Percent of total billed charges		48.6	40			Percent of total billed charges		21.6	80			Percent of total billed charges		43.2	90			Percent of total billed charges		48.6	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	100			Percent of total billed charges		54	100			Percent of total billed charges		54	100			Percent of total billed charges		54	33.3			Percent of total billed charges		17.982	33.3			Percent of total billed charges		17.982	100			Percent of total billed charges		54	17.982	48.6	
ultrabraid #2 s/n 7210914	272	RC	Outpatient			54	35.1		90			Percent of total billed charges		48.6	40			Percent of total billed charges		21.6	80			Percent of total billed charges		43.2	90			Percent of total billed charges		48.6	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	100			Percent of total billed charges		54	100			Percent of total billed charges		54	100			Percent of total billed charges		54	33.3			Percent of total billed charges		17.982	33.3			Percent of total billed charges		17.982	100			Percent of total billed charges		54	17.982	48.6	
ultrabraid co suture  s/n 72200887	272	RC	Outpatient			54	35.1		90			Percent of total billed charges		48.6	40			Percent of total billed charges		21.6	80			Percent of total billed charges		43.2	90			Percent of total billed charges		48.6	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	85			Percent of total billed charges		45.9	100			Percent of total billed charges		54	100			Percent of total billed charges		54	100			Percent of total billed charges		54	33.3			Percent of total billed charges		17.982	33.3			Percent of total billed charges		17.982	100			Percent of total billed charges		54	17.982	48.6	
asa per unit - anesthesiologist	983	RC	Outpatient			55	35.75		90			Percent of total billed charges		49.5	40			Percent of total billed charges		22	80			Percent of total billed charges		44	90			Percent of total billed charges		49.5	85			Percent of total billed charges		46.75	85			Percent of total billed charges		46.75	85			Percent of total billed charges		46.75	100			Percent of total billed charges		55	100			Percent of total billed charges		55	100			Percent of total billed charges		55	33.3			Percent of total billed charges		18.315	33.3			Percent of total billed charges		18.315	100			Percent of total billed charges		55	18.315	49.5	
cast arm childs short	270	RC	Outpatient			55	35.75		90			Percent of total billed charges		49.5	40			Percent of total billed charges		22	80			Percent of total billed charges		44	90			Percent of total billed charges		49.5	85			Percent of total billed charges		46.75	85			Percent of total billed charges		46.75	85			Percent of total billed charges		46.75	100			Percent of total billed charges		55	100			Percent of total billed charges		55	100			Percent of total billed charges		55	33.3			Percent of total billed charges		18.315	33.3			Percent of total billed charges		18.315	100			Percent of total billed charges		55	18.315	49.5	
bone marrow biopsy ndl	272	RC	Outpatient			55	35.75		90			Percent of total billed charges		49.5	40			Percent of total billed charges		22	80			Percent of total billed charges		44	90			Percent of total billed charges		49.5	85			Percent of total billed charges		46.75	85			Percent of total billed charges		46.75	85			Percent of total billed charges		46.75	100			Percent of total billed charges		55	100			Percent of total billed charges		55	100			Percent of total billed charges		55	33.3			Percent of total billed charges		18.315	33.3			Percent of total billed charges		18.315	100			Percent of total billed charges		55	18.315	49.5	
derma mesher	270	RC	Outpatient			55	35.75		90			Percent of total billed charges		49.5	40			Percent of total billed charges		22	80			Percent of total billed charges		44	90			Percent of total billed charges		49.5	85			Percent of total billed charges		46.75	85			Percent of total billed charges		46.75	85			Percent of total billed charges		46.75	100			Percent of total billed charges		55	100			Percent of total billed charges		55	100			Percent of total billed charges		55	33.3			Percent of total billed charges		18.315	33.3			Percent of total billed charges		18.315	100			Percent of total billed charges		55	18.315	49.5	
dilator	270	RC	Outpatient			55	35.75		90			Percent of total billed charges		49.5	40			Percent of total billed charges		22	80			Percent of total billed charges		44	90			Percent of total billed charges		49.5	85			Percent of total billed charges		46.75	85			Percent of total billed charges		46.75	85			Percent of total billed charges		46.75	100			Percent of total billed charges		55	100			Percent of total billed charges		55	100			Percent of total billed charges		55	33.3			Percent of total billed charges		18.315	33.3			Percent of total billed charges		18.315	100			Percent of total billed charges		55	18.315	49.5	
endo tray dressing tpn	272	RC	Outpatient			55	35.75		90			Percent of total billed charges		49.5	40			Percent of total billed charges		22	80			Percent of total billed charges		44	90			Percent of total billed charges		49.5	85			Percent of total billed charges		46.75	85			Percent of total billed charges		46.75	85			Percent of total billed charges		46.75	100			Percent of total billed charges		55	100			Percent of total billed charges		55	100			Percent of total billed charges		55	33.3			Percent of total billed charges		18.315	33.3			Percent of total billed charges		18.315	100			Percent of total billed charges		55	18.315	49.5	
endowrist 12-8 mm reducer ref 470381 isi	272	RC	Outpatient			55	35.75		90			Percent of total billed charges		49.5	40			Percent of total billed charges		22	80			Percent of total billed charges		44	90			Percent of total billed charges		49.5	85			Percent of total billed charges		46.75	85			Percent of total billed charges		46.75	85			Percent of total billed charges		46.75	100			Percent of total billed charges		55	100			Percent of total billed charges		55	100			Percent of total billed charges		55	33.3			Percent of total billed charges		18.315	33.3			Percent of total billed charges		18.315	100			Percent of total billed charges		55	18.315	49.5	
howell brush	270	RC	Outpatient			55	35.75		90			Percent of total billed charges		49.5	40			Percent of total billed charges		22	80			Percent of total billed charges		44	90			Percent of total billed charges		49.5	85			Percent of total billed charges		46.75	85			Percent of total billed charges		46.75	85			Percent of total billed charges		46.75	100			Percent of total billed charges		55	100			Percent of total billed charges		55	100			Percent of total billed charges		55	33.3			Percent of total billed charges		18.315	33.3			Percent of total billed charges		18.315	100			Percent of total billed charges		55	18.315	49.5	
l/d vacumn extractor	270	RC	Outpatient			55	35.75		90			Percent of total billed charges		49.5	40			Percent of total billed charges		22	80			Percent of total billed charges		44	90			Percent of total billed charges		49.5	85			Percent of total billed charges		46.75	85			Percent of total billed charges		46.75	85			Percent of total billed charges		46.75	100			Percent of total billed charges		55	100			Percent of total billed charges		55	100			Percent of total billed charges		55	33.3			Percent of total billed charges		18.315	33.3			Percent of total billed charges		18.315	100			Percent of total billed charges		55	18.315	49.5	
myosure outflow tubing aql-111 hologics	272	RC	Outpatient			55	35.75		90			Percent of total billed charges		49.5	40			Percent of total billed charges		22	80			Percent of total billed charges		44	90			Percent of total billed charges		49.5	85			Percent of total billed charges		46.75	85			Percent of total billed charges		46.75	85			Percent of total billed charges		46.75	100			Percent of total billed charges		55	100			Percent of total billed charges		55	100			Percent of total billed charges		55	33.3			Percent of total billed charges		18.315	33.3			Percent of total billed charges		18.315	100			Percent of total billed charges		55	18.315	49.5	
"kit,parcntsis dr s.johnsn"	270	RC	Outpatient			55	35.75		90			Percent of total billed charges		49.5	40			Percent of total billed charges		22	80			Percent of total billed charges		44	90			Percent of total billed charges		49.5	85			Percent of total billed charges		46.75	85			Percent of total billed charges		46.75	85			Percent of total billed charges		46.75	100			Percent of total billed charges		55	100			Percent of total billed charges		55	100			Percent of total billed charges		55	33.3			Percent of total billed charges		18.315	33.3			Percent of total billed charges		18.315	100			Percent of total billed charges		55	18.315	49.5	
mesher	270	RC	Outpatient			55	35.75		90			Percent of total billed charges		49.5	40			Percent of total billed charges		22	80			Percent of total billed charges		44	90			Percent of total billed charges		49.5	85			Percent of total billed charges		46.75	85			Percent of total billed charges		46.75	85			Percent of total billed charges		46.75	100			Percent of total billed charges		55	100			Percent of total billed charges		55	100			Percent of total billed charges		55	33.3			Percent of total billed charges		18.315	33.3			Percent of total billed charges		18.315	100			Percent of total billed charges		55	18.315	49.5	
needle bone marrow biopsy 11g x 4 8881-247111	272	RC	Outpatient			55	35.75		90			Percent of total billed charges		49.5	40			Percent of total billed charges		22	80			Percent of total billed charges		44	90			Percent of total billed charges		49.5	85			Percent of total billed charges		46.75	85			Percent of total billed charges		46.75	85			Percent of total billed charges		46.75	100			Percent of total billed charges		55	100			Percent of total billed charges		55	100			Percent of total billed charges		55	33.3			Percent of total billed charges		18.315	33.3			Percent of total billed charges		18.315	100			Percent of total billed charges		55	18.315	49.5	
scrmc dilator	621	RC	Outpatient			55	35.75		90			Percent of total billed charges		49.5	40			Percent of total billed charges		22	80			Percent of total billed charges		44	90			Percent of total billed charges		49.5	85			Percent of total billed charges		46.75	85			Percent of total billed charges		46.75	85			Percent of total billed charges		46.75	100			Percent of total billed charges		55	100			Percent of total billed charges		55	100			Percent of total billed charges		55	33.3			Percent of total billed charges		18.315	33.3			Percent of total billed charges		18.315	100			Percent of total billed charges		55	18.315	49.5	
speed pin 45mm 7401-3408 s/n	272	RC	Outpatient			55	35.75		90			Percent of total billed charges		49.5	40			Percent of total billed charges		22	80			Percent of total billed charges		44	90			Percent of total billed charges		49.5	85			Percent of total billed charges		46.75	85			Percent of total billed charges		46.75	85			Percent of total billed charges		46.75	100			Percent of total billed charges		55	100			Percent of total billed charges		55	100			Percent of total billed charges		55	33.3			Percent of total billed charges		18.315	33.3			Percent of total billed charges		18.315	100			Percent of total billed charges		55	18.315	49.5	
speed pin 45mm 7401-3471 s/n	272	RC	Outpatient			55	35.75		90			Percent of total billed charges		49.5	40			Percent of total billed charges		22	80			Percent of total billed charges		44	90			Percent of total billed charges		49.5	85			Percent of total billed charges		46.75	85			Percent of total billed charges		46.75	85			Percent of total billed charges		46.75	100			Percent of total billed charges		55	100			Percent of total billed charges		55	100			Percent of total billed charges		55	33.3			Percent of total billed charges		18.315	33.3			Percent of total billed charges		18.315	100			Percent of total billed charges		55	18.315	49.5	
speed pin 65mm 7401-3472 s/n	272	RC	Outpatient			55	35.75		90			Percent of total billed charges		49.5	40			Percent of total billed charges		22	80			Percent of total billed charges		44	90			Percent of total billed charges		49.5	85			Percent of total billed charges		46.75	85			Percent of total billed charges		46.75	85			Percent of total billed charges		46.75	100			Percent of total billed charges		55	100			Percent of total billed charges		55	100			Percent of total billed charges		55	33.3			Percent of total billed charges		18.315	33.3			Percent of total billed charges		18.315	100			Percent of total billed charges		55	18.315	49.5	
tip cover 8-12 mm accessory ref 400180 isi	272	RC	Outpatient			55	35.75		90			Percent of total billed charges		49.5	40			Percent of total billed charges		22	80			Percent of total billed charges		44	90			Percent of total billed charges		49.5	85			Percent of total billed charges		46.75	85			Percent of total billed charges		46.75	85			Percent of total billed charges		46.75	100			Percent of total billed charges		55	100			Percent of total billed charges		55	100			Percent of total billed charges		55	33.3			Percent of total billed charges		18.315	33.3			Percent of total billed charges		18.315	100			Percent of total billed charges		55	18.315	49.5	
s/n speed pin	272	RC	Outpatient			55	35.75		90			Percent of total billed charges		49.5	40			Percent of total billed charges		22	80			Percent of total billed charges		44	90			Percent of total billed charges		49.5	85			Percent of total billed charges		46.75	85			Percent of total billed charges		46.75	85			Percent of total billed charges		46.75	100			Percent of total billed charges		55	100			Percent of total billed charges		55	100			Percent of total billed charges		55	33.3			Percent of total billed charges		18.315	33.3			Percent of total billed charges		18.315	100			Percent of total billed charges		55	18.315	49.5	
scrmc kit neph drainage bag	272	RC	Outpatient			55	35.75		90			Percent of total billed charges		49.5	40			Percent of total billed charges		22	80			Percent of total billed charges		44	90			Percent of total billed charges		49.5	85			Percent of total billed charges		46.75	85			Percent of total billed charges		46.75	85			Percent of total billed charges		46.75	100			Percent of total billed charges		55	100			Percent of total billed charges		55	100			Percent of total billed charges		55	33.3			Percent of total billed charges		18.315	33.3			Percent of total billed charges		18.315	100			Percent of total billed charges		55	18.315	49.5	
scrmc pleurx catheter access kit	270	RC	Outpatient			55	35.75		90			Percent of total billed charges		49.5	40			Percent of total billed charges		22	80			Percent of total billed charges		44	90			Percent of total billed charges		49.5	85			Percent of total billed charges		46.75	85			Percent of total billed charges		46.75	85			Percent of total billed charges		46.75	100			Percent of total billed charges		55	100			Percent of total billed charges		55	100			Percent of total billed charges		55	33.3			Percent of total billed charges		18.315	33.3			Percent of total billed charges		18.315	100			Percent of total billed charges		55	18.315	49.5	
speed pin 65mm 7401-3480 s/n	272	RC	Outpatient			55	35.75		90			Percent of total billed charges		49.5	40			Percent of total billed charges		22	80			Percent of total billed charges		44	90			Percent of total billed charges		49.5	85			Percent of total billed charges		46.75	85			Percent of total billed charges		46.75	85			Percent of total billed charges		46.75	100			Percent of total billed charges		55	100			Percent of total billed charges		55	100			Percent of total billed charges		55	33.3			Percent of total billed charges		18.315	33.3			Percent of total billed charges		18.315	100			Percent of total billed charges		55	18.315	49.5	
speed pin 80mm 7401-3490 s/n	272	RC	Outpatient			55	35.75		90			Percent of total billed charges		49.5	40			Percent of total billed charges		22	80			Percent of total billed charges		44	90			Percent of total billed charges		49.5	85			Percent of total billed charges		46.75	85			Percent of total billed charges		46.75	85			Percent of total billed charges		46.75	100			Percent of total billed charges		55	100			Percent of total billed charges		55	100			Percent of total billed charges		55	33.3			Percent of total billed charges		18.315	33.3			Percent of total billed charges		18.315	100			Percent of total billed charges		55	18.315	49.5	
tpn dressing ed charge scnt	272	RC	Outpatient			55	35.75		90			Percent of total billed charges		49.5	40			Percent of total billed charges		22	80			Percent of total billed charges		44	90			Percent of total billed charges		49.5	85			Percent of total billed charges		46.75	85			Percent of total billed charges		46.75	85			Percent of total billed charges		46.75	100			Percent of total billed charges		55	100			Percent of total billed charges		55	100			Percent of total billed charges		55	33.3			Percent of total billed charges		18.315	33.3			Percent of total billed charges		18.315	100			Percent of total billed charges		55	18.315	49.5	
tray dressing tpn 1700745	272	RC	Outpatient			55	35.75		90			Percent of total billed charges		49.5	40			Percent of total billed charges		22	80			Percent of total billed charges		44	90			Percent of total billed charges		49.5	85			Percent of total billed charges		46.75	85			Percent of total billed charges		46.75	85			Percent of total billed charges		46.75	100			Percent of total billed charges		55	100			Percent of total billed charges		55	100			Percent of total billed charges		55	33.3			Percent of total billed charges		18.315	33.3			Percent of total billed charges		18.315	100			Percent of total billed charges		55	18.315	49.5	
zzscrmc dilator	270	RC	Outpatient			55	35.75		90			Percent of total billed charges		49.5	40			Percent of total billed charges		22	80			Percent of total billed charges		44	90			Percent of total billed charges		49.5	85			Percent of total billed charges		46.75	85			Percent of total billed charges		46.75	85			Percent of total billed charges		46.75	100			Percent of total billed charges		55	100			Percent of total billed charges		55	100			Percent of total billed charges		55	33.3			Percent of total billed charges		18.315	33.3			Percent of total billed charges		18.315	100			Percent of total billed charges		55	18.315	49.5	
wound closure device 2-0 6 vloc ref vloc2105	272	RC	Outpatient			55.6	36.14		90			Percent of total billed charges		50.04	40			Percent of total billed charges		22.24	80			Percent of total billed charges		44.48	90			Percent of total billed charges		50.04	85			Percent of total billed charges		47.26	85			Percent of total billed charges		47.26	85			Percent of total billed charges		47.26	100			Percent of total billed charges		55.6	100			Percent of total billed charges		55.6	100			Percent of total billed charges		55.6	33.3			Percent of total billed charges		18.5148	33.3			Percent of total billed charges		18.5148	100			Percent of total billed charges		55.6	18.5148	50.04	
suture vloc 0 gs-1 ref vlocl0306	272	RC	Outpatient			55.66	36.18		90			Percent of total billed charges		50.094	40			Percent of total billed charges		22.264	80			Percent of total billed charges		44.528	90			Percent of total billed charges		50.094	85			Percent of total billed charges		47.311	85			Percent of total billed charges		47.311	85			Percent of total billed charges		47.311	100			Percent of total billed charges		55.66	100			Percent of total billed charges		55.66	100			Percent of total billed charges		55.66	33.3			Percent of total billed charges		18.5348	33.3			Percent of total billed charges		18.5348	100			Percent of total billed charges		55.66	18.5348	50.094	
k-wire 2.0mm x 350mm 71173381 s/n	278	RC	Outpatient			56	36.4		90			Percent of total billed charges		50.4	40			Percent of total billed charges		22.4	80			Percent of total billed charges		44.8	90			Percent of total billed charges		50.4	85			Percent of total billed charges		47.6	85			Percent of total billed charges		47.6	85			Percent of total billed charges		47.6	100			Percent of total billed charges		56	100			Percent of total billed charges		56	100			Percent of total billed charges		56	33.3			Percent of total billed charges		18.648	33.3			Percent of total billed charges		18.648	100			Percent of total billed charges		56	18.648	50.4	
morgan lens	270	RC	Outpatient			56	36.4		90			Percent of total billed charges		50.4	40			Percent of total billed charges		22.4	80			Percent of total billed charges		44.8	90			Percent of total billed charges		50.4	85			Percent of total billed charges		47.6	85			Percent of total billed charges		47.6	85			Percent of total billed charges		47.6	100			Percent of total billed charges		56	100			Percent of total billed charges		56	100			Percent of total billed charges		56	33.3			Percent of total billed charges		18.648	33.3			Percent of total billed charges		18.648	100			Percent of total billed charges		56	18.648	50.4	
morgan lens ed charge scnt	270	RC	Outpatient			56	36.4		90			Percent of total billed charges		50.4	40			Percent of total billed charges		22.4	80			Percent of total billed charges		44.8	90			Percent of total billed charges		50.4	85			Percent of total billed charges		47.6	85			Percent of total billed charges		47.6	85			Percent of total billed charges		47.6	100			Percent of total billed charges		56	100			Percent of total billed charges		56	100			Percent of total billed charges		56	33.3			Percent of total billed charges		18.648	33.3			Percent of total billed charges		18.648	100			Percent of total billed charges		56	18.648	50.4	
oxytip	270	RC	Outpatient			56	36.4		90			Percent of total billed charges		50.4	40			Percent of total billed charges		22.4	80			Percent of total billed charges		44.8	90			Percent of total billed charges		50.4	85			Percent of total billed charges		47.6	85			Percent of total billed charges		47.6	85			Percent of total billed charges		47.6	100			Percent of total billed charges		56	100			Percent of total billed charges		56	100			Percent of total billed charges		56	33.3			Percent of total billed charges		18.648	33.3			Percent of total billed charges		18.648	100			Percent of total billed charges		56	18.648	50.4	
packing post op nasal x-large 11w-w100-08s	270	RC	Outpatient			56	36.4		90			Percent of total billed charges		50.4	40			Percent of total billed charges		22.4	80			Percent of total billed charges		44.8	90			Percent of total billed charges		50.4	85			Percent of total billed charges		47.6	85			Percent of total billed charges		47.6	85			Percent of total billed charges		47.6	100			Percent of total billed charges		56	100			Percent of total billed charges		56	100			Percent of total billed charges		56	33.3			Percent of total billed charges		18.648	33.3			Percent of total billed charges		18.648	100			Percent of total billed charges		56	18.648	50.4	
rhino rocket	270	RC	Outpatient			56	36.4		90			Percent of total billed charges		50.4	40			Percent of total billed charges		22.4	80			Percent of total billed charges		44.8	90			Percent of total billed charges		50.4	85			Percent of total billed charges		47.6	85			Percent of total billed charges		47.6	85			Percent of total billed charges		47.6	100			Percent of total billed charges		56	100			Percent of total billed charges		56	100			Percent of total billed charges		56	33.3			Percent of total billed charges		18.648	33.3			Percent of total billed charges		18.648	100			Percent of total billed charges		56	18.648	50.4	
s/n k-wire tgr	278	RC	Outpatient			56	36.4		90			Percent of total billed charges		50.4	40			Percent of total billed charges		22.4	80			Percent of total billed charges		44.8	90			Percent of total billed charges		50.4	85			Percent of total billed charges		47.6	85			Percent of total billed charges		47.6	85			Percent of total billed charges		47.6	100			Percent of total billed charges		56	100			Percent of total billed charges		56	100			Percent of total billed charges		56	33.3			Percent of total billed charges		18.648	33.3			Percent of total billed charges		18.648	100			Percent of total billed charges		56	18.648	50.4	
binder breast xxl	270	RC	Outpatient			57	37.05		90			Percent of total billed charges		51.3	40			Percent of total billed charges		22.8	80			Percent of total billed charges		45.6	90			Percent of total billed charges		51.3	85			Percent of total billed charges		48.45	85			Percent of total billed charges		48.45	85			Percent of total billed charges		48.45	100			Percent of total billed charges		57	100			Percent of total billed charges		57	100			Percent of total billed charges		57	33.3			Percent of total billed charges		18.981	33.3			Percent of total billed charges		18.981	100			Percent of total billed charges		57	18.981	51.3	
humidified h2o	272	RC	Outpatient			57	37.05		90			Percent of total billed charges		51.3	40			Percent of total billed charges		22.8	80			Percent of total billed charges		45.6	90			Percent of total billed charges		51.3	85			Percent of total billed charges		48.45	85			Percent of total billed charges		48.45	85			Percent of total billed charges		48.45	100			Percent of total billed charges		57	100			Percent of total billed charges		57	100			Percent of total billed charges		57	33.3			Percent of total billed charges		18.981	33.3			Percent of total billed charges		18.981	100			Percent of total billed charges		57	18.981	51.3	
liquiband lb0002 covidien	272	RC	Outpatient			57	37.05		90			Percent of total billed charges		51.3	40			Percent of total billed charges		22.8	80			Percent of total billed charges		45.6	90			Percent of total billed charges		51.3	85			Percent of total billed charges		48.45	85			Percent of total billed charges		48.45	85			Percent of total billed charges		48.45	100			Percent of total billed charges		57	100			Percent of total billed charges		57	100			Percent of total billed charges		57	33.3			Percent of total billed charges		18.981	33.3			Percent of total billed charges		18.981	100			Percent of total billed charges		57	18.981	51.3	
sterile tourniquet cuff	272	RC	Outpatient			57	37.05		90			Percent of total billed charges		51.3	40			Percent of total billed charges		22.8	80			Percent of total billed charges		45.6	90			Percent of total billed charges		51.3	85			Percent of total billed charges		48.45	85			Percent of total billed charges		48.45	85			Percent of total billed charges		48.45	100			Percent of total billed charges		57	100			Percent of total billed charges		57	100			Percent of total billed charges		57	33.3			Percent of total billed charges		18.981	33.3			Percent of total billed charges		18.981	100			Percent of total billed charges		57	18.981	51.3	
stryker twist drill	272	RC	Outpatient			57	37.05		90			Percent of total billed charges		51.3	40			Percent of total billed charges		22.8	80			Percent of total billed charges		45.6	90			Percent of total billed charges		51.3	85			Percent of total billed charges		48.45	85			Percent of total billed charges		48.45	85			Percent of total billed charges		48.45	100			Percent of total billed charges		57	100			Percent of total billed charges		57	100			Percent of total billed charges		57	33.3			Percent of total billed charges		18.981	33.3			Percent of total billed charges		18.981	100			Percent of total billed charges		57	18.981	51.3	
torcon cath ck 1.038  go8839 cook	272	RC	Outpatient			57	37.05		90			Percent of total billed charges		51.3	40			Percent of total billed charges		22.8	80			Percent of total billed charges		45.6	90			Percent of total billed charges		51.3	85			Percent of total billed charges		48.45	85			Percent of total billed charges		48.45	85			Percent of total billed charges		48.45	100			Percent of total billed charges		57	100			Percent of total billed charges		57	100			Percent of total billed charges		57	33.3			Percent of total billed charges		18.981	33.3			Percent of total billed charges		18.981	100			Percent of total billed charges		57	18.981	51.3	
torcon cath sim 1 go8471 cook	272	RC	Outpatient			57	37.05		90			Percent of total billed charges		51.3	40			Percent of total billed charges		22.8	80			Percent of total billed charges		45.6	90			Percent of total billed charges		51.3	85			Percent of total billed charges		48.45	85			Percent of total billed charges		48.45	85			Percent of total billed charges		48.45	100			Percent of total billed charges		57	100			Percent of total billed charges		57	100			Percent of total billed charges		57	33.3			Percent of total billed charges		18.981	33.3			Percent of total billed charges		18.981	100			Percent of total billed charges		57	18.981	51.3	
torcon cath sim 2 go8422 cook	272	RC	Outpatient			57	37.05		90			Percent of total billed charges		51.3	40			Percent of total billed charges		22.8	80			Percent of total billed charges		45.6	90			Percent of total billed charges		51.3	85			Percent of total billed charges		48.45	85			Percent of total billed charges		48.45	85			Percent of total billed charges		48.45	100			Percent of total billed charges		57	100			Percent of total billed charges		57	100			Percent of total billed charges		57	33.3			Percent of total billed charges		18.981	33.3			Percent of total billed charges		18.981	100			Percent of total billed charges		57	18.981	51.3	
sheath pinnacle 5fr	270	RC	Outpatient			57	37.05		90			Percent of total billed charges		51.3	40			Percent of total billed charges		22.8	80			Percent of total billed charges		45.6	90			Percent of total billed charges		51.3	85			Percent of total billed charges		48.45	85			Percent of total billed charges		48.45	85			Percent of total billed charges		48.45	100			Percent of total billed charges		57	100			Percent of total billed charges		57	100			Percent of total billed charges		57	33.3			Percent of total billed charges		18.981	33.3			Percent of total billed charges		18.981	100			Percent of total billed charges		57	18.981	51.3	
torcon cath	272	RC	Outpatient			57	37.05		90			Percent of total billed charges		51.3	40			Percent of total billed charges		22.8	80			Percent of total billed charges		45.6	90			Percent of total billed charges		51.3	85			Percent of total billed charges		48.45	85			Percent of total billed charges		48.45	85			Percent of total billed charges		48.45	100			Percent of total billed charges		57	100			Percent of total billed charges		57	100			Percent of total billed charges		57	33.3			Percent of total billed charges		18.981	33.3			Percent of total billed charges		18.981	100			Percent of total billed charges		57	18.981	51.3	
twist drill 2.0 x 100mm 60-20185 stryker	272	RC	Outpatient			57	37.05		90			Percent of total billed charges		51.3	40			Percent of total billed charges		22.8	80			Percent of total billed charges		45.6	90			Percent of total billed charges		51.3	85			Percent of total billed charges		48.45	85			Percent of total billed charges		48.45	85			Percent of total billed charges		48.45	100			Percent of total billed charges		57	100			Percent of total billed charges		57	100			Percent of total billed charges		57	33.3			Percent of total billed charges		18.981	33.3			Percent of total billed charges		18.981	100			Percent of total billed charges		57	18.981	51.3	
retainer viscera fish carefusion  ref 3206	272	RC	Outpatient			57.64	37.47		90			Percent of total billed charges		51.876	40			Percent of total billed charges		23.056	80			Percent of total billed charges		46.112	90			Percent of total billed charges		51.876	85			Percent of total billed charges		48.994	85			Percent of total billed charges		48.994	85			Percent of total billed charges		48.994	100			Percent of total billed charges		57.64	100			Percent of total billed charges		57.64	100			Percent of total billed charges		57.64	33.3			Percent of total billed charges		19.1941	33.3			Percent of total billed charges		19.1941	100			Percent of total billed charges		57.64	19.1941	51.876	
cath foley 6fr 1.5cc sil dynd11552	270	RC	Outpatient			58	37.7		90			Percent of total billed charges		52.2	40			Percent of total billed charges		23.2	80			Percent of total billed charges		46.4	90			Percent of total billed charges		52.2	85			Percent of total billed charges		49.3	85			Percent of total billed charges		49.3	85			Percent of total billed charges		49.3	100			Percent of total billed charges		58	100			Percent of total billed charges		58	100			Percent of total billed charges		58	33.3			Percent of total billed charges		19.314	33.3			Percent of total billed charges		19.314	100			Percent of total billed charges		58	19.314	52.2	
cath simplastic 24 fr 2 way 30ml 5706-24	270	RC	Outpatient			58	37.7		90			Percent of total billed charges		52.2	40			Percent of total billed charges		23.2	80			Percent of total billed charges		46.4	90			Percent of total billed charges		52.2	85			Percent of total billed charges		49.3	85			Percent of total billed charges		49.3	85			Percent of total billed charges		49.3	100			Percent of total billed charges		58	100			Percent of total billed charges		58	100			Percent of total billed charges		58	33.3			Percent of total billed charges		19.314	33.3			Percent of total billed charges		19.314	100			Percent of total billed charges		58	19.314	52.2	
catheter simplastic 2-way	270	RC	Outpatient			58	37.7		90			Percent of total billed charges		52.2	40			Percent of total billed charges		23.2	80			Percent of total billed charges		46.4	90			Percent of total billed charges		52.2	85			Percent of total billed charges		49.3	85			Percent of total billed charges		49.3	85			Percent of total billed charges		49.3	100			Percent of total billed charges		58	100			Percent of total billed charges		58	100			Percent of total billed charges		58	33.3			Percent of total billed charges		19.314	33.3			Percent of total billed charges		19.314	100			Percent of total billed charges		58	19.314	52.2	
cathlab neptune pad	272	RC	Outpatient			58	37.7		90			Percent of total billed charges		52.2	40			Percent of total billed charges		23.2	80			Percent of total billed charges		46.4	90			Percent of total billed charges		52.2	85			Percent of total billed charges		49.3	85			Percent of total billed charges		49.3	85			Percent of total billed charges		49.3	100			Percent of total billed charges		58	100			Percent of total billed charges		58	100			Percent of total billed charges		58	33.3			Percent of total billed charges		19.314	33.3			Percent of total billed charges		19.314	100			Percent of total billed charges		58	19.314	52.2	
l/r 5000 cc	270	RC	Outpatient			58	37.7		90			Percent of total billed charges		52.2	40			Percent of total billed charges		23.2	80			Percent of total billed charges		46.4	90			Percent of total billed charges		52.2	85			Percent of total billed charges		49.3	85			Percent of total billed charges		49.3	85			Percent of total billed charges		49.3	100			Percent of total billed charges		58	100			Percent of total billed charges		58	100			Percent of total billed charges		58	33.3			Percent of total billed charges		19.314	33.3			Percent of total billed charges		19.314	100			Percent of total billed charges		58	19.314	52.2	
lactated ringers irrigation 5000cc	270	RC	Outpatient			58	37.7		90			Percent of total billed charges		52.2	40			Percent of total billed charges		23.2	80			Percent of total billed charges		46.4	90			Percent of total billed charges		52.2	85			Percent of total billed charges		49.3	85			Percent of total billed charges		49.3	85			Percent of total billed charges		49.3	100			Percent of total billed charges		58	100			Percent of total billed charges		58	100			Percent of total billed charges		58	33.3			Percent of total billed charges		19.314	33.3			Percent of total billed charges		19.314	100			Percent of total billed charges		58	19.314	52.2	
max braid	272	RC	Outpatient			58	37.7		90			Percent of total billed charges		52.2	40			Percent of total billed charges		23.2	80			Percent of total billed charges		46.4	90			Percent of total billed charges		52.2	85			Percent of total billed charges		49.3	85			Percent of total billed charges		49.3	85			Percent of total billed charges		49.3	100			Percent of total billed charges		58	100			Percent of total billed charges		58	100			Percent of total billed charges		58	33.3			Percent of total billed charges		19.314	33.3			Percent of total billed charges		19.314	100			Percent of total billed charges		58	19.314	52.2	
needle jamshidi bx. 16ga	270	RC	Outpatient			58	37.7		90			Percent of total billed charges		52.2	40			Percent of total billed charges		23.2	80			Percent of total billed charges		46.4	90			Percent of total billed charges		52.2	85			Percent of total billed charges		49.3	85			Percent of total billed charges		49.3	85			Percent of total billed charges		49.3	100			Percent of total billed charges		58	100			Percent of total billed charges		58	100			Percent of total billed charges		58	33.3			Percent of total billed charges		19.314	33.3			Percent of total billed charges		19.314	100			Percent of total billed charges		58	19.314	52.2	
neptune patch	270	RC	Outpatient			58	37.7		90			Percent of total billed charges		52.2	40			Percent of total billed charges		23.2	80			Percent of total billed charges		46.4	90			Percent of total billed charges		52.2	85			Percent of total billed charges		49.3	85			Percent of total billed charges		49.3	85			Percent of total billed charges		49.3	100			Percent of total billed charges		58	100			Percent of total billed charges		58	100			Percent of total billed charges		58	33.3			Percent of total billed charges		19.314	33.3			Percent of total billed charges		19.314	100			Percent of total billed charges		58	19.314	52.2	
pump foot (kendall) daily	270	RC	Outpatient			58	37.7		90			Percent of total billed charges		52.2	40			Percent of total billed charges		23.2	80			Percent of total billed charges		46.4	90			Percent of total billed charges		52.2	85			Percent of total billed charges		49.3	85			Percent of total billed charges		49.3	85			Percent of total billed charges		49.3	100			Percent of total billed charges		58	100			Percent of total billed charges		58	100			Percent of total billed charges		58	33.3			Percent of total billed charges		19.314	33.3			Percent of total billed charges		19.314	100			Percent of total billed charges		58	19.314	52.2	
scrmc kit power port access	270	RC	Outpatient			58	37.7		90			Percent of total billed charges		52.2	40			Percent of total billed charges		23.2	80			Percent of total billed charges		46.4	90			Percent of total billed charges		52.2	85			Percent of total billed charges		49.3	85			Percent of total billed charges		49.3	85			Percent of total billed charges		49.3	100			Percent of total billed charges		58	100			Percent of total billed charges		58	100			Percent of total billed charges		58	33.3			Percent of total billed charges		19.314	33.3			Percent of total billed charges		19.314	100			Percent of total billed charges		58	19.314	52.2	
scrmc stoma measuring device	621	RC	Outpatient			58	37.7		90			Percent of total billed charges		52.2	40			Percent of total billed charges		23.2	80			Percent of total billed charges		46.4	90			Percent of total billed charges		52.2	85			Percent of total billed charges		49.3	85			Percent of total billed charges		49.3	85			Percent of total billed charges		49.3	100			Percent of total billed charges		58	100			Percent of total billed charges		58	100			Percent of total billed charges		58	33.3			Percent of total billed charges		19.314	33.3			Percent of total billed charges		19.314	100			Percent of total billed charges		58	19.314	52.2	
power port access kit	270	RC	Outpatient			58	37.7		90			Percent of total billed charges		52.2	40			Percent of total billed charges		23.2	80			Percent of total billed charges		46.4	90			Percent of total billed charges		52.2	85			Percent of total billed charges		49.3	85			Percent of total billed charges		49.3	85			Percent of total billed charges		49.3	100			Percent of total billed charges		58	100			Percent of total billed charges		58	100			Percent of total billed charges		58	33.3			Percent of total billed charges		19.314	33.3			Percent of total billed charges		19.314	100			Percent of total billed charges		58	19.314	52.2	
suture 900284 max braid pe	272	RC	Outpatient			58	37.7		90			Percent of total billed charges		52.2	40			Percent of total billed charges		23.2	80			Percent of total billed charges		46.4	90			Percent of total billed charges		52.2	85			Percent of total billed charges		49.3	85			Percent of total billed charges		49.3	85			Percent of total billed charges		49.3	100			Percent of total billed charges		58	100			Percent of total billed charges		58	100			Percent of total billed charges		58	33.3			Percent of total billed charges		19.314	33.3			Percent of total billed charges		19.314	100			Percent of total billed charges		58	19.314	52.2	
"tray, cutdown"	270	RC	Outpatient			58	37.7		90			Percent of total billed charges		52.2	40			Percent of total billed charges		23.2	80			Percent of total billed charges		46.4	90			Percent of total billed charges		52.2	85			Percent of total billed charges		49.3	85			Percent of total billed charges		49.3	85			Percent of total billed charges		49.3	100			Percent of total billed charges		58	100			Percent of total billed charges		58	100			Percent of total billed charges		58	33.3			Percent of total billed charges		19.314	33.3			Percent of total billed charges		19.314	100			Percent of total billed charges		58	19.314	52.2	
wound protector small wpsm256 covidien	270	RC	Outpatient			58	37.7		90			Percent of total billed charges		52.2	40			Percent of total billed charges		23.2	80			Percent of total billed charges		46.4	90			Percent of total billed charges		52.2	85			Percent of total billed charges		49.3	85			Percent of total billed charges		49.3	85			Percent of total billed charges		49.3	100			Percent of total billed charges		58	100			Percent of total billed charges		58	100			Percent of total billed charges		58	33.3			Percent of total billed charges		19.314	33.3			Percent of total billed charges		19.314	100			Percent of total billed charges		58	19.314	52.2	
wound protector s/m	272	RC	Outpatient			58	37.7		90			Percent of total billed charges		52.2	40			Percent of total billed charges		23.2	80			Percent of total billed charges		46.4	90			Percent of total billed charges		52.2	85			Percent of total billed charges		49.3	85			Percent of total billed charges		49.3	85			Percent of total billed charges		49.3	100			Percent of total billed charges		58	100			Percent of total billed charges		58	100			Percent of total billed charges		58	33.3			Percent of total billed charges		19.314	33.3			Percent of total billed charges		19.314	100			Percent of total billed charges		58	19.314	52.2	
xomed tubes	270	RC	Outpatient			58	37.7		90			Percent of total billed charges		52.2	40			Percent of total billed charges		23.2	80			Percent of total billed charges		46.4	90			Percent of total billed charges		52.2	85			Percent of total billed charges		49.3	85			Percent of total billed charges		49.3	85			Percent of total billed charges		49.3	100			Percent of total billed charges		58	100			Percent of total billed charges		58	100			Percent of total billed charges		58	33.3			Percent of total billed charges		19.314	33.3			Percent of total billed charges		19.314	100			Percent of total billed charges		58	19.314	52.2	
0.045 guidewire trocar tip ar-8737-41 arthrex	272	RC	Outpatient			58.3	37.9		90			Percent of total billed charges		52.47	40			Percent of total billed charges		23.32	80			Percent of total billed charges		46.64	90			Percent of total billed charges		52.47	85			Percent of total billed charges		49.555	85			Percent of total billed charges		49.555	85			Percent of total billed charges		49.555	100			Percent of total billed charges		58.3	100			Percent of total billed charges		58.3	100			Percent of total billed charges		58.3	33.3			Percent of total billed charges		19.4139	33.3			Percent of total billed charges		19.4139	100			Percent of total billed charges		58.3	19.4139	52.47	
0.062 guidewire w/ trocar tip ar-8750k arthrex	272	RC	Outpatient			58.3	37.9		90			Percent of total billed charges		52.47	40			Percent of total billed charges		23.32	80			Percent of total billed charges		46.64	90			Percent of total billed charges		52.47	85			Percent of total billed charges		49.555	85			Percent of total billed charges		49.555	85			Percent of total billed charges		49.555	100			Percent of total billed charges		58.3	100			Percent of total billed charges		58.3	100			Percent of total billed charges		58.3	33.3			Percent of total billed charges		19.4139	33.3			Percent of total billed charges		19.4139	100			Percent of total billed charges		58.3	19.4139	52.47	
s/n cement bowl w/ spatula ref 210098	272	RC	Outpatient			58.35	37.93		90			Percent of total billed charges		52.515	40			Percent of total billed charges		23.34	80			Percent of total billed charges		46.68	90			Percent of total billed charges		52.515	85			Percent of total billed charges		49.5975	85			Percent of total billed charges		49.5975	85			Percent of total billed charges		49.5975	100			Percent of total billed charges		58.35	100			Percent of total billed charges		58.35	100			Percent of total billed charges		58.35	33.3			Percent of total billed charges		19.4306	33.3			Percent of total billed charges		19.4306	100			Percent of total billed charges		58.35	19.4306	52.515	
bronch biopsy forcep cook ref #g47742	272	RC	Outpatient			58.96	38.32		90			Percent of total billed charges		53.064	40			Percent of total billed charges		23.584	80			Percent of total billed charges		47.168	90			Percent of total billed charges		53.064	85			Percent of total billed charges		50.116	85			Percent of total billed charges		50.116	85			Percent of total billed charges		50.116	100			Percent of total billed charges		58.96	100			Percent of total billed charges		58.96	100			Percent of total billed charges		58.96	33.3			Percent of total billed charges		19.6337	33.3			Percent of total billed charges		19.6337	100			Percent of total billed charges		58.96	19.6337	53.064	
abd binder	270	RC	Outpatient			59	38.35		90			Percent of total billed charges		53.1	40			Percent of total billed charges		23.6	80			Percent of total billed charges		47.2	90			Percent of total billed charges		53.1	85			Percent of total billed charges		50.15	85			Percent of total billed charges		50.15	85			Percent of total billed charges		50.15	100			Percent of total billed charges		59	100			Percent of total billed charges		59	100			Percent of total billed charges		59	33.3			Percent of total billed charges		19.647	33.3			Percent of total billed charges		19.647	100			Percent of total billed charges		59	19.647	53.1	
capio suture-gore -tex	272	RC	Outpatient			59	38.35		90			Percent of total billed charges		53.1	40			Percent of total billed charges		23.6	80			Percent of total billed charges		47.2	90			Percent of total billed charges		53.1	85			Percent of total billed charges		50.15	85			Percent of total billed charges		50.15	85			Percent of total billed charges		50.15	100			Percent of total billed charges		59	100			Percent of total billed charges		59	100			Percent of total billed charges		59	33.3			Percent of total billed charges		19.647	33.3			Percent of total billed charges		19.647	100			Percent of total billed charges		59	19.647	53.1	
crtx scrw 2.7 x 45mm 71823045 s\n	278	RC	Outpatient			59	38.35		90			Percent of total billed charges		53.1	40			Percent of total billed charges		23.6	80			Percent of total billed charges		47.2	90			Percent of total billed charges		53.1	85			Percent of total billed charges		50.15	85			Percent of total billed charges		50.15	85			Percent of total billed charges		50.15	100			Percent of total billed charges		59	100			Percent of total billed charges		59	100			Percent of total billed charges		59	33.3			Percent of total billed charges		19.647	33.3			Percent of total billed charges		19.647	100			Percent of total billed charges		59	19.647	53.1	
k-wire 0.8 x 120mm wire-0.8/120 trimed	272	RC	Outpatient			59	38.35		90			Percent of total billed charges		53.1	40			Percent of total billed charges		23.6	80			Percent of total billed charges		47.2	90			Percent of total billed charges		53.1	85			Percent of total billed charges		50.15	85			Percent of total billed charges		50.15	85			Percent of total billed charges		50.15	100			Percent of total billed charges		59	100			Percent of total billed charges		59	100			Percent of total billed charges		59	33.3			Percent of total billed charges		19.647	33.3			Percent of total billed charges		19.647	100			Percent of total billed charges		59	19.647	53.1	
foley catheter kits-#16&#	270	RC	Outpatient			59	38.35		90			Percent of total billed charges		53.1	40			Percent of total billed charges		23.6	80			Percent of total billed charges		47.2	90			Percent of total billed charges		53.1	85			Percent of total billed charges		50.15	85			Percent of total billed charges		50.15	85			Percent of total billed charges		50.15	100			Percent of total billed charges		59	100			Percent of total billed charges		59	100			Percent of total billed charges		59	33.3			Percent of total billed charges		19.647	33.3			Percent of total billed charges		19.647	100			Percent of total billed charges		59	19.647	53.1	
mitts hand	270	RC	Outpatient			59	38.35		90			Percent of total billed charges		53.1	40			Percent of total billed charges		23.6	80			Percent of total billed charges		47.2	90			Percent of total billed charges		53.1	85			Percent of total billed charges		50.15	85			Percent of total billed charges		50.15	85			Percent of total billed charges		50.15	100			Percent of total billed charges		59	100			Percent of total billed charges		59	100			Percent of total billed charges		59	33.3			Percent of total billed charges		19.647	33.3			Percent of total billed charges		19.647	100			Percent of total billed charges		59	19.647	53.1	
mul-t-pad 18x26  large	270	RC	Outpatient			59	38.35		90			Percent of total billed charges		53.1	40			Percent of total billed charges		23.6	80			Percent of total billed charges		47.2	90			Percent of total billed charges		53.1	85			Percent of total billed charges		50.15	85			Percent of total billed charges		50.15	85			Percent of total billed charges		50.15	100			Percent of total billed charges		59	100			Percent of total billed charges		59	100			Percent of total billed charges		59	33.3			Percent of total billed charges		19.647	33.3			Percent of total billed charges		19.647	100			Percent of total billed charges		59	19.647	53.1	
k-wire 0.8 x 80mm wire-0.8/080 trimed	272	RC	Outpatient			59	38.35		90			Percent of total billed charges		53.1	40			Percent of total billed charges		23.6	80			Percent of total billed charges		47.2	90			Percent of total billed charges		53.1	85			Percent of total billed charges		50.15	85			Percent of total billed charges		50.15	85			Percent of total billed charges		50.15	100			Percent of total billed charges		59	100			Percent of total billed charges		59	100			Percent of total billed charges		59	33.3			Percent of total billed charges		19.647	33.3			Percent of total billed charges		19.647	100			Percent of total billed charges		59	19.647	53.1	
k-wire 1.6 x 100mm wire-1.6/100 trimed	278	RC	Outpatient			59	38.35		90			Percent of total billed charges		53.1	40			Percent of total billed charges		23.6	80			Percent of total billed charges		47.2	90			Percent of total billed charges		53.1	85			Percent of total billed charges		50.15	85			Percent of total billed charges		50.15	85			Percent of total billed charges		50.15	100			Percent of total billed charges		59	100			Percent of total billed charges		59	100			Percent of total billed charges		59	33.3			Percent of total billed charges		19.647	33.3			Percent of total billed charges		19.647	100			Percent of total billed charges		59	19.647	53.1	
mul-t-pad 14x20  medium	270	RC	Outpatient			59	38.35		90			Percent of total billed charges		53.1	40			Percent of total billed charges		23.6	80			Percent of total billed charges		47.2	90			Percent of total billed charges		53.1	85			Percent of total billed charges		50.15	85			Percent of total billed charges		50.15	85			Percent of total billed charges		50.15	100			Percent of total billed charges		59	100			Percent of total billed charges		59	100			Percent of total billed charges		59	33.3			Percent of total billed charges		19.647	33.3			Percent of total billed charges		19.647	100			Percent of total billed charges		59	19.647	53.1	
ostomy irr. drain 2-1/4bx	270	RC	Outpatient			59	38.35		90			Percent of total billed charges		53.1	40			Percent of total billed charges		23.6	80			Percent of total billed charges		47.2	90			Percent of total billed charges		53.1	85			Percent of total billed charges		50.15	85			Percent of total billed charges		50.15	85			Percent of total billed charges		50.15	100			Percent of total billed charges		59	100			Percent of total billed charges		59	100			Percent of total billed charges		59	33.3			Percent of total billed charges		19.647	33.3			Percent of total billed charges		19.647	100			Percent of total billed charges		59	19.647	53.1	
ostomy irr. drain 2-3/4bx	270	RC	Outpatient			59	38.35		90			Percent of total billed charges		53.1	40			Percent of total billed charges		23.6	80			Percent of total billed charges		47.2	90			Percent of total billed charges		53.1	85			Percent of total billed charges		50.15	85			Percent of total billed charges		50.15	85			Percent of total billed charges		50.15	100			Percent of total billed charges		59	100			Percent of total billed charges		59	100			Percent of total billed charges		59	33.3			Percent of total billed charges		19.647	33.3			Percent of total billed charges		19.647	100			Percent of total billed charges		59	19.647	53.1	
plaster child short arm	270	RC	Outpatient			59	38.35		90			Percent of total billed charges		53.1	40			Percent of total billed charges		23.6	80			Percent of total billed charges		47.2	90			Percent of total billed charges		53.1	85			Percent of total billed charges		50.15	85			Percent of total billed charges		50.15	85			Percent of total billed charges		50.15	100			Percent of total billed charges		59	100			Percent of total billed charges		59	100			Percent of total billed charges		59	33.3			Percent of total billed charges		19.647	33.3			Percent of total billed charges		19.647	100			Percent of total billed charges		59	19.647	53.1	
s-t crtx scrw 2.7mm 10mm 71803010 s/n	278	RC	Outpatient			59	38.35		90			Percent of total billed charges		53.1	40			Percent of total billed charges		23.6	80			Percent of total billed charges		47.2	90			Percent of total billed charges		53.1	85			Percent of total billed charges		50.15	85			Percent of total billed charges		50.15	85			Percent of total billed charges		50.15	100			Percent of total billed charges		59	100			Percent of total billed charges		59	100			Percent of total billed charges		59	33.3			Percent of total billed charges		19.647	33.3			Percent of total billed charges		19.647	100			Percent of total billed charges		59	19.647	53.1	
s-t crtx scrw 2.7mm 14mm 71803014 s/n	278	RC	Outpatient			59	38.35		90			Percent of total billed charges		53.1	40			Percent of total billed charges		23.6	80			Percent of total billed charges		47.2	90			Percent of total billed charges		53.1	85			Percent of total billed charges		50.15	85			Percent of total billed charges		50.15	85			Percent of total billed charges		50.15	100			Percent of total billed charges		59	100			Percent of total billed charges		59	100			Percent of total billed charges		59	33.3			Percent of total billed charges		19.647	33.3			Percent of total billed charges		19.647	100			Percent of total billed charges		59	19.647	53.1	
s-t crtx scrw 2.7mm 16mm 71803016 s/n	278	RC	Outpatient			59	38.35		90			Percent of total billed charges		53.1	40			Percent of total billed charges		23.6	80			Percent of total billed charges		47.2	90			Percent of total billed charges		53.1	85			Percent of total billed charges		50.15	85			Percent of total billed charges		50.15	85			Percent of total billed charges		50.15	100			Percent of total billed charges		59	100			Percent of total billed charges		59	100			Percent of total billed charges		59	33.3			Percent of total billed charges		19.647	33.3			Percent of total billed charges		19.647	100			Percent of total billed charges		59	19.647	53.1	
s-t crtx scrw 2.7mm 18mm 71803018 s/n	278	RC	Outpatient			59	38.35		90			Percent of total billed charges		53.1	40			Percent of total billed charges		23.6	80			Percent of total billed charges		47.2	90			Percent of total billed charges		53.1	85			Percent of total billed charges		50.15	85			Percent of total billed charges		50.15	85			Percent of total billed charges		50.15	100			Percent of total billed charges		59	100			Percent of total billed charges		59	100			Percent of total billed charges		59	33.3			Percent of total billed charges		19.647	33.3			Percent of total billed charges		19.647	100			Percent of total billed charges		59	19.647	53.1	
s-t crtx scrw 2.7mm 26mm 71803026 s/n	278	RC	Outpatient			59	38.35		90			Percent of total billed charges		53.1	40			Percent of total billed charges		23.6	80			Percent of total billed charges		47.2	90			Percent of total billed charges		53.1	85			Percent of total billed charges		50.15	85			Percent of total billed charges		50.15	85			Percent of total billed charges		50.15	100			Percent of total billed charges		59	100			Percent of total billed charges		59	100			Percent of total billed charges		59	33.3			Percent of total billed charges		19.647	33.3			Percent of total billed charges		19.647	100			Percent of total billed charges		59	19.647	53.1	
s-t crtx scrw 2.7mm 30mm 71803030 s/n	278	RC	Outpatient			59	38.35		90			Percent of total billed charges		53.1	40			Percent of total billed charges		23.6	80			Percent of total billed charges		47.2	90			Percent of total billed charges		53.1	85			Percent of total billed charges		50.15	85			Percent of total billed charges		50.15	85			Percent of total billed charges		50.15	100			Percent of total billed charges		59	100			Percent of total billed charges		59	100			Percent of total billed charges		59	33.3			Percent of total billed charges		19.647	33.3			Percent of total billed charges		19.647	100			Percent of total billed charges		59	19.647	53.1	
s-t crtx scrw 2.7mm 40mm 71803040 s/n	278	RC	Outpatient			59	38.35		90			Percent of total billed charges		53.1	40			Percent of total billed charges		23.6	80			Percent of total billed charges		47.2	90			Percent of total billed charges		53.1	85			Percent of total billed charges		50.15	85			Percent of total billed charges		50.15	85			Percent of total billed charges		50.15	100			Percent of total billed charges		59	100			Percent of total billed charges		59	100			Percent of total billed charges		59	33.3			Percent of total billed charges		19.647	33.3			Percent of total billed charges		19.647	100			Percent of total billed charges		59	19.647	53.1	
s-t crtx scrw 2.7mm 55mm 71803055 s/n	278	RC	Outpatient			59	38.35		90			Percent of total billed charges		53.1	40			Percent of total billed charges		23.6	80			Percent of total billed charges		47.2	90			Percent of total billed charges		53.1	85			Percent of total billed charges		50.15	85			Percent of total billed charges		50.15	85			Percent of total billed charges		50.15	100			Percent of total billed charges		59	100			Percent of total billed charges		59	100			Percent of total billed charges		59	33.3			Percent of total billed charges		19.647	33.3			Percent of total billed charges		19.647	100			Percent of total billed charges		59	19.647	53.1	
s-t crtx scrw 2.7mm 12mm 71803012 s/n	278	RC	Outpatient			59	38.35		90			Percent of total billed charges		53.1	40			Percent of total billed charges		23.6	80			Percent of total billed charges		47.2	90			Percent of total billed charges		53.1	85			Percent of total billed charges		50.15	85			Percent of total billed charges		50.15	85			Percent of total billed charges		50.15	100			Percent of total billed charges		59	100			Percent of total billed charges		59	100			Percent of total billed charges		59	33.3			Percent of total billed charges		19.647	33.3			Percent of total billed charges		19.647	100			Percent of total billed charges		59	19.647	53.1	
s-t crtx scrw 2.7mm 20mm 71803020 s/n	278	RC	Outpatient			59	38.35		90			Percent of total billed charges		53.1	40			Percent of total billed charges		23.6	80			Percent of total billed charges		47.2	90			Percent of total billed charges		53.1	85			Percent of total billed charges		50.15	85			Percent of total billed charges		50.15	85			Percent of total billed charges		50.15	100			Percent of total billed charges		59	100			Percent of total billed charges		59	100			Percent of total billed charges		59	33.3			Percent of total billed charges		19.647	33.3			Percent of total billed charges		19.647	100			Percent of total billed charges		59	19.647	53.1	
s-t crtx scrw 2.7mm 22mm 71803022 s/n	278	RC	Outpatient			59	38.35		90			Percent of total billed charges		53.1	40			Percent of total billed charges		23.6	80			Percent of total billed charges		47.2	90			Percent of total billed charges		53.1	85			Percent of total billed charges		50.15	85			Percent of total billed charges		50.15	85			Percent of total billed charges		50.15	100			Percent of total billed charges		59	100			Percent of total billed charges		59	100			Percent of total billed charges		59	33.3			Percent of total billed charges		19.647	33.3			Percent of total billed charges		19.647	100			Percent of total billed charges		59	19.647	53.1	
s-t crtx scrw 2.7mm 24mm 71803024 s/n	278	RC	Outpatient			59	38.35		90			Percent of total billed charges		53.1	40			Percent of total billed charges		23.6	80			Percent of total billed charges		47.2	90			Percent of total billed charges		53.1	85			Percent of total billed charges		50.15	85			Percent of total billed charges		50.15	85			Percent of total billed charges		50.15	100			Percent of total billed charges		59	100			Percent of total billed charges		59	100			Percent of total billed charges		59	33.3			Percent of total billed charges		19.647	33.3			Percent of total billed charges		19.647	100			Percent of total billed charges		59	19.647	53.1	
s-t crtx scrw 2.7mm 28mm 71803028 s/n	278	RC	Outpatient			59	38.35		90			Percent of total billed charges		53.1	40			Percent of total billed charges		23.6	80			Percent of total billed charges		47.2	90			Percent of total billed charges		53.1	85			Percent of total billed charges		50.15	85			Percent of total billed charges		50.15	85			Percent of total billed charges		50.15	100			Percent of total billed charges		59	100			Percent of total billed charges		59	100			Percent of total billed charges		59	33.3			Percent of total billed charges		19.647	33.3			Percent of total billed charges		19.647	100			Percent of total billed charges		59	19.647	53.1	
s-t crtx scrw 2.7mm 32mm 71803032 s/n	278	RC	Outpatient			59	38.35		90			Percent of total billed charges		53.1	40			Percent of total billed charges		23.6	80			Percent of total billed charges		47.2	90			Percent of total billed charges		53.1	85			Percent of total billed charges		50.15	85			Percent of total billed charges		50.15	85			Percent of total billed charges		50.15	100			Percent of total billed charges		59	100			Percent of total billed charges		59	100			Percent of total billed charges		59	33.3			Percent of total billed charges		19.647	33.3			Percent of total billed charges		19.647	100			Percent of total billed charges		59	19.647	53.1	
s-t crtx scrw 2.7mm 34mm 71803034 s/n	278	RC	Outpatient			59	38.35		90			Percent of total billed charges		53.1	40			Percent of total billed charges		23.6	80			Percent of total billed charges		47.2	90			Percent of total billed charges		53.1	85			Percent of total billed charges		50.15	85			Percent of total billed charges		50.15	85			Percent of total billed charges		50.15	100			Percent of total billed charges		59	100			Percent of total billed charges		59	100			Percent of total billed charges		59	33.3			Percent of total billed charges		19.647	33.3			Percent of total billed charges		19.647	100			Percent of total billed charges		59	19.647	53.1	
s-t crtx scrw 2.7mm 36mm 71803036 s/n	278	RC	Outpatient			59	38.35		90			Percent of total billed charges		53.1	40			Percent of total billed charges		23.6	80			Percent of total billed charges		47.2	90			Percent of total billed charges		53.1	85			Percent of total billed charges		50.15	85			Percent of total billed charges		50.15	85			Percent of total billed charges		50.15	100			Percent of total billed charges		59	100			Percent of total billed charges		59	100			Percent of total billed charges		59	33.3			Percent of total billed charges		19.647	33.3			Percent of total billed charges		19.647	100			Percent of total billed charges		59	19.647	53.1	
s-t crtx scrw 2.7mm 38mm 71803038 s/n	278	RC	Outpatient			59	38.35		90			Percent of total billed charges		53.1	40			Percent of total billed charges		23.6	80			Percent of total billed charges		47.2	90			Percent of total billed charges		53.1	85			Percent of total billed charges		50.15	85			Percent of total billed charges		50.15	85			Percent of total billed charges		50.15	100			Percent of total billed charges		59	100			Percent of total billed charges		59	100			Percent of total billed charges		59	33.3			Percent of total billed charges		19.647	33.3			Percent of total billed charges		19.647	100			Percent of total billed charges		59	19.647	53.1	
s-t crtx scrw 2.7mm 45mm 71803045 s/n	278	RC	Outpatient			59	38.35		90			Percent of total billed charges		53.1	40			Percent of total billed charges		23.6	80			Percent of total billed charges		47.2	90			Percent of total billed charges		53.1	85			Percent of total billed charges		50.15	85			Percent of total billed charges		50.15	85			Percent of total billed charges		50.15	100			Percent of total billed charges		59	100			Percent of total billed charges		59	100			Percent of total billed charges		59	33.3			Percent of total billed charges		19.647	33.3			Percent of total billed charges		19.647	100			Percent of total billed charges		59	19.647	53.1	
s-t crtx scrw 2.7mm 50mm 71803050 s/n	278	RC	Outpatient			59	38.35		90			Percent of total billed charges		53.1	40			Percent of total billed charges		23.6	80			Percent of total billed charges		47.2	90			Percent of total billed charges		53.1	85			Percent of total billed charges		50.15	85			Percent of total billed charges		50.15	85			Percent of total billed charges		50.15	100			Percent of total billed charges		59	100			Percent of total billed charges		59	100			Percent of total billed charges		59	33.3			Percent of total billed charges		19.647	33.3			Percent of total billed charges		19.647	100			Percent of total billed charges		59	19.647	53.1	
s/n 2.7 cort scrw	278	RC	Outpatient			59	38.35		90			Percent of total billed charges		53.1	40			Percent of total billed charges		23.6	80			Percent of total billed charges		47.2	90			Percent of total billed charges		53.1	85			Percent of total billed charges		50.15	85			Percent of total billed charges		50.15	85			Percent of total billed charges		50.15	100			Percent of total billed charges		59	100			Percent of total billed charges		59	100			Percent of total billed charges		59	33.3			Percent of total billed charges		19.647	33.3			Percent of total billed charges		19.647	100			Percent of total billed charges		59	19.647	53.1	
zzscrmc arglaes dressing	621	RC	Outpatient			59	38.35		90			Percent of total billed charges		53.1	40			Percent of total billed charges		23.6	80			Percent of total billed charges		47.2	90			Percent of total billed charges		53.1	85			Percent of total billed charges		50.15	85			Percent of total billed charges		50.15	85			Percent of total billed charges		50.15	100			Percent of total billed charges		59	100			Percent of total billed charges		59	100			Percent of total billed charges		59	33.3			Percent of total billed charges		19.647	33.3			Percent of total billed charges		19.647	100			Percent of total billed charges		59	19.647	53.1	
guidewire w/ trocar tip 0.062 x 9.25 ar-8750k	272	RC	Outpatient			59.13	38.43		90			Percent of total billed charges		53.217	40			Percent of total billed charges		23.652	80			Percent of total billed charges		47.304	90			Percent of total billed charges		53.217	85			Percent of total billed charges		50.2605	85			Percent of total billed charges		50.2605	85			Percent of total billed charges		50.2605	100			Percent of total billed charges		59.13	100			Percent of total billed charges		59.13	100			Percent of total billed charges		59.13	33.3			Percent of total billed charges		19.6903	33.3			Percent of total billed charges		19.6903	100			Percent of total billed charges		59.13	19.6903	53.217	
explant full blade 50 mm zimmer ref 00-705-50-20	272	RC	Outpatient			59.4	38.61		90			Percent of total billed charges		53.46	40			Percent of total billed charges		23.76	80			Percent of total billed charges		47.52	90			Percent of total billed charges		53.46	85			Percent of total billed charges		50.49	85			Percent of total billed charges		50.49	85			Percent of total billed charges		50.49	100			Percent of total billed charges		59.4	100			Percent of total billed charges		59.4	100			Percent of total billed charges		59.4	33.3			Percent of total billed charges		19.7802	33.3			Percent of total billed charges		19.7802	100			Percent of total billed charges		59.4	19.7802	53.46	
6f tripack catheteres	272	RC	Outpatient			60	39		90			Percent of total billed charges		54	40			Percent of total billed charges		24	80			Percent of total billed charges		48	90			Percent of total billed charges		54	85			Percent of total billed charges		51	85			Percent of total billed charges		51	85			Percent of total billed charges		51	100			Percent of total billed charges		60	100			Percent of total billed charges		60	100			Percent of total billed charges		60	33.3			Percent of total billed charges		19.98	33.3			Percent of total billed charges		19.98	100			Percent of total billed charges		60	19.98	54	
arthrotek reunite pin	272	RC	Outpatient			60	39		90			Percent of total billed charges		54	40			Percent of total billed charges		24	80			Percent of total billed charges		48	90			Percent of total billed charges		54	85			Percent of total billed charges		51	85			Percent of total billed charges		51	85			Percent of total billed charges		51	100			Percent of total billed charges		60	100			Percent of total billed charges		60	100			Percent of total billed charges		60	33.3			Percent of total billed charges		19.98	33.3			Percent of total billed charges		19.98	100			Percent of total billed charges		60	19.98	54	
bar connecting 4.0mm dia 120mm 395.73 synthes	278	RC	Outpatient			60	39		90			Percent of total billed charges		54	40			Percent of total billed charges		24	80			Percent of total billed charges		48	90			Percent of total billed charges		54	85			Percent of total billed charges		51	85			Percent of total billed charges		51	85			Percent of total billed charges		51	100			Percent of total billed charges		60	100			Percent of total billed charges		60	100			Percent of total billed charges		60	33.3			Percent of total billed charges		19.98	33.3			Percent of total billed charges		19.98	100			Percent of total billed charges		60	19.98	54	
bar connecting 4.0mm dia 200mm 395.77 synthes	278	RC	Outpatient			60	39		90			Percent of total billed charges		54	40			Percent of total billed charges		24	80			Percent of total billed charges		48	90			Percent of total billed charges		54	85			Percent of total billed charges		51	85			Percent of total billed charges		51	85			Percent of total billed charges		51	100			Percent of total billed charges		60	100			Percent of total billed charges		60	100			Percent of total billed charges		60	33.3			Percent of total billed charges		19.98	33.3			Percent of total billed charges		19.98	100			Percent of total billed charges		60	19.98	54	
blade myringotomy  angled 70130780	270	RC	Outpatient			60	39		90			Percent of total billed charges		54	40			Percent of total billed charges		24	80			Percent of total billed charges		48	90			Percent of total billed charges		54	85			Percent of total billed charges		51	85			Percent of total billed charges		51	85			Percent of total billed charges		51	100			Percent of total billed charges		60	100			Percent of total billed charges		60	100			Percent of total billed charges		60	33.3			Percent of total billed charges		19.98	33.3			Percent of total billed charges		19.98	100			Percent of total billed charges		60	19.98	54	
cosmetic - laser hair removal upper lip or chin each addt'l session	983	RC	Outpatient			60	39		90			Percent of total billed charges		54	40			Percent of total billed charges		24	80			Percent of total billed charges		48	90			Percent of total billed charges		54	85			Percent of total billed charges		51	85			Percent of total billed charges		51	85			Percent of total billed charges		51	100			Percent of total billed charges		60	100			Percent of total billed charges		60	100			Percent of total billed charges		60	33.3			Percent of total billed charges		19.98	33.3			Percent of total billed charges		19.98	100			Percent of total billed charges		60	19.98	54	
4.5mm malleolar screw large hex 35mm 18.5mm thd 00-4845-035-08 zimmer	278	RC	Outpatient			60	39		90			Percent of total billed charges		54	40			Percent of total billed charges		24	80			Percent of total billed charges		48	90			Percent of total billed charges		54	85			Percent of total billed charges		51	85			Percent of total billed charges		51	85			Percent of total billed charges		51	100			Percent of total billed charges		60	100			Percent of total billed charges		60	100			Percent of total billed charges		60	33.3			Percent of total billed charges		19.98	33.3			Percent of total billed charges		19.98	100			Percent of total billed charges		60	19.98	54	
acumed dist/comp device	272	RC	Outpatient			60	39		90			Percent of total billed charges		54	40			Percent of total billed charges		24	80			Percent of total billed charges		48	90			Percent of total billed charges		54	85			Percent of total billed charges		51	85			Percent of total billed charges		51	85			Percent of total billed charges		51	100			Percent of total billed charges		60	100			Percent of total billed charges		60	100			Percent of total billed charges		60	33.3			Percent of total billed charges		19.98	33.3			Percent of total billed charges		19.98	100			Percent of total billed charges		60	19.98	54	
arthro magnum wire	278	RC	Outpatient			60	39		90			Percent of total billed charges		54	40			Percent of total billed charges		24	80			Percent of total billed charges		48	90			Percent of total billed charges		54	85			Percent of total billed charges		51	85			Percent of total billed charges		51	85			Percent of total billed charges		51	100			Percent of total billed charges		60	100			Percent of total billed charges		60	100			Percent of total billed charges		60	33.3			Percent of total billed charges		19.98	33.3			Percent of total billed charges		19.98	100			Percent of total billed charges		60	19.98	54	
bar connecting 4.0mm dia 100mm 395.72 synthes	278	RC	Outpatient			60	39		90			Percent of total billed charges		54	40			Percent of total billed charges		24	80			Percent of total billed charges		48	90			Percent of total billed charges		54	85			Percent of total billed charges		51	85			Percent of total billed charges		51	85			Percent of total billed charges		51	100			Percent of total billed charges		60	100			Percent of total billed charges		60	100			Percent of total billed charges		60	33.3			Percent of total billed charges		19.98	33.3			Percent of total billed charges		19.98	100			Percent of total billed charges		60	19.98	54	
bar connecting 4.0mm dia 140mm 395.74 synthes	278	RC	Outpatient			60	39		90			Percent of total billed charges		54	40			Percent of total billed charges		24	80			Percent of total billed charges		48	90			Percent of total billed charges		54	85			Percent of total billed charges		51	85			Percent of total billed charges		51	85			Percent of total billed charges		51	100			Percent of total billed charges		60	100			Percent of total billed charges		60	100			Percent of total billed charges		60	33.3			Percent of total billed charges		19.98	33.3			Percent of total billed charges		19.98	100			Percent of total billed charges		60	19.98	54	
bar connecting 4.0mm dia 160mm 395.75 synthes	278	RC	Outpatient			60	39		90			Percent of total billed charges		54	40			Percent of total billed charges		24	80			Percent of total billed charges		48	90			Percent of total billed charges		54	85			Percent of total billed charges		51	85			Percent of total billed charges		51	85			Percent of total billed charges		51	100			Percent of total billed charges		60	100			Percent of total billed charges		60	100			Percent of total billed charges		60	33.3			Percent of total billed charges		19.98	33.3			Percent of total billed charges		19.98	100			Percent of total billed charges		60	19.98	54	
bar connecting 4.0mm dia 180mm 395.76 synthes	278	RC	Outpatient			60	39		90			Percent of total billed charges		54	40			Percent of total billed charges		24	80			Percent of total billed charges		48	90			Percent of total billed charges		54	85			Percent of total billed charges		51	85			Percent of total billed charges		51	85			Percent of total billed charges		51	100			Percent of total billed charges		60	100			Percent of total billed charges		60	100			Percent of total billed charges		60	33.3			Percent of total billed charges		19.98	33.3			Percent of total billed charges		19.98	100			Percent of total billed charges		60	19.98	54	
catherer sizing	272	RC	Outpatient			60	39		90			Percent of total billed charges		54	40			Percent of total billed charges		24	80			Percent of total billed charges		48	90			Percent of total billed charges		54	85			Percent of total billed charges		51	85			Percent of total billed charges		51	85			Percent of total billed charges		51	100			Percent of total billed charges		60	100			Percent of total billed charges		60	100			Percent of total billed charges		60	33.3			Percent of total billed charges		19.98	33.3			Percent of total billed charges		19.98	100			Percent of total billed charges		60	19.98	54	
diego tubing set gyrus 70338003	272	RC	Outpatient			60	39		90			Percent of total billed charges		54	40			Percent of total billed charges		24	80			Percent of total billed charges		48	90			Percent of total billed charges		54	85			Percent of total billed charges		51	85			Percent of total billed charges		51	85			Percent of total billed charges		51	100			Percent of total billed charges		60	100			Percent of total billed charges		60	100			Percent of total billed charges		60	33.3			Percent of total billed charges		19.98	33.3			Percent of total billed charges		19.98	100			Percent of total billed charges		60	19.98	54	
electroshield j-hook	270	RC	Outpatient			60	39		90			Percent of total billed charges		54	40			Percent of total billed charges		24	80			Percent of total billed charges		48	90			Percent of total billed charges		54	85			Percent of total billed charges		51	85			Percent of total billed charges		51	85			Percent of total billed charges		51	100			Percent of total billed charges		60	100			Percent of total billed charges		60	100			Percent of total billed charges		60	33.3			Percent of total billed charges		19.98	33.3			Percent of total billed charges		19.98	100			Percent of total billed charges		60	19.98	54	
gyrus diego tubing	272	RC	Outpatient			60	39		90			Percent of total billed charges		54	40			Percent of total billed charges		24	80			Percent of total billed charges		48	90			Percent of total billed charges		54	85			Percent of total billed charges		51	85			Percent of total billed charges		51	85			Percent of total billed charges		51	100			Percent of total billed charges		60	100			Percent of total billed charges		60	100			Percent of total billed charges		60	33.3			Percent of total billed charges		19.98	33.3			Percent of total billed charges		19.98	100			Percent of total billed charges		60	19.98	54	
knife myringotomy flat & knurl handle 13-0715 rich	270	RC	Outpatient			60	39		90			Percent of total billed charges		54	40			Percent of total billed charges		24	80			Percent of total billed charges		48	90			Percent of total billed charges		54	85			Percent of total billed charges		51	85			Percent of total billed charges		51	85			Percent of total billed charges		51	100			Percent of total billed charges		60	100			Percent of total billed charges		60	100			Percent of total billed charges		60	33.3			Percent of total billed charges		19.98	33.3			Percent of total billed charges		19.98	100			Percent of total billed charges		60	19.98	54	
myringotomy knife	270	RC	Outpatient			60	39		90			Percent of total billed charges		54	40			Percent of total billed charges		24	80			Percent of total billed charges		48	90			Percent of total billed charges		54	85			Percent of total billed charges		51	85			Percent of total billed charges		51	85			Percent of total billed charges		51	100			Percent of total billed charges		60	100			Percent of total billed charges		60	100			Percent of total billed charges		60	33.3			Percent of total billed charges		19.98	33.3			Percent of total billed charges		19.98	100			Percent of total billed charges		60	19.98	54	
pad chair waffle 16x16x2	270	RC	Outpatient			60	39		90			Percent of total billed charges		54	40			Percent of total billed charges		24	80			Percent of total billed charges		48	90			Percent of total billed charges		54	85			Percent of total billed charges		51	85			Percent of total billed charges		51	85			Percent of total billed charges		51	100			Percent of total billed charges		60	100			Percent of total billed charges		60	100			Percent of total billed charges		60	33.3			Percent of total billed charges		19.98	33.3			Percent of total billed charges		19.98	100			Percent of total billed charges		60	19.98	54	
perc. sheath intro kit 6f	270	RC	Outpatient			60	39		90			Percent of total billed charges		54	40			Percent of total billed charges		24	80			Percent of total billed charges		48	90			Percent of total billed charges		54	85			Percent of total billed charges		51	85			Percent of total billed charges		51	85			Percent of total billed charges		51	100			Percent of total billed charges		60	100			Percent of total billed charges		60	100			Percent of total billed charges		60	33.3			Percent of total billed charges		19.98	33.3			Percent of total billed charges		19.98	100			Percent of total billed charges		60	19.98	54	
perc. sheath intro kit 6f ed charge scnt	450	RC	Outpatient			60	39		90			Percent of total billed charges		54	40			Percent of total billed charges		24	80			Percent of total billed charges		48	90			Percent of total billed charges		54	85			Percent of total billed charges		51	85			Percent of total billed charges		51	85			Percent of total billed charges		51	100			Percent of total billed charges		60	100			Percent of total billed charges		60	100			Percent of total billed charges		60	33.3			Percent of total billed charges		19.98	33.3			Percent of total billed charges		19.98	100			Percent of total billed charges		60	19.98	54	
relieva ext. tubing	272	RC	Outpatient			60	39		90			Percent of total billed charges		54	40			Percent of total billed charges		24	80			Percent of total billed charges		48	90			Percent of total billed charges		54	85			Percent of total billed charges		51	85			Percent of total billed charges		51	85			Percent of total billed charges		51	100			Percent of total billed charges		60	100			Percent of total billed charges		60	100			Percent of total billed charges		60	33.3			Percent of total billed charges		19.98	33.3			Percent of total billed charges		19.98	100			Percent of total billed charges		60	19.98	54	
reunite steinmann pin 3/22 x 9  arthrotek biomet sports med	272	RC	Outpatient			60	39		90			Percent of total billed charges		54	40			Percent of total billed charges		24	80			Percent of total billed charges		48	90			Percent of total billed charges		54	85			Percent of total billed charges		51	85			Percent of total billed charges		51	85			Percent of total billed charges		51	100			Percent of total billed charges		60	100			Percent of total billed charges		60	100			Percent of total billed charges		60	33.3			Percent of total billed charges		19.98	33.3			Percent of total billed charges		19.98	100			Percent of total billed charges		60	19.98	54	
scrmc sheath	270	RC	Outpatient			60	39		90			Percent of total billed charges		54	40			Percent of total billed charges		24	80			Percent of total billed charges		48	90			Percent of total billed charges		54	85			Percent of total billed charges		51	85			Percent of total billed charges		51	85			Percent of total billed charges		51	100			Percent of total billed charges		60	100			Percent of total billed charges		60	100			Percent of total billed charges		60	33.3			Percent of total billed charges		19.98	33.3			Percent of total billed charges		19.98	100			Percent of total billed charges		60	19.98	54	
syn x-fix 4mm connect bar	278	RC	Outpatient			60	39		90			Percent of total billed charges		54	40			Percent of total billed charges		24	80			Percent of total billed charges		48	90			Percent of total billed charges		54	85			Percent of total billed charges		51	85			Percent of total billed charges		51	85			Percent of total billed charges		51	100			Percent of total billed charges		60	100			Percent of total billed charges		60	100			Percent of total billed charges		60	33.3			Percent of total billed charges		19.98	33.3			Percent of total billed charges		19.98	100			Percent of total billed charges		60	19.98	54	
tray urinemeter 14fr	272	RC	Outpatient			60	39		90			Percent of total billed charges		54	40			Percent of total billed charges		24	80			Percent of total billed charges		48	90			Percent of total billed charges		54	85			Percent of total billed charges		51	85			Percent of total billed charges		51	85			Percent of total billed charges		51	100			Percent of total billed charges		60	100			Percent of total billed charges		60	100			Percent of total billed charges		60	33.3			Percent of total billed charges		19.98	33.3			Percent of total billed charges		19.98	100			Percent of total billed charges		60	19.98	54	
relieva extension tubing rext20  acclarent	272	RC	Outpatient			60	39		90			Percent of total billed charges		54	40			Percent of total billed charges		24	80			Percent of total billed charges		48	90			Percent of total billed charges		54	85			Percent of total billed charges		51	85			Percent of total billed charges		51	85			Percent of total billed charges		51	100			Percent of total billed charges		60	100			Percent of total billed charges		60	100			Percent of total billed charges		60	33.3			Percent of total billed charges		19.98	33.3			Percent of total billed charges		19.98	100			Percent of total billed charges		60	19.98	54	
small bone fixator distraction/compression device sm-5015 acumed	272	RC	Outpatient			60	39		90			Percent of total billed charges		54	40			Percent of total billed charges		24	80			Percent of total billed charges		48	90			Percent of total billed charges		54	85			Percent of total billed charges		51	85			Percent of total billed charges		51	85			Percent of total billed charges		51	100			Percent of total billed charges		60	100			Percent of total billed charges		60	100			Percent of total billed charges		60	33.3			Percent of total billed charges		19.98	33.3			Percent of total billed charges		19.98	100			Percent of total billed charges		60	19.98	54	
vac trac pad	270	RC	Outpatient			60	39		90			Percent of total billed charges		54	40			Percent of total billed charges		24	80			Percent of total billed charges		48	90			Percent of total billed charges		54	85			Percent of total billed charges		51	85			Percent of total billed charges		51	85			Percent of total billed charges		51	100			Percent of total billed charges		60	100			Percent of total billed charges		60	100			Percent of total billed charges		60	33.3			Percent of total billed charges		19.98	33.3			Percent of total billed charges		19.98	100			Percent of total billed charges		60	19.98	54	
white sizing measuring cath 70cm g31224 cook	272	RC	Outpatient			60	39		90			Percent of total billed charges		54	40			Percent of total billed charges		24	80			Percent of total billed charges		48	90			Percent of total billed charges		54	85			Percent of total billed charges		51	85			Percent of total billed charges		51	85			Percent of total billed charges		51	100			Percent of total billed charges		60	100			Percent of total billed charges		60	100			Percent of total billed charges		60	33.3			Percent of total billed charges		19.98	33.3			Percent of total billed charges		19.98	100			Percent of total billed charges		60	19.98	54	
zimm malleolar screw	278	RC	Outpatient			60	39		90			Percent of total billed charges		54	40			Percent of total billed charges		24	80			Percent of total billed charges		48	90			Percent of total billed charges		54	85			Percent of total billed charges		51	85			Percent of total billed charges		51	85			Percent of total billed charges		51	100			Percent of total billed charges		60	100			Percent of total billed charges		60	100			Percent of total billed charges		60	33.3			Percent of total billed charges		19.98	33.3			Percent of total billed charges		19.98	100			Percent of total billed charges		60	19.98	54	
tubing 7/8 x 10 e3635	272	RC	Outpatient			60	39		90			Percent of total billed charges		54	40			Percent of total billed charges		24	80			Percent of total billed charges		48	90			Percent of total billed charges		54	85			Percent of total billed charges		51	85			Percent of total billed charges		51	85			Percent of total billed charges		51	100			Percent of total billed charges		60	100			Percent of total billed charges		60	100			Percent of total billed charges		60	33.3			Percent of total billed charges		19.98	33.3			Percent of total billed charges		19.98	100			Percent of total billed charges		60	19.98	54	
v.l.  7/8 evac. tubing	272	RC	Outpatient			60	39		90			Percent of total billed charges		54	40			Percent of total billed charges		24	80			Percent of total billed charges		48	90			Percent of total billed charges		54	85			Percent of total billed charges		51	85			Percent of total billed charges		51	85			Percent of total billed charges		51	100			Percent of total billed charges		60	100			Percent of total billed charges		60	100			Percent of total billed charges		60	33.3			Percent of total billed charges		19.98	33.3			Percent of total billed charges		19.98	100			Percent of total billed charges		60	19.98	54	
acapella mouthpiece	270	RC	Outpatient			61	39.65		90			Percent of total billed charges		54.9	40			Percent of total billed charges		24.4	80			Percent of total billed charges		48.8	90			Percent of total billed charges		54.9	85			Percent of total billed charges		51.85	85			Percent of total billed charges		51.85	85			Percent of total billed charges		51.85	100			Percent of total billed charges		61	100			Percent of total billed charges		61	100			Percent of total billed charges		61	33.3			Percent of total billed charges		20.313	33.3			Percent of total billed charges		20.313	100			Percent of total billed charges		61	20.313	54.9	
acumed k-wire ws-1607st	272	RC	Outpatient			61	39.65		90			Percent of total billed charges		54.9	40			Percent of total billed charges		24.4	80			Percent of total billed charges		48.8	90			Percent of total billed charges		54.9	85			Percent of total billed charges		51.85	85			Percent of total billed charges		51.85	85			Percent of total billed charges		51.85	100			Percent of total billed charges		61	100			Percent of total billed charges		61	100			Percent of total billed charges		61	33.3			Percent of total billed charges		20.313	33.3			Percent of total billed charges		20.313	100			Percent of total billed charges		61	20.313	54.9	
breast pump one hand	270	RC	Outpatient			61	39.65		90			Percent of total billed charges		54.9	40			Percent of total billed charges		24.4	80			Percent of total billed charges		48.8	90			Percent of total billed charges		54.9	85			Percent of total billed charges		51.85	85			Percent of total billed charges		51.85	85			Percent of total billed charges		51.85	100			Percent of total billed charges		61	100			Percent of total billed charges		61	100			Percent of total billed charges		61	33.3			Percent of total billed charges		20.313	33.3			Percent of total billed charges		20.313	100			Percent of total billed charges		61	20.313	54.9	
electrode qui cmbo3131928	272	RC	Outpatient			61	39.65		90			Percent of total billed charges		54.9	40			Percent of total billed charges		24.4	80			Percent of total billed charges		48.8	90			Percent of total billed charges		54.9	85			Percent of total billed charges		51.85	85			Percent of total billed charges		51.85	85			Percent of total billed charges		51.85	100			Percent of total billed charges		61	100			Percent of total billed charges		61	100			Percent of total billed charges		61	33.3			Percent of total billed charges		20.313	33.3			Percent of total billed charges		20.313	100			Percent of total billed charges		61	20.313	54.9	
electrode quick combo	272	RC	Outpatient			61	39.65		90			Percent of total billed charges		54.9	40			Percent of total billed charges		24.4	80			Percent of total billed charges		48.8	90			Percent of total billed charges		54.9	85			Percent of total billed charges		51.85	85			Percent of total billed charges		51.85	85			Percent of total billed charges		51.85	100			Percent of total billed charges		61	100			Percent of total billed charges		61	100			Percent of total billed charges		61	33.3			Percent of total billed charges		20.313	33.3			Percent of total billed charges		20.313	100			Percent of total billed charges		61	20.313	54.9	
glide scope cover 1 or 2	270	RC	Outpatient			61	39.65		90			Percent of total billed charges		54.9	40			Percent of total billed charges		24.4	80			Percent of total billed charges		48.8	90			Percent of total billed charges		54.9	85			Percent of total billed charges		51.85	85			Percent of total billed charges		51.85	85			Percent of total billed charges		51.85	100			Percent of total billed charges		61	100			Percent of total billed charges		61	100			Percent of total billed charges		61	33.3			Percent of total billed charges		20.313	33.3			Percent of total billed charges		20.313	100			Percent of total billed charges		61	20.313	54.9	
kit needle sterile guide	272	RC	Outpatient			61	39.65		90			Percent of total billed charges		54.9	40			Percent of total billed charges		24.4	80			Percent of total billed charges		48.8	90			Percent of total billed charges		54.9	85			Percent of total billed charges		51.85	85			Percent of total billed charges		51.85	85			Percent of total billed charges		51.85	100			Percent of total billed charges		61	100			Percent of total billed charges		61	100			Percent of total billed charges		61	33.3			Percent of total billed charges		20.313	33.3			Percent of total billed charges		20.313	100			Percent of total billed charges		61	20.313	54.9	
glide scope cover 1 & 2 ed charge scnt	270	RC	Outpatient			61	39.65		90			Percent of total billed charges		54.9	40			Percent of total billed charges		24.4	80			Percent of total billed charges		48.8	90			Percent of total billed charges		54.9	85			Percent of total billed charges		51.85	85			Percent of total billed charges		51.85	85			Percent of total billed charges		51.85	100			Percent of total billed charges		61	100			Percent of total billed charges		61	100			Percent of total billed charges		61	33.3			Percent of total billed charges		20.313	33.3			Percent of total billed charges		20.313	100			Percent of total billed charges		61	20.313	54.9	
needle guide kit 20ga	270	RC	Outpatient			61	39.65		90			Percent of total billed charges		54.9	40			Percent of total billed charges		24.4	80			Percent of total billed charges		48.8	90			Percent of total billed charges		54.9	85			Percent of total billed charges		51.85	85			Percent of total billed charges		51.85	85			Percent of total billed charges		51.85	100			Percent of total billed charges		61	100			Percent of total billed charges		61	100			Percent of total billed charges		61	33.3			Percent of total billed charges		20.313	33.3			Percent of total billed charges		20.313	100			Percent of total billed charges		61	20.313	54.9	
pad calf standard	270	RC	Outpatient			61	39.65		90			Percent of total billed charges		54.9	40			Percent of total billed charges		24.4	80			Percent of total billed charges		48.8	90			Percent of total billed charges		54.9	85			Percent of total billed charges		51.85	85			Percent of total billed charges		51.85	85			Percent of total billed charges		51.85	100			Percent of total billed charges		61	100			Percent of total billed charges		61	100			Percent of total billed charges		61	33.3			Percent of total billed charges		20.313	33.3			Percent of total billed charges		20.313	100			Percent of total billed charges		61	20.313	54.9	
k-wire 1.1 x 100mm wire-1.1 trimed	272	RC	Outpatient			61	39.65		90			Percent of total billed charges		54.9	40			Percent of total billed charges		24.4	80			Percent of total billed charges		48.8	90			Percent of total billed charges		54.9	85			Percent of total billed charges		51.85	85			Percent of total billed charges		51.85	85			Percent of total billed charges		51.85	100			Percent of total billed charges		61	100			Percent of total billed charges		61	100			Percent of total billed charges		61	33.3			Percent of total billed charges		20.313	33.3			Percent of total billed charges		20.313	100			Percent of total billed charges		61	20.313	54.9	
kit needle guide ster 20g	270	RC	Outpatient			61	39.65		90			Percent of total billed charges		54.9	40			Percent of total billed charges		24.4	80			Percent of total billed charges		48.8	90			Percent of total billed charges		54.9	85			Percent of total billed charges		51.85	85			Percent of total billed charges		51.85	85			Percent of total billed charges		51.85	100			Percent of total billed charges		61	100			Percent of total billed charges		61	100			Percent of total billed charges		61	33.3			Percent of total billed charges		20.313	33.3			Percent of total billed charges		20.313	100			Percent of total billed charges		61	20.313	54.9	
pad scd sleeve knee bariatric	270	RC	Outpatient			61	39.65		90			Percent of total billed charges		54.9	40			Percent of total billed charges		24.4	80			Percent of total billed charges		48.8	90			Percent of total billed charges		54.9	85			Percent of total billed charges		51.85	85			Percent of total billed charges		51.85	85			Percent of total billed charges		51.85	100			Percent of total billed charges		61	100			Percent of total billed charges		61	100			Percent of total billed charges		61	33.3			Percent of total billed charges		20.313	33.3			Percent of total billed charges		20.313	100			Percent of total billed charges		61	20.313	54.9	
silverlon dsg 2 x 10	272	RC	Outpatient			61	39.65		90			Percent of total billed charges		54.9	40			Percent of total billed charges		24.4	80			Percent of total billed charges		48.8	90			Percent of total billed charges		54.9	85			Percent of total billed charges		51.85	85			Percent of total billed charges		51.85	85			Percent of total billed charges		51.85	100			Percent of total billed charges		61	100			Percent of total billed charges		61	100			Percent of total billed charges		61	33.3			Percent of total billed charges		20.313	33.3			Percent of total billed charges		20.313	100			Percent of total billed charges		61	20.313	54.9	
taylor spatial td rod	278	RC	Outpatient			61	39.65		90			Percent of total billed charges		54.9	40			Percent of total billed charges		24.4	80			Percent of total billed charges		48.8	90			Percent of total billed charges		54.9	85			Percent of total billed charges		51.85	85			Percent of total billed charges		51.85	85			Percent of total billed charges		51.85	100			Percent of total billed charges		61	100			Percent of total billed charges		61	100			Percent of total billed charges		61	33.3			Percent of total billed charges		20.313	33.3			Percent of total billed charges		20.313	100			Percent of total billed charges		61	20.313	54.9	
threaded rod 60mm 102300 s/n	278	RC	Outpatient			61	39.65		90			Percent of total billed charges		54.9	40			Percent of total billed charges		24.4	80			Percent of total billed charges		48.8	90			Percent of total billed charges		54.9	85			Percent of total billed charges		51.85	85			Percent of total billed charges		51.85	85			Percent of total billed charges		51.85	100			Percent of total billed charges		61	100			Percent of total billed charges		61	100			Percent of total billed charges		61	33.3			Percent of total billed charges		20.313	33.3			Percent of total billed charges		20.313	100			Percent of total billed charges		61	20.313	54.9	
s/n washer slot 4mm	278	RC	Outpatient			61	39.65		90			Percent of total billed charges		54.9	40			Percent of total billed charges		24.4	80			Percent of total billed charges		48.8	90			Percent of total billed charges		54.9	85			Percent of total billed charges		51.85	85			Percent of total billed charges		51.85	85			Percent of total billed charges		51.85	100			Percent of total billed charges		61	100			Percent of total billed charges		61	100			Percent of total billed charges		61	33.3			Percent of total billed charges		20.313	33.3			Percent of total billed charges		20.313	100			Percent of total billed charges		61	20.313	54.9	
silverlon wound pad dressing 2 x 10 wpd-210 cura	272	RC	Outpatient			61	39.65		90			Percent of total billed charges		54.9	40			Percent of total billed charges		24.4	80			Percent of total billed charges		48.8	90			Percent of total billed charges		54.9	85			Percent of total billed charges		51.85	85			Percent of total billed charges		51.85	85			Percent of total billed charges		51.85	100			Percent of total billed charges		61	100			Percent of total billed charges		61	100			Percent of total billed charges		61	33.3			Percent of total billed charges		20.313	33.3			Percent of total billed charges		20.313	100			Percent of total billed charges		61	20.313	54.9	
washer slotted 4 x 14mm 102600 s/n	278	RC	Outpatient			61	39.65		90			Percent of total billed charges		54.9	40			Percent of total billed charges		24.4	80			Percent of total billed charges		48.8	90			Percent of total billed charges		54.9	85			Percent of total billed charges		51.85	85			Percent of total billed charges		51.85	85			Percent of total billed charges		51.85	100			Percent of total billed charges		61	100			Percent of total billed charges		61	100			Percent of total billed charges		61	33.3			Percent of total billed charges		20.313	33.3			Percent of total billed charges		20.313	100			Percent of total billed charges		61	20.313	54.9	
"disposable foam insert, blue-ÌÁ s/n ref 7209457"	270	RC	Outpatient			61.88	40.22		90			Percent of total billed charges		55.692	40			Percent of total billed charges		24.752	80			Percent of total billed charges		49.504	90			Percent of total billed charges		55.692	85			Percent of total billed charges		52.598	85			Percent of total billed charges		52.598	85			Percent of total billed charges		52.598	100			Percent of total billed charges		61.88	100			Percent of total billed charges		61.88	100			Percent of total billed charges		61.88	33.3			Percent of total billed charges		20.606	33.3			Percent of total billed charges		20.606	100			Percent of total billed charges		61.88	20.606	55.692	
scpf kit port access	270	RC	Outpatient			61.88	40.22		90			Percent of total billed charges		55.692	40			Percent of total billed charges		24.752	80			Percent of total billed charges		49.504	90			Percent of total billed charges		55.692	85			Percent of total billed charges		52.598	85			Percent of total billed charges		52.598	85			Percent of total billed charges		52.598	100			Percent of total billed charges		61.88	100			Percent of total billed charges		61.88	100			Percent of total billed charges		61.88	33.3			Percent of total billed charges		20.606	33.3			Percent of total billed charges		20.606	100			Percent of total billed charges		61.88	20.606	55.692	
4.5 peri-loc self-tap screw 36mm 7182-6036 s/n	272	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
4.5 peri-loc self-tap screw 40mm 7182-6040 s/n	272	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
5fr angiographic cath straight 451-501f5	270	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
cath pig  5fr x 65cm 451-503v5 cordis	270	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
cold thpy. wrp sm.w/liner	270	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
cortex screw lp s-t 3.5mm x 36mm 71824036 s/n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
crtx scrw 3.5 x 10mm 71824010 s\n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
crtx scrw 3.5 x 14mm 71824014 s\n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
crtx scrw 3.5 x 20mm 71824020 s\n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
crtx scrw 3.5 x 22mm 71824022 s\n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
crtx scrw 3.5 x 24mm 71824024 s\n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
crtx scrw 3.5 x 26mm 71824026 s\n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
crtx scrw 3.5 x 28mm 71824028 s\n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
crtx scrw 3.5 x 32mm 71824032 s\n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
crtx scrw 3.5 x 36mm 71824036 s\n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
crtx scrw 3.5 x 40mm 71824040 s\n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
crtx scrw 3.5 x 50mm 71824050 s\n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
crtx scrw 3.5 x 60mm 71824060 s\n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
crtx scrw 3.5 x 65mm 71824065 s\n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
crtx scrw 3.5 x 70mm 71824070 s\n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
crtx scrw 3.5 x 80mm 71824080 s\n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
4.5 peri-loc self-tap screw 38mm 7182-6038 s/n	272	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
angiographic cath	270	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
carrier skin graft plastic 1 1/2 to 1 2195-012-00 zimm	270	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
carrier skin graft plastic 3 to 1 2195-013-00 zimm	270	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
cath angio str  5fr 65cm 451-501v5 cordis	270	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
cath pig 5fr  90cm 451-503f5 cordis	270	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
cath trocar 20fr. 561043	270	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
"cath,cholangio"	270	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
cortex screw lp s-t 3.5mm x 28mm 71824028 s/n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
cortex screw lp s-t 3.5mm x 34mm 71824034 s/n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
cortex screw lp s-t 3.5mm x 38mm 71824038 s/n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
crtx scrw 3.5 x 12mm 71824012 s\n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
crtx scrw 3.5 x 16mm 71824016 s\n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
crtx scrw 3.5 x 18mm 71824018 s\n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
crtx scrw 3.5 x 30mm 71824030 s\n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
crtx scrw 3.5 x 34mm 71824034 s\n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
crtx scrw 3.5 x 38mm 71824038 s\n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
crtx scrw 3.5 x 45mm 71824045 s\n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
crtx scrw 3.5 x 55mm 71824055 s\n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
crtx scrw 3.5 x 75mm 71824075 s\n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
cul. de-sac tray	270	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
falope-ring band  frb-30 gyrus acmi	272	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
derma carrier 1 1/2 to 1	270	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
k-wire 2.0mm x 228mm 71173361 s/n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
mt 5867-3m pinch-on tool	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
omni sof-vu cath 5 fr x 80cm 10720401 dynamics	270	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
peripheral screw 5.0 x 30mm 71332531 s/n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
peripheral screw 5.0 x 35mm 71332536 s/n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
peripheral screw 5.0 x 45mm 71332546 s/n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
peripheral screw 5.0 x 60mm 71332515 s/n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
peripheral screw 5.0 x 65mm 71332566 s/n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
reflection  spherical screw 20mm 71332520 s/n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
reflection  spherical screw 35mm 71332535 s/n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
reflection locking head  peg 71332518 s/n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
reflection spherical screw 25mm 71332525 s/n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
reflection spherical screw 50mm 71332550 s/n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
reflection spherical screw 60mm 71332560 s/n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
s-t cortex  screw 2.5mm x 14mm 71822514 s/n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
s-t crtx scrw 3.5mm 12mm 71804012 s/n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
s-t crtx scrw 3.5mm 16mm 71804016 s/n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
s-t crtx scrw 3.5mm 20mm 71804020 s/n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
s-t crtx scrw 3.5mm 22mm 71804022 s/n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
s-t crtx scrw 3.5mm 24mm 71804024 s/n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
s-t crtx scrw 3.5mm 30mm 71804030 s/n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
s-t crtx scrw 3.5mm 34mm 71804034 s/n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
s-t crtx scrw 3.5mm 36mm 71804036 s/n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
s-t crtx scrw 3.5mm 38mm 71804038 s/n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
s-t crtx scrw 3.5mm 40mm 71804040 s/n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
s-t crtx scrw 3.5mm 50mm 71804050 s/n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
s-t crtx scrw 3.5mm 60mm 71804060 s/n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
s-t crtx scrw 3.5mm 70mm 71804070 s/n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
s-t crtx scrw 3.5mm 75mm 71804075 s/n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
s-t crtx scrw 3.5mm 85mm 71804085 s/n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
s-t crtx scrw 3.5mm 95mm 71804095 s/n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
tempo selective cath - cerebral berenstein cordis 451-513vo	270	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
tempo selective cath - visceral j curve 1 (rc 1 ) cordis 451-555vo	270	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
torgon angiographic cath 230354 cook g09654	270	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
peri-loc 4.5 cort scr	272	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
peripheral screw 5.0 x 40mm 71332541 s/n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
peripheral screw 5.0 x 50mm 71332551 s/n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
peripheral screw 5.0 x 55mm 71332556 s/n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
reflection peg 15mm 746615 s/n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
reflection screw 6.5 x15mm 71332515 s/n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
reflection screw 70mm 71332570 s/n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
reflection spherical screw 40mm 71332540 s/n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
reflection spherical screw 45mm 71332545 s/n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
s-t cortex  locking screw 3.5mm x 10mm 71822410 s/n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
s-t cortex  screw 2.5mm x 10mm 71822510 s/n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
s-t cortex  screw 2.5mm x 12mm 71822512 s/n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
s-t cortex  screw 2.5mm x 16mm 71822516 s/n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
s-t cortex  screw 2.5mm x 18mm 71822518 s/n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
s-t cortex  screw 2.5mm x 20mm 71822520 s/n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
s-t cortex  screw 2.5mm x 22mm 71822522 s/n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
s-t cortex  screw 2.5mm x 24mm 71822524 s/n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
s-t cortex  screw 2.5mm x 26mm 71822526 s/n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
s-t cortex  screw 2.5mm x 28mm 71822528 s/n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
s-t cortex  screw 2.5mm x 30mm 71822530 s/n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
s-t crtx scrw 3.5mm 100mm 71804100 s/n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
s-t crtx scrw 3.5mm 105mm 71804105 s/n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
s-t crtx scrw 3.5mm 10mm 71804010 s/n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
s-t crtx scrw 3.5mm 110mm 71804110 s/n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
s-t crtx scrw 3.5mm 14mm 71804014 s/n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
s-t crtx scrw 3.5mm 18mm 71804018 s/n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
s-t crtx scrw 3.5mm 26mm 71804026 s/n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
s-t crtx scrw 3.5mm 28mm 71804028 s/n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
s-t crtx scrw 3.5mm 32mm 71804032 s/n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
s-t crtx scrw 3.5mm 45mm 71804045 s/n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
s-t crtx scrw 3.5mm 55mm 71804055 s/n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
s-t crtx scrw 3.5mm 65mm 71804065 s/n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
s-t crtx scrw 3.5mm 80mm 71804080 s/n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
s-t crtx scrw 3.5mm 90mm 71804090 s/n	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
s/n 2.5 cort scrw	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
s/n 3.5 cort screw	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
s/n k-wire w/trocar point 1.25mm 7116-1012	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
s/n reflect pegiscrew	278	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
s/n washer 2.0 w/bolt	272	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
softvu cath	270	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
tempo selective cath - visceral shepard hook cordis 451-549vo	270	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
washer 2.0mm w/ fix bolt 102706 s/n	272	RC	Outpatient			62	40.3		90			Percent of total billed charges		55.8	40			Percent of total billed charges		24.8	80			Percent of total billed charges		49.6	90			Percent of total billed charges		55.8	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	85			Percent of total billed charges		52.7	100			Percent of total billed charges		62	100			Percent of total billed charges		62	100			Percent of total billed charges		62	33.3			Percent of total billed charges		20.646	33.3			Percent of total billed charges		20.646	100			Percent of total billed charges		62	20.646	55.8	
3800032 intraosseous needl plcmnt ed charge	450	RC	Outpatient			63	40.95		90			Percent of total billed charges		56.7	40			Percent of total billed charges		25.2	80			Percent of total billed charges		50.4	90			Percent of total billed charges		56.7	85			Percent of total billed charges		53.55	85			Percent of total billed charges		53.55	85			Percent of total billed charges		53.55	100			Percent of total billed charges		63	100			Percent of total billed charges		63	100			Percent of total billed charges		63	33.3			Percent of total billed charges		20.979	33.3			Percent of total billed charges		20.979	100			Percent of total billed charges		63	20.979	56.7	
3800040 peritoneal lavage ed charge	450	RC	Outpatient			63	40.95		90			Percent of total billed charges		56.7	40			Percent of total billed charges		25.2	80			Percent of total billed charges		50.4	90			Percent of total billed charges		56.7	85			Percent of total billed charges		53.55	85			Percent of total billed charges		53.55	85			Percent of total billed charges		53.55	100			Percent of total billed charges		63	100			Percent of total billed charges		63	100			Percent of total billed charges		63	33.3			Percent of total billed charges		20.979	33.3			Percent of total billed charges		20.979	100			Percent of total billed charges		63	20.979	56.7	
arthrotex max braid	272	RC	Outpatient			63	40.95		90			Percent of total billed charges		56.7	40			Percent of total billed charges		25.2	80			Percent of total billed charges		50.4	90			Percent of total billed charges		56.7	85			Percent of total billed charges		53.55	85			Percent of total billed charges		53.55	85			Percent of total billed charges		53.55	100			Percent of total billed charges		63	100			Percent of total billed charges		63	100			Percent of total billed charges		63	33.3			Percent of total billed charges		20.979	33.3			Percent of total billed charges		20.979	100			Percent of total billed charges		63	20.979	56.7	
imp tube ear 50-pr/bx1040019	270	RC	Outpatient			63	40.95		90			Percent of total billed charges		56.7	40			Percent of total billed charges		25.2	80			Percent of total billed charges		50.4	90			Percent of total billed charges		56.7	85			Percent of total billed charges		53.55	85			Percent of total billed charges		53.55	85			Percent of total billed charges		53.55	100			Percent of total billed charges		63	100			Percent of total billed charges		63	100			Percent of total billed charges		63	33.3			Percent of total billed charges		20.979	33.3			Percent of total billed charges		20.979	100			Percent of total billed charges		63	20.979	56.7	
first entry trocar 12 x 150mm cff71 applied	272	RC	Outpatient			63	40.95		90			Percent of total billed charges		56.7	40			Percent of total billed charges		25.2	80			Percent of total billed charges		50.4	90			Percent of total billed charges		56.7	85			Percent of total billed charges		53.55	85			Percent of total billed charges		53.55	85			Percent of total billed charges		53.55	100			Percent of total billed charges		63	100			Percent of total billed charges		63	100			Percent of total billed charges		63	33.3			Percent of total billed charges		20.979	33.3			Percent of total billed charges		20.979	100			Percent of total billed charges		63	20.979	56.7	
m e tubes	270	RC	Outpatient			63	40.95		90			Percent of total billed charges		56.7	40			Percent of total billed charges		25.2	80			Percent of total billed charges		50.4	90			Percent of total billed charges		56.7	85			Percent of total billed charges		53.55	85			Percent of total billed charges		53.55	85			Percent of total billed charges		53.55	100			Percent of total billed charges		63	100			Percent of total billed charges		63	100			Percent of total billed charges		63	33.3			Percent of total billed charges		20.979	33.3			Percent of total billed charges		20.979	100			Percent of total billed charges		63	20.979	56.7	
i med pump&life care pump	270	RC	Outpatient			63	40.95		90			Percent of total billed charges		56.7	40			Percent of total billed charges		25.2	80			Percent of total billed charges		50.4	90			Percent of total billed charges		56.7	85			Percent of total billed charges		53.55	85			Percent of total billed charges		53.55	85			Percent of total billed charges		53.55	100			Percent of total billed charges		63	100			Percent of total billed charges		63	100			Percent of total billed charges		63	33.3			Percent of total billed charges		20.979	33.3			Percent of total billed charges		20.979	100			Percent of total billed charges		63	20.979	56.7	
nut spring loaded for x fix 395.58 synthes	270	RC	Outpatient			63	40.95		90			Percent of total billed charges		56.7	40			Percent of total billed charges		25.2	80			Percent of total billed charges		50.4	90			Percent of total billed charges		56.7	85			Percent of total billed charges		53.55	85			Percent of total billed charges		53.55	85			Percent of total billed charges		53.55	100			Percent of total billed charges		63	100			Percent of total billed charges		63	100			Percent of total billed charges		63	33.3			Percent of total billed charges		20.979	33.3			Percent of total billed charges		20.979	100			Percent of total billed charges		63	20.979	56.7	
ocl splint 3	270	RC	Outpatient			63	40.95		90			Percent of total billed charges		56.7	40			Percent of total billed charges		25.2	80			Percent of total billed charges		50.4	90			Percent of total billed charges		56.7	85			Percent of total billed charges		53.55	85			Percent of total billed charges		53.55	85			Percent of total billed charges		53.55	100			Percent of total billed charges		63	100			Percent of total billed charges		63	100			Percent of total billed charges		63	33.3			Percent of total billed charges		20.979	33.3			Percent of total billed charges		20.979	100			Percent of total billed charges		63	20.979	56.7	
paparella type 1 vent tube silicone green 1025002 medtronic	270	RC	Outpatient			63	40.95		90			Percent of total billed charges		56.7	40			Percent of total billed charges		25.2	80			Percent of total billed charges		50.4	90			Percent of total billed charges		56.7	85			Percent of total billed charges		53.55	85			Percent of total billed charges		53.55	85			Percent of total billed charges		53.55	100			Percent of total billed charges		63	100			Percent of total billed charges		63	100			Percent of total billed charges		63	33.3			Percent of total billed charges		20.979	33.3			Percent of total billed charges		20.979	100			Percent of total billed charges		63	20.979	56.7	
plumepen smoke evacuation pencil plpul2020 / plpul2000  conmed	272	RC	Outpatient			63	40.95		90			Percent of total billed charges		56.7	40			Percent of total billed charges		25.2	80			Percent of total billed charges		50.4	90			Percent of total billed charges		56.7	85			Percent of total billed charges		53.55	85			Percent of total billed charges		53.55	85			Percent of total billed charges		53.55	100			Percent of total billed charges		63	100			Percent of total billed charges		63	100			Percent of total billed charges		63	33.3			Percent of total billed charges		20.979	33.3			Percent of total billed charges		20.979	100			Percent of total billed charges		63	20.979	56.7	
syn x-fix spring load nut	270	RC	Outpatient			63	40.95		90			Percent of total billed charges		56.7	40			Percent of total billed charges		25.2	80			Percent of total billed charges		50.4	90			Percent of total billed charges		56.7	85			Percent of total billed charges		53.55	85			Percent of total billed charges		53.55	85			Percent of total billed charges		53.55	100			Percent of total billed charges		63	100			Percent of total billed charges		63	100			Percent of total billed charges		63	33.3			Percent of total billed charges		20.979	33.3			Percent of total billed charges		20.979	100			Percent of total billed charges		63	20.979	56.7	
"tray,circumcision disp."	270	RC	Outpatient			63	40.95		90			Percent of total billed charges		56.7	40			Percent of total billed charges		25.2	80			Percent of total billed charges		50.4	90			Percent of total billed charges		56.7	85			Percent of total billed charges		53.55	85			Percent of total billed charges		53.55	85			Percent of total billed charges		53.55	100			Percent of total billed charges		63	100			Percent of total billed charges		63	100			Percent of total billed charges		63	33.3			Percent of total billed charges		20.979	33.3			Percent of total billed charges		20.979	100			Percent of total billed charges		63	20.979	56.7	
precise sds stent 7 x 30 j6230eb6 cordis	272	RC	Outpatient			63	40.95		90			Percent of total billed charges		56.7	40			Percent of total billed charges		25.2	80			Percent of total billed charges		50.4	90			Percent of total billed charges		56.7	85			Percent of total billed charges		53.55	85			Percent of total billed charges		53.55	85			Percent of total billed charges		53.55	100			Percent of total billed charges		63	100			Percent of total billed charges		63	100			Percent of total billed charges		63	33.3			Percent of total billed charges		20.979	33.3			Percent of total billed charges		20.979	100			Percent of total billed charges		63	20.979	56.7	
suture 900334 max braid pe	272	RC	Outpatient			63	40.95		90			Percent of total billed charges		56.7	40			Percent of total billed charges		25.2	80			Percent of total billed charges		50.4	90			Percent of total billed charges		56.7	85			Percent of total billed charges		53.55	85			Percent of total billed charges		53.55	85			Percent of total billed charges		53.55	100			Percent of total billed charges		63	100			Percent of total billed charges		63	100			Percent of total billed charges		63	33.3			Percent of total billed charges		20.979	33.3			Percent of total billed charges		20.979	100			Percent of total billed charges		63	20.979	56.7	
tray nose	270	RC	Outpatient			63	40.95		90			Percent of total billed charges		56.7	40			Percent of total billed charges		25.2	80			Percent of total billed charges		50.4	90			Percent of total billed charges		56.7	85			Percent of total billed charges		53.55	85			Percent of total billed charges		53.55	85			Percent of total billed charges		53.55	100			Percent of total billed charges		63	100			Percent of total billed charges		63	100			Percent of total billed charges		63	33.3			Percent of total billed charges		20.979	33.3			Percent of total billed charges		20.979	100			Percent of total billed charges		63	20.979	56.7	
tru-cut biopsy needle	270	RC	Outpatient			63	40.95		90			Percent of total billed charges		56.7	40			Percent of total billed charges		25.2	80			Percent of total billed charges		50.4	90			Percent of total billed charges		56.7	85			Percent of total billed charges		53.55	85			Percent of total billed charges		53.55	85			Percent of total billed charges		53.55	100			Percent of total billed charges		63	100			Percent of total billed charges		63	100			Percent of total billed charges		63	33.3			Percent of total billed charges		20.979	33.3			Percent of total billed charges		20.979	100			Percent of total billed charges		63	20.979	56.7	
tube duravent ventilation 240075	270	RC	Outpatient			63	40.95		90			Percent of total billed charges		56.7	40			Percent of total billed charges		25.2	80			Percent of total billed charges		50.4	90			Percent of total billed charges		56.7	85			Percent of total billed charges		53.55	85			Percent of total billed charges		53.55	85			Percent of total billed charges		53.55	100			Percent of total billed charges		63	100			Percent of total billed charges		63	100			Percent of total billed charges		63	33.3			Percent of total billed charges		20.979	33.3			Percent of total billed charges		20.979	100			Percent of total billed charges		63	20.979	56.7	
tube vent shepherd grommet 70141031 gyrus	270	RC	Outpatient			63	40.95		90			Percent of total billed charges		56.7	40			Percent of total billed charges		25.2	80			Percent of total billed charges		50.4	90			Percent of total billed charges		56.7	85			Percent of total billed charges		53.55	85			Percent of total billed charges		53.55	85			Percent of total billed charges		53.55	100			Percent of total billed charges		63	100			Percent of total billed charges		63	100			Percent of total billed charges		63	33.3			Percent of total billed charges		20.979	33.3			Percent of total billed charges		20.979	100			Percent of total billed charges		63	20.979	56.7	
tube vent shepherd grommet w/o 145711 s/n	270	RC	Outpatient			63	40.95		90			Percent of total billed charges		56.7	40			Percent of total billed charges		25.2	80			Percent of total billed charges		50.4	90			Percent of total billed charges		56.7	85			Percent of total billed charges		53.55	85			Percent of total billed charges		53.55	85			Percent of total billed charges		53.55	100			Percent of total billed charges		63	100			Percent of total billed charges		63	100			Percent of total billed charges		63	33.3			Percent of total billed charges		20.979	33.3			Percent of total billed charges		20.979	100			Percent of total billed charges		63	20.979	56.7	
trocar 12x150mm	272	RC	Outpatient			63	40.95		90			Percent of total billed charges		56.7	40			Percent of total billed charges		25.2	80			Percent of total billed charges		50.4	90			Percent of total billed charges		56.7	85			Percent of total billed charges		53.55	85			Percent of total billed charges		53.55	85			Percent of total billed charges		53.55	100			Percent of total billed charges		63	100			Percent of total billed charges		63	100			Percent of total billed charges		63	33.3			Percent of total billed charges		20.979	33.3			Percent of total billed charges		20.979	100			Percent of total billed charges		63	20.979	56.7	
tube trach shiley fenestrated 6cfn	270	RC	Outpatient			63	40.95		90			Percent of total billed charges		56.7	40			Percent of total billed charges		25.2	80			Percent of total billed charges		50.4	90			Percent of total billed charges		56.7	85			Percent of total billed charges		53.55	85			Percent of total billed charges		53.55	85			Percent of total billed charges		53.55	100			Percent of total billed charges		63	100			Percent of total billed charges		63	100			Percent of total billed charges		63	33.3			Percent of total billed charges		20.979	33.3			Percent of total billed charges		20.979	100			Percent of total billed charges		63	20.979	56.7	
tube ventilation  1.14mm 24-0071 s/n	270	RC	Outpatient			63	40.95		90			Percent of total billed charges		56.7	40			Percent of total billed charges		25.2	80			Percent of total billed charges		50.4	90			Percent of total billed charges		56.7	85			Percent of total billed charges		53.55	85			Percent of total billed charges		53.55	85			Percent of total billed charges		53.55	100			Percent of total billed charges		63	100			Percent of total billed charges		63	100			Percent of total billed charges		63	33.3			Percent of total billed charges		20.979	33.3			Percent of total billed charges		20.979	100			Percent of total billed charges		63	20.979	56.7	
3800058 mgt-fracture simple/closd ed charge	450	RC	Outpatient			64	41.6		90			Percent of total billed charges		57.6	40			Percent of total billed charges		25.6	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	100			Percent of total billed charges		64	100			Percent of total billed charges		64	100			Percent of total billed charges		64	33.3			Percent of total billed charges		21.312	33.3			Percent of total billed charges		21.312	100			Percent of total billed charges		64	21.312	57.6	
3800063 application cast ed charge	450	RC	Outpatient			64	41.6		90			Percent of total billed charges		57.6	40			Percent of total billed charges		25.6	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	100			Percent of total billed charges		64	100			Percent of total billed charges		64	100			Percent of total billed charges		64	33.3			Percent of total billed charges		21.312	33.3			Percent of total billed charges		21.312	100			Percent of total billed charges		64	21.312	57.6	
7.0mm washer 7114-3107 s/n	278	RC	Outpatient			64	41.6		90			Percent of total billed charges		57.6	40			Percent of total billed charges		25.6	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	100			Percent of total billed charges		64	100			Percent of total billed charges		64	100			Percent of total billed charges		64	33.3			Percent of total billed charges		21.312	33.3			Percent of total billed charges		21.312	100			Percent of total billed charges		64	21.312	57.6	
3800044 nasal packing/cautery ed charge	450	RC	Outpatient			64	41.6		90			Percent of total billed charges		57.6	40			Percent of total billed charges		25.6	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	100			Percent of total billed charges		64	100			Percent of total billed charges		64	100			Percent of total billed charges		64	33.3			Percent of total billed charges		21.312	33.3			Percent of total billed charges		21.312	100			Percent of total billed charges		64	21.312	57.6	
dermabond skin adhsv hi viscosity ethdhv12 ethicon	270	RC	Outpatient			64	41.6		90			Percent of total billed charges		57.6	40			Percent of total billed charges		25.6	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	100			Percent of total billed charges		64	100			Percent of total billed charges		64	100			Percent of total billed charges		64	33.3			Percent of total billed charges		21.312	33.3			Percent of total billed charges		21.312	100			Percent of total billed charges		64	21.312	57.6	
ffd cancellation fee	960	RC	Outpatient			64	41.6		90			Percent of total billed charges		57.6	40			Percent of total billed charges		25.6	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	100			Percent of total billed charges		64	100			Percent of total billed charges		64	100			Percent of total billed charges		64	33.3			Percent of total billed charges		21.312	33.3			Percent of total billed charges		21.312	100			Percent of total billed charges		64	21.312	57.6	
glide scope cover #1 0270-0428 verathon  0574-0026	272	RC	Outpatient			64	41.6		90			Percent of total billed charges		57.6	40			Percent of total billed charges		25.6	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	100			Percent of total billed charges		64	100			Percent of total billed charges		64	100			Percent of total billed charges		64	33.3			Percent of total billed charges		21.312	33.3			Percent of total billed charges		21.312	100			Percent of total billed charges		64	21.312	57.6	
glide scope cover #2 0270-0429 verathon	272	RC	Outpatient			64	41.6		90			Percent of total billed charges		57.6	40			Percent of total billed charges		25.6	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	100			Percent of total billed charges		64	100			Percent of total billed charges		64	100			Percent of total billed charges		64	33.3			Percent of total billed charges		21.312	33.3			Percent of total billed charges		21.312	100			Percent of total billed charges		64	21.312	57.6	
glide scope cover 1 & 2	272	RC	Outpatient			64	41.6		90			Percent of total billed charges		57.6	40			Percent of total billed charges		25.6	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	100			Percent of total billed charges		64	100			Percent of total billed charges		64	100			Percent of total billed charges		64	33.3			Percent of total billed charges		21.312	33.3			Percent of total billed charges		21.312	100			Percent of total billed charges		64	21.312	57.6	
heel pillow posey quilted	270	RC	Outpatient			64	41.6		90			Percent of total billed charges		57.6	40			Percent of total billed charges		25.6	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	100			Percent of total billed charges		64	100			Percent of total billed charges		64	100			Percent of total billed charges		64	33.3			Percent of total billed charges		21.312	33.3			Percent of total billed charges		21.312	100			Percent of total billed charges		64	21.312	57.6	
illob wrist ped-l	270	RC	Outpatient			64	41.6		90			Percent of total billed charges		57.6	40			Percent of total billed charges		25.6	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	100			Percent of total billed charges		64	100			Percent of total billed charges		64	100			Percent of total billed charges		64	33.3			Percent of total billed charges		21.312	33.3			Percent of total billed charges		21.312	100			Percent of total billed charges		64	21.312	57.6	
imhs 4.5 locking screw 30mm 7112-9230 s/n	278	RC	Outpatient			64	41.6		90			Percent of total billed charges		57.6	40			Percent of total billed charges		25.6	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	100			Percent of total billed charges		64	100			Percent of total billed charges		64	100			Percent of total billed charges		64	33.3			Percent of total billed charges		21.312	33.3			Percent of total billed charges		21.312	100			Percent of total billed charges		64	21.312	57.6	
imhs 4.5 locking screw 32mm 7112-9232 s/n	278	RC	Outpatient			64	41.6		90			Percent of total billed charges		57.6	40			Percent of total billed charges		25.6	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	100			Percent of total billed charges		64	100			Percent of total billed charges		64	100			Percent of total billed charges		64	33.3			Percent of total billed charges		21.312	33.3			Percent of total billed charges		21.312	100			Percent of total billed charges		64	21.312	57.6	
imhs 4.5 locking screw 36mm 7112-9236 s/n	278	RC	Outpatient			64	41.6		90			Percent of total billed charges		57.6	40			Percent of total billed charges		25.6	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	100			Percent of total billed charges		64	100			Percent of total billed charges		64	100			Percent of total billed charges		64	33.3			Percent of total billed charges		21.312	33.3			Percent of total billed charges		21.312	100			Percent of total billed charges		64	21.312	57.6	
imhs 4.5 locking screw 42mm 7112-9242 s/n	278	RC	Outpatient			64	41.6		90			Percent of total billed charges		57.6	40			Percent of total billed charges		25.6	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	100			Percent of total billed charges		64	100			Percent of total billed charges		64	100			Percent of total billed charges		64	33.3			Percent of total billed charges		21.312	33.3			Percent of total billed charges		21.312	100			Percent of total billed charges		64	21.312	57.6	
imhs 4.5 locking screw 46mm 7112-9246 s/n	278	RC	Outpatient			64	41.6		90			Percent of total billed charges		57.6	40			Percent of total billed charges		25.6	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	100			Percent of total billed charges		64	100			Percent of total billed charges		64	100			Percent of total billed charges		64	33.3			Percent of total billed charges		21.312	33.3			Percent of total billed charges		21.312	100			Percent of total billed charges		64	21.312	57.6	
immob wrist med-r	270	RC	Outpatient			64	41.6		90			Percent of total billed charges		57.6	40			Percent of total billed charges		25.6	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	100			Percent of total billed charges		64	100			Percent of total billed charges		64	100			Percent of total billed charges		64	33.3			Percent of total billed charges		21.312	33.3			Percent of total billed charges		21.312	100			Percent of total billed charges		64	21.312	57.6	
immob wrist xlg-l	270	RC	Outpatient			64	41.6		90			Percent of total billed charges		57.6	40			Percent of total billed charges		25.6	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	100			Percent of total billed charges		64	100			Percent of total billed charges		64	100			Percent of total billed charges		64	33.3			Percent of total billed charges		21.312	33.3			Percent of total billed charges		21.312	100			Percent of total billed charges		64	21.312	57.6	
immob wrist xlg-r	270	RC	Outpatient			64	41.6		90			Percent of total billed charges		57.6	40			Percent of total billed charges		25.6	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	100			Percent of total billed charges		64	100			Percent of total billed charges		64	100			Percent of total billed charges		64	33.3			Percent of total billed charges		21.312	33.3			Percent of total billed charges		21.312	100			Percent of total billed charges		64	21.312	57.6	
glide scope #1 and #2	272	RC	Outpatient			64	41.6		90			Percent of total billed charges		57.6	40			Percent of total billed charges		25.6	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	100			Percent of total billed charges		64	100			Percent of total billed charges		64	100			Percent of total billed charges		64	33.3			Percent of total billed charges		21.312	33.3			Percent of total billed charges		21.312	100			Percent of total billed charges		64	21.312	57.6	
masonite ns pps	420	RC	Outpatient			64	41.6		90			Percent of total billed charges		57.6	40			Percent of total billed charges		25.6	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	100			Percent of total billed charges		64	100			Percent of total billed charges		64	100			Percent of total billed charges		64	33.3			Percent of total billed charges		21.312	33.3			Percent of total billed charges		21.312	100			Percent of total billed charges		64	21.312	57.6	
imhs 4.5 lock screw	278	RC	Outpatient			64	41.6		90			Percent of total billed charges		57.6	40			Percent of total billed charges		25.6	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	100			Percent of total billed charges		64	100			Percent of total billed charges		64	100			Percent of total billed charges		64	33.3			Percent of total billed charges		21.312	33.3			Percent of total billed charges		21.312	100			Percent of total billed charges		64	21.312	57.6	
imhs 4.5 locking screw 44mm 7112-9244 s/n	278	RC	Outpatient			64	41.6		90			Percent of total billed charges		57.6	40			Percent of total billed charges		25.6	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	100			Percent of total billed charges		64	100			Percent of total billed charges		64	100			Percent of total billed charges		64	33.3			Percent of total billed charges		21.312	33.3			Percent of total billed charges		21.312	100			Percent of total billed charges		64	21.312	57.6	
immob wrist lg-l	270	RC	Outpatient			64	41.6		90			Percent of total billed charges		57.6	40			Percent of total billed charges		25.6	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	100			Percent of total billed charges		64	100			Percent of total billed charges		64	100			Percent of total billed charges		64	33.3			Percent of total billed charges		21.312	33.3			Percent of total billed charges		21.312	100			Percent of total billed charges		64	21.312	57.6	
immob wrist lg-r	270	RC	Outpatient			64	41.6		90			Percent of total billed charges		57.6	40			Percent of total billed charges		25.6	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	100			Percent of total billed charges		64	100			Percent of total billed charges		64	100			Percent of total billed charges		64	33.3			Percent of total billed charges		21.312	33.3			Percent of total billed charges		21.312	100			Percent of total billed charges		64	21.312	57.6	
immob wrist med-l	270	RC	Outpatient			64	41.6		90			Percent of total billed charges		57.6	40			Percent of total billed charges		25.6	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	100			Percent of total billed charges		64	100			Percent of total billed charges		64	100			Percent of total billed charges		64	33.3			Percent of total billed charges		21.312	33.3			Percent of total billed charges		21.312	100			Percent of total billed charges		64	21.312	57.6	
immob wrist ped-r	270	RC	Outpatient			64	41.6		90			Percent of total billed charges		57.6	40			Percent of total billed charges		25.6	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	100			Percent of total billed charges		64	100			Percent of total billed charges		64	100			Percent of total billed charges		64	33.3			Percent of total billed charges		21.312	33.3			Percent of total billed charges		21.312	100			Percent of total billed charges		64	21.312	57.6	
immob wrist sm-l	270	RC	Outpatient			64	41.6		90			Percent of total billed charges		57.6	40			Percent of total billed charges		25.6	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	100			Percent of total billed charges		64	100			Percent of total billed charges		64	100			Percent of total billed charges		64	33.3			Percent of total billed charges		21.312	33.3			Percent of total billed charges		21.312	100			Percent of total billed charges		64	21.312	57.6	
immob wrist sm-r	270	RC	Outpatient			64	41.6		90			Percent of total billed charges		57.6	40			Percent of total billed charges		25.6	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	100			Percent of total billed charges		64	100			Percent of total billed charges		64	100			Percent of total billed charges		64	33.3			Percent of total billed charges		21.312	33.3			Percent of total billed charges		21.312	100			Percent of total billed charges		64	21.312	57.6	
pad scd calf std	270	RC	Outpatient			64	41.6		90			Percent of total billed charges		57.6	40			Percent of total billed charges		25.6	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	100			Percent of total billed charges		64	100			Percent of total billed charges		64	100			Percent of total billed charges		64	33.3			Percent of total billed charges		21.312	33.3			Percent of total billed charges		21.312	100			Percent of total billed charges		64	21.312	57.6	
masonite ns ffd	420	RC	Outpatient			64	41.6		90			Percent of total billed charges		57.6	40			Percent of total billed charges		25.6	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	100			Percent of total billed charges		64	100			Percent of total billed charges		64	100			Percent of total billed charges		64	33.3			Percent of total billed charges		21.312	33.3			Percent of total billed charges		21.312	100			Percent of total billed charges		64	21.312	57.6	
parish ns ffd	420	RC	Outpatient			64	41.6		90			Percent of total billed charges		57.6	40			Percent of total billed charges		25.6	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	100			Percent of total billed charges		64	100			Percent of total billed charges		64	100			Percent of total billed charges		64	33.3			Percent of total billed charges		21.312	33.3			Percent of total billed charges		21.312	100			Percent of total billed charges		64	21.312	57.6	
parish ns pps	420	RC	Outpatient			64	41.6		90			Percent of total billed charges		57.6	40			Percent of total billed charges		25.6	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	100			Percent of total billed charges		64	100			Percent of total billed charges		64	100			Percent of total billed charges		64	33.3			Percent of total billed charges		21.312	33.3			Percent of total billed charges		21.312	100			Percent of total billed charges		64	21.312	57.6	
post-op shoe men med 1991002	270	RC	Outpatient			64	41.6		90			Percent of total billed charges		57.6	40			Percent of total billed charges		25.6	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	100			Percent of total billed charges		64	100			Percent of total billed charges		64	100			Percent of total billed charges		64	33.3			Percent of total billed charges		21.312	33.3			Percent of total billed charges		21.312	100			Percent of total billed charges		64	21.312	57.6	
post-op shoe women lg 1991-06	270	RC	Outpatient			64	41.6		90			Percent of total billed charges		57.6	40			Percent of total billed charges		25.6	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	100			Percent of total billed charges		64	100			Percent of total billed charges		64	100			Percent of total billed charges		64	33.3			Percent of total billed charges		21.312	33.3			Percent of total billed charges		21.312	100			Percent of total billed charges		64	21.312	57.6	
post-op shoe women small sz 4-1991004	270	RC	Outpatient			64	41.6		90			Percent of total billed charges		57.6	40			Percent of total billed charges		25.6	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	100			Percent of total billed charges		64	100			Percent of total billed charges		64	100			Percent of total billed charges		64	33.3			Percent of total billed charges		21.312	33.3			Percent of total billed charges		21.312	100			Percent of total billed charges		64	21.312	57.6	
s/n imhs 4.5 locking screw 22mm 7112-9222	278	RC	Outpatient			64	41.6		90			Percent of total billed charges		57.6	40			Percent of total billed charges		25.6	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	100			Percent of total billed charges		64	100			Percent of total billed charges		64	100			Percent of total billed charges		64	33.3			Percent of total billed charges		21.312	33.3			Percent of total billed charges		21.312	100			Percent of total billed charges		64	21.312	57.6	
s/n imhs 4.5 locking screw 38mm 7112-9238	278	RC	Outpatient			64	41.6		90			Percent of total billed charges		57.6	40			Percent of total billed charges		25.6	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	100			Percent of total billed charges		64	100			Percent of total billed charges		64	100			Percent of total billed charges		64	33.3			Percent of total billed charges		21.312	33.3			Percent of total billed charges		21.312	100			Percent of total billed charges		64	21.312	57.6	
s/n imhs 4.5 locking screw 40mm 7112-9240	278	RC	Outpatient			64	41.6		90			Percent of total billed charges		57.6	40			Percent of total billed charges		25.6	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	100			Percent of total billed charges		64	100			Percent of total billed charges		64	100			Percent of total billed charges		64	33.3			Percent of total billed charges		21.312	33.3			Percent of total billed charges		21.312	100			Percent of total billed charges		64	21.312	57.6	
screw 4.5 x 28mm 71129228	278	RC	Outpatient			64	41.6		90			Percent of total billed charges		57.6	40			Percent of total billed charges		25.6	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	100			Percent of total billed charges		64	100			Percent of total billed charges		64	100			Percent of total billed charges		64	33.3			Percent of total billed charges		21.312	33.3			Percent of total billed charges		21.312	100			Percent of total billed charges		64	21.312	57.6	
scrmc ns ffd	420	RC	Outpatient			64	41.6		90			Percent of total billed charges		57.6	40			Percent of total billed charges		25.6	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	100			Percent of total billed charges		64	100			Percent of total billed charges		64	100			Percent of total billed charges		64	33.3			Percent of total billed charges		21.312	33.3			Percent of total billed charges		21.312	100			Percent of total billed charges		64	21.312	57.6	
scrmc ns pps	420	RC	Outpatient			64	41.6		90			Percent of total billed charges		57.6	40			Percent of total billed charges		25.6	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	100			Percent of total billed charges		64	100			Percent of total billed charges		64	100			Percent of total billed charges		64	33.3			Percent of total billed charges		21.312	33.3			Percent of total billed charges		21.312	100			Percent of total billed charges		64	21.312	57.6	
simhs 4.5 locking screw 34mm 7112-9234 s/n	278	RC	Outpatient			64	41.6		90			Percent of total billed charges		57.6	40			Percent of total billed charges		25.6	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	100			Percent of total billed charges		64	100			Percent of total billed charges		64	100			Percent of total billed charges		64	33.3			Percent of total billed charges		21.312	33.3			Percent of total billed charges		21.312	100			Percent of total billed charges		64	21.312	57.6	
post op shoe	270	RC	Outpatient			64	41.6		90			Percent of total billed charges		57.6	40			Percent of total billed charges		25.6	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	100			Percent of total billed charges		64	100			Percent of total billed charges		64	100			Percent of total billed charges		64	33.3			Percent of total billed charges		21.312	33.3			Percent of total billed charges		21.312	100			Percent of total billed charges		64	21.312	57.6	
post-op shoe men lg 1991003	270	RC	Outpatient			64	41.6		90			Percent of total billed charges		57.6	40			Percent of total billed charges		25.6	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	100			Percent of total billed charges		64	100			Percent of total billed charges		64	100			Percent of total billed charges		64	33.3			Percent of total billed charges		21.312	33.3			Percent of total billed charges		21.312	100			Percent of total billed charges		64	21.312	57.6	
post-op shoe men small 1991001	270	RC	Outpatient			64	41.6		90			Percent of total billed charges		57.6	40			Percent of total billed charges		25.6	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	100			Percent of total billed charges		64	100			Percent of total billed charges		64	100			Percent of total billed charges		64	33.3			Percent of total billed charges		21.312	33.3			Percent of total billed charges		21.312	100			Percent of total billed charges		64	21.312	57.6	
post-op shoe women med 1991-05	270	RC	Outpatient			64	41.6		90			Percent of total billed charges		57.6	40			Percent of total billed charges		25.6	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	100			Percent of total billed charges		64	100			Percent of total billed charges		64	100			Percent of total billed charges		64	33.3			Percent of total billed charges		21.312	33.3			Percent of total billed charges		21.312	100			Percent of total billed charges		64	21.312	57.6	
pps cancellation fee	960	RC	Outpatient			64	41.6		90			Percent of total billed charges		57.6	40			Percent of total billed charges		25.6	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	100			Percent of total billed charges		64	100			Percent of total billed charges		64	100			Percent of total billed charges		64	33.3			Percent of total billed charges		21.312	33.3			Percent of total billed charges		21.312	100			Percent of total billed charges		64	21.312	57.6	
re-inforced endo tube	272	RC	Outpatient			64	41.6		90			Percent of total billed charges		57.6	40			Percent of total billed charges		25.6	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	100			Percent of total billed charges		64	100			Percent of total billed charges		64	100			Percent of total billed charges		64	33.3			Percent of total billed charges		21.312	33.3			Percent of total billed charges		21.312	100			Percent of total billed charges		64	21.312	57.6	
s/n imhs 4.5 locking screw 24mm 7112-9224	278	RC	Outpatient			64	41.6		90			Percent of total billed charges		57.6	40			Percent of total billed charges		25.6	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	100			Percent of total billed charges		64	100			Percent of total billed charges		64	100			Percent of total billed charges		64	33.3			Percent of total billed charges		21.312	33.3			Percent of total billed charges		21.312	100			Percent of total billed charges		64	21.312	57.6	
s/n imhs 4.5 locking screw 26mm 7112-9226	278	RC	Outpatient			64	41.6		90			Percent of total billed charges		57.6	40			Percent of total billed charges		25.6	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	100			Percent of total billed charges		64	100			Percent of total billed charges		64	100			Percent of total billed charges		64	33.3			Percent of total billed charges		21.312	33.3			Percent of total billed charges		21.312	100			Percent of total billed charges		64	21.312	57.6	
s/n imhs 4.5 locking screw 28mm 7112-9228	278	RC	Outpatient			64	41.6		90			Percent of total billed charges		57.6	40			Percent of total billed charges		25.6	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	100			Percent of total billed charges		64	100			Percent of total billed charges		64	100			Percent of total billed charges		64	33.3			Percent of total billed charges		21.312	33.3			Percent of total billed charges		21.312	100			Percent of total billed charges		64	21.312	57.6	
s/n imhs 4.5 locking screw 48mm 7112-9248	278	RC	Outpatient			64	41.6		90			Percent of total billed charges		57.6	40			Percent of total billed charges		25.6	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	100			Percent of total billed charges		64	100			Percent of total billed charges		64	100			Percent of total billed charges		64	33.3			Percent of total billed charges		21.312	33.3			Percent of total billed charges		21.312	100			Percent of total billed charges		64	21.312	57.6	
sleeve knee length scd 6329	270	RC	Outpatient			64	41.6		90			Percent of total billed charges		57.6	40			Percent of total billed charges		25.6	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	100			Percent of total billed charges		64	100			Percent of total billed charges		64	100			Percent of total billed charges		64	33.3			Percent of total billed charges		21.312	33.3			Percent of total billed charges		21.312	100			Percent of total billed charges		64	21.312	57.6	
sm fr 7mm washer	278	RC	Outpatient			64	41.6		90			Percent of total billed charges		57.6	40			Percent of total billed charges		25.6	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	100			Percent of total billed charges		64	100			Percent of total billed charges		64	100			Percent of total billed charges		64	33.3			Percent of total billed charges		21.312	33.3			Percent of total billed charges		21.312	100			Percent of total billed charges		64	21.312	57.6	
splint wrist rt ped	270	RC	Outpatient			64	41.6		90			Percent of total billed charges		57.6	40			Percent of total billed charges		25.6	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	100			Percent of total billed charges		64	100			Percent of total billed charges		64	100			Percent of total billed charges		64	33.3			Percent of total billed charges		21.312	33.3			Percent of total billed charges		21.312	100			Percent of total billed charges		64	21.312	57.6	
tube trach reinforced cuff 6.5 86549	272	RC	Outpatient			64	41.6		90			Percent of total billed charges		57.6	40			Percent of total billed charges		25.6	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	100			Percent of total billed charges		64	100			Percent of total billed charges		64	100			Percent of total billed charges		64	33.3			Percent of total billed charges		21.312	33.3			Percent of total billed charges		21.312	100			Percent of total billed charges		64	21.312	57.6	
tube trach reinforced cuff 7.5 86551	272	RC	Outpatient			64	41.6		90			Percent of total billed charges		57.6	40			Percent of total billed charges		25.6	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	100			Percent of total billed charges		64	100			Percent of total billed charges		64	100			Percent of total billed charges		64	33.3			Percent of total billed charges		21.312	33.3			Percent of total billed charges		21.312	100			Percent of total billed charges		64	21.312	57.6	
tube trach reinforced uncuff 8.0 86552	272	RC	Outpatient			64	41.6		90			Percent of total billed charges		57.6	40			Percent of total billed charges		25.6	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	100			Percent of total billed charges		64	100			Percent of total billed charges		64	100			Percent of total billed charges		64	33.3			Percent of total billed charges		21.312	33.3			Percent of total billed charges		21.312	100			Percent of total billed charges		64	21.312	57.6	
tube trach reinforced cuff 6.0 86548	272	RC	Outpatient			64	41.6		90			Percent of total billed charges		57.6	40			Percent of total billed charges		25.6	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	100			Percent of total billed charges		64	100			Percent of total billed charges		64	100			Percent of total billed charges		64	33.3			Percent of total billed charges		21.312	33.3			Percent of total billed charges		21.312	100			Percent of total billed charges		64	21.312	57.6	
tube trach reinforced cuff 7.0 86550	272	RC	Outpatient			64	41.6		90			Percent of total billed charges		57.6	40			Percent of total billed charges		25.6	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	100			Percent of total billed charges		64	100			Percent of total billed charges		64	100			Percent of total billed charges		64	33.3			Percent of total billed charges		21.312	33.3			Percent of total billed charges		21.312	100			Percent of total billed charges		64	21.312	57.6	
wrist splint ed charge scnt	270	RC	Outpatient			64	41.6		90			Percent of total billed charges		57.6	40			Percent of total billed charges		25.6	80			Percent of total billed charges		51.2	90			Percent of total billed charges		57.6	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	85			Percent of total billed charges		54.4	100			Percent of total billed charges		64	100			Percent of total billed charges		64	100			Percent of total billed charges		64	33.3			Percent of total billed charges		21.312	33.3			Percent of total billed charges		21.312	100			Percent of total billed charges		64	21.312	57.6	
breast binder	272	RC	Outpatient			65	42.25		90			Percent of total billed charges		58.5	40			Percent of total billed charges		26	80			Percent of total billed charges		52	90			Percent of total billed charges		58.5	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	100			Percent of total billed charges		65	100			Percent of total billed charges		65	100			Percent of total billed charges		65	33.3			Percent of total billed charges		21.645	33.3			Percent of total billed charges		21.645	100			Percent of total billed charges		65	21.645	58.5	
breast binder large qtx13541007	272	RC	Outpatient			65	42.25		90			Percent of total billed charges		58.5	40			Percent of total billed charges		26	80			Percent of total billed charges		52	90			Percent of total billed charges		58.5	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	100			Percent of total billed charges		65	100			Percent of total billed charges		65	100			Percent of total billed charges		65	33.3			Percent of total billed charges		21.645	33.3			Percent of total billed charges		21.645	100			Percent of total billed charges		65	21.645	58.5	
breast binder med qtx13541006	270	RC	Outpatient			65	42.25		90			Percent of total billed charges		58.5	40			Percent of total billed charges		26	80			Percent of total billed charges		52	90			Percent of total billed charges		58.5	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	100			Percent of total billed charges		65	100			Percent of total billed charges		65	100			Percent of total billed charges		65	33.3			Percent of total billed charges		21.645	33.3			Percent of total billed charges		21.645	100			Percent of total billed charges		65	21.645	58.5	
breast binder small	272	RC	Outpatient			65	42.25		90			Percent of total billed charges		58.5	40			Percent of total billed charges		26	80			Percent of total billed charges		52	90			Percent of total billed charges		58.5	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	100			Percent of total billed charges		65	100			Percent of total billed charges		65	100			Percent of total billed charges		65	33.3			Percent of total billed charges		21.645	33.3			Percent of total billed charges		21.645	100			Percent of total billed charges		65	21.645	58.5	
breast binder x-large qtx13541008	272	RC	Outpatient			65	42.25		90			Percent of total billed charges		58.5	40			Percent of total billed charges		26	80			Percent of total billed charges		52	90			Percent of total billed charges		58.5	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	100			Percent of total billed charges		65	100			Percent of total billed charges		65	100			Percent of total billed charges		65	33.3			Percent of total billed charges		21.645	33.3			Percent of total billed charges		21.645	100			Percent of total billed charges		65	21.645	58.5	
cast shoe large	270	RC	Outpatient			65	42.25		90			Percent of total billed charges		58.5	40			Percent of total billed charges		26	80			Percent of total billed charges		52	90			Percent of total billed charges		58.5	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	100			Percent of total billed charges		65	100			Percent of total billed charges		65	100			Percent of total billed charges		65	33.3			Percent of total billed charges		21.645	33.3			Percent of total billed charges		21.645	100			Percent of total billed charges		65	21.645	58.5	
cast shoe medium	270	RC	Outpatient			65	42.25		90			Percent of total billed charges		58.5	40			Percent of total billed charges		26	80			Percent of total billed charges		52	90			Percent of total billed charges		58.5	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	100			Percent of total billed charges		65	100			Percent of total billed charges		65	100			Percent of total billed charges		65	33.3			Percent of total billed charges		21.645	33.3			Percent of total billed charges		21.645	100			Percent of total billed charges		65	21.645	58.5	
breast binder xx-large	272	RC	Outpatient			65	42.25		90			Percent of total billed charges		58.5	40			Percent of total billed charges		26	80			Percent of total billed charges		52	90			Percent of total billed charges		58.5	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	100			Percent of total billed charges		65	100			Percent of total billed charges		65	100			Percent of total billed charges		65	33.3			Percent of total billed charges		21.645	33.3			Percent of total billed charges		21.645	100			Percent of total billed charges		65	21.645	58.5	
breast binder xxx-large	270	RC	Outpatient			65	42.25		90			Percent of total billed charges		58.5	40			Percent of total billed charges		26	80			Percent of total billed charges		52	90			Percent of total billed charges		58.5	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	100			Percent of total billed charges		65	100			Percent of total billed charges		65	100			Percent of total billed charges		65	33.3			Percent of total billed charges		21.645	33.3			Percent of total billed charges		21.645	100			Percent of total billed charges		65	21.645	58.5	
cast shoe small	270	RC	Outpatient			65	42.25		90			Percent of total billed charges		58.5	40			Percent of total billed charges		26	80			Percent of total billed charges		52	90			Percent of total billed charges		58.5	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	100			Percent of total billed charges		65	100			Percent of total billed charges		65	100			Percent of total billed charges		65	33.3			Percent of total billed charges		21.645	33.3			Percent of total billed charges		21.645	100			Percent of total billed charges		65	21.645	58.5	
"diphtheria,tetanus tox,acellular pertussis vaccine/hemophilus influ b vac(dtap-hib),intramus"	983	RC	Outpatient			65	42.25		90			Percent of total billed charges		58.5	40			Percent of total billed charges		26	80			Percent of total billed charges		52	90			Percent of total billed charges		58.5	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	100			Percent of total billed charges		65	100			Percent of total billed charges		65	100			Percent of total billed charges		65	33.3			Percent of total billed charges		21.645	33.3			Percent of total billed charges		21.645	100			Percent of total billed charges		65	21.645	58.5	
disp. metal port tunneler bard 601940	270	RC	Outpatient			65	42.25		90			Percent of total billed charges		58.5	40			Percent of total billed charges		26	80			Percent of total billed charges		52	90			Percent of total billed charges		58.5	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	100			Percent of total billed charges		65	100			Percent of total billed charges		65	100			Percent of total billed charges		65	33.3			Percent of total billed charges		21.645	33.3			Percent of total billed charges		21.645	100			Percent of total billed charges		65	21.645	58.5	
kit port access oncology	270	RC	Outpatient			65	42.25		90			Percent of total billed charges		58.5	40			Percent of total billed charges		26	80			Percent of total billed charges		52	90			Percent of total billed charges		58.5	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	100			Percent of total billed charges		65	100			Percent of total billed charges		65	100			Percent of total billed charges		65	33.3			Percent of total billed charges		21.645	33.3			Percent of total billed charges		21.645	100			Percent of total billed charges		65	21.645	58.5	
hickman tunneler #60193	270	RC	Outpatient			65	42.25		90			Percent of total billed charges		58.5	40			Percent of total billed charges		26	80			Percent of total billed charges		52	90			Percent of total billed charges		58.5	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	100			Percent of total billed charges		65	100			Percent of total billed charges		65	100			Percent of total billed charges		65	33.3			Percent of total billed charges		21.645	33.3			Percent of total billed charges		21.645	100			Percent of total billed charges		65	21.645	58.5	
quick combo pediatric	270	RC	Outpatient			65	42.25		90			Percent of total billed charges		58.5	40			Percent of total billed charges		26	80			Percent of total billed charges		52	90			Percent of total billed charges		58.5	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	100			Percent of total billed charges		65	100			Percent of total billed charges		65	100			Percent of total billed charges		65	33.3			Percent of total billed charges		21.645	33.3			Percent of total billed charges		21.645	100			Percent of total billed charges		65	21.645	58.5	
spiked washer 13.5 x 4.0mm 219.94s	278	RC	Outpatient			65	42.25		90			Percent of total billed charges		58.5	40			Percent of total billed charges		26	80			Percent of total billed charges		52	90			Percent of total billed charges		58.5	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	100			Percent of total billed charges		65	100			Percent of total billed charges		65	100			Percent of total billed charges		65	33.3			Percent of total billed charges		21.645	33.3			Percent of total billed charges		21.645	100			Percent of total billed charges		65	21.645	58.5	
splint wrist cock up left lg 1759-05	270	RC	Outpatient			65	42.25		90			Percent of total billed charges		58.5	40			Percent of total billed charges		26	80			Percent of total billed charges		52	90			Percent of total billed charges		58.5	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	100			Percent of total billed charges		65	100			Percent of total billed charges		65	100			Percent of total billed charges		65	33.3			Percent of total billed charges		21.645	33.3			Percent of total billed charges		21.645	100			Percent of total billed charges		65	21.645	58.5	
splint wrist cock-up left medi 175903	270	RC	Outpatient			65	42.25		90			Percent of total billed charges		58.5	40			Percent of total billed charges		26	80			Percent of total billed charges		52	90			Percent of total billed charges		58.5	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	100			Percent of total billed charges		65	100			Percent of total billed charges		65	100			Percent of total billed charges		65	33.3			Percent of total billed charges		21.645	33.3			Percent of total billed charges		21.645	100			Percent of total billed charges		65	21.645	58.5	
splint wrist cock-up left smal 1759-01	270	RC	Outpatient			65	42.25		90			Percent of total billed charges		58.5	40			Percent of total billed charges		26	80			Percent of total billed charges		52	90			Percent of total billed charges		58.5	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	100			Percent of total billed charges		65	100			Percent of total billed charges		65	100			Percent of total billed charges		65	33.3			Percent of total billed charges		21.645	33.3			Percent of total billed charges		21.645	100			Percent of total billed charges		65	21.645	58.5	
splint wrist cock-up right med 1759-04	270	RC	Outpatient			65	42.25		90			Percent of total billed charges		58.5	40			Percent of total billed charges		26	80			Percent of total billed charges		52	90			Percent of total billed charges		58.5	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	100			Percent of total billed charges		65	100			Percent of total billed charges		65	100			Percent of total billed charges		65	33.3			Percent of total billed charges		21.645	33.3			Percent of total billed charges		21.645	100			Percent of total billed charges		65	21.645	58.5	
splint wrist cock-up right sm 1759-02	270	RC	Outpatient			65	42.25		90			Percent of total billed charges		58.5	40			Percent of total billed charges		26	80			Percent of total billed charges		52	90			Percent of total billed charges		58.5	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	100			Percent of total billed charges		65	100			Percent of total billed charges		65	100			Percent of total billed charges		65	33.3			Percent of total billed charges		21.645	33.3			Percent of total billed charges		21.645	100			Percent of total billed charges		65	21.645	58.5	
tray cath urne met/lat fr	272	RC	Outpatient			65	42.25		90			Percent of total billed charges		58.5	40			Percent of total billed charges		26	80			Percent of total billed charges		52	90			Percent of total billed charges		58.5	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	100			Percent of total billed charges		65	100			Percent of total billed charges		65	100			Percent of total billed charges		65	33.3			Percent of total billed charges		21.645	33.3			Percent of total billed charges		21.645	100			Percent of total billed charges		65	21.645	58.5	
"tray, chest tube"	270	RC	Outpatient			65	42.25		90			Percent of total billed charges		58.5	40			Percent of total billed charges		26	80			Percent of total billed charges		52	90			Percent of total billed charges		58.5	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	100			Percent of total billed charges		65	100			Percent of total billed charges		65	100			Percent of total billed charges		65	33.3			Percent of total billed charges		21.645	33.3			Percent of total billed charges		21.645	100			Percent of total billed charges		65	21.645	58.5	
pump life care daily	270	RC	Outpatient			65	42.25		90			Percent of total billed charges		58.5	40			Percent of total billed charges		26	80			Percent of total billed charges		52	90			Percent of total billed charges		58.5	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	100			Percent of total billed charges		65	100			Percent of total billed charges		65	100			Percent of total billed charges		65	33.3			Percent of total billed charges		21.645	33.3			Percent of total billed charges		21.645	100			Percent of total billed charges		65	21.645	58.5	
spiked washer	278	RC	Outpatient			65	42.25		90			Percent of total billed charges		58.5	40			Percent of total billed charges		26	80			Percent of total billed charges		52	90			Percent of total billed charges		58.5	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	100			Percent of total billed charges		65	100			Percent of total billed charges		65	100			Percent of total billed charges		65	33.3			Percent of total billed charges		21.645	33.3			Percent of total billed charges		21.645	100			Percent of total billed charges		65	21.645	58.5	
splint wrist cock-up left x-la 175907	270	RC	Outpatient			65	42.25		90			Percent of total billed charges		58.5	40			Percent of total billed charges		26	80			Percent of total billed charges		52	90			Percent of total billed charges		58.5	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	100			Percent of total billed charges		65	100			Percent of total billed charges		65	100			Percent of total billed charges		65	33.3			Percent of total billed charges		21.645	33.3			Percent of total billed charges		21.645	100			Percent of total billed charges		65	21.645	58.5	
splint wrist cock-up right lg 1759-06	270	RC	Outpatient			65	42.25		90			Percent of total billed charges		58.5	40			Percent of total billed charges		26	80			Percent of total billed charges		52	90			Percent of total billed charges		58.5	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	100			Percent of total billed charges		65	100			Percent of total billed charges		65	100			Percent of total billed charges		65	33.3			Percent of total billed charges		21.645	33.3			Percent of total billed charges		21.645	100			Percent of total billed charges		65	21.645	58.5	
splint wrist cock-up right x-l 175908	270	RC	Outpatient			65	42.25		90			Percent of total billed charges		58.5	40			Percent of total billed charges		26	80			Percent of total billed charges		52	90			Percent of total billed charges		58.5	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	100			Percent of total billed charges		65	100			Percent of total billed charges		65	100			Percent of total billed charges		65	33.3			Percent of total billed charges		21.645	33.3			Percent of total billed charges		21.645	100			Percent of total billed charges		65	21.645	58.5	
urovac bladder evacuator	270	RC	Outpatient			65	42.25		90			Percent of total billed charges		58.5	40			Percent of total billed charges		26	80			Percent of total billed charges		52	90			Percent of total billed charges		58.5	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	100			Percent of total billed charges		65	100			Percent of total billed charges		65	100			Percent of total billed charges		65	33.3			Percent of total billed charges		21.645	33.3			Percent of total billed charges		21.645	100			Percent of total billed charges		65	21.645	58.5	
wrist immobilizer / splint 10  lg left 5074-09	270	RC	Outpatient			65	42.25		90			Percent of total billed charges		58.5	40			Percent of total billed charges		26	80			Percent of total billed charges		52	90			Percent of total billed charges		58.5	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	100			Percent of total billed charges		65	100			Percent of total billed charges		65	100			Percent of total billed charges		65	33.3			Percent of total billed charges		21.645	33.3			Percent of total billed charges		21.645	100			Percent of total billed charges		65	21.645	58.5	
wrist immobilizer / splint 10  med left 5074-08	270	RC	Outpatient			65	42.25		90			Percent of total billed charges		58.5	40			Percent of total billed charges		26	80			Percent of total billed charges		52	90			Percent of total billed charges		58.5	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	100			Percent of total billed charges		65	100			Percent of total billed charges		65	100			Percent of total billed charges		65	33.3			Percent of total billed charges		21.645	33.3			Percent of total billed charges		21.645	100			Percent of total billed charges		65	21.645	58.5	
wrist immobilizer / splint 10  med right 5074-03	270	RC	Outpatient			65	42.25		90			Percent of total billed charges		58.5	40			Percent of total billed charges		26	80			Percent of total billed charges		52	90			Percent of total billed charges		58.5	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	100			Percent of total billed charges		65	100			Percent of total billed charges		65	100			Percent of total billed charges		65	33.3			Percent of total billed charges		21.645	33.3			Percent of total billed charges		21.645	100			Percent of total billed charges		65	21.645	58.5	
trocar 8mm bladed	272	RC	Outpatient			65	42.25		90			Percent of total billed charges		58.5	40			Percent of total billed charges		26	80			Percent of total billed charges		52	90			Percent of total billed charges		58.5	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	100			Percent of total billed charges		65	100			Percent of total billed charges		65	100			Percent of total billed charges		65	33.3			Percent of total billed charges		21.645	33.3			Percent of total billed charges		21.645	100			Percent of total billed charges		65	21.645	58.5	
trocar kii shielded bladed threaded 8mm coq61 applied med	272	RC	Outpatient			65	42.25		90			Percent of total billed charges		58.5	40			Percent of total billed charges		26	80			Percent of total billed charges		52	90			Percent of total billed charges		58.5	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	100			Percent of total billed charges		65	100			Percent of total billed charges		65	100			Percent of total billed charges		65	33.3			Percent of total billed charges		21.645	33.3			Percent of total billed charges		21.645	100			Percent of total billed charges		65	21.645	58.5	
urovac bladder evacuator 730-125 microvasive	270	RC	Outpatient			65	42.25		90			Percent of total billed charges		58.5	40			Percent of total billed charges		26	80			Percent of total billed charges		52	90			Percent of total billed charges		58.5	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	100			Percent of total billed charges		65	100			Percent of total billed charges		65	100			Percent of total billed charges		65	33.3			Percent of total billed charges		21.645	33.3			Percent of total billed charges		21.645	100			Percent of total billed charges		65	21.645	58.5	
weck hem-o-loc ligating clip med/lg telefex 544230	272	RC	Outpatient			65	42.25		90			Percent of total billed charges		58.5	40			Percent of total billed charges		26	80			Percent of total billed charges		52	90			Percent of total billed charges		58.5	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	100			Percent of total billed charges		65	100			Percent of total billed charges		65	100			Percent of total billed charges		65	33.3			Percent of total billed charges		21.645	33.3			Percent of total billed charges		21.645	100			Percent of total billed charges		65	21.645	58.5	
wrist immobilizer	270	RC	Outpatient			65	42.25		90			Percent of total billed charges		58.5	40			Percent of total billed charges		26	80			Percent of total billed charges		52	90			Percent of total billed charges		58.5	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	100			Percent of total billed charges		65	100			Percent of total billed charges		65	100			Percent of total billed charges		65	33.3			Percent of total billed charges		21.645	33.3			Percent of total billed charges		21.645	100			Percent of total billed charges		65	21.645	58.5	
wrist immobilizer / splint 10  s left 5074-07	270	RC	Outpatient			65	42.25		90			Percent of total billed charges		58.5	40			Percent of total billed charges		26	80			Percent of total billed charges		52	90			Percent of total billed charges		58.5	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	100			Percent of total billed charges		65	100			Percent of total billed charges		65	100			Percent of total billed charges		65	33.3			Percent of total billed charges		21.645	33.3			Percent of total billed charges		21.645	100			Percent of total billed charges		65	21.645	58.5	
wrist immobilizer / splint 10  s right 5074-02	270	RC	Outpatient			65	42.25		90			Percent of total billed charges		58.5	40			Percent of total billed charges		26	80			Percent of total billed charges		52	90			Percent of total billed charges		58.5	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	100			Percent of total billed charges		65	100			Percent of total billed charges		65	100			Percent of total billed charges		65	33.3			Percent of total billed charges		21.645	33.3			Percent of total billed charges		21.645	100			Percent of total billed charges		65	21.645	58.5	
wrist immobilizer / splint 10  xl left 5074-10	270	RC	Outpatient			65	42.25		90			Percent of total billed charges		58.5	40			Percent of total billed charges		26	80			Percent of total billed charges		52	90			Percent of total billed charges		58.5	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	100			Percent of total billed charges		65	100			Percent of total billed charges		65	100			Percent of total billed charges		65	33.3			Percent of total billed charges		21.645	33.3			Percent of total billed charges		21.645	100			Percent of total billed charges		65	21.645	58.5	
wrist immobilizer / splint 10  xl right 5074-05	270	RC	Outpatient			65	42.25		90			Percent of total billed charges		58.5	40			Percent of total billed charges		26	80			Percent of total billed charges		52	90			Percent of total billed charges		58.5	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	100			Percent of total billed charges		65	100			Percent of total billed charges		65	100			Percent of total billed charges		65	33.3			Percent of total billed charges		21.645	33.3			Percent of total billed charges		21.645	100			Percent of total billed charges		65	21.645	58.5	
wrist immobilizer / splint 10  xs left 5074-06	270	RC	Outpatient			65	42.25		90			Percent of total billed charges		58.5	40			Percent of total billed charges		26	80			Percent of total billed charges		52	90			Percent of total billed charges		58.5	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	85			Percent of total billed charges		55.25	100			Percent of total billed charges		65	100			Percent of total billed charges		65	100			Percent of total billed charges		65	33.3			Percent of total billed charges		21.645	33.3			Percent of total billed charges		21.645	100			Percent of total billed charges		65	21.645	58.5	
3800051 inj/asp ed charge	250	RC	Outpatient			66	42.9		90			Percent of total billed charges		59.4	40			Percent of total billed charges		26.4	80			Percent of total billed charges		52.8	90			Percent of total billed charges		59.4	85			Percent of total billed charges		56.1	85			Percent of total billed charges		56.1	85			Percent of total billed charges		56.1	100			Percent of total billed charges		66	100			Percent of total billed charges		66	100			Percent of total billed charges		66	33.3			Percent of total billed charges		21.978	33.3			Percent of total billed charges		21.978	100			Percent of total billed charges		66	21.978	59.4	
5 fogarty chol.	270	RC	Outpatient			66	42.9		90			Percent of total billed charges		59.4	40			Percent of total billed charges		26.4	80			Percent of total billed charges		52.8	90			Percent of total billed charges		59.4	85			Percent of total billed charges		56.1	85			Percent of total billed charges		56.1	85			Percent of total billed charges		56.1	100			Percent of total billed charges		66	100			Percent of total billed charges		66	100			Percent of total billed charges		66	33.3			Percent of total billed charges		21.978	33.3			Percent of total billed charges		21.978	100			Percent of total billed charges		66	21.978	59.4	
coated needle electrode e1452 ussc vl	272	RC	Outpatient			66	42.9		90			Percent of total billed charges		59.4	40			Percent of total billed charges		26.4	80			Percent of total billed charges		52.8	90			Percent of total billed charges		59.4	85			Percent of total billed charges		56.1	85			Percent of total billed charges		56.1	85			Percent of total billed charges		56.1	100			Percent of total billed charges		66	100			Percent of total billed charges		66	100			Percent of total billed charges		66	33.3			Percent of total billed charges		21.978	33.3			Percent of total billed charges		21.978	100			Percent of total billed charges		66	21.978	59.4	
3800059 mgt-fracture open/complex ed charge	450	RC	Outpatient			66	42.9		90			Percent of total billed charges		59.4	40			Percent of total billed charges		26.4	80			Percent of total billed charges		52.8	90			Percent of total billed charges		59.4	85			Percent of total billed charges		56.1	85			Percent of total billed charges		56.1	85			Percent of total billed charges		56.1	100			Percent of total billed charges		66	100			Percent of total billed charges		66	100			Percent of total billed charges		66	33.3			Percent of total billed charges		21.978	33.3			Percent of total billed charges		21.978	100			Percent of total billed charges		66	21.978	59.4	
5 fogarty chol cath (cbe)	270	RC	Outpatient			66	42.9		90			Percent of total billed charges		59.4	40			Percent of total billed charges		26.4	80			Percent of total billed charges		52.8	90			Percent of total billed charges		59.4	85			Percent of total billed charges		56.1	85			Percent of total billed charges		56.1	85			Percent of total billed charges		56.1	100			Percent of total billed charges		66	100			Percent of total billed charges		66	100			Percent of total billed charges		66	33.3			Percent of total billed charges		21.978	33.3			Percent of total billed charges		21.978	100			Percent of total billed charges		66	21.978	59.4	
6 fogarty chol cath (cbe)	270	RC	Outpatient			66	42.9		90			Percent of total billed charges		59.4	40			Percent of total billed charges		26.4	80			Percent of total billed charges		52.8	90			Percent of total billed charges		59.4	85			Percent of total billed charges		56.1	85			Percent of total billed charges		56.1	85			Percent of total billed charges		56.1	100			Percent of total billed charges		66	100			Percent of total billed charges		66	100			Percent of total billed charges		66	33.3			Percent of total billed charges		21.978	33.3			Percent of total billed charges		21.978	100			Percent of total billed charges		66	21.978	59.4	
aerobika	270	RC	Outpatient			66	42.9		90			Percent of total billed charges		59.4	40			Percent of total billed charges		26.4	80			Percent of total billed charges		52.8	90			Percent of total billed charges		59.4	85			Percent of total billed charges		56.1	85			Percent of total billed charges		56.1	85			Percent of total billed charges		56.1	100			Percent of total billed charges		66	100			Percent of total billed charges		66	100			Percent of total billed charges		66	33.3			Percent of total billed charges		21.978	33.3			Percent of total billed charges		21.978	100			Percent of total billed charges		66	21.978	59.4	
fogarty cholangiogram	270	RC	Outpatient			66	42.9		90			Percent of total billed charges		59.4	40			Percent of total billed charges		26.4	80			Percent of total billed charges		52.8	90			Percent of total billed charges		59.4	85			Percent of total billed charges		56.1	85			Percent of total billed charges		56.1	85			Percent of total billed charges		56.1	100			Percent of total billed charges		66	100			Percent of total billed charges		66	100			Percent of total billed charges		66	33.3			Percent of total billed charges		21.978	33.3			Percent of total billed charges		21.978	100			Percent of total billed charges		66	21.978	59.4	
endo kit port access (oncology)	272	RC	Outpatient			66	42.9		90			Percent of total billed charges		59.4	40			Percent of total billed charges		26.4	80			Percent of total billed charges		52.8	90			Percent of total billed charges		59.4	85			Percent of total billed charges		56.1	85			Percent of total billed charges		56.1	85			Percent of total billed charges		56.1	100			Percent of total billed charges		66	100			Percent of total billed charges		66	100			Percent of total billed charges		66	33.3			Percent of total billed charges		21.978	33.3			Percent of total billed charges		21.978	100			Percent of total billed charges		66	21.978	59.4	
"fischer cone biopsy excisor, large 900-152 cooper surg"	272	RC	Outpatient			66	42.9		90			Percent of total billed charges		59.4	40			Percent of total billed charges		26.4	80			Percent of total billed charges		52.8	90			Percent of total billed charges		59.4	85			Percent of total billed charges		56.1	85			Percent of total billed charges		56.1	85			Percent of total billed charges		56.1	100			Percent of total billed charges		66	100			Percent of total billed charges		66	100			Percent of total billed charges		66	33.3			Percent of total billed charges		21.978	33.3			Percent of total billed charges		21.978	100			Percent of total billed charges		66	21.978	59.4	
"fischer cone biopsy excisor, large-shallow 900-155 cooper surg"	272	RC	Outpatient			66	42.9		90			Percent of total billed charges		59.4	40			Percent of total billed charges		26.4	80			Percent of total billed charges		52.8	90			Percent of total billed charges		59.4	85			Percent of total billed charges		56.1	85			Percent of total billed charges		56.1	85			Percent of total billed charges		56.1	100			Percent of total billed charges		66	100			Percent of total billed charges		66	100			Percent of total billed charges		66	33.3			Percent of total billed charges		21.978	33.3			Percent of total billed charges		21.978	100			Percent of total billed charges		66	21.978	59.4	
"fischer cone biopsy excisor, medium 900-151 cooper surg"	272	RC	Outpatient			66	42.9		90			Percent of total billed charges		59.4	40			Percent of total billed charges		26.4	80			Percent of total billed charges		52.8	90			Percent of total billed charges		59.4	85			Percent of total billed charges		56.1	85			Percent of total billed charges		56.1	85			Percent of total billed charges		56.1	100			Percent of total billed charges		66	100			Percent of total billed charges		66	100			Percent of total billed charges		66	33.3			Percent of total billed charges		21.978	33.3			Percent of total billed charges		21.978	100			Percent of total billed charges		66	21.978	59.4	
"fischer cone biopsy excisor, medium extended  900-154 cooper surg"	272	RC	Outpatient			66	42.9		90			Percent of total billed charges		59.4	40			Percent of total billed charges		26.4	80			Percent of total billed charges		52.8	90			Percent of total billed charges		59.4	85			Percent of total billed charges		56.1	85			Percent of total billed charges		56.1	85			Percent of total billed charges		56.1	100			Percent of total billed charges		66	100			Percent of total billed charges		66	100			Percent of total billed charges		66	33.3			Percent of total billed charges		21.978	33.3			Percent of total billed charges		21.978	100			Percent of total billed charges		66	21.978	59.4	
"fischer cone biopsy excisor, small 900-150 cooper surg"	272	RC	Outpatient			66	42.9		90			Percent of total billed charges		59.4	40			Percent of total billed charges		26.4	80			Percent of total billed charges		52.8	90			Percent of total billed charges		59.4	85			Percent of total billed charges		56.1	85			Percent of total billed charges		56.1	85			Percent of total billed charges		56.1	100			Percent of total billed charges		66	100			Percent of total billed charges		66	100			Percent of total billed charges		66	33.3			Percent of total billed charges		21.978	33.3			Percent of total billed charges		21.978	100			Percent of total billed charges		66	21.978	59.4	
insulated needle cautery tip e1651 covidien	272	RC	Outpatient			66	42.9		90			Percent of total billed charges		59.4	40			Percent of total billed charges		26.4	80			Percent of total billed charges		52.8	90			Percent of total billed charges		59.4	85			Percent of total billed charges		56.1	85			Percent of total billed charges		56.1	85			Percent of total billed charges		56.1	100			Percent of total billed charges		66	100			Percent of total billed charges		66	100			Percent of total billed charges		66	33.3			Percent of total billed charges		21.978	33.3			Percent of total billed charges		21.978	100			Percent of total billed charges		66	21.978	59.4	
s/n pin guide 1.3	272	RC	Outpatient			66	42.9		90			Percent of total billed charges		59.4	40			Percent of total billed charges		26.4	80			Percent of total billed charges		52.8	90			Percent of total billed charges		59.4	85			Percent of total billed charges		56.1	85			Percent of total billed charges		56.1	85			Percent of total billed charges		56.1	100			Percent of total billed charges		66	100			Percent of total billed charges		66	100			Percent of total billed charges		66	33.3			Percent of total billed charges		21.978	33.3			Percent of total billed charges		21.978	100			Percent of total billed charges		66	21.978	59.4	
splint metal elbow	270	RC	Outpatient			66	42.9		90			Percent of total billed charges		59.4	40			Percent of total billed charges		26.4	80			Percent of total billed charges		52.8	90			Percent of total billed charges		59.4	85			Percent of total billed charges		56.1	85			Percent of total billed charges		56.1	85			Percent of total billed charges		56.1	100			Percent of total billed charges		66	100			Percent of total billed charges		66	100			Percent of total billed charges		66	33.3			Percent of total billed charges		21.978	33.3			Percent of total billed charges		21.978	100			Percent of total billed charges		66	21.978	59.4	
"tray,cath.foley #18"	270	RC	Outpatient			66	42.9		90			Percent of total billed charges		59.4	40			Percent of total billed charges		26.4	80			Percent of total billed charges		52.8	90			Percent of total billed charges		59.4	85			Percent of total billed charges		56.1	85			Percent of total billed charges		56.1	85			Percent of total billed charges		56.1	100			Percent of total billed charges		66	100			Percent of total billed charges		66	100			Percent of total billed charges		66	33.3			Percent of total billed charges		21.978	33.3			Percent of total billed charges		21.978	100			Percent of total billed charges		66	21.978	59.4	
pin guide 1.3mmx140mm 128047	272	RC	Outpatient			66	42.9		90			Percent of total billed charges		59.4	40			Percent of total billed charges		26.4	80			Percent of total billed charges		52.8	90			Percent of total billed charges		59.4	85			Percent of total billed charges		56.1	85			Percent of total billed charges		56.1	85			Percent of total billed charges		56.1	100			Percent of total billed charges		66	100			Percent of total billed charges		66	100			Percent of total billed charges		66	33.3			Percent of total billed charges		21.978	33.3			Percent of total billed charges		21.978	100			Percent of total billed charges		66	21.978	59.4	
tray dressing tpn	272	RC	Outpatient			66	42.9		90			Percent of total billed charges		59.4	40			Percent of total billed charges		26.4	80			Percent of total billed charges		52.8	90			Percent of total billed charges		59.4	85			Percent of total billed charges		56.1	85			Percent of total billed charges		56.1	85			Percent of total billed charges		56.1	100			Percent of total billed charges		66	100			Percent of total billed charges		66	100			Percent of total billed charges		66	33.3			Percent of total billed charges		21.978	33.3			Percent of total billed charges		21.978	100			Percent of total billed charges		66	21.978	59.4	
"tray,cath.foley #16"	270	RC	Outpatient			66	42.9		90			Percent of total billed charges		59.4	40			Percent of total billed charges		26.4	80			Percent of total billed charges		52.8	90			Percent of total billed charges		59.4	85			Percent of total billed charges		56.1	85			Percent of total billed charges		56.1	85			Percent of total billed charges		56.1	100			Percent of total billed charges		66	100			Percent of total billed charges		66	100			Percent of total billed charges		66	33.3			Percent of total billed charges		21.978	33.3			Percent of total billed charges		21.978	100			Percent of total billed charges		66	21.978	59.4	
"weck vista 8 mm  bladeless obturator, long ref 470360 isi"	272	RC	Outpatient			66	42.9		90			Percent of total billed charges		59.4	40			Percent of total billed charges		26.4	80			Percent of total billed charges		52.8	90			Percent of total billed charges		59.4	85			Percent of total billed charges		56.1	85			Percent of total billed charges		56.1	85			Percent of total billed charges		56.1	100			Percent of total billed charges		66	100			Percent of total billed charges		66	100			Percent of total billed charges		66	33.3			Percent of total billed charges		21.978	33.3			Percent of total billed charges		21.978	100			Percent of total billed charges		66	21.978	59.4	
zimmer cemnt injctr nozzl	270	RC	Outpatient			66	42.9		90			Percent of total billed charges		59.4	40			Percent of total billed charges		26.4	80			Percent of total billed charges		52.8	90			Percent of total billed charges		59.4	85			Percent of total billed charges		56.1	85			Percent of total billed charges		56.1	85			Percent of total billed charges		56.1	100			Percent of total billed charges		66	100			Percent of total billed charges		66	100			Percent of total billed charges		66	33.3			Percent of total billed charges		21.978	33.3			Percent of total billed charges		21.978	100			Percent of total billed charges		66	21.978	59.4	
v. l. insulated needle	272	RC	Outpatient			66	42.9		90			Percent of total billed charges		59.4	40			Percent of total billed charges		26.4	80			Percent of total billed charges		52.8	90			Percent of total billed charges		59.4	85			Percent of total billed charges		56.1	85			Percent of total billed charges		56.1	85			Percent of total billed charges		56.1	100			Percent of total billed charges		66	100			Percent of total billed charges		66	100			Percent of total billed charges		66	33.3			Percent of total billed charges		21.978	33.3			Percent of total billed charges		21.978	100			Percent of total billed charges		66	21.978	59.4	
weck vista 8mm bladeless obturator ref 470359 isi	272	RC	Outpatient			66	42.9		90			Percent of total billed charges		59.4	40			Percent of total billed charges		26.4	80			Percent of total billed charges		52.8	90			Percent of total billed charges		59.4	85			Percent of total billed charges		56.1	85			Percent of total billed charges		56.1	85			Percent of total billed charges		56.1	100			Percent of total billed charges		66	100			Percent of total billed charges		66	100			Percent of total billed charges		66	33.3			Percent of total billed charges		21.978	33.3			Percent of total billed charges		21.978	100			Percent of total billed charges		66	21.978	59.4	
14fr x 18fr whelan moss t-tube 0103230 bard	270	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
2.0mm l-plate 18mm right 00-4920-002-08 zimmer	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
2.0mm l-plate oblique 21mm left 00-4920-002-09 zimmer	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
2.0mm t-plate 18mm 00-4920-002-04 zimmer	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
2.7mm l-plate 32mm left 00-4927-003-07 zimmer	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
2.7mm l-plate oblique 35mm right 00-4927-003-10 zimmer	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
2.7mm t-plate 32mm 00-4927-003-04 zimmer	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
4.0 cancellous bone screws 5.0 mm head partially threaded 20mm 207.020	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
4.0 cancellous bone screws 5.0 mm head partially threaded 22mm 207.022	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
4.0 cancellous bone screws 5.0 mm head partially threaded 34mm 207.033	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
4.0 cancellous bone screws 5.0 mm head partially threaded 36mm 207.036	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
4.0 cancellous bone screws 5.0 mm head partially threaded 38mm 207.038	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
4.0 cancellous bone screws 5.0 mm head partially threaded 48mm 207.048	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
4.0 cancellous bone screws 5.0 mm head partially threaded 52mm 207.052	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
4.0 cancellous bone screws fully threaded 100mm 206.100	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
4.0 cancellous bone screws fully threaded 14mm 206.014	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
4.0 cancellous bone screws fully threaded 30mm 206.030	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
4.0 cancellous bone screws fully threaded 36mm 206.036	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
4.0 cancellous bone screws fully threaded 45mm 206.045	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
4.0 cancellous bone screws fully threaded 55mm 206.055	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
4.0 cancellous bone screws fully threaded 65mm 206.065	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
4.0 cancellous bone screws fully threaded 75mm 206.075	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
4.0 cancellous bone screws fully threaded 85mm 206.085	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
4.0 cancellous bone screws fully threaded 90mm 206.090	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
4.0 cancellous bone screws partially threaded 14mm 207.014	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
4.0 cancellous bone screws partially threaded 16mm 207.016	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
4.0 cancellous bone screws partially threaded 20mm 207.020	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
4.0 cancellous bone screws partially threaded 28mm 207.028	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
4.0 cancellous bone screws partially threaded 35mm 207.035	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
4.0 cancellous bone screws partially threaded 50mm 207.050	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
4.0 cancellous bone screws partially threaded 70mm 207.70	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
4.0 cancellous bone screws partially threaded 75mm 207.075	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
4.0 cancellous bone screws partially threaded 80mm 207.080	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
4.0 cancellous bone screws partially threaded 85mm 207.085	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
4.0 cancellous bone screws partially threaded 95mm 20.095	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
4.0mm cancellous screw 22mm 206.022 synthes	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
5fr renal curve selective cath 60cm 31-485	272	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
acumed guidewire 2.3x46mm nonthreaded 80-2039	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
acutrak guidewire .045 x 6 guide wire ws-1106st	270	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
alexis retractor med	270	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
arthrex guide wire .045	272	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
arthrex guidewire .045 x 6.84 ar-8950-06	272	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
binder breast  lg	270	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
binder breast  xl	270	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
biomet kirschner wire  35-351548	270	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
cath lab lead end cap kit	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
cath van schie 5 catheter	272	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
12fr x 18fr whelan moss t-tube 0103220	270	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
2.0mm l-plate 18mm left 00-4920-002-07 zimmer	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
2.0mm l-plate oblique 21mm right 00-4920-002-10 zimmer	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
2.7mm l-plate 32mm right 00-4927-003-08 zimmer	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
2.7mm l-plate oblique 35mm left 00-4927-003-09 zimmer	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
4.0 cancellous bone screws 5.0 mm head partially threaded 16mm 207.016	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
4.0 cancellous bone screws 5.0 mm head partially threaded 18mm 207.018	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
4.0 cancellous bone screws 5.0 mm head partially threaded 24mm 207.024	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
4.0 cancellous bone screws 5.0 mm head partially threaded 26mm 207.026	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
4.0 cancellous bone screws 5.0 mm head partially threaded 28mm 207.028	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
4.0 cancellous bone screws 5.0 mm head partially threaded 32mm 207.033	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
4.0 cancellous bone screws 5.0 mm head partially threaded 42mm 207.042	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
4.0 cancellous bone screws 5.0 mm head partially threaded 44mm 207.044	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
4.0 cancellous bone screws 5.0 mm head partially threaded 46mm 207.046	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
4.0 cancellous bone screws 5.0 mm head partially threaded 50mm 207.050	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
4.0 cancellous bone screws fully threaded 12mm 206.012	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
4.0 cancellous bone screws fully threaded 22mm 206.022	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
4.0 cancellous bone screws fully threaded 26mm 206.026	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
4.0 cancellous bone screws fully threaded 32mm 206.032	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
4.0 cancellous bone screws fully threaded 50mm 206.050	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
4.0 cancellous bone screws fully threaded 60mm 206.060	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
4.0 cancellous bone screws fully threaded 70mm 206.070	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
4.0 cancellous bone screws fully threaded 80mm 206.080	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
4.0 cancellous bone screws fully threaded 95mm 206.095	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
4.0 cancellous bone screws partially threaded 100mm 207.100	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
4.0 cancellous bone screws partially threaded 12mm 207.012	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
4.0 cancellous bone screws partially threaded 18mm 207.018	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
4.0 cancellous bone screws partially threaded 22mm 207.022	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
4.0 cancellous bone screws partially threaded 24mm 207.024	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
4.0 cancellous bone screws partially threaded 26mm 207.026	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
4.0 cancellous bone screws partially threaded 55mm 207.055	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
4.0 cancellous bone screws partially threaded 60mm 207.060	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
4.0 cancellous bone screws partially threaded 65mm 207.065	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
4.0 cancellous bone screws partially threaded 90mm 207.090	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
5fr cobra slective cath 60cm 31-463	272	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
5fr sim1 slective cath 60cm 31-431	272	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
arthrotek lactonail pin	275	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
assorted t-tubes (cbe)	270	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
binder breast s/m	270	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
catheter selective	272	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
guide wire 1.25 01-1071-006 orthopediatrics	270	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
imp screw can bone 4.0mm x 18mm 206.018	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
imp screw can bone 4.0mm x 20mm 206.020	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
imp screw can pt 4.0mm x 40mm 207.040	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
imp screw cancellous bone 4x10 206.010	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
imp screw cancellous bone 4x16 206.016	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
imp screw cancellous bone 4x28 206.028	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
imp screw cancellous bone 4x35 206.035	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
implant screw cancellous 4.0mm dia hex pt 12mm l 207.012 synthes	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
implant screw cancellous 4.0mm dia hex pt 14mm l 207.014 synthes	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
implant screw cancellous 4.0mm dia hex pt 35mm l 207.035 synthes	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
implant screw cancellous 4.0mm dia hex pt 60mm l 207.060 synthes	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
internal defibrillation	270	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
k wire 1 .6 x 150m 292.56	270	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
k-wire  2.0mm x 150mm 00-4901-020-15 zimmer	270	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
k-wire 08mm x 70mm 00-4901-008-07 zimmer	270	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
k-wire 1.25mm x 150mm 00-4901-012-15 zimmer	270	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
k-wire 1.6mm x 228mm 71173360 s/n	270	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
k-wire 5941-0625 wright	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
kirchner wire  1.0 x 285mm 292.11	270	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
kirchner wire  1.6 x 150mm   292.73	270	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
kirchner wire  1.6 x 150mm 292.71	270	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
kirchner wire  1.6 x 285mm 292.18	270	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
kirchner wire 0.6 x 70mm 292.06	270	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
lactonail pin 1.6 948950 arthrotek biomet sports med	275	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
mini-acutrak guide wire .028 x 6 ws-0706st	270	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
mitek clear cannula	270	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
mitek clear cannula 6 x 75mm 214661	270	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
imp screw can pt 4.0mm x 30mm 207.030	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
imp screw can pt 4.0mm x 45mm 207.045	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
imp screw cancellous bone 4x24 206.024	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
imp screw cancellous bone 4x40 206.040	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
imp screw cancellous bone pt 4x10 207.010	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
implant screw cancellous 4.0mm dia hex pt 55mm l 207.055 synthes	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
opus suture pack	272	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
k wire  2 .0 x 150m 292.58	270	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
k wire 10mm 10/10 blunt tip 115100nd wright	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
k wires 1.6 x 150mm 292.16	270	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
k-wire	270	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
k-wire  0.6mm x 70mm 00-4901-006-07 zimmer	270	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
k-wire  1.0mm x 150mm 00-4901-010-15 zimmer	270	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
k-wire  2.0mm x 150mm 292.20	270	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
k-wire 1.6mm x 150mm 00-4901-016-15 zimmer	270	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
k-wire 2.0mm x 285mm 292.21	270	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
k-wire acumed ws1505st	270	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
kirchner wire  0 .6 x 70mm  292.46	270	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
kirchner wire  0 .8 x 70m 292.48	270	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
kirchner wire  0.8 x 70mm 292.08	270	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
kirchner wire  1 .0 x 150mm 292.50	270	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
kirchner wire  1.0 x 150mm 292.10	270	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
kirchner wire  1.25 x 150mm 292.12	270	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
kirchner wire  1.25 x 285mm 292.13	270	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
kirchner wire  1.6 x 150mm 292.16	270	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
lead end cap kit	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
mini-acutrak guide wire .028 x 4 ws-0704st	270	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
mini-acutrak guide wire .035 x 6 ws-0906-st	270	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
mitek clear cannula 8.5 x 75mm 214680	270	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
"nasal packng, rhino rockt"	270	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
retractor wound med c8302 applied med	270	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
rod fiber carbon 4.0 x120 394.64 synthes	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
rod fiber carbon 4.0mm dia 60mm l 395.60 synthes	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
rod fiber carbon 4.0mm dia 80mm l 395.61 synthes	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
room/bed: treatment room	761	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
selective cath 4fr/100cm 10718201 angiodynamics	272	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
selective cath 5fr/100cm 10709820 angiodynamics	272	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
silverlon dsg 2 x 12	272	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
sm fr 4.0 cancel screw	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
"small frag 4.0  screw,  70mm 7122-3070"	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
standard acutrak instruments at-0000	270	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
syn 3.5 titan cortex scw	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
syn scw cancellous 4.0	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
synthes3.5 titanium cortex 16mm screw 404.816	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
t-tube drain whealan moss	270	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
rod fiber carbon 4.0 x 100  394.62 synthes	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
rod fiber carbon 4.0 x 120 394.63 synthes	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
s/n 2.0 k-wire 7116-1020	270	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
s/n mini frag  k wire 0.8mm  7116-1008	270	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
s/n mini frag tc-100 k wire 7116-1066	270	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
"s/n small frag 4.0  screw,  65mm 7122-3065"	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
silverlon wound pad dressing 2 x 12 wpd-212 cura	272	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
surgery misc 1	270	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
synthes3.5 titanium cortex 18mm screw 404.818	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
synthes3.5 titanium cortex 20mm screw 404.820	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
synthes3.5 titanium cortex 22mm screw 404.822	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
synthes3.5 titanium cortex 24mm screw 404.824	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
"upex k-wire 1.2 x 100 330,210,100"	270	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
"upex k-wire 1.4 x 100 330,214,100"	270	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
washer zimmer 2344-01	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
wire kirschnew 1mm x 150mm 292.10	270	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
wire spade point 1.8mm 292.38 synthes	270	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
wright k-wire	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
xfix carbn fibrrod 60-140	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
zimm 2.0-2.7 tplate 18/32	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
zimmer lg can.washer	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
van schie 5 cath g13793 cook	272	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
whitney fork	272	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
whitney fork omega or1204	272	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
wire kirschner  2.5mm x 150mm 292.25 synthes	270	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
wire kirschner 3.0mm x 150mm 292.30 synthes	270	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
wire kirschner thread trocar point .062 x 9 1610-18-000 depu	270	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
wire kirschnew 1.25mm x 150mm 292.12	270	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
wire kirschnew 2.5mm x 150mm 292.75	270	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
wksaver keane ns pps	420	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
zimm l-plate	278	RC	Outpatient			67	43.55		90			Percent of total billed charges		60.3	40			Percent of total billed charges		26.8	80			Percent of total billed charges		53.6	90			Percent of total billed charges		60.3	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	85			Percent of total billed charges		56.95	100			Percent of total billed charges		67	100			Percent of total billed charges		67	100			Percent of total billed charges		67	33.3			Percent of total billed charges		22.311	33.3			Percent of total billed charges		22.311	100			Percent of total billed charges		67	22.311	60.3	
10-0 nylon 9060g	270	RC	Outpatient			68	44.2		90			Percent of total billed charges		61.2	40			Percent of total billed charges		27.2	80			Percent of total billed charges		54.4	90			Percent of total billed charges		61.2	85			Percent of total billed charges		57.8	85			Percent of total billed charges		57.8	85			Percent of total billed charges		57.8	100			Percent of total billed charges		68	100			Percent of total billed charges		68	100			Percent of total billed charges		68	33.3			Percent of total billed charges		22.644	33.3			Percent of total billed charges		22.644	100			Percent of total billed charges		68	22.644	61.2	
2-0 vloc 180  absorbable wound closure device  ref vlocl2145 coviden	272	RC	Outpatient			68	44.2		90			Percent of total billed charges		61.2	40			Percent of total billed charges		27.2	80			Percent of total billed charges		54.4	90			Percent of total billed charges		61.2	85			Percent of total billed charges		57.8	85			Percent of total billed charges		57.8	85			Percent of total billed charges		57.8	100			Percent of total billed charges		68	100			Percent of total billed charges		68	100			Percent of total billed charges		68	33.3			Percent of total billed charges		22.644	33.3			Percent of total billed charges		22.644	100			Percent of total billed charges		68	22.644	61.2	
arterial line removal charge	761	RC	Outpatient			68	44.2		90			Percent of total billed charges		61.2	40			Percent of total billed charges		27.2	80			Percent of total billed charges		54.4	90			Percent of total billed charges		61.2	85			Percent of total billed charges		57.8	85			Percent of total billed charges		57.8	85			Percent of total billed charges		57.8	100			Percent of total billed charges		68	100			Percent of total billed charges		68	100			Percent of total billed charges		68	33.3			Percent of total billed charges		22.644	33.3			Percent of total billed charges		22.644	100			Percent of total billed charges		68	22.644	61.2	
cast arm childs long	270	RC	Outpatient			68	44.2		90			Percent of total billed charges		61.2	40			Percent of total billed charges		27.2	80			Percent of total billed charges		54.4	90			Percent of total billed charges		61.2	85			Percent of total billed charges		57.8	85			Percent of total billed charges		57.8	85			Percent of total billed charges		57.8	100			Percent of total billed charges		68	100			Percent of total billed charges		68	100			Percent of total billed charges		68	33.3			Percent of total billed charges		22.644	33.3			Percent of total billed charges		22.644	100			Percent of total billed charges		68	22.644	61.2	
chest tube removal charge	761	RC	Outpatient			68	44.2		90			Percent of total billed charges		61.2	40			Percent of total billed charges		27.2	80			Percent of total billed charges		54.4	90			Percent of total billed charges		61.2	85			Percent of total billed charges		57.8	85			Percent of total billed charges		57.8	85			Percent of total billed charges		57.8	100			Percent of total billed charges		68	100			Percent of total billed charges		68	100			Percent of total billed charges		68	33.3			Percent of total billed charges		22.644	33.3			Percent of total billed charges		22.644	100			Percent of total billed charges		68	22.644	61.2	
hook cath	270	RC	Outpatient			68	44.2		90			Percent of total billed charges		61.2	40			Percent of total billed charges		27.2	80			Percent of total billed charges		54.4	90			Percent of total billed charges		61.2	85			Percent of total billed charges		57.8	85			Percent of total billed charges		57.8	85			Percent of total billed charges		57.8	100			Percent of total billed charges		68	100			Percent of total billed charges		68	100			Percent of total billed charges		68	33.3			Percent of total billed charges		22.644	33.3			Percent of total billed charges		22.644	100			Percent of total billed charges		68	22.644	61.2	
electrodes tens	270	RC	Outpatient			68	44.2		90			Percent of total billed charges		61.2	40			Percent of total billed charges		27.2	80			Percent of total billed charges		54.4	90			Percent of total billed charges		61.2	85			Percent of total billed charges		57.8	85			Percent of total billed charges		57.8	85			Percent of total billed charges		57.8	100			Percent of total billed charges		68	100			Percent of total billed charges		68	100			Percent of total billed charges		68	33.3			Percent of total billed charges		22.644	33.3			Percent of total billed charges		22.644	100			Percent of total billed charges		68	22.644	61.2	
ethilon blk mono 10-0 gs-514 ophth 1786g eithi	270	RC	Outpatient			68	44.2		90			Percent of total billed charges		61.2	40			Percent of total billed charges		27.2	80			Percent of total billed charges		54.4	90			Percent of total billed charges		61.2	85			Percent of total billed charges		57.8	85			Percent of total billed charges		57.8	85			Percent of total billed charges		57.8	100			Percent of total billed charges		68	100			Percent of total billed charges		68	100			Percent of total billed charges		68	33.3			Percent of total billed charges		22.644	33.3			Percent of total billed charges		22.644	100			Percent of total billed charges		68	22.644	61.2	
l&d flowtron pads	270	RC	Outpatient			68	44.2		90			Percent of total billed charges		61.2	40			Percent of total billed charges		27.2	80			Percent of total billed charges		54.4	90			Percent of total billed charges		61.2	85			Percent of total billed charges		57.8	85			Percent of total billed charges		57.8	85			Percent of total billed charges		57.8	100			Percent of total billed charges		68	100			Percent of total billed charges		68	100			Percent of total billed charges		68	33.3			Percent of total billed charges		22.644	33.3			Percent of total billed charges		22.644	100			Percent of total billed charges		68	22.644	61.2	
hook cath 4 fr x 65cm 10718701 dynamics	270	RC	Outpatient			68	44.2		90			Percent of total billed charges		61.2	40			Percent of total billed charges		27.2	80			Percent of total billed charges		54.4	90			Percent of total billed charges		61.2	85			Percent of total billed charges		57.8	85			Percent of total billed charges		57.8	85			Percent of total billed charges		57.8	100			Percent of total billed charges		68	100			Percent of total billed charges		68	100			Percent of total billed charges		68	33.3			Percent of total billed charges		22.644	33.3			Percent of total billed charges		22.644	100			Percent of total billed charges		68	22.644	61.2	
intra aortic pressure device removal charge	761	RC	Outpatient			68	44.2		90			Percent of total billed charges		61.2	40			Percent of total billed charges		27.2	80			Percent of total billed charges		54.4	90			Percent of total billed charges		61.2	85			Percent of total billed charges		57.8	85			Percent of total billed charges		57.8	85			Percent of total billed charges		57.8	100			Percent of total billed charges		68	100			Percent of total billed charges		68	100			Percent of total billed charges		68	33.3			Percent of total billed charges		22.644	33.3			Percent of total billed charges		22.644	100			Percent of total billed charges		68	22.644	61.2	
sexual assault kit	270	RC	Outpatient			68	44.2		90			Percent of total billed charges		61.2	40			Percent of total billed charges		27.2	80			Percent of total billed charges		54.4	90			Percent of total billed charges		61.2	85			Percent of total billed charges		57.8	85			Percent of total billed charges		57.8	85			Percent of total billed charges		57.8	100			Percent of total billed charges		68	100			Percent of total billed charges		68	100			Percent of total billed charges		68	33.3			Percent of total billed charges		22.644	33.3			Percent of total billed charges		22.644	100			Percent of total billed charges		68	22.644	61.2	
"suture, #10-0, nylon"	270	RC	Outpatient			68	44.2		90			Percent of total billed charges		61.2	40			Percent of total billed charges		27.2	80			Percent of total billed charges		54.4	90			Percent of total billed charges		61.2	85			Percent of total billed charges		57.8	85			Percent of total billed charges		57.8	85			Percent of total billed charges		57.8	100			Percent of total billed charges		68	100			Percent of total billed charges		68	100			Percent of total billed charges		68	33.3			Percent of total billed charges		22.644	33.3			Percent of total billed charges		22.644	100			Percent of total billed charges		68	22.644	61.2	
tracheostomy removal charge	360	RC	Outpatient			68	44.2		90			Percent of total billed charges		61.2	40			Percent of total billed charges		27.2	80			Percent of total billed charges		54.4	90			Percent of total billed charges		61.2	85			Percent of total billed charges		57.8	85			Percent of total billed charges		57.8	85			Percent of total billed charges		57.8	100			Percent of total billed charges		68	100			Percent of total billed charges		68	100			Percent of total billed charges		68	33.3			Percent of total billed charges		22.644	33.3			Percent of total billed charges		22.644	100			Percent of total billed charges		68	22.644	61.2	
"tray, aminocentesis 4545a"	270	RC	Outpatient			68	44.2		90			Percent of total billed charges		61.2	40			Percent of total billed charges		27.2	80			Percent of total billed charges		54.4	90			Percent of total billed charges		61.2	85			Percent of total billed charges		57.8	85			Percent of total billed charges		57.8	85			Percent of total billed charges		57.8	100			Percent of total billed charges		68	100			Percent of total billed charges		68	100			Percent of total billed charges		68	33.3			Percent of total billed charges		22.644	33.3			Percent of total billed charges		22.644	100			Percent of total billed charges		68	22.644	61.2	
v-loc closure device #1 18 gs-21  vlocn0327  covidien	272	RC	Outpatient			68	44.2		90			Percent of total billed charges		61.2	40			Percent of total billed charges		27.2	80			Percent of total billed charges		54.4	90			Percent of total billed charges		61.2	85			Percent of total billed charges		57.8	85			Percent of total billed charges		57.8	85			Percent of total billed charges		57.8	100			Percent of total billed charges		68	100			Percent of total billed charges		68	100			Percent of total billed charges		68	33.3			Percent of total billed charges		22.644	33.3			Percent of total billed charges		22.644	100			Percent of total billed charges		68	22.644	61.2	
v-loc closure device 3-0 12 v-20  vlocl0614 covidien	272	RC	Outpatient			68	44.2		90			Percent of total billed charges		61.2	40			Percent of total billed charges		27.2	80			Percent of total billed charges		54.4	90			Percent of total billed charges		61.2	85			Percent of total billed charges		57.8	85			Percent of total billed charges		57.8	85			Percent of total billed charges		57.8	100			Percent of total billed charges		68	100			Percent of total billed charges		68	100			Percent of total billed charges		68	33.3			Percent of total billed charges		22.644	33.3			Percent of total billed charges		22.644	100			Percent of total billed charges		68	22.644	61.2	
"v-loc closure device, size 0 12  vlocl0316 covidien"	272	RC	Outpatient			68	44.2		90			Percent of total billed charges		61.2	40			Percent of total billed charges		27.2	80			Percent of total billed charges		54.4	90			Percent of total billed charges		61.2	85			Percent of total billed charges		57.8	85			Percent of total billed charges		57.8	85			Percent of total billed charges		57.8	100			Percent of total billed charges		68	100			Percent of total billed charges		68	100			Percent of total billed charges		68	33.3			Percent of total billed charges		22.644	33.3			Percent of total billed charges		22.644	100			Percent of total billed charges		68	22.644	61.2	
v-loc closure device  0 vlocl0346 covidien	272	RC	Outpatient			68	44.2		90			Percent of total billed charges		61.2	40			Percent of total billed charges		27.2	80			Percent of total billed charges		54.4	90			Percent of total billed charges		61.2	85			Percent of total billed charges		57.8	85			Percent of total billed charges		57.8	85			Percent of total billed charges		57.8	100			Percent of total billed charges		68	100			Percent of total billed charges		68	100			Percent of total billed charges		68	33.3			Percent of total billed charges		22.644	33.3			Percent of total billed charges		22.644	100			Percent of total billed charges		68	22.644	61.2	
v-loc closure device 3-0 18 v-20  vlocl0624 covidien	272	RC	Outpatient			68	44.2		90			Percent of total billed charges		61.2	40			Percent of total billed charges		27.2	80			Percent of total billed charges		54.4	90			Percent of total billed charges		61.2	85			Percent of total billed charges		57.8	85			Percent of total billed charges		57.8	85			Percent of total billed charges		57.8	100			Percent of total billed charges		68	100			Percent of total billed charges		68	100			Percent of total billed charges		68	33.3			Percent of total billed charges		22.644	33.3			Percent of total billed charges		22.644	100			Percent of total billed charges		68	22.644	61.2	
venous port removal charge	761	RC	Outpatient			68	44.2		90			Percent of total billed charges		61.2	40			Percent of total billed charges		27.2	80			Percent of total billed charges		54.4	90			Percent of total billed charges		61.2	85			Percent of total billed charges		57.8	85			Percent of total billed charges		57.8	85			Percent of total billed charges		57.8	100			Percent of total billed charges		68	100			Percent of total billed charges		68	100			Percent of total billed charges		68	33.3			Percent of total billed charges		22.644	33.3			Percent of total billed charges		22.644	100			Percent of total billed charges		68	22.644	61.2	
16f foley tray w/bag	270	RC	Outpatient			69	44.85		90			Percent of total billed charges		62.1	40			Percent of total billed charges		27.6	80			Percent of total billed charges		55.2	90			Percent of total billed charges		62.1	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	100			Percent of total billed charges		69	100			Percent of total billed charges		69	100			Percent of total billed charges		69	33.3			Percent of total billed charges		22.977	33.3			Percent of total billed charges		22.977	100			Percent of total billed charges		69	22.977	62.1	
arthrex fiberloop	272	RC	Outpatient			69	44.85		90			Percent of total billed charges		62.1	40			Percent of total billed charges		27.6	80			Percent of total billed charges		55.2	90			Percent of total billed charges		62.1	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	100			Percent of total billed charges		69	100			Percent of total billed charges		69	100			Percent of total billed charges		69	33.3			Percent of total billed charges		22.977	33.3			Percent of total billed charges		22.977	100			Percent of total billed charges		69	22.977	62.1	
arthrex fiberloop 4-0 ar-7229-20	272	RC	Outpatient			69	44.85		90			Percent of total billed charges		62.1	40			Percent of total billed charges		27.6	80			Percent of total billed charges		55.2	90			Percent of total billed charges		62.1	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	100			Percent of total billed charges		69	100			Percent of total billed charges		69	100			Percent of total billed charges		69	33.3			Percent of total billed charges		22.977	33.3			Percent of total billed charges		22.977	100			Percent of total billed charges		69	22.977	62.1	
arthrotek bone plug	278	RC	Outpatient			69	44.85		90			Percent of total billed charges		62.1	40			Percent of total billed charges		27.6	80			Percent of total billed charges		55.2	90			Percent of total billed charges		62.1	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	100			Percent of total billed charges		69	100			Percent of total billed charges		69	100			Percent of total billed charges		69	33.3			Percent of total billed charges		22.977	33.3			Percent of total billed charges		22.977	100			Percent of total billed charges		69	22.977	62.1	
atrium chest drain dry	270	RC	Outpatient			69	44.85		90			Percent of total billed charges		62.1	40			Percent of total billed charges		27.6	80			Percent of total billed charges		55.2	90			Percent of total billed charges		62.1	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	100			Percent of total billed charges		69	100			Percent of total billed charges		69	100			Percent of total billed charges		69	33.3			Percent of total billed charges		22.977	33.3			Percent of total billed charges		22.977	100			Percent of total billed charges		69	22.977	62.1	
atrium chest drain ed charge scnt	270	RC	Outpatient			69	44.85		90			Percent of total billed charges		62.1	40			Percent of total billed charges		27.6	80			Percent of total billed charges		55.2	90			Percent of total billed charges		62.1	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	100			Percent of total billed charges		69	100			Percent of total billed charges		69	100			Percent of total billed charges		69	33.3			Percent of total billed charges		22.977	33.3			Percent of total billed charges		22.977	100			Percent of total billed charges		69	22.977	62.1	
bone plug 909693 arthrotek biomet sports med	278	RC	Outpatient			69	44.85		90			Percent of total billed charges		62.1	40			Percent of total billed charges		27.6	80			Percent of total billed charges		55.2	90			Percent of total billed charges		62.1	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	100			Percent of total billed charges		69	100			Percent of total billed charges		69	100			Percent of total billed charges		69	33.3			Percent of total billed charges		22.977	33.3			Percent of total billed charges		22.977	100			Percent of total billed charges		69	22.977	62.1	
cath lab foley catheter	270	RC	Outpatient			69	44.85		90			Percent of total billed charges		62.1	40			Percent of total billed charges		27.6	80			Percent of total billed charges		55.2	90			Percent of total billed charges		62.1	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	100			Percent of total billed charges		69	100			Percent of total billed charges		69	100			Percent of total billed charges		69	33.3			Percent of total billed charges		22.977	33.3			Percent of total billed charges		22.977	100			Percent of total billed charges		69	22.977	62.1	
cath lab tray cath foley 16 fr 160116	270	RC	Outpatient			69	44.85		90			Percent of total billed charges		62.1	40			Percent of total billed charges		27.6	80			Percent of total billed charges		55.2	90			Percent of total billed charges		62.1	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	100			Percent of total billed charges		69	100			Percent of total billed charges		69	100			Percent of total billed charges		69	33.3			Percent of total billed charges		22.977	33.3			Percent of total billed charges		22.977	100			Percent of total billed charges		69	22.977	62.1	
cont epidural	270	RC	Outpatient			69	44.85		90			Percent of total billed charges		62.1	40			Percent of total billed charges		27.6	80			Percent of total billed charges		55.2	90			Percent of total billed charges		62.1	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	100			Percent of total billed charges		69	100			Percent of total billed charges		69	100			Percent of total billed charges		69	33.3			Percent of total billed charges		22.977	33.3			Percent of total billed charges		22.977	100			Percent of total billed charges		69	22.977	62.1	
heelift boot suspension	270	RC	Outpatient			69	44.85		90			Percent of total billed charges		62.1	40			Percent of total billed charges		27.6	80			Percent of total billed charges		55.2	90			Percent of total billed charges		62.1	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	100			Percent of total billed charges		69	100			Percent of total billed charges		69	100			Percent of total billed charges		69	33.3			Percent of total billed charges		22.977	33.3			Percent of total billed charges		22.977	100			Percent of total billed charges		69	22.977	62.1	
epidural anesthesia--ob	270	RC	Outpatient			69	44.85		90			Percent of total billed charges		62.1	40			Percent of total billed charges		27.6	80			Percent of total billed charges		55.2	90			Percent of total billed charges		62.1	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	100			Percent of total billed charges		69	100			Percent of total billed charges		69	100			Percent of total billed charges		69	33.3			Percent of total billed charges		22.977	33.3			Percent of total billed charges		22.977	100			Percent of total billed charges		69	22.977	62.1	
epidural insertion	270	RC	Outpatient			69	44.85		90			Percent of total billed charges		62.1	40			Percent of total billed charges		27.6	80			Percent of total billed charges		55.2	90			Percent of total billed charges		62.1	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	100			Percent of total billed charges		69	100			Percent of total billed charges		69	100			Percent of total billed charges		69	33.3			Percent of total billed charges		22.977	33.3			Percent of total billed charges		22.977	100			Percent of total billed charges		69	22.977	62.1	
spinal tray	270	RC	Outpatient			69	44.85		90			Percent of total billed charges		62.1	40			Percent of total billed charges		27.6	80			Percent of total billed charges		55.2	90			Percent of total billed charges		62.1	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	100			Percent of total billed charges		69	100			Percent of total billed charges		69	100			Percent of total billed charges		69	33.3			Percent of total billed charges		22.977	33.3			Percent of total billed charges		22.977	100			Percent of total billed charges		69	22.977	62.1	
spinal tray with marcaine bf405671	270	RC	Outpatient			69	44.85		90			Percent of total billed charges		62.1	40			Percent of total billed charges		27.6	80			Percent of total billed charges		55.2	90			Percent of total billed charges		62.1	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	100			Percent of total billed charges		69	100			Percent of total billed charges		69	100			Percent of total billed charges		69	33.3			Percent of total billed charges		22.977	33.3			Percent of total billed charges		22.977	100			Percent of total billed charges		69	22.977	62.1	
spnge surgifoam med 50 ca 1973	270	RC	Outpatient			69	44.85		90			Percent of total billed charges		62.1	40			Percent of total billed charges		27.6	80			Percent of total billed charges		55.2	90			Percent of total billed charges		62.1	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	100			Percent of total billed charges		69	100			Percent of total billed charges		69	100			Percent of total billed charges		69	33.3			Percent of total billed charges		22.977	33.3			Percent of total billed charges		22.977	100			Percent of total billed charges		69	22.977	62.1	
steinman pin double ended 5/32-309 x 9 128126 s/n	272	RC	Outpatient			69	44.85		90			Percent of total billed charges		62.1	40			Percent of total billed charges		27.6	80			Percent of total billed charges		55.2	90			Percent of total billed charges		62.1	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	100			Percent of total billed charges		69	100			Percent of total billed charges		69	100			Percent of total billed charges		69	33.3			Percent of total billed charges		22.977	33.3			Percent of total billed charges		22.977	100			Percent of total billed charges		69	22.977	62.1	
steinman pin double ended 5/64-109 x 9 128076 s/n	272	RC	Outpatient			69	44.85		90			Percent of total billed charges		62.1	40			Percent of total billed charges		27.6	80			Percent of total billed charges		55.2	90			Percent of total billed charges		62.1	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	100			Percent of total billed charges		69	100			Percent of total billed charges		69	100			Percent of total billed charges		69	33.3			Percent of total billed charges		22.977	33.3			Percent of total billed charges		22.977	100			Percent of total billed charges		69	22.977	62.1	
surgifoam	270	RC	Outpatient			69	44.85		90			Percent of total billed charges		62.1	40			Percent of total billed charges		27.6	80			Percent of total billed charges		55.2	90			Percent of total billed charges		62.1	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	100			Percent of total billed charges		69	100			Percent of total billed charges		69	100			Percent of total billed charges		69	33.3			Percent of total billed charges		22.977	33.3			Percent of total billed charges		22.977	100			Percent of total billed charges		69	22.977	62.1	
surgifoam size 12-7 1972 ethicon	270	RC	Outpatient			69	44.85		90			Percent of total billed charges		62.1	40			Percent of total billed charges		27.6	80			Percent of total billed charges		55.2	90			Percent of total billed charges		62.1	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	100			Percent of total billed charges		69	100			Percent of total billed charges		69	100			Percent of total billed charges		69	33.3			Percent of total billed charges		22.977	33.3			Percent of total billed charges		22.977	100			Percent of total billed charges		69	22.977	62.1	
tls drain	272	RC	Outpatient			69	44.85		90			Percent of total billed charges		62.1	40			Percent of total billed charges		27.6	80			Percent of total billed charges		55.2	90			Percent of total billed charges		62.1	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	100			Percent of total billed charges		69	100			Percent of total billed charges		69	100			Percent of total billed charges		69	33.3			Percent of total billed charges		22.977	33.3			Percent of total billed charges		22.977	100			Percent of total billed charges		69	22.977	62.1	
trach tube metal # 10 large	270	RC	Outpatient			69	44.85		90			Percent of total billed charges		62.1	40			Percent of total billed charges		27.6	80			Percent of total billed charges		55.2	90			Percent of total billed charges		62.1	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	100			Percent of total billed charges		69	100			Percent of total billed charges		69	100			Percent of total billed charges		69	33.3			Percent of total billed charges		22.977	33.3			Percent of total billed charges		22.977	100			Percent of total billed charges		69	22.977	62.1	
trach tube metal # 7	270	RC	Outpatient			69	44.85		90			Percent of total billed charges		62.1	40			Percent of total billed charges		27.6	80			Percent of total billed charges		55.2	90			Percent of total billed charges		62.1	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	100			Percent of total billed charges		69	100			Percent of total billed charges		69	100			Percent of total billed charges		69	33.3			Percent of total billed charges		22.977	33.3			Percent of total billed charges		22.977	100			Percent of total billed charges		69	22.977	62.1	
trach tube metal # 8 x-lg	270	RC	Outpatient			69	44.85		90			Percent of total billed charges		62.1	40			Percent of total billed charges		27.6	80			Percent of total billed charges		55.2	90			Percent of total billed charges		62.1	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	100			Percent of total billed charges		69	100			Percent of total billed charges		69	100			Percent of total billed charges		69	33.3			Percent of total billed charges		22.977	33.3			Percent of total billed charges		22.977	100			Percent of total billed charges		69	22.977	62.1	
trach tube metal #10	270	RC	Outpatient			69	44.85		90			Percent of total billed charges		62.1	40			Percent of total billed charges		27.6	80			Percent of total billed charges		55.2	90			Percent of total billed charges		62.1	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	100			Percent of total billed charges		69	100			Percent of total billed charges		69	100			Percent of total billed charges		69	33.3			Percent of total billed charges		22.977	33.3			Percent of total billed charges		22.977	100			Percent of total billed charges		69	22.977	62.1	
posterior plaster splint	270	RC	Outpatient			69	44.85		90			Percent of total billed charges		62.1	40			Percent of total billed charges		27.6	80			Percent of total billed charges		55.2	90			Percent of total billed charges		62.1	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	100			Percent of total billed charges		69	100			Percent of total billed charges		69	100			Percent of total billed charges		69	33.3			Percent of total billed charges		22.977	33.3			Percent of total billed charges		22.977	100			Percent of total billed charges		69	22.977	62.1	
quinchie spinal needle 27g x 3 1/2 bd 5081	270	RC	Outpatient			69	44.85		90			Percent of total billed charges		62.1	40			Percent of total billed charges		27.6	80			Percent of total billed charges		55.2	90			Percent of total billed charges		62.1	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	100			Percent of total billed charges		69	100			Percent of total billed charges		69	100			Percent of total billed charges		69	33.3			Percent of total billed charges		22.977	33.3			Percent of total billed charges		22.977	100			Percent of total billed charges		69	22.977	62.1	
s/n steinman pin	272	RC	Outpatient			69	44.85		90			Percent of total billed charges		62.1	40			Percent of total billed charges		27.6	80			Percent of total billed charges		55.2	90			Percent of total billed charges		62.1	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	100			Percent of total billed charges		69	100			Percent of total billed charges		69	100			Percent of total billed charges		69	33.3			Percent of total billed charges		22.977	33.3			Percent of total billed charges		22.977	100			Percent of total billed charges		69	22.977	62.1	
silverlon dressing 4x10	270	RC	Outpatient			69	44.85		90			Percent of total billed charges		62.1	40			Percent of total billed charges		27.6	80			Percent of total billed charges		55.2	90			Percent of total billed charges		62.1	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	100			Percent of total billed charges		69	100			Percent of total billed charges		69	100			Percent of total billed charges		69	33.3			Percent of total billed charges		22.977	33.3			Percent of total billed charges		22.977	100			Percent of total billed charges		69	22.977	62.1	
spinal tray with lidocaine 1t2356	270	RC	Outpatient			69	44.85		90			Percent of total billed charges		62.1	40			Percent of total billed charges		27.6	80			Percent of total billed charges		55.2	90			Percent of total billed charges		62.1	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	100			Percent of total billed charges		69	100			Percent of total billed charges		69	100			Percent of total billed charges		69	33.3			Percent of total billed charges		22.977	33.3			Percent of total billed charges		22.977	100			Percent of total billed charges		69	22.977	62.1	
steinman pin double ended 1/8-3.1 x 9 128106 s/n	272	RC	Outpatient			69	44.85		90			Percent of total billed charges		62.1	40			Percent of total billed charges		27.6	80			Percent of total billed charges		55.2	90			Percent of total billed charges		62.1	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	100			Percent of total billed charges		69	100			Percent of total billed charges		69	100			Percent of total billed charges		69	33.3			Percent of total billed charges		22.977	33.3			Percent of total billed charges		22.977	100			Percent of total billed charges		69	22.977	62.1	
steinman pin double ended 3/16-4.7 x 9 128136 s/n	272	RC	Outpatient			69	44.85		90			Percent of total billed charges		62.1	40			Percent of total billed charges		27.6	80			Percent of total billed charges		55.2	90			Percent of total billed charges		62.1	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	100			Percent of total billed charges		69	100			Percent of total billed charges		69	100			Percent of total billed charges		69	33.3			Percent of total billed charges		22.977	33.3			Percent of total billed charges		22.977	100			Percent of total billed charges		69	22.977	62.1	
steinman pin double ended 3/32-2.3 x 9 128086 s/n	272	RC	Outpatient			69	44.85		90			Percent of total billed charges		62.1	40			Percent of total billed charges		27.6	80			Percent of total billed charges		55.2	90			Percent of total billed charges		62.1	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	100			Percent of total billed charges		69	100			Percent of total billed charges		69	100			Percent of total billed charges		69	33.3			Percent of total billed charges		22.977	33.3			Percent of total billed charges		22.977	100			Percent of total billed charges		69	22.977	62.1	
steinman pin double ended 7/64-2.7 x 9 128096 s/n	272	RC	Outpatient			69	44.85		90			Percent of total billed charges		62.1	40			Percent of total billed charges		27.6	80			Percent of total billed charges		55.2	90			Percent of total billed charges		62.1	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	100			Percent of total billed charges		69	100			Percent of total billed charges		69	100			Percent of total billed charges		69	33.3			Percent of total billed charges		22.977	33.3			Percent of total billed charges		22.977	100			Percent of total billed charges		69	22.977	62.1	
steinman pin double ended 9/64-3.5 x 9 128116 s/n	272	RC	Outpatient			69	44.85		90			Percent of total billed charges		62.1	40			Percent of total billed charges		27.6	80			Percent of total billed charges		55.2	90			Percent of total billed charges		62.1	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	100			Percent of total billed charges		69	100			Percent of total billed charges		69	100			Percent of total billed charges		69	33.3			Percent of total billed charges		22.977	33.3			Percent of total billed charges		22.977	100			Percent of total billed charges		69	22.977	62.1	
surgifoam size 100 1974	270	RC	Outpatient			69	44.85		90			Percent of total billed charges		62.1	40			Percent of total billed charges		27.6	80			Percent of total billed charges		55.2	90			Percent of total billed charges		62.1	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	100			Percent of total billed charges		69	100			Percent of total billed charges		69	100			Percent of total billed charges		69	33.3			Percent of total billed charges		22.977	33.3			Percent of total billed charges		22.977	100			Percent of total billed charges		69	22.977	62.1	
tls surg drain system 6650	272	RC	Outpatient			69	44.85		90			Percent of total billed charges		62.1	40			Percent of total billed charges		27.6	80			Percent of total billed charges		55.2	90			Percent of total billed charges		62.1	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	100			Percent of total billed charges		69	100			Percent of total billed charges		69	100			Percent of total billed charges		69	33.3			Percent of total billed charges		22.977	33.3			Percent of total billed charges		22.977	100			Percent of total billed charges		69	22.977	62.1	
trach tube metal # 2 short	270	RC	Outpatient			69	44.85		90			Percent of total billed charges		62.1	40			Percent of total billed charges		27.6	80			Percent of total billed charges		55.2	90			Percent of total billed charges		62.1	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	100			Percent of total billed charges		69	100			Percent of total billed charges		69	100			Percent of total billed charges		69	33.3			Percent of total billed charges		22.977	33.3			Percent of total billed charges		22.977	100			Percent of total billed charges		69	22.977	62.1	
trach tube metal # 6 x-lg	270	RC	Outpatient			69	44.85		90			Percent of total billed charges		62.1	40			Percent of total billed charges		27.6	80			Percent of total billed charges		55.2	90			Percent of total billed charges		62.1	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	100			Percent of total billed charges		69	100			Percent of total billed charges		69	100			Percent of total billed charges		69	33.3			Percent of total billed charges		22.977	33.3			Percent of total billed charges		22.977	100			Percent of total billed charges		69	22.977	62.1	
tube trach metal #6 short 1034946	270	RC	Outpatient			69	44.85		90			Percent of total billed charges		62.1	40			Percent of total billed charges		27.6	80			Percent of total billed charges		55.2	90			Percent of total billed charges		62.1	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	100			Percent of total billed charges		69	100			Percent of total billed charges		69	100			Percent of total billed charges		69	33.3			Percent of total billed charges		22.977	33.3			Percent of total billed charges		22.977	100			Percent of total billed charges		69	22.977	62.1	
trocare balloon 5 x 100	272	RC	Outpatient			69	44.85		90			Percent of total billed charges		62.1	40			Percent of total billed charges		27.6	80			Percent of total billed charges		55.2	90			Percent of total billed charges		62.1	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	100			Percent of total billed charges		69	100			Percent of total billed charges		69	100			Percent of total billed charges		69	33.3			Percent of total billed charges		22.977	33.3			Percent of total billed charges		22.977	100			Percent of total billed charges		69	22.977	62.1	
tube tracheostomy metal	270	RC	Outpatient			69	44.85		90			Percent of total billed charges		62.1	40			Percent of total billed charges		27.6	80			Percent of total billed charges		55.2	90			Percent of total billed charges		62.1	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	85			Percent of total billed charges		58.65	100			Percent of total billed charges		69	100			Percent of total billed charges		69	100			Percent of total billed charges		69	33.3			Percent of total billed charges		22.977	33.3			Percent of total billed charges		22.977	100			Percent of total billed charges		69	22.977	62.1	
3800060 application/splint-leg ed charge	450	RC	Outpatient			70	45.5		90			Percent of total billed charges		63	40			Percent of total billed charges		28	80			Percent of total billed charges		56	90			Percent of total billed charges		63	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	100			Percent of total billed charges		70	100			Percent of total billed charges		70	100			Percent of total billed charges		70	33.3			Percent of total billed charges		23.31	33.3			Percent of total billed charges		23.31	100			Percent of total billed charges		70	23.31	63	
3800078 insertion foley catheter ed charge	360	RC	Outpatient			70	45.5		90			Percent of total billed charges		63	40			Percent of total billed charges		28	80			Percent of total billed charges		56	90			Percent of total billed charges		63	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	100			Percent of total billed charges		70	100			Percent of total billed charges		70	100			Percent of total billed charges		70	33.3			Percent of total billed charges		23.31	33.3			Percent of total billed charges		23.31	100			Percent of total billed charges		70	23.31	63	
3800061 application/splint-arm ed charge	450	RC	Outpatient			70	45.5		90			Percent of total billed charges		63	40			Percent of total billed charges		28	80			Percent of total billed charges		56	90			Percent of total billed charges		63	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	100			Percent of total billed charges		70	100			Percent of total billed charges		70	100			Percent of total billed charges		70	33.3			Percent of total billed charges		23.31	33.3			Percent of total billed charges		23.31	100			Percent of total billed charges		70	23.31	63	
cold thpy.nck wp.xs w/lnr	270	RC	Outpatient			70	45.5		90			Percent of total billed charges		63	40			Percent of total billed charges		28	80			Percent of total billed charges		56	90			Percent of total billed charges		63	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	100			Percent of total billed charges		70	100			Percent of total billed charges		70	100			Percent of total billed charges		70	33.3			Percent of total billed charges		23.31	33.3			Percent of total billed charges		23.31	100			Percent of total billed charges		70	23.31	63	
dyonics 5.5mm elite acromioblaster burr 72200731 s/n	272	RC	Outpatient			70	45.5		90			Percent of total billed charges		63	40			Percent of total billed charges		28	80			Percent of total billed charges		56	90			Percent of total billed charges		63	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	100			Percent of total billed charges		70	100			Percent of total billed charges		70	100			Percent of total billed charges		70	33.3			Percent of total billed charges		23.31	33.3			Percent of total billed charges		23.31	100			Percent of total billed charges		70	23.31	63	
flexiflo w/stylet 8fr 473	270	RC	Outpatient			70	45.5		90			Percent of total billed charges		63	40			Percent of total billed charges		28	80			Percent of total billed charges		56	90			Percent of total billed charges		63	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	100			Percent of total billed charges		70	100			Percent of total billed charges		70	100			Percent of total billed charges		70	33.3			Percent of total billed charges		23.31	33.3			Percent of total billed charges		23.31	100			Percent of total billed charges		70	23.31	63	
micro introducer sheath set 7f 11cm mis-7f11 covidien	272	RC	Outpatient			70	45.5		90			Percent of total billed charges		63	40			Percent of total billed charges		28	80			Percent of total billed charges		56	90			Percent of total billed charges		63	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	100			Percent of total billed charges		70	100			Percent of total billed charges		70	100			Percent of total billed charges		70	33.3			Percent of total billed charges		23.31	33.3			Percent of total billed charges		23.31	100			Percent of total billed charges		70	23.31	63	
indermil	270	RC	Outpatient			70	45.5		90			Percent of total billed charges		63	40			Percent of total billed charges		28	80			Percent of total billed charges		56	90			Percent of total billed charges		63	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	100			Percent of total billed charges		70	100			Percent of total billed charges		70	100			Percent of total billed charges		70	33.3			Percent of total billed charges		23.31	33.3			Percent of total billed charges		23.31	100			Percent of total billed charges		70	23.31	63	
indermil skin adhesive ind-012 ussc	270	RC	Outpatient			70	45.5		90			Percent of total billed charges		63	40			Percent of total billed charges		28	80			Percent of total billed charges		56	90			Percent of total billed charges		63	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	100			Percent of total billed charges		70	100			Percent of total billed charges		70	100			Percent of total billed charges		70	33.3			Percent of total billed charges		23.31	33.3			Percent of total billed charges		23.31	100			Percent of total billed charges		70	23.31	63	
micro introducer set	272	RC	Outpatient			70	45.5		90			Percent of total billed charges		63	40			Percent of total billed charges		28	80			Percent of total billed charges		56	90			Percent of total billed charges		63	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	100			Percent of total billed charges		70	100			Percent of total billed charges		70	100			Percent of total billed charges		70	33.3			Percent of total billed charges		23.31	33.3			Percent of total billed charges		23.31	100			Percent of total billed charges		70	23.31	63	
micro introducer sheath set 7f 7cm mis-7f07 covidien	272	RC	Outpatient			70	45.5		90			Percent of total billed charges		63	40			Percent of total billed charges		28	80			Percent of total billed charges		56	90			Percent of total billed charges		63	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	100			Percent of total billed charges		70	100			Percent of total billed charges		70	100			Percent of total billed charges		70	33.3			Percent of total billed charges		23.31	33.3			Percent of total billed charges		23.31	100			Percent of total billed charges		70	23.31	63	
needle bone marrw disp.6	270	RC	Outpatient			70	45.5		90			Percent of total billed charges		63	40			Percent of total billed charges		28	80			Percent of total billed charges		56	90			Percent of total billed charges		63	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	100			Percent of total billed charges		70	100			Percent of total billed charges		70	100			Percent of total billed charges		70	33.3			Percent of total billed charges		23.31	33.3			Percent of total billed charges		23.31	100			Percent of total billed charges		70	23.31	63	
peri-loc vlp 3.5 x 10mm cortex screw  71821310 s/n	278	RC	Outpatient			70	45.5		90			Percent of total billed charges		63	40			Percent of total billed charges		28	80			Percent of total billed charges		56	90			Percent of total billed charges		63	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	100			Percent of total billed charges		70	100			Percent of total billed charges		70	100			Percent of total billed charges		70	33.3			Percent of total billed charges		23.31	33.3			Percent of total billed charges		23.31	100			Percent of total billed charges		70	23.31	63	
peri-loc vlp 3.5 x 18mm cortex screw  71821318 s/n	278	RC	Outpatient			70	45.5		90			Percent of total billed charges		63	40			Percent of total billed charges		28	80			Percent of total billed charges		56	90			Percent of total billed charges		63	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	100			Percent of total billed charges		70	100			Percent of total billed charges		70	100			Percent of total billed charges		70	33.3			Percent of total billed charges		23.31	33.3			Percent of total billed charges		23.31	100			Percent of total billed charges		70	23.31	63	
peri-loc vlp 3.5 x 20mm cortex screw  71821320 s/n	278	RC	Outpatient			70	45.5		90			Percent of total billed charges		63	40			Percent of total billed charges		28	80			Percent of total billed charges		56	90			Percent of total billed charges		63	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	100			Percent of total billed charges		70	100			Percent of total billed charges		70	100			Percent of total billed charges		70	33.3			Percent of total billed charges		23.31	33.3			Percent of total billed charges		23.31	100			Percent of total billed charges		70	23.31	63	
peri-loc vlp 3.5 x 24mm cortex screw  71821324 s/n	278	RC	Outpatient			70	45.5		90			Percent of total billed charges		63	40			Percent of total billed charges		28	80			Percent of total billed charges		56	90			Percent of total billed charges		63	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	100			Percent of total billed charges		70	100			Percent of total billed charges		70	100			Percent of total billed charges		70	33.3			Percent of total billed charges		23.31	33.3			Percent of total billed charges		23.31	100			Percent of total billed charges		70	23.31	63	
peri-loc vlp 3.5 x 28mm cortex screw  71821328 s/n	278	RC	Outpatient			70	45.5		90			Percent of total billed charges		63	40			Percent of total billed charges		28	80			Percent of total billed charges		56	90			Percent of total billed charges		63	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	100			Percent of total billed charges		70	100			Percent of total billed charges		70	100			Percent of total billed charges		70	33.3			Percent of total billed charges		23.31	33.3			Percent of total billed charges		23.31	100			Percent of total billed charges		70	23.31	63	
peri-loc vlp 3.5 x 30mm cortex screw  71821330 s/n	278	RC	Outpatient			70	45.5		90			Percent of total billed charges		63	40			Percent of total billed charges		28	80			Percent of total billed charges		56	90			Percent of total billed charges		63	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	100			Percent of total billed charges		70	100			Percent of total billed charges		70	100			Percent of total billed charges		70	33.3			Percent of total billed charges		23.31	33.3			Percent of total billed charges		23.31	100			Percent of total billed charges		70	23.31	63	
peri-loc vlp 3.5 x 40mm cortex screw  71821340 s/n	278	RC	Outpatient			70	45.5		90			Percent of total billed charges		63	40			Percent of total billed charges		28	80			Percent of total billed charges		56	90			Percent of total billed charges		63	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	100			Percent of total billed charges		70	100			Percent of total billed charges		70	100			Percent of total billed charges		70	33.3			Percent of total billed charges		23.31	33.3			Percent of total billed charges		23.31	100			Percent of total billed charges		70	23.31	63	
peri-loc vlp 3.5 x 42mm cortex screw  71821342 s/n	278	RC	Outpatient			70	45.5		90			Percent of total billed charges		63	40			Percent of total billed charges		28	80			Percent of total billed charges		56	90			Percent of total billed charges		63	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	100			Percent of total billed charges		70	100			Percent of total billed charges		70	100			Percent of total billed charges		70	33.3			Percent of total billed charges		23.31	33.3			Percent of total billed charges		23.31	100			Percent of total billed charges		70	23.31	63	
peri-loc vlp 3.5 x 44mm cortex screw  71821344 s/n	278	RC	Outpatient			70	45.5		90			Percent of total billed charges		63	40			Percent of total billed charges		28	80			Percent of total billed charges		56	90			Percent of total billed charges		63	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	100			Percent of total billed charges		70	100			Percent of total billed charges		70	100			Percent of total billed charges		70	33.3			Percent of total billed charges		23.31	33.3			Percent of total billed charges		23.31	100			Percent of total billed charges		70	23.31	63	
peri-loc vlp 3.5 x 46mm cortex screw  71821346 s/n	278	RC	Outpatient			70	45.5		90			Percent of total billed charges		63	40			Percent of total billed charges		28	80			Percent of total billed charges		56	90			Percent of total billed charges		63	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	100			Percent of total billed charges		70	100			Percent of total billed charges		70	100			Percent of total billed charges		70	33.3			Percent of total billed charges		23.31	33.3			Percent of total billed charges		23.31	100			Percent of total billed charges		70	23.31	63	
peri-loc vlp 3.5 x 48mm cortex screw  71821348 s/n	278	RC	Outpatient			70	45.5		90			Percent of total billed charges		63	40			Percent of total billed charges		28	80			Percent of total billed charges		56	90			Percent of total billed charges		63	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	100			Percent of total billed charges		70	100			Percent of total billed charges		70	100			Percent of total billed charges		70	33.3			Percent of total billed charges		23.31	33.3			Percent of total billed charges		23.31	100			Percent of total billed charges		70	23.31	63	
peri-loc vlp 3.5 x 55mm cortex screw  71821355 s/n	278	RC	Outpatient			70	45.5		90			Percent of total billed charges		63	40			Percent of total billed charges		28	80			Percent of total billed charges		56	90			Percent of total billed charges		63	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	100			Percent of total billed charges		70	100			Percent of total billed charges		70	100			Percent of total billed charges		70	33.3			Percent of total billed charges		23.31	33.3			Percent of total billed charges		23.31	100			Percent of total billed charges		70	23.31	63	
peri-loc vlp 3.5 x 65mm cortex screw  71821365 s/n	278	RC	Outpatient			70	45.5		90			Percent of total billed charges		63	40			Percent of total billed charges		28	80			Percent of total billed charges		56	90			Percent of total billed charges		63	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	100			Percent of total billed charges		70	100			Percent of total billed charges		70	100			Percent of total billed charges		70	33.3			Percent of total billed charges		23.31	33.3			Percent of total billed charges		23.31	100			Percent of total billed charges		70	23.31	63	
peri-loc vlp 3.5 x 75mm cortex screw  71821375 s/n	278	RC	Outpatient			70	45.5		90			Percent of total billed charges		63	40			Percent of total billed charges		28	80			Percent of total billed charges		56	90			Percent of total billed charges		63	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	100			Percent of total billed charges		70	100			Percent of total billed charges		70	100			Percent of total billed charges		70	33.3			Percent of total billed charges		23.31	33.3			Percent of total billed charges		23.31	100			Percent of total billed charges		70	23.31	63	
peri-loc vlp 3.5 x 80mm cortex screw  71821380 s/n	278	RC	Outpatient			70	45.5		90			Percent of total billed charges		63	40			Percent of total billed charges		28	80			Percent of total billed charges		56	90			Percent of total billed charges		63	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	100			Percent of total billed charges		70	100			Percent of total billed charges		70	100			Percent of total billed charges		70	33.3			Percent of total billed charges		23.31	33.3			Percent of total billed charges		23.31	100			Percent of total billed charges		70	23.31	63	
peri-loc vlp scr 3.5 crtx	278	RC	Outpatient			70	45.5		90			Percent of total billed charges		63	40			Percent of total billed charges		28	80			Percent of total billed charges		56	90			Percent of total billed charges		63	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	100			Percent of total billed charges		70	100			Percent of total billed charges		70	100			Percent of total billed charges		70	33.3			Percent of total billed charges		23.31	33.3			Percent of total billed charges		23.31	100			Percent of total billed charges		70	23.31	63	
suture quill pdo 0 ra-2016q	272	RC	Outpatient			70	45.5		90			Percent of total billed charges		63	40			Percent of total billed charges		28	80			Percent of total billed charges		56	90			Percent of total billed charges		63	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	100			Percent of total billed charges		70	100			Percent of total billed charges		70	100			Percent of total billed charges		70	33.3			Percent of total billed charges		23.31	33.3			Percent of total billed charges		23.31	100			Percent of total billed charges		70	23.31	63	
peri-loc vlp 3.5 x 12mm cortex screw  71821312 s/n	278	RC	Outpatient			70	45.5		90			Percent of total billed charges		63	40			Percent of total billed charges		28	80			Percent of total billed charges		56	90			Percent of total billed charges		63	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	100			Percent of total billed charges		70	100			Percent of total billed charges		70	100			Percent of total billed charges		70	33.3			Percent of total billed charges		23.31	33.3			Percent of total billed charges		23.31	100			Percent of total billed charges		70	23.31	63	
peri-loc vlp 3.5 x 14mm cortex screw  71821314 s/4	278	RC	Outpatient			70	45.5		90			Percent of total billed charges		63	40			Percent of total billed charges		28	80			Percent of total billed charges		56	90			Percent of total billed charges		63	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	100			Percent of total billed charges		70	100			Percent of total billed charges		70	100			Percent of total billed charges		70	33.3			Percent of total billed charges		23.31	33.3			Percent of total billed charges		23.31	100			Percent of total billed charges		70	23.31	63	
peri-loc vlp 3.5 x 16mm cortex screw  71821316 s/n	278	RC	Outpatient			70	45.5		90			Percent of total billed charges		63	40			Percent of total billed charges		28	80			Percent of total billed charges		56	90			Percent of total billed charges		63	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	100			Percent of total billed charges		70	100			Percent of total billed charges		70	100			Percent of total billed charges		70	33.3			Percent of total billed charges		23.31	33.3			Percent of total billed charges		23.31	100			Percent of total billed charges		70	23.31	63	
peri-loc vlp 3.5 x 22mm cortex screw  71821322 s/n	278	RC	Outpatient			70	45.5		90			Percent of total billed charges		63	40			Percent of total billed charges		28	80			Percent of total billed charges		56	90			Percent of total billed charges		63	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	100			Percent of total billed charges		70	100			Percent of total billed charges		70	100			Percent of total billed charges		70	33.3			Percent of total billed charges		23.31	33.3			Percent of total billed charges		23.31	100			Percent of total billed charges		70	23.31	63	
peri-loc vlp 3.5 x 26mm cortex screw  71821326 s/n	278	RC	Outpatient			70	45.5		90			Percent of total billed charges		63	40			Percent of total billed charges		28	80			Percent of total billed charges		56	90			Percent of total billed charges		63	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	100			Percent of total billed charges		70	100			Percent of total billed charges		70	100			Percent of total billed charges		70	33.3			Percent of total billed charges		23.31	33.3			Percent of total billed charges		23.31	100			Percent of total billed charges		70	23.31	63	
peri-loc vlp 3.5 x 32mm cortex screw  71821332 s/n	278	RC	Outpatient			70	45.5		90			Percent of total billed charges		63	40			Percent of total billed charges		28	80			Percent of total billed charges		56	90			Percent of total billed charges		63	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	100			Percent of total billed charges		70	100			Percent of total billed charges		70	100			Percent of total billed charges		70	33.3			Percent of total billed charges		23.31	33.3			Percent of total billed charges		23.31	100			Percent of total billed charges		70	23.31	63	
peri-loc vlp 3.5 x 34mm cortex screw  71821334 s/n	278	RC	Outpatient			70	45.5		90			Percent of total billed charges		63	40			Percent of total billed charges		28	80			Percent of total billed charges		56	90			Percent of total billed charges		63	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	100			Percent of total billed charges		70	100			Percent of total billed charges		70	100			Percent of total billed charges		70	33.3			Percent of total billed charges		23.31	33.3			Percent of total billed charges		23.31	100			Percent of total billed charges		70	23.31	63	
peri-loc vlp 3.5 x 36mm cortex screw  71821336 s/n	278	RC	Outpatient			70	45.5		90			Percent of total billed charges		63	40			Percent of total billed charges		28	80			Percent of total billed charges		56	90			Percent of total billed charges		63	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	100			Percent of total billed charges		70	100			Percent of total billed charges		70	100			Percent of total billed charges		70	33.3			Percent of total billed charges		23.31	33.3			Percent of total billed charges		23.31	100			Percent of total billed charges		70	23.31	63	
peri-loc vlp 3.5 x 38mm cortex screw  71821338 s/n	278	RC	Outpatient			70	45.5		90			Percent of total billed charges		63	40			Percent of total billed charges		28	80			Percent of total billed charges		56	90			Percent of total billed charges		63	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	100			Percent of total billed charges		70	100			Percent of total billed charges		70	100			Percent of total billed charges		70	33.3			Percent of total billed charges		23.31	33.3			Percent of total billed charges		23.31	100			Percent of total billed charges		70	23.31	63	
peri-loc vlp 3.5 x 50mm cortex screw  71821350 s/n	278	RC	Outpatient			70	45.5		90			Percent of total billed charges		63	40			Percent of total billed charges		28	80			Percent of total billed charges		56	90			Percent of total billed charges		63	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	100			Percent of total billed charges		70	100			Percent of total billed charges		70	100			Percent of total billed charges		70	33.3			Percent of total billed charges		23.31	33.3			Percent of total billed charges		23.31	100			Percent of total billed charges		70	23.31	63	
peri-loc vlp 3.5 x 60mm cortex screw  71821360 s/n	278	RC	Outpatient			70	45.5		90			Percent of total billed charges		63	40			Percent of total billed charges		28	80			Percent of total billed charges		56	90			Percent of total billed charges		63	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	100			Percent of total billed charges		70	100			Percent of total billed charges		70	100			Percent of total billed charges		70	33.3			Percent of total billed charges		23.31	33.3			Percent of total billed charges		23.31	100			Percent of total billed charges		70	23.31	63	
peri-loc vlp 3.5 x 70mm cortex screw  71821370 s/n	278	RC	Outpatient			70	45.5		90			Percent of total billed charges		63	40			Percent of total billed charges		28	80			Percent of total billed charges		56	90			Percent of total billed charges		63	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	100			Percent of total billed charges		70	100			Percent of total billed charges		70	100			Percent of total billed charges		70	33.3			Percent of total billed charges		23.31	33.3			Percent of total billed charges		23.31	100			Percent of total billed charges		70	23.31	63	
suture quill monoderm 2-0 1024q	272	RC	Outpatient			70	45.5		90			Percent of total billed charges		63	40			Percent of total billed charges		28	80			Percent of total billed charges		56	90			Percent of total billed charges		63	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	100			Percent of total billed charges		70	100			Percent of total billed charges		70	100			Percent of total billed charges		70	33.3			Percent of total billed charges		23.31	33.3			Percent of total billed charges		23.31	100			Percent of total billed charges		70	23.31	63	
suture quill monoderm ya-2034q	272	RC	Outpatient			70	45.5		90			Percent of total billed charges		63	40			Percent of total billed charges		28	80			Percent of total billed charges		56	90			Percent of total billed charges		63	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	100			Percent of total billed charges		70	100			Percent of total billed charges		70	100			Percent of total billed charges		70	33.3			Percent of total billed charges		23.31	33.3			Percent of total billed charges		23.31	100			Percent of total billed charges		70	23.31	63	
suture quill pdo 0 1029q	272	RC	Outpatient			70	45.5		90			Percent of total billed charges		63	40			Percent of total billed charges		28	80			Percent of total billed charges		56	90			Percent of total billed charges		63	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	100			Percent of total billed charges		70	100			Percent of total billed charges		70	100			Percent of total billed charges		70	33.3			Percent of total billed charges		23.31	33.3			Percent of total billed charges		23.31	100			Percent of total billed charges		70	23.31	63	
trocar 12mm blunt	272	RC	Outpatient			70	45.5		90			Percent of total billed charges		63	40			Percent of total billed charges		28	80			Percent of total billed charges		56	90			Percent of total billed charges		63	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	100			Percent of total billed charges		70	100			Percent of total billed charges		70	100			Percent of total billed charges		70	33.3			Percent of total billed charges		23.31	33.3			Percent of total billed charges		23.31	100			Percent of total billed charges		70	23.31	63	
trocar blunt tip with hasson cone 12mm c0718 applied med	272	RC	Outpatient			70	45.5		90			Percent of total billed charges		63	40			Percent of total billed charges		28	80			Percent of total billed charges		56	90			Percent of total billed charges		63	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	100			Percent of total billed charges		70	100			Percent of total billed charges		70	100			Percent of total billed charges		70	33.3			Percent of total billed charges		23.31	33.3			Percent of total billed charges		23.31	100			Percent of total billed charges		70	23.31	63	
tube weighted feeding	270	RC	Outpatient			70	45.5		90			Percent of total billed charges		63	40			Percent of total billed charges		28	80			Percent of total billed charges		56	90			Percent of total billed charges		63	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	100			Percent of total billed charges		70	100			Percent of total billed charges		70	100			Percent of total billed charges		70	33.3			Percent of total billed charges		23.31	33.3			Percent of total billed charges		23.31	100			Percent of total billed charges		70	23.31	63	
xr surgical specimen	983	RC	Outpatient			70	45.5		90			Percent of total billed charges		63	40			Percent of total billed charges		28	80			Percent of total billed charges		56	90			Percent of total billed charges		63	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	85			Percent of total billed charges		59.5	100			Percent of total billed charges		70	100			Percent of total billed charges		70	100			Percent of total billed charges		70	33.3			Percent of total billed charges		23.31	33.3			Percent of total billed charges		23.31	100			Percent of total billed charges		70	23.31	63	
navio flat markers pfsdv0016 s/n	272	RC	Outpatient			70.4	45.76		90			Percent of total billed charges		63.36	40			Percent of total billed charges		28.16	80			Percent of total billed charges		56.32	90			Percent of total billed charges		63.36	85			Percent of total billed charges		59.84	85			Percent of total billed charges		59.84	85			Percent of total billed charges		59.84	100			Percent of total billed charges		70.4	100			Percent of total billed charges		70.4	100			Percent of total billed charges		70.4	33.3			Percent of total billed charges		23.4432	33.3			Percent of total billed charges		23.4432	100			Percent of total billed charges		70.4	23.4432	63.36	
"tubing, endogator steris corp ref#100610"	272	RC	Outpatient			70.4	45.76		90			Percent of total billed charges		63.36	40			Percent of total billed charges		28.16	80			Percent of total billed charges		56.32	90			Percent of total billed charges		63.36	85			Percent of total billed charges		59.84	85			Percent of total billed charges		59.84	85			Percent of total billed charges		59.84	100			Percent of total billed charges		70.4	100			Percent of total billed charges		70.4	100			Percent of total billed charges		70.4	33.3			Percent of total billed charges		23.4432	33.3			Percent of total billed charges		23.4432	100			Percent of total billed charges		70.4	23.4432	63.36	
bronch lariage balloon	270	RC	Outpatient			71	46.15		90			Percent of total billed charges		63.9	40			Percent of total billed charges		28.4	80			Percent of total billed charges		56.8	90			Percent of total billed charges		63.9	85			Percent of total billed charges		60.35	85			Percent of total billed charges		60.35	85			Percent of total billed charges		60.35	100			Percent of total billed charges		71	100			Percent of total billed charges		71	100			Percent of total billed charges		71	33.3			Percent of total billed charges		23.643	33.3			Percent of total billed charges		23.643	100			Percent of total billed charges		71	23.643	63.9	
abd hip splint straps	270	RC	Outpatient			71	46.15		90			Percent of total billed charges		63.9	40			Percent of total billed charges		28.4	80			Percent of total billed charges		56.8	90			Percent of total billed charges		63.9	85			Percent of total billed charges		60.35	85			Percent of total billed charges		60.35	85			Percent of total billed charges		60.35	100			Percent of total billed charges		71	100			Percent of total billed charges		71	100			Percent of total billed charges		71	33.3			Percent of total billed charges		23.643	33.3			Percent of total billed charges		23.643	100			Percent of total billed charges		71	23.643	63.9	
evacuator suction wound closed 100ml 2568-000-10 zimm	270	RC	Outpatient			71	46.15		90			Percent of total billed charges		63.9	40			Percent of total billed charges		28.4	80			Percent of total billed charges		56.8	90			Percent of total billed charges		63.9	85			Percent of total billed charges		60.35	85			Percent of total billed charges		60.35	85			Percent of total billed charges		60.35	100			Percent of total billed charges		71	100			Percent of total billed charges		71	100			Percent of total billed charges		71	33.3			Percent of total billed charges		23.643	33.3			Percent of total billed charges		23.643	100			Percent of total billed charges		71	23.643	63.9	
hemovac (bulb only)	270	RC	Outpatient			71	46.15		90			Percent of total billed charges		63.9	40			Percent of total billed charges		28.4	80			Percent of total billed charges		56.8	90			Percent of total billed charges		63.9	85			Percent of total billed charges		60.35	85			Percent of total billed charges		60.35	85			Percent of total billed charges		60.35	100			Percent of total billed charges		71	100			Percent of total billed charges		71	100			Percent of total billed charges		71	33.3			Percent of total billed charges		23.643	33.3			Percent of total billed charges		23.643	100			Percent of total billed charges		71	23.643	63.9	
drain j-vac   2160 ethicon	270	RC	Outpatient			71	46.15		90			Percent of total billed charges		63.9	40			Percent of total billed charges		28.4	80			Percent of total billed charges		56.8	90			Percent of total billed charges		63.9	85			Percent of total billed charges		60.35	85			Percent of total billed charges		60.35	85			Percent of total billed charges		60.35	100			Percent of total billed charges		71	100			Percent of total billed charges		71	100			Percent of total billed charges		71	33.3			Percent of total billed charges		23.643	33.3			Percent of total billed charges		23.643	100			Percent of total billed charges		71	23.643	63.9	
implant screw cancellous 6.5mm hex ft 100mm a343100 s/n	278	RC	Outpatient			71	46.15		90			Percent of total billed charges		63.9	40			Percent of total billed charges		28.4	80			Percent of total billed charges		56.8	90			Percent of total billed charges		63.9	85			Percent of total billed charges		60.35	85			Percent of total billed charges		60.35	85			Percent of total billed charges		60.35	100			Percent of total billed charges		71	100			Percent of total billed charges		71	100			Percent of total billed charges		71	33.3			Percent of total billed charges		23.643	33.3			Percent of total billed charges		23.643	100			Percent of total billed charges		71	23.643	63.9	
"l/d tray, spinal block #4"	270	RC	Outpatient			71	46.15		90			Percent of total billed charges		63.9	40			Percent of total billed charges		28.4	80			Percent of total billed charges		56.8	90			Percent of total billed charges		63.9	85			Percent of total billed charges		60.35	85			Percent of total billed charges		60.35	85			Percent of total billed charges		60.35	100			Percent of total billed charges		71	100			Percent of total billed charges		71	100			Percent of total billed charges		71	33.3			Percent of total billed charges		23.643	33.3			Percent of total billed charges		23.643	100			Percent of total billed charges		71	23.643	63.9	
hemovac reservoir 400ml su130-1000	270	RC	Outpatient			71	46.15		90			Percent of total billed charges		63.9	40			Percent of total billed charges		28.4	80			Percent of total billed charges		56.8	90			Percent of total billed charges		63.9	85			Percent of total billed charges		60.35	85			Percent of total billed charges		60.35	85			Percent of total billed charges		60.35	100			Percent of total billed charges		71	100			Percent of total billed charges		71	100			Percent of total billed charges		71	33.3			Percent of total billed charges		23.643	33.3			Percent of total billed charges		23.643	100			Percent of total billed charges		71	23.643	63.9	
ostomy cone/irr kit 7721	270	RC	Outpatient			71	46.15		90			Percent of total billed charges		63.9	40			Percent of total billed charges		28.4	80			Percent of total billed charges		56.8	90			Percent of total billed charges		63.9	85			Percent of total billed charges		60.35	85			Percent of total billed charges		60.35	85			Percent of total billed charges		60.35	100			Percent of total billed charges		71	100			Percent of total billed charges		71	100			Percent of total billed charges		71	33.3			Percent of total billed charges		23.643	33.3			Percent of total billed charges		23.643	100			Percent of total billed charges		71	23.643	63.9	
procto-exam	759	RC	Outpatient			71	46.15		90			Percent of total billed charges		63.9	40			Percent of total billed charges		28.4	80			Percent of total billed charges		56.8	90			Percent of total billed charges		63.9	85			Percent of total billed charges		60.35	85			Percent of total billed charges		60.35	85			Percent of total billed charges		60.35	100			Percent of total billed charges		71	100			Percent of total billed charges		71	100			Percent of total billed charges		71	33.3			Percent of total billed charges		23.643	33.3			Percent of total billed charges		23.643	100			Percent of total billed charges		71	23.643	63.9	
richards scw canc 6.5 hex	278	RC	Outpatient			71	46.15		90			Percent of total billed charges		63.9	40			Percent of total billed charges		28.4	80			Percent of total billed charges		56.8	90			Percent of total billed charges		63.9	85			Percent of total billed charges		60.35	85			Percent of total billed charges		60.35	85			Percent of total billed charges		60.35	100			Percent of total billed charges		71	100			Percent of total billed charges		71	100			Percent of total billed charges		71	33.3			Percent of total billed charges		23.643	33.3			Percent of total billed charges		23.643	100			Percent of total billed charges		71	23.643	63.9	
sensor for oximeter	270	RC	Outpatient			71	46.15		90			Percent of total billed charges		63.9	40			Percent of total billed charges		28.4	80			Percent of total billed charges		56.8	90			Percent of total billed charges		63.9	85			Percent of total billed charges		60.35	85			Percent of total billed charges		60.35	85			Percent of total billed charges		60.35	100			Percent of total billed charges		71	100			Percent of total billed charges		71	100			Percent of total billed charges		71	33.3			Percent of total billed charges		23.643	33.3			Percent of total billed charges		23.643	100			Percent of total billed charges		71	23.643	63.9	
plaster child long arm	270	RC	Outpatient			71	46.15		90			Percent of total billed charges		63.9	40			Percent of total billed charges		28.4	80			Percent of total billed charges		56.8	90			Percent of total billed charges		63.9	85			Percent of total billed charges		60.35	85			Percent of total billed charges		60.35	85			Percent of total billed charges		60.35	100			Percent of total billed charges		71	100			Percent of total billed charges		71	100			Percent of total billed charges		71	33.3			Percent of total billed charges		23.643	33.3			Percent of total billed charges		23.643	100			Percent of total billed charges		71	23.643	63.9	
"suture,#10-0, polyuiolene"	270	RC	Outpatient			71	46.15		90			Percent of total billed charges		63.9	40			Percent of total billed charges		28.4	80			Percent of total billed charges		56.8	90			Percent of total billed charges		63.9	85			Percent of total billed charges		60.35	85			Percent of total billed charges		60.35	85			Percent of total billed charges		60.35	100			Percent of total billed charges		71	100			Percent of total billed charges		71	100			Percent of total billed charges		71	33.3			Percent of total billed charges		23.643	33.3			Percent of total billed charges		23.643	100			Percent of total billed charges		71	23.643	63.9	
tray thorancentesis reuse	270	RC	Outpatient			71	46.15		90			Percent of total billed charges		63.9	40			Percent of total billed charges		28.4	80			Percent of total billed charges		56.8	90			Percent of total billed charges		63.9	85			Percent of total billed charges		60.35	85			Percent of total billed charges		60.35	85			Percent of total billed charges		60.35	100			Percent of total billed charges		71	100			Percent of total billed charges		71	100			Percent of total billed charges		71	33.3			Percent of total billed charges		23.643	33.3			Percent of total billed charges		23.643	100			Percent of total billed charges		71	23.643	63.9	
tray tracheotomy	270	RC	Outpatient			71	46.15		90			Percent of total billed charges		63.9	40			Percent of total billed charges		28.4	80			Percent of total billed charges		56.8	90			Percent of total billed charges		63.9	85			Percent of total billed charges		60.35	85			Percent of total billed charges		60.35	85			Percent of total billed charges		60.35	100			Percent of total billed charges		71	100			Percent of total billed charges		71	100			Percent of total billed charges		71	33.3			Percent of total billed charges		23.643	33.3			Percent of total billed charges		23.643	100			Percent of total billed charges		71	23.643	63.9	
trocar 5mm bladed	272	RC	Outpatient			71	46.15		90			Percent of total billed charges		63.9	40			Percent of total billed charges		28.4	80			Percent of total billed charges		56.8	90			Percent of total billed charges		63.9	85			Percent of total billed charges		60.35	85			Percent of total billed charges		60.35	85			Percent of total billed charges		60.35	100			Percent of total billed charges		71	100			Percent of total billed charges		71	100			Percent of total billed charges		71	33.3			Percent of total billed charges		23.643	33.3			Percent of total billed charges		23.643	100			Percent of total billed charges		71	23.643	63.9	
trocar 5mm non-blade	272	RC	Outpatient			71	46.15		90			Percent of total billed charges		63.9	40			Percent of total billed charges		28.4	80			Percent of total billed charges		56.8	90			Percent of total billed charges		63.9	85			Percent of total billed charges		60.35	85			Percent of total billed charges		60.35	85			Percent of total billed charges		60.35	100			Percent of total billed charges		71	100			Percent of total billed charges		71	100			Percent of total billed charges		71	33.3			Percent of total billed charges		23.643	33.3			Percent of total billed charges		23.643	100			Percent of total billed charges		71	23.643	63.9	
trocar kii shielded bladed threaded 5mm c0q52 ctb03 applied med	272	RC	Outpatient			71	46.15		90			Percent of total billed charges		63.9	40			Percent of total billed charges		28.4	80			Percent of total billed charges		56.8	90			Percent of total billed charges		63.9	85			Percent of total billed charges		60.35	85			Percent of total billed charges		60.35	85			Percent of total billed charges		60.35	100			Percent of total billed charges		71	100			Percent of total billed charges		71	100			Percent of total billed charges		71	33.3			Percent of total billed charges		23.643	33.3			Percent of total billed charges		23.643	100			Percent of total billed charges		71	23.643	63.9	
trocar 5mm non-bladed c0957 apllied med c0q88	272	RC	Outpatient			71	46.15		90			Percent of total billed charges		63.9	40			Percent of total billed charges		28.4	80			Percent of total billed charges		56.8	90			Percent of total billed charges		63.9	85			Percent of total billed charges		60.35	85			Percent of total billed charges		60.35	85			Percent of total billed charges		60.35	100			Percent of total billed charges		71	100			Percent of total billed charges		71	100			Percent of total billed charges		71	33.3			Percent of total billed charges		23.643	33.3			Percent of total billed charges		23.643	100			Percent of total billed charges		71	23.643	63.9	
trocar non bladeled 8x100 c0q18 c0q19 applied med	272	RC	Outpatient			71	46.15		90			Percent of total billed charges		63.9	40			Percent of total billed charges		28.4	80			Percent of total billed charges		56.8	90			Percent of total billed charges		63.9	85			Percent of total billed charges		60.35	85			Percent of total billed charges		60.35	85			Percent of total billed charges		60.35	100			Percent of total billed charges		71	100			Percent of total billed charges		71	100			Percent of total billed charges		71	33.3			Percent of total billed charges		23.643	33.3			Percent of total billed charges		23.643	100			Percent of total billed charges		71	23.643	63.9	
precision off-set 18/5.5/0.56 mm saw blade stryker ref 2296-033-212	272	RC	Outpatient			71.5	46.48		90			Percent of total billed charges		64.35	40			Percent of total billed charges		28.6	80			Percent of total billed charges		57.2	90			Percent of total billed charges		64.35	85			Percent of total billed charges		60.775	85			Percent of total billed charges		60.775	85			Percent of total billed charges		60.775	100			Percent of total billed charges		71.5	100			Percent of total billed charges		71.5	100			Percent of total billed charges		71.5	33.3			Percent of total billed charges		23.8095	33.3			Percent of total billed charges		23.8095	100			Percent of total billed charges		71.5	23.8095	64.35	
depuy kamvac curved mini suction tip ref 53002055	272	RC	Outpatient			71.94	46.76		90			Percent of total billed charges		64.746	40			Percent of total billed charges		28.776	80			Percent of total billed charges		57.552	90			Percent of total billed charges		64.746	85			Percent of total billed charges		61.149	85			Percent of total billed charges		61.149	85			Percent of total billed charges		61.149	100			Percent of total billed charges		71.94	100			Percent of total billed charges		71.94	100			Percent of total billed charges		71.94	33.3			Percent of total billed charges		23.956	33.3			Percent of total billed charges		23.956	100			Percent of total billed charges		71.94	23.956	64.746	
biopsy	270	RC	Outpatient			72	46.8		90			Percent of total billed charges		64.8	40			Percent of total billed charges		28.8	80			Percent of total billed charges		57.6	90			Percent of total billed charges		64.8	85			Percent of total billed charges		61.2	85			Percent of total billed charges		61.2	85			Percent of total billed charges		61.2	100			Percent of total billed charges		72	100			Percent of total billed charges		72	100			Percent of total billed charges		72	33.3			Percent of total billed charges		23.976	33.3			Percent of total billed charges		23.976	100			Percent of total billed charges		72	23.976	64.8	
cath trocar 24f. 561050	270	RC	Outpatient			72	46.8		90			Percent of total billed charges		64.8	40			Percent of total billed charges		28.8	80			Percent of total billed charges		57.6	90			Percent of total billed charges		64.8	85			Percent of total billed charges		61.2	85			Percent of total billed charges		61.2	85			Percent of total billed charges		61.2	100			Percent of total billed charges		72	100			Percent of total billed charges		72	100			Percent of total billed charges		72	33.3			Percent of total billed charges		23.976	33.3			Percent of total billed charges		23.976	100			Percent of total billed charges		72	23.976	64.8	
blanket csz 510 5x10	270	RC	Outpatient			72	46.8		90			Percent of total billed charges		64.8	40			Percent of total billed charges		28.8	80			Percent of total billed charges		57.6	90			Percent of total billed charges		64.8	85			Percent of total billed charges		61.2	85			Percent of total billed charges		61.2	85			Percent of total billed charges		61.2	100			Percent of total billed charges		72	100			Percent of total billed charges		72	100			Percent of total billed charges		72	33.3			Percent of total billed charges		23.976	33.3			Percent of total billed charges		23.976	100			Percent of total billed charges		72	23.976	64.8	
breast pump kit	270	RC	Outpatient			72	46.8		90			Percent of total billed charges		64.8	40			Percent of total billed charges		28.8	80			Percent of total billed charges		57.6	90			Percent of total billed charges		64.8	85			Percent of total billed charges		61.2	85			Percent of total billed charges		61.2	85			Percent of total billed charges		61.2	100			Percent of total billed charges		72	100			Percent of total billed charges		72	100			Percent of total billed charges		72	33.3			Percent of total billed charges		23.976	33.3			Percent of total billed charges		23.976	100			Percent of total billed charges		72	23.976	64.8	
cath lab cath foley 18fr dynd	270	RC	Outpatient			72	46.8		90			Percent of total billed charges		64.8	40			Percent of total billed charges		28.8	80			Percent of total billed charges		57.6	90			Percent of total billed charges		64.8	85			Percent of total billed charges		61.2	85			Percent of total billed charges		61.2	85			Percent of total billed charges		61.2	100			Percent of total billed charges		72	100			Percent of total billed charges		72	100			Percent of total billed charges		72	33.3			Percent of total billed charges		23.976	33.3			Percent of total billed charges		23.976	100			Percent of total billed charges		72	23.976	64.8	
heel foot waffle	270	RC	Outpatient			72	46.8		90			Percent of total billed charges		64.8	40			Percent of total billed charges		28.8	80			Percent of total billed charges		57.6	90			Percent of total billed charges		64.8	85			Percent of total billed charges		61.2	85			Percent of total billed charges		61.2	85			Percent of total billed charges		61.2	100			Percent of total billed charges		72	100			Percent of total billed charges		72	100			Percent of total billed charges		72	33.3			Percent of total billed charges		23.976	33.3			Percent of total billed charges		23.976	100			Percent of total billed charges		72	23.976	64.8	
drug screen collection-howards	300	RC	Outpatient			72	46.8		90			Percent of total billed charges		64.8	40			Percent of total billed charges		28.8	80			Percent of total billed charges		57.6	90			Percent of total billed charges		64.8	85			Percent of total billed charges		61.2	85			Percent of total billed charges		61.2	85			Percent of total billed charges		61.2	100			Percent of total billed charges		72	100			Percent of total billed charges		72	100			Percent of total billed charges		72	33.3			Percent of total billed charges		23.976	33.3			Percent of total billed charges		23.976	100			Percent of total billed charges		72	23.976	64.8	
internal jugular puncture	270	RC	Outpatient			72	46.8		90			Percent of total billed charges		64.8	40			Percent of total billed charges		28.8	80			Percent of total billed charges		57.6	90			Percent of total billed charges		64.8	85			Percent of total billed charges		61.2	85			Percent of total billed charges		61.2	85			Percent of total billed charges		61.2	100			Percent of total billed charges		72	100			Percent of total billed charges		72	100			Percent of total billed charges		72	33.3			Percent of total billed charges		23.976	33.3			Percent of total billed charges		23.976	100			Percent of total billed charges		72	23.976	64.8	
implate k-wire	278	RC	Outpatient			72	46.8		90			Percent of total billed charges		64.8	40			Percent of total billed charges		28.8	80			Percent of total billed charges		57.6	90			Percent of total billed charges		64.8	85			Percent of total billed charges		61.2	85			Percent of total billed charges		61.2	85			Percent of total billed charges		61.2	100			Percent of total billed charges		72	100			Percent of total billed charges		72	100			Percent of total billed charges		72	33.3			Percent of total billed charges		23.976	33.3			Percent of total billed charges		23.976	100			Percent of total billed charges		72	23.976	64.8	
"k-wire, stepped tip 1.1 x 100m  kwir-stp-11100 skeletal dynamics"	278	RC	Outpatient			72	46.8		90			Percent of total billed charges		64.8	40			Percent of total billed charges		28.8	80			Percent of total billed charges		57.6	90			Percent of total billed charges		64.8	85			Percent of total billed charges		61.2	85			Percent of total billed charges		61.2	85			Percent of total billed charges		61.2	100			Percent of total billed charges		72	100			Percent of total billed charges		72	100			Percent of total billed charges		72	33.3			Percent of total billed charges		23.976	33.3			Percent of total billed charges		23.976	100			Percent of total billed charges		72	23.976	64.8	
microvitroretinal blade 20g e7520 storz	272	RC	Outpatient			72	46.8		90			Percent of total billed charges		64.8	40			Percent of total billed charges		28.8	80			Percent of total billed charges		57.6	90			Percent of total billed charges		64.8	85			Percent of total billed charges		61.2	85			Percent of total billed charges		61.2	85			Percent of total billed charges		61.2	100			Percent of total billed charges		72	100			Percent of total billed charges		72	100			Percent of total billed charges		72	33.3			Percent of total billed charges		23.976	33.3			Percent of total billed charges		23.976	100			Percent of total billed charges		72	23.976	64.8	
ndl biopsy trucut 14gx6 2n2704x	270	RC	Outpatient			72	46.8		90			Percent of total billed charges		64.8	40			Percent of total billed charges		28.8	80			Percent of total billed charges		57.6	90			Percent of total billed charges		64.8	85			Percent of total billed charges		61.2	85			Percent of total billed charges		61.2	85			Percent of total billed charges		61.2	100			Percent of total billed charges		72	100			Percent of total billed charges		72	100			Percent of total billed charges		72	33.3			Percent of total billed charges		23.976	33.3			Percent of total billed charges		23.976	100			Percent of total billed charges		72	23.976	64.8	
scrmc guide site rite	270	RC	Outpatient			72	46.8		90			Percent of total billed charges		64.8	40			Percent of total billed charges		28.8	80			Percent of total billed charges		57.6	90			Percent of total billed charges		64.8	85			Percent of total billed charges		61.2	85			Percent of total billed charges		61.2	85			Percent of total billed charges		61.2	100			Percent of total billed charges		72	100			Percent of total billed charges		72	100			Percent of total billed charges		72	33.3			Percent of total billed charges		23.976	33.3			Percent of total billed charges		23.976	100			Percent of total billed charges		72	23.976	64.8	
site-rite guides	270	RC	Outpatient			72	46.8		90			Percent of total billed charges		64.8	40			Percent of total billed charges		28.8	80			Percent of total billed charges		57.6	90			Percent of total billed charges		64.8	85			Percent of total billed charges		61.2	85			Percent of total billed charges		61.2	85			Percent of total billed charges		61.2	100			Percent of total billed charges		72	100			Percent of total billed charges		72	100			Percent of total billed charges		72	33.3			Percent of total billed charges		23.976	33.3			Percent of total billed charges		23.976	100			Percent of total billed charges		72	23.976	64.8	
scrmc mic g-tube	621	RC	Outpatient			72	46.8		90			Percent of total billed charges		64.8	40			Percent of total billed charges		28.8	80			Percent of total billed charges		57.6	90			Percent of total billed charges		64.8	85			Percent of total billed charges		61.2	85			Percent of total billed charges		61.2	85			Percent of total billed charges		61.2	100			Percent of total billed charges		72	100			Percent of total billed charges		72	100			Percent of total billed charges		72	33.3			Percent of total billed charges		23.976	33.3			Percent of total billed charges		23.976	100			Percent of total billed charges		72	23.976	64.8	
"tray, cath, foley #18"	270	RC	Outpatient			72	46.8		90			Percent of total billed charges		64.8	40			Percent of total billed charges		28.8	80			Percent of total billed charges		57.6	90			Percent of total billed charges		64.8	85			Percent of total billed charges		61.2	85			Percent of total billed charges		61.2	85			Percent of total billed charges		61.2	100			Percent of total billed charges		72	100			Percent of total billed charges		72	100			Percent of total billed charges		72	33.3			Percent of total billed charges		23.976	33.3			Percent of total billed charges		23.976	100			Percent of total billed charges		72	23.976	64.8	
true cut biopsy needle	270	RC	Outpatient			72	46.8		90			Percent of total billed charges		64.8	40			Percent of total billed charges		28.8	80			Percent of total billed charges		57.6	90			Percent of total billed charges		64.8	85			Percent of total billed charges		61.2	85			Percent of total billed charges		61.2	85			Percent of total billed charges		61.2	100			Percent of total billed charges		72	100			Percent of total billed charges		72	100			Percent of total billed charges		72	33.3			Percent of total billed charges		23.976	33.3			Percent of total billed charges		23.976	100			Percent of total billed charges		72	23.976	64.8	
washer 5.0	278	RC	Outpatient			72	46.8		90			Percent of total billed charges		64.8	40			Percent of total billed charges		28.8	80			Percent of total billed charges		57.6	90			Percent of total billed charges		64.8	85			Percent of total billed charges		61.2	85			Percent of total billed charges		61.2	85			Percent of total billed charges		61.2	100			Percent of total billed charges		72	100			Percent of total billed charges		72	100			Percent of total billed charges		72	33.3			Percent of total billed charges		23.976	33.3			Percent of total billed charges		23.976	100			Percent of total billed charges		72	23.976	64.8	
washer 5.0 390017 styrker	278	RC	Outpatient			72	46.8		90			Percent of total billed charges		64.8	40			Percent of total billed charges		28.8	80			Percent of total billed charges		57.6	90			Percent of total billed charges		64.8	85			Percent of total billed charges		61.2	85			Percent of total billed charges		61.2	85			Percent of total billed charges		61.2	100			Percent of total billed charges		72	100			Percent of total billed charges		72	100			Percent of total billed charges		72	33.3			Percent of total billed charges		23.976	33.3			Percent of total billed charges		23.976	100			Percent of total billed charges		72	23.976	64.8	
"washer, 6.5 stry"	278	RC	Outpatient			72	46.8		90			Percent of total billed charges		64.8	40			Percent of total billed charges		28.8	80			Percent of total billed charges		57.6	90			Percent of total billed charges		64.8	85			Percent of total billed charges		61.2	85			Percent of total billed charges		61.2	85			Percent of total billed charges		61.2	100			Percent of total billed charges		72	100			Percent of total billed charges		72	100			Percent of total billed charges		72	33.3			Percent of total billed charges		23.976	33.3			Percent of total billed charges		23.976	100			Percent of total billed charges		72	23.976	64.8	
vitrectomy blade	272	RC	Outpatient			72	46.8		90			Percent of total billed charges		64.8	40			Percent of total billed charges		28.8	80			Percent of total billed charges		57.6	90			Percent of total billed charges		64.8	85			Percent of total billed charges		61.2	85			Percent of total billed charges		61.2	85			Percent of total billed charges		61.2	100			Percent of total billed charges		72	100			Percent of total billed charges		72	100			Percent of total billed charges		72	33.3			Percent of total billed charges		23.976	33.3			Percent of total billed charges		23.976	100			Percent of total billed charges		72	23.976	64.8	
washer 6.5 390016 styrker	278	RC	Outpatient			72	46.8		90			Percent of total billed charges		64.8	40			Percent of total billed charges		28.8	80			Percent of total billed charges		57.6	90			Percent of total billed charges		64.8	85			Percent of total billed charges		61.2	85			Percent of total billed charges		61.2	85			Percent of total billed charges		61.2	100			Percent of total billed charges		72	100			Percent of total billed charges		72	100			Percent of total billed charges		72	33.3			Percent of total billed charges		23.976	33.3			Percent of total billed charges		23.976	100			Percent of total billed charges		72	23.976	64.8	
arterial line kit ed charge scnt	270	RC	Outpatient			73	47.45		90			Percent of total billed charges		65.7	40			Percent of total billed charges		29.2	80			Percent of total billed charges		58.4	90			Percent of total billed charges		65.7	85			Percent of total billed charges		62.05	85			Percent of total billed charges		62.05	85			Percent of total billed charges		62.05	100			Percent of total billed charges		73	100			Percent of total billed charges		73	100			Percent of total billed charges		73	33.3			Percent of total billed charges		24.309	33.3			Percent of total billed charges		24.309	100			Percent of total billed charges		73	24.309	65.7	
biopsy prt 3-way connectr	270	RC	Outpatient			73	47.45		90			Percent of total billed charges		65.7	40			Percent of total billed charges		29.2	80			Percent of total billed charges		58.4	90			Percent of total billed charges		65.7	85			Percent of total billed charges		62.05	85			Percent of total billed charges		62.05	85			Percent of total billed charges		62.05	100			Percent of total billed charges		73	100			Percent of total billed charges		73	100			Percent of total billed charges		73	33.3			Percent of total billed charges		24.309	33.3			Percent of total billed charges		24.309	100			Percent of total billed charges		73	24.309	65.7	
cath shephard hook	270	RC	Outpatient			73	47.45		90			Percent of total billed charges		65.7	40			Percent of total billed charges		29.2	80			Percent of total billed charges		58.4	90			Percent of total billed charges		65.7	85			Percent of total billed charges		62.05	85			Percent of total billed charges		62.05	85			Percent of total billed charges		62.05	100			Percent of total billed charges		73	100			Percent of total billed charges		73	100			Percent of total billed charges		73	33.3			Percent of total billed charges		24.309	33.3			Percent of total billed charges		24.309	100			Percent of total billed charges		73	24.309	65.7	
endo tungsten weighted feeding tube (dobbhoff)	270	RC	Outpatient			73	47.45		90			Percent of total billed charges		65.7	40			Percent of total billed charges		29.2	80			Percent of total billed charges		58.4	90			Percent of total billed charges		65.7	85			Percent of total billed charges		62.05	85			Percent of total billed charges		62.05	85			Percent of total billed charges		62.05	100			Percent of total billed charges		73	100			Percent of total billed charges		73	100			Percent of total billed charges		73	33.3			Percent of total billed charges		24.309	33.3			Percent of total billed charges		24.309	100			Percent of total billed charges		73	24.309	65.7	
kit arterial lin ak-04510	272	RC	Outpatient			73	47.45		90			Percent of total billed charges		65.7	40			Percent of total billed charges		29.2	80			Percent of total billed charges		58.4	90			Percent of total billed charges		65.7	85			Percent of total billed charges		62.05	85			Percent of total billed charges		62.05	85			Percent of total billed charges		62.05	100			Percent of total billed charges		73	100			Percent of total billed charges		73	100			Percent of total billed charges		73	33.3			Percent of total billed charges		24.309	33.3			Percent of total billed charges		24.309	100			Percent of total billed charges		73	24.309	65.7	
peri-loc 2.5 t7 lock screw 18mm 7382-2518 s/n	278	RC	Outpatient			73	47.45		90			Percent of total billed charges		65.7	40			Percent of total billed charges		29.2	80			Percent of total billed charges		58.4	90			Percent of total billed charges		65.7	85			Percent of total billed charges		62.05	85			Percent of total billed charges		62.05	85			Percent of total billed charges		62.05	100			Percent of total billed charges		73	100			Percent of total billed charges		73	100			Percent of total billed charges		73	33.3			Percent of total billed charges		24.309	33.3			Percent of total billed charges		24.309	100			Percent of total billed charges		73	24.309	65.7	
peri-loc 2.5 t7 lock screw 20mm 7382-2520 s/n	278	RC	Outpatient			73	47.45		90			Percent of total billed charges		65.7	40			Percent of total billed charges		29.2	80			Percent of total billed charges		58.4	90			Percent of total billed charges		65.7	85			Percent of total billed charges		62.05	85			Percent of total billed charges		62.05	85			Percent of total billed charges		62.05	100			Percent of total billed charges		73	100			Percent of total billed charges		73	100			Percent of total billed charges		73	33.3			Percent of total billed charges		24.309	33.3			Percent of total billed charges		24.309	100			Percent of total billed charges		73	24.309	65.7	
peri-loc 2.5 t7 lock screw 26mm 7382-2526 s/n	278	RC	Outpatient			73	47.45		90			Percent of total billed charges		65.7	40			Percent of total billed charges		29.2	80			Percent of total billed charges		58.4	90			Percent of total billed charges		65.7	85			Percent of total billed charges		62.05	85			Percent of total billed charges		62.05	85			Percent of total billed charges		62.05	100			Percent of total billed charges		73	100			Percent of total billed charges		73	100			Percent of total billed charges		73	33.3			Percent of total billed charges		24.309	33.3			Percent of total billed charges		24.309	100			Percent of total billed charges		73	24.309	65.7	
peri-loc 2.5 t7 lock screw 28mm 7382-2528 s/n	278	RC	Outpatient			73	47.45		90			Percent of total billed charges		65.7	40			Percent of total billed charges		29.2	80			Percent of total billed charges		58.4	90			Percent of total billed charges		65.7	85			Percent of total billed charges		62.05	85			Percent of total billed charges		62.05	85			Percent of total billed charges		62.05	100			Percent of total billed charges		73	100			Percent of total billed charges		73	100			Percent of total billed charges		73	33.3			Percent of total billed charges		24.309	33.3			Percent of total billed charges		24.309	100			Percent of total billed charges		73	24.309	65.7	
peri-loc 2.5 t7 lock screw 30mm 7382-2530 s/n	278	RC	Outpatient			73	47.45		90			Percent of total billed charges		65.7	40			Percent of total billed charges		29.2	80			Percent of total billed charges		58.4	90			Percent of total billed charges		65.7	85			Percent of total billed charges		62.05	85			Percent of total billed charges		62.05	85			Percent of total billed charges		62.05	100			Percent of total billed charges		73	100			Percent of total billed charges		73	100			Percent of total billed charges		73	33.3			Percent of total billed charges		24.309	33.3			Percent of total billed charges		24.309	100			Percent of total billed charges		73	24.309	65.7	
protective cap black 5mm 290061 s/n	272	RC	Outpatient			73	47.45		90			Percent of total billed charges		65.7	40			Percent of total billed charges		29.2	80			Percent of total billed charges		58.4	90			Percent of total billed charges		65.7	85			Percent of total billed charges		62.05	85			Percent of total billed charges		62.05	85			Percent of total billed charges		62.05	100			Percent of total billed charges		73	100			Percent of total billed charges		73	100			Percent of total billed charges		73	33.3			Percent of total billed charges		24.309	33.3			Percent of total billed charges		24.309	100			Percent of total billed charges		73	24.309	65.7	
s/n pin cap	272	RC	Outpatient			73	47.45		90			Percent of total billed charges		65.7	40			Percent of total billed charges		29.2	80			Percent of total billed charges		58.4	90			Percent of total billed charges		65.7	85			Percent of total billed charges		62.05	85			Percent of total billed charges		62.05	85			Percent of total billed charges		62.05	100			Percent of total billed charges		73	100			Percent of total billed charges		73	100			Percent of total billed charges		73	33.3			Percent of total billed charges		24.309	33.3			Percent of total billed charges		24.309	100			Percent of total billed charges		73	24.309	65.7	
shepard hook cath 5 fr x 65cm 10719801 dynamics	270	RC	Outpatient			73	47.45		90			Percent of total billed charges		65.7	40			Percent of total billed charges		29.2	80			Percent of total billed charges		58.4	90			Percent of total billed charges		65.7	85			Percent of total billed charges		62.05	85			Percent of total billed charges		62.05	85			Percent of total billed charges		62.05	100			Percent of total billed charges		73	100			Percent of total billed charges		73	100			Percent of total billed charges		73	33.3			Percent of total billed charges		24.309	33.3			Percent of total billed charges		24.309	100			Percent of total billed charges		73	24.309	65.7	
peri-loc 2.5 t7 lock screw 10mm 7382-2510 s/n	278	RC	Outpatient			73	47.45		90			Percent of total billed charges		65.7	40			Percent of total billed charges		29.2	80			Percent of total billed charges		58.4	90			Percent of total billed charges		65.7	85			Percent of total billed charges		62.05	85			Percent of total billed charges		62.05	85			Percent of total billed charges		62.05	100			Percent of total billed charges		73	100			Percent of total billed charges		73	100			Percent of total billed charges		73	33.3			Percent of total billed charges		24.309	33.3			Percent of total billed charges		24.309	100			Percent of total billed charges		73	24.309	65.7	
peri-loc 2.5 t7 lock screw 12mm 7382-2512 s/n	278	RC	Outpatient			73	47.45		90			Percent of total billed charges		65.7	40			Percent of total billed charges		29.2	80			Percent of total billed charges		58.4	90			Percent of total billed charges		65.7	85			Percent of total billed charges		62.05	85			Percent of total billed charges		62.05	85			Percent of total billed charges		62.05	100			Percent of total billed charges		73	100			Percent of total billed charges		73	100			Percent of total billed charges		73	33.3			Percent of total billed charges		24.309	33.3			Percent of total billed charges		24.309	100			Percent of total billed charges		73	24.309	65.7	
peri-loc 2.5 t7 lock screw 14mm 7382-2514 s/n	278	RC	Outpatient			73	47.45		90			Percent of total billed charges		65.7	40			Percent of total billed charges		29.2	80			Percent of total billed charges		58.4	90			Percent of total billed charges		65.7	85			Percent of total billed charges		62.05	85			Percent of total billed charges		62.05	85			Percent of total billed charges		62.05	100			Percent of total billed charges		73	100			Percent of total billed charges		73	100			Percent of total billed charges		73	33.3			Percent of total billed charges		24.309	33.3			Percent of total billed charges		24.309	100			Percent of total billed charges		73	24.309	65.7	
peri-loc 2.5 t7 lock screw 16mm 7382-2516 s/n	278	RC	Outpatient			73	47.45		90			Percent of total billed charges		65.7	40			Percent of total billed charges		29.2	80			Percent of total billed charges		58.4	90			Percent of total billed charges		65.7	85			Percent of total billed charges		62.05	85			Percent of total billed charges		62.05	85			Percent of total billed charges		62.05	100			Percent of total billed charges		73	100			Percent of total billed charges		73	100			Percent of total billed charges		73	33.3			Percent of total billed charges		24.309	33.3			Percent of total billed charges		24.309	100			Percent of total billed charges		73	24.309	65.7	
peri-loc 2.5 t7 lock screw 24mm 7382-2524 s/n	278	RC	Outpatient			73	47.45		90			Percent of total billed charges		65.7	40			Percent of total billed charges		29.2	80			Percent of total billed charges		58.4	90			Percent of total billed charges		65.7	85			Percent of total billed charges		62.05	85			Percent of total billed charges		62.05	85			Percent of total billed charges		62.05	100			Percent of total billed charges		73	100			Percent of total billed charges		73	100			Percent of total billed charges		73	33.3			Percent of total billed charges		24.309	33.3			Percent of total billed charges		24.309	100			Percent of total billed charges		73	24.309	65.7	
s/n 2.5 t7 crt scr	278	RC	Outpatient			73	47.45		90			Percent of total billed charges		65.7	40			Percent of total billed charges		29.2	80			Percent of total billed charges		58.4	90			Percent of total billed charges		65.7	85			Percent of total billed charges		62.05	85			Percent of total billed charges		62.05	85			Percent of total billed charges		62.05	100			Percent of total billed charges		73	100			Percent of total billed charges		73	100			Percent of total billed charges		73	33.3			Percent of total billed charges		24.309	33.3			Percent of total billed charges		24.309	100			Percent of total billed charges		73	24.309	65.7	
shepard hook cath  65cm 10707801 angio dynamics	270	RC	Outpatient			73	47.45		90			Percent of total billed charges		65.7	40			Percent of total billed charges		29.2	80			Percent of total billed charges		58.4	90			Percent of total billed charges		65.7	85			Percent of total billed charges		62.05	85			Percent of total billed charges		62.05	85			Percent of total billed charges		62.05	100			Percent of total billed charges		73	100			Percent of total billed charges		73	100			Percent of total billed charges		73	33.3			Percent of total billed charges		24.309	33.3			Percent of total billed charges		24.309	100			Percent of total billed charges		73	24.309	65.7	
ubp set (3 bx port & y connector) acmi ubp	270	RC	Outpatient			73	47.45		90			Percent of total billed charges		65.7	40			Percent of total billed charges		29.2	80			Percent of total billed charges		58.4	90			Percent of total billed charges		65.7	85			Percent of total billed charges		62.05	85			Percent of total billed charges		62.05	85			Percent of total billed charges		62.05	100			Percent of total billed charges		73	100			Percent of total billed charges		73	100			Percent of total billed charges		73	33.3			Percent of total billed charges		24.309	33.3			Percent of total billed charges		24.309	100			Percent of total billed charges		73	24.309	65.7	
xr spine entire survey ap/lat	983	RC	Outpatient			73	47.45		90			Percent of total billed charges		65.7	40			Percent of total billed charges		29.2	80			Percent of total billed charges		58.4	90			Percent of total billed charges		65.7	85			Percent of total billed charges		62.05	85			Percent of total billed charges		62.05	85			Percent of total billed charges		62.05	100			Percent of total billed charges		73	100			Percent of total billed charges		73	100			Percent of total billed charges		73	33.3			Percent of total billed charges		24.309	33.3			Percent of total billed charges		24.309	100			Percent of total billed charges		73	24.309	65.7	
1/3 tubular plate  2 hole 00-4935-002-03 zimmer	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
1/3 tubular plate 4 hole 00-4935-004-03 zimmer	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
2.0mm straight plate 3 hole 17mm 00-4920-003-02 zimmer	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
2.0mm straight plate 6 hole 35mm 00-4920-006-02 zimmer	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
arthrex guide wire 1.35	272	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
arthrex guidewire 1.35 ar 8737-01	272	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
arthrex guidewire 1.35 ar-8943-01	272	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
biomet vhs 4.5 cort scw	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
biomet vhs 4.5 cortical screw 36mm 18-235136	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
blue line trach 7mm 100781070 smith med	272	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
blue line trach 8mm 100781080 smith med	272	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
bra front zipper 40d b09z-40d-h  marena	272	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
bra front zipper 44d b09z-44d-h  marena	272	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
cath foley 24 fr 30cc 3-way simplastic 570724	270	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
cath irrigation 4fr 220804f	270	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
cath irrigation 6fr 220806f	270	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
catheter simplastic 3-way	270	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
cortex screw 3.5 x 14 02.200.014 synthes	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
cortex screw 3.5 x 24 02.200.024 synthes	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
cortex screw 3.5 x 28 02.200.028 synthes	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
cortical screw  4.5 mm x 20mm 18-235120 biomet	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
cortical screw  4.5 mm x 28mm 18-235186 biomet	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
cortical screw  4.5 mm x 32mm 18-235132 biomet	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
cortical screw  4.5 mm x 38 mm 18-235138 biomet	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
cortical screw  4.5 mm x 44mm 18-235144 biomet	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
cortical screw  4.5 mm x 48mm 18-235148 biomet	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
cortical screw  4.5 mm x 52mm 18-235152 biomet	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
cortical screw  4.5 mm x 56mm 18-235156 biomet	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
cortical screw  4.5 mm x 58m 18-235158 biomet	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
cortical screw  4.5 mm x 60mm 18-235160 biomet	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
cortical screw 4.5 mm x 50mm 18-235150 biomet	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
crtx scrw 2.7 x 14mm 71823014 s\n	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
crtx scrw 2.7 x 16mm 71823016 s\n	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
crtx scrw 2.7 x 20mm 71823020 s\n	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
crtx scrw 2.7 x 32mm 71823032 s\n	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
crtx scrw 2.7 x 42mm 71823042 s\n	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
crtx scrw 2.7 x 50mm 71823050 s\n	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
crtx scrw 2.7 x 65mm 71823065 s\n	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
1/3 tubular plate  3 hole  00-4935-003-03 zimmer	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
1/3 tubular plate 5 hole 00-4935-005-03 zimmer	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
2.0mm straight plate 4 hole 23mm 00-4920-004-02 zimmer	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
2.0mm straight plate 5 hole 29mm 00-4920-005-02 zimmer	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
5.0 ao locking screw 75mm 370375 stryker	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
5.0 ao locking screw 80mm 370380 stryker	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
angio catheter	270	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
arthrex guidewire 1.35 ar 8943-38	272	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
axsos k-wire 2.0 x 150mm 390192 stryker	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
bra front zipper	272	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
bra front zipper 36d b09z-36d-h marena	272	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
bunnel's solution	250	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
cath foley 24 fr 30cc 3-way simplastic 570624	270	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
catheter irrigation fogarty orange 10fr 23cm 22-023-10f edwa	270	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
cortex screw 3.5 x 12 02.200.012 synthes	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
cortex screw 3.5 x 16 02.200.016 synthes	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
cortex screw 3.5 x 18 02.200.018 synthes	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
cortex screw 3.5 x 20 02.200.020 synthes	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
cortex screw 3.5 x 22 02.200.022 synthes	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
cortex screw 3.5 x 26 02.200.026 synthes	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
cortical screw  4.5 mm x 24mm 18-235124 biomet	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
cortical screw  4.5 mm x 26mm 18-235126 biomet	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
cortical screw  4.5 mm x 30mm 18-235130 biomet	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
cortical screw  4.5 mm x 34mm 18-235134 biomet	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
cortical screw  4.5 mm x 42mm 18-235142 biomet	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
cortical screw  4.5 mm x 54mm 18-2351254 biomet	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
cortical screw 4.5 mm x 40mm 18-235140 biomet	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
cortical screw 4.5 mm x 46mm 18-235146 biomet	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
crtx scrw 2.7 x 10mm 71823010 s\n	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
crtx scrw 2.7 x 12mm 71823012 s\n	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
crtx scrw 2.7 x 18mm 71823018 s\n	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
crtx scrw 2.7 x 22mm 71823022 s\n	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
crtx scrw 2.7 x 24mm 71823024 s\n	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
crtx scrw 2.7 x 26mm 71823026 s\n	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
crtx scrw 2.7 x 28mm 71823028 s\n	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
crtx scrw 2.7 x 30mm 71823030 s\n	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
crtx scrw 2.7 x 34mm 71823034 s\n	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
crtx scrw 2.7 x 36mm 71823036 s\n	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
crtx scrw 2.7 x 38mm 71823038 s\n	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
crtx scrw 2.7 x 40mm 71823040 s\n	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
crtx scrw 2.7 x 44mm 71823044 s\n	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
crtx scrw 2.7 x 46mm 71823046 s\n	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
crtx scrw 2.7 x 48mm 71823048 s\n	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
crtx scrw 2.7 x 60mm 71823060 s\n	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
crtx scrw 2.7 x 70mm 71823070 s\n	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
dupaco prone cushion	270	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
dupaco prone view cushion insert d28507ce small mercury med	270	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
endo debridement	360	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
endotube laryngoflex	270	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
hyperthermia machine per	270	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
intidal co2 monitor	270	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
k-wire 2.0 390191 stryker	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
komet bur ns0115.016	272	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
komet bur ns0120.016	272	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
komet burr	272	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
kyphon bone access needle	272	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
fogarty irrigating cathet	270	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
gold/silver probe proc	270	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
nerve stimulator	270	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
k-wire  07-40280 stryker	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
k-wire 1.143 x 160mm 07-40281 stryker	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
komet bur ns0156.016	272	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
komet bur ns0903.016	272	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
kyphon 11 guage bone access needle ad2a kyphon	272	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
orthopedic tray	270	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
peri-loc vlp 7.0 washer	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
peri-loc vlp scr 2.7 crtx	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
screw 4.5 40mm 16235142	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
syn 3.5 cortex scr	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
trach tube blue line	272	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
"tray,cath/urimeter #16"	270	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
rotating y adaptor 15-322 boston scientific	272	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
s/n 3.5 8-pl cort scrw	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
screw 4.5 38mm 16-235138	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
stryker k-wire	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
touhy-borst adaptor with side port 15-300 boston scientific	272	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
"tray,cath w/urimeter #18"	270	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
trocar 12mm bladed	272	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
trocar bladed 12mm c0r69  applied med	272	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
trocar hussan	272	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
trocar z thread ctb71	272	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
viscera retainer fish 3206 adept med	270	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
zimm 1/3 tub plt-2-5 hole	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
trocar blunt hussan 12mm c0718 applied med	272	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
trocar kii bladed threaded 12mm c0r67  ctr74 applied med	272	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
tuohy rotating hemastat	272	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
tuohy-borst adaptor tba-6 cook	272	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
viscera retainer	270	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
zimm 2.0 str plate	278	RC	Outpatient			74	48.1		90			Percent of total billed charges		66.6	40			Percent of total billed charges		29.6	80			Percent of total billed charges		59.2	90			Percent of total billed charges		66.6	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	85			Percent of total billed charges		62.9	100			Percent of total billed charges		74	100			Percent of total billed charges		74	100			Percent of total billed charges		74	33.3			Percent of total billed charges		24.642	33.3			Percent of total billed charges		24.642	100			Percent of total billed charges		74	24.642	66.6	
ankle brace	270	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 10mm 71805310 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 10mm 71825210 s\n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 10mm 71825310 s\n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 14mm 71825214 s\n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 14mm 71825314 s\n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 16mm 71805316 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 18mm 71805318 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 18mm 71825218 s\n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 20mm 71805220 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 20mm 71825320 s\n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 22mm 71825222 s\n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 24mm 71805324 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 26mm 71805226 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 26mm 71825226 s\n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 28mm 71805228 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 28mm 71805328 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 28mm 71825228 s\n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 28mm 71825328 s\n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 30mm 71805330 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 30mm 71825330 s\n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 32mm 71805232 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 32mm 71825232 s\n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 35mm 71805235 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 35mm 71825235 s\n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 35mm 71825335 s\n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 36mm 71825236 s\n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 38mm 71825238 s\n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 40mm 71805240 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 40mm 71825340 s\n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 45mm 71805245 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 45mm 71805345 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 45mm 71825345 s\n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 50mm 71825250 s\n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 50mm 71825350 s\n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 55mm 71805255 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 55mm 71805355 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 55mm 71825255 s\n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 55mm 71825355 s\n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 60mm 71805360 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 60mm 71825260 s\n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 60mm 71825360 s\n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 65mm 71805265 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 65mm 71805365 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 65mm 71825365 s\n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 70mm 71825270 s\n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 80mm 71805280 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 80mm 71805380 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 80mm 71825280 s\n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 80mm 71825380 s\n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 85mm 71805285 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 85mm 71805385 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 90mm 71805290 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 90mm 71805390 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 95mm 71805295 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
cath lab safe sheath pulaway	272	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
cosmetic - laser hair removal foot and toes single session	983	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
absolik extra med clips  ap200 ethicon	270	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 100mm 71805300 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 100mm 71805400 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 10mm 71805210 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 12mm 71805212 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 12mm 71805312 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 12mm 71825212 s\n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 12mm 71825312 s\n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 14mm 71805214 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 14mm 71805314 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 16mm 71805216 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 18mm 71805218 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 18mm 71825318 s\n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 20mm 71805320 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 20mm 71825220 s\n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 22mm 71805222 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 22mm 71805322 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 22mm 71825322 s\n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 24mm 71805224 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 24mm 71825224 s\n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 24mm 71825324 s\n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 26mm 71805326 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 26mm 71825326 s\n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 30mm 71805230 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 30mm 71825230 s\n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 34mm 71805234 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 34mm 71825234 s\n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 35mm 71805335 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 36mm 71805236 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 38mm 71805238 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 40mm 71805340 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 40mm 71825240 s\n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 45mm 71825245 s\n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 50mm 71805250 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 50mm 71805350 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 60mm 71805260 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 65mm 71825265 s\n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 70mm 71805270 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 70mm 71805370 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 70mm 71825370 s\n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 75mm 71805275 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 75mm 71805375 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 75mm 71825275 s\n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 75mm 71825375 s\n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
canc scrw 4.0 x 95mm 71805395 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
dressing proguide	270	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
durasphere injection needle coloplast 890-209	272	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
force fiber suture #2 3910-900-020 stryker	272	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
dermatology surgery cancellation fee	983	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
durasphere needle	272	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
k-wire 1.6 x 230mm wire-1.6/230 trimed	272	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
k-wire 2.0 x 230mm wire-2.0/230 trimed	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
force fiber suture #2	272	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
mixor femoral pressurizer lg 71270028 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
mixor femoral pressurizer med 71270027 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
mixor femoral pressurizer small 71270026 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
oxytip - ped	270	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
pad chair waffle 72x21x3	270	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
pds clip	270	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
polarus cort drill	272	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
s-t crtx scrw 2.7mm 60mm 71803060 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
s/n 3.5 t20 cort screw	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
s/n 4.0 canc scrw	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
s/n suture passer	272	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
surgicel 2x3	272	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
surgicel hemostat 2 x 3  1953 ethicon	272	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
t20 cortex scr st 3.5 x 14 7382-4014 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
t20 cortex scr st 3.5 x 16 7382-4016 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
t20 cortex scr st 3.5 x 26 7382-4026 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
t20 cortex scr st 3.5 x 28 7382-4028 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
t20 cortex scr st 3.5 x 34 7382-4034 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
t20 cortex scr st 3.5 x 38 7382-4038 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
t20 cortex scr st 3.5 x 42 7382-4042 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
t20 cortex scr st 3.5 x 46 7382-4046 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
t20 cortex scr st 3.5 x 55 7382-4055 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
t20 cortex scr st 3.5 x 60 7382-4060 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
t20 cortex scr st 3.5 x 75 7382-4075 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
t20 cortex scr st 3.5 x 80 7382-4080 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
pleatman sac	270	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
richards mixor pressurize	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
s-t crtx scrw 2.7mm 65mm 71803065 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
s-t crtx scrw 2.7mm 70mm 71803070 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
s/n 2.7 cort scrw long	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
suture passer 12 72201406 s/n	272	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
suture passer 2 72201407 s/n	272	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
system tissue removal w/obturator 10mm 0049-42-901 cirac	270	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
t20 cortex scr st 3.5 x 10 7382-4010 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
t20 cortex scr st 3.5 x 12 7382-4012 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
t20 cortex scr st 3.5 x 18 7382-4018 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
t20 cortex scr st 3.5 x 20 7382-4020 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
t20 cortex scr st 3.5 x 22 7382-4022 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
t20 cortex scr st 3.5 x 24 7382-4024 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
t20 cortex scr st 3.5 x 30 7382-4030 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
t20 cortex scr st 3.5 x 32 7382-4032 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
t20 cortex scr st 3.5 x 36 7382-4036 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
t20 cortex scr st 3.5 x 40 7382-4040 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
t20 cortex scr st 3.5 x 44 7382-4044 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
t20 cortex scr st 3.5 x 48 7382-4048 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
t20 cortex scr st 3.5 x 50 7382-4050 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
t20 cortex scr st 3.5 x 65 7382-4065 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
t20 cortex scr st 3.5 x 70 7382-4070 s/n	278	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
us guidance pericardiocentesis s&i	983	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
tube trach shiley 8sct	272	RC	Outpatient			75	48.75		90			Percent of total billed charges		67.5	40			Percent of total billed charges		30	80			Percent of total billed charges		60	90			Percent of total billed charges		67.5	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	85			Percent of total billed charges		63.75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	100			Percent of total billed charges		75	33.3			Percent of total billed charges		24.975	33.3			Percent of total billed charges		24.975	100			Percent of total billed charges		75	24.975	67.5	
biopsy forcep with spike cook ref # g47692	272	RC	Outpatient			75.9	49.34		90			Percent of total billed charges		68.31	40			Percent of total billed charges		30.36	80			Percent of total billed charges		60.72	90			Percent of total billed charges		68.31	85			Percent of total billed charges		64.515	85			Percent of total billed charges		64.515	85			Percent of total billed charges		64.515	100			Percent of total billed charges		75.9	100			Percent of total billed charges		75.9	100			Percent of total billed charges		75.9	33.3			Percent of total billed charges		25.2747	33.3			Percent of total billed charges		25.2747	100			Percent of total billed charges		75.9	25.2747	68.31	
needle acuject cook ref# g57784	272	RC	Outpatient			75.9	49.34		90			Percent of total billed charges		68.31	40			Percent of total billed charges		30.36	80			Percent of total billed charges		60.72	90			Percent of total billed charges		68.31	85			Percent of total billed charges		64.515	85			Percent of total billed charges		64.515	85			Percent of total billed charges		64.515	100			Percent of total billed charges		75.9	100			Percent of total billed charges		75.9	100			Percent of total billed charges		75.9	33.3			Percent of total billed charges		25.2747	33.3			Percent of total billed charges		25.2747	100			Percent of total billed charges		75.9	25.2747	68.31	
3800053 removal fb skin/subcut ed charge	450	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
4.5 st cortical screw 48mm 340648 stryker	278	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
4.5 st cortical screw 75mm 340675 stryker	278	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
cancellous screw 4.0 x 14 345514 stryker	272	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
cancellous screw 4.0 x 16 345416 stryker	272	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
cancellous screw 4.0 x 16 345516 stryker	272	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
cancellous screw 4.0 x 18 345518 stryker	272	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
cancellous screw 4.0 x 20 345420 stryker	272	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
cancellous screw 4.0 x 22 345422 stryker	272	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
cancellous screw 4.0 x 22 345522 stryker	272	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
cancellous screw 4.0 x 24 345424 stryker	272	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
cancellous screw 4.0 x 24 345524 stryker	272	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
cancellous screw 4.0 x 28 345428 stryker	272	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
cancellous screw 4.0 x 30 345430 stryker	272	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
cancellous screw 4.0 x 30 345530 stryker	272	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
cancellous screw 4.0 x 32 345532 stryker	272	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
cancellous screw 4.0 x 36 345436 stryker	272	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
cancellous screw 4.0 x 36 345536 stryker	272	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
cancellous screw 4.0 x 38 345438 stryker	272	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
cancellous screw 4.0 x 40 345540 stryker	272	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
cancellous screw 4.0 x 45 345545 stryker	272	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
cancellous screw 4.0 x 55 345555 stryker	272	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
cancellous screw 4.0 x 60 345560 stryker	272	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
cancellous screw 4.0 x 65 345465 stryker	272	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
cancellous screw 4.0 x 65 345565 stryker	272	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
cancellous screw 4.0 x 85 345485 stryker	272	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
cancellous screw 4.0 x 90 345590 stryker	272	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
cancellous screw 4.0 x 95 345495 stryker	272	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
cancellous screw 4.0 x 95 345595 stryker	272	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
cath foley 16 fr 5cc councill  0196si16	270	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
cath foley 20 fr 5cc carson 0196si20	270	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
cath lab tvi tool	270	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
catheter powgld 20ga 10cm	270	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
18 fr council tip cath bard 196l-18	270	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
3750254 vaginal examination ed charge	360	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
4.5 st cortical screw 34mm 340634 stryker	278	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
4.5 st cortical screw 40mm 340640 stryker	278	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
cancellous screw 4.0 x 14 345414 stryker	272	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
cancellous screw 4.0 x 18 345418 stryker	272	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
cancellous screw 4.0 x 20 345520 stryker	272	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
cancellous screw 4.0 x 26 345426 stryker	272	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
cancellous screw 4.0 x 26 345526 stryker	272	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
cancellous screw 4.0 x 28 345528 stryker	272	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
cancellous screw 4.0 x 32 345432 stryker	272	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
cancellous screw 4.0 x 34 345434 stryker	272	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
cancellous screw 4.0 x 34 345534 stryker	272	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
cancellous screw 4.0 x 38 345538 stryker	272	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
cancellous screw 4.0 x 40 345440 stryker	272	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
cancellous screw 4.0 x 45 345445 stryker	272	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
cancellous screw 4.0 x 50 345450 stryker	272	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
cancellous screw 4.0 x 50 345550 stryker	272	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
cancellous screw 4.0 x 55 345455 stryker	272	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
cancellous screw 4.0 x 60 345460 stryker	272	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
cancellous screw 4.0 x 70 345470 stryker	272	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
cancellous screw 4.0 x 70 345570 stryker	272	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
cancellous screw 4.0 x 75 345475 stryker	272	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
cancellous screw 4.0 x 75 345575 stryker	272	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
cancellous screw 4.0 x 80 345480 stryker	272	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
cancellous screw 4.0 x 80 345580 stryker	272	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
cancellous screw 4.0 x 85 345585 stryker	272	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
cancellous screw 4.0 x 90 345490 stryker	272	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
cath foley 18 fr 5cc councill 0196si18	270	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
cath foley 22 fr 5cc councill 0196si22	270	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
cath lab surgicel hemostat	622	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
"cath,counicel foley"	270	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
catheter gland word bartholin latex 10fr 5cc 564000 rusc	270	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
dressing silverlon 4 x 10	270	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
endo stitch suture	272	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
endo stitch suture ussc 170052	272	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
endo stitch suture ussc 170053	272	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
endo stitch suture ussc 173023	272	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
guide pin 1.3 bayonet poitn 128039 s/n	272	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
immob shoulder women lg 784-03	270	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
immob shoulder women med 784-02	270	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
immob shoulder women xl 784-04	270	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
immobilizer shoulder mens small 0783-001-00 zimm	270	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
endo stitch suture 2-0 polysorb ussc 170055	272	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
invalid ring	270	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
lg fr 4.5 nut	278	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
immob shoulder men lg 783-03	270	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
immob shoulder men med 783-02	270	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
immob shoulder men xl 783-04	270	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
immobilizer shoulder	270	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
immobolizer shoulder xxl 9015-05	270	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
nut for 4.5mm cortex screw 7114-3045 s/n	278	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
shoulder immobilizer women sma 0784-001-00	270	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
para cervical block	270	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
s/n guide oin 1.3	272	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
s/n lg frag 4.5mm  screw nut 7114-3010	278	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
spinal-(re-usable) tray	270	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
stryker screw 4.0 canc	272	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
stryker screw 4.5 st cort	278	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
surgicel	622	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
tvi tool	270	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
word catheter	270	RC	Outpatient			76	49.4		90			Percent of total billed charges		68.4	40			Percent of total billed charges		30.4	80			Percent of total billed charges		60.8	90			Percent of total billed charges		68.4	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	85			Percent of total billed charges		64.6	100			Percent of total billed charges		76	100			Percent of total billed charges		76	100			Percent of total billed charges		76	33.3			Percent of total billed charges		25.308	33.3			Percent of total billed charges		25.308	100			Percent of total billed charges		76	25.308	68.4	
1.5mm cortical screw self tap mini hex 10mm 00-4815-010-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
1.5mm cortical screw self tap mini hex 11mm 00-4815-011-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
1.5mm cortical screw self tap mini hex 12mm 00-4815-012-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
1.5mm cortical screw self tap mini hex 14mm 00-4815-014-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
1.5mm cortical screw self tap mini hex 18mm 00-4815-018-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
1.5mm cortical screw self tap mini hex 22mm 00-4815-022-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
1.5mm cortical screw self tap mini hex 24mm 00-4815-024-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
1.5mm cortical screw self tap mini hex 9mm 00-4815-009-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
1.5mm cortical screw self-tap mini cruci 11mm 00-4815-011-03 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
1.5mm cortical screw self-tap mini cruci 12mm 00-4815-012-03 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
1.5mm cortical screw self-tap mini cruci 14mm 00-4815-014-03 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
1.5mm cortical screw self-tap mini cruci 16mm 00-4815-016-03 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
1.5mm cortical screw self-tap mini cruci 20mm 00-4815-020-03 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
1.5mm cortical screw self-tap mini cruci 22mm 00-4815-022-03 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.0mm cortical screw non self tap mini hex 28mm 00-4820-028-00 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.0mm cortical screw non self tap mini hex 40mm 00-4820-040-00 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.0mm cortical screw non self tap mini hex 44mm 00-4820-044-00 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.0mm cortical screw non self tap mini hex 46mm 00-4820-046-00 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.0mm cortical screw non self tap mini hex 48mm 00-4820-048-00 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.0mm cortical screw non self tap mini hex 50mm 00-4820-050-00 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.0mm cortical screw self tap mini cruc 28mm 00-4820-28-03 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.0mm cortical screw self tap mini cruc 34mm 00-4820-34-03 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.0mm cortical screw self tap mini cruc 38mm 00-4820-38-03 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.0mm cortical screw self tap mini cruc 42mm 00-4820-42-03 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.0mm cortical screw self tap mini cruc 44mm 00-4820-44-03 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.0mm cortical screw self tap mini cruc 46mm 00-4820-46-03 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.0mm cortical screw self tap mini cruc 48mm 00-4820-48-03 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.0mm cortical screw self tap mini hex 12mm 00-4820-012-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.0mm cortical screw self tap mini hex 20mm 00-4820-020-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.0mm cortical screw self tap mini hex 22mm 00-4820-022-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.0mm cortical screw self tap mini hex 30mm 00-4820-030-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.0mm cortical screw self tap mini hex 34mm 00-4820-034-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.0mm cortical screw self tap mini hex 36mm 00-4820-036-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.0mm cortical screw self tap mini hex 40mm 00-4820-040-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.0mm cortical screw self tap mini hex 44mm 00-4820-044-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.0mm cortical screw self tap mini hex 6mm 00-4820-006-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.0mm cortical screw self-tap mini cruci 10mm 00-4820-010-03 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.0mm cortical screw self-tap mini cruci 24mm 00-4820-024-03 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.0mm cortical screw self-tap mini cruci 8mm 00-4820-008-03 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.7mm cortical screw non self tap sm hex 26mm 00-4827-026-00 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.7mm cortical screw non self tap sm hex 34mm 00-4827-034-00 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.7mm cortical screw non self tap sm hex 38mm 00-4827-038-00 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.7mm cortical screw non self tap sm hex 40mm 00-4827-040-00 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.7mm cortical screw non self tap sm hex 50mm 00-4827-050-00 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.7mm cortical screw non self tap sm hex 55mm 00-4827-055-00 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.7mm cortical screw non self tap sm hex 60mm 00-4827-060-00 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.7mm cortical screw non self tap sm hex 65mm 00-4827-065-00 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.7mm cortical screw self tap sm hex 28mm 00-4827-028-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.7mm cortical screw self tap sm hex 36mm 00-4827-036-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.7mm cortical screw self tap sm hex 38mm 00-4827-038-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.7mm cortical screw self tap sm hex 45mm 00-4827-045-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.7mm cortical screw self tap sm hex 50mm 00-4827-050-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.7mm cortical screw self tap sm hex 55mm 00-4827-055-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.7mm cortical screw self tap sm hex 65mm 00-4827-065-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.7mm cortical screw self tap sm hex 70mm 00-4827-070-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.7mm cortical screw self tap small hex 14mm 00-4827-014-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.7mm cortical screw self tap small hex 6mm 00-4827-006-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.7mm cortical screw self tap small hex 8mm 00-4827-008-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
3.5mm cortical screw self-tap sm hex 100mm 00-4835-100-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
3.5mm cortical screw self-tap sm hex 105mm 00-4835-105-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
3.5mm cortical screw self-tap sm hex 125mm 00-4835-125-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
3.5mm cortical screw self-tap sm hex 60mm 00-4835-060-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
3.5mm cortical screw self-tap sm hex 65mm 00-4835-065-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
3.5mm cortical screw self-tap sm hex 70mm 00-4835-070-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
3.5mm cortical screw self-tap sm hex 75mm 00-4835-075-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
3.5mm cortical screw self-tap sm hex 90mm 00-4835-090-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
3.5mm cortical screw self-tap small hex 12mm 00-4835-012-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
3.5mm cortical screw self-tap small hex 14mm 00-4835-014-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
3.5mm cortical screw self-tap small hex 16mm 00-4835-016-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
3.5mm cortical screw self-tap small hex 22mm 00-4835-022-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
3.5mm cortical screw self-tap small hex 24mm 00-4835-024-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
3.5mm cortical screw self-tap small hex 28mm 00-4835-028-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
3.5mm cortical screw self-tap small hex 30mm 00-4835-030-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
3.5mm cortical screw self-tap small hex 32mm 00-4835-032-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
3.5mm cortical screw self-tap small hex 34mm 00-4835-034-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
3.5mm cortical screw self-tap small hex 36mm 00-4835-036-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
3.5mm cortical screw self-tap small hex 45mm 00-4835-045-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
3.5mm cortical screw sm hex 26mm 10mm thd 00-4835-026-04 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
3.5mm cortical screw sm hex 30mm 10mm thd 00-4835-030-04 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
3.5mm cortical screw sm hex 34mm 12mm thd 00-4835-034-04 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
3.5mm cortical screw sm hex 45mm 15mm thd 00-4835-045-04 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical screw self tap large hex 20mm 00-4845-020-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical screw self tap large hex 22mm 00-4845-022-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical screw self tap large hex 24mm 00-4845-024-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical screw self tap large hex 36mm 00-4845-036-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical screw self tap large hex 38mm 00-4845-038-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical screw self tap large hex 40mm 00-4845-040-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical screw self tap large hex 44mm 00-4845-044-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical screw self tap large hex 46mm 00-4845-046-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical screw self tap large hex 50mm 00-4845-050-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical screw self tap large hex 54mm 00-4845-054-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical screw self tap large hex 64mm 00-4845-064-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical screw self tap large hex 66mm 00-4845-066-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical screw self tap large hex 68mm 00-4845-068-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical screw self-tap large hex 100mm 00-4845-100-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical screw self-tap large hex 110mm 00-4845-110-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical screw self-tap large hex 115mm 00-4845-115-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical screw self-tap large hex 120mm 00-4845-120-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical screw self-tap large hex 125mm 00-4845-125-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical screw self-tap large hex 130mm 00-4845-130-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical screw self-tap large hex 135mm 00-4845-135-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical screw self-tap large hex 150mm 00-4845-150-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical screw self-tap large hex 155mm 00-4845-155-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical screw self-tap large hex 160mm 00-4845-160-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical screw self-tap large hex 76mm 00-4845-076-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical screw self-tap large hex 80mm 00-4845-080-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical screw self-tap large hex 85mm 00-4845-085-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical screw self-tap large hex 95mm 00-4845-095-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical screw self-tap lg hex 56mm 00-4845-056-04 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical screw self-tap lg hex 64mm 00-4845-064-04 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical screw self-tap lg hex 72mm 00-4845-072-04 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical screw self-tap lg hex 85mm 00-4845-085-04 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical screw self-tap lg hex 90mm 00-4845-090-04 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical screw self-tap lg hex 95mm 00-4845-095-04 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical shaft screw lg hex 22mm 12mm thd 00-4845-022-04 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical shaft screw lg hex 26mm 12mm thd 00-4845-026-04 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical shaft screw lg hex 38mm 12mm thd 00-4845-038-04 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical shaft screw lg hex 42mm 12mm thd 00-4845-042-04 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical shaft screw lg hex 44mm 12mm thd 00-4845-044-04 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical shaft screw lg hex 50mm 12mm thd 00-4845-050-04 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
ascension fixation pin pn0920051005 integra	272	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
crtx scrw 4.5 x 125mm 718060125 s/n	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
crtx scrw 4.5 x 72mm 71806072 s/n	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
crtx scrw 4.5 x 74mm 71806074 s/n	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
crtx scrw 4.5 x 76mm 71826076 s\n	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
crtx scrw 4.5 x 78mm 71826078 s\n	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
crtx scrw 4.5 x 80mm 71806080 s/n	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
crtx scrw 4.5 x 80mm 71826080 s\n	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
crtx scrw 4.5 x 85mm 71826085 s\n	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
crtx scrw 4.5 x 90mm 71806090 s/n	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
crtx scrw 4.5 x 90mm 71826090 s\n	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
1.5mm cortical screw self tap mini hex 16mm 00-4815-016-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
1.5mm cortical screw self tap mini hex 20mm 00-4815-020-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
1.5mm cortical screw self tap mini hex 6mm 00-4815-006-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
1.5mm cortical screw self tap mini hex 7mm 00-4815-007-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
1.5mm cortical screw self tap mini hex 8mm 00-4815-008-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
1.5mm cortical screw self-tap mini cruci 10mm 00-4815-010-03 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
1.5mm cortical screw self-tap mini cruci 18mm 00-4815-018-03 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
1.5mm cortical screw self-tap mini cruci 24mm 00-4815-024-03 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
1.5mm cortical screw self-tap mini cruci 6mm 00-4815-006-03 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
1.5mm cortical screw self-tap mini cruci 7mm 00-4815-007-03 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
1.5mm cortical screw self-tap mini cruci 8mm 00-4815-008-03 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
1.5mm cortical screw self-tap mini cruci 9mm 00-4815-009-03 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.0mm cortical screw non self tap mini hex 26mm 00-4820-026-00 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.0mm cortical screw non self tap mini hex 30mm 00-4820-030-00 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.0mm cortical screw non self tap mini hex 32mm 00-4820-032-00 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.0mm cortical screw non self tap mini hex 34mm 00-4820-034-00 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.0mm cortical screw non self tap mini hex 36mm 00-4820-036-00 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.0mm cortical screw non self tap mini hex 38mm 00-4820-038-00 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.0mm cortical screw non self tap mini hex 42mm 00-4820-042-00 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.0mm cortical screw self tap mini cruc 26mm 00-4820-26-03 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.0mm cortical screw self tap mini cruc 30mm 00-4820-30-03 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.0mm cortical screw self tap mini cruc 32mm 00-4820-32-03 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.0mm cortical screw self tap mini cruc 36mm 00-4820-36-03 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.0mm cortical screw self tap mini cruc 40mm 00-4820-40-03 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.0mm cortical screw self tap mini cruc 50mm 00-4820-50-03 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.0mm cortical screw self tap mini hex 10mm 00-4820-010-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.0mm cortical screw self tap mini hex 14mm 00-4820-014-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.0mm cortical screw self tap mini hex 16mm 00-4820-016-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.0mm cortical screw self tap mini hex 18mm 00-4820-018-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.0mm cortical screw self tap mini hex 24mm 00-4820-024-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.0mm cortical screw self tap mini hex 26mm 00-4820-026-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.0mm cortical screw self tap mini hex 28mm 00-4820-028-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.0mm cortical screw self tap mini hex 32mm 00-4820-032-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.0mm cortical screw self tap mini hex 38mm 00-4820-038-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.0mm cortical screw self tap mini hex 42mm 00-4820-042-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.0mm cortical screw self tap mini hex 46mm 00-4820-046-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.0mm cortical screw self tap mini hex 48mm 00-4820-048-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.0mm cortical screw self tap mini hex 50mm 00-4820-050-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.0mm cortical screw self tap mini hex 8mm 00-4820-008-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.0mm cortical screw self-tap mini cruci 12mm 00-4820-012-03 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.0mm cortical screw self-tap mini cruci 14mm 00-4820-014-03 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.0mm cortical screw self-tap mini cruci 16mm 00-4820-016-03 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.0mm cortical screw self-tap mini cruci 18mm 00-4820-018-03 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.0mm cortical screw self-tap mini cruci 20mm 00-4820-020-03 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.0mm cortical screw self-tap mini cruci 22mm 00-4820-022-03 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.0mm cortical screw self-tap mini cruci 6mm 00-4820-006-03 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.7mm cortical screw non self tap sm hex 28mm 00-4827-028-00 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.7mm cortical screw non self tap sm hex 30mm 00-4827-030-00 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.7mm cortical screw non self tap sm hex 32mm 00-4827-032-00 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.7mm cortical screw non self tap sm hex 36mm 00-4827-036-00 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.7mm cortical screw non self tap sm hex 45mm 00-4827-045-00 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.7mm cortical screw non self tap sm hex 70mm 00-4827-070-00 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.7mm cortical screw self tap sm hex 26mm 00-4827-026-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.7mm cortical screw self tap sm hex 30mm 00-4827-030-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.7mm cortical screw self tap sm hex 32mm 00-4827-032-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.7mm cortical screw self tap sm hex 34mm 00-4827-034-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.7mm cortical screw self tap sm hex 40mm 00-4827-040-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.7mm cortical screw self tap sm hex 60mm 00-4827-060-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.7mm cortical screw self tap small hex 10mm 00-4827-010-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.7mm cortical screw self tap small hex 12mm 00-4827-012-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.7mm cortical screw self tap small hex 16mm 00-4827-016-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.7mm cortical screw self tap small hex 18mm 00-4827-018-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.7mm cortical screw self tap small hex 20mm 00-4827-020-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.7mm cortical screw self tap small hex 22mm 00-4827-022-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
2.7mm cortical screw self tap small hex 24mm 00-4827-024-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
3.5mm cortical screw self-tap sm hex 110mm 00-4835-110-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
3.5mm cortical screw self-tap sm hex 115mm 00-4835-115-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
3.5mm cortical screw self-tap sm hex 120mm 00-4835-120-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
3.5mm cortical screw self-tap sm hex 130mm 00-4835-130-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
3.5mm cortical screw self-tap sm hex 135mm 00-4835-135-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
3.5mm cortical screw self-tap sm hex 140mm 00-4835-140-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
3.5mm cortical screw self-tap sm hex 145mm 00-4835-145-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
3.5mm cortical screw self-tap sm hex 150mm 00-4835-150-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
3.5mm cortical screw self-tap sm hex 55mm 00-4835-055-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
3.5mm cortical screw self-tap sm hex 80mm 00-4835-080-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
3.5mm cortical screw self-tap sm hex 85mm 00-4835-085-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
3.5mm cortical screw self-tap sm hex 95mm 00-4835-095-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
3.5mm cortical screw self-tap small hex 10mm 00-4835-010-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
3.5mm cortical screw self-tap small hex 18mm 00-4835-018-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
3.5mm cortical screw self-tap small hex 20mm 00-4835-020-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
3.5mm cortical screw self-tap small hex 26mm 00-4835-026-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
3.5mm cortical screw self-tap small hex 38mm 00-4835-038-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
3.5mm cortical screw self-tap small hex 40mm 00-4835-040-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
3.5mm cortical screw self-tap small hex 50mm 00-4835-050-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
3.5mm cortical screw sm hex 16mm 6mm thd 00-4835-016-04 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
3.5mm cortical screw sm hex 18mm 6mm thd 00-4835-018-04 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
3.5mm cortical screw sm hex 20mm 6mm thd 00-4835-020-04 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
3.5mm cortical screw sm hex 22mm 6mm thd 00-4835-022-04 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
3.5mm cortical screw sm hex 24mm 10mm thd 00-4835-024-04 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
3.5mm cortical screw sm hex 28mm 10mm thd 00-4835-028-04 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
3.5mm cortical screw sm hex 32mm 12mm thd 00-4835-032-04 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
3.5mm cortical screw sm hex 36mm 12mm thd 00-4835-036-04 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
3.5mm cortical screw sm hex 38mm 12mm thd 00-4835-038-04 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
3.5mm cortical screw sm hex 40mm 12mm thd 00-4835-040-04 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
3.5mm cortical screw sm hex 50mm 15mm thd 00-4835-050-04 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical screw self tap large hex 14mm 00-4845-014-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical screw self tap large hex 16mm 00-4845-016-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical screw self tap large hex 18mm 00-4845-018-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical screw self tap large hex 26mm 00-4845-026-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical screw self tap large hex 28mm 00-4845-028-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical screw self tap large hex 30mm 00-4845-030-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical screw self tap large hex 32mm 00-4845-032-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical screw self tap large hex 34mm 00-4845-034-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical screw self tap large hex 42mm 00-4845-042-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical screw self tap large hex 48mm 00-4845-048-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical screw self tap large hex 52mm 00-4845-052-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical screw self tap large hex 56mm 00-4845-056-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical screw self tap large hex 58mm 00-4845-058-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical screw self tap large hex 60mm 00-4845-060-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical screw self tap large hex 62mm 00-4845-062-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical screw self tap large hex 70mm 00-4845-070-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical screw self-tap large hex 105mm 00-4845-105-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical screw self-tap large hex 140mm 00-4845-140-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical screw self-tap large hex 145mm 00-4845-145-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical screw self-tap large hex 72mm 00-4845-072-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical screw self-tap large hex 90mm 00-4845-090-01 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical screw self-tap lg hex 100mm 00-4845-100-04 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical screw self-tap lg hex 52mm 00-4845-052-04 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical screw self-tap lg hex 54mm 00-4845-054-04 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical screw self-tap lg hex 58mm 00-4845-058-04 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical screw self-tap lg hex 60mm 00-4845-060-04 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical screw self-tap lg hex 68mm 00-4845-068-04 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical screw self-tap lg hex 76mm 00-4845-076-04 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical screw self-tap lg hex 80mm 00-4845-080-04 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical shaft screw lg hex 24mm 12mm thd 00-4845-024-04 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical shaft screw lg hex 28mm 12mm thd 00-4845-028-04 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical shaft screw lg hex 30mm 12mm thd 00-4845-030-04 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical shaft screw lg hex 32mm 12mm thd 00-4845-032-04 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical shaft screw lg hex 34mm 12mm thd 00-4845-034-04 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical shaft screw lg hex 36mm 12mm thd 00-4845-036-04 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical shaft screw lg hex 40mm 12mm thd 00-4845-040-04 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical shaft screw lg hex 46mm 12mm thd 00-4845-046-04 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
4.5mm cortical shaft screw lg hex 48mm 12mm thd 00-4845-048-04 zimmer	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
crtx scrw 4.5 x 100mm 718060100 s/n	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
crtx scrw 4.5 x 100mm 71826100 s\n	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
crtx scrw 4.5 x 105mm 718060105 s/n	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
crtx scrw 4.5 x 110mm 718060110 s/n	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
crtx scrw 4.5 x 115mm 718060115 s/n	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
crtx scrw 4.5 x 120mm 718060120 s/n	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
crtx scrw 4.5 x 130mm 718060130 s/n	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
crtx scrw 4.5 x 72mm 71826072 s\n	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
crtx scrw 4.5 x 74mm 71826074 s\n	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
crtx scrw 4.5 x 76mm 71806076 s/n	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
crtx scrw 4.5 x 78mm 71806078 s/n	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
crtx scrw 4.5 x 85mm 71806085 s/n	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
crtx scrw 4.5 x 95mm 71806095 s/n	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
crtx scrw 4.5 x 95mm 71826095 s\n	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
imp plate 3 hole 1/3 tubular 241.33	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
imp plate 4 hole 1/3 tubular 241.34	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
imp plate 6 hole 1/3 tubular 241.36	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
imp plate tub w/collar 1/3 10h 241.40	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
implant plate 1/3 tubular 2 hole 25mm 241.02 synthes	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
gelfoam medium	270	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
mepilex boarder 2 x 4	272	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
mepilex boarder ag 4 x 12 395990	272	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
imp plate 2 hole 1/3 tubular 241.32	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
imp plate 7 hole 1/3 tubular 241.37	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
imp plate tubular 1/3 8h 97mm 241.38	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
one-third tubular plate with collar 5 hole 241.35	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
one-third tubular plate with collar 9 hole 241.39	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
oximeter setup charge	270	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
s/n cannula flexible cleartrac 8 x 72 72200425	272	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
s/n cannula threaded flex 5.5 x 72mm 72200429	272	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
s/n cannula threaded flex 6.5 x 72mm 72200427	272	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
s/n cannula threaded flex 8.0 x 72mm 72200425	272	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
s/n cannula threaded flex 8.0 x 90mm 72200424	272	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
s/n thrd cannula	272	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
s/n 4.5 cort l-p scrw	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
sponge gelfoam sz50 st 32301	270	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
syn plate 1/3 tubular	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
tray bone marrow disp	270	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
v-loc 2-0 wound closure device 23 cm  covidien ref vlocn2145	272	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
zimmer 3.5 cortical screw 2348-18-35	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
zimmer 3.5 cortical screw 2348-20-35	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
zimmer 3.5 cortical screw 2348-24-35	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
zimmer 3.5 cortical screw 2348-26-35	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
zimmer 4.5 cortical self-tap screw 14mm 2319-15	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
zimmer 4.5 cortical self-tap screw 16mm 2319-17	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
zimmer 4.5 cortical self-tap screw 22mm 2319-23	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
zimmer 4.5 cortical self-tap screw 26mm 2319-27	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
zimmer 4.5 cortical self-tap screw 30mm 2319-31	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
zimmer 4.5 cortical self-tap screw 34mm 2319-35	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
zimmer 4.5 cortical self-tap screw 38mm 2319-39	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
zimmer 4.5 cortical self-tap screw 42mm 2319-43	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
zimmer 4.5 cortical self-tap screw 48mm 2319-49	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
zimmer 4.5 cortical self-tap screw 54mm 2319-55	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
zimmer 4.5 cortical self-tap screw 56mm 2319-57	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
zimmer 4.5 cortical self-tap screw 60mm 2319-61	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
zimm  cortical screw	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
zimmer 3.5 cortical screw 2348-28-35	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
zimmer 4.5 cortical self-tap screw 18mm 2319-19	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
zimmer 4.5 cortical self-tap screw 20mm 2319-21	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
zimmer 4.5 cortical self-tap screw 24mm 2319-25	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
zimmer 4.5 cortical self-tap screw 28mm 2319-29	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
zimmer 4.5 cortical self-tap screw 32mm 2319-33	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
zimmer 4.5 cortical self-tap screw 36mm 2319-37	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
zimmer 4.5 cortical self-tap screw 40mm 2319-41	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
zimmer 4.5 cortical self-tap screw 44mm 2319-45	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
zimmer 4.5 cortical self-tap screw 46mm 2319-47	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
zimmer 4.5 cortical self-tap screw 50mm 2319-51	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
zimmer 4.5 cortical self-tap screw 52mm 2319-53	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
zimmer 4.5 cortical self-tap screw 58mm 2319-59	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
zimmer 4.5 cortical self-tap screw 64mm 2319-65	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
zimmer 4.5 cortical self-tap screw 70mm 2319-71	278	RC	Outpatient			77	50.05		90			Percent of total billed charges		69.3	40			Percent of total billed charges		30.8	80			Percent of total billed charges		61.6	90			Percent of total billed charges		69.3	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	85			Percent of total billed charges		65.45	100			Percent of total billed charges		77	100			Percent of total billed charges		77	100			Percent of total billed charges		77	33.3			Percent of total billed charges		25.641	33.3			Percent of total billed charges		25.641	100			Percent of total billed charges		77	25.641	69.3	
1.8mm buttress pin 20mm 201.970 synthes	278	RC	Outpatient			78	50.7		90			Percent of total billed charges		70.2	40			Percent of total billed charges		31.2	80			Percent of total billed charges		62.4	90			Percent of total billed charges		70.2	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	100			Percent of total billed charges		78	100			Percent of total billed charges		78	100			Percent of total billed charges		78	33.3			Percent of total billed charges		25.974	33.3			Percent of total billed charges		25.974	100			Percent of total billed charges		78	25.974	70.2	
1.8mm buttress pin 22mm 201.972 synthes	278	RC	Outpatient			78	50.7		90			Percent of total billed charges		70.2	40			Percent of total billed charges		31.2	80			Percent of total billed charges		62.4	90			Percent of total billed charges		70.2	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	100			Percent of total billed charges		78	100			Percent of total billed charges		78	100			Percent of total billed charges		78	33.3			Percent of total billed charges		25.974	33.3			Percent of total billed charges		25.974	100			Percent of total billed charges		78	25.974	70.2	
1.8mm buttress pin 30mm 201.980 synthes	278	RC	Outpatient			78	50.7		90			Percent of total billed charges		70.2	40			Percent of total billed charges		31.2	80			Percent of total billed charges		62.4	90			Percent of total billed charges		70.2	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	100			Percent of total billed charges		78	100			Percent of total billed charges		78	100			Percent of total billed charges		78	33.3			Percent of total billed charges		25.974	33.3			Percent of total billed charges		25.974	100			Percent of total billed charges		78	25.974	70.2	
2.4mm cortex screw self-tapping 16mm 201.616 synthes	278	RC	Outpatient			78	50.7		90			Percent of total billed charges		70.2	40			Percent of total billed charges		31.2	80			Percent of total billed charges		62.4	90			Percent of total billed charges		70.2	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	100			Percent of total billed charges		78	100			Percent of total billed charges		78	100			Percent of total billed charges		78	33.3			Percent of total billed charges		25.974	33.3			Percent of total billed charges		25.974	100			Percent of total billed charges		78	25.974	70.2	
2.4mm cortex screw self-tapping 22mm 201.622 synthes	278	RC	Outpatient			78	50.7		90			Percent of total billed charges		70.2	40			Percent of total billed charges		31.2	80			Percent of total billed charges		62.4	90			Percent of total billed charges		70.2	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	100			Percent of total billed charges		78	100			Percent of total billed charges		78	100			Percent of total billed charges		78	33.3			Percent of total billed charges		25.974	33.3			Percent of total billed charges		25.974	100			Percent of total billed charges		78	25.974	70.2	
2.4mm cortex screw self-tapping 28mm 201.628 synthes	278	RC	Outpatient			78	50.7		90			Percent of total billed charges		70.2	40			Percent of total billed charges		31.2	80			Percent of total billed charges		62.4	90			Percent of total billed charges		70.2	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	100			Percent of total billed charges		78	100			Percent of total billed charges		78	100			Percent of total billed charges		78	33.3			Percent of total billed charges		25.974	33.3			Percent of total billed charges		25.974	100			Percent of total billed charges		78	25.974	70.2	
arthrotek 8 x45 meniscus repair cannula 905719 biomet sports med	272	RC	Outpatient			78	50.7		90			Percent of total billed charges		70.2	40			Percent of total billed charges		31.2	80			Percent of total billed charges		62.4	90			Percent of total billed charges		70.2	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	100			Percent of total billed charges		78	100			Percent of total billed charges		78	100			Percent of total billed charges		78	33.3			Percent of total billed charges		25.974	33.3			Percent of total billed charges		25.974	100			Percent of total billed charges		78	25.974	70.2	
arthrotek men rep cannula	272	RC	Outpatient			78	50.7		90			Percent of total billed charges		70.2	40			Percent of total billed charges		31.2	80			Percent of total billed charges		62.4	90			Percent of total billed charges		70.2	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	100			Percent of total billed charges		78	100			Percent of total billed charges		78	100			Percent of total billed charges		78	33.3			Percent of total billed charges		25.974	33.3			Percent of total billed charges		25.974	100			Percent of total billed charges		78	25.974	70.2	
1.8mm buttress pin 12mm 201.962 synthes	278	RC	Outpatient			78	50.7		90			Percent of total billed charges		70.2	40			Percent of total billed charges		31.2	80			Percent of total billed charges		62.4	90			Percent of total billed charges		70.2	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	100			Percent of total billed charges		78	100			Percent of total billed charges		78	100			Percent of total billed charges		78	33.3			Percent of total billed charges		25.974	33.3			Percent of total billed charges		25.974	100			Percent of total billed charges		78	25.974	70.2	
1.8mm buttress pin 14mm 201.964 synthes	278	RC	Outpatient			78	50.7		90			Percent of total billed charges		70.2	40			Percent of total billed charges		31.2	80			Percent of total billed charges		62.4	90			Percent of total billed charges		70.2	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	100			Percent of total billed charges		78	100			Percent of total billed charges		78	100			Percent of total billed charges		78	33.3			Percent of total billed charges		25.974	33.3			Percent of total billed charges		25.974	100			Percent of total billed charges		78	25.974	70.2	
1.8mm buttress pin 16mm 201.966 synthes	278	RC	Outpatient			78	50.7		90			Percent of total billed charges		70.2	40			Percent of total billed charges		31.2	80			Percent of total billed charges		62.4	90			Percent of total billed charges		70.2	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	100			Percent of total billed charges		78	100			Percent of total billed charges		78	100			Percent of total billed charges		78	33.3			Percent of total billed charges		25.974	33.3			Percent of total billed charges		25.974	100			Percent of total billed charges		78	25.974	70.2	
1.8mm buttress pin 18mm 201.968 synthes	278	RC	Outpatient			78	50.7		90			Percent of total billed charges		70.2	40			Percent of total billed charges		31.2	80			Percent of total billed charges		62.4	90			Percent of total billed charges		70.2	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	100			Percent of total billed charges		78	100			Percent of total billed charges		78	100			Percent of total billed charges		78	33.3			Percent of total billed charges		25.974	33.3			Percent of total billed charges		25.974	100			Percent of total billed charges		78	25.974	70.2	
1.8mm buttress pin 24mm 201.974 synthes	278	RC	Outpatient			78	50.7		90			Percent of total billed charges		70.2	40			Percent of total billed charges		31.2	80			Percent of total billed charges		62.4	90			Percent of total billed charges		70.2	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	100			Percent of total billed charges		78	100			Percent of total billed charges		78	100			Percent of total billed charges		78	33.3			Percent of total billed charges		25.974	33.3			Percent of total billed charges		25.974	100			Percent of total billed charges		78	25.974	70.2	
1.8mm buttress pin 26mm 201.976 synthes	278	RC	Outpatient			78	50.7		90			Percent of total billed charges		70.2	40			Percent of total billed charges		31.2	80			Percent of total billed charges		62.4	90			Percent of total billed charges		70.2	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	100			Percent of total billed charges		78	100			Percent of total billed charges		78	100			Percent of total billed charges		78	33.3			Percent of total billed charges		25.974	33.3			Percent of total billed charges		25.974	100			Percent of total billed charges		78	25.974	70.2	
1.8mm buttress pin 28mm 201.978 synthes	278	RC	Outpatient			78	50.7		90			Percent of total billed charges		70.2	40			Percent of total billed charges		31.2	80			Percent of total billed charges		62.4	90			Percent of total billed charges		70.2	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	100			Percent of total billed charges		78	100			Percent of total billed charges		78	100			Percent of total billed charges		78	33.3			Percent of total billed charges		25.974	33.3			Percent of total billed charges		25.974	100			Percent of total billed charges		78	25.974	70.2	
2.4mm cortex screw self-tapping 12mm 201.612 synthes	278	RC	Outpatient			78	50.7		90			Percent of total billed charges		70.2	40			Percent of total billed charges		31.2	80			Percent of total billed charges		62.4	90			Percent of total billed charges		70.2	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	100			Percent of total billed charges		78	100			Percent of total billed charges		78	100			Percent of total billed charges		78	33.3			Percent of total billed charges		25.974	33.3			Percent of total billed charges		25.974	100			Percent of total billed charges		78	25.974	70.2	
2.4mm cortex screw self-tapping 14mm 201.614 synthes	278	RC	Outpatient			78	50.7		90			Percent of total billed charges		70.2	40			Percent of total billed charges		31.2	80			Percent of total billed charges		62.4	90			Percent of total billed charges		70.2	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	100			Percent of total billed charges		78	100			Percent of total billed charges		78	100			Percent of total billed charges		78	33.3			Percent of total billed charges		25.974	33.3			Percent of total billed charges		25.974	100			Percent of total billed charges		78	25.974	70.2	
2.4mm cortex screw self-tapping 18mm 201.618 synthes	278	RC	Outpatient			78	50.7		90			Percent of total billed charges		70.2	40			Percent of total billed charges		31.2	80			Percent of total billed charges		62.4	90			Percent of total billed charges		70.2	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	100			Percent of total billed charges		78	100			Percent of total billed charges		78	100			Percent of total billed charges		78	33.3			Percent of total billed charges		25.974	33.3			Percent of total billed charges		25.974	100			Percent of total billed charges		78	25.974	70.2	
2.4mm cortex screw self-tapping 20mm 201.620 synthes	278	RC	Outpatient			78	50.7		90			Percent of total billed charges		70.2	40			Percent of total billed charges		31.2	80			Percent of total billed charges		62.4	90			Percent of total billed charges		70.2	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	100			Percent of total billed charges		78	100			Percent of total billed charges		78	100			Percent of total billed charges		78	33.3			Percent of total billed charges		25.974	33.3			Percent of total billed charges		25.974	100			Percent of total billed charges		78	25.974	70.2	
2.4mm cortex screw self-tapping 24mm 201.624 synthes	278	RC	Outpatient			78	50.7		90			Percent of total billed charges		70.2	40			Percent of total billed charges		31.2	80			Percent of total billed charges		62.4	90			Percent of total billed charges		70.2	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	100			Percent of total billed charges		78	100			Percent of total billed charges		78	100			Percent of total billed charges		78	33.3			Percent of total billed charges		25.974	33.3			Percent of total billed charges		25.974	100			Percent of total billed charges		78	25.974	70.2	
2.4mm cortex screw self-tapping 26mm 201.626 synthes	278	RC	Outpatient			78	50.7		90			Percent of total billed charges		70.2	40			Percent of total billed charges		31.2	80			Percent of total billed charges		62.4	90			Percent of total billed charges		70.2	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	100			Percent of total billed charges		78	100			Percent of total billed charges		78	100			Percent of total billed charges		78	33.3			Percent of total billed charges		25.974	33.3			Percent of total billed charges		25.974	100			Percent of total billed charges		78	25.974	70.2	
2.4mm cortex screw self-tapping 30mm 201.630 synthes	278	RC	Outpatient			78	50.7		90			Percent of total billed charges		70.2	40			Percent of total billed charges		31.2	80			Percent of total billed charges		62.4	90			Percent of total billed charges		70.2	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	100			Percent of total billed charges		78	100			Percent of total billed charges		78	100			Percent of total billed charges		78	33.3			Percent of total billed charges		25.974	33.3			Percent of total billed charges		25.974	100			Percent of total billed charges		78	25.974	70.2	
3.0mm threaded washer 219.89	278	RC	Outpatient			78	50.7		90			Percent of total billed charges		70.2	40			Percent of total billed charges		31.2	80			Percent of total billed charges		62.4	90			Percent of total billed charges		70.2	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	100			Percent of total billed charges		78	100			Percent of total billed charges		78	100			Percent of total billed charges		78	33.3			Percent of total billed charges		25.974	33.3			Percent of total billed charges		25.974	100			Percent of total billed charges		78	25.974	70.2	
3800076 application/splint-finger ed charge	270	RC	Outpatient			78	50.7		90			Percent of total billed charges		70.2	40			Percent of total billed charges		31.2	80			Percent of total billed charges		62.4	90			Percent of total billed charges		70.2	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	100			Percent of total billed charges		78	100			Percent of total billed charges		78	100			Percent of total billed charges		78	33.3			Percent of total billed charges		25.974	33.3			Percent of total billed charges		25.974	100			Percent of total billed charges		78	25.974	70.2	
buttress pins 1.8 x 30mm 201.980	278	RC	Outpatient			78	50.7		90			Percent of total billed charges		70.2	40			Percent of total billed charges		31.2	80			Percent of total billed charges		62.4	90			Percent of total billed charges		70.2	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	100			Percent of total billed charges		78	100			Percent of total billed charges		78	100			Percent of total billed charges		78	33.3			Percent of total billed charges		25.974	33.3			Percent of total billed charges		25.974	100			Percent of total billed charges		78	25.974	70.2	
disposable tourniquet 24 60-7075-104 zimmer	270	RC	Outpatient			78	50.7		90			Percent of total billed charges		70.2	40			Percent of total billed charges		31.2	80			Percent of total billed charges		62.4	90			Percent of total billed charges		70.2	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	100			Percent of total billed charges		78	100			Percent of total billed charges		78	100			Percent of total billed charges		78	33.3			Percent of total billed charges		25.974	33.3			Percent of total billed charges		25.974	100			Percent of total billed charges		78	25.974	70.2	
disposable tourniquet 30 60-7075-105 zimmer	270	RC	Outpatient			78	50.7		90			Percent of total billed charges		70.2	40			Percent of total billed charges		31.2	80			Percent of total billed charges		62.4	90			Percent of total billed charges		70.2	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	100			Percent of total billed charges		78	100			Percent of total billed charges		78	100			Percent of total billed charges		78	33.3			Percent of total billed charges		25.974	33.3			Percent of total billed charges		25.974	100			Percent of total billed charges		78	25.974	70.2	
disposable tourniquet 34 60-7075-106 zimmer	270	RC	Outpatient			78	50.7		90			Percent of total billed charges		70.2	40			Percent of total billed charges		31.2	80			Percent of total billed charges		62.4	90			Percent of total billed charges		70.2	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	100			Percent of total billed charges		78	100			Percent of total billed charges		78	100			Percent of total billed charges		78	33.3			Percent of total billed charges		25.974	33.3			Percent of total billed charges		25.974	100			Percent of total billed charges		78	25.974	70.2	
disposable tourniquet 8 60-7075-101 zimmer	270	RC	Outpatient			78	50.7		90			Percent of total billed charges		70.2	40			Percent of total billed charges		31.2	80			Percent of total billed charges		62.4	90			Percent of total billed charges		70.2	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	100			Percent of total billed charges		78	100			Percent of total billed charges		78	100			Percent of total billed charges		78	33.3			Percent of total billed charges		25.974	33.3			Percent of total billed charges		25.974	100			Percent of total billed charges		78	25.974	70.2	
disposable tourniquet 12 60-7075-102 zimmer	270	RC	Outpatient			78	50.7		90			Percent of total billed charges		70.2	40			Percent of total billed charges		31.2	80			Percent of total billed charges		62.4	90			Percent of total billed charges		70.2	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	100			Percent of total billed charges		78	100			Percent of total billed charges		78	100			Percent of total billed charges		78	33.3			Percent of total billed charges		25.974	33.3			Percent of total billed charges		25.974	100			Percent of total billed charges		78	25.974	70.2	
disposable tourniquet 18 60-7075-103 zimmer	270	RC	Outpatient			78	50.7		90			Percent of total billed charges		70.2	40			Percent of total billed charges		31.2	80			Percent of total billed charges		62.4	90			Percent of total billed charges		70.2	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	100			Percent of total billed charges		78	100			Percent of total billed charges		78	100			Percent of total billed charges		78	33.3			Percent of total billed charges		25.974	33.3			Percent of total billed charges		25.974	100			Percent of total billed charges		78	25.974	70.2	
disposable tourniquet 42 60-7075-107 zimmer	270	RC	Outpatient			78	50.7		90			Percent of total billed charges		70.2	40			Percent of total billed charges		31.2	80			Percent of total billed charges		62.4	90			Percent of total billed charges		70.2	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	100			Percent of total billed charges		78	100			Percent of total billed charges		78	100			Percent of total billed charges		78	33.3			Percent of total billed charges		25.974	33.3			Percent of total billed charges		25.974	100			Percent of total billed charges		78	25.974	70.2	
oximeter daily charge	270	RC	Outpatient			78	50.7		90			Percent of total billed charges		70.2	40			Percent of total billed charges		31.2	80			Percent of total billed charges		62.4	90			Percent of total billed charges		70.2	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	100			Percent of total billed charges		78	100			Percent of total billed charges		78	100			Percent of total billed charges		78	33.3			Percent of total billed charges		25.974	33.3			Percent of total billed charges		25.974	100			Percent of total billed charges		78	25.974	70.2	
ligation of digit	720	RC	Outpatient			78	50.7		90			Percent of total billed charges		70.2	40			Percent of total billed charges		31.2	80			Percent of total billed charges		62.4	90			Percent of total billed charges		70.2	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	100			Percent of total billed charges		78	100			Percent of total billed charges		78	100			Percent of total billed charges		78	33.3			Percent of total billed charges		25.974	33.3			Percent of total billed charges		25.974	100			Percent of total billed charges		78	25.974	70.2	
screw cortex 2.4 x 26mm 201.626	278	RC	Outpatient			78	50.7		90			Percent of total billed charges		70.2	40			Percent of total billed charges		31.2	80			Percent of total billed charges		62.4	90			Percent of total billed charges		70.2	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	100			Percent of total billed charges		78	100			Percent of total billed charges		78	100			Percent of total billed charges		78	33.3			Percent of total billed charges		25.974	33.3			Percent of total billed charges		25.974	100			Percent of total billed charges		78	25.974	70.2	
screw cortex 2.4 x 28mm 201.628	278	RC	Outpatient			78	50.7		90			Percent of total billed charges		70.2	40			Percent of total billed charges		31.2	80			Percent of total billed charges		62.4	90			Percent of total billed charges		70.2	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	100			Percent of total billed charges		78	100			Percent of total billed charges		78	100			Percent of total billed charges		78	33.3			Percent of total billed charges		25.974	33.3			Percent of total billed charges		25.974	100			Percent of total billed charges		78	25.974	70.2	
stapler skin 35w  pxw35 ethicon 25-3001	270	RC	Outpatient			78	50.7		90			Percent of total billed charges		70.2	40			Percent of total billed charges		31.2	80			Percent of total billed charges		62.4	90			Percent of total billed charges		70.2	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	100			Percent of total billed charges		78	100			Percent of total billed charges		78	100			Percent of total billed charges		78	33.3			Percent of total billed charges		25.974	33.3			Percent of total billed charges		25.974	100			Percent of total billed charges		78	25.974	70.2	
stapler skin mf prem 35w disp 059037	270	RC	Outpatient			78	50.7		90			Percent of total billed charges		70.2	40			Percent of total billed charges		31.2	80			Percent of total billed charges		62.4	90			Percent of total billed charges		70.2	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	100			Percent of total billed charges		78	100			Percent of total billed charges		78	100			Percent of total billed charges		78	33.3			Percent of total billed charges		25.974	33.3			Percent of total billed charges		25.974	100			Percent of total billed charges		78	25.974	70.2	
syn 1.8 buttress pin	278	RC	Outpatient			78	50.7		90			Percent of total billed charges		70.2	40			Percent of total billed charges		31.2	80			Percent of total billed charges		62.4	90			Percent of total billed charges		70.2	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	100			Percent of total billed charges		78	100			Percent of total billed charges		78	100			Percent of total billed charges		78	33.3			Percent of total billed charges		25.974	33.3			Percent of total billed charges		25.974	100			Percent of total billed charges		78	25.974	70.2	
rotatable disp snare	270	RC	Outpatient			78	50.7		90			Percent of total billed charges		70.2	40			Percent of total billed charges		31.2	80			Percent of total billed charges		62.4	90			Percent of total billed charges		70.2	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	100			Percent of total billed charges		78	100			Percent of total billed charges		78	100			Percent of total billed charges		78	33.3			Percent of total billed charges		25.974	33.3			Percent of total billed charges		25.974	100			Percent of total billed charges		78	25.974	70.2	
skin stapler 8886803712	270	RC	Outpatient			78	50.7		90			Percent of total billed charges		70.2	40			Percent of total billed charges		31.2	80			Percent of total billed charges		62.4	90			Percent of total billed charges		70.2	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	100			Percent of total billed charges		78	100			Percent of total billed charges		78	100			Percent of total billed charges		78	33.3			Percent of total billed charges		25.974	33.3			Percent of total billed charges		25.974	100			Percent of total billed charges		78	25.974	70.2	
staples skin	270	RC	Outpatient			78	50.7		90			Percent of total billed charges		70.2	40			Percent of total billed charges		31.2	80			Percent of total billed charges		62.4	90			Percent of total billed charges		70.2	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	100			Percent of total billed charges		78	100			Percent of total billed charges		78	100			Percent of total billed charges		78	33.3			Percent of total billed charges		25.974	33.3			Percent of total billed charges		25.974	100			Percent of total billed charges		78	25.974	70.2	
syn 2.4 cortex screw st	278	RC	Outpatient			78	50.7		90			Percent of total billed charges		70.2	40			Percent of total billed charges		31.2	80			Percent of total billed charges		62.4	90			Percent of total billed charges		70.2	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	100			Percent of total billed charges		78	100			Percent of total billed charges		78	100			Percent of total billed charges		78	33.3			Percent of total billed charges		25.974	33.3			Percent of total billed charges		25.974	100			Percent of total billed charges		78	25.974	70.2	
syn washer	278	RC	Outpatient			78	50.7		90			Percent of total billed charges		70.2	40			Percent of total billed charges		31.2	80			Percent of total billed charges		62.4	90			Percent of total billed charges		70.2	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	100			Percent of total billed charges		78	100			Percent of total billed charges		78	100			Percent of total billed charges		78	33.3			Percent of total billed charges		25.974	33.3			Percent of total billed charges		25.974	100			Percent of total billed charges		78	25.974	70.2	
tourniquet cuff disp	270	RC	Outpatient			78	50.7		90			Percent of total billed charges		70.2	40			Percent of total billed charges		31.2	80			Percent of total billed charges		62.4	90			Percent of total billed charges		70.2	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	100			Percent of total billed charges		78	100			Percent of total billed charges		78	100			Percent of total billed charges		78	33.3			Percent of total billed charges		25.974	33.3			Percent of total billed charges		25.974	100			Percent of total billed charges		78	25.974	70.2	
washer 13.0mm 219.99	278	RC	Outpatient			78	50.7		90			Percent of total billed charges		70.2	40			Percent of total billed charges		31.2	80			Percent of total billed charges		62.4	90			Percent of total billed charges		70.2	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	100			Percent of total billed charges		78	100			Percent of total billed charges		78	100			Percent of total billed charges		78	33.3			Percent of total billed charges		25.974	33.3			Percent of total billed charges		25.974	100			Percent of total billed charges		78	25.974	70.2	
washer 3.0 219.89	278	RC	Outpatient			78	50.7		90			Percent of total billed charges		70.2	40			Percent of total billed charges		31.2	80			Percent of total billed charges		62.4	90			Percent of total billed charges		70.2	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	100			Percent of total billed charges		78	100			Percent of total billed charges		78	100			Percent of total billed charges		78	33.3			Percent of total billed charges		25.974	33.3			Percent of total billed charges		25.974	100			Percent of total billed charges		78	25.974	70.2	
washer 4.5mmfor mini screws 219.97	278	RC	Outpatient			78	50.7		90			Percent of total billed charges		70.2	40			Percent of total billed charges		31.2	80			Percent of total billed charges		62.4	90			Percent of total billed charges		70.2	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	100			Percent of total billed charges		78	100			Percent of total billed charges		78	100			Percent of total billed charges		78	33.3			Percent of total billed charges		25.974	33.3			Percent of total billed charges		25.974	100			Percent of total billed charges		78	25.974	70.2	
washer 4.0 x 7.0mm 219.98	278	RC	Outpatient			78	50.7		90			Percent of total billed charges		70.2	40			Percent of total billed charges		31.2	80			Percent of total billed charges		62.4	90			Percent of total billed charges		70.2	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	100			Percent of total billed charges		78	100			Percent of total billed charges		78	100			Percent of total billed charges		78	33.3			Percent of total billed charges		25.974	33.3			Percent of total billed charges		25.974	100			Percent of total billed charges		78	25.974	70.2	
washer 7.0mm for small screws 219.98	278	RC	Outpatient			78	50.7		90			Percent of total billed charges		70.2	40			Percent of total billed charges		31.2	80			Percent of total billed charges		62.4	90			Percent of total billed charges		70.2	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	100			Percent of total billed charges		78	100			Percent of total billed charges		78	100			Percent of total billed charges		78	33.3			Percent of total billed charges		25.974	33.3			Percent of total billed charges		25.974	100			Percent of total billed charges		78	25.974	70.2	
washer spiked 8.0mm/3.2mm 219.93s synthes	278	RC	Outpatient			78	50.7		90			Percent of total billed charges		70.2	40			Percent of total billed charges		31.2	80			Percent of total billed charges		62.4	90			Percent of total billed charges		70.2	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	85			Percent of total billed charges		66.3	100			Percent of total billed charges		78	100			Percent of total billed charges		78	100			Percent of total billed charges		78	33.3			Percent of total billed charges		25.974	33.3			Percent of total billed charges		25.974	100			Percent of total billed charges		78	25.974	70.2	
6057-58 stylet	272	RC	Outpatient			79	51.35		90			Percent of total billed charges		71.1	40			Percent of total billed charges		31.6	80			Percent of total billed charges		63.2	90			Percent of total billed charges		71.1	85			Percent of total billed charges		67.15	85			Percent of total billed charges		67.15	85			Percent of total billed charges		67.15	100			Percent of total billed charges		79	100			Percent of total billed charges		79	100			Percent of total billed charges		79	33.3			Percent of total billed charges		26.307	33.3			Percent of total billed charges		26.307	100			Percent of total billed charges		79	26.307	71.1	
ace guidepin	270	RC	Outpatient			79	51.35		90			Percent of total billed charges		71.1	40			Percent of total billed charges		31.6	80			Percent of total billed charges		63.2	90			Percent of total billed charges		71.1	85			Percent of total billed charges		67.15	85			Percent of total billed charges		67.15	85			Percent of total billed charges		67.15	100			Percent of total billed charges		79	100			Percent of total billed charges		79	100			Percent of total billed charges		79	33.3			Percent of total billed charges		26.307	33.3			Percent of total billed charges		26.307	100			Percent of total billed charges		79	26.307	71.1	
3800054 remvl fb muscl/deep cmplx ed charge	450	RC	Outpatient			79	51.35		90			Percent of total billed charges		71.1	40			Percent of total billed charges		31.6	80			Percent of total billed charges		63.2	90			Percent of total billed charges		71.1	85			Percent of total billed charges		67.15	85			Percent of total billed charges		67.15	85			Percent of total billed charges		67.15	100			Percent of total billed charges		79	100			Percent of total billed charges		79	100			Percent of total billed charges		79	33.3			Percent of total billed charges		26.307	33.3			Percent of total billed charges		26.307	100			Percent of total billed charges		79	26.307	71.1	
bed acucair air therapy	270	RC	Outpatient			79	51.35		90			Percent of total billed charges		71.1	40			Percent of total billed charges		31.6	80			Percent of total billed charges		63.2	90			Percent of total billed charges		71.1	85			Percent of total billed charges		67.15	85			Percent of total billed charges		67.15	85			Percent of total billed charges		67.15	100			Percent of total billed charges		79	100			Percent of total billed charges		79	100			Percent of total billed charges		79	33.3			Percent of total billed charges		26.307	33.3			Percent of total billed charges		26.307	100			Percent of total billed charges		79	26.307	71.1	
foot elevator	270	RC	Outpatient			79	51.35		90			Percent of total billed charges		71.1	40			Percent of total billed charges		31.6	80			Percent of total billed charges		63.2	90			Percent of total billed charges		71.1	85			Percent of total billed charges		67.15	85			Percent of total billed charges		67.15	85			Percent of total billed charges		67.15	100			Percent of total billed charges		79	100			Percent of total billed charges		79	100			Percent of total billed charges		79	33.3			Percent of total billed charges		26.307	33.3			Percent of total billed charges		26.307	100			Percent of total billed charges		79	26.307	71.1	
guidepin 1.3	270	RC	Outpatient			79	51.35		90			Percent of total billed charges		71.1	40			Percent of total billed charges		31.6	80			Percent of total billed charges		63.2	90			Percent of total billed charges		71.1	85			Percent of total billed charges		67.15	85			Percent of total billed charges		67.15	85			Percent of total billed charges		67.15	100			Percent of total billed charges		79	100			Percent of total billed charges		79	100			Percent of total billed charges		79	33.3			Percent of total billed charges		26.307	33.3			Percent of total billed charges		26.307	100			Percent of total billed charges		79	26.307	71.1	
mt 6057-58 stylet	272	RC	Outpatient			79	51.35		90			Percent of total billed charges		71.1	40			Percent of total billed charges		31.6	80			Percent of total billed charges		63.2	90			Percent of total billed charges		71.1	85			Percent of total billed charges		67.15	85			Percent of total billed charges		67.15	85			Percent of total billed charges		67.15	100			Percent of total billed charges		79	100			Percent of total billed charges		79	100			Percent of total billed charges		79	33.3			Percent of total billed charges		26.307	33.3			Percent of total billed charges		26.307	100			Percent of total billed charges		79	26.307	71.1	
ocl splint 4	270	RC	Outpatient			79	51.35		90			Percent of total billed charges		71.1	40			Percent of total billed charges		31.6	80			Percent of total billed charges		63.2	90			Percent of total billed charges		71.1	85			Percent of total billed charges		67.15	85			Percent of total billed charges		67.15	85			Percent of total billed charges		67.15	100			Percent of total billed charges		79	100			Percent of total billed charges		79	100			Percent of total billed charges		79	33.3			Percent of total billed charges		26.307	33.3			Percent of total billed charges		26.307	100			Percent of total billed charges		79	26.307	71.1	
kit wound debridement system p 5150100	270	RC	Outpatient			79	51.35		90			Percent of total billed charges		71.1	40			Percent of total billed charges		31.6	80			Percent of total billed charges		63.2	90			Percent of total billed charges		71.1	85			Percent of total billed charges		67.15	85			Percent of total billed charges		67.15	85			Percent of total billed charges		67.15	100			Percent of total billed charges		79	100			Percent of total billed charges		79	100			Percent of total billed charges		79	33.3			Percent of total billed charges		26.307	33.3			Percent of total billed charges		26.307	100			Percent of total billed charges		79	26.307	71.1	
mt 6056m lead acc kit	272	RC	Outpatient			79	51.35		90			Percent of total billed charges		71.1	40			Percent of total billed charges		31.6	80			Percent of total billed charges		63.2	90			Percent of total billed charges		71.1	85			Percent of total billed charges		67.15	85			Percent of total billed charges		67.15	85			Percent of total billed charges		67.15	100			Percent of total billed charges		79	100			Percent of total billed charges		79	100			Percent of total billed charges		79	33.3			Percent of total billed charges		26.307	33.3			Percent of total billed charges		26.307	100			Percent of total billed charges		79	26.307	71.1	
pulsavac bone dbrdmnt tip	270	RC	Outpatient			79	51.35		90			Percent of total billed charges		71.1	40			Percent of total billed charges		31.6	80			Percent of total billed charges		63.2	90			Percent of total billed charges		71.1	85			Percent of total billed charges		67.15	85			Percent of total billed charges		67.15	85			Percent of total billed charges		67.15	100			Percent of total billed charges		79	100			Percent of total billed charges		79	100			Percent of total billed charges		79	33.3			Percent of total billed charges		26.307	33.3			Percent of total billed charges		26.307	100			Percent of total billed charges		79	26.307	71.1	
schantz screw	278	RC	Outpatient			79	51.35		90			Percent of total billed charges		71.1	40			Percent of total billed charges		31.6	80			Percent of total billed charges		63.2	90			Percent of total billed charges		71.1	85			Percent of total billed charges		67.15	85			Percent of total billed charges		67.15	85			Percent of total billed charges		67.15	100			Percent of total billed charges		79	100			Percent of total billed charges		79	100			Percent of total billed charges		79	33.3			Percent of total billed charges		26.307	33.3			Percent of total billed charges		26.307	100			Percent of total billed charges		79	26.307	71.1	
synthes wire driver	270	RC	Outpatient			79	51.35		90			Percent of total billed charges		71.1	40			Percent of total billed charges		31.6	80			Percent of total billed charges		63.2	90			Percent of total billed charges		71.1	85			Percent of total billed charges		67.15	85			Percent of total billed charges		67.15	85			Percent of total billed charges		67.15	100			Percent of total billed charges		79	100			Percent of total billed charges		79	100			Percent of total billed charges		79	33.3			Percent of total billed charges		26.307	33.3			Percent of total billed charges		26.307	100			Percent of total billed charges		79	26.307	71.1	
trocar kii opitcal access system 8mm c0q18 c0q19 applied med	272	RC	Outpatient			79	51.35		90			Percent of total billed charges		71.1	40			Percent of total billed charges		31.6	80			Percent of total billed charges		63.2	90			Percent of total billed charges		71.1	85			Percent of total billed charges		67.15	85			Percent of total billed charges		67.15	85			Percent of total billed charges		67.15	100			Percent of total billed charges		79	100			Percent of total billed charges		79	100			Percent of total billed charges		79	33.3			Percent of total billed charges		26.307	33.3			Percent of total billed charges		26.307	100			Percent of total billed charges		79	26.307	71.1	
tube shiley cuffed 3.0ped	272	RC	Outpatient			79	51.35		90			Percent of total billed charges		71.1	40			Percent of total billed charges		31.6	80			Percent of total billed charges		63.2	90			Percent of total billed charges		71.1	85			Percent of total billed charges		67.15	85			Percent of total billed charges		67.15	85			Percent of total billed charges		67.15	100			Percent of total billed charges		79	100			Percent of total billed charges		79	100			Percent of total billed charges		79	33.3			Percent of total billed charges		26.307	33.3			Percent of total billed charges		26.307	100			Percent of total billed charges		79	26.307	71.1	
vac del sys/palm vac6000	270	RC	Outpatient			79	51.35		90			Percent of total billed charges		71.1	40			Percent of total billed charges		31.6	80			Percent of total billed charges		63.2	90			Percent of total billed charges		71.1	85			Percent of total billed charges		67.15	85			Percent of total billed charges		67.15	85			Percent of total billed charges		67.15	100			Percent of total billed charges		79	100			Percent of total billed charges		79	100			Percent of total billed charges		79	33.3			Percent of total billed charges		26.307	33.3			Percent of total billed charges		26.307	100			Percent of total billed charges		79	26.307	71.1	
wire driver	270	RC	Outpatient			79	51.35		90			Percent of total billed charges		71.1	40			Percent of total billed charges		31.6	80			Percent of total billed charges		63.2	90			Percent of total billed charges		71.1	85			Percent of total billed charges		67.15	85			Percent of total billed charges		67.15	85			Percent of total billed charges		67.15	100			Percent of total billed charges		79	100			Percent of total billed charges		79	100			Percent of total billed charges		79	33.3			Percent of total billed charges		26.307	33.3			Percent of total billed charges		26.307	100			Percent of total billed charges		79	26.307	71.1	
trocar 8mm bladeless	272	RC	Outpatient			79	51.35		90			Percent of total billed charges		71.1	40			Percent of total billed charges		31.6	80			Percent of total billed charges		63.2	90			Percent of total billed charges		71.1	85			Percent of total billed charges		67.15	85			Percent of total billed charges		67.15	85			Percent of total billed charges		67.15	100			Percent of total billed charges		79	100			Percent of total billed charges		79	100			Percent of total billed charges		79	33.3			Percent of total billed charges		26.307	33.3			Percent of total billed charges		26.307	100			Percent of total billed charges		79	26.307	71.1	
18 g wire 01-1318	270	RC	Outpatient			80	52		90			Percent of total billed charges		72	40			Percent of total billed charges		32	80			Percent of total billed charges		64	90			Percent of total billed charges		72	85			Percent of total billed charges		68	85			Percent of total billed charges		68	85			Percent of total billed charges		68	100			Percent of total billed charges		80	100			Percent of total billed charges		80	100			Percent of total billed charges		80	33.3			Percent of total billed charges		26.64	33.3			Percent of total billed charges		26.64	100			Percent of total billed charges		80	26.64	72	
25g wire 01-0306	270	RC	Outpatient			80	52		90			Percent of total billed charges		72	40			Percent of total billed charges		32	80			Percent of total billed charges		64	90			Percent of total billed charges		72	85			Percent of total billed charges		68	85			Percent of total billed charges		68	85			Percent of total billed charges		68	100			Percent of total billed charges		80	100			Percent of total billed charges		80	100			Percent of total billed charges		80	33.3			Percent of total billed charges		26.64	33.3			Percent of total billed charges		26.64	100			Percent of total billed charges		80	26.64	72	
arthrex fiberwire #2 ar-7220	272	RC	Outpatient			80	52		90			Percent of total billed charges		72	40			Percent of total billed charges		32	80			Percent of total billed charges		64	90			Percent of total billed charges		72	85			Percent of total billed charges		68	85			Percent of total billed charges		68	85			Percent of total billed charges		68	100			Percent of total billed charges		80	100			Percent of total billed charges		80	100			Percent of total billed charges		80	33.3			Percent of total billed charges		26.64	33.3			Percent of total billed charges		26.64	100			Percent of total billed charges		80	26.64	72	
arthrex fiberwire 2-0 ar-7242	272	RC	Outpatient			80	52		90			Percent of total billed charges		72	40			Percent of total billed charges		32	80			Percent of total billed charges		64	90			Percent of total billed charges		72	85			Percent of total billed charges		68	85			Percent of total billed charges		68	85			Percent of total billed charges		68	100			Percent of total billed charges		80	100			Percent of total billed charges		80	100			Percent of total billed charges		80	33.3			Percent of total billed charges		26.64	33.3			Percent of total billed charges		26.64	100			Percent of total billed charges		80	26.64	72	
23 g wire 01-1323	270	RC	Outpatient			80	52		90			Percent of total billed charges		72	40			Percent of total billed charges		32	80			Percent of total billed charges		64	90			Percent of total billed charges		72	85			Percent of total billed charges		68	85			Percent of total billed charges		68	85			Percent of total billed charges		68	100			Percent of total billed charges		80	100			Percent of total billed charges		80	100			Percent of total billed charges		80	33.3			Percent of total billed charges		26.64	33.3			Percent of total billed charges		26.64	100			Percent of total billed charges		80	26.64	72	
arthrex fiberwire #2 ar-7200	272	RC	Outpatient			80	52		90			Percent of total billed charges		72	40			Percent of total billed charges		32	80			Percent of total billed charges		64	90			Percent of total billed charges		72	85			Percent of total billed charges		68	85			Percent of total billed charges		68	85			Percent of total billed charges		68	100			Percent of total billed charges		80	100			Percent of total billed charges		80	100			Percent of total billed charges		80	33.3			Percent of total billed charges		26.64	33.3			Percent of total billed charges		26.64	100			Percent of total billed charges		80	26.64	72	
blade saw gigli stainless steel 12  21-0482 s/n	270	RC	Outpatient			80	52		90			Percent of total billed charges		72	40			Percent of total billed charges		32	80			Percent of total billed charges		64	90			Percent of total billed charges		72	85			Percent of total billed charges		68	85			Percent of total billed charges		68	85			Percent of total billed charges		68	100			Percent of total billed charges		80	100			Percent of total billed charges		80	100			Percent of total billed charges		80	33.3			Percent of total billed charges		26.64	33.3			Percent of total billed charges		26.64	100			Percent of total billed charges		80	26.64	72	
blade saw spiral gigli 12in 210482	270	RC	Outpatient			80	52		90			Percent of total billed charges		72	40			Percent of total billed charges		32	80			Percent of total billed charges		64	90			Percent of total billed charges		72	85			Percent of total billed charges		68	85			Percent of total billed charges		68	85			Percent of total billed charges		68	100			Percent of total billed charges		80	100			Percent of total billed charges		80	100			Percent of total billed charges		80	33.3			Percent of total billed charges		26.64	33.3			Percent of total billed charges		26.64	100			Percent of total billed charges		80	26.64	72	
cast cutter arm short	270	RC	Outpatient			80	52		90			Percent of total billed charges		72	40			Percent of total billed charges		32	80			Percent of total billed charges		64	90			Percent of total billed charges		72	85			Percent of total billed charges		68	85			Percent of total billed charges		68	85			Percent of total billed charges		68	100			Percent of total billed charges		80	100			Percent of total billed charges		80	100			Percent of total billed charges		80	33.3			Percent of total billed charges		26.64	33.3			Percent of total billed charges		26.64	100			Percent of total billed charges		80	26.64	72	
"cast, sugar tong, adult"	270	RC	Outpatient			80	52		90			Percent of total billed charges		72	40			Percent of total billed charges		32	80			Percent of total billed charges		64	90			Percent of total billed charges		72	85			Percent of total billed charges		68	85			Percent of total billed charges		68	85			Percent of total billed charges		68	100			Percent of total billed charges		80	100			Percent of total billed charges		80	100			Percent of total billed charges		80	33.3			Percent of total billed charges		26.64	33.3			Percent of total billed charges		26.64	100			Percent of total billed charges		80	26.64	72	
dental wire	270	RC	Outpatient			80	52		90			Percent of total billed charges		72	40			Percent of total billed charges		32	80			Percent of total billed charges		64	90			Percent of total billed charges		72	85			Percent of total billed charges		68	85			Percent of total billed charges		68	85			Percent of total billed charges		68	100			Percent of total billed charges		80	100			Percent of total billed charges		80	100			Percent of total billed charges		80	33.3			Percent of total billed charges		26.64	33.3			Percent of total billed charges		26.64	100			Percent of total billed charges		80	26.64	72	
duravent m.e. tubes	270	RC	Outpatient			80	52		90			Percent of total billed charges		72	40			Percent of total billed charges		32	80			Percent of total billed charges		64	90			Percent of total billed charges		72	85			Percent of total billed charges		68	85			Percent of total billed charges		68	85			Percent of total billed charges		68	100			Percent of total billed charges		80	100			Percent of total billed charges		80	100			Percent of total billed charges		80	33.3			Percent of total billed charges		26.64	33.3			Percent of total billed charges		26.64	100			Percent of total billed charges		80	26.64	72	
fiberwire #2	272	RC	Outpatient			80	52		90			Percent of total billed charges		72	40			Percent of total billed charges		32	80			Percent of total billed charges		64	90			Percent of total billed charges		72	85			Percent of total billed charges		68	85			Percent of total billed charges		68	85			Percent of total billed charges		68	100			Percent of total billed charges		80	100			Percent of total billed charges		80	100			Percent of total billed charges		80	33.3			Percent of total billed charges		26.64	33.3			Percent of total billed charges		26.64	100			Percent of total billed charges		80	26.64	72	
gigli saw blades	270	RC	Outpatient			80	52		90			Percent of total billed charges		72	40			Percent of total billed charges		32	80			Percent of total billed charges		64	90			Percent of total billed charges		72	85			Percent of total billed charges		68	85			Percent of total billed charges		68	85			Percent of total billed charges		68	100			Percent of total billed charges		80	100			Percent of total billed charges		80	100			Percent of total billed charges		80	33.3			Percent of total billed charges		26.64	33.3			Percent of total billed charges		26.64	100			Percent of total billed charges		80	26.64	72	
hip positioner	270	RC	Outpatient			80	52		90			Percent of total billed charges		72	40			Percent of total billed charges		32	80			Percent of total billed charges		64	90			Percent of total billed charges		72	85			Percent of total billed charges		68	85			Percent of total billed charges		68	85			Percent of total billed charges		68	100			Percent of total billed charges		80	100			Percent of total billed charges		80	100			Percent of total billed charges		80	33.3			Percent of total billed charges		26.64	33.3			Percent of total billed charges		26.64	100			Percent of total billed charges		80	26.64	72	
dermabond	272	RC	Outpatient			80	52		90			Percent of total billed charges		72	40			Percent of total billed charges		32	80			Percent of total billed charges		64	90			Percent of total billed charges		72	85			Percent of total billed charges		68	85			Percent of total billed charges		68	85			Percent of total billed charges		68	100			Percent of total billed charges		80	100			Percent of total billed charges		80	100			Percent of total billed charges		80	33.3			Percent of total billed charges		26.64	33.3			Percent of total billed charges		26.64	100			Percent of total billed charges		80	26.64	72	
mark ii hip positioner	270	RC	Outpatient			80	52		90			Percent of total billed charges		72	40			Percent of total billed charges		32	80			Percent of total billed charges		64	90			Percent of total billed charges		72	85			Percent of total billed charges		68	85			Percent of total billed charges		68	85			Percent of total billed charges		68	100			Percent of total billed charges		80	100			Percent of total billed charges		80	100			Percent of total billed charges		80	33.3			Percent of total billed charges		26.64	33.3			Percent of total billed charges		26.64	100			Percent of total billed charges		80	26.64	72	
industrial specimen coll	270	RC	Outpatient			80	52		90			Percent of total billed charges		72	40			Percent of total billed charges		32	80			Percent of total billed charges		64	90			Percent of total billed charges		72	85			Percent of total billed charges		68	85			Percent of total billed charges		68	85			Percent of total billed charges		68	100			Percent of total billed charges		80	100			Percent of total billed charges		80	100			Percent of total billed charges		80	33.3			Percent of total billed charges		26.64	33.3			Percent of total billed charges		26.64	100			Percent of total billed charges		80	26.64	72	
j&j cement pressurizer	270	RC	Outpatient			80	52		90			Percent of total billed charges		72	40			Percent of total billed charges		32	80			Percent of total billed charges		64	90			Percent of total billed charges		72	85			Percent of total billed charges		68	85			Percent of total billed charges		68	85			Percent of total billed charges		68	100			Percent of total billed charges		80	100			Percent of total billed charges		80	100			Percent of total billed charges		80	33.3			Percent of total billed charges		26.64	33.3			Percent of total billed charges		26.64	100			Percent of total billed charges		80	26.64	72	
silverlon dsg 4 x 10	272	RC	Outpatient			80	52		90			Percent of total billed charges		72	40			Percent of total billed charges		32	80			Percent of total billed charges		64	90			Percent of total billed charges		72	85			Percent of total billed charges		68	85			Percent of total billed charges		68	85			Percent of total billed charges		68	100			Percent of total billed charges		80	100			Percent of total billed charges		80	100			Percent of total billed charges		80	33.3			Percent of total billed charges		26.64	33.3			Percent of total billed charges		26.64	100			Percent of total billed charges		80	26.64	72	
silverlon island dressing 4 x 10 id-410 argentum med	272	RC	Outpatient			80	52		90			Percent of total billed charges		72	40			Percent of total billed charges		32	80			Percent of total billed charges		64	90			Percent of total billed charges		72	85			Percent of total billed charges		68	85			Percent of total billed charges		68	85			Percent of total billed charges		68	100			Percent of total billed charges		80	100			Percent of total billed charges		80	100			Percent of total billed charges		80	33.3			Percent of total billed charges		26.64	33.3			Percent of total billed charges		26.64	100			Percent of total billed charges		80	26.64	72	
suture passer	270	RC	Outpatient			80	52		90			Percent of total billed charges		72	40			Percent of total billed charges		32	80			Percent of total billed charges		64	90			Percent of total billed charges		72	85			Percent of total billed charges		68	85			Percent of total billed charges		68	85			Percent of total billed charges		68	100			Percent of total billed charges		80	100			Percent of total billed charges		80	100			Percent of total billed charges		80	33.3			Percent of total billed charges		26.64	33.3			Percent of total billed charges		26.64	100			Percent of total billed charges		80	26.64	72	
trocar 5mm fios optical	272	RC	Outpatient			80	52		90			Percent of total billed charges		72	40			Percent of total billed charges		32	80			Percent of total billed charges		64	90			Percent of total billed charges		72	85			Percent of total billed charges		68	85			Percent of total billed charges		68	85			Percent of total billed charges		68	100			Percent of total billed charges		80	100			Percent of total billed charges		80	100			Percent of total billed charges		80	33.3			Percent of total billed charges		26.64	33.3			Percent of total billed charges		26.64	100			Percent of total billed charges		80	26.64	72	
trocar 5mm x 150mm	272	RC	Outpatient			80	52		90			Percent of total billed charges		72	40			Percent of total billed charges		32	80			Percent of total billed charges		64	90			Percent of total billed charges		72	85			Percent of total billed charges		68	85			Percent of total billed charges		68	85			Percent of total billed charges		68	100			Percent of total billed charges		80	100			Percent of total billed charges		80	100			Percent of total billed charges		80	33.3			Percent of total billed charges		26.64	33.3			Percent of total billed charges		26.64	100			Percent of total billed charges		80	26.64	72	
trocar kii fios optical handled 5mm cfi04 ctf04  applied med	272	RC	Outpatient			80	52		90			Percent of total billed charges		72	40			Percent of total billed charges		32	80			Percent of total billed charges		64	90			Percent of total billed charges		72	85			Percent of total billed charges		68	85			Percent of total billed charges		68	85			Percent of total billed charges		68	100			Percent of total billed charges		80	100			Percent of total billed charges		80	100			Percent of total billed charges		80	33.3			Percent of total billed charges		26.64	33.3			Percent of total billed charges		26.64	100			Percent of total billed charges		80	26.64	72	
trocar non-blade handle 5mm x 150mm cfi02 ctf01 applied med	272	RC	Outpatient			80	52		90			Percent of total billed charges		72	40			Percent of total billed charges		32	80			Percent of total billed charges		64	90			Percent of total billed charges		72	85			Percent of total billed charges		68	85			Percent of total billed charges		68	85			Percent of total billed charges		68	100			Percent of total billed charges		80	100			Percent of total billed charges		80	100			Percent of total billed charges		80	33.3			Percent of total billed charges		26.64	33.3			Percent of total billed charges		26.64	100			Percent of total billed charges		80	26.64	72	
trocar optical with balloon 5 x 100 c150mm c0q53 c0q02 cfb01 applied med	272	RC	Outpatient			80	52		90			Percent of total billed charges		72	40			Percent of total billed charges		32	80			Percent of total billed charges		64	90			Percent of total billed charges		72	85			Percent of total billed charges		68	85			Percent of total billed charges		68	85			Percent of total billed charges		68	100			Percent of total billed charges		80	100			Percent of total billed charges		80	100			Percent of total billed charges		80	33.3			Percent of total billed charges		26.64	33.3			Percent of total billed charges		26.64	100			Percent of total billed charges		80	26.64	72	
wrap cold soft shoulder	270	RC	Outpatient			80	52		90			Percent of total billed charges		72	40			Percent of total billed charges		32	80			Percent of total billed charges		64	90			Percent of total billed charges		72	85			Percent of total billed charges		68	85			Percent of total billed charges		68	85			Percent of total billed charges		68	100			Percent of total billed charges		80	100			Percent of total billed charges		80	100			Percent of total billed charges		80	33.3			Percent of total billed charges		26.64	33.3			Percent of total billed charges		26.64	100			Percent of total billed charges		80	26.64	72	
trocar optical with balloon 5 x 100 cfr03 applied	272	RC	Outpatient			80	52		90			Percent of total billed charges		72	40			Percent of total billed charges		32	80			Percent of total billed charges		64	90			Percent of total billed charges		72	85			Percent of total billed charges		68	85			Percent of total billed charges		68	85			Percent of total billed charges		68	100			Percent of total billed charges		80	100			Percent of total billed charges		80	100			Percent of total billed charges		80	33.3			Percent of total billed charges		26.64	33.3			Percent of total billed charges		26.64	100			Percent of total billed charges		80	26.64	72	
wire 24ga	270	RC	Outpatient			80	52		90			Percent of total billed charges		72	40			Percent of total billed charges		32	80			Percent of total billed charges		64	90			Percent of total billed charges		72	85			Percent of total billed charges		68	85			Percent of total billed charges		68	85			Percent of total billed charges		68	100			Percent of total billed charges		80	100			Percent of total billed charges		80	100			Percent of total billed charges		80	33.3			Percent of total billed charges		26.64	33.3			Percent of total billed charges		26.64	100			Percent of total billed charges		80	26.64	72	
wrap cold soft shoulder 2 inserts ss-2 active ice	270	RC	Outpatient			80	52		90			Percent of total billed charges		72	40			Percent of total billed charges		32	80			Percent of total billed charges		64	90			Percent of total billed charges		72	85			Percent of total billed charges		68	85			Percent of total billed charges		68	85			Percent of total billed charges		68	100			Percent of total billed charges		80	100			Percent of total billed charges		80	100			Percent of total billed charges		80	33.3			Percent of total billed charges		26.64	33.3			Percent of total billed charges		26.64	100			Percent of total billed charges		80	26.64	72	
1.5 tit cortex screw 10mm 400.740 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
1.5 tit cortex screw 12mm 400.742 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
1.5 tit cortex screw 14mm 400.744 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
1.5 tit cortex screw 4mm 400.734 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
1.5mm  cortex screw 24mm 200.824 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
1.5mm  cortex screw 9mm 200.809 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
1.5mm cortex screw 10mm 200.810 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
1.5mm cortex screw 14mm 200.014 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
1.5mm cortex screw 18mm 200.018 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
1.5mm cortex screw 22mm 200.822 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
1.5mm cortex screw 7mm 200.007 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
1.5mm cortex screw 8mm 200.008 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
1.5mm cortex screw 8mm 200.808 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
1.5mm cortex screw 9mm 200.009 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.0 tit cortex screw 16mm 401.86 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.0 tit cortex screw 18mm 401.88 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.0 tit cortex screw 8mm 401.158 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.0 titan cortex screw 4mm 401.154 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.0 titan cortex screw 6mm 401.156 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.0mm  cortex screw 14mm 201-814 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.0mm  cortex screw 20mm 201-820 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.0mm  cortex screw 22mm 201-822 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.0mm  cortex screw 24mm 201-824 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.0mm  cortex screw 38mm 201-838 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.0mm cortex screw 12mm 201-012 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.0mm cortex screw 16mm 201-816 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.0mm cortex screw 18mm 201.018 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.0mm cortex screw 30mm 201-830 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.0mm cortex screw 32mm 201-023 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.0mm cortex screw 36mm 201-036 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.0mm cortex screw 36mm 201-836 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.0mm cortex screw 38mm 201-038 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.0mm cortex screw 42mm 201-042 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.0mm cortex screw 46mm 201-046 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.0mm cortex screw 8mm 201-008 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.7mm cortex screw 16mm 202.016 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.7mm cortex screw 24mm 202.024 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.7mm cortex screw 28mm 202.028 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.7mm cortex screw 30mm 202.030 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.7mm cortex screw 34mm 202.034 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.7mm cortex screw 38mm 202.038 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.7mm cortex screw 40mm 202.040 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.7mm cortex screw 50mm 202.050 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.7mm self tapping cortex screw 10mm 202.810 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.7mm self tapping cortex screw 12mm 202.812 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.7mm self tapping cortex screw 18mm 202.818 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.7mm self tapping cortex screw 22mm 202.822 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.7mm self tapping cortex screw 24mm 202.824 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.7mm self tapping cortex screw 32mm 202.832 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.7mm self tapping cortex screw 34mm 202.834 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.7mm self tapping cortex screw 36mm 202.836 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.7mm self tapping cortex screw 38mm 202.838 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.7mm self tapping cortex screw 40mm 202.840 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.7mm self tapping cortex screw 55mm 202.855 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.7mm self tapping cortex screw 6mm 202.806 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.7mm self tapping cortex screw 8mm 202.808 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
3.5mm cortex  screw 34mm 204.034	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
3.5mm cortex screw 110mm 204.110	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
3.5mm cortex screw 120mm 204.120	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
3.5mm cortex screw 26mm 204.026	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
3.5mm cortex screw 32mm 204.032	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
3.5mm cortex screw 36mm 204.036	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
3.5mm cortex screw 38mm 204.038	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
3.5mm cortex screw 45mm 204.045	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
3.5mm cortex screw 50mm 204.050	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
3.5mm cortex screw 60mm 204.060	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
3.5mm cortex screw 65mm 204.065	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
3.5mm cortex screw 80mm 204.080	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
3.5mm cortex screw 90mm 204.090	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
3.5mm cortex screw 95mm 204.095	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
3.5mm pelvic cortex screws self tapping 110mm 204.710	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
3.5mm pelvic cortex screws self tapping 115mm 204.715	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
3.5mm pelvic cortex screws self tapping 125mm 204.725	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
3.5mm pelvic cortex screws self tapping 40mm 204.640	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
3.5mm pelvic cortex screws self tapping 55mm 204.655	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
3.5mm pelvic cortex screws self tapping 60mm 204.660	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
3.5mm pelvic cortex screws self tapping 70mm 204.670	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
3.5mm pelvic cortex screws self tapping 75mm 204.675	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
3.5mm pelvic cortex screws self tapping 95mm 204.695	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
3.5mm shaft screws 16mm 204.216	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
3.5mm shaft screws 18mm 204.218	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
3.5mm shaft screws 20mm 204.220	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
3.5mm shaft screws 24mm 204.224	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
3.5mm shaft screws 26mm 204.226	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
3.5mm shaft screws 28mm 204.228	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
3.5mm shaft screws 45mm 204.245	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
3.5mm shaft screws 50mm 204.250	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
4.5mm cortex screw 70mm 214.70 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
cast arm short	270	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
chest drain valve heimlic	270	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
cortical screw 1.5mmx11mm 200.011	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
1.5 tit cortex screw 18mm 400.748 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
1.5 tit cortex screw 6mm 400.736 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
1.5 tit cortex screw 8mm 400.738 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
1.5mm  cortex screw 14mm 200.814 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
1.5mm  cortex screw 18mm 200.818 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
1.5mm cortex screw 10mm 200.010	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
1.5mm cortex screw 11mm 200.811 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
1.5mm cortex screw 12mm 200.012 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
1.5mm cortex screw 12mm 200.812 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
1.5mm cortex screw 16mm 200.016 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
1.5mm cortex screw 16mm 200.816 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
1.5mm cortex screw 20mm 200.020 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
1.5mm cortex screw 20mm 200.820 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
1.5mm cortex screw 6mm 200.006 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
1.5mm cortex screw 6mm 200.806 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
1.5mm cortex screw 7mm 200.807 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.0 tit cortex screw 10mm 401.010 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.0 tit cortex screw 10mm 401.80 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.0 tit cortex screw 12mm 401.82 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.0 tit cortex screw 14mm 401.84 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.0mm  cortex screw 10mm 201-810 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.0mm  cortex screw 12mm 201-812 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.0mm  cortex screw 18mm 201-818 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.0mm  cortex screw 26mm 201-826 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.0mm  cortex screw 28mm 201-828 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.0mm  cortex screw 32mm 201-832 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.0mm  cortex screw 34mm 201-834 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.0mm  cortex screw 6mm 201-806 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.0mm  cortex screw 8mm 201-808 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.0mm cortex screw 14mm 201-014 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.0mm cortex screw 16mm 201-016 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.0mm cortex screw 20mm 201-020 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.0mm cortex screw 22mm 201-022 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.0mm cortex screw 24mm 201-024 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.0mm cortex screw 26mm 201-026 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.0mm cortex screw 28mm 201-028 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.0mm cortex screw 30mm 201-030 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.0mm cortex screw 34mm 201-034 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.0mm cortex screw 40mm 201-040 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.0mm cortex screw 44mm 201-044 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.0mm cortex screw 6mm 201-006 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.7mm cortex screw 10mm 202.010 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.7mm cortex screw 22mm 202.022 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.7mm cortex screw 26mm 202.026 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.7mm cortex screw 32mm 202.032 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.7mm cortex screw 36mm 202.036 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.7mm cortex screw 45mm 202.045 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.7mm cortex screw 55mm 202.055 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.7mm cortex screw 6mm 202.006 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.7mm cortex screw 8mm 202.008 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.7mm self tapping cortex screw 14mm 202.814 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.7mm self tapping cortex screw 16mm 202.816 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.7mm self tapping cortex screw 20mm 202.820 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.7mm self tapping cortex screw 26mm 202.826 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.7mm self tapping cortex screw 28mm 202.828 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.7mm self tapping cortex screw 30mm 202.830 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.7mm self tapping cortex screw 45mm 202.845 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
2.7mm self tapping cortex screw 50mm 202.850 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
3.5mm cortex screw 100mm 204.100	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
3.5mm cortex screw 105mm 204.105	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
3.5mm cortex screw 115mm 204.115	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
3.5mm cortex screw 22mm 204.022	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
3.5mm cortex screw 24mm 204.024	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
3.5mm cortex screw 30mm 204.030	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
3.5mm cortex screw 40mm 204.040	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
3.5mm cortex screw 55mm 204.055	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
3.5mm cortex screw 70mm 204.070	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
3.5mm cortex screw 75mm 204.75	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
3.5mm cortex screw 85mm 204.085	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
3.5mm pelvic cortex screws self tapping 100mm 204.700	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
3.5mm pelvic cortex screws self tapping 105mm 204.705	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
3.5mm pelvic cortex screws self tapping 120mm 204.720	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
3.5mm pelvic cortex screws self tapping 130mm 204.730	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
3.5mm pelvic cortex screws self tapping 45mm 204.645	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
3.5mm pelvic cortex screws self tapping 50mm 204.650	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
3.5mm pelvic cortex screws self tapping 65mm 204.665	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
3.5mm pelvic cortex screws self tapping 80mm 204.680	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
3.5mm pelvic cortex screws self tapping 85mm 204.685	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
3.5mm pelvic cortex screws self tapping 90mm 204.690	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
3.5mm shaft screws 22mm 204.222	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
3.5mm shaft screws 30mm 204.230	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
3.5mm shaft screws 32mm 204.232	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
3.5mm shaft screws 34mm 204.234	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
3.5mm shaft screws 36mm 204.236	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
3.5mm shaft screws 38mm 204.238	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
3.5mm shaft screws 40mm 204.240	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
imp screw cortex 2.7mm x 14mm 202.014	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
imp screw cortex 2.7mm x 20mm 202.020	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
imp screw cortex 2mm x 10mm 201.010 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
imp screw cortex 3.5mm x 10mm 204.010	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
imp screw cortex 3.5mm x 12mm 204.012	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
imp screw cortex 4.5mm x 34mm 214.034	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
dressing acticoat 7 4x5in	270	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
implant screw cortex 4.5mm dia lg hex 16mm l 214.016 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
implant screw cortex 4.5mm dia lg hex 18mm l 214.018 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
implant screw cortex 4.5mm dia lg hex 20mm l 214.020 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
implant screw cortex 4.5mm dia lg hex 22mm l 214.022 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
implant screw cortex 4.5mm dia lg hex 28mm l 214.028 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
implant screw cortex 4.5mm dia lg hex 34mm l 214.034 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
implant screw cortex 4.5mm dia lg hex 36mm l 214.036 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
implant screw cortex 4.5mm dia lg hex 42mm l 214.042 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
implant screw cortex 4.5mm dia lg hex 46mm l 214.046 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
implant screw cortex 4.5mm dia lg hex 50mm l 214.050 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
implant screw cortex 4.5mm dia lg hex 54mm l 214.054 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
implant screw cortex 4.5mm dia lg hex 58mm l 214.058 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
implant screw cortex tit 2.0mm dia cross slt 6mm 401.006	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
implant screw cortex titanium 1.5mm dia 6mm l 400.706 syth	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
implant screw cortex titanium 2.0mm dia 10mm l 400.110 syth	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
implant screw cortex titanium 2.0mm dia 12mm l 400.112 syth	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
kronner uterine manipujector 6003	272	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
force fiber sutrue #5 3910-900-050 stryker	272	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
force fiber suture #5	272	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
miami j collar	290	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
miami j collar ed charge scnt	270	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
imp screw cortex 2.7mm x 12mm 202.012 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
imp screw cortex 3.5mm x 14mm 204.014	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
imp screw cortex 3.5mm x 16mm 204.016	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
imp screw cortex 3.5mm x 18mm 204.018	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
imp screw cortex 3.5mm x 20mm 204.020	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
imp screw cortex 3.5mm x 28mm 204.028	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
implant screw cortex 4.5mm dia lg hex 14mm l 214.014 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
implant screw cortex 4.5mm dia lg hex 24mm l 214.024 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
implant screw cortex 4.5mm dia lg hex 26mm l 214.026 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
implant screw cortex 4.5mm dia lg hex 30mm l 214.030 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
implant screw cortex 4.5mm dia lg hex 32mm l 214.032 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
implant screw cortex 4.5mm dia lg hex 38mm l 214.038 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
implant screw cortex 4.5mm dia lg hex 40mm l 214.040 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
implant screw cortex 4.5mm dia lg hex 44mm l 214.044 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
implant screw cortex 4.5mm dia lg hex 52mm l 214.052 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
implant screw cortex 4.5mm dia lg hex 56mm l 214.056 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
implant screw cortex 4.5mm dia lg hex 60mm l 214.060 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
implant screw cortex titanium 2.0mm dia 32mm l 400.132 syth	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
screw cortex 1.5 x 6mm 400.806	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
screw cortex 1.5mm 11mm  200.011 synthes	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
screw cortex 3.5 x 22 204.22	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
screw cortex 3.5 x 24mm 204.24	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
screw cortex 3.5 x 34 204.34	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
screw cortex 3.5 x 50mm 204.50	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
self tapping screw cortex 4.5 x 105mm 214.905	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
self tapping screw cortex 4.5 x 120mm 214.920	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
self tapping screw cortex 4.5 x 125mm 214.925	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
self tapping screw cortex 4.5 x 135mm 214.935	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
self tapping screw cortex 4.5 x 140mm 214.940	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
self tapping screw cortex 4.5 x 145mm 214.945	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
self tapping screw cortex 4.5 x 16mm 214.816	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
self tapping screw cortex 4.5 x 18mm 214.818	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
self tapping screw cortex 4.5 x 20mm 214.820	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
self tapping screw cortex 4.5 x 22mm 214.822	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
self tapping screw cortex 4.5 x 28mm 214.828	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
self tapping screw cortex 4.5 x 34mm 214.834	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
self tapping screw cortex 4.5 x 42mm 214.842	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
self tapping screw cortex 4.5 x 46mm 214.846	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
self tapping screw cortex 4.5 x 50mm 214.850	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
self tapping screw cortex 4.5 x 60mm 214.860	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
self tapping screw cortex 4.5 x 62mm 214.862	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
self tapping screw cortex 4.5 x 64mm 214.864	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
self tapping screw cortex 4.5 x 66mm 214.866	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
self tapping screw cortex 4.5 x 68mm 214.868	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
self tapping screw cortex 4.5 x 70mm 214.870	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
self tapping screw cortex 4.5 x 80mm 214.880	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
self tapping screw cortex 4.5 x 95mm 214.895	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 1.5 ti cortex screw 10mm 400.710	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 1.5 ti cortex screw 10mm 400.80	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 1.5 ti cortex screw 18mm 400.88	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 1.5 ti cortex screw 4mm 400.74	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 2.0 ti cortex screw 12mm 401.122e	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 2.0 ti cortex screw 16mm 401.76	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 2.0 ti cortex screw 4mm 401.104	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 2.0 ti cortex screw 4mm 401.74	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 3.5 titanium  screw 14mm 404.014	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 3.5 titanium cortex screw 16mm 404.016	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 3.5 titanium cortex screw 20mm 404.020	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 3.5 titanium cortex screw 22mm 404.022	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 4.5mm cortex screw 100mm 214.100	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 4.5mm cortex screw 115mm 214.115	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 4.5mm cortex screw 120mm 214.120	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 4.5mm cortex screw 125mm 214.125	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 4.5mm cortex screw 145mm 214.145	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 4.5mm cortex screw 150mm 214.150	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 4.5mm cortex screw 155mm 214.155	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 4.5mm cortex screw 160mm 214.10060	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 4.5mm cortex screw 66mm 214.066	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 4.5mm cortex screw 68mm 214.068	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 4.5mm cortex screw 72mm 214.072	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 4.5mm cortex screw 90mm 214.090	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 4.5mm shaft screw 100mm t/l 214.300	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 4.5mm shaft screw 22mm t/l 214.222	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 4.5mm shaft screw 28mm t/l 214.228	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 4.5mm shaft screw 30mm t/l 214.230	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 4.5mm shaft screw 32mm t/l 214.232	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 4.5mm shaft screw 34mm t/l 214.234	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 4.5mm shaft screw 36mm t/l 214.236	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 4.5mm shaft screw 40mm t/l 214.240	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 4.5mm shaft screw 42mm t/l 214.242	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 4.5mm shaft screw 48mm t/l 214.248	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 4.5mm shaft screw 50mm t/l 214.250	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 4.5mm shaft screw 52mm t/l 214.252	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 4.5mm shaft screw 54mm t/l 214.254	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 4.5mm shaft screw 56mm t/l 214.256	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 4.5mm shaft screw 58mm t/l 214.258	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 4.5mm shaft screw 60mm t/l 214.260	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 4.5mm shaft screw 68mm t/l 214.268	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 4.5mm shaft screw 72mm t/l 214.272	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 4.5mm shaft screw 95mm t/l 214.295	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes mini frag screw 1.5mm x 8mm 400.708 syth	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
screw cortex 1.5 x 7mm 400.807	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
screw cortex 3.5 x 26 204.26	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
screw cortex 3.5 x 30 204.30	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
screw cortex 3.5 x 38 204.38	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
screw cortex 4.5 x 40mm 214.840	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
self tapping screw cortex 4.5 x 100mm 214.900	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
self tapping screw cortex 4.5 x 110mm 214.910	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
self tapping screw cortex 4.5 x 115mm 214.915	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
self tapping screw cortex 4.5 x 130mm 214.930	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
self tapping screw cortex 4.5 x 14mm 214.814	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
self tapping screw cortex 4.5 x 24mm 214.824	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
self tapping screw cortex 4.5 x 26mm 214.826	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
self tapping screw cortex 4.5 x 30mm 214.830	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
self tapping screw cortex 4.5 x 44mm 214.844	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
self tapping screw cortex 4.5 x 48mm 214.848	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
self tapping screw cortex 4.5 x 52mm 214.852	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
self tapping screw cortex 4.5 x 54mm  214.854	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
self tapping screw cortex 4.5 x 56mm 214.856	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
self tapping screw cortex 4.5 x 58mm 214.858	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
self tapping screw cortex 4.5 x 72mm 214.872	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
self tapping screw cortex 4.5 x 76mm 214.876	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
self tapping screw cortex 4.5 x 85mm 214.885	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
self tapping screw cortex 4.5 x 90mm 214.880	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
syn scw cortex 1.5-4.5 mm	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
syn titan scrw cortical	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 1.5 ti cortex screw 12mm 400.82	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 1.5 ti cortex screw 14mm 400.84	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 1.5 ti cortex screw 16mm 400.86	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 1.5 ti cortex screw 6mm 400.76	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 1.5 ti cortex screw 6mm 400.766	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 1.5 ti cortex screw 8mm 400.78	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 2.0 ti cortex screw 10mm 401.160	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 2.0 ti cortex screw 4mm 401.10	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 2.0 ti cortex screw 8mm 401.78	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 2.7 titanium cortex 26mm screw 402.826	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 3.5 titanium cortex screw 18mm 404.018	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 3.5 titanium cortex screw 24mm 404.024	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 4.5mm cortex screw 105mm 214.105	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 4.5mm cortex screw 110mm 214.110	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 4.5mm cortex screw 130mm 214.10030	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 4.5mm cortex screw 135mm 214.135	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 4.5mm cortex screw 140mm 214.140	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 4.5mm cortex screw 64mm 214.064	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 4.5mm cortex screw 70mm 214.070	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 4.5mm cortex screw 76mm 214.076	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 4.5mm cortex screw 80mm 214.080	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 4.5mm cortex screw 85mm 214.085	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 4.5mm cortex screw 95mm 214.095	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 4.5mm shaft screw 24mm t/l 214.224	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 4.5mm shaft screw 26mm t/l 214.226	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 4.5mm shaft screw 38mm t/l 214.238	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 4.5mm shaft screw 44mm t/l 214.244	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 4.5mm shaft screw 46mm t/l 214.246	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 4.5mm shaft screw 64mm t/l 214.264	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 4.5mm shaft screw 76mm t/l 214.276	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 4.5mm shaft screw 80mm t/l 214.280	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 4.5mm shaft screw 85mm t/l 214.285	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
synthes 4.5mm shaft screw 90mm t/l 214.290	278	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
tube trach shiley 6sct	272	RC	Outpatient			81	52.65		90			Percent of total billed charges		72.9	40			Percent of total billed charges		32.4	80			Percent of total billed charges		64.8	90			Percent of total billed charges		72.9	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	85			Percent of total billed charges		68.85	100			Percent of total billed charges		81	100			Percent of total billed charges		81	100			Percent of total billed charges		81	33.3			Percent of total billed charges		26.973	33.3			Percent of total billed charges		26.973	100			Percent of total billed charges		81	26.973	72.9	
88347 immunofluorescent study bill only	310	RC	Outpatient			82	53.3		90			Percent of total billed charges		73.8	40			Percent of total billed charges		32.8	80			Percent of total billed charges		65.6	90			Percent of total billed charges		73.8	85			Percent of total billed charges		69.7	85			Percent of total billed charges		69.7	85			Percent of total billed charges		69.7	100			Percent of total billed charges		82	100			Percent of total billed charges		82	100			Percent of total billed charges		82	33.3			Percent of total billed charges		27.306	33.3			Percent of total billed charges		27.306	100			Percent of total billed charges		82	27.306	73.8	
turner pigtail pneumothorax set ed charge scnt	450	RC	Outpatient			82	53.3		90			Percent of total billed charges		73.8	40			Percent of total billed charges		32.8	80			Percent of total billed charges		65.6	90			Percent of total billed charges		73.8	85			Percent of total billed charges		69.7	85			Percent of total billed charges		69.7	85			Percent of total billed charges		69.7	100			Percent of total billed charges		82	100			Percent of total billed charges		82	100			Percent of total billed charges		82	33.3			Percent of total billed charges		27.306	33.3			Percent of total billed charges		27.306	100			Percent of total billed charges		82	27.306	73.8	
2.4mm med round bur 5091-225	270	RC	Outpatient			83	53.95		90			Percent of total billed charges		74.7	40			Percent of total billed charges		33.2	80			Percent of total billed charges		66.4	90			Percent of total billed charges		74.7	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	100			Percent of total billed charges		83	100			Percent of total billed charges		83	100			Percent of total billed charges		83	33.3			Percent of total billed charges		27.639	33.3			Percent of total billed charges		27.639	100			Percent of total billed charges		83	27.639	74.7	
2.7mm multiple fragment plate 7 hole 45mm 00-4927-007-18 zimmer	278	RC	Outpatient			83	53.95		90			Percent of total billed charges		74.7	40			Percent of total billed charges		33.2	80			Percent of total billed charges		66.4	90			Percent of total billed charges		74.7	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	100			Percent of total billed charges		83	100			Percent of total billed charges		83	100			Percent of total billed charges		83	33.3			Percent of total billed charges		27.639	33.3			Percent of total billed charges		27.639	100			Percent of total billed charges		83	27.639	74.7	
2.7mm t plate 3 hole 242.41	278	RC	Outpatient			83	53.95		90			Percent of total billed charges		74.7	40			Percent of total billed charges		33.2	80			Percent of total billed charges		66.4	90			Percent of total billed charges		74.7	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	100			Percent of total billed charges		83	100			Percent of total billed charges		83	100			Percent of total billed charges		83	33.3			Percent of total billed charges		27.639	33.3			Percent of total billed charges		27.639	100			Percent of total billed charges		83	27.639	74.7	
2mm round bur 5091-224	270	RC	Outpatient			83	53.95		90			Percent of total billed charges		74.7	40			Percent of total billed charges		33.2	80			Percent of total billed charges		66.4	90			Percent of total billed charges		74.7	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	100			Percent of total billed charges		83	100			Percent of total billed charges		83	100			Percent of total billed charges		83	33.3			Percent of total billed charges		27.639	33.3			Percent of total billed charges		27.639	100			Percent of total billed charges		83	27.639	74.7	
amplatz superstif 640-106	272	RC	Outpatient			83	53.95		90			Percent of total billed charges		74.7	40			Percent of total billed charges		33.2	80			Percent of total billed charges		66.4	90			Percent of total billed charges		74.7	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	100			Percent of total billed charges		83	100			Percent of total billed charges		83	100			Percent of total billed charges		83	33.3			Percent of total billed charges		27.639	33.3			Percent of total billed charges		27.639	100			Percent of total billed charges		83	27.639	74.7	
bur cut round 2-2.4mm	270	RC	Outpatient			83	53.95		90			Percent of total billed charges		74.7	40			Percent of total billed charges		33.2	80			Percent of total billed charges		66.4	90			Percent of total billed charges		74.7	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	100			Percent of total billed charges		83	100			Percent of total billed charges		83	100			Percent of total billed charges		83	33.3			Percent of total billed charges		27.639	33.3			Percent of total billed charges		27.639	100			Percent of total billed charges		83	27.639	74.7	
bur cutting carbide round 2.4mm 5091-225 zimm	270	RC	Outpatient			83	53.95		90			Percent of total billed charges		74.7	40			Percent of total billed charges		33.2	80			Percent of total billed charges		66.4	90			Percent of total billed charges		74.7	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	100			Percent of total billed charges		83	100			Percent of total billed charges		83	100			Percent of total billed charges		83	33.3			Percent of total billed charges		27.639	33.3			Percent of total billed charges		27.639	100			Percent of total billed charges		83	27.639	74.7	
bur cutting carbide round 2mm 5091-224	270	RC	Outpatient			83	53.95		90			Percent of total billed charges		74.7	40			Percent of total billed charges		33.2	80			Percent of total billed charges		66.4	90			Percent of total billed charges		74.7	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	100			Percent of total billed charges		83	100			Percent of total billed charges		83	100			Percent of total billed charges		83	33.3			Percent of total billed charges		27.639	33.3			Percent of total billed charges		27.639	100			Percent of total billed charges		83	27.639	74.7	
circumcision	360	RC	Outpatient			83	53.95		90			Percent of total billed charges		74.7	40			Percent of total billed charges		33.2	80			Percent of total billed charges		66.4	90			Percent of total billed charges		74.7	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	100			Percent of total billed charges		83	100			Percent of total billed charges		83	100			Percent of total billed charges		83	33.3			Percent of total billed charges		27.639	33.3			Percent of total billed charges		27.639	100			Percent of total billed charges		83	27.639	74.7	
circumcision	723	RC	Outpatient			83	53.95		90			Percent of total billed charges		74.7	40			Percent of total billed charges		33.2	80			Percent of total billed charges		66.4	90			Percent of total billed charges		74.7	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	100			Percent of total billed charges		83	100			Percent of total billed charges		83	100			Percent of total billed charges		83	33.3			Percent of total billed charges		27.639	33.3			Percent of total billed charges		27.639	100			Percent of total billed charges		83	27.639	74.7	
collagn transuret.inj.sys	278	RC	Outpatient			83	53.95		90			Percent of total billed charges		74.7	40			Percent of total billed charges		33.2	80			Percent of total billed charges		66.4	90			Percent of total billed charges		74.7	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	100			Percent of total billed charges		83	100			Percent of total billed charges		83	100			Percent of total billed charges		83	33.3			Percent of total billed charges		27.639	33.3			Percent of total billed charges		27.639	100			Percent of total billed charges		83	27.639	74.7	
1.5mm t-plate  246.23 synthes	278	RC	Outpatient			83	53.95		90			Percent of total billed charges		74.7	40			Percent of total billed charges		33.2	80			Percent of total billed charges		66.4	90			Percent of total billed charges		74.7	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	100			Percent of total billed charges		83	100			Percent of total billed charges		83	100			Percent of total billed charges		83	33.3			Percent of total billed charges		27.639	33.3			Percent of total billed charges		27.639	100			Percent of total billed charges		83	27.639	74.7	
2.0mm t-plate 2 hole 243.41	278	RC	Outpatient			83	53.95		90			Percent of total billed charges		74.7	40			Percent of total billed charges		33.2	80			Percent of total billed charges		66.4	90			Percent of total billed charges		74.7	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	100			Percent of total billed charges		83	100			Percent of total billed charges		83	100			Percent of total billed charges		83	33.3			Percent of total billed charges		27.639	33.3			Percent of total billed charges		27.639	100			Percent of total billed charges		83	27.639	74.7	
amplatz super stiff .038 x 145 cm 640-106 bos scien	272	RC	Outpatient			83	53.95		90			Percent of total billed charges		74.7	40			Percent of total billed charges		33.2	80			Percent of total billed charges		66.4	90			Percent of total billed charges		74.7	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	100			Percent of total billed charges		83	100			Percent of total billed charges		83	100			Percent of total billed charges		83	33.3			Percent of total billed charges		27.639	33.3			Percent of total billed charges		27.639	100			Percent of total billed charges		83	27.639	74.7	
cath lab electrode quick combo	622	RC	Outpatient			83	53.95		90			Percent of total billed charges		74.7	40			Percent of total billed charges		33.2	80			Percent of total billed charges		66.4	90			Percent of total billed charges		74.7	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	100			Percent of total billed charges		83	100			Percent of total billed charges		83	100			Percent of total billed charges		83	33.3			Percent of total billed charges		27.639	33.3			Percent of total billed charges		27.639	100			Percent of total billed charges		83	27.639	74.7	
collagen imp trans inj system 652200	278	RC	Outpatient			83	53.95		90			Percent of total billed charges		74.7	40			Percent of total billed charges		33.2	80			Percent of total billed charges		66.4	90			Percent of total billed charges		74.7	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	100			Percent of total billed charges		83	100			Percent of total billed charges		83	100			Percent of total billed charges		83	33.3			Percent of total billed charges		27.639	33.3			Percent of total billed charges		27.639	100			Percent of total billed charges		83	27.639	74.7	
dressing torso burn	270	RC	Outpatient			83	53.95		90			Percent of total billed charges		74.7	40			Percent of total billed charges		33.2	80			Percent of total billed charges		66.4	90			Percent of total billed charges		74.7	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	100			Percent of total billed charges		83	100			Percent of total billed charges		83	100			Percent of total billed charges		83	33.3			Percent of total billed charges		27.639	33.3			Percent of total billed charges		27.639	100			Percent of total billed charges		83	27.639	74.7	
frag set washer	278	RC	Outpatient			83	53.95		90			Percent of total billed charges		74.7	40			Percent of total billed charges		33.2	80			Percent of total billed charges		66.4	90			Percent of total billed charges		74.7	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	100			Percent of total billed charges		83	100			Percent of total billed charges		83	100			Percent of total billed charges		83	33.3			Percent of total billed charges		27.639	33.3			Percent of total billed charges		27.639	100			Percent of total billed charges		83	27.639	74.7	
lg frag tc 100 10mm washer 7114-3110 s/n	278	RC	Outpatient			83	53.95		90			Percent of total billed charges		74.7	40			Percent of total billed charges		33.2	80			Percent of total billed charges		66.4	90			Percent of total billed charges		74.7	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	100			Percent of total billed charges		83	100			Percent of total billed charges		83	100			Percent of total billed charges		83	33.3			Percent of total billed charges		27.639	33.3			Percent of total billed charges		27.639	100			Percent of total billed charges		83	27.639	74.7	
lg frag tc 100 13mm 7114-3113 s/n	278	RC	Outpatient			83	53.95		90			Percent of total billed charges		74.7	40			Percent of total billed charges		33.2	80			Percent of total billed charges		66.4	90			Percent of total billed charges		74.7	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	100			Percent of total billed charges		83	100			Percent of total billed charges		83	100			Percent of total billed charges		83	33.3			Percent of total billed charges		27.639	33.3			Percent of total billed charges		27.639	100			Percent of total billed charges		83	27.639	74.7	
k wire1.6mm x150mm 7116-1016 s/n	278	RC	Outpatient			83	53.95		90			Percent of total billed charges		74.7	40			Percent of total billed charges		33.2	80			Percent of total billed charges		66.4	90			Percent of total billed charges		74.7	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	100			Percent of total billed charges		83	100			Percent of total billed charges		83	100			Percent of total billed charges		83	33.3			Percent of total billed charges		27.639	33.3			Percent of total billed charges		27.639	100			Percent of total billed charges		83	27.639	74.7	
lg frag 10mm  washer 7114-3010 s/n	278	RC	Outpatient			83	53.95		90			Percent of total billed charges		74.7	40			Percent of total billed charges		33.2	80			Percent of total billed charges		66.4	90			Percent of total billed charges		74.7	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	100			Percent of total billed charges		83	100			Percent of total billed charges		83	100			Percent of total billed charges		83	33.3			Percent of total billed charges		27.639	33.3			Percent of total billed charges		27.639	100			Percent of total billed charges		83	27.639	74.7	
pad combo	270	RC	Outpatient			83	53.95		90			Percent of total billed charges		74.7	40			Percent of total billed charges		33.2	80			Percent of total billed charges		66.4	90			Percent of total billed charges		74.7	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	100			Percent of total billed charges		83	100			Percent of total billed charges		83	100			Percent of total billed charges		83	33.3			Percent of total billed charges		27.639	33.3			Percent of total billed charges		27.639	100			Percent of total billed charges		83	27.639	74.7	
round bur med 2.0mm 5091-224 hall	270	RC	Outpatient			83	53.95		90			Percent of total billed charges		74.7	40			Percent of total billed charges		33.2	80			Percent of total billed charges		66.4	90			Percent of total billed charges		74.7	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	100			Percent of total billed charges		83	100			Percent of total billed charges		83	100			Percent of total billed charges		83	33.3			Percent of total billed charges		27.639	33.3			Percent of total billed charges		27.639	100			Percent of total billed charges		83	27.639	74.7	
s/n guide pin 1.9	272	RC	Outpatient			83	53.95		90			Percent of total billed charges		74.7	40			Percent of total billed charges		33.2	80			Percent of total billed charges		66.4	90			Percent of total billed charges		74.7	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	100			Percent of total billed charges		83	100			Percent of total billed charges		83	100			Percent of total billed charges		83	33.3			Percent of total billed charges		27.639	33.3			Percent of total billed charges		27.639	100			Percent of total billed charges		83	27.639	74.7	
s/n guide pin 1.9mm x 300mm  7111-0400	272	RC	Outpatient			83	53.95		90			Percent of total billed charges		74.7	40			Percent of total billed charges		33.2	80			Percent of total billed charges		66.4	90			Percent of total billed charges		74.7	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	100			Percent of total billed charges		83	100			Percent of total billed charges		83	100			Percent of total billed charges		83	33.3			Percent of total billed charges		27.639	33.3			Percent of total billed charges		27.639	100			Percent of total billed charges		83	27.639	74.7	
s/n lg frag tc 100 13mm 7114-3013	278	RC	Outpatient			83	53.95		90			Percent of total billed charges		74.7	40			Percent of total billed charges		33.2	80			Percent of total billed charges		66.4	90			Percent of total billed charges		74.7	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	100			Percent of total billed charges		83	100			Percent of total billed charges		83	100			Percent of total billed charges		83	33.3			Percent of total billed charges		27.639	33.3			Percent of total billed charges		27.639	100			Percent of total billed charges		83	27.639	74.7	
s/n mini frag tc-100 4.5mm 7114-3104	278	RC	Outpatient			83	53.95		90			Percent of total billed charges		74.7	40			Percent of total billed charges		33.2	80			Percent of total billed charges		66.4	90			Percent of total billed charges		74.7	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	100			Percent of total billed charges		83	100			Percent of total billed charges		83	100			Percent of total billed charges		83	33.3			Percent of total billed charges		27.639	33.3			Percent of total billed charges		27.639	100			Percent of total billed charges		83	27.639	74.7	
s/n mini frag tc-100 7.0mm 7114-3007	278	RC	Outpatient			83	53.95		90			Percent of total billed charges		74.7	40			Percent of total billed charges		33.2	80			Percent of total billed charges		66.4	90			Percent of total billed charges		74.7	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	100			Percent of total billed charges		83	100			Percent of total billed charges		83	100			Percent of total billed charges		83	33.3			Percent of total billed charges		27.639	33.3			Percent of total billed charges		27.639	100			Percent of total billed charges		83	27.639	74.7	
splint metal knee	270	RC	Outpatient			83	53.95		90			Percent of total billed charges		74.7	40			Percent of total billed charges		33.2	80			Percent of total billed charges		66.4	90			Percent of total billed charges		74.7	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	100			Percent of total billed charges		83	100			Percent of total billed charges		83	100			Percent of total billed charges		83	33.3			Percent of total billed charges		27.639	33.3			Percent of total billed charges		27.639	100			Percent of total billed charges		83	27.639	74.7	
tray lumbar punct.adult	270	RC	Outpatient			83	53.95		90			Percent of total billed charges		74.7	40			Percent of total billed charges		33.2	80			Percent of total billed charges		66.4	90			Percent of total billed charges		74.7	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	100			Percent of total billed charges		83	100			Percent of total billed charges		83	100			Percent of total billed charges		83	33.3			Percent of total billed charges		27.639	33.3			Percent of total billed charges		27.639	100			Percent of total billed charges		83	27.639	74.7	
"tray, thoracotomy/card ar"	270	RC	Outpatient			83	53.95		90			Percent of total billed charges		74.7	40			Percent of total billed charges		33.2	80			Percent of total billed charges		66.4	90			Percent of total billed charges		74.7	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	100			Percent of total billed charges		83	100			Percent of total billed charges		83	100			Percent of total billed charges		83	33.3			Percent of total billed charges		27.639	33.3			Percent of total billed charges		27.639	100			Percent of total billed charges		83	27.639	74.7	
"tray, thoracotomy/card ar ed charge scnt"	450	RC	Outpatient			83	53.95		90			Percent of total billed charges		74.7	40			Percent of total billed charges		33.2	80			Percent of total billed charges		66.4	90			Percent of total billed charges		74.7	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	100			Percent of total billed charges		83	100			Percent of total billed charges		83	100			Percent of total billed charges		83	33.3			Percent of total billed charges		27.639	33.3			Percent of total billed charges		27.639	100			Percent of total billed charges		83	27.639	74.7	
"tray,lumbar punct.ped/inf"	270	RC	Outpatient			83	53.95		90			Percent of total billed charges		74.7	40			Percent of total billed charges		33.2	80			Percent of total billed charges		66.4	90			Percent of total billed charges		74.7	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	100			Percent of total billed charges		83	100			Percent of total billed charges		83	100			Percent of total billed charges		83	33.3			Percent of total billed charges		27.639	33.3			Percent of total billed charges		27.639	100			Percent of total billed charges		83	27.639	74.7	
peri-loc vlp k-wire	278	RC	Outpatient			83	53.95		90			Percent of total billed charges		74.7	40			Percent of total billed charges		33.2	80			Percent of total billed charges		66.4	90			Percent of total billed charges		74.7	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	100			Percent of total billed charges		83	100			Percent of total billed charges		83	100			Percent of total billed charges		83	33.3			Percent of total billed charges		27.639	33.3			Percent of total billed charges		27.639	100			Percent of total billed charges		83	27.639	74.7	
round 2.4 bur 1608-2-9	270	RC	Outpatient			83	53.95		90			Percent of total billed charges		74.7	40			Percent of total billed charges		33.2	80			Percent of total billed charges		66.4	90			Percent of total billed charges		74.7	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	100			Percent of total billed charges		83	100			Percent of total billed charges		83	100			Percent of total billed charges		83	33.3			Percent of total billed charges		27.639	33.3			Percent of total billed charges		27.639	100			Percent of total billed charges		83	27.639	74.7	
round bur med 2.4mm 5091-225 hall	270	RC	Outpatient			83	53.95		90			Percent of total billed charges		74.7	40			Percent of total billed charges		33.2	80			Percent of total billed charges		66.4	90			Percent of total billed charges		74.7	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	100			Percent of total billed charges		83	100			Percent of total billed charges		83	100			Percent of total billed charges		83	33.3			Percent of total billed charges		27.639	33.3			Percent of total billed charges		27.639	100			Percent of total billed charges		83	27.639	74.7	
round carbide bur 2.3mm stryker 1607-2-101	270	RC	Outpatient			83	53.95		90			Percent of total billed charges		74.7	40			Percent of total billed charges		33.2	80			Percent of total billed charges		66.4	90			Percent of total billed charges		74.7	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	100			Percent of total billed charges		83	100			Percent of total billed charges		83	100			Percent of total billed charges		83	33.3			Percent of total billed charges		27.639	33.3			Percent of total billed charges		27.639	100			Percent of total billed charges		83	27.639	74.7	
s/n mini frag  4.5mm  7114-3004	278	RC	Outpatient			83	53.95		90			Percent of total billed charges		74.7	40			Percent of total billed charges		33.2	80			Percent of total billed charges		66.4	90			Percent of total billed charges		74.7	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	100			Percent of total billed charges		83	100			Percent of total billed charges		83	100			Percent of total billed charges		83	33.3			Percent of total billed charges		27.639	33.3			Percent of total billed charges		27.639	100			Percent of total billed charges		83	27.639	74.7	
syn t-plate	278	RC	Outpatient			83	53.95		90			Percent of total billed charges		74.7	40			Percent of total billed charges		33.2	80			Percent of total billed charges		66.4	90			Percent of total billed charges		74.7	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	100			Percent of total billed charges		83	100			Percent of total billed charges		83	100			Percent of total billed charges		83	33.3			Percent of total billed charges		27.639	33.3			Percent of total billed charges		27.639	100			Percent of total billed charges		83	27.639	74.7	
tracheostomy ed charge scnt	270	RC	Outpatient			83	53.95		90			Percent of total billed charges		74.7	40			Percent of total billed charges		33.2	80			Percent of total billed charges		66.4	90			Percent of total billed charges		74.7	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	100			Percent of total billed charges		83	100			Percent of total billed charges		83	100			Percent of total billed charges		83	33.3			Percent of total billed charges		27.639	33.3			Percent of total billed charges		27.639	100			Percent of total billed charges		83	27.639	74.7	
vapotherm initial	410	RC	Outpatient			83	53.95		90			Percent of total billed charges		74.7	40			Percent of total billed charges		33.2	80			Percent of total billed charges		66.4	90			Percent of total billed charges		74.7	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	100			Percent of total billed charges		83	100			Percent of total billed charges		83	100			Percent of total billed charges		83	33.3			Percent of total billed charges		27.639	33.3			Percent of total billed charges		27.639	100			Percent of total billed charges		83	27.639	74.7	
zimm 2.7 multi frag plate	278	RC	Outpatient			83	53.95		90			Percent of total billed charges		74.7	40			Percent of total billed charges		33.2	80			Percent of total billed charges		66.4	90			Percent of total billed charges		74.7	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	85			Percent of total billed charges		70.55	100			Percent of total billed charges		83	100			Percent of total billed charges		83	100			Percent of total billed charges		83	33.3			Percent of total billed charges		27.639	33.3			Percent of total billed charges		27.639	100			Percent of total billed charges		83	27.639	74.7	
spot endoscopy marker gi supply ref # gis-45	272	RC	Outpatient			83.6	54.34		90			Percent of total billed charges		75.24	40			Percent of total billed charges		33.44	80			Percent of total billed charges		66.88	90			Percent of total billed charges		75.24	85			Percent of total billed charges		71.06	85			Percent of total billed charges		71.06	85			Percent of total billed charges		71.06	100			Percent of total billed charges		83.6	100			Percent of total billed charges		83.6	100			Percent of total billed charges		83.6	33.3			Percent of total billed charges		27.8388	33.3			Percent of total billed charges		27.8388	100			Percent of total billed charges		83.6	27.8388	75.24	
s/n evos 3.5mm x 28mm cortex screw self-tapping ref72403528	272	RC	Outpatient			83.99	54.59		90			Percent of total billed charges		75.591	40			Percent of total billed charges		33.596	80			Percent of total billed charges		67.192	90			Percent of total billed charges		75.591	85			Percent of total billed charges		71.3915	85			Percent of total billed charges		71.3915	85			Percent of total billed charges		71.3915	100			Percent of total billed charges		83.99	100			Percent of total billed charges		83.99	100			Percent of total billed charges		83.99	33.3			Percent of total billed charges		27.9687	33.3			Percent of total billed charges		27.9687	100			Percent of total billed charges		83.99	27.9687	75.591	
blade saw reciprocatng angled 9.5 x 13.5mm	270	RC	Outpatient			84	54.6		90			Percent of total billed charges		75.6	40			Percent of total billed charges		33.6	80			Percent of total billed charges		67.2	90			Percent of total billed charges		75.6	85			Percent of total billed charges		71.4	85			Percent of total billed charges		71.4	85			Percent of total billed charges		71.4	100			Percent of total billed charges		84	100			Percent of total billed charges		84	100			Percent of total billed charges		84	33.3			Percent of total billed charges		27.972	33.3			Percent of total billed charges		27.972	100			Percent of total billed charges		84	27.972	75.6	
cath lab micropuncture kit	622	RC	Outpatient			84	54.6		90			Percent of total billed charges		75.6	40			Percent of total billed charges		33.6	80			Percent of total billed charges		67.2	90			Percent of total billed charges		75.6	85			Percent of total billed charges		71.4	85			Percent of total billed charges		71.4	85			Percent of total billed charges		71.4	100			Percent of total billed charges		84	100			Percent of total billed charges		84	100			Percent of total billed charges		84	33.3			Percent of total billed charges		27.972	33.3			Percent of total billed charges		27.972	100			Percent of total billed charges		84	27.972	75.6	
cath lab set micropuncture	622	RC	Outpatient			84	54.6		90			Percent of total billed charges		75.6	40			Percent of total billed charges		33.6	80			Percent of total billed charges		67.2	90			Percent of total billed charges		75.6	85			Percent of total billed charges		71.4	85			Percent of total billed charges		71.4	85			Percent of total billed charges		71.4	100			Percent of total billed charges		84	100			Percent of total billed charges		84	100			Percent of total billed charges		84	33.3			Percent of total billed charges		27.972	33.3			Percent of total billed charges		27.972	100			Percent of total billed charges		84	27.972	75.6	
arthrowrap	270	RC	Outpatient			84	54.6		90			Percent of total billed charges		75.6	40			Percent of total billed charges		33.6	80			Percent of total billed charges		67.2	90			Percent of total billed charges		75.6	85			Percent of total billed charges		71.4	85			Percent of total billed charges		71.4	85			Percent of total billed charges		71.4	100			Percent of total billed charges		84	100			Percent of total billed charges		84	100			Percent of total billed charges		84	33.3			Percent of total billed charges		27.972	33.3			Percent of total billed charges		27.972	100			Percent of total billed charges		84	27.972	75.6	
foot drop brace	270	RC	Outpatient			84	54.6		90			Percent of total billed charges		75.6	40			Percent of total billed charges		33.6	80			Percent of total billed charges		67.2	90			Percent of total billed charges		75.6	85			Percent of total billed charges		71.4	85			Percent of total billed charges		71.4	85			Percent of total billed charges		71.4	100			Percent of total billed charges		84	100			Percent of total billed charges		84	100			Percent of total billed charges		84	33.3			Percent of total billed charges		27.972	33.3			Percent of total billed charges		27.972	100			Percent of total billed charges		84	27.972	75.6	
one-quarter tubular plate w/collar 3 hole 23mm 00-4927-003-03 zimmer	278	RC	Outpatient			84	54.6		90			Percent of total billed charges		75.6	40			Percent of total billed charges		33.6	80			Percent of total billed charges		67.2	90			Percent of total billed charges		75.6	85			Percent of total billed charges		71.4	85			Percent of total billed charges		71.4	85			Percent of total billed charges		71.4	100			Percent of total billed charges		84	100			Percent of total billed charges		84	100			Percent of total billed charges		84	33.3			Percent of total billed charges		27.972	33.3			Percent of total billed charges		27.972	100			Percent of total billed charges		84	27.972	75.6	
one-quarter tubular plate w/collar 4 hole 31mm 00-4927-004-03 zimmer	278	RC	Outpatient			84	54.6		90			Percent of total billed charges		75.6	40			Percent of total billed charges		33.6	80			Percent of total billed charges		67.2	90			Percent of total billed charges		75.6	85			Percent of total billed charges		71.4	85			Percent of total billed charges		71.4	85			Percent of total billed charges		71.4	100			Percent of total billed charges		84	100			Percent of total billed charges		84	100			Percent of total billed charges		84	33.3			Percent of total billed charges		27.972	33.3			Percent of total billed charges		27.972	100			Percent of total billed charges		84	27.972	75.6	
one-quarter tubular plate w/collar 5 hole 39mm 00-4927-005-03 zimmer	278	RC	Outpatient			84	54.6		90			Percent of total billed charges		75.6	40			Percent of total billed charges		33.6	80			Percent of total billed charges		67.2	90			Percent of total billed charges		75.6	85			Percent of total billed charges		71.4	85			Percent of total billed charges		71.4	85			Percent of total billed charges		71.4	100			Percent of total billed charges		84	100			Percent of total billed charges		84	100			Percent of total billed charges		84	33.3			Percent of total billed charges		27.972	33.3			Percent of total billed charges		27.972	100			Percent of total billed charges		84	27.972	75.6	
prolite mesh 6 x 12	278	RC	Outpatient			84	54.6		90			Percent of total billed charges		75.6	40			Percent of total billed charges		33.6	80			Percent of total billed charges		67.2	90			Percent of total billed charges		75.6	85			Percent of total billed charges		71.4	85			Percent of total billed charges		71.4	85			Percent of total billed charges		71.4	100			Percent of total billed charges		84	100			Percent of total billed charges		84	100			Percent of total billed charges		84	33.3			Percent of total billed charges		27.972	33.3			Percent of total billed charges		27.972	100			Percent of total billed charges		84	27.972	75.6	
short arm plaster	270	RC	Outpatient			84	54.6		90			Percent of total billed charges		75.6	40			Percent of total billed charges		33.6	80			Percent of total billed charges		67.2	90			Percent of total billed charges		75.6	85			Percent of total billed charges		71.4	85			Percent of total billed charges		71.4	85			Percent of total billed charges		71.4	100			Percent of total billed charges		84	100			Percent of total billed charges		84	100			Percent of total billed charges		84	33.3			Percent of total billed charges		27.972	33.3			Percent of total billed charges		27.972	100			Percent of total billed charges		84	27.972	75.6	
soft vu omni flush cath 5fr x 65cm 10732201 angio dynamics	272	RC	Outpatient			84	54.6		90			Percent of total billed charges		75.6	40			Percent of total billed charges		33.6	80			Percent of total billed charges		67.2	90			Percent of total billed charges		75.6	85			Percent of total billed charges		71.4	85			Percent of total billed charges		71.4	85			Percent of total billed charges		71.4	100			Percent of total billed charges		84	100			Percent of total billed charges		84	100			Percent of total billed charges		84	33.3			Percent of total billed charges		27.972	33.3			Percent of total billed charges		27.972	100			Percent of total billed charges		84	27.972	75.6	
softvu pig cath	272	RC	Outpatient			84	54.6		90			Percent of total billed charges		75.6	40			Percent of total billed charges		33.6	80			Percent of total billed charges		67.2	90			Percent of total billed charges		75.6	85			Percent of total billed charges		71.4	85			Percent of total billed charges		71.4	85			Percent of total billed charges		71.4	100			Percent of total billed charges		84	100			Percent of total billed charges		84	100			Percent of total billed charges		84	33.3			Percent of total billed charges		27.972	33.3			Percent of total billed charges		27.972	100			Percent of total billed charges		84	27.972	75.6	
threaded rod 120mm 102303 s/n	278	RC	Outpatient			84	54.6		90			Percent of total billed charges		75.6	40			Percent of total billed charges		33.6	80			Percent of total billed charges		67.2	90			Percent of total billed charges		75.6	85			Percent of total billed charges		71.4	85			Percent of total billed charges		71.4	85			Percent of total billed charges		71.4	100			Percent of total billed charges		84	100			Percent of total billed charges		84	100			Percent of total billed charges		84	33.3			Percent of total billed charges		27.972	33.3			Percent of total billed charges		27.972	100			Percent of total billed charges		84	27.972	75.6	
ti 6.5 cancellous screw 50mm 416.050 synthes	278	RC	Outpatient			84	54.6		90			Percent of total billed charges		75.6	40			Percent of total billed charges		33.6	80			Percent of total billed charges		67.2	90			Percent of total billed charges		75.6	85			Percent of total billed charges		71.4	85			Percent of total billed charges		71.4	85			Percent of total billed charges		71.4	100			Percent of total billed charges		84	100			Percent of total billed charges		84	100			Percent of total billed charges		84	33.3			Percent of total billed charges		27.972	33.3			Percent of total billed charges		27.972	100			Percent of total billed charges		84	27.972	75.6	
ti 6.5 cancellous screw 75mm 416.075 synthes	278	RC	Outpatient			84	54.6		90			Percent of total billed charges		75.6	40			Percent of total billed charges		33.6	80			Percent of total billed charges		67.2	90			Percent of total billed charges		75.6	85			Percent of total billed charges		71.4	85			Percent of total billed charges		71.4	85			Percent of total billed charges		71.4	100			Percent of total billed charges		84	100			Percent of total billed charges		84	100			Percent of total billed charges		84	33.3			Percent of total billed charges		27.972	33.3			Percent of total billed charges		27.972	100			Percent of total billed charges		84	27.972	75.6	
plaster short arm	270	RC	Outpatient			84	54.6		90			Percent of total billed charges		75.6	40			Percent of total billed charges		33.6	80			Percent of total billed charges		67.2	90			Percent of total billed charges		75.6	85			Percent of total billed charges		71.4	85			Percent of total billed charges		71.4	85			Percent of total billed charges		71.4	100			Percent of total billed charges		84	100			Percent of total billed charges		84	100			Percent of total billed charges		84	33.3			Percent of total billed charges		27.972	33.3			Percent of total billed charges		27.972	100			Percent of total billed charges		84	27.972	75.6	
prolite ultra mesh 3 x 6 30714 atrium	278	RC	Outpatient			84	54.6		90			Percent of total billed charges		75.6	40			Percent of total billed charges		33.6	80			Percent of total billed charges		67.2	90			Percent of total billed charges		75.6	85			Percent of total billed charges		71.4	85			Percent of total billed charges		71.4	85			Percent of total billed charges		71.4	100			Percent of total billed charges		84	100			Percent of total billed charges		84	100			Percent of total billed charges		84	33.3			Percent of total billed charges		27.972	33.3			Percent of total billed charges		27.972	100			Percent of total billed charges		84	27.972	75.6	
s/n rod threaded	278	RC	Outpatient			84	54.6		90			Percent of total billed charges		75.6	40			Percent of total billed charges		33.6	80			Percent of total billed charges		67.2	90			Percent of total billed charges		75.6	85			Percent of total billed charges		71.4	85			Percent of total billed charges		71.4	85			Percent of total billed charges		71.4	100			Percent of total billed charges		84	100			Percent of total billed charges		84	100			Percent of total billed charges		84	33.3			Percent of total billed charges		27.972	33.3			Percent of total billed charges		27.972	100			Percent of total billed charges		84	27.972	75.6	
s/n titan 6.5 cancel scw	278	RC	Outpatient			84	54.6		90			Percent of total billed charges		75.6	40			Percent of total billed charges		33.6	80			Percent of total billed charges		67.2	90			Percent of total billed charges		75.6	85			Percent of total billed charges		71.4	85			Percent of total billed charges		71.4	85			Percent of total billed charges		71.4	100			Percent of total billed charges		84	100			Percent of total billed charges		84	100			Percent of total billed charges		84	33.3			Percent of total billed charges		27.972	33.3			Percent of total billed charges		27.972	100			Percent of total billed charges		84	27.972	75.6	
saw blade double sided 511.912	270	RC	Outpatient			84	54.6		90			Percent of total billed charges		75.6	40			Percent of total billed charges		33.6	80			Percent of total billed charges		67.2	90			Percent of total billed charges		75.6	85			Percent of total billed charges		71.4	85			Percent of total billed charges		71.4	85			Percent of total billed charges		71.4	100			Percent of total billed charges		84	100			Percent of total billed charges		84	100			Percent of total billed charges		84	33.3			Percent of total billed charges		27.972	33.3			Percent of total billed charges		27.972	100			Percent of total billed charges		84	27.972	75.6	
saw blades	270	RC	Outpatient			84	54.6		90			Percent of total billed charges		75.6	40			Percent of total billed charges		33.6	80			Percent of total billed charges		67.2	90			Percent of total billed charges		75.6	85			Percent of total billed charges		71.4	85			Percent of total billed charges		71.4	85			Percent of total billed charges		71.4	100			Percent of total billed charges		84	100			Percent of total billed charges		84	100			Percent of total billed charges		84	33.3			Percent of total billed charges		27.972	33.3			Percent of total billed charges		27.972	100			Percent of total billed charges		84	27.972	75.6	
soft vu omni flush cath 4fr x 65cm 10732301 angio dynamics	272	RC	Outpatient			84	54.6		90			Percent of total billed charges		75.6	40			Percent of total billed charges		33.6	80			Percent of total billed charges		67.2	90			Percent of total billed charges		75.6	85			Percent of total billed charges		71.4	85			Percent of total billed charges		71.4	85			Percent of total billed charges		71.4	100			Percent of total billed charges		84	100			Percent of total billed charges		84	100			Percent of total billed charges		84	33.3			Percent of total billed charges		27.972	33.3			Percent of total billed charges		27.972	100			Percent of total billed charges		84	27.972	75.6	
stripper vein 63-4031 codm	270	RC	Outpatient			84	54.6		90			Percent of total billed charges		75.6	40			Percent of total billed charges		33.6	80			Percent of total billed charges		67.2	90			Percent of total billed charges		75.6	85			Percent of total billed charges		71.4	85			Percent of total billed charges		71.4	85			Percent of total billed charges		71.4	100			Percent of total billed charges		84	100			Percent of total billed charges		84	100			Percent of total billed charges		84	33.3			Percent of total billed charges		27.972	33.3			Percent of total billed charges		27.972	100			Percent of total billed charges		84	27.972	75.6	
threaded rod 150mm 102304 s/n	278	RC	Outpatient			84	54.6		90			Percent of total billed charges		75.6	40			Percent of total billed charges		33.6	80			Percent of total billed charges		67.2	90			Percent of total billed charges		75.6	85			Percent of total billed charges		71.4	85			Percent of total billed charges		71.4	85			Percent of total billed charges		71.4	100			Percent of total billed charges		84	100			Percent of total billed charges		84	100			Percent of total billed charges		84	33.3			Percent of total billed charges		27.972	33.3			Percent of total billed charges		27.972	100			Percent of total billed charges		84	27.972	75.6	
ti 6.5 cancellous screw 60mm 416.060 synthes	278	RC	Outpatient			84	54.6		90			Percent of total billed charges		75.6	40			Percent of total billed charges		33.6	80			Percent of total billed charges		67.2	90			Percent of total billed charges		75.6	85			Percent of total billed charges		71.4	85			Percent of total billed charges		71.4	85			Percent of total billed charges		71.4	100			Percent of total billed charges		84	100			Percent of total billed charges		84	100			Percent of total billed charges		84	33.3			Percent of total billed charges		27.972	33.3			Percent of total billed charges		27.972	100			Percent of total billed charges		84	27.972	75.6	
ti 6.5 cancellous screw 65mm 416.065 synthes	278	RC	Outpatient			84	54.6		90			Percent of total billed charges		75.6	40			Percent of total billed charges		33.6	80			Percent of total billed charges		67.2	90			Percent of total billed charges		75.6	85			Percent of total billed charges		71.4	85			Percent of total billed charges		71.4	85			Percent of total billed charges		71.4	100			Percent of total billed charges		84	100			Percent of total billed charges		84	100			Percent of total billed charges		84	33.3			Percent of total billed charges		27.972	33.3			Percent of total billed charges		27.972	100			Percent of total billed charges		84	27.972	75.6	
zimm 2.7 1/4 tub pl 3-5hl	278	RC	Outpatient			84	54.6		90			Percent of total billed charges		75.6	40			Percent of total billed charges		33.6	80			Percent of total billed charges		67.2	90			Percent of total billed charges		75.6	85			Percent of total billed charges		71.4	85			Percent of total billed charges		71.4	85			Percent of total billed charges		71.4	100			Percent of total billed charges		84	100			Percent of total billed charges		84	100			Percent of total billed charges		84	33.3			Percent of total billed charges		27.972	33.3			Percent of total billed charges		27.972	100			Percent of total billed charges		84	27.972	75.6	
vein strippers	270	RC	Outpatient			84	54.6		90			Percent of total billed charges		75.6	40			Percent of total billed charges		33.6	80			Percent of total billed charges		67.2	90			Percent of total billed charges		75.6	85			Percent of total billed charges		71.4	85			Percent of total billed charges		71.4	85			Percent of total billed charges		71.4	100			Percent of total billed charges		84	100			Percent of total billed charges		84	100			Percent of total billed charges		84	33.3			Percent of total billed charges		27.972	33.3			Percent of total billed charges		27.972	100			Percent of total billed charges		84	27.972	75.6	
wrap arthroscopy donjoy 11-0020-9	270	RC	Outpatient			84	54.6		90			Percent of total billed charges		75.6	40			Percent of total billed charges		33.6	80			Percent of total billed charges		67.2	90			Percent of total billed charges		75.6	85			Percent of total billed charges		71.4	85			Percent of total billed charges		71.4	85			Percent of total billed charges		71.4	100			Percent of total billed charges		84	100			Percent of total billed charges		84	100			Percent of total billed charges		84	33.3			Percent of total billed charges		27.972	33.3			Percent of total billed charges		27.972	100			Percent of total billed charges		84	27.972	75.6	
xr hips bil min 2 views each/pelvis ap	983	RC	Outpatient			84	54.6		90			Percent of total billed charges		75.6	40			Percent of total billed charges		33.6	80			Percent of total billed charges		67.2	90			Percent of total billed charges		75.6	85			Percent of total billed charges		71.4	85			Percent of total billed charges		71.4	85			Percent of total billed charges		71.4	100			Percent of total billed charges		84	100			Percent of total billed charges		84	100			Percent of total billed charges		84	33.3			Percent of total billed charges		27.972	33.3			Percent of total billed charges		27.972	100			Percent of total billed charges		84	27.972	75.6	
stiffened micro introducer kit 5 f angiodynamics ref 06597053	272	RC	Outpatient			84.7	55.06		90			Percent of total billed charges		76.23	40			Percent of total billed charges		33.88	80			Percent of total billed charges		67.76	90			Percent of total billed charges		76.23	85			Percent of total billed charges		71.995	85			Percent of total billed charges		71.995	85			Percent of total billed charges		71.995	100			Percent of total billed charges		84.7	100			Percent of total billed charges		84.7	100			Percent of total billed charges		84.7	33.3			Percent of total billed charges		28.2051	33.3			Percent of total billed charges		28.2051	100			Percent of total billed charges		84.7	28.2051	76.23	
insufflation needle s100000 autosuture	270	RC	Outpatient			85	55.25		90			Percent of total billed charges		76.5	40			Percent of total billed charges		34	80			Percent of total billed charges		68	90			Percent of total billed charges		76.5	85			Percent of total billed charges		72.25	85			Percent of total billed charges		72.25	85			Percent of total billed charges		72.25	100			Percent of total billed charges		85	100			Percent of total billed charges		85	100			Percent of total billed charges		85	33.3			Percent of total billed charges		28.305	33.3			Percent of total billed charges		28.305	100			Percent of total billed charges		85	28.305	76.5	
versa-step insuff needle	270	RC	Outpatient			85	55.25		90			Percent of total billed charges		76.5	40			Percent of total billed charges		34	80			Percent of total billed charges		68	90			Percent of total billed charges		76.5	85			Percent of total billed charges		72.25	85			Percent of total billed charges		72.25	85			Percent of total billed charges		72.25	100			Percent of total billed charges		85	100			Percent of total billed charges		85	100			Percent of total billed charges		85	33.3			Percent of total billed charges		28.305	33.3			Percent of total billed charges		28.305	100			Percent of total billed charges		85	28.305	76.5	
laparoscopic coated l wire electrode 33 cm ref 04-500mb	272	RC	Outpatient			85.8	55.77		90			Percent of total billed charges		77.22	40			Percent of total billed charges		34.32	80			Percent of total billed charges		68.64	90			Percent of total billed charges		77.22	85			Percent of total billed charges		72.93	85			Percent of total billed charges		72.93	85			Percent of total billed charges		72.93	100			Percent of total billed charges		85.8	100			Percent of total billed charges		85.8	100			Percent of total billed charges		85.8	33.3			Percent of total billed charges		28.5714	33.3			Percent of total billed charges		28.5714	100			Percent of total billed charges		85.8	28.5714	77.22	
1/3 tubular plate 10 hole 00-4935-010-03 zimmer	278	RC	Outpatient			86	55.9		90			Percent of total billed charges		77.4	40			Percent of total billed charges		34.4	80			Percent of total billed charges		68.8	90			Percent of total billed charges		77.4	85			Percent of total billed charges		73.1	85			Percent of total billed charges		73.1	85			Percent of total billed charges		73.1	100			Percent of total billed charges		86	100			Percent of total billed charges		86	100			Percent of total billed charges		86	33.3			Percent of total billed charges		28.638	33.3			Percent of total billed charges		28.638	100			Percent of total billed charges		86	28.638	77.4	
1/3 tubular plate 12 hole 00-4935-012-03 zimmer	278	RC	Outpatient			86	55.9		90			Percent of total billed charges		77.4	40			Percent of total billed charges		34.4	80			Percent of total billed charges		68.8	90			Percent of total billed charges		77.4	85			Percent of total billed charges		73.1	85			Percent of total billed charges		73.1	85			Percent of total billed charges		73.1	100			Percent of total billed charges		86	100			Percent of total billed charges		86	100			Percent of total billed charges		86	33.3			Percent of total billed charges		28.638	33.3			Percent of total billed charges		28.638	100			Percent of total billed charges		86	28.638	77.4	
1/3 tubular plate 7 hole 00-4935-007-03 zimmer	278	RC	Outpatient			86	55.9		90			Percent of total billed charges		77.4	40			Percent of total billed charges		34.4	80			Percent of total billed charges		68.8	90			Percent of total billed charges		77.4	85			Percent of total billed charges		73.1	85			Percent of total billed charges		73.1	85			Percent of total billed charges		73.1	100			Percent of total billed charges		86	100			Percent of total billed charges		86	100			Percent of total billed charges		86	33.3			Percent of total billed charges		28.638	33.3			Percent of total billed charges		28.638	100			Percent of total billed charges		86	28.638	77.4	
1/3 tubular plate 8 hole 00-4935-008-03 zimmer	278	RC	Outpatient			86	55.9		90			Percent of total billed charges		77.4	40			Percent of total billed charges		34.4	80			Percent of total billed charges		68.8	90			Percent of total billed charges		77.4	85			Percent of total billed charges		73.1	85			Percent of total billed charges		73.1	85			Percent of total billed charges		73.1	100			Percent of total billed charges		86	100			Percent of total billed charges		86	100			Percent of total billed charges		86	33.3			Percent of total billed charges		28.638	33.3			Percent of total billed charges		28.638	100			Percent of total billed charges		86	28.638	77.4	
arch bars	270	RC	Outpatient			86	55.9		90			Percent of total billed charges		77.4	40			Percent of total billed charges		34.4	80			Percent of total billed charges		68.8	90			Percent of total billed charges		77.4	85			Percent of total billed charges		73.1	85			Percent of total billed charges		73.1	85			Percent of total billed charges		73.1	100			Percent of total billed charges		86	100			Percent of total billed charges		86	100			Percent of total billed charges		86	33.3			Percent of total billed charges		28.638	33.3			Percent of total billed charges		28.638	100			Percent of total billed charges		86	28.638	77.4	
arthrex fiberwire #5 ar-7211	272	RC	Outpatient			86	55.9		90			Percent of total billed charges		77.4	40			Percent of total billed charges		34.4	80			Percent of total billed charges		68.8	90			Percent of total billed charges		77.4	85			Percent of total billed charges		73.1	85			Percent of total billed charges		73.1	85			Percent of total billed charges		73.1	100			Percent of total billed charges		86	100			Percent of total billed charges		86	100			Percent of total billed charges		86	33.3			Percent of total billed charges		28.638	33.3			Percent of total billed charges		28.638	100			Percent of total billed charges		86	28.638	77.4	
cast leg childs short	270	RC	Outpatient			86	55.9		90			Percent of total billed charges		77.4	40			Percent of total billed charges		34.4	80			Percent of total billed charges		68.8	90			Percent of total billed charges		77.4	85			Percent of total billed charges		73.1	85			Percent of total billed charges		73.1	85			Percent of total billed charges		73.1	100			Percent of total billed charges		86	100			Percent of total billed charges		86	100			Percent of total billed charges		86	33.3			Percent of total billed charges		28.638	33.3			Percent of total billed charges		28.638	100			Percent of total billed charges		86	28.638	77.4	
cuff infusion 500cc i500sp	270	RC	Outpatient			86	55.9		90			Percent of total billed charges		77.4	40			Percent of total billed charges		34.4	80			Percent of total billed charges		68.8	90			Percent of total billed charges		77.4	85			Percent of total billed charges		73.1	85			Percent of total billed charges		73.1	85			Percent of total billed charges		73.1	100			Percent of total billed charges		86	100			Percent of total billed charges		86	100			Percent of total billed charges		86	33.3			Percent of total billed charges		28.638	33.3			Percent of total billed charges		28.638	100			Percent of total billed charges		86	28.638	77.4	
cysto-cath sup/drain #8	270	RC	Outpatient			86	55.9		90			Percent of total billed charges		77.4	40			Percent of total billed charges		34.4	80			Percent of total billed charges		68.8	90			Percent of total billed charges		77.4	85			Percent of total billed charges		73.1	85			Percent of total billed charges		73.1	85			Percent of total billed charges		73.1	100			Percent of total billed charges		86	100			Percent of total billed charges		86	100			Percent of total billed charges		86	33.3			Percent of total billed charges		28.638	33.3			Percent of total billed charges		28.638	100			Percent of total billed charges		86	28.638	77.4	
1/3 tubular plate 6 hole 00-4935-006-03 zimmer	278	RC	Outpatient			86	55.9		90			Percent of total billed charges		77.4	40			Percent of total billed charges		34.4	80			Percent of total billed charges		68.8	90			Percent of total billed charges		77.4	85			Percent of total billed charges		73.1	85			Percent of total billed charges		73.1	85			Percent of total billed charges		73.1	100			Percent of total billed charges		86	100			Percent of total billed charges		86	100			Percent of total billed charges		86	33.3			Percent of total billed charges		28.638	33.3			Percent of total billed charges		28.638	100			Percent of total billed charges		86	28.638	77.4	
1/3 tubular plate 9 hole 00-4935-009-03 zimmer	278	RC	Outpatient			86	55.9		90			Percent of total billed charges		77.4	40			Percent of total billed charges		34.4	80			Percent of total billed charges		68.8	90			Percent of total billed charges		77.4	85			Percent of total billed charges		73.1	85			Percent of total billed charges		73.1	85			Percent of total billed charges		73.1	100			Percent of total billed charges		86	100			Percent of total billed charges		86	100			Percent of total billed charges		86	33.3			Percent of total billed charges		28.638	33.3			Percent of total billed charges		28.638	100			Percent of total billed charges		86	28.638	77.4	
blade dermatone 00-8800-000-10 zimmer	270	RC	Outpatient			86	55.9		90			Percent of total billed charges		77.4	40			Percent of total billed charges		34.4	80			Percent of total billed charges		68.8	90			Percent of total billed charges		77.4	85			Percent of total billed charges		73.1	85			Percent of total billed charges		73.1	85			Percent of total billed charges		73.1	100			Percent of total billed charges		86	100			Percent of total billed charges		86	100			Percent of total billed charges		86	33.3			Percent of total billed charges		28.638	33.3			Percent of total billed charges		28.638	100			Percent of total billed charges		86	28.638	77.4	
cysto-cath sup/drain #12	270	RC	Outpatient			86	55.9		90			Percent of total billed charges		77.4	40			Percent of total billed charges		34.4	80			Percent of total billed charges		68.8	90			Percent of total billed charges		77.4	85			Percent of total billed charges		73.1	85			Percent of total billed charges		73.1	85			Percent of total billed charges		73.1	100			Percent of total billed charges		86	100			Percent of total billed charges		86	100			Percent of total billed charges		86	33.3			Percent of total billed charges		28.638	33.3			Percent of total billed charges		28.638	100			Percent of total billed charges		86	28.638	77.4	
dermatone blades	270	RC	Outpatient			86	55.9		90			Percent of total billed charges		77.4	40			Percent of total billed charges		34.4	80			Percent of total billed charges		68.8	90			Percent of total billed charges		77.4	85			Percent of total billed charges		73.1	85			Percent of total billed charges		73.1	85			Percent of total billed charges		73.1	100			Percent of total billed charges		86	100			Percent of total billed charges		86	100			Percent of total billed charges		86	33.3			Percent of total billed charges		28.638	33.3			Percent of total billed charges		28.638	100			Percent of total billed charges		86	28.638	77.4	
es/n arch bar 01-0229 (1 meter roll)	270	RC	Outpatient			86	55.9		90			Percent of total billed charges		77.4	40			Percent of total billed charges		34.4	80			Percent of total billed charges		68.8	90			Percent of total billed charges		77.4	85			Percent of total billed charges		73.1	85			Percent of total billed charges		73.1	85			Percent of total billed charges		73.1	100			Percent of total billed charges		86	100			Percent of total billed charges		86	100			Percent of total billed charges		86	33.3			Percent of total billed charges		28.638	33.3			Percent of total billed charges		28.638	100			Percent of total billed charges		86	28.638	77.4	
epidural tray	270	RC	Outpatient			86	55.9		90			Percent of total billed charges		77.4	40			Percent of total billed charges		34.4	80			Percent of total billed charges		68.8	90			Percent of total billed charges		77.4	85			Percent of total billed charges		73.1	85			Percent of total billed charges		73.1	85			Percent of total billed charges		73.1	100			Percent of total billed charges		86	100			Percent of total billed charges		86	100			Percent of total billed charges		86	33.3			Percent of total billed charges		28.638	33.3			Percent of total billed charges		28.638	100			Percent of total billed charges		86	28.638	77.4	
iv pressure bag (diag)	270	RC	Outpatient			86	55.9		90			Percent of total billed charges		77.4	40			Percent of total billed charges		34.4	80			Percent of total billed charges		68.8	90			Percent of total billed charges		77.4	85			Percent of total billed charges		73.1	85			Percent of total billed charges		73.1	85			Percent of total billed charges		73.1	100			Percent of total billed charges		86	100			Percent of total billed charges		86	100			Percent of total billed charges		86	33.3			Percent of total billed charges		28.638	33.3			Percent of total billed charges		28.638	100			Percent of total billed charges		86	28.638	77.4	
kumar cholangio cath	272	RC	Outpatient			86	55.9		90			Percent of total billed charges		77.4	40			Percent of total billed charges		34.4	80			Percent of total billed charges		68.8	90			Percent of total billed charges		77.4	85			Percent of total billed charges		73.1	85			Percent of total billed charges		73.1	85			Percent of total billed charges		73.1	100			Percent of total billed charges		86	100			Percent of total billed charges		86	100			Percent of total billed charges		86	33.3			Percent of total billed charges		28.638	33.3			Percent of total billed charges		28.638	100			Percent of total billed charges		86	28.638	77.4	
fiberwire #5	272	RC	Outpatient			86	55.9		90			Percent of total billed charges		77.4	40			Percent of total billed charges		34.4	80			Percent of total billed charges		68.8	90			Percent of total billed charges		77.4	85			Percent of total billed charges		73.1	85			Percent of total billed charges		73.1	85			Percent of total billed charges		73.1	100			Percent of total billed charges		86	100			Percent of total billed charges		86	100			Percent of total billed charges		86	33.3			Percent of total billed charges		28.638	33.3			Percent of total billed charges		28.638	100			Percent of total billed charges		86	28.638	77.4	
level i tubing set	270	RC	Outpatient			86	55.9		90			Percent of total billed charges		77.4	40			Percent of total billed charges		34.4	80			Percent of total billed charges		68.8	90			Percent of total billed charges		77.4	85			Percent of total billed charges		73.1	85			Percent of total billed charges		73.1	85			Percent of total billed charges		73.1	100			Percent of total billed charges		86	100			Percent of total billed charges		86	100			Percent of total billed charges		86	33.3			Percent of total billed charges		28.638	33.3			Percent of total billed charges		28.638	100			Percent of total billed charges		86	28.638	77.4	
mattress waffle uccono pl	270	RC	Outpatient			86	55.9		90			Percent of total billed charges		77.4	40			Percent of total billed charges		34.4	80			Percent of total billed charges		68.8	90			Percent of total billed charges		77.4	85			Percent of total billed charges		73.1	85			Percent of total billed charges		73.1	85			Percent of total billed charges		73.1	100			Percent of total billed charges		86	100			Percent of total billed charges		86	100			Percent of total billed charges		86	33.3			Percent of total billed charges		28.638	33.3			Percent of total billed charges		28.638	100			Percent of total billed charges		86	28.638	77.4	
infusion bags disposable	270	RC	Outpatient			86	55.9		90			Percent of total billed charges		77.4	40			Percent of total billed charges		34.4	80			Percent of total billed charges		68.8	90			Percent of total billed charges		77.4	85			Percent of total billed charges		73.1	85			Percent of total billed charges		73.1	85			Percent of total billed charges		73.1	100			Percent of total billed charges		86	100			Percent of total billed charges		86	100			Percent of total billed charges		86	33.3			Percent of total billed charges		28.638	33.3			Percent of total billed charges		28.638	100			Percent of total billed charges		86	28.638	77.4	
ocl splint 5	270	RC	Outpatient			86	55.9		90			Percent of total billed charges		77.4	40			Percent of total billed charges		34.4	80			Percent of total billed charges		68.8	90			Percent of total billed charges		77.4	85			Percent of total billed charges		73.1	85			Percent of total billed charges		73.1	85			Percent of total billed charges		73.1	100			Percent of total billed charges		86	100			Percent of total billed charges		86	100			Percent of total billed charges		86	33.3			Percent of total billed charges		28.638	33.3			Percent of total billed charges		28.638	100			Percent of total billed charges		86	28.638	77.4	
iv pressure bag	270	RC	Outpatient			86	55.9		90			Percent of total billed charges		77.4	40			Percent of total billed charges		34.4	80			Percent of total billed charges		68.8	90			Percent of total billed charges		77.4	85			Percent of total billed charges		73.1	85			Percent of total billed charges		73.1	85			Percent of total billed charges		73.1	100			Percent of total billed charges		86	100			Percent of total billed charges		86	100			Percent of total billed charges		86	33.3			Percent of total billed charges		28.638	33.3			Percent of total billed charges		28.638	100			Percent of total billed charges		86	28.638	77.4	
kumar cholangiogram catheter cc-019 nashville surg inst	272	RC	Outpatient			86	55.9		90			Percent of total billed charges		77.4	40			Percent of total billed charges		34.4	80			Percent of total billed charges		68.8	90			Percent of total billed charges		77.4	85			Percent of total billed charges		73.1	85			Percent of total billed charges		73.1	85			Percent of total billed charges		73.1	100			Percent of total billed charges		86	100			Percent of total billed charges		86	100			Percent of total billed charges		86	33.3			Percent of total billed charges		28.638	33.3			Percent of total billed charges		28.638	100			Percent of total billed charges		86	28.638	77.4	
pad calf large	270	RC	Outpatient			86	55.9		90			Percent of total billed charges		77.4	40			Percent of total billed charges		34.4	80			Percent of total billed charges		68.8	90			Percent of total billed charges		77.4	85			Percent of total billed charges		73.1	85			Percent of total billed charges		73.1	85			Percent of total billed charges		73.1	100			Percent of total billed charges		86	100			Percent of total billed charges		86	100			Percent of total billed charges		86	33.3			Percent of total billed charges		28.638	33.3			Percent of total billed charges		28.638	100			Percent of total billed charges		86	28.638	77.4	
pad scd calf lg	270	RC	Outpatient			86	55.9		90			Percent of total billed charges		77.4	40			Percent of total billed charges		34.4	80			Percent of total billed charges		68.8	90			Percent of total billed charges		77.4	85			Percent of total billed charges		73.1	85			Percent of total billed charges		73.1	85			Percent of total billed charges		73.1	100			Percent of total billed charges		86	100			Percent of total billed charges		86	100			Percent of total billed charges		86	33.3			Percent of total billed charges		28.638	33.3			Percent of total billed charges		28.638	100			Percent of total billed charges		86	28.638	77.4	
tray ear	270	RC	Outpatient			86	55.9		90			Percent of total billed charges		77.4	40			Percent of total billed charges		34.4	80			Percent of total billed charges		68.8	90			Percent of total billed charges		77.4	85			Percent of total billed charges		73.1	85			Percent of total billed charges		73.1	85			Percent of total billed charges		73.1	100			Percent of total billed charges		86	100			Percent of total billed charges		86	100			Percent of total billed charges		86	33.3			Percent of total billed charges		28.638	33.3			Percent of total billed charges		28.638	100			Percent of total billed charges		86	28.638	77.4	
tray epidural 332214/332220	270	RC	Outpatient			86	55.9		90			Percent of total billed charges		77.4	40			Percent of total billed charges		34.4	80			Percent of total billed charges		68.8	90			Percent of total billed charges		77.4	85			Percent of total billed charges		73.1	85			Percent of total billed charges		73.1	85			Percent of total billed charges		73.1	100			Percent of total billed charges		86	100			Percent of total billed charges		86	100			Percent of total billed charges		86	33.3			Percent of total billed charges		28.638	33.3			Percent of total billed charges		28.638	100			Percent of total billed charges		86	28.638	77.4	
zimm 1/3 tub plt-6-12hole	278	RC	Outpatient			86	55.9		90			Percent of total billed charges		77.4	40			Percent of total billed charges		34.4	80			Percent of total billed charges		68.8	90			Percent of total billed charges		77.4	85			Percent of total billed charges		73.1	85			Percent of total billed charges		73.1	85			Percent of total billed charges		73.1	100			Percent of total billed charges		86	100			Percent of total billed charges		86	100			Percent of total billed charges		86	33.3			Percent of total billed charges		28.638	33.3			Percent of total billed charges		28.638	100			Percent of total billed charges		86	28.638	77.4	
blanket wrist/hand w/intergral 32320	270	RC	Outpatient			87	56.55		90			Percent of total billed charges		78.3	40			Percent of total billed charges		34.8	80			Percent of total billed charges		69.6	90			Percent of total billed charges		78.3	85			Percent of total billed charges		73.95	85			Percent of total billed charges		73.95	85			Percent of total billed charges		73.95	100			Percent of total billed charges		87	100			Percent of total billed charges		87	100			Percent of total billed charges		87	33.3			Percent of total billed charges		28.971	33.3			Percent of total billed charges		28.971	100			Percent of total billed charges		87	28.971	78.3	
blanket knee/shoulder hot ice csz1112-us	270	RC	Outpatient			87	56.55		90			Percent of total billed charges		78.3	40			Percent of total billed charges		34.8	80			Percent of total billed charges		69.6	90			Percent of total billed charges		78.3	85			Percent of total billed charges		73.95	85			Percent of total billed charges		73.95	85			Percent of total billed charges		73.95	100			Percent of total billed charges		87	100			Percent of total billed charges		87	100			Percent of total billed charges		87	33.3			Percent of total billed charges		28.971	33.3			Percent of total billed charges		28.971	100			Percent of total billed charges		87	28.971	78.3	
bone biopsy needle	272	RC	Outpatient			87	56.55		90			Percent of total billed charges		78.3	40			Percent of total billed charges		34.8	80			Percent of total billed charges		69.6	90			Percent of total billed charges		78.3	85			Percent of total billed charges		73.95	85			Percent of total billed charges		73.95	85			Percent of total billed charges		73.95	100			Percent of total billed charges		87	100			Percent of total billed charges		87	100			Percent of total billed charges		87	33.3			Percent of total billed charges		28.971	33.3			Percent of total billed charges		28.971	100			Percent of total billed charges		87	28.971	78.3	
elevator leg foam sp291000	270	RC	Outpatient			87	56.55		90			Percent of total billed charges		78.3	40			Percent of total billed charges		34.8	80			Percent of total billed charges		69.6	90			Percent of total billed charges		78.3	85			Percent of total billed charges		73.95	85			Percent of total billed charges		73.95	85			Percent of total billed charges		73.95	100			Percent of total billed charges		87	100			Percent of total billed charges		87	100			Percent of total billed charges		87	33.3			Percent of total billed charges		28.971	33.3			Percent of total billed charges		28.971	100			Percent of total billed charges		87	28.971	78.3	
fiberglass short arm splint ed charge scnt	270	RC	Outpatient			87	56.55		90			Percent of total billed charges		78.3	40			Percent of total billed charges		34.8	80			Percent of total billed charges		69.6	90			Percent of total billed charges		78.3	85			Percent of total billed charges		73.95	85			Percent of total billed charges		73.95	85			Percent of total billed charges		73.95	100			Percent of total billed charges		87	100			Percent of total billed charges		87	100			Percent of total billed charges		87	33.3			Percent of total billed charges		28.971	33.3			Percent of total billed charges		28.971	100			Percent of total billed charges		87	28.971	78.3	
gps applicat tip dual spy	272	RC	Outpatient			87	56.55		90			Percent of total billed charges		78.3	40			Percent of total billed charges		34.8	80			Percent of total billed charges		69.6	90			Percent of total billed charges		78.3	85			Percent of total billed charges		73.95	85			Percent of total billed charges		73.95	85			Percent of total billed charges		73.95	100			Percent of total billed charges		87	100			Percent of total billed charges		87	100			Percent of total billed charges		87	33.3			Percent of total billed charges		28.971	33.3			Percent of total billed charges		28.971	100			Percent of total billed charges		87	28.971	78.3	
gps applicator tip dual spray cell factor tech -- biomet 800-0201	272	RC	Outpatient			87	56.55		90			Percent of total billed charges		78.3	40			Percent of total billed charges		34.8	80			Percent of total billed charges		69.6	90			Percent of total billed charges		78.3	85			Percent of total billed charges		73.95	85			Percent of total billed charges		73.95	85			Percent of total billed charges		73.95	100			Percent of total billed charges		87	100			Percent of total billed charges		87	100			Percent of total billed charges		87	33.3			Percent of total billed charges		28.971	33.3			Percent of total billed charges		28.971	100			Percent of total billed charges		87	28.971	78.3	
disposable 6 bulldog c soft 6mm	270	RC	Outpatient			87	56.55		90			Percent of total billed charges		78.3	40			Percent of total billed charges		34.8	80			Percent of total billed charges		69.6	90			Percent of total billed charges		78.3	85			Percent of total billed charges		73.95	85			Percent of total billed charges		73.95	85			Percent of total billed charges		73.95	100			Percent of total billed charges		87	100			Percent of total billed charges		87	100			Percent of total billed charges		87	33.3			Percent of total billed charges		28.971	33.3			Percent of total billed charges		28.971	100			Percent of total billed charges		87	28.971	78.3	
fiberglas short arm splnt	270	RC	Outpatient			87	56.55		90			Percent of total billed charges		78.3	40			Percent of total billed charges		34.8	80			Percent of total billed charges		69.6	90			Percent of total billed charges		78.3	85			Percent of total billed charges		73.95	85			Percent of total billed charges		73.95	85			Percent of total billed charges		73.95	100			Percent of total billed charges		87	100			Percent of total billed charges		87	100			Percent of total billed charges		87	33.3			Percent of total billed charges		28.971	33.3			Percent of total billed charges		28.971	100			Percent of total billed charges		87	28.971	78.3	
hot ice blanket	270	RC	Outpatient			87	56.55		90			Percent of total billed charges		78.3	40			Percent of total billed charges		34.8	80			Percent of total billed charges		69.6	90			Percent of total billed charges		78.3	85			Percent of total billed charges		73.95	85			Percent of total billed charges		73.95	85			Percent of total billed charges		73.95	100			Percent of total billed charges		87	100			Percent of total billed charges		87	100			Percent of total billed charges		87	33.3			Percent of total billed charges		28.971	33.3			Percent of total billed charges		28.971	100			Percent of total billed charges		87	28.971	78.3	
"springclip, bulldog"	270	RC	Outpatient			87	56.55		90			Percent of total billed charges		78.3	40			Percent of total billed charges		34.8	80			Percent of total billed charges		69.6	90			Percent of total billed charges		78.3	85			Percent of total billed charges		73.95	85			Percent of total billed charges		73.95	85			Percent of total billed charges		73.95	100			Percent of total billed charges		87	100			Percent of total billed charges		87	100			Percent of total billed charges		87	33.3			Percent of total billed charges		28.971	33.3			Percent of total billed charges		28.971	100			Percent of total billed charges		87	28.971	78.3	
post capsule sptula st10b	270	RC	Outpatient			87	56.55		90			Percent of total billed charges		78.3	40			Percent of total billed charges		34.8	80			Percent of total billed charges		69.6	90			Percent of total billed charges		78.3	85			Percent of total billed charges		73.95	85			Percent of total billed charges		73.95	85			Percent of total billed charges		73.95	100			Percent of total billed charges		87	100			Percent of total billed charges		87	100			Percent of total billed charges		87	33.3			Percent of total billed charges		28.971	33.3			Percent of total billed charges		28.971	100			Percent of total billed charges		87	28.971	78.3	
b/s  clik anchor hex wrench 7.6 cm sc-4276	272	RC	Outpatient			88	57.2		90			Percent of total billed charges		79.2	40			Percent of total billed charges		35.2	80			Percent of total billed charges		70.4	90			Percent of total billed charges		79.2	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	100			Percent of total billed charges		88	100			Percent of total billed charges		88	100			Percent of total billed charges		88	33.3			Percent of total billed charges		29.304	33.3			Percent of total billed charges		29.304	100			Percent of total billed charges		88	29.304	79.2	
biopsy needle	621	RC	Outpatient			88	57.2		90			Percent of total billed charges		79.2	40			Percent of total billed charges		35.2	80			Percent of total billed charges		70.4	90			Percent of total billed charges		79.2	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	100			Percent of total billed charges		88	100			Percent of total billed charges		88	100			Percent of total billed charges		88	33.3			Percent of total billed charges		29.304	33.3			Percent of total billed charges		29.304	100			Percent of total billed charges		88	29.304	79.2	
cortical screw 3.5 x 12 338612 stryker	278	RC	Outpatient			88	57.2		90			Percent of total billed charges		79.2	40			Percent of total billed charges		35.2	80			Percent of total billed charges		70.4	90			Percent of total billed charges		79.2	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	100			Percent of total billed charges		88	100			Percent of total billed charges		88	100			Percent of total billed charges		88	33.3			Percent of total billed charges		29.304	33.3			Percent of total billed charges		29.304	100			Percent of total billed charges		88	29.304	79.2	
cortical screw 3.5 x 20 338620 stryker	278	RC	Outpatient			88	57.2		90			Percent of total billed charges		79.2	40			Percent of total billed charges		35.2	80			Percent of total billed charges		70.4	90			Percent of total billed charges		79.2	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	100			Percent of total billed charges		88	100			Percent of total billed charges		88	100			Percent of total billed charges		88	33.3			Percent of total billed charges		29.304	33.3			Percent of total billed charges		29.304	100			Percent of total billed charges		88	29.304	79.2	
cortical screw 3.5 x 22 338622 stryker	278	RC	Outpatient			88	57.2		90			Percent of total billed charges		79.2	40			Percent of total billed charges		35.2	80			Percent of total billed charges		70.4	90			Percent of total billed charges		79.2	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	100			Percent of total billed charges		88	100			Percent of total billed charges		88	100			Percent of total billed charges		88	33.3			Percent of total billed charges		29.304	33.3			Percent of total billed charges		29.304	100			Percent of total billed charges		88	29.304	79.2	
cortical screw 3.5 x 26 338626 stryker	278	RC	Outpatient			88	57.2		90			Percent of total billed charges		79.2	40			Percent of total billed charges		35.2	80			Percent of total billed charges		70.4	90			Percent of total billed charges		79.2	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	100			Percent of total billed charges		88	100			Percent of total billed charges		88	100			Percent of total billed charges		88	33.3			Percent of total billed charges		29.304	33.3			Percent of total billed charges		29.304	100			Percent of total billed charges		88	29.304	79.2	
cortical screw 3.5 x 28 338628 stryker	278	RC	Outpatient			88	57.2		90			Percent of total billed charges		79.2	40			Percent of total billed charges		35.2	80			Percent of total billed charges		70.4	90			Percent of total billed charges		79.2	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	100			Percent of total billed charges		88	100			Percent of total billed charges		88	100			Percent of total billed charges		88	33.3			Percent of total billed charges		29.304	33.3			Percent of total billed charges		29.304	100			Percent of total billed charges		88	29.304	79.2	
cortical screw 3.5 x 32 338632 stryker	278	RC	Outpatient			88	57.2		90			Percent of total billed charges		79.2	40			Percent of total billed charges		35.2	80			Percent of total billed charges		70.4	90			Percent of total billed charges		79.2	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	100			Percent of total billed charges		88	100			Percent of total billed charges		88	100			Percent of total billed charges		88	33.3			Percent of total billed charges		29.304	33.3			Percent of total billed charges		29.304	100			Percent of total billed charges		88	29.304	79.2	
cortical screw 3.5 x 38 338638 stryker	278	RC	Outpatient			88	57.2		90			Percent of total billed charges		79.2	40			Percent of total billed charges		35.2	80			Percent of total billed charges		70.4	90			Percent of total billed charges		79.2	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	100			Percent of total billed charges		88	100			Percent of total billed charges		88	100			Percent of total billed charges		88	33.3			Percent of total billed charges		29.304	33.3			Percent of total billed charges		29.304	100			Percent of total billed charges		88	29.304	79.2	
cortical screw 3.5 x 42 338642 stryker	278	RC	Outpatient			88	57.2		90			Percent of total billed charges		79.2	40			Percent of total billed charges		35.2	80			Percent of total billed charges		70.4	90			Percent of total billed charges		79.2	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	100			Percent of total billed charges		88	100			Percent of total billed charges		88	100			Percent of total billed charges		88	33.3			Percent of total billed charges		29.304	33.3			Percent of total billed charges		29.304	100			Percent of total billed charges		88	29.304	79.2	
cortical screw 3.5 x 45 338645 stryker	278	RC	Outpatient			88	57.2		90			Percent of total billed charges		79.2	40			Percent of total billed charges		35.2	80			Percent of total billed charges		70.4	90			Percent of total billed charges		79.2	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	100			Percent of total billed charges		88	100			Percent of total billed charges		88	100			Percent of total billed charges		88	33.3			Percent of total billed charges		29.304	33.3			Percent of total billed charges		29.304	100			Percent of total billed charges		88	29.304	79.2	
cortical screw 3.5 x 48 338648 stryker	278	RC	Outpatient			88	57.2		90			Percent of total billed charges		79.2	40			Percent of total billed charges		35.2	80			Percent of total billed charges		70.4	90			Percent of total billed charges		79.2	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	100			Percent of total billed charges		88	100			Percent of total billed charges		88	100			Percent of total billed charges		88	33.3			Percent of total billed charges		29.304	33.3			Percent of total billed charges		29.304	100			Percent of total billed charges		88	29.304	79.2	
cortical screw 3.5 x 60 338660 stryker	278	RC	Outpatient			88	57.2		90			Percent of total billed charges		79.2	40			Percent of total billed charges		35.2	80			Percent of total billed charges		70.4	90			Percent of total billed charges		79.2	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	100			Percent of total billed charges		88	100			Percent of total billed charges		88	100			Percent of total billed charges		88	33.3			Percent of total billed charges		29.304	33.3			Percent of total billed charges		29.304	100			Percent of total billed charges		88	29.304	79.2	
cortical screw 3.5 x 70 338670 stryker	278	RC	Outpatient			88	57.2		90			Percent of total billed charges		79.2	40			Percent of total billed charges		35.2	80			Percent of total billed charges		70.4	90			Percent of total billed charges		79.2	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	100			Percent of total billed charges		88	100			Percent of total billed charges		88	100			Percent of total billed charges		88	33.3			Percent of total billed charges		29.304	33.3			Percent of total billed charges		29.304	100			Percent of total billed charges		88	29.304	79.2	
cortical screw 3.5 x 80 338680 stryker	278	RC	Outpatient			88	57.2		90			Percent of total billed charges		79.2	40			Percent of total billed charges		35.2	80			Percent of total billed charges		70.4	90			Percent of total billed charges		79.2	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	100			Percent of total billed charges		88	100			Percent of total billed charges		88	100			Percent of total billed charges		88	33.3			Percent of total billed charges		29.304	33.3			Percent of total billed charges		29.304	100			Percent of total billed charges		88	29.304	79.2	
cortical screw 3.5 x 95 338695 stryker	278	RC	Outpatient			88	57.2		90			Percent of total billed charges		79.2	40			Percent of total billed charges		35.2	80			Percent of total billed charges		70.4	90			Percent of total billed charges		79.2	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	100			Percent of total billed charges		88	100			Percent of total billed charges		88	100			Percent of total billed charges		88	33.3			Percent of total billed charges		29.304	33.3			Percent of total billed charges		29.304	100			Percent of total billed charges		88	29.304	79.2	
arthrex funnel	272	RC	Outpatient			88	57.2		90			Percent of total billed charges		79.2	40			Percent of total billed charges		35.2	80			Percent of total billed charges		70.4	90			Percent of total billed charges		79.2	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	100			Percent of total billed charges		88	100			Percent of total billed charges		88	100			Percent of total billed charges		88	33.3			Percent of total billed charges		29.304	33.3			Percent of total billed charges		29.304	100			Percent of total billed charges		88	29.304	79.2	
arthrex funnel abs-1003	272	RC	Outpatient			88	57.2		90			Percent of total billed charges		79.2	40			Percent of total billed charges		35.2	80			Percent of total billed charges		70.4	90			Percent of total billed charges		79.2	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	100			Percent of total billed charges		88	100			Percent of total billed charges		88	100			Percent of total billed charges		88	33.3			Percent of total billed charges		29.304	33.3			Percent of total billed charges		29.304	100			Percent of total billed charges		88	29.304	79.2	
bed flexicair ecl.low air	270	RC	Outpatient			88	57.2		90			Percent of total billed charges		79.2	40			Percent of total billed charges		35.2	80			Percent of total billed charges		70.4	90			Percent of total billed charges		79.2	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	100			Percent of total billed charges		88	100			Percent of total billed charges		88	100			Percent of total billed charges		88	33.3			Percent of total billed charges		29.304	33.3			Percent of total billed charges		29.304	100			Percent of total billed charges		88	29.304	79.2	
cortical screw 3.5 x 10 338610 stryker	278	RC	Outpatient			88	57.2		90			Percent of total billed charges		79.2	40			Percent of total billed charges		35.2	80			Percent of total billed charges		70.4	90			Percent of total billed charges		79.2	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	100			Percent of total billed charges		88	100			Percent of total billed charges		88	100			Percent of total billed charges		88	33.3			Percent of total billed charges		29.304	33.3			Percent of total billed charges		29.304	100			Percent of total billed charges		88	29.304	79.2	
cortical screw 3.5 x 11 338611 stryker	278	RC	Outpatient			88	57.2		90			Percent of total billed charges		79.2	40			Percent of total billed charges		35.2	80			Percent of total billed charges		70.4	90			Percent of total billed charges		79.2	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	100			Percent of total billed charges		88	100			Percent of total billed charges		88	100			Percent of total billed charges		88	33.3			Percent of total billed charges		29.304	33.3			Percent of total billed charges		29.304	100			Percent of total billed charges		88	29.304	79.2	
cortical screw 3.5 x 16 338616 stryker	278	RC	Outpatient			88	57.2		90			Percent of total billed charges		79.2	40			Percent of total billed charges		35.2	80			Percent of total billed charges		70.4	90			Percent of total billed charges		79.2	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	100			Percent of total billed charges		88	100			Percent of total billed charges		88	100			Percent of total billed charges		88	33.3			Percent of total billed charges		29.304	33.3			Percent of total billed charges		29.304	100			Percent of total billed charges		88	29.304	79.2	
cortical screw 3.5 x 18 338618 stryker	278	RC	Outpatient			88	57.2		90			Percent of total billed charges		79.2	40			Percent of total billed charges		35.2	80			Percent of total billed charges		70.4	90			Percent of total billed charges		79.2	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	100			Percent of total billed charges		88	100			Percent of total billed charges		88	100			Percent of total billed charges		88	33.3			Percent of total billed charges		29.304	33.3			Percent of total billed charges		29.304	100			Percent of total billed charges		88	29.304	79.2	
cortical screw 3.5 x 24 338624 stryker	278	RC	Outpatient			88	57.2		90			Percent of total billed charges		79.2	40			Percent of total billed charges		35.2	80			Percent of total billed charges		70.4	90			Percent of total billed charges		79.2	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	100			Percent of total billed charges		88	100			Percent of total billed charges		88	100			Percent of total billed charges		88	33.3			Percent of total billed charges		29.304	33.3			Percent of total billed charges		29.304	100			Percent of total billed charges		88	29.304	79.2	
cortical screw 3.5 x 30 338630 stryker	278	RC	Outpatient			88	57.2		90			Percent of total billed charges		79.2	40			Percent of total billed charges		35.2	80			Percent of total billed charges		70.4	90			Percent of total billed charges		79.2	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	100			Percent of total billed charges		88	100			Percent of total billed charges		88	100			Percent of total billed charges		88	33.3			Percent of total billed charges		29.304	33.3			Percent of total billed charges		29.304	100			Percent of total billed charges		88	29.304	79.2	
cortical screw 3.5 x 34 338634 stryker	278	RC	Outpatient			88	57.2		90			Percent of total billed charges		79.2	40			Percent of total billed charges		35.2	80			Percent of total billed charges		70.4	90			Percent of total billed charges		79.2	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	100			Percent of total billed charges		88	100			Percent of total billed charges		88	100			Percent of total billed charges		88	33.3			Percent of total billed charges		29.304	33.3			Percent of total billed charges		29.304	100			Percent of total billed charges		88	29.304	79.2	
cortical screw 3.5 x 36 338636 stryker	278	RC	Outpatient			88	57.2		90			Percent of total billed charges		79.2	40			Percent of total billed charges		35.2	80			Percent of total billed charges		70.4	90			Percent of total billed charges		79.2	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	100			Percent of total billed charges		88	100			Percent of total billed charges		88	100			Percent of total billed charges		88	33.3			Percent of total billed charges		29.304	33.3			Percent of total billed charges		29.304	100			Percent of total billed charges		88	29.304	79.2	
cortical screw 3.5 x 40 338640 stryker	278	RC	Outpatient			88	57.2		90			Percent of total billed charges		79.2	40			Percent of total billed charges		35.2	80			Percent of total billed charges		70.4	90			Percent of total billed charges		79.2	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	100			Percent of total billed charges		88	100			Percent of total billed charges		88	100			Percent of total billed charges		88	33.3			Percent of total billed charges		29.304	33.3			Percent of total billed charges		29.304	100			Percent of total billed charges		88	29.304	79.2	
cortical screw 3.5 x 46 338646 stryker	278	RC	Outpatient			88	57.2		90			Percent of total billed charges		79.2	40			Percent of total billed charges		35.2	80			Percent of total billed charges		70.4	90			Percent of total billed charges		79.2	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	100			Percent of total billed charges		88	100			Percent of total billed charges		88	100			Percent of total billed charges		88	33.3			Percent of total billed charges		29.304	33.3			Percent of total billed charges		29.304	100			Percent of total billed charges		88	29.304	79.2	
cortical screw 3.5 x 50 338650 stryker	278	RC	Outpatient			88	57.2		90			Percent of total billed charges		79.2	40			Percent of total billed charges		35.2	80			Percent of total billed charges		70.4	90			Percent of total billed charges		79.2	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	100			Percent of total billed charges		88	100			Percent of total billed charges		88	100			Percent of total billed charges		88	33.3			Percent of total billed charges		29.304	33.3			Percent of total billed charges		29.304	100			Percent of total billed charges		88	29.304	79.2	
cortical screw 3.5 x 55 338655 stryker	278	RC	Outpatient			88	57.2		90			Percent of total billed charges		79.2	40			Percent of total billed charges		35.2	80			Percent of total billed charges		70.4	90			Percent of total billed charges		79.2	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	100			Percent of total billed charges		88	100			Percent of total billed charges		88	100			Percent of total billed charges		88	33.3			Percent of total billed charges		29.304	33.3			Percent of total billed charges		29.304	100			Percent of total billed charges		88	29.304	79.2	
cortical screw 3.5 x 65 338665 stryker	278	RC	Outpatient			88	57.2		90			Percent of total billed charges		79.2	40			Percent of total billed charges		35.2	80			Percent of total billed charges		70.4	90			Percent of total billed charges		79.2	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	100			Percent of total billed charges		88	100			Percent of total billed charges		88	100			Percent of total billed charges		88	33.3			Percent of total billed charges		29.304	33.3			Percent of total billed charges		29.304	100			Percent of total billed charges		88	29.304	79.2	
cortical screw 3.5 x 75 338675 stryker	278	RC	Outpatient			88	57.2		90			Percent of total billed charges		79.2	40			Percent of total billed charges		35.2	80			Percent of total billed charges		70.4	90			Percent of total billed charges		79.2	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	100			Percent of total billed charges		88	100			Percent of total billed charges		88	100			Percent of total billed charges		88	33.3			Percent of total billed charges		29.304	33.3			Percent of total billed charges		29.304	100			Percent of total billed charges		88	29.304	79.2	
cortical screw 3.5 x 85 338685 stryker	278	RC	Outpatient			88	57.2		90			Percent of total billed charges		79.2	40			Percent of total billed charges		35.2	80			Percent of total billed charges		70.4	90			Percent of total billed charges		79.2	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	100			Percent of total billed charges		88	100			Percent of total billed charges		88	100			Percent of total billed charges		88	33.3			Percent of total billed charges		29.304	33.3			Percent of total billed charges		29.304	100			Percent of total billed charges		88	29.304	79.2	
cortical screw 3.5 x 90 338690 stryker	278	RC	Outpatient			88	57.2		90			Percent of total billed charges		79.2	40			Percent of total billed charges		35.2	80			Percent of total billed charges		70.4	90			Percent of total billed charges		79.2	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	100			Percent of total billed charges		88	100			Percent of total billed charges		88	100			Percent of total billed charges		88	33.3			Percent of total billed charges		29.304	33.3			Percent of total billed charges		29.304	100			Percent of total billed charges		88	29.304	79.2	
l&d traxis panniculus retractor extender ciprs1050 clinical innovations	272	RC	Outpatient			88	57.2		90			Percent of total billed charges		79.2	40			Percent of total billed charges		35.2	80			Percent of total billed charges		70.4	90			Percent of total billed charges		79.2	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	100			Percent of total billed charges		88	100			Percent of total billed charges		88	100			Percent of total billed charges		88	33.3			Percent of total billed charges		29.304	33.3			Percent of total billed charges		29.304	100			Percent of total billed charges		88	29.304	79.2	
separator access system kii fixation trocar c0682 cff73 12 x 100mm applied med	272	RC	Outpatient			88	57.2		90			Percent of total billed charges		79.2	40			Percent of total billed charges		35.2	80			Percent of total billed charges		70.4	90			Percent of total billed charges		79.2	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	100			Percent of total billed charges		88	100			Percent of total billed charges		88	100			Percent of total billed charges		88	33.3			Percent of total billed charges		29.304	33.3			Percent of total billed charges		29.304	100			Percent of total billed charges		88	29.304	79.2	
s/n bone tunnel plug cannulated 014477	272	RC	Outpatient			88	57.2		90			Percent of total billed charges		79.2	40			Percent of total billed charges		35.2	80			Percent of total billed charges		70.4	90			Percent of total billed charges		79.2	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	100			Percent of total billed charges		88	100			Percent of total billed charges		88	100			Percent of total billed charges		88	33.3			Percent of total billed charges		29.304	33.3			Percent of total billed charges		29.304	100			Percent of total billed charges		88	29.304	79.2	
steris ascendo submucosal lifting agent ref # bx00712934	272	RC	Outpatient			88	57.2		90			Percent of total billed charges		79.2	40			Percent of total billed charges		35.2	80			Percent of total billed charges		70.4	90			Percent of total billed charges		79.2	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	100			Percent of total billed charges		88	100			Percent of total billed charges		88	100			Percent of total billed charges		88	33.3			Percent of total billed charges		29.304	33.3			Percent of total billed charges		29.304	100			Percent of total billed charges		88	29.304	79.2	
stryker screw 3.5	278	RC	Outpatient			88	57.2		90			Percent of total billed charges		79.2	40			Percent of total billed charges		35.2	80			Percent of total billed charges		70.4	90			Percent of total billed charges		79.2	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	100			Percent of total billed charges		88	100			Percent of total billed charges		88	100			Percent of total billed charges		88	33.3			Percent of total billed charges		29.304	33.3			Percent of total billed charges		29.304	100			Percent of total billed charges		88	29.304	79.2	
trocar 10/12mm non blade	272	RC	Outpatient			88	57.2		90			Percent of total billed charges		79.2	40			Percent of total billed charges		35.2	80			Percent of total billed charges		70.4	90			Percent of total billed charges		79.2	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	100			Percent of total billed charges		88	100			Percent of total billed charges		88	100			Percent of total billed charges		88	33.3			Percent of total billed charges		29.304	33.3			Percent of total billed charges		29.304	100			Percent of total billed charges		88	29.304	79.2	
trocar kii optical 12mm c0r28 applied med	272	RC	Outpatient			88	57.2		90			Percent of total billed charges		79.2	40			Percent of total billed charges		35.2	80			Percent of total billed charges		70.4	90			Percent of total billed charges		79.2	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	100			Percent of total billed charges		88	100			Percent of total billed charges		88	100			Percent of total billed charges		88	33.3			Percent of total billed charges		29.304	33.3			Percent of total billed charges		29.304	100			Percent of total billed charges		88	29.304	79.2	
trocar non-blade handle 12mm c0r34 ctr72 applied med	272	RC	Outpatient			88	57.2		90			Percent of total billed charges		79.2	40			Percent of total billed charges		35.2	80			Percent of total billed charges		70.4	90			Percent of total billed charges		79.2	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	100			Percent of total billed charges		88	100			Percent of total billed charges		88	100			Percent of total billed charges		88	33.3			Percent of total billed charges		29.304	33.3			Percent of total billed charges		29.304	100			Percent of total billed charges		88	29.304	79.2	
trocar 12mm handled	272	RC	Outpatient			88	57.2		90			Percent of total billed charges		79.2	40			Percent of total billed charges		35.2	80			Percent of total billed charges		70.4	90			Percent of total billed charges		79.2	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	100			Percent of total billed charges		88	100			Percent of total billed charges		88	100			Percent of total billed charges		88	33.3			Percent of total billed charges		29.304	33.3			Percent of total billed charges		29.304	100			Percent of total billed charges		88	29.304	79.2	
wound protector lg	272	RC	Outpatient			88	57.2		90			Percent of total billed charges		79.2	40			Percent of total billed charges		35.2	80			Percent of total billed charges		70.4	90			Percent of total billed charges		79.2	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	100			Percent of total billed charges		88	100			Percent of total billed charges		88	100			Percent of total billed charges		88	33.3			Percent of total billed charges		29.304	33.3			Percent of total billed charges		29.304	100			Percent of total billed charges		88	29.304	79.2	
zimmer comp screw	278	RC	Outpatient			88	57.2		90			Percent of total billed charges		79.2	40			Percent of total billed charges		35.2	80			Percent of total billed charges		70.4	90			Percent of total billed charges		79.2	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	100			Percent of total billed charges		88	100			Percent of total billed charges		88	100			Percent of total billed charges		88	33.3			Percent of total billed charges		29.304	33.3			Percent of total billed charges		29.304	100			Percent of total billed charges		88	29.304	79.2	
zimmer compression screw 19mm 47-1162-20	278	RC	Outpatient			88	57.2		90			Percent of total billed charges		79.2	40			Percent of total billed charges		35.2	80			Percent of total billed charges		70.4	90			Percent of total billed charges		79.2	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	100			Percent of total billed charges		88	100			Percent of total billed charges		88	100			Percent of total billed charges		88	33.3			Percent of total billed charges		29.304	33.3			Percent of total billed charges		29.304	100			Percent of total billed charges		88	29.304	79.2	
zimmer compression screw 25mm 47-1162-21	278	RC	Outpatient			88	57.2		90			Percent of total billed charges		79.2	40			Percent of total billed charges		35.2	80			Percent of total billed charges		70.4	90			Percent of total billed charges		79.2	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	85			Percent of total billed charges		74.8	100			Percent of total billed charges		88	100			Percent of total billed charges		88	100			Percent of total billed charges		88	33.3			Percent of total billed charges		29.304	33.3			Percent of total billed charges		29.304	100			Percent of total billed charges		88	29.304	79.2	
polypropylene blue monifilament nonabsorable suture 0 tc-43 36 teleflex ref 833-235	278	RC	Outpatient			88.55	57.56		90			Percent of total billed charges		79.695	40			Percent of total billed charges		35.42	80			Percent of total billed charges		70.84	90			Percent of total billed charges		79.695	85			Percent of total billed charges		75.2675	85			Percent of total billed charges		75.2675	85			Percent of total billed charges		75.2675	100			Percent of total billed charges		88.55	100			Percent of total billed charges		88.55	100			Percent of total billed charges		88.55	33.3			Percent of total billed charges		29.4872	33.3			Percent of total billed charges		29.4872	100			Percent of total billed charges		88.55	29.4872	79.695	
cath set cen ven 4fr401	270	RC	Outpatient			89	57.85		90			Percent of total billed charges		80.1	40			Percent of total billed charges		35.6	80			Percent of total billed charges		71.2	90			Percent of total billed charges		80.1	85			Percent of total billed charges		75.65	85			Percent of total billed charges		75.65	85			Percent of total billed charges		75.65	100			Percent of total billed charges		89	100			Percent of total billed charges		89	100			Percent of total billed charges		89	33.3			Percent of total billed charges		29.637	33.3			Percent of total billed charges		29.637	100			Percent of total billed charges		89	29.637	80.1	
trocar balloon 12 x 100 cfr73 cordis	272	RC	Outpatient			89	57.85		90			Percent of total billed charges		80.1	40			Percent of total billed charges		35.6	80			Percent of total billed charges		71.2	90			Percent of total billed charges		80.1	85			Percent of total billed charges		75.65	85			Percent of total billed charges		75.65	85			Percent of total billed charges		75.65	100			Percent of total billed charges		89	100			Percent of total billed charges		89	100			Percent of total billed charges		89	33.3			Percent of total billed charges		29.637	33.3			Percent of total billed charges		29.637	100			Percent of total billed charges		89	29.637	80.1	
trocar balloon 12 x 100	272	RC	Outpatient			89	57.85		90			Percent of total billed charges		80.1	40			Percent of total billed charges		35.6	80			Percent of total billed charges		71.2	90			Percent of total billed charges		80.1	85			Percent of total billed charges		75.65	85			Percent of total billed charges		75.65	85			Percent of total billed charges		75.65	100			Percent of total billed charges		89	100			Percent of total billed charges		89	100			Percent of total billed charges		89	33.3			Percent of total billed charges		29.637	33.3			Percent of total billed charges		29.637	100			Percent of total billed charges		89	29.637	80.1	
xr bone length studies scanograms	983	RC	Outpatient			89	57.85		90			Percent of total billed charges		80.1	40			Percent of total billed charges		35.6	80			Percent of total billed charges		71.2	90			Percent of total billed charges		80.1	85			Percent of total billed charges		75.65	85			Percent of total billed charges		75.65	85			Percent of total billed charges		75.65	100			Percent of total billed charges		89	100			Percent of total billed charges		89	100			Percent of total billed charges		89	33.3			Percent of total billed charges		29.637	33.3			Percent of total billed charges		29.637	100			Percent of total billed charges		89	29.637	80.1	
4.0 screw 30mm 7122-3030 s/n	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
cortex screw 2.0 x 12mm 201.362.97 synthes	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
cortex screw 3.5 x 110mm 7114-9610 s/n	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
cortex screw 3.5 x 55mm 7114-9555 s/n	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
cortex screw 3.5 x 65mm 7114-9560 s/n	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
cortex screw 3.5 x 95mm 7114-9595 s/n	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
cosmetic - laser hair removal underarms each addt'l session	983	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
cosmetic - obagi radiance blue peel	983	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
"4.0  screw,  85mm 7122-3285"	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
"4.0 cancellous screw, 28mm s/n"	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
99145 moderate sedation-same physician-each additional 15 minutes	983	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
cortex screw 3.5 x 100mm 7114-9600 s/n	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
cortex screw 3.5 x 105mm 7114-9605 s/n	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
cortex screw 3.5 x 60mm 7114-9560 s/n	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
cortex screw 3.5 x 70mm 7114-9570 s/n	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
cortex screw 3.5 x 75mm 7114-9575 s/n	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
cortex screw 3.5 x 80mm 7114-9580 s/n	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
cortex screw 3.5 x 85mm 7114-9585 s/n	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
cortex screw 3.5 x 90mm 7114-9590 s/n	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
large frag tc 100 screw	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
mini frag tc 100 screw	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
rod fiber carbon 4.0mm dia 200mm l 395.67 synthes	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n  lg frag   6.5mm x 55mm  screw 7122-6055	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n  lg frag  6.5mm x 100mm screw  7122-6100	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n  lg frag  6.5mm x 110mm screw  7122-6110	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n  lg frag  6.5mm x 35mm screw 7122-9035	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n  lg frag  6.5mm x 45mm screw  7122-8045	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n  lg frag  6.5mm x 50mm screw 7122-9050	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n  lg frag  6.5mm x 55mm screw 7122-9055	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n  lg frag  6.5mm x 60mm  screw 7122-9060	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n  lg frag  6.5mm x 60mm screw  7122-8060	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n  lg frag  6.5mm x 70mm screw  7122-6070	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n  lg frag  6.5mm x 75mm screw  7122-6075	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n  lg frag  6.5mm x 80mm screw  7122-6080	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n  lg frag  6.5mm x 90mm screw  7122-6090	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n  lg frag  6.5mm x 95mm screw  7122-6095	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n  lg frag 4.5mm x 18mm screw 7122-5018	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n  lg frag 4.5mm x 24mm screw 7122-5024	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n  lg frag 4.5mm x 26mm screw 7122-5026	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n  lg frag 4.5mm x 30mm screw 7122-5030	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n  lg frag 4.5mm x 38mm screw 7122-5038	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n  lg frag 4.5mm x 40mm screw 7122-5040	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n  lg frag 4.5mm x 44mm screw 7122-5044	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n  lg frag 4.5mm x 48mm screw 7122-5048	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n  lg frag 4.5mm x 50mm screw 7122-5050	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n  lg frag 4.5mm x 56mm screw 7122-5056	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n  lg frag 4.5mm x 62mm screw 7122-5062	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n  lg frag 4.5mm x 64mm screw 7122-5064	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n  lg frag 4.5mm x 66mm screw 7122-5066	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n  lg frag 6.5mm x 110mm screw 7122-8110	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n  lg frag tc-100 6.5mm x 105mm  screw  7122-8105	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n  lg frag tc-100 6.5mm x 35mm cancellous screw 16mm t/l 7122-6035	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n  lg frag tc-100 6.5mm x 40mm cancellous screw 16mm t/l 7122-6040	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n 4.5 lg frag screw	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n 4.5 self-tapping screw	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n 4.5mm x 52mm screw 7122-5052	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n 4.5mm x 54mm screw 7122-5054	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag   4.5mm x 58mm screw 7122-5858	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag   4.5mm x 60mm screw 7122-5860	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  4.5mm x 100mm screw 7122-5900	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  4.5mm x 105mm screw 7114-9805	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  4.5mm x 115mm screw 7114-9815	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  4.5mm x 130mm screw 7114-9830	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  4.5mm x 135mm screw 7114-9835	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  4.5mm x 140mm screw 7114-9840	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  4.5mm x 145mm  screw 7114-9845	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  4.5mm x 30mm screw 7122-5830	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  4.5mm x 40mm screw 7114-9740	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  4.5mm x 40mm screw 7122-5840	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  4.5mm x 42mm  7114-9742	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  4.5mm x 42mm screw 7122-5842	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  4.5mm x 44mm screw 7122-5844	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  4.5mm x 46mm screw 7122-5846	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  4.5mm x 50mm screw 7114-9750	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  4.5mm x 52mm screw 7114-9752	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  4.5mm x 52mm screw 7122-5852	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  4.5mm x 58mm screw 7114-9758	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  4.5mm x 60mm screw 7114-9760	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  4.5mm x 64mm screw 7122-5864	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  4.5mm x 72mm screw 7114-9772	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  4.5mm x 72mm screw 7122-5872	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  4.5mm x 76mm  screw 7114-9776	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  4.5mm x 76mm screw 7122-5876	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  4.5mm x 80mm screw 7114-9780	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  4.5mm x 85mm screw 7122-5885	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  6.5mm x 105mm screw 7122-9105	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  6.5mm x 110mm screw 7122-9110	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  6.5mm x 115mm screw  7122-6115	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  6.5mm x 120mm  screw  7122-6120	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  6.5mm x 120mm screw 7122-9120	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  6.5mm x 125mm screw  7122-6125	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  6.5mm x 130mm screw  7122-6130	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  6.5mm x 140mm screw 7122-9140	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  6.5mm x 145mm screw 7122-9145	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  6.5mm x 150mm screw  7122-6150	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  6.5mm x 150mm screw 7122-8150	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  6.5mm x 65mm screw  7122-6065	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  6.5mm x 70mm screw 7122-9070	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  6.5mm x 90mm screw  7122-8090	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag 4.5mm x 110mm screw 7122-5110	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag 4.5mm x 125mm screw 7122-5125	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag 4.5mm x 135mm screw 7122-5135	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag 4.5mm x 145mm screw 7122-5145	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag 4.5mm x 14mm screw 7114-9714	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag 4.5mm x 16mm screw  7114-9716	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag 4.5mm x 20mm screw 7114-9720	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag 4.5mm x 22mm screw 7114-9722	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag 4.5mm x 22mm screw 7122-5822	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag 4.5mm x 28mm screw  7114-9728	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag 4.5mm x 36mm screw 7122-5836	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag 6.5mm x 115mm screw 7122-8115	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag 6.5mm x 125mm screw 7122-8125	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag 6.5mm x 70mm screw  7122-8070	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag  screw 1.5mm x 18mm 7114-9018	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag  screw 1.5mm x 8mm 7116-1508	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag  screw 2.7mm x 8mm 7114-9408	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag  screw 2mm x 20mm 7114-9320	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw  1.5mm x 10mm 7114-9010	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw  1.5mm x 11mm 7114-9011	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw  1.5mm x 12mm 7114-9012	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw  1.5mm x 14mm 7114-9014	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw  1.5mm x 16mm 7116-1516	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw  2mm x 10mm 7114-9210	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw  2mm x 12mm 7114-9212	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw  2mm x 30mm 7116-2130	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 1.5 x 8mm 7116-1608	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 1.5mm x 10mm 7114-9110	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 1.5mm x 11mm 7114-9111	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 1.5mm x 11mm 7116-1611	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 1.5mm x 12mm 7114-9112	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 1.5mm x 14mm 7114-9114	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 1.5mm x 14mm 7116-1614	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 1.5mm x 18mm 7116-1518	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 1.5mm x 20mm 7114-9020	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 1.5mm x 20mm 7116-1620	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 1.5mm x 22mm 7114-9022	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 1.5mm x 24mm 7114-9024	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 1.5mm x 6mm 7114-9106	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 1.5mm x 6mm 7116-1606	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 1.5mm x 7mm 7114-9007	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 1.5mm x 7mm 7116-1507	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 1.5mm x 8mm 7114-9108	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 1.5mm x 9mm 7116-1609	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2.7mm x 10mm 7114-9410	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2.7mm x 12mm 7122-0012	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2.7mm x 14mm 7122-0014	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2.7mm x 16mm 7114-9416	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2.7mm x 16mm 7122-0016	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2.7mm x 18mm 7122-0018	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2.7mm x 20mm 7114-9420	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2.7mm x 20mm 7122-0020	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2.7mm x 22mm 7122-0022	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2.7mm x 24mm 7122-0024	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2.7mm x 26mm 7114-9426	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2.7mm x 26mm 7122-0026	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2.7mm x 28mm 7122-0028	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2.7mm x 32mm 7114-9432	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2.7mm x 34mm 7122-0034	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2.7mm x 36mm 7114-9436	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2.7mm x 36mm 7122-0036	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2.7mm x 40mm 7114-9440	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2.7mm x 55mm 7122-0055	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2.7mm x 6mm 7122-0006	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2.7mm x 8mm 7122-0008	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2mm x 10mm 7114-9310	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2mm x 10mm 7116-2110	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2mm x 10mm 7116-2210	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2mm x 16mm 7114-9216	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2mm x 16mm 7114-9316	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2mm x 16mm 7116-2116	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2mm x 16mm 7116-2216	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2mm x 18mm 7114-9318	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2mm x 18mm 7116-2118	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2mm x 20mm 7114-9220	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2mm x 20mm 7116-2120	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2mm x 22mm 7114-9322	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2mm x 22mm 7116-2122	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2mm x 24mm 7116-2124	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2mm x 28mm 7114-9228	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2mm x 28mm 7116-2128	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2mm x 28mm 7116-2228	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2mm x 30mm 7114-9230	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2mm x 30mm 7114-9330	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2mm x 32mm 7114-9232	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2mm x 32mm 7114-9332	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2mm x 32mm 7116-2132	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2mm x 34mm sterile 7114-9334	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2mm x 36mm 7114-9236	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2mm x 36mm sterile 7114-9336	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2mm x 36mm sterile 7116-2136	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2mm x 38mm 7114-9238	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2mm x 38mm sterile 7116-2138	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2mm x 38mm sterile 7116-2238	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2mm x 6mm 7114-9206	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2mm x 8mm 7114-9308	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2mm x 8mm 7116-2108	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw self 1.5mm x 8mm 7114-9008	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag scrw 1.5mm x 9mm 7114-9109	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n small frag 3.5mm cortex screw 22mm 7122-2022	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n small frag 3.5mm cortex screw 28mm 7122-2028	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n small frag 3.5mm cortex screw 30mm 7122-2030	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n small frag 3.5mm cortex screw 32mm 7122-2032	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n small frag 3.5mm cortex screw 45mm 7122-2045	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
"s/n small frag 4.0  screw,  10mm 7122-3210"	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
"s/n small frag 4.0  screw,  16mm 7122-3216"	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
"s/n small frag 4.0  screw,  18mm 7122-3218"	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
"s/n small frag 4.0  screw,  20mm 7122-3020"	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
"s/n small frag 4.0  screw,  28mm 7122-3228"	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
"s/n small frag 4.0  screw,  35mm 7122-3035"	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
"s/n small frag 4.0  screw, 10mm  7122-3010"	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n small frag 4.0 cancellous screw  35mm 7122-32305	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
"s/n small frag 4.0 screw,  20mm 7122-3220"	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
"s/n small frag 4.0 screw,  22mm 7122-3022"	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
"s/n small frag 4.0 screw,  32mm 7122-3032"	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
"s/n small frag 4.0 screw,  40mm 7122-3040"	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
"s/n small frag 4.0 screw,  45mm 7122-3245"	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
screw cancellous 4.0 x 50mm 7122-3250	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
screw cortex self tap 3.5 x 26mm 7114-9526 s/n	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag  3.5mm srew 10mm 7122-2010 s/n	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5 mm  screw 105mm 7114-9605	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5 mm  screw 10mm 7114-9510 s/n	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5 mm  screw 120mm 7114-9620	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5 mm  screw 14mm 7114-9514	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5 mm  screw 20mm 7122-5720	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5 mm  screw 22mm 7114-9522 s/n	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5 mm  screw 22mm 7122-5722	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5 mm  screw 28mm 7122-5728	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5 mm  screw 30mm 7122-5730	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5 mm  screw 34mm 7122-5734	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5 mm  screw 40mm 7122-5740	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5 mm  screw 45mm 7114-9545 s/n	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5 mm  screw 55mm 7114-9555	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5 mm  screw 85mm 7114-9585	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5 mm  screw 90mm 7114-9590	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5 mm screw 125mm 7114-9625	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5 mm screw 12mm 7114-9512	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5 mm screw 30mm 7114-9530 s/n	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5 mm screw 38mm 7122-5738	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5 mm screw 65mm 7114-9565	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5 mm screw 70mm 7114-9570	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5mm cortex screw 105mm 7122-2105	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5mm cortex screw 130mm 7122-2130	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5mm cortex screw 16mm 7122-2016	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5mm cortex screw 40mm 7122-2040	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5mm cortex screw 55mm 7122-2055	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5mm cortex screw 60mm 7122-2060	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5mm cortex screw 70mm 7122-2070	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5mm cortex screw 75mm 7122-2075	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5mm cortex screw 80mm 7122-2080	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
"small frag 4.0  screw,  100mm 7122-3300"	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
"small frag 4.0  screw,  70mm 7122-3270"	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
"small frag 4.0  screw,  75mm 7122-3275"	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
"small frag 4.0  screw,  90mm 7122-3090"	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
"small frag 4.0  screw, 45mm 7122-3045"	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
"small frag 4.0 screw,  26mm 7122-3026"	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
"small frag 4.0 screw,  36mm 7122-3036"	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
"small frag 4.0 screw,  85mm 7122-3085"	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
"small frag 4.0 screw,  95mm 7122-3095"	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag tc 100 screw	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
rod fiber carbon 4.0 x 180 395.66 synthes	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n  3.5  screw  20mm 7114-9520	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n  lg frag  6.5mm x 105mm screw  7122-6105	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n  lg frag  6.5mm x 25mm screw 7122-9025	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n  lg frag  6.5mm x 30mm screw 7122-9030	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n  lg frag  6.5mm x 40mm screw 7122-9040	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n  lg frag  6.5mm x 45mm screw 7122-9045	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n  lg frag  6.5mm x 50mm screw  7122-8050	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n  lg frag  6.5mm x 50mm screw 7122-6050	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n  lg frag  6.5mm x 55mm screw  7122-8055	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n  lg frag  6.5mm x 60mm screw  7122-6060	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n  lg frag 4.5mm x 14mm  screw 7122-5014	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n  lg frag 4.5mm x 16mm screw 7122-5016	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n  lg frag 4.5mm x 20mm screw 7122-5020	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n  lg frag 4.5mm x 22mm screw 7122-5022	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n  lg frag 4.5mm x 28mm screw 7122-5028	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n  lg frag 4.5mm x 32mm screw 7122-5032	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n  lg frag 4.5mm x 34mm screw 7122-5034	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n  lg frag 4.5mm x 36mm screw 7122-5036	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n  lg frag 4.5mm x 42mm screw 7122-5042	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n  lg frag 4.5mm x 46mm screw 7122-5046	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n  lg frag 4.5mm x 58mm screw 7122-5058	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n  lg frag 4.5mm x 68mm screw 7122-5068	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n  lg frag 6.5mm x 100mm screw 7122-8100	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n  lg frag 6.5mm x 85mm 7122-6085	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n  lg frag tc-100 6.5mm x 30mm cancellous screw 16mm t/l 7122-6030	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n  lg frag tc-100 6.5mm x 45mm cancellous screw 16mm t/l 7122-6045	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  4.5mm x 100mm screw  7114-9800	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  4.5mm x 110mm screw 7114-9810	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  4.5mm x 120mm screw 7114-9820	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  4.5mm x 125mm screw 7114-9825	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  4.5mm x 24mm scrw 7122-5824	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  4.5mm x 26mm screw 7122-5826	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  4.5mm x 28mm screw 7122-5828	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  4.5mm x 32mm screw 7114-9732	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  4.5mm x 34mm  screw 7114-9734	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  4.5mm x 36mm screw 7114-9736	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  4.5mm x 38mm screw 7114-9738	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  4.5mm x 44mm screw 7114-9744	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  4.5mm x 46mm screw 7114-9746	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  4.5mm x 48mm screw 7114-9748	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  4.5mm x 48mm screw 7122-5848	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  4.5mm x 50mm screw 7122-5850	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  4.5mm x 54mm screw 7114-9754	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  4.5mm x 54mm screw 7122-5854	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  4.5mm x 56mm  screw 7114-9756	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  4.5mm x 56mm screw 7122-5856	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  4.5mm x 62mm screw 7114-9762	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  4.5mm x 64mm screw 7114-9764	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  4.5mm x 68mm screw 7114-9768	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  4.5mm x 68mm screw 7122-5868	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  4.5mm x 70mm screw 7114-9770	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  4.5mm x 80mm screw 7122-5880	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  4.5mm x 85mm screw 7114-9785	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  4.5mm x 90mm  screw 7114-9790	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  4.5mm x 90mm screw 7122-5890	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  4.5mm x 95mm screw 7114-9795	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  4.5mm x 95mm screw 7122-5895	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  6.5mm x 100mm screw 7122-9100	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  6.5mm x 115mm screw 7122-9115	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  6.5mm x 125mm screw 7122-9125	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  6.5mm x 130mm screw 7122-9130	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  6.5mm x 135mm  screw 7122-9135	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  6.5mm x 135mm screw  7122-6135	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  6.5mm x 135mm screw 7122-8135	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  6.5mm x 140mm screw  7122-6140	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  6.5mm x 140mm screw 7122-8140	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  6.5mm x 145mm screw  7122-6145	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  6.5mm x 145mm screw 7122-8145	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  6.5mm x 150mm screw 7122-9150	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  6.5mm x 65mm screw  7122-8065	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  6.5mm x 65mm screw 7122-9065	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  6.5mm x 75mm screw  7122-8075	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  6.5mm x 80mm screw  7122-8080	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  6.5mm x 80mm screw 7122-9080	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  6.5mm x 85mm screw  7122-8085	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  6.5mm x 85mm screw 7122-9085	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  6.5mm x 90mm screw 7122-9090	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  6.5mm x 95mm screw 7122-8095	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag  6.5mm x 95mm screw 7122-9095	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag 4.5mm x 100mm screw 7122-5100	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag 4.5mm x 105mm screw 7122-5105	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag 4.5mm x 115mm screw 7122-5115	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag 4.5mm x 120mm screw 7122-5120	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag 4.5mm x 130mm screw 7122-5130	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag 4.5mm x 140mm screw 7122-5140	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag 4.5mm x 18mm screw 7114-9718	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag 4.5mm x 24mm screw 7114-9724	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag 4.5mm x 26mm screw 7114-9726	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag 4.5mm x 30mm screw 7114-9730	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag 4.5mm x 32mm screw 7122-5832	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag 4.5mm x 38mm screw 7122-5838	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag 4.5mm x 60mm screw 7122-5060	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag 4.5mm x 70mm screw 7122-5070	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag 4.5mm x 72mm screw 7122-5072	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag 4.5mm x 76mm screw 7122-5076	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag 4.5mm x 80mm screw 7122-5080	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag 4.5mm x 85mm screw 7122-5085	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag 4.5mm x 90mm screw 7122-5090	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag 4.5mm x 95mm screw 7122-5095	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag 6.5mm x 120mm screw 7122-8120	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag 6.5mm x 130mm screw 7122-8130	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag 6.5mm x 75mm screw 7122-9075	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n lg frag tc-100 4.5mm x 34mm screw 7122-5834	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag rscrew 1.5mm x 8mm 7116-1608	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw  1.5mm x 10mm 7116-1510	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw  1.5mm x 16mm 7114-9016	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw  1.5mm x 9mm 7114-9009	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw  2mm x 34mm sterile 7116-2234	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 1.5mm x 10mm 7116-1610	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 1.5mm x 11mm 7116-1511	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 1.5mm x 12mm 7116-1512	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 1.5mm x 12mm 7116-1612	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 1.5mm x 14mm 7116-1514	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 1.5mm x 16mm 7114-9116	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 1.5mm x 16mm 7116-1616	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 1.5mm x 18mm 7114-9118	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 1.5mm x 18mm 7116-1618	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 1.5mm x 20mm 7114-9120	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 1.5mm x 20mm 7116-1520	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 1.5mm x 22mm 7114-9122	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 1.5mm x 24mm 7114-9124	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 1.5mm x 6mm 7114-9006	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 1.5mm x 6mm 7116-1506	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 1.5mm x 7mm 7116-1607	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 1.5mm x 9mm 7116-1509	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2.7mm x 10mm 7122-0010	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2.7mm x 12mm 7114-9412	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2.7mm x 14mm 7114-9414	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2.7mm x 18mm 7114-9418	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2.7mm x 22mm 7114-9422	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2.7mm x 24mm 7114-9424	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2.7mm x 28mm 7114-9428	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2.7mm x 30mm 7114-9430	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2.7mm x 30mm 7122-0030	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2.7mm x 32mm 7122-0032	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2.7mm x 34mm 7114-9434	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2.7mm x 38mm 7114-9438	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2.7mm x 38mm 7122-0038	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2.7mm x 40mm 7122-0040	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2.7mm x 45mm 7114-9445	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2.7mm x 45mm 7122-0045	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2.7mm x 50mm 7114-9450	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2.7mm x 50mm 7122-0050	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2.7mm x 55mm 7114-9455	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2.7mm x 6mm 7114-9406	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2mm x 12mm 7114-9312	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2mm x 12mm 7116-2112	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2mm x 12mm 7116-2212	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2mm x 14mm 7114-9214	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2mm x 14mm 7114-9314	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2mm x 14mm 7116-2114	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2mm x 14mm 7116-2214	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2mm x 18mm 7114-9218	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2mm x 18mm 7116-2218	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2mm x 20mm 7116-2220	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2mm x 22mm 7114-9222	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2mm x 22mm 7116-2222	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2mm x 24mm 7114-9224	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2mm x 24mm 7114-9324	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2mm x 24mm 7116-2224	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2mm x 26mm 7114-9226	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2mm x 26mm 7114-9326	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2mm x 26mm 7116-2126	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2mm x 26mm 7116-2226	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2mm x 28mm 7114-9328	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2mm x 30mm 7116-2230	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2mm x 32mm 7116-2232	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2mm x 34mm 7114-9234	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2mm x 34mm sterile 7116-2134	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2mm x 36mm sterile 7116-2236	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2mm x 38mm sterile 7114-9338	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2mm x 6mm 7116-2106	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2mm x 6mm 7116-2206	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2mm x 6mm 7117-9306	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2mm x 8mm 7114-9208	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw 2mm x 8mm 7116-2208	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n mini frag screw t 1.5mm x 7mm 7114-9107	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n small frag 3.5 mm  screw 36mm 7122-5736	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n small frag 3.5mm cortex screw 34mm 7122-2034	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n small frag 3.5mm cortex screw 36mm 7122-2036	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n small frag 3.5mm cortex screw 50mm 7122-2050	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n small frag 4.0  screw  55mm 7122-3255	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
"s/n small frag 4.0  screw,  14mm 7122-3214"	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
"s/n small frag 4.0  screw,  22mm 7122-3222"	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
"s/n small frag 4.0  screw,  40mm 7122-3240"	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
"s/n small frag 4.0  screw,  55mm 7122-3055"	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
"s/n small frag 4.0  screw,  60mm 7122-3060"	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
"s/n small frag 4.0  screw,  60mm 7122-3260"	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
"s/n small frag 4.0  screw, 12mm 7122-3012"	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n small frag 4.0 cancellous screw  30mm 7122-3230 s/n	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
"s/n small frag 4.0 screw,  12mm 7122-3212"	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
"s/n small frag 4.0 screw,  18mm 7122-3018"	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
"s/n small frag 4.0 screw,  24mm 7122-3224"	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
"s/n small frag 4.0 screw,  26mm 7122-3226"	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
s/n tc 100 screw	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5 mm  screw 110mm 7114-9610	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5 mm  screw 115mm 7114-9615	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5 mm  screw 130mm 7114-9630	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5 mm  screw 18mm 7122-5718	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5 mm  screw 24mm 7114-9524 s/n	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5 mm  screw 24mm 7122-5724	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5 mm  screw 28mm 7114-9528 s/n	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5 mm  screw 32mm 7114-9532 s/n	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5 mm  screw 32mm 7122-5732	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5 mm  screw 34mm 7114-9534 s/n	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5 mm  screw 36mm 7114-9536 s/n	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5 mm  screw 38mm 7114-9538 s/n	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5 mm  screw 45mm 7122-5745	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5 mm  screw 50mm 7114-9550 s/n	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5 mm  screw 50mm 7122-5750	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5 mm  screw 75mm 7114-9575	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5 mm  screw 80mm 7114-9580	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5 mm screw 100mm 7114-9600	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5 mm screw 16mm 7114-9516	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5 mm screw 16mm 7122-5716	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5 mm screw 18mm 7114-9518	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5 mm screw 26mm 7122-5726	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5 mm screw 60mm 7114-9560	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5 mm screw 95mm 7114-9595	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5mm cortex screw 100mm 7122-2100	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5mm cortex screw 110mm 7122-2110	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5mm cortex screw 115mm 7122-2115	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5mm cortex screw 120mm 7122-2120	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5mm cortex screw 125mm 7122-2125	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5mm cortex screw 12mm 7122-2012	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5mm cortex screw 14mm 7122-2014	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5mm cortex screw 18mm 7122-2018 s/n	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5mm cortex screw 20mm 7122-2020 s/n	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5mm cortex screw 24mm 7122-2024 s/n	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5mm cortex screw 26mm 7122-2026	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5mm cortex screw 38mm 7122-2038	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5mm cortex screw 65mm 7122-2065	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5mm cortex screw 85mm 7122-2085	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5mm cortex screw 90mm 7122-2090	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5mm cortex screw 95mm 7122-2095	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
small frag 3.5mm screw 20mm 7114-9520 s&n	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
"small frag 4.0  screw,  14mm 7122-3014"	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
"small frag 4.0  screw,  50mm 7122-3050"	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
"small frag 4.0  screw,  65mm 7122-3265"	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
"small frag 4.0  screw,  75mm 7122-3075"	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
"small frag 4.0  screw,  80mm 7122-3280"	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
"small frag 4.0  screw,  90mm 7122-3290"	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
"small frag 4.0  screw,  95mm 7122-3295"	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
"small frag 4.0 s screw,  24mm 7122-3024"	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
"small frag 4.0 screw,  100mm 7122-3100"	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
"small frag 4.0 screw,  16mm 7122-3016"	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
"small frag 4.0 screw,  80mm 7122-3080"	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
"small frag 4.0 screw, 35mm 7122-3235"	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
syn scr 2.0 cortex	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
tube trach shiley 4dcfs	272	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
xfix carbn fibrod 180-200	278	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
xr spine scoliosis study standing	983	RC	Outpatient			90	58.5		90			Percent of total billed charges		81	40			Percent of total billed charges		36	80			Percent of total billed charges		72	90			Percent of total billed charges		81	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	85			Percent of total billed charges		76.5	100			Percent of total billed charges		90	100			Percent of total billed charges		90	100			Percent of total billed charges		90	33.3			Percent of total billed charges		29.97	33.3			Percent of total billed charges		29.97	100			Percent of total billed charges		90	29.97	81	
canc scrw 6.5 x 100mm 71808200 s\n	278	RC	Outpatient			91	59.15		90			Percent of total billed charges		81.9	40			Percent of total billed charges		36.4	80			Percent of total billed charges		72.8	90			Percent of total billed charges		81.9	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	100			Percent of total billed charges		91	100			Percent of total billed charges		91	100			Percent of total billed charges		91	33.3			Percent of total billed charges		30.303	33.3			Percent of total billed charges		30.303	100			Percent of total billed charges		91	30.303	81.9	
canc scrw 6.5 x 100mm 71828200 s\n	278	RC	Outpatient			91	59.15		90			Percent of total billed charges		81.9	40			Percent of total billed charges		36.4	80			Percent of total billed charges		72.8	90			Percent of total billed charges		81.9	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	100			Percent of total billed charges		91	100			Percent of total billed charges		91	100			Percent of total billed charges		91	33.3			Percent of total billed charges		30.303	33.3			Percent of total billed charges		30.303	100			Percent of total billed charges		91	30.303	81.9	
canc scrw 6.5 x 105mm 71808205 s\n	278	RC	Outpatient			91	59.15		90			Percent of total billed charges		81.9	40			Percent of total billed charges		36.4	80			Percent of total billed charges		72.8	90			Percent of total billed charges		81.9	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	100			Percent of total billed charges		91	100			Percent of total billed charges		91	100			Percent of total billed charges		91	33.3			Percent of total billed charges		30.303	33.3			Percent of total billed charges		30.303	100			Percent of total billed charges		91	30.303	81.9	
canc scrw 6.5 x 50mm 71808150 s\n	278	RC	Outpatient			91	59.15		90			Percent of total billed charges		81.9	40			Percent of total billed charges		36.4	80			Percent of total billed charges		72.8	90			Percent of total billed charges		81.9	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	100			Percent of total billed charges		91	100			Percent of total billed charges		91	100			Percent of total billed charges		91	33.3			Percent of total billed charges		30.303	33.3			Percent of total billed charges		30.303	100			Percent of total billed charges		91	30.303	81.9	
canc scrw 6.5 x 50mm 71828150 s\n	278	RC	Outpatient			91	59.15		90			Percent of total billed charges		81.9	40			Percent of total billed charges		36.4	80			Percent of total billed charges		72.8	90			Percent of total billed charges		81.9	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	100			Percent of total billed charges		91	100			Percent of total billed charges		91	100			Percent of total billed charges		91	33.3			Percent of total billed charges		30.303	33.3			Percent of total billed charges		30.303	100			Percent of total billed charges		91	30.303	81.9	
canc scrw 6.5 x 55mm 71828155 s\n	278	RC	Outpatient			91	59.15		90			Percent of total billed charges		81.9	40			Percent of total billed charges		36.4	80			Percent of total billed charges		72.8	90			Percent of total billed charges		81.9	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	100			Percent of total billed charges		91	100			Percent of total billed charges		91	100			Percent of total billed charges		91	33.3			Percent of total billed charges		30.303	33.3			Percent of total billed charges		30.303	100			Percent of total billed charges		91	30.303	81.9	
canc scrw 6.5 x 60mm 71808160 s\n	278	RC	Outpatient			91	59.15		90			Percent of total billed charges		81.9	40			Percent of total billed charges		36.4	80			Percent of total billed charges		72.8	90			Percent of total billed charges		81.9	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	100			Percent of total billed charges		91	100			Percent of total billed charges		91	100			Percent of total billed charges		91	33.3			Percent of total billed charges		30.303	33.3			Percent of total billed charges		30.303	100			Percent of total billed charges		91	30.303	81.9	
canc scrw 6.5 x 65mm 71808165 s\n	278	RC	Outpatient			91	59.15		90			Percent of total billed charges		81.9	40			Percent of total billed charges		36.4	80			Percent of total billed charges		72.8	90			Percent of total billed charges		81.9	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	100			Percent of total billed charges		91	100			Percent of total billed charges		91	100			Percent of total billed charges		91	33.3			Percent of total billed charges		30.303	33.3			Percent of total billed charges		30.303	100			Percent of total billed charges		91	30.303	81.9	
canc scrw 6.5 x 70mm 71808170 s\n	278	RC	Outpatient			91	59.15		90			Percent of total billed charges		81.9	40			Percent of total billed charges		36.4	80			Percent of total billed charges		72.8	90			Percent of total billed charges		81.9	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	100			Percent of total billed charges		91	100			Percent of total billed charges		91	100			Percent of total billed charges		91	33.3			Percent of total billed charges		30.303	33.3			Percent of total billed charges		30.303	100			Percent of total billed charges		91	30.303	81.9	
canc scrw 6.5 x 75mm 71808175 s\n	278	RC	Outpatient			91	59.15		90			Percent of total billed charges		81.9	40			Percent of total billed charges		36.4	80			Percent of total billed charges		72.8	90			Percent of total billed charges		81.9	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	100			Percent of total billed charges		91	100			Percent of total billed charges		91	100			Percent of total billed charges		91	33.3			Percent of total billed charges		30.303	33.3			Percent of total billed charges		30.303	100			Percent of total billed charges		91	30.303	81.9	
canc scrw 6.5 x 80mm 71828180 s\n	278	RC	Outpatient			91	59.15		90			Percent of total billed charges		81.9	40			Percent of total billed charges		36.4	80			Percent of total billed charges		72.8	90			Percent of total billed charges		81.9	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	100			Percent of total billed charges		91	100			Percent of total billed charges		91	100			Percent of total billed charges		91	33.3			Percent of total billed charges		30.303	33.3			Percent of total billed charges		30.303	100			Percent of total billed charges		91	30.303	81.9	
canc scrw 6.5 x 85mm 71828185 s\n	278	RC	Outpatient			91	59.15		90			Percent of total billed charges		81.9	40			Percent of total billed charges		36.4	80			Percent of total billed charges		72.8	90			Percent of total billed charges		81.9	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	100			Percent of total billed charges		91	100			Percent of total billed charges		91	100			Percent of total billed charges		91	33.3			Percent of total billed charges		30.303	33.3			Percent of total billed charges		30.303	100			Percent of total billed charges		91	30.303	81.9	
canc scrw 6.5 x 90mm 71808190 s\n	278	RC	Outpatient			91	59.15		90			Percent of total billed charges		81.9	40			Percent of total billed charges		36.4	80			Percent of total billed charges		72.8	90			Percent of total billed charges		81.9	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	100			Percent of total billed charges		91	100			Percent of total billed charges		91	100			Percent of total billed charges		91	33.3			Percent of total billed charges		30.303	33.3			Percent of total billed charges		30.303	100			Percent of total billed charges		91	30.303	81.9	
canc scrw 6.5 x 90mm 71828190 s\n	278	RC	Outpatient			91	59.15		90			Percent of total billed charges		81.9	40			Percent of total billed charges		36.4	80			Percent of total billed charges		72.8	90			Percent of total billed charges		81.9	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	100			Percent of total billed charges		91	100			Percent of total billed charges		91	100			Percent of total billed charges		91	33.3			Percent of total billed charges		30.303	33.3			Percent of total billed charges		30.303	100			Percent of total billed charges		91	30.303	81.9	
canc scrw 6.5 x 95mm 71828195 s\n	278	RC	Outpatient			91	59.15		90			Percent of total billed charges		81.9	40			Percent of total billed charges		36.4	80			Percent of total billed charges		72.8	90			Percent of total billed charges		81.9	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	100			Percent of total billed charges		91	100			Percent of total billed charges		91	100			Percent of total billed charges		91	33.3			Percent of total billed charges		30.303	33.3			Percent of total billed charges		30.303	100			Percent of total billed charges		91	30.303	81.9	
canc scrw 6.5 x 110mm 71808210 s\n	278	RC	Outpatient			91	59.15		90			Percent of total billed charges		81.9	40			Percent of total billed charges		36.4	80			Percent of total billed charges		72.8	90			Percent of total billed charges		81.9	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	100			Percent of total billed charges		91	100			Percent of total billed charges		91	100			Percent of total billed charges		91	33.3			Percent of total billed charges		30.303	33.3			Percent of total billed charges		30.303	100			Percent of total billed charges		91	30.303	81.9	
canc scrw 6.5 x 55mm 71808155 s\n	278	RC	Outpatient			91	59.15		90			Percent of total billed charges		81.9	40			Percent of total billed charges		36.4	80			Percent of total billed charges		72.8	90			Percent of total billed charges		81.9	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	100			Percent of total billed charges		91	100			Percent of total billed charges		91	100			Percent of total billed charges		91	33.3			Percent of total billed charges		30.303	33.3			Percent of total billed charges		30.303	100			Percent of total billed charges		91	30.303	81.9	
canc scrw 6.5 x 60mm 71828160 s\n	278	RC	Outpatient			91	59.15		90			Percent of total billed charges		81.9	40			Percent of total billed charges		36.4	80			Percent of total billed charges		72.8	90			Percent of total billed charges		81.9	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	100			Percent of total billed charges		91	100			Percent of total billed charges		91	100			Percent of total billed charges		91	33.3			Percent of total billed charges		30.303	33.3			Percent of total billed charges		30.303	100			Percent of total billed charges		91	30.303	81.9	
canc scrw 6.5 x 65mm 71828165 s\n	278	RC	Outpatient			91	59.15		90			Percent of total billed charges		81.9	40			Percent of total billed charges		36.4	80			Percent of total billed charges		72.8	90			Percent of total billed charges		81.9	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	100			Percent of total billed charges		91	100			Percent of total billed charges		91	100			Percent of total billed charges		91	33.3			Percent of total billed charges		30.303	33.3			Percent of total billed charges		30.303	100			Percent of total billed charges		91	30.303	81.9	
canc scrw 6.5 x 70mm 71828170 s/n	278	RC	Outpatient			91	59.15		90			Percent of total billed charges		81.9	40			Percent of total billed charges		36.4	80			Percent of total billed charges		72.8	90			Percent of total billed charges		81.9	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	100			Percent of total billed charges		91	100			Percent of total billed charges		91	100			Percent of total billed charges		91	33.3			Percent of total billed charges		30.303	33.3			Percent of total billed charges		30.303	100			Percent of total billed charges		91	30.303	81.9	
canc scrw 6.5 x 75mm 71828175 s\n	278	RC	Outpatient			91	59.15		90			Percent of total billed charges		81.9	40			Percent of total billed charges		36.4	80			Percent of total billed charges		72.8	90			Percent of total billed charges		81.9	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	100			Percent of total billed charges		91	100			Percent of total billed charges		91	100			Percent of total billed charges		91	33.3			Percent of total billed charges		30.303	33.3			Percent of total billed charges		30.303	100			Percent of total billed charges		91	30.303	81.9	
canc scrw 6.5 x 80mm 71808180 s\n	278	RC	Outpatient			91	59.15		90			Percent of total billed charges		81.9	40			Percent of total billed charges		36.4	80			Percent of total billed charges		72.8	90			Percent of total billed charges		81.9	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	100			Percent of total billed charges		91	100			Percent of total billed charges		91	100			Percent of total billed charges		91	33.3			Percent of total billed charges		30.303	33.3			Percent of total billed charges		30.303	100			Percent of total billed charges		91	30.303	81.9	
canc scrw 6.5 x 85mm 71808185 s\n	278	RC	Outpatient			91	59.15		90			Percent of total billed charges		81.9	40			Percent of total billed charges		36.4	80			Percent of total billed charges		72.8	90			Percent of total billed charges		81.9	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	100			Percent of total billed charges		91	100			Percent of total billed charges		91	100			Percent of total billed charges		91	33.3			Percent of total billed charges		30.303	33.3			Percent of total billed charges		30.303	100			Percent of total billed charges		91	30.303	81.9	
canc scrw 6.5 x 95mm 71808195 s\n	278	RC	Outpatient			91	59.15		90			Percent of total billed charges		81.9	40			Percent of total billed charges		36.4	80			Percent of total billed charges		72.8	90			Percent of total billed charges		81.9	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	100			Percent of total billed charges		91	100			Percent of total billed charges		91	100			Percent of total billed charges		91	33.3			Percent of total billed charges		30.303	33.3			Percent of total billed charges		30.303	100			Percent of total billed charges		91	30.303	81.9	
hemovac 7 & 10	270	RC	Outpatient			91	59.15		90			Percent of total billed charges		81.9	40			Percent of total billed charges		36.4	80			Percent of total billed charges		72.8	90			Percent of total billed charges		81.9	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	100			Percent of total billed charges		91	100			Percent of total billed charges		91	100			Percent of total billed charges		91	33.3			Percent of total billed charges		30.303	33.3			Percent of total billed charges		30.303	100			Percent of total billed charges		91	30.303	81.9	
hemovac 7 mm su130-1370 cardinal	270	RC	Outpatient			91	59.15		90			Percent of total billed charges		81.9	40			Percent of total billed charges		36.4	80			Percent of total billed charges		72.8	90			Percent of total billed charges		81.9	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	100			Percent of total billed charges		91	100			Percent of total billed charges		91	100			Percent of total billed charges		91	33.3			Percent of total billed charges		30.303	33.3			Percent of total billed charges		30.303	100			Percent of total billed charges		91	30.303	81.9	
guidewire 2.0 702460 stryker	272	RC	Outpatient			91	59.15		90			Percent of total billed charges		81.9	40			Percent of total billed charges		36.4	80			Percent of total billed charges		72.8	90			Percent of total billed charges		81.9	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	100			Percent of total billed charges		91	100			Percent of total billed charges		91	100			Percent of total billed charges		91	33.3			Percent of total billed charges		30.303	33.3			Percent of total billed charges		30.303	100			Percent of total billed charges		91	30.303	81.9	
hemovac 10 mm su130-1371 cardinal	270	RC	Outpatient			91	59.15		90			Percent of total billed charges		81.9	40			Percent of total billed charges		36.4	80			Percent of total billed charges		72.8	90			Percent of total billed charges		81.9	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	100			Percent of total billed charges		91	100			Percent of total billed charges		91	100			Percent of total billed charges		91	33.3			Percent of total billed charges		30.303	33.3			Percent of total billed charges		30.303	100			Percent of total billed charges		91	30.303	81.9	
ocl splint 6	270	RC	Outpatient			91	59.15		90			Percent of total billed charges		81.9	40			Percent of total billed charges		36.4	80			Percent of total billed charges		72.8	90			Percent of total billed charges		81.9	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	100			Percent of total billed charges		91	100			Percent of total billed charges		91	100			Percent of total billed charges		91	33.3			Percent of total billed charges		30.303	33.3			Percent of total billed charges		30.303	100			Percent of total billed charges		91	30.303	81.9	
semi-tubular plate 7 hole 119mm 00-4945-007-03 zimmer	278	RC	Outpatient			91	59.15		90			Percent of total billed charges		81.9	40			Percent of total billed charges		36.4	80			Percent of total billed charges		72.8	90			Percent of total billed charges		81.9	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	100			Percent of total billed charges		91	100			Percent of total billed charges		91	100			Percent of total billed charges		91	33.3			Percent of total billed charges		30.303	33.3			Percent of total billed charges		30.303	100			Percent of total billed charges		91	30.303	81.9	
s/n 6.5 canc scrw short	278	RC	Outpatient			91	59.15		90			Percent of total billed charges		81.9	40			Percent of total billed charges		36.4	80			Percent of total billed charges		72.8	90			Percent of total billed charges		81.9	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	100			Percent of total billed charges		91	100			Percent of total billed charges		91	100			Percent of total billed charges		91	33.3			Percent of total billed charges		30.303	33.3			Percent of total billed charges		30.303	100			Percent of total billed charges		91	30.303	81.9	
semi-tubular plate 6 hole 103mm 00-4945-006-03 zimmer	278	RC	Outpatient			91	59.15		90			Percent of total billed charges		81.9	40			Percent of total billed charges		36.4	80			Percent of total billed charges		72.8	90			Percent of total billed charges		81.9	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	100			Percent of total billed charges		91	100			Percent of total billed charges		91	100			Percent of total billed charges		91	33.3			Percent of total billed charges		30.303	33.3			Percent of total billed charges		30.303	100			Percent of total billed charges		91	30.303	81.9	
semi-tubular plate 8 hole 135mm 00-4945-008-03 zimmer	278	RC	Outpatient			91	59.15		90			Percent of total billed charges		81.9	40			Percent of total billed charges		36.4	80			Percent of total billed charges		72.8	90			Percent of total billed charges		81.9	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	100			Percent of total billed charges		91	100			Percent of total billed charges		91	100			Percent of total billed charges		91	33.3			Percent of total billed charges		30.303	33.3			Percent of total billed charges		30.303	100			Percent of total billed charges		91	30.303	81.9	
stryker guide wire 2.0	272	RC	Outpatient			91	59.15		90			Percent of total billed charges		81.9	40			Percent of total billed charges		36.4	80			Percent of total billed charges		72.8	90			Percent of total billed charges		81.9	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	100			Percent of total billed charges		91	100			Percent of total billed charges		91	100			Percent of total billed charges		91	33.3			Percent of total billed charges		30.303	33.3			Percent of total billed charges		30.303	100			Percent of total billed charges		91	30.303	81.9	
wound vac (daily)	270	RC	Outpatient			91	59.15		90			Percent of total billed charges		81.9	40			Percent of total billed charges		36.4	80			Percent of total billed charges		72.8	90			Percent of total billed charges		81.9	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	100			Percent of total billed charges		91	100			Percent of total billed charges		91	100			Percent of total billed charges		91	33.3			Percent of total billed charges		30.303	33.3			Percent of total billed charges		30.303	100			Percent of total billed charges		91	30.303	81.9	
zim semi-tubular pl 6-8hl	278	RC	Outpatient			91	59.15		90			Percent of total billed charges		81.9	40			Percent of total billed charges		36.4	80			Percent of total billed charges		72.8	90			Percent of total billed charges		81.9	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	85			Percent of total billed charges		77.35	100			Percent of total billed charges		91	100			Percent of total billed charges		91	100			Percent of total billed charges		91	33.3			Percent of total billed charges		30.303	33.3			Percent of total billed charges		30.303	100			Percent of total billed charges		91	30.303	81.9	
athroscopy blade	272	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
biopsy tray	270	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
blade 3.5mm full radius 7205305 beige s/n dyonics	272	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
blade acrominizer 4.0 7205326 smith	272	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
blade full radius 5.5 7205307  orange	272	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
blade razor cut 4.5 pink 7205318	272	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
cath lab 5 fr cath al1 7527-13	270	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
cath lab 5 fr cath ar2 7528-23	270	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
cath lab 5 fr cath im 7531-13	270	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
cath lab 5 fr cath jl 3.5 7521-53	270	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
cath lab 5 fr cath jl 4.5 7521-f1	270	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
cath lab 5 fr cath jl4 7521-21	270	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
cath lab 5 fr cath jr 3.5 7523-13	270	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
cath lab 5 fr cath jr 4 125 7523-63	270	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
cath lab 5 fr cath jr4 7523-21	270	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
cath lab 5 fr cath lcb 7534-13	270	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
cath lab 5 fr cath mp1 7533-13	270	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
cath lab 5 fr cath pig 125cm 7529-43	270	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
cath lab 5 fr cath prc 7532-13	270	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
cath lab 5 fr cath rcb 7534-13	270	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
cath lab 5 fr cath wr 08526-50	270	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
cath lab 6 fr cath 145 pig 7509-23	270	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
cath lab 6 fr cath al2 7507-23	270	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
cath lab 6 fr cath ar1 7508-13	270	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
cath lab 6 fr cath im 7511-13	270	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
cath lab 6 fr cath jl 3.5 7521-13	270	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
cath lab 6 fr cath jl 5 7501-33	270	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
cath lab 6 fr cath jl 6 7501-83	270	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
cath lab 6 fr cath jl4 7501-21	270	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
cath lab 6 fr cath jr 3.5 7503-13	270	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
cath lab 6 fr cath jr4 7503-21	270	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
cath lab 6 fr cath medtronic tri-pack 038443	270	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
cath lab 6 fr cath mp1 7513-b3	270	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
cath lab 6 fr cath prc 7512-13	270	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
cath lab 6 fr cath wr 08641-50 bost sci	270	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
blade full radius 4.5mm yellow 7205306 smiten	272	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
blade turbo whisker 4.5mm navy blue 7205316 smiten	272	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
cath lab 5 fr cath 145 pig 7529-23	270	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
cath lab 5 fr cath al2 7527-23	270	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
cath lab 5 fr cath ar1 7528-13	270	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
cath lab 5 fr cath jl 3.5 125cm 7521-53	270	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
cath lab 5 fr cath jl 5 7521-33	270	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
cath lab 5 fr cath jl 6 7521-43	270	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
cath lab 5 fr cath jr 5 7523-33	270	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
cath lab 5 fr cath mp2 7533-23	270	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
cath lab 5 fr cath pig 7776-21	270	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
cath lab 5 fr cath wrp 08526-51	270	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
cath lab 6 fr cath al1 7507-13	270	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
cath lab 6 fr cath ar2 7508-23	270	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
cath lab 6 fr cath jl 4.5 7501-h1	270	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
cath lab 6 fr cath jr 5 7503-33	270	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
cath lab 6 fr cath lcb 7510-13	270	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
cath lab 6 fr cath mp2 7513-23	270	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
cath lab 6 fr cath mulit 7660-13	270	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
cath lab 6 fr cath rcb 7510-23	270	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
cath lab 6 fr cath terumo hh cg513	270	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
cath lab 6 fr cath wrp boston sci 08641-51	270	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
cath lab judkins pre-formed catheter	270	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
dress aquacel ag 3.5 x 10	272	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
elite stone cutter burr 5.5mm olive 72200729 s/n	272	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
judkins pre-formed cath	270	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
lymphedema kit	270	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
iupc	270	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
scrmc tray biopsy	270	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
trach tube shiley ped.unc	270	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
tube trach uncuffd 3.0ped	270	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
tube trach uncuffd 4.0ped	270	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
tube trach uncuffd 4.5ped	270	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
tube trach uncuffd 5.5ped	270	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
tube trach uncuffed 5.5 shiley 5.5 ped	270	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
tube tracheostomy pediatric sz 1 1pt shil	270	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
tube trach shiley 3.0neo	272	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
tube trach uncuffd 3.5ped	270	RC	Outpatient			92	59.8		90			Percent of total billed charges		82.8	40			Percent of total billed charges		36.8	80			Percent of total billed charges		73.6	90			Percent of total billed charges		82.8	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	85			Percent of total billed charges		78.2	100			Percent of total billed charges		92	100			Percent of total billed charges		92	100			Percent of total billed charges		92	33.3			Percent of total billed charges		30.636	33.3			Percent of total billed charges		30.636	100			Percent of total billed charges		92	30.636	82.8	
6.5 ft cancelllous screw 50mm 343050 stryker	278	RC	Outpatient			93	60.45		90			Percent of total billed charges		83.7	40			Percent of total billed charges		37.2	80			Percent of total billed charges		74.4	90			Percent of total billed charges		83.7	85			Percent of total billed charges		79.05	85			Percent of total billed charges		79.05	85			Percent of total billed charges		79.05	100			Percent of total billed charges		93	100			Percent of total billed charges		93	100			Percent of total billed charges		93	33.3			Percent of total billed charges		30.969	33.3			Percent of total billed charges		30.969	100			Percent of total billed charges		93	30.969	83.7	
6.5 ft cancelllous screw 65mm 343065 stryker	278	RC	Outpatient			93	60.45		90			Percent of total billed charges		83.7	40			Percent of total billed charges		37.2	80			Percent of total billed charges		74.4	90			Percent of total billed charges		83.7	85			Percent of total billed charges		79.05	85			Percent of total billed charges		79.05	85			Percent of total billed charges		79.05	100			Percent of total billed charges		93	100			Percent of total billed charges		93	100			Percent of total billed charges		93	33.3			Percent of total billed charges		30.969	33.3			Percent of total billed charges		30.969	100			Percent of total billed charges		93	30.969	83.7	
6.5 ft cancelllous screw 45mm 343045 stryker	278	RC	Outpatient			93	60.45		90			Percent of total billed charges		83.7	40			Percent of total billed charges		37.2	80			Percent of total billed charges		74.4	90			Percent of total billed charges		83.7	85			Percent of total billed charges		79.05	85			Percent of total billed charges		79.05	85			Percent of total billed charges		79.05	100			Percent of total billed charges		93	100			Percent of total billed charges		93	100			Percent of total billed charges		93	33.3			Percent of total billed charges		30.969	33.3			Percent of total billed charges		30.969	100			Percent of total billed charges		93	30.969	83.7	
6.5 ft cancelllous screw 55mm 343055 stryker	278	RC	Outpatient			93	60.45		90			Percent of total billed charges		83.7	40			Percent of total billed charges		37.2	80			Percent of total billed charges		74.4	90			Percent of total billed charges		83.7	85			Percent of total billed charges		79.05	85			Percent of total billed charges		79.05	85			Percent of total billed charges		79.05	100			Percent of total billed charges		93	100			Percent of total billed charges		93	100			Percent of total billed charges		93	33.3			Percent of total billed charges		30.969	33.3			Percent of total billed charges		30.969	100			Percent of total billed charges		93	30.969	83.7	
6.5 ft cancelllous screw 80mm 343080 stryker	278	RC	Outpatient			93	60.45		90			Percent of total billed charges		83.7	40			Percent of total billed charges		37.2	80			Percent of total billed charges		74.4	90			Percent of total billed charges		83.7	85			Percent of total billed charges		79.05	85			Percent of total billed charges		79.05	85			Percent of total billed charges		79.05	100			Percent of total billed charges		93	100			Percent of total billed charges		93	100			Percent of total billed charges		93	33.3			Percent of total billed charges		30.969	33.3			Percent of total billed charges		30.969	100			Percent of total billed charges		93	30.969	83.7	
6.5 pt cancellous screw 40mm 341040 stryker	278	RC	Outpatient			93	60.45		90			Percent of total billed charges		83.7	40			Percent of total billed charges		37.2	80			Percent of total billed charges		74.4	90			Percent of total billed charges		83.7	85			Percent of total billed charges		79.05	85			Percent of total billed charges		79.05	85			Percent of total billed charges		79.05	100			Percent of total billed charges		93	100			Percent of total billed charges		93	100			Percent of total billed charges		93	33.3			Percent of total billed charges		30.969	33.3			Percent of total billed charges		30.969	100			Percent of total billed charges		93	30.969	83.7	
stryker screw 6.5 canc	278	RC	Outpatient			93	60.45		90			Percent of total billed charges		83.7	40			Percent of total billed charges		37.2	80			Percent of total billed charges		74.4	90			Percent of total billed charges		83.7	85			Percent of total billed charges		79.05	85			Percent of total billed charges		79.05	85			Percent of total billed charges		79.05	100			Percent of total billed charges		93	100			Percent of total billed charges		93	100			Percent of total billed charges		93	33.3			Percent of total billed charges		30.969	33.3			Percent of total billed charges		30.969	100			Percent of total billed charges		93	30.969	83.7	
acucair airflow  therapy	270	RC	Outpatient			94	61.1		90			Percent of total billed charges		84.6	40			Percent of total billed charges		37.6	80			Percent of total billed charges		75.2	90			Percent of total billed charges		84.6	85			Percent of total billed charges		79.9	85			Percent of total billed charges		79.9	85			Percent of total billed charges		79.9	100			Percent of total billed charges		94	100			Percent of total billed charges		94	100			Percent of total billed charges		94	33.3			Percent of total billed charges		31.302	33.3			Percent of total billed charges		31.302	100			Percent of total billed charges		94	31.302	84.6	
bone marrow asp needle	270	RC	Outpatient			94	61.1		90			Percent of total billed charges		84.6	40			Percent of total billed charges		37.6	80			Percent of total billed charges		75.2	90			Percent of total billed charges		84.6	85			Percent of total billed charges		79.9	85			Percent of total billed charges		79.9	85			Percent of total billed charges		79.9	100			Percent of total billed charges		94	100			Percent of total billed charges		94	100			Percent of total billed charges		94	33.3			Percent of total billed charges		31.302	33.3			Percent of total billed charges		31.302	100			Percent of total billed charges		94	31.302	84.6	
bone marrow aspiration needle 1103-07 zimmer	270	RC	Outpatient			94	61.1		90			Percent of total billed charges		84.6	40			Percent of total billed charges		37.6	80			Percent of total billed charges		75.2	90			Percent of total billed charges		84.6	85			Percent of total billed charges		79.9	85			Percent of total billed charges		79.9	85			Percent of total billed charges		79.9	100			Percent of total billed charges		94	100			Percent of total billed charges		94	100			Percent of total billed charges		94	33.3			Percent of total billed charges		31.302	33.3			Percent of total billed charges		31.302	100			Percent of total billed charges		94	31.302	84.6	
"delta lite, short arm"	270	RC	Outpatient			94	61.1		90			Percent of total billed charges		84.6	40			Percent of total billed charges		37.6	80			Percent of total billed charges		75.2	90			Percent of total billed charges		84.6	85			Percent of total billed charges		79.9	85			Percent of total billed charges		79.9	85			Percent of total billed charges		79.9	100			Percent of total billed charges		94	100			Percent of total billed charges		94	100			Percent of total billed charges		94	33.3			Percent of total billed charges		31.302	33.3			Percent of total billed charges		31.302	100			Percent of total billed charges		94	31.302	84.6	
gps spray applicate kit	272	RC	Outpatient			94	61.1		90			Percent of total billed charges		84.6	40			Percent of total billed charges		37.6	80			Percent of total billed charges		75.2	90			Percent of total billed charges		84.6	85			Percent of total billed charges		79.9	85			Percent of total billed charges		79.9	85			Percent of total billed charges		79.9	100			Percent of total billed charges		94	100			Percent of total billed charges		94	100			Percent of total billed charges		94	33.3			Percent of total billed charges		31.302	33.3			Percent of total billed charges		31.302	100			Percent of total billed charges		94	31.302	84.6	
gps spray applicator kit cell factor tech -- biomet 800-200	272	RC	Outpatient			94	61.1		90			Percent of total billed charges		84.6	40			Percent of total billed charges		37.6	80			Percent of total billed charges		75.2	90			Percent of total billed charges		84.6	85			Percent of total billed charges		79.9	85			Percent of total billed charges		79.9	85			Percent of total billed charges		79.9	100			Percent of total billed charges		94	100			Percent of total billed charges		94	100			Percent of total billed charges		94	33.3			Percent of total billed charges		31.302	33.3			Percent of total billed charges		31.302	100			Percent of total billed charges		94	31.302	84.6	
short arm delta lite	270	RC	Outpatient			94	61.1		90			Percent of total billed charges		84.6	40			Percent of total billed charges		37.6	80			Percent of total billed charges		75.2	90			Percent of total billed charges		84.6	85			Percent of total billed charges		79.9	85			Percent of total billed charges		79.9	85			Percent of total billed charges		79.9	100			Percent of total billed charges		94	100			Percent of total billed charges		94	100			Percent of total billed charges		94	33.3			Percent of total billed charges		31.302	33.3			Percent of total billed charges		31.302	100			Percent of total billed charges		94	31.302	84.6	
suture #8-0 vicryl	270	RC	Outpatient			94	61.1		90			Percent of total billed charges		84.6	40			Percent of total billed charges		37.6	80			Percent of total billed charges		75.2	90			Percent of total billed charges		84.6	85			Percent of total billed charges		79.9	85			Percent of total billed charges		79.9	85			Percent of total billed charges		79.9	100			Percent of total billed charges		94	100			Percent of total billed charges		94	100			Percent of total billed charges		94	33.3			Percent of total billed charges		31.302	33.3			Percent of total billed charges		31.302	100			Percent of total billed charges		94	31.302	84.6	
cold thpy.wrp.med w/liner	270	RC	Outpatient			95	61.75		90			Percent of total billed charges		85.5	40			Percent of total billed charges		38	80			Percent of total billed charges		76	90			Percent of total billed charges		85.5	85			Percent of total billed charges		80.75	85			Percent of total billed charges		80.75	85			Percent of total billed charges		80.75	100			Percent of total billed charges		95	100			Percent of total billed charges		95	100			Percent of total billed charges		95	33.3			Percent of total billed charges		31.635	33.3			Percent of total billed charges		31.635	100			Percent of total billed charges		95	31.635	85.5	
a-line insertion	270	RC	Outpatient			95	61.75		90			Percent of total billed charges		85.5	40			Percent of total billed charges		38	80			Percent of total billed charges		76	90			Percent of total billed charges		85.5	85			Percent of total billed charges		80.75	85			Percent of total billed charges		80.75	85			Percent of total billed charges		80.75	100			Percent of total billed charges		95	100			Percent of total billed charges		95	100			Percent of total billed charges		95	33.3			Percent of total billed charges		31.635	33.3			Percent of total billed charges		31.635	100			Percent of total billed charges		95	31.635	85.5	
dilator set  50-335 bosva	270	RC	Outpatient			95	61.75		90			Percent of total billed charges		85.5	40			Percent of total billed charges		38	80			Percent of total billed charges		76	90			Percent of total billed charges		85.5	85			Percent of total billed charges		80.75	85			Percent of total billed charges		80.75	85			Percent of total billed charges		80.75	100			Percent of total billed charges		95	100			Percent of total billed charges		95	100			Percent of total billed charges		95	33.3			Percent of total billed charges		31.635	33.3			Percent of total billed charges		31.635	100			Percent of total billed charges		95	31.635	85.5	
foley tray 16fr latex-free 900116a bard	270	RC	Outpatient			95	61.75		90			Percent of total billed charges		85.5	40			Percent of total billed charges		38	80			Percent of total billed charges		76	90			Percent of total billed charges		85.5	85			Percent of total billed charges		80.75	85			Percent of total billed charges		80.75	85			Percent of total billed charges		80.75	100			Percent of total billed charges		95	100			Percent of total billed charges		95	100			Percent of total billed charges		95	33.3			Percent of total billed charges		31.635	33.3			Percent of total billed charges		31.635	100			Percent of total billed charges		95	31.635	85.5	
foley tray w/ urine meter 16fr 902916 bard dynd160216 medline	270	RC	Outpatient			95	61.75		90			Percent of total billed charges		85.5	40			Percent of total billed charges		38	80			Percent of total billed charges		76	90			Percent of total billed charges		85.5	85			Percent of total billed charges		80.75	85			Percent of total billed charges		80.75	85			Percent of total billed charges		80.75	100			Percent of total billed charges		95	100			Percent of total billed charges		95	100			Percent of total billed charges		95	33.3			Percent of total billed charges		31.635	33.3			Percent of total billed charges		31.635	100			Percent of total billed charges		95	31.635	85.5	
foley tray w/urinmeter	270	RC	Outpatient			95	61.75		90			Percent of total billed charges		85.5	40			Percent of total billed charges		38	80			Percent of total billed charges		76	90			Percent of total billed charges		85.5	85			Percent of total billed charges		80.75	85			Percent of total billed charges		80.75	85			Percent of total billed charges		80.75	100			Percent of total billed charges		95	100			Percent of total billed charges		95	100			Percent of total billed charges		95	33.3			Percent of total billed charges		31.635	33.3			Percent of total billed charges		31.635	100			Percent of total billed charges		95	31.635	85.5	
medi-tech dilator set	270	RC	Outpatient			95	61.75		90			Percent of total billed charges		85.5	40			Percent of total billed charges		38	80			Percent of total billed charges		76	90			Percent of total billed charges		85.5	85			Percent of total billed charges		80.75	85			Percent of total billed charges		80.75	85			Percent of total billed charges		80.75	100			Percent of total billed charges		95	100			Percent of total billed charges		95	100			Percent of total billed charges		95	33.3			Percent of total billed charges		31.635	33.3			Percent of total billed charges		31.635	100			Percent of total billed charges		95	31.635	85.5	
medline 16fr silicone foley cath tray 160816  dynjp160714	270	RC	Outpatient			95	61.75		90			Percent of total billed charges		85.5	40			Percent of total billed charges		38	80			Percent of total billed charges		76	90			Percent of total billed charges		85.5	85			Percent of total billed charges		80.75	85			Percent of total billed charges		80.75	85			Percent of total billed charges		80.75	100			Percent of total billed charges		95	100			Percent of total billed charges		95	100			Percent of total billed charges		95	33.3			Percent of total billed charges		31.635	33.3			Percent of total billed charges		31.635	100			Percent of total billed charges		95	31.635	85.5	
tray foley cath 14fr 160814 medline	270	RC	Outpatient			95	61.75		90			Percent of total billed charges		85.5	40			Percent of total billed charges		38	80			Percent of total billed charges		76	90			Percent of total billed charges		85.5	85			Percent of total billed charges		80.75	85			Percent of total billed charges		80.75	85			Percent of total billed charges		80.75	100			Percent of total billed charges		95	100			Percent of total billed charges		95	100			Percent of total billed charges		95	33.3			Percent of total billed charges		31.635	33.3			Percent of total billed charges		31.635	100			Percent of total billed charges		95	31.635	85.5	
tube trach shiley 6dct	272	RC	Outpatient			95	61.75		90			Percent of total billed charges		85.5	40			Percent of total billed charges		38	80			Percent of total billed charges		76	90			Percent of total billed charges		85.5	85			Percent of total billed charges		80.75	85			Percent of total billed charges		80.75	85			Percent of total billed charges		80.75	100			Percent of total billed charges		95	100			Percent of total billed charges		95	100			Percent of total billed charges		95	33.3			Percent of total billed charges		31.635	33.3			Percent of total billed charges		31.635	100			Percent of total billed charges		95	31.635	85.5	
bur carbide solid side cutting 1.6mm 1607-002-103 stry	272	RC	Outpatient			96	62.4		90			Percent of total billed charges		86.4	40			Percent of total billed charges		38.4	80			Percent of total billed charges		76.8	90			Percent of total billed charges		86.4	85			Percent of total billed charges		81.6	85			Percent of total billed charges		81.6	85			Percent of total billed charges		81.6	100			Percent of total billed charges		96	100			Percent of total billed charges		96	100			Percent of total billed charges		96	33.3			Percent of total billed charges		31.968	33.3			Percent of total billed charges		31.968	100			Percent of total billed charges		96	31.968	86.4	
bur carbide solid tapered side cutting 1.6mm 1607-002-107 stry	272	RC	Outpatient			96	62.4		90			Percent of total billed charges		86.4	40			Percent of total billed charges		38.4	80			Percent of total billed charges		76.8	90			Percent of total billed charges		86.4	85			Percent of total billed charges		81.6	85			Percent of total billed charges		81.6	85			Percent of total billed charges		81.6	100			Percent of total billed charges		96	100			Percent of total billed charges		96	100			Percent of total billed charges		96	33.3			Percent of total billed charges		31.968	33.3			Percent of total billed charges		31.968	100			Percent of total billed charges		96	31.968	86.4	
bur side cutting	272	RC	Outpatient			96	62.4		90			Percent of total billed charges		86.4	40			Percent of total billed charges		38.4	80			Percent of total billed charges		76.8	90			Percent of total billed charges		86.4	85			Percent of total billed charges		81.6	85			Percent of total billed charges		81.6	85			Percent of total billed charges		81.6	100			Percent of total billed charges		96	100			Percent of total billed charges		96	100			Percent of total billed charges		96	33.3			Percent of total billed charges		31.968	33.3			Percent of total billed charges		31.968	100			Percent of total billed charges		96	31.968	86.4	
c.v.p. cath tray	270	RC	Outpatient			96	62.4		90			Percent of total billed charges		86.4	40			Percent of total billed charges		38.4	80			Percent of total billed charges		76.8	90			Percent of total billed charges		86.4	85			Percent of total billed charges		81.6	85			Percent of total billed charges		81.6	85			Percent of total billed charges		81.6	100			Percent of total billed charges		96	100			Percent of total billed charges		96	100			Percent of total billed charges		96	33.3			Percent of total billed charges		31.968	33.3			Percent of total billed charges		31.968	100			Percent of total billed charges		96	31.968	86.4	
capio suture	272	RC	Outpatient			96	62.4		90			Percent of total billed charges		86.4	40			Percent of total billed charges		38.4	80			Percent of total billed charges		76.8	90			Percent of total billed charges		86.4	85			Percent of total billed charges		81.6	85			Percent of total billed charges		81.6	85			Percent of total billed charges		81.6	100			Percent of total billed charges		96	100			Percent of total billed charges		96	100			Percent of total billed charges		96	33.3			Percent of total billed charges		31.968	33.3			Percent of total billed charges		31.968	100			Percent of total billed charges		96	31.968	86.4	
capio suture 0 prolene 833124 teleflex med	272	RC	Outpatient			96	62.4		90			Percent of total billed charges		86.4	40			Percent of total billed charges		38.4	80			Percent of total billed charges		76.8	90			Percent of total billed charges		86.4	85			Percent of total billed charges		81.6	85			Percent of total billed charges		81.6	85			Percent of total billed charges		81.6	100			Percent of total billed charges		96	100			Percent of total billed charges		96	100			Percent of total billed charges		96	33.3			Percent of total billed charges		31.968	33.3			Percent of total billed charges		31.968	100			Percent of total billed charges		96	31.968	86.4	
cath lab con sed po/ each additional 15 min	370	RC	Outpatient			96	62.4		90			Percent of total billed charges		86.4	40			Percent of total billed charges		38.4	80			Percent of total billed charges		76.8	90			Percent of total billed charges		86.4	85			Percent of total billed charges		81.6	85			Percent of total billed charges		81.6	85			Percent of total billed charges		81.6	100			Percent of total billed charges		96	100			Percent of total billed charges		96	100			Percent of total billed charges		96	33.3			Percent of total billed charges		31.968	33.3			Percent of total billed charges		31.968	100			Percent of total billed charges		96	31.968	86.4	
battery opr pulsed lavage	270	RC	Outpatient			96	62.4		90			Percent of total billed charges		86.4	40			Percent of total billed charges		38.4	80			Percent of total billed charges		76.8	90			Percent of total billed charges		86.4	85			Percent of total billed charges		81.6	85			Percent of total billed charges		81.6	85			Percent of total billed charges		81.6	100			Percent of total billed charges		96	100			Percent of total billed charges		96	100			Percent of total billed charges		96	33.3			Percent of total billed charges		31.968	33.3			Percent of total billed charges		31.968	100			Percent of total billed charges		96	31.968	86.4	
bur carbide solid end cutting 1.2mm 1607-002-113 stry	272	RC	Outpatient			96	62.4		90			Percent of total billed charges		86.4	40			Percent of total billed charges		38.4	80			Percent of total billed charges		76.8	90			Percent of total billed charges		86.4	85			Percent of total billed charges		81.6	85			Percent of total billed charges		81.6	85			Percent of total billed charges		81.6	100			Percent of total billed charges		96	100			Percent of total billed charges		96	100			Percent of total billed charges		96	33.3			Percent of total billed charges		31.968	33.3			Percent of total billed charges		31.968	100			Percent of total billed charges		96	31.968	86.4	
bur carbide solid tapered side cutting 1.2mm 1607-002-105 stry	272	RC	Outpatient			96	62.4		90			Percent of total billed charges		86.4	40			Percent of total billed charges		38.4	80			Percent of total billed charges		76.8	90			Percent of total billed charges		86.4	85			Percent of total billed charges		81.6	85			Percent of total billed charges		81.6	85			Percent of total billed charges		81.6	100			Percent of total billed charges		96	100			Percent of total billed charges		96	100			Percent of total billed charges		96	33.3			Percent of total billed charges		31.968	33.3			Percent of total billed charges		31.968	100			Percent of total billed charges		96	31.968	86.4	
capio suture 0 prolene 833123 teleflex med	272	RC	Outpatient			96	62.4		90			Percent of total billed charges		86.4	40			Percent of total billed charges		38.4	80			Percent of total billed charges		76.8	90			Percent of total billed charges		86.4	85			Percent of total billed charges		81.6	85			Percent of total billed charges		81.6	85			Percent of total billed charges		81.6	100			Percent of total billed charges		96	100			Percent of total billed charges		96	100			Percent of total billed charges		96	33.3			Percent of total billed charges		31.968	33.3			Percent of total billed charges		31.968	100			Percent of total billed charges		96	31.968	86.4	
interpulse handpiece set/tubing stryker 210-110	272	RC	Outpatient			96	62.4		90			Percent of total billed charges		86.4	40			Percent of total billed charges		38.4	80			Percent of total billed charges		76.8	90			Percent of total billed charges		86.4	85			Percent of total billed charges		81.6	85			Percent of total billed charges		81.6	85			Percent of total billed charges		81.6	100			Percent of total billed charges		96	100			Percent of total billed charges		96	100			Percent of total billed charges		96	33.3			Percent of total billed charges		31.968	33.3			Percent of total billed charges		31.968	100			Percent of total billed charges		96	31.968	86.4	
interpulse handpiece with tip 0210-114-000 stryker  0210-110	272	RC	Outpatient			96	62.4		90			Percent of total billed charges		86.4	40			Percent of total billed charges		38.4	80			Percent of total billed charges		76.8	90			Percent of total billed charges		86.4	85			Percent of total billed charges		81.6	85			Percent of total billed charges		81.6	85			Percent of total billed charges		81.6	100			Percent of total billed charges		96	100			Percent of total billed charges		96	100			Percent of total billed charges		96	33.3			Percent of total billed charges		31.968	33.3			Percent of total billed charges		31.968	100			Percent of total billed charges		96	31.968	86.4	
microp intro. set mpis501	270	RC	Outpatient			96	62.4		90			Percent of total billed charges		86.4	40			Percent of total billed charges		38.4	80			Percent of total billed charges		76.8	90			Percent of total billed charges		86.4	85			Percent of total billed charges		81.6	85			Percent of total billed charges		81.6	85			Percent of total billed charges		81.6	100			Percent of total billed charges		96	100			Percent of total billed charges		96	100			Percent of total billed charges		96	33.3			Percent of total billed charges		31.968	33.3			Percent of total billed charges		31.968	100			Percent of total billed charges		96	31.968	86.4	
pulsavac irrigator machine	272	RC	Outpatient			96	62.4		90			Percent of total billed charges		86.4	40			Percent of total billed charges		38.4	80			Percent of total billed charges		76.8	90			Percent of total billed charges		86.4	85			Percent of total billed charges		81.6	85			Percent of total billed charges		81.6	85			Percent of total billed charges		81.6	100			Percent of total billed charges		96	100			Percent of total billed charges		96	100			Percent of total billed charges		96	33.3			Percent of total billed charges		31.968	33.3			Percent of total billed charges		31.968	100			Percent of total billed charges		96	31.968	86.4	
side cutting bur 2.0 x 19 509214 biomet	272	RC	Outpatient			96	62.4		90			Percent of total billed charges		86.4	40			Percent of total billed charges		38.4	80			Percent of total billed charges		76.8	90			Percent of total billed charges		86.4	85			Percent of total billed charges		81.6	85			Percent of total billed charges		81.6	85			Percent of total billed charges		81.6	100			Percent of total billed charges		96	100			Percent of total billed charges		96	100			Percent of total billed charges		96	33.3			Percent of total billed charges		31.968	33.3			Percent of total billed charges		31.968	100			Percent of total billed charges		96	31.968	86.4	
"sidecutting, med bur 5091-113"	272	RC	Outpatient			96	62.4		90			Percent of total billed charges		86.4	40			Percent of total billed charges		38.4	80			Percent of total billed charges		76.8	90			Percent of total billed charges		86.4	85			Percent of total billed charges		81.6	85			Percent of total billed charges		81.6	85			Percent of total billed charges		81.6	100			Percent of total billed charges		96	100			Percent of total billed charges		96	100			Percent of total billed charges		96	33.3			Percent of total billed charges		31.968	33.3			Percent of total billed charges		31.968	100			Percent of total billed charges		96	31.968	86.4	
taper side cutting carbide bur 1.2mm stryker 1607-2-105	272	RC	Outpatient			96	62.4		90			Percent of total billed charges		86.4	40			Percent of total billed charges		38.4	80			Percent of total billed charges		76.8	90			Percent of total billed charges		86.4	85			Percent of total billed charges		81.6	85			Percent of total billed charges		81.6	85			Percent of total billed charges		81.6	100			Percent of total billed charges		96	100			Percent of total billed charges		96	100			Percent of total billed charges		96	33.3			Percent of total billed charges		31.968	33.3			Percent of total billed charges		31.968	100			Percent of total billed charges		96	31.968	86.4	
taper side cutting carbide bur 2.1mm stryker 1607-2-109	272	RC	Outpatient			96	62.4		90			Percent of total billed charges		86.4	40			Percent of total billed charges		38.4	80			Percent of total billed charges		76.8	90			Percent of total billed charges		86.4	85			Percent of total billed charges		81.6	85			Percent of total billed charges		81.6	85			Percent of total billed charges		81.6	100			Percent of total billed charges		96	100			Percent of total billed charges		96	100			Percent of total billed charges		96	33.3			Percent of total billed charges		31.968	33.3			Percent of total billed charges		31.968	100			Percent of total billed charges		96	31.968	86.4	
vac canister medium	270	RC	Outpatient			96	62.4		90			Percent of total billed charges		86.4	40			Percent of total billed charges		38.4	80			Percent of total billed charges		76.8	90			Percent of total billed charges		86.4	85			Percent of total billed charges		81.6	85			Percent of total billed charges		81.6	85			Percent of total billed charges		81.6	100			Percent of total billed charges		96	100			Percent of total billed charges		96	100			Percent of total billed charges		96	33.3			Percent of total billed charges		31.968	33.3			Percent of total billed charges		31.968	100			Percent of total billed charges		96	31.968	86.4	
wound vac canister m8275063.10	270	RC	Outpatient			96	62.4		90			Percent of total billed charges		86.4	40			Percent of total billed charges		38.4	80			Percent of total billed charges		76.8	90			Percent of total billed charges		86.4	85			Percent of total billed charges		81.6	85			Percent of total billed charges		81.6	85			Percent of total billed charges		81.6	100			Percent of total billed charges		96	100			Percent of total billed charges		96	100			Percent of total billed charges		96	33.3			Percent of total billed charges		31.968	33.3			Percent of total billed charges		31.968	100			Percent of total billed charges		96	31.968	86.4	
wound vac cannister	270	RC	Outpatient			96	62.4		90			Percent of total billed charges		86.4	40			Percent of total billed charges		38.4	80			Percent of total billed charges		76.8	90			Percent of total billed charges		86.4	85			Percent of total billed charges		81.6	85			Percent of total billed charges		81.6	85			Percent of total billed charges		81.6	100			Percent of total billed charges		96	100			Percent of total billed charges		96	100			Percent of total billed charges		96	33.3			Percent of total billed charges		31.968	33.3			Percent of total billed charges		31.968	100			Percent of total billed charges		96	31.968	86.4	
9936m - workers' comp nurse case manager meeting	983	RC	Outpatient			96.4	62.66		90			Percent of total billed charges		86.76	40			Percent of total billed charges		38.56	80			Percent of total billed charges		77.12	90			Percent of total billed charges		86.76	85			Percent of total billed charges		81.94	85			Percent of total billed charges		81.94	85			Percent of total billed charges		81.94	100			Percent of total billed charges		96.4	100			Percent of total billed charges		96.4	100			Percent of total billed charges		96.4	33.3			Percent of total billed charges		32.1012	33.3			Percent of total billed charges		32.1012	100			Percent of total billed charges		96.4	32.1012	86.76	
arthrex shoehorn cannula ar-6565 6mm x 9mm	272	RC	Outpatient			97	63.05		90			Percent of total billed charges		87.3	40			Percent of total billed charges		38.8	80			Percent of total billed charges		77.6	90			Percent of total billed charges		87.3	85			Percent of total billed charges		82.45	85			Percent of total billed charges		82.45	85			Percent of total billed charges		82.45	100			Percent of total billed charges		97	100			Percent of total billed charges		97	100			Percent of total billed charges		97	33.3			Percent of total billed charges		32.301	33.3			Percent of total billed charges		32.301	100			Percent of total billed charges		97	32.301	87.3	
arthrex suture lasso sd	272	RC	Outpatient			97	63.05		90			Percent of total billed charges		87.3	40			Percent of total billed charges		38.8	80			Percent of total billed charges		77.6	90			Percent of total billed charges		87.3	85			Percent of total billed charges		82.45	85			Percent of total billed charges		82.45	85			Percent of total billed charges		82.45	100			Percent of total billed charges		97	100			Percent of total billed charges		97	100			Percent of total billed charges		97	33.3			Percent of total billed charges		32.301	33.3			Percent of total billed charges		32.301	100			Percent of total billed charges		97	32.301	87.3	
arthrex twist-in cannula 6mm x 9cm  ar-6545	272	RC	Outpatient			97	63.05		90			Percent of total billed charges		87.3	40			Percent of total billed charges		38.8	80			Percent of total billed charges		77.6	90			Percent of total billed charges		87.3	85			Percent of total billed charges		82.45	85			Percent of total billed charges		82.45	85			Percent of total billed charges		82.45	100			Percent of total billed charges		97	100			Percent of total billed charges		97	100			Percent of total billed charges		97	33.3			Percent of total billed charges		32.301	33.3			Percent of total billed charges		32.301	100			Percent of total billed charges		97	32.301	87.3	
arthrex twist-in cannula 8.25mm x 7cm  ar-6530	272	RC	Outpatient			97	63.05		90			Percent of total billed charges		87.3	40			Percent of total billed charges		38.8	80			Percent of total billed charges		77.6	90			Percent of total billed charges		87.3	85			Percent of total billed charges		82.45	85			Percent of total billed charges		82.45	85			Percent of total billed charges		82.45	100			Percent of total billed charges		97	100			Percent of total billed charges		97	100			Percent of total billed charges		97	33.3			Percent of total billed charges		32.301	33.3			Percent of total billed charges		32.301	100			Percent of total billed charges		97	32.301	87.3	
aquacel ag 3.5 x 10	272	RC	Outpatient			97	63.05		90			Percent of total billed charges		87.3	40			Percent of total billed charges		38.8	80			Percent of total billed charges		77.6	90			Percent of total billed charges		87.3	85			Percent of total billed charges		82.45	85			Percent of total billed charges		82.45	85			Percent of total billed charges		82.45	100			Percent of total billed charges		97	100			Percent of total billed charges		97	100			Percent of total billed charges		97	33.3			Percent of total billed charges		32.301	33.3			Percent of total billed charges		32.301	100			Percent of total billed charges		97	32.301	87.3	
arthrex 7.0 cannula ar6550	272	RC	Outpatient			97	63.05		90			Percent of total billed charges		87.3	40			Percent of total billed charges		38.8	80			Percent of total billed charges		77.6	90			Percent of total billed charges		87.3	85			Percent of total billed charges		82.45	85			Percent of total billed charges		82.45	85			Percent of total billed charges		82.45	100			Percent of total billed charges		97	100			Percent of total billed charges		97	100			Percent of total billed charges		97	33.3			Percent of total billed charges		32.301	33.3			Percent of total billed charges		32.301	100			Percent of total billed charges		97	32.301	87.3	
arthrex partially threaded cannula 8.25mm x 9cm ar-6575-09	272	RC	Outpatient			97	63.05		90			Percent of total billed charges		87.3	40			Percent of total billed charges		38.8	80			Percent of total billed charges		77.6	90			Percent of total billed charges		87.3	85			Percent of total billed charges		82.45	85			Percent of total billed charges		82.45	85			Percent of total billed charges		82.45	100			Percent of total billed charges		97	100			Percent of total billed charges		97	100			Percent of total billed charges		97	33.3			Percent of total billed charges		32.301	33.3			Percent of total billed charges		32.301	100			Percent of total billed charges		97	32.301	87.3	
arthrex twist-in cannula	272	RC	Outpatient			97	63.05		90			Percent of total billed charges		87.3	40			Percent of total billed charges		38.8	80			Percent of total billed charges		77.6	90			Percent of total billed charges		87.3	85			Percent of total billed charges		82.45	85			Percent of total billed charges		82.45	85			Percent of total billed charges		82.45	100			Percent of total billed charges		97	100			Percent of total billed charges		97	100			Percent of total billed charges		97	33.3			Percent of total billed charges		32.301	33.3			Percent of total billed charges		32.301	100			Percent of total billed charges		97	32.301	87.3	
arthrex twist-in cannula 6mm x 7cm  ar-6535	272	RC	Outpatient			97	63.05		90			Percent of total billed charges		87.3	40			Percent of total billed charges		38.8	80			Percent of total billed charges		77.6	90			Percent of total billed charges		87.3	85			Percent of total billed charges		82.45	85			Percent of total billed charges		82.45	85			Percent of total billed charges		82.45	100			Percent of total billed charges		97	100			Percent of total billed charges		97	100			Percent of total billed charges		97	33.3			Percent of total billed charges		32.301	33.3			Percent of total billed charges		32.301	100			Percent of total billed charges		97	32.301	87.3	
arthrex twist-in cannula 8.25mm x 9cm  ar-6540	272	RC	Outpatient			97	63.05		90			Percent of total billed charges		87.3	40			Percent of total billed charges		38.8	80			Percent of total billed charges		77.6	90			Percent of total billed charges		87.3	85			Percent of total billed charges		82.45	85			Percent of total billed charges		82.45	85			Percent of total billed charges		82.45	100			Percent of total billed charges		97	100			Percent of total billed charges		97	100			Percent of total billed charges		97	33.3			Percent of total billed charges		32.301	33.3			Percent of total billed charges		32.301	100			Percent of total billed charges		97	32.301	87.3	
bit drill quick coupling 4.5mm dia 145/120mm 310.44 synthes	270	RC	Outpatient			97	63.05		90			Percent of total billed charges		87.3	40			Percent of total billed charges		38.8	80			Percent of total billed charges		77.6	90			Percent of total billed charges		87.3	85			Percent of total billed charges		82.45	85			Percent of total billed charges		82.45	85			Percent of total billed charges		82.45	100			Percent of total billed charges		97	100			Percent of total billed charges		97	100			Percent of total billed charges		97	33.3			Percent of total billed charges		32.301	33.3			Percent of total billed charges		32.301	100			Percent of total billed charges		97	32.301	87.3	
bucks traction large	270	RC	Outpatient			97	63.05		90			Percent of total billed charges		87.3	40			Percent of total billed charges		38.8	80			Percent of total billed charges		77.6	90			Percent of total billed charges		87.3	85			Percent of total billed charges		82.45	85			Percent of total billed charges		82.45	85			Percent of total billed charges		82.45	100			Percent of total billed charges		97	100			Percent of total billed charges		97	100			Percent of total billed charges		97	33.3			Percent of total billed charges		32.301	33.3			Percent of total billed charges		32.301	100			Percent of total billed charges		97	32.301	87.3	
bucks traction small	270	RC	Outpatient			97	63.05		90			Percent of total billed charges		87.3	40			Percent of total billed charges		38.8	80			Percent of total billed charges		77.6	90			Percent of total billed charges		87.3	85			Percent of total billed charges		82.45	85			Percent of total billed charges		82.45	85			Percent of total billed charges		82.45	100			Percent of total billed charges		97	100			Percent of total billed charges		97	100			Percent of total billed charges		97	33.3			Percent of total billed charges		32.301	33.3			Percent of total billed charges		32.301	100			Percent of total billed charges		97	32.301	87.3	
dressing aquacel ag 3.5 x 10 412011	272	RC	Outpatient			97	63.05		90			Percent of total billed charges		87.3	40			Percent of total billed charges		38.8	80			Percent of total billed charges		77.6	90			Percent of total billed charges		87.3	85			Percent of total billed charges		82.45	85			Percent of total billed charges		82.45	85			Percent of total billed charges		82.45	100			Percent of total billed charges		97	100			Percent of total billed charges		97	100			Percent of total billed charges		97	33.3			Percent of total billed charges		32.301	33.3			Percent of total billed charges		32.301	100			Percent of total billed charges		97	32.301	87.3	
drill bit 3.2 x 145mm 310.31	270	RC	Outpatient			97	63.05		90			Percent of total billed charges		87.3	40			Percent of total billed charges		38.8	80			Percent of total billed charges		77.6	90			Percent of total billed charges		87.3	85			Percent of total billed charges		82.45	85			Percent of total billed charges		82.45	85			Percent of total billed charges		82.45	100			Percent of total billed charges		97	100			Percent of total billed charges		97	100			Percent of total billed charges		97	33.3			Percent of total billed charges		32.301	33.3			Percent of total billed charges		32.301	100			Percent of total billed charges		97	32.301	87.3	
drill bit jacobs chuck 1.1mm 310.10	270	RC	Outpatient			97	63.05		90			Percent of total billed charges		87.3	40			Percent of total billed charges		38.8	80			Percent of total billed charges		77.6	90			Percent of total billed charges		87.3	85			Percent of total billed charges		82.45	85			Percent of total billed charges		82.45	85			Percent of total billed charges		82.45	100			Percent of total billed charges		97	100			Percent of total billed charges		97	100			Percent of total billed charges		97	33.3			Percent of total billed charges		32.301	33.3			Percent of total billed charges		32.301	100			Percent of total billed charges		97	32.301	87.3	
drill bit jacobs chuck 1.5mm 310.14	270	RC	Outpatient			97	63.05		90			Percent of total billed charges		87.3	40			Percent of total billed charges		38.8	80			Percent of total billed charges		77.6	90			Percent of total billed charges		87.3	85			Percent of total billed charges		82.45	85			Percent of total billed charges		82.45	85			Percent of total billed charges		82.45	100			Percent of total billed charges		97	100			Percent of total billed charges		97	100			Percent of total billed charges		97	33.3			Percent of total billed charges		32.301	33.3			Percent of total billed charges		32.301	100			Percent of total billed charges		97	32.301	87.3	
drill bit jacobs chuck 2.7mm long 310.28j	270	RC	Outpatient			97	63.05		90			Percent of total billed charges		87.3	40			Percent of total billed charges		38.8	80			Percent of total billed charges		77.6	90			Percent of total billed charges		87.3	85			Percent of total billed charges		82.45	85			Percent of total billed charges		82.45	85			Percent of total billed charges		82.45	100			Percent of total billed charges		97	100			Percent of total billed charges		97	100			Percent of total billed charges		97	33.3			Percent of total billed charges		32.301	33.3			Percent of total billed charges		32.301	100			Percent of total billed charges		97	32.301	87.3	
drill bit quick release 1.5mm 310.15	270	RC	Outpatient			97	63.05		90			Percent of total billed charges		87.3	40			Percent of total billed charges		38.8	80			Percent of total billed charges		77.6	90			Percent of total billed charges		87.3	85			Percent of total billed charges		82.45	85			Percent of total billed charges		82.45	85			Percent of total billed charges		82.45	100			Percent of total billed charges		97	100			Percent of total billed charges		97	100			Percent of total billed charges		97	33.3			Percent of total billed charges		32.301	33.3			Percent of total billed charges		32.301	100			Percent of total billed charges		97	32.301	87.3	
drill bit quick release 2.0mm 310.19	270	RC	Outpatient			97	63.05		90			Percent of total billed charges		87.3	40			Percent of total billed charges		38.8	80			Percent of total billed charges		77.6	90			Percent of total billed charges		87.3	85			Percent of total billed charges		82.45	85			Percent of total billed charges		82.45	85			Percent of total billed charges		82.45	100			Percent of total billed charges		97	100			Percent of total billed charges		97	100			Percent of total billed charges		97	33.3			Percent of total billed charges		32.301	33.3			Percent of total billed charges		32.301	100			Percent of total billed charges		97	32.301	87.3	
drill bit quick release 2.0mm long 310.21	270	RC	Outpatient			97	63.05		90			Percent of total billed charges		87.3	40			Percent of total billed charges		38.8	80			Percent of total billed charges		77.6	90			Percent of total billed charges		87.3	85			Percent of total billed charges		82.45	85			Percent of total billed charges		82.45	85			Percent of total billed charges		82.45	100			Percent of total billed charges		97	100			Percent of total billed charges		97	100			Percent of total billed charges		97	33.3			Percent of total billed charges		32.301	33.3			Percent of total billed charges		32.301	100			Percent of total billed charges		97	32.301	87.3	
drill bit quick release 2.7mm 310.26	270	RC	Outpatient			97	63.05		90			Percent of total billed charges		87.3	40			Percent of total billed charges		38.8	80			Percent of total billed charges		77.6	90			Percent of total billed charges		87.3	85			Percent of total billed charges		82.45	85			Percent of total billed charges		82.45	85			Percent of total billed charges		82.45	100			Percent of total billed charges		97	100			Percent of total billed charges		97	100			Percent of total billed charges		97	33.3			Percent of total billed charges		32.301	33.3			Percent of total billed charges		32.301	100			Percent of total billed charges		97	32.301	87.3	
drill bit jacobs chuck 2.0mm 310.20	270	RC	Outpatient			97	63.05		90			Percent of total billed charges		87.3	40			Percent of total billed charges		38.8	80			Percent of total billed charges		77.6	90			Percent of total billed charges		87.3	85			Percent of total billed charges		82.45	85			Percent of total billed charges		82.45	85			Percent of total billed charges		82.45	100			Percent of total billed charges		97	100			Percent of total billed charges		97	100			Percent of total billed charges		97	33.3			Percent of total billed charges		32.301	33.3			Percent of total billed charges		32.301	100			Percent of total billed charges		97	32.301	87.3	
drill bit jacobs chuck 2.7mm 310.27	270	RC	Outpatient			97	63.05		90			Percent of total billed charges		87.3	40			Percent of total billed charges		38.8	80			Percent of total billed charges		77.6	90			Percent of total billed charges		87.3	85			Percent of total billed charges		82.45	85			Percent of total billed charges		82.45	85			Percent of total billed charges		82.45	100			Percent of total billed charges		97	100			Percent of total billed charges		97	100			Percent of total billed charges		97	33.3			Percent of total billed charges		32.301	33.3			Percent of total billed charges		32.301	100			Percent of total billed charges		97	32.301	87.3	
drill bit quick release 1.5mm long 310.16 synthes	270	RC	Outpatient			97	63.05		90			Percent of total billed charges		87.3	40			Percent of total billed charges		38.8	80			Percent of total billed charges		77.6	90			Percent of total billed charges		87.3	85			Percent of total billed charges		82.45	85			Percent of total billed charges		82.45	85			Percent of total billed charges		82.45	100			Percent of total billed charges		97	100			Percent of total billed charges		97	100			Percent of total billed charges		97	33.3			Percent of total billed charges		32.301	33.3			Percent of total billed charges		32.301	100			Percent of total billed charges		97	32.301	87.3	
drill bit quick release 2.7mm long 310.28	270	RC	Outpatient			97	63.05		90			Percent of total billed charges		87.3	40			Percent of total billed charges		38.8	80			Percent of total billed charges		77.6	90			Percent of total billed charges		87.3	85			Percent of total billed charges		82.45	85			Percent of total billed charges		82.45	85			Percent of total billed charges		82.45	100			Percent of total billed charges		97	100			Percent of total billed charges		97	100			Percent of total billed charges		97	33.3			Percent of total billed charges		32.301	33.3			Percent of total billed charges		32.301	100			Percent of total billed charges		97	32.301	87.3	
syn drill bit 60-145 qc	270	RC	Outpatient			97	63.05		90			Percent of total billed charges		87.3	40			Percent of total billed charges		38.8	80			Percent of total billed charges		77.6	90			Percent of total billed charges		87.3	85			Percent of total billed charges		82.45	85			Percent of total billed charges		82.45	85			Percent of total billed charges		82.45	100			Percent of total billed charges		97	100			Percent of total billed charges		97	100			Percent of total billed charges		97	33.3			Percent of total billed charges		32.301	33.3			Percent of total billed charges		32.301	100			Percent of total billed charges		97	32.301	87.3	
"quick coupling drill bit 3.5mm, 310.35"	270	RC	Outpatient			97	63.05		90			Percent of total billed charges		87.3	40			Percent of total billed charges		38.8	80			Percent of total billed charges		77.6	90			Percent of total billed charges		87.3	85			Percent of total billed charges		82.45	85			Percent of total billed charges		82.45	85			Percent of total billed charges		82.45	100			Percent of total billed charges		97	100			Percent of total billed charges		97	100			Percent of total billed charges		97	33.3			Percent of total billed charges		32.301	33.3			Percent of total billed charges		32.301	100			Percent of total billed charges		97	32.301	87.3	
tube shiley #10 uncuff fe	270	RC	Outpatient			97	63.05		90			Percent of total billed charges		87.3	40			Percent of total billed charges		38.8	80			Percent of total billed charges		77.6	90			Percent of total billed charges		87.3	85			Percent of total billed charges		82.45	85			Percent of total billed charges		82.45	85			Percent of total billed charges		82.45	100			Percent of total billed charges		97	100			Percent of total billed charges		97	100			Percent of total billed charges		97	33.3			Percent of total billed charges		32.301	33.3			Percent of total billed charges		32.301	100			Percent of total billed charges		97	32.301	87.3	
cannulated screw 6.5 x 165mm 71106665s s/n	270	RC	Outpatient			98	63.7		90			Percent of total billed charges		88.2	40			Percent of total billed charges		39.2	80			Percent of total billed charges		78.4	90			Percent of total billed charges		88.2	85			Percent of total billed charges		83.3	85			Percent of total billed charges		83.3	85			Percent of total billed charges		83.3	100			Percent of total billed charges		98	100			Percent of total billed charges		98	100			Percent of total billed charges		98	33.3			Percent of total billed charges		32.634	33.3			Percent of total billed charges		32.634	100			Percent of total billed charges		98	32.634	88.2	
cast leg childs long	270	RC	Outpatient			98	63.7		90			Percent of total billed charges		88.2	40			Percent of total billed charges		39.2	80			Percent of total billed charges		78.4	90			Percent of total billed charges		88.2	85			Percent of total billed charges		83.3	85			Percent of total billed charges		83.3	85			Percent of total billed charges		83.3	100			Percent of total billed charges		98	100			Percent of total billed charges		98	100			Percent of total billed charges		98	33.3			Percent of total billed charges		32.634	33.3			Percent of total billed charges		32.634	100			Percent of total billed charges		98	32.634	88.2	
eagle inflation device 325770 bard	272	RC	Outpatient			98	63.7		90			Percent of total billed charges		88.2	40			Percent of total billed charges		39.2	80			Percent of total billed charges		78.4	90			Percent of total billed charges		88.2	85			Percent of total billed charges		83.3	85			Percent of total billed charges		83.3	85			Percent of total billed charges		83.3	100			Percent of total billed charges		98	100			Percent of total billed charges		98	100			Percent of total billed charges		98	33.3			Percent of total billed charges		32.634	33.3			Percent of total billed charges		32.634	100			Percent of total billed charges		98	32.634	88.2	
fastin rc w/orthrocord  223114 mitek	272	RC	Outpatient			98	63.7		90			Percent of total billed charges		88.2	40			Percent of total billed charges		39.2	80			Percent of total billed charges		78.4	90			Percent of total billed charges		88.2	85			Percent of total billed charges		83.3	85			Percent of total billed charges		83.3	85			Percent of total billed charges		83.3	100			Percent of total billed charges		98	100			Percent of total billed charges		98	100			Percent of total billed charges		98	33.3			Percent of total billed charges		32.634	33.3			Percent of total billed charges		32.634	100			Percent of total billed charges		98	32.634	88.2	
eagle inflator	272	RC	Outpatient			98	63.7		90			Percent of total billed charges		88.2	40			Percent of total billed charges		39.2	80			Percent of total billed charges		78.4	90			Percent of total billed charges		88.2	85			Percent of total billed charges		83.3	85			Percent of total billed charges		83.3	85			Percent of total billed charges		83.3	100			Percent of total billed charges		98	100			Percent of total billed charges		98	100			Percent of total billed charges		98	33.3			Percent of total billed charges		32.634	33.3			Percent of total billed charges		32.634	100			Percent of total billed charges		98	32.634	88.2	
mitek orthocord dual pack 223115	272	RC	Outpatient			98	63.7		90			Percent of total billed charges		88.2	40			Percent of total billed charges		39.2	80			Percent of total billed charges		78.4	90			Percent of total billed charges		88.2	85			Percent of total billed charges		83.3	85			Percent of total billed charges		83.3	85			Percent of total billed charges		83.3	100			Percent of total billed charges		98	100			Percent of total billed charges		98	100			Percent of total billed charges		98	33.3			Percent of total billed charges		32.634	33.3			Percent of total billed charges		32.634	100			Percent of total billed charges		98	32.634	88.2	
miter orthrocord	272	RC	Outpatient			98	63.7		90			Percent of total billed charges		88.2	40			Percent of total billed charges		39.2	80			Percent of total billed charges		78.4	90			Percent of total billed charges		88.2	85			Percent of total billed charges		83.3	85			Percent of total billed charges		83.3	85			Percent of total billed charges		83.3	100			Percent of total billed charges		98	100			Percent of total billed charges		98	100			Percent of total billed charges		98	33.3			Percent of total billed charges		32.634	33.3			Percent of total billed charges		32.634	100			Percent of total billed charges		98	32.634	88.2	
nerve locator	270	RC	Outpatient			98	63.7		90			Percent of total billed charges		88.2	40			Percent of total billed charges		39.2	80			Percent of total billed charges		78.4	90			Percent of total billed charges		88.2	85			Percent of total billed charges		83.3	85			Percent of total billed charges		83.3	85			Percent of total billed charges		83.3	100			Percent of total billed charges		98	100			Percent of total billed charges		98	100			Percent of total billed charges		98	33.3			Percent of total billed charges		32.634	33.3			Percent of total billed charges		32.634	100			Percent of total billed charges		98	32.634	88.2	
simplastic 2-way pvc suprapubic cath 551312 teleflex	272	RC	Outpatient			98	63.7		90			Percent of total billed charges		88.2	40			Percent of total billed charges		39.2	80			Percent of total billed charges		78.4	90			Percent of total billed charges		88.2	85			Percent of total billed charges		83.3	85			Percent of total billed charges		83.3	85			Percent of total billed charges		83.3	100			Percent of total billed charges		98	100			Percent of total billed charges		98	100			Percent of total billed charges		98	33.3			Percent of total billed charges		32.634	33.3			Percent of total billed charges		32.634	100			Percent of total billed charges		98	32.634	88.2	
stimulator nerve vari\stim lll 8562010	270	RC	Outpatient			98	63.7		90			Percent of total billed charges		88.2	40			Percent of total billed charges		39.2	80			Percent of total billed charges		78.4	90			Percent of total billed charges		88.2	85			Percent of total billed charges		83.3	85			Percent of total billed charges		83.3	85			Percent of total billed charges		83.3	100			Percent of total billed charges		98	100			Percent of total billed charges		98	100			Percent of total billed charges		98	33.3			Percent of total billed charges		32.634	33.3			Percent of total billed charges		32.634	100			Percent of total billed charges		98	32.634	88.2	
supra pubic cath-pvc	272	RC	Outpatient			98	63.7		90			Percent of total billed charges		88.2	40			Percent of total billed charges		39.2	80			Percent of total billed charges		78.4	90			Percent of total billed charges		88.2	85			Percent of total billed charges		83.3	85			Percent of total billed charges		83.3	85			Percent of total billed charges		83.3	100			Percent of total billed charges		98	100			Percent of total billed charges		98	100			Percent of total billed charges		98	33.3			Percent of total billed charges		32.634	33.3			Percent of total billed charges		32.634	100			Percent of total billed charges		98	32.634	88.2	
3800042 vaginal delivery ed charge	450	RC	Outpatient			99	64.35		90			Percent of total billed charges		89.1	40			Percent of total billed charges		39.6	80			Percent of total billed charges		79.2	90			Percent of total billed charges		89.1	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	100			Percent of total billed charges		99	100			Percent of total billed charges		99	100			Percent of total billed charges		99	33.3			Percent of total billed charges		32.967	33.3			Percent of total billed charges		32.967	100			Percent of total billed charges		99	32.967	89.1	
alexis retractor x/xx sm	272	RC	Outpatient			99	64.35		90			Percent of total billed charges		89.1	40			Percent of total billed charges		39.6	80			Percent of total billed charges		79.2	90			Percent of total billed charges		89.1	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	100			Percent of total billed charges		99	100			Percent of total billed charges		99	100			Percent of total billed charges		99	33.3			Percent of total billed charges		32.967	33.3			Percent of total billed charges		32.967	100			Percent of total billed charges		99	32.967	89.1	
karl storz round cold knife 27068l	272	RC	Outpatient			99	64.35		90			Percent of total billed charges		89.1	40			Percent of total billed charges		39.6	80			Percent of total billed charges		79.2	90			Percent of total billed charges		89.1	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	100			Percent of total billed charges		99	100			Percent of total billed charges		99	100			Percent of total billed charges		99	33.3			Percent of total billed charges		32.967	33.3			Percent of total billed charges		32.967	100			Percent of total billed charges		99	32.967	89.1	
immob knee univ 20 velcr	270	RC	Outpatient			99	64.35		90			Percent of total billed charges		89.1	40			Percent of total billed charges		39.6	80			Percent of total billed charges		79.2	90			Percent of total billed charges		89.1	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	100			Percent of total billed charges		99	100			Percent of total billed charges		99	100			Percent of total billed charges		99	33.3			Percent of total billed charges		32.967	33.3			Percent of total billed charges		32.967	100			Percent of total billed charges		99	32.967	89.1	
knee immob ed charge scnt	270	RC	Outpatient			99	64.35		90			Percent of total billed charges		89.1	40			Percent of total billed charges		39.6	80			Percent of total billed charges		79.2	90			Percent of total billed charges		89.1	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	100			Percent of total billed charges		99	100			Percent of total billed charges		99	100			Percent of total billed charges		99	33.3			Percent of total billed charges		32.967	33.3			Percent of total billed charges		32.967	100			Percent of total billed charges		99	32.967	89.1	
peri-loc 4.5 t25 screw 10mm 73827010 s/n	278	RC	Outpatient			99	64.35		90			Percent of total billed charges		89.1	40			Percent of total billed charges		39.6	80			Percent of total billed charges		79.2	90			Percent of total billed charges		89.1	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	100			Percent of total billed charges		99	100			Percent of total billed charges		99	100			Percent of total billed charges		99	33.3			Percent of total billed charges		32.967	33.3			Percent of total billed charges		32.967	100			Percent of total billed charges		99	32.967	89.1	
peri-loc 4.5 t25 screw 14mm 73826014 s/n	278	RC	Outpatient			99	64.35		90			Percent of total billed charges		89.1	40			Percent of total billed charges		39.6	80			Percent of total billed charges		79.2	90			Percent of total billed charges		89.1	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	100			Percent of total billed charges		99	100			Percent of total billed charges		99	100			Percent of total billed charges		99	33.3			Percent of total billed charges		32.967	33.3			Percent of total billed charges		32.967	100			Percent of total billed charges		99	32.967	89.1	
peri-loc 4.5 t25 screw 14mm 73827014 s/n	278	RC	Outpatient			99	64.35		90			Percent of total billed charges		89.1	40			Percent of total billed charges		39.6	80			Percent of total billed charges		79.2	90			Percent of total billed charges		89.1	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	100			Percent of total billed charges		99	100			Percent of total billed charges		99	100			Percent of total billed charges		99	33.3			Percent of total billed charges		32.967	33.3			Percent of total billed charges		32.967	100			Percent of total billed charges		99	32.967	89.1	
peri-loc 4.5 t25 screw 18mm 73826018 s/n	278	RC	Outpatient			99	64.35		90			Percent of total billed charges		89.1	40			Percent of total billed charges		39.6	80			Percent of total billed charges		79.2	90			Percent of total billed charges		89.1	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	100			Percent of total billed charges		99	100			Percent of total billed charges		99	100			Percent of total billed charges		99	33.3			Percent of total billed charges		32.967	33.3			Percent of total billed charges		32.967	100			Percent of total billed charges		99	32.967	89.1	
peri-loc 4.5 t25 screw 20mm 73826020 s/n	278	RC	Outpatient			99	64.35		90			Percent of total billed charges		89.1	40			Percent of total billed charges		39.6	80			Percent of total billed charges		79.2	90			Percent of total billed charges		89.1	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	100			Percent of total billed charges		99	100			Percent of total billed charges		99	100			Percent of total billed charges		99	33.3			Percent of total billed charges		32.967	33.3			Percent of total billed charges		32.967	100			Percent of total billed charges		99	32.967	89.1	
peri-loc 4.5 t25 screw 20mm 73827020 s/n	278	RC	Outpatient			99	64.35		90			Percent of total billed charges		89.1	40			Percent of total billed charges		39.6	80			Percent of total billed charges		79.2	90			Percent of total billed charges		89.1	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	100			Percent of total billed charges		99	100			Percent of total billed charges		99	100			Percent of total billed charges		99	33.3			Percent of total billed charges		32.967	33.3			Percent of total billed charges		32.967	100			Percent of total billed charges		99	32.967	89.1	
peri-loc 4.5 t25 screw 24mm 73826024 s/n	278	RC	Outpatient			99	64.35		90			Percent of total billed charges		89.1	40			Percent of total billed charges		39.6	80			Percent of total billed charges		79.2	90			Percent of total billed charges		89.1	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	100			Percent of total billed charges		99	100			Percent of total billed charges		99	100			Percent of total billed charges		99	33.3			Percent of total billed charges		32.967	33.3			Percent of total billed charges		32.967	100			Percent of total billed charges		99	32.967	89.1	
peri-loc 4.5 t25 screw 34mm 73826034 s/n	278	RC	Outpatient			99	64.35		90			Percent of total billed charges		89.1	40			Percent of total billed charges		39.6	80			Percent of total billed charges		79.2	90			Percent of total billed charges		89.1	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	100			Percent of total billed charges		99	100			Percent of total billed charges		99	100			Percent of total billed charges		99	33.3			Percent of total billed charges		32.967	33.3			Percent of total billed charges		32.967	100			Percent of total billed charges		99	32.967	89.1	
peri-loc 4.5 t25 screw 36mm 73826036 s/n	278	RC	Outpatient			99	64.35		90			Percent of total billed charges		89.1	40			Percent of total billed charges		39.6	80			Percent of total billed charges		79.2	90			Percent of total billed charges		89.1	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	100			Percent of total billed charges		99	100			Percent of total billed charges		99	100			Percent of total billed charges		99	33.3			Percent of total billed charges		32.967	33.3			Percent of total billed charges		32.967	100			Percent of total billed charges		99	32.967	89.1	
peri-loc 4.5 t25 screw 40mm 73826040 s/n	278	RC	Outpatient			99	64.35		90			Percent of total billed charges		89.1	40			Percent of total billed charges		39.6	80			Percent of total billed charges		79.2	90			Percent of total billed charges		89.1	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	100			Percent of total billed charges		99	100			Percent of total billed charges		99	100			Percent of total billed charges		99	33.3			Percent of total billed charges		32.967	33.3			Percent of total billed charges		32.967	100			Percent of total billed charges		99	32.967	89.1	
peri-loc 4.5 t25 screw 56mm 73826056 s/n	278	RC	Outpatient			99	64.35		90			Percent of total billed charges		89.1	40			Percent of total billed charges		39.6	80			Percent of total billed charges		79.2	90			Percent of total billed charges		89.1	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	100			Percent of total billed charges		99	100			Percent of total billed charges		99	100			Percent of total billed charges		99	33.3			Percent of total billed charges		32.967	33.3			Percent of total billed charges		32.967	100			Percent of total billed charges		99	32.967	89.1	
peri-loc 4.5 t25 screw 60mm 73826060 s/n	278	RC	Outpatient			99	64.35		90			Percent of total billed charges		89.1	40			Percent of total billed charges		39.6	80			Percent of total billed charges		79.2	90			Percent of total billed charges		89.1	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	100			Percent of total billed charges		99	100			Percent of total billed charges		99	100			Percent of total billed charges		99	33.3			Percent of total billed charges		32.967	33.3			Percent of total billed charges		32.967	100			Percent of total billed charges		99	32.967	89.1	
peri-loc 4.5 t25 screw 62mm 73826062 s/n	278	RC	Outpatient			99	64.35		90			Percent of total billed charges		89.1	40			Percent of total billed charges		39.6	80			Percent of total billed charges		79.2	90			Percent of total billed charges		89.1	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	100			Percent of total billed charges		99	100			Percent of total billed charges		99	100			Percent of total billed charges		99	33.3			Percent of total billed charges		32.967	33.3			Percent of total billed charges		32.967	100			Percent of total billed charges		99	32.967	89.1	
peri-loc 4.5 t25 screw 64mm 73826064 s/n	278	RC	Outpatient			99	64.35		90			Percent of total billed charges		89.1	40			Percent of total billed charges		39.6	80			Percent of total billed charges		79.2	90			Percent of total billed charges		89.1	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	100			Percent of total billed charges		99	100			Percent of total billed charges		99	100			Percent of total billed charges		99	33.3			Percent of total billed charges		32.967	33.3			Percent of total billed charges		32.967	100			Percent of total billed charges		99	32.967	89.1	
peri-loc 4.5 t25 screw 66mm 73826066 s/n	278	RC	Outpatient			99	64.35		90			Percent of total billed charges		89.1	40			Percent of total billed charges		39.6	80			Percent of total billed charges		79.2	90			Percent of total billed charges		89.1	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	100			Percent of total billed charges		99	100			Percent of total billed charges		99	100			Percent of total billed charges		99	33.3			Percent of total billed charges		32.967	33.3			Percent of total billed charges		32.967	100			Percent of total billed charges		99	32.967	89.1	
peri-loc 4.5 t25 screw 68mm 73826068 s/n	278	RC	Outpatient			99	64.35		90			Percent of total billed charges		89.1	40			Percent of total billed charges		39.6	80			Percent of total billed charges		79.2	90			Percent of total billed charges		89.1	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	100			Percent of total billed charges		99	100			Percent of total billed charges		99	100			Percent of total billed charges		99	33.3			Percent of total billed charges		32.967	33.3			Percent of total billed charges		32.967	100			Percent of total billed charges		99	32.967	89.1	
peri-loc 4.5 t25 screw 72mm 73826072 s/n	278	RC	Outpatient			99	64.35		90			Percent of total billed charges		89.1	40			Percent of total billed charges		39.6	80			Percent of total billed charges		79.2	90			Percent of total billed charges		89.1	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	100			Percent of total billed charges		99	100			Percent of total billed charges		99	100			Percent of total billed charges		99	33.3			Percent of total billed charges		32.967	33.3			Percent of total billed charges		32.967	100			Percent of total billed charges		99	32.967	89.1	
peri-loc 4.5 t25 screw 74mm 73826074 s/n	278	RC	Outpatient			99	64.35		90			Percent of total billed charges		89.1	40			Percent of total billed charges		39.6	80			Percent of total billed charges		79.2	90			Percent of total billed charges		89.1	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	100			Percent of total billed charges		99	100			Percent of total billed charges		99	100			Percent of total billed charges		99	33.3			Percent of total billed charges		32.967	33.3			Percent of total billed charges		32.967	100			Percent of total billed charges		99	32.967	89.1	
peri-loc 4.5 t25 screw 76mm 73826076 s/n	278	RC	Outpatient			99	64.35		90			Percent of total billed charges		89.1	40			Percent of total billed charges		39.6	80			Percent of total billed charges		79.2	90			Percent of total billed charges		89.1	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	100			Percent of total billed charges		99	100			Percent of total billed charges		99	100			Percent of total billed charges		99	33.3			Percent of total billed charges		32.967	33.3			Percent of total billed charges		32.967	100			Percent of total billed charges		99	32.967	89.1	
peri-loc 4.5 t25 screw 78mm 73826078 s/n	278	RC	Outpatient			99	64.35		90			Percent of total billed charges		89.1	40			Percent of total billed charges		39.6	80			Percent of total billed charges		79.2	90			Percent of total billed charges		89.1	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	100			Percent of total billed charges		99	100			Percent of total billed charges		99	100			Percent of total billed charges		99	33.3			Percent of total billed charges		32.967	33.3			Percent of total billed charges		32.967	100			Percent of total billed charges		99	32.967	89.1	
surgicel hemostat 4 x 6 1952	270	RC	Outpatient			99	64.35		90			Percent of total billed charges		89.1	40			Percent of total billed charges		39.6	80			Percent of total billed charges		79.2	90			Percent of total billed charges		89.1	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	100			Percent of total billed charges		99	100			Percent of total billed charges		99	100			Percent of total billed charges		99	33.3			Percent of total billed charges		32.967	33.3			Percent of total billed charges		32.967	100			Percent of total billed charges		99	32.967	89.1	
peri-loc 4.5 t25 screw 100mm 73826100 s/n	278	RC	Outpatient			99	64.35		90			Percent of total billed charges		89.1	40			Percent of total billed charges		39.6	80			Percent of total billed charges		79.2	90			Percent of total billed charges		89.1	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	100			Percent of total billed charges		99	100			Percent of total billed charges		99	100			Percent of total billed charges		99	33.3			Percent of total billed charges		32.967	33.3			Percent of total billed charges		32.967	100			Percent of total billed charges		99	32.967	89.1	
peri-loc 4.5 t25 screw 16mm 73826016 s/n	278	RC	Outpatient			99	64.35		90			Percent of total billed charges		89.1	40			Percent of total billed charges		39.6	80			Percent of total billed charges		79.2	90			Percent of total billed charges		89.1	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	100			Percent of total billed charges		99	100			Percent of total billed charges		99	100			Percent of total billed charges		99	33.3			Percent of total billed charges		32.967	33.3			Percent of total billed charges		32.967	100			Percent of total billed charges		99	32.967	89.1	
peri-loc 4.5 t25 screw 16mm 73827016 s/n	278	RC	Outpatient			99	64.35		90			Percent of total billed charges		89.1	40			Percent of total billed charges		39.6	80			Percent of total billed charges		79.2	90			Percent of total billed charges		89.1	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	100			Percent of total billed charges		99	100			Percent of total billed charges		99	100			Percent of total billed charges		99	33.3			Percent of total billed charges		32.967	33.3			Percent of total billed charges		32.967	100			Percent of total billed charges		99	32.967	89.1	
peri-loc 4.5 t25 screw 18mm 73827018 s/n	278	RC	Outpatient			99	64.35		90			Percent of total billed charges		89.1	40			Percent of total billed charges		39.6	80			Percent of total billed charges		79.2	90			Percent of total billed charges		89.1	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	100			Percent of total billed charges		99	100			Percent of total billed charges		99	100			Percent of total billed charges		99	33.3			Percent of total billed charges		32.967	33.3			Percent of total billed charges		32.967	100			Percent of total billed charges		99	32.967	89.1	
peri-loc 4.5 t25 screw 22mm 73826022 s/n	278	RC	Outpatient			99	64.35		90			Percent of total billed charges		89.1	40			Percent of total billed charges		39.6	80			Percent of total billed charges		79.2	90			Percent of total billed charges		89.1	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	100			Percent of total billed charges		99	100			Percent of total billed charges		99	100			Percent of total billed charges		99	33.3			Percent of total billed charges		32.967	33.3			Percent of total billed charges		32.967	100			Percent of total billed charges		99	32.967	89.1	
peri-loc 4.5 t25 screw 26mm 73826026 s/n	278	RC	Outpatient			99	64.35		90			Percent of total billed charges		89.1	40			Percent of total billed charges		39.6	80			Percent of total billed charges		79.2	90			Percent of total billed charges		89.1	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	100			Percent of total billed charges		99	100			Percent of total billed charges		99	100			Percent of total billed charges		99	33.3			Percent of total billed charges		32.967	33.3			Percent of total billed charges		32.967	100			Percent of total billed charges		99	32.967	89.1	
peri-loc 4.5 t25 screw 32mm 73826032 s/n	278	RC	Outpatient			99	64.35		90			Percent of total billed charges		89.1	40			Percent of total billed charges		39.6	80			Percent of total billed charges		79.2	90			Percent of total billed charges		89.1	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	100			Percent of total billed charges		99	100			Percent of total billed charges		99	100			Percent of total billed charges		99	33.3			Percent of total billed charges		32.967	33.3			Percent of total billed charges		32.967	100			Percent of total billed charges		99	32.967	89.1	
peri-loc 4.5 t25 screw 38mm 73826038 s/n	278	RC	Outpatient			99	64.35		90			Percent of total billed charges		89.1	40			Percent of total billed charges		39.6	80			Percent of total billed charges		79.2	90			Percent of total billed charges		89.1	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	100			Percent of total billed charges		99	100			Percent of total billed charges		99	100			Percent of total billed charges		99	33.3			Percent of total billed charges		32.967	33.3			Percent of total billed charges		32.967	100			Percent of total billed charges		99	32.967	89.1	
peri-loc 4.5 t25 screw 44mm 73826044 s/n	278	RC	Outpatient			99	64.35		90			Percent of total billed charges		89.1	40			Percent of total billed charges		39.6	80			Percent of total billed charges		79.2	90			Percent of total billed charges		89.1	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	100			Percent of total billed charges		99	100			Percent of total billed charges		99	100			Percent of total billed charges		99	33.3			Percent of total billed charges		32.967	33.3			Percent of total billed charges		32.967	100			Percent of total billed charges		99	32.967	89.1	
peri-loc 4.5 t25 screw 46mm 73826046 s/n	278	RC	Outpatient			99	64.35		90			Percent of total billed charges		89.1	40			Percent of total billed charges		39.6	80			Percent of total billed charges		79.2	90			Percent of total billed charges		89.1	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	100			Percent of total billed charges		99	100			Percent of total billed charges		99	100			Percent of total billed charges		99	33.3			Percent of total billed charges		32.967	33.3			Percent of total billed charges		32.967	100			Percent of total billed charges		99	32.967	89.1	
peri-loc 4.5 t25 screw 48mm 73826048 s/n	278	RC	Outpatient			99	64.35		90			Percent of total billed charges		89.1	40			Percent of total billed charges		39.6	80			Percent of total billed charges		79.2	90			Percent of total billed charges		89.1	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	100			Percent of total billed charges		99	100			Percent of total billed charges		99	100			Percent of total billed charges		99	33.3			Percent of total billed charges		32.967	33.3			Percent of total billed charges		32.967	100			Percent of total billed charges		99	32.967	89.1	
peri-loc 4.5 t25 screw 50mm 73826050 s/n	278	RC	Outpatient			99	64.35		90			Percent of total billed charges		89.1	40			Percent of total billed charges		39.6	80			Percent of total billed charges		79.2	90			Percent of total billed charges		89.1	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	100			Percent of total billed charges		99	100			Percent of total billed charges		99	100			Percent of total billed charges		99	33.3			Percent of total billed charges		32.967	33.3			Percent of total billed charges		32.967	100			Percent of total billed charges		99	32.967	89.1	
peri-loc 4.5 t25 screw 52mm 73826052 s/n	278	RC	Outpatient			99	64.35		90			Percent of total billed charges		89.1	40			Percent of total billed charges		39.6	80			Percent of total billed charges		79.2	90			Percent of total billed charges		89.1	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	100			Percent of total billed charges		99	100			Percent of total billed charges		99	100			Percent of total billed charges		99	33.3			Percent of total billed charges		32.967	33.3			Percent of total billed charges		32.967	100			Percent of total billed charges		99	32.967	89.1	
peri-loc 4.5 t25 screw 58mm 73826058 s/n	278	RC	Outpatient			99	64.35		90			Percent of total billed charges		89.1	40			Percent of total billed charges		39.6	80			Percent of total billed charges		79.2	90			Percent of total billed charges		89.1	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	100			Percent of total billed charges		99	100			Percent of total billed charges		99	100			Percent of total billed charges		99	33.3			Percent of total billed charges		32.967	33.3			Percent of total billed charges		32.967	100			Percent of total billed charges		99	32.967	89.1	
peri-loc 4.5 t25 screw 70mm 73826070 s/n	278	RC	Outpatient			99	64.35		90			Percent of total billed charges		89.1	40			Percent of total billed charges		39.6	80			Percent of total billed charges		79.2	90			Percent of total billed charges		89.1	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	100			Percent of total billed charges		99	100			Percent of total billed charges		99	100			Percent of total billed charges		99	33.3			Percent of total billed charges		32.967	33.3			Percent of total billed charges		32.967	100			Percent of total billed charges		99	32.967	89.1	
peri-loc 4.5 t25 screw 80mm 73826080 s/n	278	RC	Outpatient			99	64.35		90			Percent of total billed charges		89.1	40			Percent of total billed charges		39.6	80			Percent of total billed charges		79.2	90			Percent of total billed charges		89.1	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	100			Percent of total billed charges		99	100			Percent of total billed charges		99	100			Percent of total billed charges		99	33.3			Percent of total billed charges		32.967	33.3			Percent of total billed charges		32.967	100			Percent of total billed charges		99	32.967	89.1	
peri-loc 4.5 t25 screw 85mm 73826085 s/n	278	RC	Outpatient			99	64.35		90			Percent of total billed charges		89.1	40			Percent of total billed charges		39.6	80			Percent of total billed charges		79.2	90			Percent of total billed charges		89.1	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	100			Percent of total billed charges		99	100			Percent of total billed charges		99	100			Percent of total billed charges		99	33.3			Percent of total billed charges		32.967	33.3			Percent of total billed charges		32.967	100			Percent of total billed charges		99	32.967	89.1	
peri-loc 4.5 t25 screw 90mm 73826090 s/n	278	RC	Outpatient			99	64.35		90			Percent of total billed charges		89.1	40			Percent of total billed charges		39.6	80			Percent of total billed charges		79.2	90			Percent of total billed charges		89.1	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	100			Percent of total billed charges		99	100			Percent of total billed charges		99	100			Percent of total billed charges		99	33.3			Percent of total billed charges		32.967	33.3			Percent of total billed charges		32.967	100			Percent of total billed charges		99	32.967	89.1	
retractor  wound  x-sm c8312 applied med	272	RC	Outpatient			99	64.35		90			Percent of total billed charges		89.1	40			Percent of total billed charges		39.6	80			Percent of total billed charges		79.2	90			Percent of total billed charges		89.1	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	100			Percent of total billed charges		99	100			Percent of total billed charges		99	100			Percent of total billed charges		99	33.3			Percent of total billed charges		32.967	33.3			Percent of total billed charges		32.967	100			Percent of total billed charges		99	32.967	89.1	
retractor  wound  xx-sm c8313 applied med	272	RC	Outpatient			99	64.35		90			Percent of total billed charges		89.1	40			Percent of total billed charges		39.6	80			Percent of total billed charges		79.2	90			Percent of total billed charges		89.1	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	100			Percent of total billed charges		99	100			Percent of total billed charges		99	100			Percent of total billed charges		99	33.3			Percent of total billed charges		32.967	33.3			Percent of total billed charges		32.967	100			Percent of total billed charges		99	32.967	89.1	
s/n 4.5 t25 crtx scr	278	RC	Outpatient			99	64.35		90			Percent of total billed charges		89.1	40			Percent of total billed charges		39.6	80			Percent of total billed charges		79.2	90			Percent of total billed charges		89.1	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	100			Percent of total billed charges		99	100			Percent of total billed charges		99	100			Percent of total billed charges		99	33.3			Percent of total billed charges		32.967	33.3			Percent of total billed charges		32.967	100			Percent of total billed charges		99	32.967	89.1	
surgicel 4x6	270	RC	Outpatient			99	64.35		90			Percent of total billed charges		89.1	40			Percent of total billed charges		39.6	80			Percent of total billed charges		79.2	90			Percent of total billed charges		89.1	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	100			Percent of total billed charges		99	100			Percent of total billed charges		99	100			Percent of total billed charges		99	33.3			Percent of total billed charges		32.967	33.3			Percent of total billed charges		32.967	100			Percent of total billed charges		99	32.967	89.1	
vitagel cellpaker	272	RC	Outpatient			99	64.35		90			Percent of total billed charges		89.1	40			Percent of total billed charges		39.6	80			Percent of total billed charges		79.2	90			Percent of total billed charges		89.1	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	100			Percent of total billed charges		99	100			Percent of total billed charges		99	100			Percent of total billed charges		99	33.3			Percent of total billed charges		32.967	33.3			Percent of total billed charges		32.967	100			Percent of total billed charges		99	32.967	89.1	
vitagel vitaprep cellpacker collection device  2113-0013 stryker	272	RC	Outpatient			99	64.35		90			Percent of total billed charges		89.1	40			Percent of total billed charges		39.6	80			Percent of total billed charges		79.2	90			Percent of total billed charges		89.1	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	85			Percent of total billed charges		84.15	100			Percent of total billed charges		99	100			Percent of total billed charges		99	100			Percent of total billed charges		99	33.3			Percent of total billed charges		32.967	33.3			Percent of total billed charges		32.967	100			Percent of total billed charges		99	32.967	89.1	
act	300	RC	Outpatient			100	65		90			Percent of total billed charges		90	40			Percent of total billed charges		40	80			Percent of total billed charges		80	90			Percent of total billed charges		90	85			Percent of total billed charges		85	85			Percent of total billed charges		85	85			Percent of total billed charges		85	100			Percent of total billed charges		100	100			Percent of total billed charges		100	100			Percent of total billed charges		100	33.3			Percent of total billed charges		33.3	33.3			Percent of total billed charges		33.3	100			Percent of total billed charges		100	33.3	90	
cath lab act	300	RC	Outpatient			100	65		90			Percent of total billed charges		90	40			Percent of total billed charges		40	80			Percent of total billed charges		80	90			Percent of total billed charges		90	85			Percent of total billed charges		85	85			Percent of total billed charges		85	85			Percent of total billed charges		85	100			Percent of total billed charges		100	100			Percent of total billed charges		100	100			Percent of total billed charges		100	33.3			Percent of total billed charges		33.3	33.3			Percent of total billed charges		33.3	100			Percent of total billed charges		100	33.3	90	
cosmetic - laser hair removal upper lip or chin single session	983	RC	Outpatient			100	65		90			Percent of total billed charges		90	40			Percent of total billed charges		40	80			Percent of total billed charges		80	90			Percent of total billed charges		90	85			Percent of total billed charges		85	85			Percent of total billed charges		85	85			Percent of total billed charges		85	100			Percent of total billed charges		100	100			Percent of total billed charges		100	100			Percent of total billed charges		100	33.3			Percent of total billed charges		33.3	33.3			Percent of total billed charges		33.3	100			Percent of total billed charges		100	33.3	90	
cosmetic - small scar - edad	940	RC	Outpatient			100	65		90			Percent of total billed charges		90	40			Percent of total billed charges		40	80			Percent of total billed charges		80	90			Percent of total billed charges		90	85			Percent of total billed charges		85	85			Percent of total billed charges		85	85			Percent of total billed charges		85	100			Percent of total billed charges		100	100			Percent of total billed charges		100	100			Percent of total billed charges		100	33.3			Percent of total billed charges		33.3	33.3			Percent of total billed charges		33.3	100			Percent of total billed charges		100	33.3	90	
hemovac 100ml 10mmx20cm 2561-000-10 0072440	270	RC	Outpatient			100	65		90			Percent of total billed charges		90	40			Percent of total billed charges		40	80			Percent of total billed charges		80	90			Percent of total billed charges		90	85			Percent of total billed charges		85	85			Percent of total billed charges		85	85			Percent of total billed charges		85	100			Percent of total billed charges		100	100			Percent of total billed charges		100	100			Percent of total billed charges		100	33.3			Percent of total billed charges		33.3	33.3			Percent of total billed charges		33.3	100			Percent of total billed charges		100	33.3	90	
hemovac snyder	270	RC	Outpatient			100	65		90			Percent of total billed charges		90	40			Percent of total billed charges		40	80			Percent of total billed charges		80	90			Percent of total billed charges		90	85			Percent of total billed charges		85	85			Percent of total billed charges		85	85			Percent of total billed charges		85	100			Percent of total billed charges		100	100			Percent of total billed charges		100	100			Percent of total billed charges		100	33.3			Percent of total billed charges		33.3	33.3			Percent of total billed charges		33.3	100			Percent of total billed charges		100	33.3	90	
hemovac 100ml 7mmx20cm flat 2560-000-10  0072430	270	RC	Outpatient			100	65		90			Percent of total billed charges		90	40			Percent of total billed charges		40	80			Percent of total billed charges		80	90			Percent of total billed charges		90	85			Percent of total billed charges		85	85			Percent of total billed charges		85	85			Percent of total billed charges		85	100			Percent of total billed charges		100	100			Percent of total billed charges		100	100			Percent of total billed charges		100	33.3			Percent of total billed charges		33.3	33.3			Percent of total billed charges		33.3	100			Percent of total billed charges		100	33.3	90	
micropuncture kit	272	RC	Outpatient			100	65		90			Percent of total billed charges		90	40			Percent of total billed charges		40	80			Percent of total billed charges		80	90			Percent of total billed charges		90	85			Percent of total billed charges		85	85			Percent of total billed charges		85	85			Percent of total billed charges		85	100			Percent of total billed charges		100	100			Percent of total billed charges		100	100			Percent of total billed charges		100	33.3			Percent of total billed charges		33.3	33.3			Percent of total billed charges		33.3	100			Percent of total billed charges		100	33.3	90	
micropunture kit 4 fr kit-039-03 classic med	272	RC	Outpatient			100	65		90			Percent of total billed charges		90	40			Percent of total billed charges		40	80			Percent of total billed charges		80	90			Percent of total billed charges		90	85			Percent of total billed charges		85	85			Percent of total billed charges		85	85			Percent of total billed charges		85	100			Percent of total billed charges		100	100			Percent of total billed charges		100	100			Percent of total billed charges		100	33.3			Percent of total billed charges		33.3	33.3			Percent of total billed charges		33.3	100			Percent of total billed charges		100	33.3	90	
polarus tap/drill bit hr-d105 acumed	270	RC	Outpatient			100	65		90			Percent of total billed charges		90	40			Percent of total billed charges		40	80			Percent of total billed charges		80	90			Percent of total billed charges		90	85			Percent of total billed charges		85	85			Percent of total billed charges		85	85			Percent of total billed charges		85	100			Percent of total billed charges		100	100			Percent of total billed charges		100	100			Percent of total billed charges		100	33.3			Percent of total billed charges		33.3	33.3			Percent of total billed charges		33.3	100			Percent of total billed charges		100	33.3	90	
saw blade command	270	RC	Outpatient			100	65		90			Percent of total billed charges		90	40			Percent of total billed charges		40	80			Percent of total billed charges		80	90			Percent of total billed charges		90	85			Percent of total billed charges		85	85			Percent of total billed charges		85	85			Percent of total billed charges		85	100			Percent of total billed charges		100	100			Percent of total billed charges		100	100			Percent of total billed charges		100	33.3			Percent of total billed charges		33.3	33.3			Percent of total billed charges		33.3	100			Percent of total billed charges		100	33.3	90	
polarus drill bit	270	RC	Outpatient			100	65		90			Percent of total billed charges		90	40			Percent of total billed charges		40	80			Percent of total billed charges		80	90			Percent of total billed charges		90	85			Percent of total billed charges		85	85			Percent of total billed charges		85	85			Percent of total billed charges		85	100			Percent of total billed charges		100	100			Percent of total billed charges		100	100			Percent of total billed charges		100	33.3			Percent of total billed charges		33.3	33.3			Percent of total billed charges		33.3	100			Percent of total billed charges		100	33.3	90	
polarus tap / drill bit hrsc105 acumed	270	RC	Outpatient			100	65		90			Percent of total billed charges		90	40			Percent of total billed charges		40	80			Percent of total billed charges		80	90			Percent of total billed charges		90	85			Percent of total billed charges		85	85			Percent of total billed charges		85	85			Percent of total billed charges		85	100			Percent of total billed charges		100	100			Percent of total billed charges		100	100			Percent of total billed charges		100	33.3			Percent of total billed charges		33.3	33.3			Percent of total billed charges		33.3	100			Percent of total billed charges		100	33.3	90	
polarus tap/drill bit hr50105 acumed	270	RC	Outpatient			100	65		90			Percent of total billed charges		90	40			Percent of total billed charges		40	80			Percent of total billed charges		80	90			Percent of total billed charges		90	85			Percent of total billed charges		85	85			Percent of total billed charges		85	85			Percent of total billed charges		85	100			Percent of total billed charges		100	100			Percent of total billed charges		100	100			Percent of total billed charges		100	33.3			Percent of total billed charges		33.3	33.3			Percent of total billed charges		33.3	100			Percent of total billed charges		100	33.3	90	
cox stainless ocular protector shield reg oculo-plastik 2135	270	RC	Outpatient			101	65.65		90			Percent of total billed charges		90.9	40			Percent of total billed charges		40.4	80			Percent of total billed charges		80.8	90			Percent of total billed charges		90.9	85			Percent of total billed charges		85.85	85			Percent of total billed charges		85.85	85			Percent of total billed charges		85.85	100			Percent of total billed charges		101	100			Percent of total billed charges		101	100			Percent of total billed charges		101	33.3			Percent of total billed charges		33.633	33.3			Percent of total billed charges		33.633	100			Percent of total billed charges		101	33.633	90.9	
cox stainless ocular protector shield small oculo-plastik 2132	270	RC	Outpatient			101	65.65		90			Percent of total billed charges		90.9	40			Percent of total billed charges		40.4	80			Percent of total billed charges		80.8	90			Percent of total billed charges		90.9	85			Percent of total billed charges		85.85	85			Percent of total billed charges		85.85	85			Percent of total billed charges		85.85	100			Percent of total billed charges		101	100			Percent of total billed charges		101	100			Percent of total billed charges		101	33.3			Percent of total billed charges		33.633	33.3			Percent of total billed charges		33.633	100			Percent of total billed charges		101	33.633	90.9	
cv cath kit-burron	270	RC	Outpatient			101	65.65		90			Percent of total billed charges		90.9	40			Percent of total billed charges		40.4	80			Percent of total billed charges		80.8	90			Percent of total billed charges		90.9	85			Percent of total billed charges		85.85	85			Percent of total billed charges		85.85	85			Percent of total billed charges		85.85	100			Percent of total billed charges		101	100			Percent of total billed charges		101	100			Percent of total billed charges		101	33.3			Percent of total billed charges		33.633	33.3			Percent of total billed charges		33.633	100			Percent of total billed charges		101	33.633	90.9	
eye metal shield	270	RC	Outpatient			101	65.65		90			Percent of total billed charges		90.9	40			Percent of total billed charges		40.4	80			Percent of total billed charges		80.8	90			Percent of total billed charges		90.9	85			Percent of total billed charges		85.85	85			Percent of total billed charges		85.85	85			Percent of total billed charges		85.85	100			Percent of total billed charges		101	100			Percent of total billed charges		101	100			Percent of total billed charges		101	33.3			Percent of total billed charges		33.633	33.3			Percent of total billed charges		33.633	100			Percent of total billed charges		101	33.633	90.9	
set micropuncture int	270	RC	Outpatient			101	65.65		90			Percent of total billed charges		90.9	40			Percent of total billed charges		40.4	80			Percent of total billed charges		80.8	90			Percent of total billed charges		90.9	85			Percent of total billed charges		85.85	85			Percent of total billed charges		85.85	85			Percent of total billed charges		85.85	100			Percent of total billed charges		101	100			Percent of total billed charges		101	100			Percent of total billed charges		101	33.3			Percent of total billed charges		33.633	33.3			Percent of total billed charges		33.633	100			Percent of total billed charges		101	33.633	90.9	
protect corneal shield lg orange 527-0286235-00 wilson	270	RC	Outpatient			101	65.65		90			Percent of total billed charges		90.9	40			Percent of total billed charges		40.4	80			Percent of total billed charges		80.8	90			Percent of total billed charges		90.9	85			Percent of total billed charges		85.85	85			Percent of total billed charges		85.85	85			Percent of total billed charges		85.85	100			Percent of total billed charges		101	100			Percent of total billed charges		101	100			Percent of total billed charges		101	33.3			Percent of total billed charges		33.633	33.3			Percent of total billed charges		33.633	100			Percent of total billed charges		101	33.633	90.9	
protect corneal shield med wilson 527-0286236-00	270	RC	Outpatient			101	65.65		90			Percent of total billed charges		90.9	40			Percent of total billed charges		40.4	80			Percent of total billed charges		80.8	90			Percent of total billed charges		90.9	85			Percent of total billed charges		85.85	85			Percent of total billed charges		85.85	85			Percent of total billed charges		85.85	100			Percent of total billed charges		101	100			Percent of total billed charges		101	100			Percent of total billed charges		101	33.3			Percent of total billed charges		33.633	33.3			Percent of total billed charges		33.633	100			Percent of total billed charges		101	33.633	90.9	
protect corneal shield small  wilson 527-0286237-00	270	RC	Outpatient			101	65.65		90			Percent of total billed charges		90.9	40			Percent of total billed charges		40.4	80			Percent of total billed charges		80.8	90			Percent of total billed charges		90.9	85			Percent of total billed charges		85.85	85			Percent of total billed charges		85.85	85			Percent of total billed charges		85.85	100			Percent of total billed charges		101	100			Percent of total billed charges		101	100			Percent of total billed charges		101	33.3			Percent of total billed charges		33.633	33.3			Percent of total billed charges		33.633	100			Percent of total billed charges		101	33.633	90.9	
quik pace electrode	270	RC	Outpatient			101	65.65		90			Percent of total billed charges		90.9	40			Percent of total billed charges		40.4	80			Percent of total billed charges		80.8	90			Percent of total billed charges		90.9	85			Percent of total billed charges		85.85	85			Percent of total billed charges		85.85	85			Percent of total billed charges		85.85	100			Percent of total billed charges		101	100			Percent of total billed charges		101	100			Percent of total billed charges		101	33.3			Percent of total billed charges		33.633	33.3			Percent of total billed charges		33.633	100			Percent of total billed charges		101	33.633	90.9	
s/n guide wire 1.2 mm x 18 bx/5 ref 7220-1201	272	RC	Outpatient			101.35	65.88		90			Percent of total billed charges		91.215	40			Percent of total billed charges		40.54	80			Percent of total billed charges		81.08	90			Percent of total billed charges		91.215	85			Percent of total billed charges		86.1475	85			Percent of total billed charges		86.1475	85			Percent of total billed charges		86.1475	100			Percent of total billed charges		101.35	100			Percent of total billed charges		101.35	100			Percent of total billed charges		101.35	33.3			Percent of total billed charges		33.7496	33.3			Percent of total billed charges		33.7496	100			Percent of total billed charges		101.35	33.7496	91.215	
2.4 tit cortex screw 12mm 401.312 synthes	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
2.4 tit cortex screw 6mm 401.306 synthes	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
4.5mm malleolar screw 110mm t/l 215.110	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
4.5mm malleolar screw 115mm t/l 215.115	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
4.5mm malleolar screw 120mm t/l 215.120	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
4.5mm malleolar screw 25mm t/l 215.025	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
4.5mm malleolar screw 30mm t/l 215.030	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
4.5mm malleolar screw 35mm t/l 215.035	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
4.5mm malleolar screw 40mm t/l 215.040	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
4.5mm malleolar screw 45mm t/l 215.045	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
4.5mm malleolar screw 55mm t/l 215.055	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
4.5mm malleolar screw 60mm t/l 215.060	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
4.5mm malleolar screw 65mm t/l 215.065	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
4.5mm malleolar screw 70mm t/l 215.070	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
4.5mm malleolar screw 80mm t/l 215.080	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
4.5mm malleolar screw 90mm t/l 215.090	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
4.5mm malleolar screw large hex 25mm 12.5mm thd 00-4845-025-08 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
4.5mm malleolar screw large hex 30mm 15.5mm thd 00-4845-030-08 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
4.5mm malleolar screw large hex 55mm 26.5mm thd 00-4845-055-08 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
4.5mm malleolar screw large hex 60mm 28.5mm thd 00-4845-060-08 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw  lg hex 100mm full thd 00-4865-100-00 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw  lg hex 110mm full thd 00-4865-110-00 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw  lg hex 115mm 16mm thd 00-4865-115-01 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw  lg hex 115mm 32mm thd 00-4865-115-02 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw  lg hex 120mm 16mm thd 00-4865-120-01 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw  lg hex 120mm full thd 00-4865-120-00 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw  lg hex 125mm 16mm thd 00-4865-125-01 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw  lg hex 130mm 16mm thd 00-4865-130-01 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw  lg hex 130mm 32mm thd 00-4865-130-02 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw  lg hex 135mm full thd 00-4865-135-00 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw  lg hex 140mm 16mm thd 00-4865-140-01 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw  lg hex 140mm full thd 00-4865-140-00 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw  lg hex 145mm 32mm thd 00-4865-145-02 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw  lg hex 145mm full thd 00-4865-145-00 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw  lg hex 150mm 16mm thd 00-4865-150-01 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw  lg hex 65mm full thd 00-4865-065-00 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw  lg hex 70mm full thd 00-4865-070-00 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw  lg hex 75mm full thd 00-4865-075-00 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw  lg hex 80mm full thd 00-4865-080-00 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw  lg hex 95mm full thd 00-4865-095-00 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw lg hex 100mm 16mm thd 00-4865-100-01 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw lg hex 105mm 32mm thd 00-4865-105-02 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw lg hex 105mm full thd 00-4865-105-00 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw lg hex 110mm 16mm thd 00-4865-110-01 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw lg hex 110mm 32mm thd 00-4865-110-02 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw lg hex 30mm fully thd 00-4865-30-00 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw lg hex 35mm 16mm thd 00-4865-35-01 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw lg hex 35mm fully thd 00-4865-35-00 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw lg hex 40mm fully thd 00-4865-40-00 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw lg hex 45mm 16mm thd 00-4865-45-01 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw lg hex 45mm 32mm thd 00-4865-045-02 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw lg hex 50mm 16mm thd 00-4865-50-01 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw lg hex 50mm 32mm thd 00-4865-050-02 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw lg hex 60mm 16mm thd 00-4865-60-01 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw lg hex 60mm fully thd 00-4865-60-00 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw lg hex 70mm 16mm thd 00-4865-70-01 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw lg hex 75mm 32mm thd 00-4865-075-02 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw lg hex 80mm 16mm thd 00-4865-80-01 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw lg hex 80mm 32mm thd 00-4865-080-02 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw lg hex 85mm 32mm thd 00-4865-085-02 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw lg hex 90mm 32mm thd 00-4865-090-02 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw lg hex 95mm 16mm thd 00-4865-95-01 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw lg hex 95mm 32mm thd 00-4865-095-02 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
cath lab 5 french tiger cath (40-5011)	272	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
2.4 tit cortex screw 10mm 401.310 synthes	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
4.5mm malleolar screw 100mm t/l 215.100	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
4.5mm malleolar screw 105mm t/l 215.105	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
4.5mm malleolar screw 50mm t/l 215.050	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
4.5mm malleolar screw 75mm t/l 215.075	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
4.5mm malleolar screw 85mm t/l 215.085	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
4.5mm malleolar screw 95mm t/l 215.095	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
4.5mm malleolar screw large hex 40mm 20.5mm thd 00-4845-040-08 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
4.5mm malleolar screw large hex 45mm 22.5mm thd 00-4845-045-08 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
4.5mm malleolar screw large hex 50mm 24.5mm thd 00-4845-050-08 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
4.5mm malleolar screw large hex 65mm 30.5mm thd 00-4845-065-08 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
4.5mm malleolar screw large hex 70mm 32.5mm thd 00-4845-070-08 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw  lg hex 115mm full thd 00-4865-115-00 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw  lg hex 120mm 32mm thd 00-4865-120-02 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw  lg hex 125mm 32mm thd 00-4865-125-02 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw  lg hex 125mm full thd 00-4865-125-00 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw  lg hex 130mm full thd 00-4865-130-00 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw  lg hex 135mm 16mm thd 00-4865-135-01 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw  lg hex 135mm 32mm thd 00-4865-135-02 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw  lg hex 140mm 32mm thd 00-4865-140-02 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw  lg hex 145mm 16mm thd 00-4865-145-01 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw  lg hex 150mm 32mm thd 00-4865-150-02 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw  lg hex 150mm full thd 00-4865-150-00 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw  lg hex 85mm full thd 00-4865-085-00 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw  lg hex 90mm full thd 00-4865-090-00 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw lg hex 100mm 32mm thd 00-4865-100-02 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw lg hex 105mm 16mm thd 00-4865-105-01 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw lg hex 20mm fully thd 00-4865-20-00 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw lg hex 25mm fully thd 00-4865-25-00 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw lg hex 30mm 16mm thd 00-4865-30-01 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw lg hex 40mm 16mm thd 00-4865-40-01 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw lg hex 45mm fully thd 00-4865-45-00 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw lg hex 50mm fully thd 00-4865-50-00 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw lg hex 50mm fully thd 00-4865-55-00 zimmer5	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw lg hex 55mm 16mm thd 00-4865-55-01 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw lg hex 55mm 32mm thd 00-4865-055-02 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw lg hex 60mm 32mm thd 00-4865-060-02 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw lg hex 65mm 16mm thd 00-4865-65-01 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw lg hex 65mm 32mm thd 00-4865-065-02 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw lg hex 70mm 32mm thd 00-4865-070-02 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw lg hex 75mm 16mm thd 00-4865-75-01 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw lg hex 85mm 16mm thd 00-4865-85-01 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
6.5mm cancellous screw lg hex 90mm 16mm thd 00-4865-90-01 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
bucks traction medium	270	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
cath lab 5 french jacky/cath (40-5021)	272	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
cortical nut 00-4900-045-50 zimmer	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
force fiber x 238	272	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
guidewire pmg 185p 60cm	272	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
immediate postpartal btl	270	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
force fiber x238 3910-900-022 stryker	272	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
large frag tc 100 4.5  malleolar screw	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
needle insufflation  c2202 applied med	270	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
s/n  lg frag 4..5mm x 55mm screw 7122-5255	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
s/n  lg frag 4.5mm x 30mm screw 7122-5230	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
s/n  lg frag 4.5mm x 40mm screw 7122-5240	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
s/n  lg frag 4.5mm x 60mm screw 7122-5260	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
s/n  tc-100 4.5mm x 35mm screw 7122-5235	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
s/n 4.0 canc screw long	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
s/n malleolar 4.5 screw	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
stryker guide wire 3.0	272	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
surgineedle 150mm disp 172016	270	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
syn 2.4 titan. cortex scw	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
s/n  lg frag 4.5mm x 25mm screw  7122-5225	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
s/n  lg frag 4.5mm x 45mm screw 7122-5245	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
s/n  lg frag 4.5mm x 50mm screw 7122-5250	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
s/n  lg frag 4.5mm x 65mm screw 7122-5265	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
s/n  lg frag 4.5mm x 70mm screw 7122-5270	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
"surgineedle, 150mm"	270	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
terumo 5fr jacky/tiger ca	272	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
threaded guidewire 3.0 x 300mm 702461 stryker	272	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
zimmer 4.0 cancellous screw 2480-14-41	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
zimmer 4.0 cancellous screw 2480-24-41	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
zimmer 4.0 cancellous screw 2480-26-41	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
zimmer cancellous screw	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
zimmer cortical nut	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
zimmer 4.0 cancellous screw 2480-16-41	278	RC	Outpatient			102	66.3		90			Percent of total billed charges		91.8	40			Percent of total billed charges		40.8	80			Percent of total billed charges		81.6	90			Percent of total billed charges		91.8	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	85			Percent of total billed charges		86.7	100			Percent of total billed charges		102	100			Percent of total billed charges		102	100			Percent of total billed charges		102	33.3			Percent of total billed charges		33.966	33.3			Percent of total billed charges		33.966	100			Percent of total billed charges		102	33.966	91.8	
bio 343586 cable	272	RC	Outpatient			103	66.95		90			Percent of total billed charges		92.7	40			Percent of total billed charges		41.2	80			Percent of total billed charges		82.4	90			Percent of total billed charges		92.7	85			Percent of total billed charges		87.55	85			Percent of total billed charges		87.55	85			Percent of total billed charges		87.55	100			Percent of total billed charges		103	100			Percent of total billed charges		103	100			Percent of total billed charges		103	33.3			Percent of total billed charges		34.299	33.3			Percent of total billed charges		34.299	100			Percent of total billed charges		103	34.299	92.7	
343586 cable	272	RC	Outpatient			103	66.95		90			Percent of total billed charges		92.7	40			Percent of total billed charges		41.2	80			Percent of total billed charges		82.4	90			Percent of total billed charges		92.7	85			Percent of total billed charges		87.55	85			Percent of total billed charges		87.55	85			Percent of total billed charges		87.55	100			Percent of total billed charges		103	100			Percent of total billed charges		103	100			Percent of total billed charges		103	33.3			Percent of total billed charges		34.299	33.3			Percent of total billed charges		34.299	100			Percent of total billed charges		103	34.299	92.7	
3800111 vaccine administration ed charge	771	RC	Outpatient			103	66.95		90			Percent of total billed charges		92.7	40			Percent of total billed charges		41.2	80			Percent of total billed charges		82.4	90			Percent of total billed charges		92.7	85			Percent of total billed charges		87.55	85			Percent of total billed charges		87.55	85			Percent of total billed charges		87.55	100			Percent of total billed charges		103	100			Percent of total billed charges		103	100			Percent of total billed charges		103	33.3			Percent of total billed charges		34.299	33.3			Percent of total billed charges		34.299	100			Percent of total billed charges		103	34.299	92.7	
angio cope wire	270	RC	Outpatient			103	66.95		90			Percent of total billed charges		92.7	40			Percent of total billed charges		41.2	80			Percent of total billed charges		82.4	90			Percent of total billed charges		92.7	85			Percent of total billed charges		87.55	85			Percent of total billed charges		87.55	85			Percent of total billed charges		87.55	100			Percent of total billed charges		103	100			Percent of total billed charges		103	100			Percent of total billed charges		103	33.3			Percent of total billed charges		34.299	33.3			Percent of total billed charges		34.299	100			Percent of total billed charges		103	34.299	92.7	
elevated leg extension	270	RC	Outpatient			103	66.95		90			Percent of total billed charges		92.7	40			Percent of total billed charges		41.2	80			Percent of total billed charges		82.4	90			Percent of total billed charges		92.7	85			Percent of total billed charges		87.55	85			Percent of total billed charges		87.55	85			Percent of total billed charges		87.55	100			Percent of total billed charges		103	100			Percent of total billed charges		103	100			Percent of total billed charges		103	33.3			Percent of total billed charges		34.299	33.3			Percent of total billed charges		34.299	100			Percent of total billed charges		103	34.299	92.7	
elevator leg foam	272	RC	Outpatient			103	66.95		90			Percent of total billed charges		92.7	40			Percent of total billed charges		41.2	80			Percent of total billed charges		82.4	90			Percent of total billed charges		92.7	85			Percent of total billed charges		87.55	85			Percent of total billed charges		87.55	85			Percent of total billed charges		87.55	100			Percent of total billed charges		103	100			Percent of total billed charges		103	100			Percent of total billed charges		103	33.3			Percent of total billed charges		34.299	33.3			Percent of total billed charges		34.299	100			Percent of total billed charges		103	34.299	92.7	
guhl ankle distractor foot strap 014407 s/n	272	RC	Outpatient			103	66.95		90			Percent of total billed charges		92.7	40			Percent of total billed charges		41.2	80			Percent of total billed charges		82.4	90			Percent of total billed charges		92.7	85			Percent of total billed charges		87.55	85			Percent of total billed charges		87.55	85			Percent of total billed charges		87.55	100			Percent of total billed charges		103	100			Percent of total billed charges		103	100			Percent of total billed charges		103	33.3			Percent of total billed charges		34.299	33.3			Percent of total billed charges		34.299	100			Percent of total billed charges		103	34.299	92.7	
k-wire 1.25mm x 150mm 71101503 s/n	278	RC	Outpatient			103	66.95		90			Percent of total billed charges		92.7	40			Percent of total billed charges		41.2	80			Percent of total billed charges		82.4	90			Percent of total billed charges		92.7	85			Percent of total billed charges		87.55	85			Percent of total billed charges		87.55	85			Percent of total billed charges		87.55	100			Percent of total billed charges		103	100			Percent of total billed charges		103	100			Percent of total billed charges		103	33.3			Percent of total billed charges		34.299	33.3			Percent of total billed charges		34.299	100			Percent of total billed charges		103	34.299	92.7	
s/n ankle distractor	272	RC	Outpatient			103	66.95		90			Percent of total billed charges		92.7	40			Percent of total billed charges		41.2	80			Percent of total billed charges		82.4	90			Percent of total billed charges		92.7	85			Percent of total billed charges		87.55	85			Percent of total billed charges		87.55	85			Percent of total billed charges		87.55	100			Percent of total billed charges		103	100			Percent of total billed charges		103	100			Percent of total billed charges		103	33.3			Percent of total billed charges		34.299	33.3			Percent of total billed charges		34.299	100			Percent of total billed charges		103	34.299	92.7	
1.6 mm drill tip wire 150 mm s/n ref 71101502	272	RC	Outpatient			103.69	67.4		90			Percent of total billed charges		93.321	40			Percent of total billed charges		41.476	80			Percent of total billed charges		82.952	90			Percent of total billed charges		93.321	85			Percent of total billed charges		88.1365	85			Percent of total billed charges		88.1365	85			Percent of total billed charges		88.1365	100			Percent of total billed charges		103.69	100			Percent of total billed charges		103.69	100			Percent of total billed charges		103.69	33.3			Percent of total billed charges		34.5288	33.3			Percent of total billed charges		34.5288	100			Percent of total billed charges		103.69	34.5288	93.321	
8g cannula 397027 stryker	272	RC	Outpatient			104	67.6		90			Percent of total billed charges		93.6	40			Percent of total billed charges		41.6	80			Percent of total billed charges		83.2	90			Percent of total billed charges		93.6	85			Percent of total billed charges		88.4	85			Percent of total billed charges		88.4	85			Percent of total billed charges		88.4	100			Percent of total billed charges		104	100			Percent of total billed charges		104	100			Percent of total billed charges		104	33.3			Percent of total billed charges		34.632	33.3			Percent of total billed charges		34.632	100			Percent of total billed charges		104	34.632	93.6	
12g x 7.5cm cannula 397023 stryker	272	RC	Outpatient			104	67.6		90			Percent of total billed charges		93.6	40			Percent of total billed charges		41.6	80			Percent of total billed charges		83.2	90			Percent of total billed charges		93.6	85			Percent of total billed charges		88.4	85			Percent of total billed charges		88.4	85			Percent of total billed charges		88.4	100			Percent of total billed charges		104	100			Percent of total billed charges		104	100			Percent of total billed charges		104	33.3			Percent of total billed charges		34.632	33.3			Percent of total billed charges		34.632	100			Percent of total billed charges		104	34.632	93.6	
drill tip wire 2.0mm x 150mm 7110-1501 s/n	278	RC	Outpatient			104	67.6		90			Percent of total billed charges		93.6	40			Percent of total billed charges		41.6	80			Percent of total billed charges		83.2	90			Percent of total billed charges		93.6	85			Percent of total billed charges		88.4	85			Percent of total billed charges		88.4	85			Percent of total billed charges		88.4	100			Percent of total billed charges		104	100			Percent of total billed charges		104	100			Percent of total billed charges		104	33.3			Percent of total billed charges		34.632	33.3			Percent of total billed charges		34.632	100			Percent of total billed charges		104	34.632	93.6	
one-quarter tubular plate w/collar 6 hole 47mm 00-4927-006-03 zimmer	278	RC	Outpatient			104	67.6		90			Percent of total billed charges		93.6	40			Percent of total billed charges		41.6	80			Percent of total billed charges		83.2	90			Percent of total billed charges		93.6	85			Percent of total billed charges		88.4	85			Percent of total billed charges		88.4	85			Percent of total billed charges		88.4	100			Percent of total billed charges		104	100			Percent of total billed charges		104	100			Percent of total billed charges		104	33.3			Percent of total billed charges		34.632	33.3			Percent of total billed charges		34.632	100			Percent of total billed charges		104	34.632	93.6	
one-quarter tubular plate w/collar 8 hole 63mm 00-4927-008-03 zimmer	278	RC	Outpatient			104	67.6		90			Percent of total billed charges		93.6	40			Percent of total billed charges		41.6	80			Percent of total billed charges		83.2	90			Percent of total billed charges		93.6	85			Percent of total billed charges		88.4	85			Percent of total billed charges		88.4	85			Percent of total billed charges		88.4	100			Percent of total billed charges		104	100			Percent of total billed charges		104	100			Percent of total billed charges		104	33.3			Percent of total billed charges		34.632	33.3			Percent of total billed charges		34.632	100			Percent of total billed charges		104	34.632	93.6	
kit personal care/jackson pads 5834	270	RC	Outpatient			104	67.6		90			Percent of total billed charges		93.6	40			Percent of total billed charges		41.6	80			Percent of total billed charges		83.2	90			Percent of total billed charges		93.6	85			Percent of total billed charges		88.4	85			Percent of total billed charges		88.4	85			Percent of total billed charges		88.4	100			Percent of total billed charges		104	100			Percent of total billed charges		104	100			Percent of total billed charges		104	33.3			Percent of total billed charges		34.632	33.3			Percent of total billed charges		34.632	100			Percent of total billed charges		104	34.632	93.6	
kryptonite cannula	272	RC	Outpatient			104	67.6		90			Percent of total billed charges		93.6	40			Percent of total billed charges		41.6	80			Percent of total billed charges		83.2	90			Percent of total billed charges		93.6	85			Percent of total billed charges		88.4	85			Percent of total billed charges		88.4	85			Percent of total billed charges		88.4	100			Percent of total billed charges		104	100			Percent of total billed charges		104	100			Percent of total billed charges		104	33.3			Percent of total billed charges		34.632	33.3			Percent of total billed charges		34.632	100			Percent of total billed charges		104	34.632	93.6	
one-quarter tubular plate w/collar 7 hole 55mm 00-4927-007-03 zimmer	278	RC	Outpatient			104	67.6		90			Percent of total billed charges		93.6	40			Percent of total billed charges		41.6	80			Percent of total billed charges		83.2	90			Percent of total billed charges		93.6	85			Percent of total billed charges		88.4	85			Percent of total billed charges		88.4	85			Percent of total billed charges		88.4	100			Percent of total billed charges		104	100			Percent of total billed charges		104	100			Percent of total billed charges		104	33.3			Percent of total billed charges		34.632	33.3			Percent of total billed charges		34.632	100			Percent of total billed charges		104	34.632	93.6	
personal care kit(jackson	270	RC	Outpatient			104	67.6		90			Percent of total billed charges		93.6	40			Percent of total billed charges		41.6	80			Percent of total billed charges		83.2	90			Percent of total billed charges		93.6	85			Percent of total billed charges		88.4	85			Percent of total billed charges		88.4	85			Percent of total billed charges		88.4	100			Percent of total billed charges		104	100			Percent of total billed charges		104	100			Percent of total billed charges		104	33.3			Percent of total billed charges		34.632	33.3			Percent of total billed charges		34.632	100			Percent of total billed charges		104	34.632	93.6	
taut lap cholngiogrm cath	270	RC	Outpatient			104	67.6		90			Percent of total billed charges		93.6	40			Percent of total billed charges		41.6	80			Percent of total billed charges		83.2	90			Percent of total billed charges		93.6	85			Percent of total billed charges		88.4	85			Percent of total billed charges		88.4	85			Percent of total billed charges		88.4	100			Percent of total billed charges		104	100			Percent of total billed charges		104	100			Percent of total billed charges		104	33.3			Percent of total billed charges		34.632	33.3			Percent of total billed charges		34.632	100			Percent of total billed charges		104	34.632	93.6	
zimm 2.7 1/4 tub pl 6-8hl	278	RC	Outpatient			104	67.6		90			Percent of total billed charges		93.6	40			Percent of total billed charges		41.6	80			Percent of total billed charges		83.2	90			Percent of total billed charges		93.6	85			Percent of total billed charges		88.4	85			Percent of total billed charges		88.4	85			Percent of total billed charges		88.4	100			Percent of total billed charges		104	100			Percent of total billed charges		104	100			Percent of total billed charges		104	33.3			Percent of total billed charges		34.632	33.3			Percent of total billed charges		34.632	100			Percent of total billed charges		104	34.632	93.6	
cosmetic - laser hair removal - bikini line each addt'l session	983	RC	Outpatient			105	68.25		90			Percent of total billed charges		94.5	40			Percent of total billed charges		42	80			Percent of total billed charges		84	90			Percent of total billed charges		94.5	85			Percent of total billed charges		89.25	85			Percent of total billed charges		89.25	85			Percent of total billed charges		89.25	100			Percent of total billed charges		105	100			Percent of total billed charges		105	100			Percent of total billed charges		105	33.3			Percent of total billed charges		34.965	33.3			Percent of total billed charges		34.965	100			Percent of total billed charges		105	34.965	94.5	
evos screw 2.0 x 10mm cortex s/n 7240-2010n	278	RC	Outpatient			105	68.25		90			Percent of total billed charges		94.5	40			Percent of total billed charges		42	80			Percent of total billed charges		84	90			Percent of total billed charges		94.5	85			Percent of total billed charges		89.25	85			Percent of total billed charges		89.25	85			Percent of total billed charges		89.25	100			Percent of total billed charges		105	100			Percent of total billed charges		105	100			Percent of total billed charges		105	33.3			Percent of total billed charges		34.965	33.3			Percent of total billed charges		34.965	100			Percent of total billed charges		105	34.965	94.5	
evos screw 2.0 x 11mm cortex s/n 72402011n	278	RC	Outpatient			105	68.25		90			Percent of total billed charges		94.5	40			Percent of total billed charges		42	80			Percent of total billed charges		84	90			Percent of total billed charges		94.5	85			Percent of total billed charges		89.25	85			Percent of total billed charges		89.25	85			Percent of total billed charges		89.25	100			Percent of total billed charges		105	100			Percent of total billed charges		105	100			Percent of total billed charges		105	33.3			Percent of total billed charges		34.965	33.3			Percent of total billed charges		34.965	100			Percent of total billed charges		105	34.965	94.5	
dura-kold wrist/elbo wrap	270	RC	Outpatient			105	68.25		90			Percent of total billed charges		94.5	40			Percent of total billed charges		42	80			Percent of total billed charges		84	90			Percent of total billed charges		94.5	85			Percent of total billed charges		89.25	85			Percent of total billed charges		89.25	85			Percent of total billed charges		89.25	100			Percent of total billed charges		105	100			Percent of total billed charges		105	100			Percent of total billed charges		105	33.3			Percent of total billed charges		34.965	33.3			Percent of total billed charges		34.965	100			Percent of total billed charges		105	34.965	94.5	
evos screw 2.0 x 12mm cortex  s/n72402012n	278	RC	Outpatient			105	68.25		90			Percent of total billed charges		94.5	40			Percent of total billed charges		42	80			Percent of total billed charges		84	90			Percent of total billed charges		94.5	85			Percent of total billed charges		89.25	85			Percent of total billed charges		89.25	85			Percent of total billed charges		89.25	100			Percent of total billed charges		105	100			Percent of total billed charges		105	100			Percent of total billed charges		105	33.3			Percent of total billed charges		34.965	33.3			Percent of total billed charges		34.965	100			Percent of total billed charges		105	34.965	94.5	
male brief	272	RC	Outpatient			105	68.25		90			Percent of total billed charges		94.5	40			Percent of total billed charges		42	80			Percent of total billed charges		84	90			Percent of total billed charges		94.5	85			Percent of total billed charges		89.25	85			Percent of total billed charges		89.25	85			Percent of total billed charges		89.25	100			Percent of total billed charges		105	100			Percent of total billed charges		105	100			Percent of total billed charges		105	33.3			Percent of total billed charges		34.965	33.3			Percent of total billed charges		34.965	100			Percent of total billed charges		105	34.965	94.5	
male brief x-lg mg-xl-h merena	272	RC	Outpatient			105	68.25		90			Percent of total billed charges		94.5	40			Percent of total billed charges		42	80			Percent of total billed charges		84	90			Percent of total billed charges		94.5	85			Percent of total billed charges		89.25	85			Percent of total billed charges		89.25	85			Percent of total billed charges		89.25	100			Percent of total billed charges		105	100			Percent of total billed charges		105	100			Percent of total billed charges		105	33.3			Percent of total billed charges		34.965	33.3			Percent of total billed charges		34.965	100			Percent of total billed charges		105	34.965	94.5	
pharmacy	250	RC	Outpatient			105	68.25		90			Percent of total billed charges		94.5	40			Percent of total billed charges		42	80			Percent of total billed charges		84	90			Percent of total billed charges		94.5	85			Percent of total billed charges		89.25	85			Percent of total billed charges		89.25	85			Percent of total billed charges		89.25	100			Percent of total billed charges		105	100			Percent of total billed charges		105	100			Percent of total billed charges		105	33.3			Percent of total billed charges		34.965	33.3			Percent of total billed charges		34.965	100			Percent of total billed charges		105	34.965	94.5	
catheter powgld 20 ga 8cm	270	RC	Outpatient			106	68.9		90			Percent of total billed charges		95.4	40			Percent of total billed charges		42.4	80			Percent of total billed charges		84.8	90			Percent of total billed charges		95.4	85			Percent of total billed charges		90.1	85			Percent of total billed charges		90.1	85			Percent of total billed charges		90.1	100			Percent of total billed charges		106	100			Percent of total billed charges		106	100			Percent of total billed charges		106	33.3			Percent of total billed charges		35.298	33.3			Percent of total billed charges		35.298	100			Percent of total billed charges		106	35.298	95.4	
blade full radius platinum dyonics bone cutter 4.5mm 7220-3521 s/n	272	RC	Outpatient			106	68.9		90			Percent of total billed charges		95.4	40			Percent of total billed charges		42.4	80			Percent of total billed charges		84.8	90			Percent of total billed charges		95.4	85			Percent of total billed charges		90.1	85			Percent of total billed charges		90.1	85			Percent of total billed charges		90.1	100			Percent of total billed charges		106	100			Percent of total billed charges		106	100			Percent of total billed charges		106	33.3			Percent of total billed charges		35.298	33.3			Percent of total billed charges		35.298	100			Percent of total billed charges		106	35.298	95.4	
catheter powgld 18 ga 8cm	270	RC	Outpatient			106	68.9		90			Percent of total billed charges		95.4	40			Percent of total billed charges		42.4	80			Percent of total billed charges		84.8	90			Percent of total billed charges		95.4	85			Percent of total billed charges		90.1	85			Percent of total billed charges		90.1	85			Percent of total billed charges		90.1	100			Percent of total billed charges		106	100			Percent of total billed charges		106	100			Percent of total billed charges		106	33.3			Percent of total billed charges		35.298	33.3			Percent of total billed charges		35.298	100			Percent of total billed charges		106	35.298	95.4	
catheter powgld 18ga 10cm	270	RC	Outpatient			106	68.9		90			Percent of total billed charges		95.4	40			Percent of total billed charges		42.4	80			Percent of total billed charges		84.8	90			Percent of total billed charges		95.4	85			Percent of total billed charges		90.1	85			Percent of total billed charges		90.1	85			Percent of total billed charges		90.1	100			Percent of total billed charges		106	100			Percent of total billed charges		106	100			Percent of total billed charges		106	33.3			Percent of total billed charges		35.298	33.3			Percent of total billed charges		35.298	100			Percent of total billed charges		106	35.298	95.4	
endo ercp cannula	270	RC	Outpatient			106	68.9		90			Percent of total billed charges		95.4	40			Percent of total billed charges		42.4	80			Percent of total billed charges		84.8	90			Percent of total billed charges		95.4	85			Percent of total billed charges		90.1	85			Percent of total billed charges		90.1	85			Percent of total billed charges		90.1	100			Percent of total billed charges		106	100			Percent of total billed charges		106	100			Percent of total billed charges		106	33.3			Percent of total billed charges		35.298	33.3			Percent of total billed charges		35.298	100			Percent of total billed charges		106	35.298	95.4	
guidewire .035x180 straight  gs3503 terumo	272	RC	Outpatient			106	68.9		90			Percent of total billed charges		95.4	40			Percent of total billed charges		42.4	80			Percent of total billed charges		84.8	90			Percent of total billed charges		95.4	85			Percent of total billed charges		90.1	85			Percent of total billed charges		90.1	85			Percent of total billed charges		90.1	100			Percent of total billed charges		106	100			Percent of total billed charges		106	100			Percent of total billed charges		106	33.3			Percent of total billed charges		35.298	33.3			Percent of total billed charges		35.298	100			Percent of total billed charges		106	35.298	95.4	
immob knee univ 24 velcr	270	RC	Outpatient			106	68.9		90			Percent of total billed charges		95.4	40			Percent of total billed charges		42.4	80			Percent of total billed charges		84.8	90			Percent of total billed charges		95.4	85			Percent of total billed charges		90.1	85			Percent of total billed charges		90.1	85			Percent of total billed charges		90.1	100			Percent of total billed charges		106	100			Percent of total billed charges		106	100			Percent of total billed charges		106	33.3			Percent of total billed charges		35.298	33.3			Percent of total billed charges		35.298	100			Percent of total billed charges		106	35.298	95.4	
glidewire gs 3503	272	RC	Outpatient			106	68.9		90			Percent of total billed charges		95.4	40			Percent of total billed charges		42.4	80			Percent of total billed charges		84.8	90			Percent of total billed charges		95.4	85			Percent of total billed charges		90.1	85			Percent of total billed charges		90.1	85			Percent of total billed charges		90.1	100			Percent of total billed charges		106	100			Percent of total billed charges		106	100			Percent of total billed charges		106	33.3			Percent of total billed charges		35.298	33.3			Percent of total billed charges		35.298	100			Percent of total billed charges		106	35.298	95.4	
anesthesia time 30 min incremental	370	RC	Outpatient			107	69.55		90			Percent of total billed charges		96.3	40			Percent of total billed charges		42.8	80			Percent of total billed charges		85.6	90			Percent of total billed charges		96.3	85			Percent of total billed charges		90.95	85			Percent of total billed charges		90.95	85			Percent of total billed charges		90.95	100			Percent of total billed charges		107	100			Percent of total billed charges		107	100			Percent of total billed charges		107	33.3			Percent of total billed charges		35.631	33.3			Percent of total billed charges		35.631	100			Percent of total billed charges		107	35.631	96.3	
auto core biopsy sys	270	RC	Outpatient			107	69.55		90			Percent of total billed charges		96.3	40			Percent of total billed charges		42.8	80			Percent of total billed charges		85.6	90			Percent of total billed charges		96.3	85			Percent of total billed charges		90.95	85			Percent of total billed charges		90.95	85			Percent of total billed charges		90.95	100			Percent of total billed charges		107	100			Percent of total billed charges		107	100			Percent of total billed charges		107	33.3			Percent of total billed charges		35.631	33.3			Percent of total billed charges		35.631	100			Percent of total billed charges		107	35.631	96.3	
easy core biopsy device 500-105 boston scientific	270	RC	Outpatient			107	69.55		90			Percent of total billed charges		96.3	40			Percent of total billed charges		42.8	80			Percent of total billed charges		85.6	90			Percent of total billed charges		96.3	85			Percent of total billed charges		90.95	85			Percent of total billed charges		90.95	85			Percent of total billed charges		90.95	100			Percent of total billed charges		107	100			Percent of total billed charges		107	100			Percent of total billed charges		107	33.3			Percent of total billed charges		35.631	33.3			Percent of total billed charges		35.631	100			Percent of total billed charges		107	35.631	96.3	
komet blade km275r	272	RC	Outpatient			107	69.55		90			Percent of total billed charges		96.3	40			Percent of total billed charges		42.8	80			Percent of total billed charges		85.6	90			Percent of total billed charges		96.3	85			Percent of total billed charges		90.95	85			Percent of total billed charges		90.95	85			Percent of total billed charges		90.95	100			Percent of total billed charges		107	100			Percent of total billed charges		107	100			Percent of total billed charges		107	33.3			Percent of total billed charges		35.631	33.3			Percent of total billed charges		35.631	100			Percent of total billed charges		107	35.631	96.3	
komet blade km33.225	272	RC	Outpatient			107	69.55		90			Percent of total billed charges		96.3	40			Percent of total billed charges		42.8	80			Percent of total billed charges		85.6	90			Percent of total billed charges		96.3	85			Percent of total billed charges		90.95	85			Percent of total billed charges		90.95	85			Percent of total billed charges		90.95	100			Percent of total billed charges		107	100			Percent of total billed charges		107	100			Percent of total billed charges		107	33.3			Percent of total billed charges		35.631	33.3			Percent of total billed charges		35.631	100			Percent of total billed charges		107	35.631	96.3	
needle biopsy asap 500-132	270	RC	Outpatient			107	69.55		90			Percent of total billed charges		96.3	40			Percent of total billed charges		42.8	80			Percent of total billed charges		85.6	90			Percent of total billed charges		96.3	85			Percent of total billed charges		90.95	85			Percent of total billed charges		90.95	85			Percent of total billed charges		90.95	100			Percent of total billed charges		107	100			Percent of total billed charges		107	100			Percent of total billed charges		107	33.3			Percent of total billed charges		35.631	33.3			Percent of total billed charges		35.631	100			Percent of total billed charges		107	35.631	96.3	
pacu time 1 hour increment	270	RC	Outpatient			107	69.55		90			Percent of total billed charges		96.3	40			Percent of total billed charges		42.8	80			Percent of total billed charges		85.6	90			Percent of total billed charges		96.3	85			Percent of total billed charges		90.95	85			Percent of total billed charges		90.95	85			Percent of total billed charges		90.95	100			Percent of total billed charges		107	100			Percent of total billed charges		107	100			Percent of total billed charges		107	33.3			Percent of total billed charges		35.631	33.3			Percent of total billed charges		35.631	100			Percent of total billed charges		107	35.631	96.3	
komet blade	272	RC	Outpatient			107	69.55		90			Percent of total billed charges		96.3	40			Percent of total billed charges		42.8	80			Percent of total billed charges		85.6	90			Percent of total billed charges		96.3	85			Percent of total billed charges		90.95	85			Percent of total billed charges		90.95	85			Percent of total billed charges		90.95	100			Percent of total billed charges		107	100			Percent of total billed charges		107	100			Percent of total billed charges		107	33.3			Percent of total billed charges		35.631	33.3			Percent of total billed charges		35.631	100			Percent of total billed charges		107	35.631	96.3	
komet blade km3.104	272	RC	Outpatient			107	69.55		90			Percent of total billed charges		96.3	40			Percent of total billed charges		42.8	80			Percent of total billed charges		85.6	90			Percent of total billed charges		96.3	85			Percent of total billed charges		90.95	85			Percent of total billed charges		90.95	85			Percent of total billed charges		90.95	100			Percent of total billed charges		107	100			Percent of total billed charges		107	100			Percent of total billed charges		107	33.3			Percent of total billed charges		35.631	33.3			Percent of total billed charges		35.631	100			Percent of total billed charges		107	35.631	96.3	
komet blade km33.212	272	RC	Outpatient			107	69.55		90			Percent of total billed charges		96.3	40			Percent of total billed charges		42.8	80			Percent of total billed charges		85.6	90			Percent of total billed charges		96.3	85			Percent of total billed charges		90.95	85			Percent of total billed charges		90.95	85			Percent of total billed charges		90.95	100			Percent of total billed charges		107	100			Percent of total billed charges		107	100			Percent of total billed charges		107	33.3			Percent of total billed charges		35.631	33.3			Percent of total billed charges		35.631	100			Percent of total billed charges		107	35.631	96.3	
komet blade kms2512.65j	272	RC	Outpatient			107	69.55		90			Percent of total billed charges		96.3	40			Percent of total billed charges		42.8	80			Percent of total billed charges		85.6	90			Percent of total billed charges		96.3	85			Percent of total billed charges		90.95	85			Percent of total billed charges		90.95	85			Percent of total billed charges		90.95	100			Percent of total billed charges		107	100			Percent of total billed charges		107	100			Percent of total billed charges		107	33.3			Percent of total billed charges		35.631	33.3			Percent of total billed charges		35.631	100			Percent of total billed charges		107	35.631	96.3	
"pt,lymphedema kit"	270	RC	Outpatient			107	69.55		90			Percent of total billed charges		96.3	40			Percent of total billed charges		42.8	80			Percent of total billed charges		85.6	90			Percent of total billed charges		96.3	85			Percent of total billed charges		90.95	85			Percent of total billed charges		90.95	85			Percent of total billed charges		90.95	100			Percent of total billed charges		107	100			Percent of total billed charges		107	100			Percent of total billed charges		107	33.3			Percent of total billed charges		35.631	33.3			Percent of total billed charges		35.631	100			Percent of total billed charges		107	35.631	96.3	
rumi tip lavender 5.1mm x 6cm uml516 cooper surg	270	RC	Outpatient			107	69.55		90			Percent of total billed charges		96.3	40			Percent of total billed charges		42.8	80			Percent of total billed charges		85.6	90			Percent of total billed charges		96.3	85			Percent of total billed charges		90.95	85			Percent of total billed charges		90.95	85			Percent of total billed charges		90.95	100			Percent of total billed charges		107	100			Percent of total billed charges		107	100			Percent of total billed charges		107	33.3			Percent of total billed charges		35.631	33.3			Percent of total billed charges		35.631	100			Percent of total billed charges		107	35.631	96.3	
rumi tip orange 6.7mm x 12cm umo672 cooper surg	270	RC	Outpatient			107	69.55		90			Percent of total billed charges		96.3	40			Percent of total billed charges		42.8	80			Percent of total billed charges		85.6	90			Percent of total billed charges		96.3	85			Percent of total billed charges		90.95	85			Percent of total billed charges		90.95	85			Percent of total billed charges		90.95	100			Percent of total billed charges		107	100			Percent of total billed charges		107	100			Percent of total billed charges		107	33.3			Percent of total billed charges		35.631	33.3			Percent of total billed charges		35.631	100			Percent of total billed charges		107	35.631	96.3	
rumi tip blue 6.7mm x 8cm umb678 cooper surg	270	RC	Outpatient			107	69.55		90			Percent of total billed charges		96.3	40			Percent of total billed charges		42.8	80			Percent of total billed charges		85.6	90			Percent of total billed charges		96.3	85			Percent of total billed charges		90.95	85			Percent of total billed charges		90.95	85			Percent of total billed charges		90.95	100			Percent of total billed charges		107	100			Percent of total billed charges		107	100			Percent of total billed charges		107	33.3			Percent of total billed charges		35.631	33.3			Percent of total billed charges		35.631	100			Percent of total billed charges		107	35.631	96.3	
rumi tip green 6.7mm x 10cm umg670 cooper surg	272	RC	Outpatient			107	69.55		90			Percent of total billed charges		96.3	40			Percent of total billed charges		42.8	80			Percent of total billed charges		85.6	90			Percent of total billed charges		96.3	85			Percent of total billed charges		90.95	85			Percent of total billed charges		90.95	85			Percent of total billed charges		90.95	100			Percent of total billed charges		107	100			Percent of total billed charges		107	100			Percent of total billed charges		107	33.3			Percent of total billed charges		35.631	33.3			Percent of total billed charges		35.631	100			Percent of total billed charges		107	35.631	96.3	
rumi tip white 6.7mm x 6cm umw676 cooper surg	270	RC	Outpatient			107	69.55		90			Percent of total billed charges		96.3	40			Percent of total billed charges		42.8	80			Percent of total billed charges		85.6	90			Percent of total billed charges		96.3	85			Percent of total billed charges		90.95	85			Percent of total billed charges		90.95	85			Percent of total billed charges		90.95	100			Percent of total billed charges		107	100			Percent of total billed charges		107	100			Percent of total billed charges		107	33.3			Percent of total billed charges		35.631	33.3			Percent of total billed charges		35.631	100			Percent of total billed charges		107	35.631	96.3	
tube intest dble lumen16f	270	RC	Outpatient			107	69.55		90			Percent of total billed charges		96.3	40			Percent of total billed charges		42.8	80			Percent of total billed charges		85.6	90			Percent of total billed charges		96.3	85			Percent of total billed charges		90.95	85			Percent of total billed charges		90.95	85			Percent of total billed charges		90.95	100			Percent of total billed charges		107	100			Percent of total billed charges		107	100			Percent of total billed charges		107	33.3			Percent of total billed charges		35.631	33.3			Percent of total billed charges		35.631	100			Percent of total billed charges		107	35.631	96.3	
xr hip 3 views left	320	RC	Outpatient			107.33	69.77		90			Percent of total billed charges		96.597	40			Percent of total billed charges		42.932	80			Percent of total billed charges		85.864	90			Percent of total billed charges		96.597	85			Percent of total billed charges		91.2305	85			Percent of total billed charges		91.2305	85			Percent of total billed charges		91.2305	100			Percent of total billed charges		107.33	100			Percent of total billed charges		107.33	100			Percent of total billed charges		107.33	33.3			Percent of total billed charges		35.7409	33.3			Percent of total billed charges		35.7409	100			Percent of total billed charges		107.33	35.7409	96.597	
xr hip 3 views left	983	RC	Outpatient			107.33	69.77		90			Percent of total billed charges		96.597	40			Percent of total billed charges		42.932	80			Percent of total billed charges		85.864	90			Percent of total billed charges		96.597	85			Percent of total billed charges		91.2305	85			Percent of total billed charges		91.2305	85			Percent of total billed charges		91.2305	100			Percent of total billed charges		107.33	100			Percent of total billed charges		107.33	100			Percent of total billed charges		107.33	33.3			Percent of total billed charges		35.7409	33.3			Percent of total billed charges		35.7409	100			Percent of total billed charges		107.33	35.7409	96.597	
xr hip 3 views right	320	RC	Outpatient			107.33	69.77		90			Percent of total billed charges		96.597	40			Percent of total billed charges		42.932	80			Percent of total billed charges		85.864	90			Percent of total billed charges		96.597	85			Percent of total billed charges		91.2305	85			Percent of total billed charges		91.2305	85			Percent of total billed charges		91.2305	100			Percent of total billed charges		107.33	100			Percent of total billed charges		107.33	100			Percent of total billed charges		107.33	33.3			Percent of total billed charges		35.7409	33.3			Percent of total billed charges		35.7409	100			Percent of total billed charges		107.33	35.7409	96.597	
xr hip 3 views right	983	RC	Outpatient			107.33	69.77		90			Percent of total billed charges		96.597	40			Percent of total billed charges		42.932	80			Percent of total billed charges		85.864	90			Percent of total billed charges		96.597	85			Percent of total billed charges		91.2305	85			Percent of total billed charges		91.2305	85			Percent of total billed charges		91.2305	100			Percent of total billed charges		107.33	100			Percent of total billed charges		107.33	100			Percent of total billed charges		107.33	33.3			Percent of total billed charges		35.7409	33.3			Percent of total billed charges		35.7409	100			Percent of total billed charges		107.33	35.7409	96.597	
transbronchial needle conmed ref # mw-222	272	RC	Outpatient			107.71	70.01		90			Percent of total billed charges		96.939	40			Percent of total billed charges		43.084	80			Percent of total billed charges		86.168	90			Percent of total billed charges		96.939	85			Percent of total billed charges		91.5535	85			Percent of total billed charges		91.5535	85			Percent of total billed charges		91.5535	100			Percent of total billed charges		107.71	100			Percent of total billed charges		107.71	100			Percent of total billed charges		107.71	33.3			Percent of total billed charges		35.8674	33.3			Percent of total billed charges		35.8674	100			Percent of total billed charges		107.71	35.8674	96.939	
amplatz renal dilator	272	RC	Outpatient			108	70.2		90			Percent of total billed charges		97.2	40			Percent of total billed charges		43.2	80			Percent of total billed charges		86.4	90			Percent of total billed charges		97.2	85			Percent of total billed charges		91.8	85			Percent of total billed charges		91.8	85			Percent of total billed charges		91.8	100			Percent of total billed charges		108	100			Percent of total billed charges		108	100			Percent of total billed charges		108	33.3			Percent of total billed charges		35.964	33.3			Percent of total billed charges		35.964	100			Percent of total billed charges		108	35.964	97.2	
amplatz type renal dilator 10fr 260-102 bost sci	272	RC	Outpatient			108	70.2		90			Percent of total billed charges		97.2	40			Percent of total billed charges		43.2	80			Percent of total billed charges		86.4	90			Percent of total billed charges		97.2	85			Percent of total billed charges		91.8	85			Percent of total billed charges		91.8	85			Percent of total billed charges		91.8	100			Percent of total billed charges		108	100			Percent of total billed charges		108	100			Percent of total billed charges		108	33.3			Percent of total billed charges		35.964	33.3			Percent of total billed charges		35.964	100			Percent of total billed charges		108	35.964	97.2	
amplatz type renal dilator 12fr 260-103 bost sci	272	RC	Outpatient			108	70.2		90			Percent of total billed charges		97.2	40			Percent of total billed charges		43.2	80			Percent of total billed charges		86.4	90			Percent of total billed charges		97.2	85			Percent of total billed charges		91.8	85			Percent of total billed charges		91.8	85			Percent of total billed charges		91.8	100			Percent of total billed charges		108	100			Percent of total billed charges		108	100			Percent of total billed charges		108	33.3			Percent of total billed charges		35.964	33.3			Percent of total billed charges		35.964	100			Percent of total billed charges		108	35.964	97.2	
cast cutter leg short	270	RC	Outpatient			108	70.2		90			Percent of total billed charges		97.2	40			Percent of total billed charges		43.2	80			Percent of total billed charges		86.4	90			Percent of total billed charges		97.2	85			Percent of total billed charges		91.8	85			Percent of total billed charges		91.8	85			Percent of total billed charges		91.8	100			Percent of total billed charges		108	100			Percent of total billed charges		108	100			Percent of total billed charges		108	33.3			Percent of total billed charges		35.964	33.3			Percent of total billed charges		35.964	100			Percent of total billed charges		108	35.964	97.2	
cath lab dilator set	272	RC	Outpatient			108	70.2		90			Percent of total billed charges		97.2	40			Percent of total billed charges		43.2	80			Percent of total billed charges		86.4	90			Percent of total billed charges		97.2	85			Percent of total billed charges		91.8	85			Percent of total billed charges		91.8	85			Percent of total billed charges		91.8	100			Percent of total billed charges		108	100			Percent of total billed charges		108	100			Percent of total billed charges		108	33.3			Percent of total billed charges		35.964	33.3			Percent of total billed charges		35.964	100			Percent of total billed charges		108	35.964	97.2	
catheter cholangiogram 20018-m56	270	RC	Outpatient			108	70.2		90			Percent of total billed charges		97.2	40			Percent of total billed charges		43.2	80			Percent of total billed charges		86.4	90			Percent of total billed charges		97.2	85			Percent of total billed charges		91.8	85			Percent of total billed charges		91.8	85			Percent of total billed charges		91.8	100			Percent of total billed charges		108	100			Percent of total billed charges		108	100			Percent of total billed charges		108	33.3			Percent of total billed charges		35.964	33.3			Percent of total billed charges		35.964	100			Percent of total billed charges		108	35.964	97.2	
catheter cholangiogram 20018-m57	270	RC	Outpatient			108	70.2		90			Percent of total billed charges		97.2	40			Percent of total billed charges		43.2	80			Percent of total billed charges		86.4	90			Percent of total billed charges		97.2	85			Percent of total billed charges		91.8	85			Percent of total billed charges		91.8	85			Percent of total billed charges		91.8	100			Percent of total billed charges		108	100			Percent of total billed charges		108	100			Percent of total billed charges		108	33.3			Percent of total billed charges		35.964	33.3			Percent of total billed charges		35.964	100			Percent of total billed charges		108	35.964	97.2	
amplatz renal dilator cath 8 fr cook 75001	272	RC	Outpatient			108	70.2		90			Percent of total billed charges		97.2	40			Percent of total billed charges		43.2	80			Percent of total billed charges		86.4	90			Percent of total billed charges		97.2	85			Percent of total billed charges		91.8	85			Percent of total billed charges		91.8	85			Percent of total billed charges		91.8	100			Percent of total billed charges		108	100			Percent of total billed charges		108	100			Percent of total billed charges		108	33.3			Percent of total billed charges		35.964	33.3			Percent of total billed charges		35.964	100			Percent of total billed charges		108	35.964	97.2	
amplatz type renal dilator 8fr 260-101 bost sci	272	RC	Outpatient			108	70.2		90			Percent of total billed charges		97.2	40			Percent of total billed charges		43.2	80			Percent of total billed charges		86.4	90			Percent of total billed charges		97.2	85			Percent of total billed charges		91.8	85			Percent of total billed charges		91.8	85			Percent of total billed charges		91.8	100			Percent of total billed charges		108	100			Percent of total billed charges		108	100			Percent of total billed charges		108	33.3			Percent of total billed charges		35.964	33.3			Percent of total billed charges		35.964	100			Percent of total billed charges		108	35.964	97.2	
auto pulse band	270	RC	Outpatient			108	70.2		90			Percent of total billed charges		97.2	40			Percent of total billed charges		43.2	80			Percent of total billed charges		86.4	90			Percent of total billed charges		97.2	85			Percent of total billed charges		91.8	85			Percent of total billed charges		91.8	85			Percent of total billed charges		91.8	100			Percent of total billed charges		108	100			Percent of total billed charges		108	100			Percent of total billed charges		108	33.3			Percent of total billed charges		35.964	33.3			Percent of total billed charges		35.964	100			Percent of total billed charges		108	35.964	97.2	
cath cholangiogram 4.5fr 18 20018m55	270	RC	Outpatient			108	70.2		90			Percent of total billed charges		97.2	40			Percent of total billed charges		43.2	80			Percent of total billed charges		86.4	90			Percent of total billed charges		97.2	85			Percent of total billed charges		91.8	85			Percent of total billed charges		91.8	85			Percent of total billed charges		91.8	100			Percent of total billed charges		108	100			Percent of total billed charges		108	100			Percent of total billed charges		108	33.3			Percent of total billed charges		35.964	33.3			Percent of total billed charges		35.964	100			Percent of total billed charges		108	35.964	97.2	
dilator set btn sci50-335	272	RC	Outpatient			108	70.2		90			Percent of total billed charges		97.2	40			Percent of total billed charges		43.2	80			Percent of total billed charges		86.4	90			Percent of total billed charges		97.2	85			Percent of total billed charges		91.8	85			Percent of total billed charges		91.8	85			Percent of total billed charges		91.8	100			Percent of total billed charges		108	100			Percent of total billed charges		108	100			Percent of total billed charges		108	33.3			Percent of total billed charges		35.964	33.3			Percent of total billed charges		35.964	100			Percent of total billed charges		108	35.964	97.2	
femerol tampon	270	RC	Outpatient			108	70.2		90			Percent of total billed charges		97.2	40			Percent of total billed charges		43.2	80			Percent of total billed charges		86.4	90			Percent of total billed charges		97.2	85			Percent of total billed charges		91.8	85			Percent of total billed charges		91.8	85			Percent of total billed charges		91.8	100			Percent of total billed charges		108	100			Percent of total billed charges		108	100			Percent of total billed charges		108	33.3			Percent of total billed charges		35.964	33.3			Percent of total billed charges		35.964	100			Percent of total billed charges		108	35.964	97.2	
femoral tampon 11-0037	270	RC	Outpatient			108	70.2		90			Percent of total billed charges		97.2	40			Percent of total billed charges		43.2	80			Percent of total billed charges		86.4	90			Percent of total billed charges		97.2	85			Percent of total billed charges		91.8	85			Percent of total billed charges		91.8	85			Percent of total billed charges		91.8	100			Percent of total billed charges		108	100			Percent of total billed charges		108	100			Percent of total billed charges		108	33.3			Percent of total billed charges		35.964	33.3			Percent of total billed charges		35.964	100			Percent of total billed charges		108	35.964	97.2	
jantyl	270	RC	Outpatient			108	70.2		90			Percent of total billed charges		97.2	40			Percent of total billed charges		43.2	80			Percent of total billed charges		86.4	90			Percent of total billed charges		97.2	85			Percent of total billed charges		91.8	85			Percent of total billed charges		91.8	85			Percent of total billed charges		91.8	100			Percent of total billed charges		108	100			Percent of total billed charges		108	100			Percent of total billed charges		108	33.3			Percent of total billed charges		35.964	33.3			Percent of total billed charges		35.964	100			Percent of total billed charges		108	35.964	97.2	
retrograde intubation kit ed charge scnt	270	RC	Outpatient			108	70.2		90			Percent of total billed charges		97.2	40			Percent of total billed charges		43.2	80			Percent of total billed charges		86.4	90			Percent of total billed charges		97.2	85			Percent of total billed charges		91.8	85			Percent of total billed charges		91.8	85			Percent of total billed charges		91.8	100			Percent of total billed charges		108	100			Percent of total billed charges		108	100			Percent of total billed charges		108	33.3			Percent of total billed charges		35.964	33.3			Percent of total billed charges		35.964	100			Percent of total billed charges		108	35.964	97.2	
taut cath small (cholangio)	270	RC	Outpatient			108	70.2		90			Percent of total billed charges		97.2	40			Percent of total billed charges		43.2	80			Percent of total billed charges		86.4	90			Percent of total billed charges		97.2	85			Percent of total billed charges		91.8	85			Percent of total billed charges		91.8	85			Percent of total billed charges		91.8	100			Percent of total billed charges		108	100			Percent of total billed charges		108	100			Percent of total billed charges		108	33.3			Percent of total billed charges		35.964	33.3			Percent of total billed charges		35.964	100			Percent of total billed charges		108	35.964	97.2	
retrograde intubation kit	270	RC	Outpatient			108	70.2		90			Percent of total billed charges		97.2	40			Percent of total billed charges		43.2	80			Percent of total billed charges		86.4	90			Percent of total billed charges		97.2	85			Percent of total billed charges		91.8	85			Percent of total billed charges		91.8	85			Percent of total billed charges		91.8	100			Percent of total billed charges		108	100			Percent of total billed charges		108	100			Percent of total billed charges		108	33.3			Percent of total billed charges		35.964	33.3			Percent of total billed charges		35.964	100			Percent of total billed charges		108	35.964	97.2	
s/n hook knife	272	RC	Outpatient			108	70.2		90			Percent of total billed charges		97.2	40			Percent of total billed charges		43.2	80			Percent of total billed charges		86.4	90			Percent of total billed charges		97.2	85			Percent of total billed charges		91.8	85			Percent of total billed charges		91.8	85			Percent of total billed charges		91.8	100			Percent of total billed charges		108	100			Percent of total billed charges		108	100			Percent of total billed charges		108	33.3			Percent of total billed charges		35.964	33.3			Percent of total billed charges		35.964	100			Percent of total billed charges		108	35.964	97.2	
straight hook knife 010600 s/n	272	RC	Outpatient			108	70.2		90			Percent of total billed charges		97.2	40			Percent of total billed charges		43.2	80			Percent of total billed charges		86.4	90			Percent of total billed charges		97.2	85			Percent of total billed charges		91.8	85			Percent of total billed charges		91.8	85			Percent of total billed charges		91.8	100			Percent of total billed charges		108	100			Percent of total billed charges		108	100			Percent of total billed charges		108	33.3			Percent of total billed charges		35.964	33.3			Percent of total billed charges		35.964	100			Percent of total billed charges		108	35.964	97.2	
tube trach shiley 6dcfs	272	RC	Outpatient			108	70.2		90			Percent of total billed charges		97.2	40			Percent of total billed charges		43.2	80			Percent of total billed charges		86.4	90			Percent of total billed charges		97.2	85			Percent of total billed charges		91.8	85			Percent of total billed charges		91.8	85			Percent of total billed charges		91.8	100			Percent of total billed charges		108	100			Percent of total billed charges		108	100			Percent of total billed charges		108	33.3			Percent of total billed charges		35.964	33.3			Percent of total billed charges		35.964	100			Percent of total billed charges		108	35.964	97.2	
arthrex washer 7mm	278	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
arthrex washer 7mm ar-8870w	278	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
bur cutting carbide round 2 mm 5092-224 zimmer	272	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
cardiac felt	278	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
cath lab introducer set	272	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
cath lab sheath 6 fr x 11 cm	272	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
cath lab sheath 7fr x 11 cm	272	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
cath lab tr band standard	272	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
arthrex washer 7mm ar-8740w	278	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
bur cut round long 2mm	272	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
cath lab sheath 5 fr x 11 cm	272	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
cath lab sheath 6 fr x 23 cm	272	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
cath lab sheath 7 fr x 23 cm	272	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
cath lab sheath 8 fr x 11 cm	272	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
cath lab tr band long	272	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
drill bit quick release 1.1mm 310.11	270	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
jet-x bar cap	272	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
ligaclip small	278	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
peri-loc 4.0 t20 screw 10mm 73825310 s/n	278	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
peri-loc 4.0 t20 screw 12mm 73825312 s/n	278	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
peri-loc 4.0 t20 screw 22mm 73825222 s/n	278	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
peri-loc 4.0 t20 screw 24mm 73825324 s/n	278	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
peri-loc 4.0 t20 screw 30mm 73825230 s/n	278	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
peri-loc 4.0 t20 screw 45mm 73825245 s/n	278	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
peri-loc 4.0 t20 screw 65mm 73825265 s/n	278	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
peri-loc 4.0 t20 screw 70mm 73825270 s/n	278	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
posterior dlta lite splnt	270	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
precut sheath intro	272	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
proximate tx 30mm linear cutter 4.8mm reload xr30g ethicon	272	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
round cutting bur long length 509230 biomet	272	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
s/n 4.0 t20 canc scr	278	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
semi-tubular plate 10 hole 167mm 00-4945-010-03 zimmer	278	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
telflon felt 019304 boston scien	278	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
"tray, peritoneal lavage"	270	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
"tray,thoracentesis (dis)"	270	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
peri-loc 4.0 t20 screw 10mm 73825210 s/n	278	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
peri-loc 4.0 t20 screw 12mm 73825212 s/n	278	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
peri-loc 4.0 t20 screw 14mm 73825214 s/n	278	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
peri-loc 4.0 t20 screw 14mm 73825314 s/n	278	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
peri-loc 4.0 t20 screw 16mm 73825216 s/n	278	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
peri-loc 4.0 t20 screw 16mm 73825316 s/n	278	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
peri-loc 4.0 t20 screw 18mm 73825218 s/n	278	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
peri-loc 4.0 t20 screw 18mm 73825318 s/n	278	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
peri-loc 4.0 t20 screw 20mm 73825220 s/n	278	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
peri-loc 4.0 t20 screw 20mm 73825320 s/n	278	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
peri-loc 4.0 t20 screw 22mm 73825322 s/n	278	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
peri-loc 4.0 t20 screw 24mm 73825224 s/n	278	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
peri-loc 4.0 t20 screw 26mm 73825226 s/n	278	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
peri-loc 4.0 t20 screw 26mm 73825326 s/n	278	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
peri-loc 4.0 t20 screw 28mm 73825228 s/n	278	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
peri-loc 4.0 t20 screw 32mm 73825232 s/n	278	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
peri-loc 4.0 t20 screw 34mm 73825234 s/n	278	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
peri-loc 4.0 t20 screw 36mm 73825236 s/n	278	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
peri-loc 4.0 t20 screw 38mm 73825238 s/n	278	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
peri-loc 4.0 t20 screw 40mm 73825240 s/n	278	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
peri-loc 4.0 t20 screw 50mm 73825250 s/n	278	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
peri-loc 4.0 t20 screw 55mm 73825255 s/n	278	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
peri-loc 4.0 t20 screw 60mm 73825260 s/n	278	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
peri-loc 4.0 t20 screw 75mm 73825275 s/n	278	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
peri-loc 4.0 t20 screw 80mm 73825280 s/n	278	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
posterior delta lite splint	270	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
radial tr band	272	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
round bur long 2mm 5092-124 hall	272	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
round cutting bur long length 509228 biomet	272	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
s/n bar cap 71062008	272	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
semi-tubular plate 11 hole 183mm 00-4945-011-03 zimmer	278	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
semi-tubular plate 12 hole 199mm 00-4945-012-03 zimmer	278	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
semi-tubular plate 9 hole 151mm 00-4945-009-03 zimmer	278	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
splint - reuter nasal	270	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
staples tx30 load	272	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
surgiclip small 133650  covidien	278	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
synthes drill bit #310.11	270	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
"tray, peritoneal lavage ed charge scnt"	450	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
zim semi-tubular pl 9-12	278	RC	Outpatient			109	70.85		90			Percent of total billed charges		98.1	40			Percent of total billed charges		43.6	80			Percent of total billed charges		87.2	90			Percent of total billed charges		98.1	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	85			Percent of total billed charges		92.65	100			Percent of total billed charges		109	100			Percent of total billed charges		109	100			Percent of total billed charges		109	33.3			Percent of total billed charges		36.297	33.3			Percent of total billed charges		36.297	100			Percent of total billed charges		109	36.297	98.1	
rally hv bone cement 40 grams s/n ref 71271560	278	RC	Outpatient			109.01	70.86		90			Percent of total billed charges		98.109	40			Percent of total billed charges		43.604	80			Percent of total billed charges		87.208	90			Percent of total billed charges		98.109	85			Percent of total billed charges		92.6585	85			Percent of total billed charges		92.6585	85			Percent of total billed charges		92.6585	100			Percent of total billed charges		109.01	100			Percent of total billed charges		109.01	100			Percent of total billed charges		109.01	33.3			Percent of total billed charges		36.3003	33.3			Percent of total billed charges		36.3003	100			Percent of total billed charges		109.01	36.3003	98.109	
arthrex drill sleeve 2.0mm ar-8943-32	272	RC	Outpatient			110	71.5		90			Percent of total billed charges		99	40			Percent of total billed charges		44	80			Percent of total billed charges		88	90			Percent of total billed charges		99	85			Percent of total billed charges		93.5	85			Percent of total billed charges		93.5	85			Percent of total billed charges		93.5	100			Percent of total billed charges		110	100			Percent of total billed charges		110	100			Percent of total billed charges		110	33.3			Percent of total billed charges		36.63	33.3			Percent of total billed charges		36.63	100			Percent of total billed charges		110	36.63	99	
bronch cytology brush ref # g21386	272	RC	Outpatient			110	71.5		90			Percent of total billed charges		99	40			Percent of total billed charges		44	80			Percent of total billed charges		88	90			Percent of total billed charges		99	85			Percent of total billed charges		93.5	85			Percent of total billed charges		93.5	85			Percent of total billed charges		93.5	100			Percent of total billed charges		110	100			Percent of total billed charges		110	100			Percent of total billed charges		110	33.3			Percent of total billed charges		36.63	33.3			Percent of total billed charges		36.63	100			Percent of total billed charges		110	36.63	99	
arthrex drill sleeve 2.0	272	RC	Outpatient			110	71.5		90			Percent of total billed charges		99	40			Percent of total billed charges		44	80			Percent of total billed charges		88	90			Percent of total billed charges		99	85			Percent of total billed charges		93.5	85			Percent of total billed charges		93.5	85			Percent of total billed charges		93.5	100			Percent of total billed charges		110	100			Percent of total billed charges		110	100			Percent of total billed charges		110	33.3			Percent of total billed charges		36.63	33.3			Percent of total billed charges		36.63	100			Percent of total billed charges		110	36.63	99	
ascension guide pin 2.0 x 150mm gw0920061501 integra	270	RC	Outpatient			110	71.5		90			Percent of total billed charges		99	40			Percent of total billed charges		44	80			Percent of total billed charges		88	90			Percent of total billed charges		99	85			Percent of total billed charges		93.5	85			Percent of total billed charges		93.5	85			Percent of total billed charges		93.5	100			Percent of total billed charges		110	100			Percent of total billed charges		110	100			Percent of total billed charges		110	33.3			Percent of total billed charges		36.63	33.3			Percent of total billed charges		36.63	100			Percent of total billed charges		110	36.63	99	
bit drill wire pass s/s 1.1mm 1608-002-063 stryker	270	RC	Outpatient			110	71.5		90			Percent of total billed charges		99	40			Percent of total billed charges		44	80			Percent of total billed charges		88	90			Percent of total billed charges		99	85			Percent of total billed charges		93.5	85			Percent of total billed charges		93.5	85			Percent of total billed charges		93.5	100			Percent of total billed charges		110	100			Percent of total billed charges		110	100			Percent of total billed charges		110	33.3			Percent of total billed charges		36.63	33.3			Percent of total billed charges		36.63	100			Percent of total billed charges		110	36.63	99	
bit drill wire pass s/s 1.5mm 1608-002-059 stryker	270	RC	Outpatient			110	71.5		90			Percent of total billed charges		99	40			Percent of total billed charges		44	80			Percent of total billed charges		88	90			Percent of total billed charges		99	85			Percent of total billed charges		93.5	85			Percent of total billed charges		93.5	85			Percent of total billed charges		93.5	100			Percent of total billed charges		110	100			Percent of total billed charges		110	100			Percent of total billed charges		110	33.3			Percent of total billed charges		36.63	33.3			Percent of total billed charges		36.63	100			Percent of total billed charges		110	36.63	99	
bit wire pass 1.3mm 1608-002-071 stryker	270	RC	Outpatient			110	71.5		90			Percent of total billed charges		99	40			Percent of total billed charges		44	80			Percent of total billed charges		88	90			Percent of total billed charges		99	85			Percent of total billed charges		93.5	85			Percent of total billed charges		93.5	85			Percent of total billed charges		93.5	100			Percent of total billed charges		110	100			Percent of total billed charges		110	100			Percent of total billed charges		110	33.3			Percent of total billed charges		36.63	33.3			Percent of total billed charges		36.63	100			Percent of total billed charges		110	36.63	99	
dental wire pass drive	270	RC	Outpatient			110	71.5		90			Percent of total billed charges		99	40			Percent of total billed charges		44	80			Percent of total billed charges		88	90			Percent of total billed charges		99	85			Percent of total billed charges		93.5	85			Percent of total billed charges		93.5	85			Percent of total billed charges		93.5	100			Percent of total billed charges		110	100			Percent of total billed charges		110	100			Percent of total billed charges		110	33.3			Percent of total billed charges		36.63	33.3			Percent of total billed charges		36.63	100			Percent of total billed charges		110	36.63	99	
drill wire pass 1.0mm w1051 masi	270	RC	Outpatient			110	71.5		90			Percent of total billed charges		99	40			Percent of total billed charges		44	80			Percent of total billed charges		88	90			Percent of total billed charges		99	85			Percent of total billed charges		93.5	85			Percent of total billed charges		93.5	85			Percent of total billed charges		93.5	100			Percent of total billed charges		110	100			Percent of total billed charges		110	100			Percent of total billed charges		110	33.3			Percent of total billed charges		36.63	33.3			Percent of total billed charges		36.63	100			Percent of total billed charges		110	36.63	99	
drill wire pass 1.5mm 1551 masi	270	RC	Outpatient			110	71.5		90			Percent of total billed charges		99	40			Percent of total billed charges		44	80			Percent of total billed charges		88	90			Percent of total billed charges		99	85			Percent of total billed charges		93.5	85			Percent of total billed charges		93.5	85			Percent of total billed charges		93.5	100			Percent of total billed charges		110	100			Percent of total billed charges		110	100			Percent of total billed charges		110	33.3			Percent of total billed charges		36.63	33.3			Percent of total billed charges		36.63	100			Percent of total billed charges		110	36.63	99	
evos screw 2.0 cortex	278	RC	Outpatient			110	71.5		90			Percent of total billed charges		99	40			Percent of total billed charges		44	80			Percent of total billed charges		88	90			Percent of total billed charges		99	85			Percent of total billed charges		93.5	85			Percent of total billed charges		93.5	85			Percent of total billed charges		93.5	100			Percent of total billed charges		110	100			Percent of total billed charges		110	100			Percent of total billed charges		110	33.3			Percent of total billed charges		36.63	33.3			Percent of total billed charges		36.63	100			Percent of total billed charges		110	36.63	99	
evos screw 2.0 x 18mm cortex s/n 7240-2018n	278	RC	Outpatient			110	71.5		90			Percent of total billed charges		99	40			Percent of total billed charges		44	80			Percent of total billed charges		88	90			Percent of total billed charges		99	85			Percent of total billed charges		93.5	85			Percent of total billed charges		93.5	85			Percent of total billed charges		93.5	100			Percent of total billed charges		110	100			Percent of total billed charges		110	100			Percent of total billed charges		110	33.3			Percent of total billed charges		36.63	33.3			Percent of total billed charges		36.63	100			Percent of total billed charges		110	36.63	99	
drill wire pass 2.0mm w2051 masi	270	RC	Outpatient			110	71.5		90			Percent of total billed charges		99	40			Percent of total billed charges		44	80			Percent of total billed charges		88	90			Percent of total billed charges		99	85			Percent of total billed charges		93.5	85			Percent of total billed charges		93.5	85			Percent of total billed charges		93.5	100			Percent of total billed charges		110	100			Percent of total billed charges		110	100			Percent of total billed charges		110	33.3			Percent of total billed charges		36.63	33.3			Percent of total billed charges		36.63	100			Percent of total billed charges		110	36.63	99	
female vest short sleeve fvs-m-h marena	272	RC	Outpatient			110	71.5		90			Percent of total billed charges		99	40			Percent of total billed charges		44	80			Percent of total billed charges		88	90			Percent of total billed charges		99	85			Percent of total billed charges		93.5	85			Percent of total billed charges		93.5	85			Percent of total billed charges		93.5	100			Percent of total billed charges		110	100			Percent of total billed charges		110	100			Percent of total billed charges		110	33.3			Percent of total billed charges		36.63	33.3			Percent of total billed charges		36.63	100			Percent of total billed charges		110	36.63	99	
pump multi channel daily	270	RC	Outpatient			110	71.5		90			Percent of total billed charges		99	40			Percent of total billed charges		44	80			Percent of total billed charges		88	90			Percent of total billed charges		99	85			Percent of total billed charges		93.5	85			Percent of total billed charges		93.5	85			Percent of total billed charges		93.5	100			Percent of total billed charges		110	100			Percent of total billed charges		110	100			Percent of total billed charges		110	33.3			Percent of total billed charges		36.63	33.3			Percent of total billed charges		36.63	100			Percent of total billed charges		110	36.63	99	
penta 3mm lead 3228 ans	272	RC	Outpatient			110	71.5		90			Percent of total billed charges		99	40			Percent of total billed charges		44	80			Percent of total billed charges		88	90			Percent of total billed charges		99	85			Percent of total billed charges		93.5	85			Percent of total billed charges		93.5	85			Percent of total billed charges		93.5	100			Percent of total billed charges		110	100			Percent of total billed charges		110	100			Percent of total billed charges		110	33.3			Percent of total billed charges		36.63	33.3			Percent of total billed charges		36.63	100			Percent of total billed charges		110	36.63	99	
vest- post op	272	RC	Outpatient			110	71.5		90			Percent of total billed charges		99	40			Percent of total billed charges		44	80			Percent of total billed charges		88	90			Percent of total billed charges		99	85			Percent of total billed charges		93.5	85			Percent of total billed charges		93.5	85			Percent of total billed charges		93.5	100			Percent of total billed charges		110	100			Percent of total billed charges		110	100			Percent of total billed charges		110	33.3			Percent of total billed charges		36.63	33.3			Percent of total billed charges		36.63	100			Percent of total billed charges		110	36.63	99	
wrap cold soft foot 4	270	RC	Outpatient			110	71.5		90			Percent of total billed charges		99	40			Percent of total billed charges		44	80			Percent of total billed charges		88	90			Percent of total billed charges		99	85			Percent of total billed charges		93.5	85			Percent of total billed charges		93.5	85			Percent of total billed charges		93.5	100			Percent of total billed charges		110	100			Percent of total billed charges		110	100			Percent of total billed charges		110	33.3			Percent of total billed charges		36.63	33.3			Percent of total billed charges		36.63	100			Percent of total billed charges		110	36.63	99	
xr hip 2 views right	320	RC	Outpatient			110.67	71.93		90			Percent of total billed charges		99.603	40			Percent of total billed charges		44.268	80			Percent of total billed charges		88.536	90			Percent of total billed charges		99.603	85			Percent of total billed charges		94.0695	85			Percent of total billed charges		94.0695	85			Percent of total billed charges		94.0695	100			Percent of total billed charges		110.67	100			Percent of total billed charges		110.67	100			Percent of total billed charges		110.67	33.3			Percent of total billed charges		36.8531	33.3			Percent of total billed charges		36.8531	100			Percent of total billed charges		110.67	36.8531	99.603	
xr hip 2 views right	983	RC	Outpatient			110.67	71.93		90			Percent of total billed charges		99.603	40			Percent of total billed charges		44.268	80			Percent of total billed charges		88.536	90			Percent of total billed charges		99.603	85			Percent of total billed charges		94.0695	85			Percent of total billed charges		94.0695	85			Percent of total billed charges		94.0695	100			Percent of total billed charges		110.67	100			Percent of total billed charges		110.67	100			Percent of total billed charges		110.67	33.3			Percent of total billed charges		36.8531	33.3			Percent of total billed charges		36.8531	100			Percent of total billed charges		110.67	36.8531	99.603	
catherer marker	272	RC	Outpatient			111	72.15		90			Percent of total billed charges		99.9	40			Percent of total billed charges		44.4	80			Percent of total billed charges		88.8	90			Percent of total billed charges		99.9	85			Percent of total billed charges		94.35	85			Percent of total billed charges		94.35	85			Percent of total billed charges		94.35	100			Percent of total billed charges		111	100			Percent of total billed charges		111	100			Percent of total billed charges		111	33.3			Percent of total billed charges		36.963	33.3			Percent of total billed charges		36.963	100			Percent of total billed charges		111	36.963	99.9	
abrahmson drain	270	RC	Outpatient			111	72.15		90			Percent of total billed charges		99.9	40			Percent of total billed charges		44.4	80			Percent of total billed charges		88.8	90			Percent of total billed charges		99.9	85			Percent of total billed charges		94.35	85			Percent of total billed charges		94.35	85			Percent of total billed charges		94.35	100			Percent of total billed charges		111	100			Percent of total billed charges		111	100			Percent of total billed charges		111	33.3			Percent of total billed charges		36.963	33.3			Percent of total billed charges		36.963	100			Percent of total billed charges		111	36.963	99.9	
abrahmson sump drain  tubing 8040 0080400	270	RC	Outpatient			111	72.15		90			Percent of total billed charges		99.9	40			Percent of total billed charges		44.4	80			Percent of total billed charges		88.8	90			Percent of total billed charges		99.9	85			Percent of total billed charges		94.35	85			Percent of total billed charges		94.35	85			Percent of total billed charges		94.35	100			Percent of total billed charges		111	100			Percent of total billed charges		111	100			Percent of total billed charges		111	33.3			Percent of total billed charges		36.963	33.3			Percent of total billed charges		36.963	100			Percent of total billed charges		111	36.963	99.9	
catheter flush/size	272	RC	Outpatient			111	72.15		90			Percent of total billed charges		99.9	40			Percent of total billed charges		44.4	80			Percent of total billed charges		88.8	90			Percent of total billed charges		99.9	85			Percent of total billed charges		94.35	85			Percent of total billed charges		94.35	85			Percent of total billed charges		94.35	100			Percent of total billed charges		111	100			Percent of total billed charges		111	100			Percent of total billed charges		111	33.3			Percent of total billed charges		36.963	33.3			Percent of total billed charges		36.963	100			Percent of total billed charges		111	36.963	99.9	
flush size cath 5f/100cm 13709202 angiodynamics	272	RC	Outpatient			111	72.15		90			Percent of total billed charges		99.9	40			Percent of total billed charges		44.4	80			Percent of total billed charges		88.8	90			Percent of total billed charges		99.9	85			Percent of total billed charges		94.35	85			Percent of total billed charges		94.35	85			Percent of total billed charges		94.35	100			Percent of total billed charges		111	100			Percent of total billed charges		111	100			Percent of total billed charges		111	33.3			Percent of total billed charges		36.963	33.3			Percent of total billed charges		36.963	100			Percent of total billed charges		111	36.963	99.9	
filli form catheter guide	270	RC	Outpatient			111	72.15		90			Percent of total billed charges		99.9	40			Percent of total billed charges		44.4	80			Percent of total billed charges		88.8	90			Percent of total billed charges		99.9	85			Percent of total billed charges		94.35	85			Percent of total billed charges		94.35	85			Percent of total billed charges		94.35	100			Percent of total billed charges		111	100			Percent of total billed charges		111	100			Percent of total billed charges		111	33.3			Percent of total billed charges		36.963	33.3			Percent of total billed charges		36.963	100			Percent of total billed charges		111	36.963	99.9	
marker cath 137-09-006 angiodynamics	272	RC	Outpatient			111	72.15		90			Percent of total billed charges		99.9	40			Percent of total billed charges		44.4	80			Percent of total billed charges		88.8	90			Percent of total billed charges		99.9	85			Percent of total billed charges		94.35	85			Percent of total billed charges		94.35	85			Percent of total billed charges		94.35	100			Percent of total billed charges		111	100			Percent of total billed charges		111	100			Percent of total billed charges		111	33.3			Percent of total billed charges		36.963	33.3			Percent of total billed charges		36.963	100			Percent of total billed charges		111	36.963	99.9	
parlik-harness	270	RC	Outpatient			111	72.15		90			Percent of total billed charges		99.9	40			Percent of total billed charges		44.4	80			Percent of total billed charges		88.8	90			Percent of total billed charges		99.9	85			Percent of total billed charges		94.35	85			Percent of total billed charges		94.35	85			Percent of total billed charges		94.35	100			Percent of total billed charges		111	100			Percent of total billed charges		111	100			Percent of total billed charges		111	33.3			Percent of total billed charges		36.963	33.3			Percent of total billed charges		36.963	100			Percent of total billed charges		111	36.963	99.9	
"tr,thoracentesis ak0100"	270	RC	Outpatient			111	72.15		90			Percent of total billed charges		99.9	40			Percent of total billed charges		44.4	80			Percent of total billed charges		88.8	90			Percent of total billed charges		99.9	85			Percent of total billed charges		94.35	85			Percent of total billed charges		94.35	85			Percent of total billed charges		94.35	100			Percent of total billed charges		111	100			Percent of total billed charges		111	100			Percent of total billed charges		111	33.3			Percent of total billed charges		36.963	33.3			Percent of total billed charges		36.963	100			Percent of total billed charges		111	36.963	99.9	
tube trach cuffed 5.0pdc	270	RC	Outpatient			111	72.15		90			Percent of total billed charges		99.9	40			Percent of total billed charges		44.4	80			Percent of total billed charges		88.8	90			Percent of total billed charges		99.9	85			Percent of total billed charges		94.35	85			Percent of total billed charges		94.35	85			Percent of total billed charges		94.35	100			Percent of total billed charges		111	100			Percent of total billed charges		111	100			Percent of total billed charges		111	33.3			Percent of total billed charges		36.963	33.3			Percent of total billed charges		36.963	100			Percent of total billed charges		111	36.963	99.9	
cortex screw 2.7 x 10 202.870 synthes	278	RC	Outpatient			112	72.8		90			Percent of total billed charges		100.8	40			Percent of total billed charges		44.8	80			Percent of total billed charges		89.6	90			Percent of total billed charges		100.8	85			Percent of total billed charges		95.2	85			Percent of total billed charges		95.2	85			Percent of total billed charges		95.2	100			Percent of total billed charges		112	100			Percent of total billed charges		112	100			Percent of total billed charges		112	33.3			Percent of total billed charges		37.296	33.3			Percent of total billed charges		37.296	100			Percent of total billed charges		112	37.296	100.8	
cortex screw 2.7 x 16 202.876 synthes	278	RC	Outpatient			112	72.8		90			Percent of total billed charges		100.8	40			Percent of total billed charges		44.8	80			Percent of total billed charges		89.6	90			Percent of total billed charges		100.8	85			Percent of total billed charges		95.2	85			Percent of total billed charges		95.2	85			Percent of total billed charges		95.2	100			Percent of total billed charges		112	100			Percent of total billed charges		112	100			Percent of total billed charges		112	33.3			Percent of total billed charges		37.296	33.3			Percent of total billed charges		37.296	100			Percent of total billed charges		112	37.296	100.8	
cortex screw 2.7 x 20 202.880 synthes	278	RC	Outpatient			112	72.8		90			Percent of total billed charges		100.8	40			Percent of total billed charges		44.8	80			Percent of total billed charges		89.6	90			Percent of total billed charges		100.8	85			Percent of total billed charges		95.2	85			Percent of total billed charges		95.2	85			Percent of total billed charges		95.2	100			Percent of total billed charges		112	100			Percent of total billed charges		112	100			Percent of total billed charges		112	33.3			Percent of total billed charges		37.296	33.3			Percent of total billed charges		37.296	100			Percent of total billed charges		112	37.296	100.8	
cortex screw 2.7 x 22 202.882 synthes	278	RC	Outpatient			112	72.8		90			Percent of total billed charges		100.8	40			Percent of total billed charges		44.8	80			Percent of total billed charges		89.6	90			Percent of total billed charges		100.8	85			Percent of total billed charges		95.2	85			Percent of total billed charges		95.2	85			Percent of total billed charges		95.2	100			Percent of total billed charges		112	100			Percent of total billed charges		112	100			Percent of total billed charges		112	33.3			Percent of total billed charges		37.296	33.3			Percent of total billed charges		37.296	100			Percent of total billed charges		112	37.296	100.8	
cortex screw 2.7 x 24 202.884 synthes	278	RC	Outpatient			112	72.8		90			Percent of total billed charges		100.8	40			Percent of total billed charges		44.8	80			Percent of total billed charges		89.6	90			Percent of total billed charges		100.8	85			Percent of total billed charges		95.2	85			Percent of total billed charges		95.2	85			Percent of total billed charges		95.2	100			Percent of total billed charges		112	100			Percent of total billed charges		112	100			Percent of total billed charges		112	33.3			Percent of total billed charges		37.296	33.3			Percent of total billed charges		37.296	100			Percent of total billed charges		112	37.296	100.8	
acumed hub cap plate post pl-wf50	278	RC	Outpatient			112	72.8		90			Percent of total billed charges		100.8	40			Percent of total billed charges		44.8	80			Percent of total billed charges		89.6	90			Percent of total billed charges		100.8	85			Percent of total billed charges		95.2	85			Percent of total billed charges		95.2	85			Percent of total billed charges		95.2	100			Percent of total billed charges		112	100			Percent of total billed charges		112	100			Percent of total billed charges		112	33.3			Percent of total billed charges		37.296	33.3			Percent of total billed charges		37.296	100			Percent of total billed charges		112	37.296	100.8	
cortex screw 2.7 x 12 202.872 synthes	278	RC	Outpatient			112	72.8		90			Percent of total billed charges		100.8	40			Percent of total billed charges		44.8	80			Percent of total billed charges		89.6	90			Percent of total billed charges		100.8	85			Percent of total billed charges		95.2	85			Percent of total billed charges		95.2	85			Percent of total billed charges		95.2	100			Percent of total billed charges		112	100			Percent of total billed charges		112	100			Percent of total billed charges		112	33.3			Percent of total billed charges		37.296	33.3			Percent of total billed charges		37.296	100			Percent of total billed charges		112	37.296	100.8	
cortex screw 2.7 x 14 202.874 synthes	278	RC	Outpatient			112	72.8		90			Percent of total billed charges		100.8	40			Percent of total billed charges		44.8	80			Percent of total billed charges		89.6	90			Percent of total billed charges		100.8	85			Percent of total billed charges		95.2	85			Percent of total billed charges		95.2	85			Percent of total billed charges		95.2	100			Percent of total billed charges		112	100			Percent of total billed charges		112	100			Percent of total billed charges		112	33.3			Percent of total billed charges		37.296	33.3			Percent of total billed charges		37.296	100			Percent of total billed charges		112	37.296	100.8	
cortex screw 2.7 x 18 202.878 synthes	278	RC	Outpatient			112	72.8		90			Percent of total billed charges		100.8	40			Percent of total billed charges		44.8	80			Percent of total billed charges		89.6	90			Percent of total billed charges		100.8	85			Percent of total billed charges		95.2	85			Percent of total billed charges		95.2	85			Percent of total billed charges		95.2	100			Percent of total billed charges		112	100			Percent of total billed charges		112	100			Percent of total billed charges		112	33.3			Percent of total billed charges		37.296	33.3			Percent of total billed charges		37.296	100			Percent of total billed charges		112	37.296	100.8	
hub cap plate post	278	RC	Outpatient			112	72.8		90			Percent of total billed charges		100.8	40			Percent of total billed charges		44.8	80			Percent of total billed charges		89.6	90			Percent of total billed charges		100.8	85			Percent of total billed charges		95.2	85			Percent of total billed charges		95.2	85			Percent of total billed charges		95.2	100			Percent of total billed charges		112	100			Percent of total billed charges		112	100			Percent of total billed charges		112	33.3			Percent of total billed charges		37.296	33.3			Percent of total billed charges		37.296	100			Percent of total billed charges		112	37.296	100.8	
syn 2.7 cortex scr	278	RC	Outpatient			112	72.8		90			Percent of total billed charges		100.8	40			Percent of total billed charges		44.8	80			Percent of total billed charges		89.6	90			Percent of total billed charges		100.8	85			Percent of total billed charges		95.2	85			Percent of total billed charges		95.2	85			Percent of total billed charges		95.2	100			Percent of total billed charges		112	100			Percent of total billed charges		112	100			Percent of total billed charges		112	33.3			Percent of total billed charges		37.296	33.3			Percent of total billed charges		37.296	100			Percent of total billed charges		112	37.296	100.8	
vitagel malleable extended applicator 2113-0002 s	272	RC	Outpatient			112	72.8		90			Percent of total billed charges		100.8	40			Percent of total billed charges		44.8	80			Percent of total billed charges		89.6	90			Percent of total billed charges		100.8	85			Percent of total billed charges		95.2	85			Percent of total billed charges		95.2	85			Percent of total billed charges		95.2	100			Percent of total billed charges		112	100			Percent of total billed charges		112	100			Percent of total billed charges		112	33.3			Percent of total billed charges		37.296	33.3			Percent of total billed charges		37.296	100			Percent of total billed charges		112	37.296	100.8	
vitagel malluable tip	272	RC	Outpatient			112	72.8		90			Percent of total billed charges		100.8	40			Percent of total billed charges		44.8	80			Percent of total billed charges		89.6	90			Percent of total billed charges		100.8	85			Percent of total billed charges		95.2	85			Percent of total billed charges		95.2	85			Percent of total billed charges		95.2	100			Percent of total billed charges		112	100			Percent of total billed charges		112	100			Percent of total billed charges		112	33.3			Percent of total billed charges		37.296	33.3			Percent of total billed charges		37.296	100			Percent of total billed charges		112	37.296	100.8	
cannulated screw ss washer 390019 stryker	278	RC	Outpatient			113	73.45		90			Percent of total billed charges		101.7	40			Percent of total billed charges		45.2	80			Percent of total billed charges		90.4	90			Percent of total billed charges		101.7	85			Percent of total billed charges		96.05	85			Percent of total billed charges		96.05	85			Percent of total billed charges		96.05	100			Percent of total billed charges		113	100			Percent of total billed charges		113	100			Percent of total billed charges		113	33.3			Percent of total billed charges		37.629	33.3			Percent of total billed charges		37.629	100			Percent of total billed charges		113	37.629	101.7	
a-trac grasping sys	272	RC	Outpatient			113	73.45		90			Percent of total billed charges		101.7	40			Percent of total billed charges		45.2	80			Percent of total billed charges		90.4	90			Percent of total billed charges		101.7	85			Percent of total billed charges		96.05	85			Percent of total billed charges		96.05	85			Percent of total billed charges		96.05	100			Percent of total billed charges		113	100			Percent of total billed charges		113	100			Percent of total billed charges		113	33.3			Percent of total billed charges		37.629	33.3			Percent of total billed charges		37.629	100			Percent of total billed charges		113	37.629	101.7	
a-trac grasping system c4120 applied med	272	RC	Outpatient			113	73.45		90			Percent of total billed charges		101.7	40			Percent of total billed charges		45.2	80			Percent of total billed charges		90.4	90			Percent of total billed charges		101.7	85			Percent of total billed charges		96.05	85			Percent of total billed charges		96.05	85			Percent of total billed charges		96.05	100			Percent of total billed charges		113	100			Percent of total billed charges		113	100			Percent of total billed charges		113	33.3			Percent of total billed charges		37.629	33.3			Percent of total billed charges		37.629	100			Percent of total billed charges		113	37.629	101.7	
miami collar	272	RC	Outpatient			113	73.45		90			Percent of total billed charges		101.7	40			Percent of total billed charges		45.2	80			Percent of total billed charges		90.4	90			Percent of total billed charges		101.7	85			Percent of total billed charges		96.05	85			Percent of total billed charges		96.05	85			Percent of total billed charges		96.05	100			Percent of total billed charges		113	100			Percent of total billed charges		113	100			Percent of total billed charges		113	33.3			Percent of total billed charges		37.629	33.3			Percent of total billed charges		37.629	100			Percent of total billed charges		113	37.629	101.7	
miami j collar 79-83201 mj200s procare	272	RC	Outpatient			113	73.45		90			Percent of total billed charges		101.7	40			Percent of total billed charges		45.2	80			Percent of total billed charges		90.4	90			Percent of total billed charges		101.7	85			Percent of total billed charges		96.05	85			Percent of total billed charges		96.05	85			Percent of total billed charges		96.05	100			Percent of total billed charges		113	100			Percent of total billed charges		113	100			Percent of total billed charges		113	33.3			Percent of total billed charges		37.629	33.3			Percent of total billed charges		37.629	100			Percent of total billed charges		113	37.629	101.7	
lone star disposabl stays	270	RC	Outpatient			113	73.45		90			Percent of total billed charges		101.7	40			Percent of total billed charges		45.2	80			Percent of total billed charges		90.4	90			Percent of total billed charges		101.7	85			Percent of total billed charges		96.05	85			Percent of total billed charges		96.05	85			Percent of total billed charges		96.05	100			Percent of total billed charges		113	100			Percent of total billed charges		113	100			Percent of total billed charges		113	33.3			Percent of total billed charges		37.629	33.3			Percent of total billed charges		37.629	100			Percent of total billed charges		113	37.629	101.7	
lone star retractor	270	RC	Outpatient			113	73.45		90			Percent of total billed charges		101.7	40			Percent of total billed charges		45.2	80			Percent of total billed charges		90.4	90			Percent of total billed charges		101.7	85			Percent of total billed charges		96.05	85			Percent of total billed charges		96.05	85			Percent of total billed charges		96.05	100			Percent of total billed charges		113	100			Percent of total billed charges		113	100			Percent of total billed charges		113	33.3			Percent of total billed charges		37.629	33.3			Percent of total billed charges		37.629	100			Percent of total billed charges		113	37.629	101.7	
miami j collar 79-83203 mj300 procare	272	RC	Outpatient			113	73.45		90			Percent of total billed charges		101.7	40			Percent of total billed charges		45.2	80			Percent of total billed charges		90.4	90			Percent of total billed charges		101.7	85			Percent of total billed charges		96.05	85			Percent of total billed charges		96.05	85			Percent of total billed charges		96.05	100			Percent of total billed charges		113	100			Percent of total billed charges		113	100			Percent of total billed charges		113	33.3			Percent of total billed charges		37.629	33.3			Percent of total billed charges		37.629	100			Percent of total billed charges		113	37.629	101.7	
miami j collar 79-83205 mj400 procare	272	RC	Outpatient			113	73.45		90			Percent of total billed charges		101.7	40			Percent of total billed charges		45.2	80			Percent of total billed charges		90.4	90			Percent of total billed charges		101.7	85			Percent of total billed charges		96.05	85			Percent of total billed charges		96.05	85			Percent of total billed charges		96.05	100			Percent of total billed charges		113	100			Percent of total billed charges		113	100			Percent of total billed charges		113	33.3			Percent of total billed charges		37.629	33.3			Percent of total billed charges		37.629	100			Percent of total billed charges		113	37.629	101.7	
miami j collar 79-83207 mj500 procare	272	RC	Outpatient			113	73.45		90			Percent of total billed charges		101.7	40			Percent of total billed charges		45.2	80			Percent of total billed charges		90.4	90			Percent of total billed charges		101.7	85			Percent of total billed charges		96.05	85			Percent of total billed charges		96.05	85			Percent of total billed charges		96.05	100			Percent of total billed charges		113	100			Percent of total billed charges		113	100			Percent of total billed charges		113	33.3			Percent of total billed charges		37.629	33.3			Percent of total billed charges		37.629	100			Percent of total billed charges		113	37.629	101.7	
miami j collar 79-83208 mj200l procare	272	RC	Outpatient			113	73.45		90			Percent of total billed charges		101.7	40			Percent of total billed charges		45.2	80			Percent of total billed charges		90.4	90			Percent of total billed charges		101.7	85			Percent of total billed charges		96.05	85			Percent of total billed charges		96.05	85			Percent of total billed charges		96.05	100			Percent of total billed charges		113	100			Percent of total billed charges		113	100			Percent of total billed charges		113	33.3			Percent of total billed charges		37.629	33.3			Percent of total billed charges		37.629	100			Percent of total billed charges		113	37.629	101.7	
pulsa vac hand control (battery) 5150-475 zimmer	270	RC	Outpatient			113	73.45		90			Percent of total billed charges		101.7	40			Percent of total billed charges		45.2	80			Percent of total billed charges		90.4	90			Percent of total billed charges		101.7	85			Percent of total billed charges		96.05	85			Percent of total billed charges		96.05	85			Percent of total billed charges		96.05	100			Percent of total billed charges		113	100			Percent of total billed charges		113	100			Percent of total billed charges		113	33.3			Percent of total billed charges		37.629	33.3			Percent of total billed charges		37.629	100			Percent of total billed charges		113	37.629	101.7	
ring plastic single use 3304g lone starr	270	RC	Outpatient			113	73.45		90			Percent of total billed charges		101.7	40			Percent of total billed charges		45.2	80			Percent of total billed charges		90.4	90			Percent of total billed charges		101.7	85			Percent of total billed charges		96.05	85			Percent of total billed charges		96.05	85			Percent of total billed charges		96.05	100			Percent of total billed charges		113	100			Percent of total billed charges		113	100			Percent of total billed charges		113	33.3			Percent of total billed charges		37.629	33.3			Percent of total billed charges		37.629	100			Percent of total billed charges		113	37.629	101.7	
stays elastic disp 5mm 3311-8g lone starr	270	RC	Outpatient			113	73.45		90			Percent of total billed charges		101.7	40			Percent of total billed charges		45.2	80			Percent of total billed charges		90.4	90			Percent of total billed charges		101.7	85			Percent of total billed charges		96.05	85			Percent of total billed charges		96.05	85			Percent of total billed charges		96.05	100			Percent of total billed charges		113	100			Percent of total billed charges		113	100			Percent of total billed charges		113	33.3			Percent of total billed charges		37.629	33.3			Percent of total billed charges		37.629	100			Percent of total billed charges		113	37.629	101.7	
pulsa vac hand control 5150-100 zimmer	270	RC	Outpatient			113	73.45		90			Percent of total billed charges		101.7	40			Percent of total billed charges		45.2	80			Percent of total billed charges		90.4	90			Percent of total billed charges		101.7	85			Percent of total billed charges		96.05	85			Percent of total billed charges		96.05	85			Percent of total billed charges		96.05	100			Percent of total billed charges		113	100			Percent of total billed charges		113	100			Percent of total billed charges		113	33.3			Percent of total billed charges		37.629	33.3			Percent of total billed charges		37.629	100			Percent of total billed charges		113	37.629	101.7	
pulsavac kit	270	RC	Outpatient			113	73.45		90			Percent of total billed charges		101.7	40			Percent of total billed charges		45.2	80			Percent of total billed charges		90.4	90			Percent of total billed charges		101.7	85			Percent of total billed charges		96.05	85			Percent of total billed charges		96.05	85			Percent of total billed charges		96.05	100			Percent of total billed charges		113	100			Percent of total billed charges		113	100			Percent of total billed charges		113	33.3			Percent of total billed charges		37.629	33.3			Percent of total billed charges		37.629	100			Percent of total billed charges		113	37.629	101.7	
s/n 4.0 titanium washer 7110-1000	278	RC	Outpatient			113	73.45		90			Percent of total billed charges		101.7	40			Percent of total billed charges		45.2	80			Percent of total billed charges		90.4	90			Percent of total billed charges		101.7	85			Percent of total billed charges		96.05	85			Percent of total billed charges		96.05	85			Percent of total billed charges		96.05	100			Percent of total billed charges		113	100			Percent of total billed charges		113	100			Percent of total billed charges		113	33.3			Percent of total billed charges		37.629	33.3			Percent of total billed charges		37.629	100			Percent of total billed charges		113	37.629	101.7	
stays elastic disp 12mm blunt 33508g lone starr	270	RC	Outpatient			113	73.45		90			Percent of total billed charges		101.7	40			Percent of total billed charges		45.2	80			Percent of total billed charges		90.4	90			Percent of total billed charges		101.7	85			Percent of total billed charges		96.05	85			Percent of total billed charges		96.05	85			Percent of total billed charges		96.05	100			Percent of total billed charges		113	100			Percent of total billed charges		113	100			Percent of total billed charges		113	33.3			Percent of total billed charges		37.629	33.3			Percent of total billed charges		37.629	100			Percent of total billed charges		113	37.629	101.7	
tube trach shiley 6dt	272	RC	Outpatient			113	73.45		90			Percent of total billed charges		101.7	40			Percent of total billed charges		45.2	80			Percent of total billed charges		90.4	90			Percent of total billed charges		101.7	85			Percent of total billed charges		96.05	85			Percent of total billed charges		96.05	85			Percent of total billed charges		96.05	100			Percent of total billed charges		113	100			Percent of total billed charges		113	100			Percent of total billed charges		113	33.3			Percent of total billed charges		37.629	33.3			Percent of total billed charges		37.629	100			Percent of total billed charges		113	37.629	101.7	
tube trach shiley 8dct	272	RC	Outpatient			113	73.45		90			Percent of total billed charges		101.7	40			Percent of total billed charges		45.2	80			Percent of total billed charges		90.4	90			Percent of total billed charges		101.7	85			Percent of total billed charges		96.05	85			Percent of total billed charges		96.05	85			Percent of total billed charges		96.05	100			Percent of total billed charges		113	100			Percent of total billed charges		113	100			Percent of total billed charges		113	33.3			Percent of total billed charges		37.629	33.3			Percent of total billed charges		37.629	100			Percent of total billed charges		113	37.629	101.7	
washer 4.0 390018 styrker	278	RC	Outpatient			113	73.45		90			Percent of total billed charges		101.7	40			Percent of total billed charges		45.2	80			Percent of total billed charges		90.4	90			Percent of total billed charges		101.7	85			Percent of total billed charges		96.05	85			Percent of total billed charges		96.05	85			Percent of total billed charges		96.05	100			Percent of total billed charges		113	100			Percent of total billed charges		113	100			Percent of total billed charges		113	33.3			Percent of total billed charges		37.629	33.3			Percent of total billed charges		37.629	100			Percent of total billed charges		113	37.629	101.7	
washer 4.0 x 8mm a390014 s/n	278	RC	Outpatient			113	73.45		90			Percent of total billed charges		101.7	40			Percent of total billed charges		45.2	80			Percent of total billed charges		90.4	90			Percent of total billed charges		101.7	85			Percent of total billed charges		96.05	85			Percent of total billed charges		96.05	85			Percent of total billed charges		96.05	100			Percent of total billed charges		113	100			Percent of total billed charges		113	100			Percent of total billed charges		113	33.3			Percent of total billed charges		37.629	33.3			Percent of total billed charges		37.629	100			Percent of total billed charges		113	37.629	101.7	
wound vac dressing med m6275052.10  m8275052/5 m8275052/10	272	RC	Outpatient			113	73.45		90			Percent of total billed charges		101.7	40			Percent of total billed charges		45.2	80			Percent of total billed charges		90.4	90			Percent of total billed charges		101.7	85			Percent of total billed charges		96.05	85			Percent of total billed charges		96.05	85			Percent of total billed charges		96.05	100			Percent of total billed charges		113	100			Percent of total billed charges		113	100			Percent of total billed charges		113	33.3			Percent of total billed charges		37.629	33.3			Percent of total billed charges		37.629	100			Percent of total billed charges		113	37.629	101.7	
vac dressing medium	272	RC	Outpatient			113	73.45		90			Percent of total billed charges		101.7	40			Percent of total billed charges		45.2	80			Percent of total billed charges		90.4	90			Percent of total billed charges		101.7	85			Percent of total billed charges		96.05	85			Percent of total billed charges		96.05	85			Percent of total billed charges		96.05	100			Percent of total billed charges		113	100			Percent of total billed charges		113	100			Percent of total billed charges		113	33.3			Percent of total billed charges		37.629	33.3			Percent of total billed charges		37.629	100			Percent of total billed charges		113	37.629	101.7	
washer 10.0mm 219.91	278	RC	Outpatient			113	73.45		90			Percent of total billed charges		101.7	40			Percent of total billed charges		45.2	80			Percent of total billed charges		90.4	90			Percent of total billed charges		101.7	85			Percent of total billed charges		96.05	85			Percent of total billed charges		96.05	85			Percent of total billed charges		96.05	100			Percent of total billed charges		113	100			Percent of total billed charges		113	100			Percent of total billed charges		113	33.3			Percent of total billed charges		37.629	33.3			Percent of total billed charges		37.629	100			Percent of total billed charges		113	37.629	101.7	
washer 4.0 x 8mm 7112-0006 s/n	278	RC	Outpatient			113	73.45		90			Percent of total billed charges		101.7	40			Percent of total billed charges		45.2	80			Percent of total billed charges		90.4	90			Percent of total billed charges		101.7	85			Percent of total billed charges		96.05	85			Percent of total billed charges		96.05	85			Percent of total billed charges		96.05	100			Percent of total billed charges		113	100			Percent of total billed charges		113	100			Percent of total billed charges		113	33.3			Percent of total billed charges		37.629	33.3			Percent of total billed charges		37.629	100			Percent of total billed charges		113	37.629	101.7	
"washer, 4.0, small"	278	RC	Outpatient			113	73.45		90			Percent of total billed charges		101.7	40			Percent of total billed charges		45.2	80			Percent of total billed charges		90.4	90			Percent of total billed charges		101.7	85			Percent of total billed charges		96.05	85			Percent of total billed charges		96.05	85			Percent of total billed charges		96.05	100			Percent of total billed charges		113	100			Percent of total billed charges		113	100			Percent of total billed charges		113	33.3			Percent of total billed charges		37.629	33.3			Percent of total billed charges		37.629	100			Percent of total billed charges		113	37.629	101.7	
wound vac med black spong	272	RC	Outpatient			113	73.45		90			Percent of total billed charges		101.7	40			Percent of total billed charges		45.2	80			Percent of total billed charges		90.4	90			Percent of total billed charges		101.7	85			Percent of total billed charges		96.05	85			Percent of total billed charges		96.05	85			Percent of total billed charges		96.05	100			Percent of total billed charges		113	100			Percent of total billed charges		113	100			Percent of total billed charges		113	33.3			Percent of total billed charges		37.629	33.3			Percent of total billed charges		37.629	100			Percent of total billed charges		113	37.629	101.7	
awl tapered 3.8mm 7220-2621 s/n	272	RC	Outpatient			114	74.1		90			Percent of total billed charges		102.6	40			Percent of total billed charges		45.6	80			Percent of total billed charges		91.2	90			Percent of total billed charges		102.6	85			Percent of total billed charges		96.9	85			Percent of total billed charges		96.9	85			Percent of total billed charges		96.9	100			Percent of total billed charges		114	100			Percent of total billed charges		114	100			Percent of total billed charges		114	33.3			Percent of total billed charges		37.962	33.3			Percent of total billed charges		37.962	100			Percent of total billed charges		114	37.962	102.6	
fiberglass short leg ed charge scnt	270	RC	Outpatient			114	74.1		90			Percent of total billed charges		102.6	40			Percent of total billed charges		45.6	80			Percent of total billed charges		91.2	90			Percent of total billed charges		102.6	85			Percent of total billed charges		96.9	85			Percent of total billed charges		96.9	85			Percent of total billed charges		96.9	100			Percent of total billed charges		114	100			Percent of total billed charges		114	100			Percent of total billed charges		114	33.3			Percent of total billed charges		37.962	33.3			Percent of total billed charges		37.962	100			Percent of total billed charges		114	37.962	102.6	
kit chest drainage unit thoraseal 713308	270	RC	Outpatient			114	74.1		90			Percent of total billed charges		102.6	40			Percent of total billed charges		45.6	80			Percent of total billed charges		91.2	90			Percent of total billed charges		102.6	85			Percent of total billed charges		96.9	85			Percent of total billed charges		96.9	85			Percent of total billed charges		96.9	100			Percent of total billed charges		114	100			Percent of total billed charges		114	100			Percent of total billed charges		114	33.3			Percent of total billed charges		37.962	33.3			Percent of total billed charges		37.962	100			Percent of total billed charges		114	37.962	102.6	
pt re evaluation charge	420	RC	Outpatient			114	74.1		90			Percent of total billed charges		102.6	40			Percent of total billed charges		45.6	80			Percent of total billed charges		91.2	90			Percent of total billed charges		102.6	85			Percent of total billed charges		96.9	85			Percent of total billed charges		96.9	85			Percent of total billed charges		96.9	100			Percent of total billed charges		114	100			Percent of total billed charges		114	100			Percent of total billed charges		114	33.3			Percent of total billed charges		37.962	33.3			Percent of total billed charges		37.962	100			Percent of total billed charges		114	37.962	102.6	
reevaluation units	420	RC	Outpatient			114	74.1		90			Percent of total billed charges		102.6	40			Percent of total billed charges		45.6	80			Percent of total billed charges		91.2	90			Percent of total billed charges		102.6	85			Percent of total billed charges		96.9	85			Percent of total billed charges		96.9	85			Percent of total billed charges		96.9	100			Percent of total billed charges		114	100			Percent of total billed charges		114	100			Percent of total billed charges		114	33.3			Percent of total billed charges		37.962	33.3			Percent of total billed charges		37.962	100			Percent of total billed charges		114	37.962	102.6	
standard gold sizing set	270	RC	Outpatient			114	74.1		90			Percent of total billed charges		102.6	40			Percent of total billed charges		45.6	80			Percent of total billed charges		91.2	90			Percent of total billed charges		102.6	85			Percent of total billed charges		96.9	85			Percent of total billed charges		96.9	85			Percent of total billed charges		96.9	100			Percent of total billed charges		114	100			Percent of total billed charges		114	100			Percent of total billed charges		114	33.3			Percent of total billed charges		37.962	33.3			Percent of total billed charges		37.962	100			Percent of total billed charges		114	37.962	102.6	
state ddu	460	RC	Outpatient			114	74.1		90			Percent of total billed charges		102.6	40			Percent of total billed charges		45.6	80			Percent of total billed charges		91.2	90			Percent of total billed charges		102.6	85			Percent of total billed charges		96.9	85			Percent of total billed charges		96.9	85			Percent of total billed charges		96.9	100			Percent of total billed charges		114	100			Percent of total billed charges		114	100			Percent of total billed charges		114	33.3			Percent of total billed charges		37.962	33.3			Percent of total billed charges		37.962	100			Percent of total billed charges		114	37.962	102.6	
thora drain	270	RC	Outpatient			114	74.1		90			Percent of total billed charges		102.6	40			Percent of total billed charges		45.6	80			Percent of total billed charges		91.2	90			Percent of total billed charges		102.6	85			Percent of total billed charges		96.9	85			Percent of total billed charges		96.9	85			Percent of total billed charges		96.9	100			Percent of total billed charges		114	100			Percent of total billed charges		114	100			Percent of total billed charges		114	33.3			Percent of total billed charges		37.962	33.3			Percent of total billed charges		37.962	100			Percent of total billed charges		114	37.962	102.6	
arm drape ref 470015 isi	272	RC	Outpatient			114.4	74.36		90			Percent of total billed charges		102.96	40			Percent of total billed charges		45.76	80			Percent of total billed charges		91.52	90			Percent of total billed charges		102.96	85			Percent of total billed charges		97.24	85			Percent of total billed charges		97.24	85			Percent of total billed charges		97.24	100			Percent of total billed charges		114.4	100			Percent of total billed charges		114.4	100			Percent of total billed charges		114.4	33.3			Percent of total billed charges		38.0952	33.3			Percent of total billed charges		38.0952	100			Percent of total billed charges		114.4	38.0952	102.96	
dressing torso burn 36inx36in d10-5108	270	RC	Outpatient			115	74.75		90			Percent of total billed charges		103.5	40			Percent of total billed charges		46	80			Percent of total billed charges		92	90			Percent of total billed charges		103.5	85			Percent of total billed charges		97.75	85			Percent of total billed charges		97.75	85			Percent of total billed charges		97.75	100			Percent of total billed charges		115	100			Percent of total billed charges		115	100			Percent of total billed charges		115	33.3			Percent of total billed charges		38.295	33.3			Percent of total billed charges		38.295	100			Percent of total billed charges		115	38.295	103.5	
lorenz ht screw	278	RC	Outpatient			115	74.75		90			Percent of total billed charges		103.5	40			Percent of total billed charges		46	80			Percent of total billed charges		92	90			Percent of total billed charges		103.5	85			Percent of total billed charges		97.75	85			Percent of total billed charges		97.75	85			Percent of total billed charges		97.75	100			Percent of total billed charges		115	100			Percent of total billed charges		115	100			Percent of total billed charges		115	33.3			Percent of total billed charges		38.295	33.3			Percent of total billed charges		38.295	100			Percent of total billed charges		115	38.295	103.5	
minisite introducer 2mm	270	RC	Outpatient			115	74.75		90			Percent of total billed charges		103.5	40			Percent of total billed charges		46	80			Percent of total billed charges		92	90			Percent of total billed charges		103.5	85			Percent of total billed charges		97.75	85			Percent of total billed charges		97.75	85			Percent of total billed charges		97.75	100			Percent of total billed charges		115	100			Percent of total billed charges		115	100			Percent of total billed charges		115	33.3			Percent of total billed charges		38.295	33.3			Percent of total billed charges		38.295	100			Percent of total billed charges		115	38.295	103.5	
perc. sheath intro kit 8f	270	RC	Outpatient			115	74.75		90			Percent of total billed charges		103.5	40			Percent of total billed charges		46	80			Percent of total billed charges		92	90			Percent of total billed charges		103.5	85			Percent of total billed charges		97.75	85			Percent of total billed charges		97.75	85			Percent of total billed charges		97.75	100			Percent of total billed charges		115	100			Percent of total billed charges		115	100			Percent of total billed charges		115	33.3			Percent of total billed charges		38.295	33.3			Percent of total billed charges		38.295	100			Percent of total billed charges		115	38.295	103.5	
perc. sheath intro kit 8f ed charge scnt	450	RC	Outpatient			115	74.75		90			Percent of total billed charges		103.5	40			Percent of total billed charges		46	80			Percent of total billed charges		92	90			Percent of total billed charges		103.5	85			Percent of total billed charges		97.75	85			Percent of total billed charges		97.75	85			Percent of total billed charges		97.75	100			Percent of total billed charges		115	100			Percent of total billed charges		115	100			Percent of total billed charges		115	33.3			Percent of total billed charges		38.295	33.3			Percent of total billed charges		38.295	100			Percent of total billed charges		115	38.295	103.5	
torso burn dressing	270	RC	Outpatient			115	74.75		90			Percent of total billed charges		103.5	40			Percent of total billed charges		46	80			Percent of total billed charges		92	90			Percent of total billed charges		103.5	85			Percent of total billed charges		97.75	85			Percent of total billed charges		97.75	85			Percent of total billed charges		97.75	100			Percent of total billed charges		115	100			Percent of total billed charges		115	100			Percent of total billed charges		115	33.3			Percent of total billed charges		38.295	33.3			Percent of total billed charges		38.295	100			Percent of total billed charges		115	38.295	103.5	
"tube shiley #8,uncuff.fen"	270	RC	Outpatient			115	74.75		90			Percent of total billed charges		103.5	40			Percent of total billed charges		46	80			Percent of total billed charges		92	90			Percent of total billed charges		103.5	85			Percent of total billed charges		97.75	85			Percent of total billed charges		97.75	85			Percent of total billed charges		97.75	100			Percent of total billed charges		115	100			Percent of total billed charges		115	100			Percent of total billed charges		115	33.3			Percent of total billed charges		38.295	33.3			Percent of total billed charges		38.295	100			Percent of total billed charges		115	38.295	103.5	
"tube shiley #4,uncuff.fen"	270	RC	Outpatient			115	74.75		90			Percent of total billed charges		103.5	40			Percent of total billed charges		46	80			Percent of total billed charges		92	90			Percent of total billed charges		103.5	85			Percent of total billed charges		97.75	85			Percent of total billed charges		97.75	85			Percent of total billed charges		97.75	100			Percent of total billed charges		115	100			Percent of total billed charges		115	100			Percent of total billed charges		115	33.3			Percent of total billed charges		38.295	33.3			Percent of total billed charges		38.295	100			Percent of total billed charges		115	38.295	103.5	
"tube shiley #6,uncuff.fen"	270	RC	Outpatient			115	74.75		90			Percent of total billed charges		103.5	40			Percent of total billed charges		46	80			Percent of total billed charges		92	90			Percent of total billed charges		103.5	85			Percent of total billed charges		97.75	85			Percent of total billed charges		97.75	85			Percent of total billed charges		97.75	100			Percent of total billed charges		115	100			Percent of total billed charges		115	100			Percent of total billed charges		115	33.3			Percent of total billed charges		38.295	33.3			Percent of total billed charges		38.295	100			Percent of total billed charges		115	38.295	103.5	
heparin kit	270	RC	Outpatient			116	75.4		90			Percent of total billed charges		104.4	40			Percent of total billed charges		46.4	80			Percent of total billed charges		92.8	90			Percent of total billed charges		104.4	85			Percent of total billed charges		98.6	85			Percent of total billed charges		98.6	85			Percent of total billed charges		98.6	100			Percent of total billed charges		116	100			Percent of total billed charges		116	100			Percent of total billed charges		116	33.3			Percent of total billed charges		38.628	33.3			Percent of total billed charges		38.628	100			Percent of total billed charges		116	38.628	104.4	
scrmc heparin kit	270	RC	Outpatient			116	75.4		90			Percent of total billed charges		104.4	40			Percent of total billed charges		46.4	80			Percent of total billed charges		92.8	90			Percent of total billed charges		104.4	85			Percent of total billed charges		98.6	85			Percent of total billed charges		98.6	85			Percent of total billed charges		98.6	100			Percent of total billed charges		116	100			Percent of total billed charges		116	100			Percent of total billed charges		116	33.3			Percent of total billed charges		38.628	33.3			Percent of total billed charges		38.628	100			Percent of total billed charges		116	38.628	104.4	
scrmc kit tru close suction drain	270	RC	Outpatient			116	75.4		90			Percent of total billed charges		104.4	40			Percent of total billed charges		46.4	80			Percent of total billed charges		92.8	90			Percent of total billed charges		104.4	85			Percent of total billed charges		98.6	85			Percent of total billed charges		98.6	85			Percent of total billed charges		98.6	100			Percent of total billed charges		116	100			Percent of total billed charges		116	100			Percent of total billed charges		116	33.3			Percent of total billed charges		38.628	33.3			Percent of total billed charges		38.628	100			Percent of total billed charges		116	38.628	104.4	
surgisleeve xl	272	RC	Outpatient			116	75.4		90			Percent of total billed charges		104.4	40			Percent of total billed charges		46.4	80			Percent of total billed charges		92.8	90			Percent of total billed charges		104.4	85			Percent of total billed charges		98.6	85			Percent of total billed charges		98.6	85			Percent of total billed charges		98.6	100			Percent of total billed charges		116	100			Percent of total billed charges		116	100			Percent of total billed charges		116	33.3			Percent of total billed charges		38.628	33.3			Percent of total billed charges		38.628	100			Percent of total billed charges		116	38.628	104.4	
surgsleeve xl wpxlgr1117	272	RC	Outpatient			116	75.4		90			Percent of total billed charges		104.4	40			Percent of total billed charges		46.4	80			Percent of total billed charges		92.8	90			Percent of total billed charges		104.4	85			Percent of total billed charges		98.6	85			Percent of total billed charges		98.6	85			Percent of total billed charges		98.6	100			Percent of total billed charges		116	100			Percent of total billed charges		116	100			Percent of total billed charges		116	33.3			Percent of total billed charges		38.628	33.3			Percent of total billed charges		38.628	100			Percent of total billed charges		116	38.628	104.4	
s/n washer ss	278	RC	Outpatient			116	75.4		90			Percent of total billed charges		104.4	40			Percent of total billed charges		46.4	80			Percent of total billed charges		92.8	90			Percent of total billed charges		104.4	85			Percent of total billed charges		98.6	85			Percent of total billed charges		98.6	85			Percent of total billed charges		98.6	100			Percent of total billed charges		116	100			Percent of total billed charges		116	100			Percent of total billed charges		116	33.3			Percent of total billed charges		38.628	33.3			Percent of total billed charges		38.628	100			Percent of total billed charges		116	38.628	104.4	
tru close suction drain k	270	RC	Outpatient			116	75.4		90			Percent of total billed charges		104.4	40			Percent of total billed charges		46.4	80			Percent of total billed charges		92.8	90			Percent of total billed charges		104.4	85			Percent of total billed charges		98.6	85			Percent of total billed charges		98.6	85			Percent of total billed charges		98.6	100			Percent of total billed charges		116	100			Percent of total billed charges		116	100			Percent of total billed charges		116	33.3			Percent of total billed charges		38.628	33.3			Percent of total billed charges		38.628	100			Percent of total billed charges		116	38.628	104.4	
washer 1216-80	278	RC	Outpatient			116	75.4		90			Percent of total billed charges		104.4	40			Percent of total billed charges		46.4	80			Percent of total billed charges		92.8	90			Percent of total billed charges		104.4	85			Percent of total billed charges		98.6	85			Percent of total billed charges		98.6	85			Percent of total billed charges		98.6	100			Percent of total billed charges		116	100			Percent of total billed charges		116	100			Percent of total billed charges		116	33.3			Percent of total billed charges		38.628	33.3			Percent of total billed charges		38.628	100			Percent of total billed charges		116	38.628	104.4	
acumed bone screw 2.1mm x 12.0mm co-f2112	278	RC	Outpatient			117	76.05		90			Percent of total billed charges		105.3	40			Percent of total billed charges		46.8	80			Percent of total billed charges		93.6	90			Percent of total billed charges		105.3	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	100			Percent of total billed charges		117	100			Percent of total billed charges		117	100			Percent of total billed charges		117	33.3			Percent of total billed charges		38.961	33.3			Percent of total billed charges		38.961	100			Percent of total billed charges		117	38.961	105.3	
acumed bone screw 2.1mm x 6.0mm co-f2106	278	RC	Outpatient			117	76.05		90			Percent of total billed charges		105.3	40			Percent of total billed charges		46.8	80			Percent of total billed charges		93.6	90			Percent of total billed charges		105.3	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	100			Percent of total billed charges		117	100			Percent of total billed charges		117	100			Percent of total billed charges		117	33.3			Percent of total billed charges		38.961	33.3			Percent of total billed charges		38.961	100			Percent of total billed charges		117	38.961	105.3	
acumed bone screw 2.1mm x 8.0mm co-f2108	278	RC	Outpatient			117	76.05		90			Percent of total billed charges		105.3	40			Percent of total billed charges		46.8	80			Percent of total billed charges		93.6	90			Percent of total billed charges		105.3	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	100			Percent of total billed charges		117	100			Percent of total billed charges		117	100			Percent of total billed charges		117	33.3			Percent of total billed charges		38.961	33.3			Percent of total billed charges		38.961	100			Percent of total billed charges		117	38.961	105.3	
acumed bone screw 2.7mm x 12.0mm co-f2712	278	RC	Outpatient			117	76.05		90			Percent of total billed charges		105.3	40			Percent of total billed charges		46.8	80			Percent of total billed charges		93.6	90			Percent of total billed charges		105.3	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	100			Percent of total billed charges		117	100			Percent of total billed charges		117	100			Percent of total billed charges		117	33.3			Percent of total billed charges		38.961	33.3			Percent of total billed charges		38.961	100			Percent of total billed charges		117	38.961	105.3	
acumed bone screw 2.7mm x 14.0mm co-f2714	278	RC	Outpatient			117	76.05		90			Percent of total billed charges		105.3	40			Percent of total billed charges		46.8	80			Percent of total billed charges		93.6	90			Percent of total billed charges		105.3	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	100			Percent of total billed charges		117	100			Percent of total billed charges		117	100			Percent of total billed charges		117	33.3			Percent of total billed charges		38.961	33.3			Percent of total billed charges		38.961	100			Percent of total billed charges		117	38.961	105.3	
acumed bone screw 2.7mm x 6.0mm co-f2706	278	RC	Outpatient			117	76.05		90			Percent of total billed charges		105.3	40			Percent of total billed charges		46.8	80			Percent of total billed charges		93.6	90			Percent of total billed charges		105.3	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	100			Percent of total billed charges		117	100			Percent of total billed charges		117	100			Percent of total billed charges		117	33.3			Percent of total billed charges		38.961	33.3			Percent of total billed charges		38.961	100			Percent of total billed charges		117	38.961	105.3	
acumed bone screws	278	RC	Outpatient			117	76.05		90			Percent of total billed charges		105.3	40			Percent of total billed charges		46.8	80			Percent of total billed charges		93.6	90			Percent of total billed charges		105.3	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	100			Percent of total billed charges		117	100			Percent of total billed charges		117	100			Percent of total billed charges		117	33.3			Percent of total billed charges		38.961	33.3			Percent of total billed charges		38.961	100			Percent of total billed charges		117	38.961	105.3	
acumed bone screw 2.1mm x 10.0mm co-f2110	278	RC	Outpatient			117	76.05		90			Percent of total billed charges		105.3	40			Percent of total billed charges		46.8	80			Percent of total billed charges		93.6	90			Percent of total billed charges		105.3	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	100			Percent of total billed charges		117	100			Percent of total billed charges		117	100			Percent of total billed charges		117	33.3			Percent of total billed charges		38.961	33.3			Percent of total billed charges		38.961	100			Percent of total billed charges		117	38.961	105.3	
acumed bone screw 2.1mm x 14.0mm co-f2114	278	RC	Outpatient			117	76.05		90			Percent of total billed charges		105.3	40			Percent of total billed charges		46.8	80			Percent of total billed charges		93.6	90			Percent of total billed charges		105.3	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	100			Percent of total billed charges		117	100			Percent of total billed charges		117	100			Percent of total billed charges		117	33.3			Percent of total billed charges		38.961	33.3			Percent of total billed charges		38.961	100			Percent of total billed charges		117	38.961	105.3	
acumed bone screw 2.1mm x 16.0mm co-f2116	278	RC	Outpatient			117	76.05		90			Percent of total billed charges		105.3	40			Percent of total billed charges		46.8	80			Percent of total billed charges		93.6	90			Percent of total billed charges		105.3	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	100			Percent of total billed charges		117	100			Percent of total billed charges		117	100			Percent of total billed charges		117	33.3			Percent of total billed charges		38.961	33.3			Percent of total billed charges		38.961	100			Percent of total billed charges		117	38.961	105.3	
acumed bone screw 2.7mm x 10.0mm co-f2710	278	RC	Outpatient			117	76.05		90			Percent of total billed charges		105.3	40			Percent of total billed charges		46.8	80			Percent of total billed charges		93.6	90			Percent of total billed charges		105.3	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	100			Percent of total billed charges		117	100			Percent of total billed charges		117	100			Percent of total billed charges		117	33.3			Percent of total billed charges		38.961	33.3			Percent of total billed charges		38.961	100			Percent of total billed charges		117	38.961	105.3	
acumed bone screw 2.7mm x 16.0mm co-f2716	278	RC	Outpatient			117	76.05		90			Percent of total billed charges		105.3	40			Percent of total billed charges		46.8	80			Percent of total billed charges		93.6	90			Percent of total billed charges		105.3	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	100			Percent of total billed charges		117	100			Percent of total billed charges		117	100			Percent of total billed charges		117	33.3			Percent of total billed charges		38.961	33.3			Percent of total billed charges		38.961	100			Percent of total billed charges		117	38.961	105.3	
acumed bone screw 2.7mm x 8.0mm co-f2708	278	RC	Outpatient			117	76.05		90			Percent of total billed charges		105.3	40			Percent of total billed charges		46.8	80			Percent of total billed charges		93.6	90			Percent of total billed charges		105.3	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	100			Percent of total billed charges		117	100			Percent of total billed charges		117	100			Percent of total billed charges		117	33.3			Percent of total billed charges		38.961	33.3			Percent of total billed charges		38.961	100			Percent of total billed charges		117	38.961	105.3	
filiform	270	RC	Outpatient			117	76.05		90			Percent of total billed charges		105.3	40			Percent of total billed charges		46.8	80			Percent of total billed charges		93.6	90			Percent of total billed charges		105.3	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	100			Percent of total billed charges		117	100			Percent of total billed charges		117	100			Percent of total billed charges		117	33.3			Percent of total billed charges		38.961	33.3			Percent of total billed charges		38.961	100			Percent of total billed charges		117	38.961	105.3	
proximate tx 60mm linear cutter 3.5mm reload xr60b ethicon	272	RC	Outpatient			117	76.05		90			Percent of total billed charges		105.3	40			Percent of total billed charges		46.8	80			Percent of total billed charges		93.6	90			Percent of total billed charges		105.3	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	100			Percent of total billed charges		117	100			Percent of total billed charges		117	100			Percent of total billed charges		117	33.3			Percent of total billed charges		38.961	33.3			Percent of total billed charges		38.961	100			Percent of total billed charges		117	38.961	105.3	
screw 2.4 x 14mm cortex s/n 7240-2414n	278	RC	Outpatient			117	76.05		90			Percent of total billed charges		105.3	40			Percent of total billed charges		46.8	80			Percent of total billed charges		93.6	90			Percent of total billed charges		105.3	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	100			Percent of total billed charges		117	100			Percent of total billed charges		117	100			Percent of total billed charges		117	33.3			Percent of total billed charges		38.961	33.3			Percent of total billed charges		38.961	100			Percent of total billed charges		117	38.961	105.3	
screw 2.4 x 16mm cortex s/n 7240-2416n	278	RC	Outpatient			117	76.05		90			Percent of total billed charges		105.3	40			Percent of total billed charges		46.8	80			Percent of total billed charges		93.6	90			Percent of total billed charges		105.3	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	100			Percent of total billed charges		117	100			Percent of total billed charges		117	100			Percent of total billed charges		117	33.3			Percent of total billed charges		38.961	33.3			Percent of total billed charges		38.961	100			Percent of total billed charges		117	38.961	105.3	
screw 2.4 x 8mm cortex s/n 7240-2408n	278	RC	Outpatient			117	76.05		90			Percent of total billed charges		105.3	40			Percent of total billed charges		46.8	80			Percent of total billed charges		93.6	90			Percent of total billed charges		105.3	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	100			Percent of total billed charges		117	100			Percent of total billed charges		117	100			Percent of total billed charges		117	33.3			Percent of total billed charges		38.961	33.3			Percent of total billed charges		38.961	100			Percent of total billed charges		117	38.961	105.3	
screw 2.4 x 9mm cortex s/n 7240-2409n	278	RC	Outpatient			117	76.05		90			Percent of total billed charges		105.3	40			Percent of total billed charges		46.8	80			Percent of total billed charges		93.6	90			Percent of total billed charges		105.3	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	100			Percent of total billed charges		117	100			Percent of total billed charges		117	100			Percent of total billed charges		117	33.3			Percent of total billed charges		38.961	33.3			Percent of total billed charges		38.961	100			Percent of total billed charges		117	38.961	105.3	
synthes 2.7 ti cortex screw 10mm 402.10	278	RC	Outpatient			117	76.05		90			Percent of total billed charges		105.3	40			Percent of total billed charges		46.8	80			Percent of total billed charges		93.6	90			Percent of total billed charges		105.3	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	100			Percent of total billed charges		117	100			Percent of total billed charges		117	100			Percent of total billed charges		117	33.3			Percent of total billed charges		38.961	33.3			Percent of total billed charges		38.961	100			Percent of total billed charges		117	38.961	105.3	
synthes 2.7 ti cortex screw 12mm 402.12	278	RC	Outpatient			117	76.05		90			Percent of total billed charges		105.3	40			Percent of total billed charges		46.8	80			Percent of total billed charges		93.6	90			Percent of total billed charges		105.3	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	100			Percent of total billed charges		117	100			Percent of total billed charges		117	100			Percent of total billed charges		117	33.3			Percent of total billed charges		38.961	33.3			Percent of total billed charges		38.961	100			Percent of total billed charges		117	38.961	105.3	
synthes 2.7 ti cortex screw 18mm 402.18	278	RC	Outpatient			117	76.05		90			Percent of total billed charges		105.3	40			Percent of total billed charges		46.8	80			Percent of total billed charges		93.6	90			Percent of total billed charges		105.3	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	100			Percent of total billed charges		117	100			Percent of total billed charges		117	100			Percent of total billed charges		117	33.3			Percent of total billed charges		38.961	33.3			Percent of total billed charges		38.961	100			Percent of total billed charges		117	38.961	105.3	
synthes 2.7 ti cortex screw 22mm 402.22	278	RC	Outpatient			117	76.05		90			Percent of total billed charges		105.3	40			Percent of total billed charges		46.8	80			Percent of total billed charges		93.6	90			Percent of total billed charges		105.3	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	100			Percent of total billed charges		117	100			Percent of total billed charges		117	100			Percent of total billed charges		117	33.3			Percent of total billed charges		38.961	33.3			Percent of total billed charges		38.961	100			Percent of total billed charges		117	38.961	105.3	
synthes 2.7 ti cortex screw 24mm 402.24	278	RC	Outpatient			117	76.05		90			Percent of total billed charges		105.3	40			Percent of total billed charges		46.8	80			Percent of total billed charges		93.6	90			Percent of total billed charges		105.3	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	100			Percent of total billed charges		117	100			Percent of total billed charges		117	100			Percent of total billed charges		117	33.3			Percent of total billed charges		38.961	33.3			Percent of total billed charges		38.961	100			Percent of total billed charges		117	38.961	105.3	
synthes 2.7 ti cortex screw 8mm 402.08	278	RC	Outpatient			117	76.05		90			Percent of total billed charges		105.3	40			Percent of total billed charges		46.8	80			Percent of total billed charges		93.6	90			Percent of total billed charges		105.3	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	100			Percent of total billed charges		117	100			Percent of total billed charges		117	100			Percent of total billed charges		117	33.3			Percent of total billed charges		38.961	33.3			Percent of total billed charges		38.961	100			Percent of total billed charges		117	38.961	105.3	
synthes 2.7 titanium cortex 14mm screw 402.814	278	RC	Outpatient			117	76.05		90			Percent of total billed charges		105.3	40			Percent of total billed charges		46.8	80			Percent of total billed charges		93.6	90			Percent of total billed charges		105.3	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	100			Percent of total billed charges		117	100			Percent of total billed charges		117	100			Percent of total billed charges		117	33.3			Percent of total billed charges		38.961	33.3			Percent of total billed charges		38.961	100			Percent of total billed charges		117	38.961	105.3	
synthes 2.7 titanium cortex 16mm screw 402.816	278	RC	Outpatient			117	76.05		90			Percent of total billed charges		105.3	40			Percent of total billed charges		46.8	80			Percent of total billed charges		93.6	90			Percent of total billed charges		105.3	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	100			Percent of total billed charges		117	100			Percent of total billed charges		117	100			Percent of total billed charges		117	33.3			Percent of total billed charges		38.961	33.3			Percent of total billed charges		38.961	100			Percent of total billed charges		117	38.961	105.3	
synthes 2.7 titanium cortex 18mm screw 402.818	278	RC	Outpatient			117	76.05		90			Percent of total billed charges		105.3	40			Percent of total billed charges		46.8	80			Percent of total billed charges		93.6	90			Percent of total billed charges		105.3	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	100			Percent of total billed charges		117	100			Percent of total billed charges		117	100			Percent of total billed charges		117	33.3			Percent of total billed charges		38.961	33.3			Percent of total billed charges		38.961	100			Percent of total billed charges		117	38.961	105.3	
synthes 2.7 titanium cortex 24mm screw 402.824	278	RC	Outpatient			117	76.05		90			Percent of total billed charges		105.3	40			Percent of total billed charges		46.8	80			Percent of total billed charges		93.6	90			Percent of total billed charges		105.3	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	100			Percent of total billed charges		117	100			Percent of total billed charges		117	100			Percent of total billed charges		117	33.3			Percent of total billed charges		38.961	33.3			Percent of total billed charges		38.961	100			Percent of total billed charges		117	38.961	105.3	
synthes titanium cortex 22mm screw 402.822	278	RC	Outpatient			117	76.05		90			Percent of total billed charges		105.3	40			Percent of total billed charges		46.8	80			Percent of total billed charges		93.6	90			Percent of total billed charges		105.3	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	100			Percent of total billed charges		117	100			Percent of total billed charges		117	100			Percent of total billed charges		117	33.3			Percent of total billed charges		38.961	33.3			Percent of total billed charges		38.961	100			Percent of total billed charges		117	38.961	105.3	
proximate tx 60mm linear cutter 4.8mm reload xr60g ethicon	272	RC	Outpatient			117	76.05		90			Percent of total billed charges		105.3	40			Percent of total billed charges		46.8	80			Percent of total billed charges		93.6	90			Percent of total billed charges		105.3	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	100			Percent of total billed charges		117	100			Percent of total billed charges		117	100			Percent of total billed charges		117	33.3			Percent of total billed charges		38.961	33.3			Percent of total billed charges		38.961	100			Percent of total billed charges		117	38.961	105.3	
screw 2.4 evos non-locking	278	RC	Outpatient			117	76.05		90			Percent of total billed charges		105.3	40			Percent of total billed charges		46.8	80			Percent of total billed charges		93.6	90			Percent of total billed charges		105.3	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	100			Percent of total billed charges		117	100			Percent of total billed charges		117	100			Percent of total billed charges		117	33.3			Percent of total billed charges		38.961	33.3			Percent of total billed charges		38.961	100			Percent of total billed charges		117	38.961	105.3	
screw 2.4 x 15mm cortex s/n 7240-2415n	278	RC	Outpatient			117	76.05		90			Percent of total billed charges		105.3	40			Percent of total billed charges		46.8	80			Percent of total billed charges		93.6	90			Percent of total billed charges		105.3	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	100			Percent of total billed charges		117	100			Percent of total billed charges		117	100			Percent of total billed charges		117	33.3			Percent of total billed charges		38.961	33.3			Percent of total billed charges		38.961	100			Percent of total billed charges		117	38.961	105.3	
stapler xr60 load	272	RC	Outpatient			117	76.05		90			Percent of total billed charges		105.3	40			Percent of total billed charges		46.8	80			Percent of total billed charges		93.6	90			Percent of total billed charges		105.3	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	100			Percent of total billed charges		117	100			Percent of total billed charges		117	100			Percent of total billed charges		117	33.3			Percent of total billed charges		38.961	33.3			Percent of total billed charges		38.961	100			Percent of total billed charges		117	38.961	105.3	
syn 2.7 titan cortex scw	278	RC	Outpatient			117	76.05		90			Percent of total billed charges		105.3	40			Percent of total billed charges		46.8	80			Percent of total billed charges		93.6	90			Percent of total billed charges		105.3	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	100			Percent of total billed charges		117	100			Percent of total billed charges		117	100			Percent of total billed charges		117	33.3			Percent of total billed charges		38.961	33.3			Percent of total billed charges		38.961	100			Percent of total billed charges		117	38.961	105.3	
synthes 2.7 ti cortex screw 14mm 402.14	278	RC	Outpatient			117	76.05		90			Percent of total billed charges		105.3	40			Percent of total billed charges		46.8	80			Percent of total billed charges		93.6	90			Percent of total billed charges		105.3	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	100			Percent of total billed charges		117	100			Percent of total billed charges		117	100			Percent of total billed charges		117	33.3			Percent of total billed charges		38.961	33.3			Percent of total billed charges		38.961	100			Percent of total billed charges		117	38.961	105.3	
synthes 2.7 ti cortex screw 16mm 402.16	278	RC	Outpatient			117	76.05		90			Percent of total billed charges		105.3	40			Percent of total billed charges		46.8	80			Percent of total billed charges		93.6	90			Percent of total billed charges		105.3	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	100			Percent of total billed charges		117	100			Percent of total billed charges		117	100			Percent of total billed charges		117	33.3			Percent of total billed charges		38.961	33.3			Percent of total billed charges		38.961	100			Percent of total billed charges		117	38.961	105.3	
synthes 2.7 ti cortex screw 20mm 402.20	278	RC	Outpatient			117	76.05		90			Percent of total billed charges		105.3	40			Percent of total billed charges		46.8	80			Percent of total billed charges		93.6	90			Percent of total billed charges		105.3	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	100			Percent of total billed charges		117	100			Percent of total billed charges		117	100			Percent of total billed charges		117	33.3			Percent of total billed charges		38.961	33.3			Percent of total billed charges		38.961	100			Percent of total billed charges		117	38.961	105.3	
synthes 2.7 ti cortex screw 26mm 402.26	278	RC	Outpatient			117	76.05		90			Percent of total billed charges		105.3	40			Percent of total billed charges		46.8	80			Percent of total billed charges		93.6	90			Percent of total billed charges		105.3	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	100			Percent of total billed charges		117	100			Percent of total billed charges		117	100			Percent of total billed charges		117	33.3			Percent of total billed charges		38.961	33.3			Percent of total billed charges		38.961	100			Percent of total billed charges		117	38.961	105.3	
synthes 2.7 ti cortex screw 6mm 402.06	278	RC	Outpatient			117	76.05		90			Percent of total billed charges		105.3	40			Percent of total billed charges		46.8	80			Percent of total billed charges		93.6	90			Percent of total billed charges		105.3	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	100			Percent of total billed charges		117	100			Percent of total billed charges		117	100			Percent of total billed charges		117	33.3			Percent of total billed charges		38.961	33.3			Percent of total billed charges		38.961	100			Percent of total billed charges		117	38.961	105.3	
synthes 2.7 titanium cortex 12mm screw 402.812	278	RC	Outpatient			117	76.05		90			Percent of total billed charges		105.3	40			Percent of total billed charges		46.8	80			Percent of total billed charges		93.6	90			Percent of total billed charges		105.3	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	100			Percent of total billed charges		117	100			Percent of total billed charges		117	100			Percent of total billed charges		117	33.3			Percent of total billed charges		38.961	33.3			Percent of total billed charges		38.961	100			Percent of total billed charges		117	38.961	105.3	
synthes titanium cortex 20mm screw 402.820	278	RC	Outpatient			117	76.05		90			Percent of total billed charges		105.3	40			Percent of total billed charges		46.8	80			Percent of total billed charges		93.6	90			Percent of total billed charges		105.3	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	85			Percent of total billed charges		99.45	100			Percent of total billed charges		117	100			Percent of total billed charges		117	100			Percent of total billed charges		117	33.3			Percent of total billed charges		38.961	33.3			Percent of total billed charges		38.961	100			Percent of total billed charges		117	38.961	105.3	
acumed driver tip	272	RC	Outpatient			118	76.7		90			Percent of total billed charges		106.2	40			Percent of total billed charges		47.2	80			Percent of total billed charges		94.4	90			Percent of total billed charges		106.2	85			Percent of total billed charges		100.3	85			Percent of total billed charges		100.3	85			Percent of total billed charges		100.3	100			Percent of total billed charges		118	100			Percent of total billed charges		118	100			Percent of total billed charges		118	33.3			Percent of total billed charges		39.294	33.3			Percent of total billed charges		39.294	100			Percent of total billed charges		118	39.294	106.2	
acumed driver tip hpc-0025	272	RC	Outpatient			118	76.7		90			Percent of total billed charges		106.2	40			Percent of total billed charges		47.2	80			Percent of total billed charges		94.4	90			Percent of total billed charges		106.2	85			Percent of total billed charges		100.3	85			Percent of total billed charges		100.3	85			Percent of total billed charges		100.3	100			Percent of total billed charges		118	100			Percent of total billed charges		118	100			Percent of total billed charges		118	33.3			Percent of total billed charges		39.294	33.3			Percent of total billed charges		39.294	100			Percent of total billed charges		118	39.294	106.2	
anesthesia supplies	270	RC	Outpatient			118	76.7		90			Percent of total billed charges		106.2	40			Percent of total billed charges		47.2	80			Percent of total billed charges		94.4	90			Percent of total billed charges		106.2	85			Percent of total billed charges		100.3	85			Percent of total billed charges		100.3	85			Percent of total billed charges		100.3	100			Percent of total billed charges		118	100			Percent of total billed charges		118	100			Percent of total billed charges		118	33.3			Percent of total billed charges		39.294	33.3			Percent of total billed charges		39.294	100			Percent of total billed charges		118	39.294	106.2	
electroshield maryland	270	RC	Outpatient			118	76.7		90			Percent of total billed charges		106.2	40			Percent of total billed charges		47.2	80			Percent of total billed charges		94.4	90			Percent of total billed charges		106.2	85			Percent of total billed charges		100.3	85			Percent of total billed charges		100.3	85			Percent of total billed charges		100.3	100			Percent of total billed charges		118	100			Percent of total billed charges		118	100			Percent of total billed charges		118	33.3			Percent of total billed charges		39.294	33.3			Percent of total billed charges		39.294	100			Percent of total billed charges		118	39.294	106.2	
drill bit q-c 1.1mm x 60mm 00-4806-060-11 zimmer	270	RC	Outpatient			118	76.7		90			Percent of total billed charges		106.2	40			Percent of total billed charges		47.2	80			Percent of total billed charges		94.4	90			Percent of total billed charges		106.2	85			Percent of total billed charges		100.3	85			Percent of total billed charges		100.3	85			Percent of total billed charges		100.3	100			Percent of total billed charges		118	100			Percent of total billed charges		118	100			Percent of total billed charges		118	33.3			Percent of total billed charges		39.294	33.3			Percent of total billed charges		39.294	100			Percent of total billed charges		118	39.294	106.2	
electroshield scissors	270	RC	Outpatient			118	76.7		90			Percent of total billed charges		106.2	40			Percent of total billed charges		47.2	80			Percent of total billed charges		94.4	90			Percent of total billed charges		106.2	85			Percent of total billed charges		100.3	85			Percent of total billed charges		100.3	85			Percent of total billed charges		100.3	100			Percent of total billed charges		118	100			Percent of total billed charges		118	100			Percent of total billed charges		118	33.3			Percent of total billed charges		39.294	33.3			Percent of total billed charges		39.294	100			Percent of total billed charges		118	39.294	106.2	
insert scissors 3/4 es0002	270	RC	Outpatient			118	76.7		90			Percent of total billed charges		106.2	40			Percent of total billed charges		47.2	80			Percent of total billed charges		94.4	90			Percent of total billed charges		106.2	85			Percent of total billed charges		100.3	85			Percent of total billed charges		100.3	85			Percent of total billed charges		100.3	100			Percent of total billed charges		118	100			Percent of total billed charges		118	100			Percent of total billed charges		118	33.3			Percent of total billed charges		39.294	33.3			Percent of total billed charges		39.294	100			Percent of total billed charges		118	39.294	106.2	
guidewire extension	272	RC	Outpatient			118	76.7		90			Percent of total billed charges		106.2	40			Percent of total billed charges		47.2	80			Percent of total billed charges		94.4	90			Percent of total billed charges		106.2	85			Percent of total billed charges		100.3	85			Percent of total billed charges		100.3	85			Percent of total billed charges		100.3	100			Percent of total billed charges		118	100			Percent of total billed charges		118	100			Percent of total billed charges		118	33.3			Percent of total billed charges		39.294	33.3			Percent of total billed charges		39.294	100			Percent of total billed charges		118	39.294	106.2	
loc guidewire extension mallinckrodt 52260	272	RC	Outpatient			118	76.7		90			Percent of total billed charges		106.2	40			Percent of total billed charges		47.2	80			Percent of total billed charges		94.4	90			Percent of total billed charges		106.2	85			Percent of total billed charges		100.3	85			Percent of total billed charges		100.3	85			Percent of total billed charges		100.3	100			Percent of total billed charges		118	100			Percent of total billed charges		118	100			Percent of total billed charges		118	33.3			Percent of total billed charges		39.294	33.3			Percent of total billed charges		39.294	100			Percent of total billed charges		118	39.294	106.2	
non-threaded optical speration 5mm optical co101 applied med	270	RC	Outpatient			118	76.7		90			Percent of total billed charges		106.2	40			Percent of total billed charges		47.2	80			Percent of total billed charges		94.4	90			Percent of total billed charges		106.2	85			Percent of total billed charges		100.3	85			Percent of total billed charges		100.3	85			Percent of total billed charges		100.3	100			Percent of total billed charges		118	100			Percent of total billed charges		118	100			Percent of total billed charges		118	33.3			Percent of total billed charges		39.294	33.3			Percent of total billed charges		39.294	100			Percent of total billed charges		118	39.294	106.2	
reflection screw hole cover 71332500 s/n	278	RC	Outpatient			118	76.7		90			Percent of total billed charges		106.2	40			Percent of total billed charges		47.2	80			Percent of total billed charges		94.4	90			Percent of total billed charges		106.2	85			Percent of total billed charges		100.3	85			Percent of total billed charges		100.3	85			Percent of total billed charges		100.3	100			Percent of total billed charges		118	100			Percent of total billed charges		118	100			Percent of total billed charges		118	33.3			Percent of total billed charges		39.294	33.3			Percent of total billed charges		39.294	100			Percent of total billed charges		118	39.294	106.2	
richards hole cover	278	RC	Outpatient			118	76.7		90			Percent of total billed charges		106.2	40			Percent of total billed charges		47.2	80			Percent of total billed charges		94.4	90			Percent of total billed charges		106.2	85			Percent of total billed charges		100.3	85			Percent of total billed charges		100.3	85			Percent of total billed charges		100.3	100			Percent of total billed charges		118	100			Percent of total billed charges		118	100			Percent of total billed charges		118	33.3			Percent of total billed charges		39.294	33.3			Percent of total billed charges		39.294	100			Percent of total billed charges		118	39.294	106.2	
reflection hole cover 746560 s/n	278	RC	Outpatient			118	76.7		90			Percent of total billed charges		106.2	40			Percent of total billed charges		47.2	80			Percent of total billed charges		94.4	90			Percent of total billed charges		106.2	85			Percent of total billed charges		100.3	85			Percent of total billed charges		100.3	85			Percent of total billed charges		100.3	100			Percent of total billed charges		118	100			Percent of total billed charges		118	100			Percent of total billed charges		118	33.3			Percent of total billed charges		39.294	33.3			Percent of total billed charges		39.294	100			Percent of total billed charges		118	39.294	106.2	
trocar 5mm optical	270	RC	Outpatient			118	76.7		90			Percent of total billed charges		106.2	40			Percent of total billed charges		47.2	80			Percent of total billed charges		94.4	90			Percent of total billed charges		106.2	85			Percent of total billed charges		100.3	85			Percent of total billed charges		100.3	85			Percent of total billed charges		100.3	100			Percent of total billed charges		118	100			Percent of total billed charges		118	100			Percent of total billed charges		118	33.3			Percent of total billed charges		39.294	33.3			Percent of total billed charges		39.294	100			Percent of total billed charges		118	39.294	106.2	
trocar optical non-thread 5 x 100 coq01 applied	270	RC	Outpatient			118	76.7		90			Percent of total billed charges		106.2	40			Percent of total billed charges		47.2	80			Percent of total billed charges		94.4	90			Percent of total billed charges		106.2	85			Percent of total billed charges		100.3	85			Percent of total billed charges		100.3	85			Percent of total billed charges		100.3	100			Percent of total billed charges		118	100			Percent of total billed charges		118	100			Percent of total billed charges		118	33.3			Percent of total billed charges		39.294	33.3			Percent of total billed charges		39.294	100			Percent of total billed charges		118	39.294	106.2	
zimm 1.1 drill bit 60mm	270	RC	Outpatient			118	76.7		90			Percent of total billed charges		106.2	40			Percent of total billed charges		47.2	80			Percent of total billed charges		94.4	90			Percent of total billed charges		106.2	85			Percent of total billed charges		100.3	85			Percent of total billed charges		100.3	85			Percent of total billed charges		100.3	100			Percent of total billed charges		118	100			Percent of total billed charges		118	100			Percent of total billed charges		118	33.3			Percent of total billed charges		39.294	33.3			Percent of total billed charges		39.294	100			Percent of total billed charges		118	39.294	106.2	
6.5mm cancellous bone screw 100 x 16mm 216.100	278	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
6.5mm cancellous bone screw 120 x 16mm 216.120	278	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
6.5mm cancellous bone screw 120 x 32mm 217.120	278	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
6.5mm cancellous bone screw 125 x 16mm 216.125	278	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
6.5mm cancellous bone screw 130 x 16mm 216.130	278	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
6.5mm cancellous bone screw 135 x 16mm 216.135	278	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
6.5mm cancellous bone screw 135 x 32mm 217.135	278	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
6.5mm cancellous bone screw 140 x 16mm 216.140	278	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
6.5mm cancellous bone screw 140 x 32mm 217.140	278	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
6.5mm cancellous bone screw 145 x 32mm 217.145	278	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
6.5mm cancellous bone screw 150 x 16mm 216.150	278	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
6.5mm cancellous bone screw 150 x 32mm 217.150	278	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
6.5mm cancellous bone screw 35 x 16mm 216.035	278	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
6.5mm cancellous bone screw 45 x 32mm 217.045	278	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
6.5mm cancellous bone screw 50 x 16mm 216.050	278	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
6.5mm cancellous bone screw 55 x 32mm 217.055	278	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
6.5mm cancellous bone screw 65 x 32mm 217.065	278	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
6.5mm cancellous bone screw 70 x 32mm 217.070	278	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
6.5mm cancellous bone screw 75 x 32mm 217.075	278	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
6.5mm cancellous bone screw 85 x 16mm 216.085	278	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
6.5mm cancellous bone screw 85 x 32mm 217.085	278	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
6.5mm cancellous bone screw 90 x 32mm 217.090	278	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
6.5mm cancellous bone screw 95 x 16mm 216.095	278	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
6.5mm f/t cancellous bone screw 30mm 218.030	278	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
6.5mm f/t cancellous bone screw 35mm 218.035	278	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
6.5mm f/t cancellous bone screw 40mm 218.040	278	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
6.5mm f/t cancellous bone screw 50mm 218.050	278	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
6.5mm f/t cancellous bone screw 55mm 218.055	278	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
6.5mm f/t cancellous bone screw 60mm 218.060	278	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
6.5mm f/t cancellous bone screw 70mm 218.070	278	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
6.5mm f/t cancellous bone screw 80mm 218.080	278	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
6.5mm f/t cancellous bone screw 85mm 218.085	278	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
6.5mm f/t cancellous bone screw 90mm 218.090	278	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
acl tibial guide	270	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
arhtrex parellel graft knife ar-2285-10	272	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
6.5mm cancellous bone screw 100 x 32mm 217.100	278	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
6.5mm cancellous bone screw 105 x 16mm 216.105	278	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
6.5mm cancellous bone screw 105 x 32mm 217.105	278	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
6.5mm cancellous bone screw 110 x 16mm 216.110	278	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
6.5mm cancellous bone screw 110 x 32mm 217.110	278	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
6.5mm cancellous bone screw 115 x 16mm 216.115	278	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
6.5mm cancellous bone screw 115 x 32mm 217.115	278	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
6.5mm cancellous bone screw 125 x 32mm 217.125	278	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
6.5mm cancellous bone screw 130 x 32mm 217.130	278	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
6.5mm cancellous bone screw 145 x 16mm 216.145	278	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
6.5mm cancellous bone screw 30 x 16mm 216.030	278	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
6.5mm cancellous bone screw 40 x 16mm 216.040	278	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
6.5mm cancellous bone screw 45 x 16mm 216.045	278	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
6.5mm cancellous bone screw 50 x 32mm 217.050	278	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
6.5mm cancellous bone screw 55 x 16mm 216.055	278	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
6.5mm cancellous bone screw 60 x 16mm 216.060	278	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
6.5mm cancellous bone screw 60 x 32mm 217.060	278	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
6.5mm cancellous bone screw 65 x 16mm 216.065	278	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
6.5mm cancellous bone screw 70 x 16mm 216.070	278	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
6.5mm cancellous bone screw 75 x 16mm 216.075	278	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
6.5mm cancellous bone screw 80 x 16mm 216.080	278	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
6.5mm cancellous bone screw 80 x 32mm 217.080	278	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
6.5mm cancellous bone screw 90 x 16mm 216.090	278	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
6.5mm cancellous bone screw 95 x 32mm 217.095	278	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
6.5mm f/t cancellous bone screw 20mm 218.020	278	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
6.5mm f/t cancellous bone screw 25mm 218.025	278	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
6.5mm f/t cancellous bone screw 45mm 218.045	278	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
6.5mm f/t cancellous bone screw 65mm 218.065	278	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
6.5mm f/t cancellous bone screw 75mm 218.075	278	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
6.5mm f/t cancellous bone screw 95mm 218.095	278	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
arthrex para graft bl	272	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
blake drain	270	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
boot cradle span aid type	270	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
drain blake 15mm 2229	270	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
fabricant system	270	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
drain blake  10fr trocar 2227  072227	270	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
drain blake  19fr trocar 2231  ethicon	270	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
inflator syringe 10cc	270	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
gauge high pressure	270	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
leukocyte filter-blood tr	270	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
lg fr 6.5 screw	278	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
skin stapler	270	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
spatial frame should blt	278	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
spatial frame shoulder bolt 7107-0310 s/n	278	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
vascular occluder	270	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
vascular occluder florester 60002	270	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
xr hip complete bilateral	320	RC	Outpatient			119	77.35		90			Percent of total billed charges		107.1	40			Percent of total billed charges		47.6	80			Percent of total billed charges		95.2	90			Percent of total billed charges		107.1	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	85			Percent of total billed charges		101.15	100			Percent of total billed charges		119	100			Percent of total billed charges		119	100			Percent of total billed charges		119	33.3			Percent of total billed charges		39.627	33.3			Percent of total billed charges		39.627	100			Percent of total billed charges		119	39.627	107.1	
alexis contained extraction system w/ 17 cm kii blunt tip balloon ref gtk17 applied medical	278	RC	Outpatient			119.15	77.45		90			Percent of total billed charges		107.235	40			Percent of total billed charges		47.66	80			Percent of total billed charges		95.32	90			Percent of total billed charges		107.235	85			Percent of total billed charges		101.2775	85			Percent of total billed charges		101.2775	85			Percent of total billed charges		101.2775	100			Percent of total billed charges		119.15	100			Percent of total billed charges		119.15	100			Percent of total billed charges		119.15	33.3			Percent of total billed charges		39.677	33.3			Percent of total billed charges		39.677	100			Percent of total billed charges		119.15	39.677	107.235	
arthrex artho blade/burr	272	RC	Outpatient			120	78		90			Percent of total billed charges		108	40			Percent of total billed charges		48	80			Percent of total billed charges		96	90			Percent of total billed charges		108	85			Percent of total billed charges		102	85			Percent of total billed charges		102	85			Percent of total billed charges		102	100			Percent of total billed charges		120	100			Percent of total billed charges		120	100			Percent of total billed charges		120	33.3			Percent of total billed charges		39.96	33.3			Percent of total billed charges		39.96	100			Percent of total billed charges		120	39.96	108	
arthrex bur 5.0 ar-8500fos	272	RC	Outpatient			120	78		90			Percent of total billed charges		108	40			Percent of total billed charges		48	80			Percent of total billed charges		96	90			Percent of total billed charges		108	85			Percent of total billed charges		102	85			Percent of total billed charges		102	85			Percent of total billed charges		102	100			Percent of total billed charges		120	100			Percent of total billed charges		120	100			Percent of total billed charges		120	33.3			Percent of total billed charges		39.96	33.3			Percent of total billed charges		39.96	100			Percent of total billed charges		120	39.96	108	
cath lab tray cath cardiac custom	270	RC	Outpatient			120	78		90			Percent of total billed charges		108	40			Percent of total billed charges		48	80			Percent of total billed charges		96	90			Percent of total billed charges		108	85			Percent of total billed charges		102	85			Percent of total billed charges		102	85			Percent of total billed charges		102	100			Percent of total billed charges		120	100			Percent of total billed charges		120	100			Percent of total billed charges		120	33.3			Percent of total billed charges		39.96	33.3			Percent of total billed charges		39.96	100			Percent of total billed charges		120	39.96	108	
compression hip screw hex head compressing screw  28.5 mm 121117	278	RC	Outpatient			120	78		90			Percent of total billed charges		108	40			Percent of total billed charges		48	80			Percent of total billed charges		96	90			Percent of total billed charges		108	85			Percent of total billed charges		102	85			Percent of total billed charges		102	85			Percent of total billed charges		102	100			Percent of total billed charges		120	100			Percent of total billed charges		120	100			Percent of total billed charges		120	33.3			Percent of total billed charges		39.96	33.3			Percent of total billed charges		39.96	100			Percent of total billed charges		120	39.96	108	
cosmetic - laser hair removal - upper or forearms each addt'l session	983	RC	Outpatient			120	78		90			Percent of total billed charges		108	40			Percent of total billed charges		48	80			Percent of total billed charges		96	90			Percent of total billed charges		108	85			Percent of total billed charges		102	85			Percent of total billed charges		102	85			Percent of total billed charges		102	100			Percent of total billed charges		120	100			Percent of total billed charges		120	100			Percent of total billed charges		120	33.3			Percent of total billed charges		39.96	33.3			Percent of total billed charges		39.96	100			Percent of total billed charges		120	39.96	108	
cosmetic - laser hair removal -extended bikini line each addt'l session	983	RC	Outpatient			120	78		90			Percent of total billed charges		108	40			Percent of total billed charges		48	80			Percent of total billed charges		96	90			Percent of total billed charges		108	85			Percent of total billed charges		102	85			Percent of total billed charges		102	85			Percent of total billed charges		102	100			Percent of total billed charges		120	100			Percent of total billed charges		120	100			Percent of total billed charges		120	33.3			Percent of total billed charges		39.96	33.3			Percent of total billed charges		39.96	100			Percent of total billed charges		120	39.96	108	
arthrex shaver knee ar-8400cds	272	RC	Outpatient			120	78		90			Percent of total billed charges		108	40			Percent of total billed charges		48	80			Percent of total billed charges		96	90			Percent of total billed charges		108	85			Percent of total billed charges		102	85			Percent of total billed charges		102	85			Percent of total billed charges		102	100			Percent of total billed charges		120	100			Percent of total billed charges		120	100			Percent of total billed charges		120	33.3			Percent of total billed charges		39.96	33.3			Percent of total billed charges		39.96	100			Percent of total billed charges		120	39.96	108	
bio-dyne scales	270	RC	Outpatient			120	78		90			Percent of total billed charges		108	40			Percent of total billed charges		48	80			Percent of total billed charges		96	90			Percent of total billed charges		108	85			Percent of total billed charges		102	85			Percent of total billed charges		102	85			Percent of total billed charges		102	100			Percent of total billed charges		120	100			Percent of total billed charges		120	100			Percent of total billed charges		120	33.3			Percent of total billed charges		39.96	33.3			Percent of total billed charges		39.96	100			Percent of total billed charges		120	39.96	108	
compression hip screw hex head compressing screw 19mm  121116	278	RC	Outpatient			120	78		90			Percent of total billed charges		108	40			Percent of total billed charges		48	80			Percent of total billed charges		96	90			Percent of total billed charges		108	85			Percent of total billed charges		102	85			Percent of total billed charges		102	85			Percent of total billed charges		102	100			Percent of total billed charges		120	100			Percent of total billed charges		120	100			Percent of total billed charges		120	33.3			Percent of total billed charges		39.96	33.3			Percent of total billed charges		39.96	100			Percent of total billed charges		120	39.96	108	
"cosmetic - laser hair removal - face, cheek and side burns each addt'l session"	983	RC	Outpatient			120	78		90			Percent of total billed charges		108	40			Percent of total billed charges		48	80			Percent of total billed charges		96	90			Percent of total billed charges		108	85			Percent of total billed charges		102	85			Percent of total billed charges		102	85			Percent of total billed charges		102	100			Percent of total billed charges		120	100			Percent of total billed charges		120	100			Percent of total billed charges		120	33.3			Percent of total billed charges		39.96	33.3			Percent of total billed charges		39.96	100			Percent of total billed charges		120	39.96	108	
drill twist stainless steel 4.7mm dia 127mm 21-0446 s/n	270	RC	Outpatient			120	78		90			Percent of total billed charges		108	40			Percent of total billed charges		48	80			Percent of total billed charges		96	90			Percent of total billed charges		108	85			Percent of total billed charges		102	85			Percent of total billed charges		102	85			Percent of total billed charges		102	100			Percent of total billed charges		120	100			Percent of total billed charges		120	100			Percent of total billed charges		120	33.3			Percent of total billed charges		39.96	33.3			Percent of total billed charges		39.96	100			Percent of total billed charges		120	39.96	108	
dura-kold knee wrap large	270	RC	Outpatient			120	78		90			Percent of total billed charges		108	40			Percent of total billed charges		48	80			Percent of total billed charges		96	90			Percent of total billed charges		108	85			Percent of total billed charges		102	85			Percent of total billed charges		102	85			Percent of total billed charges		102	100			Percent of total billed charges		120	100			Percent of total billed charges		120	100			Percent of total billed charges		120	33.3			Percent of total billed charges		39.96	33.3			Percent of total billed charges		39.96	100			Percent of total billed charges		120	39.96	108	
drill calibrated twist 71152128	270	RC	Outpatient			120	78		90			Percent of total billed charges		108	40			Percent of total billed charges		48	80			Percent of total billed charges		96	90			Percent of total billed charges		108	85			Percent of total billed charges		102	85			Percent of total billed charges		102	85			Percent of total billed charges		102	100			Percent of total billed charges		120	100			Percent of total billed charges		120	100			Percent of total billed charges		120	33.3			Percent of total billed charges		39.96	33.3			Percent of total billed charges		39.96	100			Percent of total billed charges		120	39.96	108	
ppm cath pack	270	RC	Outpatient			120	78		90			Percent of total billed charges		108	40			Percent of total billed charges		48	80			Percent of total billed charges		96	90			Percent of total billed charges		108	85			Percent of total billed charges		102	85			Percent of total billed charges		102	85			Percent of total billed charges		102	100			Percent of total billed charges		120	100			Percent of total billed charges		120	100			Percent of total billed charges		120	33.3			Percent of total billed charges		39.96	33.3			Percent of total billed charges		39.96	100			Percent of total billed charges		120	39.96	108	
richards twist drill	270	RC	Outpatient			120	78		90			Percent of total billed charges		108	40			Percent of total billed charges		48	80			Percent of total billed charges		96	90			Percent of total billed charges		108	85			Percent of total billed charges		102	85			Percent of total billed charges		102	85			Percent of total billed charges		102	100			Percent of total billed charges		120	100			Percent of total billed charges		120	100			Percent of total billed charges		120	33.3			Percent of total billed charges		39.96	33.3			Percent of total billed charges		39.96	100			Percent of total billed charges		120	39.96	108	
s/n comprssion screw	278	RC	Outpatient			120	78		90			Percent of total billed charges		108	40			Percent of total billed charges		48	80			Percent of total billed charges		96	90			Percent of total billed charges		108	85			Percent of total billed charges		102	85			Percent of total billed charges		102	85			Percent of total billed charges		102	100			Percent of total billed charges		120	100			Percent of total billed charges		120	100			Percent of total billed charges		120	33.3			Percent of total billed charges		39.96	33.3			Percent of total billed charges		39.96	100			Percent of total billed charges		120	39.96	108	
scrmc ultra vent	621	RC	Outpatient			120	78		90			Percent of total billed charges		108	40			Percent of total billed charges		48	80			Percent of total billed charges		96	90			Percent of total billed charges		108	85			Percent of total billed charges		102	85			Percent of total billed charges		102	85			Percent of total billed charges		102	100			Percent of total billed charges		120	100			Percent of total billed charges		120	100			Percent of total billed charges		120	33.3			Percent of total billed charges		39.96	33.3			Percent of total billed charges		39.96	100			Percent of total billed charges		120	39.96	108	
trach tube shiley ped.cuf	270	RC	Outpatient			120	78		90			Percent of total billed charges		108	40			Percent of total billed charges		48	80			Percent of total billed charges		96	90			Percent of total billed charges		108	85			Percent of total billed charges		102	85			Percent of total billed charges		102	85			Percent of total billed charges		102	100			Percent of total billed charges		120	100			Percent of total billed charges		120	100			Percent of total billed charges		120	33.3			Percent of total billed charges		39.96	33.3			Percent of total billed charges		39.96	100			Percent of total billed charges		120	39.96	108	
tray cardiac cath pack	270	RC	Outpatient			120	78		90			Percent of total billed charges		108	40			Percent of total billed charges		48	80			Percent of total billed charges		96	90			Percent of total billed charges		108	85			Percent of total billed charges		102	85			Percent of total billed charges		102	85			Percent of total billed charges		102	100			Percent of total billed charges		120	100			Percent of total billed charges		120	100			Percent of total billed charges		120	33.3			Percent of total billed charges		39.96	33.3			Percent of total billed charges		39.96	100			Percent of total billed charges		120	39.96	108	
triathlon cs tib bearing insert sz5 13mm 5531-g-513 stryker	272	RC	Outpatient			120	78		90			Percent of total billed charges		108	40			Percent of total billed charges		48	80			Percent of total billed charges		96	90			Percent of total billed charges		108	85			Percent of total billed charges		102	85			Percent of total billed charges		102	85			Percent of total billed charges		102	100			Percent of total billed charges		120	100			Percent of total billed charges		120	100			Percent of total billed charges		120	33.3			Percent of total billed charges		39.96	33.3			Percent of total billed charges		39.96	100			Percent of total billed charges		120	39.96	108	
tube trach cuffed 4.5 shiley 4.5 pdc	270	RC	Outpatient			120	78		90			Percent of total billed charges		108	40			Percent of total billed charges		48	80			Percent of total billed charges		96	90			Percent of total billed charges		108	85			Percent of total billed charges		102	85			Percent of total billed charges		102	85			Percent of total billed charges		102	100			Percent of total billed charges		120	100			Percent of total billed charges		120	100			Percent of total billed charges		120	33.3			Percent of total billed charges		39.96	33.3			Percent of total billed charges		39.96	100			Percent of total billed charges		120	39.96	108	
tube trach cuffed 4.5pdc	270	RC	Outpatient			120	78		90			Percent of total billed charges		108	40			Percent of total billed charges		48	80			Percent of total billed charges		96	90			Percent of total billed charges		108	85			Percent of total billed charges		102	85			Percent of total billed charges		102	85			Percent of total billed charges		102	100			Percent of total billed charges		120	100			Percent of total billed charges		120	100			Percent of total billed charges		120	33.3			Percent of total billed charges		39.96	33.3			Percent of total billed charges		39.96	100			Percent of total billed charges		120	39.96	108	
tube trach cuffed 5.0 shiley 5.0pdc	270	RC	Outpatient			120	78		90			Percent of total billed charges		108	40			Percent of total billed charges		48	80			Percent of total billed charges		96	90			Percent of total billed charges		108	85			Percent of total billed charges		102	85			Percent of total billed charges		102	85			Percent of total billed charges		102	100			Percent of total billed charges		120	100			Percent of total billed charges		120	100			Percent of total billed charges		120	33.3			Percent of total billed charges		39.96	33.3			Percent of total billed charges		39.96	100			Percent of total billed charges		120	39.96	108	
tube trach cuffed 5.5 shiley 5.5pdc	270	RC	Outpatient			120	78		90			Percent of total billed charges		108	40			Percent of total billed charges		48	80			Percent of total billed charges		96	90			Percent of total billed charges		108	85			Percent of total billed charges		102	85			Percent of total billed charges		102	85			Percent of total billed charges		102	100			Percent of total billed charges		120	100			Percent of total billed charges		120	100			Percent of total billed charges		120	33.3			Percent of total billed charges		39.96	33.3			Percent of total billed charges		39.96	100			Percent of total billed charges		120	39.96	108	
tube trach cuffed 5.5pdc	270	RC	Outpatient			120	78		90			Percent of total billed charges		108	40			Percent of total billed charges		48	80			Percent of total billed charges		96	90			Percent of total billed charges		108	85			Percent of total billed charges		102	85			Percent of total billed charges		102	85			Percent of total billed charges		102	100			Percent of total billed charges		120	100			Percent of total billed charges		120	100			Percent of total billed charges		120	33.3			Percent of total billed charges		39.96	33.3			Percent of total billed charges		39.96	100			Percent of total billed charges		120	39.96	108	
tube trach cuffed 8.0 shiley 8sct	270	RC	Outpatient			120	78		90			Percent of total billed charges		108	40			Percent of total billed charges		48	80			Percent of total billed charges		96	90			Percent of total billed charges		108	85			Percent of total billed charges		102	85			Percent of total billed charges		102	85			Percent of total billed charges		102	100			Percent of total billed charges		120	100			Percent of total billed charges		120	100			Percent of total billed charges		120	33.3			Percent of total billed charges		39.96	33.3			Percent of total billed charges		39.96	100			Percent of total billed charges		120	39.96	108	
tube trach cuffed 4.0 shiley 4.0 pdc	270	RC	Outpatient			120	78		90			Percent of total billed charges		108	40			Percent of total billed charges		48	80			Percent of total billed charges		96	90			Percent of total billed charges		108	85			Percent of total billed charges		102	85			Percent of total billed charges		102	85			Percent of total billed charges		102	100			Percent of total billed charges		120	100			Percent of total billed charges		120	100			Percent of total billed charges		120	33.3			Percent of total billed charges		39.96	33.3			Percent of total billed charges		39.96	100			Percent of total billed charges		120	39.96	108	
tube trach cuffed 4.0pdc	270	RC	Outpatient			120	78		90			Percent of total billed charges		108	40			Percent of total billed charges		48	80			Percent of total billed charges		96	90			Percent of total billed charges		108	85			Percent of total billed charges		102	85			Percent of total billed charges		102	85			Percent of total billed charges		102	100			Percent of total billed charges		120	100			Percent of total billed charges		120	100			Percent of total billed charges		120	33.3			Percent of total billed charges		39.96	33.3			Percent of total billed charges		39.96	100			Percent of total billed charges		120	39.96	108	
tube trach uncuffd 5.0ped	270	RC	Outpatient			120	78		90			Percent of total billed charges		108	40			Percent of total billed charges		48	80			Percent of total billed charges		96	90			Percent of total billed charges		108	85			Percent of total billed charges		102	85			Percent of total billed charges		102	85			Percent of total billed charges		102	100			Percent of total billed charges		120	100			Percent of total billed charges		120	100			Percent of total billed charges		120	33.3			Percent of total billed charges		39.96	33.3			Percent of total billed charges		39.96	100			Percent of total billed charges		120	39.96	108	
twist drill 3.5mm 71110045 s/n	270	RC	Outpatient			120	78		90			Percent of total billed charges		108	40			Percent of total billed charges		48	80			Percent of total billed charges		96	90			Percent of total billed charges		108	85			Percent of total billed charges		102	85			Percent of total billed charges		102	85			Percent of total billed charges		102	100			Percent of total billed charges		120	100			Percent of total billed charges		120	100			Percent of total billed charges		120	33.3			Percent of total billed charges		39.96	33.3			Percent of total billed charges		39.96	100			Percent of total billed charges		120	39.96	108	
3800055 dis/reduction w/o anes ed charge	450	RC	Outpatient			121	78.65		90			Percent of total billed charges		108.9	40			Percent of total billed charges		48.4	80			Percent of total billed charges		96.8	90			Percent of total billed charges		108.9	85			Percent of total billed charges		102.85	85			Percent of total billed charges		102.85	85			Percent of total billed charges		102.85	100			Percent of total billed charges		121	100			Percent of total billed charges		121	100			Percent of total billed charges		121	33.3			Percent of total billed charges		40.293	33.3			Percent of total billed charges		40.293	100			Percent of total billed charges		121	40.293	108.9	
intra-aortic set up	270	RC	Outpatient			121	78.65		90			Percent of total billed charges		108.9	40			Percent of total billed charges		48.4	80			Percent of total billed charges		96.8	90			Percent of total billed charges		108.9	85			Percent of total billed charges		102.85	85			Percent of total billed charges		102.85	85			Percent of total billed charges		102.85	100			Percent of total billed charges		121	100			Percent of total billed charges		121	100			Percent of total billed charges		121	33.3			Percent of total billed charges		40.293	33.3			Percent of total billed charges		40.293	100			Percent of total billed charges		121	40.293	108.9	
joint implantation	278	RC	Outpatient			121	78.65		90			Percent of total billed charges		108.9	40			Percent of total billed charges		48.4	80			Percent of total billed charges		96.8	90			Percent of total billed charges		108.9	85			Percent of total billed charges		102.85	85			Percent of total billed charges		102.85	85			Percent of total billed charges		102.85	100			Percent of total billed charges		121	100			Percent of total billed charges		121	100			Percent of total billed charges		121	33.3			Percent of total billed charges		40.293	33.3			Percent of total billed charges		40.293	100			Percent of total billed charges		121	40.293	108.9	
tube trach shiley 8dcfs	272	RC	Outpatient			121	78.65		90			Percent of total billed charges		108.9	40			Percent of total billed charges		48.4	80			Percent of total billed charges		96.8	90			Percent of total billed charges		108.9	85			Percent of total billed charges		102.85	85			Percent of total billed charges		102.85	85			Percent of total billed charges		102.85	100			Percent of total billed charges		121	100			Percent of total billed charges		121	100			Percent of total billed charges		121	33.3			Percent of total billed charges		40.293	33.3			Percent of total billed charges		40.293	100			Percent of total billed charges		121	40.293	108.9	
5 biliary balloon probe 41-023-5f	270	RC	Outpatient			122	79.3		90			Percent of total billed charges		109.8	40			Percent of total billed charges		48.8	80			Percent of total billed charges		97.6	90			Percent of total billed charges		109.8	85			Percent of total billed charges		103.7	85			Percent of total billed charges		103.7	85			Percent of total billed charges		103.7	100			Percent of total billed charges		122	100			Percent of total billed charges		122	100			Percent of total billed charges		122	33.3			Percent of total billed charges		40.626	33.3			Percent of total billed charges		40.626	100			Percent of total billed charges		122	40.626	109.8	
6 billary balloon probe	270	RC	Outpatient			122	79.3		90			Percent of total billed charges		109.8	40			Percent of total billed charges		48.8	80			Percent of total billed charges		97.6	90			Percent of total billed charges		109.8	85			Percent of total billed charges		103.7	85			Percent of total billed charges		103.7	85			Percent of total billed charges		103.7	100			Percent of total billed charges		122	100			Percent of total billed charges		122	100			Percent of total billed charges		122	33.3			Percent of total billed charges		40.626	33.3			Percent of total billed charges		40.626	100			Percent of total billed charges		122	40.626	109.8	
cast leg short	270	RC	Outpatient			122	79.3		90			Percent of total billed charges		109.8	40			Percent of total billed charges		48.8	80			Percent of total billed charges		97.6	90			Percent of total billed charges		109.8	85			Percent of total billed charges		103.7	85			Percent of total billed charges		103.7	85			Percent of total billed charges		103.7	100			Percent of total billed charges		122	100			Percent of total billed charges		122	100			Percent of total billed charges		122	33.3			Percent of total billed charges		40.626	33.3			Percent of total billed charges		40.626	100			Percent of total billed charges		122	40.626	109.8	
biomet dvr peg driver	272	RC	Outpatient			122	79.3		90			Percent of total billed charges		109.8	40			Percent of total billed charges		48.8	80			Percent of total billed charges		97.6	90			Percent of total billed charges		109.8	85			Percent of total billed charges		103.7	85			Percent of total billed charges		103.7	85			Percent of total billed charges		103.7	100			Percent of total billed charges		122	100			Percent of total billed charges		122	100			Percent of total billed charges		122	33.3			Percent of total billed charges		40.626	33.3			Percent of total billed charges		40.626	100			Percent of total billed charges		122	40.626	109.8	
endo replacement gastrostomy tube	750	RC	Outpatient			122	79.3		90			Percent of total billed charges		109.8	40			Percent of total billed charges		48.8	80			Percent of total billed charges		97.6	90			Percent of total billed charges		109.8	85			Percent of total billed charges		103.7	85			Percent of total billed charges		103.7	85			Percent of total billed charges		103.7	100			Percent of total billed charges		122	100			Percent of total billed charges		122	100			Percent of total billed charges		122	33.3			Percent of total billed charges		40.626	33.3			Percent of total billed charges		40.626	100			Percent of total billed charges		122	40.626	109.8	
fogarty biliary probe	270	RC	Outpatient			122	79.3		90			Percent of total billed charges		109.8	40			Percent of total billed charges		48.8	80			Percent of total billed charges		97.6	90			Percent of total billed charges		109.8	85			Percent of total billed charges		103.7	85			Percent of total billed charges		103.7	85			Percent of total billed charges		103.7	100			Percent of total billed charges		122	100			Percent of total billed charges		122	100			Percent of total billed charges		122	33.3			Percent of total billed charges		40.626	33.3			Percent of total billed charges		40.626	100			Percent of total billed charges		122	40.626	109.8	
dura-kold knee wrap xlg	270	RC	Outpatient			122	79.3		90			Percent of total billed charges		109.8	40			Percent of total billed charges		48.8	80			Percent of total billed charges		97.6	90			Percent of total billed charges		109.8	85			Percent of total billed charges		103.7	85			Percent of total billed charges		103.7	85			Percent of total billed charges		103.7	100			Percent of total billed charges		122	100			Percent of total billed charges		122	100			Percent of total billed charges		122	33.3			Percent of total billed charges		40.626	33.3			Percent of total billed charges		40.626	100			Percent of total billed charges		122	40.626	109.8	
ir nephrostogram	360	RC	Outpatient			122	79.3		90			Percent of total billed charges		109.8	40			Percent of total billed charges		48.8	80			Percent of total billed charges		97.6	90			Percent of total billed charges		109.8	85			Percent of total billed charges		103.7	85			Percent of total billed charges		103.7	85			Percent of total billed charges		103.7	100			Percent of total billed charges		122	100			Percent of total billed charges		122	100			Percent of total billed charges		122	33.3			Percent of total billed charges		40.626	33.3			Percent of total billed charges		40.626	100			Percent of total billed charges		122	40.626	109.8	
hem-o-lok clip	278	RC	Outpatient			122	79.3		90			Percent of total billed charges		109.8	40			Percent of total billed charges		48.8	80			Percent of total billed charges		97.6	90			Percent of total billed charges		109.8	85			Percent of total billed charges		103.7	85			Percent of total billed charges		103.7	85			Percent of total billed charges		103.7	100			Percent of total billed charges		122	100			Percent of total billed charges		122	100			Percent of total billed charges		122	33.3			Percent of total billed charges		40.626	33.3			Percent of total billed charges		40.626	100			Percent of total billed charges		122	40.626	109.8	
hem-o-lok xl ligating clip 544250 weck	278	RC	Outpatient			122	79.3		90			Percent of total billed charges		109.8	40			Percent of total billed charges		48.8	80			Percent of total billed charges		97.6	90			Percent of total billed charges		109.8	85			Percent of total billed charges		103.7	85			Percent of total billed charges		103.7	85			Percent of total billed charges		103.7	100			Percent of total billed charges		122	100			Percent of total billed charges		122	100			Percent of total billed charges		122	33.3			Percent of total billed charges		40.626	33.3			Percent of total billed charges		40.626	100			Percent of total billed charges		122	40.626	109.8	
peg driver 2.0mm fpd20 biomet	272	RC	Outpatient			122	79.3		90			Percent of total billed charges		109.8	40			Percent of total billed charges		48.8	80			Percent of total billed charges		97.6	90			Percent of total billed charges		109.8	85			Percent of total billed charges		103.7	85			Percent of total billed charges		103.7	85			Percent of total billed charges		103.7	100			Percent of total billed charges		122	100			Percent of total billed charges		122	100			Percent of total billed charges		122	33.3			Percent of total billed charges		40.626	33.3			Percent of total billed charges		40.626	100			Percent of total billed charges		122	40.626	109.8	
screw 2.7 x 14 non-locking s/n 72402714n	278	RC	Outpatient			122	79.3		90			Percent of total billed charges		109.8	40			Percent of total billed charges		48.8	80			Percent of total billed charges		97.6	90			Percent of total billed charges		109.8	85			Percent of total billed charges		103.7	85			Percent of total billed charges		103.7	85			Percent of total billed charges		103.7	100			Percent of total billed charges		122	100			Percent of total billed charges		122	100			Percent of total billed charges		122	33.3			Percent of total billed charges		40.626	33.3			Percent of total billed charges		40.626	100			Percent of total billed charges		122	40.626	109.8	
probe balloon 6fr 410236f	270	RC	Outpatient			122	79.3		90			Percent of total billed charges		109.8	40			Percent of total billed charges		48.8	80			Percent of total billed charges		97.6	90			Percent of total billed charges		109.8	85			Percent of total billed charges		103.7	85			Percent of total billed charges		103.7	85			Percent of total billed charges		103.7	100			Percent of total billed charges		122	100			Percent of total billed charges		122	100			Percent of total billed charges		122	33.3			Percent of total billed charges		40.626	33.3			Percent of total billed charges		40.626	100			Percent of total billed charges		122	40.626	109.8	
syn 2.5 drill bit	272	RC	Outpatient			122	79.3		90			Percent of total billed charges		109.8	40			Percent of total billed charges		48.8	80			Percent of total billed charges		97.6	90			Percent of total billed charges		109.8	85			Percent of total billed charges		103.7	85			Percent of total billed charges		103.7	85			Percent of total billed charges		103.7	100			Percent of total billed charges		122	100			Percent of total billed charges		122	100			Percent of total billed charges		122	33.3			Percent of total billed charges		40.626	33.3			Percent of total billed charges		40.626	100			Percent of total billed charges		122	40.626	109.8	
tube feeding gastrostomy magna port 18fr 70074-51362 rossnu	750	RC	Outpatient			122	79.3		90			Percent of total billed charges		109.8	40			Percent of total billed charges		48.8	80			Percent of total billed charges		97.6	90			Percent of total billed charges		109.8	85			Percent of total billed charges		103.7	85			Percent of total billed charges		103.7	85			Percent of total billed charges		103.7	100			Percent of total billed charges		122	100			Percent of total billed charges		122	100			Percent of total billed charges		122	33.3			Percent of total billed charges		40.626	33.3			Percent of total billed charges		40.626	100			Percent of total billed charges		122	40.626	109.8	
arthrex passport button cannula 8mm x 4 cm ar-6592-08-40 arthrex	272	RC	Outpatient			123	79.95		90			Percent of total billed charges		110.7	40			Percent of total billed charges		49.2	80			Percent of total billed charges		98.4	90			Percent of total billed charges		110.7	85			Percent of total billed charges		104.55	85			Percent of total billed charges		104.55	85			Percent of total billed charges		104.55	100			Percent of total billed charges		123	100			Percent of total billed charges		123	100			Percent of total billed charges		123	33.3			Percent of total billed charges		40.959	33.3			Percent of total billed charges		40.959	100			Percent of total billed charges		123	40.959	110.7	
arthrex passport cannula	272	RC	Outpatient			123	79.95		90			Percent of total billed charges		110.7	40			Percent of total billed charges		49.2	80			Percent of total billed charges		98.4	90			Percent of total billed charges		110.7	85			Percent of total billed charges		104.55	85			Percent of total billed charges		104.55	85			Percent of total billed charges		104.55	100			Percent of total billed charges		123	100			Percent of total billed charges		123	100			Percent of total billed charges		123	33.3			Percent of total billed charges		40.959	33.3			Percent of total billed charges		40.959	100			Percent of total billed charges		123	40.959	110.7	
cold thpy.wrp.lg. w/liner	270	RC	Outpatient			123	79.95		90			Percent of total billed charges		110.7	40			Percent of total billed charges		49.2	80			Percent of total billed charges		98.4	90			Percent of total billed charges		110.7	85			Percent of total billed charges		104.55	85			Percent of total billed charges		104.55	85			Percent of total billed charges		104.55	100			Percent of total billed charges		123	100			Percent of total billed charges		123	100			Percent of total billed charges		123	33.3			Percent of total billed charges		40.959	33.3			Percent of total billed charges		40.959	100			Percent of total billed charges		123	40.959	110.7	
denver splint	270	RC	Outpatient			123	79.95		90			Percent of total billed charges		110.7	40			Percent of total billed charges		49.2	80			Percent of total billed charges		98.4	90			Percent of total billed charges		110.7	85			Percent of total billed charges		104.55	85			Percent of total billed charges		104.55	85			Percent of total billed charges		104.55	100			Percent of total billed charges		123	100			Percent of total billed charges		123	100			Percent of total billed charges		123	33.3			Percent of total billed charges		40.959	33.3			Percent of total billed charges		40.959	100			Percent of total billed charges		123	40.959	110.7	
implant screw schanz diamond pt 4.0mm dia 120mm l 294.46	270	RC	Outpatient			123	79.95		90			Percent of total billed charges		110.7	40			Percent of total billed charges		49.2	80			Percent of total billed charges		98.4	90			Percent of total billed charges		110.7	85			Percent of total billed charges		104.55	85			Percent of total billed charges		104.55	85			Percent of total billed charges		104.55	100			Percent of total billed charges		123	100			Percent of total billed charges		123	100			Percent of total billed charges		123	33.3			Percent of total billed charges		40.959	33.3			Percent of total billed charges		40.959	100			Percent of total billed charges		123	40.959	110.7	
iris matress	270	RC	Outpatient			123	79.95		90			Percent of total billed charges		110.7	40			Percent of total billed charges		49.2	80			Percent of total billed charges		98.4	90			Percent of total billed charges		110.7	85			Percent of total billed charges		104.55	85			Percent of total billed charges		104.55	85			Percent of total billed charges		104.55	100			Percent of total billed charges		123	100			Percent of total billed charges		123	100			Percent of total billed charges		123	33.3			Percent of total billed charges		40.959	33.3			Percent of total billed charges		40.959	100			Percent of total billed charges		123	40.959	110.7	
implant screw schanz 5.0 mm dia 100/30mm 294.782 synth	270	RC	Outpatient			123	79.95		90			Percent of total billed charges		110.7	40			Percent of total billed charges		49.2	80			Percent of total billed charges		98.4	90			Percent of total billed charges		110.7	85			Percent of total billed charges		104.55	85			Percent of total billed charges		104.55	85			Percent of total billed charges		104.55	100			Percent of total billed charges		123	100			Percent of total billed charges		123	100			Percent of total billed charges		123	33.3			Percent of total billed charges		40.959	33.3			Percent of total billed charges		40.959	100			Percent of total billed charges		123	40.959	110.7	
linvatec suture passer	270	RC	Outpatient			123	79.95		90			Percent of total billed charges		110.7	40			Percent of total billed charges		49.2	80			Percent of total billed charges		98.4	90			Percent of total billed charges		110.7	85			Percent of total billed charges		104.55	85			Percent of total billed charges		104.55	85			Percent of total billed charges		104.55	100			Percent of total billed charges		123	100			Percent of total billed charges		123	100			Percent of total billed charges		123	33.3			Percent of total billed charges		40.959	33.3			Percent of total billed charges		40.959	100			Percent of total billed charges		123	40.959	110.7	
pad waffle chair bariatri	272	RC	Outpatient			123	79.95		90			Percent of total billed charges		110.7	40			Percent of total billed charges		49.2	80			Percent of total billed charges		98.4	90			Percent of total billed charges		110.7	85			Percent of total billed charges		104.55	85			Percent of total billed charges		104.55	85			Percent of total billed charges		104.55	100			Percent of total billed charges		123	100			Percent of total billed charges		123	100			Percent of total billed charges		123	33.3			Percent of total billed charges		40.959	33.3			Percent of total billed charges		40.959	100			Percent of total billed charges		123	40.959	110.7	
screw schanz  4.0mm  294.44 synthes	270	RC	Outpatient			123	79.95		90			Percent of total billed charges		110.7	40			Percent of total billed charges		49.2	80			Percent of total billed charges		98.4	90			Percent of total billed charges		110.7	85			Percent of total billed charges		104.55	85			Percent of total billed charges		104.55	85			Percent of total billed charges		104.55	100			Percent of total billed charges		123	100			Percent of total billed charges		123	100			Percent of total billed charges		123	33.3			Percent of total billed charges		40.959	33.3			Percent of total billed charges		40.959	100			Percent of total billed charges		123	40.959	110.7	
syn schanz sc 4.0 60-120m	270	RC	Outpatient			123	79.95		90			Percent of total billed charges		110.7	40			Percent of total billed charges		49.2	80			Percent of total billed charges		98.4	90			Percent of total billed charges		110.7	85			Percent of total billed charges		104.55	85			Percent of total billed charges		104.55	85			Percent of total billed charges		104.55	100			Percent of total billed charges		123	100			Percent of total billed charges		123	100			Percent of total billed charges		123	33.3			Percent of total billed charges		40.959	33.3			Percent of total billed charges		40.959	100			Percent of total billed charges		123	40.959	110.7	
screw schanz  4.0mm  294.43 synthes	270	RC	Outpatient			123	79.95		90			Percent of total billed charges		110.7	40			Percent of total billed charges		49.2	80			Percent of total billed charges		98.4	90			Percent of total billed charges		110.7	85			Percent of total billed charges		104.55	85			Percent of total billed charges		104.55	85			Percent of total billed charges		104.55	100			Percent of total billed charges		123	100			Percent of total billed charges		123	100			Percent of total billed charges		123	33.3			Percent of total billed charges		40.959	33.3			Percent of total billed charges		40.959	100			Percent of total billed charges		123	40.959	110.7	
splint denver series 1500 large 1500 denv	270	RC	Outpatient			123	79.95		90			Percent of total billed charges		110.7	40			Percent of total billed charges		49.2	80			Percent of total billed charges		98.4	90			Percent of total billed charges		110.7	85			Percent of total billed charges		104.55	85			Percent of total billed charges		104.55	85			Percent of total billed charges		104.55	100			Percent of total billed charges		123	100			Percent of total billed charges		123	100			Percent of total billed charges		123	33.3			Percent of total billed charges		40.959	33.3			Percent of total billed charges		40.959	100			Percent of total billed charges		123	40.959	110.7	
versanail solidlok hex tip 3.5mm 2810-01-019 depuy	272	RC	Outpatient			123	79.95		90			Percent of total billed charges		110.7	40			Percent of total billed charges		49.2	80			Percent of total billed charges		98.4	90			Percent of total billed charges		110.7	85			Percent of total billed charges		104.55	85			Percent of total billed charges		104.55	85			Percent of total billed charges		104.55	100			Percent of total billed charges		123	100			Percent of total billed charges		123	100			Percent of total billed charges		123	33.3			Percent of total billed charges		40.959	33.3			Percent of total billed charges		40.959	100			Percent of total billed charges		123	40.959	110.7	
versanail hex tip	272	RC	Outpatient			123	79.95		90			Percent of total billed charges		110.7	40			Percent of total billed charges		49.2	80			Percent of total billed charges		98.4	90			Percent of total billed charges		110.7	85			Percent of total billed charges		104.55	85			Percent of total billed charges		104.55	85			Percent of total billed charges		104.55	100			Percent of total billed charges		123	100			Percent of total billed charges		123	100			Percent of total billed charges		123	33.3			Percent of total billed charges		40.959	33.3			Percent of total billed charges		40.959	100			Percent of total billed charges		123	40.959	110.7	
screw 2.4 x 18 cortex evos 72402418n	278	RC	Outpatient			124	80.6		90			Percent of total billed charges		111.6	40			Percent of total billed charges		49.6	80			Percent of total billed charges		99.2	90			Percent of total billed charges		111.6	85			Percent of total billed charges		105.4	85			Percent of total billed charges		105.4	85			Percent of total billed charges		105.4	100			Percent of total billed charges		124	100			Percent of total billed charges		124	100			Percent of total billed charges		124	33.3			Percent of total billed charges		41.292	33.3			Percent of total billed charges		41.292	100			Percent of total billed charges		124	41.292	111.6	
blanket cs2 1112 11 x 12	270	RC	Outpatient			125	81.25		90			Percent of total billed charges		112.5	40			Percent of total billed charges		50	80			Percent of total billed charges		100	90			Percent of total billed charges		112.5	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	100			Percent of total billed charges		125	100			Percent of total billed charges		125	100			Percent of total billed charges		125	33.3			Percent of total billed charges		41.625	33.3			Percent of total billed charges		41.625	100			Percent of total billed charges		125	41.625	112.5	
blanket shoulder hot/ice #32316/35316	270	RC	Outpatient			125	81.25		90			Percent of total billed charges		112.5	40			Percent of total billed charges		50	80			Percent of total billed charges		100	90			Percent of total billed charges		112.5	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	100			Percent of total billed charges		125	100			Percent of total billed charges		125	100			Percent of total billed charges		125	33.3			Percent of total billed charges		41.625	33.3			Percent of total billed charges		41.625	100			Percent of total billed charges		125	41.625	112.5	
enseal nseal535rh j&j	278	RC	Outpatient			125	81.25		90			Percent of total billed charges		112.5	40			Percent of total billed charges		50	80			Percent of total billed charges		100	90			Percent of total billed charges		112.5	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	100			Percent of total billed charges		125	100			Percent of total billed charges		125	100			Percent of total billed charges		125	33.3			Percent of total billed charges		41.625	33.3			Percent of total billed charges		41.625	100			Percent of total billed charges		125	41.625	112.5	
jet-x mini pin cap  7106-2017 s/n	272	RC	Outpatient			125	81.25		90			Percent of total billed charges		112.5	40			Percent of total billed charges		50	80			Percent of total billed charges		100	90			Percent of total billed charges		112.5	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	100			Percent of total billed charges		125	100			Percent of total billed charges		125	100			Percent of total billed charges		125	33.3			Percent of total billed charges		41.625	33.3			Percent of total billed charges		41.625	100			Percent of total billed charges		125	41.625	112.5	
jet-x mini pin cap 4mm	272	RC	Outpatient			125	81.25		90			Percent of total billed charges		112.5	40			Percent of total billed charges		50	80			Percent of total billed charges		100	90			Percent of total billed charges		112.5	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	100			Percent of total billed charges		125	100			Percent of total billed charges		125	100			Percent of total billed charges		125	33.3			Percent of total billed charges		41.625	33.3			Percent of total billed charges		41.625	100			Percent of total billed charges		125	41.625	112.5	
hot ice shoulder blanket	270	RC	Outpatient			125	81.25		90			Percent of total billed charges		112.5	40			Percent of total billed charges		50	80			Percent of total billed charges		100	90			Percent of total billed charges		112.5	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	100			Percent of total billed charges		125	100			Percent of total billed charges		125	100			Percent of total billed charges		125	33.3			Percent of total billed charges		41.625	33.3			Percent of total billed charges		41.625	100			Percent of total billed charges		125	41.625	112.5	
s/n drill pin 1/8 x 5 74012905	272	RC	Outpatient			125	81.25		90			Percent of total billed charges		112.5	40			Percent of total billed charges		50	80			Percent of total billed charges		100	90			Percent of total billed charges		112.5	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	100			Percent of total billed charges		125	100			Percent of total billed charges		125	100			Percent of total billed charges		125	33.3			Percent of total billed charges		41.625	33.3			Percent of total billed charges		41.625	100			Percent of total billed charges		125	41.625	112.5	
set catheter percutaneous loop t.u.r.p. 14 fr 23 cm	270	RC	Outpatient			125	81.25		90			Percent of total billed charges		112.5	40			Percent of total billed charges		50	80			Percent of total billed charges		100	90			Percent of total billed charges		112.5	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	100			Percent of total billed charges		125	100			Percent of total billed charges		125	100			Percent of total billed charges		125	33.3			Percent of total billed charges		41.625	33.3			Percent of total billed charges		41.625	100			Percent of total billed charges		125	41.625	112.5	
t15 cortex scr st 2.7 x 10 7382-3010 s/n	278	RC	Outpatient			125	81.25		90			Percent of total billed charges		112.5	40			Percent of total billed charges		50	80			Percent of total billed charges		100	90			Percent of total billed charges		112.5	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	100			Percent of total billed charges		125	100			Percent of total billed charges		125	100			Percent of total billed charges		125	33.3			Percent of total billed charges		41.625	33.3			Percent of total billed charges		41.625	100			Percent of total billed charges		125	41.625	112.5	
t15 cortex scr st 2.7 x 12 7382-3012 s/n	278	RC	Outpatient			125	81.25		90			Percent of total billed charges		112.5	40			Percent of total billed charges		50	80			Percent of total billed charges		100	90			Percent of total billed charges		112.5	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	100			Percent of total billed charges		125	100			Percent of total billed charges		125	100			Percent of total billed charges		125	33.3			Percent of total billed charges		41.625	33.3			Percent of total billed charges		41.625	100			Percent of total billed charges		125	41.625	112.5	
t15 cortex scr st 2.7 x 14 7382-3014 s/n	278	RC	Outpatient			125	81.25		90			Percent of total billed charges		112.5	40			Percent of total billed charges		50	80			Percent of total billed charges		100	90			Percent of total billed charges		112.5	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	100			Percent of total billed charges		125	100			Percent of total billed charges		125	100			Percent of total billed charges		125	33.3			Percent of total billed charges		41.625	33.3			Percent of total billed charges		41.625	100			Percent of total billed charges		125	41.625	112.5	
t15 cortex scr st 2.7 x 18 7382-3018 s/n	278	RC	Outpatient			125	81.25		90			Percent of total billed charges		112.5	40			Percent of total billed charges		50	80			Percent of total billed charges		100	90			Percent of total billed charges		112.5	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	100			Percent of total billed charges		125	100			Percent of total billed charges		125	100			Percent of total billed charges		125	33.3			Percent of total billed charges		41.625	33.3			Percent of total billed charges		41.625	100			Percent of total billed charges		125	41.625	112.5	
t15 cortex scr st 2.7 x 20 7382-3020 s/n	278	RC	Outpatient			125	81.25		90			Percent of total billed charges		112.5	40			Percent of total billed charges		50	80			Percent of total billed charges		100	90			Percent of total billed charges		112.5	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	100			Percent of total billed charges		125	100			Percent of total billed charges		125	100			Percent of total billed charges		125	33.3			Percent of total billed charges		41.625	33.3			Percent of total billed charges		41.625	100			Percent of total billed charges		125	41.625	112.5	
t15 cortex scr st 2.7 x 22 7382-3022 s/n	278	RC	Outpatient			125	81.25		90			Percent of total billed charges		112.5	40			Percent of total billed charges		50	80			Percent of total billed charges		100	90			Percent of total billed charges		112.5	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	100			Percent of total billed charges		125	100			Percent of total billed charges		125	100			Percent of total billed charges		125	33.3			Percent of total billed charges		41.625	33.3			Percent of total billed charges		41.625	100			Percent of total billed charges		125	41.625	112.5	
t15 cortex scr st 2.7 x 38 7382-3038 s/n	278	RC	Outpatient			125	81.25		90			Percent of total billed charges		112.5	40			Percent of total billed charges		50	80			Percent of total billed charges		100	90			Percent of total billed charges		112.5	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	100			Percent of total billed charges		125	100			Percent of total billed charges		125	100			Percent of total billed charges		125	33.3			Percent of total billed charges		41.625	33.3			Percent of total billed charges		41.625	100			Percent of total billed charges		125	41.625	112.5	
t15 cortex scr st 2.7 x 40 7382-3040 s/n	278	RC	Outpatient			125	81.25		90			Percent of total billed charges		112.5	40			Percent of total billed charges		50	80			Percent of total billed charges		100	90			Percent of total billed charges		112.5	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	100			Percent of total billed charges		125	100			Percent of total billed charges		125	100			Percent of total billed charges		125	33.3			Percent of total billed charges		41.625	33.3			Percent of total billed charges		41.625	100			Percent of total billed charges		125	41.625	112.5	
t15 cortex scr st 2.7 x 42 7382-3042 s/n	278	RC	Outpatient			125	81.25		90			Percent of total billed charges		112.5	40			Percent of total billed charges		50	80			Percent of total billed charges		100	90			Percent of total billed charges		112.5	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	100			Percent of total billed charges		125	100			Percent of total billed charges		125	100			Percent of total billed charges		125	33.3			Percent of total billed charges		41.625	33.3			Percent of total billed charges		41.625	100			Percent of total billed charges		125	41.625	112.5	
t15 cortex scr st 2.7 x 44 7382-3044 s/n	278	RC	Outpatient			125	81.25		90			Percent of total billed charges		112.5	40			Percent of total billed charges		50	80			Percent of total billed charges		100	90			Percent of total billed charges		112.5	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	100			Percent of total billed charges		125	100			Percent of total billed charges		125	100			Percent of total billed charges		125	33.3			Percent of total billed charges		41.625	33.3			Percent of total billed charges		41.625	100			Percent of total billed charges		125	41.625	112.5	
t15 cortex scr st 2.7 x 46 7382-3046 s/n	278	RC	Outpatient			125	81.25		90			Percent of total billed charges		112.5	40			Percent of total billed charges		50	80			Percent of total billed charges		100	90			Percent of total billed charges		112.5	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	100			Percent of total billed charges		125	100			Percent of total billed charges		125	100			Percent of total billed charges		125	33.3			Percent of total billed charges		41.625	33.3			Percent of total billed charges		41.625	100			Percent of total billed charges		125	41.625	112.5	
t15 cortex scr st 2.7 x 48 7382-3048 s/n	278	RC	Outpatient			125	81.25		90			Percent of total billed charges		112.5	40			Percent of total billed charges		50	80			Percent of total billed charges		100	90			Percent of total billed charges		112.5	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	100			Percent of total billed charges		125	100			Percent of total billed charges		125	100			Percent of total billed charges		125	33.3			Percent of total billed charges		41.625	33.3			Percent of total billed charges		41.625	100			Percent of total billed charges		125	41.625	112.5	
t15 cortex scr st 2.7 x 60 7382-3060 s/n	278	RC	Outpatient			125	81.25		90			Percent of total billed charges		112.5	40			Percent of total billed charges		50	80			Percent of total billed charges		100	90			Percent of total billed charges		112.5	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	100			Percent of total billed charges		125	100			Percent of total billed charges		125	100			Percent of total billed charges		125	33.3			Percent of total billed charges		41.625	33.3			Percent of total billed charges		41.625	100			Percent of total billed charges		125	41.625	112.5	
t15 cortex scr st 2.7 x 65 7382-3065 s/n	278	RC	Outpatient			125	81.25		90			Percent of total billed charges		112.5	40			Percent of total billed charges		50	80			Percent of total billed charges		100	90			Percent of total billed charges		112.5	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	100			Percent of total billed charges		125	100			Percent of total billed charges		125	100			Percent of total billed charges		125	33.3			Percent of total billed charges		41.625	33.3			Percent of total billed charges		41.625	100			Percent of total billed charges		125	41.625	112.5	
t15 cortex scr st 2.7 x 70 7382-3070 s/n	278	RC	Outpatient			125	81.25		90			Percent of total billed charges		112.5	40			Percent of total billed charges		50	80			Percent of total billed charges		100	90			Percent of total billed charges		112.5	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	100			Percent of total billed charges		125	100			Percent of total billed charges		125	100			Percent of total billed charges		125	33.3			Percent of total billed charges		41.625	33.3			Percent of total billed charges		41.625	100			Percent of total billed charges		125	41.625	112.5	
percutaneous loop tur(p)	270	RC	Outpatient			125	81.25		90			Percent of total billed charges		112.5	40			Percent of total billed charges		50	80			Percent of total billed charges		100	90			Percent of total billed charges		112.5	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	100			Percent of total billed charges		125	100			Percent of total billed charges		125	100			Percent of total billed charges		125	33.3			Percent of total billed charges		41.625	33.3			Percent of total billed charges		41.625	100			Percent of total billed charges		125	41.625	112.5	
s/n 2.7 t15 cort. scr	278	RC	Outpatient			125	81.25		90			Percent of total billed charges		112.5	40			Percent of total billed charges		50	80			Percent of total billed charges		100	90			Percent of total billed charges		112.5	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	100			Percent of total billed charges		125	100			Percent of total billed charges		125	100			Percent of total billed charges		125	33.3			Percent of total billed charges		41.625	33.3			Percent of total billed charges		41.625	100			Percent of total billed charges		125	41.625	112.5	
t15 cortex scr st 2.7 x 16 7382-3016 s/n	278	RC	Outpatient			125	81.25		90			Percent of total billed charges		112.5	40			Percent of total billed charges		50	80			Percent of total billed charges		100	90			Percent of total billed charges		112.5	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	100			Percent of total billed charges		125	100			Percent of total billed charges		125	100			Percent of total billed charges		125	33.3			Percent of total billed charges		41.625	33.3			Percent of total billed charges		41.625	100			Percent of total billed charges		125	41.625	112.5	
t15 cortex scr st 2.7 x 24 7382-3024 s/n	278	RC	Outpatient			125	81.25		90			Percent of total billed charges		112.5	40			Percent of total billed charges		50	80			Percent of total billed charges		100	90			Percent of total billed charges		112.5	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	100			Percent of total billed charges		125	100			Percent of total billed charges		125	100			Percent of total billed charges		125	33.3			Percent of total billed charges		41.625	33.3			Percent of total billed charges		41.625	100			Percent of total billed charges		125	41.625	112.5	
t15 cortex scr st 2.7 x 26 7382-3026 s/n	278	RC	Outpatient			125	81.25		90			Percent of total billed charges		112.5	40			Percent of total billed charges		50	80			Percent of total billed charges		100	90			Percent of total billed charges		112.5	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	100			Percent of total billed charges		125	100			Percent of total billed charges		125	100			Percent of total billed charges		125	33.3			Percent of total billed charges		41.625	33.3			Percent of total billed charges		41.625	100			Percent of total billed charges		125	41.625	112.5	
t15 cortex scr st 2.7 x 28 7382-3028 s/n	278	RC	Outpatient			125	81.25		90			Percent of total billed charges		112.5	40			Percent of total billed charges		50	80			Percent of total billed charges		100	90			Percent of total billed charges		112.5	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	100			Percent of total billed charges		125	100			Percent of total billed charges		125	100			Percent of total billed charges		125	33.3			Percent of total billed charges		41.625	33.3			Percent of total billed charges		41.625	100			Percent of total billed charges		125	41.625	112.5	
t15 cortex scr st 2.7 x 30 7382-3030 s/n	278	RC	Outpatient			125	81.25		90			Percent of total billed charges		112.5	40			Percent of total billed charges		50	80			Percent of total billed charges		100	90			Percent of total billed charges		112.5	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	100			Percent of total billed charges		125	100			Percent of total billed charges		125	100			Percent of total billed charges		125	33.3			Percent of total billed charges		41.625	33.3			Percent of total billed charges		41.625	100			Percent of total billed charges		125	41.625	112.5	
t15 cortex scr st 2.7 x 32 7382-3032 s/n	278	RC	Outpatient			125	81.25		90			Percent of total billed charges		112.5	40			Percent of total billed charges		50	80			Percent of total billed charges		100	90			Percent of total billed charges		112.5	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	100			Percent of total billed charges		125	100			Percent of total billed charges		125	100			Percent of total billed charges		125	33.3			Percent of total billed charges		41.625	33.3			Percent of total billed charges		41.625	100			Percent of total billed charges		125	41.625	112.5	
t15 cortex scr st 2.7 x 34 7382-3034 s/n	278	RC	Outpatient			125	81.25		90			Percent of total billed charges		112.5	40			Percent of total billed charges		50	80			Percent of total billed charges		100	90			Percent of total billed charges		112.5	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	100			Percent of total billed charges		125	100			Percent of total billed charges		125	100			Percent of total billed charges		125	33.3			Percent of total billed charges		41.625	33.3			Percent of total billed charges		41.625	100			Percent of total billed charges		125	41.625	112.5	
t15 cortex scr st 2.7 x 36 7382-3036 s/n	278	RC	Outpatient			125	81.25		90			Percent of total billed charges		112.5	40			Percent of total billed charges		50	80			Percent of total billed charges		100	90			Percent of total billed charges		112.5	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	100			Percent of total billed charges		125	100			Percent of total billed charges		125	100			Percent of total billed charges		125	33.3			Percent of total billed charges		41.625	33.3			Percent of total billed charges		41.625	100			Percent of total billed charges		125	41.625	112.5	
t15 cortex scr st 2.7 x 50 7382-3050 s/n	278	RC	Outpatient			125	81.25		90			Percent of total billed charges		112.5	40			Percent of total billed charges		50	80			Percent of total billed charges		100	90			Percent of total billed charges		112.5	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	100			Percent of total billed charges		125	100			Percent of total billed charges		125	100			Percent of total billed charges		125	33.3			Percent of total billed charges		41.625	33.3			Percent of total billed charges		41.625	100			Percent of total billed charges		125	41.625	112.5	
t15 cortex scr st 2.7 x 55 7382-3055 s/n	278	RC	Outpatient			125	81.25		90			Percent of total billed charges		112.5	40			Percent of total billed charges		50	80			Percent of total billed charges		100	90			Percent of total billed charges		112.5	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	85			Percent of total billed charges		106.25	100			Percent of total billed charges		125	100			Percent of total billed charges		125	100			Percent of total billed charges		125	33.3			Percent of total billed charges		41.625	33.3			Percent of total billed charges		41.625	100			Percent of total billed charges		125	41.625	112.5	
cerclage wire w/eye 1.0mm  291.01 synthes	278	RC	Outpatient			126	81.9		90			Percent of total billed charges		113.4	40			Percent of total billed charges		50.4	80			Percent of total billed charges		100.8	90			Percent of total billed charges		113.4	85			Percent of total billed charges		107.1	85			Percent of total billed charges		107.1	85			Percent of total billed charges		107.1	100			Percent of total billed charges		126	100			Percent of total billed charges		126	100			Percent of total billed charges		126	33.3			Percent of total billed charges		41.958	33.3			Percent of total billed charges		41.958	100			Percent of total billed charges		126	41.958	113.4	
cerlage wire coils 1.25mm x 10mm 291.06	278	RC	Outpatient			126	81.9		90			Percent of total billed charges		113.4	40			Percent of total billed charges		50.4	80			Percent of total billed charges		100.8	90			Percent of total billed charges		113.4	85			Percent of total billed charges		107.1	85			Percent of total billed charges		107.1	85			Percent of total billed charges		107.1	100			Percent of total billed charges		126	100			Percent of total billed charges		126	100			Percent of total billed charges		126	33.3			Percent of total billed charges		41.958	33.3			Percent of total billed charges		41.958	100			Percent of total billed charges		126	41.958	113.4	
cerclage wire 1.0mm dia 291.05 synthes	278	RC	Outpatient			126	81.9		90			Percent of total billed charges		113.4	40			Percent of total billed charges		50.4	80			Percent of total billed charges		100.8	90			Percent of total billed charges		113.4	85			Percent of total billed charges		107.1	85			Percent of total billed charges		107.1	85			Percent of total billed charges		107.1	100			Percent of total billed charges		126	100			Percent of total billed charges		126	100			Percent of total billed charges		126	33.3			Percent of total billed charges		41.958	33.3			Percent of total billed charges		41.958	100			Percent of total billed charges		126	41.958	113.4	
insorb skin stapler 2030 incisvie surg	272	RC	Outpatient			126	81.9		90			Percent of total billed charges		113.4	40			Percent of total billed charges		50.4	80			Percent of total billed charges		100.8	90			Percent of total billed charges		113.4	85			Percent of total billed charges		107.1	85			Percent of total billed charges		107.1	85			Percent of total billed charges		107.1	100			Percent of total billed charges		126	100			Percent of total billed charges		126	100			Percent of total billed charges		126	33.3			Percent of total billed charges		41.958	33.3			Percent of total billed charges		41.958	100			Percent of total billed charges		126	41.958	113.4	
jet-x wire fx blt	278	RC	Outpatient			126	81.9		90			Percent of total billed charges		113.4	40			Percent of total billed charges		50.4	80			Percent of total billed charges		100.8	90			Percent of total billed charges		113.4	85			Percent of total billed charges		107.1	85			Percent of total billed charges		107.1	85			Percent of total billed charges		107.1	100			Percent of total billed charges		126	100			Percent of total billed charges		126	100			Percent of total billed charges		126	33.3			Percent of total billed charges		41.958	33.3			Percent of total billed charges		41.958	100			Percent of total billed charges		126	41.958	113.4	
long wire fix bolt cann 71013002 s/n	278	RC	Outpatient			126	81.9		90			Percent of total billed charges		113.4	40			Percent of total billed charges		50.4	80			Percent of total billed charges		100.8	90			Percent of total billed charges		113.4	85			Percent of total billed charges		107.1	85			Percent of total billed charges		107.1	85			Percent of total billed charges		107.1	100			Percent of total billed charges		126	100			Percent of total billed charges		126	100			Percent of total billed charges		126	33.3			Percent of total billed charges		41.958	33.3			Percent of total billed charges		41.958	100			Percent of total billed charges		126	41.958	113.4	
insorb skin stapler	272	RC	Outpatient			126	81.9		90			Percent of total billed charges		113.4	40			Percent of total billed charges		50.4	80			Percent of total billed charges		100.8	90			Percent of total billed charges		113.4	85			Percent of total billed charges		107.1	85			Percent of total billed charges		107.1	85			Percent of total billed charges		107.1	100			Percent of total billed charges		126	100			Percent of total billed charges		126	100			Percent of total billed charges		126	33.3			Percent of total billed charges		41.958	33.3			Percent of total billed charges		41.958	100			Percent of total billed charges		126	41.958	113.4	
pad spr plus	270	RC	Outpatient			126	81.9		90			Percent of total billed charges		113.4	40			Percent of total billed charges		50.4	80			Percent of total billed charges		100.8	90			Percent of total billed charges		113.4	85			Percent of total billed charges		107.1	85			Percent of total billed charges		107.1	85			Percent of total billed charges		107.1	100			Percent of total billed charges		126	100			Percent of total billed charges		126	100			Percent of total billed charges		126	33.3			Percent of total billed charges		41.958	33.3			Percent of total billed charges		41.958	100			Percent of total billed charges		126	41.958	113.4	
s/n centerlay bolt	278	RC	Outpatient			126	81.9		90			Percent of total billed charges		113.4	40			Percent of total billed charges		50.4	80			Percent of total billed charges		100.8	90			Percent of total billed charges		113.4	85			Percent of total billed charges		107.1	85			Percent of total billed charges		107.1	85			Percent of total billed charges		107.1	100			Percent of total billed charges		126	100			Percent of total billed charges		126	100			Percent of total billed charges		126	33.3			Percent of total billed charges		41.958	33.3			Percent of total billed charges		41.958	100			Percent of total billed charges		126	41.958	113.4	
s/n mini frag  wire 0.6mm 7116-3006	278	RC	Outpatient			126	81.9		90			Percent of total billed charges		113.4	40			Percent of total billed charges		50.4	80			Percent of total billed charges		100.8	90			Percent of total billed charges		113.4	85			Percent of total billed charges		107.1	85			Percent of total billed charges		107.1	85			Percent of total billed charges		107.1	100			Percent of total billed charges		126	100			Percent of total billed charges		126	100			Percent of total billed charges		126	33.3			Percent of total billed charges		41.958	33.3			Percent of total billed charges		41.958	100			Percent of total billed charges		126	41.958	113.4	
s/n mini frag  wire 0.8mm 7116-3008	278	RC	Outpatient			126	81.9		90			Percent of total billed charges		113.4	40			Percent of total billed charges		50.4	80			Percent of total billed charges		100.8	90			Percent of total billed charges		113.4	85			Percent of total billed charges		107.1	85			Percent of total billed charges		107.1	85			Percent of total billed charges		107.1	100			Percent of total billed charges		126	100			Percent of total billed charges		126	100			Percent of total billed charges		126	33.3			Percent of total billed charges		41.958	33.3			Percent of total billed charges		41.958	100			Percent of total billed charges		126	41.958	113.4	
scrmc tube cook shetty gastrostomy	621	RC	Outpatient			126	81.9		90			Percent of total billed charges		113.4	40			Percent of total billed charges		50.4	80			Percent of total billed charges		100.8	90			Percent of total billed charges		113.4	85			Percent of total billed charges		107.1	85			Percent of total billed charges		107.1	85			Percent of total billed charges		107.1	100			Percent of total billed charges		126	100			Percent of total billed charges		126	100			Percent of total billed charges		126	33.3			Percent of total billed charges		41.958	33.3			Percent of total billed charges		41.958	100			Percent of total billed charges		126	41.958	113.4	
s/n jet-x  wire fixation bolt 10-0700	278	RC	Outpatient			126	81.9		90			Percent of total billed charges		113.4	40			Percent of total billed charges		50.4	80			Percent of total billed charges		100.8	90			Percent of total billed charges		113.4	85			Percent of total billed charges		107.1	85			Percent of total billed charges		107.1	85			Percent of total billed charges		107.1	100			Percent of total billed charges		126	100			Percent of total billed charges		126	100			Percent of total billed charges		126	33.3			Percent of total billed charges		41.958	33.3			Percent of total billed charges		41.958	100			Percent of total billed charges		126	41.958	113.4	
urethral dilator male	270	RC	Outpatient			126	81.9		90			Percent of total billed charges		113.4	40			Percent of total billed charges		50.4	80			Percent of total billed charges		100.8	90			Percent of total billed charges		113.4	85			Percent of total billed charges		107.1	85			Percent of total billed charges		107.1	85			Percent of total billed charges		107.1	100			Percent of total billed charges		126	100			Percent of total billed charges		126	100			Percent of total billed charges		126	33.3			Percent of total billed charges		41.958	33.3			Percent of total billed charges		41.958	100			Percent of total billed charges		126	41.958	113.4	
wire fixation bolt cannulated 100600 s/n	278	RC	Outpatient			126	81.9		90			Percent of total billed charges		113.4	40			Percent of total billed charges		50.4	80			Percent of total billed charges		100.8	90			Percent of total billed charges		113.4	85			Percent of total billed charges		107.1	85			Percent of total billed charges		107.1	85			Percent of total billed charges		107.1	100			Percent of total billed charges		126	100			Percent of total billed charges		126	100			Percent of total billed charges		126	33.3			Percent of total billed charges		41.958	33.3			Percent of total billed charges		41.958	100			Percent of total billed charges		126	41.958	113.4	
wire circulage	278	RC	Outpatient			126	81.9		90			Percent of total billed charges		113.4	40			Percent of total billed charges		50.4	80			Percent of total billed charges		100.8	90			Percent of total billed charges		113.4	85			Percent of total billed charges		107.1	85			Percent of total billed charges		107.1	85			Percent of total billed charges		107.1	100			Percent of total billed charges		126	100			Percent of total billed charges		126	100			Percent of total billed charges		126	33.3			Percent of total billed charges		41.958	33.3			Percent of total billed charges		41.958	100			Percent of total billed charges		126	41.958	113.4	
arthrex cancellous screw 3.0 x 12mm ar-8830-12	278	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
arthrex cancellous screw 3.0 x 20mm ar-8830-20	278	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
arthrex cancellous screw 3.0 x 24mm ar-8830-24	278	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
arthrex cancellous screw 3.0 x 26mm ar-8830-26	278	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
arthrex cancellous screw 3.0 x 30mm ar-8830-30	278	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
arthrex low profile  cancellous screw 4.0x 14mm ar 8840-14	278	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
arthrex low profile  cancellous screw 4.0x 28mm ar 8840-28	278	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
arthrex low profile  cancellous screw 4.0x 30mm ar 8840-30	278	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
arthrex low profile  cancellous screw 4.0x 32mm ar 8840-32	278	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
arthrex low profile  cancellous screw 4.0x 34mm ar 8840-34	278	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
arthrex low profile  cancellous screw 4.0x 36mm ar 8840-36	278	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
arthrex low profile  cancellous screw 4.0x 40mm ar 8840-40	278	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
arthrex low profile  cancellous screw 4.0x 45mm ar 8840-45	278	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
arthrex low profile  cancellous screw 4.0x 50mm ar 8840-50	278	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
arthrex low profile screw 4.0 x 30mm ar-8840pl-30	278	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
arthrex low profile screw 4.0 x 34mm ar-8840pl-34	278	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
arthrex low profile screw 4.0 x 36mm ar-8840p-36	278	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
arthrex low profile screw 4.0 x 38mm ar-8840p-38	278	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
arthrex low profile screw 4.0 x 38mm ar-8840pl-38	278	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
arthrex low profile screw 4.0 x 40mm ar-8840p-40	278	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
arthrex low profile screw 4.0 x 40mm ar-8840pl-40	278	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
arthrex low profile screw 4.0 x 42mm ar-8840pl-42	278	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
arthrex low profile screw 4.0 x 46mm ar-8840p-46	278	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
arthrex low profile screw 4.0 x 46mm ar-8840pl-46	278	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
arthrex low profile screw 4.0 x 48mm ar-8840p-48	278	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
arthrex low profile screw 4.0 x 50mm ar-8840p-50	278	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
arthrex low profile screw 4.0 x 50mm ar-8840pl-50	278	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
arthrex low profile screw 4.0 x 55mm ar-8840p-55	278	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
arthrex scr lp 4.0	278	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
cath lab inj for bypass graft	481	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
arthrex cancellous screw 3.0 x 10mm ar-8830-10	278	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
arthrex cancellous screw 3.0 x 14mm ar-8830-14	278	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
arthrex cancellous screw 3.0 x 16mm ar-8830-16	278	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
arthrex cancellous screw 3.0 x 18mm ar-8830-18	278	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
arthrex cancellous screw 3.0 x 22mm ar-8830-22	278	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
arthrex cancellous screw 3.0 x 28mm ar-8830-28	278	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
arthrex low profile  cancellous screw 4.0x 10mm ar 8840-10	278	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
arthrex low profile  cancellous screw 4.0x 12mm ar 8840-12	278	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
arthrex low profile  cancellous screw 4.0x 16mm ar 8840-16	278	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
arthrex low profile  cancellous screw 4.0x 18mm ar 8840-18	278	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
arthrex low profile  cancellous screw 4.0x 20mm ar 8840-20	278	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
arthrex low profile  cancellous screw 4.0x 22mm ar 8840-22	278	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
arthrex low profile  cancellous screw 4.0x 24mm ar 8840-24	278	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
arthrex low profile  cancellous screw 4.0x 26mm ar 8840-26	278	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
arthrex low profile  cancellous screw 4.0x 38mm ar 8840-38	278	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
arthrex low profile  cancellous screw 4.0x 40mm ar 8840-42	278	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
arthrex low profile  cancellous screw 4.0x 40mm ar 8840-55	278	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
arthrex low profile  cancellous screw 4.0x 44mm ar 8840-44	278	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
arthrex low profile  cancellous screw 4.0x 46mm ar 8840-46	278	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
arthrex low profile  cancellous screw 4.0x 48mm ar 8840-48	278	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
arthrex low profile screw 4.0 x 30mm ar-8840p-30	278	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
arthrex low profile screw 4.0 x 32mm ar-8840p-32	278	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
arthrex low profile screw 4.0 x 32mm ar-8840pl-32	278	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
arthrex low profile screw 4.0 x 34mm ar-8840p-34	278	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
arthrex low profile screw 4.0 x 36mm ar-8840pl-36	278	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
arthrex low profile screw 4.0 x 42mm ar-8840p-42	278	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
arthrex low profile screw 4.0 x 44mm ar-8840p-44	278	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
arthrex low profile screw 4.0 x 44mm ar-8840pl-44	278	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
arthrex low profile screw 4.0 x 48mm ar-8840pl-48	278	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
arthrex low profile screw 4.0 x 55mm ar-8840pl-55	278	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
arthrex low profile screw 4.0 x 60mm ar-8840pl-60	278	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
arthrex scr 3.0 cancel	278	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
belt pelvic traction	270	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
cast cutter arm long	270	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
dressing silverlon 4 x 14	270	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
max-core bx inst	272	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
montgomery speaking valve 221710 boston med	278	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
montgomery speaking valve 321010 boston med	278	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
needle insufflation 120 mm pn120	270	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
montgomery speaking valve 221010 boston med	278	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
needle insufflation  c2201 applied med	270	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
pin trocar f/tib 4.0mmx240mm 112004	270	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
plaster short leg	270	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
"port,indwelling implant"	278	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
resectoscope gyn	270	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
short leg plaster	270	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
speaking valve	278	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
staples tlh 90 load	272	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
"traction, cervical w/halt"	270	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
proximate tx 90mm linear cutter 3.5mm reload tr90 ethicon	272	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
r/t trocar pin	270	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
side arm traction	270	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
surgineedle 120mm disp 172015	270	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
"surgineedle, 120mm"	270	RC	Outpatient			127	82.55		90			Percent of total billed charges		114.3	40			Percent of total billed charges		50.8	80			Percent of total billed charges		101.6	90			Percent of total billed charges		114.3	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	85			Percent of total billed charges		107.95	100			Percent of total billed charges		127	100			Percent of total billed charges		127	100			Percent of total billed charges		127	33.3			Percent of total billed charges		42.291	33.3			Percent of total billed charges		42.291	100			Percent of total billed charges		127	42.291	114.3	
abduction shoulder immob kit 79-84500 dj ortho	272	RC	Outpatient			128	83.2		90			Percent of total billed charges		115.2	40			Percent of total billed charges		51.2	80			Percent of total billed charges		102.4	90			Percent of total billed charges		115.2	85			Percent of total billed charges		108.8	85			Percent of total billed charges		108.8	85			Percent of total billed charges		108.8	100			Percent of total billed charges		128	100			Percent of total billed charges		128	100			Percent of total billed charges		128	33.3			Percent of total billed charges		42.624	33.3			Percent of total billed charges		42.624	100			Percent of total billed charges		128	42.624	115.2	
acl graft passer 11.5 5391-60-000	270	RC	Outpatient			128	83.2		90			Percent of total billed charges		115.2	40			Percent of total billed charges		51.2	80			Percent of total billed charges		102.4	90			Percent of total billed charges		115.2	85			Percent of total billed charges		108.8	85			Percent of total billed charges		108.8	85			Percent of total billed charges		108.8	100			Percent of total billed charges		128	100			Percent of total billed charges		128	100			Percent of total billed charges		128	33.3			Percent of total billed charges		42.624	33.3			Percent of total billed charges		42.624	100			Percent of total billed charges		128	42.624	115.2	
acumed tap	272	RC	Outpatient			128	83.2		90			Percent of total billed charges		115.2	40			Percent of total billed charges		51.2	80			Percent of total billed charges		102.4	90			Percent of total billed charges		115.2	85			Percent of total billed charges		108.8	85			Percent of total billed charges		108.8	85			Percent of total billed charges		108.8	100			Percent of total billed charges		128	100			Percent of total billed charges		128	100			Percent of total billed charges		128	33.3			Percent of total billed charges		42.624	33.3			Percent of total billed charges		42.624	100			Percent of total billed charges		128	42.624	115.2	
arthrex #2 fiberloop ar-7234	272	RC	Outpatient			128	83.2		90			Percent of total billed charges		115.2	40			Percent of total billed charges		51.2	80			Percent of total billed charges		102.4	90			Percent of total billed charges		115.2	85			Percent of total billed charges		108.8	85			Percent of total billed charges		108.8	85			Percent of total billed charges		108.8	100			Percent of total billed charges		128	100			Percent of total billed charges		128	100			Percent of total billed charges		128	33.3			Percent of total billed charges		42.624	33.3			Percent of total billed charges		42.624	100			Percent of total billed charges		128	42.624	115.2	
arthrex fiberloop # 2	272	RC	Outpatient			128	83.2		90			Percent of total billed charges		115.2	40			Percent of total billed charges		51.2	80			Percent of total billed charges		102.4	90			Percent of total billed charges		115.2	85			Percent of total billed charges		108.8	85			Percent of total billed charges		108.8	85			Percent of total billed charges		108.8	100			Percent of total billed charges		128	100			Percent of total billed charges		128	100			Percent of total billed charges		128	33.3			Percent of total billed charges		42.624	33.3			Percent of total billed charges		42.624	100			Percent of total billed charges		128	42.624	115.2	
level 1 irrigating fluid warmer tubing ir-600 sims	272	RC	Outpatient			128	83.2		90			Percent of total billed charges		115.2	40			Percent of total billed charges		51.2	80			Percent of total billed charges		102.4	90			Percent of total billed charges		115.2	85			Percent of total billed charges		108.8	85			Percent of total billed charges		108.8	85			Percent of total billed charges		108.8	100			Percent of total billed charges		128	100			Percent of total billed charges		128	100			Percent of total billed charges		128	33.3			Percent of total billed charges		42.624	33.3			Percent of total billed charges		42.624	100			Percent of total billed charges		128	42.624	115.2	
gelfoam large	270	RC	Outpatient			128	83.2		90			Percent of total billed charges		115.2	40			Percent of total billed charges		51.2	80			Percent of total billed charges		102.4	90			Percent of total billed charges		115.2	85			Percent of total billed charges		108.8	85			Percent of total billed charges		108.8	85			Percent of total billed charges		108.8	100			Percent of total billed charges		128	100			Percent of total billed charges		128	100			Percent of total billed charges		128	33.3			Percent of total billed charges		42.624	33.3			Percent of total billed charges		42.624	100			Percent of total billed charges		128	42.624	115.2	
ligament graft passer	270	RC	Outpatient			128	83.2		90			Percent of total billed charges		115.2	40			Percent of total billed charges		51.2	80			Percent of total billed charges		102.4	90			Percent of total billed charges		115.2	85			Percent of total billed charges		108.8	85			Percent of total billed charges		108.8	85			Percent of total billed charges		108.8	100			Percent of total billed charges		128	100			Percent of total billed charges		128	100			Percent of total billed charges		128	33.3			Percent of total billed charges		42.624	33.3			Percent of total billed charges		42.624	100			Percent of total billed charges		128	42.624	115.2	
graft passer st 10.5	270	RC	Outpatient			128	83.2		90			Percent of total billed charges		115.2	40			Percent of total billed charges		51.2	80			Percent of total billed charges		102.4	90			Percent of total billed charges		115.2	85			Percent of total billed charges		108.8	85			Percent of total billed charges		108.8	85			Percent of total billed charges		108.8	100			Percent of total billed charges		128	100			Percent of total billed charges		128	100			Percent of total billed charges		128	33.3			Percent of total billed charges		42.624	33.3			Percent of total billed charges		42.624	100			Percent of total billed charges		128	42.624	115.2	
level 1 irrigation set ir	272	RC	Outpatient			128	83.2		90			Percent of total billed charges		115.2	40			Percent of total billed charges		51.2	80			Percent of total billed charges		102.4	90			Percent of total billed charges		115.2	85			Percent of total billed charges		108.8	85			Percent of total billed charges		108.8	85			Percent of total billed charges		108.8	100			Percent of total billed charges		128	100			Percent of total billed charges		128	100			Percent of total billed charges		128	33.3			Percent of total billed charges		42.624	33.3			Percent of total billed charges		42.624	100			Percent of total billed charges		128	42.624	115.2	
metal universal leg splin	270	RC	Outpatient			128	83.2		90			Percent of total billed charges		115.2	40			Percent of total billed charges		51.2	80			Percent of total billed charges		102.4	90			Percent of total billed charges		115.2	85			Percent of total billed charges		108.8	85			Percent of total billed charges		108.8	85			Percent of total billed charges		108.8	100			Percent of total billed charges		128	100			Percent of total billed charges		128	100			Percent of total billed charges		128	33.3			Percent of total billed charges		42.624	33.3			Percent of total billed charges		42.624	100			Percent of total billed charges		128	42.624	115.2	
passer ligament graft 232215 mitek	270	RC	Outpatient			128	83.2		90			Percent of total billed charges		115.2	40			Percent of total billed charges		51.2	80			Percent of total billed charges		102.4	90			Percent of total billed charges		115.2	85			Percent of total billed charges		108.8	85			Percent of total billed charges		108.8	85			Percent of total billed charges		108.8	100			Percent of total billed charges		128	100			Percent of total billed charges		128	100			Percent of total billed charges		128	33.3			Percent of total billed charges		42.624	33.3			Percent of total billed charges		42.624	100			Percent of total billed charges		128	42.624	115.2	
passer suture graft 11.5mm 5391-60-000 depu	270	RC	Outpatient			128	83.2		90			Percent of total billed charges		115.2	40			Percent of total billed charges		51.2	80			Percent of total billed charges		102.4	90			Percent of total billed charges		115.2	85			Percent of total billed charges		108.8	85			Percent of total billed charges		108.8	85			Percent of total billed charges		108.8	100			Percent of total billed charges		128	100			Percent of total billed charges		128	100			Percent of total billed charges		128	33.3			Percent of total billed charges		42.624	33.3			Percent of total billed charges		42.624	100			Percent of total billed charges		128	42.624	115.2	
passer suture graft 9.5mm 5390-60-000 depu	270	RC	Outpatient			128	83.2		90			Percent of total billed charges		115.2	40			Percent of total billed charges		51.2	80			Percent of total billed charges		102.4	90			Percent of total billed charges		115.2	85			Percent of total billed charges		108.8	85			Percent of total billed charges		108.8	85			Percent of total billed charges		108.8	100			Percent of total billed charges		128	100			Percent of total billed charges		128	100			Percent of total billed charges		128	33.3			Percent of total billed charges		42.624	33.3			Percent of total billed charges		42.624	100			Percent of total billed charges		128	42.624	115.2	
peri-loc 6.5 t25 screw 60mm 73828160 s/n	278	RC	Outpatient			128	83.2		90			Percent of total billed charges		115.2	40			Percent of total billed charges		51.2	80			Percent of total billed charges		102.4	90			Percent of total billed charges		115.2	85			Percent of total billed charges		108.8	85			Percent of total billed charges		108.8	85			Percent of total billed charges		108.8	100			Percent of total billed charges		128	100			Percent of total billed charges		128	100			Percent of total billed charges		128	33.3			Percent of total billed charges		42.624	33.3			Percent of total billed charges		42.624	100			Percent of total billed charges		128	42.624	115.2	
peri-loc 6.5 t25 screw 75mm 73828175 s/n	278	RC	Outpatient			128	83.2		90			Percent of total billed charges		115.2	40			Percent of total billed charges		51.2	80			Percent of total billed charges		102.4	90			Percent of total billed charges		115.2	85			Percent of total billed charges		108.8	85			Percent of total billed charges		108.8	85			Percent of total billed charges		108.8	100			Percent of total billed charges		128	100			Percent of total billed charges		128	100			Percent of total billed charges		128	33.3			Percent of total billed charges		42.624	33.3			Percent of total billed charges		42.624	100			Percent of total billed charges		128	42.624	115.2	
peri-loc 6.5 t25 screw 95mm 73828195 s/n	278	RC	Outpatient			128	83.2		90			Percent of total billed charges		115.2	40			Percent of total billed charges		51.2	80			Percent of total billed charges		102.4	90			Percent of total billed charges		115.2	85			Percent of total billed charges		108.8	85			Percent of total billed charges		108.8	85			Percent of total billed charges		108.8	100			Percent of total billed charges		128	100			Percent of total billed charges		128	100			Percent of total billed charges		128	33.3			Percent of total billed charges		42.624	33.3			Percent of total billed charges		42.624	100			Percent of total billed charges		128	42.624	115.2	
shouldr aabduction pillow	272	RC	Outpatient			128	83.2		90			Percent of total billed charges		115.2	40			Percent of total billed charges		51.2	80			Percent of total billed charges		102.4	90			Percent of total billed charges		115.2	85			Percent of total billed charges		108.8	85			Percent of total billed charges		108.8	85			Percent of total billed charges		108.8	100			Percent of total billed charges		128	100			Percent of total billed charges		128	100			Percent of total billed charges		128	33.3			Percent of total billed charges		42.624	33.3			Percent of total billed charges		42.624	100			Percent of total billed charges		128	42.624	115.2	
sponge gelfoam sz100 ster 0009034201	270	RC	Outpatient			128	83.2		90			Percent of total billed charges		115.2	40			Percent of total billed charges		51.2	80			Percent of total billed charges		102.4	90			Percent of total billed charges		115.2	85			Percent of total billed charges		108.8	85			Percent of total billed charges		108.8	85			Percent of total billed charges		108.8	100			Percent of total billed charges		128	100			Percent of total billed charges		128	100			Percent of total billed charges		128	33.3			Percent of total billed charges		42.624	33.3			Percent of total billed charges		42.624	100			Percent of total billed charges		128	42.624	115.2	
t-loop graft passer 254232 mitek	270	RC	Outpatient			128	83.2		90			Percent of total billed charges		115.2	40			Percent of total billed charges		51.2	80			Percent of total billed charges		102.4	90			Percent of total billed charges		115.2	85			Percent of total billed charges		108.8	85			Percent of total billed charges		108.8	85			Percent of total billed charges		108.8	100			Percent of total billed charges		128	100			Percent of total billed charges		128	100			Percent of total billed charges		128	33.3			Percent of total billed charges		42.624	33.3			Percent of total billed charges		42.624	100			Percent of total billed charges		128	42.624	115.2	
peri-loc 6.5 t25 screw 100mm 73828200 s/n	278	RC	Outpatient			128	83.2		90			Percent of total billed charges		115.2	40			Percent of total billed charges		51.2	80			Percent of total billed charges		102.4	90			Percent of total billed charges		115.2	85			Percent of total billed charges		108.8	85			Percent of total billed charges		108.8	85			Percent of total billed charges		108.8	100			Percent of total billed charges		128	100			Percent of total billed charges		128	100			Percent of total billed charges		128	33.3			Percent of total billed charges		42.624	33.3			Percent of total billed charges		42.624	100			Percent of total billed charges		128	42.624	115.2	
peri-loc 6.5 t25 screw 50mm 73828150 s/n	278	RC	Outpatient			128	83.2		90			Percent of total billed charges		115.2	40			Percent of total billed charges		51.2	80			Percent of total billed charges		102.4	90			Percent of total billed charges		115.2	85			Percent of total billed charges		108.8	85			Percent of total billed charges		108.8	85			Percent of total billed charges		108.8	100			Percent of total billed charges		128	100			Percent of total billed charges		128	100			Percent of total billed charges		128	33.3			Percent of total billed charges		42.624	33.3			Percent of total billed charges		42.624	100			Percent of total billed charges		128	42.624	115.2	
peri-loc 6.5 t25 screw 55mm 73828155 s/n	278	RC	Outpatient			128	83.2		90			Percent of total billed charges		115.2	40			Percent of total billed charges		51.2	80			Percent of total billed charges		102.4	90			Percent of total billed charges		115.2	85			Percent of total billed charges		108.8	85			Percent of total billed charges		108.8	85			Percent of total billed charges		108.8	100			Percent of total billed charges		128	100			Percent of total billed charges		128	100			Percent of total billed charges		128	33.3			Percent of total billed charges		42.624	33.3			Percent of total billed charges		42.624	100			Percent of total billed charges		128	42.624	115.2	
peri-loc 6.5 t25 screw 65mm 73828165 s/n	278	RC	Outpatient			128	83.2		90			Percent of total billed charges		115.2	40			Percent of total billed charges		51.2	80			Percent of total billed charges		102.4	90			Percent of total billed charges		115.2	85			Percent of total billed charges		108.8	85			Percent of total billed charges		108.8	85			Percent of total billed charges		108.8	100			Percent of total billed charges		128	100			Percent of total billed charges		128	100			Percent of total billed charges		128	33.3			Percent of total billed charges		42.624	33.3			Percent of total billed charges		42.624	100			Percent of total billed charges		128	42.624	115.2	
peri-loc 6.5 t25 screw 70mm 73828170 s/n	278	RC	Outpatient			128	83.2		90			Percent of total billed charges		115.2	40			Percent of total billed charges		51.2	80			Percent of total billed charges		102.4	90			Percent of total billed charges		115.2	85			Percent of total billed charges		108.8	85			Percent of total billed charges		108.8	85			Percent of total billed charges		108.8	100			Percent of total billed charges		128	100			Percent of total billed charges		128	100			Percent of total billed charges		128	33.3			Percent of total billed charges		42.624	33.3			Percent of total billed charges		42.624	100			Percent of total billed charges		128	42.624	115.2	
peri-loc 6.5 t25 screw 80mm 73828180 s/n	278	RC	Outpatient			128	83.2		90			Percent of total billed charges		115.2	40			Percent of total billed charges		51.2	80			Percent of total billed charges		102.4	90			Percent of total billed charges		115.2	85			Percent of total billed charges		108.8	85			Percent of total billed charges		108.8	85			Percent of total billed charges		108.8	100			Percent of total billed charges		128	100			Percent of total billed charges		128	100			Percent of total billed charges		128	33.3			Percent of total billed charges		42.624	33.3			Percent of total billed charges		42.624	100			Percent of total billed charges		128	42.624	115.2	
peri-loc 6.5 t25 screw 85mm 73828185 s/n	278	RC	Outpatient			128	83.2		90			Percent of total billed charges		115.2	40			Percent of total billed charges		51.2	80			Percent of total billed charges		102.4	90			Percent of total billed charges		115.2	85			Percent of total billed charges		108.8	85			Percent of total billed charges		108.8	85			Percent of total billed charges		108.8	100			Percent of total billed charges		128	100			Percent of total billed charges		128	100			Percent of total billed charges		128	33.3			Percent of total billed charges		42.624	33.3			Percent of total billed charges		42.624	100			Percent of total billed charges		128	42.624	115.2	
peri-loc 6.5 t25 screw 90mm 73828190 s/n	278	RC	Outpatient			128	83.2		90			Percent of total billed charges		115.2	40			Percent of total billed charges		51.2	80			Percent of total billed charges		102.4	90			Percent of total billed charges		115.2	85			Percent of total billed charges		108.8	85			Percent of total billed charges		108.8	85			Percent of total billed charges		108.8	100			Percent of total billed charges		128	100			Percent of total billed charges		128	100			Percent of total billed charges		128	33.3			Percent of total billed charges		42.624	33.3			Percent of total billed charges		42.624	100			Percent of total billed charges		128	42.624	115.2	
s/n 6.5 t25 canc scr	278	RC	Outpatient			128	83.2		90			Percent of total billed charges		115.2	40			Percent of total billed charges		51.2	80			Percent of total billed charges		102.4	90			Percent of total billed charges		115.2	85			Percent of total billed charges		108.8	85			Percent of total billed charges		108.8	85			Percent of total billed charges		108.8	100			Percent of total billed charges		128	100			Percent of total billed charges		128	100			Percent of total billed charges		128	33.3			Percent of total billed charges		42.624	33.3			Percent of total billed charges		42.624	100			Percent of total billed charges		128	42.624	115.2	
zimmer 1.6 k-wire	278	RC	Outpatient			128	83.2		90			Percent of total billed charges		115.2	40			Percent of total billed charges		51.2	80			Percent of total billed charges		102.4	90			Percent of total billed charges		115.2	85			Percent of total billed charges		108.8	85			Percent of total billed charges		108.8	85			Percent of total billed charges		108.8	100			Percent of total billed charges		128	100			Percent of total billed charges		128	100			Percent of total billed charges		128	33.3			Percent of total billed charges		42.624	33.3			Percent of total billed charges		42.624	100			Percent of total billed charges		128	42.624	115.2	
zimmer 1.6 k-wire 4901-16-15	278	RC	Outpatient			128	83.2		90			Percent of total billed charges		115.2	40			Percent of total billed charges		51.2	80			Percent of total billed charges		102.4	90			Percent of total billed charges		115.2	85			Percent of total billed charges		108.8	85			Percent of total billed charges		108.8	85			Percent of total billed charges		108.8	100			Percent of total billed charges		128	100			Percent of total billed charges		128	100			Percent of total billed charges		128	33.3			Percent of total billed charges		42.624	33.3			Percent of total billed charges		42.624	100			Percent of total billed charges		128	42.624	115.2	
3800024 lac rep simple ed charge	450	RC	Outpatient			130	84.5		90			Percent of total billed charges		117	40			Percent of total billed charges		52	80			Percent of total billed charges		104	90			Percent of total billed charges		117	85			Percent of total billed charges		110.5	85			Percent of total billed charges		110.5	85			Percent of total billed charges		110.5	100			Percent of total billed charges		130	100			Percent of total billed charges		130	100			Percent of total billed charges		130	33.3			Percent of total billed charges		43.29	33.3			Percent of total billed charges		43.29	100			Percent of total billed charges		130	43.29	117	
cosmetic - laser hair removal upper lip and chin each addt'l session	983	RC	Outpatient			130	84.5		90			Percent of total billed charges		117	40			Percent of total billed charges		52	80			Percent of total billed charges		104	90			Percent of total billed charges		117	85			Percent of total billed charges		110.5	85			Percent of total billed charges		110.5	85			Percent of total billed charges		110.5	100			Percent of total billed charges		130	100			Percent of total billed charges		130	100			Percent of total billed charges		130	33.3			Percent of total billed charges		43.29	33.3			Percent of total billed charges		43.29	100			Percent of total billed charges		130	43.29	117	
catheter glide terumo	272	RC	Outpatient			130	84.5		90			Percent of total billed charges		117	40			Percent of total billed charges		52	80			Percent of total billed charges		104	90			Percent of total billed charges		117	85			Percent of total billed charges		110.5	85			Percent of total billed charges		110.5	85			Percent of total billed charges		110.5	100			Percent of total billed charges		130	100			Percent of total billed charges		130	100			Percent of total billed charges		130	33.3			Percent of total billed charges		43.29	33.3			Percent of total billed charges		43.29	100			Percent of total billed charges		130	43.29	117	
glidecath 4fr 120cm  cg417 terumo	272	RC	Outpatient			130	84.5		90			Percent of total billed charges		117	40			Percent of total billed charges		52	80			Percent of total billed charges		104	90			Percent of total billed charges		117	85			Percent of total billed charges		110.5	85			Percent of total billed charges		110.5	85			Percent of total billed charges		110.5	100			Percent of total billed charges		130	100			Percent of total billed charges		130	100			Percent of total billed charges		130	33.3			Percent of total billed charges		43.29	33.3			Percent of total billed charges		43.29	100			Percent of total billed charges		130	43.29	117	
glidecath 5fr 65cm  cg507 terumo	272	RC	Outpatient			130	84.5		90			Percent of total billed charges		117	40			Percent of total billed charges		52	80			Percent of total billed charges		104	90			Percent of total billed charges		117	85			Percent of total billed charges		110.5	85			Percent of total billed charges		110.5	85			Percent of total billed charges		110.5	100			Percent of total billed charges		130	100			Percent of total billed charges		130	100			Percent of total billed charges		130	33.3			Percent of total billed charges		43.29	33.3			Percent of total billed charges		43.29	100			Percent of total billed charges		130	43.29	117	
glidecath st 5fr 110cm cg506 terumo	272	RC	Outpatient			130	84.5		90			Percent of total billed charges		117	40			Percent of total billed charges		52	80			Percent of total billed charges		104	90			Percent of total billed charges		117	85			Percent of total billed charges		110.5	85			Percent of total billed charges		110.5	85			Percent of total billed charges		110.5	100			Percent of total billed charges		130	100			Percent of total billed charges		130	100			Percent of total billed charges		130	33.3			Percent of total billed charges		43.29	33.3			Percent of total billed charges		43.29	100			Percent of total billed charges		130	43.29	117	
glidecath st 5fr 65cm cg505 terumo	272	RC	Outpatient			130	84.5		90			Percent of total billed charges		117	40			Percent of total billed charges		52	80			Percent of total billed charges		104	90			Percent of total billed charges		117	85			Percent of total billed charges		110.5	85			Percent of total billed charges		110.5	85			Percent of total billed charges		110.5	100			Percent of total billed charges		130	100			Percent of total billed charges		130	100			Percent of total billed charges		130	33.3			Percent of total billed charges		43.29	33.3			Percent of total billed charges		43.29	100			Percent of total billed charges		130	43.29	117	
hewson suture retriever 71111579	270	RC	Outpatient			130	84.5		90			Percent of total billed charges		117	40			Percent of total billed charges		52	80			Percent of total billed charges		104	90			Percent of total billed charges		117	85			Percent of total billed charges		110.5	85			Percent of total billed charges		110.5	85			Percent of total billed charges		110.5	100			Percent of total billed charges		130	100			Percent of total billed charges		130	100			Percent of total billed charges		130	33.3			Percent of total billed charges		43.29	33.3			Percent of total billed charges		43.29	100			Percent of total billed charges		130	43.29	117	
glidecath 4fr 100cm  cg416 terumo	272	RC	Outpatient			130	84.5		90			Percent of total billed charges		117	40			Percent of total billed charges		52	80			Percent of total billed charges		104	90			Percent of total billed charges		117	85			Percent of total billed charges		110.5	85			Percent of total billed charges		110.5	85			Percent of total billed charges		110.5	100			Percent of total billed charges		130	100			Percent of total billed charges		130	100			Percent of total billed charges		130	33.3			Percent of total billed charges		43.29	33.3			Percent of total billed charges		43.29	100			Percent of total billed charges		130	43.29	117	
glidecath 5fr 100cm  cg508 terumo	272	RC	Outpatient			130	84.5		90			Percent of total billed charges		117	40			Percent of total billed charges		52	80			Percent of total billed charges		104	90			Percent of total billed charges		117	85			Percent of total billed charges		110.5	85			Percent of total billed charges		110.5	85			Percent of total billed charges		110.5	100			Percent of total billed charges		130	100			Percent of total billed charges		130	100			Percent of total billed charges		130	33.3			Percent of total billed charges		43.29	33.3			Percent of total billed charges		43.29	100			Percent of total billed charges		130	43.29	117	
pleurx drainage kit red: 50-7510	272	RC	Outpatient			130	84.5		90			Percent of total billed charges		117	40			Percent of total billed charges		52	80			Percent of total billed charges		104	90			Percent of total billed charges		117	85			Percent of total billed charges		110.5	85			Percent of total billed charges		110.5	85			Percent of total billed charges		110.5	100			Percent of total billed charges		130	100			Percent of total billed charges		130	100			Percent of total billed charges		130	33.3			Percent of total billed charges		43.29	33.3			Percent of total billed charges		43.29	100			Percent of total billed charges		130	43.29	117	
retriever suture for rotator cuff inst set med 9893 linvat	270	RC	Outpatient			130	84.5		90			Percent of total billed charges		117	40			Percent of total billed charges		52	80			Percent of total billed charges		104	90			Percent of total billed charges		117	85			Percent of total billed charges		110.5	85			Percent of total billed charges		110.5	85			Percent of total billed charges		110.5	100			Percent of total billed charges		130	100			Percent of total billed charges		130	100			Percent of total billed charges		130	33.3			Percent of total billed charges		43.29	33.3			Percent of total billed charges		43.29	100			Percent of total billed charges		130	43.29	117	
s/n  guide pin 3.2	272	RC	Outpatient			130	84.5		90			Percent of total billed charges		117	40			Percent of total billed charges		52	80			Percent of total billed charges		104	90			Percent of total billed charges		117	85			Percent of total billed charges		110.5	85			Percent of total billed charges		110.5	85			Percent of total billed charges		110.5	100			Percent of total billed charges		130	100			Percent of total billed charges		130	100			Percent of total billed charges		130	33.3			Percent of total billed charges		43.29	33.3			Percent of total billed charges		43.29	100			Percent of total billed charges		130	43.29	117	
suture retriever	270	RC	Outpatient			130	84.5		90			Percent of total billed charges		117	40			Percent of total billed charges		52	80			Percent of total billed charges		104	90			Percent of total billed charges		117	85			Percent of total billed charges		110.5	85			Percent of total billed charges		110.5	85			Percent of total billed charges		110.5	100			Percent of total billed charges		130	100			Percent of total billed charges		130	100			Percent of total billed charges		130	33.3			Percent of total billed charges		43.29	33.3			Percent of total billed charges		43.29	100			Percent of total billed charges		130	43.29	117	
retriever suture for rotator cuff inst set lg 9894 linvat	270	RC	Outpatient			130	84.5		90			Percent of total billed charges		117	40			Percent of total billed charges		52	80			Percent of total billed charges		104	90			Percent of total billed charges		117	85			Percent of total billed charges		110.5	85			Percent of total billed charges		110.5	85			Percent of total billed charges		110.5	100			Percent of total billed charges		130	100			Percent of total billed charges		130	100			Percent of total billed charges		130	33.3			Percent of total billed charges		43.29	33.3			Percent of total billed charges		43.29	100			Percent of total billed charges		130	43.29	117	
retriever suture for rotator cuff inst set sm 9892 linvat	270	RC	Outpatient			130	84.5		90			Percent of total billed charges		117	40			Percent of total billed charges		52	80			Percent of total billed charges		104	90			Percent of total billed charges		117	85			Percent of total billed charges		110.5	85			Percent of total billed charges		110.5	85			Percent of total billed charges		110.5	100			Percent of total billed charges		130	100			Percent of total billed charges		130	100			Percent of total billed charges		130	33.3			Percent of total billed charges		43.29	33.3			Percent of total billed charges		43.29	100			Percent of total billed charges		130	43.29	117	
s/n guide pin 3.2 x 300mm 7111-0500	272	RC	Outpatient			130	84.5		90			Percent of total billed charges		117	40			Percent of total billed charges		52	80			Percent of total billed charges		104	90			Percent of total billed charges		117	85			Percent of total billed charges		110.5	85			Percent of total billed charges		110.5	85			Percent of total billed charges		110.5	100			Percent of total billed charges		130	100			Percent of total billed charges		130	100			Percent of total billed charges		130	33.3			Percent of total billed charges		43.29	33.3			Percent of total billed charges		43.29	100			Percent of total billed charges		130	43.29	117	
1st stage girdle	272	RC	Outpatient			131	85.15		90			Percent of total billed charges		117.9	40			Percent of total billed charges		52.4	80			Percent of total billed charges		104.8	90			Percent of total billed charges		117.9	85			Percent of total billed charges		111.35	85			Percent of total billed charges		111.35	85			Percent of total billed charges		111.35	100			Percent of total billed charges		131	100			Percent of total billed charges		131	100			Percent of total billed charges		131	33.3			Percent of total billed charges		43.623	33.3			Percent of total billed charges		43.623	100			Percent of total billed charges		131	43.623	117.9	
binona uncuffed trach 7mm 60a1-70 smith med	272	RC	Outpatient			131	85.15		90			Percent of total billed charges		117.9	40			Percent of total billed charges		52.4	80			Percent of total billed charges		104.8	90			Percent of total billed charges		117.9	85			Percent of total billed charges		111.35	85			Percent of total billed charges		111.35	85			Percent of total billed charges		111.35	100			Percent of total billed charges		131	100			Percent of total billed charges		131	100			Percent of total billed charges		131	33.3			Percent of total billed charges		43.623	33.3			Percent of total billed charges		43.623	100			Percent of total billed charges		131	43.623	117.9	
cath lab glide sheath terumo	272	RC	Outpatient			131	85.15		90			Percent of total billed charges		117.9	40			Percent of total billed charges		52.4	80			Percent of total billed charges		104.8	90			Percent of total billed charges		117.9	85			Percent of total billed charges		111.35	85			Percent of total billed charges		111.35	85			Percent of total billed charges		111.35	100			Percent of total billed charges		131	100			Percent of total billed charges		131	100			Percent of total billed charges		131	33.3			Percent of total billed charges		43.623	33.3			Percent of total billed charges		43.623	100			Percent of total billed charges		131	43.623	117.9	
cath lab kit-left heart manifold	272	RC	Outpatient			131	85.15		90			Percent of total billed charges		117.9	40			Percent of total billed charges		52.4	80			Percent of total billed charges		104.8	90			Percent of total billed charges		117.9	85			Percent of total billed charges		111.35	85			Percent of total billed charges		111.35	85			Percent of total billed charges		111.35	100			Percent of total billed charges		131	100			Percent of total billed charges		131	100			Percent of total billed charges		131	33.3			Percent of total billed charges		43.623	33.3			Percent of total billed charges		43.623	100			Percent of total billed charges		131	43.623	117.9	
binona uncuffed trach 5mm 60a1-50 smith med	272	RC	Outpatient			131	85.15		90			Percent of total billed charges		117.9	40			Percent of total billed charges		52.4	80			Percent of total billed charges		104.8	90			Percent of total billed charges		117.9	85			Percent of total billed charges		111.35	85			Percent of total billed charges		111.35	85			Percent of total billed charges		111.35	100			Percent of total billed charges		131	100			Percent of total billed charges		131	100			Percent of total billed charges		131	33.3			Percent of total billed charges		43.623	33.3			Percent of total billed charges		43.623	100			Percent of total billed charges		131	43.623	117.9	
binona uncuffed trach 6mm 60a1-60 smith med	272	RC	Outpatient			131	85.15		90			Percent of total billed charges		117.9	40			Percent of total billed charges		52.4	80			Percent of total billed charges		104.8	90			Percent of total billed charges		117.9	85			Percent of total billed charges		111.35	85			Percent of total billed charges		111.35	85			Percent of total billed charges		111.35	100			Percent of total billed charges		131	100			Percent of total billed charges		131	100			Percent of total billed charges		131	33.3			Percent of total billed charges		43.623	33.3			Percent of total billed charges		43.623	100			Percent of total billed charges		131	43.623	117.9	
endo disposable snare	270	RC	Outpatient			131	85.15		90			Percent of total billed charges		117.9	40			Percent of total billed charges		52.4	80			Percent of total billed charges		104.8	90			Percent of total billed charges		117.9	85			Percent of total billed charges		111.35	85			Percent of total billed charges		111.35	85			Percent of total billed charges		111.35	100			Percent of total billed charges		131	100			Percent of total billed charges		131	100			Percent of total billed charges		131	33.3			Percent of total billed charges		43.623	33.3			Percent of total billed charges		43.623	100			Percent of total billed charges		131	43.623	117.9	
female girdle 2x-large lga-2xl-h marena	272	RC	Outpatient			131	85.15		90			Percent of total billed charges		117.9	40			Percent of total billed charges		52.4	80			Percent of total billed charges		104.8	90			Percent of total billed charges		117.9	85			Percent of total billed charges		111.35	85			Percent of total billed charges		111.35	85			Percent of total billed charges		111.35	100			Percent of total billed charges		131	100			Percent of total billed charges		131	100			Percent of total billed charges		131	33.3			Percent of total billed charges		43.623	33.3			Percent of total billed charges		43.623	100			Percent of total billed charges		131	43.623	117.9	
female girdle small lga-s-h marena	272	RC	Outpatient			131	85.15		90			Percent of total billed charges		117.9	40			Percent of total billed charges		52.4	80			Percent of total billed charges		104.8	90			Percent of total billed charges		117.9	85			Percent of total billed charges		111.35	85			Percent of total billed charges		111.35	85			Percent of total billed charges		111.35	100			Percent of total billed charges		131	100			Percent of total billed charges		131	100			Percent of total billed charges		131	33.3			Percent of total billed charges		43.623	33.3			Percent of total billed charges		43.623	100			Percent of total billed charges		131	43.623	117.9	
female girdle x-large lga-xl-h marena	272	RC	Outpatient			131	85.15		90			Percent of total billed charges		117.9	40			Percent of total billed charges		52.4	80			Percent of total billed charges		104.8	90			Percent of total billed charges		117.9	85			Percent of total billed charges		111.35	85			Percent of total billed charges		111.35	85			Percent of total billed charges		111.35	100			Percent of total billed charges		131	100			Percent of total billed charges		131	100			Percent of total billed charges		131	33.3			Percent of total billed charges		43.623	33.3			Percent of total billed charges		43.623	100			Percent of total billed charges		131	43.623	117.9	
groshong introducer kit	272	RC	Outpatient			131	85.15		90			Percent of total billed charges		117.9	40			Percent of total billed charges		52.4	80			Percent of total billed charges		104.8	90			Percent of total billed charges		117.9	85			Percent of total billed charges		111.35	85			Percent of total billed charges		111.35	85			Percent of total billed charges		111.35	100			Percent of total billed charges		131	100			Percent of total billed charges		131	100			Percent of total billed charges		131	33.3			Percent of total billed charges		43.623	33.3			Percent of total billed charges		43.623	100			Percent of total billed charges		131	43.623	117.9	
female girdle large lga-l-h marena	272	RC	Outpatient			131	85.15		90			Percent of total billed charges		117.9	40			Percent of total billed charges		52.4	80			Percent of total billed charges		104.8	90			Percent of total billed charges		117.9	85			Percent of total billed charges		111.35	85			Percent of total billed charges		111.35	85			Percent of total billed charges		111.35	100			Percent of total billed charges		131	100			Percent of total billed charges		131	100			Percent of total billed charges		131	33.3			Percent of total billed charges		43.623	33.3			Percent of total billed charges		43.623	100			Percent of total billed charges		131	43.623	117.9	
kit personal care/andrews pad 5819	270	RC	Outpatient			131	85.15		90			Percent of total billed charges		117.9	40			Percent of total billed charges		52.4	80			Percent of total billed charges		104.8	90			Percent of total billed charges		117.9	85			Percent of total billed charges		111.35	85			Percent of total billed charges		111.35	85			Percent of total billed charges		111.35	100			Percent of total billed charges		131	100			Percent of total billed charges		131	100			Percent of total billed charges		131	33.3			Percent of total billed charges		43.623	33.3			Percent of total billed charges		43.623	100			Percent of total billed charges		131	43.623	117.9	
groshong cath introducer kit 060780 bard	272	RC	Outpatient			131	85.15		90			Percent of total billed charges		117.9	40			Percent of total billed charges		52.4	80			Percent of total billed charges		104.8	90			Percent of total billed charges		117.9	85			Percent of total billed charges		111.35	85			Percent of total billed charges		111.35	85			Percent of total billed charges		111.35	100			Percent of total billed charges		131	100			Percent of total billed charges		131	100			Percent of total billed charges		131	33.3			Percent of total billed charges		43.623	33.3			Percent of total billed charges		43.623	100			Percent of total billed charges		131	43.623	117.9	
low waist girdle 2x-large lw-lgs-2xl-h marena	272	RC	Outpatient			131	85.15		90			Percent of total billed charges		117.9	40			Percent of total billed charges		52.4	80			Percent of total billed charges		104.8	90			Percent of total billed charges		117.9	85			Percent of total billed charges		111.35	85			Percent of total billed charges		111.35	85			Percent of total billed charges		111.35	100			Percent of total billed charges		131	100			Percent of total billed charges		131	100			Percent of total billed charges		131	33.3			Percent of total billed charges		43.623	33.3			Percent of total billed charges		43.623	100			Percent of total billed charges		131	43.623	117.9	
low waist girdle medium lw-lgs-m-h marena	272	RC	Outpatient			131	85.15		90			Percent of total billed charges		117.9	40			Percent of total billed charges		52.4	80			Percent of total billed charges		104.8	90			Percent of total billed charges		117.9	85			Percent of total billed charges		111.35	85			Percent of total billed charges		111.35	85			Percent of total billed charges		111.35	100			Percent of total billed charges		131	100			Percent of total billed charges		131	100			Percent of total billed charges		131	33.3			Percent of total billed charges		43.623	33.3			Percent of total billed charges		43.623	100			Percent of total billed charges		131	43.623	117.9	
jarvid cartoid shunt	270	RC	Outpatient			131	85.15		90			Percent of total billed charges		117.9	40			Percent of total billed charges		52.4	80			Percent of total billed charges		104.8	90			Percent of total billed charges		117.9	85			Percent of total billed charges		111.35	85			Percent of total billed charges		111.35	85			Percent of total billed charges		111.35	100			Percent of total billed charges		131	100			Percent of total billed charges		131	100			Percent of total billed charges		131	33.3			Percent of total billed charges		43.623	33.3			Percent of total billed charges		43.623	100			Percent of total billed charges		131	43.623	117.9	
kit-lt heart manifold nav	272	RC	Outpatient			131	85.15		90			Percent of total billed charges		117.9	40			Percent of total billed charges		52.4	80			Percent of total billed charges		104.8	90			Percent of total billed charges		117.9	85			Percent of total billed charges		111.35	85			Percent of total billed charges		111.35	85			Percent of total billed charges		111.35	100			Percent of total billed charges		131	100			Percent of total billed charges		131	100			Percent of total billed charges		131	33.3			Percent of total billed charges		43.623	33.3			Percent of total billed charges		43.623	100			Percent of total billed charges		131	43.623	117.9	
low waist girdle large lw-lgs-l-h marena	272	RC	Outpatient			131	85.15		90			Percent of total billed charges		117.9	40			Percent of total billed charges		52.4	80			Percent of total billed charges		104.8	90			Percent of total billed charges		117.9	85			Percent of total billed charges		111.35	85			Percent of total billed charges		111.35	85			Percent of total billed charges		111.35	100			Percent of total billed charges		131	100			Percent of total billed charges		131	100			Percent of total billed charges		131	33.3			Percent of total billed charges		43.623	33.3			Percent of total billed charges		43.623	100			Percent of total billed charges		131	43.623	117.9	
low waist girdle small lw-lgs-s-h marena	272	RC	Outpatient			131	85.15		90			Percent of total billed charges		117.9	40			Percent of total billed charges		52.4	80			Percent of total billed charges		104.8	90			Percent of total billed charges		117.9	85			Percent of total billed charges		111.35	85			Percent of total billed charges		111.35	85			Percent of total billed charges		111.35	100			Percent of total billed charges		131	100			Percent of total billed charges		131	100			Percent of total billed charges		131	33.3			Percent of total billed charges		43.623	33.3			Percent of total billed charges		43.623	100			Percent of total billed charges		131	43.623	117.9	
low waist girdle x-large lw-lgs-xl-h marena	272	RC	Outpatient			131	85.15		90			Percent of total billed charges		117.9	40			Percent of total billed charges		52.4	80			Percent of total billed charges		104.8	90			Percent of total billed charges		117.9	85			Percent of total billed charges		111.35	85			Percent of total billed charges		111.35	85			Percent of total billed charges		111.35	100			Percent of total billed charges		131	100			Percent of total billed charges		131	100			Percent of total billed charges		131	33.3			Percent of total billed charges		43.623	33.3			Percent of total billed charges		43.623	100			Percent of total billed charges		131	43.623	117.9	
manipulator zumi uterine 4.5 1151	270	RC	Outpatient			131	85.15		90			Percent of total billed charges		117.9	40			Percent of total billed charges		52.4	80			Percent of total billed charges		104.8	90			Percent of total billed charges		117.9	85			Percent of total billed charges		111.35	85			Percent of total billed charges		111.35	85			Percent of total billed charges		111.35	100			Percent of total billed charges		131	100			Percent of total billed charges		131	100			Percent of total billed charges		131	33.3			Percent of total billed charges		43.623	33.3			Percent of total billed charges		43.623	100			Percent of total billed charges		131	43.623	117.9	
pf pin-large x 2mm 7113-1512 s/n	278	RC	Outpatient			131	85.15		90			Percent of total billed charges		117.9	40			Percent of total billed charges		52.4	80			Percent of total billed charges		104.8	90			Percent of total billed charges		117.9	85			Percent of total billed charges		111.35	85			Percent of total billed charges		111.35	85			Percent of total billed charges		111.35	100			Percent of total billed charges		131	100			Percent of total billed charges		131	100			Percent of total billed charges		131	33.3			Percent of total billed charges		43.623	33.3			Percent of total billed charges		43.623	100			Percent of total billed charges		131	43.623	117.9	
pf pin-short 2mm 7113-1510 s/n	278	RC	Outpatient			131	85.15		90			Percent of total billed charges		117.9	40			Percent of total billed charges		52.4	80			Percent of total billed charges		104.8	90			Percent of total billed charges		117.9	85			Percent of total billed charges		111.35	85			Percent of total billed charges		111.35	85			Percent of total billed charges		111.35	100			Percent of total billed charges		131	100			Percent of total billed charges		131	100			Percent of total billed charges		131	33.3			Percent of total billed charges		43.623	33.3			Percent of total billed charges		43.623	100			Percent of total billed charges		131	43.623	117.9	
shunt carotid javid (18520 tapered 17-10 fr 807714 bardvs	270	RC	Outpatient			131	85.15		90			Percent of total billed charges		117.9	40			Percent of total billed charges		52.4	80			Percent of total billed charges		104.8	90			Percent of total billed charges		117.9	85			Percent of total billed charges		111.35	85			Percent of total billed charges		111.35	85			Percent of total billed charges		111.35	100			Percent of total billed charges		131	100			Percent of total billed charges		131	100			Percent of total billed charges		131	33.3			Percent of total billed charges		43.623	33.3			Percent of total billed charges		43.623	100			Percent of total billed charges		131	43.623	117.9	
snare disposable	270	RC	Outpatient			131	85.15		90			Percent of total billed charges		117.9	40			Percent of total billed charges		52.4	80			Percent of total billed charges		104.8	90			Percent of total billed charges		117.9	85			Percent of total billed charges		111.35	85			Percent of total billed charges		111.35	85			Percent of total billed charges		111.35	100			Percent of total billed charges		131	100			Percent of total billed charges		131	100			Percent of total billed charges		131	33.3			Percent of total billed charges		43.623	33.3			Percent of total billed charges		43.623	100			Percent of total billed charges		131	43.623	117.9	
stryker screw non-lock	278	RC	Outpatient			131	85.15		90			Percent of total billed charges		117.9	40			Percent of total billed charges		52.4	80			Percent of total billed charges		104.8	90			Percent of total billed charges		117.9	85			Percent of total billed charges		111.35	85			Percent of total billed charges		111.35	85			Percent of total billed charges		111.35	100			Percent of total billed charges		131	100			Percent of total billed charges		131	100			Percent of total billed charges		131	33.3			Percent of total billed charges		43.623	33.3			Percent of total billed charges		43.623	100			Percent of total billed charges		131	43.623	117.9	
trach tube binoma	272	RC	Outpatient			131	85.15		90			Percent of total billed charges		117.9	40			Percent of total billed charges		52.4	80			Percent of total billed charges		104.8	90			Percent of total billed charges		117.9	85			Percent of total billed charges		111.35	85			Percent of total billed charges		111.35	85			Percent of total billed charges		111.35	100			Percent of total billed charges		131	100			Percent of total billed charges		131	100			Percent of total billed charges		131	33.3			Percent of total billed charges		43.623	33.3			Percent of total billed charges		43.623	100			Percent of total billed charges		131	43.623	117.9	
personal care kit(andrews	270	RC	Outpatient			131	85.15		90			Percent of total billed charges		117.9	40			Percent of total billed charges		52.4	80			Percent of total billed charges		104.8	90			Percent of total billed charges		117.9	85			Percent of total billed charges		111.35	85			Percent of total billed charges		111.35	85			Percent of total billed charges		111.35	100			Percent of total billed charges		131	100			Percent of total billed charges		131	100			Percent of total billed charges		131	33.3			Percent of total billed charges		43.623	33.3			Percent of total billed charges		43.623	100			Percent of total billed charges		131	43.623	117.9	
pf pin-medium 2mm 7113-1511 s/n	278	RC	Outpatient			131	85.15		90			Percent of total billed charges		117.9	40			Percent of total billed charges		52.4	80			Percent of total billed charges		104.8	90			Percent of total billed charges		117.9	85			Percent of total billed charges		111.35	85			Percent of total billed charges		111.35	85			Percent of total billed charges		111.35	100			Percent of total billed charges		131	100			Percent of total billed charges		131	100			Percent of total billed charges		131	33.3			Percent of total billed charges		43.623	33.3			Percent of total billed charges		43.623	100			Percent of total billed charges		131	43.623	117.9	
richards 2mm fixation pin	278	RC	Outpatient			131	85.15		90			Percent of total billed charges		117.9	40			Percent of total billed charges		52.4	80			Percent of total billed charges		104.8	90			Percent of total billed charges		117.9	85			Percent of total billed charges		111.35	85			Percent of total billed charges		111.35	85			Percent of total billed charges		111.35	100			Percent of total billed charges		131	100			Percent of total billed charges		131	100			Percent of total billed charges		131	33.3			Percent of total billed charges		43.623	33.3			Percent of total billed charges		43.623	100			Percent of total billed charges		131	43.623	117.9	
spiral flex endo tube	270	RC	Outpatient			131	85.15		90			Percent of total billed charges		117.9	40			Percent of total billed charges		52.4	80			Percent of total billed charges		104.8	90			Percent of total billed charges		117.9	85			Percent of total billed charges		111.35	85			Percent of total billed charges		111.35	85			Percent of total billed charges		111.35	100			Percent of total billed charges		131	100			Percent of total billed charges		131	100			Percent of total billed charges		131	33.3			Percent of total billed charges		43.623	33.3			Percent of total billed charges		43.623	100			Percent of total billed charges		131	43.623	117.9	
terumo glidesheath 5fr ki	272	RC	Outpatient			131	85.15		90			Percent of total billed charges		117.9	40			Percent of total billed charges		52.4	80			Percent of total billed charges		104.8	90			Percent of total billed charges		117.9	85			Percent of total billed charges		111.35	85			Percent of total billed charges		111.35	85			Percent of total billed charges		111.35	100			Percent of total billed charges		131	100			Percent of total billed charges		131	100			Percent of total billed charges		131	33.3			Percent of total billed charges		43.623	33.3			Percent of total billed charges		43.623	100			Percent of total billed charges		131	43.623	117.9	
zumi utherine manipulator	270	RC	Outpatient			131	85.15		90			Percent of total billed charges		117.9	40			Percent of total billed charges		52.4	80			Percent of total billed charges		104.8	90			Percent of total billed charges		117.9	85			Percent of total billed charges		111.35	85			Percent of total billed charges		111.35	85			Percent of total billed charges		111.35	100			Percent of total billed charges		131	100			Percent of total billed charges		131	100			Percent of total billed charges		131	33.3			Percent of total billed charges		43.623	33.3			Percent of total billed charges		43.623	100			Percent of total billed charges		131	43.623	117.9	
diversatek m-catch retrieval net ref# 1175-01	272	RC	Outpatient			132	85.8		90			Percent of total billed charges		118.8	40			Percent of total billed charges		52.8	80			Percent of total billed charges		105.6	90			Percent of total billed charges		118.8	85			Percent of total billed charges		112.2	85			Percent of total billed charges		112.2	85			Percent of total billed charges		112.2	100			Percent of total billed charges		132	100			Percent of total billed charges		132	100			Percent of total billed charges		132	33.3			Percent of total billed charges		43.956	33.3			Percent of total billed charges		43.956	100			Percent of total billed charges		132	43.956	118.8	
nimbus expandable electrode 10mm x 150 mm ref nim-150-10bb	272	RC	Outpatient			132	85.8		90			Percent of total billed charges		118.8	40			Percent of total billed charges		52.8	80			Percent of total billed charges		105.6	90			Percent of total billed charges		118.8	85			Percent of total billed charges		112.2	85			Percent of total billed charges		112.2	85			Percent of total billed charges		112.2	100			Percent of total billed charges		132	100			Percent of total billed charges		132	100			Percent of total billed charges		132	33.3			Percent of total billed charges		43.956	33.3			Percent of total billed charges		43.956	100			Percent of total billed charges		132	43.956	118.8	
rf electrode 10cm rfde-10 st jude	272	RC	Outpatient			132	85.8		90			Percent of total billed charges		118.8	40			Percent of total billed charges		52.8	80			Percent of total billed charges		105.6	90			Percent of total billed charges		118.8	85			Percent of total billed charges		112.2	85			Percent of total billed charges		112.2	85			Percent of total billed charges		112.2	100			Percent of total billed charges		132	100			Percent of total billed charges		132	100			Percent of total billed charges		132	33.3			Percent of total billed charges		43.956	33.3			Percent of total billed charges		43.956	100			Percent of total billed charges		132	43.956	118.8	
rf electrode 15cm rfde-15 st jude	272	RC	Outpatient			132	85.8		90			Percent of total billed charges		118.8	40			Percent of total billed charges		52.8	80			Percent of total billed charges		105.6	90			Percent of total billed charges		118.8	85			Percent of total billed charges		112.2	85			Percent of total billed charges		112.2	85			Percent of total billed charges		112.2	100			Percent of total billed charges		132	100			Percent of total billed charges		132	100			Percent of total billed charges		132	33.3			Percent of total billed charges		43.956	33.3			Percent of total billed charges		43.956	100			Percent of total billed charges		132	43.956	118.8	
screw schanz trocar 4.5mm 294.72 synthes	270	RC	Outpatient			132	85.8		90			Percent of total billed charges		118.8	40			Percent of total billed charges		52.8	80			Percent of total billed charges		105.6	90			Percent of total billed charges		118.8	85			Percent of total billed charges		112.2	85			Percent of total billed charges		112.2	85			Percent of total billed charges		112.2	100			Percent of total billed charges		132	100			Percent of total billed charges		132	100			Percent of total billed charges		132	33.3			Percent of total billed charges		43.956	33.3			Percent of total billed charges		43.956	100			Percent of total billed charges		132	43.956	118.8	
screw schanz trocar 4.5mm dia 150mm l 294.74 synthes	270	RC	Outpatient			132	85.8		90			Percent of total billed charges		118.8	40			Percent of total billed charges		52.8	80			Percent of total billed charges		105.6	90			Percent of total billed charges		118.8	85			Percent of total billed charges		112.2	85			Percent of total billed charges		112.2	85			Percent of total billed charges		112.2	100			Percent of total billed charges		132	100			Percent of total billed charges		132	100			Percent of total billed charges		132	33.3			Percent of total billed charges		43.956	33.3			Percent of total billed charges		43.956	100			Percent of total billed charges		132	43.956	118.8	
staples tlc load	272	RC	Outpatient			132	85.8		90			Percent of total billed charges		118.8	40			Percent of total billed charges		52.8	80			Percent of total billed charges		105.6	90			Percent of total billed charges		118.8	85			Percent of total billed charges		112.2	85			Percent of total billed charges		112.2	85			Percent of total billed charges		112.2	100			Percent of total billed charges		132	100			Percent of total billed charges		132	100			Percent of total billed charges		132	33.3			Percent of total billed charges		43.956	33.3			Percent of total billed charges		43.956	100			Percent of total billed charges		132	43.956	118.8	
syn schnz scw 4.5 100-150	270	RC	Outpatient			132	85.8		90			Percent of total billed charges		118.8	40			Percent of total billed charges		52.8	80			Percent of total billed charges		105.6	90			Percent of total billed charges		118.8	85			Percent of total billed charges		112.2	85			Percent of total billed charges		112.2	85			Percent of total billed charges		112.2	100			Percent of total billed charges		132	100			Percent of total billed charges		132	100			Percent of total billed charges		132	33.3			Percent of total billed charges		43.956	33.3			Percent of total billed charges		43.956	100			Percent of total billed charges		132	43.956	118.8	
trocar 15mm optical cor37 applied medical	272	RC	Outpatient			132	85.8		90			Percent of total billed charges		118.8	40			Percent of total billed charges		52.8	80			Percent of total billed charges		105.6	90			Percent of total billed charges		118.8	85			Percent of total billed charges		112.2	85			Percent of total billed charges		112.2	85			Percent of total billed charges		112.2	100			Percent of total billed charges		132	100			Percent of total billed charges		132	100			Percent of total billed charges		132	33.3			Percent of total billed charges		43.956	33.3			Percent of total billed charges		43.956	100			Percent of total billed charges		132	43.956	118.8	
trocar 15mm optical	272	RC	Outpatient			132	85.8		90			Percent of total billed charges		118.8	40			Percent of total billed charges		52.8	80			Percent of total billed charges		105.6	90			Percent of total billed charges		118.8	85			Percent of total billed charges		112.2	85			Percent of total billed charges		112.2	85			Percent of total billed charges		112.2	100			Percent of total billed charges		132	100			Percent of total billed charges		132	100			Percent of total billed charges		132	33.3			Percent of total billed charges		43.956	33.3			Percent of total billed charges		43.956	100			Percent of total billed charges		132	43.956	118.8	
catheterization tray	270	RC	Outpatient			133	86.45		90			Percent of total billed charges		119.7	40			Percent of total billed charges		53.2	80			Percent of total billed charges		106.4	90			Percent of total billed charges		119.7	85			Percent of total billed charges		113.05	85			Percent of total billed charges		113.05	85			Percent of total billed charges		113.05	100			Percent of total billed charges		133	100			Percent of total billed charges		133	100			Percent of total billed charges		133	33.3			Percent of total billed charges		44.289	33.3			Percent of total billed charges		44.289	100			Percent of total billed charges		133	44.289	119.7	
"electrodes, quick pace"	270	RC	Outpatient			133	86.45		90			Percent of total billed charges		119.7	40			Percent of total billed charges		53.2	80			Percent of total billed charges		106.4	90			Percent of total billed charges		119.7	85			Percent of total billed charges		113.05	85			Percent of total billed charges		113.05	85			Percent of total billed charges		113.05	100			Percent of total billed charges		133	100			Percent of total billed charges		133	100			Percent of total billed charges		133	33.3			Percent of total billed charges		44.289	33.3			Percent of total billed charges		44.289	100			Percent of total billed charges		133	44.289	119.7	
jo hall morris titanium bone screw ramus 01-0029 walter lorenz	278	RC	Outpatient			133	86.45		90			Percent of total billed charges		119.7	40			Percent of total billed charges		53.2	80			Percent of total billed charges		106.4	90			Percent of total billed charges		119.7	85			Percent of total billed charges		113.05	85			Percent of total billed charges		113.05	85			Percent of total billed charges		113.05	100			Percent of total billed charges		133	100			Percent of total billed charges		133	100			Percent of total billed charges		133	33.3			Percent of total billed charges		44.289	33.3			Percent of total billed charges		44.289	100			Percent of total billed charges		133	44.289	119.7	
jo hall morris titanium bone screw short 01-0025 walter lorenze	278	RC	Outpatient			133	86.45		90			Percent of total billed charges		119.7	40			Percent of total billed charges		53.2	80			Percent of total billed charges		106.4	90			Percent of total billed charges		119.7	85			Percent of total billed charges		113.05	85			Percent of total billed charges		113.05	85			Percent of total billed charges		113.05	100			Percent of total billed charges		133	100			Percent of total billed charges		133	100			Percent of total billed charges		133	33.3			Percent of total billed charges		44.289	33.3			Percent of total billed charges		44.289	100			Percent of total billed charges		133	44.289	119.7	
jo hall morris--titanium bone screw long 01-0027 walter lorenze	278	RC	Outpatient			133	86.45		90			Percent of total billed charges		119.7	40			Percent of total billed charges		53.2	80			Percent of total billed charges		106.4	90			Percent of total billed charges		119.7	85			Percent of total billed charges		113.05	85			Percent of total billed charges		113.05	85			Percent of total billed charges		113.05	100			Percent of total billed charges		133	100			Percent of total billed charges		133	100			Percent of total billed charges		133	33.3			Percent of total billed charges		44.289	33.3			Percent of total billed charges		44.289	100			Percent of total billed charges		133	44.289	119.7	
mt ssa ew-09	272	RC	Outpatient			133	86.45		90			Percent of total billed charges		119.7	40			Percent of total billed charges		53.2	80			Percent of total billed charges		106.4	90			Percent of total billed charges		119.7	85			Percent of total billed charges		113.05	85			Percent of total billed charges		113.05	85			Percent of total billed charges		113.05	100			Percent of total billed charges		133	100			Percent of total billed charges		133	100			Percent of total billed charges		133	33.3			Percent of total billed charges		44.289	33.3			Percent of total billed charges		44.289	100			Percent of total billed charges		133	44.289	119.7	
lorenz titanium bone scw	278	RC	Outpatient			133	86.45		90			Percent of total billed charges		119.7	40			Percent of total billed charges		53.2	80			Percent of total billed charges		106.4	90			Percent of total billed charges		119.7	85			Percent of total billed charges		113.05	85			Percent of total billed charges		113.05	85			Percent of total billed charges		113.05	100			Percent of total billed charges		133	100			Percent of total billed charges		133	100			Percent of total billed charges		133	33.3			Percent of total billed charges		44.289	33.3			Percent of total billed charges		44.289	100			Percent of total billed charges		133	44.289	119.7	
mt sealing adaptor-sssa -ew-09	272	RC	Outpatient			133	86.45		90			Percent of total billed charges		119.7	40			Percent of total billed charges		53.2	80			Percent of total billed charges		106.4	90			Percent of total billed charges		119.7	85			Percent of total billed charges		113.05	85			Percent of total billed charges		113.05	85			Percent of total billed charges		113.05	100			Percent of total billed charges		133	100			Percent of total billed charges		133	100			Percent of total billed charges		133	33.3			Percent of total billed charges		44.289	33.3			Percent of total billed charges		44.289	100			Percent of total billed charges		133	44.289	119.7	
philadelphia c-collar ed charge scnt	450	RC	Outpatient			133	86.45		90			Percent of total billed charges		119.7	40			Percent of total billed charges		53.2	80			Percent of total billed charges		106.4	90			Percent of total billed charges		119.7	85			Percent of total billed charges		113.05	85			Percent of total billed charges		113.05	85			Percent of total billed charges		113.05	100			Percent of total billed charges		133	100			Percent of total billed charges		133	100			Percent of total billed charges		133	33.3			Percent of total billed charges		44.289	33.3			Percent of total billed charges		44.289	100			Percent of total billed charges		133	44.289	119.7	
screw 1.7 x 6mm 50-17006 stryker	278	RC	Outpatient			133	86.45		90			Percent of total billed charges		119.7	40			Percent of total billed charges		53.2	80			Percent of total billed charges		106.4	90			Percent of total billed charges		119.7	85			Percent of total billed charges		113.05	85			Percent of total billed charges		113.05	85			Percent of total billed charges		113.05	100			Percent of total billed charges		133	100			Percent of total billed charges		133	100			Percent of total billed charges		133	33.3			Percent of total billed charges		44.289	33.3			Percent of total billed charges		44.289	100			Percent of total billed charges		133	44.289	119.7	
screw 1.7 x 6mm 50-17006e stryker	278	RC	Outpatient			133	86.45		90			Percent of total billed charges		119.7	40			Percent of total billed charges		53.2	80			Percent of total billed charges		106.4	90			Percent of total billed charges		119.7	85			Percent of total billed charges		113.05	85			Percent of total billed charges		113.05	85			Percent of total billed charges		113.05	100			Percent of total billed charges		133	100			Percent of total billed charges		133	100			Percent of total billed charges		133	33.3			Percent of total billed charges		44.289	33.3			Percent of total billed charges		44.289	100			Percent of total billed charges		133	44.289	119.7	
screw 1.7 x 7mm 50-17007e stryker	278	RC	Outpatient			133	86.45		90			Percent of total billed charges		119.7	40			Percent of total billed charges		53.2	80			Percent of total billed charges		106.4	90			Percent of total billed charges		119.7	85			Percent of total billed charges		113.05	85			Percent of total billed charges		113.05	85			Percent of total billed charges		113.05	100			Percent of total billed charges		133	100			Percent of total billed charges		133	100			Percent of total billed charges		133	33.3			Percent of total billed charges		44.289	33.3			Percent of total billed charges		44.289	100			Percent of total billed charges		133	44.289	119.7	
tisseel spray set	272	RC	Outpatient			133	86.45		90			Percent of total billed charges		119.7	40			Percent of total billed charges		53.2	80			Percent of total billed charges		106.4	90			Percent of total billed charges		119.7	85			Percent of total billed charges		113.05	85			Percent of total billed charges		113.05	85			Percent of total billed charges		113.05	100			Percent of total billed charges		133	100			Percent of total billed charges		133	100			Percent of total billed charges		133	33.3			Percent of total billed charges		44.289	33.3			Percent of total billed charges		44.289	100			Percent of total billed charges		133	44.289	119.7	
transcutanious ext pacer	270	RC	Outpatient			133	86.45		90			Percent of total billed charges		119.7	40			Percent of total billed charges		53.2	80			Percent of total billed charges		106.4	90			Percent of total billed charges		119.7	85			Percent of total billed charges		113.05	85			Percent of total billed charges		113.05	85			Percent of total billed charges		113.05	100			Percent of total billed charges		133	100			Percent of total billed charges		133	100			Percent of total billed charges		133	33.3			Percent of total billed charges		44.289	33.3			Percent of total billed charges		44.289	100			Percent of total billed charges		133	44.289	119.7	
transcutanious ext pacer ed charge scnt	270	RC	Outpatient			133	86.45		90			Percent of total billed charges		119.7	40			Percent of total billed charges		53.2	80			Percent of total billed charges		106.4	90			Percent of total billed charges		119.7	85			Percent of total billed charges		113.05	85			Percent of total billed charges		113.05	85			Percent of total billed charges		113.05	100			Percent of total billed charges		133	100			Percent of total billed charges		133	100			Percent of total billed charges		133	33.3			Percent of total billed charges		44.289	33.3			Percent of total billed charges		44.289	100			Percent of total billed charges		133	44.289	119.7	
philadephia c-collar	270	RC	Outpatient			133	86.45		90			Percent of total billed charges		119.7	40			Percent of total billed charges		53.2	80			Percent of total billed charges		106.4	90			Percent of total billed charges		119.7	85			Percent of total billed charges		113.05	85			Percent of total billed charges		113.05	85			Percent of total billed charges		113.05	100			Percent of total billed charges		133	100			Percent of total billed charges		133	100			Percent of total billed charges		133	33.3			Percent of total billed charges		44.289	33.3			Percent of total billed charges		44.289	100			Percent of total billed charges		133	44.289	119.7	
"pillow, arm elevation"	270	RC	Outpatient			133	86.45		90			Percent of total billed charges		119.7	40			Percent of total billed charges		53.2	80			Percent of total billed charges		106.4	90			Percent of total billed charges		119.7	85			Percent of total billed charges		113.05	85			Percent of total billed charges		113.05	85			Percent of total billed charges		113.05	100			Percent of total billed charges		133	100			Percent of total billed charges		133	100			Percent of total billed charges		133	33.3			Percent of total billed charges		44.289	33.3			Percent of total billed charges		44.289	100			Percent of total billed charges		133	44.289	119.7	
screw 1.7 x 3mm 50-17003 stryker	278	RC	Outpatient			133	86.45		90			Percent of total billed charges		119.7	40			Percent of total billed charges		53.2	80			Percent of total billed charges		106.4	90			Percent of total billed charges		119.7	85			Percent of total billed charges		113.05	85			Percent of total billed charges		113.05	85			Percent of total billed charges		113.05	100			Percent of total billed charges		133	100			Percent of total billed charges		133	100			Percent of total billed charges		133	33.3			Percent of total billed charges		44.289	33.3			Percent of total billed charges		44.289	100			Percent of total billed charges		133	44.289	119.7	
screw 1.7 x 4mm 50-17004 stryker	278	RC	Outpatient			133	86.45		90			Percent of total billed charges		119.7	40			Percent of total billed charges		53.2	80			Percent of total billed charges		106.4	90			Percent of total billed charges		119.7	85			Percent of total billed charges		113.05	85			Percent of total billed charges		113.05	85			Percent of total billed charges		113.05	100			Percent of total billed charges		133	100			Percent of total billed charges		133	100			Percent of total billed charges		133	33.3			Percent of total billed charges		44.289	33.3			Percent of total billed charges		44.289	100			Percent of total billed charges		133	44.289	119.7	
screw 1.7 x 8mm 50-17008e stryker	278	RC	Outpatient			133	86.45		90			Percent of total billed charges		119.7	40			Percent of total billed charges		53.2	80			Percent of total billed charges		106.4	90			Percent of total billed charges		119.7	85			Percent of total billed charges		113.05	85			Percent of total billed charges		113.05	85			Percent of total billed charges		113.05	100			Percent of total billed charges		133	100			Percent of total billed charges		133	100			Percent of total billed charges		133	33.3			Percent of total billed charges		44.289	33.3			Percent of total billed charges		44.289	100			Percent of total billed charges		133	44.289	119.7	
stryker screw 1.7	278	RC	Outpatient			133	86.45		90			Percent of total billed charges		119.7	40			Percent of total billed charges		53.2	80			Percent of total billed charges		106.4	90			Percent of total billed charges		119.7	85			Percent of total billed charges		113.05	85			Percent of total billed charges		113.05	85			Percent of total billed charges		113.05	100			Percent of total billed charges		133	100			Percent of total billed charges		133	100			Percent of total billed charges		133	33.3			Percent of total billed charges		44.289	33.3			Percent of total billed charges		44.289	100			Percent of total billed charges		133	44.289	119.7	
tisseel spray set 0600065 baxter	272	RC	Outpatient			133	86.45		90			Percent of total billed charges		119.7	40			Percent of total billed charges		53.2	80			Percent of total billed charges		106.4	90			Percent of total billed charges		119.7	85			Percent of total billed charges		113.05	85			Percent of total billed charges		113.05	85			Percent of total billed charges		113.05	100			Percent of total billed charges		133	100			Percent of total billed charges		133	100			Percent of total billed charges		133	33.3			Percent of total billed charges		44.289	33.3			Percent of total billed charges		44.289	100			Percent of total billed charges		133	44.289	119.7	
zzscrmc t-fasteners	621	RC	Outpatient			133	86.45		90			Percent of total billed charges		119.7	40			Percent of total billed charges		53.2	80			Percent of total billed charges		106.4	90			Percent of total billed charges		119.7	85			Percent of total billed charges		113.05	85			Percent of total billed charges		113.05	85			Percent of total billed charges		113.05	100			Percent of total billed charges		133	100			Percent of total billed charges		133	100			Percent of total billed charges		133	33.3			Percent of total billed charges		44.289	33.3			Percent of total billed charges		44.289	100			Percent of total billed charges		133	44.289	119.7	
acumed carbon fiber rod	278	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
arthrex low profile screw 3.5 x 10mm ar-8835-10	278	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
arthrex low profile screw 3.5 x 14mm ar-8835-14	278	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
arthrex low profile screw 3.5 x 18mm ar-8835-18	278	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
arthrex low profile screw 3.5 x 20mm ar-8835-20	278	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
arthrex low profile screw 3.5 x 22mm ar-8835-22	278	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
arthrex low profile screw 3.5 x 24mm ar-8835-24	278	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
arthrex low profile screw 3.5 x 26mm ar-8835-26	278	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
arthrex low profile screw 3.5 x 32mm ar-8835-32	278	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
arthrex low profile screw 3.5 x 34mm ar-8835-34	278	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
arthrex low profile screw 3.5 x 36mm ar-8835-36	278	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
arthrex low profile screw 3.5 x 42mm ar-8835-42	278	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
arthrex low profile screw 3.5 x 44mm ar-8835-44	278	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
arthrex low profile screw 3.5 x 45mm ar-8835-45	278	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
arthrex low profile screw 3.5 x 48mm ar-8835-48	278	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
arthrex low profile screw 3.5 x 55mm ar-8835-55	278	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
arthrex needle punch shut	272	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
arthrex scr lp 3.5	278	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
arthrtek cannul bone plug	278	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
bag endo 25030	270	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
biomet 6.5 cancellous scw	278	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
book walter retractor (open gb)	270	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
bookwalker retractors	270	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
butterfly washer 21.7mm ti 71103003s  s/n	278	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
cath lab pacemaker stylet	622	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
cath picc line in cvi2900	272	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
absolik extra clip applier ap210 ethicon	270	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
acutrak 60mm carbon fiber rod smc-5060	278	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
acutrak 90mm carbon fiber rod smc-5090	278	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
arthex needle punch suture shuttle long needle ar-7224l	272	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
arthrex low profile screw 3.5 x 12mm ar-8835-12	278	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
arthrex low profile screw 3.5 x 16mm ar-8835-16	278	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
arthrex low profile screw 3.5 x 28mm ar-8835-28	278	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
arthrex low profile screw 3.5 x 30mm ar-8835-30	278	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
arthrex low profile screw 3.5 x 35mm ar-8835-35	278	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
arthrex low profile screw 3.5 x 38mm ar-8835-38	278	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
arthrex low profile screw 3.5 x 40mm ar-8835-40	278	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
arthrex low profile screw 3.5 x 46mm ar-8835-46	278	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
arthrex low profile screw 3.5 x 50mm ar-8835-50	278	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
arthrex low profile screw 3.5 x 60mm ar-8835-60	278	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
bag endo tm30001 tech med services	270	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
biomet steinman pin	278	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
bookwalter retractor	270	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
bur egg 4.0mm bur 1608-2-35	270	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
cancellous screw 6.5mm 16 x 45 16-235245 biomet	278	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
cancellous screw 6.5mm 16 x 50 16-235250 biomet	278	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
cancellous screw 6.5mm 16 x 55 16-23525 biomet	278	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
cannulated bone plug 909690 arhtrotek	278	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
cath lab final pack slitter	270	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
compression wire 1.6 x 105 03.211.425 synthes	272	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
cross cut bur 5091-213 hall	270	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
cryoplasty nitrous oxide cartridge no2 boston scientific	272	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
electrode extended 6 coated disp e1455-6 covidien	272	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
dental blades + burs	270	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
endo bag	270	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
fg carbide bur #4 6843-14970 white	270	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
lindemann drill 2.2mm 1608-2-43 stryker	270	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
hp-6 j-notch shank bur white 53838	270	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
mentor saline round  sizer 351-2400sz	270	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
insulated extended cautery tip e1502 covidien	272	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
pacemaker stylet	622	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
"l/d tray,cont. epidural t"	270	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
mentor saline round high profile sizer 351-3380sz	270	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
mentor saline round mod plus profile sizer 351-2325sz	270	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
metatarsal joint reamers	270	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
nitrous oxide cart nc2 boston scient	272	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
polar cath cartridge	272	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
s/n washer 21.7 butterfly	278	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
silverlon island dressing 4 x 14 id-414 argentum med	272	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
slitter	270	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
steinman pin/trocar point 3/32 35-361278 biomet	278	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
stryker drill bit 1.5  1607-2-107	270	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
stryker drill bit 1.5  1607-2-109	270	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
stryker drill bit 1.5  1608-2-71	270	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
stryker drill bit 1.5  296-17-315	270	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
surgery misc 2	270	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
pds clip applier	270	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
silverlon dsg 4 x 14	272	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
stryker drill bit 1.5  1607-2-103	270	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
stryker drill bit 1.5  1607-2-105	270	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
stryker drill bit 1.5  1607-2-113	270	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
stryker drill bit 1.5  1607-2-55	270	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
stryker drill bit 1.5  1608-2-43	270	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
syn 1.6 comp wire	272	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
wire pass drill 1.57mm 1608-2-59 stryker	270	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
wire pass drill 1.5mm 1-800-656-6342 omega	270	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
v.l. insulated blade ext	272	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
wire pass drill 1.1mm 1608-2-63 stryker	270	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
wire pass drill 1.3mm 1608-2-71 stryker	270	RC	Outpatient			134	87.1		90			Percent of total billed charges		120.6	40			Percent of total billed charges		53.6	80			Percent of total billed charges		107.2	90			Percent of total billed charges		120.6	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	85			Percent of total billed charges		113.9	100			Percent of total billed charges		134	100			Percent of total billed charges		134	100			Percent of total billed charges		134	33.3			Percent of total billed charges		44.622	33.3			Percent of total billed charges		44.622	100			Percent of total billed charges		134	44.622	120.6	
3800043 fb or dx lar/phar/nose ed charge	450	RC	Outpatient			135	87.75		90			Percent of total billed charges		121.5	40			Percent of total billed charges		54	80			Percent of total billed charges		108	90			Percent of total billed charges		121.5	85			Percent of total billed charges		114.75	85			Percent of total billed charges		114.75	85			Percent of total billed charges		114.75	100			Percent of total billed charges		135	100			Percent of total billed charges		135	100			Percent of total billed charges		135	33.3			Percent of total billed charges		44.955	33.3			Percent of total billed charges		44.955	100			Percent of total billed charges		135	44.955	121.5	
3800049 removal fb of eye ed charge	450	RC	Outpatient			135	87.75		90			Percent of total billed charges		121.5	40			Percent of total billed charges		54	80			Percent of total billed charges		108	90			Percent of total billed charges		121.5	85			Percent of total billed charges		114.75	85			Percent of total billed charges		114.75	85			Percent of total billed charges		114.75	100			Percent of total billed charges		135	100			Percent of total billed charges		135	100			Percent of total billed charges		135	33.3			Percent of total billed charges		44.955	33.3			Percent of total billed charges		44.955	100			Percent of total billed charges		135	44.955	121.5	
circuit low flow disposable patient	270	RC	Outpatient			135	87.75		90			Percent of total billed charges		121.5	40			Percent of total billed charges		54	80			Percent of total billed charges		108	90			Percent of total billed charges		121.5	85			Percent of total billed charges		114.75	85			Percent of total billed charges		114.75	85			Percent of total billed charges		114.75	100			Percent of total billed charges		135	100			Percent of total billed charges		135	100			Percent of total billed charges		135	33.3			Percent of total billed charges		44.955	33.3			Percent of total billed charges		44.955	100			Percent of total billed charges		135	44.955	121.5	
3800047 fb/impacted cerumen ed charge	450	RC	Outpatient			135	87.75		90			Percent of total billed charges		121.5	40			Percent of total billed charges		54	80			Percent of total billed charges		108	90			Percent of total billed charges		121.5	85			Percent of total billed charges		114.75	85			Percent of total billed charges		114.75	85			Percent of total billed charges		114.75	100			Percent of total billed charges		135	100			Percent of total billed charges		135	100			Percent of total billed charges		135	33.3			Percent of total billed charges		44.955	33.3			Percent of total billed charges		44.955	100			Percent of total billed charges		135	44.955	121.5	
lap wound closure device pcd10	270	RC	Outpatient			135	87.75		90			Percent of total billed charges		121.5	40			Percent of total billed charges		54	80			Percent of total billed charges		108	90			Percent of total billed charges		121.5	85			Percent of total billed charges		114.75	85			Percent of total billed charges		114.75	85			Percent of total billed charges		114.75	100			Percent of total billed charges		135	100			Percent of total billed charges		135	100			Percent of total billed charges		135	33.3			Percent of total billed charges		44.955	33.3			Percent of total billed charges		44.955	100			Percent of total billed charges		135	44.955	121.5	
laparoscopic closure dev	270	RC	Outpatient			135	87.75		90			Percent of total billed charges		121.5	40			Percent of total billed charges		54	80			Percent of total billed charges		108	90			Percent of total billed charges		121.5	85			Percent of total billed charges		114.75	85			Percent of total billed charges		114.75	85			Percent of total billed charges		114.75	100			Percent of total billed charges		135	100			Percent of total billed charges		135	100			Percent of total billed charges		135	33.3			Percent of total billed charges		44.955	33.3			Percent of total billed charges		44.955	100			Percent of total billed charges		135	44.955	121.5	
trocar balloon  blunt tip cor47 applied	272	RC	Outpatient			135	87.75		90			Percent of total billed charges		121.5	40			Percent of total billed charges		54	80			Percent of total billed charges		108	90			Percent of total billed charges		121.5	85			Percent of total billed charges		114.75	85			Percent of total billed charges		114.75	85			Percent of total billed charges		114.75	100			Percent of total billed charges		135	100			Percent of total billed charges		135	100			Percent of total billed charges		135	33.3			Percent of total billed charges		44.955	33.3			Percent of total billed charges		44.955	100			Percent of total billed charges		135	44.955	121.5	
trocar gelport balloon	272	RC	Outpatient			135	87.75		90			Percent of total billed charges		121.5	40			Percent of total billed charges		54	80			Percent of total billed charges		108	90			Percent of total billed charges		121.5	85			Percent of total billed charges		114.75	85			Percent of total billed charges		114.75	85			Percent of total billed charges		114.75	100			Percent of total billed charges		135	100			Percent of total billed charges		135	100			Percent of total billed charges		135	33.3			Percent of total billed charges		44.955	33.3			Percent of total billed charges		44.955	100			Percent of total billed charges		135	44.955	121.5	
wksaver keane ns ffd	420	RC	Outpatient			135	87.75		90			Percent of total billed charges		121.5	40			Percent of total billed charges		54	80			Percent of total billed charges		108	90			Percent of total billed charges		121.5	85			Percent of total billed charges		114.75	85			Percent of total billed charges		114.75	85			Percent of total billed charges		114.75	100			Percent of total billed charges		135	100			Percent of total billed charges		135	100			Percent of total billed charges		135	33.3			Percent of total billed charges		44.955	33.3			Percent of total billed charges		44.955	100			Percent of total billed charges		135	44.955	121.5	
bed clinitron ii air flui	270	RC	Outpatient			136	88.4		90			Percent of total billed charges		122.4	40			Percent of total billed charges		54.4	80			Percent of total billed charges		108.8	90			Percent of total billed charges		122.4	85			Percent of total billed charges		115.6	85			Percent of total billed charges		115.6	85			Percent of total billed charges		115.6	100			Percent of total billed charges		136	100			Percent of total billed charges		136	100			Percent of total billed charges		136	33.3			Percent of total billed charges		45.288	33.3			Percent of total billed charges		45.288	100			Percent of total billed charges		136	45.288	122.4	
gore tex needle	270	RC	Outpatient			136	88.4		90			Percent of total billed charges		122.4	40			Percent of total billed charges		54.4	80			Percent of total billed charges		108.8	90			Percent of total billed charges		122.4	85			Percent of total billed charges		115.6	85			Percent of total billed charges		115.6	85			Percent of total billed charges		115.6	100			Percent of total billed charges		136	100			Percent of total billed charges		136	100			Percent of total billed charges		136	33.3			Percent of total billed charges		45.288	33.3			Percent of total billed charges		45.288	100			Percent of total billed charges		136	45.288	122.4	
hex button   3.5mm 2232-001-35 zimmer	278	RC	Outpatient			136	88.4		90			Percent of total billed charges		122.4	40			Percent of total billed charges		54.4	80			Percent of total billed charges		108.8	90			Percent of total billed charges		122.4	85			Percent of total billed charges		115.6	85			Percent of total billed charges		115.6	85			Percent of total billed charges		115.6	100			Percent of total billed charges		136	100			Percent of total billed charges		136	100			Percent of total billed charges		136	33.3			Percent of total billed charges		45.288	33.3			Percent of total billed charges		45.288	100			Percent of total billed charges		136	45.288	122.4	
hex button  5.0mm 2232-001-50 zimmer	278	RC	Outpatient			136	88.4		90			Percent of total billed charges		122.4	40			Percent of total billed charges		54.4	80			Percent of total billed charges		108.8	90			Percent of total billed charges		122.4	85			Percent of total billed charges		115.6	85			Percent of total billed charges		115.6	85			Percent of total billed charges		115.6	100			Percent of total billed charges		136	100			Percent of total billed charges		136	100			Percent of total billed charges		136	33.3			Percent of total billed charges		45.288	33.3			Percent of total billed charges		45.288	100			Percent of total billed charges		136	45.288	122.4	
hex button ss 2.5mm 2232-001-25 zimmer	278	RC	Outpatient			136	88.4		90			Percent of total billed charges		122.4	40			Percent of total billed charges		54.4	80			Percent of total billed charges		108.8	90			Percent of total billed charges		122.4	85			Percent of total billed charges		115.6	85			Percent of total billed charges		115.6	85			Percent of total billed charges		115.6	100			Percent of total billed charges		136	100			Percent of total billed charges		136	100			Percent of total billed charges		136	33.3			Percent of total billed charges		45.288	33.3			Percent of total billed charges		45.288	100			Percent of total billed charges		136	45.288	122.4	
hex button ss 3.5mm 2232-001-35 zimmer	278	RC	Outpatient			136	88.4		90			Percent of total billed charges		122.4	40			Percent of total billed charges		54.4	80			Percent of total billed charges		108.8	90			Percent of total billed charges		122.4	85			Percent of total billed charges		115.6	85			Percent of total billed charges		115.6	85			Percent of total billed charges		115.6	100			Percent of total billed charges		136	100			Percent of total billed charges		136	100			Percent of total billed charges		136	33.3			Percent of total billed charges		45.288	33.3			Percent of total billed charges		45.288	100			Percent of total billed charges		136	45.288	122.4	
l&d surgicel 4 x 6 1952	270	RC	Outpatient			136	88.4		90			Percent of total billed charges		122.4	40			Percent of total billed charges		54.4	80			Percent of total billed charges		108.8	90			Percent of total billed charges		122.4	85			Percent of total billed charges		115.6	85			Percent of total billed charges		115.6	85			Percent of total billed charges		115.6	100			Percent of total billed charges		136	100			Percent of total billed charges		136	100			Percent of total billed charges		136	33.3			Percent of total billed charges		45.288	33.3			Percent of total billed charges		45.288	100			Percent of total billed charges		136	45.288	122.4	
laparoscopic gortex needle passer	270	RC	Outpatient			136	88.4		90			Percent of total billed charges		122.4	40			Percent of total billed charges		54.4	80			Percent of total billed charges		108.8	90			Percent of total billed charges		122.4	85			Percent of total billed charges		115.6	85			Percent of total billed charges		115.6	85			Percent of total billed charges		115.6	100			Percent of total billed charges		136	100			Percent of total billed charges		136	100			Percent of total billed charges		136	33.3			Percent of total billed charges		45.288	33.3			Percent of total billed charges		45.288	100			Percent of total billed charges		136	45.288	122.4	
lorenz ht sd screw	278	RC	Outpatient			136	88.4		90			Percent of total billed charges		122.4	40			Percent of total billed charges		54.4	80			Percent of total billed charges		108.8	90			Percent of total billed charges		122.4	85			Percent of total billed charges		115.6	85			Percent of total billed charges		115.6	85			Percent of total billed charges		115.6	100			Percent of total billed charges		136	100			Percent of total billed charges		136	100			Percent of total billed charges		136	33.3			Percent of total billed charges		45.288	33.3			Percent of total billed charges		45.288	100			Percent of total billed charges		136	45.288	122.4	
hex button   2.5mm 2232-001-25 zimmer	278	RC	Outpatient			136	88.4		90			Percent of total billed charges		122.4	40			Percent of total billed charges		54.4	80			Percent of total billed charges		108.8	90			Percent of total billed charges		122.4	85			Percent of total billed charges		115.6	85			Percent of total billed charges		115.6	85			Percent of total billed charges		115.6	100			Percent of total billed charges		136	100			Percent of total billed charges		136	100			Percent of total billed charges		136	33.3			Percent of total billed charges		45.288	33.3			Percent of total billed charges		45.288	100			Percent of total billed charges		136	45.288	122.4	
hex button ss 5.0mm 2232-001-50 zimmer	278	RC	Outpatient			136	88.4		90			Percent of total billed charges		122.4	40			Percent of total billed charges		54.4	80			Percent of total billed charges		108.8	90			Percent of total billed charges		122.4	85			Percent of total billed charges		115.6	85			Percent of total billed charges		115.6	85			Percent of total billed charges		115.6	100			Percent of total billed charges		136	100			Percent of total billed charges		136	100			Percent of total billed charges		136	33.3			Percent of total billed charges		45.288	33.3			Percent of total billed charges		45.288	100			Percent of total billed charges		136	45.288	122.4	
max-core bx instrument mc 1825 18g	272	RC	Outpatient			136	88.4		90			Percent of total billed charges		122.4	40			Percent of total billed charges		54.4	80			Percent of total billed charges		108.8	90			Percent of total billed charges		122.4	85			Percent of total billed charges		115.6	85			Percent of total billed charges		115.6	85			Percent of total billed charges		115.6	100			Percent of total billed charges		136	100			Percent of total billed charges		136	100			Percent of total billed charges		136	33.3			Percent of total billed charges		45.288	33.3			Percent of total billed charges		45.288	100			Percent of total billed charges		136	45.288	122.4	
l/d suture stapler	270	RC	Outpatient			136	88.4		90			Percent of total billed charges		122.4	40			Percent of total billed charges		54.4	80			Percent of total billed charges		108.8	90			Percent of total billed charges		122.4	85			Percent of total billed charges		115.6	85			Percent of total billed charges		115.6	85			Percent of total billed charges		115.6	100			Percent of total billed charges		136	100			Percent of total billed charges		136	100			Percent of total billed charges		136	33.3			Percent of total billed charges		45.288	33.3			Percent of total billed charges		45.288	100			Percent of total billed charges		136	45.288	122.4	
richards trocar pin	272	RC	Outpatient			136	88.4		90			Percent of total billed charges		122.4	40			Percent of total billed charges		54.4	80			Percent of total billed charges		108.8	90			Percent of total billed charges		122.4	85			Percent of total billed charges		115.6	85			Percent of total billed charges		115.6	85			Percent of total billed charges		115.6	100			Percent of total billed charges		136	100			Percent of total billed charges		136	100			Percent of total billed charges		136	33.3			Percent of total billed charges		45.288	33.3			Percent of total billed charges		45.288	100			Percent of total billed charges		136	45.288	122.4	
zimmer hex buttons	278	RC	Outpatient			136	88.4		90			Percent of total billed charges		122.4	40			Percent of total billed charges		54.4	80			Percent of total billed charges		108.8	90			Percent of total billed charges		122.4	85			Percent of total billed charges		115.6	85			Percent of total billed charges		115.6	85			Percent of total billed charges		115.6	100			Percent of total billed charges		136	100			Percent of total billed charges		136	100			Percent of total billed charges		136	33.3			Percent of total billed charges		45.288	33.3			Percent of total billed charges		45.288	100			Percent of total billed charges		136	45.288	122.4	
dress gelfoam 52100 3x4	270	RC	Outpatient			137	89.05		90			Percent of total billed charges		123.3	40			Percent of total billed charges		54.8	80			Percent of total billed charges		109.6	90			Percent of total billed charges		123.3	85			Percent of total billed charges		116.45	85			Percent of total billed charges		116.45	85			Percent of total billed charges		116.45	100			Percent of total billed charges		137	100			Percent of total billed charges		137	100			Percent of total billed charges		137	33.3			Percent of total billed charges		45.621	33.3			Percent of total billed charges		45.621	100			Percent of total billed charges		137	45.621	123.3	
tray paracentesis 61450	270	RC	Outpatient			137	89.05		90			Percent of total billed charges		123.3	40			Percent of total billed charges		54.8	80			Percent of total billed charges		109.6	90			Percent of total billed charges		123.3	85			Percent of total billed charges		116.45	85			Percent of total billed charges		116.45	85			Percent of total billed charges		116.45	100			Percent of total billed charges		137	100			Percent of total billed charges		137	100			Percent of total billed charges		137	33.3			Percent of total billed charges		45.621	33.3			Percent of total billed charges		45.621	100			Percent of total billed charges		137	45.621	123.3	
critikit in-line ice/temp	270	RC	Outpatient			138	89.7		90			Percent of total billed charges		124.2	40			Percent of total billed charges		55.2	80			Percent of total billed charges		110.4	90			Percent of total billed charges		124.2	85			Percent of total billed charges		117.3	85			Percent of total billed charges		117.3	85			Percent of total billed charges		117.3	100			Percent of total billed charges		138	100			Percent of total billed charges		138	100			Percent of total billed charges		138	33.3			Percent of total billed charges		45.954	33.3			Percent of total billed charges		45.954	100			Percent of total billed charges		138	45.954	124.2	
esophageal injector needl	270	RC	Outpatient			138	89.7		90			Percent of total billed charges		124.2	40			Percent of total billed charges		55.2	80			Percent of total billed charges		110.4	90			Percent of total billed charges		124.2	85			Percent of total billed charges		117.3	85			Percent of total billed charges		117.3	85			Percent of total billed charges		117.3	100			Percent of total billed charges		138	100			Percent of total billed charges		138	100			Percent of total billed charges		138	33.3			Percent of total billed charges		45.954	33.3			Percent of total billed charges		45.954	100			Percent of total billed charges		138	45.954	124.2	
introducer kit	270	RC	Outpatient			138	89.7		90			Percent of total billed charges		124.2	40			Percent of total billed charges		55.2	80			Percent of total billed charges		110.4	90			Percent of total billed charges		124.2	85			Percent of total billed charges		117.3	85			Percent of total billed charges		117.3	85			Percent of total billed charges		117.3	100			Percent of total billed charges		138	100			Percent of total billed charges		138	100			Percent of total billed charges		138	33.3			Percent of total billed charges		45.954	33.3			Percent of total billed charges		45.954	100			Percent of total billed charges		138	45.954	124.2	
hot ice knee blanket	270	RC	Outpatient			138	89.7		90			Percent of total billed charges		124.2	40			Percent of total billed charges		55.2	80			Percent of total billed charges		110.4	90			Percent of total billed charges		124.2	85			Percent of total billed charges		117.3	85			Percent of total billed charges		117.3	85			Percent of total billed charges		117.3	100			Percent of total billed charges		138	100			Percent of total billed charges		138	100			Percent of total billed charges		138	33.3			Percent of total billed charges		45.954	33.3			Percent of total billed charges		45.954	100			Percent of total billed charges		138	45.954	124.2	
tray per int 8.5 ak07801	270	RC	Outpatient			138	89.7		90			Percent of total billed charges		124.2	40			Percent of total billed charges		55.2	80			Percent of total billed charges		110.4	90			Percent of total billed charges		124.2	85			Percent of total billed charges		117.3	85			Percent of total billed charges		117.3	85			Percent of total billed charges		117.3	100			Percent of total billed charges		138	100			Percent of total billed charges		138	100			Percent of total billed charges		138	33.3			Percent of total billed charges		45.954	33.3			Percent of total billed charges		45.954	100			Percent of total billed charges		138	45.954	124.2	
arcom 32mm rngloc lnr 10 deg24 biomet 11-105934	278	RC	Outpatient			139	90.35		90			Percent of total billed charges		125.1	40			Percent of total billed charges		55.6	80			Percent of total billed charges		111.2	90			Percent of total billed charges		125.1	85			Percent of total billed charges		118.15	85			Percent of total billed charges		118.15	85			Percent of total billed charges		118.15	100			Percent of total billed charges		139	100			Percent of total billed charges		139	100			Percent of total billed charges		139	33.3			Percent of total billed charges		46.287	33.3			Percent of total billed charges		46.287	100			Percent of total billed charges		139	46.287	125.1	
bio ringloc lnr 32mm	278	RC	Outpatient			139	90.35		90			Percent of total billed charges		125.1	40			Percent of total billed charges		55.6	80			Percent of total billed charges		111.2	90			Percent of total billed charges		125.1	85			Percent of total billed charges		118.15	85			Percent of total billed charges		118.15	85			Percent of total billed charges		118.15	100			Percent of total billed charges		139	100			Percent of total billed charges		139	100			Percent of total billed charges		139	33.3			Percent of total billed charges		46.287	33.3			Percent of total billed charges		46.287	100			Percent of total billed charges		139	46.287	125.1	
arcom 32mm rngloc lnr 10 deg23 biomet 11-105933	278	RC	Outpatient			139	90.35		90			Percent of total billed charges		125.1	40			Percent of total billed charges		55.6	80			Percent of total billed charges		111.2	90			Percent of total billed charges		125.1	85			Percent of total billed charges		118.15	85			Percent of total billed charges		118.15	85			Percent of total billed charges		118.15	100			Percent of total billed charges		139	100			Percent of total billed charges		139	100			Percent of total billed charges		139	33.3			Percent of total billed charges		46.287	33.3			Percent of total billed charges		46.287	100			Percent of total billed charges		139	46.287	125.1	
bryants traction	270	RC	Outpatient			139	90.35		90			Percent of total billed charges		125.1	40			Percent of total billed charges		55.6	80			Percent of total billed charges		111.2	90			Percent of total billed charges		125.1	85			Percent of total billed charges		118.15	85			Percent of total billed charges		118.15	85			Percent of total billed charges		118.15	100			Percent of total billed charges		139	100			Percent of total billed charges		139	100			Percent of total billed charges		139	33.3			Percent of total billed charges		46.287	33.3			Percent of total billed charges		46.287	100			Percent of total billed charges		139	46.287	125.1	
max ring loc acet lnr 32mm 12-105893 biomet	278	RC	Outpatient			139	90.35		90			Percent of total billed charges		125.1	40			Percent of total billed charges		55.6	80			Percent of total billed charges		111.2	90			Percent of total billed charges		125.1	85			Percent of total billed charges		118.15	85			Percent of total billed charges		118.15	85			Percent of total billed charges		118.15	100			Percent of total billed charges		139	100			Percent of total billed charges		139	100			Percent of total billed charges		139	33.3			Percent of total billed charges		46.287	33.3			Percent of total billed charges		46.287	100			Percent of total billed charges		139	46.287	125.1	
s/n shoulder stab kit	272	RC	Outpatient			139	90.35		90			Percent of total billed charges		125.1	40			Percent of total billed charges		55.6	80			Percent of total billed charges		111.2	90			Percent of total billed charges		125.1	85			Percent of total billed charges		118.15	85			Percent of total billed charges		118.15	85			Percent of total billed charges		118.15	100			Percent of total billed charges		139	100			Percent of total billed charges		139	100			Percent of total billed charges		139	33.3			Percent of total billed charges		46.287	33.3			Percent of total billed charges		46.287	100			Percent of total billed charges		139	46.287	125.1	
s/n shoulder stabilizer kit 7210573	272	RC	Outpatient			139	90.35		90			Percent of total billed charges		125.1	40			Percent of total billed charges		55.6	80			Percent of total billed charges		111.2	90			Percent of total billed charges		125.1	85			Percent of total billed charges		118.15	85			Percent of total billed charges		118.15	85			Percent of total billed charges		118.15	100			Percent of total billed charges		139	100			Percent of total billed charges		139	100			Percent of total billed charges		139	33.3			Percent of total billed charges		46.287	33.3			Percent of total billed charges		46.287	100			Percent of total billed charges		139	46.287	125.1	
s/n trocar  pin 1/8 x 2.25 71563425	272	RC	Outpatient			139	90.35		90			Percent of total billed charges		125.1	40			Percent of total billed charges		55.6	80			Percent of total billed charges		111.2	90			Percent of total billed charges		125.1	85			Percent of total billed charges		118.15	85			Percent of total billed charges		118.15	85			Percent of total billed charges		118.15	100			Percent of total billed charges		139	100			Percent of total billed charges		139	100			Percent of total billed charges		139	33.3			Percent of total billed charges		46.287	33.3			Percent of total billed charges		46.287	100			Percent of total billed charges		139	46.287	125.1	
trach tube x-long shiley 6.0 60xltcp	270	RC	Outpatient			139.94	90.96		90			Percent of total billed charges		125.946	40			Percent of total billed charges		55.976	80			Percent of total billed charges		111.952	90			Percent of total billed charges		125.946	85			Percent of total billed charges		118.949	85			Percent of total billed charges		118.949	85			Percent of total billed charges		118.949	100			Percent of total billed charges		139.94	100			Percent of total billed charges		139.94	100			Percent of total billed charges		139.94	33.3			Percent of total billed charges		46.6	33.3			Percent of total billed charges		46.6	100			Percent of total billed charges		139.94	46.6	125.946	
emergency screw 1.9 x 5mm 50-19005 stryker	278	RC	Outpatient			140	91		90			Percent of total billed charges		126	40			Percent of total billed charges		56	80			Percent of total billed charges		112	90			Percent of total billed charges		126	85			Percent of total billed charges		119	85			Percent of total billed charges		119	85			Percent of total billed charges		119	100			Percent of total billed charges		140	100			Percent of total billed charges		140	100			Percent of total billed charges		140	33.3			Percent of total billed charges		46.62	33.3			Percent of total billed charges		46.62	100			Percent of total billed charges		140	46.62	126	
jet-x 8mm pin clamp sprng	278	RC	Outpatient			140	91		90			Percent of total billed charges		126	40			Percent of total billed charges		56	80			Percent of total billed charges		112	90			Percent of total billed charges		126	85			Percent of total billed charges		119	85			Percent of total billed charges		119	85			Percent of total billed charges		119	100			Percent of total billed charges		140	100			Percent of total billed charges		140	100			Percent of total billed charges		140	33.3			Percent of total billed charges		46.62	33.3			Percent of total billed charges		46.62	100			Percent of total billed charges		140	46.62	126	
jet-x 8mm cent bdy lk bt	278	RC	Outpatient			140	91		90			Percent of total billed charges		126	40			Percent of total billed charges		56	80			Percent of total billed charges		112	90			Percent of total billed charges		126	85			Percent of total billed charges		119	85			Percent of total billed charges		119	85			Percent of total billed charges		119	100			Percent of total billed charges		140	100			Percent of total billed charges		140	100			Percent of total billed charges		140	33.3			Percent of total billed charges		46.62	33.3			Percent of total billed charges		46.62	100			Percent of total billed charges		140	46.62	126	
s/n jet-x  8mm washer 7105-3033	278	RC	Outpatient			140	91		90			Percent of total billed charges		126	40			Percent of total billed charges		56	80			Percent of total billed charges		112	90			Percent of total billed charges		126	85			Percent of total billed charges		119	85			Percent of total billed charges		119	85			Percent of total billed charges		119	100			Percent of total billed charges		140	100			Percent of total billed charges		140	100			Percent of total billed charges		140	33.3			Percent of total billed charges		46.62	33.3			Percent of total billed charges		46.62	100			Percent of total billed charges		140	46.62	126	
s/n jet-x 8mm pin clamp spring 7105-3032	278	RC	Outpatient			140	91		90			Percent of total billed charges		126	40			Percent of total billed charges		56	80			Percent of total billed charges		112	90			Percent of total billed charges		126	85			Percent of total billed charges		119	85			Percent of total billed charges		119	85			Percent of total billed charges		119	100			Percent of total billed charges		140	100			Percent of total billed charges		140	100			Percent of total billed charges		140	33.3			Percent of total billed charges		46.62	33.3			Percent of total billed charges		46.62	100			Percent of total billed charges		140	46.62	126	
s/n threaded socket 30mm	272	RC	Outpatient			140	91		90			Percent of total billed charges		126	40			Percent of total billed charges		56	80			Percent of total billed charges		112	90			Percent of total billed charges		126	85			Percent of total billed charges		119	85			Percent of total billed charges		119	85			Percent of total billed charges		119	100			Percent of total billed charges		140	100			Percent of total billed charges		140	100			Percent of total billed charges		140	33.3			Percent of total billed charges		46.62	33.3			Percent of total billed charges		46.62	100			Percent of total billed charges		140	46.62	126	
stryker screw 1.7 emg	278	RC	Outpatient			140	91		90			Percent of total billed charges		126	40			Percent of total billed charges		56	80			Percent of total billed charges		112	90			Percent of total billed charges		126	85			Percent of total billed charges		119	85			Percent of total billed charges		119	85			Percent of total billed charges		119	100			Percent of total billed charges		140	100			Percent of total billed charges		140	100			Percent of total billed charges		140	33.3			Percent of total billed charges		46.62	33.3			Percent of total billed charges		46.62	100			Percent of total billed charges		140	46.62	126	
threaded socket 30mm 100910 s/n	272	RC	Outpatient			140	91		90			Percent of total billed charges		126	40			Percent of total billed charges		56	80			Percent of total billed charges		112	90			Percent of total billed charges		126	85			Percent of total billed charges		119	85			Percent of total billed charges		119	85			Percent of total billed charges		119	100			Percent of total billed charges		140	100			Percent of total billed charges		140	100			Percent of total billed charges		140	33.3			Percent of total billed charges		46.62	33.3			Percent of total billed charges		46.62	100			Percent of total billed charges		140	46.62	126	
wound vac canister lg m8275093/5  kci	272	RC	Outpatient			140	91		90			Percent of total billed charges		126	40			Percent of total billed charges		56	80			Percent of total billed charges		112	90			Percent of total billed charges		126	85			Percent of total billed charges		119	85			Percent of total billed charges		119	85			Percent of total billed charges		119	100			Percent of total billed charges		140	100			Percent of total billed charges		140	100			Percent of total billed charges		140	33.3			Percent of total billed charges		46.62	33.3			Percent of total billed charges		46.62	100			Percent of total billed charges		140	46.62	126	
wound vac cannister lg	272	RC	Outpatient			140	91		90			Percent of total billed charges		126	40			Percent of total billed charges		56	80			Percent of total billed charges		112	90			Percent of total billed charges		126	85			Percent of total billed charges		119	85			Percent of total billed charges		119	85			Percent of total billed charges		119	100			Percent of total billed charges		140	100			Percent of total billed charges		140	100			Percent of total billed charges		140	33.3			Percent of total billed charges		46.62	33.3			Percent of total billed charges		46.62	100			Percent of total billed charges		140	46.62	126	
bard woven filiform cath spiral tip 18 022005	270	RC	Outpatient			142	92.3		90			Percent of total billed charges		127.8	40			Percent of total billed charges		56.8	80			Percent of total billed charges		113.6	90			Percent of total billed charges		127.8	85			Percent of total billed charges		120.7	85			Percent of total billed charges		120.7	85			Percent of total billed charges		120.7	100			Percent of total billed charges		142	100			Percent of total billed charges		142	100			Percent of total billed charges		142	33.3			Percent of total billed charges		47.286	33.3			Percent of total billed charges		47.286	100			Percent of total billed charges		142	47.286	127.8	
3800052 removal nail/amputation ed charge	450	RC	Outpatient			142	92.3		90			Percent of total billed charges		127.8	40			Percent of total billed charges		56.8	80			Percent of total billed charges		113.6	90			Percent of total billed charges		127.8	85			Percent of total billed charges		120.7	85			Percent of total billed charges		120.7	85			Percent of total billed charges		120.7	100			Percent of total billed charges		142	100			Percent of total billed charges		142	100			Percent of total billed charges		142	33.3			Percent of total billed charges		47.286	33.3			Percent of total billed charges		47.286	100			Percent of total billed charges		142	47.286	127.8	
cath filiform	270	RC	Outpatient			142	92.3		90			Percent of total billed charges		127.8	40			Percent of total billed charges		56.8	80			Percent of total billed charges		113.6	90			Percent of total billed charges		127.8	85			Percent of total billed charges		120.7	85			Percent of total billed charges		120.7	85			Percent of total billed charges		120.7	100			Percent of total billed charges		142	100			Percent of total billed charges		142	100			Percent of total billed charges		142	33.3			Percent of total billed charges		47.286	33.3			Percent of total billed charges		47.286	100			Percent of total billed charges		142	47.286	127.8	
inflator leveen 10cc w/pressur 710-111	270	RC	Outpatient			142	92.3		90			Percent of total billed charges		127.8	40			Percent of total billed charges		56.8	80			Percent of total billed charges		113.6	90			Percent of total billed charges		127.8	85			Percent of total billed charges		120.7	85			Percent of total billed charges		120.7	85			Percent of total billed charges		120.7	100			Percent of total billed charges		142	100			Percent of total billed charges		142	100			Percent of total billed charges		142	33.3			Percent of total billed charges		47.286	33.3			Percent of total billed charges		47.286	100			Percent of total billed charges		142	47.286	127.8	
"leveen infltr,10cc,#15101"	270	RC	Outpatient			142	92.3		90			Percent of total billed charges		127.8	40			Percent of total billed charges		56.8	80			Percent of total billed charges		113.6	90			Percent of total billed charges		127.8	85			Percent of total billed charges		120.7	85			Percent of total billed charges		120.7	85			Percent of total billed charges		120.7	100			Percent of total billed charges		142	100			Percent of total billed charges		142	100			Percent of total billed charges		142	33.3			Percent of total billed charges		47.286	33.3			Percent of total billed charges		47.286	100			Percent of total billed charges		142	47.286	127.8	
s/n vlp osteo scr 4.0	278	RC	Outpatient			142	92.3		90			Percent of total billed charges		127.8	40			Percent of total billed charges		56.8	80			Percent of total billed charges		113.6	90			Percent of total billed charges		127.8	85			Percent of total billed charges		120.7	85			Percent of total billed charges		120.7	85			Percent of total billed charges		120.7	100			Percent of total billed charges		142	100			Percent of total billed charges		142	100			Percent of total billed charges		142	33.3			Percent of total billed charges		47.286	33.3			Percent of total billed charges		47.286	100			Percent of total billed charges		142	47.286	127.8	
tap q-c 2.7mm x 100mm 00-4811-100-27 zimmer	278	RC	Outpatient			142	92.3		90			Percent of total billed charges		127.8	40			Percent of total billed charges		56.8	80			Percent of total billed charges		113.6	90			Percent of total billed charges		127.8	85			Percent of total billed charges		120.7	85			Percent of total billed charges		120.7	85			Percent of total billed charges		120.7	100			Percent of total billed charges		142	100			Percent of total billed charges		142	100			Percent of total billed charges		142	33.3			Percent of total billed charges		47.286	33.3			Percent of total billed charges		47.286	100			Percent of total billed charges		142	47.286	127.8	
tap q-c calibrated for 3.50mm screw 175mm 00-4811-175-35 zimmer	278	RC	Outpatient			142	92.3		90			Percent of total billed charges		127.8	40			Percent of total billed charges		56.8	80			Percent of total billed charges		113.6	90			Percent of total billed charges		127.8	85			Percent of total billed charges		120.7	85			Percent of total billed charges		120.7	85			Percent of total billed charges		120.7	100			Percent of total billed charges		142	100			Percent of total billed charges		142	100			Percent of total billed charges		142	33.3			Percent of total billed charges		47.286	33.3			Percent of total billed charges		47.286	100			Percent of total billed charges		142	47.286	127.8	
tap q-c for 4.0mm screw 175mm 00-4811-110-40 zimmer	278	RC	Outpatient			142	92.3		90			Percent of total billed charges		127.8	40			Percent of total billed charges		56.8	80			Percent of total billed charges		113.6	90			Percent of total billed charges		127.8	85			Percent of total billed charges		120.7	85			Percent of total billed charges		120.7	85			Percent of total billed charges		120.7	100			Percent of total billed charges		142	100			Percent of total billed charges		142	100			Percent of total billed charges		142	33.3			Percent of total billed charges		47.286	33.3			Percent of total billed charges		47.286	100			Percent of total billed charges		142	47.286	127.8	
peri-loc vlp 4.0 x 16mm osteopenia screw  72823216 s/n	278	RC	Outpatient			142	92.3		90			Percent of total billed charges		127.8	40			Percent of total billed charges		56.8	80			Percent of total billed charges		113.6	90			Percent of total billed charges		127.8	85			Percent of total billed charges		120.7	85			Percent of total billed charges		120.7	85			Percent of total billed charges		120.7	100			Percent of total billed charges		142	100			Percent of total billed charges		142	100			Percent of total billed charges		142	33.3			Percent of total billed charges		47.286	33.3			Percent of total billed charges		47.286	100			Percent of total billed charges		142	47.286	127.8	
tap q-c 2.0mm x 53mm 00-4811-053-20 zimmer	278	RC	Outpatient			142	92.3		90			Percent of total billed charges		127.8	40			Percent of total billed charges		56.8	80			Percent of total billed charges		113.6	90			Percent of total billed charges		127.8	85			Percent of total billed charges		120.7	85			Percent of total billed charges		120.7	85			Percent of total billed charges		120.7	100			Percent of total billed charges		142	100			Percent of total billed charges		142	100			Percent of total billed charges		142	33.3			Percent of total billed charges		47.286	33.3			Percent of total billed charges		47.286	100			Percent of total billed charges		142	47.286	127.8	
tap q-c for 3.5mm screws 110mm 00-4811-110-35 zimmer	278	RC	Outpatient			142	92.3		90			Percent of total billed charges		127.8	40			Percent of total billed charges		56.8	80			Percent of total billed charges		113.6	90			Percent of total billed charges		127.8	85			Percent of total billed charges		120.7	85			Percent of total billed charges		120.7	85			Percent of total billed charges		120.7	100			Percent of total billed charges		142	100			Percent of total billed charges		142	100			Percent of total billed charges		142	33.3			Percent of total billed charges		47.286	33.3			Percent of total billed charges		47.286	100			Percent of total billed charges		142	47.286	127.8	
tap q-c for 4.0mm screws 110mm 00-4811-110-40 zimmer	278	RC	Outpatient			142	92.3		90			Percent of total billed charges		127.8	40			Percent of total billed charges		56.8	80			Percent of total billed charges		113.6	90			Percent of total billed charges		127.8	85			Percent of total billed charges		120.7	85			Percent of total billed charges		120.7	85			Percent of total billed charges		120.7	100			Percent of total billed charges		142	100			Percent of total billed charges		142	100			Percent of total billed charges		142	33.3			Percent of total billed charges		47.286	33.3			Percent of total billed charges		47.286	100			Percent of total billed charges		142	47.286	127.8	
zimmer tap 3.5-4.0 screw	278	RC	Outpatient			142	92.3		90			Percent of total billed charges		127.8	40			Percent of total billed charges		56.8	80			Percent of total billed charges		113.6	90			Percent of total billed charges		127.8	85			Percent of total billed charges		120.7	85			Percent of total billed charges		120.7	85			Percent of total billed charges		120.7	100			Percent of total billed charges		142	100			Percent of total billed charges		142	100			Percent of total billed charges		142	33.3			Percent of total billed charges		47.286	33.3			Percent of total billed charges		47.286	100			Percent of total billed charges		142	47.286	127.8	
"ligaclip mca multiple clip applier, 20 med clips ref mcm20"	278	RC	Outpatient			142.6	92.69		90			Percent of total billed charges		128.34	40			Percent of total billed charges		57.04	80			Percent of total billed charges		114.08	90			Percent of total billed charges		128.34	85			Percent of total billed charges		121.21	85			Percent of total billed charges		121.21	85			Percent of total billed charges		121.21	100			Percent of total billed charges		142.6	100			Percent of total billed charges		142.6	100			Percent of total billed charges		142.6	33.3			Percent of total billed charges		47.4858	33.3			Percent of total billed charges		47.4858	100			Percent of total billed charges		142.6	47.4858	128.34	
biliary dilitation cath	270	RC	Outpatient			143	92.95		90			Percent of total billed charges		128.7	40			Percent of total billed charges		57.2	80			Percent of total billed charges		114.4	90			Percent of total billed charges		128.7	85			Percent of total billed charges		121.55	85			Percent of total billed charges		121.55	85			Percent of total billed charges		121.55	100			Percent of total billed charges		143	100			Percent of total billed charges		143	100			Percent of total billed charges		143	33.3			Percent of total billed charges		47.619	33.3			Percent of total billed charges		47.619	100			Percent of total billed charges		143	47.619	128.7	
colonic injection needle	270	RC	Outpatient			143	92.95		90			Percent of total billed charges		128.7	40			Percent of total billed charges		57.2	80			Percent of total billed charges		114.4	90			Percent of total billed charges		128.7	85			Percent of total billed charges		121.55	85			Percent of total billed charges		121.55	85			Percent of total billed charges		121.55	100			Percent of total billed charges		143	100			Percent of total billed charges		143	100			Percent of total billed charges		143	33.3			Percent of total billed charges		47.619	33.3			Percent of total billed charges		47.619	100			Percent of total billed charges		143	47.619	128.7	
"delta lite, short leg"	270	RC	Outpatient			143	92.95		90			Percent of total billed charges		128.7	40			Percent of total billed charges		57.2	80			Percent of total billed charges		114.4	90			Percent of total billed charges		128.7	85			Percent of total billed charges		121.55	85			Percent of total billed charges		121.55	85			Percent of total billed charges		121.55	100			Percent of total billed charges		143	100			Percent of total billed charges		143	100			Percent of total billed charges		143	33.3			Percent of total billed charges		47.619	33.3			Percent of total billed charges		47.619	100			Percent of total billed charges		143	47.619	128.7	
edno close	270	RC	Outpatient			143	92.95		90			Percent of total billed charges		128.7	40			Percent of total billed charges		57.2	80			Percent of total billed charges		114.4	90			Percent of total billed charges		128.7	85			Percent of total billed charges		121.55	85			Percent of total billed charges		121.55	85			Percent of total billed charges		121.55	100			Percent of total billed charges		143	100			Percent of total billed charges		143	100			Percent of total billed charges		143	33.3			Percent of total billed charges		47.619	33.3			Percent of total billed charges		47.619	100			Percent of total billed charges		143	47.619	128.7	
"full radius bone cutter 5.5mm, platinum 72202530 s/n"	272	RC	Outpatient			143	92.95		90			Percent of total billed charges		128.7	40			Percent of total billed charges		57.2	80			Percent of total billed charges		114.4	90			Percent of total billed charges		128.7	85			Percent of total billed charges		121.55	85			Percent of total billed charges		121.55	85			Percent of total billed charges		121.55	100			Percent of total billed charges		143	100			Percent of total billed charges		143	100			Percent of total billed charges		143	33.3			Percent of total billed charges		47.619	33.3			Percent of total billed charges		47.619	100			Percent of total billed charges		143	47.619	128.7	
gastric lavage kit	270	RC	Outpatient			143	92.95		90			Percent of total billed charges		128.7	40			Percent of total billed charges		57.2	80			Percent of total billed charges		114.4	90			Percent of total billed charges		128.7	85			Percent of total billed charges		121.55	85			Percent of total billed charges		121.55	85			Percent of total billed charges		121.55	100			Percent of total billed charges		143	100			Percent of total billed charges		143	100			Percent of total billed charges		143	33.3			Percent of total billed charges		47.619	33.3			Percent of total billed charges		47.619	100			Percent of total billed charges		143	47.619	128.7	
glidewire .035 x 260 gs3504 terumo	272	RC	Outpatient			143	92.95		90			Percent of total billed charges		128.7	40			Percent of total billed charges		57.2	80			Percent of total billed charges		114.4	90			Percent of total billed charges		128.7	85			Percent of total billed charges		121.55	85			Percent of total billed charges		121.55	85			Percent of total billed charges		121.55	100			Percent of total billed charges		143	100			Percent of total billed charges		143	100			Percent of total billed charges		143	33.3			Percent of total billed charges		47.619	33.3			Percent of total billed charges		47.619	100			Percent of total billed charges		143	47.619	128.7	
glidewire gs 3504	272	RC	Outpatient			143	92.95		90			Percent of total billed charges		128.7	40			Percent of total billed charges		57.2	80			Percent of total billed charges		114.4	90			Percent of total billed charges		128.7	85			Percent of total billed charges		121.55	85			Percent of total billed charges		121.55	85			Percent of total billed charges		121.55	100			Percent of total billed charges		143	100			Percent of total billed charges		143	100			Percent of total billed charges		143	33.3			Percent of total billed charges		47.619	33.3			Percent of total billed charges		47.619	100			Percent of total billed charges		143	47.619	128.7	
heel prevalon 7355	270	RC	Outpatient			143	92.95		90			Percent of total billed charges		128.7	40			Percent of total billed charges		57.2	80			Percent of total billed charges		114.4	90			Percent of total billed charges		128.7	85			Percent of total billed charges		121.55	85			Percent of total billed charges		121.55	85			Percent of total billed charges		121.55	100			Percent of total billed charges		143	100			Percent of total billed charges		143	100			Percent of total billed charges		143	33.3			Percent of total billed charges		47.619	33.3			Percent of total billed charges		47.619	100			Percent of total billed charges		143	47.619	128.7	
dyonics elctrosrgcl probe	270	RC	Outpatient			143	92.95		90			Percent of total billed charges		128.7	40			Percent of total billed charges		57.2	80			Percent of total billed charges		114.4	90			Percent of total billed charges		128.7	85			Percent of total billed charges		121.55	85			Percent of total billed charges		121.55	85			Percent of total billed charges		121.55	100			Percent of total billed charges		143	100			Percent of total billed charges		143	100			Percent of total billed charges		143	33.3			Percent of total billed charges		47.619	33.3			Percent of total billed charges		47.619	100			Percent of total billed charges		143	47.619	128.7	
electro surg probe 7205565	270	RC	Outpatient			143	92.95		90			Percent of total billed charges		128.7	40			Percent of total billed charges		57.2	80			Percent of total billed charges		114.4	90			Percent of total billed charges		128.7	85			Percent of total billed charges		121.55	85			Percent of total billed charges		121.55	85			Percent of total billed charges		121.55	100			Percent of total billed charges		143	100			Percent of total billed charges		143	100			Percent of total billed charges		143	33.3			Percent of total billed charges		47.619	33.3			Percent of total billed charges		47.619	100			Percent of total billed charges		143	47.619	128.7	
endo close 173022 covidien	270	RC	Outpatient			143	92.95		90			Percent of total billed charges		128.7	40			Percent of total billed charges		57.2	80			Percent of total billed charges		114.4	90			Percent of total billed charges		128.7	85			Percent of total billed charges		121.55	85			Percent of total billed charges		121.55	85			Percent of total billed charges		121.55	100			Percent of total billed charges		143	100			Percent of total billed charges		143	100			Percent of total billed charges		143	33.3			Percent of total billed charges		47.619	33.3			Percent of total billed charges		47.619	100			Percent of total billed charges		143	47.619	128.7	
"full radius bone cutter 4.5mm, platinum 72202531 s/n"	272	RC	Outpatient			143	92.95		90			Percent of total billed charges		128.7	40			Percent of total billed charges		57.2	80			Percent of total billed charges		114.4	90			Percent of total billed charges		128.7	85			Percent of total billed charges		121.55	85			Percent of total billed charges		121.55	85			Percent of total billed charges		121.55	100			Percent of total billed charges		143	100			Percent of total billed charges		143	100			Percent of total billed charges		143	33.3			Percent of total billed charges		47.619	33.3			Percent of total billed charges		47.619	100			Percent of total billed charges		143	47.619	128.7	
short leg delta lite	270	RC	Outpatient			143	92.95		90			Percent of total billed charges		128.7	40			Percent of total billed charges		57.2	80			Percent of total billed charges		114.4	90			Percent of total billed charges		128.7	85			Percent of total billed charges		121.55	85			Percent of total billed charges		121.55	85			Percent of total billed charges		121.55	100			Percent of total billed charges		143	100			Percent of total billed charges		143	100			Percent of total billed charges		143	33.3			Percent of total billed charges		47.619	33.3			Percent of total billed charges		47.619	100			Percent of total billed charges		143	47.619	128.7	
stryker axsos k-wire 2.0	278	RC	Outpatient			143	92.95		90			Percent of total billed charges		128.7	40			Percent of total billed charges		57.2	80			Percent of total billed charges		114.4	90			Percent of total billed charges		128.7	85			Percent of total billed charges		121.55	85			Percent of total billed charges		121.55	85			Percent of total billed charges		121.55	100			Percent of total billed charges		143	100			Percent of total billed charges		143	100			Percent of total billed charges		143	33.3			Percent of total billed charges		47.619	33.3			Percent of total billed charges		47.619	100			Percent of total billed charges		143	47.619	128.7	
walker l pro m 0sl5001-05	272	RC	Outpatient			144	93.6		90			Percent of total billed charges		129.6	40			Percent of total billed charges		57.6	80			Percent of total billed charges		115.2	90			Percent of total billed charges		129.6	85			Percent of total billed charges		122.4	85			Percent of total billed charges		122.4	85			Percent of total billed charges		122.4	100			Percent of total billed charges		144	100			Percent of total billed charges		144	100			Percent of total billed charges		144	33.3			Percent of total billed charges		47.952	33.3			Percent of total billed charges		47.952	100			Percent of total billed charges		144	47.952	129.6	
alexis retractor lg	270	RC	Outpatient			145	94.25		90			Percent of total billed charges		130.5	40			Percent of total billed charges		58	80			Percent of total billed charges		116	90			Percent of total billed charges		130.5	85			Percent of total billed charges		123.25	85			Percent of total billed charges		123.25	85			Percent of total billed charges		123.25	100			Percent of total billed charges		145	100			Percent of total billed charges		145	100			Percent of total billed charges		145	33.3			Percent of total billed charges		48.285	33.3			Percent of total billed charges		48.285	100			Percent of total billed charges		145	48.285	130.5	
cast arm long	270	RC	Outpatient			145	94.25		90			Percent of total billed charges		130.5	40			Percent of total billed charges		58	80			Percent of total billed charges		116	90			Percent of total billed charges		130.5	85			Percent of total billed charges		123.25	85			Percent of total billed charges		123.25	85			Percent of total billed charges		123.25	100			Percent of total billed charges		145	100			Percent of total billed charges		145	100			Percent of total billed charges		145	33.3			Percent of total billed charges		48.285	33.3			Percent of total billed charges		48.285	100			Percent of total billed charges		145	48.285	130.5	
cath lab  bard urethral catheter 774415	278	RC	Outpatient			145	94.25		90			Percent of total billed charges		130.5	40			Percent of total billed charges		58	80			Percent of total billed charges		116	90			Percent of total billed charges		130.5	85			Percent of total billed charges		123.25	85			Percent of total billed charges		123.25	85			Percent of total billed charges		123.25	100			Percent of total billed charges		145	100			Percent of total billed charges		145	100			Percent of total billed charges		145	33.3			Percent of total billed charges		48.285	33.3			Percent of total billed charges		48.285	100			Percent of total billed charges		145	48.285	130.5	
cement nozzle	272	RC	Outpatient			145	94.25		90			Percent of total billed charges		130.5	40			Percent of total billed charges		58	80			Percent of total billed charges		116	90			Percent of total billed charges		130.5	85			Percent of total billed charges		123.25	85			Percent of total billed charges		123.25	85			Percent of total billed charges		123.25	100			Percent of total billed charges		145	100			Percent of total billed charges		145	100			Percent of total billed charges		145	33.3			Percent of total billed charges		48.285	33.3			Percent of total billed charges		48.285	100			Percent of total billed charges		145	48.285	130.5	
cement nozzle small 414991 biomet	272	RC	Outpatient			145	94.25		90			Percent of total billed charges		130.5	40			Percent of total billed charges		58	80			Percent of total billed charges		116	90			Percent of total billed charges		130.5	85			Percent of total billed charges		123.25	85			Percent of total billed charges		123.25	85			Percent of total billed charges		123.25	100			Percent of total billed charges		145	100			Percent of total billed charges		145	100			Percent of total billed charges		145	33.3			Percent of total billed charges		48.285	33.3			Percent of total billed charges		48.285	100			Percent of total billed charges		145	48.285	130.5	
acumed plate screw	278	RC	Outpatient			145	94.25		90			Percent of total billed charges		130.5	40			Percent of total billed charges		58	80			Percent of total billed charges		116	90			Percent of total billed charges		130.5	85			Percent of total billed charges		123.25	85			Percent of total billed charges		123.25	85			Percent of total billed charges		123.25	100			Percent of total billed charges		145	100			Percent of total billed charges		145	100			Percent of total billed charges		145	33.3			Percent of total billed charges		48.285	33.3			Percent of total billed charges		48.285	100			Percent of total billed charges		145	48.285	130.5	
endo pleurx drainage bottle (each)	272	RC	Outpatient			145	94.25		90			Percent of total billed charges		130.5	40			Percent of total billed charges		58	80			Percent of total billed charges		116	90			Percent of total billed charges		130.5	85			Percent of total billed charges		123.25	85			Percent of total billed charges		123.25	85			Percent of total billed charges		123.25	100			Percent of total billed charges		145	100			Percent of total billed charges		145	100			Percent of total billed charges		145	33.3			Percent of total billed charges		48.285	33.3			Percent of total billed charges		48.285	100			Percent of total billed charges		145	48.285	130.5	
l&d alexis wound retractor c8303 applied med	270	RC	Outpatient			145	94.25		90			Percent of total billed charges		130.5	40			Percent of total billed charges		58	80			Percent of total billed charges		116	90			Percent of total billed charges		130.5	85			Percent of total billed charges		123.25	85			Percent of total billed charges		123.25	85			Percent of total billed charges		123.25	100			Percent of total billed charges		145	100			Percent of total billed charges		145	100			Percent of total billed charges		145	33.3			Percent of total billed charges		48.285	33.3			Percent of total billed charges		48.285	100			Percent of total billed charges		145	48.285	130.5	
kit drainage plure50-7510	272	RC	Outpatient			145	94.25		90			Percent of total billed charges		130.5	40			Percent of total billed charges		58	80			Percent of total billed charges		116	90			Percent of total billed charges		130.5	85			Percent of total billed charges		123.25	85			Percent of total billed charges		123.25	85			Percent of total billed charges		123.25	100			Percent of total billed charges		145	100			Percent of total billed charges		145	100			Percent of total billed charges		145	33.3			Percent of total billed charges		48.285	33.3			Percent of total billed charges		48.285	100			Percent of total billed charges		145	48.285	130.5	
walker l pr lg dsl5001-07	272	RC	Outpatient			145	94.25		90			Percent of total billed charges		130.5	40			Percent of total billed charges		58	80			Percent of total billed charges		116	90			Percent of total billed charges		130.5	85			Percent of total billed charges		123.25	85			Percent of total billed charges		123.25	85			Percent of total billed charges		123.25	100			Percent of total billed charges		145	100			Percent of total billed charges		145	100			Percent of total billed charges		145	33.3			Percent of total billed charges		48.285	33.3			Percent of total billed charges		48.285	100			Percent of total billed charges		145	48.285	130.5	
conmed oscillating saw blade 1.37mm x 25.4mm x 90mm ref 5071-163	272	RC	Outpatient			145.7	94.71		90			Percent of total billed charges		131.13	40			Percent of total billed charges		58.28	80			Percent of total billed charges		116.56	90			Percent of total billed charges		131.13	85			Percent of total billed charges		123.845	85			Percent of total billed charges		123.845	85			Percent of total billed charges		123.845	100			Percent of total billed charges		145.7	100			Percent of total billed charges		145.7	100			Percent of total billed charges		145.7	33.3			Percent of total billed charges		48.5181	33.3			Percent of total billed charges		48.5181	100			Percent of total billed charges		145.7	48.5181	131.13	
conmed oscillating saw blade 19mm x 1.37mm x 105mm ref tn190-137-05	272	RC	Outpatient			145.7	94.71		90			Percent of total billed charges		131.13	40			Percent of total billed charges		58.28	80			Percent of total billed charges		116.56	90			Percent of total billed charges		131.13	85			Percent of total billed charges		123.845	85			Percent of total billed charges		123.845	85			Percent of total billed charges		123.845	100			Percent of total billed charges		145.7	100			Percent of total billed charges		145.7	100			Percent of total billed charges		145.7	33.3			Percent of total billed charges		48.5181	33.3			Percent of total billed charges		48.5181	100			Percent of total billed charges		145.7	48.5181	131.13	
conmed oscillating saw blade 25mm x 1.37mm x 90mm  ref tn250-137-90	272	RC	Outpatient			145.7	94.71		90			Percent of total billed charges		131.13	40			Percent of total billed charges		58.28	80			Percent of total billed charges		116.56	90			Percent of total billed charges		131.13	85			Percent of total billed charges		123.845	85			Percent of total billed charges		123.845	85			Percent of total billed charges		123.845	100			Percent of total billed charges		145.7	100			Percent of total billed charges		145.7	100			Percent of total billed charges		145.7	33.3			Percent of total billed charges		48.5181	33.3			Percent of total billed charges		48.5181	100			Percent of total billed charges		145.7	48.5181	131.13	
oscillating blade 1.37 mm x 19 mm x 90 mm ref tn-190-137-90 conmed	272	RC	Outpatient			145.7	94.71		90			Percent of total billed charges		131.13	40			Percent of total billed charges		58.28	80			Percent of total billed charges		116.56	90			Percent of total billed charges		131.13	85			Percent of total billed charges		123.845	85			Percent of total billed charges		123.845	85			Percent of total billed charges		123.845	100			Percent of total billed charges		145.7	100			Percent of total billed charges		145.7	100			Percent of total billed charges		145.7	33.3			Percent of total billed charges		48.5181	33.3			Percent of total billed charges		48.5181	100			Percent of total billed charges		145.7	48.5181	131.13	
2.7mm compression plate 2 hole 20mm x 2.0mm 00-4927-002-00 zimmer	278	RC	Outpatient			146	94.9		90			Percent of total billed charges		131.4	40			Percent of total billed charges		58.4	80			Percent of total billed charges		116.8	90			Percent of total billed charges		131.4	85			Percent of total billed charges		124.1	85			Percent of total billed charges		124.1	85			Percent of total billed charges		124.1	100			Percent of total billed charges		146	100			Percent of total billed charges		146	100			Percent of total billed charges		146	33.3			Percent of total billed charges		48.618	33.3			Percent of total billed charges		48.618	100			Percent of total billed charges		146	48.618	131.4	
blanket hot/ice csz510-us cincinnati sub zero	270	RC	Outpatient			146	94.9		90			Percent of total billed charges		131.4	40			Percent of total billed charges		58.4	80			Percent of total billed charges		116.8	90			Percent of total billed charges		131.4	85			Percent of total billed charges		124.1	85			Percent of total billed charges		124.1	85			Percent of total billed charges		124.1	100			Percent of total billed charges		146	100			Percent of total billed charges		146	100			Percent of total billed charges		146	33.3			Percent of total billed charges		48.618	33.3			Percent of total billed charges		48.618	100			Percent of total billed charges		146	48.618	131.4	
2.7mm compression plate 2 hole 18mm hole spac 26mm x 2.0mm 00-4927-001-00 zimmer	278	RC	Outpatient			146	94.9		90			Percent of total billed charges		131.4	40			Percent of total billed charges		58.4	80			Percent of total billed charges		116.8	90			Percent of total billed charges		131.4	85			Percent of total billed charges		124.1	85			Percent of total billed charges		124.1	85			Percent of total billed charges		124.1	100			Percent of total billed charges		146	100			Percent of total billed charges		146	100			Percent of total billed charges		146	33.3			Percent of total billed charges		48.618	33.3			Percent of total billed charges		48.618	100			Percent of total billed charges		146	48.618	131.4	
2.7mm compression plate 4 hole 36mm x 2.0mm 00-4927-004-00 zimmer	278	RC	Outpatient			146	94.9		90			Percent of total billed charges		131.4	40			Percent of total billed charges		58.4	80			Percent of total billed charges		116.8	90			Percent of total billed charges		131.4	85			Percent of total billed charges		124.1	85			Percent of total billed charges		124.1	85			Percent of total billed charges		124.1	100			Percent of total billed charges		146	100			Percent of total billed charges		146	100			Percent of total billed charges		146	33.3			Percent of total billed charges		48.618	33.3			Percent of total billed charges		48.618	100			Percent of total billed charges		146	48.618	131.4	
cement mixevac ii assembly mix 206-10	270	RC	Outpatient			146	94.9		90			Percent of total billed charges		131.4	40			Percent of total billed charges		58.4	80			Percent of total billed charges		116.8	90			Percent of total billed charges		131.4	85			Percent of total billed charges		124.1	85			Percent of total billed charges		124.1	85			Percent of total billed charges		124.1	100			Percent of total billed charges		146	100			Percent of total billed charges		146	100			Percent of total billed charges		146	33.3			Percent of total billed charges		48.618	33.3			Percent of total billed charges		48.618	100			Percent of total billed charges		146	48.618	131.4	
ez- intraoss 45 mm	272	RC	Outpatient			146	94.9		90			Percent of total billed charges		131.4	40			Percent of total billed charges		58.4	80			Percent of total billed charges		116.8	90			Percent of total billed charges		131.4	85			Percent of total billed charges		124.1	85			Percent of total billed charges		124.1	85			Percent of total billed charges		124.1	100			Percent of total billed charges		146	100			Percent of total billed charges		146	100			Percent of total billed charges		146	33.3			Percent of total billed charges		48.618	33.3			Percent of total billed charges		48.618	100			Percent of total billed charges		146	48.618	131.4	
ez-intraoss 25mm	272	RC	Outpatient			146	94.9		90			Percent of total billed charges		131.4	40			Percent of total billed charges		58.4	80			Percent of total billed charges		116.8	90			Percent of total billed charges		131.4	85			Percent of total billed charges		124.1	85			Percent of total billed charges		124.1	85			Percent of total billed charges		124.1	100			Percent of total billed charges		146	100			Percent of total billed charges		146	100			Percent of total billed charges		146	33.3			Percent of total billed charges		48.618	33.3			Percent of total billed charges		48.618	100			Percent of total billed charges		146	48.618	131.4	
ez-intraoss needle 15mm	272	RC	Outpatient			146	94.9		90			Percent of total billed charges		131.4	40			Percent of total billed charges		58.4	80			Percent of total billed charges		116.8	90			Percent of total billed charges		131.4	85			Percent of total billed charges		124.1	85			Percent of total billed charges		124.1	85			Percent of total billed charges		124.1	100			Percent of total billed charges		146	100			Percent of total billed charges		146	100			Percent of total billed charges		146	33.3			Percent of total billed charges		48.618	33.3			Percent of total billed charges		48.618	100			Percent of total billed charges		146	48.618	131.4	
ez-intraoss needle ed charge scnt	272	RC	Outpatient			146	94.9		90			Percent of total billed charges		131.4	40			Percent of total billed charges		58.4	80			Percent of total billed charges		116.8	90			Percent of total billed charges		131.4	85			Percent of total billed charges		124.1	85			Percent of total billed charges		124.1	85			Percent of total billed charges		124.1	100			Percent of total billed charges		146	100			Percent of total billed charges		146	100			Percent of total billed charges		146	33.3			Percent of total billed charges		48.618	33.3			Percent of total billed charges		48.618	100			Percent of total billed charges		146	48.618	131.4	
hot ice 5x10 blanket	270	RC	Outpatient			146	94.9		90			Percent of total billed charges		131.4	40			Percent of total billed charges		58.4	80			Percent of total billed charges		116.8	90			Percent of total billed charges		131.4	85			Percent of total billed charges		124.1	85			Percent of total billed charges		124.1	85			Percent of total billed charges		124.1	100			Percent of total billed charges		146	100			Percent of total billed charges		146	100			Percent of total billed charges		146	33.3			Percent of total billed charges		48.618	33.3			Percent of total billed charges		48.618	100			Percent of total billed charges		146	48.618	131.4	
stryker mini vac ii	270	RC	Outpatient			146	94.9		90			Percent of total billed charges		131.4	40			Percent of total billed charges		58.4	80			Percent of total billed charges		116.8	90			Percent of total billed charges		131.4	85			Percent of total billed charges		124.1	85			Percent of total billed charges		124.1	85			Percent of total billed charges		124.1	100			Percent of total billed charges		146	100			Percent of total billed charges		146	100			Percent of total billed charges		146	33.3			Percent of total billed charges		48.618	33.3			Percent of total billed charges		48.618	100			Percent of total billed charges		146	48.618	131.4	
zimm 2.7 comp plate 2-4	278	RC	Outpatient			146	94.9		90			Percent of total billed charges		131.4	40			Percent of total billed charges		58.4	80			Percent of total billed charges		116.8	90			Percent of total billed charges		131.4	85			Percent of total billed charges		124.1	85			Percent of total billed charges		124.1	85			Percent of total billed charges		124.1	100			Percent of total billed charges		146	100			Percent of total billed charges		146	100			Percent of total billed charges		146	33.3			Percent of total billed charges		48.618	33.3			Percent of total billed charges		48.618	100			Percent of total billed charges		146	48.618	131.4	
attain valve	272	RC	Outpatient			147	95.55		90			Percent of total billed charges		132.3	40			Percent of total billed charges		58.8	80			Percent of total billed charges		117.6	90			Percent of total billed charges		132.3	85			Percent of total billed charges		124.95	85			Percent of total billed charges		124.95	85			Percent of total billed charges		124.95	100			Percent of total billed charges		147	100			Percent of total billed charges		147	100			Percent of total billed charges		147	33.3			Percent of total billed charges		48.951	33.3			Percent of total billed charges		48.951	100			Percent of total billed charges		147	48.951	132.3	
arthrex guide wire .062 l	272	RC	Outpatient			147	95.55		90			Percent of total billed charges		132.3	40			Percent of total billed charges		58.8	80			Percent of total billed charges		117.6	90			Percent of total billed charges		132.3	85			Percent of total billed charges		124.95	85			Percent of total billed charges		124.95	85			Percent of total billed charges		124.95	100			Percent of total billed charges		147	100			Percent of total billed charges		147	100			Percent of total billed charges		147	33.3			Percent of total billed charges		48.951	33.3			Percent of total billed charges		48.951	100			Percent of total billed charges		147	48.951	132.3	
arthrex guidewire .062 x 7 ar-8941-7	272	RC	Outpatient			147	95.55		90			Percent of total billed charges		132.3	40			Percent of total billed charges		58.8	80			Percent of total billed charges		117.6	90			Percent of total billed charges		132.3	85			Percent of total billed charges		124.95	85			Percent of total billed charges		124.95	85			Percent of total billed charges		124.95	100			Percent of total billed charges		147	100			Percent of total billed charges		147	100			Percent of total billed charges		147	33.3			Percent of total billed charges		48.951	33.3			Percent of total billed charges		48.951	100			Percent of total billed charges		147	48.951	132.3	
"delta lite, long arm"	270	RC	Outpatient			147	95.55		90			Percent of total billed charges		132.3	40			Percent of total billed charges		58.8	80			Percent of total billed charges		117.6	90			Percent of total billed charges		132.3	85			Percent of total billed charges		124.95	85			Percent of total billed charges		124.95	85			Percent of total billed charges		124.95	100			Percent of total billed charges		147	100			Percent of total billed charges		147	100			Percent of total billed charges		147	33.3			Percent of total billed charges		48.951	33.3			Percent of total billed charges		48.951	100			Percent of total billed charges		147	48.951	132.3	
foot wrap reg	270	RC	Outpatient			147	95.55		90			Percent of total billed charges		132.3	40			Percent of total billed charges		58.8	80			Percent of total billed charges		117.6	90			Percent of total billed charges		132.3	85			Percent of total billed charges		124.95	85			Percent of total billed charges		124.95	85			Percent of total billed charges		124.95	100			Percent of total billed charges		147	100			Percent of total billed charges		147	100			Percent of total billed charges		147	33.3			Percent of total billed charges		48.951	33.3			Percent of total billed charges		48.951	100			Percent of total billed charges		147	48.951	132.3	
defibrillation	272	RC	Outpatient			147	95.55		90			Percent of total billed charges		132.3	40			Percent of total billed charges		58.8	80			Percent of total billed charges		117.6	90			Percent of total billed charges		132.3	85			Percent of total billed charges		124.95	85			Percent of total billed charges		124.95	85			Percent of total billed charges		124.95	100			Percent of total billed charges		147	100			Percent of total billed charges		147	100			Percent of total billed charges		147	33.3			Percent of total billed charges		48.951	33.3			Percent of total billed charges		48.951	100			Percent of total billed charges		147	48.951	132.3	
device repair 2910-100	272	RC	Outpatient			147	95.55		90			Percent of total billed charges		132.3	40			Percent of total billed charges		58.8	80			Percent of total billed charges		117.6	90			Percent of total billed charges		132.3	85			Percent of total billed charges		124.95	85			Percent of total billed charges		124.95	85			Percent of total billed charges		124.95	100			Percent of total billed charges		147	100			Percent of total billed charges		147	100			Percent of total billed charges		147	33.3			Percent of total billed charges		48.951	33.3			Percent of total billed charges		48.951	100			Percent of total billed charges		147	48.951	132.3	
endopath grasper	272	RC	Outpatient			147	95.55		90			Percent of total billed charges		132.3	40			Percent of total billed charges		58.8	80			Percent of total billed charges		117.6	90			Percent of total billed charges		132.3	85			Percent of total billed charges		124.95	85			Percent of total billed charges		124.95	85			Percent of total billed charges		124.95	100			Percent of total billed charges		147	100			Percent of total billed charges		147	100			Percent of total billed charges		147	33.3			Percent of total billed charges		48.951	33.3			Percent of total billed charges		48.951	100			Percent of total billed charges		147	48.951	132.3	
endopath grasper 5dsg ethicon	272	RC	Outpatient			147	95.55		90			Percent of total billed charges		132.3	40			Percent of total billed charges		58.8	80			Percent of total billed charges		117.6	90			Percent of total billed charges		132.3	85			Percent of total billed charges		124.95	85			Percent of total billed charges		124.95	85			Percent of total billed charges		124.95	100			Percent of total billed charges		147	100			Percent of total billed charges		147	100			Percent of total billed charges		147	33.3			Percent of total billed charges		48.951	33.3			Percent of total billed charges		48.951	100			Percent of total billed charges		147	48.951	132.3	
jejuinostomy tube	270	RC	Outpatient			147	95.55		90			Percent of total billed charges		132.3	40			Percent of total billed charges		58.8	80			Percent of total billed charges		117.6	90			Percent of total billed charges		132.3	85			Percent of total billed charges		124.95	85			Percent of total billed charges		124.95	85			Percent of total billed charges		124.95	100			Percent of total billed charges		147	100			Percent of total billed charges		147	100			Percent of total billed charges		147	33.3			Percent of total billed charges		48.951	33.3			Percent of total billed charges		48.951	100			Percent of total billed charges		147	48.951	132.3	
lateral release pencil/bl	270	RC	Outpatient			147	95.55		90			Percent of total billed charges		132.3	40			Percent of total billed charges		58.8	80			Percent of total billed charges		117.6	90			Percent of total billed charges		132.3	85			Percent of total billed charges		124.95	85			Percent of total billed charges		124.95	85			Percent of total billed charges		124.95	100			Percent of total billed charges		147	100			Percent of total billed charges		147	100			Percent of total billed charges		147	33.3			Percent of total billed charges		48.951	33.3			Percent of total billed charges		48.951	100			Percent of total billed charges		147	48.951	132.3	
hold scw unicndylar 27-48	278	RC	Outpatient			147	95.55		90			Percent of total billed charges		132.3	40			Percent of total billed charges		58.8	80			Percent of total billed charges		117.6	90			Percent of total billed charges		132.3	85			Percent of total billed charges		124.95	85			Percent of total billed charges		124.95	85			Percent of total billed charges		124.95	100			Percent of total billed charges		147	100			Percent of total billed charges		147	100			Percent of total billed charges		147	33.3			Percent of total billed charges		48.951	33.3			Percent of total billed charges		48.951	100			Percent of total billed charges		147	48.951	132.3	
"master's 10,000 unit"	270	RC	Outpatient			147	95.55		90			Percent of total billed charges		132.3	40			Percent of total billed charges		58.8	80			Percent of total billed charges		117.6	90			Percent of total billed charges		132.3	85			Percent of total billed charges		124.95	85			Percent of total billed charges		124.95	85			Percent of total billed charges		124.95	100			Percent of total billed charges		147	100			Percent of total billed charges		147	100			Percent of total billed charges		147	33.3			Percent of total billed charges		48.951	33.3			Percent of total billed charges		48.951	100			Percent of total billed charges		147	48.951	132.3	
mero gel	270	RC	Outpatient			147	95.55		90			Percent of total billed charges		132.3	40			Percent of total billed charges		58.8	80			Percent of total billed charges		117.6	90			Percent of total billed charges		132.3	85			Percent of total billed charges		124.95	85			Percent of total billed charges		124.95	85			Percent of total billed charges		124.95	100			Percent of total billed charges		147	100			Percent of total billed charges		147	100			Percent of total billed charges		147	33.3			Percent of total billed charges		48.951	33.3			Percent of total billed charges		48.951	100			Percent of total billed charges		147	48.951	132.3	
merogel/nasal sinus surg pack 15-17002 xomed	270	RC	Outpatient			147	95.55		90			Percent of total billed charges		132.3	40			Percent of total billed charges		58.8	80			Percent of total billed charges		117.6	90			Percent of total billed charges		132.3	85			Percent of total billed charges		124.95	85			Percent of total billed charges		124.95	85			Percent of total billed charges		124.95	100			Percent of total billed charges		147	100			Percent of total billed charges		147	100			Percent of total billed charges		147	33.3			Percent of total billed charges		48.951	33.3			Percent of total billed charges		48.951	100			Percent of total billed charges		147	48.951	132.3	
packing nasal hyaluronic merogel 15-17002 xome	270	RC	Outpatient			147	95.55		90			Percent of total billed charges		132.3	40			Percent of total billed charges		58.8	80			Percent of total billed charges		117.6	90			Percent of total billed charges		132.3	85			Percent of total billed charges		124.95	85			Percent of total billed charges		124.95	85			Percent of total billed charges		124.95	100			Percent of total billed charges		147	100			Percent of total billed charges		147	100			Percent of total billed charges		147	33.3			Percent of total billed charges		48.951	33.3			Percent of total billed charges		48.951	100			Percent of total billed charges		147	48.951	132.3	
level 1 set	270	RC	Outpatient			147	95.55		90			Percent of total billed charges		132.3	40			Percent of total billed charges		58.8	80			Percent of total billed charges		117.6	90			Percent of total billed charges		132.3	85			Percent of total billed charges		124.95	85			Percent of total billed charges		124.95	85			Percent of total billed charges		124.95	100			Percent of total billed charges		147	100			Percent of total billed charges		147	100			Percent of total billed charges		147	33.3			Percent of total billed charges		48.951	33.3			Percent of total billed charges		48.951	100			Percent of total billed charges		147	48.951	132.3	
long arm delta lite	270	RC	Outpatient			147	95.55		90			Percent of total billed charges		132.3	40			Percent of total billed charges		58.8	80			Percent of total billed charges		117.6	90			Percent of total billed charges		132.3	85			Percent of total billed charges		124.95	85			Percent of total billed charges		124.95	85			Percent of total billed charges		124.95	100			Percent of total billed charges		147	100			Percent of total billed charges		147	100			Percent of total billed charges		147	33.3			Percent of total billed charges		48.951	33.3			Percent of total billed charges		48.951	100			Percent of total billed charges		147	48.951	132.3	
mt  attain valve	272	RC	Outpatient			147	95.55		90			Percent of total billed charges		132.3	40			Percent of total billed charges		58.8	80			Percent of total billed charges		117.6	90			Percent of total billed charges		132.3	85			Percent of total billed charges		124.95	85			Percent of total billed charges		124.95	85			Percent of total billed charges		124.95	100			Percent of total billed charges		147	100			Percent of total billed charges		147	100			Percent of total billed charges		147	33.3			Percent of total billed charges		48.951	33.3			Percent of total billed charges		48.951	100			Percent of total billed charges		147	48.951	132.3	
taut high press syringe	270	RC	Outpatient			147	95.55		90			Percent of total billed charges		132.3	40			Percent of total billed charges		58.8	80			Percent of total billed charges		117.6	90			Percent of total billed charges		132.3	85			Percent of total billed charges		124.95	85			Percent of total billed charges		124.95	85			Percent of total billed charges		124.95	100			Percent of total billed charges		147	100			Percent of total billed charges		147	100			Percent of total billed charges		147	33.3			Percent of total billed charges		48.951	33.3			Percent of total billed charges		48.951	100			Percent of total billed charges		147	48.951	132.3	
quick-tap paracntsis tray	270	RC	Outpatient			147	95.55		90			Percent of total billed charges		132.3	40			Percent of total billed charges		58.8	80			Percent of total billed charges		117.6	90			Percent of total billed charges		132.3	85			Percent of total billed charges		124.95	85			Percent of total billed charges		124.95	85			Percent of total billed charges		124.95	100			Percent of total billed charges		147	100			Percent of total billed charges		147	100			Percent of total billed charges		147	33.3			Percent of total billed charges		48.951	33.3			Percent of total billed charges		48.951	100			Percent of total billed charges		147	48.951	132.3	
taut high pressure syringe kos-01251	270	RC	Outpatient			147	95.55		90			Percent of total billed charges		132.3	40			Percent of total billed charges		58.8	80			Percent of total billed charges		117.6	90			Percent of total billed charges		132.3	85			Percent of total billed charges		124.95	85			Percent of total billed charges		124.95	85			Percent of total billed charges		124.95	100			Percent of total billed charges		147	100			Percent of total billed charges		147	100			Percent of total billed charges		147	33.3			Percent of total billed charges		48.951	33.3			Percent of total billed charges		48.951	100			Percent of total billed charges		147	48.951	132.3	
taut system 1 high pressure syringe k05-01251	270	RC	Outpatient			147	95.55		90			Percent of total billed charges		132.3	40			Percent of total billed charges		58.8	80			Percent of total billed charges		117.6	90			Percent of total billed charges		132.3	85			Percent of total billed charges		124.95	85			Percent of total billed charges		124.95	85			Percent of total billed charges		124.95	100			Percent of total billed charges		147	100			Percent of total billed charges		147	100			Percent of total billed charges		147	33.3			Percent of total billed charges		48.951	33.3			Percent of total billed charges		48.951	100			Percent of total billed charges		147	48.951	132.3	
wright disp tendon repkit	272	RC	Outpatient			147	95.55		90			Percent of total billed charges		132.3	40			Percent of total billed charges		58.8	80			Percent of total billed charges		117.6	90			Percent of total billed charges		132.3	85			Percent of total billed charges		124.95	85			Percent of total billed charges		124.95	85			Percent of total billed charges		124.95	100			Percent of total billed charges		147	100			Percent of total billed charges		147	100			Percent of total billed charges		147	33.3			Percent of total billed charges		48.951	33.3			Percent of total billed charges		48.951	100			Percent of total billed charges		147	48.951	132.3	
zimmer unicompartmental headed  screw 27mm 5791-43	278	RC	Outpatient			147	95.55		90			Percent of total billed charges		132.3	40			Percent of total billed charges		58.8	80			Percent of total billed charges		117.6	90			Percent of total billed charges		132.3	85			Percent of total billed charges		124.95	85			Percent of total billed charges		124.95	85			Percent of total billed charges		124.95	100			Percent of total billed charges		147	100			Percent of total billed charges		147	100			Percent of total billed charges		147	33.3			Percent of total billed charges		48.951	33.3			Percent of total billed charges		48.951	100			Percent of total billed charges		147	48.951	132.3	
zimmer unicompartmental headed screw 48mm 5791-41	278	RC	Outpatient			147	95.55		90			Percent of total billed charges		132.3	40			Percent of total billed charges		58.8	80			Percent of total billed charges		117.6	90			Percent of total billed charges		132.3	85			Percent of total billed charges		124.95	85			Percent of total billed charges		124.95	85			Percent of total billed charges		124.95	100			Percent of total billed charges		147	100			Percent of total billed charges		147	100			Percent of total billed charges		147	33.3			Percent of total billed charges		48.951	33.3			Percent of total billed charges		48.951	100			Percent of total billed charges		147	48.951	132.3	
zimmer unicomp headless screw 48mm 5791-42	278	RC	Outpatient			147	95.55		90			Percent of total billed charges		132.3	40			Percent of total billed charges		58.8	80			Percent of total billed charges		117.6	90			Percent of total billed charges		132.3	85			Percent of total billed charges		124.95	85			Percent of total billed charges		124.95	85			Percent of total billed charges		124.95	100			Percent of total billed charges		147	100			Percent of total billed charges		147	100			Percent of total billed charges		147	33.3			Percent of total billed charges		48.951	33.3			Percent of total billed charges		48.951	100			Percent of total billed charges		147	48.951	132.3	
3800025 lac rep intermediate ed charge	450	RC	Outpatient			148	96.2		90			Percent of total billed charges		133.2	40			Percent of total billed charges		59.2	80			Percent of total billed charges		118.4	90			Percent of total billed charges		133.2	85			Percent of total billed charges		125.8	85			Percent of total billed charges		125.8	85			Percent of total billed charges		125.8	100			Percent of total billed charges		148	100			Percent of total billed charges		148	100			Percent of total billed charges		148	33.3			Percent of total billed charges		49.284	33.3			Percent of total billed charges		49.284	100			Percent of total billed charges		148	49.284	133.2	
cath thorac  28fr str 570549	270	RC	Outpatient			148	96.2		90			Percent of total billed charges		133.2	40			Percent of total billed charges		59.2	80			Percent of total billed charges		118.4	90			Percent of total billed charges		133.2	85			Percent of total billed charges		125.8	85			Percent of total billed charges		125.8	85			Percent of total billed charges		125.8	100			Percent of total billed charges		148	100			Percent of total billed charges		148	100			Percent of total billed charges		148	33.3			Percent of total billed charges		49.284	33.3			Percent of total billed charges		49.284	100			Percent of total billed charges		148	49.284	133.2	
cath thorac 24fr str 570531	270	RC	Outpatient			148	96.2		90			Percent of total billed charges		133.2	40			Percent of total billed charges		59.2	80			Percent of total billed charges		118.4	90			Percent of total billed charges		133.2	85			Percent of total billed charges		125.8	85			Percent of total billed charges		125.8	85			Percent of total billed charges		125.8	100			Percent of total billed charges		148	100			Percent of total billed charges		148	100			Percent of total billed charges		148	33.3			Percent of total billed charges		49.284	33.3			Percent of total billed charges		49.284	100			Percent of total billed charges		148	49.284	133.2	
cath thoracic  32 fr str 570556	270	RC	Outpatient			148	96.2		90			Percent of total billed charges		133.2	40			Percent of total billed charges		59.2	80			Percent of total billed charges		118.4	90			Percent of total billed charges		133.2	85			Percent of total billed charges		125.8	85			Percent of total billed charges		125.8	85			Percent of total billed charges		125.8	100			Percent of total billed charges		148	100			Percent of total billed charges		148	100			Percent of total billed charges		148	33.3			Percent of total billed charges		49.284	33.3			Percent of total billed charges		49.284	100			Percent of total billed charges		148	49.284	133.2	
cath trocar 32 fr 561076	270	RC	Outpatient			148	96.2		90			Percent of total billed charges		133.2	40			Percent of total billed charges		59.2	80			Percent of total billed charges		118.4	90			Percent of total billed charges		133.2	85			Percent of total billed charges		125.8	85			Percent of total billed charges		125.8	85			Percent of total billed charges		125.8	100			Percent of total billed charges		148	100			Percent of total billed charges		148	100			Percent of total billed charges		148	33.3			Percent of total billed charges		49.284	33.3			Percent of total billed charges		49.284	100			Percent of total billed charges		148	49.284	133.2	
catherter trocar x ray opaque 20 fr 16 561043 sher	270	RC	Outpatient			148	96.2		90			Percent of total billed charges		133.2	40			Percent of total billed charges		59.2	80			Percent of total billed charges		118.4	90			Percent of total billed charges		133.2	85			Percent of total billed charges		125.8	85			Percent of total billed charges		125.8	85			Percent of total billed charges		125.8	100			Percent of total billed charges		148	100			Percent of total billed charges		148	100			Percent of total billed charges		148	33.3			Percent of total billed charges		49.284	33.3			Percent of total billed charges		49.284	100			Percent of total billed charges		148	49.284	133.2	
catheter thoracic standard straight 12 fr 570507 sher	270	RC	Outpatient			148	96.2		90			Percent of total billed charges		133.2	40			Percent of total billed charges		59.2	80			Percent of total billed charges		118.4	90			Percent of total billed charges		133.2	85			Percent of total billed charges		125.8	85			Percent of total billed charges		125.8	85			Percent of total billed charges		125.8	100			Percent of total billed charges		148	100			Percent of total billed charges		148	100			Percent of total billed charges		148	33.3			Percent of total billed charges		49.284	33.3			Percent of total billed charges		49.284	100			Percent of total billed charges		148	49.284	133.2	
catheter thoracic standard straight 20 fr 570523 sher	270	RC	Outpatient			148	96.2		90			Percent of total billed charges		133.2	40			Percent of total billed charges		59.2	80			Percent of total billed charges		118.4	90			Percent of total billed charges		133.2	85			Percent of total billed charges		125.8	85			Percent of total billed charges		125.8	85			Percent of total billed charges		125.8	100			Percent of total billed charges		148	100			Percent of total billed charges		148	100			Percent of total billed charges		148	33.3			Percent of total billed charges		49.284	33.3			Percent of total billed charges		49.284	100			Percent of total billed charges		148	49.284	133.2	
chest tube 24fr (r ) angle 571034 kendall	270	RC	Outpatient			148	96.2		90			Percent of total billed charges		133.2	40			Percent of total billed charges		59.2	80			Percent of total billed charges		118.4	90			Percent of total billed charges		133.2	85			Percent of total billed charges		125.8	85			Percent of total billed charges		125.8	85			Percent of total billed charges		125.8	100			Percent of total billed charges		148	100			Percent of total billed charges		148	100			Percent of total billed charges		148	33.3			Percent of total billed charges		49.284	33.3			Percent of total billed charges		49.284	100			Percent of total billed charges		148	49.284	133.2	
chest tube 24fr (r ) angle 573006 kendall	270	RC	Outpatient			148	96.2		90			Percent of total billed charges		133.2	40			Percent of total billed charges		59.2	80			Percent of total billed charges		118.4	90			Percent of total billed charges		133.2	85			Percent of total billed charges		125.8	85			Percent of total billed charges		125.8	85			Percent of total billed charges		125.8	100			Percent of total billed charges		148	100			Percent of total billed charges		148	100			Percent of total billed charges		148	33.3			Percent of total billed charges		49.284	33.3			Percent of total billed charges		49.284	100			Percent of total billed charges		148	49.284	133.2	
chest tube 28fr (r ) angle 570432 kendall	270	RC	Outpatient			148	96.2		90			Percent of total billed charges		133.2	40			Percent of total billed charges		59.2	80			Percent of total billed charges		118.4	90			Percent of total billed charges		133.2	85			Percent of total billed charges		125.8	85			Percent of total billed charges		125.8	85			Percent of total billed charges		125.8	100			Percent of total billed charges		148	100			Percent of total billed charges		148	100			Percent of total billed charges		148	33.3			Percent of total billed charges		49.284	33.3			Percent of total billed charges		49.284	100			Percent of total billed charges		148	49.284	133.2	
chest tube 32fr (r ) angle 573022 kendall	270	RC	Outpatient			148	96.2		90			Percent of total billed charges		133.2	40			Percent of total billed charges		59.2	80			Percent of total billed charges		118.4	90			Percent of total billed charges		133.2	85			Percent of total billed charges		125.8	85			Percent of total billed charges		125.8	85			Percent of total billed charges		125.8	100			Percent of total billed charges		148	100			Percent of total billed charges		148	100			Percent of total billed charges		148	33.3			Percent of total billed charges		49.284	33.3			Percent of total billed charges		49.284	100			Percent of total billed charges		148	49.284	133.2	
cath thorac 16fr str 570515	270	RC	Outpatient			148	96.2		90			Percent of total billed charges		133.2	40			Percent of total billed charges		59.2	80			Percent of total billed charges		118.4	90			Percent of total billed charges		133.2	85			Percent of total billed charges		125.8	85			Percent of total billed charges		125.8	85			Percent of total billed charges		125.8	100			Percent of total billed charges		148	100			Percent of total billed charges		148	100			Percent of total billed charges		148	33.3			Percent of total billed charges		49.284	33.3			Percent of total billed charges		49.284	100			Percent of total billed charges		148	49.284	133.2	
cath thorac 36fr sil r/angle 57306 88-573063	270	RC	Outpatient			148	96.2		90			Percent of total billed charges		133.2	40			Percent of total billed charges		59.2	80			Percent of total billed charges		118.4	90			Percent of total billed charges		133.2	85			Percent of total billed charges		125.8	85			Percent of total billed charges		125.8	85			Percent of total billed charges		125.8	100			Percent of total billed charges		148	100			Percent of total billed charges		148	100			Percent of total billed charges		148	33.3			Percent of total billed charges		49.284	33.3			Percent of total billed charges		49.284	100			Percent of total billed charges		148	49.284	133.2	
cath thorac 36fr ster 570564	270	RC	Outpatient			148	96.2		90			Percent of total billed charges		133.2	40			Percent of total billed charges		59.2	80			Percent of total billed charges		118.4	90			Percent of total billed charges		133.2	85			Percent of total billed charges		125.8	85			Percent of total billed charges		125.8	85			Percent of total billed charges		125.8	100			Percent of total billed charges		148	100			Percent of total billed charges		148	100			Percent of total billed charges		148	33.3			Percent of total billed charges		49.284	33.3			Percent of total billed charges		49.284	100			Percent of total billed charges		148	49.284	133.2	
cath trocar  24fr  561050	270	RC	Outpatient			148	96.2		90			Percent of total billed charges		133.2	40			Percent of total billed charges		59.2	80			Percent of total billed charges		118.4	90			Percent of total billed charges		133.2	85			Percent of total billed charges		125.8	85			Percent of total billed charges		125.8	85			Percent of total billed charges		125.8	100			Percent of total billed charges		148	100			Percent of total billed charges		148	100			Percent of total billed charges		148	33.3			Percent of total billed charges		49.284	33.3			Percent of total billed charges		49.284	100			Percent of total billed charges		148	49.284	133.2	
cath trocar 28 fr 561068	270	RC	Outpatient			148	96.2		90			Percent of total billed charges		133.2	40			Percent of total billed charges		59.2	80			Percent of total billed charges		118.4	90			Percent of total billed charges		133.2	85			Percent of total billed charges		125.8	85			Percent of total billed charges		125.8	85			Percent of total billed charges		125.8	100			Percent of total billed charges		148	100			Percent of total billed charges		148	100			Percent of total billed charges		148	33.3			Percent of total billed charges		49.284	33.3			Percent of total billed charges		49.284	100			Percent of total billed charges		148	49.284	133.2	
chest tube	270	RC	Outpatient			148	96.2		90			Percent of total billed charges		133.2	40			Percent of total billed charges		59.2	80			Percent of total billed charges		118.4	90			Percent of total billed charges		133.2	85			Percent of total billed charges		125.8	85			Percent of total billed charges		125.8	85			Percent of total billed charges		125.8	100			Percent of total billed charges		148	100			Percent of total billed charges		148	100			Percent of total billed charges		148	33.3			Percent of total billed charges		49.284	33.3			Percent of total billed charges		49.284	100			Percent of total billed charges		148	49.284	133.2	
chest tube 36fr (r ) angle 573063 kendall	270	RC	Outpatient			148	96.2		90			Percent of total billed charges		133.2	40			Percent of total billed charges		59.2	80			Percent of total billed charges		118.4	90			Percent of total billed charges		133.2	85			Percent of total billed charges		125.8	85			Percent of total billed charges		125.8	85			Percent of total billed charges		125.8	100			Percent of total billed charges		148	100			Percent of total billed charges		148	100			Percent of total billed charges		148	33.3			Percent of total billed charges		49.284	33.3			Percent of total billed charges		49.284	100			Percent of total billed charges		148	49.284	133.2	
splint metal thigh high w	270	RC	Outpatient			148	96.2		90			Percent of total billed charges		133.2	40			Percent of total billed charges		59.2	80			Percent of total billed charges		118.4	90			Percent of total billed charges		133.2	85			Percent of total billed charges		125.8	85			Percent of total billed charges		125.8	85			Percent of total billed charges		125.8	100			Percent of total billed charges		148	100			Percent of total billed charges		148	100			Percent of total billed charges		148	33.3			Percent of total billed charges		49.284	33.3			Percent of total billed charges		49.284	100			Percent of total billed charges		148	49.284	133.2	
stryker screw locking	278	RC	Outpatient			148	96.2		90			Percent of total billed charges		133.2	40			Percent of total billed charges		59.2	80			Percent of total billed charges		118.4	90			Percent of total billed charges		133.2	85			Percent of total billed charges		125.8	85			Percent of total billed charges		125.8	85			Percent of total billed charges		125.8	100			Percent of total billed charges		148	100			Percent of total billed charges		148	100			Percent of total billed charges		148	33.3			Percent of total billed charges		49.284	33.3			Percent of total billed charges		49.284	100			Percent of total billed charges		148	49.284	133.2	
vac dressing large	270	RC	Outpatient			148	96.2		90			Percent of total billed charges		133.2	40			Percent of total billed charges		59.2	80			Percent of total billed charges		118.4	90			Percent of total billed charges		133.2	85			Percent of total billed charges		125.8	85			Percent of total billed charges		125.8	85			Percent of total billed charges		125.8	100			Percent of total billed charges		148	100			Percent of total billed charges		148	100			Percent of total billed charges		148	33.3			Percent of total billed charges		49.284	33.3			Percent of total billed charges		49.284	100			Percent of total billed charges		148	49.284	133.2	
wound vac dressing large black m8275053	272	RC	Outpatient			148	96.2		90			Percent of total billed charges		133.2	40			Percent of total billed charges		59.2	80			Percent of total billed charges		118.4	90			Percent of total billed charges		133.2	85			Percent of total billed charges		125.8	85			Percent of total billed charges		125.8	85			Percent of total billed charges		125.8	100			Percent of total billed charges		148	100			Percent of total billed charges		148	100			Percent of total billed charges		148	33.3			Percent of total billed charges		49.284	33.3			Percent of total billed charges		49.284	100			Percent of total billed charges		148	49.284	133.2	
wound vac lg black sponge	272	RC	Outpatient			148	96.2		90			Percent of total billed charges		133.2	40			Percent of total billed charges		59.2	80			Percent of total billed charges		118.4	90			Percent of total billed charges		133.2	85			Percent of total billed charges		125.8	85			Percent of total billed charges		125.8	85			Percent of total billed charges		125.8	100			Percent of total billed charges		148	100			Percent of total billed charges		148	100			Percent of total billed charges		148	33.3			Percent of total billed charges		49.284	33.3			Percent of total billed charges		49.284	100			Percent of total billed charges		148	49.284	133.2	
walker lw p sm dsl5001-03	272	RC	Outpatient			148	96.2		90			Percent of total billed charges		133.2	40			Percent of total billed charges		59.2	80			Percent of total billed charges		118.4	90			Percent of total billed charges		133.2	85			Percent of total billed charges		125.8	85			Percent of total billed charges		125.8	85			Percent of total billed charges		125.8	100			Percent of total billed charges		148	100			Percent of total billed charges		148	100			Percent of total billed charges		148	33.3			Percent of total billed charges		49.284	33.3			Percent of total billed charges		49.284	100			Percent of total billed charges		148	49.284	133.2	
arthrex fibertape 17 w/ straight needle	278	RC	Outpatient			149	96.85		90			Percent of total billed charges		134.1	40			Percent of total billed charges		59.6	80			Percent of total billed charges		119.2	90			Percent of total billed charges		134.1	85			Percent of total billed charges		126.65	85			Percent of total billed charges		126.65	85			Percent of total billed charges		126.65	100			Percent of total billed charges		149	100			Percent of total billed charges		149	100			Percent of total billed charges		149	33.3			Percent of total billed charges		49.617	33.3			Percent of total billed charges		49.617	100			Percent of total billed charges		149	49.617	134.1	
scrmc set micropuncture	621	RC	Outpatient			149	96.85		90			Percent of total billed charges		134.1	40			Percent of total billed charges		59.6	80			Percent of total billed charges		119.2	90			Percent of total billed charges		134.1	85			Percent of total billed charges		126.65	85			Percent of total billed charges		126.65	85			Percent of total billed charges		126.65	100			Percent of total billed charges		149	100			Percent of total billed charges		149	100			Percent of total billed charges		149	33.3			Percent of total billed charges		49.617	33.3			Percent of total billed charges		49.617	100			Percent of total billed charges		149	49.617	134.1	
s/n washer titanium 7110-2000	278	RC	Outpatient			149	96.85		90			Percent of total billed charges		134.1	40			Percent of total billed charges		59.6	80			Percent of total billed charges		119.2	90			Percent of total billed charges		134.1	85			Percent of total billed charges		126.65	85			Percent of total billed charges		126.65	85			Percent of total billed charges		126.65	100			Percent of total billed charges		149	100			Percent of total billed charges		149	100			Percent of total billed charges		149	33.3			Percent of total billed charges		49.617	33.3			Percent of total billed charges		49.617	100			Percent of total billed charges		149	49.617	134.1	
washer 6.5mm 219.972	278	RC	Outpatient			149	96.85		90			Percent of total billed charges		134.1	40			Percent of total billed charges		59.6	80			Percent of total billed charges		119.2	90			Percent of total billed charges		134.1	85			Percent of total billed charges		126.65	85			Percent of total billed charges		126.65	85			Percent of total billed charges		126.65	100			Percent of total billed charges		149	100			Percent of total billed charges		149	100			Percent of total billed charges		149	33.3			Percent of total billed charges		49.617	33.3			Percent of total billed charges		49.617	100			Percent of total billed charges		149	49.617	134.1	
"washer, 6.5, large"	278	RC	Outpatient			149	96.85		90			Percent of total billed charges		134.1	40			Percent of total billed charges		59.6	80			Percent of total billed charges		119.2	90			Percent of total billed charges		134.1	85			Percent of total billed charges		126.65	85			Percent of total billed charges		126.65	85			Percent of total billed charges		126.65	100			Percent of total billed charges		149	100			Percent of total billed charges		149	100			Percent of total billed charges		149	33.3			Percent of total billed charges		49.617	33.3			Percent of total billed charges		49.617	100			Percent of total billed charges		149	49.617	134.1	
4-d ultrasound (np)	983	RC	Outpatient			150	97.5		90			Percent of total billed charges		135	40			Percent of total billed charges		60	80			Percent of total billed charges		120	90			Percent of total billed charges		135	85			Percent of total billed charges		127.5	85			Percent of total billed charges		127.5	85			Percent of total billed charges		127.5	100			Percent of total billed charges		150	100			Percent of total billed charges		150	100			Percent of total billed charges		150	33.3			Percent of total billed charges		49.95	33.3			Percent of total billed charges		49.95	100			Percent of total billed charges		150	49.95	135	
arthrex coolcut bl dis5.0	272	RC	Outpatient			150	97.5		90			Percent of total billed charges		135	40			Percent of total billed charges		60	80			Percent of total billed charges		120	90			Percent of total billed charges		135	85			Percent of total billed charges		127.5	85			Percent of total billed charges		127.5	85			Percent of total billed charges		127.5	100			Percent of total billed charges		150	100			Percent of total billed charges		150	100			Percent of total billed charges		150	33.3			Percent of total billed charges		49.95	33.3			Percent of total billed charges		49.95	100			Percent of total billed charges		150	49.95	135	
"arthrex coolcut burr 4.0 oval, 8 flute ar-8400obe"	272	RC	Outpatient			150	97.5		90			Percent of total billed charges		135	40			Percent of total billed charges		60	80			Percent of total billed charges		120	90			Percent of total billed charges		135	85			Percent of total billed charges		127.5	85			Percent of total billed charges		127.5	85			Percent of total billed charges		127.5	100			Percent of total billed charges		150	100			Percent of total billed charges		150	100			Percent of total billed charges		150	33.3			Percent of total billed charges		49.95	33.3			Percent of total billed charges		49.95	100			Percent of total billed charges		150	49.95	135	
cosmetic - acne surgery	983	RC	Outpatient			150	97.5		90			Percent of total billed charges		135	40			Percent of total billed charges		60	80			Percent of total billed charges		120	90			Percent of total billed charges		135	85			Percent of total billed charges		127.5	85			Percent of total billed charges		127.5	85			Percent of total billed charges		127.5	100			Percent of total billed charges		150	100			Percent of total billed charges		150	100			Percent of total billed charges		150	33.3			Percent of total billed charges		49.95	33.3			Percent of total billed charges		49.95	100			Percent of total billed charges		150	49.95	135	
cosmetic - destruction of benign lesion	983	RC	Outpatient			150	97.5		90			Percent of total billed charges		135	40			Percent of total billed charges		60	80			Percent of total billed charges		120	90			Percent of total billed charges		135	85			Percent of total billed charges		127.5	85			Percent of total billed charges		127.5	85			Percent of total billed charges		127.5	100			Percent of total billed charges		150	100			Percent of total billed charges		150	100			Percent of total billed charges		150	33.3			Percent of total billed charges		49.95	33.3			Percent of total billed charges		49.95	100			Percent of total billed charges		150	49.95	135	
cosmetic - laser hair removal underarms single session	983	RC	Outpatient			150	97.5		90			Percent of total billed charges		135	40			Percent of total billed charges		60	80			Percent of total billed charges		120	90			Percent of total billed charges		135	85			Percent of total billed charges		127.5	85			Percent of total billed charges		127.5	85			Percent of total billed charges		127.5	100			Percent of total billed charges		150	100			Percent of total billed charges		150	100			Percent of total billed charges		150	33.3			Percent of total billed charges		49.95	33.3			Percent of total billed charges		49.95	100			Percent of total billed charges		150	49.95	135	
4610164 arterial line insertion ed charge	450	RC	Outpatient			150	97.5		90			Percent of total billed charges		135	40			Percent of total billed charges		60	80			Percent of total billed charges		120	90			Percent of total billed charges		135	85			Percent of total billed charges		127.5	85			Percent of total billed charges		127.5	85			Percent of total billed charges		127.5	100			Percent of total billed charges		150	100			Percent of total billed charges		150	100			Percent of total billed charges		150	33.3			Percent of total billed charges		49.95	33.3			Percent of total billed charges		49.95	100			Percent of total billed charges		150	49.95	135	
arthrex coolcut bl excali	272	RC	Outpatient			150	97.5		90			Percent of total billed charges		135	40			Percent of total billed charges		60	80			Percent of total billed charges		120	90			Percent of total billed charges		135	85			Percent of total billed charges		127.5	85			Percent of total billed charges		127.5	85			Percent of total billed charges		127.5	100			Percent of total billed charges		150	100			Percent of total billed charges		150	100			Percent of total billed charges		150	33.3			Percent of total billed charges		49.95	33.3			Percent of total billed charges		49.95	100			Percent of total billed charges		150	49.95	135	
arthrex coolcut blade 4.0 dissector ar-8500ds	272	RC	Outpatient			150	97.5		90			Percent of total billed charges		135	40			Percent of total billed charges		60	80			Percent of total billed charges		120	90			Percent of total billed charges		135	85			Percent of total billed charges		127.5	85			Percent of total billed charges		127.5	85			Percent of total billed charges		127.5	100			Percent of total billed charges		150	100			Percent of total billed charges		150	100			Percent of total billed charges		150	33.3			Percent of total billed charges		49.95	33.3			Percent of total billed charges		49.95	100			Percent of total billed charges		150	49.95	135	
arthrex coolcut blade 5.0 dissector ar-8500cds	272	RC	Outpatient			150	97.5		90			Percent of total billed charges		135	40			Percent of total billed charges		60	80			Percent of total billed charges		120	90			Percent of total billed charges		135	85			Percent of total billed charges		127.5	85			Percent of total billed charges		127.5	85			Percent of total billed charges		127.5	100			Percent of total billed charges		150	100			Percent of total billed charges		150	100			Percent of total billed charges		150	33.3			Percent of total billed charges		49.95	33.3			Percent of total billed charges		49.95	100			Percent of total billed charges		150	49.95	135	
arthrex coolcut blade 5.5 excalibur ar-8550ex	272	RC	Outpatient			150	97.5		90			Percent of total billed charges		135	40			Percent of total billed charges		60	80			Percent of total billed charges		120	90			Percent of total billed charges		135	85			Percent of total billed charges		127.5	85			Percent of total billed charges		127.5	85			Percent of total billed charges		127.5	100			Percent of total billed charges		150	100			Percent of total billed charges		150	100			Percent of total billed charges		150	33.3			Percent of total billed charges		49.95	33.3			Percent of total billed charges		49.95	100			Percent of total billed charges		150	49.95	135	
arthrex coolcut blade double cut 4.0  ar-8400dc	272	RC	Outpatient			150	97.5		90			Percent of total billed charges		135	40			Percent of total billed charges		60	80			Percent of total billed charges		120	90			Percent of total billed charges		135	85			Percent of total billed charges		127.5	85			Percent of total billed charges		127.5	85			Percent of total billed charges		127.5	100			Percent of total billed charges		150	100			Percent of total billed charges		150	100			Percent of total billed charges		150	33.3			Percent of total billed charges		49.95	33.3			Percent of total billed charges		49.95	100			Percent of total billed charges		150	49.95	135	
arthrex coolcut blade double cut 4.0 x 13.0 ar-8400	272	RC	Outpatient			150	97.5		90			Percent of total billed charges		135	40			Percent of total billed charges		60	80			Percent of total billed charges		120	90			Percent of total billed charges		135	85			Percent of total billed charges		127.5	85			Percent of total billed charges		127.5	85			Percent of total billed charges		127.5	100			Percent of total billed charges		150	100			Percent of total billed charges		150	100			Percent of total billed charges		150	33.3			Percent of total billed charges		49.95	33.3			Percent of total billed charges		49.95	100			Percent of total billed charges		150	49.95	135	
arthrex coolcut burr	272	RC	Outpatient			150	97.5		90			Percent of total billed charges		135	40			Percent of total billed charges		60	80			Percent of total billed charges		120	90			Percent of total billed charges		135	85			Percent of total billed charges		127.5	85			Percent of total billed charges		127.5	85			Percent of total billed charges		127.5	100			Percent of total billed charges		150	100			Percent of total billed charges		150	100			Percent of total billed charges		150	33.3			Percent of total billed charges		49.95	33.3			Percent of total billed charges		49.95	100			Percent of total billed charges		150	49.95	135	
arthrex coolcut dc 4.0	272	RC	Outpatient			150	97.5		90			Percent of total billed charges		135	40			Percent of total billed charges		60	80			Percent of total billed charges		120	90			Percent of total billed charges		135	85			Percent of total billed charges		127.5	85			Percent of total billed charges		127.5	85			Percent of total billed charges		127.5	100			Percent of total billed charges		150	100			Percent of total billed charges		150	100			Percent of total billed charges		150	33.3			Percent of total billed charges		49.95	33.3			Percent of total billed charges		49.95	100			Percent of total billed charges		150	49.95	135	
arthrex coolcut dis 4.0	272	RC	Outpatient			150	97.5		90			Percent of total billed charges		135	40			Percent of total billed charges		60	80			Percent of total billed charges		120	90			Percent of total billed charges		135	85			Percent of total billed charges		127.5	85			Percent of total billed charges		127.5	85			Percent of total billed charges		127.5	100			Percent of total billed charges		150	100			Percent of total billed charges		150	100			Percent of total billed charges		150	33.3			Percent of total billed charges		49.95	33.3			Percent of total billed charges		49.95	100			Percent of total billed charges		150	49.95	135	
change of nephrostomy or pyelostomy tube	983	RC	Outpatient			150	97.5		90			Percent of total billed charges		135	40			Percent of total billed charges		60	80			Percent of total billed charges		120	90			Percent of total billed charges		135	85			Percent of total billed charges		127.5	85			Percent of total billed charges		127.5	85			Percent of total billed charges		127.5	100			Percent of total billed charges		150	100			Percent of total billed charges		150	100			Percent of total billed charges		150	33.3			Percent of total billed charges		49.95	33.3			Percent of total billed charges		49.95	100			Percent of total billed charges		150	49.95	135	
immobilizer knee tri-panel 24 sdj7980180 medline  1424717 deroyal	270	RC	Outpatient			150	97.5		90			Percent of total billed charges		135	40			Percent of total billed charges		60	80			Percent of total billed charges		120	90			Percent of total billed charges		135	85			Percent of total billed charges		127.5	85			Percent of total billed charges		127.5	85			Percent of total billed charges		127.5	100			Percent of total billed charges		150	100			Percent of total billed charges		150	100			Percent of total billed charges		150	33.3			Percent of total billed charges		49.95	33.3			Percent of total billed charges		49.95	100			Percent of total billed charges		150	49.95	135	
evacuette machine	270	RC	Outpatient			150	97.5		90			Percent of total billed charges		135	40			Percent of total billed charges		60	80			Percent of total billed charges		120	90			Percent of total billed charges		135	85			Percent of total billed charges		127.5	85			Percent of total billed charges		127.5	85			Percent of total billed charges		127.5	100			Percent of total billed charges		150	100			Percent of total billed charges		150	100			Percent of total billed charges		150	33.3			Percent of total billed charges		49.95	33.3			Percent of total billed charges		49.95	100			Percent of total billed charges		150	49.95	135	
knee compression dressing	270	RC	Outpatient			150	97.5		90			Percent of total billed charges		135	40			Percent of total billed charges		60	80			Percent of total billed charges		120	90			Percent of total billed charges		135	85			Percent of total billed charges		127.5	85			Percent of total billed charges		127.5	85			Percent of total billed charges		127.5	100			Percent of total billed charges		150	100			Percent of total billed charges		150	100			Percent of total billed charges		150	33.3			Percent of total billed charges		49.95	33.3			Percent of total billed charges		49.95	100			Percent of total billed charges		150	49.95	135	
l&d traxis panniculus retractor ciprs1030 clinical innovations	272	RC	Outpatient			150	97.5		90			Percent of total billed charges		135	40			Percent of total billed charges		60	80			Percent of total billed charges		120	90			Percent of total billed charges		135	85			Percent of total billed charges		127.5	85			Percent of total billed charges		127.5	85			Percent of total billed charges		127.5	100			Percent of total billed charges		150	100			Percent of total billed charges		150	100			Percent of total billed charges		150	33.3			Percent of total billed charges		49.95	33.3			Percent of total billed charges		49.95	100			Percent of total billed charges		150	49.95	135	
stryker screw 2.7	278	RC	Outpatient			150	97.5		90			Percent of total billed charges		135	40			Percent of total billed charges		60	80			Percent of total billed charges		120	90			Percent of total billed charges		135	85			Percent of total billed charges		127.5	85			Percent of total billed charges		127.5	85			Percent of total billed charges		127.5	100			Percent of total billed charges		150	100			Percent of total billed charges		150	100			Percent of total billed charges		150	33.3			Percent of total billed charges		49.95	33.3			Percent of total billed charges		49.95	100			Percent of total billed charges		150	49.95	135	
traxi retractor	270	RC	Outpatient			150	97.5		90			Percent of total billed charges		135	40			Percent of total billed charges		60	80			Percent of total billed charges		120	90			Percent of total billed charges		135	85			Percent of total billed charges		127.5	85			Percent of total billed charges		127.5	85			Percent of total billed charges		127.5	100			Percent of total billed charges		150	100			Percent of total billed charges		150	100			Percent of total billed charges		150	33.3			Percent of total billed charges		49.95	33.3			Percent of total billed charges		49.95	100			Percent of total billed charges		150	49.95	135	
3.5mm compression plate 2-hole 25mm 00-4935-002-00 zimmer	278	RC	Outpatient			151	98.15		90			Percent of total billed charges		135.9	40			Percent of total billed charges		60.4	80			Percent of total billed charges		120.8	90			Percent of total billed charges		135.9	85			Percent of total billed charges		128.35	85			Percent of total billed charges		128.35	85			Percent of total billed charges		128.35	100			Percent of total billed charges		151	100			Percent of total billed charges		151	100			Percent of total billed charges		151	33.3			Percent of total billed charges		50.283	33.3			Percent of total billed charges		50.283	100			Percent of total billed charges		151	50.283	135.9	
3.5mm compression plate 3-hole 37mm 00-4935-003-00 zimmer	278	RC	Outpatient			151	98.15		90			Percent of total billed charges		135.9	40			Percent of total billed charges		60.4	80			Percent of total billed charges		120.8	90			Percent of total billed charges		135.9	85			Percent of total billed charges		128.35	85			Percent of total billed charges		128.35	85			Percent of total billed charges		128.35	100			Percent of total billed charges		151	100			Percent of total billed charges		151	100			Percent of total billed charges		151	33.3			Percent of total billed charges		50.283	33.3			Percent of total billed charges		50.283	100			Percent of total billed charges		151	50.283	135.9	
3.5mm compression plate 4-hole 49mm 00-4935-004-00 zimmer	278	RC	Outpatient			151	98.15		90			Percent of total billed charges		135.9	40			Percent of total billed charges		60.4	80			Percent of total billed charges		120.8	90			Percent of total billed charges		135.9	85			Percent of total billed charges		128.35	85			Percent of total billed charges		128.35	85			Percent of total billed charges		128.35	100			Percent of total billed charges		151	100			Percent of total billed charges		151	100			Percent of total billed charges		151	33.3			Percent of total billed charges		50.283	33.3			Percent of total billed charges		50.283	100			Percent of total billed charges		151	50.283	135.9	
3800021 burns ed charge	450	RC	Outpatient			151	98.15		90			Percent of total billed charges		135.9	40			Percent of total billed charges		60.4	80			Percent of total billed charges		120.8	90			Percent of total billed charges		135.9	85			Percent of total billed charges		128.35	85			Percent of total billed charges		128.35	85			Percent of total billed charges		128.35	100			Percent of total billed charges		151	100			Percent of total billed charges		151	100			Percent of total billed charges		151	33.3			Percent of total billed charges		50.283	33.3			Percent of total billed charges		50.283	100			Percent of total billed charges		151	50.283	135.9	
cath filiform woven	270	RC	Outpatient			151	98.15		90			Percent of total billed charges		135.9	40			Percent of total billed charges		60.4	80			Percent of total billed charges		120.8	90			Percent of total billed charges		135.9	85			Percent of total billed charges		128.35	85			Percent of total billed charges		128.35	85			Percent of total billed charges		128.35	100			Percent of total billed charges		151	100			Percent of total billed charges		151	100			Percent of total billed charges		151	33.3			Percent of total billed charges		50.283	33.3			Percent of total billed charges		50.283	100			Percent of total billed charges		151	50.283	135.9	
filiform wvn spr tip 4fr 12.5 0221	270	RC	Outpatient			151	98.15		90			Percent of total billed charges		135.9	40			Percent of total billed charges		60.4	80			Percent of total billed charges		120.8	90			Percent of total billed charges		135.9	85			Percent of total billed charges		128.35	85			Percent of total billed charges		128.35	85			Percent of total billed charges		128.35	100			Percent of total billed charges		151	100			Percent of total billed charges		151	100			Percent of total billed charges		151	33.3			Percent of total billed charges		50.283	33.3			Percent of total billed charges		50.283	100			Percent of total billed charges		151	50.283	135.9	
filiform wvn straight tip 5fr 02185	270	RC	Outpatient			151	98.15		90			Percent of total billed charges		135.9	40			Percent of total billed charges		60.4	80			Percent of total billed charges		120.8	90			Percent of total billed charges		135.9	85			Percent of total billed charges		128.35	85			Percent of total billed charges		128.35	85			Percent of total billed charges		128.35	100			Percent of total billed charges		151	100			Percent of total billed charges		151	100			Percent of total billed charges		151	33.3			Percent of total billed charges		50.283	33.3			Percent of total billed charges		50.283	100			Percent of total billed charges		151	50.283	135.9	
filform wvn straight tip 4 fr 0218	270	RC	Outpatient			151	98.15		90			Percent of total billed charges		135.9	40			Percent of total billed charges		60.4	80			Percent of total billed charges		120.8	90			Percent of total billed charges		135.9	85			Percent of total billed charges		128.35	85			Percent of total billed charges		128.35	85			Percent of total billed charges		128.35	100			Percent of total billed charges		151	100			Percent of total billed charges		151	100			Percent of total billed charges		151	33.3			Percent of total billed charges		50.283	33.3			Percent of total billed charges		50.283	100			Percent of total billed charges		151	50.283	135.9	
filiform cath woven straight 4 x 18 bard 021804	270	RC	Outpatient			151	98.15		90			Percent of total billed charges		135.9	40			Percent of total billed charges		60.4	80			Percent of total billed charges		120.8	90			Percent of total billed charges		135.9	85			Percent of total billed charges		128.35	85			Percent of total billed charges		128.35	85			Percent of total billed charges		128.35	100			Percent of total billed charges		151	100			Percent of total billed charges		151	100			Percent of total billed charges		151	33.3			Percent of total billed charges		50.283	33.3			Percent of total billed charges		50.283	100			Percent of total billed charges		151	50.283	135.9	
filiform wvn spiral tip 5fr 0221	270	RC	Outpatient			151	98.15		90			Percent of total billed charges		135.9	40			Percent of total billed charges		60.4	80			Percent of total billed charges		120.8	90			Percent of total billed charges		135.9	85			Percent of total billed charges		128.35	85			Percent of total billed charges		128.35	85			Percent of total billed charges		128.35	100			Percent of total billed charges		151	100			Percent of total billed charges		151	100			Percent of total billed charges		151	33.3			Percent of total billed charges		50.283	33.3			Percent of total billed charges		50.283	100			Percent of total billed charges		151	50.283	135.9	
long arm plaster	270	RC	Outpatient			151	98.15		90			Percent of total billed charges		135.9	40			Percent of total billed charges		60.4	80			Percent of total billed charges		120.8	90			Percent of total billed charges		135.9	85			Percent of total billed charges		128.35	85			Percent of total billed charges		128.35	85			Percent of total billed charges		128.35	100			Percent of total billed charges		151	100			Percent of total billed charges		151	100			Percent of total billed charges		151	33.3			Percent of total billed charges		50.283	33.3			Percent of total billed charges		50.283	100			Percent of total billed charges		151	50.283	135.9	
plaster long arm	270	RC	Outpatient			151	98.15		90			Percent of total billed charges		135.9	40			Percent of total billed charges		60.4	80			Percent of total billed charges		120.8	90			Percent of total billed charges		135.9	85			Percent of total billed charges		128.35	85			Percent of total billed charges		128.35	85			Percent of total billed charges		128.35	100			Percent of total billed charges		151	100			Percent of total billed charges		151	100			Percent of total billed charges		151	33.3			Percent of total billed charges		50.283	33.3			Percent of total billed charges		50.283	100			Percent of total billed charges		151	50.283	135.9	
ultrathin lightmat ua2550 cura surgical	272	RC	Outpatient			151	98.15		90			Percent of total billed charges		135.9	40			Percent of total billed charges		60.4	80			Percent of total billed charges		120.8	90			Percent of total billed charges		135.9	85			Percent of total billed charges		128.35	85			Percent of total billed charges		128.35	85			Percent of total billed charges		128.35	100			Percent of total billed charges		151	100			Percent of total billed charges		151	100			Percent of total billed charges		151	33.3			Percent of total billed charges		50.283	33.3			Percent of total billed charges		50.283	100			Percent of total billed charges		151	50.283	135.9	
zimm 3.5 comp plt 2-4hl	278	RC	Outpatient			151	98.15		90			Percent of total billed charges		135.9	40			Percent of total billed charges		60.4	80			Percent of total billed charges		120.8	90			Percent of total billed charges		135.9	85			Percent of total billed charges		128.35	85			Percent of total billed charges		128.35	85			Percent of total billed charges		128.35	100			Percent of total billed charges		151	100			Percent of total billed charges		151	100			Percent of total billed charges		151	33.3			Percent of total billed charges		50.283	33.3			Percent of total billed charges		50.283	100			Percent of total billed charges		151	50.283	135.9	
colpo-pneumo occluder	272	RC	Outpatient			152	98.8		90			Percent of total billed charges		136.8	40			Percent of total billed charges		60.8	80			Percent of total billed charges		121.6	90			Percent of total billed charges		136.8	85			Percent of total billed charges		129.2	85			Percent of total billed charges		129.2	85			Percent of total billed charges		129.2	100			Percent of total billed charges		152	100			Percent of total billed charges		152	100			Percent of total billed charges		152	33.3			Percent of total billed charges		50.616	33.3			Percent of total billed charges		50.616	100			Percent of total billed charges		152	50.616	136.8	
colpo-pneumo occluder cpo-6 cooper surgical	272	RC	Outpatient			152	98.8		90			Percent of total billed charges		136.8	40			Percent of total billed charges		60.8	80			Percent of total billed charges		121.6	90			Percent of total billed charges		136.8	85			Percent of total billed charges		129.2	85			Percent of total billed charges		129.2	85			Percent of total billed charges		129.2	100			Percent of total billed charges		152	100			Percent of total billed charges		152	100			Percent of total billed charges		152	33.3			Percent of total billed charges		50.616	33.3			Percent of total billed charges		50.616	100			Percent of total billed charges		152	50.616	136.8	
hoffman foot support	270	RC	Outpatient			152	98.8		90			Percent of total billed charges		136.8	40			Percent of total billed charges		60.8	80			Percent of total billed charges		121.6	90			Percent of total billed charges		136.8	85			Percent of total billed charges		129.2	85			Percent of total billed charges		129.2	85			Percent of total billed charges		129.2	100			Percent of total billed charges		152	100			Percent of total billed charges		152	100			Percent of total billed charges		152	33.3			Percent of total billed charges		50.616	33.3			Percent of total billed charges		50.616	100			Percent of total billed charges		152	50.616	136.8	
state ddu with bd	460	RC	Outpatient			152	98.8		90			Percent of total billed charges		136.8	40			Percent of total billed charges		60.8	80			Percent of total billed charges		121.6	90			Percent of total billed charges		136.8	85			Percent of total billed charges		129.2	85			Percent of total billed charges		129.2	85			Percent of total billed charges		129.2	100			Percent of total billed charges		152	100			Percent of total billed charges		152	100			Percent of total billed charges		152	33.3			Percent of total billed charges		50.616	33.3			Percent of total billed charges		50.616	100			Percent of total billed charges		152	50.616	136.8	
support foot hoffmans 8265-2-000	270	RC	Outpatient			152	98.8		90			Percent of total billed charges		136.8	40			Percent of total billed charges		60.8	80			Percent of total billed charges		121.6	90			Percent of total billed charges		136.8	85			Percent of total billed charges		129.2	85			Percent of total billed charges		129.2	85			Percent of total billed charges		129.2	100			Percent of total billed charges		152	100			Percent of total billed charges		152	100			Percent of total billed charges		152	33.3			Percent of total billed charges		50.616	33.3			Percent of total billed charges		50.616	100			Percent of total billed charges		152	50.616	136.8	
vac canister lg m6275093	272	RC	Outpatient			152	98.8		90			Percent of total billed charges		136.8	40			Percent of total billed charges		60.8	80			Percent of total billed charges		121.6	90			Percent of total billed charges		136.8	85			Percent of total billed charges		129.2	85			Percent of total billed charges		129.2	85			Percent of total billed charges		129.2	100			Percent of total billed charges		152	100			Percent of total billed charges		152	100			Percent of total billed charges		152	33.3			Percent of total billed charges		50.616	33.3			Percent of total billed charges		50.616	100			Percent of total billed charges		152	50.616	136.8	
s/n drill tip guide wire 2.4 mm ref 014396	278	RC	Outpatient			152.29	98.99		90			Percent of total billed charges		137.061	40			Percent of total billed charges		60.916	80			Percent of total billed charges		121.832	90			Percent of total billed charges		137.061	85			Percent of total billed charges		129.4465	85			Percent of total billed charges		129.4465	85			Percent of total billed charges		129.4465	100			Percent of total billed charges		152.29	100			Percent of total billed charges		152.29	100			Percent of total billed charges		152.29	33.3			Percent of total billed charges		50.7126	33.3			Percent of total billed charges		50.7126	100			Percent of total billed charges		152.29	50.7126	137.061	
blade hip sagittal 6125-137-090 stryker	270	RC	Outpatient			153	99.45		90			Percent of total billed charges		137.7	40			Percent of total billed charges		61.2	80			Percent of total billed charges		122.4	90			Percent of total billed charges		137.7	85			Percent of total billed charges		130.05	85			Percent of total billed charges		130.05	85			Percent of total billed charges		130.05	100			Percent of total billed charges		153	100			Percent of total billed charges		153	100			Percent of total billed charges		153	33.3			Percent of total billed charges		50.949	33.3			Percent of total billed charges		50.949	100			Percent of total billed charges		153	50.949	137.7	
blade knee small sagittal 6113-089-090 stryker	270	RC	Outpatient			153	99.45		90			Percent of total billed charges		137.7	40			Percent of total billed charges		61.2	80			Percent of total billed charges		122.4	90			Percent of total billed charges		137.7	85			Percent of total billed charges		130.05	85			Percent of total billed charges		130.05	85			Percent of total billed charges		130.05	100			Percent of total billed charges		153	100			Percent of total billed charges		153	100			Percent of total billed charges		153	33.3			Percent of total billed charges		50.949	33.3			Percent of total billed charges		50.949	100			Percent of total billed charges		153	50.949	137.7	
blade saw reciprocating double sided 277-096-276 stryker	270	RC	Outpatient			153	99.45		90			Percent of total billed charges		137.7	40			Percent of total billed charges		61.2	80			Percent of total billed charges		122.4	90			Percent of total billed charges		137.7	85			Percent of total billed charges		130.05	85			Percent of total billed charges		130.05	85			Percent of total billed charges		130.05	100			Percent of total billed charges		153	100			Percent of total billed charges		153	100			Percent of total billed charges		153	33.3			Percent of total billed charges		50.949	33.3			Percent of total billed charges		50.949	100			Percent of total billed charges		153	50.949	137.7	
blade knee lg sagittal 6125-127-090 stryker	270	RC	Outpatient			153	99.45		90			Percent of total billed charges		137.7	40			Percent of total billed charges		61.2	80			Percent of total billed charges		122.4	90			Percent of total billed charges		137.7	85			Percent of total billed charges		130.05	85			Percent of total billed charges		130.05	85			Percent of total billed charges		130.05	100			Percent of total billed charges		153	100			Percent of total billed charges		153	100			Percent of total billed charges		153	33.3			Percent of total billed charges		50.949	33.3			Percent of total billed charges		50.949	100			Percent of total billed charges		153	50.949	137.7	
blade sagittal 2118-089-090 stryker	270	RC	Outpatient			153	99.45		90			Percent of total billed charges		137.7	40			Percent of total billed charges		61.2	80			Percent of total billed charges		122.4	90			Percent of total billed charges		137.7	85			Percent of total billed charges		130.05	85			Percent of total billed charges		130.05	85			Percent of total billed charges		130.05	100			Percent of total billed charges		153	100			Percent of total billed charges		153	100			Percent of total billed charges		153	33.3			Percent of total billed charges		50.949	33.3			Percent of total billed charges		50.949	100			Percent of total billed charges		153	50.949	137.7	
long wide blade 2296-3-104 stryker	270	RC	Outpatient			153	99.45		90			Percent of total billed charges		137.7	40			Percent of total billed charges		61.2	80			Percent of total billed charges		122.4	90			Percent of total billed charges		137.7	85			Percent of total billed charges		130.05	85			Percent of total billed charges		130.05	85			Percent of total billed charges		130.05	100			Percent of total billed charges		153	100			Percent of total billed charges		153	100			Percent of total billed charges		153	33.3			Percent of total billed charges		50.949	33.3			Percent of total billed charges		50.949	100			Percent of total billed charges		153	50.949	137.7	
sagittal sawblade 4125-127-90 stryker	270	RC	Outpatient			153	99.45		90			Percent of total billed charges		137.7	40			Percent of total billed charges		61.2	80			Percent of total billed charges		122.4	90			Percent of total billed charges		137.7	85			Percent of total billed charges		130.05	85			Percent of total billed charges		130.05	85			Percent of total billed charges		130.05	100			Percent of total billed charges		153	100			Percent of total billed charges		153	100			Percent of total billed charges		153	33.3			Percent of total billed charges		50.949	33.3			Percent of total billed charges		50.949	100			Percent of total billed charges		153	50.949	137.7	
sawblade sagittal 4118-127-100 stryker	270	RC	Outpatient			153	99.45		90			Percent of total billed charges		137.7	40			Percent of total billed charges		61.2	80			Percent of total billed charges		122.4	90			Percent of total billed charges		137.7	85			Percent of total billed charges		130.05	85			Percent of total billed charges		130.05	85			Percent of total billed charges		130.05	100			Percent of total billed charges		153	100			Percent of total billed charges		153	100			Percent of total billed charges		153	33.3			Percent of total billed charges		50.949	33.3			Percent of total billed charges		50.949	100			Percent of total billed charges		153	50.949	137.7	
stryker saw blade 296-33-225	270	RC	Outpatient			153	99.45		90			Percent of total billed charges		137.7	40			Percent of total billed charges		61.2	80			Percent of total billed charges		122.4	90			Percent of total billed charges		137.7	85			Percent of total billed charges		130.05	85			Percent of total billed charges		130.05	85			Percent of total billed charges		130.05	100			Percent of total billed charges		153	100			Percent of total billed charges		153	100			Percent of total billed charges		153	33.3			Percent of total billed charges		50.949	33.3			Percent of total billed charges		50.949	100			Percent of total billed charges		153	50.949	137.7	
stryker sawblade	270	RC	Outpatient			153	99.45		90			Percent of total billed charges		137.7	40			Percent of total billed charges		61.2	80			Percent of total billed charges		122.4	90			Percent of total billed charges		137.7	85			Percent of total billed charges		130.05	85			Percent of total billed charges		130.05	85			Percent of total billed charges		130.05	100			Percent of total billed charges		153	100			Percent of total billed charges		153	100			Percent of total billed charges		153	33.3			Percent of total billed charges		50.949	33.3			Percent of total billed charges		50.949	100			Percent of total billed charges		153	50.949	137.7	
saw blade 11-2520 stryker	270	RC	Outpatient			153	99.45		90			Percent of total billed charges		137.7	40			Percent of total billed charges		61.2	80			Percent of total billed charges		122.4	90			Percent of total billed charges		137.7	85			Percent of total billed charges		130.05	85			Percent of total billed charges		130.05	85			Percent of total billed charges		130.05	100			Percent of total billed charges		153	100			Percent of total billed charges		153	100			Percent of total billed charges		153	33.3			Percent of total billed charges		50.949	33.3			Percent of total billed charges		50.949	100			Percent of total billed charges		153	50.949	137.7	
jet-x 6mm ball jnt lk blt	278	RC	Outpatient			154	100.1		90			Percent of total billed charges		138.6	40			Percent of total billed charges		61.6	80			Percent of total billed charges		123.2	90			Percent of total billed charges		138.6	85			Percent of total billed charges		130.9	85			Percent of total billed charges		130.9	85			Percent of total billed charges		130.9	100			Percent of total billed charges		154	100			Percent of total billed charges		154	100			Percent of total billed charges		154	33.3			Percent of total billed charges		51.282	33.3			Percent of total billed charges		51.282	100			Percent of total billed charges		154	51.282	138.6	
jet-x 8mm cent bdy bolt	278	RC	Outpatient			154	100.1		90			Percent of total billed charges		138.6	40			Percent of total billed charges		61.6	80			Percent of total billed charges		123.2	90			Percent of total billed charges		138.6	85			Percent of total billed charges		130.9	85			Percent of total billed charges		130.9	85			Percent of total billed charges		130.9	100			Percent of total billed charges		154	100			Percent of total billed charges		154	100			Percent of total billed charges		154	33.3			Percent of total billed charges		51.282	33.3			Percent of total billed charges		51.282	100			Percent of total billed charges		154	51.282	138.6	
long leg plaster	270	RC	Outpatient			154	100.1		90			Percent of total billed charges		138.6	40			Percent of total billed charges		61.6	80			Percent of total billed charges		123.2	90			Percent of total billed charges		138.6	85			Percent of total billed charges		130.9	85			Percent of total billed charges		130.9	85			Percent of total billed charges		130.9	100			Percent of total billed charges		154	100			Percent of total billed charges		154	100			Percent of total billed charges		154	33.3			Percent of total billed charges		51.282	33.3			Percent of total billed charges		51.282	100			Percent of total billed charges		154	51.282	138.6	
s/n jet-x  8mm central bdy bolt 7105-3030	278	RC	Outpatient			154	100.1		90			Percent of total billed charges		138.6	40			Percent of total billed charges		61.6	80			Percent of total billed charges		123.2	90			Percent of total billed charges		138.6	85			Percent of total billed charges		130.9	85			Percent of total billed charges		130.9	85			Percent of total billed charges		130.9	100			Percent of total billed charges		154	100			Percent of total billed charges		154	100			Percent of total billed charges		154	33.3			Percent of total billed charges		51.282	33.3			Percent of total billed charges		51.282	100			Percent of total billed charges		154	51.282	138.6	
s/n jet-x 8mm  locking bolt 7105-3038	278	RC	Outpatient			154	100.1		90			Percent of total billed charges		138.6	40			Percent of total billed charges		61.6	80			Percent of total billed charges		123.2	90			Percent of total billed charges		138.6	85			Percent of total billed charges		130.9	85			Percent of total billed charges		130.9	85			Percent of total billed charges		130.9	100			Percent of total billed charges		154	100			Percent of total billed charges		154	100			Percent of total billed charges		154	33.3			Percent of total billed charges		51.282	33.3			Percent of total billed charges		51.282	100			Percent of total billed charges		154	51.282	138.6	
wksteps hillcorp ns ffd	420	RC	Outpatient			154	100.1		90			Percent of total billed charges		138.6	40			Percent of total billed charges		61.6	80			Percent of total billed charges		123.2	90			Percent of total billed charges		138.6	85			Percent of total billed charges		130.9	85			Percent of total billed charges		130.9	85			Percent of total billed charges		130.9	100			Percent of total billed charges		154	100			Percent of total billed charges		154	100			Percent of total billed charges		154	33.3			Percent of total billed charges		51.282	33.3			Percent of total billed charges		51.282	100			Percent of total billed charges		154	51.282	138.6	
wksteps hillcorp ns pps	420	RC	Outpatient			154	100.1		90			Percent of total billed charges		138.6	40			Percent of total billed charges		61.6	80			Percent of total billed charges		123.2	90			Percent of total billed charges		138.6	85			Percent of total billed charges		130.9	85			Percent of total billed charges		130.9	85			Percent of total billed charges		130.9	100			Percent of total billed charges		154	100			Percent of total billed charges		154	100			Percent of total billed charges		154	33.3			Percent of total billed charges		51.282	33.3			Percent of total billed charges		51.282	100			Percent of total billed charges		154	51.282	138.6	
arthrex pump tubing for ar-6410	272	RC	Outpatient			155	100.75		90			Percent of total billed charges		139.5	40			Percent of total billed charges		62	80			Percent of total billed charges		124	90			Percent of total billed charges		139.5	85			Percent of total billed charges		131.75	85			Percent of total billed charges		131.75	85			Percent of total billed charges		131.75	100			Percent of total billed charges		155	100			Percent of total billed charges		155	100			Percent of total billed charges		155	33.3			Percent of total billed charges		51.615	33.3			Percent of total billed charges		51.615	100			Percent of total billed charges		155	51.615	139.5	
biomet sawblade sternal	272	RC	Outpatient			155	100.75		90			Percent of total billed charges		139.5	40			Percent of total billed charges		62	80			Percent of total billed charges		124	90			Percent of total billed charges		139.5	85			Percent of total billed charges		131.75	85			Percent of total billed charges		131.75	85			Percent of total billed charges		131.75	100			Percent of total billed charges		155	100			Percent of total billed charges		155	100			Percent of total billed charges		155	33.3			Percent of total billed charges		51.615	33.3			Percent of total billed charges		51.615	100			Percent of total billed charges		155	51.615	139.5	
arthrex artho tubing	272	RC	Outpatient			155	100.75		90			Percent of total billed charges		139.5	40			Percent of total billed charges		62	80			Percent of total billed charges		124	90			Percent of total billed charges		139.5	85			Percent of total billed charges		131.75	85			Percent of total billed charges		131.75	85			Percent of total billed charges		131.75	100			Percent of total billed charges		155	100			Percent of total billed charges		155	100			Percent of total billed charges		155	33.3			Percent of total billed charges		51.615	33.3			Percent of total billed charges		51.615	100			Percent of total billed charges		155	51.615	139.5	
asp needle transbronchial	272	RC	Outpatient			155	100.75		90			Percent of total billed charges		139.5	40			Percent of total billed charges		62	80			Percent of total billed charges		124	90			Percent of total billed charges		139.5	85			Percent of total billed charges		131.75	85			Percent of total billed charges		131.75	85			Percent of total billed charges		131.75	100			Percent of total billed charges		155	100			Percent of total billed charges		155	100			Percent of total billed charges		155	33.3			Percent of total billed charges		51.615	33.3			Percent of total billed charges		51.615	100			Percent of total billed charges		155	51.615	139.5	
cosmetic - laser hair removal - bikini line single session	983	RC	Outpatient			155	100.75		90			Percent of total billed charges		139.5	40			Percent of total billed charges		62	80			Percent of total billed charges		124	90			Percent of total billed charges		139.5	85			Percent of total billed charges		131.75	85			Percent of total billed charges		131.75	85			Percent of total billed charges		131.75	100			Percent of total billed charges		155	100			Percent of total billed charges		155	100			Percent of total billed charges		155	33.3			Percent of total billed charges		51.615	33.3			Percent of total billed charges		51.615	100			Percent of total billed charges		155	51.615	139.5	
howell asperation needle	270	RC	Outpatient			155	100.75		90			Percent of total billed charges		139.5	40			Percent of total billed charges		62	80			Percent of total billed charges		124	90			Percent of total billed charges		139.5	85			Percent of total billed charges		131.75	85			Percent of total billed charges		131.75	85			Percent of total billed charges		131.75	100			Percent of total billed charges		155	100			Percent of total billed charges		155	100			Percent of total billed charges		155	33.3			Percent of total billed charges		51.615	33.3			Percent of total billed charges		51.615	100			Percent of total billed charges		155	51.615	139.5	
sternal sawblade biomet	272	RC	Outpatient			155	100.75		90			Percent of total billed charges		139.5	40			Percent of total billed charges		62	80			Percent of total billed charges		124	90			Percent of total billed charges		139.5	85			Percent of total billed charges		131.75	85			Percent of total billed charges		131.75	85			Percent of total billed charges		131.75	100			Percent of total billed charges		155	100			Percent of total billed charges		155	100			Percent of total billed charges		155	33.3			Percent of total billed charges		51.615	33.3			Percent of total billed charges		51.615	100			Percent of total billed charges		155	51.615	139.5	
6f glidesheath	272	RC	Outpatient			156	101.4		90			Percent of total billed charges		140.4	40			Percent of total billed charges		62.4	80			Percent of total billed charges		124.8	90			Percent of total billed charges		140.4	85			Percent of total billed charges		132.6	85			Percent of total billed charges		132.6	85			Percent of total billed charges		132.6	100			Percent of total billed charges		156	100			Percent of total billed charges		156	100			Percent of total billed charges		156	33.3			Percent of total billed charges		51.948	33.3			Percent of total billed charges		51.948	100			Percent of total billed charges		156	51.948	140.4	
central line insertion	270	RC	Outpatient			156	101.4		90			Percent of total billed charges		140.4	40			Percent of total billed charges		62.4	80			Percent of total billed charges		124.8	90			Percent of total billed charges		140.4	85			Percent of total billed charges		132.6	85			Percent of total billed charges		132.6	85			Percent of total billed charges		132.6	100			Percent of total billed charges		156	100			Percent of total billed charges		156	100			Percent of total billed charges		156	33.3			Percent of total billed charges		51.948	33.3			Percent of total billed charges		51.948	100			Percent of total billed charges		156	51.948	140.4	
endo pouch	272	RC	Outpatient			156	101.4		90			Percent of total billed charges		140.4	40			Percent of total billed charges		62.4	80			Percent of total billed charges		124.8	90			Percent of total billed charges		140.4	85			Percent of total billed charges		132.6	85			Percent of total billed charges		132.6	85			Percent of total billed charges		132.6	100			Percent of total billed charges		156	100			Percent of total billed charges		156	100			Percent of total billed charges		156	33.3			Percent of total billed charges		51.948	33.3			Percent of total billed charges		51.948	100			Percent of total billed charges		156	51.948	140.4	
endo retrieval pouch tm 2001 tech med	272	RC	Outpatient			156	101.4		90			Percent of total billed charges		140.4	40			Percent of total billed charges		62.4	80			Percent of total billed charges		124.8	90			Percent of total billed charges		140.4	85			Percent of total billed charges		132.6	85			Percent of total billed charges		132.6	85			Percent of total billed charges		132.6	100			Percent of total billed charges		156	100			Percent of total billed charges		156	100			Percent of total billed charges		156	33.3			Percent of total billed charges		51.948	33.3			Percent of total billed charges		51.948	100			Percent of total billed charges		156	51.948	140.4	
endopouch retrievor 10mm pouch ethicon	272	RC	Outpatient			156	101.4		90			Percent of total billed charges		140.4	40			Percent of total billed charges		62.4	80			Percent of total billed charges		124.8	90			Percent of total billed charges		140.4	85			Percent of total billed charges		132.6	85			Percent of total billed charges		132.6	85			Percent of total billed charges		132.6	100			Percent of total billed charges		156	100			Percent of total billed charges		156	100			Percent of total billed charges		156	33.3			Percent of total billed charges		51.948	33.3			Percent of total billed charges		51.948	100			Percent of total billed charges		156	51.948	140.4	
gloves lead	270	RC	Outpatient			156	101.4		90			Percent of total billed charges		140.4	40			Percent of total billed charges		62.4	80			Percent of total billed charges		124.8	90			Percent of total billed charges		140.4	85			Percent of total billed charges		132.6	85			Percent of total billed charges		132.6	85			Percent of total billed charges		132.6	100			Percent of total billed charges		156	100			Percent of total billed charges		156	100			Percent of total billed charges		156	33.3			Percent of total billed charges		51.948	33.3			Percent of total billed charges		51.948	100			Percent of total billed charges		156	51.948	140.4	
endo retrieval pouch tm 2000 tech med	272	RC	Outpatient			156	101.4		90			Percent of total billed charges		140.4	40			Percent of total billed charges		62.4	80			Percent of total billed charges		124.8	90			Percent of total billed charges		140.4	85			Percent of total billed charges		132.6	85			Percent of total billed charges		132.6	85			Percent of total billed charges		132.6	100			Percent of total billed charges		156	100			Percent of total billed charges		156	100			Percent of total billed charges		156	33.3			Percent of total billed charges		51.948	33.3			Percent of total billed charges		51.948	100			Percent of total billed charges		156	51.948	140.4	
exofin fusion 22cm skin closure system s2s 3472	272	RC	Outpatient			156	101.4		90			Percent of total billed charges		140.4	40			Percent of total billed charges		62.4	80			Percent of total billed charges		124.8	90			Percent of total billed charges		140.4	85			Percent of total billed charges		132.6	85			Percent of total billed charges		132.6	85			Percent of total billed charges		132.6	100			Percent of total billed charges		156	100			Percent of total billed charges		156	100			Percent of total billed charges		156	33.3			Percent of total billed charges		51.948	33.3			Percent of total billed charges		51.948	100			Percent of total billed charges		156	51.948	140.4	
polarus plate tack	272	RC	Outpatient			156	101.4		90			Percent of total billed charges		140.4	40			Percent of total billed charges		62.4	80			Percent of total billed charges		124.8	90			Percent of total billed charges		140.4	85			Percent of total billed charges		132.6	85			Percent of total billed charges		132.6	85			Percent of total billed charges		132.6	100			Percent of total billed charges		156	100			Percent of total billed charges		156	100			Percent of total billed charges		156	33.3			Percent of total billed charges		51.948	33.3			Percent of total billed charges		51.948	100			Percent of total billed charges		156	51.948	140.4	
richards hum. nail guide	270	RC	Outpatient			156	101.4		90			Percent of total billed charges		140.4	40			Percent of total billed charges		62.4	80			Percent of total billed charges		124.8	90			Percent of total billed charges		140.4	85			Percent of total billed charges		132.6	85			Percent of total billed charges		132.6	85			Percent of total billed charges		132.6	100			Percent of total billed charges		156	100			Percent of total billed charges		156	100			Percent of total billed charges		156	33.3			Percent of total billed charges		51.948	33.3			Percent of total billed charges		51.948	100			Percent of total billed charges		156	51.948	140.4	
plate tack pl-ptack acumed	272	RC	Outpatient			156	101.4		90			Percent of total billed charges		140.4	40			Percent of total billed charges		62.4	80			Percent of total billed charges		124.8	90			Percent of total billed charges		140.4	85			Percent of total billed charges		132.6	85			Percent of total billed charges		132.6	85			Percent of total billed charges		132.6	100			Percent of total billed charges		156	100			Percent of total billed charges		156	100			Percent of total billed charges		156	33.3			Percent of total billed charges		51.948	33.3			Percent of total billed charges		51.948	100			Percent of total billed charges		156	51.948	140.4	
ivas elite balloon kit 11g x 10 mm stryker ref 0306-330-000	272	RC	Outpatient			156.68	101.84		90			Percent of total billed charges		141.012	40			Percent of total billed charges		62.672	80			Percent of total billed charges		125.344	90			Percent of total billed charges		141.012	85			Percent of total billed charges		133.178	85			Percent of total billed charges		133.178	85			Percent of total billed charges		133.178	100			Percent of total billed charges		156.68	100			Percent of total billed charges		156.68	100			Percent of total billed charges		156.68	33.3			Percent of total billed charges		52.1744	33.3			Percent of total billed charges		52.1744	100			Percent of total billed charges		156.68	52.1744	141.012	
stryker ivas 11 g  access cannula ref 0306-330-000	272	RC	Outpatient			156.7	101.86		90			Percent of total billed charges		141.03	40			Percent of total billed charges		62.68	80			Percent of total billed charges		125.36	90			Percent of total billed charges		141.03	85			Percent of total billed charges		133.195	85			Percent of total billed charges		133.195	85			Percent of total billed charges		133.195	100			Percent of total billed charges		156.7	100			Percent of total billed charges		156.7	100			Percent of total billed charges		156.7	33.3			Percent of total billed charges		52.1811	33.3			Percent of total billed charges		52.1811	100			Percent of total billed charges		156.7	52.1811	141.03	
arthrex fiberstick  #2 fiberwire ar-7209	272	RC	Outpatient			157	102.05		90			Percent of total billed charges		141.3	40			Percent of total billed charges		62.8	80			Percent of total billed charges		125.6	90			Percent of total billed charges		141.3	85			Percent of total billed charges		133.45	85			Percent of total billed charges		133.45	85			Percent of total billed charges		133.45	100			Percent of total billed charges		157	100			Percent of total billed charges		157	100			Percent of total billed charges		157	33.3			Percent of total billed charges		52.281	33.3			Percent of total billed charges		52.281	100			Percent of total billed charges		157	52.281	141.3	
arthrex fiberstick	272	RC	Outpatient			157	102.05		90			Percent of total billed charges		141.3	40			Percent of total billed charges		62.8	80			Percent of total billed charges		125.6	90			Percent of total billed charges		141.3	85			Percent of total billed charges		133.45	85			Percent of total billed charges		133.45	85			Percent of total billed charges		133.45	100			Percent of total billed charges		157	100			Percent of total billed charges		157	100			Percent of total billed charges		157	33.3			Percent of total billed charges		52.281	33.3			Percent of total billed charges		52.281	100			Percent of total billed charges		157	52.281	141.3	
arthro blade incisor	270	RC	Outpatient			158	102.7		90			Percent of total billed charges		142.2	40			Percent of total billed charges		63.2	80			Percent of total billed charges		126.4	90			Percent of total billed charges		142.2	85			Percent of total billed charges		134.3	85			Percent of total billed charges		134.3	85			Percent of total billed charges		134.3	100			Percent of total billed charges		158	100			Percent of total billed charges		158	100			Percent of total billed charges		158	33.3			Percent of total billed charges		52.614	33.3			Percent of total billed charges		52.614	100			Percent of total billed charges		158	52.614	142.2	
arthrowand turbo vac 90 as13350-01	270	RC	Outpatient			158	102.7		90			Percent of total billed charges		142.2	40			Percent of total billed charges		63.2	80			Percent of total billed charges		126.4	90			Percent of total billed charges		142.2	85			Percent of total billed charges		134.3	85			Percent of total billed charges		134.3	85			Percent of total billed charges		134.3	100			Percent of total billed charges		158	100			Percent of total billed charges		158	100			Percent of total billed charges		158	33.3			Percent of total billed charges		52.614	33.3			Percent of total billed charges		52.614	100			Percent of total billed charges		158	52.614	142.2	
bone spike 1.75 71563415 s/n	272	RC	Outpatient			158	102.7		90			Percent of total billed charges		142.2	40			Percent of total billed charges		63.2	80			Percent of total billed charges		126.4	90			Percent of total billed charges		142.2	85			Percent of total billed charges		134.3	85			Percent of total billed charges		134.3	85			Percent of total billed charges		134.3	100			Percent of total billed charges		158	100			Percent of total billed charges		158	100			Percent of total billed charges		158	33.3			Percent of total billed charges		52.614	33.3			Percent of total billed charges		52.614	100			Percent of total billed charges		158	52.614	142.2	
bone spikes 110088 s/n	272	RC	Outpatient			158	102.7		90			Percent of total billed charges		142.2	40			Percent of total billed charges		63.2	80			Percent of total billed charges		126.4	90			Percent of total billed charges		142.2	85			Percent of total billed charges		134.3	85			Percent of total billed charges		134.3	85			Percent of total billed charges		134.3	100			Percent of total billed charges		158	100			Percent of total billed charges		158	100			Percent of total billed charges		158	33.3			Percent of total billed charges		52.614	33.3			Percent of total billed charges		52.614	100			Percent of total billed charges		158	52.614	142.2	
3.5mm t-plate 3hole head 3 hole shaft 50mm 00-4935-33-04 zimmer	278	RC	Outpatient			158	102.7		90			Percent of total billed charges		142.2	40			Percent of total billed charges		63.2	80			Percent of total billed charges		126.4	90			Percent of total billed charges		142.2	85			Percent of total billed charges		134.3	85			Percent of total billed charges		134.3	85			Percent of total billed charges		134.3	100			Percent of total billed charges		158	100			Percent of total billed charges		158	100			Percent of total billed charges		158	33.3			Percent of total billed charges		52.614	33.3			Percent of total billed charges		52.614	100			Percent of total billed charges		158	52.614	142.2	
3.5mm t-plate 3hole head 5 hole shaft 68mm 00-4935-35-04 zimmer	278	RC	Outpatient			158	102.7		90			Percent of total billed charges		142.2	40			Percent of total billed charges		63.2	80			Percent of total billed charges		126.4	90			Percent of total billed charges		142.2	85			Percent of total billed charges		134.3	85			Percent of total billed charges		134.3	85			Percent of total billed charges		134.3	100			Percent of total billed charges		158	100			Percent of total billed charges		158	100			Percent of total billed charges		158	33.3			Percent of total billed charges		52.614	33.3			Percent of total billed charges		52.614	100			Percent of total billed charges		158	52.614	142.2	
3.5mm t-plate 4hole head 4 hole shaft 56mm 00-4935-44-04 zimmer	278	RC	Outpatient			158	102.7		90			Percent of total billed charges		142.2	40			Percent of total billed charges		63.2	80			Percent of total billed charges		126.4	90			Percent of total billed charges		142.2	85			Percent of total billed charges		134.3	85			Percent of total billed charges		134.3	85			Percent of total billed charges		134.3	100			Percent of total billed charges		158	100			Percent of total billed charges		158	100			Percent of total billed charges		158	33.3			Percent of total billed charges		52.614	33.3			Percent of total billed charges		52.614	100			Percent of total billed charges		158	52.614	142.2	
arthrotek u drill	272	RC	Outpatient			158	102.7		90			Percent of total billed charges		142.2	40			Percent of total billed charges		63.2	80			Percent of total billed charges		126.4	90			Percent of total billed charges		142.2	85			Percent of total billed charges		134.3	85			Percent of total billed charges		134.3	85			Percent of total billed charges		134.3	100			Percent of total billed charges		158	100			Percent of total billed charges		158	100			Percent of total billed charges		158	33.3			Percent of total billed charges		52.614	33.3			Percent of total billed charges		52.614	100			Percent of total billed charges		158	52.614	142.2	
arthrowand 3.0mm 30% as2630-01	270	RC	Outpatient			158	102.7		90			Percent of total billed charges		142.2	40			Percent of total billed charges		63.2	80			Percent of total billed charges		126.4	90			Percent of total billed charges		142.2	85			Percent of total billed charges		134.3	85			Percent of total billed charges		134.3	85			Percent of total billed charges		134.3	100			Percent of total billed charges		158	100			Percent of total billed charges		158	100			Percent of total billed charges		158	33.3			Percent of total billed charges		52.614	33.3			Percent of total billed charges		52.614	100			Percent of total billed charges		158	52.614	142.2	
arthrowand 3.0mm 45 bevel a2430-01	270	RC	Outpatient			158	102.7		90			Percent of total billed charges		142.2	40			Percent of total billed charges		63.2	80			Percent of total billed charges		126.4	90			Percent of total billed charges		142.2	85			Percent of total billed charges		134.3	85			Percent of total billed charges		134.3	85			Percent of total billed charges		134.3	100			Percent of total billed charges		158	100			Percent of total billed charges		158	100			Percent of total billed charges		158	33.3			Percent of total billed charges		52.614	33.3			Percent of total billed charges		52.614	100			Percent of total billed charges		158	52.614	142.2	
athro blade full radius	270	RC	Outpatient			158	102.7		90			Percent of total billed charges		142.2	40			Percent of total billed charges		63.2	80			Percent of total billed charges		126.4	90			Percent of total billed charges		142.2	85			Percent of total billed charges		134.3	85			Percent of total billed charges		134.3	85			Percent of total billed charges		134.3	100			Percent of total billed charges		158	100			Percent of total billed charges		158	100			Percent of total billed charges		158	33.3			Percent of total billed charges		52.614	33.3			Percent of total billed charges		52.614	100			Percent of total billed charges		158	52.614	142.2	
capsure 3.0mm athrocare a1370-01	270	RC	Outpatient			158	102.7		90			Percent of total billed charges		142.2	40			Percent of total billed charges		63.2	80			Percent of total billed charges		126.4	90			Percent of total billed charges		142.2	85			Percent of total billed charges		134.3	85			Percent of total billed charges		134.3	85			Percent of total billed charges		134.3	100			Percent of total billed charges		158	100			Percent of total billed charges		158	100			Percent of total billed charges		158	33.3			Percent of total billed charges		52.614	33.3			Percent of total billed charges		52.614	100			Percent of total billed charges		158	52.614	142.2	
covac 50 arthrowand as2530-01 arthrocare	270	RC	Outpatient			158	102.7		90			Percent of total billed charges		142.2	40			Percent of total billed charges		63.2	80			Percent of total billed charges		126.4	90			Percent of total billed charges		142.2	85			Percent of total billed charges		134.3	85			Percent of total billed charges		134.3	85			Percent of total billed charges		134.3	100			Percent of total billed charges		158	100			Percent of total billed charges		158	100			Percent of total billed charges		158	33.3			Percent of total billed charges		52.614	33.3			Percent of total billed charges		52.614	100			Percent of total billed charges		158	52.614	142.2	
endo peg tube removal	279	RC	Outpatient			158	102.7		90			Percent of total billed charges		142.2	40			Percent of total billed charges		63.2	80			Percent of total billed charges		126.4	90			Percent of total billed charges		142.2	85			Percent of total billed charges		134.3	85			Percent of total billed charges		134.3	85			Percent of total billed charges		134.3	100			Percent of total billed charges		158	100			Percent of total billed charges		158	100			Percent of total billed charges		158	33.3			Percent of total billed charges		52.614	33.3			Percent of total billed charges		52.614	100			Percent of total billed charges		158	52.614	142.2	
lorenz tit bone scw ramus	278	RC	Outpatient			158	102.7		90			Percent of total billed charges		142.2	40			Percent of total billed charges		63.2	80			Percent of total billed charges		126.4	90			Percent of total billed charges		142.2	85			Percent of total billed charges		134.3	85			Percent of total billed charges		134.3	85			Percent of total billed charges		134.3	100			Percent of total billed charges		158	100			Percent of total billed charges		158	100			Percent of total billed charges		158	33.3			Percent of total billed charges		52.614	33.3			Percent of total billed charges		52.614	100			Percent of total billed charges		158	52.614	142.2	
mesh parietex 6x4	278	RC	Outpatient			158	102.7		90			Percent of total billed charges		142.2	40			Percent of total billed charges		63.2	80			Percent of total billed charges		126.4	90			Percent of total billed charges		142.2	85			Percent of total billed charges		134.3	85			Percent of total billed charges		134.3	85			Percent of total billed charges		134.3	100			Percent of total billed charges		158	100			Percent of total billed charges		158	100			Percent of total billed charges		158	33.3			Percent of total billed charges		52.614	33.3			Percent of total billed charges		52.614	100			Percent of total billed charges		158	52.614	142.2	
jo hall morris titanium bone screw ramus xl 01-0035 walter lorenze	278	RC	Outpatient			158	102.7		90			Percent of total billed charges		142.2	40			Percent of total billed charges		63.2	80			Percent of total billed charges		126.4	90			Percent of total billed charges		142.2	85			Percent of total billed charges		134.3	85			Percent of total billed charges		134.3	85			Percent of total billed charges		134.3	100			Percent of total billed charges		158	100			Percent of total billed charges		158	100			Percent of total billed charges		158	33.3			Percent of total billed charges		52.614	33.3			Percent of total billed charges		52.614	100			Percent of total billed charges		158	52.614	142.2	
parietex mesh tecr1510 flat rigid 6 x 4 (15 x 10cm) covidian ussc	278	RC	Outpatient			158	102.7		90			Percent of total billed charges		142.2	40			Percent of total billed charges		63.2	80			Percent of total billed charges		126.4	90			Percent of total billed charges		142.2	85			Percent of total billed charges		134.3	85			Percent of total billed charges		134.3	85			Percent of total billed charges		134.3	100			Percent of total billed charges		158	100			Percent of total billed charges		158	100			Percent of total billed charges		158	33.3			Percent of total billed charges		52.614	33.3			Percent of total billed charges		52.614	100			Percent of total billed charges		158	52.614	142.2	
peri-loc 2.7mm drill guide pf pin 14mm  71173582 s/n	272	RC	Outpatient			158	102.7		90			Percent of total billed charges		142.2	40			Percent of total billed charges		63.2	80			Percent of total billed charges		126.4	90			Percent of total billed charges		142.2	85			Percent of total billed charges		134.3	85			Percent of total billed charges		134.3	85			Percent of total billed charges		134.3	100			Percent of total billed charges		158	100			Percent of total billed charges		158	100			Percent of total billed charges		158	33.3			Percent of total billed charges		52.614	33.3			Percent of total billed charges		52.614	100			Percent of total billed charges		158	52.614	142.2	
profix bone spike 71512450 s/n	278	RC	Outpatient			158	102.7		90			Percent of total billed charges		142.2	40			Percent of total billed charges		63.2	80			Percent of total billed charges		126.4	90			Percent of total billed charges		142.2	85			Percent of total billed charges		134.3	85			Percent of total billed charges		134.3	85			Percent of total billed charges		134.3	100			Percent of total billed charges		158	100			Percent of total billed charges		158	100			Percent of total billed charges		158	33.3			Percent of total billed charges		52.614	33.3			Percent of total billed charges		52.614	100			Percent of total billed charges		158	52.614	142.2	
profix bone spike long 71513367 s/n	272	RC	Outpatient			158	102.7		90			Percent of total billed charges		142.2	40			Percent of total billed charges		63.2	80			Percent of total billed charges		126.4	90			Percent of total billed charges		142.2	85			Percent of total billed charges		134.3	85			Percent of total billed charges		134.3	85			Percent of total billed charges		134.3	100			Percent of total billed charges		158	100			Percent of total billed charges		158	100			Percent of total billed charges		158	33.3			Percent of total billed charges		52.614	33.3			Percent of total billed charges		52.614	100			Percent of total billed charges		158	52.614	142.2	
s/n profix spikes	278	RC	Outpatient			158	102.7		90			Percent of total billed charges		142.2	40			Percent of total billed charges		63.2	80			Percent of total billed charges		126.4	90			Percent of total billed charges		142.2	85			Percent of total billed charges		134.3	85			Percent of total billed charges		134.3	85			Percent of total billed charges		134.3	100			Percent of total billed charges		158	100			Percent of total billed charges		158	100			Percent of total billed charges		158	33.3			Percent of total billed charges		52.614	33.3			Percent of total billed charges		52.614	100			Percent of total billed charges		158	52.614	142.2	
profix bone spike--short 71512449 s/n	278	RC	Outpatient			158	102.7		90			Percent of total billed charges		142.2	40			Percent of total billed charges		63.2	80			Percent of total billed charges		126.4	90			Percent of total billed charges		142.2	85			Percent of total billed charges		134.3	85			Percent of total billed charges		134.3	85			Percent of total billed charges		134.3	100			Percent of total billed charges		158	100			Percent of total billed charges		158	100			Percent of total billed charges		158	33.3			Percent of total billed charges		52.614	33.3			Percent of total billed charges		52.614	100			Percent of total billed charges		158	52.614	142.2	
s/n pf pins	272	RC	Outpatient			158	102.7		90			Percent of total billed charges		142.2	40			Percent of total billed charges		63.2	80			Percent of total billed charges		126.4	90			Percent of total billed charges		142.2	85			Percent of total billed charges		134.3	85			Percent of total billed charges		134.3	85			Percent of total billed charges		134.3	100			Percent of total billed charges		158	100			Percent of total billed charges		158	100			Percent of total billed charges		158	33.3			Percent of total billed charges		52.614	33.3			Percent of total billed charges		52.614	100			Percent of total billed charges		158	52.614	142.2	
s/n pf pins 38mm x 13mm med  7113-1511	272	RC	Outpatient			158	102.7		90			Percent of total billed charges		142.2	40			Percent of total billed charges		63.2	80			Percent of total billed charges		126.4	90			Percent of total billed charges		142.2	85			Percent of total billed charges		134.3	85			Percent of total billed charges		134.3	85			Percent of total billed charges		134.3	100			Percent of total billed charges		158	100			Percent of total billed charges		158	100			Percent of total billed charges		158	33.3			Percent of total billed charges		52.614	33.3			Percent of total billed charges		52.614	100			Percent of total billed charges		158	52.614	142.2	
u guide drill 906870 arthrotek biomet sports med	272	RC	Outpatient			158	102.7		90			Percent of total billed charges		142.2	40			Percent of total billed charges		63.2	80			Percent of total billed charges		126.4	90			Percent of total billed charges		142.2	85			Percent of total billed charges		134.3	85			Percent of total billed charges		134.3	85			Percent of total billed charges		134.3	100			Percent of total billed charges		158	100			Percent of total billed charges		158	100			Percent of total billed charges		158	33.3			Percent of total billed charges		52.614	33.3			Percent of total billed charges		52.614	100			Percent of total billed charges		158	52.614	142.2	
wrap cold soft knee 2 inserts sk-2 active ice	270	RC	Outpatient			158	102.7		90			Percent of total billed charges		142.2	40			Percent of total billed charges		63.2	80			Percent of total billed charges		126.4	90			Percent of total billed charges		142.2	85			Percent of total billed charges		134.3	85			Percent of total billed charges		134.3	85			Percent of total billed charges		134.3	100			Percent of total billed charges		158	100			Percent of total billed charges		158	100			Percent of total billed charges		158	33.3			Percent of total billed charges		52.614	33.3			Percent of total billed charges		52.614	100			Percent of total billed charges		158	52.614	142.2	
zimm 3.5 plt-3-4hole	278	RC	Outpatient			158	102.7		90			Percent of total billed charges		142.2	40			Percent of total billed charges		63.2	80			Percent of total billed charges		126.4	90			Percent of total billed charges		142.2	85			Percent of total billed charges		134.3	85			Percent of total billed charges		134.3	85			Percent of total billed charges		134.3	100			Percent of total billed charges		158	100			Percent of total billed charges		158	100			Percent of total billed charges		158	33.3			Percent of total billed charges		52.614	33.3			Percent of total billed charges		52.614	100			Percent of total billed charges		158	52.614	142.2	
trocar tip wire 1.4mm x 100mm titanium 71161014 s/n	272	RC	Outpatient			158	102.7		90			Percent of total billed charges		142.2	40			Percent of total billed charges		63.2	80			Percent of total billed charges		126.4	90			Percent of total billed charges		142.2	85			Percent of total billed charges		134.3	85			Percent of total billed charges		134.3	85			Percent of total billed charges		134.3	100			Percent of total billed charges		158	100			Percent of total billed charges		158	100			Percent of total billed charges		158	33.3			Percent of total billed charges		52.614	33.3			Percent of total billed charges		52.614	100			Percent of total billed charges		158	52.614	142.2	
wrap cold soft knee 2	270	RC	Outpatient			158	102.7		90			Percent of total billed charges		142.2	40			Percent of total billed charges		63.2	80			Percent of total billed charges		126.4	90			Percent of total billed charges		142.2	85			Percent of total billed charges		134.3	85			Percent of total billed charges		134.3	85			Percent of total billed charges		134.3	100			Percent of total billed charges		158	100			Percent of total billed charges		158	100			Percent of total billed charges		158	33.3			Percent of total billed charges		52.614	33.3			Percent of total billed charges		52.614	100			Percent of total billed charges		158	52.614	142.2	
5.0 cable plug 370005 stryker	278	RC	Outpatient			159	103.35		90			Percent of total billed charges		143.1	40			Percent of total billed charges		63.6	80			Percent of total billed charges		127.2	90			Percent of total billed charges		143.1	85			Percent of total billed charges		135.15	85			Percent of total billed charges		135.15	85			Percent of total billed charges		135.15	100			Percent of total billed charges		159	100			Percent of total billed charges		159	100			Percent of total billed charges		159	33.3			Percent of total billed charges		52.947	33.3			Percent of total billed charges		52.947	100			Percent of total billed charges		159	52.947	143.1	
99144 moderate sedation charge	370	RC	Outpatient			159	103.35		90			Percent of total billed charges		143.1	40			Percent of total billed charges		63.6	80			Percent of total billed charges		127.2	90			Percent of total billed charges		143.1	85			Percent of total billed charges		135.15	85			Percent of total billed charges		135.15	85			Percent of total billed charges		135.15	100			Percent of total billed charges		159	100			Percent of total billed charges		159	100			Percent of total billed charges		159	33.3			Percent of total billed charges		52.947	33.3			Percent of total billed charges		52.947	100			Percent of total billed charges		159	52.947	143.1	
bodian lachrymal probes	270	RC	Outpatient			159	103.35		90			Percent of total billed charges		143.1	40			Percent of total billed charges		63.6	80			Percent of total billed charges		127.2	90			Percent of total billed charges		143.1	85			Percent of total billed charges		135.15	85			Percent of total billed charges		135.15	85			Percent of total billed charges		135.15	100			Percent of total billed charges		159	100			Percent of total billed charges		159	100			Percent of total billed charges		159	33.3			Percent of total billed charges		52.947	33.3			Percent of total billed charges		52.947	100			Percent of total billed charges		159	52.947	143.1	
broadian lacrimal probes	270	RC	Outpatient			159	103.35		90			Percent of total billed charges		143.1	40			Percent of total billed charges		63.6	80			Percent of total billed charges		127.2	90			Percent of total billed charges		143.1	85			Percent of total billed charges		135.15	85			Percent of total billed charges		135.15	85			Percent of total billed charges		135.15	100			Percent of total billed charges		159	100			Percent of total billed charges		159	100			Percent of total billed charges		159	33.3			Percent of total billed charges		52.947	33.3			Percent of total billed charges		52.947	100			Percent of total billed charges		159	52.947	143.1	
abduction hip splint	270	RC	Outpatient			159	103.35		90			Percent of total billed charges		143.1	40			Percent of total billed charges		63.6	80			Percent of total billed charges		127.2	90			Percent of total billed charges		143.1	85			Percent of total billed charges		135.15	85			Percent of total billed charges		135.15	85			Percent of total billed charges		135.15	100			Percent of total billed charges		159	100			Percent of total billed charges		159	100			Percent of total billed charges		159	33.3			Percent of total billed charges		52.947	33.3			Percent of total billed charges		52.947	100			Percent of total billed charges		159	52.947	143.1	
cath lab wrench kit	272	RC	Outpatient			159	103.35		90			Percent of total billed charges		143.1	40			Percent of total billed charges		63.6	80			Percent of total billed charges		127.2	90			Percent of total billed charges		143.1	85			Percent of total billed charges		135.15	85			Percent of total billed charges		135.15	85			Percent of total billed charges		135.15	100			Percent of total billed charges		159	100			Percent of total billed charges		159	100			Percent of total billed charges		159	33.3			Percent of total billed charges		52.947	33.3			Percent of total billed charges		52.947	100			Percent of total billed charges		159	52.947	143.1	
dall miles 5.0 cable plug	278	RC	Outpatient			159	103.35		90			Percent of total billed charges		143.1	40			Percent of total billed charges		63.6	80			Percent of total billed charges		127.2	90			Percent of total billed charges		143.1	85			Percent of total billed charges		135.15	85			Percent of total billed charges		135.15	85			Percent of total billed charges		135.15	100			Percent of total billed charges		159	100			Percent of total billed charges		159	100			Percent of total billed charges		159	33.3			Percent of total billed charges		52.947	33.3			Percent of total billed charges		52.947	100			Percent of total billed charges		159	52.947	143.1	
hot ice mach-sterile pad	270	RC	Outpatient			159	103.35		90			Percent of total billed charges		143.1	40			Percent of total billed charges		63.6	80			Percent of total billed charges		127.2	90			Percent of total billed charges		143.1	85			Percent of total billed charges		135.15	85			Percent of total billed charges		135.15	85			Percent of total billed charges		135.15	100			Percent of total billed charges		159	100			Percent of total billed charges		159	100			Percent of total billed charges		159	33.3			Percent of total billed charges		52.947	33.3			Percent of total billed charges		52.947	100			Percent of total billed charges		159	52.947	143.1	
jet-x smooth wire	278	RC	Outpatient			159	103.35		90			Percent of total billed charges		143.1	40			Percent of total billed charges		63.6	80			Percent of total billed charges		127.2	90			Percent of total billed charges		143.1	85			Percent of total billed charges		135.15	85			Percent of total billed charges		135.15	85			Percent of total billed charges		135.15	100			Percent of total billed charges		159	100			Percent of total billed charges		159	100			Percent of total billed charges		159	33.3			Percent of total billed charges		52.947	33.3			Percent of total billed charges		52.947	100			Percent of total billed charges		159	52.947	143.1	
relieva flex sinus guide cath  sdkklp acclarent	272	RC	Outpatient			159	103.35		90			Percent of total billed charges		143.1	40			Percent of total billed charges		63.6	80			Percent of total billed charges		127.2	90			Percent of total billed charges		143.1	85			Percent of total billed charges		135.15	85			Percent of total billed charges		135.15	85			Percent of total billed charges		135.15	100			Percent of total billed charges		159	100			Percent of total billed charges		159	100			Percent of total billed charges		159	33.3			Percent of total billed charges		52.947	33.3			Percent of total billed charges		52.947	100			Percent of total billed charges		159	52.947	143.1	
relieva guide cath ext	272	RC	Outpatient			159	103.35		90			Percent of total billed charges		143.1	40			Percent of total billed charges		63.6	80			Percent of total billed charges		127.2	90			Percent of total billed charges		143.1	85			Percent of total billed charges		135.15	85			Percent of total billed charges		135.15	85			Percent of total billed charges		135.15	100			Percent of total billed charges		159	100			Percent of total billed charges		159	100			Percent of total billed charges		159	33.3			Percent of total billed charges		52.947	33.3			Percent of total billed charges		52.947	100			Percent of total billed charges		159	52.947	143.1	
relieva sidekick sinus guide cath hdle sdkk01 acclarent	272	RC	Outpatient			159	103.35		90			Percent of total billed charges		143.1	40			Percent of total billed charges		63.6	80			Percent of total billed charges		127.2	90			Percent of total billed charges		143.1	85			Percent of total billed charges		135.15	85			Percent of total billed charges		135.15	85			Percent of total billed charges		135.15	100			Percent of total billed charges		159	100			Percent of total billed charges		159	100			Percent of total billed charges		159	33.3			Percent of total billed charges		52.947	33.3			Percent of total billed charges		52.947	100			Percent of total billed charges		159	52.947	143.1	
service/wrench kit	272	RC	Outpatient			159	103.35		90			Percent of total billed charges		143.1	40			Percent of total billed charges		63.6	80			Percent of total billed charges		127.2	90			Percent of total billed charges		143.1	85			Percent of total billed charges		135.15	85			Percent of total billed charges		135.15	85			Percent of total billed charges		135.15	100			Percent of total billed charges		159	100			Percent of total billed charges		159	100			Percent of total billed charges		159	33.3			Percent of total billed charges		52.947	33.3			Percent of total billed charges		52.947	100			Percent of total billed charges		159	52.947	143.1	
stryker cable plug	278	RC	Outpatient			159	103.35		90			Percent of total billed charges		143.1	40			Percent of total billed charges		63.6	80			Percent of total billed charges		127.2	90			Percent of total billed charges		143.1	85			Percent of total billed charges		135.15	85			Percent of total billed charges		135.15	85			Percent of total billed charges		135.15	100			Percent of total billed charges		159	100			Percent of total billed charges		159	100			Percent of total billed charges		159	33.3			Percent of total billed charges		52.947	33.3			Percent of total billed charges		52.947	100			Percent of total billed charges		159	52.947	143.1	
variax bone screw 3.5 x 10 40-35010 stryker	278	RC	Outpatient			159	103.35		90			Percent of total billed charges		143.1	40			Percent of total billed charges		63.6	80			Percent of total billed charges		127.2	90			Percent of total billed charges		143.1	85			Percent of total billed charges		135.15	85			Percent of total billed charges		135.15	85			Percent of total billed charges		135.15	100			Percent of total billed charges		159	100			Percent of total billed charges		159	100			Percent of total billed charges		159	33.3			Percent of total billed charges		52.947	33.3			Percent of total billed charges		52.947	100			Percent of total billed charges		159	52.947	143.1	
tube trach shiley fenestrated 10cfn	270	RC	Outpatient			159	103.35		90			Percent of total billed charges		143.1	40			Percent of total billed charges		63.6	80			Percent of total billed charges		127.2	90			Percent of total billed charges		143.1	85			Percent of total billed charges		135.15	85			Percent of total billed charges		135.15	85			Percent of total billed charges		135.15	100			Percent of total billed charges		159	100			Percent of total billed charges		159	100			Percent of total billed charges		159	33.3			Percent of total billed charges		52.947	33.3			Percent of total billed charges		52.947	100			Percent of total billed charges		159	52.947	143.1	
variax bone screw 3.5 x 26 40-35026 stryker	278	RC	Outpatient			159	103.35		90			Percent of total billed charges		143.1	40			Percent of total billed charges		63.6	80			Percent of total billed charges		127.2	90			Percent of total billed charges		143.1	85			Percent of total billed charges		135.15	85			Percent of total billed charges		135.15	85			Percent of total billed charges		135.15	100			Percent of total billed charges		159	100			Percent of total billed charges		159	100			Percent of total billed charges		159	33.3			Percent of total billed charges		52.947	33.3			Percent of total billed charges		52.947	100			Percent of total billed charges		159	52.947	143.1	
wire bayonet pt 1.8mm x 370mm 102102 s/n	278	RC	Outpatient			159	103.35		90			Percent of total billed charges		143.1	40			Percent of total billed charges		63.6	80			Percent of total billed charges		127.2	90			Percent of total billed charges		143.1	85			Percent of total billed charges		135.15	85			Percent of total billed charges		135.15	85			Percent of total billed charges		135.15	100			Percent of total billed charges		159	100			Percent of total billed charges		159	100			Percent of total billed charges		159	33.3			Percent of total billed charges		52.947	33.3			Percent of total billed charges		52.947	100			Percent of total billed charges		159	52.947	143.1	
acumed  cortical screw 3.5mm x 25.0mm co-3250	278	RC	Outpatient			160	104		90			Percent of total billed charges		144	40			Percent of total billed charges		64	80			Percent of total billed charges		128	90			Percent of total billed charges		144	85			Percent of total billed charges		136	85			Percent of total billed charges		136	85			Percent of total billed charges		136	100			Percent of total billed charges		160	100			Percent of total billed charges		160	100			Percent of total billed charges		160	33.3			Percent of total billed charges		53.28	33.3			Percent of total billed charges		53.28	100			Percent of total billed charges		160	53.28	144	
alignment rod	278	RC	Outpatient			160	104		90			Percent of total billed charges		144	40			Percent of total billed charges		64	80			Percent of total billed charges		128	90			Percent of total billed charges		144	85			Percent of total billed charges		136	85			Percent of total billed charges		136	85			Percent of total billed charges		136	100			Percent of total billed charges		160	100			Percent of total billed charges		160	100			Percent of total billed charges		160	33.3			Percent of total billed charges		53.28	33.3			Percent of total billed charges		53.28	100			Percent of total billed charges		160	53.28	144	
alignment rod sn1106 wright	278	RC	Outpatient			160	104		90			Percent of total billed charges		144	40			Percent of total billed charges		64	80			Percent of total billed charges		128	90			Percent of total billed charges		144	85			Percent of total billed charges		136	85			Percent of total billed charges		136	85			Percent of total billed charges		136	100			Percent of total billed charges		160	100			Percent of total billed charges		160	100			Percent of total billed charges		160	33.3			Percent of total billed charges		53.28	33.3			Percent of total billed charges		53.28	100			Percent of total billed charges		160	53.28	144	
arthrex tiger tape 2mm ar-7237-7t	272	RC	Outpatient			160	104		90			Percent of total billed charges		144	40			Percent of total billed charges		64	80			Percent of total billed charges		128	90			Percent of total billed charges		144	85			Percent of total billed charges		136	85			Percent of total billed charges		136	85			Percent of total billed charges		136	100			Percent of total billed charges		160	100			Percent of total billed charges		160	100			Percent of total billed charges		160	33.3			Percent of total billed charges		53.28	33.3			Percent of total billed charges		53.28	100			Percent of total billed charges		160	53.28	144	
cosmetic - dyschromia spot treatment <5 cm - additional session	983	RC	Outpatient			160	104		90			Percent of total billed charges		144	40			Percent of total billed charges		64	80			Percent of total billed charges		128	90			Percent of total billed charges		144	85			Percent of total billed charges		136	85			Percent of total billed charges		136	85			Percent of total billed charges		136	100			Percent of total billed charges		160	100			Percent of total billed charges		160	100			Percent of total billed charges		160	33.3			Percent of total billed charges		53.28	33.3			Percent of total billed charges		53.28	100			Percent of total billed charges		160	53.28	144	
arrow triple lumen cath	270	RC	Outpatient			160	104		90			Percent of total billed charges		144	40			Percent of total billed charges		64	80			Percent of total billed charges		128	90			Percent of total billed charges		144	85			Percent of total billed charges		136	85			Percent of total billed charges		136	85			Percent of total billed charges		136	100			Percent of total billed charges		160	100			Percent of total billed charges		160	100			Percent of total billed charges		160	33.3			Percent of total billed charges		53.28	33.3			Percent of total billed charges		53.28	100			Percent of total billed charges		160	53.28	144	
arthrex tiger tape	272	RC	Outpatient			160	104		90			Percent of total billed charges		144	40			Percent of total billed charges		64	80			Percent of total billed charges		128	90			Percent of total billed charges		144	85			Percent of total billed charges		136	85			Percent of total billed charges		136	85			Percent of total billed charges		136	100			Percent of total billed charges		160	100			Percent of total billed charges		160	100			Percent of total billed charges		160	33.3			Percent of total billed charges		53.28	33.3			Percent of total billed charges		53.28	100			Percent of total billed charges		160	53.28	144	
cosmetic - laser hair removal bikini line & underarms each addt'l session	983	RC	Outpatient			160	104		90			Percent of total billed charges		144	40			Percent of total billed charges		64	80			Percent of total billed charges		128	90			Percent of total billed charges		144	85			Percent of total billed charges		136	85			Percent of total billed charges		136	85			Percent of total billed charges		136	100			Percent of total billed charges		160	100			Percent of total billed charges		160	100			Percent of total billed charges		160	33.3			Percent of total billed charges		53.28	33.3			Percent of total billed charges		53.28	100			Percent of total billed charges		160	53.28	144	
cosmetic - laser hair removal upper lip and chin single session	983	RC	Outpatient			160	104		90			Percent of total billed charges		144	40			Percent of total billed charges		64	80			Percent of total billed charges		128	90			Percent of total billed charges		144	85			Percent of total billed charges		136	85			Percent of total billed charges		136	85			Percent of total billed charges		136	100			Percent of total billed charges		160	100			Percent of total billed charges		160	100			Percent of total billed charges		160	33.3			Percent of total billed charges		53.28	33.3			Percent of total billed charges		53.28	100			Percent of total billed charges		160	53.28	144	
kit per int6.0 ak09601	272	RC	Outpatient			160	104		90			Percent of total billed charges		144	40			Percent of total billed charges		64	80			Percent of total billed charges		128	90			Percent of total billed charges		144	85			Percent of total billed charges		136	85			Percent of total billed charges		136	85			Percent of total billed charges		136	100			Percent of total billed charges		160	100			Percent of total billed charges		160	100			Percent of total billed charges		160	33.3			Percent of total billed charges		53.28	33.3			Percent of total billed charges		53.28	100			Percent of total billed charges		160	53.28	144	
komet blade ez1310.m60	272	RC	Outpatient			160	104		90			Percent of total billed charges		144	40			Percent of total billed charges		64	80			Percent of total billed charges		128	90			Percent of total billed charges		144	85			Percent of total billed charges		136	85			Percent of total billed charges		136	85			Percent of total billed charges		136	100			Percent of total billed charges		160	100			Percent of total billed charges		160	100			Percent of total billed charges		160	33.3			Percent of total billed charges		53.28	33.3			Percent of total billed charges		53.28	100			Percent of total billed charges		160	53.28	144	
komet blade ez2214.m60	272	RC	Outpatient			160	104		90			Percent of total billed charges		144	40			Percent of total billed charges		64	80			Percent of total billed charges		128	90			Percent of total billed charges		144	85			Percent of total billed charges		136	85			Percent of total billed charges		136	85			Percent of total billed charges		136	100			Percent of total billed charges		160	100			Percent of total billed charges		160	100			Percent of total billed charges		160	33.3			Percent of total billed charges		53.28	33.3			Percent of total billed charges		53.28	100			Percent of total billed charges		160	53.28	144	
kit cath central vein 7fr 16cm ak22703	270	RC	Outpatient			160	104		90			Percent of total billed charges		144	40			Percent of total billed charges		64	80			Percent of total billed charges		128	90			Percent of total billed charges		144	85			Percent of total billed charges		136	85			Percent of total billed charges		136	85			Percent of total billed charges		136	100			Percent of total billed charges		160	100			Percent of total billed charges		160	100			Percent of total billed charges		160	33.3			Percent of total billed charges		53.28	33.3			Percent of total billed charges		53.28	100			Percent of total billed charges		160	53.28	144	
komet total joint blade	272	RC	Outpatient			160	104		90			Percent of total billed charges		144	40			Percent of total billed charges		64	80			Percent of total billed charges		128	90			Percent of total billed charges		144	85			Percent of total billed charges		136	85			Percent of total billed charges		136	85			Percent of total billed charges		136	100			Percent of total billed charges		160	100			Percent of total billed charges		160	100			Percent of total billed charges		160	33.3			Percent of total billed charges		53.28	33.3			Percent of total billed charges		53.28	100			Percent of total billed charges		160	53.28	144	
polarus 3.5cortical screw	278	RC	Outpatient			160	104		90			Percent of total billed charges		144	40			Percent of total billed charges		64	80			Percent of total billed charges		128	90			Percent of total billed charges		144	85			Percent of total billed charges		136	85			Percent of total billed charges		136	85			Percent of total billed charges		136	100			Percent of total billed charges		160	100			Percent of total billed charges		160	100			Percent of total billed charges		160	33.3			Percent of total billed charges		53.28	33.3			Percent of total billed charges		53.28	100			Percent of total billed charges		160	53.28	144	
polarus 3.5mm x 20.0mm cortical screw co-3200-s co-3200  acumed	278	RC	Outpatient			160	104		90			Percent of total billed charges		144	40			Percent of total billed charges		64	80			Percent of total billed charges		128	90			Percent of total billed charges		144	85			Percent of total billed charges		136	85			Percent of total billed charges		136	85			Percent of total billed charges		136	100			Percent of total billed charges		160	100			Percent of total billed charges		160	100			Percent of total billed charges		160	33.3			Percent of total billed charges		53.28	33.3			Percent of total billed charges		53.28	100			Percent of total billed charges		160	53.28	144	
polarus 3.5mm x 22.5mm cortical screw co-3225-s co-3225 acumed	278	RC	Outpatient			160	104		90			Percent of total billed charges		144	40			Percent of total billed charges		64	80			Percent of total billed charges		128	90			Percent of total billed charges		144	85			Percent of total billed charges		136	85			Percent of total billed charges		136	85			Percent of total billed charges		136	100			Percent of total billed charges		160	100			Percent of total billed charges		160	100			Percent of total billed charges		160	33.3			Percent of total billed charges		53.28	33.3			Percent of total billed charges		53.28	100			Percent of total billed charges		160	53.28	144	
polarus 3.5mm x 25.0mm cortical screw co-3250-s co-3250 acumed	278	RC	Outpatient			160	104		90			Percent of total billed charges		144	40			Percent of total billed charges		64	80			Percent of total billed charges		128	90			Percent of total billed charges		144	85			Percent of total billed charges		136	85			Percent of total billed charges		136	85			Percent of total billed charges		136	100			Percent of total billed charges		160	100			Percent of total billed charges		160	100			Percent of total billed charges		160	33.3			Percent of total billed charges		53.28	33.3			Percent of total billed charges		53.28	100			Percent of total billed charges		160	53.28	144	
polarus screw 3.5mm x 35.0mm co-3350 acumed	278	RC	Outpatient			160	104		90			Percent of total billed charges		144	40			Percent of total billed charges		64	80			Percent of total billed charges		128	90			Percent of total billed charges		144	85			Percent of total billed charges		136	85			Percent of total billed charges		136	85			Percent of total billed charges		136	100			Percent of total billed charges		160	100			Percent of total billed charges		160	100			Percent of total billed charges		160	33.3			Percent of total billed charges		53.28	33.3			Percent of total billed charges		53.28	100			Percent of total billed charges		160	53.28	144	
polarus screw 3.5mm x 40.0mm co-3400 acumed	278	RC	Outpatient			160	104		90			Percent of total billed charges		144	40			Percent of total billed charges		64	80			Percent of total billed charges		128	90			Percent of total billed charges		144	85			Percent of total billed charges		136	85			Percent of total billed charges		136	85			Percent of total billed charges		136	100			Percent of total billed charges		160	100			Percent of total billed charges		160	100			Percent of total billed charges		160	33.3			Percent of total billed charges		53.28	33.3			Percent of total billed charges		53.28	100			Percent of total billed charges		160	53.28	144	
polarus screw 3.5mm x 45.0mm co-3450 acumed	278	RC	Outpatient			160	104		90			Percent of total billed charges		144	40			Percent of total billed charges		64	80			Percent of total billed charges		128	90			Percent of total billed charges		144	85			Percent of total billed charges		136	85			Percent of total billed charges		136	85			Percent of total billed charges		136	100			Percent of total billed charges		160	100			Percent of total billed charges		160	100			Percent of total billed charges		160	33.3			Percent of total billed charges		53.28	33.3			Percent of total billed charges		53.28	100			Percent of total billed charges		160	53.28	144	
polarus screw 3.5mm x 55.0mm co-3550 acumed	278	RC	Outpatient			160	104		90			Percent of total billed charges		144	40			Percent of total billed charges		64	80			Percent of total billed charges		128	90			Percent of total billed charges		144	85			Percent of total billed charges		136	85			Percent of total billed charges		136	85			Percent of total billed charges		136	100			Percent of total billed charges		160	100			Percent of total billed charges		160	100			Percent of total billed charges		160	33.3			Percent of total billed charges		53.28	33.3			Percent of total billed charges		53.28	100			Percent of total billed charges		160	53.28	144	
saw blade 2000-00-109 zimmer	272	RC	Outpatient			160	104		90			Percent of total billed charges		144	40			Percent of total billed charges		64	80			Percent of total billed charges		128	90			Percent of total billed charges		144	85			Percent of total billed charges		136	85			Percent of total billed charges		136	85			Percent of total billed charges		136	100			Percent of total billed charges		160	100			Percent of total billed charges		160	100			Percent of total billed charges		160	33.3			Percent of total billed charges		53.28	33.3			Percent of total billed charges		53.28	100			Percent of total billed charges		160	53.28	144	
screw  4.5mm dia 175mm 294.75 synthes	270	RC	Outpatient			160	104		90			Percent of total billed charges		144	40			Percent of total billed charges		64	80			Percent of total billed charges		128	90			Percent of total billed charges		144	85			Percent of total billed charges		136	85			Percent of total billed charges		136	85			Percent of total billed charges		136	100			Percent of total billed charges		160	100			Percent of total billed charges		160	100			Percent of total billed charges		160	33.3			Percent of total billed charges		53.28	33.3			Percent of total billed charges		53.28	100			Percent of total billed charges		160	53.28	144	
screw schanz  4.5mm dia 200mm 294.76 synthes	270	RC	Outpatient			160	104		90			Percent of total billed charges		144	40			Percent of total billed charges		64	80			Percent of total billed charges		128	90			Percent of total billed charges		144	85			Percent of total billed charges		136	85			Percent of total billed charges		136	85			Percent of total billed charges		136	100			Percent of total billed charges		160	100			Percent of total billed charges		160	100			Percent of total billed charges		160	33.3			Percent of total billed charges		53.28	33.3			Percent of total billed charges		53.28	100			Percent of total billed charges		160	53.28	144	
tray perc int 6.0 ak09601	270	RC	Outpatient			160	104		90			Percent of total billed charges		144	40			Percent of total billed charges		64	80			Percent of total billed charges		128	90			Percent of total billed charges		144	85			Percent of total billed charges		136	85			Percent of total billed charges		136	85			Percent of total billed charges		136	100			Percent of total billed charges		160	100			Percent of total billed charges		160	100			Percent of total billed charges		160	33.3			Percent of total billed charges		53.28	33.3			Percent of total billed charges		53.28	100			Percent of total billed charges		160	53.28	144	
polarus 3.5mm x 27.5mm cortical screw co-3275-s co-3275 acumed	278	RC	Outpatient			160	104		90			Percent of total billed charges		144	40			Percent of total billed charges		64	80			Percent of total billed charges		128	90			Percent of total billed charges		144	85			Percent of total billed charges		136	85			Percent of total billed charges		136	85			Percent of total billed charges		136	100			Percent of total billed charges		160	100			Percent of total billed charges		160	100			Percent of total billed charges		160	33.3			Percent of total billed charges		53.28	33.3			Percent of total billed charges		53.28	100			Percent of total billed charges		160	53.28	144	
polarus 3.5mm x 30.0mm cortical screw co-3300-s co-3300 acumed	278	RC	Outpatient			160	104		90			Percent of total billed charges		144	40			Percent of total billed charges		64	80			Percent of total billed charges		128	90			Percent of total billed charges		144	85			Percent of total billed charges		136	85			Percent of total billed charges		136	85			Percent of total billed charges		136	100			Percent of total billed charges		160	100			Percent of total billed charges		160	100			Percent of total billed charges		160	33.3			Percent of total billed charges		53.28	33.3			Percent of total billed charges		53.28	100			Percent of total billed charges		160	53.28	144	
polarus 3.5mm x 32.5mm cortical screw co-3325-s co-3325 acumed	278	RC	Outpatient			160	104		90			Percent of total billed charges		144	40			Percent of total billed charges		64	80			Percent of total billed charges		128	90			Percent of total billed charges		144	85			Percent of total billed charges		136	85			Percent of total billed charges		136	85			Percent of total billed charges		136	100			Percent of total billed charges		160	100			Percent of total billed charges		160	100			Percent of total billed charges		160	33.3			Percent of total billed charges		53.28	33.3			Percent of total billed charges		53.28	100			Percent of total billed charges		160	53.28	144	
polarus screw 3.5 x 50 co-3500 acumed	278	RC	Outpatient			160	104		90			Percent of total billed charges		144	40			Percent of total billed charges		64	80			Percent of total billed charges		128	90			Percent of total billed charges		144	85			Percent of total billed charges		136	85			Percent of total billed charges		136	85			Percent of total billed charges		136	100			Percent of total billed charges		160	100			Percent of total billed charges		160	100			Percent of total billed charges		160	33.3			Percent of total billed charges		53.28	33.3			Percent of total billed charges		53.28	100			Percent of total billed charges		160	53.28	144	
post-op hinged knee brace ex087000	270	RC	Outpatient			160	104		90			Percent of total billed charges		144	40			Percent of total billed charges		64	80			Percent of total billed charges		128	90			Percent of total billed charges		144	85			Percent of total billed charges		136	85			Percent of total billed charges		136	85			Percent of total billed charges		136	100			Percent of total billed charges		160	100			Percent of total billed charges		160	100			Percent of total billed charges		160	33.3			Percent of total billed charges		53.28	33.3			Percent of total billed charges		53.28	100			Percent of total billed charges		160	53.28	144	
scrmc needle bone biopsy ostycut	270	RC	Outpatient			160	104		90			Percent of total billed charges		144	40			Percent of total billed charges		64	80			Percent of total billed charges		128	90			Percent of total billed charges		144	85			Percent of total billed charges		136	85			Percent of total billed charges		136	85			Percent of total billed charges		136	100			Percent of total billed charges		160	100			Percent of total billed charges		160	100			Percent of total billed charges		160	33.3			Percent of total billed charges		53.28	33.3			Percent of total billed charges		53.28	100			Percent of total billed charges		160	53.28	144	
syn schnz scw 4.5 175-200	270	RC	Outpatient			160	104		90			Percent of total billed charges		144	40			Percent of total billed charges		64	80			Percent of total billed charges		128	90			Percent of total billed charges		144	85			Percent of total billed charges		136	85			Percent of total billed charges		136	85			Percent of total billed charges		136	100			Percent of total billed charges		160	100			Percent of total billed charges		160	100			Percent of total billed charges		160	33.3			Percent of total billed charges		53.28	33.3			Percent of total billed charges		53.28	100			Percent of total billed charges		160	53.28	144	
universal drill & pin set 2001-00-000 zimmer	272	RC	Outpatient			160	104		90			Percent of total billed charges		144	40			Percent of total billed charges		64	80			Percent of total billed charges		128	90			Percent of total billed charges		144	85			Percent of total billed charges		136	85			Percent of total billed charges		136	85			Percent of total billed charges		136	100			Percent of total billed charges		160	100			Percent of total billed charges		160	100			Percent of total billed charges		160	33.3			Percent of total billed charges		53.28	33.3			Percent of total billed charges		53.28	100			Percent of total billed charges		160	53.28	144	
zimmer pin/drill set	272	RC	Outpatient			160	104		90			Percent of total billed charges		144	40			Percent of total billed charges		64	80			Percent of total billed charges		128	90			Percent of total billed charges		144	85			Percent of total billed charges		136	85			Percent of total billed charges		136	85			Percent of total billed charges		136	100			Percent of total billed charges		160	100			Percent of total billed charges		160	100			Percent of total billed charges		160	33.3			Percent of total billed charges		53.28	33.3			Percent of total billed charges		53.28	100			Percent of total billed charges		160	53.28	144	
zimmer saw blade	272	RC	Outpatient			160	104		90			Percent of total billed charges		144	40			Percent of total billed charges		64	80			Percent of total billed charges		128	90			Percent of total billed charges		144	85			Percent of total billed charges		136	85			Percent of total billed charges		136	85			Percent of total billed charges		136	100			Percent of total billed charges		160	100			Percent of total billed charges		160	100			Percent of total billed charges		160	33.3			Percent of total billed charges		53.28	33.3			Percent of total billed charges		53.28	100			Percent of total billed charges		160	53.28	144	
reunion peripheral screw drill bit 5901-1126 stryker	272	RC	Outpatient			161	104.65		90			Percent of total billed charges		144.9	40			Percent of total billed charges		64.4	80			Percent of total billed charges		128.8	90			Percent of total billed charges		144.9	85			Percent of total billed charges		136.85	85			Percent of total billed charges		136.85	85			Percent of total billed charges		136.85	100			Percent of total billed charges		161	100			Percent of total billed charges		161	100			Percent of total billed charges		161	33.3			Percent of total billed charges		53.613	33.3			Percent of total billed charges		53.613	100			Percent of total billed charges		161	53.613	144.9	
trocar kii optical access system 12mm c0r32  ctb73 applied med	270	RC	Outpatient			161	104.65		90			Percent of total billed charges		144.9	40			Percent of total billed charges		64.4	80			Percent of total billed charges		128.8	90			Percent of total billed charges		144.9	85			Percent of total billed charges		136.85	85			Percent of total billed charges		136.85	85			Percent of total billed charges		136.85	100			Percent of total billed charges		161	100			Percent of total billed charges		161	100			Percent of total billed charges		161	33.3			Percent of total billed charges		53.613	33.3			Percent of total billed charges		53.613	100			Percent of total billed charges		161	53.613	144.9	
trocar optical  kii 10/12  c0124 ctf74 applied med	270	RC	Outpatient			161	104.65		90			Percent of total billed charges		144.9	40			Percent of total billed charges		64.4	80			Percent of total billed charges		128.8	90			Percent of total billed charges		144.9	85			Percent of total billed charges		136.85	85			Percent of total billed charges		136.85	85			Percent of total billed charges		136.85	100			Percent of total billed charges		161	100			Percent of total billed charges		161	100			Percent of total billed charges		161	33.3			Percent of total billed charges		53.613	33.3			Percent of total billed charges		53.613	100			Percent of total billed charges		161	53.613	144.9	
trocar optical 12mm    2	270	RC	Outpatient			161	104.65		90			Percent of total billed charges		144.9	40			Percent of total billed charges		64.4	80			Percent of total billed charges		128.8	90			Percent of total billed charges		144.9	85			Percent of total billed charges		136.85	85			Percent of total billed charges		136.85	85			Percent of total billed charges		136.85	100			Percent of total billed charges		161	100			Percent of total billed charges		161	100			Percent of total billed charges		161	33.3			Percent of total billed charges		53.613	33.3			Percent of total billed charges		53.613	100			Percent of total billed charges		161	53.613	144.9	
trocar pistol grip 10/12 512ht b12lth	270	RC	Outpatient			161	104.65		90			Percent of total billed charges		144.9	40			Percent of total billed charges		64.4	80			Percent of total billed charges		128.8	90			Percent of total billed charges		144.9	85			Percent of total billed charges		136.85	85			Percent of total billed charges		136.85	85			Percent of total billed charges		136.85	100			Percent of total billed charges		161	100			Percent of total billed charges		161	100			Percent of total billed charges		161	33.3			Percent of total billed charges		53.613	33.3			Percent of total billed charges		53.613	100			Percent of total billed charges		161	53.613	144.9	
clip applier 10mm	272	RC	Outpatient			162	105.3		90			Percent of total billed charges		145.8	40			Percent of total billed charges		64.8	80			Percent of total billed charges		129.6	90			Percent of total billed charges		145.8	85			Percent of total billed charges		137.7	85			Percent of total billed charges		137.7	85			Percent of total billed charges		137.7	100			Percent of total billed charges		162	100			Percent of total billed charges		162	100			Percent of total billed charges		162	33.3			Percent of total billed charges		53.946	33.3			Percent of total billed charges		53.946	100			Percent of total billed charges		162	53.946	145.8	
clip applier 10mm ca090 applied	272	RC	Outpatient			162	105.3		90			Percent of total billed charges		145.8	40			Percent of total billed charges		64.8	80			Percent of total billed charges		129.6	90			Percent of total billed charges		145.8	85			Percent of total billed charges		137.7	85			Percent of total billed charges		137.7	85			Percent of total billed charges		137.7	100			Percent of total billed charges		162	100			Percent of total billed charges		162	100			Percent of total billed charges		162	33.3			Percent of total billed charges		53.946	33.3			Percent of total billed charges		53.946	100			Percent of total billed charges		162	53.946	145.8	
3.2mm x 300mm drill tip  guide pin 7117-5704 s/n	270	RC	Outpatient			162	105.3		90			Percent of total billed charges		145.8	40			Percent of total billed charges		64.8	80			Percent of total billed charges		129.6	90			Percent of total billed charges		145.8	85			Percent of total billed charges		137.7	85			Percent of total billed charges		137.7	85			Percent of total billed charges		137.7	100			Percent of total billed charges		162	100			Percent of total billed charges		162	100			Percent of total billed charges		162	33.3			Percent of total billed charges		53.946	33.3			Percent of total billed charges		53.946	100			Percent of total billed charges		162	53.946	145.8	
calibrated guide pin 3.2 x 230mm 71110056 s/n	270	RC	Outpatient			162	105.3		90			Percent of total billed charges		145.8	40			Percent of total billed charges		64.8	80			Percent of total billed charges		129.6	90			Percent of total billed charges		145.8	85			Percent of total billed charges		137.7	85			Percent of total billed charges		137.7	85			Percent of total billed charges		137.7	100			Percent of total billed charges		162	100			Percent of total billed charges		162	100			Percent of total billed charges		162	33.3			Percent of total billed charges		53.946	33.3			Percent of total billed charges		53.946	100			Percent of total billed charges		162	53.946	145.8	
fiberglas long arm splint	270	RC	Outpatient			162	105.3		90			Percent of total billed charges		145.8	40			Percent of total billed charges		64.8	80			Percent of total billed charges		129.6	90			Percent of total billed charges		145.8	85			Percent of total billed charges		137.7	85			Percent of total billed charges		137.7	85			Percent of total billed charges		137.7	100			Percent of total billed charges		162	100			Percent of total billed charges		162	100			Percent of total billed charges		162	33.3			Percent of total billed charges		53.946	33.3			Percent of total billed charges		53.946	100			Percent of total billed charges		162	53.946	145.8	
fiberglass long arm splint ed charge scnt	270	RC	Outpatient			162	105.3		90			Percent of total billed charges		145.8	40			Percent of total billed charges		64.8	80			Percent of total billed charges		129.6	90			Percent of total billed charges		145.8	85			Percent of total billed charges		137.7	85			Percent of total billed charges		137.7	85			Percent of total billed charges		137.7	100			Percent of total billed charges		162	100			Percent of total billed charges		162	100			Percent of total billed charges		162	33.3			Percent of total billed charges		53.946	33.3			Percent of total billed charges		53.946	100			Percent of total billed charges		162	53.946	145.8	
guide pin 3.2 x 300 71177201 s/n	270	RC	Outpatient			162	105.3		90			Percent of total billed charges		145.8	40			Percent of total billed charges		64.8	80			Percent of total billed charges		129.6	90			Percent of total billed charges		145.8	85			Percent of total billed charges		137.7	85			Percent of total billed charges		137.7	85			Percent of total billed charges		137.7	100			Percent of total billed charges		162	100			Percent of total billed charges		162	100			Percent of total billed charges		162	33.3			Percent of total billed charges		53.946	33.3			Percent of total billed charges		53.946	100			Percent of total billed charges		162	53.946	145.8	
pillow shoulder abduction	270	RC	Outpatient			162	105.3		90			Percent of total billed charges		145.8	40			Percent of total billed charges		64.8	80			Percent of total billed charges		129.6	90			Percent of total billed charges		145.8	85			Percent of total billed charges		137.7	85			Percent of total billed charges		137.7	85			Percent of total billed charges		137.7	100			Percent of total billed charges		162	100			Percent of total billed charges		162	100			Percent of total billed charges		162	33.3			Percent of total billed charges		53.946	33.3			Percent of total billed charges		53.946	100			Percent of total billed charges		162	53.946	145.8	
s/n 3.2 guide pin	270	RC	Outpatient			162	105.3		90			Percent of total billed charges		145.8	40			Percent of total billed charges		64.8	80			Percent of total billed charges		129.6	90			Percent of total billed charges		145.8	85			Percent of total billed charges		137.7	85			Percent of total billed charges		137.7	85			Percent of total billed charges		137.7	100			Percent of total billed charges		162	100			Percent of total billed charges		162	100			Percent of total billed charges		162	33.3			Percent of total billed charges		53.946	33.3			Percent of total billed charges		53.946	100			Percent of total billed charges		162	53.946	145.8	
acumed 2.7 locking screw	278	RC	Outpatient			163	105.95		90			Percent of total billed charges		146.7	40			Percent of total billed charges		65.2	80			Percent of total billed charges		130.4	90			Percent of total billed charges		146.7	85			Percent of total billed charges		138.55	85			Percent of total billed charges		138.55	85			Percent of total billed charges		138.55	100			Percent of total billed charges		163	100			Percent of total billed charges		163	100			Percent of total billed charges		163	33.3			Percent of total billed charges		54.279	33.3			Percent of total billed charges		54.279	100			Percent of total billed charges		163	54.279	146.7	
acumed locking screw 2.7 x 18 col-2718	278	RC	Outpatient			163	105.95		90			Percent of total billed charges		146.7	40			Percent of total billed charges		65.2	80			Percent of total billed charges		130.4	90			Percent of total billed charges		146.7	85			Percent of total billed charges		138.55	85			Percent of total billed charges		138.55	85			Percent of total billed charges		138.55	100			Percent of total billed charges		163	100			Percent of total billed charges		163	100			Percent of total billed charges		163	33.3			Percent of total billed charges		54.279	33.3			Percent of total billed charges		54.279	100			Percent of total billed charges		163	54.279	146.7	
acumed locking screw 2.7 x 20 col-2718	278	RC	Outpatient			163	105.95		90			Percent of total billed charges		146.7	40			Percent of total billed charges		65.2	80			Percent of total billed charges		130.4	90			Percent of total billed charges		146.7	85			Percent of total billed charges		138.55	85			Percent of total billed charges		138.55	85			Percent of total billed charges		138.55	100			Percent of total billed charges		163	100			Percent of total billed charges		163	100			Percent of total billed charges		163	33.3			Percent of total billed charges		54.279	33.3			Percent of total billed charges		54.279	100			Percent of total billed charges		163	54.279	146.7	
artho blade power mini	272	RC	Outpatient			163	105.95		90			Percent of total billed charges		146.7	40			Percent of total billed charges		65.2	80			Percent of total billed charges		130.4	90			Percent of total billed charges		146.7	85			Percent of total billed charges		138.55	85			Percent of total billed charges		138.55	85			Percent of total billed charges		138.55	100			Percent of total billed charges		163	100			Percent of total billed charges		163	100			Percent of total billed charges		163	33.3			Percent of total billed charges		54.279	33.3			Percent of total billed charges		54.279	100			Percent of total billed charges		163	54.279	146.7	
3800041 i&d and/or debridement ed charge	450	RC	Outpatient			163	105.95		90			Percent of total billed charges		146.7	40			Percent of total billed charges		65.2	80			Percent of total billed charges		130.4	90			Percent of total billed charges		146.7	85			Percent of total billed charges		138.55	85			Percent of total billed charges		138.55	85			Percent of total billed charges		138.55	100			Percent of total billed charges		163	100			Percent of total billed charges		163	100			Percent of total billed charges		163	33.3			Percent of total billed charges		54.279	33.3			Percent of total billed charges		54.279	100			Percent of total billed charges		163	54.279	146.7	
genesis ii stryker blade	272	RC	Outpatient			163	105.95		90			Percent of total billed charges		146.7	40			Percent of total billed charges		65.2	80			Percent of total billed charges		130.4	90			Percent of total billed charges		146.7	85			Percent of total billed charges		138.55	85			Percent of total billed charges		138.55	85			Percent of total billed charges		138.55	100			Percent of total billed charges		163	100			Percent of total billed charges		163	100			Percent of total billed charges		163	33.3			Percent of total billed charges		54.279	33.3			Percent of total billed charges		54.279	100			Percent of total billed charges		163	54.279	146.7	
genesis ii stryker sawblade 71440375 s/n	272	RC	Outpatient			163	105.95		90			Percent of total billed charges		146.7	40			Percent of total billed charges		65.2	80			Percent of total billed charges		130.4	90			Percent of total billed charges		146.7	85			Percent of total billed charges		138.55	85			Percent of total billed charges		138.55	85			Percent of total billed charges		138.55	100			Percent of total billed charges		163	100			Percent of total billed charges		163	100			Percent of total billed charges		163	33.3			Percent of total billed charges		54.279	33.3			Percent of total billed charges		54.279	100			Percent of total billed charges		163	54.279	146.7	
genesis ii stryker sawblade 71440376	272	RC	Outpatient			163	105.95		90			Percent of total billed charges		146.7	40			Percent of total billed charges		65.2	80			Percent of total billed charges		130.4	90			Percent of total billed charges		146.7	85			Percent of total billed charges		138.55	85			Percent of total billed charges		138.55	85			Percent of total billed charges		138.55	100			Percent of total billed charges		163	100			Percent of total billed charges		163	100			Percent of total billed charges		163	33.3			Percent of total billed charges		54.279	33.3			Percent of total billed charges		54.279	100			Percent of total billed charges		163	54.279	146.7	
genesis ii stryker sawblade small 71440389 s/n	272	RC	Outpatient			163	105.95		90			Percent of total billed charges		146.7	40			Percent of total billed charges		65.2	80			Percent of total billed charges		130.4	90			Percent of total billed charges		146.7	85			Percent of total billed charges		138.55	85			Percent of total billed charges		138.55	85			Percent of total billed charges		138.55	100			Percent of total billed charges		163	100			Percent of total billed charges		163	100			Percent of total billed charges		163	33.3			Percent of total billed charges		54.279	33.3			Percent of total billed charges		54.279	100			Percent of total billed charges		163	54.279	146.7	
scrmc catheter glide	621	RC	Outpatient			163	105.95		90			Percent of total billed charges		146.7	40			Percent of total billed charges		65.2	80			Percent of total billed charges		130.4	90			Percent of total billed charges		146.7	85			Percent of total billed charges		138.55	85			Percent of total billed charges		138.55	85			Percent of total billed charges		138.55	100			Percent of total billed charges		163	100			Percent of total billed charges		163	100			Percent of total billed charges		163	33.3			Percent of total billed charges		54.279	33.3			Percent of total billed charges		54.279	100			Percent of total billed charges		163	54.279	146.7	
surgicel hemostat absorbable  2x14  1951 ethicon	272	RC	Outpatient			163	105.95		90			Percent of total billed charges		146.7	40			Percent of total billed charges		65.2	80			Percent of total billed charges		130.4	90			Percent of total billed charges		146.7	85			Percent of total billed charges		138.55	85			Percent of total billed charges		138.55	85			Percent of total billed charges		138.55	100			Percent of total billed charges		163	100			Percent of total billed charges		163	100			Percent of total billed charges		163	33.3			Percent of total billed charges		54.279	33.3			Percent of total billed charges		54.279	100			Percent of total billed charges		163	54.279	146.7	
powermini 3.5 incisior plus elite blade 72201514 dyonics s/n	272	RC	Outpatient			163	105.95		90			Percent of total billed charges		146.7	40			Percent of total billed charges		65.2	80			Percent of total billed charges		130.4	90			Percent of total billed charges		146.7	85			Percent of total billed charges		138.55	85			Percent of total billed charges		138.55	85			Percent of total billed charges		138.55	100			Percent of total billed charges		163	100			Percent of total billed charges		163	100			Percent of total billed charges		163	33.3			Percent of total billed charges		54.279	33.3			Percent of total billed charges		54.279	100			Percent of total billed charges		163	54.279	146.7	
surgicel 2x14	272	RC	Outpatient			163	105.95		90			Percent of total billed charges		146.7	40			Percent of total billed charges		65.2	80			Percent of total billed charges		130.4	90			Percent of total billed charges		146.7	85			Percent of total billed charges		138.55	85			Percent of total billed charges		138.55	85			Percent of total billed charges		138.55	100			Percent of total billed charges		163	100			Percent of total billed charges		163	100			Percent of total billed charges		163	33.3			Percent of total billed charges		54.279	33.3			Percent of total billed charges		54.279	100			Percent of total billed charges		163	54.279	146.7	
zzscrmc mencini hsg catheter	621	RC	Outpatient			163	105.95		90			Percent of total billed charges		146.7	40			Percent of total billed charges		65.2	80			Percent of total billed charges		130.4	90			Percent of total billed charges		146.7	85			Percent of total billed charges		138.55	85			Percent of total billed charges		138.55	85			Percent of total billed charges		138.55	100			Percent of total billed charges		163	100			Percent of total billed charges		163	100			Percent of total billed charges		163	33.3			Percent of total billed charges		54.279	33.3			Percent of total billed charges		54.279	100			Percent of total billed charges		163	54.279	146.7	
arthrex fibertape  ar-7237-7	272	RC	Outpatient			164	106.6		90			Percent of total billed charges		147.6	40			Percent of total billed charges		65.6	80			Percent of total billed charges		131.2	90			Percent of total billed charges		147.6	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	100			Percent of total billed charges		164	100			Percent of total billed charges		164	100			Percent of total billed charges		164	33.3			Percent of total billed charges		54.612	33.3			Percent of total billed charges		54.612	100			Percent of total billed charges		164	54.612	147.6	
arthrex fibertape 7	272	RC	Outpatient			164	106.6		90			Percent of total billed charges		147.6	40			Percent of total billed charges		65.6	80			Percent of total billed charges		131.2	90			Percent of total billed charges		147.6	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	100			Percent of total billed charges		164	100			Percent of total billed charges		164	100			Percent of total billed charges		164	33.3			Percent of total billed charges		54.612	33.3			Percent of total billed charges		54.612	100			Percent of total billed charges		164	54.612	147.6	
ess pouch  specimen retrieval bag endopouch retriever ethicon	272	RC	Outpatient			164	106.6		90			Percent of total billed charges		147.6	40			Percent of total billed charges		65.6	80			Percent of total billed charges		131.2	90			Percent of total billed charges		147.6	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	100			Percent of total billed charges		164	100			Percent of total billed charges		164	100			Percent of total billed charges		164	33.3			Percent of total billed charges		54.612	33.3			Percent of total billed charges		54.612	100			Percent of total billed charges		164	54.612	147.6	
ees pouch	272	RC	Outpatient			164	106.6		90			Percent of total billed charges		147.6	40			Percent of total billed charges		65.6	80			Percent of total billed charges		131.2	90			Percent of total billed charges		147.6	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	100			Percent of total billed charges		164	100			Percent of total billed charges		164	100			Percent of total billed charges		164	33.3			Percent of total billed charges		54.612	33.3			Percent of total billed charges		54.612	100			Percent of total billed charges		164	54.612	147.6	
peri-loc vlp 5.0 x 10mm osteopenia screw  71822010s/n	278	RC	Outpatient			164	106.6		90			Percent of total billed charges		147.6	40			Percent of total billed charges		65.6	80			Percent of total billed charges		131.2	90			Percent of total billed charges		147.6	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	100			Percent of total billed charges		164	100			Percent of total billed charges		164	100			Percent of total billed charges		164	33.3			Percent of total billed charges		54.612	33.3			Percent of total billed charges		54.612	100			Percent of total billed charges		164	54.612	147.6	
peri-loc vlp 5.0 x 12mm osteopenia screw  71822012 s/n	278	RC	Outpatient			164	106.6		90			Percent of total billed charges		147.6	40			Percent of total billed charges		65.6	80			Percent of total billed charges		131.2	90			Percent of total billed charges		147.6	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	100			Percent of total billed charges		164	100			Percent of total billed charges		164	100			Percent of total billed charges		164	33.3			Percent of total billed charges		54.612	33.3			Percent of total billed charges		54.612	100			Percent of total billed charges		164	54.612	147.6	
peri-loc vlp 5.0 x 20mm osteopenia screw  71822020 s/n	278	RC	Outpatient			164	106.6		90			Percent of total billed charges		147.6	40			Percent of total billed charges		65.6	80			Percent of total billed charges		131.2	90			Percent of total billed charges		147.6	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	100			Percent of total billed charges		164	100			Percent of total billed charges		164	100			Percent of total billed charges		164	33.3			Percent of total billed charges		54.612	33.3			Percent of total billed charges		54.612	100			Percent of total billed charges		164	54.612	147.6	
peri-loc vlp 5.0 x 28mm osteopenia screw  71822028 s/n	278	RC	Outpatient			164	106.6		90			Percent of total billed charges		147.6	40			Percent of total billed charges		65.6	80			Percent of total billed charges		131.2	90			Percent of total billed charges		147.6	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	100			Percent of total billed charges		164	100			Percent of total billed charges		164	100			Percent of total billed charges		164	33.3			Percent of total billed charges		54.612	33.3			Percent of total billed charges		54.612	100			Percent of total billed charges		164	54.612	147.6	
peri-loc vlp 5.0 x 30mm osteopenia screw  71821130 s/n	278	RC	Outpatient			164	106.6		90			Percent of total billed charges		147.6	40			Percent of total billed charges		65.6	80			Percent of total billed charges		131.2	90			Percent of total billed charges		147.6	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	100			Percent of total billed charges		164	100			Percent of total billed charges		164	100			Percent of total billed charges		164	33.3			Percent of total billed charges		54.612	33.3			Percent of total billed charges		54.612	100			Percent of total billed charges		164	54.612	147.6	
peri-loc vlp 5.0 x 30mm osteopenia screw  71822030 s/n	278	RC	Outpatient			164	106.6		90			Percent of total billed charges		147.6	40			Percent of total billed charges		65.6	80			Percent of total billed charges		131.2	90			Percent of total billed charges		147.6	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	100			Percent of total billed charges		164	100			Percent of total billed charges		164	100			Percent of total billed charges		164	33.3			Percent of total billed charges		54.612	33.3			Percent of total billed charges		54.612	100			Percent of total billed charges		164	54.612	147.6	
peri-loc vlp 5.0 x 34mm osteopenia screw  71821134 s/n	278	RC	Outpatient			164	106.6		90			Percent of total billed charges		147.6	40			Percent of total billed charges		65.6	80			Percent of total billed charges		131.2	90			Percent of total billed charges		147.6	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	100			Percent of total billed charges		164	100			Percent of total billed charges		164	100			Percent of total billed charges		164	33.3			Percent of total billed charges		54.612	33.3			Percent of total billed charges		54.612	100			Percent of total billed charges		164	54.612	147.6	
peri-loc vlp 5.0 x 36mm osteopenia screw  71821136 s/n	278	RC	Outpatient			164	106.6		90			Percent of total billed charges		147.6	40			Percent of total billed charges		65.6	80			Percent of total billed charges		131.2	90			Percent of total billed charges		147.6	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	100			Percent of total billed charges		164	100			Percent of total billed charges		164	100			Percent of total billed charges		164	33.3			Percent of total billed charges		54.612	33.3			Percent of total billed charges		54.612	100			Percent of total billed charges		164	54.612	147.6	
peri-loc vlp 5.0 x 38mm osteopenia screw  71822038 s/n	278	RC	Outpatient			164	106.6		90			Percent of total billed charges		147.6	40			Percent of total billed charges		65.6	80			Percent of total billed charges		131.2	90			Percent of total billed charges		147.6	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	100			Percent of total billed charges		164	100			Percent of total billed charges		164	100			Percent of total billed charges		164	33.3			Percent of total billed charges		54.612	33.3			Percent of total billed charges		54.612	100			Percent of total billed charges		164	54.612	147.6	
peri-loc vlp 5.0 x 40mm osteopenia screw  71821140 s/n	278	RC	Outpatient			164	106.6		90			Percent of total billed charges		147.6	40			Percent of total billed charges		65.6	80			Percent of total billed charges		131.2	90			Percent of total billed charges		147.6	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	100			Percent of total billed charges		164	100			Percent of total billed charges		164	100			Percent of total billed charges		164	33.3			Percent of total billed charges		54.612	33.3			Percent of total billed charges		54.612	100			Percent of total billed charges		164	54.612	147.6	
peri-loc vlp 5.0 x 40mm osteopenia screw  71822040 s/n	278	RC	Outpatient			164	106.6		90			Percent of total billed charges		147.6	40			Percent of total billed charges		65.6	80			Percent of total billed charges		131.2	90			Percent of total billed charges		147.6	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	100			Percent of total billed charges		164	100			Percent of total billed charges		164	100			Percent of total billed charges		164	33.3			Percent of total billed charges		54.612	33.3			Percent of total billed charges		54.612	100			Percent of total billed charges		164	54.612	147.6	
peri-loc vlp 5.0 x 42mm osteopenia screw  71821142 s/n	278	RC	Outpatient			164	106.6		90			Percent of total billed charges		147.6	40			Percent of total billed charges		65.6	80			Percent of total billed charges		131.2	90			Percent of total billed charges		147.6	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	100			Percent of total billed charges		164	100			Percent of total billed charges		164	100			Percent of total billed charges		164	33.3			Percent of total billed charges		54.612	33.3			Percent of total billed charges		54.612	100			Percent of total billed charges		164	54.612	147.6	
peri-loc vlp 5.0 x 42mm osteopenia screw  71822042 s/n	278	RC	Outpatient			164	106.6		90			Percent of total billed charges		147.6	40			Percent of total billed charges		65.6	80			Percent of total billed charges		131.2	90			Percent of total billed charges		147.6	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	100			Percent of total billed charges		164	100			Percent of total billed charges		164	100			Percent of total billed charges		164	33.3			Percent of total billed charges		54.612	33.3			Percent of total billed charges		54.612	100			Percent of total billed charges		164	54.612	147.6	
peri-loc vlp 5.0 x 44mm osteopenia screw  71822044 s/n	278	RC	Outpatient			164	106.6		90			Percent of total billed charges		147.6	40			Percent of total billed charges		65.6	80			Percent of total billed charges		131.2	90			Percent of total billed charges		147.6	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	100			Percent of total billed charges		164	100			Percent of total billed charges		164	100			Percent of total billed charges		164	33.3			Percent of total billed charges		54.612	33.3			Percent of total billed charges		54.612	100			Percent of total billed charges		164	54.612	147.6	
peri-loc vlp 5.0 x 48mm osteopenia screw  71821148 s/n	278	RC	Outpatient			164	106.6		90			Percent of total billed charges		147.6	40			Percent of total billed charges		65.6	80			Percent of total billed charges		131.2	90			Percent of total billed charges		147.6	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	100			Percent of total billed charges		164	100			Percent of total billed charges		164	100			Percent of total billed charges		164	33.3			Percent of total billed charges		54.612	33.3			Percent of total billed charges		54.612	100			Percent of total billed charges		164	54.612	147.6	
peri-loc vlp 5.0 x 50mm osteopenia screw  71821150 s/n	278	RC	Outpatient			164	106.6		90			Percent of total billed charges		147.6	40			Percent of total billed charges		65.6	80			Percent of total billed charges		131.2	90			Percent of total billed charges		147.6	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	100			Percent of total billed charges		164	100			Percent of total billed charges		164	100			Percent of total billed charges		164	33.3			Percent of total billed charges		54.612	33.3			Percent of total billed charges		54.612	100			Percent of total billed charges		164	54.612	147.6	
peri-loc vlp 5.0 x 60mm osteopenia screw  71821160 s/n	278	RC	Outpatient			164	106.6		90			Percent of total billed charges		147.6	40			Percent of total billed charges		65.6	80			Percent of total billed charges		131.2	90			Percent of total billed charges		147.6	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	100			Percent of total billed charges		164	100			Percent of total billed charges		164	100			Percent of total billed charges		164	33.3			Percent of total billed charges		54.612	33.3			Percent of total billed charges		54.612	100			Percent of total billed charges		164	54.612	147.6	
peri-loc vlp 5.0 x 65mm osteopenia screw  71821165 s/n	278	RC	Outpatient			164	106.6		90			Percent of total billed charges		147.6	40			Percent of total billed charges		65.6	80			Percent of total billed charges		131.2	90			Percent of total billed charges		147.6	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	100			Percent of total billed charges		164	100			Percent of total billed charges		164	100			Percent of total billed charges		164	33.3			Percent of total billed charges		54.612	33.3			Percent of total billed charges		54.612	100			Percent of total billed charges		164	54.612	147.6	
peri-loc vlp 5.0 x 70mm osteopenia screw  71821170 s/n	278	RC	Outpatient			164	106.6		90			Percent of total billed charges		147.6	40			Percent of total billed charges		65.6	80			Percent of total billed charges		131.2	90			Percent of total billed charges		147.6	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	100			Percent of total billed charges		164	100			Percent of total billed charges		164	100			Percent of total billed charges		164	33.3			Percent of total billed charges		54.612	33.3			Percent of total billed charges		54.612	100			Percent of total billed charges		164	54.612	147.6	
peri-loc vlp 5.0 x 75mm osteopenia screw  71821175 s/n	278	RC	Outpatient			164	106.6		90			Percent of total billed charges		147.6	40			Percent of total billed charges		65.6	80			Percent of total billed charges		131.2	90			Percent of total billed charges		147.6	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	100			Percent of total billed charges		164	100			Percent of total billed charges		164	100			Percent of total billed charges		164	33.3			Percent of total billed charges		54.612	33.3			Percent of total billed charges		54.612	100			Percent of total billed charges		164	54.612	147.6	
peri-loc vlp 5.0 x 14mm osteopenia screw  71822014 s/n	278	RC	Outpatient			164	106.6		90			Percent of total billed charges		147.6	40			Percent of total billed charges		65.6	80			Percent of total billed charges		131.2	90			Percent of total billed charges		147.6	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	100			Percent of total billed charges		164	100			Percent of total billed charges		164	100			Percent of total billed charges		164	33.3			Percent of total billed charges		54.612	33.3			Percent of total billed charges		54.612	100			Percent of total billed charges		164	54.612	147.6	
peri-loc vlp 5.0 x 16mm osteopenia screw  71822016 s/n	278	RC	Outpatient			164	106.6		90			Percent of total billed charges		147.6	40			Percent of total billed charges		65.6	80			Percent of total billed charges		131.2	90			Percent of total billed charges		147.6	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	100			Percent of total billed charges		164	100			Percent of total billed charges		164	100			Percent of total billed charges		164	33.3			Percent of total billed charges		54.612	33.3			Percent of total billed charges		54.612	100			Percent of total billed charges		164	54.612	147.6	
peri-loc vlp 5.0 x 18mm osteopenia screw  71822018 s/n	278	RC	Outpatient			164	106.6		90			Percent of total billed charges		147.6	40			Percent of total billed charges		65.6	80			Percent of total billed charges		131.2	90			Percent of total billed charges		147.6	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	100			Percent of total billed charges		164	100			Percent of total billed charges		164	100			Percent of total billed charges		164	33.3			Percent of total billed charges		54.612	33.3			Percent of total billed charges		54.612	100			Percent of total billed charges		164	54.612	147.6	
peri-loc vlp 5.0 x 22mm osteopenia screw  71822022 s/n	278	RC	Outpatient			164	106.6		90			Percent of total billed charges		147.6	40			Percent of total billed charges		65.6	80			Percent of total billed charges		131.2	90			Percent of total billed charges		147.6	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	100			Percent of total billed charges		164	100			Percent of total billed charges		164	100			Percent of total billed charges		164	33.3			Percent of total billed charges		54.612	33.3			Percent of total billed charges		54.612	100			Percent of total billed charges		164	54.612	147.6	
peri-loc vlp 5.0 x 24mm osteopenia screw  71822024 s/n	278	RC	Outpatient			164	106.6		90			Percent of total billed charges		147.6	40			Percent of total billed charges		65.6	80			Percent of total billed charges		131.2	90			Percent of total billed charges		147.6	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	100			Percent of total billed charges		164	100			Percent of total billed charges		164	100			Percent of total billed charges		164	33.3			Percent of total billed charges		54.612	33.3			Percent of total billed charges		54.612	100			Percent of total billed charges		164	54.612	147.6	
peri-loc vlp 5.0 x 26mm osteopenia screw  71821126 s/n	278	RC	Outpatient			164	106.6		90			Percent of total billed charges		147.6	40			Percent of total billed charges		65.6	80			Percent of total billed charges		131.2	90			Percent of total billed charges		147.6	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	100			Percent of total billed charges		164	100			Percent of total billed charges		164	100			Percent of total billed charges		164	33.3			Percent of total billed charges		54.612	33.3			Percent of total billed charges		54.612	100			Percent of total billed charges		164	54.612	147.6	
peri-loc vlp 5.0 x 26mm osteopenia screw  71822026 s/n	278	RC	Outpatient			164	106.6		90			Percent of total billed charges		147.6	40			Percent of total billed charges		65.6	80			Percent of total billed charges		131.2	90			Percent of total billed charges		147.6	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	100			Percent of total billed charges		164	100			Percent of total billed charges		164	100			Percent of total billed charges		164	33.3			Percent of total billed charges		54.612	33.3			Percent of total billed charges		54.612	100			Percent of total billed charges		164	54.612	147.6	
peri-loc vlp 5.0 x 28mm osteopenia screw  71821128 s/n	278	RC	Outpatient			164	106.6		90			Percent of total billed charges		147.6	40			Percent of total billed charges		65.6	80			Percent of total billed charges		131.2	90			Percent of total billed charges		147.6	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	100			Percent of total billed charges		164	100			Percent of total billed charges		164	100			Percent of total billed charges		164	33.3			Percent of total billed charges		54.612	33.3			Percent of total billed charges		54.612	100			Percent of total billed charges		164	54.612	147.6	
peri-loc vlp 5.0 x 32mm osteopenia screw  71821132 s/n	278	RC	Outpatient			164	106.6		90			Percent of total billed charges		147.6	40			Percent of total billed charges		65.6	80			Percent of total billed charges		131.2	90			Percent of total billed charges		147.6	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	100			Percent of total billed charges		164	100			Percent of total billed charges		164	100			Percent of total billed charges		164	33.3			Percent of total billed charges		54.612	33.3			Percent of total billed charges		54.612	100			Percent of total billed charges		164	54.612	147.6	
peri-loc vlp 5.0 x 32mm osteopenia screw  71822032 s/n	278	RC	Outpatient			164	106.6		90			Percent of total billed charges		147.6	40			Percent of total billed charges		65.6	80			Percent of total billed charges		131.2	90			Percent of total billed charges		147.6	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	100			Percent of total billed charges		164	100			Percent of total billed charges		164	100			Percent of total billed charges		164	33.3			Percent of total billed charges		54.612	33.3			Percent of total billed charges		54.612	100			Percent of total billed charges		164	54.612	147.6	
peri-loc vlp 5.0 x 34mm osteopenia screw  71822034 s/n	278	RC	Outpatient			164	106.6		90			Percent of total billed charges		147.6	40			Percent of total billed charges		65.6	80			Percent of total billed charges		131.2	90			Percent of total billed charges		147.6	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	100			Percent of total billed charges		164	100			Percent of total billed charges		164	100			Percent of total billed charges		164	33.3			Percent of total billed charges		54.612	33.3			Percent of total billed charges		54.612	100			Percent of total billed charges		164	54.612	147.6	
peri-loc vlp 5.0 x 36mm osteopenia screw  71822036 s/n	278	RC	Outpatient			164	106.6		90			Percent of total billed charges		147.6	40			Percent of total billed charges		65.6	80			Percent of total billed charges		131.2	90			Percent of total billed charges		147.6	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	100			Percent of total billed charges		164	100			Percent of total billed charges		164	100			Percent of total billed charges		164	33.3			Percent of total billed charges		54.612	33.3			Percent of total billed charges		54.612	100			Percent of total billed charges		164	54.612	147.6	
peri-loc vlp 5.0 x 38mm osteopenia screw  71821138 s/n	278	RC	Outpatient			164	106.6		90			Percent of total billed charges		147.6	40			Percent of total billed charges		65.6	80			Percent of total billed charges		131.2	90			Percent of total billed charges		147.6	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	100			Percent of total billed charges		164	100			Percent of total billed charges		164	100			Percent of total billed charges		164	33.3			Percent of total billed charges		54.612	33.3			Percent of total billed charges		54.612	100			Percent of total billed charges		164	54.612	147.6	
peri-loc vlp 5.0 x 44mm osteopenia screw  71821144 s/n	278	RC	Outpatient			164	106.6		90			Percent of total billed charges		147.6	40			Percent of total billed charges		65.6	80			Percent of total billed charges		131.2	90			Percent of total billed charges		147.6	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	100			Percent of total billed charges		164	100			Percent of total billed charges		164	100			Percent of total billed charges		164	33.3			Percent of total billed charges		54.612	33.3			Percent of total billed charges		54.612	100			Percent of total billed charges		164	54.612	147.6	
peri-loc vlp 5.0 x 46mm osteopenia screw  71821146 s/n	278	RC	Outpatient			164	106.6		90			Percent of total billed charges		147.6	40			Percent of total billed charges		65.6	80			Percent of total billed charges		131.2	90			Percent of total billed charges		147.6	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	100			Percent of total billed charges		164	100			Percent of total billed charges		164	100			Percent of total billed charges		164	33.3			Percent of total billed charges		54.612	33.3			Percent of total billed charges		54.612	100			Percent of total billed charges		164	54.612	147.6	
peri-loc vlp 5.0 x 46mm osteopenia screw  71822046 s/n	278	RC	Outpatient			164	106.6		90			Percent of total billed charges		147.6	40			Percent of total billed charges		65.6	80			Percent of total billed charges		131.2	90			Percent of total billed charges		147.6	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	100			Percent of total billed charges		164	100			Percent of total billed charges		164	100			Percent of total billed charges		164	33.3			Percent of total billed charges		54.612	33.3			Percent of total billed charges		54.612	100			Percent of total billed charges		164	54.612	147.6	
peri-loc vlp 5.0 x 48mm osteopenia screw  71822048 s/n	278	RC	Outpatient			164	106.6		90			Percent of total billed charges		147.6	40			Percent of total billed charges		65.6	80			Percent of total billed charges		131.2	90			Percent of total billed charges		147.6	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	100			Percent of total billed charges		164	100			Percent of total billed charges		164	100			Percent of total billed charges		164	33.3			Percent of total billed charges		54.612	33.3			Percent of total billed charges		54.612	100			Percent of total billed charges		164	54.612	147.6	
peri-loc vlp 5.0 x 50mm osteopenia screw  71822050 s/n	278	RC	Outpatient			164	106.6		90			Percent of total billed charges		147.6	40			Percent of total billed charges		65.6	80			Percent of total billed charges		131.2	90			Percent of total billed charges		147.6	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	100			Percent of total billed charges		164	100			Percent of total billed charges		164	100			Percent of total billed charges		164	33.3			Percent of total billed charges		54.612	33.3			Percent of total billed charges		54.612	100			Percent of total billed charges		164	54.612	147.6	
peri-loc vlp 5.0 x 55mm osteopenia screw  71821155 s/n	278	RC	Outpatient			164	106.6		90			Percent of total billed charges		147.6	40			Percent of total billed charges		65.6	80			Percent of total billed charges		131.2	90			Percent of total billed charges		147.6	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	100			Percent of total billed charges		164	100			Percent of total billed charges		164	100			Percent of total billed charges		164	33.3			Percent of total billed charges		54.612	33.3			Percent of total billed charges		54.612	100			Percent of total billed charges		164	54.612	147.6	
peri-loc vlp 5.0 x 55mm osteopenia screw  71822055 s/n	278	RC	Outpatient			164	106.6		90			Percent of total billed charges		147.6	40			Percent of total billed charges		65.6	80			Percent of total billed charges		131.2	90			Percent of total billed charges		147.6	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	100			Percent of total billed charges		164	100			Percent of total billed charges		164	100			Percent of total billed charges		164	33.3			Percent of total billed charges		54.612	33.3			Percent of total billed charges		54.612	100			Percent of total billed charges		164	54.612	147.6	
peri-loc vlp 5.0 x 60mm osteopenia screw  71822060 s/n	278	RC	Outpatient			164	106.6		90			Percent of total billed charges		147.6	40			Percent of total billed charges		65.6	80			Percent of total billed charges		131.2	90			Percent of total billed charges		147.6	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	100			Percent of total billed charges		164	100			Percent of total billed charges		164	100			Percent of total billed charges		164	33.3			Percent of total billed charges		54.612	33.3			Percent of total billed charges		54.612	100			Percent of total billed charges		164	54.612	147.6	
peri-loc vlp 5.0 x 65mm osteopenia screw  71822065 s/n	278	RC	Outpatient			164	106.6		90			Percent of total billed charges		147.6	40			Percent of total billed charges		65.6	80			Percent of total billed charges		131.2	90			Percent of total billed charges		147.6	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	100			Percent of total billed charges		164	100			Percent of total billed charges		164	100			Percent of total billed charges		164	33.3			Percent of total billed charges		54.612	33.3			Percent of total billed charges		54.612	100			Percent of total billed charges		164	54.612	147.6	
peri-loc vlp 5.0 x 70mm osteopenia screw  71822070 s/n	278	RC	Outpatient			164	106.6		90			Percent of total billed charges		147.6	40			Percent of total billed charges		65.6	80			Percent of total billed charges		131.2	90			Percent of total billed charges		147.6	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	100			Percent of total billed charges		164	100			Percent of total billed charges		164	100			Percent of total billed charges		164	33.3			Percent of total billed charges		54.612	33.3			Percent of total billed charges		54.612	100			Percent of total billed charges		164	54.612	147.6	
peri-loc vlp 5.0 x 75mm osteopenia screw  71822075 s/n	278	RC	Outpatient			164	106.6		90			Percent of total billed charges		147.6	40			Percent of total billed charges		65.6	80			Percent of total billed charges		131.2	90			Percent of total billed charges		147.6	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	100			Percent of total billed charges		164	100			Percent of total billed charges		164	100			Percent of total billed charges		164	33.3			Percent of total billed charges		54.612	33.3			Percent of total billed charges		54.612	100			Percent of total billed charges		164	54.612	147.6	
peri-loc vlp 5.0 x 80mm osteopenia screw  71821180 s/n	278	RC	Outpatient			164	106.6		90			Percent of total billed charges		147.6	40			Percent of total billed charges		65.6	80			Percent of total billed charges		131.2	90			Percent of total billed charges		147.6	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	100			Percent of total billed charges		164	100			Percent of total billed charges		164	100			Percent of total billed charges		164	33.3			Percent of total billed charges		54.612	33.3			Percent of total billed charges		54.612	100			Percent of total billed charges		164	54.612	147.6	
peri-loc vlp 5.0 x 80mm osteopenia screw  71822080 s/n	278	RC	Outpatient			164	106.6		90			Percent of total billed charges		147.6	40			Percent of total billed charges		65.6	80			Percent of total billed charges		131.2	90			Percent of total billed charges		147.6	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	100			Percent of total billed charges		164	100			Percent of total billed charges		164	100			Percent of total billed charges		164	33.3			Percent of total billed charges		54.612	33.3			Percent of total billed charges		54.612	100			Percent of total billed charges		164	54.612	147.6	
peri-loc vlp scr 5.0 op	278	RC	Outpatient			164	106.6		90			Percent of total billed charges		147.6	40			Percent of total billed charges		65.6	80			Percent of total billed charges		131.2	90			Percent of total billed charges		147.6	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	85			Percent of total billed charges		139.4	100			Percent of total billed charges		164	100			Percent of total billed charges		164	100			Percent of total billed charges		164	33.3			Percent of total billed charges		54.612	33.3			Percent of total billed charges		54.612	100			Percent of total billed charges		164	54.612	147.6	
scpf kit powerwand xl 3fr 6cm	270	RC	Outpatient			164.3	106.8		90			Percent of total billed charges		147.87	40			Percent of total billed charges		65.72	80			Percent of total billed charges		131.44	90			Percent of total billed charges		147.87	85			Percent of total billed charges		139.655	85			Percent of total billed charges		139.655	85			Percent of total billed charges		139.655	100			Percent of total billed charges		164.3	100			Percent of total billed charges		164.3	100			Percent of total billed charges		164.3	33.3			Percent of total billed charges		54.7119	33.3			Percent of total billed charges		54.7119	100			Percent of total billed charges		164.3	54.7119	147.87	
99149 moderate sedation-different physician-5 years or older	983	RC	Outpatient			165	107.25		90			Percent of total billed charges		148.5	40			Percent of total billed charges		66	80			Percent of total billed charges		132	90			Percent of total billed charges		148.5	85			Percent of total billed charges		140.25	85			Percent of total billed charges		140.25	85			Percent of total billed charges		140.25	100			Percent of total billed charges		165	100			Percent of total billed charges		165	100			Percent of total billed charges		165	33.3			Percent of total billed charges		54.945	33.3			Percent of total billed charges		54.945	100			Percent of total billed charges		165	54.945	148.5	
biomet bone cement r 1 x 40 110035368 zimmer biomet	278	RC	Outpatient			165	107.25		90			Percent of total billed charges		148.5	40			Percent of total billed charges		66	80			Percent of total billed charges		132	90			Percent of total billed charges		148.5	85			Percent of total billed charges		140.25	85			Percent of total billed charges		140.25	85			Percent of total billed charges		140.25	100			Percent of total billed charges		165	100			Percent of total billed charges		165	100			Percent of total billed charges		165	33.3			Percent of total billed charges		54.945	33.3			Percent of total billed charges		54.945	100			Percent of total billed charges		165	54.945	148.5	
drill bit 2.8 drl096006801 intregra	272	RC	Outpatient			165	107.25		90			Percent of total billed charges		148.5	40			Percent of total billed charges		66	80			Percent of total billed charges		132	90			Percent of total billed charges		148.5	85			Percent of total billed charges		140.25	85			Percent of total billed charges		140.25	85			Percent of total billed charges		140.25	100			Percent of total billed charges		165	100			Percent of total billed charges		165	100			Percent of total billed charges		165	33.3			Percent of total billed charges		54.945	33.3			Percent of total billed charges		54.945	100			Percent of total billed charges		165	54.945	148.5	
integra drill 2.5/2.8	272	RC	Outpatient			165	107.25		90			Percent of total billed charges		148.5	40			Percent of total billed charges		66	80			Percent of total billed charges		132	90			Percent of total billed charges		148.5	85			Percent of total billed charges		140.25	85			Percent of total billed charges		140.25	85			Percent of total billed charges		140.25	100			Percent of total billed charges		165	100			Percent of total billed charges		165	100			Percent of total billed charges		165	33.3			Percent of total billed charges		54.945	33.3			Percent of total billed charges		54.945	100			Percent of total billed charges		165	54.945	148.5	
level 1 warmer d-50	270	RC	Outpatient			165	107.25		90			Percent of total billed charges		148.5	40			Percent of total billed charges		66	80			Percent of total billed charges		132	90			Percent of total billed charges		148.5	85			Percent of total billed charges		140.25	85			Percent of total billed charges		140.25	85			Percent of total billed charges		140.25	100			Percent of total billed charges		165	100			Percent of total billed charges		165	100			Percent of total billed charges		165	33.3			Percent of total billed charges		54.945	33.3			Percent of total billed charges		54.945	100			Percent of total billed charges		165	54.945	148.5	
measuring cath supertorqu	272	RC	Outpatient			165	107.25		90			Percent of total billed charges		148.5	40			Percent of total billed charges		66	80			Percent of total billed charges		132	90			Percent of total billed charges		148.5	85			Percent of total billed charges		140.25	85			Percent of total billed charges		140.25	85			Percent of total billed charges		140.25	100			Percent of total billed charges		165	100			Percent of total billed charges		165	100			Percent of total billed charges		165	33.3			Percent of total billed charges		54.945	33.3			Percent of total billed charges		54.945	100			Percent of total billed charges		165	54.945	148.5	
set iv blood fluid warming d-50	270	RC	Outpatient			165	107.25		90			Percent of total billed charges		148.5	40			Percent of total billed charges		66	80			Percent of total billed charges		132	90			Percent of total billed charges		148.5	85			Percent of total billed charges		140.25	85			Percent of total billed charges		140.25	85			Percent of total billed charges		140.25	100			Percent of total billed charges		165	100			Percent of total billed charges		165	100			Percent of total billed charges		165	33.3			Percent of total billed charges		54.945	33.3			Percent of total billed charges		54.945	100			Percent of total billed charges		165	54.945	148.5	
super torque mb flush cath pigtail cordis 532-598c	272	RC	Outpatient			165	107.25		90			Percent of total billed charges		148.5	40			Percent of total billed charges		66	80			Percent of total billed charges		132	90			Percent of total billed charges		148.5	85			Percent of total billed charges		140.25	85			Percent of total billed charges		140.25	85			Percent of total billed charges		140.25	100			Percent of total billed charges		165	100			Percent of total billed charges		165	100			Percent of total billed charges		165	33.3			Percent of total billed charges		54.945	33.3			Percent of total billed charges		54.945	100			Percent of total billed charges		165	54.945	148.5	
blade excursion tapered 22.5mm 296-037-133 stryker	270	RC	Outpatient			166	107.9		90			Percent of total billed charges		149.4	40			Percent of total billed charges		66.4	80			Percent of total billed charges		132.8	90			Percent of total billed charges		149.4	85			Percent of total billed charges		141.1	85			Percent of total billed charges		141.1	85			Percent of total billed charges		141.1	100			Percent of total billed charges		166	100			Percent of total billed charges		166	100			Percent of total billed charges		166	33.3			Percent of total billed charges		55.278	33.3			Percent of total billed charges		55.278	100			Percent of total billed charges		166	55.278	149.4	
kelman tip	270	RC	Outpatient			166	107.9		90			Percent of total billed charges		149.4	40			Percent of total billed charges		66.4	80			Percent of total billed charges		132.8	90			Percent of total billed charges		149.4	85			Percent of total billed charges		141.1	85			Percent of total billed charges		141.1	85			Percent of total billed charges		141.1	100			Percent of total billed charges		166	100			Percent of total billed charges		166	100			Percent of total billed charges		166	33.3			Percent of total billed charges		55.278	33.3			Percent of total billed charges		55.278	100			Percent of total billed charges		166	55.278	149.4	
screw 1.5 x 8mm 400.808	278	RC	Outpatient			166	107.9		90			Percent of total billed charges		149.4	40			Percent of total billed charges		66.4	80			Percent of total billed charges		132.8	90			Percent of total billed charges		149.4	85			Percent of total billed charges		141.1	85			Percent of total billed charges		141.1	85			Percent of total billed charges		141.1	100			Percent of total billed charges		166	100			Percent of total billed charges		166	100			Percent of total billed charges		166	33.3			Percent of total billed charges		55.278	33.3			Percent of total billed charges		55.278	100			Percent of total billed charges		166	55.278	149.4	
screw self drill 4mm 400.774	278	RC	Outpatient			166	107.9		90			Percent of total billed charges		149.4	40			Percent of total billed charges		66.4	80			Percent of total billed charges		132.8	90			Percent of total billed charges		149.4	85			Percent of total billed charges		141.1	85			Percent of total billed charges		141.1	85			Percent of total billed charges		141.1	100			Percent of total billed charges		166	100			Percent of total billed charges		166	100			Percent of total billed charges		166	33.3			Percent of total billed charges		55.278	33.3			Percent of total billed charges		55.278	100			Percent of total billed charges		166	55.278	149.4	
screw self drilling 4mm 400.764	278	RC	Outpatient			166	107.9		90			Percent of total billed charges		149.4	40			Percent of total billed charges		66.4	80			Percent of total billed charges		132.8	90			Percent of total billed charges		149.4	85			Percent of total billed charges		141.1	85			Percent of total billed charges		141.1	85			Percent of total billed charges		141.1	100			Percent of total billed charges		166	100			Percent of total billed charges		166	100			Percent of total billed charges		166	33.3			Percent of total billed charges		55.278	33.3			Percent of total billed charges		55.278	100			Percent of total billed charges		166	55.278	149.4	
screw self drilling 5mm 400.765	278	RC	Outpatient			166	107.9		90			Percent of total billed charges		149.4	40			Percent of total billed charges		66.4	80			Percent of total billed charges		132.8	90			Percent of total billed charges		149.4	85			Percent of total billed charges		141.1	85			Percent of total billed charges		141.1	85			Percent of total billed charges		141.1	100			Percent of total billed charges		166	100			Percent of total billed charges		166	100			Percent of total billed charges		166	33.3			Percent of total billed charges		55.278	33.3			Percent of total billed charges		55.278	100			Percent of total billed charges		166	55.278	149.4	
screw titanium 445.49 synthes	278	RC	Outpatient			166	107.9		90			Percent of total billed charges		149.4	40			Percent of total billed charges		66.4	80			Percent of total billed charges		132.8	90			Percent of total billed charges		149.4	85			Percent of total billed charges		141.1	85			Percent of total billed charges		141.1	85			Percent of total billed charges		141.1	100			Percent of total billed charges		166	100			Percent of total billed charges		166	100			Percent of total billed charges		166	33.3			Percent of total billed charges		55.278	33.3			Percent of total billed charges		55.278	100			Percent of total billed charges		166	55.278	149.4	
tapered excursion blade	270	RC	Outpatient			166	107.9		90			Percent of total billed charges		149.4	40			Percent of total billed charges		66.4	80			Percent of total billed charges		132.8	90			Percent of total billed charges		149.4	85			Percent of total billed charges		141.1	85			Percent of total billed charges		141.1	85			Percent of total billed charges		141.1	100			Percent of total billed charges		166	100			Percent of total billed charges		166	100			Percent of total billed charges		166	33.3			Percent of total billed charges		55.278	33.3			Percent of total billed charges		55.278	100			Percent of total billed charges		166	55.278	149.4	
syn sc titanium	278	RC	Outpatient			166	107.9		90			Percent of total billed charges		149.4	40			Percent of total billed charges		66.4	80			Percent of total billed charges		132.8	90			Percent of total billed charges		149.4	85			Percent of total billed charges		141.1	85			Percent of total billed charges		141.1	85			Percent of total billed charges		141.1	100			Percent of total billed charges		166	100			Percent of total billed charges		166	100			Percent of total billed charges		166	33.3			Percent of total billed charges		55.278	33.3			Percent of total billed charges		55.278	100			Percent of total billed charges		166	55.278	149.4	
synthes 1.0 titanium cortex screw with plus drive recess 4mm 400.404	278	RC	Outpatient			166	107.9		90			Percent of total billed charges		149.4	40			Percent of total billed charges		66.4	80			Percent of total billed charges		132.8	90			Percent of total billed charges		149.4	85			Percent of total billed charges		141.1	85			Percent of total billed charges		141.1	85			Percent of total billed charges		141.1	100			Percent of total billed charges		166	100			Percent of total billed charges		166	100			Percent of total billed charges		166	33.3			Percent of total billed charges		55.278	33.3			Percent of total billed charges		55.278	100			Percent of total billed charges		166	55.278	149.4	
s/n mis 3.2mm x 45mm rimmed pin sterileref 74016465	278	RC	Outpatient			166.47	108.21		90			Percent of total billed charges		149.823	40			Percent of total billed charges		66.588	80			Percent of total billed charges		133.176	90			Percent of total billed charges		149.823	85			Percent of total billed charges		141.4995	85			Percent of total billed charges		141.4995	85			Percent of total billed charges		141.4995	100			Percent of total billed charges		166.47	100			Percent of total billed charges		166.47	100			Percent of total billed charges		166.47	33.3			Percent of total billed charges		55.4345	33.3			Percent of total billed charges		55.4345	100			Percent of total billed charges		166.47	55.4345	149.823	
blade full radius mag mini 2.0 7220-1507 s/n	272	RC	Outpatient			167	108.55		90			Percent of total billed charges		150.3	40			Percent of total billed charges		66.8	80			Percent of total billed charges		133.6	90			Percent of total billed charges		150.3	85			Percent of total billed charges		141.95	85			Percent of total billed charges		141.95	85			Percent of total billed charges		141.95	100			Percent of total billed charges		167	100			Percent of total billed charges		167	100			Percent of total billed charges		167	33.3			Percent of total billed charges		55.611	33.3			Percent of total billed charges		55.611	100			Percent of total billed charges		167	55.611	150.3	
fibrillar	272	RC	Outpatient			167	108.55		90			Percent of total billed charges		150.3	40			Percent of total billed charges		66.8	80			Percent of total billed charges		133.6	90			Percent of total billed charges		150.3	85			Percent of total billed charges		141.95	85			Percent of total billed charges		141.95	85			Percent of total billed charges		141.95	100			Percent of total billed charges		167	100			Percent of total billed charges		167	100			Percent of total billed charges		167	33.3			Percent of total billed charges		55.611	33.3			Percent of total billed charges		55.611	100			Percent of total billed charges		167	55.611	150.3	
fibrillar 1 x 2 1961 ethicon	272	RC	Outpatient			167	108.55		90			Percent of total billed charges		150.3	40			Percent of total billed charges		66.8	80			Percent of total billed charges		133.6	90			Percent of total billed charges		150.3	85			Percent of total billed charges		141.95	85			Percent of total billed charges		141.95	85			Percent of total billed charges		141.95	100			Percent of total billed charges		167	100			Percent of total billed charges		167	100			Percent of total billed charges		167	33.3			Percent of total billed charges		55.611	33.3			Percent of total billed charges		55.611	100			Percent of total billed charges		167	55.611	150.3	
syn schanz scw 5.0	270	RC	Outpatient			167	108.55		90			Percent of total billed charges		150.3	40			Percent of total billed charges		66.8	80			Percent of total billed charges		133.6	90			Percent of total billed charges		150.3	85			Percent of total billed charges		141.95	85			Percent of total billed charges		141.95	85			Percent of total billed charges		141.95	100			Percent of total billed charges		167	100			Percent of total billed charges		167	100			Percent of total billed charges		167	33.3			Percent of total billed charges		55.611	33.3			Percent of total billed charges		55.611	100			Percent of total billed charges		167	55.611	150.3	
richards distal centralzr	278	RC	Outpatient			167	108.55		90			Percent of total billed charges		150.3	40			Percent of total billed charges		66.8	80			Percent of total billed charges		133.6	90			Percent of total billed charges		150.3	85			Percent of total billed charges		141.95	85			Percent of total billed charges		141.95	85			Percent of total billed charges		141.95	100			Percent of total billed charges		167	100			Percent of total billed charges		167	100			Percent of total billed charges		167	33.3			Percent of total billed charges		55.611	33.3			Percent of total billed charges		55.611	100			Percent of total billed charges		167	55.611	150.3	
blade oxford recip	270	RC	Outpatient			168	109.2		90			Percent of total billed charges		151.2	40			Percent of total billed charges		67.2	80			Percent of total billed charges		134.4	90			Percent of total billed charges		151.2	85			Percent of total billed charges		142.8	85			Percent of total billed charges		142.8	85			Percent of total billed charges		142.8	100			Percent of total billed charges		168	100			Percent of total billed charges		168	100			Percent of total billed charges		168	33.3			Percent of total billed charges		55.944	33.3			Percent of total billed charges		55.944	100			Percent of total billed charges		168	55.944	151.2	
blade total knee 11-2210	270	RC	Outpatient			168	109.2		90			Percent of total billed charges		151.2	40			Percent of total billed charges		67.2	80			Percent of total billed charges		134.4	90			Percent of total billed charges		151.2	85			Percent of total billed charges		142.8	85			Percent of total billed charges		142.8	85			Percent of total billed charges		142.8	100			Percent of total billed charges		168	100			Percent of total billed charges		168	100			Percent of total billed charges		168	33.3			Percent of total billed charges		55.944	33.3			Percent of total billed charges		55.944	100			Percent of total billed charges		168	55.944	151.2	
crescentic blade 12.9 zm-11 omega	270	RC	Outpatient			168	109.2		90			Percent of total billed charges		151.2	40			Percent of total billed charges		67.2	80			Percent of total billed charges		134.4	90			Percent of total billed charges		151.2	85			Percent of total billed charges		142.8	85			Percent of total billed charges		142.8	85			Percent of total billed charges		142.8	100			Percent of total billed charges		168	100			Percent of total billed charges		168	100			Percent of total billed charges		168	33.3			Percent of total billed charges		55.944	33.3			Percent of total billed charges		55.944	100			Percent of total billed charges		168	55.944	151.2	
oxford recip sawblade 277325 biomet	270	RC	Outpatient			168	109.2		90			Percent of total billed charges		151.2	40			Percent of total billed charges		67.2	80			Percent of total billed charges		134.4	90			Percent of total billed charges		151.2	85			Percent of total billed charges		142.8	85			Percent of total billed charges		142.8	85			Percent of total billed charges		142.8	100			Percent of total billed charges		168	100			Percent of total billed charges		168	100			Percent of total billed charges		168	33.3			Percent of total billed charges		55.944	33.3			Percent of total billed charges		55.944	100			Percent of total billed charges		168	55.944	151.2	
nail sage	278	RC	Outpatient			168	109.2		90			Percent of total billed charges		151.2	40			Percent of total billed charges		67.2	80			Percent of total billed charges		134.4	90			Percent of total billed charges		151.2	85			Percent of total billed charges		142.8	85			Percent of total billed charges		142.8	85			Percent of total billed charges		142.8	100			Percent of total billed charges		168	100			Percent of total billed charges		168	100			Percent of total billed charges		168	33.3			Percent of total billed charges		55.944	33.3			Percent of total billed charges		55.944	100			Percent of total billed charges		168	55.944	151.2	
sawblade oxford 11-2604	270	RC	Outpatient			168	109.2		90			Percent of total billed charges		151.2	40			Percent of total billed charges		67.2	80			Percent of total billed charges		134.4	90			Percent of total billed charges		151.2	85			Percent of total billed charges		142.8	85			Percent of total billed charges		142.8	85			Percent of total billed charges		142.8	100			Percent of total billed charges		168	100			Percent of total billed charges		168	100			Percent of total billed charges		168	33.3			Percent of total billed charges		55.944	33.3			Percent of total billed charges		55.944	100			Percent of total billed charges		168	55.944	151.2	
tap compression quick connect short 4.5mm dia 2346-046-00 zimmer	270	RC	Outpatient			168	109.2		90			Percent of total billed charges		151.2	40			Percent of total billed charges		67.2	80			Percent of total billed charges		134.4	90			Percent of total billed charges		151.2	85			Percent of total billed charges		142.8	85			Percent of total billed charges		142.8	85			Percent of total billed charges		142.8	100			Percent of total billed charges		168	100			Percent of total billed charges		168	100			Percent of total billed charges		168	33.3			Percent of total billed charges		55.944	33.3			Percent of total billed charges		55.944	100			Percent of total billed charges		168	55.944	151.2	
tap compression quick connect short 4.0mm dia 2346-036-00 zimmer	270	RC	Outpatient			168	109.2		90			Percent of total billed charges		151.2	40			Percent of total billed charges		67.2	80			Percent of total billed charges		134.4	90			Percent of total billed charges		151.2	85			Percent of total billed charges		142.8	85			Percent of total billed charges		142.8	85			Percent of total billed charges		142.8	100			Percent of total billed charges		168	100			Percent of total billed charges		168	100			Percent of total billed charges		168	33.3			Percent of total billed charges		55.944	33.3			Percent of total billed charges		55.944	100			Percent of total billed charges		168	55.944	151.2	
zimmer nexgen tap	270	RC	Outpatient			168	109.2		90			Percent of total billed charges		151.2	40			Percent of total billed charges		67.2	80			Percent of total billed charges		134.4	90			Percent of total billed charges		151.2	85			Percent of total billed charges		142.8	85			Percent of total billed charges		142.8	85			Percent of total billed charges		142.8	100			Percent of total billed charges		168	100			Percent of total billed charges		168	100			Percent of total billed charges		168	33.3			Percent of total billed charges		55.944	33.3			Percent of total billed charges		55.944	100			Percent of total billed charges		168	55.944	151.2	
ccpf chemo admin 1 hr	335	RC	Outpatient			168.88	109.77		90			Percent of total billed charges		151.992	40			Percent of total billed charges		67.552	80			Percent of total billed charges		135.104	90			Percent of total billed charges		151.992	85			Percent of total billed charges		143.548	85			Percent of total billed charges		143.548	85			Percent of total billed charges		143.548	100			Percent of total billed charges		168.88	100			Percent of total billed charges		168.88	100			Percent of total billed charges		168.88	33.3			Percent of total billed charges		56.237	33.3			Percent of total billed charges		56.237	100			Percent of total billed charges		168.88	56.237	151.992	
arthrex blade coolcut bone cutter 4.0 ar-8400bc	272	RC	Outpatient			169	109.85		90			Percent of total billed charges		152.1	40			Percent of total billed charges		67.6	80			Percent of total billed charges		135.2	90			Percent of total billed charges		152.1	85			Percent of total billed charges		143.65	85			Percent of total billed charges		143.65	85			Percent of total billed charges		143.65	100			Percent of total billed charges		169	100			Percent of total billed charges		169	100			Percent of total billed charges		169	33.3			Percent of total billed charges		56.277	33.3			Percent of total billed charges		56.277	100			Percent of total billed charges		169	56.277	152.1	
arthrex blade coolcut excalibur 4.0 ar-8400cex	272	RC	Outpatient			169	109.85		90			Percent of total billed charges		152.1	40			Percent of total billed charges		67.6	80			Percent of total billed charges		135.2	90			Percent of total billed charges		152.1	85			Percent of total billed charges		143.65	85			Percent of total billed charges		143.65	85			Percent of total billed charges		143.65	100			Percent of total billed charges		169	100			Percent of total billed charges		169	100			Percent of total billed charges		169	33.3			Percent of total billed charges		56.277	33.3			Percent of total billed charges		56.277	100			Percent of total billed charges		169	56.277	152.1	
arthrex coolcut blade 4.0 curved dissector ar-8400cds	272	RC	Outpatient			169	109.85		90			Percent of total billed charges		152.1	40			Percent of total billed charges		67.6	80			Percent of total billed charges		135.2	90			Percent of total billed charges		152.1	85			Percent of total billed charges		143.65	85			Percent of total billed charges		143.65	85			Percent of total billed charges		143.65	100			Percent of total billed charges		169	100			Percent of total billed charges		169	100			Percent of total billed charges		169	33.3			Percent of total billed charges		56.277	33.3			Percent of total billed charges		56.277	100			Percent of total billed charges		169	56.277	152.1	
arthrex coolcut bn cutter	272	RC	Outpatient			169	109.85		90			Percent of total billed charges		152.1	40			Percent of total billed charges		67.6	80			Percent of total billed charges		135.2	90			Percent of total billed charges		152.1	85			Percent of total billed charges		143.65	85			Percent of total billed charges		143.65	85			Percent of total billed charges		143.65	100			Percent of total billed charges		169	100			Percent of total billed charges		169	100			Percent of total billed charges		169	33.3			Percent of total billed charges		56.277	33.3			Percent of total billed charges		56.277	100			Percent of total billed charges		169	56.277	152.1	
arthrex blade coolcut bone cutter 5.0 ar-8500bc	272	RC	Outpatient			169	109.85		90			Percent of total billed charges		152.1	40			Percent of total billed charges		67.6	80			Percent of total billed charges		135.2	90			Percent of total billed charges		152.1	85			Percent of total billed charges		143.65	85			Percent of total billed charges		143.65	85			Percent of total billed charges		143.65	100			Percent of total billed charges		169	100			Percent of total billed charges		169	100			Percent of total billed charges		169	33.3			Percent of total billed charges		56.277	33.3			Percent of total billed charges		56.277	100			Percent of total billed charges		169	56.277	152.1	
arthrex blade coolcut bone cutter 5.5 ar-8550bc	272	RC	Outpatient			169	109.85		90			Percent of total billed charges		152.1	40			Percent of total billed charges		67.6	80			Percent of total billed charges		135.2	90			Percent of total billed charges		152.1	85			Percent of total billed charges		143.65	85			Percent of total billed charges		143.65	85			Percent of total billed charges		143.65	100			Percent of total billed charges		169	100			Percent of total billed charges		169	100			Percent of total billed charges		169	33.3			Percent of total billed charges		56.277	33.3			Percent of total billed charges		56.277	100			Percent of total billed charges		169	56.277	152.1	
arthrex coolcut bl 4.0 cd	272	RC	Outpatient			169	109.85		90			Percent of total billed charges		152.1	40			Percent of total billed charges		67.6	80			Percent of total billed charges		135.2	90			Percent of total billed charges		152.1	85			Percent of total billed charges		143.65	85			Percent of total billed charges		143.65	85			Percent of total billed charges		143.65	100			Percent of total billed charges		169	100			Percent of total billed charges		169	100			Percent of total billed charges		169	33.3			Percent of total billed charges		56.277	33.3			Percent of total billed charges		56.277	100			Percent of total billed charges		169	56.277	152.1	
arthrex coolcut blade sabretooth 4.0 curved ar-8400cst	272	RC	Outpatient			169	109.85		90			Percent of total billed charges		152.1	40			Percent of total billed charges		67.6	80			Percent of total billed charges		135.2	90			Percent of total billed charges		152.1	85			Percent of total billed charges		143.65	85			Percent of total billed charges		143.65	85			Percent of total billed charges		143.65	100			Percent of total billed charges		169	100			Percent of total billed charges		169	100			Percent of total billed charges		169	33.3			Percent of total billed charges		56.277	33.3			Percent of total billed charges		56.277	100			Percent of total billed charges		169	56.277	152.1	
arthrex coolcut exc 4.0	272	RC	Outpatient			169	109.85		90			Percent of total billed charges		152.1	40			Percent of total billed charges		67.6	80			Percent of total billed charges		135.2	90			Percent of total billed charges		152.1	85			Percent of total billed charges		143.65	85			Percent of total billed charges		143.65	85			Percent of total billed charges		143.65	100			Percent of total billed charges		169	100			Percent of total billed charges		169	100			Percent of total billed charges		169	33.3			Percent of total billed charges		56.277	33.3			Percent of total billed charges		56.277	100			Percent of total billed charges		169	56.277	152.1	
"arthrex coolcut sabre,sj"	272	RC	Outpatient			169	109.85		90			Percent of total billed charges		152.1	40			Percent of total billed charges		67.6	80			Percent of total billed charges		135.2	90			Percent of total billed charges		152.1	85			Percent of total billed charges		143.65	85			Percent of total billed charges		143.65	85			Percent of total billed charges		143.65	100			Percent of total billed charges		169	100			Percent of total billed charges		169	100			Percent of total billed charges		169	33.3			Percent of total billed charges		56.277	33.3			Percent of total billed charges		56.277	100			Percent of total billed charges		169	56.277	152.1	
tube trach xlong 60xltcp	270	RC	Outpatient			169	109.85		90			Percent of total billed charges		152.1	40			Percent of total billed charges		67.6	80			Percent of total billed charges		135.2	90			Percent of total billed charges		152.1	85			Percent of total billed charges		143.65	85			Percent of total billed charges		143.65	85			Percent of total billed charges		143.65	100			Percent of total billed charges		169	100			Percent of total billed charges		169	100			Percent of total billed charges		169	33.3			Percent of total billed charges		56.277	33.3			Percent of total billed charges		56.277	100			Percent of total billed charges		169	56.277	152.1	
tube trach x-long 60xltud	270	RC	Outpatient			169	109.85		90			Percent of total billed charges		152.1	40			Percent of total billed charges		67.6	80			Percent of total billed charges		135.2	90			Percent of total billed charges		152.1	85			Percent of total billed charges		143.65	85			Percent of total billed charges		143.65	85			Percent of total billed charges		143.65	100			Percent of total billed charges		169	100			Percent of total billed charges		169	100			Percent of total billed charges		169	33.3			Percent of total billed charges		56.277	33.3			Percent of total billed charges		56.277	100			Percent of total billed charges		169	56.277	152.1	
tube trach xlong 80xltcp	270	RC	Outpatient			169	109.85		90			Percent of total billed charges		152.1	40			Percent of total billed charges		67.6	80			Percent of total billed charges		135.2	90			Percent of total billed charges		152.1	85			Percent of total billed charges		143.65	85			Percent of total billed charges		143.65	85			Percent of total billed charges		143.65	100			Percent of total billed charges		169	100			Percent of total billed charges		169	100			Percent of total billed charges		169	33.3			Percent of total billed charges		56.277	33.3			Percent of total billed charges		56.277	100			Percent of total billed charges		169	56.277	152.1	
cosmetic - laser hair removal - front/neck/chin  addt'l session	983	RC	Outpatient			170	110.5		90			Percent of total billed charges		153	40			Percent of total billed charges		68	80			Percent of total billed charges		136	90			Percent of total billed charges		153	85			Percent of total billed charges		144.5	85			Percent of total billed charges		144.5	85			Percent of total billed charges		144.5	100			Percent of total billed charges		170	100			Percent of total billed charges		170	100			Percent of total billed charges		170	33.3			Percent of total billed charges		56.61	33.3			Percent of total billed charges		56.61	100			Percent of total billed charges		170	56.61	153	
1/3 tubular plate 8-hole 430208 stryker	278	RC	Outpatient			171	111.15		90			Percent of total billed charges		153.9	40			Percent of total billed charges		68.4	80			Percent of total billed charges		136.8	90			Percent of total billed charges		153.9	85			Percent of total billed charges		145.35	85			Percent of total billed charges		145.35	85			Percent of total billed charges		145.35	100			Percent of total billed charges		171	100			Percent of total billed charges		171	100			Percent of total billed charges		171	33.3			Percent of total billed charges		56.943	33.3			Percent of total billed charges		56.943	100			Percent of total billed charges		171	56.943	153.9	
cath lab treatment base rate 1 hr	760	RC	Outpatient			171	111.15		90			Percent of total billed charges		153.9	40			Percent of total billed charges		68.4	80			Percent of total billed charges		136.8	90			Percent of total billed charges		153.9	85			Percent of total billed charges		145.35	85			Percent of total billed charges		145.35	85			Percent of total billed charges		145.35	100			Percent of total billed charges		171	100			Percent of total billed charges		171	100			Percent of total billed charges		171	33.3			Percent of total billed charges		56.943	33.3			Percent of total billed charges		56.943	100			Percent of total billed charges		171	56.943	153.9	
howell introducer	270	RC	Outpatient			171	111.15		90			Percent of total billed charges		153.9	40			Percent of total billed charges		68.4	80			Percent of total billed charges		136.8	90			Percent of total billed charges		153.9	85			Percent of total billed charges		145.35	85			Percent of total billed charges		145.35	85			Percent of total billed charges		145.35	100			Percent of total billed charges		171	100			Percent of total billed charges		171	100			Percent of total billed charges		171	33.3			Percent of total billed charges		56.943	33.3			Percent of total billed charges		56.943	100			Percent of total billed charges		171	56.943	153.9	
electrode quick combo 3010188-011 31391281 kendall 1310p meditrace	272	RC	Outpatient			171	111.15		90			Percent of total billed charges		153.9	40			Percent of total billed charges		68.4	80			Percent of total billed charges		136.8	90			Percent of total billed charges		153.9	85			Percent of total billed charges		145.35	85			Percent of total billed charges		145.35	85			Percent of total billed charges		145.35	100			Percent of total billed charges		171	100			Percent of total billed charges		171	100			Percent of total billed charges		171	33.3			Percent of total billed charges		56.943	33.3			Percent of total billed charges		56.943	100			Percent of total billed charges		171	56.943	153.9	
locking insert 5.0 370003 stryker	278	RC	Outpatient			171	111.15		90			Percent of total billed charges		153.9	40			Percent of total billed charges		68.4	80			Percent of total billed charges		136.8	90			Percent of total billed charges		153.9	85			Percent of total billed charges		145.35	85			Percent of total billed charges		145.35	85			Percent of total billed charges		145.35	100			Percent of total billed charges		171	100			Percent of total billed charges		171	100			Percent of total billed charges		171	33.3			Percent of total billed charges		56.943	33.3			Percent of total billed charges		56.943	100			Percent of total billed charges		171	56.943	153.9	
j&j apical plug	278	RC	Outpatient			171	111.15		90			Percent of total billed charges		153.9	40			Percent of total billed charges		68.4	80			Percent of total billed charges		136.8	90			Percent of total billed charges		153.9	85			Percent of total billed charges		145.35	85			Percent of total billed charges		145.35	85			Percent of total billed charges		145.35	100			Percent of total billed charges		171	100			Percent of total billed charges		171	100			Percent of total billed charges		171	33.3			Percent of total billed charges		56.943	33.3			Percent of total billed charges		56.943	100			Percent of total billed charges		171	56.943	153.9	
j&j cement restrictor	278	RC	Outpatient			171	111.15		90			Percent of total billed charges		153.9	40			Percent of total billed charges		68.4	80			Percent of total billed charges		136.8	90			Percent of total billed charges		153.9	85			Percent of total billed charges		145.35	85			Percent of total billed charges		145.35	85			Percent of total billed charges		145.35	100			Percent of total billed charges		171	100			Percent of total billed charges		171	100			Percent of total billed charges		171	33.3			Percent of total billed charges		56.943	33.3			Percent of total billed charges		56.943	100			Percent of total billed charges		171	56.943	153.9	
miller abbott tube tray	270	RC	Outpatient			171	111.15		90			Percent of total billed charges		153.9	40			Percent of total billed charges		68.4	80			Percent of total billed charges		136.8	90			Percent of total billed charges		153.9	85			Percent of total billed charges		145.35	85			Percent of total billed charges		145.35	85			Percent of total billed charges		145.35	100			Percent of total billed charges		171	100			Percent of total billed charges		171	100			Percent of total billed charges		171	33.3			Percent of total billed charges		56.943	33.3			Percent of total billed charges		56.943	100			Percent of total billed charges		171	56.943	153.9	
quick combo pad	272	RC	Outpatient			171	111.15		90			Percent of total billed charges		153.9	40			Percent of total billed charges		68.4	80			Percent of total billed charges		136.8	90			Percent of total billed charges		153.9	85			Percent of total billed charges		145.35	85			Percent of total billed charges		145.35	85			Percent of total billed charges		145.35	100			Percent of total billed charges		171	100			Percent of total billed charges		171	100			Percent of total billed charges		171	33.3			Percent of total billed charges		56.943	33.3			Percent of total billed charges		56.943	100			Percent of total billed charges		171	56.943	153.9	
rush pin 1/8 x 10 1/2 300n	278	RC	Outpatient			171	111.15		90			Percent of total billed charges		153.9	40			Percent of total billed charges		68.4	80			Percent of total billed charges		136.8	90			Percent of total billed charges		153.9	85			Percent of total billed charges		145.35	85			Percent of total billed charges		145.35	85			Percent of total billed charges		145.35	100			Percent of total billed charges		171	100			Percent of total billed charges		171	100			Percent of total billed charges		171	33.3			Percent of total billed charges		56.943	33.3			Percent of total billed charges		56.943	100			Percent of total billed charges		171	56.943	153.9	
rush pin 1/8 x 6 1/2 300f	278	RC	Outpatient			171	111.15		90			Percent of total billed charges		153.9	40			Percent of total billed charges		68.4	80			Percent of total billed charges		136.8	90			Percent of total billed charges		153.9	85			Percent of total billed charges		145.35	85			Percent of total billed charges		145.35	85			Percent of total billed charges		145.35	100			Percent of total billed charges		171	100			Percent of total billed charges		171	100			Percent of total billed charges		171	33.3			Percent of total billed charges		56.943	33.3			Percent of total billed charges		56.943	100			Percent of total billed charges		171	56.943	153.9	
rush pin 1/8 x 7 1/2 300h	278	RC	Outpatient			171	111.15		90			Percent of total billed charges		153.9	40			Percent of total billed charges		68.4	80			Percent of total billed charges		136.8	90			Percent of total billed charges		153.9	85			Percent of total billed charges		145.35	85			Percent of total billed charges		145.35	85			Percent of total billed charges		145.35	100			Percent of total billed charges		171	100			Percent of total billed charges		171	100			Percent of total billed charges		171	33.3			Percent of total billed charges		56.943	33.3			Percent of total billed charges		56.943	100			Percent of total billed charges		171	56.943	153.9	
rush pin 1/8 x 8 1/2 300j	278	RC	Outpatient			171	111.15		90			Percent of total billed charges		153.9	40			Percent of total billed charges		68.4	80			Percent of total billed charges		136.8	90			Percent of total billed charges		153.9	85			Percent of total billed charges		145.35	85			Percent of total billed charges		145.35	85			Percent of total billed charges		145.35	100			Percent of total billed charges		171	100			Percent of total billed charges		171	100			Percent of total billed charges		171	33.3			Percent of total billed charges		56.943	33.3			Percent of total billed charges		56.943	100			Percent of total billed charges		171	56.943	153.9	
rush pin 1/8 x 9 1/2 300l	278	RC	Outpatient			171	111.15		90			Percent of total billed charges		153.9	40			Percent of total billed charges		68.4	80			Percent of total billed charges		136.8	90			Percent of total billed charges		153.9	85			Percent of total billed charges		145.35	85			Percent of total billed charges		145.35	85			Percent of total billed charges		145.35	100			Percent of total billed charges		171	100			Percent of total billed charges		171	100			Percent of total billed charges		171	33.3			Percent of total billed charges		56.943	33.3			Percent of total billed charges		56.943	100			Percent of total billed charges		171	56.943	153.9	
stry pl 1/3 tub 8-h	278	RC	Outpatient			171	111.15		90			Percent of total billed charges		153.9	40			Percent of total billed charges		68.4	80			Percent of total billed charges		136.8	90			Percent of total billed charges		153.9	85			Percent of total billed charges		145.35	85			Percent of total billed charges		145.35	85			Percent of total billed charges		145.35	100			Percent of total billed charges		171	100			Percent of total billed charges		171	100			Percent of total billed charges		171	33.3			Percent of total billed charges		56.943	33.3			Percent of total billed charges		56.943	100			Percent of total billed charges		171	56.943	153.9	
stryker 5.0 lck insert	278	RC	Outpatient			171	111.15		90			Percent of total billed charges		153.9	40			Percent of total billed charges		68.4	80			Percent of total billed charges		136.8	90			Percent of total billed charges		153.9	85			Percent of total billed charges		145.35	85			Percent of total billed charges		145.35	85			Percent of total billed charges		145.35	100			Percent of total billed charges		171	100			Percent of total billed charges		171	100			Percent of total billed charges		171	33.3			Percent of total billed charges		56.943	33.3			Percent of total billed charges		56.943	100			Percent of total billed charges		171	56.943	153.9	
rush nail #300 series	278	RC	Outpatient			171	111.15		90			Percent of total billed charges		153.9	40			Percent of total billed charges		68.4	80			Percent of total billed charges		136.8	90			Percent of total billed charges		153.9	85			Percent of total billed charges		145.35	85			Percent of total billed charges		145.35	85			Percent of total billed charges		145.35	100			Percent of total billed charges		171	100			Percent of total billed charges		171	100			Percent of total billed charges		171	33.3			Percent of total billed charges		56.943	33.3			Percent of total billed charges		56.943	100			Percent of total billed charges		171	56.943	153.9	
rush pin 1/8 x 10 300m	278	RC	Outpatient			171	111.15		90			Percent of total billed charges		153.9	40			Percent of total billed charges		68.4	80			Percent of total billed charges		136.8	90			Percent of total billed charges		153.9	85			Percent of total billed charges		145.35	85			Percent of total billed charges		145.35	85			Percent of total billed charges		145.35	100			Percent of total billed charges		171	100			Percent of total billed charges		171	100			Percent of total billed charges		171	33.3			Percent of total billed charges		56.943	33.3			Percent of total billed charges		56.943	100			Percent of total billed charges		171	56.943	153.9	
rush pin 1/8 x 4 1/2 300b	278	RC	Outpatient			171	111.15		90			Percent of total billed charges		153.9	40			Percent of total billed charges		68.4	80			Percent of total billed charges		136.8	90			Percent of total billed charges		153.9	85			Percent of total billed charges		145.35	85			Percent of total billed charges		145.35	85			Percent of total billed charges		145.35	100			Percent of total billed charges		171	100			Percent of total billed charges		171	100			Percent of total billed charges		171	33.3			Percent of total billed charges		56.943	33.3			Percent of total billed charges		56.943	100			Percent of total billed charges		171	56.943	153.9	
rush pin 1/8 x 4 300a	278	RC	Outpatient			171	111.15		90			Percent of total billed charges		153.9	40			Percent of total billed charges		68.4	80			Percent of total billed charges		136.8	90			Percent of total billed charges		153.9	85			Percent of total billed charges		145.35	85			Percent of total billed charges		145.35	85			Percent of total billed charges		145.35	100			Percent of total billed charges		171	100			Percent of total billed charges		171	100			Percent of total billed charges		171	33.3			Percent of total billed charges		56.943	33.3			Percent of total billed charges		56.943	100			Percent of total billed charges		171	56.943	153.9	
rush pin 1/8 x 5 1/2 300d	278	RC	Outpatient			171	111.15		90			Percent of total billed charges		153.9	40			Percent of total billed charges		68.4	80			Percent of total billed charges		136.8	90			Percent of total billed charges		153.9	85			Percent of total billed charges		145.35	85			Percent of total billed charges		145.35	85			Percent of total billed charges		145.35	100			Percent of total billed charges		171	100			Percent of total billed charges		171	100			Percent of total billed charges		171	33.3			Percent of total billed charges		56.943	33.3			Percent of total billed charges		56.943	100			Percent of total billed charges		171	56.943	153.9	
rush pin 1/8 x 5 300c	278	RC	Outpatient			171	111.15		90			Percent of total billed charges		153.9	40			Percent of total billed charges		68.4	80			Percent of total billed charges		136.8	90			Percent of total billed charges		153.9	85			Percent of total billed charges		145.35	85			Percent of total billed charges		145.35	85			Percent of total billed charges		145.35	100			Percent of total billed charges		171	100			Percent of total billed charges		171	100			Percent of total billed charges		171	33.3			Percent of total billed charges		56.943	33.3			Percent of total billed charges		56.943	100			Percent of total billed charges		171	56.943	153.9	
rush pin 1/8 x 6 300e	278	RC	Outpatient			171	111.15		90			Percent of total billed charges		153.9	40			Percent of total billed charges		68.4	80			Percent of total billed charges		136.8	90			Percent of total billed charges		153.9	85			Percent of total billed charges		145.35	85			Percent of total billed charges		145.35	85			Percent of total billed charges		145.35	100			Percent of total billed charges		171	100			Percent of total billed charges		171	100			Percent of total billed charges		171	33.3			Percent of total billed charges		56.943	33.3			Percent of total billed charges		56.943	100			Percent of total billed charges		171	56.943	153.9	
rush pin 1/8 x 7 300g	278	RC	Outpatient			171	111.15		90			Percent of total billed charges		153.9	40			Percent of total billed charges		68.4	80			Percent of total billed charges		136.8	90			Percent of total billed charges		153.9	85			Percent of total billed charges		145.35	85			Percent of total billed charges		145.35	85			Percent of total billed charges		145.35	100			Percent of total billed charges		171	100			Percent of total billed charges		171	100			Percent of total billed charges		171	33.3			Percent of total billed charges		56.943	33.3			Percent of total billed charges		56.943	100			Percent of total billed charges		171	56.943	153.9	
rush pin 1/8 x 8 300i	278	RC	Outpatient			171	111.15		90			Percent of total billed charges		153.9	40			Percent of total billed charges		68.4	80			Percent of total billed charges		136.8	90			Percent of total billed charges		153.9	85			Percent of total billed charges		145.35	85			Percent of total billed charges		145.35	85			Percent of total billed charges		145.35	100			Percent of total billed charges		171	100			Percent of total billed charges		171	100			Percent of total billed charges		171	33.3			Percent of total billed charges		56.943	33.3			Percent of total billed charges		56.943	100			Percent of total billed charges		171	56.943	153.9	
rush pin 1/8 x 9 300k	278	RC	Outpatient			171	111.15		90			Percent of total billed charges		153.9	40			Percent of total billed charges		68.4	80			Percent of total billed charges		136.8	90			Percent of total billed charges		153.9	85			Percent of total billed charges		145.35	85			Percent of total billed charges		145.35	85			Percent of total billed charges		145.35	100			Percent of total billed charges		171	100			Percent of total billed charges		171	100			Percent of total billed charges		171	33.3			Percent of total billed charges		56.943	33.3			Percent of total billed charges		56.943	100			Percent of total billed charges		171	56.943	153.9	
scpf tray picc line insertion	270	RC	Outpatient			171.05	111.18		90			Percent of total billed charges		153.945	40			Percent of total billed charges		68.42	80			Percent of total billed charges		136.84	90			Percent of total billed charges		153.945	85			Percent of total billed charges		145.3925	85			Percent of total billed charges		145.3925	85			Percent of total billed charges		145.3925	100			Percent of total billed charges		171.05	100			Percent of total billed charges		171.05	100			Percent of total billed charges		171.05	33.3			Percent of total billed charges		56.9597	33.3			Percent of total billed charges		56.9597	100			Percent of total billed charges		171.05	56.9597	153.945	
scpf kit powerwand xl 4fr 8cm	270	RC	Outpatient			171.68	111.59		90			Percent of total billed charges		154.512	40			Percent of total billed charges		68.672	80			Percent of total billed charges		137.344	90			Percent of total billed charges		154.512	85			Percent of total billed charges		145.928	85			Percent of total billed charges		145.928	85			Percent of total billed charges		145.928	100			Percent of total billed charges		171.68	100			Percent of total billed charges		171.68	100			Percent of total billed charges		171.68	33.3			Percent of total billed charges		57.1694	33.3			Percent of total billed charges		57.1694	100			Percent of total billed charges		171.68	57.1694	154.512	
3800026 lac rep complex ed charge	360	RC	Outpatient			172	111.8		90			Percent of total billed charges		154.8	40			Percent of total billed charges		68.8	80			Percent of total billed charges		137.6	90			Percent of total billed charges		154.8	85			Percent of total billed charges		146.2	85			Percent of total billed charges		146.2	85			Percent of total billed charges		146.2	100			Percent of total billed charges		172	100			Percent of total billed charges		172	100			Percent of total billed charges		172	33.3			Percent of total billed charges		57.276	33.3			Percent of total billed charges		57.276	100			Percent of total billed charges		172	57.276	154.8	
kit powerwand 3 fr 6cm	270	RC	Outpatient			172	111.8		90			Percent of total billed charges		154.8	40			Percent of total billed charges		68.8	80			Percent of total billed charges		137.6	90			Percent of total billed charges		154.8	85			Percent of total billed charges		146.2	85			Percent of total billed charges		146.2	85			Percent of total billed charges		146.2	100			Percent of total billed charges		172	100			Percent of total billed charges		172	100			Percent of total billed charges		172	33.3			Percent of total billed charges		57.276	33.3			Percent of total billed charges		57.276	100			Percent of total billed charges		172	57.276	154.8	
laparoscopic irrigator	270	RC	Outpatient			172	111.8		90			Percent of total billed charges		154.8	40			Percent of total billed charges		68.8	80			Percent of total billed charges		137.6	90			Percent of total billed charges		154.8	85			Percent of total billed charges		146.2	85			Percent of total billed charges		146.2	85			Percent of total billed charges		146.2	100			Percent of total billed charges		172	100			Percent of total billed charges		172	100			Percent of total billed charges		172	33.3			Percent of total billed charges		57.276	33.3			Percent of total billed charges		57.276	100			Percent of total billed charges		172	57.276	154.8	
taps for screw diameter 1.5mm cortex screw 311.15	278	RC	Outpatient			172	111.8		90			Percent of total billed charges		154.8	40			Percent of total billed charges		68.8	80			Percent of total billed charges		137.6	90			Percent of total billed charges		154.8	85			Percent of total billed charges		146.2	85			Percent of total billed charges		146.2	85			Percent of total billed charges		146.2	100			Percent of total billed charges		172	100			Percent of total billed charges		172	100			Percent of total billed charges		172	33.3			Percent of total billed charges		57.276	33.3			Percent of total billed charges		57.276	100			Percent of total billed charges		172	57.276	154.8	
syn 1.5-2.0 crtex scw tap	278	RC	Outpatient			172	111.8		90			Percent of total billed charges		154.8	40			Percent of total billed charges		68.8	80			Percent of total billed charges		137.6	90			Percent of total billed charges		154.8	85			Percent of total billed charges		146.2	85			Percent of total billed charges		146.2	85			Percent of total billed charges		146.2	100			Percent of total billed charges		172	100			Percent of total billed charges		172	100			Percent of total billed charges		172	33.3			Percent of total billed charges		57.276	33.3			Percent of total billed charges		57.276	100			Percent of total billed charges		172	57.276	154.8	
syn 1.5-2.0mm cortex scrw	278	RC	Outpatient			172	111.8		90			Percent of total billed charges		154.8	40			Percent of total billed charges		68.8	80			Percent of total billed charges		137.6	90			Percent of total billed charges		154.8	85			Percent of total billed charges		146.2	85			Percent of total billed charges		146.2	85			Percent of total billed charges		146.2	100			Percent of total billed charges		172	100			Percent of total billed charges		172	100			Percent of total billed charges		172	33.3			Percent of total billed charges		57.276	33.3			Percent of total billed charges		57.276	100			Percent of total billed charges		172	57.276	154.8	
taps for screw diameter 2.0mm cortex screw 311.19	278	RC	Outpatient			172	111.8		90			Percent of total billed charges		154.8	40			Percent of total billed charges		68.8	80			Percent of total billed charges		137.6	90			Percent of total billed charges		154.8	85			Percent of total billed charges		146.2	85			Percent of total billed charges		146.2	85			Percent of total billed charges		146.2	100			Percent of total billed charges		172	100			Percent of total billed charges		172	100			Percent of total billed charges		172	33.3			Percent of total billed charges		57.276	33.3			Percent of total billed charges		57.276	100			Percent of total billed charges		172	57.276	154.8	
taps for screw diameter 2.0mm cortex screw extra long 311.21	278	RC	Outpatient			172	111.8		90			Percent of total billed charges		154.8	40			Percent of total billed charges		68.8	80			Percent of total billed charges		137.6	90			Percent of total billed charges		154.8	85			Percent of total billed charges		146.2	85			Percent of total billed charges		146.2	85			Percent of total billed charges		146.2	100			Percent of total billed charges		172	100			Percent of total billed charges		172	100			Percent of total billed charges		172	33.3			Percent of total billed charges		57.276	33.3			Percent of total billed charges		57.276	100			Percent of total billed charges		172	57.276	154.8	
single leg lymphedema kit	270	RC	Outpatient			173	112.45		90			Percent of total billed charges		155.7	40			Percent of total billed charges		69.2	80			Percent of total billed charges		138.4	90			Percent of total billed charges		155.7	85			Percent of total billed charges		147.05	85			Percent of total billed charges		147.05	85			Percent of total billed charges		147.05	100			Percent of total billed charges		173	100			Percent of total billed charges		173	100			Percent of total billed charges		173	33.3			Percent of total billed charges		57.609	33.3			Percent of total billed charges		57.609	100			Percent of total billed charges		173	57.609	155.7	
balloon dilator conmed 10mm-12mm	272	RC	Outpatient			173.8	112.97		90			Percent of total billed charges		156.42	40			Percent of total billed charges		69.52	80			Percent of total billed charges		139.04	90			Percent of total billed charges		156.42	85			Percent of total billed charges		147.73	85			Percent of total billed charges		147.73	85			Percent of total billed charges		147.73	100			Percent of total billed charges		173.8	100			Percent of total billed charges		173.8	100			Percent of total billed charges		173.8	33.3			Percent of total billed charges		57.8754	33.3			Percent of total billed charges		57.8754	100			Percent of total billed charges		173.8	57.8754	156.42	
balloon dilator conmed 16mm-18mm	272	RC	Outpatient			173.8	112.97		90			Percent of total billed charges		156.42	40			Percent of total billed charges		69.52	80			Percent of total billed charges		139.04	90			Percent of total billed charges		156.42	85			Percent of total billed charges		147.73	85			Percent of total billed charges		147.73	85			Percent of total billed charges		147.73	100			Percent of total billed charges		173.8	100			Percent of total billed charges		173.8	100			Percent of total billed charges		173.8	33.3			Percent of total billed charges		57.8754	33.3			Percent of total billed charges		57.8754	100			Percent of total billed charges		173.8	57.8754	156.42	
balloon dilator conmed 13mm-15mm	272	RC	Outpatient			173.8	112.97		90			Percent of total billed charges		156.42	40			Percent of total billed charges		69.52	80			Percent of total billed charges		139.04	90			Percent of total billed charges		156.42	85			Percent of total billed charges		147.73	85			Percent of total billed charges		147.73	85			Percent of total billed charges		147.73	100			Percent of total billed charges		173.8	100			Percent of total billed charges		173.8	100			Percent of total billed charges		173.8	33.3			Percent of total billed charges		57.8754	33.3			Percent of total billed charges		57.8754	100			Percent of total billed charges		173.8	57.8754	156.42	
balloon dilator conmed 8mm-10mm	272	RC	Outpatient			173.8	112.97		90			Percent of total billed charges		156.42	40			Percent of total billed charges		69.52	80			Percent of total billed charges		139.04	90			Percent of total billed charges		156.42	85			Percent of total billed charges		147.73	85			Percent of total billed charges		147.73	85			Percent of total billed charges		147.73	100			Percent of total billed charges		173.8	100			Percent of total billed charges		173.8	100			Percent of total billed charges		173.8	33.3			Percent of total billed charges		57.8754	33.3			Percent of total billed charges		57.8754	100			Percent of total billed charges		173.8	57.8754	156.42	
micro sagittal blade 90 deg angle offset 2296-003-109s2 stryker	272	RC	Outpatient			173.8	112.97		90			Percent of total billed charges		156.42	40			Percent of total billed charges		69.52	80			Percent of total billed charges		139.04	90			Percent of total billed charges		156.42	85			Percent of total billed charges		147.73	85			Percent of total billed charges		147.73	85			Percent of total billed charges		147.73	100			Percent of total billed charges		173.8	100			Percent of total billed charges		173.8	100			Percent of total billed charges		173.8	33.3			Percent of total billed charges		57.8754	33.3			Percent of total billed charges		57.8754	100			Percent of total billed charges		173.8	57.8754	156.42	
1st stage girdle hw	272	RC	Outpatient			174	113.1		90			Percent of total billed charges		156.6	40			Percent of total billed charges		69.6	80			Percent of total billed charges		139.2	90			Percent of total billed charges		156.6	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	100			Percent of total billed charges		174	100			Percent of total billed charges		174	100			Percent of total billed charges		174	33.3			Percent of total billed charges		57.942	33.3			Percent of total billed charges		57.942	100			Percent of total billed charges		174	57.942	156.6	
blade short tap recip	272	RC	Outpatient			174	113.1		90			Percent of total billed charges		156.6	40			Percent of total billed charges		69.6	80			Percent of total billed charges		139.2	90			Percent of total billed charges		156.6	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	100			Percent of total billed charges		174	100			Percent of total billed charges		174	100			Percent of total billed charges		174	33.3			Percent of total billed charges		57.942	33.3			Percent of total billed charges		57.942	100			Percent of total billed charges		174	57.942	156.6	
crx screw 2.7 cortex	278	RC	Outpatient			174	113.1		90			Percent of total billed charges		156.6	40			Percent of total billed charges		69.6	80			Percent of total billed charges		139.2	90			Percent of total billed charges		156.6	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	100			Percent of total billed charges		174	100			Percent of total billed charges		174	100			Percent of total billed charges		174	33.3			Percent of total billed charges		57.942	33.3			Percent of total billed charges		57.942	100			Percent of total billed charges		174	57.942	156.6	
drill bit 60-145mm qc	272	RC	Outpatient			174	113.1		90			Percent of total billed charges		156.6	40			Percent of total billed charges		69.6	80			Percent of total billed charges		139.2	90			Percent of total billed charges		156.6	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	100			Percent of total billed charges		174	100			Percent of total billed charges		174	100			Percent of total billed charges		174	33.3			Percent of total billed charges		57.942	33.3			Percent of total billed charges		57.942	100			Percent of total billed charges		174	57.942	156.6	
drill bit q-c 1.5mm x 85mm 00-4806-085-15 zimmer	272	RC	Outpatient			174	113.1		90			Percent of total billed charges		156.6	40			Percent of total billed charges		69.6	80			Percent of total billed charges		139.2	90			Percent of total billed charges		156.6	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	100			Percent of total billed charges		174	100			Percent of total billed charges		174	100			Percent of total billed charges		174	33.3			Percent of total billed charges		57.942	33.3			Percent of total billed charges		57.942	100			Percent of total billed charges		174	57.942	156.6	
drill bit q-c 2.0mm x 100mm 00-4806-100-20 zimmer	272	RC	Outpatient			174	113.1		90			Percent of total billed charges		156.6	40			Percent of total billed charges		69.6	80			Percent of total billed charges		139.2	90			Percent of total billed charges		156.6	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	100			Percent of total billed charges		174	100			Percent of total billed charges		174	100			Percent of total billed charges		174	33.3			Percent of total billed charges		57.942	33.3			Percent of total billed charges		57.942	100			Percent of total billed charges		174	57.942	156.6	
drill bit q-c 2.7mm x 100mm 00-4806-100-27 zimmer	272	RC	Outpatient			174	113.1		90			Percent of total billed charges		156.6	40			Percent of total billed charges		69.6	80			Percent of total billed charges		139.2	90			Percent of total billed charges		156.6	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	100			Percent of total billed charges		174	100			Percent of total billed charges		174	100			Percent of total billed charges		174	33.3			Percent of total billed charges		57.942	33.3			Percent of total billed charges		57.942	100			Percent of total billed charges		174	57.942	156.6	
drill bit q-c 3.2mm x 100mm 00-4806-145-32 zimmer	272	RC	Outpatient			174	113.1		90			Percent of total billed charges		156.6	40			Percent of total billed charges		69.6	80			Percent of total billed charges		139.2	90			Percent of total billed charges		156.6	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	100			Percent of total billed charges		174	100			Percent of total billed charges		174	100			Percent of total billed charges		174	33.3			Percent of total billed charges		57.942	33.3			Percent of total billed charges		57.942	100			Percent of total billed charges		174	57.942	156.6	
drill bit q-c 3.5mm x 110mm 00-4806-110-35 zimmer	272	RC	Outpatient			174	113.1		90			Percent of total billed charges		156.6	40			Percent of total billed charges		69.6	80			Percent of total billed charges		139.2	90			Percent of total billed charges		156.6	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	100			Percent of total billed charges		174	100			Percent of total billed charges		174	100			Percent of total billed charges		174	33.3			Percent of total billed charges		57.942	33.3			Percent of total billed charges		57.942	100			Percent of total billed charges		174	57.942	156.6	
drill bit q-c 3.5mm x 195mm 00-4806-195-35 zimmer	270	RC	Outpatient			174	113.1		90			Percent of total billed charges		156.6	40			Percent of total billed charges		69.6	80			Percent of total billed charges		139.2	90			Percent of total billed charges		156.6	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	100			Percent of total billed charges		174	100			Percent of total billed charges		174	100			Percent of total billed charges		174	33.3			Percent of total billed charges		57.942	33.3			Percent of total billed charges		57.942	100			Percent of total billed charges		174	57.942	156.6	
high waist girdle x-large lgm-sz-xl-h marena	272	RC	Outpatient			174	113.1		90			Percent of total billed charges		156.6	40			Percent of total billed charges		69.6	80			Percent of total billed charges		139.2	90			Percent of total billed charges		156.6	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	100			Percent of total billed charges		174	100			Percent of total billed charges		174	100			Percent of total billed charges		174	33.3			Percent of total billed charges		57.942	33.3			Percent of total billed charges		57.942	100			Percent of total billed charges		174	57.942	156.6	
drill bit q-c 3.2mm x 195mm 00-4806-195-32 zimmer	270	RC	Outpatient			174	113.1		90			Percent of total billed charges		156.6	40			Percent of total billed charges		69.6	80			Percent of total billed charges		139.2	90			Percent of total billed charges		156.6	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	100			Percent of total billed charges		174	100			Percent of total billed charges		174	100			Percent of total billed charges		174	33.3			Percent of total billed charges		57.942	33.3			Percent of total billed charges		57.942	100			Percent of total billed charges		174	57.942	156.6	
drill bit q-c 4.5mm x 145mm 00-4806-145-35 zimmer	272	RC	Outpatient			174	113.1		90			Percent of total billed charges		156.6	40			Percent of total billed charges		69.6	80			Percent of total billed charges		139.2	90			Percent of total billed charges		156.6	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	100			Percent of total billed charges		174	100			Percent of total billed charges		174	100			Percent of total billed charges		174	33.3			Percent of total billed charges		57.942	33.3			Percent of total billed charges		57.942	100			Percent of total billed charges		174	57.942	156.6	
drill bit q-c 4.5mm x 195mm 00-4806-195-45 zimmer	270	RC	Outpatient			174	113.1		90			Percent of total billed charges		156.6	40			Percent of total billed charges		69.6	80			Percent of total billed charges		139.2	90			Percent of total billed charges		156.6	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	100			Percent of total billed charges		174	100			Percent of total billed charges		174	100			Percent of total billed charges		174	33.3			Percent of total billed charges		57.942	33.3			Percent of total billed charges		57.942	100			Percent of total billed charges		174	57.942	156.6	
k-wire 1.6mm 71101502 s/n	278	RC	Outpatient			174	113.1		90			Percent of total billed charges		156.6	40			Percent of total billed charges		69.6	80			Percent of total billed charges		139.2	90			Percent of total billed charges		156.6	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	100			Percent of total billed charges		174	100			Percent of total billed charges		174	100			Percent of total billed charges		174	33.3			Percent of total billed charges		57.942	33.3			Percent of total billed charges		57.942	100			Percent of total billed charges		174	57.942	156.6	
k-wire 1.6mm 71101504 s/n	278	RC	Outpatient			174	113.1		90			Percent of total billed charges		156.6	40			Percent of total billed charges		69.6	80			Percent of total billed charges		139.2	90			Percent of total billed charges		156.6	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	100			Percent of total billed charges		174	100			Percent of total billed charges		174	100			Percent of total billed charges		174	33.3			Percent of total billed charges		57.942	33.3			Percent of total billed charges		57.942	100			Percent of total billed charges		174	57.942	156.6	
ligaclip large	270	RC	Outpatient			174	113.1		90			Percent of total billed charges		156.6	40			Percent of total billed charges		69.6	80			Percent of total billed charges		139.2	90			Percent of total billed charges		156.6	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	100			Percent of total billed charges		174	100			Percent of total billed charges		174	100			Percent of total billed charges		174	33.3			Percent of total billed charges		57.942	33.3			Percent of total billed charges		57.942	100			Percent of total billed charges		174	57.942	156.6	
s/n drill bit 3.2mm 2410-32	272	RC	Outpatient			174	113.1		90			Percent of total billed charges		156.6	40			Percent of total billed charges		69.6	80			Percent of total billed charges		139.2	90			Percent of total billed charges		156.6	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	100			Percent of total billed charges		174	100			Percent of total billed charges		174	100			Percent of total billed charges		174	33.3			Percent of total billed charges		57.942	33.3			Percent of total billed charges		57.942	100			Percent of total billed charges		174	57.942	156.6	
s/n lg frag tc 100 3.2mm quick coupling drill bit 7117-0111/7117-6032	272	RC	Outpatient			174	113.1		90			Percent of total billed charges		156.6	40			Percent of total billed charges		69.6	80			Percent of total billed charges		139.2	90			Percent of total billed charges		156.6	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	100			Percent of total billed charges		174	100			Percent of total billed charges		174	100			Percent of total billed charges		174	33.3			Percent of total billed charges		57.942	33.3			Percent of total billed charges		57.942	100			Percent of total billed charges		174	57.942	156.6	
s/n lg frag tc 100 4.5mm quick coupling drill bit 7117-0113/7117-6045	272	RC	Outpatient			174	113.1		90			Percent of total billed charges		156.6	40			Percent of total billed charges		69.6	80			Percent of total billed charges		139.2	90			Percent of total billed charges		156.6	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	100			Percent of total billed charges		174	100			Percent of total billed charges		174	100			Percent of total billed charges		174	33.3			Percent of total billed charges		57.942	33.3			Percent of total billed charges		57.942	100			Percent of total billed charges		174	57.942	156.6	
s/n mini frag tc-100 quick couple drill bit 1.5mm 7117-6003	272	RC	Outpatient			174	113.1		90			Percent of total billed charges		156.6	40			Percent of total billed charges		69.6	80			Percent of total billed charges		139.2	90			Percent of total billed charges		156.6	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	100			Percent of total billed charges		174	100			Percent of total billed charges		174	100			Percent of total billed charges		174	33.3			Percent of total billed charges		57.942	33.3			Percent of total billed charges		57.942	100			Percent of total billed charges		174	57.942	156.6	
s/n mini frag tc-100 quick couple drill bit 1.5mm long sterile 7117-6016	272	RC	Outpatient			174	113.1		90			Percent of total billed charges		156.6	40			Percent of total billed charges		69.6	80			Percent of total billed charges		139.2	90			Percent of total billed charges		156.6	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	100			Percent of total billed charges		174	100			Percent of total billed charges		174	100			Percent of total billed charges		174	33.3			Percent of total billed charges		57.942	33.3			Percent of total billed charges		57.942	100			Percent of total billed charges		174	57.942	156.6	
s/n mini frag tc-100 quick couple drill bit 2.0mm 7117-0005	272	RC	Outpatient			174	113.1		90			Percent of total billed charges		156.6	40			Percent of total billed charges		69.6	80			Percent of total billed charges		139.2	90			Percent of total billed charges		156.6	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	100			Percent of total billed charges		174	100			Percent of total billed charges		174	100			Percent of total billed charges		174	33.3			Percent of total billed charges		57.942	33.3			Percent of total billed charges		57.942	100			Percent of total billed charges		174	57.942	156.6	
s/n mini frag tc-100 quick couple drill bit 2.0mm long sterile 7117-6021	272	RC	Outpatient			174	113.1		90			Percent of total billed charges		156.6	40			Percent of total billed charges		69.6	80			Percent of total billed charges		139.2	90			Percent of total billed charges		156.6	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	100			Percent of total billed charges		174	100			Percent of total billed charges		174	100			Percent of total billed charges		174	33.3			Percent of total billed charges		57.942	33.3			Percent of total billed charges		57.942	100			Percent of total billed charges		174	57.942	156.6	
s/n mini frag tc-100 quick couple drill bit 2.7mm long sterile 7117-6028	272	RC	Outpatient			174	113.1		90			Percent of total billed charges		156.6	40			Percent of total billed charges		69.6	80			Percent of total billed charges		139.2	90			Percent of total billed charges		156.6	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	100			Percent of total billed charges		174	100			Percent of total billed charges		174	100			Percent of total billed charges		174	33.3			Percent of total billed charges		57.942	33.3			Percent of total billed charges		57.942	100			Percent of total billed charges		174	57.942	156.6	
short tapered reciprocating blade styrker 5100-137-133	272	RC	Outpatient			174	113.1		90			Percent of total billed charges		156.6	40			Percent of total billed charges		69.6	80			Percent of total billed charges		139.2	90			Percent of total billed charges		156.6	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	100			Percent of total billed charges		174	100			Percent of total billed charges		174	100			Percent of total billed charges		174	33.3			Percent of total billed charges		57.942	33.3			Percent of total billed charges		57.942	100			Percent of total billed charges		174	57.942	156.6	
surgiclip clip applier large 13 134048 covidien	270	RC	Outpatient			174	113.1		90			Percent of total billed charges		156.6	40			Percent of total billed charges		69.6	80			Percent of total billed charges		139.2	90			Percent of total billed charges		156.6	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	100			Percent of total billed charges		174	100			Percent of total billed charges		174	100			Percent of total billed charges		174	33.3			Percent of total billed charges		57.942	33.3			Percent of total billed charges		57.942	100			Percent of total billed charges		174	57.942	156.6	
richards threaded hole cv	278	RC	Outpatient			174	113.1		90			Percent of total billed charges		156.6	40			Percent of total billed charges		69.6	80			Percent of total billed charges		139.2	90			Percent of total billed charges		156.6	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	100			Percent of total billed charges		174	100			Percent of total billed charges		174	100			Percent of total billed charges		174	33.3			Percent of total billed charges		57.942	33.3			Percent of total billed charges		57.942	100			Percent of total billed charges		174	57.942	156.6	
s/n k-wire 1.6	278	RC	Outpatient			174	113.1		90			Percent of total billed charges		156.6	40			Percent of total billed charges		69.6	80			Percent of total billed charges		139.2	90			Percent of total billed charges		156.6	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	100			Percent of total billed charges		174	100			Percent of total billed charges		174	100			Percent of total billed charges		174	33.3			Percent of total billed charges		57.942	33.3			Percent of total billed charges		57.942	100			Percent of total billed charges		174	57.942	156.6	
s/n lg frag tc 100 2.0mm long sterile quick coupling drill bit 7117-6021	272	RC	Outpatient			174	113.1		90			Percent of total billed charges		156.6	40			Percent of total billed charges		69.6	80			Percent of total billed charges		139.2	90			Percent of total billed charges		156.6	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	100			Percent of total billed charges		174	100			Percent of total billed charges		174	100			Percent of total billed charges		174	33.3			Percent of total billed charges		57.942	33.3			Percent of total billed charges		57.942	100			Percent of total billed charges		174	57.942	156.6	
s/n lg frag tc 100 2.0mm quick coupling drill bit 7117-0005/7117-6020	272	RC	Outpatient			174	113.1		90			Percent of total billed charges		156.6	40			Percent of total billed charges		69.6	80			Percent of total billed charges		139.2	90			Percent of total billed charges		156.6	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	100			Percent of total billed charges		174	100			Percent of total billed charges		174	100			Percent of total billed charges		174	33.3			Percent of total billed charges		57.942	33.3			Percent of total billed charges		57.942	100			Percent of total billed charges		174	57.942	156.6	
s/n mini frag tc-100 quick couple drill bit 1.1mm 7117-0001	272	RC	Outpatient			174	113.1		90			Percent of total billed charges		156.6	40			Percent of total billed charges		69.6	80			Percent of total billed charges		139.2	90			Percent of total billed charges		156.6	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	100			Percent of total billed charges		174	100			Percent of total billed charges		174	100			Percent of total billed charges		174	33.3			Percent of total billed charges		57.942	33.3			Percent of total billed charges		57.942	100			Percent of total billed charges		174	57.942	156.6	
s/n mini frag tc-100 quick couple drill bit 2.7mm 7117-0007	272	RC	Outpatient			174	113.1		90			Percent of total billed charges		156.6	40			Percent of total billed charges		69.6	80			Percent of total billed charges		139.2	90			Percent of total billed charges		156.6	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	100			Percent of total billed charges		174	100			Percent of total billed charges		174	100			Percent of total billed charges		174	33.3			Percent of total billed charges		57.942	33.3			Percent of total billed charges		57.942	100			Percent of total billed charges		174	57.942	156.6	
sonoma crx 2.7 x 20mm st cortex screw en2720	278	RC	Outpatient			174	113.1		90			Percent of total billed charges		156.6	40			Percent of total billed charges		69.6	80			Percent of total billed charges		139.2	90			Percent of total billed charges		156.6	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	100			Percent of total billed charges		174	100			Percent of total billed charges		174	100			Percent of total billed charges		174	33.3			Percent of total billed charges		57.942	33.3			Percent of total billed charges		57.942	100			Percent of total billed charges		174	57.942	156.6	
sonoma screw 2.7  x 20mm sc2720	278	RC	Outpatient			174	113.1		90			Percent of total billed charges		156.6	40			Percent of total billed charges		69.6	80			Percent of total billed charges		139.2	90			Percent of total billed charges		156.6	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	100			Percent of total billed charges		174	100			Percent of total billed charges		174	100			Percent of total billed charges		174	33.3			Percent of total billed charges		57.942	33.3			Percent of total billed charges		57.942	100			Percent of total billed charges		174	57.942	156.6	
xr pelvis +hips infant/child 2 views min	320	RC	Outpatient			174	113.1		90			Percent of total billed charges		156.6	40			Percent of total billed charges		69.6	80			Percent of total billed charges		139.2	90			Percent of total billed charges		156.6	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	100			Percent of total billed charges		174	100			Percent of total billed charges		174	100			Percent of total billed charges		174	33.3			Percent of total billed charges		57.942	33.3			Percent of total billed charges		57.942	100			Percent of total billed charges		174	57.942	156.6	
zimmer drill bit 195mm	270	RC	Outpatient			174	113.1		90			Percent of total billed charges		156.6	40			Percent of total billed charges		69.6	80			Percent of total billed charges		139.2	90			Percent of total billed charges		156.6	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	85			Percent of total billed charges		147.9	100			Percent of total billed charges		174	100			Percent of total billed charges		174	100			Percent of total billed charges		174	33.3			Percent of total billed charges		57.942	33.3			Percent of total billed charges		57.942	100			Percent of total billed charges		174	57.942	156.6	
staples dutoid	278	RC	Outpatient			175	113.75		90			Percent of total billed charges		157.5	40			Percent of total billed charges		70	80			Percent of total billed charges		140	90			Percent of total billed charges		157.5	85			Percent of total billed charges		148.75	85			Percent of total billed charges		148.75	85			Percent of total billed charges		148.75	100			Percent of total billed charges		175	100			Percent of total billed charges		175	100			Percent of total billed charges		175	33.3			Percent of total billed charges		58.275	33.3			Percent of total billed charges		58.275	100			Percent of total billed charges		175	58.275	157.5	
3.5mm compression plate 7-hole 85mm 00-4935-007-00 zimmer	278	RC	Outpatient			176	114.4		90			Percent of total billed charges		158.4	40			Percent of total billed charges		70.4	80			Percent of total billed charges		140.8	90			Percent of total billed charges		158.4	85			Percent of total billed charges		149.6	85			Percent of total billed charges		149.6	85			Percent of total billed charges		149.6	100			Percent of total billed charges		176	100			Percent of total billed charges		176	100			Percent of total billed charges		176	33.3			Percent of total billed charges		58.608	33.3			Percent of total billed charges		58.608	100			Percent of total billed charges		176	58.608	158.4	
3.5mm compression plate 5-hole 61mm 00-4935-005-00 zimmer	278	RC	Outpatient			176	114.4		90			Percent of total billed charges		158.4	40			Percent of total billed charges		70.4	80			Percent of total billed charges		140.8	90			Percent of total billed charges		158.4	85			Percent of total billed charges		149.6	85			Percent of total billed charges		149.6	85			Percent of total billed charges		149.6	100			Percent of total billed charges		176	100			Percent of total billed charges		176	100			Percent of total billed charges		176	33.3			Percent of total billed charges		58.608	33.3			Percent of total billed charges		58.608	100			Percent of total billed charges		176	58.608	158.4	
3.5mm compression plate 6-hole 73mm 00-4935-006-00 zimmer	278	RC	Outpatient			176	114.4		90			Percent of total billed charges		158.4	40			Percent of total billed charges		70.4	80			Percent of total billed charges		140.8	90			Percent of total billed charges		158.4	85			Percent of total billed charges		149.6	85			Percent of total billed charges		149.6	85			Percent of total billed charges		149.6	100			Percent of total billed charges		176	100			Percent of total billed charges		176	100			Percent of total billed charges		176	33.3			Percent of total billed charges		58.608	33.3			Percent of total billed charges		58.608	100			Percent of total billed charges		176	58.608	158.4	
3800142 application of long leg splint ed charge	450	RC	Outpatient			176	114.4		90			Percent of total billed charges		158.4	40			Percent of total billed charges		70.4	80			Percent of total billed charges		140.8	90			Percent of total billed charges		158.4	85			Percent of total billed charges		149.6	85			Percent of total billed charges		149.6	85			Percent of total billed charges		149.6	100			Percent of total billed charges		176	100			Percent of total billed charges		176	100			Percent of total billed charges		176	33.3			Percent of total billed charges		58.608	33.3			Percent of total billed charges		58.608	100			Percent of total billed charges		176	58.608	158.4	
3800176 injection of anesth ag-de ed charge	450	RC	Outpatient			176	114.4		90			Percent of total billed charges		158.4	40			Percent of total billed charges		70.4	80			Percent of total billed charges		140.8	90			Percent of total billed charges		158.4	85			Percent of total billed charges		149.6	85			Percent of total billed charges		149.6	85			Percent of total billed charges		149.6	100			Percent of total billed charges		176	100			Percent of total billed charges		176	100			Percent of total billed charges		176	33.3			Percent of total billed charges		58.608	33.3			Percent of total billed charges		58.608	100			Percent of total billed charges		176	58.608	158.4	
cast cutter leg long	270	RC	Outpatient			176	114.4		90			Percent of total billed charges		158.4	40			Percent of total billed charges		70.4	80			Percent of total billed charges		140.8	90			Percent of total billed charges		158.4	85			Percent of total billed charges		149.6	85			Percent of total billed charges		149.6	85			Percent of total billed charges		149.6	100			Percent of total billed charges		176	100			Percent of total billed charges		176	100			Percent of total billed charges		176	33.3			Percent of total billed charges		58.608	33.3			Percent of total billed charges		58.608	100			Percent of total billed charges		176	58.608	158.4	
zimm 3.5 comp plt-5-7 hol	278	RC	Outpatient			176	114.4		90			Percent of total billed charges		158.4	40			Percent of total billed charges		70.4	80			Percent of total billed charges		140.8	90			Percent of total billed charges		158.4	85			Percent of total billed charges		149.6	85			Percent of total billed charges		149.6	85			Percent of total billed charges		149.6	100			Percent of total billed charges		176	100			Percent of total billed charges		176	100			Percent of total billed charges		176	33.3			Percent of total billed charges		58.608	33.3			Percent of total billed charges		58.608	100			Percent of total billed charges		176	58.608	158.4	
bullet-tip guide wire 3.0mm (sterile) 47-2237-38 zimmer	270	RC	Outpatient			177	115.05		90			Percent of total billed charges		159.3	40			Percent of total billed charges		70.8	80			Percent of total billed charges		141.6	90			Percent of total billed charges		159.3	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	100			Percent of total billed charges		177	100			Percent of total billed charges		177	100			Percent of total billed charges		177	33.3			Percent of total billed charges		58.941	33.3			Percent of total billed charges		58.941	100			Percent of total billed charges		177	58.941	159.3	
capsule polisher 3107 sharpoint	270	RC	Outpatient			177	115.05		90			Percent of total billed charges		159.3	40			Percent of total billed charges		70.8	80			Percent of total billed charges		141.6	90			Percent of total billed charges		159.3	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	100			Percent of total billed charges		177	100			Percent of total billed charges		177	100			Percent of total billed charges		177	33.3			Percent of total billed charges		58.941	33.3			Percent of total billed charges		58.941	100			Percent of total billed charges		177	58.941	159.3	
chemo admin initial 1 hr	335	RC	Outpatient			177	115.05		90			Percent of total billed charges		159.3	40			Percent of total billed charges		70.8	80			Percent of total billed charges		141.6	90			Percent of total billed charges		159.3	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	100			Percent of total billed charges		177	100			Percent of total billed charges		177	100			Percent of total billed charges		177	33.3			Percent of total billed charges		58.941	33.3			Percent of total billed charges		58.941	100			Percent of total billed charges		177	58.941	159.3	
alcon squeegee	270	RC	Outpatient			177	115.05		90			Percent of total billed charges		159.3	40			Percent of total billed charges		70.8	80			Percent of total billed charges		141.6	90			Percent of total billed charges		159.3	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	100			Percent of total billed charges		177	100			Percent of total billed charges		177	100			Percent of total billed charges		177	33.3			Percent of total billed charges		58.941	33.3			Percent of total billed charges		58.941	100			Percent of total billed charges		177	58.941	159.3	
arthex tigerstick ar-7209t	278	RC	Outpatient			177	115.05		90			Percent of total billed charges		159.3	40			Percent of total billed charges		70.8	80			Percent of total billed charges		141.6	90			Percent of total billed charges		159.3	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	100			Percent of total billed charges		177	100			Percent of total billed charges		177	100			Percent of total billed charges		177	33.3			Percent of total billed charges		58.941	33.3			Percent of total billed charges		58.941	100			Percent of total billed charges		177	58.941	159.3	
arthrex tiger stick	278	RC	Outpatient			177	115.05		90			Percent of total billed charges		159.3	40			Percent of total billed charges		70.8	80			Percent of total billed charges		141.6	90			Percent of total billed charges		159.3	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	100			Percent of total billed charges		177	100			Percent of total billed charges		177	100			Percent of total billed charges		177	33.3			Percent of total billed charges		58.941	33.3			Percent of total billed charges		58.941	100			Percent of total billed charges		177	58.941	159.3	
bullet-tip giude wire 2.4mm x 70cm 2255-26 zimmer	270	RC	Outpatient			177	115.05		90			Percent of total billed charges		159.3	40			Percent of total billed charges		70.8	80			Percent of total billed charges		141.6	90			Percent of total billed charges		159.3	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	100			Percent of total billed charges		177	100			Percent of total billed charges		177	100			Percent of total billed charges		177	33.3			Percent of total billed charges		58.941	33.3			Percent of total billed charges		58.941	100			Percent of total billed charges		177	58.941	159.3	
hum smooth guide wire 2.4mm x 70cm 2255-25 zimmer	270	RC	Outpatient			177	115.05		90			Percent of total billed charges		159.3	40			Percent of total billed charges		70.8	80			Percent of total billed charges		141.6	90			Percent of total billed charges		159.3	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	100			Percent of total billed charges		177	100			Percent of total billed charges		177	100			Percent of total billed charges		177	33.3			Percent of total billed charges		58.941	33.3			Percent of total billed charges		58.941	100			Percent of total billed charges		177	58.941	159.3	
imp screw locking 6.4mm x 45mm 122265	270	RC	Outpatient			177	115.05		90			Percent of total billed charges		159.3	40			Percent of total billed charges		70.8	80			Percent of total billed charges		141.6	90			Percent of total billed charges		159.3	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	100			Percent of total billed charges		177	100			Percent of total billed charges		177	100			Percent of total billed charges		177	33.3			Percent of total billed charges		58.941	33.3			Percent of total billed charges		58.941	100			Percent of total billed charges		177	58.941	159.3	
imp screw locking 6.4x50mm 122266	270	RC	Outpatient			177	115.05		90			Percent of total billed charges		159.3	40			Percent of total billed charges		70.8	80			Percent of total billed charges		141.6	90			Percent of total billed charges		159.3	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	100			Percent of total billed charges		177	100			Percent of total billed charges		177	100			Percent of total billed charges		177	33.3			Percent of total billed charges		58.941	33.3			Percent of total billed charges		58.941	100			Percent of total billed charges		177	58.941	159.3	
imp screw locking 6.4x60mm 122268 s/n	270	RC	Outpatient			177	115.05		90			Percent of total billed charges		159.3	40			Percent of total billed charges		70.8	80			Percent of total billed charges		141.6	90			Percent of total billed charges		159.3	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	100			Percent of total billed charges		177	100			Percent of total billed charges		177	100			Percent of total billed charges		177	33.3			Percent of total billed charges		58.941	33.3			Percent of total billed charges		58.941	100			Percent of total billed charges		177	58.941	159.3	
imp screw locking 6.4x75mm 122271 s/n	270	RC	Outpatient			177	115.05		90			Percent of total billed charges		159.3	40			Percent of total billed charges		70.8	80			Percent of total billed charges		141.6	90			Percent of total billed charges		159.3	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	100			Percent of total billed charges		177	100			Percent of total billed charges		177	100			Percent of total billed charges		177	33.3			Percent of total billed charges		58.941	33.3			Percent of total billed charges		58.941	100			Percent of total billed charges		177	58.941	159.3	
imp screw locking 6.4x80mm 122272	270	RC	Outpatient			177	115.05		90			Percent of total billed charges		159.3	40			Percent of total billed charges		70.8	80			Percent of total billed charges		141.6	90			Percent of total billed charges		159.3	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	100			Percent of total billed charges		177	100			Percent of total billed charges		177	100			Percent of total billed charges		177	33.3			Percent of total billed charges		58.941	33.3			Percent of total billed charges		58.941	100			Percent of total billed charges		177	58.941	159.3	
imp screw locking 6.4x90mm 122274 s/n	270	RC	Outpatient			177	115.05		90			Percent of total billed charges		159.3	40			Percent of total billed charges		70.8	80			Percent of total billed charges		141.6	90			Percent of total billed charges		159.3	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	100			Percent of total billed charges		177	100			Percent of total billed charges		177	100			Percent of total billed charges		177	33.3			Percent of total billed charges		58.941	33.3			Percent of total billed charges		58.941	100			Percent of total billed charges		177	58.941	159.3	
imp screw sm recon 6.4mmx70mm 122245	270	RC	Outpatient			177	115.05		90			Percent of total billed charges		159.3	40			Percent of total billed charges		70.8	80			Percent of total billed charges		141.6	90			Percent of total billed charges		159.3	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	100			Percent of total billed charges		177	100			Percent of total billed charges		177	100			Percent of total billed charges		177	33.3			Percent of total billed charges		58.941	33.3			Percent of total billed charges		58.941	100			Percent of total billed charges		177	58.941	159.3	
imp screw locking 6.4x30mm 122262 s/n	270	RC	Outpatient			177	115.05		90			Percent of total billed charges		159.3	40			Percent of total billed charges		70.8	80			Percent of total billed charges		141.6	90			Percent of total billed charges		159.3	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	100			Percent of total billed charges		177	100			Percent of total billed charges		177	100			Percent of total billed charges		177	33.3			Percent of total billed charges		58.941	33.3			Percent of total billed charges		58.941	100			Percent of total billed charges		177	58.941	159.3	
imp screw locking 6.4x35mm 122263 s/n	270	RC	Outpatient			177	115.05		90			Percent of total billed charges		159.3	40			Percent of total billed charges		70.8	80			Percent of total billed charges		141.6	90			Percent of total billed charges		159.3	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	100			Percent of total billed charges		177	100			Percent of total billed charges		177	100			Percent of total billed charges		177	33.3			Percent of total billed charges		58.941	33.3			Percent of total billed charges		58.941	100			Percent of total billed charges		177	58.941	159.3	
imp screw locking 6.4x40mm 122264	270	RC	Outpatient			177	115.05		90			Percent of total billed charges		159.3	40			Percent of total billed charges		70.8	80			Percent of total billed charges		141.6	90			Percent of total billed charges		159.3	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	100			Percent of total billed charges		177	100			Percent of total billed charges		177	100			Percent of total billed charges		177	33.3			Percent of total billed charges		58.941	33.3			Percent of total billed charges		58.941	100			Percent of total billed charges		177	58.941	159.3	
imp screw locking 6.4x70mm 122270	270	RC	Outpatient			177	115.05		90			Percent of total billed charges		159.3	40			Percent of total billed charges		70.8	80			Percent of total billed charges		141.6	90			Percent of total billed charges		159.3	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	100			Percent of total billed charges		177	100			Percent of total billed charges		177	100			Percent of total billed charges		177	33.3			Percent of total billed charges		58.941	33.3			Percent of total billed charges		58.941	100			Percent of total billed charges		177	58.941	159.3	
imp screw locking 6.4x85mm 122273 s/n	270	RC	Outpatient			177	115.05		90			Percent of total billed charges		159.3	40			Percent of total billed charges		70.8	80			Percent of total billed charges		141.6	90			Percent of total billed charges		159.3	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	100			Percent of total billed charges		177	100			Percent of total billed charges		177	100			Percent of total billed charges		177	33.3			Percent of total billed charges		58.941	33.3			Percent of total billed charges		58.941	100			Percent of total billed charges		177	58.941	159.3	
imp screw sm recon 6.4inx100mm 122257	270	RC	Outpatient			177	115.05		90			Percent of total billed charges		159.3	40			Percent of total billed charges		70.8	80			Percent of total billed charges		141.6	90			Percent of total billed charges		159.3	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	100			Percent of total billed charges		177	100			Percent of total billed charges		177	100			Percent of total billed charges		177	33.3			Percent of total billed charges		58.941	33.3			Percent of total billed charges		58.941	100			Percent of total billed charges		177	58.941	159.3	
implant screw proximal reconst 6.5 x 115mm 12-2237 s/n	270	RC	Outpatient			177	115.05		90			Percent of total billed charges		159.3	40			Percent of total billed charges		70.8	80			Percent of total billed charges		141.6	90			Percent of total billed charges		159.3	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	100			Percent of total billed charges		177	100			Percent of total billed charges		177	100			Percent of total billed charges		177	33.3			Percent of total billed charges		58.941	33.3			Percent of total billed charges		58.941	100			Percent of total billed charges		177	58.941	159.3	
locking screw 6.4 x 65mm 122269 smith	270	RC	Outpatient			177	115.05		90			Percent of total billed charges		159.3	40			Percent of total billed charges		70.8	80			Percent of total billed charges		141.6	90			Percent of total billed charges		159.3	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	100			Percent of total billed charges		177	100			Percent of total billed charges		177	100			Percent of total billed charges		177	33.3			Percent of total billed charges		58.941	33.3			Percent of total billed charges		58.941	100			Percent of total billed charges		177	58.941	159.3	
needle capsule polisher 8065428220	270	RC	Outpatient			177	115.05		90			Percent of total billed charges		159.3	40			Percent of total billed charges		70.8	80			Percent of total billed charges		141.6	90			Percent of total billed charges		159.3	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	100			Percent of total billed charges		177	100			Percent of total billed charges		177	100			Percent of total billed charges		177	33.3			Percent of total billed charges		58.941	33.3			Percent of total billed charges		58.941	100			Percent of total billed charges		177	58.941	159.3	
proximal screw 6.4 x 75 122257	270	RC	Outpatient			177	115.05		90			Percent of total billed charges		159.3	40			Percent of total billed charges		70.8	80			Percent of total billed charges		141.6	90			Percent of total billed charges		159.3	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	100			Percent of total billed charges		177	100			Percent of total billed charges		177	100			Percent of total billed charges		177	33.3			Percent of total billed charges		58.941	33.3			Percent of total billed charges		58.941	100			Percent of total billed charges		177	58.941	159.3	
r/t lockng 6.4 screw blue	270	RC	Outpatient			177	115.05		90			Percent of total billed charges		159.3	40			Percent of total billed charges		70.8	80			Percent of total billed charges		141.6	90			Percent of total billed charges		159.3	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	100			Percent of total billed charges		177	100			Percent of total billed charges		177	100			Percent of total billed charges		177	33.3			Percent of total billed charges		58.941	33.3			Percent of total billed charges		58.941	100			Percent of total billed charges		177	58.941	159.3	
screw locking 6.4mm x 55mm 122267	270	RC	Outpatient			177	115.05		90			Percent of total billed charges		159.3	40			Percent of total billed charges		70.8	80			Percent of total billed charges		141.6	90			Percent of total billed charges		159.3	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	100			Percent of total billed charges		177	100			Percent of total billed charges		177	100			Percent of total billed charges		177	33.3			Percent of total billed charges		58.941	33.3			Percent of total billed charges		58.941	100			Percent of total billed charges		177	58.941	159.3	
screw locking 6.4mmx65mm 122269	270	RC	Outpatient			177	115.05		90			Percent of total billed charges		159.3	40			Percent of total billed charges		70.8	80			Percent of total billed charges		141.6	90			Percent of total billed charges		159.3	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	100			Percent of total billed charges		177	100			Percent of total billed charges		177	100			Percent of total billed charges		177	33.3			Percent of total billed charges		58.941	33.3			Percent of total billed charges		58.941	100			Percent of total billed charges		177	58.941	159.3	
smooth guide wire 2.4mm (sterile) 47-2237-33 zimmer	270	RC	Outpatient			177	115.05		90			Percent of total billed charges		159.3	40			Percent of total billed charges		70.8	80			Percent of total billed charges		141.6	90			Percent of total billed charges		159.3	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	100			Percent of total billed charges		177	100			Percent of total billed charges		177	100			Percent of total billed charges		177	33.3			Percent of total billed charges		58.941	33.3			Percent of total billed charges		58.941	100			Percent of total billed charges		177	58.941	159.3	
smooth guide wire 3.0mm (sterile) 47-2237-37 zimmer	270	RC	Outpatient			177	115.05		90			Percent of total billed charges		159.3	40			Percent of total billed charges		70.8	80			Percent of total billed charges		141.6	90			Percent of total billed charges		159.3	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	100			Percent of total billed charges		177	100			Percent of total billed charges		177	100			Percent of total billed charges		177	33.3			Percent of total billed charges		58.941	33.3			Percent of total billed charges		58.941	100			Percent of total billed charges		177	58.941	159.3	
stocking anti-emb thigh lg lng	270	RC	Outpatient			177	115.05		90			Percent of total billed charges		159.3	40			Percent of total billed charges		70.8	80			Percent of total billed charges		141.6	90			Percent of total billed charges		159.3	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	100			Percent of total billed charges		177	100			Percent of total billed charges		177	100			Percent of total billed charges		177	33.3			Percent of total billed charges		58.941	33.3			Percent of total billed charges		58.941	100			Percent of total billed charges		177	58.941	159.3	
wound vac foam silver med dress m6275096 m8275096	272	RC	Outpatient			177	115.05		90			Percent of total billed charges		159.3	40			Percent of total billed charges		70.8	80			Percent of total billed charges		141.6	90			Percent of total billed charges		159.3	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	100			Percent of total billed charges		177	100			Percent of total billed charges		177	100			Percent of total billed charges		177	33.3			Percent of total billed charges		58.941	33.3			Percent of total billed charges		58.941	100			Percent of total billed charges		177	58.941	159.3	
wound vac med silver spon	272	RC	Outpatient			177	115.05		90			Percent of total billed charges		159.3	40			Percent of total billed charges		70.8	80			Percent of total billed charges		141.6	90			Percent of total billed charges		159.3	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	100			Percent of total billed charges		177	100			Percent of total billed charges		177	100			Percent of total billed charges		177	33.3			Percent of total billed charges		58.941	33.3			Percent of total billed charges		58.941	100			Percent of total billed charges		177	58.941	159.3	
zimm bull/smooth gdwire	270	RC	Outpatient			177	115.05		90			Percent of total billed charges		159.3	40			Percent of total billed charges		70.8	80			Percent of total billed charges		141.6	90			Percent of total billed charges		159.3	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	100			Percent of total billed charges		177	100			Percent of total billed charges		177	100			Percent of total billed charges		177	33.3			Percent of total billed charges		58.941	33.3			Percent of total billed charges		58.941	100			Percent of total billed charges		177	58.941	159.3	
zimmer herbert screw giude wire 1152-50	270	RC	Outpatient			177	115.05		90			Percent of total billed charges		159.3	40			Percent of total billed charges		70.8	80			Percent of total billed charges		141.6	90			Percent of total billed charges		159.3	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	100			Percent of total billed charges		177	100			Percent of total billed charges		177	100			Percent of total billed charges		177	33.3			Percent of total billed charges		58.941	33.3			Percent of total billed charges		58.941	100			Percent of total billed charges		177	58.941	159.3	
vac foam silver med dress	270	RC	Outpatient			177	115.05		90			Percent of total billed charges		159.3	40			Percent of total billed charges		70.8	80			Percent of total billed charges		141.6	90			Percent of total billed charges		159.3	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	85			Percent of total billed charges		150.45	100			Percent of total billed charges		177	100			Percent of total billed charges		177	100			Percent of total billed charges		177	33.3			Percent of total billed charges		58.941	33.3			Percent of total billed charges		58.941	100			Percent of total billed charges		177	58.941	159.3	
3.5mm dcp plate 2 hole 248.02	278	RC	Outpatient			178	115.7		90			Percent of total billed charges		160.2	40			Percent of total billed charges		71.2	80			Percent of total billed charges		142.4	90			Percent of total billed charges		160.2	85			Percent of total billed charges		151.3	85			Percent of total billed charges		151.3	85			Percent of total billed charges		151.3	100			Percent of total billed charges		178	100			Percent of total billed charges		178	100			Percent of total billed charges		178	33.3			Percent of total billed charges		59.274	33.3			Percent of total billed charges		59.274	100			Percent of total billed charges		178	59.274	160.2	
3.5mm dcp plate 3 hole 248.03	278	RC	Outpatient			178	115.7		90			Percent of total billed charges		160.2	40			Percent of total billed charges		71.2	80			Percent of total billed charges		142.4	90			Percent of total billed charges		160.2	85			Percent of total billed charges		151.3	85			Percent of total billed charges		151.3	85			Percent of total billed charges		151.3	100			Percent of total billed charges		178	100			Percent of total billed charges		178	100			Percent of total billed charges		178	33.3			Percent of total billed charges		59.274	33.3			Percent of total billed charges		59.274	100			Percent of total billed charges		178	59.274	160.2	
3.5mm dcp plate 6 hole 248.06	278	RC	Outpatient			178	115.7		90			Percent of total billed charges		160.2	40			Percent of total billed charges		71.2	80			Percent of total billed charges		142.4	90			Percent of total billed charges		160.2	85			Percent of total billed charges		151.3	85			Percent of total billed charges		151.3	85			Percent of total billed charges		151.3	100			Percent of total billed charges		178	100			Percent of total billed charges		178	100			Percent of total billed charges		178	33.3			Percent of total billed charges		59.274	33.3			Percent of total billed charges		59.274	100			Percent of total billed charges		178	59.274	160.2	
3.5mm lc-dcp plate 2 hole 223.52	278	RC	Outpatient			178	115.7		90			Percent of total billed charges		160.2	40			Percent of total billed charges		71.2	80			Percent of total billed charges		142.4	90			Percent of total billed charges		160.2	85			Percent of total billed charges		151.3	85			Percent of total billed charges		151.3	85			Percent of total billed charges		151.3	100			Percent of total billed charges		178	100			Percent of total billed charges		178	100			Percent of total billed charges		178	33.3			Percent of total billed charges		59.274	33.3			Percent of total billed charges		59.274	100			Percent of total billed charges		178	59.274	160.2	
3.5mm lc-dcp plate 3 hole 223.53	278	RC	Outpatient			178	115.7		90			Percent of total billed charges		160.2	40			Percent of total billed charges		71.2	80			Percent of total billed charges		142.4	90			Percent of total billed charges		160.2	85			Percent of total billed charges		151.3	85			Percent of total billed charges		151.3	85			Percent of total billed charges		151.3	100			Percent of total billed charges		178	100			Percent of total billed charges		178	100			Percent of total billed charges		178	33.3			Percent of total billed charges		59.274	33.3			Percent of total billed charges		59.274	100			Percent of total billed charges		178	59.274	160.2	
4.5mm narrow dcp plate 2 hole 39mm 224.02	278	RC	Outpatient			178	115.7		90			Percent of total billed charges		160.2	40			Percent of total billed charges		71.2	80			Percent of total billed charges		142.4	90			Percent of total billed charges		160.2	85			Percent of total billed charges		151.3	85			Percent of total billed charges		151.3	85			Percent of total billed charges		151.3	100			Percent of total billed charges		178	100			Percent of total billed charges		178	100			Percent of total billed charges		178	33.3			Percent of total billed charges		59.274	33.3			Percent of total billed charges		59.274	100			Percent of total billed charges		178	59.274	160.2	
4.5mm narrow lc-dpc plate 2 hole 34mm 224.52	278	RC	Outpatient			178	115.7		90			Percent of total billed charges		160.2	40			Percent of total billed charges		71.2	80			Percent of total billed charges		142.4	90			Percent of total billed charges		160.2	85			Percent of total billed charges		151.3	85			Percent of total billed charges		151.3	85			Percent of total billed charges		151.3	100			Percent of total billed charges		178	100			Percent of total billed charges		178	100			Percent of total billed charges		178	33.3			Percent of total billed charges		59.274	33.3			Percent of total billed charges		59.274	100			Percent of total billed charges		178	59.274	160.2	
2.7mm dcp plates 2 hole 20mm 244.02	278	RC	Outpatient			178	115.7		90			Percent of total billed charges		160.2	40			Percent of total billed charges		71.2	80			Percent of total billed charges		142.4	90			Percent of total billed charges		160.2	85			Percent of total billed charges		151.3	85			Percent of total billed charges		151.3	85			Percent of total billed charges		151.3	100			Percent of total billed charges		178	100			Percent of total billed charges		178	100			Percent of total billed charges		178	33.3			Percent of total billed charges		59.274	33.3			Percent of total billed charges		59.274	100			Percent of total billed charges		178	59.274	160.2	
2.7mm dcp plates 2 hole/26mm 244.22	278	RC	Outpatient			178	115.7		90			Percent of total billed charges		160.2	40			Percent of total billed charges		71.2	80			Percent of total billed charges		142.4	90			Percent of total billed charges		160.2	85			Percent of total billed charges		151.3	85			Percent of total billed charges		151.3	85			Percent of total billed charges		151.3	100			Percent of total billed charges		178	100			Percent of total billed charges		178	100			Percent of total billed charges		178	33.3			Percent of total billed charges		59.274	33.3			Percent of total billed charges		59.274	100			Percent of total billed charges		178	59.274	160.2	
3.5mm dcp plate 5 hole 248.05	278	RC	Outpatient			178	115.7		90			Percent of total billed charges		160.2	40			Percent of total billed charges		71.2	80			Percent of total billed charges		142.4	90			Percent of total billed charges		160.2	85			Percent of total billed charges		151.3	85			Percent of total billed charges		151.3	85			Percent of total billed charges		151.3	100			Percent of total billed charges		178	100			Percent of total billed charges		178	100			Percent of total billed charges		178	33.3			Percent of total billed charges		59.274	33.3			Percent of total billed charges		59.274	100			Percent of total billed charges		178	59.274	160.2	
4.5mm narrow dcp plate 3 hole 55mm 224.03	278	RC	Outpatient			178	115.7		90			Percent of total billed charges		160.2	40			Percent of total billed charges		71.2	80			Percent of total billed charges		142.4	90			Percent of total billed charges		160.2	85			Percent of total billed charges		151.3	85			Percent of total billed charges		151.3	85			Percent of total billed charges		151.3	100			Percent of total billed charges		178	100			Percent of total billed charges		178	100			Percent of total billed charges		178	33.3			Percent of total billed charges		59.274	33.3			Percent of total billed charges		59.274	100			Percent of total billed charges		178	59.274	160.2	
4.5mm narrow lc-dpc plate 3 hole 52mm 224.53	278	RC	Outpatient			178	115.7		90			Percent of total billed charges		160.2	40			Percent of total billed charges		71.2	80			Percent of total billed charges		142.4	90			Percent of total billed charges		160.2	85			Percent of total billed charges		151.3	85			Percent of total billed charges		151.3	85			Percent of total billed charges		151.3	100			Percent of total billed charges		178	100			Percent of total billed charges		178	100			Percent of total billed charges		178	33.3			Percent of total billed charges		59.274	33.3			Percent of total billed charges		59.274	100			Percent of total billed charges		178	59.274	160.2	
j&j distal centralizer	278	RC	Outpatient			178	115.7		90			Percent of total billed charges		160.2	40			Percent of total billed charges		71.2	80			Percent of total billed charges		142.4	90			Percent of total billed charges		160.2	85			Percent of total billed charges		151.3	85			Percent of total billed charges		151.3	85			Percent of total billed charges		151.3	100			Percent of total billed charges		178	100			Percent of total billed charges		178	100			Percent of total billed charges		178	33.3			Percent of total billed charges		59.274	33.3			Percent of total billed charges		59.274	100			Percent of total billed charges		178	59.274	160.2	
syn plate dcp 2-3hole	278	RC	Outpatient			178	115.7		90			Percent of total billed charges		160.2	40			Percent of total billed charges		71.2	80			Percent of total billed charges		142.4	90			Percent of total billed charges		160.2	85			Percent of total billed charges		151.3	85			Percent of total billed charges		151.3	85			Percent of total billed charges		151.3	100			Percent of total billed charges		178	100			Percent of total billed charges		178	100			Percent of total billed charges		178	33.3			Percent of total billed charges		59.274	33.3			Percent of total billed charges		59.274	100			Percent of total billed charges		178	59.274	160.2	
bed flexicair/low airloss	270	RC	Outpatient			179	116.35		90			Percent of total billed charges		161.1	40			Percent of total billed charges		71.6	80			Percent of total billed charges		143.2	90			Percent of total billed charges		161.1	85			Percent of total billed charges		152.15	85			Percent of total billed charges		152.15	85			Percent of total billed charges		152.15	100			Percent of total billed charges		179	100			Percent of total billed charges		179	100			Percent of total billed charges		179	33.3			Percent of total billed charges		59.607	33.3			Percent of total billed charges		59.607	100			Percent of total billed charges		179	59.607	161.1	
11.5 surgiclip (open gb)	270	RC	Outpatient			179	116.35		90			Percent of total billed charges		161.1	40			Percent of total billed charges		71.6	80			Percent of total billed charges		143.2	90			Percent of total billed charges		161.1	85			Percent of total billed charges		152.15	85			Percent of total billed charges		152.15	85			Percent of total billed charges		152.15	100			Percent of total billed charges		179	100			Percent of total billed charges		179	100			Percent of total billed charges		179	33.3			Percent of total billed charges		59.607	33.3			Percent of total billed charges		59.607	100			Percent of total billed charges		179	59.607	161.1	
foot wrap (kendall) lg	270	RC	Outpatient			179	116.35		90			Percent of total billed charges		161.1	40			Percent of total billed charges		71.6	80			Percent of total billed charges		143.2	90			Percent of total billed charges		161.1	85			Percent of total billed charges		152.15	85			Percent of total billed charges		152.15	85			Percent of total billed charges		152.15	100			Percent of total billed charges		179	100			Percent of total billed charges		179	100			Percent of total billed charges		179	33.3			Percent of total billed charges		59.607	33.3			Percent of total billed charges		59.607	100			Percent of total billed charges		179	59.607	161.1	
foot wrap (kendall) reg	270	RC	Outpatient			179	116.35		90			Percent of total billed charges		161.1	40			Percent of total billed charges		71.6	80			Percent of total billed charges		143.2	90			Percent of total billed charges		161.1	85			Percent of total billed charges		152.15	85			Percent of total billed charges		152.15	85			Percent of total billed charges		152.15	100			Percent of total billed charges		179	100			Percent of total billed charges		179	100			Percent of total billed charges		179	33.3			Percent of total billed charges		59.607	33.3			Percent of total billed charges		59.607	100			Percent of total billed charges		179	59.607	161.1	
foot wrap lg	270	RC	Outpatient			179	116.35		90			Percent of total billed charges		161.1	40			Percent of total billed charges		71.6	80			Percent of total billed charges		143.2	90			Percent of total billed charges		161.1	85			Percent of total billed charges		152.15	85			Percent of total billed charges		152.15	85			Percent of total billed charges		152.15	100			Percent of total billed charges		179	100			Percent of total billed charges		179	100			Percent of total billed charges		179	33.3			Percent of total billed charges		59.607	33.3			Percent of total billed charges		59.607	100			Percent of total billed charges		179	59.607	161.1	
ligaclip med	270	RC	Outpatient			179	116.35		90			Percent of total billed charges		161.1	40			Percent of total billed charges		71.6	80			Percent of total billed charges		143.2	90			Percent of total billed charges		161.1	85			Percent of total billed charges		152.15	85			Percent of total billed charges		152.15	85			Percent of total billed charges		152.15	100			Percent of total billed charges		179	100			Percent of total billed charges		179	100			Percent of total billed charges		179	33.3			Percent of total billed charges		59.607	33.3			Percent of total billed charges		59.607	100			Percent of total billed charges		179	59.607	161.1	
surgiclip clip applier medium 11.5 134031 covidien	270	RC	Outpatient			179	116.35		90			Percent of total billed charges		161.1	40			Percent of total billed charges		71.6	80			Percent of total billed charges		143.2	90			Percent of total billed charges		161.1	85			Percent of total billed charges		152.15	85			Percent of total billed charges		152.15	85			Percent of total billed charges		152.15	100			Percent of total billed charges		179	100			Percent of total billed charges		179	100			Percent of total billed charges		179	33.3			Percent of total billed charges		59.607	33.3			Percent of total billed charges		59.607	100			Percent of total billed charges		179	59.607	161.1	
richards cofld glnd screw	278	RC	Outpatient			179	116.35		90			Percent of total billed charges		161.1	40			Percent of total billed charges		71.6	80			Percent of total billed charges		143.2	90			Percent of total billed charges		161.1	85			Percent of total billed charges		152.15	85			Percent of total billed charges		152.15	85			Percent of total billed charges		152.15	100			Percent of total billed charges		179	100			Percent of total billed charges		179	100			Percent of total billed charges		179	33.3			Percent of total billed charges		59.607	33.3			Percent of total billed charges		59.607	100			Percent of total billed charges		179	59.607	161.1	
scrmc tray picc line insertion	270	RC	Outpatient			179	116.35		90			Percent of total billed charges		161.1	40			Percent of total billed charges		71.6	80			Percent of total billed charges		143.2	90			Percent of total billed charges		161.1	85			Percent of total billed charges		152.15	85			Percent of total billed charges		152.15	85			Percent of total billed charges		152.15	100			Percent of total billed charges		179	100			Percent of total billed charges		179	100			Percent of total billed charges		179	33.3			Percent of total billed charges		59.607	33.3			Percent of total billed charges		59.607	100			Percent of total billed charges		179	59.607	161.1	
tray picc line insertion	270	RC	Outpatient			179	116.35		90			Percent of total billed charges		161.1	40			Percent of total billed charges		71.6	80			Percent of total billed charges		143.2	90			Percent of total billed charges		161.1	85			Percent of total billed charges		152.15	85			Percent of total billed charges		152.15	85			Percent of total billed charges		152.15	100			Percent of total billed charges		179	100			Percent of total billed charges		179	100			Percent of total billed charges		179	33.3			Percent of total billed charges		59.607	33.3			Percent of total billed charges		59.607	100			Percent of total billed charges		179	59.607	161.1	
cold thpy.wp.xlg. w/liner	270	RC	Outpatient			180	117		90			Percent of total billed charges		162	40			Percent of total billed charges		72	80			Percent of total billed charges		144	90			Percent of total billed charges		162	85			Percent of total billed charges		153	85			Percent of total billed charges		153	85			Percent of total billed charges		153	100			Percent of total billed charges		180	100			Percent of total billed charges		180	100			Percent of total billed charges		180	33.3			Percent of total billed charges		59.94	33.3			Percent of total billed charges		59.94	100			Percent of total billed charges		180	59.94	162	
forceps bx mighty bite	270	RC	Outpatient			180	117		90			Percent of total billed charges		162	40			Percent of total billed charges		72	80			Percent of total billed charges		144	90			Percent of total billed charges		162	85			Percent of total billed charges		153	85			Percent of total billed charges		153	85			Percent of total billed charges		153	100			Percent of total billed charges		180	100			Percent of total billed charges		180	100			Percent of total billed charges		180	33.3			Percent of total billed charges		59.94	33.3			Percent of total billed charges		59.94	100			Percent of total billed charges		180	59.94	162	
kit powerwand 4 fr 8 cm	270	RC	Outpatient			180	117		90			Percent of total billed charges		162	40			Percent of total billed charges		72	80			Percent of total billed charges		144	90			Percent of total billed charges		162	85			Percent of total billed charges		153	85			Percent of total billed charges		153	85			Percent of total billed charges		153	100			Percent of total billed charges		180	100			Percent of total billed charges		180	100			Percent of total billed charges		180	33.3			Percent of total billed charges		59.94	33.3			Percent of total billed charges		59.94	100			Percent of total billed charges		180	59.94	162	
cath lab pacing cable/pacemaker cables	272	RC	Outpatient			182	118.3		90			Percent of total billed charges		163.8	40			Percent of total billed charges		72.8	80			Percent of total billed charges		145.6	90			Percent of total billed charges		163.8	85			Percent of total billed charges		154.7	85			Percent of total billed charges		154.7	85			Percent of total billed charges		154.7	100			Percent of total billed charges		182	100			Percent of total billed charges		182	100			Percent of total billed charges		182	33.3			Percent of total billed charges		60.606	33.3			Percent of total billed charges		60.606	100			Percent of total billed charges		182	60.606	163.8	
cement bone endurance 5450-50-000	278	RC	Outpatient			182	118.3		90			Percent of total billed charges		163.8	40			Percent of total billed charges		72.8	80			Percent of total billed charges		145.6	90			Percent of total billed charges		163.8	85			Percent of total billed charges		154.7	85			Percent of total billed charges		154.7	85			Percent of total billed charges		154.7	100			Percent of total billed charges		182	100			Percent of total billed charges		182	100			Percent of total billed charges		182	33.3			Percent of total billed charges		60.606	33.3			Percent of total billed charges		60.606	100			Percent of total billed charges		182	60.606	163.8	
cement-endurance	278	RC	Outpatient			182	118.3		90			Percent of total billed charges		163.8	40			Percent of total billed charges		72.8	80			Percent of total billed charges		145.6	90			Percent of total billed charges		163.8	85			Percent of total billed charges		154.7	85			Percent of total billed charges		154.7	85			Percent of total billed charges		154.7	100			Percent of total billed charges		182	100			Percent of total billed charges		182	100			Percent of total billed charges		182	33.3			Percent of total billed charges		60.606	33.3			Percent of total billed charges		60.606	100			Percent of total billed charges		182	60.606	163.8	
juggerknot lg drill bit	272	RC	Outpatient			182	118.3		90			Percent of total billed charges		163.8	40			Percent of total billed charges		72.8	80			Percent of total billed charges		145.6	90			Percent of total billed charges		163.8	85			Percent of total billed charges		154.7	85			Percent of total billed charges		154.7	85			Percent of total billed charges		154.7	100			Percent of total billed charges		182	100			Percent of total billed charges		182	100			Percent of total billed charges		182	33.3			Percent of total billed charges		60.606	33.3			Percent of total billed charges		60.606	100			Percent of total billed charges		182	60.606	163.8	
pacemaker cables	272	RC	Outpatient			182	118.3		90			Percent of total billed charges		163.8	40			Percent of total billed charges		72.8	80			Percent of total billed charges		145.6	90			Percent of total billed charges		163.8	85			Percent of total billed charges		154.7	85			Percent of total billed charges		154.7	85			Percent of total billed charges		154.7	100			Percent of total billed charges		182	100			Percent of total billed charges		182	100			Percent of total billed charges		182	33.3			Percent of total billed charges		60.606	33.3			Percent of total billed charges		60.606	100			Percent of total billed charges		182	60.606	163.8	
juggerknot large shank bit sz 1 912036r biomet sport	272	RC	Outpatient			182	118.3		90			Percent of total billed charges		163.8	40			Percent of total billed charges		72.8	80			Percent of total billed charges		145.6	90			Percent of total billed charges		163.8	85			Percent of total billed charges		154.7	85			Percent of total billed charges		154.7	85			Percent of total billed charges		154.7	100			Percent of total billed charges		182	100			Percent of total billed charges		182	100			Percent of total billed charges		182	33.3			Percent of total billed charges		60.606	33.3			Percent of total billed charges		60.606	100			Percent of total billed charges		182	60.606	163.8	
jejuinostomy double lumen	270	RC	Outpatient			183	118.95		90			Percent of total billed charges		164.7	40			Percent of total billed charges		73.2	80			Percent of total billed charges		146.4	90			Percent of total billed charges		164.7	85			Percent of total billed charges		155.55	85			Percent of total billed charges		155.55	85			Percent of total billed charges		155.55	100			Percent of total billed charges		183	100			Percent of total billed charges		183	100			Percent of total billed charges		183	33.3			Percent of total billed charges		60.939	33.3			Percent of total billed charges		60.939	100			Percent of total billed charges		183	60.939	164.7	
s/n smooth wire	278	RC	Outpatient			183	118.95		90			Percent of total billed charges		164.7	40			Percent of total billed charges		73.2	80			Percent of total billed charges		146.4	90			Percent of total billed charges		164.7	85			Percent of total billed charges		155.55	85			Percent of total billed charges		155.55	85			Percent of total billed charges		155.55	100			Percent of total billed charges		183	100			Percent of total billed charges		183	100			Percent of total billed charges		183	33.3			Percent of total billed charges		60.939	33.3			Percent of total billed charges		60.939	100			Percent of total billed charges		183	60.939	164.7	
smooth wire 71933244 s/n	278	RC	Outpatient			183	118.95		90			Percent of total billed charges		164.7	40			Percent of total billed charges		73.2	80			Percent of total billed charges		146.4	90			Percent of total billed charges		164.7	85			Percent of total billed charges		155.55	85			Percent of total billed charges		155.55	85			Percent of total billed charges		155.55	100			Percent of total billed charges		183	100			Percent of total billed charges		183	100			Percent of total billed charges		183	33.3			Percent of total billed charges		60.939	33.3			Percent of total billed charges		60.939	100			Percent of total billed charges		183	60.939	164.7	
"radial osteotome blade, size 12 71369312 s/n"	272	RC	Outpatient			183.57	119.32		90			Percent of total billed charges		165.213	40			Percent of total billed charges		73.428	80			Percent of total billed charges		146.856	90			Percent of total billed charges		165.213	85			Percent of total billed charges		156.0345	85			Percent of total billed charges		156.0345	85			Percent of total billed charges		156.0345	100			Percent of total billed charges		183.57	100			Percent of total billed charges		183.57	100			Percent of total billed charges		183.57	33.3			Percent of total billed charges		61.1288	33.3			Percent of total billed charges		61.1288	100			Percent of total billed charges		183.57	61.1288	165.213	
"radial osteotome blade, size 14 71369314 s/n"	272	RC	Outpatient			183.57	119.32		90			Percent of total billed charges		165.213	40			Percent of total billed charges		73.428	80			Percent of total billed charges		146.856	90			Percent of total billed charges		165.213	85			Percent of total billed charges		156.0345	85			Percent of total billed charges		156.0345	85			Percent of total billed charges		156.0345	100			Percent of total billed charges		183.57	100			Percent of total billed charges		183.57	100			Percent of total billed charges		183.57	33.3			Percent of total billed charges		61.1288	33.3			Percent of total billed charges		61.1288	100			Percent of total billed charges		183.57	61.1288	165.213	
"radial osteotome blade, size 16 71369316 s/n"	272	RC	Outpatient			183.57	119.32		90			Percent of total billed charges		165.213	40			Percent of total billed charges		73.428	80			Percent of total billed charges		146.856	90			Percent of total billed charges		165.213	85			Percent of total billed charges		156.0345	85			Percent of total billed charges		156.0345	85			Percent of total billed charges		156.0345	100			Percent of total billed charges		183.57	100			Percent of total billed charges		183.57	100			Percent of total billed charges		183.57	33.3			Percent of total billed charges		61.1288	33.3			Percent of total billed charges		61.1288	100			Percent of total billed charges		183.57	61.1288	165.213	
thin osteo blade 10x3 ref:71369210	272	RC	Outpatient			183.57	119.32		90			Percent of total billed charges		165.213	40			Percent of total billed charges		73.428	80			Percent of total billed charges		146.856	90			Percent of total billed charges		165.213	85			Percent of total billed charges		156.0345	85			Percent of total billed charges		156.0345	85			Percent of total billed charges		156.0345	100			Percent of total billed charges		183.57	100			Percent of total billed charges		183.57	100			Percent of total billed charges		183.57	33.3			Percent of total billed charges		61.1288	33.3			Percent of total billed charges		61.1288	100			Percent of total billed charges		183.57	61.1288	165.213	
thin osteo blade 20x3 ref: 71369220 s/n	272	RC	Outpatient			183.57	119.32		90			Percent of total billed charges		165.213	40			Percent of total billed charges		73.428	80			Percent of total billed charges		146.856	90			Percent of total billed charges		165.213	85			Percent of total billed charges		156.0345	85			Percent of total billed charges		156.0345	85			Percent of total billed charges		156.0345	100			Percent of total billed charges		183.57	100			Percent of total billed charges		183.57	100			Percent of total billed charges		183.57	33.3			Percent of total billed charges		61.1288	33.3			Percent of total billed charges		61.1288	100			Percent of total billed charges		183.57	61.1288	165.213	
"thin osteotome blade, 12mm x 3 71369212 s/n"	272	RC	Outpatient			183.57	119.32		90			Percent of total billed charges		165.213	40			Percent of total billed charges		73.428	80			Percent of total billed charges		146.856	90			Percent of total billed charges		165.213	85			Percent of total billed charges		156.0345	85			Percent of total billed charges		156.0345	85			Percent of total billed charges		156.0345	100			Percent of total billed charges		183.57	100			Percent of total billed charges		183.57	100			Percent of total billed charges		183.57	33.3			Percent of total billed charges		61.1288	33.3			Percent of total billed charges		61.1288	100			Percent of total billed charges		183.57	61.1288	165.213	
"thin osteotome blade, 8mm x 5 71369408  s/n"	272	RC	Outpatient			183.57	119.32		90			Percent of total billed charges		165.213	40			Percent of total billed charges		73.428	80			Percent of total billed charges		146.856	90			Percent of total billed charges		165.213	85			Percent of total billed charges		156.0345	85			Percent of total billed charges		156.0345	85			Percent of total billed charges		156.0345	100			Percent of total billed charges		183.57	100			Percent of total billed charges		183.57	100			Percent of total billed charges		183.57	33.3			Percent of total billed charges		61.1288	33.3			Percent of total billed charges		61.1288	100			Percent of total billed charges		183.57	61.1288	165.213	
"thin osteotome blade, rounded end 12mm 71369412 s/n"	272	RC	Outpatient			183.57	119.32		90			Percent of total billed charges		165.213	40			Percent of total billed charges		73.428	80			Percent of total billed charges		146.856	90			Percent of total billed charges		165.213	85			Percent of total billed charges		156.0345	85			Percent of total billed charges		156.0345	85			Percent of total billed charges		156.0345	100			Percent of total billed charges		183.57	100			Percent of total billed charges		183.57	100			Percent of total billed charges		183.57	33.3			Percent of total billed charges		61.1288	33.3			Percent of total billed charges		61.1288	100			Percent of total billed charges		183.57	61.1288	165.213	
"thin osteotome blade, rounded end 20mm 71369420 s/n"	272	RC	Outpatient			183.57	119.32		90			Percent of total billed charges		165.213	40			Percent of total billed charges		73.428	80			Percent of total billed charges		146.856	90			Percent of total billed charges		165.213	85			Percent of total billed charges		156.0345	85			Percent of total billed charges		156.0345	85			Percent of total billed charges		156.0345	100			Percent of total billed charges		183.57	100			Percent of total billed charges		183.57	100			Percent of total billed charges		183.57	33.3			Percent of total billed charges		61.1288	33.3			Percent of total billed charges		61.1288	100			Percent of total billed charges		183.57	61.1288	165.213	
"radial osteotome blade, size 10 71369310 s/n"	272	RC	Outpatient			183.57	119.32		90			Percent of total billed charges		165.213	40			Percent of total billed charges		73.428	80			Percent of total billed charges		146.856	90			Percent of total billed charges		165.213	85			Percent of total billed charges		156.0345	85			Percent of total billed charges		156.0345	85			Percent of total billed charges		156.0345	100			Percent of total billed charges		183.57	100			Percent of total billed charges		183.57	100			Percent of total billed charges		183.57	33.3			Percent of total billed charges		61.1288	33.3			Percent of total billed charges		61.1288	100			Percent of total billed charges		183.57	61.1288	165.213	
thin osteotome blade 10mm x 5  71369410 s/n	272	RC	Outpatient			183.57	119.32		90			Percent of total billed charges		165.213	40			Percent of total billed charges		73.428	80			Percent of total billed charges		146.856	90			Percent of total billed charges		165.213	85			Percent of total billed charges		156.0345	85			Percent of total billed charges		156.0345	85			Percent of total billed charges		156.0345	100			Percent of total billed charges		183.57	100			Percent of total billed charges		183.57	100			Percent of total billed charges		183.57	33.3			Percent of total billed charges		61.1288	33.3			Percent of total billed charges		61.1288	100			Percent of total billed charges		183.57	61.1288	165.213	
"thin osteotome blade, 8mm x 3 71369208 s/n"	272	RC	Outpatient			183.57	119.32		90			Percent of total billed charges		165.213	40			Percent of total billed charges		73.428	80			Percent of total billed charges		146.856	90			Percent of total billed charges		165.213	85			Percent of total billed charges		156.0345	85			Percent of total billed charges		156.0345	85			Percent of total billed charges		156.0345	100			Percent of total billed charges		183.57	100			Percent of total billed charges		183.57	100			Percent of total billed charges		183.57	33.3			Percent of total billed charges		61.1288	33.3			Percent of total billed charges		61.1288	100			Percent of total billed charges		183.57	61.1288	165.213	
endoscopic ligator kit	270	RC	Outpatient			184	119.6		90			Percent of total billed charges		165.6	40			Percent of total billed charges		73.6	80			Percent of total billed charges		147.2	90			Percent of total billed charges		165.6	85			Percent of total billed charges		156.4	85			Percent of total billed charges		156.4	85			Percent of total billed charges		156.4	100			Percent of total billed charges		184	100			Percent of total billed charges		184	100			Percent of total billed charges		184	33.3			Percent of total billed charges		61.272	33.3			Percent of total billed charges		61.272	100			Percent of total billed charges		184	61.272	165.6	
tube shiley cuffed 4lpc	270	RC	Outpatient			184	119.6		90			Percent of total billed charges		165.6	40			Percent of total billed charges		73.6	80			Percent of total billed charges		147.2	90			Percent of total billed charges		165.6	85			Percent of total billed charges		156.4	85			Percent of total billed charges		156.4	85			Percent of total billed charges		156.4	100			Percent of total billed charges		184	100			Percent of total billed charges		184	100			Percent of total billed charges		184	33.3			Percent of total billed charges		61.272	33.3			Percent of total billed charges		61.272	100			Percent of total billed charges		184	61.272	165.6	
tube shiley cuffed 6lpc	270	RC	Outpatient			184	119.6		90			Percent of total billed charges		165.6	40			Percent of total billed charges		73.6	80			Percent of total billed charges		147.2	90			Percent of total billed charges		165.6	85			Percent of total billed charges		156.4	85			Percent of total billed charges		156.4	85			Percent of total billed charges		156.4	100			Percent of total billed charges		184	100			Percent of total billed charges		184	100			Percent of total billed charges		184	33.3			Percent of total billed charges		61.272	33.3			Percent of total billed charges		61.272	100			Percent of total billed charges		184	61.272	165.6	
tube shiley cuffed 8lpc	270	RC	Outpatient			184	119.6		90			Percent of total billed charges		165.6	40			Percent of total billed charges		73.6	80			Percent of total billed charges		147.2	90			Percent of total billed charges		165.6	85			Percent of total billed charges		156.4	85			Percent of total billed charges		156.4	85			Percent of total billed charges		156.4	100			Percent of total billed charges		184	100			Percent of total billed charges		184	100			Percent of total billed charges		184	33.3			Percent of total billed charges		61.272	33.3			Percent of total billed charges		61.272	100			Percent of total billed charges		184	61.272	165.6	
tube shiley cuffed ed charge scnt	270	RC	Outpatient			184	119.6		90			Percent of total billed charges		165.6	40			Percent of total billed charges		73.6	80			Percent of total billed charges		147.2	90			Percent of total billed charges		165.6	85			Percent of total billed charges		156.4	85			Percent of total billed charges		156.4	85			Percent of total billed charges		156.4	100			Percent of total billed charges		184	100			Percent of total billed charges		184	100			Percent of total billed charges		184	33.3			Percent of total billed charges		61.272	33.3			Percent of total billed charges		61.272	100			Percent of total billed charges		184	61.272	165.6	
tube trach cuffed low pressure w/cannula size 10 10lpc shil	270	RC	Outpatient			184	119.6		90			Percent of total billed charges		165.6	40			Percent of total billed charges		73.6	80			Percent of total billed charges		147.2	90			Percent of total billed charges		165.6	85			Percent of total billed charges		156.4	85			Percent of total billed charges		156.4	85			Percent of total billed charges		156.4	100			Percent of total billed charges		184	100			Percent of total billed charges		184	100			Percent of total billed charges		184	33.3			Percent of total billed charges		61.272	33.3			Percent of total billed charges		61.272	100			Percent of total billed charges		184	61.272	165.6	
tube shiley cuffed 10lpc	270	RC	Outpatient			184	119.6		90			Percent of total billed charges		165.6	40			Percent of total billed charges		73.6	80			Percent of total billed charges		147.2	90			Percent of total billed charges		165.6	85			Percent of total billed charges		156.4	85			Percent of total billed charges		156.4	85			Percent of total billed charges		156.4	100			Percent of total billed charges		184	100			Percent of total billed charges		184	100			Percent of total billed charges		184	33.3			Percent of total billed charges		61.272	33.3			Percent of total billed charges		61.272	100			Percent of total billed charges		184	61.272	165.6	
tube trach cuffed low pressure w/cannula size 6 6lpc shil	270	RC	Outpatient			184	119.6		90			Percent of total billed charges		165.6	40			Percent of total billed charges		73.6	80			Percent of total billed charges		147.2	90			Percent of total billed charges		165.6	85			Percent of total billed charges		156.4	85			Percent of total billed charges		156.4	85			Percent of total billed charges		156.4	100			Percent of total billed charges		184	100			Percent of total billed charges		184	100			Percent of total billed charges		184	33.3			Percent of total billed charges		61.272	33.3			Percent of total billed charges		61.272	100			Percent of total billed charges		184	61.272	165.6	
tube trach cuffed low pressure w/cannula size 8 8lpc shil	270	RC	Outpatient			184	119.6		90			Percent of total billed charges		165.6	40			Percent of total billed charges		73.6	80			Percent of total billed charges		147.2	90			Percent of total billed charges		165.6	85			Percent of total billed charges		156.4	85			Percent of total billed charges		156.4	85			Percent of total billed charges		156.4	100			Percent of total billed charges		184	100			Percent of total billed charges		184	100			Percent of total billed charges		184	33.3			Percent of total billed charges		61.272	33.3			Percent of total billed charges		61.272	100			Percent of total billed charges		184	61.272	165.6	
tube trach lo pro cuffed 8.5	270	RC	Outpatient			184	119.6		90			Percent of total billed charges		165.6	40			Percent of total billed charges		73.6	80			Percent of total billed charges		147.2	90			Percent of total billed charges		165.6	85			Percent of total billed charges		156.4	85			Percent of total billed charges		156.4	85			Percent of total billed charges		156.4	100			Percent of total billed charges		184	100			Percent of total billed charges		184	100			Percent of total billed charges		184	33.3			Percent of total billed charges		61.272	33.3			Percent of total billed charges		61.272	100			Percent of total billed charges		184	61.272	165.6	
tube trach shiley uncuff 6dcfs covidien	270	RC	Outpatient			184	119.6		90			Percent of total billed charges		165.6	40			Percent of total billed charges		73.6	80			Percent of total billed charges		147.2	90			Percent of total billed charges		165.6	85			Percent of total billed charges		156.4	85			Percent of total billed charges		156.4	85			Percent of total billed charges		156.4	100			Percent of total billed charges		184	100			Percent of total billed charges		184	100			Percent of total billed charges		184	33.3			Percent of total billed charges		61.272	33.3			Percent of total billed charges		61.272	100			Percent of total billed charges		184	61.272	165.6	
biomerics nimbus electrosurgical multitined expandable electrode ref nim-050-10bb	272	RC	Outpatient			184.8	120.12		90			Percent of total billed charges		166.32	40			Percent of total billed charges		73.92	80			Percent of total billed charges		147.84	90			Percent of total billed charges		166.32	85			Percent of total billed charges		157.08	85			Percent of total billed charges		157.08	85			Percent of total billed charges		157.08	100			Percent of total billed charges		184.8	100			Percent of total billed charges		184.8	100			Percent of total billed charges		184.8	33.3			Percent of total billed charges		61.5384	33.3			Percent of total billed charges		61.5384	100			Percent of total billed charges		184.8	61.5384	166.32	
2.7mm compression plate 5 hole 44mm x 2.0mm 00-4927-005-00 zimmer	278	RC	Outpatient			185	120.25		90			Percent of total billed charges		166.5	40			Percent of total billed charges		74	80			Percent of total billed charges		148	90			Percent of total billed charges		166.5	85			Percent of total billed charges		157.25	85			Percent of total billed charges		157.25	85			Percent of total billed charges		157.25	100			Percent of total billed charges		185	100			Percent of total billed charges		185	100			Percent of total billed charges		185	33.3			Percent of total billed charges		61.605	33.3			Percent of total billed charges		61.605	100			Percent of total billed charges		185	61.605	166.5	
2.7mm compression plate 6 hole 52mm x 2.0mm 00-4927-006-00 zimmer	278	RC	Outpatient			185	120.25		90			Percent of total billed charges		166.5	40			Percent of total billed charges		74	80			Percent of total billed charges		148	90			Percent of total billed charges		166.5	85			Percent of total billed charges		157.25	85			Percent of total billed charges		157.25	85			Percent of total billed charges		157.25	100			Percent of total billed charges		185	100			Percent of total billed charges		185	100			Percent of total billed charges		185	33.3			Percent of total billed charges		61.605	33.3			Percent of total billed charges		61.605	100			Percent of total billed charges		185	61.605	166.5	
drill bit 2.0 & 2.7	272	RC	Outpatient			185	120.25		90			Percent of total billed charges		166.5	40			Percent of total billed charges		74	80			Percent of total billed charges		148	90			Percent of total billed charges		166.5	85			Percent of total billed charges		157.25	85			Percent of total billed charges		157.25	85			Percent of total billed charges		157.25	100			Percent of total billed charges		185	100			Percent of total billed charges		185	100			Percent of total billed charges		185	33.3			Percent of total billed charges		61.605	33.3			Percent of total billed charges		61.605	100			Percent of total billed charges		185	61.605	166.5	
s/n perfortaion 6.4 d bit	272	RC	Outpatient			185	120.25		90			Percent of total billed charges		166.5	40			Percent of total billed charges		74	80			Percent of total billed charges		148	90			Percent of total billed charges		166.5	85			Percent of total billed charges		157.25	85			Percent of total billed charges		157.25	85			Percent of total billed charges		157.25	100			Percent of total billed charges		185	100			Percent of total billed charges		185	100			Percent of total billed charges		185	33.3			Percent of total billed charges		61.605	33.3			Percent of total billed charges		61.605	100			Percent of total billed charges		185	61.605	166.5	
s/n thigh support pad ferkel 7220-1813 s/n	270	RC	Outpatient			185	120.25		90			Percent of total billed charges		166.5	40			Percent of total billed charges		74	80			Percent of total billed charges		148	90			Percent of total billed charges		166.5	85			Percent of total billed charges		157.25	85			Percent of total billed charges		157.25	85			Percent of total billed charges		157.25	100			Percent of total billed charges		185	100			Percent of total billed charges		185	100			Percent of total billed charges		185	33.3			Percent of total billed charges		61.605	33.3			Percent of total billed charges		61.605	100			Percent of total billed charges		185	61.605	166.5	
perforation drill 6.4 110021 s/n	272	RC	Outpatient			185	120.25		90			Percent of total billed charges		166.5	40			Percent of total billed charges		74	80			Percent of total billed charges		148	90			Percent of total billed charges		166.5	85			Percent of total billed charges		157.25	85			Percent of total billed charges		157.25	85			Percent of total billed charges		157.25	100			Percent of total billed charges		185	100			Percent of total billed charges		185	100			Percent of total billed charges		185	33.3			Percent of total billed charges		61.605	33.3			Percent of total billed charges		61.605	100			Percent of total billed charges		185	61.605	166.5	
zimm 2.7 comp plate 5-6hl	278	RC	Outpatient			185	120.25		90			Percent of total billed charges		166.5	40			Percent of total billed charges		74	80			Percent of total billed charges		148	90			Percent of total billed charges		166.5	85			Percent of total billed charges		157.25	85			Percent of total billed charges		157.25	85			Percent of total billed charges		157.25	100			Percent of total billed charges		185	100			Percent of total billed charges		185	100			Percent of total billed charges		185	33.3			Percent of total billed charges		61.605	33.3			Percent of total billed charges		61.605	100			Percent of total billed charges		185	61.605	166.5	
zzscrmc katzen infusion wire	621	RC	Outpatient			185	120.25		90			Percent of total billed charges		166.5	40			Percent of total billed charges		74	80			Percent of total billed charges		148	90			Percent of total billed charges		166.5	85			Percent of total billed charges		157.25	85			Percent of total billed charges		157.25	85			Percent of total billed charges		157.25	100			Percent of total billed charges		185	100			Percent of total billed charges		185	100			Percent of total billed charges		185	33.3			Percent of total billed charges		61.605	33.3			Percent of total billed charges		61.605	100			Percent of total billed charges		185	61.605	166.5	
"small t plate, right angle 3 hole head, 3 hole shaft 241.13"	278	RC	Outpatient			186	120.9		90			Percent of total billed charges		167.4	40			Percent of total billed charges		74.4	80			Percent of total billed charges		148.8	90			Percent of total billed charges		167.4	85			Percent of total billed charges		158.1	85			Percent of total billed charges		158.1	85			Percent of total billed charges		158.1	100			Percent of total billed charges		186	100			Percent of total billed charges		186	100			Percent of total billed charges		186	33.3			Percent of total billed charges		61.938	33.3			Percent of total billed charges		61.938	100			Percent of total billed charges		186	61.938	167.4	
syn t-plate rt ang 3/3	278	RC	Outpatient			186	120.9		90			Percent of total billed charges		167.4	40			Percent of total billed charges		74.4	80			Percent of total billed charges		148.8	90			Percent of total billed charges		167.4	85			Percent of total billed charges		158.1	85			Percent of total billed charges		158.1	85			Percent of total billed charges		158.1	100			Percent of total billed charges		186	100			Percent of total billed charges		186	100			Percent of total billed charges		186	33.3			Percent of total billed charges		61.938	33.3			Percent of total billed charges		61.938	100			Percent of total billed charges		186	61.938	167.4	
roth net retrieval us endoscopy ref # 00711052	270	RC	Outpatient			186.29	121.09		90			Percent of total billed charges		167.661	40			Percent of total billed charges		74.516	80			Percent of total billed charges		149.032	90			Percent of total billed charges		167.661	85			Percent of total billed charges		158.3465	85			Percent of total billed charges		158.3465	85			Percent of total billed charges		158.3465	100			Percent of total billed charges		186.29	100			Percent of total billed charges		186.29	100			Percent of total billed charges		186.29	33.3			Percent of total billed charges		62.0346	33.3			Percent of total billed charges		62.0346	100			Percent of total billed charges		186.29	62.0346	167.661	
arrow a-line cath.	270	RC	Outpatient			187	121.55		90			Percent of total billed charges		168.3	40			Percent of total billed charges		74.8	80			Percent of total billed charges		149.6	90			Percent of total billed charges		168.3	85			Percent of total billed charges		158.95	85			Percent of total billed charges		158.95	85			Percent of total billed charges		158.95	100			Percent of total billed charges		187	100			Percent of total billed charges		187	100			Percent of total billed charges		187	33.3			Percent of total billed charges		62.271	33.3			Percent of total billed charges		62.271	100			Percent of total billed charges		187	62.271	168.3	
acmi loop electrode	270	RC	Outpatient			187	121.55		90			Percent of total billed charges		168.3	40			Percent of total billed charges		74.8	80			Percent of total billed charges		149.6	90			Percent of total billed charges		168.3	85			Percent of total billed charges		158.95	85			Percent of total billed charges		158.95	85			Percent of total billed charges		158.95	100			Percent of total billed charges		187	100			Percent of total billed charges		187	100			Percent of total billed charges		187	33.3			Percent of total billed charges		62.271	33.3			Percent of total billed charges		62.271	100			Percent of total billed charges		187	62.271	168.3	
alexis retractor sm	272	RC	Outpatient			187	121.55		90			Percent of total billed charges		168.3	40			Percent of total billed charges		74.8	80			Percent of total billed charges		149.6	90			Percent of total billed charges		168.3	85			Percent of total billed charges		158.95	85			Percent of total billed charges		158.95	85			Percent of total billed charges		158.95	100			Percent of total billed charges		187	100			Percent of total billed charges		187	100			Percent of total billed charges		187	33.3			Percent of total billed charges		62.271	33.3			Percent of total billed charges		62.271	100			Percent of total billed charges		187	62.271	168.3	
forceps radial jaw hot	270	RC	Outpatient			187	121.55		90			Percent of total billed charges		168.3	40			Percent of total billed charges		74.8	80			Percent of total billed charges		149.6	90			Percent of total billed charges		168.3	85			Percent of total billed charges		158.95	85			Percent of total billed charges		158.95	85			Percent of total billed charges		158.95	100			Percent of total billed charges		187	100			Percent of total billed charges		187	100			Percent of total billed charges		187	33.3			Percent of total billed charges		62.271	33.3			Percent of total billed charges		62.271	100			Percent of total billed charges		187	62.271	168.3	
imp screw lg recon 8.0mmx100m 122256	278	RC	Outpatient			187	121.55		90			Percent of total billed charges		168.3	40			Percent of total billed charges		74.8	80			Percent of total billed charges		149.6	90			Percent of total billed charges		168.3	85			Percent of total billed charges		158.95	85			Percent of total billed charges		158.95	85			Percent of total billed charges		158.95	100			Percent of total billed charges		187	100			Percent of total billed charges		187	100			Percent of total billed charges		187	33.3			Percent of total billed charges		62.271	33.3			Percent of total billed charges		62.271	100			Percent of total billed charges		187	62.271	168.3	
electrode loop cutting stabilizer .015 wire 24fr mles-24-015 cirac	270	RC	Outpatient			187	121.55		90			Percent of total billed charges		168.3	40			Percent of total billed charges		74.8	80			Percent of total billed charges		149.6	90			Percent of total billed charges		168.3	85			Percent of total billed charges		158.95	85			Percent of total billed charges		158.95	85			Percent of total billed charges		158.95	100			Percent of total billed charges		187	100			Percent of total billed charges		187	100			Percent of total billed charges		187	33.3			Percent of total billed charges		62.271	33.3			Percent of total billed charges		62.271	100			Percent of total billed charges		187	62.271	168.3	
elibra speed trail pack sz 4 61-9504 synvasive	272	RC	Outpatient			187	121.55		90			Percent of total billed charges		168.3	40			Percent of total billed charges		74.8	80			Percent of total billed charges		149.6	90			Percent of total billed charges		168.3	85			Percent of total billed charges		158.95	85			Percent of total billed charges		158.95	85			Percent of total billed charges		158.95	100			Percent of total billed charges		187	100			Percent of total billed charges		187	100			Percent of total billed charges		187	33.3			Percent of total billed charges		62.271	33.3			Percent of total billed charges		62.271	100			Percent of total billed charges		187	62.271	168.3	
extended stay in op	270	RC	Outpatient			187	121.55		90			Percent of total billed charges		168.3	40			Percent of total billed charges		74.8	80			Percent of total billed charges		149.6	90			Percent of total billed charges		168.3	85			Percent of total billed charges		158.95	85			Percent of total billed charges		158.95	85			Percent of total billed charges		158.95	100			Percent of total billed charges		187	100			Percent of total billed charges		187	100			Percent of total billed charges		187	33.3			Percent of total billed charges		62.271	33.3			Percent of total billed charges		62.271	100			Percent of total billed charges		187	62.271	168.3	
imp screw sm recon 6.4mmx95mm 122255	278	RC	Outpatient			187	121.55		90			Percent of total billed charges		168.3	40			Percent of total billed charges		74.8	80			Percent of total billed charges		149.6	90			Percent of total billed charges		168.3	85			Percent of total billed charges		158.95	85			Percent of total billed charges		158.95	85			Percent of total billed charges		158.95	100			Percent of total billed charges		187	100			Percent of total billed charges		187	100			Percent of total billed charges		187	33.3			Percent of total billed charges		62.271	33.3			Percent of total billed charges		62.271	100			Percent of total billed charges		187	62.271	168.3	
orthofix cortical screw	278	RC	Outpatient			187	121.55		90			Percent of total billed charges		168.3	40			Percent of total billed charges		74.8	80			Percent of total billed charges		149.6	90			Percent of total billed charges		168.3	85			Percent of total billed charges		158.95	85			Percent of total billed charges		158.95	85			Percent of total billed charges		158.95	100			Percent of total billed charges		187	100			Percent of total billed charges		187	100			Percent of total billed charges		187	33.3			Percent of total billed charges		62.271	33.3			Percent of total billed charges		62.271	100			Percent of total billed charges		187	62.271	168.3	
r/t recon set screw	278	RC	Outpatient			187	121.55		90			Percent of total billed charges		168.3	40			Percent of total billed charges		74.8	80			Percent of total billed charges		149.6	90			Percent of total billed charges		168.3	85			Percent of total billed charges		158.95	85			Percent of total billed charges		158.95	85			Percent of total billed charges		158.95	100			Percent of total billed charges		187	100			Percent of total billed charges		187	100			Percent of total billed charges		187	33.3			Percent of total billed charges		62.271	33.3			Percent of total billed charges		62.271	100			Percent of total billed charges		187	62.271	168.3	
screw set for recon nail short 12-2227 s/n	278	RC	Outpatient			187	121.55		90			Percent of total billed charges		168.3	40			Percent of total billed charges		74.8	80			Percent of total billed charges		149.6	90			Percent of total billed charges		168.3	85			Percent of total billed charges		158.95	85			Percent of total billed charges		158.95	85			Percent of total billed charges		158.95	100			Percent of total billed charges		187	100			Percent of total billed charges		187	100			Percent of total billed charges		187	33.3			Percent of total billed charges		62.271	33.3			Percent of total billed charges		62.271	100			Percent of total billed charges		187	62.271	168.3	
set cath radial art 20x1 1/2 ra04120 arrow	270	RC	Outpatient			187	121.55		90			Percent of total billed charges		168.3	40			Percent of total billed charges		74.8	80			Percent of total billed charges		149.6	90			Percent of total billed charges		168.3	85			Percent of total billed charges		158.95	85			Percent of total billed charges		158.95	85			Percent of total billed charges		158.95	100			Percent of total billed charges		187	100			Percent of total billed charges		187	100			Percent of total billed charges		187	33.3			Percent of total billed charges		62.271	33.3			Percent of total billed charges		62.271	100			Percent of total billed charges		187	62.271	168.3	
speed trial	272	RC	Outpatient			187	121.55		90			Percent of total billed charges		168.3	40			Percent of total billed charges		74.8	80			Percent of total billed charges		149.6	90			Percent of total billed charges		168.3	85			Percent of total billed charges		158.95	85			Percent of total billed charges		158.95	85			Percent of total billed charges		158.95	100			Percent of total billed charges		187	100			Percent of total billed charges		187	100			Percent of total billed charges		187	33.3			Percent of total billed charges		62.271	33.3			Percent of total billed charges		62.271	100			Percent of total billed charges		187	62.271	168.3	
retractor  wound  sm c8301 applied med	272	RC	Outpatient			187	121.55		90			Percent of total billed charges		168.3	40			Percent of total billed charges		74.8	80			Percent of total billed charges		149.6	90			Percent of total billed charges		168.3	85			Percent of total billed charges		158.95	85			Percent of total billed charges		158.95	85			Percent of total billed charges		158.95	100			Percent of total billed charges		187	100			Percent of total billed charges		187	100			Percent of total billed charges		187	33.3			Percent of total billed charges		62.271	33.3			Percent of total billed charges		62.271	100			Percent of total billed charges		187	62.271	168.3	
screw set for reconst nail long 12-2226 s/n	278	RC	Outpatient			187	121.55		90			Percent of total billed charges		168.3	40			Percent of total billed charges		74.8	80			Percent of total billed charges		149.6	90			Percent of total billed charges		168.3	85			Percent of total billed charges		158.95	85			Percent of total billed charges		158.95	85			Percent of total billed charges		158.95	100			Percent of total billed charges		187	100			Percent of total billed charges		187	100			Percent of total billed charges		187	33.3			Percent of total billed charges		62.271	33.3			Percent of total billed charges		62.271	100			Percent of total billed charges		187	62.271	168.3	
4.5mm compression plate narrow 4 hole 71mm 00-4945-004-00 zimmer	278	RC	Outpatient			188	122.2		90			Percent of total billed charges		169.2	40			Percent of total billed charges		75.2	80			Percent of total billed charges		150.4	90			Percent of total billed charges		169.2	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	100			Percent of total billed charges		188	100			Percent of total billed charges		188	100			Percent of total billed charges		188	33.3			Percent of total billed charges		62.604	33.3			Percent of total billed charges		62.604	100			Percent of total billed charges		188	62.604	169.2	
4.5mm compression plate narrow 7 hole 119mm 00-4945-007-00 zimmer	278	RC	Outpatient			188	122.2		90			Percent of total billed charges		169.2	40			Percent of total billed charges		75.2	80			Percent of total billed charges		150.4	90			Percent of total billed charges		169.2	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	100			Percent of total billed charges		188	100			Percent of total billed charges		188	100			Percent of total billed charges		188	33.3			Percent of total billed charges		62.604	33.3			Percent of total billed charges		62.604	100			Percent of total billed charges		188	62.604	169.2	
4.5mm compression plate narrow 8 hole 135mm 00-4945-008-00 zimmer	278	RC	Outpatient			188	122.2		90			Percent of total billed charges		169.2	40			Percent of total billed charges		75.2	80			Percent of total billed charges		150.4	90			Percent of total billed charges		169.2	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	100			Percent of total billed charges		188	100			Percent of total billed charges		188	100			Percent of total billed charges		188	33.3			Percent of total billed charges		62.604	33.3			Percent of total billed charges		62.604	100			Percent of total billed charges		188	62.604	169.2	
4.5mm compression plate narrow 2 hole 39mm 00-4945-002-00 zimmer	278	RC	Outpatient			188	122.2		90			Percent of total billed charges		169.2	40			Percent of total billed charges		75.2	80			Percent of total billed charges		150.4	90			Percent of total billed charges		169.2	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	100			Percent of total billed charges		188	100			Percent of total billed charges		188	100			Percent of total billed charges		188	33.3			Percent of total billed charges		62.604	33.3			Percent of total billed charges		62.604	100			Percent of total billed charges		188	62.604	169.2	
4.5mm compression plate narrow 3 hole 55mm 00-4945-003-00 zimmer	278	RC	Outpatient			188	122.2		90			Percent of total billed charges		169.2	40			Percent of total billed charges		75.2	80			Percent of total billed charges		150.4	90			Percent of total billed charges		169.2	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	100			Percent of total billed charges		188	100			Percent of total billed charges		188	100			Percent of total billed charges		188	33.3			Percent of total billed charges		62.604	33.3			Percent of total billed charges		62.604	100			Percent of total billed charges		188	62.604	169.2	
4.5mm compression plate narrow 5 hole 87mm 00-4945-005-00 zimmer	278	RC	Outpatient			188	122.2		90			Percent of total billed charges		169.2	40			Percent of total billed charges		75.2	80			Percent of total billed charges		150.4	90			Percent of total billed charges		169.2	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	100			Percent of total billed charges		188	100			Percent of total billed charges		188	100			Percent of total billed charges		188	33.3			Percent of total billed charges		62.604	33.3			Percent of total billed charges		62.604	100			Percent of total billed charges		188	62.604	169.2	
4.5mm compression plate narrow 6 hole 103mm 00-4945-006-00 zimmer	278	RC	Outpatient			188	122.2		90			Percent of total billed charges		169.2	40			Percent of total billed charges		75.2	80			Percent of total billed charges		150.4	90			Percent of total billed charges		169.2	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	100			Percent of total billed charges		188	100			Percent of total billed charges		188	100			Percent of total billed charges		188	33.3			Percent of total billed charges		62.604	33.3			Percent of total billed charges		62.604	100			Percent of total billed charges		188	62.604	169.2	
4.5mm compression plate narrow 9 hole 151mm 00-4945-009-00 zimmer	278	RC	Outpatient			188	122.2		90			Percent of total billed charges		169.2	40			Percent of total billed charges		75.2	80			Percent of total billed charges		150.4	90			Percent of total billed charges		169.2	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	100			Percent of total billed charges		188	100			Percent of total billed charges		188	100			Percent of total billed charges		188	33.3			Percent of total billed charges		62.604	33.3			Percent of total billed charges		62.604	100			Percent of total billed charges		188	62.604	169.2	
endometrial biopsy	761	RC	Outpatient			188	122.2		90			Percent of total billed charges		169.2	40			Percent of total billed charges		75.2	80			Percent of total billed charges		150.4	90			Percent of total billed charges		169.2	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	100			Percent of total billed charges		188	100			Percent of total billed charges		188	100			Percent of total billed charges		188	33.3			Percent of total billed charges		62.604	33.3			Percent of total billed charges		62.604	100			Percent of total billed charges		188	62.604	169.2	
peri-loc vlp 3.5 x 10mm lock screw  71821210 s/n	278	RC	Outpatient			188	122.2		90			Percent of total billed charges		169.2	40			Percent of total billed charges		75.2	80			Percent of total billed charges		150.4	90			Percent of total billed charges		169.2	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	100			Percent of total billed charges		188	100			Percent of total billed charges		188	100			Percent of total billed charges		188	33.3			Percent of total billed charges		62.604	33.3			Percent of total billed charges		62.604	100			Percent of total billed charges		188	62.604	169.2	
peri-loc vlp 3.5 x 14mm lock screw  71821214 s/n	278	RC	Outpatient			188	122.2		90			Percent of total billed charges		169.2	40			Percent of total billed charges		75.2	80			Percent of total billed charges		150.4	90			Percent of total billed charges		169.2	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	100			Percent of total billed charges		188	100			Percent of total billed charges		188	100			Percent of total billed charges		188	33.3			Percent of total billed charges		62.604	33.3			Percent of total billed charges		62.604	100			Percent of total billed charges		188	62.604	169.2	
peri-loc vlp 3.5 x 16mm lock screw  71821216 s/n	278	RC	Outpatient			188	122.2		90			Percent of total billed charges		169.2	40			Percent of total billed charges		75.2	80			Percent of total billed charges		150.4	90			Percent of total billed charges		169.2	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	100			Percent of total billed charges		188	100			Percent of total billed charges		188	100			Percent of total billed charges		188	33.3			Percent of total billed charges		62.604	33.3			Percent of total billed charges		62.604	100			Percent of total billed charges		188	62.604	169.2	
peri-loc vlp 3.5 x 18mm lock screw  71821218 s/n	278	RC	Outpatient			188	122.2		90			Percent of total billed charges		169.2	40			Percent of total billed charges		75.2	80			Percent of total billed charges		150.4	90			Percent of total billed charges		169.2	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	100			Percent of total billed charges		188	100			Percent of total billed charges		188	100			Percent of total billed charges		188	33.3			Percent of total billed charges		62.604	33.3			Percent of total billed charges		62.604	100			Percent of total billed charges		188	62.604	169.2	
peri-loc vlp 3.5 x 22mm lock screw  71821222 s/n	278	RC	Outpatient			188	122.2		90			Percent of total billed charges		169.2	40			Percent of total billed charges		75.2	80			Percent of total billed charges		150.4	90			Percent of total billed charges		169.2	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	100			Percent of total billed charges		188	100			Percent of total billed charges		188	100			Percent of total billed charges		188	33.3			Percent of total billed charges		62.604	33.3			Percent of total billed charges		62.604	100			Percent of total billed charges		188	62.604	169.2	
peri-loc vlp 3.5 x 26mm lock screw  71821226 s/n	278	RC	Outpatient			188	122.2		90			Percent of total billed charges		169.2	40			Percent of total billed charges		75.2	80			Percent of total billed charges		150.4	90			Percent of total billed charges		169.2	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	100			Percent of total billed charges		188	100			Percent of total billed charges		188	100			Percent of total billed charges		188	33.3			Percent of total billed charges		62.604	33.3			Percent of total billed charges		62.604	100			Percent of total billed charges		188	62.604	169.2	
peri-loc vlp 3.5 x 28mm lock screw  71821228 s/n	278	RC	Outpatient			188	122.2		90			Percent of total billed charges		169.2	40			Percent of total billed charges		75.2	80			Percent of total billed charges		150.4	90			Percent of total billed charges		169.2	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	100			Percent of total billed charges		188	100			Percent of total billed charges		188	100			Percent of total billed charges		188	33.3			Percent of total billed charges		62.604	33.3			Percent of total billed charges		62.604	100			Percent of total billed charges		188	62.604	169.2	
peri-loc vlp 3.5 x 32mm lock screw  71821232 s/n	278	RC	Outpatient			188	122.2		90			Percent of total billed charges		169.2	40			Percent of total billed charges		75.2	80			Percent of total billed charges		150.4	90			Percent of total billed charges		169.2	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	100			Percent of total billed charges		188	100			Percent of total billed charges		188	100			Percent of total billed charges		188	33.3			Percent of total billed charges		62.604	33.3			Percent of total billed charges		62.604	100			Percent of total billed charges		188	62.604	169.2	
peri-loc vlp 3.5 x 34mm lock screw  71821234 s/n	278	RC	Outpatient			188	122.2		90			Percent of total billed charges		169.2	40			Percent of total billed charges		75.2	80			Percent of total billed charges		150.4	90			Percent of total billed charges		169.2	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	100			Percent of total billed charges		188	100			Percent of total billed charges		188	100			Percent of total billed charges		188	33.3			Percent of total billed charges		62.604	33.3			Percent of total billed charges		62.604	100			Percent of total billed charges		188	62.604	169.2	
peri-loc vlp 3.5 x 38mm lock screw  71821238 s/n	278	RC	Outpatient			188	122.2		90			Percent of total billed charges		169.2	40			Percent of total billed charges		75.2	80			Percent of total billed charges		150.4	90			Percent of total billed charges		169.2	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	100			Percent of total billed charges		188	100			Percent of total billed charges		188	100			Percent of total billed charges		188	33.3			Percent of total billed charges		62.604	33.3			Percent of total billed charges		62.604	100			Percent of total billed charges		188	62.604	169.2	
peri-loc vlp 3.5 x 40mm lock screw  71821240 s/n	278	RC	Outpatient			188	122.2		90			Percent of total billed charges		169.2	40			Percent of total billed charges		75.2	80			Percent of total billed charges		150.4	90			Percent of total billed charges		169.2	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	100			Percent of total billed charges		188	100			Percent of total billed charges		188	100			Percent of total billed charges		188	33.3			Percent of total billed charges		62.604	33.3			Percent of total billed charges		62.604	100			Percent of total billed charges		188	62.604	169.2	
peri-loc vlp 3.5 x 44mm lock screw  71821244 s/n	278	RC	Outpatient			188	122.2		90			Percent of total billed charges		169.2	40			Percent of total billed charges		75.2	80			Percent of total billed charges		150.4	90			Percent of total billed charges		169.2	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	100			Percent of total billed charges		188	100			Percent of total billed charges		188	100			Percent of total billed charges		188	33.3			Percent of total billed charges		62.604	33.3			Percent of total billed charges		62.604	100			Percent of total billed charges		188	62.604	169.2	
peri-loc vlp 3.5 x 48mm lock screw  71821248 s/n	278	RC	Outpatient			188	122.2		90			Percent of total billed charges		169.2	40			Percent of total billed charges		75.2	80			Percent of total billed charges		150.4	90			Percent of total billed charges		169.2	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	100			Percent of total billed charges		188	100			Percent of total billed charges		188	100			Percent of total billed charges		188	33.3			Percent of total billed charges		62.604	33.3			Percent of total billed charges		62.604	100			Percent of total billed charges		188	62.604	169.2	
peri-loc vlp 3.5 x 50mm lock screw  71821250 s/n	278	RC	Outpatient			188	122.2		90			Percent of total billed charges		169.2	40			Percent of total billed charges		75.2	80			Percent of total billed charges		150.4	90			Percent of total billed charges		169.2	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	100			Percent of total billed charges		188	100			Percent of total billed charges		188	100			Percent of total billed charges		188	33.3			Percent of total billed charges		62.604	33.3			Percent of total billed charges		62.604	100			Percent of total billed charges		188	62.604	169.2	
peri-loc vlp 3.5 x 55mm lock screw  71821255 s/n	278	RC	Outpatient			188	122.2		90			Percent of total billed charges		169.2	40			Percent of total billed charges		75.2	80			Percent of total billed charges		150.4	90			Percent of total billed charges		169.2	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	100			Percent of total billed charges		188	100			Percent of total billed charges		188	100			Percent of total billed charges		188	33.3			Percent of total billed charges		62.604	33.3			Percent of total billed charges		62.604	100			Percent of total billed charges		188	62.604	169.2	
peri-loc vlp 3.5 x 6mm lock screw  71821206 s/n	278	RC	Outpatient			188	122.2		90			Percent of total billed charges		169.2	40			Percent of total billed charges		75.2	80			Percent of total billed charges		150.4	90			Percent of total billed charges		169.2	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	100			Percent of total billed charges		188	100			Percent of total billed charges		188	100			Percent of total billed charges		188	33.3			Percent of total billed charges		62.604	33.3			Percent of total billed charges		62.604	100			Percent of total billed charges		188	62.604	169.2	
peri-loc vlp 3.5 x 12mm lock screw  71821212 s/n	278	RC	Outpatient			188	122.2		90			Percent of total billed charges		169.2	40			Percent of total billed charges		75.2	80			Percent of total billed charges		150.4	90			Percent of total billed charges		169.2	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	100			Percent of total billed charges		188	100			Percent of total billed charges		188	100			Percent of total billed charges		188	33.3			Percent of total billed charges		62.604	33.3			Percent of total billed charges		62.604	100			Percent of total billed charges		188	62.604	169.2	
peri-loc vlp 3.5 x 20mm lock screw  71821220 s/n	278	RC	Outpatient			188	122.2		90			Percent of total billed charges		169.2	40			Percent of total billed charges		75.2	80			Percent of total billed charges		150.4	90			Percent of total billed charges		169.2	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	100			Percent of total billed charges		188	100			Percent of total billed charges		188	100			Percent of total billed charges		188	33.3			Percent of total billed charges		62.604	33.3			Percent of total billed charges		62.604	100			Percent of total billed charges		188	62.604	169.2	
peri-loc vlp 3.5 x 24mm lock screw  71821224 s/n	278	RC	Outpatient			188	122.2		90			Percent of total billed charges		169.2	40			Percent of total billed charges		75.2	80			Percent of total billed charges		150.4	90			Percent of total billed charges		169.2	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	100			Percent of total billed charges		188	100			Percent of total billed charges		188	100			Percent of total billed charges		188	33.3			Percent of total billed charges		62.604	33.3			Percent of total billed charges		62.604	100			Percent of total billed charges		188	62.604	169.2	
peri-loc vlp 3.5 x 30mm lock screw  71821230 s/n	278	RC	Outpatient			188	122.2		90			Percent of total billed charges		169.2	40			Percent of total billed charges		75.2	80			Percent of total billed charges		150.4	90			Percent of total billed charges		169.2	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	100			Percent of total billed charges		188	100			Percent of total billed charges		188	100			Percent of total billed charges		188	33.3			Percent of total billed charges		62.604	33.3			Percent of total billed charges		62.604	100			Percent of total billed charges		188	62.604	169.2	
peri-loc vlp 3.5 x 36mm lock screw  71821236 s/n	278	RC	Outpatient			188	122.2		90			Percent of total billed charges		169.2	40			Percent of total billed charges		75.2	80			Percent of total billed charges		150.4	90			Percent of total billed charges		169.2	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	100			Percent of total billed charges		188	100			Percent of total billed charges		188	100			Percent of total billed charges		188	33.3			Percent of total billed charges		62.604	33.3			Percent of total billed charges		62.604	100			Percent of total billed charges		188	62.604	169.2	
peri-loc vlp 3.5 x 42mm lock screw  71821242 s/n	278	RC	Outpatient			188	122.2		90			Percent of total billed charges		169.2	40			Percent of total billed charges		75.2	80			Percent of total billed charges		150.4	90			Percent of total billed charges		169.2	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	100			Percent of total billed charges		188	100			Percent of total billed charges		188	100			Percent of total billed charges		188	33.3			Percent of total billed charges		62.604	33.3			Percent of total billed charges		62.604	100			Percent of total billed charges		188	62.604	169.2	
peri-loc vlp 3.5 x 46mm lock screw  71821246 s/n	278	RC	Outpatient			188	122.2		90			Percent of total billed charges		169.2	40			Percent of total billed charges		75.2	80			Percent of total billed charges		150.4	90			Percent of total billed charges		169.2	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	100			Percent of total billed charges		188	100			Percent of total billed charges		188	100			Percent of total billed charges		188	33.3			Percent of total billed charges		62.604	33.3			Percent of total billed charges		62.604	100			Percent of total billed charges		188	62.604	169.2	
peri-loc vlp 3.5 x 50mm lock screw  71821260 s/n	278	RC	Outpatient			188	122.2		90			Percent of total billed charges		169.2	40			Percent of total billed charges		75.2	80			Percent of total billed charges		150.4	90			Percent of total billed charges		169.2	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	100			Percent of total billed charges		188	100			Percent of total billed charges		188	100			Percent of total billed charges		188	33.3			Percent of total billed charges		62.604	33.3			Percent of total billed charges		62.604	100			Percent of total billed charges		188	62.604	169.2	
peri-loc vlp 3.5 x 65mm lock screw  71821265 s/n	278	RC	Outpatient			188	122.2		90			Percent of total billed charges		169.2	40			Percent of total billed charges		75.2	80			Percent of total billed charges		150.4	90			Percent of total billed charges		169.2	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	100			Percent of total billed charges		188	100			Percent of total billed charges		188	100			Percent of total billed charges		188	33.3			Percent of total billed charges		62.604	33.3			Percent of total billed charges		62.604	100			Percent of total billed charges		188	62.604	169.2	
peri-loc vlp 3.5 x 70mm lock screw  71821270 s/n	278	RC	Outpatient			188	122.2		90			Percent of total billed charges		169.2	40			Percent of total billed charges		75.2	80			Percent of total billed charges		150.4	90			Percent of total billed charges		169.2	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	100			Percent of total billed charges		188	100			Percent of total billed charges		188	100			Percent of total billed charges		188	33.3			Percent of total billed charges		62.604	33.3			Percent of total billed charges		62.604	100			Percent of total billed charges		188	62.604	169.2	
peri-loc vlp 3.5 x 75mm lock screw  71821275 s/n	278	RC	Outpatient			188	122.2		90			Percent of total billed charges		169.2	40			Percent of total billed charges		75.2	80			Percent of total billed charges		150.4	90			Percent of total billed charges		169.2	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	100			Percent of total billed charges		188	100			Percent of total billed charges		188	100			Percent of total billed charges		188	33.3			Percent of total billed charges		62.604	33.3			Percent of total billed charges		62.604	100			Percent of total billed charges		188	62.604	169.2	
peri-loc vlp 3.5 x 80mm lock screw  71821280 s/n	278	RC	Outpatient			188	122.2		90			Percent of total billed charges		169.2	40			Percent of total billed charges		75.2	80			Percent of total billed charges		150.4	90			Percent of total billed charges		169.2	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	100			Percent of total billed charges		188	100			Percent of total billed charges		188	100			Percent of total billed charges		188	33.3			Percent of total billed charges		62.604	33.3			Percent of total billed charges		62.604	100			Percent of total billed charges		188	62.604	169.2	
peri-loc vlp 3.5 x 8mm lock screw  71821208 s/n	278	RC	Outpatient			188	122.2		90			Percent of total billed charges		169.2	40			Percent of total billed charges		75.2	80			Percent of total billed charges		150.4	90			Percent of total billed charges		169.2	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	100			Percent of total billed charges		188	100			Percent of total billed charges		188	100			Percent of total billed charges		188	33.3			Percent of total billed charges		62.604	33.3			Percent of total billed charges		62.604	100			Percent of total billed charges		188	62.604	169.2	
zimm 4.5 nw comp pl 2-9hl	278	RC	Outpatient			188	122.2		90			Percent of total billed charges		169.2	40			Percent of total billed charges		75.2	80			Percent of total billed charges		150.4	90			Percent of total billed charges		169.2	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	85			Percent of total billed charges		159.8	100			Percent of total billed charges		188	100			Percent of total billed charges		188	100			Percent of total billed charges		188	33.3			Percent of total billed charges		62.604	33.3			Percent of total billed charges		62.604	100			Percent of total billed charges		188	62.604	169.2	
cho.angiogram kit--arrow	270	RC	Outpatient			189	122.85		90			Percent of total billed charges		170.1	40			Percent of total billed charges		75.6	80			Percent of total billed charges		151.2	90			Percent of total billed charges		170.1	85			Percent of total billed charges		160.65	85			Percent of total billed charges		160.65	85			Percent of total billed charges		160.65	100			Percent of total billed charges		189	100			Percent of total billed charges		189	100			Percent of total billed charges		189	33.3			Percent of total billed charges		62.937	33.3			Percent of total billed charges		62.937	100			Percent of total billed charges		189	62.937	170.1	
kit percutaneous lap cholangiogram cs01701e	270	RC	Outpatient			189	122.85		90			Percent of total billed charges		170.1	40			Percent of total billed charges		75.6	80			Percent of total billed charges		151.2	90			Percent of total billed charges		170.1	85			Percent of total billed charges		160.65	85			Percent of total billed charges		160.65	85			Percent of total billed charges		160.65	100			Percent of total billed charges		189	100			Percent of total billed charges		189	100			Percent of total billed charges		189	33.3			Percent of total billed charges		62.937	33.3			Percent of total billed charges		62.937	100			Percent of total billed charges		189	62.937	170.1	
kit shoulder suspension 3583	270	RC	Outpatient			189	122.85		90			Percent of total billed charges		170.1	40			Percent of total billed charges		75.6	80			Percent of total billed charges		151.2	90			Percent of total billed charges		170.1	85			Percent of total billed charges		160.65	85			Percent of total billed charges		160.65	85			Percent of total billed charges		160.65	100			Percent of total billed charges		189	100			Percent of total billed charges		189	100			Percent of total billed charges		189	33.3			Percent of total billed charges		62.937	33.3			Percent of total billed charges		62.937	100			Percent of total billed charges		189	62.937	170.1	
shoulder suspension systm	270	RC	Outpatient			189	122.85		90			Percent of total billed charges		170.1	40			Percent of total billed charges		75.6	80			Percent of total billed charges		151.2	90			Percent of total billed charges		170.1	85			Percent of total billed charges		160.65	85			Percent of total billed charges		160.65	85			Percent of total billed charges		160.65	100			Percent of total billed charges		189	100			Percent of total billed charges		189	100			Percent of total billed charges		189	33.3			Percent of total billed charges		62.937	33.3			Percent of total billed charges		62.937	100			Percent of total billed charges		189	62.937	170.1	
shoulder traction kit in9300clf intramed	270	RC	Outpatient			189	122.85		90			Percent of total billed charges		170.1	40			Percent of total billed charges		75.6	80			Percent of total billed charges		151.2	90			Percent of total billed charges		170.1	85			Percent of total billed charges		160.65	85			Percent of total billed charges		160.65	85			Percent of total billed charges		160.65	100			Percent of total billed charges		189	100			Percent of total billed charges		189	100			Percent of total billed charges		189	33.3			Percent of total billed charges		62.937	33.3			Percent of total billed charges		62.937	100			Percent of total billed charges		189	62.937	170.1	
acumed 3.5 locking screw	278	RC	Outpatient			190	123.5		90			Percent of total billed charges		171	40			Percent of total billed charges		76	80			Percent of total billed charges		152	90			Percent of total billed charges		171	85			Percent of total billed charges		161.5	85			Percent of total billed charges		161.5	85			Percent of total billed charges		161.5	100			Percent of total billed charges		190	100			Percent of total billed charges		190	100			Percent of total billed charges		190	33.3			Percent of total billed charges		63.27	33.3			Percent of total billed charges		63.27	100			Percent of total billed charges		190	63.27	171	
acumed non-locking cortical screw 3.5 x 14mm co-3140	278	RC	Outpatient			190	123.5		90			Percent of total billed charges		171	40			Percent of total billed charges		76	80			Percent of total billed charges		152	90			Percent of total billed charges		171	85			Percent of total billed charges		161.5	85			Percent of total billed charges		161.5	85			Percent of total billed charges		161.5	100			Percent of total billed charges		190	100			Percent of total billed charges		190	100			Percent of total billed charges		190	33.3			Percent of total billed charges		63.27	33.3			Percent of total billed charges		63.27	100			Percent of total billed charges		190	63.27	171	
cortical screw 3.5 x 12mm co-3120 acumed	278	RC	Outpatient			190	123.5		90			Percent of total billed charges		171	40			Percent of total billed charges		76	80			Percent of total billed charges		152	90			Percent of total billed charges		171	85			Percent of total billed charges		161.5	85			Percent of total billed charges		161.5	85			Percent of total billed charges		161.5	100			Percent of total billed charges		190	100			Percent of total billed charges		190	100			Percent of total billed charges		190	33.3			Percent of total billed charges		63.27	33.3			Percent of total billed charges		63.27	100			Percent of total billed charges		190	63.27	171	
acumed cortical screw 3.5 x 10mm co-3100	278	RC	Outpatient			190	123.5		90			Percent of total billed charges		171	40			Percent of total billed charges		76	80			Percent of total billed charges		152	90			Percent of total billed charges		171	85			Percent of total billed charges		161.5	85			Percent of total billed charges		161.5	85			Percent of total billed charges		161.5	100			Percent of total billed charges		190	100			Percent of total billed charges		190	100			Percent of total billed charges		190	33.3			Percent of total billed charges		63.27	33.3			Percent of total billed charges		63.27	100			Percent of total billed charges		190	63.27	171	
acumed non-locking cortical screw 3.5 x 16mm co-3160	278	RC	Outpatient			190	123.5		90			Percent of total billed charges		171	40			Percent of total billed charges		76	80			Percent of total billed charges		152	90			Percent of total billed charges		171	85			Percent of total billed charges		161.5	85			Percent of total billed charges		161.5	85			Percent of total billed charges		161.5	100			Percent of total billed charges		190	100			Percent of total billed charges		190	100			Percent of total billed charges		190	33.3			Percent of total billed charges		63.27	33.3			Percent of total billed charges		63.27	100			Percent of total billed charges		190	63.27	171	
acumed nonlocking cortical screw 3.5 x 18mm co-3180	278	RC	Outpatient			190	123.5		90			Percent of total billed charges		171	40			Percent of total billed charges		76	80			Percent of total billed charges		152	90			Percent of total billed charges		171	85			Percent of total billed charges		161.5	85			Percent of total billed charges		161.5	85			Percent of total billed charges		161.5	100			Percent of total billed charges		190	100			Percent of total billed charges		190	100			Percent of total billed charges		190	33.3			Percent of total billed charges		63.27	33.3			Percent of total billed charges		63.27	100			Percent of total billed charges		190	63.27	171	
canaliculus intubation se	272	RC	Outpatient			190	123.5		90			Percent of total billed charges		171	40			Percent of total billed charges		76	80			Percent of total billed charges		152	90			Percent of total billed charges		171	85			Percent of total billed charges		161.5	85			Percent of total billed charges		161.5	85			Percent of total billed charges		161.5	100			Percent of total billed charges		190	100			Percent of total billed charges		190	100			Percent of total billed charges		190	33.3			Percent of total billed charges		63.27	33.3			Percent of total billed charges		63.27	100			Percent of total billed charges		190	63.27	171	
forceps bronch bx disp	270	RC	Outpatient			190	123.5		90			Percent of total billed charges		171	40			Percent of total billed charges		76	80			Percent of total billed charges		152	90			Percent of total billed charges		171	85			Percent of total billed charges		161.5	85			Percent of total billed charges		161.5	85			Percent of total billed charges		161.5	100			Percent of total billed charges		190	100			Percent of total billed charges		190	100			Percent of total billed charges		190	33.3			Percent of total billed charges		63.27	33.3			Percent of total billed charges		63.27	100			Percent of total billed charges		190	63.27	171	
locking screw 3.5 x 20 col-3200 acumed	278	RC	Outpatient			190	123.5		90			Percent of total billed charges		171	40			Percent of total billed charges		76	80			Percent of total billed charges		152	90			Percent of total billed charges		171	85			Percent of total billed charges		161.5	85			Percent of total billed charges		161.5	85			Percent of total billed charges		161.5	100			Percent of total billed charges		190	100			Percent of total billed charges		190	100			Percent of total billed charges		190	33.3			Percent of total billed charges		63.27	33.3			Percent of total billed charges		63.27	100			Percent of total billed charges		190	63.27	171	
refill proximate cutter tvr55	270	RC	Outpatient			190	123.5		90			Percent of total billed charges		171	40			Percent of total billed charges		76	80			Percent of total billed charges		152	90			Percent of total billed charges		171	85			Percent of total billed charges		161.5	85			Percent of total billed charges		161.5	85			Percent of total billed charges		161.5	100			Percent of total billed charges		190	100			Percent of total billed charges		190	100			Percent of total billed charges		190	33.3			Percent of total billed charges		63.27	33.3			Percent of total billed charges		63.27	100			Percent of total billed charges		190	63.27	171	
tray tpl lum 20 ak25703a	270	RC	Outpatient			190	123.5		90			Percent of total billed charges		171	40			Percent of total billed charges		76	80			Percent of total billed charges		152	90			Percent of total billed charges		171	85			Percent of total billed charges		161.5	85			Percent of total billed charges		161.5	85			Percent of total billed charges		161.5	100			Percent of total billed charges		190	100			Percent of total billed charges		190	100			Percent of total billed charges		190	33.3			Percent of total billed charges		63.27	33.3			Percent of total billed charges		63.27	100			Percent of total billed charges		190	63.27	171	
ritleng bicanaliculus int	272	RC	Outpatient			190	123.5		90			Percent of total billed charges		171	40			Percent of total billed charges		76	80			Percent of total billed charges		152	90			Percent of total billed charges		171	85			Percent of total billed charges		161.5	85			Percent of total billed charges		161.5	85			Percent of total billed charges		161.5	100			Percent of total billed charges		190	100			Percent of total billed charges		190	100			Percent of total billed charges		190	33.3			Percent of total billed charges		63.27	33.3			Percent of total billed charges		63.27	100			Percent of total billed charges		190	63.27	171	
set intubation canaliculus 9045	272	RC	Outpatient			190	123.5		90			Percent of total billed charges		171	40			Percent of total billed charges		76	80			Percent of total billed charges		152	90			Percent of total billed charges		171	85			Percent of total billed charges		161.5	85			Percent of total billed charges		161.5	85			Percent of total billed charges		161.5	100			Percent of total billed charges		190	100			Percent of total billed charges		190	100			Percent of total billed charges		190	33.3			Percent of total billed charges		63.27	33.3			Percent of total billed charges		63.27	100			Percent of total billed charges		190	63.27	171	
set intubation s1.1450u	272	RC	Outpatient			190	123.5		90			Percent of total billed charges		171	40			Percent of total billed charges		76	80			Percent of total billed charges		152	90			Percent of total billed charges		171	85			Percent of total billed charges		161.5	85			Percent of total billed charges		161.5	85			Percent of total billed charges		161.5	100			Percent of total billed charges		190	100			Percent of total billed charges		190	100			Percent of total billed charges		190	33.3			Percent of total billed charges		63.27	33.3			Percent of total billed charges		63.27	100			Percent of total billed charges		190	63.27	171	
staple vascular gia 2.5 reloads tvr55	270	RC	Outpatient			190	123.5		90			Percent of total billed charges		171	40			Percent of total billed charges		76	80			Percent of total billed charges		152	90			Percent of total billed charges		171	85			Percent of total billed charges		161.5	85			Percent of total billed charges		161.5	85			Percent of total billed charges		161.5	100			Percent of total billed charges		190	100			Percent of total billed charges		190	100			Percent of total billed charges		190	33.3			Percent of total billed charges		63.27	33.3			Percent of total billed charges		63.27	100			Percent of total billed charges		190	63.27	171	
staples ta30-v3 reload	270	RC	Outpatient			190	123.5		90			Percent of total billed charges		171	40			Percent of total billed charges		76	80			Percent of total billed charges		152	90			Percent of total billed charges		171	85			Percent of total billed charges		161.5	85			Percent of total billed charges		161.5	85			Percent of total billed charges		161.5	100			Percent of total billed charges		190	100			Percent of total billed charges		190	100			Percent of total billed charges		190	33.3			Percent of total billed charges		63.27	33.3			Percent of total billed charges		63.27	100			Percent of total billed charges		190	63.27	171	
staples tvr55	270	RC	Outpatient			190	123.5		90			Percent of total billed charges		171	40			Percent of total billed charges		76	80			Percent of total billed charges		152	90			Percent of total billed charges		171	85			Percent of total billed charges		161.5	85			Percent of total billed charges		161.5	85			Percent of total billed charges		161.5	100			Percent of total billed charges		190	100			Percent of total billed charges		190	100			Percent of total billed charges		190	33.3			Percent of total billed charges		63.27	33.3			Percent of total billed charges		63.27	100			Percent of total billed charges		190	63.27	171	
food bolus net retrieval us endoscopy ref#00711155	270	RC	Outpatient			190.43	123.78		90			Percent of total billed charges		171.387	40			Percent of total billed charges		76.172	80			Percent of total billed charges		152.344	90			Percent of total billed charges		171.387	85			Percent of total billed charges		161.8655	85			Percent of total billed charges		161.8655	85			Percent of total billed charges		161.8655	100			Percent of total billed charges		190.43	100			Percent of total billed charges		190.43	100			Percent of total billed charges		190.43	33.3			Percent of total billed charges		63.4132	33.3			Percent of total billed charges		63.4132	100			Percent of total billed charges		190.43	63.4132	171.387	
ednoclinch	272	RC	Outpatient			191	124.15		90			Percent of total billed charges		171.9	40			Percent of total billed charges		76.4	80			Percent of total billed charges		152.8	90			Percent of total billed charges		171.9	85			Percent of total billed charges		162.35	85			Percent of total billed charges		162.35	85			Percent of total billed charges		162.35	100			Percent of total billed charges		191	100			Percent of total billed charges		191	100			Percent of total billed charges		191	33.3			Percent of total billed charges		63.603	33.3			Percent of total billed charges		63.603	100			Percent of total billed charges		191	63.603	171.9	
endoclinch 174317 ussc	272	RC	Outpatient			191	124.15		90			Percent of total billed charges		171.9	40			Percent of total billed charges		76.4	80			Percent of total billed charges		152.8	90			Percent of total billed charges		171.9	85			Percent of total billed charges		162.35	85			Percent of total billed charges		162.35	85			Percent of total billed charges		162.35	100			Percent of total billed charges		191	100			Percent of total billed charges		191	100			Percent of total billed charges		191	33.3			Percent of total billed charges		63.603	33.3			Percent of total billed charges		63.603	100			Percent of total billed charges		191	63.603	171.9	
falope rings	272	RC	Outpatient			191	124.15		90			Percent of total billed charges		171.9	40			Percent of total billed charges		76.4	80			Percent of total billed charges		152.8	90			Percent of total billed charges		171.9	85			Percent of total billed charges		162.35	85			Percent of total billed charges		162.35	85			Percent of total billed charges		162.35	100			Percent of total billed charges		191	100			Percent of total billed charges		191	100			Percent of total billed charges		191	33.3			Percent of total billed charges		63.603	33.3			Percent of total billed charges		63.603	100			Percent of total billed charges		191	63.603	171.9	
endoscopic ligatr ovrtube	270	RC	Outpatient			191	124.15		90			Percent of total billed charges		171.9	40			Percent of total billed charges		76.4	80			Percent of total billed charges		152.8	90			Percent of total billed charges		171.9	85			Percent of total billed charges		162.35	85			Percent of total billed charges		162.35	85			Percent of total billed charges		162.35	100			Percent of total billed charges		191	100			Percent of total billed charges		191	100			Percent of total billed charges		191	33.3			Percent of total billed charges		63.603	33.3			Percent of total billed charges		63.603	100			Percent of total billed charges		191	63.603	171.9	
periflex epidurl cath kit	270	RC	Outpatient			191	124.15		90			Percent of total billed charges		171.9	40			Percent of total billed charges		76.4	80			Percent of total billed charges		152.8	90			Percent of total billed charges		171.9	85			Percent of total billed charges		162.35	85			Percent of total billed charges		162.35	85			Percent of total billed charges		162.35	100			Percent of total billed charges		191	100			Percent of total billed charges		191	100			Percent of total billed charges		191	33.3			Percent of total billed charges		63.603	33.3			Percent of total billed charges		63.603	100			Percent of total billed charges		191	63.603	171.9	
profix straight stryker sawblade 71512905 s/n	270	RC	Outpatient			191	124.15		90			Percent of total billed charges		171.9	40			Percent of total billed charges		76.4	80			Percent of total billed charges		152.8	90			Percent of total billed charges		171.9	85			Percent of total billed charges		162.35	85			Percent of total billed charges		162.35	85			Percent of total billed charges		162.35	100			Percent of total billed charges		191	100			Percent of total billed charges		191	100			Percent of total billed charges		191	33.3			Percent of total billed charges		63.603	33.3			Percent of total billed charges		63.603	100			Percent of total billed charges		191	63.603	171.9	
profix sawblade 71512901 s/n	270	RC	Outpatient			191	124.15		90			Percent of total billed charges		171.9	40			Percent of total billed charges		76.4	80			Percent of total billed charges		152.8	90			Percent of total billed charges		171.9	85			Percent of total billed charges		162.35	85			Percent of total billed charges		162.35	85			Percent of total billed charges		162.35	100			Percent of total billed charges		191	100			Percent of total billed charges		191	100			Percent of total billed charges		191	33.3			Percent of total billed charges		63.603	33.3			Percent of total billed charges		63.603	100			Percent of total billed charges		191	63.603	171.9	
s/n profix saw blade	270	RC	Outpatient			191	124.15		90			Percent of total billed charges		171.9	40			Percent of total billed charges		76.4	80			Percent of total billed charges		152.8	90			Percent of total billed charges		171.9	85			Percent of total billed charges		162.35	85			Percent of total billed charges		162.35	85			Percent of total billed charges		162.35	100			Percent of total billed charges		191	100			Percent of total billed charges		191	100			Percent of total billed charges		191	33.3			Percent of total billed charges		63.603	33.3			Percent of total billed charges		63.603	100			Percent of total billed charges		191	63.603	171.9	
trocar optiview 5mm350l	270	RC	Outpatient			191	124.15		90			Percent of total billed charges		171.9	40			Percent of total billed charges		76.4	80			Percent of total billed charges		152.8	90			Percent of total billed charges		171.9	85			Percent of total billed charges		162.35	85			Percent of total billed charges		162.35	85			Percent of total billed charges		162.35	100			Percent of total billed charges		191	100			Percent of total billed charges		191	100			Percent of total billed charges		191	33.3			Percent of total billed charges		63.603	33.3			Percent of total billed charges		63.603	100			Percent of total billed charges		191	63.603	171.9	
trocar pistol grip 5mm	270	RC	Outpatient			191	124.15		90			Percent of total billed charges		171.9	40			Percent of total billed charges		76.4	80			Percent of total billed charges		152.8	90			Percent of total billed charges		171.9	85			Percent of total billed charges		162.35	85			Percent of total billed charges		162.35	85			Percent of total billed charges		162.35	100			Percent of total billed charges		191	100			Percent of total billed charges		191	100			Percent of total billed charges		191	33.3			Percent of total billed charges		63.603	33.3			Percent of total billed charges		63.603	100			Percent of total billed charges		191	63.603	171.9	
trocar pistol grip bladeless 5mm b5lph ethicon	270	RC	Outpatient			191	124.15		90			Percent of total billed charges		171.9	40			Percent of total billed charges		76.4	80			Percent of total billed charges		152.8	90			Percent of total billed charges		171.9	85			Percent of total billed charges		162.35	85			Percent of total billed charges		162.35	85			Percent of total billed charges		162.35	100			Percent of total billed charges		191	100			Percent of total billed charges		191	100			Percent of total billed charges		191	33.3			Percent of total billed charges		63.603	33.3			Percent of total billed charges		63.603	100			Percent of total billed charges		191	63.603	171.9	
wound retractor	270	RC	Outpatient			191	124.15		90			Percent of total billed charges		171.9	40			Percent of total billed charges		76.4	80			Percent of total billed charges		152.8	90			Percent of total billed charges		171.9	85			Percent of total billed charges		162.35	85			Percent of total billed charges		162.35	85			Percent of total billed charges		162.35	100			Percent of total billed charges		191	100			Percent of total billed charges		191	100			Percent of total billed charges		191	33.3			Percent of total billed charges		63.603	33.3			Percent of total billed charges		63.603	100			Percent of total billed charges		191	63.603	171.9	
lapidus floatation matres	270	RC	Outpatient			192	124.8		90			Percent of total billed charges		172.8	40			Percent of total billed charges		76.8	80			Percent of total billed charges		153.6	90			Percent of total billed charges		172.8	85			Percent of total billed charges		163.2	85			Percent of total billed charges		163.2	85			Percent of total billed charges		163.2	100			Percent of total billed charges		192	100			Percent of total billed charges		192	100			Percent of total billed charges		192	33.3			Percent of total billed charges		63.936	33.3			Percent of total billed charges		63.936	100			Percent of total billed charges		192	63.936	172.8	
minitape cobraid blue 72205128 s/n	278	RC	Outpatient			192	124.8		90			Percent of total billed charges		172.8	40			Percent of total billed charges		76.8	80			Percent of total billed charges		153.6	90			Percent of total billed charges		172.8	85			Percent of total billed charges		163.2	85			Percent of total billed charges		163.2	85			Percent of total billed charges		163.2	100			Percent of total billed charges		192	100			Percent of total billed charges		192	100			Percent of total billed charges		192	33.3			Percent of total billed charges		63.936	33.3			Percent of total billed charges		63.936	100			Percent of total billed charges		192	63.936	172.8	
tube shea teflon piston	270	RC	Outpatient			192	124.8		90			Percent of total billed charges		172.8	40			Percent of total billed charges		76.8	80			Percent of total billed charges		153.6	90			Percent of total billed charges		172.8	85			Percent of total billed charges		163.2	85			Percent of total billed charges		163.2	85			Percent of total billed charges		163.2	100			Percent of total billed charges		192	100			Percent of total billed charges		192	100			Percent of total billed charges		192	33.3			Percent of total billed charges		63.936	33.3			Percent of total billed charges		63.936	100			Percent of total billed charges		192	63.936	172.8	
1.5mm h-plate 4 hole 9mm 00-4915-004-20 zimmer	278	RC	Outpatient			193	125.45		90			Percent of total billed charges		173.7	40			Percent of total billed charges		77.2	80			Percent of total billed charges		154.4	90			Percent of total billed charges		173.7	85			Percent of total billed charges		164.05	85			Percent of total billed charges		164.05	85			Percent of total billed charges		164.05	100			Percent of total billed charges		193	100			Percent of total billed charges		193	100			Percent of total billed charges		193	33.3			Percent of total billed charges		64.269	33.3			Percent of total billed charges		64.269	100			Percent of total billed charges		193	64.269	173.7	
2.0mm h-plate 4 hole 12mm 00-4920-004-20 zimmer	278	RC	Outpatient			193	125.45		90			Percent of total billed charges		173.7	40			Percent of total billed charges		77.2	80			Percent of total billed charges		154.4	90			Percent of total billed charges		173.7	85			Percent of total billed charges		164.05	85			Percent of total billed charges		164.05	85			Percent of total billed charges		164.05	100			Percent of total billed charges		193	100			Percent of total billed charges		193	100			Percent of total billed charges		193	33.3			Percent of total billed charges		64.269	33.3			Percent of total billed charges		64.269	100			Percent of total billed charges		193	64.269	173.7	
jet-x 8mm cap pin clmp lk	278	RC	Outpatient			193	125.45		90			Percent of total billed charges		173.7	40			Percent of total billed charges		77.2	80			Percent of total billed charges		154.4	90			Percent of total billed charges		173.7	85			Percent of total billed charges		164.05	85			Percent of total billed charges		164.05	85			Percent of total billed charges		164.05	100			Percent of total billed charges		193	100			Percent of total billed charges		193	100			Percent of total billed charges		193	33.3			Percent of total billed charges		64.269	33.3			Percent of total billed charges		64.269	100			Percent of total billed charges		193	64.269	173.7	
lacrimal light probe fiberoptic 28-0170 jedmed	270	RC	Outpatient			193	125.45		90			Percent of total billed charges		173.7	40			Percent of total billed charges		77.2	80			Percent of total billed charges		154.4	90			Percent of total billed charges		173.7	85			Percent of total billed charges		164.05	85			Percent of total billed charges		164.05	85			Percent of total billed charges		164.05	100			Percent of total billed charges		193	100			Percent of total billed charges		193	100			Percent of total billed charges		193	33.3			Percent of total billed charges		64.269	33.3			Percent of total billed charges		64.269	100			Percent of total billed charges		193	64.269	173.7	
lite probe	270	RC	Outpatient			193	125.45		90			Percent of total billed charges		173.7	40			Percent of total billed charges		77.2	80			Percent of total billed charges		154.4	90			Percent of total billed charges		173.7	85			Percent of total billed charges		164.05	85			Percent of total billed charges		164.05	85			Percent of total billed charges		164.05	100			Percent of total billed charges		193	100			Percent of total billed charges		193	100			Percent of total billed charges		193	33.3			Percent of total billed charges		64.269	33.3			Percent of total billed charges		64.269	100			Percent of total billed charges		193	64.269	173.7	
s/n jet-x  8mm locking bolt 7105-3031	278	RC	Outpatient			193	125.45		90			Percent of total billed charges		173.7	40			Percent of total billed charges		77.2	80			Percent of total billed charges		154.4	90			Percent of total billed charges		173.7	85			Percent of total billed charges		164.05	85			Percent of total billed charges		164.05	85			Percent of total billed charges		164.05	100			Percent of total billed charges		193	100			Percent of total billed charges		193	100			Percent of total billed charges		193	33.3			Percent of total billed charges		64.269	33.3			Percent of total billed charges		64.269	100			Percent of total billed charges		193	64.269	173.7	
scrmc mic-key low profile g-tube	621	RC	Outpatient			193	125.45		90			Percent of total billed charges		173.7	40			Percent of total billed charges		77.2	80			Percent of total billed charges		154.4	90			Percent of total billed charges		173.7	85			Percent of total billed charges		164.05	85			Percent of total billed charges		164.05	85			Percent of total billed charges		164.05	100			Percent of total billed charges		193	100			Percent of total billed charges		193	100			Percent of total billed charges		193	33.3			Percent of total billed charges		64.269	33.3			Percent of total billed charges		64.269	100			Percent of total billed charges		193	64.269	173.7	
surgiclip ii 134053 covidien	278	RC	Outpatient			193	125.45		90			Percent of total billed charges		173.7	40			Percent of total billed charges		77.2	80			Percent of total billed charges		154.4	90			Percent of total billed charges		173.7	85			Percent of total billed charges		164.05	85			Percent of total billed charges		164.05	85			Percent of total billed charges		164.05	100			Percent of total billed charges		193	100			Percent of total billed charges		193	100			Percent of total billed charges		193	33.3			Percent of total billed charges		64.269	33.3			Percent of total billed charges		64.269	100			Percent of total billed charges		193	64.269	173.7	
"small t plate, right angle 4 hole head, 4 hole shaft 241.14"	278	RC	Outpatient			193	125.45		90			Percent of total billed charges		173.7	40			Percent of total billed charges		77.2	80			Percent of total billed charges		154.4	90			Percent of total billed charges		173.7	85			Percent of total billed charges		164.05	85			Percent of total billed charges		164.05	85			Percent of total billed charges		164.05	100			Percent of total billed charges		193	100			Percent of total billed charges		193	100			Percent of total billed charges		193	33.3			Percent of total billed charges		64.269	33.3			Percent of total billed charges		64.269	100			Percent of total billed charges		193	64.269	173.7	
surgiclips	270	RC	Outpatient			193	125.45		90			Percent of total billed charges		173.7	40			Percent of total billed charges		77.2	80			Percent of total billed charges		154.4	90			Percent of total billed charges		173.7	85			Percent of total billed charges		164.05	85			Percent of total billed charges		164.05	85			Percent of total billed charges		164.05	100			Percent of total billed charges		193	100			Percent of total billed charges		193	100			Percent of total billed charges		193	33.3			Percent of total billed charges		64.269	33.3			Percent of total billed charges		64.269	100			Percent of total billed charges		193	64.269	173.7	
syn t-plate rt ang 4/4	278	RC	Outpatient			193	125.45		90			Percent of total billed charges		173.7	40			Percent of total billed charges		77.2	80			Percent of total billed charges		154.4	90			Percent of total billed charges		173.7	85			Percent of total billed charges		164.05	85			Percent of total billed charges		164.05	85			Percent of total billed charges		164.05	100			Percent of total billed charges		193	100			Percent of total billed charges		193	100			Percent of total billed charges		193	33.3			Percent of total billed charges		64.269	33.3			Percent of total billed charges		64.269	100			Percent of total billed charges		193	64.269	173.7	
zimm h-plate	278	RC	Outpatient			193	125.45		90			Percent of total billed charges		173.7	40			Percent of total billed charges		77.2	80			Percent of total billed charges		154.4	90			Percent of total billed charges		173.7	85			Percent of total billed charges		164.05	85			Percent of total billed charges		164.05	85			Percent of total billed charges		164.05	100			Percent of total billed charges		193	100			Percent of total billed charges		193	100			Percent of total billed charges		193	33.3			Percent of total billed charges		64.269	33.3			Percent of total billed charges		64.269	100			Percent of total billed charges		193	64.269	173.7	
11g ivas bone biopsy kit ref 0306-116-000 stryker	272	RC	Outpatient			193.7	125.91		90			Percent of total billed charges		174.33	40			Percent of total billed charges		77.48	80			Percent of total billed charges		154.96	90			Percent of total billed charges		174.33	85			Percent of total billed charges		164.645	85			Percent of total billed charges		164.645	85			Percent of total billed charges		164.645	100			Percent of total billed charges		193.7	100			Percent of total billed charges		193.7	100			Percent of total billed charges		193.7	33.3			Percent of total billed charges		64.5021	33.3			Percent of total billed charges		64.5021	100			Percent of total billed charges		193.7	64.5021	174.33	
3.2mm calibrated guide wire 300mm 292.69 synthes	270	RC	Outpatient			194	126.1		90			Percent of total billed charges		174.6	40			Percent of total billed charges		77.6	80			Percent of total billed charges		155.2	90			Percent of total billed charges		174.6	85			Percent of total billed charges		164.9	85			Percent of total billed charges		164.9	85			Percent of total billed charges		164.9	100			Percent of total billed charges		194	100			Percent of total billed charges		194	100			Percent of total billed charges		194	33.3			Percent of total billed charges		64.602	33.3			Percent of total billed charges		64.602	100			Percent of total billed charges		194	64.602	174.6	
biotrace barium	270	RC	Outpatient			194	126.1		90			Percent of total billed charges		174.6	40			Percent of total billed charges		77.6	80			Percent of total billed charges		155.2	90			Percent of total billed charges		174.6	85			Percent of total billed charges		164.9	85			Percent of total billed charges		164.9	85			Percent of total billed charges		164.9	100			Percent of total billed charges		194	100			Percent of total billed charges		194	100			Percent of total billed charges		194	33.3			Percent of total billed charges		64.602	33.3			Percent of total billed charges		64.602	100			Percent of total billed charges		194	64.602	174.6	
k-wire 2.0 x 315 703561 stryker	278	RC	Outpatient			194	126.1		90			Percent of total billed charges		174.6	40			Percent of total billed charges		77.6	80			Percent of total billed charges		155.2	90			Percent of total billed charges		174.6	85			Percent of total billed charges		164.9	85			Percent of total billed charges		164.9	85			Percent of total billed charges		164.9	100			Percent of total billed charges		194	100			Percent of total billed charges		194	100			Percent of total billed charges		194	33.3			Percent of total billed charges		64.602	33.3			Percent of total billed charges		64.602	100			Percent of total billed charges		194	64.602	174.6	
stryker k-wire 2.0	278	RC	Outpatient			194	126.1		90			Percent of total billed charges		174.6	40			Percent of total billed charges		77.6	80			Percent of total billed charges		155.2	90			Percent of total billed charges		174.6	85			Percent of total billed charges		164.9	85			Percent of total billed charges		164.9	85			Percent of total billed charges		164.9	100			Percent of total billed charges		194	100			Percent of total billed charges		194	100			Percent of total billed charges		194	33.3			Percent of total billed charges		64.602	33.3			Percent of total billed charges		64.602	100			Percent of total billed charges		194	64.602	174.6	
syn 3.2 guidewire	270	RC	Outpatient			194	126.1		90			Percent of total billed charges		174.6	40			Percent of total billed charges		77.6	80			Percent of total billed charges		155.2	90			Percent of total billed charges		174.6	85			Percent of total billed charges		164.9	85			Percent of total billed charges		164.9	85			Percent of total billed charges		164.9	100			Percent of total billed charges		194	100			Percent of total billed charges		194	100			Percent of total billed charges		194	33.3			Percent of total billed charges		64.602	33.3			Percent of total billed charges		64.602	100			Percent of total billed charges		194	64.602	174.6	
zzscrmc portable charge	340	RC	Outpatient			194	126.1		90			Percent of total billed charges		174.6	40			Percent of total billed charges		77.6	80			Percent of total billed charges		155.2	90			Percent of total billed charges		174.6	85			Percent of total billed charges		164.9	85			Percent of total billed charges		164.9	85			Percent of total billed charges		164.9	100			Percent of total billed charges		194	100			Percent of total billed charges		194	100			Percent of total billed charges		194	33.3			Percent of total billed charges		64.602	33.3			Percent of total billed charges		64.602	100			Percent of total billed charges		194	64.602	174.6	
2.0mm dcp plates 5 hole 243.55 synthes	278	RC	Outpatient			195	126.75		90			Percent of total billed charges		175.5	40			Percent of total billed charges		78	80			Percent of total billed charges		156	90			Percent of total billed charges		175.5	85			Percent of total billed charges		165.75	85			Percent of total billed charges		165.75	85			Percent of total billed charges		165.75	100			Percent of total billed charges		195	100			Percent of total billed charges		195	100			Percent of total billed charges		195	33.3			Percent of total billed charges		64.935	33.3			Percent of total billed charges		64.935	100			Percent of total billed charges		195	64.935	175.5	
2.7mm dcp plates 4 hole 244.04	278	RC	Outpatient			195	126.75		90			Percent of total billed charges		175.5	40			Percent of total billed charges		78	80			Percent of total billed charges		156	90			Percent of total billed charges		175.5	85			Percent of total billed charges		165.75	85			Percent of total billed charges		165.75	85			Percent of total billed charges		165.75	100			Percent of total billed charges		195	100			Percent of total billed charges		195	100			Percent of total billed charges		195	33.3			Percent of total billed charges		64.935	33.3			Percent of total billed charges		64.935	100			Percent of total billed charges		195	64.935	175.5	
2.7mm dcp plates 5 hole 244.05	278	RC	Outpatient			195	126.75		90			Percent of total billed charges		175.5	40			Percent of total billed charges		78	80			Percent of total billed charges		156	90			Percent of total billed charges		175.5	85			Percent of total billed charges		165.75	85			Percent of total billed charges		165.75	85			Percent of total billed charges		165.75	100			Percent of total billed charges		195	100			Percent of total billed charges		195	100			Percent of total billed charges		195	33.3			Percent of total billed charges		64.935	33.3			Percent of total billed charges		64.935	100			Percent of total billed charges		195	64.935	175.5	
4.5mm narrow dcp plate 5 hole 71mm 224.05	278	RC	Outpatient			195	126.75		90			Percent of total billed charges		175.5	40			Percent of total billed charges		78	80			Percent of total billed charges		156	90			Percent of total billed charges		175.5	85			Percent of total billed charges		165.75	85			Percent of total billed charges		165.75	85			Percent of total billed charges		165.75	100			Percent of total billed charges		195	100			Percent of total billed charges		195	100			Percent of total billed charges		195	33.3			Percent of total billed charges		64.935	33.3			Percent of total billed charges		64.935	100			Percent of total billed charges		195	64.935	175.5	
4.5mm narrow lc-dpc plate 5 hole 88mm 224.55	278	RC	Outpatient			195	126.75		90			Percent of total billed charges		175.5	40			Percent of total billed charges		78	80			Percent of total billed charges		156	90			Percent of total billed charges		175.5	85			Percent of total billed charges		165.75	85			Percent of total billed charges		165.75	85			Percent of total billed charges		165.75	100			Percent of total billed charges		195	100			Percent of total billed charges		195	100			Percent of total billed charges		195	33.3			Percent of total billed charges		64.935	33.3			Percent of total billed charges		64.935	100			Percent of total billed charges		195	64.935	175.5	
2.0mm dcp plates 4 hole 243.54 synthes	278	RC	Outpatient			195	126.75		90			Percent of total billed charges		175.5	40			Percent of total billed charges		78	80			Percent of total billed charges		156	90			Percent of total billed charges		175.5	85			Percent of total billed charges		165.75	85			Percent of total billed charges		165.75	85			Percent of total billed charges		165.75	100			Percent of total billed charges		195	100			Percent of total billed charges		195	100			Percent of total billed charges		195	33.3			Percent of total billed charges		64.935	33.3			Percent of total billed charges		64.935	100			Percent of total billed charges		195	64.935	175.5	
3.5mm dcp plate 4 hole 248.04	278	RC	Outpatient			195	126.75		90			Percent of total billed charges		175.5	40			Percent of total billed charges		78	80			Percent of total billed charges		156	90			Percent of total billed charges		175.5	85			Percent of total billed charges		165.75	85			Percent of total billed charges		165.75	85			Percent of total billed charges		165.75	100			Percent of total billed charges		195	100			Percent of total billed charges		195	100			Percent of total billed charges		195	33.3			Percent of total billed charges		64.935	33.3			Percent of total billed charges		64.935	100			Percent of total billed charges		195	64.935	175.5	
4.5mm narrow dcp plate 4 hole 71mm 224.04	278	RC	Outpatient			195	126.75		90			Percent of total billed charges		175.5	40			Percent of total billed charges		78	80			Percent of total billed charges		156	90			Percent of total billed charges		175.5	85			Percent of total billed charges		165.75	85			Percent of total billed charges		165.75	85			Percent of total billed charges		165.75	100			Percent of total billed charges		195	100			Percent of total billed charges		195	100			Percent of total billed charges		195	33.3			Percent of total billed charges		64.935	33.3			Percent of total billed charges		64.935	100			Percent of total billed charges		195	64.935	175.5	
4.5mm narrow dcp plate 5 hole 87mm 224.05	278	RC	Outpatient			195	126.75		90			Percent of total billed charges		175.5	40			Percent of total billed charges		78	80			Percent of total billed charges		156	90			Percent of total billed charges		175.5	85			Percent of total billed charges		165.75	85			Percent of total billed charges		165.75	85			Percent of total billed charges		165.75	100			Percent of total billed charges		195	100			Percent of total billed charges		195	100			Percent of total billed charges		195	33.3			Percent of total billed charges		64.935	33.3			Percent of total billed charges		64.935	100			Percent of total billed charges		195	64.935	175.5	
4.5mm narrow lc-dpc plate 4 hole 70mm 224.54	278	RC	Outpatient			195	126.75		90			Percent of total billed charges		175.5	40			Percent of total billed charges		78	80			Percent of total billed charges		156	90			Percent of total billed charges		175.5	85			Percent of total billed charges		165.75	85			Percent of total billed charges		165.75	85			Percent of total billed charges		165.75	100			Percent of total billed charges		195	100			Percent of total billed charges		195	100			Percent of total billed charges		195	33.3			Percent of total billed charges		64.935	33.3			Percent of total billed charges		64.935	100			Percent of total billed charges		195	64.935	175.5	
drill bit w/qc 3.5mm short 71173364 s/n	278	RC	Outpatient			195	126.75		90			Percent of total billed charges		175.5	40			Percent of total billed charges		78	80			Percent of total billed charges		156	90			Percent of total billed charges		175.5	85			Percent of total billed charges		165.75	85			Percent of total billed charges		165.75	85			Percent of total billed charges		165.75	100			Percent of total billed charges		195	100			Percent of total billed charges		195	100			Percent of total billed charges		195	33.3			Percent of total billed charges		64.935	33.3			Percent of total billed charges		64.935	100			Percent of total billed charges		195	64.935	175.5	
drill bit 2.0 short 71173555 s/n	278	RC	Outpatient			195	126.75		90			Percent of total billed charges		175.5	40			Percent of total billed charges		78	80			Percent of total billed charges		156	90			Percent of total billed charges		175.5	85			Percent of total billed charges		165.75	85			Percent of total billed charges		165.75	85			Percent of total billed charges		165.75	100			Percent of total billed charges		195	100			Percent of total billed charges		195	100			Percent of total billed charges		195	33.3			Percent of total billed charges		64.935	33.3			Percent of total billed charges		64.935	100			Percent of total billed charges		195	64.935	175.5	
drill bit w/qc 2.0mm 71173313 s/n	278	RC	Outpatient			195	126.75		90			Percent of total billed charges		175.5	40			Percent of total billed charges		78	80			Percent of total billed charges		156	90			Percent of total billed charges		175.5	85			Percent of total billed charges		165.75	85			Percent of total billed charges		165.75	85			Percent of total billed charges		165.75	100			Percent of total billed charges		195	100			Percent of total billed charges		195	100			Percent of total billed charges		195	33.3			Percent of total billed charges		64.935	33.3			Percent of total billed charges		64.935	100			Percent of total billed charges		195	64.935	175.5	
drill bit w/qc 2.7mm short 71173362 s/n	278	RC	Outpatient			195	126.75		90			Percent of total billed charges		175.5	40			Percent of total billed charges		78	80			Percent of total billed charges		156	90			Percent of total billed charges		175.5	85			Percent of total billed charges		165.75	85			Percent of total billed charges		165.75	85			Percent of total billed charges		165.75	100			Percent of total billed charges		195	100			Percent of total billed charges		195	100			Percent of total billed charges		195	33.3			Percent of total billed charges		64.935	33.3			Percent of total billed charges		64.935	100			Percent of total billed charges		195	64.935	175.5	
drill w/qc 4.5 71173507 s/n	278	RC	Outpatient			195	126.75		90			Percent of total billed charges		175.5	40			Percent of total billed charges		78	80			Percent of total billed charges		156	90			Percent of total billed charges		175.5	85			Percent of total billed charges		165.75	85			Percent of total billed charges		165.75	85			Percent of total billed charges		165.75	100			Percent of total billed charges		195	100			Percent of total billed charges		195	100			Percent of total billed charges		195	33.3			Percent of total billed charges		64.935	33.3			Percent of total billed charges		64.935	100			Percent of total billed charges		195	64.935	175.5	
lorenz 4 hole plate 1.5	278	RC	Outpatient			195	126.75		90			Percent of total billed charges		175.5	40			Percent of total billed charges		78	80			Percent of total billed charges		156	90			Percent of total billed charges		175.5	85			Percent of total billed charges		165.75	85			Percent of total billed charges		165.75	85			Percent of total billed charges		165.75	100			Percent of total billed charges		195	100			Percent of total billed charges		195	100			Percent of total billed charges		195	33.3			Percent of total billed charges		64.935	33.3			Percent of total billed charges		64.935	100			Percent of total billed charges		195	64.935	175.5	
peri-loc drill bit	278	RC	Outpatient			195	126.75		90			Percent of total billed charges		175.5	40			Percent of total billed charges		78	80			Percent of total billed charges		156	90			Percent of total billed charges		175.5	85			Percent of total billed charges		165.75	85			Percent of total billed charges		165.75	85			Percent of total billed charges		165.75	100			Percent of total billed charges		195	100			Percent of total billed charges		195	100			Percent of total billed charges		195	33.3			Percent of total billed charges		64.935	33.3			Percent of total billed charges		64.935	100			Percent of total billed charges		195	64.935	175.5	
screw cortex 2.7 x 18mm 202.818 synthes	278	RC	Outpatient			195	126.75		90			Percent of total billed charges		175.5	40			Percent of total billed charges		78	80			Percent of total billed charges		156	90			Percent of total billed charges		175.5	85			Percent of total billed charges		165.75	85			Percent of total billed charges		165.75	85			Percent of total billed charges		165.75	100			Percent of total billed charges		195	100			Percent of total billed charges		195	100			Percent of total billed charges		195	33.3			Percent of total billed charges		64.935	33.3			Percent of total billed charges		64.935	100			Percent of total billed charges		195	64.935	175.5	
screw cortex 4.5 x 36mm 214.836	278	RC	Outpatient			195	126.75		90			Percent of total billed charges		175.5	40			Percent of total billed charges		78	80			Percent of total billed charges		156	90			Percent of total billed charges		175.5	85			Percent of total billed charges		165.75	85			Percent of total billed charges		165.75	85			Percent of total billed charges		165.75	100			Percent of total billed charges		195	100			Percent of total billed charges		195	100			Percent of total billed charges		195	33.3			Percent of total billed charges		64.935	33.3			Percent of total billed charges		64.935	100			Percent of total billed charges		195	64.935	175.5	
screw cortical 4.5 x 50mm 214.050	278	RC	Outpatient			195	126.75		90			Percent of total billed charges		175.5	40			Percent of total billed charges		78	80			Percent of total billed charges		156	90			Percent of total billed charges		175.5	85			Percent of total billed charges		165.75	85			Percent of total billed charges		165.75	85			Percent of total billed charges		165.75	100			Percent of total billed charges		195	100			Percent of total billed charges		195	100			Percent of total billed charges		195	33.3			Percent of total billed charges		64.935	33.3			Percent of total billed charges		64.935	100			Percent of total billed charges		195	64.935	175.5	
syn 2.7-4.5mm cortex scrw	278	RC	Outpatient			195	126.75		90			Percent of total billed charges		175.5	40			Percent of total billed charges		78	80			Percent of total billed charges		156	90			Percent of total billed charges		175.5	85			Percent of total billed charges		165.75	85			Percent of total billed charges		165.75	85			Percent of total billed charges		165.75	100			Percent of total billed charges		195	100			Percent of total billed charges		195	100			Percent of total billed charges		195	33.3			Percent of total billed charges		64.935	33.3			Percent of total billed charges		64.935	100			Percent of total billed charges		195	64.935	175.5	
screw cortex 2.7 x 16mm 202.816	278	RC	Outpatient			195	126.75		90			Percent of total billed charges		175.5	40			Percent of total billed charges		78	80			Percent of total billed charges		156	90			Percent of total billed charges		175.5	85			Percent of total billed charges		165.75	85			Percent of total billed charges		165.75	85			Percent of total billed charges		165.75	100			Percent of total billed charges		195	100			Percent of total billed charges		195	100			Percent of total billed charges		195	33.3			Percent of total billed charges		64.935	33.3			Percent of total billed charges		64.935	100			Percent of total billed charges		195	64.935	175.5	
screw cortex 4.5 x 32mm 214.832	278	RC	Outpatient			195	126.75		90			Percent of total billed charges		175.5	40			Percent of total billed charges		78	80			Percent of total billed charges		156	90			Percent of total billed charges		175.5	85			Percent of total billed charges		165.75	85			Percent of total billed charges		165.75	85			Percent of total billed charges		165.75	100			Percent of total billed charges		195	100			Percent of total billed charges		195	100			Percent of total billed charges		195	33.3			Percent of total billed charges		64.935	33.3			Percent of total billed charges		64.935	100			Percent of total billed charges		195	64.935	175.5	
screw cortex 4.5 x 38mm 214.838	278	RC	Outpatient			195	126.75		90			Percent of total billed charges		175.5	40			Percent of total billed charges		78	80			Percent of total billed charges		156	90			Percent of total billed charges		175.5	85			Percent of total billed charges		165.75	85			Percent of total billed charges		165.75	85			Percent of total billed charges		165.75	100			Percent of total billed charges		195	100			Percent of total billed charges		195	100			Percent of total billed charges		195	33.3			Percent of total billed charges		64.935	33.3			Percent of total billed charges		64.935	100			Percent of total billed charges		195	64.935	175.5	
screw cortical 4.5 x 48mm 214.048	278	RC	Outpatient			195	126.75		90			Percent of total billed charges		175.5	40			Percent of total billed charges		78	80			Percent of total billed charges		156	90			Percent of total billed charges		175.5	85			Percent of total billed charges		165.75	85			Percent of total billed charges		165.75	85			Percent of total billed charges		165.75	100			Percent of total billed charges		195	100			Percent of total billed charges		195	100			Percent of total billed charges		195	33.3			Percent of total billed charges		64.935	33.3			Percent of total billed charges		64.935	100			Percent of total billed charges		195	64.935	175.5	
syn plate dcp 4-5 hole	278	RC	Outpatient			195	126.75		90			Percent of total billed charges		175.5	40			Percent of total billed charges		78	80			Percent of total billed charges		156	90			Percent of total billed charges		175.5	85			Percent of total billed charges		165.75	85			Percent of total billed charges		165.75	85			Percent of total billed charges		165.75	100			Percent of total billed charges		195	100			Percent of total billed charges		195	100			Percent of total billed charges		195	33.3			Percent of total billed charges		64.935	33.3			Percent of total billed charges		64.935	100			Percent of total billed charges		195	64.935	175.5	
3800004 drug screening collection ed charge	300	RC	Outpatient			196	127.4		90			Percent of total billed charges		176.4	40			Percent of total billed charges		78.4	80			Percent of total billed charges		156.8	90			Percent of total billed charges		176.4	85			Percent of total billed charges		166.6	85			Percent of total billed charges		166.6	85			Percent of total billed charges		166.6	100			Percent of total billed charges		196	100			Percent of total billed charges		196	100			Percent of total billed charges		196	33.3			Percent of total billed charges		65.268	33.3			Percent of total billed charges		65.268	100			Percent of total billed charges		196	65.268	176.4	
arthrex 2.5mm drill bit ar-8943-30	272	RC	Outpatient			196	127.4		90			Percent of total billed charges		176.4	40			Percent of total billed charges		78.4	80			Percent of total billed charges		156.8	90			Percent of total billed charges		176.4	85			Percent of total billed charges		166.6	85			Percent of total billed charges		166.6	85			Percent of total billed charges		166.6	100			Percent of total billed charges		196	100			Percent of total billed charges		196	100			Percent of total billed charges		196	33.3			Percent of total billed charges		65.268	33.3			Percent of total billed charges		65.268	100			Percent of total billed charges		196	65.268	176.4	
arthrex drill bit 2.5 calibrated ar-8943-13	272	RC	Outpatient			196	127.4		90			Percent of total billed charges		176.4	40			Percent of total billed charges		78.4	80			Percent of total billed charges		156.8	90			Percent of total billed charges		176.4	85			Percent of total billed charges		166.6	85			Percent of total billed charges		166.6	85			Percent of total billed charges		166.6	100			Percent of total billed charges		196	100			Percent of total billed charges		196	100			Percent of total billed charges		196	33.3			Percent of total billed charges		65.268	33.3			Percent of total billed charges		65.268	100			Percent of total billed charges		196	65.268	176.4	
drill w/qc 2.0 71173501 s/n	272	RC	Outpatient			196	127.4		90			Percent of total billed charges		176.4	40			Percent of total billed charges		78.4	80			Percent of total billed charges		156.8	90			Percent of total billed charges		176.4	85			Percent of total billed charges		166.6	85			Percent of total billed charges		166.6	85			Percent of total billed charges		166.6	100			Percent of total billed charges		196	100			Percent of total billed charges		196	100			Percent of total billed charges		196	33.3			Percent of total billed charges		65.268	33.3			Percent of total billed charges		65.268	100			Percent of total billed charges		196	65.268	176.4	
drill bit 2.7mm short 71173502 s/n	272	RC	Outpatient			196	127.4		90			Percent of total billed charges		176.4	40			Percent of total billed charges		78.4	80			Percent of total billed charges		156.8	90			Percent of total billed charges		176.4	85			Percent of total billed charges		166.6	85			Percent of total billed charges		166.6	85			Percent of total billed charges		166.6	100			Percent of total billed charges		196	100			Percent of total billed charges		196	100			Percent of total billed charges		196	33.3			Percent of total billed charges		65.268	33.3			Percent of total billed charges		65.268	100			Percent of total billed charges		196	65.268	176.4	
lipo procedure kit	272	RC	Outpatient			196	127.4		90			Percent of total billed charges		176.4	40			Percent of total billed charges		78.4	80			Percent of total billed charges		156.8	90			Percent of total billed charges		176.4	85			Percent of total billed charges		166.6	85			Percent of total billed charges		166.6	85			Percent of total billed charges		166.6	100			Percent of total billed charges		196	100			Percent of total billed charges		196	100			Percent of total billed charges		196	33.3			Percent of total billed charges		65.268	33.3			Percent of total billed charges		65.268	100			Percent of total billed charges		196	65.268	176.4	
psi-teciii startup kit pt-tap kit pt5558 mentor	272	RC	Outpatient			196	127.4		90			Percent of total billed charges		176.4	40			Percent of total billed charges		78.4	80			Percent of total billed charges		156.8	90			Percent of total billed charges		176.4	85			Percent of total billed charges		166.6	85			Percent of total billed charges		166.6	85			Percent of total billed charges		166.6	100			Percent of total billed charges		196	100			Percent of total billed charges		196	100			Percent of total billed charges		196	33.3			Percent of total billed charges		65.268	33.3			Percent of total billed charges		65.268	100			Percent of total billed charges		196	65.268	176.4	
round washer 12.7mm o.d. 71103000s s/n	278	RC	Outpatient			196	127.4		90			Percent of total billed charges		176.4	40			Percent of total billed charges		78.4	80			Percent of total billed charges		156.8	90			Percent of total billed charges		176.4	85			Percent of total billed charges		166.6	85			Percent of total billed charges		166.6	85			Percent of total billed charges		166.6	100			Percent of total billed charges		196	100			Percent of total billed charges		196	100			Percent of total billed charges		196	33.3			Percent of total billed charges		65.268	33.3			Percent of total billed charges		65.268	100			Percent of total billed charges		196	65.268	176.4	
scrmc kit neff	621	RC	Outpatient			196	127.4		90			Percent of total billed charges		176.4	40			Percent of total billed charges		78.4	80			Percent of total billed charges		156.8	90			Percent of total billed charges		176.4	85			Percent of total billed charges		166.6	85			Percent of total billed charges		166.6	85			Percent of total billed charges		166.6	100			Percent of total billed charges		196	100			Percent of total billed charges		196	100			Percent of total billed charges		196	33.3			Percent of total billed charges		65.268	33.3			Percent of total billed charges		65.268	100			Percent of total billed charges		196	65.268	176.4	
peritoneal diaylsis tray	270	RC	Outpatient			196	127.4		90			Percent of total billed charges		176.4	40			Percent of total billed charges		78.4	80			Percent of total billed charges		156.8	90			Percent of total billed charges		176.4	85			Percent of total billed charges		166.6	85			Percent of total billed charges		166.6	85			Percent of total billed charges		166.6	100			Percent of total billed charges		196	100			Percent of total billed charges		196	100			Percent of total billed charges		196	33.3			Percent of total billed charges		65.268	33.3			Percent of total billed charges		65.268	100			Percent of total billed charges		196	65.268	176.4	
round washer 12.7mm o.d. 71101690s s/n	278	RC	Outpatient			196	127.4		90			Percent of total billed charges		176.4	40			Percent of total billed charges		78.4	80			Percent of total billed charges		156.8	90			Percent of total billed charges		176.4	85			Percent of total billed charges		166.6	85			Percent of total billed charges		166.6	85			Percent of total billed charges		166.6	100			Percent of total billed charges		196	100			Percent of total billed charges		196	100			Percent of total billed charges		196	33.3			Percent of total billed charges		65.268	33.3			Percent of total billed charges		65.268	100			Percent of total billed charges		196	65.268	176.4	
s/n washer 12.7mm	278	RC	Outpatient			196	127.4		90			Percent of total billed charges		176.4	40			Percent of total billed charges		78.4	80			Percent of total billed charges		156.8	90			Percent of total billed charges		176.4	85			Percent of total billed charges		166.6	85			Percent of total billed charges		166.6	85			Percent of total billed charges		166.6	100			Percent of total billed charges		196	100			Percent of total billed charges		196	100			Percent of total billed charges		196	33.3			Percent of total billed charges		65.268	33.3			Percent of total billed charges		65.268	100			Percent of total billed charges		196	65.268	176.4	
short drill bit 2.0 1173555 s/n	272	RC	Outpatient			196	127.4		90			Percent of total billed charges		176.4	40			Percent of total billed charges		78.4	80			Percent of total billed charges		156.8	90			Percent of total billed charges		176.4	85			Percent of total billed charges		166.6	85			Percent of total billed charges		166.6	85			Percent of total billed charges		166.6	100			Percent of total billed charges		196	100			Percent of total billed charges		196	100			Percent of total billed charges		196	33.3			Percent of total billed charges		65.268	33.3			Percent of total billed charges		65.268	100			Percent of total billed charges		196	65.268	176.4	
umbilical catheter insertion tray ref ams-9294	272	RC	Outpatient			196.85	127.95		90			Percent of total billed charges		177.165	40			Percent of total billed charges		78.74	80			Percent of total billed charges		157.48	90			Percent of total billed charges		177.165	85			Percent of total billed charges		167.3225	85			Percent of total billed charges		167.3225	85			Percent of total billed charges		167.3225	100			Percent of total billed charges		196.85	100			Percent of total billed charges		196.85	100			Percent of total billed charges		196.85	33.3			Percent of total billed charges		65.5511	33.3			Percent of total billed charges		65.5511	100			Percent of total billed charges		196.85	65.5511	177.165	
s/n im guide wire	272	RC	Outpatient			198	128.7		90			Percent of total billed charges		178.2	40			Percent of total billed charges		79.2	80			Percent of total billed charges		158.4	90			Percent of total billed charges		178.2	85			Percent of total billed charges		168.3	85			Percent of total billed charges		168.3	85			Percent of total billed charges		168.3	100			Percent of total billed charges		198	100			Percent of total billed charges		198	100			Percent of total billed charges		198	33.3			Percent of total billed charges		65.934	33.3			Percent of total billed charges		65.934	100			Percent of total billed charges		198	65.934	178.2	
staple ta90 load	270	RC	Outpatient			198	128.7		90			Percent of total billed charges		178.2	40			Percent of total billed charges		79.2	80			Percent of total billed charges		158.4	90			Percent of total billed charges		178.2	85			Percent of total billed charges		168.3	85			Percent of total billed charges		168.3	85			Percent of total billed charges		168.3	100			Percent of total billed charges		198	100			Percent of total billed charges		198	100			Percent of total billed charges		198	33.3			Percent of total billed charges		65.934	33.3			Percent of total billed charges		65.934	100			Percent of total billed charges		198	65.934	178.2	
ta 90mm- 3.5mm reload blue ta9035l covidien	270	RC	Outpatient			198	128.7		90			Percent of total billed charges		178.2	40			Percent of total billed charges		79.2	80			Percent of total billed charges		158.4	90			Percent of total billed charges		178.2	85			Percent of total billed charges		168.3	85			Percent of total billed charges		168.3	85			Percent of total billed charges		168.3	100			Percent of total billed charges		198	100			Percent of total billed charges		198	100			Percent of total billed charges		198	33.3			Percent of total billed charges		65.934	33.3			Percent of total billed charges		65.934	100			Percent of total billed charges		198	65.934	178.2	
cast leg long	270	RC	Outpatient			199	129.35		90			Percent of total billed charges		179.1	40			Percent of total billed charges		79.6	80			Percent of total billed charges		159.2	90			Percent of total billed charges		179.1	85			Percent of total billed charges		169.15	85			Percent of total billed charges		169.15	85			Percent of total billed charges		169.15	100			Percent of total billed charges		199	100			Percent of total billed charges		199	100			Percent of total billed charges		199	33.3			Percent of total billed charges		66.267	33.3			Percent of total billed charges		66.267	100			Percent of total billed charges		199	66.267	179.1	
proctector guide wire	270	RC	Outpatient			199	129.35		90			Percent of total billed charges		179.1	40			Percent of total billed charges		79.6	80			Percent of total billed charges		159.2	90			Percent of total billed charges		179.1	85			Percent of total billed charges		169.15	85			Percent of total billed charges		169.15	85			Percent of total billed charges		169.15	100			Percent of total billed charges		199	100			Percent of total billed charges		199	100			Percent of total billed charges		199	33.3			Percent of total billed charges		66.267	33.3			Percent of total billed charges		66.267	100			Percent of total billed charges		199	66.267	179.1	
proximate 75mm linear cutter reload trt75 ethicon	272	RC	Outpatient			199	129.35		90			Percent of total billed charges		179.1	40			Percent of total billed charges		79.6	80			Percent of total billed charges		159.2	90			Percent of total billed charges		179.1	85			Percent of total billed charges		169.15	85			Percent of total billed charges		169.15	85			Percent of total billed charges		169.15	100			Percent of total billed charges		199	100			Percent of total billed charges		199	100			Percent of total billed charges		199	33.3			Percent of total billed charges		66.267	33.3			Percent of total billed charges		66.267	100			Percent of total billed charges		199	66.267	179.1	
staples tlc 75 load	272	RC	Outpatient			199	129.35		90			Percent of total billed charges		179.1	40			Percent of total billed charges		79.6	80			Percent of total billed charges		159.2	90			Percent of total billed charges		179.1	85			Percent of total billed charges		169.15	85			Percent of total billed charges		169.15	85			Percent of total billed charges		169.15	100			Percent of total billed charges		199	100			Percent of total billed charges		199	100			Percent of total billed charges		199	33.3			Percent of total billed charges		66.267	33.3			Percent of total billed charges		66.267	100			Percent of total billed charges		199	66.267	179.1	
syn 4.0 cancell.scw tap	278	RC	Outpatient			199	129.35		90			Percent of total billed charges		179.1	40			Percent of total billed charges		79.6	80			Percent of total billed charges		159.2	90			Percent of total billed charges		179.1	85			Percent of total billed charges		169.15	85			Percent of total billed charges		169.15	85			Percent of total billed charges		169.15	100			Percent of total billed charges		199	100			Percent of total billed charges		199	100			Percent of total billed charges		199	33.3			Percent of total billed charges		66.267	33.3			Percent of total billed charges		66.267	100			Percent of total billed charges		199	66.267	179.1	
taps for screw diameter 2.7mm cortex screw extra long 311.28	278	RC	Outpatient			199	129.35		90			Percent of total billed charges		179.1	40			Percent of total billed charges		79.6	80			Percent of total billed charges		159.2	90			Percent of total billed charges		179.1	85			Percent of total billed charges		169.15	85			Percent of total billed charges		169.15	85			Percent of total billed charges		169.15	100			Percent of total billed charges		199	100			Percent of total billed charges		199	100			Percent of total billed charges		199	33.3			Percent of total billed charges		66.267	33.3			Percent of total billed charges		66.267	100			Percent of total billed charges		199	66.267	179.1	
proximate 75mm linear cutter reload tcr75 ethicon	272	RC	Outpatient			199	129.35		90			Percent of total billed charges		179.1	40			Percent of total billed charges		79.6	80			Percent of total billed charges		159.2	90			Percent of total billed charges		179.1	85			Percent of total billed charges		169.15	85			Percent of total billed charges		169.15	85			Percent of total billed charges		169.15	100			Percent of total billed charges		199	100			Percent of total billed charges		199	100			Percent of total billed charges		199	33.3			Percent of total billed charges		66.267	33.3			Percent of total billed charges		66.267	100			Percent of total billed charges		199	66.267	179.1	
syn 2.7-3.5 crtx scw tap	278	RC	Outpatient			199	129.35		90			Percent of total billed charges		179.1	40			Percent of total billed charges		79.6	80			Percent of total billed charges		159.2	90			Percent of total billed charges		179.1	85			Percent of total billed charges		169.15	85			Percent of total billed charges		169.15	85			Percent of total billed charges		169.15	100			Percent of total billed charges		199	100			Percent of total billed charges		199	100			Percent of total billed charges		199	33.3			Percent of total billed charges		66.267	33.3			Percent of total billed charges		66.267	100			Percent of total billed charges		199	66.267	179.1	
tap 3.5mm cortex screw 311.32	278	RC	Outpatient			199	129.35		90			Percent of total billed charges		179.1	40			Percent of total billed charges		79.6	80			Percent of total billed charges		159.2	90			Percent of total billed charges		179.1	85			Percent of total billed charges		169.15	85			Percent of total billed charges		169.15	85			Percent of total billed charges		169.15	100			Percent of total billed charges		199	100			Percent of total billed charges		199	100			Percent of total billed charges		199	33.3			Percent of total billed charges		66.267	33.3			Percent of total billed charges		66.267	100			Percent of total billed charges		199	66.267	179.1	
tap 3.5mm cortex screw extra long 311.33	278	RC	Outpatient			199	129.35		90			Percent of total billed charges		179.1	40			Percent of total billed charges		79.6	80			Percent of total billed charges		159.2	90			Percent of total billed charges		179.1	85			Percent of total billed charges		169.15	85			Percent of total billed charges		169.15	85			Percent of total billed charges		169.15	100			Percent of total billed charges		199	100			Percent of total billed charges		199	100			Percent of total billed charges		199	33.3			Percent of total billed charges		66.267	33.3			Percent of total billed charges		66.267	100			Percent of total billed charges		199	66.267	179.1	
taps for screw diameter 2.7mm cortex screw 311.26	278	RC	Outpatient			199	129.35		90			Percent of total billed charges		179.1	40			Percent of total billed charges		79.6	80			Percent of total billed charges		159.2	90			Percent of total billed charges		179.1	85			Percent of total billed charges		169.15	85			Percent of total billed charges		169.15	85			Percent of total billed charges		169.15	100			Percent of total billed charges		199	100			Percent of total billed charges		199	100			Percent of total billed charges		199	33.3			Percent of total billed charges		66.267	33.3			Percent of total billed charges		66.267	100			Percent of total billed charges		199	66.267	179.1	
cosmetic - radiesse injection 0.8cc (half a syringe)	983	RC	Outpatient			199.5	129.68		90			Percent of total billed charges		179.55	40			Percent of total billed charges		79.8	80			Percent of total billed charges		159.6	90			Percent of total billed charges		179.55	85			Percent of total billed charges		169.575	85			Percent of total billed charges		169.575	85			Percent of total billed charges		169.575	100			Percent of total billed charges		199.5	100			Percent of total billed charges		199.5	100			Percent of total billed charges		199.5	33.3			Percent of total billed charges		66.4335	33.3			Percent of total billed charges		66.4335	100			Percent of total billed charges		199.5	66.4335	179.55	
99143 moderate sedation-same physician-younger than 5 years-first 30 minutes	983	RC	Outpatient			200	130		90			Percent of total billed charges		180	40			Percent of total billed charges		80	80			Percent of total billed charges		160	90			Percent of total billed charges		180	85			Percent of total billed charges		170	85			Percent of total billed charges		170	85			Percent of total billed charges		170	100			Percent of total billed charges		200	100			Percent of total billed charges		200	100			Percent of total billed charges		200	33.3			Percent of total billed charges		66.6	33.3			Percent of total billed charges		66.6	100			Percent of total billed charges		200	66.6	180	
cosmetic - laser hair removal - arms (complete) each addt'l session	983	RC	Outpatient			200	130		90			Percent of total billed charges		180	40			Percent of total billed charges		80	80			Percent of total billed charges		160	90			Percent of total billed charges		180	85			Percent of total billed charges		170	85			Percent of total billed charges		170	85			Percent of total billed charges		170	100			Percent of total billed charges		200	100			Percent of total billed charges		200	100			Percent of total billed charges		200	33.3			Percent of total billed charges		66.6	33.3			Percent of total billed charges		66.6	100			Percent of total billed charges		200	66.6	180	
cosmetic - laser hair removal - upper or lower legs each addt'l session	983	RC	Outpatient			200	130		90			Percent of total billed charges		180	40			Percent of total billed charges		80	80			Percent of total billed charges		160	90			Percent of total billed charges		180	85			Percent of total billed charges		170	85			Percent of total billed charges		170	85			Percent of total billed charges		170	100			Percent of total billed charges		200	100			Percent of total billed charges		200	100			Percent of total billed charges		200	33.3			Percent of total billed charges		66.6	33.3			Percent of total billed charges		66.6	100			Percent of total billed charges		200	66.6	180	
cosmetic - laser hair removal -extended bikini line single session	983	RC	Outpatient			200	130		90			Percent of total billed charges		180	40			Percent of total billed charges		80	80			Percent of total billed charges		160	90			Percent of total billed charges		180	85			Percent of total billed charges		170	85			Percent of total billed charges		170	85			Percent of total billed charges		170	100			Percent of total billed charges		200	100			Percent of total billed charges		200	100			Percent of total billed charges		200	33.3			Percent of total billed charges		66.6	33.3			Percent of total billed charges		66.6	100			Percent of total billed charges		200	66.6	180	
cosmetic - small scar - dmad	940	RC	Outpatient			200	130		90			Percent of total billed charges		180	40			Percent of total billed charges		80	80			Percent of total billed charges		160	90			Percent of total billed charges		180	85			Percent of total billed charges		170	85			Percent of total billed charges		170	85			Percent of total billed charges		170	100			Percent of total billed charges		200	100			Percent of total billed charges		200	100			Percent of total billed charges		200	33.3			Percent of total billed charges		66.6	33.3			Percent of total billed charges		66.6	100			Percent of total billed charges		200	66.6	180	
cosmetic - small scar - edx1	940	RC	Outpatient			200	130		90			Percent of total billed charges		180	40			Percent of total billed charges		80	80			Percent of total billed charges		160	90			Percent of total billed charges		180	85			Percent of total billed charges		170	85			Percent of total billed charges		170	85			Percent of total billed charges		170	100			Percent of total billed charges		200	100			Percent of total billed charges		200	100			Percent of total billed charges		200	33.3			Percent of total billed charges		66.6	33.3			Percent of total billed charges		66.6	100			Percent of total billed charges		200	66.6	180	
3.5mm lc-dcp plate 5 hole 223.55	278	RC	Outpatient			200	130		90			Percent of total billed charges		180	40			Percent of total billed charges		80	80			Percent of total billed charges		160	90			Percent of total billed charges		180	85			Percent of total billed charges		170	85			Percent of total billed charges		170	85			Percent of total billed charges		170	100			Percent of total billed charges		200	100			Percent of total billed charges		200	100			Percent of total billed charges		200	33.3			Percent of total billed charges		66.6	33.3			Percent of total billed charges		66.6	100			Percent of total billed charges		200	66.6	180	
cosmetic - dyschromia spot treatment 11-15 cm - additional session	983	RC	Outpatient			200	130		90			Percent of total billed charges		180	40			Percent of total billed charges		80	80			Percent of total billed charges		160	90			Percent of total billed charges		180	85			Percent of total billed charges		170	85			Percent of total billed charges		170	85			Percent of total billed charges		170	100			Percent of total billed charges		200	100			Percent of total billed charges		200	100			Percent of total billed charges		200	33.3			Percent of total billed charges		66.6	33.3			Percent of total billed charges		66.6	100			Percent of total billed charges		200	66.6	180	
cosmetic - laser hair removal - abdomen (male) each addt'l session	983	RC	Outpatient			200	130		90			Percent of total billed charges		180	40			Percent of total billed charges		80	80			Percent of total billed charges		160	90			Percent of total billed charges		180	85			Percent of total billed charges		170	85			Percent of total billed charges		170	85			Percent of total billed charges		170	100			Percent of total billed charges		200	100			Percent of total billed charges		200	100			Percent of total billed charges		200	33.3			Percent of total billed charges		66.6	33.3			Percent of total billed charges		66.6	100			Percent of total billed charges		200	66.6	180	
"cosmetic - laser hair removal - face, cheek and side burns single session"	983	RC	Outpatient			200	130		90			Percent of total billed charges		180	40			Percent of total billed charges		80	80			Percent of total billed charges		160	90			Percent of total billed charges		180	85			Percent of total billed charges		170	85			Percent of total billed charges		170	85			Percent of total billed charges		170	100			Percent of total billed charges		200	100			Percent of total billed charges		200	100			Percent of total billed charges		200	33.3			Percent of total billed charges		66.6	33.3			Percent of total billed charges		66.6	100			Percent of total billed charges		200	66.6	180	
cosmetic - laser hair removal - upper or forearms single session	983	RC	Outpatient			200	130		90			Percent of total billed charges		180	40			Percent of total billed charges		80	80			Percent of total billed charges		160	90			Percent of total billed charges		180	85			Percent of total billed charges		170	85			Percent of total billed charges		170	85			Percent of total billed charges		170	100			Percent of total billed charges		200	100			Percent of total billed charges		200	100			Percent of total billed charges		200	33.3			Percent of total billed charges		66.6	33.3			Percent of total billed charges		66.6	100			Percent of total billed charges		200	66.6	180	
cosmetic - laser hair removal - upper or lower back each addt'l session	983	RC	Outpatient			200	130		90			Percent of total billed charges		180	40			Percent of total billed charges		80	80			Percent of total billed charges		160	90			Percent of total billed charges		180	85			Percent of total billed charges		170	85			Percent of total billed charges		170	85			Percent of total billed charges		170	100			Percent of total billed charges		200	100			Percent of total billed charges		200	100			Percent of total billed charges		200	33.3			Percent of total billed charges		66.6	33.3			Percent of total billed charges		66.6	100			Percent of total billed charges		200	66.6	180	
imp plate 5 hole 2.0mm 243.15	278	RC	Outpatient			200	130		90			Percent of total billed charges		180	40			Percent of total billed charges		80	80			Percent of total billed charges		160	90			Percent of total billed charges		180	85			Percent of total billed charges		170	85			Percent of total billed charges		170	85			Percent of total billed charges		170	100			Percent of total billed charges		200	100			Percent of total billed charges		200	100			Percent of total billed charges		200	33.3			Percent of total billed charges		66.6	33.3			Percent of total billed charges		66.6	100			Percent of total billed charges		200	66.6	180	
syn plate strght 4-5 hole	278	RC	Outpatient			200	130		90			Percent of total billed charges		180	40			Percent of total billed charges		80	80			Percent of total billed charges		160	90			Percent of total billed charges		180	85			Percent of total billed charges		170	85			Percent of total billed charges		170	85			Percent of total billed charges		170	100			Percent of total billed charges		200	100			Percent of total billed charges		200	100			Percent of total billed charges		200	33.3			Percent of total billed charges		66.6	33.3			Percent of total billed charges		66.6	100			Percent of total billed charges		200	66.6	180	
zzscrmc proc. knee 27370	360	RC	Outpatient			200	130		90			Percent of total billed charges		180	40			Percent of total billed charges		80	80			Percent of total billed charges		160	90			Percent of total billed charges		180	85			Percent of total billed charges		170	85			Percent of total billed charges		170	85			Percent of total billed charges		170	100			Percent of total billed charges		200	100			Percent of total billed charges		200	100			Percent of total billed charges		200	33.3			Percent of total billed charges		66.6	33.3			Percent of total billed charges		66.6	100			Percent of total billed charges		200	66.6	180	
arthrex drill bit 3.5	270	RC	Outpatient			201	130.65		90			Percent of total billed charges		180.9	40			Percent of total billed charges		80.4	80			Percent of total billed charges		160.8	90			Percent of total billed charges		180.9	85			Percent of total billed charges		170.85	85			Percent of total billed charges		170.85	85			Percent of total billed charges		170.85	100			Percent of total billed charges		201	100			Percent of total billed charges		201	100			Percent of total billed charges		201	33.3			Percent of total billed charges		66.933	33.3			Percent of total billed charges		66.933	100			Percent of total billed charges		201	66.933	180.9	
canc. drill 2.8mm ms-ph28 acumed	272	RC	Outpatient			201	130.65		90			Percent of total billed charges		180.9	40			Percent of total billed charges		80.4	80			Percent of total billed charges		160.8	90			Percent of total billed charges		180.9	85			Percent of total billed charges		170.85	85			Percent of total billed charges		170.85	85			Percent of total billed charges		170.85	100			Percent of total billed charges		201	100			Percent of total billed charges		201	100			Percent of total billed charges		201	33.3			Percent of total billed charges		66.933	33.3			Percent of total billed charges		66.933	100			Percent of total billed charges		201	66.933	180.9	
canc. drill 4.0mm ms-ph40 acumed	272	RC	Outpatient			201	130.65		90			Percent of total billed charges		180.9	40			Percent of total billed charges		80.4	80			Percent of total billed charges		160.8	90			Percent of total billed charges		180.9	85			Percent of total billed charges		170.85	85			Percent of total billed charges		170.85	85			Percent of total billed charges		170.85	100			Percent of total billed charges		201	100			Percent of total billed charges		201	100			Percent of total billed charges		201	33.3			Percent of total billed charges		66.933	33.3			Percent of total billed charges		66.933	100			Percent of total billed charges		201	66.933	180.9	
cath lab visapaque	255	RC	Outpatient			201	130.65		90			Percent of total billed charges		180.9	40			Percent of total billed charges		80.4	80			Percent of total billed charges		160.8	90			Percent of total billed charges		180.9	85			Percent of total billed charges		170.85	85			Percent of total billed charges		170.85	85			Percent of total billed charges		170.85	100			Percent of total billed charges		201	100			Percent of total billed charges		201	100			Percent of total billed charges		201	33.3			Percent of total billed charges		66.933	33.3			Percent of total billed charges		66.933	100			Percent of total billed charges		201	66.933	180.9	
3.5mm t-plate 4hole head 6 hole shaft 78mm 00-4935-46-04 zimmer	278	RC	Outpatient			201	130.65		90			Percent of total billed charges		180.9	40			Percent of total billed charges		80.4	80			Percent of total billed charges		160.8	90			Percent of total billed charges		180.9	85			Percent of total billed charges		170.85	85			Percent of total billed charges		170.85	85			Percent of total billed charges		170.85	100			Percent of total billed charges		201	100			Percent of total billed charges		201	100			Percent of total billed charges		201	33.3			Percent of total billed charges		66.933	33.3			Percent of total billed charges		66.933	100			Percent of total billed charges		201	66.933	180.9	
arthrex drill bit 3.5mm ar-4160-35	270	RC	Outpatient			201	130.65		90			Percent of total billed charges		180.9	40			Percent of total billed charges		80.4	80			Percent of total billed charges		160.8	90			Percent of total billed charges		180.9	85			Percent of total billed charges		170.85	85			Percent of total billed charges		170.85	85			Percent of total billed charges		170.85	100			Percent of total billed charges		201	100			Percent of total billed charges		201	100			Percent of total billed charges		201	33.3			Percent of total billed charges		66.933	33.3			Percent of total billed charges		66.933	100			Percent of total billed charges		201	66.933	180.9	
canc. drill 4.6mm ms-ph46 acumed	272	RC	Outpatient			201	130.65		90			Percent of total billed charges		180.9	40			Percent of total billed charges		80.4	80			Percent of total billed charges		160.8	90			Percent of total billed charges		180.9	85			Percent of total billed charges		170.85	85			Percent of total billed charges		170.85	85			Percent of total billed charges		170.85	100			Percent of total billed charges		201	100			Percent of total billed charges		201	100			Percent of total billed charges		201	33.3			Percent of total billed charges		66.933	33.3			Percent of total billed charges		66.933	100			Percent of total billed charges		201	66.933	180.9	
cancellous screw 2.0 24910024 wright	278	RC	Outpatient			201	130.65		90			Percent of total billed charges		180.9	40			Percent of total billed charges		80.4	80			Percent of total billed charges		160.8	90			Percent of total billed charges		180.9	85			Percent of total billed charges		170.85	85			Percent of total billed charges		170.85	85			Percent of total billed charges		170.85	100			Percent of total billed charges		201	100			Percent of total billed charges		201	100			Percent of total billed charges		201	33.3			Percent of total billed charges		66.933	33.3			Percent of total billed charges		66.933	100			Percent of total billed charges		201	66.933	180.9	
cancellous screw 2.0 24910026 wright	278	RC	Outpatient			201	130.65		90			Percent of total billed charges		180.9	40			Percent of total billed charges		80.4	80			Percent of total billed charges		160.8	90			Percent of total billed charges		180.9	85			Percent of total billed charges		170.85	85			Percent of total billed charges		170.85	85			Percent of total billed charges		170.85	100			Percent of total billed charges		201	100			Percent of total billed charges		201	100			Percent of total billed charges		201	33.3			Percent of total billed charges		66.933	33.3			Percent of total billed charges		66.933	100			Percent of total billed charges		201	66.933	180.9	
cancellous screw 2.7 24920014 wright	278	RC	Outpatient			201	130.65		90			Percent of total billed charges		180.9	40			Percent of total billed charges		80.4	80			Percent of total billed charges		160.8	90			Percent of total billed charges		180.9	85			Percent of total billed charges		170.85	85			Percent of total billed charges		170.85	85			Percent of total billed charges		170.85	100			Percent of total billed charges		201	100			Percent of total billed charges		201	100			Percent of total billed charges		201	33.3			Percent of total billed charges		66.933	33.3			Percent of total billed charges		66.933	100			Percent of total billed charges		201	66.933	180.9	
cancellous screw 2.7 24920016 wright	278	RC	Outpatient			201	130.65		90			Percent of total billed charges		180.9	40			Percent of total billed charges		80.4	80			Percent of total billed charges		160.8	90			Percent of total billed charges		180.9	85			Percent of total billed charges		170.85	85			Percent of total billed charges		170.85	85			Percent of total billed charges		170.85	100			Percent of total billed charges		201	100			Percent of total billed charges		201	100			Percent of total billed charges		201	33.3			Percent of total billed charges		66.933	33.3			Percent of total billed charges		66.933	100			Percent of total billed charges		201	66.933	180.9	
cancellous screw 2.7 24920024 wright	278	RC	Outpatient			201	130.65		90			Percent of total billed charges		180.9	40			Percent of total billed charges		80.4	80			Percent of total billed charges		160.8	90			Percent of total billed charges		180.9	85			Percent of total billed charges		170.85	85			Percent of total billed charges		170.85	85			Percent of total billed charges		170.85	100			Percent of total billed charges		201	100			Percent of total billed charges		201	100			Percent of total billed charges		201	33.3			Percent of total billed charges		66.933	33.3			Percent of total billed charges		66.933	100			Percent of total billed charges		201	66.933	180.9	
cath lab contrast visipaque 320 (50ml)	255	RC	Outpatient			201	130.65		90			Percent of total billed charges		180.9	40			Percent of total billed charges		80.4	80			Percent of total billed charges		160.8	90			Percent of total billed charges		180.9	85			Percent of total billed charges		170.85	85			Percent of total billed charges		170.85	85			Percent of total billed charges		170.85	100			Percent of total billed charges		201	100			Percent of total billed charges		201	100			Percent of total billed charges		201	33.3			Percent of total billed charges		66.933	33.3			Percent of total billed charges		66.933	100			Percent of total billed charges		201	66.933	180.9	
endo observation 2-3 hr	761	RC	Outpatient			201	130.65		90			Percent of total billed charges		180.9	40			Percent of total billed charges		80.4	80			Percent of total billed charges		160.8	90			Percent of total billed charges		180.9	85			Percent of total billed charges		170.85	85			Percent of total billed charges		170.85	85			Percent of total billed charges		170.85	100			Percent of total billed charges		201	100			Percent of total billed charges		201	100			Percent of total billed charges		201	33.3			Percent of total billed charges		66.933	33.3			Percent of total billed charges		66.933	100			Percent of total billed charges		201	66.933	180.9	
polarus canc drill	272	RC	Outpatient			201	130.65		90			Percent of total billed charges		180.9	40			Percent of total billed charges		80.4	80			Percent of total billed charges		160.8	90			Percent of total billed charges		180.9	85			Percent of total billed charges		170.85	85			Percent of total billed charges		170.85	85			Percent of total billed charges		170.85	100			Percent of total billed charges		201	100			Percent of total billed charges		201	100			Percent of total billed charges		201	33.3			Percent of total billed charges		66.933	33.3			Percent of total billed charges		66.933	100			Percent of total billed charges		201	66.933	180.9	
surgery misc 3	270	RC	Outpatient			201	130.65		90			Percent of total billed charges		180.9	40			Percent of total billed charges		80.4	80			Percent of total billed charges		160.8	90			Percent of total billed charges		180.9	85			Percent of total billed charges		170.85	85			Percent of total billed charges		170.85	85			Percent of total billed charges		170.85	100			Percent of total billed charges		201	100			Percent of total billed charges		201	100			Percent of total billed charges		201	33.3			Percent of total billed charges		66.933	33.3			Percent of total billed charges		66.933	100			Percent of total billed charges		201	66.933	180.9	
synthes washer	278	RC	Outpatient			201	130.65		90			Percent of total billed charges		180.9	40			Percent of total billed charges		80.4	80			Percent of total billed charges		160.8	90			Percent of total billed charges		180.9	85			Percent of total billed charges		170.85	85			Percent of total billed charges		170.85	85			Percent of total billed charges		170.85	100			Percent of total billed charges		201	100			Percent of total billed charges		201	100			Percent of total billed charges		201	33.3			Percent of total billed charges		66.933	33.3			Percent of total billed charges		66.933	100			Percent of total billed charges		201	66.933	180.9	
versys endo fem head adpt	278	RC	Outpatient			201	130.65		90			Percent of total billed charges		180.9	40			Percent of total billed charges		80.4	80			Percent of total billed charges		160.8	90			Percent of total billed charges		180.9	85			Percent of total billed charges		170.85	85			Percent of total billed charges		170.85	85			Percent of total billed charges		170.85	100			Percent of total billed charges		201	100			Percent of total billed charges		201	100			Percent of total billed charges		201	33.3			Percent of total billed charges		66.933	33.3			Percent of total billed charges		66.933	100			Percent of total billed charges		201	66.933	180.9	
washer 219.945 synthes	278	RC	Outpatient			201	130.65		90			Percent of total billed charges		180.9	40			Percent of total billed charges		80.4	80			Percent of total billed charges		160.8	90			Percent of total billed charges		180.9	85			Percent of total billed charges		170.85	85			Percent of total billed charges		170.85	85			Percent of total billed charges		170.85	100			Percent of total billed charges		201	100			Percent of total billed charges		201	100			Percent of total billed charges		201	33.3			Percent of total billed charges		66.933	33.3			Percent of total billed charges		66.933	100			Percent of total billed charges		201	66.933	180.9	
wright cancellous screw	278	RC	Outpatient			201	130.65		90			Percent of total billed charges		180.9	40			Percent of total billed charges		80.4	80			Percent of total billed charges		160.8	90			Percent of total billed charges		180.9	85			Percent of total billed charges		170.85	85			Percent of total billed charges		170.85	85			Percent of total billed charges		170.85	100			Percent of total billed charges		201	100			Percent of total billed charges		201	100			Percent of total billed charges		201	33.3			Percent of total billed charges		66.933	33.3			Percent of total billed charges		66.933	100			Percent of total billed charges		201	66.933	180.9	
zimm 3.5 plate-6 hole	278	RC	Outpatient			201	130.65		90			Percent of total billed charges		180.9	40			Percent of total billed charges		80.4	80			Percent of total billed charges		160.8	90			Percent of total billed charges		180.9	85			Percent of total billed charges		170.85	85			Percent of total billed charges		170.85	85			Percent of total billed charges		170.85	100			Percent of total billed charges		201	100			Percent of total billed charges		201	100			Percent of total billed charges		201	33.3			Percent of total billed charges		66.933	33.3			Percent of total billed charges		66.933	100			Percent of total billed charges		201	66.933	180.9	
zimmer  fem head adaptor +10.5mm 7818-99-01	278	RC	Outpatient			201	130.65		90			Percent of total billed charges		180.9	40			Percent of total billed charges		80.4	80			Percent of total billed charges		160.8	90			Percent of total billed charges		180.9	85			Percent of total billed charges		170.85	85			Percent of total billed charges		170.85	85			Percent of total billed charges		170.85	100			Percent of total billed charges		201	100			Percent of total billed charges		201	100			Percent of total billed charges		201	33.3			Percent of total billed charges		66.933	33.3			Percent of total billed charges		66.933	100			Percent of total billed charges		201	66.933	180.9	
visipague 320	255	RC	Outpatient			201	130.65		90			Percent of total billed charges		180.9	40			Percent of total billed charges		80.4	80			Percent of total billed charges		160.8	90			Percent of total billed charges		180.9	85			Percent of total billed charges		170.85	85			Percent of total billed charges		170.85	85			Percent of total billed charges		170.85	100			Percent of total billed charges		201	100			Percent of total billed charges		201	100			Percent of total billed charges		201	33.3			Percent of total billed charges		66.933	33.3			Percent of total billed charges		66.933	100			Percent of total billed charges		201	66.933	180.9	
zimmer  fem head adaptor +14.0mm 7818-99-02	278	RC	Outpatient			201	130.65		90			Percent of total billed charges		180.9	40			Percent of total billed charges		80.4	80			Percent of total billed charges		160.8	90			Percent of total billed charges		180.9	85			Percent of total billed charges		170.85	85			Percent of total billed charges		170.85	85			Percent of total billed charges		170.85	100			Percent of total billed charges		201	100			Percent of total billed charges		201	100			Percent of total billed charges		201	33.3			Percent of total billed charges		66.933	33.3			Percent of total billed charges		66.933	100			Percent of total billed charges		201	66.933	180.9	
zimmer  fem head adaptor +7.0mm 7818-99	278	RC	Outpatient			201	130.65		90			Percent of total billed charges		180.9	40			Percent of total billed charges		80.4	80			Percent of total billed charges		160.8	90			Percent of total billed charges		180.9	85			Percent of total billed charges		170.85	85			Percent of total billed charges		170.85	85			Percent of total billed charges		170.85	100			Percent of total billed charges		201	100			Percent of total billed charges		201	100			Percent of total billed charges		201	33.3			Percent of total billed charges		66.933	33.3			Percent of total billed charges		66.933	100			Percent of total billed charges		201	66.933	180.9	
"peg kit, push, cook ref # flow-20-push"	272	RC	Outpatient			201.23	130.8		90			Percent of total billed charges		181.107	40			Percent of total billed charges		80.492	80			Percent of total billed charges		160.984	90			Percent of total billed charges		181.107	85			Percent of total billed charges		171.0455	85			Percent of total billed charges		171.0455	85			Percent of total billed charges		171.0455	100			Percent of total billed charges		201.23	100			Percent of total billed charges		201.23	100			Percent of total billed charges		201.23	33.3			Percent of total billed charges		67.0096	33.3			Percent of total billed charges		67.0096	100			Percent of total billed charges		201.23	67.0096	181.107	
3.5mm compression plate 8-hole 97mm 00-4935-008-00 zimmer	278	RC	Outpatient			202	131.3		90			Percent of total billed charges		181.8	40			Percent of total billed charges		80.8	80			Percent of total billed charges		161.6	90			Percent of total billed charges		181.8	85			Percent of total billed charges		171.7	85			Percent of total billed charges		171.7	85			Percent of total billed charges		171.7	100			Percent of total billed charges		202	100			Percent of total billed charges		202	100			Percent of total billed charges		202	33.3			Percent of total billed charges		67.266	33.3			Percent of total billed charges		67.266	100			Percent of total billed charges		202	67.266	181.8	
3.5mm compression plate 10-hole 121mm 00-4935-010-00 zimmer	278	RC	Outpatient			202	131.3		90			Percent of total billed charges		181.8	40			Percent of total billed charges		80.8	80			Percent of total billed charges		161.6	90			Percent of total billed charges		181.8	85			Percent of total billed charges		171.7	85			Percent of total billed charges		171.7	85			Percent of total billed charges		171.7	100			Percent of total billed charges		202	100			Percent of total billed charges		202	100			Percent of total billed charges		202	33.3			Percent of total billed charges		67.266	33.3			Percent of total billed charges		67.266	100			Percent of total billed charges		202	67.266	181.8	
3.5mm compression plate 9-hole 109mm 00-4935-009-00 zimmer	278	RC	Outpatient			202	131.3		90			Percent of total billed charges		181.8	40			Percent of total billed charges		80.8	80			Percent of total billed charges		161.6	90			Percent of total billed charges		181.8	85			Percent of total billed charges		171.7	85			Percent of total billed charges		171.7	85			Percent of total billed charges		171.7	100			Percent of total billed charges		202	100			Percent of total billed charges		202	100			Percent of total billed charges		202	33.3			Percent of total billed charges		67.266	33.3			Percent of total billed charges		67.266	100			Percent of total billed charges		202	67.266	181.8	
cath vascular thermo dial	270	RC	Outpatient			202	131.3		90			Percent of total billed charges		181.8	40			Percent of total billed charges		80.8	80			Percent of total billed charges		161.6	90			Percent of total billed charges		181.8	85			Percent of total billed charges		171.7	85			Percent of total billed charges		171.7	85			Percent of total billed charges		171.7	100			Percent of total billed charges		202	100			Percent of total billed charges		202	100			Percent of total billed charges		202	33.3			Percent of total billed charges		67.266	33.3			Percent of total billed charges		67.266	100			Percent of total billed charges		202	67.266	181.8	
r/t drill bit short	270	RC	Outpatient			202	131.3		90			Percent of total billed charges		181.8	40			Percent of total billed charges		80.8	80			Percent of total billed charges		161.6	90			Percent of total billed charges		181.8	85			Percent of total billed charges		171.7	85			Percent of total billed charges		171.7	85			Percent of total billed charges		171.7	100			Percent of total billed charges		202	100			Percent of total billed charges		202	100			Percent of total billed charges		202	33.3			Percent of total billed charges		67.266	33.3			Percent of total billed charges		67.266	100			Percent of total billed charges		202	67.266	181.8	
zimm 3.5 comp plt-8-10hle	278	RC	Outpatient			202	131.3		90			Percent of total billed charges		181.8	40			Percent of total billed charges		80.8	80			Percent of total billed charges		161.6	90			Percent of total billed charges		181.8	85			Percent of total billed charges		171.7	85			Percent of total billed charges		171.7	85			Percent of total billed charges		171.7	100			Percent of total billed charges		202	100			Percent of total billed charges		202	100			Percent of total billed charges		202	33.3			Percent of total billed charges		67.266	33.3			Percent of total billed charges		67.266	100			Percent of total billed charges		202	67.266	181.8	
2.0mm compression plate 4 hole 22mm x 1.0mm 00-4920-004-00 zimmer	278	RC	Outpatient			203	131.95		90			Percent of total billed charges		182.7	40			Percent of total billed charges		81.2	80			Percent of total billed charges		162.4	90			Percent of total billed charges		182.7	85			Percent of total billed charges		172.55	85			Percent of total billed charges		172.55	85			Percent of total billed charges		172.55	100			Percent of total billed charges		203	100			Percent of total billed charges		203	100			Percent of total billed charges		203	33.3			Percent of total billed charges		67.599	33.3			Percent of total billed charges		67.599	100			Percent of total billed charges		203	67.599	182.7	
2.0mm compression plate 5 hole 27mm x 1.0mm 00-4920-005-00 zimmer	278	RC	Outpatient			203	131.95		90			Percent of total billed charges		182.7	40			Percent of total billed charges		81.2	80			Percent of total billed charges		162.4	90			Percent of total billed charges		182.7	85			Percent of total billed charges		172.55	85			Percent of total billed charges		172.55	85			Percent of total billed charges		172.55	100			Percent of total billed charges		203	100			Percent of total billed charges		203	100			Percent of total billed charges		203	33.3			Percent of total billed charges		67.599	33.3			Percent of total billed charges		67.599	100			Percent of total billed charges		203	67.599	182.7	
bucks cement restrictor	278	RC	Outpatient			203	131.95		90			Percent of total billed charges		182.7	40			Percent of total billed charges		81.2	80			Percent of total billed charges		162.4	90			Percent of total billed charges		182.7	85			Percent of total billed charges		172.55	85			Percent of total billed charges		172.55	85			Percent of total billed charges		172.55	100			Percent of total billed charges		203	100			Percent of total billed charges		203	100			Percent of total billed charges		203	33.3			Percent of total billed charges		67.599	33.3			Percent of total billed charges		67.599	100			Percent of total billed charges		203	67.599	182.7	
2.0mm compression plate 6 hole 32mm x 1.0mm 00-4920-006-00 zimmer	278	RC	Outpatient			203	131.95		90			Percent of total billed charges		182.7	40			Percent of total billed charges		81.2	80			Percent of total billed charges		162.4	90			Percent of total billed charges		182.7	85			Percent of total billed charges		172.55	85			Percent of total billed charges		172.55	85			Percent of total billed charges		172.55	100			Percent of total billed charges		203	100			Percent of total billed charges		203	100			Percent of total billed charges		203	33.3			Percent of total billed charges		67.599	33.3			Percent of total billed charges		67.599	100			Percent of total billed charges		203	67.599	182.7	
imp buck cement restrictor 25mm 129419	278	RC	Outpatient			203	131.95		90			Percent of total billed charges		182.7	40			Percent of total billed charges		81.2	80			Percent of total billed charges		162.4	90			Percent of total billed charges		182.7	85			Percent of total billed charges		172.55	85			Percent of total billed charges		172.55	85			Percent of total billed charges		172.55	100			Percent of total billed charges		203	100			Percent of total billed charges		203	100			Percent of total billed charges		203	33.3			Percent of total billed charges		67.599	33.3			Percent of total billed charges		67.599	100			Percent of total billed charges		203	67.599	182.7	
imp buck cement restrictor 30mm 71279420	278	RC	Outpatient			203	131.95		90			Percent of total billed charges		182.7	40			Percent of total billed charges		81.2	80			Percent of total billed charges		162.4	90			Percent of total billed charges		182.7	85			Percent of total billed charges		172.55	85			Percent of total billed charges		172.55	85			Percent of total billed charges		172.55	100			Percent of total billed charges		203	100			Percent of total billed charges		203	100			Percent of total billed charges		203	33.3			Percent of total billed charges		67.599	33.3			Percent of total billed charges		67.599	100			Percent of total billed charges		203	67.599	182.7	
zimm 2.0 comp plate 4-6hl	278	RC	Outpatient			203	131.95		90			Percent of total billed charges		182.7	40			Percent of total billed charges		81.2	80			Percent of total billed charges		162.4	90			Percent of total billed charges		182.7	85			Percent of total billed charges		172.55	85			Percent of total billed charges		172.55	85			Percent of total billed charges		172.55	100			Percent of total billed charges		203	100			Percent of total billed charges		203	100			Percent of total billed charges		203	33.3			Percent of total billed charges		67.599	33.3			Percent of total billed charges		67.599	100			Percent of total billed charges		203	67.599	182.7	
cath rdc	272	RC	Outpatient			204	132.6		90			Percent of total billed charges		183.6	40			Percent of total billed charges		81.6	80			Percent of total billed charges		163.2	90			Percent of total billed charges		183.6	85			Percent of total billed charges		173.4	85			Percent of total billed charges		173.4	85			Percent of total billed charges		173.4	100			Percent of total billed charges		204	100			Percent of total billed charges		204	100			Percent of total billed charges		204	33.3			Percent of total billed charges		67.932	33.3			Percent of total billed charges		67.932	100			Percent of total billed charges		204	67.932	183.6	
cath rdc 6fr 670-212-55 cordis	272	RC	Outpatient			204	132.6		90			Percent of total billed charges		183.6	40			Percent of total billed charges		81.6	80			Percent of total billed charges		163.2	90			Percent of total billed charges		183.6	85			Percent of total billed charges		173.4	85			Percent of total billed charges		173.4	85			Percent of total billed charges		173.4	100			Percent of total billed charges		204	100			Percent of total billed charges		204	100			Percent of total billed charges		204	33.3			Percent of total billed charges		67.932	33.3			Percent of total billed charges		67.932	100			Percent of total billed charges		204	67.932	183.6	
expandable sleeve vs101000 auto suture	270	RC	Outpatient			204	132.6		90			Percent of total billed charges		183.6	40			Percent of total billed charges		81.6	80			Percent of total billed charges		163.2	90			Percent of total billed charges		183.6	85			Percent of total billed charges		173.4	85			Percent of total billed charges		173.4	85			Percent of total billed charges		173.4	100			Percent of total billed charges		204	100			Percent of total billed charges		204	100			Percent of total billed charges		204	33.3			Percent of total billed charges		67.932	33.3			Percent of total billed charges		67.932	100			Percent of total billed charges		204	67.932	183.6	
nasal intubation	270	RC	Outpatient			204	132.6		90			Percent of total billed charges		183.6	40			Percent of total billed charges		81.6	80			Percent of total billed charges		163.2	90			Percent of total billed charges		183.6	85			Percent of total billed charges		173.4	85			Percent of total billed charges		173.4	85			Percent of total billed charges		173.4	100			Percent of total billed charges		204	100			Percent of total billed charges		204	100			Percent of total billed charges		204	33.3			Percent of total billed charges		67.932	33.3			Percent of total billed charges		67.932	100			Percent of total billed charges		204	67.932	183.6	
invos rso2 sensor medtronic pmsens71-a	272	RC	Outpatient			204	132.6		90			Percent of total billed charges		183.6	40			Percent of total billed charges		81.6	80			Percent of total billed charges		163.2	90			Percent of total billed charges		183.6	85			Percent of total billed charges		173.4	85			Percent of total billed charges		173.4	85			Percent of total billed charges		173.4	100			Percent of total billed charges		204	100			Percent of total billed charges		204	100			Percent of total billed charges		204	33.3			Percent of total billed charges		67.932	33.3			Percent of total billed charges		67.932	100			Percent of total billed charges		204	67.932	183.6	
sonoma wrx screw en272	278	RC	Outpatient			204	132.6		90			Percent of total billed charges		183.6	40			Percent of total billed charges		81.6	80			Percent of total billed charges		163.2	90			Percent of total billed charges		183.6	85			Percent of total billed charges		173.4	85			Percent of total billed charges		173.4	85			Percent of total billed charges		173.4	100			Percent of total billed charges		204	100			Percent of total billed charges		204	100			Percent of total billed charges		204	33.3			Percent of total billed charges		67.932	33.3			Percent of total billed charges		67.932	100			Percent of total billed charges		204	67.932	183.6	
versa-step expand sleeve	270	RC	Outpatient			204	132.6		90			Percent of total billed charges		183.6	40			Percent of total billed charges		81.6	80			Percent of total billed charges		163.2	90			Percent of total billed charges		183.6	85			Percent of total billed charges		173.4	85			Percent of total billed charges		173.4	85			Percent of total billed charges		173.4	100			Percent of total billed charges		204	100			Percent of total billed charges		204	100			Percent of total billed charges		204	33.3			Percent of total billed charges		67.932	33.3			Percent of total billed charges		67.932	100			Percent of total billed charges		204	67.932	183.6	
wrx screw	278	RC	Outpatient			204	132.6		90			Percent of total billed charges		183.6	40			Percent of total billed charges		81.6	80			Percent of total billed charges		163.2	90			Percent of total billed charges		183.6	85			Percent of total billed charges		173.4	85			Percent of total billed charges		173.4	85			Percent of total billed charges		173.4	100			Percent of total billed charges		204	100			Percent of total billed charges		204	100			Percent of total billed charges		204	33.3			Percent of total billed charges		67.932	33.3			Percent of total billed charges		67.932	100			Percent of total billed charges		204	67.932	183.6	
scpf powerpicc dual 5 fr 70 cm nitinol wire	270	RC	Outpatient			204.27	132.78		90			Percent of total billed charges		183.843	40			Percent of total billed charges		81.708	80			Percent of total billed charges		163.416	90			Percent of total billed charges		183.843	85			Percent of total billed charges		173.6295	85			Percent of total billed charges		173.6295	85			Percent of total billed charges		173.6295	100			Percent of total billed charges		204.27	100			Percent of total billed charges		204.27	100			Percent of total billed charges		204.27	33.3			Percent of total billed charges		68.0219	33.3			Percent of total billed charges		68.0219	100			Percent of total billed charges		204.27	68.0219	183.843	
baker jejunostomy tube	270	RC	Outpatient			205	133.25		90			Percent of total billed charges		184.5	40			Percent of total billed charges		82	80			Percent of total billed charges		164	90			Percent of total billed charges		184.5	85			Percent of total billed charges		174.25	85			Percent of total billed charges		174.25	85			Percent of total billed charges		174.25	100			Percent of total billed charges		205	100			Percent of total billed charges		205	100			Percent of total billed charges		205	33.3			Percent of total billed charges		68.265	33.3			Percent of total billed charges		68.265	100			Percent of total billed charges		205	68.265	184.5	
endocatch	272	RC	Outpatient			205	133.25		90			Percent of total billed charges		184.5	40			Percent of total billed charges		82	80			Percent of total billed charges		164	90			Percent of total billed charges		184.5	85			Percent of total billed charges		174.25	85			Percent of total billed charges		174.25	85			Percent of total billed charges		174.25	100			Percent of total billed charges		205	100			Percent of total billed charges		205	100			Percent of total billed charges		205	33.3			Percent of total billed charges		68.265	33.3			Percent of total billed charges		68.265	100			Percent of total billed charges		205	68.265	184.5	
endocatch large ecatch15 173049 ussc	272	RC	Outpatient			205	133.25		90			Percent of total billed charges		184.5	40			Percent of total billed charges		82	80			Percent of total billed charges		164	90			Percent of total billed charges		184.5	85			Percent of total billed charges		174.25	85			Percent of total billed charges		174.25	85			Percent of total billed charges		174.25	100			Percent of total billed charges		205	100			Percent of total billed charges		205	100			Percent of total billed charges		205	33.3			Percent of total billed charges		68.265	33.3			Percent of total billed charges		68.265	100			Percent of total billed charges		205	68.265	184.5	
endocatch 10mm  173050g ussc	272	RC	Outpatient			205	133.25		90			Percent of total billed charges		184.5	40			Percent of total billed charges		82	80			Percent of total billed charges		164	90			Percent of total billed charges		184.5	85			Percent of total billed charges		174.25	85			Percent of total billed charges		174.25	85			Percent of total billed charges		174.25	100			Percent of total billed charges		205	100			Percent of total billed charges		205	100			Percent of total billed charges		205	33.3			Percent of total billed charges		68.265	33.3			Percent of total billed charges		68.265	100			Percent of total billed charges		205	68.265	184.5	
lapaioscopic pad grasper	272	RC	Outpatient			205	133.25		90			Percent of total billed charges		184.5	40			Percent of total billed charges		82	80			Percent of total billed charges		164	90			Percent of total billed charges		184.5	85			Percent of total billed charges		174.25	85			Percent of total billed charges		174.25	85			Percent of total billed charges		174.25	100			Percent of total billed charges		205	100			Percent of total billed charges		205	100			Percent of total billed charges		205	33.3			Percent of total billed charges		68.265	33.3			Percent of total billed charges		68.265	100			Percent of total billed charges		205	68.265	184.5	
laparoscopic padded grasper 5mm c4130 ethicon	272	RC	Outpatient			205	133.25		90			Percent of total billed charges		184.5	40			Percent of total billed charges		82	80			Percent of total billed charges		164	90			Percent of total billed charges		184.5	85			Percent of total billed charges		174.25	85			Percent of total billed charges		174.25	85			Percent of total billed charges		174.25	100			Percent of total billed charges		205	100			Percent of total billed charges		205	100			Percent of total billed charges		205	33.3			Percent of total billed charges		68.265	33.3			Percent of total billed charges		68.265	100			Percent of total billed charges		205	68.265	184.5	
spider2 shoulder stabilization kit s/n 72203833	272	RC	Outpatient			205	133.25		90			Percent of total billed charges		184.5	40			Percent of total billed charges		82	80			Percent of total billed charges		164	90			Percent of total billed charges		184.5	85			Percent of total billed charges		174.25	85			Percent of total billed charges		174.25	85			Percent of total billed charges		174.25	100			Percent of total billed charges		205	100			Percent of total billed charges		205	100			Percent of total billed charges		205	33.3			Percent of total billed charges		68.265	33.3			Percent of total billed charges		68.265	100			Percent of total billed charges		205	68.265	184.5	
bone cement 40g powder 20ml 1102-12 zimmer	278	RC	Outpatient			206	133.9		90			Percent of total billed charges		185.4	40			Percent of total billed charges		82.4	80			Percent of total billed charges		164.8	90			Percent of total billed charges		185.4	85			Percent of total billed charges		175.1	85			Percent of total billed charges		175.1	85			Percent of total billed charges		175.1	100			Percent of total billed charges		206	100			Percent of total billed charges		206	100			Percent of total billed charges		206	33.3			Percent of total billed charges		68.598	33.3			Percent of total billed charges		68.598	100			Percent of total billed charges		206	68.598	185.4	
cortical screw 2.7 x 16mm 303216nd integra lifesciences	278	RC	Outpatient			206	133.9		90			Percent of total billed charges		185.4	40			Percent of total billed charges		82.4	80			Percent of total billed charges		164.8	90			Percent of total billed charges		185.4	85			Percent of total billed charges		175.1	85			Percent of total billed charges		175.1	85			Percent of total billed charges		175.1	100			Percent of total billed charges		206	100			Percent of total billed charges		206	100			Percent of total billed charges		206	33.3			Percent of total billed charges		68.598	33.3			Percent of total billed charges		68.598	100			Percent of total billed charges		206	68.598	185.4	
biomet mod humeral stem	278	RC	Outpatient			206	133.9		90			Percent of total billed charges		185.4	40			Percent of total billed charges		82.4	80			Percent of total billed charges		164.8	90			Percent of total billed charges		185.4	85			Percent of total billed charges		175.1	85			Percent of total billed charges		175.1	85			Percent of total billed charges		175.1	100			Percent of total billed charges		206	100			Percent of total billed charges		206	100			Percent of total billed charges		206	33.3			Percent of total billed charges		68.598	33.3			Percent of total billed charges		68.598	100			Percent of total billed charges		206	68.598	185.4	
cortical screw 2.7 x 12mm 303212nd integra lifesciences	278	RC	Outpatient			206	133.9		90			Percent of total billed charges		185.4	40			Percent of total billed charges		82.4	80			Percent of total billed charges		164.8	90			Percent of total billed charges		185.4	85			Percent of total billed charges		175.1	85			Percent of total billed charges		175.1	85			Percent of total billed charges		175.1	100			Percent of total billed charges		206	100			Percent of total billed charges		206	100			Percent of total billed charges		206	33.3			Percent of total billed charges		68.598	33.3			Percent of total billed charges		68.598	100			Percent of total billed charges		206	68.598	185.4	
integra scr cort 2.7	278	RC	Outpatient			206	133.9		90			Percent of total billed charges		185.4	40			Percent of total billed charges		82.4	80			Percent of total billed charges		164.8	90			Percent of total billed charges		185.4	85			Percent of total billed charges		175.1	85			Percent of total billed charges		175.1	85			Percent of total billed charges		175.1	100			Percent of total billed charges		206	100			Percent of total billed charges		206	100			Percent of total billed charges		206	33.3			Percent of total billed charges		68.598	33.3			Percent of total billed charges		68.598	100			Percent of total billed charges		206	68.598	185.4	
syvek patch	272	RC	Outpatient			206	133.9		90			Percent of total billed charges		185.4	40			Percent of total billed charges		82.4	80			Percent of total billed charges		164.8	90			Percent of total billed charges		185.4	85			Percent of total billed charges		175.1	85			Percent of total billed charges		175.1	85			Percent of total billed charges		175.1	100			Percent of total billed charges		206	100			Percent of total billed charges		206	100			Percent of total billed charges		206	33.3			Percent of total billed charges		68.598	33.3			Percent of total billed charges		68.598	100			Percent of total billed charges		206	68.598	185.4	
patch syvek nt6 marine polymer tech	272	RC	Outpatient			206	133.9		90			Percent of total billed charges		185.4	40			Percent of total billed charges		82.4	80			Percent of total billed charges		164.8	90			Percent of total billed charges		185.4	85			Percent of total billed charges		175.1	85			Percent of total billed charges		175.1	85			Percent of total billed charges		175.1	100			Percent of total billed charges		206	100			Percent of total billed charges		206	100			Percent of total billed charges		206	33.3			Percent of total billed charges		68.598	33.3			Percent of total billed charges		68.598	100			Percent of total billed charges		206	68.598	185.4	
zimmer cement 40 g	278	RC	Outpatient			206	133.9		90			Percent of total billed charges		185.4	40			Percent of total billed charges		82.4	80			Percent of total billed charges		164.8	90			Percent of total billed charges		185.4	85			Percent of total billed charges		175.1	85			Percent of total billed charges		175.1	85			Percent of total billed charges		175.1	100			Percent of total billed charges		206	100			Percent of total billed charges		206	100			Percent of total billed charges		206	33.3			Percent of total billed charges		68.598	33.3			Percent of total billed charges		68.598	100			Percent of total billed charges		206	68.598	185.4	
3.0mm reaming rod with offset ball tip 950mm 351.71 synthes	270	RC	Outpatient			207	134.55		90			Percent of total billed charges		186.3	40			Percent of total billed charges		82.8	80			Percent of total billed charges		165.6	90			Percent of total billed charges		186.3	85			Percent of total billed charges		175.95	85			Percent of total billed charges		175.95	85			Percent of total billed charges		175.95	100			Percent of total billed charges		207	100			Percent of total billed charges		207	100			Percent of total billed charges		207	33.3			Percent of total billed charges		68.931	33.3			Percent of total billed charges		68.931	100			Percent of total billed charges		207	68.931	186.3	
drain chest thora unit	270	RC	Outpatient			207	134.55		90			Percent of total billed charges		186.3	40			Percent of total billed charges		82.8	80			Percent of total billed charges		165.6	90			Percent of total billed charges		186.3	85			Percent of total billed charges		175.95	85			Percent of total billed charges		175.95	85			Percent of total billed charges		175.95	100			Percent of total billed charges		207	100			Percent of total billed charges		207	100			Percent of total billed charges		207	33.3			Percent of total billed charges		68.931	33.3			Percent of total billed charges		68.931	100			Percent of total billed charges		207	68.931	186.3	
im nail medullary tube 355.01 synthes	270	RC	Outpatient			207	134.55		90			Percent of total billed charges		186.3	40			Percent of total billed charges		82.8	80			Percent of total billed charges		165.6	90			Percent of total billed charges		186.3	85			Percent of total billed charges		175.95	85			Percent of total billed charges		175.95	85			Percent of total billed charges		175.95	100			Percent of total billed charges		207	100			Percent of total billed charges		207	100			Percent of total billed charges		207	33.3			Percent of total billed charges		68.931	33.3			Percent of total billed charges		68.931	100			Percent of total billed charges		207	68.931	186.3	
mini fr tap	272	RC	Outpatient			207	134.55		90			Percent of total billed charges		186.3	40			Percent of total billed charges		82.8	80			Percent of total billed charges		165.6	90			Percent of total billed charges		186.3	85			Percent of total billed charges		175.95	85			Percent of total billed charges		175.95	85			Percent of total billed charges		175.95	100			Percent of total billed charges		207	100			Percent of total billed charges		207	100			Percent of total billed charges		207	33.3			Percent of total billed charges		68.931	33.3			Percent of total billed charges		68.931	100			Percent of total billed charges		207	68.931	186.3	
plaster long leg	270	RC	Outpatient			207	134.55		90			Percent of total billed charges		186.3	40			Percent of total billed charges		82.8	80			Percent of total billed charges		165.6	90			Percent of total billed charges		186.3	85			Percent of total billed charges		175.95	85			Percent of total billed charges		175.95	85			Percent of total billed charges		175.95	100			Percent of total billed charges		207	100			Percent of total billed charges		207	100			Percent of total billed charges		207	33.3			Percent of total billed charges		68.931	33.3			Percent of total billed charges		68.931	100			Percent of total billed charges		207	68.931	186.3	
s/n mini frag tc-100 taps 1.5mm 7117-0017	272	RC	Outpatient			207	134.55		90			Percent of total billed charges		186.3	40			Percent of total billed charges		82.8	80			Percent of total billed charges		165.6	90			Percent of total billed charges		186.3	85			Percent of total billed charges		175.95	85			Percent of total billed charges		175.95	85			Percent of total billed charges		175.95	100			Percent of total billed charges		207	100			Percent of total billed charges		207	100			Percent of total billed charges		207	33.3			Percent of total billed charges		68.931	33.3			Percent of total billed charges		68.931	100			Percent of total billed charges		207	68.931	186.3	
syn 3.0 reaming rod w/tip	270	RC	Outpatient			207	134.55		90			Percent of total billed charges		186.3	40			Percent of total billed charges		82.8	80			Percent of total billed charges		165.6	90			Percent of total billed charges		186.3	85			Percent of total billed charges		175.95	85			Percent of total billed charges		175.95	85			Percent of total billed charges		175.95	100			Percent of total billed charges		207	100			Percent of total billed charges		207	100			Percent of total billed charges		207	33.3			Percent of total billed charges		68.931	33.3			Percent of total billed charges		68.931	100			Percent of total billed charges		207	68.931	186.3	
syn reaming rod	270	RC	Outpatient			207	134.55		90			Percent of total billed charges		186.3	40			Percent of total billed charges		82.8	80			Percent of total billed charges		165.6	90			Percent of total billed charges		186.3	85			Percent of total billed charges		175.95	85			Percent of total billed charges		175.95	85			Percent of total billed charges		175.95	100			Percent of total billed charges		207	100			Percent of total billed charges		207	100			Percent of total billed charges		207	33.3			Percent of total billed charges		68.931	33.3			Percent of total billed charges		68.931	100			Percent of total billed charges		207	68.931	186.3	
s/n mini frag tc-100 taps 2.0mm 7117-0019	272	RC	Outpatient			207	134.55		90			Percent of total billed charges		186.3	40			Percent of total billed charges		82.8	80			Percent of total billed charges		165.6	90			Percent of total billed charges		186.3	85			Percent of total billed charges		175.95	85			Percent of total billed charges		175.95	85			Percent of total billed charges		175.95	100			Percent of total billed charges		207	100			Percent of total billed charges		207	100			Percent of total billed charges		207	33.3			Percent of total billed charges		68.931	33.3			Percent of total billed charges		68.931	100			Percent of total billed charges		207	68.931	186.3	
acumed plate screw x-lg	278	RC	Outpatient			208	135.2		90			Percent of total billed charges		187.2	40			Percent of total billed charges		83.2	80			Percent of total billed charges		166.4	90			Percent of total billed charges		187.2	85			Percent of total billed charges		176.8	85			Percent of total billed charges		176.8	85			Percent of total billed charges		176.8	100			Percent of total billed charges		208	100			Percent of total billed charges		208	100			Percent of total billed charges		208	33.3			Percent of total billed charges		69.264	33.3			Percent of total billed charges		69.264	100			Percent of total billed charges		208	69.264	187.2	
fiberglass long leg ed charge scnt	270	RC	Outpatient			208	135.2		90			Percent of total billed charges		187.2	40			Percent of total billed charges		83.2	80			Percent of total billed charges		166.4	90			Percent of total billed charges		187.2	85			Percent of total billed charges		176.8	85			Percent of total billed charges		176.8	85			Percent of total billed charges		176.8	100			Percent of total billed charges		208	100			Percent of total billed charges		208	100			Percent of total billed charges		208	33.3			Percent of total billed charges		69.264	33.3			Percent of total billed charges		69.264	100			Percent of total billed charges		208	69.264	187.2	
alliedsil silastic sheeting 2 x 3 x .0.15 s-23-701-15 allied biomed	270	RC	Outpatient			209	135.85		90			Percent of total billed charges		188.1	40			Percent of total billed charges		83.6	80			Percent of total billed charges		167.2	90			Percent of total billed charges		188.1	85			Percent of total billed charges		177.65	85			Percent of total billed charges		177.65	85			Percent of total billed charges		177.65	100			Percent of total billed charges		209	100			Percent of total billed charges		209	100			Percent of total billed charges		209	33.3			Percent of total billed charges		69.597	33.3			Percent of total billed charges		69.597	100			Percent of total billed charges		209	69.597	188.1	
blade arthroscopy 4.5 incisor plus elite 7210976 s/n	272	RC	Outpatient			209	135.85		90			Percent of total billed charges		188.1	40			Percent of total billed charges		83.6	80			Percent of total billed charges		167.2	90			Percent of total billed charges		188.1	85			Percent of total billed charges		177.65	85			Percent of total billed charges		177.65	85			Percent of total billed charges		177.65	100			Percent of total billed charges		209	100			Percent of total billed charges		209	100			Percent of total billed charges		209	33.3			Percent of total billed charges		69.597	33.3			Percent of total billed charges		69.597	100			Percent of total billed charges		209	69.597	188.1	
"arthrex drill bit 2.5mm, calibrated ar-8943-42"	272	RC	Outpatient			209	135.85		90			Percent of total billed charges		188.1	40			Percent of total billed charges		83.6	80			Percent of total billed charges		167.2	90			Percent of total billed charges		188.1	85			Percent of total billed charges		177.65	85			Percent of total billed charges		177.65	85			Percent of total billed charges		177.65	100			Percent of total billed charges		209	100			Percent of total billed charges		209	100			Percent of total billed charges		209	33.3			Percent of total billed charges		69.597	33.3			Percent of total billed charges		69.597	100			Percent of total billed charges		209	69.597	188.1	
arthrex drill bit 5.5mm spade tip ar-1927-d	272	RC	Outpatient			209	135.85		90			Percent of total billed charges		188.1	40			Percent of total billed charges		83.6	80			Percent of total billed charges		167.2	90			Percent of total billed charges		188.1	85			Percent of total billed charges		177.65	85			Percent of total billed charges		177.65	85			Percent of total billed charges		177.65	100			Percent of total billed charges		209	100			Percent of total billed charges		209	100			Percent of total billed charges		209	33.3			Percent of total billed charges		69.597	33.3			Percent of total billed charges		69.597	100			Percent of total billed charges		209	69.597	188.1	
arthro blade iincisor +	272	RC	Outpatient			209	135.85		90			Percent of total billed charges		188.1	40			Percent of total billed charges		83.6	80			Percent of total billed charges		167.2	90			Percent of total billed charges		188.1	85			Percent of total billed charges		177.65	85			Percent of total billed charges		177.65	85			Percent of total billed charges		177.65	100			Percent of total billed charges		209	100			Percent of total billed charges		209	100			Percent of total billed charges		209	33.3			Percent of total billed charges		69.597	33.3			Percent of total billed charges		69.597	100			Percent of total billed charges		209	69.597	188.1	
blade arthroscopy 5.5 incisor plus elite 72200081 grey s/n	272	RC	Outpatient			209	135.85		90			Percent of total billed charges		188.1	40			Percent of total billed charges		83.6	80			Percent of total billed charges		167.2	90			Percent of total billed charges		188.1	85			Percent of total billed charges		177.65	85			Percent of total billed charges		177.65	85			Percent of total billed charges		177.65	100			Percent of total billed charges		209	100			Percent of total billed charges		209	100			Percent of total billed charges		209	33.3			Percent of total billed charges		69.597	33.3			Percent of total billed charges		69.597	100			Percent of total billed charges		209	69.597	188.1	
silastic sheeting	270	RC	Outpatient			209	135.85		90			Percent of total billed charges		188.1	40			Percent of total billed charges		83.6	80			Percent of total billed charges		167.2	90			Percent of total billed charges		188.1	85			Percent of total billed charges		177.65	85			Percent of total billed charges		177.65	85			Percent of total billed charges		177.65	100			Percent of total billed charges		209	100			Percent of total billed charges		209	100			Percent of total billed charges		209	33.3			Percent of total billed charges		69.597	33.3			Percent of total billed charges		69.597	100			Percent of total billed charges		209	69.597	188.1	
sheeting silastic 8x6x.030 601-30	270	RC	Outpatient			209	135.85		90			Percent of total billed charges		188.1	40			Percent of total billed charges		83.6	80			Percent of total billed charges		167.2	90			Percent of total billed charges		188.1	85			Percent of total billed charges		177.65	85			Percent of total billed charges		177.65	85			Percent of total billed charges		177.65	100			Percent of total billed charges		209	100			Percent of total billed charges		209	100			Percent of total billed charges		209	33.3			Percent of total billed charges		69.597	33.3			Percent of total billed charges		69.597	100			Percent of total billed charges		209	69.597	188.1	
variax bone screw 3.5 x 12 40-35012 stryker	278	RC	Outpatient			209	135.85		90			Percent of total billed charges		188.1	40			Percent of total billed charges		83.6	80			Percent of total billed charges		167.2	90			Percent of total billed charges		188.1	85			Percent of total billed charges		177.65	85			Percent of total billed charges		177.65	85			Percent of total billed charges		177.65	100			Percent of total billed charges		209	100			Percent of total billed charges		209	100			Percent of total billed charges		209	33.3			Percent of total billed charges		69.597	33.3			Percent of total billed charges		69.597	100			Percent of total billed charges		209	69.597	188.1	
variax bone screw 3.5 x 14 40-35014 stryker	278	RC	Outpatient			209	135.85		90			Percent of total billed charges		188.1	40			Percent of total billed charges		83.6	80			Percent of total billed charges		167.2	90			Percent of total billed charges		188.1	85			Percent of total billed charges		177.65	85			Percent of total billed charges		177.65	85			Percent of total billed charges		177.65	100			Percent of total billed charges		209	100			Percent of total billed charges		209	100			Percent of total billed charges		209	33.3			Percent of total billed charges		69.597	33.3			Percent of total billed charges		69.597	100			Percent of total billed charges		209	69.597	188.1	
variax bone screw 3.5 x 16 40-35016 stryker	278	RC	Outpatient			209	135.85		90			Percent of total billed charges		188.1	40			Percent of total billed charges		83.6	80			Percent of total billed charges		167.2	90			Percent of total billed charges		188.1	85			Percent of total billed charges		177.65	85			Percent of total billed charges		177.65	85			Percent of total billed charges		177.65	100			Percent of total billed charges		209	100			Percent of total billed charges		209	100			Percent of total billed charges		209	33.3			Percent of total billed charges		69.597	33.3			Percent of total billed charges		69.597	100			Percent of total billed charges		209	69.597	188.1	
variax bone screw 3.5	278	RC	Outpatient			209	135.85		90			Percent of total billed charges		188.1	40			Percent of total billed charges		83.6	80			Percent of total billed charges		167.2	90			Percent of total billed charges		188.1	85			Percent of total billed charges		177.65	85			Percent of total billed charges		177.65	85			Percent of total billed charges		177.65	100			Percent of total billed charges		209	100			Percent of total billed charges		209	100			Percent of total billed charges		209	33.3			Percent of total billed charges		69.597	33.3			Percent of total billed charges		69.597	100			Percent of total billed charges		209	69.597	188.1	
variax bone screw 3.5 x 18 40-35018 stryker	278	RC	Outpatient			209	135.85		90			Percent of total billed charges		188.1	40			Percent of total billed charges		83.6	80			Percent of total billed charges		167.2	90			Percent of total billed charges		188.1	85			Percent of total billed charges		177.65	85			Percent of total billed charges		177.65	85			Percent of total billed charges		177.65	100			Percent of total billed charges		209	100			Percent of total billed charges		209	100			Percent of total billed charges		209	33.3			Percent of total billed charges		69.597	33.3			Percent of total billed charges		69.597	100			Percent of total billed charges		209	69.597	188.1	
variax bone screw 3.5 x 20 40-35020 stryker	278	RC	Outpatient			209	135.85		90			Percent of total billed charges		188.1	40			Percent of total billed charges		83.6	80			Percent of total billed charges		167.2	90			Percent of total billed charges		188.1	85			Percent of total billed charges		177.65	85			Percent of total billed charges		177.65	85			Percent of total billed charges		177.65	100			Percent of total billed charges		209	100			Percent of total billed charges		209	100			Percent of total billed charges		209	33.3			Percent of total billed charges		69.597	33.3			Percent of total billed charges		69.597	100			Percent of total billed charges		209	69.597	188.1	
variax bone screw 3.5 x 22 40-35022 stryker	278	RC	Outpatient			209	135.85		90			Percent of total billed charges		188.1	40			Percent of total billed charges		83.6	80			Percent of total billed charges		167.2	90			Percent of total billed charges		188.1	85			Percent of total billed charges		177.65	85			Percent of total billed charges		177.65	85			Percent of total billed charges		177.65	100			Percent of total billed charges		209	100			Percent of total billed charges		209	100			Percent of total billed charges		209	33.3			Percent of total billed charges		69.597	33.3			Percent of total billed charges		69.597	100			Percent of total billed charges		209	69.597	188.1	
variax bone screw 3.5 x 50 40-35050 stryker	278	RC	Outpatient			209	135.85		90			Percent of total billed charges		188.1	40			Percent of total billed charges		83.6	80			Percent of total billed charges		167.2	90			Percent of total billed charges		188.1	85			Percent of total billed charges		177.65	85			Percent of total billed charges		177.65	85			Percent of total billed charges		177.65	100			Percent of total billed charges		209	100			Percent of total billed charges		209	100			Percent of total billed charges		209	33.3			Percent of total billed charges		69.597	33.3			Percent of total billed charges		69.597	100			Percent of total billed charges		209	69.597	188.1	
variax bone screw 3.5 x 60 40-35060 stryker	278	RC	Outpatient			209	135.85		90			Percent of total billed charges		188.1	40			Percent of total billed charges		83.6	80			Percent of total billed charges		167.2	90			Percent of total billed charges		188.1	85			Percent of total billed charges		177.65	85			Percent of total billed charges		177.65	85			Percent of total billed charges		177.65	100			Percent of total billed charges		209	100			Percent of total billed charges		209	100			Percent of total billed charges		209	33.3			Percent of total billed charges		69.597	33.3			Percent of total billed charges		69.597	100			Percent of total billed charges		209	69.597	188.1	
fflipper embolization coil 8 x 8  g12909 cook	278	RC	Outpatient			210	136.5		90			Percent of total billed charges		189	40			Percent of total billed charges		84	80			Percent of total billed charges		168	90			Percent of total billed charges		189	85			Percent of total billed charges		178.5	85			Percent of total billed charges		178.5	85			Percent of total billed charges		178.5	100			Percent of total billed charges		210	100			Percent of total billed charges		210	100			Percent of total billed charges		210	33.3			Percent of total billed charges		69.93	33.3			Percent of total billed charges		69.93	100			Percent of total billed charges		210	69.93	189	
fflipper embolization coil 10 x 8  g12910 cook	278	RC	Outpatient			210	136.5		90			Percent of total billed charges		189	40			Percent of total billed charges		84	80			Percent of total billed charges		168	90			Percent of total billed charges		189	85			Percent of total billed charges		178.5	85			Percent of total billed charges		178.5	85			Percent of total billed charges		178.5	100			Percent of total billed charges		210	100			Percent of total billed charges		210	100			Percent of total billed charges		210	33.3			Percent of total billed charges		69.93	33.3			Percent of total billed charges		69.93	100			Percent of total billed charges		210	69.93	189	
fflipper embolization coil 12 x 8  g12911 cook	278	RC	Outpatient			210	136.5		90			Percent of total billed charges		189	40			Percent of total billed charges		84	80			Percent of total billed charges		168	90			Percent of total billed charges		189	85			Percent of total billed charges		178.5	85			Percent of total billed charges		178.5	85			Percent of total billed charges		178.5	100			Percent of total billed charges		210	100			Percent of total billed charges		210	100			Percent of total billed charges		210	33.3			Percent of total billed charges		69.93	33.3			Percent of total billed charges		69.93	100			Percent of total billed charges		210	69.93	189	
flipper coil	278	RC	Outpatient			210	136.5		90			Percent of total billed charges		189	40			Percent of total billed charges		84	80			Percent of total billed charges		168	90			Percent of total billed charges		189	85			Percent of total billed charges		178.5	85			Percent of total billed charges		178.5	85			Percent of total billed charges		178.5	100			Percent of total billed charges		210	100			Percent of total billed charges		210	100			Percent of total billed charges		210	33.3			Percent of total billed charges		69.93	33.3			Percent of total billed charges		69.93	100			Percent of total billed charges		210	69.93	189	
parham band plate long 8503-103-03 zimmer	278	RC	Outpatient			210	136.5		90			Percent of total billed charges		189	40			Percent of total billed charges		84	80			Percent of total billed charges		168	90			Percent of total billed charges		189	85			Percent of total billed charges		178.5	85			Percent of total billed charges		178.5	85			Percent of total billed charges		178.5	100			Percent of total billed charges		210	100			Percent of total billed charges		210	100			Percent of total billed charges		210	33.3			Percent of total billed charges		69.93	33.3			Percent of total billed charges		69.93	100			Percent of total billed charges		210	69.93	189	
parham band plate short 8503-103-02 zimmer	278	RC	Outpatient			210	136.5		90			Percent of total billed charges		189	40			Percent of total billed charges		84	80			Percent of total billed charges		168	90			Percent of total billed charges		189	85			Percent of total billed charges		178.5	85			Percent of total billed charges		178.5	85			Percent of total billed charges		178.5	100			Percent of total billed charges		210	100			Percent of total billed charges		210	100			Percent of total billed charges		210	33.3			Percent of total billed charges		69.93	33.3			Percent of total billed charges		69.93	100			Percent of total billed charges		210	69.93	189	
parham band thick	278	RC	Outpatient			210	136.5		90			Percent of total billed charges		189	40			Percent of total billed charges		84	80			Percent of total billed charges		168	90			Percent of total billed charges		189	85			Percent of total billed charges		178.5	85			Percent of total billed charges		178.5	85			Percent of total billed charges		178.5	100			Percent of total billed charges		210	100			Percent of total billed charges		210	100			Percent of total billed charges		210	33.3			Percent of total billed charges		69.93	33.3			Percent of total billed charges		69.93	100			Percent of total billed charges		210	69.93	189	
s/n lg frag tc 100 4.5mm tap 1771-0119	272	RC	Outpatient			210	136.5		90			Percent of total billed charges		189	40			Percent of total billed charges		84	80			Percent of total billed charges		168	90			Percent of total billed charges		189	85			Percent of total billed charges		178.5	85			Percent of total billed charges		178.5	85			Percent of total billed charges		178.5	100			Percent of total billed charges		210	100			Percent of total billed charges		210	100			Percent of total billed charges		210	33.3			Percent of total billed charges		69.93	33.3			Percent of total billed charges		69.93	100			Percent of total billed charges		210	69.93	189	
s/n lg frag tc 100 6.5mm tap 1771-0121	272	RC	Outpatient			210	136.5		90			Percent of total billed charges		189	40			Percent of total billed charges		84	80			Percent of total billed charges		168	90			Percent of total billed charges		189	85			Percent of total billed charges		178.5	85			Percent of total billed charges		178.5	85			Percent of total billed charges		178.5	100			Percent of total billed charges		210	100			Percent of total billed charges		210	100			Percent of total billed charges		210	33.3			Percent of total billed charges		69.93	33.3			Percent of total billed charges		69.93	100			Percent of total billed charges		210	69.93	189	
s/n tc 100 tap	272	RC	Outpatient			210	136.5		90			Percent of total billed charges		189	40			Percent of total billed charges		84	80			Percent of total billed charges		168	90			Percent of total billed charges		189	85			Percent of total billed charges		178.5	85			Percent of total billed charges		178.5	85			Percent of total billed charges		178.5	100			Percent of total billed charges		210	100			Percent of total billed charges		210	100			Percent of total billed charges		210	33.3			Percent of total billed charges		69.93	33.3			Percent of total billed charges		69.93	100			Percent of total billed charges		210	69.93	189	
parham band .018 x 0.46mm 318-01 zimmer	278	RC	Outpatient			210	136.5		90			Percent of total billed charges		189	40			Percent of total billed charges		84	80			Percent of total billed charges		168	90			Percent of total billed charges		189	85			Percent of total billed charges		178.5	85			Percent of total billed charges		178.5	85			Percent of total billed charges		178.5	100			Percent of total billed charges		210	100			Percent of total billed charges		210	100			Percent of total billed charges		210	33.3			Percent of total billed charges		69.93	33.3			Percent of total billed charges		69.93	100			Percent of total billed charges		210	69.93	189	
parham band .025 x 0.64mm 318-02 zimmer	278	RC	Outpatient			210	136.5		90			Percent of total billed charges		189	40			Percent of total billed charges		84	80			Percent of total billed charges		168	90			Percent of total billed charges		189	85			Percent of total billed charges		178.5	85			Percent of total billed charges		178.5	85			Percent of total billed charges		178.5	100			Percent of total billed charges		210	100			Percent of total billed charges		210	100			Percent of total billed charges		210	33.3			Percent of total billed charges		69.93	33.3			Percent of total billed charges		69.93	100			Percent of total billed charges		210	69.93	189	
parham band 32-8503-1056  zimmer	278	RC	Outpatient			210	136.5		90			Percent of total billed charges		189	40			Percent of total billed charges		84	80			Percent of total billed charges		168	90			Percent of total billed charges		189	85			Percent of total billed charges		178.5	85			Percent of total billed charges		178.5	85			Percent of total billed charges		178.5	100			Percent of total billed charges		210	100			Percent of total billed charges		210	100			Percent of total billed charges		210	33.3			Percent of total billed charges		69.93	33.3			Percent of total billed charges		69.93	100			Percent of total billed charges		210	69.93	189	
vac dressing xl	270	RC	Outpatient			210	136.5		90			Percent of total billed charges		189	40			Percent of total billed charges		84	80			Percent of total billed charges		168	90			Percent of total billed charges		189	85			Percent of total billed charges		178.5	85			Percent of total billed charges		178.5	85			Percent of total billed charges		178.5	100			Percent of total billed charges		210	100			Percent of total billed charges		210	100			Percent of total billed charges		210	33.3			Percent of total billed charges		69.93	33.3			Percent of total billed charges		69.93	100			Percent of total billed charges		210	69.93	189	
acumed osteo-clage 2.0mm sleeve  01-0022-s	278	RC	Outpatient			211	137.15		90			Percent of total billed charges		189.9	40			Percent of total billed charges		84.4	80			Percent of total billed charges		168.8	90			Percent of total billed charges		189.9	85			Percent of total billed charges		179.35	85			Percent of total billed charges		179.35	85			Percent of total billed charges		179.35	100			Percent of total billed charges		211	100			Percent of total billed charges		211	100			Percent of total billed charges		211	33.3			Percent of total billed charges		70.263	33.3			Percent of total billed charges		70.263	100			Percent of total billed charges		211	70.263	189.9	
arthrex lp ti screw 3.5 x 18 ar-8935-18	278	RC	Outpatient			211	137.15		90			Percent of total billed charges		189.9	40			Percent of total billed charges		84.4	80			Percent of total billed charges		168.8	90			Percent of total billed charges		189.9	85			Percent of total billed charges		179.35	85			Percent of total billed charges		179.35	85			Percent of total billed charges		179.35	100			Percent of total billed charges		211	100			Percent of total billed charges		211	100			Percent of total billed charges		211	33.3			Percent of total billed charges		70.263	33.3			Percent of total billed charges		70.263	100			Percent of total billed charges		211	70.263	189.9	
1st stage girdle w/zipper	272	RC	Outpatient			211	137.15		90			Percent of total billed charges		189.9	40			Percent of total billed charges		84.4	80			Percent of total billed charges		168.8	90			Percent of total billed charges		189.9	85			Percent of total billed charges		179.35	85			Percent of total billed charges		179.35	85			Percent of total billed charges		179.35	100			Percent of total billed charges		211	100			Percent of total billed charges		211	100			Percent of total billed charges		211	33.3			Percent of total billed charges		70.263	33.3			Percent of total billed charges		70.263	100			Percent of total billed charges		211	70.263	189.9	
arthrex lp ti screw 3.5 x 16 ar-8935-16	278	RC	Outpatient			211	137.15		90			Percent of total billed charges		189.9	40			Percent of total billed charges		84.4	80			Percent of total billed charges		168.8	90			Percent of total billed charges		189.9	85			Percent of total billed charges		179.35	85			Percent of total billed charges		179.35	85			Percent of total billed charges		179.35	100			Percent of total billed charges		211	100			Percent of total billed charges		211	100			Percent of total billed charges		211	33.3			Percent of total billed charges		70.263	33.3			Percent of total billed charges		70.263	100			Percent of total billed charges		211	70.263	189.9	
arthrex lp ti screw 3.5 x 28 ar-8935-28	278	RC	Outpatient			211	137.15		90			Percent of total billed charges		189.9	40			Percent of total billed charges		84.4	80			Percent of total billed charges		168.8	90			Percent of total billed charges		189.9	85			Percent of total billed charges		179.35	85			Percent of total billed charges		179.35	85			Percent of total billed charges		179.35	100			Percent of total billed charges		211	100			Percent of total billed charges		211	100			Percent of total billed charges		211	33.3			Percent of total billed charges		70.263	33.3			Percent of total billed charges		70.263	100			Percent of total billed charges		211	70.263	189.9	
arthrex lp ti screw 3.5 x 30 ar-8935-30	278	RC	Outpatient			211	137.15		90			Percent of total billed charges		189.9	40			Percent of total billed charges		84.4	80			Percent of total billed charges		168.8	90			Percent of total billed charges		189.9	85			Percent of total billed charges		179.35	85			Percent of total billed charges		179.35	85			Percent of total billed charges		179.35	100			Percent of total billed charges		211	100			Percent of total billed charges		211	100			Percent of total billed charges		211	33.3			Percent of total billed charges		70.263	33.3			Percent of total billed charges		70.263	100			Percent of total billed charges		211	70.263	189.9	
arthrex scr ti 3.5	278	RC	Outpatient			211	137.15		90			Percent of total billed charges		189.9	40			Percent of total billed charges		84.4	80			Percent of total billed charges		168.8	90			Percent of total billed charges		189.9	85			Percent of total billed charges		179.35	85			Percent of total billed charges		179.35	85			Percent of total billed charges		179.35	100			Percent of total billed charges		211	100			Percent of total billed charges		211	100			Percent of total billed charges		211	33.3			Percent of total billed charges		70.263	33.3			Percent of total billed charges		70.263	100			Percent of total billed charges		211	70.263	189.9	
cath lab syvek  patch nt6	272	RC	Outpatient			211	137.15		90			Percent of total billed charges		189.9	40			Percent of total billed charges		84.4	80			Percent of total billed charges		168.8	90			Percent of total billed charges		189.9	85			Percent of total billed charges		179.35	85			Percent of total billed charges		179.35	85			Percent of total billed charges		179.35	100			Percent of total billed charges		211	100			Percent of total billed charges		211	100			Percent of total billed charges		211	33.3			Percent of total billed charges		70.263	33.3			Percent of total billed charges		70.263	100			Percent of total billed charges		211	70.263	189.9	
female girdle small lgm-sz-s-h marena	272	RC	Outpatient			211	137.15		90			Percent of total billed charges		189.9	40			Percent of total billed charges		84.4	80			Percent of total billed charges		168.8	90			Percent of total billed charges		189.9	85			Percent of total billed charges		179.35	85			Percent of total billed charges		179.35	85			Percent of total billed charges		179.35	100			Percent of total billed charges		211	100			Percent of total billed charges		211	100			Percent of total billed charges		211	33.3			Percent of total billed charges		70.263	33.3			Percent of total billed charges		70.263	100			Percent of total billed charges		211	70.263	189.9	
essential blade serrated	270	RC	Outpatient			211	137.15		90			Percent of total billed charges		189.9	40			Percent of total billed charges		84.4	80			Percent of total billed charges		168.8	90			Percent of total billed charges		189.9	85			Percent of total billed charges		179.35	85			Percent of total billed charges		179.35	85			Percent of total billed charges		179.35	100			Percent of total billed charges		211	100			Percent of total billed charges		211	100			Percent of total billed charges		211	33.3			Percent of total billed charges		70.263	33.3			Percent of total billed charges		70.263	100			Percent of total billed charges		211	70.263	189.9	
female girdle 2xl-large lgm-sz-2xl-h marena	272	RC	Outpatient			211	137.15		90			Percent of total billed charges		189.9	40			Percent of total billed charges		84.4	80			Percent of total billed charges		168.8	90			Percent of total billed charges		189.9	85			Percent of total billed charges		179.35	85			Percent of total billed charges		179.35	85			Percent of total billed charges		179.35	100			Percent of total billed charges		211	100			Percent of total billed charges		211	100			Percent of total billed charges		211	33.3			Percent of total billed charges		70.263	33.3			Percent of total billed charges		70.263	100			Percent of total billed charges		211	70.263	189.9	
female girdle large lgm-sz-l-h marena	272	RC	Outpatient			211	137.15		90			Percent of total billed charges		189.9	40			Percent of total billed charges		84.4	80			Percent of total billed charges		168.8	90			Percent of total billed charges		189.9	85			Percent of total billed charges		179.35	85			Percent of total billed charges		179.35	85			Percent of total billed charges		179.35	100			Percent of total billed charges		211	100			Percent of total billed charges		211	100			Percent of total billed charges		211	33.3			Percent of total billed charges		70.263	33.3			Percent of total billed charges		70.263	100			Percent of total billed charges		211	70.263	189.9	
female girdle medium lgm-sz-m-h marena	272	RC	Outpatient			211	137.15		90			Percent of total billed charges		189.9	40			Percent of total billed charges		84.4	80			Percent of total billed charges		168.8	90			Percent of total billed charges		189.9	85			Percent of total billed charges		179.35	85			Percent of total billed charges		179.35	85			Percent of total billed charges		179.35	100			Percent of total billed charges		211	100			Percent of total billed charges		211	100			Percent of total billed charges		211	33.3			Percent of total billed charges		70.263	33.3			Percent of total billed charges		70.263	100			Percent of total billed charges		211	70.263	189.9	
female girdle x-large lgm-sz-xl-h marena	272	RC	Outpatient			211	137.15		90			Percent of total billed charges		189.9	40			Percent of total billed charges		84.4	80			Percent of total billed charges		168.8	90			Percent of total billed charges		189.9	85			Percent of total billed charges		179.35	85			Percent of total billed charges		179.35	85			Percent of total billed charges		179.35	100			Percent of total billed charges		211	100			Percent of total billed charges		211	100			Percent of total billed charges		211	33.3			Percent of total billed charges		70.263	33.3			Percent of total billed charges		70.263	100			Percent of total billed charges		211	70.263	189.9	
kit quad lumen cath ak	270	RC	Outpatient			211	137.15		90			Percent of total billed charges		189.9	40			Percent of total billed charges		84.4	80			Percent of total billed charges		168.8	90			Percent of total billed charges		189.9	85			Percent of total billed charges		179.35	85			Percent of total billed charges		179.35	85			Percent of total billed charges		179.35	100			Percent of total billed charges		211	100			Percent of total billed charges		211	100			Percent of total billed charges		211	33.3			Percent of total billed charges		70.263	33.3			Percent of total billed charges		70.263	100			Percent of total billed charges		211	70.263	189.9	
heel prevalon xl 7382	270	RC	Outpatient			211	137.15		90			Percent of total billed charges		189.9	40			Percent of total billed charges		84.4	80			Percent of total billed charges		168.8	90			Percent of total billed charges		189.9	85			Percent of total billed charges		179.35	85			Percent of total billed charges		179.35	85			Percent of total billed charges		179.35	100			Percent of total billed charges		211	100			Percent of total billed charges		211	100			Percent of total billed charges		211	33.3			Percent of total billed charges		70.263	33.3			Percent of total billed charges		70.263	100			Percent of total billed charges		211	70.263	189.9	
implant cable sleeve 1.6mm 01-0014 acu	278	RC	Outpatient			211	137.15		90			Percent of total billed charges		189.9	40			Percent of total billed charges		84.4	80			Percent of total billed charges		168.8	90			Percent of total billed charges		189.9	85			Percent of total billed charges		179.35	85			Percent of total billed charges		179.35	85			Percent of total billed charges		179.35	100			Percent of total billed charges		211	100			Percent of total billed charges		211	100			Percent of total billed charges		211	33.3			Percent of total billed charges		70.263	33.3			Percent of total billed charges		70.263	100			Percent of total billed charges		211	70.263	189.9	
mustang over-the-wire 5.0 x 40mm 39171-05047 bost scient	278	RC	Outpatient			211	137.15		90			Percent of total billed charges		189.9	40			Percent of total billed charges		84.4	80			Percent of total billed charges		168.8	90			Percent of total billed charges		189.9	85			Percent of total billed charges		179.35	85			Percent of total billed charges		179.35	85			Percent of total billed charges		179.35	100			Percent of total billed charges		211	100			Percent of total billed charges		211	100			Percent of total billed charges		211	33.3			Percent of total billed charges		70.263	33.3			Percent of total billed charges		70.263	100			Percent of total billed charges		211	70.263	189.9	
osteo-clage cocr sleeve	278	RC	Outpatient			211	137.15		90			Percent of total billed charges		189.9	40			Percent of total billed charges		84.4	80			Percent of total billed charges		168.8	90			Percent of total billed charges		189.9	85			Percent of total billed charges		179.35	85			Percent of total billed charges		179.35	85			Percent of total billed charges		179.35	100			Percent of total billed charges		211	100			Percent of total billed charges		211	100			Percent of total billed charges		211	33.3			Percent of total billed charges		70.263	33.3			Percent of total billed charges		70.263	100			Percent of total billed charges		211	70.263	189.9	
sleeve 2.0 #acumed 01-0013	278	RC	Outpatient			211	137.15		90			Percent of total billed charges		189.9	40			Percent of total billed charges		84.4	80			Percent of total billed charges		168.8	90			Percent of total billed charges		189.9	85			Percent of total billed charges		179.35	85			Percent of total billed charges		179.35	85			Percent of total billed charges		179.35	100			Percent of total billed charges		211	100			Percent of total billed charges		211	100			Percent of total billed charges		211	33.3			Percent of total billed charges		70.263	33.3			Percent of total billed charges		70.263	100			Percent of total billed charges		211	70.263	189.9	
sm fr tap cancellous	272	RC	Outpatient			211	137.15		90			Percent of total billed charges		189.9	40			Percent of total billed charges		84.4	80			Percent of total billed charges		168.8	90			Percent of total billed charges		189.9	85			Percent of total billed charges		179.35	85			Percent of total billed charges		179.35	85			Percent of total billed charges		179.35	100			Percent of total billed charges		211	100			Percent of total billed charges		211	100			Percent of total billed charges		211	33.3			Percent of total billed charges		70.263	33.3			Percent of total billed charges		70.263	100			Percent of total billed charges		211	70.263	189.9	
syvek nt catheter patch	272	RC	Outpatient			211	137.15		90			Percent of total billed charges		189.9	40			Percent of total billed charges		84.4	80			Percent of total billed charges		168.8	90			Percent of total billed charges		189.9	85			Percent of total billed charges		179.35	85			Percent of total billed charges		179.35	85			Percent of total billed charges		179.35	100			Percent of total billed charges		211	100			Percent of total billed charges		211	100			Percent of total billed charges		211	33.3			Percent of total billed charges		70.263	33.3			Percent of total billed charges		70.263	100			Percent of total billed charges		211	70.263	189.9	
threaded guide wire 3.2 tip 71631690 s/n	272	RC	Outpatient			211	137.15		90			Percent of total billed charges		189.9	40			Percent of total billed charges		84.4	80			Percent of total billed charges		168.8	90			Percent of total billed charges		189.9	85			Percent of total billed charges		179.35	85			Percent of total billed charges		179.35	85			Percent of total billed charges		179.35	100			Percent of total billed charges		211	100			Percent of total billed charges		211	100			Percent of total billed charges		211	33.3			Percent of total billed charges		70.263	33.3			Percent of total billed charges		70.263	100			Percent of total billed charges		211	70.263	189.9	
blade irrigating amoid 4.0mm 70326867 smiten	270	RC	Outpatient			212	137.8		90			Percent of total billed charges		190.8	40			Percent of total billed charges		84.8	80			Percent of total billed charges		169.6	90			Percent of total billed charges		190.8	85			Percent of total billed charges		180.2	85			Percent of total billed charges		180.2	85			Percent of total billed charges		180.2	100			Percent of total billed charges		212	100			Percent of total billed charges		212	100			Percent of total billed charges		212	33.3			Percent of total billed charges		70.596	33.3			Percent of total billed charges		70.596	100			Percent of total billed charges		212	70.596	190.8	
essential irrigating blad	270	RC	Outpatient			212	137.8		90			Percent of total billed charges		190.8	40			Percent of total billed charges		84.8	80			Percent of total billed charges		169.6	90			Percent of total billed charges		190.8	85			Percent of total billed charges		180.2	85			Percent of total billed charges		180.2	85			Percent of total billed charges		180.2	100			Percent of total billed charges		212	100			Percent of total billed charges		212	100			Percent of total billed charges		212	33.3			Percent of total billed charges		70.596	33.3			Percent of total billed charges		70.596	100			Percent of total billed charges		212	70.596	190.8	
cement bone palacos 424800	278	RC	Outpatient			213	138.45		90			Percent of total billed charges		191.7	40			Percent of total billed charges		85.2	80			Percent of total billed charges		170.4	90			Percent of total billed charges		191.7	85			Percent of total billed charges		181.05	85			Percent of total billed charges		181.05	85			Percent of total billed charges		181.05	100			Percent of total billed charges		213	100			Percent of total billed charges		213	100			Percent of total billed charges		213	33.3			Percent of total billed charges		70.929	33.3			Percent of total billed charges		70.929	100			Percent of total billed charges		213	70.929	191.7	
cobalt bone cement 402282 biomet	278	RC	Outpatient			213	138.45		90			Percent of total billed charges		191.7	40			Percent of total billed charges		85.2	80			Percent of total billed charges		170.4	90			Percent of total billed charges		191.7	85			Percent of total billed charges		181.05	85			Percent of total billed charges		181.05	85			Percent of total billed charges		181.05	100			Percent of total billed charges		213	100			Percent of total billed charges		213	100			Percent of total billed charges		213	33.3			Percent of total billed charges		70.929	33.3			Percent of total billed charges		70.929	100			Percent of total billed charges		213	70.929	191.7	
cement bone palacos 00-1112-140-01 zimmer	278	RC	Outpatient			213	138.45		90			Percent of total billed charges		191.7	40			Percent of total billed charges		85.2	80			Percent of total billed charges		170.4	90			Percent of total billed charges		191.7	85			Percent of total billed charges		181.05	85			Percent of total billed charges		181.05	85			Percent of total billed charges		181.05	100			Percent of total billed charges		213	100			Percent of total billed charges		213	100			Percent of total billed charges		213	33.3			Percent of total billed charges		70.929	33.3			Percent of total billed charges		70.929	100			Percent of total billed charges		213	70.929	191.7	
cobalt bone cement 402432 biomet	278	RC	Outpatient			213	138.45		90			Percent of total billed charges		191.7	40			Percent of total billed charges		85.2	80			Percent of total billed charges		170.4	90			Percent of total billed charges		191.7	85			Percent of total billed charges		181.05	85			Percent of total billed charges		181.05	85			Percent of total billed charges		181.05	100			Percent of total billed charges		213	100			Percent of total billed charges		213	100			Percent of total billed charges		213	33.3			Percent of total billed charges		70.929	33.3			Percent of total billed charges		70.929	100			Percent of total billed charges		213	70.929	191.7	
cobalt/palacos cement	278	RC	Outpatient			213	138.45		90			Percent of total billed charges		191.7	40			Percent of total billed charges		85.2	80			Percent of total billed charges		170.4	90			Percent of total billed charges		191.7	85			Percent of total billed charges		181.05	85			Percent of total billed charges		181.05	85			Percent of total billed charges		181.05	100			Percent of total billed charges		213	100			Percent of total billed charges		213	100			Percent of total billed charges		213	33.3			Percent of total billed charges		70.929	33.3			Percent of total billed charges		70.929	100			Percent of total billed charges		213	70.929	191.7	
surgicel 6 x 9 nu-knit	270	RC	Outpatient			213	138.45		90			Percent of total billed charges		191.7	40			Percent of total billed charges		85.2	80			Percent of total billed charges		170.4	90			Percent of total billed charges		191.7	85			Percent of total billed charges		181.05	85			Percent of total billed charges		181.05	85			Percent of total billed charges		181.05	100			Percent of total billed charges		213	100			Percent of total billed charges		213	100			Percent of total billed charges		213	33.3			Percent of total billed charges		70.929	33.3			Percent of total billed charges		70.929	100			Percent of total billed charges		213	70.929	191.7	
surgicel nu-knit hemostat 6x9 1946 ethicon	270	RC	Outpatient			213	138.45		90			Percent of total billed charges		191.7	40			Percent of total billed charges		85.2	80			Percent of total billed charges		170.4	90			Percent of total billed charges		191.7	85			Percent of total billed charges		181.05	85			Percent of total billed charges		181.05	85			Percent of total billed charges		181.05	100			Percent of total billed charges		213	100			Percent of total billed charges		213	100			Percent of total billed charges		213	33.3			Percent of total billed charges		70.929	33.3			Percent of total billed charges		70.929	100			Percent of total billed charges		213	70.929	191.7	
ccpf chemo admin 1.5 hrs	335	RC	Outpatient			213.63	138.86		90			Percent of total billed charges		192.267	40			Percent of total billed charges		85.452	80			Percent of total billed charges		170.904	90			Percent of total billed charges		192.267	85			Percent of total billed charges		181.5855	85			Percent of total billed charges		181.5855	85			Percent of total billed charges		181.5855	100			Percent of total billed charges		213.63	100			Percent of total billed charges		213.63	100			Percent of total billed charges		213.63	33.3			Percent of total billed charges		71.1388	33.3			Percent of total billed charges		71.1388	100			Percent of total billed charges		213.63	71.1388	192.267	
antenna 37092 medtronic	272	RC	Outpatient			214	139.1		90			Percent of total billed charges		192.6	40			Percent of total billed charges		85.6	80			Percent of total billed charges		171.2	90			Percent of total billed charges		192.6	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	100			Percent of total billed charges		214	100			Percent of total billed charges		214	100			Percent of total billed charges		214	33.3			Percent of total billed charges		71.262	33.3			Percent of total billed charges		71.262	100			Percent of total billed charges		214	71.262	192.6	
gamma graft gg100	278	RC	Outpatient			214	139.1		90			Percent of total billed charges		192.6	40			Percent of total billed charges		85.6	80			Percent of total billed charges		171.2	90			Percent of total billed charges		192.6	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	100			Percent of total billed charges		214	100			Percent of total billed charges		214	100			Percent of total billed charges		214	33.3			Percent of total billed charges		71.262	33.3			Percent of total billed charges		71.262	100			Percent of total billed charges		214	71.262	192.6	
gamma graft gg100 promethean	278	RC	Outpatient			214	139.1		90			Percent of total billed charges		192.6	40			Percent of total billed charges		85.6	80			Percent of total billed charges		171.2	90			Percent of total billed charges		192.6	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	100			Percent of total billed charges		214	100			Percent of total billed charges		214	100			Percent of total billed charges		214	33.3			Percent of total billed charges		71.262	33.3			Percent of total billed charges		71.262	100			Percent of total billed charges		214	71.262	192.6	
intramed drill bit	272	RC	Outpatient			214	139.1		90			Percent of total billed charges		192.6	40			Percent of total billed charges		85.6	80			Percent of total billed charges		171.2	90			Percent of total billed charges		192.6	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	100			Percent of total billed charges		214	100			Percent of total billed charges		214	100			Percent of total billed charges		214	33.3			Percent of total billed charges		71.262	33.3			Percent of total billed charges		71.262	100			Percent of total billed charges		214	71.262	192.6	
greenfield introducer kit	270	RC	Outpatient			214	139.1		90			Percent of total billed charges		192.6	40			Percent of total billed charges		85.6	80			Percent of total billed charges		171.2	90			Percent of total billed charges		192.6	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	100			Percent of total billed charges		214	100			Percent of total billed charges		214	100			Percent of total billed charges		214	33.3			Percent of total billed charges		71.262	33.3			Percent of total billed charges		71.262	100			Percent of total billed charges		214	71.262	192.6	
greenfield vena cava filter introducer set meditech 50-350	270	RC	Outpatient			214	139.1		90			Percent of total billed charges		192.6	40			Percent of total billed charges		85.6	80			Percent of total billed charges		171.2	90			Percent of total billed charges		192.6	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	100			Percent of total billed charges		214	100			Percent of total billed charges		214	100			Percent of total billed charges		214	33.3			Percent of total billed charges		71.262	33.3			Percent of total billed charges		71.262	100			Percent of total billed charges		214	71.262	192.6	
medtronic antenna	272	RC	Outpatient			214	139.1		90			Percent of total billed charges		192.6	40			Percent of total billed charges		85.6	80			Percent of total billed charges		171.2	90			Percent of total billed charges		192.6	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	100			Percent of total billed charges		214	100			Percent of total billed charges		214	100			Percent of total billed charges		214	33.3			Percent of total billed charges		71.262	33.3			Percent of total billed charges		71.262	100			Percent of total billed charges		214	71.262	192.6	
lead introducer kit 3550-18 medtronic	272	RC	Outpatient			214	139.1		90			Percent of total billed charges		192.6	40			Percent of total billed charges		85.6	80			Percent of total billed charges		171.2	90			Percent of total billed charges		192.6	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	100			Percent of total billed charges		214	100			Percent of total billed charges		214	100			Percent of total billed charges		214	33.3			Percent of total billed charges		71.262	33.3			Percent of total billed charges		71.262	100			Percent of total billed charges		214	71.262	192.6	
richards 4.0 locking scrw	278	RC	Outpatient			214	139.1		90			Percent of total billed charges		192.6	40			Percent of total billed charges		85.6	80			Percent of total billed charges		171.2	90			Percent of total billed charges		192.6	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	100			Percent of total billed charges		214	100			Percent of total billed charges		214	100			Percent of total billed charges		214	33.3			Percent of total billed charges		71.262	33.3			Percent of total billed charges		71.262	100			Percent of total billed charges		214	71.262	192.6	
s-t cortex  locking screw 2.5mm x 14mm 71822414 s/n	278	RC	Outpatient			214	139.1		90			Percent of total billed charges		192.6	40			Percent of total billed charges		85.6	80			Percent of total billed charges		171.2	90			Percent of total billed charges		192.6	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	100			Percent of total billed charges		214	100			Percent of total billed charges		214	100			Percent of total billed charges		214	33.3			Percent of total billed charges		71.262	33.3			Percent of total billed charges		71.262	100			Percent of total billed charges		214	71.262	192.6	
s-t cortex  locking screw 2.5mm x 30mm 71822430 s/n	278	RC	Outpatient			214	139.1		90			Percent of total billed charges		192.6	40			Percent of total billed charges		85.6	80			Percent of total billed charges		171.2	90			Percent of total billed charges		192.6	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	100			Percent of total billed charges		214	100			Percent of total billed charges		214	100			Percent of total billed charges		214	33.3			Percent of total billed charges		71.262	33.3			Percent of total billed charges		71.262	100			Percent of total billed charges		214	71.262	192.6	
s/n 2.5 cort scrw lck	278	RC	Outpatient			214	139.1		90			Percent of total billed charges		192.6	40			Percent of total billed charges		85.6	80			Percent of total billed charges		171.2	90			Percent of total billed charges		192.6	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	100			Percent of total billed charges		214	100			Percent of total billed charges		214	100			Percent of total billed charges		214	33.3			Percent of total billed charges		71.262	33.3			Percent of total billed charges		71.262	100			Percent of total billed charges		214	71.262	192.6	
s/n 4.0 locking screw 12mm 122912	278	RC	Outpatient			214	139.1		90			Percent of total billed charges		192.6	40			Percent of total billed charges		85.6	80			Percent of total billed charges		171.2	90			Percent of total billed charges		192.6	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	100			Percent of total billed charges		214	100			Percent of total billed charges		214	100			Percent of total billed charges		214	33.3			Percent of total billed charges		71.262	33.3			Percent of total billed charges		71.262	100			Percent of total billed charges		214	71.262	192.6	
s/n 4.0 locking screw 14mm 122914	278	RC	Outpatient			214	139.1		90			Percent of total billed charges		192.6	40			Percent of total billed charges		85.6	80			Percent of total billed charges		171.2	90			Percent of total billed charges		192.6	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	100			Percent of total billed charges		214	100			Percent of total billed charges		214	100			Percent of total billed charges		214	33.3			Percent of total billed charges		71.262	33.3			Percent of total billed charges		71.262	100			Percent of total billed charges		214	71.262	192.6	
s/n 4.0 locking screw 18mm 122918	278	RC	Outpatient			214	139.1		90			Percent of total billed charges		192.6	40			Percent of total billed charges		85.6	80			Percent of total billed charges		171.2	90			Percent of total billed charges		192.6	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	100			Percent of total billed charges		214	100			Percent of total billed charges		214	100			Percent of total billed charges		214	33.3			Percent of total billed charges		71.262	33.3			Percent of total billed charges		71.262	100			Percent of total billed charges		214	71.262	192.6	
s/n 4.0 locking screw 22mm 122922	278	RC	Outpatient			214	139.1		90			Percent of total billed charges		192.6	40			Percent of total billed charges		85.6	80			Percent of total billed charges		171.2	90			Percent of total billed charges		192.6	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	100			Percent of total billed charges		214	100			Percent of total billed charges		214	100			Percent of total billed charges		214	33.3			Percent of total billed charges		71.262	33.3			Percent of total billed charges		71.262	100			Percent of total billed charges		214	71.262	192.6	
s/n 4.0 locking screw 24mm 122924	278	RC	Outpatient			214	139.1		90			Percent of total billed charges		192.6	40			Percent of total billed charges		85.6	80			Percent of total billed charges		171.2	90			Percent of total billed charges		192.6	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	100			Percent of total billed charges		214	100			Percent of total billed charges		214	100			Percent of total billed charges		214	33.3			Percent of total billed charges		71.262	33.3			Percent of total billed charges		71.262	100			Percent of total billed charges		214	71.262	192.6	
s/n 4.0 locking screw 28mm 122922	278	RC	Outpatient			214	139.1		90			Percent of total billed charges		192.6	40			Percent of total billed charges		85.6	80			Percent of total billed charges		171.2	90			Percent of total billed charges		192.6	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	100			Percent of total billed charges		214	100			Percent of total billed charges		214	100			Percent of total billed charges		214	33.3			Percent of total billed charges		71.262	33.3			Percent of total billed charges		71.262	100			Percent of total billed charges		214	71.262	192.6	
s/n 4.0 locking screw 30mm 122930	278	RC	Outpatient			214	139.1		90			Percent of total billed charges		192.6	40			Percent of total billed charges		85.6	80			Percent of total billed charges		171.2	90			Percent of total billed charges		192.6	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	100			Percent of total billed charges		214	100			Percent of total billed charges		214	100			Percent of total billed charges		214	33.3			Percent of total billed charges		71.262	33.3			Percent of total billed charges		71.262	100			Percent of total billed charges		214	71.262	192.6	
s/n 4.0 locking screw 32mm 122932	278	RC	Outpatient			214	139.1		90			Percent of total billed charges		192.6	40			Percent of total billed charges		85.6	80			Percent of total billed charges		171.2	90			Percent of total billed charges		192.6	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	100			Percent of total billed charges		214	100			Percent of total billed charges		214	100			Percent of total billed charges		214	33.3			Percent of total billed charges		71.262	33.3			Percent of total billed charges		71.262	100			Percent of total billed charges		214	71.262	192.6	
s/n 4.0 locking screw 34mm 122934	278	RC	Outpatient			214	139.1		90			Percent of total billed charges		192.6	40			Percent of total billed charges		85.6	80			Percent of total billed charges		171.2	90			Percent of total billed charges		192.6	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	100			Percent of total billed charges		214	100			Percent of total billed charges		214	100			Percent of total billed charges		214	33.3			Percent of total billed charges		71.262	33.3			Percent of total billed charges		71.262	100			Percent of total billed charges		214	71.262	192.6	
s/n 4.0 locking screw 36mm 122936	278	RC	Outpatient			214	139.1		90			Percent of total billed charges		192.6	40			Percent of total billed charges		85.6	80			Percent of total billed charges		171.2	90			Percent of total billed charges		192.6	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	100			Percent of total billed charges		214	100			Percent of total billed charges		214	100			Percent of total billed charges		214	33.3			Percent of total billed charges		71.262	33.3			Percent of total billed charges		71.262	100			Percent of total billed charges		214	71.262	192.6	
s/n 4.0 locking screw 38mm 122938	278	RC	Outpatient			214	139.1		90			Percent of total billed charges		192.6	40			Percent of total billed charges		85.6	80			Percent of total billed charges		171.2	90			Percent of total billed charges		192.6	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	100			Percent of total billed charges		214	100			Percent of total billed charges		214	100			Percent of total billed charges		214	33.3			Percent of total billed charges		71.262	33.3			Percent of total billed charges		71.262	100			Percent of total billed charges		214	71.262	192.6	
s/n 4.0 locking screw 46mm 122946	278	RC	Outpatient			214	139.1		90			Percent of total billed charges		192.6	40			Percent of total billed charges		85.6	80			Percent of total billed charges		171.2	90			Percent of total billed charges		192.6	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	100			Percent of total billed charges		214	100			Percent of total billed charges		214	100			Percent of total billed charges		214	33.3			Percent of total billed charges		71.262	33.3			Percent of total billed charges		71.262	100			Percent of total billed charges		214	71.262	192.6	
s/n 4.0 locking screw 48mm 122948	278	RC	Outpatient			214	139.1		90			Percent of total billed charges		192.6	40			Percent of total billed charges		85.6	80			Percent of total billed charges		171.2	90			Percent of total billed charges		192.6	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	100			Percent of total billed charges		214	100			Percent of total billed charges		214	100			Percent of total billed charges		214	33.3			Percent of total billed charges		71.262	33.3			Percent of total billed charges		71.262	100			Percent of total billed charges		214	71.262	192.6	
s/n 4.0 locking screw 50mm 122950	278	RC	Outpatient			214	139.1		90			Percent of total billed charges		192.6	40			Percent of total billed charges		85.6	80			Percent of total billed charges		171.2	90			Percent of total billed charges		192.6	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	100			Percent of total billed charges		214	100			Percent of total billed charges		214	100			Percent of total billed charges		214	33.3			Percent of total billed charges		71.262	33.3			Percent of total billed charges		71.262	100			Percent of total billed charges		214	71.262	192.6	
s/n 4.0 locking screw 52mm 122952	278	RC	Outpatient			214	139.1		90			Percent of total billed charges		192.6	40			Percent of total billed charges		85.6	80			Percent of total billed charges		171.2	90			Percent of total billed charges		192.6	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	100			Percent of total billed charges		214	100			Percent of total billed charges		214	100			Percent of total billed charges		214	33.3			Percent of total billed charges		71.262	33.3			Percent of total billed charges		71.262	100			Percent of total billed charges		214	71.262	192.6	
s/n 4.0 locking screw 54mm 122954	278	RC	Outpatient			214	139.1		90			Percent of total billed charges		192.6	40			Percent of total billed charges		85.6	80			Percent of total billed charges		171.2	90			Percent of total billed charges		192.6	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	100			Percent of total billed charges		214	100			Percent of total billed charges		214	100			Percent of total billed charges		214	33.3			Percent of total billed charges		71.262	33.3			Percent of total billed charges		71.262	100			Percent of total billed charges		214	71.262	192.6	
s/n 4.0 locking screw 56mm 122956	278	RC	Outpatient			214	139.1		90			Percent of total billed charges		192.6	40			Percent of total billed charges		85.6	80			Percent of total billed charges		171.2	90			Percent of total billed charges		192.6	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	100			Percent of total billed charges		214	100			Percent of total billed charges		214	100			Percent of total billed charges		214	33.3			Percent of total billed charges		71.262	33.3			Percent of total billed charges		71.262	100			Percent of total billed charges		214	71.262	192.6	
s/n 4.0 locking screw 58mm 122958	278	RC	Outpatient			214	139.1		90			Percent of total billed charges		192.6	40			Percent of total billed charges		85.6	80			Percent of total billed charges		171.2	90			Percent of total billed charges		192.6	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	100			Percent of total billed charges		214	100			Percent of total billed charges		214	100			Percent of total billed charges		214	33.3			Percent of total billed charges		71.262	33.3			Percent of total billed charges		71.262	100			Percent of total billed charges		214	71.262	192.6	
ta stapler 30mm- 3.5mm reload ta3035l covidien	270	RC	Outpatient			214	139.1		90			Percent of total billed charges		192.6	40			Percent of total billed charges		85.6	80			Percent of total billed charges		171.2	90			Percent of total billed charges		192.6	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	100			Percent of total billed charges		214	100			Percent of total billed charges		214	100			Percent of total billed charges		214	33.3			Percent of total billed charges		71.262	33.3			Percent of total billed charges		71.262	100			Percent of total billed charges		214	71.262	192.6	
powerpic dual 5fr 70cm nw	270	RC	Outpatient			214	139.1		90			Percent of total billed charges		192.6	40			Percent of total billed charges		85.6	80			Percent of total billed charges		171.2	90			Percent of total billed charges		192.6	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	100			Percent of total billed charges		214	100			Percent of total billed charges		214	100			Percent of total billed charges		214	33.3			Percent of total billed charges		71.262	33.3			Percent of total billed charges		71.262	100			Percent of total billed charges		214	71.262	192.6	
s-t cortex  locking screw 2.5mm x 12mm 71822412 s/n	278	RC	Outpatient			214	139.1		90			Percent of total billed charges		192.6	40			Percent of total billed charges		85.6	80			Percent of total billed charges		171.2	90			Percent of total billed charges		192.6	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	100			Percent of total billed charges		214	100			Percent of total billed charges		214	100			Percent of total billed charges		214	33.3			Percent of total billed charges		71.262	33.3			Percent of total billed charges		71.262	100			Percent of total billed charges		214	71.262	192.6	
s-t cortex  locking screw 2.5mm x 16mm 71822416 s/n	278	RC	Outpatient			214	139.1		90			Percent of total billed charges		192.6	40			Percent of total billed charges		85.6	80			Percent of total billed charges		171.2	90			Percent of total billed charges		192.6	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	100			Percent of total billed charges		214	100			Percent of total billed charges		214	100			Percent of total billed charges		214	33.3			Percent of total billed charges		71.262	33.3			Percent of total billed charges		71.262	100			Percent of total billed charges		214	71.262	192.6	
s-t cortex  locking screw 2.5mm x 18mm 71822418 s/n	278	RC	Outpatient			214	139.1		90			Percent of total billed charges		192.6	40			Percent of total billed charges		85.6	80			Percent of total billed charges		171.2	90			Percent of total billed charges		192.6	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	100			Percent of total billed charges		214	100			Percent of total billed charges		214	100			Percent of total billed charges		214	33.3			Percent of total billed charges		71.262	33.3			Percent of total billed charges		71.262	100			Percent of total billed charges		214	71.262	192.6	
s-t cortex  locking screw 2.5mm x 20mm 71822420 s/n	278	RC	Outpatient			214	139.1		90			Percent of total billed charges		192.6	40			Percent of total billed charges		85.6	80			Percent of total billed charges		171.2	90			Percent of total billed charges		192.6	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	100			Percent of total billed charges		214	100			Percent of total billed charges		214	100			Percent of total billed charges		214	33.3			Percent of total billed charges		71.262	33.3			Percent of total billed charges		71.262	100			Percent of total billed charges		214	71.262	192.6	
s-t cortex  locking screw 2.5mm x 22mm 71822422 s/n	278	RC	Outpatient			214	139.1		90			Percent of total billed charges		192.6	40			Percent of total billed charges		85.6	80			Percent of total billed charges		171.2	90			Percent of total billed charges		192.6	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	100			Percent of total billed charges		214	100			Percent of total billed charges		214	100			Percent of total billed charges		214	33.3			Percent of total billed charges		71.262	33.3			Percent of total billed charges		71.262	100			Percent of total billed charges		214	71.262	192.6	
s-t cortex  locking screw 2.5mm x 24mm 71822424 s/n	278	RC	Outpatient			214	139.1		90			Percent of total billed charges		192.6	40			Percent of total billed charges		85.6	80			Percent of total billed charges		171.2	90			Percent of total billed charges		192.6	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	100			Percent of total billed charges		214	100			Percent of total billed charges		214	100			Percent of total billed charges		214	33.3			Percent of total billed charges		71.262	33.3			Percent of total billed charges		71.262	100			Percent of total billed charges		214	71.262	192.6	
s-t cortex  locking screw 2.5mm x 26mm 71822426 s/n	278	RC	Outpatient			214	139.1		90			Percent of total billed charges		192.6	40			Percent of total billed charges		85.6	80			Percent of total billed charges		171.2	90			Percent of total billed charges		192.6	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	100			Percent of total billed charges		214	100			Percent of total billed charges		214	100			Percent of total billed charges		214	33.3			Percent of total billed charges		71.262	33.3			Percent of total billed charges		71.262	100			Percent of total billed charges		214	71.262	192.6	
s-t cortex  locking screw 2.5mm x 28mm 71822428 s/n	278	RC	Outpatient			214	139.1		90			Percent of total billed charges		192.6	40			Percent of total billed charges		85.6	80			Percent of total billed charges		171.2	90			Percent of total billed charges		192.6	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	100			Percent of total billed charges		214	100			Percent of total billed charges		214	100			Percent of total billed charges		214	33.3			Percent of total billed charges		71.262	33.3			Percent of total billed charges		71.262	100			Percent of total billed charges		214	71.262	192.6	
s/n 4.0 locking screw 20mm 122920	278	RC	Outpatient			214	139.1		90			Percent of total billed charges		192.6	40			Percent of total billed charges		85.6	80			Percent of total billed charges		171.2	90			Percent of total billed charges		192.6	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	100			Percent of total billed charges		214	100			Percent of total billed charges		214	100			Percent of total billed charges		214	33.3			Percent of total billed charges		71.262	33.3			Percent of total billed charges		71.262	100			Percent of total billed charges		214	71.262	192.6	
s/n 4.0 locking screw 26mm 122926	278	RC	Outpatient			214	139.1		90			Percent of total billed charges		192.6	40			Percent of total billed charges		85.6	80			Percent of total billed charges		171.2	90			Percent of total billed charges		192.6	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	100			Percent of total billed charges		214	100			Percent of total billed charges		214	100			Percent of total billed charges		214	33.3			Percent of total billed charges		71.262	33.3			Percent of total billed charges		71.262	100			Percent of total billed charges		214	71.262	192.6	
s/n 4.0 locking screw 40mm 122940	278	RC	Outpatient			214	139.1		90			Percent of total billed charges		192.6	40			Percent of total billed charges		85.6	80			Percent of total billed charges		171.2	90			Percent of total billed charges		192.6	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	100			Percent of total billed charges		214	100			Percent of total billed charges		214	100			Percent of total billed charges		214	33.3			Percent of total billed charges		71.262	33.3			Percent of total billed charges		71.262	100			Percent of total billed charges		214	71.262	192.6	
s/n 4.0 locking screw 42mm 122942	278	RC	Outpatient			214	139.1		90			Percent of total billed charges		192.6	40			Percent of total billed charges		85.6	80			Percent of total billed charges		171.2	90			Percent of total billed charges		192.6	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	100			Percent of total billed charges		214	100			Percent of total billed charges		214	100			Percent of total billed charges		214	33.3			Percent of total billed charges		71.262	33.3			Percent of total billed charges		71.262	100			Percent of total billed charges		214	71.262	192.6	
s/n 4.0 locking screw 44mm 122944	278	RC	Outpatient			214	139.1		90			Percent of total billed charges		192.6	40			Percent of total billed charges		85.6	80			Percent of total billed charges		171.2	90			Percent of total billed charges		192.6	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	100			Percent of total billed charges		214	100			Percent of total billed charges		214	100			Percent of total billed charges		214	33.3			Percent of total billed charges		71.262	33.3			Percent of total billed charges		71.262	100			Percent of total billed charges		214	71.262	192.6	
s/n 4.0 locking screw 60mm 122960	278	RC	Outpatient			214	139.1		90			Percent of total billed charges		192.6	40			Percent of total billed charges		85.6	80			Percent of total billed charges		171.2	90			Percent of total billed charges		192.6	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	100			Percent of total billed charges		214	100			Percent of total billed charges		214	100			Percent of total billed charges		214	33.3			Percent of total billed charges		71.262	33.3			Percent of total billed charges		71.262	100			Percent of total billed charges		214	71.262	192.6	
"small t plate, right angle 3 hole head, 5 hole shaft 241.15"	278	RC	Outpatient			214	139.1		90			Percent of total billed charges		192.6	40			Percent of total billed charges		85.6	80			Percent of total billed charges		171.2	90			Percent of total billed charges		192.6	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	100			Percent of total billed charges		214	100			Percent of total billed charges		214	100			Percent of total billed charges		214	33.3			Percent of total billed charges		71.262	33.3			Percent of total billed charges		71.262	100			Percent of total billed charges		214	71.262	192.6	
staple ta30 3.5 load	270	RC	Outpatient			214	139.1		90			Percent of total billed charges		192.6	40			Percent of total billed charges		85.6	80			Percent of total billed charges		171.2	90			Percent of total billed charges		192.6	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	100			Percent of total billed charges		214	100			Percent of total billed charges		214	100			Percent of total billed charges		214	33.3			Percent of total billed charges		71.262	33.3			Percent of total billed charges		71.262	100			Percent of total billed charges		214	71.262	192.6	
"staple, cart., ta30, 4.8"	270	RC	Outpatient			214	139.1		90			Percent of total billed charges		192.6	40			Percent of total billed charges		85.6	80			Percent of total billed charges		171.2	90			Percent of total billed charges		192.6	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	100			Percent of total billed charges		214	100			Percent of total billed charges		214	100			Percent of total billed charges		214	33.3			Percent of total billed charges		71.262	33.3			Percent of total billed charges		71.262	100			Percent of total billed charges		214	71.262	192.6	
syn t-plate sm r/a 3/5	278	RC	Outpatient			214	139.1		90			Percent of total billed charges		192.6	40			Percent of total billed charges		85.6	80			Percent of total billed charges		171.2	90			Percent of total billed charges		192.6	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	85			Percent of total billed charges		181.9	100			Percent of total billed charges		214	100			Percent of total billed charges		214	100			Percent of total billed charges		214	33.3			Percent of total billed charges		71.262	33.3			Percent of total billed charges		71.262	100			Percent of total billed charges		214	71.262	192.6	
arrow triple lumen cath ed charge scnt	272	RC	Outpatient			215	139.75		90			Percent of total billed charges		193.5	40			Percent of total billed charges		86	80			Percent of total billed charges		172	90			Percent of total billed charges		193.5	85			Percent of total billed charges		182.75	85			Percent of total billed charges		182.75	85			Percent of total billed charges		182.75	100			Percent of total billed charges		215	100			Percent of total billed charges		215	100			Percent of total billed charges		215	33.3			Percent of total billed charges		71.595	33.3			Percent of total billed charges		71.595	100			Percent of total billed charges		215	71.595	193.5	
tray tpl lun 16 ak22703	270	RC	Outpatient			215	139.75		90			Percent of total billed charges		193.5	40			Percent of total billed charges		86	80			Percent of total billed charges		172	90			Percent of total billed charges		193.5	85			Percent of total billed charges		182.75	85			Percent of total billed charges		182.75	85			Percent of total billed charges		182.75	100			Percent of total billed charges		215	100			Percent of total billed charges		215	100			Percent of total billed charges		215	33.3			Percent of total billed charges		71.595	33.3			Percent of total billed charges		71.595	100			Percent of total billed charges		215	71.595	193.5	
scrmc central line lun 16	270	RC	Outpatient			215	139.75		90			Percent of total billed charges		193.5	40			Percent of total billed charges		86	80			Percent of total billed charges		172	90			Percent of total billed charges		193.5	85			Percent of total billed charges		182.75	85			Percent of total billed charges		182.75	85			Percent of total billed charges		182.75	100			Percent of total billed charges		215	100			Percent of total billed charges		215	100			Percent of total billed charges		215	33.3			Percent of total billed charges		71.595	33.3			Percent of total billed charges		71.595	100			Percent of total billed charges		215	71.595	193.5	
s/n pico 10cm x 30cm ref 6602243	272	RC	Outpatient			216.7	140.86		90			Percent of total billed charges		195.03	40			Percent of total billed charges		86.68	80			Percent of total billed charges		173.36	90			Percent of total billed charges		195.03	85			Percent of total billed charges		184.195	85			Percent of total billed charges		184.195	85			Percent of total billed charges		184.195	100			Percent of total billed charges		216.7	100			Percent of total billed charges		216.7	100			Percent of total billed charges		216.7	33.3			Percent of total billed charges		72.1611	33.3			Percent of total billed charges		72.1611	100			Percent of total billed charges		216.7	72.1611	195.03	
relieva inflation device	272	RC	Outpatient			217	141.05		90			Percent of total billed charges		195.3	40			Percent of total billed charges		86.8	80			Percent of total billed charges		173.6	90			Percent of total billed charges		195.3	85			Percent of total billed charges		184.45	85			Percent of total billed charges		184.45	85			Percent of total billed charges		184.45	100			Percent of total billed charges		217	100			Percent of total billed charges		217	100			Percent of total billed charges		217	33.3			Percent of total billed charges		72.261	33.3			Percent of total billed charges		72.261	100			Percent of total billed charges		217	72.261	195.3	
relieva sinus balloon inflation device bid30 acclarent	272	RC	Outpatient			217	141.05		90			Percent of total billed charges		195.3	40			Percent of total billed charges		86.8	80			Percent of total billed charges		173.6	90			Percent of total billed charges		195.3	85			Percent of total billed charges		184.45	85			Percent of total billed charges		184.45	85			Percent of total billed charges		184.45	100			Percent of total billed charges		217	100			Percent of total billed charges		217	100			Percent of total billed charges		217	33.3			Percent of total billed charges		72.261	33.3			Percent of total billed charges		72.261	100			Percent of total billed charges		217	72.261	195.3	
abduction pillow small	270	RC	Outpatient			218	141.7		90			Percent of total billed charges		196.2	40			Percent of total billed charges		87.2	80			Percent of total billed charges		174.4	90			Percent of total billed charges		196.2	85			Percent of total billed charges		185.3	85			Percent of total billed charges		185.3	85			Percent of total billed charges		185.3	100			Percent of total billed charges		218	100			Percent of total billed charges		218	100			Percent of total billed charges		218	33.3			Percent of total billed charges		72.594	33.3			Percent of total billed charges		72.594	100			Percent of total billed charges		218	72.594	196.2	
abduction pillow large	270	RC	Outpatient			218	141.7		90			Percent of total billed charges		196.2	40			Percent of total billed charges		87.2	80			Percent of total billed charges		174.4	90			Percent of total billed charges		196.2	85			Percent of total billed charges		185.3	85			Percent of total billed charges		185.3	85			Percent of total billed charges		185.3	100			Percent of total billed charges		218	100			Percent of total billed charges		218	100			Percent of total billed charges		218	33.3			Percent of total billed charges		72.594	33.3			Percent of total billed charges		72.594	100			Percent of total billed charges		218	72.594	196.2	
abduction pillow medium	270	RC	Outpatient			218	141.7		90			Percent of total billed charges		196.2	40			Percent of total billed charges		87.2	80			Percent of total billed charges		174.4	90			Percent of total billed charges		196.2	85			Percent of total billed charges		185.3	85			Percent of total billed charges		185.3	85			Percent of total billed charges		185.3	100			Percent of total billed charges		218	100			Percent of total billed charges		218	100			Percent of total billed charges		218	33.3			Percent of total billed charges		72.594	33.3			Percent of total billed charges		72.594	100			Percent of total billed charges		218	72.594	196.2	
tray quad lum ak25854	270	RC	Outpatient			218	141.7		90			Percent of total billed charges		196.2	40			Percent of total billed charges		87.2	80			Percent of total billed charges		174.4	90			Percent of total billed charges		196.2	85			Percent of total billed charges		185.3	85			Percent of total billed charges		185.3	85			Percent of total billed charges		185.3	100			Percent of total billed charges		218	100			Percent of total billed charges		218	100			Percent of total billed charges		218	33.3			Percent of total billed charges		72.594	33.3			Percent of total billed charges		72.594	100			Percent of total billed charges		218	72.594	196.2	
pillow abduction med foam cont 267102	270	RC	Outpatient			218	141.7		90			Percent of total billed charges		196.2	40			Percent of total billed charges		87.2	80			Percent of total billed charges		174.4	90			Percent of total billed charges		196.2	85			Percent of total billed charges		185.3	85			Percent of total billed charges		185.3	85			Percent of total billed charges		185.3	100			Percent of total billed charges		218	100			Percent of total billed charges		218	100			Percent of total billed charges		218	33.3			Percent of total billed charges		72.594	33.3			Percent of total billed charges		72.594	100			Percent of total billed charges		218	72.594	196.2	
rumi koh-efficient 3.0 kc-rumi-30 cooper surg	270	RC	Outpatient			218	141.7		90			Percent of total billed charges		196.2	40			Percent of total billed charges		87.2	80			Percent of total billed charges		174.4	90			Percent of total billed charges		196.2	85			Percent of total billed charges		185.3	85			Percent of total billed charges		185.3	85			Percent of total billed charges		185.3	100			Percent of total billed charges		218	100			Percent of total billed charges		218	100			Percent of total billed charges		218	33.3			Percent of total billed charges		72.594	33.3			Percent of total billed charges		72.594	100			Percent of total billed charges		218	72.594	196.2	
rumi koh-efficient 3.5 kc-rumi-35 cooper surg	270	RC	Outpatient			218	141.7		90			Percent of total billed charges		196.2	40			Percent of total billed charges		87.2	80			Percent of total billed charges		174.4	90			Percent of total billed charges		196.2	85			Percent of total billed charges		185.3	85			Percent of total billed charges		185.3	85			Percent of total billed charges		185.3	100			Percent of total billed charges		218	100			Percent of total billed charges		218	100			Percent of total billed charges		218	33.3			Percent of total billed charges		72.594	33.3			Percent of total billed charges		72.594	100			Percent of total billed charges		218	72.594	196.2	
rumi koh-efficient 4.0 kc-rumi-40 cooper surg	272	RC	Outpatient			218	141.7		90			Percent of total billed charges		196.2	40			Percent of total billed charges		87.2	80			Percent of total billed charges		174.4	90			Percent of total billed charges		196.2	85			Percent of total billed charges		185.3	85			Percent of total billed charges		185.3	85			Percent of total billed charges		185.3	100			Percent of total billed charges		218	100			Percent of total billed charges		218	100			Percent of total billed charges		218	33.3			Percent of total billed charges		72.594	33.3			Percent of total billed charges		72.594	100			Percent of total billed charges		218	72.594	196.2	
support pillow abduction large 267103	270	RC	Outpatient			218	141.7		90			Percent of total billed charges		196.2	40			Percent of total billed charges		87.2	80			Percent of total billed charges		174.4	90			Percent of total billed charges		196.2	85			Percent of total billed charges		185.3	85			Percent of total billed charges		185.3	85			Percent of total billed charges		185.3	100			Percent of total billed charges		218	100			Percent of total billed charges		218	100			Percent of total billed charges		218	33.3			Percent of total billed charges		72.594	33.3			Percent of total billed charges		72.594	100			Percent of total billed charges		218	72.594	196.2	
support pillow abduction small 267101	270	RC	Outpatient			218	141.7		90			Percent of total billed charges		196.2	40			Percent of total billed charges		87.2	80			Percent of total billed charges		174.4	90			Percent of total billed charges		196.2	85			Percent of total billed charges		185.3	85			Percent of total billed charges		185.3	85			Percent of total billed charges		185.3	100			Percent of total billed charges		218	100			Percent of total billed charges		218	100			Percent of total billed charges		218	33.3			Percent of total billed charges		72.594	33.3			Percent of total billed charges		72.594	100			Percent of total billed charges		218	72.594	196.2	
arrow 8.5 pneumothorax tray ed charge scnt	270	RC	Outpatient			219	142.35		90			Percent of total billed charges		197.1	40			Percent of total billed charges		87.6	80			Percent of total billed charges		175.2	90			Percent of total billed charges		197.1	85			Percent of total billed charges		186.15	85			Percent of total billed charges		186.15	85			Percent of total billed charges		186.15	100			Percent of total billed charges		219	100			Percent of total billed charges		219	100			Percent of total billed charges		219	33.3			Percent of total billed charges		72.927	33.3			Percent of total billed charges		72.927	100			Percent of total billed charges		219	72.927	197.1	
arthrex drill bit 2.0	272	RC	Outpatient			219	142.35		90			Percent of total billed charges		197.1	40			Percent of total billed charges		87.6	80			Percent of total billed charges		175.2	90			Percent of total billed charges		197.1	85			Percent of total billed charges		186.15	85			Percent of total billed charges		186.15	85			Percent of total billed charges		186.15	100			Percent of total billed charges		219	100			Percent of total billed charges		219	100			Percent of total billed charges		219	33.3			Percent of total billed charges		72.927	33.3			Percent of total billed charges		72.927	100			Percent of total billed charges		219	72.927	197.1	
clip applier 5mm	272	RC	Outpatient			219	142.35		90			Percent of total billed charges		197.1	40			Percent of total billed charges		87.6	80			Percent of total billed charges		175.2	90			Percent of total billed charges		197.1	85			Percent of total billed charges		186.15	85			Percent of total billed charges		186.15	85			Percent of total billed charges		186.15	100			Percent of total billed charges		219	100			Percent of total billed charges		219	100			Percent of total billed charges		219	33.3			Percent of total billed charges		72.927	33.3			Percent of total billed charges		72.927	100			Percent of total billed charges		219	72.927	197.1	
arthrex drill bit 2.0 ar 8944-22	272	RC	Outpatient			219	142.35		90			Percent of total billed charges		197.1	40			Percent of total billed charges		87.6	80			Percent of total billed charges		175.2	90			Percent of total billed charges		197.1	85			Percent of total billed charges		186.15	85			Percent of total billed charges		186.15	85			Percent of total billed charges		186.15	100			Percent of total billed charges		219	100			Percent of total billed charges		219	100			Percent of total billed charges		219	33.3			Percent of total billed charges		72.927	33.3			Percent of total billed charges		72.927	100			Percent of total billed charges		219	72.927	197.1	
arthrex drill bit 2.0 ar-8943-16	272	RC	Outpatient			219	142.35		90			Percent of total billed charges		197.1	40			Percent of total billed charges		87.6	80			Percent of total billed charges		175.2	90			Percent of total billed charges		197.1	85			Percent of total billed charges		186.15	85			Percent of total billed charges		186.15	85			Percent of total billed charges		186.15	100			Percent of total billed charges		219	100			Percent of total billed charges		219	100			Percent of total billed charges		219	33.3			Percent of total billed charges		72.927	33.3			Percent of total billed charges		72.927	100			Percent of total billed charges		219	72.927	197.1	
arthrex drill bit 2.0grad	272	RC	Outpatient			219	142.35		90			Percent of total billed charges		197.1	40			Percent of total billed charges		87.6	80			Percent of total billed charges		175.2	90			Percent of total billed charges		197.1	85			Percent of total billed charges		186.15	85			Percent of total billed charges		186.15	85			Percent of total billed charges		186.15	100			Percent of total billed charges		219	100			Percent of total billed charges		219	100			Percent of total billed charges		219	33.3			Percent of total billed charges		72.927	33.3			Percent of total billed charges		72.927	100			Percent of total billed charges		219	72.927	197.1	
clip applier 5mm ca500 applied	272	RC	Outpatient			219	142.35		90			Percent of total billed charges		197.1	40			Percent of total billed charges		87.6	80			Percent of total billed charges		175.2	90			Percent of total billed charges		197.1	85			Percent of total billed charges		186.15	85			Percent of total billed charges		186.15	85			Percent of total billed charges		186.15	100			Percent of total billed charges		219	100			Percent of total billed charges		219	100			Percent of total billed charges		219	33.3			Percent of total billed charges		72.927	33.3			Percent of total billed charges		72.927	100			Percent of total billed charges		219	72.927	197.1	
gelfilm 2.5 3699931 cardinal	270	RC	Outpatient			219	142.35		90			Percent of total billed charges		197.1	40			Percent of total billed charges		87.6	80			Percent of total billed charges		175.2	90			Percent of total billed charges		197.1	85			Percent of total billed charges		186.15	85			Percent of total billed charges		186.15	85			Percent of total billed charges		186.15	100			Percent of total billed charges		219	100			Percent of total billed charges		219	100			Percent of total billed charges		219	33.3			Percent of total billed charges		72.927	33.3			Percent of total billed charges		72.927	100			Percent of total billed charges		219	72.927	197.1	
gelfilm	270	RC	Outpatient			219	142.35		90			Percent of total billed charges		197.1	40			Percent of total billed charges		87.6	80			Percent of total billed charges		175.2	90			Percent of total billed charges		197.1	85			Percent of total billed charges		186.15	85			Percent of total billed charges		186.15	85			Percent of total billed charges		186.15	100			Percent of total billed charges		219	100			Percent of total billed charges		219	100			Percent of total billed charges		219	33.3			Percent of total billed charges		72.927	33.3			Percent of total billed charges		72.927	100			Percent of total billed charges		219	72.927	197.1	
pneumothrax kit ak01500	270	RC	Outpatient			219	142.35		90			Percent of total billed charges		197.1	40			Percent of total billed charges		87.6	80			Percent of total billed charges		175.2	90			Percent of total billed charges		197.1	85			Percent of total billed charges		186.15	85			Percent of total billed charges		186.15	85			Percent of total billed charges		186.15	100			Percent of total billed charges		219	100			Percent of total billed charges		219	100			Percent of total billed charges		219	33.3			Percent of total billed charges		72.927	33.3			Percent of total billed charges		72.927	100			Percent of total billed charges		219	72.927	197.1	
96413 chemo infusion 1 hour	983	RC	Outpatient			220	143		90			Percent of total billed charges		198	40			Percent of total billed charges		88	80			Percent of total billed charges		176	90			Percent of total billed charges		198	85			Percent of total billed charges		187	85			Percent of total billed charges		187	85			Percent of total billed charges		187	100			Percent of total billed charges		220	100			Percent of total billed charges		220	100			Percent of total billed charges		220	33.3			Percent of total billed charges		73.26	33.3			Percent of total billed charges		73.26	100			Percent of total billed charges		220	73.26	198	
ascension bdy scr	278	RC	Outpatient			220	143		90			Percent of total billed charges		198	40			Percent of total billed charges		88	80			Percent of total billed charges		176	90			Percent of total billed charges		198	85			Percent of total billed charges		187	85			Percent of total billed charges		187	85			Percent of total billed charges		187	100			Percent of total billed charges		220	100			Percent of total billed charges		220	100			Percent of total billed charges		220	33.3			Percent of total billed charges		73.26	33.3			Percent of total billed charges		73.26	100			Percent of total billed charges		220	73.26	198	
ascension humeral body screw bsw-0920-021-01 integra	278	RC	Outpatient			220	143		90			Percent of total billed charges		198	40			Percent of total billed charges		88	80			Percent of total billed charges		176	90			Percent of total billed charges		198	85			Percent of total billed charges		187	85			Percent of total billed charges		187	85			Percent of total billed charges		187	100			Percent of total billed charges		220	100			Percent of total billed charges		220	100			Percent of total billed charges		220	33.3			Percent of total billed charges		73.26	33.3			Percent of total billed charges		73.26	100			Percent of total billed charges		220	73.26	198	
attain venogram ball6215	272	RC	Outpatient			220	143		90			Percent of total billed charges		198	40			Percent of total billed charges		88	80			Percent of total billed charges		176	90			Percent of total billed charges		198	85			Percent of total billed charges		187	85			Percent of total billed charges		187	85			Percent of total billed charges		187	100			Percent of total billed charges		220	100			Percent of total billed charges		220	100			Percent of total billed charges		220	33.3			Percent of total billed charges		73.26	33.3			Percent of total billed charges		73.26	100			Percent of total billed charges		220	73.26	198	
"diversatek replay hemostasis clip, 16mm ref# 1170-02"	272	RC	Outpatient			220	143		90			Percent of total billed charges		198	40			Percent of total billed charges		88	80			Percent of total billed charges		176	90			Percent of total billed charges		198	85			Percent of total billed charges		187	85			Percent of total billed charges		187	85			Percent of total billed charges		187	100			Percent of total billed charges		220	100			Percent of total billed charges		220	100			Percent of total billed charges		220	33.3			Percent of total billed charges		73.26	33.3			Percent of total billed charges		73.26	100			Percent of total billed charges		220	73.26	198	
mt 6215 attain venogram balloon	272	RC	Outpatient			220	143		90			Percent of total billed charges		198	40			Percent of total billed charges		88	80			Percent of total billed charges		176	90			Percent of total billed charges		198	85			Percent of total billed charges		187	85			Percent of total billed charges		187	85			Percent of total billed charges		187	100			Percent of total billed charges		220	100			Percent of total billed charges		220	100			Percent of total billed charges		220	33.3			Percent of total billed charges		73.26	33.3			Percent of total billed charges		73.26	100			Percent of total billed charges		220	73.26	198	
ortholock ex-pin 3 x 110 6007-103-110 stryker	272	RC	Outpatient			220	143		90			Percent of total billed charges		198	40			Percent of total billed charges		88	80			Percent of total billed charges		176	90			Percent of total billed charges		198	85			Percent of total billed charges		187	85			Percent of total billed charges		187	85			Percent of total billed charges		187	100			Percent of total billed charges		220	100			Percent of total billed charges		220	100			Percent of total billed charges		220	33.3			Percent of total billed charges		73.26	33.3			Percent of total billed charges		73.26	100			Percent of total billed charges		220	73.26	198	
integra scr	278	RC	Outpatient			220	143		90			Percent of total billed charges		198	40			Percent of total billed charges		88	80			Percent of total billed charges		176	90			Percent of total billed charges		198	85			Percent of total billed charges		187	85			Percent of total billed charges		187	85			Percent of total billed charges		187	100			Percent of total billed charges		220	100			Percent of total billed charges		220	100			Percent of total billed charges		220	33.3			Percent of total billed charges		73.26	33.3			Percent of total billed charges		73.26	100			Percent of total billed charges		220	73.26	198	
regeneten tendon stabalizing guide 4402 s/n	272	RC	Outpatient			220	143		90			Percent of total billed charges		198	40			Percent of total billed charges		88	80			Percent of total billed charges		176	90			Percent of total billed charges		198	85			Percent of total billed charges		187	85			Percent of total billed charges		187	85			Percent of total billed charges		187	100			Percent of total billed charges		220	100			Percent of total billed charges		220	100			Percent of total billed charges		220	33.3			Percent of total billed charges		73.26	33.3			Percent of total billed charges		73.26	100			Percent of total billed charges		220	73.26	198	
retractor sys.wound9-14cm	272	RC	Outpatient			220	143		90			Percent of total billed charges		198	40			Percent of total billed charges		88	80			Percent of total billed charges		176	90			Percent of total billed charges		198	85			Percent of total billed charges		187	85			Percent of total billed charges		187	85			Percent of total billed charges		187	100			Percent of total billed charges		220	100			Percent of total billed charges		220	100			Percent of total billed charges		220	33.3			Percent of total billed charges		73.26	33.3			Percent of total billed charges		73.26	100			Percent of total billed charges		220	73.26	198	
scrmc coil	621	RC	Outpatient			220	143		90			Percent of total billed charges		198	40			Percent of total billed charges		88	80			Percent of total billed charges		176	90			Percent of total billed charges		198	85			Percent of total billed charges		187	85			Percent of total billed charges		187	85			Percent of total billed charges		187	100			Percent of total billed charges		220	100			Percent of total billed charges		220	100			Percent of total billed charges		220	33.3			Percent of total billed charges		73.26	33.3			Percent of total billed charges		73.26	100			Percent of total billed charges		220	73.26	198	
stryker ortholock ex-pin	272	RC	Outpatient			220	143		90			Percent of total billed charges		198	40			Percent of total billed charges		88	80			Percent of total billed charges		176	90			Percent of total billed charges		198	85			Percent of total billed charges		187	85			Percent of total billed charges		187	85			Percent of total billed charges		187	100			Percent of total billed charges		220	100			Percent of total billed charges		220	100			Percent of total billed charges		220	33.3			Percent of total billed charges		73.26	33.3			Percent of total billed charges		73.26	100			Percent of total billed charges		220	73.26	198	
titan rs screw 4.5 x 30 ssc-0960-045-30 intregra	278	RC	Outpatient			220	143		90			Percent of total billed charges		198	40			Percent of total billed charges		88	80			Percent of total billed charges		176	90			Percent of total billed charges		198	85			Percent of total billed charges		187	85			Percent of total billed charges		187	85			Percent of total billed charges		187	100			Percent of total billed charges		220	100			Percent of total billed charges		220	100			Percent of total billed charges		220	33.3			Percent of total billed charges		73.26	33.3			Percent of total billed charges		73.26	100			Percent of total billed charges		220	73.26	198	
rsp drill bit 2.5	272	RC	Outpatient			220	143		90			Percent of total billed charges		198	40			Percent of total billed charges		88	80			Percent of total billed charges		176	90			Percent of total billed charges		198	85			Percent of total billed charges		187	85			Percent of total billed charges		187	85			Percent of total billed charges		187	100			Percent of total billed charges		220	100			Percent of total billed charges		220	100			Percent of total billed charges		220	33.3			Percent of total billed charges		73.26	33.3			Percent of total billed charges		73.26	100			Percent of total billed charges		220	73.26	198	
rsp drill bit 2.5mm 1395-1025 djo	272	RC	Outpatient			220	143		90			Percent of total billed charges		198	40			Percent of total billed charges		88	80			Percent of total billed charges		176	90			Percent of total billed charges		198	85			Percent of total billed charges		187	85			Percent of total billed charges		187	85			Percent of total billed charges		187	100			Percent of total billed charges		220	100			Percent of total billed charges		220	100			Percent of total billed charges		220	33.3			Percent of total billed charges		73.26	33.3			Percent of total billed charges		73.26	100			Percent of total billed charges		220	73.26	198	
titan rs screw 4.5 x 35 ssc-0960-045-35 intregra	278	RC	Outpatient			220	143		90			Percent of total billed charges		198	40			Percent of total billed charges		88	80			Percent of total billed charges		176	90			Percent of total billed charges		198	85			Percent of total billed charges		187	85			Percent of total billed charges		187	85			Percent of total billed charges		187	100			Percent of total billed charges		220	100			Percent of total billed charges		220	100			Percent of total billed charges		220	33.3			Percent of total billed charges		73.26	33.3			Percent of total billed charges		73.26	100			Percent of total billed charges		220	73.26	198	
titan rs screw 5.5 x 20 scw-0960-055-20 intregra	278	RC	Outpatient			220	143		90			Percent of total billed charges		198	40			Percent of total billed charges		88	80			Percent of total billed charges		176	90			Percent of total billed charges		198	85			Percent of total billed charges		187	85			Percent of total billed charges		187	85			Percent of total billed charges		187	100			Percent of total billed charges		220	100			Percent of total billed charges		220	100			Percent of total billed charges		220	33.3			Percent of total billed charges		73.26	33.3			Percent of total billed charges		73.26	100			Percent of total billed charges		220	73.26	198	
airtraq	272	RC	Outpatient			221	143.65		90			Percent of total billed charges		198.9	40			Percent of total billed charges		88.4	80			Percent of total billed charges		176.8	90			Percent of total billed charges		198.9	85			Percent of total billed charges		187.85	85			Percent of total billed charges		187.85	85			Percent of total billed charges		187.85	100			Percent of total billed charges		221	100			Percent of total billed charges		221	100			Percent of total billed charges		221	33.3			Percent of total billed charges		73.593	33.3			Percent of total billed charges		73.593	100			Percent of total billed charges		221	73.593	198.9	
airtraq optical laryngoscope 396-atq-011 king system corp	272	RC	Outpatient			221	143.65		90			Percent of total billed charges		198.9	40			Percent of total billed charges		88.4	80			Percent of total billed charges		176.8	90			Percent of total billed charges		198.9	85			Percent of total billed charges		187.85	85			Percent of total billed charges		187.85	85			Percent of total billed charges		187.85	100			Percent of total billed charges		221	100			Percent of total billed charges		221	100			Percent of total billed charges		221	33.3			Percent of total billed charges		73.593	33.3			Percent of total billed charges		73.593	100			Percent of total billed charges		221	73.593	198.9	
initial lap airfloat sys	270	RC	Outpatient			221	143.65		90			Percent of total billed charges		198.9	40			Percent of total billed charges		88.4	80			Percent of total billed charges		176.8	90			Percent of total billed charges		198.9	85			Percent of total billed charges		187.85	85			Percent of total billed charges		187.85	85			Percent of total billed charges		187.85	100			Percent of total billed charges		221	100			Percent of total billed charges		221	100			Percent of total billed charges		221	33.3			Percent of total billed charges		73.593	33.3			Percent of total billed charges		73.593	100			Percent of total billed charges		221	73.593	198.9	
endo needle knife fistulatome	270	RC	Outpatient			221	143.65		90			Percent of total billed charges		198.9	40			Percent of total billed charges		88.4	80			Percent of total billed charges		176.8	90			Percent of total billed charges		198.9	85			Percent of total billed charges		187.85	85			Percent of total billed charges		187.85	85			Percent of total billed charges		187.85	100			Percent of total billed charges		221	100			Percent of total billed charges		221	100			Percent of total billed charges		221	33.3			Percent of total billed charges		73.593	33.3			Percent of total billed charges		73.593	100			Percent of total billed charges		221	73.593	198.9	
naso-enteric tube	270	RC	Outpatient			221	143.65		90			Percent of total billed charges		198.9	40			Percent of total billed charges		88.4	80			Percent of total billed charges		176.8	90			Percent of total billed charges		198.9	85			Percent of total billed charges		187.85	85			Percent of total billed charges		187.85	85			Percent of total billed charges		187.85	100			Percent of total billed charges		221	100			Percent of total billed charges		221	100			Percent of total billed charges		221	33.3			Percent of total billed charges		73.593	33.3			Percent of total billed charges		73.593	100			Percent of total billed charges		221	73.593	198.9	
staple gia 80 4.8 load	272	RC	Outpatient			221	143.65		90			Percent of total billed charges		198.9	40			Percent of total billed charges		88.4	80			Percent of total billed charges		176.8	90			Percent of total billed charges		198.9	85			Percent of total billed charges		187.85	85			Percent of total billed charges		187.85	85			Percent of total billed charges		187.85	100			Percent of total billed charges		221	100			Percent of total billed charges		221	100			Percent of total billed charges		221	33.3			Percent of total billed charges		73.593	33.3			Percent of total billed charges		73.593	100			Percent of total billed charges		221	73.593	198.9	
tracer wire angled tip	270	RC	Outpatient			221	143.65		90			Percent of total billed charges		198.9	40			Percent of total billed charges		88.4	80			Percent of total billed charges		176.8	90			Percent of total billed charges		198.9	85			Percent of total billed charges		187.85	85			Percent of total billed charges		187.85	85			Percent of total billed charges		187.85	100			Percent of total billed charges		221	100			Percent of total billed charges		221	100			Percent of total billed charges		221	33.3			Percent of total billed charges		73.593	33.3			Percent of total billed charges		73.593	100			Percent of total billed charges		221	73.593	198.9	
staple gia 80mm- 4.8mm reload gia8048l covidien	272	RC	Outpatient			221	143.65		90			Percent of total billed charges		198.9	40			Percent of total billed charges		88.4	80			Percent of total billed charges		176.8	90			Percent of total billed charges		198.9	85			Percent of total billed charges		187.85	85			Percent of total billed charges		187.85	85			Percent of total billed charges		187.85	100			Percent of total billed charges		221	100			Percent of total billed charges		221	100			Percent of total billed charges		221	33.3			Percent of total billed charges		73.593	33.3			Percent of total billed charges		73.593	100			Percent of total billed charges		221	73.593	198.9	
bending template 9 hole 7184-1009 s/n	278	RC	Outpatient			222	144.3		90			Percent of total billed charges		199.8	40			Percent of total billed charges		88.8	80			Percent of total billed charges		177.6	90			Percent of total billed charges		199.8	85			Percent of total billed charges		188.7	85			Percent of total billed charges		188.7	85			Percent of total billed charges		188.7	100			Percent of total billed charges		222	100			Percent of total billed charges		222	100			Percent of total billed charges		222	33.3			Percent of total billed charges		73.926	33.3			Percent of total billed charges		73.926	100			Percent of total billed charges		222	73.926	199.8	
biomet guidewire 3.2	272	RC	Outpatient			222	144.3		90			Percent of total billed charges		199.8	40			Percent of total billed charges		88.8	80			Percent of total billed charges		177.6	90			Percent of total billed charges		199.8	85			Percent of total billed charges		188.7	85			Percent of total billed charges		188.7	85			Percent of total billed charges		188.7	100			Percent of total billed charges		222	100			Percent of total billed charges		222	100			Percent of total billed charges		222	33.3			Percent of total billed charges		73.926	33.3			Percent of total billed charges		73.926	100			Percent of total billed charges		222	73.926	199.8	
biomet guidewire 3.2mm x 98cm 469060 biomet	272	RC	Outpatient			222	144.3		90			Percent of total billed charges		199.8	40			Percent of total billed charges		88.8	80			Percent of total billed charges		177.6	90			Percent of total billed charges		199.8	85			Percent of total billed charges		188.7	85			Percent of total billed charges		188.7	85			Percent of total billed charges		188.7	100			Percent of total billed charges		222	100			Percent of total billed charges		222	100			Percent of total billed charges		222	33.3			Percent of total billed charges		73.926	33.3			Percent of total billed charges		73.926	100			Percent of total billed charges		222	73.926	199.8	
cortical screw 3.5 x 16mm 303316nd integra lifesciences	278	RC	Outpatient			222	144.3		90			Percent of total billed charges		199.8	40			Percent of total billed charges		88.8	80			Percent of total billed charges		177.6	90			Percent of total billed charges		199.8	85			Percent of total billed charges		188.7	85			Percent of total billed charges		188.7	85			Percent of total billed charges		188.7	100			Percent of total billed charges		222	100			Percent of total billed charges		222	100			Percent of total billed charges		222	33.3			Percent of total billed charges		73.926	33.3			Percent of total billed charges		73.926	100			Percent of total billed charges		222	73.926	199.8	
bending template 7 hl 7184-1007 s/n	278	RC	Outpatient			222	144.3		90			Percent of total billed charges		199.8	40			Percent of total billed charges		88.8	80			Percent of total billed charges		177.6	90			Percent of total billed charges		199.8	85			Percent of total billed charges		188.7	85			Percent of total billed charges		188.7	85			Percent of total billed charges		188.7	100			Percent of total billed charges		222	100			Percent of total billed charges		222	100			Percent of total billed charges		222	33.3			Percent of total billed charges		73.926	33.3			Percent of total billed charges		73.926	100			Percent of total billed charges		222	73.926	199.8	
cortical screw 3.5 x 18mm 303318nd integra lifesciences	278	RC	Outpatient			222	144.3		90			Percent of total billed charges		199.8	40			Percent of total billed charges		88.8	80			Percent of total billed charges		177.6	90			Percent of total billed charges		199.8	85			Percent of total billed charges		188.7	85			Percent of total billed charges		188.7	85			Percent of total billed charges		188.7	100			Percent of total billed charges		222	100			Percent of total billed charges		222	100			Percent of total billed charges		222	33.3			Percent of total billed charges		73.926	33.3			Percent of total billed charges		73.926	100			Percent of total billed charges		222	73.926	199.8	
drill bit q-c 3 fluted 2.5mm x 180mm 00-4807-180-25 zimmer	270	RC	Outpatient			222	144.3		90			Percent of total billed charges		199.8	40			Percent of total billed charges		88.8	80			Percent of total billed charges		177.6	90			Percent of total billed charges		199.8	85			Percent of total billed charges		188.7	85			Percent of total billed charges		188.7	85			Percent of total billed charges		188.7	100			Percent of total billed charges		222	100			Percent of total billed charges		222	100			Percent of total billed charges		222	33.3			Percent of total billed charges		73.926	33.3			Percent of total billed charges		73.926	100			Percent of total billed charges		222	73.926	199.8	
integra scr cort 3.5	278	RC	Outpatient			222	144.3		90			Percent of total billed charges		199.8	40			Percent of total billed charges		88.8	80			Percent of total billed charges		177.6	90			Percent of total billed charges		199.8	85			Percent of total billed charges		188.7	85			Percent of total billed charges		188.7	85			Percent of total billed charges		188.7	100			Percent of total billed charges		222	100			Percent of total billed charges		222	100			Percent of total billed charges		222	33.3			Percent of total billed charges		73.926	33.3			Percent of total billed charges		73.926	100			Percent of total billed charges		222	73.926	199.8	
s/n  bending template 5 hole 71841005	278	RC	Outpatient			222	144.3		90			Percent of total billed charges		199.8	40			Percent of total billed charges		88.8	80			Percent of total billed charges		177.6	90			Percent of total billed charges		199.8	85			Percent of total billed charges		188.7	85			Percent of total billed charges		188.7	85			Percent of total billed charges		188.7	100			Percent of total billed charges		222	100			Percent of total billed charges		222	100			Percent of total billed charges		222	33.3			Percent of total billed charges		73.926	33.3			Percent of total billed charges		73.926	100			Percent of total billed charges		222	73.926	199.8	
s/n bending template	278	RC	Outpatient			222	144.3		90			Percent of total billed charges		199.8	40			Percent of total billed charges		88.8	80			Percent of total billed charges		177.6	90			Percent of total billed charges		199.8	85			Percent of total billed charges		188.7	85			Percent of total billed charges		188.7	85			Percent of total billed charges		188.7	100			Percent of total billed charges		222	100			Percent of total billed charges		222	100			Percent of total billed charges		222	33.3			Percent of total billed charges		73.926	33.3			Percent of total billed charges		73.926	100			Percent of total billed charges		222	73.926	199.8	
template 3.5 recon 8 hole 7117-0178 s/n	278	RC	Outpatient			222	144.3		90			Percent of total billed charges		199.8	40			Percent of total billed charges		88.8	80			Percent of total billed charges		177.6	90			Percent of total billed charges		199.8	85			Percent of total billed charges		188.7	85			Percent of total billed charges		188.7	85			Percent of total billed charges		188.7	100			Percent of total billed charges		222	100			Percent of total billed charges		222	100			Percent of total billed charges		222	33.3			Percent of total billed charges		73.926	33.3			Percent of total billed charges		73.926	100			Percent of total billed charges		222	73.926	199.8	
zimmer drill bit 3 fluted	270	RC	Outpatient			222	144.3		90			Percent of total billed charges		199.8	40			Percent of total billed charges		88.8	80			Percent of total billed charges		177.6	90			Percent of total billed charges		199.8	85			Percent of total billed charges		188.7	85			Percent of total billed charges		188.7	85			Percent of total billed charges		188.7	100			Percent of total billed charges		222	100			Percent of total billed charges		222	100			Percent of total billed charges		222	33.3			Percent of total billed charges		73.926	33.3			Percent of total billed charges		73.926	100			Percent of total billed charges		222	73.926	199.8	
chemo admin. 1 1/2 hours	335	RC	Outpatient			224	145.6		90			Percent of total billed charges		201.6	40			Percent of total billed charges		89.6	80			Percent of total billed charges		179.2	90			Percent of total billed charges		201.6	85			Percent of total billed charges		190.4	85			Percent of total billed charges		190.4	85			Percent of total billed charges		190.4	100			Percent of total billed charges		224	100			Percent of total billed charges		224	100			Percent of total billed charges		224	33.3			Percent of total billed charges		74.592	33.3			Percent of total billed charges		74.592	100			Percent of total billed charges		224	74.592	201.6	
3.5mm lc-dcp plate 6 hole 223.56	278	RC	Outpatient			225	146.25		90			Percent of total billed charges		202.5	40			Percent of total billed charges		90	80			Percent of total billed charges		180	90			Percent of total billed charges		202.5	85			Percent of total billed charges		191.25	85			Percent of total billed charges		191.25	85			Percent of total billed charges		191.25	100			Percent of total billed charges		225	100			Percent of total billed charges		225	100			Percent of total billed charges		225	33.3			Percent of total billed charges		74.925	33.3			Percent of total billed charges		74.925	100			Percent of total billed charges		225	74.925	202.5	
3.5mm lc-dcp plate 7 hole 223.57	278	RC	Outpatient			225	146.25		90			Percent of total billed charges		202.5	40			Percent of total billed charges		90	80			Percent of total billed charges		180	90			Percent of total billed charges		202.5	85			Percent of total billed charges		191.25	85			Percent of total billed charges		191.25	85			Percent of total billed charges		191.25	100			Percent of total billed charges		225	100			Percent of total billed charges		225	100			Percent of total billed charges		225	33.3			Percent of total billed charges		74.925	33.3			Percent of total billed charges		74.925	100			Percent of total billed charges		225	74.925	202.5	
cold thpy.shld.wp.w/liner	270	RC	Outpatient			225	146.25		90			Percent of total billed charges		202.5	40			Percent of total billed charges		90	80			Percent of total billed charges		180	90			Percent of total billed charges		202.5	85			Percent of total billed charges		191.25	85			Percent of total billed charges		191.25	85			Percent of total billed charges		191.25	100			Percent of total billed charges		225	100			Percent of total billed charges		225	100			Percent of total billed charges		225	33.3			Percent of total billed charges		74.925	33.3			Percent of total billed charges		74.925	100			Percent of total billed charges		225	74.925	202.5	
cosmetic - laser treatment for skin laxity small area - each additional session	983	RC	Outpatient			225	146.25		90			Percent of total billed charges		202.5	40			Percent of total billed charges		90	80			Percent of total billed charges		180	90			Percent of total billed charges		202.5	85			Percent of total billed charges		191.25	85			Percent of total billed charges		191.25	85			Percent of total billed charges		191.25	100			Percent of total billed charges		225	100			Percent of total billed charges		225	100			Percent of total billed charges		225	33.3			Percent of total billed charges		74.925	33.3			Percent of total billed charges		74.925	100			Percent of total billed charges		225	74.925	202.5	
scrmc coil tornado microcoil	621	RC	Outpatient			225	146.25		90			Percent of total billed charges		202.5	40			Percent of total billed charges		90	80			Percent of total billed charges		180	90			Percent of total billed charges		202.5	85			Percent of total billed charges		191.25	85			Percent of total billed charges		191.25	85			Percent of total billed charges		191.25	100			Percent of total billed charges		225	100			Percent of total billed charges		225	100			Percent of total billed charges		225	33.3			Percent of total billed charges		74.925	33.3			Percent of total billed charges		74.925	100			Percent of total billed charges		225	74.925	202.5	
syn plate strght 6-7 hole	278	RC	Outpatient			225	146.25		90			Percent of total billed charges		202.5	40			Percent of total billed charges		90	80			Percent of total billed charges		180	90			Percent of total billed charges		202.5	85			Percent of total billed charges		191.25	85			Percent of total billed charges		191.25	85			Percent of total billed charges		191.25	100			Percent of total billed charges		225	100			Percent of total billed charges		225	100			Percent of total billed charges		225	33.3			Percent of total billed charges		74.925	33.3			Percent of total billed charges		74.925	100			Percent of total billed charges		225	74.925	202.5	
tube baker 16fr	270	RC	Outpatient			225	146.25		90			Percent of total billed charges		202.5	40			Percent of total billed charges		90	80			Percent of total billed charges		180	90			Percent of total billed charges		202.5	85			Percent of total billed charges		191.25	85			Percent of total billed charges		191.25	85			Percent of total billed charges		191.25	100			Percent of total billed charges		225	100			Percent of total billed charges		225	100			Percent of total billed charges		225	33.3			Percent of total billed charges		74.925	33.3			Percent of total billed charges		74.925	100			Percent of total billed charges		225	74.925	202.5	
hot ice hand/wrist pad	270	RC	Outpatient			226	146.9		90			Percent of total billed charges		203.4	40			Percent of total billed charges		90.4	80			Percent of total billed charges		180.8	90			Percent of total billed charges		203.4	85			Percent of total billed charges		192.1	85			Percent of total billed charges		192.1	85			Percent of total billed charges		192.1	100			Percent of total billed charges		226	100			Percent of total billed charges		226	100			Percent of total billed charges		226	33.3			Percent of total billed charges		75.258	33.3			Percent of total billed charges		75.258	100			Percent of total billed charges		226	75.258	203.4	
acumed cortical screw 2.7mm x 22.5mm co-27225	278	RC	Outpatient			227	147.55		90			Percent of total billed charges		204.3	40			Percent of total billed charges		90.8	80			Percent of total billed charges		181.6	90			Percent of total billed charges		204.3	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	100			Percent of total billed charges		227	100			Percent of total billed charges		227	100			Percent of total billed charges		227	33.3			Percent of total billed charges		75.591	33.3			Percent of total billed charges		75.591	100			Percent of total billed charges		227	75.591	204.3	
acumed nonlocking cortical screw  3.5 x 10 co-3100	278	RC	Outpatient			227	147.55		90			Percent of total billed charges		204.3	40			Percent of total billed charges		90.8	80			Percent of total billed charges		181.6	90			Percent of total billed charges		204.3	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	100			Percent of total billed charges		227	100			Percent of total billed charges		227	100			Percent of total billed charges		227	33.3			Percent of total billed charges		75.591	33.3			Percent of total billed charges		75.591	100			Percent of total billed charges		227	75.591	204.3	
cancellous acet screw 25mm 71336525 s/n	278	RC	Outpatient			227	147.55		90			Percent of total billed charges		204.3	40			Percent of total billed charges		90.8	80			Percent of total billed charges		181.6	90			Percent of total billed charges		204.3	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	100			Percent of total billed charges		227	100			Percent of total billed charges		227	100			Percent of total billed charges		227	33.3			Percent of total billed charges		75.591	33.3			Percent of total billed charges		75.591	100			Percent of total billed charges		227	75.591	204.3	
cancellous acet screw 30mm 71336530 s/n	278	RC	Outpatient			227	147.55		90			Percent of total billed charges		204.3	40			Percent of total billed charges		90.8	80			Percent of total billed charges		181.6	90			Percent of total billed charges		204.3	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	100			Percent of total billed charges		227	100			Percent of total billed charges		227	100			Percent of total billed charges		227	33.3			Percent of total billed charges		75.591	33.3			Percent of total billed charges		75.591	100			Percent of total billed charges		227	75.591	204.3	
cancellous acet screw 35mm 71336535 s/n	278	RC	Outpatient			227	147.55		90			Percent of total billed charges		204.3	40			Percent of total billed charges		90.8	80			Percent of total billed charges		181.6	90			Percent of total billed charges		204.3	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	100			Percent of total billed charges		227	100			Percent of total billed charges		227	100			Percent of total billed charges		227	33.3			Percent of total billed charges		75.591	33.3			Percent of total billed charges		75.591	100			Percent of total billed charges		227	75.591	204.3	
cancellous acet screw 40mm 71336540 s/n	278	RC	Outpatient			227	147.55		90			Percent of total billed charges		204.3	40			Percent of total billed charges		90.8	80			Percent of total billed charges		181.6	90			Percent of total billed charges		204.3	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	100			Percent of total billed charges		227	100			Percent of total billed charges		227	100			Percent of total billed charges		227	33.3			Percent of total billed charges		75.591	33.3			Percent of total billed charges		75.591	100			Percent of total billed charges		227	75.591	204.3	
cancellous acetabular screw 20mm 71336520 s/n	278	RC	Outpatient			227	147.55		90			Percent of total billed charges		204.3	40			Percent of total billed charges		90.8	80			Percent of total billed charges		181.6	90			Percent of total billed charges		204.3	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	100			Percent of total billed charges		227	100			Percent of total billed charges		227	100			Percent of total billed charges		227	33.3			Percent of total billed charges		75.591	33.3			Percent of total billed charges		75.591	100			Percent of total billed charges		227	75.591	204.3	
d-rad locking peg 1.8 x 12mm 74671812 s/n	278	RC	Outpatient			227	147.55		90			Percent of total billed charges		204.3	40			Percent of total billed charges		90.8	80			Percent of total billed charges		181.6	90			Percent of total billed charges		204.3	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	100			Percent of total billed charges		227	100			Percent of total billed charges		227	100			Percent of total billed charges		227	33.3			Percent of total billed charges		75.591	33.3			Percent of total billed charges		75.591	100			Percent of total billed charges		227	75.591	204.3	
d-rad locking peg 1.8 x 14mm 74671814 s/n	278	RC	Outpatient			227	147.55		90			Percent of total billed charges		204.3	40			Percent of total billed charges		90.8	80			Percent of total billed charges		181.6	90			Percent of total billed charges		204.3	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	100			Percent of total billed charges		227	100			Percent of total billed charges		227	100			Percent of total billed charges		227	33.3			Percent of total billed charges		75.591	33.3			Percent of total billed charges		75.591	100			Percent of total billed charges		227	75.591	204.3	
d-rad locking peg 1.8 x 22mm 74671822 s/n	278	RC	Outpatient			227	147.55		90			Percent of total billed charges		204.3	40			Percent of total billed charges		90.8	80			Percent of total billed charges		181.6	90			Percent of total billed charges		204.3	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	100			Percent of total billed charges		227	100			Percent of total billed charges		227	100			Percent of total billed charges		227	33.3			Percent of total billed charges		75.591	33.3			Percent of total billed charges		75.591	100			Percent of total billed charges		227	75.591	204.3	
d-rad s-t locking screw 2.4 x 10mm 74692410 s/n	272	RC	Outpatient			227	147.55		90			Percent of total billed charges		204.3	40			Percent of total billed charges		90.8	80			Percent of total billed charges		181.6	90			Percent of total billed charges		204.3	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	100			Percent of total billed charges		227	100			Percent of total billed charges		227	100			Percent of total billed charges		227	33.3			Percent of total billed charges		75.591	33.3			Percent of total billed charges		75.591	100			Percent of total billed charges		227	75.591	204.3	
d-rad s-t locking screw 2.4 x 14mm 74692414 s/n	272	RC	Outpatient			227	147.55		90			Percent of total billed charges		204.3	40			Percent of total billed charges		90.8	80			Percent of total billed charges		181.6	90			Percent of total billed charges		204.3	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	100			Percent of total billed charges		227	100			Percent of total billed charges		227	100			Percent of total billed charges		227	33.3			Percent of total billed charges		75.591	33.3			Percent of total billed charges		75.591	100			Percent of total billed charges		227	75.591	204.3	
d-rad s-t locking screw 2.4 x 22mm 74692422 s/n	272	RC	Outpatient			227	147.55		90			Percent of total billed charges		204.3	40			Percent of total billed charges		90.8	80			Percent of total billed charges		181.6	90			Percent of total billed charges		204.3	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	100			Percent of total billed charges		227	100			Percent of total billed charges		227	100			Percent of total billed charges		227	33.3			Percent of total billed charges		75.591	33.3			Percent of total billed charges		75.591	100			Percent of total billed charges		227	75.591	204.3	
d-rad s-t locking screw 2.4 x 26mm 74692426 s/n	278	RC	Outpatient			227	147.55		90			Percent of total billed charges		204.3	40			Percent of total billed charges		90.8	80			Percent of total billed charges		181.6	90			Percent of total billed charges		204.3	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	100			Percent of total billed charges		227	100			Percent of total billed charges		227	100			Percent of total billed charges		227	33.3			Percent of total billed charges		75.591	33.3			Percent of total billed charges		75.591	100			Percent of total billed charges		227	75.591	204.3	
acumed cortical screw 2.7mm x 25.0mm co-2725	278	RC	Outpatient			227	147.55		90			Percent of total billed charges		204.3	40			Percent of total billed charges		90.8	80			Percent of total billed charges		181.6	90			Percent of total billed charges		204.3	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	100			Percent of total billed charges		227	100			Percent of total billed charges		227	100			Percent of total billed charges		227	33.3			Percent of total billed charges		75.591	33.3			Percent of total billed charges		75.591	100			Percent of total billed charges		227	75.591	204.3	
acumed cortical screw 2.7mm x 27.5mm co-27275	278	RC	Outpatient			227	147.55		90			Percent of total billed charges		204.3	40			Percent of total billed charges		90.8	80			Percent of total billed charges		181.6	90			Percent of total billed charges		204.3	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	100			Percent of total billed charges		227	100			Percent of total billed charges		227	100			Percent of total billed charges		227	33.3			Percent of total billed charges		75.591	33.3			Percent of total billed charges		75.591	100			Percent of total billed charges		227	75.591	204.3	
acumed cortical screw 2.7mm x 35.0mm co-2735	278	RC	Outpatient			227	147.55		90			Percent of total billed charges		204.3	40			Percent of total billed charges		90.8	80			Percent of total billed charges		181.6	90			Percent of total billed charges		204.3	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	100			Percent of total billed charges		227	100			Percent of total billed charges		227	100			Percent of total billed charges		227	33.3			Percent of total billed charges		75.591	33.3			Percent of total billed charges		75.591	100			Percent of total billed charges		227	75.591	204.3	
bed magnum ii bariatric	270	RC	Outpatient			227	147.55		90			Percent of total billed charges		204.3	40			Percent of total billed charges		90.8	80			Percent of total billed charges		181.6	90			Percent of total billed charges		204.3	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	100			Percent of total billed charges		227	100			Percent of total billed charges		227	100			Percent of total billed charges		227	33.3			Percent of total billed charges		75.591	33.3			Percent of total billed charges		75.591	100			Percent of total billed charges		227	75.591	204.3	
cancellous acet screw 50mm 71336550 s/n	278	RC	Outpatient			227	147.55		90			Percent of total billed charges		204.3	40			Percent of total billed charges		90.8	80			Percent of total billed charges		181.6	90			Percent of total billed charges		204.3	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	100			Percent of total billed charges		227	100			Percent of total billed charges		227	100			Percent of total billed charges		227	33.3			Percent of total billed charges		75.591	33.3			Percent of total billed charges		75.591	100			Percent of total billed charges		227	75.591	204.3	
cancellous acetabular screw 15mm 71336515 s/n	278	RC	Outpatient			227	147.55		90			Percent of total billed charges		204.3	40			Percent of total billed charges		90.8	80			Percent of total billed charges		181.6	90			Percent of total billed charges		204.3	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	100			Percent of total billed charges		227	100			Percent of total billed charges		227	100			Percent of total billed charges		227	33.3			Percent of total billed charges		75.591	33.3			Percent of total billed charges		75.591	100			Percent of total billed charges		227	75.591	204.3	
drill bit 4.5mm targeter 71173403 s/n	272	RC	Outpatient			227	147.55		90			Percent of total billed charges		204.3	40			Percent of total billed charges		90.8	80			Percent of total billed charges		181.6	90			Percent of total billed charges		204.3	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	100			Percent of total billed charges		227	100			Percent of total billed charges		227	100			Percent of total billed charges		227	33.3			Percent of total billed charges		75.591	33.3			Percent of total billed charges		75.591	100			Percent of total billed charges		227	75.591	204.3	
drill w/qc 4.5 71173506 s/n	272	RC	Outpatient			227	147.55		90			Percent of total billed charges		204.3	40			Percent of total billed charges		90.8	80			Percent of total billed charges		181.6	90			Percent of total billed charges		204.3	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	100			Percent of total billed charges		227	100			Percent of total billed charges		227	100			Percent of total billed charges		227	33.3			Percent of total billed charges		75.591	33.3			Percent of total billed charges		75.591	100			Percent of total billed charges		227	75.591	204.3	
excluder intro sheath12fr	272	RC	Outpatient			227	147.55		90			Percent of total billed charges		204.3	40			Percent of total billed charges		90.8	80			Percent of total billed charges		181.6	90			Percent of total billed charges		204.3	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	100			Percent of total billed charges		227	100			Percent of total billed charges		227	100			Percent of total billed charges		227	33.3			Percent of total billed charges		75.591	33.3			Percent of total billed charges		75.591	100			Percent of total billed charges		227	75.591	204.3	
d-rad locking peg 1.8 x 16mm 74671816 s/n	278	RC	Outpatient			227	147.55		90			Percent of total billed charges		204.3	40			Percent of total billed charges		90.8	80			Percent of total billed charges		181.6	90			Percent of total billed charges		204.3	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	100			Percent of total billed charges		227	100			Percent of total billed charges		227	100			Percent of total billed charges		227	33.3			Percent of total billed charges		75.591	33.3			Percent of total billed charges		75.591	100			Percent of total billed charges		227	75.591	204.3	
d-rad locking peg 1.8 x 18mm 74671818 s/n	278	RC	Outpatient			227	147.55		90			Percent of total billed charges		204.3	40			Percent of total billed charges		90.8	80			Percent of total billed charges		181.6	90			Percent of total billed charges		204.3	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	100			Percent of total billed charges		227	100			Percent of total billed charges		227	100			Percent of total billed charges		227	33.3			Percent of total billed charges		75.591	33.3			Percent of total billed charges		75.591	100			Percent of total billed charges		227	75.591	204.3	
d-rad locking peg 1.8 x 20mm 74671820 s/n	278	RC	Outpatient			227	147.55		90			Percent of total billed charges		204.3	40			Percent of total billed charges		90.8	80			Percent of total billed charges		181.6	90			Percent of total billed charges		204.3	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	100			Percent of total billed charges		227	100			Percent of total billed charges		227	100			Percent of total billed charges		227	33.3			Percent of total billed charges		75.591	33.3			Percent of total billed charges		75.591	100			Percent of total billed charges		227	75.591	204.3	
d-rad locking peg 1.8 x 24mm 74671824 s/n	278	RC	Outpatient			227	147.55		90			Percent of total billed charges		204.3	40			Percent of total billed charges		90.8	80			Percent of total billed charges		181.6	90			Percent of total billed charges		204.3	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	100			Percent of total billed charges		227	100			Percent of total billed charges		227	100			Percent of total billed charges		227	33.3			Percent of total billed charges		75.591	33.3			Percent of total billed charges		75.591	100			Percent of total billed charges		227	75.591	204.3	
d-rad s-t locking screw 2.4 x 12mm 74692412 s/n	272	RC	Outpatient			227	147.55		90			Percent of total billed charges		204.3	40			Percent of total billed charges		90.8	80			Percent of total billed charges		181.6	90			Percent of total billed charges		204.3	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	100			Percent of total billed charges		227	100			Percent of total billed charges		227	100			Percent of total billed charges		227	33.3			Percent of total billed charges		75.591	33.3			Percent of total billed charges		75.591	100			Percent of total billed charges		227	75.591	204.3	
d-rad s-t locking screw 2.4 x 16mm 74692416 s/n	272	RC	Outpatient			227	147.55		90			Percent of total billed charges		204.3	40			Percent of total billed charges		90.8	80			Percent of total billed charges		181.6	90			Percent of total billed charges		204.3	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	100			Percent of total billed charges		227	100			Percent of total billed charges		227	100			Percent of total billed charges		227	33.3			Percent of total billed charges		75.591	33.3			Percent of total billed charges		75.591	100			Percent of total billed charges		227	75.591	204.3	
d-rad s-t locking screw 2.4 x 18mm 74692418 s/n	272	RC	Outpatient			227	147.55		90			Percent of total billed charges		204.3	40			Percent of total billed charges		90.8	80			Percent of total billed charges		181.6	90			Percent of total billed charges		204.3	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	100			Percent of total billed charges		227	100			Percent of total billed charges		227	100			Percent of total billed charges		227	33.3			Percent of total billed charges		75.591	33.3			Percent of total billed charges		75.591	100			Percent of total billed charges		227	75.591	204.3	
d-rad s-t locking screw 2.4 x 20mm 74692420 s/n	272	RC	Outpatient			227	147.55		90			Percent of total billed charges		204.3	40			Percent of total billed charges		90.8	80			Percent of total billed charges		181.6	90			Percent of total billed charges		204.3	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	100			Percent of total billed charges		227	100			Percent of total billed charges		227	100			Percent of total billed charges		227	33.3			Percent of total billed charges		75.591	33.3			Percent of total billed charges		75.591	100			Percent of total billed charges		227	75.591	204.3	
d-rad s-t locking screw 2.4 x 24mm 74692424 s/n	272	RC	Outpatient			227	147.55		90			Percent of total billed charges		204.3	40			Percent of total billed charges		90.8	80			Percent of total billed charges		181.6	90			Percent of total billed charges		204.3	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	100			Percent of total billed charges		227	100			Percent of total billed charges		227	100			Percent of total billed charges		227	33.3			Percent of total billed charges		75.591	33.3			Percent of total billed charges		75.591	100			Percent of total billed charges		227	75.591	204.3	
"drill bit 4.5 , 3.5"	272	RC	Outpatient			227	147.55		90			Percent of total billed charges		204.3	40			Percent of total billed charges		90.8	80			Percent of total billed charges		181.6	90			Percent of total billed charges		204.3	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	100			Percent of total billed charges		227	100			Percent of total billed charges		227	100			Percent of total billed charges		227	33.3			Percent of total billed charges		75.591	33.3			Percent of total billed charges		75.591	100			Percent of total billed charges		227	75.591	204.3	
drill bit jacobs	272	RC	Outpatient			227	147.55		90			Percent of total billed charges		204.3	40			Percent of total billed charges		90.8	80			Percent of total billed charges		181.6	90			Percent of total billed charges		204.3	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	100			Percent of total billed charges		227	100			Percent of total billed charges		227	100			Percent of total billed charges		227	33.3			Percent of total billed charges		75.591	33.3			Percent of total billed charges		75.591	100			Percent of total billed charges		227	75.591	204.3	
drill w/qc 3.5 71173505 s/n	272	RC	Outpatient			227	147.55		90			Percent of total billed charges		204.3	40			Percent of total billed charges		90.8	80			Percent of total billed charges		181.6	90			Percent of total billed charges		204.3	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	100			Percent of total billed charges		227	100			Percent of total billed charges		227	100			Percent of total billed charges		227	33.3			Percent of total billed charges		75.591	33.3			Percent of total billed charges		75.591	100			Percent of total billed charges		227	75.591	204.3	
s/n d-rad lck peg	278	RC	Outpatient			227	147.55		90			Percent of total billed charges		204.3	40			Percent of total billed charges		90.8	80			Percent of total billed charges		181.6	90			Percent of total billed charges		204.3	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	100			Percent of total billed charges		227	100			Percent of total billed charges		227	100			Percent of total billed charges		227	33.3			Percent of total billed charges		75.591	33.3			Percent of total billed charges		75.591	100			Percent of total billed charges		227	75.591	204.3	
s/n d-rad lck scr	272	RC	Outpatient			227	147.55		90			Percent of total billed charges		204.3	40			Percent of total billed charges		90.8	80			Percent of total billed charges		181.6	90			Percent of total billed charges		204.3	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	100			Percent of total billed charges		227	100			Percent of total billed charges		227	100			Percent of total billed charges		227	33.3			Percent of total billed charges		75.591	33.3			Percent of total billed charges		75.591	100			Percent of total billed charges		227	75.591	204.3	
s/n lg frag tc 100 2mm jacobs chuck drill bit 7117-6521	272	RC	Outpatient			227	147.55		90			Percent of total billed charges		204.3	40			Percent of total billed charges		90.8	80			Percent of total billed charges		181.6	90			Percent of total billed charges		204.3	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	100			Percent of total billed charges		227	100			Percent of total billed charges		227	100			Percent of total billed charges		227	33.3			Percent of total billed charges		75.591	33.3			Percent of total billed charges		75.591	100			Percent of total billed charges		227	75.591	204.3	
s/n mini frag tc-100 jacobs chuck drill bit sterile 2.7mm long 7117-6528	272	RC	Outpatient			227	147.55		90			Percent of total billed charges		204.3	40			Percent of total billed charges		90.8	80			Percent of total billed charges		181.6	90			Percent of total billed charges		204.3	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	100			Percent of total billed charges		227	100			Percent of total billed charges		227	100			Percent of total billed charges		227	33.3			Percent of total billed charges		75.591	33.3			Percent of total billed charges		75.591	100			Percent of total billed charges		227	75.591	204.3	
tlc retractor	272	RC	Outpatient			227	147.55		90			Percent of total billed charges		204.3	40			Percent of total billed charges		90.8	80			Percent of total billed charges		181.6	90			Percent of total billed charges		204.3	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	100			Percent of total billed charges		227	100			Percent of total billed charges		227	100			Percent of total billed charges		227	33.3			Percent of total billed charges		75.591	33.3			Percent of total billed charges		75.591	100			Percent of total billed charges		227	75.591	204.3	
tlc retractor 820176 boston scientific	272	RC	Outpatient			227	147.55		90			Percent of total billed charges		204.3	40			Percent of total billed charges		90.8	80			Percent of total billed charges		181.6	90			Percent of total billed charges		204.3	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	100			Percent of total billed charges		227	100			Percent of total billed charges		227	100			Percent of total billed charges		227	33.3			Percent of total billed charges		75.591	33.3			Percent of total billed charges		75.591	100			Percent of total billed charges		227	75.591	204.3	
richards acetabular screw	278	RC	Outpatient			227	147.55		90			Percent of total billed charges		204.3	40			Percent of total billed charges		90.8	80			Percent of total billed charges		181.6	90			Percent of total billed charges		204.3	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	100			Percent of total billed charges		227	100			Percent of total billed charges		227	100			Percent of total billed charges		227	33.3			Percent of total billed charges		75.591	33.3			Percent of total billed charges		75.591	100			Percent of total billed charges		227	75.591	204.3	
s/n lg frag tc 100 3.2mm jacobs chuck drill bit 7117-6532	272	RC	Outpatient			227	147.55		90			Percent of total billed charges		204.3	40			Percent of total billed charges		90.8	80			Percent of total billed charges		181.6	90			Percent of total billed charges		204.3	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	100			Percent of total billed charges		227	100			Percent of total billed charges		227	100			Percent of total billed charges		227	33.3			Percent of total billed charges		75.591	33.3			Percent of total billed charges		75.591	100			Percent of total billed charges		227	75.591	204.3	
s/n lg frag tc 100 3.2mm long jacobs chuck drill bit 7117-6533	272	RC	Outpatient			227	147.55		90			Percent of total billed charges		204.3	40			Percent of total billed charges		90.8	80			Percent of total billed charges		181.6	90			Percent of total billed charges		204.3	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	100			Percent of total billed charges		227	100			Percent of total billed charges		227	100			Percent of total billed charges		227	33.3			Percent of total billed charges		75.591	33.3			Percent of total billed charges		75.591	100			Percent of total billed charges		227	75.591	204.3	
s/n lg frag tc 100 4.5mm jacobs chuck drill bit 7117-6545	272	RC	Outpatient			227	147.55		90			Percent of total billed charges		204.3	40			Percent of total billed charges		90.8	80			Percent of total billed charges		181.6	90			Percent of total billed charges		204.3	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	100			Percent of total billed charges		227	100			Percent of total billed charges		227	100			Percent of total billed charges		227	33.3			Percent of total billed charges		75.591	33.3			Percent of total billed charges		75.591	100			Percent of total billed charges		227	75.591	204.3	
s/n lg frag tc 100 4.5mm long jacobs chuck drill bit 7117-6547	272	RC	Outpatient			227	147.55		90			Percent of total billed charges		204.3	40			Percent of total billed charges		90.8	80			Percent of total billed charges		181.6	90			Percent of total billed charges		204.3	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	100			Percent of total billed charges		227	100			Percent of total billed charges		227	100			Percent of total billed charges		227	33.3			Percent of total billed charges		75.591	33.3			Percent of total billed charges		75.591	100			Percent of total billed charges		227	75.591	204.3	
s/n mini frag tc-100 jacobs chuck drill bit sterile 1.1mm 7117-6511	272	RC	Outpatient			227	147.55		90			Percent of total billed charges		204.3	40			Percent of total billed charges		90.8	80			Percent of total billed charges		181.6	90			Percent of total billed charges		204.3	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	100			Percent of total billed charges		227	100			Percent of total billed charges		227	100			Percent of total billed charges		227	33.3			Percent of total billed charges		75.591	33.3			Percent of total billed charges		75.591	100			Percent of total billed charges		227	75.591	204.3	
s/n mini frag tc-100 jacobs chuck drill bit sterile 1.5mm long 7117-6516	272	RC	Outpatient			227	147.55		90			Percent of total billed charges		204.3	40			Percent of total billed charges		90.8	80			Percent of total billed charges		181.6	90			Percent of total billed charges		204.3	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	100			Percent of total billed charges		227	100			Percent of total billed charges		227	100			Percent of total billed charges		227	33.3			Percent of total billed charges		75.591	33.3			Percent of total billed charges		75.591	100			Percent of total billed charges		227	75.591	204.3	
s/n mini frag tc-100 jacobs chuck drill bit sterile 2.0mm long 7117-6521	272	RC	Outpatient			227	147.55		90			Percent of total billed charges		204.3	40			Percent of total billed charges		90.8	80			Percent of total billed charges		181.6	90			Percent of total billed charges		204.3	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	100			Percent of total billed charges		227	100			Percent of total billed charges		227	100			Percent of total billed charges		227	33.3			Percent of total billed charges		75.591	33.3			Percent of total billed charges		75.591	100			Percent of total billed charges		227	75.591	204.3	
sheath 12 fr pg123000 gore	272	RC	Outpatient			227	147.55		90			Percent of total billed charges		204.3	40			Percent of total billed charges		90.8	80			Percent of total billed charges		181.6	90			Percent of total billed charges		204.3	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	100			Percent of total billed charges		227	100			Percent of total billed charges		227	100			Percent of total billed charges		227	33.3			Percent of total billed charges		75.591	33.3			Percent of total billed charges		75.591	100			Percent of total billed charges		227	75.591	204.3	
targeter 3.5mm drill bit 71173402 s/n	272	RC	Outpatient			227	147.55		90			Percent of total billed charges		204.3	40			Percent of total billed charges		90.8	80			Percent of total billed charges		181.6	90			Percent of total billed charges		204.3	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	85			Percent of total billed charges		192.95	100			Percent of total billed charges		227	100			Percent of total billed charges		227	100			Percent of total billed charges		227	33.3			Percent of total billed charges		75.591	33.3			Percent of total billed charges		75.591	100			Percent of total billed charges		227	75.591	204.3	
cosmetic - belotero (half a syringe)	983	RC	Outpatient			228	148.2		90			Percent of total billed charges		205.2	40			Percent of total billed charges		91.2	80			Percent of total billed charges		182.4	90			Percent of total billed charges		205.2	85			Percent of total billed charges		193.8	85			Percent of total billed charges		193.8	85			Percent of total billed charges		193.8	100			Percent of total billed charges		228	100			Percent of total billed charges		228	100			Percent of total billed charges		228	33.3			Percent of total billed charges		75.924	33.3			Percent of total billed charges		75.924	100			Percent of total billed charges		228	75.924	205.2	
diego cdr burr irrigation gyrus 70138018	272	RC	Outpatient			228	148.2		90			Percent of total billed charges		205.2	40			Percent of total billed charges		91.2	80			Percent of total billed charges		182.4	90			Percent of total billed charges		205.2	85			Percent of total billed charges		193.8	85			Percent of total billed charges		193.8	85			Percent of total billed charges		193.8	100			Percent of total billed charges		228	100			Percent of total billed charges		228	100			Percent of total billed charges		228	33.3			Percent of total billed charges		75.924	33.3			Percent of total billed charges		75.924	100			Percent of total billed charges		228	75.924	205.2	
gyrus diego dcr burr	272	RC	Outpatient			228	148.2		90			Percent of total billed charges		205.2	40			Percent of total billed charges		91.2	80			Percent of total billed charges		182.4	90			Percent of total billed charges		205.2	85			Percent of total billed charges		193.8	85			Percent of total billed charges		193.8	85			Percent of total billed charges		193.8	100			Percent of total billed charges		228	100			Percent of total billed charges		228	100			Percent of total billed charges		228	33.3			Percent of total billed charges		75.924	33.3			Percent of total billed charges		75.924	100			Percent of total billed charges		228	75.924	205.2	
s/n vortex vacuum bowl 71270068	272	RC	Outpatient			228	148.2		90			Percent of total billed charges		205.2	40			Percent of total billed charges		91.2	80			Percent of total billed charges		182.4	90			Percent of total billed charges		205.2	85			Percent of total billed charges		193.8	85			Percent of total billed charges		193.8	85			Percent of total billed charges		193.8	100			Percent of total billed charges		228	100			Percent of total billed charges		228	100			Percent of total billed charges		228	33.3			Percent of total billed charges		75.924	33.3			Percent of total billed charges		75.924	100			Percent of total billed charges		228	75.924	205.2	
fogarty occlusion cath 4 fr ref 620404f	272	RC	Outpatient			228.4	148.46		90			Percent of total billed charges		205.56	40			Percent of total billed charges		91.36	80			Percent of total billed charges		182.72	90			Percent of total billed charges		205.56	85			Percent of total billed charges		194.14	85			Percent of total billed charges		194.14	85			Percent of total billed charges		194.14	100			Percent of total billed charges		228.4	100			Percent of total billed charges		228.4	100			Percent of total billed charges		228.4	33.3			Percent of total billed charges		76.0572	33.3			Percent of total billed charges		76.0572	100			Percent of total billed charges		228.4	76.0572	205.56	
ascension k-wire 0.9 x 105mm 609-090-105 ascension	272	RC	Outpatient			229	148.85		90			Percent of total billed charges		206.1	40			Percent of total billed charges		91.6	80			Percent of total billed charges		183.2	90			Percent of total billed charges		206.1	85			Percent of total billed charges		194.65	85			Percent of total billed charges		194.65	85			Percent of total billed charges		194.65	100			Percent of total billed charges		229	100			Percent of total billed charges		229	100			Percent of total billed charges		229	33.3			Percent of total billed charges		76.257	33.3			Percent of total billed charges		76.257	100			Percent of total billed charges		229	76.257	206.1	
cath lab kit-pericardiocentesis	270	RC	Outpatient			229	148.85		90			Percent of total billed charges		206.1	40			Percent of total billed charges		91.6	80			Percent of total billed charges		183.2	90			Percent of total billed charges		206.1	85			Percent of total billed charges		194.65	85			Percent of total billed charges		194.65	85			Percent of total billed charges		194.65	100			Percent of total billed charges		229	100			Percent of total billed charges		229	100			Percent of total billed charges		229	33.3			Percent of total billed charges		76.257	33.3			Percent of total billed charges		76.257	100			Percent of total billed charges		229	76.257	206.1	
ascension k-wire 0.9	272	RC	Outpatient			229	148.85		90			Percent of total billed charges		206.1	40			Percent of total billed charges		91.6	80			Percent of total billed charges		183.2	90			Percent of total billed charges		206.1	85			Percent of total billed charges		194.65	85			Percent of total billed charges		194.65	85			Percent of total billed charges		194.65	100			Percent of total billed charges		229	100			Percent of total billed charges		229	100			Percent of total billed charges		229	33.3			Percent of total billed charges		76.257	33.3			Percent of total billed charges		76.257	100			Percent of total billed charges		229	76.257	206.1	
kit per-q 3fr	270	RC	Outpatient			229	148.85		90			Percent of total billed charges		206.1	40			Percent of total billed charges		91.6	80			Percent of total billed charges		183.2	90			Percent of total billed charges		206.1	85			Percent of total billed charges		194.65	85			Percent of total billed charges		194.65	85			Percent of total billed charges		194.65	100			Percent of total billed charges		229	100			Percent of total billed charges		229	100			Percent of total billed charges		229	33.3			Percent of total billed charges		76.257	33.3			Percent of total billed charges		76.257	100			Percent of total billed charges		229	76.257	206.1	
kit per-q 4fr	270	RC	Outpatient			229	148.85		90			Percent of total billed charges		206.1	40			Percent of total billed charges		91.6	80			Percent of total billed charges		183.2	90			Percent of total billed charges		206.1	85			Percent of total billed charges		194.65	85			Percent of total billed charges		194.65	85			Percent of total billed charges		194.65	100			Percent of total billed charges		229	100			Percent of total billed charges		229	100			Percent of total billed charges		229	33.3			Percent of total billed charges		76.257	33.3			Percent of total billed charges		76.257	100			Percent of total billed charges		229	76.257	206.1	
pericardio tray	270	RC	Outpatient			229	148.85		90			Percent of total billed charges		206.1	40			Percent of total billed charges		91.6	80			Percent of total billed charges		183.2	90			Percent of total billed charges		206.1	85			Percent of total billed charges		194.65	85			Percent of total billed charges		194.65	85			Percent of total billed charges		194.65	100			Percent of total billed charges		229	100			Percent of total billed charges		229	100			Percent of total billed charges		229	33.3			Percent of total billed charges		76.257	33.3			Percent of total billed charges		76.257	100			Percent of total billed charges		229	76.257	206.1	
proximate tx 30mm linear cutter 3.5mm tx30b ethicon	272	RC	Outpatient			229	148.85		90			Percent of total billed charges		206.1	40			Percent of total billed charges		91.6	80			Percent of total billed charges		183.2	90			Percent of total billed charges		206.1	85			Percent of total billed charges		194.65	85			Percent of total billed charges		194.65	85			Percent of total billed charges		194.65	100			Percent of total billed charges		229	100			Percent of total billed charges		229	100			Percent of total billed charges		229	33.3			Percent of total billed charges		76.257	33.3			Percent of total billed charges		76.257	100			Percent of total billed charges		229	76.257	206.1	
raptormite drill & guide 3.2mm 72202038 s/n	272	RC	Outpatient			229	148.85		90			Percent of total billed charges		206.1	40			Percent of total billed charges		91.6	80			Percent of total billed charges		183.2	90			Percent of total billed charges		206.1	85			Percent of total billed charges		194.65	85			Percent of total billed charges		194.65	85			Percent of total billed charges		194.65	100			Percent of total billed charges		229	100			Percent of total billed charges		229	100			Percent of total billed charges		229	33.3			Percent of total billed charges		76.257	33.3			Percent of total billed charges		76.257	100			Percent of total billed charges		229	76.257	206.1	
scrmc catheter biliary drainage	621	RC	Outpatient			229	148.85		90			Percent of total billed charges		206.1	40			Percent of total billed charges		91.6	80			Percent of total billed charges		183.2	90			Percent of total billed charges		206.1	85			Percent of total billed charges		194.65	85			Percent of total billed charges		194.65	85			Percent of total billed charges		194.65	100			Percent of total billed charges		229	100			Percent of total billed charges		229	100			Percent of total billed charges		229	33.3			Percent of total billed charges		76.257	33.3			Percent of total billed charges		76.257	100			Percent of total billed charges		229	76.257	206.1	
spyromite 2.0 drill kit w/ 1.8mm drill & guide 72202040 s/n	272	RC	Outpatient			229	148.85		90			Percent of total billed charges		206.1	40			Percent of total billed charges		91.6	80			Percent of total billed charges		183.2	90			Percent of total billed charges		206.1	85			Percent of total billed charges		194.65	85			Percent of total billed charges		194.65	85			Percent of total billed charges		194.65	100			Percent of total billed charges		229	100			Percent of total billed charges		229	100			Percent of total billed charges		229	33.3			Percent of total billed charges		76.257	33.3			Percent of total billed charges		76.257	100			Percent of total billed charges		229	76.257	206.1	
proximate tx 30mm linear cutter 4.8mm tx30g ethicon	272	RC	Outpatient			229	148.85		90			Percent of total billed charges		206.1	40			Percent of total billed charges		91.6	80			Percent of total billed charges		183.2	90			Percent of total billed charges		206.1	85			Percent of total billed charges		194.65	85			Percent of total billed charges		194.65	85			Percent of total billed charges		194.65	100			Percent of total billed charges		229	100			Percent of total billed charges		229	100			Percent of total billed charges		229	33.3			Percent of total billed charges		76.257	33.3			Percent of total billed charges		76.257	100			Percent of total billed charges		229	76.257	206.1	
stapler tx30	272	RC	Outpatient			229	148.85		90			Percent of total billed charges		206.1	40			Percent of total billed charges		91.6	80			Percent of total billed charges		183.2	90			Percent of total billed charges		206.1	85			Percent of total billed charges		194.65	85			Percent of total billed charges		194.65	85			Percent of total billed charges		194.65	100			Percent of total billed charges		229	100			Percent of total billed charges		229	100			Percent of total billed charges		229	33.3			Percent of total billed charges		76.257	33.3			Percent of total billed charges		76.257	100			Percent of total billed charges		229	76.257	206.1	
zzscrmc teg wire guides	621	RC	Outpatient			229	148.85		90			Percent of total billed charges		206.1	40			Percent of total billed charges		91.6	80			Percent of total billed charges		183.2	90			Percent of total billed charges		206.1	85			Percent of total billed charges		194.65	85			Percent of total billed charges		194.65	85			Percent of total billed charges		194.65	100			Percent of total billed charges		229	100			Percent of total billed charges		229	100			Percent of total billed charges		229	33.3			Percent of total billed charges		76.257	33.3			Percent of total billed charges		76.257	100			Percent of total billed charges		229	76.257	206.1	
2.7mm compression plate 7 hole 60mm x 2.5mm 00-4927-007-00 zimmer	278	RC	Outpatient			230	149.5		90			Percent of total billed charges		207	40			Percent of total billed charges		92	80			Percent of total billed charges		184	90			Percent of total billed charges		207	85			Percent of total billed charges		195.5	85			Percent of total billed charges		195.5	85			Percent of total billed charges		195.5	100			Percent of total billed charges		230	100			Percent of total billed charges		230	100			Percent of total billed charges		230	33.3			Percent of total billed charges		76.59	33.3			Percent of total billed charges		76.59	100			Percent of total billed charges		230	76.59	207	
3.5mm compression plate 12-hole 145mm 00-4935-012-00 zimmer	278	RC	Outpatient			230	149.5		90			Percent of total billed charges		207	40			Percent of total billed charges		92	80			Percent of total billed charges		184	90			Percent of total billed charges		207	85			Percent of total billed charges		195.5	85			Percent of total billed charges		195.5	85			Percent of total billed charges		195.5	100			Percent of total billed charges		230	100			Percent of total billed charges		230	100			Percent of total billed charges		230	33.3			Percent of total billed charges		76.59	33.3			Percent of total billed charges		76.59	100			Percent of total billed charges		230	76.59	207	
biomet acct l'ck ring	278	RC	Outpatient			230	149.5		90			Percent of total billed charges		207	40			Percent of total billed charges		92	80			Percent of total billed charges		184	90			Percent of total billed charges		207	85			Percent of total billed charges		195.5	85			Percent of total billed charges		195.5	85			Percent of total billed charges		195.5	100			Percent of total billed charges		230	100			Percent of total billed charges		230	100			Percent of total billed charges		230	33.3			Percent of total billed charges		76.59	33.3			Percent of total billed charges		76.59	100			Percent of total billed charges		230	76.59	207	
2.7mm compression plate 8 hole 68mm x 2.5mm 00-4927-008-00 zimmer	278	RC	Outpatient			230	149.5		90			Percent of total billed charges		207	40			Percent of total billed charges		92	80			Percent of total billed charges		184	90			Percent of total billed charges		207	85			Percent of total billed charges		195.5	85			Percent of total billed charges		195.5	85			Percent of total billed charges		195.5	100			Percent of total billed charges		230	100			Percent of total billed charges		230	100			Percent of total billed charges		230	33.3			Percent of total billed charges		76.59	33.3			Percent of total billed charges		76.59	100			Percent of total billed charges		230	76.59	207	
2.7mm compression plate 9 hole 76mm x 2.5mm 00-4927-009-00 zimmer	278	RC	Outpatient			230	149.5		90			Percent of total billed charges		207	40			Percent of total billed charges		92	80			Percent of total billed charges		184	90			Percent of total billed charges		207	85			Percent of total billed charges		195.5	85			Percent of total billed charges		195.5	85			Percent of total billed charges		195.5	100			Percent of total billed charges		230	100			Percent of total billed charges		230	100			Percent of total billed charges		230	33.3			Percent of total billed charges		76.59	33.3			Percent of total billed charges		76.59	100			Percent of total billed charges		230	76.59	207	
imhs nail cap	278	RC	Outpatient			230	149.5		90			Percent of total billed charges		207	40			Percent of total billed charges		92	80			Percent of total billed charges		184	90			Percent of total billed charges		207	85			Percent of total billed charges		195.5	85			Percent of total billed charges		195.5	85			Percent of total billed charges		195.5	100			Percent of total billed charges		230	100			Percent of total billed charges		230	100			Percent of total billed charges		230	33.3			Percent of total billed charges		76.59	33.3			Percent of total billed charges		76.59	100			Percent of total billed charges		230	76.59	207	
"noninvasive physiologic studies of upper/lower extremity arteries, single level, bilateral (eg, ankl"	983	RC	Outpatient			230	149.5		90			Percent of total billed charges		207	40			Percent of total billed charges		92	80			Percent of total billed charges		184	90			Percent of total billed charges		207	85			Percent of total billed charges		195.5	85			Percent of total billed charges		195.5	85			Percent of total billed charges		195.5	100			Percent of total billed charges		230	100			Percent of total billed charges		230	100			Percent of total billed charges		230	33.3			Percent of total billed charges		76.59	33.3			Percent of total billed charges		76.59	100			Percent of total billed charges		230	76.59	207	
ring lock sz 22 105422 biomet	278	RC	Outpatient			230	149.5		90			Percent of total billed charges		207	40			Percent of total billed charges		92	80			Percent of total billed charges		184	90			Percent of total billed charges		207	85			Percent of total billed charges		195.5	85			Percent of total billed charges		195.5	85			Percent of total billed charges		195.5	100			Percent of total billed charges		230	100			Percent of total billed charges		230	100			Percent of total billed charges		230	33.3			Percent of total billed charges		76.59	33.3			Percent of total billed charges		76.59	100			Percent of total billed charges		230	76.59	207	
ring lock sz 23 105423 biomet	278	RC	Outpatient			230	149.5		90			Percent of total billed charges		207	40			Percent of total billed charges		92	80			Percent of total billed charges		184	90			Percent of total billed charges		207	85			Percent of total billed charges		195.5	85			Percent of total billed charges		195.5	85			Percent of total billed charges		195.5	100			Percent of total billed charges		230	100			Percent of total billed charges		230	100			Percent of total billed charges		230	33.3			Percent of total billed charges		76.59	33.3			Percent of total billed charges		76.59	100			Percent of total billed charges		230	76.59	207	
ring lock sz 24 105424 biomet	278	RC	Outpatient			230	149.5		90			Percent of total billed charges		207	40			Percent of total billed charges		92	80			Percent of total billed charges		184	90			Percent of total billed charges		207	85			Percent of total billed charges		195.5	85			Percent of total billed charges		195.5	85			Percent of total billed charges		195.5	100			Percent of total billed charges		230	100			Percent of total billed charges		230	100			Percent of total billed charges		230	33.3			Percent of total billed charges		76.59	33.3			Percent of total billed charges		76.59	100			Percent of total billed charges		230	76.59	207	
ring lock sz 25 105425 biomet	278	RC	Outpatient			230	149.5		90			Percent of total billed charges		207	40			Percent of total billed charges		92	80			Percent of total billed charges		184	90			Percent of total billed charges		207	85			Percent of total billed charges		195.5	85			Percent of total billed charges		195.5	85			Percent of total billed charges		195.5	100			Percent of total billed charges		230	100			Percent of total billed charges		230	100			Percent of total billed charges		230	33.3			Percent of total billed charges		76.59	33.3			Percent of total billed charges		76.59	100			Percent of total billed charges		230	76.59	207	
ring lock sz 26 105426 biomet	278	RC	Outpatient			230	149.5		90			Percent of total billed charges		207	40			Percent of total billed charges		92	80			Percent of total billed charges		184	90			Percent of total billed charges		207	85			Percent of total billed charges		195.5	85			Percent of total billed charges		195.5	85			Percent of total billed charges		195.5	100			Percent of total billed charges		230	100			Percent of total billed charges		230	100			Percent of total billed charges		230	33.3			Percent of total billed charges		76.59	33.3			Percent of total billed charges		76.59	100			Percent of total billed charges		230	76.59	207	
spica child	270	RC	Outpatient			230	149.5		90			Percent of total billed charges		207	40			Percent of total billed charges		92	80			Percent of total billed charges		184	90			Percent of total billed charges		207	85			Percent of total billed charges		195.5	85			Percent of total billed charges		195.5	85			Percent of total billed charges		195.5	100			Percent of total billed charges		230	100			Percent of total billed charges		230	100			Percent of total billed charges		230	33.3			Percent of total billed charges		76.59	33.3			Percent of total billed charges		76.59	100			Percent of total billed charges		230	76.59	207	
s/n imhs nail cap 122672	278	RC	Outpatient			230	149.5		90			Percent of total billed charges		207	40			Percent of total billed charges		92	80			Percent of total billed charges		184	90			Percent of total billed charges		207	85			Percent of total billed charges		195.5	85			Percent of total billed charges		195.5	85			Percent of total billed charges		195.5	100			Percent of total billed charges		230	100			Percent of total billed charges		230	100			Percent of total billed charges		230	33.3			Percent of total billed charges		76.59	33.3			Percent of total billed charges		76.59	100			Percent of total billed charges		230	76.59	207	
zimm 2.7 comp plate 7-8hl	278	RC	Outpatient			230	149.5		90			Percent of total billed charges		207	40			Percent of total billed charges		92	80			Percent of total billed charges		184	90			Percent of total billed charges		207	85			Percent of total billed charges		195.5	85			Percent of total billed charges		195.5	85			Percent of total billed charges		195.5	100			Percent of total billed charges		230	100			Percent of total billed charges		230	100			Percent of total billed charges		230	33.3			Percent of total billed charges		76.59	33.3			Percent of total billed charges		76.59	100			Percent of total billed charges		230	76.59	207	
zimm 3.5 comp plate 12hle	278	RC	Outpatient			230	149.5		90			Percent of total billed charges		207	40			Percent of total billed charges		92	80			Percent of total billed charges		184	90			Percent of total billed charges		207	85			Percent of total billed charges		195.5	85			Percent of total billed charges		195.5	85			Percent of total billed charges		195.5	100			Percent of total billed charges		230	100			Percent of total billed charges		230	100			Percent of total billed charges		230	33.3			Percent of total billed charges		76.59	33.3			Percent of total billed charges		76.59	100			Percent of total billed charges		230	76.59	207	
acmi knife electrode	270	RC	Outpatient			231	150.15		90			Percent of total billed charges		207.9	40			Percent of total billed charges		92.4	80			Percent of total billed charges		184.8	90			Percent of total billed charges		207.9	85			Percent of total billed charges		196.35	85			Percent of total billed charges		196.35	85			Percent of total billed charges		196.35	100			Percent of total billed charges		231	100			Percent of total billed charges		231	100			Percent of total billed charges		231	33.3			Percent of total billed charges		76.923	33.3			Percent of total billed charges		76.923	100			Percent of total billed charges		231	76.923	207.9	
electrode knife yellow 24fr	270	RC	Outpatient			231	150.15		90			Percent of total billed charges		207.9	40			Percent of total billed charges		92.4	80			Percent of total billed charges		184.8	90			Percent of total billed charges		207.9	85			Percent of total billed charges		196.35	85			Percent of total billed charges		196.35	85			Percent of total billed charges		196.35	100			Percent of total billed charges		231	100			Percent of total billed charges		231	100			Percent of total billed charges		231	33.3			Percent of total billed charges		76.923	33.3			Percent of total billed charges		76.923	100			Percent of total billed charges		231	76.923	207.9	
endo retrieval net (both types)	270	RC	Outpatient			231	150.15		90			Percent of total billed charges		207.9	40			Percent of total billed charges		92.4	80			Percent of total billed charges		184.8	90			Percent of total billed charges		207.9	85			Percent of total billed charges		196.35	85			Percent of total billed charges		196.35	85			Percent of total billed charges		196.35	100			Percent of total billed charges		231	100			Percent of total billed charges		231	100			Percent of total billed charges		231	33.3			Percent of total billed charges		76.923	33.3			Percent of total billed charges		76.923	100			Percent of total billed charges		231	76.923	207.9	
staple ta60 3.5 load	270	RC	Outpatient			231	150.15		90			Percent of total billed charges		207.9	40			Percent of total billed charges		92.4	80			Percent of total billed charges		184.8	90			Percent of total billed charges		207.9	85			Percent of total billed charges		196.35	85			Percent of total billed charges		196.35	85			Percent of total billed charges		196.35	100			Percent of total billed charges		231	100			Percent of total billed charges		231	100			Percent of total billed charges		231	33.3			Percent of total billed charges		76.923	33.3			Percent of total billed charges		76.923	100			Percent of total billed charges		231	76.923	207.9	
ta 60mm-3.5mm  stapler reload ta6035l covidien	270	RC	Outpatient			231	150.15		90			Percent of total billed charges		207.9	40			Percent of total billed charges		92.4	80			Percent of total billed charges		184.8	90			Percent of total billed charges		207.9	85			Percent of total billed charges		196.35	85			Percent of total billed charges		196.35	85			Percent of total billed charges		196.35	100			Percent of total billed charges		231	100			Percent of total billed charges		231	100			Percent of total billed charges		231	33.3			Percent of total billed charges		76.923	33.3			Percent of total billed charges		76.923	100			Percent of total billed charges		231	76.923	207.9	
zzscrmc fallopian tube cath set	621	RC	Outpatient			231	150.15		90			Percent of total billed charges		207.9	40			Percent of total billed charges		92.4	80			Percent of total billed charges		184.8	90			Percent of total billed charges		207.9	85			Percent of total billed charges		196.35	85			Percent of total billed charges		196.35	85			Percent of total billed charges		196.35	100			Percent of total billed charges		231	100			Percent of total billed charges		231	100			Percent of total billed charges		231	33.3			Percent of total billed charges		76.923	33.3			Percent of total billed charges		76.923	100			Percent of total billed charges		231	76.923	207.9	
11 g hand drill stryker ref 0306-811-000	272	RC	Outpatient			231.29	150.34		90			Percent of total billed charges		208.161	40			Percent of total billed charges		92.516	80			Percent of total billed charges		185.032	90			Percent of total billed charges		208.161	85			Percent of total billed charges		196.5965	85			Percent of total billed charges		196.5965	85			Percent of total billed charges		196.5965	100			Percent of total billed charges		231.29	100			Percent of total billed charges		231.29	100			Percent of total billed charges		231.29	33.3			Percent of total billed charges		77.0196	33.3			Percent of total billed charges		77.0196	100			Percent of total billed charges		231.29	77.0196	208.161	
cath lab kit perc sheath intro arrow 8.5 fr	272	RC	Outpatient			232	150.8		90			Percent of total billed charges		208.8	40			Percent of total billed charges		92.8	80			Percent of total billed charges		185.6	90			Percent of total billed charges		208.8	85			Percent of total billed charges		197.2	85			Percent of total billed charges		197.2	85			Percent of total billed charges		197.2	100			Percent of total billed charges		232	100			Percent of total billed charges		232	100			Percent of total billed charges		232	33.3			Percent of total billed charges		77.256	33.3			Percent of total billed charges		77.256	100			Percent of total billed charges		232	77.256	208.8	
cath lab kit perc sheath intro arrow 6 fr	272	RC	Outpatient			232	150.8		90			Percent of total billed charges		208.8	40			Percent of total billed charges		92.8	80			Percent of total billed charges		185.6	90			Percent of total billed charges		208.8	85			Percent of total billed charges		197.2	85			Percent of total billed charges		197.2	85			Percent of total billed charges		197.2	100			Percent of total billed charges		232	100			Percent of total billed charges		232	100			Percent of total billed charges		232	33.3			Percent of total billed charges		77.256	33.3			Percent of total billed charges		77.256	100			Percent of total billed charges		232	77.256	208.8	
drill bit jacobs chuck 3.5mm 7117-6535	272	RC	Outpatient			232	150.8		90			Percent of total billed charges		208.8	40			Percent of total billed charges		92.8	80			Percent of total billed charges		185.6	90			Percent of total billed charges		208.8	85			Percent of total billed charges		197.2	85			Percent of total billed charges		197.2	85			Percent of total billed charges		197.2	100			Percent of total billed charges		232	100			Percent of total billed charges		232	100			Percent of total billed charges		232	33.3			Percent of total billed charges		77.256	33.3			Percent of total billed charges		77.256	100			Percent of total billed charges		232	77.256	208.8	
drill bit sm fr	272	RC	Outpatient			232	150.8		90			Percent of total billed charges		208.8	40			Percent of total billed charges		92.8	80			Percent of total billed charges		185.6	90			Percent of total billed charges		208.8	85			Percent of total billed charges		197.2	85			Percent of total billed charges		197.2	85			Percent of total billed charges		197.2	100			Percent of total billed charges		232	100			Percent of total billed charges		232	100			Percent of total billed charges		232	33.3			Percent of total billed charges		77.256	33.3			Percent of total billed charges		77.256	100			Percent of total billed charges		232	77.256	208.8	
drill bit jacobs chuck 2.5mm gold 7117-6525	272	RC	Outpatient			232	150.8		90			Percent of total billed charges		208.8	40			Percent of total billed charges		92.8	80			Percent of total billed charges		185.6	90			Percent of total billed charges		208.8	85			Percent of total billed charges		197.2	85			Percent of total billed charges		197.2	85			Percent of total billed charges		197.2	100			Percent of total billed charges		232	100			Percent of total billed charges		232	100			Percent of total billed charges		232	33.3			Percent of total billed charges		77.256	33.3			Percent of total billed charges		77.256	100			Percent of total billed charges		232	77.256	208.8	
drill bit jacobs chuck 3.5mm long 7117-6537	272	RC	Outpatient			232	150.8		90			Percent of total billed charges		208.8	40			Percent of total billed charges		92.8	80			Percent of total billed charges		185.6	90			Percent of total billed charges		208.8	85			Percent of total billed charges		197.2	85			Percent of total billed charges		197.2	85			Percent of total billed charges		197.2	100			Percent of total billed charges		232	100			Percent of total billed charges		232	100			Percent of total billed charges		232	33.3			Percent of total billed charges		77.256	33.3			Percent of total billed charges		77.256	100			Percent of total billed charges		232	77.256	208.8	
kit perc sheath int ar6fr	272	RC	Outpatient			232	150.8		90			Percent of total billed charges		208.8	40			Percent of total billed charges		92.8	80			Percent of total billed charges		185.6	90			Percent of total billed charges		208.8	85			Percent of total billed charges		197.2	85			Percent of total billed charges		197.2	85			Percent of total billed charges		197.2	100			Percent of total billed charges		232	100			Percent of total billed charges		232	100			Percent of total billed charges		232	33.3			Percent of total billed charges		77.256	33.3			Percent of total billed charges		77.256	100			Percent of total billed charges		232	77.256	208.8	
small frag drill bit quick coupling 2.5mm gold 7117-0071	272	RC	Outpatient			232	150.8		90			Percent of total billed charges		208.8	40			Percent of total billed charges		92.8	80			Percent of total billed charges		185.6	90			Percent of total billed charges		208.8	85			Percent of total billed charges		197.2	85			Percent of total billed charges		197.2	85			Percent of total billed charges		197.2	100			Percent of total billed charges		232	100			Percent of total billed charges		232	100			Percent of total billed charges		232	33.3			Percent of total billed charges		77.256	33.3			Percent of total billed charges		77.256	100			Percent of total billed charges		232	77.256	208.8	
small frag drill bit quick coupling 2.5mm long gold 7117-6026	272	RC	Outpatient			232	150.8		90			Percent of total billed charges		208.8	40			Percent of total billed charges		92.8	80			Percent of total billed charges		185.6	90			Percent of total billed charges		208.8	85			Percent of total billed charges		197.2	85			Percent of total billed charges		197.2	85			Percent of total billed charges		197.2	100			Percent of total billed charges		232	100			Percent of total billed charges		232	100			Percent of total billed charges		232	33.3			Percent of total billed charges		77.256	33.3			Percent of total billed charges		77.256	100			Percent of total billed charges		232	77.256	208.8	
small frag drill bit quick coupling 3.5mm 7117-0073	272	RC	Outpatient			232	150.8		90			Percent of total billed charges		208.8	40			Percent of total billed charges		92.8	80			Percent of total billed charges		185.6	90			Percent of total billed charges		208.8	85			Percent of total billed charges		197.2	85			Percent of total billed charges		197.2	85			Percent of total billed charges		197.2	100			Percent of total billed charges		232	100			Percent of total billed charges		232	100			Percent of total billed charges		232	33.3			Percent of total billed charges		77.256	33.3			Percent of total billed charges		77.256	100			Percent of total billed charges		232	77.256	208.8	
small frag drill bit quick coupling 3.5mm long 7117-0147 s/n	272	RC	Outpatient			232	150.8		90			Percent of total billed charges		208.8	40			Percent of total billed charges		92.8	80			Percent of total billed charges		185.6	90			Percent of total billed charges		208.8	85			Percent of total billed charges		197.2	85			Percent of total billed charges		197.2	85			Percent of total billed charges		197.2	100			Percent of total billed charges		232	100			Percent of total billed charges		232	100			Percent of total billed charges		232	33.3			Percent of total billed charges		77.256	33.3			Percent of total billed charges		77.256	100			Percent of total billed charges		232	77.256	208.8	
small frag tap 4.0mm cancellous screw 7117-0079	272	RC	Outpatient			232	150.8		90			Percent of total billed charges		208.8	40			Percent of total billed charges		92.8	80			Percent of total billed charges		185.6	90			Percent of total billed charges		208.8	85			Percent of total billed charges		197.2	85			Percent of total billed charges		197.2	85			Percent of total billed charges		197.2	100			Percent of total billed charges		232	100			Percent of total billed charges		232	100			Percent of total billed charges		232	33.3			Percent of total billed charges		77.256	33.3			Percent of total billed charges		77.256	100			Percent of total billed charges		232	77.256	208.8	
retractor wound  large c8303 applied med	270	RC	Outpatient			232	150.8		90			Percent of total billed charges		208.8	40			Percent of total billed charges		92.8	80			Percent of total billed charges		185.6	90			Percent of total billed charges		208.8	85			Percent of total billed charges		197.2	85			Percent of total billed charges		197.2	85			Percent of total billed charges		197.2	100			Percent of total billed charges		232	100			Percent of total billed charges		232	100			Percent of total billed charges		232	33.3			Percent of total billed charges		77.256	33.3			Percent of total billed charges		77.256	100			Percent of total billed charges		232	77.256	208.8	
s/n lg frag tc 100 4.5mm long quick coupling drill bit 7117-0149/7117-6047	272	RC	Outpatient			232	150.8		90			Percent of total billed charges		208.8	40			Percent of total billed charges		92.8	80			Percent of total billed charges		185.6	90			Percent of total billed charges		208.8	85			Percent of total billed charges		197.2	85			Percent of total billed charges		197.2	85			Percent of total billed charges		197.2	100			Percent of total billed charges		232	100			Percent of total billed charges		232	100			Percent of total billed charges		232	33.3			Percent of total billed charges		77.256	33.3			Percent of total billed charges		77.256	100			Percent of total billed charges		232	77.256	208.8	
acumed taperloc  screw tap 2.5 x 45 fa-co3545	278	RC	Outpatient			233	151.45		90			Percent of total billed charges		209.7	40			Percent of total billed charges		93.2	80			Percent of total billed charges		186.4	90			Percent of total billed charges		209.7	85			Percent of total billed charges		198.05	85			Percent of total billed charges		198.05	85			Percent of total billed charges		198.05	100			Percent of total billed charges		233	100			Percent of total billed charges		233	100			Percent of total billed charges		233	33.3			Percent of total billed charges		77.589	33.3			Percent of total billed charges		77.589	100			Percent of total billed charges		233	77.589	209.7	
angled silicon i/a tip alcon 8065-740969	272	RC	Outpatient			233	151.45		90			Percent of total billed charges		209.7	40			Percent of total billed charges		93.2	80			Percent of total billed charges		186.4	90			Percent of total billed charges		209.7	85			Percent of total billed charges		198.05	85			Percent of total billed charges		198.05	85			Percent of total billed charges		198.05	100			Percent of total billed charges		233	100			Percent of total billed charges		233	100			Percent of total billed charges		233	33.3			Percent of total billed charges		77.589	33.3			Percent of total billed charges		77.589	100			Percent of total billed charges		233	77.589	209.7	
cath lab wholey wire 0.35 x 145cm	272	RC	Outpatient			233	151.45		90			Percent of total billed charges		209.7	40			Percent of total billed charges		93.2	80			Percent of total billed charges		186.4	90			Percent of total billed charges		209.7	85			Percent of total billed charges		198.05	85			Percent of total billed charges		198.05	85			Percent of total billed charges		198.05	100			Percent of total billed charges		233	100			Percent of total billed charges		233	100			Percent of total billed charges		233	33.3			Percent of total billed charges		77.589	33.3			Percent of total billed charges		77.589	100			Percent of total billed charges		233	77.589	209.7	
acumed 3.5 taploc screw	278	RC	Outpatient			233	151.45		90			Percent of total billed charges		209.7	40			Percent of total billed charges		93.2	80			Percent of total billed charges		186.4	90			Percent of total billed charges		209.7	85			Percent of total billed charges		198.05	85			Percent of total billed charges		198.05	85			Percent of total billed charges		198.05	100			Percent of total billed charges		233	100			Percent of total billed charges		233	100			Percent of total billed charges		233	33.3			Percent of total billed charges		77.589	33.3			Percent of total billed charges		77.589	100			Percent of total billed charges		233	77.589	209.7	
bio femoral stem	278	RC	Outpatient			233	151.45		90			Percent of total billed charges		209.7	40			Percent of total billed charges		93.2	80			Percent of total billed charges		186.4	90			Percent of total billed charges		209.7	85			Percent of total billed charges		198.05	85			Percent of total billed charges		198.05	85			Percent of total billed charges		198.05	100			Percent of total billed charges		233	100			Percent of total billed charges		233	100			Percent of total billed charges		233	33.3			Percent of total billed charges		77.589	33.3			Percent of total billed charges		77.589	100			Percent of total billed charges		233	77.589	209.7	
cath lab wholey wire	272	RC	Outpatient			233	151.45		90			Percent of total billed charges		209.7	40			Percent of total billed charges		93.2	80			Percent of total billed charges		186.4	90			Percent of total billed charges		209.7	85			Percent of total billed charges		198.05	85			Percent of total billed charges		198.05	85			Percent of total billed charges		198.05	100			Percent of total billed charges		233	100			Percent of total billed charges		233	100			Percent of total billed charges		233	33.3			Percent of total billed charges		77.589	33.3			Percent of total billed charges		77.589	100			Percent of total billed charges		233	77.589	209.7	
cath lab wholey wire 0.35 x 300cm	272	RC	Outpatient			233	151.45		90			Percent of total billed charges		209.7	40			Percent of total billed charges		93.2	80			Percent of total billed charges		186.4	90			Percent of total billed charges		209.7	85			Percent of total billed charges		198.05	85			Percent of total billed charges		198.05	85			Percent of total billed charges		198.05	100			Percent of total billed charges		233	100			Percent of total billed charges		233	100			Percent of total billed charges		233	33.3			Percent of total billed charges		77.589	33.3			Percent of total billed charges		77.589	100			Percent of total billed charges		233	77.589	209.7	
distal centralizer 9-17mm	278	RC	Outpatient			233	151.45		90			Percent of total billed charges		209.7	40			Percent of total billed charges		93.2	80			Percent of total billed charges		186.4	90			Percent of total billed charges		209.7	85			Percent of total billed charges		198.05	85			Percent of total billed charges		198.05	85			Percent of total billed charges		198.05	100			Percent of total billed charges		233	100			Percent of total billed charges		233	100			Percent of total billed charges		233	33.3			Percent of total billed charges		77.589	33.3			Percent of total billed charges		77.589	100			Percent of total billed charges		233	77.589	209.7	
i/a tip	272	RC	Outpatient			233	151.45		90			Percent of total billed charges		209.7	40			Percent of total billed charges		93.2	80			Percent of total billed charges		186.4	90			Percent of total billed charges		209.7	85			Percent of total billed charges		198.05	85			Percent of total billed charges		198.05	85			Percent of total billed charges		198.05	100			Percent of total billed charges		233	100			Percent of total billed charges		233	100			Percent of total billed charges		233	33.3			Percent of total billed charges		77.589	33.3			Percent of total billed charges		77.589	100			Percent of total billed charges		233	77.589	209.7	
mlt et tube	270	RC	Outpatient			233	151.45		90			Percent of total billed charges		209.7	40			Percent of total billed charges		93.2	80			Percent of total billed charges		186.4	90			Percent of total billed charges		209.7	85			Percent of total billed charges		198.05	85			Percent of total billed charges		198.05	85			Percent of total billed charges		198.05	100			Percent of total billed charges		233	100			Percent of total billed charges		233	100			Percent of total billed charges		233	33.3			Percent of total billed charges		77.589	33.3			Percent of total billed charges		77.589	100			Percent of total billed charges		233	77.589	209.7	
wholey wire .035x145	272	RC	Outpatient			233	151.45		90			Percent of total billed charges		209.7	40			Percent of total billed charges		93.2	80			Percent of total billed charges		186.4	90			Percent of total billed charges		209.7	85			Percent of total billed charges		198.05	85			Percent of total billed charges		198.05	85			Percent of total billed charges		198.05	100			Percent of total billed charges		233	100			Percent of total billed charges		233	100			Percent of total billed charges		233	33.3			Percent of total billed charges		77.589	33.3			Percent of total billed charges		77.589	100			Percent of total billed charges		233	77.589	209.7	
bed clinitron rite hite	270	RC	Outpatient			234	152.1		90			Percent of total billed charges		210.6	40			Percent of total billed charges		93.6	80			Percent of total billed charges		187.2	90			Percent of total billed charges		210.6	85			Percent of total billed charges		198.9	85			Percent of total billed charges		198.9	85			Percent of total billed charges		198.9	100			Percent of total billed charges		234	100			Percent of total billed charges		234	100			Percent of total billed charges		234	33.3			Percent of total billed charges		77.922	33.3			Percent of total billed charges		77.922	100			Percent of total billed charges		234	77.922	210.6	
endo observation 3-4 hr	761	RC	Outpatient			234	152.1		90			Percent of total billed charges		210.6	40			Percent of total billed charges		93.6	80			Percent of total billed charges		187.2	90			Percent of total billed charges		210.6	85			Percent of total billed charges		198.9	85			Percent of total billed charges		198.9	85			Percent of total billed charges		198.9	100			Percent of total billed charges		234	100			Percent of total billed charges		234	100			Percent of total billed charges		234	33.3			Percent of total billed charges		77.922	33.3			Percent of total billed charges		77.922	100			Percent of total billed charges		234	77.922	210.6	
proximate tx 60mm linear cutter 3.5mm tx60b ethicon	272	RC	Outpatient			234	152.1		90			Percent of total billed charges		210.6	40			Percent of total billed charges		93.6	80			Percent of total billed charges		187.2	90			Percent of total billed charges		210.6	85			Percent of total billed charges		198.9	85			Percent of total billed charges		198.9	85			Percent of total billed charges		198.9	100			Percent of total billed charges		234	100			Percent of total billed charges		234	100			Percent of total billed charges		234	33.3			Percent of total billed charges		77.922	33.3			Percent of total billed charges		77.922	100			Percent of total billed charges		234	77.922	210.6	
proximate tx 60mm linear cutter 4.8mm tx60g ethicon	272	RC	Outpatient			234	152.1		90			Percent of total billed charges		210.6	40			Percent of total billed charges		93.6	80			Percent of total billed charges		187.2	90			Percent of total billed charges		210.6	85			Percent of total billed charges		198.9	85			Percent of total billed charges		198.9	85			Percent of total billed charges		198.9	100			Percent of total billed charges		234	100			Percent of total billed charges		234	100			Percent of total billed charges		234	33.3			Percent of total billed charges		77.922	33.3			Percent of total billed charges		77.922	100			Percent of total billed charges		234	77.922	210.6	
staple gia 80 3.8 load	272	RC	Outpatient			234	152.1		90			Percent of total billed charges		210.6	40			Percent of total billed charges		93.6	80			Percent of total billed charges		187.2	90			Percent of total billed charges		210.6	85			Percent of total billed charges		198.9	85			Percent of total billed charges		198.9	85			Percent of total billed charges		198.9	100			Percent of total billed charges		234	100			Percent of total billed charges		234	100			Percent of total billed charges		234	33.3			Percent of total billed charges		77.922	33.3			Percent of total billed charges		77.922	100			Percent of total billed charges		234	77.922	210.6	
staple gia80 3.8mm reloads gia8038l covidien	272	RC	Outpatient			234	152.1		90			Percent of total billed charges		210.6	40			Percent of total billed charges		93.6	80			Percent of total billed charges		187.2	90			Percent of total billed charges		210.6	85			Percent of total billed charges		198.9	85			Percent of total billed charges		198.9	85			Percent of total billed charges		198.9	100			Percent of total billed charges		234	100			Percent of total billed charges		234	100			Percent of total billed charges		234	33.3			Percent of total billed charges		77.922	33.3			Percent of total billed charges		77.922	100			Percent of total billed charges		234	77.922	210.6	
stapler tx 60	272	RC	Outpatient			234	152.1		90			Percent of total billed charges		210.6	40			Percent of total billed charges		93.6	80			Percent of total billed charges		187.2	90			Percent of total billed charges		210.6	85			Percent of total billed charges		198.9	85			Percent of total billed charges		198.9	85			Percent of total billed charges		198.9	100			Percent of total billed charges		234	100			Percent of total billed charges		234	100			Percent of total billed charges		234	33.3			Percent of total billed charges		77.922	33.3			Percent of total billed charges		77.922	100			Percent of total billed charges		234	77.922	210.6	
zzscrmc amplatz anchor system	621	RC	Outpatient			234	152.1		90			Percent of total billed charges		210.6	40			Percent of total billed charges		93.6	80			Percent of total billed charges		187.2	90			Percent of total billed charges		210.6	85			Percent of total billed charges		198.9	85			Percent of total billed charges		198.9	85			Percent of total billed charges		198.9	100			Percent of total billed charges		234	100			Percent of total billed charges		234	100			Percent of total billed charges		234	33.3			Percent of total billed charges		77.922	33.3			Percent of total billed charges		77.922	100			Percent of total billed charges		234	77.922	210.6	
2.0mm compression plate 10 hole 52mm x 1.5mm 00-4920-010-00 zimmer	278	RC	Outpatient			235	152.75		90			Percent of total billed charges		211.5	40			Percent of total billed charges		94	80			Percent of total billed charges		188	90			Percent of total billed charges		211.5	85			Percent of total billed charges		199.75	85			Percent of total billed charges		199.75	85			Percent of total billed charges		199.75	100			Percent of total billed charges		235	100			Percent of total billed charges		235	100			Percent of total billed charges		235	33.3			Percent of total billed charges		78.255	33.3			Percent of total billed charges		78.255	100			Percent of total billed charges		235	78.255	211.5	
2.0mm compression plate 7 hole 37mm x 1.0mm 00-4920-007-00 zimmer	278	RC	Outpatient			235	152.75		90			Percent of total billed charges		211.5	40			Percent of total billed charges		94	80			Percent of total billed charges		188	90			Percent of total billed charges		211.5	85			Percent of total billed charges		199.75	85			Percent of total billed charges		199.75	85			Percent of total billed charges		199.75	100			Percent of total billed charges		235	100			Percent of total billed charges		235	100			Percent of total billed charges		235	33.3			Percent of total billed charges		78.255	33.3			Percent of total billed charges		78.255	100			Percent of total billed charges		235	78.255	211.5	
2.0mm compression plate 8 hole 42mm x 1.5mm 00-4920-008-00 zimmer	278	RC	Outpatient			235	152.75		90			Percent of total billed charges		211.5	40			Percent of total billed charges		94	80			Percent of total billed charges		188	90			Percent of total billed charges		211.5	85			Percent of total billed charges		199.75	85			Percent of total billed charges		199.75	85			Percent of total billed charges		199.75	100			Percent of total billed charges		235	100			Percent of total billed charges		235	100			Percent of total billed charges		235	33.3			Percent of total billed charges		78.255	33.3			Percent of total billed charges		78.255	100			Percent of total billed charges		235	78.255	211.5	
coil tornado  coil mwce-35-6/3 g10416 cook	278	RC	Outpatient			235	152.75		90			Percent of total billed charges		211.5	40			Percent of total billed charges		94	80			Percent of total billed charges		188	90			Percent of total billed charges		211.5	85			Percent of total billed charges		199.75	85			Percent of total billed charges		199.75	85			Percent of total billed charges		199.75	100			Percent of total billed charges		235	100			Percent of total billed charges		235	100			Percent of total billed charges		235	33.3			Percent of total billed charges		78.255	33.3			Percent of total billed charges		78.255	100			Percent of total billed charges		235	78.255	211.5	
coil tornado  mwce-35-10/5 239189 cook	278	RC	Outpatient			235	152.75		90			Percent of total billed charges		211.5	40			Percent of total billed charges		94	80			Percent of total billed charges		188	90			Percent of total billed charges		211.5	85			Percent of total billed charges		199.75	85			Percent of total billed charges		199.75	85			Percent of total billed charges		199.75	100			Percent of total billed charges		235	100			Percent of total billed charges		235	100			Percent of total billed charges		235	33.3			Percent of total billed charges		78.255	33.3			Percent of total billed charges		78.255	100			Percent of total billed charges		235	78.255	211.5	
coil tornado  mwce-35-8/5 239188 cook	278	RC	Outpatient			235	152.75		90			Percent of total billed charges		211.5	40			Percent of total billed charges		94	80			Percent of total billed charges		188	90			Percent of total billed charges		211.5	85			Percent of total billed charges		199.75	85			Percent of total billed charges		199.75	85			Percent of total billed charges		199.75	100			Percent of total billed charges		235	100			Percent of total billed charges		235	100			Percent of total billed charges		235	33.3			Percent of total billed charges		78.255	33.3			Percent of total billed charges		78.255	100			Percent of total billed charges		235	78.255	211.5	
coil tornado  mwce-35-815 239188 cook	278	RC	Outpatient			235	152.75		90			Percent of total billed charges		211.5	40			Percent of total billed charges		94	80			Percent of total billed charges		188	90			Percent of total billed charges		211.5	85			Percent of total billed charges		199.75	85			Percent of total billed charges		199.75	85			Percent of total billed charges		199.75	100			Percent of total billed charges		235	100			Percent of total billed charges		235	100			Percent of total billed charges		235	33.3			Percent of total billed charges		78.255	33.3			Percent of total billed charges		78.255	100			Percent of total billed charges		235	78.255	211.5	
coil tornado mwce-35-5/3 g10415 cook	278	RC	Outpatient			235	152.75		90			Percent of total billed charges		211.5	40			Percent of total billed charges		94	80			Percent of total billed charges		188	90			Percent of total billed charges		211.5	85			Percent of total billed charges		199.75	85			Percent of total billed charges		199.75	85			Percent of total billed charges		199.75	100			Percent of total billed charges		235	100			Percent of total billed charges		235	100			Percent of total billed charges		235	33.3			Percent of total billed charges		78.255	33.3			Percent of total billed charges		78.255	100			Percent of total billed charges		235	78.255	211.5	
2.0mm compression plate 12 hole 62mm x 1.5mm 00-4920-012-00 zimmer	278	RC	Outpatient			235	152.75		90			Percent of total billed charges		211.5	40			Percent of total billed charges		94	80			Percent of total billed charges		188	90			Percent of total billed charges		211.5	85			Percent of total billed charges		199.75	85			Percent of total billed charges		199.75	85			Percent of total billed charges		199.75	100			Percent of total billed charges		235	100			Percent of total billed charges		235	100			Percent of total billed charges		235	33.3			Percent of total billed charges		78.255	33.3			Percent of total billed charges		78.255	100			Percent of total billed charges		235	78.255	211.5	
coil tornado mwce-35-7/3 g10417 cook	278	RC	Outpatient			235	152.75		90			Percent of total billed charges		211.5	40			Percent of total billed charges		94	80			Percent of total billed charges		188	90			Percent of total billed charges		211.5	85			Percent of total billed charges		199.75	85			Percent of total billed charges		199.75	85			Percent of total billed charges		199.75	100			Percent of total billed charges		235	100			Percent of total billed charges		235	100			Percent of total billed charges		235	33.3			Percent of total billed charges		78.255	33.3			Percent of total billed charges		78.255	100			Percent of total billed charges		235	78.255	211.5	
coil tornado mwce-35-8/4 239186 cook	278	RC	Outpatient			235	152.75		90			Percent of total billed charges		211.5	40			Percent of total billed charges		94	80			Percent of total billed charges		188	90			Percent of total billed charges		211.5	85			Percent of total billed charges		199.75	85			Percent of total billed charges		199.75	85			Percent of total billed charges		199.75	100			Percent of total billed charges		235	100			Percent of total billed charges		235	100			Percent of total billed charges		235	33.3			Percent of total billed charges		78.255	33.3			Percent of total billed charges		78.255	100			Percent of total billed charges		235	78.255	211.5	
endo tracer wire	270	RC	Outpatient			235	152.75		90			Percent of total billed charges		211.5	40			Percent of total billed charges		94	80			Percent of total billed charges		188	90			Percent of total billed charges		211.5	85			Percent of total billed charges		199.75	85			Percent of total billed charges		199.75	85			Percent of total billed charges		199.75	100			Percent of total billed charges		235	100			Percent of total billed charges		235	100			Percent of total billed charges		235	33.3			Percent of total billed charges		78.255	33.3			Percent of total billed charges		78.255	100			Percent of total billed charges		235	78.255	211.5	
ir biopsy subcutaneous tissue	360	RC	Outpatient			235	152.75		90			Percent of total billed charges		211.5	40			Percent of total billed charges		94	80			Percent of total billed charges		188	90			Percent of total billed charges		211.5	85			Percent of total billed charges		199.75	85			Percent of total billed charges		199.75	85			Percent of total billed charges		199.75	100			Percent of total billed charges		235	100			Percent of total billed charges		235	100			Percent of total billed charges		235	33.3			Percent of total billed charges		78.255	33.3			Percent of total billed charges		78.255	100			Percent of total billed charges		235	78.255	211.5	
nester coil 10 x 4.5 263513 cook	278	RC	Outpatient			235	152.75		90			Percent of total billed charges		211.5	40			Percent of total billed charges		94	80			Percent of total billed charges		188	90			Percent of total billed charges		211.5	85			Percent of total billed charges		199.75	85			Percent of total billed charges		199.75	85			Percent of total billed charges		199.75	100			Percent of total billed charges		235	100			Percent of total billed charges		235	100			Percent of total billed charges		235	33.3			Percent of total billed charges		78.255	33.3			Percent of total billed charges		78.255	100			Percent of total billed charges		235	78.255	211.5	
nester coil 10 x 4.5 mwce-35p-14-10 251721 cook	278	RC	Outpatient			235	152.75		90			Percent of total billed charges		211.5	40			Percent of total billed charges		94	80			Percent of total billed charges		188	90			Percent of total billed charges		211.5	85			Percent of total billed charges		199.75	85			Percent of total billed charges		199.75	85			Percent of total billed charges		199.75	100			Percent of total billed charges		235	100			Percent of total billed charges		235	100			Percent of total billed charges		235	33.3			Percent of total billed charges		78.255	33.3			Percent of total billed charges		78.255	100			Percent of total billed charges		235	78.255	211.5	
nester coil 10mm g26991 cook	278	RC	Outpatient			235	152.75		90			Percent of total billed charges		211.5	40			Percent of total billed charges		94	80			Percent of total billed charges		188	90			Percent of total billed charges		211.5	85			Percent of total billed charges		199.75	85			Percent of total billed charges		199.75	85			Percent of total billed charges		199.75	100			Percent of total billed charges		235	100			Percent of total billed charges		235	100			Percent of total billed charges		235	33.3			Percent of total billed charges		78.255	33.3			Percent of total billed charges		78.255	100			Percent of total billed charges		235	78.255	211.5	
nester coil 12 x 3.7 263514 cook	278	RC	Outpatient			235	152.75		90			Percent of total billed charges		211.5	40			Percent of total billed charges		94	80			Percent of total billed charges		188	90			Percent of total billed charges		211.5	85			Percent of total billed charges		199.75	85			Percent of total billed charges		199.75	85			Percent of total billed charges		199.75	100			Percent of total billed charges		235	100			Percent of total billed charges		235	100			Percent of total billed charges		235	33.3			Percent of total billed charges		78.255	33.3			Percent of total billed charges		78.255	100			Percent of total billed charges		235	78.255	211.5	
nester embolization coil platinum mwce-35-14-10 10mm cook	278	RC	Outpatient			235	152.75		90			Percent of total billed charges		211.5	40			Percent of total billed charges		94	80			Percent of total billed charges		188	90			Percent of total billed charges		211.5	85			Percent of total billed charges		199.75	85			Percent of total billed charges		199.75	85			Percent of total billed charges		199.75	100			Percent of total billed charges		235	100			Percent of total billed charges		235	100			Percent of total billed charges		235	33.3			Percent of total billed charges		78.255	33.3			Percent of total billed charges		78.255	100			Percent of total billed charges		235	78.255	211.5	
nester coil 12mm 251722 cook	278	RC	Outpatient			235	152.75		90			Percent of total billed charges		211.5	40			Percent of total billed charges		94	80			Percent of total billed charges		188	90			Percent of total billed charges		211.5	85			Percent of total billed charges		199.75	85			Percent of total billed charges		199.75	85			Percent of total billed charges		199.75	100			Percent of total billed charges		235	100			Percent of total billed charges		235	100			Percent of total billed charges		235	33.3			Percent of total billed charges		78.255	33.3			Percent of total billed charges		78.255	100			Percent of total billed charges		235	78.255	211.5	
nester coil 8 x 5.6 mwce-35p-14-8 251720 cook	278	RC	Outpatient			235	152.75		90			Percent of total billed charges		211.5	40			Percent of total billed charges		94	80			Percent of total billed charges		188	90			Percent of total billed charges		211.5	85			Percent of total billed charges		199.75	85			Percent of total billed charges		199.75	85			Percent of total billed charges		199.75	100			Percent of total billed charges		235	100			Percent of total billed charges		235	100			Percent of total billed charges		235	33.3			Percent of total billed charges		78.255	33.3			Percent of total billed charges		78.255	100			Percent of total billed charges		235	78.255	211.5	
nester/tornado coil	278	RC	Outpatient			235	152.75		90			Percent of total billed charges		211.5	40			Percent of total billed charges		94	80			Percent of total billed charges		188	90			Percent of total billed charges		211.5	85			Percent of total billed charges		199.75	85			Percent of total billed charges		199.75	85			Percent of total billed charges		199.75	100			Percent of total billed charges		235	100			Percent of total billed charges		235	100			Percent of total billed charges		235	33.3			Percent of total billed charges		78.255	33.3			Percent of total billed charges		78.255	100			Percent of total billed charges		235	78.255	211.5	
richards uniplr sleeve +0	278	RC	Outpatient			235	152.75		90			Percent of total billed charges		211.5	40			Percent of total billed charges		94	80			Percent of total billed charges		188	90			Percent of total billed charges		211.5	85			Percent of total billed charges		199.75	85			Percent of total billed charges		199.75	85			Percent of total billed charges		199.75	100			Percent of total billed charges		235	100			Percent of total billed charges		235	100			Percent of total billed charges		235	33.3			Percent of total billed charges		78.255	33.3			Percent of total billed charges		78.255	100			Percent of total billed charges		235	78.255	211.5	
tornado coil mwce-35-7/3 239193 cook	278	RC	Outpatient			235	152.75		90			Percent of total billed charges		211.5	40			Percent of total billed charges		94	80			Percent of total billed charges		188	90			Percent of total billed charges		211.5	85			Percent of total billed charges		199.75	85			Percent of total billed charges		199.75	85			Percent of total billed charges		199.75	100			Percent of total billed charges		235	100			Percent of total billed charges		235	100			Percent of total billed charges		235	33.3			Percent of total billed charges		78.255	33.3			Percent of total billed charges		78.255	100			Percent of total billed charges		235	78.255	211.5	
zimm 2.0 comp plate 7-12	278	RC	Outpatient			235	152.75		90			Percent of total billed charges		211.5	40			Percent of total billed charges		94	80			Percent of total billed charges		188	90			Percent of total billed charges		211.5	85			Percent of total billed charges		199.75	85			Percent of total billed charges		199.75	85			Percent of total billed charges		199.75	100			Percent of total billed charges		235	100			Percent of total billed charges		235	100			Percent of total billed charges		235	33.3			Percent of total billed charges		78.255	33.3			Percent of total billed charges		78.255	100			Percent of total billed charges		235	78.255	211.5	
arthrex suture pass trans	272	RC	Outpatient			237	154.05		90			Percent of total billed charges		213.3	40			Percent of total billed charges		94.8	80			Percent of total billed charges		189.6	90			Percent of total billed charges		213.3	85			Percent of total billed charges		201.45	85			Percent of total billed charges		201.45	85			Percent of total billed charges		201.45	100			Percent of total billed charges		237	100			Percent of total billed charges		237	100			Percent of total billed charges		237	33.3			Percent of total billed charges		78.921	33.3			Percent of total billed charges		78.921	100			Percent of total billed charges		237	78.921	213.3	
arthrex suture passer transosseous ar-1000	272	RC	Outpatient			237	154.05		90			Percent of total billed charges		213.3	40			Percent of total billed charges		94.8	80			Percent of total billed charges		189.6	90			Percent of total billed charges		213.3	85			Percent of total billed charges		201.45	85			Percent of total billed charges		201.45	85			Percent of total billed charges		201.45	100			Percent of total billed charges		237	100			Percent of total billed charges		237	100			Percent of total billed charges		237	33.3			Percent of total billed charges		78.921	33.3			Percent of total billed charges		78.921	100			Percent of total billed charges		237	78.921	213.3	
2.4mm drill bit 100mm 310.530 synthes	270	RC	Outpatient			238	154.7		90			Percent of total billed charges		214.2	40			Percent of total billed charges		95.2	80			Percent of total billed charges		190.4	90			Percent of total billed charges		214.2	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	100			Percent of total billed charges		238	100			Percent of total billed charges		238	100			Percent of total billed charges		238	33.3			Percent of total billed charges		79.254	33.3			Percent of total billed charges		79.254	100			Percent of total billed charges		238	79.254	214.2	
39mm x 16mm trial head sh-t3916 polarus	278	RC	Outpatient			238	154.7		90			Percent of total billed charges		214.2	40			Percent of total billed charges		95.2	80			Percent of total billed charges		190.4	90			Percent of total billed charges		214.2	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	100			Percent of total billed charges		238	100			Percent of total billed charges		238	100			Percent of total billed charges		238	33.3			Percent of total billed charges		79.254	33.3			Percent of total billed charges		79.254	100			Percent of total billed charges		238	79.254	214.2	
43mm x 17mm  trial head sh-t4317 polarus	278	RC	Outpatient			238	154.7		90			Percent of total billed charges		214.2	40			Percent of total billed charges		95.2	80			Percent of total billed charges		190.4	90			Percent of total billed charges		214.2	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	100			Percent of total billed charges		238	100			Percent of total billed charges		238	100			Percent of total billed charges		238	33.3			Percent of total billed charges		79.254	33.3			Percent of total billed charges		79.254	100			Percent of total billed charges		238	79.254	214.2	
47mm x 18mm trial head sh-t4718 polarus	278	RC	Outpatient			238	154.7		90			Percent of total billed charges		214.2	40			Percent of total billed charges		95.2	80			Percent of total billed charges		190.4	90			Percent of total billed charges		214.2	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	100			Percent of total billed charges		238	100			Percent of total billed charges		238	100			Percent of total billed charges		238	33.3			Percent of total billed charges		79.254	33.3			Percent of total billed charges		79.254	100			Percent of total billed charges		238	79.254	214.2	
bi-polar forceps	270	RC	Outpatient			238	154.7		90			Percent of total billed charges		214.2	40			Percent of total billed charges		95.2	80			Percent of total billed charges		190.4	90			Percent of total billed charges		214.2	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	100			Percent of total billed charges		238	100			Percent of total billed charges		238	100			Percent of total billed charges		238	33.3			Percent of total billed charges		79.254	33.3			Percent of total billed charges		79.254	100			Percent of total billed charges		238	79.254	214.2	
bipolar forceps 33cm	270	RC	Outpatient			238	154.7		90			Percent of total billed charges		214.2	40			Percent of total billed charges		95.2	80			Percent of total billed charges		190.4	90			Percent of total billed charges		214.2	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	100			Percent of total billed charges		238	100			Percent of total billed charges		238	100			Percent of total billed charges		238	33.3			Percent of total billed charges		79.254	33.3			Percent of total billed charges		79.254	100			Percent of total billed charges		238	79.254	214.2	
3.0mm guide rod w/smooth tip 950mm sterile 355.041s synthes	270	RC	Outpatient			238	154.7		90			Percent of total billed charges		214.2	40			Percent of total billed charges		95.2	80			Percent of total billed charges		190.4	90			Percent of total billed charges		214.2	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	100			Percent of total billed charges		238	100			Percent of total billed charges		238	100			Percent of total billed charges		238	33.3			Percent of total billed charges		79.254	33.3			Percent of total billed charges		79.254	100			Percent of total billed charges		238	79.254	214.2	
39mm x 20mm trial head sh-t3920 polarus	278	RC	Outpatient			238	154.7		90			Percent of total billed charges		214.2	40			Percent of total billed charges		95.2	80			Percent of total billed charges		190.4	90			Percent of total billed charges		214.2	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	100			Percent of total billed charges		238	100			Percent of total billed charges		238	100			Percent of total billed charges		238	33.3			Percent of total billed charges		79.254	33.3			Percent of total billed charges		79.254	100			Percent of total billed charges		238	79.254	214.2	
43mm x 21mm trial head sh-t4321 polarus	278	RC	Outpatient			238	154.7		90			Percent of total billed charges		214.2	40			Percent of total billed charges		95.2	80			Percent of total billed charges		190.4	90			Percent of total billed charges		214.2	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	100			Percent of total billed charges		238	100			Percent of total billed charges		238	100			Percent of total billed charges		238	33.3			Percent of total billed charges		79.254	33.3			Percent of total billed charges		79.254	100			Percent of total billed charges		238	79.254	214.2	
47mm x 22mm trial head sh-t4722 polarus	278	RC	Outpatient			238	154.7		90			Percent of total billed charges		214.2	40			Percent of total billed charges		95.2	80			Percent of total billed charges		190.4	90			Percent of total billed charges		214.2	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	100			Percent of total billed charges		238	100			Percent of total billed charges		238	100			Percent of total billed charges		238	33.3			Percent of total billed charges		79.254	33.3			Percent of total billed charges		79.254	100			Percent of total billed charges		238	79.254	214.2	
51mm x 19mm trial head sh-t5119 polarus	278	RC	Outpatient			238	154.7		90			Percent of total billed charges		214.2	40			Percent of total billed charges		95.2	80			Percent of total billed charges		190.4	90			Percent of total billed charges		214.2	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	100			Percent of total billed charges		238	100			Percent of total billed charges		238	100			Percent of total billed charges		238	33.3			Percent of total billed charges		79.254	33.3			Percent of total billed charges		79.254	100			Percent of total billed charges		238	79.254	214.2	
51mm x 23mm shoulder sh-t5123 polarus	278	RC	Outpatient			238	154.7		90			Percent of total billed charges		214.2	40			Percent of total billed charges		95.2	80			Percent of total billed charges		190.4	90			Percent of total billed charges		214.2	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	100			Percent of total billed charges		238	100			Percent of total billed charges		238	100			Percent of total billed charges		238	33.3			Percent of total billed charges		79.254	33.3			Percent of total billed charges		79.254	100			Percent of total billed charges		238	79.254	214.2	
kleppinger forcep insert es7310-34	270	RC	Outpatient			238	154.7		90			Percent of total billed charges		214.2	40			Percent of total billed charges		95.2	80			Percent of total billed charges		190.4	90			Percent of total billed charges		214.2	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	100			Percent of total billed charges		238	100			Percent of total billed charges		238	100			Percent of total billed charges		238	33.3			Percent of total billed charges		79.254	33.3			Percent of total billed charges		79.254	100			Percent of total billed charges		238	79.254	214.2	
locking screw 2.3 x 10mm 52-23610 stryker	278	RC	Outpatient			238	154.7		90			Percent of total billed charges		214.2	40			Percent of total billed charges		95.2	80			Percent of total billed charges		190.4	90			Percent of total billed charges		214.2	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	100			Percent of total billed charges		238	100			Percent of total billed charges		238	100			Percent of total billed charges		238	33.3			Percent of total billed charges		79.254	33.3			Percent of total billed charges		79.254	100			Percent of total billed charges		238	79.254	214.2	
locking screw 2.3 x 12mm 52-23612 stryker	278	RC	Outpatient			238	154.7		90			Percent of total billed charges		214.2	40			Percent of total billed charges		95.2	80			Percent of total billed charges		190.4	90			Percent of total billed charges		214.2	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	100			Percent of total billed charges		238	100			Percent of total billed charges		238	100			Percent of total billed charges		238	33.3			Percent of total billed charges		79.254	33.3			Percent of total billed charges		79.254	100			Percent of total billed charges		238	79.254	214.2	
locking screw 2.3 x 20mm 52-23620 stryker	278	RC	Outpatient			238	154.7		90			Percent of total billed charges		214.2	40			Percent of total billed charges		95.2	80			Percent of total billed charges		190.4	90			Percent of total billed charges		214.2	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	100			Percent of total billed charges		238	100			Percent of total billed charges		238	100			Percent of total billed charges		238	33.3			Percent of total billed charges		79.254	33.3			Percent of total billed charges		79.254	100			Percent of total billed charges		238	79.254	214.2	
locking screw 2.3 x 24mm 52-23624 stryker	278	RC	Outpatient			238	154.7		90			Percent of total billed charges		214.2	40			Percent of total billed charges		95.2	80			Percent of total billed charges		190.4	90			Percent of total billed charges		214.2	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	100			Percent of total billed charges		238	100			Percent of total billed charges		238	100			Percent of total billed charges		238	33.3			Percent of total billed charges		79.254	33.3			Percent of total billed charges		79.254	100			Percent of total billed charges		238	79.254	214.2	
locking screw 2.3 x 28mm 52-23628 stryker	278	RC	Outpatient			238	154.7		90			Percent of total billed charges		214.2	40			Percent of total billed charges		95.2	80			Percent of total billed charges		190.4	90			Percent of total billed charges		214.2	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	100			Percent of total billed charges		238	100			Percent of total billed charges		238	100			Percent of total billed charges		238	33.3			Percent of total billed charges		79.254	33.3			Percent of total billed charges		79.254	100			Percent of total billed charges		238	79.254	214.2	
locking screw 2.3 x 30mm 52-23630 stryker	278	RC	Outpatient			238	154.7		90			Percent of total billed charges		214.2	40			Percent of total billed charges		95.2	80			Percent of total billed charges		190.4	90			Percent of total billed charges		214.2	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	100			Percent of total billed charges		238	100			Percent of total billed charges		238	100			Percent of total billed charges		238	33.3			Percent of total billed charges		79.254	33.3			Percent of total billed charges		79.254	100			Percent of total billed charges		238	79.254	214.2	
locking screw 2.3 x 34mm 52-23634 stryker	278	RC	Outpatient			238	154.7		90			Percent of total billed charges		214.2	40			Percent of total billed charges		95.2	80			Percent of total billed charges		190.4	90			Percent of total billed charges		214.2	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	100			Percent of total billed charges		238	100			Percent of total billed charges		238	100			Percent of total billed charges		238	33.3			Percent of total billed charges		79.254	33.3			Percent of total billed charges		79.254	100			Percent of total billed charges		238	79.254	214.2	
locking screw 2.3 x 36mm 52-23636 stryker	278	RC	Outpatient			238	154.7		90			Percent of total billed charges		214.2	40			Percent of total billed charges		95.2	80			Percent of total billed charges		190.4	90			Percent of total billed charges		214.2	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	100			Percent of total billed charges		238	100			Percent of total billed charges		238	100			Percent of total billed charges		238	33.3			Percent of total billed charges		79.254	33.3			Percent of total billed charges		79.254	100			Percent of total billed charges		238	79.254	214.2	
locking screw 2.3 x 38mm 52-23638 stryker	278	RC	Outpatient			238	154.7		90			Percent of total billed charges		214.2	40			Percent of total billed charges		95.2	80			Percent of total billed charges		190.4	90			Percent of total billed charges		214.2	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	100			Percent of total billed charges		238	100			Percent of total billed charges		238	100			Percent of total billed charges		238	33.3			Percent of total billed charges		79.254	33.3			Percent of total billed charges		79.254	100			Percent of total billed charges		238	79.254	214.2	
locking screw 2.7 x 10mm 52-27610 stryker	278	RC	Outpatient			238	154.7		90			Percent of total billed charges		214.2	40			Percent of total billed charges		95.2	80			Percent of total billed charges		190.4	90			Percent of total billed charges		214.2	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	100			Percent of total billed charges		238	100			Percent of total billed charges		238	100			Percent of total billed charges		238	33.3			Percent of total billed charges		79.254	33.3			Percent of total billed charges		79.254	100			Percent of total billed charges		238	79.254	214.2	
locking screw 2.7 x 12mm 52-27612 stryker	278	RC	Outpatient			238	154.7		90			Percent of total billed charges		214.2	40			Percent of total billed charges		95.2	80			Percent of total billed charges		190.4	90			Percent of total billed charges		214.2	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	100			Percent of total billed charges		238	100			Percent of total billed charges		238	100			Percent of total billed charges		238	33.3			Percent of total billed charges		79.254	33.3			Percent of total billed charges		79.254	100			Percent of total billed charges		238	79.254	214.2	
locking screw 2.7 x 14mm 52-27614 stryker	278	RC	Outpatient			238	154.7		90			Percent of total billed charges		214.2	40			Percent of total billed charges		95.2	80			Percent of total billed charges		190.4	90			Percent of total billed charges		214.2	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	100			Percent of total billed charges		238	100			Percent of total billed charges		238	100			Percent of total billed charges		238	33.3			Percent of total billed charges		79.254	33.3			Percent of total billed charges		79.254	100			Percent of total billed charges		238	79.254	214.2	
locking screw 2.7 x 16mm 52-27616 stryker	278	RC	Outpatient			238	154.7		90			Percent of total billed charges		214.2	40			Percent of total billed charges		95.2	80			Percent of total billed charges		190.4	90			Percent of total billed charges		214.2	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	100			Percent of total billed charges		238	100			Percent of total billed charges		238	100			Percent of total billed charges		238	33.3			Percent of total billed charges		79.254	33.3			Percent of total billed charges		79.254	100			Percent of total billed charges		238	79.254	214.2	
locking screw 2.7 x 18mm 52-27618 stryker	278	RC	Outpatient			238	154.7		90			Percent of total billed charges		214.2	40			Percent of total billed charges		95.2	80			Percent of total billed charges		190.4	90			Percent of total billed charges		214.2	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	100			Percent of total billed charges		238	100			Percent of total billed charges		238	100			Percent of total billed charges		238	33.3			Percent of total billed charges		79.254	33.3			Percent of total billed charges		79.254	100			Percent of total billed charges		238	79.254	214.2	
locking screw 2.7 x 20mm 52-27620 stryker	278	RC	Outpatient			238	154.7		90			Percent of total billed charges		214.2	40			Percent of total billed charges		95.2	80			Percent of total billed charges		190.4	90			Percent of total billed charges		214.2	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	100			Percent of total billed charges		238	100			Percent of total billed charges		238	100			Percent of total billed charges		238	33.3			Percent of total billed charges		79.254	33.3			Percent of total billed charges		79.254	100			Percent of total billed charges		238	79.254	214.2	
locking screw 2.7 x 22mm 52-27622 stryker	278	RC	Outpatient			238	154.7		90			Percent of total billed charges		214.2	40			Percent of total billed charges		95.2	80			Percent of total billed charges		190.4	90			Percent of total billed charges		214.2	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	100			Percent of total billed charges		238	100			Percent of total billed charges		238	100			Percent of total billed charges		238	33.3			Percent of total billed charges		79.254	33.3			Percent of total billed charges		79.254	100			Percent of total billed charges		238	79.254	214.2	
locking screw 2.7 x 24mm 52-27624 stryker	278	RC	Outpatient			238	154.7		90			Percent of total billed charges		214.2	40			Percent of total billed charges		95.2	80			Percent of total billed charges		190.4	90			Percent of total billed charges		214.2	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	100			Percent of total billed charges		238	100			Percent of total billed charges		238	100			Percent of total billed charges		238	33.3			Percent of total billed charges		79.254	33.3			Percent of total billed charges		79.254	100			Percent of total billed charges		238	79.254	214.2	
im nail offset reaming wire 3.0 w/st ball tip 351.76 synthes	270	RC	Outpatient			238	154.7		90			Percent of total billed charges		214.2	40			Percent of total billed charges		95.2	80			Percent of total billed charges		190.4	90			Percent of total billed charges		214.2	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	100			Percent of total billed charges		238	100			Percent of total billed charges		238	100			Percent of total billed charges		238	33.3			Percent of total billed charges		79.254	33.3			Percent of total billed charges		79.254	100			Percent of total billed charges		238	79.254	214.2	
locking screw 2.3 x 14mm 52-23614 stryker	278	RC	Outpatient			238	154.7		90			Percent of total billed charges		214.2	40			Percent of total billed charges		95.2	80			Percent of total billed charges		190.4	90			Percent of total billed charges		214.2	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	100			Percent of total billed charges		238	100			Percent of total billed charges		238	100			Percent of total billed charges		238	33.3			Percent of total billed charges		79.254	33.3			Percent of total billed charges		79.254	100			Percent of total billed charges		238	79.254	214.2	
locking screw 2.3 x 16mm 52-23616 stryker	278	RC	Outpatient			238	154.7		90			Percent of total billed charges		214.2	40			Percent of total billed charges		95.2	80			Percent of total billed charges		190.4	90			Percent of total billed charges		214.2	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	100			Percent of total billed charges		238	100			Percent of total billed charges		238	100			Percent of total billed charges		238	33.3			Percent of total billed charges		79.254	33.3			Percent of total billed charges		79.254	100			Percent of total billed charges		238	79.254	214.2	
locking screw 2.3 x 18mm 52-23618 stryker	278	RC	Outpatient			238	154.7		90			Percent of total billed charges		214.2	40			Percent of total billed charges		95.2	80			Percent of total billed charges		190.4	90			Percent of total billed charges		214.2	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	100			Percent of total billed charges		238	100			Percent of total billed charges		238	100			Percent of total billed charges		238	33.3			Percent of total billed charges		79.254	33.3			Percent of total billed charges		79.254	100			Percent of total billed charges		238	79.254	214.2	
locking screw 2.3 x 22mm 52-23622 stryker	278	RC	Outpatient			238	154.7		90			Percent of total billed charges		214.2	40			Percent of total billed charges		95.2	80			Percent of total billed charges		190.4	90			Percent of total billed charges		214.2	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	100			Percent of total billed charges		238	100			Percent of total billed charges		238	100			Percent of total billed charges		238	33.3			Percent of total billed charges		79.254	33.3			Percent of total billed charges		79.254	100			Percent of total billed charges		238	79.254	214.2	
locking screw 2.3 x 26mm 52-236126stryker	278	RC	Outpatient			238	154.7		90			Percent of total billed charges		214.2	40			Percent of total billed charges		95.2	80			Percent of total billed charges		190.4	90			Percent of total billed charges		214.2	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	100			Percent of total billed charges		238	100			Percent of total billed charges		238	100			Percent of total billed charges		238	33.3			Percent of total billed charges		79.254	33.3			Percent of total billed charges		79.254	100			Percent of total billed charges		238	79.254	214.2	
locking screw 2.3 x 32mm 52-23632 stryker	278	RC	Outpatient			238	154.7		90			Percent of total billed charges		214.2	40			Percent of total billed charges		95.2	80			Percent of total billed charges		190.4	90			Percent of total billed charges		214.2	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	100			Percent of total billed charges		238	100			Percent of total billed charges		238	100			Percent of total billed charges		238	33.3			Percent of total billed charges		79.254	33.3			Percent of total billed charges		79.254	100			Percent of total billed charges		238	79.254	214.2	
locking screw 2.7 x 26mm 52-27626 stryker	278	RC	Outpatient			238	154.7		90			Percent of total billed charges		214.2	40			Percent of total billed charges		95.2	80			Percent of total billed charges		190.4	90			Percent of total billed charges		214.2	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	100			Percent of total billed charges		238	100			Percent of total billed charges		238	100			Percent of total billed charges		238	33.3			Percent of total billed charges		79.254	33.3			Percent of total billed charges		79.254	100			Percent of total billed charges		238	79.254	214.2	
polarus trial head	278	RC	Outpatient			238	154.7		90			Percent of total billed charges		214.2	40			Percent of total billed charges		95.2	80			Percent of total billed charges		190.4	90			Percent of total billed charges		214.2	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	100			Percent of total billed charges		238	100			Percent of total billed charges		238	100			Percent of total billed charges		238	33.3			Percent of total billed charges		79.254	33.3			Percent of total billed charges		79.254	100			Percent of total billed charges		238	79.254	214.2	
stryker tibial sizer 5555-4600	272	RC	Outpatient			238	154.7		90			Percent of total billed charges		214.2	40			Percent of total billed charges		95.2	80			Percent of total billed charges		190.4	90			Percent of total billed charges		214.2	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	100			Percent of total billed charges		238	100			Percent of total billed charges		238	100			Percent of total billed charges		238	33.3			Percent of total billed charges		79.254	33.3			Percent of total billed charges		79.254	100			Percent of total billed charges		238	79.254	214.2	
syn 2.4 drill bit	270	RC	Outpatient			238	154.7		90			Percent of total billed charges		214.2	40			Percent of total billed charges		95.2	80			Percent of total billed charges		190.4	90			Percent of total billed charges		214.2	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	100			Percent of total billed charges		238	100			Percent of total billed charges		238	100			Percent of total billed charges		238	33.3			Percent of total billed charges		79.254	33.3			Percent of total billed charges		79.254	100			Percent of total billed charges		238	79.254	214.2	
syn reaming wire	270	RC	Outpatient			238	154.7		90			Percent of total billed charges		214.2	40			Percent of total billed charges		95.2	80			Percent of total billed charges		190.4	90			Percent of total billed charges		214.2	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	100			Percent of total billed charges		238	100			Percent of total billed charges		238	100			Percent of total billed charges		238	33.3			Percent of total billed charges		79.254	33.3			Percent of total billed charges		79.254	100			Percent of total billed charges		238	79.254	214.2	
stryker screw 2.7/2.3 lck	278	RC	Outpatient			238	154.7		90			Percent of total billed charges		214.2	40			Percent of total billed charges		95.2	80			Percent of total billed charges		190.4	90			Percent of total billed charges		214.2	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	100			Percent of total billed charges		238	100			Percent of total billed charges		238	100			Percent of total billed charges		238	33.3			Percent of total billed charges		79.254	33.3			Percent of total billed charges		79.254	100			Percent of total billed charges		238	79.254	214.2	
syn 3.0 guide rod	270	RC	Outpatient			238	154.7		90			Percent of total billed charges		214.2	40			Percent of total billed charges		95.2	80			Percent of total billed charges		190.4	90			Percent of total billed charges		214.2	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	100			Percent of total billed charges		238	100			Percent of total billed charges		238	100			Percent of total billed charges		238	33.3			Percent of total billed charges		79.254	33.3			Percent of total billed charges		79.254	100			Percent of total billed charges		238	79.254	214.2	
tip bipolar 392022	270	RC	Outpatient			238	154.7		90			Percent of total billed charges		214.2	40			Percent of total billed charges		95.2	80			Percent of total billed charges		190.4	90			Percent of total billed charges		214.2	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	100			Percent of total billed charges		238	100			Percent of total billed charges		238	100			Percent of total billed charges		238	33.3			Percent of total billed charges		79.254	33.3			Percent of total billed charges		79.254	100			Percent of total billed charges		238	79.254	214.2	
triathlon tib sizers	272	RC	Outpatient			238	154.7		90			Percent of total billed charges		214.2	40			Percent of total billed charges		95.2	80			Percent of total billed charges		190.4	90			Percent of total billed charges		214.2	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	85			Percent of total billed charges		202.3	100			Percent of total billed charges		238	100			Percent of total billed charges		238	100			Percent of total billed charges		238	33.3			Percent of total billed charges		79.254	33.3			Percent of total billed charges		79.254	100			Percent of total billed charges		238	79.254	214.2	
2.0mm dcp plates 6 hole 243.56 synthes	278	RC	Outpatient			239	155.35		90			Percent of total billed charges		215.1	40			Percent of total billed charges		95.6	80			Percent of total billed charges		191.2	90			Percent of total billed charges		215.1	85			Percent of total billed charges		203.15	85			Percent of total billed charges		203.15	85			Percent of total billed charges		203.15	100			Percent of total billed charges		239	100			Percent of total billed charges		239	100			Percent of total billed charges		239	33.3			Percent of total billed charges		79.587	33.3			Percent of total billed charges		79.587	100			Percent of total billed charges		239	79.587	215.1	
2.0mm dcp plates 7 hole 243.57 synthes	278	RC	Outpatient			239	155.35		90			Percent of total billed charges		215.1	40			Percent of total billed charges		95.6	80			Percent of total billed charges		191.2	90			Percent of total billed charges		215.1	85			Percent of total billed charges		203.15	85			Percent of total billed charges		203.15	85			Percent of total billed charges		203.15	100			Percent of total billed charges		239	100			Percent of total billed charges		239	100			Percent of total billed charges		239	33.3			Percent of total billed charges		79.587	33.3			Percent of total billed charges		79.587	100			Percent of total billed charges		239	79.587	215.1	
3.5mm dcp plate 7 hole 248.07	278	RC	Outpatient			239	155.35		90			Percent of total billed charges		215.1	40			Percent of total billed charges		95.6	80			Percent of total billed charges		191.2	90			Percent of total billed charges		215.1	85			Percent of total billed charges		203.15	85			Percent of total billed charges		203.15	85			Percent of total billed charges		203.15	100			Percent of total billed charges		239	100			Percent of total billed charges		239	100			Percent of total billed charges		239	33.3			Percent of total billed charges		79.587	33.3			Percent of total billed charges		79.587	100			Percent of total billed charges		239	79.587	215.1	
3.5mm dcp plate 8 hole 248.08	278	RC	Outpatient			239	155.35		90			Percent of total billed charges		215.1	40			Percent of total billed charges		95.6	80			Percent of total billed charges		191.2	90			Percent of total billed charges		215.1	85			Percent of total billed charges		203.15	85			Percent of total billed charges		203.15	85			Percent of total billed charges		203.15	100			Percent of total billed charges		239	100			Percent of total billed charges		239	100			Percent of total billed charges		239	33.3			Percent of total billed charges		79.587	33.3			Percent of total billed charges		79.587	100			Percent of total billed charges		239	79.587	215.1	
4.5mm narrow lc-dpc plate 7 hole 124mm 224.57	278	RC	Outpatient			239	155.35		90			Percent of total billed charges		215.1	40			Percent of total billed charges		95.6	80			Percent of total billed charges		191.2	90			Percent of total billed charges		215.1	85			Percent of total billed charges		203.15	85			Percent of total billed charges		203.15	85			Percent of total billed charges		203.15	100			Percent of total billed charges		239	100			Percent of total billed charges		239	100			Percent of total billed charges		239	33.3			Percent of total billed charges		79.587	33.3			Percent of total billed charges		79.587	100			Percent of total billed charges		239	79.587	215.1	
acumed 2.3 lck peg	278	RC	Outpatient			239	155.35		90			Percent of total billed charges		215.1	40			Percent of total billed charges		95.6	80			Percent of total billed charges		191.2	90			Percent of total billed charges		215.1	85			Percent of total billed charges		203.15	85			Percent of total billed charges		203.15	85			Percent of total billed charges		203.15	100			Percent of total billed charges		239	100			Percent of total billed charges		239	100			Percent of total billed charges		239	33.3			Percent of total billed charges		79.587	33.3			Percent of total billed charges		79.587	100			Percent of total billed charges		239	79.587	215.1	
3.5mm dcp plate 9 hole 248.09	278	RC	Outpatient			239	155.35		90			Percent of total billed charges		215.1	40			Percent of total billed charges		95.6	80			Percent of total billed charges		191.2	90			Percent of total billed charges		215.1	85			Percent of total billed charges		203.15	85			Percent of total billed charges		203.15	85			Percent of total billed charges		203.15	100			Percent of total billed charges		239	100			Percent of total billed charges		239	100			Percent of total billed charges		239	33.3			Percent of total billed charges		79.587	33.3			Percent of total billed charges		79.587	100			Percent of total billed charges		239	79.587	215.1	
4.5mm broad dcp plate 7 hole 226.07	278	RC	Outpatient			239	155.35		90			Percent of total billed charges		215.1	40			Percent of total billed charges		95.6	80			Percent of total billed charges		191.2	90			Percent of total billed charges		215.1	85			Percent of total billed charges		203.15	85			Percent of total billed charges		203.15	85			Percent of total billed charges		203.15	100			Percent of total billed charges		239	100			Percent of total billed charges		239	100			Percent of total billed charges		239	33.3			Percent of total billed charges		79.587	33.3			Percent of total billed charges		79.587	100			Percent of total billed charges		239	79.587	215.1	
4.5mm narrow dcp plate 6 hole 103mm 224.06	278	RC	Outpatient			239	155.35		90			Percent of total billed charges		215.1	40			Percent of total billed charges		95.6	80			Percent of total billed charges		191.2	90			Percent of total billed charges		215.1	85			Percent of total billed charges		203.15	85			Percent of total billed charges		203.15	85			Percent of total billed charges		203.15	100			Percent of total billed charges		239	100			Percent of total billed charges		239	100			Percent of total billed charges		239	33.3			Percent of total billed charges		79.587	33.3			Percent of total billed charges		79.587	100			Percent of total billed charges		239	79.587	215.1	
4.5mm narrow dcp plate 6 hole 224.06	278	RC	Outpatient			239	155.35		90			Percent of total billed charges		215.1	40			Percent of total billed charges		95.6	80			Percent of total billed charges		191.2	90			Percent of total billed charges		215.1	85			Percent of total billed charges		203.15	85			Percent of total billed charges		203.15	85			Percent of total billed charges		203.15	100			Percent of total billed charges		239	100			Percent of total billed charges		239	100			Percent of total billed charges		239	33.3			Percent of total billed charges		79.587	33.3			Percent of total billed charges		79.587	100			Percent of total billed charges		239	79.587	215.1	
4.5mm narrow dcp plate 7 hole 119mm 224.07	278	RC	Outpatient			239	155.35		90			Percent of total billed charges		215.1	40			Percent of total billed charges		95.6	80			Percent of total billed charges		191.2	90			Percent of total billed charges		215.1	85			Percent of total billed charges		203.15	85			Percent of total billed charges		203.15	85			Percent of total billed charges		203.15	100			Percent of total billed charges		239	100			Percent of total billed charges		239	100			Percent of total billed charges		239	33.3			Percent of total billed charges		79.587	33.3			Percent of total billed charges		79.587	100			Percent of total billed charges		239	79.587	215.1	
4.5mm narrow dcp plate 7 hole 224.07	278	RC	Outpatient			239	155.35		90			Percent of total billed charges		215.1	40			Percent of total billed charges		95.6	80			Percent of total billed charges		191.2	90			Percent of total billed charges		215.1	85			Percent of total billed charges		203.15	85			Percent of total billed charges		203.15	85			Percent of total billed charges		203.15	100			Percent of total billed charges		239	100			Percent of total billed charges		239	100			Percent of total billed charges		239	33.3			Percent of total billed charges		79.587	33.3			Percent of total billed charges		79.587	100			Percent of total billed charges		239	79.587	215.1	
4.5mm narrow lc-dpc plate 6 hole 106mm 224.56	278	RC	Outpatient			239	155.35		90			Percent of total billed charges		215.1	40			Percent of total billed charges		95.6	80			Percent of total billed charges		191.2	90			Percent of total billed charges		215.1	85			Percent of total billed charges		203.15	85			Percent of total billed charges		203.15	85			Percent of total billed charges		203.15	100			Percent of total billed charges		239	100			Percent of total billed charges		239	100			Percent of total billed charges		239	33.3			Percent of total billed charges		79.587	33.3			Percent of total billed charges		79.587	100			Percent of total billed charges		239	79.587	215.1	
imp plate 7 hole x 103mm 222.07	278	RC	Outpatient			239	155.35		90			Percent of total billed charges		215.1	40			Percent of total billed charges		95.6	80			Percent of total billed charges		191.2	90			Percent of total billed charges		215.1	85			Percent of total billed charges		203.15	85			Percent of total billed charges		203.15	85			Percent of total billed charges		203.15	100			Percent of total billed charges		239	100			Percent of total billed charges		239	100			Percent of total billed charges		239	33.3			Percent of total billed charges		79.587	33.3			Percent of total billed charges		79.587	100			Percent of total billed charges		239	79.587	215.1	
locking peg 2.3 x 12mm co-s2312 acumed	278	RC	Outpatient			239	155.35		90			Percent of total billed charges		215.1	40			Percent of total billed charges		95.6	80			Percent of total billed charges		191.2	90			Percent of total billed charges		215.1	85			Percent of total billed charges		203.15	85			Percent of total billed charges		203.15	85			Percent of total billed charges		203.15	100			Percent of total billed charges		239	100			Percent of total billed charges		239	100			Percent of total billed charges		239	33.3			Percent of total billed charges		79.587	33.3			Percent of total billed charges		79.587	100			Percent of total billed charges		239	79.587	215.1	
locking peg 2.3 x 16mm co-s2316 acumed	278	RC	Outpatient			239	155.35		90			Percent of total billed charges		215.1	40			Percent of total billed charges		95.6	80			Percent of total billed charges		191.2	90			Percent of total billed charges		215.1	85			Percent of total billed charges		203.15	85			Percent of total billed charges		203.15	85			Percent of total billed charges		203.15	100			Percent of total billed charges		239	100			Percent of total billed charges		239	100			Percent of total billed charges		239	33.3			Percent of total billed charges		79.587	33.3			Percent of total billed charges		79.587	100			Percent of total billed charges		239	79.587	215.1	
locking peg 2.3 x 20mm co-s2320 acumed	278	RC	Outpatient			239	155.35		90			Percent of total billed charges		215.1	40			Percent of total billed charges		95.6	80			Percent of total billed charges		191.2	90			Percent of total billed charges		215.1	85			Percent of total billed charges		203.15	85			Percent of total billed charges		203.15	85			Percent of total billed charges		203.15	100			Percent of total billed charges		239	100			Percent of total billed charges		239	100			Percent of total billed charges		239	33.3			Percent of total billed charges		79.587	33.3			Percent of total billed charges		79.587	100			Percent of total billed charges		239	79.587	215.1	
locking peg 2.3 x 26mm co-s2326 acumed	278	RC	Outpatient			239	155.35		90			Percent of total billed charges		215.1	40			Percent of total billed charges		95.6	80			Percent of total billed charges		191.2	90			Percent of total billed charges		215.1	85			Percent of total billed charges		203.15	85			Percent of total billed charges		203.15	85			Percent of total billed charges		203.15	100			Percent of total billed charges		239	100			Percent of total billed charges		239	100			Percent of total billed charges		239	33.3			Percent of total billed charges		79.587	33.3			Percent of total billed charges		79.587	100			Percent of total billed charges		239	79.587	215.1	
locking peg 2.3 x 28mm co-s2328 acumed	278	RC	Outpatient			239	155.35		90			Percent of total billed charges		215.1	40			Percent of total billed charges		95.6	80			Percent of total billed charges		191.2	90			Percent of total billed charges		215.1	85			Percent of total billed charges		203.15	85			Percent of total billed charges		203.15	85			Percent of total billed charges		203.15	100			Percent of total billed charges		239	100			Percent of total billed charges		239	100			Percent of total billed charges		239	33.3			Percent of total billed charges		79.587	33.3			Percent of total billed charges		79.587	100			Percent of total billed charges		239	79.587	215.1	
imp plate 5 hole x 103mm 222.05	278	RC	Outpatient			239	155.35		90			Percent of total billed charges		215.1	40			Percent of total billed charges		95.6	80			Percent of total billed charges		191.2	90			Percent of total billed charges		215.1	85			Percent of total billed charges		203.15	85			Percent of total billed charges		203.15	85			Percent of total billed charges		203.15	100			Percent of total billed charges		239	100			Percent of total billed charges		239	100			Percent of total billed charges		239	33.3			Percent of total billed charges		79.587	33.3			Percent of total billed charges		79.587	100			Percent of total billed charges		239	79.587	215.1	
imp plate 6 hole 3.5mm lc-dcp 223.56	278	RC	Outpatient			239	155.35		90			Percent of total billed charges		215.1	40			Percent of total billed charges		95.6	80			Percent of total billed charges		191.2	90			Percent of total billed charges		215.1	85			Percent of total billed charges		203.15	85			Percent of total billed charges		203.15	85			Percent of total billed charges		203.15	100			Percent of total billed charges		239	100			Percent of total billed charges		239	100			Percent of total billed charges		239	33.3			Percent of total billed charges		79.587	33.3			Percent of total billed charges		79.587	100			Percent of total billed charges		239	79.587	215.1	
locking peg 2.3 x 10mm co-s2310 acumed	278	RC	Outpatient			239	155.35		90			Percent of total billed charges		215.1	40			Percent of total billed charges		95.6	80			Percent of total billed charges		191.2	90			Percent of total billed charges		215.1	85			Percent of total billed charges		203.15	85			Percent of total billed charges		203.15	85			Percent of total billed charges		203.15	100			Percent of total billed charges		239	100			Percent of total billed charges		239	100			Percent of total billed charges		239	33.3			Percent of total billed charges		79.587	33.3			Percent of total billed charges		79.587	100			Percent of total billed charges		239	79.587	215.1	
locking peg 2.3 x 14mm co-s2314 acumed	278	RC	Outpatient			239	155.35		90			Percent of total billed charges		215.1	40			Percent of total billed charges		95.6	80			Percent of total billed charges		191.2	90			Percent of total billed charges		215.1	85			Percent of total billed charges		203.15	85			Percent of total billed charges		203.15	85			Percent of total billed charges		203.15	100			Percent of total billed charges		239	100			Percent of total billed charges		239	100			Percent of total billed charges		239	33.3			Percent of total billed charges		79.587	33.3			Percent of total billed charges		79.587	100			Percent of total billed charges		239	79.587	215.1	
locking peg 2.3 x 18mm co-s2318 acumed	278	RC	Outpatient			239	155.35		90			Percent of total billed charges		215.1	40			Percent of total billed charges		95.6	80			Percent of total billed charges		191.2	90			Percent of total billed charges		215.1	85			Percent of total billed charges		203.15	85			Percent of total billed charges		203.15	85			Percent of total billed charges		203.15	100			Percent of total billed charges		239	100			Percent of total billed charges		239	100			Percent of total billed charges		239	33.3			Percent of total billed charges		79.587	33.3			Percent of total billed charges		79.587	100			Percent of total billed charges		239	79.587	215.1	
locking peg 2.3 x 22mm co-s2322 acumed	278	RC	Outpatient			239	155.35		90			Percent of total billed charges		215.1	40			Percent of total billed charges		95.6	80			Percent of total billed charges		191.2	90			Percent of total billed charges		215.1	85			Percent of total billed charges		203.15	85			Percent of total billed charges		203.15	85			Percent of total billed charges		203.15	100			Percent of total billed charges		239	100			Percent of total billed charges		239	100			Percent of total billed charges		239	33.3			Percent of total billed charges		79.587	33.3			Percent of total billed charges		79.587	100			Percent of total billed charges		239	79.587	215.1	
locking peg 2.3 x 24mm co-s2324 acumed	278	RC	Outpatient			239	155.35		90			Percent of total billed charges		215.1	40			Percent of total billed charges		95.6	80			Percent of total billed charges		191.2	90			Percent of total billed charges		215.1	85			Percent of total billed charges		203.15	85			Percent of total billed charges		203.15	85			Percent of total billed charges		203.15	100			Percent of total billed charges		239	100			Percent of total billed charges		239	100			Percent of total billed charges		239	33.3			Percent of total billed charges		79.587	33.3			Percent of total billed charges		79.587	100			Percent of total billed charges		239	79.587	215.1	
locking peg 2.3 x 8mm co-s2308 acumed	278	RC	Outpatient			239	155.35		90			Percent of total billed charges		215.1	40			Percent of total billed charges		95.6	80			Percent of total billed charges		191.2	90			Percent of total billed charges		215.1	85			Percent of total billed charges		203.15	85			Percent of total billed charges		203.15	85			Percent of total billed charges		203.15	100			Percent of total billed charges		239	100			Percent of total billed charges		239	100			Percent of total billed charges		239	33.3			Percent of total billed charges		79.587	33.3			Percent of total billed charges		79.587	100			Percent of total billed charges		239	79.587	215.1	
plate dcp 2.7 x 76mm 6 hole 244.06	278	RC	Outpatient			239	155.35		90			Percent of total billed charges		215.1	40			Percent of total billed charges		95.6	80			Percent of total billed charges		191.2	90			Percent of total billed charges		215.1	85			Percent of total billed charges		203.15	85			Percent of total billed charges		203.15	85			Percent of total billed charges		203.15	100			Percent of total billed charges		239	100			Percent of total billed charges		239	100			Percent of total billed charges		239	33.3			Percent of total billed charges		79.587	33.3			Percent of total billed charges		79.587	100			Percent of total billed charges		239	79.587	215.1	
plate dcp 2.7 x 76mm 7 hole 244.07	278	RC	Outpatient			239	155.35		90			Percent of total billed charges		215.1	40			Percent of total billed charges		95.6	80			Percent of total billed charges		191.2	90			Percent of total billed charges		215.1	85			Percent of total billed charges		203.15	85			Percent of total billed charges		203.15	85			Percent of total billed charges		203.15	100			Percent of total billed charges		239	100			Percent of total billed charges		239	100			Percent of total billed charges		239	33.3			Percent of total billed charges		79.587	33.3			Percent of total billed charges		79.587	100			Percent of total billed charges		239	79.587	215.1	
plate lc-dcp 3.5 7hole 90mm 223.57	278	RC	Outpatient			239	155.35		90			Percent of total billed charges		215.1	40			Percent of total billed charges		95.6	80			Percent of total billed charges		191.2	90			Percent of total billed charges		215.1	85			Percent of total billed charges		203.15	85			Percent of total billed charges		203.15	85			Percent of total billed charges		203.15	100			Percent of total billed charges		239	100			Percent of total billed charges		239	100			Percent of total billed charges		239	33.3			Percent of total billed charges		79.587	33.3			Percent of total billed charges		79.587	100			Percent of total billed charges		239	79.587	215.1	
syn plate dcp 6-7 hole	278	RC	Outpatient			239	155.35		90			Percent of total billed charges		215.1	40			Percent of total billed charges		95.6	80			Percent of total billed charges		191.2	90			Percent of total billed charges		215.1	85			Percent of total billed charges		203.15	85			Percent of total billed charges		203.15	85			Percent of total billed charges		203.15	100			Percent of total billed charges		239	100			Percent of total billed charges		239	100			Percent of total billed charges		239	33.3			Percent of total billed charges		79.587	33.3			Percent of total billed charges		79.587	100			Percent of total billed charges		239	79.587	215.1	
essential blade curved 15	270	RC	Outpatient			240	156		90			Percent of total billed charges		216	40			Percent of total billed charges		96	80			Percent of total billed charges		192	90			Percent of total billed charges		216	85			Percent of total billed charges		204	85			Percent of total billed charges		204	85			Percent of total billed charges		204	100			Percent of total billed charges		240	100			Percent of total billed charges		240	100			Percent of total billed charges		240	33.3			Percent of total billed charges		79.92	33.3			Percent of total billed charges		79.92	100			Percent of total billed charges		240	79.92	216	
dbx putty 0.5 cc	278	RC	Outpatient			240	156		90			Percent of total billed charges		216	40			Percent of total billed charges		96	80			Percent of total billed charges		192	90			Percent of total billed charges		216	85			Percent of total billed charges		204	85			Percent of total billed charges		204	85			Percent of total billed charges		204	100			Percent of total billed charges		240	100			Percent of total billed charges		240	100			Percent of total billed charges		240	33.3			Percent of total billed charges		79.92	33.3			Percent of total billed charges		79.92	100			Percent of total billed charges		240	79.92	216	
peri-loc pf pin	272	RC	Outpatient			240	156		90			Percent of total billed charges		216	40			Percent of total billed charges		96	80			Percent of total billed charges		192	90			Percent of total billed charges		216	85			Percent of total billed charges		204	85			Percent of total billed charges		204	85			Percent of total billed charges		204	100			Percent of total billed charges		240	100			Percent of total billed charges		240	100			Percent of total billed charges		240	33.3			Percent of total billed charges		79.92	33.3			Percent of total billed charges		79.92	100			Percent of total billed charges		240	79.92	216	
putty dbx 0.5cc 038005  mtf	278	RC	Outpatient			240	156		90			Percent of total billed charges		216	40			Percent of total billed charges		96	80			Percent of total billed charges		192	90			Percent of total billed charges		216	85			Percent of total billed charges		204	85			Percent of total billed charges		204	85			Percent of total billed charges		204	100			Percent of total billed charges		240	100			Percent of total billed charges		240	100			Percent of total billed charges		240	33.3			Percent of total billed charges		79.92	33.3			Percent of total billed charges		79.92	100			Percent of total billed charges		240	79.92	216	
pf pin 18mm 2.0 71173320 s/n	272	RC	Outpatient			240	156		90			Percent of total billed charges		216	40			Percent of total billed charges		96	80			Percent of total billed charges		192	90			Percent of total billed charges		216	85			Percent of total billed charges		204	85			Percent of total billed charges		204	85			Percent of total billed charges		204	100			Percent of total billed charges		240	100			Percent of total billed charges		240	100			Percent of total billed charges		240	33.3			Percent of total billed charges		79.92	33.3			Percent of total billed charges		79.92	100			Percent of total billed charges		240	79.92	216	
pf pin 18mm 3.5 71173324 s/n	272	RC	Outpatient			240	156		90			Percent of total billed charges		216	40			Percent of total billed charges		96	80			Percent of total billed charges		192	90			Percent of total billed charges		216	85			Percent of total billed charges		204	85			Percent of total billed charges		204	85			Percent of total billed charges		204	100			Percent of total billed charges		240	100			Percent of total billed charges		240	100			Percent of total billed charges		240	33.3			Percent of total billed charges		79.92	33.3			Percent of total billed charges		79.92	100			Percent of total billed charges		240	79.92	216	
"xodus medical pink pad xl, positioning kit ref 40584"	270	RC	Outpatient			240.9	156.59		90			Percent of total billed charges		216.81	40			Percent of total billed charges		96.36	80			Percent of total billed charges		192.72	90			Percent of total billed charges		216.81	85			Percent of total billed charges		204.765	85			Percent of total billed charges		204.765	85			Percent of total billed charges		204.765	100			Percent of total billed charges		240.9	100			Percent of total billed charges		240.9	100			Percent of total billed charges		240.9	33.3			Percent of total billed charges		80.2197	33.3			Percent of total billed charges		80.2197	100			Percent of total billed charges		240.9	80.2197	216.81	
acufex clear-trac cannula	270	RC	Outpatient			241	156.65		90			Percent of total billed charges		216.9	40			Percent of total billed charges		96.4	80			Percent of total billed charges		192.8	90			Percent of total billed charges		216.9	85			Percent of total billed charges		204.85	85			Percent of total billed charges		204.85	85			Percent of total billed charges		204.85	100			Percent of total billed charges		241	100			Percent of total billed charges		241	100			Percent of total billed charges		241	33.3			Percent of total billed charges		80.253	33.3			Percent of total billed charges		80.253	100			Percent of total billed charges		241	80.253	216.9	
cath picc line 5fr 5-501	270	RC	Outpatient			241	156.65		90			Percent of total billed charges		216.9	40			Percent of total billed charges		96.4	80			Percent of total billed charges		192.8	90			Percent of total billed charges		216.9	85			Percent of total billed charges		204.85	85			Percent of total billed charges		204.85	85			Percent of total billed charges		204.85	100			Percent of total billed charges		241	100			Percent of total billed charges		241	100			Percent of total billed charges		241	33.3			Percent of total billed charges		80.253	33.3			Percent of total billed charges		80.253	100			Percent of total billed charges		241	80.253	216.9	
cannula clear trac 8mm 014718	270	RC	Outpatient			241	156.65		90			Percent of total billed charges		216.9	40			Percent of total billed charges		96.4	80			Percent of total billed charges		192.8	90			Percent of total billed charges		216.9	85			Percent of total billed charges		204.85	85			Percent of total billed charges		204.85	85			Percent of total billed charges		204.85	100			Percent of total billed charges		241	100			Percent of total billed charges		241	100			Percent of total billed charges		241	33.3			Percent of total billed charges		80.253	33.3			Percent of total billed charges		80.253	100			Percent of total billed charges		241	80.253	216.9	
cath picc line 5fr single	270	RC	Outpatient			241	156.65		90			Percent of total billed charges		216.9	40			Percent of total billed charges		96.4	80			Percent of total billed charges		192.8	90			Percent of total billed charges		216.9	85			Percent of total billed charges		204.85	85			Percent of total billed charges		204.85	85			Percent of total billed charges		204.85	100			Percent of total billed charges		241	100			Percent of total billed charges		241	100			Percent of total billed charges		241	33.3			Percent of total billed charges		80.253	33.3			Percent of total billed charges		80.253	100			Percent of total billed charges		241	80.253	216.9	
endo minnesota tube (blakemore)	270	RC	Outpatient			241	156.65		90			Percent of total billed charges		216.9	40			Percent of total billed charges		96.4	80			Percent of total billed charges		192.8	90			Percent of total billed charges		216.9	85			Percent of total billed charges		204.85	85			Percent of total billed charges		204.85	85			Percent of total billed charges		204.85	100			Percent of total billed charges		241	100			Percent of total billed charges		241	100			Percent of total billed charges		241	33.3			Percent of total billed charges		80.253	33.3			Percent of total billed charges		80.253	100			Percent of total billed charges		241	80.253	216.9	
mitek 2.7 trocar tip drill pin 213713 depuy	272	RC	Outpatient			241	156.65		90			Percent of total billed charges		216.9	40			Percent of total billed charges		96.4	80			Percent of total billed charges		192.8	90			Percent of total billed charges		216.9	85			Percent of total billed charges		204.85	85			Percent of total billed charges		204.85	85			Percent of total billed charges		204.85	100			Percent of total billed charges		241	100			Percent of total billed charges		241	100			Percent of total billed charges		241	33.3			Percent of total billed charges		80.253	33.3			Percent of total billed charges		80.253	100			Percent of total billed charges		241	80.253	216.9	
pall leukocyte fltr-plate	270	RC	Outpatient			241	156.65		90			Percent of total billed charges		216.9	40			Percent of total billed charges		96.4	80			Percent of total billed charges		192.8	90			Percent of total billed charges		216.9	85			Percent of total billed charges		204.85	85			Percent of total billed charges		204.85	85			Percent of total billed charges		204.85	100			Percent of total billed charges		241	100			Percent of total billed charges		241	100			Percent of total billed charges		241	33.3			Percent of total billed charges		80.253	33.3			Percent of total billed charges		80.253	100			Percent of total billed charges		241	80.253	216.9	
leukocyte filter-platelet	270	RC	Outpatient			241	156.65		90			Percent of total billed charges		216.9	40			Percent of total billed charges		96.4	80			Percent of total billed charges		192.8	90			Percent of total billed charges		216.9	85			Percent of total billed charges		204.85	85			Percent of total billed charges		204.85	85			Percent of total billed charges		204.85	100			Percent of total billed charges		241	100			Percent of total billed charges		241	100			Percent of total billed charges		241	33.3			Percent of total billed charges		80.253	33.3			Percent of total billed charges		80.253	100			Percent of total billed charges		241	80.253	216.9	
miter drill pin	272	RC	Outpatient			241	156.65		90			Percent of total billed charges		216.9	40			Percent of total billed charges		96.4	80			Percent of total billed charges		192.8	90			Percent of total billed charges		216.9	85			Percent of total billed charges		204.85	85			Percent of total billed charges		204.85	85			Percent of total billed charges		204.85	100			Percent of total billed charges		241	100			Percent of total billed charges		241	100			Percent of total billed charges		241	33.3			Percent of total billed charges		80.253	33.3			Percent of total billed charges		80.253	100			Percent of total billed charges		241	80.253	216.9	
rich tube medullary femor	270	RC	Outpatient			241	156.65		90			Percent of total billed charges		216.9	40			Percent of total billed charges		96.4	80			Percent of total billed charges		192.8	90			Percent of total billed charges		216.9	85			Percent of total billed charges		204.85	85			Percent of total billed charges		204.85	85			Percent of total billed charges		204.85	100			Percent of total billed charges		241	100			Percent of total billed charges		241	100			Percent of total billed charges		241	33.3			Percent of total billed charges		80.253	33.3			Percent of total billed charges		80.253	100			Percent of total billed charges		241	80.253	216.9	
amplatz guidewire 46-523	270	RC	Outpatient			242	157.3		90			Percent of total billed charges		217.8	40			Percent of total billed charges		96.8	80			Percent of total billed charges		193.6	90			Percent of total billed charges		217.8	85			Percent of total billed charges		205.7	85			Percent of total billed charges		205.7	85			Percent of total billed charges		205.7	100			Percent of total billed charges		242	100			Percent of total billed charges		242	100			Percent of total billed charges		242	33.3			Percent of total billed charges		80.586	33.3			Percent of total billed charges		80.586	100			Percent of total billed charges		242	80.586	217.8	
amplatz superstiff 46523	270	RC	Outpatient			242	157.3		90			Percent of total billed charges		217.8	40			Percent of total billed charges		96.8	80			Percent of total billed charges		193.6	90			Percent of total billed charges		217.8	85			Percent of total billed charges		205.7	85			Percent of total billed charges		205.7	85			Percent of total billed charges		205.7	100			Percent of total billed charges		242	100			Percent of total billed charges		242	100			Percent of total billed charges		242	33.3			Percent of total billed charges		80.586	33.3			Percent of total billed charges		80.586	100			Percent of total billed charges		242	80.586	217.8	
cath power pic5fr12104605	272	RC	Outpatient			242	157.3		90			Percent of total billed charges		217.8	40			Percent of total billed charges		96.8	80			Percent of total billed charges		193.6	90			Percent of total billed charges		217.8	85			Percent of total billed charges		205.7	85			Percent of total billed charges		205.7	85			Percent of total billed charges		205.7	100			Percent of total billed charges		242	100			Percent of total billed charges		242	100			Percent of total billed charges		242	33.3			Percent of total billed charges		80.586	33.3			Percent of total billed charges		80.586	100			Percent of total billed charges		242	80.586	217.8	
fce cancellation fee	960	RC	Outpatient			242	157.3		90			Percent of total billed charges		217.8	40			Percent of total billed charges		96.8	80			Percent of total billed charges		193.6	90			Percent of total billed charges		217.8	85			Percent of total billed charges		205.7	85			Percent of total billed charges		205.7	85			Percent of total billed charges		205.7	100			Percent of total billed charges		242	100			Percent of total billed charges		242	100			Percent of total billed charges		242	33.3			Percent of total billed charges		80.586	33.3			Percent of total billed charges		80.586	100			Percent of total billed charges		242	80.586	217.8	
myosure inflow tubing aql-110 hologics	272	RC	Outpatient			242	157.3		90			Percent of total billed charges		217.8	40			Percent of total billed charges		96.8	80			Percent of total billed charges		193.6	90			Percent of total billed charges		217.8	85			Percent of total billed charges		205.7	85			Percent of total billed charges		205.7	85			Percent of total billed charges		205.7	100			Percent of total billed charges		242	100			Percent of total billed charges		242	100			Percent of total billed charges		242	33.3			Percent of total billed charges		80.586	33.3			Percent of total billed charges		80.586	100			Percent of total billed charges		242	80.586	217.8	
stone retriever dormier	270	RC	Outpatient			243	157.95		90			Percent of total billed charges		218.7	40			Percent of total billed charges		97.2	80			Percent of total billed charges		194.4	90			Percent of total billed charges		218.7	85			Percent of total billed charges		206.55	85			Percent of total billed charges		206.55	85			Percent of total billed charges		206.55	100			Percent of total billed charges		243	100			Percent of total billed charges		243	100			Percent of total billed charges		243	33.3			Percent of total billed charges		80.919	33.3			Percent of total billed charges		80.919	100			Percent of total billed charges		243	80.919	218.7	
s/n drill bit 4.8 71563436	272	RC	Outpatient			243	157.95		90			Percent of total billed charges		218.7	40			Percent of total billed charges		97.2	80			Percent of total billed charges		194.4	90			Percent of total billed charges		218.7	85			Percent of total billed charges		206.55	85			Percent of total billed charges		206.55	85			Percent of total billed charges		206.55	100			Percent of total billed charges		243	100			Percent of total billed charges		243	100			Percent of total billed charges		243	33.3			Percent of total billed charges		80.919	33.3			Percent of total billed charges		80.919	100			Percent of total billed charges		243	80.919	218.7	
4.5mm compression plate narrow 11 hole 183mm 00-4945-011-00 zimmer	278	RC	Outpatient			246	159.9		90			Percent of total billed charges		221.4	40			Percent of total billed charges		98.4	80			Percent of total billed charges		196.8	90			Percent of total billed charges		221.4	85			Percent of total billed charges		209.1	85			Percent of total billed charges		209.1	85			Percent of total billed charges		209.1	100			Percent of total billed charges		246	100			Percent of total billed charges		246	100			Percent of total billed charges		246	33.3			Percent of total billed charges		81.918	33.3			Percent of total billed charges		81.918	100			Percent of total billed charges		246	81.918	221.4	
cath pwr picc5fr 12104605	270	RC	Outpatient			246	159.9		90			Percent of total billed charges		221.4	40			Percent of total billed charges		98.4	80			Percent of total billed charges		196.8	90			Percent of total billed charges		221.4	85			Percent of total billed charges		209.1	85			Percent of total billed charges		209.1	85			Percent of total billed charges		209.1	100			Percent of total billed charges		246	100			Percent of total billed charges		246	100			Percent of total billed charges		246	33.3			Percent of total billed charges		81.918	33.3			Percent of total billed charges		81.918	100			Percent of total billed charges		246	81.918	221.4	
cath tamponade ureteral balloon b1201	270	RC	Outpatient			246	159.9		90			Percent of total billed charges		221.4	40			Percent of total billed charges		98.4	80			Percent of total billed charges		196.8	90			Percent of total billed charges		221.4	85			Percent of total billed charges		209.1	85			Percent of total billed charges		209.1	85			Percent of total billed charges		209.1	100			Percent of total billed charges		246	100			Percent of total billed charges		246	100			Percent of total billed charges		246	33.3			Percent of total billed charges		81.918	33.3			Percent of total billed charges		81.918	100			Percent of total billed charges		246	81.918	221.4	
"cath,thermo pacing 7.5"	270	RC	Outpatient			246	159.9		90			Percent of total billed charges		221.4	40			Percent of total billed charges		98.4	80			Percent of total billed charges		196.8	90			Percent of total billed charges		221.4	85			Percent of total billed charges		209.1	85			Percent of total billed charges		209.1	85			Percent of total billed charges		209.1	100			Percent of total billed charges		246	100			Percent of total billed charges		246	100			Percent of total billed charges		246	33.3			Percent of total billed charges		81.918	33.3			Percent of total billed charges		81.918	100			Percent of total billed charges		246	81.918	221.4	
4.5mm compression plate narrow 10 hole 167mm 00-4945-010-00 zimmer	278	RC	Outpatient			246	159.9		90			Percent of total billed charges		221.4	40			Percent of total billed charges		98.4	80			Percent of total billed charges		196.8	90			Percent of total billed charges		221.4	85			Percent of total billed charges		209.1	85			Percent of total billed charges		209.1	85			Percent of total billed charges		209.1	100			Percent of total billed charges		246	100			Percent of total billed charges		246	100			Percent of total billed charges		246	33.3			Percent of total billed charges		81.918	33.3			Percent of total billed charges		81.918	100			Percent of total billed charges		246	81.918	221.4	
4.5mm compression plate narrow 12 hole 199mm 00-4945-012-00 zimmer	278	RC	Outpatient			246	159.9		90			Percent of total billed charges		221.4	40			Percent of total billed charges		98.4	80			Percent of total billed charges		196.8	90			Percent of total billed charges		221.4	85			Percent of total billed charges		209.1	85			Percent of total billed charges		209.1	85			Percent of total billed charges		209.1	100			Percent of total billed charges		246	100			Percent of total billed charges		246	100			Percent of total billed charges		246	33.3			Percent of total billed charges		81.918	33.3			Percent of total billed charges		81.918	100			Percent of total billed charges		246	81.918	221.4	
endo kittner/peanut	270	RC	Outpatient			246	159.9		90			Percent of total billed charges		221.4	40			Percent of total billed charges		98.4	80			Percent of total billed charges		196.8	90			Percent of total billed charges		221.4	85			Percent of total billed charges		209.1	85			Percent of total billed charges		209.1	85			Percent of total billed charges		209.1	100			Percent of total billed charges		246	100			Percent of total billed charges		246	100			Percent of total billed charges		246	33.3			Percent of total billed charges		81.918	33.3			Percent of total billed charges		81.918	100			Percent of total billed charges		246	81.918	221.4	
imp drill bits quk coup 2.5mm gld 310.25	270	RC	Outpatient			246	159.9		90			Percent of total billed charges		221.4	40			Percent of total billed charges		98.4	80			Percent of total billed charges		196.8	90			Percent of total billed charges		221.4	85			Percent of total billed charges		209.1	85			Percent of total billed charges		209.1	85			Percent of total billed charges		209.1	100			Percent of total billed charges		246	100			Percent of total billed charges		246	100			Percent of total billed charges		246	33.3			Percent of total billed charges		81.918	33.3			Percent of total billed charges		81.918	100			Percent of total billed charges		246	81.918	221.4	
lap peanut- kitner 0038150	270	RC	Outpatient			246	159.9		90			Percent of total billed charges		221.4	40			Percent of total billed charges		98.4	80			Percent of total billed charges		196.8	90			Percent of total billed charges		221.4	85			Percent of total billed charges		209.1	85			Percent of total billed charges		209.1	85			Percent of total billed charges		209.1	100			Percent of total billed charges		246	100			Percent of total billed charges		246	100			Percent of total billed charges		246	33.3			Percent of total billed charges		81.918	33.3			Percent of total billed charges		81.918	100			Percent of total billed charges		246	81.918	221.4	
quick coupling drill bit 2.0 310.19 synthes	270	RC	Outpatient			246	159.9		90			Percent of total billed charges		221.4	40			Percent of total billed charges		98.4	80			Percent of total billed charges		196.8	90			Percent of total billed charges		221.4	85			Percent of total billed charges		209.1	85			Percent of total billed charges		209.1	85			Percent of total billed charges		209.1	100			Percent of total billed charges		246	100			Percent of total billed charges		246	100			Percent of total billed charges		246	33.3			Percent of total billed charges		81.918	33.3			Percent of total billed charges		81.918	100			Percent of total billed charges		246	81.918	221.4	
"quick coupling drill bit 2.5mm, gold 310.25"	270	RC	Outpatient			246	159.9		90			Percent of total billed charges		221.4	40			Percent of total billed charges		98.4	80			Percent of total billed charges		196.8	90			Percent of total billed charges		221.4	85			Percent of total billed charges		209.1	85			Percent of total billed charges		209.1	85			Percent of total billed charges		209.1	100			Percent of total billed charges		246	100			Percent of total billed charges		246	100			Percent of total billed charges		246	33.3			Percent of total billed charges		81.918	33.3			Percent of total billed charges		81.918	100			Percent of total billed charges		246	81.918	221.4	
"quick coupling drill bits 2.5mm, 310.23"	270	RC	Outpatient			246	159.9		90			Percent of total billed charges		221.4	40			Percent of total billed charges		98.4	80			Percent of total billed charges		196.8	90			Percent of total billed charges		221.4	85			Percent of total billed charges		209.1	85			Percent of total billed charges		209.1	85			Percent of total billed charges		209.1	100			Percent of total billed charges		246	100			Percent of total billed charges		246	100			Percent of total billed charges		246	33.3			Percent of total billed charges		81.918	33.3			Percent of total billed charges		81.918	100			Percent of total billed charges		246	81.918	221.4	
syn drill bit 180 qcgold	270	RC	Outpatient			246	159.9		90			Percent of total billed charges		221.4	40			Percent of total billed charges		98.4	80			Percent of total billed charges		196.8	90			Percent of total billed charges		221.4	85			Percent of total billed charges		209.1	85			Percent of total billed charges		209.1	85			Percent of total billed charges		209.1	100			Percent of total billed charges		246	100			Percent of total billed charges		246	100			Percent of total billed charges		246	33.3			Percent of total billed charges		81.918	33.3			Percent of total billed charges		81.918	100			Percent of total billed charges		246	81.918	221.4	
ureteral balloon tamponad	270	RC	Outpatient			246	159.9		90			Percent of total billed charges		221.4	40			Percent of total billed charges		98.4	80			Percent of total billed charges		196.8	90			Percent of total billed charges		221.4	85			Percent of total billed charges		209.1	85			Percent of total billed charges		209.1	85			Percent of total billed charges		209.1	100			Percent of total billed charges		246	100			Percent of total billed charges		246	100			Percent of total billed charges		246	33.3			Percent of total billed charges		81.918	33.3			Percent of total billed charges		81.918	100			Percent of total billed charges		246	81.918	221.4	
zimm 4.5 nw comp pl 10-12	278	RC	Outpatient			246	159.9		90			Percent of total billed charges		221.4	40			Percent of total billed charges		98.4	80			Percent of total billed charges		196.8	90			Percent of total billed charges		221.4	85			Percent of total billed charges		209.1	85			Percent of total billed charges		209.1	85			Percent of total billed charges		209.1	100			Percent of total billed charges		246	100			Percent of total billed charges		246	100			Percent of total billed charges		246	33.3			Percent of total billed charges		81.918	33.3			Percent of total billed charges		81.918	100			Percent of total billed charges		246	81.918	221.4	
3.5mm lc-dcp plate 9 hole 223.59	278	RC	Outpatient			247	160.55		90			Percent of total billed charges		222.3	40			Percent of total billed charges		98.8	80			Percent of total billed charges		197.6	90			Percent of total billed charges		222.3	85			Percent of total billed charges		209.95	85			Percent of total billed charges		209.95	85			Percent of total billed charges		209.95	100			Percent of total billed charges		247	100			Percent of total billed charges		247	100			Percent of total billed charges		247	33.3			Percent of total billed charges		82.251	33.3			Percent of total billed charges		82.251	100			Percent of total billed charges		247	82.251	222.3	
3.5mm lc-dcp plate 8 hole 223.58	278	RC	Outpatient			247	160.55		90			Percent of total billed charges		222.3	40			Percent of total billed charges		98.8	80			Percent of total billed charges		197.6	90			Percent of total billed charges		222.3	85			Percent of total billed charges		209.95	85			Percent of total billed charges		209.95	85			Percent of total billed charges		209.95	100			Percent of total billed charges		247	100			Percent of total billed charges		247	100			Percent of total billed charges		247	33.3			Percent of total billed charges		82.251	33.3			Percent of total billed charges		82.251	100			Percent of total billed charges		247	82.251	222.3	
syn plate strght 8-9 hole	278	RC	Outpatient			247	160.55		90			Percent of total billed charges		222.3	40			Percent of total billed charges		98.8	80			Percent of total billed charges		197.6	90			Percent of total billed charges		222.3	85			Percent of total billed charges		209.95	85			Percent of total billed charges		209.95	85			Percent of total billed charges		209.95	100			Percent of total billed charges		247	100			Percent of total billed charges		247	100			Percent of total billed charges		247	33.3			Percent of total billed charges		82.251	33.3			Percent of total billed charges		82.251	100			Percent of total billed charges		247	82.251	222.3	
4.5mm compression plate broad 6 hole 103mm 00-4945-006-01 zimmer	278	RC	Outpatient			248	161.2		90			Percent of total billed charges		223.2	40			Percent of total billed charges		99.2	80			Percent of total billed charges		198.4	90			Percent of total billed charges		223.2	85			Percent of total billed charges		210.8	85			Percent of total billed charges		210.8	85			Percent of total billed charges		210.8	100			Percent of total billed charges		248	100			Percent of total billed charges		248	100			Percent of total billed charges		248	33.3			Percent of total billed charges		82.584	33.3			Percent of total billed charges		82.584	100			Percent of total billed charges		248	82.584	223.2	
4.5mm compression plate broad 5 hole 87mm 00-4945-005-01 zimmer	278	RC	Outpatient			248	161.2		90			Percent of total billed charges		223.2	40			Percent of total billed charges		99.2	80			Percent of total billed charges		198.4	90			Percent of total billed charges		223.2	85			Percent of total billed charges		210.8	85			Percent of total billed charges		210.8	85			Percent of total billed charges		210.8	100			Percent of total billed charges		248	100			Percent of total billed charges		248	100			Percent of total billed charges		248	33.3			Percent of total billed charges		82.584	33.3			Percent of total billed charges		82.584	100			Percent of total billed charges		248	82.584	223.2	
proximate 55mm linear cutter tlc55 ethicon	272	RC	Outpatient			248	161.2		90			Percent of total billed charges		223.2	40			Percent of total billed charges		99.2	80			Percent of total billed charges		198.4	90			Percent of total billed charges		223.2	85			Percent of total billed charges		210.8	85			Percent of total billed charges		210.8	85			Percent of total billed charges		210.8	100			Percent of total billed charges		248	100			Percent of total billed charges		248	100			Percent of total billed charges		248	33.3			Percent of total billed charges		82.584	33.3			Percent of total billed charges		82.584	100			Percent of total billed charges		248	82.584	223.2	
stapler tlc 55	272	RC	Outpatient			248	161.2		90			Percent of total billed charges		223.2	40			Percent of total billed charges		99.2	80			Percent of total billed charges		198.4	90			Percent of total billed charges		223.2	85			Percent of total billed charges		210.8	85			Percent of total billed charges		210.8	85			Percent of total billed charges		210.8	100			Percent of total billed charges		248	100			Percent of total billed charges		248	100			Percent of total billed charges		248	33.3			Percent of total billed charges		82.584	33.3			Percent of total billed charges		82.584	100			Percent of total billed charges		248	82.584	223.2	
zimm 4.5 br comp pl 5-6hl	278	RC	Outpatient			248	161.2		90			Percent of total billed charges		223.2	40			Percent of total billed charges		99.2	80			Percent of total billed charges		198.4	90			Percent of total billed charges		223.2	85			Percent of total billed charges		210.8	85			Percent of total billed charges		210.8	85			Percent of total billed charges		210.8	100			Percent of total billed charges		248	100			Percent of total billed charges		248	100			Percent of total billed charges		248	33.3			Percent of total billed charges		82.584	33.3			Percent of total billed charges		82.584	100			Percent of total billed charges		248	82.584	223.2	
acetabular dome hole plug 2060-0000-1 stryker	278	RC	Outpatient			249	161.85		90			Percent of total billed charges		224.1	40			Percent of total billed charges		99.6	80			Percent of total billed charges		199.2	90			Percent of total billed charges		224.1	85			Percent of total billed charges		211.65	85			Percent of total billed charges		211.65	85			Percent of total billed charges		211.65	100			Percent of total billed charges		249	100			Percent of total billed charges		249	100			Percent of total billed charges		249	33.3			Percent of total billed charges		82.917	33.3			Percent of total billed charges		82.917	100			Percent of total billed charges		249	82.917	224.1	
endo gia universal handle - short 030403 ussc	272	RC	Outpatient			249	161.85		90			Percent of total billed charges		224.1	40			Percent of total billed charges		99.6	80			Percent of total billed charges		199.2	90			Percent of total billed charges		224.1	85			Percent of total billed charges		211.65	85			Percent of total billed charges		211.65	85			Percent of total billed charges		211.65	100			Percent of total billed charges		249	100			Percent of total billed charges		249	100			Percent of total billed charges		249	33.3			Percent of total billed charges		82.917	33.3			Percent of total billed charges		82.917	100			Percent of total billed charges		249	82.917	224.1	
endo gia universal handle 030449 ussc	272	RC	Outpatient			249	161.85		90			Percent of total billed charges		224.1	40			Percent of total billed charges		99.6	80			Percent of total billed charges		199.2	90			Percent of total billed charges		224.1	85			Percent of total billed charges		211.65	85			Percent of total billed charges		211.65	85			Percent of total billed charges		211.65	100			Percent of total billed charges		249	100			Percent of total billed charges		249	100			Percent of total billed charges		249	33.3			Percent of total billed charges		82.917	33.3			Percent of total billed charges		82.917	100			Percent of total billed charges		249	82.917	224.1	
endo gia universal handle	272	RC	Outpatient			249	161.85		90			Percent of total billed charges		224.1	40			Percent of total billed charges		99.6	80			Percent of total billed charges		199.2	90			Percent of total billed charges		224.1	85			Percent of total billed charges		211.65	85			Percent of total billed charges		211.65	85			Percent of total billed charges		211.65	100			Percent of total billed charges		249	100			Percent of total billed charges		249	100			Percent of total billed charges		249	33.3			Percent of total billed charges		82.917	33.3			Percent of total billed charges		82.917	100			Percent of total billed charges		249	82.917	224.1	
"small t plate right angle 4 hole head, 6 hole shaft 241.16"	278	RC	Outpatient			249	161.85		90			Percent of total billed charges		224.1	40			Percent of total billed charges		99.6	80			Percent of total billed charges		199.2	90			Percent of total billed charges		224.1	85			Percent of total billed charges		211.65	85			Percent of total billed charges		211.65	85			Percent of total billed charges		211.65	100			Percent of total billed charges		249	100			Percent of total billed charges		249	100			Percent of total billed charges		249	33.3			Percent of total billed charges		82.917	33.3			Percent of total billed charges		82.917	100			Percent of total billed charges		249	82.917	224.1	
stryker act. dome hole pl	278	RC	Outpatient			249	161.85		90			Percent of total billed charges		224.1	40			Percent of total billed charges		99.6	80			Percent of total billed charges		199.2	90			Percent of total billed charges		224.1	85			Percent of total billed charges		211.65	85			Percent of total billed charges		211.65	85			Percent of total billed charges		211.65	100			Percent of total billed charges		249	100			Percent of total billed charges		249	100			Percent of total billed charges		249	33.3			Percent of total billed charges		82.917	33.3			Percent of total billed charges		82.917	100			Percent of total billed charges		249	82.917	224.1	
syn t-plate sm r/a 4/6	278	RC	Outpatient			249	161.85		90			Percent of total billed charges		224.1	40			Percent of total billed charges		99.6	80			Percent of total billed charges		199.2	90			Percent of total billed charges		224.1	85			Percent of total billed charges		211.65	85			Percent of total billed charges		211.65	85			Percent of total billed charges		211.65	100			Percent of total billed charges		249	100			Percent of total billed charges		249	100			Percent of total billed charges		249	33.3			Percent of total billed charges		82.917	33.3			Percent of total billed charges		82.917	100			Percent of total billed charges		249	82.917	224.1	
universal handle short egiaushort covidien	272	RC	Outpatient			249	161.85		90			Percent of total billed charges		224.1	40			Percent of total billed charges		99.6	80			Percent of total billed charges		199.2	90			Percent of total billed charges		224.1	85			Percent of total billed charges		211.65	85			Percent of total billed charges		211.65	85			Percent of total billed charges		211.65	100			Percent of total billed charges		249	100			Percent of total billed charges		249	100			Percent of total billed charges		249	33.3			Percent of total billed charges		82.917	33.3			Percent of total billed charges		82.917	100			Percent of total billed charges		249	82.917	224.1	
cosmetic - lapband - as	940	RC	Outpatient			250	162.5		90			Percent of total billed charges		225	40			Percent of total billed charges		100	80			Percent of total billed charges		200	90			Percent of total billed charges		225	85			Percent of total billed charges		212.5	85			Percent of total billed charges		212.5	85			Percent of total billed charges		212.5	100			Percent of total billed charges		250	100			Percent of total billed charges		250	100			Percent of total billed charges		250	33.3			Percent of total billed charges		83.25	33.3			Percent of total billed charges		83.25	100			Percent of total billed charges		250	83.25	225	
cosmetic - rosacea treatment each additional session	983	RC	Outpatient			250	162.5		90			Percent of total billed charges		225	40			Percent of total billed charges		100	80			Percent of total billed charges		200	90			Percent of total billed charges		225	85			Percent of total billed charges		212.5	85			Percent of total billed charges		212.5	85			Percent of total billed charges		212.5	100			Percent of total billed charges		250	100			Percent of total billed charges		250	100			Percent of total billed charges		250	33.3			Percent of total billed charges		83.25	33.3			Percent of total billed charges		83.25	100			Percent of total billed charges		250	83.25	225	
cosmetic - photofacial - each additional session	983	RC	Outpatient			250	162.5		90			Percent of total billed charges		225	40			Percent of total billed charges		100	80			Percent of total billed charges		200	90			Percent of total billed charges		225	85			Percent of total billed charges		212.5	85			Percent of total billed charges		212.5	85			Percent of total billed charges		212.5	100			Percent of total billed charges		250	100			Percent of total billed charges		250	100			Percent of total billed charges		250	33.3			Percent of total billed charges		83.25	33.3			Percent of total billed charges		83.25	100			Percent of total billed charges		250	83.25	225	
cement mixing system 306-563	270	RC	Outpatient			251	163.15		90			Percent of total billed charges		225.9	40			Percent of total billed charges		100.4	80			Percent of total billed charges		200.8	90			Percent of total billed charges		225.9	85			Percent of total billed charges		213.35	85			Percent of total billed charges		213.35	85			Percent of total billed charges		213.35	100			Percent of total billed charges		251	100			Percent of total billed charges		251	100			Percent of total billed charges		251	33.3			Percent of total billed charges		83.583	33.3			Percent of total billed charges		83.583	100			Percent of total billed charges		251	83.583	225.9	
cement mixer 0606-563-000 stryker	270	RC	Outpatient			251	163.15		90			Percent of total billed charges		225.9	40			Percent of total billed charges		100.4	80			Percent of total billed charges		200.8	90			Percent of total billed charges		225.9	85			Percent of total billed charges		213.35	85			Percent of total billed charges		213.35	85			Percent of total billed charges		213.35	100			Percent of total billed charges		251	100			Percent of total billed charges		251	100			Percent of total billed charges		251	33.3			Percent of total billed charges		83.583	33.3			Percent of total billed charges		83.583	100			Percent of total billed charges		251	83.583	225.9	
percuflex plus stent 4.8 x 24 175-252 bost scient	272	RC	Outpatient			251	163.15		90			Percent of total billed charges		225.9	40			Percent of total billed charges		100.4	80			Percent of total billed charges		200.8	90			Percent of total billed charges		225.9	85			Percent of total billed charges		213.35	85			Percent of total billed charges		213.35	85			Percent of total billed charges		213.35	100			Percent of total billed charges		251	100			Percent of total billed charges		251	100			Percent of total billed charges		251	33.3			Percent of total billed charges		83.583	33.3			Percent of total billed charges		83.583	100			Percent of total billed charges		251	83.583	225.9	
percuflex plus stent 4.8 x 22 175-251 bost scient	272	RC	Outpatient			251	163.15		90			Percent of total billed charges		225.9	40			Percent of total billed charges		100.4	80			Percent of total billed charges		200.8	90			Percent of total billed charges		225.9	85			Percent of total billed charges		213.35	85			Percent of total billed charges		213.35	85			Percent of total billed charges		213.35	100			Percent of total billed charges		251	100			Percent of total billed charges		251	100			Percent of total billed charges		251	33.3			Percent of total billed charges		83.583	33.3			Percent of total billed charges		83.583	100			Percent of total billed charges		251	83.583	225.9	
combo cath cytology brush	270	RC	Outpatient			252	163.8		90			Percent of total billed charges		226.8	40			Percent of total billed charges		100.8	80			Percent of total billed charges		201.6	90			Percent of total billed charges		226.8	85			Percent of total billed charges		214.2	85			Percent of total billed charges		214.2	85			Percent of total billed charges		214.2	100			Percent of total billed charges		252	100			Percent of total billed charges		252	100			Percent of total billed charges		252	33.3			Percent of total billed charges		83.916	33.3			Percent of total billed charges		83.916	100			Percent of total billed charges		252	83.916	226.8	
implate set screw	278	RC	Outpatient			252	163.8		90			Percent of total billed charges		226.8	40			Percent of total billed charges		100.8	80			Percent of total billed charges		201.6	90			Percent of total billed charges		226.8	85			Percent of total billed charges		214.2	85			Percent of total billed charges		214.2	85			Percent of total billed charges		214.2	100			Percent of total billed charges		252	100			Percent of total billed charges		252	100			Percent of total billed charges		252	33.3			Percent of total billed charges		83.916	33.3			Percent of total billed charges		83.916	100			Percent of total billed charges		252	83.916	226.8	
edno gia handle st	272	RC	Outpatient			252	163.8		90			Percent of total billed charges		226.8	40			Percent of total billed charges		100.8	80			Percent of total billed charges		201.6	90			Percent of total billed charges		226.8	85			Percent of total billed charges		214.2	85			Percent of total billed charges		214.2	85			Percent of total billed charges		214.2	100			Percent of total billed charges		252	100			Percent of total billed charges		252	100			Percent of total billed charges		252	33.3			Percent of total billed charges		83.916	33.3			Percent of total billed charges		83.916	100			Percent of total billed charges		252	83.916	226.8	
mac central line kit	270	RC	Outpatient			252	163.8		90			Percent of total billed charges		226.8	40			Percent of total billed charges		100.8	80			Percent of total billed charges		201.6	90			Percent of total billed charges		226.8	85			Percent of total billed charges		214.2	85			Percent of total billed charges		214.2	85			Percent of total billed charges		214.2	100			Percent of total billed charges		252	100			Percent of total billed charges		252	100			Percent of total billed charges		252	33.3			Percent of total billed charges		83.916	33.3			Percent of total billed charges		83.916	100			Percent of total billed charges		252	83.916	226.8	
set screw 3.0 x 2.0mm stsc-30020-cs skeletal dynamics	278	RC	Outpatient			252	163.8		90			Percent of total billed charges		226.8	40			Percent of total billed charges		100.8	80			Percent of total billed charges		201.6	90			Percent of total billed charges		226.8	85			Percent of total billed charges		214.2	85			Percent of total billed charges		214.2	85			Percent of total billed charges		214.2	100			Percent of total billed charges		252	100			Percent of total billed charges		252	100			Percent of total billed charges		252	33.3			Percent of total billed charges		83.916	33.3			Percent of total billed charges		83.916	100			Percent of total billed charges		252	83.916	226.8	
blade saw oscillating intra oral 12.0 x 12.5mm 277-031-033 stry	270	RC	Outpatient			253	164.45		90			Percent of total billed charges		227.7	40			Percent of total billed charges		101.2	80			Percent of total billed charges		202.4	90			Percent of total billed charges		227.7	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	100			Percent of total billed charges		253	100			Percent of total billed charges		253	100			Percent of total billed charges		253	33.3			Percent of total billed charges		84.249	33.3			Percent of total billed charges		84.249	100			Percent of total billed charges		253	84.249	227.7	
core intra-oral  blade styrker 5400-31-32	270	RC	Outpatient			253	164.45		90			Percent of total billed charges		227.7	40			Percent of total billed charges		101.2	80			Percent of total billed charges		202.4	90			Percent of total billed charges		227.7	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	100			Percent of total billed charges		253	100			Percent of total billed charges		253	100			Percent of total billed charges		253	33.3			Percent of total billed charges		84.249	33.3			Percent of total billed charges		84.249	100			Percent of total billed charges		253	84.249	227.7	
"cortical screw 2.3, 07mm trx2.3-07 trimed"	278	RC	Outpatient			253	164.45		90			Percent of total billed charges		227.7	40			Percent of total billed charges		101.2	80			Percent of total billed charges		202.4	90			Percent of total billed charges		227.7	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	100			Percent of total billed charges		253	100			Percent of total billed charges		253	100			Percent of total billed charges		253	33.3			Percent of total billed charges		84.249	33.3			Percent of total billed charges		84.249	100			Percent of total billed charges		253	84.249	227.7	
"cortical screw 2.3, 09mm trx2.3-09 trimed"	278	RC	Outpatient			253	164.45		90			Percent of total billed charges		227.7	40			Percent of total billed charges		101.2	80			Percent of total billed charges		202.4	90			Percent of total billed charges		227.7	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	100			Percent of total billed charges		253	100			Percent of total billed charges		253	100			Percent of total billed charges		253	33.3			Percent of total billed charges		84.249	33.3			Percent of total billed charges		84.249	100			Percent of total billed charges		253	84.249	227.7	
"cortical screw 2.3, 12mm trx2.3-12 trimed"	278	RC	Outpatient			253	164.45		90			Percent of total billed charges		227.7	40			Percent of total billed charges		101.2	80			Percent of total billed charges		202.4	90			Percent of total billed charges		227.7	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	100			Percent of total billed charges		253	100			Percent of total billed charges		253	100			Percent of total billed charges		253	33.3			Percent of total billed charges		84.249	33.3			Percent of total billed charges		84.249	100			Percent of total billed charges		253	84.249	227.7	
"cortical screw 2.3, 14mm trx2.3-14 trimed"	278	RC	Outpatient			253	164.45		90			Percent of total billed charges		227.7	40			Percent of total billed charges		101.2	80			Percent of total billed charges		202.4	90			Percent of total billed charges		227.7	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	100			Percent of total billed charges		253	100			Percent of total billed charges		253	100			Percent of total billed charges		253	33.3			Percent of total billed charges		84.249	33.3			Percent of total billed charges		84.249	100			Percent of total billed charges		253	84.249	227.7	
"cortical screw 2.3, 18mm trx2.3-18 trimed"	278	RC	Outpatient			253	164.45		90			Percent of total billed charges		227.7	40			Percent of total billed charges		101.2	80			Percent of total billed charges		202.4	90			Percent of total billed charges		227.7	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	100			Percent of total billed charges		253	100			Percent of total billed charges		253	100			Percent of total billed charges		253	33.3			Percent of total billed charges		84.249	33.3			Percent of total billed charges		84.249	100			Percent of total billed charges		253	84.249	227.7	
blade intra oral oscillat	270	RC	Outpatient			253	164.45		90			Percent of total billed charges		227.7	40			Percent of total billed charges		101.2	80			Percent of total billed charges		202.4	90			Percent of total billed charges		227.7	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	100			Percent of total billed charges		253	100			Percent of total billed charges		253	100			Percent of total billed charges		253	33.3			Percent of total billed charges		84.249	33.3			Percent of total billed charges		84.249	100			Percent of total billed charges		253	84.249	227.7	
blade saw oscillating intra oral 12.0 x 12.5mm 277-031-034 stry	270	RC	Outpatient			253	164.45		90			Percent of total billed charges		227.7	40			Percent of total billed charges		101.2	80			Percent of total billed charges		202.4	90			Percent of total billed charges		227.7	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	100			Percent of total billed charges		253	100			Percent of total billed charges		253	100			Percent of total billed charges		253	33.3			Percent of total billed charges		84.249	33.3			Percent of total billed charges		84.249	100			Percent of total billed charges		253	84.249	227.7	
blade saw oscillating intra oral 12.0 x 7.5mm 277-031-032 stry	270	RC	Outpatient			253	164.45		90			Percent of total billed charges		227.7	40			Percent of total billed charges		101.2	80			Percent of total billed charges		202.4	90			Percent of total billed charges		227.7	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	100			Percent of total billed charges		253	100			Percent of total billed charges		253	100			Percent of total billed charges		253	33.3			Percent of total billed charges		84.249	33.3			Percent of total billed charges		84.249	100			Percent of total billed charges		253	84.249	227.7	
"cortical screw 2.3, 08mm trx2.3-08 trimed"	278	RC	Outpatient			253	164.45		90			Percent of total billed charges		227.7	40			Percent of total billed charges		101.2	80			Percent of total billed charges		202.4	90			Percent of total billed charges		227.7	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	100			Percent of total billed charges		253	100			Percent of total billed charges		253	100			Percent of total billed charges		253	33.3			Percent of total billed charges		84.249	33.3			Percent of total billed charges		84.249	100			Percent of total billed charges		253	84.249	227.7	
"cortical screw 2.3, 10mm trx2.3-10 trimed"	278	RC	Outpatient			253	164.45		90			Percent of total billed charges		227.7	40			Percent of total billed charges		101.2	80			Percent of total billed charges		202.4	90			Percent of total billed charges		227.7	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	100			Percent of total billed charges		253	100			Percent of total billed charges		253	100			Percent of total billed charges		253	33.3			Percent of total billed charges		84.249	33.3			Percent of total billed charges		84.249	100			Percent of total billed charges		253	84.249	227.7	
"cortical screw 2.3, 11mm trx2.3-11 trimed"	278	RC	Outpatient			253	164.45		90			Percent of total billed charges		227.7	40			Percent of total billed charges		101.2	80			Percent of total billed charges		202.4	90			Percent of total billed charges		227.7	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	100			Percent of total billed charges		253	100			Percent of total billed charges		253	100			Percent of total billed charges		253	33.3			Percent of total billed charges		84.249	33.3			Percent of total billed charges		84.249	100			Percent of total billed charges		253	84.249	227.7	
"cortical screw 2.3, 16mm trx2.3-16 trimed"	278	RC	Outpatient			253	164.45		90			Percent of total billed charges		227.7	40			Percent of total billed charges		101.2	80			Percent of total billed charges		202.4	90			Percent of total billed charges		227.7	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	100			Percent of total billed charges		253	100			Percent of total billed charges		253	100			Percent of total billed charges		253	33.3			Percent of total billed charges		84.249	33.3			Percent of total billed charges		84.249	100			Percent of total billed charges		253	84.249	227.7	
imp screw schanz 4mm x 100mm 294.45	278	RC	Outpatient			253	164.45		90			Percent of total billed charges		227.7	40			Percent of total billed charges		101.2	80			Percent of total billed charges		202.4	90			Percent of total billed charges		227.7	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	100			Percent of total billed charges		253	100			Percent of total billed charges		253	100			Percent of total billed charges		253	33.3			Percent of total billed charges		84.249	33.3			Percent of total billed charges		84.249	100			Percent of total billed charges		253	84.249	227.7	
implant screw schanz trocar pt 5.0mm dia 170mm l 294.55 synthes	278	RC	Outpatient			253	164.45		90			Percent of total billed charges		227.7	40			Percent of total billed charges		101.2	80			Percent of total billed charges		202.4	90			Percent of total billed charges		227.7	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	100			Percent of total billed charges		253	100			Percent of total billed charges		253	100			Percent of total billed charges		253	33.3			Percent of total billed charges		84.249	33.3			Percent of total billed charges		84.249	100			Percent of total billed charges		253	84.249	227.7	
imp screw schanz 4mm  294.30	278	RC	Outpatient			253	164.45		90			Percent of total billed charges		227.7	40			Percent of total billed charges		101.2	80			Percent of total billed charges		202.4	90			Percent of total billed charges		227.7	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	100			Percent of total billed charges		253	100			Percent of total billed charges		253	100			Percent of total billed charges		253	33.3			Percent of total billed charges		84.249	33.3			Percent of total billed charges		84.249	100			Percent of total billed charges		253	84.249	227.7	
s-t cortex  locking screw 2.7mm x 16mm 71802316 s/n	278	RC	Outpatient			253	164.45		90			Percent of total billed charges		227.7	40			Percent of total billed charges		101.2	80			Percent of total billed charges		202.4	90			Percent of total billed charges		227.7	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	100			Percent of total billed charges		253	100			Percent of total billed charges		253	100			Percent of total billed charges		253	33.3			Percent of total billed charges		84.249	33.3			Percent of total billed charges		84.249	100			Percent of total billed charges		253	84.249	227.7	
s-t cortex  locking screw 2.7mm x 16mm 71822316 s/n	278	RC	Outpatient			253	164.45		90			Percent of total billed charges		227.7	40			Percent of total billed charges		101.2	80			Percent of total billed charges		202.4	90			Percent of total billed charges		227.7	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	100			Percent of total billed charges		253	100			Percent of total billed charges		253	100			Percent of total billed charges		253	33.3			Percent of total billed charges		84.249	33.3			Percent of total billed charges		84.249	100			Percent of total billed charges		253	84.249	227.7	
s-t cortex  locking screw 2.7mm x 18mm 71822318 s/n	278	RC	Outpatient			253	164.45		90			Percent of total billed charges		227.7	40			Percent of total billed charges		101.2	80			Percent of total billed charges		202.4	90			Percent of total billed charges		227.7	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	100			Percent of total billed charges		253	100			Percent of total billed charges		253	100			Percent of total billed charges		253	33.3			Percent of total billed charges		84.249	33.3			Percent of total billed charges		84.249	100			Percent of total billed charges		253	84.249	227.7	
s-t cortex  locking screw 2.7mm x 20mm 71822320 s/n	278	RC	Outpatient			253	164.45		90			Percent of total billed charges		227.7	40			Percent of total billed charges		101.2	80			Percent of total billed charges		202.4	90			Percent of total billed charges		227.7	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	100			Percent of total billed charges		253	100			Percent of total billed charges		253	100			Percent of total billed charges		253	33.3			Percent of total billed charges		84.249	33.3			Percent of total billed charges		84.249	100			Percent of total billed charges		253	84.249	227.7	
s-t cortex  locking screw 2.7mm x 22mm 71822322 s/n	278	RC	Outpatient			253	164.45		90			Percent of total billed charges		227.7	40			Percent of total billed charges		101.2	80			Percent of total billed charges		202.4	90			Percent of total billed charges		227.7	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	100			Percent of total billed charges		253	100			Percent of total billed charges		253	100			Percent of total billed charges		253	33.3			Percent of total billed charges		84.249	33.3			Percent of total billed charges		84.249	100			Percent of total billed charges		253	84.249	227.7	
s-t cortex  locking screw 2.7mm x 24mm 71822324 s/n	278	RC	Outpatient			253	164.45		90			Percent of total billed charges		227.7	40			Percent of total billed charges		101.2	80			Percent of total billed charges		202.4	90			Percent of total billed charges		227.7	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	100			Percent of total billed charges		253	100			Percent of total billed charges		253	100			Percent of total billed charges		253	33.3			Percent of total billed charges		84.249	33.3			Percent of total billed charges		84.249	100			Percent of total billed charges		253	84.249	227.7	
s-t cortex  locking screw 2.7mm x 30mm 71822330 s/n	278	RC	Outpatient			253	164.45		90			Percent of total billed charges		227.7	40			Percent of total billed charges		101.2	80			Percent of total billed charges		202.4	90			Percent of total billed charges		227.7	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	100			Percent of total billed charges		253	100			Percent of total billed charges		253	100			Percent of total billed charges		253	33.3			Percent of total billed charges		84.249	33.3			Percent of total billed charges		84.249	100			Percent of total billed charges		253	84.249	227.7	
s-t cortex  locking screw 2.7mm x 38mm 71822338 s/n	278	RC	Outpatient			253	164.45		90			Percent of total billed charges		227.7	40			Percent of total billed charges		101.2	80			Percent of total billed charges		202.4	90			Percent of total billed charges		227.7	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	100			Percent of total billed charges		253	100			Percent of total billed charges		253	100			Percent of total billed charges		253	33.3			Percent of total billed charges		84.249	33.3			Percent of total billed charges		84.249	100			Percent of total billed charges		253	84.249	227.7	
s-t cortex  locking screw 2.7mm x 40mm 71822340 s/n	278	RC	Outpatient			253	164.45		90			Percent of total billed charges		227.7	40			Percent of total billed charges		101.2	80			Percent of total billed charges		202.4	90			Percent of total billed charges		227.7	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	100			Percent of total billed charges		253	100			Percent of total billed charges		253	100			Percent of total billed charges		253	33.3			Percent of total billed charges		84.249	33.3			Percent of total billed charges		84.249	100			Percent of total billed charges		253	84.249	227.7	
s-t cortex  locking screw 2.7mm x 45mm 71822345 s/n	278	RC	Outpatient			253	164.45		90			Percent of total billed charges		227.7	40			Percent of total billed charges		101.2	80			Percent of total billed charges		202.4	90			Percent of total billed charges		227.7	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	100			Percent of total billed charges		253	100			Percent of total billed charges		253	100			Percent of total billed charges		253	33.3			Percent of total billed charges		84.249	33.3			Percent of total billed charges		84.249	100			Percent of total billed charges		253	84.249	227.7	
s-t cortex  locking screw 2.7mm x 55mm 71822355 s/n	278	RC	Outpatient			253	164.45		90			Percent of total billed charges		227.7	40			Percent of total billed charges		101.2	80			Percent of total billed charges		202.4	90			Percent of total billed charges		227.7	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	100			Percent of total billed charges		253	100			Percent of total billed charges		253	100			Percent of total billed charges		253	33.3			Percent of total billed charges		84.249	33.3			Percent of total billed charges		84.249	100			Percent of total billed charges		253	84.249	227.7	
s/n 2.7 cort scrw lck	278	RC	Outpatient			253	164.45		90			Percent of total billed charges		227.7	40			Percent of total billed charges		101.2	80			Percent of total billed charges		202.4	90			Percent of total billed charges		227.7	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	100			Percent of total billed charges		253	100			Percent of total billed charges		253	100			Percent of total billed charges		253	33.3			Percent of total billed charges		84.249	33.3			Percent of total billed charges		84.249	100			Percent of total billed charges		253	84.249	227.7	
s-t cortex  locking screw 2.7mm x 12mm 71822312 s/n	278	RC	Outpatient			253	164.45		90			Percent of total billed charges		227.7	40			Percent of total billed charges		101.2	80			Percent of total billed charges		202.4	90			Percent of total billed charges		227.7	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	100			Percent of total billed charges		253	100			Percent of total billed charges		253	100			Percent of total billed charges		253	33.3			Percent of total billed charges		84.249	33.3			Percent of total billed charges		84.249	100			Percent of total billed charges		253	84.249	227.7	
s-t cortex  locking screw 2.7mm x 14mm 71802314 s/n	278	RC	Outpatient			253	164.45		90			Percent of total billed charges		227.7	40			Percent of total billed charges		101.2	80			Percent of total billed charges		202.4	90			Percent of total billed charges		227.7	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	100			Percent of total billed charges		253	100			Percent of total billed charges		253	100			Percent of total billed charges		253	33.3			Percent of total billed charges		84.249	33.3			Percent of total billed charges		84.249	100			Percent of total billed charges		253	84.249	227.7	
s-t cortex  locking screw 2.7mm x 26mm 71822326 s/n	278	RC	Outpatient			253	164.45		90			Percent of total billed charges		227.7	40			Percent of total billed charges		101.2	80			Percent of total billed charges		202.4	90			Percent of total billed charges		227.7	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	100			Percent of total billed charges		253	100			Percent of total billed charges		253	100			Percent of total billed charges		253	33.3			Percent of total billed charges		84.249	33.3			Percent of total billed charges		84.249	100			Percent of total billed charges		253	84.249	227.7	
s-t cortex  locking screw 2.7mm x 28mm 71822328 s/n	278	RC	Outpatient			253	164.45		90			Percent of total billed charges		227.7	40			Percent of total billed charges		101.2	80			Percent of total billed charges		202.4	90			Percent of total billed charges		227.7	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	100			Percent of total billed charges		253	100			Percent of total billed charges		253	100			Percent of total billed charges		253	33.3			Percent of total billed charges		84.249	33.3			Percent of total billed charges		84.249	100			Percent of total billed charges		253	84.249	227.7	
s-t cortex  locking screw 2.7mm x 32mm 71822332 s/n	278	RC	Outpatient			253	164.45		90			Percent of total billed charges		227.7	40			Percent of total billed charges		101.2	80			Percent of total billed charges		202.4	90			Percent of total billed charges		227.7	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	100			Percent of total billed charges		253	100			Percent of total billed charges		253	100			Percent of total billed charges		253	33.3			Percent of total billed charges		84.249	33.3			Percent of total billed charges		84.249	100			Percent of total billed charges		253	84.249	227.7	
s-t cortex  locking screw 2.7mm x 34mm 71822334 s/n	278	RC	Outpatient			253	164.45		90			Percent of total billed charges		227.7	40			Percent of total billed charges		101.2	80			Percent of total billed charges		202.4	90			Percent of total billed charges		227.7	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	100			Percent of total billed charges		253	100			Percent of total billed charges		253	100			Percent of total billed charges		253	33.3			Percent of total billed charges		84.249	33.3			Percent of total billed charges		84.249	100			Percent of total billed charges		253	84.249	227.7	
s-t cortex  locking screw 2.7mm x 36mm 71822336 s/n	278	RC	Outpatient			253	164.45		90			Percent of total billed charges		227.7	40			Percent of total billed charges		101.2	80			Percent of total billed charges		202.4	90			Percent of total billed charges		227.7	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	100			Percent of total billed charges		253	100			Percent of total billed charges		253	100			Percent of total billed charges		253	33.3			Percent of total billed charges		84.249	33.3			Percent of total billed charges		84.249	100			Percent of total billed charges		253	84.249	227.7	
s-t cortex  locking screw 2.7mm x 50mm 71822350 s/n	278	RC	Outpatient			253	164.45		90			Percent of total billed charges		227.7	40			Percent of total billed charges		101.2	80			Percent of total billed charges		202.4	90			Percent of total billed charges		227.7	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	100			Percent of total billed charges		253	100			Percent of total billed charges		253	100			Percent of total billed charges		253	33.3			Percent of total billed charges		84.249	33.3			Percent of total billed charges		84.249	100			Percent of total billed charges		253	84.249	227.7	
schanz screw	278	RC	Outpatient			253	164.45		90			Percent of total billed charges		227.7	40			Percent of total billed charges		101.2	80			Percent of total billed charges		202.4	90			Percent of total billed charges		227.7	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	100			Percent of total billed charges		253	100			Percent of total billed charges		253	100			Percent of total billed charges		253	33.3			Percent of total billed charges		84.249	33.3			Percent of total billed charges		84.249	100			Percent of total billed charges		253	84.249	227.7	
synthes schanz screw 5.0 x 200mm 294.56	278	RC	Outpatient			253	164.45		90			Percent of total billed charges		227.7	40			Percent of total billed charges		101.2	80			Percent of total billed charges		202.4	90			Percent of total billed charges		227.7	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	100			Percent of total billed charges		253	100			Percent of total billed charges		253	100			Percent of total billed charges		253	33.3			Percent of total billed charges		84.249	33.3			Percent of total billed charges		84.249	100			Percent of total billed charges		253	84.249	227.7	
synthes schanz screw 6.0 x 100mm 294.65	278	RC	Outpatient			253	164.45		90			Percent of total billed charges		227.7	40			Percent of total billed charges		101.2	80			Percent of total billed charges		202.4	90			Percent of total billed charges		227.7	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	85			Percent of total billed charges		215.05	100			Percent of total billed charges		253	100			Percent of total billed charges		253	100			Percent of total billed charges		253	33.3			Percent of total billed charges		84.249	33.3			Percent of total billed charges		84.249	100			Percent of total billed charges		253	84.249	227.7	
1.5mm t-plate 3 hole head 9 hole shaft 49mm 00-4915-039-04 zimmer	278	RC	Outpatient			254	165.1		90			Percent of total billed charges		228.6	40			Percent of total billed charges		101.6	80			Percent of total billed charges		203.2	90			Percent of total billed charges		228.6	85			Percent of total billed charges		215.9	85			Percent of total billed charges		215.9	85			Percent of total billed charges		215.9	100			Percent of total billed charges		254	100			Percent of total billed charges		254	100			Percent of total billed charges		254	33.3			Percent of total billed charges		84.582	33.3			Percent of total billed charges		84.582	100			Percent of total billed charges		254	84.582	228.6	
1.5mm t-plate 4 hole head 9 hole shaft 49mm 00-4915-049-04 zimmer	278	RC	Outpatient			254	165.1		90			Percent of total billed charges		228.6	40			Percent of total billed charges		101.6	80			Percent of total billed charges		203.2	90			Percent of total billed charges		228.6	85			Percent of total billed charges		215.9	85			Percent of total billed charges		215.9	85			Percent of total billed charges		215.9	100			Percent of total billed charges		254	100			Percent of total billed charges		254	100			Percent of total billed charges		254	33.3			Percent of total billed charges		84.582	33.3			Percent of total billed charges		84.582	100			Percent of total billed charges		254	84.582	228.6	
2.0mm t-plate 3 hole head 9 hole shaft 50mm 00-4920-039-04 zimmer	278	RC	Outpatient			254	165.1		90			Percent of total billed charges		228.6	40			Percent of total billed charges		101.6	80			Percent of total billed charges		203.2	90			Percent of total billed charges		228.6	85			Percent of total billed charges		215.9	85			Percent of total billed charges		215.9	85			Percent of total billed charges		215.9	100			Percent of total billed charges		254	100			Percent of total billed charges		254	100			Percent of total billed charges		254	33.3			Percent of total billed charges		84.582	33.3			Percent of total billed charges		84.582	100			Percent of total billed charges		254	84.582	228.6	
3.2mm drill bit 904301  biomet sports med	272	RC	Outpatient			254	165.1		90			Percent of total billed charges		228.6	40			Percent of total billed charges		101.6	80			Percent of total billed charges		203.2	90			Percent of total billed charges		228.6	85			Percent of total billed charges		215.9	85			Percent of total billed charges		215.9	85			Percent of total billed charges		215.9	100			Percent of total billed charges		254	100			Percent of total billed charges		254	100			Percent of total billed charges		254	33.3			Percent of total billed charges		84.582	33.3			Percent of total billed charges		84.582	100			Percent of total billed charges		254	84.582	228.6	
bed v-cue dynamic air mat	270	RC	Outpatient			254	165.1		90			Percent of total billed charges		228.6	40			Percent of total billed charges		101.6	80			Percent of total billed charges		203.2	90			Percent of total billed charges		228.6	85			Percent of total billed charges		215.9	85			Percent of total billed charges		215.9	85			Percent of total billed charges		215.9	100			Percent of total billed charges		254	100			Percent of total billed charges		254	100			Percent of total billed charges		254	33.3			Percent of total billed charges		84.582	33.3			Percent of total billed charges		84.582	100			Percent of total billed charges		254	84.582	228.6	
colon decompression set	270	RC	Outpatient			254	165.1		90			Percent of total billed charges		228.6	40			Percent of total billed charges		101.6	80			Percent of total billed charges		203.2	90			Percent of total billed charges		228.6	85			Percent of total billed charges		215.9	85			Percent of total billed charges		215.9	85			Percent of total billed charges		215.9	100			Percent of total billed charges		254	100			Percent of total billed charges		254	100			Percent of total billed charges		254	33.3			Percent of total billed charges		84.582	33.3			Percent of total billed charges		84.582	100			Percent of total billed charges		254	84.582	228.6	
2.0mm t-plate 4 hole head 9 hole shaft 50mm 00-4920-049-04 zimmer	278	RC	Outpatient			254	165.1		90			Percent of total billed charges		228.6	40			Percent of total billed charges		101.6	80			Percent of total billed charges		203.2	90			Percent of total billed charges		228.6	85			Percent of total billed charges		215.9	85			Percent of total billed charges		215.9	85			Percent of total billed charges		215.9	100			Percent of total billed charges		254	100			Percent of total billed charges		254	100			Percent of total billed charges		254	33.3			Percent of total billed charges		84.582	33.3			Percent of total billed charges		84.582	100			Percent of total billed charges		254	84.582	228.6	
cath lab con sed po/first 30 min	370	RC	Outpatient			254	165.1		90			Percent of total billed charges		228.6	40			Percent of total billed charges		101.6	80			Percent of total billed charges		203.2	90			Percent of total billed charges		228.6	85			Percent of total billed charges		215.9	85			Percent of total billed charges		215.9	85			Percent of total billed charges		215.9	100			Percent of total billed charges		254	100			Percent of total billed charges		254	100			Percent of total billed charges		254	33.3			Percent of total billed charges		84.582	33.3			Percent of total billed charges		84.582	100			Percent of total billed charges		254	84.582	228.6	
conscious sedation po	370	RC	Outpatient			254	165.1		90			Percent of total billed charges		228.6	40			Percent of total billed charges		101.6	80			Percent of total billed charges		203.2	90			Percent of total billed charges		228.6	85			Percent of total billed charges		215.9	85			Percent of total billed charges		215.9	85			Percent of total billed charges		215.9	100			Percent of total billed charges		254	100			Percent of total billed charges		254	100			Percent of total billed charges		254	33.3			Percent of total billed charges		84.582	33.3			Percent of total billed charges		84.582	100			Percent of total billed charges		254	84.582	228.6	
drill bit 3.2 x 20 31-323220 biomet	272	RC	Outpatient			254	165.1		90			Percent of total billed charges		228.6	40			Percent of total billed charges		101.6	80			Percent of total billed charges		203.2	90			Percent of total billed charges		228.6	85			Percent of total billed charges		215.9	85			Percent of total billed charges		215.9	85			Percent of total billed charges		215.9	100			Percent of total billed charges		254	100			Percent of total billed charges		254	100			Percent of total billed charges		254	33.3			Percent of total billed charges		84.582	33.3			Percent of total billed charges		84.582	100			Percent of total billed charges		254	84.582	228.6	
drill bit 3.2 x 40 31-323240 biomet	272	RC	Outpatient			254	165.1		90			Percent of total billed charges		228.6	40			Percent of total billed charges		101.6	80			Percent of total billed charges		203.2	90			Percent of total billed charges		228.6	85			Percent of total billed charges		215.9	85			Percent of total billed charges		215.9	85			Percent of total billed charges		215.9	100			Percent of total billed charges		254	100			Percent of total billed charges		254	100			Percent of total billed charges		254	33.3			Percent of total billed charges		84.582	33.3			Percent of total billed charges		84.582	100			Percent of total billed charges		254	84.582	228.6	
drill bit 3.2 x 30 31-323230 biomet	272	RC	Outpatient			254	165.1		90			Percent of total billed charges		228.6	40			Percent of total billed charges		101.6	80			Percent of total billed charges		203.2	90			Percent of total billed charges		228.6	85			Percent of total billed charges		215.9	85			Percent of total billed charges		215.9	85			Percent of total billed charges		215.9	100			Percent of total billed charges		254	100			Percent of total billed charges		254	100			Percent of total billed charges		254	33.3			Percent of total billed charges		84.582	33.3			Percent of total billed charges		84.582	100			Percent of total billed charges		254	84.582	228.6	
drill bit 3.2 x 40mm 31-323240 biomet	272	RC	Outpatient			254	165.1		90			Percent of total billed charges		228.6	40			Percent of total billed charges		101.6	80			Percent of total billed charges		203.2	90			Percent of total billed charges		228.6	85			Percent of total billed charges		215.9	85			Percent of total billed charges		215.9	85			Percent of total billed charges		215.9	100			Percent of total billed charges		254	100			Percent of total billed charges		254	100			Percent of total billed charges		254	33.3			Percent of total billed charges		84.582	33.3			Percent of total billed charges		84.582	100			Percent of total billed charges		254	84.582	228.6	
drill bit 32-486265 biomet	272	RC	Outpatient			254	165.1		90			Percent of total billed charges		228.6	40			Percent of total billed charges		101.6	80			Percent of total billed charges		203.2	90			Percent of total billed charges		228.6	85			Percent of total billed charges		215.9	85			Percent of total billed charges		215.9	85			Percent of total billed charges		215.9	100			Percent of total billed charges		254	100			Percent of total billed charges		254	100			Percent of total billed charges		254	33.3			Percent of total billed charges		84.582	33.3			Percent of total billed charges		84.582	100			Percent of total billed charges		254	84.582	228.6	
drill bit biomet	272	RC	Outpatient			254	165.1		90			Percent of total billed charges		228.6	40			Percent of total billed charges		101.6	80			Percent of total billed charges		203.2	90			Percent of total billed charges		228.6	85			Percent of total billed charges		215.9	85			Percent of total billed charges		215.9	85			Percent of total billed charges		215.9	100			Percent of total billed charges		254	100			Percent of total billed charges		254	100			Percent of total billed charges		254	33.3			Percent of total billed charges		84.582	33.3			Percent of total billed charges		84.582	100			Percent of total billed charges		254	84.582	228.6	
minor procedure room 1/2 hr	360	RC	Outpatient			254	165.1		90			Percent of total billed charges		228.6	40			Percent of total billed charges		101.6	80			Percent of total billed charges		203.2	90			Percent of total billed charges		228.6	85			Percent of total billed charges		215.9	85			Percent of total billed charges		215.9	85			Percent of total billed charges		215.9	100			Percent of total billed charges		254	100			Percent of total billed charges		254	100			Percent of total billed charges		254	33.3			Percent of total billed charges		84.582	33.3			Percent of total billed charges		84.582	100			Percent of total billed charges		254	84.582	228.6	
powerlink sheath hls-1012.5 endologix	272	RC	Outpatient			254	165.1		90			Percent of total billed charges		228.6	40			Percent of total billed charges		101.6	80			Percent of total billed charges		203.2	90			Percent of total billed charges		228.6	85			Percent of total billed charges		215.9	85			Percent of total billed charges		215.9	85			Percent of total billed charges		215.9	100			Percent of total billed charges		254	100			Percent of total billed charges		254	100			Percent of total billed charges		254	33.3			Percent of total billed charges		84.582	33.3			Percent of total billed charges		84.582	100			Percent of total billed charges		254	84.582	228.6	
set retrogrd in c-ret-110	272	RC	Outpatient			254	165.1		90			Percent of total billed charges		228.6	40			Percent of total billed charges		101.6	80			Percent of total billed charges		203.2	90			Percent of total billed charges		228.6	85			Percent of total billed charges		215.9	85			Percent of total billed charges		215.9	85			Percent of total billed charges		215.9	100			Percent of total billed charges		254	100			Percent of total billed charges		254	100			Percent of total billed charges		254	33.3			Percent of total billed charges		84.582	33.3			Percent of total billed charges		84.582	100			Percent of total billed charges		254	84.582	228.6	
special procedure time  1/2 hr	270	RC	Outpatient			254	165.1		90			Percent of total billed charges		228.6	40			Percent of total billed charges		101.6	80			Percent of total billed charges		203.2	90			Percent of total billed charges		228.6	85			Percent of total billed charges		215.9	85			Percent of total billed charges		215.9	85			Percent of total billed charges		215.9	100			Percent of total billed charges		254	100			Percent of total billed charges		254	100			Percent of total billed charges		254	33.3			Percent of total billed charges		84.582	33.3			Percent of total billed charges		84.582	100			Percent of total billed charges		254	84.582	228.6	
specials conscious/mod sedation po	370	RC	Outpatient			254	165.1		90			Percent of total billed charges		228.6	40			Percent of total billed charges		101.6	80			Percent of total billed charges		203.2	90			Percent of total billed charges		228.6	85			Percent of total billed charges		215.9	85			Percent of total billed charges		215.9	85			Percent of total billed charges		215.9	100			Percent of total billed charges		254	100			Percent of total billed charges		254	100			Percent of total billed charges		254	33.3			Percent of total billed charges		84.582	33.3			Percent of total billed charges		84.582	100			Percent of total billed charges		254	84.582	228.6	
powerlink sheath	272	RC	Outpatient			254	165.1		90			Percent of total billed charges		228.6	40			Percent of total billed charges		101.6	80			Percent of total billed charges		203.2	90			Percent of total billed charges		228.6	85			Percent of total billed charges		215.9	85			Percent of total billed charges		215.9	85			Percent of total billed charges		215.9	100			Percent of total billed charges		254	100			Percent of total billed charges		254	100			Percent of total billed charges		254	33.3			Percent of total billed charges		84.582	33.3			Percent of total billed charges		84.582	100			Percent of total billed charges		254	84.582	228.6	
zimm 1.5 t-plate	278	RC	Outpatient			254	165.1		90			Percent of total billed charges		228.6	40			Percent of total billed charges		101.6	80			Percent of total billed charges		203.2	90			Percent of total billed charges		228.6	85			Percent of total billed charges		215.9	85			Percent of total billed charges		215.9	85			Percent of total billed charges		215.9	100			Percent of total billed charges		254	100			Percent of total billed charges		254	100			Percent of total billed charges		254	33.3			Percent of total billed charges		84.582	33.3			Percent of total billed charges		84.582	100			Percent of total billed charges		254	84.582	228.6	
zimm 2.0 t-plate 50mm	278	RC	Outpatient			254	165.1		90			Percent of total billed charges		228.6	40			Percent of total billed charges		101.6	80			Percent of total billed charges		203.2	90			Percent of total billed charges		228.6	85			Percent of total billed charges		215.9	85			Percent of total billed charges		215.9	85			Percent of total billed charges		215.9	100			Percent of total billed charges		254	100			Percent of total billed charges		254	100			Percent of total billed charges		254	33.3			Percent of total billed charges		84.582	33.3			Percent of total billed charges		84.582	100			Percent of total billed charges		254	84.582	228.6	
acumed  screw 2.7mm x 55.0mm co-2755	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
acumed  screw 2.7mm x 65.0mm co-2765	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
acumed screw 3.5mm x 60.0mm co-3600	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
acumed screw 4.0mm x 50.0mm ca-4500	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
acumed screw long	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
biomet dvr scr/peg	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
cortical screw 3.5mm x 12mm cs12000 biomet	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
cortical screw 3.5mm x 13mm cs13000 biomet	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
cortical screw 3.5mm x 15mm cs15000 biomet	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
cortical screw 3.5mm x 16mm cs16000 biomet	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
cortical screw 3.5mm x 20mm cs20000 biomet	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
acumed  screw 3.5mm x 65.0mm co-3650	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
acumed screw 2.7mm x 60.0mm co-2760	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
acumed screw 4.0 x 60 ca-4600	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
acumed screw 4.0mm x 55.0mm ca-4550	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
cortical screw 3.5mm x 10mm cs10000 biomet	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
cortical screw 3.5mm x 14mm cs14000 biomet	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
cortical screw 3.5mm x 18mm cs18000 biomet	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
fully threaded peg 2.5 x 14mm fp14 biomet	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
fully threaded peg 2.5 x 18mm fp18 biomet	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
fully threaded peg 2.5 x 22mm fp22 biomet	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
fully threaded peg 2.5 x 26mm fp26 biomet	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
fully threaded peg 2.5 x 28mm fp28 biomet	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
fully threaded peg 2.5 x 30mm fp30 biomet	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
fully threaded peg 2.5 x 10mm fp10 biomet	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
fully threaded peg 2.5 x 12mm fp12 biomet	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
fully threaded peg 2.5 x 16mm fp16 biomet	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
fully threaded peg 2.5 x 20mm fp20 biomet	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
fully threaded peg 2.5 x 24mm fp24 biomet	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
peg threaded 2.5mm x 18mm tp18000 biomet	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
peg threaded 2.5mm x 24mm tp24000 biomet	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
peg threaded 2.5mm x 26mm tp26000 biomet	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
peg threaded 2.5mm x 28mm tp28000 biomet	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
peg threaded 2.5mm x 30mm tp30000 biomet	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
"peg, smooth, 2.0mm 14mm long p-14 hand innov"	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
"peg, smooth, 2.0mm 20mm long p-20 hand innov"	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
"peg, smooth, 2.0mm 24mm long p-24 hand innov"	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
"peg, smooth, 2.0mm 26mm long p-26 hand innov"	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
"peg, smooth, 2.0mm 28mm long p-28 hand innov"	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
peri-loc vlp drill	272	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
screw peg 2.5 x 10mm sp10000 biomet	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
screw peg 2.5 x 14mm sp14000 biomet	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
screw peg 2.5 x 18mm sp18000 biomet	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
screw peg 2.5 x 24mm sp24000 biomet	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
screw peg 2.5 x 28mm sp28000 biomet	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
screw peg 2.5 x 30mm sp30000 biomet	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
"screw peg 2.5, x16mm sp16000 biomet"	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
smart needle	270	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
smooth peg 2.0 x 10mm p10000 biomet	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
smooth peg 2.0 x 18mm p18000 biomet	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
smooth peg 2.0 x 20mm p20000 biomet	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
smooth peg 2.0 x 22mm p22000 biomet	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
smooth peg 2.0 x 26mm p26000 biomet	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
smooth peg 2.0 x 30mm p30000 biomet	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
peg threaded 2.5mm x 10mm tp10000 biomet	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
peg threaded 2.5mm x 12mm tp12000 biomet	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
peg threaded 2.5mm x 14mm  tp14000 biomet	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
peg threaded 2.5mm x 16mm tp16000 biomet	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
peg threaded 2.5mm x 20mm  tp20000 biomet	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
peg threaded 2.5mm x 22mm tp22000 biomet	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
"peg, smooth, 2.0mm 16mm long p-16 hand innov"	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
"peg, smooth, 2.0mm 18mm long p-18 hand innov"	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
"peg, smooth, 2.0mm 22mm long p-22 hand innov"	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
screw peg 2.5 x 12mm sp12000 biomet	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
screw peg 2.5 x 20mm sp20000 biomet	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
screw peg 2.5 x 22mm sp22000 biomet	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
screw peg 2.5 x 26mm sp26000 biomet	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
smooth peg 2.0 x 12mm p12000 biomet	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
smooth peg 2.0 x 14mm p14000 biomet	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
smooth peg 2.0 x 16mm p16000 biomet	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
smooth peg 2.0 x 24mm p24000 biomet	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
smooth peg 2.0 x 28mm p28000 biomet	278	RC	Outpatient			255	165.75		90			Percent of total billed charges		229.5	40			Percent of total billed charges		102	80			Percent of total billed charges		204	90			Percent of total billed charges		229.5	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	85			Percent of total billed charges		216.75	100			Percent of total billed charges		255	100			Percent of total billed charges		255	100			Percent of total billed charges		255	33.3			Percent of total billed charges		84.915	33.3			Percent of total billed charges		84.915	100			Percent of total billed charges		255	84.915	229.5	
acmi ball electrode	270	RC	Outpatient			256	166.4		90			Percent of total billed charges		230.4	40			Percent of total billed charges		102.4	80			Percent of total billed charges		204.8	90			Percent of total billed charges		230.4	85			Percent of total billed charges		217.6	85			Percent of total billed charges		217.6	85			Percent of total billed charges		217.6	100			Percent of total billed charges		256	100			Percent of total billed charges		256	100			Percent of total billed charges		256	33.3			Percent of total billed charges		85.248	33.3			Percent of total billed charges		85.248	100			Percent of total billed charges		256	85.248	230.4	
acmi bar electrode	270	RC	Outpatient			256	166.4		90			Percent of total billed charges		230.4	40			Percent of total billed charges		102.4	80			Percent of total billed charges		204.8	90			Percent of total billed charges		230.4	85			Percent of total billed charges		217.6	85			Percent of total billed charges		217.6	85			Percent of total billed charges		217.6	100			Percent of total billed charges		256	100			Percent of total billed charges		256	100			Percent of total billed charges		256	33.3			Percent of total billed charges		85.248	33.3			Percent of total billed charges		85.248	100			Percent of total billed charges		256	85.248	230.4	
12mm blunt tip trocar 0mst12bt autosuture	270	RC	Outpatient			256	166.4		90			Percent of total billed charges		230.4	40			Percent of total billed charges		102.4	80			Percent of total billed charges		204.8	90			Percent of total billed charges		230.4	85			Percent of total billed charges		217.6	85			Percent of total billed charges		217.6	85			Percent of total billed charges		217.6	100			Percent of total billed charges		256	100			Percent of total billed charges		256	100			Percent of total billed charges		256	33.3			Percent of total billed charges		85.248	33.3			Percent of total billed charges		85.248	100			Percent of total billed charges		256	85.248	230.4	
electrode roller bar black 24-26 fr rb cirac	270	RC	Outpatient			256	166.4		90			Percent of total billed charges		230.4	40			Percent of total billed charges		102.4	80			Percent of total billed charges		204.8	90			Percent of total billed charges		230.4	85			Percent of total billed charges		217.6	85			Percent of total billed charges		217.6	85			Percent of total billed charges		217.6	100			Percent of total billed charges		256	100			Percent of total billed charges		256	100			Percent of total billed charges		256	33.3			Percent of total billed charges		85.248	33.3			Percent of total billed charges		85.248	100			Percent of total billed charges		256	85.248	230.4	
electrode roller ball angled 24fr re-24 cirac	270	RC	Outpatient			256	166.4		90			Percent of total billed charges		230.4	40			Percent of total billed charges		102.4	80			Percent of total billed charges		204.8	90			Percent of total billed charges		230.4	85			Percent of total billed charges		217.6	85			Percent of total billed charges		217.6	85			Percent of total billed charges		217.6	100			Percent of total billed charges		256	100			Percent of total billed charges		256	100			Percent of total billed charges		256	33.3			Percent of total billed charges		85.248	33.3			Percent of total billed charges		85.248	100			Percent of total billed charges		256	85.248	230.4	
stone catcher	272	RC	Outpatient			256	166.4		90			Percent of total billed charges		230.4	40			Percent of total billed charges		102.4	80			Percent of total billed charges		204.8	90			Percent of total billed charges		230.4	85			Percent of total billed charges		217.6	85			Percent of total billed charges		217.6	85			Percent of total billed charges		217.6	100			Percent of total billed charges		256	100			Percent of total billed charges		256	100			Percent of total billed charges		256	33.3			Percent of total billed charges		85.248	33.3			Percent of total billed charges		85.248	100			Percent of total billed charges		256	85.248	230.4	
stone catcher with tubing 840-750 microvasive	272	RC	Outpatient			256	166.4		90			Percent of total billed charges		230.4	40			Percent of total billed charges		102.4	80			Percent of total billed charges		204.8	90			Percent of total billed charges		230.4	85			Percent of total billed charges		217.6	85			Percent of total billed charges		217.6	85			Percent of total billed charges		217.6	100			Percent of total billed charges		256	100			Percent of total billed charges		256	100			Percent of total billed charges		256	33.3			Percent of total billed charges		85.248	33.3			Percent of total billed charges		85.248	100			Percent of total billed charges		256	85.248	230.4	
syn titan.tib. end cap	278	RC	Outpatient			256	166.4		90			Percent of total billed charges		230.4	40			Percent of total billed charges		102.4	80			Percent of total billed charges		204.8	90			Percent of total billed charges		230.4	85			Percent of total billed charges		217.6	85			Percent of total billed charges		217.6	85			Percent of total billed charges		217.6	100			Percent of total billed charges		256	100			Percent of total billed charges		256	100			Percent of total billed charges		256	33.3			Percent of total billed charges		85.248	33.3			Percent of total billed charges		85.248	100			Percent of total billed charges		256	85.248	230.4	
titanium end cap (blue) for titanium solid tibal nail 458.10 synthes	278	RC	Outpatient			256	166.4		90			Percent of total billed charges		230.4	40			Percent of total billed charges		102.4	80			Percent of total billed charges		204.8	90			Percent of total billed charges		230.4	85			Percent of total billed charges		217.6	85			Percent of total billed charges		217.6	85			Percent of total billed charges		217.6	100			Percent of total billed charges		256	100			Percent of total billed charges		256	100			Percent of total billed charges		256	33.3			Percent of total billed charges		85.248	33.3			Percent of total billed charges		85.248	100			Percent of total billed charges		256	85.248	230.4	
versa-step blunt tip	270	RC	Outpatient			256	166.4		90			Percent of total billed charges		230.4	40			Percent of total billed charges		102.4	80			Percent of total billed charges		204.8	90			Percent of total billed charges		230.4	85			Percent of total billed charges		217.6	85			Percent of total billed charges		217.6	85			Percent of total billed charges		217.6	100			Percent of total billed charges		256	100			Percent of total billed charges		256	100			Percent of total billed charges		256	33.3			Percent of total billed charges		85.248	33.3			Percent of total billed charges		85.248	100			Percent of total billed charges		256	85.248	230.4	
arthrex blurr	272	RC	Outpatient			257	167.05		90			Percent of total billed charges		231.3	40			Percent of total billed charges		102.8	80			Percent of total billed charges		205.6	90			Percent of total billed charges		231.3	85			Percent of total billed charges		218.45	85			Percent of total billed charges		218.45	85			Percent of total billed charges		218.45	100			Percent of total billed charges		257	100			Percent of total billed charges		257	100			Percent of total billed charges		257	33.3			Percent of total billed charges		85.581	33.3			Percent of total billed charges		85.581	100			Percent of total billed charges		257	85.581	231.3	
arthrex blurr ar-8500bl	272	RC	Outpatient			257	167.05		90			Percent of total billed charges		231.3	40			Percent of total billed charges		102.8	80			Percent of total billed charges		205.6	90			Percent of total billed charges		231.3	85			Percent of total billed charges		218.45	85			Percent of total billed charges		218.45	85			Percent of total billed charges		218.45	100			Percent of total billed charges		257	100			Percent of total billed charges		257	100			Percent of total billed charges		257	33.3			Percent of total billed charges		85.581	33.3			Percent of total billed charges		85.581	100			Percent of total billed charges		257	85.581	231.3	
b/s navigator hd  sheath 11/13 fr 36 cm ref 250222	272	RC	Outpatient			257.62	167.45		90			Percent of total billed charges		231.858	40			Percent of total billed charges		103.048	80			Percent of total billed charges		206.096	90			Percent of total billed charges		231.858	85			Percent of total billed charges		218.977	85			Percent of total billed charges		218.977	85			Percent of total billed charges		218.977	100			Percent of total billed charges		257.62	100			Percent of total billed charges		257.62	100			Percent of total billed charges		257.62	33.3			Percent of total billed charges		85.7875	33.3			Percent of total billed charges		85.7875	100			Percent of total billed charges		257.62	85.7875	231.858	
navigator hd ureteral access sheath 12/14f x 46 cm ref 250226 b/s	272	RC	Outpatient			257.62	167.45		90			Percent of total billed charges		231.858	40			Percent of total billed charges		103.048	80			Percent of total billed charges		206.096	90			Percent of total billed charges		231.858	85			Percent of total billed charges		218.977	85			Percent of total billed charges		218.977	85			Percent of total billed charges		218.977	100			Percent of total billed charges		257.62	100			Percent of total billed charges		257.62	100			Percent of total billed charges		257.62	33.3			Percent of total billed charges		85.7875	33.3			Percent of total billed charges		85.7875	100			Percent of total billed charges		257.62	85.7875	231.858	
navigator hd ureteral access sheath set 11/13 f x 46 cm ref m0062502230  bs	272	RC	Outpatient			257.62	167.45		90			Percent of total billed charges		231.858	40			Percent of total billed charges		103.048	80			Percent of total billed charges		206.096	90			Percent of total billed charges		231.858	85			Percent of total billed charges		218.977	85			Percent of total billed charges		218.977	85			Percent of total billed charges		218.977	100			Percent of total billed charges		257.62	100			Percent of total billed charges		257.62	100			Percent of total billed charges		257.62	33.3			Percent of total billed charges		85.7875	33.3			Percent of total billed charges		85.7875	100			Percent of total billed charges		257.62	85.7875	231.858	
ccpf chemo admin 2 hrs	335	RC	Outpatient			257.88	167.62		90			Percent of total billed charges		232.092	40			Percent of total billed charges		103.152	80			Percent of total billed charges		206.304	90			Percent of total billed charges		232.092	85			Percent of total billed charges		219.198	85			Percent of total billed charges		219.198	85			Percent of total billed charges		219.198	100			Percent of total billed charges		257.88	100			Percent of total billed charges		257.88	100			Percent of total billed charges		257.88	33.3			Percent of total billed charges		85.874	33.3			Percent of total billed charges		85.874	100			Percent of total billed charges		257.88	85.874	232.092	
proximate tx 90mm linear cutter 3.5mm tlh90 ethicon	272	RC	Outpatient			259	168.35		90			Percent of total billed charges		233.1	40			Percent of total billed charges		103.6	80			Percent of total billed charges		207.2	90			Percent of total billed charges		233.1	85			Percent of total billed charges		220.15	85			Percent of total billed charges		220.15	85			Percent of total billed charges		220.15	100			Percent of total billed charges		259	100			Percent of total billed charges		259	100			Percent of total billed charges		259	33.3			Percent of total billed charges		86.247	33.3			Percent of total billed charges		86.247	100			Percent of total billed charges		259	86.247	233.1	
stapler tlh 90	272	RC	Outpatient			259	168.35		90			Percent of total billed charges		233.1	40			Percent of total billed charges		103.6	80			Percent of total billed charges		207.2	90			Percent of total billed charges		233.1	85			Percent of total billed charges		220.15	85			Percent of total billed charges		220.15	85			Percent of total billed charges		220.15	100			Percent of total billed charges		259	100			Percent of total billed charges		259	100			Percent of total billed charges		259	33.3			Percent of total billed charges		86.247	33.3			Percent of total billed charges		86.247	100			Percent of total billed charges		259	86.247	233.1	
biomet flex osteotome	272	RC	Outpatient			260	169		90			Percent of total billed charges		234	40			Percent of total billed charges		104	80			Percent of total billed charges		208	90			Percent of total billed charges		234	85			Percent of total billed charges		221	85			Percent of total billed charges		221	85			Percent of total billed charges		221	100			Percent of total billed charges		260	100			Percent of total billed charges		260	100			Percent of total billed charges		260	33.3			Percent of total billed charges		86.58	33.3			Percent of total billed charges		86.58	100			Percent of total billed charges		260	86.58	234	
blade diamond v xl	272	RC	Outpatient			260	169		90			Percent of total billed charges		234	40			Percent of total billed charges		104	80			Percent of total billed charges		208	90			Percent of total billed charges		234	85			Percent of total billed charges		221	85			Percent of total billed charges		221	85			Percent of total billed charges		221	100			Percent of total billed charges		260	100			Percent of total billed charges		260	100			Percent of total billed charges		260	33.3			Percent of total billed charges		86.58	33.3			Percent of total billed charges		86.58	100			Percent of total billed charges		260	86.58	234	
bmp thin osteotome blade 8mm x 2 1/2  430052 biomet	272	RC	Outpatient			260	169		90			Percent of total billed charges		234	40			Percent of total billed charges		104	80			Percent of total billed charges		208	90			Percent of total billed charges		234	85			Percent of total billed charges		221	85			Percent of total billed charges		221	85			Percent of total billed charges		221	100			Percent of total billed charges		260	100			Percent of total billed charges		260	100			Percent of total billed charges		260	33.3			Percent of total billed charges		86.58	33.3			Percent of total billed charges		86.58	100			Percent of total billed charges		260	86.58	234	
cosmetic - laser hair removal bikini line & underarms single session	983	RC	Outpatient			260	169		90			Percent of total billed charges		234	40			Percent of total billed charges		104	80			Percent of total billed charges		208	90			Percent of total billed charges		234	85			Percent of total billed charges		221	85			Percent of total billed charges		221	85			Percent of total billed charges		221	100			Percent of total billed charges		260	100			Percent of total billed charges		260	100			Percent of total billed charges		260	33.3			Percent of total billed charges		86.58	33.3			Percent of total billed charges		86.58	100			Percent of total billed charges		260	86.58	234	
diamond v xlong blade 516061 biomet	272	RC	Outpatient			260	169		90			Percent of total billed charges		234	40			Percent of total billed charges		104	80			Percent of total billed charges		208	90			Percent of total billed charges		234	85			Percent of total billed charges		221	85			Percent of total billed charges		221	85			Percent of total billed charges		221	100			Percent of total billed charges		260	100			Percent of total billed charges		260	100			Percent of total billed charges		260	33.3			Percent of total billed charges		86.58	33.3			Percent of total billed charges		86.58	100			Percent of total billed charges		260	86.58	234	
s/n passing pin 15 x 2.4mm 7208678	272	RC	Outpatient			260	169		90			Percent of total billed charges		234	40			Percent of total billed charges		104	80			Percent of total billed charges		208	90			Percent of total billed charges		234	85			Percent of total billed charges		221	85			Percent of total billed charges		221	85			Percent of total billed charges		221	100			Percent of total billed charges		260	100			Percent of total billed charges		260	100			Percent of total billed charges		260	33.3			Percent of total billed charges		86.58	33.3			Percent of total billed charges		86.58	100			Percent of total billed charges		260	86.58	234	
staple gia 60 load	270	RC	Outpatient			260	169		90			Percent of total billed charges		234	40			Percent of total billed charges		104	80			Percent of total billed charges		208	90			Percent of total billed charges		234	85			Percent of total billed charges		221	85			Percent of total billed charges		221	85			Percent of total billed charges		221	100			Percent of total billed charges		260	100			Percent of total billed charges		260	100			Percent of total billed charges		260	33.3			Percent of total billed charges		86.58	33.3			Percent of total billed charges		86.58	100			Percent of total billed charges		260	86.58	234	
staple gia60 3.8mm reloads gia6038l covidien	270	RC	Outpatient			260	169		90			Percent of total billed charges		234	40			Percent of total billed charges		104	80			Percent of total billed charges		208	90			Percent of total billed charges		234	85			Percent of total billed charges		221	85			Percent of total billed charges		221	85			Percent of total billed charges		221	100			Percent of total billed charges		260	100			Percent of total billed charges		260	100			Percent of total billed charges		260	33.3			Percent of total billed charges		86.58	33.3			Percent of total billed charges		86.58	100			Percent of total billed charges		260	86.58	234	
swift-lock anchor	278	RC	Outpatient			260	169		90			Percent of total billed charges		234	40			Percent of total billed charges		104	80			Percent of total billed charges		208	90			Percent of total billed charges		234	85			Percent of total billed charges		221	85			Percent of total billed charges		221	85			Percent of total billed charges		221	100			Percent of total billed charges		260	100			Percent of total billed charges		260	100			Percent of total billed charges		260	33.3			Percent of total billed charges		86.58	33.3			Percent of total billed charges		86.58	100			Percent of total billed charges		260	86.58	234	
zzscrmc pna foam	621	RC	Outpatient			260	169		90			Percent of total billed charges		234	40			Percent of total billed charges		104	80			Percent of total billed charges		208	90			Percent of total billed charges		234	85			Percent of total billed charges		221	85			Percent of total billed charges		221	85			Percent of total billed charges		221	100			Percent of total billed charges		260	100			Percent of total billed charges		260	100			Percent of total billed charges		260	33.3			Percent of total billed charges		86.58	33.3			Percent of total billed charges		86.58	100			Percent of total billed charges		260	86.58	234	
drill 6.3x150 11-0021 110021	270	RC	Outpatient			261	169.65		90			Percent of total billed charges		234.9	40			Percent of total billed charges		104.4	80			Percent of total billed charges		208.8	90			Percent of total billed charges		234.9	85			Percent of total billed charges		221.85	85			Percent of total billed charges		221.85	85			Percent of total billed charges		221.85	100			Percent of total billed charges		261	100			Percent of total billed charges		261	100			Percent of total billed charges		261	33.3			Percent of total billed charges		86.913	33.3			Percent of total billed charges		86.913	100			Percent of total billed charges		261	86.913	234.9	
drill twist 4.0mmx305mm lg 112049	270	RC	Outpatient			261	169.65		90			Percent of total billed charges		234.9	40			Percent of total billed charges		104.4	80			Percent of total billed charges		208.8	90			Percent of total billed charges		234.9	85			Percent of total billed charges		221.85	85			Percent of total billed charges		221.85	85			Percent of total billed charges		221.85	100			Percent of total billed charges		261	100			Percent of total billed charges		261	100			Percent of total billed charges		261	33.3			Percent of total billed charges		86.913	33.3			Percent of total billed charges		86.913	100			Percent of total billed charges		261	86.913	234.9	
drill twist 4.8mmx311mm  112048	270	RC	Outpatient			261	169.65		90			Percent of total billed charges		234.9	40			Percent of total billed charges		104.4	80			Percent of total billed charges		208.8	90			Percent of total billed charges		234.9	85			Percent of total billed charges		221.85	85			Percent of total billed charges		221.85	85			Percent of total billed charges		221.85	100			Percent of total billed charges		261	100			Percent of total billed charges		261	100			Percent of total billed charges		261	33.3			Percent of total billed charges		86.913	33.3			Percent of total billed charges		86.913	100			Percent of total billed charges		261	86.913	234.9	
drill bit 2.0 x 130mm 71173801 s/n	272	RC	Outpatient			261	169.65		90			Percent of total billed charges		234.9	40			Percent of total billed charges		104.4	80			Percent of total billed charges		208.8	90			Percent of total billed charges		234.9	85			Percent of total billed charges		221.85	85			Percent of total billed charges		221.85	85			Percent of total billed charges		221.85	100			Percent of total billed charges		261	100			Percent of total billed charges		261	100			Percent of total billed charges		261	33.3			Percent of total billed charges		86.913	33.3			Percent of total billed charges		86.913	100			Percent of total billed charges		261	86.913	234.9	
drill bit 2.7 x 130mm 71173803 s/n	272	RC	Outpatient			261	169.65		90			Percent of total billed charges		234.9	40			Percent of total billed charges		104.4	80			Percent of total billed charges		208.8	90			Percent of total billed charges		234.9	85			Percent of total billed charges		221.85	85			Percent of total billed charges		221.85	85			Percent of total billed charges		221.85	100			Percent of total billed charges		261	100			Percent of total billed charges		261	100			Percent of total billed charges		261	33.3			Percent of total billed charges		86.913	33.3			Percent of total billed charges		86.913	100			Percent of total billed charges		261	86.913	234.9	
drill twist 3.5mmx254mm  112087	270	RC	Outpatient			261	169.65		90			Percent of total billed charges		234.9	40			Percent of total billed charges		104.4	80			Percent of total billed charges		208.8	90			Percent of total billed charges		234.9	85			Percent of total billed charges		221.85	85			Percent of total billed charges		221.85	85			Percent of total billed charges		221.85	100			Percent of total billed charges		261	100			Percent of total billed charges		261	100			Percent of total billed charges		261	33.3			Percent of total billed charges		86.913	33.3			Percent of total billed charges		86.913	100			Percent of total billed charges		261	86.913	234.9	
s/n drill bit 2.7 x 130	272	RC	Outpatient			261	169.65		90			Percent of total billed charges		234.9	40			Percent of total billed charges		104.4	80			Percent of total billed charges		208.8	90			Percent of total billed charges		234.9	85			Percent of total billed charges		221.85	85			Percent of total billed charges		221.85	85			Percent of total billed charges		221.85	100			Percent of total billed charges		261	100			Percent of total billed charges		261	100			Percent of total billed charges		261	33.3			Percent of total billed charges		86.913	33.3			Percent of total billed charges		86.913	100			Percent of total billed charges		261	86.913	234.9	
tray paracentesis 15g	270	RC	Outpatient			261	169.65		90			Percent of total billed charges		234.9	40			Percent of total billed charges		104.4	80			Percent of total billed charges		208.8	90			Percent of total billed charges		234.9	85			Percent of total billed charges		221.85	85			Percent of total billed charges		221.85	85			Percent of total billed charges		221.85	100			Percent of total billed charges		261	100			Percent of total billed charges		261	100			Percent of total billed charges		261	33.3			Percent of total billed charges		86.913	33.3			Percent of total billed charges		86.913	100			Percent of total billed charges		261	86.913	234.9	
r/t drill bit	270	RC	Outpatient			261	169.65		90			Percent of total billed charges		234.9	40			Percent of total billed charges		104.4	80			Percent of total billed charges		208.8	90			Percent of total billed charges		234.9	85			Percent of total billed charges		221.85	85			Percent of total billed charges		221.85	85			Percent of total billed charges		221.85	100			Percent of total billed charges		261	100			Percent of total billed charges		261	100			Percent of total billed charges		261	33.3			Percent of total billed charges		86.913	33.3			Percent of total billed charges		86.913	100			Percent of total billed charges		261	86.913	234.9	
s/n drill bit 2.0 x 130mm	272	RC	Outpatient			261	169.65		90			Percent of total billed charges		234.9	40			Percent of total billed charges		104.4	80			Percent of total billed charges		208.8	90			Percent of total billed charges		234.9	85			Percent of total billed charges		221.85	85			Percent of total billed charges		221.85	85			Percent of total billed charges		221.85	100			Percent of total billed charges		261	100			Percent of total billed charges		261	100			Percent of total billed charges		261	33.3			Percent of total billed charges		86.913	33.3			Percent of total billed charges		86.913	100			Percent of total billed charges		261	86.913	234.9	
scrmc tray paracentesis 15ga	270	RC	Outpatient			261	169.65		90			Percent of total billed charges		234.9	40			Percent of total billed charges		104.4	80			Percent of total billed charges		208.8	90			Percent of total billed charges		234.9	85			Percent of total billed charges		221.85	85			Percent of total billed charges		221.85	85			Percent of total billed charges		221.85	100			Percent of total billed charges		261	100			Percent of total billed charges		261	100			Percent of total billed charges		261	33.3			Percent of total billed charges		86.913	33.3			Percent of total billed charges		86.913	100			Percent of total billed charges		261	86.913	234.9	
cancellous bone screw 5.5 x 20 2029-5520-1 stryker	278	RC	Outpatient			262	170.3		90			Percent of total billed charges		235.8	40			Percent of total billed charges		104.8	80			Percent of total billed charges		209.6	90			Percent of total billed charges		235.8	85			Percent of total billed charges		222.7	85			Percent of total billed charges		222.7	85			Percent of total billed charges		222.7	100			Percent of total billed charges		262	100			Percent of total billed charges		262	100			Percent of total billed charges		262	33.3			Percent of total billed charges		87.246	33.3			Percent of total billed charges		87.246	100			Percent of total billed charges		262	87.246	235.8	
cancellous bone screw 5.5 x 25 2029-5525-1 stryker	278	RC	Outpatient			262	170.3		90			Percent of total billed charges		235.8	40			Percent of total billed charges		104.8	80			Percent of total billed charges		209.6	90			Percent of total billed charges		235.8	85			Percent of total billed charges		222.7	85			Percent of total billed charges		222.7	85			Percent of total billed charges		222.7	100			Percent of total billed charges		262	100			Percent of total billed charges		262	100			Percent of total billed charges		262	33.3			Percent of total billed charges		87.246	33.3			Percent of total billed charges		87.246	100			Percent of total billed charges		262	87.246	235.8	
cancellous bone screw 5.5 x 30 2029-5530-1 stryker	278	RC	Outpatient			262	170.3		90			Percent of total billed charges		235.8	40			Percent of total billed charges		104.8	80			Percent of total billed charges		209.6	90			Percent of total billed charges		235.8	85			Percent of total billed charges		222.7	85			Percent of total billed charges		222.7	85			Percent of total billed charges		222.7	100			Percent of total billed charges		262	100			Percent of total billed charges		262	100			Percent of total billed charges		262	33.3			Percent of total billed charges		87.246	33.3			Percent of total billed charges		87.246	100			Percent of total billed charges		262	87.246	235.8	
centralizer 8mm 7131-3208 s/n	278	RC	Outpatient			262	170.3		90			Percent of total billed charges		235.8	40			Percent of total billed charges		104.8	80			Percent of total billed charges		209.6	90			Percent of total billed charges		235.8	85			Percent of total billed charges		222.7	85			Percent of total billed charges		222.7	85			Percent of total billed charges		222.7	100			Percent of total billed charges		262	100			Percent of total billed charges		262	100			Percent of total billed charges		262	33.3			Percent of total billed charges		87.246	33.3			Percent of total billed charges		87.246	100			Percent of total billed charges		262	87.246	235.8	
distal centralizer sz 14mm 71313214 s/n	278	RC	Outpatient			262	170.3		90			Percent of total billed charges		235.8	40			Percent of total billed charges		104.8	80			Percent of total billed charges		209.6	90			Percent of total billed charges		235.8	85			Percent of total billed charges		222.7	85			Percent of total billed charges		222.7	85			Percent of total billed charges		222.7	100			Percent of total billed charges		262	100			Percent of total billed charges		262	100			Percent of total billed charges		262	33.3			Percent of total billed charges		87.246	33.3			Percent of total billed charges		87.246	100			Percent of total billed charges		262	87.246	235.8	
distal centralizer sz 16mm 71313216 s/n	278	RC	Outpatient			262	170.3		90			Percent of total billed charges		235.8	40			Percent of total billed charges		104.8	80			Percent of total billed charges		209.6	90			Percent of total billed charges		235.8	85			Percent of total billed charges		222.7	85			Percent of total billed charges		222.7	85			Percent of total billed charges		222.7	100			Percent of total billed charges		262	100			Percent of total billed charges		262	100			Percent of total billed charges		262	33.3			Percent of total billed charges		87.246	33.3			Percent of total billed charges		87.246	100			Percent of total billed charges		262	87.246	235.8	
distal centralizer sz 20mm 71313220 s/n	278	RC	Outpatient			262	170.3		90			Percent of total billed charges		235.8	40			Percent of total billed charges		104.8	80			Percent of total billed charges		209.6	90			Percent of total billed charges		235.8	85			Percent of total billed charges		222.7	85			Percent of total billed charges		222.7	85			Percent of total billed charges		222.7	100			Percent of total billed charges		262	100			Percent of total billed charges		262	100			Percent of total billed charges		262	33.3			Percent of total billed charges		87.246	33.3			Percent of total billed charges		87.246	100			Percent of total billed charges		262	87.246	235.8	
fast-fix meniscal repair system 7209084 acufex	272	RC	Outpatient			262	170.3		90			Percent of total billed charges		235.8	40			Percent of total billed charges		104.8	80			Percent of total billed charges		209.6	90			Percent of total billed charges		235.8	85			Percent of total billed charges		222.7	85			Percent of total billed charges		222.7	85			Percent of total billed charges		222.7	100			Percent of total billed charges		262	100			Percent of total billed charges		262	100			Percent of total billed charges		262	33.3			Percent of total billed charges		87.246	33.3			Percent of total billed charges		87.246	100			Percent of total billed charges		262	87.246	235.8	
distal centralizer 12mm 71313212 s/n	278	RC	Outpatient			262	170.3		90			Percent of total billed charges		235.8	40			Percent of total billed charges		104.8	80			Percent of total billed charges		209.6	90			Percent of total billed charges		235.8	85			Percent of total billed charges		222.7	85			Percent of total billed charges		222.7	85			Percent of total billed charges		222.7	100			Percent of total billed charges		262	100			Percent of total billed charges		262	100			Percent of total billed charges		262	33.3			Percent of total billed charges		87.246	33.3			Percent of total billed charges		87.246	100			Percent of total billed charges		262	87.246	235.8	
distal centralizer sz 11mm 71313211 s/n	278	RC	Outpatient			262	170.3		90			Percent of total billed charges		235.8	40			Percent of total billed charges		104.8	80			Percent of total billed charges		209.6	90			Percent of total billed charges		235.8	85			Percent of total billed charges		222.7	85			Percent of total billed charges		222.7	85			Percent of total billed charges		222.7	100			Percent of total billed charges		262	100			Percent of total billed charges		262	100			Percent of total billed charges		262	33.3			Percent of total billed charges		87.246	33.3			Percent of total billed charges		87.246	100			Percent of total billed charges		262	87.246	235.8	
distal centralizer sz 13mm 71313213 s/n	278	RC	Outpatient			262	170.3		90			Percent of total billed charges		235.8	40			Percent of total billed charges		104.8	80			Percent of total billed charges		209.6	90			Percent of total billed charges		235.8	85			Percent of total billed charges		222.7	85			Percent of total billed charges		222.7	85			Percent of total billed charges		222.7	100			Percent of total billed charges		262	100			Percent of total billed charges		262	100			Percent of total billed charges		262	33.3			Percent of total billed charges		87.246	33.3			Percent of total billed charges		87.246	100			Percent of total billed charges		262	87.246	235.8	
distal centralizer sz 15mm 71313215 s/n	278	RC	Outpatient			262	170.3		90			Percent of total billed charges		235.8	40			Percent of total billed charges		104.8	80			Percent of total billed charges		209.6	90			Percent of total billed charges		235.8	85			Percent of total billed charges		222.7	85			Percent of total billed charges		222.7	85			Percent of total billed charges		222.7	100			Percent of total billed charges		262	100			Percent of total billed charges		262	100			Percent of total billed charges		262	33.3			Percent of total billed charges		87.246	33.3			Percent of total billed charges		87.246	100			Percent of total billed charges		262	87.246	235.8	
distal centralizer sz 17mm 71313217 s/n	278	RC	Outpatient			262	170.3		90			Percent of total billed charges		235.8	40			Percent of total billed charges		104.8	80			Percent of total billed charges		209.6	90			Percent of total billed charges		235.8	85			Percent of total billed charges		222.7	85			Percent of total billed charges		222.7	85			Percent of total billed charges		222.7	100			Percent of total billed charges		262	100			Percent of total billed charges		262	100			Percent of total billed charges		262	33.3			Percent of total billed charges		87.246	33.3			Percent of total billed charges		87.246	100			Percent of total billed charges		262	87.246	235.8	
distal centralizer sz 18mm 71313218 s/n	278	RC	Outpatient			262	170.3		90			Percent of total billed charges		235.8	40			Percent of total billed charges		104.8	80			Percent of total billed charges		209.6	90			Percent of total billed charges		235.8	85			Percent of total billed charges		222.7	85			Percent of total billed charges		222.7	85			Percent of total billed charges		222.7	100			Percent of total billed charges		262	100			Percent of total billed charges		262	100			Percent of total billed charges		262	33.3			Percent of total billed charges		87.246	33.3			Percent of total billed charges		87.246	100			Percent of total billed charges		262	87.246	235.8	
distal centralizer sz 19mm 71313219 s/n	278	RC	Outpatient			262	170.3		90			Percent of total billed charges		235.8	40			Percent of total billed charges		104.8	80			Percent of total billed charges		209.6	90			Percent of total billed charges		235.8	85			Percent of total billed charges		222.7	85			Percent of total billed charges		222.7	85			Percent of total billed charges		222.7	100			Percent of total billed charges		262	100			Percent of total billed charges		262	100			Percent of total billed charges		262	33.3			Percent of total billed charges		87.246	33.3			Percent of total billed charges		87.246	100			Percent of total billed charges		262	87.246	235.8	
distal centralizer sz 9mm 71313209 s/n	278	RC	Outpatient			262	170.3		90			Percent of total billed charges		235.8	40			Percent of total billed charges		104.8	80			Percent of total billed charges		209.6	90			Percent of total billed charges		235.8	85			Percent of total billed charges		222.7	85			Percent of total billed charges		222.7	85			Percent of total billed charges		222.7	100			Percent of total billed charges		262	100			Percent of total billed charges		262	100			Percent of total billed charges		262	33.3			Percent of total billed charges		87.246	33.3			Percent of total billed charges		87.246	100			Percent of total billed charges		262	87.246	235.8	
knot pusher fastfix	272	RC	Outpatient			262	170.3		90			Percent of total billed charges		235.8	40			Percent of total billed charges		104.8	80			Percent of total billed charges		209.6	90			Percent of total billed charges		235.8	85			Percent of total billed charges		222.7	85			Percent of total billed charges		222.7	85			Percent of total billed charges		222.7	100			Percent of total billed charges		262	100			Percent of total billed charges		262	100			Percent of total billed charges		262	33.3			Percent of total billed charges		87.246	33.3			Percent of total billed charges		87.246	100			Percent of total billed charges		262	87.246	235.8	
richards centralizer	278	RC	Outpatient			262	170.3		90			Percent of total billed charges		235.8	40			Percent of total billed charges		104.8	80			Percent of total billed charges		209.6	90			Percent of total billed charges		235.8	85			Percent of total billed charges		222.7	85			Percent of total billed charges		222.7	85			Percent of total billed charges		222.7	100			Percent of total billed charges		262	100			Percent of total billed charges		262	100			Percent of total billed charges		262	33.3			Percent of total billed charges		87.246	33.3			Percent of total billed charges		87.246	100			Percent of total billed charges		262	87.246	235.8	
s/n flex passing pin	272	RC	Outpatient			262	170.3		90			Percent of total billed charges		235.8	40			Percent of total billed charges		104.8	80			Percent of total billed charges		209.6	90			Percent of total billed charges		235.8	85			Percent of total billed charges		222.7	85			Percent of total billed charges		222.7	85			Percent of total billed charges		222.7	100			Percent of total billed charges		262	100			Percent of total billed charges		262	100			Percent of total billed charges		262	33.3			Percent of total billed charges		87.246	33.3			Percent of total billed charges		87.246	100			Percent of total billed charges		262	87.246	235.8	
s/n flexible passing pin 13.5 x 2.4mm 72201594	272	RC	Outpatient			262	170.3		90			Percent of total billed charges		235.8	40			Percent of total billed charges		104.8	80			Percent of total billed charges		209.6	90			Percent of total billed charges		235.8	85			Percent of total billed charges		222.7	85			Percent of total billed charges		222.7	85			Percent of total billed charges		222.7	100			Percent of total billed charges		262	100			Percent of total billed charges		262	100			Percent of total billed charges		262	33.3			Percent of total billed charges		87.246	33.3			Percent of total billed charges		87.246	100			Percent of total billed charges		262	87.246	235.8	
stryker screw 5.0	278	RC	Outpatient			262	170.3		90			Percent of total billed charges		235.8	40			Percent of total billed charges		104.8	80			Percent of total billed charges		209.6	90			Percent of total billed charges		235.8	85			Percent of total billed charges		222.7	85			Percent of total billed charges		222.7	85			Percent of total billed charges		222.7	100			Percent of total billed charges		262	100			Percent of total billed charges		262	100			Percent of total billed charges		262	33.3			Percent of total billed charges		87.246	33.3			Percent of total billed charges		87.246	100			Percent of total billed charges		262	87.246	235.8	
"delta lite, long leg"	270	RC	Outpatient			263	170.95		90			Percent of total billed charges		236.7	40			Percent of total billed charges		105.2	80			Percent of total billed charges		210.4	90			Percent of total billed charges		236.7	85			Percent of total billed charges		223.55	85			Percent of total billed charges		223.55	85			Percent of total billed charges		223.55	100			Percent of total billed charges		263	100			Percent of total billed charges		263	100			Percent of total billed charges		263	33.3			Percent of total billed charges		87.579	33.3			Percent of total billed charges		87.579	100			Percent of total billed charges		263	87.579	236.7	
drill bit-195mm qc	272	RC	Outpatient			263	170.95		90			Percent of total billed charges		236.7	40			Percent of total billed charges		105.2	80			Percent of total billed charges		210.4	90			Percent of total billed charges		236.7	85			Percent of total billed charges		223.55	85			Percent of total billed charges		223.55	85			Percent of total billed charges		223.55	100			Percent of total billed charges		263	100			Percent of total billed charges		263	100			Percent of total billed charges		263	33.3			Percent of total billed charges		87.579	33.3			Percent of total billed charges		87.579	100			Percent of total billed charges		263	87.579	236.7	
long leg delta lite	270	RC	Outpatient			263	170.95		90			Percent of total billed charges		236.7	40			Percent of total billed charges		105.2	80			Percent of total billed charges		210.4	90			Percent of total billed charges		236.7	85			Percent of total billed charges		223.55	85			Percent of total billed charges		223.55	85			Percent of total billed charges		223.55	100			Percent of total billed charges		263	100			Percent of total billed charges		263	100			Percent of total billed charges		263	33.3			Percent of total billed charges		87.579	33.3			Percent of total billed charges		87.579	100			Percent of total billed charges		263	87.579	236.7	
"quick coupling drill bit 3.5mm, extra long 310.37"	272	RC	Outpatient			263	170.95		90			Percent of total billed charges		236.7	40			Percent of total billed charges		105.2	80			Percent of total billed charges		210.4	90			Percent of total billed charges		236.7	85			Percent of total billed charges		223.55	85			Percent of total billed charges		223.55	85			Percent of total billed charges		223.55	100			Percent of total billed charges		263	100			Percent of total billed charges		263	100			Percent of total billed charges		263	33.3			Percent of total billed charges		87.579	33.3			Percent of total billed charges		87.579	100			Percent of total billed charges		263	87.579	236.7	
scrmc tray angio	270	RC	Outpatient			263	170.95		90			Percent of total billed charges		236.7	40			Percent of total billed charges		105.2	80			Percent of total billed charges		210.4	90			Percent of total billed charges		236.7	85			Percent of total billed charges		223.55	85			Percent of total billed charges		223.55	85			Percent of total billed charges		223.55	100			Percent of total billed charges		263	100			Percent of total billed charges		263	100			Percent of total billed charges		263	33.3			Percent of total billed charges		87.579	33.3			Percent of total billed charges		87.579	100			Percent of total billed charges		263	87.579	236.7	
tray (angio)	270	RC	Outpatient			263	170.95		90			Percent of total billed charges		236.7	40			Percent of total billed charges		105.2	80			Percent of total billed charges		210.4	90			Percent of total billed charges		236.7	85			Percent of total billed charges		223.55	85			Percent of total billed charges		223.55	85			Percent of total billed charges		223.55	100			Percent of total billed charges		263	100			Percent of total billed charges		263	100			Percent of total billed charges		263	33.3			Percent of total billed charges		87.579	33.3			Percent of total billed charges		87.579	100			Percent of total billed charges		263	87.579	236.7	
s/n lg frag tc 100 3.2mm long sterile quick coupling drill bit 7117-6033	272	RC	Outpatient			263	170.95		90			Percent of total billed charges		236.7	40			Percent of total billed charges		105.2	80			Percent of total billed charges		210.4	90			Percent of total billed charges		236.7	85			Percent of total billed charges		223.55	85			Percent of total billed charges		223.55	85			Percent of total billed charges		223.55	100			Percent of total billed charges		263	100			Percent of total billed charges		263	100			Percent of total billed charges		263	33.3			Percent of total billed charges		87.579	33.3			Percent of total billed charges		87.579	100			Percent of total billed charges		263	87.579	236.7	
isi permanent cautery hook ref 470183	272	RC	Outpatient			264	171.6		90			Percent of total billed charges		237.6	40			Percent of total billed charges		105.6	80			Percent of total billed charges		211.2	90			Percent of total billed charges		237.6	85			Percent of total billed charges		224.4	85			Percent of total billed charges		224.4	85			Percent of total billed charges		224.4	100			Percent of total billed charges		264	100			Percent of total billed charges		264	100			Percent of total billed charges		264	33.3			Percent of total billed charges		87.912	33.3			Percent of total billed charges		87.912	100			Percent of total billed charges		264	87.912	237.6	
room/bed: labor room	112	RC	Outpatient			264	171.6		90			Percent of total billed charges		237.6	40			Percent of total billed charges		105.6	80			Percent of total billed charges		211.2	90			Percent of total billed charges		237.6	85			Percent of total billed charges		224.4	85			Percent of total billed charges		224.4	85			Percent of total billed charges		224.4	100			Percent of total billed charges		264	100			Percent of total billed charges		264	100			Percent of total billed charges		264	33.3			Percent of total billed charges		87.912	33.3			Percent of total billed charges		87.912	100			Percent of total billed charges		264	87.912	237.6	
room/bed: labor room	110	RC	Outpatient			264	171.6		90			Percent of total billed charges		237.6	40			Percent of total billed charges		105.6	80			Percent of total billed charges		211.2	90			Percent of total billed charges		237.6	85			Percent of total billed charges		224.4	85			Percent of total billed charges		224.4	85			Percent of total billed charges		224.4	100			Percent of total billed charges		264	100			Percent of total billed charges		264	100			Percent of total billed charges		264	33.3			Percent of total billed charges		87.912	33.3			Percent of total billed charges		87.912	100			Percent of total billed charges		264	87.912	237.6	
cancellous chips 5cc	278	RC	Outpatient			265	172.25		90			Percent of total billed charges		238.5	40			Percent of total billed charges		106	80			Percent of total billed charges		212	90			Percent of total billed charges		238.5	85			Percent of total billed charges		225.25	85			Percent of total billed charges		225.25	85			Percent of total billed charges		225.25	100			Percent of total billed charges		265	100			Percent of total billed charges		265	100			Percent of total billed charges		265	33.3			Percent of total billed charges		88.245	33.3			Percent of total billed charges		88.245	100			Percent of total billed charges		265	88.245	238.5	
breast localization needl	621	RC	Outpatient			265	172.25		90			Percent of total billed charges		238.5	40			Percent of total billed charges		106	80			Percent of total billed charges		212	90			Percent of total billed charges		238.5	85			Percent of total billed charges		225.25	85			Percent of total billed charges		225.25	85			Percent of total billed charges		225.25	100			Percent of total billed charges		265	100			Percent of total billed charges		265	100			Percent of total billed charges		265	33.3			Percent of total billed charges		88.245	33.3			Percent of total billed charges		88.245	100			Percent of total billed charges		265	88.245	238.5	
cancellous chips 5cc 400140 mtf	278	RC	Outpatient			265	172.25		90			Percent of total billed charges		238.5	40			Percent of total billed charges		106	80			Percent of total billed charges		212	90			Percent of total billed charges		238.5	85			Percent of total billed charges		225.25	85			Percent of total billed charges		225.25	85			Percent of total billed charges		225.25	100			Percent of total billed charges		265	100			Percent of total billed charges		265	100			Percent of total billed charges		265	33.3			Percent of total billed charges		88.245	33.3			Percent of total billed charges		88.245	100			Percent of total billed charges		265	88.245	238.5	
endo nasal biliary drain set	270	RC	Outpatient			265	172.25		90			Percent of total billed charges		238.5	40			Percent of total billed charges		106	80			Percent of total billed charges		212	90			Percent of total billed charges		238.5	85			Percent of total billed charges		225.25	85			Percent of total billed charges		225.25	85			Percent of total billed charges		225.25	100			Percent of total billed charges		265	100			Percent of total billed charges		265	100			Percent of total billed charges		265	33.3			Percent of total billed charges		88.245	33.3			Percent of total billed charges		88.245	100			Percent of total billed charges		265	88.245	238.5	
drill bit 3.5  x 130mm 71173805 s/n	272	RC	Outpatient			265	172.25		90			Percent of total billed charges		238.5	40			Percent of total billed charges		106	80			Percent of total billed charges		212	90			Percent of total billed charges		238.5	85			Percent of total billed charges		225.25	85			Percent of total billed charges		225.25	85			Percent of total billed charges		225.25	100			Percent of total billed charges		265	100			Percent of total billed charges		265	100			Percent of total billed charges		265	33.3			Percent of total billed charges		88.245	33.3			Percent of total billed charges		88.245	100			Percent of total billed charges		265	88.245	238.5	
pva foam emb part	278	RC	Outpatient			265	172.25		90			Percent of total billed charges		238.5	40			Percent of total billed charges		106	80			Percent of total billed charges		212	90			Percent of total billed charges		238.5	85			Percent of total billed charges		225.25	85			Percent of total billed charges		225.25	85			Percent of total billed charges		225.25	100			Percent of total billed charges		265	100			Percent of total billed charges		265	100			Percent of total billed charges		265	33.3			Percent of total billed charges		88.245	33.3			Percent of total billed charges		88.245	100			Percent of total billed charges		265	88.245	238.5	
pva foam embolization particles pva300 cook	278	RC	Outpatient			265	172.25		90			Percent of total billed charges		238.5	40			Percent of total billed charges		106	80			Percent of total billed charges		212	90			Percent of total billed charges		238.5	85			Percent of total billed charges		225.25	85			Percent of total billed charges		225.25	85			Percent of total billed charges		225.25	100			Percent of total billed charges		265	100			Percent of total billed charges		265	100			Percent of total billed charges		265	33.3			Percent of total billed charges		88.245	33.3			Percent of total billed charges		88.245	100			Percent of total billed charges		265	88.245	238.5	
s/n drill bit 3.5	272	RC	Outpatient			265	172.25		90			Percent of total billed charges		238.5	40			Percent of total billed charges		106	80			Percent of total billed charges		212	90			Percent of total billed charges		238.5	85			Percent of total billed charges		225.25	85			Percent of total billed charges		225.25	85			Percent of total billed charges		225.25	100			Percent of total billed charges		265	100			Percent of total billed charges		265	100			Percent of total billed charges		265	33.3			Percent of total billed charges		88.245	33.3			Percent of total billed charges		88.245	100			Percent of total billed charges		265	88.245	238.5	
synthes 4.5 dcp & lc-dcp plate wiremount 281.001	278	RC	Outpatient			265	172.25		90			Percent of total billed charges		238.5	40			Percent of total billed charges		106	80			Percent of total billed charges		212	90			Percent of total billed charges		238.5	85			Percent of total billed charges		225.25	85			Percent of total billed charges		225.25	85			Percent of total billed charges		225.25	100			Percent of total billed charges		265	100			Percent of total billed charges		265	100			Percent of total billed charges		265	33.3			Percent of total billed charges		88.245	33.3			Percent of total billed charges		88.245	100			Percent of total billed charges		265	88.245	238.5	
synthes wire mount	278	RC	Outpatient			265	172.25		90			Percent of total billed charges		238.5	40			Percent of total billed charges		106	80			Percent of total billed charges		212	90			Percent of total billed charges		238.5	85			Percent of total billed charges		225.25	85			Percent of total billed charges		225.25	85			Percent of total billed charges		225.25	100			Percent of total billed charges		265	100			Percent of total billed charges		265	100			Percent of total billed charges		265	33.3			Percent of total billed charges		88.245	33.3			Percent of total billed charges		88.245	100			Percent of total billed charges		265	88.245	238.5	
2.7mm compression plate 10 hole 84mm x 2.5mm 00-4927-010-00 zimmer	278	RC	Outpatient			266	172.9		90			Percent of total billed charges		239.4	40			Percent of total billed charges		106.4	80			Percent of total billed charges		212.8	90			Percent of total billed charges		239.4	85			Percent of total billed charges		226.1	85			Percent of total billed charges		226.1	85			Percent of total billed charges		226.1	100			Percent of total billed charges		266	100			Percent of total billed charges		266	100			Percent of total billed charges		266	33.3			Percent of total billed charges		88.578	33.3			Percent of total billed charges		88.578	100			Percent of total billed charges		266	88.578	239.4	
arthrex 3.0mm drill bit ar-8943-36	272	RC	Outpatient			266	172.9		90			Percent of total billed charges		239.4	40			Percent of total billed charges		106.4	80			Percent of total billed charges		212.8	90			Percent of total billed charges		239.4	85			Percent of total billed charges		226.1	85			Percent of total billed charges		226.1	85			Percent of total billed charges		226.1	100			Percent of total billed charges		266	100			Percent of total billed charges		266	100			Percent of total billed charges		266	33.3			Percent of total billed charges		88.578	33.3			Percent of total billed charges		88.578	100			Percent of total billed charges		266	88.578	239.4	
arthrex drill bit 3.0	272	RC	Outpatient			266	172.9		90			Percent of total billed charges		239.4	40			Percent of total billed charges		106.4	80			Percent of total billed charges		212.8	90			Percent of total billed charges		239.4	85			Percent of total billed charges		226.1	85			Percent of total billed charges		226.1	85			Percent of total billed charges		226.1	100			Percent of total billed charges		266	100			Percent of total billed charges		266	100			Percent of total billed charges		266	33.3			Percent of total billed charges		88.578	33.3			Percent of total billed charges		88.578	100			Percent of total billed charges		266	88.578	239.4	
drill s/n 41-7491	270	RC	Outpatient			266	172.9		90			Percent of total billed charges		239.4	40			Percent of total billed charges		106.4	80			Percent of total billed charges		212.8	90			Percent of total billed charges		239.4	85			Percent of total billed charges		226.1	85			Percent of total billed charges		226.1	85			Percent of total billed charges		226.1	100			Percent of total billed charges		266	100			Percent of total billed charges		266	100			Percent of total billed charges		266	33.3			Percent of total billed charges		88.578	33.3			Percent of total billed charges		88.578	100			Percent of total billed charges		266	88.578	239.4	
dupuy acl graft knife 11 5952-11	270	RC	Outpatient			266	172.9		90			Percent of total billed charges		239.4	40			Percent of total billed charges		106.4	80			Percent of total billed charges		212.8	90			Percent of total billed charges		239.4	85			Percent of total billed charges		226.1	85			Percent of total billed charges		226.1	85			Percent of total billed charges		226.1	100			Percent of total billed charges		266	100			Percent of total billed charges		266	100			Percent of total billed charges		266	33.3			Percent of total billed charges		88.578	33.3			Percent of total billed charges		88.578	100			Percent of total billed charges		266	88.578	239.4	
dupuy acl graft knife 10 5952-10	270	RC	Outpatient			266	172.9		90			Percent of total billed charges		239.4	40			Percent of total billed charges		106.4	80			Percent of total billed charges		212.8	90			Percent of total billed charges		239.4	85			Percent of total billed charges		226.1	85			Percent of total billed charges		226.1	85			Percent of total billed charges		226.1	100			Percent of total billed charges		266	100			Percent of total billed charges		266	100			Percent of total billed charges		266	33.3			Percent of total billed charges		88.578	33.3			Percent of total billed charges		88.578	100			Percent of total billed charges		266	88.578	239.4	
dupuy acl graft knife 12 5952-12	270	RC	Outpatient			266	172.9		90			Percent of total billed charges		239.4	40			Percent of total billed charges		106.4	80			Percent of total billed charges		212.8	90			Percent of total billed charges		239.4	85			Percent of total billed charges		226.1	85			Percent of total billed charges		226.1	85			Percent of total billed charges		226.1	100			Percent of total billed charges		266	100			Percent of total billed charges		266	100			Percent of total billed charges		266	33.3			Percent of total billed charges		88.578	33.3			Percent of total billed charges		88.578	100			Percent of total billed charges		266	88.578	239.4	
quick release bone pin djo 800-01-338	272	RC	Outpatient			266	172.9		90			Percent of total billed charges		239.4	40			Percent of total billed charges		106.4	80			Percent of total billed charges		212.8	90			Percent of total billed charges		239.4	85			Percent of total billed charges		226.1	85			Percent of total billed charges		226.1	85			Percent of total billed charges		226.1	100			Percent of total billed charges		266	100			Percent of total billed charges		266	100			Percent of total billed charges		266	33.3			Percent of total billed charges		88.578	33.3			Percent of total billed charges		88.578	100			Percent of total billed charges		266	88.578	239.4	
richards flex.shaft drill	270	RC	Outpatient			266	172.9		90			Percent of total billed charges		239.4	40			Percent of total billed charges		106.4	80			Percent of total billed charges		212.8	90			Percent of total billed charges		239.4	85			Percent of total billed charges		226.1	85			Percent of total billed charges		226.1	85			Percent of total billed charges		226.1	100			Percent of total billed charges		266	100			Percent of total billed charges		266	100			Percent of total billed charges		266	33.3			Percent of total billed charges		88.578	33.3			Percent of total billed charges		88.578	100			Percent of total billed charges		266	88.578	239.4	
quick release smooth bone pin 800-01-338 djo	272	RC	Outpatient			266	172.9		90			Percent of total billed charges		239.4	40			Percent of total billed charges		106.4	80			Percent of total billed charges		212.8	90			Percent of total billed charges		239.4	85			Percent of total billed charges		226.1	85			Percent of total billed charges		226.1	85			Percent of total billed charges		226.1	100			Percent of total billed charges		266	100			Percent of total billed charges		266	100			Percent of total billed charges		266	33.3			Percent of total billed charges		88.578	33.3			Percent of total billed charges		88.578	100			Percent of total billed charges		266	88.578	239.4	
scrmc cath nephrostomy	621	RC	Outpatient			266	172.9		90			Percent of total billed charges		239.4	40			Percent of total billed charges		106.4	80			Percent of total billed charges		212.8	90			Percent of total billed charges		239.4	85			Percent of total billed charges		226.1	85			Percent of total billed charges		226.1	85			Percent of total billed charges		226.1	100			Percent of total billed charges		266	100			Percent of total billed charges		266	100			Percent of total billed charges		266	33.3			Percent of total billed charges		88.578	33.3			Percent of total billed charges		88.578	100			Percent of total billed charges		266	88.578	239.4	
zzscrmc spinal pt-prep kit	621	RC	Outpatient			266	172.9		90			Percent of total billed charges		239.4	40			Percent of total billed charges		106.4	80			Percent of total billed charges		212.8	90			Percent of total billed charges		239.4	85			Percent of total billed charges		226.1	85			Percent of total billed charges		226.1	85			Percent of total billed charges		226.1	100			Percent of total billed charges		266	100			Percent of total billed charges		266	100			Percent of total billed charges		266	33.3			Percent of total billed charges		88.578	33.3			Percent of total billed charges		88.578	100			Percent of total billed charges		266	88.578	239.4	
zimm 2.7 comp plate 9-10h	278	RC	Outpatient			266	172.9		90			Percent of total billed charges		239.4	40			Percent of total billed charges		106.4	80			Percent of total billed charges		212.8	90			Percent of total billed charges		239.4	85			Percent of total billed charges		226.1	85			Percent of total billed charges		226.1	85			Percent of total billed charges		226.1	100			Percent of total billed charges		266	100			Percent of total billed charges		266	100			Percent of total billed charges		266	33.3			Percent of total billed charges		88.578	33.3			Percent of total billed charges		88.578	100			Percent of total billed charges		266	88.578	239.4	
3.5mm x 17.5mm cortical screw co-3175-s polarus	278	RC	Outpatient			267	173.55		90			Percent of total billed charges		240.3	40			Percent of total billed charges		106.8	80			Percent of total billed charges		213.6	90			Percent of total billed charges		240.3	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	100			Percent of total billed charges		267	100			Percent of total billed charges		267	100			Percent of total billed charges		267	33.3			Percent of total billed charges		88.911	33.3			Percent of total billed charges		88.911	100			Percent of total billed charges		267	88.911	240.3	
acumed titanium rod	278	RC	Outpatient			267	173.55		90			Percent of total billed charges		240.3	40			Percent of total billed charges		106.8	80			Percent of total billed charges		213.6	90			Percent of total billed charges		240.3	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	100			Percent of total billed charges		267	100			Percent of total billed charges		267	100			Percent of total billed charges		267	33.3			Percent of total billed charges		88.911	33.3			Percent of total billed charges		88.911	100			Percent of total billed charges		267	88.911	240.3	
acutrak 60mm titanium rod smt-5060	278	RC	Outpatient			267	173.55		90			Percent of total billed charges		240.3	40			Percent of total billed charges		106.8	80			Percent of total billed charges		213.6	90			Percent of total billed charges		240.3	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	100			Percent of total billed charges		267	100			Percent of total billed charges		267	100			Percent of total billed charges		267	33.3			Percent of total billed charges		88.911	33.3			Percent of total billed charges		88.911	100			Percent of total billed charges		267	88.911	240.3	
bipass pusher 902093 biomet	272	RC	Outpatient			267	173.55		90			Percent of total billed charges		240.3	40			Percent of total billed charges		106.8	80			Percent of total billed charges		213.6	90			Percent of total billed charges		240.3	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	100			Percent of total billed charges		267	100			Percent of total billed charges		267	100			Percent of total billed charges		267	33.3			Percent of total billed charges		88.911	33.3			Percent of total billed charges		88.911	100			Percent of total billed charges		267	88.911	240.3	
carbide side cutting bur mhd-15c anspach	272	RC	Outpatient			267	173.55		90			Percent of total billed charges		240.3	40			Percent of total billed charges		106.8	80			Percent of total billed charges		213.6	90			Percent of total billed charges		240.3	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	100			Percent of total billed charges		267	100			Percent of total billed charges		267	100			Percent of total billed charges		267	33.3			Percent of total billed charges		88.911	33.3			Percent of total billed charges		88.911	100			Percent of total billed charges		267	88.911	240.3	
3.5mm x 12.5mm cortical screw co-3125-s polarus	278	RC	Outpatient			267	173.55		90			Percent of total billed charges		240.3	40			Percent of total billed charges		106.8	80			Percent of total billed charges		213.6	90			Percent of total billed charges		240.3	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	100			Percent of total billed charges		267	100			Percent of total billed charges		267	100			Percent of total billed charges		267	33.3			Percent of total billed charges		88.911	33.3			Percent of total billed charges		88.911	100			Percent of total billed charges		267	88.911	240.3	
3.5mm x 15.0mm cortical screw co-3150-s polarus	278	RC	Outpatient			267	173.55		90			Percent of total billed charges		240.3	40			Percent of total billed charges		106.8	80			Percent of total billed charges		213.6	90			Percent of total billed charges		240.3	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	100			Percent of total billed charges		267	100			Percent of total billed charges		267	100			Percent of total billed charges		267	33.3			Percent of total billed charges		88.911	33.3			Percent of total billed charges		88.911	100			Percent of total billed charges		267	88.911	240.3	
3800068 applic of gardner wells t ed charge	360	RC	Outpatient			267	173.55		90			Percent of total billed charges		240.3	40			Percent of total billed charges		106.8	80			Percent of total billed charges		213.6	90			Percent of total billed charges		240.3	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	100			Percent of total billed charges		267	100			Percent of total billed charges		267	100			Percent of total billed charges		267	33.3			Percent of total billed charges		88.911	33.3			Percent of total billed charges		88.911	100			Percent of total billed charges		267	88.911	240.3	
acutrak 90mm threaded tianium  rod smt-5090	278	RC	Outpatient			267	173.55		90			Percent of total billed charges		240.3	40			Percent of total billed charges		106.8	80			Percent of total billed charges		213.6	90			Percent of total billed charges		240.3	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	100			Percent of total billed charges		267	100			Percent of total billed charges		267	100			Percent of total billed charges		267	33.3			Percent of total billed charges		88.911	33.3			Percent of total billed charges		88.911	100			Percent of total billed charges		267	88.911	240.3	
biomet bipass pusher	272	RC	Outpatient			267	173.55		90			Percent of total billed charges		240.3	40			Percent of total billed charges		106.8	80			Percent of total billed charges		213.6	90			Percent of total billed charges		240.3	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	100			Percent of total billed charges		267	100			Percent of total billed charges		267	100			Percent of total billed charges		267	33.3			Percent of total billed charges		88.911	33.3			Percent of total billed charges		88.911	100			Percent of total billed charges		267	88.911	240.3	
bipass disp nitinol 902092 biomet	272	RC	Outpatient			267	173.55		90			Percent of total billed charges		240.3	40			Percent of total billed charges		106.8	80			Percent of total billed charges		213.6	90			Percent of total billed charges		240.3	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	100			Percent of total billed charges		267	100			Percent of total billed charges		267	100			Percent of total billed charges		267	33.3			Percent of total billed charges		88.911	33.3			Percent of total billed charges		88.911	100			Percent of total billed charges		267	88.911	240.3	
carbide metal cutting bur	272	RC	Outpatient			267	173.55		90			Percent of total billed charges		240.3	40			Percent of total billed charges		106.8	80			Percent of total billed charges		213.6	90			Percent of total billed charges		240.3	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	100			Percent of total billed charges		267	100			Percent of total billed charges		267	100			Percent of total billed charges		267	33.3			Percent of total billed charges		88.911	33.3			Percent of total billed charges		88.911	100			Percent of total billed charges		267	88.911	240.3	
cath lab st jude locator	270	RC	Outpatient			267	173.55		90			Percent of total billed charges		240.3	40			Percent of total billed charges		106.8	80			Percent of total billed charges		213.6	90			Percent of total billed charges		240.3	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	100			Percent of total billed charges		267	100			Percent of total billed charges		267	100			Percent of total billed charges		267	33.3			Percent of total billed charges		88.911	33.3			Percent of total billed charges		88.911	100			Percent of total billed charges		267	88.911	240.3	
cath lab st. jude cps valve	272	RC	Outpatient			267	173.55		90			Percent of total billed charges		240.3	40			Percent of total billed charges		106.8	80			Percent of total billed charges		213.6	90			Percent of total billed charges		240.3	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	100			Percent of total billed charges		267	100			Percent of total billed charges		267	100			Percent of total billed charges		267	33.3			Percent of total billed charges		88.911	33.3			Percent of total billed charges		88.911	100			Percent of total billed charges		267	88.911	240.3	
cath lab venogram balloon	270	RC	Outpatient			267	173.55		90			Percent of total billed charges		240.3	40			Percent of total billed charges		106.8	80			Percent of total billed charges		213.6	90			Percent of total billed charges		240.3	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	100			Percent of total billed charges		267	100			Percent of total billed charges		267	100			Percent of total billed charges		267	33.3			Percent of total billed charges		88.911	33.3			Percent of total billed charges		88.911	100			Percent of total billed charges		267	88.911	240.3	
endo trach change	272	RC	Outpatient			267	173.55		90			Percent of total billed charges		240.3	40			Percent of total billed charges		106.8	80			Percent of total billed charges		213.6	90			Percent of total billed charges		240.3	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	100			Percent of total billed charges		267	100			Percent of total billed charges		267	100			Percent of total billed charges		267	33.3			Percent of total billed charges		88.911	33.3			Percent of total billed charges		88.911	100			Percent of total billed charges		267	88.911	240.3	
epix clip applier	272	RC	Outpatient			267	173.55		90			Percent of total billed charges		240.3	40			Percent of total billed charges		106.8	80			Percent of total billed charges		213.6	90			Percent of total billed charges		240.3	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	100			Percent of total billed charges		267	100			Percent of total billed charges		267	100			Percent of total billed charges		267	33.3			Percent of total billed charges		88.911	33.3			Percent of total billed charges		88.911	100			Percent of total billed charges		267	88.911	240.3	
epix clip applier ca600 applied med	272	RC	Outpatient			267	173.55		90			Percent of total billed charges		240.3	40			Percent of total billed charges		106.8	80			Percent of total billed charges		213.6	90			Percent of total billed charges		240.3	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	100			Percent of total billed charges		267	100			Percent of total billed charges		267	100			Percent of total billed charges		267	33.3			Percent of total billed charges		88.911	33.3			Percent of total billed charges		88.911	100			Percent of total billed charges		267	88.911	240.3	
kyphon bone cement	278	RC	Outpatient			267	173.55		90			Percent of total billed charges		240.3	40			Percent of total billed charges		106.8	80			Percent of total billed charges		213.6	90			Percent of total billed charges		240.3	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	100			Percent of total billed charges		267	100			Percent of total billed charges		267	100			Percent of total billed charges		267	33.3			Percent of total billed charges		88.911	33.3			Percent of total billed charges		88.911	100			Percent of total billed charges		267	88.911	240.3	
kyphon bone cement co1a	278	RC	Outpatient			267	173.55		90			Percent of total billed charges		240.3	40			Percent of total billed charges		106.8	80			Percent of total billed charges		213.6	90			Percent of total billed charges		240.3	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	100			Percent of total billed charges		267	100			Percent of total billed charges		267	100			Percent of total billed charges		267	33.3			Percent of total billed charges		88.911	33.3			Percent of total billed charges		88.911	100			Percent of total billed charges		267	88.911	240.3	
locator st jude	270	RC	Outpatient			267	173.55		90			Percent of total billed charges		240.3	40			Percent of total billed charges		106.8	80			Percent of total billed charges		213.6	90			Percent of total billed charges		240.3	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	100			Percent of total billed charges		267	100			Percent of total billed charges		267	100			Percent of total billed charges		267	33.3			Percent of total billed charges		88.911	33.3			Percent of total billed charges		88.911	100			Percent of total billed charges		267	88.911	240.3	
opus suture cartridge	272	RC	Outpatient			267	173.55		90			Percent of total billed charges		240.3	40			Percent of total billed charges		106.8	80			Percent of total billed charges		213.6	90			Percent of total billed charges		240.3	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	100			Percent of total billed charges		267	100			Percent of total billed charges		267	100			Percent of total billed charges		267	33.3			Percent of total billed charges		88.911	33.3			Percent of total billed charges		88.911	100			Percent of total billed charges		267	88.911	240.3	
polarus im rod screws	278	RC	Outpatient			267	173.55		90			Percent of total billed charges		240.3	40			Percent of total billed charges		106.8	80			Percent of total billed charges		213.6	90			Percent of total billed charges		240.3	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	100			Percent of total billed charges		267	100			Percent of total billed charges		267	100			Percent of total billed charges		267	33.3			Percent of total billed charges		88.911	33.3			Percent of total billed charges		88.911	100			Percent of total billed charges		267	88.911	240.3	
smartstitch suture cartridge om8051 opus	272	RC	Outpatient			267	173.55		90			Percent of total billed charges		240.3	40			Percent of total billed charges		106.8	80			Percent of total billed charges		213.6	90			Percent of total billed charges		240.3	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	100			Percent of total billed charges		267	100			Percent of total billed charges		267	100			Percent of total billed charges		267	33.3			Percent of total billed charges		88.911	33.3			Percent of total billed charges		88.911	100			Percent of total billed charges		267	88.911	240.3	
smartstitch suture cartridge om8052 opus	272	RC	Outpatient			267	173.55		90			Percent of total billed charges		240.3	40			Percent of total billed charges		106.8	80			Percent of total billed charges		213.6	90			Percent of total billed charges		240.3	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	100			Percent of total billed charges		267	100			Percent of total billed charges		267	100			Percent of total billed charges		267	33.3			Percent of total billed charges		88.911	33.3			Percent of total billed charges		88.911	100			Percent of total billed charges		267	88.911	240.3	
smartstitch suture cartridge om8071 opus	272	RC	Outpatient			267	173.55		90			Percent of total billed charges		240.3	40			Percent of total billed charges		106.8	80			Percent of total billed charges		213.6	90			Percent of total billed charges		240.3	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	100			Percent of total billed charges		267	100			Percent of total billed charges		267	100			Percent of total billed charges		267	33.3			Percent of total billed charges		88.911	33.3			Percent of total billed charges		88.911	100			Percent of total billed charges		267	88.911	240.3	
smartstitch suture cartridge om8073 opus	272	RC	Outpatient			267	173.55		90			Percent of total billed charges		240.3	40			Percent of total billed charges		106.8	80			Percent of total billed charges		213.6	90			Percent of total billed charges		240.3	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	100			Percent of total billed charges		267	100			Percent of total billed charges		267	100			Percent of total billed charges		267	33.3			Percent of total billed charges		88.911	33.3			Percent of total billed charges		88.911	100			Percent of total billed charges		267	88.911	240.3	
spinal tray continous	270	RC	Outpatient			267	173.55		90			Percent of total billed charges		240.3	40			Percent of total billed charges		106.8	80			Percent of total billed charges		213.6	90			Percent of total billed charges		240.3	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	100			Percent of total billed charges		267	100			Percent of total billed charges		267	100			Percent of total billed charges		267	33.3			Percent of total billed charges		88.911	33.3			Percent of total billed charges		88.911	100			Percent of total billed charges		267	88.911	240.3	
st jude cps valve	272	RC	Outpatient			267	173.55		90			Percent of total billed charges		240.3	40			Percent of total billed charges		106.8	80			Percent of total billed charges		213.6	90			Percent of total billed charges		240.3	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	100			Percent of total billed charges		267	100			Percent of total billed charges		267	100			Percent of total billed charges		267	33.3			Percent of total billed charges		88.911	33.3			Percent of total billed charges		88.911	100			Percent of total billed charges		267	88.911	240.3	
straight-in 28cm suture shaft 72358028 ams	272	RC	Outpatient			267	173.55		90			Percent of total billed charges		240.3	40			Percent of total billed charges		106.8	80			Percent of total billed charges		213.6	90			Percent of total billed charges		240.3	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	100			Percent of total billed charges		267	100			Percent of total billed charges		267	100			Percent of total billed charges		267	33.3			Percent of total billed charges		88.911	33.3			Percent of total billed charges		88.911	100			Percent of total billed charges		267	88.911	240.3	
straight-in shaft	272	RC	Outpatient			267	173.55		90			Percent of total billed charges		240.3	40			Percent of total billed charges		106.8	80			Percent of total billed charges		213.6	90			Percent of total billed charges		240.3	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	100			Percent of total billed charges		267	100			Percent of total billed charges		267	100			Percent of total billed charges		267	33.3			Percent of total billed charges		88.911	33.3			Percent of total billed charges		88.911	100			Percent of total billed charges		267	88.911	240.3	
tracheostomy tube change charge	272	RC	Outpatient			267	173.55		90			Percent of total billed charges		240.3	40			Percent of total billed charges		106.8	80			Percent of total billed charges		213.6	90			Percent of total billed charges		240.3	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	100			Percent of total billed charges		267	100			Percent of total billed charges		267	100			Percent of total billed charges		267	33.3			Percent of total billed charges		88.911	33.3			Percent of total billed charges		88.911	100			Percent of total billed charges		267	88.911	240.3	
pin plug	272	RC	Outpatient			267	173.55		90			Percent of total billed charges		240.3	40			Percent of total billed charges		106.8	80			Percent of total billed charges		213.6	90			Percent of total billed charges		240.3	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	100			Percent of total billed charges		267	100			Percent of total billed charges		267	100			Percent of total billed charges		267	33.3			Percent of total billed charges		88.911	33.3			Percent of total billed charges		88.911	100			Percent of total billed charges		267	88.911	240.3	
smartstitch suture cartridge om8053 opus med	272	RC	Outpatient			267	173.55		90			Percent of total billed charges		240.3	40			Percent of total billed charges		106.8	80			Percent of total billed charges		213.6	90			Percent of total billed charges		240.3	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	100			Percent of total billed charges		267	100			Percent of total billed charges		267	100			Percent of total billed charges		267	33.3			Percent of total billed charges		88.911	33.3			Percent of total billed charges		88.911	100			Percent of total billed charges		267	88.911	240.3	
smartstitch suture cartridge om8072 opus	272	RC	Outpatient			267	173.55		90			Percent of total billed charges		240.3	40			Percent of total billed charges		106.8	80			Percent of total billed charges		213.6	90			Percent of total billed charges		240.3	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	100			Percent of total billed charges		267	100			Percent of total billed charges		267	100			Percent of total billed charges		267	33.3			Percent of total billed charges		88.911	33.3			Percent of total billed charges		88.911	100			Percent of total billed charges		267	88.911	240.3	
upex dis lock scr	278	RC	Outpatient			267	173.55		90			Percent of total billed charges		240.3	40			Percent of total billed charges		106.8	80			Percent of total billed charges		213.6	90			Percent of total billed charges		240.3	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	100			Percent of total billed charges		267	100			Percent of total billed charges		267	100			Percent of total billed charges		267	33.3			Percent of total billed charges		88.911	33.3			Percent of total billed charges		88.911	100			Percent of total billed charges		267	88.911	240.3	
"upex dts locking scr 2.8 x 20mm sdt2,8 l20"	278	RC	Outpatient			267	173.55		90			Percent of total billed charges		240.3	40			Percent of total billed charges		106.8	80			Percent of total billed charges		213.6	90			Percent of total billed charges		240.3	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	100			Percent of total billed charges		267	100			Percent of total billed charges		267	100			Percent of total billed charges		267	33.3			Percent of total billed charges		88.911	33.3			Percent of total billed charges		88.911	100			Percent of total billed charges		267	88.911	240.3	
"upex dts locking scr 2.8 x 22mm sdt2,8 l22"	278	RC	Outpatient			267	173.55		90			Percent of total billed charges		240.3	40			Percent of total billed charges		106.8	80			Percent of total billed charges		213.6	90			Percent of total billed charges		240.3	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	100			Percent of total billed charges		267	100			Percent of total billed charges		267	100			Percent of total billed charges		267	33.3			Percent of total billed charges		88.911	33.3			Percent of total billed charges		88.911	100			Percent of total billed charges		267	88.911	240.3	
"upex dts locking scr 2.8 x 24mm sdt2,8 l24"	278	RC	Outpatient			267	173.55		90			Percent of total billed charges		240.3	40			Percent of total billed charges		106.8	80			Percent of total billed charges		213.6	90			Percent of total billed charges		240.3	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	100			Percent of total billed charges		267	100			Percent of total billed charges		267	100			Percent of total billed charges		267	33.3			Percent of total billed charges		88.911	33.3			Percent of total billed charges		88.911	100			Percent of total billed charges		267	88.911	240.3	
"upex dts locking scr 2.8 x 28mm sdt2,8 l28"	278	RC	Outpatient			267	173.55		90			Percent of total billed charges		240.3	40			Percent of total billed charges		106.8	80			Percent of total billed charges		213.6	90			Percent of total billed charges		240.3	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	100			Percent of total billed charges		267	100			Percent of total billed charges		267	100			Percent of total billed charges		267	33.3			Percent of total billed charges		88.911	33.3			Percent of total billed charges		88.911	100			Percent of total billed charges		267	88.911	240.3	
"upex lag screw 2.8 x 18mm qdt2,8 l18"	278	RC	Outpatient			267	173.55		90			Percent of total billed charges		240.3	40			Percent of total billed charges		106.8	80			Percent of total billed charges		213.6	90			Percent of total billed charges		240.3	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	100			Percent of total billed charges		267	100			Percent of total billed charges		267	100			Percent of total billed charges		267	33.3			Percent of total billed charges		88.911	33.3			Percent of total billed charges		88.911	100			Percent of total billed charges		267	88.911	240.3	
"upex lag screw 2.8 x 22mm qdt2,8 l22"	278	RC	Outpatient			267	173.55		90			Percent of total billed charges		240.3	40			Percent of total billed charges		106.8	80			Percent of total billed charges		213.6	90			Percent of total billed charges		240.3	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	100			Percent of total billed charges		267	100			Percent of total billed charges		267	100			Percent of total billed charges		267	33.3			Percent of total billed charges		88.911	33.3			Percent of total billed charges		88.911	100			Percent of total billed charges		267	88.911	240.3	
"upex lag screw 2.8 x 24mm qdt2,8 l24"	278	RC	Outpatient			267	173.55		90			Percent of total billed charges		240.3	40			Percent of total billed charges		106.8	80			Percent of total billed charges		213.6	90			Percent of total billed charges		240.3	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	100			Percent of total billed charges		267	100			Percent of total billed charges		267	100			Percent of total billed charges		267	33.3			Percent of total billed charges		88.911	33.3			Percent of total billed charges		88.911	100			Percent of total billed charges		267	88.911	240.3	
"upex lag screw 2.8 x 28mm qdt2,8 l28"	278	RC	Outpatient			267	173.55		90			Percent of total billed charges		240.3	40			Percent of total billed charges		106.8	80			Percent of total billed charges		213.6	90			Percent of total billed charges		240.3	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	100			Percent of total billed charges		267	100			Percent of total billed charges		267	100			Percent of total billed charges		267	33.3			Percent of total billed charges		88.911	33.3			Percent of total billed charges		88.911	100			Percent of total billed charges		267	88.911	240.3	
"upex locking peg 2.0 x 18mm bdt2,0 l18"	278	RC	Outpatient			267	173.55		90			Percent of total billed charges		240.3	40			Percent of total billed charges		106.8	80			Percent of total billed charges		213.6	90			Percent of total billed charges		240.3	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	100			Percent of total billed charges		267	100			Percent of total billed charges		267	100			Percent of total billed charges		267	33.3			Percent of total billed charges		88.911	33.3			Percent of total billed charges		88.911	100			Percent of total billed charges		267	88.911	240.3	
"upex locking peg 2.0 x 20mm bdt2,0 l20"	278	RC	Outpatient			267	173.55		90			Percent of total billed charges		240.3	40			Percent of total billed charges		106.8	80			Percent of total billed charges		213.6	90			Percent of total billed charges		240.3	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	100			Percent of total billed charges		267	100			Percent of total billed charges		267	100			Percent of total billed charges		267	33.3			Percent of total billed charges		88.911	33.3			Percent of total billed charges		88.911	100			Percent of total billed charges		267	88.911	240.3	
"upex locking peg 2.0 x 26mm bdt2,0 l26"	278	RC	Outpatient			267	173.55		90			Percent of total billed charges		240.3	40			Percent of total billed charges		106.8	80			Percent of total billed charges		213.6	90			Percent of total billed charges		240.3	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	100			Percent of total billed charges		267	100			Percent of total billed charges		267	100			Percent of total billed charges		267	33.3			Percent of total billed charges		88.911	33.3			Percent of total billed charges		88.911	100			Percent of total billed charges		267	88.911	240.3	
"upex locking peg 2.0 x 28mm bdt2,0 l28"	278	RC	Outpatient			267	173.55		90			Percent of total billed charges		240.3	40			Percent of total billed charges		106.8	80			Percent of total billed charges		213.6	90			Percent of total billed charges		240.3	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	100			Percent of total billed charges		267	100			Percent of total billed charges		267	100			Percent of total billed charges		267	33.3			Percent of total billed charges		88.911	33.3			Percent of total billed charges		88.911	100			Percent of total billed charges		267	88.911	240.3	
upex peg	278	RC	Outpatient			267	173.55		90			Percent of total billed charges		240.3	40			Percent of total billed charges		106.8	80			Percent of total billed charges		213.6	90			Percent of total billed charges		240.3	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	100			Percent of total billed charges		267	100			Percent of total billed charges		267	100			Percent of total billed charges		267	33.3			Percent of total billed charges		88.911	33.3			Percent of total billed charges		88.911	100			Percent of total billed charges		267	88.911	240.3	
"upex dts locking scr 2.8 x 14mm sdt2,8 l14"	278	RC	Outpatient			267	173.55		90			Percent of total billed charges		240.3	40			Percent of total billed charges		106.8	80			Percent of total billed charges		213.6	90			Percent of total billed charges		240.3	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	100			Percent of total billed charges		267	100			Percent of total billed charges		267	100			Percent of total billed charges		267	33.3			Percent of total billed charges		88.911	33.3			Percent of total billed charges		88.911	100			Percent of total billed charges		267	88.911	240.3	
"upex dts locking scr 2.8 x 16mm sdt2,8 l16"	278	RC	Outpatient			267	173.55		90			Percent of total billed charges		240.3	40			Percent of total billed charges		106.8	80			Percent of total billed charges		213.6	90			Percent of total billed charges		240.3	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	100			Percent of total billed charges		267	100			Percent of total billed charges		267	100			Percent of total billed charges		267	33.3			Percent of total billed charges		88.911	33.3			Percent of total billed charges		88.911	100			Percent of total billed charges		267	88.911	240.3	
"upex dts locking scr 2.8 x 18mm sdt2,8 l18"	278	RC	Outpatient			267	173.55		90			Percent of total billed charges		240.3	40			Percent of total billed charges		106.8	80			Percent of total billed charges		213.6	90			Percent of total billed charges		240.3	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	100			Percent of total billed charges		267	100			Percent of total billed charges		267	100			Percent of total billed charges		267	33.3			Percent of total billed charges		88.911	33.3			Percent of total billed charges		88.911	100			Percent of total billed charges		267	88.911	240.3	
"upex dts locking scr 2.8 x 26mm sdt2,8 l26"	278	RC	Outpatient			267	173.55		90			Percent of total billed charges		240.3	40			Percent of total billed charges		106.8	80			Percent of total billed charges		213.6	90			Percent of total billed charges		240.3	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	100			Percent of total billed charges		267	100			Percent of total billed charges		267	100			Percent of total billed charges		267	33.3			Percent of total billed charges		88.911	33.3			Percent of total billed charges		88.911	100			Percent of total billed charges		267	88.911	240.3	
upex lag screw	278	RC	Outpatient			267	173.55		90			Percent of total billed charges		240.3	40			Percent of total billed charges		106.8	80			Percent of total billed charges		213.6	90			Percent of total billed charges		240.3	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	100			Percent of total billed charges		267	100			Percent of total billed charges		267	100			Percent of total billed charges		267	33.3			Percent of total billed charges		88.911	33.3			Percent of total billed charges		88.911	100			Percent of total billed charges		267	88.911	240.3	
"upex lag screw 2.8 x 16mm qdt2,8 l16"	278	RC	Outpatient			267	173.55		90			Percent of total billed charges		240.3	40			Percent of total billed charges		106.8	80			Percent of total billed charges		213.6	90			Percent of total billed charges		240.3	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	100			Percent of total billed charges		267	100			Percent of total billed charges		267	100			Percent of total billed charges		267	33.3			Percent of total billed charges		88.911	33.3			Percent of total billed charges		88.911	100			Percent of total billed charges		267	88.911	240.3	
"upex lag screw 2.8 x 20mm qdt2,8 l20"	278	RC	Outpatient			267	173.55		90			Percent of total billed charges		240.3	40			Percent of total billed charges		106.8	80			Percent of total billed charges		213.6	90			Percent of total billed charges		240.3	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	100			Percent of total billed charges		267	100			Percent of total billed charges		267	100			Percent of total billed charges		267	33.3			Percent of total billed charges		88.911	33.3			Percent of total billed charges		88.911	100			Percent of total billed charges		267	88.911	240.3	
"upex lag screw 2.8 x 26mm qdt2,8 l26"	278	RC	Outpatient			267	173.55		90			Percent of total billed charges		240.3	40			Percent of total billed charges		106.8	80			Percent of total billed charges		213.6	90			Percent of total billed charges		240.3	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	100			Percent of total billed charges		267	100			Percent of total billed charges		267	100			Percent of total billed charges		267	33.3			Percent of total billed charges		88.911	33.3			Percent of total billed charges		88.911	100			Percent of total billed charges		267	88.911	240.3	
"upex locking peg 2.0 x 14mm bdt2,0 l14"	278	RC	Outpatient			267	173.55		90			Percent of total billed charges		240.3	40			Percent of total billed charges		106.8	80			Percent of total billed charges		213.6	90			Percent of total billed charges		240.3	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	100			Percent of total billed charges		267	100			Percent of total billed charges		267	100			Percent of total billed charges		267	33.3			Percent of total billed charges		88.911	33.3			Percent of total billed charges		88.911	100			Percent of total billed charges		267	88.911	240.3	
"upex locking peg 2.0 x 16mm bdt2,0 l16"	278	RC	Outpatient			267	173.55		90			Percent of total billed charges		240.3	40			Percent of total billed charges		106.8	80			Percent of total billed charges		213.6	90			Percent of total billed charges		240.3	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	100			Percent of total billed charges		267	100			Percent of total billed charges		267	100			Percent of total billed charges		267	33.3			Percent of total billed charges		88.911	33.3			Percent of total billed charges		88.911	100			Percent of total billed charges		267	88.911	240.3	
"upex locking peg 2.0 x 22mm bdt2,0 l22"	278	RC	Outpatient			267	173.55		90			Percent of total billed charges		240.3	40			Percent of total billed charges		106.8	80			Percent of total billed charges		213.6	90			Percent of total billed charges		240.3	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	100			Percent of total billed charges		267	100			Percent of total billed charges		267	100			Percent of total billed charges		267	33.3			Percent of total billed charges		88.911	33.3			Percent of total billed charges		88.911	100			Percent of total billed charges		267	88.911	240.3	
"upex locking peg 2.0 x 24mm bdt2,0 l24"	278	RC	Outpatient			267	173.55		90			Percent of total billed charges		240.3	40			Percent of total billed charges		106.8	80			Percent of total billed charges		213.6	90			Percent of total billed charges		240.3	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	100			Percent of total billed charges		267	100			Percent of total billed charges		267	100			Percent of total billed charges		267	33.3			Percent of total billed charges		88.911	33.3			Percent of total billed charges		88.911	100			Percent of total billed charges		267	88.911	240.3	
venogram balloon	270	RC	Outpatient			267	173.55		90			Percent of total billed charges		240.3	40			Percent of total billed charges		106.8	80			Percent of total billed charges		213.6	90			Percent of total billed charges		240.3	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	85			Percent of total billed charges		226.95	100			Percent of total billed charges		267	100			Percent of total billed charges		267	100			Percent of total billed charges		267	33.3			Percent of total billed charges		88.911	33.3			Percent of total billed charges		88.911	100			Percent of total billed charges		267	88.911	240.3	
soclean 2 machine	290	RC	Outpatient			267.5	173.88		90			Percent of total billed charges		240.75	40			Percent of total billed charges		107	80			Percent of total billed charges		214	90			Percent of total billed charges		240.75	85			Percent of total billed charges		227.375	85			Percent of total billed charges		227.375	85			Percent of total billed charges		227.375	100			Percent of total billed charges		267.5	100			Percent of total billed charges		267.5	100			Percent of total billed charges		267.5	33.3			Percent of total billed charges		89.0775	33.3			Percent of total billed charges		89.0775	100			Percent of total billed charges		267.5	89.0775	240.75	
arthrex bb-tak	272	RC	Outpatient			268	174.2		90			Percent of total billed charges		241.2	40			Percent of total billed charges		107.2	80			Percent of total billed charges		214.4	90			Percent of total billed charges		241.2	85			Percent of total billed charges		227.8	85			Percent of total billed charges		227.8	85			Percent of total billed charges		227.8	100			Percent of total billed charges		268	100			Percent of total billed charges		268	100			Percent of total billed charges		268	33.3			Percent of total billed charges		89.244	33.3			Percent of total billed charges		89.244	100			Percent of total billed charges		268	89.244	241.2	
arthrex bb-tak ar13226	272	RC	Outpatient			268	174.2		90			Percent of total billed charges		241.2	40			Percent of total billed charges		107.2	80			Percent of total billed charges		214.4	90			Percent of total billed charges		241.2	85			Percent of total billed charges		227.8	85			Percent of total billed charges		227.8	85			Percent of total billed charges		227.8	100			Percent of total billed charges		268	100			Percent of total billed charges		268	100			Percent of total billed charges		268	33.3			Percent of total billed charges		89.244	33.3			Percent of total billed charges		89.244	100			Percent of total billed charges		268	89.244	241.2	
arthrex bb-tak threaded ar13226t	272	RC	Outpatient			268	174.2		90			Percent of total billed charges		241.2	40			Percent of total billed charges		107.2	80			Percent of total billed charges		214.4	90			Percent of total billed charges		241.2	85			Percent of total billed charges		227.8	85			Percent of total billed charges		227.8	85			Percent of total billed charges		227.8	100			Percent of total billed charges		268	100			Percent of total billed charges		268	100			Percent of total billed charges		268	33.3			Percent of total billed charges		89.244	33.3			Percent of total billed charges		89.244	100			Percent of total billed charges		268	89.244	241.2	
pacemaker set-up kit	270	RC	Outpatient			268	174.2		90			Percent of total billed charges		241.2	40			Percent of total billed charges		107.2	80			Percent of total billed charges		214.4	90			Percent of total billed charges		241.2	85			Percent of total billed charges		227.8	85			Percent of total billed charges		227.8	85			Percent of total billed charges		227.8	100			Percent of total billed charges		268	100			Percent of total billed charges		268	100			Percent of total billed charges		268	33.3			Percent of total billed charges		89.244	33.3			Percent of total billed charges		89.244	100			Percent of total billed charges		268	89.244	241.2	
foam trach tube	272	RC	Outpatient			269	174.85		90			Percent of total billed charges		242.1	40			Percent of total billed charges		107.6	80			Percent of total billed charges		215.2	90			Percent of total billed charges		242.1	85			Percent of total billed charges		228.65	85			Percent of total billed charges		228.65	85			Percent of total billed charges		228.65	100			Percent of total billed charges		269	100			Percent of total billed charges		269	100			Percent of total billed charges		269	33.3			Percent of total billed charges		89.577	33.3			Percent of total billed charges		89.577	100			Percent of total billed charges		269	89.577	242.1	
foam cuff trach tube 850160 smith medical	272	RC	Outpatient			269	174.85		90			Percent of total billed charges		242.1	40			Percent of total billed charges		107.6	80			Percent of total billed charges		215.2	90			Percent of total billed charges		242.1	85			Percent of total billed charges		228.65	85			Percent of total billed charges		228.65	85			Percent of total billed charges		228.65	100			Percent of total billed charges		269	100			Percent of total billed charges		269	100			Percent of total billed charges		269	33.3			Percent of total billed charges		89.577	33.3			Percent of total billed charges		89.577	100			Percent of total billed charges		269	89.577	242.1	
foam cuff trach tube 850170 smith medical	272	RC	Outpatient			269	174.85		90			Percent of total billed charges		242.1	40			Percent of total billed charges		107.6	80			Percent of total billed charges		215.2	90			Percent of total billed charges		242.1	85			Percent of total billed charges		228.65	85			Percent of total billed charges		228.65	85			Percent of total billed charges		228.65	100			Percent of total billed charges		269	100			Percent of total billed charges		269	100			Percent of total billed charges		269	33.3			Percent of total billed charges		89.577	33.3			Percent of total billed charges		89.577	100			Percent of total billed charges		269	89.577	242.1	
trocar 10/12mm 512 xd ethi d12xt	270	RC	Outpatient			269	174.85		90			Percent of total billed charges		242.1	40			Percent of total billed charges		107.6	80			Percent of total billed charges		215.2	90			Percent of total billed charges		242.1	85			Percent of total billed charges		228.65	85			Percent of total billed charges		228.65	85			Percent of total billed charges		228.65	100			Percent of total billed charges		269	100			Percent of total billed charges		269	100			Percent of total billed charges		269	33.3			Percent of total billed charges		89.577	33.3			Percent of total billed charges		89.577	100			Percent of total billed charges		269	89.577	242.1	
trocar 10/12mm long	270	RC	Outpatient			269	174.85		90			Percent of total billed charges		242.1	40			Percent of total billed charges		107.6	80			Percent of total billed charges		215.2	90			Percent of total billed charges		242.1	85			Percent of total billed charges		228.65	85			Percent of total billed charges		228.65	85			Percent of total billed charges		228.65	100			Percent of total billed charges		269	100			Percent of total billed charges		269	100			Percent of total billed charges		269	33.3			Percent of total billed charges		89.577	33.3			Percent of total billed charges		89.577	100			Percent of total billed charges		269	89.577	242.1	
1.5mm straight plate 20 hole 100mm 00-4915-020-02 zimmer	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
93965 doppler waveform analysis charge	761	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
chemo admin. 2 hours	335	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 100mm 71807100 s/n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 105mm 71807105 s/n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 14mm 71807014 s/n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 14mm 71827014 s\n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 16mm 71827016 s\n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 18mm 71827018 s\n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 20mm 71807020 s/n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 20mm 71827020 s\n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 24mm 71807024 s/n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 26mm 71807026 s/n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 28mm 71807028 s/n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 28mm 71827028 s\n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 34mm 71827034 s\n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 36mm 71827036 s\n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 38mm 71827038 s\n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 42mm 71807042 s/n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 42mm 71827042 s\n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 44mm 71807044 s/n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 44mm 71827044 s\n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 46mm 71807046 s/n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 46mm 71827046 s\n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 48mm 71807048 s/n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 48mm 71827048 s\n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 50mm 71807050 s/n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 54mm 71807054 s/n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 56mm 71807056 s/n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 56mm 71827056 s\n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 58mm 71807058 s/n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 58mm 71827058 s\n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 62mm 71807062 s/n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 64mm 71807064 s/n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 64mm 71827064 s\n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 70mm 71807070 s/n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 72mm 71807072 s/n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 74mm 71807074 s/n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 76mm 71827076 s\n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 78mm 71807078 s/n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 85mm 71807085 s/n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 90mm 71827090 s\n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
2.0mm straight plate 20 hole 100mm 00-4920-020-02 zimmer	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 16mm 71807016 s/n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 18mm 71807018 s/n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 22mm 71807022 s/n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 22mm 71827022 s\n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 24mm 71827024 s\n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 26mm 71827026 s\n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 30mm 71807030 s/n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 30mm 71827030 s\n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 32mm 71807032 s/n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 32mm 71827032 s\n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 34mm 71807034 s/n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 36mm 71807036 s/n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 38mm 71807038 s/n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 40mm 71807040 s/n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 40mm 71827040 s\n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 50mm 71827050 s\n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 52mm 71807052 s/n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 52mm 71827052 s\n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 54mm 71827054 s\n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 60mm 71807060 s/n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 60mm 71827060 s\n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 62mm 71827062 s\n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 66mm 71807066 s/n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 66mm 71827066 s\n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 68mm 71807068 s/n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 68mm 71827068 s\n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 70mm 71827070 s\n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 72mm 71827072 s\n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 74mm 71827074 s\n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 76mm 71807076 s/n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 78mm 71827078 s\n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 80mm 71807080 s/n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 80mm 71827080 s\n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 85mm 71827085 s\n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 90mm 71807090 s/n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
crtx scrw 4.5 x 95mm 71807095 s/n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
kit bone cement high vacuum 206-010-000 stry	270	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
peri-loc pf pin 40mm	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
peri-loc tap	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
pf pin 40mm 3.5 71173325 s/n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
rsp drill bit 3.2	272	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
s/n 4.5 cort lck scw	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
screw schanz 5.0 self drilling 200mm 294.786	270	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
stryker cement mixing cmt	270	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
syn schanz 5.0 self drill	270	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
tap cancellous tap 4.0mm 71173386 s/n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
pf pin 40mm 2.7 71173323 s/n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
rsp drill bit 3.2mm 80101020 djo	272	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
screw schanz 5.0 self drilling 250mm 294.788	270	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
self drillin schanz screw 294.785	270	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
tap qc 4.5mm 71173319 s/n	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
vitagel spray kit	272	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
zimm 2.0 str plate 20hole	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
vitagel spray kit 2090036 stryker	272	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
zimm 1.5 st plate	278	RC	Outpatient			270	175.5		90			Percent of total billed charges		243	40			Percent of total billed charges		108	80			Percent of total billed charges		216	90			Percent of total billed charges		243	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	85			Percent of total billed charges		229.5	100			Percent of total billed charges		270	100			Percent of total billed charges		270	100			Percent of total billed charges		270	33.3			Percent of total billed charges		89.91	33.3			Percent of total billed charges		89.91	100			Percent of total billed charges		270	89.91	243	
3.5mm t-plate oblq 3  hole head 3 hole shaft 52mm 00-4925-033-05 zimmer	278	RC	Outpatient			271	176.15		90			Percent of total billed charges		243.9	40			Percent of total billed charges		108.4	80			Percent of total billed charges		216.8	90			Percent of total billed charges		243.9	85			Percent of total billed charges		230.35	85			Percent of total billed charges		230.35	85			Percent of total billed charges		230.35	100			Percent of total billed charges		271	100			Percent of total billed charges		271	100			Percent of total billed charges		271	33.3			Percent of total billed charges		90.243	33.3			Percent of total billed charges		90.243	100			Percent of total billed charges		271	90.243	243.9	
3.5mm t-plate oblq 3  hole head 4 hole shaft 63mm 00-4925-034-05 zimmer	278	RC	Outpatient			271	176.15		90			Percent of total billed charges		243.9	40			Percent of total billed charges		108.4	80			Percent of total billed charges		216.8	90			Percent of total billed charges		243.9	85			Percent of total billed charges		230.35	85			Percent of total billed charges		230.35	85			Percent of total billed charges		230.35	100			Percent of total billed charges		271	100			Percent of total billed charges		271	100			Percent of total billed charges		271	33.3			Percent of total billed charges		90.243	33.3			Percent of total billed charges		90.243	100			Percent of total billed charges		271	90.243	243.9	
3.5mm t-plate oblq 3  hole head 5 hole shaft 74mm 00-4925-035-05 zimmer	278	RC	Outpatient			271	176.15		90			Percent of total billed charges		243.9	40			Percent of total billed charges		108.4	80			Percent of total billed charges		216.8	90			Percent of total billed charges		243.9	85			Percent of total billed charges		230.35	85			Percent of total billed charges		230.35	85			Percent of total billed charges		230.35	100			Percent of total billed charges		271	100			Percent of total billed charges		271	100			Percent of total billed charges		271	33.3			Percent of total billed charges		90.243	33.3			Percent of total billed charges		90.243	100			Percent of total billed charges		271	90.243	243.9	
zimm 3.5 t-plate oblique	278	RC	Outpatient			271	176.15		90			Percent of total billed charges		243.9	40			Percent of total billed charges		108.4	80			Percent of total billed charges		216.8	90			Percent of total billed charges		243.9	85			Percent of total billed charges		230.35	85			Percent of total billed charges		230.35	85			Percent of total billed charges		230.35	100			Percent of total billed charges		271	100			Percent of total billed charges		271	100			Percent of total billed charges		271	33.3			Percent of total billed charges		90.243	33.3			Percent of total billed charges		90.243	100			Percent of total billed charges		271	90.243	243.9	
3.5mm t-plate 4hole head 7 hole shaft 89mm 00-4935-47-04 zimmer	278	RC	Outpatient			272	176.8		90			Percent of total billed charges		244.8	40			Percent of total billed charges		108.8	80			Percent of total billed charges		217.6	90			Percent of total billed charges		244.8	85			Percent of total billed charges		231.2	85			Percent of total billed charges		231.2	85			Percent of total billed charges		231.2	100			Percent of total billed charges		272	100			Percent of total billed charges		272	100			Percent of total billed charges		272	33.3			Percent of total billed charges		90.576	33.3			Percent of total billed charges		90.576	100			Percent of total billed charges		272	90.576	244.8	
3.5mm t-plate 4hole head 8 hole shaft 100mm 00-4935-48-04 zimmer	278	RC	Outpatient			272	176.8		90			Percent of total billed charges		244.8	40			Percent of total billed charges		108.8	80			Percent of total billed charges		217.6	90			Percent of total billed charges		244.8	85			Percent of total billed charges		231.2	85			Percent of total billed charges		231.2	85			Percent of total billed charges		231.2	100			Percent of total billed charges		272	100			Percent of total billed charges		272	100			Percent of total billed charges		272	33.3			Percent of total billed charges		90.576	33.3			Percent of total billed charges		90.576	100			Percent of total billed charges		272	90.576	244.8	
endo paddle retract	272	RC	Outpatient			272	176.8		90			Percent of total billed charges		244.8	40			Percent of total billed charges		108.8	80			Percent of total billed charges		217.6	90			Percent of total billed charges		244.8	85			Percent of total billed charges		231.2	85			Percent of total billed charges		231.2	85			Percent of total billed charges		231.2	100			Percent of total billed charges		272	100			Percent of total billed charges		272	100			Percent of total billed charges		272	33.3			Percent of total billed charges		90.576	33.3			Percent of total billed charges		90.576	100			Percent of total billed charges		272	90.576	244.8	
endo paddle retract 12mm 173046 covidien	272	RC	Outpatient			272	176.8		90			Percent of total billed charges		244.8	40			Percent of total billed charges		108.8	80			Percent of total billed charges		217.6	90			Percent of total billed charges		244.8	85			Percent of total billed charges		231.2	85			Percent of total billed charges		231.2	85			Percent of total billed charges		231.2	100			Percent of total billed charges		272	100			Percent of total billed charges		272	100			Percent of total billed charges		272	33.3			Percent of total billed charges		90.576	33.3			Percent of total billed charges		90.576	100			Percent of total billed charges		272	90.576	244.8	
endo paddle retract 10mm 176647 covidien	272	RC	Outpatient			272	176.8		90			Percent of total billed charges		244.8	40			Percent of total billed charges		108.8	80			Percent of total billed charges		217.6	90			Percent of total billed charges		244.8	85			Percent of total billed charges		231.2	85			Percent of total billed charges		231.2	85			Percent of total billed charges		231.2	100			Percent of total billed charges		272	100			Percent of total billed charges		272	100			Percent of total billed charges		272	33.3			Percent of total billed charges		90.576	33.3			Percent of total billed charges		90.576	100			Percent of total billed charges		272	90.576	244.8	
staple ta60 4.8 load	270	RC	Outpatient			272	176.8		90			Percent of total billed charges		244.8	40			Percent of total billed charges		108.8	80			Percent of total billed charges		217.6	90			Percent of total billed charges		244.8	85			Percent of total billed charges		231.2	85			Percent of total billed charges		231.2	85			Percent of total billed charges		231.2	100			Percent of total billed charges		272	100			Percent of total billed charges		272	100			Percent of total billed charges		272	33.3			Percent of total billed charges		90.576	33.3			Percent of total billed charges		90.576	100			Percent of total billed charges		272	90.576	244.8	
staple ta60 4.8 reloads ta6048l ussc	270	RC	Outpatient			272	176.8		90			Percent of total billed charges		244.8	40			Percent of total billed charges		108.8	80			Percent of total billed charges		217.6	90			Percent of total billed charges		244.8	85			Percent of total billed charges		231.2	85			Percent of total billed charges		231.2	85			Percent of total billed charges		231.2	100			Percent of total billed charges		272	100			Percent of total billed charges		272	100			Percent of total billed charges		272	33.3			Percent of total billed charges		90.576	33.3			Percent of total billed charges		90.576	100			Percent of total billed charges		272	90.576	244.8	
smart stent 6 x 120 co6120mb cordis	278	RC	Outpatient			272	176.8		90			Percent of total billed charges		244.8	40			Percent of total billed charges		108.8	80			Percent of total billed charges		217.6	90			Percent of total billed charges		244.8	85			Percent of total billed charges		231.2	85			Percent of total billed charges		231.2	85			Percent of total billed charges		231.2	100			Percent of total billed charges		272	100			Percent of total billed charges		272	100			Percent of total billed charges		272	33.3			Percent of total billed charges		90.576	33.3			Percent of total billed charges		90.576	100			Percent of total billed charges		272	90.576	244.8	
"tube, trach/metal #0"	270	RC	Outpatient			272	176.8		90			Percent of total billed charges		244.8	40			Percent of total billed charges		108.8	80			Percent of total billed charges		217.6	90			Percent of total billed charges		244.8	85			Percent of total billed charges		231.2	85			Percent of total billed charges		231.2	85			Percent of total billed charges		231.2	100			Percent of total billed charges		272	100			Percent of total billed charges		272	100			Percent of total billed charges		272	33.3			Percent of total billed charges		90.576	33.3			Percent of total billed charges		90.576	100			Percent of total billed charges		272	90.576	244.8	
"tube,trach/metal #1"	270	RC	Outpatient			272	176.8		90			Percent of total billed charges		244.8	40			Percent of total billed charges		108.8	80			Percent of total billed charges		217.6	90			Percent of total billed charges		244.8	85			Percent of total billed charges		231.2	85			Percent of total billed charges		231.2	85			Percent of total billed charges		231.2	100			Percent of total billed charges		272	100			Percent of total billed charges		272	100			Percent of total billed charges		272	33.3			Percent of total billed charges		90.576	33.3			Percent of total billed charges		90.576	100			Percent of total billed charges		272	90.576	244.8	
"tube,trach/metal #6"	270	RC	Outpatient			272	176.8		90			Percent of total billed charges		244.8	40			Percent of total billed charges		108.8	80			Percent of total billed charges		217.6	90			Percent of total billed charges		244.8	85			Percent of total billed charges		231.2	85			Percent of total billed charges		231.2	85			Percent of total billed charges		231.2	100			Percent of total billed charges		272	100			Percent of total billed charges		272	100			Percent of total billed charges		272	33.3			Percent of total billed charges		90.576	33.3			Percent of total billed charges		90.576	100			Percent of total billed charges		272	90.576	244.8	
"tube,trach/metal #8"	270	RC	Outpatient			272	176.8		90			Percent of total billed charges		244.8	40			Percent of total billed charges		108.8	80			Percent of total billed charges		217.6	90			Percent of total billed charges		244.8	85			Percent of total billed charges		231.2	85			Percent of total billed charges		231.2	85			Percent of total billed charges		231.2	100			Percent of total billed charges		272	100			Percent of total billed charges		272	100			Percent of total billed charges		272	33.3			Percent of total billed charges		90.576	33.3			Percent of total billed charges		90.576	100			Percent of total billed charges		272	90.576	244.8	
"tube,trach/metal #2"	270	RC	Outpatient			272	176.8		90			Percent of total billed charges		244.8	40			Percent of total billed charges		108.8	80			Percent of total billed charges		217.6	90			Percent of total billed charges		244.8	85			Percent of total billed charges		231.2	85			Percent of total billed charges		231.2	85			Percent of total billed charges		231.2	100			Percent of total billed charges		272	100			Percent of total billed charges		272	100			Percent of total billed charges		272	33.3			Percent of total billed charges		90.576	33.3			Percent of total billed charges		90.576	100			Percent of total billed charges		272	90.576	244.8	
"tube,trach/metal #4"	270	RC	Outpatient			272	176.8		90			Percent of total billed charges		244.8	40			Percent of total billed charges		108.8	80			Percent of total billed charges		217.6	90			Percent of total billed charges		244.8	85			Percent of total billed charges		231.2	85			Percent of total billed charges		231.2	85			Percent of total billed charges		231.2	100			Percent of total billed charges		272	100			Percent of total billed charges		272	100			Percent of total billed charges		272	33.3			Percent of total billed charges		90.576	33.3			Percent of total billed charges		90.576	100			Percent of total billed charges		272	90.576	244.8	
zimm 3.5 plate-7-8 hole	278	RC	Outpatient			272	176.8		90			Percent of total billed charges		244.8	40			Percent of total billed charges		108.8	80			Percent of total billed charges		217.6	90			Percent of total billed charges		244.8	85			Percent of total billed charges		231.2	85			Percent of total billed charges		231.2	85			Percent of total billed charges		231.2	100			Percent of total billed charges		272	100			Percent of total billed charges		272	100			Percent of total billed charges		272	33.3			Percent of total billed charges		90.576	33.3			Percent of total billed charges		90.576	100			Percent of total billed charges		272	90.576	244.8	
cable sleeve 1.6mm  hole 6704-4-016 howm	278	RC	Outpatient			273	177.45		90			Percent of total billed charges		245.7	40			Percent of total billed charges		109.2	80			Percent of total billed charges		218.4	90			Percent of total billed charges		245.7	85			Percent of total billed charges		232.05	85			Percent of total billed charges		232.05	85			Percent of total billed charges		232.05	100			Percent of total billed charges		273	100			Percent of total billed charges		273	100			Percent of total billed charges		273	33.3			Percent of total billed charges		90.909	33.3			Percent of total billed charges		90.909	100			Percent of total billed charges		273	90.909	245.7	
d/m acumed sleeve	278	RC	Outpatient			273	177.45		90			Percent of total billed charges		245.7	40			Percent of total billed charges		109.2	80			Percent of total billed charges		218.4	90			Percent of total billed charges		245.7	85			Percent of total billed charges		232.05	85			Percent of total billed charges		232.05	85			Percent of total billed charges		232.05	100			Percent of total billed charges		273	100			Percent of total billed charges		273	100			Percent of total billed charges		273	33.3			Percent of total billed charges		90.909	33.3			Percent of total billed charges		90.909	100			Percent of total billed charges		273	90.909	245.7	
plate lc-dcp 10 hole 116mm 223.60	278	RC	Outpatient			273	177.45		90			Percent of total billed charges		245.7	40			Percent of total billed charges		109.2	80			Percent of total billed charges		218.4	90			Percent of total billed charges		245.7	85			Percent of total billed charges		232.05	85			Percent of total billed charges		232.05	85			Percent of total billed charges		232.05	100			Percent of total billed charges		273	100			Percent of total billed charges		273	100			Percent of total billed charges		273	33.3			Percent of total billed charges		90.909	33.3			Percent of total billed charges		90.909	100			Percent of total billed charges		273	90.909	245.7	
posi sepx intranasal splint 9210584 gyrus	272	RC	Outpatient			273	177.45		90			Percent of total billed charges		245.7	40			Percent of total billed charges		109.2	80			Percent of total billed charges		218.4	90			Percent of total billed charges		245.7	85			Percent of total billed charges		232.05	85			Percent of total billed charges		232.05	85			Percent of total billed charges		232.05	100			Percent of total billed charges		273	100			Percent of total billed charges		273	100			Percent of total billed charges		273	33.3			Percent of total billed charges		90.909	33.3			Percent of total billed charges		90.909	100			Percent of total billed charges		273	90.909	245.7	
posi sepx splint	272	RC	Outpatient			273	177.45		90			Percent of total billed charges		245.7	40			Percent of total billed charges		109.2	80			Percent of total billed charges		218.4	90			Percent of total billed charges		245.7	85			Percent of total billed charges		232.05	85			Percent of total billed charges		232.05	85			Percent of total billed charges		232.05	100			Percent of total billed charges		273	100			Percent of total billed charges		273	100			Percent of total billed charges		273	33.3			Percent of total billed charges		90.909	33.3			Percent of total billed charges		90.909	100			Percent of total billed charges		273	90.909	245.7	
syn plate strght 10-12hol	278	RC	Outpatient			273	177.45		90			Percent of total billed charges		245.7	40			Percent of total billed charges		109.2	80			Percent of total billed charges		218.4	90			Percent of total billed charges		245.7	85			Percent of total billed charges		232.05	85			Percent of total billed charges		232.05	85			Percent of total billed charges		232.05	100			Percent of total billed charges		273	100			Percent of total billed charges		273	100			Percent of total billed charges		273	33.3			Percent of total billed charges		90.909	33.3			Percent of total billed charges		90.909	100			Percent of total billed charges		273	90.909	245.7	
titanium end cap 12mm for standard locking 0 mm ext nails 459.012 synthes	278	RC	Outpatient			273	177.45		90			Percent of total billed charges		245.7	40			Percent of total billed charges		109.2	80			Percent of total billed charges		218.4	90			Percent of total billed charges		245.7	85			Percent of total billed charges		232.05	85			Percent of total billed charges		232.05	85			Percent of total billed charges		232.05	100			Percent of total billed charges		273	100			Percent of total billed charges		273	100			Percent of total billed charges		273	33.3			Percent of total billed charges		90.909	33.3			Percent of total billed charges		90.909	100			Percent of total billed charges		273	90.909	245.7	
titanium end cap 12mm for standard locking 20 mm ext nails 459.014 synthes	278	RC	Outpatient			273	177.45		90			Percent of total billed charges		245.7	40			Percent of total billed charges		109.2	80			Percent of total billed charges		218.4	90			Percent of total billed charges		245.7	85			Percent of total billed charges		232.05	85			Percent of total billed charges		232.05	85			Percent of total billed charges		232.05	100			Percent of total billed charges		273	100			Percent of total billed charges		273	100			Percent of total billed charges		273	33.3			Percent of total billed charges		90.909	33.3			Percent of total billed charges		90.909	100			Percent of total billed charges		273	90.909	245.7	
triathlon sz 2 tibial  prep kit ext 5555-3302 stryker	272	RC	Outpatient			273	177.45		90			Percent of total billed charges		245.7	40			Percent of total billed charges		109.2	80			Percent of total billed charges		218.4	90			Percent of total billed charges		245.7	85			Percent of total billed charges		232.05	85			Percent of total billed charges		232.05	85			Percent of total billed charges		232.05	100			Percent of total billed charges		273	100			Percent of total billed charges		273	100			Percent of total billed charges		273	33.3			Percent of total billed charges		90.909	33.3			Percent of total billed charges		90.909	100			Percent of total billed charges		273	90.909	245.7	
triathlon sz 4 tibial  prep kit ext 5555-3304 stryker	272	RC	Outpatient			273	177.45		90			Percent of total billed charges		245.7	40			Percent of total billed charges		109.2	80			Percent of total billed charges		218.4	90			Percent of total billed charges		245.7	85			Percent of total billed charges		232.05	85			Percent of total billed charges		232.05	85			Percent of total billed charges		232.05	100			Percent of total billed charges		273	100			Percent of total billed charges		273	100			Percent of total billed charges		273	33.3			Percent of total billed charges		90.909	33.3			Percent of total billed charges		90.909	100			Percent of total billed charges		273	90.909	245.7	
syn tit.can.tib.nl endcap	278	RC	Outpatient			273	177.45		90			Percent of total billed charges		245.7	40			Percent of total billed charges		109.2	80			Percent of total billed charges		218.4	90			Percent of total billed charges		245.7	85			Percent of total billed charges		232.05	85			Percent of total billed charges		232.05	85			Percent of total billed charges		232.05	100			Percent of total billed charges		273	100			Percent of total billed charges		273	100			Percent of total billed charges		273	33.3			Percent of total billed charges		90.909	33.3			Percent of total billed charges		90.909	100			Percent of total billed charges		273	90.909	245.7	
titanium end cap (green) for titanium cannumated tibial nail 458.120 synthes	278	RC	Outpatient			273	177.45		90			Percent of total billed charges		245.7	40			Percent of total billed charges		109.2	80			Percent of total billed charges		218.4	90			Percent of total billed charges		245.7	85			Percent of total billed charges		232.05	85			Percent of total billed charges		232.05	85			Percent of total billed charges		232.05	100			Percent of total billed charges		273	100			Percent of total billed charges		273	100			Percent of total billed charges		273	33.3			Percent of total billed charges		90.909	33.3			Percent of total billed charges		90.909	100			Percent of total billed charges		273	90.909	245.7	
titanium end cap 12mm for standard locking 10 mm ext nails 459.013 synthes	278	RC	Outpatient			273	177.45		90			Percent of total billed charges		245.7	40			Percent of total billed charges		109.2	80			Percent of total billed charges		218.4	90			Percent of total billed charges		245.7	85			Percent of total billed charges		232.05	85			Percent of total billed charges		232.05	85			Percent of total billed charges		232.05	100			Percent of total billed charges		273	100			Percent of total billed charges		273	100			Percent of total billed charges		273	33.3			Percent of total billed charges		90.909	33.3			Percent of total billed charges		90.909	100			Percent of total billed charges		273	90.909	245.7	
triathlon sz 6 tibial  prep kit ext 5555-3306 stryker	272	RC	Outpatient			273	177.45		90			Percent of total billed charges		245.7	40			Percent of total billed charges		109.2	80			Percent of total billed charges		218.4	90			Percent of total billed charges		245.7	85			Percent of total billed charges		232.05	85			Percent of total billed charges		232.05	85			Percent of total billed charges		232.05	100			Percent of total billed charges		273	100			Percent of total billed charges		273	100			Percent of total billed charges		273	33.3			Percent of total billed charges		90.909	33.3			Percent of total billed charges		90.909	100			Percent of total billed charges		273	90.909	245.7	
triathlon tib prep kt ext	272	RC	Outpatient			273	177.45		90			Percent of total billed charges		245.7	40			Percent of total billed charges		109.2	80			Percent of total billed charges		218.4	90			Percent of total billed charges		245.7	85			Percent of total billed charges		232.05	85			Percent of total billed charges		232.05	85			Percent of total billed charges		232.05	100			Percent of total billed charges		273	100			Percent of total billed charges		273	100			Percent of total billed charges		273	33.3			Percent of total billed charges		90.909	33.3			Percent of total billed charges		90.909	100			Percent of total billed charges		273	90.909	245.7	
distraction pins	270	RC	Outpatient			274	178.1		90			Percent of total billed charges		246.6	40			Percent of total billed charges		109.6	80			Percent of total billed charges		219.2	90			Percent of total billed charges		246.6	85			Percent of total billed charges		232.9	85			Percent of total billed charges		232.9	85			Percent of total billed charges		232.9	100			Percent of total billed charges		274	100			Percent of total billed charges		274	100			Percent of total billed charges		274	33.3			Percent of total billed charges		91.242	33.3			Percent of total billed charges		91.242	100			Percent of total billed charges		274	91.242	246.6	
implant pin distraction 14mm ff904sp aesc	270	RC	Outpatient			274	178.1		90			Percent of total billed charges		246.6	40			Percent of total billed charges		109.6	80			Percent of total billed charges		219.2	90			Percent of total billed charges		246.6	85			Percent of total billed charges		232.9	85			Percent of total billed charges		232.9	85			Percent of total billed charges		232.9	100			Percent of total billed charges		274	100			Percent of total billed charges		274	100			Percent of total billed charges		274	33.3			Percent of total billed charges		91.242	33.3			Percent of total billed charges		91.242	100			Percent of total billed charges		274	91.242	246.6	
titanium distraction pin op-14-ty tz medical	270	RC	Outpatient			274	178.1		90			Percent of total billed charges		246.6	40			Percent of total billed charges		109.6	80			Percent of total billed charges		219.2	90			Percent of total billed charges		246.6	85			Percent of total billed charges		232.9	85			Percent of total billed charges		232.9	85			Percent of total billed charges		232.9	100			Percent of total billed charges		274	100			Percent of total billed charges		274	100			Percent of total billed charges		274	33.3			Percent of total billed charges		91.242	33.3			Percent of total billed charges		91.242	100			Percent of total billed charges		274	91.242	246.6	
pin distraction casper 14mm ff904sb	270	RC	Outpatient			274	178.1		90			Percent of total billed charges		246.6	40			Percent of total billed charges		109.6	80			Percent of total billed charges		219.2	90			Percent of total billed charges		246.6	85			Percent of total billed charges		232.9	85			Percent of total billed charges		232.9	85			Percent of total billed charges		232.9	100			Percent of total billed charges		274	100			Percent of total billed charges		274	100			Percent of total billed charges		274	33.3			Percent of total billed charges		91.242	33.3			Percent of total billed charges		91.242	100			Percent of total billed charges		274	91.242	246.6	
xr hip operative left	320	RC	Outpatient			274	178.1		90			Percent of total billed charges		246.6	40			Percent of total billed charges		109.6	80			Percent of total billed charges		219.2	90			Percent of total billed charges		246.6	85			Percent of total billed charges		232.9	85			Percent of total billed charges		232.9	85			Percent of total billed charges		232.9	100			Percent of total billed charges		274	100			Percent of total billed charges		274	100			Percent of total billed charges		274	33.3			Percent of total billed charges		91.242	33.3			Percent of total billed charges		91.242	100			Percent of total billed charges		274	91.242	246.6	
xr hip operative right	320	RC	Outpatient			274	178.1		90			Percent of total billed charges		246.6	40			Percent of total billed charges		109.6	80			Percent of total billed charges		219.2	90			Percent of total billed charges		246.6	85			Percent of total billed charges		232.9	85			Percent of total billed charges		232.9	85			Percent of total billed charges		232.9	100			Percent of total billed charges		274	100			Percent of total billed charges		274	100			Percent of total billed charges		274	33.3			Percent of total billed charges		91.242	33.3			Percent of total billed charges		91.242	100			Percent of total billed charges		274	91.242	246.6	
arthrotek suture pass	272	RC	Outpatient			275	178.75		90			Percent of total billed charges		247.5	40			Percent of total billed charges		110	80			Percent of total billed charges		220	90			Percent of total billed charges		247.5	85			Percent of total billed charges		233.75	85			Percent of total billed charges		233.75	85			Percent of total billed charges		233.75	100			Percent of total billed charges		275	100			Percent of total billed charges		275	100			Percent of total billed charges		275	33.3			Percent of total billed charges		91.575	33.3			Percent of total billed charges		91.575	100			Percent of total billed charges		275	91.575	247.5	
acumed thread rod ss 60mm	272	RC	Outpatient			275	178.75		90			Percent of total billed charges		247.5	40			Percent of total billed charges		110	80			Percent of total billed charges		220	90			Percent of total billed charges		247.5	85			Percent of total billed charges		233.75	85			Percent of total billed charges		233.75	85			Percent of total billed charges		233.75	100			Percent of total billed charges		275	100			Percent of total billed charges		275	100			Percent of total billed charges		275	33.3			Percent of total billed charges		91.575	33.3			Percent of total billed charges		91.575	100			Percent of total billed charges		275	91.575	247.5	
ligation of extra digit charge	360	RC	Outpatient			275	178.75		90			Percent of total billed charges		247.5	40			Percent of total billed charges		110	80			Percent of total billed charges		220	90			Percent of total billed charges		247.5	85			Percent of total billed charges		233.75	85			Percent of total billed charges		233.75	85			Percent of total billed charges		233.75	100			Percent of total billed charges		275	100			Percent of total billed charges		275	100			Percent of total billed charges		275	33.3			Percent of total billed charges		91.575	33.3			Percent of total billed charges		91.575	100			Percent of total billed charges		275	91.575	247.5	
"hazmat physical, includes ekg, chest x-ray and pft"	983	RC	Outpatient			275	178.75		90			Percent of total billed charges		247.5	40			Percent of total billed charges		110	80			Percent of total billed charges		220	90			Percent of total billed charges		247.5	85			Percent of total billed charges		233.75	85			Percent of total billed charges		233.75	85			Percent of total billed charges		233.75	100			Percent of total billed charges		275	100			Percent of total billed charges		275	100			Percent of total billed charges		275	33.3			Percent of total billed charges		91.575	33.3			Percent of total billed charges		91.575	100			Percent of total billed charges		275	91.575	247.5	
ligation of extra digit	360	RC	Outpatient			275	178.75		90			Percent of total billed charges		247.5	40			Percent of total billed charges		110	80			Percent of total billed charges		220	90			Percent of total billed charges		247.5	85			Percent of total billed charges		233.75	85			Percent of total billed charges		233.75	85			Percent of total billed charges		233.75	100			Percent of total billed charges		275	100			Percent of total billed charges		275	100			Percent of total billed charges		275	33.3			Percent of total billed charges		91.575	33.3			Percent of total billed charges		91.575	100			Percent of total billed charges		275	91.575	247.5	
scrmc mammotome 13 ga probe-elite system (mep13)	621	RC	Outpatient			275	178.75		90			Percent of total billed charges		247.5	40			Percent of total billed charges		110	80			Percent of total billed charges		220	90			Percent of total billed charges		247.5	85			Percent of total billed charges		233.75	85			Percent of total billed charges		233.75	85			Percent of total billed charges		233.75	100			Percent of total billed charges		275	100			Percent of total billed charges		275	100			Percent of total billed charges		275	33.3			Percent of total billed charges		91.575	33.3			Percent of total billed charges		91.575	100			Percent of total billed charges		275	91.575	247.5	
small bone fixator 60mm threaded ss rod smt-5060 acumed	272	RC	Outpatient			275	178.75		90			Percent of total billed charges		247.5	40			Percent of total billed charges		110	80			Percent of total billed charges		220	90			Percent of total billed charges		247.5	85			Percent of total billed charges		233.75	85			Percent of total billed charges		233.75	85			Percent of total billed charges		233.75	100			Percent of total billed charges		275	100			Percent of total billed charges		275	100			Percent of total billed charges		275	33.3			Percent of total billed charges		91.575	33.3			Percent of total billed charges		91.575	100			Percent of total billed charges		275	91.575	247.5	
pic line tray	270	RC	Outpatient			275	178.75		90			Percent of total billed charges		247.5	40			Percent of total billed charges		110	80			Percent of total billed charges		220	90			Percent of total billed charges		247.5	85			Percent of total billed charges		233.75	85			Percent of total billed charges		233.75	85			Percent of total billed charges		233.75	100			Percent of total billed charges		275	100			Percent of total billed charges		275	100			Percent of total billed charges		275	33.3			Percent of total billed charges		91.575	33.3			Percent of total billed charges		91.575	100			Percent of total billed charges		275	91.575	247.5	
scrmc gi anchor set	270	RC	Outpatient			275	178.75		90			Percent of total billed charges		247.5	40			Percent of total billed charges		110	80			Percent of total billed charges		220	90			Percent of total billed charges		247.5	85			Percent of total billed charges		233.75	85			Percent of total billed charges		233.75	85			Percent of total billed charges		233.75	100			Percent of total billed charges		275	100			Percent of total billed charges		275	100			Percent of total billed charges		275	33.3			Percent of total billed charges		91.575	33.3			Percent of total billed charges		91.575	100			Percent of total billed charges		275	91.575	247.5	
suture pass 906976 arthrotek biomet sports med	272	RC	Outpatient			275	178.75		90			Percent of total billed charges		247.5	40			Percent of total billed charges		110	80			Percent of total billed charges		220	90			Percent of total billed charges		247.5	85			Percent of total billed charges		233.75	85			Percent of total billed charges		233.75	85			Percent of total billed charges		233.75	100			Percent of total billed charges		275	100			Percent of total billed charges		275	100			Percent of total billed charges		275	33.3			Percent of total billed charges		91.575	33.3			Percent of total billed charges		91.575	100			Percent of total billed charges		275	91.575	247.5	
imp screw locking 5.0mmx90mm 122289	278	RC	Outpatient			277	180.05		90			Percent of total billed charges		249.3	40			Percent of total billed charges		110.8	80			Percent of total billed charges		221.6	90			Percent of total billed charges		249.3	85			Percent of total billed charges		235.45	85			Percent of total billed charges		235.45	85			Percent of total billed charges		235.45	100			Percent of total billed charges		277	100			Percent of total billed charges		277	100			Percent of total billed charges		277	33.3			Percent of total billed charges		92.241	33.3			Percent of total billed charges		92.241	100			Percent of total billed charges		277	92.241	249.3	
imp screw locking 5.0x40mm 122283	278	RC	Outpatient			277	180.05		90			Percent of total billed charges		249.3	40			Percent of total billed charges		110.8	80			Percent of total billed charges		221.6	90			Percent of total billed charges		249.3	85			Percent of total billed charges		235.45	85			Percent of total billed charges		235.45	85			Percent of total billed charges		235.45	100			Percent of total billed charges		277	100			Percent of total billed charges		277	100			Percent of total billed charges		277	33.3			Percent of total billed charges		92.241	33.3			Percent of total billed charges		92.241	100			Percent of total billed charges		277	92.241	249.3	
imp screw locking 5.0x65mm 122288	278	RC	Outpatient			277	180.05		90			Percent of total billed charges		249.3	40			Percent of total billed charges		110.8	80			Percent of total billed charges		221.6	90			Percent of total billed charges		249.3	85			Percent of total billed charges		235.45	85			Percent of total billed charges		235.45	85			Percent of total billed charges		235.45	100			Percent of total billed charges		277	100			Percent of total billed charges		277	100			Percent of total billed charges		277	33.3			Percent of total billed charges		92.241	33.3			Percent of total billed charges		92.241	100			Percent of total billed charges		277	92.241	249.3	
imp screw locking 5.0x70mm 122276	278	RC	Outpatient			277	180.05		90			Percent of total billed charges		249.3	40			Percent of total billed charges		110.8	80			Percent of total billed charges		221.6	90			Percent of total billed charges		249.3	85			Percent of total billed charges		235.45	85			Percent of total billed charges		235.45	85			Percent of total billed charges		235.45	100			Percent of total billed charges		277	100			Percent of total billed charges		277	100			Percent of total billed charges		277	33.3			Percent of total billed charges		92.241	33.3			Percent of total billed charges		92.241	100			Percent of total billed charges		277	92.241	249.3	
imp screw locking 5.0x75mm 122277	278	RC	Outpatient			277	180.05		90			Percent of total billed charges		249.3	40			Percent of total billed charges		110.8	80			Percent of total billed charges		221.6	90			Percent of total billed charges		249.3	85			Percent of total billed charges		235.45	85			Percent of total billed charges		235.45	85			Percent of total billed charges		235.45	100			Percent of total billed charges		277	100			Percent of total billed charges		277	100			Percent of total billed charges		277	33.3			Percent of total billed charges		92.241	33.3			Percent of total billed charges		92.241	100			Percent of total billed charges		277	92.241	249.3	
implant screw femoral locking 5 x 60mm 12-2287 s/n	278	RC	Outpatient			277	180.05		90			Percent of total billed charges		249.3	40			Percent of total billed charges		110.8	80			Percent of total billed charges		221.6	90			Percent of total billed charges		249.3	85			Percent of total billed charges		235.45	85			Percent of total billed charges		235.45	85			Percent of total billed charges		235.45	100			Percent of total billed charges		277	100			Percent of total billed charges		277	100			Percent of total billed charges		277	33.3			Percent of total billed charges		92.241	33.3			Percent of total billed charges		92.241	100			Percent of total billed charges		277	92.241	249.3	
implant screw femoral locking 5 x 80mm 12-2278 s/n	278	RC	Outpatient			277	180.05		90			Percent of total billed charges		249.3	40			Percent of total billed charges		110.8	80			Percent of total billed charges		221.6	90			Percent of total billed charges		249.3	85			Percent of total billed charges		235.45	85			Percent of total billed charges		235.45	85			Percent of total billed charges		235.45	100			Percent of total billed charges		277	100			Percent of total billed charges		277	100			Percent of total billed charges		277	33.3			Percent of total billed charges		92.241	33.3			Percent of total billed charges		92.241	100			Percent of total billed charges		277	92.241	249.3	
imp screw locking 5 x 50 122285	278	RC	Outpatient			277	180.05		90			Percent of total billed charges		249.3	40			Percent of total billed charges		110.8	80			Percent of total billed charges		221.6	90			Percent of total billed charges		249.3	85			Percent of total billed charges		235.45	85			Percent of total billed charges		235.45	85			Percent of total billed charges		235.45	100			Percent of total billed charges		277	100			Percent of total billed charges		277	100			Percent of total billed charges		277	33.3			Percent of total billed charges		92.241	33.3			Percent of total billed charges		92.241	100			Percent of total billed charges		277	92.241	249.3	
imp screw locking 5.0x30mm 122281	278	RC	Outpatient			277	180.05		90			Percent of total billed charges		249.3	40			Percent of total billed charges		110.8	80			Percent of total billed charges		221.6	90			Percent of total billed charges		249.3	85			Percent of total billed charges		235.45	85			Percent of total billed charges		235.45	85			Percent of total billed charges		235.45	100			Percent of total billed charges		277	100			Percent of total billed charges		277	100			Percent of total billed charges		277	33.3			Percent of total billed charges		92.241	33.3			Percent of total billed charges		92.241	100			Percent of total billed charges		277	92.241	249.3	
imp screw locking 5.0x35mm 122282	278	RC	Outpatient			277	180.05		90			Percent of total billed charges		249.3	40			Percent of total billed charges		110.8	80			Percent of total billed charges		221.6	90			Percent of total billed charges		249.3	85			Percent of total billed charges		235.45	85			Percent of total billed charges		235.45	85			Percent of total billed charges		235.45	100			Percent of total billed charges		277	100			Percent of total billed charges		277	100			Percent of total billed charges		277	33.3			Percent of total billed charges		92.241	33.3			Percent of total billed charges		92.241	100			Percent of total billed charges		277	92.241	249.3	
imp screw locking 5.0x45mm 122284	278	RC	Outpatient			277	180.05		90			Percent of total billed charges		249.3	40			Percent of total billed charges		110.8	80			Percent of total billed charges		221.6	90			Percent of total billed charges		249.3	85			Percent of total billed charges		235.45	85			Percent of total billed charges		235.45	85			Percent of total billed charges		235.45	100			Percent of total billed charges		277	100			Percent of total billed charges		277	100			Percent of total billed charges		277	33.3			Percent of total billed charges		92.241	33.3			Percent of total billed charges		92.241	100			Percent of total billed charges		277	92.241	249.3	
imp screw locking 5.0x55mm 122286	278	RC	Outpatient			277	180.05		90			Percent of total billed charges		249.3	40			Percent of total billed charges		110.8	80			Percent of total billed charges		221.6	90			Percent of total billed charges		249.3	85			Percent of total billed charges		235.45	85			Percent of total billed charges		235.45	85			Percent of total billed charges		235.45	100			Percent of total billed charges		277	100			Percent of total billed charges		277	100			Percent of total billed charges		277	33.3			Percent of total billed charges		92.241	33.3			Percent of total billed charges		92.241	100			Percent of total billed charges		277	92.241	249.3	
r/t  5.0 locking screw	278	RC	Outpatient			277	180.05		90			Percent of total billed charges		249.3	40			Percent of total billed charges		110.8	80			Percent of total billed charges		221.6	90			Percent of total billed charges		249.3	85			Percent of total billed charges		235.45	85			Percent of total billed charges		235.45	85			Percent of total billed charges		235.45	100			Percent of total billed charges		277	100			Percent of total billed charges		277	100			Percent of total billed charges		277	33.3			Percent of total billed charges		92.241	33.3			Percent of total billed charges		92.241	100			Percent of total billed charges		277	92.241	249.3	
screw locking 5.8 x 25mm 122280	278	RC	Outpatient			277	180.05		90			Percent of total billed charges		249.3	40			Percent of total billed charges		110.8	80			Percent of total billed charges		221.6	90			Percent of total billed charges		249.3	85			Percent of total billed charges		235.45	85			Percent of total billed charges		235.45	85			Percent of total billed charges		235.45	100			Percent of total billed charges		277	100			Percent of total billed charges		277	100			Percent of total billed charges		277	33.3			Percent of total billed charges		92.241	33.3			Percent of total billed charges		92.241	100			Percent of total billed charges		277	92.241	249.3	
2.8mm perc drill bit 200/100mm  324.214 synthes	272	RC	Outpatient			278	180.7		90			Percent of total billed charges		250.2	40			Percent of total billed charges		111.2	80			Percent of total billed charges		222.4	90			Percent of total billed charges		250.2	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	100			Percent of total billed charges		278	100			Percent of total billed charges		278	100			Percent of total billed charges		278	33.3			Percent of total billed charges		92.574	33.3			Percent of total billed charges		92.574	100			Percent of total billed charges		278	92.574	250.2	
cortex screw s-t locking 3.5mm x 28mm 71825028 s/n	278	RC	Outpatient			278	180.7		90			Percent of total billed charges		250.2	40			Percent of total billed charges		111.2	80			Percent of total billed charges		222.4	90			Percent of total billed charges		250.2	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	100			Percent of total billed charges		278	100			Percent of total billed charges		278	100			Percent of total billed charges		278	33.3			Percent of total billed charges		92.574	33.3			Percent of total billed charges		92.574	100			Percent of total billed charges		278	92.574	250.2	
cortex screw s-t locking 3.5mm x 30mm 71825030 s/n	278	RC	Outpatient			278	180.7		90			Percent of total billed charges		250.2	40			Percent of total billed charges		111.2	80			Percent of total billed charges		222.4	90			Percent of total billed charges		250.2	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	100			Percent of total billed charges		278	100			Percent of total billed charges		278	100			Percent of total billed charges		278	33.3			Percent of total billed charges		92.574	33.3			Percent of total billed charges		92.574	100			Percent of total billed charges		278	92.574	250.2	
crtx scrw 3.5 x 12mm 71825012 s\n	278	RC	Outpatient			278	180.7		90			Percent of total billed charges		250.2	40			Percent of total billed charges		111.2	80			Percent of total billed charges		222.4	90			Percent of total billed charges		250.2	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	100			Percent of total billed charges		278	100			Percent of total billed charges		278	100			Percent of total billed charges		278	33.3			Percent of total billed charges		92.574	33.3			Percent of total billed charges		92.574	100			Percent of total billed charges		278	92.574	250.2	
crtx scrw 3.5 x 14mm 71825014 s\n	278	RC	Outpatient			278	180.7		90			Percent of total billed charges		250.2	40			Percent of total billed charges		111.2	80			Percent of total billed charges		222.4	90			Percent of total billed charges		250.2	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	100			Percent of total billed charges		278	100			Percent of total billed charges		278	100			Percent of total billed charges		278	33.3			Percent of total billed charges		92.574	33.3			Percent of total billed charges		92.574	100			Percent of total billed charges		278	92.574	250.2	
crtx scrw 3.5 x 18mm 71825018 s\n	278	RC	Outpatient			278	180.7		90			Percent of total billed charges		250.2	40			Percent of total billed charges		111.2	80			Percent of total billed charges		222.4	90			Percent of total billed charges		250.2	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	100			Percent of total billed charges		278	100			Percent of total billed charges		278	100			Percent of total billed charges		278	33.3			Percent of total billed charges		92.574	33.3			Percent of total billed charges		92.574	100			Percent of total billed charges		278	92.574	250.2	
crtx scrw 3.5 x 24mm 71825024 s\n	278	RC	Outpatient			278	180.7		90			Percent of total billed charges		250.2	40			Percent of total billed charges		111.2	80			Percent of total billed charges		222.4	90			Percent of total billed charges		250.2	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	100			Percent of total billed charges		278	100			Percent of total billed charges		278	100			Percent of total billed charges		278	33.3			Percent of total billed charges		92.574	33.3			Percent of total billed charges		92.574	100			Percent of total billed charges		278	92.574	250.2	
crtx scrw 3.5 x 38mm 71825038 s\n	278	RC	Outpatient			278	180.7		90			Percent of total billed charges		250.2	40			Percent of total billed charges		111.2	80			Percent of total billed charges		222.4	90			Percent of total billed charges		250.2	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	100			Percent of total billed charges		278	100			Percent of total billed charges		278	100			Percent of total billed charges		278	33.3			Percent of total billed charges		92.574	33.3			Percent of total billed charges		92.574	100			Percent of total billed charges		278	92.574	250.2	
crtx scrw 3.5 x 40mm 71825040 s\n	278	RC	Outpatient			278	180.7		90			Percent of total billed charges		250.2	40			Percent of total billed charges		111.2	80			Percent of total billed charges		222.4	90			Percent of total billed charges		250.2	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	100			Percent of total billed charges		278	100			Percent of total billed charges		278	100			Percent of total billed charges		278	33.3			Percent of total billed charges		92.574	33.3			Percent of total billed charges		92.574	100			Percent of total billed charges		278	92.574	250.2	
crtx scrw 3.5 x 45mm 71825045 s\n	278	RC	Outpatient			278	180.7		90			Percent of total billed charges		250.2	40			Percent of total billed charges		111.2	80			Percent of total billed charges		222.4	90			Percent of total billed charges		250.2	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	100			Percent of total billed charges		278	100			Percent of total billed charges		278	100			Percent of total billed charges		278	33.3			Percent of total billed charges		92.574	33.3			Percent of total billed charges		92.574	100			Percent of total billed charges		278	92.574	250.2	
crtx scrw 3.5 x 50mm 71825050 s\n	278	RC	Outpatient			278	180.7		90			Percent of total billed charges		250.2	40			Percent of total billed charges		111.2	80			Percent of total billed charges		222.4	90			Percent of total billed charges		250.2	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	100			Percent of total billed charges		278	100			Percent of total billed charges		278	100			Percent of total billed charges		278	33.3			Percent of total billed charges		92.574	33.3			Percent of total billed charges		92.574	100			Percent of total billed charges		278	92.574	250.2	
bed magnum ii w/flexicair	270	RC	Outpatient			278	180.7		90			Percent of total billed charges		250.2	40			Percent of total billed charges		111.2	80			Percent of total billed charges		222.4	90			Percent of total billed charges		250.2	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	100			Percent of total billed charges		278	100			Percent of total billed charges		278	100			Percent of total billed charges		278	33.3			Percent of total billed charges		92.574	33.3			Percent of total billed charges		92.574	100			Percent of total billed charges		278	92.574	250.2	
cortex screw s-t locking 3.5mm x 24mm 71825024 s/n	278	RC	Outpatient			278	180.7		90			Percent of total billed charges		250.2	40			Percent of total billed charges		111.2	80			Percent of total billed charges		222.4	90			Percent of total billed charges		250.2	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	100			Percent of total billed charges		278	100			Percent of total billed charges		278	100			Percent of total billed charges		278	33.3			Percent of total billed charges		92.574	33.3			Percent of total billed charges		92.574	100			Percent of total billed charges		278	92.574	250.2	
cortex screw s-t locking 3.5mm x 32mm 71825032 s/n	278	RC	Outpatient			278	180.7		90			Percent of total billed charges		250.2	40			Percent of total billed charges		111.2	80			Percent of total billed charges		222.4	90			Percent of total billed charges		250.2	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	100			Percent of total billed charges		278	100			Percent of total billed charges		278	100			Percent of total billed charges		278	33.3			Percent of total billed charges		92.574	33.3			Percent of total billed charges		92.574	100			Percent of total billed charges		278	92.574	250.2	
crtx scrw 3.5 x 10mm 71825010 s\n	278	RC	Outpatient			278	180.7		90			Percent of total billed charges		250.2	40			Percent of total billed charges		111.2	80			Percent of total billed charges		222.4	90			Percent of total billed charges		250.2	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	100			Percent of total billed charges		278	100			Percent of total billed charges		278	100			Percent of total billed charges		278	33.3			Percent of total billed charges		92.574	33.3			Percent of total billed charges		92.574	100			Percent of total billed charges		278	92.574	250.2	
crtx scrw 3.5 x 16mm 71825016 s\n	278	RC	Outpatient			278	180.7		90			Percent of total billed charges		250.2	40			Percent of total billed charges		111.2	80			Percent of total billed charges		222.4	90			Percent of total billed charges		250.2	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	100			Percent of total billed charges		278	100			Percent of total billed charges		278	100			Percent of total billed charges		278	33.3			Percent of total billed charges		92.574	33.3			Percent of total billed charges		92.574	100			Percent of total billed charges		278	92.574	250.2	
crtx scrw 3.5 x 20mm 71825020 s\n	278	RC	Outpatient			278	180.7		90			Percent of total billed charges		250.2	40			Percent of total billed charges		111.2	80			Percent of total billed charges		222.4	90			Percent of total billed charges		250.2	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	100			Percent of total billed charges		278	100			Percent of total billed charges		278	100			Percent of total billed charges		278	33.3			Percent of total billed charges		92.574	33.3			Percent of total billed charges		92.574	100			Percent of total billed charges		278	92.574	250.2	
crtx scrw 3.5 x 22mm 71825022 s\n	278	RC	Outpatient			278	180.7		90			Percent of total billed charges		250.2	40			Percent of total billed charges		111.2	80			Percent of total billed charges		222.4	90			Percent of total billed charges		250.2	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	100			Percent of total billed charges		278	100			Percent of total billed charges		278	100			Percent of total billed charges		278	33.3			Percent of total billed charges		92.574	33.3			Percent of total billed charges		92.574	100			Percent of total billed charges		278	92.574	250.2	
crtx scrw 3.5 x 26mm 71825026 s\n	278	RC	Outpatient			278	180.7		90			Percent of total billed charges		250.2	40			Percent of total billed charges		111.2	80			Percent of total billed charges		222.4	90			Percent of total billed charges		250.2	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	100			Percent of total billed charges		278	100			Percent of total billed charges		278	100			Percent of total billed charges		278	33.3			Percent of total billed charges		92.574	33.3			Percent of total billed charges		92.574	100			Percent of total billed charges		278	92.574	250.2	
crtx scrw 3.5 x 28mm 71825028 s\n	278	RC	Outpatient			278	180.7		90			Percent of total billed charges		250.2	40			Percent of total billed charges		111.2	80			Percent of total billed charges		222.4	90			Percent of total billed charges		250.2	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	100			Percent of total billed charges		278	100			Percent of total billed charges		278	100			Percent of total billed charges		278	33.3			Percent of total billed charges		92.574	33.3			Percent of total billed charges		92.574	100			Percent of total billed charges		278	92.574	250.2	
crtx scrw 3.5 x 30mm 71825030 s\n	278	RC	Outpatient			278	180.7		90			Percent of total billed charges		250.2	40			Percent of total billed charges		111.2	80			Percent of total billed charges		222.4	90			Percent of total billed charges		250.2	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	100			Percent of total billed charges		278	100			Percent of total billed charges		278	100			Percent of total billed charges		278	33.3			Percent of total billed charges		92.574	33.3			Percent of total billed charges		92.574	100			Percent of total billed charges		278	92.574	250.2	
crtx scrw 3.5 x 32mm 71825032 s\n	278	RC	Outpatient			278	180.7		90			Percent of total billed charges		250.2	40			Percent of total billed charges		111.2	80			Percent of total billed charges		222.4	90			Percent of total billed charges		250.2	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	100			Percent of total billed charges		278	100			Percent of total billed charges		278	100			Percent of total billed charges		278	33.3			Percent of total billed charges		92.574	33.3			Percent of total billed charges		92.574	100			Percent of total billed charges		278	92.574	250.2	
crtx scrw 3.5 x 34mm 71825034 s\n	278	RC	Outpatient			278	180.7		90			Percent of total billed charges		250.2	40			Percent of total billed charges		111.2	80			Percent of total billed charges		222.4	90			Percent of total billed charges		250.2	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	100			Percent of total billed charges		278	100			Percent of total billed charges		278	100			Percent of total billed charges		278	33.3			Percent of total billed charges		92.574	33.3			Percent of total billed charges		92.574	100			Percent of total billed charges		278	92.574	250.2	
crtx scrw 3.5 x 36mm 71825036 s\n	278	RC	Outpatient			278	180.7		90			Percent of total billed charges		250.2	40			Percent of total billed charges		111.2	80			Percent of total billed charges		222.4	90			Percent of total billed charges		250.2	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	100			Percent of total billed charges		278	100			Percent of total billed charges		278	100			Percent of total billed charges		278	33.3			Percent of total billed charges		92.574	33.3			Percent of total billed charges		92.574	100			Percent of total billed charges		278	92.574	250.2	
crtx scrw 3.5 x 55mm 71825055 s\n	278	RC	Outpatient			278	180.7		90			Percent of total billed charges		250.2	40			Percent of total billed charges		111.2	80			Percent of total billed charges		222.4	90			Percent of total billed charges		250.2	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	100			Percent of total billed charges		278	100			Percent of total billed charges		278	100			Percent of total billed charges		278	33.3			Percent of total billed charges		92.574	33.3			Percent of total billed charges		92.574	100			Percent of total billed charges		278	92.574	250.2	
crtx scrw 3.5 x 60mm 71825060 s\n	278	RC	Outpatient			278	180.7		90			Percent of total billed charges		250.2	40			Percent of total billed charges		111.2	80			Percent of total billed charges		222.4	90			Percent of total billed charges		250.2	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	100			Percent of total billed charges		278	100			Percent of total billed charges		278	100			Percent of total billed charges		278	33.3			Percent of total billed charges		92.574	33.3			Percent of total billed charges		92.574	100			Percent of total billed charges		278	92.574	250.2	
endo gia handle std	272	RC	Outpatient			278	180.7		90			Percent of total billed charges		250.2	40			Percent of total billed charges		111.2	80			Percent of total billed charges		222.4	90			Percent of total billed charges		250.2	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	100			Percent of total billed charges		278	100			Percent of total billed charges		278	100			Percent of total billed charges		278	33.3			Percent of total billed charges		92.574	33.3			Percent of total billed charges		92.574	100			Percent of total billed charges		278	92.574	250.2	
endo gia ultra universal stapler egiaustnd covidien	272	RC	Outpatient			278	180.7		90			Percent of total billed charges		250.2	40			Percent of total billed charges		111.2	80			Percent of total billed charges		222.4	90			Percent of total billed charges		250.2	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	100			Percent of total billed charges		278	100			Percent of total billed charges		278	100			Percent of total billed charges		278	33.3			Percent of total billed charges		92.574	33.3			Percent of total billed charges		92.574	100			Percent of total billed charges		278	92.574	250.2	
montgomery long term cannula size 10 331025 boston med prod	272	RC	Outpatient			278	180.7		90			Percent of total billed charges		250.2	40			Percent of total billed charges		111.2	80			Percent of total billed charges		222.4	90			Percent of total billed charges		250.2	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	100			Percent of total billed charges		278	100			Percent of total billed charges		278	100			Percent of total billed charges		278	33.3			Percent of total billed charges		92.574	33.3			Percent of total billed charges		92.574	100			Percent of total billed charges		278	92.574	250.2	
montgomery cannula lt	272	RC	Outpatient			278	180.7		90			Percent of total billed charges		250.2	40			Percent of total billed charges		111.2	80			Percent of total billed charges		222.4	90			Percent of total billed charges		250.2	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	100			Percent of total billed charges		278	100			Percent of total billed charges		278	100			Percent of total billed charges		278	33.3			Percent of total billed charges		92.574	33.3			Percent of total billed charges		92.574	100			Percent of total billed charges		278	92.574	250.2	
s-t cortex  locking screw 2.7mm x 60mm 71822360 s/n	278	RC	Outpatient			278	180.7		90			Percent of total billed charges		250.2	40			Percent of total billed charges		111.2	80			Percent of total billed charges		222.4	90			Percent of total billed charges		250.2	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	100			Percent of total billed charges		278	100			Percent of total billed charges		278	100			Percent of total billed charges		278	33.3			Percent of total billed charges		92.574	33.3			Percent of total billed charges		92.574	100			Percent of total billed charges		278	92.574	250.2	
s-t crtx scrw 3.5mm 12mm 71805012 s/n	278	RC	Outpatient			278	180.7		90			Percent of total billed charges		250.2	40			Percent of total billed charges		111.2	80			Percent of total billed charges		222.4	90			Percent of total billed charges		250.2	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	100			Percent of total billed charges		278	100			Percent of total billed charges		278	100			Percent of total billed charges		278	33.3			Percent of total billed charges		92.574	33.3			Percent of total billed charges		92.574	100			Percent of total billed charges		278	92.574	250.2	
s-t crtx scrw 3.5mm 18mm 71805018 s/n	278	RC	Outpatient			278	180.7		90			Percent of total billed charges		250.2	40			Percent of total billed charges		111.2	80			Percent of total billed charges		222.4	90			Percent of total billed charges		250.2	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	100			Percent of total billed charges		278	100			Percent of total billed charges		278	100			Percent of total billed charges		278	33.3			Percent of total billed charges		92.574	33.3			Percent of total billed charges		92.574	100			Percent of total billed charges		278	92.574	250.2	
s-t crtx scrw 3.5mm 24mm 71805024 s/n	278	RC	Outpatient			278	180.7		90			Percent of total billed charges		250.2	40			Percent of total billed charges		111.2	80			Percent of total billed charges		222.4	90			Percent of total billed charges		250.2	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	100			Percent of total billed charges		278	100			Percent of total billed charges		278	100			Percent of total billed charges		278	33.3			Percent of total billed charges		92.574	33.3			Percent of total billed charges		92.574	100			Percent of total billed charges		278	92.574	250.2	
s-t crtx scrw 3.5mm 28mm 71805028 s/n	278	RC	Outpatient			278	180.7		90			Percent of total billed charges		250.2	40			Percent of total billed charges		111.2	80			Percent of total billed charges		222.4	90			Percent of total billed charges		250.2	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	100			Percent of total billed charges		278	100			Percent of total billed charges		278	100			Percent of total billed charges		278	33.3			Percent of total billed charges		92.574	33.3			Percent of total billed charges		92.574	100			Percent of total billed charges		278	92.574	250.2	
s-t crtx scrw 3.5mm 36mm 71805036 s/n	278	RC	Outpatient			278	180.7		90			Percent of total billed charges		250.2	40			Percent of total billed charges		111.2	80			Percent of total billed charges		222.4	90			Percent of total billed charges		250.2	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	100			Percent of total billed charges		278	100			Percent of total billed charges		278	100			Percent of total billed charges		278	33.3			Percent of total billed charges		92.574	33.3			Percent of total billed charges		92.574	100			Percent of total billed charges		278	92.574	250.2	
s-t crtx scrw 3.5mm 38mm 71805038 s/n	278	RC	Outpatient			278	180.7		90			Percent of total billed charges		250.2	40			Percent of total billed charges		111.2	80			Percent of total billed charges		222.4	90			Percent of total billed charges		250.2	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	100			Percent of total billed charges		278	100			Percent of total billed charges		278	100			Percent of total billed charges		278	33.3			Percent of total billed charges		92.574	33.3			Percent of total billed charges		92.574	100			Percent of total billed charges		278	92.574	250.2	
s-t crtx scrw 3.5mm 45mm 71805045 s/n	278	RC	Outpatient			278	180.7		90			Percent of total billed charges		250.2	40			Percent of total billed charges		111.2	80			Percent of total billed charges		222.4	90			Percent of total billed charges		250.2	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	100			Percent of total billed charges		278	100			Percent of total billed charges		278	100			Percent of total billed charges		278	33.3			Percent of total billed charges		92.574	33.3			Percent of total billed charges		92.574	100			Percent of total billed charges		278	92.574	250.2	
s-t crtx scrw 3.5mm 50mm 71805050 s/n	278	RC	Outpatient			278	180.7		90			Percent of total billed charges		250.2	40			Percent of total billed charges		111.2	80			Percent of total billed charges		222.4	90			Percent of total billed charges		250.2	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	100			Percent of total billed charges		278	100			Percent of total billed charges		278	100			Percent of total billed charges		278	33.3			Percent of total billed charges		92.574	33.3			Percent of total billed charges		92.574	100			Percent of total billed charges		278	92.574	250.2	
s-t crtx scrw 3.5mm 55mm 71805055 s/n	278	RC	Outpatient			278	180.7		90			Percent of total billed charges		250.2	40			Percent of total billed charges		111.2	80			Percent of total billed charges		222.4	90			Percent of total billed charges		250.2	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	100			Percent of total billed charges		278	100			Percent of total billed charges		278	100			Percent of total billed charges		278	33.3			Percent of total billed charges		92.574	33.3			Percent of total billed charges		92.574	100			Percent of total billed charges		278	92.574	250.2	
s-t crtx scrw 3.5mm 10mm 71805010 s/n	278	RC	Outpatient			278	180.7		90			Percent of total billed charges		250.2	40			Percent of total billed charges		111.2	80			Percent of total billed charges		222.4	90			Percent of total billed charges		250.2	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	100			Percent of total billed charges		278	100			Percent of total billed charges		278	100			Percent of total billed charges		278	33.3			Percent of total billed charges		92.574	33.3			Percent of total billed charges		92.574	100			Percent of total billed charges		278	92.574	250.2	
s-t crtx scrw 3.5mm 14mm 71805014 s/n	278	RC	Outpatient			278	180.7		90			Percent of total billed charges		250.2	40			Percent of total billed charges		111.2	80			Percent of total billed charges		222.4	90			Percent of total billed charges		250.2	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	100			Percent of total billed charges		278	100			Percent of total billed charges		278	100			Percent of total billed charges		278	33.3			Percent of total billed charges		92.574	33.3			Percent of total billed charges		92.574	100			Percent of total billed charges		278	92.574	250.2	
s-t crtx scrw 3.5mm 16mm 71805016 s/n	278	RC	Outpatient			278	180.7		90			Percent of total billed charges		250.2	40			Percent of total billed charges		111.2	80			Percent of total billed charges		222.4	90			Percent of total billed charges		250.2	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	100			Percent of total billed charges		278	100			Percent of total billed charges		278	100			Percent of total billed charges		278	33.3			Percent of total billed charges		92.574	33.3			Percent of total billed charges		92.574	100			Percent of total billed charges		278	92.574	250.2	
s-t crtx scrw 3.5mm 20mm 71805020 s/n	278	RC	Outpatient			278	180.7		90			Percent of total billed charges		250.2	40			Percent of total billed charges		111.2	80			Percent of total billed charges		222.4	90			Percent of total billed charges		250.2	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	100			Percent of total billed charges		278	100			Percent of total billed charges		278	100			Percent of total billed charges		278	33.3			Percent of total billed charges		92.574	33.3			Percent of total billed charges		92.574	100			Percent of total billed charges		278	92.574	250.2	
s-t crtx scrw 3.5mm 22mm 71805022 s/n	278	RC	Outpatient			278	180.7		90			Percent of total billed charges		250.2	40			Percent of total billed charges		111.2	80			Percent of total billed charges		222.4	90			Percent of total billed charges		250.2	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	100			Percent of total billed charges		278	100			Percent of total billed charges		278	100			Percent of total billed charges		278	33.3			Percent of total billed charges		92.574	33.3			Percent of total billed charges		92.574	100			Percent of total billed charges		278	92.574	250.2	
s-t crtx scrw 3.5mm 26mm 71805026 s/n	278	RC	Outpatient			278	180.7		90			Percent of total billed charges		250.2	40			Percent of total billed charges		111.2	80			Percent of total billed charges		222.4	90			Percent of total billed charges		250.2	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	100			Percent of total billed charges		278	100			Percent of total billed charges		278	100			Percent of total billed charges		278	33.3			Percent of total billed charges		92.574	33.3			Percent of total billed charges		92.574	100			Percent of total billed charges		278	92.574	250.2	
s-t crtx scrw 3.5mm 30mm 71805030 s/n	278	RC	Outpatient			278	180.7		90			Percent of total billed charges		250.2	40			Percent of total billed charges		111.2	80			Percent of total billed charges		222.4	90			Percent of total billed charges		250.2	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	100			Percent of total billed charges		278	100			Percent of total billed charges		278	100			Percent of total billed charges		278	33.3			Percent of total billed charges		92.574	33.3			Percent of total billed charges		92.574	100			Percent of total billed charges		278	92.574	250.2	
s-t crtx scrw 3.5mm 34mm 71805032 s/n	278	RC	Outpatient			278	180.7		90			Percent of total billed charges		250.2	40			Percent of total billed charges		111.2	80			Percent of total billed charges		222.4	90			Percent of total billed charges		250.2	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	100			Percent of total billed charges		278	100			Percent of total billed charges		278	100			Percent of total billed charges		278	33.3			Percent of total billed charges		92.574	33.3			Percent of total billed charges		92.574	100			Percent of total billed charges		278	92.574	250.2	
s-t crtx scrw 3.5mm 34mm 71805034 s/n	278	RC	Outpatient			278	180.7		90			Percent of total billed charges		250.2	40			Percent of total billed charges		111.2	80			Percent of total billed charges		222.4	90			Percent of total billed charges		250.2	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	100			Percent of total billed charges		278	100			Percent of total billed charges		278	100			Percent of total billed charges		278	33.3			Percent of total billed charges		92.574	33.3			Percent of total billed charges		92.574	100			Percent of total billed charges		278	92.574	250.2	
s-t crtx scrw 3.5mm 40mm 71805040 s/n	278	RC	Outpatient			278	180.7		90			Percent of total billed charges		250.2	40			Percent of total billed charges		111.2	80			Percent of total billed charges		222.4	90			Percent of total billed charges		250.2	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	100			Percent of total billed charges		278	100			Percent of total billed charges		278	100			Percent of total billed charges		278	33.3			Percent of total billed charges		92.574	33.3			Percent of total billed charges		92.574	100			Percent of total billed charges		278	92.574	250.2	
s/n 3.5 cort lck screw	278	RC	Outpatient			278	180.7		90			Percent of total billed charges		250.2	40			Percent of total billed charges		111.2	80			Percent of total billed charges		222.4	90			Percent of total billed charges		250.2	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	100			Percent of total billed charges		278	100			Percent of total billed charges		278	100			Percent of total billed charges		278	33.3			Percent of total billed charges		92.574	33.3			Percent of total billed charges		92.574	100			Percent of total billed charges		278	92.574	250.2	
syn 2.8 drill bit	272	RC	Outpatient			278	180.7		90			Percent of total billed charges		250.2	40			Percent of total billed charges		111.2	80			Percent of total billed charges		222.4	90			Percent of total billed charges		250.2	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	85			Percent of total billed charges		236.3	100			Percent of total billed charges		278	100			Percent of total billed charges		278	100			Percent of total billed charges		278	33.3			Percent of total billed charges		92.574	33.3			Percent of total billed charges		92.574	100			Percent of total billed charges		278	92.574	250.2	
accu-pass suture shuttle 45 degree (l) curve 7210423 s/n	272	RC	Outpatient			279	181.35		90			Percent of total billed charges		251.1	40			Percent of total billed charges		111.6	80			Percent of total billed charges		223.2	90			Percent of total billed charges		251.1	85			Percent of total billed charges		237.15	85			Percent of total billed charges		237.15	85			Percent of total billed charges		237.15	100			Percent of total billed charges		279	100			Percent of total billed charges		279	100			Percent of total billed charges		279	33.3			Percent of total billed charges		92.907	33.3			Percent of total billed charges		92.907	100			Percent of total billed charges		279	92.907	251.1	
accu-pass suture shuttle 45 degree up 7210425 s/n	272	RC	Outpatient			279	181.35		90			Percent of total billed charges		251.1	40			Percent of total billed charges		111.6	80			Percent of total billed charges		223.2	90			Percent of total billed charges		251.1	85			Percent of total billed charges		237.15	85			Percent of total billed charges		237.15	85			Percent of total billed charges		237.15	100			Percent of total billed charges		279	100			Percent of total billed charges		279	100			Percent of total billed charges		279	33.3			Percent of total billed charges		92.907	33.3			Percent of total billed charges		92.907	100			Percent of total billed charges		279	92.907	251.1	
accu-pass suture shuttle 70 degree  72200419 s/n	272	RC	Outpatient			279	181.35		90			Percent of total billed charges		251.1	40			Percent of total billed charges		111.6	80			Percent of total billed charges		223.2	90			Percent of total billed charges		251.1	85			Percent of total billed charges		237.15	85			Percent of total billed charges		237.15	85			Percent of total billed charges		237.15	100			Percent of total billed charges		279	100			Percent of total billed charges		279	100			Percent of total billed charges		279	33.3			Percent of total billed charges		92.907	33.3			Percent of total billed charges		92.907	100			Percent of total billed charges		279	92.907	251.1	
accu-pass suture shuttle 45 degree (r) curve 7210424 s/n	272	RC	Outpatient			279	181.35		90			Percent of total billed charges		251.1	40			Percent of total billed charges		111.6	80			Percent of total billed charges		223.2	90			Percent of total billed charges		251.1	85			Percent of total billed charges		237.15	85			Percent of total billed charges		237.15	85			Percent of total billed charges		237.15	100			Percent of total billed charges		279	100			Percent of total billed charges		279	100			Percent of total billed charges		279	33.3			Percent of total billed charges		92.907	33.3			Percent of total billed charges		92.907	100			Percent of total billed charges		279	92.907	251.1	
iris retractor	270	RC	Outpatient			279	181.35		90			Percent of total billed charges		251.1	40			Percent of total billed charges		111.6	80			Percent of total billed charges		223.2	90			Percent of total billed charges		251.1	85			Percent of total billed charges		237.15	85			Percent of total billed charges		237.15	85			Percent of total billed charges		237.15	100			Percent of total billed charges		279	100			Percent of total billed charges		279	100			Percent of total billed charges		279	33.3			Percent of total billed charges		92.907	33.3			Percent of total billed charges		92.907	100			Percent of total billed charges		279	92.907	251.1	
retractor iris flexible 611.64 alcos	270	RC	Outpatient			279	181.35		90			Percent of total billed charges		251.1	40			Percent of total billed charges		111.6	80			Percent of total billed charges		223.2	90			Percent of total billed charges		251.1	85			Percent of total billed charges		237.15	85			Percent of total billed charges		237.15	85			Percent of total billed charges		237.15	100			Percent of total billed charges		279	100			Percent of total billed charges		279	100			Percent of total billed charges		279	33.3			Percent of total billed charges		92.907	33.3			Percent of total billed charges		92.907	100			Percent of total billed charges		279	92.907	251.1	
s/n accu pass shuttle	272	RC	Outpatient			279	181.35		90			Percent of total billed charges		251.1	40			Percent of total billed charges		111.6	80			Percent of total billed charges		223.2	90			Percent of total billed charges		251.1	85			Percent of total billed charges		237.15	85			Percent of total billed charges		237.15	85			Percent of total billed charges		237.15	100			Percent of total billed charges		279	100			Percent of total billed charges		279	100			Percent of total billed charges		279	33.3			Percent of total billed charges		92.907	33.3			Percent of total billed charges		92.907	100			Percent of total billed charges		279	92.907	251.1	
stryker drill bit 1.4	272	RC	Outpatient			279	181.35		90			Percent of total billed charges		251.1	40			Percent of total billed charges		111.6	80			Percent of total billed charges		223.2	90			Percent of total billed charges		251.1	85			Percent of total billed charges		237.15	85			Percent of total billed charges		237.15	85			Percent of total billed charges		237.15	100			Percent of total billed charges		279	100			Percent of total billed charges		279	100			Percent of total billed charges		279	33.3			Percent of total billed charges		92.907	33.3			Percent of total billed charges		92.907	100			Percent of total billed charges		279	92.907	251.1	
stryker drill bit 1.4 x 54mm 60-13512	272	RC	Outpatient			279	181.35		90			Percent of total billed charges		251.1	40			Percent of total billed charges		111.6	80			Percent of total billed charges		223.2	90			Percent of total billed charges		251.1	85			Percent of total billed charges		237.15	85			Percent of total billed charges		237.15	85			Percent of total billed charges		237.15	100			Percent of total billed charges		279	100			Percent of total billed charges		279	100			Percent of total billed charges		279	33.3			Percent of total billed charges		92.907	33.3			Percent of total billed charges		92.907	100			Percent of total billed charges		279	92.907	251.1	
cosmetic - laser hair removal - front/neck/chin  individual session	983	RC	Outpatient			280	182		90			Percent of total billed charges		252	40			Percent of total billed charges		112	80			Percent of total billed charges		224	90			Percent of total billed charges		252	85			Percent of total billed charges		238	85			Percent of total billed charges		238	85			Percent of total billed charges		238	100			Percent of total billed charges		280	100			Percent of total billed charges		280	100			Percent of total billed charges		280	33.3			Percent of total billed charges		93.24	33.3			Percent of total billed charges		93.24	100			Percent of total billed charges		280	93.24	252	
scp bladed pin	272	RC	Outpatient			280	182		90			Percent of total billed charges		252	40			Percent of total billed charges		112	80			Percent of total billed charges		224	90			Percent of total billed charges		252	85			Percent of total billed charges		238	85			Percent of total billed charges		238	85			Percent of total billed charges		238	100			Percent of total billed charges		280	100			Percent of total billed charges		280	100			Percent of total billed charges		280	33.3			Percent of total billed charges		93.24	33.3			Percent of total billed charges		93.24	100			Percent of total billed charges		280	93.24	252	
shoulder abduction suppor	270	RC	Outpatient			280	182		90			Percent of total billed charges		252	40			Percent of total billed charges		112	80			Percent of total billed charges		224	90			Percent of total billed charges		252	85			Percent of total billed charges		238	85			Percent of total billed charges		238	85			Percent of total billed charges		238	100			Percent of total billed charges		280	100			Percent of total billed charges		280	100			Percent of total billed charges		280	33.3			Percent of total billed charges		93.24	33.3			Percent of total billed charges		93.24	100			Percent of total billed charges		280	93.24	252	
scp bladed pin 3.2 knee creations	272	RC	Outpatient			280	182		90			Percent of total billed charges		252	40			Percent of total billed charges		112	80			Percent of total billed charges		224	90			Percent of total billed charges		252	85			Percent of total billed charges		238	85			Percent of total billed charges		238	85			Percent of total billed charges		238	100			Percent of total billed charges		280	100			Percent of total billed charges		280	100			Percent of total billed charges		280	33.3			Percent of total billed charges		93.24	33.3			Percent of total billed charges		93.24	100			Percent of total billed charges		280	93.24	252	
biliary st removal/st re	272	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
accolade c distal spacer med 1059-4512 stryker	278	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
drill bit w/qc 2.7mm 71173314 s/n	278	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
fast fix meniscal knot pusher & suture cutter s/n 7209084	272	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
drill bit w/qc 3.5mm 71173316 s/n	278	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
drill bit w/qc 4.5mm 71173317 s/n	278	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
intertan guide pin	272	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
fast fix meniscal repair	272	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
kit blood conservation w/1/8 dranin/dbl trocar 225-028-614 stry	270	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
progenix dbm putty 0.5cc 00505 spinalgraft	278	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
screw cortical 4.2x3.5mmx30 2253-30-42	278	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
screw cortical 4.2x3.5mmx35 2253-35-42	278	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
screw cortical 4.2x3.5mmx40 2253-40-42	278	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
small cortical screw 3.7mm 2253-25-37 25mm zimmer	278	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
small cortical screw 3.7mm 2253-30-37 30mm zimmer	278	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
small cortical screw 3.7mm 2253-40-37 40mm zimmer	278	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
small cortical screw 3.7mm 2253-45-37 45mm zimmer	278	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
small cortical screw 3.7mm 2253-50-37 50mm zimmer	278	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
small cortical screw 3.7mm 2253-55-37 55mm zimmer	278	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
small cortical screw 3.7mm 2253-60-37 60mm zimmer	278	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
small cortical screw 3.7mm 2253-80-37 80mm zimmer	278	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
small cortical screw 4.2mm 2253-20-42 20mm zimmer	278	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
small cortical screw 4.2mm 2253-30-42 30mm zimmer	278	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
small cortical screw 4.2mm 2253-35-42 35mm zimmer	278	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
small cortical screw 4.2mm 2253-60-42 60mm zimmer	278	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
small cortical screw 4.2mm 2253-65-42 65mm zimmer	278	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
small cortical screw 4.2mm 2253-85-42 85mm zimmer	278	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
small cortical screw 5.5mm 2253-25-55 25mm zimmer	278	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
small cortical screw 5.5mm 2253-30-55 30mm zimmer	278	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
small cortical screw 5.5mm 2253-70-55 70mm zimmer	278	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
small cortical screw 5.5mm 2253-75-55 75mm zimmer	278	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
small cortical screw 5.5mm 2253-80-55 80mm zimmer	278	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
small cortical screw 5.5mm 2253-85-55 85mm zimmer	278	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
small cortical screw 5.5mm 2253-90-55 90mm zimmer	278	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
small cortical screw 5.5mm 2253-95-55 95mm zimmer	278	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
stryker blood reinfusor	270	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
peri-loc drill bit long	278	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
progenix 0.5cc	278	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
small cortical screw 3.7mm 2253-20-37 20mm zimmer	278	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
small cortical screw 3.7mm 2253-35-37 35mm zimmer	278	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
small cortical screw 3.7mm 2253-65-37 65mm zimmer	278	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
small cortical screw 3.7mm 2253-70-37 70mm zimmer	278	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
small cortical screw 3.7mm 2253-75-37 75mm zimmer	278	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
small cortical screw 3.7mm 2253-85-37 85mm zimmer	278	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
small cortical screw 3.7mm 2253-90-37 90mm zimmer	278	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
small cortical screw 4.2mm 2253-25-42 25mm zimmer	278	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
small cortical screw 4.2mm 2253-40-42 40mm zimmer	278	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
small cortical screw 4.2mm 2253-45-42 45mm zimmer	278	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
small cortical screw 4.2mm 2253-50-42 50mm zimmer	278	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
small cortical screw 4.2mm 2253-55-42 55mm zimmer	278	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
small cortical screw 4.2mm 2253-70-42 70mm zimmer	278	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
small cortical screw 4.2mm 2253-75-42 75mm zimmer	278	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
small cortical screw 4.2mm 2253-80-42 80mm zimmer	278	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
small cortical screw 4.2mm 2253-90-42 90mm zimmer	278	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
small cortical screw 5.5mm 2253-100-55 100mm zimmer	278	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
small cortical screw 5.5mm 2253-20-55 20mm zimmer	278	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
small cortical screw 5.5mm 2253-35-55 35mm zimmer	278	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
small cortical screw 5.5mm 2253-40-55 40mm zimmer	278	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
small cortical screw 5.5mm 2253-45-55 45mm zimmer	278	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
small cortical screw 5.5mm 2253-50-55 50mm zimmer	278	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
small cortical screw 5.5mm 2253-55-55 55mm zimmer	278	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
small cortical screw 5.5mm 2253-60-55 60mm zimmer	278	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
small cortical screw 5.5mm 2253-65-55 65mm zimmer	278	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
stryker accolade spc	278	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
"upex cort screw 3.5 10mm ct3,5 l10"	278	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
"upex cort screw 3.5 12mm ct3,5 l12"	278	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
"upex cort screw 3.5 14mm ct3,5 l14"	278	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
"upex cort screw 3.5 16mm ct3,5 l16"	278	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
"upex cort screw 3.5 18mm ct3,5 l18"	278	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
upex cortical scr	278	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
zim cortical scw 3.7-5.5	278	RC	Outpatient			281	182.65		90			Percent of total billed charges		252.9	40			Percent of total billed charges		112.4	80			Percent of total billed charges		224.8	90			Percent of total billed charges		252.9	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	85			Percent of total billed charges		238.85	100			Percent of total billed charges		281	100			Percent of total billed charges		281	100			Percent of total billed charges		281	33.3			Percent of total billed charges		93.573	33.3			Percent of total billed charges		93.573	100			Percent of total billed charges		281	93.573	252.9	
acutrak extremity screw	278	RC	Outpatient			282	183.3		90			Percent of total billed charges		253.8	40			Percent of total billed charges		112.8	80			Percent of total billed charges		225.6	90			Percent of total billed charges		253.8	85			Percent of total billed charges		239.7	85			Percent of total billed charges		239.7	85			Percent of total billed charges		239.7	100			Percent of total billed charges		282	100			Percent of total billed charges		282	100			Percent of total billed charges		282	33.3			Percent of total billed charges		93.906	33.3			Percent of total billed charges		93.906	100			Percent of total billed charges		282	93.906	253.8	
tgr 3.5mm pf pin 40mm 71173408 s/n	272	RC	Outpatient			282	183.3		90			Percent of total billed charges		253.8	40			Percent of total billed charges		112.8	80			Percent of total billed charges		225.6	90			Percent of total billed charges		253.8	85			Percent of total billed charges		239.7	85			Percent of total billed charges		239.7	85			Percent of total billed charges		239.7	100			Percent of total billed charges		282	100			Percent of total billed charges		282	100			Percent of total billed charges		282	33.3			Percent of total billed charges		93.906	33.3			Percent of total billed charges		93.906	100			Percent of total billed charges		282	93.906	253.8	
periloc tgr 3.5mm pf pin 71173416 s/n	272	RC	Outpatient			282	183.3		90			Percent of total billed charges		253.8	40			Percent of total billed charges		112.8	80			Percent of total billed charges		225.6	90			Percent of total billed charges		253.8	85			Percent of total billed charges		239.7	85			Percent of total billed charges		239.7	85			Percent of total billed charges		239.7	100			Percent of total billed charges		282	100			Percent of total billed charges		282	100			Percent of total billed charges		282	33.3			Percent of total billed charges		93.906	33.3			Percent of total billed charges		93.906	100			Percent of total billed charges		282	93.906	253.8	
s/n tgr pf pin	272	RC	Outpatient			282	183.3		90			Percent of total billed charges		253.8	40			Percent of total billed charges		112.8	80			Percent of total billed charges		225.6	90			Percent of total billed charges		253.8	85			Percent of total billed charges		239.7	85			Percent of total billed charges		239.7	85			Percent of total billed charges		239.7	100			Percent of total billed charges		282	100			Percent of total billed charges		282	100			Percent of total billed charges		282	33.3			Percent of total billed charges		93.906	33.3			Percent of total billed charges		93.906	100			Percent of total billed charges		282	93.906	253.8	
s/n vlp screw 2.7 lck	278	RC	Outpatient			282	183.3		90			Percent of total billed charges		253.8	40			Percent of total billed charges		112.8	80			Percent of total billed charges		225.6	90			Percent of total billed charges		253.8	85			Percent of total billed charges		239.7	85			Percent of total billed charges		239.7	85			Percent of total billed charges		239.7	100			Percent of total billed charges		282	100			Percent of total billed charges		282	100			Percent of total billed charges		282	33.3			Percent of total billed charges		93.906	33.3			Percent of total billed charges		93.906	100			Percent of total billed charges		282	93.906	253.8	
vlp locking  cortex scr st 2.7 x 10 7282-3110 s/n	278	RC	Outpatient			282	183.3		90			Percent of total billed charges		253.8	40			Percent of total billed charges		112.8	80			Percent of total billed charges		225.6	90			Percent of total billed charges		253.8	85			Percent of total billed charges		239.7	85			Percent of total billed charges		239.7	85			Percent of total billed charges		239.7	100			Percent of total billed charges		282	100			Percent of total billed charges		282	100			Percent of total billed charges		282	33.3			Percent of total billed charges		93.906	33.3			Percent of total billed charges		93.906	100			Percent of total billed charges		282	93.906	253.8	
vlp locking  cortex scr st 2.7 x 14 7282-3114 s/n	278	RC	Outpatient			282	183.3		90			Percent of total billed charges		253.8	40			Percent of total billed charges		112.8	80			Percent of total billed charges		225.6	90			Percent of total billed charges		253.8	85			Percent of total billed charges		239.7	85			Percent of total billed charges		239.7	85			Percent of total billed charges		239.7	100			Percent of total billed charges		282	100			Percent of total billed charges		282	100			Percent of total billed charges		282	33.3			Percent of total billed charges		93.906	33.3			Percent of total billed charges		93.906	100			Percent of total billed charges		282	93.906	253.8	
vlp locking  cortex scr st 2.7 x 20 7282-3120 s/n	278	RC	Outpatient			282	183.3		90			Percent of total billed charges		253.8	40			Percent of total billed charges		112.8	80			Percent of total billed charges		225.6	90			Percent of total billed charges		253.8	85			Percent of total billed charges		239.7	85			Percent of total billed charges		239.7	85			Percent of total billed charges		239.7	100			Percent of total billed charges		282	100			Percent of total billed charges		282	100			Percent of total billed charges		282	33.3			Percent of total billed charges		93.906	33.3			Percent of total billed charges		93.906	100			Percent of total billed charges		282	93.906	253.8	
drill w/qc 2.7 71173503 s/n	272	RC	Outpatient			284	184.6		90			Percent of total billed charges		255.6	40			Percent of total billed charges		113.6	80			Percent of total billed charges		227.2	90			Percent of total billed charges		255.6	85			Percent of total billed charges		241.4	85			Percent of total billed charges		241.4	85			Percent of total billed charges		241.4	100			Percent of total billed charges		284	100			Percent of total billed charges		284	100			Percent of total billed charges		284	33.3			Percent of total billed charges		94.572	33.3			Percent of total billed charges		94.572	100			Percent of total billed charges		284	94.572	255.6	
drill w/qc 3.5 71173504 s/n	272	RC	Outpatient			284	184.6		90			Percent of total billed charges		255.6	40			Percent of total billed charges		113.6	80			Percent of total billed charges		227.2	90			Percent of total billed charges		255.6	85			Percent of total billed charges		241.4	85			Percent of total billed charges		241.4	85			Percent of total billed charges		241.4	100			Percent of total billed charges		284	100			Percent of total billed charges		284	100			Percent of total billed charges		284	33.3			Percent of total billed charges		94.572	33.3			Percent of total billed charges		94.572	100			Percent of total billed charges		284	94.572	255.6	
drill w/qc 2.0 71173588 s/n	272	RC	Outpatient			284	184.6		90			Percent of total billed charges		255.6	40			Percent of total billed charges		113.6	80			Percent of total billed charges		227.2	90			Percent of total billed charges		255.6	85			Percent of total billed charges		241.4	85			Percent of total billed charges		241.4	85			Percent of total billed charges		241.4	100			Percent of total billed charges		284	100			Percent of total billed charges		284	100			Percent of total billed charges		284	33.3			Percent of total billed charges		94.572	33.3			Percent of total billed charges		94.572	100			Percent of total billed charges		284	94.572	255.6	
surgicel snow 2 x 4	272	RC	Outpatient			284	184.6		90			Percent of total billed charges		255.6	40			Percent of total billed charges		113.6	80			Percent of total billed charges		227.2	90			Percent of total billed charges		255.6	85			Percent of total billed charges		241.4	85			Percent of total billed charges		241.4	85			Percent of total billed charges		241.4	100			Percent of total billed charges		284	100			Percent of total billed charges		284	100			Percent of total billed charges		284	33.3			Percent of total billed charges		94.572	33.3			Percent of total billed charges		94.572	100			Percent of total billed charges		284	94.572	255.6	
surgicel snow 2 x 4 j&j 2082	272	RC	Outpatient			284	184.6		90			Percent of total billed charges		255.6	40			Percent of total billed charges		113.6	80			Percent of total billed charges		227.2	90			Percent of total billed charges		255.6	85			Percent of total billed charges		241.4	85			Percent of total billed charges		241.4	85			Percent of total billed charges		241.4	100			Percent of total billed charges		284	100			Percent of total billed charges		284	100			Percent of total billed charges		284	33.3			Percent of total billed charges		94.572	33.3			Percent of total billed charges		94.572	100			Percent of total billed charges		284	94.572	255.6	
bone screw 2.7 x 12mm 52-27012 stryker	278	RC	Outpatient			285	185.25		90			Percent of total billed charges		256.5	40			Percent of total billed charges		114	80			Percent of total billed charges		228	90			Percent of total billed charges		256.5	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	100			Percent of total billed charges		285	100			Percent of total billed charges		285	100			Percent of total billed charges		285	33.3			Percent of total billed charges		94.905	33.3			Percent of total billed charges		94.905	100			Percent of total billed charges		285	94.905	256.5	
bone screw 2.7 x 18mm 52-27018 stryker	278	RC	Outpatient			285	185.25		90			Percent of total billed charges		256.5	40			Percent of total billed charges		114	80			Percent of total billed charges		228	90			Percent of total billed charges		256.5	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	100			Percent of total billed charges		285	100			Percent of total billed charges		285	100			Percent of total billed charges		285	33.3			Percent of total billed charges		94.905	33.3			Percent of total billed charges		94.905	100			Percent of total billed charges		285	94.905	256.5	
bone screw 2.7 x 20mm 52-27020 stryker	278	RC	Outpatient			285	185.25		90			Percent of total billed charges		256.5	40			Percent of total billed charges		114	80			Percent of total billed charges		228	90			Percent of total billed charges		256.5	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	100			Percent of total billed charges		285	100			Percent of total billed charges		285	100			Percent of total billed charges		285	33.3			Percent of total billed charges		94.905	33.3			Percent of total billed charges		94.905	100			Percent of total billed charges		285	94.905	256.5	
bone screw 2.7 x 26mm 52-27026 stryker	278	RC	Outpatient			285	185.25		90			Percent of total billed charges		256.5	40			Percent of total billed charges		114	80			Percent of total billed charges		228	90			Percent of total billed charges		256.5	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	100			Percent of total billed charges		285	100			Percent of total billed charges		285	100			Percent of total billed charges		285	33.3			Percent of total billed charges		94.905	33.3			Percent of total billed charges		94.905	100			Percent of total billed charges		285	94.905	256.5	
0183t low frequency charge	510	RC	Outpatient			285	185.25		90			Percent of total billed charges		256.5	40			Percent of total billed charges		114	80			Percent of total billed charges		228	90			Percent of total billed charges		256.5	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	100			Percent of total billed charges		285	100			Percent of total billed charges		285	100			Percent of total billed charges		285	33.3			Percent of total billed charges		94.905	33.3			Percent of total billed charges		94.905	100			Percent of total billed charges		285	94.905	256.5	
bone screw 2.7 x 10mm 52-27010 stryker	278	RC	Outpatient			285	185.25		90			Percent of total billed charges		256.5	40			Percent of total billed charges		114	80			Percent of total billed charges		228	90			Percent of total billed charges		256.5	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	100			Percent of total billed charges		285	100			Percent of total billed charges		285	100			Percent of total billed charges		285	33.3			Percent of total billed charges		94.905	33.3			Percent of total billed charges		94.905	100			Percent of total billed charges		285	94.905	256.5	
bone screw 2.7 x 14mm 52-27014 stryker	278	RC	Outpatient			285	185.25		90			Percent of total billed charges		256.5	40			Percent of total billed charges		114	80			Percent of total billed charges		228	90			Percent of total billed charges		256.5	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	100			Percent of total billed charges		285	100			Percent of total billed charges		285	100			Percent of total billed charges		285	33.3			Percent of total billed charges		94.905	33.3			Percent of total billed charges		94.905	100			Percent of total billed charges		285	94.905	256.5	
bone screw 2.7 x 16mm 52-27016 stryker	278	RC	Outpatient			285	185.25		90			Percent of total billed charges		256.5	40			Percent of total billed charges		114	80			Percent of total billed charges		228	90			Percent of total billed charges		256.5	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	100			Percent of total billed charges		285	100			Percent of total billed charges		285	100			Percent of total billed charges		285	33.3			Percent of total billed charges		94.905	33.3			Percent of total billed charges		94.905	100			Percent of total billed charges		285	94.905	256.5	
bone screw 2.7 x 22mm 52-27022 stryker	278	RC	Outpatient			285	185.25		90			Percent of total billed charges		256.5	40			Percent of total billed charges		114	80			Percent of total billed charges		228	90			Percent of total billed charges		256.5	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	100			Percent of total billed charges		285	100			Percent of total billed charges		285	100			Percent of total billed charges		285	33.3			Percent of total billed charges		94.905	33.3			Percent of total billed charges		94.905	100			Percent of total billed charges		285	94.905	256.5	
bone screw 2.7 x 24mm 52-27022 stryker	278	RC	Outpatient			285	185.25		90			Percent of total billed charges		256.5	40			Percent of total billed charges		114	80			Percent of total billed charges		228	90			Percent of total billed charges		256.5	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	100			Percent of total billed charges		285	100			Percent of total billed charges		285	100			Percent of total billed charges		285	33.3			Percent of total billed charges		94.905	33.3			Percent of total billed charges		94.905	100			Percent of total billed charges		285	94.905	256.5	
elite pass suture needle shuttle 7210693 s/n	272	RC	Outpatient			285	185.25		90			Percent of total billed charges		256.5	40			Percent of total billed charges		114	80			Percent of total billed charges		228	90			Percent of total billed charges		256.5	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	100			Percent of total billed charges		285	100			Percent of total billed charges		285	100			Percent of total billed charges		285	33.3			Percent of total billed charges		94.905	33.3			Percent of total billed charges		94.905	100			Percent of total billed charges		285	94.905	256.5	
kit cavity drain ak-01601	272	RC	Outpatient			285	185.25		90			Percent of total billed charges		256.5	40			Percent of total billed charges		114	80			Percent of total billed charges		228	90			Percent of total billed charges		256.5	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	100			Percent of total billed charges		285	100			Percent of total billed charges		285	100			Percent of total billed charges		285	33.3			Percent of total billed charges		94.905	33.3			Percent of total billed charges		94.905	100			Percent of total billed charges		285	94.905	256.5	
non-locking screw 2.3 x 12mm 52-23012 stryker	278	RC	Outpatient			285	185.25		90			Percent of total billed charges		256.5	40			Percent of total billed charges		114	80			Percent of total billed charges		228	90			Percent of total billed charges		256.5	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	100			Percent of total billed charges		285	100			Percent of total billed charges		285	100			Percent of total billed charges		285	33.3			Percent of total billed charges		94.905	33.3			Percent of total billed charges		94.905	100			Percent of total billed charges		285	94.905	256.5	
non-locking screw 2.3 x 16mm 52-23016 stryker	278	RC	Outpatient			285	185.25		90			Percent of total billed charges		256.5	40			Percent of total billed charges		114	80			Percent of total billed charges		228	90			Percent of total billed charges		256.5	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	100			Percent of total billed charges		285	100			Percent of total billed charges		285	100			Percent of total billed charges		285	33.3			Percent of total billed charges		94.905	33.3			Percent of total billed charges		94.905	100			Percent of total billed charges		285	94.905	256.5	
non-locking screw 2.3 x 26mm 52-23026 stryker	278	RC	Outpatient			285	185.25		90			Percent of total billed charges		256.5	40			Percent of total billed charges		114	80			Percent of total billed charges		228	90			Percent of total billed charges		256.5	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	100			Percent of total billed charges		285	100			Percent of total billed charges		285	100			Percent of total billed charges		285	33.3			Percent of total billed charges		94.905	33.3			Percent of total billed charges		94.905	100			Percent of total billed charges		285	94.905	256.5	
non-locking screw 2.3 x 32mm 52-23032 stryker	278	RC	Outpatient			285	185.25		90			Percent of total billed charges		256.5	40			Percent of total billed charges		114	80			Percent of total billed charges		228	90			Percent of total billed charges		256.5	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	100			Percent of total billed charges		285	100			Percent of total billed charges		285	100			Percent of total billed charges		285	33.3			Percent of total billed charges		94.905	33.3			Percent of total billed charges		94.905	100			Percent of total billed charges		285	94.905	256.5	
non-locking screw 2.3 x 34mm 52-23034 stryker	278	RC	Outpatient			285	185.25		90			Percent of total billed charges		256.5	40			Percent of total billed charges		114	80			Percent of total billed charges		228	90			Percent of total billed charges		256.5	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	100			Percent of total billed charges		285	100			Percent of total billed charges		285	100			Percent of total billed charges		285	33.3			Percent of total billed charges		94.905	33.3			Percent of total billed charges		94.905	100			Percent of total billed charges		285	94.905	256.5	
non-locking screw 2.3 x 10mm 52-23010 stryker	278	RC	Outpatient			285	185.25		90			Percent of total billed charges		256.5	40			Percent of total billed charges		114	80			Percent of total billed charges		228	90			Percent of total billed charges		256.5	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	100			Percent of total billed charges		285	100			Percent of total billed charges		285	100			Percent of total billed charges		285	33.3			Percent of total billed charges		94.905	33.3			Percent of total billed charges		94.905	100			Percent of total billed charges		285	94.905	256.5	
non-locking screw 2.3 x 14mm 52-23014 stryker	278	RC	Outpatient			285	185.25		90			Percent of total billed charges		256.5	40			Percent of total billed charges		114	80			Percent of total billed charges		228	90			Percent of total billed charges		256.5	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	100			Percent of total billed charges		285	100			Percent of total billed charges		285	100			Percent of total billed charges		285	33.3			Percent of total billed charges		94.905	33.3			Percent of total billed charges		94.905	100			Percent of total billed charges		285	94.905	256.5	
non-locking screw 2.3 x 18mm 52-23018 stryker	278	RC	Outpatient			285	185.25		90			Percent of total billed charges		256.5	40			Percent of total billed charges		114	80			Percent of total billed charges		228	90			Percent of total billed charges		256.5	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	100			Percent of total billed charges		285	100			Percent of total billed charges		285	100			Percent of total billed charges		285	33.3			Percent of total billed charges		94.905	33.3			Percent of total billed charges		94.905	100			Percent of total billed charges		285	94.905	256.5	
non-locking screw 2.3 x 20mm 52-23020 stryker	278	RC	Outpatient			285	185.25		90			Percent of total billed charges		256.5	40			Percent of total billed charges		114	80			Percent of total billed charges		228	90			Percent of total billed charges		256.5	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	100			Percent of total billed charges		285	100			Percent of total billed charges		285	100			Percent of total billed charges		285	33.3			Percent of total billed charges		94.905	33.3			Percent of total billed charges		94.905	100			Percent of total billed charges		285	94.905	256.5	
non-locking screw 2.3 x 22mm 52-23022 stryker	278	RC	Outpatient			285	185.25		90			Percent of total billed charges		256.5	40			Percent of total billed charges		114	80			Percent of total billed charges		228	90			Percent of total billed charges		256.5	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	100			Percent of total billed charges		285	100			Percent of total billed charges		285	100			Percent of total billed charges		285	33.3			Percent of total billed charges		94.905	33.3			Percent of total billed charges		94.905	100			Percent of total billed charges		285	94.905	256.5	
non-locking screw 2.3 x 24mm 52-23024 stryker	278	RC	Outpatient			285	185.25		90			Percent of total billed charges		256.5	40			Percent of total billed charges		114	80			Percent of total billed charges		228	90			Percent of total billed charges		256.5	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	100			Percent of total billed charges		285	100			Percent of total billed charges		285	100			Percent of total billed charges		285	33.3			Percent of total billed charges		94.905	33.3			Percent of total billed charges		94.905	100			Percent of total billed charges		285	94.905	256.5	
non-locking screw 2.3 x 28mm 52-23028 stryker	278	RC	Outpatient			285	185.25		90			Percent of total billed charges		256.5	40			Percent of total billed charges		114	80			Percent of total billed charges		228	90			Percent of total billed charges		256.5	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	100			Percent of total billed charges		285	100			Percent of total billed charges		285	100			Percent of total billed charges		285	33.3			Percent of total billed charges		94.905	33.3			Percent of total billed charges		94.905	100			Percent of total billed charges		285	94.905	256.5	
non-locking screw 2.3 x 30mm 52-23030 stryker	278	RC	Outpatient			285	185.25		90			Percent of total billed charges		256.5	40			Percent of total billed charges		114	80			Percent of total billed charges		228	90			Percent of total billed charges		256.5	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	100			Percent of total billed charges		285	100			Percent of total billed charges		285	100			Percent of total billed charges		285	33.3			Percent of total billed charges		94.905	33.3			Percent of total billed charges		94.905	100			Percent of total billed charges		285	94.905	256.5	
non-locking screw 2.3 x 36mm 52-23036 stryker	278	RC	Outpatient			285	185.25		90			Percent of total billed charges		256.5	40			Percent of total billed charges		114	80			Percent of total billed charges		228	90			Percent of total billed charges		256.5	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	100			Percent of total billed charges		285	100			Percent of total billed charges		285	100			Percent of total billed charges		285	33.3			Percent of total billed charges		94.905	33.3			Percent of total billed charges		94.905	100			Percent of total billed charges		285	94.905	256.5	
non-locking screw 2.3 x 38mm 52-23038 stryker	278	RC	Outpatient			285	185.25		90			Percent of total billed charges		256.5	40			Percent of total billed charges		114	80			Percent of total billed charges		228	90			Percent of total billed charges		256.5	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	100			Percent of total billed charges		285	100			Percent of total billed charges		285	100			Percent of total billed charges		285	33.3			Percent of total billed charges		94.905	33.3			Percent of total billed charges		94.905	100			Percent of total billed charges		285	94.905	256.5	
screw 25mm 2253-25-42	278	RC	Outpatient			285	185.25		90			Percent of total billed charges		256.5	40			Percent of total billed charges		114	80			Percent of total billed charges		228	90			Percent of total billed charges		256.5	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	100			Percent of total billed charges		285	100			Percent of total billed charges		285	100			Percent of total billed charges		285	33.3			Percent of total billed charges		94.905	33.3			Percent of total billed charges		94.905	100			Percent of total billed charges		285	94.905	256.5	
stryker screw 2.7 bone	278	RC	Outpatient			285	185.25		90			Percent of total billed charges		256.5	40			Percent of total billed charges		114	80			Percent of total billed charges		228	90			Percent of total billed charges		256.5	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	100			Percent of total billed charges		285	100			Percent of total billed charges		285	100			Percent of total billed charges		285	33.3			Percent of total billed charges		94.905	33.3			Percent of total billed charges		94.905	100			Percent of total billed charges		285	94.905	256.5	
s/n elite pass suture	272	RC	Outpatient			285	185.25		90			Percent of total billed charges		256.5	40			Percent of total billed charges		114	80			Percent of total billed charges		228	90			Percent of total billed charges		256.5	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	100			Percent of total billed charges		285	100			Percent of total billed charges		285	100			Percent of total billed charges		285	33.3			Percent of total billed charges		94.905	33.3			Percent of total billed charges		94.905	100			Percent of total billed charges		285	94.905	256.5	
screw 30mm 2253-30-42	278	RC	Outpatient			285	185.25		90			Percent of total billed charges		256.5	40			Percent of total billed charges		114	80			Percent of total billed charges		228	90			Percent of total billed charges		256.5	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	100			Percent of total billed charges		285	100			Percent of total billed charges		285	100			Percent of total billed charges		285	33.3			Percent of total billed charges		94.905	33.3			Percent of total billed charges		94.905	100			Percent of total billed charges		285	94.905	256.5	
screw 55mm 2253-55-42	278	RC	Outpatient			285	185.25		90			Percent of total billed charges		256.5	40			Percent of total billed charges		114	80			Percent of total billed charges		228	90			Percent of total billed charges		256.5	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	100			Percent of total billed charges		285	100			Percent of total billed charges		285	100			Percent of total billed charges		285	33.3			Percent of total billed charges		94.905	33.3			Percent of total billed charges		94.905	100			Percent of total billed charges		285	94.905	256.5	
vcare cervical cup	272	RC	Outpatient			285	185.25		90			Percent of total billed charges		256.5	40			Percent of total billed charges		114	80			Percent of total billed charges		228	90			Percent of total billed charges		256.5	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	100			Percent of total billed charges		285	100			Percent of total billed charges		285	100			Percent of total billed charges		285	33.3			Percent of total billed charges		94.905	33.3			Percent of total billed charges		94.905	100			Percent of total billed charges		285	94.905	256.5	
vcare large cervical cup 60-6085-12 60-6085-202 conmed	272	RC	Outpatient			285	185.25		90			Percent of total billed charges		256.5	40			Percent of total billed charges		114	80			Percent of total billed charges		228	90			Percent of total billed charges		256.5	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	100			Percent of total billed charges		285	100			Percent of total billed charges		285	100			Percent of total billed charges		285	33.3			Percent of total billed charges		94.905	33.3			Percent of total billed charges		94.905	100			Percent of total billed charges		285	94.905	256.5	
vcare medium cervical cup 60-6085-201 conmed	272	RC	Outpatient			285	185.25		90			Percent of total billed charges		256.5	40			Percent of total billed charges		114	80			Percent of total billed charges		228	90			Percent of total billed charges		256.5	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	100			Percent of total billed charges		285	100			Percent of total billed charges		285	100			Percent of total billed charges		285	33.3			Percent of total billed charges		94.905	33.3			Percent of total billed charges		94.905	100			Percent of total billed charges		285	94.905	256.5	
truclear outflow tubing 7209823 medtronic	272	RC	Outpatient			285	185.25		90			Percent of total billed charges		256.5	40			Percent of total billed charges		114	80			Percent of total billed charges		228	90			Percent of total billed charges		256.5	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	100			Percent of total billed charges		285	100			Percent of total billed charges		285	100			Percent of total billed charges		285	33.3			Percent of total billed charges		94.905	33.3			Percent of total billed charges		94.905	100			Percent of total billed charges		285	94.905	256.5	
zimm interlocking im scrw	278	RC	Outpatient			285	185.25		90			Percent of total billed charges		256.5	40			Percent of total billed charges		114	80			Percent of total billed charges		228	90			Percent of total billed charges		256.5	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	85			Percent of total billed charges		242.25	100			Percent of total billed charges		285	100			Percent of total billed charges		285	100			Percent of total billed charges		285	33.3			Percent of total billed charges		94.905	33.3			Percent of total billed charges		94.905	100			Percent of total billed charges		285	94.905	256.5	
4.5mm t-plate 3 hole 68mm 00-4945-003-04 zimmer	278	RC	Outpatient			286	185.9		90			Percent of total billed charges		257.4	40			Percent of total billed charges		114.4	80			Percent of total billed charges		228.8	90			Percent of total billed charges		257.4	85			Percent of total billed charges		243.1	85			Percent of total billed charges		243.1	85			Percent of total billed charges		243.1	100			Percent of total billed charges		286	100			Percent of total billed charges		286	100			Percent of total billed charges		286	33.3			Percent of total billed charges		95.238	33.3			Percent of total billed charges		95.238	100			Percent of total billed charges		286	95.238	257.4	
4.5mm t-plate 4 hole 84mm 00-4945-004-04 zimmer	278	RC	Outpatient			286	185.9		90			Percent of total billed charges		257.4	40			Percent of total billed charges		114.4	80			Percent of total billed charges		228.8	90			Percent of total billed charges		257.4	85			Percent of total billed charges		243.1	85			Percent of total billed charges		243.1	85			Percent of total billed charges		243.1	100			Percent of total billed charges		286	100			Percent of total billed charges		286	100			Percent of total billed charges		286	33.3			Percent of total billed charges		95.238	33.3			Percent of total billed charges		95.238	100			Percent of total billed charges		286	95.238	257.4	
male hinge 101600 s/n	272	RC	Outpatient			286	185.9		90			Percent of total billed charges		257.4	40			Percent of total billed charges		114.4	80			Percent of total billed charges		228.8	90			Percent of total billed charges		257.4	85			Percent of total billed charges		243.1	85			Percent of total billed charges		243.1	85			Percent of total billed charges		243.1	100			Percent of total billed charges		286	100			Percent of total billed charges		286	100			Percent of total billed charges		286	33.3			Percent of total billed charges		95.238	33.3			Percent of total billed charges		95.238	100			Percent of total billed charges		286	95.238	257.4	
s/n male hinge	272	RC	Outpatient			286	185.9		90			Percent of total billed charges		257.4	40			Percent of total billed charges		114.4	80			Percent of total billed charges		228.8	90			Percent of total billed charges		257.4	85			Percent of total billed charges		243.1	85			Percent of total billed charges		243.1	85			Percent of total billed charges		243.1	100			Percent of total billed charges		286	100			Percent of total billed charges		286	100			Percent of total billed charges		286	33.3			Percent of total billed charges		95.238	33.3			Percent of total billed charges		95.238	100			Percent of total billed charges		286	95.238	257.4	
zimm 4.5 t-plate 3-4 hl	278	RC	Outpatient			286	185.9		90			Percent of total billed charges		257.4	40			Percent of total billed charges		114.4	80			Percent of total billed charges		228.8	90			Percent of total billed charges		257.4	85			Percent of total billed charges		243.1	85			Percent of total billed charges		243.1	85			Percent of total billed charges		243.1	100			Percent of total billed charges		286	100			Percent of total billed charges		286	100			Percent of total billed charges		286	33.3			Percent of total billed charges		95.238	33.3			Percent of total billed charges		95.238	100			Percent of total billed charges		286	95.238	257.4	
cartridge osto bond vacuum mixing 5049-91 zimm	270	RC	Outpatient			287	186.55		90			Percent of total billed charges		258.3	40			Percent of total billed charges		114.8	80			Percent of total billed charges		229.6	90			Percent of total billed charges		258.3	85			Percent of total billed charges		243.95	85			Percent of total billed charges		243.95	85			Percent of total billed charges		243.95	100			Percent of total billed charges		287	100			Percent of total billed charges		287	100			Percent of total billed charges		287	33.3			Percent of total billed charges		95.571	33.3			Percent of total billed charges		95.571	100			Percent of total billed charges		287	95.571	258.3	
cotton cannulatone	270	RC	Outpatient			287	186.55		90			Percent of total billed charges		258.3	40			Percent of total billed charges		114.8	80			Percent of total billed charges		229.6	90			Percent of total billed charges		258.3	85			Percent of total billed charges		243.95	85			Percent of total billed charges		243.95	85			Percent of total billed charges		243.95	100			Percent of total billed charges		287	100			Percent of total billed charges		287	100			Percent of total billed charges		287	33.3			Percent of total billed charges		95.571	33.3			Percent of total billed charges		95.571	100			Percent of total billed charges		287	95.571	258.3	
peri-loc vlp 3.5 x 6mm cortex screw  71821306 s/n	272	RC	Outpatient			287	186.55		90			Percent of total billed charges		258.3	40			Percent of total billed charges		114.8	80			Percent of total billed charges		229.6	90			Percent of total billed charges		258.3	85			Percent of total billed charges		243.95	85			Percent of total billed charges		243.95	85			Percent of total billed charges		243.95	100			Percent of total billed charges		287	100			Percent of total billed charges		287	100			Percent of total billed charges		287	33.3			Percent of total billed charges		95.571	33.3			Percent of total billed charges		95.571	100			Percent of total billed charges		287	95.571	258.3	
peri-loc vlp tap	272	RC	Outpatient			287	186.55		90			Percent of total billed charges		258.3	40			Percent of total billed charges		114.8	80			Percent of total billed charges		229.6	90			Percent of total billed charges		258.3	85			Percent of total billed charges		243.95	85			Percent of total billed charges		243.95	85			Percent of total billed charges		243.95	100			Percent of total billed charges		287	100			Percent of total billed charges		287	100			Percent of total billed charges		287	33.3			Percent of total billed charges		95.571	33.3			Percent of total billed charges		95.571	100			Percent of total billed charges		287	95.571	258.3	
peri-loc vlp 3.5 x 08mm cortex screw  71821308 s/n	272	RC	Outpatient			287	186.55		90			Percent of total billed charges		258.3	40			Percent of total billed charges		114.8	80			Percent of total billed charges		229.6	90			Percent of total billed charges		258.3	85			Percent of total billed charges		243.95	85			Percent of total billed charges		243.95	85			Percent of total billed charges		243.95	100			Percent of total billed charges		287	100			Percent of total billed charges		287	100			Percent of total billed charges		287	33.3			Percent of total billed charges		95.571	33.3			Percent of total billed charges		95.571	100			Percent of total billed charges		287	95.571	258.3	
tap qc 3.5mm 71173318 s/n	272	RC	Outpatient			287	186.55		90			Percent of total billed charges		258.3	40			Percent of total billed charges		114.8	80			Percent of total billed charges		229.6	90			Percent of total billed charges		258.3	85			Percent of total billed charges		243.95	85			Percent of total billed charges		243.95	85			Percent of total billed charges		243.95	100			Percent of total billed charges		287	100			Percent of total billed charges		287	100			Percent of total billed charges		287	33.3			Percent of total billed charges		95.571	33.3			Percent of total billed charges		95.571	100			Percent of total billed charges		287	95.571	258.3	
zimmer vacuum mixing sys.	270	RC	Outpatient			287	186.55		90			Percent of total billed charges		258.3	40			Percent of total billed charges		114.8	80			Percent of total billed charges		229.6	90			Percent of total billed charges		258.3	85			Percent of total billed charges		243.95	85			Percent of total billed charges		243.95	85			Percent of total billed charges		243.95	100			Percent of total billed charges		287	100			Percent of total billed charges		287	100			Percent of total billed charges		287	33.3			Percent of total billed charges		95.571	33.3			Percent of total billed charges		95.571	100			Percent of total billed charges		287	95.571	258.3	
grasping device us endoscopy ref # bx00711175	272	RC	Outpatient			287.74	187.03		90			Percent of total billed charges		258.966	40			Percent of total billed charges		115.096	80			Percent of total billed charges		230.192	90			Percent of total billed charges		258.966	85			Percent of total billed charges		244.579	85			Percent of total billed charges		244.579	85			Percent of total billed charges		244.579	100			Percent of total billed charges		287.74	100			Percent of total billed charges		287.74	100			Percent of total billed charges		287.74	33.3			Percent of total billed charges		95.8174	33.3			Percent of total billed charges		95.8174	100			Percent of total billed charges		287.74	95.8174	258.966	
"bottle, hemovac syst."	270	RC	Outpatient			288	187.2		90			Percent of total billed charges		259.2	40			Percent of total billed charges		115.2	80			Percent of total billed charges		230.4	90			Percent of total billed charges		259.2	85			Percent of total billed charges		244.8	85			Percent of total billed charges		244.8	85			Percent of total billed charges		244.8	100			Percent of total billed charges		288	100			Percent of total billed charges		288	100			Percent of total billed charges		288	33.3			Percent of total billed charges		95.904	33.3			Percent of total billed charges		95.904	100			Percent of total billed charges		288	95.904	259.2	
arthrex lp ti locking screw 3.5 x 14 ar-8935l-14	278	RC	Outpatient			289	187.85		90			Percent of total billed charges		260.1	40			Percent of total billed charges		115.6	80			Percent of total billed charges		231.2	90			Percent of total billed charges		260.1	85			Percent of total billed charges		245.65	85			Percent of total billed charges		245.65	85			Percent of total billed charges		245.65	100			Percent of total billed charges		289	100			Percent of total billed charges		289	100			Percent of total billed charges		289	33.3			Percent of total billed charges		96.237	33.3			Percent of total billed charges		96.237	100			Percent of total billed charges		289	96.237	260.1	
arthrex lp ti locking screw 3.5 x 16 ar-8935l-16	278	RC	Outpatient			289	187.85		90			Percent of total billed charges		260.1	40			Percent of total billed charges		115.6	80			Percent of total billed charges		231.2	90			Percent of total billed charges		260.1	85			Percent of total billed charges		245.65	85			Percent of total billed charges		245.65	85			Percent of total billed charges		245.65	100			Percent of total billed charges		289	100			Percent of total billed charges		289	100			Percent of total billed charges		289	33.3			Percent of total billed charges		96.237	33.3			Percent of total billed charges		96.237	100			Percent of total billed charges		289	96.237	260.1	
arthrex lp ti locking screw 3.5 x 26 ar-8935l-26	278	RC	Outpatient			289	187.85		90			Percent of total billed charges		260.1	40			Percent of total billed charges		115.6	80			Percent of total billed charges		231.2	90			Percent of total billed charges		260.1	85			Percent of total billed charges		245.65	85			Percent of total billed charges		245.65	85			Percent of total billed charges		245.65	100			Percent of total billed charges		289	100			Percent of total billed charges		289	100			Percent of total billed charges		289	33.3			Percent of total billed charges		96.237	33.3			Percent of total billed charges		96.237	100			Percent of total billed charges		289	96.237	260.1	
arthrex scr ti 3.5 lck	278	RC	Outpatient			289	187.85		90			Percent of total billed charges		260.1	40			Percent of total billed charges		115.6	80			Percent of total billed charges		231.2	90			Percent of total billed charges		260.1	85			Percent of total billed charges		245.65	85			Percent of total billed charges		245.65	85			Percent of total billed charges		245.65	100			Percent of total billed charges		289	100			Percent of total billed charges		289	100			Percent of total billed charges		289	33.3			Percent of total billed charges		96.237	33.3			Percent of total billed charges		96.237	100			Percent of total billed charges		289	96.237	260.1	
arthroscopy blade-bone cu	272	RC	Outpatient			289	187.85		90			Percent of total billed charges		260.1	40			Percent of total billed charges		115.6	80			Percent of total billed charges		231.2	90			Percent of total billed charges		260.1	85			Percent of total billed charges		245.65	85			Percent of total billed charges		245.65	85			Percent of total billed charges		245.65	100			Percent of total billed charges		289	100			Percent of total billed charges		289	100			Percent of total billed charges		289	33.3			Percent of total billed charges		96.237	33.3			Percent of total billed charges		96.237	100			Percent of total billed charges		289	96.237	260.1	
blade full radius bone cutter 7206010 s/n	272	RC	Outpatient			289	187.85		90			Percent of total billed charges		260.1	40			Percent of total billed charges		115.6	80			Percent of total billed charges		231.2	90			Percent of total billed charges		260.1	85			Percent of total billed charges		245.65	85			Percent of total billed charges		245.65	85			Percent of total billed charges		245.65	100			Percent of total billed charges		289	100			Percent of total billed charges		289	100			Percent of total billed charges		289	33.3			Percent of total billed charges		96.237	33.3			Percent of total billed charges		96.237	100			Percent of total billed charges		289	96.237	260.1	
arthrex lp ti locking screw 3.5 x 18 ar-8935l-18	278	RC	Outpatient			289	187.85		90			Percent of total billed charges		260.1	40			Percent of total billed charges		115.6	80			Percent of total billed charges		231.2	90			Percent of total billed charges		260.1	85			Percent of total billed charges		245.65	85			Percent of total billed charges		245.65	85			Percent of total billed charges		245.65	100			Percent of total billed charges		289	100			Percent of total billed charges		289	100			Percent of total billed charges		289	33.3			Percent of total billed charges		96.237	33.3			Percent of total billed charges		96.237	100			Percent of total billed charges		289	96.237	260.1	
arthrex lp ti locking screw 3.5 x 20 ar-8935l-20	278	RC	Outpatient			289	187.85		90			Percent of total billed charges		260.1	40			Percent of total billed charges		115.6	80			Percent of total billed charges		231.2	90			Percent of total billed charges		260.1	85			Percent of total billed charges		245.65	85			Percent of total billed charges		245.65	85			Percent of total billed charges		245.65	100			Percent of total billed charges		289	100			Percent of total billed charges		289	100			Percent of total billed charges		289	33.3			Percent of total billed charges		96.237	33.3			Percent of total billed charges		96.237	100			Percent of total billed charges		289	96.237	260.1	
blade  bone cutter 4.5 dyonics 7206011 s/n	272	RC	Outpatient			289	187.85		90			Percent of total billed charges		260.1	40			Percent of total billed charges		115.6	80			Percent of total billed charges		231.2	90			Percent of total billed charges		260.1	85			Percent of total billed charges		245.65	85			Percent of total billed charges		245.65	85			Percent of total billed charges		245.65	100			Percent of total billed charges		289	100			Percent of total billed charges		289	100			Percent of total billed charges		289	33.3			Percent of total billed charges		96.237	33.3			Percent of total billed charges		96.237	100			Percent of total billed charges		289	96.237	260.1	
miter trocar-short	272	RC	Outpatient			289	187.85		90			Percent of total billed charges		260.1	40			Percent of total billed charges		115.6	80			Percent of total billed charges		231.2	90			Percent of total billed charges		260.1	85			Percent of total billed charges		245.65	85			Percent of total billed charges		245.65	85			Percent of total billed charges		245.65	100			Percent of total billed charges		289	100			Percent of total billed charges		289	100			Percent of total billed charges		289	33.3			Percent of total billed charges		96.237	33.3			Percent of total billed charges		96.237	100			Percent of total billed charges		289	96.237	260.1	
mender ii meniscus rep	272	RC	Outpatient			289	187.85		90			Percent of total billed charges		260.1	40			Percent of total billed charges		115.6	80			Percent of total billed charges		231.2	90			Percent of total billed charges		260.1	85			Percent of total billed charges		245.65	85			Percent of total billed charges		245.65	85			Percent of total billed charges		245.65	100			Percent of total billed charges		289	100			Percent of total billed charges		289	100			Percent of total billed charges		289	33.3			Percent of total billed charges		96.237	33.3			Percent of total billed charges		96.237	100			Percent of total billed charges		289	96.237	260.1	
mitek 2.7 trocar short tip 213804	272	RC	Outpatient			289	187.85		90			Percent of total billed charges		260.1	40			Percent of total billed charges		115.6	80			Percent of total billed charges		231.2	90			Percent of total billed charges		260.1	85			Percent of total billed charges		245.65	85			Percent of total billed charges		245.65	85			Percent of total billed charges		245.65	100			Percent of total billed charges		289	100			Percent of total billed charges		289	100			Percent of total billed charges		289	33.3			Percent of total billed charges		96.237	33.3			Percent of total billed charges		96.237	100			Percent of total billed charges		289	96.237	260.1	
outside/in menicus repair kit mender ii 7209485 s/n	272	RC	Outpatient			289	187.85		90			Percent of total billed charges		260.1	40			Percent of total billed charges		115.6	80			Percent of total billed charges		231.2	90			Percent of total billed charges		260.1	85			Percent of total billed charges		245.65	85			Percent of total billed charges		245.65	85			Percent of total billed charges		245.65	100			Percent of total billed charges		289	100			Percent of total billed charges		289	100			Percent of total billed charges		289	33.3			Percent of total billed charges		96.237	33.3			Percent of total billed charges		96.237	100			Percent of total billed charges		289	96.237	260.1	
"cath,kit pacing bi-polr 5"	270	RC	Outpatient			290	188.5		90			Percent of total billed charges		261	40			Percent of total billed charges		116	80			Percent of total billed charges		232	90			Percent of total billed charges		261	85			Percent of total billed charges		246.5	85			Percent of total billed charges		246.5	85			Percent of total billed charges		246.5	100			Percent of total billed charges		290	100			Percent of total billed charges		290	100			Percent of total billed charges		290	33.3			Percent of total billed charges		96.57	33.3			Percent of total billed charges		96.57	100			Percent of total billed charges		290	96.57	261	
attain command amplatz	275	RC	Outpatient			290	188.5		90			Percent of total billed charges		261	40			Percent of total billed charges		116	80			Percent of total billed charges		232	90			Percent of total billed charges		261	85			Percent of total billed charges		246.5	85			Percent of total billed charges		246.5	85			Percent of total billed charges		246.5	100			Percent of total billed charges		290	100			Percent of total billed charges		290	100			Percent of total billed charges		290	33.3			Percent of total billed charges		96.57	33.3			Percent of total billed charges		96.57	100			Percent of total billed charges		290	96.57	261	
mt attain command amplatz	275	RC	Outpatient			290	188.5		90			Percent of total billed charges		261	40			Percent of total billed charges		116	80			Percent of total billed charges		232	90			Percent of total billed charges		261	85			Percent of total billed charges		246.5	85			Percent of total billed charges		246.5	85			Percent of total billed charges		246.5	100			Percent of total billed charges		290	100			Percent of total billed charges		290	100			Percent of total billed charges		290	33.3			Percent of total billed charges		96.57	33.3			Percent of total billed charges		96.57	100			Percent of total billed charges		290	96.57	261	
4.5 mm blunt tip lck scrw 10 mm 71807010	278	RC	Outpatient			292	189.8		90			Percent of total billed charges		262.8	40			Percent of total billed charges		116.8	80			Percent of total billed charges		233.6	90			Percent of total billed charges		262.8	85			Percent of total billed charges		248.2	85			Percent of total billed charges		248.2	85			Percent of total billed charges		248.2	100			Percent of total billed charges		292	100			Percent of total billed charges		292	100			Percent of total billed charges		292	33.3			Percent of total billed charges		97.236	33.3			Percent of total billed charges		97.236	100			Percent of total billed charges		292	97.236	262.8	
acumed hub cap ream hd	272	RC	Outpatient			292	189.8		90			Percent of total billed charges		262.8	40			Percent of total billed charges		116.8	80			Percent of total billed charges		233.6	90			Percent of total billed charges		262.8	85			Percent of total billed charges		248.2	85			Percent of total billed charges		248.2	85			Percent of total billed charges		248.2	100			Percent of total billed charges		292	100			Percent of total billed charges		292	100			Percent of total billed charges		292	33.3			Percent of total billed charges		97.236	33.3			Percent of total billed charges		97.236	100			Percent of total billed charges		292	97.236	262.8	
blunt tip scrw 4.5 x 10mm 71827010 s\n	278	RC	Outpatient			292	189.8		90			Percent of total billed charges		262.8	40			Percent of total billed charges		116.8	80			Percent of total billed charges		233.6	90			Percent of total billed charges		262.8	85			Percent of total billed charges		248.2	85			Percent of total billed charges		248.2	85			Percent of total billed charges		248.2	100			Percent of total billed charges		292	100			Percent of total billed charges		292	100			Percent of total billed charges		292	33.3			Percent of total billed charges		97.236	33.3			Percent of total billed charges		97.236	100			Percent of total billed charges		292	97.236	262.8	
blunt tip scrw 4.5 x 12mm 71827012 s\n	278	RC	Outpatient			292	189.8		90			Percent of total billed charges		262.8	40			Percent of total billed charges		116.8	80			Percent of total billed charges		233.6	90			Percent of total billed charges		262.8	85			Percent of total billed charges		248.2	85			Percent of total billed charges		248.2	85			Percent of total billed charges		248.2	100			Percent of total billed charges		292	100			Percent of total billed charges		292	100			Percent of total billed charges		292	33.3			Percent of total billed charges		97.236	33.3			Percent of total billed charges		97.236	100			Percent of total billed charges		292	97.236	262.8	
4.5 mm blunt tip lk scrw 12 mm 71807012	278	RC	Outpatient			292	189.8		90			Percent of total billed charges		262.8	40			Percent of total billed charges		116.8	80			Percent of total billed charges		233.6	90			Percent of total billed charges		262.8	85			Percent of total billed charges		248.2	85			Percent of total billed charges		248.2	85			Percent of total billed charges		248.2	100			Percent of total billed charges		292	100			Percent of total billed charges		292	100			Percent of total billed charges		292	33.3			Percent of total billed charges		97.236	33.3			Percent of total billed charges		97.236	100			Percent of total billed charges		292	97.236	262.8	
locking screw 2.0 x 10mm 201.880 synthes	278	RC	Outpatient			292	189.8		90			Percent of total billed charges		262.8	40			Percent of total billed charges		116.8	80			Percent of total billed charges		233.6	90			Percent of total billed charges		262.8	85			Percent of total billed charges		248.2	85			Percent of total billed charges		248.2	85			Percent of total billed charges		248.2	100			Percent of total billed charges		292	100			Percent of total billed charges		292	100			Percent of total billed charges		292	33.3			Percent of total billed charges		97.236	33.3			Percent of total billed charges		97.236	100			Percent of total billed charges		292	97.236	262.8	
locking screw 2.0 x 14mm 201.884 synthes	278	RC	Outpatient			292	189.8		90			Percent of total billed charges		262.8	40			Percent of total billed charges		116.8	80			Percent of total billed charges		233.6	90			Percent of total billed charges		262.8	85			Percent of total billed charges		248.2	85			Percent of total billed charges		248.2	85			Percent of total billed charges		248.2	100			Percent of total billed charges		292	100			Percent of total billed charges		292	100			Percent of total billed charges		292	33.3			Percent of total billed charges		97.236	33.3			Percent of total billed charges		97.236	100			Percent of total billed charges		292	97.236	262.8	
locking screw 2.0 x 12mm 201.882 synthes	278	RC	Outpatient			292	189.8		90			Percent of total billed charges		262.8	40			Percent of total billed charges		116.8	80			Percent of total billed charges		233.6	90			Percent of total billed charges		262.8	85			Percent of total billed charges		248.2	85			Percent of total billed charges		248.2	85			Percent of total billed charges		248.2	100			Percent of total billed charges		292	100			Percent of total billed charges		292	100			Percent of total billed charges		292	33.3			Percent of total billed charges		97.236	33.3			Percent of total billed charges		97.236	100			Percent of total billed charges		292	97.236	262.8	
picc line 5fr single tray	270	RC	Outpatient			292	189.8		90			Percent of total billed charges		262.8	40			Percent of total billed charges		116.8	80			Percent of total billed charges		233.6	90			Percent of total billed charges		262.8	85			Percent of total billed charges		248.2	85			Percent of total billed charges		248.2	85			Percent of total billed charges		248.2	100			Percent of total billed charges		292	100			Percent of total billed charges		292	100			Percent of total billed charges		292	33.3			Percent of total billed charges		97.236	33.3			Percent of total billed charges		97.236	100			Percent of total billed charges		292	97.236	262.8	
s/n 4.5 blunt lck scw	278	RC	Outpatient			292	189.8		90			Percent of total billed charges		262.8	40			Percent of total billed charges		116.8	80			Percent of total billed charges		233.6	90			Percent of total billed charges		262.8	85			Percent of total billed charges		248.2	85			Percent of total billed charges		248.2	85			Percent of total billed charges		248.2	100			Percent of total billed charges		292	100			Percent of total billed charges		292	100			Percent of total billed charges		292	33.3			Percent of total billed charges		97.236	33.3			Percent of total billed charges		97.236	100			Percent of total billed charges		292	97.236	262.8	
syn scr 2.0 locking	278	RC	Outpatient			292	189.8		90			Percent of total billed charges		262.8	40			Percent of total billed charges		116.8	80			Percent of total billed charges		233.6	90			Percent of total billed charges		262.8	85			Percent of total billed charges		248.2	85			Percent of total billed charges		248.2	85			Percent of total billed charges		248.2	100			Percent of total billed charges		292	100			Percent of total billed charges		292	100			Percent of total billed charges		292	33.3			Percent of total billed charges		97.236	33.3			Percent of total billed charges		97.236	100			Percent of total billed charges		292	97.236	262.8	
3800183 fast thoracic ultrasound ed charge	450	RC	Outpatient			293	190.45		90			Percent of total billed charges		263.7	40			Percent of total billed charges		117.2	80			Percent of total billed charges		234.4	90			Percent of total billed charges		263.7	85			Percent of total billed charges		249.05	85			Percent of total billed charges		249.05	85			Percent of total billed charges		249.05	100			Percent of total billed charges		293	100			Percent of total billed charges		293	100			Percent of total billed charges		293	33.3			Percent of total billed charges		97.569	33.3			Percent of total billed charges		97.569	100			Percent of total billed charges		293	97.569	263.7	
endo gia straight staple 30 2.5 030418 ussc	272	RC	Outpatient			293	190.45		90			Percent of total billed charges		263.7	40			Percent of total billed charges		117.2	80			Percent of total billed charges		234.4	90			Percent of total billed charges		263.7	85			Percent of total billed charges		249.05	85			Percent of total billed charges		249.05	85			Percent of total billed charges		249.05	100			Percent of total billed charges		293	100			Percent of total billed charges		293	100			Percent of total billed charges		293	33.3			Percent of total billed charges		97.569	33.3			Percent of total billed charges		97.569	100			Percent of total billed charges		293	97.569	263.7	
endo gia 30	272	RC	Outpatient			293	190.45		90			Percent of total billed charges		263.7	40			Percent of total billed charges		117.2	80			Percent of total billed charges		234.4	90			Percent of total billed charges		263.7	85			Percent of total billed charges		249.05	85			Percent of total billed charges		249.05	85			Percent of total billed charges		249.05	100			Percent of total billed charges		293	100			Percent of total billed charges		293	100			Percent of total billed charges		293	33.3			Percent of total billed charges		97.569	33.3			Percent of total billed charges		97.569	100			Percent of total billed charges		293	97.569	263.7	
r/t locking 8.0 screw lg	270	RC	Outpatient			293	190.45		90			Percent of total billed charges		263.7	40			Percent of total billed charges		117.2	80			Percent of total billed charges		234.4	90			Percent of total billed charges		263.7	85			Percent of total billed charges		249.05	85			Percent of total billed charges		249.05	85			Percent of total billed charges		249.05	100			Percent of total billed charges		293	100			Percent of total billed charges		293	100			Percent of total billed charges		293	33.3			Percent of total billed charges		97.569	33.3			Percent of total billed charges		97.569	100			Percent of total billed charges		293	97.569	263.7	
arthrotek k-wire	278	RC	Outpatient			294	191.1		90			Percent of total billed charges		264.6	40			Percent of total billed charges		117.6	80			Percent of total billed charges		235.2	90			Percent of total billed charges		264.6	85			Percent of total billed charges		249.9	85			Percent of total billed charges		249.9	85			Percent of total billed charges		249.9	100			Percent of total billed charges		294	100			Percent of total billed charges		294	100			Percent of total billed charges		294	33.3			Percent of total billed charges		97.902	33.3			Percent of total billed charges		97.902	100			Percent of total billed charges		294	97.902	264.6	
arthrotek tibial drill	272	RC	Outpatient			294	191.1		90			Percent of total billed charges		264.6	40			Percent of total billed charges		117.6	80			Percent of total billed charges		235.2	90			Percent of total billed charges		264.6	85			Percent of total billed charges		249.9	85			Percent of total billed charges		249.9	85			Percent of total billed charges		249.9	100			Percent of total billed charges		294	100			Percent of total billed charges		294	100			Percent of total billed charges		294	33.3			Percent of total billed charges		97.902	33.3			Percent of total billed charges		97.902	100			Percent of total billed charges		294	97.902	264.6	
bed total care bariatric	270	RC	Outpatient			294	191.1		90			Percent of total billed charges		264.6	40			Percent of total billed charges		117.6	80			Percent of total billed charges		235.2	90			Percent of total billed charges		264.6	85			Percent of total billed charges		249.9	85			Percent of total billed charges		249.9	85			Percent of total billed charges		249.9	100			Percent of total billed charges		294	100			Percent of total billed charges		294	100			Percent of total billed charges		294	33.3			Percent of total billed charges		97.902	33.3			Percent of total billed charges		97.902	100			Percent of total billed charges		294	97.902	264.6	
cath lab st. jude balloon	272	RC	Outpatient			294	191.1		90			Percent of total billed charges		264.6	40			Percent of total billed charges		117.6	80			Percent of total billed charges		235.2	90			Percent of total billed charges		264.6	85			Percent of total billed charges		249.9	85			Percent of total billed charges		249.9	85			Percent of total billed charges		249.9	100			Percent of total billed charges		294	100			Percent of total billed charges		294	100			Percent of total billed charges		294	33.3			Percent of total billed charges		97.902	33.3			Percent of total billed charges		97.902	100			Percent of total billed charges		294	97.902	264.6	
cath lab st. jude balloon catheter	272	RC	Outpatient			294	191.1		90			Percent of total billed charges		264.6	40			Percent of total billed charges		117.6	80			Percent of total billed charges		235.2	90			Percent of total billed charges		264.6	85			Percent of total billed charges		249.9	85			Percent of total billed charges		249.9	85			Percent of total billed charges		249.9	100			Percent of total billed charges		294	100			Percent of total billed charges		294	100			Percent of total billed charges		294	33.3			Percent of total billed charges		97.902	33.3			Percent of total billed charges		97.902	100			Percent of total billed charges		294	97.902	264.6	
drill point k wire 909827 arthotek	278	RC	Outpatient			294	191.1		90			Percent of total billed charges		264.6	40			Percent of total billed charges		117.6	80			Percent of total billed charges		235.2	90			Percent of total billed charges		264.6	85			Percent of total billed charges		249.9	85			Percent of total billed charges		249.9	85			Percent of total billed charges		249.9	100			Percent of total billed charges		294	100			Percent of total billed charges		294	100			Percent of total billed charges		294	33.3			Percent of total billed charges		97.902	33.3			Percent of total billed charges		97.902	100			Percent of total billed charges		294	97.902	264.6	
probe pacing 2.0fr	270	RC	Outpatient			294	191.1		90			Percent of total billed charges		264.6	40			Percent of total billed charges		117.6	80			Percent of total billed charges		235.2	90			Percent of total billed charges		264.6	85			Percent of total billed charges		249.9	85			Percent of total billed charges		249.9	85			Percent of total billed charges		249.9	100			Percent of total billed charges		294	100			Percent of total billed charges		294	100			Percent of total billed charges		294	33.3			Percent of total billed charges		97.902	33.3			Percent of total billed charges		97.902	100			Percent of total billed charges		294	97.902	264.6	
reddick scoop tip stiffer cholangiogram cath 2401-54 lamaitre	270	RC	Outpatient			294	191.1		90			Percent of total billed charges		264.6	40			Percent of total billed charges		117.6	80			Percent of total billed charges		235.2	90			Percent of total billed charges		264.6	85			Percent of total billed charges		249.9	85			Percent of total billed charges		249.9	85			Percent of total billed charges		249.9	100			Percent of total billed charges		294	100			Percent of total billed charges		294	100			Percent of total billed charges		294	33.3			Percent of total billed charges		97.902	33.3			Percent of total billed charges		97.902	100			Percent of total billed charges		294	97.902	264.6	
reddick scoop tip stiffer cholangiogram cath w/ intro 2401-53 2405-53 lamaitre	270	RC	Outpatient			294	191.1		90			Percent of total billed charges		264.6	40			Percent of total billed charges		117.6	80			Percent of total billed charges		235.2	90			Percent of total billed charges		264.6	85			Percent of total billed charges		249.9	85			Percent of total billed charges		249.9	85			Percent of total billed charges		249.9	100			Percent of total billed charges		294	100			Percent of total billed charges		294	100			Percent of total billed charges		294	33.3			Percent of total billed charges		97.902	33.3			Percent of total billed charges		97.902	100			Percent of total billed charges		294	97.902	264.6	
teno fix anchor remover device ar2 ortheon	272	RC	Outpatient			294	191.1		90			Percent of total billed charges		264.6	40			Percent of total billed charges		117.6	80			Percent of total billed charges		235.2	90			Percent of total billed charges		264.6	85			Percent of total billed charges		249.9	85			Percent of total billed charges		249.9	85			Percent of total billed charges		249.9	100			Percent of total billed charges		294	100			Percent of total billed charges		294	100			Percent of total billed charges		294	33.3			Percent of total billed charges		97.902	33.3			Percent of total billed charges		97.902	100			Percent of total billed charges		294	97.902	264.6	
papillatome	270	RC	Outpatient			294	191.1		90			Percent of total billed charges		264.6	40			Percent of total billed charges		117.6	80			Percent of total billed charges		235.2	90			Percent of total billed charges		264.6	85			Percent of total billed charges		249.9	85			Percent of total billed charges		249.9	85			Percent of total billed charges		249.9	100			Percent of total billed charges		294	100			Percent of total billed charges		294	100			Percent of total billed charges		294	33.3			Percent of total billed charges		97.902	33.3			Percent of total billed charges		97.902	100			Percent of total billed charges		294	97.902	264.6	
reddick chlg catheter	270	RC	Outpatient			294	191.1		90			Percent of total billed charges		264.6	40			Percent of total billed charges		117.6	80			Percent of total billed charges		235.2	90			Percent of total billed charges		264.6	85			Percent of total billed charges		249.9	85			Percent of total billed charges		249.9	85			Percent of total billed charges		249.9	100			Percent of total billed charges		294	100			Percent of total billed charges		294	100			Percent of total billed charges		294	33.3			Percent of total billed charges		97.902	33.3			Percent of total billed charges		97.902	100			Percent of total billed charges		294	97.902	264.6	
st jude balloon catherer	272	RC	Outpatient			294	191.1		90			Percent of total billed charges		264.6	40			Percent of total billed charges		117.6	80			Percent of total billed charges		235.2	90			Percent of total billed charges		264.6	85			Percent of total billed charges		249.9	85			Percent of total billed charges		249.9	85			Percent of total billed charges		249.9	100			Percent of total billed charges		294	100			Percent of total billed charges		294	100			Percent of total billed charges		294	33.3			Percent of total billed charges		97.902	33.3			Percent of total billed charges		97.902	100			Percent of total billed charges		294	97.902	264.6	
syn drill bit 0.70/0.76	272	RC	Outpatient			294	191.1		90			Percent of total billed charges		264.6	40			Percent of total billed charges		117.6	80			Percent of total billed charges		235.2	90			Percent of total billed charges		264.6	85			Percent of total billed charges		249.9	85			Percent of total billed charges		249.9	85			Percent of total billed charges		249.9	100			Percent of total billed charges		294	100			Percent of total billed charges		294	100			Percent of total billed charges		294	33.3			Percent of total billed charges		97.902	33.3			Percent of total billed charges		97.902	100			Percent of total billed charges		294	97.902	264.6	
synthes drill bit 0.75 x 8mm  316.18	272	RC	Outpatient			294	191.1		90			Percent of total billed charges		264.6	40			Percent of total billed charges		117.6	80			Percent of total billed charges		235.2	90			Percent of total billed charges		264.6	85			Percent of total billed charges		249.9	85			Percent of total billed charges		249.9	85			Percent of total billed charges		249.9	100			Percent of total billed charges		294	100			Percent of total billed charges		294	100			Percent of total billed charges		294	33.3			Percent of total billed charges		97.902	33.3			Percent of total billed charges		97.902	100			Percent of total billed charges		294	97.902	264.6	
teno fix anchor remover	272	RC	Outpatient			294	191.1		90			Percent of total billed charges		264.6	40			Percent of total billed charges		117.6	80			Percent of total billed charges		235.2	90			Percent of total billed charges		264.6	85			Percent of total billed charges		249.9	85			Percent of total billed charges		249.9	85			Percent of total billed charges		249.9	100			Percent of total billed charges		294	100			Percent of total billed charges		294	100			Percent of total billed charges		294	33.3			Percent of total billed charges		97.902	33.3			Percent of total billed charges		97.902	100			Percent of total billed charges		294	97.902	264.6	
tibial drill 909827 arthrotek biomet sports med	272	RC	Outpatient			294	191.1		90			Percent of total billed charges		264.6	40			Percent of total billed charges		117.6	80			Percent of total billed charges		235.2	90			Percent of total billed charges		264.6	85			Percent of total billed charges		249.9	85			Percent of total billed charges		249.9	85			Percent of total billed charges		249.9	100			Percent of total billed charges		294	100			Percent of total billed charges		294	100			Percent of total billed charges		294	33.3			Percent of total billed charges		97.902	33.3			Percent of total billed charges		97.902	100			Percent of total billed charges		294	97.902	264.6	
tube mic jejunal feeding 14fr 0200-14 halyard	272	RC	Outpatient			294	191.1		90			Percent of total billed charges		264.6	40			Percent of total billed charges		117.6	80			Percent of total billed charges		235.2	90			Percent of total billed charges		264.6	85			Percent of total billed charges		249.9	85			Percent of total billed charges		249.9	85			Percent of total billed charges		249.9	100			Percent of total billed charges		294	100			Percent of total billed charges		294	100			Percent of total billed charges		294	33.3			Percent of total billed charges		97.902	33.3			Percent of total billed charges		97.902	100			Percent of total billed charges		294	97.902	264.6	
ultrasound guidance	272	RC	Outpatient			294	191.1		90			Percent of total billed charges		264.6	40			Percent of total billed charges		117.6	80			Percent of total billed charges		235.2	90			Percent of total billed charges		264.6	85			Percent of total billed charges		249.9	85			Percent of total billed charges		249.9	85			Percent of total billed charges		249.9	100			Percent of total billed charges		294	100			Percent of total billed charges		294	100			Percent of total billed charges		294	33.3			Percent of total billed charges		97.902	33.3			Percent of total billed charges		97.902	100			Percent of total billed charges		294	97.902	264.6	
ultratape 2mm  blue s/n 72203896	272	RC	Outpatient			294	191.1		90			Percent of total billed charges		264.6	40			Percent of total billed charges		117.6	80			Percent of total billed charges		235.2	90			Percent of total billed charges		264.6	85			Percent of total billed charges		249.9	85			Percent of total billed charges		249.9	85			Percent of total billed charges		249.9	100			Percent of total billed charges		294	100			Percent of total billed charges		294	100			Percent of total billed charges		294	33.3			Percent of total billed charges		97.902	33.3			Percent of total billed charges		97.902	100			Percent of total billed charges		294	97.902	264.6	
ultratape 2mm cobraid blue s/n 72203897	278	RC	Outpatient			294	191.1		90			Percent of total billed charges		264.6	40			Percent of total billed charges		117.6	80			Percent of total billed charges		235.2	90			Percent of total billed charges		264.6	85			Percent of total billed charges		249.9	85			Percent of total billed charges		249.9	85			Percent of total billed charges		249.9	100			Percent of total billed charges		294	100			Percent of total billed charges		294	100			Percent of total billed charges		294	33.3			Percent of total billed charges		97.902	33.3			Percent of total billed charges		97.902	100			Percent of total billed charges		294	97.902	264.6	
drill bit 2.0 60-20385 stryker	272	RC	Outpatient			295	191.75		90			Percent of total billed charges		265.5	40			Percent of total billed charges		118	80			Percent of total billed charges		236	90			Percent of total billed charges		265.5	85			Percent of total billed charges		250.75	85			Percent of total billed charges		250.75	85			Percent of total billed charges		250.75	100			Percent of total billed charges		295	100			Percent of total billed charges		295	100			Percent of total billed charges		295	33.3			Percent of total billed charges		98.235	33.3			Percent of total billed charges		98.235	100			Percent of total billed charges		295	98.235	265.5	
hoffman apex pin	278	RC	Outpatient			295	191.75		90			Percent of total billed charges		265.5	40			Percent of total billed charges		118	80			Percent of total billed charges		236	90			Percent of total billed charges		265.5	85			Percent of total billed charges		250.75	85			Percent of total billed charges		250.75	85			Percent of total billed charges		250.75	100			Percent of total billed charges		295	100			Percent of total billed charges		295	100			Percent of total billed charges		295	33.3			Percent of total billed charges		98.235	33.3			Percent of total billed charges		98.235	100			Percent of total billed charges		295	98.235	265.5	
k-wire 1.4 702459 stryker	278	RC	Outpatient			295	191.75		90			Percent of total billed charges		265.5	40			Percent of total billed charges		118	80			Percent of total billed charges		236	90			Percent of total billed charges		265.5	85			Percent of total billed charges		250.75	85			Percent of total billed charges		250.75	85			Percent of total billed charges		250.75	100			Percent of total billed charges		295	100			Percent of total billed charges		295	100			Percent of total billed charges		295	33.3			Percent of total billed charges		98.235	33.3			Percent of total billed charges		98.235	100			Percent of total billed charges		295	98.235	265.5	
reflection threaded central hole cover 71336500 s/n	278	RC	Outpatient			295	191.75		90			Percent of total billed charges		265.5	40			Percent of total billed charges		118	80			Percent of total billed charges		236	90			Percent of total billed charges		265.5	85			Percent of total billed charges		250.75	85			Percent of total billed charges		250.75	85			Percent of total billed charges		250.75	100			Percent of total billed charges		295	100			Percent of total billed charges		295	100			Percent of total billed charges		295	33.3			Percent of total billed charges		98.235	33.3			Percent of total billed charges		98.235	100			Percent of total billed charges		295	98.235	265.5	
s/n ref thread hole cvr	278	RC	Outpatient			295	191.75		90			Percent of total billed charges		265.5	40			Percent of total billed charges		118	80			Percent of total billed charges		236	90			Percent of total billed charges		265.5	85			Percent of total billed charges		250.75	85			Percent of total billed charges		250.75	85			Percent of total billed charges		250.75	100			Percent of total billed charges		295	100			Percent of total billed charges		295	100			Percent of total billed charges		295	33.3			Percent of total billed charges		98.235	33.3			Percent of total billed charges		98.235	100			Percent of total billed charges		295	98.235	265.5	
styker drill bit 1.9 &2.0	272	RC	Outpatient			295	191.75		90			Percent of total billed charges		265.5	40			Percent of total billed charges		118	80			Percent of total billed charges		236	90			Percent of total billed charges		265.5	85			Percent of total billed charges		250.75	85			Percent of total billed charges		250.75	85			Percent of total billed charges		250.75	100			Percent of total billed charges		295	100			Percent of total billed charges		295	100			Percent of total billed charges		295	33.3			Percent of total billed charges		98.235	33.3			Percent of total billed charges		98.235	100			Percent of total billed charges		295	98.235	265.5	
stryker k-wire 1.4	278	RC	Outpatient			295	191.75		90			Percent of total billed charges		265.5	40			Percent of total billed charges		118	80			Percent of total billed charges		236	90			Percent of total billed charges		265.5	85			Percent of total billed charges		250.75	85			Percent of total billed charges		250.75	85			Percent of total billed charges		250.75	100			Percent of total billed charges		295	100			Percent of total billed charges		295	100			Percent of total billed charges		295	33.3			Percent of total billed charges		98.235	33.3			Percent of total billed charges		98.235	100			Percent of total billed charges		295	98.235	265.5	
twist drill ao 1.9  60-19340 stryker	272	RC	Outpatient			295	191.75		90			Percent of total billed charges		265.5	40			Percent of total billed charges		118	80			Percent of total billed charges		236	90			Percent of total billed charges		265.5	85			Percent of total billed charges		250.75	85			Percent of total billed charges		250.75	85			Percent of total billed charges		250.75	100			Percent of total billed charges		295	100			Percent of total billed charges		295	100			Percent of total billed charges		295	33.3			Percent of total billed charges		98.235	33.3			Percent of total billed charges		98.235	100			Percent of total billed charges		295	98.235	265.5	
14 fr red rubber cath	270	RC	Outpatient			297	193.05		90			Percent of total billed charges		267.3	40			Percent of total billed charges		118.8	80			Percent of total billed charges		237.6	90			Percent of total billed charges		267.3	85			Percent of total billed charges		252.45	85			Percent of total billed charges		252.45	85			Percent of total billed charges		252.45	100			Percent of total billed charges		297	100			Percent of total billed charges		297	100			Percent of total billed charges		297	33.3			Percent of total billed charges		98.901	33.3			Percent of total billed charges		98.901	100			Percent of total billed charges		297	98.901	267.3	
fast fix knot pusher/suture cutter w/ cannula 72202674 s/n	272	RC	Outpatient			297	193.05		90			Percent of total billed charges		267.3	40			Percent of total billed charges		118.8	80			Percent of total billed charges		237.6	90			Percent of total billed charges		267.3	85			Percent of total billed charges		252.45	85			Percent of total billed charges		252.45	85			Percent of total billed charges		252.45	100			Percent of total billed charges		297	100			Percent of total billed charges		297	100			Percent of total billed charges		297	33.3			Percent of total billed charges		98.901	33.3			Percent of total billed charges		98.901	100			Percent of total billed charges		297	98.901	267.3	
fast fix kpsc	272	RC	Outpatient			297	193.05		90			Percent of total billed charges		267.3	40			Percent of total billed charges		118.8	80			Percent of total billed charges		237.6	90			Percent of total billed charges		267.3	85			Percent of total billed charges		252.45	85			Percent of total billed charges		252.45	85			Percent of total billed charges		252.45	100			Percent of total billed charges		297	100			Percent of total billed charges		297	100			Percent of total billed charges		297	33.3			Percent of total billed charges		98.901	33.3			Percent of total billed charges		98.901	100			Percent of total billed charges		297	98.901	267.3	
felxible osteotome blade	272	RC	Outpatient			297	193.05		90			Percent of total billed charges		267.3	40			Percent of total billed charges		118.8	80			Percent of total billed charges		237.6	90			Percent of total billed charges		267.3	85			Percent of total billed charges		252.45	85			Percent of total billed charges		252.45	85			Percent of total billed charges		252.45	100			Percent of total billed charges		297	100			Percent of total billed charges		297	100			Percent of total billed charges		297	33.3			Percent of total billed charges		98.901	33.3			Percent of total billed charges		98.901	100			Percent of total billed charges		297	98.901	267.3	
flexible osteotome blade zimmer	272	RC	Outpatient			297	193.05		90			Percent of total billed charges		267.3	40			Percent of total billed charges		118.8	80			Percent of total billed charges		237.6	90			Percent of total billed charges		267.3	85			Percent of total billed charges		252.45	85			Percent of total billed charges		252.45	85			Percent of total billed charges		252.45	100			Percent of total billed charges		297	100			Percent of total billed charges		297	100			Percent of total billed charges		297	33.3			Percent of total billed charges		98.901	33.3			Percent of total billed charges		98.901	100			Percent of total billed charges		297	98.901	267.3	
mitek t-loop passing pin 254233	270	RC	Outpatient			297	193.05		90			Percent of total billed charges		267.3	40			Percent of total billed charges		118.8	80			Percent of total billed charges		237.6	90			Percent of total billed charges		267.3	85			Percent of total billed charges		252.45	85			Percent of total billed charges		252.45	85			Percent of total billed charges		252.45	100			Percent of total billed charges		297	100			Percent of total billed charges		297	100			Percent of total billed charges		297	33.3			Percent of total billed charges		98.901	33.3			Percent of total billed charges		98.901	100			Percent of total billed charges		297	98.901	267.3	
mitek bayonet pin	270	RC	Outpatient			297	193.05		90			Percent of total billed charges		267.3	40			Percent of total billed charges		118.8	80			Percent of total billed charges		237.6	90			Percent of total billed charges		267.3	85			Percent of total billed charges		252.45	85			Percent of total billed charges		252.45	85			Percent of total billed charges		252.45	100			Percent of total billed charges		297	100			Percent of total billed charges		297	100			Percent of total billed charges		297	33.3			Percent of total billed charges		98.901	33.3			Percent of total billed charges		98.901	100			Percent of total billed charges		297	98.901	267.3	
s/n spiked washer	278	RC	Outpatient			297	193.05		90			Percent of total billed charges		267.3	40			Percent of total billed charges		118.8	80			Percent of total billed charges		237.6	90			Percent of total billed charges		267.3	85			Percent of total billed charges		252.45	85			Percent of total billed charges		252.45	85			Percent of total billed charges		252.45	100			Percent of total billed charges		297	100			Percent of total billed charges		297	100			Percent of total billed charges		297	33.3			Percent of total billed charges		98.901	33.3			Percent of total billed charges		98.901	100			Percent of total billed charges		297	98.901	267.3	
spiked washer 17mm x 6mm 7207725 s/n	278	RC	Outpatient			297	193.05		90			Percent of total billed charges		267.3	40			Percent of total billed charges		118.8	80			Percent of total billed charges		237.6	90			Percent of total billed charges		267.3	85			Percent of total billed charges		252.45	85			Percent of total billed charges		252.45	85			Percent of total billed charges		252.45	100			Percent of total billed charges		297	100			Percent of total billed charges		297	100			Percent of total billed charges		297	33.3			Percent of total billed charges		98.901	33.3			Percent of total billed charges		98.901	100			Percent of total billed charges		297	98.901	267.3	
capnography monitoring	460	RC	Outpatient			298	193.7		90			Percent of total billed charges		268.2	40			Percent of total billed charges		119.2	80			Percent of total billed charges		238.4	90			Percent of total billed charges		268.2	85			Percent of total billed charges		253.3	85			Percent of total billed charges		253.3	85			Percent of total billed charges		253.3	100			Percent of total billed charges		298	100			Percent of total billed charges		298	100			Percent of total billed charges		298	33.3			Percent of total billed charges		99.234	33.3			Percent of total billed charges		99.234	100			Percent of total billed charges		298	99.234	268.2	
3800038 placement of ng tube ed charge	450	RC	Outpatient			298	193.7		90			Percent of total billed charges		268.2	40			Percent of total billed charges		119.2	80			Percent of total billed charges		238.4	90			Percent of total billed charges		268.2	85			Percent of total billed charges		253.3	85			Percent of total billed charges		253.3	85			Percent of total billed charges		253.3	100			Percent of total billed charges		298	100			Percent of total billed charges		298	100			Percent of total billed charges		298	33.3			Percent of total billed charges		99.234	33.3			Percent of total billed charges		99.234	100			Percent of total billed charges		298	99.234	268.2	
acufex disp. knife	270	RC	Outpatient			299	194.35		90			Percent of total billed charges		269.1	40			Percent of total billed charges		119.6	80			Percent of total billed charges		239.2	90			Percent of total billed charges		269.1	85			Percent of total billed charges		254.15	85			Percent of total billed charges		254.15	85			Percent of total billed charges		254.15	100			Percent of total billed charges		299	100			Percent of total billed charges		299	100			Percent of total billed charges		299	33.3			Percent of total billed charges		99.567	33.3			Percent of total billed charges		99.567	100			Percent of total billed charges		299	99.567	269.1	
flexor ansel guiding sheath g48188 cook	272	RC	Outpatient			299	194.35		90			Percent of total billed charges		269.1	40			Percent of total billed charges		119.6	80			Percent of total billed charges		239.2	90			Percent of total billed charges		269.1	85			Percent of total billed charges		254.15	85			Percent of total billed charges		254.15	85			Percent of total billed charges		254.15	100			Percent of total billed charges		299	100			Percent of total billed charges		299	100			Percent of total billed charges		299	33.3			Percent of total billed charges		99.567	33.3			Percent of total billed charges		99.567	100			Percent of total billed charges		299	99.567	269.1	
flex dr ansel guide	272	RC	Outpatient			299	194.35		90			Percent of total billed charges		269.1	40			Percent of total billed charges		119.6	80			Percent of total billed charges		239.2	90			Percent of total billed charges		269.1	85			Percent of total billed charges		254.15	85			Percent of total billed charges		254.15	85			Percent of total billed charges		254.15	100			Percent of total billed charges		299	100			Percent of total billed charges		299	100			Percent of total billed charges		299	33.3			Percent of total billed charges		99.567	33.3			Percent of total billed charges		99.567	100			Percent of total billed charges		299	99.567	269.1	
oxygen usage/per day	270	RC	Outpatient			299	194.35		90			Percent of total billed charges		269.1	40			Percent of total billed charges		119.6	80			Percent of total billed charges		239.2	90			Percent of total billed charges		269.1	85			Percent of total billed charges		254.15	85			Percent of total billed charges		254.15	85			Percent of total billed charges		254.15	100			Percent of total billed charges		299	100			Percent of total billed charges		299	100			Percent of total billed charges		299	33.3			Percent of total billed charges		99.567	33.3			Percent of total billed charges		99.567	100			Percent of total billed charges		299	99.567	269.1	
rt oxygen per day charge	270	RC	Outpatient			299	194.35		90			Percent of total billed charges		269.1	40			Percent of total billed charges		119.6	80			Percent of total billed charges		239.2	90			Percent of total billed charges		269.1	85			Percent of total billed charges		254.15	85			Percent of total billed charges		254.15	85			Percent of total billed charges		254.15	100			Percent of total billed charges		299	100			Percent of total billed charges		299	100			Percent of total billed charges		299	33.3			Percent of total billed charges		99.567	33.3			Percent of total billed charges		99.567	100			Percent of total billed charges		299	99.567	269.1	
picc line 5fr double tray	270	RC	Outpatient			299	194.35		90			Percent of total billed charges		269.1	40			Percent of total billed charges		119.6	80			Percent of total billed charges		239.2	90			Percent of total billed charges		269.1	85			Percent of total billed charges		254.15	85			Percent of total billed charges		254.15	85			Percent of total billed charges		254.15	100			Percent of total billed charges		299	100			Percent of total billed charges		299	100			Percent of total billed charges		299	33.3			Percent of total billed charges		99.567	33.3			Percent of total billed charges		99.567	100			Percent of total billed charges		299	99.567	269.1	
cosmetic - radiesse injection 1.5cc (half a syringe)	983	RC	Outpatient			299.25	194.51		90			Percent of total billed charges		269.325	40			Percent of total billed charges		119.7	80			Percent of total billed charges		239.4	90			Percent of total billed charges		269.325	85			Percent of total billed charges		254.3625	85			Percent of total billed charges		254.3625	85			Percent of total billed charges		254.3625	100			Percent of total billed charges		299.25	100			Percent of total billed charges		299.25	100			Percent of total billed charges		299.25	33.3			Percent of total billed charges		99.6503	33.3			Percent of total billed charges		99.6503	100			Percent of total billed charges		299.25	99.6503	269.325	
cosmetic - laser hair removal - upper or lower legs single session	983	RC	Outpatient			300	195		90			Percent of total billed charges		270	40			Percent of total billed charges		120	80			Percent of total billed charges		240	90			Percent of total billed charges		270	85			Percent of total billed charges		255	85			Percent of total billed charges		255	85			Percent of total billed charges		255	100			Percent of total billed charges		300	100			Percent of total billed charges		300	100			Percent of total billed charges		300	33.3			Percent of total billed charges		99.9	33.3			Percent of total billed charges		99.9	100			Percent of total billed charges		300	99.9	270	
cosmetic - laser treatment for skin laxity small area - single session	983	RC	Outpatient			300	195		90			Percent of total billed charges		270	40			Percent of total billed charges		120	80			Percent of total billed charges		240	90			Percent of total billed charges		270	85			Percent of total billed charges		255	85			Percent of total billed charges		255	85			Percent of total billed charges		255	100			Percent of total billed charges		300	100			Percent of total billed charges		300	100			Percent of total billed charges		300	33.3			Percent of total billed charges		99.9	33.3			Percent of total billed charges		99.9	100			Percent of total billed charges		300	99.9	270	
cosmetic - small scar excision	983	RC	Outpatient			300	195		90			Percent of total billed charges		270	40			Percent of total billed charges		120	80			Percent of total billed charges		240	90			Percent of total billed charges		270	85			Percent of total billed charges		255	85			Percent of total billed charges		255	85			Percent of total billed charges		255	100			Percent of total billed charges		300	100			Percent of total billed charges		300	100			Percent of total billed charges		300	33.3			Percent of total billed charges		99.9	33.3			Percent of total billed charges		99.9	100			Percent of total billed charges		300	99.9	270	
cosmetic - laser hair removal - abdomen (male) single session	983	RC	Outpatient			300	195		90			Percent of total billed charges		270	40			Percent of total billed charges		120	80			Percent of total billed charges		240	90			Percent of total billed charges		270	85			Percent of total billed charges		255	85			Percent of total billed charges		255	85			Percent of total billed charges		255	100			Percent of total billed charges		300	100			Percent of total billed charges		300	100			Percent of total billed charges		300	33.3			Percent of total billed charges		99.9	33.3			Percent of total billed charges		99.9	100			Percent of total billed charges		300	99.9	270	
cosmetic - laser hair removal - arms (complete) single session	983	RC	Outpatient			300	195		90			Percent of total billed charges		270	40			Percent of total billed charges		120	80			Percent of total billed charges		240	90			Percent of total billed charges		270	85			Percent of total billed charges		255	85			Percent of total billed charges		255	85			Percent of total billed charges		255	100			Percent of total billed charges		300	100			Percent of total billed charges		300	100			Percent of total billed charges		300	33.3			Percent of total billed charges		99.9	33.3			Percent of total billed charges		99.9	100			Percent of total billed charges		300	99.9	270	
cosmetic - laser hair removal - upper or lower back single session	983	RC	Outpatient			300	195		90			Percent of total billed charges		270	40			Percent of total billed charges		120	80			Percent of total billed charges		240	90			Percent of total billed charges		270	85			Percent of total billed charges		255	85			Percent of total billed charges		255	85			Percent of total billed charges		255	100			Percent of total billed charges		300	100			Percent of total billed charges		300	100			Percent of total billed charges		300	33.3			Percent of total billed charges		99.9	33.3			Percent of total billed charges		99.9	100			Percent of total billed charges		300	99.9	270	
cosmetic - laser hair removal foot and toes package of 5 sessions	983	RC	Outpatient			300	195		90			Percent of total billed charges		270	40			Percent of total billed charges		120	80			Percent of total billed charges		240	90			Percent of total billed charges		270	85			Percent of total billed charges		255	85			Percent of total billed charges		255	85			Percent of total billed charges		255	100			Percent of total billed charges		300	100			Percent of total billed charges		300	100			Percent of total billed charges		300	33.3			Percent of total billed charges		99.9	33.3			Percent of total billed charges		99.9	100			Percent of total billed charges		300	99.9	270	
cosmetic - laser treatment for skin laxity medium area - each additional session	983	RC	Outpatient			300	195		90			Percent of total billed charges		270	40			Percent of total billed charges		120	80			Percent of total billed charges		240	90			Percent of total billed charges		270	85			Percent of total billed charges		255	85			Percent of total billed charges		255	85			Percent of total billed charges		255	100			Percent of total billed charges		300	100			Percent of total billed charges		300	100			Percent of total billed charges		300	33.3			Percent of total billed charges		99.9	33.3			Percent of total billed charges		99.9	100			Percent of total billed charges		300	99.9	270	
cosmetic - stretch mark treatment - 30 min sessions each addt'l session	983	RC	Outpatient			300	195		90			Percent of total billed charges		270	40			Percent of total billed charges		120	80			Percent of total billed charges		240	90			Percent of total billed charges		270	85			Percent of total billed charges		255	85			Percent of total billed charges		255	85			Percent of total billed charges		255	100			Percent of total billed charges		300	100			Percent of total billed charges		300	100			Percent of total billed charges		300	33.3			Percent of total billed charges		99.9	33.3			Percent of total billed charges		99.9	100			Percent of total billed charges		300	99.9	270	
injection for kidney x-ray	983	RC	Outpatient			300	195		90			Percent of total billed charges		270	40			Percent of total billed charges		120	80			Percent of total billed charges		240	90			Percent of total billed charges		270	85			Percent of total billed charges		255	85			Percent of total billed charges		255	85			Percent of total billed charges		255	100			Percent of total billed charges		300	100			Percent of total billed charges		300	100			Percent of total billed charges		300	33.3			Percent of total billed charges		99.9	33.3			Percent of total billed charges		99.9	100			Percent of total billed charges		300	99.9	270	
trail blazer	272	RC	Outpatient			300	195		90			Percent of total billed charges		270	40			Percent of total billed charges		120	80			Percent of total billed charges		240	90			Percent of total billed charges		270	85			Percent of total billed charges		255	85			Percent of total billed charges		255	85			Percent of total billed charges		255	100			Percent of total billed charges		300	100			Percent of total billed charges		300	100			Percent of total billed charges		300	33.3			Percent of total billed charges		99.9	33.3			Percent of total billed charges		99.9	100			Percent of total billed charges		300	99.9	270	
trailblazer support cath 5 x 65 sc-035-065 ev3	272	RC	Outpatient			300	195		90			Percent of total billed charges		270	40			Percent of total billed charges		120	80			Percent of total billed charges		240	90			Percent of total billed charges		270	85			Percent of total billed charges		255	85			Percent of total billed charges		255	85			Percent of total billed charges		255	100			Percent of total billed charges		300	100			Percent of total billed charges		300	100			Percent of total billed charges		300	33.3			Percent of total billed charges		99.9	33.3			Percent of total billed charges		99.9	100			Percent of total billed charges		300	99.9	270	
trailblazer support cath sc-035-090 ev3	272	RC	Outpatient			300	195		90			Percent of total billed charges		270	40			Percent of total billed charges		120	80			Percent of total billed charges		240	90			Percent of total billed charges		270	85			Percent of total billed charges		255	85			Percent of total billed charges		255	85			Percent of total billed charges		255	100			Percent of total billed charges		300	100			Percent of total billed charges		300	100			Percent of total billed charges		300	33.3			Percent of total billed charges		99.9	33.3			Percent of total billed charges		99.9	100			Percent of total billed charges		300	99.9	270	
us transrectal	983	RC	Outpatient			300	195		90			Percent of total billed charges		270	40			Percent of total billed charges		120	80			Percent of total billed charges		240	90			Percent of total billed charges		270	85			Percent of total billed charges		255	85			Percent of total billed charges		255	85			Percent of total billed charges		255	100			Percent of total billed charges		300	100			Percent of total billed charges		300	100			Percent of total billed charges		300	33.3			Percent of total billed charges		99.9	33.3			Percent of total billed charges		99.9	100			Percent of total billed charges		300	99.9	270	
biomet bone plug xxl 130617	278	RC	Outpatient			301	195.65		90			Percent of total billed charges		270.9	40			Percent of total billed charges		120.4	80			Percent of total billed charges		240.8	90			Percent of total billed charges		270.9	85			Percent of total billed charges		255.85	85			Percent of total billed charges		255.85	85			Percent of total billed charges		255.85	100			Percent of total billed charges		301	100			Percent of total billed charges		301	100			Percent of total billed charges		301	33.3			Percent of total billed charges		100.233	33.3			Percent of total billed charges		100.233	100			Percent of total billed charges		301	100.233	270.9	
bone plug med 130611	278	RC	Outpatient			301	195.65		90			Percent of total billed charges		270.9	40			Percent of total billed charges		120.4	80			Percent of total billed charges		240.8	90			Percent of total billed charges		270.9	85			Percent of total billed charges		255.85	85			Percent of total billed charges		255.85	85			Percent of total billed charges		255.85	100			Percent of total billed charges		301	100			Percent of total billed charges		301	100			Percent of total billed charges		301	33.3			Percent of total billed charges		100.233	33.3			Percent of total billed charges		100.233	100			Percent of total billed charges		301	100.233	270.9	
bone plug small 130609	278	RC	Outpatient			301	195.65		90			Percent of total billed charges		270.9	40			Percent of total billed charges		120.4	80			Percent of total billed charges		240.8	90			Percent of total billed charges		270.9	85			Percent of total billed charges		255.85	85			Percent of total billed charges		255.85	85			Percent of total billed charges		255.85	100			Percent of total billed charges		301	100			Percent of total billed charges		301	100			Percent of total billed charges		301	33.3			Percent of total billed charges		100.233	33.3			Percent of total billed charges		100.233	100			Percent of total billed charges		301	100.233	270.9	
biomet bone plug	278	RC	Outpatient			301	195.65		90			Percent of total billed charges		270.9	40			Percent of total billed charges		120.4	80			Percent of total billed charges		240.8	90			Percent of total billed charges		270.9	85			Percent of total billed charges		255.85	85			Percent of total billed charges		255.85	85			Percent of total billed charges		255.85	100			Percent of total billed charges		301	100			Percent of total billed charges		301	100			Percent of total billed charges		301	33.3			Percent of total billed charges		100.233	33.3			Percent of total billed charges		100.233	100			Percent of total billed charges		301	100.233	270.9	
bone plug large 130613	278	RC	Outpatient			301	195.65		90			Percent of total billed charges		270.9	40			Percent of total billed charges		120.4	80			Percent of total billed charges		240.8	90			Percent of total billed charges		270.9	85			Percent of total billed charges		255.85	85			Percent of total billed charges		255.85	85			Percent of total billed charges		255.85	100			Percent of total billed charges		301	100			Percent of total billed charges		301	100			Percent of total billed charges		301	33.3			Percent of total billed charges		100.233	33.3			Percent of total billed charges		100.233	100			Percent of total billed charges		301	100.233	270.9	
cone plug xlg 130615	278	RC	Outpatient			301	195.65		90			Percent of total billed charges		270.9	40			Percent of total billed charges		120.4	80			Percent of total billed charges		240.8	90			Percent of total billed charges		270.9	85			Percent of total billed charges		255.85	85			Percent of total billed charges		255.85	85			Percent of total billed charges		255.85	100			Percent of total billed charges		301	100			Percent of total billed charges		301	100			Percent of total billed charges		301	33.3			Percent of total billed charges		100.233	33.3			Percent of total billed charges		100.233	100			Percent of total billed charges		301	100.233	270.9	
"dream wire, stiff shaft 0.035 x 450 moo556161 boston scient"	272	RC	Outpatient			301	195.65		90			Percent of total billed charges		270.9	40			Percent of total billed charges		120.4	80			Percent of total billed charges		240.8	90			Percent of total billed charges		270.9	85			Percent of total billed charges		255.85	85			Percent of total billed charges		255.85	85			Percent of total billed charges		255.85	100			Percent of total billed charges		301	100			Percent of total billed charges		301	100			Percent of total billed charges		301	33.3			Percent of total billed charges		100.233	33.3			Percent of total billed charges		100.233	100			Percent of total billed charges		301	100.233	270.9	
dreamwire	272	RC	Outpatient			301	195.65		90			Percent of total billed charges		270.9	40			Percent of total billed charges		120.4	80			Percent of total billed charges		240.8	90			Percent of total billed charges		270.9	85			Percent of total billed charges		255.85	85			Percent of total billed charges		255.85	85			Percent of total billed charges		255.85	100			Percent of total billed charges		301	100			Percent of total billed charges		301	100			Percent of total billed charges		301	33.3			Percent of total billed charges		100.233	33.3			Percent of total billed charges		100.233	100			Percent of total billed charges		301	100.233	270.9	
"electrode, point coag"	272	RC	Outpatient			301	195.65		90			Percent of total billed charges		270.9	40			Percent of total billed charges		120.4	80			Percent of total billed charges		240.8	90			Percent of total billed charges		270.9	85			Percent of total billed charges		255.85	85			Percent of total billed charges		255.85	85			Percent of total billed charges		255.85	100			Percent of total billed charges		301	100			Percent of total billed charges		301	100			Percent of total billed charges		301	33.3			Percent of total billed charges		100.233	33.3			Percent of total billed charges		100.233	100			Percent of total billed charges		301	100.233	270.9	
pointed coagulating electrode 24fr 27050l storz	272	RC	Outpatient			301	195.65		90			Percent of total billed charges		270.9	40			Percent of total billed charges		120.4	80			Percent of total billed charges		240.8	90			Percent of total billed charges		270.9	85			Percent of total billed charges		255.85	85			Percent of total billed charges		255.85	85			Percent of total billed charges		255.85	100			Percent of total billed charges		301	100			Percent of total billed charges		301	100			Percent of total billed charges		301	33.3			Percent of total billed charges		100.233	33.3			Percent of total billed charges		100.233	100			Percent of total billed charges		301	100.233	270.9	
powrpicc trip 5fr 70cm nw	270	RC	Outpatient			301	195.65		90			Percent of total billed charges		270.9	40			Percent of total billed charges		120.4	80			Percent of total billed charges		240.8	90			Percent of total billed charges		270.9	85			Percent of total billed charges		255.85	85			Percent of total billed charges		255.85	85			Percent of total billed charges		255.85	100			Percent of total billed charges		301	100			Percent of total billed charges		301	100			Percent of total billed charges		301	33.3			Percent of total billed charges		100.233	33.3			Percent of total billed charges		100.233	100			Percent of total billed charges		301	100.233	270.9	
vista brite tip guide cath 7fr normal curve 778-212-55	272	RC	Outpatient			302	196.3		90			Percent of total billed charges		271.8	40			Percent of total billed charges		120.8	80			Percent of total billed charges		241.6	90			Percent of total billed charges		271.8	85			Percent of total billed charges		256.7	85			Percent of total billed charges		256.7	85			Percent of total billed charges		256.7	100			Percent of total billed charges		302	100			Percent of total billed charges		302	100			Percent of total billed charges		302	33.3			Percent of total billed charges		100.566	33.3			Percent of total billed charges		100.566	100			Percent of total billed charges		302	100.566	271.8	
implate reamer	272	RC	Outpatient			303	196.95		90			Percent of total billed charges		272.7	40			Percent of total billed charges		121.2	80			Percent of total billed charges		242.4	90			Percent of total billed charges		272.7	85			Percent of total billed charges		257.55	85			Percent of total billed charges		257.55	85			Percent of total billed charges		257.55	100			Percent of total billed charges		303	100			Percent of total billed charges		303	100			Percent of total billed charges		303	33.3			Percent of total billed charges		100.899	33.3			Percent of total billed charges		100.899	100			Percent of total billed charges		303	100.899	272.7	
implate reamer 2 metacarpal imp-wan-mr2 skeletal dynamics	272	RC	Outpatient			303	196.95		90			Percent of total billed charges		272.7	40			Percent of total billed charges		121.2	80			Percent of total billed charges		242.4	90			Percent of total billed charges		272.7	85			Percent of total billed charges		257.55	85			Percent of total billed charges		257.55	85			Percent of total billed charges		257.55	100			Percent of total billed charges		303	100			Percent of total billed charges		303	100			Percent of total billed charges		303	33.3			Percent of total billed charges		100.899	33.3			Percent of total billed charges		100.899	100			Percent of total billed charges		303	100.899	272.7	
implate reamer 5 metacarpal imp-wan-mr5 skeletal dynamics	272	RC	Outpatient			303	196.95		90			Percent of total billed charges		272.7	40			Percent of total billed charges		121.2	80			Percent of total billed charges		242.4	90			Percent of total billed charges		272.7	85			Percent of total billed charges		257.55	85			Percent of total billed charges		257.55	85			Percent of total billed charges		257.55	100			Percent of total billed charges		303	100			Percent of total billed charges		303	100			Percent of total billed charges		303	33.3			Percent of total billed charges		100.899	33.3			Percent of total billed charges		100.899	100			Percent of total billed charges		303	100.899	272.7	
implate screws	278	RC	Outpatient			303	196.95		90			Percent of total billed charges		272.7	40			Percent of total billed charges		121.2	80			Percent of total billed charges		242.4	90			Percent of total billed charges		272.7	85			Percent of total billed charges		257.55	85			Percent of total billed charges		257.55	85			Percent of total billed charges		257.55	100			Percent of total billed charges		303	100			Percent of total billed charges		303	100			Percent of total billed charges		303	33.3			Percent of total billed charges		100.899	33.3			Percent of total billed charges		100.899	100			Percent of total billed charges		303	100.899	272.7	
implate reamer 1 metacarpal imp-wan-mr1 skeletal dynamics	272	RC	Outpatient			303	196.95		90			Percent of total billed charges		272.7	40			Percent of total billed charges		121.2	80			Percent of total billed charges		242.4	90			Percent of total billed charges		272.7	85			Percent of total billed charges		257.55	85			Percent of total billed charges		257.55	85			Percent of total billed charges		257.55	100			Percent of total billed charges		303	100			Percent of total billed charges		303	100			Percent of total billed charges		303	33.3			Percent of total billed charges		100.899	33.3			Percent of total billed charges		100.899	100			Percent of total billed charges		303	100.899	272.7	
implate reamer 3 metacarpal imp-wan-mr3 skeletal dynamics	272	RC	Outpatient			303	196.95		90			Percent of total billed charges		272.7	40			Percent of total billed charges		121.2	80			Percent of total billed charges		242.4	90			Percent of total billed charges		272.7	85			Percent of total billed charges		257.55	85			Percent of total billed charges		257.55	85			Percent of total billed charges		257.55	100			Percent of total billed charges		303	100			Percent of total billed charges		303	100			Percent of total billed charges		303	33.3			Percent of total billed charges		100.899	33.3			Percent of total billed charges		100.899	100			Percent of total billed charges		303	100.899	272.7	
implate reamer 4 metacarpal imp-wan-mr4 skeletal dynamics	272	RC	Outpatient			303	196.95		90			Percent of total billed charges		272.7	40			Percent of total billed charges		121.2	80			Percent of total billed charges		242.4	90			Percent of total billed charges		272.7	85			Percent of total billed charges		257.55	85			Percent of total billed charges		257.55	85			Percent of total billed charges		257.55	100			Percent of total billed charges		303	100			Percent of total billed charges		303	100			Percent of total billed charges		303	33.3			Percent of total billed charges		100.899	33.3			Percent of total billed charges		100.899	100			Percent of total billed charges		303	100.899	272.7	
"k-wire, stand tip 1.5 x 100m  kwir-std-15127 skeletal dynamics"	272	RC	Outpatient			303	196.95		90			Percent of total billed charges		272.7	40			Percent of total billed charges		121.2	80			Percent of total billed charges		242.4	90			Percent of total billed charges		272.7	85			Percent of total billed charges		257.55	85			Percent of total billed charges		257.55	85			Percent of total billed charges		257.55	100			Percent of total billed charges		303	100			Percent of total billed charges		303	100			Percent of total billed charges		303	33.3			Percent of total billed charges		100.899	33.3			Percent of total billed charges		100.899	100			Percent of total billed charges		303	100.899	272.7	
stryker t7 screw pt	278	RC	Outpatient			303	196.95		90			Percent of total billed charges		272.7	40			Percent of total billed charges		121.2	80			Percent of total billed charges		242.4	90			Percent of total billed charges		272.7	85			Percent of total billed charges		257.55	85			Percent of total billed charges		257.55	85			Percent of total billed charges		257.55	100			Percent of total billed charges		303	100			Percent of total billed charges		303	100			Percent of total billed charges		303	33.3			Percent of total billed charges		100.899	33.3			Percent of total billed charges		100.899	100			Percent of total billed charges		303	100.899	272.7	
s/n drill 1.8	272	RC	Outpatient			303	196.95		90			Percent of total billed charges		272.7	40			Percent of total billed charges		121.2	80			Percent of total billed charges		242.4	90			Percent of total billed charges		272.7	85			Percent of total billed charges		257.55	85			Percent of total billed charges		257.55	85			Percent of total billed charges		257.55	100			Percent of total billed charges		303	100			Percent of total billed charges		303	100			Percent of total billed charges		303	33.3			Percent of total billed charges		100.899	33.3			Percent of total billed charges		100.899	100			Percent of total billed charges		303	100.899	272.7	
unicortical screw 2.8 x 10.0mm ucnl-28100-ts skeletal dynamics	278	RC	Outpatient			303	196.95		90			Percent of total billed charges		272.7	40			Percent of total billed charges		121.2	80			Percent of total billed charges		242.4	90			Percent of total billed charges		272.7	85			Percent of total billed charges		257.55	85			Percent of total billed charges		257.55	85			Percent of total billed charges		257.55	100			Percent of total billed charges		303	100			Percent of total billed charges		303	100			Percent of total billed charges		303	33.3			Percent of total billed charges		100.899	33.3			Percent of total billed charges		100.899	100			Percent of total billed charges		303	100.899	272.7	
unicortical screw 2.8 x 5.0mm ucnl-28050-ts skeletal dynamics	278	RC	Outpatient			303	196.95		90			Percent of total billed charges		272.7	40			Percent of total billed charges		121.2	80			Percent of total billed charges		242.4	90			Percent of total billed charges		272.7	85			Percent of total billed charges		257.55	85			Percent of total billed charges		257.55	85			Percent of total billed charges		257.55	100			Percent of total billed charges		303	100			Percent of total billed charges		303	100			Percent of total billed charges		303	33.3			Percent of total billed charges		100.899	33.3			Percent of total billed charges		100.899	100			Percent of total billed charges		303	100.899	272.7	
unicortical screw 2.8 x 6.0mm ucnl-28060-ts skeletal dynamics	278	RC	Outpatient			303	196.95		90			Percent of total billed charges		272.7	40			Percent of total billed charges		121.2	80			Percent of total billed charges		242.4	90			Percent of total billed charges		272.7	85			Percent of total billed charges		257.55	85			Percent of total billed charges		257.55	85			Percent of total billed charges		257.55	100			Percent of total billed charges		303	100			Percent of total billed charges		303	100			Percent of total billed charges		303	33.3			Percent of total billed charges		100.899	33.3			Percent of total billed charges		100.899	100			Percent of total billed charges		303	100.899	272.7	
unicortical screw 2.8 x 7.0mm ucnl-28070-ts skeletal dynamics	278	RC	Outpatient			303	196.95		90			Percent of total billed charges		272.7	40			Percent of total billed charges		121.2	80			Percent of total billed charges		242.4	90			Percent of total billed charges		272.7	85			Percent of total billed charges		257.55	85			Percent of total billed charges		257.55	85			Percent of total billed charges		257.55	100			Percent of total billed charges		303	100			Percent of total billed charges		303	100			Percent of total billed charges		303	33.3			Percent of total billed charges		100.899	33.3			Percent of total billed charges		100.899	100			Percent of total billed charges		303	100.899	272.7	
unicortical screw 2.8 x 8.0mm ucnl-28080-ts skeletal dynamics	278	RC	Outpatient			303	196.95		90			Percent of total billed charges		272.7	40			Percent of total billed charges		121.2	80			Percent of total billed charges		242.4	90			Percent of total billed charges		272.7	85			Percent of total billed charges		257.55	85			Percent of total billed charges		257.55	85			Percent of total billed charges		257.55	100			Percent of total billed charges		303	100			Percent of total billed charges		303	100			Percent of total billed charges		303	33.3			Percent of total billed charges		100.899	33.3			Percent of total billed charges		100.899	100			Percent of total billed charges		303	100.899	272.7	
unicortical screw 2.8 x 12.0mm ucnl-28120-ts skeletal dynamics	278	RC	Outpatient			303	196.95		90			Percent of total billed charges		272.7	40			Percent of total billed charges		121.2	80			Percent of total billed charges		242.4	90			Percent of total billed charges		272.7	85			Percent of total billed charges		257.55	85			Percent of total billed charges		257.55	85			Percent of total billed charges		257.55	100			Percent of total billed charges		303	100			Percent of total billed charges		303	100			Percent of total billed charges		303	33.3			Percent of total billed charges		100.899	33.3			Percent of total billed charges		100.899	100			Percent of total billed charges		303	100.899	272.7	
unicortical screw 2.8 x 14.0mm ucnl-28140-ts skeletal dynamics	278	RC	Outpatient			303	196.95		90			Percent of total billed charges		272.7	40			Percent of total billed charges		121.2	80			Percent of total billed charges		242.4	90			Percent of total billed charges		272.7	85			Percent of total billed charges		257.55	85			Percent of total billed charges		257.55	85			Percent of total billed charges		257.55	100			Percent of total billed charges		303	100			Percent of total billed charges		303	100			Percent of total billed charges		303	33.3			Percent of total billed charges		100.899	33.3			Percent of total billed charges		100.899	100			Percent of total billed charges		303	100.899	272.7	
unicortical screw 2.8 x 4.0mm ucnl-28040-ts skeletal dynamics	278	RC	Outpatient			303	196.95		90			Percent of total billed charges		272.7	40			Percent of total billed charges		121.2	80			Percent of total billed charges		242.4	90			Percent of total billed charges		272.7	85			Percent of total billed charges		257.55	85			Percent of total billed charges		257.55	85			Percent of total billed charges		257.55	100			Percent of total billed charges		303	100			Percent of total billed charges		303	100			Percent of total billed charges		303	33.3			Percent of total billed charges		100.899	33.3			Percent of total billed charges		100.899	100			Percent of total billed charges		303	100.899	272.7	
conmed eliminator biliary baloon dilator 12f/4 mm/2 cm ref 000347	272	RC	Outpatient			303.6	197.34		90			Percent of total billed charges		273.24	40			Percent of total billed charges		121.44	80			Percent of total billed charges		242.88	90			Percent of total billed charges		273.24	85			Percent of total billed charges		258.06	85			Percent of total billed charges		258.06	85			Percent of total billed charges		258.06	100			Percent of total billed charges		303.6	100			Percent of total billed charges		303.6	100			Percent of total billed charges		303.6	33.3			Percent of total billed charges		101.0988	33.3			Percent of total billed charges		101.0988	100			Percent of total billed charges		303.6	101.0988	273.24	
conmed eliminator biliary baloon dilator 16 fr/6mm/2 cm	272	RC	Outpatient			303.6	197.34		90			Percent of total billed charges		273.24	40			Percent of total billed charges		121.44	80			Percent of total billed charges		242.88	90			Percent of total billed charges		273.24	85			Percent of total billed charges		258.06	85			Percent of total billed charges		258.06	85			Percent of total billed charges		258.06	100			Percent of total billed charges		303.6	100			Percent of total billed charges		303.6	100			Percent of total billed charges		303.6	33.3			Percent of total billed charges		101.0988	33.3			Percent of total billed charges		101.0988	100			Percent of total billed charges		303.6	101.0988	273.24	
conmed eliminator biliary baloon dilator 24 fr/8mm/3 cm   ref 000349	272	RC	Outpatient			303.6	197.34		90			Percent of total billed charges		273.24	40			Percent of total billed charges		121.44	80			Percent of total billed charges		242.88	90			Percent of total billed charges		273.24	85			Percent of total billed charges		258.06	85			Percent of total billed charges		258.06	85			Percent of total billed charges		258.06	100			Percent of total billed charges		303.6	100			Percent of total billed charges		303.6	100			Percent of total billed charges		303.6	33.3			Percent of total billed charges		101.0988	33.3			Percent of total billed charges		101.0988	100			Percent of total billed charges		303.6	101.0988	273.24	
acumed hub screw cap pl-wf60	278	RC	Outpatient			304	197.6		90			Percent of total billed charges		273.6	40			Percent of total billed charges		121.6	80			Percent of total billed charges		243.2	90			Percent of total billed charges		273.6	85			Percent of total billed charges		258.4	85			Percent of total billed charges		258.4	85			Percent of total billed charges		258.4	100			Percent of total billed charges		304	100			Percent of total billed charges		304	100			Percent of total billed charges		304	33.3			Percent of total billed charges		101.232	33.3			Percent of total billed charges		101.232	100			Percent of total billed charges		304	101.232	273.6	
blade helicut burr 4.5mm 7205727 s/n	270	RC	Outpatient			304	197.6		90			Percent of total billed charges		273.6	40			Percent of total billed charges		121.6	80			Percent of total billed charges		243.2	90			Percent of total billed charges		273.6	85			Percent of total billed charges		258.4	85			Percent of total billed charges		258.4	85			Percent of total billed charges		258.4	100			Percent of total billed charges		304	100			Percent of total billed charges		304	100			Percent of total billed charges		304	33.3			Percent of total billed charges		101.232	33.3			Percent of total billed charges		101.232	100			Percent of total billed charges		304	101.232	273.6	
helocut arthro blade	270	RC	Outpatient			304	197.6		90			Percent of total billed charges		273.6	40			Percent of total billed charges		121.6	80			Percent of total billed charges		243.2	90			Percent of total billed charges		273.6	85			Percent of total billed charges		258.4	85			Percent of total billed charges		258.4	85			Percent of total billed charges		258.4	100			Percent of total billed charges		304	100			Percent of total billed charges		304	100			Percent of total billed charges		304	33.3			Percent of total billed charges		101.232	33.3			Percent of total billed charges		101.232	100			Percent of total billed charges		304	101.232	273.6	
hub cap screw	278	RC	Outpatient			304	197.6		90			Percent of total billed charges		273.6	40			Percent of total billed charges		121.6	80			Percent of total billed charges		243.2	90			Percent of total billed charges		273.6	85			Percent of total billed charges		258.4	85			Percent of total billed charges		258.4	85			Percent of total billed charges		258.4	100			Percent of total billed charges		304	100			Percent of total billed charges		304	100			Percent of total billed charges		304	33.3			Percent of total billed charges		101.232	33.3			Percent of total billed charges		101.232	100			Percent of total billed charges		304	101.232	273.6	
nasopore dsg 4cm	272	RC	Outpatient			304	197.6		90			Percent of total billed charges		273.6	40			Percent of total billed charges		121.6	80			Percent of total billed charges		243.2	90			Percent of total billed charges		273.6	85			Percent of total billed charges		258.4	85			Percent of total billed charges		258.4	85			Percent of total billed charges		258.4	100			Percent of total billed charges		304	100			Percent of total billed charges		304	100			Percent of total billed charges		304	33.3			Percent of total billed charges		101.232	33.3			Percent of total billed charges		101.232	100			Percent of total billed charges		304	101.232	273.6	
naso pore 4cm standard 5400-010-004 stryker	272	RC	Outpatient			304	197.6		90			Percent of total billed charges		273.6	40			Percent of total billed charges		121.6	80			Percent of total billed charges		243.2	90			Percent of total billed charges		273.6	85			Percent of total billed charges		258.4	85			Percent of total billed charges		258.4	85			Percent of total billed charges		258.4	100			Percent of total billed charges		304	100			Percent of total billed charges		304	100			Percent of total billed charges		304	33.3			Percent of total billed charges		101.232	33.3			Percent of total billed charges		101.232	100			Percent of total billed charges		304	101.232	273.6	
3.5mm dcp plate 10 hole 248.10	278	RC	Outpatient			305	198.25		90			Percent of total billed charges		274.5	40			Percent of total billed charges		122	80			Percent of total billed charges		244	90			Percent of total billed charges		274.5	85			Percent of total billed charges		259.25	85			Percent of total billed charges		259.25	85			Percent of total billed charges		259.25	100			Percent of total billed charges		305	100			Percent of total billed charges		305	100			Percent of total billed charges		305	33.3			Percent of total billed charges		101.565	33.3			Percent of total billed charges		101.565	100			Percent of total billed charges		305	101.565	274.5	
3.5mm lc-dcp plate 10 hole 223.60	278	RC	Outpatient			305	198.25		90			Percent of total billed charges		274.5	40			Percent of total billed charges		122	80			Percent of total billed charges		244	90			Percent of total billed charges		274.5	85			Percent of total billed charges		259.25	85			Percent of total billed charges		259.25	85			Percent of total billed charges		259.25	100			Percent of total billed charges		305	100			Percent of total billed charges		305	100			Percent of total billed charges		305	33.3			Percent of total billed charges		101.565	33.3			Percent of total billed charges		101.565	100			Percent of total billed charges		305	101.565	274.5	
3.5mm lc-dcp plate 11 hole 223.61	278	RC	Outpatient			305	198.25		90			Percent of total billed charges		274.5	40			Percent of total billed charges		122	80			Percent of total billed charges		244	90			Percent of total billed charges		274.5	85			Percent of total billed charges		259.25	85			Percent of total billed charges		259.25	85			Percent of total billed charges		259.25	100			Percent of total billed charges		305	100			Percent of total billed charges		305	100			Percent of total billed charges		305	33.3			Percent of total billed charges		101.565	33.3			Percent of total billed charges		101.565	100			Percent of total billed charges		305	101.565	274.5	
4.5mm broad dcp plate 10 hole 226.10	278	RC	Outpatient			305	198.25		90			Percent of total billed charges		274.5	40			Percent of total billed charges		122	80			Percent of total billed charges		244	90			Percent of total billed charges		274.5	85			Percent of total billed charges		259.25	85			Percent of total billed charges		259.25	85			Percent of total billed charges		259.25	100			Percent of total billed charges		305	100			Percent of total billed charges		305	100			Percent of total billed charges		305	33.3			Percent of total billed charges		101.565	33.3			Percent of total billed charges		101.565	100			Percent of total billed charges		305	101.565	274.5	
4.5mm narrow dcp plate 10 hole 167mm 224.10	278	RC	Outpatient			305	198.25		90			Percent of total billed charges		274.5	40			Percent of total billed charges		122	80			Percent of total billed charges		244	90			Percent of total billed charges		274.5	85			Percent of total billed charges		259.25	85			Percent of total billed charges		259.25	85			Percent of total billed charges		259.25	100			Percent of total billed charges		305	100			Percent of total billed charges		305	100			Percent of total billed charges		305	33.3			Percent of total billed charges		101.565	33.3			Percent of total billed charges		101.565	100			Percent of total billed charges		305	101.565	274.5	
4.5mm narrow dcp plate 11 hole 183mm 224.11	278	RC	Outpatient			305	198.25		90			Percent of total billed charges		274.5	40			Percent of total billed charges		122	80			Percent of total billed charges		244	90			Percent of total billed charges		274.5	85			Percent of total billed charges		259.25	85			Percent of total billed charges		259.25	85			Percent of total billed charges		259.25	100			Percent of total billed charges		305	100			Percent of total billed charges		305	100			Percent of total billed charges		305	33.3			Percent of total billed charges		101.565	33.3			Percent of total billed charges		101.565	100			Percent of total billed charges		305	101.565	274.5	
4.5mm narrow dcp plate 8 hole 135mm 224.08	278	RC	Outpatient			305	198.25		90			Percent of total billed charges		274.5	40			Percent of total billed charges		122	80			Percent of total billed charges		244	90			Percent of total billed charges		274.5	85			Percent of total billed charges		259.25	85			Percent of total billed charges		259.25	85			Percent of total billed charges		259.25	100			Percent of total billed charges		305	100			Percent of total billed charges		305	100			Percent of total billed charges		305	33.3			Percent of total billed charges		101.565	33.3			Percent of total billed charges		101.565	100			Percent of total billed charges		305	101.565	274.5	
4.5mm narrow dcp plate 8 hole 224.08	278	RC	Outpatient			305	198.25		90			Percent of total billed charges		274.5	40			Percent of total billed charges		122	80			Percent of total billed charges		244	90			Percent of total billed charges		274.5	85			Percent of total billed charges		259.25	85			Percent of total billed charges		259.25	85			Percent of total billed charges		259.25	100			Percent of total billed charges		305	100			Percent of total billed charges		305	100			Percent of total billed charges		305	33.3			Percent of total billed charges		101.565	33.3			Percent of total billed charges		101.565	100			Percent of total billed charges		305	101.565	274.5	
4.5mm narrow dcp plate 9 hole 151mm 224.09	278	RC	Outpatient			305	198.25		90			Percent of total billed charges		274.5	40			Percent of total billed charges		122	80			Percent of total billed charges		244	90			Percent of total billed charges		274.5	85			Percent of total billed charges		259.25	85			Percent of total billed charges		259.25	85			Percent of total billed charges		259.25	100			Percent of total billed charges		305	100			Percent of total billed charges		305	100			Percent of total billed charges		305	33.3			Percent of total billed charges		101.565	33.3			Percent of total billed charges		101.565	100			Percent of total billed charges		305	101.565	274.5	
4.5mm narrow dcp plate 9 hole 224.09	278	RC	Outpatient			305	198.25		90			Percent of total billed charges		274.5	40			Percent of total billed charges		122	80			Percent of total billed charges		244	90			Percent of total billed charges		274.5	85			Percent of total billed charges		259.25	85			Percent of total billed charges		259.25	85			Percent of total billed charges		259.25	100			Percent of total billed charges		305	100			Percent of total billed charges		305	100			Percent of total billed charges		305	33.3			Percent of total billed charges		101.565	33.3			Percent of total billed charges		101.565	100			Percent of total billed charges		305	101.565	274.5	
biomet titanium end cap	278	RC	Outpatient			305	198.25		90			Percent of total billed charges		274.5	40			Percent of total billed charges		122	80			Percent of total billed charges		244	90			Percent of total billed charges		274.5	85			Percent of total billed charges		259.25	85			Percent of total billed charges		259.25	85			Percent of total billed charges		259.25	100			Percent of total billed charges		305	100			Percent of total billed charges		305	100			Percent of total billed charges		305	33.3			Percent of total billed charges		101.565	33.3			Percent of total billed charges		101.565	100			Percent of total billed charges		305	101.565	274.5	
2.0mm dcp plates 8 hole 243.58 synthes	278	RC	Outpatient			305	198.25		90			Percent of total billed charges		274.5	40			Percent of total billed charges		122	80			Percent of total billed charges		244	90			Percent of total billed charges		274.5	85			Percent of total billed charges		259.25	85			Percent of total billed charges		259.25	85			Percent of total billed charges		259.25	100			Percent of total billed charges		305	100			Percent of total billed charges		305	100			Percent of total billed charges		305	33.3			Percent of total billed charges		101.565	33.3			Percent of total billed charges		101.565	100			Percent of total billed charges		305	101.565	274.5	
2.7mm dcp plates 10 hole 244.10	278	RC	Outpatient			305	198.25		90			Percent of total billed charges		274.5	40			Percent of total billed charges		122	80			Percent of total billed charges		244	90			Percent of total billed charges		274.5	85			Percent of total billed charges		259.25	85			Percent of total billed charges		259.25	85			Percent of total billed charges		259.25	100			Percent of total billed charges		305	100			Percent of total billed charges		305	100			Percent of total billed charges		305	33.3			Percent of total billed charges		101.565	33.3			Percent of total billed charges		101.565	100			Percent of total billed charges		305	101.565	274.5	
4.5mm compression plate narrow 13 hole 215mm 00-4945-013-00 zimmer	278	RC	Outpatient			305	198.25		90			Percent of total billed charges		274.5	40			Percent of total billed charges		122	80			Percent of total billed charges		244	90			Percent of total billed charges		274.5	85			Percent of total billed charges		259.25	85			Percent of total billed charges		259.25	85			Percent of total billed charges		259.25	100			Percent of total billed charges		305	100			Percent of total billed charges		305	100			Percent of total billed charges		305	33.3			Percent of total billed charges		101.565	33.3			Percent of total billed charges		101.565	100			Percent of total billed charges		305	101.565	274.5	
4.5mm compression plate narrow 14 hole 231mm 00-4945-014-00 zimmer	278	RC	Outpatient			305	198.25		90			Percent of total billed charges		274.5	40			Percent of total billed charges		122	80			Percent of total billed charges		244	90			Percent of total billed charges		274.5	85			Percent of total billed charges		259.25	85			Percent of total billed charges		259.25	85			Percent of total billed charges		259.25	100			Percent of total billed charges		305	100			Percent of total billed charges		305	100			Percent of total billed charges		305	33.3			Percent of total billed charges		101.565	33.3			Percent of total billed charges		101.565	100			Percent of total billed charges		305	101.565	274.5	
4.5mm compression plate narrow 15 hole 247mm 00-4945-015-00 zimmer	278	RC	Outpatient			305	198.25		90			Percent of total billed charges		274.5	40			Percent of total billed charges		122	80			Percent of total billed charges		244	90			Percent of total billed charges		274.5	85			Percent of total billed charges		259.25	85			Percent of total billed charges		259.25	85			Percent of total billed charges		259.25	100			Percent of total billed charges		305	100			Percent of total billed charges		305	100			Percent of total billed charges		305	33.3			Percent of total billed charges		101.565	33.3			Percent of total billed charges		101.565	100			Percent of total billed charges		305	101.565	274.5	
4.5mm compression plate narrow 16 hole 263mm 00-4945-016-00 zimmer	278	RC	Outpatient			305	198.25		90			Percent of total billed charges		274.5	40			Percent of total billed charges		122	80			Percent of total billed charges		244	90			Percent of total billed charges		274.5	85			Percent of total billed charges		259.25	85			Percent of total billed charges		259.25	85			Percent of total billed charges		259.25	100			Percent of total billed charges		305	100			Percent of total billed charges		305	100			Percent of total billed charges		305	33.3			Percent of total billed charges		101.565	33.3			Percent of total billed charges		101.565	100			Percent of total billed charges		305	101.565	274.5	
4.5mm narrow dcp plate 10 hole 224.10	278	RC	Outpatient			305	198.25		90			Percent of total billed charges		274.5	40			Percent of total billed charges		122	80			Percent of total billed charges		244	90			Percent of total billed charges		274.5	85			Percent of total billed charges		259.25	85			Percent of total billed charges		259.25	85			Percent of total billed charges		259.25	100			Percent of total billed charges		305	100			Percent of total billed charges		305	100			Percent of total billed charges		305	33.3			Percent of total billed charges		101.565	33.3			Percent of total billed charges		101.565	100			Percent of total billed charges		305	101.565	274.5	
4.5mm narrow lc-dpc plate 10 hole 178mm 224.60	278	RC	Outpatient			305	198.25		90			Percent of total billed charges		274.5	40			Percent of total billed charges		122	80			Percent of total billed charges		244	90			Percent of total billed charges		274.5	85			Percent of total billed charges		259.25	85			Percent of total billed charges		259.25	85			Percent of total billed charges		259.25	100			Percent of total billed charges		305	100			Percent of total billed charges		305	100			Percent of total billed charges		305	33.3			Percent of total billed charges		101.565	33.3			Percent of total billed charges		101.565	100			Percent of total billed charges		305	101.565	274.5	
4.5mm narrow lc-dpc plate 11 hole 196mm 224.61	278	RC	Outpatient			305	198.25		90			Percent of total billed charges		274.5	40			Percent of total billed charges		122	80			Percent of total billed charges		244	90			Percent of total billed charges		274.5	85			Percent of total billed charges		259.25	85			Percent of total billed charges		259.25	85			Percent of total billed charges		259.25	100			Percent of total billed charges		305	100			Percent of total billed charges		305	100			Percent of total billed charges		305	33.3			Percent of total billed charges		101.565	33.3			Percent of total billed charges		101.565	100			Percent of total billed charges		305	101.565	274.5	
4.5mm narrow lc-dpc plate 12 hole 214mm 224.62	278	RC	Outpatient			305	198.25		90			Percent of total billed charges		274.5	40			Percent of total billed charges		122	80			Percent of total billed charges		244	90			Percent of total billed charges		274.5	85			Percent of total billed charges		259.25	85			Percent of total billed charges		259.25	85			Percent of total billed charges		259.25	100			Percent of total billed charges		305	100			Percent of total billed charges		305	100			Percent of total billed charges		305	33.3			Percent of total billed charges		101.565	33.3			Percent of total billed charges		101.565	100			Percent of total billed charges		305	101.565	274.5	
4.5mm narrow lc-dpc plate 8 hole 142mm 224.58	278	RC	Outpatient			305	198.25		90			Percent of total billed charges		274.5	40			Percent of total billed charges		122	80			Percent of total billed charges		244	90			Percent of total billed charges		274.5	85			Percent of total billed charges		259.25	85			Percent of total billed charges		259.25	85			Percent of total billed charges		259.25	100			Percent of total billed charges		305	100			Percent of total billed charges		305	100			Percent of total billed charges		305	33.3			Percent of total billed charges		101.565	33.3			Percent of total billed charges		101.565	100			Percent of total billed charges		305	101.565	274.5	
plate 2.7 x 76mm 9 hole 244.09	278	RC	Outpatient			305	198.25		90			Percent of total billed charges		274.5	40			Percent of total billed charges		122	80			Percent of total billed charges		244	90			Percent of total billed charges		274.5	85			Percent of total billed charges		259.25	85			Percent of total billed charges		259.25	85			Percent of total billed charges		259.25	100			Percent of total billed charges		305	100			Percent of total billed charges		305	100			Percent of total billed charges		305	33.3			Percent of total billed charges		101.565	33.3			Percent of total billed charges		101.565	100			Percent of total billed charges		305	101.565	274.5	
plate dcp 2.7 x 76mm 8 hole 244.08 synthes	278	RC	Outpatient			305	198.25		90			Percent of total billed charges		274.5	40			Percent of total billed charges		122	80			Percent of total billed charges		244	90			Percent of total billed charges		274.5	85			Percent of total billed charges		259.25	85			Percent of total billed charges		259.25	85			Percent of total billed charges		259.25	100			Percent of total billed charges		305	100			Percent of total billed charges		305	100			Percent of total billed charges		305	33.3			Percent of total billed charges		101.565	33.3			Percent of total billed charges		101.565	100			Percent of total billed charges		305	101.565	274.5	
screw 3.5mm x 22.5mm  hco-3125-s polarus	278	RC	Outpatient			305	198.25		90			Percent of total billed charges		274.5	40			Percent of total billed charges		122	80			Percent of total billed charges		244	90			Percent of total billed charges		274.5	85			Percent of total billed charges		259.25	85			Percent of total billed charges		259.25	85			Percent of total billed charges		259.25	100			Percent of total billed charges		305	100			Percent of total billed charges		305	100			Percent of total billed charges		305	33.3			Percent of total billed charges		101.565	33.3			Percent of total billed charges		101.565	100			Percent of total billed charges		305	101.565	274.5	
syn plate dcp 8-11 hole	278	RC	Outpatient			305	198.25		90			Percent of total billed charges		274.5	40			Percent of total billed charges		122	80			Percent of total billed charges		244	90			Percent of total billed charges		274.5	85			Percent of total billed charges		259.25	85			Percent of total billed charges		259.25	85			Percent of total billed charges		259.25	100			Percent of total billed charges		305	100			Percent of total billed charges		305	100			Percent of total billed charges		305	33.3			Percent of total billed charges		101.565	33.3			Percent of total billed charges		101.565	100			Percent of total billed charges		305	101.565	274.5	
titanium end cap for fem nail  345220 biomet	278	RC	Outpatient			305	198.25		90			Percent of total billed charges		274.5	40			Percent of total billed charges		122	80			Percent of total billed charges		244	90			Percent of total billed charges		274.5	85			Percent of total billed charges		259.25	85			Percent of total billed charges		259.25	85			Percent of total billed charges		259.25	100			Percent of total billed charges		305	100			Percent of total billed charges		305	100			Percent of total billed charges		305	33.3			Percent of total billed charges		101.565	33.3			Percent of total billed charges		101.565	100			Percent of total billed charges		305	101.565	274.5	
polarus interlock screw	278	RC	Outpatient			305	198.25		90			Percent of total billed charges		274.5	40			Percent of total billed charges		122	80			Percent of total billed charges		244	90			Percent of total billed charges		274.5	85			Percent of total billed charges		259.25	85			Percent of total billed charges		259.25	85			Percent of total billed charges		259.25	100			Percent of total billed charges		305	100			Percent of total billed charges		305	100			Percent of total billed charges		305	33.3			Percent of total billed charges		101.565	33.3			Percent of total billed charges		101.565	100			Percent of total billed charges		305	101.565	274.5	
screw 3.5mm x 20.0mm hco-3120-s polarus	278	RC	Outpatient			305	198.25		90			Percent of total billed charges		274.5	40			Percent of total billed charges		122	80			Percent of total billed charges		244	90			Percent of total billed charges		274.5	85			Percent of total billed charges		259.25	85			Percent of total billed charges		259.25	85			Percent of total billed charges		259.25	100			Percent of total billed charges		305	100			Percent of total billed charges		305	100			Percent of total billed charges		305	33.3			Percent of total billed charges		101.565	33.3			Percent of total billed charges		101.565	100			Percent of total billed charges		305	101.565	274.5	
screw 3.5mm x 27.5mm hco-3127-s polarus	278	RC	Outpatient			305	198.25		90			Percent of total billed charges		274.5	40			Percent of total billed charges		122	80			Percent of total billed charges		244	90			Percent of total billed charges		274.5	85			Percent of total billed charges		259.25	85			Percent of total billed charges		259.25	85			Percent of total billed charges		259.25	100			Percent of total billed charges		305	100			Percent of total billed charges		305	100			Percent of total billed charges		305	33.3			Percent of total billed charges		101.565	33.3			Percent of total billed charges		101.565	100			Percent of total billed charges		305	101.565	274.5	
zimm 4.5 nw comp pl	278	RC	Outpatient			305	198.25		90			Percent of total billed charges		274.5	40			Percent of total billed charges		122	80			Percent of total billed charges		244	90			Percent of total billed charges		274.5	85			Percent of total billed charges		259.25	85			Percent of total billed charges		259.25	85			Percent of total billed charges		259.25	100			Percent of total billed charges		305	100			Percent of total billed charges		305	100			Percent of total billed charges		305	33.3			Percent of total billed charges		101.565	33.3			Percent of total billed charges		101.565	100			Percent of total billed charges		305	101.565	274.5	
electrode circon	270	RC	Outpatient			306	198.9		90			Percent of total billed charges		275.4	40			Percent of total billed charges		122.4	80			Percent of total billed charges		244.8	90			Percent of total billed charges		275.4	85			Percent of total billed charges		260.1	85			Percent of total billed charges		260.1	85			Percent of total billed charges		260.1	100			Percent of total billed charges		306	100			Percent of total billed charges		306	100			Percent of total billed charges		306	33.3			Percent of total billed charges		101.898	33.3			Percent of total billed charges		101.898	100			Percent of total billed charges		306	101.898	275.4	
scp delivery syringe 303.250 knee creations	272	RC	Outpatient			306	198.9		90			Percent of total billed charges		275.4	40			Percent of total billed charges		122.4	80			Percent of total billed charges		244.8	90			Percent of total billed charges		275.4	85			Percent of total billed charges		260.1	85			Percent of total billed charges		260.1	85			Percent of total billed charges		260.1	100			Percent of total billed charges		306	100			Percent of total billed charges		306	100			Percent of total billed charges		306	33.3			Percent of total billed charges		101.898	33.3			Percent of total billed charges		101.898	100			Percent of total billed charges		306	101.898	275.4	
scp delivery syringe	272	RC	Outpatient			306	198.9		90			Percent of total billed charges		275.4	40			Percent of total billed charges		122.4	80			Percent of total billed charges		244.8	90			Percent of total billed charges		275.4	85			Percent of total billed charges		260.1	85			Percent of total billed charges		260.1	85			Percent of total billed charges		260.1	100			Percent of total billed charges		306	100			Percent of total billed charges		306	100			Percent of total billed charges		306	33.3			Percent of total billed charges		101.898	33.3			Percent of total billed charges		101.898	100			Percent of total billed charges		306	101.898	275.4	
9.4 x 54.5 x 0.6mm reciprocator blade conmed ref 5052-259	272	RC	Outpatient			306.35	199.13		90			Percent of total billed charges		275.715	40			Percent of total billed charges		122.54	80			Percent of total billed charges		245.08	90			Percent of total billed charges		275.715	85			Percent of total billed charges		260.3975	85			Percent of total billed charges		260.3975	85			Percent of total billed charges		260.3975	100			Percent of total billed charges		306.35	100			Percent of total billed charges		306.35	100			Percent of total billed charges		306.35	33.3			Percent of total billed charges		102.0146	33.3			Percent of total billed charges		102.0146	100			Percent of total billed charges		306.35	102.0146	275.715	
ball head bur 7032-6771 gyrus	270	RC	Outpatient			307	199.55		90			Percent of total billed charges		276.3	40			Percent of total billed charges		122.8	80			Percent of total billed charges		245.6	90			Percent of total billed charges		276.3	85			Percent of total billed charges		260.95	85			Percent of total billed charges		260.95	85			Percent of total billed charges		260.95	100			Percent of total billed charges		307	100			Percent of total billed charges		307	100			Percent of total billed charges		307	33.3			Percent of total billed charges		102.231	33.3			Percent of total billed charges		102.231	100			Percent of total billed charges		307	102.231	276.3	
bur ball head	270	RC	Outpatient			307	199.55		90			Percent of total billed charges		276.3	40			Percent of total billed charges		122.8	80			Percent of total billed charges		245.6	90			Percent of total billed charges		276.3	85			Percent of total billed charges		260.95	85			Percent of total billed charges		260.95	85			Percent of total billed charges		260.95	100			Percent of total billed charges		307	100			Percent of total billed charges		307	100			Percent of total billed charges		307	33.3			Percent of total billed charges		102.231	33.3			Percent of total billed charges		102.231	100			Percent of total billed charges		307	102.231	276.3	
jet-x mini bar 6mm 50/75	278	RC	Outpatient			307	199.55		90			Percent of total billed charges		276.3	40			Percent of total billed charges		122.8	80			Percent of total billed charges		245.6	90			Percent of total billed charges		276.3	85			Percent of total billed charges		260.95	85			Percent of total billed charges		260.95	85			Percent of total billed charges		260.95	100			Percent of total billed charges		307	100			Percent of total billed charges		307	100			Percent of total billed charges		307	33.3			Percent of total billed charges		102.231	33.3			Percent of total billed charges		102.231	100			Percent of total billed charges		307	102.231	276.3	
jet-x mini 6mm x 50mm bar  7106-5050 s/n	278	RC	Outpatient			307	199.55		90			Percent of total billed charges		276.3	40			Percent of total billed charges		122.8	80			Percent of total billed charges		245.6	90			Percent of total billed charges		276.3	85			Percent of total billed charges		260.95	85			Percent of total billed charges		260.95	85			Percent of total billed charges		260.95	100			Percent of total billed charges		307	100			Percent of total billed charges		307	100			Percent of total billed charges		307	33.3			Percent of total billed charges		102.231	33.3			Percent of total billed charges		102.231	100			Percent of total billed charges		307	102.231	276.3	
jet-x mini 6mm x 75mm bar  7106-5075 s/n	278	RC	Outpatient			307	199.55		90			Percent of total billed charges		276.3	40			Percent of total billed charges		122.8	80			Percent of total billed charges		245.6	90			Percent of total billed charges		276.3	85			Percent of total billed charges		260.95	85			Percent of total billed charges		260.95	85			Percent of total billed charges		260.95	100			Percent of total billed charges		307	100			Percent of total billed charges		307	100			Percent of total billed charges		307	33.3			Percent of total billed charges		102.231	33.3			Percent of total billed charges		102.231	100			Percent of total billed charges		307	102.231	276.3	
peri-loc 2.5 t7 lock screw 10mm 7382-2410 s/n	278	RC	Outpatient			307	199.55		90			Percent of total billed charges		276.3	40			Percent of total billed charges		122.8	80			Percent of total billed charges		245.6	90			Percent of total billed charges		276.3	85			Percent of total billed charges		260.95	85			Percent of total billed charges		260.95	85			Percent of total billed charges		260.95	100			Percent of total billed charges		307	100			Percent of total billed charges		307	100			Percent of total billed charges		307	33.3			Percent of total billed charges		102.231	33.3			Percent of total billed charges		102.231	100			Percent of total billed charges		307	102.231	276.3	
peri-loc 2.5 t7 lock screw 14mm 7382-2414 s/n	278	RC	Outpatient			307	199.55		90			Percent of total billed charges		276.3	40			Percent of total billed charges		122.8	80			Percent of total billed charges		245.6	90			Percent of total billed charges		276.3	85			Percent of total billed charges		260.95	85			Percent of total billed charges		260.95	85			Percent of total billed charges		260.95	100			Percent of total billed charges		307	100			Percent of total billed charges		307	100			Percent of total billed charges		307	33.3			Percent of total billed charges		102.231	33.3			Percent of total billed charges		102.231	100			Percent of total billed charges		307	102.231	276.3	
peri-loc 2.5 t7 lock screw 28mm 7382-2428 s/n	278	RC	Outpatient			307	199.55		90			Percent of total billed charges		276.3	40			Percent of total billed charges		122.8	80			Percent of total billed charges		245.6	90			Percent of total billed charges		276.3	85			Percent of total billed charges		260.95	85			Percent of total billed charges		260.95	85			Percent of total billed charges		260.95	100			Percent of total billed charges		307	100			Percent of total billed charges		307	100			Percent of total billed charges		307	33.3			Percent of total billed charges		102.231	33.3			Percent of total billed charges		102.231	100			Percent of total billed charges		307	102.231	276.3	
rsp glenoid head screw retaining 508-32-001 encore	278	RC	Outpatient			307	199.55		90			Percent of total billed charges		276.3	40			Percent of total billed charges		122.8	80			Percent of total billed charges		245.6	90			Percent of total billed charges		276.3	85			Percent of total billed charges		260.95	85			Percent of total billed charges		260.95	85			Percent of total billed charges		260.95	100			Percent of total billed charges		307	100			Percent of total billed charges		307	100			Percent of total billed charges		307	33.3			Percent of total billed charges		102.231	33.3			Percent of total billed charges		102.231	100			Percent of total billed charges		307	102.231	276.3	
rsp glenoid screw-retain	278	RC	Outpatient			307	199.55		90			Percent of total billed charges		276.3	40			Percent of total billed charges		122.8	80			Percent of total billed charges		245.6	90			Percent of total billed charges		276.3	85			Percent of total billed charges		260.95	85			Percent of total billed charges		260.95	85			Percent of total billed charges		260.95	100			Percent of total billed charges		307	100			Percent of total billed charges		307	100			Percent of total billed charges		307	33.3			Percent of total billed charges		102.231	33.3			Percent of total billed charges		102.231	100			Percent of total billed charges		307	102.231	276.3	
s/n 2.5 lck scr	278	RC	Outpatient			307	199.55		90			Percent of total billed charges		276.3	40			Percent of total billed charges		122.8	80			Percent of total billed charges		245.6	90			Percent of total billed charges		276.3	85			Percent of total billed charges		260.95	85			Percent of total billed charges		260.95	85			Percent of total billed charges		260.95	100			Percent of total billed charges		307	100			Percent of total billed charges		307	100			Percent of total billed charges		307	33.3			Percent of total billed charges		102.231	33.3			Percent of total billed charges		102.231	100			Percent of total billed charges		307	102.231	276.3	
s/n 4.0 twist drill 110249	270	RC	Outpatient			307	199.55		90			Percent of total billed charges		276.3	40			Percent of total billed charges		122.8	80			Percent of total billed charges		245.6	90			Percent of total billed charges		276.3	85			Percent of total billed charges		260.95	85			Percent of total billed charges		260.95	85			Percent of total billed charges		260.95	100			Percent of total billed charges		307	100			Percent of total billed charges		307	100			Percent of total billed charges		307	33.3			Percent of total billed charges		102.231	33.3			Percent of total billed charges		102.231	100			Percent of total billed charges		307	102.231	276.3	
peri-loc 2.5 t7 lock screw 20mm 7382-2420 s/n	278	RC	Outpatient			307	199.55		90			Percent of total billed charges		276.3	40			Percent of total billed charges		122.8	80			Percent of total billed charges		245.6	90			Percent of total billed charges		276.3	85			Percent of total billed charges		260.95	85			Percent of total billed charges		260.95	85			Percent of total billed charges		260.95	100			Percent of total billed charges		307	100			Percent of total billed charges		307	100			Percent of total billed charges		307	33.3			Percent of total billed charges		102.231	33.3			Percent of total billed charges		102.231	100			Percent of total billed charges		307	102.231	276.3	
peri-loc 2.5 t7 lock screw 22mm 7382-2422 s/n	278	RC	Outpatient			307	199.55		90			Percent of total billed charges		276.3	40			Percent of total billed charges		122.8	80			Percent of total billed charges		245.6	90			Percent of total billed charges		276.3	85			Percent of total billed charges		260.95	85			Percent of total billed charges		260.95	85			Percent of total billed charges		260.95	100			Percent of total billed charges		307	100			Percent of total billed charges		307	100			Percent of total billed charges		307	33.3			Percent of total billed charges		102.231	33.3			Percent of total billed charges		102.231	100			Percent of total billed charges		307	102.231	276.3	
peri-loc 2.5 t7 lock screw 22mm 7382-2522 s/n	278	RC	Outpatient			307	199.55		90			Percent of total billed charges		276.3	40			Percent of total billed charges		122.8	80			Percent of total billed charges		245.6	90			Percent of total billed charges		276.3	85			Percent of total billed charges		260.95	85			Percent of total billed charges		260.95	85			Percent of total billed charges		260.95	100			Percent of total billed charges		307	100			Percent of total billed charges		307	100			Percent of total billed charges		307	33.3			Percent of total billed charges		102.231	33.3			Percent of total billed charges		102.231	100			Percent of total billed charges		307	102.231	276.3	
peri-loc 2.5 t7 lock screw 24mm 7382-2424 s/n	278	RC	Outpatient			307	199.55		90			Percent of total billed charges		276.3	40			Percent of total billed charges		122.8	80			Percent of total billed charges		245.6	90			Percent of total billed charges		276.3	85			Percent of total billed charges		260.95	85			Percent of total billed charges		260.95	85			Percent of total billed charges		260.95	100			Percent of total billed charges		307	100			Percent of total billed charges		307	100			Percent of total billed charges		307	33.3			Percent of total billed charges		102.231	33.3			Percent of total billed charges		102.231	100			Percent of total billed charges		307	102.231	276.3	
peri-loc 2.5 t7 lock screw 26m 7382-2426 s/n	278	RC	Outpatient			307	199.55		90			Percent of total billed charges		276.3	40			Percent of total billed charges		122.8	80			Percent of total billed charges		245.6	90			Percent of total billed charges		276.3	85			Percent of total billed charges		260.95	85			Percent of total billed charges		260.95	85			Percent of total billed charges		260.95	100			Percent of total billed charges		307	100			Percent of total billed charges		307	100			Percent of total billed charges		307	33.3			Percent of total billed charges		102.231	33.3			Percent of total billed charges		102.231	100			Percent of total billed charges		307	102.231	276.3	
peri-loc 2.5 t7 lock screw 30mm 7382-2430 s/n	278	RC	Outpatient			307	199.55		90			Percent of total billed charges		276.3	40			Percent of total billed charges		122.8	80			Percent of total billed charges		245.6	90			Percent of total billed charges		276.3	85			Percent of total billed charges		260.95	85			Percent of total billed charges		260.95	85			Percent of total billed charges		260.95	100			Percent of total billed charges		307	100			Percent of total billed charges		307	100			Percent of total billed charges		307	33.3			Percent of total billed charges		102.231	33.3			Percent of total billed charges		102.231	100			Percent of total billed charges		307	102.231	276.3	
rich 4.0 twist drill	270	RC	Outpatient			307	199.55		90			Percent of total billed charges		276.3	40			Percent of total billed charges		122.8	80			Percent of total billed charges		245.6	90			Percent of total billed charges		276.3	85			Percent of total billed charges		260.95	85			Percent of total billed charges		260.95	85			Percent of total billed charges		260.95	100			Percent of total billed charges		307	100			Percent of total billed charges		307	100			Percent of total billed charges		307	33.3			Percent of total billed charges		102.231	33.3			Percent of total billed charges		102.231	100			Percent of total billed charges		307	102.231	276.3	
zimm peripheral bone scrw	278	RC	Outpatient			307	199.55		90			Percent of total billed charges		276.3	40			Percent of total billed charges		122.8	80			Percent of total billed charges		245.6	90			Percent of total billed charges		276.3	85			Percent of total billed charges		260.95	85			Percent of total billed charges		260.95	85			Percent of total billed charges		260.95	100			Percent of total billed charges		307	100			Percent of total billed charges		307	100			Percent of total billed charges		307	33.3			Percent of total billed charges		102.231	33.3			Percent of total billed charges		102.231	100			Percent of total billed charges		307	102.231	276.3	
zimmer 5.0 periperal bone screw 25mm 7250-50-25	278	RC	Outpatient			307	199.55		90			Percent of total billed charges		276.3	40			Percent of total billed charges		122.8	80			Percent of total billed charges		245.6	90			Percent of total billed charges		276.3	85			Percent of total billed charges		260.95	85			Percent of total billed charges		260.95	85			Percent of total billed charges		260.95	100			Percent of total billed charges		307	100			Percent of total billed charges		307	100			Percent of total billed charges		307	33.3			Percent of total billed charges		102.231	33.3			Percent of total billed charges		102.231	100			Percent of total billed charges		307	102.231	276.3	
zimmer 5.0 periperal bone screw 30mm 7250-50-30	278	RC	Outpatient			307	199.55		90			Percent of total billed charges		276.3	40			Percent of total billed charges		122.8	80			Percent of total billed charges		245.6	90			Percent of total billed charges		276.3	85			Percent of total billed charges		260.95	85			Percent of total billed charges		260.95	85			Percent of total billed charges		260.95	100			Percent of total billed charges		307	100			Percent of total billed charges		307	100			Percent of total billed charges		307	33.3			Percent of total billed charges		102.231	33.3			Percent of total billed charges		102.231	100			Percent of total billed charges		307	102.231	276.3	
zimmer 5.0 periperal bone screw 35mm 7250-50-35	278	RC	Outpatient			307	199.55		90			Percent of total billed charges		276.3	40			Percent of total billed charges		122.8	80			Percent of total billed charges		245.6	90			Percent of total billed charges		276.3	85			Percent of total billed charges		260.95	85			Percent of total billed charges		260.95	85			Percent of total billed charges		260.95	100			Percent of total billed charges		307	100			Percent of total billed charges		307	100			Percent of total billed charges		307	33.3			Percent of total billed charges		102.231	33.3			Percent of total billed charges		102.231	100			Percent of total billed charges		307	102.231	276.3	
zimmer 5.0 periperal bone screw 45mm 7250-50-45	278	RC	Outpatient			307	199.55		90			Percent of total billed charges		276.3	40			Percent of total billed charges		122.8	80			Percent of total billed charges		245.6	90			Percent of total billed charges		276.3	85			Percent of total billed charges		260.95	85			Percent of total billed charges		260.95	85			Percent of total billed charges		260.95	100			Percent of total billed charges		307	100			Percent of total billed charges		307	100			Percent of total billed charges		307	33.3			Percent of total billed charges		102.231	33.3			Percent of total billed charges		102.231	100			Percent of total billed charges		307	102.231	276.3	
zimmer 5.0 periperal bone screw 20mm 7250-50-20	278	RC	Outpatient			307	199.55		90			Percent of total billed charges		276.3	40			Percent of total billed charges		122.8	80			Percent of total billed charges		245.6	90			Percent of total billed charges		276.3	85			Percent of total billed charges		260.95	85			Percent of total billed charges		260.95	85			Percent of total billed charges		260.95	100			Percent of total billed charges		307	100			Percent of total billed charges		307	100			Percent of total billed charges		307	33.3			Percent of total billed charges		102.231	33.3			Percent of total billed charges		102.231	100			Percent of total billed charges		307	102.231	276.3	
zimmer 5.0 periperal bone screw 40mm 7250-50-40	278	RC	Outpatient			307	199.55		90			Percent of total billed charges		276.3	40			Percent of total billed charges		122.8	80			Percent of total billed charges		245.6	90			Percent of total billed charges		276.3	85			Percent of total billed charges		260.95	85			Percent of total billed charges		260.95	85			Percent of total billed charges		260.95	100			Percent of total billed charges		307	100			Percent of total billed charges		307	100			Percent of total billed charges		307	33.3			Percent of total billed charges		102.231	33.3			Percent of total billed charges		102.231	100			Percent of total billed charges		307	102.231	276.3	
zimmer 5.0 periperal bone screw 50mm 7250-50-50	278	RC	Outpatient			307	199.55		90			Percent of total billed charges		276.3	40			Percent of total billed charges		122.8	80			Percent of total billed charges		245.6	90			Percent of total billed charges		276.3	85			Percent of total billed charges		260.95	85			Percent of total billed charges		260.95	85			Percent of total billed charges		260.95	100			Percent of total billed charges		307	100			Percent of total billed charges		307	100			Percent of total billed charges		307	33.3			Percent of total billed charges		102.231	33.3			Percent of total billed charges		102.231	100			Percent of total billed charges		307	102.231	276.3	
zimmer 5.0 periperal bone screw 55mm 7250-55-20	278	RC	Outpatient			307	199.55		90			Percent of total billed charges		276.3	40			Percent of total billed charges		122.8	80			Percent of total billed charges		245.6	90			Percent of total billed charges		276.3	85			Percent of total billed charges		260.95	85			Percent of total billed charges		260.95	85			Percent of total billed charges		260.95	100			Percent of total billed charges		307	100			Percent of total billed charges		307	100			Percent of total billed charges		307	33.3			Percent of total billed charges		102.231	33.3			Percent of total billed charges		102.231	100			Percent of total billed charges		307	102.231	276.3	
zimmer 5.0 periperal bone screw 60mm 7250-50-60	278	RC	Outpatient			307	199.55		90			Percent of total billed charges		276.3	40			Percent of total billed charges		122.8	80			Percent of total billed charges		245.6	90			Percent of total billed charges		276.3	85			Percent of total billed charges		260.95	85			Percent of total billed charges		260.95	85			Percent of total billed charges		260.95	100			Percent of total billed charges		307	100			Percent of total billed charges		307	100			Percent of total billed charges		307	33.3			Percent of total billed charges		102.231	33.3			Percent of total billed charges		102.231	100			Percent of total billed charges		307	102.231	276.3	
zimmer 5.0 periperal bone screw 65mm 7250-50-65	278	RC	Outpatient			307	199.55		90			Percent of total billed charges		276.3	40			Percent of total billed charges		122.8	80			Percent of total billed charges		245.6	90			Percent of total billed charges		276.3	85			Percent of total billed charges		260.95	85			Percent of total billed charges		260.95	85			Percent of total billed charges		260.95	100			Percent of total billed charges		307	100			Percent of total billed charges		307	100			Percent of total billed charges		307	33.3			Percent of total billed charges		102.231	33.3			Percent of total billed charges		102.231	100			Percent of total billed charges		307	102.231	276.3	
stryker drill bit 25mm	272	RC	Outpatient			308	200.2		90			Percent of total billed charges		277.2	40			Percent of total billed charges		123.2	80			Percent of total billed charges		246.4	90			Percent of total billed charges		277.2	85			Percent of total billed charges		261.8	85			Percent of total billed charges		261.8	85			Percent of total billed charges		261.8	100			Percent of total billed charges		308	100			Percent of total billed charges		308	100			Percent of total billed charges		308	33.3			Percent of total billed charges		102.564	33.3			Percent of total billed charges		102.564	100			Percent of total billed charges		308	102.564	277.2	
stryker drill bit 4.0 x 25mm 2107-4025	272	RC	Outpatient			308	200.2		90			Percent of total billed charges		277.2	40			Percent of total billed charges		123.2	80			Percent of total billed charges		246.4	90			Percent of total billed charges		277.2	85			Percent of total billed charges		261.8	85			Percent of total billed charges		261.8	85			Percent of total billed charges		261.8	100			Percent of total billed charges		308	100			Percent of total billed charges		308	100			Percent of total billed charges		308	33.3			Percent of total billed charges		102.564	33.3			Percent of total billed charges		102.564	100			Percent of total billed charges		308	102.564	277.2	
clip applier endo clip ii 10mm 176657 covidien	270	RC	Outpatient			309	200.85		90			Percent of total billed charges		278.1	40			Percent of total billed charges		123.6	80			Percent of total billed charges		247.2	90			Percent of total billed charges		278.1	85			Percent of total billed charges		262.65	85			Percent of total billed charges		262.65	85			Percent of total billed charges		262.65	100			Percent of total billed charges		309	100			Percent of total billed charges		309	100			Percent of total billed charges		309	33.3			Percent of total billed charges		102.897	33.3			Percent of total billed charges		102.897	100			Percent of total billed charges		309	102.897	278.1	
h2 breath analyzer	270	RC	Outpatient			309	200.85		90			Percent of total billed charges		278.1	40			Percent of total billed charges		123.6	80			Percent of total billed charges		247.2	90			Percent of total billed charges		278.1	85			Percent of total billed charges		262.65	85			Percent of total billed charges		262.65	85			Percent of total billed charges		262.65	100			Percent of total billed charges		309	100			Percent of total billed charges		309	100			Percent of total billed charges		309	33.3			Percent of total billed charges		102.897	33.3			Percent of total billed charges		102.897	100			Percent of total billed charges		309	102.897	278.1	
ir cholangiogram post op	320	RC	Outpatient			309	200.85		90			Percent of total billed charges		278.1	40			Percent of total billed charges		123.6	80			Percent of total billed charges		247.2	90			Percent of total billed charges		278.1	85			Percent of total billed charges		262.65	85			Percent of total billed charges		262.65	85			Percent of total billed charges		262.65	100			Percent of total billed charges		309	100			Percent of total billed charges		309	100			Percent of total billed charges		309	33.3			Percent of total billed charges		102.897	33.3			Percent of total billed charges		102.897	100			Percent of total billed charges		309	102.897	278.1	
staple endo clip  l pistol grip 176625 ussc	270	RC	Outpatient			309	200.85		90			Percent of total billed charges		278.1	40			Percent of total billed charges		123.6	80			Percent of total billed charges		247.2	90			Percent of total billed charges		278.1	85			Percent of total billed charges		262.65	85			Percent of total billed charges		262.65	85			Percent of total billed charges		262.65	100			Percent of total billed charges		309	100			Percent of total billed charges		309	100			Percent of total billed charges		309	33.3			Percent of total billed charges		102.897	33.3			Percent of total billed charges		102.897	100			Percent of total billed charges		309	102.897	278.1	
ccpf chemo admin 2.5 hrs	335	RC	Outpatient			309.13	200.93		90			Percent of total billed charges		278.217	40			Percent of total billed charges		123.652	80			Percent of total billed charges		247.304	90			Percent of total billed charges		278.217	85			Percent of total billed charges		262.7605	85			Percent of total billed charges		262.7605	85			Percent of total billed charges		262.7605	100			Percent of total billed charges		309.13	100			Percent of total billed charges		309.13	100			Percent of total billed charges		309.13	33.3			Percent of total billed charges		102.9403	33.3			Percent of total billed charges		102.9403	100			Percent of total billed charges		309.13	102.9403	278.217	
s/n endoscopic cannulated drill bit 4.5 mm ref 7207315	272	RC	Outpatient			309.32	201.06		90			Percent of total billed charges		278.388	40			Percent of total billed charges		123.728	80			Percent of total billed charges		247.456	90			Percent of total billed charges		278.388	85			Percent of total billed charges		262.922	85			Percent of total billed charges		262.922	85			Percent of total billed charges		262.922	100			Percent of total billed charges		309.32	100			Percent of total billed charges		309.32	100			Percent of total billed charges		309.32	33.3			Percent of total billed charges		103.0036	33.3			Percent of total billed charges		103.0036	100			Percent of total billed charges		309.32	103.0036	278.388	
3800037 lumbar puncture ed charge	450	RC	Outpatient			310	201.5		90			Percent of total billed charges		279	40			Percent of total billed charges		124	80			Percent of total billed charges		248	90			Percent of total billed charges		279	85			Percent of total billed charges		263.5	85			Percent of total billed charges		263.5	85			Percent of total billed charges		263.5	100			Percent of total billed charges		310	100			Percent of total billed charges		310	100			Percent of total billed charges		310	33.3			Percent of total billed charges		103.23	33.3			Percent of total billed charges		103.23	100			Percent of total billed charges		310	103.23	279	
arthrotek .32 pin	272	RC	Outpatient			310	201.5		90			Percent of total billed charges		279	40			Percent of total billed charges		124	80			Percent of total billed charges		248	90			Percent of total billed charges		279	85			Percent of total billed charges		263.5	85			Percent of total billed charges		263.5	85			Percent of total billed charges		263.5	100			Percent of total billed charges		310	100			Percent of total billed charges		310	100			Percent of total billed charges		310	33.3			Percent of total billed charges		103.23	33.3			Percent of total billed charges		103.23	100			Percent of total billed charges		310	103.23	279	
cath lab swan ganz catheter	270	RC	Outpatient			310	201.5		90			Percent of total billed charges		279	40			Percent of total billed charges		124	80			Percent of total billed charges		248	90			Percent of total billed charges		279	85			Percent of total billed charges		263.5	85			Percent of total billed charges		263.5	85			Percent of total billed charges		263.5	100			Percent of total billed charges		310	100			Percent of total billed charges		310	100			Percent of total billed charges		310	33.3			Percent of total billed charges		103.23	33.3			Percent of total billed charges		103.23	100			Percent of total billed charges		310	103.23	279	
drill bit 2.7 x 191mm 71173804 s/n	272	RC	Outpatient			310	201.5		90			Percent of total billed charges		279	40			Percent of total billed charges		124	80			Percent of total billed charges		248	90			Percent of total billed charges		279	85			Percent of total billed charges		263.5	85			Percent of total billed charges		263.5	85			Percent of total billed charges		263.5	100			Percent of total billed charges		310	100			Percent of total billed charges		310	100			Percent of total billed charges		310	33.3			Percent of total billed charges		103.23	33.3			Percent of total billed charges		103.23	100			Percent of total billed charges		310	103.23	279	
imp menicsal applier zz8000	272	RC	Outpatient			310	201.5		90			Percent of total billed charges		279	40			Percent of total billed charges		124	80			Percent of total billed charges		248	90			Percent of total billed charges		279	85			Percent of total billed charges		263.5	85			Percent of total billed charges		263.5	85			Percent of total billed charges		263.5	100			Percent of total billed charges		310	100			Percent of total billed charges		310	100			Percent of total billed charges		310	33.3			Percent of total billed charges		103.23	33.3			Percent of total billed charges		103.23	100			Percent of total billed charges		310	103.23	279	
meniscal applier 228000	272	RC	Outpatient			310	201.5		90			Percent of total billed charges		279	40			Percent of total billed charges		124	80			Percent of total billed charges		248	90			Percent of total billed charges		279	85			Percent of total billed charges		263.5	85			Percent of total billed charges		263.5	85			Percent of total billed charges		263.5	100			Percent of total billed charges		310	100			Percent of total billed charges		310	100			Percent of total billed charges		310	33.3			Percent of total billed charges		103.23	33.3			Percent of total billed charges		103.23	100			Percent of total billed charges		310	103.23	279	
mitek meniscal applier	272	RC	Outpatient			310	201.5		90			Percent of total billed charges		279	40			Percent of total billed charges		124	80			Percent of total billed charges		248	90			Percent of total billed charges		279	85			Percent of total billed charges		263.5	85			Percent of total billed charges		263.5	85			Percent of total billed charges		263.5	100			Percent of total billed charges		310	100			Percent of total billed charges		310	100			Percent of total billed charges		310	33.3			Percent of total billed charges		103.23	33.3			Percent of total billed charges		103.23	100			Percent of total billed charges		310	103.23	279	
swan ganz cath	270	RC	Outpatient			310	201.5		90			Percent of total billed charges		279	40			Percent of total billed charges		124	80			Percent of total billed charges		248	90			Percent of total billed charges		279	85			Percent of total billed charges		263.5	85			Percent of total billed charges		263.5	85			Percent of total billed charges		263.5	100			Percent of total billed charges		310	100			Percent of total billed charges		310	100			Percent of total billed charges		310	33.3			Percent of total billed charges		103.23	33.3			Percent of total billed charges		103.23	100			Percent of total billed charges		310	103.23	279	
pin .32 inch 909640 arthrotek biomet sports med	272	RC	Outpatient			310	201.5		90			Percent of total billed charges		279	40			Percent of total billed charges		124	80			Percent of total billed charges		248	90			Percent of total billed charges		279	85			Percent of total billed charges		263.5	85			Percent of total billed charges		263.5	85			Percent of total billed charges		263.5	100			Percent of total billed charges		310	100			Percent of total billed charges		310	100			Percent of total billed charges		310	33.3			Percent of total billed charges		103.23	33.3			Percent of total billed charges		103.23	100			Percent of total billed charges		310	103.23	279	
s/n drill bit 2.7 x 191mm	272	RC	Outpatient			310	201.5		90			Percent of total billed charges		279	40			Percent of total billed charges		124	80			Percent of total billed charges		248	90			Percent of total billed charges		279	85			Percent of total billed charges		263.5	85			Percent of total billed charges		263.5	85			Percent of total billed charges		263.5	100			Percent of total billed charges		310	100			Percent of total billed charges		310	100			Percent of total billed charges		310	33.3			Percent of total billed charges		103.23	33.3			Percent of total billed charges		103.23	100			Percent of total billed charges		310	103.23	279	
fem aimer guide pin	272	RC	Outpatient			311	202.15		90			Percent of total billed charges		279.9	40			Percent of total billed charges		124.4	80			Percent of total billed charges		248.8	90			Percent of total billed charges		279.9	85			Percent of total billed charges		264.35	85			Percent of total billed charges		264.35	85			Percent of total billed charges		264.35	100			Percent of total billed charges		311	100			Percent of total billed charges		311	100			Percent of total billed charges		311	33.3			Percent of total billed charges		103.563	33.3			Percent of total billed charges		103.563	100			Percent of total billed charges		311	103.563	279.9	
fem aimer guidepin pin 3/32 909540 biomet	272	RC	Outpatient			311	202.15		90			Percent of total billed charges		279.9	40			Percent of total billed charges		124.4	80			Percent of total billed charges		248.8	90			Percent of total billed charges		279.9	85			Percent of total billed charges		264.35	85			Percent of total billed charges		264.35	85			Percent of total billed charges		264.35	100			Percent of total billed charges		311	100			Percent of total billed charges		311	100			Percent of total billed charges		311	33.3			Percent of total billed charges		103.563	33.3			Percent of total billed charges		103.563	100			Percent of total billed charges		311	103.563	279.9	
mitek trocar-stop	272	RC	Outpatient			311	202.15		90			Percent of total billed charges		279.9	40			Percent of total billed charges		124.4	80			Percent of total billed charges		248.8	90			Percent of total billed charges		279.9	85			Percent of total billed charges		264.35	85			Percent of total billed charges		264.35	85			Percent of total billed charges		264.35	100			Percent of total billed charges		311	100			Percent of total billed charges		311	100			Percent of total billed charges		311	33.3			Percent of total billed charges		103.563	33.3			Percent of total billed charges		103.563	100			Percent of total billed charges		311	103.563	279.9	
mitek stop trocar 213703	272	RC	Outpatient			311	202.15		90			Percent of total billed charges		279.9	40			Percent of total billed charges		124.4	80			Percent of total billed charges		248.8	90			Percent of total billed charges		279.9	85			Percent of total billed charges		264.35	85			Percent of total billed charges		264.35	85			Percent of total billed charges		264.35	100			Percent of total billed charges		311	100			Percent of total billed charges		311	100			Percent of total billed charges		311	33.3			Percent of total billed charges		103.563	33.3			Percent of total billed charges		103.563	100			Percent of total billed charges		311	103.563	279.9	
stryker drill bit 1.35	272	RC	Outpatient			311	202.15		90			Percent of total billed charges		279.9	40			Percent of total billed charges		124.4	80			Percent of total billed charges		248.8	90			Percent of total billed charges		279.9	85			Percent of total billed charges		264.35	85			Percent of total billed charges		264.35	85			Percent of total billed charges		264.35	100			Percent of total billed charges		311	100			Percent of total billed charges		311	100			Percent of total billed charges		311	33.3			Percent of total billed charges		103.563	33.3			Percent of total billed charges		103.563	100			Percent of total billed charges		311	103.563	279.9	
twist drill 1.35 x 50mm 60-13505 stryker	272	RC	Outpatient			311	202.15		90			Percent of total billed charges		279.9	40			Percent of total billed charges		124.4	80			Percent of total billed charges		248.8	90			Percent of total billed charges		279.9	85			Percent of total billed charges		264.35	85			Percent of total billed charges		264.35	85			Percent of total billed charges		264.35	100			Percent of total billed charges		311	100			Percent of total billed charges		311	100			Percent of total billed charges		311	33.3			Percent of total billed charges		103.563	33.3			Percent of total billed charges		103.563	100			Percent of total billed charges		311	103.563	279.9	
acufex director pcl wire 2.4 x 10mm 7207284 s/n	270	RC	Outpatient			312	202.8		90			Percent of total billed charges		280.8	40			Percent of total billed charges		124.8	80			Percent of total billed charges		249.6	90			Percent of total billed charges		280.8	85			Percent of total billed charges		265.2	85			Percent of total billed charges		265.2	85			Percent of total billed charges		265.2	100			Percent of total billed charges		312	100			Percent of total billed charges		312	100			Percent of total billed charges		312	33.3			Percent of total billed charges		103.896	33.3			Percent of total billed charges		103.896	100			Percent of total billed charges		312	103.896	280.8	
acufex pcl wire	272	RC	Outpatient			312	202.8		90			Percent of total billed charges		280.8	40			Percent of total billed charges		124.8	80			Percent of total billed charges		249.6	90			Percent of total billed charges		280.8	85			Percent of total billed charges		265.2	85			Percent of total billed charges		265.2	85			Percent of total billed charges		265.2	100			Percent of total billed charges		312	100			Percent of total billed charges		312	100			Percent of total billed charges		312	33.3			Percent of total billed charges		103.896	33.3			Percent of total billed charges		103.896	100			Percent of total billed charges		312	103.896	280.8	
acumed 2.3 screw/peg	278	RC	Outpatient			312	202.8		90			Percent of total billed charges		280.8	40			Percent of total billed charges		124.8	80			Percent of total billed charges		249.6	90			Percent of total billed charges		280.8	85			Percent of total billed charges		265.2	85			Percent of total billed charges		265.2	85			Percent of total billed charges		265.2	100			Percent of total billed charges		312	100			Percent of total billed charges		312	100			Percent of total billed charges		312	33.3			Percent of total billed charges		103.896	33.3			Percent of total billed charges		103.896	100			Percent of total billed charges		312	103.896	280.8	
hmrx end cap	278	RC	Outpatient			312	202.8		90			Percent of total billed charges		280.8	40			Percent of total billed charges		124.8	80			Percent of total billed charges		249.6	90			Percent of total billed charges		280.8	85			Percent of total billed charges		265.2	85			Percent of total billed charges		265.2	85			Percent of total billed charges		265.2	100			Percent of total billed charges		312	100			Percent of total billed charges		312	100			Percent of total billed charges		312	33.3			Percent of total billed charges		103.896	33.3			Percent of total billed charges		103.896	100			Percent of total billed charges		312	103.896	280.8	
locking screw 2.3 x 10mm co-t2310 acumed	278	RC	Outpatient			312	202.8		90			Percent of total billed charges		280.8	40			Percent of total billed charges		124.8	80			Percent of total billed charges		249.6	90			Percent of total billed charges		280.8	85			Percent of total billed charges		265.2	85			Percent of total billed charges		265.2	85			Percent of total billed charges		265.2	100			Percent of total billed charges		312	100			Percent of total billed charges		312	100			Percent of total billed charges		312	33.3			Percent of total billed charges		103.896	33.3			Percent of total billed charges		103.896	100			Percent of total billed charges		312	103.896	280.8	
locking screw 2.3 x 14mm co-t2314 acumed	278	RC	Outpatient			312	202.8		90			Percent of total billed charges		280.8	40			Percent of total billed charges		124.8	80			Percent of total billed charges		249.6	90			Percent of total billed charges		280.8	85			Percent of total billed charges		265.2	85			Percent of total billed charges		265.2	85			Percent of total billed charges		265.2	100			Percent of total billed charges		312	100			Percent of total billed charges		312	100			Percent of total billed charges		312	33.3			Percent of total billed charges		103.896	33.3			Percent of total billed charges		103.896	100			Percent of total billed charges		312	103.896	280.8	
locking screw 2.3 x 16mm co-t2316 acumed	278	RC	Outpatient			312	202.8		90			Percent of total billed charges		280.8	40			Percent of total billed charges		124.8	80			Percent of total billed charges		249.6	90			Percent of total billed charges		280.8	85			Percent of total billed charges		265.2	85			Percent of total billed charges		265.2	85			Percent of total billed charges		265.2	100			Percent of total billed charges		312	100			Percent of total billed charges		312	100			Percent of total billed charges		312	33.3			Percent of total billed charges		103.896	33.3			Percent of total billed charges		103.896	100			Percent of total billed charges		312	103.896	280.8	
locking screw 2.3 x 18mm co-t2318 acumed	278	RC	Outpatient			312	202.8		90			Percent of total billed charges		280.8	40			Percent of total billed charges		124.8	80			Percent of total billed charges		249.6	90			Percent of total billed charges		280.8	85			Percent of total billed charges		265.2	85			Percent of total billed charges		265.2	85			Percent of total billed charges		265.2	100			Percent of total billed charges		312	100			Percent of total billed charges		312	100			Percent of total billed charges		312	33.3			Percent of total billed charges		103.896	33.3			Percent of total billed charges		103.896	100			Percent of total billed charges		312	103.896	280.8	
locking screw 2.3 x 26mm co-t2326 acumed	278	RC	Outpatient			312	202.8		90			Percent of total billed charges		280.8	40			Percent of total billed charges		124.8	80			Percent of total billed charges		249.6	90			Percent of total billed charges		280.8	85			Percent of total billed charges		265.2	85			Percent of total billed charges		265.2	85			Percent of total billed charges		265.2	100			Percent of total billed charges		312	100			Percent of total billed charges		312	100			Percent of total billed charges		312	33.3			Percent of total billed charges		103.896	33.3			Percent of total billed charges		103.896	100			Percent of total billed charges		312	103.896	280.8	
locking screw 2.3 x 28mm co-t2328 acumed	278	RC	Outpatient			312	202.8		90			Percent of total billed charges		280.8	40			Percent of total billed charges		124.8	80			Percent of total billed charges		249.6	90			Percent of total billed charges		280.8	85			Percent of total billed charges		265.2	85			Percent of total billed charges		265.2	85			Percent of total billed charges		265.2	100			Percent of total billed charges		312	100			Percent of total billed charges		312	100			Percent of total billed charges		312	33.3			Percent of total billed charges		103.896	33.3			Percent of total billed charges		103.896	100			Percent of total billed charges		312	103.896	280.8	
non-toggiing screw 2.3 x 10mm co-n2310 acumed	278	RC	Outpatient			312	202.8		90			Percent of total billed charges		280.8	40			Percent of total billed charges		124.8	80			Percent of total billed charges		249.6	90			Percent of total billed charges		280.8	85			Percent of total billed charges		265.2	85			Percent of total billed charges		265.2	85			Percent of total billed charges		265.2	100			Percent of total billed charges		312	100			Percent of total billed charges		312	100			Percent of total billed charges		312	33.3			Percent of total billed charges		103.896	33.3			Percent of total billed charges		103.896	100			Percent of total billed charges		312	103.896	280.8	
non-toggiing screw 2.3 x 20mm co-n2320 acumed	278	RC	Outpatient			312	202.8		90			Percent of total billed charges		280.8	40			Percent of total billed charges		124.8	80			Percent of total billed charges		249.6	90			Percent of total billed charges		280.8	85			Percent of total billed charges		265.2	85			Percent of total billed charges		265.2	85			Percent of total billed charges		265.2	100			Percent of total billed charges		312	100			Percent of total billed charges		312	100			Percent of total billed charges		312	33.3			Percent of total billed charges		103.896	33.3			Percent of total billed charges		103.896	100			Percent of total billed charges		312	103.896	280.8	
non-toggiing screw 2.3 x 24mm co-n2324 acumed	278	RC	Outpatient			312	202.8		90			Percent of total billed charges		280.8	40			Percent of total billed charges		124.8	80			Percent of total billed charges		249.6	90			Percent of total billed charges		280.8	85			Percent of total billed charges		265.2	85			Percent of total billed charges		265.2	85			Percent of total billed charges		265.2	100			Percent of total billed charges		312	100			Percent of total billed charges		312	100			Percent of total billed charges		312	33.3			Percent of total billed charges		103.896	33.3			Percent of total billed charges		103.896	100			Percent of total billed charges		312	103.896	280.8	
non-toggiing screw 2.3 x 26mm co-n2326 acumed	278	RC	Outpatient			312	202.8		90			Percent of total billed charges		280.8	40			Percent of total billed charges		124.8	80			Percent of total billed charges		249.6	90			Percent of total billed charges		280.8	85			Percent of total billed charges		265.2	85			Percent of total billed charges		265.2	85			Percent of total billed charges		265.2	100			Percent of total billed charges		312	100			Percent of total billed charges		312	100			Percent of total billed charges		312	33.3			Percent of total billed charges		103.896	33.3			Percent of total billed charges		103.896	100			Percent of total billed charges		312	103.896	280.8	
non-toggiing screw 2.3 x 28mm co-n2328 acumed	278	RC	Outpatient			312	202.8		90			Percent of total billed charges		280.8	40			Percent of total billed charges		124.8	80			Percent of total billed charges		249.6	90			Percent of total billed charges		280.8	85			Percent of total billed charges		265.2	85			Percent of total billed charges		265.2	85			Percent of total billed charges		265.2	100			Percent of total billed charges		312	100			Percent of total billed charges		312	100			Percent of total billed charges		312	33.3			Percent of total billed charges		103.896	33.3			Percent of total billed charges		103.896	100			Percent of total billed charges		312	103.896	280.8	
non-toggiing screw 2.3 x 30mm co-n2330 acumed	278	RC	Outpatient			312	202.8		90			Percent of total billed charges		280.8	40			Percent of total billed charges		124.8	80			Percent of total billed charges		249.6	90			Percent of total billed charges		280.8	85			Percent of total billed charges		265.2	85			Percent of total billed charges		265.2	85			Percent of total billed charges		265.2	100			Percent of total billed charges		312	100			Percent of total billed charges		312	100			Percent of total billed charges		312	33.3			Percent of total billed charges		103.896	33.3			Percent of total billed charges		103.896	100			Percent of total billed charges		312	103.896	280.8	
non-toggiing screw 2.3 x 8mm co-n2308 acumed	278	RC	Outpatient			312	202.8		90			Percent of total billed charges		280.8	40			Percent of total billed charges		124.8	80			Percent of total billed charges		249.6	90			Percent of total billed charges		280.8	85			Percent of total billed charges		265.2	85			Percent of total billed charges		265.2	85			Percent of total billed charges		265.2	100			Percent of total billed charges		312	100			Percent of total billed charges		312	100			Percent of total billed charges		312	33.3			Percent of total billed charges		103.896	33.3			Percent of total billed charges		103.896	100			Percent of total billed charges		312	103.896	280.8	
locking screw 2.3 x 12mm co-t2312 acumed	278	RC	Outpatient			312	202.8		90			Percent of total billed charges		280.8	40			Percent of total billed charges		124.8	80			Percent of total billed charges		249.6	90			Percent of total billed charges		280.8	85			Percent of total billed charges		265.2	85			Percent of total billed charges		265.2	85			Percent of total billed charges		265.2	100			Percent of total billed charges		312	100			Percent of total billed charges		312	100			Percent of total billed charges		312	33.3			Percent of total billed charges		103.896	33.3			Percent of total billed charges		103.896	100			Percent of total billed charges		312	103.896	280.8	
locking screw 2.3 x 20mm co-t2320 acumed	278	RC	Outpatient			312	202.8		90			Percent of total billed charges		280.8	40			Percent of total billed charges		124.8	80			Percent of total billed charges		249.6	90			Percent of total billed charges		280.8	85			Percent of total billed charges		265.2	85			Percent of total billed charges		265.2	85			Percent of total billed charges		265.2	100			Percent of total billed charges		312	100			Percent of total billed charges		312	100			Percent of total billed charges		312	33.3			Percent of total billed charges		103.896	33.3			Percent of total billed charges		103.896	100			Percent of total billed charges		312	103.896	280.8	
locking screw 2.3 x 22mm co-t2322 acumed	278	RC	Outpatient			312	202.8		90			Percent of total billed charges		280.8	40			Percent of total billed charges		124.8	80			Percent of total billed charges		249.6	90			Percent of total billed charges		280.8	85			Percent of total billed charges		265.2	85			Percent of total billed charges		265.2	85			Percent of total billed charges		265.2	100			Percent of total billed charges		312	100			Percent of total billed charges		312	100			Percent of total billed charges		312	33.3			Percent of total billed charges		103.896	33.3			Percent of total billed charges		103.896	100			Percent of total billed charges		312	103.896	280.8	
locking screw 2.3 x 24mm co-t2324 acumed	278	RC	Outpatient			312	202.8		90			Percent of total billed charges		280.8	40			Percent of total billed charges		124.8	80			Percent of total billed charges		249.6	90			Percent of total billed charges		280.8	85			Percent of total billed charges		265.2	85			Percent of total billed charges		265.2	85			Percent of total billed charges		265.2	100			Percent of total billed charges		312	100			Percent of total billed charges		312	100			Percent of total billed charges		312	33.3			Percent of total billed charges		103.896	33.3			Percent of total billed charges		103.896	100			Percent of total billed charges		312	103.896	280.8	
locking screw 2.3 x 8mm co-t2308 acumed	278	RC	Outpatient			312	202.8		90			Percent of total billed charges		280.8	40			Percent of total billed charges		124.8	80			Percent of total billed charges		249.6	90			Percent of total billed charges		280.8	85			Percent of total billed charges		265.2	85			Percent of total billed charges		265.2	85			Percent of total billed charges		265.2	100			Percent of total billed charges		312	100			Percent of total billed charges		312	100			Percent of total billed charges		312	33.3			Percent of total billed charges		103.896	33.3			Percent of total billed charges		103.896	100			Percent of total billed charges		312	103.896	280.8	
non-toggiing screw 2.3 x 12mm co-n2312 acumed	278	RC	Outpatient			312	202.8		90			Percent of total billed charges		280.8	40			Percent of total billed charges		124.8	80			Percent of total billed charges		249.6	90			Percent of total billed charges		280.8	85			Percent of total billed charges		265.2	85			Percent of total billed charges		265.2	85			Percent of total billed charges		265.2	100			Percent of total billed charges		312	100			Percent of total billed charges		312	100			Percent of total billed charges		312	33.3			Percent of total billed charges		103.896	33.3			Percent of total billed charges		103.896	100			Percent of total billed charges		312	103.896	280.8	
non-toggiing screw 2.3 x 14mm co-n2314 acumed	278	RC	Outpatient			312	202.8		90			Percent of total billed charges		280.8	40			Percent of total billed charges		124.8	80			Percent of total billed charges		249.6	90			Percent of total billed charges		280.8	85			Percent of total billed charges		265.2	85			Percent of total billed charges		265.2	85			Percent of total billed charges		265.2	100			Percent of total billed charges		312	100			Percent of total billed charges		312	100			Percent of total billed charges		312	33.3			Percent of total billed charges		103.896	33.3			Percent of total billed charges		103.896	100			Percent of total billed charges		312	103.896	280.8	
non-toggiing screw 2.3 x 16mm co-n2316 acumed	278	RC	Outpatient			312	202.8		90			Percent of total billed charges		280.8	40			Percent of total billed charges		124.8	80			Percent of total billed charges		249.6	90			Percent of total billed charges		280.8	85			Percent of total billed charges		265.2	85			Percent of total billed charges		265.2	85			Percent of total billed charges		265.2	100			Percent of total billed charges		312	100			Percent of total billed charges		312	100			Percent of total billed charges		312	33.3			Percent of total billed charges		103.896	33.3			Percent of total billed charges		103.896	100			Percent of total billed charges		312	103.896	280.8	
non-toggiing screw 2.3 x 18mm co-n2318 acumed	278	RC	Outpatient			312	202.8		90			Percent of total billed charges		280.8	40			Percent of total billed charges		124.8	80			Percent of total billed charges		249.6	90			Percent of total billed charges		280.8	85			Percent of total billed charges		265.2	85			Percent of total billed charges		265.2	85			Percent of total billed charges		265.2	100			Percent of total billed charges		312	100			Percent of total billed charges		312	100			Percent of total billed charges		312	33.3			Percent of total billed charges		103.896	33.3			Percent of total billed charges		103.896	100			Percent of total billed charges		312	103.896	280.8	
non-toggiing screw 2.3 x 22mm co-n2322 acumed	278	RC	Outpatient			312	202.8		90			Percent of total billed charges		280.8	40			Percent of total billed charges		124.8	80			Percent of total billed charges		249.6	90			Percent of total billed charges		280.8	85			Percent of total billed charges		265.2	85			Percent of total billed charges		265.2	85			Percent of total billed charges		265.2	100			Percent of total billed charges		312	100			Percent of total billed charges		312	100			Percent of total billed charges		312	33.3			Percent of total billed charges		103.896	33.3			Percent of total billed charges		103.896	100			Percent of total billed charges		312	103.896	280.8	
non-toggiing screw 2.3 x 32mm co-n2332 acumed	278	RC	Outpatient			312	202.8		90			Percent of total billed charges		280.8	40			Percent of total billed charges		124.8	80			Percent of total billed charges		249.6	90			Percent of total billed charges		280.8	85			Percent of total billed charges		265.2	85			Percent of total billed charges		265.2	85			Percent of total billed charges		265.2	100			Percent of total billed charges		312	100			Percent of total billed charges		312	100			Percent of total billed charges		312	33.3			Percent of total billed charges		103.896	33.3			Percent of total billed charges		103.896	100			Percent of total billed charges		312	103.896	280.8	
s/n guide wire 1.5mm 72202189	272	RC	Outpatient			312	202.8		90			Percent of total billed charges		280.8	40			Percent of total billed charges		124.8	80			Percent of total billed charges		249.6	90			Percent of total billed charges		280.8	85			Percent of total billed charges		265.2	85			Percent of total billed charges		265.2	85			Percent of total billed charges		265.2	100			Percent of total billed charges		312	100			Percent of total billed charges		312	100			Percent of total billed charges		312	33.3			Percent of total billed charges		103.896	33.3			Percent of total billed charges		103.896	100			Percent of total billed charges		312	103.896	280.8	
sonoma hmrx collet protector 100200000	278	RC	Outpatient			312	202.8		90			Percent of total billed charges		280.8	40			Percent of total billed charges		124.8	80			Percent of total billed charges		249.6	90			Percent of total billed charges		280.8	85			Percent of total billed charges		265.2	85			Percent of total billed charges		265.2	85			Percent of total billed charges		265.2	100			Percent of total billed charges		312	100			Percent of total billed charges		312	100			Percent of total billed charges		312	33.3			Percent of total billed charges		103.896	33.3			Percent of total billed charges		103.896	100			Percent of total billed charges		312	103.896	280.8	
acumed  18 guage  wire and sleeve ow-2018-s	278	RC	Outpatient			313	203.45		90			Percent of total billed charges		281.7	40			Percent of total billed charges		125.2	80			Percent of total billed charges		250.4	90			Percent of total billed charges		281.7	85			Percent of total billed charges		266.05	85			Percent of total billed charges		266.05	85			Percent of total billed charges		266.05	100			Percent of total billed charges		313	100			Percent of total billed charges		313	100			Percent of total billed charges		313	33.3			Percent of total billed charges		104.229	33.3			Percent of total billed charges		104.229	100			Percent of total billed charges		313	104.229	281.7	
loop presectoscope disp 27040f-6	272	RC	Outpatient			313	203.45		90			Percent of total billed charges		281.7	40			Percent of total billed charges		125.2	80			Percent of total billed charges		250.4	90			Percent of total billed charges		281.7	85			Percent of total billed charges		266.05	85			Percent of total billed charges		266.05	85			Percent of total billed charges		266.05	100			Percent of total billed charges		313	100			Percent of total billed charges		313	100			Percent of total billed charges		313	33.3			Percent of total billed charges		104.229	33.3			Percent of total billed charges		104.229	100			Percent of total billed charges		313	104.229	281.7	
loop electrode 27050f/6 karl storz	272	RC	Outpatient			313	203.45		90			Percent of total billed charges		281.7	40			Percent of total billed charges		125.2	80			Percent of total billed charges		250.4	90			Percent of total billed charges		281.7	85			Percent of total billed charges		266.05	85			Percent of total billed charges		266.05	85			Percent of total billed charges		266.05	100			Percent of total billed charges		313	100			Percent of total billed charges		313	100			Percent of total billed charges		313	33.3			Percent of total billed charges		104.229	33.3			Percent of total billed charges		104.229	100			Percent of total billed charges		313	104.229	281.7	
osteo-clage wire 1 sleeve	278	RC	Outpatient			313	203.45		90			Percent of total billed charges		281.7	40			Percent of total billed charges		125.2	80			Percent of total billed charges		250.4	90			Percent of total billed charges		281.7	85			Percent of total billed charges		266.05	85			Percent of total billed charges		266.05	85			Percent of total billed charges		266.05	100			Percent of total billed charges		313	100			Percent of total billed charges		313	100			Percent of total billed charges		313	33.3			Percent of total billed charges		104.229	33.3			Percent of total billed charges		104.229	100			Percent of total billed charges		313	104.229	281.7	
resecto-loop/ball	272	RC	Outpatient			313	203.45		90			Percent of total billed charges		281.7	40			Percent of total billed charges		125.2	80			Percent of total billed charges		250.4	90			Percent of total billed charges		281.7	85			Percent of total billed charges		266.05	85			Percent of total billed charges		266.05	85			Percent of total billed charges		266.05	100			Percent of total billed charges		313	100			Percent of total billed charges		313	100			Percent of total billed charges		313	33.3			Percent of total billed charges		104.229	33.3			Percent of total billed charges		104.229	100			Percent of total billed charges		313	104.229	281.7	
resector loop single disp 27050g-6	272	RC	Outpatient			313	203.45		90			Percent of total billed charges		281.7	40			Percent of total billed charges		125.2	80			Percent of total billed charges		250.4	90			Percent of total billed charges		281.7	85			Percent of total billed charges		266.05	85			Percent of total billed charges		266.05	85			Percent of total billed charges		266.05	100			Percent of total billed charges		313	100			Percent of total billed charges		313	100			Percent of total billed charges		313	33.3			Percent of total billed charges		104.229	33.3			Percent of total billed charges		104.229	100			Percent of total billed charges		313	104.229	281.7	
rollerball electrode 3mm 24 fr 27050n storz	272	RC	Outpatient			313	203.45		90			Percent of total billed charges		281.7	40			Percent of total billed charges		125.2	80			Percent of total billed charges		250.4	90			Percent of total billed charges		281.7	85			Percent of total billed charges		266.05	85			Percent of total billed charges		266.05	85			Percent of total billed charges		266.05	100			Percent of total billed charges		313	100			Percent of total billed charges		313	100			Percent of total billed charges		313	33.3			Percent of total billed charges		104.229	33.3			Percent of total billed charges		104.229	100			Percent of total billed charges		313	104.229	281.7	
s/n drill flex/reflect	272	RC	Outpatient			313	203.45		90			Percent of total billed charges		281.7	40			Percent of total billed charges		125.2	80			Percent of total billed charges		250.4	90			Percent of total billed charges		281.7	85			Percent of total billed charges		266.05	85			Percent of total billed charges		266.05	85			Percent of total billed charges		266.05	100			Percent of total billed charges		313	100			Percent of total billed charges		313	100			Percent of total billed charges		313	33.3			Percent of total billed charges		104.229	33.3			Percent of total billed charges		104.229	100			Percent of total billed charges		313	104.229	281.7	
storz single prong resector ball 27040n	272	RC	Outpatient			313	203.45		90			Percent of total billed charges		281.7	40			Percent of total billed charges		125.2	80			Percent of total billed charges		250.4	90			Percent of total billed charges		281.7	85			Percent of total billed charges		266.05	85			Percent of total billed charges		266.05	85			Percent of total billed charges		266.05	100			Percent of total billed charges		313	100			Percent of total billed charges		313	100			Percent of total billed charges		313	33.3			Percent of total billed charges		104.229	33.3			Percent of total billed charges		104.229	100			Percent of total billed charges		313	104.229	281.7	
1.7 curved 4 hole plate with bar 55-06754 stryker	278	RC	Outpatient			314	204.1		90			Percent of total billed charges		282.6	40			Percent of total billed charges		125.6	80			Percent of total billed charges		251.2	90			Percent of total billed charges		282.6	85			Percent of total billed charges		266.9	85			Percent of total billed charges		266.9	85			Percent of total billed charges		266.9	100			Percent of total billed charges		314	100			Percent of total billed charges		314	100			Percent of total billed charges		314	33.3			Percent of total billed charges		104.562	33.3			Percent of total billed charges		104.562	100			Percent of total billed charges		314	104.562	282.6	
arthrex low profile locking screw 2.4 x 12mm ar-8724l-12	278	RC	Outpatient			314	204.1		90			Percent of total billed charges		282.6	40			Percent of total billed charges		125.6	80			Percent of total billed charges		251.2	90			Percent of total billed charges		282.6	85			Percent of total billed charges		266.9	85			Percent of total billed charges		266.9	85			Percent of total billed charges		266.9	100			Percent of total billed charges		314	100			Percent of total billed charges		314	100			Percent of total billed charges		314	33.3			Percent of total billed charges		104.562	33.3			Percent of total billed charges		104.562	100			Percent of total billed charges		314	104.562	282.6	
arthrex low profile locking screw 2.4 x 16mm ar-8724l-16	278	RC	Outpatient			314	204.1		90			Percent of total billed charges		282.6	40			Percent of total billed charges		125.6	80			Percent of total billed charges		251.2	90			Percent of total billed charges		282.6	85			Percent of total billed charges		266.9	85			Percent of total billed charges		266.9	85			Percent of total billed charges		266.9	100			Percent of total billed charges		314	100			Percent of total billed charges		314	100			Percent of total billed charges		314	33.3			Percent of total billed charges		104.562	33.3			Percent of total billed charges		104.562	100			Percent of total billed charges		314	104.562	282.6	
arthrex scr lp 2.4 lck	278	RC	Outpatient			314	204.1		90			Percent of total billed charges		282.6	40			Percent of total billed charges		125.6	80			Percent of total billed charges		251.2	90			Percent of total billed charges		282.6	85			Percent of total billed charges		266.9	85			Percent of total billed charges		266.9	85			Percent of total billed charges		266.9	100			Percent of total billed charges		314	100			Percent of total billed charges		314	100			Percent of total billed charges		314	33.3			Percent of total billed charges		104.562	33.3			Percent of total billed charges		104.562	100			Percent of total billed charges		314	104.562	282.6	
hoffman alum ring lg	278	RC	Outpatient			314	204.1		90			Percent of total billed charges		282.6	40			Percent of total billed charges		125.6	80			Percent of total billed charges		251.2	90			Percent of total billed charges		282.6	85			Percent of total billed charges		266.9	85			Percent of total billed charges		266.9	85			Percent of total billed charges		266.9	100			Percent of total billed charges		314	100			Percent of total billed charges		314	100			Percent of total billed charges		314	33.3			Percent of total billed charges		104.562	33.3			Percent of total billed charges		104.562	100			Percent of total billed charges		314	104.562	282.6	
stryker hoffman 2 ex-fix lg alum ring 5029-7-032	278	RC	Outpatient			314	204.1		90			Percent of total billed charges		282.6	40			Percent of total billed charges		125.6	80			Percent of total billed charges		251.2	90			Percent of total billed charges		282.6	85			Percent of total billed charges		266.9	85			Percent of total billed charges		266.9	85			Percent of total billed charges		266.9	100			Percent of total billed charges		314	100			Percent of total billed charges		314	100			Percent of total billed charges		314	33.3			Percent of total billed charges		104.562	33.3			Percent of total billed charges		104.562	100			Percent of total billed charges		314	104.562	282.6	
stryker 4-hl plate	278	RC	Outpatient			314	204.1		90			Percent of total billed charges		282.6	40			Percent of total billed charges		125.6	80			Percent of total billed charges		251.2	90			Percent of total billed charges		282.6	85			Percent of total billed charges		266.9	85			Percent of total billed charges		266.9	85			Percent of total billed charges		266.9	100			Percent of total billed charges		314	100			Percent of total billed charges		314	100			Percent of total billed charges		314	33.3			Percent of total billed charges		104.562	33.3			Percent of total billed charges		104.562	100			Percent of total billed charges		314	104.562	282.6	
avanos mic* peg kit- 20f-push-otw ref# 7150-20	272	RC	Outpatient			314.16	204.2		90			Percent of total billed charges		282.744	40			Percent of total billed charges		125.664	80			Percent of total billed charges		251.328	90			Percent of total billed charges		282.744	85			Percent of total billed charges		267.036	85			Percent of total billed charges		267.036	85			Percent of total billed charges		267.036	100			Percent of total billed charges		314.16	100			Percent of total billed charges		314.16	100			Percent of total billed charges		314.16	33.3			Percent of total billed charges		104.6153	33.3			Percent of total billed charges		104.6153	100			Percent of total billed charges		314.16	104.6153	282.744	
amplatz vascular occlusion device aso-15 cook	278	RC	Outpatient			315	204.75		90			Percent of total billed charges		283.5	40			Percent of total billed charges		126	80			Percent of total billed charges		252	90			Percent of total billed charges		283.5	85			Percent of total billed charges		267.75	85			Percent of total billed charges		267.75	85			Percent of total billed charges		267.75	100			Percent of total billed charges		315	100			Percent of total billed charges		315	100			Percent of total billed charges		315	33.3			Percent of total billed charges		104.895	33.3			Percent of total billed charges		104.895	100			Percent of total billed charges		315	104.895	283.5	
amplatz vascular occlusion device aso-20 072958 cook	278	RC	Outpatient			315	204.75		90			Percent of total billed charges		283.5	40			Percent of total billed charges		126	80			Percent of total billed charges		252	90			Percent of total billed charges		283.5	85			Percent of total billed charges		267.75	85			Percent of total billed charges		267.75	85			Percent of total billed charges		267.75	100			Percent of total billed charges		315	100			Percent of total billed charges		315	100			Percent of total billed charges		315	33.3			Percent of total billed charges		104.895	33.3			Percent of total billed charges		104.895	100			Percent of total billed charges		315	104.895	283.5	
brace knee key univ 25in-30in kb300100	270	RC	Outpatient			315	204.75		90			Percent of total billed charges		283.5	40			Percent of total billed charges		126	80			Percent of total billed charges		252	90			Percent of total billed charges		283.5	85			Percent of total billed charges		267.75	85			Percent of total billed charges		267.75	85			Percent of total billed charges		267.75	100			Percent of total billed charges		315	100			Percent of total billed charges		315	100			Percent of total billed charges		315	33.3			Percent of total billed charges		104.895	33.3			Percent of total billed charges		104.895	100			Percent of total billed charges		315	104.895	283.5	
comp pres monitor/disp sp	270	RC	Outpatient			315	204.75		90			Percent of total billed charges		283.5	40			Percent of total billed charges		126	80			Percent of total billed charges		252	90			Percent of total billed charges		283.5	85			Percent of total billed charges		267.75	85			Percent of total billed charges		267.75	85			Percent of total billed charges		267.75	100			Percent of total billed charges		315	100			Percent of total billed charges		315	100			Percent of total billed charges		315	33.3			Percent of total billed charges		104.895	33.3			Percent of total billed charges		104.895	100			Percent of total billed charges		315	104.895	283.5	
knee brace hinged key	270	RC	Outpatient			315	204.75		90			Percent of total billed charges		283.5	40			Percent of total billed charges		126	80			Percent of total billed charges		252	90			Percent of total billed charges		283.5	85			Percent of total billed charges		267.75	85			Percent of total billed charges		267.75	85			Percent of total billed charges		267.75	100			Percent of total billed charges		315	100			Percent of total billed charges		315	100			Percent of total billed charges		315	33.3			Percent of total billed charges		104.895	33.3			Percent of total billed charges		104.895	100			Percent of total billed charges		315	104.895	283.5	
knee brace hinged rehad-3	270	RC	Outpatient			315	204.75		90			Percent of total billed charges		283.5	40			Percent of total billed charges		126	80			Percent of total billed charges		252	90			Percent of total billed charges		283.5	85			Percent of total billed charges		267.75	85			Percent of total billed charges		267.75	85			Percent of total billed charges		267.75	100			Percent of total billed charges		315	100			Percent of total billed charges		315	100			Percent of total billed charges		315	33.3			Percent of total billed charges		104.895	33.3			Percent of total billed charges		104.895	100			Percent of total billed charges		315	104.895	283.5	
quick pressure monitor se	270	RC	Outpatient			315	204.75		90			Percent of total billed charges		283.5	40			Percent of total billed charges		126	80			Percent of total billed charges		252	90			Percent of total billed charges		283.5	85			Percent of total billed charges		267.75	85			Percent of total billed charges		267.75	85			Percent of total billed charges		267.75	100			Percent of total billed charges		315	100			Percent of total billed charges		315	100			Percent of total billed charges		315	33.3			Percent of total billed charges		104.895	33.3			Percent of total billed charges		104.895	100			Percent of total billed charges		315	104.895	283.5	
quick pressure monitor set stryker 295-2	270	RC	Outpatient			315	204.75		90			Percent of total billed charges		283.5	40			Percent of total billed charges		126	80			Percent of total billed charges		252	90			Percent of total billed charges		283.5	85			Percent of total billed charges		267.75	85			Percent of total billed charges		267.75	85			Percent of total billed charges		267.75	100			Percent of total billed charges		315	100			Percent of total billed charges		315	100			Percent of total billed charges		315	33.3			Percent of total billed charges		104.895	33.3			Percent of total billed charges		104.895	100			Percent of total billed charges		315	104.895	283.5	
vas occlusion device	278	RC	Outpatient			315	204.75		90			Percent of total billed charges		283.5	40			Percent of total billed charges		126	80			Percent of total billed charges		252	90			Percent of total billed charges		283.5	85			Percent of total billed charges		267.75	85			Percent of total billed charges		267.75	85			Percent of total billed charges		267.75	100			Percent of total billed charges		315	100			Percent of total billed charges		315	100			Percent of total billed charges		315	33.3			Percent of total billed charges		104.895	33.3			Percent of total billed charges		104.895	100			Percent of total billed charges		315	104.895	283.5	
2.7mm compression plate 12 hole 100mm x 2.5mm 00-4927-012-00 zimmer	278	RC	Outpatient			316	205.4		90			Percent of total billed charges		284.4	40			Percent of total billed charges		126.4	80			Percent of total billed charges		252.8	90			Percent of total billed charges		284.4	85			Percent of total billed charges		268.6	85			Percent of total billed charges		268.6	85			Percent of total billed charges		268.6	100			Percent of total billed charges		316	100			Percent of total billed charges		316	100			Percent of total billed charges		316	33.3			Percent of total billed charges		105.228	33.3			Percent of total billed charges		105.228	100			Percent of total billed charges		316	105.228	284.4	
3800155 complex repair ea adl 5cm ed charge	450	RC	Outpatient			316	205.4		90			Percent of total billed charges		284.4	40			Percent of total billed charges		126.4	80			Percent of total billed charges		252.8	90			Percent of total billed charges		284.4	85			Percent of total billed charges		268.6	85			Percent of total billed charges		268.6	85			Percent of total billed charges		268.6	100			Percent of total billed charges		316	100			Percent of total billed charges		316	100			Percent of total billed charges		316	33.3			Percent of total billed charges		105.228	33.3			Percent of total billed charges		105.228	100			Percent of total billed charges		316	105.228	284.4	
cable 2.0 #01-0011 acumed	278	RC	Outpatient			316	205.4		90			Percent of total billed charges		284.4	40			Percent of total billed charges		126.4	80			Percent of total billed charges		252.8	90			Percent of total billed charges		284.4	85			Percent of total billed charges		268.6	85			Percent of total billed charges		268.6	85			Percent of total billed charges		268.6	100			Percent of total billed charges		316	100			Percent of total billed charges		316	100			Percent of total billed charges		316	33.3			Percent of total billed charges		105.228	33.3			Percent of total billed charges		105.228	100			Percent of total billed charges		316	105.228	284.4	
implant cable 1.6 x 150mm 01-0012 accu	278	RC	Outpatient			316	205.4		90			Percent of total billed charges		284.4	40			Percent of total billed charges		126.4	80			Percent of total billed charges		252.8	90			Percent of total billed charges		284.4	85			Percent of total billed charges		268.6	85			Percent of total billed charges		268.6	85			Percent of total billed charges		268.6	100			Percent of total billed charges		316	100			Percent of total billed charges		316	100			Percent of total billed charges		316	33.3			Percent of total billed charges		105.228	33.3			Percent of total billed charges		105.228	100			Percent of total billed charges		316	105.228	284.4	
osteo-clage cocr cable	278	RC	Outpatient			316	205.4		90			Percent of total billed charges		284.4	40			Percent of total billed charges		126.4	80			Percent of total billed charges		252.8	90			Percent of total billed charges		284.4	85			Percent of total billed charges		268.6	85			Percent of total billed charges		268.6	85			Percent of total billed charges		268.6	100			Percent of total billed charges		316	100			Percent of total billed charges		316	100			Percent of total billed charges		316	33.3			Percent of total billed charges		105.228	33.3			Percent of total billed charges		105.228	100			Percent of total billed charges		316	105.228	284.4	
simplex p cement	278	RC	Outpatient			316	205.4		90			Percent of total billed charges		284.4	40			Percent of total billed charges		126.4	80			Percent of total billed charges		252.8	90			Percent of total billed charges		284.4	85			Percent of total billed charges		268.6	85			Percent of total billed charges		268.6	85			Percent of total billed charges		268.6	100			Percent of total billed charges		316	100			Percent of total billed charges		316	100			Percent of total billed charges		316	33.3			Percent of total billed charges		105.228	33.3			Percent of total billed charges		105.228	100			Percent of total billed charges		316	105.228	284.4	
sm fr tap cortical	272	RC	Outpatient			316	205.4		90			Percent of total billed charges		284.4	40			Percent of total billed charges		126.4	80			Percent of total billed charges		252.8	90			Percent of total billed charges		284.4	85			Percent of total billed charges		268.6	85			Percent of total billed charges		268.6	85			Percent of total billed charges		268.6	100			Percent of total billed charges		316	100			Percent of total billed charges		316	100			Percent of total billed charges		316	33.3			Percent of total billed charges		105.228	33.3			Percent of total billed charges		105.228	100			Percent of total billed charges		316	105.228	284.4	
small frag tap 3.5mm cortex screw 7117-0077	272	RC	Outpatient			316	205.4		90			Percent of total billed charges		284.4	40			Percent of total billed charges		126.4	80			Percent of total billed charges		252.8	90			Percent of total billed charges		284.4	85			Percent of total billed charges		268.6	85			Percent of total billed charges		268.6	85			Percent of total billed charges		268.6	100			Percent of total billed charges		316	100			Percent of total billed charges		316	100			Percent of total billed charges		316	33.3			Percent of total billed charges		105.228	33.3			Percent of total billed charges		105.228	100			Percent of total billed charges		316	105.228	284.4	
simplex p bone cement stryker 6191-1-001	278	RC	Outpatient			316	205.4		90			Percent of total billed charges		284.4	40			Percent of total billed charges		126.4	80			Percent of total billed charges		252.8	90			Percent of total billed charges		284.4	85			Percent of total billed charges		268.6	85			Percent of total billed charges		268.6	85			Percent of total billed charges		268.6	100			Percent of total billed charges		316	100			Percent of total billed charges		316	100			Percent of total billed charges		316	33.3			Percent of total billed charges		105.228	33.3			Percent of total billed charges		105.228	100			Percent of total billed charges		316	105.228	284.4	
zimm 2.7 comp plate 12hl	278	RC	Outpatient			316	205.4		90			Percent of total billed charges		284.4	40			Percent of total billed charges		126.4	80			Percent of total billed charges		252.8	90			Percent of total billed charges		284.4	85			Percent of total billed charges		268.6	85			Percent of total billed charges		268.6	85			Percent of total billed charges		268.6	100			Percent of total billed charges		316	100			Percent of total billed charges		316	100			Percent of total billed charges		316	33.3			Percent of total billed charges		105.228	33.3			Percent of total billed charges		105.228	100			Percent of total billed charges		316	105.228	284.4	
electrode trans.pacing 6	270	RC	Outpatient			317	206.05		90			Percent of total billed charges		285.3	40			Percent of total billed charges		126.8	80			Percent of total billed charges		253.6	90			Percent of total billed charges		285.3	85			Percent of total billed charges		269.45	85			Percent of total billed charges		269.45	85			Percent of total billed charges		269.45	100			Percent of total billed charges		317	100			Percent of total billed charges		317	100			Percent of total billed charges		317	33.3			Percent of total billed charges		105.561	33.3			Percent of total billed charges		105.561	100			Percent of total billed charges		317	105.561	285.3	
endoloops	270	RC	Outpatient			317	206.05		90			Percent of total billed charges		285.3	40			Percent of total billed charges		126.8	80			Percent of total billed charges		253.6	90			Percent of total billed charges		285.3	85			Percent of total billed charges		269.45	85			Percent of total billed charges		269.45	85			Percent of total billed charges		269.45	100			Percent of total billed charges		317	100			Percent of total billed charges		317	100			Percent of total billed charges		317	33.3			Percent of total billed charges		105.561	33.3			Percent of total billed charges		105.561	100			Percent of total billed charges		317	105.561	285.3	
flexible drill 25mm 71362925 s/n	272	RC	Outpatient			317	206.05		90			Percent of total billed charges		285.3	40			Percent of total billed charges		126.8	80			Percent of total billed charges		253.6	90			Percent of total billed charges		285.3	85			Percent of total billed charges		269.45	85			Percent of total billed charges		269.45	85			Percent of total billed charges		269.45	100			Percent of total billed charges		317	100			Percent of total billed charges		317	100			Percent of total billed charges		317	33.3			Percent of total billed charges		105.561	33.3			Percent of total billed charges		105.561	100			Percent of total billed charges		317	105.561	285.3	
flexible peg drill 71362918 s/n	272	RC	Outpatient			317	206.05		90			Percent of total billed charges		285.3	40			Percent of total billed charges		126.8	80			Percent of total billed charges		253.6	90			Percent of total billed charges		285.3	85			Percent of total billed charges		269.45	85			Percent of total billed charges		269.45	85			Percent of total billed charges		269.45	100			Percent of total billed charges		317	100			Percent of total billed charges		317	100			Percent of total billed charges		317	33.3			Percent of total billed charges		105.561	33.3			Percent of total billed charges		105.561	100			Percent of total billed charges		317	105.561	285.3	
fast fix knot pusher/suture cutter w/ sltd cannula 72202675 s/n	272	RC	Outpatient			317	206.05		90			Percent of total billed charges		285.3	40			Percent of total billed charges		126.8	80			Percent of total billed charges		253.6	90			Percent of total billed charges		285.3	85			Percent of total billed charges		269.45	85			Percent of total billed charges		269.45	85			Percent of total billed charges		269.45	100			Percent of total billed charges		317	100			Percent of total billed charges		317	100			Percent of total billed charges		317	33.3			Percent of total billed charges		105.561	33.3			Percent of total billed charges		105.561	100			Percent of total billed charges		317	105.561	285.3	
flexible drill 15mm 71362915 s/n	272	RC	Outpatient			317	206.05		90			Percent of total billed charges		285.3	40			Percent of total billed charges		126.8	80			Percent of total billed charges		253.6	90			Percent of total billed charges		285.3	85			Percent of total billed charges		269.45	85			Percent of total billed charges		269.45	85			Percent of total billed charges		269.45	100			Percent of total billed charges		317	100			Percent of total billed charges		317	100			Percent of total billed charges		317	33.3			Percent of total billed charges		105.561	33.3			Percent of total billed charges		105.561	100			Percent of total billed charges		317	105.561	285.3	
loop ligating w/chromic gut suture & del system sgl-1 ussc	270	RC	Outpatient			317	206.05		90			Percent of total billed charges		285.3	40			Percent of total billed charges		126.8	80			Percent of total billed charges		253.6	90			Percent of total billed charges		285.3	85			Percent of total billed charges		269.45	85			Percent of total billed charges		269.45	85			Percent of total billed charges		269.45	100			Percent of total billed charges		317	100			Percent of total billed charges		317	100			Percent of total billed charges		317	33.3			Percent of total billed charges		105.561	33.3			Percent of total billed charges		105.561	100			Percent of total billed charges		317	105.561	285.3	
male support 2 holes 101400 s/n	278	RC	Outpatient			317	206.05		90			Percent of total billed charges		285.3	40			Percent of total billed charges		126.8	80			Percent of total billed charges		253.6	90			Percent of total billed charges		285.3	85			Percent of total billed charges		269.45	85			Percent of total billed charges		269.45	85			Percent of total billed charges		269.45	100			Percent of total billed charges		317	100			Percent of total billed charges		317	100			Percent of total billed charges		317	33.3			Percent of total billed charges		105.561	33.3			Percent of total billed charges		105.561	100			Percent of total billed charges		317	105.561	285.3	
refl acet screw drill 15mm 71362115 s/n	272	RC	Outpatient			317	206.05		90			Percent of total billed charges		285.3	40			Percent of total billed charges		126.8	80			Percent of total billed charges		253.6	90			Percent of total billed charges		285.3	85			Percent of total billed charges		269.45	85			Percent of total billed charges		269.45	85			Percent of total billed charges		269.45	100			Percent of total billed charges		317	100			Percent of total billed charges		317	100			Percent of total billed charges		317	33.3			Percent of total billed charges		105.561	33.3			Percent of total billed charges		105.561	100			Percent of total billed charges		317	105.561	285.3	
refl acet screw drill 35mm 71362135 s/n	272	RC	Outpatient			317	206.05		90			Percent of total billed charges		285.3	40			Percent of total billed charges		126.8	80			Percent of total billed charges		253.6	90			Percent of total billed charges		285.3	85			Percent of total billed charges		269.45	85			Percent of total billed charges		269.45	85			Percent of total billed charges		269.45	100			Percent of total billed charges		317	100			Percent of total billed charges		317	100			Percent of total billed charges		317	33.3			Percent of total billed charges		105.561	33.3			Percent of total billed charges		105.561	100			Percent of total billed charges		317	105.561	285.3	
refl peg drill 25mm 71362928 s/n	272	RC	Outpatient			317	206.05		90			Percent of total billed charges		285.3	40			Percent of total billed charges		126.8	80			Percent of total billed charges		253.6	90			Percent of total billed charges		285.3	85			Percent of total billed charges		269.45	85			Percent of total billed charges		269.45	85			Percent of total billed charges		269.45	100			Percent of total billed charges		317	100			Percent of total billed charges		317	100			Percent of total billed charges		317	33.3			Percent of total billed charges		105.561	33.3			Percent of total billed charges		105.561	100			Percent of total billed charges		317	105.561	285.3	
s/n male support 2hl	278	RC	Outpatient			317	206.05		90			Percent of total billed charges		285.3	40			Percent of total billed charges		126.8	80			Percent of total billed charges		253.6	90			Percent of total billed charges		285.3	85			Percent of total billed charges		269.45	85			Percent of total billed charges		269.45	85			Percent of total billed charges		269.45	100			Percent of total billed charges		317	100			Percent of total billed charges		317	100			Percent of total billed charges		317	33.3			Percent of total billed charges		105.561	33.3			Percent of total billed charges		105.561	100			Percent of total billed charges		317	105.561	285.3	
suture ej10g vicryl endoloop /18 etej10g	270	RC	Outpatient			317	206.05		90			Percent of total billed charges		285.3	40			Percent of total billed charges		126.8	80			Percent of total billed charges		253.6	90			Percent of total billed charges		285.3	85			Percent of total billed charges		269.45	85			Percent of total billed charges		269.45	85			Percent of total billed charges		269.45	100			Percent of total billed charges		317	100			Percent of total billed charges		317	100			Percent of total billed charges		317	33.3			Percent of total billed charges		105.561	33.3			Percent of total billed charges		105.561	100			Percent of total billed charges		317	105.561	285.3	
refl acet screw drill 25mm 71362125 s/n	272	RC	Outpatient			317	206.05		90			Percent of total billed charges		285.3	40			Percent of total billed charges		126.8	80			Percent of total billed charges		253.6	90			Percent of total billed charges		285.3	85			Percent of total billed charges		269.45	85			Percent of total billed charges		269.45	85			Percent of total billed charges		269.45	100			Percent of total billed charges		317	100			Percent of total billed charges		317	100			Percent of total billed charges		317	33.3			Percent of total billed charges		105.561	33.3			Percent of total billed charges		105.561	100			Percent of total billed charges		317	105.561	285.3	
refl flexible drill 35mm 71362935 s/n	272	RC	Outpatient			317	206.05		90			Percent of total billed charges		285.3	40			Percent of total billed charges		126.8	80			Percent of total billed charges		253.6	90			Percent of total billed charges		285.3	85			Percent of total billed charges		269.45	85			Percent of total billed charges		269.45	85			Percent of total billed charges		269.45	100			Percent of total billed charges		317	100			Percent of total billed charges		317	100			Percent of total billed charges		317	33.3			Percent of total billed charges		105.561	33.3			Percent of total billed charges		105.561	100			Percent of total billed charges		317	105.561	285.3	
refl peg drill 35mm 71362938 s/n	272	RC	Outpatient			317	206.05		90			Percent of total billed charges		285.3	40			Percent of total billed charges		126.8	80			Percent of total billed charges		253.6	90			Percent of total billed charges		285.3	85			Percent of total billed charges		269.45	85			Percent of total billed charges		269.45	85			Percent of total billed charges		269.45	100			Percent of total billed charges		317	100			Percent of total billed charges		317	100			Percent of total billed charges		317	33.3			Percent of total billed charges		105.561	33.3			Percent of total billed charges		105.561	100			Percent of total billed charges		317	105.561	285.3	
refl peripheral screw drill 35 mm 71361535 s/n	278	RC	Outpatient			317	206.05		90			Percent of total billed charges		285.3	40			Percent of total billed charges		126.8	80			Percent of total billed charges		253.6	90			Percent of total billed charges		285.3	85			Percent of total billed charges		269.45	85			Percent of total billed charges		269.45	85			Percent of total billed charges		269.45	100			Percent of total billed charges		317	100			Percent of total billed charges		317	100			Percent of total billed charges		317	33.3			Percent of total billed charges		105.561	33.3			Percent of total billed charges		105.561	100			Percent of total billed charges		317	105.561	285.3	
stryker xia 11 blocker	278	RC	Outpatient			317	206.05		90			Percent of total billed charges		285.3	40			Percent of total billed charges		126.8	80			Percent of total billed charges		253.6	90			Percent of total billed charges		285.3	85			Percent of total billed charges		269.45	85			Percent of total billed charges		269.45	85			Percent of total billed charges		269.45	100			Percent of total billed charges		317	100			Percent of total billed charges		317	100			Percent of total billed charges		317	33.3			Percent of total billed charges		105.561	33.3			Percent of total billed charges		105.561	100			Percent of total billed charges		317	105.561	285.3	
blade stable cut	272	RC	Outpatient			318	206.7		90			Percent of total billed charges		286.2	40			Percent of total billed charges		127.2	80			Percent of total billed charges		254.4	90			Percent of total billed charges		286.2	85			Percent of total billed charges		270.3	85			Percent of total billed charges		270.3	85			Percent of total billed charges		270.3	100			Percent of total billed charges		318	100			Percent of total billed charges		318	100			Percent of total billed charges		318	33.3			Percent of total billed charges		105.894	33.3			Percent of total billed charges		105.894	100			Percent of total billed charges		318	105.894	286.2	
fflipper delivery system g12913 cook	272	RC	Outpatient			318	206.7		90			Percent of total billed charges		286.2	40			Percent of total billed charges		127.2	80			Percent of total billed charges		254.4	90			Percent of total billed charges		286.2	85			Percent of total billed charges		270.3	85			Percent of total billed charges		270.3	85			Percent of total billed charges		270.3	100			Percent of total billed charges		318	100			Percent of total billed charges		318	100			Percent of total billed charges		318	33.3			Percent of total billed charges		105.894	33.3			Percent of total billed charges		105.894	100			Percent of total billed charges		318	105.894	286.2	
flipper del sys	272	RC	Outpatient			318	206.7		90			Percent of total billed charges		286.2	40			Percent of total billed charges		127.2	80			Percent of total billed charges		254.4	90			Percent of total billed charges		286.2	85			Percent of total billed charges		270.3	85			Percent of total billed charges		270.3	85			Percent of total billed charges		270.3	100			Percent of total billed charges		318	100			Percent of total billed charges		318	100			Percent of total billed charges		318	33.3			Percent of total billed charges		105.894	33.3			Percent of total billed charges		105.894	100			Percent of total billed charges		318	105.894	286.2	
lorenz 6 hole plate 1.5	278	RC	Outpatient			318	206.7		90			Percent of total billed charges		286.2	40			Percent of total billed charges		127.2	80			Percent of total billed charges		254.4	90			Percent of total billed charges		286.2	85			Percent of total billed charges		270.3	85			Percent of total billed charges		270.3	85			Percent of total billed charges		270.3	100			Percent of total billed charges		318	100			Percent of total billed charges		318	100			Percent of total billed charges		318	33.3			Percent of total billed charges		105.894	33.3			Percent of total billed charges		105.894	100			Percent of total billed charges		318	105.894	286.2	
s/n hum nail guide	270	RC	Outpatient			318	206.7		90			Percent of total billed charges		286.2	40			Percent of total billed charges		127.2	80			Percent of total billed charges		254.4	90			Percent of total billed charges		286.2	85			Percent of total billed charges		270.3	85			Percent of total billed charges		270.3	85			Percent of total billed charges		270.3	100			Percent of total billed charges		318	100			Percent of total billed charges		318	100			Percent of total billed charges		318	33.3			Percent of total billed charges		105.894	33.3			Percent of total billed charges		105.894	100			Percent of total billed charges		318	105.894	286.2	
s/n humeral guide rod 71118280	270	RC	Outpatient			318	206.7		90			Percent of total billed charges		286.2	40			Percent of total billed charges		127.2	80			Percent of total billed charges		254.4	90			Percent of total billed charges		286.2	85			Percent of total billed charges		270.3	85			Percent of total billed charges		270.3	85			Percent of total billed charges		270.3	100			Percent of total billed charges		318	100			Percent of total billed charges		318	100			Percent of total billed charges		318	33.3			Percent of total billed charges		105.894	33.3			Percent of total billed charges		105.894	100			Percent of total billed charges		318	105.894	286.2	
sawblade stablecut 1.37 x 21mm 506096 bomet	272	RC	Outpatient			318	206.7		90			Percent of total billed charges		286.2	40			Percent of total billed charges		127.2	80			Percent of total billed charges		254.4	90			Percent of total billed charges		286.2	85			Percent of total billed charges		270.3	85			Percent of total billed charges		270.3	85			Percent of total billed charges		270.3	100			Percent of total billed charges		318	100			Percent of total billed charges		318	100			Percent of total billed charges		318	33.3			Percent of total billed charges		105.894	33.3			Percent of total billed charges		105.894	100			Percent of total billed charges		318	105.894	286.2	
stable cut saw blade stryker 5627-10-500	272	RC	Outpatient			318	206.7		90			Percent of total billed charges		286.2	40			Percent of total billed charges		127.2	80			Percent of total billed charges		254.4	90			Percent of total billed charges		286.2	85			Percent of total billed charges		270.3	85			Percent of total billed charges		270.3	85			Percent of total billed charges		270.3	100			Percent of total billed charges		318	100			Percent of total billed charges		318	100			Percent of total billed charges		318	33.3			Percent of total billed charges		105.894	33.3			Percent of total billed charges		105.894	100			Percent of total billed charges		318	105.894	286.2	
syn 1.6 k-wire	272	RC	Outpatient			318	206.7		90			Percent of total billed charges		286.2	40			Percent of total billed charges		127.2	80			Percent of total billed charges		254.4	90			Percent of total billed charges		286.2	85			Percent of total billed charges		270.3	85			Percent of total billed charges		270.3	85			Percent of total billed charges		270.3	100			Percent of total billed charges		318	100			Percent of total billed charges		318	100			Percent of total billed charges		318	33.3			Percent of total billed charges		105.894	33.3			Percent of total billed charges		105.894	100			Percent of total billed charges		318	105.894	286.2	
5mm non-bladed trocar ethicon 350l	270	RC	Outpatient			319	207.35		90			Percent of total billed charges		287.1	40			Percent of total billed charges		127.6	80			Percent of total billed charges		255.2	90			Percent of total billed charges		287.1	85			Percent of total billed charges		271.15	85			Percent of total billed charges		271.15	85			Percent of total billed charges		271.15	100			Percent of total billed charges		319	100			Percent of total billed charges		319	100			Percent of total billed charges		319	33.3			Percent of total billed charges		106.227	33.3			Percent of total billed charges		106.227	100			Percent of total billed charges		319	106.227	287.1	
biomet g7 acetabular screw 6.5 x 20 010000997	278	RC	Outpatient			319	207.35		90			Percent of total billed charges		287.1	40			Percent of total billed charges		127.6	80			Percent of total billed charges		255.2	90			Percent of total billed charges		287.1	85			Percent of total billed charges		271.15	85			Percent of total billed charges		271.15	85			Percent of total billed charges		271.15	100			Percent of total billed charges		319	100			Percent of total billed charges		319	100			Percent of total billed charges		319	33.3			Percent of total billed charges		106.227	33.3			Percent of total billed charges		106.227	100			Percent of total billed charges		319	106.227	287.1	
biomet g7 acetabular screw 6.5 x 25 010000998	278	RC	Outpatient			319	207.35		90			Percent of total billed charges		287.1	40			Percent of total billed charges		127.6	80			Percent of total billed charges		255.2	90			Percent of total billed charges		287.1	85			Percent of total billed charges		271.15	85			Percent of total billed charges		271.15	85			Percent of total billed charges		271.15	100			Percent of total billed charges		319	100			Percent of total billed charges		319	100			Percent of total billed charges		319	33.3			Percent of total billed charges		106.227	33.3			Percent of total billed charges		106.227	100			Percent of total billed charges		319	106.227	287.1	
2.7mm drill bit s/n 71174912	272	RC	Outpatient			319	207.35		90			Percent of total billed charges		287.1	40			Percent of total billed charges		127.6	80			Percent of total billed charges		255.2	90			Percent of total billed charges		287.1	85			Percent of total billed charges		271.15	85			Percent of total billed charges		271.15	85			Percent of total billed charges		271.15	100			Percent of total billed charges		319	100			Percent of total billed charges		319	100			Percent of total billed charges		319	33.3			Percent of total billed charges		106.227	33.3			Percent of total billed charges		106.227	100			Percent of total billed charges		319	106.227	287.1	
5 x 100mm disp. cannula and seal co509 applied med	270	RC	Outpatient			319	207.35		90			Percent of total billed charges		287.1	40			Percent of total billed charges		127.6	80			Percent of total billed charges		255.2	90			Percent of total billed charges		287.1	85			Percent of total billed charges		271.15	85			Percent of total billed charges		271.15	85			Percent of total billed charges		271.15	100			Percent of total billed charges		319	100			Percent of total billed charges		319	100			Percent of total billed charges		319	33.3			Percent of total billed charges		106.227	33.3			Percent of total billed charges		106.227	100			Percent of total billed charges		319	106.227	287.1	
drill 1.5 mm s/n 71174901	272	RC	Outpatient			319	207.35		90			Percent of total billed charges		287.1	40			Percent of total billed charges		127.6	80			Percent of total billed charges		255.2	90			Percent of total billed charges		287.1	85			Percent of total billed charges		271.15	85			Percent of total billed charges		271.15	85			Percent of total billed charges		271.15	100			Percent of total billed charges		319	100			Percent of total billed charges		319	100			Percent of total billed charges		319	33.3			Percent of total billed charges		106.227	33.3			Percent of total billed charges		106.227	100			Percent of total billed charges		319	106.227	287.1	
drill 2.0 mm s/n 7117-4902	272	RC	Outpatient			319	207.35		90			Percent of total billed charges		287.1	40			Percent of total billed charges		127.6	80			Percent of total billed charges		255.2	90			Percent of total billed charges		287.1	85			Percent of total billed charges		271.15	85			Percent of total billed charges		271.15	85			Percent of total billed charges		271.15	100			Percent of total billed charges		319	100			Percent of total billed charges		319	100			Percent of total billed charges		319	33.3			Percent of total billed charges		106.227	33.3			Percent of total billed charges		106.227	100			Percent of total billed charges		319	106.227	287.1	
endopath xcel 5mm d5lt ethicon	270	RC	Outpatient			319	207.35		90			Percent of total billed charges		287.1	40			Percent of total billed charges		127.6	80			Percent of total billed charges		255.2	90			Percent of total billed charges		287.1	85			Percent of total billed charges		271.15	85			Percent of total billed charges		271.15	85			Percent of total billed charges		271.15	100			Percent of total billed charges		319	100			Percent of total billed charges		319	100			Percent of total billed charges		319	33.3			Percent of total billed charges		106.227	33.3			Percent of total billed charges		106.227	100			Percent of total billed charges		319	106.227	287.1	
drill 2.0 mm  71174901 s/n	272	RC	Outpatient			319	207.35		90			Percent of total billed charges		287.1	40			Percent of total billed charges		127.6	80			Percent of total billed charges		255.2	90			Percent of total billed charges		287.1	85			Percent of total billed charges		271.15	85			Percent of total billed charges		271.15	85			Percent of total billed charges		271.15	100			Percent of total billed charges		319	100			Percent of total billed charges		319	100			Percent of total billed charges		319	33.3			Percent of total billed charges		106.227	33.3			Percent of total billed charges		106.227	100			Percent of total billed charges		319	106.227	287.1	
drill bit 2.0 71174910 s/n	272	RC	Outpatient			319	207.35		90			Percent of total billed charges		287.1	40			Percent of total billed charges		127.6	80			Percent of total billed charges		255.2	90			Percent of total billed charges		287.1	85			Percent of total billed charges		271.15	85			Percent of total billed charges		271.15	85			Percent of total billed charges		271.15	100			Percent of total billed charges		319	100			Percent of total billed charges		319	100			Percent of total billed charges		319	33.3			Percent of total billed charges		106.227	33.3			Percent of total billed charges		106.227	100			Percent of total billed charges		319	106.227	287.1	
optivac kit 120gm mixer biomet 417300	272	RC	Outpatient			319	207.35		90			Percent of total billed charges		287.1	40			Percent of total billed charges		127.6	80			Percent of total billed charges		255.2	90			Percent of total billed charges		287.1	85			Percent of total billed charges		271.15	85			Percent of total billed charges		271.15	85			Percent of total billed charges		271.15	100			Percent of total billed charges		319	100			Percent of total billed charges		319	100			Percent of total billed charges		319	33.3			Percent of total billed charges		106.227	33.3			Percent of total billed charges		106.227	100			Percent of total billed charges		319	106.227	287.1	
optivac triple mixer	272	RC	Outpatient			319	207.35		90			Percent of total billed charges		287.1	40			Percent of total billed charges		127.6	80			Percent of total billed charges		255.2	90			Percent of total billed charges		287.1	85			Percent of total billed charges		271.15	85			Percent of total billed charges		271.15	85			Percent of total billed charges		271.15	100			Percent of total billed charges		319	100			Percent of total billed charges		319	100			Percent of total billed charges		319	33.3			Percent of total billed charges		106.227	33.3			Percent of total billed charges		106.227	100			Percent of total billed charges		319	106.227	287.1	
scrmc mic j tube	621	RC	Outpatient			319	207.35		90			Percent of total billed charges		287.1	40			Percent of total billed charges		127.6	80			Percent of total billed charges		255.2	90			Percent of total billed charges		287.1	85			Percent of total billed charges		271.15	85			Percent of total billed charges		271.15	85			Percent of total billed charges		271.15	100			Percent of total billed charges		319	100			Percent of total billed charges		319	100			Percent of total billed charges		319	33.3			Percent of total billed charges		106.227	33.3			Percent of total billed charges		106.227	100			Percent of total billed charges		319	106.227	287.1	
trocar  threaded 5mm c0522  apllied med	270	RC	Outpatient			319	207.35		90			Percent of total billed charges		287.1	40			Percent of total billed charges		127.6	80			Percent of total billed charges		255.2	90			Percent of total billed charges		287.1	85			Percent of total billed charges		271.15	85			Percent of total billed charges		271.15	85			Percent of total billed charges		271.15	100			Percent of total billed charges		319	100			Percent of total billed charges		319	100			Percent of total billed charges		319	33.3			Percent of total billed charges		106.227	33.3			Percent of total billed charges		106.227	100			Percent of total billed charges		319	106.227	287.1	
trocar 5mm	270	RC	Outpatient			319	207.35		90			Percent of total billed charges		287.1	40			Percent of total billed charges		127.6	80			Percent of total billed charges		255.2	90			Percent of total billed charges		287.1	85			Percent of total billed charges		271.15	85			Percent of total billed charges		271.15	85			Percent of total billed charges		271.15	100			Percent of total billed charges		319	100			Percent of total billed charges		319	100			Percent of total billed charges		319	33.3			Percent of total billed charges		106.227	33.3			Percent of total billed charges		106.227	100			Percent of total billed charges		319	106.227	287.1	
trocar 5mm non-bladed c0q88 ctf03 apllied med	270	RC	Outpatient			319	207.35		90			Percent of total billed charges		287.1	40			Percent of total billed charges		127.6	80			Percent of total billed charges		255.2	90			Percent of total billed charges		287.1	85			Percent of total billed charges		271.15	85			Percent of total billed charges		271.15	85			Percent of total billed charges		271.15	100			Percent of total billed charges		319	100			Percent of total billed charges		319	100			Percent of total billed charges		319	33.3			Percent of total billed charges		106.227	33.3			Percent of total billed charges		106.227	100			Percent of total billed charges		319	106.227	287.1	
trocar dilating tip 5mm 355ld d5lt	270	RC	Outpatient			319	207.35		90			Percent of total billed charges		287.1	40			Percent of total billed charges		127.6	80			Percent of total billed charges		255.2	90			Percent of total billed charges		287.1	85			Percent of total billed charges		271.15	85			Percent of total billed charges		271.15	85			Percent of total billed charges		271.15	100			Percent of total billed charges		319	100			Percent of total billed charges		319	100			Percent of total billed charges		319	33.3			Percent of total billed charges		106.227	33.3			Percent of total billed charges		106.227	100			Percent of total billed charges		319	106.227	287.1	
trocar non shielded  5mm 355ns	270	RC	Outpatient			319	207.35		90			Percent of total billed charges		287.1	40			Percent of total billed charges		127.6	80			Percent of total billed charges		255.2	90			Percent of total billed charges		287.1	85			Percent of total billed charges		271.15	85			Percent of total billed charges		271.15	85			Percent of total billed charges		271.15	100			Percent of total billed charges		319	100			Percent of total billed charges		319	100			Percent of total billed charges		319	33.3			Percent of total billed charges		106.227	33.3			Percent of total billed charges		106.227	100			Percent of total billed charges		319	106.227	287.1	
trocar non-threaded 5 x 100 c0512 applied med	270	RC	Outpatient			319	207.35		90			Percent of total billed charges		287.1	40			Percent of total billed charges		127.6	80			Percent of total billed charges		255.2	90			Percent of total billed charges		287.1	85			Percent of total billed charges		271.15	85			Percent of total billed charges		271.15	85			Percent of total billed charges		271.15	100			Percent of total billed charges		319	100			Percent of total billed charges		319	100			Percent of total billed charges		319	33.3			Percent of total billed charges		106.227	33.3			Percent of total billed charges		106.227	100			Percent of total billed charges		319	106.227	287.1	
cosmetic - small scar - dlad	940	RC	Outpatient			320	208		90			Percent of total billed charges		288	40			Percent of total billed charges		128	80			Percent of total billed charges		256	90			Percent of total billed charges		288	85			Percent of total billed charges		272	85			Percent of total billed charges		272	85			Percent of total billed charges		272	100			Percent of total billed charges		320	100			Percent of total billed charges		320	100			Percent of total billed charges		320	33.3			Percent of total billed charges		106.56	33.3			Percent of total billed charges		106.56	100			Percent of total billed charges		320	106.56	288	
spectramed disp transducr	270	RC	Outpatient			320	208		90			Percent of total billed charges		288	40			Percent of total billed charges		128	80			Percent of total billed charges		256	90			Percent of total billed charges		288	85			Percent of total billed charges		272	85			Percent of total billed charges		272	85			Percent of total billed charges		272	100			Percent of total billed charges		320	100			Percent of total billed charges		320	100			Percent of total billed charges		320	33.3			Percent of total billed charges		106.56	33.3			Percent of total billed charges		106.56	100			Percent of total billed charges		320	106.56	288	
4.5mm broad dcp plate 6 hole 226.06	278	RC	Outpatient			321	208.65		90			Percent of total billed charges		288.9	40			Percent of total billed charges		128.4	80			Percent of total billed charges		256.8	90			Percent of total billed charges		288.9	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	100			Percent of total billed charges		321	100			Percent of total billed charges		321	100			Percent of total billed charges		321	33.3			Percent of total billed charges		106.893	33.3			Percent of total billed charges		106.893	100			Percent of total billed charges		321	106.893	288.9	
aqua guide 25cm uretheral access sheath 131125 bard	272	RC	Outpatient			321	208.65		90			Percent of total billed charges		288.9	40			Percent of total billed charges		128.4	80			Percent of total billed charges		256.8	90			Percent of total billed charges		288.9	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	100			Percent of total billed charges		321	100			Percent of total billed charges		321	100			Percent of total billed charges		321	33.3			Percent of total billed charges		106.893	33.3			Percent of total billed charges		106.893	100			Percent of total billed charges		321	106.893	288.9	
aqua guide 25cm uretheral access sheath 131135 bard	272	RC	Outpatient			321	208.65		90			Percent of total billed charges		288.9	40			Percent of total billed charges		128.4	80			Percent of total billed charges		256.8	90			Percent of total billed charges		288.9	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	100			Percent of total billed charges		321	100			Percent of total billed charges		321	100			Percent of total billed charges		321	33.3			Percent of total billed charges		106.893	33.3			Percent of total billed charges		106.893	100			Percent of total billed charges		321	106.893	288.9	
biomet 6.5 ti-low prof screw 25mm 103532	278	RC	Outpatient			321	208.65		90			Percent of total billed charges		288.9	40			Percent of total billed charges		128.4	80			Percent of total billed charges		256.8	90			Percent of total billed charges		288.9	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	100			Percent of total billed charges		321	100			Percent of total billed charges		321	100			Percent of total billed charges		321	33.3			Percent of total billed charges		106.893	33.3			Percent of total billed charges		106.893	100			Percent of total billed charges		321	106.893	288.9	
biomet 6.5 ti-low prof screw 50mm 103537	278	RC	Outpatient			321	208.65		90			Percent of total billed charges		288.9	40			Percent of total billed charges		128.4	80			Percent of total billed charges		256.8	90			Percent of total billed charges		288.9	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	100			Percent of total billed charges		321	100			Percent of total billed charges		321	100			Percent of total billed charges		321	33.3			Percent of total billed charges		106.893	33.3			Percent of total billed charges		106.893	100			Percent of total billed charges		321	106.893	288.9	
biomet 6.5 ti-low prof screw 60mm 103538	278	RC	Outpatient			321	208.65		90			Percent of total billed charges		288.9	40			Percent of total billed charges		128.4	80			Percent of total billed charges		256.8	90			Percent of total billed charges		288.9	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	100			Percent of total billed charges		321	100			Percent of total billed charges		321	100			Percent of total billed charges		321	33.3			Percent of total billed charges		106.893	33.3			Percent of total billed charges		106.893	100			Percent of total billed charges		321	106.893	288.9	
biomet 6.5 ti-low prof screw 70mm 103539	278	RC	Outpatient			321	208.65		90			Percent of total billed charges		288.9	40			Percent of total billed charges		128.4	80			Percent of total billed charges		256.8	90			Percent of total billed charges		288.9	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	100			Percent of total billed charges		321	100			Percent of total billed charges		321	100			Percent of total billed charges		321	33.3			Percent of total billed charges		106.893	33.3			Percent of total billed charges		106.893	100			Percent of total billed charges		321	106.893	288.9	
biomet endo neck	274	RC	Outpatient			321	208.65		90			Percent of total billed charges		288.9	40			Percent of total billed charges		128.4	80			Percent of total billed charges		256.8	90			Percent of total billed charges		288.9	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	100			Percent of total billed charges		321	100			Percent of total billed charges		321	100			Percent of total billed charges		321	33.3			Percent of total billed charges		106.893	33.3			Percent of total billed charges		106.893	100			Percent of total billed charges		321	106.893	288.9	
biomet stem extractor	272	RC	Outpatient			321	208.65		90			Percent of total billed charges		288.9	40			Percent of total billed charges		128.4	80			Percent of total billed charges		256.8	90			Percent of total billed charges		288.9	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	100			Percent of total billed charges		321	100			Percent of total billed charges		321	100			Percent of total billed charges		321	33.3			Percent of total billed charges		106.893	33.3			Percent of total billed charges		106.893	100			Percent of total billed charges		321	106.893	288.9	
aqua guide	272	RC	Outpatient			321	208.65		90			Percent of total billed charges		288.9	40			Percent of total billed charges		128.4	80			Percent of total billed charges		256.8	90			Percent of total billed charges		288.9	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	100			Percent of total billed charges		321	100			Percent of total billed charges		321	100			Percent of total billed charges		321	33.3			Percent of total billed charges		106.893	33.3			Percent of total billed charges		106.893	100			Percent of total billed charges		321	106.893	288.9	
biomet 6.5 ti-low prof screw 15mm 103530	278	RC	Outpatient			321	208.65		90			Percent of total billed charges		288.9	40			Percent of total billed charges		128.4	80			Percent of total billed charges		256.8	90			Percent of total billed charges		288.9	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	100			Percent of total billed charges		321	100			Percent of total billed charges		321	100			Percent of total billed charges		321	33.3			Percent of total billed charges		106.893	33.3			Percent of total billed charges		106.893	100			Percent of total billed charges		321	106.893	288.9	
biomet 6.5 ti-low prof screw 20mm 103531	278	RC	Outpatient			321	208.65		90			Percent of total billed charges		288.9	40			Percent of total billed charges		128.4	80			Percent of total billed charges		256.8	90			Percent of total billed charges		288.9	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	100			Percent of total billed charges		321	100			Percent of total billed charges		321	100			Percent of total billed charges		321	33.3			Percent of total billed charges		106.893	33.3			Percent of total billed charges		106.893	100			Percent of total billed charges		321	106.893	288.9	
biomet 6.5 ti-low prof screw 30mm 103533	278	RC	Outpatient			321	208.65		90			Percent of total billed charges		288.9	40			Percent of total billed charges		128.4	80			Percent of total billed charges		256.8	90			Percent of total billed charges		288.9	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	100			Percent of total billed charges		321	100			Percent of total billed charges		321	100			Percent of total billed charges		321	33.3			Percent of total billed charges		106.893	33.3			Percent of total billed charges		106.893	100			Percent of total billed charges		321	106.893	288.9	
biomet 6.5 ti-low prof screw 35mm 103534	278	RC	Outpatient			321	208.65		90			Percent of total billed charges		288.9	40			Percent of total billed charges		128.4	80			Percent of total billed charges		256.8	90			Percent of total billed charges		288.9	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	100			Percent of total billed charges		321	100			Percent of total billed charges		321	100			Percent of total billed charges		321	33.3			Percent of total billed charges		106.893	33.3			Percent of total billed charges		106.893	100			Percent of total billed charges		321	106.893	288.9	
biomet 6.5 ti-low prof screw 40mm 103535	278	RC	Outpatient			321	208.65		90			Percent of total billed charges		288.9	40			Percent of total billed charges		128.4	80			Percent of total billed charges		256.8	90			Percent of total billed charges		288.9	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	100			Percent of total billed charges		321	100			Percent of total billed charges		321	100			Percent of total billed charges		321	33.3			Percent of total billed charges		106.893	33.3			Percent of total billed charges		106.893	100			Percent of total billed charges		321	106.893	288.9	
biomet 6.5 ti-low prof screw 45mm 103536	278	RC	Outpatient			321	208.65		90			Percent of total billed charges		288.9	40			Percent of total billed charges		128.4	80			Percent of total billed charges		256.8	90			Percent of total billed charges		288.9	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	100			Percent of total billed charges		321	100			Percent of total billed charges		321	100			Percent of total billed charges		321	33.3			Percent of total billed charges		106.893	33.3			Percent of total billed charges		106.893	100			Percent of total billed charges		321	106.893	288.9	
biomet 6.5 titan screw	278	RC	Outpatient			321	208.65		90			Percent of total billed charges		288.9	40			Percent of total billed charges		128.4	80			Percent of total billed charges		256.8	90			Percent of total billed charges		288.9	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	100			Percent of total billed charges		321	100			Percent of total billed charges		321	100			Percent of total billed charges		321	33.3			Percent of total billed charges		106.893	33.3			Percent of total billed charges		106.893	100			Percent of total billed charges		321	106.893	288.9	
elibra screw/driver kit	272	RC	Outpatient			321	208.65		90			Percent of total billed charges		288.9	40			Percent of total billed charges		128.4	80			Percent of total billed charges		256.8	90			Percent of total billed charges		288.9	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	100			Percent of total billed charges		321	100			Percent of total billed charges		321	100			Percent of total billed charges		321	33.3			Percent of total billed charges		106.893	33.3			Percent of total billed charges		106.893	100			Percent of total billed charges		321	106.893	288.9	
endo ii taper insert -6 139250 biomet	274	RC	Outpatient			321	208.65		90			Percent of total billed charges		288.9	40			Percent of total billed charges		128.4	80			Percent of total billed charges		256.8	90			Percent of total billed charges		288.9	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	100			Percent of total billed charges		321	100			Percent of total billed charges		321	100			Percent of total billed charges		321	33.3			Percent of total billed charges		106.893	33.3			Percent of total billed charges		106.893	100			Percent of total billed charges		321	106.893	288.9	
gamma graft gg225 promethean	278	RC	Outpatient			321	208.65		90			Percent of total billed charges		288.9	40			Percent of total billed charges		128.4	80			Percent of total billed charges		256.8	90			Percent of total billed charges		288.9	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	100			Percent of total billed charges		321	100			Percent of total billed charges		321	100			Percent of total billed charges		321	33.3			Percent of total billed charges		106.893	33.3			Percent of total billed charges		106.893	100			Percent of total billed charges		321	106.893	288.9	
imp plate 7 hole x 124mm 226.57	278	RC	Outpatient			321	208.65		90			Percent of total billed charges		288.9	40			Percent of total billed charges		128.4	80			Percent of total billed charges		256.8	90			Percent of total billed charges		288.9	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	100			Percent of total billed charges		321	100			Percent of total billed charges		321	100			Percent of total billed charges		321	33.3			Percent of total billed charges		106.893	33.3			Percent of total billed charges		106.893	100			Percent of total billed charges		321	106.893	288.9	
elibar screw & driver kit 60-9401 synvasive	272	RC	Outpatient			321	208.65		90			Percent of total billed charges		288.9	40			Percent of total billed charges		128.4	80			Percent of total billed charges		256.8	90			Percent of total billed charges		288.9	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	100			Percent of total billed charges		321	100			Percent of total billed charges		321	100			Percent of total billed charges		321	33.3			Percent of total billed charges		106.893	33.3			Percent of total billed charges		106.893	100			Percent of total billed charges		321	106.893	288.9	
endo ii taper insert std 139247 biomet	274	RC	Outpatient			321	208.65		90			Percent of total billed charges		288.9	40			Percent of total billed charges		128.4	80			Percent of total billed charges		256.8	90			Percent of total billed charges		288.9	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	100			Percent of total billed charges		321	100			Percent of total billed charges		321	100			Percent of total billed charges		321	33.3			Percent of total billed charges		106.893	33.3			Percent of total billed charges		106.893	100			Percent of total billed charges		321	106.893	288.9	
gammagraft gg225	278	RC	Outpatient			321	208.65		90			Percent of total billed charges		288.9	40			Percent of total billed charges		128.4	80			Percent of total billed charges		256.8	90			Percent of total billed charges		288.9	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	100			Percent of total billed charges		321	100			Percent of total billed charges		321	100			Percent of total billed charges		321	33.3			Percent of total billed charges		106.893	33.3			Percent of total billed charges		106.893	100			Percent of total billed charges		321	106.893	288.9	
navigation card	272	RC	Outpatient			321	208.65		90			Percent of total billed charges		288.9	40			Percent of total billed charges		128.4	80			Percent of total billed charges		256.8	90			Percent of total billed charges		288.9	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	100			Percent of total billed charges		321	100			Percent of total billed charges		321	100			Percent of total billed charges		321	33.3			Percent of total billed charges		106.893	33.3			Percent of total billed charges		106.893	100			Percent of total billed charges		321	106.893	288.9	
navigation license 6007-613-003 6007-613-999 6003-640-999 stryker	272	RC	Outpatient			321	208.65		90			Percent of total billed charges		288.9	40			Percent of total billed charges		128.4	80			Percent of total billed charges		256.8	90			Percent of total billed charges		288.9	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	100			Percent of total billed charges		321	100			Percent of total billed charges		321	100			Percent of total billed charges		321	33.3			Percent of total billed charges		106.893	33.3			Percent of total billed charges		106.893	100			Percent of total billed charges		321	106.893	288.9	
stent silhouette 4 f  26cm b3837 applied med	278	RC	Outpatient			321	208.65		90			Percent of total billed charges		288.9	40			Percent of total billed charges		128.4	80			Percent of total billed charges		256.8	90			Percent of total billed charges		288.9	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	100			Percent of total billed charges		321	100			Percent of total billed charges		321	100			Percent of total billed charges		321	33.3			Percent of total billed charges		106.893	33.3			Percent of total billed charges		106.893	100			Percent of total billed charges		321	106.893	288.9	
richards proximal cntrlzr	278	RC	Outpatient			321	208.65		90			Percent of total billed charges		288.9	40			Percent of total billed charges		128.4	80			Percent of total billed charges		256.8	90			Percent of total billed charges		288.9	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	100			Percent of total billed charges		321	100			Percent of total billed charges		321	100			Percent of total billed charges		321	33.3			Percent of total billed charges		106.893	33.3			Percent of total billed charges		106.893	100			Percent of total billed charges		321	106.893	288.9	
s/n hum nail trocar	270	RC	Outpatient			321	208.65		90			Percent of total billed charges		288.9	40			Percent of total billed charges		128.4	80			Percent of total billed charges		256.8	90			Percent of total billed charges		288.9	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	100			Percent of total billed charges		321	100			Percent of total billed charges		321	100			Percent of total billed charges		321	33.3			Percent of total billed charges		106.893	33.3			Percent of total billed charges		106.893	100			Percent of total billed charges		321	106.893	288.9	
s/n humeral nail trocar 115117	270	RC	Outpatient			321	208.65		90			Percent of total billed charges		288.9	40			Percent of total billed charges		128.4	80			Percent of total billed charges		256.8	90			Percent of total billed charges		288.9	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	100			Percent of total billed charges		321	100			Percent of total billed charges		321	100			Percent of total billed charges		321	33.3			Percent of total billed charges		106.893	33.3			Percent of total billed charges		106.893	100			Percent of total billed charges		321	106.893	288.9	
silhoutte stent	278	RC	Outpatient			321	208.65		90			Percent of total billed charges		288.9	40			Percent of total billed charges		128.4	80			Percent of total billed charges		256.8	90			Percent of total billed charges		288.9	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	100			Percent of total billed charges		321	100			Percent of total billed charges		321	100			Percent of total billed charges		321	33.3			Percent of total billed charges		106.893	33.3			Percent of total billed charges		106.893	100			Percent of total billed charges		321	106.893	288.9	
skw scrotal ret	272	RC	Outpatient			321	208.65		90			Percent of total billed charges		288.9	40			Percent of total billed charges		128.4	80			Percent of total billed charges		256.8	90			Percent of total billed charges		288.9	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	100			Percent of total billed charges		321	100			Percent of total billed charges		321	100			Percent of total billed charges		321	33.3			Percent of total billed charges		106.893	33.3			Percent of total billed charges		106.893	100			Percent of total billed charges		321	106.893	288.9	
stem extractor 90 degree x31-400002 biomet	272	RC	Outpatient			321	208.65		90			Percent of total billed charges		288.9	40			Percent of total billed charges		128.4	80			Percent of total billed charges		256.8	90			Percent of total billed charges		288.9	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	100			Percent of total billed charges		321	100			Percent of total billed charges		321	100			Percent of total billed charges		321	33.3			Percent of total billed charges		106.893	33.3			Percent of total billed charges		106.893	100			Percent of total billed charges		321	106.893	288.9	
stent silhouette 4 f  28cm b3838 applied med	278	RC	Outpatient			321	208.65		90			Percent of total billed charges		288.9	40			Percent of total billed charges		128.4	80			Percent of total billed charges		256.8	90			Percent of total billed charges		288.9	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	100			Percent of total billed charges		321	100			Percent of total billed charges		321	100			Percent of total billed charges		321	33.3			Percent of total billed charges		106.893	33.3			Percent of total billed charges		106.893	100			Percent of total billed charges		321	106.893	288.9	
syn 4.5 brd plt 6-7hl	278	RC	Outpatient			321	208.65		90			Percent of total billed charges		288.9	40			Percent of total billed charges		128.4	80			Percent of total billed charges		256.8	90			Percent of total billed charges		288.9	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	85			Percent of total billed charges		272.85	100			Percent of total billed charges		321	100			Percent of total billed charges		321	100			Percent of total billed charges		321	33.3			Percent of total billed charges		106.893	33.3			Percent of total billed charges		106.893	100			Percent of total billed charges		321	106.893	288.9	
4.5mm compression plate broad 12 hole 199mm 00-4945-012-01 zimmer	278	RC	Outpatient			322	209.3		90			Percent of total billed charges		289.8	40			Percent of total billed charges		128.8	80			Percent of total billed charges		257.6	90			Percent of total billed charges		289.8	85			Percent of total billed charges		273.7	85			Percent of total billed charges		273.7	85			Percent of total billed charges		273.7	100			Percent of total billed charges		322	100			Percent of total billed charges		322	100			Percent of total billed charges		322	33.3			Percent of total billed charges		107.226	33.3			Percent of total billed charges		107.226	100			Percent of total billed charges		322	107.226	289.8	
4.5mm compression plate broad 14 hole 231mm 00-4945-014-01 zimmer	278	RC	Outpatient			322	209.3		90			Percent of total billed charges		289.8	40			Percent of total billed charges		128.8	80			Percent of total billed charges		257.6	90			Percent of total billed charges		289.8	85			Percent of total billed charges		273.7	85			Percent of total billed charges		273.7	85			Percent of total billed charges		273.7	100			Percent of total billed charges		322	100			Percent of total billed charges		322	100			Percent of total billed charges		322	33.3			Percent of total billed charges		107.226	33.3			Percent of total billed charges		107.226	100			Percent of total billed charges		322	107.226	289.8	
4.5mm compression plate broad 10 hole 167mm 00-4945-010-01 zimmer	278	RC	Outpatient			322	209.3		90			Percent of total billed charges		289.8	40			Percent of total billed charges		128.8	80			Percent of total billed charges		257.6	90			Percent of total billed charges		289.8	85			Percent of total billed charges		273.7	85			Percent of total billed charges		273.7	85			Percent of total billed charges		273.7	100			Percent of total billed charges		322	100			Percent of total billed charges		322	100			Percent of total billed charges		322	33.3			Percent of total billed charges		107.226	33.3			Percent of total billed charges		107.226	100			Percent of total billed charges		322	107.226	289.8	
4.5mm compression plate broad 7 hole 119mm 00-4945-007-01 zimmer	278	RC	Outpatient			322	209.3		90			Percent of total billed charges		289.8	40			Percent of total billed charges		128.8	80			Percent of total billed charges		257.6	90			Percent of total billed charges		289.8	85			Percent of total billed charges		273.7	85			Percent of total billed charges		273.7	85			Percent of total billed charges		273.7	100			Percent of total billed charges		322	100			Percent of total billed charges		322	100			Percent of total billed charges		322	33.3			Percent of total billed charges		107.226	33.3			Percent of total billed charges		107.226	100			Percent of total billed charges		322	107.226	289.8	
4.5mm compression plate broad 8 hole 135mm 00-4945-008-01 zimmer	278	RC	Outpatient			322	209.3		90			Percent of total billed charges		289.8	40			Percent of total billed charges		128.8	80			Percent of total billed charges		257.6	90			Percent of total billed charges		289.8	85			Percent of total billed charges		273.7	85			Percent of total billed charges		273.7	85			Percent of total billed charges		273.7	100			Percent of total billed charges		322	100			Percent of total billed charges		322	100			Percent of total billed charges		322	33.3			Percent of total billed charges		107.226	33.3			Percent of total billed charges		107.226	100			Percent of total billed charges		322	107.226	289.8	
4.5mm compression plate broad 9 hole 151mm 00-4945-009-01 zimmer	278	RC	Outpatient			322	209.3		90			Percent of total billed charges		289.8	40			Percent of total billed charges		128.8	80			Percent of total billed charges		257.6	90			Percent of total billed charges		289.8	85			Percent of total billed charges		273.7	85			Percent of total billed charges		273.7	85			Percent of total billed charges		273.7	100			Percent of total billed charges		322	100			Percent of total billed charges		322	100			Percent of total billed charges		322	33.3			Percent of total billed charges		107.226	33.3			Percent of total billed charges		107.226	100			Percent of total billed charges		322	107.226	289.8	
peri-loc vlp drill lg	272	RC	Outpatient			322	209.3		90			Percent of total billed charges		289.8	40			Percent of total billed charges		128.8	80			Percent of total billed charges		257.6	90			Percent of total billed charges		289.8	85			Percent of total billed charges		273.7	85			Percent of total billed charges		273.7	85			Percent of total billed charges		273.7	100			Percent of total billed charges		322	100			Percent of total billed charges		322	100			Percent of total billed charges		322	33.3			Percent of total billed charges		107.226	33.3			Percent of total billed charges		107.226	100			Percent of total billed charges		322	107.226	289.8	
separator trocar 10/11 x 100 c0667 applied med	270	RC	Outpatient			322	209.3		90			Percent of total billed charges		289.8	40			Percent of total billed charges		128.8	80			Percent of total billed charges		257.6	90			Percent of total billed charges		289.8	85			Percent of total billed charges		273.7	85			Percent of total billed charges		273.7	85			Percent of total billed charges		273.7	100			Percent of total billed charges		322	100			Percent of total billed charges		322	100			Percent of total billed charges		322	33.3			Percent of total billed charges		107.226	33.3			Percent of total billed charges		107.226	100			Percent of total billed charges		322	107.226	289.8	
trocar dilating tip 10/11mm 511sd d11lt	270	RC	Outpatient			322	209.3		90			Percent of total billed charges		289.8	40			Percent of total billed charges		128.8	80			Percent of total billed charges		257.6	90			Percent of total billed charges		289.8	85			Percent of total billed charges		273.7	85			Percent of total billed charges		273.7	85			Percent of total billed charges		273.7	100			Percent of total billed charges		322	100			Percent of total billed charges		322	100			Percent of total billed charges		322	33.3			Percent of total billed charges		107.226	33.3			Percent of total billed charges		107.226	100			Percent of total billed charges		322	107.226	289.8	
trocar 10/11 x 100 w/ shielded obturator c0658 apllied med	270	RC	Outpatient			322	209.3		90			Percent of total billed charges		289.8	40			Percent of total billed charges		128.8	80			Percent of total billed charges		257.6	90			Percent of total billed charges		289.8	85			Percent of total billed charges		273.7	85			Percent of total billed charges		273.7	85			Percent of total billed charges		273.7	100			Percent of total billed charges		322	100			Percent of total billed charges		322	100			Percent of total billed charges		322	33.3			Percent of total billed charges		107.226	33.3			Percent of total billed charges		107.226	100			Percent of total billed charges		322	107.226	289.8	
trocar 10/11mm	270	RC	Outpatient			322	209.3		90			Percent of total billed charges		289.8	40			Percent of total billed charges		128.8	80			Percent of total billed charges		257.6	90			Percent of total billed charges		289.8	85			Percent of total billed charges		273.7	85			Percent of total billed charges		273.7	85			Percent of total billed charges		273.7	100			Percent of total billed charges		322	100			Percent of total billed charges		322	100			Percent of total billed charges		322	33.3			Percent of total billed charges		107.226	33.3			Percent of total billed charges		107.226	100			Percent of total billed charges		322	107.226	289.8	
zimm 4.5 br comp pl 7-14	278	RC	Outpatient			322	209.3		90			Percent of total billed charges		289.8	40			Percent of total billed charges		128.8	80			Percent of total billed charges		257.6	90			Percent of total billed charges		289.8	85			Percent of total billed charges		273.7	85			Percent of total billed charges		273.7	85			Percent of total billed charges		273.7	100			Percent of total billed charges		322	100			Percent of total billed charges		322	100			Percent of total billed charges		322	33.3			Percent of total billed charges		107.226	33.3			Percent of total billed charges		107.226	100			Percent of total billed charges		322	107.226	289.8	
crtx scrw 3.5 x 65mm 71825065 s\n	278	RC	Outpatient			323	209.95		90			Percent of total billed charges		290.7	40			Percent of total billed charges		129.2	80			Percent of total billed charges		258.4	90			Percent of total billed charges		290.7	85			Percent of total billed charges		274.55	85			Percent of total billed charges		274.55	85			Percent of total billed charges		274.55	100			Percent of total billed charges		323	100			Percent of total billed charges		323	100			Percent of total billed charges		323	33.3			Percent of total billed charges		107.559	33.3			Percent of total billed charges		107.559	100			Percent of total billed charges		323	107.559	290.7	
crtx scrw 3.5 x 70mm 71825070 s\n	278	RC	Outpatient			323	209.95		90			Percent of total billed charges		290.7	40			Percent of total billed charges		129.2	80			Percent of total billed charges		258.4	90			Percent of total billed charges		290.7	85			Percent of total billed charges		274.55	85			Percent of total billed charges		274.55	85			Percent of total billed charges		274.55	100			Percent of total billed charges		323	100			Percent of total billed charges		323	100			Percent of total billed charges		323	33.3			Percent of total billed charges		107.559	33.3			Percent of total billed charges		107.559	100			Percent of total billed charges		323	107.559	290.7	
crtx scrw 3.5 x 75mm 71825075 s\n	278	RC	Outpatient			323	209.95		90			Percent of total billed charges		290.7	40			Percent of total billed charges		129.2	80			Percent of total billed charges		258.4	90			Percent of total billed charges		290.7	85			Percent of total billed charges		274.55	85			Percent of total billed charges		274.55	85			Percent of total billed charges		274.55	100			Percent of total billed charges		323	100			Percent of total billed charges		323	100			Percent of total billed charges		323	33.3			Percent of total billed charges		107.559	33.3			Percent of total billed charges		107.559	100			Percent of total billed charges		323	107.559	290.7	
crtx scrw 3.5 x 80mm 71825080 s\n	278	RC	Outpatient			323	209.95		90			Percent of total billed charges		290.7	40			Percent of total billed charges		129.2	80			Percent of total billed charges		258.4	90			Percent of total billed charges		290.7	85			Percent of total billed charges		274.55	85			Percent of total billed charges		274.55	85			Percent of total billed charges		274.55	100			Percent of total billed charges		323	100			Percent of total billed charges		323	100			Percent of total billed charges		323	33.3			Percent of total billed charges		107.559	33.3			Percent of total billed charges		107.559	100			Percent of total billed charges		323	107.559	290.7	
drill bit 3 fluted 4.5	272	RC	Outpatient			323	209.95		90			Percent of total billed charges		290.7	40			Percent of total billed charges		129.2	80			Percent of total billed charges		258.4	90			Percent of total billed charges		290.7	85			Percent of total billed charges		274.55	85			Percent of total billed charges		274.55	85			Percent of total billed charges		274.55	100			Percent of total billed charges		323	100			Percent of total billed charges		323	100			Percent of total billed charges		323	33.3			Percent of total billed charges		107.559	33.3			Percent of total billed charges		107.559	100			Percent of total billed charges		323	107.559	290.7	
jet-x bar 6mm 225	278	RC	Outpatient			323	209.95		90			Percent of total billed charges		290.7	40			Percent of total billed charges		129.2	80			Percent of total billed charges		258.4	90			Percent of total billed charges		290.7	85			Percent of total billed charges		274.55	85			Percent of total billed charges		274.55	85			Percent of total billed charges		274.55	100			Percent of total billed charges		323	100			Percent of total billed charges		323	100			Percent of total billed charges		323	33.3			Percent of total billed charges		107.559	33.3			Percent of total billed charges		107.559	100			Percent of total billed charges		323	107.559	290.7	
jet-x mini 6mm x 225mm bar  7106-5225 s/n	278	RC	Outpatient			323	209.95		90			Percent of total billed charges		290.7	40			Percent of total billed charges		129.2	80			Percent of total billed charges		258.4	90			Percent of total billed charges		290.7	85			Percent of total billed charges		274.55	85			Percent of total billed charges		274.55	85			Percent of total billed charges		274.55	100			Percent of total billed charges		323	100			Percent of total billed charges		323	100			Percent of total billed charges		323	33.3			Percent of total billed charges		107.559	33.3			Percent of total billed charges		107.559	100			Percent of total billed charges		323	107.559	290.7	
s-t crtx scrw 3.5mm 65mm 71805065 s/n	278	RC	Outpatient			323	209.95		90			Percent of total billed charges		290.7	40			Percent of total billed charges		129.2	80			Percent of total billed charges		258.4	90			Percent of total billed charges		290.7	85			Percent of total billed charges		274.55	85			Percent of total billed charges		274.55	85			Percent of total billed charges		274.55	100			Percent of total billed charges		323	100			Percent of total billed charges		323	100			Percent of total billed charges		323	33.3			Percent of total billed charges		107.559	33.3			Percent of total billed charges		107.559	100			Percent of total billed charges		323	107.559	290.7	
s-t crtx scrw 3.5mm 75mm 71805075 s/n	278	RC	Outpatient			323	209.95		90			Percent of total billed charges		290.7	40			Percent of total billed charges		129.2	80			Percent of total billed charges		258.4	90			Percent of total billed charges		290.7	85			Percent of total billed charges		274.55	85			Percent of total billed charges		274.55	85			Percent of total billed charges		274.55	100			Percent of total billed charges		323	100			Percent of total billed charges		323	100			Percent of total billed charges		323	33.3			Percent of total billed charges		107.559	33.3			Percent of total billed charges		107.559	100			Percent of total billed charges		323	107.559	290.7	
s-t crtx scrw 3.5mm 85mm 71805085 s/n	278	RC	Outpatient			323	209.95		90			Percent of total billed charges		290.7	40			Percent of total billed charges		129.2	80			Percent of total billed charges		258.4	90			Percent of total billed charges		290.7	85			Percent of total billed charges		274.55	85			Percent of total billed charges		274.55	85			Percent of total billed charges		274.55	100			Percent of total billed charges		323	100			Percent of total billed charges		323	100			Percent of total billed charges		323	33.3			Percent of total billed charges		107.559	33.3			Percent of total billed charges		107.559	100			Percent of total billed charges		323	107.559	290.7	
s-t crtx scrw 3.5mm 95mm 71805095 s/n	278	RC	Outpatient			323	209.95		90			Percent of total billed charges		290.7	40			Percent of total billed charges		129.2	80			Percent of total billed charges		258.4	90			Percent of total billed charges		290.7	85			Percent of total billed charges		274.55	85			Percent of total billed charges		274.55	85			Percent of total billed charges		274.55	100			Percent of total billed charges		323	100			Percent of total billed charges		323	100			Percent of total billed charges		323	33.3			Percent of total billed charges		107.559	33.3			Percent of total billed charges		107.559	100			Percent of total billed charges		323	107.559	290.7	
s-t crtx scrw 3.5mm 100mm 71805100 s/n	278	RC	Outpatient			323	209.95		90			Percent of total billed charges		290.7	40			Percent of total billed charges		129.2	80			Percent of total billed charges		258.4	90			Percent of total billed charges		290.7	85			Percent of total billed charges		274.55	85			Percent of total billed charges		274.55	85			Percent of total billed charges		274.55	100			Percent of total billed charges		323	100			Percent of total billed charges		323	100			Percent of total billed charges		323	33.3			Percent of total billed charges		107.559	33.3			Percent of total billed charges		107.559	100			Percent of total billed charges		323	107.559	290.7	
s-t crtx scrw 3.5mm 105mm 71805105 s/n	278	RC	Outpatient			323	209.95		90			Percent of total billed charges		290.7	40			Percent of total billed charges		129.2	80			Percent of total billed charges		258.4	90			Percent of total billed charges		290.7	85			Percent of total billed charges		274.55	85			Percent of total billed charges		274.55	85			Percent of total billed charges		274.55	100			Percent of total billed charges		323	100			Percent of total billed charges		323	100			Percent of total billed charges		323	33.3			Percent of total billed charges		107.559	33.3			Percent of total billed charges		107.559	100			Percent of total billed charges		323	107.559	290.7	
s-t crtx scrw 3.5mm 110mm 71805110 s/n	278	RC	Outpatient			323	209.95		90			Percent of total billed charges		290.7	40			Percent of total billed charges		129.2	80			Percent of total billed charges		258.4	90			Percent of total billed charges		290.7	85			Percent of total billed charges		274.55	85			Percent of total billed charges		274.55	85			Percent of total billed charges		274.55	100			Percent of total billed charges		323	100			Percent of total billed charges		323	100			Percent of total billed charges		323	33.3			Percent of total billed charges		107.559	33.3			Percent of total billed charges		107.559	100			Percent of total billed charges		323	107.559	290.7	
s-t crtx scrw 3.5mm 70mm 71805070 s/n	278	RC	Outpatient			323	209.95		90			Percent of total billed charges		290.7	40			Percent of total billed charges		129.2	80			Percent of total billed charges		258.4	90			Percent of total billed charges		290.7	85			Percent of total billed charges		274.55	85			Percent of total billed charges		274.55	85			Percent of total billed charges		274.55	100			Percent of total billed charges		323	100			Percent of total billed charges		323	100			Percent of total billed charges		323	33.3			Percent of total billed charges		107.559	33.3			Percent of total billed charges		107.559	100			Percent of total billed charges		323	107.559	290.7	
s-t crtx scrw 3.5mm 80mm 71805080 s/n	278	RC	Outpatient			323	209.95		90			Percent of total billed charges		290.7	40			Percent of total billed charges		129.2	80			Percent of total billed charges		258.4	90			Percent of total billed charges		290.7	85			Percent of total billed charges		274.55	85			Percent of total billed charges		274.55	85			Percent of total billed charges		274.55	100			Percent of total billed charges		323	100			Percent of total billed charges		323	100			Percent of total billed charges		323	33.3			Percent of total billed charges		107.559	33.3			Percent of total billed charges		107.559	100			Percent of total billed charges		323	107.559	290.7	
s-t crtx scrw 3.5mm 90mm 71805090 s/n	278	RC	Outpatient			323	209.95		90			Percent of total billed charges		290.7	40			Percent of total billed charges		129.2	80			Percent of total billed charges		258.4	90			Percent of total billed charges		290.7	85			Percent of total billed charges		274.55	85			Percent of total billed charges		274.55	85			Percent of total billed charges		274.55	100			Percent of total billed charges		323	100			Percent of total billed charges		323	100			Percent of total billed charges		323	33.3			Percent of total billed charges		107.559	33.3			Percent of total billed charges		107.559	100			Percent of total billed charges		323	107.559	290.7	
s/n 3.5 lck cort screw lg	278	RC	Outpatient			323	209.95		90			Percent of total billed charges		290.7	40			Percent of total billed charges		129.2	80			Percent of total billed charges		258.4	90			Percent of total billed charges		290.7	85			Percent of total billed charges		274.55	85			Percent of total billed charges		274.55	85			Percent of total billed charges		274.55	100			Percent of total billed charges		323	100			Percent of total billed charges		323	100			Percent of total billed charges		323	33.3			Percent of total billed charges		107.559	33.3			Percent of total billed charges		107.559	100			Percent of total billed charges		323	107.559	290.7	
vlp locking  ti scr 2.4  x 28 7441-2428 s/n	278	RC	Outpatient			323	209.95		90			Percent of total billed charges		290.7	40			Percent of total billed charges		129.2	80			Percent of total billed charges		258.4	90			Percent of total billed charges		290.7	85			Percent of total billed charges		274.55	85			Percent of total billed charges		274.55	85			Percent of total billed charges		274.55	100			Percent of total billed charges		323	100			Percent of total billed charges		323	100			Percent of total billed charges		323	33.3			Percent of total billed charges		107.559	33.3			Percent of total billed charges		107.559	100			Percent of total billed charges		323	107.559	290.7	
vlp locking  ti scr 2.4  x 30 7441-2430 s/n	270	RC	Outpatient			323	209.95		90			Percent of total billed charges		290.7	40			Percent of total billed charges		129.2	80			Percent of total billed charges		258.4	90			Percent of total billed charges		290.7	85			Percent of total billed charges		274.55	85			Percent of total billed charges		274.55	85			Percent of total billed charges		274.55	100			Percent of total billed charges		323	100			Percent of total billed charges		323	100			Percent of total billed charges		323	33.3			Percent of total billed charges		107.559	33.3			Percent of total billed charges		107.559	100			Percent of total billed charges		323	107.559	290.7	
chemo admin. 2 1/2 hours	335	RC	Outpatient			324	210.6		90			Percent of total billed charges		291.6	40			Percent of total billed charges		129.6	80			Percent of total billed charges		259.2	90			Percent of total billed charges		291.6	85			Percent of total billed charges		275.4	85			Percent of total billed charges		275.4	85			Percent of total billed charges		275.4	100			Percent of total billed charges		324	100			Percent of total billed charges		324	100			Percent of total billed charges		324	33.3			Percent of total billed charges		107.892	33.3			Percent of total billed charges		107.892	100			Percent of total billed charges		324	107.892	291.6	
plug-in jejunal tube 12fr	270	RC	Outpatient			325	211.25		90			Percent of total billed charges		292.5	40			Percent of total billed charges		130	80			Percent of total billed charges		260	90			Percent of total billed charges		292.5	85			Percent of total billed charges		276.25	85			Percent of total billed charges		276.25	85			Percent of total billed charges		276.25	100			Percent of total billed charges		325	100			Percent of total billed charges		325	100			Percent of total billed charges		325	33.3			Percent of total billed charges		108.225	33.3			Percent of total billed charges		108.225	100			Percent of total billed charges		325	108.225	292.5	
s/n evos small 2.0mm drill w/ao qc short ref 71175021	272	RC	Outpatient			325	211.25		90			Percent of total billed charges		292.5	40			Percent of total billed charges		130	80			Percent of total billed charges		260	90			Percent of total billed charges		292.5	85			Percent of total billed charges		276.25	85			Percent of total billed charges		276.25	85			Percent of total billed charges		276.25	100			Percent of total billed charges		325	100			Percent of total billed charges		325	100			Percent of total billed charges		325	33.3			Percent of total billed charges		108.225	33.3			Percent of total billed charges		108.225	100			Percent of total billed charges		325	108.225	292.5	
s/n evos small 2.5mm drill w/ao qc short ref 71175023	272	RC	Outpatient			325	211.25		90			Percent of total billed charges		292.5	40			Percent of total billed charges		130	80			Percent of total billed charges		260	90			Percent of total billed charges		292.5	85			Percent of total billed charges		276.25	85			Percent of total billed charges		276.25	85			Percent of total billed charges		276.25	100			Percent of total billed charges		325	100			Percent of total billed charges		325	100			Percent of total billed charges		325	33.3			Percent of total billed charges		108.225	33.3			Percent of total billed charges		108.225	100			Percent of total billed charges		325	108.225	292.5	
1.5mm tit orbital rim plate 446.22 synthes	278	RC	Outpatient			326	211.9		90			Percent of total billed charges		293.4	40			Percent of total billed charges		130.4	80			Percent of total billed charges		260.8	90			Percent of total billed charges		293.4	85			Percent of total billed charges		277.1	85			Percent of total billed charges		277.1	85			Percent of total billed charges		277.1	100			Percent of total billed charges		326	100			Percent of total billed charges		326	100			Percent of total billed charges		326	33.3			Percent of total billed charges		108.558	33.3			Percent of total billed charges		108.558	100			Percent of total billed charges		326	108.558	293.4	
arthrex drill bit 2.5  ar-4160-25	272	RC	Outpatient			326	211.9		90			Percent of total billed charges		293.4	40			Percent of total billed charges		130.4	80			Percent of total billed charges		260.8	90			Percent of total billed charges		293.4	85			Percent of total billed charges		277.1	85			Percent of total billed charges		277.1	85			Percent of total billed charges		277.1	100			Percent of total billed charges		326	100			Percent of total billed charges		326	100			Percent of total billed charges		326	33.3			Percent of total billed charges		108.558	33.3			Percent of total billed charges		108.558	100			Percent of total billed charges		326	108.558	293.4	
arthrex locking screw 3 x 12mm ar 8933l-12	278	RC	Outpatient			326	211.9		90			Percent of total billed charges		293.4	40			Percent of total billed charges		130.4	80			Percent of total billed charges		260.8	90			Percent of total billed charges		293.4	85			Percent of total billed charges		277.1	85			Percent of total billed charges		277.1	85			Percent of total billed charges		277.1	100			Percent of total billed charges		326	100			Percent of total billed charges		326	100			Percent of total billed charges		326	33.3			Percent of total billed charges		108.558	33.3			Percent of total billed charges		108.558	100			Percent of total billed charges		326	108.558	293.4	
arthrex locking screw 3 x 16mm ar 8933l-16	278	RC	Outpatient			326	211.9		90			Percent of total billed charges		293.4	40			Percent of total billed charges		130.4	80			Percent of total billed charges		260.8	90			Percent of total billed charges		293.4	85			Percent of total billed charges		277.1	85			Percent of total billed charges		277.1	85			Percent of total billed charges		277.1	100			Percent of total billed charges		326	100			Percent of total billed charges		326	100			Percent of total billed charges		326	33.3			Percent of total billed charges		108.558	33.3			Percent of total billed charges		108.558	100			Percent of total billed charges		326	108.558	293.4	
arthrex locking screw 3 x 20mm ar 8933l-20	278	RC	Outpatient			326	211.9		90			Percent of total billed charges		293.4	40			Percent of total billed charges		130.4	80			Percent of total billed charges		260.8	90			Percent of total billed charges		293.4	85			Percent of total billed charges		277.1	85			Percent of total billed charges		277.1	85			Percent of total billed charges		277.1	100			Percent of total billed charges		326	100			Percent of total billed charges		326	100			Percent of total billed charges		326	33.3			Percent of total billed charges		108.558	33.3			Percent of total billed charges		108.558	100			Percent of total billed charges		326	108.558	293.4	
arthrex low profile ti lck screw 3 x 12mm ar 8933l-12	278	RC	Outpatient			326	211.9		90			Percent of total billed charges		293.4	40			Percent of total billed charges		130.4	80			Percent of total billed charges		260.8	90			Percent of total billed charges		293.4	85			Percent of total billed charges		277.1	85			Percent of total billed charges		277.1	85			Percent of total billed charges		277.1	100			Percent of total billed charges		326	100			Percent of total billed charges		326	100			Percent of total billed charges		326	33.3			Percent of total billed charges		108.558	33.3			Percent of total billed charges		108.558	100			Percent of total billed charges		326	108.558	293.4	
arthrex low profile ti lck screw 3 x 18mm ar 8933l-18	278	RC	Outpatient			326	211.9		90			Percent of total billed charges		293.4	40			Percent of total billed charges		130.4	80			Percent of total billed charges		260.8	90			Percent of total billed charges		293.4	85			Percent of total billed charges		277.1	85			Percent of total billed charges		277.1	85			Percent of total billed charges		277.1	100			Percent of total billed charges		326	100			Percent of total billed charges		326	100			Percent of total billed charges		326	33.3			Percent of total billed charges		108.558	33.3			Percent of total billed charges		108.558	100			Percent of total billed charges		326	108.558	293.4	
arthrex low profile ti screw 3 x 32mm ar 8933-32pt	278	RC	Outpatient			326	211.9		90			Percent of total billed charges		293.4	40			Percent of total billed charges		130.4	80			Percent of total billed charges		260.8	90			Percent of total billed charges		293.4	85			Percent of total billed charges		277.1	85			Percent of total billed charges		277.1	85			Percent of total billed charges		277.1	100			Percent of total billed charges		326	100			Percent of total billed charges		326	100			Percent of total billed charges		326	33.3			Percent of total billed charges		108.558	33.3			Percent of total billed charges		108.558	100			Percent of total billed charges		326	108.558	293.4	
1.5mm tit orbital rim plate 446.18 synthes	278	RC	Outpatient			326	211.9		90			Percent of total billed charges		293.4	40			Percent of total billed charges		130.4	80			Percent of total billed charges		260.8	90			Percent of total billed charges		293.4	85			Percent of total billed charges		277.1	85			Percent of total billed charges		277.1	85			Percent of total billed charges		277.1	100			Percent of total billed charges		326	100			Percent of total billed charges		326	100			Percent of total billed charges		326	33.3			Percent of total billed charges		108.558	33.3			Percent of total billed charges		108.558	100			Percent of total billed charges		326	108.558	293.4	
adenoid blade 70138006 gyrus	272	RC	Outpatient			326	211.9		90			Percent of total billed charges		293.4	40			Percent of total billed charges		130.4	80			Percent of total billed charges		260.8	90			Percent of total billed charges		293.4	85			Percent of total billed charges		277.1	85			Percent of total billed charges		277.1	85			Percent of total billed charges		277.1	100			Percent of total billed charges		326	100			Percent of total billed charges		326	100			Percent of total billed charges		326	33.3			Percent of total billed charges		108.558	33.3			Percent of total billed charges		108.558	100			Percent of total billed charges		326	108.558	293.4	
arthrex drill bit 2.5	272	RC	Outpatient			326	211.9		90			Percent of total billed charges		293.4	40			Percent of total billed charges		130.4	80			Percent of total billed charges		260.8	90			Percent of total billed charges		293.4	85			Percent of total billed charges		277.1	85			Percent of total billed charges		277.1	85			Percent of total billed charges		277.1	100			Percent of total billed charges		326	100			Percent of total billed charges		326	100			Percent of total billed charges		326	33.3			Percent of total billed charges		108.558	33.3			Percent of total billed charges		108.558	100			Percent of total billed charges		326	108.558	293.4	
arthrex low profile ti lck screw 3 x 14mm ar 8933l-14	278	RC	Outpatient			326	211.9		90			Percent of total billed charges		293.4	40			Percent of total billed charges		130.4	80			Percent of total billed charges		260.8	90			Percent of total billed charges		293.4	85			Percent of total billed charges		277.1	85			Percent of total billed charges		277.1	85			Percent of total billed charges		277.1	100			Percent of total billed charges		326	100			Percent of total billed charges		326	100			Percent of total billed charges		326	33.3			Percent of total billed charges		108.558	33.3			Percent of total billed charges		108.558	100			Percent of total billed charges		326	108.558	293.4	
arthrex low profile ti screw 3 x 26mm ar 8933-26pt	278	RC	Outpatient			326	211.9		90			Percent of total billed charges		293.4	40			Percent of total billed charges		130.4	80			Percent of total billed charges		260.8	90			Percent of total billed charges		293.4	85			Percent of total billed charges		277.1	85			Percent of total billed charges		277.1	85			Percent of total billed charges		277.1	100			Percent of total billed charges		326	100			Percent of total billed charges		326	100			Percent of total billed charges		326	33.3			Percent of total billed charges		108.558	33.3			Percent of total billed charges		108.558	100			Percent of total billed charges		326	108.558	293.4	
arthrex scr lp 3.0 lck	278	RC	Outpatient			326	211.9		90			Percent of total billed charges		293.4	40			Percent of total billed charges		130.4	80			Percent of total billed charges		260.8	90			Percent of total billed charges		293.4	85			Percent of total billed charges		277.1	85			Percent of total billed charges		277.1	85			Percent of total billed charges		277.1	100			Percent of total billed charges		326	100			Percent of total billed charges		326	100			Percent of total billed charges		326	33.3			Percent of total billed charges		108.558	33.3			Percent of total billed charges		108.558	100			Percent of total billed charges		326	108.558	293.4	
drill bit integra	272	RC	Outpatient			326	211.9		90			Percent of total billed charges		293.4	40			Percent of total billed charges		130.4	80			Percent of total billed charges		260.8	90			Percent of total billed charges		293.4	85			Percent of total billed charges		277.1	85			Percent of total billed charges		277.1	85			Percent of total billed charges		277.1	100			Percent of total billed charges		326	100			Percent of total billed charges		326	100			Percent of total billed charges		326	33.3			Percent of total billed charges		108.558	33.3			Percent of total billed charges		108.558	100			Percent of total billed charges		326	108.558	293.4	
drill bit 2.0 303400 intregra lifesciences	272	RC	Outpatient			326	211.9		90			Percent of total billed charges		293.4	40			Percent of total billed charges		130.4	80			Percent of total billed charges		260.8	90			Percent of total billed charges		293.4	85			Percent of total billed charges		277.1	85			Percent of total billed charges		277.1	85			Percent of total billed charges		277.1	100			Percent of total billed charges		326	100			Percent of total billed charges		326	100			Percent of total billed charges		326	33.3			Percent of total billed charges		108.558	33.3			Percent of total billed charges		108.558	100			Percent of total billed charges		326	108.558	293.4	
drill bit 2.5 303401 intregra lifesciences	272	RC	Outpatient			326	211.9		90			Percent of total billed charges		293.4	40			Percent of total billed charges		130.4	80			Percent of total billed charges		260.8	90			Percent of total billed charges		293.4	85			Percent of total billed charges		277.1	85			Percent of total billed charges		277.1	85			Percent of total billed charges		277.1	100			Percent of total billed charges		326	100			Percent of total billed charges		326	100			Percent of total billed charges		326	33.3			Percent of total billed charges		108.558	33.3			Percent of total billed charges		108.558	100			Percent of total billed charges		326	108.558	293.4	
drill bit 2.7 303402 intregra lifesciences	272	RC	Outpatient			326	211.9		90			Percent of total billed charges		293.4	40			Percent of total billed charges		130.4	80			Percent of total billed charges		260.8	90			Percent of total billed charges		293.4	85			Percent of total billed charges		277.1	85			Percent of total billed charges		277.1	85			Percent of total billed charges		277.1	100			Percent of total billed charges		326	100			Percent of total billed charges		326	100			Percent of total billed charges		326	33.3			Percent of total billed charges		108.558	33.3			Percent of total billed charges		108.558	100			Percent of total billed charges		326	108.558	293.4	
ir cholangiogram perc transhepatic	360	RC	Outpatient			326	211.9		90			Percent of total billed charges		293.4	40			Percent of total billed charges		130.4	80			Percent of total billed charges		260.8	90			Percent of total billed charges		293.4	85			Percent of total billed charges		277.1	85			Percent of total billed charges		277.1	85			Percent of total billed charges		277.1	100			Percent of total billed charges		326	100			Percent of total billed charges		326	100			Percent of total billed charges		326	33.3			Percent of total billed charges		108.558	33.3			Percent of total billed charges		108.558	100			Percent of total billed charges		326	108.558	293.4	
gyrus adenoid blade	272	RC	Outpatient			326	211.9		90			Percent of total billed charges		293.4	40			Percent of total billed charges		130.4	80			Percent of total billed charges		260.8	90			Percent of total billed charges		293.4	85			Percent of total billed charges		277.1	85			Percent of total billed charges		277.1	85			Percent of total billed charges		277.1	100			Percent of total billed charges		326	100			Percent of total billed charges		326	100			Percent of total billed charges		326	33.3			Percent of total billed charges		108.558	33.3			Percent of total billed charges		108.558	100			Percent of total billed charges		326	108.558	293.4	
k-wire 2.0 x 285 axsos 703583 stryker	272	RC	Outpatient			326	211.9		90			Percent of total billed charges		293.4	40			Percent of total billed charges		130.4	80			Percent of total billed charges		260.8	90			Percent of total billed charges		293.4	85			Percent of total billed charges		277.1	85			Percent of total billed charges		277.1	85			Percent of total billed charges		277.1	100			Percent of total billed charges		326	100			Percent of total billed charges		326	100			Percent of total billed charges		326	33.3			Percent of total billed charges		108.558	33.3			Percent of total billed charges		108.558	100			Percent of total billed charges		326	108.558	293.4	
plate orbital rim 12 hole 447.20 synthes	278	RC	Outpatient			326	211.9		90			Percent of total billed charges		293.4	40			Percent of total billed charges		130.4	80			Percent of total billed charges		260.8	90			Percent of total billed charges		293.4	85			Percent of total billed charges		277.1	85			Percent of total billed charges		277.1	85			Percent of total billed charges		277.1	100			Percent of total billed charges		326	100			Percent of total billed charges		326	100			Percent of total billed charges		326	33.3			Percent of total billed charges		108.558	33.3			Percent of total billed charges		108.558	100			Percent of total billed charges		326	108.558	293.4	
syn titan plate orbtl rim	278	RC	Outpatient			326	211.9		90			Percent of total billed charges		293.4	40			Percent of total billed charges		130.4	80			Percent of total billed charges		260.8	90			Percent of total billed charges		293.4	85			Percent of total billed charges		277.1	85			Percent of total billed charges		277.1	85			Percent of total billed charges		277.1	100			Percent of total billed charges		326	100			Percent of total billed charges		326	100			Percent of total billed charges		326	33.3			Percent of total billed charges		108.558	33.3			Percent of total billed charges		108.558	100			Percent of total billed charges		326	108.558	293.4	
plate orbital 8 hole 447.18 synthes	278	RC	Outpatient			326	211.9		90			Percent of total billed charges		293.4	40			Percent of total billed charges		130.4	80			Percent of total billed charges		260.8	90			Percent of total billed charges		293.4	85			Percent of total billed charges		277.1	85			Percent of total billed charges		277.1	85			Percent of total billed charges		277.1	100			Percent of total billed charges		326	100			Percent of total billed charges		326	100			Percent of total billed charges		326	33.3			Percent of total billed charges		108.558	33.3			Percent of total billed charges		108.558	100			Percent of total billed charges		326	108.558	293.4	
plate orbital rim 1.3 421.021	278	RC	Outpatient			326	211.9		90			Percent of total billed charges		293.4	40			Percent of total billed charges		130.4	80			Percent of total billed charges		260.8	90			Percent of total billed charges		293.4	85			Percent of total billed charges		277.1	85			Percent of total billed charges		277.1	85			Percent of total billed charges		277.1	100			Percent of total billed charges		326	100			Percent of total billed charges		326	100			Percent of total billed charges		326	33.3			Percent of total billed charges		108.558	33.3			Percent of total billed charges		108.558	100			Percent of total billed charges		326	108.558	293.4	
stryker k-wire 2.0 x285mm	272	RC	Outpatient			326	211.9		90			Percent of total billed charges		293.4	40			Percent of total billed charges		130.4	80			Percent of total billed charges		260.8	90			Percent of total billed charges		293.4	85			Percent of total billed charges		277.1	85			Percent of total billed charges		277.1	85			Percent of total billed charges		277.1	100			Percent of total billed charges		326	100			Percent of total billed charges		326	100			Percent of total billed charges		326	33.3			Percent of total billed charges		108.558	33.3			Percent of total billed charges		108.558	100			Percent of total billed charges		326	108.558	293.4	
versa-step 5mm cann dil	270	RC	Outpatient			326	211.9		90			Percent of total billed charges		293.4	40			Percent of total billed charges		130.4	80			Percent of total billed charges		260.8	90			Percent of total billed charges		293.4	85			Percent of total billed charges		277.1	85			Percent of total billed charges		277.1	85			Percent of total billed charges		277.1	100			Percent of total billed charges		326	100			Percent of total billed charges		326	100			Percent of total billed charges		326	33.3			Percent of total billed charges		108.558	33.3			Percent of total billed charges		108.558	100			Percent of total billed charges		326	108.558	293.4	
lapra ty xc200	270	RC	Outpatient			328	213.2		90			Percent of total billed charges		295.2	40			Percent of total billed charges		131.2	80			Percent of total billed charges		262.4	90			Percent of total billed charges		295.2	85			Percent of total billed charges		278.8	85			Percent of total billed charges		278.8	85			Percent of total billed charges		278.8	100			Percent of total billed charges		328	100			Percent of total billed charges		328	100			Percent of total billed charges		328	33.3			Percent of total billed charges		109.224	33.3			Percent of total billed charges		109.224	100			Percent of total billed charges		328	109.224	295.2	
laparotic abs suture clip	270	RC	Outpatient			328	213.2		90			Percent of total billed charges		295.2	40			Percent of total billed charges		131.2	80			Percent of total billed charges		262.4	90			Percent of total billed charges		295.2	85			Percent of total billed charges		278.8	85			Percent of total billed charges		278.8	85			Percent of total billed charges		278.8	100			Percent of total billed charges		328	100			Percent of total billed charges		328	100			Percent of total billed charges		328	33.3			Percent of total billed charges		109.224	33.3			Percent of total billed charges		109.224	100			Percent of total billed charges		328	109.224	295.2	
versa-step 11mm cann dil	270	RC	Outpatient			328	213.2		90			Percent of total billed charges		295.2	40			Percent of total billed charges		131.2	80			Percent of total billed charges		262.4	90			Percent of total billed charges		295.2	85			Percent of total billed charges		278.8	85			Percent of total billed charges		278.8	85			Percent of total billed charges		278.8	100			Percent of total billed charges		328	100			Percent of total billed charges		328	100			Percent of total billed charges		328	33.3			Percent of total billed charges		109.224	33.3			Percent of total billed charges		109.224	100			Percent of total billed charges		328	109.224	295.2	
polarus rod cap hr-0001-s acumed	278	RC	Outpatient			329	213.85		90			Percent of total billed charges		296.1	40			Percent of total billed charges		131.6	80			Percent of total billed charges		263.2	90			Percent of total billed charges		296.1	85			Percent of total billed charges		279.65	85			Percent of total billed charges		279.65	85			Percent of total billed charges		279.65	100			Percent of total billed charges		329	100			Percent of total billed charges		329	100			Percent of total billed charges		329	33.3			Percent of total billed charges		109.557	33.3			Percent of total billed charges		109.557	100			Percent of total billed charges		329	109.557	296.1	
polarus rod cap	278	RC	Outpatient			329	213.85		90			Percent of total billed charges		296.1	40			Percent of total billed charges		131.6	80			Percent of total billed charges		263.2	90			Percent of total billed charges		296.1	85			Percent of total billed charges		279.65	85			Percent of total billed charges		279.65	85			Percent of total billed charges		279.65	100			Percent of total billed charges		329	100			Percent of total billed charges		329	100			Percent of total billed charges		329	33.3			Percent of total billed charges		109.557	33.3			Percent of total billed charges		109.557	100			Percent of total billed charges		329	109.557	296.1	
polarus rod cap hr-0050-s acumed	278	RC	Outpatient			329	213.85		90			Percent of total billed charges		296.1	40			Percent of total billed charges		131.6	80			Percent of total billed charges		263.2	90			Percent of total billed charges		296.1	85			Percent of total billed charges		279.65	85			Percent of total billed charges		279.65	85			Percent of total billed charges		279.65	100			Percent of total billed charges		329	100			Percent of total billed charges		329	100			Percent of total billed charges		329	33.3			Percent of total billed charges		109.557	33.3			Percent of total billed charges		109.557	100			Percent of total billed charges		329	109.557	296.1	
cosmetic - laser hair removal - back (complete) each addt'l session	983	RC	Outpatient			330	214.5		90			Percent of total billed charges		297	40			Percent of total billed charges		132	80			Percent of total billed charges		264	90			Percent of total billed charges		297	85			Percent of total billed charges		280.5	85			Percent of total billed charges		280.5	85			Percent of total billed charges		280.5	100			Percent of total billed charges		330	100			Percent of total billed charges		330	100			Percent of total billed charges		330	33.3			Percent of total billed charges		109.89	33.3			Percent of total billed charges		109.89	100			Percent of total billed charges		330	109.89	297	
2.7mm reconstruction plate straight 10 hole 80mm 00-1179-013-10 zimmer	278	RC	Outpatient			330	214.5		90			Percent of total billed charges		297	40			Percent of total billed charges		132	80			Percent of total billed charges		264	90			Percent of total billed charges		297	85			Percent of total billed charges		280.5	85			Percent of total billed charges		280.5	85			Percent of total billed charges		280.5	100			Percent of total billed charges		330	100			Percent of total billed charges		330	100			Percent of total billed charges		330	33.3			Percent of total billed charges		109.89	33.3			Percent of total billed charges		109.89	100			Percent of total billed charges		330	109.89	297	
2.7mm reconstruction plate straight 6 hole 48mm 00-1179-013-06 zimmer	278	RC	Outpatient			330	214.5		90			Percent of total billed charges		297	40			Percent of total billed charges		132	80			Percent of total billed charges		264	90			Percent of total billed charges		297	85			Percent of total billed charges		280.5	85			Percent of total billed charges		280.5	85			Percent of total billed charges		280.5	100			Percent of total billed charges		330	100			Percent of total billed charges		330	100			Percent of total billed charges		330	33.3			Percent of total billed charges		109.89	33.3			Percent of total billed charges		109.89	100			Percent of total billed charges		330	109.89	297	
2.7mm reconstruction plate straight 8 hole 64mm 00-1179-013-08 zimmer	278	RC	Outpatient			330	214.5		90			Percent of total billed charges		297	40			Percent of total billed charges		132	80			Percent of total billed charges		264	90			Percent of total billed charges		297	85			Percent of total billed charges		280.5	85			Percent of total billed charges		280.5	85			Percent of total billed charges		280.5	100			Percent of total billed charges		330	100			Percent of total billed charges		330	100			Percent of total billed charges		330	33.3			Percent of total billed charges		109.89	33.3			Percent of total billed charges		109.89	100			Percent of total billed charges		330	109.89	297	
endowrist prograsp forceps ref 471093	272	RC	Outpatient			330	214.5		90			Percent of total billed charges		297	40			Percent of total billed charges		132	80			Percent of total billed charges		264	90			Percent of total billed charges		297	85			Percent of total billed charges		280.5	85			Percent of total billed charges		280.5	85			Percent of total billed charges		280.5	100			Percent of total billed charges		330	100			Percent of total billed charges		330	100			Percent of total billed charges		330	33.3			Percent of total billed charges		109.89	33.3			Percent of total billed charges		109.89	100			Percent of total billed charges		330	109.89	297	
level 1 d-100 tubing	270	RC	Outpatient			330	214.5		90			Percent of total billed charges		297	40			Percent of total billed charges		132	80			Percent of total billed charges		264	90			Percent of total billed charges		297	85			Percent of total billed charges		280.5	85			Percent of total billed charges		280.5	85			Percent of total billed charges		280.5	100			Percent of total billed charges		330	100			Percent of total billed charges		330	100			Percent of total billed charges		330	33.3			Percent of total billed charges		109.89	33.3			Percent of total billed charges		109.89	100			Percent of total billed charges		330	109.89	297	
level 1 warmer d-100	270	RC	Outpatient			330	214.5		90			Percent of total billed charges		297	40			Percent of total billed charges		132	80			Percent of total billed charges		264	90			Percent of total billed charges		297	85			Percent of total billed charges		280.5	85			Percent of total billed charges		280.5	85			Percent of total billed charges		280.5	100			Percent of total billed charges		330	100			Percent of total billed charges		330	100			Percent of total billed charges		330	33.3			Percent of total billed charges		109.89	33.3			Percent of total billed charges		109.89	100			Percent of total billed charges		330	109.89	297	
standard compression ft profile drill ar-8737-54	272	RC	Outpatient			330	214.5		90			Percent of total billed charges		297	40			Percent of total billed charges		132	80			Percent of total billed charges		264	90			Percent of total billed charges		297	85			Percent of total billed charges		280.5	85			Percent of total billed charges		280.5	85			Percent of total billed charges		280.5	100			Percent of total billed charges		330	100			Percent of total billed charges		330	100			Percent of total billed charges		330	33.3			Percent of total billed charges		109.89	33.3			Percent of total billed charges		109.89	100			Percent of total billed charges		330	109.89	297	
zimm 2.7 recon plate 6-10	278	RC	Outpatient			330	214.5		90			Percent of total billed charges		297	40			Percent of total billed charges		132	80			Percent of total billed charges		264	90			Percent of total billed charges		297	85			Percent of total billed charges		280.5	85			Percent of total billed charges		280.5	85			Percent of total billed charges		280.5	100			Percent of total billed charges		330	100			Percent of total billed charges		330	100			Percent of total billed charges		330	33.3			Percent of total billed charges		109.89	33.3			Percent of total billed charges		109.89	100			Percent of total billed charges		330	109.89	297	
cath lab langston double lumen catheter	272	RC	Outpatient			331	215.15		90			Percent of total billed charges		297.9	40			Percent of total billed charges		132.4	80			Percent of total billed charges		264.8	90			Percent of total billed charges		297.9	85			Percent of total billed charges		281.35	85			Percent of total billed charges		281.35	85			Percent of total billed charges		281.35	100			Percent of total billed charges		331	100			Percent of total billed charges		331	100			Percent of total billed charges		331	33.3			Percent of total billed charges		110.223	33.3			Percent of total billed charges		110.223	100			Percent of total billed charges		331	110.223	297.9	
6f dual lumen langston ca	272	RC	Outpatient			331	215.15		90			Percent of total billed charges		297.9	40			Percent of total billed charges		132.4	80			Percent of total billed charges		264.8	90			Percent of total billed charges		297.9	85			Percent of total billed charges		281.35	85			Percent of total billed charges		281.35	85			Percent of total billed charges		281.35	100			Percent of total billed charges		331	100			Percent of total billed charges		331	100			Percent of total billed charges		331	33.3			Percent of total billed charges		110.223	33.3			Percent of total billed charges		110.223	100			Percent of total billed charges		331	110.223	297.9	
gastro feeding button	270	RC	Outpatient			331	215.15		90			Percent of total billed charges		297.9	40			Percent of total billed charges		132.4	80			Percent of total billed charges		264.8	90			Percent of total billed charges		297.9	85			Percent of total billed charges		281.35	85			Percent of total billed charges		281.35	85			Percent of total billed charges		281.35	100			Percent of total billed charges		331	100			Percent of total billed charges		331	100			Percent of total billed charges		331	33.3			Percent of total billed charges		110.223	33.3			Percent of total billed charges		110.223	100			Percent of total billed charges		331	110.223	297.9	
endo grasping device	272	RC	Outpatient			331	215.15		90			Percent of total billed charges		297.9	40			Percent of total billed charges		132.4	80			Percent of total billed charges		264.8	90			Percent of total billed charges		297.9	85			Percent of total billed charges		281.35	85			Percent of total billed charges		281.35	85			Percent of total billed charges		281.35	100			Percent of total billed charges		331	100			Percent of total billed charges		331	100			Percent of total billed charges		331	33.3			Percent of total billed charges		110.223	33.3			Percent of total billed charges		110.223	100			Percent of total billed charges		331	110.223	297.9	
keller funnell	272	RC	Outpatient			331	215.15		90			Percent of total billed charges		297.9	40			Percent of total billed charges		132.4	80			Percent of total billed charges		264.8	90			Percent of total billed charges		297.9	85			Percent of total billed charges		281.35	85			Percent of total billed charges		281.35	85			Percent of total billed charges		281.35	100			Percent of total billed charges		331	100			Percent of total billed charges		331	100			Percent of total billed charges		331	33.3			Percent of total billed charges		110.223	33.3			Percent of total billed charges		110.223	100			Percent of total billed charges		331	110.223	297.9	
keller funnell ks-001 ks-005 keller med  ha-005	272	RC	Outpatient			331	215.15		90			Percent of total billed charges		297.9	40			Percent of total billed charges		132.4	80			Percent of total billed charges		264.8	90			Percent of total billed charges		297.9	85			Percent of total billed charges		281.35	85			Percent of total billed charges		281.35	85			Percent of total billed charges		281.35	100			Percent of total billed charges		331	100			Percent of total billed charges		331	100			Percent of total billed charges		331	33.3			Percent of total billed charges		110.223	33.3			Percent of total billed charges		110.223	100			Percent of total billed charges		331	110.223	297.9	
gastro feeding button ed charge scnt	270	RC	Outpatient			331	215.15		90			Percent of total billed charges		297.9	40			Percent of total billed charges		132.4	80			Percent of total billed charges		264.8	90			Percent of total billed charges		297.9	85			Percent of total billed charges		281.35	85			Percent of total billed charges		281.35	85			Percent of total billed charges		281.35	100			Percent of total billed charges		331	100			Percent of total billed charges		331	100			Percent of total billed charges		331	33.3			Percent of total billed charges		110.223	33.3			Percent of total billed charges		110.223	100			Percent of total billed charges		331	110.223	297.9	
jet-x centering sleeve	278	RC	Outpatient			331	215.15		90			Percent of total billed charges		297.9	40			Percent of total billed charges		132.4	80			Percent of total billed charges		264.8	90			Percent of total billed charges		297.9	85			Percent of total billed charges		281.35	85			Percent of total billed charges		281.35	85			Percent of total billed charges		281.35	100			Percent of total billed charges		331	100			Percent of total billed charges		331	100			Percent of total billed charges		331	33.3			Percent of total billed charges		110.223	33.3			Percent of total billed charges		110.223	100			Percent of total billed charges		331	110.223	297.9	
s/n jet-x  5mm centering sleeve 10-3405	278	RC	Outpatient			331	215.15		90			Percent of total billed charges		297.9	40			Percent of total billed charges		132.4	80			Percent of total billed charges		264.8	90			Percent of total billed charges		297.9	85			Percent of total billed charges		281.35	85			Percent of total billed charges		281.35	85			Percent of total billed charges		281.35	100			Percent of total billed charges		331	100			Percent of total billed charges		331	100			Percent of total billed charges		331	33.3			Percent of total billed charges		110.223	33.3			Percent of total billed charges		110.223	100			Percent of total billed charges		331	110.223	297.9	
male support 3 holes 101401 s/n	272	RC	Outpatient			332	215.8		90			Percent of total billed charges		298.8	40			Percent of total billed charges		132.8	80			Percent of total billed charges		265.6	90			Percent of total billed charges		298.8	85			Percent of total billed charges		282.2	85			Percent of total billed charges		282.2	85			Percent of total billed charges		282.2	100			Percent of total billed charges		332	100			Percent of total billed charges		332	100			Percent of total billed charges		332	33.3			Percent of total billed charges		110.556	33.3			Percent of total billed charges		110.556	100			Percent of total billed charges		332	110.556	298.8	
s/n male support 3hl	272	RC	Outpatient			332	215.8		90			Percent of total billed charges		298.8	40			Percent of total billed charges		132.8	80			Percent of total billed charges		265.6	90			Percent of total billed charges		298.8	85			Percent of total billed charges		282.2	85			Percent of total billed charges		282.2	85			Percent of total billed charges		282.2	100			Percent of total billed charges		332	100			Percent of total billed charges		332	100			Percent of total billed charges		332	33.3			Percent of total billed charges		110.556	33.3			Percent of total billed charges		110.556	100			Percent of total billed charges		332	110.556	298.8	
syn titanium plte orbital	278	RC	Outpatient			332	215.8		90			Percent of total billed charges		298.8	40			Percent of total billed charges		132.8	80			Percent of total billed charges		265.6	90			Percent of total billed charges		298.8	85			Percent of total billed charges		282.2	85			Percent of total billed charges		282.2	85			Percent of total billed charges		282.2	100			Percent of total billed charges		332	100			Percent of total billed charges		332	100			Percent of total billed charges		332	33.3			Percent of total billed charges		110.556	33.3			Percent of total billed charges		110.556	100			Percent of total billed charges		332	110.556	298.8	
plate orbital floor 1.3 421.048	278	RC	Outpatient			332	215.8		90			Percent of total billed charges		298.8	40			Percent of total billed charges		132.8	80			Percent of total billed charges		265.6	90			Percent of total billed charges		298.8	85			Percent of total billed charges		282.2	85			Percent of total billed charges		282.2	85			Percent of total billed charges		282.2	100			Percent of total billed charges		332	100			Percent of total billed charges		332	100			Percent of total billed charges		332	33.3			Percent of total billed charges		110.556	33.3			Percent of total billed charges		110.556	100			Percent of total billed charges		332	110.556	298.8	
plate orbital rim 10 hole 446.20 synthes	278	RC	Outpatient			332	215.8		90			Percent of total billed charges		298.8	40			Percent of total billed charges		132.8	80			Percent of total billed charges		265.6	90			Percent of total billed charges		298.8	85			Percent of total billed charges		282.2	85			Percent of total billed charges		282.2	85			Percent of total billed charges		282.2	100			Percent of total billed charges		332	100			Percent of total billed charges		332	100			Percent of total billed charges		332	33.3			Percent of total billed charges		110.556	33.3			Percent of total billed charges		110.556	100			Percent of total billed charges		332	110.556	298.8	
truclear inflow tubing 7209822 medtronic	272	RC	Outpatient			333	216.45		90			Percent of total billed charges		299.7	40			Percent of total billed charges		133.2	80			Percent of total billed charges		266.4	90			Percent of total billed charges		299.7	85			Percent of total billed charges		283.05	85			Percent of total billed charges		283.05	85			Percent of total billed charges		283.05	100			Percent of total billed charges		333	100			Percent of total billed charges		333	100			Percent of total billed charges		333	33.3			Percent of total billed charges		110.889	33.3			Percent of total billed charges		110.889	100			Percent of total billed charges		333	110.889	299.7	
s/n  evos 1.8mm x 16mm locking peg t7 ref 72411816	278	RC	Outpatient			333.33	216.66		90			Percent of total billed charges		299.997	40			Percent of total billed charges		133.332	80			Percent of total billed charges		266.664	90			Percent of total billed charges		299.997	85			Percent of total billed charges		283.3305	85			Percent of total billed charges		283.3305	85			Percent of total billed charges		283.3305	100			Percent of total billed charges		333.33	100			Percent of total billed charges		333.33	100			Percent of total billed charges		333.33	33.3			Percent of total billed charges		110.9989	33.3			Percent of total billed charges		110.9989	100			Percent of total billed charges		333.33	110.9989	299.997	
4.5mm t-plate 5 hole 100mm 00-4945-005-04 zimmer	278	RC	Outpatient			334	217.1		90			Percent of total billed charges		300.6	40			Percent of total billed charges		133.6	80			Percent of total billed charges		267.2	90			Percent of total billed charges		300.6	85			Percent of total billed charges		283.9	85			Percent of total billed charges		283.9	85			Percent of total billed charges		283.9	100			Percent of total billed charges		334	100			Percent of total billed charges		334	100			Percent of total billed charges		334	33.3			Percent of total billed charges		111.222	33.3			Percent of total billed charges		111.222	100			Percent of total billed charges		334	111.222	300.6	
4.5mm t-plate 6 hole 116mm 00-4945-006-04 zimmer	278	RC	Outpatient			334	217.1		90			Percent of total billed charges		300.6	40			Percent of total billed charges		133.6	80			Percent of total billed charges		267.2	90			Percent of total billed charges		300.6	85			Percent of total billed charges		283.9	85			Percent of total billed charges		283.9	85			Percent of total billed charges		283.9	100			Percent of total billed charges		334	100			Percent of total billed charges		334	100			Percent of total billed charges		334	33.3			Percent of total billed charges		111.222	33.3			Percent of total billed charges		111.222	100			Percent of total billed charges		334	111.222	300.6	
arthrex suture lasso 45	272	RC	Outpatient			334	217.1		90			Percent of total billed charges		300.6	40			Percent of total billed charges		133.6	80			Percent of total billed charges		267.2	90			Percent of total billed charges		300.6	85			Percent of total billed charges		283.9	85			Percent of total billed charges		283.9	85			Percent of total billed charges		283.9	100			Percent of total billed charges		334	100			Percent of total billed charges		334	100			Percent of total billed charges		334	33.3			Percent of total billed charges		111.222	33.3			Percent of total billed charges		111.222	100			Percent of total billed charges		334	111.222	300.6	
cath lab con sed iv/first 30 min	370	RC	Outpatient			334	217.1		90			Percent of total billed charges		300.6	40			Percent of total billed charges		133.6	80			Percent of total billed charges		267.2	90			Percent of total billed charges		300.6	85			Percent of total billed charges		283.9	85			Percent of total billed charges		283.9	85			Percent of total billed charges		283.9	100			Percent of total billed charges		334	100			Percent of total billed charges		334	100			Percent of total billed charges		334	33.3			Percent of total billed charges		111.222	33.3			Percent of total billed charges		111.222	100			Percent of total billed charges		334	111.222	300.6	
cath lab d stat flowable hemastat	270	RC	Outpatient			334	217.1		90			Percent of total billed charges		300.6	40			Percent of total billed charges		133.6	80			Percent of total billed charges		267.2	90			Percent of total billed charges		300.6	85			Percent of total billed charges		283.9	85			Percent of total billed charges		283.9	85			Percent of total billed charges		283.9	100			Percent of total billed charges		334	100			Percent of total billed charges		334	100			Percent of total billed charges		334	33.3			Percent of total billed charges		111.222	33.3			Percent of total billed charges		111.222	100			Percent of total billed charges		334	111.222	300.6	
conscious sedation iv/im	370	RC	Outpatient			334	217.1		90			Percent of total billed charges		300.6	40			Percent of total billed charges		133.6	80			Percent of total billed charges		267.2	90			Percent of total billed charges		300.6	85			Percent of total billed charges		283.9	85			Percent of total billed charges		283.9	85			Percent of total billed charges		283.9	100			Percent of total billed charges		334	100			Percent of total billed charges		334	100			Percent of total billed charges		334	33.3			Percent of total billed charges		111.222	33.3			Percent of total billed charges		111.222	100			Percent of total billed charges		334	111.222	300.6	
arthrex suturelasso 45 degree   ar-4065-s	272	RC	Outpatient			334	217.1		90			Percent of total billed charges		300.6	40			Percent of total billed charges		133.6	80			Percent of total billed charges		267.2	90			Percent of total billed charges		300.6	85			Percent of total billed charges		283.9	85			Percent of total billed charges		283.9	85			Percent of total billed charges		283.9	100			Percent of total billed charges		334	100			Percent of total billed charges		334	100			Percent of total billed charges		334	33.3			Percent of total billed charges		111.222	33.3			Percent of total billed charges		111.222	100			Percent of total billed charges		334	111.222	300.6	
cath measuring royal flush ii 250684 cook	270	RC	Outpatient			334	217.1		90			Percent of total billed charges		300.6	40			Percent of total billed charges		133.6	80			Percent of total billed charges		267.2	90			Percent of total billed charges		300.6	85			Percent of total billed charges		283.9	85			Percent of total billed charges		283.9	85			Percent of total billed charges		283.9	100			Percent of total billed charges		334	100			Percent of total billed charges		334	100			Percent of total billed charges		334	33.3			Percent of total billed charges		111.222	33.3			Percent of total billed charges		111.222	100			Percent of total billed charges		334	111.222	300.6	
centimeter sizing cath royal flush angiographic cath 248761 cook	270	RC	Outpatient			334	217.1		90			Percent of total billed charges		300.6	40			Percent of total billed charges		133.6	80			Percent of total billed charges		267.2	90			Percent of total billed charges		300.6	85			Percent of total billed charges		283.9	85			Percent of total billed charges		283.9	85			Percent of total billed charges		283.9	100			Percent of total billed charges		334	100			Percent of total billed charges		334	100			Percent of total billed charges		334	33.3			Percent of total billed charges		111.222	33.3			Percent of total billed charges		111.222	100			Percent of total billed charges		334	111.222	300.6	
d-stat flowable hemostat	270	RC	Outpatient			334	217.1		90			Percent of total billed charges		300.6	40			Percent of total billed charges		133.6	80			Percent of total billed charges		267.2	90			Percent of total billed charges		300.6	85			Percent of total billed charges		283.9	85			Percent of total billed charges		283.9	85			Percent of total billed charges		283.9	100			Percent of total billed charges		334	100			Percent of total billed charges		334	100			Percent of total billed charges		334	33.3			Percent of total billed charges		111.222	33.3			Percent of total billed charges		111.222	100			Percent of total billed charges		334	111.222	300.6	
endo conscious/mod sedation iv	370	RC	Outpatient			334	217.1		90			Percent of total billed charges		300.6	40			Percent of total billed charges		133.6	80			Percent of total billed charges		267.2	90			Percent of total billed charges		300.6	85			Percent of total billed charges		283.9	85			Percent of total billed charges		283.9	85			Percent of total billed charges		283.9	100			Percent of total billed charges		334	100			Percent of total billed charges		334	100			Percent of total billed charges		334	33.3			Percent of total billed charges		111.222	33.3			Percent of total billed charges		111.222	100			Percent of total billed charges		334	111.222	300.6	
measuring cath	270	RC	Outpatient			334	217.1		90			Percent of total billed charges		300.6	40			Percent of total billed charges		133.6	80			Percent of total billed charges		267.2	90			Percent of total billed charges		300.6	85			Percent of total billed charges		283.9	85			Percent of total billed charges		283.9	85			Percent of total billed charges		283.9	100			Percent of total billed charges		334	100			Percent of total billed charges		334	100			Percent of total billed charges		334	33.3			Percent of total billed charges		111.222	33.3			Percent of total billed charges		111.222	100			Percent of total billed charges		334	111.222	300.6	
jet-x half pin	278	RC	Outpatient			334	217.1		90			Percent of total billed charges		300.6	40			Percent of total billed charges		133.6	80			Percent of total billed charges		267.2	90			Percent of total billed charges		300.6	85			Percent of total billed charges		283.9	85			Percent of total billed charges		283.9	85			Percent of total billed charges		283.9	100			Percent of total billed charges		334	100			Percent of total billed charges		334	100			Percent of total billed charges		334	33.3			Percent of total billed charges		111.222	33.3			Percent of total billed charges		111.222	100			Percent of total billed charges		334	111.222	300.6	
pacu time 1/2 hour	270	RC	Outpatient			334	217.1		90			Percent of total billed charges		300.6	40			Percent of total billed charges		133.6	80			Percent of total billed charges		267.2	90			Percent of total billed charges		300.6	85			Percent of total billed charges		283.9	85			Percent of total billed charges		283.9	85			Percent of total billed charges		283.9	100			Percent of total billed charges		334	100			Percent of total billed charges		334	100			Percent of total billed charges		334	33.3			Percent of total billed charges		111.222	33.3			Percent of total billed charges		111.222	100			Percent of total billed charges		334	111.222	300.6	
richards taper sleeve	270	RC	Outpatient			334	217.1		90			Percent of total billed charges		300.6	40			Percent of total billed charges		133.6	80			Percent of total billed charges		267.2	90			Percent of total billed charges		300.6	85			Percent of total billed charges		283.9	85			Percent of total billed charges		283.9	85			Percent of total billed charges		283.9	100			Percent of total billed charges		334	100			Percent of total billed charges		334	100			Percent of total billed charges		334	33.3			Percent of total billed charges		111.222	33.3			Percent of total billed charges		111.222	100			Percent of total billed charges		334	111.222	300.6	
stryker t7 bone screw	278	RC	Outpatient			334	217.1		90			Percent of total billed charges		300.6	40			Percent of total billed charges		133.6	80			Percent of total billed charges		267.2	90			Percent of total billed charges		300.6	85			Percent of total billed charges		283.9	85			Percent of total billed charges		283.9	85			Percent of total billed charges		283.9	100			Percent of total billed charges		334	100			Percent of total billed charges		334	100			Percent of total billed charges		334	33.3			Percent of total billed charges		111.222	33.3			Percent of total billed charges		111.222	100			Percent of total billed charges		334	111.222	300.6	
t7 bone screw 2.3 x 16 53-23214\6e stryker	278	RC	Outpatient			334	217.1		90			Percent of total billed charges		300.6	40			Percent of total billed charges		133.6	80			Percent of total billed charges		267.2	90			Percent of total billed charges		300.6	85			Percent of total billed charges		283.9	85			Percent of total billed charges		283.9	85			Percent of total billed charges		283.9	100			Percent of total billed charges		334	100			Percent of total billed charges		334	100			Percent of total billed charges		334	33.3			Percent of total billed charges		111.222	33.3			Percent of total billed charges		111.222	100			Percent of total billed charges		334	111.222	300.6	
zimm 4.5 t-plate 5-6hole	278	RC	Outpatient			334	217.1		90			Percent of total billed charges		300.6	40			Percent of total billed charges		133.6	80			Percent of total billed charges		267.2	90			Percent of total billed charges		300.6	85			Percent of total billed charges		283.9	85			Percent of total billed charges		283.9	85			Percent of total billed charges		283.9	100			Percent of total billed charges		334	100			Percent of total billed charges		334	100			Percent of total billed charges		334	33.3			Percent of total billed charges		111.222	33.3			Percent of total billed charges		111.222	100			Percent of total billed charges		334	111.222	300.6	
arthrex power pick	272	RC	Outpatient			335	217.75		90			Percent of total billed charges		301.5	40			Percent of total billed charges		134	80			Percent of total billed charges		268	90			Percent of total billed charges		301.5	85			Percent of total billed charges		284.75	85			Percent of total billed charges		284.75	85			Percent of total billed charges		284.75	100			Percent of total billed charges		335	100			Percent of total billed charges		335	100			Percent of total billed charges		335	33.3			Percent of total billed charges		111.555	33.3			Percent of total billed charges		111.555	100			Percent of total billed charges		335	111.555	301.5	
arthrex powerpick 1.5mm ar-8150px-45	272	RC	Outpatient			335	217.75		90			Percent of total billed charges		301.5	40			Percent of total billed charges		134	80			Percent of total billed charges		268	90			Percent of total billed charges		301.5	85			Percent of total billed charges		284.75	85			Percent of total billed charges		284.75	85			Percent of total billed charges		284.75	100			Percent of total billed charges		335	100			Percent of total billed charges		335	100			Percent of total billed charges		335	33.3			Percent of total billed charges		111.555	33.3			Percent of total billed charges		111.555	100			Percent of total billed charges		335	111.555	301.5	
plate 20 hole 2.0 447.10	278	RC	Outpatient			335	217.75		90			Percent of total billed charges		301.5	40			Percent of total billed charges		134	80			Percent of total billed charges		268	90			Percent of total billed charges		301.5	85			Percent of total billed charges		284.75	85			Percent of total billed charges		284.75	85			Percent of total billed charges		284.75	100			Percent of total billed charges		335	100			Percent of total billed charges		335	100			Percent of total billed charges		335	33.3			Percent of total billed charges		111.555	33.3			Percent of total billed charges		111.555	100			Percent of total billed charges		335	111.555	301.5	
plate adapter 20 hole 446.10 synthes	278	RC	Outpatient			335	217.75		90			Percent of total billed charges		301.5	40			Percent of total billed charges		134	80			Percent of total billed charges		268	90			Percent of total billed charges		301.5	85			Percent of total billed charges		284.75	85			Percent of total billed charges		284.75	85			Percent of total billed charges		284.75	100			Percent of total billed charges		335	100			Percent of total billed charges		335	100			Percent of total billed charges		335	33.3			Percent of total billed charges		111.555	33.3			Percent of total billed charges		111.555	100			Percent of total billed charges		335	111.555	301.5	
syn plate adaptor 20hole	278	RC	Outpatient			335	217.75		90			Percent of total billed charges		301.5	40			Percent of total billed charges		134	80			Percent of total billed charges		268	90			Percent of total billed charges		301.5	85			Percent of total billed charges		284.75	85			Percent of total billed charges		284.75	85			Percent of total billed charges		284.75	100			Percent of total billed charges		335	100			Percent of total billed charges		335	100			Percent of total billed charges		335	33.3			Percent of total billed charges		111.555	33.3			Percent of total billed charges		111.555	100			Percent of total billed charges		335	111.555	301.5	
echelon 45 reload blue 45-6 ecr45b ethicon	272	RC	Outpatient			336	218.4		90			Percent of total billed charges		302.4	40			Percent of total billed charges		134.4	80			Percent of total billed charges		268.8	90			Percent of total billed charges		302.4	85			Percent of total billed charges		285.6	85			Percent of total billed charges		285.6	85			Percent of total billed charges		285.6	100			Percent of total billed charges		336	100			Percent of total billed charges		336	100			Percent of total billed charges		336	33.3			Percent of total billed charges		111.888	33.3			Percent of total billed charges		111.888	100			Percent of total billed charges		336	111.888	302.4	
echelon 45 reload green 45-6 ecr45g ethicon	272	RC	Outpatient			336	218.4		90			Percent of total billed charges		302.4	40			Percent of total billed charges		134.4	80			Percent of total billed charges		268.8	90			Percent of total billed charges		302.4	85			Percent of total billed charges		285.6	85			Percent of total billed charges		285.6	85			Percent of total billed charges		285.6	100			Percent of total billed charges		336	100			Percent of total billed charges		336	100			Percent of total billed charges		336	33.3			Percent of total billed charges		111.888	33.3			Percent of total billed charges		111.888	100			Percent of total billed charges		336	111.888	302.4	
echelon flex 45 reload	272	RC	Outpatient			336	218.4		90			Percent of total billed charges		302.4	40			Percent of total billed charges		134.4	80			Percent of total billed charges		268.8	90			Percent of total billed charges		302.4	85			Percent of total billed charges		285.6	85			Percent of total billed charges		285.6	85			Percent of total billed charges		285.6	100			Percent of total billed charges		336	100			Percent of total billed charges		336	100			Percent of total billed charges		336	33.3			Percent of total billed charges		111.888	33.3			Percent of total billed charges		111.888	100			Percent of total billed charges		336	111.888	302.4	
echolon flex 45 reload white ecr45w ethicon	272	RC	Outpatient			336	218.4		90			Percent of total billed charges		302.4	40			Percent of total billed charges		134.4	80			Percent of total billed charges		268.8	90			Percent of total billed charges		302.4	85			Percent of total billed charges		285.6	85			Percent of total billed charges		285.6	85			Percent of total billed charges		285.6	100			Percent of total billed charges		336	100			Percent of total billed charges		336	100			Percent of total billed charges		336	33.3			Percent of total billed charges		111.888	33.3			Percent of total billed charges		111.888	100			Percent of total billed charges		336	111.888	302.4	
echelon 45 reload grey 45-6 ecr45m ethicon	272	RC	Outpatient			336	218.4		90			Percent of total billed charges		302.4	40			Percent of total billed charges		134.4	80			Percent of total billed charges		268.8	90			Percent of total billed charges		302.4	85			Percent of total billed charges		285.6	85			Percent of total billed charges		285.6	85			Percent of total billed charges		285.6	100			Percent of total billed charges		336	100			Percent of total billed charges		336	100			Percent of total billed charges		336	33.3			Percent of total billed charges		111.888	33.3			Percent of total billed charges		111.888	100			Percent of total billed charges		336	111.888	302.4	
echelon 45 reload white 45-6 ecr45w ethicon	272	RC	Outpatient			336	218.4		90			Percent of total billed charges		302.4	40			Percent of total billed charges		134.4	80			Percent of total billed charges		268.8	90			Percent of total billed charges		302.4	85			Percent of total billed charges		285.6	85			Percent of total billed charges		285.6	85			Percent of total billed charges		285.6	100			Percent of total billed charges		336	100			Percent of total billed charges		336	100			Percent of total billed charges		336	33.3			Percent of total billed charges		111.888	33.3			Percent of total billed charges		111.888	100			Percent of total billed charges		336	111.888	302.4	
echolon flex 45 reload blue  ecr45b ethicon	272	RC	Outpatient			336	218.4		90			Percent of total billed charges		302.4	40			Percent of total billed charges		134.4	80			Percent of total billed charges		268.8	90			Percent of total billed charges		302.4	85			Percent of total billed charges		285.6	85			Percent of total billed charges		285.6	85			Percent of total billed charges		285.6	100			Percent of total billed charges		336	100			Percent of total billed charges		336	100			Percent of total billed charges		336	33.3			Percent of total billed charges		111.888	33.3			Percent of total billed charges		111.888	100			Percent of total billed charges		336	111.888	302.4	
echolon flex 45 reload green ecr45g ethicon	272	RC	Outpatient			336	218.4		90			Percent of total billed charges		302.4	40			Percent of total billed charges		134.4	80			Percent of total billed charges		268.8	90			Percent of total billed charges		302.4	85			Percent of total billed charges		285.6	85			Percent of total billed charges		285.6	85			Percent of total billed charges		285.6	100			Percent of total billed charges		336	100			Percent of total billed charges		336	100			Percent of total billed charges		336	33.3			Percent of total billed charges		111.888	33.3			Percent of total billed charges		111.888	100			Percent of total billed charges		336	111.888	302.4	
ir biliary duct stone removal po	320	RC	Outpatient			336	218.4		90			Percent of total billed charges		302.4	40			Percent of total billed charges		134.4	80			Percent of total billed charges		268.8	90			Percent of total billed charges		302.4	85			Percent of total billed charges		285.6	85			Percent of total billed charges		285.6	85			Percent of total billed charges		285.6	100			Percent of total billed charges		336	100			Percent of total billed charges		336	100			Percent of total billed charges		336	33.3			Percent of total billed charges		111.888	33.3			Percent of total billed charges		111.888	100			Percent of total billed charges		336	111.888	302.4	
repositioning pin twist drill 2.0 60-20012 stryker	272	RC	Outpatient			336	218.4		90			Percent of total billed charges		302.4	40			Percent of total billed charges		134.4	80			Percent of total billed charges		268.8	90			Percent of total billed charges		302.4	85			Percent of total billed charges		285.6	85			Percent of total billed charges		285.6	85			Percent of total billed charges		285.6	100			Percent of total billed charges		336	100			Percent of total billed charges		336	100			Percent of total billed charges		336	33.3			Percent of total billed charges		111.888	33.3			Percent of total billed charges		111.888	100			Percent of total billed charges		336	111.888	302.4	
staples echelon 45 load	272	RC	Outpatient			336	218.4		90			Percent of total billed charges		302.4	40			Percent of total billed charges		134.4	80			Percent of total billed charges		268.8	90			Percent of total billed charges		302.4	85			Percent of total billed charges		285.6	85			Percent of total billed charges		285.6	85			Percent of total billed charges		285.6	100			Percent of total billed charges		336	100			Percent of total billed charges		336	100			Percent of total billed charges		336	33.3			Percent of total billed charges		111.888	33.3			Percent of total billed charges		111.888	100			Percent of total billed charges		336	111.888	302.4	
stryker drill pin rep	272	RC	Outpatient			336	218.4		90			Percent of total billed charges		302.4	40			Percent of total billed charges		134.4	80			Percent of total billed charges		268.8	90			Percent of total billed charges		302.4	85			Percent of total billed charges		285.6	85			Percent of total billed charges		285.6	85			Percent of total billed charges		285.6	100			Percent of total billed charges		336	100			Percent of total billed charges		336	100			Percent of total billed charges		336	33.3			Percent of total billed charges		111.888	33.3			Percent of total billed charges		111.888	100			Percent of total billed charges		336	111.888	302.4	
10mm x 130mm trial stem sh-t1013 polarus	278	RC	Outpatient			337	219.05		90			Percent of total billed charges		303.3	40			Percent of total billed charges		134.8	80			Percent of total billed charges		269.6	90			Percent of total billed charges		303.3	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	100			Percent of total billed charges		337	100			Percent of total billed charges		337	100			Percent of total billed charges		337	33.3			Percent of total billed charges		112.221	33.3			Percent of total billed charges		112.221	100			Percent of total billed charges		337	112.221	303.3	
11mm x 130mm trial stem sh-t1113 polarus	278	RC	Outpatient			337	219.05		90			Percent of total billed charges		303.3	40			Percent of total billed charges		134.8	80			Percent of total billed charges		269.6	90			Percent of total billed charges		303.3	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	100			Percent of total billed charges		337	100			Percent of total billed charges		337	100			Percent of total billed charges		337	33.3			Percent of total billed charges		112.221	33.3			Percent of total billed charges		112.221	100			Percent of total billed charges		337	112.221	303.3	
12mm x 130mm trial stem sh-t1213 polarus	278	RC	Outpatient			337	219.05		90			Percent of total billed charges		303.3	40			Percent of total billed charges		134.8	80			Percent of total billed charges		269.6	90			Percent of total billed charges		303.3	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	100			Percent of total billed charges		337	100			Percent of total billed charges		337	100			Percent of total billed charges		337	33.3			Percent of total billed charges		112.221	33.3			Percent of total billed charges		112.221	100			Percent of total billed charges		337	112.221	303.3	
13mm x 130mm trial stem sh-t1313 polarus	278	RC	Outpatient			337	219.05		90			Percent of total billed charges		303.3	40			Percent of total billed charges		134.8	80			Percent of total billed charges		269.6	90			Percent of total billed charges		303.3	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	100			Percent of total billed charges		337	100			Percent of total billed charges		337	100			Percent of total billed charges		337	33.3			Percent of total billed charges		112.221	33.3			Percent of total billed charges		112.221	100			Percent of total billed charges		337	112.221	303.3	
14mm x 130mm trial stem sh-t1413 polarus	278	RC	Outpatient			337	219.05		90			Percent of total billed charges		303.3	40			Percent of total billed charges		134.8	80			Percent of total billed charges		269.6	90			Percent of total billed charges		303.3	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	100			Percent of total billed charges		337	100			Percent of total billed charges		337	100			Percent of total billed charges		337	33.3			Percent of total billed charges		112.221	33.3			Percent of total billed charges		112.221	100			Percent of total billed charges		337	112.221	303.3	
16mm x 130mm trial stem sh-t1613 polarus	278	RC	Outpatient			337	219.05		90			Percent of total billed charges		303.3	40			Percent of total billed charges		134.8	80			Percent of total billed charges		269.6	90			Percent of total billed charges		303.3	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	100			Percent of total billed charges		337	100			Percent of total billed charges		337	100			Percent of total billed charges		337	33.3			Percent of total billed charges		112.221	33.3			Percent of total billed charges		112.221	100			Percent of total billed charges		337	112.221	303.3	
17mm x 130mm trial  stem sh-t1713 polarus	278	RC	Outpatient			337	219.05		90			Percent of total billed charges		303.3	40			Percent of total billed charges		134.8	80			Percent of total billed charges		269.6	90			Percent of total billed charges		303.3	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	100			Percent of total billed charges		337	100			Percent of total billed charges		337	100			Percent of total billed charges		337	33.3			Percent of total billed charges		112.221	33.3			Percent of total billed charges		112.221	100			Percent of total billed charges		337	112.221	303.3	
8mm x 130mm trial stem sh-t0813 polarus	278	RC	Outpatient			337	219.05		90			Percent of total billed charges		303.3	40			Percent of total billed charges		134.8	80			Percent of total billed charges		269.6	90			Percent of total billed charges		303.3	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	100			Percent of total billed charges		337	100			Percent of total billed charges		337	100			Percent of total billed charges		337	33.3			Percent of total billed charges		112.221	33.3			Percent of total billed charges		112.221	100			Percent of total billed charges		337	112.221	303.3	
crtx scrw 4.5 x 100mm 71827100 s\n	278	RC	Outpatient			337	219.05		90			Percent of total billed charges		303.3	40			Percent of total billed charges		134.8	80			Percent of total billed charges		269.6	90			Percent of total billed charges		303.3	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	100			Percent of total billed charges		337	100			Percent of total billed charges		337	100			Percent of total billed charges		337	33.3			Percent of total billed charges		112.221	33.3			Percent of total billed charges		112.221	100			Percent of total billed charges		337	112.221	303.3	
15mm x 130mm trial stem sh-t1513 polarus	278	RC	Outpatient			337	219.05		90			Percent of total billed charges		303.3	40			Percent of total billed charges		134.8	80			Percent of total billed charges		269.6	90			Percent of total billed charges		303.3	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	100			Percent of total billed charges		337	100			Percent of total billed charges		337	100			Percent of total billed charges		337	33.3			Percent of total billed charges		112.221	33.3			Percent of total billed charges		112.221	100			Percent of total billed charges		337	112.221	303.3	
7mm x 130mm trial stem sh-t0713 polarus	278	RC	Outpatient			337	219.05		90			Percent of total billed charges		303.3	40			Percent of total billed charges		134.8	80			Percent of total billed charges		269.6	90			Percent of total billed charges		303.3	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	100			Percent of total billed charges		337	100			Percent of total billed charges		337	100			Percent of total billed charges		337	33.3			Percent of total billed charges		112.221	33.3			Percent of total billed charges		112.221	100			Percent of total billed charges		337	112.221	303.3	
9mm x 130mm trial stem sh-t0913 polarus	278	RC	Outpatient			337	219.05		90			Percent of total billed charges		303.3	40			Percent of total billed charges		134.8	80			Percent of total billed charges		269.6	90			Percent of total billed charges		303.3	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	100			Percent of total billed charges		337	100			Percent of total billed charges		337	100			Percent of total billed charges		337	33.3			Percent of total billed charges		112.221	33.3			Percent of total billed charges		112.221	100			Percent of total billed charges		337	112.221	303.3	
crtx scrw 4.5 x 95mm 71827095 s\n	278	RC	Outpatient			337	219.05		90			Percent of total billed charges		303.3	40			Percent of total billed charges		134.8	80			Percent of total billed charges		269.6	90			Percent of total billed charges		303.3	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	100			Percent of total billed charges		337	100			Percent of total billed charges		337	100			Percent of total billed charges		337	33.3			Percent of total billed charges		112.221	33.3			Percent of total billed charges		112.221	100			Percent of total billed charges		337	112.221	303.3	
hoffman carbon rod	278	RC	Outpatient			337	219.05		90			Percent of total billed charges		303.3	40			Percent of total billed charges		134.8	80			Percent of total billed charges		269.6	90			Percent of total billed charges		303.3	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	100			Percent of total billed charges		337	100			Percent of total billed charges		337	100			Percent of total billed charges		337	33.3			Percent of total billed charges		112.221	33.3			Percent of total billed charges		112.221	100			Percent of total billed charges		337	112.221	303.3	
jet-x mini 3mm x 10mm  halfpin  7106-3108 s/n	278	RC	Outpatient			337	219.05		90			Percent of total billed charges		303.3	40			Percent of total billed charges		134.8	80			Percent of total billed charges		269.6	90			Percent of total billed charges		303.3	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	100			Percent of total billed charges		337	100			Percent of total billed charges		337	100			Percent of total billed charges		337	33.3			Percent of total billed charges		112.221	33.3			Percent of total billed charges		112.221	100			Percent of total billed charges		337	112.221	303.3	
jet-x mini 3mm x 10mm ss halfpin  7106-3101 s/n	278	RC	Outpatient			337	219.05		90			Percent of total billed charges		303.3	40			Percent of total billed charges		134.8	80			Percent of total billed charges		269.6	90			Percent of total billed charges		303.3	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	100			Percent of total billed charges		337	100			Percent of total billed charges		337	100			Percent of total billed charges		337	33.3			Percent of total billed charges		112.221	33.3			Percent of total billed charges		112.221	100			Percent of total billed charges		337	112.221	303.3	
jet-x mini 3mm x 15mm ss halfpin  7106-3151 s/n	278	RC	Outpatient			337	219.05		90			Percent of total billed charges		303.3	40			Percent of total billed charges		134.8	80			Percent of total billed charges		269.6	90			Percent of total billed charges		303.3	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	100			Percent of total billed charges		337	100			Percent of total billed charges		337	100			Percent of total billed charges		337	33.3			Percent of total billed charges		112.221	33.3			Percent of total billed charges		112.221	100			Percent of total billed charges		337	112.221	303.3	
jet-x mini 3mm x 20mm  halfpin  7106-3208 s/n	278	RC	Outpatient			337	219.05		90			Percent of total billed charges		303.3	40			Percent of total billed charges		134.8	80			Percent of total billed charges		269.6	90			Percent of total billed charges		303.3	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	100			Percent of total billed charges		337	100			Percent of total billed charges		337	100			Percent of total billed charges		337	33.3			Percent of total billed charges		112.221	33.3			Percent of total billed charges		112.221	100			Percent of total billed charges		337	112.221	303.3	
jet-x mini 3mm x 20mm ss halfpin  7106-3201 s/n	278	RC	Outpatient			337	219.05		90			Percent of total billed charges		303.3	40			Percent of total billed charges		134.8	80			Percent of total billed charges		269.6	90			Percent of total billed charges		303.3	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	100			Percent of total billed charges		337	100			Percent of total billed charges		337	100			Percent of total billed charges		337	33.3			Percent of total billed charges		112.221	33.3			Percent of total billed charges		112.221	100			Percent of total billed charges		337	112.221	303.3	
jet-x mini 3mm x 25mm  halfpin  7106-3258 s/n	278	RC	Outpatient			337	219.05		90			Percent of total billed charges		303.3	40			Percent of total billed charges		134.8	80			Percent of total billed charges		269.6	90			Percent of total billed charges		303.3	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	100			Percent of total billed charges		337	100			Percent of total billed charges		337	100			Percent of total billed charges		337	33.3			Percent of total billed charges		112.221	33.3			Percent of total billed charges		112.221	100			Percent of total billed charges		337	112.221	303.3	
lower leg orthosis small	270	RC	Outpatient			337	219.05		90			Percent of total billed charges		303.3	40			Percent of total billed charges		134.8	80			Percent of total billed charges		269.6	90			Percent of total billed charges		303.3	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	100			Percent of total billed charges		337	100			Percent of total billed charges		337	100			Percent of total billed charges		337	33.3			Percent of total billed charges		112.221	33.3			Percent of total billed charges		112.221	100			Percent of total billed charges		337	112.221	303.3	
"osteosynthesis screw 2.4, 06mm nc2406 trimed"	278	RC	Outpatient			337	219.05		90			Percent of total billed charges		303.3	40			Percent of total billed charges		134.8	80			Percent of total billed charges		269.6	90			Percent of total billed charges		303.3	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	100			Percent of total billed charges		337	100			Percent of total billed charges		337	100			Percent of total billed charges		337	33.3			Percent of total billed charges		112.221	33.3			Percent of total billed charges		112.221	100			Percent of total billed charges		337	112.221	303.3	
"osteosynthesis screw 2.4, 08mm nc2408 trimed"	278	RC	Outpatient			337	219.05		90			Percent of total billed charges		303.3	40			Percent of total billed charges		134.8	80			Percent of total billed charges		269.6	90			Percent of total billed charges		303.3	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	100			Percent of total billed charges		337	100			Percent of total billed charges		337	100			Percent of total billed charges		337	33.3			Percent of total billed charges		112.221	33.3			Percent of total billed charges		112.221	100			Percent of total billed charges		337	112.221	303.3	
"osteosynthesis screw 2.4, 10mm nc2410 trimed"	278	RC	Outpatient			337	219.05		90			Percent of total billed charges		303.3	40			Percent of total billed charges		134.8	80			Percent of total billed charges		269.6	90			Percent of total billed charges		303.3	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	100			Percent of total billed charges		337	100			Percent of total billed charges		337	100			Percent of total billed charges		337	33.3			Percent of total billed charges		112.221	33.3			Percent of total billed charges		112.221	100			Percent of total billed charges		337	112.221	303.3	
"osteosynthesis screw 2.4, 12mm nc2412 trimed"	278	RC	Outpatient			337	219.05		90			Percent of total billed charges		303.3	40			Percent of total billed charges		134.8	80			Percent of total billed charges		269.6	90			Percent of total billed charges		303.3	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	100			Percent of total billed charges		337	100			Percent of total billed charges		337	100			Percent of total billed charges		337	33.3			Percent of total billed charges		112.221	33.3			Percent of total billed charges		112.221	100			Percent of total billed charges		337	112.221	303.3	
"osteosynthesis screw 2.4, 18mm nc2418 trimed"	278	RC	Outpatient			337	219.05		90			Percent of total billed charges		303.3	40			Percent of total billed charges		134.8	80			Percent of total billed charges		269.6	90			Percent of total billed charges		303.3	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	100			Percent of total billed charges		337	100			Percent of total billed charges		337	100			Percent of total billed charges		337	33.3			Percent of total billed charges		112.221	33.3			Percent of total billed charges		112.221	100			Percent of total billed charges		337	112.221	303.3	
"osteosynthesis screw 2.4, 20mm nc2420 trimed"	278	RC	Outpatient			337	219.05		90			Percent of total billed charges		303.3	40			Percent of total billed charges		134.8	80			Percent of total billed charges		269.6	90			Percent of total billed charges		303.3	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	100			Percent of total billed charges		337	100			Percent of total billed charges		337	100			Percent of total billed charges		337	33.3			Percent of total billed charges		112.221	33.3			Percent of total billed charges		112.221	100			Percent of total billed charges		337	112.221	303.3	
jet-x half pin 3mm	278	RC	Outpatient			337	219.05		90			Percent of total billed charges		303.3	40			Percent of total billed charges		134.8	80			Percent of total billed charges		269.6	90			Percent of total billed charges		303.3	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	100			Percent of total billed charges		337	100			Percent of total billed charges		337	100			Percent of total billed charges		337	33.3			Percent of total billed charges		112.221	33.3			Percent of total billed charges		112.221	100			Percent of total billed charges		337	112.221	303.3	
jet-x mini 3mm x 15mm  halfpin  7106-3158 s/n	278	RC	Outpatient			337	219.05		90			Percent of total billed charges		303.3	40			Percent of total billed charges		134.8	80			Percent of total billed charges		269.6	90			Percent of total billed charges		303.3	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	100			Percent of total billed charges		337	100			Percent of total billed charges		337	100			Percent of total billed charges		337	33.3			Percent of total billed charges		112.221	33.3			Percent of total billed charges		112.221	100			Percent of total billed charges		337	112.221	303.3	
jet-x mini 3mm x 25mm ss halfpin  7106-3251 s/n	278	RC	Outpatient			337	219.05		90			Percent of total billed charges		303.3	40			Percent of total billed charges		134.8	80			Percent of total billed charges		269.6	90			Percent of total billed charges		303.3	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	100			Percent of total billed charges		337	100			Percent of total billed charges		337	100			Percent of total billed charges		337	33.3			Percent of total billed charges		112.221	33.3			Percent of total billed charges		112.221	100			Percent of total billed charges		337	112.221	303.3	
"osteosynthesis screw 2.4, 14mm nc2414 trimed"	278	RC	Outpatient			337	219.05		90			Percent of total billed charges		303.3	40			Percent of total billed charges		134.8	80			Percent of total billed charges		269.6	90			Percent of total billed charges		303.3	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	100			Percent of total billed charges		337	100			Percent of total billed charges		337	100			Percent of total billed charges		337	33.3			Percent of total billed charges		112.221	33.3			Percent of total billed charges		112.221	100			Percent of total billed charges		337	112.221	303.3	
"osteosynthesis screw 2.4, 16mm nc2416 trimed"	278	RC	Outpatient			337	219.05		90			Percent of total billed charges		303.3	40			Percent of total billed charges		134.8	80			Percent of total billed charges		269.6	90			Percent of total billed charges		303.3	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	100			Percent of total billed charges		337	100			Percent of total billed charges		337	100			Percent of total billed charges		337	33.3			Percent of total billed charges		112.221	33.3			Percent of total billed charges		112.221	100			Percent of total billed charges		337	112.221	303.3	
polarus trial stem	278	RC	Outpatient			337	219.05		90			Percent of total billed charges		303.3	40			Percent of total billed charges		134.8	80			Percent of total billed charges		269.6	90			Percent of total billed charges		303.3	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	100			Percent of total billed charges		337	100			Percent of total billed charges		337	100			Percent of total billed charges		337	33.3			Percent of total billed charges		112.221	33.3			Percent of total billed charges		112.221	100			Percent of total billed charges		337	112.221	303.3	
s/n 4.5 cort lck scw 90-	278	RC	Outpatient			337	219.05		90			Percent of total billed charges		303.3	40			Percent of total billed charges		134.8	80			Percent of total billed charges		269.6	90			Percent of total billed charges		303.3	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	100			Percent of total billed charges		337	100			Percent of total billed charges		337	100			Percent of total billed charges		337	33.3			Percent of total billed charges		112.221	33.3			Percent of total billed charges		112.221	100			Percent of total billed charges		337	112.221	303.3	
stryker hoffman 2 ex-fix carbon rod 5029-8-825 8.0 / 250	278	RC	Outpatient			337	219.05		90			Percent of total billed charges		303.3	40			Percent of total billed charges		134.8	80			Percent of total billed charges		269.6	90			Percent of total billed charges		303.3	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	100			Percent of total billed charges		337	100			Percent of total billed charges		337	100			Percent of total billed charges		337	33.3			Percent of total billed charges		112.221	33.3			Percent of total billed charges		112.221	100			Percent of total billed charges		337	112.221	303.3	
stryker hoffman 2 ex-fix carbon rod 5029-8-820 8.0 / 200	278	RC	Outpatient			337	219.05		90			Percent of total billed charges		303.3	40			Percent of total billed charges		134.8	80			Percent of total billed charges		269.6	90			Percent of total billed charges		303.3	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	100			Percent of total billed charges		337	100			Percent of total billed charges		337	100			Percent of total billed charges		337	33.3			Percent of total billed charges		112.221	33.3			Percent of total billed charges		112.221	100			Percent of total billed charges		337	112.221	303.3	
stryker xiaii blocker	278	RC	Outpatient			337	219.05		90			Percent of total billed charges		303.3	40			Percent of total billed charges		134.8	80			Percent of total billed charges		269.6	90			Percent of total billed charges		303.3	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	100			Percent of total billed charges		337	100			Percent of total billed charges		337	100			Percent of total billed charges		337	33.3			Percent of total billed charges		112.221	33.3			Percent of total billed charges		112.221	100			Percent of total billed charges		337	112.221	303.3	
xia ii blocker 03756230 stryker	278	RC	Outpatient			337	219.05		90			Percent of total billed charges		303.3	40			Percent of total billed charges		134.8	80			Percent of total billed charges		269.6	90			Percent of total billed charges		303.3	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	85			Percent of total billed charges		286.45	100			Percent of total billed charges		337	100			Percent of total billed charges		337	100			Percent of total billed charges		337	33.3			Percent of total billed charges		112.221	33.3			Percent of total billed charges		112.221	100			Percent of total billed charges		337	112.221	303.3	
"small t plate, oblique 3 hole head, 4 hole shaft 241.24"	278	RC	Outpatient			339	220.35		90			Percent of total billed charges		305.1	40			Percent of total billed charges		135.6	80			Percent of total billed charges		271.2	90			Percent of total billed charges		305.1	85			Percent of total billed charges		288.15	85			Percent of total billed charges		288.15	85			Percent of total billed charges		288.15	100			Percent of total billed charges		339	100			Percent of total billed charges		339	100			Percent of total billed charges		339	33.3			Percent of total billed charges		112.887	33.3			Percent of total billed charges		112.887	100			Percent of total billed charges		339	112.887	305.1	
"small t plate, oblique 3 hole head, 3 hole shaft 241.23"	278	RC	Outpatient			339	220.35		90			Percent of total billed charges		305.1	40			Percent of total billed charges		135.6	80			Percent of total billed charges		271.2	90			Percent of total billed charges		305.1	85			Percent of total billed charges		288.15	85			Percent of total billed charges		288.15	85			Percent of total billed charges		288.15	100			Percent of total billed charges		339	100			Percent of total billed charges		339	100			Percent of total billed charges		339	33.3			Percent of total billed charges		112.887	33.3			Percent of total billed charges		112.887	100			Percent of total billed charges		339	112.887	305.1	
"small t plate, oblique 3 hole head, 5 hole shaft 241.25"	278	RC	Outpatient			339	220.35		90			Percent of total billed charges		305.1	40			Percent of total billed charges		135.6	80			Percent of total billed charges		271.2	90			Percent of total billed charges		305.1	85			Percent of total billed charges		288.15	85			Percent of total billed charges		288.15	85			Percent of total billed charges		288.15	100			Percent of total billed charges		339	100			Percent of total billed charges		339	100			Percent of total billed charges		339	33.3			Percent of total billed charges		112.887	33.3			Percent of total billed charges		112.887	100			Percent of total billed charges		339	112.887	305.1	
syn t-plate small oblique	278	RC	Outpatient			339	220.35		90			Percent of total billed charges		305.1	40			Percent of total billed charges		135.6	80			Percent of total billed charges		271.2	90			Percent of total billed charges		305.1	85			Percent of total billed charges		288.15	85			Percent of total billed charges		288.15	85			Percent of total billed charges		288.15	100			Percent of total billed charges		339	100			Percent of total billed charges		339	100			Percent of total billed charges		339	33.3			Percent of total billed charges		112.887	33.3			Percent of total billed charges		112.887	100			Percent of total billed charges		339	112.887	305.1	
2.0mm tit x plate 447.81 synthes	278	RC	Outpatient			340	221		90			Percent of total billed charges		306	40			Percent of total billed charges		136	80			Percent of total billed charges		272	90			Percent of total billed charges		306	85			Percent of total billed charges		289	85			Percent of total billed charges		289	85			Percent of total billed charges		289	100			Percent of total billed charges		340	100			Percent of total billed charges		340	100			Percent of total billed charges		340	33.3			Percent of total billed charges		113.22	33.3			Percent of total billed charges		113.22	100			Percent of total billed charges		340	113.22	306	
3.5mm lc-dcp plate 4 hole 223.54	278	RC	Outpatient			340	221		90			Percent of total billed charges		306	40			Percent of total billed charges		136	80			Percent of total billed charges		272	90			Percent of total billed charges		306	85			Percent of total billed charges		289	85			Percent of total billed charges		289	85			Percent of total billed charges		289	100			Percent of total billed charges		340	100			Percent of total billed charges		340	100			Percent of total billed charges		340	33.3			Percent of total billed charges		113.22	33.3			Percent of total billed charges		113.22	100			Percent of total billed charges		340	113.22	306	
bio fem center sleeve	278	RC	Outpatient			340	221		90			Percent of total billed charges		306	40			Percent of total billed charges		136	80			Percent of total billed charges		272	90			Percent of total billed charges		306	85			Percent of total billed charges		289	85			Percent of total billed charges		289	85			Percent of total billed charges		289	100			Percent of total billed charges		340	100			Percent of total billed charges		340	100			Percent of total billed charges		340	33.3			Percent of total billed charges		113.22	33.3			Percent of total billed charges		113.22	100			Percent of total billed charges		340	113.22	306	
cutter linear proximate 55mm tvc55	270	RC	Outpatient			340	221		90			Percent of total billed charges		306	40			Percent of total billed charges		136	80			Percent of total billed charges		272	90			Percent of total billed charges		306	85			Percent of total billed charges		289	85			Percent of total billed charges		289	85			Percent of total billed charges		289	100			Percent of total billed charges		340	100			Percent of total billed charges		340	100			Percent of total billed charges		340	33.3			Percent of total billed charges		113.22	33.3			Percent of total billed charges		113.22	100			Percent of total billed charges		340	113.22	306	
femoral centering sleeve biomet 162910 10mm	278	RC	Outpatient			340	221		90			Percent of total billed charges		306	40			Percent of total billed charges		136	80			Percent of total billed charges		272	90			Percent of total billed charges		306	85			Percent of total billed charges		289	85			Percent of total billed charges		289	85			Percent of total billed charges		289	100			Percent of total billed charges		340	100			Percent of total billed charges		340	100			Percent of total billed charges		340	33.3			Percent of total billed charges		113.22	33.3			Percent of total billed charges		113.22	100			Percent of total billed charges		340	113.22	306	
implant plate self-compression 10 hole 2.7mm scr 2428-010-00	278	RC	Outpatient			340	221		90			Percent of total billed charges		306	40			Percent of total billed charges		136	80			Percent of total billed charges		272	90			Percent of total billed charges		306	85			Percent of total billed charges		289	85			Percent of total billed charges		289	85			Percent of total billed charges		289	100			Percent of total billed charges		340	100			Percent of total billed charges		340	100			Percent of total billed charges		340	33.3			Percent of total billed charges		113.22	33.3			Percent of total billed charges		113.22	100			Percent of total billed charges		340	113.22	306	
femoral centering sleeve 12.0 mm sleeve biomet 162912	278	RC	Outpatient			340	221		90			Percent of total billed charges		306	40			Percent of total billed charges		136	80			Percent of total billed charges		272	90			Percent of total billed charges		306	85			Percent of total billed charges		289	85			Percent of total billed charges		289	85			Percent of total billed charges		289	100			Percent of total billed charges		340	100			Percent of total billed charges		340	100			Percent of total billed charges		340	33.3			Percent of total billed charges		113.22	33.3			Percent of total billed charges		113.22	100			Percent of total billed charges		340	113.22	306	
femoral centering sleeve 14mm 162914 biomet	278	RC	Outpatient			340	221		90			Percent of total billed charges		306	40			Percent of total billed charges		136	80			Percent of total billed charges		272	90			Percent of total billed charges		306	85			Percent of total billed charges		289	85			Percent of total billed charges		289	85			Percent of total billed charges		289	100			Percent of total billed charges		340	100			Percent of total billed charges		340	100			Percent of total billed charges		340	33.3			Percent of total billed charges		113.22	33.3			Percent of total billed charges		113.22	100			Percent of total billed charges		340	113.22	306	
femoral centering sleeve 16mm 162916 bioemt	278	RC	Outpatient			340	221		90			Percent of total billed charges		306	40			Percent of total billed charges		136	80			Percent of total billed charges		272	90			Percent of total billed charges		306	85			Percent of total billed charges		289	85			Percent of total billed charges		289	85			Percent of total billed charges		289	100			Percent of total billed charges		340	100			Percent of total billed charges		340	100			Percent of total billed charges		340	33.3			Percent of total billed charges		113.22	33.3			Percent of total billed charges		113.22	100			Percent of total billed charges		340	113.22	306	
femoral centering sleeve biomet 162908	278	RC	Outpatient			340	221		90			Percent of total billed charges		306	40			Percent of total billed charges		136	80			Percent of total billed charges		272	90			Percent of total billed charges		306	85			Percent of total billed charges		289	85			Percent of total billed charges		289	85			Percent of total billed charges		289	100			Percent of total billed charges		340	100			Percent of total billed charges		340	100			Percent of total billed charges		340	33.3			Percent of total billed charges		113.22	33.3			Percent of total billed charges		113.22	100			Percent of total billed charges		340	113.22	306	
staple vascular gia 2.5 tvc55	270	RC	Outpatient			340	221		90			Percent of total billed charges		306	40			Percent of total billed charges		136	80			Percent of total billed charges		272	90			Percent of total billed charges		306	85			Percent of total billed charges		289	85			Percent of total billed charges		289	85			Percent of total billed charges		289	100			Percent of total billed charges		340	100			Percent of total billed charges		340	100			Percent of total billed charges		340	33.3			Percent of total billed charges		113.22	33.3			Percent of total billed charges		113.22	100			Percent of total billed charges		340	113.22	306	
staples tvc55	270	RC	Outpatient			340	221		90			Percent of total billed charges		306	40			Percent of total billed charges		136	80			Percent of total billed charges		272	90			Percent of total billed charges		306	85			Percent of total billed charges		289	85			Percent of total billed charges		289	85			Percent of total billed charges		289	100			Percent of total billed charges		340	100			Percent of total billed charges		340	100			Percent of total billed charges		340	33.3			Percent of total billed charges		113.22	33.3			Percent of total billed charges		113.22	100			Percent of total billed charges		340	113.22	306	
richards acetabular drill	270	RC	Outpatient			340	221		90			Percent of total billed charges		306	40			Percent of total billed charges		136	80			Percent of total billed charges		272	90			Percent of total billed charges		306	85			Percent of total billed charges		289	85			Percent of total billed charges		289	85			Percent of total billed charges		289	100			Percent of total billed charges		340	100			Percent of total billed charges		340	100			Percent of total billed charges		340	33.3			Percent of total billed charges		113.22	33.3			Percent of total billed charges		113.22	100			Percent of total billed charges		340	113.22	306	
syn titanium 2.0 x-plate	278	RC	Outpatient			340	221		90			Percent of total billed charges		306	40			Percent of total billed charges		136	80			Percent of total billed charges		272	90			Percent of total billed charges		306	85			Percent of total billed charges		289	85			Percent of total billed charges		289	85			Percent of total billed charges		289	100			Percent of total billed charges		340	100			Percent of total billed charges		340	100			Percent of total billed charges		340	33.3			Percent of total billed charges		113.22	33.3			Percent of total billed charges		113.22	100			Percent of total billed charges		340	113.22	306	
zimm plate self comp 10hl	278	RC	Outpatient			340	221		90			Percent of total billed charges		306	40			Percent of total billed charges		136	80			Percent of total billed charges		272	90			Percent of total billed charges		306	85			Percent of total billed charges		289	85			Percent of total billed charges		289	85			Percent of total billed charges		289	100			Percent of total billed charges		340	100			Percent of total billed charges		340	100			Percent of total billed charges		340	33.3			Percent of total billed charges		113.22	33.3			Percent of total billed charges		113.22	100			Percent of total billed charges		340	113.22	306	
probe quick silver 10f ref# bcp-10ax	272	RC	Outpatient			341	221.65		90			Percent of total billed charges		306.9	40			Percent of total billed charges		136.4	80			Percent of total billed charges		272.8	90			Percent of total billed charges		306.9	85			Percent of total billed charges		289.85	85			Percent of total billed charges		289.85	85			Percent of total billed charges		289.85	100			Percent of total billed charges		341	100			Percent of total billed charges		341	100			Percent of total billed charges		341	33.3			Percent of total billed charges		113.553	33.3			Percent of total billed charges		113.553	100			Percent of total billed charges		341	113.553	306.9	
probe quick silver 7fr ref #bcp-7ax	272	RC	Outpatient			341	221.65		90			Percent of total billed charges		306.9	40			Percent of total billed charges		136.4	80			Percent of total billed charges		272.8	90			Percent of total billed charges		306.9	85			Percent of total billed charges		289.85	85			Percent of total billed charges		289.85	85			Percent of total billed charges		289.85	100			Percent of total billed charges		341	100			Percent of total billed charges		341	100			Percent of total billed charges		341	33.3			Percent of total billed charges		113.553	33.3			Percent of total billed charges		113.553	100			Percent of total billed charges		341	113.553	306.9	
tray esophageal	270	RC	Outpatient			342	222.3		90			Percent of total billed charges		307.8	40			Percent of total billed charges		136.8	80			Percent of total billed charges		273.6	90			Percent of total billed charges		307.8	85			Percent of total billed charges		290.7	85			Percent of total billed charges		290.7	85			Percent of total billed charges		290.7	100			Percent of total billed charges		342	100			Percent of total billed charges		342	100			Percent of total billed charges		342	33.3			Percent of total billed charges		113.886	33.3			Percent of total billed charges		113.886	100			Percent of total billed charges		342	113.886	307.8	
"tube, blakemore"	270	RC	Outpatient			342	222.3		90			Percent of total billed charges		307.8	40			Percent of total billed charges		136.8	80			Percent of total billed charges		273.6	90			Percent of total billed charges		307.8	85			Percent of total billed charges		290.7	85			Percent of total billed charges		290.7	85			Percent of total billed charges		290.7	100			Percent of total billed charges		342	100			Percent of total billed charges		342	100			Percent of total billed charges		342	33.3			Percent of total billed charges		113.886	33.3			Percent of total billed charges		113.886	100			Percent of total billed charges		342	113.886	307.8	
biomet 2.8 drill bit	270	RC	Outpatient			345	224.25		90			Percent of total billed charges		310.5	40			Percent of total billed charges		138	80			Percent of total billed charges		276	90			Percent of total billed charges		310.5	85			Percent of total billed charges		293.25	85			Percent of total billed charges		293.25	85			Percent of total billed charges		293.25	100			Percent of total billed charges		345	100			Percent of total billed charges		345	100			Percent of total billed charges		345	33.3			Percent of total billed charges		114.885	33.3			Percent of total billed charges		114.885	100			Percent of total billed charges		345	114.885	310.5	
biomet quick connect drill bit 2.8mm x 30mm 2.5-424506	270	RC	Outpatient			345	224.25		90			Percent of total billed charges		310.5	40			Percent of total billed charges		138	80			Percent of total billed charges		276	90			Percent of total billed charges		310.5	85			Percent of total billed charges		293.25	85			Percent of total billed charges		293.25	85			Percent of total billed charges		293.25	100			Percent of total billed charges		345	100			Percent of total billed charges		345	100			Percent of total billed charges		345	33.3			Percent of total billed charges		114.885	33.3			Percent of total billed charges		114.885	100			Percent of total billed charges		345	114.885	310.5	
carter thomason ii port closure cti-10159 cooper	272	RC	Outpatient			345	224.25		90			Percent of total billed charges		310.5	40			Percent of total billed charges		138	80			Percent of total billed charges		276	90			Percent of total billed charges		310.5	85			Percent of total billed charges		293.25	85			Percent of total billed charges		293.25	85			Percent of total billed charges		293.25	100			Percent of total billed charges		345	100			Percent of total billed charges		345	100			Percent of total billed charges		345	33.3			Percent of total billed charges		114.885	33.3			Percent of total billed charges		114.885	100			Percent of total billed charges		345	114.885	310.5	
explor implant locking screw biomet 11-210099	278	RC	Outpatient			345	224.25		90			Percent of total billed charges		310.5	40			Percent of total billed charges		138	80			Percent of total billed charges		276	90			Percent of total billed charges		310.5	85			Percent of total billed charges		293.25	85			Percent of total billed charges		293.25	85			Percent of total billed charges		293.25	100			Percent of total billed charges		345	100			Percent of total billed charges		345	100			Percent of total billed charges		345	33.3			Percent of total billed charges		114.885	33.3			Percent of total billed charges		114.885	100			Percent of total billed charges		345	114.885	310.5	
intertan 4.0mm ao short pilot drill 7163-1123 s/n	272	RC	Outpatient			345	224.25		90			Percent of total billed charges		310.5	40			Percent of total billed charges		138	80			Percent of total billed charges		276	90			Percent of total billed charges		310.5	85			Percent of total billed charges		293.25	85			Percent of total billed charges		293.25	85			Percent of total billed charges		293.25	100			Percent of total billed charges		345	100			Percent of total billed charges		345	100			Percent of total billed charges		345	33.3			Percent of total billed charges		114.885	33.3			Percent of total billed charges		114.885	100			Percent of total billed charges		345	114.885	310.5	
explor locking screw	278	RC	Outpatient			345	224.25		90			Percent of total billed charges		310.5	40			Percent of total billed charges		138	80			Percent of total billed charges		276	90			Percent of total billed charges		310.5	85			Percent of total billed charges		293.25	85			Percent of total billed charges		293.25	85			Percent of total billed charges		293.25	100			Percent of total billed charges		345	100			Percent of total billed charges		345	100			Percent of total billed charges		345	33.3			Percent of total billed charges		114.885	33.3			Percent of total billed charges		114.885	100			Percent of total billed charges		345	114.885	310.5	
pleur evac	270	RC	Outpatient			345	224.25		90			Percent of total billed charges		310.5	40			Percent of total billed charges		138	80			Percent of total billed charges		276	90			Percent of total billed charges		310.5	85			Percent of total billed charges		293.25	85			Percent of total billed charges		293.25	85			Percent of total billed charges		293.25	100			Percent of total billed charges		345	100			Percent of total billed charges		345	100			Percent of total billed charges		345	33.3			Percent of total billed charges		114.885	33.3			Percent of total billed charges		114.885	100			Percent of total billed charges		345	114.885	310.5	
trocar  blunttp 12mm  h12lp ethicon	270	RC	Outpatient			345	224.25		90			Percent of total billed charges		310.5	40			Percent of total billed charges		138	80			Percent of total billed charges		276	90			Percent of total billed charges		310.5	85			Percent of total billed charges		293.25	85			Percent of total billed charges		293.25	85			Percent of total billed charges		293.25	100			Percent of total billed charges		345	100			Percent of total billed charges		345	100			Percent of total billed charges		345	33.3			Percent of total billed charges		114.885	33.3			Percent of total billed charges		114.885	100			Percent of total billed charges		345	114.885	310.5	
trocar blunt tip	270	RC	Outpatient			345	224.25		90			Percent of total billed charges		310.5	40			Percent of total billed charges		138	80			Percent of total billed charges		276	90			Percent of total billed charges		310.5	85			Percent of total billed charges		293.25	85			Percent of total billed charges		293.25	85			Percent of total billed charges		293.25	100			Percent of total billed charges		345	100			Percent of total billed charges		345	100			Percent of total billed charges		345	33.3			Percent of total billed charges		114.885	33.3			Percent of total billed charges		114.885	100			Percent of total billed charges		345	114.885	310.5	
4.5mm spoon plate 6 hole 120mm 00-4945-006-13 zimmer	278	RC	Outpatient			346	224.9		90			Percent of total billed charges		311.4	40			Percent of total billed charges		138.4	80			Percent of total billed charges		276.8	90			Percent of total billed charges		311.4	85			Percent of total billed charges		294.1	85			Percent of total billed charges		294.1	85			Percent of total billed charges		294.1	100			Percent of total billed charges		346	100			Percent of total billed charges		346	100			Percent of total billed charges		346	33.3			Percent of total billed charges		115.218	33.3			Percent of total billed charges		115.218	100			Percent of total billed charges		346	115.218	311.4	
4.5mm spoon plate 5 hole 100mm 00-4945-005-13 zimmer	278	RC	Outpatient			346	224.9		90			Percent of total billed charges		311.4	40			Percent of total billed charges		138.4	80			Percent of total billed charges		276.8	90			Percent of total billed charges		311.4	85			Percent of total billed charges		294.1	85			Percent of total billed charges		294.1	85			Percent of total billed charges		294.1	100			Percent of total billed charges		346	100			Percent of total billed charges		346	100			Percent of total billed charges		346	33.3			Percent of total billed charges		115.218	33.3			Percent of total billed charges		115.218	100			Percent of total billed charges		346	115.218	311.4	
zimm 4.5 spoon plate	278	RC	Outpatient			346	224.9		90			Percent of total billed charges		311.4	40			Percent of total billed charges		138.4	80			Percent of total billed charges		276.8	90			Percent of total billed charges		311.4	85			Percent of total billed charges		294.1	85			Percent of total billed charges		294.1	85			Percent of total billed charges		294.1	100			Percent of total billed charges		346	100			Percent of total billed charges		346	100			Percent of total billed charges		346	33.3			Percent of total billed charges		115.218	33.3			Percent of total billed charges		115.218	100			Percent of total billed charges		346	115.218	311.4	
3.5mm dcp plate 16 hole 248.16	278	RC	Outpatient			347	225.55		90			Percent of total billed charges		312.3	40			Percent of total billed charges		138.8	80			Percent of total billed charges		277.6	90			Percent of total billed charges		312.3	85			Percent of total billed charges		294.95	85			Percent of total billed charges		294.95	85			Percent of total billed charges		294.95	100			Percent of total billed charges		347	100			Percent of total billed charges		347	100			Percent of total billed charges		347	33.3			Percent of total billed charges		115.551	33.3			Percent of total billed charges		115.551	100			Percent of total billed charges		347	115.551	312.3	
3800104 cpr ed charge	450	RC	Outpatient			347	225.55		90			Percent of total billed charges		312.3	40			Percent of total billed charges		138.8	80			Percent of total billed charges		277.6	90			Percent of total billed charges		312.3	85			Percent of total billed charges		294.95	85			Percent of total billed charges		294.95	85			Percent of total billed charges		294.95	100			Percent of total billed charges		347	100			Percent of total billed charges		347	100			Percent of total billed charges		347	33.3			Percent of total billed charges		115.551	33.3			Percent of total billed charges		115.551	100			Percent of total billed charges		347	115.551	312.3	
4.5mm narrow dcp plate 12 hole 199mm 224.12	278	RC	Outpatient			347	225.55		90			Percent of total billed charges		312.3	40			Percent of total billed charges		138.8	80			Percent of total billed charges		277.6	90			Percent of total billed charges		312.3	85			Percent of total billed charges		294.95	85			Percent of total billed charges		294.95	85			Percent of total billed charges		294.95	100			Percent of total billed charges		347	100			Percent of total billed charges		347	100			Percent of total billed charges		347	33.3			Percent of total billed charges		115.551	33.3			Percent of total billed charges		115.551	100			Percent of total billed charges		347	115.551	312.3	
4.5mm narrow lc-dpc plate 13 hole 232mm 224.63	278	RC	Outpatient			347	225.55		90			Percent of total billed charges		312.3	40			Percent of total billed charges		138.8	80			Percent of total billed charges		277.6	90			Percent of total billed charges		312.3	85			Percent of total billed charges		294.95	85			Percent of total billed charges		294.95	85			Percent of total billed charges		294.95	100			Percent of total billed charges		347	100			Percent of total billed charges		347	100			Percent of total billed charges		347	33.3			Percent of total billed charges		115.551	33.3			Percent of total billed charges		115.551	100			Percent of total billed charges		347	115.551	312.3	
alexis retractor xx-lg	272	RC	Outpatient			347	225.55		90			Percent of total billed charges		312.3	40			Percent of total billed charges		138.8	80			Percent of total billed charges		277.6	90			Percent of total billed charges		312.3	85			Percent of total billed charges		294.95	85			Percent of total billed charges		294.95	85			Percent of total billed charges		294.95	100			Percent of total billed charges		347	100			Percent of total billed charges		347	100			Percent of total billed charges		347	33.3			Percent of total billed charges		115.551	33.3			Percent of total billed charges		115.551	100			Percent of total billed charges		347	115.551	312.3	
2.7mm dcp plates 12 hole 244.12	278	RC	Outpatient			347	225.55		90			Percent of total billed charges		312.3	40			Percent of total billed charges		138.8	80			Percent of total billed charges		277.6	90			Percent of total billed charges		312.3	85			Percent of total billed charges		294.95	85			Percent of total billed charges		294.95	85			Percent of total billed charges		294.95	100			Percent of total billed charges		347	100			Percent of total billed charges		347	100			Percent of total billed charges		347	33.3			Percent of total billed charges		115.551	33.3			Percent of total billed charges		115.551	100			Percent of total billed charges		347	115.551	312.3	
3.5mm dcp plate 12 hole 248.12	278	RC	Outpatient			347	225.55		90			Percent of total billed charges		312.3	40			Percent of total billed charges		138.8	80			Percent of total billed charges		277.6	90			Percent of total billed charges		312.3	85			Percent of total billed charges		294.95	85			Percent of total billed charges		294.95	85			Percent of total billed charges		294.95	100			Percent of total billed charges		347	100			Percent of total billed charges		347	100			Percent of total billed charges		347	33.3			Percent of total billed charges		115.551	33.3			Percent of total billed charges		115.551	100			Percent of total billed charges		347	115.551	312.3	
3.5mm dcp plate 14 hole 248.14	278	RC	Outpatient			347	225.55		90			Percent of total billed charges		312.3	40			Percent of total billed charges		138.8	80			Percent of total billed charges		277.6	90			Percent of total billed charges		312.3	85			Percent of total billed charges		294.95	85			Percent of total billed charges		294.95	85			Percent of total billed charges		294.95	100			Percent of total billed charges		347	100			Percent of total billed charges		347	100			Percent of total billed charges		347	33.3			Percent of total billed charges		115.551	33.3			Percent of total billed charges		115.551	100			Percent of total billed charges		347	115.551	312.3	
3.5mm dcp plate 18 hole 248.18	278	RC	Outpatient			347	225.55		90			Percent of total billed charges		312.3	40			Percent of total billed charges		138.8	80			Percent of total billed charges		277.6	90			Percent of total billed charges		312.3	85			Percent of total billed charges		294.95	85			Percent of total billed charges		294.95	85			Percent of total billed charges		294.95	100			Percent of total billed charges		347	100			Percent of total billed charges		347	100			Percent of total billed charges		347	33.3			Percent of total billed charges		115.551	33.3			Percent of total billed charges		115.551	100			Percent of total billed charges		347	115.551	312.3	
3.5mm dcp plate 20 hole 248.20	278	RC	Outpatient			347	225.55		90			Percent of total billed charges		312.3	40			Percent of total billed charges		138.8	80			Percent of total billed charges		277.6	90			Percent of total billed charges		312.3	85			Percent of total billed charges		294.95	85			Percent of total billed charges		294.95	85			Percent of total billed charges		294.95	100			Percent of total billed charges		347	100			Percent of total billed charges		347	100			Percent of total billed charges		347	33.3			Percent of total billed charges		115.551	33.3			Percent of total billed charges		115.551	100			Percent of total billed charges		347	115.551	312.3	
3.5mm dcp plate 22 hole 248.22	278	RC	Outpatient			347	225.55		90			Percent of total billed charges		312.3	40			Percent of total billed charges		138.8	80			Percent of total billed charges		277.6	90			Percent of total billed charges		312.3	85			Percent of total billed charges		294.95	85			Percent of total billed charges		294.95	85			Percent of total billed charges		294.95	100			Percent of total billed charges		347	100			Percent of total billed charges		347	100			Percent of total billed charges		347	33.3			Percent of total billed charges		115.551	33.3			Percent of total billed charges		115.551	100			Percent of total billed charges		347	115.551	312.3	
4.5mm broad dcp plate 12 hole 226.12	278	RC	Outpatient			347	225.55		90			Percent of total billed charges		312.3	40			Percent of total billed charges		138.8	80			Percent of total billed charges		277.6	90			Percent of total billed charges		312.3	85			Percent of total billed charges		294.95	85			Percent of total billed charges		294.95	85			Percent of total billed charges		294.95	100			Percent of total billed charges		347	100			Percent of total billed charges		347	100			Percent of total billed charges		347	33.3			Percent of total billed charges		115.551	33.3			Percent of total billed charges		115.551	100			Percent of total billed charges		347	115.551	312.3	
4.5mm narrow dcp plate 12 hole 224.12	278	RC	Outpatient			347	225.55		90			Percent of total billed charges		312.3	40			Percent of total billed charges		138.8	80			Percent of total billed charges		277.6	90			Percent of total billed charges		312.3	85			Percent of total billed charges		294.95	85			Percent of total billed charges		294.95	85			Percent of total billed charges		294.95	100			Percent of total billed charges		347	100			Percent of total billed charges		347	100			Percent of total billed charges		347	33.3			Percent of total billed charges		115.551	33.3			Percent of total billed charges		115.551	100			Percent of total billed charges		347	115.551	312.3	
imp plate 12 hole 3.5mm lc-dcp 223.62	278	RC	Outpatient			347	225.55		90			Percent of total billed charges		312.3	40			Percent of total billed charges		138.8	80			Percent of total billed charges		277.6	90			Percent of total billed charges		312.3	85			Percent of total billed charges		294.95	85			Percent of total billed charges		294.95	85			Percent of total billed charges		294.95	100			Percent of total billed charges		347	100			Percent of total billed charges		347	100			Percent of total billed charges		347	33.3			Percent of total billed charges		115.551	33.3			Percent of total billed charges		115.551	100			Percent of total billed charges		347	115.551	312.3	
lc-dcp plate 4.5 narrow 12 hole 214mm 224.62	278	RC	Outpatient			347	225.55		90			Percent of total billed charges		312.3	40			Percent of total billed charges		138.8	80			Percent of total billed charges		277.6	90			Percent of total billed charges		312.3	85			Percent of total billed charges		294.95	85			Percent of total billed charges		294.95	85			Percent of total billed charges		294.95	100			Percent of total billed charges		347	100			Percent of total billed charges		347	100			Percent of total billed charges		347	33.3			Percent of total billed charges		115.551	33.3			Percent of total billed charges		115.551	100			Percent of total billed charges		347	115.551	312.3	
screw non-locking 2.3 x 36mm 53-23236 stryker	278	RC	Outpatient			347	225.55		90			Percent of total billed charges		312.3	40			Percent of total billed charges		138.8	80			Percent of total billed charges		277.6	90			Percent of total billed charges		312.3	85			Percent of total billed charges		294.95	85			Percent of total billed charges		294.95	85			Percent of total billed charges		294.95	100			Percent of total billed charges		347	100			Percent of total billed charges		347	100			Percent of total billed charges		347	33.3			Percent of total billed charges		115.551	33.3			Percent of total billed charges		115.551	100			Percent of total billed charges		347	115.551	312.3	
stryker sl screw non-lck	278	RC	Outpatient			347	225.55		90			Percent of total billed charges		312.3	40			Percent of total billed charges		138.8	80			Percent of total billed charges		277.6	90			Percent of total billed charges		312.3	85			Percent of total billed charges		294.95	85			Percent of total billed charges		294.95	85			Percent of total billed charges		294.95	100			Percent of total billed charges		347	100			Percent of total billed charges		347	100			Percent of total billed charges		347	33.3			Percent of total billed charges		115.551	33.3			Percent of total billed charges		115.551	100			Percent of total billed charges		347	115.551	312.3	
syn plate dcp 12 hole	278	RC	Outpatient			347	225.55		90			Percent of total billed charges		312.3	40			Percent of total billed charges		138.8	80			Percent of total billed charges		277.6	90			Percent of total billed charges		312.3	85			Percent of total billed charges		294.95	85			Percent of total billed charges		294.95	85			Percent of total billed charges		294.95	100			Percent of total billed charges		347	100			Percent of total billed charges		347	100			Percent of total billed charges		347	33.3			Percent of total billed charges		115.551	33.3			Percent of total billed charges		115.551	100			Percent of total billed charges		347	115.551	312.3	
retractor wound x x-large c8405 applied med	272	RC	Outpatient			347	225.55		90			Percent of total billed charges		312.3	40			Percent of total billed charges		138.8	80			Percent of total billed charges		277.6	90			Percent of total billed charges		312.3	85			Percent of total billed charges		294.95	85			Percent of total billed charges		294.95	85			Percent of total billed charges		294.95	100			Percent of total billed charges		347	100			Percent of total billed charges		347	100			Percent of total billed charges		347	33.3			Percent of total billed charges		115.551	33.3			Percent of total billed charges		115.551	100			Percent of total billed charges		347	115.551	312.3	
screw non-locking 2.3 x 34mm 53-23234 stryker	278	RC	Outpatient			347	225.55		90			Percent of total billed charges		312.3	40			Percent of total billed charges		138.8	80			Percent of total billed charges		277.6	90			Percent of total billed charges		312.3	85			Percent of total billed charges		294.95	85			Percent of total billed charges		294.95	85			Percent of total billed charges		294.95	100			Percent of total billed charges		347	100			Percent of total billed charges		347	100			Percent of total billed charges		347	33.3			Percent of total billed charges		115.551	33.3			Percent of total billed charges		115.551	100			Percent of total billed charges		347	115.551	312.3	
screw non-locking 2.3 x 38mm 53-23238 stryker	278	RC	Outpatient			347	225.55		90			Percent of total billed charges		312.3	40			Percent of total billed charges		138.8	80			Percent of total billed charges		277.6	90			Percent of total billed charges		312.3	85			Percent of total billed charges		294.95	85			Percent of total billed charges		294.95	85			Percent of total billed charges		294.95	100			Percent of total billed charges		347	100			Percent of total billed charges		347	100			Percent of total billed charges		347	33.3			Percent of total billed charges		115.551	33.3			Percent of total billed charges		115.551	100			Percent of total billed charges		347	115.551	312.3	
stryker sl peg	278	RC	Outpatient			347	225.55		90			Percent of total billed charges		312.3	40			Percent of total billed charges		138.8	80			Percent of total billed charges		277.6	90			Percent of total billed charges		312.3	85			Percent of total billed charges		294.95	85			Percent of total billed charges		294.95	85			Percent of total billed charges		294.95	100			Percent of total billed charges		347	100			Percent of total billed charges		347	100			Percent of total billed charges		347	33.3			Percent of total billed charges		115.551	33.3			Percent of total billed charges		115.551	100			Percent of total billed charges		347	115.551	312.3	
3.9 titanium locking bolt 18mm (blue) 458.18 synthes	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
3.9 titanium locking bolt 22mm (blue) 458.22 synthes	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
3.9 titanium locking bolt 24mm (blue) 458.24 synthes	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
3.9 titanium locking bolt 32mm (blue) 458.32 synthes	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
3.9 titanium locking bolt 34mm (blue) 458.34 synthes	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
3.9 titanium locking bolt 36mm (blue) 458.36 synthes	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
3.9 titanium locking bolt 42mm (blue) 458.42 synthes	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
3.9 titanium locking bolt 44mm (blue) 458.44 synthes	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
3.9 titanium locking bolt 48mm (blue) 458.48 synthes	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
3.9 titanium locking bolt 50mm (blue) 458.50 synthes	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
3.9 titanium locking bolt 62mm (blue) 458.62 synthes	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
3.9 titanium locking bolt 64mm (blue) 458.64 synthes	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
3.9 titanium locking bolt 66mm (blue) 458.66 synthes	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
3.9 titanium locking bolt 68mm (blue) 458.68 synthes	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
3.9 titanium locking bolt 70mm (blue) 458.70 synthes	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
3.9 titanium locking bolt 72mm (blue) 458.72 synthes	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
4.9mm titanium locking bolt green 28mm 459.28 synthes	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
4.9mm titanium locking bolt green 30mm 459.30 synthes	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
4.9mm titanium locking bolt green 32mm 459.32 synthes	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
4.9mm titanium locking bolt green 36mm 459.36 synthes	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
4.9mm titanium locking bolt green 38mm 459.38 synthes	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
4.9mm titanium locking bolt green 40mm 459.40 synthes	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
4.9mm titanium locking bolt green 44mm 459.44 synthes	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
4.9mm titanium locking bolt green 50mm 459.50 synthes	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
4.9mm titanium locking bolt green 58mm 459.58 synthes	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
4.9mm titanium locking bolt green 64mm 459.64 synthes	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
4.9mm titanium locking bolt green 68mm 459.68 synthes	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
4.9mm titanium locking bolt green 80mm 459.80 synthes	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
4.9mm titanium locking bolt green 85mm 459.85 synthes	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
4.9mm titanium locking bolt green 95mm 459.95 synthes	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
cath broncho lf 37fr 5-16037	270	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
cath broncho lf 39fr 5-16039	270	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
cath broncho lf 41fr 5-16041	270	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
3.9 titanium locking bolt 20mm (blue) 458.20 synthes	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
3.9 titanium locking bolt 26mm (blue) 458.26 synthes	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
3.9 titanium locking bolt 28mm (blue) 458.28 synthes	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
3.9 titanium locking bolt 30mm (blue) 458.30 synthes	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
3.9 titanium locking bolt 38mm (blue) 458.38 synthes	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
3.9 titanium locking bolt 40mm (blue) 458.40 synthes	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
3.9 titanium locking bolt 46mm (blue) 458.46 synthes	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
3.9 titanium locking bolt 52mm (blue) 458.52 synthes	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
3.9 titanium locking bolt 54mm (blue) 458.54 synthes	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
3.9 titanium locking bolt 56mm (blue) 458.56 synthes	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
3.9 titanium locking bolt 58mm (blue) 458.58 synthes	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
3.9 titanium locking bolt 60mm (blue) 458.60 synthes	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
3.9 titanium locking bolt 74mm (blue) 458.74 synthes	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
3.9 titanium locking bolt 76mm (blue) 458.76 synthes	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
3.9 titanium locking bolt 78mm (blue) 458.78 synthes	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
3.9 titanium locking bolt 80mm (blue) 458.80 synthes	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
4.9mm titanium locking bolt green 100mm 459.100 synthes	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
4.9mm titanium locking bolt green 26mm 459.26 synthes	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
4.9mm titanium locking bolt green 34mm 459.34 synthes	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
4.9mm titanium locking bolt green 42mm 459.42 synthes	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
4.9mm titanium locking bolt green 46mm 459.46 synthes	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
4.9mm titanium locking bolt green 48mm 459.48 synthes	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
4.9mm titanium locking bolt green 52mm 459.52 synthes	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
4.9mm titanium locking bolt green 54mm 459.54 synthes	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
4.9mm titanium locking bolt green 56mm 459.56 synthes	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
4.9mm titanium locking bolt green 60mm 459.60 synthes	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
4.9mm titanium locking bolt green 72mm 459.72 synthes	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
4.9mm titanium locking bolt green 76mm 459.76 synthes	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
4.9mm titanium locking bolt green 90mm 459.90 synthes	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
access sheath	272	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
access sheath 11/13 fr x 46 250-204 boston sci	272	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
acufex univ.cannula kit	270	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
acufex universal cannula kit 014623 smith	270	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
bolt locking 3.9 x 28 458.28	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
bolt locking 3.9 x 48 458.48	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
cath broncho 37fr rt	270	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
cath broncho endo 39fr rt 5-16139 sheridan	270	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
cath broncho left 28 fr carinal	270	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
double lumen endo tube left	270	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
excluder intro sheath18fr	272	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
double lumen endo tube right	270	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
k-wire 1.8 x 310mm 0152-0218s stryker	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
locking bolt 4.9 x 60mm ti 459.60s	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
locking bolt 4.9 x 64mm ti 459.64	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
hold pen unicondylar	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
kyphon cement mixer	272	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
kyphon mixer kit a07a	272	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
locking bolt 3.9 x 44mm ti 458.44	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
locking bolt 3.9 x 48mm ti 458.48	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
navigator hd  ureteral access sheath  250-221 boston sci	272	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
sheath 18 fr pg183000 gore	272	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
stryker k-wire 1.2	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
syn 12 mm end cap	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
sheath set navigator ureteral 250-202 boston sci	272	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
syn 4.9 titan. lock bolt	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
syn titan. lock bolt	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
"tube, endobronchial left 35fr mallm 95892"	270	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
"tube, endobronchial right 36fr kend 5-16135"	270	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
"tube, endobronchial right 41fr kend 5-16141"	270	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
zimmer holding pin 5791-54	278	RC	Outpatient			348	226.2		90			Percent of total billed charges		313.2	40			Percent of total billed charges		139.2	80			Percent of total billed charges		278.4	90			Percent of total billed charges		313.2	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	85			Percent of total billed charges		295.8	100			Percent of total billed charges		348	100			Percent of total billed charges		348	100			Percent of total billed charges		348	33.3			Percent of total billed charges		115.884	33.3			Percent of total billed charges		115.884	100			Percent of total billed charges		348	115.884	313.2	
3800156 ultrasound guidance	450	RC	Outpatient			349	226.85		90			Percent of total billed charges		314.1	40			Percent of total billed charges		139.6	80			Percent of total billed charges		279.2	90			Percent of total billed charges		314.1	85			Percent of total billed charges		296.65	85			Percent of total billed charges		296.65	85			Percent of total billed charges		296.65	100			Percent of total billed charges		349	100			Percent of total billed charges		349	100			Percent of total billed charges		349	33.3			Percent of total billed charges		116.217	33.3			Percent of total billed charges		116.217	100			Percent of total billed charges		349	116.217	314.1	
pilot drill lg 4.0mm 7163-1110 s/n	270	RC	Outpatient			349	226.85		90			Percent of total billed charges		314.1	40			Percent of total billed charges		139.6	80			Percent of total billed charges		279.2	90			Percent of total billed charges		314.1	85			Percent of total billed charges		296.65	85			Percent of total billed charges		296.65	85			Percent of total billed charges		296.65	100			Percent of total billed charges		349	100			Percent of total billed charges		349	100			Percent of total billed charges		349	33.3			Percent of total billed charges		116.217	33.3			Percent of total billed charges		116.217	100			Percent of total billed charges		349	116.217	314.1	
s/n pilot drill lg	270	RC	Outpatient			349	226.85		90			Percent of total billed charges		314.1	40			Percent of total billed charges		139.6	80			Percent of total billed charges		279.2	90			Percent of total billed charges		314.1	85			Percent of total billed charges		296.65	85			Percent of total billed charges		296.65	85			Percent of total billed charges		296.65	100			Percent of total billed charges		349	100			Percent of total billed charges		349	100			Percent of total billed charges		349	33.3			Percent of total billed charges		116.217	33.3			Percent of total billed charges		116.217	100			Percent of total billed charges		349	116.217	314.1	
s/n evos samll 2.0 mm drill w/ ad qc long ref 71175020	272	RC	Outpatient			349.8	227.37		90			Percent of total billed charges		314.82	40			Percent of total billed charges		139.92	80			Percent of total billed charges		279.84	90			Percent of total billed charges		314.82	85			Percent of total billed charges		297.33	85			Percent of total billed charges		297.33	85			Percent of total billed charges		297.33	100			Percent of total billed charges		349.8	100			Percent of total billed charges		349.8	100			Percent of total billed charges		349.8	33.3			Percent of total billed charges		116.4834	33.3			Percent of total billed charges		116.4834	100			Percent of total billed charges		349.8	116.4834	314.82	
1.5mm condylar plate 7 hole 37mm shaft right 00-4915-002-19 zimmer	278	RC	Outpatient			350	227.5		90			Percent of total billed charges		315	40			Percent of total billed charges		140	80			Percent of total billed charges		280	90			Percent of total billed charges		315	85			Percent of total billed charges		297.5	85			Percent of total billed charges		297.5	85			Percent of total billed charges		297.5	100			Percent of total billed charges		350	100			Percent of total billed charges		350	100			Percent of total billed charges		350	33.3			Percent of total billed charges		116.55	33.3			Percent of total billed charges		116.55	100			Percent of total billed charges		350	116.55	315	
2.0mm condylar plate 7 hole 39mm shaft right 00-4920-002-19 zimmer	278	RC	Outpatient			350	227.5		90			Percent of total billed charges		315	40			Percent of total billed charges		140	80			Percent of total billed charges		280	90			Percent of total billed charges		315	85			Percent of total billed charges		297.5	85			Percent of total billed charges		297.5	85			Percent of total billed charges		297.5	100			Percent of total billed charges		350	100			Percent of total billed charges		350	100			Percent of total billed charges		350	33.3			Percent of total billed charges		116.55	33.3			Percent of total billed charges		116.55	100			Percent of total billed charges		350	116.55	315	
2.7mm condylar plate 7 hole 57mm shaft left 00-4927-001-19 zimmer	278	RC	Outpatient			350	227.5		90			Percent of total billed charges		315	40			Percent of total billed charges		140	80			Percent of total billed charges		280	90			Percent of total billed charges		315	85			Percent of total billed charges		297.5	85			Percent of total billed charges		297.5	85			Percent of total billed charges		297.5	100			Percent of total billed charges		350	100			Percent of total billed charges		350	100			Percent of total billed charges		350	33.3			Percent of total billed charges		116.55	33.3			Percent of total billed charges		116.55	100			Percent of total billed charges		350	116.55	315	
2.7mm condylar plate 7 hole 57mm shaft right 00-4927-002-19 zimmer	278	RC	Outpatient			350	227.5		90			Percent of total billed charges		315	40			Percent of total billed charges		140	80			Percent of total billed charges		280	90			Percent of total billed charges		315	85			Percent of total billed charges		297.5	85			Percent of total billed charges		297.5	85			Percent of total billed charges		297.5	100			Percent of total billed charges		350	100			Percent of total billed charges		350	100			Percent of total billed charges		350	33.3			Percent of total billed charges		116.55	33.3			Percent of total billed charges		116.55	100			Percent of total billed charges		350	116.55	315	
1.5mm condylar plate 7 hole 37mm shaft left 00-4915-001-19 zimmer	278	RC	Outpatient			350	227.5		90			Percent of total billed charges		315	40			Percent of total billed charges		140	80			Percent of total billed charges		280	90			Percent of total billed charges		315	85			Percent of total billed charges		297.5	85			Percent of total billed charges		297.5	85			Percent of total billed charges		297.5	100			Percent of total billed charges		350	100			Percent of total billed charges		350	100			Percent of total billed charges		350	33.3			Percent of total billed charges		116.55	33.3			Percent of total billed charges		116.55	100			Percent of total billed charges		350	116.55	315	
2.0mm condylar plate 7 hole 39mm shaft left 00-4920-001-19 zimmer	278	RC	Outpatient			350	227.5		90			Percent of total billed charges		315	40			Percent of total billed charges		140	80			Percent of total billed charges		280	90			Percent of total billed charges		315	85			Percent of total billed charges		297.5	85			Percent of total billed charges		297.5	85			Percent of total billed charges		297.5	100			Percent of total billed charges		350	100			Percent of total billed charges		350	100			Percent of total billed charges		350	33.3			Percent of total billed charges		116.55	33.3			Percent of total billed charges		116.55	100			Percent of total billed charges		350	116.55	315	
drill bit 2.5 700347 stryker	272	RC	Outpatient			350	227.5		90			Percent of total billed charges		315	40			Percent of total billed charges		140	80			Percent of total billed charges		280	90			Percent of total billed charges		315	85			Percent of total billed charges		297.5	85			Percent of total billed charges		297.5	85			Percent of total billed charges		297.5	100			Percent of total billed charges		350	100			Percent of total billed charges		350	100			Percent of total billed charges		350	33.3			Percent of total billed charges		116.55	33.3			Percent of total billed charges		116.55	100			Percent of total billed charges		350	116.55	315	
drill bit 2.5 x 230 700355 stryker	272	RC	Outpatient			350	227.5		90			Percent of total billed charges		315	40			Percent of total billed charges		140	80			Percent of total billed charges		280	90			Percent of total billed charges		315	85			Percent of total billed charges		297.5	85			Percent of total billed charges		297.5	85			Percent of total billed charges		297.5	100			Percent of total billed charges		350	100			Percent of total billed charges		350	100			Percent of total billed charges		350	33.3			Percent of total billed charges		116.55	33.3			Percent of total billed charges		116.55	100			Percent of total billed charges		350	116.55	315	
drill bit 4.0 x 40mm 2107-4040 stryker	272	RC	Outpatient			350	227.5		90			Percent of total billed charges		315	40			Percent of total billed charges		140	80			Percent of total billed charges		280	90			Percent of total billed charges		315	85			Percent of total billed charges		297.5	85			Percent of total billed charges		297.5	85			Percent of total billed charges		297.5	100			Percent of total billed charges		350	100			Percent of total billed charges		350	100			Percent of total billed charges		350	33.3			Percent of total billed charges		116.55	33.3			Percent of total billed charges		116.55	100			Percent of total billed charges		350	116.55	315	
drill bit 3.1 x 204 702740 stryker	272	RC	Outpatient			350	227.5		90			Percent of total billed charges		315	40			Percent of total billed charges		140	80			Percent of total billed charges		280	90			Percent of total billed charges		315	85			Percent of total billed charges		297.5	85			Percent of total billed charges		297.5	85			Percent of total billed charges		297.5	100			Percent of total billed charges		350	100			Percent of total billed charges		350	100			Percent of total billed charges		350	33.3			Percent of total billed charges		116.55	33.3			Percent of total billed charges		116.55	100			Percent of total billed charges		350	116.55	315	
peri-loc vlp 2.7 x 14mm pf pin 71171228 s/n	272	RC	Outpatient			350	227.5		90			Percent of total billed charges		315	40			Percent of total billed charges		140	80			Percent of total billed charges		280	90			Percent of total billed charges		315	85			Percent of total billed charges		297.5	85			Percent of total billed charges		297.5	85			Percent of total billed charges		297.5	100			Percent of total billed charges		350	100			Percent of total billed charges		350	100			Percent of total billed charges		350	33.3			Percent of total billed charges		116.55	33.3			Percent of total billed charges		116.55	100			Percent of total billed charges		350	116.55	315	
peri-loc vlp pf pin	272	RC	Outpatient			350	227.5		90			Percent of total billed charges		315	40			Percent of total billed charges		140	80			Percent of total billed charges		280	90			Percent of total billed charges		315	85			Percent of total billed charges		297.5	85			Percent of total billed charges		297.5	85			Percent of total billed charges		297.5	100			Percent of total billed charges		350	100			Percent of total billed charges		350	100			Percent of total billed charges		350	33.3			Percent of total billed charges		116.55	33.3			Percent of total billed charges		116.55	100			Percent of total billed charges		350	116.55	315	
peri-loc vlp 2.7 x  40mm pf pin 71171230 s/n	272	RC	Outpatient			350	227.5		90			Percent of total billed charges		315	40			Percent of total billed charges		140	80			Percent of total billed charges		280	90			Percent of total billed charges		315	85			Percent of total billed charges		297.5	85			Percent of total billed charges		297.5	85			Percent of total billed charges		297.5	100			Percent of total billed charges		350	100			Percent of total billed charges		350	100			Percent of total billed charges		350	33.3			Percent of total billed charges		116.55	33.3			Percent of total billed charges		116.55	100			Percent of total billed charges		350	116.55	315	
peri-loc vlp 2.7 x 25mm pf pin 71171229 s/n	272	RC	Outpatient			350	227.5		90			Percent of total billed charges		315	40			Percent of total billed charges		140	80			Percent of total billed charges		280	90			Percent of total billed charges		315	85			Percent of total billed charges		297.5	85			Percent of total billed charges		297.5	85			Percent of total billed charges		297.5	100			Percent of total billed charges		350	100			Percent of total billed charges		350	100			Percent of total billed charges		350	33.3			Percent of total billed charges		116.55	33.3			Percent of total billed charges		116.55	100			Percent of total billed charges		350	116.55	315	
pilot drill short 4.0mm 7163-1117 s/n	270	RC	Outpatient			350	227.5		90			Percent of total billed charges		315	40			Percent of total billed charges		140	80			Percent of total billed charges		280	90			Percent of total billed charges		315	85			Percent of total billed charges		297.5	85			Percent of total billed charges		297.5	85			Percent of total billed charges		297.5	100			Percent of total billed charges		350	100			Percent of total billed charges		350	100			Percent of total billed charges		350	33.3			Percent of total billed charges		116.55	33.3			Percent of total billed charges		116.55	100			Percent of total billed charges		350	116.55	315	
s/n ao pilot drill short	272	RC	Outpatient			350	227.5		90			Percent of total billed charges		315	40			Percent of total billed charges		140	80			Percent of total billed charges		280	90			Percent of total billed charges		315	85			Percent of total billed charges		297.5	85			Percent of total billed charges		297.5	85			Percent of total billed charges		297.5	100			Percent of total billed charges		350	100			Percent of total billed charges		350	100			Percent of total billed charges		350	33.3			Percent of total billed charges		116.55	33.3			Percent of total billed charges		116.55	100			Percent of total billed charges		350	116.55	315	
s/n pilot drill short	270	RC	Outpatient			350	227.5		90			Percent of total billed charges		315	40			Percent of total billed charges		140	80			Percent of total billed charges		280	90			Percent of total billed charges		315	85			Percent of total billed charges		297.5	85			Percent of total billed charges		297.5	85			Percent of total billed charges		297.5	100			Percent of total billed charges		350	100			Percent of total billed charges		350	100			Percent of total billed charges		350	33.3			Percent of total billed charges		116.55	33.3			Percent of total billed charges		116.55	100			Percent of total billed charges		350	116.55	315	
scrmc glidewire gt guidewire	270	RC	Outpatient			350	227.5		90			Percent of total billed charges		315	40			Percent of total billed charges		140	80			Percent of total billed charges		280	90			Percent of total billed charges		315	85			Percent of total billed charges		297.5	85			Percent of total billed charges		297.5	85			Percent of total billed charges		297.5	100			Percent of total billed charges		350	100			Percent of total billed charges		350	100			Percent of total billed charges		350	33.3			Percent of total billed charges		116.55	33.3			Percent of total billed charges		116.55	100			Percent of total billed charges		350	116.55	315	
stryker drill bit 2.5	272	RC	Outpatient			350	227.5		90			Percent of total billed charges		315	40			Percent of total billed charges		140	80			Percent of total billed charges		280	90			Percent of total billed charges		315	85			Percent of total billed charges		297.5	85			Percent of total billed charges		297.5	85			Percent of total billed charges		297.5	100			Percent of total billed charges		350	100			Percent of total billed charges		350	100			Percent of total billed charges		350	33.3			Percent of total billed charges		116.55	33.3			Percent of total billed charges		116.55	100			Percent of total billed charges		350	116.55	315	
tap w/ qc 2.7mm 71173366 s/n	272	RC	Outpatient			350	227.5		90			Percent of total billed charges		315	40			Percent of total billed charges		140	80			Percent of total billed charges		280	90			Percent of total billed charges		315	85			Percent of total billed charges		297.5	85			Percent of total billed charges		297.5	85			Percent of total billed charges		297.5	100			Percent of total billed charges		350	100			Percent of total billed charges		350	100			Percent of total billed charges		350	33.3			Percent of total billed charges		116.55	33.3			Percent of total billed charges		116.55	100			Percent of total billed charges		350	116.55	315	
zimm condylar plate	278	RC	Outpatient			350	227.5		90			Percent of total billed charges		315	40			Percent of total billed charges		140	80			Percent of total billed charges		280	90			Percent of total billed charges		315	85			Percent of total billed charges		297.5	85			Percent of total billed charges		297.5	85			Percent of total billed charges		297.5	100			Percent of total billed charges		350	100			Percent of total billed charges		350	100			Percent of total billed charges		350	33.3			Percent of total billed charges		116.55	33.3			Percent of total billed charges		116.55	100			Percent of total billed charges		350	116.55	315	
advincula delineator 2.5 ad750-ke25 cooper surg	272	RC	Outpatient			352	228.8		90			Percent of total billed charges		316.8	40			Percent of total billed charges		140.8	80			Percent of total billed charges		281.6	90			Percent of total billed charges		316.8	85			Percent of total billed charges		299.2	85			Percent of total billed charges		299.2	85			Percent of total billed charges		299.2	100			Percent of total billed charges		352	100			Percent of total billed charges		352	100			Percent of total billed charges		352	33.3			Percent of total billed charges		117.216	33.3			Percent of total billed charges		117.216	100			Percent of total billed charges		352	117.216	316.8	
advincula delineator 3.0 ad750-ke30 cooper surg	272	RC	Outpatient			352	228.8		90			Percent of total billed charges		316.8	40			Percent of total billed charges		140.8	80			Percent of total billed charges		281.6	90			Percent of total billed charges		316.8	85			Percent of total billed charges		299.2	85			Percent of total billed charges		299.2	85			Percent of total billed charges		299.2	100			Percent of total billed charges		352	100			Percent of total billed charges		352	100			Percent of total billed charges		352	33.3			Percent of total billed charges		117.216	33.3			Percent of total billed charges		117.216	100			Percent of total billed charges		352	117.216	316.8	
advincula delineator 3.5 ad750-ke35 cooper surg	272	RC	Outpatient			352	228.8		90			Percent of total billed charges		316.8	40			Percent of total billed charges		140.8	80			Percent of total billed charges		281.6	90			Percent of total billed charges		316.8	85			Percent of total billed charges		299.2	85			Percent of total billed charges		299.2	85			Percent of total billed charges		299.2	100			Percent of total billed charges		352	100			Percent of total billed charges		352	100			Percent of total billed charges		352	33.3			Percent of total billed charges		117.216	33.3			Percent of total billed charges		117.216	100			Percent of total billed charges		352	117.216	316.8	
advincula delineator 4.0 ad750-ke40 cooper surg	272	RC	Outpatient			352	228.8		90			Percent of total billed charges		316.8	40			Percent of total billed charges		140.8	80			Percent of total billed charges		281.6	90			Percent of total billed charges		316.8	85			Percent of total billed charges		299.2	85			Percent of total billed charges		299.2	85			Percent of total billed charges		299.2	100			Percent of total billed charges		352	100			Percent of total billed charges		352	100			Percent of total billed charges		352	33.3			Percent of total billed charges		117.216	33.3			Percent of total billed charges		117.216	100			Percent of total billed charges		352	117.216	316.8	
clip hemoclip 16mm cook ref # insc-7-230-s	272	RC	Outpatient			352	228.8		90			Percent of total billed charges		316.8	40			Percent of total billed charges		140.8	80			Percent of total billed charges		281.6	90			Percent of total billed charges		316.8	85			Percent of total billed charges		299.2	85			Percent of total billed charges		299.2	85			Percent of total billed charges		299.2	100			Percent of total billed charges		352	100			Percent of total billed charges		352	100			Percent of total billed charges		352	33.3			Percent of total billed charges		117.216	33.3			Percent of total billed charges		117.216	100			Percent of total billed charges		352	117.216	316.8	
endo clip procedure	270	RC	Outpatient			352	228.8		90			Percent of total billed charges		316.8	40			Percent of total billed charges		140.8	80			Percent of total billed charges		281.6	90			Percent of total billed charges		316.8	85			Percent of total billed charges		299.2	85			Percent of total billed charges		299.2	85			Percent of total billed charges		299.2	100			Percent of total billed charges		352	100			Percent of total billed charges		352	100			Percent of total billed charges		352	33.3			Percent of total billed charges		117.216	33.3			Percent of total billed charges		117.216	100			Percent of total billed charges		352	117.216	316.8	
screw locking 2.3 x 22mm 53-23622 stryker	278	RC	Outpatient			352	228.8		90			Percent of total billed charges		316.8	40			Percent of total billed charges		140.8	80			Percent of total billed charges		281.6	90			Percent of total billed charges		316.8	85			Percent of total billed charges		299.2	85			Percent of total billed charges		299.2	85			Percent of total billed charges		299.2	100			Percent of total billed charges		352	100			Percent of total billed charges		352	100			Percent of total billed charges		352	33.3			Percent of total billed charges		117.216	33.3			Percent of total billed charges		117.216	100			Percent of total billed charges		352	117.216	316.8	
screw locking 2.3 x 24mm 53-26624e stryker	278	RC	Outpatient			352	228.8		90			Percent of total billed charges		316.8	40			Percent of total billed charges		140.8	80			Percent of total billed charges		281.6	90			Percent of total billed charges		316.8	85			Percent of total billed charges		299.2	85			Percent of total billed charges		299.2	85			Percent of total billed charges		299.2	100			Percent of total billed charges		352	100			Percent of total billed charges		352	100			Percent of total billed charges		352	33.3			Percent of total billed charges		117.216	33.3			Percent of total billed charges		117.216	100			Percent of total billed charges		352	117.216	316.8	
stryker t7 locking screw	278	RC	Outpatient			352	228.8		90			Percent of total billed charges		316.8	40			Percent of total billed charges		140.8	80			Percent of total billed charges		281.6	90			Percent of total billed charges		316.8	85			Percent of total billed charges		299.2	85			Percent of total billed charges		299.2	85			Percent of total billed charges		299.2	100			Percent of total billed charges		352	100			Percent of total billed charges		352	100			Percent of total billed charges		352	33.3			Percent of total billed charges		117.216	33.3			Percent of total billed charges		117.216	100			Percent of total billed charges		352	117.216	316.8	
screw locking 2.3 x 26mm 53-26626e stryker	278	RC	Outpatient			352	228.8		90			Percent of total billed charges		316.8	40			Percent of total billed charges		140.8	80			Percent of total billed charges		281.6	90			Percent of total billed charges		316.8	85			Percent of total billed charges		299.2	85			Percent of total billed charges		299.2	85			Percent of total billed charges		299.2	100			Percent of total billed charges		352	100			Percent of total billed charges		352	100			Percent of total billed charges		352	33.3			Percent of total billed charges		117.216	33.3			Percent of total billed charges		117.216	100			Percent of total billed charges		352	117.216	316.8	
stryker sl screw lock	278	RC	Outpatient			352	228.8		90			Percent of total billed charges		316.8	40			Percent of total billed charges		140.8	80			Percent of total billed charges		281.6	90			Percent of total billed charges		316.8	85			Percent of total billed charges		299.2	85			Percent of total billed charges		299.2	85			Percent of total billed charges		299.2	100			Percent of total billed charges		352	100			Percent of total billed charges		352	100			Percent of total billed charges		352	33.3			Percent of total billed charges		117.216	33.3			Percent of total billed charges		117.216	100			Percent of total billed charges		352	117.216	316.8	
twist drill 2.4mm drill-1.60 trimed	272	RC	Outpatient			352	228.8		90			Percent of total billed charges		316.8	40			Percent of total billed charges		140.8	80			Percent of total billed charges		281.6	90			Percent of total billed charges		316.8	85			Percent of total billed charges		299.2	85			Percent of total billed charges		299.2	85			Percent of total billed charges		299.2	100			Percent of total billed charges		352	100			Percent of total billed charges		352	100			Percent of total billed charges		352	33.3			Percent of total billed charges		117.216	33.3			Percent of total billed charges		117.216	100			Percent of total billed charges		352	117.216	316.8	
3.5mm x 35.0mm hco-3350-s polarus	278	RC	Outpatient			353	229.45		90			Percent of total billed charges		317.7	40			Percent of total billed charges		141.2	80			Percent of total billed charges		282.4	90			Percent of total billed charges		317.7	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	100			Percent of total billed charges		353	100			Percent of total billed charges		353	100			Percent of total billed charges		353	33.3			Percent of total billed charges		117.549	33.3			Percent of total billed charges		117.549	100			Percent of total billed charges		353	117.549	317.7	
5.0 ao locking screw 44mm 370344 stryker	278	RC	Outpatient			353	229.45		90			Percent of total billed charges		317.7	40			Percent of total billed charges		141.2	80			Percent of total billed charges		282.4	90			Percent of total billed charges		317.7	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	100			Percent of total billed charges		353	100			Percent of total billed charges		353	100			Percent of total billed charges		353	33.3			Percent of total billed charges		117.549	33.3			Percent of total billed charges		117.549	100			Percent of total billed charges		353	117.549	317.7	
5.0 ao locking screw 70mm 370370 stryker	278	RC	Outpatient			353	229.45		90			Percent of total billed charges		317.7	40			Percent of total billed charges		141.2	80			Percent of total billed charges		282.4	90			Percent of total billed charges		317.7	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	100			Percent of total billed charges		353	100			Percent of total billed charges		353	100			Percent of total billed charges		353	33.3			Percent of total billed charges		117.549	33.3			Percent of total billed charges		117.549	100			Percent of total billed charges		353	117.549	317.7	
cancellous screw 5.0 x 25 mm acumed hca-5125	278	RC	Outpatient			353	229.45		90			Percent of total billed charges		317.7	40			Percent of total billed charges		141.2	80			Percent of total billed charges		282.4	90			Percent of total billed charges		317.7	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	100			Percent of total billed charges		353	100			Percent of total billed charges		353	100			Percent of total billed charges		353	33.3			Percent of total billed charges		117.549	33.3			Percent of total billed charges		117.549	100			Percent of total billed charges		353	117.549	317.7	
cancellous screw 5.0 x 35 mm acumed hca-5135	278	RC	Outpatient			353	229.45		90			Percent of total billed charges		317.7	40			Percent of total billed charges		141.2	80			Percent of total billed charges		282.4	90			Percent of total billed charges		317.7	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	100			Percent of total billed charges		353	100			Percent of total billed charges		353	100			Percent of total billed charges		353	33.3			Percent of total billed charges		117.549	33.3			Percent of total billed charges		117.549	100			Percent of total billed charges		353	117.549	317.7	
cancellous screw 5.0 x 40 mm acumed hca-5140	278	RC	Outpatient			353	229.45		90			Percent of total billed charges		317.7	40			Percent of total billed charges		141.2	80			Percent of total billed charges		282.4	90			Percent of total billed charges		317.7	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	100			Percent of total billed charges		353	100			Percent of total billed charges		353	100			Percent of total billed charges		353	33.3			Percent of total billed charges		117.549	33.3			Percent of total billed charges		117.549	100			Percent of total billed charges		353	117.549	317.7	
cancellous screw 5.0 x 50 mm acumed hca-5150	278	RC	Outpatient			353	229.45		90			Percent of total billed charges		317.7	40			Percent of total billed charges		141.2	80			Percent of total billed charges		282.4	90			Percent of total billed charges		317.7	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	100			Percent of total billed charges		353	100			Percent of total billed charges		353	100			Percent of total billed charges		353	33.3			Percent of total billed charges		117.549	33.3			Percent of total billed charges		117.549	100			Percent of total billed charges		353	117.549	317.7	
cancellous screw 5.0 x 55 mm acumed hca-5155	278	RC	Outpatient			353	229.45		90			Percent of total billed charges		317.7	40			Percent of total billed charges		141.2	80			Percent of total billed charges		282.4	90			Percent of total billed charges		317.7	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	100			Percent of total billed charges		353	100			Percent of total billed charges		353	100			Percent of total billed charges		353	33.3			Percent of total billed charges		117.549	33.3			Percent of total billed charges		117.549	100			Percent of total billed charges		353	117.549	317.7	
cancellous screw 7.0 x 25 mm acumed hca-7250	278	RC	Outpatient			353	229.45		90			Percent of total billed charges		317.7	40			Percent of total billed charges		141.2	80			Percent of total billed charges		282.4	90			Percent of total billed charges		317.7	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	100			Percent of total billed charges		353	100			Percent of total billed charges		353	100			Percent of total billed charges		353	33.3			Percent of total billed charges		117.549	33.3			Percent of total billed charges		117.549	100			Percent of total billed charges		353	117.549	317.7	
cancellous screw 7.0 x 27.5 mm acumed hca-7275	278	RC	Outpatient			353	229.45		90			Percent of total billed charges		317.7	40			Percent of total billed charges		141.2	80			Percent of total billed charges		282.4	90			Percent of total billed charges		317.7	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	100			Percent of total billed charges		353	100			Percent of total billed charges		353	100			Percent of total billed charges		353	33.3			Percent of total billed charges		117.549	33.3			Percent of total billed charges		117.549	100			Percent of total billed charges		353	117.549	317.7	
cancellous screw 7.0 x 32.5 mm acumed hca-7320	278	RC	Outpatient			353	229.45		90			Percent of total billed charges		317.7	40			Percent of total billed charges		141.2	80			Percent of total billed charges		282.4	90			Percent of total billed charges		317.7	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	100			Percent of total billed charges		353	100			Percent of total billed charges		353	100			Percent of total billed charges		353	33.3			Percent of total billed charges		117.549	33.3			Percent of total billed charges		117.549	100			Percent of total billed charges		353	117.549	317.7	
cancellous screw 7.0 x 50 mm acumed hca-7450	278	RC	Outpatient			353	229.45		90			Percent of total billed charges		317.7	40			Percent of total billed charges		141.2	80			Percent of total billed charges		282.4	90			Percent of total billed charges		317.7	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	100			Percent of total billed charges		353	100			Percent of total billed charges		353	100			Percent of total billed charges		353	33.3			Percent of total billed charges		117.549	33.3			Percent of total billed charges		117.549	100			Percent of total billed charges		353	117.549	317.7	
cancellous screw 7.0 x 55 mm acumed hca-7550	278	RC	Outpatient			353	229.45		90			Percent of total billed charges		317.7	40			Percent of total billed charges		141.2	80			Percent of total billed charges		282.4	90			Percent of total billed charges		317.7	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	100			Percent of total billed charges		353	100			Percent of total billed charges		353	100			Percent of total billed charges		353	33.3			Percent of total billed charges		117.549	33.3			Percent of total billed charges		117.549	100			Percent of total billed charges		353	117.549	317.7	
3.5mm x 32.5mm hco-3325-s polarus	278	RC	Outpatient			353	229.45		90			Percent of total billed charges		317.7	40			Percent of total billed charges		141.2	80			Percent of total billed charges		282.4	90			Percent of total billed charges		317.7	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	100			Percent of total billed charges		353	100			Percent of total billed charges		353	100			Percent of total billed charges		353	33.3			Percent of total billed charges		117.549	33.3			Percent of total billed charges		117.549	100			Percent of total billed charges		353	117.549	317.7	
5.0 ao locking screw 34mm 370334 stryker	278	RC	Outpatient			353	229.45		90			Percent of total billed charges		317.7	40			Percent of total billed charges		141.2	80			Percent of total billed charges		282.4	90			Percent of total billed charges		317.7	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	100			Percent of total billed charges		353	100			Percent of total billed charges		353	100			Percent of total billed charges		353	33.3			Percent of total billed charges		117.549	33.3			Percent of total billed charges		117.549	100			Percent of total billed charges		353	117.549	317.7	
5.0 ao locking screw 50mm 370350 stryker	278	RC	Outpatient			353	229.45		90			Percent of total billed charges		317.7	40			Percent of total billed charges		141.2	80			Percent of total billed charges		282.4	90			Percent of total billed charges		317.7	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	100			Percent of total billed charges		353	100			Percent of total billed charges		353	100			Percent of total billed charges		353	33.3			Percent of total billed charges		117.549	33.3			Percent of total billed charges		117.549	100			Percent of total billed charges		353	117.549	317.7	
cancellous screw 5.0 x 27.5 mm acumed hca-5127	278	RC	Outpatient			353	229.45		90			Percent of total billed charges		317.7	40			Percent of total billed charges		141.2	80			Percent of total billed charges		282.4	90			Percent of total billed charges		317.7	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	100			Percent of total billed charges		353	100			Percent of total billed charges		353	100			Percent of total billed charges		353	33.3			Percent of total billed charges		117.549	33.3			Percent of total billed charges		117.549	100			Percent of total billed charges		353	117.549	317.7	
cancellous screw 5.0 x 30 mm acumed hca-5130	278	RC	Outpatient			353	229.45		90			Percent of total billed charges		317.7	40			Percent of total billed charges		141.2	80			Percent of total billed charges		282.4	90			Percent of total billed charges		317.7	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	100			Percent of total billed charges		353	100			Percent of total billed charges		353	100			Percent of total billed charges		353	33.3			Percent of total billed charges		117.549	33.3			Percent of total billed charges		117.549	100			Percent of total billed charges		353	117.549	317.7	
cancellous screw 5.0 x 32.5 mm acumed hca-5132	278	RC	Outpatient			353	229.45		90			Percent of total billed charges		317.7	40			Percent of total billed charges		141.2	80			Percent of total billed charges		282.4	90			Percent of total billed charges		317.7	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	100			Percent of total billed charges		353	100			Percent of total billed charges		353	100			Percent of total billed charges		353	33.3			Percent of total billed charges		117.549	33.3			Percent of total billed charges		117.549	100			Percent of total billed charges		353	117.549	317.7	
cancellous screw 5.0 x 37.5 mm acumed hca-5137	278	RC	Outpatient			353	229.45		90			Percent of total billed charges		317.7	40			Percent of total billed charges		141.2	80			Percent of total billed charges		282.4	90			Percent of total billed charges		317.7	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	100			Percent of total billed charges		353	100			Percent of total billed charges		353	100			Percent of total billed charges		353	33.3			Percent of total billed charges		117.549	33.3			Percent of total billed charges		117.549	100			Percent of total billed charges		353	117.549	317.7	
cancellous screw 5.0 x 45 mm acumed hca-5145	278	RC	Outpatient			353	229.45		90			Percent of total billed charges		317.7	40			Percent of total billed charges		141.2	80			Percent of total billed charges		282.4	90			Percent of total billed charges		317.7	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	100			Percent of total billed charges		353	100			Percent of total billed charges		353	100			Percent of total billed charges		353	33.3			Percent of total billed charges		117.549	33.3			Percent of total billed charges		117.549	100			Percent of total billed charges		353	117.549	317.7	
cancellous screw 7.0 x 32.5 mm acumed hca-7300	278	RC	Outpatient			353	229.45		90			Percent of total billed charges		317.7	40			Percent of total billed charges		141.2	80			Percent of total billed charges		282.4	90			Percent of total billed charges		317.7	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	100			Percent of total billed charges		353	100			Percent of total billed charges		353	100			Percent of total billed charges		353	33.3			Percent of total billed charges		117.549	33.3			Percent of total billed charges		117.549	100			Percent of total billed charges		353	117.549	317.7	
cancellous screw 7.0 x 35 mm acumed hca-7350	278	RC	Outpatient			353	229.45		90			Percent of total billed charges		317.7	40			Percent of total billed charges		141.2	80			Percent of total billed charges		282.4	90			Percent of total billed charges		317.7	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	100			Percent of total billed charges		353	100			Percent of total billed charges		353	100			Percent of total billed charges		353	33.3			Percent of total billed charges		117.549	33.3			Percent of total billed charges		117.549	100			Percent of total billed charges		353	117.549	317.7	
cancellous screw 7.0 x 40 mm acumed hca-7400	278	RC	Outpatient			353	229.45		90			Percent of total billed charges		317.7	40			Percent of total billed charges		141.2	80			Percent of total billed charges		282.4	90			Percent of total billed charges		317.7	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	100			Percent of total billed charges		353	100			Percent of total billed charges		353	100			Percent of total billed charges		353	33.3			Percent of total billed charges		117.549	33.3			Percent of total billed charges		117.549	100			Percent of total billed charges		353	117.549	317.7	
cancellous screw 7.0 x 50 mm acumed hca-7500	278	RC	Outpatient			353	229.45		90			Percent of total billed charges		317.7	40			Percent of total billed charges		141.2	80			Percent of total billed charges		282.4	90			Percent of total billed charges		317.7	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	100			Percent of total billed charges		353	100			Percent of total billed charges		353	100			Percent of total billed charges		353	33.3			Percent of total billed charges		117.549	33.3			Percent of total billed charges		117.549	100			Percent of total billed charges		353	117.549	317.7	
fast-fix ultra knot pushe	272	RC	Outpatient			353	229.45		90			Percent of total billed charges		317.7	40			Percent of total billed charges		141.2	80			Percent of total billed charges		282.4	90			Percent of total billed charges		317.7	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	100			Percent of total billed charges		353	100			Percent of total billed charges		353	100			Percent of total billed charges		353	33.3			Percent of total billed charges		117.549	33.3			Percent of total billed charges		117.549	100			Percent of total billed charges		353	117.549	317.7	
locking buttress screw 4.5 x 25 mm acumed ca-phb25	278	RC	Outpatient			353	229.45		90			Percent of total billed charges		317.7	40			Percent of total billed charges		141.2	80			Percent of total billed charges		282.4	90			Percent of total billed charges		317.7	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	100			Percent of total billed charges		353	100			Percent of total billed charges		353	100			Percent of total billed charges		353	33.3			Percent of total billed charges		117.549	33.3			Percent of total billed charges		117.549	100			Percent of total billed charges		353	117.549	317.7	
locking buttress screw 4.5 x 27.5 mm acumed ca-phb275	278	RC	Outpatient			353	229.45		90			Percent of total billed charges		317.7	40			Percent of total billed charges		141.2	80			Percent of total billed charges		282.4	90			Percent of total billed charges		317.7	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	100			Percent of total billed charges		353	100			Percent of total billed charges		353	100			Percent of total billed charges		353	33.3			Percent of total billed charges		117.549	33.3			Percent of total billed charges		117.549	100			Percent of total billed charges		353	117.549	317.7	
locking buttress screw 4.5 x 30 mm acumed ca-phb30	278	RC	Outpatient			353	229.45		90			Percent of total billed charges		317.7	40			Percent of total billed charges		141.2	80			Percent of total billed charges		282.4	90			Percent of total billed charges		317.7	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	100			Percent of total billed charges		353	100			Percent of total billed charges		353	100			Percent of total billed charges		353	33.3			Percent of total billed charges		117.549	33.3			Percent of total billed charges		117.549	100			Percent of total billed charges		353	117.549	317.7	
locking buttress screw 4.5 x 32.5 mm acumed ca-phb325	278	RC	Outpatient			353	229.45		90			Percent of total billed charges		317.7	40			Percent of total billed charges		141.2	80			Percent of total billed charges		282.4	90			Percent of total billed charges		317.7	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	100			Percent of total billed charges		353	100			Percent of total billed charges		353	100			Percent of total billed charges		353	33.3			Percent of total billed charges		117.549	33.3			Percent of total billed charges		117.549	100			Percent of total billed charges		353	117.549	317.7	
locking buttress screw 4.5 x 35 mm acumed ca-phb35	278	RC	Outpatient			353	229.45		90			Percent of total billed charges		317.7	40			Percent of total billed charges		141.2	80			Percent of total billed charges		282.4	90			Percent of total billed charges		317.7	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	100			Percent of total billed charges		353	100			Percent of total billed charges		353	100			Percent of total billed charges		353	33.3			Percent of total billed charges		117.549	33.3			Percent of total billed charges		117.549	100			Percent of total billed charges		353	117.549	317.7	
locking buttress screw 4.5 x 37.5mm acumed ca-phb375	278	RC	Outpatient			353	229.45		90			Percent of total billed charges		317.7	40			Percent of total billed charges		141.2	80			Percent of total billed charges		282.4	90			Percent of total billed charges		317.7	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	100			Percent of total billed charges		353	100			Percent of total billed charges		353	100			Percent of total billed charges		353	33.3			Percent of total billed charges		117.549	33.3			Percent of total billed charges		117.549	100			Percent of total billed charges		353	117.549	317.7	
locking buttress screw 4.5 x 40 mm acumed ca-phb40	278	RC	Outpatient			353	229.45		90			Percent of total billed charges		317.7	40			Percent of total billed charges		141.2	80			Percent of total billed charges		282.4	90			Percent of total billed charges		317.7	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	100			Percent of total billed charges		353	100			Percent of total billed charges		353	100			Percent of total billed charges		353	33.3			Percent of total billed charges		117.549	33.3			Percent of total billed charges		117.549	100			Percent of total billed charges		353	117.549	317.7	
jet-x tin 5 x 35mm short half pin 7106-5358 s/n	278	RC	Outpatient			353	229.45		90			Percent of total billed charges		317.7	40			Percent of total billed charges		141.2	80			Percent of total billed charges		282.4	90			Percent of total billed charges		317.7	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	100			Percent of total billed charges		353	100			Percent of total billed charges		353	100			Percent of total billed charges		353	33.3			Percent of total billed charges		117.549	33.3			Percent of total billed charges		117.549	100			Percent of total billed charges		353	117.549	317.7	
locking buttress screw 4.5 x 45 mm acumed ca-phb45	278	RC	Outpatient			353	229.45		90			Percent of total billed charges		317.7	40			Percent of total billed charges		141.2	80			Percent of total billed charges		282.4	90			Percent of total billed charges		317.7	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	100			Percent of total billed charges		353	100			Percent of total billed charges		353	100			Percent of total billed charges		353	33.3			Percent of total billed charges		117.549	33.3			Percent of total billed charges		117.549	100			Percent of total billed charges		353	117.549	317.7	
locking buttress screw 4.5 x 50 mm acumed ca-phb50	278	RC	Outpatient			353	229.45		90			Percent of total billed charges		317.7	40			Percent of total billed charges		141.2	80			Percent of total billed charges		282.4	90			Percent of total billed charges		317.7	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	100			Percent of total billed charges		353	100			Percent of total billed charges		353	100			Percent of total billed charges		353	33.3			Percent of total billed charges		117.549	33.3			Percent of total billed charges		117.549	100			Percent of total billed charges		353	117.549	317.7	
locking buttress screw 4.5 x 55 mm acumed ca-phb55	278	RC	Outpatient			353	229.45		90			Percent of total billed charges		317.7	40			Percent of total billed charges		141.2	80			Percent of total billed charges		282.4	90			Percent of total billed charges		317.7	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	100			Percent of total billed charges		353	100			Percent of total billed charges		353	100			Percent of total billed charges		353	33.3			Percent of total billed charges		117.549	33.3			Percent of total billed charges		117.549	100			Percent of total billed charges		353	117.549	317.7	
patella reaming system patella reaming blade 51mm zimmer 5120-9551	272	RC	Outpatient			353	229.45		90			Percent of total billed charges		317.7	40			Percent of total billed charges		141.2	80			Percent of total billed charges		282.4	90			Percent of total billed charges		317.7	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	100			Percent of total billed charges		353	100			Percent of total billed charges		353	100			Percent of total billed charges		353	33.3			Percent of total billed charges		117.549	33.3			Percent of total billed charges		117.549	100			Percent of total billed charges		353	117.549	317.7	
polarus cancellous screw 5.0 x 20.0mm hca5200	278	RC	Outpatient			353	229.45		90			Percent of total billed charges		317.7	40			Percent of total billed charges		141.2	80			Percent of total billed charges		282.4	90			Percent of total billed charges		317.7	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	100			Percent of total billed charges		353	100			Percent of total billed charges		353	100			Percent of total billed charges		353	33.3			Percent of total billed charges		117.549	33.3			Percent of total billed charges		117.549	100			Percent of total billed charges		353	117.549	317.7	
polarus cancellous screw 5.0 x 25.0mm hca5250 hca5250-s acumed	278	RC	Outpatient			353	229.45		90			Percent of total billed charges		317.7	40			Percent of total billed charges		141.2	80			Percent of total billed charges		282.4	90			Percent of total billed charges		317.7	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	100			Percent of total billed charges		353	100			Percent of total billed charges		353	100			Percent of total billed charges		353	33.3			Percent of total billed charges		117.549	33.3			Percent of total billed charges		117.549	100			Percent of total billed charges		353	117.549	317.7	
polarus cancellous screw 5.0 x 30.0mm hca5300 hca5300-s acumed	278	RC	Outpatient			353	229.45		90			Percent of total billed charges		317.7	40			Percent of total billed charges		141.2	80			Percent of total billed charges		282.4	90			Percent of total billed charges		317.7	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	100			Percent of total billed charges		353	100			Percent of total billed charges		353	100			Percent of total billed charges		353	33.3			Percent of total billed charges		117.549	33.3			Percent of total billed charges		117.549	100			Percent of total billed charges		353	117.549	317.7	
polarus cancellous screw 5.0 x 40.0mm hca5400 hca5400-s acumed	278	RC	Outpatient			353	229.45		90			Percent of total billed charges		317.7	40			Percent of total billed charges		141.2	80			Percent of total billed charges		282.4	90			Percent of total billed charges		317.7	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	100			Percent of total billed charges		353	100			Percent of total billed charges		353	100			Percent of total billed charges		353	33.3			Percent of total billed charges		117.549	33.3			Percent of total billed charges		117.549	100			Percent of total billed charges		353	117.549	317.7	
polarus cancellous screw 5.0 x 45.0mm hca5450 hca5450-s acumed	278	RC	Outpatient			353	229.45		90			Percent of total billed charges		317.7	40			Percent of total billed charges		141.2	80			Percent of total billed charges		282.4	90			Percent of total billed charges		317.7	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	100			Percent of total billed charges		353	100			Percent of total billed charges		353	100			Percent of total billed charges		353	33.3			Percent of total billed charges		117.549	33.3			Percent of total billed charges		117.549	100			Percent of total billed charges		353	117.549	317.7	
polarus cancellous screw 5.0 x 50.0mm hca5500 hca5500-s acumed	278	RC	Outpatient			353	229.45		90			Percent of total billed charges		317.7	40			Percent of total billed charges		141.2	80			Percent of total billed charges		282.4	90			Percent of total billed charges		317.7	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	100			Percent of total billed charges		353	100			Percent of total billed charges		353	100			Percent of total billed charges		353	33.3			Percent of total billed charges		117.549	33.3			Percent of total billed charges		117.549	100			Percent of total billed charges		353	117.549	317.7	
polarus cortical screw  3.5 x 25 hco3250-s	278	RC	Outpatient			353	229.45		90			Percent of total billed charges		317.7	40			Percent of total billed charges		141.2	80			Percent of total billed charges		282.4	90			Percent of total billed charges		317.7	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	100			Percent of total billed charges		353	100			Percent of total billed charges		353	100			Percent of total billed charges		353	33.3			Percent of total billed charges		117.549	33.3			Percent of total billed charges		117.549	100			Percent of total billed charges		353	117.549	317.7	
polarus cortical screw 3.5 x 17.5  hco-3175 hco3175-s acumed	278	RC	Outpatient			353	229.45		90			Percent of total billed charges		317.7	40			Percent of total billed charges		141.2	80			Percent of total billed charges		282.4	90			Percent of total billed charges		317.7	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	100			Percent of total billed charges		353	100			Percent of total billed charges		353	100			Percent of total billed charges		353	33.3			Percent of total billed charges		117.549	33.3			Percent of total billed charges		117.549	100			Percent of total billed charges		353	117.549	317.7	
polarus cortical screw 3.5 x 22.5mm hco3225 hco3225-s acumed	278	RC	Outpatient			353	229.45		90			Percent of total billed charges		317.7	40			Percent of total billed charges		141.2	80			Percent of total billed charges		282.4	90			Percent of total billed charges		317.7	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	100			Percent of total billed charges		353	100			Percent of total billed charges		353	100			Percent of total billed charges		353	33.3			Percent of total billed charges		117.549	33.3			Percent of total billed charges		117.549	100			Percent of total billed charges		353	117.549	317.7	
polarus cortical screw 3.5 x 25.0mm hco3250 hco3250-s acumed	278	RC	Outpatient			353	229.45		90			Percent of total billed charges		317.7	40			Percent of total billed charges		141.2	80			Percent of total billed charges		282.4	90			Percent of total billed charges		317.7	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	100			Percent of total billed charges		353	100			Percent of total billed charges		353	100			Percent of total billed charges		353	33.3			Percent of total billed charges		117.549	33.3			Percent of total billed charges		117.549	100			Percent of total billed charges		353	117.549	317.7	
polarus cortical screw 3.5 x 27.5mm hco3275 hco3275-s acumed	278	RC	Outpatient			353	229.45		90			Percent of total billed charges		317.7	40			Percent of total billed charges		141.2	80			Percent of total billed charges		282.4	90			Percent of total billed charges		317.7	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	100			Percent of total billed charges		353	100			Percent of total billed charges		353	100			Percent of total billed charges		353	33.3			Percent of total billed charges		117.549	33.3			Percent of total billed charges		117.549	100			Percent of total billed charges		353	117.549	317.7	
polarus cortical screw 3.5 x 45.0mm hc03450  hco3450-s acumed	278	RC	Outpatient			353	229.45		90			Percent of total billed charges		317.7	40			Percent of total billed charges		141.2	80			Percent of total billed charges		282.4	90			Percent of total billed charges		317.7	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	100			Percent of total billed charges		353	100			Percent of total billed charges		353	100			Percent of total billed charges		353	33.3			Percent of total billed charges		117.549	33.3			Percent of total billed charges		117.549	100			Percent of total billed charges		353	117.549	317.7	
polarus cortical screw 3.5 x 50.0mm hco3500 hco3500-s acumed	278	RC	Outpatient			353	229.45		90			Percent of total billed charges		317.7	40			Percent of total billed charges		141.2	80			Percent of total billed charges		282.4	90			Percent of total billed charges		317.7	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	100			Percent of total billed charges		353	100			Percent of total billed charges		353	100			Percent of total billed charges		353	33.3			Percent of total billed charges		117.549	33.3			Percent of total billed charges		117.549	100			Percent of total billed charges		353	117.549	317.7	
stryker screw 5.0 lck	278	RC	Outpatient			353	229.45		90			Percent of total billed charges		317.7	40			Percent of total billed charges		141.2	80			Percent of total billed charges		282.4	90			Percent of total billed charges		317.7	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	100			Percent of total billed charges		353	100			Percent of total billed charges		353	100			Percent of total billed charges		353	33.3			Percent of total billed charges		117.549	33.3			Percent of total billed charges		117.549	100			Percent of total billed charges		353	117.549	317.7	
polarus cancellous screw 5.0 x 35.0mm hca5350 hca5350-s acumed	278	RC	Outpatient			353	229.45		90			Percent of total billed charges		317.7	40			Percent of total billed charges		141.2	80			Percent of total billed charges		282.4	90			Percent of total billed charges		317.7	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	100			Percent of total billed charges		353	100			Percent of total billed charges		353	100			Percent of total billed charges		353	33.3			Percent of total billed charges		117.549	33.3			Percent of total billed charges		117.549	100			Percent of total billed charges		353	117.549	317.7	
polarus cancellous screw 5.0 x 55.0mm hca5550 hca5550-s acumed	278	RC	Outpatient			353	229.45		90			Percent of total billed charges		317.7	40			Percent of total billed charges		141.2	80			Percent of total billed charges		282.4	90			Percent of total billed charges		317.7	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	100			Percent of total billed charges		353	100			Percent of total billed charges		353	100			Percent of total billed charges		353	33.3			Percent of total billed charges		117.549	33.3			Percent of total billed charges		117.549	100			Percent of total billed charges		353	117.549	317.7	
polarus cortical screw 3.5 x 17.5mm hco3175	278	RC	Outpatient			353	229.45		90			Percent of total billed charges		317.7	40			Percent of total billed charges		141.2	80			Percent of total billed charges		282.4	90			Percent of total billed charges		317.7	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	100			Percent of total billed charges		353	100			Percent of total billed charges		353	100			Percent of total billed charges		353	33.3			Percent of total billed charges		117.549	33.3			Percent of total billed charges		117.549	100			Percent of total billed charges		353	117.549	317.7	
polarus cortical screw 3.5 x 20.0mm hco3200 hco3200-s acumed	278	RC	Outpatient			353	229.45		90			Percent of total billed charges		317.7	40			Percent of total billed charges		141.2	80			Percent of total billed charges		282.4	90			Percent of total billed charges		317.7	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	100			Percent of total billed charges		353	100			Percent of total billed charges		353	100			Percent of total billed charges		353	33.3			Percent of total billed charges		117.549	33.3			Percent of total billed charges		117.549	100			Percent of total billed charges		353	117.549	317.7	
polarus cortical screw 3.5 x 32.5mm hco3325 hco3325-s acumed	278	RC	Outpatient			353	229.45		90			Percent of total billed charges		317.7	40			Percent of total billed charges		141.2	80			Percent of total billed charges		282.4	90			Percent of total billed charges		317.7	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	100			Percent of total billed charges		353	100			Percent of total billed charges		353	100			Percent of total billed charges		353	33.3			Percent of total billed charges		117.549	33.3			Percent of total billed charges		117.549	100			Percent of total billed charges		353	117.549	317.7	
polarus cortical screw 3.5 x 35.0mm hco3350 hco3350-s acumed	278	RC	Outpatient			353	229.45		90			Percent of total billed charges		317.7	40			Percent of total billed charges		141.2	80			Percent of total billed charges		282.4	90			Percent of total billed charges		317.7	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	100			Percent of total billed charges		353	100			Percent of total billed charges		353	100			Percent of total billed charges		353	33.3			Percent of total billed charges		117.549	33.3			Percent of total billed charges		117.549	100			Percent of total billed charges		353	117.549	317.7	
polarus cortical screw 3.5 x 40.0mm hco3400 hco3400-s acumed	278	RC	Outpatient			353	229.45		90			Percent of total billed charges		317.7	40			Percent of total billed charges		141.2	80			Percent of total billed charges		282.4	90			Percent of total billed charges		317.7	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	100			Percent of total billed charges		353	100			Percent of total billed charges		353	100			Percent of total billed charges		353	33.3			Percent of total billed charges		117.549	33.3			Percent of total billed charges		117.549	100			Percent of total billed charges		353	117.549	317.7	
polarus cortical screw 3.5 x 55.0mm hco3550	278	RC	Outpatient			353	229.45		90			Percent of total billed charges		317.7	40			Percent of total billed charges		141.2	80			Percent of total billed charges		282.4	90			Percent of total billed charges		317.7	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	100			Percent of total billed charges		353	100			Percent of total billed charges		353	100			Percent of total billed charges		353	33.3			Percent of total billed charges		117.549	33.3			Percent of total billed charges		117.549	100			Percent of total billed charges		353	117.549	317.7	
polarus cortical screw 3.5 x 60.0mm hco3600	278	RC	Outpatient			353	229.45		90			Percent of total billed charges		317.7	40			Percent of total billed charges		141.2	80			Percent of total billed charges		282.4	90			Percent of total billed charges		317.7	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	100			Percent of total billed charges		353	100			Percent of total billed charges		353	100			Percent of total billed charges		353	33.3			Percent of total billed charges		117.549	33.3			Percent of total billed charges		117.549	100			Percent of total billed charges		353	117.549	317.7	
polarus screw	278	RC	Outpatient			353	229.45		90			Percent of total billed charges		317.7	40			Percent of total billed charges		141.2	80			Percent of total billed charges		282.4	90			Percent of total billed charges		317.7	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	100			Percent of total billed charges		353	100			Percent of total billed charges		353	100			Percent of total billed charges		353	33.3			Percent of total billed charges		117.549	33.3			Percent of total billed charges		117.549	100			Percent of total billed charges		353	117.549	317.7	
ultra knot pusher fast fix 7220-1537 s/n	272	RC	Outpatient			353	229.45		90			Percent of total billed charges		317.7	40			Percent of total billed charges		141.2	80			Percent of total billed charges		282.4	90			Percent of total billed charges		317.7	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	100			Percent of total billed charges		353	100			Percent of total billed charges		353	100			Percent of total billed charges		353	33.3			Percent of total billed charges		117.549	33.3			Percent of total billed charges		117.549	100			Percent of total billed charges		353	117.549	317.7	
zimm patella reaming blde	272	RC	Outpatient			353	229.45		90			Percent of total billed charges		317.7	40			Percent of total billed charges		141.2	80			Percent of total billed charges		282.4	90			Percent of total billed charges		317.7	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	85			Percent of total billed charges		300.05	100			Percent of total billed charges		353	100			Percent of total billed charges		353	100			Percent of total billed charges		353	33.3			Percent of total billed charges		117.549	33.3			Percent of total billed charges		117.549	100			Percent of total billed charges		353	117.549	317.7	
ccpf chemo admin 3 hrs	335	RC	Outpatient			353.38	229.69		90			Percent of total billed charges		318.042	40			Percent of total billed charges		141.352	80			Percent of total billed charges		282.704	90			Percent of total billed charges		318.042	85			Percent of total billed charges		300.373	85			Percent of total billed charges		300.373	85			Percent of total billed charges		300.373	100			Percent of total billed charges		353.38	100			Percent of total billed charges		353.38	100			Percent of total billed charges		353.38	33.3			Percent of total billed charges		117.6755	33.3			Percent of total billed charges		117.6755	100			Percent of total billed charges		353.38	117.6755	318.042	
trigen disposable extractor 71631320 s/n	272	RC	Outpatient			354	230.1		90			Percent of total billed charges		318.6	40			Percent of total billed charges		141.6	80			Percent of total billed charges		283.2	90			Percent of total billed charges		318.6	85			Percent of total billed charges		300.9	85			Percent of total billed charges		300.9	85			Percent of total billed charges		300.9	100			Percent of total billed charges		354	100			Percent of total billed charges		354	100			Percent of total billed charges		354	33.3			Percent of total billed charges		117.882	33.3			Percent of total billed charges		117.882	100			Percent of total billed charges		354	117.882	318.6	
s/n xtendobuttom fixation device 5.5mm x 20 mm 72200134	278	RC	Outpatient			355	230.75		90			Percent of total billed charges		319.5	40			Percent of total billed charges		142	80			Percent of total billed charges		284	90			Percent of total billed charges		319.5	85			Percent of total billed charges		301.75	85			Percent of total billed charges		301.75	85			Percent of total billed charges		301.75	100			Percent of total billed charges		355	100			Percent of total billed charges		355	100			Percent of total billed charges		355	33.3			Percent of total billed charges		118.215	33.3			Percent of total billed charges		118.215	100			Percent of total billed charges		355	118.215	319.5	
s/n xtendo button	278	RC	Outpatient			355	230.75		90			Percent of total billed charges		319.5	40			Percent of total billed charges		142	80			Percent of total billed charges		284	90			Percent of total billed charges		319.5	85			Percent of total billed charges		301.75	85			Percent of total billed charges		301.75	85			Percent of total billed charges		301.75	100			Percent of total billed charges		355	100			Percent of total billed charges		355	100			Percent of total billed charges		355	33.3			Percent of total billed charges		118.215	33.3			Percent of total billed charges		118.215	100			Percent of total billed charges		355	118.215	319.5	
4.5mm str recon plate 3 hole 00-1179-007-03 zimmer	278	RC	Outpatient			356	231.4		90			Percent of total billed charges		320.4	40			Percent of total billed charges		142.4	80			Percent of total billed charges		284.8	90			Percent of total billed charges		320.4	85			Percent of total billed charges		302.6	85			Percent of total billed charges		302.6	85			Percent of total billed charges		302.6	100			Percent of total billed charges		356	100			Percent of total billed charges		356	100			Percent of total billed charges		356	33.3			Percent of total billed charges		118.548	33.3			Percent of total billed charges		118.548	100			Percent of total billed charges		356	118.548	320.4	
4.5mm str recon plate 4 hole 00-1179-007-04 zimmer	278	RC	Outpatient			356	231.4		90			Percent of total billed charges		320.4	40			Percent of total billed charges		142.4	80			Percent of total billed charges		284.8	90			Percent of total billed charges		320.4	85			Percent of total billed charges		302.6	85			Percent of total billed charges		302.6	85			Percent of total billed charges		302.6	100			Percent of total billed charges		356	100			Percent of total billed charges		356	100			Percent of total billed charges		356	33.3			Percent of total billed charges		118.548	33.3			Percent of total billed charges		118.548	100			Percent of total billed charges		356	118.548	320.4	
convene bipolar liner 22mm 47-51mm 71392247 s/n	278	RC	Outpatient			356	231.4		90			Percent of total billed charges		320.4	40			Percent of total billed charges		142.4	80			Percent of total billed charges		284.8	90			Percent of total billed charges		320.4	85			Percent of total billed charges		302.6	85			Percent of total billed charges		302.6	85			Percent of total billed charges		302.6	100			Percent of total billed charges		356	100			Percent of total billed charges		356	100			Percent of total billed charges		356	33.3			Percent of total billed charges		118.548	33.3			Percent of total billed charges		118.548	100			Percent of total billed charges		356	118.548	320.4	
convene bipolar liner 22mm 52-56mm 71392252 s/n	278	RC	Outpatient			356	231.4		90			Percent of total billed charges		320.4	40			Percent of total billed charges		142.4	80			Percent of total billed charges		284.8	90			Percent of total billed charges		320.4	85			Percent of total billed charges		302.6	85			Percent of total billed charges		302.6	85			Percent of total billed charges		302.6	100			Percent of total billed charges		356	100			Percent of total billed charges		356	100			Percent of total billed charges		356	33.3			Percent of total billed charges		118.548	33.3			Percent of total billed charges		118.548	100			Percent of total billed charges		356	118.548	320.4	
convene bipolar liner 26mm 38-42mm 71392638 s/n	278	RC	Outpatient			356	231.4		90			Percent of total billed charges		320.4	40			Percent of total billed charges		142.4	80			Percent of total billed charges		284.8	90			Percent of total billed charges		320.4	85			Percent of total billed charges		302.6	85			Percent of total billed charges		302.6	85			Percent of total billed charges		302.6	100			Percent of total billed charges		356	100			Percent of total billed charges		356	100			Percent of total billed charges		356	33.3			Percent of total billed charges		118.548	33.3			Percent of total billed charges		118.548	100			Percent of total billed charges		356	118.548	320.4	
convene bipolar liner 28mm 43-46mm 71392843 s/n	278	RC	Outpatient			356	231.4		90			Percent of total billed charges		320.4	40			Percent of total billed charges		142.4	80			Percent of total billed charges		284.8	90			Percent of total billed charges		320.4	85			Percent of total billed charges		302.6	85			Percent of total billed charges		302.6	85			Percent of total billed charges		302.6	100			Percent of total billed charges		356	100			Percent of total billed charges		356	100			Percent of total billed charges		356	33.3			Percent of total billed charges		118.548	33.3			Percent of total billed charges		118.548	100			Percent of total billed charges		356	118.548	320.4	
convene bipolar liner 28mm 47-51mm 71392847 s/n	278	RC	Outpatient			356	231.4		90			Percent of total billed charges		320.4	40			Percent of total billed charges		142.4	80			Percent of total billed charges		284.8	90			Percent of total billed charges		320.4	85			Percent of total billed charges		302.6	85			Percent of total billed charges		302.6	85			Percent of total billed charges		302.6	100			Percent of total billed charges		356	100			Percent of total billed charges		356	100			Percent of total billed charges		356	33.3			Percent of total billed charges		118.548	33.3			Percent of total billed charges		118.548	100			Percent of total billed charges		356	118.548	320.4	
convene bipolar liner 28mm 52-56mm 71392852 s/n	278	RC	Outpatient			356	231.4		90			Percent of total billed charges		320.4	40			Percent of total billed charges		142.4	80			Percent of total billed charges		284.8	90			Percent of total billed charges		320.4	85			Percent of total billed charges		302.6	85			Percent of total billed charges		302.6	85			Percent of total billed charges		302.6	100			Percent of total billed charges		356	100			Percent of total billed charges		356	100			Percent of total billed charges		356	33.3			Percent of total billed charges		118.548	33.3			Percent of total billed charges		118.548	100			Percent of total billed charges		356	118.548	320.4	
cwv reservior 3611 axoim	270	RC	Outpatient			356	231.4		90			Percent of total billed charges		320.4	40			Percent of total billed charges		142.4	80			Percent of total billed charges		284.8	90			Percent of total billed charges		320.4	85			Percent of total billed charges		302.6	85			Percent of total billed charges		302.6	85			Percent of total billed charges		302.6	100			Percent of total billed charges		356	100			Percent of total billed charges		356	100			Percent of total billed charges		356	33.3			Percent of total billed charges		118.548	33.3			Percent of total billed charges		118.548	100			Percent of total billed charges		356	118.548	320.4	
axiom bulb reservoir	270	RC	Outpatient			356	231.4		90			Percent of total billed charges		320.4	40			Percent of total billed charges		142.4	80			Percent of total billed charges		284.8	90			Percent of total billed charges		320.4	85			Percent of total billed charges		302.6	85			Percent of total billed charges		302.6	85			Percent of total billed charges		302.6	100			Percent of total billed charges		356	100			Percent of total billed charges		356	100			Percent of total billed charges		356	33.3			Percent of total billed charges		118.548	33.3			Percent of total billed charges		118.548	100			Percent of total billed charges		356	118.548	320.4	
bipolar liner 26mm 7139-2638 s/n	278	RC	Outpatient			356	231.4		90			Percent of total billed charges		320.4	40			Percent of total billed charges		142.4	80			Percent of total billed charges		284.8	90			Percent of total billed charges		320.4	85			Percent of total billed charges		302.6	85			Percent of total billed charges		302.6	85			Percent of total billed charges		302.6	100			Percent of total billed charges		356	100			Percent of total billed charges		356	100			Percent of total billed charges		356	33.3			Percent of total billed charges		118.548	33.3			Percent of total billed charges		118.548	100			Percent of total billed charges		356	118.548	320.4	
bipolar shell 40mm 12-6440 s/n	278	RC	Outpatient			356	231.4		90			Percent of total billed charges		320.4	40			Percent of total billed charges		142.4	80			Percent of total billed charges		284.8	90			Percent of total billed charges		320.4	85			Percent of total billed charges		302.6	85			Percent of total billed charges		302.6	85			Percent of total billed charges		302.6	100			Percent of total billed charges		356	100			Percent of total billed charges		356	100			Percent of total billed charges		356	33.3			Percent of total billed charges		118.548	33.3			Percent of total billed charges		118.548	100			Percent of total billed charges		356	118.548	320.4	
convene bipolar liner 22mm 38-42mm 71392238 s/n	278	RC	Outpatient			356	231.4		90			Percent of total billed charges		320.4	40			Percent of total billed charges		142.4	80			Percent of total billed charges		284.8	90			Percent of total billed charges		320.4	85			Percent of total billed charges		302.6	85			Percent of total billed charges		302.6	85			Percent of total billed charges		302.6	100			Percent of total billed charges		356	100			Percent of total billed charges		356	100			Percent of total billed charges		356	33.3			Percent of total billed charges		118.548	33.3			Percent of total billed charges		118.548	100			Percent of total billed charges		356	118.548	320.4	
convene bipolar liner 22mm 43-46mm 71392243 s/n	278	RC	Outpatient			356	231.4		90			Percent of total billed charges		320.4	40			Percent of total billed charges		142.4	80			Percent of total billed charges		284.8	90			Percent of total billed charges		320.4	85			Percent of total billed charges		302.6	85			Percent of total billed charges		302.6	85			Percent of total billed charges		302.6	100			Percent of total billed charges		356	100			Percent of total billed charges		356	100			Percent of total billed charges		356	33.3			Percent of total billed charges		118.548	33.3			Percent of total billed charges		118.548	100			Percent of total billed charges		356	118.548	320.4	
cook endovascular dilator set jcds-2024-eds-hc	270	RC	Outpatient			356	231.4		90			Percent of total billed charges		320.4	40			Percent of total billed charges		142.4	80			Percent of total billed charges		284.8	90			Percent of total billed charges		320.4	85			Percent of total billed charges		302.6	85			Percent of total billed charges		302.6	85			Percent of total billed charges		302.6	100			Percent of total billed charges		356	100			Percent of total billed charges		356	100			Percent of total billed charges		356	33.3			Percent of total billed charges		118.548	33.3			Percent of total billed charges		118.548	100			Percent of total billed charges		356	118.548	320.4	
dilator set endovascular	270	RC	Outpatient			356	231.4		90			Percent of total billed charges		320.4	40			Percent of total billed charges		142.4	80			Percent of total billed charges		284.8	90			Percent of total billed charges		320.4	85			Percent of total billed charges		302.6	85			Percent of total billed charges		302.6	85			Percent of total billed charges		302.6	100			Percent of total billed charges		356	100			Percent of total billed charges		356	100			Percent of total billed charges		356	33.3			Percent of total billed charges		118.548	33.3			Percent of total billed charges		118.548	100			Percent of total billed charges		356	118.548	320.4	
disc elb condyle lock scw	278	RC	Outpatient			356	231.4		90			Percent of total billed charges		320.4	40			Percent of total billed charges		142.4	80			Percent of total billed charges		284.8	90			Percent of total billed charges		320.4	85			Percent of total billed charges		302.6	85			Percent of total billed charges		302.6	85			Percent of total billed charges		302.6	100			Percent of total billed charges		356	100			Percent of total billed charges		356	100			Percent of total billed charges		356	33.3			Percent of total billed charges		118.548	33.3			Percent of total billed charges		118.548	100			Percent of total billed charges		356	118.548	320.4	
discovery elbow screw biomet 114901	278	RC	Outpatient			356	231.4		90			Percent of total billed charges		320.4	40			Percent of total billed charges		142.4	80			Percent of total billed charges		284.8	90			Percent of total billed charges		320.4	85			Percent of total billed charges		302.6	85			Percent of total billed charges		302.6	85			Percent of total billed charges		302.6	100			Percent of total billed charges		356	100			Percent of total billed charges		356	100			Percent of total billed charges		356	33.3			Percent of total billed charges		118.548	33.3			Percent of total billed charges		118.548	100			Percent of total billed charges		356	118.548	320.4	
endo maxi retractor	270	RC	Outpatient			356	231.4		90			Percent of total billed charges		320.4	40			Percent of total billed charges		142.4	80			Percent of total billed charges		284.8	90			Percent of total billed charges		320.4	85			Percent of total billed charges		302.6	85			Percent of total billed charges		302.6	85			Percent of total billed charges		302.6	100			Percent of total billed charges		356	100			Percent of total billed charges		356	100			Percent of total billed charges		356	33.3			Percent of total billed charges		118.548	33.3			Percent of total billed charges		118.548	100			Percent of total billed charges		356	118.548	320.4	
hydrophylic dilator set 263915 cook	270	RC	Outpatient			356	231.4		90			Percent of total billed charges		320.4	40			Percent of total billed charges		142.4	80			Percent of total billed charges		284.8	90			Percent of total billed charges		320.4	85			Percent of total billed charges		302.6	85			Percent of total billed charges		302.6	85			Percent of total billed charges		302.6	100			Percent of total billed charges		356	100			Percent of total billed charges		356	100			Percent of total billed charges		356	33.3			Percent of total billed charges		118.548	33.3			Percent of total billed charges		118.548	100			Percent of total billed charges		356	118.548	320.4	
richards bi polar liner	278	RC	Outpatient			356	231.4		90			Percent of total billed charges		320.4	40			Percent of total billed charges		142.4	80			Percent of total billed charges		284.8	90			Percent of total billed charges		320.4	85			Percent of total billed charges		302.6	85			Percent of total billed charges		302.6	85			Percent of total billed charges		302.6	100			Percent of total billed charges		356	100			Percent of total billed charges		356	100			Percent of total billed charges		356	33.3			Percent of total billed charges		118.548	33.3			Percent of total billed charges		118.548	100			Percent of total billed charges		356	118.548	320.4	
zimm 4.5 recon pl 3-4hole	278	RC	Outpatient			356	231.4		90			Percent of total billed charges		320.4	40			Percent of total billed charges		142.4	80			Percent of total billed charges		284.8	90			Percent of total billed charges		320.4	85			Percent of total billed charges		302.6	85			Percent of total billed charges		302.6	85			Percent of total billed charges		302.6	100			Percent of total billed charges		356	100			Percent of total billed charges		356	100			Percent of total billed charges		356	33.3			Percent of total billed charges		118.548	33.3			Percent of total billed charges		118.548	100			Percent of total billed charges		356	118.548	320.4	
lower leg orthosis large	270	RC	Outpatient			357	232.05		90			Percent of total billed charges		321.3	40			Percent of total billed charges		142.8	80			Percent of total billed charges		285.6	90			Percent of total billed charges		321.3	85			Percent of total billed charges		303.45	85			Percent of total billed charges		303.45	85			Percent of total billed charges		303.45	100			Percent of total billed charges		357	100			Percent of total billed charges		357	100			Percent of total billed charges		357	33.3			Percent of total billed charges		118.881	33.3			Percent of total billed charges		118.881	100			Percent of total billed charges		357	118.881	321.3	
lower leg orthosis med	270	RC	Outpatient			357	232.05		90			Percent of total billed charges		321.3	40			Percent of total billed charges		142.8	80			Percent of total billed charges		285.6	90			Percent of total billed charges		321.3	85			Percent of total billed charges		303.45	85			Percent of total billed charges		303.45	85			Percent of total billed charges		303.45	100			Percent of total billed charges		357	100			Percent of total billed charges		357	100			Percent of total billed charges		357	33.3			Percent of total billed charges		118.881	33.3			Percent of total billed charges		118.881	100			Percent of total billed charges		357	118.881	321.3	
restoration gap plate screw 15mm 2080-0015 osteonics	278	RC	Outpatient			357	232.05		90			Percent of total billed charges		321.3	40			Percent of total billed charges		142.8	80			Percent of total billed charges		285.6	90			Percent of total billed charges		321.3	85			Percent of total billed charges		303.45	85			Percent of total billed charges		303.45	85			Percent of total billed charges		303.45	100			Percent of total billed charges		357	100			Percent of total billed charges		357	100			Percent of total billed charges		357	33.3			Percent of total billed charges		118.881	33.3			Percent of total billed charges		118.881	100			Percent of total billed charges		357	118.881	321.3	
restoration gap plate screw 20mm 2080-0020 osteonics	278	RC	Outpatient			357	232.05		90			Percent of total billed charges		321.3	40			Percent of total billed charges		142.8	80			Percent of total billed charges		285.6	90			Percent of total billed charges		321.3	85			Percent of total billed charges		303.45	85			Percent of total billed charges		303.45	85			Percent of total billed charges		303.45	100			Percent of total billed charges		357	100			Percent of total billed charges		357	100			Percent of total billed charges		357	33.3			Percent of total billed charges		118.881	33.3			Percent of total billed charges		118.881	100			Percent of total billed charges		357	118.881	321.3	
restoration gap pl scrw	278	RC	Outpatient			357	232.05		90			Percent of total billed charges		321.3	40			Percent of total billed charges		142.8	80			Percent of total billed charges		285.6	90			Percent of total billed charges		321.3	85			Percent of total billed charges		303.45	85			Percent of total billed charges		303.45	85			Percent of total billed charges		303.45	100			Percent of total billed charges		357	100			Percent of total billed charges		357	100			Percent of total billed charges		357	33.3			Percent of total billed charges		118.881	33.3			Percent of total billed charges		118.881	100			Percent of total billed charges		357	118.881	321.3	
restoration gap plate screw 25mm 2080-0025 osteonics	278	RC	Outpatient			357	232.05		90			Percent of total billed charges		321.3	40			Percent of total billed charges		142.8	80			Percent of total billed charges		285.6	90			Percent of total billed charges		321.3	85			Percent of total billed charges		303.45	85			Percent of total billed charges		303.45	85			Percent of total billed charges		303.45	100			Percent of total billed charges		357	100			Percent of total billed charges		357	100			Percent of total billed charges		357	33.3			Percent of total billed charges		118.881	33.3			Percent of total billed charges		118.881	100			Percent of total billed charges		357	118.881	321.3	
restoration gap plate screw 30mm 2080-0015 osteonics	278	RC	Outpatient			357	232.05		90			Percent of total billed charges		321.3	40			Percent of total billed charges		142.8	80			Percent of total billed charges		285.6	90			Percent of total billed charges		321.3	85			Percent of total billed charges		303.45	85			Percent of total billed charges		303.45	85			Percent of total billed charges		303.45	100			Percent of total billed charges		357	100			Percent of total billed charges		357	100			Percent of total billed charges		357	33.3			Percent of total billed charges		118.881	33.3			Percent of total billed charges		118.881	100			Percent of total billed charges		357	118.881	321.3	
restoration gap plate screw 30mm 2080-0030 osteonics	278	RC	Outpatient			357	232.05		90			Percent of total billed charges		321.3	40			Percent of total billed charges		142.8	80			Percent of total billed charges		285.6	90			Percent of total billed charges		321.3	85			Percent of total billed charges		303.45	85			Percent of total billed charges		303.45	85			Percent of total billed charges		303.45	100			Percent of total billed charges		357	100			Percent of total billed charges		357	100			Percent of total billed charges		357	33.3			Percent of total billed charges		118.881	33.3			Percent of total billed charges		118.881	100			Percent of total billed charges		357	118.881	321.3	
3.5mm str recon plate 3 hole 34mm 00-1179-005-03 zimmer	278	RC	Outpatient			358	232.7		90			Percent of total billed charges		322.2	40			Percent of total billed charges		143.2	80			Percent of total billed charges		286.4	90			Percent of total billed charges		322.2	85			Percent of total billed charges		304.3	85			Percent of total billed charges		304.3	85			Percent of total billed charges		304.3	100			Percent of total billed charges		358	100			Percent of total billed charges		358	100			Percent of total billed charges		358	33.3			Percent of total billed charges		119.214	33.3			Percent of total billed charges		119.214	100			Percent of total billed charges		358	119.214	322.2	
3.5mm str recon plate 5 hole 58mm 00-1179-005-05 zimmer	278	RC	Outpatient			358	232.7		90			Percent of total billed charges		322.2	40			Percent of total billed charges		143.2	80			Percent of total billed charges		286.4	90			Percent of total billed charges		322.2	85			Percent of total billed charges		304.3	85			Percent of total billed charges		304.3	85			Percent of total billed charges		304.3	100			Percent of total billed charges		358	100			Percent of total billed charges		358	100			Percent of total billed charges		358	33.3			Percent of total billed charges		119.214	33.3			Percent of total billed charges		119.214	100			Percent of total billed charges		358	119.214	322.2	
cold caloric testing charge	360	RC	Outpatient			358	232.7		90			Percent of total billed charges		322.2	40			Percent of total billed charges		143.2	80			Percent of total billed charges		286.4	90			Percent of total billed charges		322.2	85			Percent of total billed charges		304.3	85			Percent of total billed charges		304.3	85			Percent of total billed charges		304.3	100			Percent of total billed charges		358	100			Percent of total billed charges		358	100			Percent of total billed charges		358	33.3			Percent of total billed charges		119.214	33.3			Percent of total billed charges		119.214	100			Percent of total billed charges		358	119.214	322.2	
3.5mm str recon plate 4 hole 46mm 00-1179-005-04 zimmer	278	RC	Outpatient			358	232.7		90			Percent of total billed charges		322.2	40			Percent of total billed charges		143.2	80			Percent of total billed charges		286.4	90			Percent of total billed charges		322.2	85			Percent of total billed charges		304.3	85			Percent of total billed charges		304.3	85			Percent of total billed charges		304.3	100			Percent of total billed charges		358	100			Percent of total billed charges		358	100			Percent of total billed charges		358	33.3			Percent of total billed charges		119.214	33.3			Percent of total billed charges		119.214	100			Percent of total billed charges		358	119.214	322.2	
biomet locking bar	278	RC	Outpatient			358	232.7		90			Percent of total billed charges		322.2	40			Percent of total billed charges		143.2	80			Percent of total billed charges		286.4	90			Percent of total billed charges		322.2	85			Percent of total billed charges		304.3	85			Percent of total billed charges		304.3	85			Percent of total billed charges		304.3	100			Percent of total billed charges		358	100			Percent of total billed charges		358	100			Percent of total billed charges		358	33.3			Percent of total billed charges		119.214	33.3			Percent of total billed charges		119.214	100			Percent of total billed charges		358	119.214	322.2	
locking bar 141205	278	RC	Outpatient			358	232.7		90			Percent of total billed charges		322.2	40			Percent of total billed charges		143.2	80			Percent of total billed charges		286.4	90			Percent of total billed charges		322.2	85			Percent of total billed charges		304.3	85			Percent of total billed charges		304.3	85			Percent of total billed charges		304.3	100			Percent of total billed charges		358	100			Percent of total billed charges		358	100			Percent of total billed charges		358	33.3			Percent of total billed charges		119.214	33.3			Percent of total billed charges		119.214	100			Percent of total billed charges		358	119.214	322.2	
staple ta45 load	270	RC	Outpatient			358	232.7		90			Percent of total billed charges		322.2	40			Percent of total billed charges		143.2	80			Percent of total billed charges		286.4	90			Percent of total billed charges		322.2	85			Percent of total billed charges		304.3	85			Percent of total billed charges		304.3	85			Percent of total billed charges		304.3	100			Percent of total billed charges		358	100			Percent of total billed charges		358	100			Percent of total billed charges		358	33.3			Percent of total billed charges		119.214	33.3			Percent of total billed charges		119.214	100			Percent of total billed charges		358	119.214	322.2	
ta 45mm- 4.8mm reload ta4548l covidien	270	RC	Outpatient			358	232.7		90			Percent of total billed charges		322.2	40			Percent of total billed charges		143.2	80			Percent of total billed charges		286.4	90			Percent of total billed charges		322.2	85			Percent of total billed charges		304.3	85			Percent of total billed charges		304.3	85			Percent of total billed charges		304.3	100			Percent of total billed charges		358	100			Percent of total billed charges		358	100			Percent of total billed charges		358	33.3			Percent of total billed charges		119.214	33.3			Percent of total billed charges		119.214	100			Percent of total billed charges		358	119.214	322.2	
s/n 4.5 cannul drill bit	272	RC	Outpatient			358	232.7		90			Percent of total billed charges		322.2	40			Percent of total billed charges		143.2	80			Percent of total billed charges		286.4	90			Percent of total billed charges		322.2	85			Percent of total billed charges		304.3	85			Percent of total billed charges		304.3	85			Percent of total billed charges		304.3	100			Percent of total billed charges		358	100			Percent of total billed charges		358	100			Percent of total billed charges		358	33.3			Percent of total billed charges		119.214	33.3			Percent of total billed charges		119.214	100			Percent of total billed charges		358	119.214	322.2	
ta stapler 45mm- 3.5mm reload ta4535l covidien	270	RC	Outpatient			358	232.7		90			Percent of total billed charges		322.2	40			Percent of total billed charges		143.2	80			Percent of total billed charges		286.4	90			Percent of total billed charges		322.2	85			Percent of total billed charges		304.3	85			Percent of total billed charges		304.3	85			Percent of total billed charges		304.3	100			Percent of total billed charges		358	100			Percent of total billed charges		358	100			Percent of total billed charges		358	33.3			Percent of total billed charges		119.214	33.3			Percent of total billed charges		119.214	100			Percent of total billed charges		358	119.214	322.2	
tgr lg frag 4.5mm can drill bit 71173444 s/n	272	RC	Outpatient			358	232.7		90			Percent of total billed charges		322.2	40			Percent of total billed charges		143.2	80			Percent of total billed charges		286.4	90			Percent of total billed charges		322.2	85			Percent of total billed charges		304.3	85			Percent of total billed charges		304.3	85			Percent of total billed charges		304.3	100			Percent of total billed charges		358	100			Percent of total billed charges		358	100			Percent of total billed charges		358	33.3			Percent of total billed charges		119.214	33.3			Percent of total billed charges		119.214	100			Percent of total billed charges		358	119.214	322.2	
zimm 3.5 recon plate 3-5	278	RC	Outpatient			358	232.7		90			Percent of total billed charges		322.2	40			Percent of total billed charges		143.2	80			Percent of total billed charges		286.4	90			Percent of total billed charges		322.2	85			Percent of total billed charges		304.3	85			Percent of total billed charges		304.3	85			Percent of total billed charges		304.3	100			Percent of total billed charges		358	100			Percent of total billed charges		358	100			Percent of total billed charges		358	33.3			Percent of total billed charges		119.214	33.3			Percent of total billed charges		119.214	100			Percent of total billed charges		358	119.214	322.2	
cosmetic - laser hair removal - legs (complete) each addt'l session	983	RC	Outpatient			360	234		90			Percent of total billed charges		324	40			Percent of total billed charges		144	80			Percent of total billed charges		288	90			Percent of total billed charges		324	85			Percent of total billed charges		306	85			Percent of total billed charges		306	85			Percent of total billed charges		306	100			Percent of total billed charges		360	100			Percent of total billed charges		360	100			Percent of total billed charges		360	33.3			Percent of total billed charges		119.88	33.3			Percent of total billed charges		119.88	100			Percent of total billed charges		360	119.88	324	
evicel 1-2ml device  3901 3902 ethicon	278	RC	Outpatient			360	234		90			Percent of total billed charges		324	40			Percent of total billed charges		144	80			Percent of total billed charges		288	90			Percent of total billed charges		324	85			Percent of total billed charges		306	85			Percent of total billed charges		306	85			Percent of total billed charges		306	100			Percent of total billed charges		360	100			Percent of total billed charges		360	100			Percent of total billed charges		360	33.3			Percent of total billed charges		119.88	33.3			Percent of total billed charges		119.88	100			Percent of total billed charges		360	119.88	324	
evicel 2ml	278	RC	Outpatient			360	234		90			Percent of total billed charges		324	40			Percent of total billed charges		144	80			Percent of total billed charges		288	90			Percent of total billed charges		324	85			Percent of total billed charges		306	85			Percent of total billed charges		306	85			Percent of total billed charges		306	100			Percent of total billed charges		360	100			Percent of total billed charges		360	100			Percent of total billed charges		360	33.3			Percent of total billed charges		119.88	33.3			Percent of total billed charges		119.88	100			Percent of total billed charges		360	119.88	324	
imp nail femoral end cap 450.896s	278	RC	Outpatient			361	234.65		90			Percent of total billed charges		324.9	40			Percent of total billed charges		144.4	80			Percent of total billed charges		288.8	90			Percent of total billed charges		324.9	85			Percent of total billed charges		306.85	85			Percent of total billed charges		306.85	85			Percent of total billed charges		306.85	100			Percent of total billed charges		361	100			Percent of total billed charges		361	100			Percent of total billed charges		361	33.3			Percent of total billed charges		120.213	33.3			Percent of total billed charges		120.213	100			Percent of total billed charges		361	120.213	324.9	
implant plate t titan 4/9 hole 1.5mm dia 50mm l 446.24 synthes	278	RC	Outpatient			361	234.65		90			Percent of total billed charges		324.9	40			Percent of total billed charges		144.4	80			Percent of total billed charges		288.8	90			Percent of total billed charges		324.9	85			Percent of total billed charges		306.85	85			Percent of total billed charges		306.85	85			Percent of total billed charges		306.85	100			Percent of total billed charges		361	100			Percent of total billed charges		361	100			Percent of total billed charges		361	33.3			Percent of total billed charges		120.213	33.3			Percent of total billed charges		120.213	100			Percent of total billed charges		361	120.213	324.9	
drill bit 3.6 45-35020 stryker	272	RC	Outpatient			361	234.65		90			Percent of total billed charges		324.9	40			Percent of total billed charges		144.4	80			Percent of total billed charges		288.8	90			Percent of total billed charges		324.9	85			Percent of total billed charges		306.85	85			Percent of total billed charges		306.85	85			Percent of total billed charges		306.85	100			Percent of total billed charges		361	100			Percent of total billed charges		361	100			Percent of total billed charges		361	33.3			Percent of total billed charges		120.213	33.3			Percent of total billed charges		120.213	100			Percent of total billed charges		361	120.213	324.9	
protective cap 5.0 fixation pin	278	RC	Outpatient			361	234.65		90			Percent of total billed charges		324.9	40			Percent of total billed charges		144.4	80			Percent of total billed charges		288.8	90			Percent of total billed charges		324.9	85			Percent of total billed charges		306.85	85			Percent of total billed charges		306.85	85			Percent of total billed charges		306.85	100			Percent of total billed charges		361	100			Percent of total billed charges		361	100			Percent of total billed charges		361	33.3			Percent of total billed charges		120.213	33.3			Percent of total billed charges		120.213	100			Percent of total billed charges		361	120.213	324.9	
stryker drill bit 3.6	272	RC	Outpatient			361	234.65		90			Percent of total billed charges		324.9	40			Percent of total billed charges		144.4	80			Percent of total billed charges		288.8	90			Percent of total billed charges		324.9	85			Percent of total billed charges		306.85	85			Percent of total billed charges		306.85	85			Percent of total billed charges		306.85	100			Percent of total billed charges		361	100			Percent of total billed charges		361	100			Percent of total billed charges		361	33.3			Percent of total billed charges		120.213	33.3			Percent of total billed charges		120.213	100			Percent of total billed charges		361	120.213	324.9	
syn distal femoral nail	278	RC	Outpatient			361	234.65		90			Percent of total billed charges		324.9	40			Percent of total billed charges		144.4	80			Percent of total billed charges		288.8	90			Percent of total billed charges		324.9	85			Percent of total billed charges		306.85	85			Percent of total billed charges		306.85	85			Percent of total billed charges		306.85	100			Percent of total billed charges		361	100			Percent of total billed charges		361	100			Percent of total billed charges		361	33.3			Percent of total billed charges		120.213	33.3			Percent of total billed charges		120.213	100			Percent of total billed charges		361	120.213	324.9	
syn titanium 1.5 t-plate	278	RC	Outpatient			361	234.65		90			Percent of total billed charges		324.9	40			Percent of total billed charges		144.4	80			Percent of total billed charges		288.8	90			Percent of total billed charges		324.9	85			Percent of total billed charges		306.85	85			Percent of total billed charges		306.85	85			Percent of total billed charges		306.85	100			Percent of total billed charges		361	100			Percent of total billed charges		361	100			Percent of total billed charges		361	33.3			Percent of total billed charges		120.213	33.3			Percent of total billed charges		120.213	100			Percent of total billed charges		361	120.213	324.9	
titanium cannulated distal femoral nail 12mm x 220mm 450.835 synthes	278	RC	Outpatient			361	234.65		90			Percent of total billed charges		324.9	40			Percent of total billed charges		144.4	80			Percent of total billed charges		288.8	90			Percent of total billed charges		324.9	85			Percent of total billed charges		306.85	85			Percent of total billed charges		306.85	85			Percent of total billed charges		306.85	100			Percent of total billed charges		361	100			Percent of total billed charges		361	100			Percent of total billed charges		361	33.3			Percent of total billed charges		120.213	33.3			Percent of total billed charges		120.213	100			Percent of total billed charges		361	120.213	324.9	
titanium cannulated distal femoral nail 12mm x 260mm 450.836 synthes	278	RC	Outpatient			361	234.65		90			Percent of total billed charges		324.9	40			Percent of total billed charges		144.4	80			Percent of total billed charges		288.8	90			Percent of total billed charges		324.9	85			Percent of total billed charges		306.85	85			Percent of total billed charges		306.85	85			Percent of total billed charges		306.85	100			Percent of total billed charges		361	100			Percent of total billed charges		361	100			Percent of total billed charges		361	33.3			Percent of total billed charges		120.213	33.3			Percent of total billed charges		120.213	100			Percent of total billed charges		361	120.213	324.9	
titanium cannulated distal femoral nail 12mm x 280mm 450.824 synthes	278	RC	Outpatient			361	234.65		90			Percent of total billed charges		324.9	40			Percent of total billed charges		144.4	80			Percent of total billed charges		288.8	90			Percent of total billed charges		324.9	85			Percent of total billed charges		306.85	85			Percent of total billed charges		306.85	85			Percent of total billed charges		306.85	100			Percent of total billed charges		361	100			Percent of total billed charges		361	100			Percent of total billed charges		361	33.3			Percent of total billed charges		120.213	33.3			Percent of total billed charges		120.213	100			Percent of total billed charges		361	120.213	324.9	
titanium cannulated distal femoral nail 12mm x 360mm 450.828 synthes	278	RC	Outpatient			361	234.65		90			Percent of total billed charges		324.9	40			Percent of total billed charges		144.4	80			Percent of total billed charges		288.8	90			Percent of total billed charges		324.9	85			Percent of total billed charges		306.85	85			Percent of total billed charges		306.85	85			Percent of total billed charges		306.85	100			Percent of total billed charges		361	100			Percent of total billed charges		361	100			Percent of total billed charges		361	33.3			Percent of total billed charges		120.213	33.3			Percent of total billed charges		120.213	100			Percent of total billed charges		361	120.213	324.9	
titanium cannulated distal femoral nail 12mm x 400mm 450.830 synthes	278	RC	Outpatient			361	234.65		90			Percent of total billed charges		324.9	40			Percent of total billed charges		144.4	80			Percent of total billed charges		288.8	90			Percent of total billed charges		324.9	85			Percent of total billed charges		306.85	85			Percent of total billed charges		306.85	85			Percent of total billed charges		306.85	100			Percent of total billed charges		361	100			Percent of total billed charges		361	100			Percent of total billed charges		361	33.3			Percent of total billed charges		120.213	33.3			Percent of total billed charges		120.213	100			Percent of total billed charges		361	120.213	324.9	
titanium cannulated distal femoral nail 12mm x 420mm 450.831 synthes	278	RC	Outpatient			361	234.65		90			Percent of total billed charges		324.9	40			Percent of total billed charges		144.4	80			Percent of total billed charges		288.8	90			Percent of total billed charges		324.9	85			Percent of total billed charges		306.85	85			Percent of total billed charges		306.85	85			Percent of total billed charges		306.85	100			Percent of total billed charges		361	100			Percent of total billed charges		361	100			Percent of total billed charges		361	33.3			Percent of total billed charges		120.213	33.3			Percent of total billed charges		120.213	100			Percent of total billed charges		361	120.213	324.9	
syn titan. end cap	278	RC	Outpatient			361	234.65		90			Percent of total billed charges		324.9	40			Percent of total billed charges		144.4	80			Percent of total billed charges		288.8	90			Percent of total billed charges		324.9	85			Percent of total billed charges		306.85	85			Percent of total billed charges		306.85	85			Percent of total billed charges		306.85	100			Percent of total billed charges		361	100			Percent of total billed charges		361	100			Percent of total billed charges		361	33.3			Percent of total billed charges		120.213	33.3			Percent of total billed charges		120.213	100			Percent of total billed charges		361	120.213	324.9	
titanium cannulated distal femoral nail 12mm x 180mm 450.834 synthes	278	RC	Outpatient			361	234.65		90			Percent of total billed charges		324.9	40			Percent of total billed charges		144.4	80			Percent of total billed charges		288.8	90			Percent of total billed charges		324.9	85			Percent of total billed charges		306.85	85			Percent of total billed charges		306.85	85			Percent of total billed charges		306.85	100			Percent of total billed charges		361	100			Percent of total billed charges		361	100			Percent of total billed charges		361	33.3			Percent of total billed charges		120.213	33.3			Percent of total billed charges		120.213	100			Percent of total billed charges		361	120.213	324.9	
titanium cannulated distal femoral nail 12mm x 300mm 450.825 synthes	278	RC	Outpatient			361	234.65		90			Percent of total billed charges		324.9	40			Percent of total billed charges		144.4	80			Percent of total billed charges		288.8	90			Percent of total billed charges		324.9	85			Percent of total billed charges		306.85	85			Percent of total billed charges		306.85	85			Percent of total billed charges		306.85	100			Percent of total billed charges		361	100			Percent of total billed charges		361	100			Percent of total billed charges		361	33.3			Percent of total billed charges		120.213	33.3			Percent of total billed charges		120.213	100			Percent of total billed charges		361	120.213	324.9	
titanium cannulated distal femoral nail 12mm x 320mm 450.826 synthes	278	RC	Outpatient			361	234.65		90			Percent of total billed charges		324.9	40			Percent of total billed charges		144.4	80			Percent of total billed charges		288.8	90			Percent of total billed charges		324.9	85			Percent of total billed charges		306.85	85			Percent of total billed charges		306.85	85			Percent of total billed charges		306.85	100			Percent of total billed charges		361	100			Percent of total billed charges		361	100			Percent of total billed charges		361	33.3			Percent of total billed charges		120.213	33.3			Percent of total billed charges		120.213	100			Percent of total billed charges		361	120.213	324.9	
titanium cannulated distal femoral nail 12mm x 340mm 450.827 synthes	278	RC	Outpatient			361	234.65		90			Percent of total billed charges		324.9	40			Percent of total billed charges		144.4	80			Percent of total billed charges		288.8	90			Percent of total billed charges		324.9	85			Percent of total billed charges		306.85	85			Percent of total billed charges		306.85	85			Percent of total billed charges		306.85	100			Percent of total billed charges		361	100			Percent of total billed charges		361	100			Percent of total billed charges		361	33.3			Percent of total billed charges		120.213	33.3			Percent of total billed charges		120.213	100			Percent of total billed charges		361	120.213	324.9	
titanium cannulated distal femoral nail 12mm x 380mm 450.829 synthes	278	RC	Outpatient			361	234.65		90			Percent of total billed charges		324.9	40			Percent of total billed charges		144.4	80			Percent of total billed charges		288.8	90			Percent of total billed charges		324.9	85			Percent of total billed charges		306.85	85			Percent of total billed charges		306.85	85			Percent of total billed charges		306.85	100			Percent of total billed charges		361	100			Percent of total billed charges		361	100			Percent of total billed charges		361	33.3			Percent of total billed charges		120.213	33.3			Percent of total billed charges		120.213	100			Percent of total billed charges		361	120.213	324.9	
titanium cannulated distal femoral nail 12mm x 440mm 450.832 synthes	278	RC	Outpatient			361	234.65		90			Percent of total billed charges		324.9	40			Percent of total billed charges		144.4	80			Percent of total billed charges		288.8	90			Percent of total billed charges		324.9	85			Percent of total billed charges		306.85	85			Percent of total billed charges		306.85	85			Percent of total billed charges		306.85	100			Percent of total billed charges		361	100			Percent of total billed charges		361	100			Percent of total billed charges		361	33.3			Percent of total billed charges		120.213	33.3			Percent of total billed charges		120.213	100			Percent of total billed charges		361	120.213	324.9	
titanium cannulated distal femoral nail 12mm x 460mm 450.833 synthes	278	RC	Outpatient			361	234.65		90			Percent of total billed charges		324.9	40			Percent of total billed charges		144.4	80			Percent of total billed charges		288.8	90			Percent of total billed charges		324.9	85			Percent of total billed charges		306.85	85			Percent of total billed charges		306.85	85			Percent of total billed charges		306.85	100			Percent of total billed charges		361	100			Percent of total billed charges		361	100			Percent of total billed charges		361	33.3			Percent of total billed charges		120.213	33.3			Percent of total billed charges		120.213	100			Percent of total billed charges		361	120.213	324.9	
zimmer prep kit	272	RC	Outpatient			361	234.65		90			Percent of total billed charges		324.9	40			Percent of total billed charges		144.4	80			Percent of total billed charges		288.8	90			Percent of total billed charges		324.9	85			Percent of total billed charges		306.85	85			Percent of total billed charges		306.85	85			Percent of total billed charges		306.85	100			Percent of total billed charges		361	100			Percent of total billed charges		361	100			Percent of total billed charges		361	33.3			Percent of total billed charges		120.213	33.3			Percent of total billed charges		120.213	100			Percent of total billed charges		361	120.213	324.9	
boot walking medium 891615	270	RC	Outpatient			362	235.3		90			Percent of total billed charges		325.8	40			Percent of total billed charges		144.8	80			Percent of total billed charges		289.6	90			Percent of total billed charges		325.8	85			Percent of total billed charges		307.7	85			Percent of total billed charges		307.7	85			Percent of total billed charges		307.7	100			Percent of total billed charges		362	100			Percent of total billed charges		362	100			Percent of total billed charges		362	33.3			Percent of total billed charges		120.546	33.3			Percent of total billed charges		120.546	100			Percent of total billed charges		362	120.546	325.8	
boot walking  large sl8001-07	270	RC	Outpatient			362	235.3		90			Percent of total billed charges		325.8	40			Percent of total billed charges		144.8	80			Percent of total billed charges		289.6	90			Percent of total billed charges		325.8	85			Percent of total billed charges		307.7	85			Percent of total billed charges		307.7	85			Percent of total billed charges		307.7	100			Percent of total billed charges		362	100			Percent of total billed charges		362	100			Percent of total billed charges		362	33.3			Percent of total billed charges		120.546	33.3			Percent of total billed charges		120.546	100			Percent of total billed charges		362	120.546	325.8	
boot walking small sl8001-03	270	RC	Outpatient			362	235.3		90			Percent of total billed charges		325.8	40			Percent of total billed charges		144.8	80			Percent of total billed charges		289.6	90			Percent of total billed charges		325.8	85			Percent of total billed charges		307.7	85			Percent of total billed charges		307.7	85			Percent of total billed charges		307.7	100			Percent of total billed charges		362	100			Percent of total billed charges		362	100			Percent of total billed charges		362	33.3			Percent of total billed charges		120.546	33.3			Percent of total billed charges		120.546	100			Percent of total billed charges		362	120.546	325.8	
short leg walker	270	RC	Outpatient			362	235.3		90			Percent of total billed charges		325.8	40			Percent of total billed charges		144.8	80			Percent of total billed charges		289.6	90			Percent of total billed charges		325.8	85			Percent of total billed charges		307.7	85			Percent of total billed charges		307.7	85			Percent of total billed charges		307.7	100			Percent of total billed charges		362	100			Percent of total billed charges		362	100			Percent of total billed charges		362	33.3			Percent of total billed charges		120.546	33.3			Percent of total billed charges		120.546	100			Percent of total billed charges		362	120.546	325.8	
arthrex drill bit	272	RC	Outpatient			363	235.95		90			Percent of total billed charges		326.7	40			Percent of total billed charges		145.2	80			Percent of total billed charges		290.4	90			Percent of total billed charges		326.7	85			Percent of total billed charges		308.55	85			Percent of total billed charges		308.55	85			Percent of total billed charges		308.55	100			Percent of total billed charges		363	100			Percent of total billed charges		363	100			Percent of total billed charges		363	33.3			Percent of total billed charges		120.879	33.3			Percent of total billed charges		120.879	100			Percent of total billed charges		363	120.879	326.7	
arthrex drill bit ar-1204l	272	RC	Outpatient			363	235.95		90			Percent of total billed charges		326.7	40			Percent of total billed charges		145.2	80			Percent of total billed charges		290.4	90			Percent of total billed charges		326.7	85			Percent of total billed charges		308.55	85			Percent of total billed charges		308.55	85			Percent of total billed charges		308.55	100			Percent of total billed charges		363	100			Percent of total billed charges		363	100			Percent of total billed charges		363	33.3			Percent of total billed charges		120.879	33.3			Percent of total billed charges		120.879	100			Percent of total billed charges		363	120.879	326.7	
arthrex 4mm non-cannulated drill bit ar-1204d	272	RC	Outpatient			363	235.95		90			Percent of total billed charges		326.7	40			Percent of total billed charges		145.2	80			Percent of total billed charges		290.4	90			Percent of total billed charges		326.7	85			Percent of total billed charges		308.55	85			Percent of total billed charges		308.55	85			Percent of total billed charges		308.55	100			Percent of total billed charges		363	100			Percent of total billed charges		363	100			Percent of total billed charges		363	33.3			Percent of total billed charges		120.879	33.3			Percent of total billed charges		120.879	100			Percent of total billed charges		363	120.879	326.7	
arthrex drill bit 4.0 can	272	RC	Outpatient			364	236.6		90			Percent of total billed charges		327.6	40			Percent of total billed charges		145.6	80			Percent of total billed charges		291.2	90			Percent of total billed charges		327.6	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	100			Percent of total billed charges		364	100			Percent of total billed charges		364	100			Percent of total billed charges		364	33.3			Percent of total billed charges		121.212	33.3			Percent of total billed charges		121.212	100			Percent of total billed charges		364	121.212	327.6	
arthrex drill bit 4.0 cannulated ar-8967-40c	272	RC	Outpatient			364	236.6		90			Percent of total billed charges		327.6	40			Percent of total billed charges		145.6	80			Percent of total billed charges		291.2	90			Percent of total billed charges		327.6	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	100			Percent of total billed charges		364	100			Percent of total billed charges		364	100			Percent of total billed charges		364	33.3			Percent of total billed charges		121.212	33.3			Percent of total billed charges		121.212	100			Percent of total billed charges		364	121.212	327.6	
glide scope cover 3 & 4 ed charge scnt	270	RC	Outpatient			364	236.6		90			Percent of total billed charges		327.6	40			Percent of total billed charges		145.6	80			Percent of total billed charges		291.2	90			Percent of total billed charges		327.6	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	100			Percent of total billed charges		364	100			Percent of total billed charges		364	100			Percent of total billed charges		364	33.3			Percent of total billed charges		121.212	33.3			Percent of total billed charges		121.212	100			Percent of total billed charges		364	121.212	327.6	
davol endo flo probe	270	RC	Outpatient			364	236.6		90			Percent of total billed charges		327.6	40			Percent of total billed charges		145.6	80			Percent of total billed charges		291.2	90			Percent of total billed charges		327.6	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	100			Percent of total billed charges		364	100			Percent of total billed charges		364	100			Percent of total billed charges		364	33.3			Percent of total billed charges		121.212	33.3			Percent of total billed charges		121.212	100			Percent of total billed charges		364	121.212	327.6	
glide scope covers 3 or 4	270	RC	Outpatient			364	236.6		90			Percent of total billed charges		327.6	40			Percent of total billed charges		145.6	80			Percent of total billed charges		291.2	90			Percent of total billed charges		327.6	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	100			Percent of total billed charges		364	100			Percent of total billed charges		364	100			Percent of total billed charges		364	33.3			Percent of total billed charges		121.212	33.3			Percent of total billed charges		121.212	100			Percent of total billed charges		364	121.212	327.6	
irrigation suction  250-070-520  strykeflow ii stryker	272	RC	Outpatient			364	236.6		90			Percent of total billed charges		327.6	40			Percent of total billed charges		145.6	80			Percent of total billed charges		291.2	90			Percent of total billed charges		327.6	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	100			Percent of total billed charges		364	100			Percent of total billed charges		364	100			Percent of total billed charges		364	33.3			Percent of total billed charges		121.212	33.3			Percent of total billed charges		121.212	100			Percent of total billed charges		364	121.212	327.6	
omnifit dist spacer	278	RC	Outpatient			364	236.6		90			Percent of total billed charges		327.6	40			Percent of total billed charges		145.6	80			Percent of total billed charges		291.2	90			Percent of total billed charges		327.6	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	100			Percent of total billed charges		364	100			Percent of total billed charges		364	100			Percent of total billed charges		364	33.3			Percent of total billed charges		121.212	33.3			Percent of total billed charges		121.212	100			Percent of total billed charges		364	121.212	327.6	
omnifit universal distal spacer 10mm stryker 1067-0010	278	RC	Outpatient			364	236.6		90			Percent of total billed charges		327.6	40			Percent of total billed charges		145.6	80			Percent of total billed charges		291.2	90			Percent of total billed charges		327.6	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	100			Percent of total billed charges		364	100			Percent of total billed charges		364	100			Percent of total billed charges		364	33.3			Percent of total billed charges		121.212	33.3			Percent of total billed charges		121.212	100			Percent of total billed charges		364	121.212	327.6	
omnifit universal distal spacer 16mm stryker 1067-0016	278	RC	Outpatient			364	236.6		90			Percent of total billed charges		327.6	40			Percent of total billed charges		145.6	80			Percent of total billed charges		291.2	90			Percent of total billed charges		327.6	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	100			Percent of total billed charges		364	100			Percent of total billed charges		364	100			Percent of total billed charges		364	33.3			Percent of total billed charges		121.212	33.3			Percent of total billed charges		121.212	100			Percent of total billed charges		364	121.212	327.6	
"small t plate right angle 4 hole head, 7 hole shaft 241.17"	278	RC	Outpatient			364	236.6		90			Percent of total billed charges		327.6	40			Percent of total billed charges		145.6	80			Percent of total billed charges		291.2	90			Percent of total billed charges		327.6	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	100			Percent of total billed charges		364	100			Percent of total billed charges		364	100			Percent of total billed charges		364	33.3			Percent of total billed charges		121.212	33.3			Percent of total billed charges		121.212	100			Percent of total billed charges		364	121.212	327.6	
structual trocar oms-t10sb	270	RC	Outpatient			364	236.6		90			Percent of total billed charges		327.6	40			Percent of total billed charges		145.6	80			Percent of total billed charges		291.2	90			Percent of total billed charges		327.6	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	100			Percent of total billed charges		364	100			Percent of total billed charges		364	100			Percent of total billed charges		364	33.3			Percent of total billed charges		121.212	33.3			Percent of total billed charges		121.212	100			Percent of total billed charges		364	121.212	327.6	
t15 locking  scr st 2.7 x 10 7382-2310 s/n	278	RC	Outpatient			364	236.6		90			Percent of total billed charges		327.6	40			Percent of total billed charges		145.6	80			Percent of total billed charges		291.2	90			Percent of total billed charges		327.6	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	100			Percent of total billed charges		364	100			Percent of total billed charges		364	100			Percent of total billed charges		364	33.3			Percent of total billed charges		121.212	33.3			Percent of total billed charges		121.212	100			Percent of total billed charges		364	121.212	327.6	
t15 locking  scr st 2.7 x 12 7382-2312 s/n	278	RC	Outpatient			364	236.6		90			Percent of total billed charges		327.6	40			Percent of total billed charges		145.6	80			Percent of total billed charges		291.2	90			Percent of total billed charges		327.6	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	100			Percent of total billed charges		364	100			Percent of total billed charges		364	100			Percent of total billed charges		364	33.3			Percent of total billed charges		121.212	33.3			Percent of total billed charges		121.212	100			Percent of total billed charges		364	121.212	327.6	
t15 locking  scr st 2.7 x 14 7382-2314 s/n	278	RC	Outpatient			364	236.6		90			Percent of total billed charges		327.6	40			Percent of total billed charges		145.6	80			Percent of total billed charges		291.2	90			Percent of total billed charges		327.6	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	100			Percent of total billed charges		364	100			Percent of total billed charges		364	100			Percent of total billed charges		364	33.3			Percent of total billed charges		121.212	33.3			Percent of total billed charges		121.212	100			Percent of total billed charges		364	121.212	327.6	
t15 locking  scr st 2.7 x 18 7382-2318 s/n	278	RC	Outpatient			364	236.6		90			Percent of total billed charges		327.6	40			Percent of total billed charges		145.6	80			Percent of total billed charges		291.2	90			Percent of total billed charges		327.6	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	100			Percent of total billed charges		364	100			Percent of total billed charges		364	100			Percent of total billed charges		364	33.3			Percent of total billed charges		121.212	33.3			Percent of total billed charges		121.212	100			Percent of total billed charges		364	121.212	327.6	
t15 locking  scr st 2.7 x 20 7382-2320 s/n	278	RC	Outpatient			364	236.6		90			Percent of total billed charges		327.6	40			Percent of total billed charges		145.6	80			Percent of total billed charges		291.2	90			Percent of total billed charges		327.6	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	100			Percent of total billed charges		364	100			Percent of total billed charges		364	100			Percent of total billed charges		364	33.3			Percent of total billed charges		121.212	33.3			Percent of total billed charges		121.212	100			Percent of total billed charges		364	121.212	327.6	
t15 locking  scr st 2.7 x 26 7382-2326 s/n	278	RC	Outpatient			364	236.6		90			Percent of total billed charges		327.6	40			Percent of total billed charges		145.6	80			Percent of total billed charges		291.2	90			Percent of total billed charges		327.6	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	100			Percent of total billed charges		364	100			Percent of total billed charges		364	100			Percent of total billed charges		364	33.3			Percent of total billed charges		121.212	33.3			Percent of total billed charges		121.212	100			Percent of total billed charges		364	121.212	327.6	
t15 locking  scr st 2.7 x 30 7382-2330 s/n	278	RC	Outpatient			364	236.6		90			Percent of total billed charges		327.6	40			Percent of total billed charges		145.6	80			Percent of total billed charges		291.2	90			Percent of total billed charges		327.6	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	100			Percent of total billed charges		364	100			Percent of total billed charges		364	100			Percent of total billed charges		364	33.3			Percent of total billed charges		121.212	33.3			Percent of total billed charges		121.212	100			Percent of total billed charges		364	121.212	327.6	
t15 locking  scr st 2.7 x 32 7382-2332 s/n	278	RC	Outpatient			364	236.6		90			Percent of total billed charges		327.6	40			Percent of total billed charges		145.6	80			Percent of total billed charges		291.2	90			Percent of total billed charges		327.6	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	100			Percent of total billed charges		364	100			Percent of total billed charges		364	100			Percent of total billed charges		364	33.3			Percent of total billed charges		121.212	33.3			Percent of total billed charges		121.212	100			Percent of total billed charges		364	121.212	327.6	
t15 locking  scr st 2.7 x 34 7382-2334 s/n	278	RC	Outpatient			364	236.6		90			Percent of total billed charges		327.6	40			Percent of total billed charges		145.6	80			Percent of total billed charges		291.2	90			Percent of total billed charges		327.6	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	100			Percent of total billed charges		364	100			Percent of total billed charges		364	100			Percent of total billed charges		364	33.3			Percent of total billed charges		121.212	33.3			Percent of total billed charges		121.212	100			Percent of total billed charges		364	121.212	327.6	
t15 locking  scr st 2.7 x 36 7382-2336 s/n	278	RC	Outpatient			364	236.6		90			Percent of total billed charges		327.6	40			Percent of total billed charges		145.6	80			Percent of total billed charges		291.2	90			Percent of total billed charges		327.6	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	100			Percent of total billed charges		364	100			Percent of total billed charges		364	100			Percent of total billed charges		364	33.3			Percent of total billed charges		121.212	33.3			Percent of total billed charges		121.212	100			Percent of total billed charges		364	121.212	327.6	
t15 locking  scr st 2.7 x 38 7382-2338 s/n	278	RC	Outpatient			364	236.6		90			Percent of total billed charges		327.6	40			Percent of total billed charges		145.6	80			Percent of total billed charges		291.2	90			Percent of total billed charges		327.6	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	100			Percent of total billed charges		364	100			Percent of total billed charges		364	100			Percent of total billed charges		364	33.3			Percent of total billed charges		121.212	33.3			Percent of total billed charges		121.212	100			Percent of total billed charges		364	121.212	327.6	
t15 locking  scr st 2.7 x 44 7382-2344 s/n	278	RC	Outpatient			364	236.6		90			Percent of total billed charges		327.6	40			Percent of total billed charges		145.6	80			Percent of total billed charges		291.2	90			Percent of total billed charges		327.6	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	100			Percent of total billed charges		364	100			Percent of total billed charges		364	100			Percent of total billed charges		364	33.3			Percent of total billed charges		121.212	33.3			Percent of total billed charges		121.212	100			Percent of total billed charges		364	121.212	327.6	
t15 locking  scr st 2.7 x 46 7382-2346 s/n	278	RC	Outpatient			364	236.6		90			Percent of total billed charges		327.6	40			Percent of total billed charges		145.6	80			Percent of total billed charges		291.2	90			Percent of total billed charges		327.6	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	100			Percent of total billed charges		364	100			Percent of total billed charges		364	100			Percent of total billed charges		364	33.3			Percent of total billed charges		121.212	33.3			Percent of total billed charges		121.212	100			Percent of total billed charges		364	121.212	327.6	
t15 locking  scr st 2.7 x 48 7382-2348 s/n	278	RC	Outpatient			364	236.6		90			Percent of total billed charges		327.6	40			Percent of total billed charges		145.6	80			Percent of total billed charges		291.2	90			Percent of total billed charges		327.6	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	100			Percent of total billed charges		364	100			Percent of total billed charges		364	100			Percent of total billed charges		364	33.3			Percent of total billed charges		121.212	33.3			Percent of total billed charges		121.212	100			Percent of total billed charges		364	121.212	327.6	
t15 locking  scr st 2.7 x 50 7382-2350 s/n	278	RC	Outpatient			364	236.6		90			Percent of total billed charges		327.6	40			Percent of total billed charges		145.6	80			Percent of total billed charges		291.2	90			Percent of total billed charges		327.6	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	100			Percent of total billed charges		364	100			Percent of total billed charges		364	100			Percent of total billed charges		364	33.3			Percent of total billed charges		121.212	33.3			Percent of total billed charges		121.212	100			Percent of total billed charges		364	121.212	327.6	
t15 locking  scr st 2.7 x 60 7382-2360 s/n	278	RC	Outpatient			364	236.6		90			Percent of total billed charges		327.6	40			Percent of total billed charges		145.6	80			Percent of total billed charges		291.2	90			Percent of total billed charges		327.6	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	100			Percent of total billed charges		364	100			Percent of total billed charges		364	100			Percent of total billed charges		364	33.3			Percent of total billed charges		121.212	33.3			Percent of total billed charges		121.212	100			Percent of total billed charges		364	121.212	327.6	
s/n 2.7 t15 lck screw	278	RC	Outpatient			364	236.6		90			Percent of total billed charges		327.6	40			Percent of total billed charges		145.6	80			Percent of total billed charges		291.2	90			Percent of total billed charges		327.6	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	100			Percent of total billed charges		364	100			Percent of total billed charges		364	100			Percent of total billed charges		364	33.3			Percent of total billed charges		121.212	33.3			Percent of total billed charges		121.212	100			Percent of total billed charges		364	121.212	327.6	
"small t plate right angle 4 hole head, 8 hole shaft 241.18"	278	RC	Outpatient			364	236.6		90			Percent of total billed charges		327.6	40			Percent of total billed charges		145.6	80			Percent of total billed charges		291.2	90			Percent of total billed charges		327.6	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	100			Percent of total billed charges		364	100			Percent of total billed charges		364	100			Percent of total billed charges		364	33.3			Percent of total billed charges		121.212	33.3			Percent of total billed charges		121.212	100			Percent of total billed charges		364	121.212	327.6	
structural trocar	270	RC	Outpatient			364	236.6		90			Percent of total billed charges		327.6	40			Percent of total billed charges		145.6	80			Percent of total billed charges		291.2	90			Percent of total billed charges		327.6	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	100			Percent of total billed charges		364	100			Percent of total billed charges		364	100			Percent of total billed charges		364	33.3			Percent of total billed charges		121.212	33.3			Percent of total billed charges		121.212	100			Percent of total billed charges		364	121.212	327.6	
syn sm t-plate 4 hole	278	RC	Outpatient			364	236.6		90			Percent of total billed charges		327.6	40			Percent of total billed charges		145.6	80			Percent of total billed charges		291.2	90			Percent of total billed charges		327.6	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	100			Percent of total billed charges		364	100			Percent of total billed charges		364	100			Percent of total billed charges		364	33.3			Percent of total billed charges		121.212	33.3			Percent of total billed charges		121.212	100			Percent of total billed charges		364	121.212	327.6	
t-plate 4 hole 240.14	278	RC	Outpatient			364	236.6		90			Percent of total billed charges		327.6	40			Percent of total billed charges		145.6	80			Percent of total billed charges		291.2	90			Percent of total billed charges		327.6	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	100			Percent of total billed charges		364	100			Percent of total billed charges		364	100			Percent of total billed charges		364	33.3			Percent of total billed charges		121.212	33.3			Percent of total billed charges		121.212	100			Percent of total billed charges		364	121.212	327.6	
t15 locking  scr st 2.7 x 16 7382-2316 s/n	278	RC	Outpatient			364	236.6		90			Percent of total billed charges		327.6	40			Percent of total billed charges		145.6	80			Percent of total billed charges		291.2	90			Percent of total billed charges		327.6	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	100			Percent of total billed charges		364	100			Percent of total billed charges		364	100			Percent of total billed charges		364	33.3			Percent of total billed charges		121.212	33.3			Percent of total billed charges		121.212	100			Percent of total billed charges		364	121.212	327.6	
t15 locking  scr st 2.7 x 22 7382-2322 s/n	278	RC	Outpatient			364	236.6		90			Percent of total billed charges		327.6	40			Percent of total billed charges		145.6	80			Percent of total billed charges		291.2	90			Percent of total billed charges		327.6	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	100			Percent of total billed charges		364	100			Percent of total billed charges		364	100			Percent of total billed charges		364	33.3			Percent of total billed charges		121.212	33.3			Percent of total billed charges		121.212	100			Percent of total billed charges		364	121.212	327.6	
t15 locking  scr st 2.7 x 24 7382-2324 s/n	278	RC	Outpatient			364	236.6		90			Percent of total billed charges		327.6	40			Percent of total billed charges		145.6	80			Percent of total billed charges		291.2	90			Percent of total billed charges		327.6	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	100			Percent of total billed charges		364	100			Percent of total billed charges		364	100			Percent of total billed charges		364	33.3			Percent of total billed charges		121.212	33.3			Percent of total billed charges		121.212	100			Percent of total billed charges		364	121.212	327.6	
t15 locking  scr st 2.7 x 28 7382-2328 s/n	278	RC	Outpatient			364	236.6		90			Percent of total billed charges		327.6	40			Percent of total billed charges		145.6	80			Percent of total billed charges		291.2	90			Percent of total billed charges		327.6	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	100			Percent of total billed charges		364	100			Percent of total billed charges		364	100			Percent of total billed charges		364	33.3			Percent of total billed charges		121.212	33.3			Percent of total billed charges		121.212	100			Percent of total billed charges		364	121.212	327.6	
t15 locking  scr st 2.7 x 40 7382-2340 s/n	278	RC	Outpatient			364	236.6		90			Percent of total billed charges		327.6	40			Percent of total billed charges		145.6	80			Percent of total billed charges		291.2	90			Percent of total billed charges		327.6	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	100			Percent of total billed charges		364	100			Percent of total billed charges		364	100			Percent of total billed charges		364	33.3			Percent of total billed charges		121.212	33.3			Percent of total billed charges		121.212	100			Percent of total billed charges		364	121.212	327.6	
t15 locking  scr st 2.7 x 42 7382-2342 s/n	278	RC	Outpatient			364	236.6		90			Percent of total billed charges		327.6	40			Percent of total billed charges		145.6	80			Percent of total billed charges		291.2	90			Percent of total billed charges		327.6	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	100			Percent of total billed charges		364	100			Percent of total billed charges		364	100			Percent of total billed charges		364	33.3			Percent of total billed charges		121.212	33.3			Percent of total billed charges		121.212	100			Percent of total billed charges		364	121.212	327.6	
t15 locking  scr st 2.7 x 55 7382-2355 s/n	278	RC	Outpatient			364	236.6		90			Percent of total billed charges		327.6	40			Percent of total billed charges		145.6	80			Percent of total billed charges		291.2	90			Percent of total billed charges		327.6	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	85			Percent of total billed charges		309.4	100			Percent of total billed charges		364	100			Percent of total billed charges		364	100			Percent of total billed charges		364	33.3			Percent of total billed charges		121.212	33.3			Percent of total billed charges		121.212	100			Percent of total billed charges		364	121.212	327.6	
fuhrman pleural pneumpericardial drainage tray ref  c-ppdy-850-imh	272	RC	Outpatient			364.2	236.73		90			Percent of total billed charges		327.78	40			Percent of total billed charges		145.68	80			Percent of total billed charges		291.36	90			Percent of total billed charges		327.78	85			Percent of total billed charges		309.57	85			Percent of total billed charges		309.57	85			Percent of total billed charges		309.57	100			Percent of total billed charges		364.2	100			Percent of total billed charges		364.2	100			Percent of total billed charges		364.2	33.3			Percent of total billed charges		121.2786	33.3			Percent of total billed charges		121.2786	100			Percent of total billed charges		364.2	121.2786	327.78	
artho blade bc mini	272	RC	Outpatient			365	237.25		90			Percent of total billed charges		328.5	40			Percent of total billed charges		146	80			Percent of total billed charges		292	90			Percent of total billed charges		328.5	85			Percent of total billed charges		310.25	85			Percent of total billed charges		310.25	85			Percent of total billed charges		310.25	100			Percent of total billed charges		365	100			Percent of total billed charges		365	100			Percent of total billed charges		365	33.3			Percent of total billed charges		121.545	33.3			Percent of total billed charges		121.545	100			Percent of total billed charges		365	121.545	328.5	
arthrex scr lp 2.4	278	RC	Outpatient			365	237.25		90			Percent of total billed charges		328.5	40			Percent of total billed charges		146	80			Percent of total billed charges		292	90			Percent of total billed charges		328.5	85			Percent of total billed charges		310.25	85			Percent of total billed charges		310.25	85			Percent of total billed charges		310.25	100			Percent of total billed charges		365	100			Percent of total billed charges		365	100			Percent of total billed charges		365	33.3			Percent of total billed charges		121.545	33.3			Percent of total billed charges		121.545	100			Percent of total billed charges		365	121.545	328.5	
blade fr bone cutter miniblade 3.5 dyonics 6900927 s/n	272	RC	Outpatient			365	237.25		90			Percent of total billed charges		328.5	40			Percent of total billed charges		146	80			Percent of total billed charges		292	90			Percent of total billed charges		328.5	85			Percent of total billed charges		310.25	85			Percent of total billed charges		310.25	85			Percent of total billed charges		310.25	100			Percent of total billed charges		365	100			Percent of total billed charges		365	100			Percent of total billed charges		365	33.3			Percent of total billed charges		121.545	33.3			Percent of total billed charges		121.545	100			Percent of total billed charges		365	121.545	328.5	
arthrex low profile cortical screw 2.4 x 12mm ar-8724-12	278	RC	Outpatient			365	237.25		90			Percent of total billed charges		328.5	40			Percent of total billed charges		146	80			Percent of total billed charges		292	90			Percent of total billed charges		328.5	85			Percent of total billed charges		310.25	85			Percent of total billed charges		310.25	85			Percent of total billed charges		310.25	100			Percent of total billed charges		365	100			Percent of total billed charges		365	100			Percent of total billed charges		365	33.3			Percent of total billed charges		121.545	33.3			Percent of total billed charges		121.545	100			Percent of total billed charges		365	121.545	328.5	
s/n drill twist flex 2.3	272	RC	Outpatient			365	237.25		90			Percent of total billed charges		328.5	40			Percent of total billed charges		146	80			Percent of total billed charges		292	90			Percent of total billed charges		328.5	85			Percent of total billed charges		310.25	85			Percent of total billed charges		310.25	85			Percent of total billed charges		310.25	100			Percent of total billed charges		365	100			Percent of total billed charges		365	100			Percent of total billed charges		365	33.3			Percent of total billed charges		121.545	33.3			Percent of total billed charges		121.545	100			Percent of total billed charges		365	121.545	328.5	
s/n flex twist drill 2.3 curved 72203160	272	RC	Outpatient			365	237.25		90			Percent of total billed charges		328.5	40			Percent of total billed charges		146	80			Percent of total billed charges		292	90			Percent of total billed charges		328.5	85			Percent of total billed charges		310.25	85			Percent of total billed charges		310.25	85			Percent of total billed charges		310.25	100			Percent of total billed charges		365	100			Percent of total billed charges		365	100			Percent of total billed charges		365	33.3			Percent of total billed charges		121.545	33.3			Percent of total billed charges		121.545	100			Percent of total billed charges		365	121.545	328.5	
zzscrmc schon sheaths	621	RC	Outpatient			365	237.25		90			Percent of total billed charges		328.5	40			Percent of total billed charges		146	80			Percent of total billed charges		292	90			Percent of total billed charges		328.5	85			Percent of total billed charges		310.25	85			Percent of total billed charges		310.25	85			Percent of total billed charges		310.25	100			Percent of total billed charges		365	100			Percent of total billed charges		365	100			Percent of total billed charges		365	33.3			Percent of total billed charges		121.545	33.3			Percent of total billed charges		121.545	100			Percent of total billed charges		365	121.545	328.5	
4.0mm calibrated three-fluted drill bit 356.98 synthes	270	RC	Outpatient			366	237.9		90			Percent of total billed charges		329.4	40			Percent of total billed charges		146.4	80			Percent of total billed charges		292.8	90			Percent of total billed charges		329.4	85			Percent of total billed charges		311.1	85			Percent of total billed charges		311.1	85			Percent of total billed charges		311.1	100			Percent of total billed charges		366	100			Percent of total billed charges		366	100			Percent of total billed charges		366	33.3			Percent of total billed charges		121.878	33.3			Percent of total billed charges		121.878	100			Percent of total billed charges		366	121.878	329.4	
biomet distal centralizer 15mm 162659	278	RC	Outpatient			366	237.9		90			Percent of total billed charges		329.4	40			Percent of total billed charges		146.4	80			Percent of total billed charges		292.8	90			Percent of total billed charges		329.4	85			Percent of total billed charges		311.1	85			Percent of total billed charges		311.1	85			Percent of total billed charges		311.1	100			Percent of total billed charges		366	100			Percent of total billed charges		366	100			Percent of total billed charges		366	33.3			Percent of total billed charges		121.878	33.3			Percent of total billed charges		121.878	100			Percent of total billed charges		366	121.878	329.4	
biomet distal centralizer 19mm 162661	278	RC	Outpatient			366	237.9		90			Percent of total billed charges		329.4	40			Percent of total billed charges		146.4	80			Percent of total billed charges		292.8	90			Percent of total billed charges		329.4	85			Percent of total billed charges		311.1	85			Percent of total billed charges		311.1	85			Percent of total billed charges		311.1	100			Percent of total billed charges		366	100			Percent of total billed charges		366	100			Percent of total billed charges		366	33.3			Percent of total billed charges		121.878	33.3			Percent of total billed charges		121.878	100			Percent of total billed charges		366	121.878	329.4	
biomet  distal centralizer 12mm 162641	278	RC	Outpatient			366	237.9		90			Percent of total billed charges		329.4	40			Percent of total billed charges		146.4	80			Percent of total billed charges		292.8	90			Percent of total billed charges		329.4	85			Percent of total billed charges		311.1	85			Percent of total billed charges		311.1	85			Percent of total billed charges		311.1	100			Percent of total billed charges		366	100			Percent of total billed charges		366	100			Percent of total billed charges		366	33.3			Percent of total billed charges		121.878	33.3			Percent of total billed charges		121.878	100			Percent of total billed charges		366	121.878	329.4	
biomet distal centralizer 10mm 162640 biomet	278	RC	Outpatient			366	237.9		90			Percent of total billed charges		329.4	40			Percent of total billed charges		146.4	80			Percent of total billed charges		292.8	90			Percent of total billed charges		329.4	85			Percent of total billed charges		311.1	85			Percent of total billed charges		311.1	85			Percent of total billed charges		311.1	100			Percent of total billed charges		366	100			Percent of total billed charges		366	100			Percent of total billed charges		366	33.3			Percent of total billed charges		121.878	33.3			Percent of total billed charges		121.878	100			Percent of total billed charges		366	121.878	329.4	
biomet distal centralizer 18mm 162644 biomet	278	RC	Outpatient			366	237.9		90			Percent of total billed charges		329.4	40			Percent of total billed charges		146.4	80			Percent of total billed charges		292.8	90			Percent of total billed charges		329.4	85			Percent of total billed charges		311.1	85			Percent of total billed charges		311.1	85			Percent of total billed charges		311.1	100			Percent of total billed charges		366	100			Percent of total billed charges		366	100			Percent of total billed charges		366	33.3			Percent of total billed charges		121.878	33.3			Percent of total billed charges		121.878	100			Percent of total billed charges		366	121.878	329.4	
biomet distal centralizer 20mm 162646 biomet	278	RC	Outpatient			366	237.9		90			Percent of total billed charges		329.4	40			Percent of total billed charges		146.4	80			Percent of total billed charges		292.8	90			Percent of total billed charges		329.4	85			Percent of total billed charges		311.1	85			Percent of total billed charges		311.1	85			Percent of total billed charges		311.1	100			Percent of total billed charges		366	100			Percent of total billed charges		366	100			Percent of total billed charges		366	33.3			Percent of total billed charges		121.878	33.3			Percent of total billed charges		121.878	100			Percent of total billed charges		366	121.878	329.4	
bone cement  80 g  zimmer 1101-08	278	RC	Outpatient			366	237.9		90			Percent of total billed charges		329.4	40			Percent of total billed charges		146.4	80			Percent of total billed charges		292.8	90			Percent of total billed charges		329.4	85			Percent of total billed charges		311.1	85			Percent of total billed charges		311.1	85			Percent of total billed charges		311.1	100			Percent of total billed charges		366	100			Percent of total billed charges		366	100			Percent of total billed charges		366	33.3			Percent of total billed charges		121.878	33.3			Percent of total billed charges		121.878	100			Percent of total billed charges		366	121.878	329.4	
distal centralizer	278	RC	Outpatient			366	237.9		90			Percent of total billed charges		329.4	40			Percent of total billed charges		146.4	80			Percent of total billed charges		292.8	90			Percent of total billed charges		329.4	85			Percent of total billed charges		311.1	85			Percent of total billed charges		311.1	85			Percent of total billed charges		311.1	100			Percent of total billed charges		366	100			Percent of total billed charges		366	100			Percent of total billed charges		366	33.3			Percent of total billed charges		121.878	33.3			Percent of total billed charges		121.878	100			Percent of total billed charges		366	121.878	329.4	
distal centralizer 13mm 162658	278	RC	Outpatient			366	237.9		90			Percent of total billed charges		329.4	40			Percent of total billed charges		146.4	80			Percent of total billed charges		292.8	90			Percent of total billed charges		329.4	85			Percent of total billed charges		311.1	85			Percent of total billed charges		311.1	85			Percent of total billed charges		311.1	100			Percent of total billed charges		366	100			Percent of total billed charges		366	100			Percent of total billed charges		366	33.3			Percent of total billed charges		121.878	33.3			Percent of total billed charges		121.878	100			Percent of total billed charges		366	121.878	329.4	
distal centralizer 14mm 162642 biomet	278	RC	Outpatient			366	237.9		90			Percent of total billed charges		329.4	40			Percent of total billed charges		146.4	80			Percent of total billed charges		292.8	90			Percent of total billed charges		329.4	85			Percent of total billed charges		311.1	85			Percent of total billed charges		311.1	85			Percent of total billed charges		311.1	100			Percent of total billed charges		366	100			Percent of total billed charges		366	100			Percent of total billed charges		366	33.3			Percent of total billed charges		121.878	33.3			Percent of total billed charges		121.878	100			Percent of total billed charges		366	121.878	329.4	
distal centralizer 9mm 162656	278	RC	Outpatient			366	237.9		90			Percent of total billed charges		329.4	40			Percent of total billed charges		146.4	80			Percent of total billed charges		292.8	90			Percent of total billed charges		329.4	85			Percent of total billed charges		311.1	85			Percent of total billed charges		311.1	85			Percent of total billed charges		311.1	100			Percent of total billed charges		366	100			Percent of total billed charges		366	100			Percent of total billed charges		366	33.3			Percent of total billed charges		121.878	33.3			Percent of total billed charges		121.878	100			Percent of total billed charges		366	121.878	329.4	
drill bit 4.0 synthes 314.40	270	RC	Outpatient			366	237.9		90			Percent of total billed charges		329.4	40			Percent of total billed charges		146.4	80			Percent of total billed charges		292.8	90			Percent of total billed charges		329.4	85			Percent of total billed charges		311.1	85			Percent of total billed charges		311.1	85			Percent of total billed charges		311.1	100			Percent of total billed charges		366	100			Percent of total billed charges		366	100			Percent of total billed charges		366	33.3			Percent of total billed charges		121.878	33.3			Percent of total billed charges		121.878	100			Percent of total billed charges		366	121.878	329.4	
echelon 60 reload blue 60-6 ecr60b ethicon	272	RC	Outpatient			366	237.9		90			Percent of total billed charges		329.4	40			Percent of total billed charges		146.4	80			Percent of total billed charges		292.8	90			Percent of total billed charges		329.4	85			Percent of total billed charges		311.1	85			Percent of total billed charges		311.1	85			Percent of total billed charges		311.1	100			Percent of total billed charges		366	100			Percent of total billed charges		366	100			Percent of total billed charges		366	33.3			Percent of total billed charges		121.878	33.3			Percent of total billed charges		121.878	100			Percent of total billed charges		366	121.878	329.4	
echelon 60 reload white 60-6 ecr60w ethicon	272	RC	Outpatient			366	237.9		90			Percent of total billed charges		329.4	40			Percent of total billed charges		146.4	80			Percent of total billed charges		292.8	90			Percent of total billed charges		329.4	85			Percent of total billed charges		311.1	85			Percent of total billed charges		311.1	85			Percent of total billed charges		311.1	100			Percent of total billed charges		366	100			Percent of total billed charges		366	100			Percent of total billed charges		366	33.3			Percent of total billed charges		121.878	33.3			Percent of total billed charges		121.878	100			Percent of total billed charges		366	121.878	329.4	
distal centralizer 11mm 162657	278	RC	Outpatient			366	237.9		90			Percent of total billed charges		329.4	40			Percent of total billed charges		146.4	80			Percent of total billed charges		292.8	90			Percent of total billed charges		329.4	85			Percent of total billed charges		311.1	85			Percent of total billed charges		311.1	85			Percent of total billed charges		311.1	100			Percent of total billed charges		366	100			Percent of total billed charges		366	100			Percent of total billed charges		366	33.3			Percent of total billed charges		121.878	33.3			Percent of total billed charges		121.878	100			Percent of total billed charges		366	121.878	329.4	
distal centralizer 16mm biomet 162643	278	RC	Outpatient			366	237.9		90			Percent of total billed charges		329.4	40			Percent of total billed charges		146.4	80			Percent of total billed charges		292.8	90			Percent of total billed charges		329.4	85			Percent of total billed charges		311.1	85			Percent of total billed charges		311.1	85			Percent of total billed charges		311.1	100			Percent of total billed charges		366	100			Percent of total billed charges		366	100			Percent of total billed charges		366	33.3			Percent of total billed charges		121.878	33.3			Percent of total billed charges		121.878	100			Percent of total billed charges		366	121.878	329.4	
distal centralizer 17mm 162660	278	RC	Outpatient			366	237.9		90			Percent of total billed charges		329.4	40			Percent of total billed charges		146.4	80			Percent of total billed charges		292.8	90			Percent of total billed charges		329.4	85			Percent of total billed charges		311.1	85			Percent of total billed charges		311.1	85			Percent of total billed charges		311.1	100			Percent of total billed charges		366	100			Percent of total billed charges		366	100			Percent of total billed charges		366	33.3			Percent of total billed charges		121.878	33.3			Percent of total billed charges		121.878	100			Percent of total billed charges		366	121.878	329.4	
echelon 60 reload green 60-6 ecr60g ethicon	272	RC	Outpatient			366	237.9		90			Percent of total billed charges		329.4	40			Percent of total billed charges		146.4	80			Percent of total billed charges		292.8	90			Percent of total billed charges		329.4	85			Percent of total billed charges		311.1	85			Percent of total billed charges		311.1	85			Percent of total billed charges		311.1	100			Percent of total billed charges		366	100			Percent of total billed charges		366	100			Percent of total billed charges		366	33.3			Percent of total billed charges		121.878	33.3			Percent of total billed charges		121.878	100			Percent of total billed charges		366	121.878	329.4	
echelon flex 60 reload	272	RC	Outpatient			366	237.9		90			Percent of total billed charges		329.4	40			Percent of total billed charges		146.4	80			Percent of total billed charges		292.8	90			Percent of total billed charges		329.4	85			Percent of total billed charges		311.1	85			Percent of total billed charges		311.1	85			Percent of total billed charges		311.1	100			Percent of total billed charges		366	100			Percent of total billed charges		366	100			Percent of total billed charges		366	33.3			Percent of total billed charges		121.878	33.3			Percent of total billed charges		121.878	100			Percent of total billed charges		366	121.878	329.4	
echolon flex 60 reload blue ecr60b ethicon	272	RC	Outpatient			366	237.9		90			Percent of total billed charges		329.4	40			Percent of total billed charges		146.4	80			Percent of total billed charges		292.8	90			Percent of total billed charges		329.4	85			Percent of total billed charges		311.1	85			Percent of total billed charges		311.1	85			Percent of total billed charges		311.1	100			Percent of total billed charges		366	100			Percent of total billed charges		366	100			Percent of total billed charges		366	33.3			Percent of total billed charges		121.878	33.3			Percent of total billed charges		121.878	100			Percent of total billed charges		366	121.878	329.4	
echolon flex 60 reload green ecr60g ethicon	272	RC	Outpatient			366	237.9		90			Percent of total billed charges		329.4	40			Percent of total billed charges		146.4	80			Percent of total billed charges		292.8	90			Percent of total billed charges		329.4	85			Percent of total billed charges		311.1	85			Percent of total billed charges		311.1	85			Percent of total billed charges		311.1	100			Percent of total billed charges		366	100			Percent of total billed charges		366	100			Percent of total billed charges		366	33.3			Percent of total billed charges		121.878	33.3			Percent of total billed charges		121.878	100			Percent of total billed charges		366	121.878	329.4	
echolon flex 60 reload white ecr60w ethicon	272	RC	Outpatient			366	237.9		90			Percent of total billed charges		329.4	40			Percent of total billed charges		146.4	80			Percent of total billed charges		292.8	90			Percent of total billed charges		329.4	85			Percent of total billed charges		311.1	85			Percent of total billed charges		311.1	85			Percent of total billed charges		311.1	100			Percent of total billed charges		366	100			Percent of total billed charges		366	100			Percent of total billed charges		366	33.3			Percent of total billed charges		121.878	33.3			Percent of total billed charges		121.878	100			Percent of total billed charges		366	121.878	329.4	
syn 4.0 drill bit 3fluted	270	RC	Outpatient			366	237.9		90			Percent of total billed charges		329.4	40			Percent of total billed charges		146.4	80			Percent of total billed charges		292.8	90			Percent of total billed charges		329.4	85			Percent of total billed charges		311.1	85			Percent of total billed charges		311.1	85			Percent of total billed charges		311.1	100			Percent of total billed charges		366	100			Percent of total billed charges		366	100			Percent of total billed charges		366	33.3			Percent of total billed charges		121.878	33.3			Percent of total billed charges		121.878	100			Percent of total billed charges		366	121.878	329.4	
staples echolon 60 load	272	RC	Outpatient			366	237.9		90			Percent of total billed charges		329.4	40			Percent of total billed charges		146.4	80			Percent of total billed charges		292.8	90			Percent of total billed charges		329.4	85			Percent of total billed charges		311.1	85			Percent of total billed charges		311.1	85			Percent of total billed charges		311.1	100			Percent of total billed charges		366	100			Percent of total billed charges		366	100			Percent of total billed charges		366	33.3			Percent of total billed charges		121.878	33.3			Percent of total billed charges		121.878	100			Percent of total billed charges		366	121.878	329.4	
zimmer cement 80g	278	RC	Outpatient			366	237.9		90			Percent of total billed charges		329.4	40			Percent of total billed charges		146.4	80			Percent of total billed charges		292.8	90			Percent of total billed charges		329.4	85			Percent of total billed charges		311.1	85			Percent of total billed charges		311.1	85			Percent of total billed charges		311.1	100			Percent of total billed charges		366	100			Percent of total billed charges		366	100			Percent of total billed charges		366	33.3			Percent of total billed charges		121.878	33.3			Percent of total billed charges		121.878	100			Percent of total billed charges		366	121.878	329.4	
arthrex fiber snare	272	RC	Outpatient			367	238.55		90			Percent of total billed charges		330.3	40			Percent of total billed charges		146.8	80			Percent of total billed charges		293.6	90			Percent of total billed charges		330.3	85			Percent of total billed charges		311.95	85			Percent of total billed charges		311.95	85			Percent of total billed charges		311.95	100			Percent of total billed charges		367	100			Percent of total billed charges		367	100			Percent of total billed charges		367	33.3			Percent of total billed charges		122.211	33.3			Percent of total billed charges		122.211	100			Percent of total billed charges		367	122.211	330.3	
evos mini screw 2.0 locking	278	RC	Outpatient			367	238.55		90			Percent of total billed charges		330.3	40			Percent of total billed charges		146.8	80			Percent of total billed charges		293.6	90			Percent of total billed charges		330.3	85			Percent of total billed charges		311.95	85			Percent of total billed charges		311.95	85			Percent of total billed charges		311.95	100			Percent of total billed charges		367	100			Percent of total billed charges		367	100			Percent of total billed charges		367	33.3			Percent of total billed charges		122.211	33.3			Percent of total billed charges		122.211	100			Percent of total billed charges		367	122.211	330.3	
evos mini screw 2.0 x 12 lck s/n 72412012n	278	RC	Outpatient			367	238.55		90			Percent of total billed charges		330.3	40			Percent of total billed charges		146.8	80			Percent of total billed charges		293.6	90			Percent of total billed charges		330.3	85			Percent of total billed charges		311.95	85			Percent of total billed charges		311.95	85			Percent of total billed charges		311.95	100			Percent of total billed charges		367	100			Percent of total billed charges		367	100			Percent of total billed charges		367	33.3			Percent of total billed charges		122.211	33.3			Percent of total billed charges		122.211	100			Percent of total billed charges		367	122.211	330.3	
screw 2.0 x 14 lck s/n 72412014n mini evos	278	RC	Outpatient			367	238.55		90			Percent of total billed charges		330.3	40			Percent of total billed charges		146.8	80			Percent of total billed charges		293.6	90			Percent of total billed charges		330.3	85			Percent of total billed charges		311.95	85			Percent of total billed charges		311.95	85			Percent of total billed charges		311.95	100			Percent of total billed charges		367	100			Percent of total billed charges		367	100			Percent of total billed charges		367	33.3			Percent of total billed charges		122.211	33.3			Percent of total billed charges		122.211	100			Percent of total billed charges		367	122.211	330.3	
blade shaver adenoid 4.0mm 70326867	270	RC	Outpatient			368	239.2		90			Percent of total billed charges		331.2	40			Percent of total billed charges		147.2	80			Percent of total billed charges		294.4	90			Percent of total billed charges		331.2	85			Percent of total billed charges		312.8	85			Percent of total billed charges		312.8	85			Percent of total billed charges		312.8	100			Percent of total billed charges		368	100			Percent of total billed charges		368	100			Percent of total billed charges		368	33.3			Percent of total billed charges		122.544	33.3			Percent of total billed charges		122.544	100			Percent of total billed charges		368	122.544	331.2	
essent.adenoid shaver bld	270	RC	Outpatient			368	239.2		90			Percent of total billed charges		331.2	40			Percent of total billed charges		147.2	80			Percent of total billed charges		294.4	90			Percent of total billed charges		331.2	85			Percent of total billed charges		312.8	85			Percent of total billed charges		312.8	85			Percent of total billed charges		312.8	100			Percent of total billed charges		368	100			Percent of total billed charges		368	100			Percent of total billed charges		368	33.3			Percent of total billed charges		122.544	33.3			Percent of total billed charges		122.544	100			Percent of total billed charges		368	122.544	331.2	
cutter conventional linear 75mm tlc75 ethi	272	RC	Outpatient			369	239.85		90			Percent of total billed charges		332.1	40			Percent of total billed charges		147.6	80			Percent of total billed charges		295.2	90			Percent of total billed charges		332.1	85			Percent of total billed charges		313.65	85			Percent of total billed charges		313.65	85			Percent of total billed charges		313.65	100			Percent of total billed charges		369	100			Percent of total billed charges		369	100			Percent of total billed charges		369	33.3			Percent of total billed charges		122.877	33.3			Percent of total billed charges		122.877	100			Percent of total billed charges		369	122.877	332.1	
depuy sawblade	272	RC	Outpatient			369	239.85		90			Percent of total billed charges		332.1	40			Percent of total billed charges		147.6	80			Percent of total billed charges		295.2	90			Percent of total billed charges		332.1	85			Percent of total billed charges		313.65	85			Percent of total billed charges		313.65	85			Percent of total billed charges		313.65	100			Percent of total billed charges		369	100			Percent of total billed charges		369	100			Percent of total billed charges		369	33.3			Percent of total billed charges		122.877	33.3			Percent of total billed charges		122.877	100			Percent of total billed charges		369	122.877	332.1	
intertan 3.2mm guide pin 7167-4029 s/n	272	RC	Outpatient			369	239.85		90			Percent of total billed charges		332.1	40			Percent of total billed charges		147.6	80			Percent of total billed charges		295.2	90			Percent of total billed charges		332.1	85			Percent of total billed charges		313.65	85			Percent of total billed charges		313.65	85			Percent of total billed charges		313.65	100			Percent of total billed charges		369	100			Percent of total billed charges		369	100			Percent of total billed charges		369	33.3			Percent of total billed charges		122.877	33.3			Percent of total billed charges		122.877	100			Percent of total billed charges		369	122.877	332.1	
intertan guidepin 3.2 7163-1436 s/n	272	RC	Outpatient			369	239.85		90			Percent of total billed charges		332.1	40			Percent of total billed charges		147.6	80			Percent of total billed charges		295.2	90			Percent of total billed charges		332.1	85			Percent of total billed charges		313.65	85			Percent of total billed charges		313.65	85			Percent of total billed charges		313.65	100			Percent of total billed charges		369	100			Percent of total billed charges		369	100			Percent of total billed charges		369	33.3			Percent of total billed charges		122.877	33.3			Percent of total billed charges		122.877	100			Percent of total billed charges		369	122.877	332.1	
optivac double mixer	272	RC	Outpatient			369	239.85		90			Percent of total billed charges		332.1	40			Percent of total billed charges		147.6	80			Percent of total billed charges		295.2	90			Percent of total billed charges		332.1	85			Percent of total billed charges		313.65	85			Percent of total billed charges		313.65	85			Percent of total billed charges		313.65	100			Percent of total billed charges		369	100			Percent of total billed charges		369	100			Percent of total billed charges		369	33.3			Percent of total billed charges		122.877	33.3			Percent of total billed charges		122.877	100			Percent of total billed charges		369	122.877	332.1	
optivac double mixer 418300 biomet	272	RC	Outpatient			369	239.85		90			Percent of total billed charges		332.1	40			Percent of total billed charges		147.6	80			Percent of total billed charges		295.2	90			Percent of total billed charges		332.1	85			Percent of total billed charges		313.65	85			Percent of total billed charges		313.65	85			Percent of total billed charges		313.65	100			Percent of total billed charges		369	100			Percent of total billed charges		369	100			Percent of total billed charges		369	33.3			Percent of total billed charges		122.877	33.3			Percent of total billed charges		122.877	100			Percent of total billed charges		369	122.877	332.1	
optivac kit 80gm mixer biomet 417200	272	RC	Outpatient			369	239.85		90			Percent of total billed charges		332.1	40			Percent of total billed charges		147.6	80			Percent of total billed charges		295.2	90			Percent of total billed charges		332.1	85			Percent of total billed charges		313.65	85			Percent of total billed charges		313.65	85			Percent of total billed charges		313.65	100			Percent of total billed charges		369	100			Percent of total billed charges		369	100			Percent of total billed charges		369	33.3			Percent of total billed charges		122.877	33.3			Percent of total billed charges		122.877	100			Percent of total billed charges		369	122.877	332.1	
optivac kit maximum capacity 80 gram double mix 418200 biomet	272	RC	Outpatient			369	239.85		90			Percent of total billed charges		332.1	40			Percent of total billed charges		147.6	80			Percent of total billed charges		295.2	90			Percent of total billed charges		332.1	85			Percent of total billed charges		313.65	85			Percent of total billed charges		313.65	85			Percent of total billed charges		313.65	100			Percent of total billed charges		369	100			Percent of total billed charges		369	100			Percent of total billed charges		369	33.3			Percent of total billed charges		122.877	33.3			Percent of total billed charges		122.877	100			Percent of total billed charges		369	122.877	332.1	
intraocular lens	276	RC	Outpatient			369	239.85		90			Percent of total billed charges		332.1	40			Percent of total billed charges		147.6	80			Percent of total billed charges		295.2	90			Percent of total billed charges		332.1	85			Percent of total billed charges		313.65	85			Percent of total billed charges		313.65	85			Percent of total billed charges		313.65	100			Percent of total billed charges		369	100			Percent of total billed charges		369	100			Percent of total billed charges		369	33.3			Percent of total billed charges		122.877	33.3			Percent of total billed charges		122.877	100			Percent of total billed charges		369	122.877	332.1	
s/n 3.2 trocar	272	RC	Outpatient			369	239.85		90			Percent of total billed charges		332.1	40			Percent of total billed charges		147.6	80			Percent of total billed charges		295.2	90			Percent of total billed charges		332.1	85			Percent of total billed charges		313.65	85			Percent of total billed charges		313.65	85			Percent of total billed charges		313.65	100			Percent of total billed charges		369	100			Percent of total billed charges		369	100			Percent of total billed charges		369	33.3			Percent of total billed charges		122.877	33.3			Percent of total billed charges		122.877	100			Percent of total billed charges		369	122.877	332.1	
s/n 2.7x216 humeral nail drill bit 115118	270	RC	Outpatient			369	239.85		90			Percent of total billed charges		332.1	40			Percent of total billed charges		147.6	80			Percent of total billed charges		295.2	90			Percent of total billed charges		332.1	85			Percent of total billed charges		313.65	85			Percent of total billed charges		313.65	85			Percent of total billed charges		313.65	100			Percent of total billed charges		369	100			Percent of total billed charges		369	100			Percent of total billed charges		369	33.3			Percent of total billed charges		122.877	33.3			Percent of total billed charges		122.877	100			Percent of total billed charges		369	122.877	332.1	
s/n hum twist drill	270	RC	Outpatient			369	239.85		90			Percent of total billed charges		332.1	40			Percent of total billed charges		147.6	80			Percent of total billed charges		295.2	90			Percent of total billed charges		332.1	85			Percent of total billed charges		313.65	85			Percent of total billed charges		313.65	85			Percent of total billed charges		313.65	100			Percent of total billed charges		369	100			Percent of total billed charges		369	100			Percent of total billed charges		369	33.3			Percent of total billed charges		122.877	33.3			Percent of total billed charges		122.877	100			Percent of total billed charges		369	122.877	332.1	
sawblade j&j 5627-43-000	272	RC	Outpatient			369	239.85		90			Percent of total billed charges		332.1	40			Percent of total billed charges		147.6	80			Percent of total billed charges		295.2	90			Percent of total billed charges		332.1	85			Percent of total billed charges		313.65	85			Percent of total billed charges		313.65	85			Percent of total billed charges		313.65	100			Percent of total billed charges		369	100			Percent of total billed charges		369	100			Percent of total billed charges		369	33.3			Percent of total billed charges		122.877	33.3			Percent of total billed charges		122.877	100			Percent of total billed charges		369	122.877	332.1	
scrmc stent ureteral	621	RC	Outpatient			369	239.85		90			Percent of total billed charges		332.1	40			Percent of total billed charges		147.6	80			Percent of total billed charges		295.2	90			Percent of total billed charges		332.1	85			Percent of total billed charges		313.65	85			Percent of total billed charges		313.65	85			Percent of total billed charges		313.65	100			Percent of total billed charges		369	100			Percent of total billed charges		369	100			Percent of total billed charges		369	33.3			Percent of total billed charges		122.877	33.3			Percent of total billed charges		122.877	100			Percent of total billed charges		369	122.877	332.1	
stapler tlc 75	272	RC	Outpatient			369	239.85		90			Percent of total billed charges		332.1	40			Percent of total billed charges		147.6	80			Percent of total billed charges		295.2	90			Percent of total billed charges		332.1	85			Percent of total billed charges		313.65	85			Percent of total billed charges		313.65	85			Percent of total billed charges		313.65	100			Percent of total billed charges		369	100			Percent of total billed charges		369	100			Percent of total billed charges		369	33.3			Percent of total billed charges		122.877	33.3			Percent of total billed charges		122.877	100			Percent of total billed charges		369	122.877	332.1	
trocar 7175-1136 s/n	272	RC	Outpatient			369	239.85		90			Percent of total billed charges		332.1	40			Percent of total billed charges		147.6	80			Percent of total billed charges		295.2	90			Percent of total billed charges		332.1	85			Percent of total billed charges		313.65	85			Percent of total billed charges		313.65	85			Percent of total billed charges		313.65	100			Percent of total billed charges		369	100			Percent of total billed charges		369	100			Percent of total billed charges		369	33.3			Percent of total billed charges		122.877	33.3			Percent of total billed charges		122.877	100			Percent of total billed charges		369	122.877	332.1	
chemo admin. 3 hours	335	RC	Outpatient			370	240.5		90			Percent of total billed charges		333	40			Percent of total billed charges		148	80			Percent of total billed charges		296	90			Percent of total billed charges		333	85			Percent of total billed charges		314.5	85			Percent of total billed charges		314.5	85			Percent of total billed charges		314.5	100			Percent of total billed charges		370	100			Percent of total billed charges		370	100			Percent of total billed charges		370	33.3			Percent of total billed charges		123.21	33.3			Percent of total billed charges		123.21	100			Percent of total billed charges		370	123.21	333	
richards post.stblzr mod.	278	RC	Outpatient			370	240.5		90			Percent of total billed charges		333	40			Percent of total billed charges		148	80			Percent of total billed charges		296	90			Percent of total billed charges		333	85			Percent of total billed charges		314.5	85			Percent of total billed charges		314.5	85			Percent of total billed charges		314.5	100			Percent of total billed charges		370	100			Percent of total billed charges		370	100			Percent of total billed charges		370	33.3			Percent of total billed charges		123.21	33.3			Percent of total billed charges		123.21	100			Percent of total billed charges		370	123.21	333	
cath picc 6fr tri12102617	270	RC	Outpatient			371	241.15		90			Percent of total billed charges		333.9	40			Percent of total billed charges		148.4	80			Percent of total billed charges		296.8	90			Percent of total billed charges		333.9	85			Percent of total billed charges		315.35	85			Percent of total billed charges		315.35	85			Percent of total billed charges		315.35	100			Percent of total billed charges		371	100			Percent of total billed charges		371	100			Percent of total billed charges		371	33.3			Percent of total billed charges		123.543	33.3			Percent of total billed charges		123.543	100			Percent of total billed charges		371	123.543	333.9	
2.0mm tit h plate 447.86 synthes	278	RC	Outpatient			372	241.8		90			Percent of total billed charges		334.8	40			Percent of total billed charges		148.8	80			Percent of total billed charges		297.6	90			Percent of total billed charges		334.8	85			Percent of total billed charges		316.2	85			Percent of total billed charges		316.2	85			Percent of total billed charges		316.2	100			Percent of total billed charges		372	100			Percent of total billed charges		372	100			Percent of total billed charges		372	33.3			Percent of total billed charges		123.876	33.3			Percent of total billed charges		123.876	100			Percent of total billed charges		372	123.876	334.8	
2.0mm tit h plate oblique l plate 447.53 synthes	278	RC	Outpatient			372	241.8		90			Percent of total billed charges		334.8	40			Percent of total billed charges		148.8	80			Percent of total billed charges		297.6	90			Percent of total billed charges		334.8	85			Percent of total billed charges		316.2	85			Percent of total billed charges		316.2	85			Percent of total billed charges		316.2	100			Percent of total billed charges		372	100			Percent of total billed charges		372	100			Percent of total billed charges		372	33.3			Percent of total billed charges		123.876	33.3			Percent of total billed charges		123.876	100			Percent of total billed charges		372	123.876	334.8	
crtx scrw 4.5 x 120mm 71807120 s/n	278	RC	Outpatient			372	241.8		90			Percent of total billed charges		334.8	40			Percent of total billed charges		148.8	80			Percent of total billed charges		297.6	90			Percent of total billed charges		334.8	85			Percent of total billed charges		316.2	85			Percent of total billed charges		316.2	85			Percent of total billed charges		316.2	100			Percent of total billed charges		372	100			Percent of total billed charges		372	100			Percent of total billed charges		372	33.3			Percent of total billed charges		123.876	33.3			Percent of total billed charges		123.876	100			Percent of total billed charges		372	123.876	334.8	
crtx scrw 4.5 x 125mm 71807125 s/n	278	RC	Outpatient			372	241.8		90			Percent of total billed charges		334.8	40			Percent of total billed charges		148.8	80			Percent of total billed charges		297.6	90			Percent of total billed charges		334.8	85			Percent of total billed charges		316.2	85			Percent of total billed charges		316.2	85			Percent of total billed charges		316.2	100			Percent of total billed charges		372	100			Percent of total billed charges		372	100			Percent of total billed charges		372	33.3			Percent of total billed charges		123.876	33.3			Percent of total billed charges		123.876	100			Percent of total billed charges		372	123.876	334.8	
crtx  lck scrw 4.5 x 130mm 71807130 s/n	278	RC	Outpatient			372	241.8		90			Percent of total billed charges		334.8	40			Percent of total billed charges		148.8	80			Percent of total billed charges		297.6	90			Percent of total billed charges		334.8	85			Percent of total billed charges		316.2	85			Percent of total billed charges		316.2	85			Percent of total billed charges		316.2	100			Percent of total billed charges		372	100			Percent of total billed charges		372	100			Percent of total billed charges		372	33.3			Percent of total billed charges		123.876	33.3			Percent of total billed charges		123.876	100			Percent of total billed charges		372	123.876	334.8	
crtx scrw 4.5 x 110mm 71807110 s/n	278	RC	Outpatient			372	241.8		90			Percent of total billed charges		334.8	40			Percent of total billed charges		148.8	80			Percent of total billed charges		297.6	90			Percent of total billed charges		334.8	85			Percent of total billed charges		316.2	85			Percent of total billed charges		316.2	85			Percent of total billed charges		316.2	100			Percent of total billed charges		372	100			Percent of total billed charges		372	100			Percent of total billed charges		372	33.3			Percent of total billed charges		123.876	33.3			Percent of total billed charges		123.876	100			Percent of total billed charges		372	123.876	334.8	
crtx scrw 4.5 x 115mm 71807115 s/n	278	RC	Outpatient			372	241.8		90			Percent of total billed charges		334.8	40			Percent of total billed charges		148.8	80			Percent of total billed charges		297.6	90			Percent of total billed charges		334.8	85			Percent of total billed charges		316.2	85			Percent of total billed charges		316.2	85			Percent of total billed charges		316.2	100			Percent of total billed charges		372	100			Percent of total billed charges		372	100			Percent of total billed charges		372	33.3			Percent of total billed charges		123.876	33.3			Percent of total billed charges		123.876	100			Percent of total billed charges		372	123.876	334.8	
endo ultratapered sphinctertome (uts)	270	RC	Outpatient			372	241.8		90			Percent of total billed charges		334.8	40			Percent of total billed charges		148.8	80			Percent of total billed charges		297.6	90			Percent of total billed charges		334.8	85			Percent of total billed charges		316.2	85			Percent of total billed charges		316.2	85			Percent of total billed charges		316.2	100			Percent of total billed charges		372	100			Percent of total billed charges		372	100			Percent of total billed charges		372	33.3			Percent of total billed charges		123.876	33.3			Percent of total billed charges		123.876	100			Percent of total billed charges		372	123.876	334.8	
syn titanium 2.0 h-plate	278	RC	Outpatient			372	241.8		90			Percent of total billed charges		334.8	40			Percent of total billed charges		148.8	80			Percent of total billed charges		297.6	90			Percent of total billed charges		334.8	85			Percent of total billed charges		316.2	85			Percent of total billed charges		316.2	85			Percent of total billed charges		316.2	100			Percent of total billed charges		372	100			Percent of total billed charges		372	100			Percent of total billed charges		372	33.3			Percent of total billed charges		123.876	33.3			Percent of total billed charges		123.876	100			Percent of total billed charges		372	123.876	334.8	
s/n 4.5 cort lck scw long	278	RC	Outpatient			372	241.8		90			Percent of total billed charges		334.8	40			Percent of total billed charges		148.8	80			Percent of total billed charges		297.6	90			Percent of total billed charges		334.8	85			Percent of total billed charges		316.2	85			Percent of total billed charges		316.2	85			Percent of total billed charges		316.2	100			Percent of total billed charges		372	100			Percent of total billed charges		372	100			Percent of total billed charges		372	33.3			Percent of total billed charges		123.876	33.3			Percent of total billed charges		123.876	100			Percent of total billed charges		372	123.876	334.8	
smiith & nephew vlp mini mod 1.1 mm dril ref 7446-1500	272	RC	Outpatient			372.9	242.39		90			Percent of total billed charges		335.61	40			Percent of total billed charges		149.16	80			Percent of total billed charges		298.32	90			Percent of total billed charges		335.61	85			Percent of total billed charges		316.965	85			Percent of total billed charges		316.965	85			Percent of total billed charges		316.965	100			Percent of total billed charges		372.9	100			Percent of total billed charges		372.9	100			Percent of total billed charges		372.9	33.3			Percent of total billed charges		124.1757	33.3			Percent of total billed charges		124.1757	100			Percent of total billed charges		372.9	124.1757	335.61	
smith & nephew vlp mini mod 1.5 mm overdrill mini qc ref 7446-1502	272	RC	Outpatient			372.9	242.39		90			Percent of total billed charges		335.61	40			Percent of total billed charges		149.16	80			Percent of total billed charges		298.32	90			Percent of total billed charges		335.61	85			Percent of total billed charges		316.965	85			Percent of total billed charges		316.965	85			Percent of total billed charges		316.965	100			Percent of total billed charges		372.9	100			Percent of total billed charges		372.9	100			Percent of total billed charges		372.9	33.3			Percent of total billed charges		124.1757	33.3			Percent of total billed charges		124.1757	100			Percent of total billed charges		372.9	124.1757	335.61	
arthrex retro screw	278	RC	Outpatient			373	242.45		90			Percent of total billed charges		335.7	40			Percent of total billed charges		149.2	80			Percent of total billed charges		298.4	90			Percent of total billed charges		335.7	85			Percent of total billed charges		317.05	85			Percent of total billed charges		317.05	85			Percent of total billed charges		317.05	100			Percent of total billed charges		373	100			Percent of total billed charges		373	100			Percent of total billed charges		373	33.3			Percent of total billed charges		124.209	33.3			Percent of total billed charges		124.209	100			Percent of total billed charges		373	124.209	335.7	
arthrex retro screw 8 x 20mm ar-1586rb-08	278	RC	Outpatient			373	242.45		90			Percent of total billed charges		335.7	40			Percent of total billed charges		149.2	80			Percent of total billed charges		298.4	90			Percent of total billed charges		335.7	85			Percent of total billed charges		317.05	85			Percent of total billed charges		317.05	85			Percent of total billed charges		317.05	100			Percent of total billed charges		373	100			Percent of total billed charges		373	100			Percent of total billed charges		373	33.3			Percent of total billed charges		124.209	33.3			Percent of total billed charges		124.209	100			Percent of total billed charges		373	124.209	335.7	
arthrex retro screw 9 x 20mm ar-1586rb-09	278	RC	Outpatient			373	242.45		90			Percent of total billed charges		335.7	40			Percent of total billed charges		149.2	80			Percent of total billed charges		298.4	90			Percent of total billed charges		335.7	85			Percent of total billed charges		317.05	85			Percent of total billed charges		317.05	85			Percent of total billed charges		317.05	100			Percent of total billed charges		373	100			Percent of total billed charges		373	100			Percent of total billed charges		373	33.3			Percent of total billed charges		124.209	33.3			Percent of total billed charges		124.209	100			Percent of total billed charges		373	124.209	335.7	
cath cxi support	272	RC	Outpatient			373	242.45		90			Percent of total billed charges		335.7	40			Percent of total billed charges		149.2	80			Percent of total billed charges		298.4	90			Percent of total billed charges		335.7	85			Percent of total billed charges		317.05	85			Percent of total billed charges		317.05	85			Percent of total billed charges		317.05	100			Percent of total billed charges		373	100			Percent of total billed charges		373	100			Percent of total billed charges		373	33.3			Percent of total billed charges		124.209	33.3			Percent of total billed charges		124.209	100			Percent of total billed charges		373	124.209	335.7	
cxi support cath 2.6 x 150 st gs0001 cook	272	RC	Outpatient			373	242.45		90			Percent of total billed charges		335.7	40			Percent of total billed charges		149.2	80			Percent of total billed charges		298.4	90			Percent of total billed charges		335.7	85			Percent of total billed charges		317.05	85			Percent of total billed charges		317.05	85			Percent of total billed charges		317.05	100			Percent of total billed charges		373	100			Percent of total billed charges		373	100			Percent of total billed charges		373	33.3			Percent of total billed charges		124.209	33.3			Percent of total billed charges		124.209	100			Percent of total billed charges		373	124.209	335.7	
arthrex retro screw 10 x 20mm ar-1586rb-10	278	RC	Outpatient			373	242.45		90			Percent of total billed charges		335.7	40			Percent of total billed charges		149.2	80			Percent of total billed charges		298.4	90			Percent of total billed charges		335.7	85			Percent of total billed charges		317.05	85			Percent of total billed charges		317.05	85			Percent of total billed charges		317.05	100			Percent of total billed charges		373	100			Percent of total billed charges		373	100			Percent of total billed charges		373	33.3			Percent of total billed charges		124.209	33.3			Percent of total billed charges		124.209	100			Percent of total billed charges		373	124.209	335.7	
3.5mm cloverleaf plate 3 hole 88mm 00-4935-003-16 zimmer	278	RC	Outpatient			375	243.75		90			Percent of total billed charges		337.5	40			Percent of total billed charges		150	80			Percent of total billed charges		300	90			Percent of total billed charges		337.5	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	100			Percent of total billed charges		375	100			Percent of total billed charges		375	100			Percent of total billed charges		375	33.3			Percent of total billed charges		124.875	33.3			Percent of total billed charges		124.875	100			Percent of total billed charges		375	124.875	337.5	
3.5mm cloverleaf plate 4 hole 104mm 00-4935-004-16 zimmer	278	RC	Outpatient			375	243.75		90			Percent of total billed charges		337.5	40			Percent of total billed charges		150	80			Percent of total billed charges		300	90			Percent of total billed charges		337.5	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	100			Percent of total billed charges		375	100			Percent of total billed charges		375	100			Percent of total billed charges		375	33.3			Percent of total billed charges		124.875	33.3			Percent of total billed charges		124.875	100			Percent of total billed charges		375	124.875	337.5	
arthrex fibertape	278	RC	Outpatient			375	243.75		90			Percent of total billed charges		337.5	40			Percent of total billed charges		150	80			Percent of total billed charges		300	90			Percent of total billed charges		337.5	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	100			Percent of total billed charges		375	100			Percent of total billed charges		375	100			Percent of total billed charges		375	33.3			Percent of total billed charges		124.875	33.3			Percent of total billed charges		124.875	100			Percent of total billed charges		375	124.875	337.5	
arthrex fibertape 2mm ar-7237	278	RC	Outpatient			375	243.75		90			Percent of total billed charges		337.5	40			Percent of total billed charges		150	80			Percent of total billed charges		300	90			Percent of total billed charges		337.5	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	100			Percent of total billed charges		375	100			Percent of total billed charges		375	100			Percent of total billed charges		375	33.3			Percent of total billed charges		124.875	33.3			Percent of total billed charges		124.875	100			Percent of total billed charges		375	124.875	337.5	
arthrotek tap 2.0 950101 biomet sports med	272	RC	Outpatient			375	243.75		90			Percent of total billed charges		337.5	40			Percent of total billed charges		150	80			Percent of total billed charges		300	90			Percent of total billed charges		337.5	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	100			Percent of total billed charges		375	100			Percent of total billed charges		375	100			Percent of total billed charges		375	33.3			Percent of total billed charges		124.875	33.3			Percent of total billed charges		124.875	100			Percent of total billed charges		375	124.875	337.5	
"cath lab guidewire (bmw, amplatz, platinum plus)"	272	RC	Outpatient			375	243.75		90			Percent of total billed charges		337.5	40			Percent of total billed charges		150	80			Percent of total billed charges		300	90			Percent of total billed charges		337.5	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	100			Percent of total billed charges		375	100			Percent of total billed charges		375	100			Percent of total billed charges		375	33.3			Percent of total billed charges		124.875	33.3			Percent of total billed charges		124.875	100			Percent of total billed charges		375	124.875	337.5	
cath lab wire amplatz super stiff	272	RC	Outpatient			375	243.75		90			Percent of total billed charges		337.5	40			Percent of total billed charges		150	80			Percent of total billed charges		300	90			Percent of total billed charges		337.5	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	100			Percent of total billed charges		375	100			Percent of total billed charges		375	100			Percent of total billed charges		375	33.3			Percent of total billed charges		124.875	33.3			Percent of total billed charges		124.875	100			Percent of total billed charges		375	124.875	337.5	
cath lab wire platniumb plus 180cm	272	RC	Outpatient			375	243.75		90			Percent of total billed charges		337.5	40			Percent of total billed charges		150	80			Percent of total billed charges		300	90			Percent of total billed charges		337.5	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	100			Percent of total billed charges		375	100			Percent of total billed charges		375	100			Percent of total billed charges		375	33.3			Percent of total billed charges		124.875	33.3			Percent of total billed charges		124.875	100			Percent of total billed charges		375	124.875	337.5	
1.5mm tit y plate 446.61 synthes	278	RC	Outpatient			375	243.75		90			Percent of total billed charges		337.5	40			Percent of total billed charges		150	80			Percent of total billed charges		300	90			Percent of total billed charges		337.5	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	100			Percent of total billed charges		375	100			Percent of total billed charges		375	100			Percent of total billed charges		375	33.3			Percent of total billed charges		124.875	33.3			Percent of total billed charges		124.875	100			Percent of total billed charges		375	124.875	337.5	
2.0mm tit y plate 447.61 synthes	278	RC	Outpatient			375	243.75		90			Percent of total billed charges		337.5	40			Percent of total billed charges		150	80			Percent of total billed charges		300	90			Percent of total billed charges		337.5	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	100			Percent of total billed charges		375	100			Percent of total billed charges		375	100			Percent of total billed charges		375	33.3			Percent of total billed charges		124.875	33.3			Percent of total billed charges		124.875	100			Percent of total billed charges		375	124.875	337.5	
2.0mm tit y plate 447.68 synthes	278	RC	Outpatient			375	243.75		90			Percent of total billed charges		337.5	40			Percent of total billed charges		150	80			Percent of total billed charges		300	90			Percent of total billed charges		337.5	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	100			Percent of total billed charges		375	100			Percent of total billed charges		375	100			Percent of total billed charges		375	33.3			Percent of total billed charges		124.875	33.3			Percent of total billed charges		124.875	100			Percent of total billed charges		375	124.875	337.5	
arthrotek tap 2.0	272	RC	Outpatient			375	243.75		90			Percent of total billed charges		337.5	40			Percent of total billed charges		150	80			Percent of total billed charges		300	90			Percent of total billed charges		337.5	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	100			Percent of total billed charges		375	100			Percent of total billed charges		375	100			Percent of total billed charges		375	33.3			Percent of total billed charges		124.875	33.3			Percent of total billed charges		124.875	100			Percent of total billed charges		375	124.875	337.5	
cath lab wire bmw 190cm	272	RC	Outpatient			375	243.75		90			Percent of total billed charges		337.5	40			Percent of total billed charges		150	80			Percent of total billed charges		300	90			Percent of total billed charges		337.5	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	100			Percent of total billed charges		375	100			Percent of total billed charges		375	100			Percent of total billed charges		375	33.3			Percent of total billed charges		124.875	33.3			Percent of total billed charges		124.875	100			Percent of total billed charges		375	124.875	337.5	
cath lab wire bmw 300cm	272	RC	Outpatient			375	243.75		90			Percent of total billed charges		337.5	40			Percent of total billed charges		150	80			Percent of total billed charges		300	90			Percent of total billed charges		337.5	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	100			Percent of total billed charges		375	100			Percent of total billed charges		375	100			Percent of total billed charges		375	33.3			Percent of total billed charges		124.875	33.3			Percent of total billed charges		124.875	100			Percent of total billed charges		375	124.875	337.5	
drill bit 1.5 24901500 wright	272	RC	Outpatient			375	243.75		90			Percent of total billed charges		337.5	40			Percent of total billed charges		150	80			Percent of total billed charges		300	90			Percent of total billed charges		337.5	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	100			Percent of total billed charges		375	100			Percent of total billed charges		375	100			Percent of total billed charges		375	33.3			Percent of total billed charges		124.875	33.3			Percent of total billed charges		124.875	100			Percent of total billed charges		375	124.875	337.5	
drill bit wright	272	RC	Outpatient			375	243.75		90			Percent of total billed charges		337.5	40			Percent of total billed charges		150	80			Percent of total billed charges		300	90			Percent of total billed charges		337.5	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	100			Percent of total billed charges		375	100			Percent of total billed charges		375	100			Percent of total billed charges		375	33.3			Percent of total billed charges		124.875	33.3			Percent of total billed charges		124.875	100			Percent of total billed charges		375	124.875	337.5	
drill bit 2.0 2490008 wright	272	RC	Outpatient			375	243.75		90			Percent of total billed charges		337.5	40			Percent of total billed charges		150	80			Percent of total billed charges		300	90			Percent of total billed charges		337.5	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	100			Percent of total billed charges		375	100			Percent of total billed charges		375	100			Percent of total billed charges		375	33.3			Percent of total billed charges		124.875	33.3			Percent of total billed charges		124.875	100			Percent of total billed charges		375	124.875	337.5	
jet-x mini 4mm x 20mm ss halfpin  7106-4201 s/n	278	RC	Outpatient			375	243.75		90			Percent of total billed charges		337.5	40			Percent of total billed charges		150	80			Percent of total billed charges		300	90			Percent of total billed charges		337.5	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	100			Percent of total billed charges		375	100			Percent of total billed charges		375	100			Percent of total billed charges		375	33.3			Percent of total billed charges		124.875	33.3			Percent of total billed charges		124.875	100			Percent of total billed charges		375	124.875	337.5	
jet-x mini 4mm x 30mm ss halfpin  7106-4301 s/n	278	RC	Outpatient			375	243.75		90			Percent of total billed charges		337.5	40			Percent of total billed charges		150	80			Percent of total billed charges		300	90			Percent of total billed charges		337.5	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	100			Percent of total billed charges		375	100			Percent of total billed charges		375	100			Percent of total billed charges		375	33.3			Percent of total billed charges		124.875	33.3			Percent of total billed charges		124.875	100			Percent of total billed charges		375	124.875	337.5	
jet-x mini bar half pin	278	RC	Outpatient			375	243.75		90			Percent of total billed charges		337.5	40			Percent of total billed charges		150	80			Percent of total billed charges		300	90			Percent of total billed charges		337.5	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	100			Percent of total billed charges		375	100			Percent of total billed charges		375	100			Percent of total billed charges		375	33.3			Percent of total billed charges		124.875	33.3			Percent of total billed charges		124.875	100			Percent of total billed charges		375	124.875	337.5	
"guidewire bmw,amplatz,pla"	272	RC	Outpatient			375	243.75		90			Percent of total billed charges		337.5	40			Percent of total billed charges		150	80			Percent of total billed charges		300	90			Percent of total billed charges		337.5	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	100			Percent of total billed charges		375	100			Percent of total billed charges		375	100			Percent of total billed charges		375	33.3			Percent of total billed charges		124.875	33.3			Percent of total billed charges		124.875	100			Percent of total billed charges		375	124.875	337.5	
optease retrieval device 466-c220f cordis	272	RC	Outpatient			375	243.75		90			Percent of total billed charges		337.5	40			Percent of total billed charges		150	80			Percent of total billed charges		300	90			Percent of total billed charges		337.5	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	100			Percent of total billed charges		375	100			Percent of total billed charges		375	100			Percent of total billed charges		375	33.3			Percent of total billed charges		124.875	33.3			Percent of total billed charges		124.875	100			Percent of total billed charges		375	124.875	337.5	
j & j sawblade	272	RC	Outpatient			375	243.75		90			Percent of total billed charges		337.5	40			Percent of total billed charges		150	80			Percent of total billed charges		300	90			Percent of total billed charges		337.5	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	100			Percent of total billed charges		375	100			Percent of total billed charges		375	100			Percent of total billed charges		375	33.3			Percent of total billed charges		124.875	33.3			Percent of total billed charges		124.875	100			Percent of total billed charges		375	124.875	337.5	
jet-x mini 4mm x 15mm  halfpin  7106-4158 s/n	278	RC	Outpatient			375	243.75		90			Percent of total billed charges		337.5	40			Percent of total billed charges		150	80			Percent of total billed charges		300	90			Percent of total billed charges		337.5	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	100			Percent of total billed charges		375	100			Percent of total billed charges		375	100			Percent of total billed charges		375	33.3			Percent of total billed charges		124.875	33.3			Percent of total billed charges		124.875	100			Percent of total billed charges		375	124.875	337.5	
jet-x mini 4mm x 15mm ss halfpin  7106-4151 s/n	278	RC	Outpatient			375	243.75		90			Percent of total billed charges		337.5	40			Percent of total billed charges		150	80			Percent of total billed charges		300	90			Percent of total billed charges		337.5	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	100			Percent of total billed charges		375	100			Percent of total billed charges		375	100			Percent of total billed charges		375	33.3			Percent of total billed charges		124.875	33.3			Percent of total billed charges		124.875	100			Percent of total billed charges		375	124.875	337.5	
jet-x mini 4mm x 20mm  halfpin  7106-4208 s/n	278	RC	Outpatient			375	243.75		90			Percent of total billed charges		337.5	40			Percent of total billed charges		150	80			Percent of total billed charges		300	90			Percent of total billed charges		337.5	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	100			Percent of total billed charges		375	100			Percent of total billed charges		375	100			Percent of total billed charges		375	33.3			Percent of total billed charges		124.875	33.3			Percent of total billed charges		124.875	100			Percent of total billed charges		375	124.875	337.5	
jet-x mini 4mm x 25mm  halfpin  7106-4258 s/n	278	RC	Outpatient			375	243.75		90			Percent of total billed charges		337.5	40			Percent of total billed charges		150	80			Percent of total billed charges		300	90			Percent of total billed charges		337.5	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	100			Percent of total billed charges		375	100			Percent of total billed charges		375	100			Percent of total billed charges		375	33.3			Percent of total billed charges		124.875	33.3			Percent of total billed charges		124.875	100			Percent of total billed charges		375	124.875	337.5	
jet-x mini 4mm x 25mm ss halfpin  7106-4251 s/n	278	RC	Outpatient			375	243.75		90			Percent of total billed charges		337.5	40			Percent of total billed charges		150	80			Percent of total billed charges		300	90			Percent of total billed charges		337.5	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	100			Percent of total billed charges		375	100			Percent of total billed charges		375	100			Percent of total billed charges		375	33.3			Percent of total billed charges		124.875	33.3			Percent of total billed charges		124.875	100			Percent of total billed charges		375	124.875	337.5	
jet-x mini 4mm x 30mm  halfpin  7106-4308 s/n	278	RC	Outpatient			375	243.75		90			Percent of total billed charges		337.5	40			Percent of total billed charges		150	80			Percent of total billed charges		300	90			Percent of total billed charges		337.5	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	100			Percent of total billed charges		375	100			Percent of total billed charges		375	100			Percent of total billed charges		375	33.3			Percent of total billed charges		124.875	33.3			Percent of total billed charges		124.875	100			Percent of total billed charges		375	124.875	337.5	
jet-x mini 4mm x 35mm  halfpin  7106-4358 s/n	278	RC	Outpatient			375	243.75		90			Percent of total billed charges		337.5	40			Percent of total billed charges		150	80			Percent of total billed charges		300	90			Percent of total billed charges		337.5	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	100			Percent of total billed charges		375	100			Percent of total billed charges		375	100			Percent of total billed charges		375	33.3			Percent of total billed charges		124.875	33.3			Percent of total billed charges		124.875	100			Percent of total billed charges		375	124.875	337.5	
jet-x mini 4mm x 35mm ss halfpin  7106-4351 s/n	278	RC	Outpatient			375	243.75		90			Percent of total billed charges		337.5	40			Percent of total billed charges		150	80			Percent of total billed charges		300	90			Percent of total billed charges		337.5	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	100			Percent of total billed charges		375	100			Percent of total billed charges		375	100			Percent of total billed charges		375	33.3			Percent of total billed charges		124.875	33.3			Percent of total billed charges		124.875	100			Percent of total billed charges		375	124.875	337.5	
optease retrieval device	272	RC	Outpatient			375	243.75		90			Percent of total billed charges		337.5	40			Percent of total billed charges		150	80			Percent of total billed charges		300	90			Percent of total billed charges		337.5	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	100			Percent of total billed charges		375	100			Percent of total billed charges		375	100			Percent of total billed charges		375	33.3			Percent of total billed charges		124.875	33.3			Percent of total billed charges		124.875	100			Percent of total billed charges		375	124.875	337.5	
sawblade 562711500 depuy	272	RC	Outpatient			375	243.75		90			Percent of total billed charges		337.5	40			Percent of total billed charges		150	80			Percent of total billed charges		300	90			Percent of total billed charges		337.5	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	100			Percent of total billed charges		375	100			Percent of total billed charges		375	100			Percent of total billed charges		375	33.3			Percent of total billed charges		124.875	33.3			Percent of total billed charges		124.875	100			Percent of total billed charges		375	124.875	337.5	
sawblade 562744000 depuy	272	RC	Outpatient			375	243.75		90			Percent of total billed charges		337.5	40			Percent of total billed charges		150	80			Percent of total billed charges		300	90			Percent of total billed charges		337.5	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	100			Percent of total billed charges		375	100			Percent of total billed charges		375	100			Percent of total billed charges		375	33.3			Percent of total billed charges		124.875	33.3			Percent of total billed charges		124.875	100			Percent of total billed charges		375	124.875	337.5	
syn titanium 2.0 y-plate	278	RC	Outpatient			375	243.75		90			Percent of total billed charges		337.5	40			Percent of total billed charges		150	80			Percent of total billed charges		300	90			Percent of total billed charges		337.5	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	100			Percent of total billed charges		375	100			Percent of total billed charges		375	100			Percent of total billed charges		375	33.3			Percent of total billed charges		124.875	33.3			Percent of total billed charges		124.875	100			Percent of total billed charges		375	124.875	337.5	
vulcan ablator probe	272	RC	Outpatient			375	243.75		90			Percent of total billed charges		337.5	40			Percent of total billed charges		150	80			Percent of total billed charges		300	90			Percent of total billed charges		337.5	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	100			Percent of total billed charges		375	100			Percent of total billed charges		375	100			Percent of total billed charges		375	33.3			Percent of total billed charges		124.875	33.3			Percent of total billed charges		124.875	100			Percent of total billed charges		375	124.875	337.5	
vulcan ablator 2mm monopolar ablation probe integrated cable s/n 7209650	272	RC	Outpatient			375	243.75		90			Percent of total billed charges		337.5	40			Percent of total billed charges		150	80			Percent of total billed charges		300	90			Percent of total billed charges		337.5	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	100			Percent of total billed charges		375	100			Percent of total billed charges		375	100			Percent of total billed charges		375	33.3			Percent of total billed charges		124.875	33.3			Percent of total billed charges		124.875	100			Percent of total billed charges		375	124.875	337.5	
zim 3.5 clover plt 3-4hl	278	RC	Outpatient			375	243.75		90			Percent of total billed charges		337.5	40			Percent of total billed charges		150	80			Percent of total billed charges		300	90			Percent of total billed charges		337.5	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	85			Percent of total billed charges		318.75	100			Percent of total billed charges		375	100			Percent of total billed charges		375	100			Percent of total billed charges		375	33.3			Percent of total billed charges		124.875	33.3			Percent of total billed charges		124.875	100			Percent of total billed charges		375	124.875	337.5	
spica adult	270	RC	Outpatient			376	244.4		90			Percent of total billed charges		338.4	40			Percent of total billed charges		150.4	80			Percent of total billed charges		300.8	90			Percent of total billed charges		338.4	85			Percent of total billed charges		319.6	85			Percent of total billed charges		319.6	85			Percent of total billed charges		319.6	100			Percent of total billed charges		376	100			Percent of total billed charges		376	100			Percent of total billed charges		376	33.3			Percent of total billed charges		125.208	33.3			Percent of total billed charges		125.208	100			Percent of total billed charges		376	125.208	338.4	
wholey wire .035 x 300	272	RC	Outpatient			376	244.4		90			Percent of total billed charges		338.4	40			Percent of total billed charges		150.4	80			Percent of total billed charges		300.8	90			Percent of total billed charges		338.4	85			Percent of total billed charges		319.6	85			Percent of total billed charges		319.6	85			Percent of total billed charges		319.6	100			Percent of total billed charges		376	100			Percent of total billed charges		376	100			Percent of total billed charges		376	33.3			Percent of total billed charges		125.208	33.3			Percent of total billed charges		125.208	100			Percent of total billed charges		376	125.208	338.4	
2.0mm drill long with ao quick connect s/n ref 71174911	272	RC	Outpatient			376.2	244.53		90			Percent of total billed charges		338.58	40			Percent of total billed charges		150.48	80			Percent of total billed charges		300.96	90			Percent of total billed charges		338.58	85			Percent of total billed charges		319.77	85			Percent of total billed charges		319.77	85			Percent of total billed charges		319.77	100			Percent of total billed charges		376.2	100			Percent of total billed charges		376.2	100			Percent of total billed charges		376.2	33.3			Percent of total billed charges		125.2746	33.3			Percent of total billed charges		125.2746	100			Percent of total billed charges		376.2	125.2746	338.58	
13mm shoulder trial body sh-t1340r polarus	278	RC	Outpatient			377	245.05		90			Percent of total billed charges		339.3	40			Percent of total billed charges		150.8	80			Percent of total billed charges		301.6	90			Percent of total billed charges		339.3	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	100			Percent of total billed charges		377	100			Percent of total billed charges		377	100			Percent of total billed charges		377	33.3			Percent of total billed charges		125.541	33.3			Percent of total billed charges		125.541	100			Percent of total billed charges		377	125.541	339.3	
15mm shoulder trial body sh-t1540r polarus	278	RC	Outpatient			377	245.05		90			Percent of total billed charges		339.3	40			Percent of total billed charges		150.8	80			Percent of total billed charges		301.6	90			Percent of total billed charges		339.3	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	100			Percent of total billed charges		377	100			Percent of total billed charges		377	100			Percent of total billed charges		377	33.3			Percent of total billed charges		125.541	33.3			Percent of total billed charges		125.541	100			Percent of total billed charges		377	125.541	339.3	
6.0 titanium locking screw 30mm (aqua) 450.873 synthes	278	RC	Outpatient			377	245.05		90			Percent of total billed charges		339.3	40			Percent of total billed charges		150.8	80			Percent of total billed charges		301.6	90			Percent of total billed charges		339.3	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	100			Percent of total billed charges		377	100			Percent of total billed charges		377	100			Percent of total billed charges		377	33.3			Percent of total billed charges		125.541	33.3			Percent of total billed charges		125.541	100			Percent of total billed charges		377	125.541	339.3	
6.0 titanium locking screw 35mm (aqua) 450.874 synthes	278	RC	Outpatient			377	245.05		90			Percent of total billed charges		339.3	40			Percent of total billed charges		150.8	80			Percent of total billed charges		301.6	90			Percent of total billed charges		339.3	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	100			Percent of total billed charges		377	100			Percent of total billed charges		377	100			Percent of total billed charges		377	33.3			Percent of total billed charges		125.541	33.3			Percent of total billed charges		125.541	100			Percent of total billed charges		377	125.541	339.3	
6.0 titanium locking screw 45mm (aqua) 450.861 synthes	278	RC	Outpatient			377	245.05		90			Percent of total billed charges		339.3	40			Percent of total billed charges		150.8	80			Percent of total billed charges		301.6	90			Percent of total billed charges		339.3	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	100			Percent of total billed charges		377	100			Percent of total billed charges		377	100			Percent of total billed charges		377	33.3			Percent of total billed charges		125.541	33.3			Percent of total billed charges		125.541	100			Percent of total billed charges		377	125.541	339.3	
6.0 titanium locking screw 60mm (aqua) 450.864 synthes	278	RC	Outpatient			377	245.05		90			Percent of total billed charges		339.3	40			Percent of total billed charges		150.8	80			Percent of total billed charges		301.6	90			Percent of total billed charges		339.3	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	100			Percent of total billed charges		377	100			Percent of total billed charges		377	100			Percent of total billed charges		377	33.3			Percent of total billed charges		125.541	33.3			Percent of total billed charges		125.541	100			Percent of total billed charges		377	125.541	339.3	
6.0 titanium locking screw 70mm (aqua) 450.866 synthes	278	RC	Outpatient			377	245.05		90			Percent of total billed charges		339.3	40			Percent of total billed charges		150.8	80			Percent of total billed charges		301.6	90			Percent of total billed charges		339.3	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	100			Percent of total billed charges		377	100			Percent of total billed charges		377	100			Percent of total billed charges		377	33.3			Percent of total billed charges		125.541	33.3			Percent of total billed charges		125.541	100			Percent of total billed charges		377	125.541	339.3	
6.0 titanium locking screw 80mm (aqua) 450.868 synthes	278	RC	Outpatient			377	245.05		90			Percent of total billed charges		339.3	40			Percent of total billed charges		150.8	80			Percent of total billed charges		301.6	90			Percent of total billed charges		339.3	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	100			Percent of total billed charges		377	100			Percent of total billed charges		377	100			Percent of total billed charges		377	33.3			Percent of total billed charges		125.541	33.3			Percent of total billed charges		125.541	100			Percent of total billed charges		377	125.541	339.3	
6.0 titanium locking screw 90mm (aqua) 450.870 synthes	278	RC	Outpatient			377	245.05		90			Percent of total billed charges		339.3	40			Percent of total billed charges		150.8	80			Percent of total billed charges		301.6	90			Percent of total billed charges		339.3	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	100			Percent of total billed charges		377	100			Percent of total billed charges		377	100			Percent of total billed charges		377	33.3			Percent of total billed charges		125.541	33.3			Percent of total billed charges		125.541	100			Percent of total billed charges		377	125.541	339.3	
6.0 titanium locking screw 95mm (aqua) 450.871 synthes	278	RC	Outpatient			377	245.05		90			Percent of total billed charges		339.3	40			Percent of total billed charges		150.8	80			Percent of total billed charges		301.6	90			Percent of total billed charges		339.3	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	100			Percent of total billed charges		377	100			Percent of total billed charges		377	100			Percent of total billed charges		377	33.3			Percent of total billed charges		125.541	33.3			Percent of total billed charges		125.541	100			Percent of total billed charges		377	125.541	339.3	
bed total care spat	270	RC	Outpatient			377	245.05		90			Percent of total billed charges		339.3	40			Percent of total billed charges		150.8	80			Percent of total billed charges		301.6	90			Percent of total billed charges		339.3	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	100			Percent of total billed charges		377	100			Percent of total billed charges		377	100			Percent of total billed charges		377	33.3			Percent of total billed charges		125.541	33.3			Percent of total billed charges		125.541	100			Percent of total billed charges		377	125.541	339.3	
13mm shoulder trial body sh-t1340l polarus	278	RC	Outpatient			377	245.05		90			Percent of total billed charges		339.3	40			Percent of total billed charges		150.8	80			Percent of total billed charges		301.6	90			Percent of total billed charges		339.3	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	100			Percent of total billed charges		377	100			Percent of total billed charges		377	100			Percent of total billed charges		377	33.3			Percent of total billed charges		125.541	33.3			Percent of total billed charges		125.541	100			Percent of total billed charges		377	125.541	339.3	
15mm shoulder trial body sh-t1540l polarus	278	RC	Outpatient			377	245.05		90			Percent of total billed charges		339.3	40			Percent of total billed charges		150.8	80			Percent of total billed charges		301.6	90			Percent of total billed charges		339.3	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	100			Percent of total billed charges		377	100			Percent of total billed charges		377	100			Percent of total billed charges		377	33.3			Percent of total billed charges		125.541	33.3			Percent of total billed charges		125.541	100			Percent of total billed charges		377	125.541	339.3	
6.0 titanium locking screw 100mm (aqua) 450.872 synthes	278	RC	Outpatient			377	245.05		90			Percent of total billed charges		339.3	40			Percent of total billed charges		150.8	80			Percent of total billed charges		301.6	90			Percent of total billed charges		339.3	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	100			Percent of total billed charges		377	100			Percent of total billed charges		377	100			Percent of total billed charges		377	33.3			Percent of total billed charges		125.541	33.3			Percent of total billed charges		125.541	100			Percent of total billed charges		377	125.541	339.3	
6.0 titanium locking screw 40mm (aqua) 450.875 synthes	278	RC	Outpatient			377	245.05		90			Percent of total billed charges		339.3	40			Percent of total billed charges		150.8	80			Percent of total billed charges		301.6	90			Percent of total billed charges		339.3	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	100			Percent of total billed charges		377	100			Percent of total billed charges		377	100			Percent of total billed charges		377	33.3			Percent of total billed charges		125.541	33.3			Percent of total billed charges		125.541	100			Percent of total billed charges		377	125.541	339.3	
6.0 titanium locking screw 50mm (aqua) 450.862 synthes	278	RC	Outpatient			377	245.05		90			Percent of total billed charges		339.3	40			Percent of total billed charges		150.8	80			Percent of total billed charges		301.6	90			Percent of total billed charges		339.3	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	100			Percent of total billed charges		377	100			Percent of total billed charges		377	100			Percent of total billed charges		377	33.3			Percent of total billed charges		125.541	33.3			Percent of total billed charges		125.541	100			Percent of total billed charges		377	125.541	339.3	
6.0 titanium locking screw 55mm (aqua) 450.863 synthes	278	RC	Outpatient			377	245.05		90			Percent of total billed charges		339.3	40			Percent of total billed charges		150.8	80			Percent of total billed charges		301.6	90			Percent of total billed charges		339.3	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	100			Percent of total billed charges		377	100			Percent of total billed charges		377	100			Percent of total billed charges		377	33.3			Percent of total billed charges		125.541	33.3			Percent of total billed charges		125.541	100			Percent of total billed charges		377	125.541	339.3	
6.0 titanium locking screw 65mm (aqua) 450.865 synthes	278	RC	Outpatient			377	245.05		90			Percent of total billed charges		339.3	40			Percent of total billed charges		150.8	80			Percent of total billed charges		301.6	90			Percent of total billed charges		339.3	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	100			Percent of total billed charges		377	100			Percent of total billed charges		377	100			Percent of total billed charges		377	33.3			Percent of total billed charges		125.541	33.3			Percent of total billed charges		125.541	100			Percent of total billed charges		377	125.541	339.3	
6.0 titanium locking screw 85mm (aqua) 450.869 synthes	278	RC	Outpatient			377	245.05		90			Percent of total billed charges		339.3	40			Percent of total billed charges		150.8	80			Percent of total billed charges		301.6	90			Percent of total billed charges		339.3	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	100			Percent of total billed charges		377	100			Percent of total billed charges		377	100			Percent of total billed charges		377	33.3			Percent of total billed charges		125.541	33.3			Percent of total billed charges		125.541	100			Percent of total billed charges		377	125.541	339.3	
atsv ii starter kit w/hum	270	RC	Outpatient			377	245.05		90			Percent of total billed charges		339.3	40			Percent of total billed charges		150.8	80			Percent of total billed charges		301.6	90			Percent of total billed charges		339.3	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	100			Percent of total billed charges		377	100			Percent of total billed charges		377	100			Percent of total billed charges		377	33.3			Percent of total billed charges		125.541	33.3			Percent of total billed charges		125.541	100			Percent of total billed charges		377	125.541	339.3	
imp screw locking 6.0mm x 100mm 450.872s	278	RC	Outpatient			377	245.05		90			Percent of total billed charges		339.3	40			Percent of total billed charges		150.8	80			Percent of total billed charges		301.6	90			Percent of total billed charges		339.3	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	100			Percent of total billed charges		377	100			Percent of total billed charges		377	100			Percent of total billed charges		377	33.3			Percent of total billed charges		125.541	33.3			Percent of total billed charges		125.541	100			Percent of total billed charges		377	125.541	339.3	
imp screw locking 6.0mm x 65mm 450.865s	278	RC	Outpatient			377	245.05		90			Percent of total billed charges		339.3	40			Percent of total billed charges		150.8	80			Percent of total billed charges		301.6	90			Percent of total billed charges		339.3	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	100			Percent of total billed charges		377	100			Percent of total billed charges		377	100			Percent of total billed charges		377	33.3			Percent of total billed charges		125.541	33.3			Percent of total billed charges		125.541	100			Percent of total billed charges		377	125.541	339.3	
imp screw locking 6.0mm x 70mm 450.866s	278	RC	Outpatient			377	245.05		90			Percent of total billed charges		339.3	40			Percent of total billed charges		150.8	80			Percent of total billed charges		301.6	90			Percent of total billed charges		339.3	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	100			Percent of total billed charges		377	100			Percent of total billed charges		377	100			Percent of total billed charges		377	33.3			Percent of total billed charges		125.541	33.3			Percent of total billed charges		125.541	100			Percent of total billed charges		377	125.541	339.3	
imp screw locking 6.0mm x 75mm 450.867s	278	RC	Outpatient			377	245.05		90			Percent of total billed charges		339.3	40			Percent of total billed charges		150.8	80			Percent of total billed charges		301.6	90			Percent of total billed charges		339.3	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	100			Percent of total billed charges		377	100			Percent of total billed charges		377	100			Percent of total billed charges		377	33.3			Percent of total billed charges		125.541	33.3			Percent of total billed charges		125.541	100			Percent of total billed charges		377	125.541	339.3	
imp screw locking 6.0mm x 80mm 450.868s	278	RC	Outpatient			377	245.05		90			Percent of total billed charges		339.3	40			Percent of total billed charges		150.8	80			Percent of total billed charges		301.6	90			Percent of total billed charges		339.3	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	100			Percent of total billed charges		377	100			Percent of total billed charges		377	100			Percent of total billed charges		377	33.3			Percent of total billed charges		125.541	33.3			Percent of total billed charges		125.541	100			Percent of total billed charges		377	125.541	339.3	
imp screw locking 6.0mm x 85mm 450.869s	278	RC	Outpatient			377	245.05		90			Percent of total billed charges		339.3	40			Percent of total billed charges		150.8	80			Percent of total billed charges		301.6	90			Percent of total billed charges		339.3	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	100			Percent of total billed charges		377	100			Percent of total billed charges		377	100			Percent of total billed charges		377	33.3			Percent of total billed charges		125.541	33.3			Percent of total billed charges		125.541	100			Percent of total billed charges		377	125.541	339.3	
imp screw locking 6.0mm x 90mm 450.870s	278	RC	Outpatient			377	245.05		90			Percent of total billed charges		339.3	40			Percent of total billed charges		150.8	80			Percent of total billed charges		301.6	90			Percent of total billed charges		339.3	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	100			Percent of total billed charges		377	100			Percent of total billed charges		377	100			Percent of total billed charges		377	33.3			Percent of total billed charges		125.541	33.3			Percent of total billed charges		125.541	100			Percent of total billed charges		377	125.541	339.3	
imp screw locking 6.0mm x 95mm 450.871s	278	RC	Outpatient			377	245.05		90			Percent of total billed charges		339.3	40			Percent of total billed charges		150.8	80			Percent of total billed charges		301.6	90			Percent of total billed charges		339.3	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	100			Percent of total billed charges		377	100			Percent of total billed charges		377	100			Percent of total billed charges		377	33.3			Percent of total billed charges		125.541	33.3			Percent of total billed charges		125.541	100			Percent of total billed charges		377	125.541	339.3	
polarus trial body	278	RC	Outpatient			377	245.05		90			Percent of total billed charges		339.3	40			Percent of total billed charges		150.8	80			Percent of total billed charges		301.6	90			Percent of total billed charges		339.3	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	100			Percent of total billed charges		377	100			Percent of total billed charges		377	100			Percent of total billed charges		377	33.3			Percent of total billed charges		125.541	33.3			Percent of total billed charges		125.541	100			Percent of total billed charges		377	125.541	339.3	
sawblade 506090 biomet	272	RC	Outpatient			377	245.05		90			Percent of total billed charges		339.3	40			Percent of total billed charges		150.8	80			Percent of total billed charges		301.6	90			Percent of total billed charges		339.3	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	100			Percent of total billed charges		377	100			Percent of total billed charges		377	100			Percent of total billed charges		377	33.3			Percent of total billed charges		125.541	33.3			Percent of total billed charges		125.541	100			Percent of total billed charges		377	125.541	339.3	
stable cut total knee saw blade .054 x 25.4 506081 biomet	272	RC	Outpatient			377	245.05		90			Percent of total billed charges		339.3	40			Percent of total billed charges		150.8	80			Percent of total billed charges		301.6	90			Percent of total billed charges		339.3	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	100			Percent of total billed charges		377	100			Percent of total billed charges		377	100			Percent of total billed charges		377	33.3			Percent of total billed charges		125.541	33.3			Percent of total billed charges		125.541	100			Percent of total billed charges		377	125.541	339.3	
stryker osc saw blade	272	RC	Outpatient			377	245.05		90			Percent of total billed charges		339.3	40			Percent of total billed charges		150.8	80			Percent of total billed charges		301.6	90			Percent of total billed charges		339.3	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	100			Percent of total billed charges		377	100			Percent of total billed charges		377	100			Percent of total billed charges		377	33.3			Percent of total billed charges		125.541	33.3			Percent of total billed charges		125.541	100			Percent of total billed charges		377	125.541	339.3	
stapler ta 90 4.8 ta9048s ussc	270	RC	Outpatient			377	245.05		90			Percent of total billed charges		339.3	40			Percent of total billed charges		150.8	80			Percent of total billed charges		301.6	90			Percent of total billed charges		339.3	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	100			Percent of total billed charges		377	100			Percent of total billed charges		377	100			Percent of total billed charges		377	33.3			Percent of total billed charges		125.541	33.3			Percent of total billed charges		125.541	100			Percent of total billed charges		377	125.541	339.3	
stapler ta 90mm- 3.5mm ta9035s covidien	270	RC	Outpatient			377	245.05		90			Percent of total billed charges		339.3	40			Percent of total billed charges		150.8	80			Percent of total billed charges		301.6	90			Percent of total billed charges		339.3	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	100			Percent of total billed charges		377	100			Percent of total billed charges		377	100			Percent of total billed charges		377	33.3			Percent of total billed charges		125.541	33.3			Percent of total billed charges		125.541	100			Percent of total billed charges		377	125.541	339.3	
stapler ta90	270	RC	Outpatient			377	245.05		90			Percent of total billed charges		339.3	40			Percent of total billed charges		150.8	80			Percent of total billed charges		301.6	90			Percent of total billed charges		339.3	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	100			Percent of total billed charges		377	100			Percent of total billed charges		377	100			Percent of total billed charges		377	33.3			Percent of total billed charges		125.541	33.3			Percent of total billed charges		125.541	100			Percent of total billed charges		377	125.541	339.3	
syn 6.0 titan.lock screw	278	RC	Outpatient			377	245.05		90			Percent of total billed charges		339.3	40			Percent of total billed charges		150.8	80			Percent of total billed charges		301.6	90			Percent of total billed charges		339.3	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	100			Percent of total billed charges		377	100			Percent of total billed charges		377	100			Percent of total billed charges		377	33.3			Percent of total billed charges		125.541	33.3			Percent of total billed charges		125.541	100			Percent of total billed charges		377	125.541	339.3	
ta 90 4.5 stapler disp 010323 ussc	270	RC	Outpatient			377	245.05		90			Percent of total billed charges		339.3	40			Percent of total billed charges		150.8	80			Percent of total billed charges		301.6	90			Percent of total billed charges		339.3	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	85			Percent of total billed charges		320.45	100			Percent of total billed charges		377	100			Percent of total billed charges		377	100			Percent of total billed charges		377	33.3			Percent of total billed charges		125.541	33.3			Percent of total billed charges		125.541	100			Percent of total billed charges		377	125.541	339.3	
implant plate y titanium 2/4 hole 447.62 synthes	278	RC	Outpatient			380	247		90			Percent of total billed charges		342	40			Percent of total billed charges		152	80			Percent of total billed charges		304	90			Percent of total billed charges		342	85			Percent of total billed charges		323	85			Percent of total billed charges		323	85			Percent of total billed charges		323	100			Percent of total billed charges		380	100			Percent of total billed charges		380	100			Percent of total billed charges		380	33.3			Percent of total billed charges		126.54	33.3			Percent of total billed charges		126.54	100			Percent of total billed charges		380	126.54	342	
1.8mm drill bit s/n 71174906	272	RC	Outpatient			381	247.65		90			Percent of total billed charges		342.9	40			Percent of total billed charges		152.4	80			Percent of total billed charges		304.8	90			Percent of total billed charges		342.9	85			Percent of total billed charges		323.85	85			Percent of total billed charges		323.85	85			Percent of total billed charges		323.85	100			Percent of total billed charges		381	100			Percent of total billed charges		381	100			Percent of total billed charges		381	33.3			Percent of total billed charges		126.873	33.3			Percent of total billed charges		126.873	100			Percent of total billed charges		381	126.873	342.9	
arthrex drill bit 2.6 cannulated ar-8943-16	272	RC	Outpatient			381	247.65		90			Percent of total billed charges		342.9	40			Percent of total billed charges		152.4	80			Percent of total billed charges		304.8	90			Percent of total billed charges		342.9	85			Percent of total billed charges		323.85	85			Percent of total billed charges		323.85	85			Percent of total billed charges		323.85	100			Percent of total billed charges		381	100			Percent of total billed charges		381	100			Percent of total billed charges		381	33.3			Percent of total billed charges		126.873	33.3			Percent of total billed charges		126.873	100			Percent of total billed charges		381	126.873	342.9	
bio rsp central scr	278	RC	Outpatient			381	247.65		90			Percent of total billed charges		342.9	40			Percent of total billed charges		152.4	80			Percent of total billed charges		304.8	90			Percent of total billed charges		342.9	85			Percent of total billed charges		323.85	85			Percent of total billed charges		323.85	85			Percent of total billed charges		323.85	100			Percent of total billed charges		381	100			Percent of total billed charges		381	100			Percent of total billed charges		381	33.3			Percent of total billed charges		126.873	33.3			Percent of total billed charges		126.873	100			Percent of total billed charges		381	126.873	342.9	
comp reverse shoulder 6.5 x 20mm central screw 115380 biomet	278	RC	Outpatient			381	247.65		90			Percent of total billed charges		342.9	40			Percent of total billed charges		152.4	80			Percent of total billed charges		304.8	90			Percent of total billed charges		342.9	85			Percent of total billed charges		323.85	85			Percent of total billed charges		323.85	85			Percent of total billed charges		323.85	100			Percent of total billed charges		381	100			Percent of total billed charges		381	100			Percent of total billed charges		381	33.3			Percent of total billed charges		126.873	33.3			Percent of total billed charges		126.873	100			Percent of total billed charges		381	126.873	342.9	
comp reverse shoulder 6.5 x 35mm central screw 115383 biomet	278	RC	Outpatient			381	247.65		90			Percent of total billed charges		342.9	40			Percent of total billed charges		152.4	80			Percent of total billed charges		304.8	90			Percent of total billed charges		342.9	85			Percent of total billed charges		323.85	85			Percent of total billed charges		323.85	85			Percent of total billed charges		323.85	100			Percent of total billed charges		381	100			Percent of total billed charges		381	100			Percent of total billed charges		381	33.3			Percent of total billed charges		126.873	33.3			Percent of total billed charges		126.873	100			Percent of total billed charges		381	126.873	342.9	
comp reverse shoulder 6.5 x 40mm central screw 115384 biomet	278	RC	Outpatient			381	247.65		90			Percent of total billed charges		342.9	40			Percent of total billed charges		152.4	80			Percent of total billed charges		304.8	90			Percent of total billed charges		342.9	85			Percent of total billed charges		323.85	85			Percent of total billed charges		323.85	85			Percent of total billed charges		323.85	100			Percent of total billed charges		381	100			Percent of total billed charges		381	100			Percent of total billed charges		381	33.3			Percent of total billed charges		126.873	33.3			Percent of total billed charges		126.873	100			Percent of total billed charges		381	126.873	342.9	
1.8mm drill bit s/n 71174905	272	RC	Outpatient			381	247.65		90			Percent of total billed charges		342.9	40			Percent of total billed charges		152.4	80			Percent of total billed charges		304.8	90			Percent of total billed charges		342.9	85			Percent of total billed charges		323.85	85			Percent of total billed charges		323.85	85			Percent of total billed charges		323.85	100			Percent of total billed charges		381	100			Percent of total billed charges		381	100			Percent of total billed charges		381	33.3			Percent of total billed charges		126.873	33.3			Percent of total billed charges		126.873	100			Percent of total billed charges		381	126.873	342.9	
2.4mm drill bit s/n 71174907	272	RC	Outpatient			381	247.65		90			Percent of total billed charges		342.9	40			Percent of total billed charges		152.4	80			Percent of total billed charges		304.8	90			Percent of total billed charges		342.9	85			Percent of total billed charges		323.85	85			Percent of total billed charges		323.85	85			Percent of total billed charges		323.85	100			Percent of total billed charges		381	100			Percent of total billed charges		381	100			Percent of total billed charges		381	33.3			Percent of total billed charges		126.873	33.3			Percent of total billed charges		126.873	100			Percent of total billed charges		381	126.873	342.9	
arthrex chondral dart 1.3 x 18mm ar-4005b-18	278	RC	Outpatient			381	247.65		90			Percent of total billed charges		342.9	40			Percent of total billed charges		152.4	80			Percent of total billed charges		304.8	90			Percent of total billed charges		342.9	85			Percent of total billed charges		323.85	85			Percent of total billed charges		323.85	85			Percent of total billed charges		323.85	100			Percent of total billed charges		381	100			Percent of total billed charges		381	100			Percent of total billed charges		381	33.3			Percent of total billed charges		126.873	33.3			Percent of total billed charges		126.873	100			Percent of total billed charges		381	126.873	342.9	
arthrex drill bit 2.6 can	272	RC	Outpatient			381	247.65		90			Percent of total billed charges		342.9	40			Percent of total billed charges		152.4	80			Percent of total billed charges		304.8	90			Percent of total billed charges		342.9	85			Percent of total billed charges		323.85	85			Percent of total billed charges		323.85	85			Percent of total billed charges		323.85	100			Percent of total billed charges		381	100			Percent of total billed charges		381	100			Percent of total billed charges		381	33.3			Percent of total billed charges		126.873	33.3			Percent of total billed charges		126.873	100			Percent of total billed charges		381	126.873	342.9	
arthrex drill bit 2.6 cannulated ar-8943-02	272	RC	Outpatient			381	247.65		90			Percent of total billed charges		342.9	40			Percent of total billed charges		152.4	80			Percent of total billed charges		304.8	90			Percent of total billed charges		342.9	85			Percent of total billed charges		323.85	85			Percent of total billed charges		323.85	85			Percent of total billed charges		323.85	100			Percent of total billed charges		381	100			Percent of total billed charges		381	100			Percent of total billed charges		381	33.3			Percent of total billed charges		126.873	33.3			Percent of total billed charges		126.873	100			Percent of total billed charges		381	126.873	342.9	
comp reverse shoulder 6.5 x 25mm central screw 115381 biomet	278	RC	Outpatient			381	247.65		90			Percent of total billed charges		342.9	40			Percent of total billed charges		152.4	80			Percent of total billed charges		304.8	90			Percent of total billed charges		342.9	85			Percent of total billed charges		323.85	85			Percent of total billed charges		323.85	85			Percent of total billed charges		323.85	100			Percent of total billed charges		381	100			Percent of total billed charges		381	100			Percent of total billed charges		381	33.3			Percent of total billed charges		126.873	33.3			Percent of total billed charges		126.873	100			Percent of total billed charges		381	126.873	342.9	
screw 2.7 x 13 locking s/n 72412713n	278	RC	Outpatient			381	247.65		90			Percent of total billed charges		342.9	40			Percent of total billed charges		152.4	80			Percent of total billed charges		304.8	90			Percent of total billed charges		342.9	85			Percent of total billed charges		323.85	85			Percent of total billed charges		323.85	85			Percent of total billed charges		323.85	100			Percent of total billed charges		381	100			Percent of total billed charges		381	100			Percent of total billed charges		381	33.3			Percent of total billed charges		126.873	33.3			Percent of total billed charges		126.873	100			Percent of total billed charges		381	126.873	342.9	
screw 2.7 x 14 locking s/n 72412714n	278	RC	Outpatient			381	247.65		90			Percent of total billed charges		342.9	40			Percent of total billed charges		152.4	80			Percent of total billed charges		304.8	90			Percent of total billed charges		342.9	85			Percent of total billed charges		323.85	85			Percent of total billed charges		323.85	85			Percent of total billed charges		323.85	100			Percent of total billed charges		381	100			Percent of total billed charges		381	100			Percent of total billed charges		381	33.3			Percent of total billed charges		126.873	33.3			Percent of total billed charges		126.873	100			Percent of total billed charges		381	126.873	342.9	
screw 2.7 x 19 locking s/n 72412719n	278	RC	Outpatient			381	247.65		90			Percent of total billed charges		342.9	40			Percent of total billed charges		152.4	80			Percent of total billed charges		304.8	90			Percent of total billed charges		342.9	85			Percent of total billed charges		323.85	85			Percent of total billed charges		323.85	85			Percent of total billed charges		323.85	100			Percent of total billed charges		381	100			Percent of total billed charges		381	100			Percent of total billed charges		381	33.3			Percent of total billed charges		126.873	33.3			Percent of total billed charges		126.873	100			Percent of total billed charges		381	126.873	342.9	
screw 2.7 x 20 locking s/n 72412720n	278	RC	Outpatient			381	247.65		90			Percent of total billed charges		342.9	40			Percent of total billed charges		152.4	80			Percent of total billed charges		304.8	90			Percent of total billed charges		342.9	85			Percent of total billed charges		323.85	85			Percent of total billed charges		323.85	85			Percent of total billed charges		323.85	100			Percent of total billed charges		381	100			Percent of total billed charges		381	100			Percent of total billed charges		381	33.3			Percent of total billed charges		126.873	33.3			Percent of total billed charges		126.873	100			Percent of total billed charges		381	126.873	342.9	
screw 2.7 x 23 locking s/n 72412723n	278	RC	Outpatient			381	247.65		90			Percent of total billed charges		342.9	40			Percent of total billed charges		152.4	80			Percent of total billed charges		304.8	90			Percent of total billed charges		342.9	85			Percent of total billed charges		323.85	85			Percent of total billed charges		323.85	85			Percent of total billed charges		323.85	100			Percent of total billed charges		381	100			Percent of total billed charges		381	100			Percent of total billed charges		381	33.3			Percent of total billed charges		126.873	33.3			Percent of total billed charges		126.873	100			Percent of total billed charges		381	126.873	342.9	
screw 2.7 x 12 locking s/n 72412712n	278	RC	Outpatient			381	247.65		90			Percent of total billed charges		342.9	40			Percent of total billed charges		152.4	80			Percent of total billed charges		304.8	90			Percent of total billed charges		342.9	85			Percent of total billed charges		323.85	85			Percent of total billed charges		323.85	85			Percent of total billed charges		323.85	100			Percent of total billed charges		381	100			Percent of total billed charges		381	100			Percent of total billed charges		381	33.3			Percent of total billed charges		126.873	33.3			Percent of total billed charges		126.873	100			Percent of total billed charges		381	126.873	342.9	
screw 2.7 x 15 locking s/n 72412715n	278	RC	Outpatient			381	247.65		90			Percent of total billed charges		342.9	40			Percent of total billed charges		152.4	80			Percent of total billed charges		304.8	90			Percent of total billed charges		342.9	85			Percent of total billed charges		323.85	85			Percent of total billed charges		323.85	85			Percent of total billed charges		323.85	100			Percent of total billed charges		381	100			Percent of total billed charges		381	100			Percent of total billed charges		381	33.3			Percent of total billed charges		126.873	33.3			Percent of total billed charges		126.873	100			Percent of total billed charges		381	126.873	342.9	
screw 2.7 x 16 locking s/n 72412716n	278	RC	Outpatient			381	247.65		90			Percent of total billed charges		342.9	40			Percent of total billed charges		152.4	80			Percent of total billed charges		304.8	90			Percent of total billed charges		342.9	85			Percent of total billed charges		323.85	85			Percent of total billed charges		323.85	85			Percent of total billed charges		323.85	100			Percent of total billed charges		381	100			Percent of total billed charges		381	100			Percent of total billed charges		381	33.3			Percent of total billed charges		126.873	33.3			Percent of total billed charges		126.873	100			Percent of total billed charges		381	126.873	342.9	
screw 2.7 x 18 locking s/n 72412718n	278	RC	Outpatient			381	247.65		90			Percent of total billed charges		342.9	40			Percent of total billed charges		152.4	80			Percent of total billed charges		304.8	90			Percent of total billed charges		342.9	85			Percent of total billed charges		323.85	85			Percent of total billed charges		323.85	85			Percent of total billed charges		323.85	100			Percent of total billed charges		381	100			Percent of total billed charges		381	100			Percent of total billed charges		381	33.3			Percent of total billed charges		126.873	33.3			Percent of total billed charges		126.873	100			Percent of total billed charges		381	126.873	342.9	
screw 2.7 x 24 locking s/n 72412724n	278	RC	Outpatient			381	247.65		90			Percent of total billed charges		342.9	40			Percent of total billed charges		152.4	80			Percent of total billed charges		304.8	90			Percent of total billed charges		342.9	85			Percent of total billed charges		323.85	85			Percent of total billed charges		323.85	85			Percent of total billed charges		323.85	100			Percent of total billed charges		381	100			Percent of total billed charges		381	100			Percent of total billed charges		381	33.3			Percent of total billed charges		126.873	33.3			Percent of total billed charges		126.873	100			Percent of total billed charges		381	126.873	342.9	
glide scope #3 and #4	272	RC	Outpatient			382	248.3		90			Percent of total billed charges		343.8	40			Percent of total billed charges		152.8	80			Percent of total billed charges		305.6	90			Percent of total billed charges		343.8	85			Percent of total billed charges		324.7	85			Percent of total billed charges		324.7	85			Percent of total billed charges		324.7	100			Percent of total billed charges		382	100			Percent of total billed charges		382	100			Percent of total billed charges		382	33.3			Percent of total billed charges		127.206	33.3			Percent of total billed charges		127.206	100			Percent of total billed charges		382	127.206	343.8	
glide scope cover #3 0270-0627 verathon 0574-0100	272	RC	Outpatient			382	248.3		90			Percent of total billed charges		343.8	40			Percent of total billed charges		152.8	80			Percent of total billed charges		305.6	90			Percent of total billed charges		343.8	85			Percent of total billed charges		324.7	85			Percent of total billed charges		324.7	85			Percent of total billed charges		324.7	100			Percent of total billed charges		382	100			Percent of total billed charges		382	100			Percent of total billed charges		382	33.3			Percent of total billed charges		127.206	33.3			Percent of total billed charges		127.206	100			Percent of total billed charges		382	127.206	343.8	
glide scope cover #4 0270-0629 verathon	272	RC	Outpatient			382	248.3		90			Percent of total billed charges		343.8	40			Percent of total billed charges		152.8	80			Percent of total billed charges		305.6	90			Percent of total billed charges		343.8	85			Percent of total billed charges		324.7	85			Percent of total billed charges		324.7	85			Percent of total billed charges		324.7	100			Percent of total billed charges		382	100			Percent of total billed charges		382	100			Percent of total billed charges		382	33.3			Percent of total billed charges		127.206	33.3			Percent of total billed charges		127.206	100			Percent of total billed charges		382	127.206	343.8	
glide scope cover 3 & 4	272	RC	Outpatient			382	248.3		90			Percent of total billed charges		343.8	40			Percent of total billed charges		152.8	80			Percent of total billed charges		305.6	90			Percent of total billed charges		343.8	85			Percent of total billed charges		324.7	85			Percent of total billed charges		324.7	85			Percent of total billed charges		324.7	100			Percent of total billed charges		382	100			Percent of total billed charges		382	100			Percent of total billed charges		382	33.3			Percent of total billed charges		127.206	33.3			Percent of total billed charges		127.206	100			Percent of total billed charges		382	127.206	343.8	
ir fluoro guide > 1 hr	320	RC	Outpatient			382	248.3		90			Percent of total billed charges		343.8	40			Percent of total billed charges		152.8	80			Percent of total billed charges		305.6	90			Percent of total billed charges		343.8	85			Percent of total billed charges		324.7	85			Percent of total billed charges		324.7	85			Percent of total billed charges		324.7	100			Percent of total billed charges		382	100			Percent of total billed charges		382	100			Percent of total billed charges		382	33.3			Percent of total billed charges		127.206	33.3			Percent of total billed charges		127.206	100			Percent of total billed charges		382	127.206	343.8	
peri-loc vlp scr 3.5 lck	278	RC	Outpatient			383	248.95		90			Percent of total billed charges		344.7	40			Percent of total billed charges		153.2	80			Percent of total billed charges		306.4	90			Percent of total billed charges		344.7	85			Percent of total billed charges		325.55	85			Percent of total billed charges		325.55	85			Percent of total billed charges		325.55	100			Percent of total billed charges		383	100			Percent of total billed charges		383	100			Percent of total billed charges		383	33.3			Percent of total billed charges		127.539	33.3			Percent of total billed charges		127.539	100			Percent of total billed charges		383	127.539	344.7	
arthrex drill bit 3.0mm cannulated ar-8945-30c	272	RC	Outpatient			385	250.25		90			Percent of total billed charges		346.5	40			Percent of total billed charges		154	80			Percent of total billed charges		308	90			Percent of total billed charges		346.5	85			Percent of total billed charges		327.25	85			Percent of total billed charges		327.25	85			Percent of total billed charges		327.25	100			Percent of total billed charges		385	100			Percent of total billed charges		385	100			Percent of total billed charges		385	33.3			Percent of total billed charges		128.205	33.3			Percent of total billed charges		128.205	100			Percent of total billed charges		385	128.205	346.5	
2.0mm quick release drill acumed 80-0318	272	RC	Outpatient			385	250.25		90			Percent of total billed charges		346.5	40			Percent of total billed charges		154	80			Percent of total billed charges		308	90			Percent of total billed charges		346.5	85			Percent of total billed charges		327.25	85			Percent of total billed charges		327.25	85			Percent of total billed charges		327.25	100			Percent of total billed charges		385	100			Percent of total billed charges		385	100			Percent of total billed charges		385	33.3			Percent of total billed charges		128.205	33.3			Percent of total billed charges		128.205	100			Percent of total billed charges		385	128.205	346.5	
2.0mm quick release drill acumed 80-2378	278	RC	Outpatient			385	250.25		90			Percent of total billed charges		346.5	40			Percent of total billed charges		154	80			Percent of total billed charges		308	90			Percent of total billed charges		346.5	85			Percent of total billed charges		327.25	85			Percent of total billed charges		327.25	85			Percent of total billed charges		327.25	100			Percent of total billed charges		385	100			Percent of total billed charges		385	100			Percent of total billed charges		385	33.3			Percent of total billed charges		128.205	33.3			Percent of total billed charges		128.205	100			Percent of total billed charges		385	128.205	346.5	
2.8mm quick release drill acumed 80-2379	278	RC	Outpatient			385	250.25		90			Percent of total billed charges		346.5	40			Percent of total billed charges		154	80			Percent of total billed charges		308	90			Percent of total billed charges		346.5	85			Percent of total billed charges		327.25	85			Percent of total billed charges		327.25	85			Percent of total billed charges		327.25	100			Percent of total billed charges		385	100			Percent of total billed charges		385	100			Percent of total billed charges		385	33.3			Percent of total billed charges		128.205	33.3			Percent of total billed charges		128.205	100			Percent of total billed charges		385	128.205	346.5	
endowrist mega suture cut needle driver ref 471309 isi	272	RC	Outpatient			385	250.25		90			Percent of total billed charges		346.5	40			Percent of total billed charges		154	80			Percent of total billed charges		308	90			Percent of total billed charges		346.5	85			Percent of total billed charges		327.25	85			Percent of total billed charges		327.25	85			Percent of total billed charges		327.25	100			Percent of total billed charges		385	100			Percent of total billed charges		385	100			Percent of total billed charges		385	33.3			Percent of total billed charges		128.205	33.3			Percent of total billed charges		128.205	100			Percent of total billed charges		385	128.205	346.5	
novocut suture manager ctx-001	272	RC	Outpatient			385	250.25		90			Percent of total billed charges		346.5	40			Percent of total billed charges		154	80			Percent of total billed charges		308	90			Percent of total billed charges		346.5	85			Percent of total billed charges		327.25	85			Percent of total billed charges		327.25	85			Percent of total billed charges		327.25	100			Percent of total billed charges		385	100			Percent of total billed charges		385	100			Percent of total billed charges		385	33.3			Percent of total billed charges		128.205	33.3			Percent of total billed charges		128.205	100			Percent of total billed charges		385	128.205	346.5	
novocut suture manager ctx-c001	272	RC	Outpatient			385	250.25		90			Percent of total billed charges		346.5	40			Percent of total billed charges		154	80			Percent of total billed charges		308	90			Percent of total billed charges		346.5	85			Percent of total billed charges		327.25	85			Percent of total billed charges		327.25	85			Percent of total billed charges		327.25	100			Percent of total billed charges		385	100			Percent of total billed charges		385	100			Percent of total billed charges		385	33.3			Percent of total billed charges		128.205	33.3			Percent of total billed charges		128.205	100			Percent of total billed charges		385	128.205	346.5	
s/n truepass ndl	272	RC	Outpatient			385	250.25		90			Percent of total billed charges		346.5	40			Percent of total billed charges		154	80			Percent of total billed charges		308	90			Percent of total billed charges		346.5	85			Percent of total billed charges		327.25	85			Percent of total billed charges		327.25	85			Percent of total billed charges		327.25	100			Percent of total billed charges		385	100			Percent of total billed charges		385	100			Percent of total billed charges		385	33.3			Percent of total billed charges		128.205	33.3			Percent of total billed charges		128.205	100			Percent of total billed charges		385	128.205	346.5	
truepass disp needle 7220-3793 s/n	272	RC	Outpatient			385	250.25		90			Percent of total billed charges		346.5	40			Percent of total billed charges		154	80			Percent of total billed charges		308	90			Percent of total billed charges		346.5	85			Percent of total billed charges		327.25	85			Percent of total billed charges		327.25	85			Percent of total billed charges		327.25	100			Percent of total billed charges		385	100			Percent of total billed charges		385	100			Percent of total billed charges		385	33.3			Percent of total billed charges		128.205	33.3			Percent of total billed charges		128.205	100			Percent of total billed charges		385	128.205	346.5	
conector quick 3.2 x 30mm 25-424509 bmet	272	RC	Outpatient			386	250.9		90			Percent of total billed charges		347.4	40			Percent of total billed charges		154.4	80			Percent of total billed charges		308.8	90			Percent of total billed charges		347.4	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	100			Percent of total billed charges		386	100			Percent of total billed charges		386	100			Percent of total billed charges		386	33.3			Percent of total billed charges		128.538	33.3			Percent of total billed charges		128.538	100			Percent of total billed charges		386	128.538	347.4	
biomet 3.2/4.5 drill bit	272	RC	Outpatient			386	250.9		90			Percent of total billed charges		347.4	40			Percent of total billed charges		154.4	80			Percent of total billed charges		308.8	90			Percent of total billed charges		347.4	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	100			Percent of total billed charges		386	100			Percent of total billed charges		386	100			Percent of total billed charges		386	33.3			Percent of total billed charges		128.538	33.3			Percent of total billed charges		128.538	100			Percent of total billed charges		386	128.538	347.4	
biomet vhs 3.2 mm x 5 1/2 inches drill bit quick release 35-463018	272	RC	Outpatient			386	250.9		90			Percent of total billed charges		347.4	40			Percent of total billed charges		154.4	80			Percent of total billed charges		308.8	90			Percent of total billed charges		347.4	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	100			Percent of total billed charges		386	100			Percent of total billed charges		386	100			Percent of total billed charges		386	33.3			Percent of total billed charges		128.538	33.3			Percent of total billed charges		128.538	100			Percent of total billed charges		386	128.538	347.4	
biomet vhs 4.5mm  drill bit 35-463020	272	RC	Outpatient			386	250.9		90			Percent of total billed charges		347.4	40			Percent of total billed charges		154.4	80			Percent of total billed charges		308.8	90			Percent of total billed charges		347.4	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	100			Percent of total billed charges		386	100			Percent of total billed charges		386	100			Percent of total billed charges		386	33.3			Percent of total billed charges		128.538	33.3			Percent of total billed charges		128.538	100			Percent of total billed charges		386	128.538	347.4	
drill bit 3.2 405883 biomet	272	RC	Outpatient			386	250.9		90			Percent of total billed charges		347.4	40			Percent of total billed charges		154.4	80			Percent of total billed charges		308.8	90			Percent of total billed charges		347.4	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	100			Percent of total billed charges		386	100			Percent of total billed charges		386	100			Percent of total billed charges		386	33.3			Percent of total billed charges		128.538	33.3			Percent of total billed charges		128.538	100			Percent of total billed charges		386	128.538	347.4	
k-wire 3 x 285 1806-0050s stryker	278	RC	Outpatient			386	250.9		90			Percent of total billed charges		347.4	40			Percent of total billed charges		154.4	80			Percent of total billed charges		308.8	90			Percent of total billed charges		347.4	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	100			Percent of total billed charges		386	100			Percent of total billed charges		386	100			Percent of total billed charges		386	33.3			Percent of total billed charges		128.538	33.3			Percent of total billed charges		128.538	100			Percent of total billed charges		386	128.538	347.4	
quick connect drill bit 3.2 x 28mm 25-424508 biomet	272	RC	Outpatient			386	250.9		90			Percent of total billed charges		347.4	40			Percent of total billed charges		154.4	80			Percent of total billed charges		308.8	90			Percent of total billed charges		347.4	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	100			Percent of total billed charges		386	100			Percent of total billed charges		386	100			Percent of total billed charges		386	33.3			Percent of total billed charges		128.538	33.3			Percent of total billed charges		128.538	100			Percent of total billed charges		386	128.538	347.4	
s/n 3.5 t20 lck screw	278	RC	Outpatient			386	250.9		90			Percent of total billed charges		347.4	40			Percent of total billed charges		154.4	80			Percent of total billed charges		308.8	90			Percent of total billed charges		347.4	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	100			Percent of total billed charges		386	100			Percent of total billed charges		386	100			Percent of total billed charges		386	33.3			Percent of total billed charges		128.538	33.3			Percent of total billed charges		128.538	100			Percent of total billed charges		386	128.538	347.4	
stryker k-wire 3 x 285	278	RC	Outpatient			386	250.9		90			Percent of total billed charges		347.4	40			Percent of total billed charges		154.4	80			Percent of total billed charges		308.8	90			Percent of total billed charges		347.4	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	100			Percent of total billed charges		386	100			Percent of total billed charges		386	100			Percent of total billed charges		386	33.3			Percent of total billed charges		128.538	33.3			Percent of total billed charges		128.538	100			Percent of total billed charges		386	128.538	347.4	
t20 lck cortex scr st 3.5 x 10 7382-5010 s/n	278	RC	Outpatient			386	250.9		90			Percent of total billed charges		347.4	40			Percent of total billed charges		154.4	80			Percent of total billed charges		308.8	90			Percent of total billed charges		347.4	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	100			Percent of total billed charges		386	100			Percent of total billed charges		386	100			Percent of total billed charges		386	33.3			Percent of total billed charges		128.538	33.3			Percent of total billed charges		128.538	100			Percent of total billed charges		386	128.538	347.4	
t20 lck cortex scr st 3.5 x 14 7382-5014 s/n	278	RC	Outpatient			386	250.9		90			Percent of total billed charges		347.4	40			Percent of total billed charges		154.4	80			Percent of total billed charges		308.8	90			Percent of total billed charges		347.4	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	100			Percent of total billed charges		386	100			Percent of total billed charges		386	100			Percent of total billed charges		386	33.3			Percent of total billed charges		128.538	33.3			Percent of total billed charges		128.538	100			Percent of total billed charges		386	128.538	347.4	
t20 lck cortex scr st 3.5 x 20 7382-5020 s/n	278	RC	Outpatient			386	250.9		90			Percent of total billed charges		347.4	40			Percent of total billed charges		154.4	80			Percent of total billed charges		308.8	90			Percent of total billed charges		347.4	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	100			Percent of total billed charges		386	100			Percent of total billed charges		386	100			Percent of total billed charges		386	33.3			Percent of total billed charges		128.538	33.3			Percent of total billed charges		128.538	100			Percent of total billed charges		386	128.538	347.4	
t20 lck cortex scr st 3.5 x 22 7382-5022 s/n	278	RC	Outpatient			386	250.9		90			Percent of total billed charges		347.4	40			Percent of total billed charges		154.4	80			Percent of total billed charges		308.8	90			Percent of total billed charges		347.4	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	100			Percent of total billed charges		386	100			Percent of total billed charges		386	100			Percent of total billed charges		386	33.3			Percent of total billed charges		128.538	33.3			Percent of total billed charges		128.538	100			Percent of total billed charges		386	128.538	347.4	
t20 lck cortex scr st 3.5 x 24 7382-5024 s/n	278	RC	Outpatient			386	250.9		90			Percent of total billed charges		347.4	40			Percent of total billed charges		154.4	80			Percent of total billed charges		308.8	90			Percent of total billed charges		347.4	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	100			Percent of total billed charges		386	100			Percent of total billed charges		386	100			Percent of total billed charges		386	33.3			Percent of total billed charges		128.538	33.3			Percent of total billed charges		128.538	100			Percent of total billed charges		386	128.538	347.4	
t20 lck cortex scr st 3.5 x 34 7382-5034 s/n	278	RC	Outpatient			386	250.9		90			Percent of total billed charges		347.4	40			Percent of total billed charges		154.4	80			Percent of total billed charges		308.8	90			Percent of total billed charges		347.4	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	100			Percent of total billed charges		386	100			Percent of total billed charges		386	100			Percent of total billed charges		386	33.3			Percent of total billed charges		128.538	33.3			Percent of total billed charges		128.538	100			Percent of total billed charges		386	128.538	347.4	
t20 lck cortex scr st 3.5 x 36 7382-5036 s/n	278	RC	Outpatient			386	250.9		90			Percent of total billed charges		347.4	40			Percent of total billed charges		154.4	80			Percent of total billed charges		308.8	90			Percent of total billed charges		347.4	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	100			Percent of total billed charges		386	100			Percent of total billed charges		386	100			Percent of total billed charges		386	33.3			Percent of total billed charges		128.538	33.3			Percent of total billed charges		128.538	100			Percent of total billed charges		386	128.538	347.4	
t20 lck cortex scr st 3.5 x 40 7382-5040 s/n	278	RC	Outpatient			386	250.9		90			Percent of total billed charges		347.4	40			Percent of total billed charges		154.4	80			Percent of total billed charges		308.8	90			Percent of total billed charges		347.4	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	100			Percent of total billed charges		386	100			Percent of total billed charges		386	100			Percent of total billed charges		386	33.3			Percent of total billed charges		128.538	33.3			Percent of total billed charges		128.538	100			Percent of total billed charges		386	128.538	347.4	
t20 lck cortex scr st 3.5 x 46 7382-5046 s/n	278	RC	Outpatient			386	250.9		90			Percent of total billed charges		347.4	40			Percent of total billed charges		154.4	80			Percent of total billed charges		308.8	90			Percent of total billed charges		347.4	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	100			Percent of total billed charges		386	100			Percent of total billed charges		386	100			Percent of total billed charges		386	33.3			Percent of total billed charges		128.538	33.3			Percent of total billed charges		128.538	100			Percent of total billed charges		386	128.538	347.4	
t20 lck cortex scr st 3.5 x 80 7382-5080 s/n	278	RC	Outpatient			386	250.9		90			Percent of total billed charges		347.4	40			Percent of total billed charges		154.4	80			Percent of total billed charges		308.8	90			Percent of total billed charges		347.4	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	100			Percent of total billed charges		386	100			Percent of total billed charges		386	100			Percent of total billed charges		386	33.3			Percent of total billed charges		128.538	33.3			Percent of total billed charges		128.538	100			Percent of total billed charges		386	128.538	347.4	
t20 lck cortex scr st 3.5 x 12 7382-5012 s/n	278	RC	Outpatient			386	250.9		90			Percent of total billed charges		347.4	40			Percent of total billed charges		154.4	80			Percent of total billed charges		308.8	90			Percent of total billed charges		347.4	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	100			Percent of total billed charges		386	100			Percent of total billed charges		386	100			Percent of total billed charges		386	33.3			Percent of total billed charges		128.538	33.3			Percent of total billed charges		128.538	100			Percent of total billed charges		386	128.538	347.4	
t20 lck cortex scr st 3.5 x 16 7382-5016 s/n	278	RC	Outpatient			386	250.9		90			Percent of total billed charges		347.4	40			Percent of total billed charges		154.4	80			Percent of total billed charges		308.8	90			Percent of total billed charges		347.4	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	100			Percent of total billed charges		386	100			Percent of total billed charges		386	100			Percent of total billed charges		386	33.3			Percent of total billed charges		128.538	33.3			Percent of total billed charges		128.538	100			Percent of total billed charges		386	128.538	347.4	
t20 lck cortex scr st 3.5 x 18 7382-5018 s/n	278	RC	Outpatient			386	250.9		90			Percent of total billed charges		347.4	40			Percent of total billed charges		154.4	80			Percent of total billed charges		308.8	90			Percent of total billed charges		347.4	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	100			Percent of total billed charges		386	100			Percent of total billed charges		386	100			Percent of total billed charges		386	33.3			Percent of total billed charges		128.538	33.3			Percent of total billed charges		128.538	100			Percent of total billed charges		386	128.538	347.4	
t20 lck cortex scr st 3.5 x 28 7382-5028 s/n	278	RC	Outpatient			386	250.9		90			Percent of total billed charges		347.4	40			Percent of total billed charges		154.4	80			Percent of total billed charges		308.8	90			Percent of total billed charges		347.4	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	100			Percent of total billed charges		386	100			Percent of total billed charges		386	100			Percent of total billed charges		386	33.3			Percent of total billed charges		128.538	33.3			Percent of total billed charges		128.538	100			Percent of total billed charges		386	128.538	347.4	
t20 lck cortex scr st 3.5 x 30 7382-5030 s/n	278	RC	Outpatient			386	250.9		90			Percent of total billed charges		347.4	40			Percent of total billed charges		154.4	80			Percent of total billed charges		308.8	90			Percent of total billed charges		347.4	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	100			Percent of total billed charges		386	100			Percent of total billed charges		386	100			Percent of total billed charges		386	33.3			Percent of total billed charges		128.538	33.3			Percent of total billed charges		128.538	100			Percent of total billed charges		386	128.538	347.4	
t20 lck cortex scr st 3.5 x 32 7382-5032 s/n	278	RC	Outpatient			386	250.9		90			Percent of total billed charges		347.4	40			Percent of total billed charges		154.4	80			Percent of total billed charges		308.8	90			Percent of total billed charges		347.4	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	100			Percent of total billed charges		386	100			Percent of total billed charges		386	100			Percent of total billed charges		386	33.3			Percent of total billed charges		128.538	33.3			Percent of total billed charges		128.538	100			Percent of total billed charges		386	128.538	347.4	
t20 lck cortex scr st 3.5 x 38 7382-5038 s/n	278	RC	Outpatient			386	250.9		90			Percent of total billed charges		347.4	40			Percent of total billed charges		154.4	80			Percent of total billed charges		308.8	90			Percent of total billed charges		347.4	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	100			Percent of total billed charges		386	100			Percent of total billed charges		386	100			Percent of total billed charges		386	33.3			Percent of total billed charges		128.538	33.3			Percent of total billed charges		128.538	100			Percent of total billed charges		386	128.538	347.4	
t20 lck cortex scr st 3.5 x 42 7382-5042 s/n	278	RC	Outpatient			386	250.9		90			Percent of total billed charges		347.4	40			Percent of total billed charges		154.4	80			Percent of total billed charges		308.8	90			Percent of total billed charges		347.4	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	100			Percent of total billed charges		386	100			Percent of total billed charges		386	100			Percent of total billed charges		386	33.3			Percent of total billed charges		128.538	33.3			Percent of total billed charges		128.538	100			Percent of total billed charges		386	128.538	347.4	
t20 lck cortex scr st 3.5 x 44 7382-5044 s/n	278	RC	Outpatient			386	250.9		90			Percent of total billed charges		347.4	40			Percent of total billed charges		154.4	80			Percent of total billed charges		308.8	90			Percent of total billed charges		347.4	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	100			Percent of total billed charges		386	100			Percent of total billed charges		386	100			Percent of total billed charges		386	33.3			Percent of total billed charges		128.538	33.3			Percent of total billed charges		128.538	100			Percent of total billed charges		386	128.538	347.4	
t20 lck cortex scr st 3.5 x 48 7382-5048 s/n	278	RC	Outpatient			386	250.9		90			Percent of total billed charges		347.4	40			Percent of total billed charges		154.4	80			Percent of total billed charges		308.8	90			Percent of total billed charges		347.4	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	100			Percent of total billed charges		386	100			Percent of total billed charges		386	100			Percent of total billed charges		386	33.3			Percent of total billed charges		128.538	33.3			Percent of total billed charges		128.538	100			Percent of total billed charges		386	128.538	347.4	
t20 lck cortex scr st 3.5 x 50 7382-5050 s/n	278	RC	Outpatient			386	250.9		90			Percent of total billed charges		347.4	40			Percent of total billed charges		154.4	80			Percent of total billed charges		308.8	90			Percent of total billed charges		347.4	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	100			Percent of total billed charges		386	100			Percent of total billed charges		386	100			Percent of total billed charges		386	33.3			Percent of total billed charges		128.538	33.3			Percent of total billed charges		128.538	100			Percent of total billed charges		386	128.538	347.4	
t20 lck cortex scr st 3.5 x 55 7382-5055 s/n	278	RC	Outpatient			386	250.9		90			Percent of total billed charges		347.4	40			Percent of total billed charges		154.4	80			Percent of total billed charges		308.8	90			Percent of total billed charges		347.4	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	100			Percent of total billed charges		386	100			Percent of total billed charges		386	100			Percent of total billed charges		386	33.3			Percent of total billed charges		128.538	33.3			Percent of total billed charges		128.538	100			Percent of total billed charges		386	128.538	347.4	
t20 lck cortex scr st 3.5 x 60 7382-5060 s/n	278	RC	Outpatient			386	250.9		90			Percent of total billed charges		347.4	40			Percent of total billed charges		154.4	80			Percent of total billed charges		308.8	90			Percent of total billed charges		347.4	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	100			Percent of total billed charges		386	100			Percent of total billed charges		386	100			Percent of total billed charges		386	33.3			Percent of total billed charges		128.538	33.3			Percent of total billed charges		128.538	100			Percent of total billed charges		386	128.538	347.4	
t20 lck cortex scr st 3.5 x 65 7382-5065 s/n	278	RC	Outpatient			386	250.9		90			Percent of total billed charges		347.4	40			Percent of total billed charges		154.4	80			Percent of total billed charges		308.8	90			Percent of total billed charges		347.4	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	100			Percent of total billed charges		386	100			Percent of total billed charges		386	100			Percent of total billed charges		386	33.3			Percent of total billed charges		128.538	33.3			Percent of total billed charges		128.538	100			Percent of total billed charges		386	128.538	347.4	
t20 lck cortex scr st 3.5 x 70 7382-5070 s/n	278	RC	Outpatient			386	250.9		90			Percent of total billed charges		347.4	40			Percent of total billed charges		154.4	80			Percent of total billed charges		308.8	90			Percent of total billed charges		347.4	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	100			Percent of total billed charges		386	100			Percent of total billed charges		386	100			Percent of total billed charges		386	33.3			Percent of total billed charges		128.538	33.3			Percent of total billed charges		128.538	100			Percent of total billed charges		386	128.538	347.4	
t20 lck cortex scr st 3.5 x 75 7382-5075 s/n	278	RC	Outpatient			386	250.9		90			Percent of total billed charges		347.4	40			Percent of total billed charges		154.4	80			Percent of total billed charges		308.8	90			Percent of total billed charges		347.4	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	85			Percent of total billed charges		328.1	100			Percent of total billed charges		386	100			Percent of total billed charges		386	100			Percent of total billed charges		386	33.3			Percent of total billed charges		128.538	33.3			Percent of total billed charges		128.538	100			Percent of total billed charges		386	128.538	347.4	
evos small 2.5mm drill w/ao qc long s/n ref 71175022	272	RC	Outpatient			386.1	250.97		90			Percent of total billed charges		347.49	40			Percent of total billed charges		154.44	80			Percent of total billed charges		308.88	90			Percent of total billed charges		347.49	85			Percent of total billed charges		328.185	85			Percent of total billed charges		328.185	85			Percent of total billed charges		328.185	100			Percent of total billed charges		386.1	100			Percent of total billed charges		386.1	100			Percent of total billed charges		386.1	33.3			Percent of total billed charges		128.5713	33.3			Percent of total billed charges		128.5713	100			Percent of total billed charges		386.1	128.5713	347.49	
s/n evos small 2.5mm drill w/ao qc long ref 71175022	272	RC	Outpatient			386.1	250.97		90			Percent of total billed charges		347.49	40			Percent of total billed charges		154.44	80			Percent of total billed charges		308.88	90			Percent of total billed charges		347.49	85			Percent of total billed charges		328.185	85			Percent of total billed charges		328.185	85			Percent of total billed charges		328.185	100			Percent of total billed charges		386.1	100			Percent of total billed charges		386.1	100			Percent of total billed charges		386.1	33.3			Percent of total billed charges		128.5713	33.3			Percent of total billed charges		128.5713	100			Percent of total billed charges		386.1	128.5713	347.49	
cortical 4.0 x 24mm screw 71754024 s/n	278	RC	Outpatient			387	251.55		90			Percent of total billed charges		348.3	40			Percent of total billed charges		154.8	80			Percent of total billed charges		309.6	90			Percent of total billed charges		348.3	85			Percent of total billed charges		328.95	85			Percent of total billed charges		328.95	85			Percent of total billed charges		328.95	100			Percent of total billed charges		387	100			Percent of total billed charges		387	100			Percent of total billed charges		387	33.3			Percent of total billed charges		128.871	33.3			Percent of total billed charges		128.871	100			Percent of total billed charges		387	128.871	348.3	
cortical 4.0 x 30mm screw 71754030 s/n	278	RC	Outpatient			387	251.55		90			Percent of total billed charges		348.3	40			Percent of total billed charges		154.8	80			Percent of total billed charges		309.6	90			Percent of total billed charges		348.3	85			Percent of total billed charges		328.95	85			Percent of total billed charges		328.95	85			Percent of total billed charges		328.95	100			Percent of total billed charges		387	100			Percent of total billed charges		387	100			Percent of total billed charges		387	33.3			Percent of total billed charges		128.871	33.3			Percent of total billed charges		128.871	100			Percent of total billed charges		387	128.871	348.3	
cortical 4.0 x 36mm screw 71754036 s/n	278	RC	Outpatient			387	251.55		90			Percent of total billed charges		348.3	40			Percent of total billed charges		154.8	80			Percent of total billed charges		309.6	90			Percent of total billed charges		348.3	85			Percent of total billed charges		328.95	85			Percent of total billed charges		328.95	85			Percent of total billed charges		328.95	100			Percent of total billed charges		387	100			Percent of total billed charges		387	100			Percent of total billed charges		387	33.3			Percent of total billed charges		128.871	33.3			Percent of total billed charges		128.871	100			Percent of total billed charges		387	128.871	348.3	
cortical 4.0 x 20mm screw 71754020 s/n	278	RC	Outpatient			387	251.55		90			Percent of total billed charges		348.3	40			Percent of total billed charges		154.8	80			Percent of total billed charges		309.6	90			Percent of total billed charges		348.3	85			Percent of total billed charges		328.95	85			Percent of total billed charges		328.95	85			Percent of total billed charges		328.95	100			Percent of total billed charges		387	100			Percent of total billed charges		387	100			Percent of total billed charges		387	33.3			Percent of total billed charges		128.871	33.3			Percent of total billed charges		128.871	100			Percent of total billed charges		387	128.871	348.3	
cortical 4.0 x 22mm screw 71754022 s/n	278	RC	Outpatient			387	251.55		90			Percent of total billed charges		348.3	40			Percent of total billed charges		154.8	80			Percent of total billed charges		309.6	90			Percent of total billed charges		348.3	85			Percent of total billed charges		328.95	85			Percent of total billed charges		328.95	85			Percent of total billed charges		328.95	100			Percent of total billed charges		387	100			Percent of total billed charges		387	100			Percent of total billed charges		387	33.3			Percent of total billed charges		128.871	33.3			Percent of total billed charges		128.871	100			Percent of total billed charges		387	128.871	348.3	
cortical 4.0 x 26mm screw 71754026 s/n	278	RC	Outpatient			387	251.55		90			Percent of total billed charges		348.3	40			Percent of total billed charges		154.8	80			Percent of total billed charges		309.6	90			Percent of total billed charges		348.3	85			Percent of total billed charges		328.95	85			Percent of total billed charges		328.95	85			Percent of total billed charges		328.95	100			Percent of total billed charges		387	100			Percent of total billed charges		387	100			Percent of total billed charges		387	33.3			Percent of total billed charges		128.871	33.3			Percent of total billed charges		128.871	100			Percent of total billed charges		387	128.871	348.3	
cortical 4.0 x 28mm screw 71754028 s/n	278	RC	Outpatient			387	251.55		90			Percent of total billed charges		348.3	40			Percent of total billed charges		154.8	80			Percent of total billed charges		309.6	90			Percent of total billed charges		348.3	85			Percent of total billed charges		328.95	85			Percent of total billed charges		328.95	85			Percent of total billed charges		328.95	100			Percent of total billed charges		387	100			Percent of total billed charges		387	100			Percent of total billed charges		387	33.3			Percent of total billed charges		128.871	33.3			Percent of total billed charges		128.871	100			Percent of total billed charges		387	128.871	348.3	
cortical 4.0 x 32mm screw 71754032 s/n	278	RC	Outpatient			387	251.55		90			Percent of total billed charges		348.3	40			Percent of total billed charges		154.8	80			Percent of total billed charges		309.6	90			Percent of total billed charges		348.3	85			Percent of total billed charges		328.95	85			Percent of total billed charges		328.95	85			Percent of total billed charges		328.95	100			Percent of total billed charges		387	100			Percent of total billed charges		387	100			Percent of total billed charges		387	33.3			Percent of total billed charges		128.871	33.3			Percent of total billed charges		128.871	100			Percent of total billed charges		387	128.871	348.3	
cortical 4.0 x 34mm screw 71754034 s/n	278	RC	Outpatient			387	251.55		90			Percent of total billed charges		348.3	40			Percent of total billed charges		154.8	80			Percent of total billed charges		309.6	90			Percent of total billed charges		348.3	85			Percent of total billed charges		328.95	85			Percent of total billed charges		328.95	85			Percent of total billed charges		328.95	100			Percent of total billed charges		387	100			Percent of total billed charges		387	100			Percent of total billed charges		387	33.3			Percent of total billed charges		128.871	33.3			Percent of total billed charges		128.871	100			Percent of total billed charges		387	128.871	348.3	
cortical 4.0 x 38mm screw 71754038 s/n	278	RC	Outpatient			387	251.55		90			Percent of total billed charges		348.3	40			Percent of total billed charges		154.8	80			Percent of total billed charges		309.6	90			Percent of total billed charges		348.3	85			Percent of total billed charges		328.95	85			Percent of total billed charges		328.95	85			Percent of total billed charges		328.95	100			Percent of total billed charges		387	100			Percent of total billed charges		387	100			Percent of total billed charges		387	33.3			Percent of total billed charges		128.871	33.3			Percent of total billed charges		128.871	100			Percent of total billed charges		387	128.871	348.3	
cortical 4.0 x 40mm screw 71754040 s/n	278	RC	Outpatient			387	251.55		90			Percent of total billed charges		348.3	40			Percent of total billed charges		154.8	80			Percent of total billed charges		309.6	90			Percent of total billed charges		348.3	85			Percent of total billed charges		328.95	85			Percent of total billed charges		328.95	85			Percent of total billed charges		328.95	100			Percent of total billed charges		387	100			Percent of total billed charges		387	100			Percent of total billed charges		387	33.3			Percent of total billed charges		128.871	33.3			Percent of total billed charges		128.871	100			Percent of total billed charges		387	128.871	348.3	
s/n 4.0 cort screw ti	278	RC	Outpatient			387	251.55		90			Percent of total billed charges		348.3	40			Percent of total billed charges		154.8	80			Percent of total billed charges		309.6	90			Percent of total billed charges		348.3	85			Percent of total billed charges		328.95	85			Percent of total billed charges		328.95	85			Percent of total billed charges		328.95	100			Percent of total billed charges		387	100			Percent of total billed charges		387	100			Percent of total billed charges		387	33.3			Percent of total billed charges		128.871	33.3			Percent of total billed charges		128.871	100			Percent of total billed charges		387	128.871	348.3	
isi maryland bipolar forcep ref 471172	272	RC	Outpatient			387.75	252.04		90			Percent of total billed charges		348.975	40			Percent of total billed charges		155.1	80			Percent of total billed charges		310.2	90			Percent of total billed charges		348.975	85			Percent of total billed charges		329.5875	85			Percent of total billed charges		329.5875	85			Percent of total billed charges		329.5875	100			Percent of total billed charges		387.75	100			Percent of total billed charges		387.75	100			Percent of total billed charges		387.75	33.3			Percent of total billed charges		129.1208	33.3			Percent of total billed charges		129.1208	100			Percent of total billed charges		387.75	129.1208	348.975	
4.5mm compression plate broad 18 hole 295mm 00-4945-018-01 zimmer	278	RC	Outpatient			388	252.2		90			Percent of total billed charges		349.2	40			Percent of total billed charges		155.2	80			Percent of total billed charges		310.4	90			Percent of total billed charges		349.2	85			Percent of total billed charges		329.8	85			Percent of total billed charges		329.8	85			Percent of total billed charges		329.8	100			Percent of total billed charges		388	100			Percent of total billed charges		388	100			Percent of total billed charges		388	33.3			Percent of total billed charges		129.204	33.3			Percent of total billed charges		129.204	100			Percent of total billed charges		388	129.204	349.2	
bio rsp steinman pin	278	RC	Outpatient			388	252.2		90			Percent of total billed charges		349.2	40			Percent of total billed charges		155.2	80			Percent of total billed charges		310.4	90			Percent of total billed charges		349.2	85			Percent of total billed charges		329.8	85			Percent of total billed charges		329.8	85			Percent of total billed charges		329.8	100			Percent of total billed charges		388	100			Percent of total billed charges		388	100			Percent of total billed charges		388	33.3			Percent of total billed charges		129.204	33.3			Percent of total billed charges		129.204	100			Percent of total billed charges		388	129.204	349.2	
bold screw 1110-24nd wright	278	RC	Outpatient			388	252.2		90			Percent of total billed charges		349.2	40			Percent of total billed charges		155.2	80			Percent of total billed charges		310.4	90			Percent of total billed charges		349.2	85			Percent of total billed charges		329.8	85			Percent of total billed charges		329.8	85			Percent of total billed charges		329.8	100			Percent of total billed charges		388	100			Percent of total billed charges		388	100			Percent of total billed charges		388	33.3			Percent of total billed charges		129.204	33.3			Percent of total billed charges		129.204	100			Percent of total billed charges		388	129.204	349.2	
4.5mm compression plate broad 16 hole 263mm 00-4945-016-01 zimmer	278	RC	Outpatient			388	252.2		90			Percent of total billed charges		349.2	40			Percent of total billed charges		155.2	80			Percent of total billed charges		310.4	90			Percent of total billed charges		349.2	85			Percent of total billed charges		329.8	85			Percent of total billed charges		329.8	85			Percent of total billed charges		329.8	100			Percent of total billed charges		388	100			Percent of total billed charges		388	100			Percent of total billed charges		388	33.3			Percent of total billed charges		129.204	33.3			Percent of total billed charges		129.204	100			Percent of total billed charges		388	129.204	349.2	
jet x 5mm tissue protector 7106-3007 s/n	272	RC	Outpatient			388	252.2		90			Percent of total billed charges		349.2	40			Percent of total billed charges		155.2	80			Percent of total billed charges		310.4	90			Percent of total billed charges		349.2	85			Percent of total billed charges		329.8	85			Percent of total billed charges		329.8	85			Percent of total billed charges		329.8	100			Percent of total billed charges		388	100			Percent of total billed charges		388	100			Percent of total billed charges		388	33.3			Percent of total billed charges		129.204	33.3			Percent of total billed charges		129.204	100			Percent of total billed charges		388	129.204	349.2	
jet x 5mm short tissue protector 7106-3016 s/n	272	RC	Outpatient			388	252.2		90			Percent of total billed charges		349.2	40			Percent of total billed charges		155.2	80			Percent of total billed charges		310.4	90			Percent of total billed charges		349.2	85			Percent of total billed charges		329.8	85			Percent of total billed charges		329.8	85			Percent of total billed charges		329.8	100			Percent of total billed charges		388	100			Percent of total billed charges		388	100			Percent of total billed charges		388	33.3			Percent of total billed charges		129.204	33.3			Percent of total billed charges		129.204	100			Percent of total billed charges		388	129.204	349.2	
jet-x tissue protector	272	RC	Outpatient			388	252.2		90			Percent of total billed charges		349.2	40			Percent of total billed charges		155.2	80			Percent of total billed charges		310.4	90			Percent of total billed charges		349.2	85			Percent of total billed charges		329.8	85			Percent of total billed charges		329.8	85			Percent of total billed charges		329.8	100			Percent of total billed charges		388	100			Percent of total billed charges		388	100			Percent of total billed charges		388	33.3			Percent of total billed charges		129.204	33.3			Percent of total billed charges		129.204	100			Percent of total billed charges		388	129.204	349.2	
pain pump 5 day 501-140 stryker	270	RC	Outpatient			388	252.2		90			Percent of total billed charges		349.2	40			Percent of total billed charges		155.2	80			Percent of total billed charges		310.4	90			Percent of total billed charges		349.2	85			Percent of total billed charges		329.8	85			Percent of total billed charges		329.8	85			Percent of total billed charges		329.8	100			Percent of total billed charges		388	100			Percent of total billed charges		388	100			Percent of total billed charges		388	33.3			Percent of total billed charges		129.204	33.3			Percent of total billed charges		129.204	100			Percent of total billed charges		388	129.204	349.2	
stryker 5-day inf painpmp	270	RC	Outpatient			388	252.2		90			Percent of total billed charges		349.2	40			Percent of total billed charges		155.2	80			Percent of total billed charges		310.4	90			Percent of total billed charges		349.2	85			Percent of total billed charges		329.8	85			Percent of total billed charges		329.8	85			Percent of total billed charges		329.8	100			Percent of total billed charges		388	100			Percent of total billed charges		388	100			Percent of total billed charges		388	33.3			Percent of total billed charges		129.204	33.3			Percent of total billed charges		129.204	100			Percent of total billed charges		388	129.204	349.2	
reverse shoulder steinman pin 3.2mm 405800 biomet	278	RC	Outpatient			388	252.2		90			Percent of total billed charges		349.2	40			Percent of total billed charges		155.2	80			Percent of total billed charges		310.4	90			Percent of total billed charges		349.2	85			Percent of total billed charges		329.8	85			Percent of total billed charges		329.8	85			Percent of total billed charges		329.8	100			Percent of total billed charges		388	100			Percent of total billed charges		388	100			Percent of total billed charges		388	33.3			Percent of total billed charges		129.204	33.3			Percent of total billed charges		129.204	100			Percent of total billed charges		388	129.204	349.2	
s/n 4.0 canc st screw	278	RC	Outpatient			388	252.2		90			Percent of total billed charges		349.2	40			Percent of total billed charges		155.2	80			Percent of total billed charges		310.4	90			Percent of total billed charges		349.2	85			Percent of total billed charges		329.8	85			Percent of total billed charges		329.8	85			Percent of total billed charges		329.8	100			Percent of total billed charges		388	100			Percent of total billed charges		388	100			Percent of total billed charges		388	33.3			Percent of total billed charges		129.204	33.3			Percent of total billed charges		129.204	100			Percent of total billed charges		388	129.204	349.2	
swanz ganz catherter icu	270	RC	Outpatient			388	252.2		90			Percent of total billed charges		349.2	40			Percent of total billed charges		155.2	80			Percent of total billed charges		310.4	90			Percent of total billed charges		349.2	85			Percent of total billed charges		329.8	85			Percent of total billed charges		329.8	85			Percent of total billed charges		329.8	100			Percent of total billed charges		388	100			Percent of total billed charges		388	100			Percent of total billed charges		388	33.3			Percent of total billed charges		129.204	33.3			Percent of total billed charges		129.204	100			Percent of total billed charges		388	129.204	349.2	
wright bold screw	278	RC	Outpatient			388	252.2		90			Percent of total billed charges		349.2	40			Percent of total billed charges		155.2	80			Percent of total billed charges		310.4	90			Percent of total billed charges		349.2	85			Percent of total billed charges		329.8	85			Percent of total billed charges		329.8	85			Percent of total billed charges		329.8	100			Percent of total billed charges		388	100			Percent of total billed charges		388	100			Percent of total billed charges		388	33.3			Percent of total billed charges		129.204	33.3			Percent of total billed charges		129.204	100			Percent of total billed charges		388	129.204	349.2	
zimm 4.5 br comp pl 16-18	278	RC	Outpatient			388	252.2		90			Percent of total billed charges		349.2	40			Percent of total billed charges		155.2	80			Percent of total billed charges		310.4	90			Percent of total billed charges		349.2	85			Percent of total billed charges		329.8	85			Percent of total billed charges		329.8	85			Percent of total billed charges		329.8	100			Percent of total billed charges		388	100			Percent of total billed charges		388	100			Percent of total billed charges		388	33.3			Percent of total billed charges		129.204	33.3			Percent of total billed charges		129.204	100			Percent of total billed charges		388	129.204	349.2	
hmrx bone screw	278	RC	Outpatient			389	252.85		90			Percent of total billed charges		350.1	40			Percent of total billed charges		155.6	80			Percent of total billed charges		311.2	90			Percent of total billed charges		350.1	85			Percent of total billed charges		330.65	85			Percent of total billed charges		330.65	85			Percent of total billed charges		330.65	100			Percent of total billed charges		389	100			Percent of total billed charges		389	100			Percent of total billed charges		389	33.3			Percent of total billed charges		129.537	33.3			Percent of total billed charges		129.537	100			Percent of total billed charges		389	129.537	350.1	
sonoma hmrx bone screw 4 x 32mm 200104032	278	RC	Outpatient			389	252.85		90			Percent of total billed charges		350.1	40			Percent of total billed charges		155.6	80			Percent of total billed charges		311.2	90			Percent of total billed charges		350.1	85			Percent of total billed charges		330.65	85			Percent of total billed charges		330.65	85			Percent of total billed charges		330.65	100			Percent of total billed charges		389	100			Percent of total billed charges		389	100			Percent of total billed charges		389	33.3			Percent of total billed charges		129.537	33.3			Percent of total billed charges		129.537	100			Percent of total billed charges		389	129.537	350.1	
stryker drill bit 2.0 700346	272	RC	Outpatient			389	252.85		90			Percent of total billed charges		350.1	40			Percent of total billed charges		155.6	80			Percent of total billed charges		311.2	90			Percent of total billed charges		350.1	85			Percent of total billed charges		330.65	85			Percent of total billed charges		330.65	85			Percent of total billed charges		330.65	100			Percent of total billed charges		389	100			Percent of total billed charges		389	100			Percent of total billed charges		389	33.3			Percent of total billed charges		129.537	33.3			Percent of total billed charges		129.537	100			Percent of total billed charges		389	129.537	350.1	
sonoma hmrx bone screw 4 x 30mm 200104030	278	RC	Outpatient			389	252.85		90			Percent of total billed charges		350.1	40			Percent of total billed charges		155.6	80			Percent of total billed charges		311.2	90			Percent of total billed charges		350.1	85			Percent of total billed charges		330.65	85			Percent of total billed charges		330.65	85			Percent of total billed charges		330.65	100			Percent of total billed charges		389	100			Percent of total billed charges		389	100			Percent of total billed charges		389	33.3			Percent of total billed charges		129.537	33.3			Percent of total billed charges		129.537	100			Percent of total billed charges		389	129.537	350.1	
sonoma hmrx bone screw 4 x 42mm 200104042	278	RC	Outpatient			389	252.85		90			Percent of total billed charges		350.1	40			Percent of total billed charges		155.6	80			Percent of total billed charges		311.2	90			Percent of total billed charges		350.1	85			Percent of total billed charges		330.65	85			Percent of total billed charges		330.65	85			Percent of total billed charges		330.65	100			Percent of total billed charges		389	100			Percent of total billed charges		389	100			Percent of total billed charges		389	33.3			Percent of total billed charges		129.537	33.3			Percent of total billed charges		129.537	100			Percent of total billed charges		389	129.537	350.1	
sonoma hmrx bone screw 4 x 44mm 200104044	278	RC	Outpatient			389	252.85		90			Percent of total billed charges		350.1	40			Percent of total billed charges		155.6	80			Percent of total billed charges		311.2	90			Percent of total billed charges		350.1	85			Percent of total billed charges		330.65	85			Percent of total billed charges		330.65	85			Percent of total billed charges		330.65	100			Percent of total billed charges		389	100			Percent of total billed charges		389	100			Percent of total billed charges		389	33.3			Percent of total billed charges		129.537	33.3			Percent of total billed charges		129.537	100			Percent of total billed charges		389	129.537	350.1	
stryker drill bit 2.0	272	RC	Outpatient			389	252.85		90			Percent of total billed charges		350.1	40			Percent of total billed charges		155.6	80			Percent of total billed charges		311.2	90			Percent of total billed charges		350.1	85			Percent of total billed charges		330.65	85			Percent of total billed charges		330.65	85			Percent of total billed charges		330.65	100			Percent of total billed charges		389	100			Percent of total billed charges		389	100			Percent of total billed charges		389	33.3			Percent of total billed charges		129.537	33.3			Percent of total billed charges		129.537	100			Percent of total billed charges		389	129.537	350.1	
cosmetic - juvederm - ultra 0.4	983	RC	Outpatient			389.5	253.18		90			Percent of total billed charges		350.55	40			Percent of total billed charges		155.8	80			Percent of total billed charges		311.6	90			Percent of total billed charges		350.55	85			Percent of total billed charges		331.075	85			Percent of total billed charges		331.075	85			Percent of total billed charges		331.075	100			Percent of total billed charges		389.5	100			Percent of total billed charges		389.5	100			Percent of total billed charges		389.5	33.3			Percent of total billed charges		129.7035	33.3			Percent of total billed charges		129.7035	100			Percent of total billed charges		389.5	129.7035	350.55	
choly-angio cath/surgimed	270	RC	Outpatient			390	253.5		90			Percent of total billed charges		351	40			Percent of total billed charges		156	80			Percent of total billed charges		312	90			Percent of total billed charges		351	85			Percent of total billed charges		331.5	85			Percent of total billed charges		331.5	85			Percent of total billed charges		331.5	100			Percent of total billed charges		390	100			Percent of total billed charges		390	100			Percent of total billed charges		390	33.3			Percent of total billed charges		129.87	33.3			Percent of total billed charges		129.87	100			Percent of total billed charges		390	129.87	351	
biomet ti buttress screw	278	RC	Outpatient			390	253.5		90			Percent of total billed charges		351	40			Percent of total billed charges		156	80			Percent of total billed charges		312	90			Percent of total billed charges		351	85			Percent of total billed charges		331.5	85			Percent of total billed charges		331.5	85			Percent of total billed charges		331.5	100			Percent of total billed charges		390	100			Percent of total billed charges		390	100			Percent of total billed charges		390	33.3			Percent of total billed charges		129.87	33.3			Percent of total billed charges		129.87	100			Percent of total billed charges		390	129.87	351	
catheter cholangiography 908010-000	270	RC	Outpatient			390	253.5		90			Percent of total billed charges		351	40			Percent of total billed charges		156	80			Percent of total billed charges		312	90			Percent of total billed charges		351	85			Percent of total billed charges		331.5	85			Percent of total billed charges		331.5	85			Percent of total billed charges		331.5	100			Percent of total billed charges		390	100			Percent of total billed charges		390	100			Percent of total billed charges		390	33.3			Percent of total billed charges		129.87	33.3			Percent of total billed charges		129.87	100			Percent of total billed charges		390	129.87	351	
s/n 5.5 cannulated screw  56mm 7110-6056	278	RC	Outpatient			390	253.5		90			Percent of total billed charges		351	40			Percent of total billed charges		156	80			Percent of total billed charges		312	90			Percent of total billed charges		351	85			Percent of total billed charges		331.5	85			Percent of total billed charges		331.5	85			Percent of total billed charges		331.5	100			Percent of total billed charges		390	100			Percent of total billed charges		390	100			Percent of total billed charges		390	33.3			Percent of total billed charges		129.87	33.3			Percent of total billed charges		129.87	100			Percent of total billed charges		390	129.87	351	
screw 25mm 450210 33-345420	278	RC	Outpatient			390	253.5		90			Percent of total billed charges		351	40			Percent of total billed charges		156	80			Percent of total billed charges		312	90			Percent of total billed charges		351	85			Percent of total billed charges		331.5	85			Percent of total billed charges		331.5	85			Percent of total billed charges		331.5	100			Percent of total billed charges		390	100			Percent of total billed charges		390	100			Percent of total billed charges		390	33.3			Percent of total billed charges		129.87	33.3			Percent of total billed charges		129.87	100			Percent of total billed charges		390	129.87	351	
screw 45mm 852490 33-345428	278	RC	Outpatient			390	253.5		90			Percent of total billed charges		351	40			Percent of total billed charges		156	80			Percent of total billed charges		312	90			Percent of total billed charges		351	85			Percent of total billed charges		331.5	85			Percent of total billed charges		331.5	85			Percent of total billed charges		331.5	100			Percent of total billed charges		390	100			Percent of total billed charges		390	100			Percent of total billed charges		390	33.3			Percent of total billed charges		129.87	33.3			Percent of total billed charges		129.87	100			Percent of total billed charges		390	129.87	351	
screw 50mm 418460 33-345430	278	RC	Outpatient			390	253.5		90			Percent of total billed charges		351	40			Percent of total billed charges		156	80			Percent of total billed charges		312	90			Percent of total billed charges		351	85			Percent of total billed charges		331.5	85			Percent of total billed charges		331.5	85			Percent of total billed charges		331.5	100			Percent of total billed charges		390	100			Percent of total billed charges		390	100			Percent of total billed charges		390	33.3			Percent of total billed charges		129.87	33.3			Percent of total billed charges		129.87	100			Percent of total billed charges		390	129.87	351	
screw 65mm 345436	278	RC	Outpatient			390	253.5		90			Percent of total billed charges		351	40			Percent of total billed charges		156	80			Percent of total billed charges		312	90			Percent of total billed charges		351	85			Percent of total billed charges		331.5	85			Percent of total billed charges		331.5	85			Percent of total billed charges		331.5	100			Percent of total billed charges		390	100			Percent of total billed charges		390	100			Percent of total billed charges		390	33.3			Percent of total billed charges		129.87	33.3			Percent of total billed charges		129.87	100			Percent of total billed charges		390	129.87	351	
m/p fixation nail	278	RC	Outpatient			391	254.15		90			Percent of total billed charges		351.9	40			Percent of total billed charges		156.4	80			Percent of total billed charges		312.8	90			Percent of total billed charges		351.9	85			Percent of total billed charges		332.35	85			Percent of total billed charges		332.35	85			Percent of total billed charges		332.35	100			Percent of total billed charges		391	100			Percent of total billed charges		391	100			Percent of total billed charges		391	33.3			Percent of total billed charges		130.203	33.3			Percent of total billed charges		130.203	100			Percent of total billed charges		391	130.203	351.9	
metacarpal nail 1.6mm  mfn 062 hand innov	278	RC	Outpatient			391	254.15		90			Percent of total billed charges		351.9	40			Percent of total billed charges		156.4	80			Percent of total billed charges		312.8	90			Percent of total billed charges		351.9	85			Percent of total billed charges		332.35	85			Percent of total billed charges		332.35	85			Percent of total billed charges		332.35	100			Percent of total billed charges		391	100			Percent of total billed charges		391	100			Percent of total billed charges		391	33.3			Percent of total billed charges		130.203	33.3			Percent of total billed charges		130.203	100			Percent of total billed charges		391	130.203	351.9	
intramed locking sleeve	278	RC	Outpatient			391	254.15		90			Percent of total billed charges		351.9	40			Percent of total billed charges		156.4	80			Percent of total billed charges		312.8	90			Percent of total billed charges		351.9	85			Percent of total billed charges		332.35	85			Percent of total billed charges		332.35	85			Percent of total billed charges		332.35	100			Percent of total billed charges		391	100			Percent of total billed charges		391	100			Percent of total billed charges		391	33.3			Percent of total billed charges		130.203	33.3			Percent of total billed charges		130.203	100			Percent of total billed charges		391	130.203	351.9	
locking sleeve hand innovations ls 062	278	RC	Outpatient			391	254.15		90			Percent of total billed charges		351.9	40			Percent of total billed charges		156.4	80			Percent of total billed charges		312.8	90			Percent of total billed charges		351.9	85			Percent of total billed charges		332.35	85			Percent of total billed charges		332.35	85			Percent of total billed charges		332.35	100			Percent of total billed charges		391	100			Percent of total billed charges		391	100			Percent of total billed charges		391	33.3			Percent of total billed charges		130.203	33.3			Percent of total billed charges		130.203	100			Percent of total billed charges		391	130.203	351.9	
phalangeal  nail 1.6mm mfn 062 hand innov	278	RC	Outpatient			391	254.15		90			Percent of total billed charges		351.9	40			Percent of total billed charges		156.4	80			Percent of total billed charges		312.8	90			Percent of total billed charges		351.9	85			Percent of total billed charges		332.35	85			Percent of total billed charges		332.35	85			Percent of total billed charges		332.35	100			Percent of total billed charges		391	100			Percent of total billed charges		391	100			Percent of total billed charges		391	33.3			Percent of total billed charges		130.203	33.3			Percent of total billed charges		130.203	100			Percent of total billed charges		391	130.203	351.9	
2.0mm tit zygomatic plate 443.46 synthes	278	RC	Outpatient			393	255.45		90			Percent of total billed charges		353.7	40			Percent of total billed charges		157.2	80			Percent of total billed charges		314.4	90			Percent of total billed charges		353.7	85			Percent of total billed charges		334.05	85			Percent of total billed charges		334.05	85			Percent of total billed charges		334.05	100			Percent of total billed charges		393	100			Percent of total billed charges		393	100			Percent of total billed charges		393	33.3			Percent of total billed charges		130.869	33.3			Percent of total billed charges		130.869	100			Percent of total billed charges		393	130.869	353.7	
4.5mm l buttress plate 4 hole 85mm left 00-4945-004-11 zimmer	278	RC	Outpatient			393	255.45		90			Percent of total billed charges		353.7	40			Percent of total billed charges		157.2	80			Percent of total billed charges		314.4	90			Percent of total billed charges		353.7	85			Percent of total billed charges		334.05	85			Percent of total billed charges		334.05	85			Percent of total billed charges		334.05	100			Percent of total billed charges		393	100			Percent of total billed charges		393	100			Percent of total billed charges		393	33.3			Percent of total billed charges		130.869	33.3			Percent of total billed charges		130.869	100			Percent of total billed charges		393	130.869	353.7	
4.5mm l buttress plate 4 hole 85mm right 00-4945-004-12 zimmer	278	RC	Outpatient			393	255.45		90			Percent of total billed charges		353.7	40			Percent of total billed charges		157.2	80			Percent of total billed charges		314.4	90			Percent of total billed charges		353.7	85			Percent of total billed charges		334.05	85			Percent of total billed charges		334.05	85			Percent of total billed charges		334.05	100			Percent of total billed charges		393	100			Percent of total billed charges		393	100			Percent of total billed charges		393	33.3			Percent of total billed charges		130.869	33.3			Percent of total billed charges		130.869	100			Percent of total billed charges		393	130.869	353.7	
plate 4 hole 2.0 443.44	278	RC	Outpatient			393	255.45		90			Percent of total billed charges		353.7	40			Percent of total billed charges		157.2	80			Percent of total billed charges		314.4	90			Percent of total billed charges		353.7	85			Percent of total billed charges		334.05	85			Percent of total billed charges		334.05	85			Percent of total billed charges		334.05	100			Percent of total billed charges		393	100			Percent of total billed charges		393	100			Percent of total billed charges		393	33.3			Percent of total billed charges		130.869	33.3			Percent of total billed charges		130.869	100			Percent of total billed charges		393	130.869	353.7	
plate titanium 27mm 5hole 443.45	278	RC	Outpatient			393	255.45		90			Percent of total billed charges		353.7	40			Percent of total billed charges		157.2	80			Percent of total billed charges		314.4	90			Percent of total billed charges		353.7	85			Percent of total billed charges		334.05	85			Percent of total billed charges		334.05	85			Percent of total billed charges		334.05	100			Percent of total billed charges		393	100			Percent of total billed charges		393	100			Percent of total billed charges		393	33.3			Percent of total billed charges		130.869	33.3			Percent of total billed charges		130.869	100			Percent of total billed charges		393	130.869	353.7	
syn 2.0titan.zygomatic pl	278	RC	Outpatient			393	255.45		90			Percent of total billed charges		353.7	40			Percent of total billed charges		157.2	80			Percent of total billed charges		314.4	90			Percent of total billed charges		353.7	85			Percent of total billed charges		334.05	85			Percent of total billed charges		334.05	85			Percent of total billed charges		334.05	100			Percent of total billed charges		393	100			Percent of total billed charges		393	100			Percent of total billed charges		393	33.3			Percent of total billed charges		130.869	33.3			Percent of total billed charges		130.869	100			Percent of total billed charges		393	130.869	353.7	
zim 4.5 l-buttress plate	278	RC	Outpatient			393	255.45		90			Percent of total billed charges		353.7	40			Percent of total billed charges		157.2	80			Percent of total billed charges		314.4	90			Percent of total billed charges		353.7	85			Percent of total billed charges		334.05	85			Percent of total billed charges		334.05	85			Percent of total billed charges		334.05	100			Percent of total billed charges		393	100			Percent of total billed charges		393	100			Percent of total billed charges		393	33.3			Percent of total billed charges		130.869	33.3			Percent of total billed charges		130.869	100			Percent of total billed charges		393	130.869	353.7	
acufex acl system	270	RC	Outpatient			394	256.1		90			Percent of total billed charges		354.6	40			Percent of total billed charges		157.6	80			Percent of total billed charges		315.2	90			Percent of total billed charges		354.6	85			Percent of total billed charges		334.9	85			Percent of total billed charges		334.9	85			Percent of total billed charges		334.9	100			Percent of total billed charges		394	100			Percent of total billed charges		394	100			Percent of total billed charges		394	33.3			Percent of total billed charges		131.202	33.3			Percent of total billed charges		131.202	100			Percent of total billed charges		394	131.202	354.6	
arthrex spiked ligament staple 8 x 20mm ar-1008	278	RC	Outpatient			394	256.1		90			Percent of total billed charges		354.6	40			Percent of total billed charges		157.6	80			Percent of total billed charges		315.2	90			Percent of total billed charges		354.6	85			Percent of total billed charges		334.9	85			Percent of total billed charges		334.9	85			Percent of total billed charges		334.9	100			Percent of total billed charges		394	100			Percent of total billed charges		394	100			Percent of total billed charges		394	33.3			Percent of total billed charges		131.202	33.3			Percent of total billed charges		131.202	100			Percent of total billed charges		394	131.202	354.6	
arthrex ligament stpl	278	RC	Outpatient			394	256.1		90			Percent of total billed charges		354.6	40			Percent of total billed charges		157.6	80			Percent of total billed charges		315.2	90			Percent of total billed charges		354.6	85			Percent of total billed charges		334.9	85			Percent of total billed charges		334.9	85			Percent of total billed charges		334.9	100			Percent of total billed charges		394	100			Percent of total billed charges		394	100			Percent of total billed charges		394	33.3			Percent of total billed charges		131.202	33.3			Percent of total billed charges		131.202	100			Percent of total billed charges		394	131.202	354.6	
drum-to-stapes prost 5.0	274	RC	Outpatient			394	256.1		90			Percent of total billed charges		354.6	40			Percent of total billed charges		157.6	80			Percent of total billed charges		315.2	90			Percent of total billed charges		354.6	85			Percent of total billed charges		334.9	85			Percent of total billed charges		334.9	85			Percent of total billed charges		334.9	100			Percent of total billed charges		394	100			Percent of total billed charges		394	100			Percent of total billed charges		394	33.3			Percent of total billed charges		131.202	33.3			Percent of total billed charges		131.202	100			Percent of total billed charges		394	131.202	354.6	
gamma k-wire 3.2 x 450mm 1210-6450s stryker	278	RC	Outpatient			394	256.1		90			Percent of total billed charges		354.6	40			Percent of total billed charges		157.6	80			Percent of total billed charges		315.2	90			Percent of total billed charges		354.6	85			Percent of total billed charges		334.9	85			Percent of total billed charges		334.9	85			Percent of total billed charges		334.9	100			Percent of total billed charges		394	100			Percent of total billed charges		394	100			Percent of total billed charges		394	33.3			Percent of total billed charges		131.202	33.3			Percent of total billed charges		131.202	100			Percent of total billed charges		394	131.202	354.6	
stryker k-wire 3.2 x 450	278	RC	Outpatient			394	256.1		90			Percent of total billed charges		354.6	40			Percent of total billed charges		157.6	80			Percent of total billed charges		315.2	90			Percent of total billed charges		354.6	85			Percent of total billed charges		334.9	85			Percent of total billed charges		334.9	85			Percent of total billed charges		334.9	100			Percent of total billed charges		394	100			Percent of total billed charges		394	100			Percent of total billed charges		394	33.3			Percent of total billed charges		131.202	33.3			Percent of total billed charges		131.202	100			Percent of total billed charges		394	131.202	354.6	
clamp x fix 393.69 synthes	270	RC	Outpatient			396	257.4		90			Percent of total billed charges		356.4	40			Percent of total billed charges		158.4	80			Percent of total billed charges		316.8	90			Percent of total billed charges		356.4	85			Percent of total billed charges		336.6	85			Percent of total billed charges		336.6	85			Percent of total billed charges		336.6	100			Percent of total billed charges		396	100			Percent of total billed charges		396	100			Percent of total billed charges		396	33.3			Percent of total billed charges		131.868	33.3			Percent of total billed charges		131.868	100			Percent of total billed charges		396	131.868	356.4	
diamond cutter mhd-25dd anspach	272	RC	Outpatient			396	257.4		90			Percent of total billed charges		356.4	40			Percent of total billed charges		158.4	80			Percent of total billed charges		316.8	90			Percent of total billed charges		356.4	85			Percent of total billed charges		336.6	85			Percent of total billed charges		336.6	85			Percent of total billed charges		336.6	100			Percent of total billed charges		396	100			Percent of total billed charges		396	100			Percent of total billed charges		396	33.3			Percent of total billed charges		131.868	33.3			Percent of total billed charges		131.868	100			Percent of total billed charges		396	131.868	356.4	
dimension stone basket 042313 bard	272	RC	Outpatient			396	257.4		90			Percent of total billed charges		356.4	40			Percent of total billed charges		158.4	80			Percent of total billed charges		316.8	90			Percent of total billed charges		356.4	85			Percent of total billed charges		336.6	85			Percent of total billed charges		336.6	85			Percent of total billed charges		336.6	100			Percent of total billed charges		396	100			Percent of total billed charges		396	100			Percent of total billed charges		396	33.3			Percent of total billed charges		131.868	33.3			Percent of total billed charges		131.868	100			Percent of total billed charges		396	131.868	356.4	
dimension stone basket 042316 bard	272	RC	Outpatient			396	257.4		90			Percent of total billed charges		356.4	40			Percent of total billed charges		158.4	80			Percent of total billed charges		316.8	90			Percent of total billed charges		356.4	85			Percent of total billed charges		336.6	85			Percent of total billed charges		336.6	85			Percent of total billed charges		336.6	100			Percent of total billed charges		396	100			Percent of total billed charges		396	100			Percent of total billed charges		396	33.3			Percent of total billed charges		131.868	33.3			Percent of total billed charges		131.868	100			Percent of total billed charges		396	131.868	356.4	
dimension stone basket 043313 bard	272	RC	Outpatient			396	257.4		90			Percent of total billed charges		356.4	40			Percent of total billed charges		158.4	80			Percent of total billed charges		316.8	90			Percent of total billed charges		356.4	85			Percent of total billed charges		336.6	85			Percent of total billed charges		336.6	85			Percent of total billed charges		336.6	100			Percent of total billed charges		396	100			Percent of total billed charges		396	100			Percent of total billed charges		396	33.3			Percent of total billed charges		131.868	33.3			Percent of total billed charges		131.868	100			Percent of total billed charges		396	131.868	356.4	
dimension stone basket articulating 043210 bard	272	RC	Outpatient			396	257.4		90			Percent of total billed charges		356.4	40			Percent of total billed charges		158.4	80			Percent of total billed charges		316.8	90			Percent of total billed charges		356.4	85			Percent of total billed charges		336.6	85			Percent of total billed charges		336.6	85			Percent of total billed charges		336.6	100			Percent of total billed charges		396	100			Percent of total billed charges		396	100			Percent of total billed charges		396	33.3			Percent of total billed charges		131.868	33.3			Percent of total billed charges		131.868	100			Percent of total billed charges		396	131.868	356.4	
endowrist cobra grasper ref 471190 isi	272	RC	Outpatient			396	257.4		90			Percent of total billed charges		356.4	40			Percent of total billed charges		158.4	80			Percent of total billed charges		316.8	90			Percent of total billed charges		356.4	85			Percent of total billed charges		336.6	85			Percent of total billed charges		336.6	85			Percent of total billed charges		336.6	100			Percent of total billed charges		396	100			Percent of total billed charges		396	100			Percent of total billed charges		396	33.3			Percent of total billed charges		131.868	33.3			Percent of total billed charges		131.868	100			Percent of total billed charges		396	131.868	356.4	
da vinci endowrist one vessel sealer 410322	272	RC	Outpatient			396	257.4		90			Percent of total billed charges		356.4	40			Percent of total billed charges		158.4	80			Percent of total billed charges		316.8	90			Percent of total billed charges		356.4	85			Percent of total billed charges		336.6	85			Percent of total billed charges		336.6	85			Percent of total billed charges		336.6	100			Percent of total billed charges		396	100			Percent of total billed charges		396	100			Percent of total billed charges		396	33.3			Percent of total billed charges		131.868	33.3			Percent of total billed charges		131.868	100			Percent of total billed charges		396	131.868	356.4	
da vinci endowrist stapler 45 blue reload 41645b	272	RC	Outpatient			396	257.4		90			Percent of total billed charges		356.4	40			Percent of total billed charges		158.4	80			Percent of total billed charges		316.8	90			Percent of total billed charges		356.4	85			Percent of total billed charges		336.6	85			Percent of total billed charges		336.6	85			Percent of total billed charges		336.6	100			Percent of total billed charges		396	100			Percent of total billed charges		396	100			Percent of total billed charges		396	33.3			Percent of total billed charges		131.868	33.3			Percent of total billed charges		131.868	100			Percent of total billed charges		396	131.868	356.4	
diamond cutter	272	RC	Outpatient			396	257.4		90			Percent of total billed charges		356.4	40			Percent of total billed charges		158.4	80			Percent of total billed charges		316.8	90			Percent of total billed charges		356.4	85			Percent of total billed charges		336.6	85			Percent of total billed charges		336.6	85			Percent of total billed charges		336.6	100			Percent of total billed charges		396	100			Percent of total billed charges		396	100			Percent of total billed charges		396	33.3			Percent of total billed charges		131.868	33.3			Percent of total billed charges		131.868	100			Percent of total billed charges		396	131.868	356.4	
dimension stone basket 042310 bard	272	RC	Outpatient			396	257.4		90			Percent of total billed charges		356.4	40			Percent of total billed charges		158.4	80			Percent of total billed charges		316.8	90			Percent of total billed charges		356.4	85			Percent of total billed charges		336.6	85			Percent of total billed charges		336.6	85			Percent of total billed charges		336.6	100			Percent of total billed charges		396	100			Percent of total billed charges		396	100			Percent of total billed charges		396	33.3			Percent of total billed charges		131.868	33.3			Percent of total billed charges		131.868	100			Percent of total billed charges		396	131.868	356.4	
dimension stone basket 043310 bard	272	RC	Outpatient			396	257.4		90			Percent of total billed charges		356.4	40			Percent of total billed charges		158.4	80			Percent of total billed charges		316.8	90			Percent of total billed charges		356.4	85			Percent of total billed charges		336.6	85			Percent of total billed charges		336.6	85			Percent of total billed charges		336.6	100			Percent of total billed charges		396	100			Percent of total billed charges		396	100			Percent of total billed charges		396	33.3			Percent of total billed charges		131.868	33.3			Percent of total billed charges		131.868	100			Percent of total billed charges		396	131.868	356.4	
dimension stone basket 043316 bard	272	RC	Outpatient			396	257.4		90			Percent of total billed charges		356.4	40			Percent of total billed charges		158.4	80			Percent of total billed charges		316.8	90			Percent of total billed charges		356.4	85			Percent of total billed charges		336.6	85			Percent of total billed charges		336.6	85			Percent of total billed charges		336.6	100			Percent of total billed charges		396	100			Percent of total billed charges		396	100			Percent of total billed charges		396	33.3			Percent of total billed charges		131.868	33.3			Percent of total billed charges		131.868	100			Percent of total billed charges		396	131.868	356.4	
dimension stone basket articulating 043213 bard	272	RC	Outpatient			396	257.4		90			Percent of total billed charges		356.4	40			Percent of total billed charges		158.4	80			Percent of total billed charges		316.8	90			Percent of total billed charges		356.4	85			Percent of total billed charges		336.6	85			Percent of total billed charges		336.6	85			Percent of total billed charges		336.6	100			Percent of total billed charges		396	100			Percent of total billed charges		396	100			Percent of total billed charges		396	33.3			Percent of total billed charges		131.868	33.3			Percent of total billed charges		131.868	100			Percent of total billed charges		396	131.868	356.4	
dimension stone basket articulating 043216 bard	272	RC	Outpatient			396	257.4		90			Percent of total billed charges		356.4	40			Percent of total billed charges		158.4	80			Percent of total billed charges		316.8	90			Percent of total billed charges		356.4	85			Percent of total billed charges		336.6	85			Percent of total billed charges		336.6	85			Percent of total billed charges		336.6	100			Percent of total billed charges		396	100			Percent of total billed charges		396	100			Percent of total billed charges		396	33.3			Percent of total billed charges		131.868	33.3			Percent of total billed charges		131.868	100			Percent of total billed charges		396	131.868	356.4	
ext fix open single clamp	270	RC	Outpatient			396	257.4		90			Percent of total billed charges		356.4	40			Percent of total billed charges		158.4	80			Percent of total billed charges		316.8	90			Percent of total billed charges		356.4	85			Percent of total billed charges		336.6	85			Percent of total billed charges		336.6	85			Percent of total billed charges		336.6	100			Percent of total billed charges		396	100			Percent of total billed charges		396	100			Percent of total billed charges		396	33.3			Percent of total billed charges		131.868	33.3			Percent of total billed charges		131.868	100			Percent of total billed charges		396	131.868	356.4	
mesh onflex med	278	RC	Outpatient			396	257.4		90			Percent of total billed charges		356.4	40			Percent of total billed charges		158.4	80			Percent of total billed charges		316.8	90			Percent of total billed charges		356.4	85			Percent of total billed charges		336.6	85			Percent of total billed charges		336.6	85			Percent of total billed charges		336.6	100			Percent of total billed charges		396	100			Percent of total billed charges		396	100			Percent of total billed charges		396	33.3			Percent of total billed charges		131.868	33.3			Percent of total billed charges		131.868	100			Percent of total billed charges		396	131.868	356.4	
stone basket dimension	272	RC	Outpatient			396	257.4		90			Percent of total billed charges		356.4	40			Percent of total billed charges		158.4	80			Percent of total billed charges		316.8	90			Percent of total billed charges		356.4	85			Percent of total billed charges		336.6	85			Percent of total billed charges		336.6	85			Percent of total billed charges		336.6	100			Percent of total billed charges		396	100			Percent of total billed charges		396	100			Percent of total billed charges		396	33.3			Percent of total billed charges		131.868	33.3			Percent of total billed charges		131.868	100			Percent of total billed charges		396	131.868	356.4	
hii straight post 8mm 4921-2-120 stryker	278	RC	Outpatient			397	258.05		90			Percent of total billed charges		357.3	40			Percent of total billed charges		158.8	80			Percent of total billed charges		317.6	90			Percent of total billed charges		357.3	85			Percent of total billed charges		337.45	85			Percent of total billed charges		337.45	85			Percent of total billed charges		337.45	100			Percent of total billed charges		397	100			Percent of total billed charges		397	100			Percent of total billed charges		397	33.3			Percent of total billed charges		132.201	33.3			Percent of total billed charges		132.201	100			Percent of total billed charges		397	132.201	357.3	
locking insert 4.0 370002 stryker	278	RC	Outpatient			397	258.05		90			Percent of total billed charges		357.3	40			Percent of total billed charges		158.8	80			Percent of total billed charges		317.6	90			Percent of total billed charges		357.3	85			Percent of total billed charges		337.45	85			Percent of total billed charges		337.45	85			Percent of total billed charges		337.45	100			Percent of total billed charges		397	100			Percent of total billed charges		397	100			Percent of total billed charges		397	33.3			Percent of total billed charges		132.201	33.3			Percent of total billed charges		132.201	100			Percent of total billed charges		397	132.201	357.3	
stryker 4.0 lck insert	278	RC	Outpatient			397	258.05		90			Percent of total billed charges		357.3	40			Percent of total billed charges		158.8	80			Percent of total billed charges		317.6	90			Percent of total billed charges		357.3	85			Percent of total billed charges		337.45	85			Percent of total billed charges		337.45	85			Percent of total billed charges		337.45	100			Percent of total billed charges		397	100			Percent of total billed charges		397	100			Percent of total billed charges		397	33.3			Percent of total billed charges		132.201	33.3			Percent of total billed charges		132.201	100			Percent of total billed charges		397	132.201	357.3	
stryker straight post	278	RC	Outpatient			397	258.05		90			Percent of total billed charges		357.3	40			Percent of total billed charges		158.8	80			Percent of total billed charges		317.6	90			Percent of total billed charges		357.3	85			Percent of total billed charges		337.45	85			Percent of total billed charges		337.45	85			Percent of total billed charges		337.45	100			Percent of total billed charges		397	100			Percent of total billed charges		397	100			Percent of total billed charges		397	33.3			Percent of total billed charges		132.201	33.3			Percent of total billed charges		132.201	100			Percent of total billed charges		397	132.201	357.3	
s/n 2.7mm x 40mm drill guide pf pin 71170812	272	RC	Outpatient			398	258.7		90			Percent of total billed charges		358.2	40			Percent of total billed charges		159.2	80			Percent of total billed charges		318.4	90			Percent of total billed charges		358.2	85			Percent of total billed charges		338.3	85			Percent of total billed charges		338.3	85			Percent of total billed charges		338.3	100			Percent of total billed charges		398	100			Percent of total billed charges		398	100			Percent of total billed charges		398	33.3			Percent of total billed charges		132.534	33.3			Percent of total billed charges		132.534	100			Percent of total billed charges		398	132.534	358.2	
storz 3fr forcep	270	RC	Outpatient			398	258.7		90			Percent of total billed charges		358.2	40			Percent of total billed charges		159.2	80			Percent of total billed charges		318.4	90			Percent of total billed charges		358.2	85			Percent of total billed charges		338.3	85			Percent of total billed charges		338.3	85			Percent of total billed charges		338.3	100			Percent of total billed charges		398	100			Percent of total billed charges		398	100			Percent of total billed charges		398	33.3			Percent of total billed charges		132.534	33.3			Percent of total billed charges		132.534	100			Percent of total billed charges		398	132.534	358.2	
s/n 2.7mm x 25mm drill guide pf pin 71173583	272	RC	Outpatient			398	258.7		90			Percent of total billed charges		358.2	40			Percent of total billed charges		159.2	80			Percent of total billed charges		318.4	90			Percent of total billed charges		358.2	85			Percent of total billed charges		338.3	85			Percent of total billed charges		338.3	85			Percent of total billed charges		338.3	100			Percent of total billed charges		398	100			Percent of total billed charges		398	100			Percent of total billed charges		398	33.3			Percent of total billed charges		132.534	33.3			Percent of total billed charges		132.534	100			Percent of total billed charges		398	132.534	358.2	
ccpf chemo admin 3.5 hrs	335	RC	Outpatient			398.25	258.86		90			Percent of total billed charges		358.425	40			Percent of total billed charges		159.3	80			Percent of total billed charges		318.6	90			Percent of total billed charges		358.425	85			Percent of total billed charges		338.5125	85			Percent of total billed charges		338.5125	85			Percent of total billed charges		338.5125	100			Percent of total billed charges		398.25	100			Percent of total billed charges		398.25	100			Percent of total billed charges		398.25	33.3			Percent of total billed charges		132.6173	33.3			Percent of total billed charges		132.6173	100			Percent of total billed charges		398.25	132.6173	358.425	
2.0 tit oblique l plate (l) 447.52 synthes	278	RC	Outpatient			399	259.35		90			Percent of total billed charges		359.1	40			Percent of total billed charges		159.6	80			Percent of total billed charges		319.2	90			Percent of total billed charges		359.1	85			Percent of total billed charges		339.15	85			Percent of total billed charges		339.15	85			Percent of total billed charges		339.15	100			Percent of total billed charges		399	100			Percent of total billed charges		399	100			Percent of total billed charges		399	33.3			Percent of total billed charges		132.867	33.3			Percent of total billed charges		132.867	100			Percent of total billed charges		399	132.867	359.1	
2.0mm tit oblique l plate (l) 447.50 synthes	278	RC	Outpatient			399	259.35		90			Percent of total billed charges		359.1	40			Percent of total billed charges		159.6	80			Percent of total billed charges		319.2	90			Percent of total billed charges		359.1	85			Percent of total billed charges		339.15	85			Percent of total billed charges		339.15	85			Percent of total billed charges		339.15	100			Percent of total billed charges		399	100			Percent of total billed charges		399	100			Percent of total billed charges		399	33.3			Percent of total billed charges		132.867	33.3			Percent of total billed charges		132.867	100			Percent of total billed charges		399	132.867	359.1	
2.0mm tit oblique l plate (l) 447.54 synthes	278	RC	Outpatient			399	259.35		90			Percent of total billed charges		359.1	40			Percent of total billed charges		159.6	80			Percent of total billed charges		319.2	90			Percent of total billed charges		359.1	85			Percent of total billed charges		339.15	85			Percent of total billed charges		339.15	85			Percent of total billed charges		339.15	100			Percent of total billed charges		399	100			Percent of total billed charges		399	100			Percent of total billed charges		399	33.3			Percent of total billed charges		132.867	33.3			Percent of total billed charges		132.867	100			Percent of total billed charges		399	132.867	359.1	
2.0mm tit oblique l plate (r) 447.51 synthes	278	RC	Outpatient			399	259.35		90			Percent of total billed charges		359.1	40			Percent of total billed charges		159.6	80			Percent of total billed charges		319.2	90			Percent of total billed charges		359.1	85			Percent of total billed charges		339.15	85			Percent of total billed charges		339.15	85			Percent of total billed charges		339.15	100			Percent of total billed charges		399	100			Percent of total billed charges		399	100			Percent of total billed charges		399	33.3			Percent of total billed charges		132.867	33.3			Percent of total billed charges		132.867	100			Percent of total billed charges		399	132.867	359.1	
2.0mm tit oblique l plate (r) 447.55 synthes	278	RC	Outpatient			399	259.35		90			Percent of total billed charges		359.1	40			Percent of total billed charges		159.6	80			Percent of total billed charges		319.2	90			Percent of total billed charges		359.1	85			Percent of total billed charges		339.15	85			Percent of total billed charges		339.15	85			Percent of total billed charges		339.15	100			Percent of total billed charges		399	100			Percent of total billed charges		399	100			Percent of total billed charges		399	33.3			Percent of total billed charges		132.867	33.3			Percent of total billed charges		132.867	100			Percent of total billed charges		399	132.867	359.1	
1.5 tit oblique l plate (l) 446.52 synthes	278	RC	Outpatient			399	259.35		90			Percent of total billed charges		359.1	40			Percent of total billed charges		159.6	80			Percent of total billed charges		319.2	90			Percent of total billed charges		359.1	85			Percent of total billed charges		339.15	85			Percent of total billed charges		339.15	85			Percent of total billed charges		339.15	100			Percent of total billed charges		399	100			Percent of total billed charges		399	100			Percent of total billed charges		399	33.3			Percent of total billed charges		132.867	33.3			Percent of total billed charges		132.867	100			Percent of total billed charges		399	132.867	359.1	
1.5 tit oblique l plate (r) 446.53 synthes	278	RC	Outpatient			399	259.35		90			Percent of total billed charges		359.1	40			Percent of total billed charges		159.6	80			Percent of total billed charges		319.2	90			Percent of total billed charges		359.1	85			Percent of total billed charges		339.15	85			Percent of total billed charges		339.15	85			Percent of total billed charges		339.15	100			Percent of total billed charges		399	100			Percent of total billed charges		399	100			Percent of total billed charges		399	33.3			Percent of total billed charges		132.867	33.3			Percent of total billed charges		132.867	100			Percent of total billed charges		399	132.867	359.1	
1.5mm tit oblique ll plate (r) 446.51 synthes	278	RC	Outpatient			399	259.35		90			Percent of total billed charges		359.1	40			Percent of total billed charges		159.6	80			Percent of total billed charges		319.2	90			Percent of total billed charges		359.1	85			Percent of total billed charges		339.15	85			Percent of total billed charges		339.15	85			Percent of total billed charges		339.15	100			Percent of total billed charges		399	100			Percent of total billed charges		399	100			Percent of total billed charges		399	33.3			Percent of total billed charges		132.867	33.3			Percent of total billed charges		132.867	100			Percent of total billed charges		399	132.867	359.1	
implant plate oblique l titanium 100 deg 2/3 hole 446.50 synthes	278	RC	Outpatient			399	259.35		90			Percent of total billed charges		359.1	40			Percent of total billed charges		159.6	80			Percent of total billed charges		319.2	90			Percent of total billed charges		359.1	85			Percent of total billed charges		339.15	85			Percent of total billed charges		339.15	85			Percent of total billed charges		339.15	100			Percent of total billed charges		399	100			Percent of total billed charges		399	100			Percent of total billed charges		399	33.3			Percent of total billed charges		132.867	33.3			Percent of total billed charges		132.867	100			Percent of total billed charges		399	132.867	359.1	
traction bow tray	270	RC	Outpatient			399	259.35		90			Percent of total billed charges		359.1	40			Percent of total billed charges		159.6	80			Percent of total billed charges		319.2	90			Percent of total billed charges		359.1	85			Percent of total billed charges		339.15	85			Percent of total billed charges		339.15	85			Percent of total billed charges		339.15	100			Percent of total billed charges		399	100			Percent of total billed charges		399	100			Percent of total billed charges		399	33.3			Percent of total billed charges		132.867	33.3			Percent of total billed charges		132.867	100			Percent of total billed charges		399	132.867	359.1	
syn l-plate titanium obli	278	RC	Outpatient			399	259.35		90			Percent of total billed charges		359.1	40			Percent of total billed charges		159.6	80			Percent of total billed charges		319.2	90			Percent of total billed charges		359.1	85			Percent of total billed charges		339.15	85			Percent of total billed charges		339.15	85			Percent of total billed charges		339.15	100			Percent of total billed charges		399	100			Percent of total billed charges		399	100			Percent of total billed charges		399	33.3			Percent of total billed charges		132.867	33.3			Percent of total billed charges		132.867	100			Percent of total billed charges		399	132.867	359.1	
vlp mini-mod 1.1mm drill qc 7446-1500 s/n	272	RC	Outpatient			399.01	259.36		90			Percent of total billed charges		359.109	40			Percent of total billed charges		159.604	80			Percent of total billed charges		319.208	90			Percent of total billed charges		359.109	85			Percent of total billed charges		339.1585	85			Percent of total billed charges		339.1585	85			Percent of total billed charges		339.1585	100			Percent of total billed charges		399.01	100			Percent of total billed charges		399.01	100			Percent of total billed charges		399.01	33.3			Percent of total billed charges		132.8703	33.3			Percent of total billed charges		132.8703	100			Percent of total billed charges		399.01	132.8703	359.109	
11041 debride skin full th-lev2 charge	761	RC	Outpatient			400	260		90			Percent of total billed charges		360	40			Percent of total billed charges		160	80			Percent of total billed charges		320	90			Percent of total billed charges		360	85			Percent of total billed charges		340	85			Percent of total billed charges		340	85			Percent of total billed charges		340	100			Percent of total billed charges		400	100			Percent of total billed charges		400	100			Percent of total billed charges		400	33.3			Percent of total billed charges		133.2	33.3			Percent of total billed charges		133.2	100			Percent of total billed charges		400	133.2	360	
cosmetic - laser hair removal upper lip or chin pkg of 5 sessions	983	RC	Outpatient			400	260		90			Percent of total billed charges		360	40			Percent of total billed charges		160	80			Percent of total billed charges		320	90			Percent of total billed charges		360	85			Percent of total billed charges		340	85			Percent of total billed charges		340	85			Percent of total billed charges		340	100			Percent of total billed charges		400	100			Percent of total billed charges		400	100			Percent of total billed charges		400	33.3			Percent of total billed charges		133.2	33.3			Percent of total billed charges		133.2	100			Percent of total billed charges		400	133.2	360	
cosmetic - medium scar excision	983	RC	Outpatient			400	260		90			Percent of total billed charges		360	40			Percent of total billed charges		160	80			Percent of total billed charges		320	90			Percent of total billed charges		360	85			Percent of total billed charges		340	85			Percent of total billed charges		340	85			Percent of total billed charges		340	100			Percent of total billed charges		400	100			Percent of total billed charges		400	100			Percent of total billed charges		400	33.3			Percent of total billed charges		133.2	33.3			Percent of total billed charges		133.2	100			Percent of total billed charges		400	133.2	360	
11040 exc-debridement-level 1 charge	761	RC	Outpatient			400	260		90			Percent of total billed charges		360	40			Percent of total billed charges		160	80			Percent of total billed charges		320	90			Percent of total billed charges		360	85			Percent of total billed charges		340	85			Percent of total billed charges		340	85			Percent of total billed charges		340	100			Percent of total billed charges		400	100			Percent of total billed charges		400	100			Percent of total billed charges		400	33.3			Percent of total billed charges		133.2	33.3			Percent of total billed charges		133.2	100			Percent of total billed charges		400	133.2	360	
cosmetic - laser treatment for skin laxity medium area - single session	983	RC	Outpatient			400	260		90			Percent of total billed charges		360	40			Percent of total billed charges		160	80			Percent of total billed charges		320	90			Percent of total billed charges		360	85			Percent of total billed charges		340	85			Percent of total billed charges		340	85			Percent of total billed charges		340	100			Percent of total billed charges		400	100			Percent of total billed charges		400	100			Percent of total billed charges		400	33.3			Percent of total billed charges		133.2	33.3			Percent of total billed charges		133.2	100			Percent of total billed charges		400	133.2	360	
cosmetic - small scar - dmx1	940	RC	Outpatient			400	260		90			Percent of total billed charges		360	40			Percent of total billed charges		160	80			Percent of total billed charges		320	90			Percent of total billed charges		360	85			Percent of total billed charges		340	85			Percent of total billed charges		340	85			Percent of total billed charges		340	100			Percent of total billed charges		400	100			Percent of total billed charges		400	100			Percent of total billed charges		400	33.3			Percent of total billed charges		133.2	33.3			Percent of total billed charges		133.2	100			Percent of total billed charges		400	133.2	360	
cosmetic - stretch mark treatment - 30 min sessions (single session)	983	RC	Outpatient			400	260		90			Percent of total billed charges		360	40			Percent of total billed charges		160	80			Percent of total billed charges		320	90			Percent of total billed charges		360	85			Percent of total billed charges		340	85			Percent of total billed charges		340	85			Percent of total billed charges		340	100			Percent of total billed charges		400	100			Percent of total billed charges		400	100			Percent of total billed charges		400	33.3			Percent of total billed charges		133.2	33.3			Percent of total billed charges		133.2	100			Percent of total billed charges		400	133.2	360	
dlu linear cutter thick tissue 45mm zr45g ethi	270	RC	Outpatient			400	260		90			Percent of total billed charges		360	40			Percent of total billed charges		160	80			Percent of total billed charges		320	90			Percent of total billed charges		360	85			Percent of total billed charges		340	85			Percent of total billed charges		340	85			Percent of total billed charges		340	100			Percent of total billed charges		400	100			Percent of total billed charges		400	100			Percent of total billed charges		400	33.3			Percent of total billed charges		133.2	33.3			Percent of total billed charges		133.2	100			Percent of total billed charges		400	133.2	360	
endo ez45 reload	270	RC	Outpatient			400	260		90			Percent of total billed charges		360	40			Percent of total billed charges		160	80			Percent of total billed charges		320	90			Percent of total billed charges		360	85			Percent of total billed charges		340	85			Percent of total billed charges		340	85			Percent of total billed charges		340	100			Percent of total billed charges		400	100			Percent of total billed charges		400	100			Percent of total billed charges		400	33.3			Percent of total billed charges		133.2	33.3			Percent of total billed charges		133.2	100			Percent of total billed charges		400	133.2	360	
gold/silver probe cath	270	RC	Outpatient			400	260		90			Percent of total billed charges		360	40			Percent of total billed charges		160	80			Percent of total billed charges		320	90			Percent of total billed charges		360	85			Percent of total billed charges		340	85			Percent of total billed charges		340	85			Percent of total billed charges		340	100			Percent of total billed charges		400	100			Percent of total billed charges		400	100			Percent of total billed charges		400	33.3			Percent of total billed charges		133.2	33.3			Percent of total billed charges		133.2	100			Percent of total billed charges		400	133.2	360	
ligamax 5mm endo clip el5ml	272	RC	Outpatient			400	260		90			Percent of total billed charges		360	40			Percent of total billed charges		160	80			Percent of total billed charges		320	90			Percent of total billed charges		360	85			Percent of total billed charges		340	85			Percent of total billed charges		340	85			Percent of total billed charges		340	100			Percent of total billed charges		400	100			Percent of total billed charges		400	100			Percent of total billed charges		400	33.3			Percent of total billed charges		133.2	33.3			Percent of total billed charges		133.2	100			Percent of total billed charges		400	133.2	360	
stapler thoracic endo reloads zr45b	270	RC	Outpatient			400	260		90			Percent of total billed charges		360	40			Percent of total billed charges		160	80			Percent of total billed charges		320	90			Percent of total billed charges		360	85			Percent of total billed charges		340	85			Percent of total billed charges		340	85			Percent of total billed charges		340	100			Percent of total billed charges		400	100			Percent of total billed charges		400	100			Percent of total billed charges		400	33.3			Percent of total billed charges		133.2	33.3			Percent of total billed charges		133.2	100			Percent of total billed charges		400	133.2	360	
stapler ligamax 5	272	RC	Outpatient			400	260		90			Percent of total billed charges		360	40			Percent of total billed charges		160	80			Percent of total billed charges		320	90			Percent of total billed charges		360	85			Percent of total billed charges		340	85			Percent of total billed charges		340	85			Percent of total billed charges		340	100			Percent of total billed charges		400	100			Percent of total billed charges		400	100			Percent of total billed charges		400	33.3			Percent of total billed charges		133.2	33.3			Percent of total billed charges		133.2	100			Percent of total billed charges		400	133.2	360	
4.5mm str recon plate 5 hole 00-1179-007-05 zimmer	278	RC	Outpatient			401	260.65		90			Percent of total billed charges		360.9	40			Percent of total billed charges		160.4	80			Percent of total billed charges		320.8	90			Percent of total billed charges		360.9	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	100			Percent of total billed charges		401	100			Percent of total billed charges		401	100			Percent of total billed charges		401	33.3			Percent of total billed charges		133.533	33.3			Percent of total billed charges		133.533	100			Percent of total billed charges		401	133.533	360.9	
arthrex scr 3.0 can pt	278	RC	Outpatient			401	260.65		90			Percent of total billed charges		360.9	40			Percent of total billed charges		160.4	80			Percent of total billed charges		320.8	90			Percent of total billed charges		360.9	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	100			Percent of total billed charges		401	100			Percent of total billed charges		401	100			Percent of total billed charges		401	33.3			Percent of total billed charges		133.533	33.3			Percent of total billed charges		133.533	100			Percent of total billed charges		401	133.533	360.9	
cath lab attain introducer	272	RC	Outpatient			401	260.65		90			Percent of total billed charges		360.9	40			Percent of total billed charges		160.4	80			Percent of total billed charges		320.8	90			Percent of total billed charges		360.9	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	100			Percent of total billed charges		401	100			Percent of total billed charges		401	100			Percent of total billed charges		401	33.3			Percent of total billed charges		133.533	33.3			Percent of total billed charges		133.533	100			Percent of total billed charges		401	133.533	360.9	
cath lab guidewire teflon 0.35 x 145 cm	272	RC	Outpatient			401	260.65		90			Percent of total billed charges		360.9	40			Percent of total billed charges		160.4	80			Percent of total billed charges		320.8	90			Percent of total billed charges		360.9	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	100			Percent of total billed charges		401	100			Percent of total billed charges		401	100			Percent of total billed charges		401	33.3			Percent of total billed charges		133.533	33.3			Percent of total billed charges		133.533	100			Percent of total billed charges		401	133.533	360.9	
cath lab guidewire teflon stf-18-60 aust	272	RC	Outpatient			401	260.65		90			Percent of total billed charges		360.9	40			Percent of total billed charges		160.4	80			Percent of total billed charges		320.8	90			Percent of total billed charges		360.9	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	100			Percent of total billed charges		401	100			Percent of total billed charges		401	100			Percent of total billed charges		401	33.3			Percent of total billed charges		133.533	33.3			Percent of total billed charges		133.533	100			Percent of total billed charges		401	133.533	360.9	
4.5mm str recon plate 6 hole 00-1179-007-06 zimmer	278	RC	Outpatient			401	260.65		90			Percent of total billed charges		360.9	40			Percent of total billed charges		160.4	80			Percent of total billed charges		320.8	90			Percent of total billed charges		360.9	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	100			Percent of total billed charges		401	100			Percent of total billed charges		401	100			Percent of total billed charges		401	33.3			Percent of total billed charges		133.533	33.3			Percent of total billed charges		133.533	100			Percent of total billed charges		401	133.533	360.9	
bio oss locking pin	278	RC	Outpatient			401	260.65		90			Percent of total billed charges		360.9	40			Percent of total billed charges		160.4	80			Percent of total billed charges		320.8	90			Percent of total billed charges		360.9	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	100			Percent of total billed charges		401	100			Percent of total billed charges		401	100			Percent of total billed charges		401	33.3			Percent of total billed charges		133.533	33.3			Percent of total billed charges		133.533	100			Percent of total billed charges		401	133.533	360.9	
cath lab guidewire teflon .035 x 260cm	272	RC	Outpatient			401	260.65		90			Percent of total billed charges		360.9	40			Percent of total billed charges		160.4	80			Percent of total billed charges		320.8	90			Percent of total billed charges		360.9	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	100			Percent of total billed charges		401	100			Percent of total billed charges		401	100			Percent of total billed charges		401	33.3			Percent of total billed charges		133.533	33.3			Percent of total billed charges		133.533	100			Percent of total billed charges		401	133.533	360.9	
cath lab guidewire teflon 0.35 x 140cm	272	RC	Outpatient			401	260.65		90			Percent of total billed charges		360.9	40			Percent of total billed charges		160.4	80			Percent of total billed charges		320.8	90			Percent of total billed charges		360.9	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	100			Percent of total billed charges		401	100			Percent of total billed charges		401	100			Percent of total billed charges		401	33.3			Percent of total billed charges		133.533	33.3			Percent of total billed charges		133.533	100			Percent of total billed charges		401	133.533	360.9	
cath lab guidewire teflon 0.35 x 50cm	272	RC	Outpatient			401	260.65		90			Percent of total billed charges		360.9	40			Percent of total billed charges		160.4	80			Percent of total billed charges		320.8	90			Percent of total billed charges		360.9	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	100			Percent of total billed charges		401	100			Percent of total billed charges		401	100			Percent of total billed charges		401	33.3			Percent of total billed charges		133.533	33.3			Percent of total billed charges		133.533	100			Percent of total billed charges		401	133.533	360.9	
congruent midshaft/glide	278	RC	Outpatient			401	260.65		90			Percent of total billed charges		360.9	40			Percent of total billed charges		160.4	80			Percent of total billed charges		320.8	90			Percent of total billed charges		360.9	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	100			Percent of total billed charges		401	100			Percent of total billed charges		401	100			Percent of total billed charges		401	33.3			Percent of total billed charges		133.533	33.3			Percent of total billed charges		133.533	100			Percent of total billed charges		401	133.533	360.9	
drill bit 2.6 45-35010 stryker	272	RC	Outpatient			401	260.65		90			Percent of total billed charges		360.9	40			Percent of total billed charges		160.4	80			Percent of total billed charges		320.8	90			Percent of total billed charges		360.9	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	100			Percent of total billed charges		401	100			Percent of total billed charges		401	100			Percent of total billed charges		401	33.3			Percent of total billed charges		133.533	33.3			Percent of total billed charges		133.533	100			Percent of total billed charges		401	133.533	360.9	
introducer attain	272	RC	Outpatient			401	260.65		90			Percent of total billed charges		360.9	40			Percent of total billed charges		160.4	80			Percent of total billed charges		320.8	90			Percent of total billed charges		360.9	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	100			Percent of total billed charges		401	100			Percent of total billed charges		401	100			Percent of total billed charges		401	33.3			Percent of total billed charges		133.533	33.3			Percent of total billed charges		133.533	100			Percent of total billed charges		401	133.533	360.9	
kyphx bone biopsy device sz 2 f07a kyphon	272	RC	Outpatient			401	260.65		90			Percent of total billed charges		360.9	40			Percent of total billed charges		160.4	80			Percent of total billed charges		320.8	90			Percent of total billed charges		360.9	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	100			Percent of total billed charges		401	100			Percent of total billed charges		401	100			Percent of total billed charges		401	33.3			Percent of total billed charges		133.533	33.3			Percent of total billed charges		133.533	100			Percent of total billed charges		401	133.533	360.9	
kyphx bone biopsy device sz 3 f05a kyphon	272	RC	Outpatient			401	260.65		90			Percent of total billed charges		360.9	40			Percent of total billed charges		160.4	80			Percent of total billed charges		320.8	90			Percent of total billed charges		360.9	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	100			Percent of total billed charges		401	100			Percent of total billed charges		401	100			Percent of total billed charges		401	33.3			Percent of total billed charges		133.533	33.3			Percent of total billed charges		133.533	100			Percent of total billed charges		401	133.533	360.9	
kyphx bone bx exp	272	RC	Outpatient			401	260.65		90			Percent of total billed charges		360.9	40			Percent of total billed charges		160.4	80			Percent of total billed charges		320.8	90			Percent of total billed charges		360.9	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	100			Percent of total billed charges		401	100			Percent of total billed charges		401	100			Percent of total billed charges		401	33.3			Percent of total billed charges		133.533	33.3			Percent of total billed charges		133.533	100			Percent of total billed charges		401	133.533	360.9	
locking cancellous screw 2.0 49110422 wright	278	RC	Outpatient			401	260.65		90			Percent of total billed charges		360.9	40			Percent of total billed charges		160.4	80			Percent of total billed charges		320.8	90			Percent of total billed charges		360.9	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	100			Percent of total billed charges		401	100			Percent of total billed charges		401	100			Percent of total billed charges		401	33.3			Percent of total billed charges		133.533	33.3			Percent of total billed charges		133.533	100			Percent of total billed charges		401	133.533	360.9	
locking cancellous screw 2.0 49110424 wright	278	RC	Outpatient			401	260.65		90			Percent of total billed charges		360.9	40			Percent of total billed charges		160.4	80			Percent of total billed charges		320.8	90			Percent of total billed charges		360.9	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	100			Percent of total billed charges		401	100			Percent of total billed charges		401	100			Percent of total billed charges		401	33.3			Percent of total billed charges		133.533	33.3			Percent of total billed charges		133.533	100			Percent of total billed charges		401	133.533	360.9	
locking cancellous screw 2.0 49110428 wright	278	RC	Outpatient			401	260.65		90			Percent of total billed charges		360.9	40			Percent of total billed charges		160.4	80			Percent of total billed charges		320.8	90			Percent of total billed charges		360.9	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	100			Percent of total billed charges		401	100			Percent of total billed charges		401	100			Percent of total billed charges		401	33.3			Percent of total billed charges		133.533	33.3			Percent of total billed charges		133.533	100			Percent of total billed charges		401	133.533	360.9	
locking screw 3.5 x 20mm 212.106 synthes	278	RC	Outpatient			401	260.65		90			Percent of total billed charges		360.9	40			Percent of total billed charges		160.4	80			Percent of total billed charges		320.8	90			Percent of total billed charges		360.9	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	100			Percent of total billed charges		401	100			Percent of total billed charges		401	100			Percent of total billed charges		401	33.3			Percent of total billed charges		133.533	33.3			Percent of total billed charges		133.533	100			Percent of total billed charges		401	133.533	360.9	
guide cath. attain	272	RC	Outpatient			401	260.65		90			Percent of total billed charges		360.9	40			Percent of total billed charges		160.4	80			Percent of total billed charges		320.8	90			Percent of total billed charges		360.9	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	100			Percent of total billed charges		401	100			Percent of total billed charges		401	100			Percent of total billed charges		401	33.3			Percent of total billed charges		133.533	33.3			Percent of total billed charges		133.533	100			Percent of total billed charges		401	133.533	360.9	
mt  introducer attain	272	RC	Outpatient			401	260.65		90			Percent of total billed charges		360.9	40			Percent of total billed charges		160.4	80			Percent of total billed charges		320.8	90			Percent of total billed charges		360.9	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	100			Percent of total billed charges		401	100			Percent of total billed charges		401	100			Percent of total billed charges		401	33.3			Percent of total billed charges		133.533	33.3			Percent of total billed charges		133.533	100			Percent of total billed charges		401	133.533	360.9	
mt guide cath introducer attain	272	RC	Outpatient			401	260.65		90			Percent of total billed charges		360.9	40			Percent of total billed charges		160.4	80			Percent of total billed charges		320.8	90			Percent of total billed charges		360.9	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	100			Percent of total billed charges		401	100			Percent of total billed charges		401	100			Percent of total billed charges		401	33.3			Percent of total billed charges		133.533	33.3			Percent of total billed charges		133.533	100			Percent of total billed charges		401	133.533	360.9	
oss locking pin 150478 biomet	278	RC	Outpatient			401	260.65		90			Percent of total billed charges		360.9	40			Percent of total billed charges		160.4	80			Percent of total billed charges		320.8	90			Percent of total billed charges		360.9	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	100			Percent of total billed charges		401	100			Percent of total billed charges		401	100			Percent of total billed charges		401	33.3			Percent of total billed charges		133.533	33.3			Percent of total billed charges		133.533	100			Percent of total billed charges		401	133.533	360.9	
oss locking pin 150480 biomet	278	RC	Outpatient			401	260.65		90			Percent of total billed charges		360.9	40			Percent of total billed charges		160.4	80			Percent of total billed charges		320.8	90			Percent of total billed charges		360.9	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	100			Percent of total billed charges		401	100			Percent of total billed charges		401	100			Percent of total billed charges		401	33.3			Percent of total billed charges		133.533	33.3			Percent of total billed charges		133.533	100			Percent of total billed charges		401	133.533	360.9	
jet-x mini 6mm x 150mm bar  7106-5150 s/n	278	RC	Outpatient			401	260.65		90			Percent of total billed charges		360.9	40			Percent of total billed charges		160.4	80			Percent of total billed charges		320.8	90			Percent of total billed charges		360.9	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	100			Percent of total billed charges		401	100			Percent of total billed charges		401	100			Percent of total billed charges		401	33.3			Percent of total billed charges		133.533	33.3			Percent of total billed charges		133.533	100			Percent of total billed charges		401	133.533	360.9	
jet-x mini bar6mm 150/225	278	RC	Outpatient			401	260.65		90			Percent of total billed charges		360.9	40			Percent of total billed charges		160.4	80			Percent of total billed charges		320.8	90			Percent of total billed charges		360.9	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	100			Percent of total billed charges		401	100			Percent of total billed charges		401	100			Percent of total billed charges		401	33.3			Percent of total billed charges		133.533	33.3			Percent of total billed charges		133.533	100			Percent of total billed charges		401	133.533	360.9	
kyphx bone bx	272	RC	Outpatient			401	260.65		90			Percent of total billed charges		360.9	40			Percent of total billed charges		160.4	80			Percent of total billed charges		320.8	90			Percent of total billed charges		360.9	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	100			Percent of total billed charges		401	100			Percent of total billed charges		401	100			Percent of total billed charges		401	33.3			Percent of total billed charges		133.533	33.3			Percent of total billed charges		133.533	100			Percent of total billed charges		401	133.533	360.9	
magnetic augment pack 61-9309 synvasive	272	RC	Outpatient			401	260.65		90			Percent of total billed charges		360.9	40			Percent of total billed charges		160.4	80			Percent of total billed charges		320.8	90			Percent of total billed charges		360.9	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	100			Percent of total billed charges		401	100			Percent of total billed charges		401	100			Percent of total billed charges		401	33.3			Percent of total billed charges		133.533	33.3			Percent of total billed charges		133.533	100			Percent of total billed charges		401	133.533	360.9	
relieva vortex sinus irrigation cath lc7065 acclarent	272	RC	Outpatient			401	260.65		90			Percent of total billed charges		360.9	40			Percent of total billed charges		160.4	80			Percent of total billed charges		320.8	90			Percent of total billed charges		360.9	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	100			Percent of total billed charges		401	100			Percent of total billed charges		401	100			Percent of total billed charges		401	33.3			Percent of total billed charges		133.533	33.3			Percent of total billed charges		133.533	100			Percent of total billed charges		401	133.533	360.9	
relieva vortex sinus irrigation cath rvo2 acclarent	272	RC	Outpatient			401	260.65		90			Percent of total billed charges		360.9	40			Percent of total billed charges		160.4	80			Percent of total billed charges		320.8	90			Percent of total billed charges		360.9	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	100			Percent of total billed charges		401	100			Percent of total billed charges		401	100			Percent of total billed charges		401	33.3			Percent of total billed charges		133.533	33.3			Percent of total billed charges		133.533	100			Percent of total billed charges		401	133.533	360.9	
stryker drill bit 2.6	272	RC	Outpatient			401	260.65		90			Percent of total billed charges		360.9	40			Percent of total billed charges		160.4	80			Percent of total billed charges		320.8	90			Percent of total billed charges		360.9	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	100			Percent of total billed charges		401	100			Percent of total billed charges		401	100			Percent of total billed charges		401	33.3			Percent of total billed charges		133.533	33.3			Percent of total billed charges		133.533	100			Percent of total billed charges		401	133.533	360.9	
syn 3.5 lock scr	278	RC	Outpatient			401	260.65		90			Percent of total billed charges		360.9	40			Percent of total billed charges		160.4	80			Percent of total billed charges		320.8	90			Percent of total billed charges		360.9	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	100			Percent of total billed charges		401	100			Percent of total billed charges		401	100			Percent of total billed charges		401	33.3			Percent of total billed charges		133.533	33.3			Percent of total billed charges		133.533	100			Percent of total billed charges		401	133.533	360.9	
synvasive mag aug pr	272	RC	Outpatient			401	260.65		90			Percent of total billed charges		360.9	40			Percent of total billed charges		160.4	80			Percent of total billed charges		320.8	90			Percent of total billed charges		360.9	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	100			Percent of total billed charges		401	100			Percent of total billed charges		401	100			Percent of total billed charges		401	33.3			Percent of total billed charges		133.533	33.3			Percent of total billed charges		133.533	100			Percent of total billed charges		401	133.533	360.9	
tpod ed charge scnt	270	RC	Outpatient			401	260.65		90			Percent of total billed charges		360.9	40			Percent of total billed charges		160.4	80			Percent of total billed charges		320.8	90			Percent of total billed charges		360.9	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	100			Percent of total billed charges		401	100			Percent of total billed charges		401	100			Percent of total billed charges		401	33.3			Percent of total billed charges		133.533	33.3			Percent of total billed charges		133.533	100			Percent of total billed charges		401	133.533	360.9	
relieva irrigation cath	272	RC	Outpatient			401	260.65		90			Percent of total billed charges		360.9	40			Percent of total billed charges		160.4	80			Percent of total billed charges		320.8	90			Percent of total billed charges		360.9	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	100			Percent of total billed charges		401	100			Percent of total billed charges		401	100			Percent of total billed charges		401	33.3			Percent of total billed charges		133.533	33.3			Percent of total billed charges		133.533	100			Percent of total billed charges		401	133.533	360.9	
tpod	270	RC	Outpatient			401	260.65		90			Percent of total billed charges		360.9	40			Percent of total billed charges		160.4	80			Percent of total billed charges		320.8	90			Percent of total billed charges		360.9	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	100			Percent of total billed charges		401	100			Percent of total billed charges		401	100			Percent of total billed charges		401	33.3			Percent of total billed charges		133.533	33.3			Percent of total billed charges		133.533	100			Percent of total billed charges		401	133.533	360.9	
upper extremity congruent bone plate 10 hole dynamic midshaft comp. plate  acumed pl-dcp10	278	RC	Outpatient			401	260.65		90			Percent of total billed charges		360.9	40			Percent of total billed charges		160.4	80			Percent of total billed charges		320.8	90			Percent of total billed charges		360.9	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	100			Percent of total billed charges		401	100			Percent of total billed charges		401	100			Percent of total billed charges		401	33.3			Percent of total billed charges		133.533	33.3			Percent of total billed charges		133.533	100			Percent of total billed charges		401	133.533	360.9	
upper extremity congruent bone plate 6  hole dynamic midshaft comp. plate  acumed pl-dcp6	278	RC	Outpatient			401	260.65		90			Percent of total billed charges		360.9	40			Percent of total billed charges		160.4	80			Percent of total billed charges		320.8	90			Percent of total billed charges		360.9	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	100			Percent of total billed charges		401	100			Percent of total billed charges		401	100			Percent of total billed charges		401	33.3			Percent of total billed charges		133.533	33.3			Percent of total billed charges		133.533	100			Percent of total billed charges		401	133.533	360.9	
viperwire floppy 325cm  gw-14325-flp csi	272	RC	Outpatient			401	260.65		90			Percent of total billed charges		360.9	40			Percent of total billed charges		160.4	80			Percent of total billed charges		320.8	90			Percent of total billed charges		360.9	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	100			Percent of total billed charges		401	100			Percent of total billed charges		401	100			Percent of total billed charges		401	33.3			Percent of total billed charges		133.533	33.3			Percent of total billed charges		133.533	100			Percent of total billed charges		401	133.533	360.9	
viperwire stiff 325cm gw-14325-frm csi	272	RC	Outpatient			401	260.65		90			Percent of total billed charges		360.9	40			Percent of total billed charges		160.4	80			Percent of total billed charges		320.8	90			Percent of total billed charges		360.9	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	100			Percent of total billed charges		401	100			Percent of total billed charges		401	100			Percent of total billed charges		401	33.3			Percent of total billed charges		133.533	33.3			Percent of total billed charges		133.533	100			Percent of total billed charges		401	133.533	360.9	
wright 3.0 drill bit 4311-2032	272	RC	Outpatient			401	260.65		90			Percent of total billed charges		360.9	40			Percent of total billed charges		160.4	80			Percent of total billed charges		320.8	90			Percent of total billed charges		360.9	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	100			Percent of total billed charges		401	100			Percent of total billed charges		401	100			Percent of total billed charges		401	33.3			Percent of total billed charges		133.533	33.3			Percent of total billed charges		133.533	100			Percent of total billed charges		401	133.533	360.9	
wright lock canc screw	278	RC	Outpatient			401	260.65		90			Percent of total billed charges		360.9	40			Percent of total billed charges		160.4	80			Percent of total billed charges		320.8	90			Percent of total billed charges		360.9	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	100			Percent of total billed charges		401	100			Percent of total billed charges		401	100			Percent of total billed charges		401	33.3			Percent of total billed charges		133.533	33.3			Percent of total billed charges		133.533	100			Percent of total billed charges		401	133.533	360.9	
zimm 4.5 recon pl 5-6 hol	278	RC	Outpatient			401	260.65		90			Percent of total billed charges		360.9	40			Percent of total billed charges		160.4	80			Percent of total billed charges		320.8	90			Percent of total billed charges		360.9	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	100			Percent of total billed charges		401	100			Percent of total billed charges		401	100			Percent of total billed charges		401	33.3			Percent of total billed charges		133.533	33.3			Percent of total billed charges		133.533	100			Percent of total billed charges		401	133.533	360.9	
upper extremity congruent bone plate 12  hole dynamic midshaft comp. plate   pl-dcp12	278	RC	Outpatient			401	260.65		90			Percent of total billed charges		360.9	40			Percent of total billed charges		160.4	80			Percent of total billed charges		320.8	90			Percent of total billed charges		360.9	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	100			Percent of total billed charges		401	100			Percent of total billed charges		401	100			Percent of total billed charges		401	33.3			Percent of total billed charges		133.533	33.3			Percent of total billed charges		133.533	100			Percent of total billed charges		401	133.533	360.9	
upper extremity congruent bone plate 4  hole dynamic midshaft comp. plate  acumed pl-dcp4	278	RC	Outpatient			401	260.65		90			Percent of total billed charges		360.9	40			Percent of total billed charges		160.4	80			Percent of total billed charges		320.8	90			Percent of total billed charges		360.9	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	100			Percent of total billed charges		401	100			Percent of total billed charges		401	100			Percent of total billed charges		401	33.3			Percent of total billed charges		133.533	33.3			Percent of total billed charges		133.533	100			Percent of total billed charges		401	133.533	360.9	
upper extremity congruent bone plate 8  hole dynamic midshaft comp. plate  acumed pl-dcp8	278	RC	Outpatient			401	260.65		90			Percent of total billed charges		360.9	40			Percent of total billed charges		160.4	80			Percent of total billed charges		320.8	90			Percent of total billed charges		360.9	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	100			Percent of total billed charges		401	100			Percent of total billed charges		401	100			Percent of total billed charges		401	33.3			Percent of total billed charges		133.533	33.3			Percent of total billed charges		133.533	100			Percent of total billed charges		401	133.533	360.9	
vaporcut electrode	272	RC	Outpatient			401	260.65		90			Percent of total billed charges		360.9	40			Percent of total billed charges		160.4	80			Percent of total billed charges		320.8	90			Percent of total billed charges		360.9	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	100			Percent of total billed charges		401	100			Percent of total billed charges		401	100			Percent of total billed charges		401	33.3			Percent of total billed charges		133.533	33.3			Percent of total billed charges		133.533	100			Percent of total billed charges		401	133.533	360.9	
vaporcut electrode 24fr 27050wg16 storz	272	RC	Outpatient			401	260.65		90			Percent of total billed charges		360.9	40			Percent of total billed charges		160.4	80			Percent of total billed charges		320.8	90			Percent of total billed charges		360.9	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	100			Percent of total billed charges		401	100			Percent of total billed charges		401	100			Percent of total billed charges		401	33.3			Percent of total billed charges		133.533	33.3			Percent of total billed charges		133.533	100			Percent of total billed charges		401	133.533	360.9	
viperwire	272	RC	Outpatient			401	260.65		90			Percent of total billed charges		360.9	40			Percent of total billed charges		160.4	80			Percent of total billed charges		320.8	90			Percent of total billed charges		360.9	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	100			Percent of total billed charges		401	100			Percent of total billed charges		401	100			Percent of total billed charges		401	33.3			Percent of total billed charges		133.533	33.3			Percent of total billed charges		133.533	100			Percent of total billed charges		401	133.533	360.9	
viperwire intermediate 325cm  gw-14325-flx csi	272	RC	Outpatient			401	260.65		90			Percent of total billed charges		360.9	40			Percent of total billed charges		160.4	80			Percent of total billed charges		320.8	90			Percent of total billed charges		360.9	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	100			Percent of total billed charges		401	100			Percent of total billed charges		401	100			Percent of total billed charges		401	33.3			Percent of total billed charges		133.533	33.3			Percent of total billed charges		133.533	100			Percent of total billed charges		401	133.533	360.9	
wright drill 3.0	272	RC	Outpatient			401	260.65		90			Percent of total billed charges		360.9	40			Percent of total billed charges		160.4	80			Percent of total billed charges		320.8	90			Percent of total billed charges		360.9	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	85			Percent of total billed charges		340.85	100			Percent of total billed charges		401	100			Percent of total billed charges		401	100			Percent of total billed charges		401	33.3			Percent of total billed charges		133.533	33.3			Percent of total billed charges		133.533	100			Percent of total billed charges		401	133.533	360.9	
0170 nursery	170	RC	Outpatient			402	261.3		90			Percent of total billed charges		361.8	40			Percent of total billed charges		160.8	80			Percent of total billed charges		321.6	90			Percent of total billed charges		361.8	85			Percent of total billed charges		341.7	85			Percent of total billed charges		341.7	85			Percent of total billed charges		341.7	100			Percent of total billed charges		402	100			Percent of total billed charges		402	100			Percent of total billed charges		402	33.3			Percent of total billed charges		133.866	33.3			Percent of total billed charges		133.866	100			Percent of total billed charges		402	133.866	361.8	
jet-x 1 hole rancho cube	278	RC	Outpatient			402	261.3		90			Percent of total billed charges		361.8	40			Percent of total billed charges		160.8	80			Percent of total billed charges		321.6	90			Percent of total billed charges		361.8	85			Percent of total billed charges		341.7	85			Percent of total billed charges		341.7	85			Percent of total billed charges		341.7	100			Percent of total billed charges		402	100			Percent of total billed charges		402	100			Percent of total billed charges		402	33.3			Percent of total billed charges		133.866	33.3			Percent of total billed charges		133.866	100			Percent of total billed charges		402	133.866	361.8	
s/n  1-hole rancho cube 10-3451	278	RC	Outpatient			402	261.3		90			Percent of total billed charges		361.8	40			Percent of total billed charges		160.8	80			Percent of total billed charges		321.6	90			Percent of total billed charges		361.8	85			Percent of total billed charges		341.7	85			Percent of total billed charges		341.7	85			Percent of total billed charges		341.7	100			Percent of total billed charges		402	100			Percent of total billed charges		402	100			Percent of total billed charges		402	33.3			Percent of total billed charges		133.866	33.3			Percent of total billed charges		133.866	100			Percent of total billed charges		402	133.866	361.8	
triathlon sz 3 tibial  prep kit std 5555-3203 stryker	272	RC	Outpatient			402	261.3		90			Percent of total billed charges		361.8	40			Percent of total billed charges		160.8	80			Percent of total billed charges		321.6	90			Percent of total billed charges		361.8	85			Percent of total billed charges		341.7	85			Percent of total billed charges		341.7	85			Percent of total billed charges		341.7	100			Percent of total billed charges		402	100			Percent of total billed charges		402	100			Percent of total billed charges		402	33.3			Percent of total billed charges		133.866	33.3			Percent of total billed charges		133.866	100			Percent of total billed charges		402	133.866	361.8	
triathlon sz 4 tibial  prep kit std 5555-3204 stryker	272	RC	Outpatient			402	261.3		90			Percent of total billed charges		361.8	40			Percent of total billed charges		160.8	80			Percent of total billed charges		321.6	90			Percent of total billed charges		361.8	85			Percent of total billed charges		341.7	85			Percent of total billed charges		341.7	85			Percent of total billed charges		341.7	100			Percent of total billed charges		402	100			Percent of total billed charges		402	100			Percent of total billed charges		402	33.3			Percent of total billed charges		133.866	33.3			Percent of total billed charges		133.866	100			Percent of total billed charges		402	133.866	361.8	
triathlon sz 8 tibial  prep kit std 5555-3208 stryker	272	RC	Outpatient			402	261.3		90			Percent of total billed charges		361.8	40			Percent of total billed charges		160.8	80			Percent of total billed charges		321.6	90			Percent of total billed charges		361.8	85			Percent of total billed charges		341.7	85			Percent of total billed charges		341.7	85			Percent of total billed charges		341.7	100			Percent of total billed charges		402	100			Percent of total billed charges		402	100			Percent of total billed charges		402	33.3			Percent of total billed charges		133.866	33.3			Percent of total billed charges		133.866	100			Percent of total billed charges		402	133.866	361.8	
triathlon tib prep kit	272	RC	Outpatient			402	261.3		90			Percent of total billed charges		361.8	40			Percent of total billed charges		160.8	80			Percent of total billed charges		321.6	90			Percent of total billed charges		361.8	85			Percent of total billed charges		341.7	85			Percent of total billed charges		341.7	85			Percent of total billed charges		341.7	100			Percent of total billed charges		402	100			Percent of total billed charges		402	100			Percent of total billed charges		402	33.3			Percent of total billed charges		133.866	33.3			Percent of total billed charges		133.866	100			Percent of total billed charges		402	133.866	361.8	
room/bed: nursery	170	RC	Outpatient			402	261.3		90			Percent of total billed charges		361.8	40			Percent of total billed charges		160.8	80			Percent of total billed charges		321.6	90			Percent of total billed charges		361.8	85			Percent of total billed charges		341.7	85			Percent of total billed charges		341.7	85			Percent of total billed charges		341.7	100			Percent of total billed charges		402	100			Percent of total billed charges		402	100			Percent of total billed charges		402	33.3			Percent of total billed charges		133.866	33.3			Percent of total billed charges		133.866	100			Percent of total billed charges		402	133.866	361.8	
staple ta 30 4.8 load ta3048l ussc	270	RC	Outpatient			402	261.3		90			Percent of total billed charges		361.8	40			Percent of total billed charges		160.8	80			Percent of total billed charges		321.6	90			Percent of total billed charges		361.8	85			Percent of total billed charges		341.7	85			Percent of total billed charges		341.7	85			Percent of total billed charges		341.7	100			Percent of total billed charges		402	100			Percent of total billed charges		402	100			Percent of total billed charges		402	33.3			Percent of total billed charges		133.866	33.3			Percent of total billed charges		133.866	100			Percent of total billed charges		402	133.866	361.8	
staple ta30 4.8 load	270	RC	Outpatient			402	261.3		90			Percent of total billed charges		361.8	40			Percent of total billed charges		160.8	80			Percent of total billed charges		321.6	90			Percent of total billed charges		361.8	85			Percent of total billed charges		341.7	85			Percent of total billed charges		341.7	85			Percent of total billed charges		341.7	100			Percent of total billed charges		402	100			Percent of total billed charges		402	100			Percent of total billed charges		402	33.3			Percent of total billed charges		133.866	33.3			Percent of total billed charges		133.866	100			Percent of total billed charges		402	133.866	361.8	
stapler mf  ta 60 4.8 grn disp	270	RC	Outpatient			402	261.3		90			Percent of total billed charges		361.8	40			Percent of total billed charges		160.8	80			Percent of total billed charges		321.6	90			Percent of total billed charges		361.8	85			Percent of total billed charges		341.7	85			Percent of total billed charges		341.7	85			Percent of total billed charges		341.7	100			Percent of total billed charges		402	100			Percent of total billed charges		402	100			Percent of total billed charges		402	33.3			Percent of total billed charges		133.866	33.3			Percent of total billed charges		133.866	100			Percent of total billed charges		402	133.866	361.8	
stapler ta30 4.8	270	RC	Outpatient			402	261.3		90			Percent of total billed charges		361.8	40			Percent of total billed charges		160.8	80			Percent of total billed charges		321.6	90			Percent of total billed charges		361.8	85			Percent of total billed charges		341.7	85			Percent of total billed charges		341.7	85			Percent of total billed charges		341.7	100			Percent of total billed charges		402	100			Percent of total billed charges		402	100			Percent of total billed charges		402	33.3			Percent of total billed charges		133.866	33.3			Percent of total billed charges		133.866	100			Percent of total billed charges		402	133.866	361.8	
ta 30 4.8 stapler grn disp 015703 ta3048s ussc	270	RC	Outpatient			402	261.3		90			Percent of total billed charges		361.8	40			Percent of total billed charges		160.8	80			Percent of total billed charges		321.6	90			Percent of total billed charges		361.8	85			Percent of total billed charges		341.7	85			Percent of total billed charges		341.7	85			Percent of total billed charges		341.7	100			Percent of total billed charges		402	100			Percent of total billed charges		402	100			Percent of total billed charges		402	33.3			Percent of total billed charges		133.866	33.3			Percent of total billed charges		133.866	100			Percent of total billed charges		402	133.866	361.8	
triathlon sz 1 tibial  prep kit std 5555-3201 stryker	272	RC	Outpatient			402	261.3		90			Percent of total billed charges		361.8	40			Percent of total billed charges		160.8	80			Percent of total billed charges		321.6	90			Percent of total billed charges		361.8	85			Percent of total billed charges		341.7	85			Percent of total billed charges		341.7	85			Percent of total billed charges		341.7	100			Percent of total billed charges		402	100			Percent of total billed charges		402	100			Percent of total billed charges		402	33.3			Percent of total billed charges		133.866	33.3			Percent of total billed charges		133.866	100			Percent of total billed charges		402	133.866	361.8	
triathlon sz 2 tibial  prep kit std 5555-3202 stryker	272	RC	Outpatient			402	261.3		90			Percent of total billed charges		361.8	40			Percent of total billed charges		160.8	80			Percent of total billed charges		321.6	90			Percent of total billed charges		361.8	85			Percent of total billed charges		341.7	85			Percent of total billed charges		341.7	85			Percent of total billed charges		341.7	100			Percent of total billed charges		402	100			Percent of total billed charges		402	100			Percent of total billed charges		402	33.3			Percent of total billed charges		133.866	33.3			Percent of total billed charges		133.866	100			Percent of total billed charges		402	133.866	361.8	
triathlon sz 5 tibial prep kit  5555-3205 stryker	272	RC	Outpatient			402	261.3		90			Percent of total billed charges		361.8	40			Percent of total billed charges		160.8	80			Percent of total billed charges		321.6	90			Percent of total billed charges		361.8	85			Percent of total billed charges		341.7	85			Percent of total billed charges		341.7	85			Percent of total billed charges		341.7	100			Percent of total billed charges		402	100			Percent of total billed charges		402	100			Percent of total billed charges		402	33.3			Percent of total billed charges		133.866	33.3			Percent of total billed charges		133.866	100			Percent of total billed charges		402	133.866	361.8	
triathlon sz 6 tibial prep kit  5555-3206 stryker	272	RC	Outpatient			402	261.3		90			Percent of total billed charges		361.8	40			Percent of total billed charges		160.8	80			Percent of total billed charges		321.6	90			Percent of total billed charges		361.8	85			Percent of total billed charges		341.7	85			Percent of total billed charges		341.7	85			Percent of total billed charges		341.7	100			Percent of total billed charges		402	100			Percent of total billed charges		402	100			Percent of total billed charges		402	33.3			Percent of total billed charges		133.866	33.3			Percent of total billed charges		133.866	100			Percent of total billed charges		402	133.866	361.8	
triathlon sz 7 tibial prep kit  5555-3207 stryker	272	RC	Outpatient			402	261.3		90			Percent of total billed charges		361.8	40			Percent of total billed charges		160.8	80			Percent of total billed charges		321.6	90			Percent of total billed charges		361.8	85			Percent of total billed charges		341.7	85			Percent of total billed charges		341.7	85			Percent of total billed charges		341.7	100			Percent of total billed charges		402	100			Percent of total billed charges		402	100			Percent of total billed charges		402	33.3			Percent of total billed charges		133.866	33.3			Percent of total billed charges		133.866	100			Percent of total billed charges		402	133.866	361.8	
apex sd half pin 5 x 120 5018-3-120 stryker	272	RC	Outpatient			403	261.95		90			Percent of total billed charges		362.7	40			Percent of total billed charges		161.2	80			Percent of total billed charges		322.4	90			Percent of total billed charges		362.7	85			Percent of total billed charges		342.55	85			Percent of total billed charges		342.55	85			Percent of total billed charges		342.55	100			Percent of total billed charges		403	100			Percent of total billed charges		403	100			Percent of total billed charges		403	33.3			Percent of total billed charges		134.199	33.3			Percent of total billed charges		134.199	100			Percent of total billed charges		403	134.199	362.7	
stryker hoffman 2 ex-fix apex pin 5018-5-150 5.0 / 150	272	RC	Outpatient			403	261.95		90			Percent of total billed charges		362.7	40			Percent of total billed charges		161.2	80			Percent of total billed charges		322.4	90			Percent of total billed charges		362.7	85			Percent of total billed charges		342.55	85			Percent of total billed charges		342.55	85			Percent of total billed charges		342.55	100			Percent of total billed charges		403	100			Percent of total billed charges		403	100			Percent of total billed charges		403	33.3			Percent of total billed charges		134.199	33.3			Percent of total billed charges		134.199	100			Percent of total billed charges		403	134.199	362.7	
stryker hoffman 2 ex-fix apex pin 5018-5-180 5.0 / 180	272	RC	Outpatient			403	261.95		90			Percent of total billed charges		362.7	40			Percent of total billed charges		161.2	80			Percent of total billed charges		322.4	90			Percent of total billed charges		362.7	85			Percent of total billed charges		342.55	85			Percent of total billed charges		342.55	85			Percent of total billed charges		342.55	100			Percent of total billed charges		403	100			Percent of total billed charges		403	100			Percent of total billed charges		403	33.3			Percent of total billed charges		134.199	33.3			Percent of total billed charges		134.199	100			Percent of total billed charges		403	134.199	362.7	
stryker apex half pin	272	RC	Outpatient			403	261.95		90			Percent of total billed charges		362.7	40			Percent of total billed charges		161.2	80			Percent of total billed charges		322.4	90			Percent of total billed charges		362.7	85			Percent of total billed charges		342.55	85			Percent of total billed charges		342.55	85			Percent of total billed charges		342.55	100			Percent of total billed charges		403	100			Percent of total billed charges		403	100			Percent of total billed charges		403	33.3			Percent of total billed charges		134.199	33.3			Percent of total billed charges		134.199	100			Percent of total billed charges		403	134.199	362.7	
stryker hii  apex half pin 5018-6-180 5.0 / 180	272	RC	Outpatient			403	261.95		90			Percent of total billed charges		362.7	40			Percent of total billed charges		161.2	80			Percent of total billed charges		322.4	90			Percent of total billed charges		362.7	85			Percent of total billed charges		342.55	85			Percent of total billed charges		342.55	85			Percent of total billed charges		342.55	100			Percent of total billed charges		403	100			Percent of total billed charges		403	100			Percent of total billed charges		403	33.3			Percent of total billed charges		134.199	33.3			Percent of total billed charges		134.199	100			Percent of total billed charges		403	134.199	362.7	
bio 4.75 screw	278	RC	Outpatient			404	262.6		90			Percent of total billed charges		363.6	40			Percent of total billed charges		161.6	80			Percent of total billed charges		323.2	90			Percent of total billed charges		363.6	85			Percent of total billed charges		343.4	85			Percent of total billed charges		343.4	85			Percent of total billed charges		343.4	100			Percent of total billed charges		404	100			Percent of total billed charges		404	100			Percent of total billed charges		404	33.3			Percent of total billed charges		134.532	33.3			Percent of total billed charges		134.532	100			Percent of total billed charges		404	134.532	363.6	
fixed locking screw 4.75 x 35mm 180554 biomet	278	RC	Outpatient			404	262.6		90			Percent of total billed charges		363.6	40			Percent of total billed charges		161.6	80			Percent of total billed charges		323.2	90			Percent of total billed charges		363.6	85			Percent of total billed charges		343.4	85			Percent of total billed charges		343.4	85			Percent of total billed charges		343.4	100			Percent of total billed charges		404	100			Percent of total billed charges		404	100			Percent of total billed charges		404	33.3			Percent of total billed charges		134.532	33.3			Percent of total billed charges		134.532	100			Percent of total billed charges		404	134.532	363.6	
fixed locking screw 4.75 x 15mm 180500 biomet	278	RC	Outpatient			404	262.6		90			Percent of total billed charges		363.6	40			Percent of total billed charges		161.6	80			Percent of total billed charges		323.2	90			Percent of total billed charges		363.6	85			Percent of total billed charges		343.4	85			Percent of total billed charges		343.4	85			Percent of total billed charges		343.4	100			Percent of total billed charges		404	100			Percent of total billed charges		404	100			Percent of total billed charges		404	33.3			Percent of total billed charges		134.532	33.3			Percent of total billed charges		134.532	100			Percent of total billed charges		404	134.532	363.6	
fixed locking screw 4.75 x 15mm 180550 biomet	278	RC	Outpatient			404	262.6		90			Percent of total billed charges		363.6	40			Percent of total billed charges		161.6	80			Percent of total billed charges		323.2	90			Percent of total billed charges		363.6	85			Percent of total billed charges		343.4	85			Percent of total billed charges		343.4	85			Percent of total billed charges		343.4	100			Percent of total billed charges		404	100			Percent of total billed charges		404	100			Percent of total billed charges		404	33.3			Percent of total billed charges		134.532	33.3			Percent of total billed charges		134.532	100			Percent of total billed charges		404	134.532	363.6	
fixed locking screw 4.75 x 20mm 180501 biomet	278	RC	Outpatient			404	262.6		90			Percent of total billed charges		363.6	40			Percent of total billed charges		161.6	80			Percent of total billed charges		323.2	90			Percent of total billed charges		363.6	85			Percent of total billed charges		343.4	85			Percent of total billed charges		343.4	85			Percent of total billed charges		343.4	100			Percent of total billed charges		404	100			Percent of total billed charges		404	100			Percent of total billed charges		404	33.3			Percent of total billed charges		134.532	33.3			Percent of total billed charges		134.532	100			Percent of total billed charges		404	134.532	363.6	
fixed locking screw 4.75 x 25mm 180502 biomet	278	RC	Outpatient			404	262.6		90			Percent of total billed charges		363.6	40			Percent of total billed charges		161.6	80			Percent of total billed charges		323.2	90			Percent of total billed charges		363.6	85			Percent of total billed charges		343.4	85			Percent of total billed charges		343.4	85			Percent of total billed charges		343.4	100			Percent of total billed charges		404	100			Percent of total billed charges		404	100			Percent of total billed charges		404	33.3			Percent of total billed charges		134.532	33.3			Percent of total billed charges		134.532	100			Percent of total billed charges		404	134.532	363.6	
fixed locking screw 4.75 x 35mm 180504 biomet	278	RC	Outpatient			404	262.6		90			Percent of total billed charges		363.6	40			Percent of total billed charges		161.6	80			Percent of total billed charges		323.2	90			Percent of total billed charges		363.6	85			Percent of total billed charges		343.4	85			Percent of total billed charges		343.4	85			Percent of total billed charges		343.4	100			Percent of total billed charges		404	100			Percent of total billed charges		404	100			Percent of total billed charges		404	33.3			Percent of total billed charges		134.532	33.3			Percent of total billed charges		134.532	100			Percent of total billed charges		404	134.532	363.6	
fixed locking screw 4.75 x 40mm 180505 biomet	278	RC	Outpatient			404	262.6		90			Percent of total billed charges		363.6	40			Percent of total billed charges		161.6	80			Percent of total billed charges		323.2	90			Percent of total billed charges		363.6	85			Percent of total billed charges		343.4	85			Percent of total billed charges		343.4	85			Percent of total billed charges		343.4	100			Percent of total billed charges		404	100			Percent of total billed charges		404	100			Percent of total billed charges		404	33.3			Percent of total billed charges		134.532	33.3			Percent of total billed charges		134.532	100			Percent of total billed charges		404	134.532	363.6	
non locking screw 4.75 x 15mm 180557 biomet	278	RC	Outpatient			404	262.6		90			Percent of total billed charges		363.6	40			Percent of total billed charges		161.6	80			Percent of total billed charges		323.2	90			Percent of total billed charges		363.6	85			Percent of total billed charges		343.4	85			Percent of total billed charges		343.4	85			Percent of total billed charges		343.4	100			Percent of total billed charges		404	100			Percent of total billed charges		404	100			Percent of total billed charges		404	33.3			Percent of total billed charges		134.532	33.3			Percent of total billed charges		134.532	100			Percent of total billed charges		404	134.532	363.6	
acumed fib rod drill 2.8mm ref: 80-0642	272	RC	Outpatient			405	263.25		90			Percent of total billed charges		364.5	40			Percent of total billed charges		162	80			Percent of total billed charges		324	90			Percent of total billed charges		364.5	85			Percent of total billed charges		344.25	85			Percent of total billed charges		344.25	85			Percent of total billed charges		344.25	100			Percent of total billed charges		405	100			Percent of total billed charges		405	100			Percent of total billed charges		405	33.3			Percent of total billed charges		134.865	33.3			Percent of total billed charges		134.865	100			Percent of total billed charges		405	134.865	364.5	
biomet hip prep kit	272	RC	Outpatient			405	263.25		90			Percent of total billed charges		364.5	40			Percent of total billed charges		162	80			Percent of total billed charges		324	90			Percent of total billed charges		364.5	85			Percent of total billed charges		344.25	85			Percent of total billed charges		344.25	85			Percent of total billed charges		344.25	100			Percent of total billed charges		405	100			Percent of total billed charges		405	100			Percent of total billed charges		405	33.3			Percent of total billed charges		134.865	33.3			Percent of total billed charges		134.865	100			Percent of total billed charges		405	134.865	364.5	
cutting carthridge 6525-127-105 stryker	272	RC	Outpatient			405	263.25		90			Percent of total billed charges		364.5	40			Percent of total billed charges		162	80			Percent of total billed charges		324	90			Percent of total billed charges		364.5	85			Percent of total billed charges		344.25	85			Percent of total billed charges		344.25	85			Percent of total billed charges		344.25	100			Percent of total billed charges		405	100			Percent of total billed charges		405	100			Percent of total billed charges		405	33.3			Percent of total billed charges		134.865	33.3			Percent of total billed charges		134.865	100			Percent of total billed charges		405	134.865	364.5	
kit hip prep  424700 biomet	272	RC	Outpatient			405	263.25		90			Percent of total billed charges		364.5	40			Percent of total billed charges		162	80			Percent of total billed charges		324	90			Percent of total billed charges		364.5	85			Percent of total billed charges		344.25	85			Percent of total billed charges		344.25	85			Percent of total billed charges		344.25	100			Percent of total billed charges		405	100			Percent of total billed charges		405	100			Percent of total billed charges		405	33.3			Percent of total billed charges		134.865	33.3			Percent of total billed charges		134.865	100			Percent of total billed charges		405	134.865	364.5	
pacemaker tray	270	RC	Outpatient			405	263.25		90			Percent of total billed charges		364.5	40			Percent of total billed charges		162	80			Percent of total billed charges		324	90			Percent of total billed charges		364.5	85			Percent of total billed charges		344.25	85			Percent of total billed charges		344.25	85			Percent of total billed charges		344.25	100			Percent of total billed charges		405	100			Percent of total billed charges		405	100			Percent of total billed charges		405	33.3			Percent of total billed charges		134.865	33.3			Percent of total billed charges		134.865	100			Percent of total billed charges		405	134.865	364.5	
pacemaker tray ed charge scnt	450	RC	Outpatient			405	263.25		90			Percent of total billed charges		364.5	40			Percent of total billed charges		162	80			Percent of total billed charges		324	90			Percent of total billed charges		364.5	85			Percent of total billed charges		344.25	85			Percent of total billed charges		344.25	85			Percent of total billed charges		344.25	100			Percent of total billed charges		405	100			Percent of total billed charges		405	100			Percent of total billed charges		405	33.3			Percent of total billed charges		134.865	33.3			Percent of total billed charges		134.865	100			Percent of total billed charges		405	134.865	364.5	
triathlon cutting carth	272	RC	Outpatient			405	263.25		90			Percent of total billed charges		364.5	40			Percent of total billed charges		162	80			Percent of total billed charges		324	90			Percent of total billed charges		364.5	85			Percent of total billed charges		344.25	85			Percent of total billed charges		344.25	85			Percent of total billed charges		344.25	100			Percent of total billed charges		405	100			Percent of total billed charges		405	100			Percent of total billed charges		405	33.3			Percent of total billed charges		134.865	33.3			Percent of total billed charges		134.865	100			Percent of total billed charges		405	134.865	364.5	
arhthrex bi-cortical post titanium 4.5 x 40mm ar-1365-40	278	RC	Outpatient			406	263.9		90			Percent of total billed charges		365.4	40			Percent of total billed charges		162.4	80			Percent of total billed charges		324.8	90			Percent of total billed charges		365.4	85			Percent of total billed charges		345.1	85			Percent of total billed charges		345.1	85			Percent of total billed charges		345.1	100			Percent of total billed charges		406	100			Percent of total billed charges		406	100			Percent of total billed charges		406	33.3			Percent of total billed charges		135.198	33.3			Percent of total billed charges		135.198	100			Percent of total billed charges		406	135.198	365.4	
arthrex bi-cort post ti	278	RC	Outpatient			406	263.9		90			Percent of total billed charges		365.4	40			Percent of total billed charges		162.4	80			Percent of total billed charges		324.8	90			Percent of total billed charges		365.4	85			Percent of total billed charges		345.1	85			Percent of total billed charges		345.1	85			Percent of total billed charges		345.1	100			Percent of total billed charges		406	100			Percent of total billed charges		406	100			Percent of total billed charges		406	33.3			Percent of total billed charges		135.198	33.3			Percent of total billed charges		135.198	100			Percent of total billed charges		406	135.198	365.4	
arthrex spiked washer	278	RC	Outpatient			406	263.9		90			Percent of total billed charges		365.4	40			Percent of total billed charges		162.4	80			Percent of total billed charges		324.8	90			Percent of total billed charges		365.4	85			Percent of total billed charges		345.1	85			Percent of total billed charges		345.1	85			Percent of total billed charges		345.1	100			Percent of total billed charges		406	100			Percent of total billed charges		406	100			Percent of total billed charges		406	33.3			Percent of total billed charges		135.198	33.3			Percent of total billed charges		135.198	100			Percent of total billed charges		406	135.198	365.4	
arthrex spiked washer 14mm titanium ar-1349a	278	RC	Outpatient			406	263.9		90			Percent of total billed charges		365.4	40			Percent of total billed charges		162.4	80			Percent of total billed charges		324.8	90			Percent of total billed charges		365.4	85			Percent of total billed charges		345.1	85			Percent of total billed charges		345.1	85			Percent of total billed charges		345.1	100			Percent of total billed charges		406	100			Percent of total billed charges		406	100			Percent of total billed charges		406	33.3			Percent of total billed charges		135.198	33.3			Percent of total billed charges		135.198	100			Percent of total billed charges		406	135.198	365.4	
endo gia 45 reload	270	RC	Outpatient			406	263.9		90			Percent of total billed charges		365.4	40			Percent of total billed charges		162.4	80			Percent of total billed charges		324.8	90			Percent of total billed charges		365.4	85			Percent of total billed charges		345.1	85			Percent of total billed charges		345.1	85			Percent of total billed charges		345.1	100			Percent of total billed charges		406	100			Percent of total billed charges		406	100			Percent of total billed charges		406	33.3			Percent of total billed charges		135.198	33.3			Percent of total billed charges		135.198	100			Percent of total billed charges		406	135.198	365.4	
hemovac autotransfus/syst	270	RC	Outpatient			406	263.9		90			Percent of total billed charges		365.4	40			Percent of total billed charges		162.4	80			Percent of total billed charges		324.8	90			Percent of total billed charges		365.4	85			Percent of total billed charges		345.1	85			Percent of total billed charges		345.1	85			Percent of total billed charges		345.1	100			Percent of total billed charges		406	100			Percent of total billed charges		406	100			Percent of total billed charges		406	33.3			Percent of total billed charges		135.198	33.3			Percent of total billed charges		135.198	100			Percent of total billed charges		406	135.198	365.4	
stapler art reloads regular tr45b	270	RC	Outpatient			406	263.9		90			Percent of total billed charges		365.4	40			Percent of total billed charges		162.4	80			Percent of total billed charges		324.8	90			Percent of total billed charges		365.4	85			Percent of total billed charges		345.1	85			Percent of total billed charges		345.1	85			Percent of total billed charges		345.1	100			Percent of total billed charges		406	100			Percent of total billed charges		406	100			Percent of total billed charges		406	33.3			Percent of total billed charges		135.198	33.3			Percent of total billed charges		135.198	100			Percent of total billed charges		406	135.198	365.4	
stapler articulating endo 45mm reloads tr45w	270	RC	Outpatient			406	263.9		90			Percent of total billed charges		365.4	40			Percent of total billed charges		162.4	80			Percent of total billed charges		324.8	90			Percent of total billed charges		365.4	85			Percent of total billed charges		345.1	85			Percent of total billed charges		345.1	85			Percent of total billed charges		345.1	100			Percent of total billed charges		406	100			Percent of total billed charges		406	100			Percent of total billed charges		406	33.3			Percent of total billed charges		135.198	33.3			Percent of total billed charges		135.198	100			Percent of total billed charges		406	135.198	365.4	
3.2mm fully threaded calibrated drill bit ar-8737-50 arthrex	272	RC	Outpatient			407	264.55		90			Percent of total billed charges		366.3	40			Percent of total billed charges		162.8	80			Percent of total billed charges		325.6	90			Percent of total billed charges		366.3	85			Percent of total billed charges		345.95	85			Percent of total billed charges		345.95	85			Percent of total billed charges		345.95	100			Percent of total billed charges		407	100			Percent of total billed charges		407	100			Percent of total billed charges		407	33.3			Percent of total billed charges		135.531	33.3			Percent of total billed charges		135.531	100			Percent of total billed charges		407	135.531	366.3	
"3.2mm cannulated drill bit, long ar-8750-09 arthrex"	272	RC	Outpatient			407	264.55		90			Percent of total billed charges		366.3	40			Percent of total billed charges		162.8	80			Percent of total billed charges		325.6	90			Percent of total billed charges		366.3	85			Percent of total billed charges		345.95	85			Percent of total billed charges		345.95	85			Percent of total billed charges		345.95	100			Percent of total billed charges		407	100			Percent of total billed charges		407	100			Percent of total billed charges		407	33.3			Percent of total billed charges		135.531	33.3			Percent of total billed charges		135.531	100			Percent of total billed charges		407	135.531	366.3	
montgomery sz 12 t-tube 420012 boston medical	272	RC	Outpatient			407	264.55		90			Percent of total billed charges		366.3	40			Percent of total billed charges		162.8	80			Percent of total billed charges		325.6	90			Percent of total billed charges		366.3	85			Percent of total billed charges		345.95	85			Percent of total billed charges		345.95	85			Percent of total billed charges		345.95	100			Percent of total billed charges		407	100			Percent of total billed charges		407	100			Percent of total billed charges		407	33.3			Percent of total billed charges		135.531	33.3			Percent of total billed charges		135.531	100			Percent of total billed charges		407	135.531	366.3	
med univ cemnt restricto	278	RC	Outpatient			408	265.2		90			Percent of total billed charges		367.2	40			Percent of total billed charges		163.2	80			Percent of total billed charges		326.4	90			Percent of total billed charges		367.2	85			Percent of total billed charges		346.8	85			Percent of total billed charges		346.8	85			Percent of total billed charges		346.8	100			Percent of total billed charges		408	100			Percent of total billed charges		408	100			Percent of total billed charges		408	33.3			Percent of total billed charges		135.864	33.3			Percent of total billed charges		135.864	100			Percent of total billed charges		408	135.864	367.2	
medium universal cement restrictor b000-0240 stryker	278	RC	Outpatient			408	265.2		90			Percent of total billed charges		367.2	40			Percent of total billed charges		163.2	80			Percent of total billed charges		326.4	90			Percent of total billed charges		367.2	85			Percent of total billed charges		346.8	85			Percent of total billed charges		346.8	85			Percent of total billed charges		346.8	100			Percent of total billed charges		408	100			Percent of total billed charges		408	100			Percent of total billed charges		408	33.3			Percent of total billed charges		135.864	33.3			Percent of total billed charges		135.864	100			Percent of total billed charges		408	135.864	367.2	
medium universal cement restrictor b000-1240 stryker	278	RC	Outpatient			408	265.2		90			Percent of total billed charges		367.2	40			Percent of total billed charges		163.2	80			Percent of total billed charges		326.4	90			Percent of total billed charges		367.2	85			Percent of total billed charges		346.8	85			Percent of total billed charges		346.8	85			Percent of total billed charges		346.8	100			Percent of total billed charges		408	100			Percent of total billed charges		408	100			Percent of total billed charges		408	33.3			Percent of total billed charges		135.864	33.3			Percent of total billed charges		135.864	100			Percent of total billed charges		408	135.864	367.2	
sphinctertome tri tome	270	RC	Outpatient			408	265.2		90			Percent of total billed charges		367.2	40			Percent of total billed charges		163.2	80			Percent of total billed charges		326.4	90			Percent of total billed charges		367.2	85			Percent of total billed charges		346.8	85			Percent of total billed charges		346.8	85			Percent of total billed charges		346.8	100			Percent of total billed charges		408	100			Percent of total billed charges		408	100			Percent of total billed charges		408	33.3			Percent of total billed charges		135.864	33.3			Percent of total billed charges		135.864	100			Percent of total billed charges		408	135.864	367.2	
ta 30 3.5 stapler blue disp 015701  ussc	270	RC	Outpatient			408	265.2		90			Percent of total billed charges		367.2	40			Percent of total billed charges		163.2	80			Percent of total billed charges		326.4	90			Percent of total billed charges		367.2	85			Percent of total billed charges		346.8	85			Percent of total billed charges		346.8	85			Percent of total billed charges		346.8	100			Percent of total billed charges		408	100			Percent of total billed charges		408	100			Percent of total billed charges		408	33.3			Percent of total billed charges		135.864	33.3			Percent of total billed charges		135.864	100			Percent of total billed charges		408	135.864	367.2	
stapler ta30 3.5	270	RC	Outpatient			408	265.2		90			Percent of total billed charges		367.2	40			Percent of total billed charges		163.2	80			Percent of total billed charges		326.4	90			Percent of total billed charges		367.2	85			Percent of total billed charges		346.8	85			Percent of total billed charges		346.8	85			Percent of total billed charges		346.8	100			Percent of total billed charges		408	100			Percent of total billed charges		408	100			Percent of total billed charges		408	33.3			Percent of total billed charges		135.864	33.3			Percent of total billed charges		135.864	100			Percent of total billed charges		408	135.864	367.2	
stapler ta30 30mm- 3.5mm ta3035s covidien	270	RC	Outpatient			408	265.2		90			Percent of total billed charges		367.2	40			Percent of total billed charges		163.2	80			Percent of total billed charges		326.4	90			Percent of total billed charges		367.2	85			Percent of total billed charges		346.8	85			Percent of total billed charges		346.8	85			Percent of total billed charges		346.8	100			Percent of total billed charges		408	100			Percent of total billed charges		408	100			Percent of total billed charges		408	33.3			Percent of total billed charges		135.864	33.3			Percent of total billed charges		135.864	100			Percent of total billed charges		408	135.864	367.2	
universal cement restrictor  med 6m7007 stryker	278	RC	Outpatient			408	265.2		90			Percent of total billed charges		367.2	40			Percent of total billed charges		163.2	80			Percent of total billed charges		326.4	90			Percent of total billed charges		367.2	85			Percent of total billed charges		346.8	85			Percent of total billed charges		346.8	85			Percent of total billed charges		346.8	100			Percent of total billed charges		408	100			Percent of total billed charges		408	100			Percent of total billed charges		408	33.3			Percent of total billed charges		135.864	33.3			Percent of total billed charges		135.864	100			Percent of total billed charges		408	135.864	367.2	
acufex suture retriever	270	RC	Outpatient			409	265.85		90			Percent of total billed charges		368.1	40			Percent of total billed charges		163.6	80			Percent of total billed charges		327.2	90			Percent of total billed charges		368.1	85			Percent of total billed charges		347.65	85			Percent of total billed charges		347.65	85			Percent of total billed charges		347.65	100			Percent of total billed charges		409	100			Percent of total billed charges		409	100			Percent of total billed charges		409	33.3			Percent of total billed charges		136.197	33.3			Percent of total billed charges		136.197	100			Percent of total billed charges		409	136.197	368.1	
cannulated screw 5.0 x 80 32540s stryker	278	RC	Outpatient			409	265.85		90			Percent of total billed charges		368.1	40			Percent of total billed charges		163.6	80			Percent of total billed charges		327.2	90			Percent of total billed charges		368.1	85			Percent of total billed charges		347.65	85			Percent of total billed charges		347.65	85			Percent of total billed charges		347.65	100			Percent of total billed charges		409	100			Percent of total billed charges		409	100			Percent of total billed charges		409	33.3			Percent of total billed charges		136.197	33.3			Percent of total billed charges		136.197	100			Percent of total billed charges		409	136.197	368.1	
screw cannulated 5.0	278	RC	Outpatient			409	265.85		90			Percent of total billed charges		368.1	40			Percent of total billed charges		163.6	80			Percent of total billed charges		327.2	90			Percent of total billed charges		368.1	85			Percent of total billed charges		347.65	85			Percent of total billed charges		347.65	85			Percent of total billed charges		347.65	100			Percent of total billed charges		409	100			Percent of total billed charges		409	100			Percent of total billed charges		409	33.3			Percent of total billed charges		136.197	33.3			Percent of total billed charges		136.197	100			Percent of total billed charges		409	136.197	368.1	
real intelligence cylindrical bur 5mm  rob10035 s/n	272	RC	Outpatient			409	265.85		90			Percent of total billed charges		368.1	40			Percent of total billed charges		163.6	80			Percent of total billed charges		327.2	90			Percent of total billed charges		368.1	85			Percent of total billed charges		347.65	85			Percent of total billed charges		347.65	85			Percent of total billed charges		347.65	100			Percent of total billed charges		409	100			Percent of total billed charges		409	100			Percent of total billed charges		409	33.3			Percent of total billed charges		136.197	33.3			Percent of total billed charges		136.197	100			Percent of total billed charges		409	136.197	368.1	
real intelligence cylindrical bur 6mm  rob10036 s/n	272	RC	Outpatient			409	265.85		90			Percent of total billed charges		368.1	40			Percent of total billed charges		163.6	80			Percent of total billed charges		327.2	90			Percent of total billed charges		368.1	85			Percent of total billed charges		347.65	85			Percent of total billed charges		347.65	85			Percent of total billed charges		347.65	100			Percent of total billed charges		409	100			Percent of total billed charges		409	100			Percent of total billed charges		409	33.3			Percent of total billed charges		136.197	33.3			Percent of total billed charges		136.197	100			Percent of total billed charges		409	136.197	368.1	
cosmetic - photofacial individual session	983	RC	Outpatient			410	266.5		90			Percent of total billed charges		369	40			Percent of total billed charges		164	80			Percent of total billed charges		328	90			Percent of total billed charges		369	85			Percent of total billed charges		348.5	85			Percent of total billed charges		348.5	85			Percent of total billed charges		348.5	100			Percent of total billed charges		410	100			Percent of total billed charges		410	100			Percent of total billed charges		410	33.3			Percent of total billed charges		136.53	33.3			Percent of total billed charges		136.53	100			Percent of total billed charges		410	136.53	369	
choice pt 0.014 x 182 12161-01 boston scient	272	RC	Outpatient			410	266.5		90			Percent of total billed charges		369	40			Percent of total billed charges		164	80			Percent of total billed charges		328	90			Percent of total billed charges		369	85			Percent of total billed charges		348.5	85			Percent of total billed charges		348.5	85			Percent of total billed charges		348.5	100			Percent of total billed charges		410	100			Percent of total billed charges		410	100			Percent of total billed charges		410	33.3			Percent of total billed charges		136.53	33.3			Percent of total billed charges		136.53	100			Percent of total billed charges		410	136.53	369	
cosmetic - rosacea treatment individual sessions	983	RC	Outpatient			410	266.5		90			Percent of total billed charges		369	40			Percent of total billed charges		164	80			Percent of total billed charges		328	90			Percent of total billed charges		369	85			Percent of total billed charges		348.5	85			Percent of total billed charges		348.5	85			Percent of total billed charges		348.5	100			Percent of total billed charges		410	100			Percent of total billed charges		410	100			Percent of total billed charges		410	33.3			Percent of total billed charges		136.53	33.3			Percent of total billed charges		136.53	100			Percent of total billed charges		410	136.53	369	
guidewire choice pt 185	272	RC	Outpatient			410	266.5		90			Percent of total billed charges		369	40			Percent of total billed charges		164	80			Percent of total billed charges		328	90			Percent of total billed charges		369	85			Percent of total billed charges		348.5	85			Percent of total billed charges		348.5	85			Percent of total billed charges		348.5	100			Percent of total billed charges		410	100			Percent of total billed charges		410	100			Percent of total billed charges		410	33.3			Percent of total billed charges		136.53	33.3			Percent of total billed charges		136.53	100			Percent of total billed charges		410	136.53	369	
cloverleaf plate 5 hole 241.85	278	RC	Outpatient			411	267.15		90			Percent of total billed charges		369.9	40			Percent of total billed charges		164.4	80			Percent of total billed charges		328.8	90			Percent of total billed charges		369.9	85			Percent of total billed charges		349.35	85			Percent of total billed charges		349.35	85			Percent of total billed charges		349.35	100			Percent of total billed charges		411	100			Percent of total billed charges		411	100			Percent of total billed charges		411	33.3			Percent of total billed charges		136.863	33.3			Percent of total billed charges		136.863	100			Percent of total billed charges		411	136.863	369.9	
cloverleaf plate 6 hole 241.86	278	RC	Outpatient			411	267.15		90			Percent of total billed charges		369.9	40			Percent of total billed charges		164.4	80			Percent of total billed charges		328.8	90			Percent of total billed charges		369.9	85			Percent of total billed charges		349.35	85			Percent of total billed charges		349.35	85			Percent of total billed charges		349.35	100			Percent of total billed charges		411	100			Percent of total billed charges		411	100			Percent of total billed charges		411	33.3			Percent of total billed charges		136.863	33.3			Percent of total billed charges		136.863	100			Percent of total billed charges		411	136.863	369.9	
cloverleaf plate 10 hole 241.89	278	RC	Outpatient			411	267.15		90			Percent of total billed charges		369.9	40			Percent of total billed charges		164.4	80			Percent of total billed charges		328.8	90			Percent of total billed charges		369.9	85			Percent of total billed charges		349.35	85			Percent of total billed charges		349.35	85			Percent of total billed charges		349.35	100			Percent of total billed charges		411	100			Percent of total billed charges		411	100			Percent of total billed charges		411	33.3			Percent of total billed charges		136.863	33.3			Percent of total billed charges		136.863	100			Percent of total billed charges		411	136.863	369.9	
cloverleaf plate 4 hole 241.84	278	RC	Outpatient			411	267.15		90			Percent of total billed charges		369.9	40			Percent of total billed charges		164.4	80			Percent of total billed charges		328.8	90			Percent of total billed charges		369.9	85			Percent of total billed charges		349.35	85			Percent of total billed charges		349.35	85			Percent of total billed charges		349.35	100			Percent of total billed charges		411	100			Percent of total billed charges		411	100			Percent of total billed charges		411	33.3			Percent of total billed charges		136.863	33.3			Percent of total billed charges		136.863	100			Percent of total billed charges		411	136.863	369.9	
pericardiocentesis kit	270	RC	Outpatient			411	267.15		90			Percent of total billed charges		369.9	40			Percent of total billed charges		164.4	80			Percent of total billed charges		328.8	90			Percent of total billed charges		369.9	85			Percent of total billed charges		349.35	85			Percent of total billed charges		349.35	85			Percent of total billed charges		349.35	100			Percent of total billed charges		411	100			Percent of total billed charges		411	100			Percent of total billed charges		411	33.3			Percent of total billed charges		136.863	33.3			Percent of total billed charges		136.863	100			Percent of total billed charges		411	136.863	369.9	
plate cloverleaf 3 hole 88 mm 241.83	278	RC	Outpatient			411	267.15		90			Percent of total billed charges		369.9	40			Percent of total billed charges		164.4	80			Percent of total billed charges		328.8	90			Percent of total billed charges		369.9	85			Percent of total billed charges		349.35	85			Percent of total billed charges		349.35	85			Percent of total billed charges		349.35	100			Percent of total billed charges		411	100			Percent of total billed charges		411	100			Percent of total billed charges		411	33.3			Percent of total billed charges		136.863	33.3			Percent of total billed charges		136.863	100			Percent of total billed charges		411	136.863	369.9	
plate cloverleaf 8 hole 168mm 241.88	278	RC	Outpatient			411	267.15		90			Percent of total billed charges		369.9	40			Percent of total billed charges		164.4	80			Percent of total billed charges		328.8	90			Percent of total billed charges		369.9	85			Percent of total billed charges		349.35	85			Percent of total billed charges		349.35	85			Percent of total billed charges		349.35	100			Percent of total billed charges		411	100			Percent of total billed charges		411	100			Percent of total billed charges		411	33.3			Percent of total billed charges		136.863	33.3			Percent of total billed charges		136.863	100			Percent of total billed charges		411	136.863	369.9	
s/n hole filler	278	RC	Outpatient			411	267.15		90			Percent of total billed charges		369.9	40			Percent of total billed charges		164.4	80			Percent of total billed charges		328.8	90			Percent of total billed charges		369.9	85			Percent of total billed charges		349.35	85			Percent of total billed charges		349.35	85			Percent of total billed charges		349.35	100			Percent of total billed charges		411	100			Percent of total billed charges		411	100			Percent of total billed charges		411	33.3			Percent of total billed charges		136.863	33.3			Percent of total billed charges		136.863	100			Percent of total billed charges		411	136.863	369.9	
syn plate cloverleaf	278	RC	Outpatient			411	267.15		90			Percent of total billed charges		369.9	40			Percent of total billed charges		164.4	80			Percent of total billed charges		328.8	90			Percent of total billed charges		369.9	85			Percent of total billed charges		349.35	85			Percent of total billed charges		349.35	85			Percent of total billed charges		349.35	100			Percent of total billed charges		411	100			Percent of total billed charges		411	100			Percent of total billed charges		411	33.3			Percent of total billed charges		136.863	33.3			Percent of total billed charges		136.863	100			Percent of total billed charges		411	136.863	369.9	
plate cloverleaf 7 hoe 152mm 241.87	278	RC	Outpatient			411	267.15		90			Percent of total billed charges		369.9	40			Percent of total billed charges		164.4	80			Percent of total billed charges		328.8	90			Percent of total billed charges		369.9	85			Percent of total billed charges		349.35	85			Percent of total billed charges		349.35	85			Percent of total billed charges		349.35	100			Percent of total billed charges		411	100			Percent of total billed charges		411	100			Percent of total billed charges		411	33.3			Percent of total billed charges		136.863	33.3			Percent of total billed charges		136.863	100			Percent of total billed charges		411	136.863	369.9	
s/n 4.5 hole filler 74800603	278	RC	Outpatient			411	267.15		90			Percent of total billed charges		369.9	40			Percent of total billed charges		164.4	80			Percent of total billed charges		328.8	90			Percent of total billed charges		369.9	85			Percent of total billed charges		349.35	85			Percent of total billed charges		349.35	85			Percent of total billed charges		349.35	100			Percent of total billed charges		411	100			Percent of total billed charges		411	100			Percent of total billed charges		411	33.3			Percent of total billed charges		136.863	33.3			Percent of total billed charges		136.863	100			Percent of total billed charges		411	136.863	369.9	
acutrak 2.7mm  screw 12.0mm 27-0120	278	RC	Outpatient			412	267.8		90			Percent of total billed charges		370.8	40			Percent of total billed charges		164.8	80			Percent of total billed charges		329.6	90			Percent of total billed charges		370.8	85			Percent of total billed charges		350.2	85			Percent of total billed charges		350.2	85			Percent of total billed charges		350.2	100			Percent of total billed charges		412	100			Percent of total billed charges		412	100			Percent of total billed charges		412	33.3			Percent of total billed charges		137.196	33.3			Percent of total billed charges		137.196	100			Percent of total billed charges		412	137.196	370.8	
acutrak 2.7mm  screw 20.0mm 27-0200	278	RC	Outpatient			412	267.8		90			Percent of total billed charges		370.8	40			Percent of total billed charges		164.8	80			Percent of total billed charges		329.6	90			Percent of total billed charges		370.8	85			Percent of total billed charges		350.2	85			Percent of total billed charges		350.2	85			Percent of total billed charges		350.2	100			Percent of total billed charges		412	100			Percent of total billed charges		412	100			Percent of total billed charges		412	33.3			Percent of total billed charges		137.196	33.3			Percent of total billed charges		137.196	100			Percent of total billed charges		412	137.196	370.8	
acutrak 2.7mm  screw 24.0mm 27-0240	278	RC	Outpatient			412	267.8		90			Percent of total billed charges		370.8	40			Percent of total billed charges		164.8	80			Percent of total billed charges		329.6	90			Percent of total billed charges		370.8	85			Percent of total billed charges		350.2	85			Percent of total billed charges		350.2	85			Percent of total billed charges		350.2	100			Percent of total billed charges		412	100			Percent of total billed charges		412	100			Percent of total billed charges		412	33.3			Percent of total billed charges		137.196	33.3			Percent of total billed charges		137.196	100			Percent of total billed charges		412	137.196	370.8	
acutrak 3.5mm  screw 14.0mm fa-0140	278	RC	Outpatient			412	267.8		90			Percent of total billed charges		370.8	40			Percent of total billed charges		164.8	80			Percent of total billed charges		329.6	90			Percent of total billed charges		370.8	85			Percent of total billed charges		350.2	85			Percent of total billed charges		350.2	85			Percent of total billed charges		350.2	100			Percent of total billed charges		412	100			Percent of total billed charges		412	100			Percent of total billed charges		412	33.3			Percent of total billed charges		137.196	33.3			Percent of total billed charges		137.196	100			Percent of total billed charges		412	137.196	370.8	
acutrak 3.5mm  screw 18.0mm fa-0840	278	RC	Outpatient			412	267.8		90			Percent of total billed charges		370.8	40			Percent of total billed charges		164.8	80			Percent of total billed charges		329.6	90			Percent of total billed charges		370.8	85			Percent of total billed charges		350.2	85			Percent of total billed charges		350.2	85			Percent of total billed charges		350.2	100			Percent of total billed charges		412	100			Percent of total billed charges		412	100			Percent of total billed charges		412	33.3			Percent of total billed charges		137.196	33.3			Percent of total billed charges		137.196	100			Percent of total billed charges		412	137.196	370.8	
acutrak 3.5mm  screw 19.0mm fa-0160	278	RC	Outpatient			412	267.8		90			Percent of total billed charges		370.8	40			Percent of total billed charges		164.8	80			Percent of total billed charges		329.6	90			Percent of total billed charges		370.8	85			Percent of total billed charges		350.2	85			Percent of total billed charges		350.2	85			Percent of total billed charges		350.2	100			Percent of total billed charges		412	100			Percent of total billed charges		412	100			Percent of total billed charges		412	33.3			Percent of total billed charges		137.196	33.3			Percent of total billed charges		137.196	100			Percent of total billed charges		412	137.196	370.8	
acutrak 3.5mm  screw 20.0mm fa-0200	278	RC	Outpatient			412	267.8		90			Percent of total billed charges		370.8	40			Percent of total billed charges		164.8	80			Percent of total billed charges		329.6	90			Percent of total billed charges		370.8	85			Percent of total billed charges		350.2	85			Percent of total billed charges		350.2	85			Percent of total billed charges		350.2	100			Percent of total billed charges		412	100			Percent of total billed charges		412	100			Percent of total billed charges		412	33.3			Percent of total billed charges		137.196	33.3			Percent of total billed charges		137.196	100			Percent of total billed charges		412	137.196	370.8	
acutrak 3.5mm  screw 30.0mm fa-0130	278	RC	Outpatient			412	267.8		90			Percent of total billed charges		370.8	40			Percent of total billed charges		164.8	80			Percent of total billed charges		329.6	90			Percent of total billed charges		370.8	85			Percent of total billed charges		350.2	85			Percent of total billed charges		350.2	85			Percent of total billed charges		350.2	100			Percent of total billed charges		412	100			Percent of total billed charges		412	100			Percent of total billed charges		412	33.3			Percent of total billed charges		137.196	33.3			Percent of total billed charges		137.196	100			Percent of total billed charges		412	137.196	370.8	
acutrak 3.5mm screw 26.0mm fa-0260	278	RC	Outpatient			412	267.8		90			Percent of total billed charges		370.8	40			Percent of total billed charges		164.8	80			Percent of total billed charges		329.6	90			Percent of total billed charges		370.8	85			Percent of total billed charges		350.2	85			Percent of total billed charges		350.2	85			Percent of total billed charges		350.2	100			Percent of total billed charges		412	100			Percent of total billed charges		412	100			Percent of total billed charges		412	33.3			Percent of total billed charges		137.196	33.3			Percent of total billed charges		137.196	100			Percent of total billed charges		412	137.196	370.8	
acutrak 4.0mm  screw 18.0mm fa-4018	278	RC	Outpatient			412	267.8		90			Percent of total billed charges		370.8	40			Percent of total billed charges		164.8	80			Percent of total billed charges		329.6	90			Percent of total billed charges		370.8	85			Percent of total billed charges		350.2	85			Percent of total billed charges		350.2	85			Percent of total billed charges		350.2	100			Percent of total billed charges		412	100			Percent of total billed charges		412	100			Percent of total billed charges		412	33.3			Percent of total billed charges		137.196	33.3			Percent of total billed charges		137.196	100			Percent of total billed charges		412	137.196	370.8	
acutrak 4.0mm  screw 24.0mm fa-4024	278	RC	Outpatient			412	267.8		90			Percent of total billed charges		370.8	40			Percent of total billed charges		164.8	80			Percent of total billed charges		329.6	90			Percent of total billed charges		370.8	85			Percent of total billed charges		350.2	85			Percent of total billed charges		350.2	85			Percent of total billed charges		350.2	100			Percent of total billed charges		412	100			Percent of total billed charges		412	100			Percent of total billed charges		412	33.3			Percent of total billed charges		137.196	33.3			Percent of total billed charges		137.196	100			Percent of total billed charges		412	137.196	370.8	
acutrak 4.0mm screw 16.0mm fa-4016	278	RC	Outpatient			412	267.8		90			Percent of total billed charges		370.8	40			Percent of total billed charges		164.8	80			Percent of total billed charges		329.6	90			Percent of total billed charges		370.8	85			Percent of total billed charges		350.2	85			Percent of total billed charges		350.2	85			Percent of total billed charges		350.2	100			Percent of total billed charges		412	100			Percent of total billed charges		412	100			Percent of total billed charges		412	33.3			Percent of total billed charges		137.196	33.3			Percent of total billed charges		137.196	100			Percent of total billed charges		412	137.196	370.8	
acutrak 50mm tension band pin tb-1550k-s	278	RC	Outpatient			412	267.8		90			Percent of total billed charges		370.8	40			Percent of total billed charges		164.8	80			Percent of total billed charges		329.6	90			Percent of total billed charges		370.8	85			Percent of total billed charges		350.2	85			Percent of total billed charges		350.2	85			Percent of total billed charges		350.2	100			Percent of total billed charges		412	100			Percent of total billed charges		412	100			Percent of total billed charges		412	33.3			Percent of total billed charges		137.196	33.3			Percent of total billed charges		137.196	100			Percent of total billed charges		412	137.196	370.8	
acutrak 90mm tension band pin tb-1590k-s	278	RC	Outpatient			412	267.8		90			Percent of total billed charges		370.8	40			Percent of total billed charges		164.8	80			Percent of total billed charges		329.6	90			Percent of total billed charges		370.8	85			Percent of total billed charges		350.2	85			Percent of total billed charges		350.2	85			Percent of total billed charges		350.2	100			Percent of total billed charges		412	100			Percent of total billed charges		412	100			Percent of total billed charges		412	33.3			Percent of total billed charges		137.196	33.3			Percent of total billed charges		137.196	100			Percent of total billed charges		412	137.196	370.8	
3.2mm cannulated drill bit ar-8750-04 arthrex	272	RC	Outpatient			412	267.8		90			Percent of total billed charges		370.8	40			Percent of total billed charges		164.8	80			Percent of total billed charges		329.6	90			Percent of total billed charges		370.8	85			Percent of total billed charges		350.2	85			Percent of total billed charges		350.2	85			Percent of total billed charges		350.2	100			Percent of total billed charges		412	100			Percent of total billed charges		412	100			Percent of total billed charges		412	33.3			Percent of total billed charges		137.196	33.3			Percent of total billed charges		137.196	100			Percent of total billed charges		412	137.196	370.8	
acutrak 2.7mm  screw 16.0mm 27-0160	278	RC	Outpatient			412	267.8		90			Percent of total billed charges		370.8	40			Percent of total billed charges		164.8	80			Percent of total billed charges		329.6	90			Percent of total billed charges		370.8	85			Percent of total billed charges		350.2	85			Percent of total billed charges		350.2	85			Percent of total billed charges		350.2	100			Percent of total billed charges		412	100			Percent of total billed charges		412	100			Percent of total billed charges		412	33.3			Percent of total billed charges		137.196	33.3			Percent of total billed charges		137.196	100			Percent of total billed charges		412	137.196	370.8	
acutrak 2.7mm  screw 18.0mm 27-0180	278	RC	Outpatient			412	267.8		90			Percent of total billed charges		370.8	40			Percent of total billed charges		164.8	80			Percent of total billed charges		329.6	90			Percent of total billed charges		370.8	85			Percent of total billed charges		350.2	85			Percent of total billed charges		350.2	85			Percent of total billed charges		350.2	100			Percent of total billed charges		412	100			Percent of total billed charges		412	100			Percent of total billed charges		412	33.3			Percent of total billed charges		137.196	33.3			Percent of total billed charges		137.196	100			Percent of total billed charges		412	137.196	370.8	
acutrak 2.7mm screw 14.0mm 27-0140	278	RC	Outpatient			412	267.8		90			Percent of total billed charges		370.8	40			Percent of total billed charges		164.8	80			Percent of total billed charges		329.6	90			Percent of total billed charges		370.8	85			Percent of total billed charges		350.2	85			Percent of total billed charges		350.2	85			Percent of total billed charges		350.2	100			Percent of total billed charges		412	100			Percent of total billed charges		412	100			Percent of total billed charges		412	33.3			Percent of total billed charges		137.196	33.3			Percent of total billed charges		137.196	100			Percent of total billed charges		412	137.196	370.8	
acutrak 2.7mm screw 22.0mm 27-0220	278	RC	Outpatient			412	267.8		90			Percent of total billed charges		370.8	40			Percent of total billed charges		164.8	80			Percent of total billed charges		329.6	90			Percent of total billed charges		370.8	85			Percent of total billed charges		350.2	85			Percent of total billed charges		350.2	85			Percent of total billed charges		350.2	100			Percent of total billed charges		412	100			Percent of total billed charges		412	100			Percent of total billed charges		412	33.3			Percent of total billed charges		137.196	33.3			Percent of total billed charges		137.196	100			Percent of total billed charges		412	137.196	370.8	
acutrak 3.5mm  screw 28.0mm fa-0280	278	RC	Outpatient			412	267.8		90			Percent of total billed charges		370.8	40			Percent of total billed charges		164.8	80			Percent of total billed charges		329.6	90			Percent of total billed charges		370.8	85			Percent of total billed charges		350.2	85			Percent of total billed charges		350.2	85			Percent of total billed charges		350.2	100			Percent of total billed charges		412	100			Percent of total billed charges		412	100			Percent of total billed charges		412	33.3			Percent of total billed charges		137.196	33.3			Percent of total billed charges		137.196	100			Percent of total billed charges		412	137.196	370.8	
acutrak 3.5mm screw 24.0mm fa-0440	278	RC	Outpatient			412	267.8		90			Percent of total billed charges		370.8	40			Percent of total billed charges		164.8	80			Percent of total billed charges		329.6	90			Percent of total billed charges		370.8	85			Percent of total billed charges		350.2	85			Percent of total billed charges		350.2	85			Percent of total billed charges		350.2	100			Percent of total billed charges		412	100			Percent of total billed charges		412	100			Percent of total billed charges		412	33.3			Percent of total billed charges		137.196	33.3			Percent of total billed charges		137.196	100			Percent of total billed charges		412	137.196	370.8	
acutrak 4.0mm  screw 20.0mm fa-4020	278	RC	Outpatient			412	267.8		90			Percent of total billed charges		370.8	40			Percent of total billed charges		164.8	80			Percent of total billed charges		329.6	90			Percent of total billed charges		370.8	85			Percent of total billed charges		350.2	85			Percent of total billed charges		350.2	85			Percent of total billed charges		350.2	100			Percent of total billed charges		412	100			Percent of total billed charges		412	100			Percent of total billed charges		412	33.3			Percent of total billed charges		137.196	33.3			Percent of total billed charges		137.196	100			Percent of total billed charges		412	137.196	370.8	
acutrak 4.0mm screw 22.0mm fa-4022	278	RC	Outpatient			412	267.8		90			Percent of total billed charges		370.8	40			Percent of total billed charges		164.8	80			Percent of total billed charges		329.6	90			Percent of total billed charges		370.8	85			Percent of total billed charges		350.2	85			Percent of total billed charges		350.2	85			Percent of total billed charges		350.2	100			Percent of total billed charges		412	100			Percent of total billed charges		412	100			Percent of total billed charges		412	33.3			Percent of total billed charges		137.196	33.3			Percent of total billed charges		137.196	100			Percent of total billed charges		412	137.196	370.8	
acutrak 70mm tension band pin tb-1570k-s	278	RC	Outpatient			412	267.8		90			Percent of total billed charges		370.8	40			Percent of total billed charges		164.8	80			Percent of total billed charges		329.6	90			Percent of total billed charges		370.8	85			Percent of total billed charges		350.2	85			Percent of total billed charges		350.2	85			Percent of total billed charges		350.2	100			Percent of total billed charges		412	100			Percent of total billed charges		412	100			Percent of total billed charges		412	33.3			Percent of total billed charges		137.196	33.3			Percent of total billed charges		137.196	100			Percent of total billed charges		412	137.196	370.8	
acutrak tension band pin	278	RC	Outpatient			412	267.8		90			Percent of total billed charges		370.8	40			Percent of total billed charges		164.8	80			Percent of total billed charges		329.6	90			Percent of total billed charges		370.8	85			Percent of total billed charges		350.2	85			Percent of total billed charges		350.2	85			Percent of total billed charges		350.2	100			Percent of total billed charges		412	100			Percent of total billed charges		412	100			Percent of total billed charges		412	33.3			Percent of total billed charges		137.196	33.3			Percent of total billed charges		137.196	100			Percent of total billed charges		412	137.196	370.8	
biomend 30 x 40	270	RC	Outpatient			412	267.8		90			Percent of total billed charges		370.8	40			Percent of total billed charges		164.8	80			Percent of total billed charges		329.6	90			Percent of total billed charges		370.8	85			Percent of total billed charges		350.2	85			Percent of total billed charges		350.2	85			Percent of total billed charges		350.2	100			Percent of total billed charges		412	100			Percent of total billed charges		412	100			Percent of total billed charges		412	33.3			Percent of total billed charges		137.196	33.3			Percent of total billed charges		137.196	100			Percent of total billed charges		412	137.196	370.8	
biomend 30 x 40 sulzer dental 0107	270	RC	Outpatient			412	267.8		90			Percent of total billed charges		370.8	40			Percent of total billed charges		164.8	80			Percent of total billed charges		329.6	90			Percent of total billed charges		370.8	85			Percent of total billed charges		350.2	85			Percent of total billed charges		350.2	85			Percent of total billed charges		350.2	100			Percent of total billed charges		412	100			Percent of total billed charges		412	100			Percent of total billed charges		412	33.3			Percent of total billed charges		137.196	33.3			Percent of total billed charges		137.196	100			Percent of total billed charges		412	137.196	370.8	
picc 5fr power	270	RC	Outpatient			412	267.8		90			Percent of total billed charges		370.8	40			Percent of total billed charges		164.8	80			Percent of total billed charges		329.6	90			Percent of total billed charges		370.8	85			Percent of total billed charges		350.2	85			Percent of total billed charges		350.2	85			Percent of total billed charges		350.2	100			Percent of total billed charges		412	100			Percent of total billed charges		412	100			Percent of total billed charges		412	33.3			Percent of total billed charges		137.196	33.3			Percent of total billed charges		137.196	100			Percent of total billed charges		412	137.196	370.8	
bs 6295 adapter	278	RC	Outpatient			413	268.45		90			Percent of total billed charges		371.7	40			Percent of total billed charges		165.2	80			Percent of total billed charges		330.4	90			Percent of total billed charges		371.7	85			Percent of total billed charges		351.05	85			Percent of total billed charges		351.05	85			Percent of total billed charges		351.05	100			Percent of total billed charges		413	100			Percent of total billed charges		413	100			Percent of total billed charges		413	33.3			Percent of total billed charges		137.529	33.3			Percent of total billed charges		137.529	100			Percent of total billed charges		413	137.529	371.7	
diego power dissector blade gyrus 70138000	272	RC	Outpatient			413	268.45		90			Percent of total billed charges		371.7	40			Percent of total billed charges		165.2	80			Percent of total billed charges		330.4	90			Percent of total billed charges		371.7	85			Percent of total billed charges		351.05	85			Percent of total billed charges		351.05	85			Percent of total billed charges		351.05	100			Percent of total billed charges		413	100			Percent of total billed charges		413	100			Percent of total billed charges		413	33.3			Percent of total billed charges		137.529	33.3			Percent of total billed charges		137.529	100			Percent of total billed charges		413	137.529	371.7	
gyrus diego dis blade	272	RC	Outpatient			413	268.45		90			Percent of total billed charges		371.7	40			Percent of total billed charges		165.2	80			Percent of total billed charges		330.4	90			Percent of total billed charges		371.7	85			Percent of total billed charges		351.05	85			Percent of total billed charges		351.05	85			Percent of total billed charges		351.05	100			Percent of total billed charges		413	100			Percent of total billed charges		413	100			Percent of total billed charges		413	33.3			Percent of total billed charges		137.529	33.3			Percent of total billed charges		137.529	100			Percent of total billed charges		413	137.529	371.7	
endo clip 10mm	270	RC	Outpatient			413	268.45		90			Percent of total billed charges		371.7	40			Percent of total billed charges		165.2	80			Percent of total billed charges		330.4	90			Percent of total billed charges		371.7	85			Percent of total billed charges		351.05	85			Percent of total billed charges		351.05	85			Percent of total billed charges		351.05	100			Percent of total billed charges		413	100			Percent of total billed charges		413	100			Percent of total billed charges		413	33.3			Percent of total billed charges		137.529	33.3			Percent of total billed charges		137.529	100			Percent of total billed charges		413	137.529	371.7	
laparoscopic clip applier 10mm ca080 applied medical	270	RC	Outpatient			413	268.45		90			Percent of total billed charges		371.7	40			Percent of total billed charges		165.2	80			Percent of total billed charges		330.4	90			Percent of total billed charges		371.7	85			Percent of total billed charges		351.05	85			Percent of total billed charges		351.05	85			Percent of total billed charges		351.05	100			Percent of total billed charges		413	100			Percent of total billed charges		413	100			Percent of total billed charges		413	33.3			Percent of total billed charges		137.529	33.3			Percent of total billed charges		137.529	100			Percent of total billed charges		413	137.529	371.7	
mentor smooth round moderate profile saline  350-1620	278	RC	Outpatient			413	268.45		90			Percent of total billed charges		371.7	40			Percent of total billed charges		165.2	80			Percent of total billed charges		330.4	90			Percent of total billed charges		371.7	85			Percent of total billed charges		351.05	85			Percent of total billed charges		351.05	85			Percent of total billed charges		351.05	100			Percent of total billed charges		413	100			Percent of total billed charges		413	100			Percent of total billed charges		413	33.3			Percent of total billed charges		137.529	33.3			Percent of total billed charges		137.529	100			Percent of total billed charges		413	137.529	371.7	
access 3.2mm steinmann pin 110003484 biomet	272	RC	Outpatient			414	269.1		90			Percent of total billed charges		372.6	40			Percent of total billed charges		165.6	80			Percent of total billed charges		331.2	90			Percent of total billed charges		372.6	85			Percent of total billed charges		351.9	85			Percent of total billed charges		351.9	85			Percent of total billed charges		351.9	100			Percent of total billed charges		414	100			Percent of total billed charges		414	100			Percent of total billed charges		414	33.3			Percent of total billed charges		137.862	33.3			Percent of total billed charges		137.862	100			Percent of total billed charges		414	137.862	372.6	
acetabular screw stryker 25mm 2030-6525-1	278	RC	Outpatient			414	269.1		90			Percent of total billed charges		372.6	40			Percent of total billed charges		165.6	80			Percent of total billed charges		331.2	90			Percent of total billed charges		372.6	85			Percent of total billed charges		351.9	85			Percent of total billed charges		351.9	85			Percent of total billed charges		351.9	100			Percent of total billed charges		414	100			Percent of total billed charges		414	100			Percent of total billed charges		414	33.3			Percent of total billed charges		137.862	33.3			Percent of total billed charges		137.862	100			Percent of total billed charges		414	137.862	372.6	
acetabular screw stryker 35mm 2030-6535-1	278	RC	Outpatient			414	269.1		90			Percent of total billed charges		372.6	40			Percent of total billed charges		165.6	80			Percent of total billed charges		331.2	90			Percent of total billed charges		372.6	85			Percent of total billed charges		351.9	85			Percent of total billed charges		351.9	85			Percent of total billed charges		351.9	100			Percent of total billed charges		414	100			Percent of total billed charges		414	100			Percent of total billed charges		414	33.3			Percent of total billed charges		137.862	33.3			Percent of total billed charges		137.862	100			Percent of total billed charges		414	137.862	372.6	
acetabular screw stryker 45mm 2030-6545-1	278	RC	Outpatient			414	269.1		90			Percent of total billed charges		372.6	40			Percent of total billed charges		165.6	80			Percent of total billed charges		331.2	90			Percent of total billed charges		372.6	85			Percent of total billed charges		351.9	85			Percent of total billed charges		351.9	85			Percent of total billed charges		351.9	100			Percent of total billed charges		414	100			Percent of total billed charges		414	100			Percent of total billed charges		414	33.3			Percent of total billed charges		137.862	33.3			Percent of total billed charges		137.862	100			Percent of total billed charges		414	137.862	372.6	
acetabular screw stryker 50mm 2030-6550-1	278	RC	Outpatient			414	269.1		90			Percent of total billed charges		372.6	40			Percent of total billed charges		165.6	80			Percent of total billed charges		331.2	90			Percent of total billed charges		372.6	85			Percent of total billed charges		351.9	85			Percent of total billed charges		351.9	85			Percent of total billed charges		351.9	100			Percent of total billed charges		414	100			Percent of total billed charges		414	100			Percent of total billed charges		414	33.3			Percent of total billed charges		137.862	33.3			Percent of total billed charges		137.862	100			Percent of total billed charges		414	137.862	372.6	
biomet titanium screw  5.0 x 30mm 113846	278	RC	Outpatient			414	269.1		90			Percent of total billed charges		372.6	40			Percent of total billed charges		165.6	80			Percent of total billed charges		331.2	90			Percent of total billed charges		372.6	85			Percent of total billed charges		351.9	85			Percent of total billed charges		351.9	85			Percent of total billed charges		351.9	100			Percent of total billed charges		414	100			Percent of total billed charges		414	100			Percent of total billed charges		414	33.3			Percent of total billed charges		137.862	33.3			Percent of total billed charges		137.862	100			Percent of total billed charges		414	137.862	372.6	
7.0 univent endo-tube	270	RC	Outpatient			414	269.1		90			Percent of total billed charges		372.6	40			Percent of total billed charges		165.6	80			Percent of total billed charges		331.2	90			Percent of total billed charges		372.6	85			Percent of total billed charges		351.9	85			Percent of total billed charges		351.9	85			Percent of total billed charges		351.9	100			Percent of total billed charges		414	100			Percent of total billed charges		414	100			Percent of total billed charges		414	33.3			Percent of total billed charges		137.862	33.3			Percent of total billed charges		137.862	100			Percent of total billed charges		414	137.862	372.6	
acetabular screw stryker 10mm 2030-6520-1	278	RC	Outpatient			414	269.1		90			Percent of total billed charges		372.6	40			Percent of total billed charges		165.6	80			Percent of total billed charges		331.2	90			Percent of total billed charges		372.6	85			Percent of total billed charges		351.9	85			Percent of total billed charges		351.9	85			Percent of total billed charges		351.9	100			Percent of total billed charges		414	100			Percent of total billed charges		414	100			Percent of total billed charges		414	33.3			Percent of total billed charges		137.862	33.3			Percent of total billed charges		137.862	100			Percent of total billed charges		414	137.862	372.6	
acetabular screw stryker 16mm 2030-6516-1	278	RC	Outpatient			414	269.1		90			Percent of total billed charges		372.6	40			Percent of total billed charges		165.6	80			Percent of total billed charges		331.2	90			Percent of total billed charges		372.6	85			Percent of total billed charges		351.9	85			Percent of total billed charges		351.9	85			Percent of total billed charges		351.9	100			Percent of total billed charges		414	100			Percent of total billed charges		414	100			Percent of total billed charges		414	33.3			Percent of total billed charges		137.862	33.3			Percent of total billed charges		137.862	100			Percent of total billed charges		414	137.862	372.6	
acetabular screw stryker 30mm 2030-6530-1	278	RC	Outpatient			414	269.1		90			Percent of total billed charges		372.6	40			Percent of total billed charges		165.6	80			Percent of total billed charges		331.2	90			Percent of total billed charges		372.6	85			Percent of total billed charges		351.9	85			Percent of total billed charges		351.9	85			Percent of total billed charges		351.9	100			Percent of total billed charges		414	100			Percent of total billed charges		414	100			Percent of total billed charges		414	33.3			Percent of total billed charges		137.862	33.3			Percent of total billed charges		137.862	100			Percent of total billed charges		414	137.862	372.6	
acetabular screw stryker 40mm 2030-6540-1	278	RC	Outpatient			414	269.1		90			Percent of total billed charges		372.6	40			Percent of total billed charges		165.6	80			Percent of total billed charges		331.2	90			Percent of total billed charges		372.6	85			Percent of total billed charges		351.9	85			Percent of total billed charges		351.9	85			Percent of total billed charges		351.9	100			Percent of total billed charges		414	100			Percent of total billed charges		414	100			Percent of total billed charges		414	33.3			Percent of total billed charges		137.862	33.3			Percent of total billed charges		137.862	100			Percent of total billed charges		414	137.862	372.6	
acetabular screw stryker 55mm 2030-6516-55	278	RC	Outpatient			414	269.1		90			Percent of total billed charges		372.6	40			Percent of total billed charges		165.6	80			Percent of total billed charges		331.2	90			Percent of total billed charges		372.6	85			Percent of total billed charges		351.9	85			Percent of total billed charges		351.9	85			Percent of total billed charges		351.9	100			Percent of total billed charges		414	100			Percent of total billed charges		414	100			Percent of total billed charges		414	33.3			Percent of total billed charges		137.862	33.3			Percent of total billed charges		137.862	100			Percent of total billed charges		414	137.862	372.6	
acetabular screw stryker 60mm 2030-6560-1	278	RC	Outpatient			414	269.1		90			Percent of total billed charges		372.6	40			Percent of total billed charges		165.6	80			Percent of total billed charges		331.2	90			Percent of total billed charges		372.6	85			Percent of total billed charges		351.9	85			Percent of total billed charges		351.9	85			Percent of total billed charges		351.9	100			Percent of total billed charges		414	100			Percent of total billed charges		414	100			Percent of total billed charges		414	33.3			Percent of total billed charges		137.862	33.3			Percent of total billed charges		137.862	100			Percent of total billed charges		414	137.862	372.6	
ball tip guide rod for interchangeable reamers 3.0 mm x 900 mm 71118202 s/n	270	RC	Outpatient			414	269.1		90			Percent of total billed charges		372.6	40			Percent of total billed charges		165.6	80			Percent of total billed charges		331.2	90			Percent of total billed charges		372.6	85			Percent of total billed charges		351.9	85			Percent of total billed charges		351.9	85			Percent of total billed charges		351.9	100			Percent of total billed charges		414	100			Percent of total billed charges		414	100			Percent of total billed charges		414	33.3			Percent of total billed charges		137.862	33.3			Percent of total billed charges		137.862	100			Percent of total billed charges		414	137.862	372.6	
biomet 5.0 titanium screw	278	RC	Outpatient			414	269.1		90			Percent of total billed charges		372.6	40			Percent of total billed charges		165.6	80			Percent of total billed charges		331.2	90			Percent of total billed charges		372.6	85			Percent of total billed charges		351.9	85			Percent of total billed charges		351.9	85			Percent of total billed charges		351.9	100			Percent of total billed charges		414	100			Percent of total billed charges		414	100			Percent of total billed charges		414	33.3			Percent of total billed charges		137.862	33.3			Percent of total billed charges		137.862	100			Percent of total billed charges		414	137.862	372.6	
biomet steinman pin 3.2	272	RC	Outpatient			414	269.1		90			Percent of total billed charges		372.6	40			Percent of total billed charges		165.6	80			Percent of total billed charges		331.2	90			Percent of total billed charges		372.6	85			Percent of total billed charges		351.9	85			Percent of total billed charges		351.9	85			Percent of total billed charges		351.9	100			Percent of total billed charges		414	100			Percent of total billed charges		414	100			Percent of total billed charges		414	33.3			Percent of total billed charges		137.862	33.3			Percent of total billed charges		137.862	100			Percent of total billed charges		414	137.862	372.6	
biomet titanium screw  5.0 x 20mm 113844	278	RC	Outpatient			414	269.1		90			Percent of total billed charges		372.6	40			Percent of total billed charges		165.6	80			Percent of total billed charges		331.2	90			Percent of total billed charges		372.6	85			Percent of total billed charges		351.9	85			Percent of total billed charges		351.9	85			Percent of total billed charges		351.9	100			Percent of total billed charges		414	100			Percent of total billed charges		414	100			Percent of total billed charges		414	33.3			Percent of total billed charges		137.862	33.3			Percent of total billed charges		137.862	100			Percent of total billed charges		414	137.862	372.6	
biomet titanium screw 5.0 x 40mm 113848	278	RC	Outpatient			414	269.1		90			Percent of total billed charges		372.6	40			Percent of total billed charges		165.6	80			Percent of total billed charges		331.2	90			Percent of total billed charges		372.6	85			Percent of total billed charges		351.9	85			Percent of total billed charges		351.9	85			Percent of total billed charges		351.9	100			Percent of total billed charges		414	100			Percent of total billed charges		414	100			Percent of total billed charges		414	33.3			Percent of total billed charges		137.862	33.3			Percent of total billed charges		137.862	100			Percent of total billed charges		414	137.862	372.6	
gastrstmy button replcmnt	270	RC	Outpatient			414	269.1		90			Percent of total billed charges		372.6	40			Percent of total billed charges		165.6	80			Percent of total billed charges		331.2	90			Percent of total billed charges		372.6	85			Percent of total billed charges		351.9	85			Percent of total billed charges		351.9	85			Percent of total billed charges		351.9	100			Percent of total billed charges		414	100			Percent of total billed charges		414	100			Percent of total billed charges		414	33.3			Percent of total billed charges		137.862	33.3			Percent of total billed charges		137.862	100			Percent of total billed charges		414	137.862	372.6	
r/t im nail reamer guide rod 3.2 s/n 112007	270	RC	Outpatient			414	269.1		90			Percent of total billed charges		372.6	40			Percent of total billed charges		165.6	80			Percent of total billed charges		331.2	90			Percent of total billed charges		372.6	85			Percent of total billed charges		351.9	85			Percent of total billed charges		351.9	85			Percent of total billed charges		351.9	100			Percent of total billed charges		414	100			Percent of total billed charges		414	100			Percent of total billed charges		414	33.3			Percent of total billed charges		137.862	33.3			Percent of total billed charges		137.862	100			Percent of total billed charges		414	137.862	372.6	
rod guide reamer femor delta spade tp 3.2 x 900mm 1192007 s/n	270	RC	Outpatient			414	269.1		90			Percent of total billed charges		372.6	40			Percent of total billed charges		165.6	80			Percent of total billed charges		331.2	90			Percent of total billed charges		372.6	85			Percent of total billed charges		351.9	85			Percent of total billed charges		351.9	85			Percent of total billed charges		351.9	100			Percent of total billed charges		414	100			Percent of total billed charges		414	100			Percent of total billed charges		414	33.3			Percent of total billed charges		137.862	33.3			Percent of total billed charges		137.862	100			Percent of total billed charges		414	137.862	372.6	
rod guide russell-taylor strai 112059	270	RC	Outpatient			414	269.1		90			Percent of total billed charges		372.6	40			Percent of total billed charges		165.6	80			Percent of total billed charges		331.2	90			Percent of total billed charges		372.6	85			Percent of total billed charges		351.9	85			Percent of total billed charges		351.9	85			Percent of total billed charges		351.9	100			Percent of total billed charges		414	100			Percent of total billed charges		414	100			Percent of total billed charges		414	33.3			Percent of total billed charges		137.862	33.3			Percent of total billed charges		137.862	100			Percent of total billed charges		414	137.862	372.6	
titanium  screw 5.0mm x 70mm biomet 33-345438	278	RC	Outpatient			414	269.1		90			Percent of total billed charges		372.6	40			Percent of total billed charges		165.6	80			Percent of total billed charges		331.2	90			Percent of total billed charges		372.6	85			Percent of total billed charges		351.9	85			Percent of total billed charges		351.9	85			Percent of total billed charges		351.9	100			Percent of total billed charges		414	100			Percent of total billed charges		414	100			Percent of total billed charges		414	33.3			Percent of total billed charges		137.862	33.3			Percent of total billed charges		137.862	100			Percent of total billed charges		414	137.862	372.6	
titanium screw 5.0mm x 25mm biomet 33-345420	278	RC	Outpatient			414	269.1		90			Percent of total billed charges		372.6	40			Percent of total billed charges		165.6	80			Percent of total billed charges		331.2	90			Percent of total billed charges		372.6	85			Percent of total billed charges		351.9	85			Percent of total billed charges		351.9	85			Percent of total billed charges		351.9	100			Percent of total billed charges		414	100			Percent of total billed charges		414	100			Percent of total billed charges		414	33.3			Percent of total billed charges		137.862	33.3			Percent of total billed charges		137.862	100			Percent of total billed charges		414	137.862	372.6	
r/t im nail guide rod 112021 s/n	270	RC	Outpatient			414	269.1		90			Percent of total billed charges		372.6	40			Percent of total billed charges		165.6	80			Percent of total billed charges		331.2	90			Percent of total billed charges		372.6	85			Percent of total billed charges		351.9	85			Percent of total billed charges		351.9	85			Percent of total billed charges		351.9	100			Percent of total billed charges		414	100			Percent of total billed charges		414	100			Percent of total billed charges		414	33.3			Percent of total billed charges		137.862	33.3			Percent of total billed charges		137.862	100			Percent of total billed charges		414	137.862	372.6	
rod guide 2.4mm x 700mm 11-5123 s/n	270	RC	Outpatient			414	269.1		90			Percent of total billed charges		372.6	40			Percent of total billed charges		165.6	80			Percent of total billed charges		331.2	90			Percent of total billed charges		372.6	85			Percent of total billed charges		351.9	85			Percent of total billed charges		351.9	85			Percent of total billed charges		351.9	100			Percent of total billed charges		414	100			Percent of total billed charges		414	100			Percent of total billed charges		414	33.3			Percent of total billed charges		137.862	33.3			Percent of total billed charges		137.862	100			Percent of total billed charges		414	137.862	372.6	
rod guide 3.2mm f/reamer w/cur 11-5057	270	RC	Outpatient			414	269.1		90			Percent of total billed charges		372.6	40			Percent of total billed charges		165.6	80			Percent of total billed charges		331.2	90			Percent of total billed charges		372.6	85			Percent of total billed charges		351.9	85			Percent of total billed charges		351.9	85			Percent of total billed charges		351.9	100			Percent of total billed charges		414	100			Percent of total billed charges		414	100			Percent of total billed charges		414	33.3			Percent of total billed charges		137.862	33.3			Percent of total billed charges		137.862	100			Percent of total billed charges		414	137.862	372.6	
rod guide ball tip 3mm x 1000mm 71631126 s/n	270	RC	Outpatient			414	269.1		90			Percent of total billed charges		372.6	40			Percent of total billed charges		165.6	80			Percent of total billed charges		331.2	90			Percent of total billed charges		372.6	85			Percent of total billed charges		351.9	85			Percent of total billed charges		351.9	85			Percent of total billed charges		351.9	100			Percent of total billed charges		414	100			Percent of total billed charges		414	100			Percent of total billed charges		414	33.3			Percent of total billed charges		137.862	33.3			Percent of total billed charges		137.862	100			Percent of total billed charges		414	137.862	372.6	
s/n im guide rod-ball	270	RC	Outpatient			414	269.1		90			Percent of total billed charges		372.6	40			Percent of total billed charges		165.6	80			Percent of total billed charges		331.2	90			Percent of total billed charges		372.6	85			Percent of total billed charges		351.9	85			Percent of total billed charges		351.9	85			Percent of total billed charges		351.9	100			Percent of total billed charges		414	100			Percent of total billed charges		414	100			Percent of total billed charges		414	33.3			Percent of total billed charges		137.862	33.3			Percent of total billed charges		137.862	100			Percent of total billed charges		414	137.862	372.6	
stryker screw 6.5	278	RC	Outpatient			414	269.1		90			Percent of total billed charges		372.6	40			Percent of total billed charges		165.6	80			Percent of total billed charges		331.2	90			Percent of total billed charges		372.6	85			Percent of total billed charges		351.9	85			Percent of total billed charges		351.9	85			Percent of total billed charges		351.9	100			Percent of total billed charges		414	100			Percent of total billed charges		414	100			Percent of total billed charges		414	33.3			Percent of total billed charges		137.862	33.3			Percent of total billed charges		137.862	100			Percent of total billed charges		414	137.862	372.6	
titanium  screw  5.0mm x 40mm biomet 33-345426	278	RC	Outpatient			414	269.1		90			Percent of total billed charges		372.6	40			Percent of total billed charges		165.6	80			Percent of total billed charges		331.2	90			Percent of total billed charges		372.6	85			Percent of total billed charges		351.9	85			Percent of total billed charges		351.9	85			Percent of total billed charges		351.9	100			Percent of total billed charges		414	100			Percent of total billed charges		414	100			Percent of total billed charges		414	33.3			Percent of total billed charges		137.862	33.3			Percent of total billed charges		137.862	100			Percent of total billed charges		414	137.862	372.6	
univent bronchal blocker tube 7.0 cuffed h-0056	270	RC	Outpatient			414	269.1		90			Percent of total billed charges		372.6	40			Percent of total billed charges		165.6	80			Percent of total billed charges		331.2	90			Percent of total billed charges		372.6	85			Percent of total billed charges		351.9	85			Percent of total billed charges		351.9	85			Percent of total billed charges		351.9	100			Percent of total billed charges		414	100			Percent of total billed charges		414	100			Percent of total billed charges		414	33.3			Percent of total billed charges		137.862	33.3			Percent of total billed charges		137.862	100			Percent of total billed charges		414	137.862	372.6	
tube exchange r/t medullary 415113	270	RC	Outpatient			414	269.1		90			Percent of total billed charges		372.6	40			Percent of total billed charges		165.6	80			Percent of total billed charges		331.2	90			Percent of total billed charges		372.6	85			Percent of total billed charges		351.9	85			Percent of total billed charges		351.9	85			Percent of total billed charges		351.9	100			Percent of total billed charges		414	100			Percent of total billed charges		414	100			Percent of total billed charges		414	33.3			Percent of total billed charges		137.862	33.3			Percent of total billed charges		137.862	100			Percent of total billed charges		414	137.862	372.6	
balloon dilator disp	270	RC	Outpatient			416	270.4		90			Percent of total billed charges		374.4	40			Percent of total billed charges		166.4	80			Percent of total billed charges		332.8	90			Percent of total billed charges		374.4	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	100			Percent of total billed charges		416	100			Percent of total billed charges		416	100			Percent of total billed charges		416	33.3			Percent of total billed charges		138.528	33.3			Percent of total billed charges		138.528	100			Percent of total billed charges		416	138.528	374.4	
locking screw 4.0 x 14 370514 stryker	278	RC	Outpatient			416	270.4		90			Percent of total billed charges		374.4	40			Percent of total billed charges		166.4	80			Percent of total billed charges		332.8	90			Percent of total billed charges		374.4	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	100			Percent of total billed charges		416	100			Percent of total billed charges		416	100			Percent of total billed charges		416	33.3			Percent of total billed charges		138.528	33.3			Percent of total billed charges		138.528	100			Percent of total billed charges		416	138.528	374.4	
locking screw 4.0 x 20 370520 stryker	278	RC	Outpatient			416	270.4		90			Percent of total billed charges		374.4	40			Percent of total billed charges		166.4	80			Percent of total billed charges		332.8	90			Percent of total billed charges		374.4	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	100			Percent of total billed charges		416	100			Percent of total billed charges		416	100			Percent of total billed charges		416	33.3			Percent of total billed charges		138.528	33.3			Percent of total billed charges		138.528	100			Percent of total billed charges		416	138.528	374.4	
locking screw 4.0 x 24 370524 stryker	278	RC	Outpatient			416	270.4		90			Percent of total billed charges		374.4	40			Percent of total billed charges		166.4	80			Percent of total billed charges		332.8	90			Percent of total billed charges		374.4	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	100			Percent of total billed charges		416	100			Percent of total billed charges		416	100			Percent of total billed charges		416	33.3			Percent of total billed charges		138.528	33.3			Percent of total billed charges		138.528	100			Percent of total billed charges		416	138.528	374.4	
locking screw 4.0 x 26 370526 stryker	278	RC	Outpatient			416	270.4		90			Percent of total billed charges		374.4	40			Percent of total billed charges		166.4	80			Percent of total billed charges		332.8	90			Percent of total billed charges		374.4	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	100			Percent of total billed charges		416	100			Percent of total billed charges		416	100			Percent of total billed charges		416	33.3			Percent of total billed charges		138.528	33.3			Percent of total billed charges		138.528	100			Percent of total billed charges		416	138.528	374.4	
locking screw 4.0 x 28 371528 stryker	278	RC	Outpatient			416	270.4		90			Percent of total billed charges		374.4	40			Percent of total billed charges		166.4	80			Percent of total billed charges		332.8	90			Percent of total billed charges		374.4	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	100			Percent of total billed charges		416	100			Percent of total billed charges		416	100			Percent of total billed charges		416	33.3			Percent of total billed charges		138.528	33.3			Percent of total billed charges		138.528	100			Percent of total billed charges		416	138.528	374.4	
locking screw 4.0 x 30 370530 stryker	278	RC	Outpatient			416	270.4		90			Percent of total billed charges		374.4	40			Percent of total billed charges		166.4	80			Percent of total billed charges		332.8	90			Percent of total billed charges		374.4	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	100			Percent of total billed charges		416	100			Percent of total billed charges		416	100			Percent of total billed charges		416	33.3			Percent of total billed charges		138.528	33.3			Percent of total billed charges		138.528	100			Percent of total billed charges		416	138.528	374.4	
locking screw 4.0 x 30 371530 stryker	278	RC	Outpatient			416	270.4		90			Percent of total billed charges		374.4	40			Percent of total billed charges		166.4	80			Percent of total billed charges		332.8	90			Percent of total billed charges		374.4	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	100			Percent of total billed charges		416	100			Percent of total billed charges		416	100			Percent of total billed charges		416	33.3			Percent of total billed charges		138.528	33.3			Percent of total billed charges		138.528	100			Percent of total billed charges		416	138.528	374.4	
locking screw 4.0 x 32 370532 stryker	278	RC	Outpatient			416	270.4		90			Percent of total billed charges		374.4	40			Percent of total billed charges		166.4	80			Percent of total billed charges		332.8	90			Percent of total billed charges		374.4	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	100			Percent of total billed charges		416	100			Percent of total billed charges		416	100			Percent of total billed charges		416	33.3			Percent of total billed charges		138.528	33.3			Percent of total billed charges		138.528	100			Percent of total billed charges		416	138.528	374.4	
locking screw 4.0 x 34 370534 stryker	278	RC	Outpatient			416	270.4		90			Percent of total billed charges		374.4	40			Percent of total billed charges		166.4	80			Percent of total billed charges		332.8	90			Percent of total billed charges		374.4	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	100			Percent of total billed charges		416	100			Percent of total billed charges		416	100			Percent of total billed charges		416	33.3			Percent of total billed charges		138.528	33.3			Percent of total billed charges		138.528	100			Percent of total billed charges		416	138.528	374.4	
locking screw 4.0 x 36 370536 stryker	278	RC	Outpatient			416	270.4		90			Percent of total billed charges		374.4	40			Percent of total billed charges		166.4	80			Percent of total billed charges		332.8	90			Percent of total billed charges		374.4	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	100			Percent of total billed charges		416	100			Percent of total billed charges		416	100			Percent of total billed charges		416	33.3			Percent of total billed charges		138.528	33.3			Percent of total billed charges		138.528	100			Percent of total billed charges		416	138.528	374.4	
locking screw 4.0 x 36 371536 stryker	278	RC	Outpatient			416	270.4		90			Percent of total billed charges		374.4	40			Percent of total billed charges		166.4	80			Percent of total billed charges		332.8	90			Percent of total billed charges		374.4	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	100			Percent of total billed charges		416	100			Percent of total billed charges		416	100			Percent of total billed charges		416	33.3			Percent of total billed charges		138.528	33.3			Percent of total billed charges		138.528	100			Percent of total billed charges		416	138.528	374.4	
locking screw 4.0 x 38 370538 stryker	278	RC	Outpatient			416	270.4		90			Percent of total billed charges		374.4	40			Percent of total billed charges		166.4	80			Percent of total billed charges		332.8	90			Percent of total billed charges		374.4	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	100			Percent of total billed charges		416	100			Percent of total billed charges		416	100			Percent of total billed charges		416	33.3			Percent of total billed charges		138.528	33.3			Percent of total billed charges		138.528	100			Percent of total billed charges		416	138.528	374.4	
locking screw 4.0 x 38 371538 stryker	278	RC	Outpatient			416	270.4		90			Percent of total billed charges		374.4	40			Percent of total billed charges		166.4	80			Percent of total billed charges		332.8	90			Percent of total billed charges		374.4	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	100			Percent of total billed charges		416	100			Percent of total billed charges		416	100			Percent of total billed charges		416	33.3			Percent of total billed charges		138.528	33.3			Percent of total billed charges		138.528	100			Percent of total billed charges		416	138.528	374.4	
locking screw 4.0 x 42 370542 stryker	278	RC	Outpatient			416	270.4		90			Percent of total billed charges		374.4	40			Percent of total billed charges		166.4	80			Percent of total billed charges		332.8	90			Percent of total billed charges		374.4	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	100			Percent of total billed charges		416	100			Percent of total billed charges		416	100			Percent of total billed charges		416	33.3			Percent of total billed charges		138.528	33.3			Percent of total billed charges		138.528	100			Percent of total billed charges		416	138.528	374.4	
locking screw 4.0 x 44 370544 stryker	278	RC	Outpatient			416	270.4		90			Percent of total billed charges		374.4	40			Percent of total billed charges		166.4	80			Percent of total billed charges		332.8	90			Percent of total billed charges		374.4	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	100			Percent of total billed charges		416	100			Percent of total billed charges		416	100			Percent of total billed charges		416	33.3			Percent of total billed charges		138.528	33.3			Percent of total billed charges		138.528	100			Percent of total billed charges		416	138.528	374.4	
locking screw 4.0 x 44 371544 stryker	278	RC	Outpatient			416	270.4		90			Percent of total billed charges		374.4	40			Percent of total billed charges		166.4	80			Percent of total billed charges		332.8	90			Percent of total billed charges		374.4	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	100			Percent of total billed charges		416	100			Percent of total billed charges		416	100			Percent of total billed charges		416	33.3			Percent of total billed charges		138.528	33.3			Percent of total billed charges		138.528	100			Percent of total billed charges		416	138.528	374.4	
locking screw 4.0 x 48 371548 stryker	278	RC	Outpatient			416	270.4		90			Percent of total billed charges		374.4	40			Percent of total billed charges		166.4	80			Percent of total billed charges		332.8	90			Percent of total billed charges		374.4	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	100			Percent of total billed charges		416	100			Percent of total billed charges		416	100			Percent of total billed charges		416	33.3			Percent of total billed charges		138.528	33.3			Percent of total billed charges		138.528	100			Percent of total billed charges		416	138.528	374.4	
locking screw 4.0 x 50 371550 stryker	278	RC	Outpatient			416	270.4		90			Percent of total billed charges		374.4	40			Percent of total billed charges		166.4	80			Percent of total billed charges		332.8	90			Percent of total billed charges		374.4	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	100			Percent of total billed charges		416	100			Percent of total billed charges		416	100			Percent of total billed charges		416	33.3			Percent of total billed charges		138.528	33.3			Percent of total billed charges		138.528	100			Percent of total billed charges		416	138.528	374.4	
locking screw 4.0 x 55 370555 stryker	278	RC	Outpatient			416	270.4		90			Percent of total billed charges		374.4	40			Percent of total billed charges		166.4	80			Percent of total billed charges		332.8	90			Percent of total billed charges		374.4	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	100			Percent of total billed charges		416	100			Percent of total billed charges		416	100			Percent of total billed charges		416	33.3			Percent of total billed charges		138.528	33.3			Percent of total billed charges		138.528	100			Percent of total billed charges		416	138.528	374.4	
locking screw 4.0 x 70 371570 stryker	278	RC	Outpatient			416	270.4		90			Percent of total billed charges		374.4	40			Percent of total billed charges		166.4	80			Percent of total billed charges		332.8	90			Percent of total billed charges		374.4	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	100			Percent of total billed charges		416	100			Percent of total billed charges		416	100			Percent of total billed charges		416	33.3			Percent of total billed charges		138.528	33.3			Percent of total billed charges		138.528	100			Percent of total billed charges		416	138.528	374.4	
locking screw 4.0 x 75 370575 stryker	278	RC	Outpatient			416	270.4		90			Percent of total billed charges		374.4	40			Percent of total billed charges		166.4	80			Percent of total billed charges		332.8	90			Percent of total billed charges		374.4	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	100			Percent of total billed charges		416	100			Percent of total billed charges		416	100			Percent of total billed charges		416	33.3			Percent of total billed charges		138.528	33.3			Percent of total billed charges		138.528	100			Percent of total billed charges		416	138.528	374.4	
locking screw 4.0 x 75 371575 stryker	278	RC	Outpatient			416	270.4		90			Percent of total billed charges		374.4	40			Percent of total billed charges		166.4	80			Percent of total billed charges		332.8	90			Percent of total billed charges		374.4	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	100			Percent of total billed charges		416	100			Percent of total billed charges		416	100			Percent of total billed charges		416	33.3			Percent of total billed charges		138.528	33.3			Percent of total billed charges		138.528	100			Percent of total billed charges		416	138.528	374.4	
locking screw 4.0 x 85 370585 stryker	278	RC	Outpatient			416	270.4		90			Percent of total billed charges		374.4	40			Percent of total billed charges		166.4	80			Percent of total billed charges		332.8	90			Percent of total billed charges		374.4	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	100			Percent of total billed charges		416	100			Percent of total billed charges		416	100			Percent of total billed charges		416	33.3			Percent of total billed charges		138.528	33.3			Percent of total billed charges		138.528	100			Percent of total billed charges		416	138.528	374.4	
locking screw 4.0 x 85 371585 stryker	278	RC	Outpatient			416	270.4		90			Percent of total billed charges		374.4	40			Percent of total billed charges		166.4	80			Percent of total billed charges		332.8	90			Percent of total billed charges		374.4	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	100			Percent of total billed charges		416	100			Percent of total billed charges		416	100			Percent of total billed charges		416	33.3			Percent of total billed charges		138.528	33.3			Percent of total billed charges		138.528	100			Percent of total billed charges		416	138.528	374.4	
locking screw 4.0 x 90 370590 stryker	278	RC	Outpatient			416	270.4		90			Percent of total billed charges		374.4	40			Percent of total billed charges		166.4	80			Percent of total billed charges		332.8	90			Percent of total billed charges		374.4	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	100			Percent of total billed charges		416	100			Percent of total billed charges		416	100			Percent of total billed charges		416	33.3			Percent of total billed charges		138.528	33.3			Percent of total billed charges		138.528	100			Percent of total billed charges		416	138.528	374.4	
locking screw 4.0 x 18 370518 stryker	278	RC	Outpatient			416	270.4		90			Percent of total billed charges		374.4	40			Percent of total billed charges		166.4	80			Percent of total billed charges		332.8	90			Percent of total billed charges		374.4	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	100			Percent of total billed charges		416	100			Percent of total billed charges		416	100			Percent of total billed charges		416	33.3			Percent of total billed charges		138.528	33.3			Percent of total billed charges		138.528	100			Percent of total billed charges		416	138.528	374.4	
locking screw 4.0 x 22 370522 stryker	278	RC	Outpatient			416	270.4		90			Percent of total billed charges		374.4	40			Percent of total billed charges		166.4	80			Percent of total billed charges		332.8	90			Percent of total billed charges		374.4	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	100			Percent of total billed charges		416	100			Percent of total billed charges		416	100			Percent of total billed charges		416	33.3			Percent of total billed charges		138.528	33.3			Percent of total billed charges		138.528	100			Percent of total billed charges		416	138.528	374.4	
locking screw 4.0 x 24 371524 stryker	278	RC	Outpatient			416	270.4		90			Percent of total billed charges		374.4	40			Percent of total billed charges		166.4	80			Percent of total billed charges		332.8	90			Percent of total billed charges		374.4	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	100			Percent of total billed charges		416	100			Percent of total billed charges		416	100			Percent of total billed charges		416	33.3			Percent of total billed charges		138.528	33.3			Percent of total billed charges		138.528	100			Percent of total billed charges		416	138.528	374.4	
locking screw 4.0 x 26 371526 stryker	278	RC	Outpatient			416	270.4		90			Percent of total billed charges		374.4	40			Percent of total billed charges		166.4	80			Percent of total billed charges		332.8	90			Percent of total billed charges		374.4	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	100			Percent of total billed charges		416	100			Percent of total billed charges		416	100			Percent of total billed charges		416	33.3			Percent of total billed charges		138.528	33.3			Percent of total billed charges		138.528	100			Percent of total billed charges		416	138.528	374.4	
locking screw 4.0 x 28 370528 stryker	278	RC	Outpatient			416	270.4		90			Percent of total billed charges		374.4	40			Percent of total billed charges		166.4	80			Percent of total billed charges		332.8	90			Percent of total billed charges		374.4	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	100			Percent of total billed charges		416	100			Percent of total billed charges		416	100			Percent of total billed charges		416	33.3			Percent of total billed charges		138.528	33.3			Percent of total billed charges		138.528	100			Percent of total billed charges		416	138.528	374.4	
locking screw 4.0 x 32 371532 stryker	278	RC	Outpatient			416	270.4		90			Percent of total billed charges		374.4	40			Percent of total billed charges		166.4	80			Percent of total billed charges		332.8	90			Percent of total billed charges		374.4	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	100			Percent of total billed charges		416	100			Percent of total billed charges		416	100			Percent of total billed charges		416	33.3			Percent of total billed charges		138.528	33.3			Percent of total billed charges		138.528	100			Percent of total billed charges		416	138.528	374.4	
locking screw 4.0 x 34 371534 stryker	278	RC	Outpatient			416	270.4		90			Percent of total billed charges		374.4	40			Percent of total billed charges		166.4	80			Percent of total billed charges		332.8	90			Percent of total billed charges		374.4	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	100			Percent of total billed charges		416	100			Percent of total billed charges		416	100			Percent of total billed charges		416	33.3			Percent of total billed charges		138.528	33.3			Percent of total billed charges		138.528	100			Percent of total billed charges		416	138.528	374.4	
locking screw 4.0 x 40 370540 stryker	278	RC	Outpatient			416	270.4		90			Percent of total billed charges		374.4	40			Percent of total billed charges		166.4	80			Percent of total billed charges		332.8	90			Percent of total billed charges		374.4	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	100			Percent of total billed charges		416	100			Percent of total billed charges		416	100			Percent of total billed charges		416	33.3			Percent of total billed charges		138.528	33.3			Percent of total billed charges		138.528	100			Percent of total billed charges		416	138.528	374.4	
locking screw 4.0 x 40 371540 stryker	278	RC	Outpatient			416	270.4		90			Percent of total billed charges		374.4	40			Percent of total billed charges		166.4	80			Percent of total billed charges		332.8	90			Percent of total billed charges		374.4	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	100			Percent of total billed charges		416	100			Percent of total billed charges		416	100			Percent of total billed charges		416	33.3			Percent of total billed charges		138.528	33.3			Percent of total billed charges		138.528	100			Percent of total billed charges		416	138.528	374.4	
locking screw 4.0 x 42 371542 stryker	278	RC	Outpatient			416	270.4		90			Percent of total billed charges		374.4	40			Percent of total billed charges		166.4	80			Percent of total billed charges		332.8	90			Percent of total billed charges		374.4	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	100			Percent of total billed charges		416	100			Percent of total billed charges		416	100			Percent of total billed charges		416	33.3			Percent of total billed charges		138.528	33.3			Percent of total billed charges		138.528	100			Percent of total billed charges		416	138.528	374.4	
locking screw 4.0 x 46 370546 stryker	278	RC	Outpatient			416	270.4		90			Percent of total billed charges		374.4	40			Percent of total billed charges		166.4	80			Percent of total billed charges		332.8	90			Percent of total billed charges		374.4	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	100			Percent of total billed charges		416	100			Percent of total billed charges		416	100			Percent of total billed charges		416	33.3			Percent of total billed charges		138.528	33.3			Percent of total billed charges		138.528	100			Percent of total billed charges		416	138.528	374.4	
locking screw 4.0 x 46 371546 stryker	278	RC	Outpatient			416	270.4		90			Percent of total billed charges		374.4	40			Percent of total billed charges		166.4	80			Percent of total billed charges		332.8	90			Percent of total billed charges		374.4	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	100			Percent of total billed charges		416	100			Percent of total billed charges		416	100			Percent of total billed charges		416	33.3			Percent of total billed charges		138.528	33.3			Percent of total billed charges		138.528	100			Percent of total billed charges		416	138.528	374.4	
locking screw 4.0 x 48 370548 stryker	278	RC	Outpatient			416	270.4		90			Percent of total billed charges		374.4	40			Percent of total billed charges		166.4	80			Percent of total billed charges		332.8	90			Percent of total billed charges		374.4	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	100			Percent of total billed charges		416	100			Percent of total billed charges		416	100			Percent of total billed charges		416	33.3			Percent of total billed charges		138.528	33.3			Percent of total billed charges		138.528	100			Percent of total billed charges		416	138.528	374.4	
locking screw 4.0 x 50 370550 stryker	278	RC	Outpatient			416	270.4		90			Percent of total billed charges		374.4	40			Percent of total billed charges		166.4	80			Percent of total billed charges		332.8	90			Percent of total billed charges		374.4	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	100			Percent of total billed charges		416	100			Percent of total billed charges		416	100			Percent of total billed charges		416	33.3			Percent of total billed charges		138.528	33.3			Percent of total billed charges		138.528	100			Percent of total billed charges		416	138.528	374.4	
locking screw 4.0 x 60 370560 stryker	278	RC	Outpatient			416	270.4		90			Percent of total billed charges		374.4	40			Percent of total billed charges		166.4	80			Percent of total billed charges		332.8	90			Percent of total billed charges		374.4	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	100			Percent of total billed charges		416	100			Percent of total billed charges		416	100			Percent of total billed charges		416	33.3			Percent of total billed charges		138.528	33.3			Percent of total billed charges		138.528	100			Percent of total billed charges		416	138.528	374.4	
locking screw 4.0 x 65 370565 stryker	278	RC	Outpatient			416	270.4		90			Percent of total billed charges		374.4	40			Percent of total billed charges		166.4	80			Percent of total billed charges		332.8	90			Percent of total billed charges		374.4	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	100			Percent of total billed charges		416	100			Percent of total billed charges		416	100			Percent of total billed charges		416	33.3			Percent of total billed charges		138.528	33.3			Percent of total billed charges		138.528	100			Percent of total billed charges		416	138.528	374.4	
locking screw 4.0 x 70 370570 stryker	278	RC	Outpatient			416	270.4		90			Percent of total billed charges		374.4	40			Percent of total billed charges		166.4	80			Percent of total billed charges		332.8	90			Percent of total billed charges		374.4	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	100			Percent of total billed charges		416	100			Percent of total billed charges		416	100			Percent of total billed charges		416	33.3			Percent of total billed charges		138.528	33.3			Percent of total billed charges		138.528	100			Percent of total billed charges		416	138.528	374.4	
locking screw 4.0 x 80 370580 stryker	278	RC	Outpatient			416	270.4		90			Percent of total billed charges		374.4	40			Percent of total billed charges		166.4	80			Percent of total billed charges		332.8	90			Percent of total billed charges		374.4	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	100			Percent of total billed charges		416	100			Percent of total billed charges		416	100			Percent of total billed charges		416	33.3			Percent of total billed charges		138.528	33.3			Percent of total billed charges		138.528	100			Percent of total billed charges		416	138.528	374.4	
locking screw 4.0 x 80 371580 stryker	278	RC	Outpatient			416	270.4		90			Percent of total billed charges		374.4	40			Percent of total billed charges		166.4	80			Percent of total billed charges		332.8	90			Percent of total billed charges		374.4	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	100			Percent of total billed charges		416	100			Percent of total billed charges		416	100			Percent of total billed charges		416	33.3			Percent of total billed charges		138.528	33.3			Percent of total billed charges		138.528	100			Percent of total billed charges		416	138.528	374.4	
locking screw 4.0 x 90 371590 stryker	278	RC	Outpatient			416	270.4		90			Percent of total billed charges		374.4	40			Percent of total billed charges		166.4	80			Percent of total billed charges		332.8	90			Percent of total billed charges		374.4	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	100			Percent of total billed charges		416	100			Percent of total billed charges		416	100			Percent of total billed charges		416	33.3			Percent of total billed charges		138.528	33.3			Percent of total billed charges		138.528	100			Percent of total billed charges		416	138.528	374.4	
locking screw 4.0 x 95 370595 stryker	278	RC	Outpatient			416	270.4		90			Percent of total billed charges		374.4	40			Percent of total billed charges		166.4	80			Percent of total billed charges		332.8	90			Percent of total billed charges		374.4	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	100			Percent of total billed charges		416	100			Percent of total billed charges		416	100			Percent of total billed charges		416	33.3			Percent of total billed charges		138.528	33.3			Percent of total billed charges		138.528	100			Percent of total billed charges		416	138.528	374.4	
stryker screw 4.0 lck	278	RC	Outpatient			416	270.4		90			Percent of total billed charges		374.4	40			Percent of total billed charges		166.4	80			Percent of total billed charges		332.8	90			Percent of total billed charges		374.4	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	85			Percent of total billed charges		353.6	100			Percent of total billed charges		416	100			Percent of total billed charges		416	100			Percent of total billed charges		416	33.3			Percent of total billed charges		138.528	33.3			Percent of total billed charges		138.528	100			Percent of total billed charges		416	138.528	374.4	
cath 9.6fr single lum.	278	RC	Outpatient			417	271.05		90			Percent of total billed charges		375.3	40			Percent of total billed charges		166.8	80			Percent of total billed charges		333.6	90			Percent of total billed charges		375.3	85			Percent of total billed charges		354.45	85			Percent of total billed charges		354.45	85			Percent of total billed charges		354.45	100			Percent of total billed charges		417	100			Percent of total billed charges		417	100			Percent of total billed charges		417	33.3			Percent of total billed charges		138.861	33.3			Percent of total billed charges		138.861	100			Percent of total billed charges		417	138.861	375.3	
chemo admin. 3 1/2 hours	335	RC	Outpatient			417	271.05		90			Percent of total billed charges		375.3	40			Percent of total billed charges		166.8	80			Percent of total billed charges		333.6	90			Percent of total billed charges		375.3	85			Percent of total billed charges		354.45	85			Percent of total billed charges		354.45	85			Percent of total billed charges		354.45	100			Percent of total billed charges		417	100			Percent of total billed charges		417	100			Percent of total billed charges		417	33.3			Percent of total billed charges		138.861	33.3			Percent of total billed charges		138.861	100			Percent of total billed charges		417	138.861	375.3	
tray catheter hickman  9.6  060564 bard	278	RC	Outpatient			417	271.05		90			Percent of total billed charges		375.3	40			Percent of total billed charges		166.8	80			Percent of total billed charges		333.6	90			Percent of total billed charges		375.3	85			Percent of total billed charges		354.45	85			Percent of total billed charges		354.45	85			Percent of total billed charges		354.45	100			Percent of total billed charges		417	100			Percent of total billed charges		417	100			Percent of total billed charges		417	33.3			Percent of total billed charges		138.861	33.3			Percent of total billed charges		138.861	100			Percent of total billed charges		417	138.861	375.3	
staples ta30-v3	270	RC	Outpatient			417	271.05		90			Percent of total billed charges		375.3	40			Percent of total billed charges		166.8	80			Percent of total billed charges		333.6	90			Percent of total billed charges		375.3	85			Percent of total billed charges		354.45	85			Percent of total billed charges		354.45	85			Percent of total billed charges		354.45	100			Percent of total billed charges		417	100			Percent of total billed charges		417	100			Percent of total billed charges		417	33.3			Percent of total billed charges		138.861	33.3			Percent of total billed charges		138.861	100			Percent of total billed charges		417	138.861	375.3	
2.8mm quick release drill acumed 80-0387	272	RC	Outpatient			418	271.7		90			Percent of total billed charges		376.2	40			Percent of total billed charges		167.2	80			Percent of total billed charges		334.4	90			Percent of total billed charges		376.2	85			Percent of total billed charges		355.3	85			Percent of total billed charges		355.3	85			Percent of total billed charges		355.3	100			Percent of total billed charges		418	100			Percent of total billed charges		418	100			Percent of total billed charges		418	33.3			Percent of total billed charges		139.194	33.3			Percent of total billed charges		139.194	100			Percent of total billed charges		418	139.194	376.2	
2.0mm quick release drill acumed 80-1796	272	RC	Outpatient			418	271.7		90			Percent of total billed charges		376.2	40			Percent of total billed charges		167.2	80			Percent of total billed charges		334.4	90			Percent of total billed charges		376.2	85			Percent of total billed charges		355.3	85			Percent of total billed charges		355.3	85			Percent of total billed charges		355.3	100			Percent of total billed charges		418	100			Percent of total billed charges		418	100			Percent of total billed charges		418	33.3			Percent of total billed charges		139.194	33.3			Percent of total billed charges		139.194	100			Percent of total billed charges		418	139.194	376.2	
genesis ii posterior stabilized insert size 1-2 25mm  71420814 s/n	272	RC	Outpatient			419	272.35		90			Percent of total billed charges		377.1	40			Percent of total billed charges		167.6	80			Percent of total billed charges		335.2	90			Percent of total billed charges		377.1	85			Percent of total billed charges		356.15	85			Percent of total billed charges		356.15	85			Percent of total billed charges		356.15	100			Percent of total billed charges		419	100			Percent of total billed charges		419	100			Percent of total billed charges		419	33.3			Percent of total billed charges		139.527	33.3			Percent of total billed charges		139.527	100			Percent of total billed charges		419	139.527	377.1	
genesis pin/drill set	272	RC	Outpatient			419	272.35		90			Percent of total billed charges		377.1	40			Percent of total billed charges		167.6	80			Percent of total billed charges		335.2	90			Percent of total billed charges		377.1	85			Percent of total billed charges		356.15	85			Percent of total billed charges		356.15	85			Percent of total billed charges		356.15	100			Percent of total billed charges		419	100			Percent of total billed charges		419	100			Percent of total billed charges		419	33.3			Percent of total billed charges		139.527	33.3			Percent of total billed charges		139.527	100			Percent of total billed charges		419	139.527	377.1	
genesis pin & dril set 114968 s&n	272	RC	Outpatient			419	272.35		90			Percent of total billed charges		377.1	40			Percent of total billed charges		167.6	80			Percent of total billed charges		335.2	90			Percent of total billed charges		377.1	85			Percent of total billed charges		356.15	85			Percent of total billed charges		356.15	85			Percent of total billed charges		356.15	100			Percent of total billed charges		419	100			Percent of total billed charges		419	100			Percent of total billed charges		419	33.3			Percent of total billed charges		139.527	33.3			Percent of total billed charges		139.527	100			Percent of total billed charges		419	139.527	377.1	
screw cannulated 4.0	278	RC	Outpatient			419	272.35		90			Percent of total billed charges		377.1	40			Percent of total billed charges		167.6	80			Percent of total billed charges		335.2	90			Percent of total billed charges		377.1	85			Percent of total billed charges		356.15	85			Percent of total billed charges		356.15	85			Percent of total billed charges		356.15	100			Percent of total billed charges		419	100			Percent of total billed charges		419	100			Percent of total billed charges		419	33.3			Percent of total billed charges		139.527	33.3			Percent of total billed charges		139.527	100			Percent of total billed charges		419	139.527	377.1	
-ÌÁ3.2mm guide wire 400mm depuy ref 357.399	272	RC	Outpatient			419.1	272.42		90			Percent of total billed charges		377.19	40			Percent of total billed charges		167.64	80			Percent of total billed charges		335.28	90			Percent of total billed charges		377.19	85			Percent of total billed charges		356.235	85			Percent of total billed charges		356.235	85			Percent of total billed charges		356.235	100			Percent of total billed charges		419.1	100			Percent of total billed charges		419.1	100			Percent of total billed charges		419.1	33.3			Percent of total billed charges		139.5603	33.3			Percent of total billed charges		139.5603	100			Percent of total billed charges		419.1	139.5603	377.19	
acumed small fix tray	272	RC	Outpatient			420	273		90			Percent of total billed charges		378	40			Percent of total billed charges		168	80			Percent of total billed charges		336	90			Percent of total billed charges		378	85			Percent of total billed charges		357	85			Percent of total billed charges		357	85			Percent of total billed charges		357	100			Percent of total billed charges		420	100			Percent of total billed charges		420	100			Percent of total billed charges		420	33.3			Percent of total billed charges		139.86	33.3			Percent of total billed charges		139.86	100			Percent of total billed charges		420	139.86	378	
arthrex cannulated drill bit 2.0mm ar-8933-20c	272	RC	Outpatient			420	273		90			Percent of total billed charges		378	40			Percent of total billed charges		168	80			Percent of total billed charges		336	90			Percent of total billed charges		378	85			Percent of total billed charges		357	85			Percent of total billed charges		357	85			Percent of total billed charges		357	100			Percent of total billed charges		420	100			Percent of total billed charges		420	100			Percent of total billed charges		420	33.3			Percent of total billed charges		139.86	33.3			Percent of total billed charges		139.86	100			Percent of total billed charges		420	139.86	378	
"arthrex coolcut blade sabre, sj ar-7300sr"	272	RC	Outpatient			420	273		90			Percent of total billed charges		378	40			Percent of total billed charges		168	80			Percent of total billed charges		336	90			Percent of total billed charges		378	85			Percent of total billed charges		357	85			Percent of total billed charges		357	85			Percent of total billed charges		357	100			Percent of total billed charges		420	100			Percent of total billed charges		420	100			Percent of total billed charges		420	33.3			Percent of total billed charges		139.86	33.3			Percent of total billed charges		139.86	100			Percent of total billed charges		420	139.86	378	
arthrex drill bit 2.0cann	272	RC	Outpatient			420	273		90			Percent of total billed charges		378	40			Percent of total billed charges		168	80			Percent of total billed charges		336	90			Percent of total billed charges		378	85			Percent of total billed charges		357	85			Percent of total billed charges		357	85			Percent of total billed charges		357	100			Percent of total billed charges		420	100			Percent of total billed charges		420	100			Percent of total billed charges		420	33.3			Percent of total billed charges		139.86	33.3			Percent of total billed charges		139.86	100			Percent of total billed charges		420	139.86	378	
small bone fixation  sm-5061 acumed	272	RC	Outpatient			420	273		90			Percent of total billed charges		378	40			Percent of total billed charges		168	80			Percent of total billed charges		336	90			Percent of total billed charges		378	85			Percent of total billed charges		357	85			Percent of total billed charges		357	85			Percent of total billed charges		357	100			Percent of total billed charges		420	100			Percent of total billed charges		420	100			Percent of total billed charges		420	33.3			Percent of total billed charges		139.86	33.3			Percent of total billed charges		139.86	100			Percent of total billed charges		420	139.86	378	
surgiflo	272	RC	Outpatient			420	273		90			Percent of total billed charges		378	40			Percent of total billed charges		168	80			Percent of total billed charges		336	90			Percent of total billed charges		378	85			Percent of total billed charges		357	85			Percent of total billed charges		357	85			Percent of total billed charges		357	100			Percent of total billed charges		420	100			Percent of total billed charges		420	100			Percent of total billed charges		420	33.3			Percent of total billed charges		139.86	33.3			Percent of total billed charges		139.86	100			Percent of total billed charges		420	139.86	378	
surgiflo 199102s ethicon	272	RC	Outpatient			420	273		90			Percent of total billed charges		378	40			Percent of total billed charges		168	80			Percent of total billed charges		336	90			Percent of total billed charges		378	85			Percent of total billed charges		357	85			Percent of total billed charges		357	85			Percent of total billed charges		357	100			Percent of total billed charges		420	100			Percent of total billed charges		420	100			Percent of total billed charges		420	33.3			Percent of total billed charges		139.86	33.3			Percent of total billed charges		139.86	100			Percent of total billed charges		420	139.86	378	
kit cruciate accessory rap-pac c 1.2 72202798 s/n	272	RC	Outpatient			422	274.3		90			Percent of total billed charges		379.8	40			Percent of total billed charges		168.8	80			Percent of total billed charges		337.6	90			Percent of total billed charges		379.8	85			Percent of total billed charges		358.7	85			Percent of total billed charges		358.7	85			Percent of total billed charges		358.7	100			Percent of total billed charges		422	100			Percent of total billed charges		422	100			Percent of total billed charges		422	33.3			Percent of total billed charges		140.526	33.3			Percent of total billed charges		140.526	100			Percent of total billed charges		422	140.526	379.8	
kit cruciate accessory rap-pac b 1.2 72202797 s/n	272	RC	Outpatient			422	274.3		90			Percent of total billed charges		379.8	40			Percent of total billed charges		168.8	80			Percent of total billed charges		337.6	90			Percent of total billed charges		379.8	85			Percent of total billed charges		358.7	85			Percent of total billed charges		358.7	85			Percent of total billed charges		358.7	100			Percent of total billed charges		422	100			Percent of total billed charges		422	100			Percent of total billed charges		422	33.3			Percent of total billed charges		140.526	33.3			Percent of total billed charges		140.526	100			Percent of total billed charges		422	140.526	379.8	
s/n rap-pac c 1.2	272	RC	Outpatient			422	274.3		90			Percent of total billed charges		379.8	40			Percent of total billed charges		168.8	80			Percent of total billed charges		337.6	90			Percent of total billed charges		379.8	85			Percent of total billed charges		358.7	85			Percent of total billed charges		358.7	85			Percent of total billed charges		358.7	100			Percent of total billed charges		422	100			Percent of total billed charges		422	100			Percent of total billed charges		422	33.3			Percent of total billed charges		140.526	33.3			Percent of total billed charges		140.526	100			Percent of total billed charges		422	140.526	379.8	
scuptte hp 90 degree suction 7210695 s/n	272	RC	Outpatient			422	274.3		90			Percent of total billed charges		379.8	40			Percent of total billed charges		168.8	80			Percent of total billed charges		337.6	90			Percent of total billed charges		379.8	85			Percent of total billed charges		358.7	85			Percent of total billed charges		358.7	85			Percent of total billed charges		358.7	100			Percent of total billed charges		422	100			Percent of total billed charges		422	100			Percent of total billed charges		422	33.3			Percent of total billed charges		140.526	33.3			Percent of total billed charges		140.526	100			Percent of total billed charges		422	140.526	379.8	
vulcan saph/scup probe	272	RC	Outpatient			422	274.3		90			Percent of total billed charges		379.8	40			Percent of total billed charges		168.8	80			Percent of total billed charges		337.6	90			Percent of total billed charges		379.8	85			Percent of total billed charges		358.7	85			Percent of total billed charges		358.7	85			Percent of total billed charges		358.7	100			Percent of total billed charges		422	100			Percent of total billed charges		422	100			Percent of total billed charges		422	33.3			Percent of total billed charges		140.526	33.3			Percent of total billed charges		140.526	100			Percent of total billed charges		422	140.526	379.8	
arthrex chondral dart	278	RC	Outpatient			423	274.95		90			Percent of total billed charges		380.7	40			Percent of total billed charges		169.2	80			Percent of total billed charges		338.4	90			Percent of total billed charges		380.7	85			Percent of total billed charges		359.55	85			Percent of total billed charges		359.55	85			Percent of total billed charges		359.55	100			Percent of total billed charges		423	100			Percent of total billed charges		423	100			Percent of total billed charges		423	33.3			Percent of total billed charges		140.859	33.3			Percent of total billed charges		140.859	100			Percent of total billed charges		423	140.859	380.7	
arthrex low profile locking screw 3.5 x 12mm ar-8835l-12	278	RC	Outpatient			423	274.95		90			Percent of total billed charges		380.7	40			Percent of total billed charges		169.2	80			Percent of total billed charges		338.4	90			Percent of total billed charges		380.7	85			Percent of total billed charges		359.55	85			Percent of total billed charges		359.55	85			Percent of total billed charges		359.55	100			Percent of total billed charges		423	100			Percent of total billed charges		423	100			Percent of total billed charges		423	33.3			Percent of total billed charges		140.859	33.3			Percent of total billed charges		140.859	100			Percent of total billed charges		423	140.859	380.7	
arthrex low profile locking screw 3.5 x 18mm ar-8835l-18	278	RC	Outpatient			423	274.95		90			Percent of total billed charges		380.7	40			Percent of total billed charges		169.2	80			Percent of total billed charges		338.4	90			Percent of total billed charges		380.7	85			Percent of total billed charges		359.55	85			Percent of total billed charges		359.55	85			Percent of total billed charges		359.55	100			Percent of total billed charges		423	100			Percent of total billed charges		423	100			Percent of total billed charges		423	33.3			Percent of total billed charges		140.859	33.3			Percent of total billed charges		140.859	100			Percent of total billed charges		423	140.859	380.7	
arthrex low profile locking screw 3.5 x 22mm ar-8835l-22	278	RC	Outpatient			423	274.95		90			Percent of total billed charges		380.7	40			Percent of total billed charges		169.2	80			Percent of total billed charges		338.4	90			Percent of total billed charges		380.7	85			Percent of total billed charges		359.55	85			Percent of total billed charges		359.55	85			Percent of total billed charges		359.55	100			Percent of total billed charges		423	100			Percent of total billed charges		423	100			Percent of total billed charges		423	33.3			Percent of total billed charges		140.859	33.3			Percent of total billed charges		140.859	100			Percent of total billed charges		423	140.859	380.7	
arthrex low profile locking screw 3.5 x 26mm ar-8835l-26	278	RC	Outpatient			423	274.95		90			Percent of total billed charges		380.7	40			Percent of total billed charges		169.2	80			Percent of total billed charges		338.4	90			Percent of total billed charges		380.7	85			Percent of total billed charges		359.55	85			Percent of total billed charges		359.55	85			Percent of total billed charges		359.55	100			Percent of total billed charges		423	100			Percent of total billed charges		423	100			Percent of total billed charges		423	33.3			Percent of total billed charges		140.859	33.3			Percent of total billed charges		140.859	100			Percent of total billed charges		423	140.859	380.7	
arthrex low profile locking screw 3.5 x 28mm ar-8835l-28	278	RC	Outpatient			423	274.95		90			Percent of total billed charges		380.7	40			Percent of total billed charges		169.2	80			Percent of total billed charges		338.4	90			Percent of total billed charges		380.7	85			Percent of total billed charges		359.55	85			Percent of total billed charges		359.55	85			Percent of total billed charges		359.55	100			Percent of total billed charges		423	100			Percent of total billed charges		423	100			Percent of total billed charges		423	33.3			Percent of total billed charges		140.859	33.3			Percent of total billed charges		140.859	100			Percent of total billed charges		423	140.859	380.7	
arthrex low profile locking screw 3.5 x 30mm ar-8835l-30	278	RC	Outpatient			423	274.95		90			Percent of total billed charges		380.7	40			Percent of total billed charges		169.2	80			Percent of total billed charges		338.4	90			Percent of total billed charges		380.7	85			Percent of total billed charges		359.55	85			Percent of total billed charges		359.55	85			Percent of total billed charges		359.55	100			Percent of total billed charges		423	100			Percent of total billed charges		423	100			Percent of total billed charges		423	33.3			Percent of total billed charges		140.859	33.3			Percent of total billed charges		140.859	100			Percent of total billed charges		423	140.859	380.7	
arthrex low profile locking screw 3.5 x 32mm ar-8835l-32	278	RC	Outpatient			423	274.95		90			Percent of total billed charges		380.7	40			Percent of total billed charges		169.2	80			Percent of total billed charges		338.4	90			Percent of total billed charges		380.7	85			Percent of total billed charges		359.55	85			Percent of total billed charges		359.55	85			Percent of total billed charges		359.55	100			Percent of total billed charges		423	100			Percent of total billed charges		423	100			Percent of total billed charges		423	33.3			Percent of total billed charges		140.859	33.3			Percent of total billed charges		140.859	100			Percent of total billed charges		423	140.859	380.7	
arthrex low profile locking screw 3.5 x 34mm ar-8835l-34	278	RC	Outpatient			423	274.95		90			Percent of total billed charges		380.7	40			Percent of total billed charges		169.2	80			Percent of total billed charges		338.4	90			Percent of total billed charges		380.7	85			Percent of total billed charges		359.55	85			Percent of total billed charges		359.55	85			Percent of total billed charges		359.55	100			Percent of total billed charges		423	100			Percent of total billed charges		423	100			Percent of total billed charges		423	33.3			Percent of total billed charges		140.859	33.3			Percent of total billed charges		140.859	100			Percent of total billed charges		423	140.859	380.7	
arthrex low profile locking screw 3.5 x 38mm ar-8835l-38	278	RC	Outpatient			423	274.95		90			Percent of total billed charges		380.7	40			Percent of total billed charges		169.2	80			Percent of total billed charges		338.4	90			Percent of total billed charges		380.7	85			Percent of total billed charges		359.55	85			Percent of total billed charges		359.55	85			Percent of total billed charges		359.55	100			Percent of total billed charges		423	100			Percent of total billed charges		423	100			Percent of total billed charges		423	33.3			Percent of total billed charges		140.859	33.3			Percent of total billed charges		140.859	100			Percent of total billed charges		423	140.859	380.7	
arthrex low profile ti screw 3 x 14mm ar 8933-14	278	RC	Outpatient			423	274.95		90			Percent of total billed charges		380.7	40			Percent of total billed charges		169.2	80			Percent of total billed charges		338.4	90			Percent of total billed charges		380.7	85			Percent of total billed charges		359.55	85			Percent of total billed charges		359.55	85			Percent of total billed charges		359.55	100			Percent of total billed charges		423	100			Percent of total billed charges		423	100			Percent of total billed charges		423	33.3			Percent of total billed charges		140.859	33.3			Percent of total billed charges		140.859	100			Percent of total billed charges		423	140.859	380.7	
arthrex low profile ti screw 3 x 18mm ar 8933-18	278	RC	Outpatient			423	274.95		90			Percent of total billed charges		380.7	40			Percent of total billed charges		169.2	80			Percent of total billed charges		338.4	90			Percent of total billed charges		380.7	85			Percent of total billed charges		359.55	85			Percent of total billed charges		359.55	85			Percent of total billed charges		359.55	100			Percent of total billed charges		423	100			Percent of total billed charges		423	100			Percent of total billed charges		423	33.3			Percent of total billed charges		140.859	33.3			Percent of total billed charges		140.859	100			Percent of total billed charges		423	140.859	380.7	
arthrex scr lp 3.5 lck	278	RC	Outpatient			423	274.95		90			Percent of total billed charges		380.7	40			Percent of total billed charges		169.2	80			Percent of total billed charges		338.4	90			Percent of total billed charges		380.7	85			Percent of total billed charges		359.55	85			Percent of total billed charges		359.55	85			Percent of total billed charges		359.55	100			Percent of total billed charges		423	100			Percent of total billed charges		423	100			Percent of total billed charges		423	33.3			Percent of total billed charges		140.859	33.3			Percent of total billed charges		140.859	100			Percent of total billed charges		423	140.859	380.7	
arthrex low profile locking screw 3.5 x 10mm ar-8835l-10	278	RC	Outpatient			423	274.95		90			Percent of total billed charges		380.7	40			Percent of total billed charges		169.2	80			Percent of total billed charges		338.4	90			Percent of total billed charges		380.7	85			Percent of total billed charges		359.55	85			Percent of total billed charges		359.55	85			Percent of total billed charges		359.55	100			Percent of total billed charges		423	100			Percent of total billed charges		423	100			Percent of total billed charges		423	33.3			Percent of total billed charges		140.859	33.3			Percent of total billed charges		140.859	100			Percent of total billed charges		423	140.859	380.7	
arthrex low profile locking screw 3.5 x 14mm ar-8835l-14	278	RC	Outpatient			423	274.95		90			Percent of total billed charges		380.7	40			Percent of total billed charges		169.2	80			Percent of total billed charges		338.4	90			Percent of total billed charges		380.7	85			Percent of total billed charges		359.55	85			Percent of total billed charges		359.55	85			Percent of total billed charges		359.55	100			Percent of total billed charges		423	100			Percent of total billed charges		423	100			Percent of total billed charges		423	33.3			Percent of total billed charges		140.859	33.3			Percent of total billed charges		140.859	100			Percent of total billed charges		423	140.859	380.7	
arthrex low profile locking screw 3.5 x 16mm ar-8835l-16	278	RC	Outpatient			423	274.95		90			Percent of total billed charges		380.7	40			Percent of total billed charges		169.2	80			Percent of total billed charges		338.4	90			Percent of total billed charges		380.7	85			Percent of total billed charges		359.55	85			Percent of total billed charges		359.55	85			Percent of total billed charges		359.55	100			Percent of total billed charges		423	100			Percent of total billed charges		423	100			Percent of total billed charges		423	33.3			Percent of total billed charges		140.859	33.3			Percent of total billed charges		140.859	100			Percent of total billed charges		423	140.859	380.7	
arthrex low profile locking screw 3.5 x 20mm ar-8835l-20	278	RC	Outpatient			423	274.95		90			Percent of total billed charges		380.7	40			Percent of total billed charges		169.2	80			Percent of total billed charges		338.4	90			Percent of total billed charges		380.7	85			Percent of total billed charges		359.55	85			Percent of total billed charges		359.55	85			Percent of total billed charges		359.55	100			Percent of total billed charges		423	100			Percent of total billed charges		423	100			Percent of total billed charges		423	33.3			Percent of total billed charges		140.859	33.3			Percent of total billed charges		140.859	100			Percent of total billed charges		423	140.859	380.7	
arthrex low profile locking screw 3.5 x 24mm ar-8835l-24	278	RC	Outpatient			423	274.95		90			Percent of total billed charges		380.7	40			Percent of total billed charges		169.2	80			Percent of total billed charges		338.4	90			Percent of total billed charges		380.7	85			Percent of total billed charges		359.55	85			Percent of total billed charges		359.55	85			Percent of total billed charges		359.55	100			Percent of total billed charges		423	100			Percent of total billed charges		423	100			Percent of total billed charges		423	33.3			Percent of total billed charges		140.859	33.3			Percent of total billed charges		140.859	100			Percent of total billed charges		423	140.859	380.7	
arthrex low profile locking screw 3.5 x 36mm ar-8835l-36	278	RC	Outpatient			423	274.95		90			Percent of total billed charges		380.7	40			Percent of total billed charges		169.2	80			Percent of total billed charges		338.4	90			Percent of total billed charges		380.7	85			Percent of total billed charges		359.55	85			Percent of total billed charges		359.55	85			Percent of total billed charges		359.55	100			Percent of total billed charges		423	100			Percent of total billed charges		423	100			Percent of total billed charges		423	33.3			Percent of total billed charges		140.859	33.3			Percent of total billed charges		140.859	100			Percent of total billed charges		423	140.859	380.7	
arthrex low profile locking screw 3.5 x 40mm ar-8835l-40	278	RC	Outpatient			423	274.95		90			Percent of total billed charges		380.7	40			Percent of total billed charges		169.2	80			Percent of total billed charges		338.4	90			Percent of total billed charges		380.7	85			Percent of total billed charges		359.55	85			Percent of total billed charges		359.55	85			Percent of total billed charges		359.55	100			Percent of total billed charges		423	100			Percent of total billed charges		423	100			Percent of total billed charges		423	33.3			Percent of total billed charges		140.859	33.3			Percent of total billed charges		140.859	100			Percent of total billed charges		423	140.859	380.7	
arthrex low profile locking screw 3.5 x 45mm ar-8835l-45	278	RC	Outpatient			423	274.95		90			Percent of total billed charges		380.7	40			Percent of total billed charges		169.2	80			Percent of total billed charges		338.4	90			Percent of total billed charges		380.7	85			Percent of total billed charges		359.55	85			Percent of total billed charges		359.55	85			Percent of total billed charges		359.55	100			Percent of total billed charges		423	100			Percent of total billed charges		423	100			Percent of total billed charges		423	33.3			Percent of total billed charges		140.859	33.3			Percent of total billed charges		140.859	100			Percent of total billed charges		423	140.859	380.7	
arthrex low profile locking screw 3.5 x 50mm ar-8835l-50	278	RC	Outpatient			423	274.95		90			Percent of total billed charges		380.7	40			Percent of total billed charges		169.2	80			Percent of total billed charges		338.4	90			Percent of total billed charges		380.7	85			Percent of total billed charges		359.55	85			Percent of total billed charges		359.55	85			Percent of total billed charges		359.55	100			Percent of total billed charges		423	100			Percent of total billed charges		423	100			Percent of total billed charges		423	33.3			Percent of total billed charges		140.859	33.3			Percent of total billed charges		140.859	100			Percent of total billed charges		423	140.859	380.7	
arthrex low profile ti screw 3 x 12mm ar 8933-12	278	RC	Outpatient			423	274.95		90			Percent of total billed charges		380.7	40			Percent of total billed charges		169.2	80			Percent of total billed charges		338.4	90			Percent of total billed charges		380.7	85			Percent of total billed charges		359.55	85			Percent of total billed charges		359.55	85			Percent of total billed charges		359.55	100			Percent of total billed charges		423	100			Percent of total billed charges		423	100			Percent of total billed charges		423	33.3			Percent of total billed charges		140.859	33.3			Percent of total billed charges		140.859	100			Percent of total billed charges		423	140.859	380.7	
arthrex low profile ti screw 3 x 16mm ar 8933-16	278	RC	Outpatient			423	274.95		90			Percent of total billed charges		380.7	40			Percent of total billed charges		169.2	80			Percent of total billed charges		338.4	90			Percent of total billed charges		380.7	85			Percent of total billed charges		359.55	85			Percent of total billed charges		359.55	85			Percent of total billed charges		359.55	100			Percent of total billed charges		423	100			Percent of total billed charges		423	100			Percent of total billed charges		423	33.3			Percent of total billed charges		140.859	33.3			Percent of total billed charges		140.859	100			Percent of total billed charges		423	140.859	380.7	
arthrex scr lp 3.0	278	RC	Outpatient			423	274.95		90			Percent of total billed charges		380.7	40			Percent of total billed charges		169.2	80			Percent of total billed charges		338.4	90			Percent of total billed charges		380.7	85			Percent of total billed charges		359.55	85			Percent of total billed charges		359.55	85			Percent of total billed charges		359.55	100			Percent of total billed charges		423	100			Percent of total billed charges		423	100			Percent of total billed charges		423	33.3			Percent of total billed charges		140.859	33.3			Percent of total billed charges		140.859	100			Percent of total billed charges		423	140.859	380.7	
trigen nail cap 10mm 71634010 s/n	278	RC	Outpatient			424	275.6		90			Percent of total billed charges		381.6	40			Percent of total billed charges		169.6	80			Percent of total billed charges		339.2	90			Percent of total billed charges		381.6	85			Percent of total billed charges		360.4	85			Percent of total billed charges		360.4	85			Percent of total billed charges		360.4	100			Percent of total billed charges		424	100			Percent of total billed charges		424	100			Percent of total billed charges		424	33.3			Percent of total billed charges		141.192	33.3			Percent of total billed charges		141.192	100			Percent of total billed charges		424	141.192	381.6	
endo gia 30-rotic	272	RC	Outpatient			425	276.25		90			Percent of total billed charges		382.5	40			Percent of total billed charges		170	80			Percent of total billed charges		340	90			Percent of total billed charges		382.5	85			Percent of total billed charges		361.25	85			Percent of total billed charges		361.25	85			Percent of total billed charges		361.25	100			Percent of total billed charges		425	100			Percent of total billed charges		425	100			Percent of total billed charges		425	33.3			Percent of total billed charges		141.525	33.3			Percent of total billed charges		141.525	100			Percent of total billed charges		425	141.525	382.5	
gyrus needle electrode	272	RC	Outpatient			425	276.25		90			Percent of total billed charges		382.5	40			Percent of total billed charges		170	80			Percent of total billed charges		340	90			Percent of total billed charges		382.5	85			Percent of total billed charges		361.25	85			Percent of total billed charges		361.25	85			Percent of total billed charges		361.25	100			Percent of total billed charges		425	100			Percent of total billed charges		425	100			Percent of total billed charges		425	33.3			Percent of total billed charges		141.525	33.3			Percent of total billed charges		141.525	100			Percent of total billed charges		425	141.525	382.5	
endo gia roticular staple 30 2.0 030450 ussc	272	RC	Outpatient			425	276.25		90			Percent of total billed charges		382.5	40			Percent of total billed charges		170	80			Percent of total billed charges		340	90			Percent of total billed charges		382.5	85			Percent of total billed charges		361.25	85			Percent of total billed charges		361.25	85			Percent of total billed charges		361.25	100			Percent of total billed charges		425	100			Percent of total billed charges		425	100			Percent of total billed charges		425	33.3			Percent of total billed charges		141.525	33.3			Percent of total billed charges		141.525	100			Percent of total billed charges		425	141.525	382.5	
plasmakinectic needle electrode gyrus 3400 pk	272	RC	Outpatient			425	276.25		90			Percent of total billed charges		382.5	40			Percent of total billed charges		170	80			Percent of total billed charges		340	90			Percent of total billed charges		382.5	85			Percent of total billed charges		361.25	85			Percent of total billed charges		361.25	85			Percent of total billed charges		361.25	100			Percent of total billed charges		425	100			Percent of total billed charges		425	100			Percent of total billed charges		425	33.3			Percent of total billed charges		141.525	33.3			Percent of total billed charges		141.525	100			Percent of total billed charges		425	141.525	382.5	
stryker drill set 4.2	272	RC	Outpatient			425	276.25		90			Percent of total billed charges		382.5	40			Percent of total billed charges		170	80			Percent of total billed charges		340	90			Percent of total billed charges		382.5	85			Percent of total billed charges		361.25	85			Percent of total billed charges		361.25	85			Percent of total billed charges		361.25	100			Percent of total billed charges		425	100			Percent of total billed charges		425	100			Percent of total billed charges		425	33.3			Percent of total billed charges		141.525	33.3			Percent of total billed charges		141.525	100			Percent of total billed charges		425	141.525	382.5	
titanium mod head sleeve +0 short 71344247 s/n	278	RC	Outpatient			425	276.25		90			Percent of total billed charges		382.5	40			Percent of total billed charges		170	80			Percent of total billed charges		340	90			Percent of total billed charges		382.5	85			Percent of total billed charges		361.25	85			Percent of total billed charges		361.25	85			Percent of total billed charges		361.25	100			Percent of total billed charges		425	100			Percent of total billed charges		425	100			Percent of total billed charges		425	33.3			Percent of total billed charges		141.525	33.3			Percent of total billed charges		141.525	100			Percent of total billed charges		425	141.525	382.5	
titanium mod head sleeve +8 71344249 s/n	278	RC	Outpatient			425	276.25		90			Percent of total billed charges		382.5	40			Percent of total billed charges		170	80			Percent of total billed charges		340	90			Percent of total billed charges		382.5	85			Percent of total billed charges		361.25	85			Percent of total billed charges		361.25	85			Percent of total billed charges		361.25	100			Percent of total billed charges		425	100			Percent of total billed charges		425	100			Percent of total billed charges		425	33.3			Percent of total billed charges		141.525	33.3			Percent of total billed charges		141.525	100			Percent of total billed charges		425	141.525	382.5	
titanium mod head sleeve 4mm short 71344245 s/n	278	RC	Outpatient			425	276.25		90			Percent of total billed charges		382.5	40			Percent of total billed charges		170	80			Percent of total billed charges		340	90			Percent of total billed charges		382.5	85			Percent of total billed charges		361.25	85			Percent of total billed charges		361.25	85			Percent of total billed charges		361.25	100			Percent of total billed charges		425	100			Percent of total billed charges		425	100			Percent of total billed charges		425	33.3			Percent of total billed charges		141.525	33.3			Percent of total billed charges		141.525	100			Percent of total billed charges		425	141.525	382.5	
titanium mod head sleeve +4 71344248 s/n	278	RC	Outpatient			425	276.25		90			Percent of total billed charges		382.5	40			Percent of total billed charges		170	80			Percent of total billed charges		340	90			Percent of total billed charges		382.5	85			Percent of total billed charges		361.25	85			Percent of total billed charges		361.25	85			Percent of total billed charges		361.25	100			Percent of total billed charges		425	100			Percent of total billed charges		425	100			Percent of total billed charges		425	33.3			Percent of total billed charges		141.525	33.3			Percent of total billed charges		141.525	100			Percent of total billed charges		425	141.525	382.5	
tray safe-t-cen pig126ot	270	RC	Outpatient			425	276.25		90			Percent of total billed charges		382.5	40			Percent of total billed charges		170	80			Percent of total billed charges		340	90			Percent of total billed charges		382.5	85			Percent of total billed charges		361.25	85			Percent of total billed charges		361.25	85			Percent of total billed charges		361.25	100			Percent of total billed charges		425	100			Percent of total billed charges		425	100			Percent of total billed charges		425	33.3			Percent of total billed charges		141.525	33.3			Percent of total billed charges		141.525	100			Percent of total billed charges		425	141.525	382.5	
3.5mm str recon plate 7 hole 82mm 00-1179-005-07 zimmer	278	RC	Outpatient			427	277.55		90			Percent of total billed charges		384.3	40			Percent of total billed charges		170.8	80			Percent of total billed charges		341.6	90			Percent of total billed charges		384.3	85			Percent of total billed charges		362.95	85			Percent of total billed charges		362.95	85			Percent of total billed charges		362.95	100			Percent of total billed charges		427	100			Percent of total billed charges		427	100			Percent of total billed charges		427	33.3			Percent of total billed charges		142.191	33.3			Percent of total billed charges		142.191	100			Percent of total billed charges		427	142.191	384.3	
3.5mm str recon plate 6 hole 70mm 00-1179-005-06 zimmer	278	RC	Outpatient			427	277.55		90			Percent of total billed charges		384.3	40			Percent of total billed charges		170.8	80			Percent of total billed charges		341.6	90			Percent of total billed charges		384.3	85			Percent of total billed charges		362.95	85			Percent of total billed charges		362.95	85			Percent of total billed charges		362.95	100			Percent of total billed charges		427	100			Percent of total billed charges		427	100			Percent of total billed charges		427	33.3			Percent of total billed charges		142.191	33.3			Percent of total billed charges		142.191	100			Percent of total billed charges		427	142.191	384.3	
zimm 3.5 recon plate 6-7	278	RC	Outpatient			427	277.55		90			Percent of total billed charges		384.3	40			Percent of total billed charges		170.8	80			Percent of total billed charges		341.6	90			Percent of total billed charges		384.3	85			Percent of total billed charges		362.95	85			Percent of total billed charges		362.95	85			Percent of total billed charges		362.95	100			Percent of total billed charges		427	100			Percent of total billed charges		427	100			Percent of total billed charges		427	33.3			Percent of total billed charges		142.191	33.3			Percent of total billed charges		142.191	100			Percent of total billed charges		427	142.191	384.3	
arthrotek acorn drill bit	272	RC	Outpatient			428	278.2		90			Percent of total billed charges		385.2	40			Percent of total billed charges		171.2	80			Percent of total billed charges		342.4	90			Percent of total billed charges		385.2	85			Percent of total billed charges		363.8	85			Percent of total billed charges		363.8	85			Percent of total billed charges		363.8	100			Percent of total billed charges		428	100			Percent of total billed charges		428	100			Percent of total billed charges		428	33.3			Percent of total billed charges		142.524	33.3			Percent of total billed charges		142.524	100			Percent of total billed charges		428	142.524	385.2	
arthrotek lactonail	275	RC	Outpatient			428	278.2		90			Percent of total billed charges		385.2	40			Percent of total billed charges		171.2	80			Percent of total billed charges		342.4	90			Percent of total billed charges		385.2	85			Percent of total billed charges		363.8	85			Percent of total billed charges		363.8	85			Percent of total billed charges		363.8	100			Percent of total billed charges		428	100			Percent of total billed charges		428	100			Percent of total billed charges		428	33.3			Percent of total billed charges		142.524	33.3			Percent of total billed charges		142.524	100			Percent of total billed charges		428	142.524	385.2	
guide rod ball tip 2.0 x 600mm 71751146 s/n	272	RC	Outpatient			428	278.2		90			Percent of total billed charges		385.2	40			Percent of total billed charges		171.2	80			Percent of total billed charges		342.4	90			Percent of total billed charges		385.2	85			Percent of total billed charges		363.8	85			Percent of total billed charges		363.8	85			Percent of total billed charges		363.8	100			Percent of total billed charges		428	100			Percent of total billed charges		428	100			Percent of total billed charges		428	33.3			Percent of total billed charges		142.524	33.3			Percent of total billed charges		142.524	100			Percent of total billed charges		428	142.524	385.2	
drill bit acorn 7mm 909617 arthrotek biomet sports med	272	RC	Outpatient			428	278.2		90			Percent of total billed charges		385.2	40			Percent of total billed charges		171.2	80			Percent of total billed charges		342.4	90			Percent of total billed charges		385.2	85			Percent of total billed charges		363.8	85			Percent of total billed charges		363.8	85			Percent of total billed charges		363.8	100			Percent of total billed charges		428	100			Percent of total billed charges		428	100			Percent of total billed charges		428	33.3			Percent of total billed charges		142.524	33.3			Percent of total billed charges		142.524	100			Percent of total billed charges		428	142.524	385.2	
ir av shunt initial access	360	RC	Outpatient			428	278.2		90			Percent of total billed charges		385.2	40			Percent of total billed charges		171.2	80			Percent of total billed charges		342.4	90			Percent of total billed charges		385.2	85			Percent of total billed charges		363.8	85			Percent of total billed charges		363.8	85			Percent of total billed charges		363.8	100			Percent of total billed charges		428	100			Percent of total billed charges		428	100			Percent of total billed charges		428	33.3			Percent of total billed charges		142.524	33.3			Percent of total billed charges		142.524	100			Percent of total billed charges		428	142.524	385.2	
lactonail 1.6 x 18mm 948902 arthrotek biomet sports med	275	RC	Outpatient			428	278.2		90			Percent of total billed charges		385.2	40			Percent of total billed charges		171.2	80			Percent of total billed charges		342.4	90			Percent of total billed charges		385.2	85			Percent of total billed charges		363.8	85			Percent of total billed charges		363.8	85			Percent of total billed charges		363.8	100			Percent of total billed charges		428	100			Percent of total billed charges		428	100			Percent of total billed charges		428	33.3			Percent of total billed charges		142.524	33.3			Percent of total billed charges		142.524	100			Percent of total billed charges		428	142.524	385.2	
lactonail 1.6 x 22mm 948904 arthrotek biomet sports med	275	RC	Outpatient			428	278.2		90			Percent of total billed charges		385.2	40			Percent of total billed charges		171.2	80			Percent of total billed charges		342.4	90			Percent of total billed charges		385.2	85			Percent of total billed charges		363.8	85			Percent of total billed charges		363.8	85			Percent of total billed charges		363.8	100			Percent of total billed charges		428	100			Percent of total billed charges		428	100			Percent of total billed charges		428	33.3			Percent of total billed charges		142.524	33.3			Percent of total billed charges		142.524	100			Percent of total billed charges		428	142.524	385.2	
ir angio arteriovenous shunt	320	RC	Outpatient			428	278.2		90			Percent of total billed charges		385.2	40			Percent of total billed charges		171.2	80			Percent of total billed charges		342.4	90			Percent of total billed charges		385.2	85			Percent of total billed charges		363.8	85			Percent of total billed charges		363.8	85			Percent of total billed charges		363.8	100			Percent of total billed charges		428	100			Percent of total billed charges		428	100			Percent of total billed charges		428	33.3			Percent of total billed charges		142.524	33.3			Percent of total billed charges		142.524	100			Percent of total billed charges		428	142.524	385.2	
s/n 2.0 guide rod	272	RC	Outpatient			428	278.2		90			Percent of total billed charges		385.2	40			Percent of total billed charges		171.2	80			Percent of total billed charges		342.4	90			Percent of total billed charges		385.2	85			Percent of total billed charges		363.8	85			Percent of total billed charges		363.8	85			Percent of total billed charges		363.8	100			Percent of total billed charges		428	100			Percent of total billed charges		428	100			Percent of total billed charges		428	33.3			Percent of total billed charges		142.524	33.3			Percent of total billed charges		142.524	100			Percent of total billed charges		428	142.524	385.2	
s/n tc 100 tap 6.5	272	RC	Outpatient			428	278.2		90			Percent of total billed charges		385.2	40			Percent of total billed charges		171.2	80			Percent of total billed charges		342.4	90			Percent of total billed charges		385.2	85			Percent of total billed charges		363.8	85			Percent of total billed charges		363.8	85			Percent of total billed charges		363.8	100			Percent of total billed charges		428	100			Percent of total billed charges		428	100			Percent of total billed charges		428	33.3			Percent of total billed charges		142.524	33.3			Percent of total billed charges		142.524	100			Percent of total billed charges		428	142.524	385.2	
tap 4.5 cortex shaft screw 311.46	272	RC	Outpatient			428	278.2		90			Percent of total billed charges		385.2	40			Percent of total billed charges		171.2	80			Percent of total billed charges		342.4	90			Percent of total billed charges		385.2	85			Percent of total billed charges		363.8	85			Percent of total billed charges		363.8	85			Percent of total billed charges		363.8	100			Percent of total billed charges		428	100			Percent of total billed charges		428	100			Percent of total billed charges		428	33.3			Percent of total billed charges		142.524	33.3			Percent of total billed charges		142.524	100			Percent of total billed charges		428	142.524	385.2	
da vinci fluorescence imaging pack 950156	272	RC	Outpatient			429	278.85		90			Percent of total billed charges		386.1	40			Percent of total billed charges		171.6	80			Percent of total billed charges		343.2	90			Percent of total billed charges		386.1	85			Percent of total billed charges		364.65	85			Percent of total billed charges		364.65	85			Percent of total billed charges		364.65	100			Percent of total billed charges		429	100			Percent of total billed charges		429	100			Percent of total billed charges		429	33.3			Percent of total billed charges		142.857	33.3			Percent of total billed charges		142.857	100			Percent of total billed charges		429	142.857	386.1	
11.0mm carbon fiber rod 450mm 394.88 synthes	278	RC	Outpatient			431	280.15		90			Percent of total billed charges		387.9	40			Percent of total billed charges		172.4	80			Percent of total billed charges		344.8	90			Percent of total billed charges		387.9	85			Percent of total billed charges		366.35	85			Percent of total billed charges		366.35	85			Percent of total billed charges		366.35	100			Percent of total billed charges		431	100			Percent of total billed charges		431	100			Percent of total billed charges		431	33.3			Percent of total billed charges		143.523	33.3			Percent of total billed charges		143.523	100			Percent of total billed charges		431	143.523	387.9	
11.0mm carbon fiber rod 500mm 394.89 synthes	278	RC	Outpatient			431	280.15		90			Percent of total billed charges		387.9	40			Percent of total billed charges		172.4	80			Percent of total billed charges		344.8	90			Percent of total billed charges		387.9	85			Percent of total billed charges		366.35	85			Percent of total billed charges		366.35	85			Percent of total billed charges		366.35	100			Percent of total billed charges		431	100			Percent of total billed charges		431	100			Percent of total billed charges		431	33.3			Percent of total billed charges		143.523	33.3			Percent of total billed charges		143.523	100			Percent of total billed charges		431	143.523	387.9	
11.0mm carbon fiber rod 550mm 394.90 synthes	278	RC	Outpatient			431	280.15		90			Percent of total billed charges		387.9	40			Percent of total billed charges		172.4	80			Percent of total billed charges		344.8	90			Percent of total billed charges		387.9	85			Percent of total billed charges		366.35	85			Percent of total billed charges		366.35	85			Percent of total billed charges		366.35	100			Percent of total billed charges		431	100			Percent of total billed charges		431	100			Percent of total billed charges		431	33.3			Percent of total billed charges		143.523	33.3			Percent of total billed charges		143.523	100			Percent of total billed charges		431	143.523	387.9	
11.0mm carbon fiber rod 650mm 394.92 synthes	278	RC	Outpatient			431	280.15		90			Percent of total billed charges		387.9	40			Percent of total billed charges		172.4	80			Percent of total billed charges		344.8	90			Percent of total billed charges		387.9	85			Percent of total billed charges		366.35	85			Percent of total billed charges		366.35	85			Percent of total billed charges		366.35	100			Percent of total billed charges		431	100			Percent of total billed charges		431	100			Percent of total billed charges		431	33.3			Percent of total billed charges		143.523	33.3			Percent of total billed charges		143.523	100			Percent of total billed charges		431	143.523	387.9	
carbon fiber rod 11.0mm x 150mm 394.82	278	RC	Outpatient			431	280.15		90			Percent of total billed charges		387.9	40			Percent of total billed charges		172.4	80			Percent of total billed charges		344.8	90			Percent of total billed charges		387.9	85			Percent of total billed charges		366.35	85			Percent of total billed charges		366.35	85			Percent of total billed charges		366.35	100			Percent of total billed charges		431	100			Percent of total billed charges		431	100			Percent of total billed charges		431	33.3			Percent of total billed charges		143.523	33.3			Percent of total billed charges		143.523	100			Percent of total billed charges		431	143.523	387.9	
carbon fiber rods 11.0mm x 300mm 394.85	278	RC	Outpatient			431	280.15		90			Percent of total billed charges		387.9	40			Percent of total billed charges		172.4	80			Percent of total billed charges		344.8	90			Percent of total billed charges		387.9	85			Percent of total billed charges		366.35	85			Percent of total billed charges		366.35	85			Percent of total billed charges		366.35	100			Percent of total billed charges		431	100			Percent of total billed charges		431	100			Percent of total billed charges		431	33.3			Percent of total billed charges		143.523	33.3			Percent of total billed charges		143.523	100			Percent of total billed charges		431	143.523	387.9	
11.0mm carbon fiber rod 125mm 394.81 synthes	278	RC	Outpatient			431	280.15		90			Percent of total billed charges		387.9	40			Percent of total billed charges		172.4	80			Percent of total billed charges		344.8	90			Percent of total billed charges		387.9	85			Percent of total billed charges		366.35	85			Percent of total billed charges		366.35	85			Percent of total billed charges		366.35	100			Percent of total billed charges		431	100			Percent of total billed charges		431	100			Percent of total billed charges		431	33.3			Percent of total billed charges		143.523	33.3			Percent of total billed charges		143.523	100			Percent of total billed charges		431	143.523	387.9	
11.0mm carbon fiber rod 600mm 394.91 synthes	278	RC	Outpatient			431	280.15		90			Percent of total billed charges		387.9	40			Percent of total billed charges		172.4	80			Percent of total billed charges		344.8	90			Percent of total billed charges		387.9	85			Percent of total billed charges		366.35	85			Percent of total billed charges		366.35	85			Percent of total billed charges		366.35	100			Percent of total billed charges		431	100			Percent of total billed charges		431	100			Percent of total billed charges		431	33.3			Percent of total billed charges		143.523	33.3			Percent of total billed charges		143.523	100			Percent of total billed charges		431	143.523	387.9	
carbon fiber rod 11.0 x 100mm 394.80	278	RC	Outpatient			431	280.15		90			Percent of total billed charges		387.9	40			Percent of total billed charges		172.4	80			Percent of total billed charges		344.8	90			Percent of total billed charges		387.9	85			Percent of total billed charges		366.35	85			Percent of total billed charges		366.35	85			Percent of total billed charges		366.35	100			Percent of total billed charges		431	100			Percent of total billed charges		431	100			Percent of total billed charges		431	33.3			Percent of total billed charges		143.523	33.3			Percent of total billed charges		143.523	100			Percent of total billed charges		431	143.523	387.9	
carbon fiber rod 11.0 x 250mm 394.84	278	RC	Outpatient			431	280.15		90			Percent of total billed charges		387.9	40			Percent of total billed charges		172.4	80			Percent of total billed charges		344.8	90			Percent of total billed charges		387.9	85			Percent of total billed charges		366.35	85			Percent of total billed charges		366.35	85			Percent of total billed charges		366.35	100			Percent of total billed charges		431	100			Percent of total billed charges		431	100			Percent of total billed charges		431	33.3			Percent of total billed charges		143.523	33.3			Percent of total billed charges		143.523	100			Percent of total billed charges		431	143.523	387.9	
carbon fiber rod11.0mm x 200mm 394.83	278	RC	Outpatient			431	280.15		90			Percent of total billed charges		387.9	40			Percent of total billed charges		172.4	80			Percent of total billed charges		344.8	90			Percent of total billed charges		387.9	85			Percent of total billed charges		366.35	85			Percent of total billed charges		366.35	85			Percent of total billed charges		366.35	100			Percent of total billed charges		431	100			Percent of total billed charges		431	100			Percent of total billed charges		431	33.3			Percent of total billed charges		143.523	33.3			Percent of total billed charges		143.523	100			Percent of total billed charges		431	143.523	387.9	
carbon fiber rods 5.0mm x 150mm 384.82	278	RC	Outpatient			431	280.15		90			Percent of total billed charges		387.9	40			Percent of total billed charges		172.4	80			Percent of total billed charges		344.8	90			Percent of total billed charges		387.9	85			Percent of total billed charges		366.35	85			Percent of total billed charges		366.35	85			Percent of total billed charges		366.35	100			Percent of total billed charges		431	100			Percent of total billed charges		431	100			Percent of total billed charges		431	33.3			Percent of total billed charges		143.523	33.3			Percent of total billed charges		143.523	100			Percent of total billed charges		431	143.523	387.9	
carbon fiber rods 5.0mm x 200mm 394.83	278	RC	Outpatient			431	280.15		90			Percent of total billed charges		387.9	40			Percent of total billed charges		172.4	80			Percent of total billed charges		344.8	90			Percent of total billed charges		387.9	85			Percent of total billed charges		366.35	85			Percent of total billed charges		366.35	85			Percent of total billed charges		366.35	100			Percent of total billed charges		431	100			Percent of total billed charges		431	100			Percent of total billed charges		431	33.3			Percent of total billed charges		143.523	33.3			Percent of total billed charges		143.523	100			Percent of total billed charges		431	143.523	387.9	
drill bit 3 fluted 3.2	272	RC	Outpatient			431	280.15		90			Percent of total billed charges		387.9	40			Percent of total billed charges		172.4	80			Percent of total billed charges		344.8	90			Percent of total billed charges		387.9	85			Percent of total billed charges		366.35	85			Percent of total billed charges		366.35	85			Percent of total billed charges		366.35	100			Percent of total billed charges		431	100			Percent of total billed charges		431	100			Percent of total billed charges		431	33.3			Percent of total billed charges		143.523	33.3			Percent of total billed charges		143.523	100			Percent of total billed charges		431	143.523	387.9	
ex. fix. carbon rod	278	RC	Outpatient			431	280.15		90			Percent of total billed charges		387.9	40			Percent of total billed charges		172.4	80			Percent of total billed charges		344.8	90			Percent of total billed charges		387.9	85			Percent of total billed charges		366.35	85			Percent of total billed charges		366.35	85			Percent of total billed charges		366.35	100			Percent of total billed charges		431	100			Percent of total billed charges		431	100			Percent of total billed charges		431	33.3			Percent of total billed charges		143.523	33.3			Percent of total billed charges		143.523	100			Percent of total billed charges		431	143.523	387.9	
"l plate, 2mm bar, 5 hole 55-06760 stryker"	278	RC	Outpatient			431	280.15		90			Percent of total billed charges		387.9	40			Percent of total billed charges		172.4	80			Percent of total billed charges		344.8	90			Percent of total billed charges		387.9	85			Percent of total billed charges		366.35	85			Percent of total billed charges		366.35	85			Percent of total billed charges		366.35	100			Percent of total billed charges		431	100			Percent of total billed charges		431	100			Percent of total billed charges		431	33.3			Percent of total billed charges		143.523	33.3			Percent of total billed charges		143.523	100			Percent of total billed charges		431	143.523	387.9	
rod fiber carbon 11.0 x 350 394.86 synthes	278	RC	Outpatient			431	280.15		90			Percent of total billed charges		387.9	40			Percent of total billed charges		172.4	80			Percent of total billed charges		344.8	90			Percent of total billed charges		387.9	85			Percent of total billed charges		366.35	85			Percent of total billed charges		366.35	85			Percent of total billed charges		366.35	100			Percent of total billed charges		431	100			Percent of total billed charges		431	100			Percent of total billed charges		431	33.3			Percent of total billed charges		143.523	33.3			Percent of total billed charges		143.523	100			Percent of total billed charges		431	143.523	387.9	
rod fiber carbon 11.0 x 400 394.87 synthes	278	RC	Outpatient			431	280.15		90			Percent of total billed charges		387.9	40			Percent of total billed charges		172.4	80			Percent of total billed charges		344.8	90			Percent of total billed charges		387.9	85			Percent of total billed charges		366.35	85			Percent of total billed charges		366.35	85			Percent of total billed charges		366.35	100			Percent of total billed charges		431	100			Percent of total billed charges		431	100			Percent of total billed charges		431	33.3			Percent of total billed charges		143.523	33.3			Percent of total billed charges		143.523	100			Percent of total billed charges		431	143.523	387.9	
s/n lg frag tc 100 3 fluted drill bit 4.5mm 7117-0155/7117-6132	272	RC	Outpatient			431	280.15		90			Percent of total billed charges		387.9	40			Percent of total billed charges		172.4	80			Percent of total billed charges		344.8	90			Percent of total billed charges		387.9	85			Percent of total billed charges		366.35	85			Percent of total billed charges		366.35	85			Percent of total billed charges		366.35	100			Percent of total billed charges		431	100			Percent of total billed charges		431	100			Percent of total billed charges		431	33.3			Percent of total billed charges		143.523	33.3			Percent of total billed charges		143.523	100			Percent of total billed charges		431	143.523	387.9	
"stryker l pl, 5 hl 2mm"	278	RC	Outpatient			431	280.15		90			Percent of total billed charges		387.9	40			Percent of total billed charges		172.4	80			Percent of total billed charges		344.8	90			Percent of total billed charges		387.9	85			Percent of total billed charges		366.35	85			Percent of total billed charges		366.35	85			Percent of total billed charges		366.35	100			Percent of total billed charges		431	100			Percent of total billed charges		431	100			Percent of total billed charges		431	33.3			Percent of total billed charges		143.523	33.3			Percent of total billed charges		143.523	100			Percent of total billed charges		431	143.523	387.9	
synthes carbon fiber rod 4.0 x 100mm 395.62	278	RC	Outpatient			431	280.15		90			Percent of total billed charges		387.9	40			Percent of total billed charges		172.4	80			Percent of total billed charges		344.8	90			Percent of total billed charges		387.9	85			Percent of total billed charges		366.35	85			Percent of total billed charges		366.35	85			Percent of total billed charges		366.35	100			Percent of total billed charges		431	100			Percent of total billed charges		431	100			Percent of total billed charges		431	33.3			Percent of total billed charges		143.523	33.3			Percent of total billed charges		143.523	100			Percent of total billed charges		431	143.523	387.9	
pds strip	270	RC	Outpatient			431	280.15		90			Percent of total billed charges		387.9	40			Percent of total billed charges		172.4	80			Percent of total billed charges		344.8	90			Percent of total billed charges		387.9	85			Percent of total billed charges		366.35	85			Percent of total billed charges		366.35	85			Percent of total billed charges		366.35	100			Percent of total billed charges		431	100			Percent of total billed charges		431	100			Percent of total billed charges		431	33.3			Percent of total billed charges		143.523	33.3			Percent of total billed charges		143.523	100			Percent of total billed charges		431	143.523	387.9	
peri-strips dry synovis psd-4506- u-v	270	RC	Outpatient			431	280.15		90			Percent of total billed charges		387.9	40			Percent of total billed charges		172.4	80			Percent of total billed charges		344.8	90			Percent of total billed charges		387.9	85			Percent of total billed charges		366.35	85			Percent of total billed charges		366.35	85			Percent of total billed charges		366.35	100			Percent of total billed charges		431	100			Percent of total billed charges		431	100			Percent of total billed charges		431	33.3			Percent of total billed charges		143.523	33.3			Percent of total billed charges		143.523	100			Percent of total billed charges		431	143.523	387.9	
s/n 3.5 t20 lck scr 65-80	278	RC	Outpatient			431	280.15		90			Percent of total billed charges		387.9	40			Percent of total billed charges		172.4	80			Percent of total billed charges		344.8	90			Percent of total billed charges		387.9	85			Percent of total billed charges		366.35	85			Percent of total billed charges		366.35	85			Percent of total billed charges		366.35	100			Percent of total billed charges		431	100			Percent of total billed charges		431	100			Percent of total billed charges		431	33.3			Percent of total billed charges		143.523	33.3			Percent of total billed charges		143.523	100			Percent of total billed charges		431	143.523	387.9	
s/n lg frag tc 100 3 fluted drill bit 4.5mm 7117-0151/7117-6145	272	RC	Outpatient			431	280.15		90			Percent of total billed charges		387.9	40			Percent of total billed charges		172.4	80			Percent of total billed charges		344.8	90			Percent of total billed charges		387.9	85			Percent of total billed charges		366.35	85			Percent of total billed charges		366.35	85			Percent of total billed charges		366.35	100			Percent of total billed charges		431	100			Percent of total billed charges		431	100			Percent of total billed charges		431	33.3			Percent of total billed charges		143.523	33.3			Percent of total billed charges		143.523	100			Percent of total billed charges		431	143.523	387.9	
versanail 4.5 screw	278	RC	Outpatient			431	280.15		90			Percent of total billed charges		387.9	40			Percent of total billed charges		172.4	80			Percent of total billed charges		344.8	90			Percent of total billed charges		387.9	85			Percent of total billed charges		366.35	85			Percent of total billed charges		366.35	85			Percent of total billed charges		366.35	100			Percent of total billed charges		431	100			Percent of total billed charges		431	100			Percent of total billed charges		431	33.3			Percent of total billed charges		143.523	33.3			Percent of total billed charges		143.523	100			Percent of total billed charges		431	143.523	387.9	
versanail 4.5 x 42mm solid cortical proximal screw 14022-42 depuy	278	RC	Outpatient			431	280.15		90			Percent of total billed charges		387.9	40			Percent of total billed charges		172.4	80			Percent of total billed charges		344.8	90			Percent of total billed charges		387.9	85			Percent of total billed charges		366.35	85			Percent of total billed charges		366.35	85			Percent of total billed charges		366.35	100			Percent of total billed charges		431	100			Percent of total billed charges		431	100			Percent of total billed charges		431	33.3			Percent of total billed charges		143.523	33.3			Percent of total billed charges		143.523	100			Percent of total billed charges		431	143.523	387.9	
trocar 5-8mm	270	RC	Outpatient			432	280.8		90			Percent of total billed charges		388.8	40			Percent of total billed charges		172.8	80			Percent of total billed charges		345.6	90			Percent of total billed charges		388.8	85			Percent of total billed charges		367.2	85			Percent of total billed charges		367.2	85			Percent of total billed charges		367.2	100			Percent of total billed charges		432	100			Percent of total billed charges		432	100			Percent of total billed charges		432	33.3			Percent of total billed charges		143.856	33.3			Percent of total billed charges		143.856	100			Percent of total billed charges		432	143.856	388.8	
trocar 7/8 x 100 w/ shielded obturator c0723 applied med	270	RC	Outpatient			432	280.8		90			Percent of total billed charges		388.8	40			Percent of total billed charges		172.8	80			Percent of total billed charges		345.6	90			Percent of total billed charges		388.8	85			Percent of total billed charges		367.2	85			Percent of total billed charges		367.2	85			Percent of total billed charges		367.2	100			Percent of total billed charges		432	100			Percent of total billed charges		432	100			Percent of total billed charges		432	33.3			Percent of total billed charges		143.856	33.3			Percent of total billed charges		143.856	100			Percent of total billed charges		432	143.856	388.8	
trocar bladeless 8mm-100mm  b8lt	270	RC	Outpatient			432	280.8		90			Percent of total billed charges		388.8	40			Percent of total billed charges		172.8	80			Percent of total billed charges		345.6	90			Percent of total billed charges		388.8	85			Percent of total billed charges		367.2	85			Percent of total billed charges		367.2	85			Percent of total billed charges		367.2	100			Percent of total billed charges		432	100			Percent of total billed charges		432	100			Percent of total billed charges		432	33.3			Percent of total billed charges		143.856	33.3			Percent of total billed charges		143.856	100			Percent of total billed charges		432	143.856	388.8	
recon screw 5.5mm 2252-100-55 100mm zimmer	278	RC	Outpatient			433	281.45		90			Percent of total billed charges		389.7	40			Percent of total billed charges		173.2	80			Percent of total billed charges		346.4	90			Percent of total billed charges		389.7	85			Percent of total billed charges		368.05	85			Percent of total billed charges		368.05	85			Percent of total billed charges		368.05	100			Percent of total billed charges		433	100			Percent of total billed charges		433	100			Percent of total billed charges		433	33.3			Percent of total billed charges		144.189	33.3			Percent of total billed charges		144.189	100			Percent of total billed charges		433	144.189	389.7	
recon screw 5.5mm 2252-125-55 125mm zimmer	278	RC	Outpatient			433	281.45		90			Percent of total billed charges		389.7	40			Percent of total billed charges		173.2	80			Percent of total billed charges		346.4	90			Percent of total billed charges		389.7	85			Percent of total billed charges		368.05	85			Percent of total billed charges		368.05	85			Percent of total billed charges		368.05	100			Percent of total billed charges		433	100			Percent of total billed charges		433	100			Percent of total billed charges		433	33.3			Percent of total billed charges		144.189	33.3			Percent of total billed charges		144.189	100			Percent of total billed charges		433	144.189	389.7	
recon screw 5.5mm 2252-60-55 60mm zimmer	278	RC	Outpatient			433	281.45		90			Percent of total billed charges		389.7	40			Percent of total billed charges		173.2	80			Percent of total billed charges		346.4	90			Percent of total billed charges		389.7	85			Percent of total billed charges		368.05	85			Percent of total billed charges		368.05	85			Percent of total billed charges		368.05	100			Percent of total billed charges		433	100			Percent of total billed charges		433	100			Percent of total billed charges		433	33.3			Percent of total billed charges		144.189	33.3			Percent of total billed charges		144.189	100			Percent of total billed charges		433	144.189	389.7	
recon screw 5.5mm 2252-70-55 70mm zimmer	278	RC	Outpatient			433	281.45		90			Percent of total billed charges		389.7	40			Percent of total billed charges		173.2	80			Percent of total billed charges		346.4	90			Percent of total billed charges		389.7	85			Percent of total billed charges		368.05	85			Percent of total billed charges		368.05	85			Percent of total billed charges		368.05	100			Percent of total billed charges		433	100			Percent of total billed charges		433	100			Percent of total billed charges		433	33.3			Percent of total billed charges		144.189	33.3			Percent of total billed charges		144.189	100			Percent of total billed charges		433	144.189	389.7	
recon screw 5.5mm 2252-75-55 75mm zimmer	278	RC	Outpatient			433	281.45		90			Percent of total billed charges		389.7	40			Percent of total billed charges		173.2	80			Percent of total billed charges		346.4	90			Percent of total billed charges		389.7	85			Percent of total billed charges		368.05	85			Percent of total billed charges		368.05	85			Percent of total billed charges		368.05	100			Percent of total billed charges		433	100			Percent of total billed charges		433	100			Percent of total billed charges		433	33.3			Percent of total billed charges		144.189	33.3			Percent of total billed charges		144.189	100			Percent of total billed charges		433	144.189	389.7	
recon screw 5.5mm 2252-90-55 90mm zimmer	278	RC	Outpatient			433	281.45		90			Percent of total billed charges		389.7	40			Percent of total billed charges		173.2	80			Percent of total billed charges		346.4	90			Percent of total billed charges		389.7	85			Percent of total billed charges		368.05	85			Percent of total billed charges		368.05	85			Percent of total billed charges		368.05	100			Percent of total billed charges		433	100			Percent of total billed charges		433	100			Percent of total billed charges		433	33.3			Percent of total billed charges		144.189	33.3			Percent of total billed charges		144.189	100			Percent of total billed charges		433	144.189	389.7	
rsp drill bit 4.0	272	RC	Outpatient			433	281.45		90			Percent of total billed charges		389.7	40			Percent of total billed charges		173.2	80			Percent of total billed charges		346.4	90			Percent of total billed charges		389.7	85			Percent of total billed charges		368.05	85			Percent of total billed charges		368.05	85			Percent of total billed charges		368.05	100			Percent of total billed charges		433	100			Percent of total billed charges		433	100			Percent of total billed charges		433	33.3			Percent of total billed charges		144.189	33.3			Percent of total billed charges		144.189	100			Percent of total billed charges		433	144.189	389.7	
recon screw 5.5mm 2252-105-55 105mm zimmer	278	RC	Outpatient			433	281.45		90			Percent of total billed charges		389.7	40			Percent of total billed charges		173.2	80			Percent of total billed charges		346.4	90			Percent of total billed charges		389.7	85			Percent of total billed charges		368.05	85			Percent of total billed charges		368.05	85			Percent of total billed charges		368.05	100			Percent of total billed charges		433	100			Percent of total billed charges		433	100			Percent of total billed charges		433	33.3			Percent of total billed charges		144.189	33.3			Percent of total billed charges		144.189	100			Percent of total billed charges		433	144.189	389.7	
recon screw 5.5mm 2252-110-55 110mm zimmer	278	RC	Outpatient			433	281.45		90			Percent of total billed charges		389.7	40			Percent of total billed charges		173.2	80			Percent of total billed charges		346.4	90			Percent of total billed charges		389.7	85			Percent of total billed charges		368.05	85			Percent of total billed charges		368.05	85			Percent of total billed charges		368.05	100			Percent of total billed charges		433	100			Percent of total billed charges		433	100			Percent of total billed charges		433	33.3			Percent of total billed charges		144.189	33.3			Percent of total billed charges		144.189	100			Percent of total billed charges		433	144.189	389.7	
recon screw 5.5mm 2252-115-55 115mm zimmer	278	RC	Outpatient			433	281.45		90			Percent of total billed charges		389.7	40			Percent of total billed charges		173.2	80			Percent of total billed charges		346.4	90			Percent of total billed charges		389.7	85			Percent of total billed charges		368.05	85			Percent of total billed charges		368.05	85			Percent of total billed charges		368.05	100			Percent of total billed charges		433	100			Percent of total billed charges		433	100			Percent of total billed charges		433	33.3			Percent of total billed charges		144.189	33.3			Percent of total billed charges		144.189	100			Percent of total billed charges		433	144.189	389.7	
recon screw 5.5mm 2252-120-55 120mm zimmer	278	RC	Outpatient			433	281.45		90			Percent of total billed charges		389.7	40			Percent of total billed charges		173.2	80			Percent of total billed charges		346.4	90			Percent of total billed charges		389.7	85			Percent of total billed charges		368.05	85			Percent of total billed charges		368.05	85			Percent of total billed charges		368.05	100			Percent of total billed charges		433	100			Percent of total billed charges		433	100			Percent of total billed charges		433	33.3			Percent of total billed charges		144.189	33.3			Percent of total billed charges		144.189	100			Percent of total billed charges		433	144.189	389.7	
recon screw 5.5mm 2252-130-55 130mm zimmer	278	RC	Outpatient			433	281.45		90			Percent of total billed charges		389.7	40			Percent of total billed charges		173.2	80			Percent of total billed charges		346.4	90			Percent of total billed charges		389.7	85			Percent of total billed charges		368.05	85			Percent of total billed charges		368.05	85			Percent of total billed charges		368.05	100			Percent of total billed charges		433	100			Percent of total billed charges		433	100			Percent of total billed charges		433	33.3			Percent of total billed charges		144.189	33.3			Percent of total billed charges		144.189	100			Percent of total billed charges		433	144.189	389.7	
recon screw 5.5mm 2252-65-55 65mm zimmer	278	RC	Outpatient			433	281.45		90			Percent of total billed charges		389.7	40			Percent of total billed charges		173.2	80			Percent of total billed charges		346.4	90			Percent of total billed charges		389.7	85			Percent of total billed charges		368.05	85			Percent of total billed charges		368.05	85			Percent of total billed charges		368.05	100			Percent of total billed charges		433	100			Percent of total billed charges		433	100			Percent of total billed charges		433	33.3			Percent of total billed charges		144.189	33.3			Percent of total billed charges		144.189	100			Percent of total billed charges		433	144.189	389.7	
recon screw 5.5mm 2252-80-55 80mm zimmer	278	RC	Outpatient			433	281.45		90			Percent of total billed charges		389.7	40			Percent of total billed charges		173.2	80			Percent of total billed charges		346.4	90			Percent of total billed charges		389.7	85			Percent of total billed charges		368.05	85			Percent of total billed charges		368.05	85			Percent of total billed charges		368.05	100			Percent of total billed charges		433	100			Percent of total billed charges		433	100			Percent of total billed charges		433	33.3			Percent of total billed charges		144.189	33.3			Percent of total billed charges		144.189	100			Percent of total billed charges		433	144.189	389.7	
recon screw 5.5mm 2252-85-55 85mm zimmer	278	RC	Outpatient			433	281.45		90			Percent of total billed charges		389.7	40			Percent of total billed charges		173.2	80			Percent of total billed charges		346.4	90			Percent of total billed charges		389.7	85			Percent of total billed charges		368.05	85			Percent of total billed charges		368.05	85			Percent of total billed charges		368.05	100			Percent of total billed charges		433	100			Percent of total billed charges		433	100			Percent of total billed charges		433	33.3			Percent of total billed charges		144.189	33.3			Percent of total billed charges		144.189	100			Percent of total billed charges		433	144.189	389.7	
recon screw 5.5mm 2252-95-55 95mm zimmer	278	RC	Outpatient			433	281.45		90			Percent of total billed charges		389.7	40			Percent of total billed charges		173.2	80			Percent of total billed charges		346.4	90			Percent of total billed charges		389.7	85			Percent of total billed charges		368.05	85			Percent of total billed charges		368.05	85			Percent of total billed charges		368.05	100			Percent of total billed charges		433	100			Percent of total billed charges		433	100			Percent of total billed charges		433	33.3			Percent of total billed charges		144.189	33.3			Percent of total billed charges		144.189	100			Percent of total billed charges		433	144.189	389.7	
rsp drill bit 4.2mm 80403049 djo	272	RC	Outpatient			433	281.45		90			Percent of total billed charges		389.7	40			Percent of total billed charges		173.2	80			Percent of total billed charges		346.4	90			Percent of total billed charges		389.7	85			Percent of total billed charges		368.05	85			Percent of total billed charges		368.05	85			Percent of total billed charges		368.05	100			Percent of total billed charges		433	100			Percent of total billed charges		433	100			Percent of total billed charges		433	33.3			Percent of total billed charges		144.189	33.3			Percent of total billed charges		144.189	100			Percent of total billed charges		433	144.189	389.7	
zimmer recon screw 5.5	278	RC	Outpatient			433	281.45		90			Percent of total billed charges		389.7	40			Percent of total billed charges		173.2	80			Percent of total billed charges		346.4	90			Percent of total billed charges		389.7	85			Percent of total billed charges		368.05	85			Percent of total billed charges		368.05	85			Percent of total billed charges		368.05	100			Percent of total billed charges		433	100			Percent of total billed charges		433	100			Percent of total billed charges		433	33.3			Percent of total billed charges		144.189	33.3			Percent of total billed charges		144.189	100			Percent of total billed charges		433	144.189	389.7	
2.5mm provisional fixation pin - 25mm s/n ref 71175094	272	RC	Outpatient			433.13	281.53		90			Percent of total billed charges		389.817	40			Percent of total billed charges		173.252	80			Percent of total billed charges		346.504	90			Percent of total billed charges		389.817	85			Percent of total billed charges		368.1605	85			Percent of total billed charges		368.1605	85			Percent of total billed charges		368.1605	100			Percent of total billed charges		433.13	100			Percent of total billed charges		433.13	100			Percent of total billed charges		433.13	33.3			Percent of total billed charges		144.2323	33.3			Percent of total billed charges		144.2323	100			Percent of total billed charges		433.13	144.2323	389.817	
zzscrmc possi accessory kit	621	RC	Outpatient			435	282.75		90			Percent of total billed charges		391.5	40			Percent of total billed charges		174	80			Percent of total billed charges		348	90			Percent of total billed charges		391.5	85			Percent of total billed charges		369.75	85			Percent of total billed charges		369.75	85			Percent of total billed charges		369.75	100			Percent of total billed charges		435	100			Percent of total billed charges		435	100			Percent of total billed charges		435	33.3			Percent of total billed charges		144.855	33.3			Percent of total billed charges		144.855	100			Percent of total billed charges		435	144.855	391.5	
arthroscopy shld	270	RC	Outpatient			436	283.4		90			Percent of total billed charges		392.4	40			Percent of total billed charges		174.4	80			Percent of total billed charges		348.8	90			Percent of total billed charges		392.4	85			Percent of total billed charges		370.6	85			Percent of total billed charges		370.6	85			Percent of total billed charges		370.6	100			Percent of total billed charges		436	100			Percent of total billed charges		436	100			Percent of total billed charges		436	33.3			Percent of total billed charges		145.188	33.3			Percent of total billed charges		145.188	100			Percent of total billed charges		436	145.188	392.4	
ball tip guide 3mm x 1000mm 7163-1626 s/n	272	RC	Outpatient			436	283.4		90			Percent of total billed charges		392.4	40			Percent of total billed charges		174.4	80			Percent of total billed charges		348.8	90			Percent of total billed charges		392.4	85			Percent of total billed charges		370.6	85			Percent of total billed charges		370.6	85			Percent of total billed charges		370.6	100			Percent of total billed charges		436	100			Percent of total billed charges		436	100			Percent of total billed charges		436	33.3			Percent of total billed charges		145.188	33.3			Percent of total billed charges		145.188	100			Percent of total billed charges		436	145.188	392.4	
endowrist suction irrigator ref 480299 isi	272	RC	Outpatient			437.25	284.21		90			Percent of total billed charges		393.525	40			Percent of total billed charges		174.9	80			Percent of total billed charges		349.8	90			Percent of total billed charges		393.525	85			Percent of total billed charges		371.6625	85			Percent of total billed charges		371.6625	85			Percent of total billed charges		371.6625	100			Percent of total billed charges		437.25	100			Percent of total billed charges		437.25	100			Percent of total billed charges		437.25	33.3			Percent of total billed charges		145.6043	33.3			Percent of total billed charges		145.6043	100			Percent of total billed charges		437.25	145.6043	393.525	
biomet dvr md peg	278	RC	Outpatient			438	284.7		90			Percent of total billed charges		394.2	40			Percent of total billed charges		175.2	80			Percent of total billed charges		350.4	90			Percent of total billed charges		394.2	85			Percent of total billed charges		372.3	85			Percent of total billed charges		372.3	85			Percent of total billed charges		372.3	100			Percent of total billed charges		438	100			Percent of total billed charges		438	100			Percent of total billed charges		438	33.3			Percent of total billed charges		145.854	33.3			Percent of total billed charges		145.854	100			Percent of total billed charges		438	145.854	394.2	
choice pt 0.014 x 300 12155-01 boston scient	272	RC	Outpatient			438	284.7		90			Percent of total billed charges		394.2	40			Percent of total billed charges		175.2	80			Percent of total billed charges		350.4	90			Percent of total billed charges		394.2	85			Percent of total billed charges		372.3	85			Percent of total billed charges		372.3	85			Percent of total billed charges		372.3	100			Percent of total billed charges		438	100			Percent of total billed charges		438	100			Percent of total billed charges		438	33.3			Percent of total billed charges		145.854	33.3			Percent of total billed charges		145.854	100			Percent of total billed charges		438	145.854	394.2	
dbx putty 1cc	278	RC	Outpatient			438	284.7		90			Percent of total billed charges		394.2	40			Percent of total billed charges		175.2	80			Percent of total billed charges		350.4	90			Percent of total billed charges		394.2	85			Percent of total billed charges		372.3	85			Percent of total billed charges		372.3	85			Percent of total billed charges		372.3	100			Percent of total billed charges		438	100			Percent of total billed charges		438	100			Percent of total billed charges		438	33.3			Percent of total billed charges		145.854	33.3			Percent of total billed charges		145.854	100			Percent of total billed charges		438	145.854	394.2	
guidewire choice pt 300	272	RC	Outpatient			438	284.7		90			Percent of total billed charges		394.2	40			Percent of total billed charges		175.2	80			Percent of total billed charges		350.4	90			Percent of total billed charges		394.2	85			Percent of total billed charges		372.3	85			Percent of total billed charges		372.3	85			Percent of total billed charges		372.3	100			Percent of total billed charges		438	100			Percent of total billed charges		438	100			Percent of total billed charges		438	33.3			Percent of total billed charges		145.854	33.3			Percent of total billed charges		145.854	100			Percent of total billed charges		438	145.854	394.2	
multidirectional threaded peg 2.5 x 12mm 131211112 biomet	278	RC	Outpatient			438	284.7		90			Percent of total billed charges		394.2	40			Percent of total billed charges		175.2	80			Percent of total billed charges		350.4	90			Percent of total billed charges		394.2	85			Percent of total billed charges		372.3	85			Percent of total billed charges		372.3	85			Percent of total billed charges		372.3	100			Percent of total billed charges		438	100			Percent of total billed charges		438	100			Percent of total billed charges		438	33.3			Percent of total billed charges		145.854	33.3			Percent of total billed charges		145.854	100			Percent of total billed charges		438	145.854	394.2	
multidirectional threaded peg 2.5 x 16mm 131211116 biomet	278	RC	Outpatient			438	284.7		90			Percent of total billed charges		394.2	40			Percent of total billed charges		175.2	80			Percent of total billed charges		350.4	90			Percent of total billed charges		394.2	85			Percent of total billed charges		372.3	85			Percent of total billed charges		372.3	85			Percent of total billed charges		372.3	100			Percent of total billed charges		438	100			Percent of total billed charges		438	100			Percent of total billed charges		438	33.3			Percent of total billed charges		145.854	33.3			Percent of total billed charges		145.854	100			Percent of total billed charges		438	145.854	394.2	
multidirectional threaded peg 2.5 x 22mm 131211122 biomet	278	RC	Outpatient			438	284.7		90			Percent of total billed charges		394.2	40			Percent of total billed charges		175.2	80			Percent of total billed charges		350.4	90			Percent of total billed charges		394.2	85			Percent of total billed charges		372.3	85			Percent of total billed charges		372.3	85			Percent of total billed charges		372.3	100			Percent of total billed charges		438	100			Percent of total billed charges		438	100			Percent of total billed charges		438	33.3			Percent of total billed charges		145.854	33.3			Percent of total billed charges		145.854	100			Percent of total billed charges		438	145.854	394.2	
multidirectional threaded peg 2.5 x 28mm 131211128 biomet	278	RC	Outpatient			438	284.7		90			Percent of total billed charges		394.2	40			Percent of total billed charges		175.2	80			Percent of total billed charges		350.4	90			Percent of total billed charges		394.2	85			Percent of total billed charges		372.3	85			Percent of total billed charges		372.3	85			Percent of total billed charges		372.3	100			Percent of total billed charges		438	100			Percent of total billed charges		438	100			Percent of total billed charges		438	33.3			Percent of total billed charges		145.854	33.3			Percent of total billed charges		145.854	100			Percent of total billed charges		438	145.854	394.2	
multidirectional threaded peg 2.5 x 30mm 131211130 biomet	278	RC	Outpatient			438	284.7		90			Percent of total billed charges		394.2	40			Percent of total billed charges		175.2	80			Percent of total billed charges		350.4	90			Percent of total billed charges		394.2	85			Percent of total billed charges		372.3	85			Percent of total billed charges		372.3	85			Percent of total billed charges		372.3	100			Percent of total billed charges		438	100			Percent of total billed charges		438	100			Percent of total billed charges		438	33.3			Percent of total billed charges		145.854	33.3			Percent of total billed charges		145.854	100			Percent of total billed charges		438	145.854	394.2	
multidirectional threaded peg 2.5 x 10mm 131211110 biomet	278	RC	Outpatient			438	284.7		90			Percent of total billed charges		394.2	40			Percent of total billed charges		175.2	80			Percent of total billed charges		350.4	90			Percent of total billed charges		394.2	85			Percent of total billed charges		372.3	85			Percent of total billed charges		372.3	85			Percent of total billed charges		372.3	100			Percent of total billed charges		438	100			Percent of total billed charges		438	100			Percent of total billed charges		438	33.3			Percent of total billed charges		145.854	33.3			Percent of total billed charges		145.854	100			Percent of total billed charges		438	145.854	394.2	
multidirectional threaded peg 2.5 x 14mm 131211114 biomet	278	RC	Outpatient			438	284.7		90			Percent of total billed charges		394.2	40			Percent of total billed charges		175.2	80			Percent of total billed charges		350.4	90			Percent of total billed charges		394.2	85			Percent of total billed charges		372.3	85			Percent of total billed charges		372.3	85			Percent of total billed charges		372.3	100			Percent of total billed charges		438	100			Percent of total billed charges		438	100			Percent of total billed charges		438	33.3			Percent of total billed charges		145.854	33.3			Percent of total billed charges		145.854	100			Percent of total billed charges		438	145.854	394.2	
multidirectional threaded peg 2.5 x 18mm 131211118 biomet	278	RC	Outpatient			438	284.7		90			Percent of total billed charges		394.2	40			Percent of total billed charges		175.2	80			Percent of total billed charges		350.4	90			Percent of total billed charges		394.2	85			Percent of total billed charges		372.3	85			Percent of total billed charges		372.3	85			Percent of total billed charges		372.3	100			Percent of total billed charges		438	100			Percent of total billed charges		438	100			Percent of total billed charges		438	33.3			Percent of total billed charges		145.854	33.3			Percent of total billed charges		145.854	100			Percent of total billed charges		438	145.854	394.2	
multidirectional threaded peg 2.5 x 20mm 131211120 biomet	278	RC	Outpatient			438	284.7		90			Percent of total billed charges		394.2	40			Percent of total billed charges		175.2	80			Percent of total billed charges		350.4	90			Percent of total billed charges		394.2	85			Percent of total billed charges		372.3	85			Percent of total billed charges		372.3	85			Percent of total billed charges		372.3	100			Percent of total billed charges		438	100			Percent of total billed charges		438	100			Percent of total billed charges		438	33.3			Percent of total billed charges		145.854	33.3			Percent of total billed charges		145.854	100			Percent of total billed charges		438	145.854	394.2	
multidirectional threaded peg 2.5 x 24mm 131211124 biomet	278	RC	Outpatient			438	284.7		90			Percent of total billed charges		394.2	40			Percent of total billed charges		175.2	80			Percent of total billed charges		350.4	90			Percent of total billed charges		394.2	85			Percent of total billed charges		372.3	85			Percent of total billed charges		372.3	85			Percent of total billed charges		372.3	100			Percent of total billed charges		438	100			Percent of total billed charges		438	100			Percent of total billed charges		438	33.3			Percent of total billed charges		145.854	33.3			Percent of total billed charges		145.854	100			Percent of total billed charges		438	145.854	394.2	
multidirectional threaded peg 2.5 x 26mm 131211126 biomet	278	RC	Outpatient			438	284.7		90			Percent of total billed charges		394.2	40			Percent of total billed charges		175.2	80			Percent of total billed charges		350.4	90			Percent of total billed charges		394.2	85			Percent of total billed charges		372.3	85			Percent of total billed charges		372.3	85			Percent of total billed charges		372.3	100			Percent of total billed charges		438	100			Percent of total billed charges		438	100			Percent of total billed charges		438	33.3			Percent of total billed charges		145.854	33.3			Percent of total billed charges		145.854	100			Percent of total billed charges		438	145.854	394.2	
putty dbx 1cc 038010 mtf	278	RC	Outpatient			438	284.7		90			Percent of total billed charges		394.2	40			Percent of total billed charges		175.2	80			Percent of total billed charges		350.4	90			Percent of total billed charges		394.2	85			Percent of total billed charges		372.3	85			Percent of total billed charges		372.3	85			Percent of total billed charges		372.3	100			Percent of total billed charges		438	100			Percent of total billed charges		438	100			Percent of total billed charges		438	33.3			Percent of total billed charges		145.854	33.3			Percent of total billed charges		145.854	100			Percent of total billed charges		438	145.854	394.2	
gia 80mm- 3.8mm stapler gia8038s covidien	272	RC	Outpatient			439	285.35		90			Percent of total billed charges		395.1	40			Percent of total billed charges		175.6	80			Percent of total billed charges		351.2	90			Percent of total billed charges		395.1	85			Percent of total billed charges		373.15	85			Percent of total billed charges		373.15	85			Percent of total billed charges		373.15	100			Percent of total billed charges		439	100			Percent of total billed charges		439	100			Percent of total billed charges		439	33.3			Percent of total billed charges		146.187	33.3			Percent of total billed charges		146.187	100			Percent of total billed charges		439	146.187	395.1	
stapler gia80 308 gia8038s ussc	272	RC	Outpatient			439	285.35		90			Percent of total billed charges		395.1	40			Percent of total billed charges		175.6	80			Percent of total billed charges		351.2	90			Percent of total billed charges		395.1	85			Percent of total billed charges		373.15	85			Percent of total billed charges		373.15	85			Percent of total billed charges		373.15	100			Percent of total billed charges		439	100			Percent of total billed charges		439	100			Percent of total billed charges		439	33.3			Percent of total billed charges		146.187	33.3			Percent of total billed charges		146.187	100			Percent of total billed charges		439	146.187	395.1	
syn titan.15mm extension	278	RC	Outpatient			439	285.35		90			Percent of total billed charges		395.1	40			Percent of total billed charges		175.6	80			Percent of total billed charges		351.2	90			Percent of total billed charges		395.1	85			Percent of total billed charges		373.15	85			Percent of total billed charges		373.15	85			Percent of total billed charges		373.15	100			Percent of total billed charges		439	100			Percent of total billed charges		439	100			Percent of total billed charges		439	33.3			Percent of total billed charges		146.187	33.3			Percent of total billed charges		146.187	100			Percent of total billed charges		439	146.187	395.1	
t-plate 6 hole 240.16	278	RC	Outpatient			439	285.35		90			Percent of total billed charges		395.1	40			Percent of total billed charges		175.6	80			Percent of total billed charges		351.2	90			Percent of total billed charges		395.1	85			Percent of total billed charges		373.15	85			Percent of total billed charges		373.15	85			Percent of total billed charges		373.15	100			Percent of total billed charges		439	100			Percent of total billed charges		439	100			Percent of total billed charges		439	33.3			Percent of total billed charges		146.187	33.3			Percent of total billed charges		146.187	100			Percent of total billed charges		439	146.187	395.1	
tisseel 2ml	272	RC	Outpatient			439	285.35		90			Percent of total billed charges		395.1	40			Percent of total billed charges		175.6	80			Percent of total billed charges		351.2	90			Percent of total billed charges		395.1	85			Percent of total billed charges		373.15	85			Percent of total billed charges		373.15	85			Percent of total billed charges		373.15	100			Percent of total billed charges		439	100			Percent of total billed charges		439	100			Percent of total billed charges		439	33.3			Percent of total billed charges		146.187	33.3			Percent of total billed charges		146.187	100			Percent of total billed charges		439	146.187	395.1	
tisseel vh kit 2ml 1501236 baxter bioscience	272	RC	Outpatient			439	285.35		90			Percent of total billed charges		395.1	40			Percent of total billed charges		175.6	80			Percent of total billed charges		351.2	90			Percent of total billed charges		395.1	85			Percent of total billed charges		373.15	85			Percent of total billed charges		373.15	85			Percent of total billed charges		373.15	100			Percent of total billed charges		439	100			Percent of total billed charges		439	100			Percent of total billed charges		439	33.3			Percent of total billed charges		146.187	33.3			Percent of total billed charges		146.187	100			Percent of total billed charges		439	146.187	395.1	
stapler gia 80	272	RC	Outpatient			439	285.35		90			Percent of total billed charges		395.1	40			Percent of total billed charges		175.6	80			Percent of total billed charges		351.2	90			Percent of total billed charges		395.1	85			Percent of total billed charges		373.15	85			Percent of total billed charges		373.15	85			Percent of total billed charges		373.15	100			Percent of total billed charges		439	100			Percent of total billed charges		439	100			Percent of total billed charges		439	33.3			Percent of total billed charges		146.187	33.3			Percent of total billed charges		146.187	100			Percent of total billed charges		439	146.187	395.1	
syn sm t-plate 6hole	278	RC	Outpatient			439	285.35		90			Percent of total billed charges		395.1	40			Percent of total billed charges		175.6	80			Percent of total billed charges		351.2	90			Percent of total billed charges		395.1	85			Percent of total billed charges		373.15	85			Percent of total billed charges		373.15	85			Percent of total billed charges		373.15	100			Percent of total billed charges		439	100			Percent of total billed charges		439	100			Percent of total billed charges		439	33.3			Percent of total billed charges		146.187	33.3			Percent of total billed charges		146.187	100			Percent of total billed charges		439	146.187	395.1	
titanium end cap (blue) 15mm extension for titanium solid tibal nail 458.110 synthes	278	RC	Outpatient			439	285.35		90			Percent of total billed charges		395.1	40			Percent of total billed charges		175.6	80			Percent of total billed charges		351.2	90			Percent of total billed charges		395.1	85			Percent of total billed charges		373.15	85			Percent of total billed charges		373.15	85			Percent of total billed charges		373.15	100			Percent of total billed charges		439	100			Percent of total billed charges		439	100			Percent of total billed charges		439	33.3			Percent of total billed charges		146.187	33.3			Percent of total billed charges		146.187	100			Percent of total billed charges		439	146.187	395.1	
5.0mm profile drill for large compression ft screws ar-8750-05	272	RC	Outpatient			440	286		90			Percent of total billed charges		396	40			Percent of total billed charges		176	80			Percent of total billed charges		352	90			Percent of total billed charges		396	85			Percent of total billed charges		374	85			Percent of total billed charges		374	85			Percent of total billed charges		374	100			Percent of total billed charges		440	100			Percent of total billed charges		440	100			Percent of total billed charges		440	33.3			Percent of total billed charges		146.52	33.3			Percent of total billed charges		146.52	100			Percent of total billed charges		440	146.52	396	
lapiplasty saw blade 40mm x 11mm sm-4011 treace medical	272	RC	Outpatient			440	286		90			Percent of total billed charges		396	40			Percent of total billed charges		176	80			Percent of total billed charges		352	90			Percent of total billed charges		396	85			Percent of total billed charges		374	85			Percent of total billed charges		374	85			Percent of total billed charges		374	100			Percent of total billed charges		440	100			Percent of total billed charges		440	100			Percent of total billed charges		440	33.3			Percent of total billed charges		146.52	33.3			Percent of total billed charges		146.52	100			Percent of total billed charges		440	146.52	396	
ligator six shooter cook ref# mbl-6	272	RC	Outpatient			440	286		90			Percent of total billed charges		396	40			Percent of total billed charges		176	80			Percent of total billed charges		352	90			Percent of total billed charges		396	85			Percent of total billed charges		374	85			Percent of total billed charges		374	85			Percent of total billed charges		374	100			Percent of total billed charges		440	100			Percent of total billed charges		440	100			Percent of total billed charges		440	33.3			Percent of total billed charges		146.52	33.3			Percent of total billed charges		146.52	100			Percent of total billed charges		440	146.52	396	
provisional fixation pin 1.5mm x 20mm 71174904 s/n	272	RC	Outpatient			440	286		90			Percent of total billed charges		396	40			Percent of total billed charges		176	80			Percent of total billed charges		352	90			Percent of total billed charges		396	85			Percent of total billed charges		374	85			Percent of total billed charges		374	85			Percent of total billed charges		374	100			Percent of total billed charges		440	100			Percent of total billed charges		440	100			Percent of total billed charges		440	33.3			Percent of total billed charges		146.52	33.3			Percent of total billed charges		146.52	100			Percent of total billed charges		440	146.52	396	
room/bed: hospice	656	RC	Outpatient			440	286		90			Percent of total billed charges		396	40			Percent of total billed charges		176	80			Percent of total billed charges		352	90			Percent of total billed charges		396	85			Percent of total billed charges		374	85			Percent of total billed charges		374	85			Percent of total billed charges		374	100			Percent of total billed charges		440	100			Percent of total billed charges		440	100			Percent of total billed charges		440	33.3			Percent of total billed charges		146.52	33.3			Percent of total billed charges		146.52	100			Percent of total billed charges		440	146.52	396	
scrmc mic g-j tube	621	RC	Outpatient			440	286		90			Percent of total billed charges		396	40			Percent of total billed charges		176	80			Percent of total billed charges		352	90			Percent of total billed charges		396	85			Percent of total billed charges		374	85			Percent of total billed charges		374	85			Percent of total billed charges		374	100			Percent of total billed charges		440	100			Percent of total billed charges		440	100			Percent of total billed charges		440	33.3			Percent of total billed charges		146.52	33.3			Percent of total billed charges		146.52	100			Percent of total billed charges		440	146.52	396	
scrmc mammotome stereotactic revolve probe (mst0809)	621	RC	Outpatient			440	286		90			Percent of total billed charges		396	40			Percent of total billed charges		176	80			Percent of total billed charges		352	90			Percent of total billed charges		396	85			Percent of total billed charges		374	85			Percent of total billed charges		374	85			Percent of total billed charges		374	100			Percent of total billed charges		440	100			Percent of total billed charges		440	100			Percent of total billed charges		440	33.3			Percent of total billed charges		146.52	33.3			Percent of total billed charges		146.52	100			Percent of total billed charges		440	146.52	396	
biliary balloon dialtors	270	RC	Outpatient			441	286.65		90			Percent of total billed charges		396.9	40			Percent of total billed charges		176.4	80			Percent of total billed charges		352.8	90			Percent of total billed charges		396.9	85			Percent of total billed charges		374.85	85			Percent of total billed charges		374.85	85			Percent of total billed charges		374.85	100			Percent of total billed charges		441	100			Percent of total billed charges		441	100			Percent of total billed charges		441	33.3			Percent of total billed charges		146.853	33.3			Percent of total billed charges		146.853	100			Percent of total billed charges		441	146.853	396.9	
acufex rap-pac acl kit	270	RC	Outpatient			441	286.65		90			Percent of total billed charges		396.9	40			Percent of total billed charges		176.4	80			Percent of total billed charges		352.8	90			Percent of total billed charges		396.9	85			Percent of total billed charges		374.85	85			Percent of total billed charges		374.85	85			Percent of total billed charges		374.85	100			Percent of total billed charges		441	100			Percent of total billed charges		441	100			Percent of total billed charges		441	33.3			Percent of total billed charges		146.853	33.3			Percent of total billed charges		146.853	100			Percent of total billed charges		441	146.853	396.9	
amo vitrepure vitectomy op039 allopt	270	RC	Outpatient			441	286.65		90			Percent of total billed charges		396.9	40			Percent of total billed charges		176.4	80			Percent of total billed charges		352.8	90			Percent of total billed charges		396.9	85			Percent of total billed charges		374.85	85			Percent of total billed charges		374.85	85			Percent of total billed charges		374.85	100			Percent of total billed charges		441	100			Percent of total billed charges		441	100			Percent of total billed charges		441	33.3			Percent of total billed charges		146.853	33.3			Percent of total billed charges		146.853	100			Percent of total billed charges		441	146.853	396.9	
ancure sheath	270	RC	Outpatient			441	286.65		90			Percent of total billed charges		396.9	40			Percent of total billed charges		176.4	80			Percent of total billed charges		352.8	90			Percent of total billed charges		396.9	85			Percent of total billed charges		374.85	85			Percent of total billed charges		374.85	85			Percent of total billed charges		374.85	100			Percent of total billed charges		441	100			Percent of total billed charges		441	100			Percent of total billed charges		441	33.3			Percent of total billed charges		146.853	33.3			Percent of total billed charges		146.853	100			Percent of total billed charges		441	146.853	396.9	
endo apollo sphinctertome	270	RC	Outpatient			441	286.65		90			Percent of total billed charges		396.9	40			Percent of total billed charges		176.4	80			Percent of total billed charges		352.8	90			Percent of total billed charges		396.9	85			Percent of total billed charges		374.85	85			Percent of total billed charges		374.85	85			Percent of total billed charges		374.85	100			Percent of total billed charges		441	100			Percent of total billed charges		441	100			Percent of total billed charges		441	33.3			Percent of total billed charges		146.853	33.3			Percent of total billed charges		146.853	100			Percent of total billed charges		441	146.853	396.9	
expand sheath 25 fr x 20cm 40320 endovas sol	270	RC	Outpatient			441	286.65		90			Percent of total billed charges		396.9	40			Percent of total billed charges		176.4	80			Percent of total billed charges		352.8	90			Percent of total billed charges		396.9	85			Percent of total billed charges		374.85	85			Percent of total billed charges		374.85	85			Percent of total billed charges		374.85	100			Percent of total billed charges		441	100			Percent of total billed charges		441	100			Percent of total billed charges		441	33.3			Percent of total billed charges		146.853	33.3			Percent of total billed charges		146.853	100			Percent of total billed charges		441	146.853	396.9	
kit cruciate accessory rap-pac 014725	270	RC	Outpatient			441	286.65		90			Percent of total billed charges		396.9	40			Percent of total billed charges		176.4	80			Percent of total billed charges		352.8	90			Percent of total billed charges		396.9	85			Percent of total billed charges		374.85	85			Percent of total billed charges		374.85	85			Percent of total billed charges		374.85	100			Percent of total billed charges		441	100			Percent of total billed charges		441	100			Percent of total billed charges		441	33.3			Percent of total billed charges		146.853	33.3			Percent of total billed charges		146.853	100			Percent of total billed charges		441	146.853	396.9	
peri-loc 4.0 t20 screw 28mm 73825328 s/n	278	RC	Outpatient			441	286.65		90			Percent of total billed charges		396.9	40			Percent of total billed charges		176.4	80			Percent of total billed charges		352.8	90			Percent of total billed charges		396.9	85			Percent of total billed charges		374.85	85			Percent of total billed charges		374.85	85			Percent of total billed charges		374.85	100			Percent of total billed charges		441	100			Percent of total billed charges		441	100			Percent of total billed charges		441	33.3			Percent of total billed charges		146.853	33.3			Percent of total billed charges		146.853	100			Percent of total billed charges		441	146.853	396.9	
peri-loc 4.0 t20 screw 40mm 73825340 s/n	278	RC	Outpatient			441	286.65		90			Percent of total billed charges		396.9	40			Percent of total billed charges		176.4	80			Percent of total billed charges		352.8	90			Percent of total billed charges		396.9	85			Percent of total billed charges		374.85	85			Percent of total billed charges		374.85	85			Percent of total billed charges		374.85	100			Percent of total billed charges		441	100			Percent of total billed charges		441	100			Percent of total billed charges		441	33.3			Percent of total billed charges		146.853	33.3			Percent of total billed charges		146.853	100			Percent of total billed charges		441	146.853	396.9	
peri-loc 4.0 t20 screw 45mm 73825345 s/n	278	RC	Outpatient			441	286.65		90			Percent of total billed charges		396.9	40			Percent of total billed charges		176.4	80			Percent of total billed charges		352.8	90			Percent of total billed charges		396.9	85			Percent of total billed charges		374.85	85			Percent of total billed charges		374.85	85			Percent of total billed charges		374.85	100			Percent of total billed charges		441	100			Percent of total billed charges		441	100			Percent of total billed charges		441	33.3			Percent of total billed charges		146.853	33.3			Percent of total billed charges		146.853	100			Percent of total billed charges		441	146.853	396.9	
peri-loc 4.0 t20 screw 55mm 73825355 s/n	278	RC	Outpatient			441	286.65		90			Percent of total billed charges		396.9	40			Percent of total billed charges		176.4	80			Percent of total billed charges		352.8	90			Percent of total billed charges		396.9	85			Percent of total billed charges		374.85	85			Percent of total billed charges		374.85	85			Percent of total billed charges		374.85	100			Percent of total billed charges		441	100			Percent of total billed charges		441	100			Percent of total billed charges		441	33.3			Percent of total billed charges		146.853	33.3			Percent of total billed charges		146.853	100			Percent of total billed charges		441	146.853	396.9	
peri-loc 4.0 t20 screw 60mm 73825360 s/n	278	RC	Outpatient			441	286.65		90			Percent of total billed charges		396.9	40			Percent of total billed charges		176.4	80			Percent of total billed charges		352.8	90			Percent of total billed charges		396.9	85			Percent of total billed charges		374.85	85			Percent of total billed charges		374.85	85			Percent of total billed charges		374.85	100			Percent of total billed charges		441	100			Percent of total billed charges		441	100			Percent of total billed charges		441	33.3			Percent of total billed charges		146.853	33.3			Percent of total billed charges		146.853	100			Percent of total billed charges		441	146.853	396.9	
peri-loc 4.0 t20 screw 65mm 73825365 s/n	278	RC	Outpatient			441	286.65		90			Percent of total billed charges		396.9	40			Percent of total billed charges		176.4	80			Percent of total billed charges		352.8	90			Percent of total billed charges		396.9	85			Percent of total billed charges		374.85	85			Percent of total billed charges		374.85	85			Percent of total billed charges		374.85	100			Percent of total billed charges		441	100			Percent of total billed charges		441	100			Percent of total billed charges		441	33.3			Percent of total billed charges		146.853	33.3			Percent of total billed charges		146.853	100			Percent of total billed charges		441	146.853	396.9	
peri-loc 4.0 t20 screw 80mm 73825380 s/n	278	RC	Outpatient			441	286.65		90			Percent of total billed charges		396.9	40			Percent of total billed charges		176.4	80			Percent of total billed charges		352.8	90			Percent of total billed charges		396.9	85			Percent of total billed charges		374.85	85			Percent of total billed charges		374.85	85			Percent of total billed charges		374.85	100			Percent of total billed charges		441	100			Percent of total billed charges		441	100			Percent of total billed charges		441	33.3			Percent of total billed charges		146.853	33.3			Percent of total billed charges		146.853	100			Percent of total billed charges		441	146.853	396.9	
s/n 4.5 periloc lg fr scr	278	RC	Outpatient			441	286.65		90			Percent of total billed charges		396.9	40			Percent of total billed charges		176.4	80			Percent of total billed charges		352.8	90			Percent of total billed charges		396.9	85			Percent of total billed charges		374.85	85			Percent of total billed charges		374.85	85			Percent of total billed charges		374.85	100			Percent of total billed charges		441	100			Percent of total billed charges		441	100			Percent of total billed charges		441	33.3			Percent of total billed charges		146.853	33.3			Percent of total billed charges		146.853	100			Percent of total billed charges		441	146.853	396.9	
scrmc mic-key low profile j tube	621	RC	Outpatient			441	286.65		90			Percent of total billed charges		396.9	40			Percent of total billed charges		176.4	80			Percent of total billed charges		352.8	90			Percent of total billed charges		396.9	85			Percent of total billed charges		374.85	85			Percent of total billed charges		374.85	85			Percent of total billed charges		374.85	100			Percent of total billed charges		441	100			Percent of total billed charges		441	100			Percent of total billed charges		441	33.3			Percent of total billed charges		146.853	33.3			Percent of total billed charges		146.853	100			Percent of total billed charges		441	146.853	396.9	
serovac ii	270	RC	Outpatient			441	286.65		90			Percent of total billed charges		396.9	40			Percent of total billed charges		176.4	80			Percent of total billed charges		352.8	90			Percent of total billed charges		396.9	85			Percent of total billed charges		374.85	85			Percent of total billed charges		374.85	85			Percent of total billed charges		374.85	100			Percent of total billed charges		441	100			Percent of total billed charges		441	100			Percent of total billed charges		441	33.3			Percent of total billed charges		146.853	33.3			Percent of total billed charges		146.853	100			Percent of total billed charges		441	146.853	396.9	
serovac ii 3.5 222 axoim	270	RC	Outpatient			441	286.65		90			Percent of total billed charges		396.9	40			Percent of total billed charges		176.4	80			Percent of total billed charges		352.8	90			Percent of total billed charges		396.9	85			Percent of total billed charges		374.85	85			Percent of total billed charges		374.85	85			Percent of total billed charges		374.85	100			Percent of total billed charges		441	100			Percent of total billed charges		441	100			Percent of total billed charges		441	33.3			Percent of total billed charges		146.853	33.3			Percent of total billed charges		146.853	100			Percent of total billed charges		441	146.853	396.9	
serovac ii 5.2 224 axoim	270	RC	Outpatient			441	286.65		90			Percent of total billed charges		396.9	40			Percent of total billed charges		176.4	80			Percent of total billed charges		352.8	90			Percent of total billed charges		396.9	85			Percent of total billed charges		374.85	85			Percent of total billed charges		374.85	85			Percent of total billed charges		374.85	100			Percent of total billed charges		441	100			Percent of total billed charges		441	100			Percent of total billed charges		441	33.3			Percent of total billed charges		146.853	33.3			Percent of total billed charges		146.853	100			Percent of total billed charges		441	146.853	396.9	
peri-loc 4.0 t20 screw 30mm 73825330 s/n	278	RC	Outpatient			441	286.65		90			Percent of total billed charges		396.9	40			Percent of total billed charges		176.4	80			Percent of total billed charges		352.8	90			Percent of total billed charges		396.9	85			Percent of total billed charges		374.85	85			Percent of total billed charges		374.85	85			Percent of total billed charges		374.85	100			Percent of total billed charges		441	100			Percent of total billed charges		441	100			Percent of total billed charges		441	33.3			Percent of total billed charges		146.853	33.3			Percent of total billed charges		146.853	100			Percent of total billed charges		441	146.853	396.9	
peri-loc 4.0 t20 screw 35mm 73825335 s/n	278	RC	Outpatient			441	286.65		90			Percent of total billed charges		396.9	40			Percent of total billed charges		176.4	80			Percent of total billed charges		352.8	90			Percent of total billed charges		396.9	85			Percent of total billed charges		374.85	85			Percent of total billed charges		374.85	85			Percent of total billed charges		374.85	100			Percent of total billed charges		441	100			Percent of total billed charges		441	100			Percent of total billed charges		441	33.3			Percent of total billed charges		146.853	33.3			Percent of total billed charges		146.853	100			Percent of total billed charges		441	146.853	396.9	
peri-loc 4.0 t20 screw 50mm 73825350 s/n	278	RC	Outpatient			441	286.65		90			Percent of total billed charges		396.9	40			Percent of total billed charges		176.4	80			Percent of total billed charges		352.8	90			Percent of total billed charges		396.9	85			Percent of total billed charges		374.85	85			Percent of total billed charges		374.85	85			Percent of total billed charges		374.85	100			Percent of total billed charges		441	100			Percent of total billed charges		441	100			Percent of total billed charges		441	33.3			Percent of total billed charges		146.853	33.3			Percent of total billed charges		146.853	100			Percent of total billed charges		441	146.853	396.9	
peri-loc 4.0 t20 screw 70mm 73825370 s/n	278	RC	Outpatient			441	286.65		90			Percent of total billed charges		396.9	40			Percent of total billed charges		176.4	80			Percent of total billed charges		352.8	90			Percent of total billed charges		396.9	85			Percent of total billed charges		374.85	85			Percent of total billed charges		374.85	85			Percent of total billed charges		374.85	100			Percent of total billed charges		441	100			Percent of total billed charges		441	100			Percent of total billed charges		441	33.3			Percent of total billed charges		146.853	33.3			Percent of total billed charges		146.853	100			Percent of total billed charges		441	146.853	396.9	
peri-loc 4.0 t20 screw 75mm 73825375 s/n	278	RC	Outpatient			441	286.65		90			Percent of total billed charges		396.9	40			Percent of total billed charges		176.4	80			Percent of total billed charges		352.8	90			Percent of total billed charges		396.9	85			Percent of total billed charges		374.85	85			Percent of total billed charges		374.85	85			Percent of total billed charges		374.85	100			Percent of total billed charges		441	100			Percent of total billed charges		441	100			Percent of total billed charges		441	33.3			Percent of total billed charges		146.853	33.3			Percent of total billed charges		146.853	100			Percent of total billed charges		441	146.853	396.9	
peri-loc 6.5 tap	278	RC	Outpatient			441	286.65		90			Percent of total billed charges		396.9	40			Percent of total billed charges		176.4	80			Percent of total billed charges		352.8	90			Percent of total billed charges		396.9	85			Percent of total billed charges		374.85	85			Percent of total billed charges		374.85	85			Percent of total billed charges		374.85	100			Percent of total billed charges		441	100			Percent of total billed charges		441	100			Percent of total billed charges		441	33.3			Percent of total billed charges		146.853	33.3			Percent of total billed charges		146.853	100			Percent of total billed charges		441	146.853	396.9	
scrmc mic-key j-button	621	RC	Outpatient			441	286.65		90			Percent of total billed charges		396.9	40			Percent of total billed charges		176.4	80			Percent of total billed charges		352.8	90			Percent of total billed charges		396.9	85			Percent of total billed charges		374.85	85			Percent of total billed charges		374.85	85			Percent of total billed charges		374.85	100			Percent of total billed charges		441	100			Percent of total billed charges		441	100			Percent of total billed charges		441	33.3			Percent of total billed charges		146.853	33.3			Percent of total billed charges		146.853	100			Percent of total billed charges		441	146.853	396.9	
tap 6.5mm cancellous 71173509 s/n	278	RC	Outpatient			441	286.65		90			Percent of total billed charges		396.9	40			Percent of total billed charges		176.4	80			Percent of total billed charges		352.8	90			Percent of total billed charges		396.9	85			Percent of total billed charges		374.85	85			Percent of total billed charges		374.85	85			Percent of total billed charges		374.85	100			Percent of total billed charges		441	100			Percent of total billed charges		441	100			Percent of total billed charges		441	33.3			Percent of total billed charges		146.853	33.3			Percent of total billed charges		146.853	100			Percent of total billed charges		441	146.853	396.9	
tap cancellous tap 6.5mm 71173385 s/n	278	RC	Outpatient			441	286.65		90			Percent of total billed charges		396.9	40			Percent of total billed charges		176.4	80			Percent of total billed charges		352.8	90			Percent of total billed charges		396.9	85			Percent of total billed charges		374.85	85			Percent of total billed charges		374.85	85			Percent of total billed charges		374.85	100			Percent of total billed charges		441	100			Percent of total billed charges		441	100			Percent of total billed charges		441	33.3			Percent of total billed charges		146.853	33.3			Percent of total billed charges		146.853	100			Percent of total billed charges		441	146.853	396.9	
vitrectomy handpiece kit	270	RC	Outpatient			441	286.65		90			Percent of total billed charges		396.9	40			Percent of total billed charges		176.4	80			Percent of total billed charges		352.8	90			Percent of total billed charges		396.9	85			Percent of total billed charges		374.85	85			Percent of total billed charges		374.85	85			Percent of total billed charges		374.85	100			Percent of total billed charges		441	100			Percent of total billed charges		441	100			Percent of total billed charges		441	33.3			Percent of total billed charges		146.853	33.3			Percent of total billed charges		146.853	100			Percent of total billed charges		441	146.853	396.9	
zzscrmc flexiflo g-tube intro kit	621	RC	Outpatient			441	286.65		90			Percent of total billed charges		396.9	40			Percent of total billed charges		176.4	80			Percent of total billed charges		352.8	90			Percent of total billed charges		396.9	85			Percent of total billed charges		374.85	85			Percent of total billed charges		374.85	85			Percent of total billed charges		374.85	100			Percent of total billed charges		441	100			Percent of total billed charges		441	100			Percent of total billed charges		441	33.3			Percent of total billed charges		146.853	33.3			Percent of total billed charges		146.853	100			Percent of total billed charges		441	146.853	396.9	
2.7mm reconstruction plate straight 16 hole 128mm 00-1179-013-16 zimmer	278	RC	Outpatient			442	287.3		90			Percent of total billed charges		397.8	40			Percent of total billed charges		176.8	80			Percent of total billed charges		353.6	90			Percent of total billed charges		397.8	85			Percent of total billed charges		375.7	85			Percent of total billed charges		375.7	85			Percent of total billed charges		375.7	100			Percent of total billed charges		442	100			Percent of total billed charges		442	100			Percent of total billed charges		442	33.3			Percent of total billed charges		147.186	33.3			Percent of total billed charges		147.186	100			Percent of total billed charges		442	147.186	397.8	
2.7mm reconstruction plate straight 12 hole 96mm 00-1179-013-12 zimmer	278	RC	Outpatient			442	287.3		90			Percent of total billed charges		397.8	40			Percent of total billed charges		176.8	80			Percent of total billed charges		353.6	90			Percent of total billed charges		397.8	85			Percent of total billed charges		375.7	85			Percent of total billed charges		375.7	85			Percent of total billed charges		375.7	100			Percent of total billed charges		442	100			Percent of total billed charges		442	100			Percent of total billed charges		442	33.3			Percent of total billed charges		147.186	33.3			Percent of total billed charges		147.186	100			Percent of total billed charges		442	147.186	397.8	
2.7mm reconstruction plate straight 14 hole 112mm 00-1179-013-14 zimmer	278	RC	Outpatient			442	287.3		90			Percent of total billed charges		397.8	40			Percent of total billed charges		176.8	80			Percent of total billed charges		353.6	90			Percent of total billed charges		397.8	85			Percent of total billed charges		375.7	85			Percent of total billed charges		375.7	85			Percent of total billed charges		375.7	100			Percent of total billed charges		442	100			Percent of total billed charges		442	100			Percent of total billed charges		442	33.3			Percent of total billed charges		147.186	33.3			Percent of total billed charges		147.186	100			Percent of total billed charges		442	147.186	397.8	
chemodenervatnl neck musc	940	RC	Outpatient			442	287.3		90			Percent of total billed charges		397.8	40			Percent of total billed charges		176.8	80			Percent of total billed charges		353.6	90			Percent of total billed charges		397.8	85			Percent of total billed charges		375.7	85			Percent of total billed charges		375.7	85			Percent of total billed charges		375.7	100			Percent of total billed charges		442	100			Percent of total billed charges		442	100			Percent of total billed charges		442	33.3			Percent of total billed charges		147.186	33.3			Percent of total billed charges		147.186	100			Percent of total billed charges		442	147.186	397.8	
closed treatment of vertebral process fracture(s)	983	RC	Outpatient			442	287.3		90			Percent of total billed charges		397.8	40			Percent of total billed charges		176.8	80			Percent of total billed charges		353.6	90			Percent of total billed charges		397.8	85			Percent of total billed charges		375.7	85			Percent of total billed charges		375.7	85			Percent of total billed charges		375.7	100			Percent of total billed charges		442	100			Percent of total billed charges		442	100			Percent of total billed charges		442	33.3			Percent of total billed charges		147.186	33.3			Percent of total billed charges		147.186	100			Percent of total billed charges		442	147.186	397.8	
zimm 2.7 recon pl 12-16hl	278	RC	Outpatient			442	287.3		90			Percent of total billed charges		397.8	40			Percent of total billed charges		176.8	80			Percent of total billed charges		353.6	90			Percent of total billed charges		397.8	85			Percent of total billed charges		375.7	85			Percent of total billed charges		375.7	85			Percent of total billed charges		375.7	100			Percent of total billed charges		442	100			Percent of total billed charges		442	100			Percent of total billed charges		442	33.3			Percent of total billed charges		147.186	33.3			Percent of total billed charges		147.186	100			Percent of total billed charges		442	147.186	397.8	
gamma nail set screw	270	RC	Outpatient			443	287.95		90			Percent of total billed charges		398.7	40			Percent of total billed charges		177.2	80			Percent of total billed charges		354.4	90			Percent of total billed charges		398.7	85			Percent of total billed charges		376.55	85			Percent of total billed charges		376.55	85			Percent of total billed charges		376.55	100			Percent of total billed charges		443	100			Percent of total billed charges		443	100			Percent of total billed charges		443	33.3			Percent of total billed charges		147.519	33.3			Percent of total billed charges		147.519	100			Percent of total billed charges		443	147.519	398.7	
gamma nail set screw 8 x 17.5mm 3003-0822s stryker	270	RC	Outpatient			443	287.95		90			Percent of total billed charges		398.7	40			Percent of total billed charges		177.2	80			Percent of total billed charges		354.4	90			Percent of total billed charges		398.7	85			Percent of total billed charges		376.55	85			Percent of total billed charges		376.55	85			Percent of total billed charges		376.55	100			Percent of total billed charges		443	100			Percent of total billed charges		443	100			Percent of total billed charges		443	33.3			Percent of total billed charges		147.519	33.3			Percent of total billed charges		147.519	100			Percent of total billed charges		443	147.519	398.7	
"l plate, 5mm bar, 5 hole 55-06762 stryker"	278	RC	Outpatient			443	287.95		90			Percent of total billed charges		398.7	40			Percent of total billed charges		177.2	80			Percent of total billed charges		354.4	90			Percent of total billed charges		398.7	85			Percent of total billed charges		376.55	85			Percent of total billed charges		376.55	85			Percent of total billed charges		376.55	100			Percent of total billed charges		443	100			Percent of total billed charges		443	100			Percent of total billed charges		443	33.3			Percent of total billed charges		147.519	33.3			Percent of total billed charges		147.519	100			Percent of total billed charges		443	147.519	398.7	
"stryker l pl, 6hl 5mm"	278	RC	Outpatient			443	287.95		90			Percent of total billed charges		398.7	40			Percent of total billed charges		177.2	80			Percent of total billed charges		354.4	90			Percent of total billed charges		398.7	85			Percent of total billed charges		376.55	85			Percent of total billed charges		376.55	85			Percent of total billed charges		376.55	100			Percent of total billed charges		443	100			Percent of total billed charges		443	100			Percent of total billed charges		443	33.3			Percent of total billed charges		147.519	33.3			Percent of total billed charges		147.519	100			Percent of total billed charges		443	147.519	398.7	
4.5mm t-buttress plate 4 hole 80mm 00-4945-004-06 zimmer	278	RC	Outpatient			444	288.6		90			Percent of total billed charges		399.6	40			Percent of total billed charges		177.6	80			Percent of total billed charges		355.2	90			Percent of total billed charges		399.6	85			Percent of total billed charges		377.4	85			Percent of total billed charges		377.4	85			Percent of total billed charges		377.4	100			Percent of total billed charges		444	100			Percent of total billed charges		444	100			Percent of total billed charges		444	33.3			Percent of total billed charges		147.852	33.3			Percent of total billed charges		147.852	100			Percent of total billed charges		444	147.852	399.6	
4.5mm t-buttress plate 5 hole 96mm 00-4945-005-06 zimmer	278	RC	Outpatient			444	288.6		90			Percent of total billed charges		399.6	40			Percent of total billed charges		177.6	80			Percent of total billed charges		355.2	90			Percent of total billed charges		399.6	85			Percent of total billed charges		377.4	85			Percent of total billed charges		377.4	85			Percent of total billed charges		377.4	100			Percent of total billed charges		444	100			Percent of total billed charges		444	100			Percent of total billed charges		444	33.3			Percent of total billed charges		147.852	33.3			Percent of total billed charges		147.852	100			Percent of total billed charges		444	147.852	399.6	
zim 4.5 t-buttress pl 4-5	278	RC	Outpatient			444	288.6		90			Percent of total billed charges		399.6	40			Percent of total billed charges		177.6	80			Percent of total billed charges		355.2	90			Percent of total billed charges		399.6	85			Percent of total billed charges		377.4	85			Percent of total billed charges		377.4	85			Percent of total billed charges		377.4	100			Percent of total billed charges		444	100			Percent of total billed charges		444	100			Percent of total billed charges		444	33.3			Percent of total billed charges		147.852	33.3			Percent of total billed charges		147.852	100			Percent of total billed charges		444	147.852	399.6	
twinfix ultra anchor 6.5	278	RC	Outpatient			444	288.6		90			Percent of total billed charges		399.6	40			Percent of total billed charges		177.6	80			Percent of total billed charges		355.2	90			Percent of total billed charges		399.6	85			Percent of total billed charges		377.4	85			Percent of total billed charges		377.4	85			Percent of total billed charges		377.4	100			Percent of total billed charges		444	100			Percent of total billed charges		444	100			Percent of total billed charges		444	33.3			Percent of total billed charges		147.852	33.3			Percent of total billed charges		147.852	100			Percent of total billed charges		444	147.852	399.6	
twinfix ultra pk 6.5 suture anchor 72203105 s/n	278	RC	Outpatient			444	288.6		90			Percent of total billed charges		399.6	40			Percent of total billed charges		177.6	80			Percent of total billed charges		355.2	90			Percent of total billed charges		399.6	85			Percent of total billed charges		377.4	85			Percent of total billed charges		377.4	85			Percent of total billed charges		377.4	100			Percent of total billed charges		444	100			Percent of total billed charges		444	100			Percent of total billed charges		444	33.3			Percent of total billed charges		147.852	33.3			Percent of total billed charges		147.852	100			Percent of total billed charges		444	147.852	399.6	
4.5mm str recon plate 7 hole 00-1179-007-07 zimmer	278	RC	Outpatient			445	289.25		90			Percent of total billed charges		400.5	40			Percent of total billed charges		178	80			Percent of total billed charges		356	90			Percent of total billed charges		400.5	85			Percent of total billed charges		378.25	85			Percent of total billed charges		378.25	85			Percent of total billed charges		378.25	100			Percent of total billed charges		445	100			Percent of total billed charges		445	100			Percent of total billed charges		445	33.3			Percent of total billed charges		148.185	33.3			Percent of total billed charges		148.185	100			Percent of total billed charges		445	148.185	400.5	
4.5mm str recon plate 8 hole 00-1179-007-08 zimmer	278	RC	Outpatient			445	289.25		90			Percent of total billed charges		400.5	40			Percent of total billed charges		178	80			Percent of total billed charges		356	90			Percent of total billed charges		400.5	85			Percent of total billed charges		378.25	85			Percent of total billed charges		378.25	85			Percent of total billed charges		378.25	100			Percent of total billed charges		445	100			Percent of total billed charges		445	100			Percent of total billed charges		445	33.3			Percent of total billed charges		148.185	33.3			Percent of total billed charges		148.185	100			Percent of total billed charges		445	148.185	400.5	
minor procedure room 1 hr	360	RC	Outpatient			445	289.25		90			Percent of total billed charges		400.5	40			Percent of total billed charges		178	80			Percent of total billed charges		356	90			Percent of total billed charges		400.5	85			Percent of total billed charges		378.25	85			Percent of total billed charges		378.25	85			Percent of total billed charges		378.25	100			Percent of total billed charges		445	100			Percent of total billed charges		445	100			Percent of total billed charges		445	33.3			Percent of total billed charges		148.185	33.3			Percent of total billed charges		148.185	100			Percent of total billed charges		445	148.185	400.5	
special procedure time 1  hr	270	RC	Outpatient			445	289.25		90			Percent of total billed charges		400.5	40			Percent of total billed charges		178	80			Percent of total billed charges		356	90			Percent of total billed charges		400.5	85			Percent of total billed charges		378.25	85			Percent of total billed charges		378.25	85			Percent of total billed charges		378.25	100			Percent of total billed charges		445	100			Percent of total billed charges		445	100			Percent of total billed charges		445	33.3			Percent of total billed charges		148.185	33.3			Percent of total billed charges		148.185	100			Percent of total billed charges		445	148.185	400.5	
zimm 4.5 recon pl 7-8 hl	278	RC	Outpatient			445	289.25		90			Percent of total billed charges		400.5	40			Percent of total billed charges		178	80			Percent of total billed charges		356	90			Percent of total billed charges		400.5	85			Percent of total billed charges		378.25	85			Percent of total billed charges		378.25	85			Percent of total billed charges		378.25	100			Percent of total billed charges		445	100			Percent of total billed charges		445	100			Percent of total billed charges		445	33.3			Percent of total billed charges		148.185	33.3			Percent of total billed charges		148.185	100			Percent of total billed charges		445	148.185	400.5	
breast imp saline 420cc	278	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
arthrex 3cc mix and delivery set abs-1000	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
arthrex mix/del sys 3cc	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
breast imp saline 425cc	278	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
endo gia 35 reload	270	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
natrelle saline-filled implant 425cc 68hp-425 allergan	278	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
natrelle saline-filled implant 420cc style 68mp 68-420 allergan	278	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 10mm x 100mm x 135cm 4401010x cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 10mm x 100mm x 80cm 4401010s cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 10mm x 20mm x 135cm 4401002x cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 10mm x 20mm x 80cm 4401002s cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 10mm x 40mm x 135cm 4401004x cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 10mm x 80mm x 135cm 4401008x cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 12mm x 20mm x 135cm 4401202x cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 12mm x 40mm x 135cm 4401204x cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 12mm x 60mm x 135cm 4401206x cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 12mm x 60mm x 80cm 4401206s cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 3mm x 220mm x 80cm 4400322s cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 3mm x 40mm x 135cm 4400304x cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 3mm x 40mm x 80cm 4400304s cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 3mm x 60mm x 135cm 4400306x cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 3mm x 80mm x 80cm 4400308s cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 4mm x 100mm x 80cm 4400410s cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 4mm x 150mm x 80cm 4400415s cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 4mm x 220mm x 80cm 4400422s cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 4mm x 40mm x 135cm 4400404x cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 4mm x 40mm x 80cm 4400404s cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 4mm x 60mm x 135cm 4400406x cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 4mm x 60mm x 80cm 4400406s cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 5mm x 120mm x 135cm 4400512x cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 5mm x 60mm x 135cm 4400506x cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 5mm x 80mm x 135cm 4400508x cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 6mm x 100mm x 135cm 4400610x cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 6mm x 120mm x 135cm 4400612x cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 6mm x 150mm x 135cm 4400615x cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 6mm x 20mm x 80cm 4400602s cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 6mm x 220mm x 135cm 4400622x cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 6mm x 220mm x 80cm 4400622s cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 6mm x 40mm x 135cm 4400604x cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 6mm x 40mm x 80cm 4400604s cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 6mm x 60mm x 80cm 4400606s cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 6mm x 80mm x 135cm 4400608x cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 7mm x 100mm x 80cm 4400710s cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 7mm x 20mm x 135cm 4400702x cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 7mm x 20mm x 80cm 4400702s cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 7mm x 40mm x 135cm 4400704x cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 7mm x 60mm x 135cm 4400706x cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 7mm x 80mm x 135cm 4400708x cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 8mm x 100mm x 80cm 4400810s cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 8mm x 20mm x 135cm 4400802x cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 8mm x 40mm x 80cm 4400804s cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 8mm x 80mm x 135cm 4400808x cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 9mm x 100mm x 135cm 4400910x cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 9mm x 100mm x 80cm 4400910s cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 9mm x 20mm x 135cm 4400902x cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 9mm x 40mm x 135cm 4400904x cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 9mm x 40mm x 80cm 4400904s cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 9mm x 60mm x 80cm 4400906s cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath4mm x 20mm x 135cm 4400402x cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro dil cath	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 10mm x 40mm x 80cm 4401004s cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 10mm x 60mm x 135cm 4401006x cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 10mm x 60mm x 80cm 4401006s cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 10mm x 80mm x 80cm 4401008s cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 12mm x 20mm x 80cm 4401202s cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 12mm x 40mm x 80cm 4401204s cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 3mm x 100mm x 135cm 4400310x cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 3mm x 100mm x 80cm 4400310s cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 3mm x 120mm x 135cm 4400312x cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 3mm x 120mm x 80cm 4400312s cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 3mm x 150mm x 135cm 4400315x cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 3mm x 150mm x 80cm 4400315s cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 3mm x 20mm x 135cm 4400302x cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 3mm x 20mm x 80cm 4400302s cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 3mm x 220mm x 135cm 4400322x cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 3mm x 60mm x 80cm 4400306s cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 3mm x 80mm x 135cm 4400308x cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 4mm x 100mm x 135cm 4400410x cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 4mm x 120mm x 135cm 4400412x cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 4mm x 120mm x 80cm 4400412s cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 4mm x 150mm x 135cm 4400415x cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 4mm x 20mm x 80cm 4400402s cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 4mm x 220mm x 135cm 4400422x cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 4mm x 80mm x 135cm 4400408x cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 4mm x 80mm x 80cm 4400408s cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 5mm x 100mm x 135cm 4400510x cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 5mm x 100mm x 80cm 4400510s cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 5mm x 120mm x 80cm 4400512s cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 5mm x 150mm x 135cm 4400515x cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 5mm x 150mm x 80cm 4400515s cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 5mm x 20mm x 135cm 4400502x cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 5mm x 20mm x 80cm 4400502s cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 5mm x 220mm x 135cm 4400522x cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 5mm x 220mm x 80cm 4400522s cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 5mm x 40mm x 135cm 4400504x cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 5mm x 40mm x 80cm 4400504s cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 5mm x 60mm x 80cm 4400506s cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 5mm x 80mm x 80cm 4400508s cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 6mm x 100mm x 80cm 4400610s cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 6mm x 120mm x 80cm 4400612s cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 6mm x 150mm x 80cm 4400615s cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 6mm x 20mm x 135cm 4400602x cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 6mm x 60mm x 135cm 4400606x cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 6mm x 80mm x 80cm 4400608s cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 7mm x 100mm x 135cm 4400710x cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 7mm x 40mm x 80cm 4400704s cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 7mm x 60mm x 80cm 4400706s cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 7mm x 80mm x 80cm 4400708s cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 8mm x 100mm x 135cm 4400810x cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 8mm x 20mm x 80cm 4400802s cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 8mm x 40mm x 135cm 4400804x cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 8mm x 60mm x 135cm 4400806x cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 8mm x 60mm x 80cm 4400806s cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 8mm x 80mm x 80cm 4400808s cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 9mm x 20mm x 80cm 4400902s cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 9mm x 60mm x 135cm 4400906x cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 9mm x 80mm x 135cm 4400908x cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
powerflex pro pta dil cath 9mm x 80mm x 80cm 4400908s cordis	272	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
staple endo gi 30 3.5 reloads tr35b	270	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
staple endo gia 35 2.5 reloads tr35w	270	RC	Outpatient			446	289.9		90			Percent of total billed charges		401.4	40			Percent of total billed charges		178.4	80			Percent of total billed charges		356.8	90			Percent of total billed charges		401.4	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	85			Percent of total billed charges		379.1	100			Percent of total billed charges		446	100			Percent of total billed charges		446	100			Percent of total billed charges		446	33.3			Percent of total billed charges		148.518	33.3			Percent of total billed charges		148.518	100			Percent of total billed charges		446	148.518	401.4	
vulcan micro ablator	272	RC	Outpatient			447	290.55		90			Percent of total billed charges		402.3	40			Percent of total billed charges		178.8	80			Percent of total billed charges		357.6	90			Percent of total billed charges		402.3	85			Percent of total billed charges		379.95	85			Percent of total billed charges		379.95	85			Percent of total billed charges		379.95	100			Percent of total billed charges		447	100			Percent of total billed charges		447	100			Percent of total billed charges		447	33.3			Percent of total billed charges		148.851	33.3			Percent of total billed charges		148.851	100			Percent of total billed charges		447	148.851	402.3	
vulcan micro ablator 7209641 s/n	272	RC	Outpatient			447	290.55		90			Percent of total billed charges		402.3	40			Percent of total billed charges		178.8	80			Percent of total billed charges		357.6	90			Percent of total billed charges		402.3	85			Percent of total billed charges		379.95	85			Percent of total billed charges		379.95	85			Percent of total billed charges		379.95	100			Percent of total billed charges		447	100			Percent of total billed charges		447	100			Percent of total billed charges		447	33.3			Percent of total billed charges		148.851	33.3			Percent of total billed charges		148.851	100			Percent of total billed charges		447	148.851	402.3	
evos small 3.5mm over drill w/ao qc short s/n ref 71175027	272	RC	Outpatient			447.15	290.65		90			Percent of total billed charges		402.435	40			Percent of total billed charges		178.86	80			Percent of total billed charges		357.72	90			Percent of total billed charges		402.435	85			Percent of total billed charges		380.0775	85			Percent of total billed charges		380.0775	85			Percent of total billed charges		380.0775	100			Percent of total billed charges		447.15	100			Percent of total billed charges		447.15	100			Percent of total billed charges		447.15	33.3			Percent of total billed charges		148.901	33.3			Percent of total billed charges		148.901	100			Percent of total billed charges		447.15	148.901	402.435	
peri-loc 4.5 t25 screw 100mm 73827100 s/n	278	RC	Outpatient			448	291.2		90			Percent of total billed charges		403.2	40			Percent of total billed charges		179.2	80			Percent of total billed charges		358.4	90			Percent of total billed charges		403.2	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	100			Percent of total billed charges		448	100			Percent of total billed charges		448	100			Percent of total billed charges		448	33.3			Percent of total billed charges		149.184	33.3			Percent of total billed charges		149.184	100			Percent of total billed charges		448	149.184	403.2	
peri-loc 4.5 t25 screw 28mm 73827028 s/n	278	RC	Outpatient			448	291.2		90			Percent of total billed charges		403.2	40			Percent of total billed charges		179.2	80			Percent of total billed charges		358.4	90			Percent of total billed charges		403.2	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	100			Percent of total billed charges		448	100			Percent of total billed charges		448	100			Percent of total billed charges		448	33.3			Percent of total billed charges		149.184	33.3			Percent of total billed charges		149.184	100			Percent of total billed charges		448	149.184	403.2	
peri-loc 4.5 t25 screw 46mm 73827046 s/n	278	RC	Outpatient			448	291.2		90			Percent of total billed charges		403.2	40			Percent of total billed charges		179.2	80			Percent of total billed charges		358.4	90			Percent of total billed charges		403.2	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	100			Percent of total billed charges		448	100			Percent of total billed charges		448	100			Percent of total billed charges		448	33.3			Percent of total billed charges		149.184	33.3			Percent of total billed charges		149.184	100			Percent of total billed charges		448	149.184	403.2	
peri-loc 4.5 t25 screw 48mm 73827048 s/n	278	RC	Outpatient			448	291.2		90			Percent of total billed charges		403.2	40			Percent of total billed charges		179.2	80			Percent of total billed charges		358.4	90			Percent of total billed charges		403.2	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	100			Percent of total billed charges		448	100			Percent of total billed charges		448	100			Percent of total billed charges		448	33.3			Percent of total billed charges		149.184	33.3			Percent of total billed charges		149.184	100			Percent of total billed charges		448	149.184	403.2	
peri-loc 4.5 t25 screw 52mm 73827052 s/n	278	RC	Outpatient			448	291.2		90			Percent of total billed charges		403.2	40			Percent of total billed charges		179.2	80			Percent of total billed charges		358.4	90			Percent of total billed charges		403.2	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	100			Percent of total billed charges		448	100			Percent of total billed charges		448	100			Percent of total billed charges		448	33.3			Percent of total billed charges		149.184	33.3			Percent of total billed charges		149.184	100			Percent of total billed charges		448	149.184	403.2	
peri-loc 4.5 t25 screw 54mm 73827054 s/n	278	RC	Outpatient			448	291.2		90			Percent of total billed charges		403.2	40			Percent of total billed charges		179.2	80			Percent of total billed charges		358.4	90			Percent of total billed charges		403.2	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	100			Percent of total billed charges		448	100			Percent of total billed charges		448	100			Percent of total billed charges		448	33.3			Percent of total billed charges		149.184	33.3			Percent of total billed charges		149.184	100			Percent of total billed charges		448	149.184	403.2	
peri-loc 4.5 t25 screw 64mm 73827064 s/n	278	RC	Outpatient			448	291.2		90			Percent of total billed charges		403.2	40			Percent of total billed charges		179.2	80			Percent of total billed charges		358.4	90			Percent of total billed charges		403.2	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	100			Percent of total billed charges		448	100			Percent of total billed charges		448	100			Percent of total billed charges		448	33.3			Percent of total billed charges		149.184	33.3			Percent of total billed charges		149.184	100			Percent of total billed charges		448	149.184	403.2	
peri-loc 4.5 t25 screw 70mm 73827070 s/n	278	RC	Outpatient			448	291.2		90			Percent of total billed charges		403.2	40			Percent of total billed charges		179.2	80			Percent of total billed charges		358.4	90			Percent of total billed charges		403.2	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	100			Percent of total billed charges		448	100			Percent of total billed charges		448	100			Percent of total billed charges		448	33.3			Percent of total billed charges		149.184	33.3			Percent of total billed charges		149.184	100			Percent of total billed charges		448	149.184	403.2	
peri-loc 4.5 t25 screw 72mm 73827072 s/n	278	RC	Outpatient			448	291.2		90			Percent of total billed charges		403.2	40			Percent of total billed charges		179.2	80			Percent of total billed charges		358.4	90			Percent of total billed charges		403.2	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	100			Percent of total billed charges		448	100			Percent of total billed charges		448	100			Percent of total billed charges		448	33.3			Percent of total billed charges		149.184	33.3			Percent of total billed charges		149.184	100			Percent of total billed charges		448	149.184	403.2	
peri-loc 4.5 t25 screw 74mm 73827074 s/n	278	RC	Outpatient			448	291.2		90			Percent of total billed charges		403.2	40			Percent of total billed charges		179.2	80			Percent of total billed charges		358.4	90			Percent of total billed charges		403.2	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	100			Percent of total billed charges		448	100			Percent of total billed charges		448	100			Percent of total billed charges		448	33.3			Percent of total billed charges		149.184	33.3			Percent of total billed charges		149.184	100			Percent of total billed charges		448	149.184	403.2	
peri-loc 4.5 t25 screw 80mm 73827080 s/n	278	RC	Outpatient			448	291.2		90			Percent of total billed charges		403.2	40			Percent of total billed charges		179.2	80			Percent of total billed charges		358.4	90			Percent of total billed charges		403.2	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	100			Percent of total billed charges		448	100			Percent of total billed charges		448	100			Percent of total billed charges		448	33.3			Percent of total billed charges		149.184	33.3			Percent of total billed charges		149.184	100			Percent of total billed charges		448	149.184	403.2	
s/n 4.5 t25 lck scr	278	RC	Outpatient			448	291.2		90			Percent of total billed charges		403.2	40			Percent of total billed charges		179.2	80			Percent of total billed charges		358.4	90			Percent of total billed charges		403.2	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	100			Percent of total billed charges		448	100			Percent of total billed charges		448	100			Percent of total billed charges		448	33.3			Percent of total billed charges		149.184	33.3			Percent of total billed charges		149.184	100			Percent of total billed charges		448	149.184	403.2	
peri-loc 4.5 t25 screw 22mm 73827022 s/n	278	RC	Outpatient			448	291.2		90			Percent of total billed charges		403.2	40			Percent of total billed charges		179.2	80			Percent of total billed charges		358.4	90			Percent of total billed charges		403.2	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	100			Percent of total billed charges		448	100			Percent of total billed charges		448	100			Percent of total billed charges		448	33.3			Percent of total billed charges		149.184	33.3			Percent of total billed charges		149.184	100			Percent of total billed charges		448	149.184	403.2	
peri-loc 4.5 t25 screw 24mm 73827024 s/n	278	RC	Outpatient			448	291.2		90			Percent of total billed charges		403.2	40			Percent of total billed charges		179.2	80			Percent of total billed charges		358.4	90			Percent of total billed charges		403.2	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	100			Percent of total billed charges		448	100			Percent of total billed charges		448	100			Percent of total billed charges		448	33.3			Percent of total billed charges		149.184	33.3			Percent of total billed charges		149.184	100			Percent of total billed charges		448	149.184	403.2	
peri-loc 4.5 t25 screw 26mm 73827026 s/n	278	RC	Outpatient			448	291.2		90			Percent of total billed charges		403.2	40			Percent of total billed charges		179.2	80			Percent of total billed charges		358.4	90			Percent of total billed charges		403.2	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	100			Percent of total billed charges		448	100			Percent of total billed charges		448	100			Percent of total billed charges		448	33.3			Percent of total billed charges		149.184	33.3			Percent of total billed charges		149.184	100			Percent of total billed charges		448	149.184	403.2	
peri-loc 4.5 t25 screw 30mm 73827030 s/n	278	RC	Outpatient			448	291.2		90			Percent of total billed charges		403.2	40			Percent of total billed charges		179.2	80			Percent of total billed charges		358.4	90			Percent of total billed charges		403.2	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	100			Percent of total billed charges		448	100			Percent of total billed charges		448	100			Percent of total billed charges		448	33.3			Percent of total billed charges		149.184	33.3			Percent of total billed charges		149.184	100			Percent of total billed charges		448	149.184	403.2	
peri-loc 4.5 t25 screw 32mm 73827032 s/n	278	RC	Outpatient			448	291.2		90			Percent of total billed charges		403.2	40			Percent of total billed charges		179.2	80			Percent of total billed charges		358.4	90			Percent of total billed charges		403.2	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	100			Percent of total billed charges		448	100			Percent of total billed charges		448	100			Percent of total billed charges		448	33.3			Percent of total billed charges		149.184	33.3			Percent of total billed charges		149.184	100			Percent of total billed charges		448	149.184	403.2	
peri-loc 4.5 t25 screw 34mm 73827034 s/n	278	RC	Outpatient			448	291.2		90			Percent of total billed charges		403.2	40			Percent of total billed charges		179.2	80			Percent of total billed charges		358.4	90			Percent of total billed charges		403.2	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	100			Percent of total billed charges		448	100			Percent of total billed charges		448	100			Percent of total billed charges		448	33.3			Percent of total billed charges		149.184	33.3			Percent of total billed charges		149.184	100			Percent of total billed charges		448	149.184	403.2	
peri-loc 4.5 t25 screw 36mm 73827036 s/n	278	RC	Outpatient			448	291.2		90			Percent of total billed charges		403.2	40			Percent of total billed charges		179.2	80			Percent of total billed charges		358.4	90			Percent of total billed charges		403.2	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	100			Percent of total billed charges		448	100			Percent of total billed charges		448	100			Percent of total billed charges		448	33.3			Percent of total billed charges		149.184	33.3			Percent of total billed charges		149.184	100			Percent of total billed charges		448	149.184	403.2	
peri-loc 4.5 t25 screw 38mm 73827038 s/n	278	RC	Outpatient			448	291.2		90			Percent of total billed charges		403.2	40			Percent of total billed charges		179.2	80			Percent of total billed charges		358.4	90			Percent of total billed charges		403.2	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	100			Percent of total billed charges		448	100			Percent of total billed charges		448	100			Percent of total billed charges		448	33.3			Percent of total billed charges		149.184	33.3			Percent of total billed charges		149.184	100			Percent of total billed charges		448	149.184	403.2	
peri-loc 4.5 t25 screw 40mm 73827040 s/n	278	RC	Outpatient			448	291.2		90			Percent of total billed charges		403.2	40			Percent of total billed charges		179.2	80			Percent of total billed charges		358.4	90			Percent of total billed charges		403.2	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	100			Percent of total billed charges		448	100			Percent of total billed charges		448	100			Percent of total billed charges		448	33.3			Percent of total billed charges		149.184	33.3			Percent of total billed charges		149.184	100			Percent of total billed charges		448	149.184	403.2	
peri-loc 4.5 t25 screw 42mm 73827042 s/n	278	RC	Outpatient			448	291.2		90			Percent of total billed charges		403.2	40			Percent of total billed charges		179.2	80			Percent of total billed charges		358.4	90			Percent of total billed charges		403.2	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	100			Percent of total billed charges		448	100			Percent of total billed charges		448	100			Percent of total billed charges		448	33.3			Percent of total billed charges		149.184	33.3			Percent of total billed charges		149.184	100			Percent of total billed charges		448	149.184	403.2	
peri-loc 4.5 t25 screw 44mm 73827044 s/n	278	RC	Outpatient			448	291.2		90			Percent of total billed charges		403.2	40			Percent of total billed charges		179.2	80			Percent of total billed charges		358.4	90			Percent of total billed charges		403.2	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	100			Percent of total billed charges		448	100			Percent of total billed charges		448	100			Percent of total billed charges		448	33.3			Percent of total billed charges		149.184	33.3			Percent of total billed charges		149.184	100			Percent of total billed charges		448	149.184	403.2	
peri-loc 4.5 t25 screw 50mm 73827050 s/n	278	RC	Outpatient			448	291.2		90			Percent of total billed charges		403.2	40			Percent of total billed charges		179.2	80			Percent of total billed charges		358.4	90			Percent of total billed charges		403.2	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	100			Percent of total billed charges		448	100			Percent of total billed charges		448	100			Percent of total billed charges		448	33.3			Percent of total billed charges		149.184	33.3			Percent of total billed charges		149.184	100			Percent of total billed charges		448	149.184	403.2	
peri-loc 4.5 t25 screw 56mm 73827056 s/n	278	RC	Outpatient			448	291.2		90			Percent of total billed charges		403.2	40			Percent of total billed charges		179.2	80			Percent of total billed charges		358.4	90			Percent of total billed charges		403.2	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	100			Percent of total billed charges		448	100			Percent of total billed charges		448	100			Percent of total billed charges		448	33.3			Percent of total billed charges		149.184	33.3			Percent of total billed charges		149.184	100			Percent of total billed charges		448	149.184	403.2	
peri-loc 4.5 t25 screw 58mm 73827058 s/n	278	RC	Outpatient			448	291.2		90			Percent of total billed charges		403.2	40			Percent of total billed charges		179.2	80			Percent of total billed charges		358.4	90			Percent of total billed charges		403.2	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	100			Percent of total billed charges		448	100			Percent of total billed charges		448	100			Percent of total billed charges		448	33.3			Percent of total billed charges		149.184	33.3			Percent of total billed charges		149.184	100			Percent of total billed charges		448	149.184	403.2	
peri-loc 4.5 t25 screw 60mm 73827060 s/n	278	RC	Outpatient			448	291.2		90			Percent of total billed charges		403.2	40			Percent of total billed charges		179.2	80			Percent of total billed charges		358.4	90			Percent of total billed charges		403.2	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	100			Percent of total billed charges		448	100			Percent of total billed charges		448	100			Percent of total billed charges		448	33.3			Percent of total billed charges		149.184	33.3			Percent of total billed charges		149.184	100			Percent of total billed charges		448	149.184	403.2	
peri-loc 4.5 t25 screw 62mm 73827062 s/n	278	RC	Outpatient			448	291.2		90			Percent of total billed charges		403.2	40			Percent of total billed charges		179.2	80			Percent of total billed charges		358.4	90			Percent of total billed charges		403.2	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	100			Percent of total billed charges		448	100			Percent of total billed charges		448	100			Percent of total billed charges		448	33.3			Percent of total billed charges		149.184	33.3			Percent of total billed charges		149.184	100			Percent of total billed charges		448	149.184	403.2	
peri-loc 4.5 t25 screw 66mm 73827066 s/n	278	RC	Outpatient			448	291.2		90			Percent of total billed charges		403.2	40			Percent of total billed charges		179.2	80			Percent of total billed charges		358.4	90			Percent of total billed charges		403.2	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	100			Percent of total billed charges		448	100			Percent of total billed charges		448	100			Percent of total billed charges		448	33.3			Percent of total billed charges		149.184	33.3			Percent of total billed charges		149.184	100			Percent of total billed charges		448	149.184	403.2	
peri-loc 4.5 t25 screw 68mm 73827068 s/n	278	RC	Outpatient			448	291.2		90			Percent of total billed charges		403.2	40			Percent of total billed charges		179.2	80			Percent of total billed charges		358.4	90			Percent of total billed charges		403.2	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	100			Percent of total billed charges		448	100			Percent of total billed charges		448	100			Percent of total billed charges		448	33.3			Percent of total billed charges		149.184	33.3			Percent of total billed charges		149.184	100			Percent of total billed charges		448	149.184	403.2	
peri-loc 4.5 t25 screw 76mm 73827076 s/n	278	RC	Outpatient			448	291.2		90			Percent of total billed charges		403.2	40			Percent of total billed charges		179.2	80			Percent of total billed charges		358.4	90			Percent of total billed charges		403.2	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	100			Percent of total billed charges		448	100			Percent of total billed charges		448	100			Percent of total billed charges		448	33.3			Percent of total billed charges		149.184	33.3			Percent of total billed charges		149.184	100			Percent of total billed charges		448	149.184	403.2	
peri-loc 4.5 t25 screw 78mm 73827078 s/n	278	RC	Outpatient			448	291.2		90			Percent of total billed charges		403.2	40			Percent of total billed charges		179.2	80			Percent of total billed charges		358.4	90			Percent of total billed charges		403.2	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	100			Percent of total billed charges		448	100			Percent of total billed charges		448	100			Percent of total billed charges		448	33.3			Percent of total billed charges		149.184	33.3			Percent of total billed charges		149.184	100			Percent of total billed charges		448	149.184	403.2	
peri-loc 4.5 t25 screw 85mm 73827085 s/n	278	RC	Outpatient			448	291.2		90			Percent of total billed charges		403.2	40			Percent of total billed charges		179.2	80			Percent of total billed charges		358.4	90			Percent of total billed charges		403.2	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	100			Percent of total billed charges		448	100			Percent of total billed charges		448	100			Percent of total billed charges		448	33.3			Percent of total billed charges		149.184	33.3			Percent of total billed charges		149.184	100			Percent of total billed charges		448	149.184	403.2	
peri-loc 4.5 t25 screw 90mm 73827090 s/n	278	RC	Outpatient			448	291.2		90			Percent of total billed charges		403.2	40			Percent of total billed charges		179.2	80			Percent of total billed charges		358.4	90			Percent of total billed charges		403.2	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	100			Percent of total billed charges		448	100			Percent of total billed charges		448	100			Percent of total billed charges		448	33.3			Percent of total billed charges		149.184	33.3			Percent of total billed charges		149.184	100			Percent of total billed charges		448	149.184	403.2	
peri-loc 4.5 t25 screw 95mm 73827095 s/n	278	RC	Outpatient			448	291.2		90			Percent of total billed charges		403.2	40			Percent of total billed charges		179.2	80			Percent of total billed charges		358.4	90			Percent of total billed charges		403.2	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	100			Percent of total billed charges		448	100			Percent of total billed charges		448	100			Percent of total billed charges		448	33.3			Percent of total billed charges		149.184	33.3			Percent of total billed charges		149.184	100			Percent of total billed charges		448	149.184	403.2	
uhr universal bipolar head 26 x 44mm uh1-44-26 osteonics	278	RC	Outpatient			448	291.2		90			Percent of total billed charges		403.2	40			Percent of total billed charges		179.2	80			Percent of total billed charges		358.4	90			Percent of total billed charges		403.2	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	85			Percent of total billed charges		380.8	100			Percent of total billed charges		448	100			Percent of total billed charges		448	100			Percent of total billed charges		448	33.3			Percent of total billed charges		149.184	33.3			Percent of total billed charges		149.184	100			Percent of total billed charges		448	149.184	403.2	
zimmer lag screw 100mm lg thread 1193-15-42	278	RC	Outpatient			449	291.85		90			Percent of total billed charges		404.1	40			Percent of total billed charges		179.6	80			Percent of total billed charges		359.2	90			Percent of total billed charges		404.1	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	100			Percent of total billed charges		449	100			Percent of total billed charges		449	100			Percent of total billed charges		449	33.3			Percent of total billed charges		149.517	33.3			Percent of total billed charges		149.517	100			Percent of total billed charges		449	149.517	404.1	
zimmer lag screw 100mm short thread 1193-05-42	278	RC	Outpatient			449	291.85		90			Percent of total billed charges		404.1	40			Percent of total billed charges		179.6	80			Percent of total billed charges		359.2	90			Percent of total billed charges		404.1	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	100			Percent of total billed charges		449	100			Percent of total billed charges		449	100			Percent of total billed charges		449	33.3			Percent of total billed charges		149.517	33.3			Percent of total billed charges		149.517	100			Percent of total billed charges		449	149.517	404.1	
zimmer lag screw 105mm short thread 1193-05-45	278	RC	Outpatient			449	291.85		90			Percent of total billed charges		404.1	40			Percent of total billed charges		179.6	80			Percent of total billed charges		359.2	90			Percent of total billed charges		404.1	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	100			Percent of total billed charges		449	100			Percent of total billed charges		449	100			Percent of total billed charges		449	33.3			Percent of total billed charges		149.517	33.3			Percent of total billed charges		149.517	100			Percent of total billed charges		449	149.517	404.1	
zimmer lag screw 105mm std thread 1193-10-45	278	RC	Outpatient			449	291.85		90			Percent of total billed charges		404.1	40			Percent of total billed charges		179.6	80			Percent of total billed charges		359.2	90			Percent of total billed charges		404.1	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	100			Percent of total billed charges		449	100			Percent of total billed charges		449	100			Percent of total billed charges		449	33.3			Percent of total billed charges		149.517	33.3			Percent of total billed charges		149.517	100			Percent of total billed charges		449	149.517	404.1	
zimmer lag screw 115mm std thread 1193-10-50	278	RC	Outpatient			449	291.85		90			Percent of total billed charges		404.1	40			Percent of total billed charges		179.6	80			Percent of total billed charges		359.2	90			Percent of total billed charges		404.1	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	100			Percent of total billed charges		449	100			Percent of total billed charges		449	100			Percent of total billed charges		449	33.3			Percent of total billed charges		149.517	33.3			Percent of total billed charges		149.517	100			Percent of total billed charges		449	149.517	404.1	
zimmer lag screw 120mm lg thread 1193-15-52	278	RC	Outpatient			449	291.85		90			Percent of total billed charges		404.1	40			Percent of total billed charges		179.6	80			Percent of total billed charges		359.2	90			Percent of total billed charges		404.1	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	100			Percent of total billed charges		449	100			Percent of total billed charges		449	100			Percent of total billed charges		449	33.3			Percent of total billed charges		149.517	33.3			Percent of total billed charges		149.517	100			Percent of total billed charges		449	149.517	404.1	
zimmer lag screw 125mm lg thread 1193-15-55	278	RC	Outpatient			449	291.85		90			Percent of total billed charges		404.1	40			Percent of total billed charges		179.6	80			Percent of total billed charges		359.2	90			Percent of total billed charges		404.1	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	100			Percent of total billed charges		449	100			Percent of total billed charges		449	100			Percent of total billed charges		449	33.3			Percent of total billed charges		149.517	33.3			Percent of total billed charges		149.517	100			Percent of total billed charges		449	149.517	404.1	
zimmer lag screw 125mm short thread 1193-05-55	278	RC	Outpatient			449	291.85		90			Percent of total billed charges		404.1	40			Percent of total billed charges		179.6	80			Percent of total billed charges		359.2	90			Percent of total billed charges		404.1	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	100			Percent of total billed charges		449	100			Percent of total billed charges		449	100			Percent of total billed charges		449	33.3			Percent of total billed charges		149.517	33.3			Percent of total billed charges		149.517	100			Percent of total billed charges		449	149.517	404.1	
zimmer lag screw 130mm lg thread 1193-15-57	278	RC	Outpatient			449	291.85		90			Percent of total billed charges		404.1	40			Percent of total billed charges		179.6	80			Percent of total billed charges		359.2	90			Percent of total billed charges		404.1	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	100			Percent of total billed charges		449	100			Percent of total billed charges		449	100			Percent of total billed charges		449	33.3			Percent of total billed charges		149.517	33.3			Percent of total billed charges		149.517	100			Percent of total billed charges		449	149.517	404.1	
zimmer lag screw 130mm short thread 1193-05-57	278	RC	Outpatient			449	291.85		90			Percent of total billed charges		404.1	40			Percent of total billed charges		179.6	80			Percent of total billed charges		359.2	90			Percent of total billed charges		404.1	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	100			Percent of total billed charges		449	100			Percent of total billed charges		449	100			Percent of total billed charges		449	33.3			Percent of total billed charges		149.517	33.3			Percent of total billed charges		149.517	100			Percent of total billed charges		449	149.517	404.1	
zimmer lag screw 130mm std thread 1193-10-57	278	RC	Outpatient			449	291.85		90			Percent of total billed charges		404.1	40			Percent of total billed charges		179.6	80			Percent of total billed charges		359.2	90			Percent of total billed charges		404.1	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	100			Percent of total billed charges		449	100			Percent of total billed charges		449	100			Percent of total billed charges		449	33.3			Percent of total billed charges		149.517	33.3			Percent of total billed charges		149.517	100			Percent of total billed charges		449	149.517	404.1	
zimmer lag screw 140mm lg thread 1193-15-62	278	RC	Outpatient			449	291.85		90			Percent of total billed charges		404.1	40			Percent of total billed charges		179.6	80			Percent of total billed charges		359.2	90			Percent of total billed charges		404.1	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	100			Percent of total billed charges		449	100			Percent of total billed charges		449	100			Percent of total billed charges		449	33.3			Percent of total billed charges		149.517	33.3			Percent of total billed charges		149.517	100			Percent of total billed charges		449	149.517	404.1	
zimmer lag screw 145mm short thread 1193-05-65	278	RC	Outpatient			449	291.85		90			Percent of total billed charges		404.1	40			Percent of total billed charges		179.6	80			Percent of total billed charges		359.2	90			Percent of total billed charges		404.1	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	100			Percent of total billed charges		449	100			Percent of total billed charges		449	100			Percent of total billed charges		449	33.3			Percent of total billed charges		149.517	33.3			Percent of total billed charges		149.517	100			Percent of total billed charges		449	149.517	404.1	
zimmer lag screw 145mm std thread 1193-10-65	278	RC	Outpatient			449	291.85		90			Percent of total billed charges		404.1	40			Percent of total billed charges		179.6	80			Percent of total billed charges		359.2	90			Percent of total billed charges		404.1	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	100			Percent of total billed charges		449	100			Percent of total billed charges		449	100			Percent of total billed charges		449	33.3			Percent of total billed charges		149.517	33.3			Percent of total billed charges		149.517	100			Percent of total billed charges		449	149.517	404.1	
zimmer lag screw 150mm short thread 1193-05-67	278	RC	Outpatient			449	291.85		90			Percent of total billed charges		404.1	40			Percent of total billed charges		179.6	80			Percent of total billed charges		359.2	90			Percent of total billed charges		404.1	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	100			Percent of total billed charges		449	100			Percent of total billed charges		449	100			Percent of total billed charges		449	33.3			Percent of total billed charges		149.517	33.3			Percent of total billed charges		149.517	100			Percent of total billed charges		449	149.517	404.1	
zimmer lag screw 155mm lg thread 1193-15-70	278	RC	Outpatient			449	291.85		90			Percent of total billed charges		404.1	40			Percent of total billed charges		179.6	80			Percent of total billed charges		359.2	90			Percent of total billed charges		404.1	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	100			Percent of total billed charges		449	100			Percent of total billed charges		449	100			Percent of total billed charges		449	33.3			Percent of total billed charges		149.517	33.3			Percent of total billed charges		149.517	100			Percent of total billed charges		449	149.517	404.1	
zimmer lag screw 155mm std thread 1193-10-70	278	RC	Outpatient			449	291.85		90			Percent of total billed charges		404.1	40			Percent of total billed charges		179.6	80			Percent of total billed charges		359.2	90			Percent of total billed charges		404.1	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	100			Percent of total billed charges		449	100			Percent of total billed charges		449	100			Percent of total billed charges		449	33.3			Percent of total billed charges		149.517	33.3			Percent of total billed charges		149.517	100			Percent of total billed charges		449	149.517	404.1	
zimmer lag screw 55mm short thread 1193-05-20	278	RC	Outpatient			449	291.85		90			Percent of total billed charges		404.1	40			Percent of total billed charges		179.6	80			Percent of total billed charges		359.2	90			Percent of total billed charges		404.1	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	100			Percent of total billed charges		449	100			Percent of total billed charges		449	100			Percent of total billed charges		449	33.3			Percent of total billed charges		149.517	33.3			Percent of total billed charges		149.517	100			Percent of total billed charges		449	149.517	404.1	
zimmer lag screw 55mm std thread 1193-10-20	278	RC	Outpatient			449	291.85		90			Percent of total billed charges		404.1	40			Percent of total billed charges		179.6	80			Percent of total billed charges		359.2	90			Percent of total billed charges		404.1	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	100			Percent of total billed charges		449	100			Percent of total billed charges		449	100			Percent of total billed charges		449	33.3			Percent of total billed charges		149.517	33.3			Percent of total billed charges		149.517	100			Percent of total billed charges		449	149.517	404.1	
zimmer lag screw 60mm lg thread 1193-15-22	278	RC	Outpatient			449	291.85		90			Percent of total billed charges		404.1	40			Percent of total billed charges		179.6	80			Percent of total billed charges		359.2	90			Percent of total billed charges		404.1	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	100			Percent of total billed charges		449	100			Percent of total billed charges		449	100			Percent of total billed charges		449	33.3			Percent of total billed charges		149.517	33.3			Percent of total billed charges		149.517	100			Percent of total billed charges		449	149.517	404.1	
zimmer lag screw 60mm short thread 1193-05-22	278	RC	Outpatient			449	291.85		90			Percent of total billed charges		404.1	40			Percent of total billed charges		179.6	80			Percent of total billed charges		359.2	90			Percent of total billed charges		404.1	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	100			Percent of total billed charges		449	100			Percent of total billed charges		449	100			Percent of total billed charges		449	33.3			Percent of total billed charges		149.517	33.3			Percent of total billed charges		149.517	100			Percent of total billed charges		449	149.517	404.1	
zimmer lag screw 60mm std thread 1193-10-22	278	RC	Outpatient			449	291.85		90			Percent of total billed charges		404.1	40			Percent of total billed charges		179.6	80			Percent of total billed charges		359.2	90			Percent of total billed charges		404.1	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	100			Percent of total billed charges		449	100			Percent of total billed charges		449	100			Percent of total billed charges		449	33.3			Percent of total billed charges		149.517	33.3			Percent of total billed charges		149.517	100			Percent of total billed charges		449	149.517	404.1	
zimmer lag screw 70mm lg thread 1193-15-27	278	RC	Outpatient			449	291.85		90			Percent of total billed charges		404.1	40			Percent of total billed charges		179.6	80			Percent of total billed charges		359.2	90			Percent of total billed charges		404.1	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	100			Percent of total billed charges		449	100			Percent of total billed charges		449	100			Percent of total billed charges		449	33.3			Percent of total billed charges		149.517	33.3			Percent of total billed charges		149.517	100			Percent of total billed charges		449	149.517	404.1	
zimmer lag screw 70mm short thread 1193-05-27	278	RC	Outpatient			449	291.85		90			Percent of total billed charges		404.1	40			Percent of total billed charges		179.6	80			Percent of total billed charges		359.2	90			Percent of total billed charges		404.1	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	100			Percent of total billed charges		449	100			Percent of total billed charges		449	100			Percent of total billed charges		449	33.3			Percent of total billed charges		149.517	33.3			Percent of total billed charges		149.517	100			Percent of total billed charges		449	149.517	404.1	
zimmer lag screw 75mm shdrt thread 1193-05-30	278	RC	Outpatient			449	291.85		90			Percent of total billed charges		404.1	40			Percent of total billed charges		179.6	80			Percent of total billed charges		359.2	90			Percent of total billed charges		404.1	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	100			Percent of total billed charges		449	100			Percent of total billed charges		449	100			Percent of total billed charges		449	33.3			Percent of total billed charges		149.517	33.3			Percent of total billed charges		149.517	100			Percent of total billed charges		449	149.517	404.1	
zimmer lag screw 75mm std thread 1193-10-30	278	RC	Outpatient			449	291.85		90			Percent of total billed charges		404.1	40			Percent of total billed charges		179.6	80			Percent of total billed charges		359.2	90			Percent of total billed charges		404.1	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	100			Percent of total billed charges		449	100			Percent of total billed charges		449	100			Percent of total billed charges		449	33.3			Percent of total billed charges		149.517	33.3			Percent of total billed charges		149.517	100			Percent of total billed charges		449	149.517	404.1	
zimmer lag screw 80mm short thread 1193-05-32	278	RC	Outpatient			449	291.85		90			Percent of total billed charges		404.1	40			Percent of total billed charges		179.6	80			Percent of total billed charges		359.2	90			Percent of total billed charges		404.1	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	100			Percent of total billed charges		449	100			Percent of total billed charges		449	100			Percent of total billed charges		449	33.3			Percent of total billed charges		149.517	33.3			Percent of total billed charges		149.517	100			Percent of total billed charges		449	149.517	404.1	
zimmer lag screw 85mm lg thread 1193-15-35	278	RC	Outpatient			449	291.85		90			Percent of total billed charges		404.1	40			Percent of total billed charges		179.6	80			Percent of total billed charges		359.2	90			Percent of total billed charges		404.1	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	100			Percent of total billed charges		449	100			Percent of total billed charges		449	100			Percent of total billed charges		449	33.3			Percent of total billed charges		149.517	33.3			Percent of total billed charges		149.517	100			Percent of total billed charges		449	149.517	404.1	
zimmer lag screw 85mm short thread 1193-05-32	278	RC	Outpatient			449	291.85		90			Percent of total billed charges		404.1	40			Percent of total billed charges		179.6	80			Percent of total billed charges		359.2	90			Percent of total billed charges		404.1	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	100			Percent of total billed charges		449	100			Percent of total billed charges		449	100			Percent of total billed charges		449	33.3			Percent of total billed charges		149.517	33.3			Percent of total billed charges		149.517	100			Percent of total billed charges		449	149.517	404.1	
zimmer lag screw 90mm short thread 1193-05-37	278	RC	Outpatient			449	291.85		90			Percent of total billed charges		404.1	40			Percent of total billed charges		179.6	80			Percent of total billed charges		359.2	90			Percent of total billed charges		404.1	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	100			Percent of total billed charges		449	100			Percent of total billed charges		449	100			Percent of total billed charges		449	33.3			Percent of total billed charges		149.517	33.3			Percent of total billed charges		149.517	100			Percent of total billed charges		449	149.517	404.1	
zimmer lag screw 95mm lg thread 1193-15-40	278	RC	Outpatient			449	291.85		90			Percent of total billed charges		404.1	40			Percent of total billed charges		179.6	80			Percent of total billed charges		359.2	90			Percent of total billed charges		404.1	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	100			Percent of total billed charges		449	100			Percent of total billed charges		449	100			Percent of total billed charges		449	33.3			Percent of total billed charges		149.517	33.3			Percent of total billed charges		149.517	100			Percent of total billed charges		449	149.517	404.1	
zimmer lag screw 95mm short thread 1193-05-40	278	RC	Outpatient			449	291.85		90			Percent of total billed charges		404.1	40			Percent of total billed charges		179.6	80			Percent of total billed charges		359.2	90			Percent of total billed charges		404.1	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	100			Percent of total billed charges		449	100			Percent of total billed charges		449	100			Percent of total billed charges		449	33.3			Percent of total billed charges		149.517	33.3			Percent of total billed charges		149.517	100			Percent of total billed charges		449	149.517	404.1	
zimm lag screw	278	RC	Outpatient			449	291.85		90			Percent of total billed charges		404.1	40			Percent of total billed charges		179.6	80			Percent of total billed charges		359.2	90			Percent of total billed charges		404.1	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	100			Percent of total billed charges		449	100			Percent of total billed charges		449	100			Percent of total billed charges		449	33.3			Percent of total billed charges		149.517	33.3			Percent of total billed charges		149.517	100			Percent of total billed charges		449	149.517	404.1	
zimmer lag screw 100mm std thread 1193-10-42	278	RC	Outpatient			449	291.85		90			Percent of total billed charges		404.1	40			Percent of total billed charges		179.6	80			Percent of total billed charges		359.2	90			Percent of total billed charges		404.1	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	100			Percent of total billed charges		449	100			Percent of total billed charges		449	100			Percent of total billed charges		449	33.3			Percent of total billed charges		149.517	33.3			Percent of total billed charges		149.517	100			Percent of total billed charges		449	149.517	404.1	
zimmer lag screw 105mm lg thread 1193-15-45	278	RC	Outpatient			449	291.85		90			Percent of total billed charges		404.1	40			Percent of total billed charges		179.6	80			Percent of total billed charges		359.2	90			Percent of total billed charges		404.1	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	100			Percent of total billed charges		449	100			Percent of total billed charges		449	100			Percent of total billed charges		449	33.3			Percent of total billed charges		149.517	33.3			Percent of total billed charges		149.517	100			Percent of total billed charges		449	149.517	404.1	
zimmer lag screw 110mm lg thread 1193-15-47	278	RC	Outpatient			449	291.85		90			Percent of total billed charges		404.1	40			Percent of total billed charges		179.6	80			Percent of total billed charges		359.2	90			Percent of total billed charges		404.1	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	100			Percent of total billed charges		449	100			Percent of total billed charges		449	100			Percent of total billed charges		449	33.3			Percent of total billed charges		149.517	33.3			Percent of total billed charges		149.517	100			Percent of total billed charges		449	149.517	404.1	
zimmer lag screw 110mm short thread 1193-05-47	278	RC	Outpatient			449	291.85		90			Percent of total billed charges		404.1	40			Percent of total billed charges		179.6	80			Percent of total billed charges		359.2	90			Percent of total billed charges		404.1	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	100			Percent of total billed charges		449	100			Percent of total billed charges		449	100			Percent of total billed charges		449	33.3			Percent of total billed charges		149.517	33.3			Percent of total billed charges		149.517	100			Percent of total billed charges		449	149.517	404.1	
zimmer lag screw 110mm std thread 1193-10-47	278	RC	Outpatient			449	291.85		90			Percent of total billed charges		404.1	40			Percent of total billed charges		179.6	80			Percent of total billed charges		359.2	90			Percent of total billed charges		404.1	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	100			Percent of total billed charges		449	100			Percent of total billed charges		449	100			Percent of total billed charges		449	33.3			Percent of total billed charges		149.517	33.3			Percent of total billed charges		149.517	100			Percent of total billed charges		449	149.517	404.1	
zimmer lag screw 115mm lg thread 1193-15-50	278	RC	Outpatient			449	291.85		90			Percent of total billed charges		404.1	40			Percent of total billed charges		179.6	80			Percent of total billed charges		359.2	90			Percent of total billed charges		404.1	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	100			Percent of total billed charges		449	100			Percent of total billed charges		449	100			Percent of total billed charges		449	33.3			Percent of total billed charges		149.517	33.3			Percent of total billed charges		149.517	100			Percent of total billed charges		449	149.517	404.1	
zimmer lag screw 115mm short thread 1193-05-50	278	RC	Outpatient			449	291.85		90			Percent of total billed charges		404.1	40			Percent of total billed charges		179.6	80			Percent of total billed charges		359.2	90			Percent of total billed charges		404.1	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	100			Percent of total billed charges		449	100			Percent of total billed charges		449	100			Percent of total billed charges		449	33.3			Percent of total billed charges		149.517	33.3			Percent of total billed charges		149.517	100			Percent of total billed charges		449	149.517	404.1	
zimmer lag screw 120mm short thread 1193-05-52	278	RC	Outpatient			449	291.85		90			Percent of total billed charges		404.1	40			Percent of total billed charges		179.6	80			Percent of total billed charges		359.2	90			Percent of total billed charges		404.1	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	100			Percent of total billed charges		449	100			Percent of total billed charges		449	100			Percent of total billed charges		449	33.3			Percent of total billed charges		149.517	33.3			Percent of total billed charges		149.517	100			Percent of total billed charges		449	149.517	404.1	
zimmer lag screw 120mm std thread 1193-10-52	278	RC	Outpatient			449	291.85		90			Percent of total billed charges		404.1	40			Percent of total billed charges		179.6	80			Percent of total billed charges		359.2	90			Percent of total billed charges		404.1	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	100			Percent of total billed charges		449	100			Percent of total billed charges		449	100			Percent of total billed charges		449	33.3			Percent of total billed charges		149.517	33.3			Percent of total billed charges		149.517	100			Percent of total billed charges		449	149.517	404.1	
zimmer lag screw 125mm std thread 1193-10-55	278	RC	Outpatient			449	291.85		90			Percent of total billed charges		404.1	40			Percent of total billed charges		179.6	80			Percent of total billed charges		359.2	90			Percent of total billed charges		404.1	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	100			Percent of total billed charges		449	100			Percent of total billed charges		449	100			Percent of total billed charges		449	33.3			Percent of total billed charges		149.517	33.3			Percent of total billed charges		149.517	100			Percent of total billed charges		449	149.517	404.1	
zimmer lag screw 135mm lg thread 1193-15-60	278	RC	Outpatient			449	291.85		90			Percent of total billed charges		404.1	40			Percent of total billed charges		179.6	80			Percent of total billed charges		359.2	90			Percent of total billed charges		404.1	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	100			Percent of total billed charges		449	100			Percent of total billed charges		449	100			Percent of total billed charges		449	33.3			Percent of total billed charges		149.517	33.3			Percent of total billed charges		149.517	100			Percent of total billed charges		449	149.517	404.1	
zimmer lag screw 135mm short thread 1193-05-60	278	RC	Outpatient			449	291.85		90			Percent of total billed charges		404.1	40			Percent of total billed charges		179.6	80			Percent of total billed charges		359.2	90			Percent of total billed charges		404.1	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	100			Percent of total billed charges		449	100			Percent of total billed charges		449	100			Percent of total billed charges		449	33.3			Percent of total billed charges		149.517	33.3			Percent of total billed charges		149.517	100			Percent of total billed charges		449	149.517	404.1	
zimmer lag screw 135mm std thread 1193-10-60	278	RC	Outpatient			449	291.85		90			Percent of total billed charges		404.1	40			Percent of total billed charges		179.6	80			Percent of total billed charges		359.2	90			Percent of total billed charges		404.1	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	100			Percent of total billed charges		449	100			Percent of total billed charges		449	100			Percent of total billed charges		449	33.3			Percent of total billed charges		149.517	33.3			Percent of total billed charges		149.517	100			Percent of total billed charges		449	149.517	404.1	
zimmer lag screw 140mm short thread 1193-05-62	278	RC	Outpatient			449	291.85		90			Percent of total billed charges		404.1	40			Percent of total billed charges		179.6	80			Percent of total billed charges		359.2	90			Percent of total billed charges		404.1	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	100			Percent of total billed charges		449	100			Percent of total billed charges		449	100			Percent of total billed charges		449	33.3			Percent of total billed charges		149.517	33.3			Percent of total billed charges		149.517	100			Percent of total billed charges		449	149.517	404.1	
zimmer lag screw 140mm std thread 1193-10-62	278	RC	Outpatient			449	291.85		90			Percent of total billed charges		404.1	40			Percent of total billed charges		179.6	80			Percent of total billed charges		359.2	90			Percent of total billed charges		404.1	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	100			Percent of total billed charges		449	100			Percent of total billed charges		449	100			Percent of total billed charges		449	33.3			Percent of total billed charges		149.517	33.3			Percent of total billed charges		149.517	100			Percent of total billed charges		449	149.517	404.1	
zimmer lag screw 145mm lg thread 1193-15-65	278	RC	Outpatient			449	291.85		90			Percent of total billed charges		404.1	40			Percent of total billed charges		179.6	80			Percent of total billed charges		359.2	90			Percent of total billed charges		404.1	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	100			Percent of total billed charges		449	100			Percent of total billed charges		449	100			Percent of total billed charges		449	33.3			Percent of total billed charges		149.517	33.3			Percent of total billed charges		149.517	100			Percent of total billed charges		449	149.517	404.1	
zimmer lag screw 150mm lg thread 1193-15-67	278	RC	Outpatient			449	291.85		90			Percent of total billed charges		404.1	40			Percent of total billed charges		179.6	80			Percent of total billed charges		359.2	90			Percent of total billed charges		404.1	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	100			Percent of total billed charges		449	100			Percent of total billed charges		449	100			Percent of total billed charges		449	33.3			Percent of total billed charges		149.517	33.3			Percent of total billed charges		149.517	100			Percent of total billed charges		449	149.517	404.1	
zimmer lag screw 150mm std thread 1193-10-67	278	RC	Outpatient			449	291.85		90			Percent of total billed charges		404.1	40			Percent of total billed charges		179.6	80			Percent of total billed charges		359.2	90			Percent of total billed charges		404.1	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	100			Percent of total billed charges		449	100			Percent of total billed charges		449	100			Percent of total billed charges		449	33.3			Percent of total billed charges		149.517	33.3			Percent of total billed charges		149.517	100			Percent of total billed charges		449	149.517	404.1	
zimmer lag screw 155mm short thread 1193-05-70	278	RC	Outpatient			449	291.85		90			Percent of total billed charges		404.1	40			Percent of total billed charges		179.6	80			Percent of total billed charges		359.2	90			Percent of total billed charges		404.1	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	100			Percent of total billed charges		449	100			Percent of total billed charges		449	100			Percent of total billed charges		449	33.3			Percent of total billed charges		149.517	33.3			Percent of total billed charges		149.517	100			Percent of total billed charges		449	149.517	404.1	
zimmer lag screw 55mm lg thread 1193-15-20	278	RC	Outpatient			449	291.85		90			Percent of total billed charges		404.1	40			Percent of total billed charges		179.6	80			Percent of total billed charges		359.2	90			Percent of total billed charges		404.1	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	100			Percent of total billed charges		449	100			Percent of total billed charges		449	100			Percent of total billed charges		449	33.3			Percent of total billed charges		149.517	33.3			Percent of total billed charges		149.517	100			Percent of total billed charges		449	149.517	404.1	
zimmer lag screw 65mm lg thread 1193-15-25	278	RC	Outpatient			449	291.85		90			Percent of total billed charges		404.1	40			Percent of total billed charges		179.6	80			Percent of total billed charges		359.2	90			Percent of total billed charges		404.1	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	100			Percent of total billed charges		449	100			Percent of total billed charges		449	100			Percent of total billed charges		449	33.3			Percent of total billed charges		149.517	33.3			Percent of total billed charges		149.517	100			Percent of total billed charges		449	149.517	404.1	
zimmer lag screw 65mm short thread 1193-05-25	278	RC	Outpatient			449	291.85		90			Percent of total billed charges		404.1	40			Percent of total billed charges		179.6	80			Percent of total billed charges		359.2	90			Percent of total billed charges		404.1	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	100			Percent of total billed charges		449	100			Percent of total billed charges		449	100			Percent of total billed charges		449	33.3			Percent of total billed charges		149.517	33.3			Percent of total billed charges		149.517	100			Percent of total billed charges		449	149.517	404.1	
zimmer lag screw 65mm std thread 1193-10-25	278	RC	Outpatient			449	291.85		90			Percent of total billed charges		404.1	40			Percent of total billed charges		179.6	80			Percent of total billed charges		359.2	90			Percent of total billed charges		404.1	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	100			Percent of total billed charges		449	100			Percent of total billed charges		449	100			Percent of total billed charges		449	33.3			Percent of total billed charges		149.517	33.3			Percent of total billed charges		149.517	100			Percent of total billed charges		449	149.517	404.1	
zimmer lag screw 70mm std thread 1193-10-27	278	RC	Outpatient			449	291.85		90			Percent of total billed charges		404.1	40			Percent of total billed charges		179.6	80			Percent of total billed charges		359.2	90			Percent of total billed charges		404.1	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	100			Percent of total billed charges		449	100			Percent of total billed charges		449	100			Percent of total billed charges		449	33.3			Percent of total billed charges		149.517	33.3			Percent of total billed charges		149.517	100			Percent of total billed charges		449	149.517	404.1	
zimmer lag screw 75mm lg thread 1193-15-30	278	RC	Outpatient			449	291.85		90			Percent of total billed charges		404.1	40			Percent of total billed charges		179.6	80			Percent of total billed charges		359.2	90			Percent of total billed charges		404.1	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	100			Percent of total billed charges		449	100			Percent of total billed charges		449	100			Percent of total billed charges		449	33.3			Percent of total billed charges		149.517	33.3			Percent of total billed charges		149.517	100			Percent of total billed charges		449	149.517	404.1	
zimmer lag screw 80mm lg thread 1193-15-32	278	RC	Outpatient			449	291.85		90			Percent of total billed charges		404.1	40			Percent of total billed charges		179.6	80			Percent of total billed charges		359.2	90			Percent of total billed charges		404.1	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	100			Percent of total billed charges		449	100			Percent of total billed charges		449	100			Percent of total billed charges		449	33.3			Percent of total billed charges		149.517	33.3			Percent of total billed charges		149.517	100			Percent of total billed charges		449	149.517	404.1	
zimmer lag screw 80mm std thread 1193-10-32	278	RC	Outpatient			449	291.85		90			Percent of total billed charges		404.1	40			Percent of total billed charges		179.6	80			Percent of total billed charges		359.2	90			Percent of total billed charges		404.1	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	100			Percent of total billed charges		449	100			Percent of total billed charges		449	100			Percent of total billed charges		449	33.3			Percent of total billed charges		149.517	33.3			Percent of total billed charges		149.517	100			Percent of total billed charges		449	149.517	404.1	
zimmer lag screw 85mm std thread 1193-10-35	278	RC	Outpatient			449	291.85		90			Percent of total billed charges		404.1	40			Percent of total billed charges		179.6	80			Percent of total billed charges		359.2	90			Percent of total billed charges		404.1	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	100			Percent of total billed charges		449	100			Percent of total billed charges		449	100			Percent of total billed charges		449	33.3			Percent of total billed charges		149.517	33.3			Percent of total billed charges		149.517	100			Percent of total billed charges		449	149.517	404.1	
zimmer lag screw 90mm lg thread 1193-15-37	278	RC	Outpatient			449	291.85		90			Percent of total billed charges		404.1	40			Percent of total billed charges		179.6	80			Percent of total billed charges		359.2	90			Percent of total billed charges		404.1	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	100			Percent of total billed charges		449	100			Percent of total billed charges		449	100			Percent of total billed charges		449	33.3			Percent of total billed charges		149.517	33.3			Percent of total billed charges		149.517	100			Percent of total billed charges		449	149.517	404.1	
zimmer lag screw 90mm std thread 1193-10-37	278	RC	Outpatient			449	291.85		90			Percent of total billed charges		404.1	40			Percent of total billed charges		179.6	80			Percent of total billed charges		359.2	90			Percent of total billed charges		404.1	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	100			Percent of total billed charges		449	100			Percent of total billed charges		449	100			Percent of total billed charges		449	33.3			Percent of total billed charges		149.517	33.3			Percent of total billed charges		149.517	100			Percent of total billed charges		449	149.517	404.1	
zimmer lag screw 95mm std thread 1193-15-40	278	RC	Outpatient			449	291.85		90			Percent of total billed charges		404.1	40			Percent of total billed charges		179.6	80			Percent of total billed charges		359.2	90			Percent of total billed charges		404.1	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	85			Percent of total billed charges		381.65	100			Percent of total billed charges		449	100			Percent of total billed charges		449	100			Percent of total billed charges		449	33.3			Percent of total billed charges		149.517	33.3			Percent of total billed charges		149.517	100			Percent of total billed charges		449	149.517	404.1	
ccpf chemo admin 4 hrs	335	RC	Outpatient			449.63	292.26		90			Percent of total billed charges		404.667	40			Percent of total billed charges		179.852	80			Percent of total billed charges		359.704	90			Percent of total billed charges		404.667	85			Percent of total billed charges		382.1855	85			Percent of total billed charges		382.1855	85			Percent of total billed charges		382.1855	100			Percent of total billed charges		449.63	100			Percent of total billed charges		449.63	100			Percent of total billed charges		449.63	33.3			Percent of total billed charges		149.7268	33.3			Percent of total billed charges		149.7268	100			Percent of total billed charges		449.63	149.7268	404.667	
cosmetic - laser treatment for skin laxity large area - each additional session	982	RC	Outpatient			450	292.5		90			Percent of total billed charges		405	40			Percent of total billed charges		180	80			Percent of total billed charges		360	90			Percent of total billed charges		405	85			Percent of total billed charges		382.5	85			Percent of total billed charges		382.5	85			Percent of total billed charges		382.5	100			Percent of total billed charges		450	100			Percent of total billed charges		450	100			Percent of total billed charges		450	33.3			Percent of total billed charges		149.85	33.3			Percent of total billed charges		149.85	100			Percent of total billed charges		450	149.85	405	
cement drill 4.5mm 71369045 s/n	272	RC	Outpatient			450	292.5		90			Percent of total billed charges		405	40			Percent of total billed charges		180	80			Percent of total billed charges		360	90			Percent of total billed charges		405	85			Percent of total billed charges		382.5	85			Percent of total billed charges		382.5	85			Percent of total billed charges		382.5	100			Percent of total billed charges		450	100			Percent of total billed charges		450	100			Percent of total billed charges		450	33.3			Percent of total billed charges		149.85	33.3			Percent of total billed charges		149.85	100			Percent of total billed charges		450	149.85	405	
cement drill 8mm 71369008 s/n	272	RC	Outpatient			450	292.5		90			Percent of total billed charges		405	40			Percent of total billed charges		180	80			Percent of total billed charges		360	90			Percent of total billed charges		405	85			Percent of total billed charges		382.5	85			Percent of total billed charges		382.5	85			Percent of total billed charges		382.5	100			Percent of total billed charges		450	100			Percent of total billed charges		450	100			Percent of total billed charges		450	33.3			Percent of total billed charges		149.85	33.3			Percent of total billed charges		149.85	100			Percent of total billed charges		450	149.85	405	
retrvial ballon	270	RC	Outpatient			450	292.5		90			Percent of total billed charges		405	40			Percent of total billed charges		180	80			Percent of total billed charges		360	90			Percent of total billed charges		405	85			Percent of total billed charges		382.5	85			Percent of total billed charges		382.5	85			Percent of total billed charges		382.5	100			Percent of total billed charges		450	100			Percent of total billed charges		450	100			Percent of total billed charges		450	33.3			Percent of total billed charges		149.85	33.3			Percent of total billed charges		149.85	100			Percent of total billed charges		450	149.85	405	
arthrex suture lasso w/fs	272	RC	Outpatient			451	293.15		90			Percent of total billed charges		405.9	40			Percent of total billed charges		180.4	80			Percent of total billed charges		360.8	90			Percent of total billed charges		405.9	85			Percent of total billed charges		383.35	85			Percent of total billed charges		383.35	85			Percent of total billed charges		383.35	100			Percent of total billed charges		451	100			Percent of total billed charges		451	100			Percent of total billed charges		451	33.3			Percent of total billed charges		150.183	33.3			Percent of total billed charges		150.183	100			Percent of total billed charges		451	150.183	405.9	
bio humeral head adpt	278	RC	Outpatient			451	293.15		90			Percent of total billed charges		405.9	40			Percent of total billed charges		180.4	80			Percent of total billed charges		360.8	90			Percent of total billed charges		405.9	85			Percent of total billed charges		383.35	85			Percent of total billed charges		383.35	85			Percent of total billed charges		383.35	100			Percent of total billed charges		451	100			Percent of total billed charges		451	100			Percent of total billed charges		451	33.3			Percent of total billed charges		150.183	33.3			Percent of total billed charges		150.183	100			Percent of total billed charges		451	150.183	405.9	
arthrex suturelasso sd 25 degree  rt w/ fiberstick  ar-4068-25trf	272	RC	Outpatient			451	293.15		90			Percent of total billed charges		405.9	40			Percent of total billed charges		180.4	80			Percent of total billed charges		360.8	90			Percent of total billed charges		405.9	85			Percent of total billed charges		383.35	85			Percent of total billed charges		383.35	85			Percent of total billed charges		383.35	100			Percent of total billed charges		451	100			Percent of total billed charges		451	100			Percent of total billed charges		451	33.3			Percent of total billed charges		150.183	33.3			Percent of total billed charges		150.183	100			Percent of total billed charges		451	150.183	405.9	
arthrex suturelasso sd 25 degree w/ fiberstick ar-4068-25tlf	272	RC	Outpatient			451	293.15		90			Percent of total billed charges		405.9	40			Percent of total billed charges		180.4	80			Percent of total billed charges		360.8	90			Percent of total billed charges		405.9	85			Percent of total billed charges		383.35	85			Percent of total billed charges		383.35	85			Percent of total billed charges		383.35	100			Percent of total billed charges		451	100			Percent of total billed charges		451	100			Percent of total billed charges		451	33.3			Percent of total billed charges		150.183	33.3			Percent of total billed charges		150.183	100			Percent of total billed charges		451	150.183	405.9	
comprehensive standard taper adaptor 118001 biomet	278	RC	Outpatient			451	293.15		90			Percent of total billed charges		405.9	40			Percent of total billed charges		180.4	80			Percent of total billed charges		360.8	90			Percent of total billed charges		405.9	85			Percent of total billed charges		383.35	85			Percent of total billed charges		383.35	85			Percent of total billed charges		383.35	100			Percent of total billed charges		451	100			Percent of total billed charges		451	100			Percent of total billed charges		451	33.3			Percent of total billed charges		150.183	33.3			Percent of total billed charges		150.183	100			Percent of total billed charges		451	150.183	405.9	
naso pore 8cm firm 5400-010-008 stryker	272	RC	Outpatient			452	293.8		90			Percent of total billed charges		406.8	40			Percent of total billed charges		180.8	80			Percent of total billed charges		361.6	90			Percent of total billed charges		406.8	85			Percent of total billed charges		384.2	85			Percent of total billed charges		384.2	85			Percent of total billed charges		384.2	100			Percent of total billed charges		452	100			Percent of total billed charges		452	100			Percent of total billed charges		452	33.3			Percent of total billed charges		150.516	33.3			Percent of total billed charges		150.516	100			Percent of total billed charges		452	150.516	406.8	
nasopore dsg	272	RC	Outpatient			452	293.8		90			Percent of total billed charges		406.8	40			Percent of total billed charges		180.8	80			Percent of total billed charges		361.6	90			Percent of total billed charges		406.8	85			Percent of total billed charges		384.2	85			Percent of total billed charges		384.2	85			Percent of total billed charges		384.2	100			Percent of total billed charges		452	100			Percent of total billed charges		452	100			Percent of total billed charges		452	33.3			Percent of total billed charges		150.516	33.3			Percent of total billed charges		150.516	100			Percent of total billed charges		452	150.516	406.8	
naso pore standard 5400-020-008 stryker	272	RC	Outpatient			452	293.8		90			Percent of total billed charges		406.8	40			Percent of total billed charges		180.8	80			Percent of total billed charges		361.6	90			Percent of total billed charges		406.8	85			Percent of total billed charges		384.2	85			Percent of total billed charges		384.2	85			Percent of total billed charges		384.2	100			Percent of total billed charges		452	100			Percent of total billed charges		452	100			Percent of total billed charges		452	33.3			Percent of total billed charges		150.516	33.3			Percent of total billed charges		150.516	100			Percent of total billed charges		452	150.516	406.8	
endo gia 45 articulating load purple egia45amt covidien	272	RC	Outpatient			453	294.45		90			Percent of total billed charges		407.7	40			Percent of total billed charges		181.2	80			Percent of total billed charges		362.4	90			Percent of total billed charges		407.7	85			Percent of total billed charges		385.05	85			Percent of total billed charges		385.05	85			Percent of total billed charges		385.05	100			Percent of total billed charges		453	100			Percent of total billed charges		453	100			Percent of total billed charges		453	33.3			Percent of total billed charges		150.849	33.3			Percent of total billed charges		150.849	100			Percent of total billed charges		453	150.849	407.7	
endo gia 45 articulating load tan egia45avm covidien	272	RC	Outpatient			453	294.45		90			Percent of total billed charges		407.7	40			Percent of total billed charges		181.2	80			Percent of total billed charges		362.4	90			Percent of total billed charges		407.7	85			Percent of total billed charges		385.05	85			Percent of total billed charges		385.05	85			Percent of total billed charges		385.05	100			Percent of total billed charges		453	100			Percent of total billed charges		453	100			Percent of total billed charges		453	33.3			Percent of total billed charges		150.849	33.3			Percent of total billed charges		150.849	100			Percent of total billed charges		453	150.849	407.7	
endo gia 45 dlu art	272	RC	Outpatient			453	294.45		90			Percent of total billed charges		407.7	40			Percent of total billed charges		181.2	80			Percent of total billed charges		362.4	90			Percent of total billed charges		407.7	85			Percent of total billed charges		385.05	85			Percent of total billed charges		385.05	85			Percent of total billed charges		385.05	100			Percent of total billed charges		453	100			Percent of total billed charges		453	100			Percent of total billed charges		453	33.3			Percent of total billed charges		150.849	33.3			Percent of total billed charges		150.849	100			Percent of total billed charges		453	150.849	407.7	
drill bit 2.5 x 285 calibrated 703586 stryker	272	RC	Outpatient			454	295.1		90			Percent of total billed charges		408.6	40			Percent of total billed charges		181.6	80			Percent of total billed charges		363.2	90			Percent of total billed charges		408.6	85			Percent of total billed charges		385.9	85			Percent of total billed charges		385.9	85			Percent of total billed charges		385.9	100			Percent of total billed charges		454	100			Percent of total billed charges		454	100			Percent of total billed charges		454	33.3			Percent of total billed charges		151.182	33.3			Percent of total billed charges		151.182	100			Percent of total billed charges		454	151.182	408.6	
q-fix disposable  kit 1.8mm 25-1810 s/n	278	RC	Outpatient			454	295.1		90			Percent of total billed charges		408.6	40			Percent of total billed charges		181.6	80			Percent of total billed charges		363.2	90			Percent of total billed charges		408.6	85			Percent of total billed charges		385.9	85			Percent of total billed charges		385.9	85			Percent of total billed charges		385.9	100			Percent of total billed charges		454	100			Percent of total billed charges		454	100			Percent of total billed charges		454	33.3			Percent of total billed charges		151.182	33.3			Percent of total billed charges		151.182	100			Percent of total billed charges		454	151.182	408.6	
stryker drill bit 2.5 cal	272	RC	Outpatient			454	295.1		90			Percent of total billed charges		408.6	40			Percent of total billed charges		181.6	80			Percent of total billed charges		363.2	90			Percent of total billed charges		408.6	85			Percent of total billed charges		385.9	85			Percent of total billed charges		385.9	85			Percent of total billed charges		385.9	100			Percent of total billed charges		454	100			Percent of total billed charges		454	100			Percent of total billed charges		454	33.3			Percent of total billed charges		151.182	33.3			Percent of total billed charges		151.182	100			Percent of total billed charges		454	151.182	408.6	
q-fix shoulder kit 2.8mm 25-2810 s/n	272	RC	Outpatient			454	295.1		90			Percent of total billed charges		408.6	40			Percent of total billed charges		181.6	80			Percent of total billed charges		363.2	90			Percent of total billed charges		408.6	85			Percent of total billed charges		385.9	85			Percent of total billed charges		385.9	85			Percent of total billed charges		385.9	100			Percent of total billed charges		454	100			Percent of total billed charges		454	100			Percent of total billed charges		454	33.3			Percent of total billed charges		151.182	33.3			Percent of total billed charges		151.182	100			Percent of total billed charges		454	151.182	408.6	
acumed 3.5 taploc screw tap pl-elt1035	272	RC	Outpatient			455	295.75		90			Percent of total billed charges		409.5	40			Percent of total billed charges		182	80			Percent of total billed charges		364	90			Percent of total billed charges		409.5	85			Percent of total billed charges		386.75	85			Percent of total billed charges		386.75	85			Percent of total billed charges		386.75	100			Percent of total billed charges		455	100			Percent of total billed charges		455	100			Percent of total billed charges		455	33.3			Percent of total billed charges		151.515	33.3			Percent of total billed charges		151.515	100			Percent of total billed charges		455	151.515	409.5	
acumed taploc tap	272	RC	Outpatient			455	295.75		90			Percent of total billed charges		409.5	40			Percent of total billed charges		182	80			Percent of total billed charges		364	90			Percent of total billed charges		409.5	85			Percent of total billed charges		386.75	85			Percent of total billed charges		386.75	85			Percent of total billed charges		386.75	100			Percent of total billed charges		455	100			Percent of total billed charges		455	100			Percent of total billed charges		455	33.3			Percent of total billed charges		151.515	33.3			Percent of total billed charges		151.515	100			Percent of total billed charges		455	151.515	409.5	
cross pin 6.5 x 40mm 254201	278	RC	Outpatient			455	295.75		90			Percent of total billed charges		409.5	40			Percent of total billed charges		182	80			Percent of total billed charges		364	90			Percent of total billed charges		409.5	85			Percent of total billed charges		386.75	85			Percent of total billed charges		386.75	85			Percent of total billed charges		386.75	100			Percent of total billed charges		455	100			Percent of total billed charges		455	100			Percent of total billed charges		455	33.3			Percent of total billed charges		151.515	33.3			Percent of total billed charges		151.515	100			Percent of total billed charges		455	151.515	409.5	
mitek cross pin	278	RC	Outpatient			455	295.75		90			Percent of total billed charges		409.5	40			Percent of total billed charges		182	80			Percent of total billed charges		364	90			Percent of total billed charges		409.5	85			Percent of total billed charges		386.75	85			Percent of total billed charges		386.75	85			Percent of total billed charges		386.75	100			Percent of total billed charges		455	100			Percent of total billed charges		455	100			Percent of total billed charges		455	33.3			Percent of total billed charges		151.515	33.3			Percent of total billed charges		151.515	100			Percent of total billed charges		455	151.515	409.5	
s/n l-p screw 5.0	278	RC	Outpatient			455	295.75		90			Percent of total billed charges		409.5	40			Percent of total billed charges		182	80			Percent of total billed charges		364	90			Percent of total billed charges		409.5	85			Percent of total billed charges		386.75	85			Percent of total billed charges		386.75	85			Percent of total billed charges		386.75	100			Percent of total billed charges		455	100			Percent of total billed charges		455	100			Percent of total billed charges		455	33.3			Percent of total billed charges		151.515	33.3			Percent of total billed charges		151.515	100			Percent of total billed charges		455	151.515	409.5	
spoon plate 5 hole 240.05	278	RC	Outpatient			455	295.75		90			Percent of total billed charges		409.5	40			Percent of total billed charges		182	80			Percent of total billed charges		364	90			Percent of total billed charges		409.5	85			Percent of total billed charges		386.75	85			Percent of total billed charges		386.75	85			Percent of total billed charges		386.75	100			Percent of total billed charges		455	100			Percent of total billed charges		455	100			Percent of total billed charges		455	33.3			Percent of total billed charges		151.515	33.3			Percent of total billed charges		151.515	100			Percent of total billed charges		455	151.515	409.5	
spoon plate 6 hole 240.06	278	RC	Outpatient			455	295.75		90			Percent of total billed charges		409.5	40			Percent of total billed charges		182	80			Percent of total billed charges		364	90			Percent of total billed charges		409.5	85			Percent of total billed charges		386.75	85			Percent of total billed charges		386.75	85			Percent of total billed charges		386.75	100			Percent of total billed charges		455	100			Percent of total billed charges		455	100			Percent of total billed charges		455	33.3			Percent of total billed charges		151.515	33.3			Percent of total billed charges		151.515	100			Percent of total billed charges		455	151.515	409.5	
syn plate spoon	278	RC	Outpatient			455	295.75		90			Percent of total billed charges		409.5	40			Percent of total billed charges		182	80			Percent of total billed charges		364	90			Percent of total billed charges		409.5	85			Percent of total billed charges		386.75	85			Percent of total billed charges		386.75	85			Percent of total billed charges		386.75	100			Percent of total billed charges		455	100			Percent of total billed charges		455	100			Percent of total billed charges		455	33.3			Percent of total billed charges		151.515	33.3			Percent of total billed charges		151.515	100			Percent of total billed charges		455	151.515	409.5	
trigen l-p screw 4.5 x 30mm 71645430 s/n	278	RC	Outpatient			455	295.75		90			Percent of total billed charges		409.5	40			Percent of total billed charges		182	80			Percent of total billed charges		364	90			Percent of total billed charges		409.5	85			Percent of total billed charges		386.75	85			Percent of total billed charges		386.75	85			Percent of total billed charges		386.75	100			Percent of total billed charges		455	100			Percent of total billed charges		455	100			Percent of total billed charges		455	33.3			Percent of total billed charges		151.515	33.3			Percent of total billed charges		151.515	100			Percent of total billed charges		455	151.515	409.5	
trigen l-p screw 5.0 x 30mm 71645030 s/n	278	RC	Outpatient			455	295.75		90			Percent of total billed charges		409.5	40			Percent of total billed charges		182	80			Percent of total billed charges		364	90			Percent of total billed charges		409.5	85			Percent of total billed charges		386.75	85			Percent of total billed charges		386.75	85			Percent of total billed charges		386.75	100			Percent of total billed charges		455	100			Percent of total billed charges		455	100			Percent of total billed charges		455	33.3			Percent of total billed charges		151.515	33.3			Percent of total billed charges		151.515	100			Percent of total billed charges		455	151.515	409.5	
trigen l-p screw 5.0 x 35mm 71645035 s/n	278	RC	Outpatient			455	295.75		90			Percent of total billed charges		409.5	40			Percent of total billed charges		182	80			Percent of total billed charges		364	90			Percent of total billed charges		409.5	85			Percent of total billed charges		386.75	85			Percent of total billed charges		386.75	85			Percent of total billed charges		386.75	100			Percent of total billed charges		455	100			Percent of total billed charges		455	100			Percent of total billed charges		455	33.3			Percent of total billed charges		151.515	33.3			Percent of total billed charges		151.515	100			Percent of total billed charges		455	151.515	409.5	
trigen l-p screw 5.0 x 40mm 71645040 s/n	278	RC	Outpatient			455	295.75		90			Percent of total billed charges		409.5	40			Percent of total billed charges		182	80			Percent of total billed charges		364	90			Percent of total billed charges		409.5	85			Percent of total billed charges		386.75	85			Percent of total billed charges		386.75	85			Percent of total billed charges		386.75	100			Percent of total billed charges		455	100			Percent of total billed charges		455	100			Percent of total billed charges		455	33.3			Percent of total billed charges		151.515	33.3			Percent of total billed charges		151.515	100			Percent of total billed charges		455	151.515	409.5	
trigen l-p screw 5.0 x 45mm 71645045 s/n	278	RC	Outpatient			455	295.75		90			Percent of total billed charges		409.5	40			Percent of total billed charges		182	80			Percent of total billed charges		364	90			Percent of total billed charges		409.5	85			Percent of total billed charges		386.75	85			Percent of total billed charges		386.75	85			Percent of total billed charges		386.75	100			Percent of total billed charges		455	100			Percent of total billed charges		455	100			Percent of total billed charges		455	33.3			Percent of total billed charges		151.515	33.3			Percent of total billed charges		151.515	100			Percent of total billed charges		455	151.515	409.5	
trigen l-p screw 5.0 x 70mm 71645070 s/n	278	RC	Outpatient			455	295.75		90			Percent of total billed charges		409.5	40			Percent of total billed charges		182	80			Percent of total billed charges		364	90			Percent of total billed charges		409.5	85			Percent of total billed charges		386.75	85			Percent of total billed charges		386.75	85			Percent of total billed charges		386.75	100			Percent of total billed charges		455	100			Percent of total billed charges		455	100			Percent of total billed charges		455	33.3			Percent of total billed charges		151.515	33.3			Percent of total billed charges		151.515	100			Percent of total billed charges		455	151.515	409.5	
trigen l-p screw 5.0 x 90mm 71645090 s/n	278	RC	Outpatient			455	295.75		90			Percent of total billed charges		409.5	40			Percent of total billed charges		182	80			Percent of total billed charges		364	90			Percent of total billed charges		409.5	85			Percent of total billed charges		386.75	85			Percent of total billed charges		386.75	85			Percent of total billed charges		386.75	100			Percent of total billed charges		455	100			Percent of total billed charges		455	100			Percent of total billed charges		455	33.3			Percent of total billed charges		151.515	33.3			Percent of total billed charges		151.515	100			Percent of total billed charges		455	151.515	409.5	
trigen l-p screw 5.0 x 20mm 71645020 s/n	278	RC	Outpatient			455	295.75		90			Percent of total billed charges		409.5	40			Percent of total billed charges		182	80			Percent of total billed charges		364	90			Percent of total billed charges		409.5	85			Percent of total billed charges		386.75	85			Percent of total billed charges		386.75	85			Percent of total billed charges		386.75	100			Percent of total billed charges		455	100			Percent of total billed charges		455	100			Percent of total billed charges		455	33.3			Percent of total billed charges		151.515	33.3			Percent of total billed charges		151.515	100			Percent of total billed charges		455	151.515	409.5	
trigen l-p screw 5.0 x 25mm 71645025 s/n	278	RC	Outpatient			455	295.75		90			Percent of total billed charges		409.5	40			Percent of total billed charges		182	80			Percent of total billed charges		364	90			Percent of total billed charges		409.5	85			Percent of total billed charges		386.75	85			Percent of total billed charges		386.75	85			Percent of total billed charges		386.75	100			Percent of total billed charges		455	100			Percent of total billed charges		455	100			Percent of total billed charges		455	33.3			Percent of total billed charges		151.515	33.3			Percent of total billed charges		151.515	100			Percent of total billed charges		455	151.515	409.5	
trigen l-p screw 5.0 x 50mm 71645050 s/n	278	RC	Outpatient			455	295.75		90			Percent of total billed charges		409.5	40			Percent of total billed charges		182	80			Percent of total billed charges		364	90			Percent of total billed charges		409.5	85			Percent of total billed charges		386.75	85			Percent of total billed charges		386.75	85			Percent of total billed charges		386.75	100			Percent of total billed charges		455	100			Percent of total billed charges		455	100			Percent of total billed charges		455	33.3			Percent of total billed charges		151.515	33.3			Percent of total billed charges		151.515	100			Percent of total billed charges		455	151.515	409.5	
trigen l-p screw 5.0 x 55mm 71645055 s/n	278	RC	Outpatient			455	295.75		90			Percent of total billed charges		409.5	40			Percent of total billed charges		182	80			Percent of total billed charges		364	90			Percent of total billed charges		409.5	85			Percent of total billed charges		386.75	85			Percent of total billed charges		386.75	85			Percent of total billed charges		386.75	100			Percent of total billed charges		455	100			Percent of total billed charges		455	100			Percent of total billed charges		455	33.3			Percent of total billed charges		151.515	33.3			Percent of total billed charges		151.515	100			Percent of total billed charges		455	151.515	409.5	
trigen l-p screw 5.0 x 60mm 71645060 s/n	278	RC	Outpatient			455	295.75		90			Percent of total billed charges		409.5	40			Percent of total billed charges		182	80			Percent of total billed charges		364	90			Percent of total billed charges		409.5	85			Percent of total billed charges		386.75	85			Percent of total billed charges		386.75	85			Percent of total billed charges		386.75	100			Percent of total billed charges		455	100			Percent of total billed charges		455	100			Percent of total billed charges		455	33.3			Percent of total billed charges		151.515	33.3			Percent of total billed charges		151.515	100			Percent of total billed charges		455	151.515	409.5	
trigen l-p screw 5.0 x 65mm 71645065 s/n	278	RC	Outpatient			455	295.75		90			Percent of total billed charges		409.5	40			Percent of total billed charges		182	80			Percent of total billed charges		364	90			Percent of total billed charges		409.5	85			Percent of total billed charges		386.75	85			Percent of total billed charges		386.75	85			Percent of total billed charges		386.75	100			Percent of total billed charges		455	100			Percent of total billed charges		455	100			Percent of total billed charges		455	33.3			Percent of total billed charges		151.515	33.3			Percent of total billed charges		151.515	100			Percent of total billed charges		455	151.515	409.5	
trigen l-p screw 5.0 x 75mm 71645075 s/n	278	RC	Outpatient			455	295.75		90			Percent of total billed charges		409.5	40			Percent of total billed charges		182	80			Percent of total billed charges		364	90			Percent of total billed charges		409.5	85			Percent of total billed charges		386.75	85			Percent of total billed charges		386.75	85			Percent of total billed charges		386.75	100			Percent of total billed charges		455	100			Percent of total billed charges		455	100			Percent of total billed charges		455	33.3			Percent of total billed charges		151.515	33.3			Percent of total billed charges		151.515	100			Percent of total billed charges		455	151.515	409.5	
trigen l-p screw 5.0 x 80mm 71645080 s/n	278	RC	Outpatient			455	295.75		90			Percent of total billed charges		409.5	40			Percent of total billed charges		182	80			Percent of total billed charges		364	90			Percent of total billed charges		409.5	85			Percent of total billed charges		386.75	85			Percent of total billed charges		386.75	85			Percent of total billed charges		386.75	100			Percent of total billed charges		455	100			Percent of total billed charges		455	100			Percent of total billed charges		455	33.3			Percent of total billed charges		151.515	33.3			Percent of total billed charges		151.515	100			Percent of total billed charges		455	151.515	409.5	
trigen l-p screw 5.0 x 85 mm 71645085 s/n	278	RC	Outpatient			455	295.75		90			Percent of total billed charges		409.5	40			Percent of total billed charges		182	80			Percent of total billed charges		364	90			Percent of total billed charges		409.5	85			Percent of total billed charges		386.75	85			Percent of total billed charges		386.75	85			Percent of total billed charges		386.75	100			Percent of total billed charges		455	100			Percent of total billed charges		455	100			Percent of total billed charges		455	33.3			Percent of total billed charges		151.515	33.3			Percent of total billed charges		151.515	100			Percent of total billed charges		455	151.515	409.5	
"arthrex dill pin, acl tightrope 4mm ar-1595t"	272	RC	Outpatient			456	296.4		90			Percent of total billed charges		410.4	40			Percent of total billed charges		182.4	80			Percent of total billed charges		364.8	90			Percent of total billed charges		410.4	85			Percent of total billed charges		387.6	85			Percent of total billed charges		387.6	85			Percent of total billed charges		387.6	100			Percent of total billed charges		456	100			Percent of total billed charges		456	100			Percent of total billed charges		456	33.3			Percent of total billed charges		151.848	33.3			Percent of total billed charges		151.848	100			Percent of total billed charges		456	151.848	410.4	
arthrex acl drill pin	272	RC	Outpatient			456	296.4		90			Percent of total billed charges		410.4	40			Percent of total billed charges		182.4	80			Percent of total billed charges		364.8	90			Percent of total billed charges		410.4	85			Percent of total billed charges		387.6	85			Percent of total billed charges		387.6	85			Percent of total billed charges		387.6	100			Percent of total billed charges		456	100			Percent of total billed charges		456	100			Percent of total billed charges		456	33.3			Percent of total billed charges		151.848	33.3			Percent of total billed charges		151.848	100			Percent of total billed charges		456	151.848	410.4	
stapler ta 60 4.8 ta6048s ussc	270	RC	Outpatient			456	296.4		90			Percent of total billed charges		410.4	40			Percent of total billed charges		182.4	80			Percent of total billed charges		364.8	90			Percent of total billed charges		410.4	85			Percent of total billed charges		387.6	85			Percent of total billed charges		387.6	85			Percent of total billed charges		387.6	100			Percent of total billed charges		456	100			Percent of total billed charges		456	100			Percent of total billed charges		456	33.3			Percent of total billed charges		151.848	33.3			Percent of total billed charges		151.848	100			Percent of total billed charges		456	151.848	410.4	
stapler ta60	270	RC	Outpatient			456	296.4		90			Percent of total billed charges		410.4	40			Percent of total billed charges		182.4	80			Percent of total billed charges		364.8	90			Percent of total billed charges		410.4	85			Percent of total billed charges		387.6	85			Percent of total billed charges		387.6	85			Percent of total billed charges		387.6	100			Percent of total billed charges		456	100			Percent of total billed charges		456	100			Percent of total billed charges		456	33.3			Percent of total billed charges		151.848	33.3			Percent of total billed charges		151.848	100			Percent of total billed charges		456	151.848	410.4	
stapler ta 60mm- 3.5mm w/ dts ta6035s covidien	270	RC	Outpatient			456	296.4		90			Percent of total billed charges		410.4	40			Percent of total billed charges		182.4	80			Percent of total billed charges		364.8	90			Percent of total billed charges		410.4	85			Percent of total billed charges		387.6	85			Percent of total billed charges		387.6	85			Percent of total billed charges		387.6	100			Percent of total billed charges		456	100			Percent of total billed charges		456	100			Percent of total billed charges		456	33.3			Percent of total billed charges		151.848	33.3			Percent of total billed charges		151.848	100			Percent of total billed charges		456	151.848	410.4	
birthing room 0 to 3 hrs	720	RC	Outpatient			457	297.05		90			Percent of total billed charges		411.3	40			Percent of total billed charges		182.8	80			Percent of total billed charges		365.6	90			Percent of total billed charges		411.3	85			Percent of total billed charges		388.45	85			Percent of total billed charges		388.45	85			Percent of total billed charges		388.45	100			Percent of total billed charges		457	100			Percent of total billed charges		457	100			Percent of total billed charges		457	33.3			Percent of total billed charges		152.181	33.3			Percent of total billed charges		152.181	100			Percent of total billed charges		457	152.181	411.3	
inlay optima ureteral stent 6fr x 22cm 788622 bard	278	RC	Outpatient			457	297.05		90			Percent of total billed charges		411.3	40			Percent of total billed charges		182.8	80			Percent of total billed charges		365.6	90			Percent of total billed charges		411.3	85			Percent of total billed charges		388.45	85			Percent of total billed charges		388.45	85			Percent of total billed charges		388.45	100			Percent of total billed charges		457	100			Percent of total billed charges		457	100			Percent of total billed charges		457	33.3			Percent of total billed charges		152.181	33.3			Percent of total billed charges		152.181	100			Percent of total billed charges		457	152.181	411.3	
transmitter	278	RC	Outpatient			459	298.35		90			Percent of total billed charges		413.1	40			Percent of total billed charges		183.6	80			Percent of total billed charges		367.2	90			Percent of total billed charges		413.1	85			Percent of total billed charges		390.15	85			Percent of total billed charges		390.15	85			Percent of total billed charges		390.15	100			Percent of total billed charges		459	100			Percent of total billed charges		459	100			Percent of total billed charges		459	33.3			Percent of total billed charges		152.847	33.3			Percent of total billed charges		152.847	100			Percent of total billed charges		459	152.847	413.1	
acu-clip ussc oms-a8	270	RC	Outpatient			460	299		90			Percent of total billed charges		414	40			Percent of total billed charges		184	80			Percent of total billed charges		368	90			Percent of total billed charges		414	85			Percent of total billed charges		391	85			Percent of total billed charges		391	85			Percent of total billed charges		391	100			Percent of total billed charges		460	100			Percent of total billed charges		460	100			Percent of total billed charges		460	33.3			Percent of total billed charges		153.18	33.3			Percent of total billed charges		153.18	100			Percent of total billed charges		460	153.18	414	
endobeam 365	272	RC	Outpatient			460	299		90			Percent of total billed charges		414	40			Percent of total billed charges		184	80			Percent of total billed charges		368	90			Percent of total billed charges		414	85			Percent of total billed charges		391	85			Percent of total billed charges		391	85			Percent of total billed charges		391	100			Percent of total billed charges		460	100			Percent of total billed charges		460	100			Percent of total billed charges		460	33.3			Percent of total billed charges		153.18	33.3			Percent of total billed charges		153.18	100			Percent of total billed charges		460	153.18	414	
endobeam 365 suo365 bard	272	RC	Outpatient			460	299		90			Percent of total billed charges		414	40			Percent of total billed charges		184	80			Percent of total billed charges		368	90			Percent of total billed charges		414	85			Percent of total billed charges		391	85			Percent of total billed charges		391	85			Percent of total billed charges		391	100			Percent of total billed charges		460	100			Percent of total billed charges		460	100			Percent of total billed charges		460	33.3			Percent of total billed charges		153.18	33.3			Percent of total billed charges		153.18	100			Percent of total billed charges		460	153.18	414	
origin rt angle accuclip	270	RC	Outpatient			460	299		90			Percent of total billed charges		414	40			Percent of total billed charges		184	80			Percent of total billed charges		368	90			Percent of total billed charges		414	85			Percent of total billed charges		391	85			Percent of total billed charges		391	85			Percent of total billed charges		391	100			Percent of total billed charges		460	100			Percent of total billed charges		460	100			Percent of total billed charges		460	33.3			Percent of total billed charges		153.18	33.3			Percent of total billed charges		153.18	100			Percent of total billed charges		460	153.18	414	
endo patch syvek nt6	272	RC	Outpatient			461	299.65		90			Percent of total billed charges		414.9	40			Percent of total billed charges		184.4	80			Percent of total billed charges		368.8	90			Percent of total billed charges		414.9	85			Percent of total billed charges		391.85	85			Percent of total billed charges		391.85	85			Percent of total billed charges		391.85	100			Percent of total billed charges		461	100			Percent of total billed charges		461	100			Percent of total billed charges		461	33.3			Percent of total billed charges		153.513	33.3			Percent of total billed charges		153.513	100			Percent of total billed charges		461	153.513	414.9	
endo syvek patch procedure	272	RC	Outpatient			461	299.65		90			Percent of total billed charges		414.9	40			Percent of total billed charges		184.4	80			Percent of total billed charges		368.8	90			Percent of total billed charges		414.9	85			Percent of total billed charges		391.85	85			Percent of total billed charges		391.85	85			Percent of total billed charges		391.85	100			Percent of total billed charges		461	100			Percent of total billed charges		461	100			Percent of total billed charges		461	33.3			Percent of total billed charges		153.513	33.3			Percent of total billed charges		153.513	100			Percent of total billed charges		461	153.513	414.9	
ambient super multivac 50 ifs asha4830-01 s/n	272	RC	Outpatient			462	300.3		90			Percent of total billed charges		415.8	40			Percent of total billed charges		184.8	80			Percent of total billed charges		369.6	90			Percent of total billed charges		415.8	85			Percent of total billed charges		392.7	85			Percent of total billed charges		392.7	85			Percent of total billed charges		392.7	100			Percent of total billed charges		462	100			Percent of total billed charges		462	100			Percent of total billed charges		462	33.3			Percent of total billed charges		153.846	33.3			Percent of total billed charges		153.846	100			Percent of total billed charges		462	153.846	415.8	
3.5mm str recon plate 10 hole 117mm 00-1179-005-10 zimmer	278	RC	Outpatient			462	300.3		90			Percent of total billed charges		415.8	40			Percent of total billed charges		184.8	80			Percent of total billed charges		369.6	90			Percent of total billed charges		415.8	85			Percent of total billed charges		392.7	85			Percent of total billed charges		392.7	85			Percent of total billed charges		392.7	100			Percent of total billed charges		462	100			Percent of total billed charges		462	100			Percent of total billed charges		462	33.3			Percent of total billed charges		153.846	33.3			Percent of total billed charges		153.846	100			Percent of total billed charges		462	153.846	415.8	
3.5mm str recon plate 8 hole 94mm 00-1179-005-08 zimmer	278	RC	Outpatient			462	300.3		90			Percent of total billed charges		415.8	40			Percent of total billed charges		184.8	80			Percent of total billed charges		369.6	90			Percent of total billed charges		415.8	85			Percent of total billed charges		392.7	85			Percent of total billed charges		392.7	85			Percent of total billed charges		392.7	100			Percent of total billed charges		462	100			Percent of total billed charges		462	100			Percent of total billed charges		462	33.3			Percent of total billed charges		153.846	33.3			Percent of total billed charges		153.846	100			Percent of total billed charges		462	153.846	415.8	
3.5mm str recon plate 9 hole 106mm 00-1179-005-09 zimmer	278	RC	Outpatient			462	300.3		90			Percent of total billed charges		415.8	40			Percent of total billed charges		184.8	80			Percent of total billed charges		369.6	90			Percent of total billed charges		415.8	85			Percent of total billed charges		392.7	85			Percent of total billed charges		392.7	85			Percent of total billed charges		392.7	100			Percent of total billed charges		462	100			Percent of total billed charges		462	100			Percent of total billed charges		462	33.3			Percent of total billed charges		153.846	33.3			Percent of total billed charges		153.846	100			Percent of total billed charges		462	153.846	415.8	
ambient super turbo 90 ifs asha4250-01 s/n	272	RC	Outpatient			462	300.3		90			Percent of total billed charges		415.8	40			Percent of total billed charges		184.8	80			Percent of total billed charges		369.6	90			Percent of total billed charges		415.8	85			Percent of total billed charges		392.7	85			Percent of total billed charges		392.7	85			Percent of total billed charges		392.7	100			Percent of total billed charges		462	100			Percent of total billed charges		462	100			Percent of total billed charges		462	33.3			Percent of total billed charges		153.846	33.3			Percent of total billed charges		153.846	100			Percent of total billed charges		462	153.846	415.8	
ambient super turbovac 90  asha4250-01 s/n	272	RC	Outpatient			462	300.3		90			Percent of total billed charges		415.8	40			Percent of total billed charges		184.8	80			Percent of total billed charges		369.6	90			Percent of total billed charges		415.8	85			Percent of total billed charges		392.7	85			Percent of total billed charges		392.7	85			Percent of total billed charges		392.7	100			Percent of total billed charges		462	100			Percent of total billed charges		462	100			Percent of total billed charges		462	33.3			Percent of total billed charges		153.846	33.3			Percent of total billed charges		153.846	100			Percent of total billed charges		462	153.846	415.8	
zimm 3.5 recon plate 8-10	278	RC	Outpatient			462	300.3		90			Percent of total billed charges		415.8	40			Percent of total billed charges		184.8	80			Percent of total billed charges		369.6	90			Percent of total billed charges		415.8	85			Percent of total billed charges		392.7	85			Percent of total billed charges		392.7	85			Percent of total billed charges		392.7	100			Percent of total billed charges		462	100			Percent of total billed charges		462	100			Percent of total billed charges		462	33.3			Percent of total billed charges		153.846	33.3			Percent of total billed charges		153.846	100			Percent of total billed charges		462	153.846	415.8	
accord 2.0 cable for grips/plates 7134-0020 s/n	278	RC	Outpatient			463	300.95		90			Percent of total billed charges		416.7	40			Percent of total billed charges		185.2	80			Percent of total billed charges		370.4	90			Percent of total billed charges		416.7	85			Percent of total billed charges		393.55	85			Percent of total billed charges		393.55	85			Percent of total billed charges		393.55	100			Percent of total billed charges		463	100			Percent of total billed charges		463	100			Percent of total billed charges		463	33.3			Percent of total billed charges		154.179	33.3			Percent of total billed charges		154.179	100			Percent of total billed charges		463	154.179	416.7	
accord 2.0 cable w/ clamp 7134-0007 s/n	278	RC	Outpatient			463	300.95		90			Percent of total billed charges		416.7	40			Percent of total billed charges		185.2	80			Percent of total billed charges		370.4	90			Percent of total billed charges		416.7	85			Percent of total billed charges		393.55	85			Percent of total billed charges		393.55	85			Percent of total billed charges		393.55	100			Percent of total billed charges		463	100			Percent of total billed charges		463	100			Percent of total billed charges		463	33.3			Percent of total billed charges		154.179	33.3			Percent of total billed charges		154.179	100			Percent of total billed charges		463	154.179	416.7	
blom laryngectomy tube	270	RC	Outpatient			466	302.9		90			Percent of total billed charges		419.4	40			Percent of total billed charges		186.4	80			Percent of total billed charges		372.8	90			Percent of total billed charges		419.4	85			Percent of total billed charges		396.1	85			Percent of total billed charges		396.1	85			Percent of total billed charges		396.1	100			Percent of total billed charges		466	100			Percent of total billed charges		466	100			Percent of total billed charges		466	33.3			Percent of total billed charges		155.178	33.3			Percent of total billed charges		155.178	100			Percent of total billed charges		466	155.178	419.4	
5.0mm 3 fluted calibrated 330mm quick coup drill bit 357.099 synthes	270	RC	Outpatient			466	302.9		90			Percent of total billed charges		419.4	40			Percent of total billed charges		186.4	80			Percent of total billed charges		372.8	90			Percent of total billed charges		419.4	85			Percent of total billed charges		396.1	85			Percent of total billed charges		396.1	85			Percent of total billed charges		396.1	100			Percent of total billed charges		466	100			Percent of total billed charges		466	100			Percent of total billed charges		466	33.3			Percent of total billed charges		155.178	33.3			Percent of total billed charges		155.178	100			Percent of total billed charges		466	155.178	419.4	
5.0mm cannulated drill bit 310.63	270	RC	Outpatient			466	302.9		90			Percent of total billed charges		419.4	40			Percent of total billed charges		186.4	80			Percent of total billed charges		372.8	90			Percent of total billed charges		419.4	85			Percent of total billed charges		396.1	85			Percent of total billed charges		396.1	85			Percent of total billed charges		396.1	100			Percent of total billed charges		466	100			Percent of total billed charges		466	100			Percent of total billed charges		466	33.3			Percent of total billed charges		155.178	33.3			Percent of total billed charges		155.178	100			Percent of total billed charges		466	155.178	419.4	
syn 5.0 drill bit 3fluted	270	RC	Outpatient			466	302.9		90			Percent of total billed charges		419.4	40			Percent of total billed charges		186.4	80			Percent of total billed charges		372.8	90			Percent of total billed charges		419.4	85			Percent of total billed charges		396.1	85			Percent of total billed charges		396.1	85			Percent of total billed charges		396.1	100			Percent of total billed charges		466	100			Percent of total billed charges		466	100			Percent of total billed charges		466	33.3			Percent of total billed charges		155.178	33.3			Percent of total billed charges		155.178	100			Percent of total billed charges		466	155.178	419.4	
tube laryngectomy 36mm sz 9 be6308	270	RC	Outpatient			466	302.9		90			Percent of total billed charges		419.4	40			Percent of total billed charges		186.4	80			Percent of total billed charges		372.8	90			Percent of total billed charges		419.4	85			Percent of total billed charges		396.1	85			Percent of total billed charges		396.1	85			Percent of total billed charges		396.1	100			Percent of total billed charges		466	100			Percent of total billed charges		466	100			Percent of total billed charges		466	33.3			Percent of total billed charges		155.178	33.3			Percent of total billed charges		155.178	100			Percent of total billed charges		466	155.178	419.4	
tube laryngectomy 36mm sz 10 be6302	270	RC	Outpatient			466	302.9		90			Percent of total billed charges		419.4	40			Percent of total billed charges		186.4	80			Percent of total billed charges		372.8	90			Percent of total billed charges		419.4	85			Percent of total billed charges		396.1	85			Percent of total billed charges		396.1	85			Percent of total billed charges		396.1	100			Percent of total billed charges		466	100			Percent of total billed charges		466	100			Percent of total billed charges		466	33.3			Percent of total billed charges		155.178	33.3			Percent of total billed charges		155.178	100			Percent of total billed charges		466	155.178	419.4	
tube laryngectomy 36mm sz 12 be6304	270	RC	Outpatient			466	302.9		90			Percent of total billed charges		419.4	40			Percent of total billed charges		186.4	80			Percent of total billed charges		372.8	90			Percent of total billed charges		419.4	85			Percent of total billed charges		396.1	85			Percent of total billed charges		396.1	85			Percent of total billed charges		396.1	100			Percent of total billed charges		466	100			Percent of total billed charges		466	100			Percent of total billed charges		466	33.3			Percent of total billed charges		155.178	33.3			Percent of total billed charges		155.178	100			Percent of total billed charges		466	155.178	419.4	
3.5mm compression plate 14-hole 169mm 00-4935-014-00 zimmer	278	RC	Outpatient			468	304.2		90			Percent of total billed charges		421.2	40			Percent of total billed charges		187.2	80			Percent of total billed charges		374.4	90			Percent of total billed charges		421.2	85			Percent of total billed charges		397.8	85			Percent of total billed charges		397.8	85			Percent of total billed charges		397.8	100			Percent of total billed charges		468	100			Percent of total billed charges		468	100			Percent of total billed charges		468	33.3			Percent of total billed charges		155.844	33.3			Percent of total billed charges		155.844	100			Percent of total billed charges		468	155.844	421.2	
3.5mm compression plate 16-hole 194mm 00-4935-016-00 zimmer	278	RC	Outpatient			468	304.2		90			Percent of total billed charges		421.2	40			Percent of total billed charges		187.2	80			Percent of total billed charges		374.4	90			Percent of total billed charges		421.2	85			Percent of total billed charges		397.8	85			Percent of total billed charges		397.8	85			Percent of total billed charges		397.8	100			Percent of total billed charges		468	100			Percent of total billed charges		468	100			Percent of total billed charges		468	33.3			Percent of total billed charges		155.844	33.3			Percent of total billed charges		155.844	100			Percent of total billed charges		468	155.844	421.2	
arthrex ablator	272	RC	Outpatient			468	304.2		90			Percent of total billed charges		421.2	40			Percent of total billed charges		187.2	80			Percent of total billed charges		374.4	90			Percent of total billed charges		421.2	85			Percent of total billed charges		397.8	85			Percent of total billed charges		397.8	85			Percent of total billed charges		397.8	100			Percent of total billed charges		468	100			Percent of total billed charges		468	100			Percent of total billed charges		468	33.3			Percent of total billed charges		155.844	33.3			Percent of total billed charges		155.844	100			Percent of total billed charges		468	155.844	421.2	
arthrex 90 degree ablator ar-9740a-90	272	RC	Outpatient			468	304.2		90			Percent of total billed charges		421.2	40			Percent of total billed charges		187.2	80			Percent of total billed charges		374.4	90			Percent of total billed charges		421.2	85			Percent of total billed charges		397.8	85			Percent of total billed charges		397.8	85			Percent of total billed charges		397.8	100			Percent of total billed charges		468	100			Percent of total billed charges		468	100			Percent of total billed charges		468	33.3			Percent of total billed charges		155.844	33.3			Percent of total billed charges		155.844	100			Percent of total billed charges		468	155.844	421.2	
drill bit 2.0 323.062 synthes	272	RC	Outpatient			468	304.2		90			Percent of total billed charges		421.2	40			Percent of total billed charges		187.2	80			Percent of total billed charges		374.4	90			Percent of total billed charges		421.2	85			Percent of total billed charges		397.8	85			Percent of total billed charges		397.8	85			Percent of total billed charges		397.8	100			Percent of total billed charges		468	100			Percent of total billed charges		468	100			Percent of total billed charges		468	33.3			Percent of total billed charges		155.844	33.3			Percent of total billed charges		155.844	100			Percent of total billed charges		468	155.844	421.2	
ld suction electrode	272	RC	Outpatient			468	304.2		90			Percent of total billed charges		421.2	40			Percent of total billed charges		187.2	80			Percent of total billed charges		374.4	90			Percent of total billed charges		421.2	85			Percent of total billed charges		397.8	85			Percent of total billed charges		397.8	85			Percent of total billed charges		397.8	100			Percent of total billed charges		468	100			Percent of total billed charges		468	100			Percent of total billed charges		468	33.3			Percent of total billed charges		155.844	33.3			Percent of total billed charges		155.844	100			Percent of total billed charges		468	155.844	421.2	
ld suction electrode 225360 mitek	272	RC	Outpatient			468	304.2		90			Percent of total billed charges		421.2	40			Percent of total billed charges		187.2	80			Percent of total billed charges		374.4	90			Percent of total billed charges		421.2	85			Percent of total billed charges		397.8	85			Percent of total billed charges		397.8	85			Percent of total billed charges		397.8	100			Percent of total billed charges		468	100			Percent of total billed charges		468	100			Percent of total billed charges		468	33.3			Percent of total billed charges		155.844	33.3			Percent of total billed charges		155.844	100			Percent of total billed charges		468	155.844	421.2	
grasper navigator medium 37-52010	270	RC	Outpatient			468	304.2		90			Percent of total billed charges		421.2	40			Percent of total billed charges		187.2	80			Percent of total billed charges		374.4	90			Percent of total billed charges		421.2	85			Percent of total billed charges		397.8	85			Percent of total billed charges		397.8	85			Percent of total billed charges		397.8	100			Percent of total billed charges		468	100			Percent of total billed charges		468	100			Percent of total billed charges		468	33.3			Percent of total billed charges		155.844	33.3			Percent of total billed charges		155.844	100			Percent of total billed charges		468	155.844	421.2	
navigator	270	RC	Outpatient			468	304.2		90			Percent of total billed charges		421.2	40			Percent of total billed charges		187.2	80			Percent of total billed charges		374.4	90			Percent of total billed charges		421.2	85			Percent of total billed charges		397.8	85			Percent of total billed charges		397.8	85			Percent of total billed charges		397.8	100			Percent of total billed charges		468	100			Percent of total billed charges		468	100			Percent of total billed charges		468	33.3			Percent of total billed charges		155.844	33.3			Percent of total billed charges		155.844	100			Percent of total billed charges		468	155.844	421.2	
pacu time 1 hour increments	270	RC	Outpatient			468	304.2		90			Percent of total billed charges		421.2	40			Percent of total billed charges		187.2	80			Percent of total billed charges		374.4	90			Percent of total billed charges		421.2	85			Percent of total billed charges		397.8	85			Percent of total billed charges		397.8	85			Percent of total billed charges		397.8	100			Percent of total billed charges		468	100			Percent of total billed charges		468	100			Percent of total billed charges		468	33.3			Percent of total billed charges		155.844	33.3			Percent of total billed charges		155.844	100			Percent of total billed charges		468	155.844	421.2	
rsp tap 6.5	272	RC	Outpatient			468	304.2		90			Percent of total billed charges		421.2	40			Percent of total billed charges		187.2	80			Percent of total billed charges		374.4	90			Percent of total billed charges		421.2	85			Percent of total billed charges		397.8	85			Percent of total billed charges		397.8	85			Percent of total billed charges		397.8	100			Percent of total billed charges		468	100			Percent of total billed charges		468	100			Percent of total billed charges		468	33.3			Percent of total billed charges		155.844	33.3			Percent of total billed charges		155.844	100			Percent of total billed charges		468	155.844	421.2	
speedpass	272	RC	Outpatient			468	304.2		90			Percent of total billed charges		421.2	40			Percent of total billed charges		187.2	80			Percent of total billed charges		374.4	90			Percent of total billed charges		421.2	85			Percent of total billed charges		397.8	85			Percent of total billed charges		397.8	85			Percent of total billed charges		397.8	100			Percent of total billed charges		468	100			Percent of total billed charges		468	100			Percent of total billed charges		468	33.3			Percent of total billed charges		155.844	33.3			Percent of total billed charges		155.844	100			Percent of total billed charges		468	155.844	421.2	
speedpass suture retrieve	272	RC	Outpatient			468	304.2		90			Percent of total billed charges		421.2	40			Percent of total billed charges		187.2	80			Percent of total billed charges		374.4	90			Percent of total billed charges		421.2	85			Percent of total billed charges		397.8	85			Percent of total billed charges		397.8	85			Percent of total billed charges		397.8	100			Percent of total billed charges		468	100			Percent of total billed charges		468	100			Percent of total billed charges		468	33.3			Percent of total billed charges		155.844	33.3			Percent of total billed charges		155.844	100			Percent of total billed charges		468	155.844	421.2	
speedpass suture retriever med up 604003 biomet sport	272	RC	Outpatient			468	304.2		90			Percent of total billed charges		421.2	40			Percent of total billed charges		187.2	80			Percent of total billed charges		374.4	90			Percent of total billed charges		421.2	85			Percent of total billed charges		397.8	85			Percent of total billed charges		397.8	85			Percent of total billed charges		397.8	100			Percent of total billed charges		468	100			Percent of total billed charges		468	100			Percent of total billed charges		468	33.3			Percent of total billed charges		155.844	33.3			Percent of total billed charges		155.844	100			Percent of total billed charges		468	155.844	421.2	
syn drill bit 2.0	272	RC	Outpatient			468	304.2		90			Percent of total billed charges		421.2	40			Percent of total billed charges		187.2	80			Percent of total billed charges		374.4	90			Percent of total billed charges		421.2	85			Percent of total billed charges		397.8	85			Percent of total billed charges		397.8	85			Percent of total billed charges		397.8	100			Percent of total billed charges		468	100			Percent of total billed charges		468	100			Percent of total billed charges		468	33.3			Percent of total billed charges		155.844	33.3			Percent of total billed charges		155.844	100			Percent of total billed charges		468	155.844	421.2	
polaris stent 6 x 26 192-133 boston sc--microvasive	278	RC	Outpatient			468	304.2		90			Percent of total billed charges		421.2	40			Percent of total billed charges		187.2	80			Percent of total billed charges		374.4	90			Percent of total billed charges		421.2	85			Percent of total billed charges		397.8	85			Percent of total billed charges		397.8	85			Percent of total billed charges		397.8	100			Percent of total billed charges		468	100			Percent of total billed charges		468	100			Percent of total billed charges		468	33.3			Percent of total billed charges		155.844	33.3			Percent of total billed charges		155.844	100			Percent of total billed charges		468	155.844	421.2	
rsp tap 6.5mm 804-03-008 djo	272	RC	Outpatient			468	304.2		90			Percent of total billed charges		421.2	40			Percent of total billed charges		187.2	80			Percent of total billed charges		374.4	90			Percent of total billed charges		421.2	85			Percent of total billed charges		397.8	85			Percent of total billed charges		397.8	85			Percent of total billed charges		397.8	100			Percent of total billed charges		468	100			Percent of total billed charges		468	100			Percent of total billed charges		468	33.3			Percent of total billed charges		155.844	33.3			Percent of total billed charges		155.844	100			Percent of total billed charges		468	155.844	421.2	
siltex breast tissue expander 650cc 354-7215 mentor	272	RC	Outpatient			468	304.2		90			Percent of total billed charges		421.2	40			Percent of total billed charges		187.2	80			Percent of total billed charges		374.4	90			Percent of total billed charges		421.2	85			Percent of total billed charges		397.8	85			Percent of total billed charges		397.8	85			Percent of total billed charges		397.8	100			Percent of total billed charges		468	100			Percent of total billed charges		468	100			Percent of total billed charges		468	33.3			Percent of total billed charges		155.844	33.3			Percent of total billed charges		155.844	100			Percent of total billed charges		468	155.844	421.2	
speedpass suture lariet 30 degree up 904022 biomet sport	272	RC	Outpatient			468	304.2		90			Percent of total billed charges		421.2	40			Percent of total billed charges		187.2	80			Percent of total billed charges		374.4	90			Percent of total billed charges		421.2	85			Percent of total billed charges		397.8	85			Percent of total billed charges		397.8	85			Percent of total billed charges		397.8	100			Percent of total billed charges		468	100			Percent of total billed charges		468	100			Percent of total billed charges		468	33.3			Percent of total billed charges		155.844	33.3			Percent of total billed charges		155.844	100			Percent of total billed charges		468	155.844	421.2	
speedpass suture lariet 45 degree up 904008 biomet sport	272	RC	Outpatient			468	304.2		90			Percent of total billed charges		421.2	40			Percent of total billed charges		187.2	80			Percent of total billed charges		374.4	90			Percent of total billed charges		421.2	85			Percent of total billed charges		397.8	85			Percent of total billed charges		397.8	85			Percent of total billed charges		397.8	100			Percent of total billed charges		468	100			Percent of total billed charges		468	100			Percent of total billed charges		468	33.3			Percent of total billed charges		155.844	33.3			Percent of total billed charges		155.844	100			Percent of total billed charges		468	155.844	421.2	
speedpass suture retriever 2.3mm straight 604004 biomet sport	272	RC	Outpatient			468	304.2		90			Percent of total billed charges		421.2	40			Percent of total billed charges		187.2	80			Percent of total billed charges		374.4	90			Percent of total billed charges		421.2	85			Percent of total billed charges		397.8	85			Percent of total billed charges		397.8	85			Percent of total billed charges		397.8	100			Percent of total billed charges		468	100			Percent of total billed charges		468	100			Percent of total billed charges		468	33.3			Percent of total billed charges		155.844	33.3			Percent of total billed charges		155.844	100			Percent of total billed charges		468	155.844	421.2	
speedpass suture retriever 70 degree left 604002 biomet sport	272	RC	Outpatient			468	304.2		90			Percent of total billed charges		421.2	40			Percent of total billed charges		187.2	80			Percent of total billed charges		374.4	90			Percent of total billed charges		421.2	85			Percent of total billed charges		397.8	85			Percent of total billed charges		397.8	85			Percent of total billed charges		397.8	100			Percent of total billed charges		468	100			Percent of total billed charges		468	100			Percent of total billed charges		468	33.3			Percent of total billed charges		155.844	33.3			Percent of total billed charges		155.844	100			Percent of total billed charges		468	155.844	421.2	
stryker falcon cart	272	RC	Outpatient			468	304.2		90			Percent of total billed charges		421.2	40			Percent of total billed charges		187.2	80			Percent of total billed charges		374.4	90			Percent of total billed charges		421.2	85			Percent of total billed charges		397.8	85			Percent of total billed charges		397.8	85			Percent of total billed charges		397.8	100			Percent of total billed charges		468	100			Percent of total billed charges		468	100			Percent of total billed charges		468	33.3			Percent of total billed charges		155.844	33.3			Percent of total billed charges		155.844	100			Percent of total billed charges		468	155.844	421.2	
zimm 3.5 comp plt-14-16hl	278	RC	Outpatient			468	304.2		90			Percent of total billed charges		421.2	40			Percent of total billed charges		187.2	80			Percent of total billed charges		374.4	90			Percent of total billed charges		421.2	85			Percent of total billed charges		397.8	85			Percent of total billed charges		397.8	85			Percent of total billed charges		397.8	100			Percent of total billed charges		468	100			Percent of total billed charges		468	100			Percent of total billed charges		468	33.3			Percent of total billed charges		155.844	33.3			Percent of total billed charges		155.844	100			Percent of total billed charges		468	155.844	421.2	
basket nitinol stone retrieval 390-101 boston sceintific	272	RC	Outpatient			469	304.85		90			Percent of total billed charges		422.1	40			Percent of total billed charges		187.6	80			Percent of total billed charges		375.2	90			Percent of total billed charges		422.1	85			Percent of total billed charges		398.65	85			Percent of total billed charges		398.65	85			Percent of total billed charges		398.65	100			Percent of total billed charges		469	100			Percent of total billed charges		469	100			Percent of total billed charges		469	33.3			Percent of total billed charges		156.177	33.3			Percent of total billed charges		156.177	100			Percent of total billed charges		469	156.177	422.1	
nitinol basket 1.9fr 0 tip 390-105 bost scient	272	RC	Outpatient			469	304.85		90			Percent of total billed charges		422.1	40			Percent of total billed charges		187.6	80			Percent of total billed charges		375.2	90			Percent of total billed charges		422.1	85			Percent of total billed charges		398.65	85			Percent of total billed charges		398.65	85			Percent of total billed charges		398.65	100			Percent of total billed charges		469	100			Percent of total billed charges		469	100			Percent of total billed charges		469	33.3			Percent of total billed charges		156.177	33.3			Percent of total billed charges		156.177	100			Percent of total billed charges		469	156.177	422.1	
nitinol basket 3fr 0 tip 390-103 bost scient	272	RC	Outpatient			469	304.85		90			Percent of total billed charges		422.1	40			Percent of total billed charges		187.6	80			Percent of total billed charges		375.2	90			Percent of total billed charges		422.1	85			Percent of total billed charges		398.65	85			Percent of total billed charges		398.65	85			Percent of total billed charges		398.65	100			Percent of total billed charges		469	100			Percent of total billed charges		469	100			Percent of total billed charges		469	33.3			Percent of total billed charges		156.177	33.3			Percent of total billed charges		156.177	100			Percent of total billed charges		469	156.177	422.1	
stone basket nitinal	272	RC	Outpatient			469	304.85		90			Percent of total billed charges		422.1	40			Percent of total billed charges		187.6	80			Percent of total billed charges		375.2	90			Percent of total billed charges		422.1	85			Percent of total billed charges		398.65	85			Percent of total billed charges		398.65	85			Percent of total billed charges		398.65	100			Percent of total billed charges		469	100			Percent of total billed charges		469	100			Percent of total billed charges		469	33.3			Percent of total billed charges		156.177	33.3			Percent of total billed charges		156.177	100			Percent of total billed charges		469	156.177	422.1	
esophageal prosthesis	270	RC	Outpatient			470	305.5		90			Percent of total billed charges		423	40			Percent of total billed charges		188	80			Percent of total billed charges		376	90			Percent of total billed charges		423	85			Percent of total billed charges		399.5	85			Percent of total billed charges		399.5	85			Percent of total billed charges		399.5	100			Percent of total billed charges		470	100			Percent of total billed charges		470	100			Percent of total billed charges		470	33.3			Percent of total billed charges		156.51	33.3			Percent of total billed charges		156.51	100			Percent of total billed charges		470	156.51	423	
3.2 x 343mm brad point tip threaded guide pin 71674130 s/n	272	RC	Outpatient			471	306.15		90			Percent of total billed charges		423.9	40			Percent of total billed charges		188.4	80			Percent of total billed charges		376.8	90			Percent of total billed charges		423.9	85			Percent of total billed charges		400.35	85			Percent of total billed charges		400.35	85			Percent of total billed charges		400.35	100			Percent of total billed charges		471	100			Percent of total billed charges		471	100			Percent of total billed charges		471	33.3			Percent of total billed charges		156.843	33.3			Percent of total billed charges		156.843	100			Percent of total billed charges		471	156.843	423.9	
chemo admin. 4 hours	335	RC	Outpatient			471	306.15		90			Percent of total billed charges		423.9	40			Percent of total billed charges		188.4	80			Percent of total billed charges		376.8	90			Percent of total billed charges		423.9	85			Percent of total billed charges		400.35	85			Percent of total billed charges		400.35	85			Percent of total billed charges		400.35	100			Percent of total billed charges		471	100			Percent of total billed charges		471	100			Percent of total billed charges		471	33.3			Percent of total billed charges		156.843	33.3			Percent of total billed charges		156.843	100			Percent of total billed charges		471	156.843	423.9	
guide pin threaded 3.2 x 248 71751147 s/n	272	RC	Outpatient			471	306.15		90			Percent of total billed charges		423.9	40			Percent of total billed charges		188.4	80			Percent of total billed charges		376.8	90			Percent of total billed charges		423.9	85			Percent of total billed charges		400.35	85			Percent of total billed charges		400.35	85			Percent of total billed charges		400.35	100			Percent of total billed charges		471	100			Percent of total billed charges		471	100			Percent of total billed charges		471	33.3			Percent of total billed charges		156.843	33.3			Percent of total billed charges		156.843	100			Percent of total billed charges		471	156.843	423.9	
guide wire avn rod	272	RC	Outpatient			471	306.15		90			Percent of total billed charges		423.9	40			Percent of total billed charges		188.4	80			Percent of total billed charges		376.8	90			Percent of total billed charges		423.9	85			Percent of total billed charges		400.35	85			Percent of total billed charges		400.35	85			Percent of total billed charges		400.35	100			Percent of total billed charges		471	100			Percent of total billed charges		471	100			Percent of total billed charges		471	33.3			Percent of total billed charges		156.843	33.3			Percent of total billed charges		156.843	100			Percent of total billed charges		471	156.843	423.9	
"l plate, 2mm bar, 6 hole 55-06764 stryker"	278	RC	Outpatient			471	306.15		90			Percent of total billed charges		423.9	40			Percent of total billed charges		188.4	80			Percent of total billed charges		376.8	90			Percent of total billed charges		423.9	85			Percent of total billed charges		400.35	85			Percent of total billed charges		400.35	85			Percent of total billed charges		400.35	100			Percent of total billed charges		471	100			Percent of total billed charges		471	100			Percent of total billed charges		471	33.3			Percent of total billed charges		156.843	33.3			Percent of total billed charges		156.843	100			Percent of total billed charges		471	156.843	423.9	
guide wire for avn rod 3.2 00-197-032-00 zimmer	272	RC	Outpatient			471	306.15		90			Percent of total billed charges		423.9	40			Percent of total billed charges		188.4	80			Percent of total billed charges		376.8	90			Percent of total billed charges		423.9	85			Percent of total billed charges		400.35	85			Percent of total billed charges		400.35	85			Percent of total billed charges		400.35	100			Percent of total billed charges		471	100			Percent of total billed charges		471	100			Percent of total billed charges		471	33.3			Percent of total billed charges		156.843	33.3			Percent of total billed charges		156.843	100			Percent of total billed charges		471	156.843	423.9	
"l plate, 12mm bar, 6 hole 55-06766 stryker"	278	RC	Outpatient			471	306.15		90			Percent of total billed charges		423.9	40			Percent of total billed charges		188.4	80			Percent of total billed charges		376.8	90			Percent of total billed charges		423.9	85			Percent of total billed charges		400.35	85			Percent of total billed charges		400.35	85			Percent of total billed charges		400.35	100			Percent of total billed charges		471	100			Percent of total billed charges		471	100			Percent of total billed charges		471	33.3			Percent of total billed charges		156.843	33.3			Percent of total billed charges		156.843	100			Percent of total billed charges		471	156.843	423.9	
s/n 3.2 guide rod	272	RC	Outpatient			471	306.15		90			Percent of total billed charges		423.9	40			Percent of total billed charges		188.4	80			Percent of total billed charges		376.8	90			Percent of total billed charges		423.9	85			Percent of total billed charges		400.35	85			Percent of total billed charges		400.35	85			Percent of total billed charges		400.35	100			Percent of total billed charges		471	100			Percent of total billed charges		471	100			Percent of total billed charges		471	33.3			Percent of total billed charges		156.843	33.3			Percent of total billed charges		156.843	100			Percent of total billed charges		471	156.843	423.9	
"stryker l pl,6 hl"	278	RC	Outpatient			471	306.15		90			Percent of total billed charges		423.9	40			Percent of total billed charges		188.4	80			Percent of total billed charges		376.8	90			Percent of total billed charges		423.9	85			Percent of total billed charges		400.35	85			Percent of total billed charges		400.35	85			Percent of total billed charges		400.35	100			Percent of total billed charges		471	100			Percent of total billed charges		471	100			Percent of total billed charges		471	33.3			Percent of total billed charges		156.843	33.3			Percent of total billed charges		156.843	100			Percent of total billed charges		471	156.843	423.9	
stapler gia 60	270	RC	Outpatient			471	306.15		90			Percent of total billed charges		423.9	40			Percent of total billed charges		188.4	80			Percent of total billed charges		376.8	90			Percent of total billed charges		423.9	85			Percent of total billed charges		400.35	85			Percent of total billed charges		400.35	85			Percent of total billed charges		400.35	100			Percent of total billed charges		471	100			Percent of total billed charges		471	100			Percent of total billed charges		471	33.3			Percent of total billed charges		156.843	33.3			Percent of total billed charges		156.843	100			Percent of total billed charges		471	156.843	423.9	
stapler gia 60 3.8 gia6038s covidien	270	RC	Outpatient			471	306.15		90			Percent of total billed charges		423.9	40			Percent of total billed charges		188.4	80			Percent of total billed charges		376.8	90			Percent of total billed charges		423.9	85			Percent of total billed charges		400.35	85			Percent of total billed charges		400.35	85			Percent of total billed charges		400.35	100			Percent of total billed charges		471	100			Percent of total billed charges		471	100			Percent of total billed charges		471	33.3			Percent of total billed charges		156.843	33.3			Percent of total billed charges		156.843	100			Percent of total billed charges		471	156.843	423.9	
zzscrmc renal dilator set	621	RC	Outpatient			471	306.15		90			Percent of total billed charges		423.9	40			Percent of total billed charges		188.4	80			Percent of total billed charges		376.8	90			Percent of total billed charges		423.9	85			Percent of total billed charges		400.35	85			Percent of total billed charges		400.35	85			Percent of total billed charges		400.35	100			Percent of total billed charges		471	100			Percent of total billed charges		471	100			Percent of total billed charges		471	33.3			Percent of total billed charges		156.843	33.3			Percent of total billed charges		156.843	100			Percent of total billed charges		471	156.843	423.9	
2.7mm reconstruction plate 6 hole 245.20	278	RC	Outpatient			472	306.8		90			Percent of total billed charges		424.8	40			Percent of total billed charges		188.8	80			Percent of total billed charges		377.6	90			Percent of total billed charges		424.8	85			Percent of total billed charges		401.2	85			Percent of total billed charges		401.2	85			Percent of total billed charges		401.2	100			Percent of total billed charges		472	100			Percent of total billed charges		472	100			Percent of total billed charges		472	33.3			Percent of total billed charges		157.176	33.3			Percent of total billed charges		157.176	100			Percent of total billed charges		472	157.176	424.8	
2.7mm reconstruction plate 8 hole 245.21	278	RC	Outpatient			472	306.8		90			Percent of total billed charges		424.8	40			Percent of total billed charges		188.8	80			Percent of total billed charges		377.6	90			Percent of total billed charges		424.8	85			Percent of total billed charges		401.2	85			Percent of total billed charges		401.2	85			Percent of total billed charges		401.2	100			Percent of total billed charges		472	100			Percent of total billed charges		472	100			Percent of total billed charges		472	33.3			Percent of total billed charges		157.176	33.3			Percent of total billed charges		157.176	100			Percent of total billed charges		472	157.176	424.8	
clamp x fix small 4.0mm/2.5mm 395.56 synthes	270	RC	Outpatient			472	306.8		90			Percent of total billed charges		424.8	40			Percent of total billed charges		188.8	80			Percent of total billed charges		377.6	90			Percent of total billed charges		424.8	85			Percent of total billed charges		401.2	85			Percent of total billed charges		401.2	85			Percent of total billed charges		401.2	100			Percent of total billed charges		472	100			Percent of total billed charges		472	100			Percent of total billed charges		472	33.3			Percent of total billed charges		157.176	33.3			Percent of total billed charges		157.176	100			Percent of total billed charges		472	157.176	424.8	
clamp x fix small 4.0mm/4.0mm 395.57 synthes	270	RC	Outpatient			472	306.8		90			Percent of total billed charges		424.8	40			Percent of total billed charges		188.8	80			Percent of total billed charges		377.6	90			Percent of total billed charges		424.8	85			Percent of total billed charges		401.2	85			Percent of total billed charges		401.2	85			Percent of total billed charges		401.2	100			Percent of total billed charges		472	100			Percent of total billed charges		472	100			Percent of total billed charges		472	33.3			Percent of total billed charges		157.176	33.3			Percent of total billed charges		157.176	100			Percent of total billed charges		472	157.176	424.8	
ext fix bar clamp	270	RC	Outpatient			472	306.8		90			Percent of total billed charges		424.8	40			Percent of total billed charges		188.8	80			Percent of total billed charges		377.6	90			Percent of total billed charges		424.8	85			Percent of total billed charges		401.2	85			Percent of total billed charges		401.2	85			Percent of total billed charges		401.2	100			Percent of total billed charges		472	100			Percent of total billed charges		472	100			Percent of total billed charges		472	33.3			Percent of total billed charges		157.176	33.3			Percent of total billed charges		157.176	100			Percent of total billed charges		472	157.176	424.8	
syn 2.7 recon plate 6-8hl	278	RC	Outpatient			472	306.8		90			Percent of total billed charges		424.8	40			Percent of total billed charges		188.8	80			Percent of total billed charges		377.6	90			Percent of total billed charges		424.8	85			Percent of total billed charges		401.2	85			Percent of total billed charges		401.2	85			Percent of total billed charges		401.2	100			Percent of total billed charges		472	100			Percent of total billed charges		472	100			Percent of total billed charges		472	33.3			Percent of total billed charges		157.176	33.3			Percent of total billed charges		157.176	100			Percent of total billed charges		472	157.176	424.8	
cancellous screw ti  5.0 x 24mm  71755024   s/n	278	RC	Outpatient			473	307.45		90			Percent of total billed charges		425.7	40			Percent of total billed charges		189.2	80			Percent of total billed charges		378.4	90			Percent of total billed charges		425.7	85			Percent of total billed charges		402.05	85			Percent of total billed charges		402.05	85			Percent of total billed charges		402.05	100			Percent of total billed charges		473	100			Percent of total billed charges		473	100			Percent of total billed charges		473	33.3			Percent of total billed charges		157.509	33.3			Percent of total billed charges		157.509	100			Percent of total billed charges		473	157.509	425.7	
cancellous screw ti  5.0 x 26mm  71755026  s/n	278	RC	Outpatient			473	307.45		90			Percent of total billed charges		425.7	40			Percent of total billed charges		189.2	80			Percent of total billed charges		378.4	90			Percent of total billed charges		425.7	85			Percent of total billed charges		402.05	85			Percent of total billed charges		402.05	85			Percent of total billed charges		402.05	100			Percent of total billed charges		473	100			Percent of total billed charges		473	100			Percent of total billed charges		473	33.3			Percent of total billed charges		157.509	33.3			Percent of total billed charges		157.509	100			Percent of total billed charges		473	157.509	425.7	
cancellous screw ti  5.0 x 36mm  71755036  s/n	278	RC	Outpatient			473	307.45		90			Percent of total billed charges		425.7	40			Percent of total billed charges		189.2	80			Percent of total billed charges		378.4	90			Percent of total billed charges		425.7	85			Percent of total billed charges		402.05	85			Percent of total billed charges		402.05	85			Percent of total billed charges		402.05	100			Percent of total billed charges		473	100			Percent of total billed charges		473	100			Percent of total billed charges		473	33.3			Percent of total billed charges		157.509	33.3			Percent of total billed charges		157.509	100			Percent of total billed charges		473	157.509	425.7	
cancellous screw ti  5.0 x 42mm  71755042 s/n	278	RC	Outpatient			473	307.45		90			Percent of total billed charges		425.7	40			Percent of total billed charges		189.2	80			Percent of total billed charges		378.4	90			Percent of total billed charges		425.7	85			Percent of total billed charges		402.05	85			Percent of total billed charges		402.05	85			Percent of total billed charges		402.05	100			Percent of total billed charges		473	100			Percent of total billed charges		473	100			Percent of total billed charges		473	33.3			Percent of total billed charges		157.509	33.3			Percent of total billed charges		157.509	100			Percent of total billed charges		473	157.509	425.7	
cancellous screw ti  5.0 x 44mm  71755044  s/n	278	RC	Outpatient			473	307.45		90			Percent of total billed charges		425.7	40			Percent of total billed charges		189.2	80			Percent of total billed charges		378.4	90			Percent of total billed charges		425.7	85			Percent of total billed charges		402.05	85			Percent of total billed charges		402.05	85			Percent of total billed charges		402.05	100			Percent of total billed charges		473	100			Percent of total billed charges		473	100			Percent of total billed charges		473	33.3			Percent of total billed charges		157.509	33.3			Percent of total billed charges		157.509	100			Percent of total billed charges		473	157.509	425.7	
cancellous screw ti  5.0 x 48mm  71755048  s/n	278	RC	Outpatient			473	307.45		90			Percent of total billed charges		425.7	40			Percent of total billed charges		189.2	80			Percent of total billed charges		378.4	90			Percent of total billed charges		425.7	85			Percent of total billed charges		402.05	85			Percent of total billed charges		402.05	85			Percent of total billed charges		402.05	100			Percent of total billed charges		473	100			Percent of total billed charges		473	100			Percent of total billed charges		473	33.3			Percent of total billed charges		157.509	33.3			Percent of total billed charges		157.509	100			Percent of total billed charges		473	157.509	425.7	
cancellous screw ti  5.0 x 52mm  71755052  s/n	278	RC	Outpatient			473	307.45		90			Percent of total billed charges		425.7	40			Percent of total billed charges		189.2	80			Percent of total billed charges		378.4	90			Percent of total billed charges		425.7	85			Percent of total billed charges		402.05	85			Percent of total billed charges		402.05	85			Percent of total billed charges		402.05	100			Percent of total billed charges		473	100			Percent of total billed charges		473	100			Percent of total billed charges		473	33.3			Percent of total billed charges		157.509	33.3			Percent of total billed charges		157.509	100			Percent of total billed charges		473	157.509	425.7	
cancellous screw ti  5.0 x 54mm  71755054  s/n	278	RC	Outpatient			473	307.45		90			Percent of total billed charges		425.7	40			Percent of total billed charges		189.2	80			Percent of total billed charges		378.4	90			Percent of total billed charges		425.7	85			Percent of total billed charges		402.05	85			Percent of total billed charges		402.05	85			Percent of total billed charges		402.05	100			Percent of total billed charges		473	100			Percent of total billed charges		473	100			Percent of total billed charges		473	33.3			Percent of total billed charges		157.509	33.3			Percent of total billed charges		157.509	100			Percent of total billed charges		473	157.509	425.7	
cancellous screw ti  5.0 x 62mm  71755062  s/n	278	RC	Outpatient			473	307.45		90			Percent of total billed charges		425.7	40			Percent of total billed charges		189.2	80			Percent of total billed charges		378.4	90			Percent of total billed charges		425.7	85			Percent of total billed charges		402.05	85			Percent of total billed charges		402.05	85			Percent of total billed charges		402.05	100			Percent of total billed charges		473	100			Percent of total billed charges		473	100			Percent of total billed charges		473	33.3			Percent of total billed charges		157.509	33.3			Percent of total billed charges		157.509	100			Percent of total billed charges		473	157.509	425.7	
cancellous screw ti 5.0 x 28mm  71755028  s/n	278	RC	Outpatient			473	307.45		90			Percent of total billed charges		425.7	40			Percent of total billed charges		189.2	80			Percent of total billed charges		378.4	90			Percent of total billed charges		425.7	85			Percent of total billed charges		402.05	85			Percent of total billed charges		402.05	85			Percent of total billed charges		402.05	100			Percent of total billed charges		473	100			Percent of total billed charges		473	100			Percent of total billed charges		473	33.3			Percent of total billed charges		157.509	33.3			Percent of total billed charges		157.509	100			Percent of total billed charges		473	157.509	425.7	
cancellous screw ti 5.0 x 30mm  71755030  s/n	278	RC	Outpatient			473	307.45		90			Percent of total billed charges		425.7	40			Percent of total billed charges		189.2	80			Percent of total billed charges		378.4	90			Percent of total billed charges		425.7	85			Percent of total billed charges		402.05	85			Percent of total billed charges		402.05	85			Percent of total billed charges		402.05	100			Percent of total billed charges		473	100			Percent of total billed charges		473	100			Percent of total billed charges		473	33.3			Percent of total billed charges		157.509	33.3			Percent of total billed charges		157.509	100			Percent of total billed charges		473	157.509	425.7	
cancellous screw ti 5.0 x 32mm   s/n	278	RC	Outpatient			473	307.45		90			Percent of total billed charges		425.7	40			Percent of total billed charges		189.2	80			Percent of total billed charges		378.4	90			Percent of total billed charges		425.7	85			Percent of total billed charges		402.05	85			Percent of total billed charges		402.05	85			Percent of total billed charges		402.05	100			Percent of total billed charges		473	100			Percent of total billed charges		473	100			Percent of total billed charges		473	33.3			Percent of total billed charges		157.509	33.3			Percent of total billed charges		157.509	100			Percent of total billed charges		473	157.509	425.7	
cancellous screw ti 5.0 x 34mm  71755034  s/n	278	RC	Outpatient			473	307.45		90			Percent of total billed charges		425.7	40			Percent of total billed charges		189.2	80			Percent of total billed charges		378.4	90			Percent of total billed charges		425.7	85			Percent of total billed charges		402.05	85			Percent of total billed charges		402.05	85			Percent of total billed charges		402.05	100			Percent of total billed charges		473	100			Percent of total billed charges		473	100			Percent of total billed charges		473	33.3			Percent of total billed charges		157.509	33.3			Percent of total billed charges		157.509	100			Percent of total billed charges		473	157.509	425.7	
cancellous screw ti 5.0 x 40mm  71755040  s/n	278	RC	Outpatient			473	307.45		90			Percent of total billed charges		425.7	40			Percent of total billed charges		189.2	80			Percent of total billed charges		378.4	90			Percent of total billed charges		425.7	85			Percent of total billed charges		402.05	85			Percent of total billed charges		402.05	85			Percent of total billed charges		402.05	100			Percent of total billed charges		473	100			Percent of total billed charges		473	100			Percent of total billed charges		473	33.3			Percent of total billed charges		157.509	33.3			Percent of total billed charges		157.509	100			Percent of total billed charges		473	157.509	425.7	
cancellous screw ti 5.0 x 50mm  71755050  s/n	278	RC	Outpatient			473	307.45		90			Percent of total billed charges		425.7	40			Percent of total billed charges		189.2	80			Percent of total billed charges		378.4	90			Percent of total billed charges		425.7	85			Percent of total billed charges		402.05	85			Percent of total billed charges		402.05	85			Percent of total billed charges		402.05	100			Percent of total billed charges		473	100			Percent of total billed charges		473	100			Percent of total billed charges		473	33.3			Percent of total billed charges		157.509	33.3			Percent of total billed charges		157.509	100			Percent of total billed charges		473	157.509	425.7	
cancellous screw ti  5.0 x 38mm  71755038  s/n	278	RC	Outpatient			473	307.45		90			Percent of total billed charges		425.7	40			Percent of total billed charges		189.2	80			Percent of total billed charges		378.4	90			Percent of total billed charges		425.7	85			Percent of total billed charges		402.05	85			Percent of total billed charges		402.05	85			Percent of total billed charges		402.05	100			Percent of total billed charges		473	100			Percent of total billed charges		473	100			Percent of total billed charges		473	33.3			Percent of total billed charges		157.509	33.3			Percent of total billed charges		157.509	100			Percent of total billed charges		473	157.509	425.7	
cancellous screw ti  5.0 x 56mm  71755056 s/n	278	RC	Outpatient			473	307.45		90			Percent of total billed charges		425.7	40			Percent of total billed charges		189.2	80			Percent of total billed charges		378.4	90			Percent of total billed charges		425.7	85			Percent of total billed charges		402.05	85			Percent of total billed charges		402.05	85			Percent of total billed charges		402.05	100			Percent of total billed charges		473	100			Percent of total billed charges		473	100			Percent of total billed charges		473	33.3			Percent of total billed charges		157.509	33.3			Percent of total billed charges		157.509	100			Percent of total billed charges		473	157.509	425.7	
cancellous screw ti  5.0 x 58mm  71755058  s/n	278	RC	Outpatient			473	307.45		90			Percent of total billed charges		425.7	40			Percent of total billed charges		189.2	80			Percent of total billed charges		378.4	90			Percent of total billed charges		425.7	85			Percent of total billed charges		402.05	85			Percent of total billed charges		402.05	85			Percent of total billed charges		402.05	100			Percent of total billed charges		473	100			Percent of total billed charges		473	100			Percent of total billed charges		473	33.3			Percent of total billed charges		157.509	33.3			Percent of total billed charges		157.509	100			Percent of total billed charges		473	157.509	425.7	
cancellous screw ti  5.0 x 60mm  71755060  s/n	278	RC	Outpatient			473	307.45		90			Percent of total billed charges		425.7	40			Percent of total billed charges		189.2	80			Percent of total billed charges		378.4	90			Percent of total billed charges		425.7	85			Percent of total billed charges		402.05	85			Percent of total billed charges		402.05	85			Percent of total billed charges		402.05	100			Percent of total billed charges		473	100			Percent of total billed charges		473	100			Percent of total billed charges		473	33.3			Percent of total billed charges		157.509	33.3			Percent of total billed charges		157.509	100			Percent of total billed charges		473	157.509	425.7	
cancellous screw ti  5.0 x 64mm  71755064  s/n	278	RC	Outpatient			473	307.45		90			Percent of total billed charges		425.7	40			Percent of total billed charges		189.2	80			Percent of total billed charges		378.4	90			Percent of total billed charges		425.7	85			Percent of total billed charges		402.05	85			Percent of total billed charges		402.05	85			Percent of total billed charges		402.05	100			Percent of total billed charges		473	100			Percent of total billed charges		473	100			Percent of total billed charges		473	33.3			Percent of total billed charges		157.509	33.3			Percent of total billed charges		157.509	100			Percent of total billed charges		473	157.509	425.7	
cancellous screw ti 5.0 x 46mm  71755046 screw s/n	278	RC	Outpatient			473	307.45		90			Percent of total billed charges		425.7	40			Percent of total billed charges		189.2	80			Percent of total billed charges		378.4	90			Percent of total billed charges		425.7	85			Percent of total billed charges		402.05	85			Percent of total billed charges		402.05	85			Percent of total billed charges		402.05	100			Percent of total billed charges		473	100			Percent of total billed charges		473	100			Percent of total billed charges		473	33.3			Percent of total billed charges		157.509	33.3			Percent of total billed charges		157.509	100			Percent of total billed charges		473	157.509	425.7	
s/n 5.0 canc screw ti	278	RC	Outpatient			473	307.45		90			Percent of total billed charges		425.7	40			Percent of total billed charges		189.2	80			Percent of total billed charges		378.4	90			Percent of total billed charges		425.7	85			Percent of total billed charges		402.05	85			Percent of total billed charges		402.05	85			Percent of total billed charges		402.05	100			Percent of total billed charges		473	100			Percent of total billed charges		473	100			Percent of total billed charges		473	33.3			Percent of total billed charges		157.509	33.3			Percent of total billed charges		157.509	100			Percent of total billed charges		473	157.509	425.7	
arthrex cool cut 90  ablator ar-9803-90	272	RC	Outpatient			474	308.1		90			Percent of total billed charges		426.6	40			Percent of total billed charges		189.6	80			Percent of total billed charges		379.2	90			Percent of total billed charges		426.6	85			Percent of total billed charges		402.9	85			Percent of total billed charges		402.9	85			Percent of total billed charges		402.9	100			Percent of total billed charges		474	100			Percent of total billed charges		474	100			Percent of total billed charges		474	33.3			Percent of total billed charges		157.842	33.3			Percent of total billed charges		157.842	100			Percent of total billed charges		474	157.842	426.6	
arthrex coolcut 90	272	RC	Outpatient			474	308.1		90			Percent of total billed charges		426.6	40			Percent of total billed charges		189.6	80			Percent of total billed charges		379.2	90			Percent of total billed charges		426.6	85			Percent of total billed charges		402.9	85			Percent of total billed charges		402.9	85			Percent of total billed charges		402.9	100			Percent of total billed charges		474	100			Percent of total billed charges		474	100			Percent of total billed charges		474	33.3			Percent of total billed charges		157.842	33.3			Percent of total billed charges		157.842	100			Percent of total billed charges		474	157.842	426.6	
intertan 4.0mm ao long pilot drill 7163-1121 s/n	272	RC	Outpatient			474	308.1		90			Percent of total billed charges		426.6	40			Percent of total billed charges		189.6	80			Percent of total billed charges		379.2	90			Percent of total billed charges		426.6	85			Percent of total billed charges		402.9	85			Percent of total billed charges		402.9	85			Percent of total billed charges		402.9	100			Percent of total billed charges		474	100			Percent of total billed charges		474	100			Percent of total billed charges		474	33.3			Percent of total billed charges		157.842	33.3			Percent of total billed charges		157.842	100			Percent of total billed charges		474	157.842	426.6	
variax  locking screw 3.5 x 12 40-35612 stryker	278	RC	Outpatient			474	308.1		90			Percent of total billed charges		426.6	40			Percent of total billed charges		189.6	80			Percent of total billed charges		379.2	90			Percent of total billed charges		426.6	85			Percent of total billed charges		402.9	85			Percent of total billed charges		402.9	85			Percent of total billed charges		402.9	100			Percent of total billed charges		474	100			Percent of total billed charges		474	100			Percent of total billed charges		474	33.3			Percent of total billed charges		157.842	33.3			Percent of total billed charges		157.842	100			Percent of total billed charges		474	157.842	426.6	
variax  locking screw 3.5 x 20 40-35620 stryker	278	RC	Outpatient			474	308.1		90			Percent of total billed charges		426.6	40			Percent of total billed charges		189.6	80			Percent of total billed charges		379.2	90			Percent of total billed charges		426.6	85			Percent of total billed charges		402.9	85			Percent of total billed charges		402.9	85			Percent of total billed charges		402.9	100			Percent of total billed charges		474	100			Percent of total billed charges		474	100			Percent of total billed charges		474	33.3			Percent of total billed charges		157.842	33.3			Percent of total billed charges		157.842	100			Percent of total billed charges		474	157.842	426.6	
variax lock screw 3.5	278	RC	Outpatient			474	308.1		90			Percent of total billed charges		426.6	40			Percent of total billed charges		189.6	80			Percent of total billed charges		379.2	90			Percent of total billed charges		426.6	85			Percent of total billed charges		402.9	85			Percent of total billed charges		402.9	85			Percent of total billed charges		402.9	100			Percent of total billed charges		474	100			Percent of total billed charges		474	100			Percent of total billed charges		474	33.3			Percent of total billed charges		157.842	33.3			Percent of total billed charges		157.842	100			Percent of total billed charges		474	157.842	426.6	
variax  locking screw 3.5 x 10 40-35610 stryker	278	RC	Outpatient			474	308.1		90			Percent of total billed charges		426.6	40			Percent of total billed charges		189.6	80			Percent of total billed charges		379.2	90			Percent of total billed charges		426.6	85			Percent of total billed charges		402.9	85			Percent of total billed charges		402.9	85			Percent of total billed charges		402.9	100			Percent of total billed charges		474	100			Percent of total billed charges		474	100			Percent of total billed charges		474	33.3			Percent of total billed charges		157.842	33.3			Percent of total billed charges		157.842	100			Percent of total billed charges		474	157.842	426.6	
variax  locking screw 3.5 x 14 40-35614 stryker	278	RC	Outpatient			474	308.1		90			Percent of total billed charges		426.6	40			Percent of total billed charges		189.6	80			Percent of total billed charges		379.2	90			Percent of total billed charges		426.6	85			Percent of total billed charges		402.9	85			Percent of total billed charges		402.9	85			Percent of total billed charges		402.9	100			Percent of total billed charges		474	100			Percent of total billed charges		474	100			Percent of total billed charges		474	33.3			Percent of total billed charges		157.842	33.3			Percent of total billed charges		157.842	100			Percent of total billed charges		474	157.842	426.6	
variax  locking screw 3.5 x 16 40-35616 stryker	278	RC	Outpatient			474	308.1		90			Percent of total billed charges		426.6	40			Percent of total billed charges		189.6	80			Percent of total billed charges		379.2	90			Percent of total billed charges		426.6	85			Percent of total billed charges		402.9	85			Percent of total billed charges		402.9	85			Percent of total billed charges		402.9	100			Percent of total billed charges		474	100			Percent of total billed charges		474	100			Percent of total billed charges		474	33.3			Percent of total billed charges		157.842	33.3			Percent of total billed charges		157.842	100			Percent of total billed charges		474	157.842	426.6	
variax  locking screw 3.5 x 22 40-35622 stryker	278	RC	Outpatient			474	308.1		90			Percent of total billed charges		426.6	40			Percent of total billed charges		189.6	80			Percent of total billed charges		379.2	90			Percent of total billed charges		426.6	85			Percent of total billed charges		402.9	85			Percent of total billed charges		402.9	85			Percent of total billed charges		402.9	100			Percent of total billed charges		474	100			Percent of total billed charges		474	100			Percent of total billed charges		474	33.3			Percent of total billed charges		157.842	33.3			Percent of total billed charges		157.842	100			Percent of total billed charges		474	157.842	426.6	
attain select ii catheter	272	RC	Outpatient			475	308.75		90			Percent of total billed charges		427.5	40			Percent of total billed charges		190	80			Percent of total billed charges		380	90			Percent of total billed charges		427.5	85			Percent of total billed charges		403.75	85			Percent of total billed charges		403.75	85			Percent of total billed charges		403.75	100			Percent of total billed charges		475	100			Percent of total billed charges		475	100			Percent of total billed charges		475	33.3			Percent of total billed charges		158.175	33.3			Percent of total billed charges		158.175	100			Percent of total billed charges		475	158.175	427.5	
cath lab medtronic delivery sheath 304-559-l69	272	RC	Outpatient			475	308.75		90			Percent of total billed charges		427.5	40			Percent of total billed charges		190	80			Percent of total billed charges		380	90			Percent of total billed charges		427.5	85			Percent of total billed charges		403.75	85			Percent of total billed charges		403.75	85			Percent of total billed charges		403.75	100			Percent of total billed charges		475	100			Percent of total billed charges		475	100			Percent of total billed charges		475	33.3			Percent of total billed charges		158.175	33.3			Percent of total billed charges		158.175	100			Percent of total billed charges		475	158.175	427.5	
mt 6248v-90 attain select ii	272	RC	Outpatient			475	308.75		90			Percent of total billed charges		427.5	40			Percent of total billed charges		190	80			Percent of total billed charges		380	90			Percent of total billed charges		427.5	85			Percent of total billed charges		403.75	85			Percent of total billed charges		403.75	85			Percent of total billed charges		403.75	100			Percent of total billed charges		475	100			Percent of total billed charges		475	100			Percent of total billed charges		475	33.3			Percent of total billed charges		158.175	33.3			Percent of total billed charges		158.175	100			Percent of total billed charges		475	158.175	427.5	
mt 6250mpr 02 catheter	272	RC	Outpatient			475	308.75		90			Percent of total billed charges		427.5	40			Percent of total billed charges		190	80			Percent of total billed charges		380	90			Percent of total billed charges		427.5	85			Percent of total billed charges		403.75	85			Percent of total billed charges		403.75	85			Percent of total billed charges		403.75	100			Percent of total billed charges		475	100			Percent of total billed charges		475	100			Percent of total billed charges		475	33.3			Percent of total billed charges		158.175	33.3			Percent of total billed charges		158.175	100			Percent of total billed charges		475	158.175	427.5	
mt attain slelect ii catheter	272	RC	Outpatient			475	308.75		90			Percent of total billed charges		427.5	40			Percent of total billed charges		190	80			Percent of total billed charges		380	90			Percent of total billed charges		427.5	85			Percent of total billed charges		403.75	85			Percent of total billed charges		403.75	85			Percent of total billed charges		403.75	100			Percent of total billed charges		475	100			Percent of total billed charges		475	100			Percent of total billed charges		475	33.3			Percent of total billed charges		158.175	33.3			Percent of total billed charges		158.175	100			Percent of total billed charges		475	158.175	427.5	
mt 6248v-130 catheter	272	RC	Outpatient			475	308.75		90			Percent of total billed charges		427.5	40			Percent of total billed charges		190	80			Percent of total billed charges		380	90			Percent of total billed charges		427.5	85			Percent of total billed charges		403.75	85			Percent of total billed charges		403.75	85			Percent of total billed charges		403.75	100			Percent of total billed charges		475	100			Percent of total billed charges		475	100			Percent of total billed charges		475	33.3			Percent of total billed charges		158.175	33.3			Percent of total billed charges		158.175	100			Percent of total billed charges		475	158.175	427.5	
periprosthetic 5.0 x 18mm lck screw 370118 stryker	278	RC	Outpatient			475	308.75		90			Percent of total billed charges		427.5	40			Percent of total billed charges		190	80			Percent of total billed charges		380	90			Percent of total billed charges		427.5	85			Percent of total billed charges		403.75	85			Percent of total billed charges		403.75	85			Percent of total billed charges		403.75	100			Percent of total billed charges		475	100			Percent of total billed charges		475	100			Percent of total billed charges		475	33.3			Percent of total billed charges		158.175	33.3			Percent of total billed charges		158.175	100			Percent of total billed charges		475	158.175	427.5	
stryker periprosth 5.0scr	278	RC	Outpatient			475	308.75		90			Percent of total billed charges		427.5	40			Percent of total billed charges		190	80			Percent of total billed charges		380	90			Percent of total billed charges		427.5	85			Percent of total billed charges		403.75	85			Percent of total billed charges		403.75	85			Percent of total billed charges		403.75	100			Percent of total billed charges		475	100			Percent of total billed charges		475	100			Percent of total billed charges		475	33.3			Percent of total billed charges		158.175	33.3			Percent of total billed charges		158.175	100			Percent of total billed charges		475	158.175	427.5	
twist drill 1.6mm  drill-1.60/90 trimed	272	RC	Outpatient			475	308.75		90			Percent of total billed charges		427.5	40			Percent of total billed charges		190	80			Percent of total billed charges		380	90			Percent of total billed charges		427.5	85			Percent of total billed charges		403.75	85			Percent of total billed charges		403.75	85			Percent of total billed charges		403.75	100			Percent of total billed charges		475	100			Percent of total billed charges		475	100			Percent of total billed charges		475	33.3			Percent of total billed charges		158.175	33.3			Percent of total billed charges		158.175	100			Percent of total billed charges		475	158.175	427.5	
twist drill 1.75mm long drill-1.75l trimed	272	RC	Outpatient			475	308.75		90			Percent of total billed charges		427.5	40			Percent of total billed charges		190	80			Percent of total billed charges		380	90			Percent of total billed charges		427.5	85			Percent of total billed charges		403.75	85			Percent of total billed charges		403.75	85			Percent of total billed charges		403.75	100			Percent of total billed charges		475	100			Percent of total billed charges		475	100			Percent of total billed charges		475	33.3			Percent of total billed charges		158.175	33.3			Percent of total billed charges		158.175	100			Percent of total billed charges		475	158.175	427.5	
ti 5.0 locking screw 40mm 422.393 synthes	278	RC	Outpatient			476	309.4		90			Percent of total billed charges		428.4	40			Percent of total billed charges		190.4	80			Percent of total billed charges		380.8	90			Percent of total billed charges		428.4	85			Percent of total billed charges		404.6	85			Percent of total billed charges		404.6	85			Percent of total billed charges		404.6	100			Percent of total billed charges		476	100			Percent of total billed charges		476	100			Percent of total billed charges		476	33.3			Percent of total billed charges		158.508	33.3			Percent of total billed charges		158.508	100			Percent of total billed charges		476	158.508	428.4	
ti 5.0 locking screw 65mm 422.395 synthes	278	RC	Outpatient			476	309.4		90			Percent of total billed charges		428.4	40			Percent of total billed charges		190.4	80			Percent of total billed charges		380.8	90			Percent of total billed charges		428.4	85			Percent of total billed charges		404.6	85			Percent of total billed charges		404.6	85			Percent of total billed charges		404.6	100			Percent of total billed charges		476	100			Percent of total billed charges		476	100			Percent of total billed charges		476	33.3			Percent of total billed charges		158.508	33.3			Percent of total billed charges		158.508	100			Percent of total billed charges		476	158.508	428.4	
richards tibial fin peg	278	RC	Outpatient			476	309.4		90			Percent of total billed charges		428.4	40			Percent of total billed charges		190.4	80			Percent of total billed charges		380.8	90			Percent of total billed charges		428.4	85			Percent of total billed charges		404.6	85			Percent of total billed charges		404.6	85			Percent of total billed charges		404.6	100			Percent of total billed charges		476	100			Percent of total billed charges		476	100			Percent of total billed charges		476	33.3			Percent of total billed charges		158.508	33.3			Percent of total billed charges		158.508	100			Percent of total billed charges		476	158.508	428.4	
syn titan 5.0 locking scw	278	RC	Outpatient			476	309.4		90			Percent of total billed charges		428.4	40			Percent of total billed charges		190.4	80			Percent of total billed charges		380.8	90			Percent of total billed charges		428.4	85			Percent of total billed charges		404.6	85			Percent of total billed charges		404.6	85			Percent of total billed charges		404.6	100			Percent of total billed charges		476	100			Percent of total billed charges		476	100			Percent of total billed charges		476	33.3			Percent of total billed charges		158.508	33.3			Percent of total billed charges		158.508	100			Percent of total billed charges		476	158.508	428.4	
ti 5.0 locking screw 26mm 422.392 synthes	278	RC	Outpatient			476	309.4		90			Percent of total billed charges		428.4	40			Percent of total billed charges		190.4	80			Percent of total billed charges		380.8	90			Percent of total billed charges		428.4	85			Percent of total billed charges		404.6	85			Percent of total billed charges		404.6	85			Percent of total billed charges		404.6	100			Percent of total billed charges		476	100			Percent of total billed charges		476	100			Percent of total billed charges		476	33.3			Percent of total billed charges		158.508	33.3			Percent of total billed charges		158.508	100			Percent of total billed charges		476	158.508	428.4	
ti 5.0 locking screw 75mm 422.396 synthes	278	RC	Outpatient			476	309.4		90			Percent of total billed charges		428.4	40			Percent of total billed charges		190.4	80			Percent of total billed charges		380.8	90			Percent of total billed charges		428.4	85			Percent of total billed charges		404.6	85			Percent of total billed charges		404.6	85			Percent of total billed charges		404.6	100			Percent of total billed charges		476	100			Percent of total billed charges		476	100			Percent of total billed charges		476	33.3			Percent of total billed charges		158.508	33.3			Percent of total billed charges		158.508	100			Percent of total billed charges		476	158.508	428.4	
ti 5.0 locking screw 75mm 422.545 synthes	278	RC	Outpatient			476	309.4		90			Percent of total billed charges		428.4	40			Percent of total billed charges		190.4	80			Percent of total billed charges		380.8	90			Percent of total billed charges		428.4	85			Percent of total billed charges		404.6	85			Percent of total billed charges		404.6	85			Percent of total billed charges		404.6	100			Percent of total billed charges		476	100			Percent of total billed charges		476	100			Percent of total billed charges		476	33.3			Percent of total billed charges		158.508	33.3			Percent of total billed charges		158.508	100			Percent of total billed charges		476	158.508	428.4	
ti 5.0 locking screw 80mm 422.546 synthes	278	RC	Outpatient			476	309.4		90			Percent of total billed charges		428.4	40			Percent of total billed charges		190.4	80			Percent of total billed charges		380.8	90			Percent of total billed charges		428.4	85			Percent of total billed charges		404.6	85			Percent of total billed charges		404.6	85			Percent of total billed charges		404.6	100			Percent of total billed charges		476	100			Percent of total billed charges		476	100			Percent of total billed charges		476	33.3			Percent of total billed charges		158.508	33.3			Percent of total billed charges		158.508	100			Percent of total billed charges		476	158.508	428.4	
arthrex coring reamer 10mm  ar-1224s	272	RC	Outpatient			477	310.05		90			Percent of total billed charges		429.3	40			Percent of total billed charges		190.8	80			Percent of total billed charges		381.6	90			Percent of total billed charges		429.3	85			Percent of total billed charges		405.45	85			Percent of total billed charges		405.45	85			Percent of total billed charges		405.45	100			Percent of total billed charges		477	100			Percent of total billed charges		477	100			Percent of total billed charges		477	33.3			Percent of total billed charges		158.841	33.3			Percent of total billed charges		158.841	100			Percent of total billed charges		477	158.841	429.3	
arthrex coring reamer 11mm  ar-1226s	272	RC	Outpatient			477	310.05		90			Percent of total billed charges		429.3	40			Percent of total billed charges		190.8	80			Percent of total billed charges		381.6	90			Percent of total billed charges		429.3	85			Percent of total billed charges		405.45	85			Percent of total billed charges		405.45	85			Percent of total billed charges		405.45	100			Percent of total billed charges		477	100			Percent of total billed charges		477	100			Percent of total billed charges		477	33.3			Percent of total billed charges		158.841	33.3			Percent of total billed charges		158.841	100			Percent of total billed charges		477	158.841	429.3	
arthrex coring reamer 9mm  ar-1223s	272	RC	Outpatient			477	310.05		90			Percent of total billed charges		429.3	40			Percent of total billed charges		190.8	80			Percent of total billed charges		381.6	90			Percent of total billed charges		429.3	85			Percent of total billed charges		405.45	85			Percent of total billed charges		405.45	85			Percent of total billed charges		405.45	100			Percent of total billed charges		477	100			Percent of total billed charges		477	100			Percent of total billed charges		477	33.3			Percent of total billed charges		158.841	33.3			Percent of total billed charges		158.841	100			Percent of total billed charges		477	158.841	429.3	
"arthrex reamer, core"	272	RC	Outpatient			477	310.05		90			Percent of total billed charges		429.3	40			Percent of total billed charges		190.8	80			Percent of total billed charges		381.6	90			Percent of total billed charges		429.3	85			Percent of total billed charges		405.45	85			Percent of total billed charges		405.45	85			Percent of total billed charges		405.45	100			Percent of total billed charges		477	100			Percent of total billed charges		477	100			Percent of total billed charges		477	33.3			Percent of total billed charges		158.841	33.3			Percent of total billed charges		158.841	100			Percent of total billed charges		477	158.841	429.3	
jet x distraction clips 7106-3002 s/n	278	RC	Outpatient			477	310.05		90			Percent of total billed charges		429.3	40			Percent of total billed charges		190.8	80			Percent of total billed charges		381.6	90			Percent of total billed charges		429.3	85			Percent of total billed charges		405.45	85			Percent of total billed charges		405.45	85			Percent of total billed charges		405.45	100			Percent of total billed charges		477	100			Percent of total billed charges		477	100			Percent of total billed charges		477	33.3			Percent of total billed charges		158.841	33.3			Percent of total billed charges		158.841	100			Percent of total billed charges		477	158.841	429.3	
jet-x distractor clip	278	RC	Outpatient			477	310.05		90			Percent of total billed charges		429.3	40			Percent of total billed charges		190.8	80			Percent of total billed charges		381.6	90			Percent of total billed charges		429.3	85			Percent of total billed charges		405.45	85			Percent of total billed charges		405.45	85			Percent of total billed charges		405.45	100			Percent of total billed charges		477	100			Percent of total billed charges		477	100			Percent of total billed charges		477	33.3			Percent of total billed charges		158.841	33.3			Percent of total billed charges		158.841	100			Percent of total billed charges		477	158.841	429.3	
sm fr pl 1/3 tub 2 hl	278	RC	Outpatient			477	310.05		90			Percent of total billed charges		429.3	40			Percent of total billed charges		190.8	80			Percent of total billed charges		381.6	90			Percent of total billed charges		429.3	85			Percent of total billed charges		405.45	85			Percent of total billed charges		405.45	85			Percent of total billed charges		405.45	100			Percent of total billed charges		477	100			Percent of total billed charges		477	100			Percent of total billed charges		477	33.3			Percent of total billed charges		158.841	33.3			Percent of total billed charges		158.841	100			Percent of total billed charges		477	158.841	429.3	
s/n one third tubular plate 2 hole 7114-0302	278	RC	Outpatient			477	310.05		90			Percent of total billed charges		429.3	40			Percent of total billed charges		190.8	80			Percent of total billed charges		381.6	90			Percent of total billed charges		429.3	85			Percent of total billed charges		405.45	85			Percent of total billed charges		405.45	85			Percent of total billed charges		405.45	100			Percent of total billed charges		477	100			Percent of total billed charges		477	100			Percent of total billed charges		477	33.3			Percent of total billed charges		158.841	33.3			Percent of total billed charges		158.841	100			Percent of total billed charges		477	158.841	429.3	
"tray, thoracotomy"	270	RC	Outpatient			477	310.05		90			Percent of total billed charges		429.3	40			Percent of total billed charges		190.8	80			Percent of total billed charges		381.6	90			Percent of total billed charges		429.3	85			Percent of total billed charges		405.45	85			Percent of total billed charges		405.45	85			Percent of total billed charges		405.45	100			Percent of total billed charges		477	100			Percent of total billed charges		477	100			Percent of total billed charges		477	33.3			Percent of total billed charges		158.841	33.3			Percent of total billed charges		158.841	100			Percent of total billed charges		477	158.841	429.3	
jet-x 2 hole rancho cube	278	RC	Outpatient			478	310.7		90			Percent of total billed charges		430.2	40			Percent of total billed charges		191.2	80			Percent of total billed charges		382.4	90			Percent of total billed charges		430.2	85			Percent of total billed charges		406.3	85			Percent of total billed charges		406.3	85			Percent of total billed charges		406.3	100			Percent of total billed charges		478	100			Percent of total billed charges		478	100			Percent of total billed charges		478	33.3			Percent of total billed charges		159.174	33.3			Percent of total billed charges		159.174	100			Percent of total billed charges		478	159.174	430.2	
s/n 2 hole rancho cube 103452	278	RC	Outpatient			478	310.7		90			Percent of total billed charges		430.2	40			Percent of total billed charges		191.2	80			Percent of total billed charges		382.4	90			Percent of total billed charges		430.2	85			Percent of total billed charges		406.3	85			Percent of total billed charges		406.3	85			Percent of total billed charges		406.3	100			Percent of total billed charges		478	100			Percent of total billed charges		478	100			Percent of total billed charges		478	33.3			Percent of total billed charges		159.174	33.3			Percent of total billed charges		159.174	100			Percent of total billed charges		478	159.174	430.2	
discomonitor discography probe stryker ref 0407-2900-000	272	RC	Outpatient			478.5	311.03		90			Percent of total billed charges		430.65	40			Percent of total billed charges		191.4	80			Percent of total billed charges		382.8	90			Percent of total billed charges		430.65	85			Percent of total billed charges		406.725	85			Percent of total billed charges		406.725	85			Percent of total billed charges		406.725	100			Percent of total billed charges		478.5	100			Percent of total billed charges		478.5	100			Percent of total billed charges		478.5	33.3			Percent of total billed charges		159.3405	33.3			Percent of total billed charges		159.3405	100			Percent of total billed charges		478.5	159.3405	430.65	
arthrex knot cutter ar-4515	272	RC	Outpatient			479	311.35		90			Percent of total billed charges		431.1	40			Percent of total billed charges		191.6	80			Percent of total billed charges		383.2	90			Percent of total billed charges		431.1	85			Percent of total billed charges		407.15	85			Percent of total billed charges		407.15	85			Percent of total billed charges		407.15	100			Percent of total billed charges		479	100			Percent of total billed charges		479	100			Percent of total billed charges		479	33.3			Percent of total billed charges		159.507	33.3			Percent of total billed charges		159.507	100			Percent of total billed charges		479	159.507	431.1	
arthrex knot cutter	272	RC	Outpatient			479	311.35		90			Percent of total billed charges		431.1	40			Percent of total billed charges		191.6	80			Percent of total billed charges		383.2	90			Percent of total billed charges		431.1	85			Percent of total billed charges		407.15	85			Percent of total billed charges		407.15	85			Percent of total billed charges		407.15	100			Percent of total billed charges		479	100			Percent of total billed charges		479	100			Percent of total billed charges		479	33.3			Percent of total billed charges		159.507	33.3			Percent of total billed charges		159.507	100			Percent of total billed charges		479	159.507	431.1	
endo clip 5mm	270	RC	Outpatient			479	311.35		90			Percent of total billed charges		431.1	40			Percent of total billed charges		191.6	80			Percent of total billed charges		383.2	90			Percent of total billed charges		431.1	85			Percent of total billed charges		407.15	85			Percent of total billed charges		407.15	85			Percent of total billed charges		407.15	100			Percent of total billed charges		479	100			Percent of total billed charges		479	100			Percent of total billed charges		479	33.3			Percent of total billed charges		159.507	33.3			Percent of total billed charges		159.507	100			Percent of total billed charges		479	159.507	431.1	
staple endo clip 5mm  176620	270	RC	Outpatient			479	311.35		90			Percent of total billed charges		431.1	40			Percent of total billed charges		191.6	80			Percent of total billed charges		383.2	90			Percent of total billed charges		431.1	85			Percent of total billed charges		407.15	85			Percent of total billed charges		407.15	85			Percent of total billed charges		407.15	100			Percent of total billed charges		479	100			Percent of total billed charges		479	100			Percent of total billed charges		479	33.3			Percent of total billed charges		159.507	33.3			Percent of total billed charges		159.507	100			Percent of total billed charges		479	159.507	431.1	
twinfix ultra anchorw/ndl	278	RC	Outpatient			479	311.35		90			Percent of total billed charges		431.1	40			Percent of total billed charges		191.6	80			Percent of total billed charges		383.2	90			Percent of total billed charges		431.1	85			Percent of total billed charges		407.15	85			Percent of total billed charges		407.15	85			Percent of total billed charges		407.15	100			Percent of total billed charges		479	100			Percent of total billed charges		479	100			Percent of total billed charges		479	33.3			Percent of total billed charges		159.507	33.3			Percent of total billed charges		159.507	100			Percent of total billed charges		479	159.507	431.1	
twinfix ultra ti 4.5 suture anchor w/ ultrabraid sututes 72202613 s/n	278	RC	Outpatient			479	311.35		90			Percent of total billed charges		431.1	40			Percent of total billed charges		191.6	80			Percent of total billed charges		383.2	90			Percent of total billed charges		431.1	85			Percent of total billed charges		407.15	85			Percent of total billed charges		407.15	85			Percent of total billed charges		407.15	100			Percent of total billed charges		479	100			Percent of total billed charges		479	100			Percent of total billed charges		479	33.3			Percent of total billed charges		159.507	33.3			Percent of total billed charges		159.507	100			Percent of total billed charges		479	159.507	431.1	
4.5mm compression plate narrow 18 hole 295mm 00-4945-018-00 zimmer	278	RC	Outpatient			480	312		90			Percent of total billed charges		432	40			Percent of total billed charges		192	80			Percent of total billed charges		384	90			Percent of total billed charges		432	85			Percent of total billed charges		408	85			Percent of total billed charges		408	85			Percent of total billed charges		408	100			Percent of total billed charges		480	100			Percent of total billed charges		480	100			Percent of total billed charges		480	33.3			Percent of total billed charges		159.84	33.3			Percent of total billed charges		159.84	100			Percent of total billed charges		480	159.84	432	
4.5mm compression plate narrow 20 hole 326mm 00-4945-020-00 zimmer	278	RC	Outpatient			480	312		90			Percent of total billed charges		432	40			Percent of total billed charges		192	80			Percent of total billed charges		384	90			Percent of total billed charges		432	85			Percent of total billed charges		408	85			Percent of total billed charges		408	85			Percent of total billed charges		408	100			Percent of total billed charges		480	100			Percent of total billed charges		480	100			Percent of total billed charges		480	33.3			Percent of total billed charges		159.84	33.3			Percent of total billed charges		159.84	100			Percent of total billed charges		480	159.84	432	
accumix mixing system  311.100 zimmer	272	RC	Outpatient			480	312		90			Percent of total billed charges		432	40			Percent of total billed charges		192	80			Percent of total billed charges		384	90			Percent of total billed charges		432	85			Percent of total billed charges		408	85			Percent of total billed charges		408	85			Percent of total billed charges		408	100			Percent of total billed charges		480	100			Percent of total billed charges		480	100			Percent of total billed charges		480	33.3			Percent of total billed charges		159.84	33.3			Percent of total billed charges		159.84	100			Percent of total billed charges		480	159.84	432	
floseal fast prep hemostatic matrix 5ml ads201844 baxter	272	RC	Outpatient			480	312		90			Percent of total billed charges		432	40			Percent of total billed charges		192	80			Percent of total billed charges		384	90			Percent of total billed charges		432	85			Percent of total billed charges		408	85			Percent of total billed charges		408	85			Percent of total billed charges		408	100			Percent of total billed charges		480	100			Percent of total billed charges		480	100			Percent of total billed charges		480	33.3			Percent of total billed charges		159.84	33.3			Percent of total billed charges		159.84	100			Percent of total billed charges		480	159.84	432	
endoscopic carpal tunnel	270	RC	Outpatient			480	312		90			Percent of total billed charges		432	40			Percent of total billed charges		192	80			Percent of total billed charges		384	90			Percent of total billed charges		432	85			Percent of total billed charges		408	85			Percent of total billed charges		408	85			Percent of total billed charges		408	100			Percent of total billed charges		480	100			Percent of total billed charges		480	100			Percent of total billed charges		480	33.3			Percent of total billed charges		159.84	33.3			Percent of total billed charges		159.84	100			Percent of total billed charges		480	159.84	432	
zimm 4.5 nw comp pl 18-20	278	RC	Outpatient			480	312		90			Percent of total billed charges		432	40			Percent of total billed charges		192	80			Percent of total billed charges		384	90			Percent of total billed charges		432	85			Percent of total billed charges		408	85			Percent of total billed charges		408	85			Percent of total billed charges		408	100			Percent of total billed charges		480	100			Percent of total billed charges		480	100			Percent of total billed charges		480	33.3			Percent of total billed charges		159.84	33.3			Percent of total billed charges		159.84	100			Percent of total billed charges		480	159.84	432	
0.9mm drill wire 71101521 s/n	272	RC	Outpatient			481	312.65		90			Percent of total billed charges		432.9	40			Percent of total billed charges		192.4	80			Percent of total billed charges		384.8	90			Percent of total billed charges		432.9	85			Percent of total billed charges		408.85	85			Percent of total billed charges		408.85	85			Percent of total billed charges		408.85	100			Percent of total billed charges		481	100			Percent of total billed charges		481	100			Percent of total billed charges		481	33.3			Percent of total billed charges		160.173	33.3			Percent of total billed charges		160.173	100			Percent of total billed charges		481	160.173	432.9	
codman external drainage system ii 82-1720	270	RC	Outpatient			481	312.65		90			Percent of total billed charges		432.9	40			Percent of total billed charges		192.4	80			Percent of total billed charges		384.8	90			Percent of total billed charges		432.9	85			Percent of total billed charges		408.85	85			Percent of total billed charges		408.85	85			Percent of total billed charges		408.85	100			Percent of total billed charges		481	100			Percent of total billed charges		481	100			Percent of total billed charges		481	33.3			Percent of total billed charges		160.173	33.3			Percent of total billed charges		160.173	100			Percent of total billed charges		481	160.173	432.9	
basket segura stone retrieval 380-100  3 x 120 x 16 bost scient	270	RC	Outpatient			481	312.65		90			Percent of total billed charges		432.9	40			Percent of total billed charges		192.4	80			Percent of total billed charges		384.8	90			Percent of total billed charges		432.9	85			Percent of total billed charges		408.85	85			Percent of total billed charges		408.85	85			Percent of total billed charges		408.85	100			Percent of total billed charges		481	100			Percent of total billed charges		481	100			Percent of total billed charges		481	33.3			Percent of total billed charges		160.173	33.3			Percent of total billed charges		160.173	100			Percent of total billed charges		481	160.173	432.9	
basket stone 380-112	270	RC	Outpatient			481	312.65		90			Percent of total billed charges		432.9	40			Percent of total billed charges		192.4	80			Percent of total billed charges		384.8	90			Percent of total billed charges		432.9	85			Percent of total billed charges		408.85	85			Percent of total billed charges		408.85	85			Percent of total billed charges		408.85	100			Percent of total billed charges		481	100			Percent of total billed charges		481	100			Percent of total billed charges		481	33.3			Percent of total billed charges		160.173	33.3			Percent of total billed charges		160.173	100			Percent of total billed charges		481	160.173	432.9	
codman external drain kit	270	RC	Outpatient			481	312.65		90			Percent of total billed charges		432.9	40			Percent of total billed charges		192.4	80			Percent of total billed charges		384.8	90			Percent of total billed charges		432.9	85			Percent of total billed charges		408.85	85			Percent of total billed charges		408.85	85			Percent of total billed charges		408.85	100			Percent of total billed charges		481	100			Percent of total billed charges		481	100			Percent of total billed charges		481	33.3			Percent of total billed charges		160.173	33.3			Percent of total billed charges		160.173	100			Percent of total billed charges		481	160.173	432.9	
jet x 5 x 40mm half pin 7106-5401 s/n	278	RC	Outpatient			481	312.65		90			Percent of total billed charges		432.9	40			Percent of total billed charges		192.4	80			Percent of total billed charges		384.8	90			Percent of total billed charges		432.9	85			Percent of total billed charges		408.85	85			Percent of total billed charges		408.85	85			Percent of total billed charges		408.85	100			Percent of total billed charges		481	100			Percent of total billed charges		481	100			Percent of total billed charges		481	33.3			Percent of total billed charges		160.173	33.3			Percent of total billed charges		160.173	100			Percent of total billed charges		481	160.173	432.9	
half-pin 5 x 40mm long 7106-5402 s/n	278	RC	Outpatient			481	312.65		90			Percent of total billed charges		432.9	40			Percent of total billed charges		192.4	80			Percent of total billed charges		384.8	90			Percent of total billed charges		432.9	85			Percent of total billed charges		408.85	85			Percent of total billed charges		408.85	85			Percent of total billed charges		408.85	100			Percent of total billed charges		481	100			Percent of total billed charges		481	100			Percent of total billed charges		481	33.3			Percent of total billed charges		160.173	33.3			Percent of total billed charges		160.173	100			Percent of total billed charges		481	160.173	432.9	
jet x 5 x 30mm half pin 7106-5301 s/n	278	RC	Outpatient			481	312.65		90			Percent of total billed charges		432.9	40			Percent of total billed charges		192.4	80			Percent of total billed charges		384.8	90			Percent of total billed charges		432.9	85			Percent of total billed charges		408.85	85			Percent of total billed charges		408.85	85			Percent of total billed charges		408.85	100			Percent of total billed charges		481	100			Percent of total billed charges		481	100			Percent of total billed charges		481	33.3			Percent of total billed charges		160.173	33.3			Percent of total billed charges		160.173	100			Percent of total billed charges		481	160.173	432.9	
jet x 5 x 35mm half pin 7106-5351 s/n	278	RC	Outpatient			481	312.65		90			Percent of total billed charges		432.9	40			Percent of total billed charges		192.4	80			Percent of total billed charges		384.8	90			Percent of total billed charges		432.9	85			Percent of total billed charges		408.85	85			Percent of total billed charges		408.85	85			Percent of total billed charges		408.85	100			Percent of total billed charges		481	100			Percent of total billed charges		481	100			Percent of total billed charges		481	33.3			Percent of total billed charges		160.173	33.3			Percent of total billed charges		160.173	100			Percent of total billed charges		481	160.173	432.9	
jet x 5 x 45mm half pin 7106-5451 s/n	278	RC	Outpatient			481	312.65		90			Percent of total billed charges		432.9	40			Percent of total billed charges		192.4	80			Percent of total billed charges		384.8	90			Percent of total billed charges		432.9	85			Percent of total billed charges		408.85	85			Percent of total billed charges		408.85	85			Percent of total billed charges		408.85	100			Percent of total billed charges		481	100			Percent of total billed charges		481	100			Percent of total billed charges		481	33.3			Percent of total billed charges		160.173	33.3			Percent of total billed charges		160.173	100			Percent of total billed charges		481	160.173	432.9	
jet-x short half pin	278	RC	Outpatient			481	312.65		90			Percent of total billed charges		432.9	40			Percent of total billed charges		192.4	80			Percent of total billed charges		384.8	90			Percent of total billed charges		432.9	85			Percent of total billed charges		408.85	85			Percent of total billed charges		408.85	85			Percent of total billed charges		408.85	100			Percent of total billed charges		481	100			Percent of total billed charges		481	100			Percent of total billed charges		481	33.3			Percent of total billed charges		160.173	33.3			Percent of total billed charges		160.173	100			Percent of total billed charges		481	160.173	432.9	
s/n k-wire 0.9	272	RC	Outpatient			481	312.65		90			Percent of total billed charges		432.9	40			Percent of total billed charges		192.4	80			Percent of total billed charges		384.8	90			Percent of total billed charges		432.9	85			Percent of total billed charges		408.85	85			Percent of total billed charges		408.85	85			Percent of total billed charges		408.85	100			Percent of total billed charges		481	100			Percent of total billed charges		481	100			Percent of total billed charges		481	33.3			Percent of total billed charges		160.173	33.3			Percent of total billed charges		160.173	100			Percent of total billed charges		481	160.173	432.9	
s/n jet-x  5mm x 70mm  half pin 7106-5701	278	RC	Outpatient			481	312.65		90			Percent of total billed charges		432.9	40			Percent of total billed charges		192.4	80			Percent of total billed charges		384.8	90			Percent of total billed charges		432.9	85			Percent of total billed charges		408.85	85			Percent of total billed charges		408.85	85			Percent of total billed charges		408.85	100			Percent of total billed charges		481	100			Percent of total billed charges		481	100			Percent of total billed charges		481	33.3			Percent of total billed charges		160.173	33.3			Percent of total billed charges		160.173	100			Percent of total billed charges		481	160.173	432.9	
segura basket	270	RC	Outpatient			481	312.65		90			Percent of total billed charges		432.9	40			Percent of total billed charges		192.4	80			Percent of total billed charges		384.8	90			Percent of total billed charges		432.9	85			Percent of total billed charges		408.85	85			Percent of total billed charges		408.85	85			Percent of total billed charges		408.85	100			Percent of total billed charges		481	100			Percent of total billed charges		481	100			Percent of total billed charges		481	33.3			Percent of total billed charges		160.173	33.3			Percent of total billed charges		160.173	100			Percent of total billed charges		481	160.173	432.9	
arista	272	RC	Outpatient			482	313.3		90			Percent of total billed charges		433.8	40			Percent of total billed charges		192.8	80			Percent of total billed charges		385.6	90			Percent of total billed charges		433.8	85			Percent of total billed charges		409.7	85			Percent of total billed charges		409.7	85			Percent of total billed charges		409.7	100			Percent of total billed charges		482	100			Percent of total billed charges		482	100			Percent of total billed charges		482	33.3			Percent of total billed charges		160.506	33.3			Percent of total billed charges		160.506	100			Percent of total billed charges		482	160.506	433.8	
arista hemostatic 3gm  sm0002-usa bard/davol	272	RC	Outpatient			482	313.3		90			Percent of total billed charges		433.8	40			Percent of total billed charges		192.8	80			Percent of total billed charges		385.6	90			Percent of total billed charges		433.8	85			Percent of total billed charges		409.7	85			Percent of total billed charges		409.7	85			Percent of total billed charges		409.7	100			Percent of total billed charges		482	100			Percent of total billed charges		482	100			Percent of total billed charges		482	33.3			Percent of total billed charges		160.506	33.3			Percent of total billed charges		160.506	100			Percent of total billed charges		482	160.506	433.8	
imhs set screw	278	RC	Outpatient			482	313.3		90			Percent of total billed charges		433.8	40			Percent of total billed charges		192.8	80			Percent of total billed charges		385.6	90			Percent of total billed charges		433.8	85			Percent of total billed charges		409.7	85			Percent of total billed charges		409.7	85			Percent of total billed charges		409.7	100			Percent of total billed charges		482	100			Percent of total billed charges		482	100			Percent of total billed charges		482	33.3			Percent of total billed charges		160.506	33.3			Percent of total billed charges		160.506	100			Percent of total billed charges		482	160.506	433.8	
jagwire hydro stiff	272	RC	Outpatient			482	313.3		90			Percent of total billed charges		433.8	40			Percent of total billed charges		192.8	80			Percent of total billed charges		385.6	90			Percent of total billed charges		433.8	85			Percent of total billed charges		409.7	85			Percent of total billed charges		409.7	85			Percent of total billed charges		409.7	100			Percent of total billed charges		482	100			Percent of total billed charges		482	100			Percent of total billed charges		482	33.3			Percent of total billed charges		160.506	33.3			Percent of total billed charges		160.506	100			Percent of total billed charges		482	160.506	433.8	
screw im hip set screw hn1202 s/n	278	RC	Outpatient			482	313.3		90			Percent of total billed charges		433.8	40			Percent of total billed charges		192.8	80			Percent of total billed charges		385.6	90			Percent of total billed charges		433.8	85			Percent of total billed charges		409.7	85			Percent of total billed charges		409.7	85			Percent of total billed charges		409.7	100			Percent of total billed charges		482	100			Percent of total billed charges		482	100			Percent of total billed charges		482	33.3			Percent of total billed charges		160.506	33.3			Percent of total billed charges		160.506	100			Percent of total billed charges		482	160.506	433.8	
arthrex osteochondral flap repair set ar-4009s	272	RC	Outpatient			483	313.95		90			Percent of total billed charges		434.7	40			Percent of total billed charges		193.2	80			Percent of total billed charges		386.4	90			Percent of total billed charges		434.7	85			Percent of total billed charges		410.55	85			Percent of total billed charges		410.55	85			Percent of total billed charges		410.55	100			Percent of total billed charges		483	100			Percent of total billed charges		483	100			Percent of total billed charges		483	33.3			Percent of total billed charges		160.839	33.3			Percent of total billed charges		160.839	100			Percent of total billed charges		483	160.839	434.7	
endo clip er320	272	RC	Outpatient			483	313.95		90			Percent of total billed charges		434.7	40			Percent of total billed charges		193.2	80			Percent of total billed charges		386.4	90			Percent of total billed charges		434.7	85			Percent of total billed charges		410.55	85			Percent of total billed charges		410.55	85			Percent of total billed charges		410.55	100			Percent of total billed charges		483	100			Percent of total billed charges		483	100			Percent of total billed charges		483	33.3			Percent of total billed charges		160.839	33.3			Percent of total billed charges		160.839	100			Percent of total billed charges		483	160.839	434.7	
endowrist tip-up fenestrated grasper ref 470347 isi	272	RC	Outpatient			484	314.6		90			Percent of total billed charges		435.6	40			Percent of total billed charges		193.6	80			Percent of total billed charges		387.2	90			Percent of total billed charges		435.6	85			Percent of total billed charges		411.4	85			Percent of total billed charges		411.4	85			Percent of total billed charges		411.4	100			Percent of total billed charges		484	100			Percent of total billed charges		484	100			Percent of total billed charges		484	33.3			Percent of total billed charges		161.172	33.3			Percent of total billed charges		161.172	100			Percent of total billed charges		484	161.172	435.6	
da vinci endowrist suction irrigator 410299	272	RC	Outpatient			484	314.6		90			Percent of total billed charges		435.6	40			Percent of total billed charges		193.6	80			Percent of total billed charges		387.2	90			Percent of total billed charges		435.6	85			Percent of total billed charges		411.4	85			Percent of total billed charges		411.4	85			Percent of total billed charges		411.4	100			Percent of total billed charges		484	100			Percent of total billed charges		484	100			Percent of total billed charges		484	33.3			Percent of total billed charges		161.172	33.3			Percent of total billed charges		161.172	100			Percent of total billed charges		484	161.172	435.6	
endo wrist mega needle driver ref 470194 isi	272	RC	Outpatient			484	314.6		90			Percent of total billed charges		435.6	40			Percent of total billed charges		193.6	80			Percent of total billed charges		387.2	90			Percent of total billed charges		435.6	85			Percent of total billed charges		411.4	85			Percent of total billed charges		411.4	85			Percent of total billed charges		411.4	100			Percent of total billed charges		484	100			Percent of total billed charges		484	100			Percent of total billed charges		484	33.3			Percent of total billed charges		161.172	33.3			Percent of total billed charges		161.172	100			Percent of total billed charges		484	161.172	435.6	
endowrist tenaculum forceps ref 470207 isi	272	RC	Outpatient			484	314.6		90			Percent of total billed charges		435.6	40			Percent of total billed charges		193.6	80			Percent of total billed charges		387.2	90			Percent of total billed charges		435.6	85			Percent of total billed charges		411.4	85			Percent of total billed charges		411.4	85			Percent of total billed charges		411.4	100			Percent of total billed charges		484	100			Percent of total billed charges		484	100			Percent of total billed charges		484	33.3			Percent of total billed charges		161.172	33.3			Percent of total billed charges		161.172	100			Percent of total billed charges		484	161.172	435.6	
firstpass suture passer 22-4038 s/n	272	RC	Outpatient			484	314.6		90			Percent of total billed charges		435.6	40			Percent of total billed charges		193.6	80			Percent of total billed charges		387.2	90			Percent of total billed charges		435.6	85			Percent of total billed charges		411.4	85			Percent of total billed charges		411.4	85			Percent of total billed charges		411.4	100			Percent of total billed charges		484	100			Percent of total billed charges		484	100			Percent of total billed charges		484	33.3			Percent of total billed charges		161.172	33.3			Percent of total billed charges		161.172	100			Percent of total billed charges		484	161.172	435.6	
scp  stabilization pin 2.4mm 303.224 knee creations	272	RC	Outpatient			484	314.6		90			Percent of total billed charges		435.6	40			Percent of total billed charges		193.6	80			Percent of total billed charges		387.2	90			Percent of total billed charges		435.6	85			Percent of total billed charges		411.4	85			Percent of total billed charges		411.4	85			Percent of total billed charges		411.4	100			Percent of total billed charges		484	100			Percent of total billed charges		484	100			Percent of total billed charges		484	33.3			Percent of total billed charges		161.172	33.3			Percent of total billed charges		161.172	100			Percent of total billed charges		484	161.172	435.6	
scp stab pin	272	RC	Outpatient			484	314.6		90			Percent of total billed charges		435.6	40			Percent of total billed charges		193.6	80			Percent of total billed charges		387.2	90			Percent of total billed charges		435.6	85			Percent of total billed charges		411.4	85			Percent of total billed charges		411.4	85			Percent of total billed charges		411.4	100			Percent of total billed charges		484	100			Percent of total billed charges		484	100			Percent of total billed charges		484	33.3			Percent of total billed charges		161.172	33.3			Percent of total billed charges		161.172	100			Percent of total billed charges		484	161.172	435.6	
st jude medical   multilead trail cable ref 3013	272	RC	Outpatient			484	314.6		90			Percent of total billed charges		435.6	40			Percent of total billed charges		193.6	80			Percent of total billed charges		387.2	90			Percent of total billed charges		435.6	85			Percent of total billed charges		411.4	85			Percent of total billed charges		411.4	85			Percent of total billed charges		411.4	100			Percent of total billed charges		484	100			Percent of total billed charges		484	100			Percent of total billed charges		484	33.3			Percent of total billed charges		161.172	33.3			Percent of total billed charges		161.172	100			Percent of total billed charges		484	161.172	435.6	
complete study	460	RC	Outpatient			485	315.25		90			Percent of total billed charges		436.5	40			Percent of total billed charges		194	80			Percent of total billed charges		388	90			Percent of total billed charges		436.5	85			Percent of total billed charges		412.25	85			Percent of total billed charges		412.25	85			Percent of total billed charges		412.25	100			Percent of total billed charges		485	100			Percent of total billed charges		485	100			Percent of total billed charges		485	33.3			Percent of total billed charges		161.505	33.3			Percent of total billed charges		161.505	100			Percent of total billed charges		485	161.505	436.5	
2.0mm titanium  6mm synthes 400.786	278	RC	Outpatient			485	315.25		90			Percent of total billed charges		436.5	40			Percent of total billed charges		194	80			Percent of total billed charges		388	90			Percent of total billed charges		436.5	85			Percent of total billed charges		412.25	85			Percent of total billed charges		412.25	85			Percent of total billed charges		412.25	100			Percent of total billed charges		485	100			Percent of total billed charges		485	100			Percent of total billed charges		485	33.3			Percent of total billed charges		161.505	33.3			Percent of total billed charges		161.505	100			Percent of total billed charges		485	161.505	436.5	
graspit nitinol stone forcep 320-401	270	RC	Outpatient			485	315.25		90			Percent of total billed charges		436.5	40			Percent of total billed charges		194	80			Percent of total billed charges		388	90			Percent of total billed charges		436.5	85			Percent of total billed charges		412.25	85			Percent of total billed charges		412.25	85			Percent of total billed charges		412.25	100			Percent of total billed charges		485	100			Percent of total billed charges		485	100			Percent of total billed charges		485	33.3			Percent of total billed charges		161.505	33.3			Percent of total billed charges		161.505	100			Percent of total billed charges		485	161.505	436.5	
endo fluorotome	270	RC	Outpatient			485	315.25		90			Percent of total billed charges		436.5	40			Percent of total billed charges		194	80			Percent of total billed charges		388	90			Percent of total billed charges		436.5	85			Percent of total billed charges		412.25	85			Percent of total billed charges		412.25	85			Percent of total billed charges		412.25	100			Percent of total billed charges		485	100			Percent of total billed charges		485	100			Percent of total billed charges		485	33.3			Percent of total billed charges		161.505	33.3			Percent of total billed charges		161.505	100			Percent of total billed charges		485	161.505	436.5	
katzon wire	272	RC	Outpatient			485	315.25		90			Percent of total billed charges		436.5	40			Percent of total billed charges		194	80			Percent of total billed charges		388	90			Percent of total billed charges		436.5	85			Percent of total billed charges		412.25	85			Percent of total billed charges		412.25	85			Percent of total billed charges		412.25	100			Percent of total billed charges		485	100			Percent of total billed charges		485	100			Percent of total billed charges		485	33.3			Percent of total billed charges		161.505	33.3			Percent of total billed charges		161.505	100			Percent of total billed charges		485	161.505	436.5	
ligasure  xtd ls3111	272	RC	Outpatient			485	315.25		90			Percent of total billed charges		436.5	40			Percent of total billed charges		194	80			Percent of total billed charges		388	90			Percent of total billed charges		436.5	85			Percent of total billed charges		412.25	85			Percent of total billed charges		412.25	85			Percent of total billed charges		412.25	100			Percent of total billed charges		485	100			Percent of total billed charges		485	100			Percent of total billed charges		485	33.3			Percent of total billed charges		161.505	33.3			Percent of total billed charges		161.505	100			Percent of total billed charges		485	161.505	436.5	
graspit forcep	270	RC	Outpatient			485	315.25		90			Percent of total billed charges		436.5	40			Percent of total billed charges		194	80			Percent of total billed charges		388	90			Percent of total billed charges		436.5	85			Percent of total billed charges		412.25	85			Percent of total billed charges		412.25	85			Percent of total billed charges		412.25	100			Percent of total billed charges		485	100			Percent of total billed charges		485	100			Percent of total billed charges		485	33.3			Percent of total billed charges		161.505	33.3			Percent of total billed charges		161.505	100			Percent of total billed charges		485	161.505	436.5	
katzen infusion wire .035 x 180 46-197 boston sci	272	RC	Outpatient			485	315.25		90			Percent of total billed charges		436.5	40			Percent of total billed charges		194	80			Percent of total billed charges		388	90			Percent of total billed charges		436.5	85			Percent of total billed charges		412.25	85			Percent of total billed charges		412.25	85			Percent of total billed charges		412.25	100			Percent of total billed charges		485	100			Percent of total billed charges		485	100			Percent of total billed charges		485	33.3			Percent of total billed charges		161.505	33.3			Percent of total billed charges		161.505	100			Percent of total billed charges		485	161.505	436.5	
ligasure tm xtd	272	RC	Outpatient			485	315.25		90			Percent of total billed charges		436.5	40			Percent of total billed charges		194	80			Percent of total billed charges		388	90			Percent of total billed charges		436.5	85			Percent of total billed charges		412.25	85			Percent of total billed charges		412.25	85			Percent of total billed charges		412.25	100			Percent of total billed charges		485	100			Percent of total billed charges		485	100			Percent of total billed charges		485	33.3			Percent of total billed charges		161.505	33.3			Percent of total billed charges		161.505	100			Percent of total billed charges		485	161.505	436.5	
syn titan emergency screw	278	RC	Outpatient			485	315.25		90			Percent of total billed charges		436.5	40			Percent of total billed charges		194	80			Percent of total billed charges		388	90			Percent of total billed charges		436.5	85			Percent of total billed charges		412.25	85			Percent of total billed charges		412.25	85			Percent of total billed charges		412.25	100			Percent of total billed charges		485	100			Percent of total billed charges		485	100			Percent of total billed charges		485	33.3			Percent of total billed charges		161.505	33.3			Percent of total billed charges		161.505	100			Percent of total billed charges		485	161.505	436.5	
synthes 2.0 ti emergency screw 10mm 419.53	278	RC	Outpatient			485	315.25		90			Percent of total billed charges		436.5	40			Percent of total billed charges		194	80			Percent of total billed charges		388	90			Percent of total billed charges		436.5	85			Percent of total billed charges		412.25	85			Percent of total billed charges		412.25	85			Percent of total billed charges		412.25	100			Percent of total billed charges		485	100			Percent of total billed charges		485	100			Percent of total billed charges		485	33.3			Percent of total billed charges		161.505	33.3			Percent of total billed charges		161.505	100			Percent of total billed charges		485	161.505	436.5	
synthes 2.0 ti emergency screw 6mm 419.51	278	RC	Outpatient			485	315.25		90			Percent of total billed charges		436.5	40			Percent of total billed charges		194	80			Percent of total billed charges		388	90			Percent of total billed charges		436.5	85			Percent of total billed charges		412.25	85			Percent of total billed charges		412.25	85			Percent of total billed charges		412.25	100			Percent of total billed charges		485	100			Percent of total billed charges		485	100			Percent of total billed charges		485	33.3			Percent of total billed charges		161.505	33.3			Percent of total billed charges		161.505	100			Percent of total billed charges		485	161.505	436.5	
synthes 3.2 ti emergency screw 10mm 403.60	278	RC	Outpatient			485	315.25		90			Percent of total billed charges		436.5	40			Percent of total billed charges		194	80			Percent of total billed charges		388	90			Percent of total billed charges		436.5	85			Percent of total billed charges		412.25	85			Percent of total billed charges		412.25	85			Percent of total billed charges		412.25	100			Percent of total billed charges		485	100			Percent of total billed charges		485	100			Percent of total billed charges		485	33.3			Percent of total billed charges		161.505	33.3			Percent of total billed charges		161.505	100			Percent of total billed charges		485	161.505	436.5	
synthes 3.2 ti emergency screw 14mm 403.64	278	RC	Outpatient			485	315.25		90			Percent of total billed charges		436.5	40			Percent of total billed charges		194	80			Percent of total billed charges		388	90			Percent of total billed charges		436.5	85			Percent of total billed charges		412.25	85			Percent of total billed charges		412.25	85			Percent of total billed charges		412.25	100			Percent of total billed charges		485	100			Percent of total billed charges		485	100			Percent of total billed charges		485	33.3			Percent of total billed charges		161.505	33.3			Percent of total billed charges		161.505	100			Percent of total billed charges		485	161.505	436.5	
synthes 3.2 ti emergency screw 16mm 403.66	278	RC	Outpatient			485	315.25		90			Percent of total billed charges		436.5	40			Percent of total billed charges		194	80			Percent of total billed charges		388	90			Percent of total billed charges		436.5	85			Percent of total billed charges		412.25	85			Percent of total billed charges		412.25	85			Percent of total billed charges		412.25	100			Percent of total billed charges		485	100			Percent of total billed charges		485	100			Percent of total billed charges		485	33.3			Percent of total billed charges		161.505	33.3			Percent of total billed charges		161.505	100			Percent of total billed charges		485	161.505	436.5	
synthes 3.2 ti emergency screw 8mm 403.58	278	RC	Outpatient			485	315.25		90			Percent of total billed charges		436.5	40			Percent of total billed charges		194	80			Percent of total billed charges		388	90			Percent of total billed charges		436.5	85			Percent of total billed charges		412.25	85			Percent of total billed charges		412.25	85			Percent of total billed charges		412.25	100			Percent of total billed charges		485	100			Percent of total billed charges		485	100			Percent of total billed charges		485	33.3			Percent of total billed charges		161.505	33.3			Percent of total billed charges		161.505	100			Percent of total billed charges		485	161.505	436.5	
synthes 2.0 ti emergency screw 12mm 419.54	278	RC	Outpatient			485	315.25		90			Percent of total billed charges		436.5	40			Percent of total billed charges		194	80			Percent of total billed charges		388	90			Percent of total billed charges		436.5	85			Percent of total billed charges		412.25	85			Percent of total billed charges		412.25	85			Percent of total billed charges		412.25	100			Percent of total billed charges		485	100			Percent of total billed charges		485	100			Percent of total billed charges		485	33.3			Percent of total billed charges		161.505	33.3			Percent of total billed charges		161.505	100			Percent of total billed charges		485	161.505	436.5	
synthes 2.0 ti emergency screw 8mm 419.52	278	RC	Outpatient			485	315.25		90			Percent of total billed charges		436.5	40			Percent of total billed charges		194	80			Percent of total billed charges		388	90			Percent of total billed charges		436.5	85			Percent of total billed charges		412.25	85			Percent of total billed charges		412.25	85			Percent of total billed charges		412.25	100			Percent of total billed charges		485	100			Percent of total billed charges		485	100			Percent of total billed charges		485	33.3			Percent of total billed charges		161.505	33.3			Percent of total billed charges		161.505	100			Percent of total billed charges		485	161.505	436.5	
synthes 2.4 ti emergency screw 8mm 401.308	278	RC	Outpatient			485	315.25		90			Percent of total billed charges		436.5	40			Percent of total billed charges		194	80			Percent of total billed charges		388	90			Percent of total billed charges		436.5	85			Percent of total billed charges		412.25	85			Percent of total billed charges		412.25	85			Percent of total billed charges		412.25	100			Percent of total billed charges		485	100			Percent of total billed charges		485	100			Percent of total billed charges		485	33.3			Percent of total billed charges		161.505	33.3			Percent of total billed charges		161.505	100			Percent of total billed charges		485	161.505	436.5	
synthes 3.2 ti emergency screw 12mm 403.62	278	RC	Outpatient			485	315.25		90			Percent of total billed charges		436.5	40			Percent of total billed charges		194	80			Percent of total billed charges		388	90			Percent of total billed charges		436.5	85			Percent of total billed charges		412.25	85			Percent of total billed charges		412.25	85			Percent of total billed charges		412.25	100			Percent of total billed charges		485	100			Percent of total billed charges		485	100			Percent of total billed charges		485	33.3			Percent of total billed charges		161.505	33.3			Percent of total billed charges		161.505	100			Percent of total billed charges		485	161.505	436.5	
synthes 3.2 ti emergency screw 18mm 403.68	278	RC	Outpatient			485	315.25		90			Percent of total billed charges		436.5	40			Percent of total billed charges		194	80			Percent of total billed charges		388	90			Percent of total billed charges		436.5	85			Percent of total billed charges		412.25	85			Percent of total billed charges		412.25	85			Percent of total billed charges		412.25	100			Percent of total billed charges		485	100			Percent of total billed charges		485	100			Percent of total billed charges		485	33.3			Percent of total billed charges		161.505	33.3			Percent of total billed charges		161.505	100			Percent of total billed charges		485	161.505	436.5	
aqualoc cannula	272	RC	Outpatient			486	315.9		90			Percent of total billed charges		437.4	40			Percent of total billed charges		194.4	80			Percent of total billed charges		388.8	90			Percent of total billed charges		437.4	85			Percent of total billed charges		413.1	85			Percent of total billed charges		413.1	85			Percent of total billed charges		413.1	100			Percent of total billed charges		486	100			Percent of total billed charges		486	100			Percent of total billed charges		486	33.3			Percent of total billed charges		161.838	33.3			Percent of total billed charges		161.838	100			Percent of total billed charges		486	161.838	437.4	
aqualoc 5 x 85mm disp cannula 900366 biomet sport	272	RC	Outpatient			486	315.9		90			Percent of total billed charges		437.4	40			Percent of total billed charges		194.4	80			Percent of total billed charges		388.8	90			Percent of total billed charges		437.4	85			Percent of total billed charges		413.1	85			Percent of total billed charges		413.1	85			Percent of total billed charges		413.1	100			Percent of total billed charges		486	100			Percent of total billed charges		486	100			Percent of total billed charges		486	33.3			Percent of total billed charges		161.838	33.3			Percent of total billed charges		161.838	100			Percent of total billed charges		486	161.838	437.4	
mini fr pl t 2.7	278	RC	Outpatient			486	315.9		90			Percent of total billed charges		437.4	40			Percent of total billed charges		194.4	80			Percent of total billed charges		388.8	90			Percent of total billed charges		437.4	85			Percent of total billed charges		413.1	85			Percent of total billed charges		413.1	85			Percent of total billed charges		413.1	100			Percent of total billed charges		486	100			Percent of total billed charges		486	100			Percent of total billed charges		486	33.3			Percent of total billed charges		161.838	33.3			Percent of total billed charges		161.838	100			Percent of total billed charges		486	161.838	437.4	
s/n mini frag t plate 7114-7006	278	RC	Outpatient			486	315.9		90			Percent of total billed charges		437.4	40			Percent of total billed charges		194.4	80			Percent of total billed charges		388.8	90			Percent of total billed charges		437.4	85			Percent of total billed charges		413.1	85			Percent of total billed charges		413.1	85			Percent of total billed charges		413.1	100			Percent of total billed charges		486	100			Percent of total billed charges		486	100			Percent of total billed charges		486	33.3			Percent of total billed charges		161.838	33.3			Percent of total billed charges		161.838	100			Percent of total billed charges		486	161.838	437.4	
suture grasper	270	RC	Outpatient			486	315.9		90			Percent of total billed charges		437.4	40			Percent of total billed charges		194.4	80			Percent of total billed charges		388.8	90			Percent of total billed charges		437.4	85			Percent of total billed charges		413.1	85			Percent of total billed charges		413.1	85			Percent of total billed charges		413.1	100			Percent of total billed charges		486	100			Percent of total billed charges		486	100			Percent of total billed charges		486	33.3			Percent of total billed charges		161.838	33.3			Percent of total billed charges		161.838	100			Percent of total billed charges		486	161.838	437.4	
suture grasper 30 251721	270	RC	Outpatient			486	315.9		90			Percent of total billed charges		437.4	40			Percent of total billed charges		194.4	80			Percent of total billed charges		388.8	90			Percent of total billed charges		437.4	85			Percent of total billed charges		413.1	85			Percent of total billed charges		413.1	85			Percent of total billed charges		413.1	100			Percent of total billed charges		486	100			Percent of total billed charges		486	100			Percent of total billed charges		486	33.3			Percent of total billed charges		161.838	33.3			Percent of total billed charges		161.838	100			Percent of total billed charges		486	161.838	437.4	
suture grasper 45 251722	270	RC	Outpatient			486	315.9		90			Percent of total billed charges		437.4	40			Percent of total billed charges		194.4	80			Percent of total billed charges		388.8	90			Percent of total billed charges		437.4	85			Percent of total billed charges		413.1	85			Percent of total billed charges		413.1	85			Percent of total billed charges		413.1	100			Percent of total billed charges		486	100			Percent of total billed charges		486	100			Percent of total billed charges		486	33.3			Percent of total billed charges		161.838	33.3			Percent of total billed charges		161.838	100			Percent of total billed charges		486	161.838	437.4	
mesh onflex lg	278	RC	Outpatient			487	316.55		90			Percent of total billed charges		438.3	40			Percent of total billed charges		194.8	80			Percent of total billed charges		389.6	90			Percent of total billed charges		438.3	85			Percent of total billed charges		413.95	85			Percent of total billed charges		413.95	85			Percent of total billed charges		413.95	100			Percent of total billed charges		487	100			Percent of total billed charges		487	100			Percent of total billed charges		487	33.3			Percent of total billed charges		162.171	33.3			Percent of total billed charges		162.171	100			Percent of total billed charges		487	162.171	438.3	
s/n pico 15cm x 15cm ref 66022045	272	RC	Outpatient			487.36	316.78		90			Percent of total billed charges		438.624	40			Percent of total billed charges		194.944	80			Percent of total billed charges		389.888	90			Percent of total billed charges		438.624	85			Percent of total billed charges		414.256	85			Percent of total billed charges		414.256	85			Percent of total billed charges		414.256	100			Percent of total billed charges		487.36	100			Percent of total billed charges		487.36	100			Percent of total billed charges		487.36	33.3			Percent of total billed charges		162.2909	33.3			Percent of total billed charges		162.2909	100			Percent of total billed charges		487.36	162.2909	438.624	
s/n pico14 10cm x 20cm ref 66022042	272	RC	Outpatient			487.38	316.8		90			Percent of total billed charges		438.642	40			Percent of total billed charges		194.952	80			Percent of total billed charges		389.904	90			Percent of total billed charges		438.642	85			Percent of total billed charges		414.273	85			Percent of total billed charges		414.273	85			Percent of total billed charges		414.273	100			Percent of total billed charges		487.38	100			Percent of total billed charges		487.38	100			Percent of total billed charges		487.38	33.3			Percent of total billed charges		162.2975	33.3			Percent of total billed charges		162.2975	100			Percent of total billed charges		487.38	162.2975	438.642	
88349 scanning electron microscopy bill only	310	RC	Outpatient			488	317.2		90			Percent of total billed charges		439.2	40			Percent of total billed charges		195.2	80			Percent of total billed charges		390.4	90			Percent of total billed charges		439.2	85			Percent of total billed charges		414.8	85			Percent of total billed charges		414.8	85			Percent of total billed charges		414.8	100			Percent of total billed charges		488	100			Percent of total billed charges		488	100			Percent of total billed charges		488	33.3			Percent of total billed charges		162.504	33.3			Percent of total billed charges		162.504	100			Percent of total billed charges		488	162.504	439.2	
endopath xcel 12mm d12lt ethicon	270	RC	Outpatient			489	317.85		90			Percent of total billed charges		440.1	40			Percent of total billed charges		195.6	80			Percent of total billed charges		391.2	90			Percent of total billed charges		440.1	85			Percent of total billed charges		415.65	85			Percent of total billed charges		415.65	85			Percent of total billed charges		415.65	100			Percent of total billed charges		489	100			Percent of total billed charges		489	100			Percent of total billed charges		489	33.3			Percent of total billed charges		162.837	33.3			Percent of total billed charges		162.837	100			Percent of total billed charges		489	162.837	440.1	
trocar 10/12 x 100 w/ shielded obturator c0659 applied med	270	RC	Outpatient			489	317.85		90			Percent of total billed charges		440.1	40			Percent of total billed charges		195.6	80			Percent of total billed charges		391.2	90			Percent of total billed charges		440.1	85			Percent of total billed charges		415.65	85			Percent of total billed charges		415.65	85			Percent of total billed charges		415.65	100			Percent of total billed charges		489	100			Percent of total billed charges		489	100			Percent of total billed charges		489	33.3			Percent of total billed charges		162.837	33.3			Percent of total billed charges		162.837	100			Percent of total billed charges		489	162.837	440.1	
trocar 10/12mm	270	RC	Outpatient			489	317.85		90			Percent of total billed charges		440.1	40			Percent of total billed charges		195.6	80			Percent of total billed charges		391.2	90			Percent of total billed charges		440.1	85			Percent of total billed charges		415.65	85			Percent of total billed charges		415.65	85			Percent of total billed charges		415.65	100			Percent of total billed charges		489	100			Percent of total billed charges		489	100			Percent of total billed charges		489	33.3			Percent of total billed charges		162.837	33.3			Percent of total billed charges		162.837	100			Percent of total billed charges		489	162.837	440.1	
trocar 12mm 512 sd d12lt	270	RC	Outpatient			489	317.85		90			Percent of total billed charges		440.1	40			Percent of total billed charges		195.6	80			Percent of total billed charges		391.2	90			Percent of total billed charges		440.1	85			Percent of total billed charges		415.65	85			Percent of total billed charges		415.65	85			Percent of total billed charges		415.65	100			Percent of total billed charges		489	100			Percent of total billed charges		489	100			Percent of total billed charges		489	33.3			Percent of total billed charges		162.837	33.3			Percent of total billed charges		162.837	100			Percent of total billed charges		489	162.837	440.1	
trocar surgical 10/12  x 150mm 512x ethi	270	RC	Outpatient			489	317.85		90			Percent of total billed charges		440.1	40			Percent of total billed charges		195.6	80			Percent of total billed charges		391.2	90			Percent of total billed charges		440.1	85			Percent of total billed charges		415.65	85			Percent of total billed charges		415.65	85			Percent of total billed charges		415.65	100			Percent of total billed charges		489	100			Percent of total billed charges		489	100			Percent of total billed charges		489	33.3			Percent of total billed charges		162.837	33.3			Percent of total billed charges		162.837	100			Percent of total billed charges		489	162.837	440.1	
4.5mm t-plate 8 hole 148mm 00-4945-008-04 zimmer	278	RC	Outpatient			490	318.5		90			Percent of total billed charges		441	40			Percent of total billed charges		196	80			Percent of total billed charges		392	90			Percent of total billed charges		441	85			Percent of total billed charges		416.5	85			Percent of total billed charges		416.5	85			Percent of total billed charges		416.5	100			Percent of total billed charges		490	100			Percent of total billed charges		490	100			Percent of total billed charges		490	33.3			Percent of total billed charges		163.17	33.3			Percent of total billed charges		163.17	100			Percent of total billed charges		490	163.17	441	
zimm 4.5 t-plate 8 hole	278	RC	Outpatient			490	318.5		90			Percent of total billed charges		441	40			Percent of total billed charges		196	80			Percent of total billed charges		392	90			Percent of total billed charges		441	85			Percent of total billed charges		416.5	85			Percent of total billed charges		416.5	85			Percent of total billed charges		416.5	100			Percent of total billed charges		490	100			Percent of total billed charges		490	100			Percent of total billed charges		490	33.3			Percent of total billed charges		163.17	33.3			Percent of total billed charges		163.17	100			Percent of total billed charges		490	163.17	441	
drill bit 4.3mm 519-002nd integra life science	272	RC	Outpatient			491	319.15		90			Percent of total billed charges		441.9	40			Percent of total billed charges		196.4	80			Percent of total billed charges		392.8	90			Percent of total billed charges		441.9	85			Percent of total billed charges		417.35	85			Percent of total billed charges		417.35	85			Percent of total billed charges		417.35	100			Percent of total billed charges		491	100			Percent of total billed charges		491	100			Percent of total billed charges		491	33.3			Percent of total billed charges		163.503	33.3			Percent of total billed charges		163.503	100			Percent of total billed charges		491	163.503	441.9	
drill bit 5mm 519-005nd integra life science	272	RC	Outpatient			491	319.15		90			Percent of total billed charges		441.9	40			Percent of total billed charges		196.4	80			Percent of total billed charges		392.8	90			Percent of total billed charges		441.9	85			Percent of total billed charges		417.35	85			Percent of total billed charges		417.35	85			Percent of total billed charges		417.35	100			Percent of total billed charges		491	100			Percent of total billed charges		491	100			Percent of total billed charges		491	33.3			Percent of total billed charges		163.503	33.3			Percent of total billed charges		163.503	100			Percent of total billed charges		491	163.503	441.9	
drill bit 4.3mm 519-004nd integra life science	272	RC	Outpatient			491	319.15		90			Percent of total billed charges		441.9	40			Percent of total billed charges		196.4	80			Percent of total billed charges		392.8	90			Percent of total billed charges		441.9	85			Percent of total billed charges		417.35	85			Percent of total billed charges		417.35	85			Percent of total billed charges		417.35	100			Percent of total billed charges		491	100			Percent of total billed charges		491	100			Percent of total billed charges		491	33.3			Percent of total billed charges		163.503	33.3			Percent of total billed charges		163.503	100			Percent of total billed charges		491	163.503	441.9	
integra drill bit 4.3&5mm	272	RC	Outpatient			491	319.15		90			Percent of total billed charges		441.9	40			Percent of total billed charges		196.4	80			Percent of total billed charges		392.8	90			Percent of total billed charges		441.9	85			Percent of total billed charges		417.35	85			Percent of total billed charges		417.35	85			Percent of total billed charges		417.35	100			Percent of total billed charges		491	100			Percent of total billed charges		491	100			Percent of total billed charges		491	33.3			Percent of total billed charges		163.503	33.3			Percent of total billed charges		163.503	100			Percent of total billed charges		491	163.503	441.9	
pacu time 0-1 hour	270	RC	Outpatient			491	319.15		90			Percent of total billed charges		441.9	40			Percent of total billed charges		196.4	80			Percent of total billed charges		392.8	90			Percent of total billed charges		441.9	85			Percent of total billed charges		417.35	85			Percent of total billed charges		417.35	85			Percent of total billed charges		417.35	100			Percent of total billed charges		491	100			Percent of total billed charges		491	100			Percent of total billed charges		491	33.3			Percent of total billed charges		163.503	33.3			Percent of total billed charges		163.503	100			Percent of total billed charges		491	163.503	441.9	
rsp tap 5.0	272	RC	Outpatient			491	319.15		90			Percent of total billed charges		441.9	40			Percent of total billed charges		196.4	80			Percent of total billed charges		392.8	90			Percent of total billed charges		441.9	85			Percent of total billed charges		417.35	85			Percent of total billed charges		417.35	85			Percent of total billed charges		417.35	100			Percent of total billed charges		491	100			Percent of total billed charges		491	100			Percent of total billed charges		491	33.3			Percent of total billed charges		163.503	33.3			Percent of total billed charges		163.503	100			Percent of total billed charges		491	163.503	441.9	
rsp tap 5.0mm 804-03-017 djo	272	RC	Outpatient			491	319.15		90			Percent of total billed charges		441.9	40			Percent of total billed charges		196.4	80			Percent of total billed charges		392.8	90			Percent of total billed charges		441.9	85			Percent of total billed charges		417.35	85			Percent of total billed charges		417.35	85			Percent of total billed charges		417.35	100			Percent of total billed charges		491	100			Percent of total billed charges		491	100			Percent of total billed charges		491	33.3			Percent of total billed charges		163.503	33.3			Percent of total billed charges		163.503	100			Percent of total billed charges		491	163.503	441.9	
twinfix ti 3.5 anchor	278	RC	Outpatient			491	319.15		90			Percent of total billed charges		441.9	40			Percent of total billed charges		196.4	80			Percent of total billed charges		392.8	90			Percent of total billed charges		441.9	85			Percent of total billed charges		417.35	85			Percent of total billed charges		417.35	85			Percent of total billed charges		417.35	100			Percent of total billed charges		491	100			Percent of total billed charges		491	100			Percent of total billed charges		491	33.3			Percent of total billed charges		163.503	33.3			Percent of total billed charges		163.503	100			Percent of total billed charges		491	163.503	441.9	
twinfix ti 3.5 anchor  72200752 s/n	278	RC	Outpatient			491	319.15		90			Percent of total billed charges		441.9	40			Percent of total billed charges		196.4	80			Percent of total billed charges		392.8	90			Percent of total billed charges		441.9	85			Percent of total billed charges		417.35	85			Percent of total billed charges		417.35	85			Percent of total billed charges		417.35	100			Percent of total billed charges		491	100			Percent of total billed charges		491	100			Percent of total billed charges		491	33.3			Percent of total billed charges		163.503	33.3			Percent of total billed charges		163.503	100			Percent of total billed charges		491	163.503	441.9	
jet-x s/n 5.0 x 50 mm short half traction pin # 71067319	272	RC	Outpatient			491.86	319.71		90			Percent of total billed charges		442.674	40			Percent of total billed charges		196.744	80			Percent of total billed charges		393.488	90			Percent of total billed charges		442.674	85			Percent of total billed charges		418.081	85			Percent of total billed charges		418.081	85			Percent of total billed charges		418.081	100			Percent of total billed charges		491.86	100			Percent of total billed charges		491.86	100			Percent of total billed charges		491.86	33.3			Percent of total billed charges		163.7894	33.3			Percent of total billed charges		163.7894	100			Percent of total billed charges		491.86	163.7894	442.674	
3.5mm str recon plate 12 hole 141mm 00-1179-005-12 zimmer	278	RC	Outpatient			492	319.8		90			Percent of total billed charges		442.8	40			Percent of total billed charges		196.8	80			Percent of total billed charges		393.6	90			Percent of total billed charges		442.8	85			Percent of total billed charges		418.2	85			Percent of total billed charges		418.2	85			Percent of total billed charges		418.2	100			Percent of total billed charges		492	100			Percent of total billed charges		492	100			Percent of total billed charges		492	33.3			Percent of total billed charges		163.836	33.3			Percent of total billed charges		163.836	100			Percent of total billed charges		492	163.836	442.8	
4.5mm t-buttress plate 6 hole 112mm 00-4945-006-06 zimmer	278	RC	Outpatient			492	319.8		90			Percent of total billed charges		442.8	40			Percent of total billed charges		196.8	80			Percent of total billed charges		393.6	90			Percent of total billed charges		442.8	85			Percent of total billed charges		418.2	85			Percent of total billed charges		418.2	85			Percent of total billed charges		418.2	100			Percent of total billed charges		492	100			Percent of total billed charges		492	100			Percent of total billed charges		492	33.3			Percent of total billed charges		163.836	33.3			Percent of total billed charges		163.836	100			Percent of total billed charges		492	163.836	442.8	
helical stone basket 3 fr 100cm 11276nb	270	RC	Outpatient			492	319.8		90			Percent of total billed charges		442.8	40			Percent of total billed charges		196.8	80			Percent of total billed charges		393.6	90			Percent of total billed charges		442.8	85			Percent of total billed charges		418.2	85			Percent of total billed charges		418.2	85			Percent of total billed charges		418.2	100			Percent of total billed charges		492	100			Percent of total billed charges		492	100			Percent of total billed charges		492	33.3			Percent of total billed charges		163.836	33.3			Percent of total billed charges		163.836	100			Percent of total billed charges		492	163.836	442.8	
endo retract ii	270	RC	Outpatient			492	319.8		90			Percent of total billed charges		442.8	40			Percent of total billed charges		196.8	80			Percent of total billed charges		393.6	90			Percent of total billed charges		442.8	85			Percent of total billed charges		418.2	85			Percent of total billed charges		418.2	85			Percent of total billed charges		418.2	100			Percent of total billed charges		492	100			Percent of total billed charges		492	100			Percent of total billed charges		492	33.3			Percent of total billed charges		163.836	33.3			Percent of total billed charges		163.836	100			Percent of total billed charges		492	163.836	442.8	
expand helica stone basket 040415 bard	270	RC	Outpatient			492	319.8		90			Percent of total billed charges		442.8	40			Percent of total billed charges		196.8	80			Percent of total billed charges		393.6	90			Percent of total billed charges		442.8	85			Percent of total billed charges		418.2	85			Percent of total billed charges		418.2	85			Percent of total billed charges		418.2	100			Percent of total billed charges		492	100			Percent of total billed charges		492	100			Percent of total billed charges		492	33.3			Percent of total billed charges		163.836	33.3			Percent of total billed charges		163.836	100			Percent of total billed charges		492	163.836	442.8	
karl storz hellical stone basket (flex chole)	270	RC	Outpatient			492	319.8		90			Percent of total billed charges		442.8	40			Percent of total billed charges		196.8	80			Percent of total billed charges		393.6	90			Percent of total billed charges		442.8	85			Percent of total billed charges		418.2	85			Percent of total billed charges		418.2	85			Percent of total billed charges		418.2	100			Percent of total billed charges		492	100			Percent of total billed charges		492	100			Percent of total billed charges		492	33.3			Percent of total billed charges		163.836	33.3			Percent of total billed charges		163.836	100			Percent of total billed charges		492	163.836	442.8	
stone basket helical	270	RC	Outpatient			492	319.8		90			Percent of total billed charges		442.8	40			Percent of total billed charges		196.8	80			Percent of total billed charges		393.6	90			Percent of total billed charges		442.8	85			Percent of total billed charges		418.2	85			Percent of total billed charges		418.2	85			Percent of total billed charges		418.2	100			Percent of total billed charges		492	100			Percent of total billed charges		492	100			Percent of total billed charges		492	33.3			Percent of total billed charges		163.836	33.3			Percent of total billed charges		163.836	100			Percent of total billed charges		492	163.836	442.8	
zimm 3.5 recon plate 12hl	278	RC	Outpatient			492	319.8		90			Percent of total billed charges		442.8	40			Percent of total billed charges		196.8	80			Percent of total billed charges		393.6	90			Percent of total billed charges		442.8	85			Percent of total billed charges		418.2	85			Percent of total billed charges		418.2	85			Percent of total billed charges		418.2	100			Percent of total billed charges		492	100			Percent of total billed charges		492	100			Percent of total billed charges		492	33.3			Percent of total billed charges		163.836	33.3			Percent of total billed charges		163.836	100			Percent of total billed charges		492	163.836	442.8	
zim 4.5 t-buttress pl 6hl	278	RC	Outpatient			492	319.8		90			Percent of total billed charges		442.8	40			Percent of total billed charges		196.8	80			Percent of total billed charges		393.6	90			Percent of total billed charges		442.8	85			Percent of total billed charges		418.2	85			Percent of total billed charges		418.2	85			Percent of total billed charges		418.2	100			Percent of total billed charges		492	100			Percent of total billed charges		492	100			Percent of total billed charges		492	33.3			Percent of total billed charges		163.836	33.3			Percent of total billed charges		163.836	100			Percent of total billed charges		492	163.836	442.8	
5.0  captured screw 85mm 71642285 s/n	278	RC	Outpatient			493	320.45		90			Percent of total billed charges		443.7	40			Percent of total billed charges		197.2	80			Percent of total billed charges		394.4	90			Percent of total billed charges		443.7	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	100			Percent of total billed charges		493	100			Percent of total billed charges		493	100			Percent of total billed charges		493	33.3			Percent of total billed charges		164.169	33.3			Percent of total billed charges		164.169	100			Percent of total billed charges		493	164.169	443.7	
drill bit 4.5 703559 stryker	272	RC	Outpatient			493	320.45		90			Percent of total billed charges		443.7	40			Percent of total billed charges		197.2	80			Percent of total billed charges		394.4	90			Percent of total billed charges		443.7	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	100			Percent of total billed charges		493	100			Percent of total billed charges		493	100			Percent of total billed charges		493	33.3			Percent of total billed charges		164.169	33.3			Percent of total billed charges		164.169	100			Percent of total billed charges		493	164.169	443.7	
s/n 4.5  capture screw 35mm 71642135	278	RC	Outpatient			493	320.45		90			Percent of total billed charges		443.7	40			Percent of total billed charges		197.2	80			Percent of total billed charges		394.4	90			Percent of total billed charges		443.7	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	100			Percent of total billed charges		493	100			Percent of total billed charges		493	100			Percent of total billed charges		493	33.3			Percent of total billed charges		164.169	33.3			Percent of total billed charges		164.169	100			Percent of total billed charges		493	164.169	443.7	
s/n 4.5  capture screw 40mm 71642140	278	RC	Outpatient			493	320.45		90			Percent of total billed charges		443.7	40			Percent of total billed charges		197.2	80			Percent of total billed charges		394.4	90			Percent of total billed charges		443.7	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	100			Percent of total billed charges		493	100			Percent of total billed charges		493	100			Percent of total billed charges		493	33.3			Percent of total billed charges		164.169	33.3			Percent of total billed charges		164.169	100			Percent of total billed charges		493	164.169	443.7	
s/n 4.5  capture screw 60mm 71642160	278	RC	Outpatient			493	320.45		90			Percent of total billed charges		443.7	40			Percent of total billed charges		197.2	80			Percent of total billed charges		394.4	90			Percent of total billed charges		443.7	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	100			Percent of total billed charges		493	100			Percent of total billed charges		493	100			Percent of total billed charges		493	33.3			Percent of total billed charges		164.169	33.3			Percent of total billed charges		164.169	100			Percent of total billed charges		493	164.169	443.7	
s/n 4.5 capture screw 30mm 71642130	278	RC	Outpatient			493	320.45		90			Percent of total billed charges		443.7	40			Percent of total billed charges		197.2	80			Percent of total billed charges		394.4	90			Percent of total billed charges		443.7	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	100			Percent of total billed charges		493	100			Percent of total billed charges		493	100			Percent of total billed charges		493	33.3			Percent of total billed charges		164.169	33.3			Percent of total billed charges		164.169	100			Percent of total billed charges		493	164.169	443.7	
s/n 4.5 capture screw 65mm 71642165	278	RC	Outpatient			493	320.45		90			Percent of total billed charges		443.7	40			Percent of total billed charges		197.2	80			Percent of total billed charges		394.4	90			Percent of total billed charges		443.7	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	100			Percent of total billed charges		493	100			Percent of total billed charges		493	100			Percent of total billed charges		493	33.3			Percent of total billed charges		164.169	33.3			Percent of total billed charges		164.169	100			Percent of total billed charges		493	164.169	443.7	
s/n 4.5 captured screw 20 mm 7163-2120	278	RC	Outpatient			493	320.45		90			Percent of total billed charges		443.7	40			Percent of total billed charges		197.2	80			Percent of total billed charges		394.4	90			Percent of total billed charges		443.7	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	100			Percent of total billed charges		493	100			Percent of total billed charges		493	100			Percent of total billed charges		493	33.3			Percent of total billed charges		164.169	33.3			Percent of total billed charges		164.169	100			Percent of total billed charges		493	164.169	443.7	
s/n 4.5 captured screw 25 mm 7163-2125	278	RC	Outpatient			493	320.45		90			Percent of total billed charges		443.7	40			Percent of total billed charges		197.2	80			Percent of total billed charges		394.4	90			Percent of total billed charges		443.7	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	100			Percent of total billed charges		493	100			Percent of total billed charges		493	100			Percent of total billed charges		493	33.3			Percent of total billed charges		164.169	33.3			Percent of total billed charges		164.169	100			Percent of total billed charges		493	164.169	443.7	
s/n 4.5 captured screw 30 mm 7163-2130	278	RC	Outpatient			493	320.45		90			Percent of total billed charges		443.7	40			Percent of total billed charges		197.2	80			Percent of total billed charges		394.4	90			Percent of total billed charges		443.7	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	100			Percent of total billed charges		493	100			Percent of total billed charges		493	100			Percent of total billed charges		493	33.3			Percent of total billed charges		164.169	33.3			Percent of total billed charges		164.169	100			Percent of total billed charges		493	164.169	443.7	
s/n 4.5 captured screw 40 mm 7163-2140	278	RC	Outpatient			493	320.45		90			Percent of total billed charges		443.7	40			Percent of total billed charges		197.2	80			Percent of total billed charges		394.4	90			Percent of total billed charges		443.7	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	100			Percent of total billed charges		493	100			Percent of total billed charges		493	100			Percent of total billed charges		493	33.3			Percent of total billed charges		164.169	33.3			Percent of total billed charges		164.169	100			Percent of total billed charges		493	164.169	443.7	
s/n 4.5 captured screw 45 mm 7163-2145	278	RC	Outpatient			493	320.45		90			Percent of total billed charges		443.7	40			Percent of total billed charges		197.2	80			Percent of total billed charges		394.4	90			Percent of total billed charges		443.7	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	100			Percent of total billed charges		493	100			Percent of total billed charges		493	100			Percent of total billed charges		493	33.3			Percent of total billed charges		164.169	33.3			Percent of total billed charges		164.169	100			Percent of total billed charges		493	164.169	443.7	
s/n 5.0  capture screw 105mm 71642205	278	RC	Outpatient			493	320.45		90			Percent of total billed charges		443.7	40			Percent of total billed charges		197.2	80			Percent of total billed charges		394.4	90			Percent of total billed charges		443.7	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	100			Percent of total billed charges		493	100			Percent of total billed charges		493	100			Percent of total billed charges		493	33.3			Percent of total billed charges		164.169	33.3			Percent of total billed charges		164.169	100			Percent of total billed charges		493	164.169	443.7	
s/n 5.0  capture screw 20mm 71642220	278	RC	Outpatient			493	320.45		90			Percent of total billed charges		443.7	40			Percent of total billed charges		197.2	80			Percent of total billed charges		394.4	90			Percent of total billed charges		443.7	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	100			Percent of total billed charges		493	100			Percent of total billed charges		493	100			Percent of total billed charges		493	33.3			Percent of total billed charges		164.169	33.3			Percent of total billed charges		164.169	100			Percent of total billed charges		493	164.169	443.7	
s/n 5.0  capture screw 30mm 71642230	278	RC	Outpatient			493	320.45		90			Percent of total billed charges		443.7	40			Percent of total billed charges		197.2	80			Percent of total billed charges		394.4	90			Percent of total billed charges		443.7	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	100			Percent of total billed charges		493	100			Percent of total billed charges		493	100			Percent of total billed charges		493	33.3			Percent of total billed charges		164.169	33.3			Percent of total billed charges		164.169	100			Percent of total billed charges		493	164.169	443.7	
s/n 5.0  capture screw 40mm 71642240	278	RC	Outpatient			493	320.45		90			Percent of total billed charges		443.7	40			Percent of total billed charges		197.2	80			Percent of total billed charges		394.4	90			Percent of total billed charges		443.7	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	100			Percent of total billed charges		493	100			Percent of total billed charges		493	100			Percent of total billed charges		493	33.3			Percent of total billed charges		164.169	33.3			Percent of total billed charges		164.169	100			Percent of total billed charges		493	164.169	443.7	
s/n 5.0  capture screw 70mm 71642270	278	RC	Outpatient			493	320.45		90			Percent of total billed charges		443.7	40			Percent of total billed charges		197.2	80			Percent of total billed charges		394.4	90			Percent of total billed charges		443.7	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	100			Percent of total billed charges		493	100			Percent of total billed charges		493	100			Percent of total billed charges		493	33.3			Percent of total billed charges		164.169	33.3			Percent of total billed charges		164.169	100			Percent of total billed charges		493	164.169	443.7	
s/n 5.0  capture screw 80mm 71642280	278	RC	Outpatient			493	320.45		90			Percent of total billed charges		443.7	40			Percent of total billed charges		197.2	80			Percent of total billed charges		394.4	90			Percent of total billed charges		443.7	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	100			Percent of total billed charges		493	100			Percent of total billed charges		493	100			Percent of total billed charges		493	33.3			Percent of total billed charges		164.169	33.3			Percent of total billed charges		164.169	100			Percent of total billed charges		493	164.169	443.7	
s/n 5.0  capture screw 90mm 71642290	278	RC	Outpatient			493	320.45		90			Percent of total billed charges		443.7	40			Percent of total billed charges		197.2	80			Percent of total billed charges		394.4	90			Percent of total billed charges		443.7	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	100			Percent of total billed charges		493	100			Percent of total billed charges		493	100			Percent of total billed charges		493	33.3			Percent of total billed charges		164.169	33.3			Percent of total billed charges		164.169	100			Percent of total billed charges		493	164.169	443.7	
s/n 5.0 capture screw 35mm 71642235	278	RC	Outpatient			493	320.45		90			Percent of total billed charges		443.7	40			Percent of total billed charges		197.2	80			Percent of total billed charges		394.4	90			Percent of total billed charges		443.7	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	100			Percent of total billed charges		493	100			Percent of total billed charges		493	100			Percent of total billed charges		493	33.3			Percent of total billed charges		164.169	33.3			Percent of total billed charges		164.169	100			Percent of total billed charges		493	164.169	443.7	
s/n 5.0 capture screw 55mm 71642255	278	RC	Outpatient			493	320.45		90			Percent of total billed charges		443.7	40			Percent of total billed charges		197.2	80			Percent of total billed charges		394.4	90			Percent of total billed charges		443.7	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	100			Percent of total billed charges		493	100			Percent of total billed charges		493	100			Percent of total billed charges		493	33.3			Percent of total billed charges		164.169	33.3			Percent of total billed charges		164.169	100			Percent of total billed charges		493	164.169	443.7	
s/n 5.0 captured screw 105 mm 7163-2205	278	RC	Outpatient			493	320.45		90			Percent of total billed charges		443.7	40			Percent of total billed charges		197.2	80			Percent of total billed charges		394.4	90			Percent of total billed charges		443.7	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	100			Percent of total billed charges		493	100			Percent of total billed charges		493	100			Percent of total billed charges		493	33.3			Percent of total billed charges		164.169	33.3			Percent of total billed charges		164.169	100			Percent of total billed charges		493	164.169	443.7	
s/n 5.0 captured screw 110 mm 7163-2210	278	RC	Outpatient			493	320.45		90			Percent of total billed charges		443.7	40			Percent of total billed charges		197.2	80			Percent of total billed charges		394.4	90			Percent of total billed charges		443.7	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	100			Percent of total billed charges		493	100			Percent of total billed charges		493	100			Percent of total billed charges		493	33.3			Percent of total billed charges		164.169	33.3			Percent of total billed charges		164.169	100			Percent of total billed charges		493	164.169	443.7	
s/n 5.0 captured screw 25 mm 7163-2225	278	RC	Outpatient			493	320.45		90			Percent of total billed charges		443.7	40			Percent of total billed charges		197.2	80			Percent of total billed charges		394.4	90			Percent of total billed charges		443.7	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	100			Percent of total billed charges		493	100			Percent of total billed charges		493	100			Percent of total billed charges		493	33.3			Percent of total billed charges		164.169	33.3			Percent of total billed charges		164.169	100			Percent of total billed charges		493	164.169	443.7	
s/n 5.0 captured screw 50 mm 7163-2250	278	RC	Outpatient			493	320.45		90			Percent of total billed charges		443.7	40			Percent of total billed charges		197.2	80			Percent of total billed charges		394.4	90			Percent of total billed charges		443.7	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	100			Percent of total billed charges		493	100			Percent of total billed charges		493	100			Percent of total billed charges		493	33.3			Percent of total billed charges		164.169	33.3			Percent of total billed charges		164.169	100			Percent of total billed charges		493	164.169	443.7	
s/n 5.0 captured screw 55 mm 7163-2255	278	RC	Outpatient			493	320.45		90			Percent of total billed charges		443.7	40			Percent of total billed charges		197.2	80			Percent of total billed charges		394.4	90			Percent of total billed charges		443.7	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	100			Percent of total billed charges		493	100			Percent of total billed charges		493	100			Percent of total billed charges		493	33.3			Percent of total billed charges		164.169	33.3			Percent of total billed charges		164.169	100			Percent of total billed charges		493	164.169	443.7	
s/n 5.0 captured screw 60 mm 7163-2260	278	RC	Outpatient			493	320.45		90			Percent of total billed charges		443.7	40			Percent of total billed charges		197.2	80			Percent of total billed charges		394.4	90			Percent of total billed charges		443.7	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	100			Percent of total billed charges		493	100			Percent of total billed charges		493	100			Percent of total billed charges		493	33.3			Percent of total billed charges		164.169	33.3			Percent of total billed charges		164.169	100			Percent of total billed charges		493	164.169	443.7	
s/n 5.0 captured screw 70 mm 7163-2270	278	RC	Outpatient			493	320.45		90			Percent of total billed charges		443.7	40			Percent of total billed charges		197.2	80			Percent of total billed charges		394.4	90			Percent of total billed charges		443.7	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	100			Percent of total billed charges		493	100			Percent of total billed charges		493	100			Percent of total billed charges		493	33.3			Percent of total billed charges		164.169	33.3			Percent of total billed charges		164.169	100			Percent of total billed charges		493	164.169	443.7	
s/n 5.0 captured screw 75 mm 7163-2275	278	RC	Outpatient			493	320.45		90			Percent of total billed charges		443.7	40			Percent of total billed charges		197.2	80			Percent of total billed charges		394.4	90			Percent of total billed charges		443.7	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	100			Percent of total billed charges		493	100			Percent of total billed charges		493	100			Percent of total billed charges		493	33.3			Percent of total billed charges		164.169	33.3			Percent of total billed charges		164.169	100			Percent of total billed charges		493	164.169	443.7	
s/n 5.0 captured screw 80 mm 7163-2280	278	RC	Outpatient			493	320.45		90			Percent of total billed charges		443.7	40			Percent of total billed charges		197.2	80			Percent of total billed charges		394.4	90			Percent of total billed charges		443.7	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	100			Percent of total billed charges		493	100			Percent of total billed charges		493	100			Percent of total billed charges		493	33.3			Percent of total billed charges		164.169	33.3			Percent of total billed charges		164.169	100			Percent of total billed charges		493	164.169	443.7	
s/n 5.0 captured screw 85 mm 7163-2285	278	RC	Outpatient			493	320.45		90			Percent of total billed charges		443.7	40			Percent of total billed charges		197.2	80			Percent of total billed charges		394.4	90			Percent of total billed charges		443.7	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	100			Percent of total billed charges		493	100			Percent of total billed charges		493	100			Percent of total billed charges		493	33.3			Percent of total billed charges		164.169	33.3			Percent of total billed charges		164.169	100			Percent of total billed charges		493	164.169	443.7	
s/n 5.0 captured screw 90 mm 7163-2290	278	RC	Outpatient			493	320.45		90			Percent of total billed charges		443.7	40			Percent of total billed charges		197.2	80			Percent of total billed charges		394.4	90			Percent of total billed charges		443.7	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	100			Percent of total billed charges		493	100			Percent of total billed charges		493	100			Percent of total billed charges		493	33.3			Percent of total billed charges		164.169	33.3			Percent of total billed charges		164.169	100			Percent of total billed charges		493	164.169	443.7	
s/n 5.0 captured screw 95 mm 7163-2295	278	RC	Outpatient			493	320.45		90			Percent of total billed charges		443.7	40			Percent of total billed charges		197.2	80			Percent of total billed charges		394.4	90			Percent of total billed charges		443.7	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	100			Percent of total billed charges		493	100			Percent of total billed charges		493	100			Percent of total billed charges		493	33.3			Percent of total billed charges		164.169	33.3			Percent of total billed charges		164.169	100			Percent of total billed charges		493	164.169	443.7	
stone cone nitinol uro retrieval coil 3fr/10mm 390-320 bost scient	272	RC	Outpatient			493	320.45		90			Percent of total billed charges		443.7	40			Percent of total billed charges		197.2	80			Percent of total billed charges		394.4	90			Percent of total billed charges		443.7	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	100			Percent of total billed charges		493	100			Percent of total billed charges		493	100			Percent of total billed charges		493	33.3			Percent of total billed charges		164.169	33.3			Percent of total billed charges		164.169	100			Percent of total billed charges		493	164.169	443.7	
s/n 4.5  capture screw 45mm 71642145	278	RC	Outpatient			493	320.45		90			Percent of total billed charges		443.7	40			Percent of total billed charges		197.2	80			Percent of total billed charges		394.4	90			Percent of total billed charges		443.7	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	100			Percent of total billed charges		493	100			Percent of total billed charges		493	100			Percent of total billed charges		493	33.3			Percent of total billed charges		164.169	33.3			Percent of total billed charges		164.169	100			Percent of total billed charges		493	164.169	443.7	
s/n 4.5 capture screw 25mm 71642125	278	RC	Outpatient			493	320.45		90			Percent of total billed charges		443.7	40			Percent of total billed charges		197.2	80			Percent of total billed charges		394.4	90			Percent of total billed charges		443.7	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	100			Percent of total billed charges		493	100			Percent of total billed charges		493	100			Percent of total billed charges		493	33.3			Percent of total billed charges		164.169	33.3			Percent of total billed charges		164.169	100			Percent of total billed charges		493	164.169	443.7	
s/n 4.5 capture screw 50mm 71642150	278	RC	Outpatient			493	320.45		90			Percent of total billed charges		443.7	40			Percent of total billed charges		197.2	80			Percent of total billed charges		394.4	90			Percent of total billed charges		443.7	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	100			Percent of total billed charges		493	100			Percent of total billed charges		493	100			Percent of total billed charges		493	33.3			Percent of total billed charges		164.169	33.3			Percent of total billed charges		164.169	100			Percent of total billed charges		493	164.169	443.7	
s/n 4.5 capture screw 55mm 71642155	278	RC	Outpatient			493	320.45		90			Percent of total billed charges		443.7	40			Percent of total billed charges		197.2	80			Percent of total billed charges		394.4	90			Percent of total billed charges		443.7	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	100			Percent of total billed charges		493	100			Percent of total billed charges		493	100			Percent of total billed charges		493	33.3			Percent of total billed charges		164.169	33.3			Percent of total billed charges		164.169	100			Percent of total billed charges		493	164.169	443.7	
s/n 4.5 captured screw 35 mm 7163-2135	278	RC	Outpatient			493	320.45		90			Percent of total billed charges		443.7	40			Percent of total billed charges		197.2	80			Percent of total billed charges		394.4	90			Percent of total billed charges		443.7	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	100			Percent of total billed charges		493	100			Percent of total billed charges		493	100			Percent of total billed charges		493	33.3			Percent of total billed charges		164.169	33.3			Percent of total billed charges		164.169	100			Percent of total billed charges		493	164.169	443.7	
s/n 4.5 captured screw 50 mm 7163-2150	278	RC	Outpatient			493	320.45		90			Percent of total billed charges		443.7	40			Percent of total billed charges		197.2	80			Percent of total billed charges		394.4	90			Percent of total billed charges		443.7	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	100			Percent of total billed charges		493	100			Percent of total billed charges		493	100			Percent of total billed charges		493	33.3			Percent of total billed charges		164.169	33.3			Percent of total billed charges		164.169	100			Percent of total billed charges		493	164.169	443.7	
s/n 4.5 captured screw 55 mm 7163-2155	278	RC	Outpatient			493	320.45		90			Percent of total billed charges		443.7	40			Percent of total billed charges		197.2	80			Percent of total billed charges		394.4	90			Percent of total billed charges		443.7	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	100			Percent of total billed charges		493	100			Percent of total billed charges		493	100			Percent of total billed charges		493	33.3			Percent of total billed charges		164.169	33.3			Percent of total billed charges		164.169	100			Percent of total billed charges		493	164.169	443.7	
s/n 4.5 captured screw 60 mm 7163-2160	278	RC	Outpatient			493	320.45		90			Percent of total billed charges		443.7	40			Percent of total billed charges		197.2	80			Percent of total billed charges		394.4	90			Percent of total billed charges		443.7	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	100			Percent of total billed charges		493	100			Percent of total billed charges		493	100			Percent of total billed charges		493	33.3			Percent of total billed charges		164.169	33.3			Percent of total billed charges		164.169	100			Percent of total billed charges		493	164.169	443.7	
s/n 4.5 captured screw 65 mm 7163-2165	278	RC	Outpatient			493	320.45		90			Percent of total billed charges		443.7	40			Percent of total billed charges		197.2	80			Percent of total billed charges		394.4	90			Percent of total billed charges		443.7	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	100			Percent of total billed charges		493	100			Percent of total billed charges		493	100			Percent of total billed charges		493	33.3			Percent of total billed charges		164.169	33.3			Percent of total billed charges		164.169	100			Percent of total billed charges		493	164.169	443.7	
s/n 5.0  capture screw 100mm 71642200	278	RC	Outpatient			493	320.45		90			Percent of total billed charges		443.7	40			Percent of total billed charges		197.2	80			Percent of total billed charges		394.4	90			Percent of total billed charges		443.7	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	100			Percent of total billed charges		493	100			Percent of total billed charges		493	100			Percent of total billed charges		493	33.3			Percent of total billed charges		164.169	33.3			Percent of total billed charges		164.169	100			Percent of total billed charges		493	164.169	443.7	
s/n 5.0  capture screw 110mm 71642210	278	RC	Outpatient			493	320.45		90			Percent of total billed charges		443.7	40			Percent of total billed charges		197.2	80			Percent of total billed charges		394.4	90			Percent of total billed charges		443.7	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	100			Percent of total billed charges		493	100			Percent of total billed charges		493	100			Percent of total billed charges		493	33.3			Percent of total billed charges		164.169	33.3			Percent of total billed charges		164.169	100			Percent of total billed charges		493	164.169	443.7	
s/n 5.0  capture screw 25mm 71642225	278	RC	Outpatient			493	320.45		90			Percent of total billed charges		443.7	40			Percent of total billed charges		197.2	80			Percent of total billed charges		394.4	90			Percent of total billed charges		443.7	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	100			Percent of total billed charges		493	100			Percent of total billed charges		493	100			Percent of total billed charges		493	33.3			Percent of total billed charges		164.169	33.3			Percent of total billed charges		164.169	100			Percent of total billed charges		493	164.169	443.7	
s/n 5.0  capture screw 45mm 71642245	278	RC	Outpatient			493	320.45		90			Percent of total billed charges		443.7	40			Percent of total billed charges		197.2	80			Percent of total billed charges		394.4	90			Percent of total billed charges		443.7	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	100			Percent of total billed charges		493	100			Percent of total billed charges		493	100			Percent of total billed charges		493	33.3			Percent of total billed charges		164.169	33.3			Percent of total billed charges		164.169	100			Percent of total billed charges		493	164.169	443.7	
s/n 5.0  capture screw 50mm 71642250	278	RC	Outpatient			493	320.45		90			Percent of total billed charges		443.7	40			Percent of total billed charges		197.2	80			Percent of total billed charges		394.4	90			Percent of total billed charges		443.7	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	100			Percent of total billed charges		493	100			Percent of total billed charges		493	100			Percent of total billed charges		493	33.3			Percent of total billed charges		164.169	33.3			Percent of total billed charges		164.169	100			Percent of total billed charges		493	164.169	443.7	
s/n 5.0  capture screw 60mm 71642260	278	RC	Outpatient			493	320.45		90			Percent of total billed charges		443.7	40			Percent of total billed charges		197.2	80			Percent of total billed charges		394.4	90			Percent of total billed charges		443.7	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	100			Percent of total billed charges		493	100			Percent of total billed charges		493	100			Percent of total billed charges		493	33.3			Percent of total billed charges		164.169	33.3			Percent of total billed charges		164.169	100			Percent of total billed charges		493	164.169	443.7	
s/n 5.0  capture screw 65mm 71642265	278	RC	Outpatient			493	320.45		90			Percent of total billed charges		443.7	40			Percent of total billed charges		197.2	80			Percent of total billed charges		394.4	90			Percent of total billed charges		443.7	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	100			Percent of total billed charges		493	100			Percent of total billed charges		493	100			Percent of total billed charges		493	33.3			Percent of total billed charges		164.169	33.3			Percent of total billed charges		164.169	100			Percent of total billed charges		493	164.169	443.7	
s/n 5.0  capture screw 75mm 71642275	278	RC	Outpatient			493	320.45		90			Percent of total billed charges		443.7	40			Percent of total billed charges		197.2	80			Percent of total billed charges		394.4	90			Percent of total billed charges		443.7	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	100			Percent of total billed charges		493	100			Percent of total billed charges		493	100			Percent of total billed charges		493	33.3			Percent of total billed charges		164.169	33.3			Percent of total billed charges		164.169	100			Percent of total billed charges		493	164.169	443.7	
s/n 5.0  capture screw 95mm 71642295	278	RC	Outpatient			493	320.45		90			Percent of total billed charges		443.7	40			Percent of total billed charges		197.2	80			Percent of total billed charges		394.4	90			Percent of total billed charges		443.7	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	100			Percent of total billed charges		493	100			Percent of total billed charges		493	100			Percent of total billed charges		493	33.3			Percent of total billed charges		164.169	33.3			Percent of total billed charges		164.169	100			Percent of total billed charges		493	164.169	443.7	
s/n 5.0 captured screw 100 mm 7163-2200	278	RC	Outpatient			493	320.45		90			Percent of total billed charges		443.7	40			Percent of total billed charges		197.2	80			Percent of total billed charges		394.4	90			Percent of total billed charges		443.7	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	100			Percent of total billed charges		493	100			Percent of total billed charges		493	100			Percent of total billed charges		493	33.3			Percent of total billed charges		164.169	33.3			Percent of total billed charges		164.169	100			Percent of total billed charges		493	164.169	443.7	
s/n 5.0 captured screw 20 mm 7163-2220	278	RC	Outpatient			493	320.45		90			Percent of total billed charges		443.7	40			Percent of total billed charges		197.2	80			Percent of total billed charges		394.4	90			Percent of total billed charges		443.7	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	100			Percent of total billed charges		493	100			Percent of total billed charges		493	100			Percent of total billed charges		493	33.3			Percent of total billed charges		164.169	33.3			Percent of total billed charges		164.169	100			Percent of total billed charges		493	164.169	443.7	
s/n 5.0 captured screw 30 mm 7163-2230	278	RC	Outpatient			493	320.45		90			Percent of total billed charges		443.7	40			Percent of total billed charges		197.2	80			Percent of total billed charges		394.4	90			Percent of total billed charges		443.7	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	100			Percent of total billed charges		493	100			Percent of total billed charges		493	100			Percent of total billed charges		493	33.3			Percent of total billed charges		164.169	33.3			Percent of total billed charges		164.169	100			Percent of total billed charges		493	164.169	443.7	
s/n 5.0 captured screw 35 mm 7163-2235	278	RC	Outpatient			493	320.45		90			Percent of total billed charges		443.7	40			Percent of total billed charges		197.2	80			Percent of total billed charges		394.4	90			Percent of total billed charges		443.7	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	100			Percent of total billed charges		493	100			Percent of total billed charges		493	100			Percent of total billed charges		493	33.3			Percent of total billed charges		164.169	33.3			Percent of total billed charges		164.169	100			Percent of total billed charges		493	164.169	443.7	
s/n 5.0 captured screw 40 mm 7163-2240	278	RC	Outpatient			493	320.45		90			Percent of total billed charges		443.7	40			Percent of total billed charges		197.2	80			Percent of total billed charges		394.4	90			Percent of total billed charges		443.7	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	100			Percent of total billed charges		493	100			Percent of total billed charges		493	100			Percent of total billed charges		493	33.3			Percent of total billed charges		164.169	33.3			Percent of total billed charges		164.169	100			Percent of total billed charges		493	164.169	443.7	
s/n 5.0 captured screw 45 mm 7163-2245	278	RC	Outpatient			493	320.45		90			Percent of total billed charges		443.7	40			Percent of total billed charges		197.2	80			Percent of total billed charges		394.4	90			Percent of total billed charges		443.7	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	100			Percent of total billed charges		493	100			Percent of total billed charges		493	100			Percent of total billed charges		493	33.3			Percent of total billed charges		164.169	33.3			Percent of total billed charges		164.169	100			Percent of total billed charges		493	164.169	443.7	
s/n 5.0 captured screw 65 mm 7163-2265	278	RC	Outpatient			493	320.45		90			Percent of total billed charges		443.7	40			Percent of total billed charges		197.2	80			Percent of total billed charges		394.4	90			Percent of total billed charges		443.7	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	100			Percent of total billed charges		493	100			Percent of total billed charges		493	100			Percent of total billed charges		493	33.3			Percent of total billed charges		164.169	33.3			Percent of total billed charges		164.169	100			Percent of total billed charges		493	164.169	443.7	
stone coil	272	RC	Outpatient			493	320.45		90			Percent of total billed charges		443.7	40			Percent of total billed charges		197.2	80			Percent of total billed charges		394.4	90			Percent of total billed charges		443.7	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	100			Percent of total billed charges		493	100			Percent of total billed charges		493	100			Percent of total billed charges		493	33.3			Percent of total billed charges		164.169	33.3			Percent of total billed charges		164.169	100			Percent of total billed charges		493	164.169	443.7	
stone cone nitinol uro retrieval coil 3fr/7mm 390-310 bost scient	272	RC	Outpatient			493	320.45		90			Percent of total billed charges		443.7	40			Percent of total billed charges		197.2	80			Percent of total billed charges		394.4	90			Percent of total billed charges		443.7	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	100			Percent of total billed charges		493	100			Percent of total billed charges		493	100			Percent of total billed charges		493	33.3			Percent of total billed charges		164.169	33.3			Percent of total billed charges		164.169	100			Percent of total billed charges		493	164.169	443.7	
stryker drill bit 4.5	272	RC	Outpatient			493	320.45		90			Percent of total billed charges		443.7	40			Percent of total billed charges		197.2	80			Percent of total billed charges		394.4	90			Percent of total billed charges		443.7	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	100			Percent of total billed charges		493	100			Percent of total billed charges		493	100			Percent of total billed charges		493	33.3			Percent of total billed charges		164.169	33.3			Percent of total billed charges		164.169	100			Percent of total billed charges		493	164.169	443.7	
trigen cap screw 4.5/5.0	278	RC	Outpatient			493	320.45		90			Percent of total billed charges		443.7	40			Percent of total billed charges		197.2	80			Percent of total billed charges		394.4	90			Percent of total billed charges		443.7	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	85			Percent of total billed charges		419.05	100			Percent of total billed charges		493	100			Percent of total billed charges		493	100			Percent of total billed charges		493	33.3			Percent of total billed charges		164.169	33.3			Percent of total billed charges		164.169	100			Percent of total billed charges		493	164.169	443.7	
ccpf chemo admin 4.5 hrs	335	RC	Outpatient			494.25	321.26		90			Percent of total billed charges		444.825	40			Percent of total billed charges		197.7	80			Percent of total billed charges		395.4	90			Percent of total billed charges		444.825	85			Percent of total billed charges		420.1125	85			Percent of total billed charges		420.1125	85			Percent of total billed charges		420.1125	100			Percent of total billed charges		494.25	100			Percent of total billed charges		494.25	100			Percent of total billed charges		494.25	33.3			Percent of total billed charges		164.5853	33.3			Percent of total billed charges		164.5853	100			Percent of total billed charges		494.25	164.5853	444.825	
arthrex retro drill guide	272	RC	Outpatient			495	321.75		90			Percent of total billed charges		445.5	40			Percent of total billed charges		198	80			Percent of total billed charges		396	90			Percent of total billed charges		445.5	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	100			Percent of total billed charges		495	100			Percent of total billed charges		495	100			Percent of total billed charges		495	33.3			Percent of total billed charges		164.835	33.3			Percent of total billed charges		164.835	100			Percent of total billed charges		495	164.835	445.5	
arthrex retro drill guide assembly 3mm cannulated ar-1250rp	272	RC	Outpatient			495	321.75		90			Percent of total billed charges		445.5	40			Percent of total billed charges		198	80			Percent of total billed charges		396	90			Percent of total billed charges		445.5	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	100			Percent of total billed charges		495	100			Percent of total billed charges		495	100			Percent of total billed charges		495	33.3			Percent of total billed charges		164.835	33.3			Percent of total billed charges		164.835	100			Percent of total billed charges		495	164.835	445.5	
comp plt 3.5mm 7 hl 71829707 s\n	278	RC	Outpatient			495	321.75		90			Percent of total billed charges		445.5	40			Percent of total billed charges		198	80			Percent of total billed charges		396	90			Percent of total billed charges		445.5	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	100			Percent of total billed charges		495	100			Percent of total billed charges		495	100			Percent of total billed charges		495	33.3			Percent of total billed charges		164.835	33.3			Percent of total billed charges		164.835	100			Percent of total billed charges		495	164.835	445.5	
gold eyelid implant	278	RC	Outpatient			495	321.75		90			Percent of total billed charges		445.5	40			Percent of total billed charges		198	80			Percent of total billed charges		396	90			Percent of total billed charges		445.5	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	100			Percent of total billed charges		495	100			Percent of total billed charges		495	100			Percent of total billed charges		495	33.3			Percent of total billed charges		164.835	33.3			Percent of total billed charges		164.835	100			Percent of total billed charges		495	164.835	445.5	
imp screw recon prx sm 6mm x 85mm 122251	278	RC	Outpatient			495	321.75		90			Percent of total billed charges		445.5	40			Percent of total billed charges		198	80			Percent of total billed charges		396	90			Percent of total billed charges		445.5	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	100			Percent of total billed charges		495	100			Percent of total billed charges		495	100			Percent of total billed charges		495	33.3			Percent of total billed charges		164.835	33.3			Percent of total billed charges		164.835	100			Percent of total billed charges		495	164.835	445.5	
imp screw sm recon 6.4inx90mm 122253	278	RC	Outpatient			495	321.75		90			Percent of total billed charges		445.5	40			Percent of total billed charges		198	80			Percent of total billed charges		396	90			Percent of total billed charges		445.5	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	100			Percent of total billed charges		495	100			Percent of total billed charges		495	100			Percent of total billed charges		495	33.3			Percent of total billed charges		164.835	33.3			Percent of total billed charges		164.835	100			Percent of total billed charges		495	164.835	445.5	
implant screw proximal reconst 6.4 x 120mm 12-2239 s/n	278	RC	Outpatient			495	321.75		90			Percent of total billed charges		445.5	40			Percent of total billed charges		198	80			Percent of total billed charges		396	90			Percent of total billed charges		445.5	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	100			Percent of total billed charges		495	100			Percent of total billed charges		495	100			Percent of total billed charges		495	33.3			Percent of total billed charges		164.835	33.3			Percent of total billed charges		164.835	100			Percent of total billed charges		495	164.835	445.5	
implant screw proximal reconst 6.4 x 125mm 12-2241 s/n	278	RC	Outpatient			495	321.75		90			Percent of total billed charges		445.5	40			Percent of total billed charges		198	80			Percent of total billed charges		396	90			Percent of total billed charges		445.5	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	100			Percent of total billed charges		495	100			Percent of total billed charges		495	100			Percent of total billed charges		495	33.3			Percent of total billed charges		164.835	33.3			Percent of total billed charges		164.835	100			Percent of total billed charges		495	164.835	445.5	
implant screw proximal reconst 6.4 x 65mm 12-2243 s/n	278	RC	Outpatient			495	321.75		90			Percent of total billed charges		445.5	40			Percent of total billed charges		198	80			Percent of total billed charges		396	90			Percent of total billed charges		445.5	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	100			Percent of total billed charges		495	100			Percent of total billed charges		495	100			Percent of total billed charges		495	33.3			Percent of total billed charges		164.835	33.3			Percent of total billed charges		164.835	100			Percent of total billed charges		495	164.835	445.5	
implant screw proximal reconst 8.0 x 110mm 12-2260 s/n	278	RC	Outpatient			495	321.75		90			Percent of total billed charges		445.5	40			Percent of total billed charges		198	80			Percent of total billed charges		396	90			Percent of total billed charges		445.5	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	100			Percent of total billed charges		495	100			Percent of total billed charges		495	100			Percent of total billed charges		495	33.3			Percent of total billed charges		164.835	33.3			Percent of total billed charges		164.835	100			Percent of total billed charges		495	164.835	445.5	
implant screw proximal reconst 8.0 x 120mm 12-2238 s/n	278	RC	Outpatient			495	321.75		90			Percent of total billed charges		445.5	40			Percent of total billed charges		198	80			Percent of total billed charges		396	90			Percent of total billed charges		445.5	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	100			Percent of total billed charges		495	100			Percent of total billed charges		495	100			Percent of total billed charges		495	33.3			Percent of total billed charges		164.835	33.3			Percent of total billed charges		164.835	100			Percent of total billed charges		495	164.835	445.5	
implant screw proximal reconst 8.0 x 75mm 12-2246 s/n	278	RC	Outpatient			495	321.75		90			Percent of total billed charges		445.5	40			Percent of total billed charges		198	80			Percent of total billed charges		396	90			Percent of total billed charges		445.5	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	100			Percent of total billed charges		495	100			Percent of total billed charges		495	100			Percent of total billed charges		495	33.3			Percent of total billed charges		164.835	33.3			Percent of total billed charges		164.835	100			Percent of total billed charges		495	164.835	445.5	
implant screw proximal reconst 8.0 x 85mm 12-2250 s/n	278	RC	Outpatient			495	321.75		90			Percent of total billed charges		445.5	40			Percent of total billed charges		198	80			Percent of total billed charges		396	90			Percent of total billed charges		445.5	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	100			Percent of total billed charges		495	100			Percent of total billed charges		495	100			Percent of total billed charges		495	33.3			Percent of total billed charges		164.835	33.3			Percent of total billed charges		164.835	100			Percent of total billed charges		495	164.835	445.5	
implant screw proximal reconst 8.0 x 95mm 12-2254 s/n	278	RC	Outpatient			495	321.75		90			Percent of total billed charges		445.5	40			Percent of total billed charges		198	80			Percent of total billed charges		396	90			Percent of total billed charges		445.5	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	100			Percent of total billed charges		495	100			Percent of total billed charges		495	100			Percent of total billed charges		495	33.3			Percent of total billed charges		164.835	33.3			Percent of total billed charges		164.835	100			Percent of total billed charges		495	164.835	445.5	
gyrus haney clamp	272	RC	Outpatient			495	321.75		90			Percent of total billed charges		445.5	40			Percent of total billed charges		198	80			Percent of total billed charges		396	90			Percent of total billed charges		445.5	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	100			Percent of total billed charges		495	100			Percent of total billed charges		495	100			Percent of total billed charges		495	33.3			Percent of total billed charges		164.835	33.3			Percent of total billed charges		164.835	100			Percent of total billed charges		495	164.835	445.5	
implant screw proximal reconst 6.4 x 100mm 12-2261 s/n	278	RC	Outpatient			495	321.75		90			Percent of total billed charges		445.5	40			Percent of total billed charges		198	80			Percent of total billed charges		396	90			Percent of total billed charges		445.5	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	100			Percent of total billed charges		495	100			Percent of total billed charges		495	100			Percent of total billed charges		495	33.3			Percent of total billed charges		164.835	33.3			Percent of total billed charges		164.835	100			Percent of total billed charges		495	164.835	445.5	
implant screw proximal reconst 8.0 x 115mm 12-2236 s/n	278	RC	Outpatient			495	321.75		90			Percent of total billed charges		445.5	40			Percent of total billed charges		198	80			Percent of total billed charges		396	90			Percent of total billed charges		445.5	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	100			Percent of total billed charges		495	100			Percent of total billed charges		495	100			Percent of total billed charges		495	33.3			Percent of total billed charges		164.835	33.3			Percent of total billed charges		164.835	100			Percent of total billed charges		495	164.835	445.5	
implant screw proximal reconst 8.0 x 125mm 12-2240 s/n	278	RC	Outpatient			495	321.75		90			Percent of total billed charges		445.5	40			Percent of total billed charges		198	80			Percent of total billed charges		396	90			Percent of total billed charges		445.5	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	100			Percent of total billed charges		495	100			Percent of total billed charges		495	100			Percent of total billed charges		495	33.3			Percent of total billed charges		164.835	33.3			Percent of total billed charges		164.835	100			Percent of total billed charges		495	164.835	445.5	
implant screw proximal reconst 8.0 x 65mm 12-2242 s/n	278	RC	Outpatient			495	321.75		90			Percent of total billed charges		445.5	40			Percent of total billed charges		198	80			Percent of total billed charges		396	90			Percent of total billed charges		445.5	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	100			Percent of total billed charges		495	100			Percent of total billed charges		495	100			Percent of total billed charges		495	33.3			Percent of total billed charges		164.835	33.3			Percent of total billed charges		164.835	100			Percent of total billed charges		495	164.835	445.5	
implant screw proximal reconst 8.0 x 70mm 12-2244 s/n	278	RC	Outpatient			495	321.75		90			Percent of total billed charges		445.5	40			Percent of total billed charges		198	80			Percent of total billed charges		396	90			Percent of total billed charges		445.5	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	100			Percent of total billed charges		495	100			Percent of total billed charges		495	100			Percent of total billed charges		495	33.3			Percent of total billed charges		164.835	33.3			Percent of total billed charges		164.835	100			Percent of total billed charges		495	164.835	445.5	
implant screw proximal reconst 8.0 x 80mm 12-2248 s/n	278	RC	Outpatient			495	321.75		90			Percent of total billed charges		445.5	40			Percent of total billed charges		198	80			Percent of total billed charges		396	90			Percent of total billed charges		445.5	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	100			Percent of total billed charges		495	100			Percent of total billed charges		495	100			Percent of total billed charges		495	33.3			Percent of total billed charges		164.835	33.3			Percent of total billed charges		164.835	100			Percent of total billed charges		495	164.835	445.5	
implant screw proximal reconst 8.0 x 90mm 12-2252 s/n	278	RC	Outpatient			495	321.75		90			Percent of total billed charges		445.5	40			Percent of total billed charges		198	80			Percent of total billed charges		396	90			Percent of total billed charges		445.5	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	100			Percent of total billed charges		495	100			Percent of total billed charges		495	100			Percent of total billed charges		495	33.3			Percent of total billed charges		164.835	33.3			Percent of total billed charges		164.835	100			Percent of total billed charges		495	164.835	445.5	
implant screw proximal reconst8.0 x 105mm 12-2258 s/n	278	RC	Outpatient			495	321.75		90			Percent of total billed charges		445.5	40			Percent of total billed charges		198	80			Percent of total billed charges		396	90			Percent of total billed charges		445.5	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	100			Percent of total billed charges		495	100			Percent of total billed charges		495	100			Percent of total billed charges		495	33.3			Percent of total billed charges		164.835	33.3			Percent of total billed charges		164.835	100			Percent of total billed charges		495	164.835	445.5	
one seal haney clamp 3103 gyrus	272	RC	Outpatient			495	321.75		90			Percent of total billed charges		445.5	40			Percent of total billed charges		198	80			Percent of total billed charges		396	90			Percent of total billed charges		445.5	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	100			Percent of total billed charges		495	100			Percent of total billed charges		495	100			Percent of total billed charges		495	33.3			Percent of total billed charges		164.835	33.3			Percent of total billed charges		164.835	100			Percent of total billed charges		495	164.835	445.5	
palacos lv bone cement 00-1119-140-01 zimmer	278	RC	Outpatient			495	321.75		90			Percent of total billed charges		445.5	40			Percent of total billed charges		198	80			Percent of total billed charges		396	90			Percent of total billed charges		445.5	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	100			Percent of total billed charges		495	100			Percent of total billed charges		495	100			Percent of total billed charges		495	33.3			Percent of total billed charges		164.835	33.3			Percent of total billed charges		164.835	100			Percent of total billed charges		495	164.835	445.5	
palacos lv cement	278	RC	Outpatient			495	321.75		90			Percent of total billed charges		445.5	40			Percent of total billed charges		198	80			Percent of total billed charges		396	90			Percent of total billed charges		445.5	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	100			Percent of total billed charges		495	100			Percent of total billed charges		495	100			Percent of total billed charges		495	33.3			Percent of total billed charges		164.835	33.3			Percent of total billed charges		164.835	100			Percent of total billed charges		495	164.835	445.5	
s/n 3.5 lck comp pl 7hl	278	RC	Outpatient			495	321.75		90			Percent of total billed charges		445.5	40			Percent of total billed charges		198	80			Percent of total billed charges		396	90			Percent of total billed charges		445.5	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	100			Percent of total billed charges		495	100			Percent of total billed charges		495	100			Percent of total billed charges		495	33.3			Percent of total billed charges		164.835	33.3			Percent of total billed charges		164.835	100			Percent of total billed charges		495	164.835	445.5	
s/n turbinator coblator ii wand eica6895-01	272	RC	Outpatient			495	321.75		90			Percent of total billed charges		445.5	40			Percent of total billed charges		198	80			Percent of total billed charges		396	90			Percent of total billed charges		445.5	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	100			Percent of total billed charges		495	100			Percent of total billed charges		495	100			Percent of total billed charges		495	33.3			Percent of total billed charges		164.835	33.3			Percent of total billed charges		164.835	100			Percent of total billed charges		495	164.835	445.5	
screw large recon 8.0mm x 90mm 122252 smith	278	RC	Outpatient			495	321.75		90			Percent of total billed charges		445.5	40			Percent of total billed charges		198	80			Percent of total billed charges		396	90			Percent of total billed charges		445.5	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	100			Percent of total billed charges		495	100			Percent of total billed charges		495	100			Percent of total billed charges		495	33.3			Percent of total billed charges		164.835	33.3			Percent of total billed charges		164.835	100			Percent of total billed charges		495	164.835	445.5	
sm recon screw 6.4 x 80 122249	278	RC	Outpatient			495	321.75		90			Percent of total billed charges		445.5	40			Percent of total billed charges		198	80			Percent of total billed charges		396	90			Percent of total billed charges		445.5	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	100			Percent of total billed charges		495	100			Percent of total billed charges		495	100			Percent of total billed charges		495	33.3			Percent of total billed charges		164.835	33.3			Percent of total billed charges		164.835	100			Percent of total billed charges		495	164.835	445.5	
tantalum weight sizing set 7000 twe	278	RC	Outpatient			495	321.75		90			Percent of total billed charges		445.5	40			Percent of total billed charges		198	80			Percent of total billed charges		396	90			Percent of total billed charges		445.5	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	100			Percent of total billed charges		495	100			Percent of total billed charges		495	100			Percent of total billed charges		495	33.3			Percent of total billed charges		164.835	33.3			Percent of total billed charges		164.835	100			Percent of total billed charges		495	164.835	445.5	
r/t recon proximal screw	278	RC	Outpatient			495	321.75		90			Percent of total billed charges		445.5	40			Percent of total billed charges		198	80			Percent of total billed charges		396	90			Percent of total billed charges		445.5	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	100			Percent of total billed charges		495	100			Percent of total billed charges		495	100			Percent of total billed charges		495	33.3			Percent of total billed charges		164.835	33.3			Percent of total billed charges		164.835	100			Percent of total billed charges		495	164.835	445.5	
screw  reconst 6.4 x 105mm 12-2259 s/n	278	RC	Outpatient			495	321.75		90			Percent of total billed charges		445.5	40			Percent of total billed charges		198	80			Percent of total billed charges		396	90			Percent of total billed charges		445.5	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	100			Percent of total billed charges		495	100			Percent of total billed charges		495	100			Percent of total billed charges		495	33.3			Percent of total billed charges		164.835	33.3			Percent of total billed charges		164.835	100			Percent of total billed charges		495	164.835	445.5	
trigen scr 5.0 x 20	278	RC	Outpatient			495	321.75		90			Percent of total billed charges		445.5	40			Percent of total billed charges		198	80			Percent of total billed charges		396	90			Percent of total billed charges		445.5	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	100			Percent of total billed charges		495	100			Percent of total billed charges		495	100			Percent of total billed charges		495	33.3			Percent of total billed charges		164.835	33.3			Percent of total billed charges		164.835	100			Percent of total billed charges		495	164.835	445.5	
viagraf paste 1cc 717906 s/n	278	RC	Outpatient			495	321.75		90			Percent of total billed charges		445.5	40			Percent of total billed charges		198	80			Percent of total billed charges		396	90			Percent of total billed charges		445.5	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	100			Percent of total billed charges		495	100			Percent of total billed charges		495	100			Percent of total billed charges		495	33.3			Percent of total billed charges		164.835	33.3			Percent of total billed charges		164.835	100			Percent of total billed charges		495	164.835	445.5	
viagraf putty 1cc	278	RC	Outpatient			495	321.75		90			Percent of total billed charges		445.5	40			Percent of total billed charges		198	80			Percent of total billed charges		396	90			Percent of total billed charges		445.5	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	100			Percent of total billed charges		495	100			Percent of total billed charges		495	100			Percent of total billed charges		495	33.3			Percent of total billed charges		164.835	33.3			Percent of total billed charges		164.835	100			Percent of total billed charges		495	164.835	445.5	
viagraf paste 1cc	278	RC	Outpatient			495	321.75		90			Percent of total billed charges		445.5	40			Percent of total billed charges		198	80			Percent of total billed charges		396	90			Percent of total billed charges		445.5	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	100			Percent of total billed charges		495	100			Percent of total billed charges		495	100			Percent of total billed charges		495	33.3			Percent of total billed charges		164.835	33.3			Percent of total billed charges		164.835	100			Percent of total billed charges		495	164.835	445.5	
viagraf putty 1cc 717902 s/n	278	RC	Outpatient			495	321.75		90			Percent of total billed charges		445.5	40			Percent of total billed charges		198	80			Percent of total billed charges		396	90			Percent of total billed charges		445.5	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	85			Percent of total billed charges		420.75	100			Percent of total billed charges		495	100			Percent of total billed charges		495	100			Percent of total billed charges		495	33.3			Percent of total billed charges		164.835	33.3			Percent of total billed charges		164.835	100			Percent of total billed charges		495	164.835	445.5	
d/m acumed cables	278	RC	Outpatient			497	323.05		90			Percent of total billed charges		447.3	40			Percent of total billed charges		198.8	80			Percent of total billed charges		397.6	90			Percent of total billed charges		447.3	85			Percent of total billed charges		422.45	85			Percent of total billed charges		422.45	85			Percent of total billed charges		422.45	100			Percent of total billed charges		497	100			Percent of total billed charges		497	100			Percent of total billed charges		497	33.3			Percent of total billed charges		165.501	33.3			Percent of total billed charges		165.501	100			Percent of total billed charges		497	165.501	447.3	
cable surgical disp 5455s	278	RC	Outpatient			497	323.05		90			Percent of total billed charges		447.3	40			Percent of total billed charges		198.8	80			Percent of total billed charges		397.6	90			Percent of total billed charges		447.3	85			Percent of total billed charges		422.45	85			Percent of total billed charges		422.45	85			Percent of total billed charges		422.45	100			Percent of total billed charges		497	100			Percent of total billed charges		497	100			Percent of total billed charges		497	33.3			Percent of total billed charges		165.501	33.3			Percent of total billed charges		165.501	100			Percent of total billed charges		497	165.501	447.3	
implant cable 1.6 x 750mm 6704-8-236 hown	278	RC	Outpatient			497	323.05		90			Percent of total billed charges		447.3	40			Percent of total billed charges		198.8	80			Percent of total billed charges		397.6	90			Percent of total billed charges		447.3	85			Percent of total billed charges		422.45	85			Percent of total billed charges		422.45	85			Percent of total billed charges		422.45	100			Percent of total billed charges		497	100			Percent of total billed charges		497	100			Percent of total billed charges		497	33.3			Percent of total billed charges		165.501	33.3			Percent of total billed charges		165.501	100			Percent of total billed charges		497	165.501	447.3	
drill twist 3.5mm/cole radioluc 110244	270	RC	Outpatient			498	323.7		90			Percent of total billed charges		448.2	40			Percent of total billed charges		199.2	80			Percent of total billed charges		398.4	90			Percent of total billed charges		448.2	85			Percent of total billed charges		423.3	85			Percent of total billed charges		423.3	85			Percent of total billed charges		423.3	100			Percent of total billed charges		498	100			Percent of total billed charges		498	100			Percent of total billed charges		498	33.3			Percent of total billed charges		165.834	33.3			Percent of total billed charges		165.834	100			Percent of total billed charges		498	165.834	448.2	
drill twist 4.0mm cole radiolucent 110245	270	RC	Outpatient			498	323.7		90			Percent of total billed charges		448.2	40			Percent of total billed charges		199.2	80			Percent of total billed charges		398.4	90			Percent of total billed charges		448.2	85			Percent of total billed charges		423.3	85			Percent of total billed charges		423.3	85			Percent of total billed charges		423.3	100			Percent of total billed charges		498	100			Percent of total billed charges		498	100			Percent of total billed charges		498	33.3			Percent of total billed charges		165.834	33.3			Percent of total billed charges		165.834	100			Percent of total billed charges		498	165.834	448.2	
drill twist 4.8mm/cole radioluc 110246	270	RC	Outpatient			498	323.7		90			Percent of total billed charges		448.2	40			Percent of total billed charges		199.2	80			Percent of total billed charges		398.4	90			Percent of total billed charges		448.2	85			Percent of total billed charges		423.3	85			Percent of total billed charges		423.3	85			Percent of total billed charges		423.3	100			Percent of total billed charges		498	100			Percent of total billed charges		498	100			Percent of total billed charges		498	33.3			Percent of total billed charges		165.834	33.3			Percent of total billed charges		165.834	100			Percent of total billed charges		498	165.834	448.2	
s/n ao pilot drill lg	272	RC	Outpatient			498	323.7		90			Percent of total billed charges		448.2	40			Percent of total billed charges		199.2	80			Percent of total billed charges		398.4	90			Percent of total billed charges		448.2	85			Percent of total billed charges		423.3	85			Percent of total billed charges		423.3	85			Percent of total billed charges		423.3	100			Percent of total billed charges		498	100			Percent of total billed charges		498	100			Percent of total billed charges		498	33.3			Percent of total billed charges		165.834	33.3			Percent of total billed charges		165.834	100			Percent of total billed charges		498	165.834	448.2	
s/n rad twist drill	270	RC	Outpatient			498	323.7		90			Percent of total billed charges		448.2	40			Percent of total billed charges		199.2	80			Percent of total billed charges		398.4	90			Percent of total billed charges		448.2	85			Percent of total billed charges		423.3	85			Percent of total billed charges		423.3	85			Percent of total billed charges		423.3	100			Percent of total billed charges		498	100			Percent of total billed charges		498	100			Percent of total billed charges		498	33.3			Percent of total billed charges		165.834	33.3			Percent of total billed charges		165.834	100			Percent of total billed charges		498	165.834	448.2	
zimmer versa-fx ii  6-hole keyed compression plate short 130 degree 1193-150-96	278	RC	Outpatient			499	324.35		90			Percent of total billed charges		449.1	40			Percent of total billed charges		199.6	80			Percent of total billed charges		399.2	90			Percent of total billed charges		449.1	85			Percent of total billed charges		424.15	85			Percent of total billed charges		424.15	85			Percent of total billed charges		424.15	100			Percent of total billed charges		499	100			Percent of total billed charges		499	100			Percent of total billed charges		499	33.3			Percent of total billed charges		166.167	33.3			Percent of total billed charges		166.167	100			Percent of total billed charges		499	166.167	449.1	
zimmer versa-fx ii  6-hole keyed compression plate short 140 degree 1193-140-96	278	RC	Outpatient			499	324.35		90			Percent of total billed charges		449.1	40			Percent of total billed charges		199.6	80			Percent of total billed charges		399.2	90			Percent of total billed charges		449.1	85			Percent of total billed charges		424.15	85			Percent of total billed charges		424.15	85			Percent of total billed charges		424.15	100			Percent of total billed charges		499	100			Percent of total billed charges		499	100			Percent of total billed charges		499	33.3			Percent of total billed charges		166.167	33.3			Percent of total billed charges		166.167	100			Percent of total billed charges		499	166.167	449.1	
zimmer versa-fx ii  6-hole keyed compression plate short 145 degree 1193-145-96	278	RC	Outpatient			499	324.35		90			Percent of total billed charges		449.1	40			Percent of total billed charges		199.6	80			Percent of total billed charges		399.2	90			Percent of total billed charges		449.1	85			Percent of total billed charges		424.15	85			Percent of total billed charges		424.15	85			Percent of total billed charges		424.15	100			Percent of total billed charges		499	100			Percent of total billed charges		499	100			Percent of total billed charges		499	33.3			Percent of total billed charges		166.167	33.3			Percent of total billed charges		166.167	100			Percent of total billed charges		499	166.167	449.1	
zimmer versa-fx ii 2-hole keyed compression plate 145 degree 1193-145-02	278	RC	Outpatient			499	324.35		90			Percent of total billed charges		449.1	40			Percent of total billed charges		199.6	80			Percent of total billed charges		399.2	90			Percent of total billed charges		449.1	85			Percent of total billed charges		424.15	85			Percent of total billed charges		424.15	85			Percent of total billed charges		424.15	100			Percent of total billed charges		499	100			Percent of total billed charges		499	100			Percent of total billed charges		499	33.3			Percent of total billed charges		166.167	33.3			Percent of total billed charges		166.167	100			Percent of total billed charges		499	166.167	449.1	
zimmer versa-fx ii 2-hole keyed compression plate 15 degree 1193-135-02	278	RC	Outpatient			499	324.35		90			Percent of total billed charges		449.1	40			Percent of total billed charges		199.6	80			Percent of total billed charges		399.2	90			Percent of total billed charges		449.1	85			Percent of total billed charges		424.15	85			Percent of total billed charges		424.15	85			Percent of total billed charges		424.15	100			Percent of total billed charges		499	100			Percent of total billed charges		499	100			Percent of total billed charges		499	33.3			Percent of total billed charges		166.167	33.3			Percent of total billed charges		166.167	100			Percent of total billed charges		499	166.167	449.1	
zimmer versa-fx ii 3-hole keyed compression plate 145 degree 1193-145-03	278	RC	Outpatient			499	324.35		90			Percent of total billed charges		449.1	40			Percent of total billed charges		199.6	80			Percent of total billed charges		399.2	90			Percent of total billed charges		449.1	85			Percent of total billed charges		424.15	85			Percent of total billed charges		424.15	85			Percent of total billed charges		424.15	100			Percent of total billed charges		499	100			Percent of total billed charges		499	100			Percent of total billed charges		499	33.3			Percent of total billed charges		166.167	33.3			Percent of total billed charges		166.167	100			Percent of total billed charges		499	166.167	449.1	
zimmer versa-fx ii 3-hole keyed compression plate 150 degree 1193-140-03	278	RC	Outpatient			499	324.35		90			Percent of total billed charges		449.1	40			Percent of total billed charges		199.6	80			Percent of total billed charges		399.2	90			Percent of total billed charges		449.1	85			Percent of total billed charges		424.15	85			Percent of total billed charges		424.15	85			Percent of total billed charges		424.15	100			Percent of total billed charges		499	100			Percent of total billed charges		499	100			Percent of total billed charges		499	33.3			Percent of total billed charges		166.167	33.3			Percent of total billed charges		166.167	100			Percent of total billed charges		499	166.167	449.1	
zimmer versa-fx ii 4-hole keyed compression plate 135 degree 1193-135-04	278	RC	Outpatient			499	324.35		90			Percent of total billed charges		449.1	40			Percent of total billed charges		199.6	80			Percent of total billed charges		399.2	90			Percent of total billed charges		449.1	85			Percent of total billed charges		424.15	85			Percent of total billed charges		424.15	85			Percent of total billed charges		424.15	100			Percent of total billed charges		499	100			Percent of total billed charges		499	100			Percent of total billed charges		499	33.3			Percent of total billed charges		166.167	33.3			Percent of total billed charges		166.167	100			Percent of total billed charges		499	166.167	449.1	
zimmer versa-fx ii 4-hole keyed compression plate 140 degree 1193-140-04	278	RC	Outpatient			499	324.35		90			Percent of total billed charges		449.1	40			Percent of total billed charges		199.6	80			Percent of total billed charges		399.2	90			Percent of total billed charges		449.1	85			Percent of total billed charges		424.15	85			Percent of total billed charges		424.15	85			Percent of total billed charges		424.15	100			Percent of total billed charges		499	100			Percent of total billed charges		499	100			Percent of total billed charges		499	33.3			Percent of total billed charges		166.167	33.3			Percent of total billed charges		166.167	100			Percent of total billed charges		499	166.167	449.1	
zimmer versa-fx ii 4-hole keyed compression plate 150 degree 1193-150-04	278	RC	Outpatient			499	324.35		90			Percent of total billed charges		449.1	40			Percent of total billed charges		199.6	80			Percent of total billed charges		399.2	90			Percent of total billed charges		449.1	85			Percent of total billed charges		424.15	85			Percent of total billed charges		424.15	85			Percent of total billed charges		424.15	100			Percent of total billed charges		499	100			Percent of total billed charges		499	100			Percent of total billed charges		499	33.3			Percent of total billed charges		166.167	33.3			Percent of total billed charges		166.167	100			Percent of total billed charges		499	166.167	449.1	
zimmer versa-fx ii 5-hole keyed compression plate 130 degree 1193-130-05	278	RC	Outpatient			499	324.35		90			Percent of total billed charges		449.1	40			Percent of total billed charges		199.6	80			Percent of total billed charges		399.2	90			Percent of total billed charges		449.1	85			Percent of total billed charges		424.15	85			Percent of total billed charges		424.15	85			Percent of total billed charges		424.15	100			Percent of total billed charges		499	100			Percent of total billed charges		499	100			Percent of total billed charges		499	33.3			Percent of total billed charges		166.167	33.3			Percent of total billed charges		166.167	100			Percent of total billed charges		499	166.167	449.1	
zimmer versa-fx ii 5-hole keyed compression plate 135 degree 1193-135-05	278	RC	Outpatient			499	324.35		90			Percent of total billed charges		449.1	40			Percent of total billed charges		199.6	80			Percent of total billed charges		399.2	90			Percent of total billed charges		449.1	85			Percent of total billed charges		424.15	85			Percent of total billed charges		424.15	85			Percent of total billed charges		424.15	100			Percent of total billed charges		499	100			Percent of total billed charges		499	100			Percent of total billed charges		499	33.3			Percent of total billed charges		166.167	33.3			Percent of total billed charges		166.167	100			Percent of total billed charges		499	166.167	449.1	
zimmer versa-fx ii 5-hole keyed compression plate 150 degree 1193-150-05	278	RC	Outpatient			499	324.35		90			Percent of total billed charges		449.1	40			Percent of total billed charges		199.6	80			Percent of total billed charges		399.2	90			Percent of total billed charges		449.1	85			Percent of total billed charges		424.15	85			Percent of total billed charges		424.15	85			Percent of total billed charges		424.15	100			Percent of total billed charges		499	100			Percent of total billed charges		499	100			Percent of total billed charges		499	33.3			Percent of total billed charges		166.167	33.3			Percent of total billed charges		166.167	100			Percent of total billed charges		499	166.167	449.1	
zimmer versa-fx ii 6-hole keyed compression plate 140 degree 1193-140-06	278	RC	Outpatient			499	324.35		90			Percent of total billed charges		449.1	40			Percent of total billed charges		199.6	80			Percent of total billed charges		399.2	90			Percent of total billed charges		449.1	85			Percent of total billed charges		424.15	85			Percent of total billed charges		424.15	85			Percent of total billed charges		424.15	100			Percent of total billed charges		499	100			Percent of total billed charges		499	100			Percent of total billed charges		499	33.3			Percent of total billed charges		166.167	33.3			Percent of total billed charges		166.167	100			Percent of total billed charges		499	166.167	449.1	
zimmer versa-fx ii 6-hole keyed compression plate 145 degree 1193-145-06	278	RC	Outpatient			499	324.35		90			Percent of total billed charges		449.1	40			Percent of total billed charges		199.6	80			Percent of total billed charges		399.2	90			Percent of total billed charges		449.1	85			Percent of total billed charges		424.15	85			Percent of total billed charges		424.15	85			Percent of total billed charges		424.15	100			Percent of total billed charges		499	100			Percent of total billed charges		499	100			Percent of total billed charges		499	33.3			Percent of total billed charges		166.167	33.3			Percent of total billed charges		166.167	100			Percent of total billed charges		499	166.167	449.1	
versa-fx ii comp plate	278	RC	Outpatient			499	324.35		90			Percent of total billed charges		449.1	40			Percent of total billed charges		199.6	80			Percent of total billed charges		399.2	90			Percent of total billed charges		449.1	85			Percent of total billed charges		424.15	85			Percent of total billed charges		424.15	85			Percent of total billed charges		424.15	100			Percent of total billed charges		499	100			Percent of total billed charges		499	100			Percent of total billed charges		499	33.3			Percent of total billed charges		166.167	33.3			Percent of total billed charges		166.167	100			Percent of total billed charges		499	166.167	449.1	
zimmer versa-fx ii  6-hole keyed compression plate short 135 degree 1193-135-96	278	RC	Outpatient			499	324.35		90			Percent of total billed charges		449.1	40			Percent of total billed charges		199.6	80			Percent of total billed charges		399.2	90			Percent of total billed charges		449.1	85			Percent of total billed charges		424.15	85			Percent of total billed charges		424.15	85			Percent of total billed charges		424.15	100			Percent of total billed charges		499	100			Percent of total billed charges		499	100			Percent of total billed charges		499	33.3			Percent of total billed charges		166.167	33.3			Percent of total billed charges		166.167	100			Percent of total billed charges		499	166.167	449.1	
zimmer versa-fx ii  6-hole keyed compression plate short 150 degree 1193-150-96	278	RC	Outpatient			499	324.35		90			Percent of total billed charges		449.1	40			Percent of total billed charges		199.6	80			Percent of total billed charges		399.2	90			Percent of total billed charges		449.1	85			Percent of total billed charges		424.15	85			Percent of total billed charges		424.15	85			Percent of total billed charges		424.15	100			Percent of total billed charges		499	100			Percent of total billed charges		499	100			Percent of total billed charges		499	33.3			Percent of total billed charges		166.167	33.3			Percent of total billed charges		166.167	100			Percent of total billed charges		499	166.167	449.1	
zimmer versa-fx ii 2-hole keyed compression plate 130 degree 1193-130-02	278	RC	Outpatient			499	324.35		90			Percent of total billed charges		449.1	40			Percent of total billed charges		199.6	80			Percent of total billed charges		399.2	90			Percent of total billed charges		449.1	85			Percent of total billed charges		424.15	85			Percent of total billed charges		424.15	85			Percent of total billed charges		424.15	100			Percent of total billed charges		499	100			Percent of total billed charges		499	100			Percent of total billed charges		499	33.3			Percent of total billed charges		166.167	33.3			Percent of total billed charges		166.167	100			Percent of total billed charges		499	166.167	449.1	
zimmer versa-fx ii 2-hole keyed compression plate 140 degree 1193-140-02	278	RC	Outpatient			499	324.35		90			Percent of total billed charges		449.1	40			Percent of total billed charges		199.6	80			Percent of total billed charges		399.2	90			Percent of total billed charges		449.1	85			Percent of total billed charges		424.15	85			Percent of total billed charges		424.15	85			Percent of total billed charges		424.15	100			Percent of total billed charges		499	100			Percent of total billed charges		499	100			Percent of total billed charges		499	33.3			Percent of total billed charges		166.167	33.3			Percent of total billed charges		166.167	100			Percent of total billed charges		499	166.167	449.1	
zimmer versa-fx ii 2-hole keyed compression plate 150 degree 1193-150-02	278	RC	Outpatient			499	324.35		90			Percent of total billed charges		449.1	40			Percent of total billed charges		199.6	80			Percent of total billed charges		399.2	90			Percent of total billed charges		449.1	85			Percent of total billed charges		424.15	85			Percent of total billed charges		424.15	85			Percent of total billed charges		424.15	100			Percent of total billed charges		499	100			Percent of total billed charges		499	100			Percent of total billed charges		499	33.3			Percent of total billed charges		166.167	33.3			Percent of total billed charges		166.167	100			Percent of total billed charges		499	166.167	449.1	
zimmer versa-fx ii 3-hole keyed compression plate 130 degree 1193-130-03	278	RC	Outpatient			499	324.35		90			Percent of total billed charges		449.1	40			Percent of total billed charges		199.6	80			Percent of total billed charges		399.2	90			Percent of total billed charges		449.1	85			Percent of total billed charges		424.15	85			Percent of total billed charges		424.15	85			Percent of total billed charges		424.15	100			Percent of total billed charges		499	100			Percent of total billed charges		499	100			Percent of total billed charges		499	33.3			Percent of total billed charges		166.167	33.3			Percent of total billed charges		166.167	100			Percent of total billed charges		499	166.167	449.1	
zimmer versa-fx ii 3-hole keyed compression plate 135 degree 1193-135-03	278	RC	Outpatient			499	324.35		90			Percent of total billed charges		449.1	40			Percent of total billed charges		199.6	80			Percent of total billed charges		399.2	90			Percent of total billed charges		449.1	85			Percent of total billed charges		424.15	85			Percent of total billed charges		424.15	85			Percent of total billed charges		424.15	100			Percent of total billed charges		499	100			Percent of total billed charges		499	100			Percent of total billed charges		499	33.3			Percent of total billed charges		166.167	33.3			Percent of total billed charges		166.167	100			Percent of total billed charges		499	166.167	449.1	
zimmer versa-fx ii 3-hole keyed compression plate 140 degree 1193-140-03	278	RC	Outpatient			499	324.35		90			Percent of total billed charges		449.1	40			Percent of total billed charges		199.6	80			Percent of total billed charges		399.2	90			Percent of total billed charges		449.1	85			Percent of total billed charges		424.15	85			Percent of total billed charges		424.15	85			Percent of total billed charges		424.15	100			Percent of total billed charges		499	100			Percent of total billed charges		499	100			Percent of total billed charges		499	33.3			Percent of total billed charges		166.167	33.3			Percent of total billed charges		166.167	100			Percent of total billed charges		499	166.167	449.1	
zimmer versa-fx ii 4-hole keyed compression plate 130 degree 1193-130-04	278	RC	Outpatient			499	324.35		90			Percent of total billed charges		449.1	40			Percent of total billed charges		199.6	80			Percent of total billed charges		399.2	90			Percent of total billed charges		449.1	85			Percent of total billed charges		424.15	85			Percent of total billed charges		424.15	85			Percent of total billed charges		424.15	100			Percent of total billed charges		499	100			Percent of total billed charges		499	100			Percent of total billed charges		499	33.3			Percent of total billed charges		166.167	33.3			Percent of total billed charges		166.167	100			Percent of total billed charges		499	166.167	449.1	
zimmer versa-fx ii 4-hole keyed compression plate 145 degree 1193-145-04	278	RC	Outpatient			499	324.35		90			Percent of total billed charges		449.1	40			Percent of total billed charges		199.6	80			Percent of total billed charges		399.2	90			Percent of total billed charges		449.1	85			Percent of total billed charges		424.15	85			Percent of total billed charges		424.15	85			Percent of total billed charges		424.15	100			Percent of total billed charges		499	100			Percent of total billed charges		499	100			Percent of total billed charges		499	33.3			Percent of total billed charges		166.167	33.3			Percent of total billed charges		166.167	100			Percent of total billed charges		499	166.167	449.1	
zimmer versa-fx ii 5-hole keyed compression plate 140 degree 1193-140-05	278	RC	Outpatient			499	324.35		90			Percent of total billed charges		449.1	40			Percent of total billed charges		199.6	80			Percent of total billed charges		399.2	90			Percent of total billed charges		449.1	85			Percent of total billed charges		424.15	85			Percent of total billed charges		424.15	85			Percent of total billed charges		424.15	100			Percent of total billed charges		499	100			Percent of total billed charges		499	100			Percent of total billed charges		499	33.3			Percent of total billed charges		166.167	33.3			Percent of total billed charges		166.167	100			Percent of total billed charges		499	166.167	449.1	
zimmer versa-fx ii 5-hole keyed compression plate 145degree 1193-145-05	278	RC	Outpatient			499	324.35		90			Percent of total billed charges		449.1	40			Percent of total billed charges		199.6	80			Percent of total billed charges		399.2	90			Percent of total billed charges		449.1	85			Percent of total billed charges		424.15	85			Percent of total billed charges		424.15	85			Percent of total billed charges		424.15	100			Percent of total billed charges		499	100			Percent of total billed charges		499	100			Percent of total billed charges		499	33.3			Percent of total billed charges		166.167	33.3			Percent of total billed charges		166.167	100			Percent of total billed charges		499	166.167	449.1	
zimmer versa-fx ii 6-hole keyed compression plate 130 degree 1193-130-06	278	RC	Outpatient			499	324.35		90			Percent of total billed charges		449.1	40			Percent of total billed charges		199.6	80			Percent of total billed charges		399.2	90			Percent of total billed charges		449.1	85			Percent of total billed charges		424.15	85			Percent of total billed charges		424.15	85			Percent of total billed charges		424.15	100			Percent of total billed charges		499	100			Percent of total billed charges		499	100			Percent of total billed charges		499	33.3			Percent of total billed charges		166.167	33.3			Percent of total billed charges		166.167	100			Percent of total billed charges		499	166.167	449.1	
zimmer versa-fx ii 6-hole keyed compression plate 135 degree 1193-135-06	278	RC	Outpatient			499	324.35		90			Percent of total billed charges		449.1	40			Percent of total billed charges		199.6	80			Percent of total billed charges		399.2	90			Percent of total billed charges		449.1	85			Percent of total billed charges		424.15	85			Percent of total billed charges		424.15	85			Percent of total billed charges		424.15	100			Percent of total billed charges		499	100			Percent of total billed charges		499	100			Percent of total billed charges		499	33.3			Percent of total billed charges		166.167	33.3			Percent of total billed charges		166.167	100			Percent of total billed charges		499	166.167	449.1	
zimmer versa-fx ii 6-hole keyed compression plate 150 degree 1193-150-06	278	RC	Outpatient			499	324.35		90			Percent of total billed charges		449.1	40			Percent of total billed charges		199.6	80			Percent of total billed charges		399.2	90			Percent of total billed charges		449.1	85			Percent of total billed charges		424.15	85			Percent of total billed charges		424.15	85			Percent of total billed charges		424.15	100			Percent of total billed charges		499	100			Percent of total billed charges		499	100			Percent of total billed charges		499	33.3			Percent of total billed charges		166.167	33.3			Percent of total billed charges		166.167	100			Percent of total billed charges		499	166.167	449.1	
cosmetic - large scar excision	983	RC	Outpatient			500	325		90			Percent of total billed charges		450	40			Percent of total billed charges		200	80			Percent of total billed charges		400	90			Percent of total billed charges		450	85			Percent of total billed charges		425	85			Percent of total billed charges		425	85			Percent of total billed charges		425	100			Percent of total billed charges		500	100			Percent of total billed charges		500	100			Percent of total billed charges		500	33.3			Percent of total billed charges		166.5	33.3			Percent of total billed charges		166.5	100			Percent of total billed charges		500	166.5	450	
cosmetic - laser hair removal - legs (complete) single session	983	RC	Outpatient			500	325		90			Percent of total billed charges		450	40			Percent of total billed charges		200	80			Percent of total billed charges		400	90			Percent of total billed charges		450	85			Percent of total billed charges		425	85			Percent of total billed charges		425	85			Percent of total billed charges		425	100			Percent of total billed charges		500	100			Percent of total billed charges		500	100			Percent of total billed charges		500	33.3			Percent of total billed charges		166.5	33.3			Percent of total billed charges		166.5	100			Percent of total billed charges		500	166.5	450	
"ima-ad - independent medical evaluation, each additional hour of review"	983	RC	Outpatient			500	325		90			Percent of total billed charges		450	40			Percent of total billed charges		200	80			Percent of total billed charges		400	90			Percent of total billed charges		450	85			Percent of total billed charges		425	85			Percent of total billed charges		425	85			Percent of total billed charges		425	100			Percent of total billed charges		500	100			Percent of total billed charges		500	100			Percent of total billed charges		500	33.3			Percent of total billed charges		166.5	33.3			Percent of total billed charges		166.5	100			Percent of total billed charges		500	166.5	450	
scrmc filter retrieval gunther tulip	621	RC	Outpatient			500	325		90			Percent of total billed charges		450	40			Percent of total billed charges		200	80			Percent of total billed charges		400	90			Percent of total billed charges		450	85			Percent of total billed charges		425	85			Percent of total billed charges		425	85			Percent of total billed charges		425	100			Percent of total billed charges		500	100			Percent of total billed charges		500	100			Percent of total billed charges		500	33.3			Percent of total billed charges		166.5	33.3			Percent of total billed charges		166.5	100			Percent of total billed charges		500	166.5	450	
vanquish - additional session	983	RC	Outpatient			500	325		90			Percent of total billed charges		450	40			Percent of total billed charges		200	80			Percent of total billed charges		400	90			Percent of total billed charges		450	85			Percent of total billed charges		425	85			Percent of total billed charges		425	85			Percent of total billed charges		425	100			Percent of total billed charges		500	100			Percent of total billed charges		500	100			Percent of total billed charges		500	33.3			Percent of total billed charges		166.5	33.3			Percent of total billed charges		166.5	100			Percent of total billed charges		500	166.5	450	
vanquish - each session	983	RC	Outpatient			500	325		90			Percent of total billed charges		450	40			Percent of total billed charges		200	80			Percent of total billed charges		400	90			Percent of total billed charges		450	85			Percent of total billed charges		425	85			Percent of total billed charges		425	85			Percent of total billed charges		425	100			Percent of total billed charges		500	100			Percent of total billed charges		500	100			Percent of total billed charges		500	33.3			Percent of total billed charges		166.5	33.3			Percent of total billed charges		166.5	100			Percent of total billed charges		500	166.5	450	
probe fiapc straight erbe ref# 20132-214	272	RC	Outpatient			500.5	325.33		90			Percent of total billed charges		450.45	40			Percent of total billed charges		200.2	80			Percent of total billed charges		400.4	90			Percent of total billed charges		450.45	85			Percent of total billed charges		425.425	85			Percent of total billed charges		425.425	85			Percent of total billed charges		425.425	100			Percent of total billed charges		500.5	100			Percent of total billed charges		500.5	100			Percent of total billed charges		500.5	33.3			Percent of total billed charges		166.6665	33.3			Percent of total billed charges		166.6665	100			Percent of total billed charges		500.5	166.6665	450.45	
bio mod center sleeve	278	RC	Outpatient			501	325.65		90			Percent of total billed charges		450.9	40			Percent of total billed charges		200.4	80			Percent of total billed charges		400.8	90			Percent of total billed charges		450.9	85			Percent of total billed charges		425.85	85			Percent of total billed charges		425.85	85			Percent of total billed charges		425.85	100			Percent of total billed charges		501	100			Percent of total billed charges		501	100			Percent of total billed charges		501	33.3			Percent of total billed charges		166.833	33.3			Percent of total billed charges		166.833	100			Percent of total billed charges		501	166.833	450.9	
bio-modular centering sleeve 6mm 113789 biomet	278	RC	Outpatient			501	325.65		90			Percent of total billed charges		450.9	40			Percent of total billed charges		200.4	80			Percent of total billed charges		400.8	90			Percent of total billed charges		450.9	85			Percent of total billed charges		425.85	85			Percent of total billed charges		425.85	85			Percent of total billed charges		425.85	100			Percent of total billed charges		501	100			Percent of total billed charges		501	100			Percent of total billed charges		501	33.3			Percent of total billed charges		166.833	33.3			Percent of total billed charges		166.833	100			Percent of total billed charges		501	166.833	450.9	
acufex 7.5m endoscopic drill 7207493 s/n	272	RC	Outpatient			501.6	326.04		90			Percent of total billed charges		451.44	40			Percent of total billed charges		200.64	80			Percent of total billed charges		401.28	90			Percent of total billed charges		451.44	85			Percent of total billed charges		426.36	85			Percent of total billed charges		426.36	85			Percent of total billed charges		426.36	100			Percent of total billed charges		501.6	100			Percent of total billed charges		501.6	100			Percent of total billed charges		501.6	33.3			Percent of total billed charges		167.0328	33.3			Percent of total billed charges		167.0328	100			Percent of total billed charges		501.6	167.0328	451.44	
bard ligator (6)	270	RC	Outpatient			502	326.3		90			Percent of total billed charges		451.8	40			Percent of total billed charges		200.8	80			Percent of total billed charges		401.6	90			Percent of total billed charges		451.8	85			Percent of total billed charges		426.7	85			Percent of total billed charges		426.7	85			Percent of total billed charges		426.7	100			Percent of total billed charges		502	100			Percent of total billed charges		502	100			Percent of total billed charges		502	33.3			Percent of total billed charges		167.166	33.3			Percent of total billed charges		167.166	100			Percent of total billed charges		502	167.166	451.8	
biom vhs lag scw 120-130	278	RC	Outpatient			502	326.3		90			Percent of total billed charges		451.8	40			Percent of total billed charges		200.8	80			Percent of total billed charges		401.6	90			Percent of total billed charges		451.8	85			Percent of total billed charges		426.7	85			Percent of total billed charges		426.7	85			Percent of total billed charges		426.7	100			Percent of total billed charges		502	100			Percent of total billed charges		502	100			Percent of total billed charges		502	33.3			Percent of total billed charges		167.166	33.3			Percent of total billed charges		167.166	100			Percent of total billed charges		502	167.166	451.8	
clamp  x fix small 4.0mm/2.5mm 395.54 synthes	270	RC	Outpatient			502	326.3		90			Percent of total billed charges		451.8	40			Percent of total billed charges		200.8	80			Percent of total billed charges		401.6	90			Percent of total billed charges		451.8	85			Percent of total billed charges		426.7	85			Percent of total billed charges		426.7	85			Percent of total billed charges		426.7	100			Percent of total billed charges		502	100			Percent of total billed charges		502	100			Percent of total billed charges		502	33.3			Percent of total billed charges		167.166	33.3			Percent of total billed charges		167.166	100			Percent of total billed charges		502	167.166	451.8	
clamp x fix small 4.0mm/4.0mm 395.55 synthes	270	RC	Outpatient			502	326.3		90			Percent of total billed charges		451.8	40			Percent of total billed charges		200.8	80			Percent of total billed charges		401.6	90			Percent of total billed charges		451.8	85			Percent of total billed charges		426.7	85			Percent of total billed charges		426.7	85			Percent of total billed charges		426.7	100			Percent of total billed charges		502	100			Percent of total billed charges		502	100			Percent of total billed charges		502	33.3			Percent of total billed charges		167.166	33.3			Percent of total billed charges		167.166	100			Percent of total billed charges		502	167.166	451.8	
endo banding ligator 6 shooter	270	RC	Outpatient			502	326.3		90			Percent of total billed charges		451.8	40			Percent of total billed charges		200.8	80			Percent of total billed charges		401.6	90			Percent of total billed charges		451.8	85			Percent of total billed charges		426.7	85			Percent of total billed charges		426.7	85			Percent of total billed charges		426.7	100			Percent of total billed charges		502	100			Percent of total billed charges		502	100			Percent of total billed charges		502	33.3			Percent of total billed charges		167.166	33.3			Percent of total billed charges		167.166	100			Percent of total billed charges		502	167.166	451.8	
ext fix open clamp sm 4.0	270	RC	Outpatient			502	326.3		90			Percent of total billed charges		451.8	40			Percent of total billed charges		200.8	80			Percent of total billed charges		401.6	90			Percent of total billed charges		451.8	85			Percent of total billed charges		426.7	85			Percent of total billed charges		426.7	85			Percent of total billed charges		426.7	100			Percent of total billed charges		502	100			Percent of total billed charges		502	100			Percent of total billed charges		502	33.3			Percent of total billed charges		167.166	33.3			Percent of total billed charges		167.166	100			Percent of total billed charges		502	167.166	451.8	
goldenbrg porp prosthesis	274	RC	Outpatient			502	326.3		90			Percent of total billed charges		451.8	40			Percent of total billed charges		200.8	80			Percent of total billed charges		401.6	90			Percent of total billed charges		451.8	85			Percent of total billed charges		426.7	85			Percent of total billed charges		426.7	85			Percent of total billed charges		426.7	100			Percent of total billed charges		502	100			Percent of total billed charges		502	100			Percent of total billed charges		502	33.3			Percent of total billed charges		167.166	33.3			Percent of total billed charges		167.166	100			Percent of total billed charges		502	167.166	451.8	
implant plate angled blade dcp 90 deg 35mm 235.27 synthes	278	RC	Outpatient			502	326.3		90			Percent of total billed charges		451.8	40			Percent of total billed charges		200.8	80			Percent of total billed charges		401.6	90			Percent of total billed charges		451.8	85			Percent of total billed charges		426.7	85			Percent of total billed charges		426.7	85			Percent of total billed charges		426.7	100			Percent of total billed charges		502	100			Percent of total billed charges		502	100			Percent of total billed charges		502	33.3			Percent of total billed charges		167.166	33.3			Percent of total billed charges		167.166	100			Percent of total billed charges		502	167.166	451.8	
l&d bilateral tubal ligation	722	RC	Outpatient			502	326.3		90			Percent of total billed charges		451.8	40			Percent of total billed charges		200.8	80			Percent of total billed charges		401.6	90			Percent of total billed charges		451.8	85			Percent of total billed charges		426.7	85			Percent of total billed charges		426.7	85			Percent of total billed charges		426.7	100			Percent of total billed charges		502	100			Percent of total billed charges		502	100			Percent of total billed charges		502	33.3			Percent of total billed charges		167.166	33.3			Percent of total billed charges		167.166	100			Percent of total billed charges		502	167.166	451.8	
prosthesis ear goldenberg porp ha/plast 5.5mm 14-0916 s/n	274	RC	Outpatient			502	326.3		90			Percent of total billed charges		451.8	40			Percent of total billed charges		200.8	80			Percent of total billed charges		401.6	90			Percent of total billed charges		451.8	85			Percent of total billed charges		426.7	85			Percent of total billed charges		426.7	85			Percent of total billed charges		426.7	100			Percent of total billed charges		502	100			Percent of total billed charges		502	100			Percent of total billed charges		502	33.3			Percent of total billed charges		167.166	33.3			Percent of total billed charges		167.166	100			Percent of total billed charges		502	167.166	451.8	
prosthesis prop 8.8mm 14-0917 s/n	274	RC	Outpatient			502	326.3		90			Percent of total billed charges		451.8	40			Percent of total billed charges		200.8	80			Percent of total billed charges		401.6	90			Percent of total billed charges		451.8	85			Percent of total billed charges		426.7	85			Percent of total billed charges		426.7	85			Percent of total billed charges		426.7	100			Percent of total billed charges		502	100			Percent of total billed charges		502	100			Percent of total billed charges		502	33.3			Percent of total billed charges		167.166	33.3			Percent of total billed charges		167.166	100			Percent of total billed charges		502	167.166	451.8	
syn plate osteotomy	278	RC	Outpatient			502	326.3		90			Percent of total billed charges		451.8	40			Percent of total billed charges		200.8	80			Percent of total billed charges		401.6	90			Percent of total billed charges		451.8	85			Percent of total billed charges		426.7	85			Percent of total billed charges		426.7	85			Percent of total billed charges		426.7	100			Percent of total billed charges		502	100			Percent of total billed charges		502	100			Percent of total billed charges		502	33.3			Percent of total billed charges		167.166	33.3			Percent of total billed charges		167.166	100			Percent of total billed charges		502	167.166	451.8	
prosth ear goldenberg porp  8.0mm 14-0917 s/n	274	RC	Outpatient			502	326.3		90			Percent of total billed charges		451.8	40			Percent of total billed charges		200.8	80			Percent of total billed charges		401.6	90			Percent of total billed charges		451.8	85			Percent of total billed charges		426.7	85			Percent of total billed charges		426.7	85			Percent of total billed charges		426.7	100			Percent of total billed charges		502	100			Percent of total billed charges		502	100			Percent of total billed charges		502	33.3			Percent of total billed charges		167.166	33.3			Percent of total billed charges		167.166	100			Percent of total billed charges		502	167.166	451.8	
x force w/inflator	272	RC	Outpatient			502	326.3		90			Percent of total billed charges		451.8	40			Percent of total billed charges		200.8	80			Percent of total billed charges		401.6	90			Percent of total billed charges		451.8	85			Percent of total billed charges		426.7	85			Percent of total billed charges		426.7	85			Percent of total billed charges		426.7	100			Percent of total billed charges		502	100			Percent of total billed charges		502	100			Percent of total billed charges		502	33.3			Percent of total billed charges		167.166	33.3			Percent of total billed charges		167.166	100			Percent of total billed charges		502	167.166	451.8	
x-force balloon with eagle inflator 998604 bard	272	RC	Outpatient			502	326.3		90			Percent of total billed charges		451.8	40			Percent of total billed charges		200.8	80			Percent of total billed charges		401.6	90			Percent of total billed charges		451.8	85			Percent of total billed charges		426.7	85			Percent of total billed charges		426.7	85			Percent of total billed charges		426.7	100			Percent of total billed charges		502	100			Percent of total billed charges		502	100			Percent of total billed charges		502	33.3			Percent of total billed charges		167.166	33.3			Percent of total billed charges		167.166	100			Percent of total billed charges		502	167.166	451.8	
4.5mm str recon plate 10 hole 00-1179-007-10 zimmer	278	RC	Outpatient			503	326.95		90			Percent of total billed charges		452.7	40			Percent of total billed charges		201.2	80			Percent of total billed charges		402.4	90			Percent of total billed charges		452.7	85			Percent of total billed charges		427.55	85			Percent of total billed charges		427.55	85			Percent of total billed charges		427.55	100			Percent of total billed charges		503	100			Percent of total billed charges		503	100			Percent of total billed charges		503	33.3			Percent of total billed charges		167.499	33.3			Percent of total billed charges		167.499	100			Percent of total billed charges		503	167.499	452.7	
4.5mm str recon plate 9 hole 00-1179-007-09 zimmer	278	RC	Outpatient			503	326.95		90			Percent of total billed charges		452.7	40			Percent of total billed charges		201.2	80			Percent of total billed charges		402.4	90			Percent of total billed charges		452.7	85			Percent of total billed charges		427.55	85			Percent of total billed charges		427.55	85			Percent of total billed charges		427.55	100			Percent of total billed charges		503	100			Percent of total billed charges		503	100			Percent of total billed charges		503	33.3			Percent of total billed charges		167.499	33.3			Percent of total billed charges		167.499	100			Percent of total billed charges		503	167.499	452.7	
endo gia roticular staple 45 2.0 030453 ussc	278	RC	Outpatient			503	326.95		90			Percent of total billed charges		452.7	40			Percent of total billed charges		201.2	80			Percent of total billed charges		402.4	90			Percent of total billed charges		452.7	85			Percent of total billed charges		427.55	85			Percent of total billed charges		427.55	85			Percent of total billed charges		427.55	100			Percent of total billed charges		503	100			Percent of total billed charges		503	100			Percent of total billed charges		503	33.3			Percent of total billed charges		167.499	33.3			Percent of total billed charges		167.499	100			Percent of total billed charges		503	167.499	452.7	
endo gia roticular staple 45 2.5 030454 ussc	278	RC	Outpatient			503	326.95		90			Percent of total billed charges		452.7	40			Percent of total billed charges		201.2	80			Percent of total billed charges		402.4	90			Percent of total billed charges		452.7	85			Percent of total billed charges		427.55	85			Percent of total billed charges		427.55	85			Percent of total billed charges		427.55	100			Percent of total billed charges		503	100			Percent of total billed charges		503	100			Percent of total billed charges		503	33.3			Percent of total billed charges		167.499	33.3			Percent of total billed charges		167.499	100			Percent of total billed charges		503	167.499	452.7	
"endobutton cl ultra 15mm, fixation button 72200146 s&n"	278	RC	Outpatient			503	326.95		90			Percent of total billed charges		452.7	40			Percent of total billed charges		201.2	80			Percent of total billed charges		402.4	90			Percent of total billed charges		452.7	85			Percent of total billed charges		427.55	85			Percent of total billed charges		427.55	85			Percent of total billed charges		427.55	100			Percent of total billed charges		503	100			Percent of total billed charges		503	100			Percent of total billed charges		503	33.3			Percent of total billed charges		167.499	33.3			Percent of total billed charges		167.499	100			Percent of total billed charges		503	167.499	452.7	
"endobutton cl ultra 20mm, fixation button 72200147 s&n"	278	RC	Outpatient			503	326.95		90			Percent of total billed charges		452.7	40			Percent of total billed charges		201.2	80			Percent of total billed charges		402.4	90			Percent of total billed charges		452.7	85			Percent of total billed charges		427.55	85			Percent of total billed charges		427.55	85			Percent of total billed charges		427.55	100			Percent of total billed charges		503	100			Percent of total billed charges		503	100			Percent of total billed charges		503	33.3			Percent of total billed charges		167.499	33.3			Percent of total billed charges		167.499	100			Percent of total billed charges		503	167.499	452.7	
"endobutton cl ultra 30mm, fixation button 72200149 s&n"	278	RC	Outpatient			503	326.95		90			Percent of total billed charges		452.7	40			Percent of total billed charges		201.2	80			Percent of total billed charges		402.4	90			Percent of total billed charges		452.7	85			Percent of total billed charges		427.55	85			Percent of total billed charges		427.55	85			Percent of total billed charges		427.55	100			Percent of total billed charges		503	100			Percent of total billed charges		503	100			Percent of total billed charges		503	33.3			Percent of total billed charges		167.499	33.3			Percent of total billed charges		167.499	100			Percent of total billed charges		503	167.499	452.7	
floseal hemostatic matrix 1505288 baxter	272	RC	Outpatient			503	326.95		90			Percent of total billed charges		452.7	40			Percent of total billed charges		201.2	80			Percent of total billed charges		402.4	90			Percent of total billed charges		452.7	85			Percent of total billed charges		427.55	85			Percent of total billed charges		427.55	85			Percent of total billed charges		427.55	100			Percent of total billed charges		503	100			Percent of total billed charges		503	100			Percent of total billed charges		503	33.3			Percent of total billed charges		167.499	33.3			Percent of total billed charges		167.499	100			Percent of total billed charges		503	167.499	452.7	
endo gia 45-rotic 2-2.5	278	RC	Outpatient			503	326.95		90			Percent of total billed charges		452.7	40			Percent of total billed charges		201.2	80			Percent of total billed charges		402.4	90			Percent of total billed charges		452.7	85			Percent of total billed charges		427.55	85			Percent of total billed charges		427.55	85			Percent of total billed charges		427.55	100			Percent of total billed charges		503	100			Percent of total billed charges		503	100			Percent of total billed charges		503	33.3			Percent of total billed charges		167.499	33.3			Percent of total billed charges		167.499	100			Percent of total billed charges		503	167.499	452.7	
"endobutton cl ultra  fixation button, 10mm loop suture 72203331 s&n"	278	RC	Outpatient			503	326.95		90			Percent of total billed charges		452.7	40			Percent of total billed charges		201.2	80			Percent of total billed charges		402.4	90			Percent of total billed charges		452.7	85			Percent of total billed charges		427.55	85			Percent of total billed charges		427.55	85			Percent of total billed charges		427.55	100			Percent of total billed charges		503	100			Percent of total billed charges		503	100			Percent of total billed charges		503	33.3			Percent of total billed charges		167.499	33.3			Percent of total billed charges		167.499	100			Percent of total billed charges		503	167.499	452.7	
"endobutton cl ultra 35mm, fixation button 72200150 s&n"	278	RC	Outpatient			503	326.95		90			Percent of total billed charges		452.7	40			Percent of total billed charges		201.2	80			Percent of total billed charges		402.4	90			Percent of total billed charges		452.7	85			Percent of total billed charges		427.55	85			Percent of total billed charges		427.55	85			Percent of total billed charges		427.55	100			Percent of total billed charges		503	100			Percent of total billed charges		503	100			Percent of total billed charges		503	33.3			Percent of total billed charges		167.499	33.3			Percent of total billed charges		167.499	100			Percent of total billed charges		503	167.499	452.7	
"endobutton cl ultra 45mm, fixation button 72200152 s&n"	278	RC	Outpatient			503	326.95		90			Percent of total billed charges		452.7	40			Percent of total billed charges		201.2	80			Percent of total billed charges		402.4	90			Percent of total billed charges		452.7	85			Percent of total billed charges		427.55	85			Percent of total billed charges		427.55	85			Percent of total billed charges		427.55	100			Percent of total billed charges		503	100			Percent of total billed charges		503	100			Percent of total billed charges		503	33.3			Percent of total billed charges		167.499	33.3			Percent of total billed charges		167.499	100			Percent of total billed charges		503	167.499	452.7	
"endobutton cl ultra fixation button, 25mm loop suture 72200148 s&n"	278	RC	Outpatient			503	326.95		90			Percent of total billed charges		452.7	40			Percent of total billed charges		201.2	80			Percent of total billed charges		402.4	90			Percent of total billed charges		452.7	85			Percent of total billed charges		427.55	85			Percent of total billed charges		427.55	85			Percent of total billed charges		427.55	100			Percent of total billed charges		503	100			Percent of total billed charges		503	100			Percent of total billed charges		503	33.3			Percent of total billed charges		167.499	33.3			Percent of total billed charges		167.499	100			Percent of total billed charges		503	167.499	452.7	
l&d floseal	270	RC	Outpatient			503	326.95		90			Percent of total billed charges		452.7	40			Percent of total billed charges		201.2	80			Percent of total billed charges		402.4	90			Percent of total billed charges		452.7	85			Percent of total billed charges		427.55	85			Percent of total billed charges		427.55	85			Percent of total billed charges		427.55	100			Percent of total billed charges		503	100			Percent of total billed charges		503	100			Percent of total billed charges		503	33.3			Percent of total billed charges		167.499	33.3			Percent of total billed charges		167.499	100			Percent of total billed charges		503	167.499	452.7	
tracoe comfort tracheostomy tube standard 10mm 105-10 boston medical	270	RC	Outpatient			503	326.95		90			Percent of total billed charges		452.7	40			Percent of total billed charges		201.2	80			Percent of total billed charges		402.4	90			Percent of total billed charges		452.7	85			Percent of total billed charges		427.55	85			Percent of total billed charges		427.55	85			Percent of total billed charges		427.55	100			Percent of total billed charges		503	100			Percent of total billed charges		503	100			Percent of total billed charges		503	33.3			Percent of total billed charges		167.499	33.3			Percent of total billed charges		167.499	100			Percent of total billed charges		503	167.499	452.7	
tracoe flex plastic trach/larngectomy tube w/ polyadaptor 5mm 105.05 boston med	270	RC	Outpatient			503	326.95		90			Percent of total billed charges		452.7	40			Percent of total billed charges		201.2	80			Percent of total billed charges		402.4	90			Percent of total billed charges		452.7	85			Percent of total billed charges		427.55	85			Percent of total billed charges		427.55	85			Percent of total billed charges		427.55	100			Percent of total billed charges		503	100			Percent of total billed charges		503	100			Percent of total billed charges		503	33.3			Percent of total billed charges		167.499	33.3			Percent of total billed charges		167.499	100			Percent of total billed charges		503	167.499	452.7	
tracoe flex plastic trach/larngectomy tube w/ polyadaptor 6mm 105.06 boston med	270	RC	Outpatient			503	326.95		90			Percent of total billed charges		452.7	40			Percent of total billed charges		201.2	80			Percent of total billed charges		402.4	90			Percent of total billed charges		452.7	85			Percent of total billed charges		427.55	85			Percent of total billed charges		427.55	85			Percent of total billed charges		427.55	100			Percent of total billed charges		503	100			Percent of total billed charges		503	100			Percent of total billed charges		503	33.3			Percent of total billed charges		167.499	33.3			Percent of total billed charges		167.499	100			Percent of total billed charges		503	167.499	452.7	
tracoe flex plastic trach/larngectomy tube w/ polyadaptor 7mm 105.07 boston med	270	RC	Outpatient			503	326.95		90			Percent of total billed charges		452.7	40			Percent of total billed charges		201.2	80			Percent of total billed charges		402.4	90			Percent of total billed charges		452.7	85			Percent of total billed charges		427.55	85			Percent of total billed charges		427.55	85			Percent of total billed charges		427.55	100			Percent of total billed charges		503	100			Percent of total billed charges		503	100			Percent of total billed charges		503	33.3			Percent of total billed charges		167.499	33.3			Percent of total billed charges		167.499	100			Percent of total billed charges		503	167.499	452.7	
trach/larngectomy tube	270	RC	Outpatient			503	326.95		90			Percent of total billed charges		452.7	40			Percent of total billed charges		201.2	80			Percent of total billed charges		402.4	90			Percent of total billed charges		452.7	85			Percent of total billed charges		427.55	85			Percent of total billed charges		427.55	85			Percent of total billed charges		427.55	100			Percent of total billed charges		503	100			Percent of total billed charges		503	100			Percent of total billed charges		503	33.3			Percent of total billed charges		167.499	33.3			Percent of total billed charges		167.499	100			Percent of total billed charges		503	167.499	452.7	
tracoe comfort tracheostomy tube standard 8mm 105-08 boston medical	270	RC	Outpatient			503	326.95		90			Percent of total billed charges		452.7	40			Percent of total billed charges		201.2	80			Percent of total billed charges		402.4	90			Percent of total billed charges		452.7	85			Percent of total billed charges		427.55	85			Percent of total billed charges		427.55	85			Percent of total billed charges		427.55	100			Percent of total billed charges		503	100			Percent of total billed charges		503	100			Percent of total billed charges		503	33.3			Percent of total billed charges		167.499	33.3			Percent of total billed charges		167.499	100			Percent of total billed charges		503	167.499	452.7	
zimm 4.5 recon pl 9-10 hl	278	RC	Outpatient			503	326.95		90			Percent of total billed charges		452.7	40			Percent of total billed charges		201.2	80			Percent of total billed charges		402.4	90			Percent of total billed charges		452.7	85			Percent of total billed charges		427.55	85			Percent of total billed charges		427.55	85			Percent of total billed charges		427.55	100			Percent of total billed charges		503	100			Percent of total billed charges		503	100			Percent of total billed charges		503	33.3			Percent of total billed charges		167.499	33.3			Percent of total billed charges		167.499	100			Percent of total billed charges		503	167.499	452.7	
arthrex biocomposite suturetak kit ar-1934ds-2	272	RC	Outpatient			504	327.6		90			Percent of total billed charges		453.6	40			Percent of total billed charges		201.6	80			Percent of total billed charges		403.2	90			Percent of total billed charges		453.6	85			Percent of total billed charges		428.4	85			Percent of total billed charges		428.4	85			Percent of total billed charges		428.4	100			Percent of total billed charges		504	100			Percent of total billed charges		504	100			Percent of total billed charges		504	33.3			Percent of total billed charges		167.832	33.3			Percent of total billed charges		167.832	100			Percent of total billed charges		504	167.832	453.6	
diapason rod union 100 665100 stryker	278	RC	Outpatient			504	327.6		90			Percent of total billed charges		453.6	40			Percent of total billed charges		201.6	80			Percent of total billed charges		403.2	90			Percent of total billed charges		453.6	85			Percent of total billed charges		428.4	85			Percent of total billed charges		428.4	85			Percent of total billed charges		428.4	100			Percent of total billed charges		504	100			Percent of total billed charges		504	100			Percent of total billed charges		504	33.3			Percent of total billed charges		167.832	33.3			Percent of total billed charges		167.832	100			Percent of total billed charges		504	167.832	453.6	
imhs 4.5 capture screw	278	RC	Outpatient			504	327.6		90			Percent of total billed charges		453.6	40			Percent of total billed charges		201.6	80			Percent of total billed charges		403.2	90			Percent of total billed charges		453.6	85			Percent of total billed charges		428.4	85			Percent of total billed charges		428.4	85			Percent of total billed charges		428.4	100			Percent of total billed charges		504	100			Percent of total billed charges		504	100			Percent of total billed charges		504	33.3			Percent of total billed charges		167.832	33.3			Percent of total billed charges		167.832	100			Percent of total billed charges		504	167.832	453.6	
s/n imhs 4.5 capture screw 28mm 7166-1228	278	RC	Outpatient			504	327.6		90			Percent of total billed charges		453.6	40			Percent of total billed charges		201.6	80			Percent of total billed charges		403.2	90			Percent of total billed charges		453.6	85			Percent of total billed charges		428.4	85			Percent of total billed charges		428.4	85			Percent of total billed charges		428.4	100			Percent of total billed charges		504	100			Percent of total billed charges		504	100			Percent of total billed charges		504	33.3			Percent of total billed charges		167.832	33.3			Percent of total billed charges		167.832	100			Percent of total billed charges		504	167.832	453.6	
s/n imhs 4.5 capture screw 30mm 7166-1230	278	RC	Outpatient			504	327.6		90			Percent of total billed charges		453.6	40			Percent of total billed charges		201.6	80			Percent of total billed charges		403.2	90			Percent of total billed charges		453.6	85			Percent of total billed charges		428.4	85			Percent of total billed charges		428.4	85			Percent of total billed charges		428.4	100			Percent of total billed charges		504	100			Percent of total billed charges		504	100			Percent of total billed charges		504	33.3			Percent of total billed charges		167.832	33.3			Percent of total billed charges		167.832	100			Percent of total billed charges		504	167.832	453.6	
s/n imhs 4.5 capture screw 32mm 7166-1232	278	RC	Outpatient			504	327.6		90			Percent of total billed charges		453.6	40			Percent of total billed charges		201.6	80			Percent of total billed charges		403.2	90			Percent of total billed charges		453.6	85			Percent of total billed charges		428.4	85			Percent of total billed charges		428.4	85			Percent of total billed charges		428.4	100			Percent of total billed charges		504	100			Percent of total billed charges		504	100			Percent of total billed charges		504	33.3			Percent of total billed charges		167.832	33.3			Percent of total billed charges		167.832	100			Percent of total billed charges		504	167.832	453.6	
s/n imhs 4.5 capture screw 34mm 7166-1234	278	RC	Outpatient			504	327.6		90			Percent of total billed charges		453.6	40			Percent of total billed charges		201.6	80			Percent of total billed charges		403.2	90			Percent of total billed charges		453.6	85			Percent of total billed charges		428.4	85			Percent of total billed charges		428.4	85			Percent of total billed charges		428.4	100			Percent of total billed charges		504	100			Percent of total billed charges		504	100			Percent of total billed charges		504	33.3			Percent of total billed charges		167.832	33.3			Percent of total billed charges		167.832	100			Percent of total billed charges		504	167.832	453.6	
s/n imhs 4.5 capture screw 36mm 7166-1236	278	RC	Outpatient			504	327.6		90			Percent of total billed charges		453.6	40			Percent of total billed charges		201.6	80			Percent of total billed charges		403.2	90			Percent of total billed charges		453.6	85			Percent of total billed charges		428.4	85			Percent of total billed charges		428.4	85			Percent of total billed charges		428.4	100			Percent of total billed charges		504	100			Percent of total billed charges		504	100			Percent of total billed charges		504	33.3			Percent of total billed charges		167.832	33.3			Percent of total billed charges		167.832	100			Percent of total billed charges		504	167.832	453.6	
s/n imhs 4.5 capture screw 38mm 7166-1238	278	RC	Outpatient			504	327.6		90			Percent of total billed charges		453.6	40			Percent of total billed charges		201.6	80			Percent of total billed charges		403.2	90			Percent of total billed charges		453.6	85			Percent of total billed charges		428.4	85			Percent of total billed charges		428.4	85			Percent of total billed charges		428.4	100			Percent of total billed charges		504	100			Percent of total billed charges		504	100			Percent of total billed charges		504	33.3			Percent of total billed charges		167.832	33.3			Percent of total billed charges		167.832	100			Percent of total billed charges		504	167.832	453.6	
s/n imhs 4.5 capture screw 40mm 7166-1240	278	RC	Outpatient			504	327.6		90			Percent of total billed charges		453.6	40			Percent of total billed charges		201.6	80			Percent of total billed charges		403.2	90			Percent of total billed charges		453.6	85			Percent of total billed charges		428.4	85			Percent of total billed charges		428.4	85			Percent of total billed charges		428.4	100			Percent of total billed charges		504	100			Percent of total billed charges		504	100			Percent of total billed charges		504	33.3			Percent of total billed charges		167.832	33.3			Percent of total billed charges		167.832	100			Percent of total billed charges		504	167.832	453.6	
s/n imhs 4.5 capture screw 44mm 7166-1244	278	RC	Outpatient			504	327.6		90			Percent of total billed charges		453.6	40			Percent of total billed charges		201.6	80			Percent of total billed charges		403.2	90			Percent of total billed charges		453.6	85			Percent of total billed charges		428.4	85			Percent of total billed charges		428.4	85			Percent of total billed charges		428.4	100			Percent of total billed charges		504	100			Percent of total billed charges		504	100			Percent of total billed charges		504	33.3			Percent of total billed charges		167.832	33.3			Percent of total billed charges		167.832	100			Percent of total billed charges		504	167.832	453.6	
s/n imhs 4.5 capture screw 48mm 7166-1248	278	RC	Outpatient			504	327.6		90			Percent of total billed charges		453.6	40			Percent of total billed charges		201.6	80			Percent of total billed charges		403.2	90			Percent of total billed charges		453.6	85			Percent of total billed charges		428.4	85			Percent of total billed charges		428.4	85			Percent of total billed charges		428.4	100			Percent of total billed charges		504	100			Percent of total billed charges		504	100			Percent of total billed charges		504	33.3			Percent of total billed charges		167.832	33.3			Percent of total billed charges		167.832	100			Percent of total billed charges		504	167.832	453.6	
s/n imhs 4.5 capture screw 50mm 7166-1250	278	RC	Outpatient			504	327.6		90			Percent of total billed charges		453.6	40			Percent of total billed charges		201.6	80			Percent of total billed charges		403.2	90			Percent of total billed charges		453.6	85			Percent of total billed charges		428.4	85			Percent of total billed charges		428.4	85			Percent of total billed charges		428.4	100			Percent of total billed charges		504	100			Percent of total billed charges		504	100			Percent of total billed charges		504	33.3			Percent of total billed charges		167.832	33.3			Percent of total billed charges		167.832	100			Percent of total billed charges		504	167.832	453.6	
s/n imhs 4.5 capture screw 56mm 7166-1256	278	RC	Outpatient			504	327.6		90			Percent of total billed charges		453.6	40			Percent of total billed charges		201.6	80			Percent of total billed charges		403.2	90			Percent of total billed charges		453.6	85			Percent of total billed charges		428.4	85			Percent of total billed charges		428.4	85			Percent of total billed charges		428.4	100			Percent of total billed charges		504	100			Percent of total billed charges		504	100			Percent of total billed charges		504	33.3			Percent of total billed charges		167.832	33.3			Percent of total billed charges		167.832	100			Percent of total billed charges		504	167.832	453.6	
s/n imhs 4.5 capture screw 58mm 7166-1258	278	RC	Outpatient			504	327.6		90			Percent of total billed charges		453.6	40			Percent of total billed charges		201.6	80			Percent of total billed charges		403.2	90			Percent of total billed charges		453.6	85			Percent of total billed charges		428.4	85			Percent of total billed charges		428.4	85			Percent of total billed charges		428.4	100			Percent of total billed charges		504	100			Percent of total billed charges		504	100			Percent of total billed charges		504	33.3			Percent of total billed charges		167.832	33.3			Percent of total billed charges		167.832	100			Percent of total billed charges		504	167.832	453.6	
s/n imhs 4.5 capture screw 62mm 7166-1262	278	RC	Outpatient			504	327.6		90			Percent of total billed charges		453.6	40			Percent of total billed charges		201.6	80			Percent of total billed charges		403.2	90			Percent of total billed charges		453.6	85			Percent of total billed charges		428.4	85			Percent of total billed charges		428.4	85			Percent of total billed charges		428.4	100			Percent of total billed charges		504	100			Percent of total billed charges		504	100			Percent of total billed charges		504	33.3			Percent of total billed charges		167.832	33.3			Percent of total billed charges		167.832	100			Percent of total billed charges		504	167.832	453.6	
s/n imhs 4.5 capture screw 64mm 7166-1264	278	RC	Outpatient			504	327.6		90			Percent of total billed charges		453.6	40			Percent of total billed charges		201.6	80			Percent of total billed charges		403.2	90			Percent of total billed charges		453.6	85			Percent of total billed charges		428.4	85			Percent of total billed charges		428.4	85			Percent of total billed charges		428.4	100			Percent of total billed charges		504	100			Percent of total billed charges		504	100			Percent of total billed charges		504	33.3			Percent of total billed charges		167.832	33.3			Percent of total billed charges		167.832	100			Percent of total billed charges		504	167.832	453.6	
stryker rod union 270-400	278	RC	Outpatient			504	327.6		90			Percent of total billed charges		453.6	40			Percent of total billed charges		201.6	80			Percent of total billed charges		403.2	90			Percent of total billed charges		453.6	85			Percent of total billed charges		428.4	85			Percent of total billed charges		428.4	85			Percent of total billed charges		428.4	100			Percent of total billed charges		504	100			Percent of total billed charges		504	100			Percent of total billed charges		504	33.3			Percent of total billed charges		167.832	33.3			Percent of total billed charges		167.832	100			Percent of total billed charges		504	167.832	453.6	
s/n imhs 4.5 capture screw 22mm 7166-1222	278	RC	Outpatient			504	327.6		90			Percent of total billed charges		453.6	40			Percent of total billed charges		201.6	80			Percent of total billed charges		403.2	90			Percent of total billed charges		453.6	85			Percent of total billed charges		428.4	85			Percent of total billed charges		428.4	85			Percent of total billed charges		428.4	100			Percent of total billed charges		504	100			Percent of total billed charges		504	100			Percent of total billed charges		504	33.3			Percent of total billed charges		167.832	33.3			Percent of total billed charges		167.832	100			Percent of total billed charges		504	167.832	453.6	
s/n imhs 4.5 capture screw 24mm 7166-1224	278	RC	Outpatient			504	327.6		90			Percent of total billed charges		453.6	40			Percent of total billed charges		201.6	80			Percent of total billed charges		403.2	90			Percent of total billed charges		453.6	85			Percent of total billed charges		428.4	85			Percent of total billed charges		428.4	85			Percent of total billed charges		428.4	100			Percent of total billed charges		504	100			Percent of total billed charges		504	100			Percent of total billed charges		504	33.3			Percent of total billed charges		167.832	33.3			Percent of total billed charges		167.832	100			Percent of total billed charges		504	167.832	453.6	
s/n imhs 4.5 capture screw 26mm 7166-1226	278	RC	Outpatient			504	327.6		90			Percent of total billed charges		453.6	40			Percent of total billed charges		201.6	80			Percent of total billed charges		403.2	90			Percent of total billed charges		453.6	85			Percent of total billed charges		428.4	85			Percent of total billed charges		428.4	85			Percent of total billed charges		428.4	100			Percent of total billed charges		504	100			Percent of total billed charges		504	100			Percent of total billed charges		504	33.3			Percent of total billed charges		167.832	33.3			Percent of total billed charges		167.832	100			Percent of total billed charges		504	167.832	453.6	
s/n imhs 4.5 capture screw 42mm 7166-1242	278	RC	Outpatient			504	327.6		90			Percent of total billed charges		453.6	40			Percent of total billed charges		201.6	80			Percent of total billed charges		403.2	90			Percent of total billed charges		453.6	85			Percent of total billed charges		428.4	85			Percent of total billed charges		428.4	85			Percent of total billed charges		428.4	100			Percent of total billed charges		504	100			Percent of total billed charges		504	100			Percent of total billed charges		504	33.3			Percent of total billed charges		167.832	33.3			Percent of total billed charges		167.832	100			Percent of total billed charges		504	167.832	453.6	
s/n imhs 4.5 capture screw 46mm 7166-1246	278	RC	Outpatient			504	327.6		90			Percent of total billed charges		453.6	40			Percent of total billed charges		201.6	80			Percent of total billed charges		403.2	90			Percent of total billed charges		453.6	85			Percent of total billed charges		428.4	85			Percent of total billed charges		428.4	85			Percent of total billed charges		428.4	100			Percent of total billed charges		504	100			Percent of total billed charges		504	100			Percent of total billed charges		504	33.3			Percent of total billed charges		167.832	33.3			Percent of total billed charges		167.832	100			Percent of total billed charges		504	167.832	453.6	
s/n imhs 4.5 capture screw 52mm 7166-1252	278	RC	Outpatient			504	327.6		90			Percent of total billed charges		453.6	40			Percent of total billed charges		201.6	80			Percent of total billed charges		403.2	90			Percent of total billed charges		453.6	85			Percent of total billed charges		428.4	85			Percent of total billed charges		428.4	85			Percent of total billed charges		428.4	100			Percent of total billed charges		504	100			Percent of total billed charges		504	100			Percent of total billed charges		504	33.3			Percent of total billed charges		167.832	33.3			Percent of total billed charges		167.832	100			Percent of total billed charges		504	167.832	453.6	
s/n imhs 4.5 capture screw 54mm 7166-1254	278	RC	Outpatient			504	327.6		90			Percent of total billed charges		453.6	40			Percent of total billed charges		201.6	80			Percent of total billed charges		403.2	90			Percent of total billed charges		453.6	85			Percent of total billed charges		428.4	85			Percent of total billed charges		428.4	85			Percent of total billed charges		428.4	100			Percent of total billed charges		504	100			Percent of total billed charges		504	100			Percent of total billed charges		504	33.3			Percent of total billed charges		167.832	33.3			Percent of total billed charges		167.832	100			Percent of total billed charges		504	167.832	453.6	
s/n imhs 4.5 capture screw 60mm 7166-1260	278	RC	Outpatient			504	327.6		90			Percent of total billed charges		453.6	40			Percent of total billed charges		201.6	80			Percent of total billed charges		403.2	90			Percent of total billed charges		453.6	85			Percent of total billed charges		428.4	85			Percent of total billed charges		428.4	85			Percent of total billed charges		428.4	100			Percent of total billed charges		504	100			Percent of total billed charges		504	100			Percent of total billed charges		504	33.3			Percent of total billed charges		167.832	33.3			Percent of total billed charges		167.832	100			Percent of total billed charges		504	167.832	453.6	
stryker rod union 100-110	278	RC	Outpatient			504	327.6		90			Percent of total billed charges		453.6	40			Percent of total billed charges		201.6	80			Percent of total billed charges		403.2	90			Percent of total billed charges		453.6	85			Percent of total billed charges		428.4	85			Percent of total billed charges		428.4	85			Percent of total billed charges		428.4	100			Percent of total billed charges		504	100			Percent of total billed charges		504	100			Percent of total billed charges		504	33.3			Percent of total billed charges		167.832	33.3			Percent of total billed charges		167.832	100			Percent of total billed charges		504	167.832	453.6	
union rod 50 665050 stryker	278	RC	Outpatient			504	327.6		90			Percent of total billed charges		453.6	40			Percent of total billed charges		201.6	80			Percent of total billed charges		403.2	90			Percent of total billed charges		453.6	85			Percent of total billed charges		428.4	85			Percent of total billed charges		428.4	85			Percent of total billed charges		428.4	100			Percent of total billed charges		504	100			Percent of total billed charges		504	100			Percent of total billed charges		504	33.3			Percent of total billed charges		167.832	33.3			Percent of total billed charges		167.832	100			Percent of total billed charges		504	167.832	453.6	
union rod 70 665070 stryker	278	RC	Outpatient			504	327.6		90			Percent of total billed charges		453.6	40			Percent of total billed charges		201.6	80			Percent of total billed charges		403.2	90			Percent of total billed charges		453.6	85			Percent of total billed charges		428.4	85			Percent of total billed charges		428.4	85			Percent of total billed charges		428.4	100			Percent of total billed charges		504	100			Percent of total billed charges		504	100			Percent of total billed charges		504	33.3			Percent of total billed charges		167.832	33.3			Percent of total billed charges		167.832	100			Percent of total billed charges		504	167.832	453.6	
union rod 80 665080 stryker	278	RC	Outpatient			504	327.6		90			Percent of total billed charges		453.6	40			Percent of total billed charges		201.6	80			Percent of total billed charges		403.2	90			Percent of total billed charges		453.6	85			Percent of total billed charges		428.4	85			Percent of total billed charges		428.4	85			Percent of total billed charges		428.4	100			Percent of total billed charges		504	100			Percent of total billed charges		504	100			Percent of total billed charges		504	33.3			Percent of total billed charges		167.832	33.3			Percent of total billed charges		167.832	100			Percent of total billed charges		504	167.832	453.6	
union rod 40 665040 stryker	278	RC	Outpatient			504	327.6		90			Percent of total billed charges		453.6	40			Percent of total billed charges		201.6	80			Percent of total billed charges		403.2	90			Percent of total billed charges		453.6	85			Percent of total billed charges		428.4	85			Percent of total billed charges		428.4	85			Percent of total billed charges		428.4	100			Percent of total billed charges		504	100			Percent of total billed charges		504	100			Percent of total billed charges		504	33.3			Percent of total billed charges		167.832	33.3			Percent of total billed charges		167.832	100			Percent of total billed charges		504	167.832	453.6	
union rod 60 665060 stryker	278	RC	Outpatient			504	327.6		90			Percent of total billed charges		453.6	40			Percent of total billed charges		201.6	80			Percent of total billed charges		403.2	90			Percent of total billed charges		453.6	85			Percent of total billed charges		428.4	85			Percent of total billed charges		428.4	85			Percent of total billed charges		428.4	100			Percent of total billed charges		504	100			Percent of total billed charges		504	100			Percent of total billed charges		504	33.3			Percent of total billed charges		167.832	33.3			Percent of total billed charges		167.832	100			Percent of total billed charges		504	167.832	453.6	
integra scr surefix 2.7	278	RC	Outpatient			506	328.9		90			Percent of total billed charges		455.4	40			Percent of total billed charges		202.4	80			Percent of total billed charges		404.8	90			Percent of total billed charges		455.4	85			Percent of total billed charges		430.1	85			Percent of total billed charges		430.1	85			Percent of total billed charges		430.1	100			Percent of total billed charges		506	100			Percent of total billed charges		506	100			Percent of total billed charges		506	33.3			Percent of total billed charges		168.498	33.3			Percent of total billed charges		168.498	100			Percent of total billed charges		506	168.498	455.4	
sureform stapler 60 reload blue ref 48360b	278	RC	Outpatient			506	328.9		90			Percent of total billed charges		455.4	40			Percent of total billed charges		202.4	80			Percent of total billed charges		404.8	90			Percent of total billed charges		455.4	85			Percent of total billed charges		430.1	85			Percent of total billed charges		430.1	85			Percent of total billed charges		430.1	100			Percent of total billed charges		506	100			Percent of total billed charges		506	100			Percent of total billed charges		506	33.3			Percent of total billed charges		168.498	33.3			Percent of total billed charges		168.498	100			Percent of total billed charges		506	168.498	455.4	
surefix screw 2.7 x 12mm 286212nd integra lifesciences	278	RC	Outpatient			506	328.9		90			Percent of total billed charges		455.4	40			Percent of total billed charges		202.4	80			Percent of total billed charges		404.8	90			Percent of total billed charges		455.4	85			Percent of total billed charges		430.1	85			Percent of total billed charges		430.1	85			Percent of total billed charges		430.1	100			Percent of total billed charges		506	100			Percent of total billed charges		506	100			Percent of total billed charges		506	33.3			Percent of total billed charges		168.498	33.3			Percent of total billed charges		168.498	100			Percent of total billed charges		506	168.498	455.4	
surefix screw 2.7 x 22mm 286222nd integra lifesciences	278	RC	Outpatient			506	328.9		90			Percent of total billed charges		455.4	40			Percent of total billed charges		202.4	80			Percent of total billed charges		404.8	90			Percent of total billed charges		455.4	85			Percent of total billed charges		430.1	85			Percent of total billed charges		430.1	85			Percent of total billed charges		430.1	100			Percent of total billed charges		506	100			Percent of total billed charges		506	100			Percent of total billed charges		506	33.3			Percent of total billed charges		168.498	33.3			Percent of total billed charges		168.498	100			Percent of total billed charges		506	168.498	455.4	
sureform stapler 60 reload green ref 48360g isi	272	RC	Outpatient			506	328.9		90			Percent of total billed charges		455.4	40			Percent of total billed charges		202.4	80			Percent of total billed charges		404.8	90			Percent of total billed charges		455.4	85			Percent of total billed charges		430.1	85			Percent of total billed charges		430.1	85			Percent of total billed charges		430.1	100			Percent of total billed charges		506	100			Percent of total billed charges		506	100			Percent of total billed charges		506	33.3			Percent of total billed charges		168.498	33.3			Percent of total billed charges		168.498	100			Percent of total billed charges		506	168.498	455.4	
sureform stapler 60 reload white ref 48360w isi	272	RC	Outpatient			506	328.9		90			Percent of total billed charges		455.4	40			Percent of total billed charges		202.4	80			Percent of total billed charges		404.8	90			Percent of total billed charges		455.4	85			Percent of total billed charges		430.1	85			Percent of total billed charges		430.1	85			Percent of total billed charges		430.1	100			Percent of total billed charges		506	100			Percent of total billed charges		506	100			Percent of total billed charges		506	33.3			Percent of total billed charges		168.498	33.3			Percent of total billed charges		168.498	100			Percent of total billed charges		506	168.498	455.4	
t2 recon k-wire 3.2x400	272	RC	Outpatient			507	329.55		90			Percent of total billed charges		456.3	40			Percent of total billed charges		202.8	80			Percent of total billed charges		405.6	90			Percent of total billed charges		456.3	85			Percent of total billed charges		430.95	85			Percent of total billed charges		430.95	85			Percent of total billed charges		430.95	100			Percent of total billed charges		507	100			Percent of total billed charges		507	100			Percent of total billed charges		507	33.3			Percent of total billed charges		168.831	33.3			Percent of total billed charges		168.831	100			Percent of total billed charges		507	168.831	456.3	
t2 recon k-wire 3.2 x 400mm 1806-3030s stryker	272	RC	Outpatient			507	329.55		90			Percent of total billed charges		456.3	40			Percent of total billed charges		202.8	80			Percent of total billed charges		405.6	90			Percent of total billed charges		456.3	85			Percent of total billed charges		430.95	85			Percent of total billed charges		430.95	85			Percent of total billed charges		430.95	100			Percent of total billed charges		507	100			Percent of total billed charges		507	100			Percent of total billed charges		507	33.3			Percent of total billed charges		168.831	33.3			Percent of total billed charges		168.831	100			Percent of total billed charges		507	168.831	456.3	
arthrex pilot reamer	272	RC	Outpatient			508	330.2		90			Percent of total billed charges		457.2	40			Percent of total billed charges		203.2	80			Percent of total billed charges		406.4	90			Percent of total billed charges		457.2	85			Percent of total billed charges		431.8	85			Percent of total billed charges		431.8	85			Percent of total billed charges		431.8	100			Percent of total billed charges		508	100			Percent of total billed charges		508	100			Percent of total billed charges		508	33.3			Percent of total billed charges		169.164	33.3			Percent of total billed charges		169.164	100			Percent of total billed charges		508	169.164	457.2	
"arthrex reamer, piloted headed 7.5 ar-1453"	272	RC	Outpatient			508	330.2		90			Percent of total billed charges		457.2	40			Percent of total billed charges		203.2	80			Percent of total billed charges		406.4	90			Percent of total billed charges		457.2	85			Percent of total billed charges		431.8	85			Percent of total billed charges		431.8	85			Percent of total billed charges		431.8	100			Percent of total billed charges		508	100			Percent of total billed charges		508	100			Percent of total billed charges		508	33.3			Percent of total billed charges		169.164	33.3			Percent of total billed charges		169.164	100			Percent of total billed charges		508	169.164	457.2	
"arthrex reamer, piloted headed 8.5 ar-1455"	272	RC	Outpatient			508	330.2		90			Percent of total billed charges		457.2	40			Percent of total billed charges		203.2	80			Percent of total billed charges		406.4	90			Percent of total billed charges		457.2	85			Percent of total billed charges		431.8	85			Percent of total billed charges		431.8	85			Percent of total billed charges		431.8	100			Percent of total billed charges		508	100			Percent of total billed charges		508	100			Percent of total billed charges		508	33.3			Percent of total billed charges		169.164	33.3			Percent of total billed charges		169.164	100			Percent of total billed charges		508	169.164	457.2	
8 fr groshong cath w/o intro bard 7710802	278	RC	Outpatient			508	330.2		90			Percent of total billed charges		457.2	40			Percent of total billed charges		203.2	80			Percent of total billed charges		406.4	90			Percent of total billed charges		457.2	85			Percent of total billed charges		431.8	85			Percent of total billed charges		431.8	85			Percent of total billed charges		431.8	100			Percent of total billed charges		508	100			Percent of total billed charges		508	100			Percent of total billed charges		508	33.3			Percent of total billed charges		169.164	33.3			Percent of total billed charges		169.164	100			Percent of total billed charges		508	169.164	457.2	
attain catherer set	275	RC	Outpatient			508	330.2		90			Percent of total billed charges		457.2	40			Percent of total billed charges		203.2	80			Percent of total billed charges		406.4	90			Percent of total billed charges		457.2	85			Percent of total billed charges		431.8	85			Percent of total billed charges		431.8	85			Percent of total billed charges		431.8	100			Percent of total billed charges		508	100			Percent of total billed charges		508	100			Percent of total billed charges		508	33.3			Percent of total billed charges		169.164	33.3			Percent of total billed charges		169.164	100			Percent of total billed charges		508	169.164	457.2	
cath lab attain catheter set	275	RC	Outpatient			508	330.2		90			Percent of total billed charges		457.2	40			Percent of total billed charges		203.2	80			Percent of total billed charges		406.4	90			Percent of total billed charges		457.2	85			Percent of total billed charges		431.8	85			Percent of total billed charges		431.8	85			Percent of total billed charges		431.8	100			Percent of total billed charges		508	100			Percent of total billed charges		508	100			Percent of total billed charges		508	33.3			Percent of total billed charges		169.164	33.3			Percent of total billed charges		169.164	100			Percent of total billed charges		508	169.164	457.2	
groshong catheter	278	RC	Outpatient			508	330.2		90			Percent of total billed charges		457.2	40			Percent of total billed charges		203.2	80			Percent of total billed charges		406.4	90			Percent of total billed charges		457.2	85			Percent of total billed charges		431.8	85			Percent of total billed charges		431.8	85			Percent of total billed charges		431.8	100			Percent of total billed charges		508	100			Percent of total billed charges		508	100			Percent of total billed charges		508	33.3			Percent of total billed charges		169.164	33.3			Percent of total billed charges		169.164	100			Percent of total billed charges		508	169.164	457.2	
medtronic attain select s	272	RC	Outpatient			508	330.2		90			Percent of total billed charges		457.2	40			Percent of total billed charges		203.2	80			Percent of total billed charges		406.4	90			Percent of total billed charges		457.2	85			Percent of total billed charges		431.8	85			Percent of total billed charges		431.8	85			Percent of total billed charges		431.8	100			Percent of total billed charges		508	100			Percent of total billed charges		508	100			Percent of total billed charges		508	33.3			Percent of total billed charges		169.164	33.3			Percent of total billed charges		169.164	100			Percent of total billed charges		508	169.164	457.2	
arthrex suturelasso	272	RC	Outpatient			509	330.85		90			Percent of total billed charges		458.1	40			Percent of total billed charges		203.6	80			Percent of total billed charges		407.2	90			Percent of total billed charges		458.1	85			Percent of total billed charges		432.65	85			Percent of total billed charges		432.65	85			Percent of total billed charges		432.65	100			Percent of total billed charges		509	100			Percent of total billed charges		509	100			Percent of total billed charges		509	33.3			Percent of total billed charges		169.497	33.3			Percent of total billed charges		169.497	100			Percent of total billed charges		509	169.497	458.1	
arthrex suturelasso 25 degree tight curve left ar-4068-25tl	272	RC	Outpatient			509	330.85		90			Percent of total billed charges		458.1	40			Percent of total billed charges		203.6	80			Percent of total billed charges		407.2	90			Percent of total billed charges		458.1	85			Percent of total billed charges		432.65	85			Percent of total billed charges		432.65	85			Percent of total billed charges		432.65	100			Percent of total billed charges		509	100			Percent of total billed charges		509	100			Percent of total billed charges		509	33.3			Percent of total billed charges		169.497	33.3			Percent of total billed charges		169.497	100			Percent of total billed charges		509	169.497	458.1	
arthrex suturelasso 45 degree  curve left  ar-4068-45l	272	RC	Outpatient			509	330.85		90			Percent of total billed charges		458.1	40			Percent of total billed charges		203.6	80			Percent of total billed charges		407.2	90			Percent of total billed charges		458.1	85			Percent of total billed charges		432.65	85			Percent of total billed charges		432.65	85			Percent of total billed charges		432.65	100			Percent of total billed charges		509	100			Percent of total billed charges		509	100			Percent of total billed charges		509	33.3			Percent of total billed charges		169.497	33.3			Percent of total billed charges		169.497	100			Percent of total billed charges		509	169.497	458.1	
arthrex suturelasso 45 degree  curve right  ar-4068-45r	272	RC	Outpatient			509	330.85		90			Percent of total billed charges		458.1	40			Percent of total billed charges		203.6	80			Percent of total billed charges		407.2	90			Percent of total billed charges		458.1	85			Percent of total billed charges		432.65	85			Percent of total billed charges		432.65	85			Percent of total billed charges		432.65	100			Percent of total billed charges		509	100			Percent of total billed charges		509	100			Percent of total billed charges		509	33.3			Percent of total billed charges		169.497	33.3			Percent of total billed charges		169.497	100			Percent of total billed charges		509	169.497	458.1	
arthrex suturelasso 90 degree  straight  ar-4068-90	272	RC	Outpatient			509	330.85		90			Percent of total billed charges		458.1	40			Percent of total billed charges		203.6	80			Percent of total billed charges		407.2	90			Percent of total billed charges		458.1	85			Percent of total billed charges		432.65	85			Percent of total billed charges		432.65	85			Percent of total billed charges		432.65	100			Percent of total billed charges		509	100			Percent of total billed charges		509	100			Percent of total billed charges		509	33.3			Percent of total billed charges		169.497	33.3			Percent of total billed charges		169.497	100			Percent of total billed charges		509	169.497	458.1	
arthrex suturelasso sd 90 degree  curved lt  ar-4068-90l	272	RC	Outpatient			509	330.85		90			Percent of total billed charges		458.1	40			Percent of total billed charges		203.6	80			Percent of total billed charges		407.2	90			Percent of total billed charges		458.1	85			Percent of total billed charges		432.65	85			Percent of total billed charges		432.65	85			Percent of total billed charges		432.65	100			Percent of total billed charges		509	100			Percent of total billed charges		509	100			Percent of total billed charges		509	33.3			Percent of total billed charges		169.497	33.3			Percent of total billed charges		169.497	100			Percent of total billed charges		509	169.497	458.1	
asnis iii cannulated screw 4.0 x 50 604650s stryker	278	RC	Outpatient			509	330.85		90			Percent of total billed charges		458.1	40			Percent of total billed charges		203.6	80			Percent of total billed charges		407.2	90			Percent of total billed charges		458.1	85			Percent of total billed charges		432.65	85			Percent of total billed charges		432.65	85			Percent of total billed charges		432.65	100			Percent of total billed charges		509	100			Percent of total billed charges		509	100			Percent of total billed charges		509	33.3			Percent of total billed charges		169.497	33.3			Percent of total billed charges		169.497	100			Percent of total billed charges		509	169.497	458.1	
arthrex suturelasso 25 degree tight curve right  ar-4068-25tr	272	RC	Outpatient			509	330.85		90			Percent of total billed charges		458.1	40			Percent of total billed charges		203.6	80			Percent of total billed charges		407.2	90			Percent of total billed charges		458.1	85			Percent of total billed charges		432.65	85			Percent of total billed charges		432.65	85			Percent of total billed charges		432.65	100			Percent of total billed charges		509	100			Percent of total billed charges		509	100			Percent of total billed charges		509	33.3			Percent of total billed charges		169.497	33.3			Percent of total billed charges		169.497	100			Percent of total billed charges		509	169.497	458.1	
arthrex suturelasso cresent  ar-4068c	272	RC	Outpatient			509	330.85		90			Percent of total billed charges		458.1	40			Percent of total billed charges		203.6	80			Percent of total billed charges		407.2	90			Percent of total billed charges		458.1	85			Percent of total billed charges		432.65	85			Percent of total billed charges		432.65	85			Percent of total billed charges		432.65	100			Percent of total billed charges		509	100			Percent of total billed charges		509	100			Percent of total billed charges		509	33.3			Percent of total billed charges		169.497	33.3			Percent of total billed charges		169.497	100			Percent of total billed charges		509	169.497	458.1	
arthrex suturelasso sd 90 degree  curved rt  ar-4068-90r	272	RC	Outpatient			509	330.85		90			Percent of total billed charges		458.1	40			Percent of total billed charges		203.6	80			Percent of total billed charges		407.2	90			Percent of total billed charges		458.1	85			Percent of total billed charges		432.65	85			Percent of total billed charges		432.65	85			Percent of total billed charges		432.65	100			Percent of total billed charges		509	100			Percent of total billed charges		509	100			Percent of total billed charges		509	33.3			Percent of total billed charges		169.497	33.3			Percent of total billed charges		169.497	100			Percent of total billed charges		509	169.497	458.1	
asnis iii cannulated screw 4.0 x 44 604644s stryker	278	RC	Outpatient			509	330.85		90			Percent of total billed charges		458.1	40			Percent of total billed charges		203.6	80			Percent of total billed charges		407.2	90			Percent of total billed charges		458.1	85			Percent of total billed charges		432.65	85			Percent of total billed charges		432.65	85			Percent of total billed charges		432.65	100			Percent of total billed charges		509	100			Percent of total billed charges		509	100			Percent of total billed charges		509	33.3			Percent of total billed charges		169.497	33.3			Percent of total billed charges		169.497	100			Percent of total billed charges		509	169.497	458.1	
asnis iii canulatd scr4.0	278	RC	Outpatient			509	330.85		90			Percent of total billed charges		458.1	40			Percent of total billed charges		203.6	80			Percent of total billed charges		407.2	90			Percent of total billed charges		458.1	85			Percent of total billed charges		432.65	85			Percent of total billed charges		432.65	85			Percent of total billed charges		432.65	100			Percent of total billed charges		509	100			Percent of total billed charges		509	100			Percent of total billed charges		509	33.3			Percent of total billed charges		169.497	33.3			Percent of total billed charges		169.497	100			Percent of total billed charges		509	169.497	458.1	
endo triclip device (each)	272	RC	Outpatient			509	330.85		90			Percent of total billed charges		458.1	40			Percent of total billed charges		203.6	80			Percent of total billed charges		407.2	90			Percent of total billed charges		458.1	85			Percent of total billed charges		432.65	85			Percent of total billed charges		432.65	85			Percent of total billed charges		432.65	100			Percent of total billed charges		509	100			Percent of total billed charges		509	100			Percent of total billed charges		509	33.3			Percent of total billed charges		169.497	33.3			Percent of total billed charges		169.497	100			Percent of total billed charges		509	169.497	458.1	
drill bit 3.2 703556 stryker	272	RC	Outpatient			509	330.85		90			Percent of total billed charges		458.1	40			Percent of total billed charges		203.6	80			Percent of total billed charges		407.2	90			Percent of total billed charges		458.1	85			Percent of total billed charges		432.65	85			Percent of total billed charges		432.65	85			Percent of total billed charges		432.65	100			Percent of total billed charges		509	100			Percent of total billed charges		509	100			Percent of total billed charges		509	33.3			Percent of total billed charges		169.497	33.3			Percent of total billed charges		169.497	100			Percent of total billed charges		509	169.497	458.1	
mini fr pl comp 2-4 hl	278	RC	Outpatient			509	330.85		90			Percent of total billed charges		458.1	40			Percent of total billed charges		203.6	80			Percent of total billed charges		407.2	90			Percent of total billed charges		458.1	85			Percent of total billed charges		432.65	85			Percent of total billed charges		432.65	85			Percent of total billed charges		432.65	100			Percent of total billed charges		509	100			Percent of total billed charges		509	100			Percent of total billed charges		509	33.3			Percent of total billed charges		169.497	33.3			Percent of total billed charges		169.497	100			Percent of total billed charges		509	169.497	458.1	
s/n mini frag plate 4 hole 7114-1904	278	RC	Outpatient			509	330.85		90			Percent of total billed charges		458.1	40			Percent of total billed charges		203.6	80			Percent of total billed charges		407.2	90			Percent of total billed charges		458.1	85			Percent of total billed charges		432.65	85			Percent of total billed charges		432.65	85			Percent of total billed charges		432.65	100			Percent of total billed charges		509	100			Percent of total billed charges		509	100			Percent of total billed charges		509	33.3			Percent of total billed charges		169.497	33.3			Percent of total billed charges		169.497	100			Percent of total billed charges		509	169.497	458.1	
savannah-t set screw 10-04 amendia	278	RC	Outpatient			509	330.85		90			Percent of total billed charges		458.1	40			Percent of total billed charges		203.6	80			Percent of total billed charges		407.2	90			Percent of total billed charges		458.1	85			Percent of total billed charges		432.65	85			Percent of total billed charges		432.65	85			Percent of total billed charges		432.65	100			Percent of total billed charges		509	100			Percent of total billed charges		509	100			Percent of total billed charges		509	33.3			Percent of total billed charges		169.497	33.3			Percent of total billed charges		169.497	100			Percent of total billed charges		509	169.497	458.1	
scp delivery cannula	272	RC	Outpatient			509	330.85		90			Percent of total billed charges		458.1	40			Percent of total billed charges		203.6	80			Percent of total billed charges		407.2	90			Percent of total billed charges		458.1	85			Percent of total billed charges		432.65	85			Percent of total billed charges		432.65	85			Percent of total billed charges		432.65	100			Percent of total billed charges		509	100			Percent of total billed charges		509	100			Percent of total billed charges		509	33.3			Percent of total billed charges		169.497	33.3			Percent of total billed charges		169.497	100			Percent of total billed charges		509	169.497	458.1	
s/n mini frag  plate 2 hole 7114-1902	278	RC	Outpatient			509	330.85		90			Percent of total billed charges		458.1	40			Percent of total billed charges		203.6	80			Percent of total billed charges		407.2	90			Percent of total billed charges		458.1	85			Percent of total billed charges		432.65	85			Percent of total billed charges		432.65	85			Percent of total billed charges		432.65	100			Percent of total billed charges		509	100			Percent of total billed charges		509	100			Percent of total billed charges		509	33.3			Percent of total billed charges		169.497	33.3			Percent of total billed charges		169.497	100			Percent of total billed charges		509	169.497	458.1	
s/n mini frag plate 2 hole 7114-1900	278	RC	Outpatient			509	330.85		90			Percent of total billed charges		458.1	40			Percent of total billed charges		203.6	80			Percent of total billed charges		407.2	90			Percent of total billed charges		458.1	85			Percent of total billed charges		432.65	85			Percent of total billed charges		432.65	85			Percent of total billed charges		432.65	100			Percent of total billed charges		509	100			Percent of total billed charges		509	100			Percent of total billed charges		509	33.3			Percent of total billed charges		169.497	33.3			Percent of total billed charges		169.497	100			Percent of total billed charges		509	169.497	458.1	
savannah-t curved rod	278	RC	Outpatient			509	330.85		90			Percent of total billed charges		458.1	40			Percent of total billed charges		203.6	80			Percent of total billed charges		407.2	90			Percent of total billed charges		458.1	85			Percent of total billed charges		432.65	85			Percent of total billed charges		432.65	85			Percent of total billed charges		432.65	100			Percent of total billed charges		509	100			Percent of total billed charges		509	100			Percent of total billed charges		509	33.3			Percent of total billed charges		169.497	33.3			Percent of total billed charges		169.497	100			Percent of total billed charges		509	169.497	458.1	
savannah-t curved rod 90mm 10707-090 amendia	278	RC	Outpatient			509	330.85		90			Percent of total billed charges		458.1	40			Percent of total billed charges		203.6	80			Percent of total billed charges		407.2	90			Percent of total billed charges		458.1	85			Percent of total billed charges		432.65	85			Percent of total billed charges		432.65	85			Percent of total billed charges		432.65	100			Percent of total billed charges		509	100			Percent of total billed charges		509	100			Percent of total billed charges		509	33.3			Percent of total billed charges		169.497	33.3			Percent of total billed charges		169.497	100			Percent of total billed charges		509	169.497	458.1	
savannah-t set screw	278	RC	Outpatient			509	330.85		90			Percent of total billed charges		458.1	40			Percent of total billed charges		203.6	80			Percent of total billed charges		407.2	90			Percent of total billed charges		458.1	85			Percent of total billed charges		432.65	85			Percent of total billed charges		432.65	85			Percent of total billed charges		432.65	100			Percent of total billed charges		509	100			Percent of total billed charges		509	100			Percent of total billed charges		509	33.3			Percent of total billed charges		169.497	33.3			Percent of total billed charges		169.497	100			Percent of total billed charges		509	169.497	458.1	
scp delivery cannula 3.5in x 8g 301.248 knee creations	272	RC	Outpatient			509	330.85		90			Percent of total billed charges		458.1	40			Percent of total billed charges		203.6	80			Percent of total billed charges		407.2	90			Percent of total billed charges		458.1	85			Percent of total billed charges		432.65	85			Percent of total billed charges		432.65	85			Percent of total billed charges		432.65	100			Percent of total billed charges		509	100			Percent of total billed charges		509	100			Percent of total billed charges		509	33.3			Percent of total billed charges		169.497	33.3			Percent of total billed charges		169.497	100			Percent of total billed charges		509	169.497	458.1	
stryker drill bit 3.2	272	RC	Outpatient			509	330.85		90			Percent of total billed charges		458.1	40			Percent of total billed charges		203.6	80			Percent of total billed charges		407.2	90			Percent of total billed charges		458.1	85			Percent of total billed charges		432.65	85			Percent of total billed charges		432.65	85			Percent of total billed charges		432.65	100			Percent of total billed charges		509	100			Percent of total billed charges		509	100			Percent of total billed charges		509	33.3			Percent of total billed charges		169.497	33.3			Percent of total billed charges		169.497	100			Percent of total billed charges		509	169.497	458.1	
real intelligence tubing set rob10031 s/n	272	RC	Outpatient			509.85	331.4		90			Percent of total billed charges		458.865	40			Percent of total billed charges		203.94	80			Percent of total billed charges		407.88	90			Percent of total billed charges		458.865	85			Percent of total billed charges		433.3725	85			Percent of total billed charges		433.3725	85			Percent of total billed charges		433.3725	100			Percent of total billed charges		509.85	100			Percent of total billed charges		509.85	100			Percent of total billed charges		509.85	33.3			Percent of total billed charges		169.7801	33.3			Percent of total billed charges		169.7801	100			Percent of total billed charges		509.85	169.7801	458.865	
catherer support	272	RC	Outpatient			510	331.5		90			Percent of total billed charges		459	40			Percent of total billed charges		204	80			Percent of total billed charges		408	90			Percent of total billed charges		459	85			Percent of total billed charges		433.5	85			Percent of total billed charges		433.5	85			Percent of total billed charges		433.5	100			Percent of total billed charges		510	100			Percent of total billed charges		510	100			Percent of total billed charges		510	33.3			Percent of total billed charges		169.83	33.3			Percent of total billed charges		169.83	100			Percent of total billed charges		510	169.83	459	
drill bit pilot 4.2 1806-8018 stryker	272	RC	Outpatient			510	331.5		90			Percent of total billed charges		459	40			Percent of total billed charges		204	80			Percent of total billed charges		408	90			Percent of total billed charges		459	85			Percent of total billed charges		433.5	85			Percent of total billed charges		433.5	85			Percent of total billed charges		433.5	100			Percent of total billed charges		510	100			Percent of total billed charges		510	100			Percent of total billed charges		510	33.3			Percent of total billed charges		169.83	33.3			Percent of total billed charges		169.83	100			Percent of total billed charges		510	169.83	459	
stryker drill bit 4.2	272	RC	Outpatient			510	331.5		90			Percent of total billed charges		459	40			Percent of total billed charges		204	80			Percent of total billed charges		408	90			Percent of total billed charges		459	85			Percent of total billed charges		433.5	85			Percent of total billed charges		433.5	85			Percent of total billed charges		433.5	100			Percent of total billed charges		510	100			Percent of total billed charges		510	100			Percent of total billed charges		510	33.3			Percent of total billed charges		169.83	33.3			Percent of total billed charges		169.83	100			Percent of total billed charges		510	169.83	459	
support catheter g52543 cook	272	RC	Outpatient			510	331.5		90			Percent of total billed charges		459	40			Percent of total billed charges		204	80			Percent of total billed charges		408	90			Percent of total billed charges		459	85			Percent of total billed charges		433.5	85			Percent of total billed charges		433.5	85			Percent of total billed charges		433.5	100			Percent of total billed charges		510	100			Percent of total billed charges		510	100			Percent of total billed charges		510	33.3			Percent of total billed charges		169.83	33.3			Percent of total billed charges		169.83	100			Percent of total billed charges		510	169.83	459	
support catheter g52546 cook	272	RC	Outpatient			510	331.5		90			Percent of total billed charges		459	40			Percent of total billed charges		204	80			Percent of total billed charges		408	90			Percent of total billed charges		459	85			Percent of total billed charges		433.5	85			Percent of total billed charges		433.5	85			Percent of total billed charges		433.5	100			Percent of total billed charges		510	100			Percent of total billed charges		510	100			Percent of total billed charges		510	33.3			Percent of total billed charges		169.83	33.3			Percent of total billed charges		169.83	100			Percent of total billed charges		510	169.83	459	
support catheter g52547 cook	272	RC	Outpatient			510	331.5		90			Percent of total billed charges		459	40			Percent of total billed charges		204	80			Percent of total billed charges		408	90			Percent of total billed charges		459	85			Percent of total billed charges		433.5	85			Percent of total billed charges		433.5	85			Percent of total billed charges		433.5	100			Percent of total billed charges		510	100			Percent of total billed charges		510	100			Percent of total billed charges		510	33.3			Percent of total billed charges		169.83	33.3			Percent of total billed charges		169.83	100			Percent of total billed charges		510	169.83	459	
support catheter g52542 cook	272	RC	Outpatient			510	331.5		90			Percent of total billed charges		459	40			Percent of total billed charges		204	80			Percent of total billed charges		408	90			Percent of total billed charges		459	85			Percent of total billed charges		433.5	85			Percent of total billed charges		433.5	85			Percent of total billed charges		433.5	100			Percent of total billed charges		510	100			Percent of total billed charges		510	100			Percent of total billed charges		510	33.3			Percent of total billed charges		169.83	33.3			Percent of total billed charges		169.83	100			Percent of total billed charges		510	169.83	459	
clamp adjustablel x fix 393.64 synthes	270	RC	Outpatient			512	332.8		90			Percent of total billed charges		460.8	40			Percent of total billed charges		204.8	80			Percent of total billed charges		409.6	90			Percent of total billed charges		460.8	85			Percent of total billed charges		435.2	85			Percent of total billed charges		435.2	85			Percent of total billed charges		435.2	100			Percent of total billed charges		512	100			Percent of total billed charges		512	100			Percent of total billed charges		512	33.3			Percent of total billed charges		170.496	33.3			Percent of total billed charges		170.496	100			Percent of total billed charges		512	170.496	460.8	
clamp open adjustable 393.978	270	RC	Outpatient			512	332.8		90			Percent of total billed charges		460.8	40			Percent of total billed charges		204.8	80			Percent of total billed charges		409.6	90			Percent of total billed charges		460.8	85			Percent of total billed charges		435.2	85			Percent of total billed charges		435.2	85			Percent of total billed charges		435.2	100			Percent of total billed charges		512	100			Percent of total billed charges		512	100			Percent of total billed charges		512	33.3			Percent of total billed charges		170.496	33.3			Percent of total billed charges		170.496	100			Percent of total billed charges		512	170.496	460.8	
ext fix adjustable clamp	270	RC	Outpatient			512	332.8		90			Percent of total billed charges		460.8	40			Percent of total billed charges		204.8	80			Percent of total billed charges		409.6	90			Percent of total billed charges		460.8	85			Percent of total billed charges		435.2	85			Percent of total billed charges		435.2	85			Percent of total billed charges		435.2	100			Percent of total billed charges		512	100			Percent of total billed charges		512	100			Percent of total billed charges		512	33.3			Percent of total billed charges		170.496	33.3			Percent of total billed charges		170.496	100			Percent of total billed charges		512	170.496	460.8	
juggerknot kit	272	RC	Outpatient			512	332.8		90			Percent of total billed charges		460.8	40			Percent of total billed charges		204.8	80			Percent of total billed charges		409.6	90			Percent of total billed charges		460.8	85			Percent of total billed charges		435.2	85			Percent of total billed charges		435.2	85			Percent of total billed charges		435.2	100			Percent of total billed charges		512	100			Percent of total billed charges		512	100			Percent of total billed charges		512	33.3			Percent of total billed charges		170.496	33.3			Percent of total billed charges		170.496	100			Percent of total billed charges		512	170.496	460.8	
jet-x pin cap 290061 smith & nephew	272	RC	Outpatient			512	332.8		90			Percent of total billed charges		460.8	40			Percent of total billed charges		204.8	80			Percent of total billed charges		409.6	90			Percent of total billed charges		460.8	85			Percent of total billed charges		435.2	85			Percent of total billed charges		435.2	85			Percent of total billed charges		435.2	100			Percent of total billed charges		512	100			Percent of total billed charges		512	100			Percent of total billed charges		512	33.3			Percent of total billed charges		170.496	33.3			Percent of total billed charges		170.496	100			Percent of total billed charges		512	170.496	460.8	
jet-x pin caps	272	RC	Outpatient			512	332.8		90			Percent of total billed charges		460.8	40			Percent of total billed charges		204.8	80			Percent of total billed charges		409.6	90			Percent of total billed charges		460.8	85			Percent of total billed charges		435.2	85			Percent of total billed charges		435.2	85			Percent of total billed charges		435.2	100			Percent of total billed charges		512	100			Percent of total billed charges		512	100			Percent of total billed charges		512	33.3			Percent of total billed charges		170.496	33.3			Percent of total billed charges		170.496	100			Percent of total billed charges		512	170.496	460.8	
juggerknot disp kit 1.4 912640 biomet sport	272	RC	Outpatient			512	332.8		90			Percent of total billed charges		460.8	40			Percent of total billed charges		204.8	80			Percent of total billed charges		409.6	90			Percent of total billed charges		460.8	85			Percent of total billed charges		435.2	85			Percent of total billed charges		435.2	85			Percent of total billed charges		435.2	100			Percent of total billed charges		512	100			Percent of total billed charges		512	100			Percent of total billed charges		512	33.3			Percent of total billed charges		170.496	33.3			Percent of total billed charges		170.496	100			Percent of total billed charges		512	170.496	460.8	
sorbafix 15 0113115 bard	278	RC	Outpatient			512	332.8		90			Percent of total billed charges		460.8	40			Percent of total billed charges		204.8	80			Percent of total billed charges		409.6	90			Percent of total billed charges		460.8	85			Percent of total billed charges		435.2	85			Percent of total billed charges		435.2	85			Percent of total billed charges		435.2	100			Percent of total billed charges		512	100			Percent of total billed charges		512	100			Percent of total billed charges		512	33.3			Percent of total billed charges		170.496	33.3			Percent of total billed charges		170.496	100			Percent of total billed charges		512	170.496	460.8	
bakri postpartum balloon j-sosr-100500 cooks medical	272	RC	Outpatient			513	333.45		90			Percent of total billed charges		461.7	40			Percent of total billed charges		205.2	80			Percent of total billed charges		410.4	90			Percent of total billed charges		461.7	85			Percent of total billed charges		436.05	85			Percent of total billed charges		436.05	85			Percent of total billed charges		436.05	100			Percent of total billed charges		513	100			Percent of total billed charges		513	100			Percent of total billed charges		513	33.3			Percent of total billed charges		170.829	33.3			Percent of total billed charges		170.829	100			Percent of total billed charges		513	170.829	461.7	
jet x 100mm bar 7106-2100 s/n	278	RC	Outpatient			513	333.45		90			Percent of total billed charges		461.7	40			Percent of total billed charges		205.2	80			Percent of total billed charges		410.4	90			Percent of total billed charges		461.7	85			Percent of total billed charges		436.05	85			Percent of total billed charges		436.05	85			Percent of total billed charges		436.05	100			Percent of total billed charges		513	100			Percent of total billed charges		513	100			Percent of total billed charges		513	33.3			Percent of total billed charges		170.829	33.3			Percent of total billed charges		170.829	100			Percent of total billed charges		513	170.829	461.7	
jet x 150mm bar 7106-2150 s/n	278	RC	Outpatient			513	333.45		90			Percent of total billed charges		461.7	40			Percent of total billed charges		205.2	80			Percent of total billed charges		410.4	90			Percent of total billed charges		461.7	85			Percent of total billed charges		436.05	85			Percent of total billed charges		436.05	85			Percent of total billed charges		436.05	100			Percent of total billed charges		513	100			Percent of total billed charges		513	100			Percent of total billed charges		513	33.3			Percent of total billed charges		170.829	33.3			Percent of total billed charges		170.829	100			Percent of total billed charges		513	170.829	461.7	
jet x 200mm bar 7106-2200 s/n	278	RC	Outpatient			513	333.45		90			Percent of total billed charges		461.7	40			Percent of total billed charges		205.2	80			Percent of total billed charges		410.4	90			Percent of total billed charges		461.7	85			Percent of total billed charges		436.05	85			Percent of total billed charges		436.05	85			Percent of total billed charges		436.05	100			Percent of total billed charges		513	100			Percent of total billed charges		513	100			Percent of total billed charges		513	33.3			Percent of total billed charges		170.829	33.3			Percent of total billed charges		170.829	100			Percent of total billed charges		513	170.829	461.7	
jet-x bar	278	RC	Outpatient			513	333.45		90			Percent of total billed charges		461.7	40			Percent of total billed charges		205.2	80			Percent of total billed charges		410.4	90			Percent of total billed charges		461.7	85			Percent of total billed charges		436.05	85			Percent of total billed charges		436.05	85			Percent of total billed charges		436.05	100			Percent of total billed charges		513	100			Percent of total billed charges		513	100			Percent of total billed charges		513	33.3			Percent of total billed charges		170.829	33.3			Percent of total billed charges		170.829	100			Percent of total billed charges		513	170.829	461.7	
parachut basket	272	RC	Outpatient			513	333.45		90			Percent of total billed charges		461.7	40			Percent of total billed charges		205.2	80			Percent of total billed charges		410.4	90			Percent of total billed charges		461.7	85			Percent of total billed charges		436.05	85			Percent of total billed charges		436.05	85			Percent of total billed charges		436.05	100			Percent of total billed charges		513	100			Percent of total billed charges		513	100			Percent of total billed charges		513	33.3			Percent of total billed charges		170.829	33.3			Percent of total billed charges		170.829	100			Percent of total billed charges		513	170.829	461.7	
parachute basket 320-300 0 tip microvasive	272	RC	Outpatient			513	333.45		90			Percent of total billed charges		461.7	40			Percent of total billed charges		205.2	80			Percent of total billed charges		410.4	90			Percent of total billed charges		461.7	85			Percent of total billed charges		436.05	85			Percent of total billed charges		436.05	85			Percent of total billed charges		436.05	100			Percent of total billed charges		513	100			Percent of total billed charges		513	100			Percent of total billed charges		513	33.3			Percent of total billed charges		170.829	33.3			Percent of total billed charges		170.829	100			Percent of total billed charges		513	170.829	461.7	
3.5mm cloverleaf plate 5 hole 120mm 00-4935-005-16 zimmer	278	RC	Outpatient			514	334.1		90			Percent of total billed charges		462.6	40			Percent of total billed charges		205.6	80			Percent of total billed charges		411.2	90			Percent of total billed charges		462.6	85			Percent of total billed charges		436.9	85			Percent of total billed charges		436.9	85			Percent of total billed charges		436.9	100			Percent of total billed charges		514	100			Percent of total billed charges		514	100			Percent of total billed charges		514	33.3			Percent of total billed charges		171.162	33.3			Percent of total billed charges		171.162	100			Percent of total billed charges		514	171.162	462.6	
"cannulated drill, 2.7mm zimmer 1142-11-27"	270	RC	Outpatient			514	334.1		90			Percent of total billed charges		462.6	40			Percent of total billed charges		205.6	80			Percent of total billed charges		411.2	90			Percent of total billed charges		462.6	85			Percent of total billed charges		436.9	85			Percent of total billed charges		436.9	85			Percent of total billed charges		436.9	100			Percent of total billed charges		514	100			Percent of total billed charges		514	100			Percent of total billed charges		514	33.3			Percent of total billed charges		171.162	33.3			Percent of total billed charges		171.162	100			Percent of total billed charges		514	171.162	462.6	
3.5mm cloverleaf plate 6 hole 136mm 00-4935-006-16 zimmer	278	RC	Outpatient			514	334.1		90			Percent of total billed charges		462.6	40			Percent of total billed charges		205.6	80			Percent of total billed charges		411.2	90			Percent of total billed charges		462.6	85			Percent of total billed charges		436.9	85			Percent of total billed charges		436.9	85			Percent of total billed charges		436.9	100			Percent of total billed charges		514	100			Percent of total billed charges		514	100			Percent of total billed charges		514	33.3			Percent of total billed charges		171.162	33.3			Percent of total billed charges		171.162	100			Percent of total billed charges		514	171.162	462.6	
"cannulated drill, 3.5mm zimmer 1142-11-35"	270	RC	Outpatient			514	334.1		90			Percent of total billed charges		462.6	40			Percent of total billed charges		205.6	80			Percent of total billed charges		411.2	90			Percent of total billed charges		462.6	85			Percent of total billed charges		436.9	85			Percent of total billed charges		436.9	85			Percent of total billed charges		436.9	100			Percent of total billed charges		514	100			Percent of total billed charges		514	100			Percent of total billed charges		514	33.3			Percent of total billed charges		171.162	33.3			Percent of total billed charges		171.162	100			Percent of total billed charges		514	171.162	462.6	
s/n nail cap 10 m 7163-3010	278	RC	Outpatient			514	334.1		90			Percent of total billed charges		462.6	40			Percent of total billed charges		205.6	80			Percent of total billed charges		411.2	90			Percent of total billed charges		462.6	85			Percent of total billed charges		436.9	85			Percent of total billed charges		436.9	85			Percent of total billed charges		436.9	100			Percent of total billed charges		514	100			Percent of total billed charges		514	100			Percent of total billed charges		514	33.3			Percent of total billed charges		171.162	33.3			Percent of total billed charges		171.162	100			Percent of total billed charges		514	171.162	462.6	
s/n nail cap 5 m 7163-3005	278	RC	Outpatient			514	334.1		90			Percent of total billed charges		462.6	40			Percent of total billed charges		205.6	80			Percent of total billed charges		411.2	90			Percent of total billed charges		462.6	85			Percent of total billed charges		436.9	85			Percent of total billed charges		436.9	85			Percent of total billed charges		436.9	100			Percent of total billed charges		514	100			Percent of total billed charges		514	100			Percent of total billed charges		514	33.3			Percent of total billed charges		171.162	33.3			Percent of total billed charges		171.162	100			Percent of total billed charges		514	171.162	462.6	
s/n nail cap 15 m 7163-3015	278	RC	Outpatient			514	334.1		90			Percent of total billed charges		462.6	40			Percent of total billed charges		205.6	80			Percent of total billed charges		411.2	90			Percent of total billed charges		462.6	85			Percent of total billed charges		436.9	85			Percent of total billed charges		436.9	85			Percent of total billed charges		436.9	100			Percent of total billed charges		514	100			Percent of total billed charges		514	100			Percent of total billed charges		514	33.3			Percent of total billed charges		171.162	33.3			Percent of total billed charges		171.162	100			Percent of total billed charges		514	171.162	462.6	
s/n nail cap 20 m 7163-3020	278	RC	Outpatient			514	334.1		90			Percent of total billed charges		462.6	40			Percent of total billed charges		205.6	80			Percent of total billed charges		411.2	90			Percent of total billed charges		462.6	85			Percent of total billed charges		436.9	85			Percent of total billed charges		436.9	85			Percent of total billed charges		436.9	100			Percent of total billed charges		514	100			Percent of total billed charges		514	100			Percent of total billed charges		514	33.3			Percent of total billed charges		171.162	33.3			Percent of total billed charges		171.162	100			Percent of total billed charges		514	171.162	462.6	
trigen nail cap 0.0mm 71675040 s/n	278	RC	Outpatient			514	334.1		90			Percent of total billed charges		462.6	40			Percent of total billed charges		205.6	80			Percent of total billed charges		411.2	90			Percent of total billed charges		462.6	85			Percent of total billed charges		436.9	85			Percent of total billed charges		436.9	85			Percent of total billed charges		436.9	100			Percent of total billed charges		514	100			Percent of total billed charges		514	100			Percent of total billed charges		514	33.3			Percent of total billed charges		171.162	33.3			Percent of total billed charges		171.162	100			Percent of total billed charges		514	171.162	462.6	
zim 3.5 clover plt-5-6hl	278	RC	Outpatient			514	334.1		90			Percent of total billed charges		462.6	40			Percent of total billed charges		205.6	80			Percent of total billed charges		411.2	90			Percent of total billed charges		462.6	85			Percent of total billed charges		436.9	85			Percent of total billed charges		436.9	85			Percent of total billed charges		436.9	100			Percent of total billed charges		514	100			Percent of total billed charges		514	100			Percent of total billed charges		514	33.3			Percent of total billed charges		171.162	33.3			Percent of total billed charges		171.162	100			Percent of total billed charges		514	171.162	462.6	
zimmer herbert screw drill 1152-15	270	RC	Outpatient			514	334.1		90			Percent of total billed charges		462.6	40			Percent of total billed charges		205.6	80			Percent of total billed charges		411.2	90			Percent of total billed charges		462.6	85			Percent of total billed charges		436.9	85			Percent of total billed charges		436.9	85			Percent of total billed charges		436.9	100			Percent of total billed charges		514	100			Percent of total billed charges		514	100			Percent of total billed charges		514	33.3			Percent of total billed charges		171.162	33.3			Percent of total billed charges		171.162	100			Percent of total billed charges		514	171.162	462.6	
trigen nail cap 0mm internal hex 71634000 s/n	278	RC	Outpatient			514	334.1		90			Percent of total billed charges		462.6	40			Percent of total billed charges		205.6	80			Percent of total billed charges		411.2	90			Percent of total billed charges		462.6	85			Percent of total billed charges		436.9	85			Percent of total billed charges		436.9	85			Percent of total billed charges		436.9	100			Percent of total billed charges		514	100			Percent of total billed charges		514	100			Percent of total billed charges		514	33.3			Percent of total billed charges		171.162	33.3			Percent of total billed charges		171.162	100			Percent of total billed charges		514	171.162	462.6	
trigen nail cap 5mm 71634005 s/n	278	RC	Outpatient			514	334.1		90			Percent of total billed charges		462.6	40			Percent of total billed charges		205.6	80			Percent of total billed charges		411.2	90			Percent of total billed charges		462.6	85			Percent of total billed charges		436.9	85			Percent of total billed charges		436.9	85			Percent of total billed charges		436.9	100			Percent of total billed charges		514	100			Percent of total billed charges		514	100			Percent of total billed charges		514	33.3			Percent of total billed charges		171.162	33.3			Percent of total billed charges		171.162	100			Percent of total billed charges		514	171.162	462.6	
zimmer can drill bit	270	RC	Outpatient			514	334.1		90			Percent of total billed charges		462.6	40			Percent of total billed charges		205.6	80			Percent of total billed charges		411.2	90			Percent of total billed charges		462.6	85			Percent of total billed charges		436.9	85			Percent of total billed charges		436.9	85			Percent of total billed charges		436.9	100			Percent of total billed charges		514	100			Percent of total billed charges		514	100			Percent of total billed charges		514	33.3			Percent of total billed charges		171.162	33.3			Percent of total billed charges		171.162	100			Percent of total billed charges		514	171.162	462.6	
balanced traction	270	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
acumed mcp pusion plate-left pl-mcpl	278	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
acumed mcp pusion plate-right pl-mcpr	278	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
liner assy 40/41mm od x 22mm id 00-5001-040-22 zimmer	278	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
liner assy 42mm od x 22mm id 00-5001-042-26 zimmer	278	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
liner assy 44mm od x 22mm id 00-5001-044-22 zimmer	278	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
liner assy 53mm od x 22mm id 00-5001-053-22 zimmer	278	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
liner assy 53mm od x 26mm id 00-5001-053-26 zimmer	278	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
liner assy 60mm od x 22mm id 00-5001-060-22 zimmer	278	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
liner assy 60mm od x 26mm id 00-5001-060-26 zimmer	278	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
liner assy 72mm od x 32mm id 00-5001-072-32 zimmer	278	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
pain management system pmo12	270	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
pain mgt system small	270	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
liner assy 38mm x 22mm id 00-5001-038-22 zimmer	278	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
liner assy 39mm x 22mm id 00-5001-039-22 zimmer	278	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
liner assy 40mm x 26mm id 00-5001-040-26 zimmer	278	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
liner assy 42/43 od x 22mm id 00-50014238-22 zimmer	278	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
liner assy 44mm od x 22mm id 00-5001-044-26 zimmer	278	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
liner assy 47mm od x 22mm id 00-5001-047-28 zimmer	278	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
liner assy 47mm od x 26mm id 00-5001-047-26 zimmer	278	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
liner assy 47mm od x 32mm id 00-5001-047-32 zimmer	278	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
liner assy 50mm od x 22mm id 00-5001-050-22 zimmer	278	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
liner assy 50mm od x 26mm id 00-5001-050-26 zimmer	278	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
liner assy 50mm od x 32mm id 00-5001-050-32 zimmer	278	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
liner assy 53mm od x 32mm id 00-5001-053-32 zimmer	278	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
liner assy 57mm od x 22mm id 00-5001-057-22 zimmer	278	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
liner assy 57mm od x 26mm id 00-5001-057-26 zimmer	278	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
liner assy 57mm od x 32mm id 00-5001-057-32 zimmer	278	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
liner assy 60mm od x 32mm id 00-5001-060-32 zimmer	278	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
liner assy 64mm od x 32mm id 00-5001-064-32 zimmer	278	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
liner assy 68mm od x 32mm id 00-5001-068-32 zimmer	278	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
mtp fusion plate	278	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
pro-tack	270	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
stapler pro tack 174006/ ptack 30	270	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
turbosonics microtip kit	270	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
zimm bipolar liner	278	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
zimmer liner  47/48/49mm x 28mm 5001-47-28	278	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
zimmer liner  53/54/55mm x 28mm 5001-53-28	278	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
zimmer liner  60/62mm x 28mm 5001-60-28	278	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
zimmer liner  64/66mm x 28mm 5001-64-28	278	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
zimmer liner  68/70mm x 28mm 5001-68-28	278	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
zimmer liner  72mm x 28mm 5001-72-28	278	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
zimmer versa-fx ii  4-hole keyed compression plate short 140 degree 1193-140-94	278	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
zimmer versa-fx ii  4-hole keyed compression plate short 150 degree 1193-150-94	278	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
zimmer versa-fx ii 4-hole keyless compression plate 130 degree 1194-130-04	278	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
zimmer versa-fx ii 4-hole keyless compression plate 150 degree 1194-150-04	278	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
zimmer versa-fx ii 5-hole keyed compression plate short 130 degree 1193-130-95	278	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
zimmer versa-fx ii 5-hole keyed compression plate short 135 degree 1193-135-95	278	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
zimmer versa-fx ii 5-hole keyed compression plate short 145 degree 1193-145-95	278	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
zimmer versa-fx ii 5-hole keyless compression plate 135 degree 1194-135-05	278	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
zimmer versa-fx ii 5-hole keyless compression plate 135 degree short 1194-135-95	278	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
zimmer versa-fx ii 5-hole keyless compression plate 140 degree 1194-140-05	278	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
zimmer versa-fx ii 5-hole keyless compression plate 150 degree 1194-150-05	278	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
zimmer versa-fx ii 6-hole keyless compression plate 130 degree 1194-130-06	278	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
zimmer versa-fx ii 6-hole keyless compression plate 145 degree 1194-145-06	278	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
zimmer versa-fx ii 6-hole keyless compression plate 150 degree 1194-150-06	278	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
versa-fx ii comp pl-short	278	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
zimmer  liner  44/45/46mm x 28mm 5001-44-28	278	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
zimmer liner  50/51/52mm x 28mm 5001-50-28	278	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
zimmer liner  57/58mm x 28mm 5001-57-28	278	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
zimmer versa-fx ii  4-hole keyed compression plate short 135 degree 1193-135-94	278	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
zimmer versa-fx ii  4-hole keyed compression plate short 145 degree 1193-145-94	278	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
zimmer versa-fx ii 4-hole keyed compression plate short 130 degree 1193-130-94	278	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
zimmer versa-fx ii 4-hole keyless compression plate 135 degree 1194-135-04	278	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
zimmer versa-fx ii 4-hole keyless compression plate 135 degree short 1194-135-94	278	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
zimmer versa-fx ii 4-hole keyless compression plate 140 degree 1194-140-04	278	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
zimmer versa-fx ii 4-hole keyless compression plate 145 degree 1194-145-04	278	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
zimmer versa-fx ii 5-hole keyed compression plate short 140 degree 1193-140-95	278	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
zimmer versa-fx ii 5-hole keyed compression plate short 150 degree 1193-150-95	278	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
zimmer versa-fx ii 5-hole keyless compression plate 130 degree 1194-130-05	278	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
zimmer versa-fx ii 5-hole keyless compression plate 145 degree 1194-145-05	278	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
zimmer versa-fx ii 6-hole keyless compression plate 135 degree 1194-135-06	278	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
zimmer versa-fx ii 6-hole keyless compression plate 135 degree short 1194-135-96	278	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
zimmer versa-fx ii 6-hole keyless compression plate 140 degree 1194-140-06	278	RC	Outpatient			515	334.75		90			Percent of total billed charges		463.5	40			Percent of total billed charges		206	80			Percent of total billed charges		412	90			Percent of total billed charges		463.5	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	85			Percent of total billed charges		437.75	100			Percent of total billed charges		515	100			Percent of total billed charges		515	100			Percent of total billed charges		515	33.3			Percent of total billed charges		171.495	33.3			Percent of total billed charges		171.495	100			Percent of total billed charges		515	171.495	463.5	
probe fiapc circumferential erbe ref #20132-218	272	RC	Outpatient			515.9	335.34		90			Percent of total billed charges		464.31	40			Percent of total billed charges		206.36	80			Percent of total billed charges		412.72	90			Percent of total billed charges		464.31	85			Percent of total billed charges		438.515	85			Percent of total billed charges		438.515	85			Percent of total billed charges		438.515	100			Percent of total billed charges		515.9	100			Percent of total billed charges		515.9	100			Percent of total billed charges		515.9	33.3			Percent of total billed charges		171.7947	33.3			Percent of total billed charges		171.7947	100			Percent of total billed charges		515.9	171.7947	464.31	
cannulated tap 4.0mm zimmer 1142-20-40	270	RC	Outpatient			517	336.05		90			Percent of total billed charges		465.3	40			Percent of total billed charges		206.8	80			Percent of total billed charges		413.6	90			Percent of total billed charges		465.3	85			Percent of total billed charges		439.45	85			Percent of total billed charges		439.45	85			Percent of total billed charges		439.45	100			Percent of total billed charges		517	100			Percent of total billed charges		517	100			Percent of total billed charges		517	33.3			Percent of total billed charges		172.161	33.3			Percent of total billed charges		172.161	100			Percent of total billed charges		517	172.161	465.3	
"cannulated tap, 5.0mm zimmer 1142-20-50"	270	RC	Outpatient			517	336.05		90			Percent of total billed charges		465.3	40			Percent of total billed charges		206.8	80			Percent of total billed charges		413.6	90			Percent of total billed charges		465.3	85			Percent of total billed charges		439.45	85			Percent of total billed charges		439.45	85			Percent of total billed charges		439.45	100			Percent of total billed charges		517	100			Percent of total billed charges		517	100			Percent of total billed charges		517	33.3			Percent of total billed charges		172.161	33.3			Percent of total billed charges		172.161	100			Percent of total billed charges		517	172.161	465.3	
acl graft knife 10mm depuy 232110	272	RC	Outpatient			517	336.05		90			Percent of total billed charges		465.3	40			Percent of total billed charges		206.8	80			Percent of total billed charges		413.6	90			Percent of total billed charges		465.3	85			Percent of total billed charges		439.45	85			Percent of total billed charges		439.45	85			Percent of total billed charges		439.45	100			Percent of total billed charges		517	100			Percent of total billed charges		517	100			Percent of total billed charges		517	33.3			Percent of total billed charges		172.161	33.3			Percent of total billed charges		172.161	100			Percent of total billed charges		517	172.161	465.3	
acl graft knife 232110 depuy	272	RC	Outpatient			517	336.05		90			Percent of total billed charges		465.3	40			Percent of total billed charges		206.8	80			Percent of total billed charges		413.6	90			Percent of total billed charges		465.3	85			Percent of total billed charges		439.45	85			Percent of total billed charges		439.45	85			Percent of total billed charges		439.45	100			Percent of total billed charges		517	100			Percent of total billed charges		517	100			Percent of total billed charges		517	33.3			Percent of total billed charges		172.161	33.3			Percent of total billed charges		172.161	100			Percent of total billed charges		517	172.161	465.3	
depuy acl graft knife	272	RC	Outpatient			517	336.05		90			Percent of total billed charges		465.3	40			Percent of total billed charges		206.8	80			Percent of total billed charges		413.6	90			Percent of total billed charges		465.3	85			Percent of total billed charges		439.45	85			Percent of total billed charges		439.45	85			Percent of total billed charges		439.45	100			Percent of total billed charges		517	100			Percent of total billed charges		517	100			Percent of total billed charges		517	33.3			Percent of total billed charges		172.161	33.3			Percent of total billed charges		172.161	100			Percent of total billed charges		517	172.161	465.3	
endo soft wire basket	270	RC	Outpatient			517	336.05		90			Percent of total billed charges		465.3	40			Percent of total billed charges		206.8	80			Percent of total billed charges		413.6	90			Percent of total billed charges		465.3	85			Percent of total billed charges		439.45	85			Percent of total billed charges		439.45	85			Percent of total billed charges		439.45	100			Percent of total billed charges		517	100			Percent of total billed charges		517	100			Percent of total billed charges		517	33.3			Percent of total billed charges		172.161	33.3			Percent of total billed charges		172.161	100			Percent of total billed charges		517	172.161	465.3	
power port clearvue 5608062 bard	278	RC	Outpatient			517	336.05		90			Percent of total billed charges		465.3	40			Percent of total billed charges		206.8	80			Percent of total billed charges		413.6	90			Percent of total billed charges		465.3	85			Percent of total billed charges		439.45	85			Percent of total billed charges		439.45	85			Percent of total billed charges		439.45	100			Percent of total billed charges		517	100			Percent of total billed charges		517	100			Percent of total billed charges		517	33.3			Percent of total billed charges		172.161	33.3			Percent of total billed charges		172.161	100			Percent of total billed charges		517	172.161	465.3	
zimmer can. tap	270	RC	Outpatient			517	336.05		90			Percent of total billed charges		465.3	40			Percent of total billed charges		206.8	80			Percent of total billed charges		413.6	90			Percent of total billed charges		465.3	85			Percent of total billed charges		439.45	85			Percent of total billed charges		439.45	85			Percent of total billed charges		439.45	100			Percent of total billed charges		517	100			Percent of total billed charges		517	100			Percent of total billed charges		517	33.3			Percent of total billed charges		172.161	33.3			Percent of total billed charges		172.161	100			Percent of total billed charges		517	172.161	465.3	
chemo admin. 4 1/2 hours	335	RC	Outpatient			518	336.7		90			Percent of total billed charges		466.2	40			Percent of total billed charges		207.2	80			Percent of total billed charges		414.4	90			Percent of total billed charges		466.2	85			Percent of total billed charges		440.3	85			Percent of total billed charges		440.3	85			Percent of total billed charges		440.3	100			Percent of total billed charges		518	100			Percent of total billed charges		518	100			Percent of total billed charges		518	33.3			Percent of total billed charges		172.494	33.3			Percent of total billed charges		172.494	100			Percent of total billed charges		518	172.494	466.2	
cable 2232-03-18 zimmer	278	RC	Outpatient			519	337.35		90			Percent of total billed charges		467.1	40			Percent of total billed charges		207.6	80			Percent of total billed charges		415.2	90			Percent of total billed charges		467.1	85			Percent of total billed charges		441.15	85			Percent of total billed charges		441.15	85			Percent of total billed charges		441.15	100			Percent of total billed charges		519	100			Percent of total billed charges		519	100			Percent of total billed charges		519	33.3			Percent of total billed charges		172.827	33.3			Percent of total billed charges		172.827	100			Percent of total billed charges		519	172.827	467.1	
cannulated screw 4.0 x 38 325038s stryker	278	RC	Outpatient			519	337.35		90			Percent of total billed charges		467.1	40			Percent of total billed charges		207.6	80			Percent of total billed charges		415.2	90			Percent of total billed charges		467.1	85			Percent of total billed charges		441.15	85			Percent of total billed charges		441.15	85			Percent of total billed charges		441.15	100			Percent of total billed charges		519	100			Percent of total billed charges		519	100			Percent of total billed charges		519	33.3			Percent of total billed charges		172.827	33.3			Percent of total billed charges		172.827	100			Percent of total billed charges		519	172.827	467.1	
cannulated screw 4.0 x 40 325040s stryker	278	RC	Outpatient			519	337.35		90			Percent of total billed charges		467.1	40			Percent of total billed charges		207.6	80			Percent of total billed charges		415.2	90			Percent of total billed charges		467.1	85			Percent of total billed charges		441.15	85			Percent of total billed charges		441.15	85			Percent of total billed charges		441.15	100			Percent of total billed charges		519	100			Percent of total billed charges		519	100			Percent of total billed charges		519	33.3			Percent of total billed charges		172.827	33.3			Percent of total billed charges		172.827	100			Percent of total billed charges		519	172.827	467.1	
cannulated screw 4.0 x 44 325044s stryker	278	RC	Outpatient			519	337.35		90			Percent of total billed charges		467.1	40			Percent of total billed charges		207.6	80			Percent of total billed charges		415.2	90			Percent of total billed charges		467.1	85			Percent of total billed charges		441.15	85			Percent of total billed charges		441.15	85			Percent of total billed charges		441.15	100			Percent of total billed charges		519	100			Percent of total billed charges		519	100			Percent of total billed charges		519	33.3			Percent of total billed charges		172.827	33.3			Percent of total billed charges		172.827	100			Percent of total billed charges		519	172.827	467.1	
cannulated screw 4.0 x 46 325046s stryker	278	RC	Outpatient			519	337.35		90			Percent of total billed charges		467.1	40			Percent of total billed charges		207.6	80			Percent of total billed charges		415.2	90			Percent of total billed charges		467.1	85			Percent of total billed charges		441.15	85			Percent of total billed charges		441.15	85			Percent of total billed charges		441.15	100			Percent of total billed charges		519	100			Percent of total billed charges		519	100			Percent of total billed charges		519	33.3			Percent of total billed charges		172.827	33.3			Percent of total billed charges		172.827	100			Percent of total billed charges		519	172.827	467.1	
cannulated screw 4.0 x 50 325050s stryker	278	RC	Outpatient			519	337.35		90			Percent of total billed charges		467.1	40			Percent of total billed charges		207.6	80			Percent of total billed charges		415.2	90			Percent of total billed charges		467.1	85			Percent of total billed charges		441.15	85			Percent of total billed charges		441.15	85			Percent of total billed charges		441.15	100			Percent of total billed charges		519	100			Percent of total billed charges		519	100			Percent of total billed charges		519	33.3			Percent of total billed charges		172.827	33.3			Percent of total billed charges		172.827	100			Percent of total billed charges		519	172.827	467.1	
cannulated screw 4.0 x 55 325055s stryker	278	RC	Outpatient			519	337.35		90			Percent of total billed charges		467.1	40			Percent of total billed charges		207.6	80			Percent of total billed charges		415.2	90			Percent of total billed charges		467.1	85			Percent of total billed charges		441.15	85			Percent of total billed charges		441.15	85			Percent of total billed charges		441.15	100			Percent of total billed charges		519	100			Percent of total billed charges		519	100			Percent of total billed charges		519	33.3			Percent of total billed charges		172.827	33.3			Percent of total billed charges		172.827	100			Percent of total billed charges		519	172.827	467.1	
cannulated screw 4.0 x 70 325070s stryker	278	RC	Outpatient			519	337.35		90			Percent of total billed charges		467.1	40			Percent of total billed charges		207.6	80			Percent of total billed charges		415.2	90			Percent of total billed charges		467.1	85			Percent of total billed charges		441.15	85			Percent of total billed charges		441.15	85			Percent of total billed charges		441.15	100			Percent of total billed charges		519	100			Percent of total billed charges		519	100			Percent of total billed charges		519	33.3			Percent of total billed charges		172.827	33.3			Percent of total billed charges		172.827	100			Percent of total billed charges		519	172.827	467.1	
cannulated screw 4.0 x 48 325048s stryker	278	RC	Outpatient			519	337.35		90			Percent of total billed charges		467.1	40			Percent of total billed charges		207.6	80			Percent of total billed charges		415.2	90			Percent of total billed charges		467.1	85			Percent of total billed charges		441.15	85			Percent of total billed charges		441.15	85			Percent of total billed charges		441.15	100			Percent of total billed charges		519	100			Percent of total billed charges		519	100			Percent of total billed charges		519	33.3			Percent of total billed charges		172.827	33.3			Percent of total billed charges		172.827	100			Percent of total billed charges		519	172.827	467.1	
cannulated screw 4.0 x 60 325060s stryker	278	RC	Outpatient			519	337.35		90			Percent of total billed charges		467.1	40			Percent of total billed charges		207.6	80			Percent of total billed charges		415.2	90			Percent of total billed charges		467.1	85			Percent of total billed charges		441.15	85			Percent of total billed charges		441.15	85			Percent of total billed charges		441.15	100			Percent of total billed charges		519	100			Percent of total billed charges		519	100			Percent of total billed charges		519	33.3			Percent of total billed charges		172.827	33.3			Percent of total billed charges		172.827	100			Percent of total billed charges		519	172.827	467.1	
intergral crimp gtr cable 1.8 x 635 2232-005-18 zimmer	278	RC	Outpatient			519	337.35		90			Percent of total billed charges		467.1	40			Percent of total billed charges		207.6	80			Percent of total billed charges		415.2	90			Percent of total billed charges		467.1	85			Percent of total billed charges		441.15	85			Percent of total billed charges		441.15	85			Percent of total billed charges		441.15	100			Percent of total billed charges		519	100			Percent of total billed charges		519	100			Percent of total billed charges		519	33.3			Percent of total billed charges		172.827	33.3			Percent of total billed charges		172.827	100			Percent of total billed charges		519	172.827	467.1	
lg fr pl semi tub 2-3hl	278	RC	Outpatient			519	337.35		90			Percent of total billed charges		467.1	40			Percent of total billed charges		207.6	80			Percent of total billed charges		415.2	90			Percent of total billed charges		467.1	85			Percent of total billed charges		441.15	85			Percent of total billed charges		441.15	85			Percent of total billed charges		441.15	100			Percent of total billed charges		519	100			Percent of total billed charges		519	100			Percent of total billed charges		519	33.3			Percent of total billed charges		172.827	33.3			Percent of total billed charges		172.827	100			Percent of total billed charges		519	172.827	467.1	
proximate ils curved circ stapler 33mm cdh33 ethicon	272	RC	Outpatient			519	337.35		90			Percent of total billed charges		467.1	40			Percent of total billed charges		207.6	80			Percent of total billed charges		415.2	90			Percent of total billed charges		467.1	85			Percent of total billed charges		441.15	85			Percent of total billed charges		441.15	85			Percent of total billed charges		441.15	100			Percent of total billed charges		519	100			Percent of total billed charges		519	100			Percent of total billed charges		519	33.3			Percent of total billed charges		172.827	33.3			Percent of total billed charges		172.827	100			Percent of total billed charges		519	172.827	467.1	
syn 2.7 titan. plate	278	RC	Outpatient			519	337.35		90			Percent of total billed charges		467.1	40			Percent of total billed charges		207.6	80			Percent of total billed charges		415.2	90			Percent of total billed charges		467.1	85			Percent of total billed charges		441.15	85			Percent of total billed charges		441.15	85			Percent of total billed charges		441.15	100			Percent of total billed charges		519	100			Percent of total billed charges		519	100			Percent of total billed charges		519	33.3			Percent of total billed charges		172.827	33.3			Percent of total billed charges		172.827	100			Percent of total billed charges		519	172.827	467.1	
synthes 2.7 ti 4 hole plate 444.04	278	RC	Outpatient			519	337.35		90			Percent of total billed charges		467.1	40			Percent of total billed charges		207.6	80			Percent of total billed charges		415.2	90			Percent of total billed charges		467.1	85			Percent of total billed charges		441.15	85			Percent of total billed charges		441.15	85			Percent of total billed charges		441.15	100			Percent of total billed charges		519	100			Percent of total billed charges		519	100			Percent of total billed charges		519	33.3			Percent of total billed charges		172.827	33.3			Percent of total billed charges		172.827	100			Percent of total billed charges		519	172.827	467.1	
synthes 2.7 ti 6 hole plate 444.56	278	RC	Outpatient			519	337.35		90			Percent of total billed charges		467.1	40			Percent of total billed charges		207.6	80			Percent of total billed charges		415.2	90			Percent of total billed charges		467.1	85			Percent of total billed charges		441.15	85			Percent of total billed charges		441.15	85			Percent of total billed charges		441.15	100			Percent of total billed charges		519	100			Percent of total billed charges		519	100			Percent of total billed charges		519	33.3			Percent of total billed charges		172.827	33.3			Percent of total billed charges		172.827	100			Percent of total billed charges		519	172.827	467.1	
proximate ils curved circ stapler 29mm cdh29 ethicon	272	RC	Outpatient			519	337.35		90			Percent of total billed charges		467.1	40			Percent of total billed charges		207.6	80			Percent of total billed charges		415.2	90			Percent of total billed charges		467.1	85			Percent of total billed charges		441.15	85			Percent of total billed charges		441.15	85			Percent of total billed charges		441.15	100			Percent of total billed charges		519	100			Percent of total billed charges		519	100			Percent of total billed charges		519	33.3			Percent of total billed charges		172.827	33.3			Percent of total billed charges		172.827	100			Percent of total billed charges		519	172.827	467.1	
proximate ils curved intraluminal stapler 25mm cdh25a ethicon	272	RC	Outpatient			519	337.35		90			Percent of total billed charges		467.1	40			Percent of total billed charges		207.6	80			Percent of total billed charges		415.2	90			Percent of total billed charges		467.1	85			Percent of total billed charges		441.15	85			Percent of total billed charges		441.15	85			Percent of total billed charges		441.15	100			Percent of total billed charges		519	100			Percent of total billed charges		519	100			Percent of total billed charges		519	33.3			Percent of total billed charges		172.827	33.3			Percent of total billed charges		172.827	100			Percent of total billed charges		519	172.827	467.1	
proximate ils curved intraluminal stapler 29mm cdh29a ethicon	272	RC	Outpatient			519	337.35		90			Percent of total billed charges		467.1	40			Percent of total billed charges		207.6	80			Percent of total billed charges		415.2	90			Percent of total billed charges		467.1	85			Percent of total billed charges		441.15	85			Percent of total billed charges		441.15	85			Percent of total billed charges		441.15	100			Percent of total billed charges		519	100			Percent of total billed charges		519	100			Percent of total billed charges		519	33.3			Percent of total billed charges		172.827	33.3			Percent of total billed charges		172.827	100			Percent of total billed charges		519	172.827	467.1	
proximate ils curved intraluminal stapler 33mm cdh33a ethicon	272	RC	Outpatient			519	337.35		90			Percent of total billed charges		467.1	40			Percent of total billed charges		207.6	80			Percent of total billed charges		415.2	90			Percent of total billed charges		467.1	85			Percent of total billed charges		441.15	85			Percent of total billed charges		441.15	85			Percent of total billed charges		441.15	100			Percent of total billed charges		519	100			Percent of total billed charges		519	100			Percent of total billed charges		519	33.3			Percent of total billed charges		172.827	33.3			Percent of total billed charges		172.827	100			Percent of total billed charges		519	172.827	467.1	
s/n lg frag  plate 7114-1302	278	RC	Outpatient			519	337.35		90			Percent of total billed charges		467.1	40			Percent of total billed charges		207.6	80			Percent of total billed charges		415.2	90			Percent of total billed charges		467.1	85			Percent of total billed charges		441.15	85			Percent of total billed charges		441.15	85			Percent of total billed charges		441.15	100			Percent of total billed charges		519	100			Percent of total billed charges		519	100			Percent of total billed charges		519	33.3			Percent of total billed charges		172.827	33.3			Percent of total billed charges		172.827	100			Percent of total billed charges		519	172.827	467.1	
s/n lg frag  plate 7114-1303	278	RC	Outpatient			519	337.35		90			Percent of total billed charges		467.1	40			Percent of total billed charges		207.6	80			Percent of total billed charges		415.2	90			Percent of total billed charges		467.1	85			Percent of total billed charges		441.15	85			Percent of total billed charges		441.15	85			Percent of total billed charges		441.15	100			Percent of total billed charges		519	100			Percent of total billed charges		519	100			Percent of total billed charges		519	33.3			Percent of total billed charges		172.827	33.3			Percent of total billed charges		172.827	100			Percent of total billed charges		519	172.827	467.1	
screw cannulated 4.0 sty	278	RC	Outpatient			519	337.35		90			Percent of total billed charges		467.1	40			Percent of total billed charges		207.6	80			Percent of total billed charges		415.2	90			Percent of total billed charges		467.1	85			Percent of total billed charges		441.15	85			Percent of total billed charges		441.15	85			Percent of total billed charges		441.15	100			Percent of total billed charges		519	100			Percent of total billed charges		519	100			Percent of total billed charges		519	33.3			Percent of total billed charges		172.827	33.3			Percent of total billed charges		172.827	100			Percent of total billed charges		519	172.827	467.1	
stapler ils circ	272	RC	Outpatient			519	337.35		90			Percent of total billed charges		467.1	40			Percent of total billed charges		207.6	80			Percent of total billed charges		415.2	90			Percent of total billed charges		467.1	85			Percent of total billed charges		441.15	85			Percent of total billed charges		441.15	85			Percent of total billed charges		441.15	100			Percent of total billed charges		519	100			Percent of total billed charges		519	100			Percent of total billed charges		519	33.3			Percent of total billed charges		172.827	33.3			Percent of total billed charges		172.827	100			Percent of total billed charges		519	172.827	467.1	
synthes 2.7 ti 2 hole plate 444.02	278	RC	Outpatient			519	337.35		90			Percent of total billed charges		467.1	40			Percent of total billed charges		207.6	80			Percent of total billed charges		415.2	90			Percent of total billed charges		467.1	85			Percent of total billed charges		441.15	85			Percent of total billed charges		441.15	85			Percent of total billed charges		441.15	100			Percent of total billed charges		519	100			Percent of total billed charges		519	100			Percent of total billed charges		519	33.3			Percent of total billed charges		172.827	33.3			Percent of total billed charges		172.827	100			Percent of total billed charges		519	172.827	467.1	
zimmer 1.8 cable	278	RC	Outpatient			519	337.35		90			Percent of total billed charges		467.1	40			Percent of total billed charges		207.6	80			Percent of total billed charges		415.2	90			Percent of total billed charges		467.1	85			Percent of total billed charges		441.15	85			Percent of total billed charges		441.15	85			Percent of total billed charges		441.15	100			Percent of total billed charges		519	100			Percent of total billed charges		519	100			Percent of total billed charges		519	33.3			Percent of total billed charges		172.827	33.3			Percent of total billed charges		172.827	100			Percent of total billed charges		519	172.827	467.1	
pruitt - inahara carotid shunt lamaitre 2003-49	272	RC	Outpatient			520	338		90			Percent of total billed charges		468	40			Percent of total billed charges		208	80			Percent of total billed charges		416	90			Percent of total billed charges		468	85			Percent of total billed charges		442	85			Percent of total billed charges		442	85			Percent of total billed charges		442	100			Percent of total billed charges		520	100			Percent of total billed charges		520	100			Percent of total billed charges		520	33.3			Percent of total billed charges		173.16	33.3			Percent of total billed charges		173.16	100			Percent of total billed charges		520	173.16	468	
pruitt inahara shunt	272	RC	Outpatient			520	338		90			Percent of total billed charges		468	40			Percent of total billed charges		208	80			Percent of total billed charges		416	90			Percent of total billed charges		468	85			Percent of total billed charges		442	85			Percent of total billed charges		442	85			Percent of total billed charges		442	100			Percent of total billed charges		520	100			Percent of total billed charges		520	100			Percent of total billed charges		520	33.3			Percent of total billed charges		173.16	33.3			Percent of total billed charges		173.16	100			Percent of total billed charges		520	173.16	468	
s/n drill 1.7 7220-3855	272	RC	Outpatient			520	338		90			Percent of total billed charges		468	40			Percent of total billed charges		208	80			Percent of total billed charges		416	90			Percent of total billed charges		468	85			Percent of total billed charges		442	85			Percent of total billed charges		442	85			Percent of total billed charges		442	100			Percent of total billed charges		520	100			Percent of total billed charges		520	100			Percent of total billed charges		520	33.3			Percent of total billed charges		173.16	33.3			Percent of total billed charges		173.16	100			Percent of total billed charges		520	173.16	468	
stryker 3.5 x 180mm tap 702804	272	RC	Outpatient			520	338		90			Percent of total billed charges		468	40			Percent of total billed charges		208	80			Percent of total billed charges		416	90			Percent of total billed charges		468	85			Percent of total billed charges		442	85			Percent of total billed charges		442	85			Percent of total billed charges		442	100			Percent of total billed charges		520	100			Percent of total billed charges		520	100			Percent of total billed charges		520	33.3			Percent of total billed charges		173.16	33.3			Percent of total billed charges		173.16	100			Percent of total billed charges		520	173.16	468	
t2 recon lag screw 6.5 x 110mm 1897-6110s stryker	278	RC	Outpatient			520	338		90			Percent of total billed charges		468	40			Percent of total billed charges		208	80			Percent of total billed charges		416	90			Percent of total billed charges		468	85			Percent of total billed charges		442	85			Percent of total billed charges		442	85			Percent of total billed charges		442	100			Percent of total billed charges		520	100			Percent of total billed charges		520	100			Percent of total billed charges		520	33.3			Percent of total billed charges		173.16	33.3			Percent of total billed charges		173.16	100			Percent of total billed charges		520	173.16	468	
t2 recon lag screw 6.5 x 80mm 1897-6080s stryker	278	RC	Outpatient			520	338		90			Percent of total billed charges		468	40			Percent of total billed charges		208	80			Percent of total billed charges		416	90			Percent of total billed charges		468	85			Percent of total billed charges		442	85			Percent of total billed charges		442	85			Percent of total billed charges		442	100			Percent of total billed charges		520	100			Percent of total billed charges		520	100			Percent of total billed charges		520	33.3			Percent of total billed charges		173.16	33.3			Percent of total billed charges		173.16	100			Percent of total billed charges		520	173.16	468	
stryker 3.5 tap	272	RC	Outpatient			520	338		90			Percent of total billed charges		468	40			Percent of total billed charges		208	80			Percent of total billed charges		416	90			Percent of total billed charges		468	85			Percent of total billed charges		442	85			Percent of total billed charges		442	85			Percent of total billed charges		442	100			Percent of total billed charges		520	100			Percent of total billed charges		520	100			Percent of total billed charges		520	33.3			Percent of total billed charges		173.16	33.3			Percent of total billed charges		173.16	100			Percent of total billed charges		520	173.16	468	
t2 recon lag screw	278	RC	Outpatient			520	338		90			Percent of total billed charges		468	40			Percent of total billed charges		208	80			Percent of total billed charges		416	90			Percent of total billed charges		468	85			Percent of total billed charges		442	85			Percent of total billed charges		442	85			Percent of total billed charges		442	100			Percent of total billed charges		520	100			Percent of total billed charges		520	100			Percent of total billed charges		520	33.3			Percent of total billed charges		173.16	33.3			Percent of total billed charges		173.16	100			Percent of total billed charges		520	173.16	468	
t2 recon lag screw 6.5 x 70mm 1897-6070s stryker	278	RC	Outpatient			520	338		90			Percent of total billed charges		468	40			Percent of total billed charges		208	80			Percent of total billed charges		416	90			Percent of total billed charges		468	85			Percent of total billed charges		442	85			Percent of total billed charges		442	85			Percent of total billed charges		442	100			Percent of total billed charges		520	100			Percent of total billed charges		520	100			Percent of total billed charges		520	33.3			Percent of total billed charges		173.16	33.3			Percent of total billed charges		173.16	100			Percent of total billed charges		520	173.16	468	
acutak 6/7 drill 90-120mm  ap-67013 acumed	272	RC	Outpatient			521	338.65		90			Percent of total billed charges		468.9	40			Percent of total billed charges		208.4	80			Percent of total billed charges		416.8	90			Percent of total billed charges		468.9	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	100			Percent of total billed charges		521	100			Percent of total billed charges		521	100			Percent of total billed charges		521	33.3			Percent of total billed charges		173.493	33.3			Percent of total billed charges		173.493	100			Percent of total billed charges		521	173.493	468.9	
acutrak 6/7 drill ap67011 acumed	272	RC	Outpatient			521	338.65		90			Percent of total billed charges		468.9	40			Percent of total billed charges		208.4	80			Percent of total billed charges		416.8	90			Percent of total billed charges		468.9	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	100			Percent of total billed charges		521	100			Percent of total billed charges		521	100			Percent of total billed charges		521	33.3			Percent of total billed charges		173.493	33.3			Percent of total billed charges		173.493	100			Percent of total billed charges		521	173.493	468.9	
arthrex surefire scorpion needle ar-13991n	272	RC	Outpatient			521	338.65		90			Percent of total billed charges		468.9	40			Percent of total billed charges		208.4	80			Percent of total billed charges		416.8	90			Percent of total billed charges		468.9	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	100			Percent of total billed charges		521	100			Percent of total billed charges		521	100			Percent of total billed charges		521	33.3			Percent of total billed charges		173.493	33.3			Percent of total billed charges		173.493	100			Percent of total billed charges		521	173.493	468.9	
compression hip lag screw 80mm 121105 s/n	278	RC	Outpatient			521	338.65		90			Percent of total billed charges		468.9	40			Percent of total billed charges		208.4	80			Percent of total billed charges		416.8	90			Percent of total billed charges		468.9	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	100			Percent of total billed charges		521	100			Percent of total billed charges		521	100			Percent of total billed charges		521	33.3			Percent of total billed charges		173.493	33.3			Percent of total billed charges		173.493	100			Percent of total billed charges		521	173.493	468.9	
compression hip screw lag  140mm 121178 s/n	278	RC	Outpatient			521	338.65		90			Percent of total billed charges		468.9	40			Percent of total billed charges		208.4	80			Percent of total billed charges		416.8	90			Percent of total billed charges		468.9	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	100			Percent of total billed charges		521	100			Percent of total billed charges		521	100			Percent of total billed charges		521	33.3			Percent of total billed charges		173.493	33.3			Percent of total billed charges		173.493	100			Percent of total billed charges		521	173.493	468.9	
compression hip screw lag  60mm 121101 s/n	278	RC	Outpatient			521	338.65		90			Percent of total billed charges		468.9	40			Percent of total billed charges		208.4	80			Percent of total billed charges		416.8	90			Percent of total billed charges		468.9	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	100			Percent of total billed charges		521	100			Percent of total billed charges		521	100			Percent of total billed charges		521	33.3			Percent of total billed charges		173.493	33.3			Percent of total billed charges		173.493	100			Percent of total billed charges		521	173.493	468.9	
compression hip screw lag  65mm 121102 s/n	278	RC	Outpatient			521	338.65		90			Percent of total billed charges		468.9	40			Percent of total billed charges		208.4	80			Percent of total billed charges		416.8	90			Percent of total billed charges		468.9	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	100			Percent of total billed charges		521	100			Percent of total billed charges		521	100			Percent of total billed charges		521	33.3			Percent of total billed charges		173.493	33.3			Percent of total billed charges		173.493	100			Percent of total billed charges		521	173.493	468.9	
compression hip screw lag  70mm 121103 s/n	278	RC	Outpatient			521	338.65		90			Percent of total billed charges		468.9	40			Percent of total billed charges		208.4	80			Percent of total billed charges		416.8	90			Percent of total billed charges		468.9	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	100			Percent of total billed charges		521	100			Percent of total billed charges		521	100			Percent of total billed charges		521	33.3			Percent of total billed charges		173.493	33.3			Percent of total billed charges		173.493	100			Percent of total billed charges		521	173.493	468.9	
compression hip screw lag  90mm 121107 s/n	278	RC	Outpatient			521	338.65		90			Percent of total billed charges		468.9	40			Percent of total billed charges		208.4	80			Percent of total billed charges		416.8	90			Percent of total billed charges		468.9	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	100			Percent of total billed charges		521	100			Percent of total billed charges		521	100			Percent of total billed charges		521	33.3			Percent of total billed charges		173.493	33.3			Percent of total billed charges		173.493	100			Percent of total billed charges		521	173.493	468.9	
compression hip screw lag  95mm 121108 s/n	278	RC	Outpatient			521	338.65		90			Percent of total billed charges		468.9	40			Percent of total billed charges		208.4	80			Percent of total billed charges		416.8	90			Percent of total billed charges		468.9	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	100			Percent of total billed charges		521	100			Percent of total billed charges		521	100			Percent of total billed charges		521	33.3			Percent of total billed charges		173.493	33.3			Percent of total billed charges		173.493	100			Percent of total billed charges		521	173.493	468.9	
compression hip screw lag 125mm 121114 s/n	278	RC	Outpatient			521	338.65		90			Percent of total billed charges		468.9	40			Percent of total billed charges		208.4	80			Percent of total billed charges		416.8	90			Percent of total billed charges		468.9	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	100			Percent of total billed charges		521	100			Percent of total billed charges		521	100			Percent of total billed charges		521	33.3			Percent of total billed charges		173.493	33.3			Percent of total billed charges		173.493	100			Percent of total billed charges		521	173.493	468.9	
compression hip screw lag 75mm 121104 s/n	278	RC	Outpatient			521	338.65		90			Percent of total billed charges		468.9	40			Percent of total billed charges		208.4	80			Percent of total billed charges		416.8	90			Percent of total billed charges		468.9	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	100			Percent of total billed charges		521	100			Percent of total billed charges		521	100			Percent of total billed charges		521	33.3			Percent of total billed charges		173.493	33.3			Percent of total billed charges		173.493	100			Percent of total billed charges		521	173.493	468.9	
compression hip screw lag screw 110mm 121111	278	RC	Outpatient			521	338.65		90			Percent of total billed charges		468.9	40			Percent of total billed charges		208.4	80			Percent of total billed charges		416.8	90			Percent of total billed charges		468.9	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	100			Percent of total billed charges		521	100			Percent of total billed charges		521	100			Percent of total billed charges		521	33.3			Percent of total billed charges		173.493	33.3			Percent of total billed charges		173.493	100			Percent of total billed charges		521	173.493	468.9	
compression hip screw lag screw 115mm 121112	278	RC	Outpatient			521	338.65		90			Percent of total billed charges		468.9	40			Percent of total billed charges		208.4	80			Percent of total billed charges		416.8	90			Percent of total billed charges		468.9	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	100			Percent of total billed charges		521	100			Percent of total billed charges		521	100			Percent of total billed charges		521	33.3			Percent of total billed charges		173.493	33.3			Percent of total billed charges		173.493	100			Percent of total billed charges		521	173.493	468.9	
compression hip screw lag screw 120mm 121113	278	RC	Outpatient			521	338.65		90			Percent of total billed charges		468.9	40			Percent of total billed charges		208.4	80			Percent of total billed charges		416.8	90			Percent of total billed charges		468.9	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	100			Percent of total billed charges		521	100			Percent of total billed charges		521	100			Percent of total billed charges		521	33.3			Percent of total billed charges		173.493	33.3			Percent of total billed charges		173.493	100			Percent of total billed charges		521	173.493	468.9	
compression hip screw lag screw 55mm 121100	278	RC	Outpatient			521	338.65		90			Percent of total billed charges		468.9	40			Percent of total billed charges		208.4	80			Percent of total billed charges		416.8	90			Percent of total billed charges		468.9	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	100			Percent of total billed charges		521	100			Percent of total billed charges		521	100			Percent of total billed charges		521	33.3			Percent of total billed charges		173.493	33.3			Percent of total billed charges		173.493	100			Percent of total billed charges		521	173.493	468.9	
acutak 6/7 drill 40-65mm  ap-67011 acumed	272	RC	Outpatient			521	338.65		90			Percent of total billed charges		468.9	40			Percent of total billed charges		208.4	80			Percent of total billed charges		416.8	90			Percent of total billed charges		468.9	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	100			Percent of total billed charges		521	100			Percent of total billed charges		521	100			Percent of total billed charges		521	33.3			Percent of total billed charges		173.493	33.3			Percent of total billed charges		173.493	100			Percent of total billed charges		521	173.493	468.9	
acutrak 617 drill	272	RC	Outpatient			521	338.65		90			Percent of total billed charges		468.9	40			Percent of total billed charges		208.4	80			Percent of total billed charges		416.8	90			Percent of total billed charges		468.9	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	100			Percent of total billed charges		521	100			Percent of total billed charges		521	100			Percent of total billed charges		521	33.3			Percent of total billed charges		173.493	33.3			Percent of total billed charges		173.493	100			Percent of total billed charges		521	173.493	468.9	
arthrex scorpion needle	272	RC	Outpatient			521	338.65		90			Percent of total billed charges		468.9	40			Percent of total billed charges		208.4	80			Percent of total billed charges		416.8	90			Percent of total billed charges		468.9	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	100			Percent of total billed charges		521	100			Percent of total billed charges		521	100			Percent of total billed charges		521	33.3			Percent of total billed charges		173.493	33.3			Percent of total billed charges		173.493	100			Percent of total billed charges		521	173.493	468.9	
arthro parafix anchor	278	RC	Outpatient			521	338.65		90			Percent of total billed charges		468.9	40			Percent of total billed charges		208.4	80			Percent of total billed charges		416.8	90			Percent of total billed charges		468.9	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	100			Percent of total billed charges		521	100			Percent of total billed charges		521	100			Percent of total billed charges		521	33.3			Percent of total billed charges		173.493	33.3			Percent of total billed charges		173.493	100			Percent of total billed charges		521	173.493	468.9	
compression hip screw lag  130mm 121176 s/n	278	RC	Outpatient			521	338.65		90			Percent of total billed charges		468.9	40			Percent of total billed charges		208.4	80			Percent of total billed charges		416.8	90			Percent of total billed charges		468.9	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	100			Percent of total billed charges		521	100			Percent of total billed charges		521	100			Percent of total billed charges		521	33.3			Percent of total billed charges		173.493	33.3			Percent of total billed charges		173.493	100			Percent of total billed charges		521	173.493	468.9	
compression hip screw lag 135mm 121177 s/n	278	RC	Outpatient			521	338.65		90			Percent of total billed charges		468.9	40			Percent of total billed charges		208.4	80			Percent of total billed charges		416.8	90			Percent of total billed charges		468.9	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	100			Percent of total billed charges		521	100			Percent of total billed charges		521	100			Percent of total billed charges		521	33.3			Percent of total billed charges		173.493	33.3			Percent of total billed charges		173.493	100			Percent of total billed charges		521	173.493	468.9	
compression hip screw lag screw 100mm 121109	278	RC	Outpatient			521	338.65		90			Percent of total billed charges		468.9	40			Percent of total billed charges		208.4	80			Percent of total billed charges		416.8	90			Percent of total billed charges		468.9	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	100			Percent of total billed charges		521	100			Percent of total billed charges		521	100			Percent of total billed charges		521	33.3			Percent of total billed charges		173.493	33.3			Percent of total billed charges		173.493	100			Percent of total billed charges		521	173.493	468.9	
compression hip screw lag screw 105mm 121110 s/n	278	RC	Outpatient			521	338.65		90			Percent of total billed charges		468.9	40			Percent of total billed charges		208.4	80			Percent of total billed charges		416.8	90			Percent of total billed charges		468.9	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	100			Percent of total billed charges		521	100			Percent of total billed charges		521	100			Percent of total billed charges		521	33.3			Percent of total billed charges		173.493	33.3			Percent of total billed charges		173.493	100			Percent of total billed charges		521	173.493	468.9	
endo hydra jagwire	370	RC	Outpatient			521	338.65		90			Percent of total billed charges		468.9	40			Percent of total billed charges		208.4	80			Percent of total billed charges		416.8	90			Percent of total billed charges		468.9	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	100			Percent of total billed charges		521	100			Percent of total billed charges		521	100			Percent of total billed charges		521	33.3			Percent of total billed charges		173.493	33.3			Percent of total billed charges		173.493	100			Percent of total billed charges		521	173.493	468.9	
ht 5mm drill 01-7142 lorenz	272	RC	Outpatient			521	338.65		90			Percent of total billed charges		468.9	40			Percent of total billed charges		208.4	80			Percent of total billed charges		416.8	90			Percent of total billed charges		468.9	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	100			Percent of total billed charges		521	100			Percent of total billed charges		521	100			Percent of total billed charges		521	33.3			Percent of total billed charges		173.493	33.3			Percent of total billed charges		173.493	100			Percent of total billed charges		521	173.493	468.9	
ht xdrive w/drill	272	RC	Outpatient			521	338.65		90			Percent of total billed charges		468.9	40			Percent of total billed charges		208.4	80			Percent of total billed charges		416.8	90			Percent of total billed charges		468.9	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	100			Percent of total billed charges		521	100			Percent of total billed charges		521	100			Percent of total billed charges		521	33.3			Percent of total billed charges		173.493	33.3			Percent of total billed charges		173.493	100			Percent of total billed charges		521	173.493	468.9	
imp screw lag chs 85mm 121106	278	RC	Outpatient			521	338.65		90			Percent of total billed charges		468.9	40			Percent of total billed charges		208.4	80			Percent of total billed charges		416.8	90			Percent of total billed charges		468.9	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	100			Percent of total billed charges		521	100			Percent of total billed charges		521	100			Percent of total billed charges		521	33.3			Percent of total billed charges		173.493	33.3			Percent of total billed charges		173.493	100			Percent of total billed charges		521	173.493	468.9	
s/n chs lag screw	278	RC	Outpatient			521	338.65		90			Percent of total billed charges		468.9	40			Percent of total billed charges		208.4	80			Percent of total billed charges		416.8	90			Percent of total billed charges		468.9	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	100			Percent of total billed charges		521	100			Percent of total billed charges		521	100			Percent of total billed charges		521	33.3			Percent of total billed charges		173.493	33.3			Percent of total billed charges		173.493	100			Percent of total billed charges		521	173.493	468.9	
taut retrieval basket	270	RC	Outpatient			521	338.65		90			Percent of total billed charges		468.9	40			Percent of total billed charges		208.4	80			Percent of total billed charges		416.8	90			Percent of total billed charges		468.9	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	100			Percent of total billed charges		521	100			Percent of total billed charges		521	100			Percent of total billed charges		521	33.3			Percent of total billed charges		173.493	33.3			Percent of total billed charges		173.493	100			Percent of total billed charges		521	173.493	468.9	
transgastric j tube kit	270	RC	Outpatient			521	338.65		90			Percent of total billed charges		468.9	40			Percent of total billed charges		208.4	80			Percent of total billed charges		416.8	90			Percent of total billed charges		468.9	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	100			Percent of total billed charges		521	100			Percent of total billed charges		521	100			Percent of total billed charges		521	33.3			Percent of total billed charges		173.493	33.3			Percent of total billed charges		173.493	100			Percent of total billed charges		521	173.493	468.9	
t2 end cap	278	RC	Outpatient			521	338.65		90			Percent of total billed charges		468.9	40			Percent of total billed charges		208.4	80			Percent of total billed charges		416.8	90			Percent of total billed charges		468.9	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	100			Percent of total billed charges		521	100			Percent of total billed charges		521	100			Percent of total billed charges		521	33.3			Percent of total billed charges		173.493	33.3			Percent of total billed charges		173.493	100			Percent of total billed charges		521	173.493	468.9	
t2 end cap +5mm 1850-0005s stryer	278	RC	Outpatient			521	338.65		90			Percent of total billed charges		468.9	40			Percent of total billed charges		208.4	80			Percent of total billed charges		416.8	90			Percent of total billed charges		468.9	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	100			Percent of total billed charges		521	100			Percent of total billed charges		521	100			Percent of total billed charges		521	33.3			Percent of total billed charges		173.493	33.3			Percent of total billed charges		173.493	100			Percent of total billed charges		521	173.493	468.9	
taut retrieval basket 50024	270	RC	Outpatient			521	338.65		90			Percent of total billed charges		468.9	40			Percent of total billed charges		208.4	80			Percent of total billed charges		416.8	90			Percent of total billed charges		468.9	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	100			Percent of total billed charges		521	100			Percent of total billed charges		521	100			Percent of total billed charges		521	33.3			Percent of total billed charges		173.493	33.3			Percent of total billed charges		173.493	100			Percent of total billed charges		521	173.493	468.9	
vulcan saphyre 60 degree probe 7209682 s/n 7210113	272	RC	Outpatient			521	338.65		90			Percent of total billed charges		468.9	40			Percent of total billed charges		208.4	80			Percent of total billed charges		416.8	90			Percent of total billed charges		468.9	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	100			Percent of total billed charges		521	100			Percent of total billed charges		521	100			Percent of total billed charges		521	33.3			Percent of total billed charges		173.493	33.3			Percent of total billed charges		173.493	100			Percent of total billed charges		521	173.493	468.9	
vulcan saphyre 90	272	RC	Outpatient			521	338.65		90			Percent of total billed charges		468.9	40			Percent of total billed charges		208.4	80			Percent of total billed charges		416.8	90			Percent of total billed charges		468.9	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	100			Percent of total billed charges		521	100			Percent of total billed charges		521	100			Percent of total billed charges		521	33.3			Percent of total billed charges		173.493	33.3			Percent of total billed charges		173.493	100			Percent of total billed charges		521	173.493	468.9	
vulcan suction saphyre 90 7210111 s/n	272	RC	Outpatient			521	338.65		90			Percent of total billed charges		468.9	40			Percent of total billed charges		208.4	80			Percent of total billed charges		416.8	90			Percent of total billed charges		468.9	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	100			Percent of total billed charges		521	100			Percent of total billed charges		521	100			Percent of total billed charges		521	33.3			Percent of total billed charges		173.493	33.3			Percent of total billed charges		173.493	100			Percent of total billed charges		521	173.493	468.9	
vulcan tac-s electro-thermal probe w/ intergrated cable 7209633 smith & nephew	272	RC	Outpatient			521	338.65		90			Percent of total billed charges		468.9	40			Percent of total billed charges		208.4	80			Percent of total billed charges		416.8	90			Percent of total billed charges		468.9	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	100			Percent of total billed charges		521	100			Percent of total billed charges		521	100			Percent of total billed charges		521	33.3			Percent of total billed charges		173.493	33.3			Percent of total billed charges		173.493	100			Percent of total billed charges		521	173.493	468.9	
xmcp 12mm dorsal window rasp 120-02012 extremity med	272	RC	Outpatient			521	338.65		90			Percent of total billed charges		468.9	40			Percent of total billed charges		208.4	80			Percent of total billed charges		416.8	90			Percent of total billed charges		468.9	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	100			Percent of total billed charges		521	100			Percent of total billed charges		521	100			Percent of total billed charges		521	33.3			Percent of total billed charges		173.493	33.3			Percent of total billed charges		173.493	100			Percent of total billed charges		521	173.493	468.9	
xmcp 12mm lag screw rasp 120 -04012 extremity med	272	RC	Outpatient			521	338.65		90			Percent of total billed charges		468.9	40			Percent of total billed charges		208.4	80			Percent of total billed charges		416.8	90			Percent of total billed charges		468.9	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	100			Percent of total billed charges		521	100			Percent of total billed charges		521	100			Percent of total billed charges		521	33.3			Percent of total billed charges		173.493	33.3			Percent of total billed charges		173.493	100			Percent of total billed charges		521	173.493	468.9	
xmcp window rasp	272	RC	Outpatient			521	338.65		90			Percent of total billed charges		468.9	40			Percent of total billed charges		208.4	80			Percent of total billed charges		416.8	90			Percent of total billed charges		468.9	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	100			Percent of total billed charges		521	100			Percent of total billed charges		521	100			Percent of total billed charges		521	33.3			Percent of total billed charges		173.493	33.3			Percent of total billed charges		173.493	100			Percent of total billed charges		521	173.493	468.9	
vulcan tac probe	272	RC	Outpatient			521	338.65		90			Percent of total billed charges		468.9	40			Percent of total billed charges		208.4	80			Percent of total billed charges		416.8	90			Percent of total billed charges		468.9	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	100			Percent of total billed charges		521	100			Percent of total billed charges		521	100			Percent of total billed charges		521	33.3			Percent of total billed charges		173.493	33.3			Percent of total billed charges		173.493	100			Percent of total billed charges		521	173.493	468.9	
vulcan tac-c ii electrothermal probe integrated cable smith & nephew 7209628	272	RC	Outpatient			521	338.65		90			Percent of total billed charges		468.9	40			Percent of total billed charges		208.4	80			Percent of total billed charges		416.8	90			Percent of total billed charges		468.9	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	85			Percent of total billed charges		442.85	100			Percent of total billed charges		521	100			Percent of total billed charges		521	100			Percent of total billed charges		521	33.3			Percent of total billed charges		173.493	33.3			Percent of total billed charges		173.493	100			Percent of total billed charges		521	173.493	468.9	
acl b-t-b disp kit 234-020-280 stryker	272	RC	Outpatient			523	339.95		90			Percent of total billed charges		470.7	40			Percent of total billed charges		209.2	80			Percent of total billed charges		418.4	90			Percent of total billed charges		470.7	85			Percent of total billed charges		444.55	85			Percent of total billed charges		444.55	85			Percent of total billed charges		444.55	100			Percent of total billed charges		523	100			Percent of total billed charges		523	100			Percent of total billed charges		523	33.3			Percent of total billed charges		174.159	33.3			Percent of total billed charges		174.159	100			Percent of total billed charges		523	174.159	470.7	
flexiva laser fiber 365 840-392 bost scient	272	RC	Outpatient			523	339.95		90			Percent of total billed charges		470.7	40			Percent of total billed charges		209.2	80			Percent of total billed charges		418.4	90			Percent of total billed charges		470.7	85			Percent of total billed charges		444.55	85			Percent of total billed charges		444.55	85			Percent of total billed charges		444.55	100			Percent of total billed charges		523	100			Percent of total billed charges		523	100			Percent of total billed charges		523	33.3			Percent of total billed charges		174.159	33.3			Percent of total billed charges		174.159	100			Percent of total billed charges		523	174.159	470.7	
flexiva id laser fiber 365 m006r8403920 boston scientific	272	RC	Outpatient			523	339.95		90			Percent of total billed charges		470.7	40			Percent of total billed charges		209.2	80			Percent of total billed charges		418.4	90			Percent of total billed charges		470.7	85			Percent of total billed charges		444.55	85			Percent of total billed charges		444.55	85			Percent of total billed charges		444.55	100			Percent of total billed charges		523	100			Percent of total billed charges		523	100			Percent of total billed charges		523	33.3			Percent of total billed charges		174.159	33.3			Percent of total billed charges		174.159	100			Percent of total billed charges		523	174.159	470.7	
stryker acl-bt-b kit	272	RC	Outpatient			523	339.95		90			Percent of total billed charges		470.7	40			Percent of total billed charges		209.2	80			Percent of total billed charges		418.4	90			Percent of total billed charges		470.7	85			Percent of total billed charges		444.55	85			Percent of total billed charges		444.55	85			Percent of total billed charges		444.55	100			Percent of total billed charges		523	100			Percent of total billed charges		523	100			Percent of total billed charges		523	33.3			Percent of total billed charges		174.159	33.3			Percent of total billed charges		174.159	100			Percent of total billed charges		523	174.159	470.7	
syn 4.5 brd plt 18hl	278	RC	Outpatient			524	340.6		90			Percent of total billed charges		471.6	40			Percent of total billed charges		209.6	80			Percent of total billed charges		419.2	90			Percent of total billed charges		471.6	85			Percent of total billed charges		445.4	85			Percent of total billed charges		445.4	85			Percent of total billed charges		445.4	100			Percent of total billed charges		524	100			Percent of total billed charges		524	100			Percent of total billed charges		524	33.3			Percent of total billed charges		174.492	33.3			Percent of total billed charges		174.492	100			Percent of total billed charges		524	174.492	471.6	
aurous centimeter sizing cath g11916 cook	272	RC	Outpatient			526	341.9		90			Percent of total billed charges		473.4	40			Percent of total billed charges		210.4	80			Percent of total billed charges		420.8	90			Percent of total billed charges		473.4	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	100			Percent of total billed charges		526	100			Percent of total billed charges		526	100			Percent of total billed charges		526	33.3			Percent of total billed charges		175.158	33.3			Percent of total billed charges		175.158	100			Percent of total billed charges		526	175.158	473.4	
cath aurous sizing	272	RC	Outpatient			526	341.9		90			Percent of total billed charges		473.4	40			Percent of total billed charges		210.4	80			Percent of total billed charges		420.8	90			Percent of total billed charges		473.4	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	100			Percent of total billed charges		526	100			Percent of total billed charges		526	100			Percent of total billed charges		526	33.3			Percent of total billed charges		175.158	33.3			Percent of total billed charges		175.158	100			Percent of total billed charges		526	175.158	473.4	
"end cap, scn 1826-0003s stryker"	278	RC	Outpatient			526	341.9		90			Percent of total billed charges		473.4	40			Percent of total billed charges		210.4	80			Percent of total billed charges		420.8	90			Percent of total billed charges		473.4	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	100			Percent of total billed charges		526	100			Percent of total billed charges		526	100			Percent of total billed charges		526	33.3			Percent of total billed charges		175.158	33.3			Percent of total billed charges		175.158	100			Percent of total billed charges		526	175.158	473.4	
drill bit 4.2 1806-4270s stryker	272	RC	Outpatient			526	341.9		90			Percent of total billed charges		473.4	40			Percent of total billed charges		210.4	80			Percent of total billed charges		420.8	90			Percent of total billed charges		473.4	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	100			Percent of total billed charges		526	100			Percent of total billed charges		526	100			Percent of total billed charges		526	33.3			Percent of total billed charges		175.158	33.3			Percent of total billed charges		175.158	100			Percent of total billed charges		526	175.158	473.4	
regular fixation staple 12-8725 s/n	278	RC	Outpatient			526	341.9		90			Percent of total billed charges		473.4	40			Percent of total billed charges		210.4	80			Percent of total billed charges		420.8	90			Percent of total billed charges		473.4	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	100			Percent of total billed charges		526	100			Percent of total billed charges		526	100			Percent of total billed charges		526	33.3			Percent of total billed charges		175.158	33.3			Percent of total billed charges		175.158	100			Percent of total billed charges		526	175.158	473.4	
regular fixation staple lg 12-8726 s/n	278	RC	Outpatient			526	341.9		90			Percent of total billed charges		473.4	40			Percent of total billed charges		210.4	80			Percent of total billed charges		420.8	90			Percent of total billed charges		473.4	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	100			Percent of total billed charges		526	100			Percent of total billed charges		526	100			Percent of total billed charges		526	33.3			Percent of total billed charges		175.158	33.3			Percent of total billed charges		175.158	100			Percent of total billed charges		526	175.158	473.4	
regular fixation staple x-s 12-8721 s/n	278	RC	Outpatient			526	341.9		90			Percent of total billed charges		473.4	40			Percent of total billed charges		210.4	80			Percent of total billed charges		420.8	90			Percent of total billed charges		473.4	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	100			Percent of total billed charges		526	100			Percent of total billed charges		526	100			Percent of total billed charges		526	33.3			Percent of total billed charges		175.158	33.3			Percent of total billed charges		175.158	100			Percent of total billed charges		526	175.158	473.4	
regular fixation staple x-sm 12-8720 s/n	278	RC	Outpatient			526	341.9		90			Percent of total billed charges		473.4	40			Percent of total billed charges		210.4	80			Percent of total billed charges		420.8	90			Percent of total billed charges		473.4	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	100			Percent of total billed charges		526	100			Percent of total billed charges		526	100			Percent of total billed charges		526	33.3			Percent of total billed charges		175.158	33.3			Percent of total billed charges		175.158	100			Percent of total billed charges		526	175.158	473.4	
regular fixation staples sm 12-8693 s/n	278	RC	Outpatient			526	341.9		90			Percent of total billed charges		473.4	40			Percent of total billed charges		210.4	80			Percent of total billed charges		420.8	90			Percent of total billed charges		473.4	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	100			Percent of total billed charges		526	100			Percent of total billed charges		526	100			Percent of total billed charges		526	33.3			Percent of total billed charges		175.158	33.3			Percent of total billed charges		175.158	100			Percent of total billed charges		526	175.158	473.4	
regular fixation staples x-sm 12-8691 s/n	278	RC	Outpatient			526	341.9		90			Percent of total billed charges		473.4	40			Percent of total billed charges		210.4	80			Percent of total billed charges		420.8	90			Percent of total billed charges		473.4	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	100			Percent of total billed charges		526	100			Percent of total billed charges		526	100			Percent of total billed charges		526	33.3			Percent of total billed charges		175.158	33.3			Percent of total billed charges		175.158	100			Percent of total billed charges		526	175.158	473.4	
s/n biosure ha interference screw 11 x 25mm 72201788	278	RC	Outpatient			526	341.9		90			Percent of total billed charges		473.4	40			Percent of total billed charges		210.4	80			Percent of total billed charges		420.8	90			Percent of total billed charges		473.4	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	100			Percent of total billed charges		526	100			Percent of total billed charges		526	100			Percent of total billed charges		526	33.3			Percent of total billed charges		175.158	33.3			Percent of total billed charges		175.158	100			Percent of total billed charges		526	175.158	473.4	
s/n biosure ha interference screw 11 x 30mm 72201789	278	RC	Outpatient			526	341.9		90			Percent of total billed charges		473.4	40			Percent of total billed charges		210.4	80			Percent of total billed charges		420.8	90			Percent of total billed charges		473.4	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	100			Percent of total billed charges		526	100			Percent of total billed charges		526	100			Percent of total billed charges		526	33.3			Percent of total billed charges		175.158	33.3			Percent of total billed charges		175.158	100			Percent of total billed charges		526	175.158	473.4	
s/n biosure ha interference screw 6 x 25mm 72201769	278	RC	Outpatient			526	341.9		90			Percent of total billed charges		473.4	40			Percent of total billed charges		210.4	80			Percent of total billed charges		420.8	90			Percent of total billed charges		473.4	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	100			Percent of total billed charges		526	100			Percent of total billed charges		526	100			Percent of total billed charges		526	33.3			Percent of total billed charges		175.158	33.3			Percent of total billed charges		175.158	100			Percent of total billed charges		526	175.158	473.4	
s/n biosure ha interference screw 8 x 25mm 72201776	278	RC	Outpatient			526	341.9		90			Percent of total billed charges		473.4	40			Percent of total billed charges		210.4	80			Percent of total billed charges		420.8	90			Percent of total billed charges		473.4	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	100			Percent of total billed charges		526	100			Percent of total billed charges		526	100			Percent of total billed charges		526	33.3			Percent of total billed charges		175.158	33.3			Percent of total billed charges		175.158	100			Percent of total billed charges		526	175.158	473.4	
s/n biosure ha interference screw 9 x 20mm 72201780	278	RC	Outpatient			526	341.9		90			Percent of total billed charges		473.4	40			Percent of total billed charges		210.4	80			Percent of total billed charges		420.8	90			Percent of total billed charges		473.4	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	100			Percent of total billed charges		526	100			Percent of total billed charges		526	100			Percent of total billed charges		526	33.3			Percent of total billed charges		175.158	33.3			Percent of total billed charges		175.158	100			Percent of total billed charges		526	175.158	473.4	
s/n biosure ha interference screw 9 x 25mm 72201781	278	RC	Outpatient			526	341.9		90			Percent of total billed charges		473.4	40			Percent of total billed charges		210.4	80			Percent of total billed charges		420.8	90			Percent of total billed charges		473.4	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	100			Percent of total billed charges		526	100			Percent of total billed charges		526	100			Percent of total billed charges		526	33.3			Percent of total billed charges		175.158	33.3			Percent of total billed charges		175.158	100			Percent of total billed charges		526	175.158	473.4	
s/n staple lg 128696	278	RC	Outpatient			526	341.9		90			Percent of total billed charges		473.4	40			Percent of total billed charges		210.4	80			Percent of total billed charges		420.8	90			Percent of total billed charges		473.4	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	100			Percent of total billed charges		526	100			Percent of total billed charges		526	100			Percent of total billed charges		526	33.3			Percent of total billed charges		175.158	33.3			Percent of total billed charges		175.158	100			Percent of total billed charges		526	175.158	473.4	
s/n staple r table fix sm 13 128698 s/n	278	RC	Outpatient			526	341.9		90			Percent of total billed charges		473.4	40			Percent of total billed charges		210.4	80			Percent of total billed charges		420.8	90			Percent of total billed charges		473.4	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	100			Percent of total billed charges		526	100			Percent of total billed charges		526	100			Percent of total billed charges		526	33.3			Percent of total billed charges		175.158	33.3			Percent of total billed charges		175.158	100			Percent of total billed charges		526	175.158	473.4	
s/n staple small 12-8692	278	RC	Outpatient			526	341.9		90			Percent of total billed charges		473.4	40			Percent of total billed charges		210.4	80			Percent of total billed charges		420.8	90			Percent of total billed charges		473.4	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	100			Percent of total billed charges		526	100			Percent of total billed charges		526	100			Percent of total billed charges		526	33.3			Percent of total billed charges		175.158	33.3			Percent of total billed charges		175.158	100			Percent of total billed charges		526	175.158	473.4	
staple fixation med w/spikes 12-8724	278	RC	Outpatient			526	341.9		90			Percent of total billed charges		473.4	40			Percent of total billed charges		210.4	80			Percent of total billed charges		420.8	90			Percent of total billed charges		473.4	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	100			Percent of total billed charges		526	100			Percent of total billed charges		526	100			Percent of total billed charges		526	33.3			Percent of total billed charges		175.158	33.3			Percent of total billed charges		175.158	100			Percent of total billed charges		526	175.158	473.4	
staples richards	278	RC	Outpatient			526	341.9		90			Percent of total billed charges		473.4	40			Percent of total billed charges		210.4	80			Percent of total billed charges		420.8	90			Percent of total billed charges		473.4	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	100			Percent of total billed charges		526	100			Percent of total billed charges		526	100			Percent of total billed charges		526	33.3			Percent of total billed charges		175.158	33.3			Percent of total billed charges		175.158	100			Percent of total billed charges		526	175.158	473.4	
stryker drill bit 2.4	272	RC	Outpatient			526	341.9		90			Percent of total billed charges		473.4	40			Percent of total billed charges		210.4	80			Percent of total billed charges		420.8	90			Percent of total billed charges		473.4	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	100			Percent of total billed charges		526	100			Percent of total billed charges		526	100			Percent of total billed charges		526	33.3			Percent of total billed charges		175.158	33.3			Percent of total billed charges		175.158	100			Percent of total billed charges		526	175.158	473.4	
stryker end cap	278	RC	Outpatient			526	341.9		90			Percent of total billed charges		473.4	40			Percent of total billed charges		210.4	80			Percent of total billed charges		420.8	90			Percent of total billed charges		473.4	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	100			Percent of total billed charges		526	100			Percent of total billed charges		526	100			Percent of total billed charges		526	33.3			Percent of total billed charges		175.158	33.3			Percent of total billed charges		175.158	100			Percent of total billed charges		526	175.158	473.4	
regular fixation staple lg 12-8727 s/n	278	RC	Outpatient			526	341.9		90			Percent of total billed charges		473.4	40			Percent of total billed charges		210.4	80			Percent of total billed charges		420.8	90			Percent of total billed charges		473.4	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	100			Percent of total billed charges		526	100			Percent of total billed charges		526	100			Percent of total billed charges		526	33.3			Percent of total billed charges		175.158	33.3			Percent of total billed charges		175.158	100			Percent of total billed charges		526	175.158	473.4	
regular fixation staple sm 12-8723 s/n	278	RC	Outpatient			526	341.9		90			Percent of total billed charges		473.4	40			Percent of total billed charges		210.4	80			Percent of total billed charges		420.8	90			Percent of total billed charges		473.4	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	100			Percent of total billed charges		526	100			Percent of total billed charges		526	100			Percent of total billed charges		526	33.3			Percent of total billed charges		175.158	33.3			Percent of total billed charges		175.158	100			Percent of total billed charges		526	175.158	473.4	
regular fixation staples lg 12-8696 s/n	278	RC	Outpatient			526	341.9		90			Percent of total billed charges		473.4	40			Percent of total billed charges		210.4	80			Percent of total billed charges		420.8	90			Percent of total billed charges		473.4	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	100			Percent of total billed charges		526	100			Percent of total billed charges		526	100			Percent of total billed charges		526	33.3			Percent of total billed charges		175.158	33.3			Percent of total billed charges		175.158	100			Percent of total billed charges		526	175.158	473.4	
regular fixation staples lg 12-8697 s/n	278	RC	Outpatient			526	341.9		90			Percent of total billed charges		473.4	40			Percent of total billed charges		210.4	80			Percent of total billed charges		420.8	90			Percent of total billed charges		473.4	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	100			Percent of total billed charges		526	100			Percent of total billed charges		526	100			Percent of total billed charges		526	33.3			Percent of total billed charges		175.158	33.3			Percent of total billed charges		175.158	100			Percent of total billed charges		526	175.158	473.4	
regular fixation staples med 12-8694 s/n	278	RC	Outpatient			526	341.9		90			Percent of total billed charges		473.4	40			Percent of total billed charges		210.4	80			Percent of total billed charges		420.8	90			Percent of total billed charges		473.4	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	100			Percent of total billed charges		526	100			Percent of total billed charges		526	100			Percent of total billed charges		526	33.3			Percent of total billed charges		175.158	33.3			Percent of total billed charges		175.158	100			Percent of total billed charges		526	175.158	473.4	
regular fixation staples med 12-8695 s/n	278	RC	Outpatient			526	341.9		90			Percent of total billed charges		473.4	40			Percent of total billed charges		210.4	80			Percent of total billed charges		420.8	90			Percent of total billed charges		473.4	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	100			Percent of total billed charges		526	100			Percent of total billed charges		526	100			Percent of total billed charges		526	33.3			Percent of total billed charges		175.158	33.3			Percent of total billed charges		175.158	100			Percent of total billed charges		526	175.158	473.4	
regular fixation staples w/spike sm 12-8692 s/n	278	RC	Outpatient			526	341.9		90			Percent of total billed charges		473.4	40			Percent of total billed charges		210.4	80			Percent of total billed charges		420.8	90			Percent of total billed charges		473.4	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	100			Percent of total billed charges		526	100			Percent of total billed charges		526	100			Percent of total billed charges		526	33.3			Percent of total billed charges		175.158	33.3			Percent of total billed charges		175.158	100			Percent of total billed charges		526	175.158	473.4	
regular fixation staples with spikes x-sm 12-8690 s/n	278	RC	Outpatient			526	341.9		90			Percent of total billed charges		473.4	40			Percent of total billed charges		210.4	80			Percent of total billed charges		420.8	90			Percent of total billed charges		473.4	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	100			Percent of total billed charges		526	100			Percent of total billed charges		526	100			Percent of total billed charges		526	33.3			Percent of total billed charges		175.158	33.3			Percent of total billed charges		175.158	100			Percent of total billed charges		526	175.158	473.4	
s/n biosure ha interference screw 10 x 20mm 72201784	278	RC	Outpatient			526	341.9		90			Percent of total billed charges		473.4	40			Percent of total billed charges		210.4	80			Percent of total billed charges		420.8	90			Percent of total billed charges		473.4	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	100			Percent of total billed charges		526	100			Percent of total billed charges		526	100			Percent of total billed charges		526	33.3			Percent of total billed charges		175.158	33.3			Percent of total billed charges		175.158	100			Percent of total billed charges		526	175.158	473.4	
s/n biosure ha interference screw 10 x 25mm 72201785	278	RC	Outpatient			526	341.9		90			Percent of total billed charges		473.4	40			Percent of total billed charges		210.4	80			Percent of total billed charges		420.8	90			Percent of total billed charges		473.4	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	100			Percent of total billed charges		526	100			Percent of total billed charges		526	100			Percent of total billed charges		526	33.3			Percent of total billed charges		175.158	33.3			Percent of total billed charges		175.158	100			Percent of total billed charges		526	175.158	473.4	
s/n biosure ha interference screw 12 x 35mm 72201791	278	RC	Outpatient			526	341.9		90			Percent of total billed charges		473.4	40			Percent of total billed charges		210.4	80			Percent of total billed charges		420.8	90			Percent of total billed charges		473.4	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	100			Percent of total billed charges		526	100			Percent of total billed charges		526	100			Percent of total billed charges		526	33.3			Percent of total billed charges		175.158	33.3			Percent of total billed charges		175.158	100			Percent of total billed charges		526	175.158	473.4	
s/n biosure ha interference screw 6 x 20mm 72201768	278	RC	Outpatient			526	341.9		90			Percent of total billed charges		473.4	40			Percent of total billed charges		210.4	80			Percent of total billed charges		420.8	90			Percent of total billed charges		473.4	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	100			Percent of total billed charges		526	100			Percent of total billed charges		526	100			Percent of total billed charges		526	33.3			Percent of total billed charges		175.158	33.3			Percent of total billed charges		175.158	100			Percent of total billed charges		526	175.158	473.4	
s/n biosure ha interference screw 7 x 20mm 72201771	278	RC	Outpatient			526	341.9		90			Percent of total billed charges		473.4	40			Percent of total billed charges		210.4	80			Percent of total billed charges		420.8	90			Percent of total billed charges		473.4	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	100			Percent of total billed charges		526	100			Percent of total billed charges		526	100			Percent of total billed charges		526	33.3			Percent of total billed charges		175.158	33.3			Percent of total billed charges		175.158	100			Percent of total billed charges		526	175.158	473.4	
s/n biosure ha interference screw 7 x 25mm 72201772	278	RC	Outpatient			526	341.9		90			Percent of total billed charges		473.4	40			Percent of total billed charges		210.4	80			Percent of total billed charges		420.8	90			Percent of total billed charges		473.4	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	100			Percent of total billed charges		526	100			Percent of total billed charges		526	100			Percent of total billed charges		526	33.3			Percent of total billed charges		175.158	33.3			Percent of total billed charges		175.158	100			Percent of total billed charges		526	175.158	473.4	
s/n biosure ha interference screw 8 x 20mm 72201775	278	RC	Outpatient			526	341.9		90			Percent of total billed charges		473.4	40			Percent of total billed charges		210.4	80			Percent of total billed charges		420.8	90			Percent of total billed charges		473.4	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	100			Percent of total billed charges		526	100			Percent of total billed charges		526	100			Percent of total billed charges		526	33.3			Percent of total billed charges		175.158	33.3			Percent of total billed charges		175.158	100			Percent of total billed charges		526	175.158	473.4	
s/n biosure ha interference screw 9 x 30mm 72201782	278	RC	Outpatient			526	341.9		90			Percent of total billed charges		473.4	40			Percent of total billed charges		210.4	80			Percent of total billed charges		420.8	90			Percent of total billed charges		473.4	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	100			Percent of total billed charges		526	100			Percent of total billed charges		526	100			Percent of total billed charges		526	33.3			Percent of total billed charges		175.158	33.3			Percent of total billed charges		175.158	100			Percent of total billed charges		526	175.158	473.4	
s/n staple med 128694	278	RC	Outpatient			526	341.9		90			Percent of total billed charges		473.4	40			Percent of total billed charges		210.4	80			Percent of total billed charges		420.8	90			Percent of total billed charges		473.4	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	100			Percent of total billed charges		526	100			Percent of total billed charges		526	100			Percent of total billed charges		526	33.3			Percent of total billed charges		175.158	33.3			Percent of total billed charges		175.158	100			Percent of total billed charges		526	175.158	473.4	
staple fixation sm w/spikes 12-8722	278	RC	Outpatient			526	341.9		90			Percent of total billed charges		473.4	40			Percent of total billed charges		210.4	80			Percent of total billed charges		420.8	90			Percent of total billed charges		473.4	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	100			Percent of total billed charges		526	100			Percent of total billed charges		526	100			Percent of total billed charges		526	33.3			Percent of total billed charges		175.158	33.3			Percent of total billed charges		175.158	100			Percent of total billed charges		526	175.158	473.4	
tubing baker 00-12510	270	RC	Outpatient			526	341.9		90			Percent of total billed charges		473.4	40			Percent of total billed charges		210.4	80			Percent of total billed charges		420.8	90			Percent of total billed charges		473.4	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	85			Percent of total billed charges		447.1	100			Percent of total billed charges		526	100			Percent of total billed charges		526	100			Percent of total billed charges		526	33.3			Percent of total billed charges		175.158	33.3			Percent of total billed charges		175.158	100			Percent of total billed charges		526	175.158	473.4	
bio oss tib bushings	278	RC	Outpatient			527	342.55		90			Percent of total billed charges		474.3	40			Percent of total billed charges		210.8	80			Percent of total billed charges		421.6	90			Percent of total billed charges		474.3	85			Percent of total billed charges		447.95	85			Percent of total billed charges		447.95	85			Percent of total billed charges		447.95	100			Percent of total billed charges		527	100			Percent of total billed charges		527	100			Percent of total billed charges		527	33.3			Percent of total billed charges		175.491	33.3			Percent of total billed charges		175.491	100			Percent of total billed charges		527	175.491	474.3	
biomet micromax set	272	RC	Outpatient			527	342.55		90			Percent of total billed charges		474.3	40			Percent of total billed charges		210.8	80			Percent of total billed charges		421.6	90			Percent of total billed charges		474.3	85			Percent of total billed charges		447.95	85			Percent of total billed charges		447.95	85			Percent of total billed charges		447.95	100			Percent of total billed charges		527	100			Percent of total billed charges		527	100			Percent of total billed charges		527	33.3			Percent of total billed charges		175.491	33.3			Percent of total billed charges		175.491	100			Percent of total billed charges		527	175.491	474.3	
depuy asr taper sleeve ad	278	RC	Outpatient			527	342.55		90			Percent of total billed charges		474.3	40			Percent of total billed charges		210.8	80			Percent of total billed charges		421.6	90			Percent of total billed charges		474.3	85			Percent of total billed charges		447.95	85			Percent of total billed charges		447.95	85			Percent of total billed charges		447.95	100			Percent of total billed charges		527	100			Percent of total billed charges		527	100			Percent of total billed charges		527	33.3			Percent of total billed charges		175.491	33.3			Percent of total billed charges		175.491	100			Percent of total billed charges		527	175.491	474.3	
erbe-flex. probe & filter	270	RC	Outpatient			527	342.55		90			Percent of total billed charges		474.3	40			Percent of total billed charges		210.8	80			Percent of total billed charges		421.6	90			Percent of total billed charges		474.3	85			Percent of total billed charges		447.95	85			Percent of total billed charges		447.95	85			Percent of total billed charges		447.95	100			Percent of total billed charges		527	100			Percent of total billed charges		527	100			Percent of total billed charges		527	33.3			Percent of total billed charges		175.491	33.3			Percent of total billed charges		175.491	100			Percent of total billed charges		527	175.491	474.3	
juggerknot disp kit 912030 biomet sport	272	RC	Outpatient			527	342.55		90			Percent of total billed charges		474.3	40			Percent of total billed charges		210.8	80			Percent of total billed charges		421.6	90			Percent of total billed charges		474.3	85			Percent of total billed charges		447.95	85			Percent of total billed charges		447.95	85			Percent of total billed charges		447.95	100			Percent of total billed charges		527	100			Percent of total billed charges		527	100			Percent of total billed charges		527	33.3			Percent of total billed charges		175.491	33.3			Percent of total billed charges		175.491	100			Percent of total billed charges		527	175.491	474.3	
micromax instrument set 2.9mm 904998 biomet	272	RC	Outpatient			527	342.55		90			Percent of total billed charges		474.3	40			Percent of total billed charges		210.8	80			Percent of total billed charges		421.6	90			Percent of total billed charges		474.3	85			Percent of total billed charges		447.95	85			Percent of total billed charges		447.95	85			Percent of total billed charges		447.95	100			Percent of total billed charges		527	100			Percent of total billed charges		527	100			Percent of total billed charges		527	33.3			Percent of total billed charges		175.491	33.3			Percent of total billed charges		175.491	100			Percent of total billed charges		527	175.491	474.3	
oss tibial bushing 150476 biomet	278	RC	Outpatient			527	342.55		90			Percent of total billed charges		474.3	40			Percent of total billed charges		210.8	80			Percent of total billed charges		421.6	90			Percent of total billed charges		474.3	85			Percent of total billed charges		447.95	85			Percent of total billed charges		447.95	85			Percent of total billed charges		447.95	100			Percent of total billed charges		527	100			Percent of total billed charges		527	100			Percent of total billed charges		527	33.3			Percent of total billed charges		175.491	33.3			Percent of total billed charges		175.491	100			Percent of total billed charges		527	175.491	474.3	
t2 comp screw advance	278	RC	Outpatient			527	342.55		90			Percent of total billed charges		474.3	40			Percent of total billed charges		210.8	80			Percent of total billed charges		421.6	90			Percent of total billed charges		474.3	85			Percent of total billed charges		447.95	85			Percent of total billed charges		447.95	85			Percent of total billed charges		447.95	100			Percent of total billed charges		527	100			Percent of total billed charges		527	100			Percent of total billed charges		527	33.3			Percent of total billed charges		175.491	33.3			Percent of total billed charges		175.491	100			Percent of total billed charges		527	175.491	474.3	
t2 humural compression screw advanced 6 x 13.5 1830-0001s stryker	278	RC	Outpatient			527	342.55		90			Percent of total billed charges		474.3	40			Percent of total billed charges		210.8	80			Percent of total billed charges		421.6	90			Percent of total billed charges		474.3	85			Percent of total billed charges		447.95	85			Percent of total billed charges		447.95	85			Percent of total billed charges		447.95	100			Percent of total billed charges		527	100			Percent of total billed charges		527	100			Percent of total billed charges		527	33.3			Percent of total billed charges		175.491	33.3			Percent of total billed charges		175.491	100			Percent of total billed charges		527	175.491	474.3	
over drill 3.5 702450 stryker	272	RC	Outpatient			528	343.2		90			Percent of total billed charges		475.2	40			Percent of total billed charges		211.2	80			Percent of total billed charges		422.4	90			Percent of total billed charges		475.2	85			Percent of total billed charges		448.8	85			Percent of total billed charges		448.8	85			Percent of total billed charges		448.8	100			Percent of total billed charges		528	100			Percent of total billed charges		528	100			Percent of total billed charges		528	33.3			Percent of total billed charges		175.824	33.3			Percent of total billed charges		175.824	100			Percent of total billed charges		528	175.824	475.2	
stryker over drill	272	RC	Outpatient			528	343.2		90			Percent of total billed charges		475.2	40			Percent of total billed charges		211.2	80			Percent of total billed charges		422.4	90			Percent of total billed charges		475.2	85			Percent of total billed charges		448.8	85			Percent of total billed charges		448.8	85			Percent of total billed charges		448.8	100			Percent of total billed charges		528	100			Percent of total billed charges		528	100			Percent of total billed charges		528	33.3			Percent of total billed charges		175.824	33.3			Percent of total billed charges		175.824	100			Percent of total billed charges		528	175.824	475.2	
traction bow	270	RC	Outpatient			528	343.2		90			Percent of total billed charges		475.2	40			Percent of total billed charges		211.2	80			Percent of total billed charges		422.4	90			Percent of total billed charges		475.2	85			Percent of total billed charges		448.8	85			Percent of total billed charges		448.8	85			Percent of total billed charges		448.8	100			Percent of total billed charges		528	100			Percent of total billed charges		528	100			Percent of total billed charges		528	33.3			Percent of total billed charges		175.824	33.3			Percent of total billed charges		175.824	100			Percent of total billed charges		528	175.824	475.2	
traction bow nylon large 67640001	270	RC	Outpatient			528	343.2		90			Percent of total billed charges		475.2	40			Percent of total billed charges		211.2	80			Percent of total billed charges		422.4	90			Percent of total billed charges		475.2	85			Percent of total billed charges		448.8	85			Percent of total billed charges		448.8	85			Percent of total billed charges		448.8	100			Percent of total billed charges		528	100			Percent of total billed charges		528	100			Percent of total billed charges		528	33.3			Percent of total billed charges		175.824	33.3			Percent of total billed charges		175.824	100			Percent of total billed charges		528	175.824	475.2	
tractor loop large 110060 s/n	270	RC	Outpatient			528	343.2		90			Percent of total billed charges		475.2	40			Percent of total billed charges		211.2	80			Percent of total billed charges		422.4	90			Percent of total billed charges		475.2	85			Percent of total billed charges		448.8	85			Percent of total billed charges		448.8	85			Percent of total billed charges		448.8	100			Percent of total billed charges		528	100			Percent of total billed charges		528	100			Percent of total billed charges		528	33.3			Percent of total billed charges		175.824	33.3			Percent of total billed charges		175.824	100			Percent of total billed charges		528	175.824	475.2	
tractor loop medium 110061 s/n	270	RC	Outpatient			528	343.2		90			Percent of total billed charges		475.2	40			Percent of total billed charges		211.2	80			Percent of total billed charges		422.4	90			Percent of total billed charges		475.2	85			Percent of total billed charges		448.8	85			Percent of total billed charges		448.8	85			Percent of total billed charges		448.8	100			Percent of total billed charges		528	100			Percent of total billed charges		528	100			Percent of total billed charges		528	33.3			Percent of total billed charges		175.824	33.3			Percent of total billed charges		175.824	100			Percent of total billed charges		528	175.824	475.2	
tractor loop small 110062 s/n	270	RC	Outpatient			528	343.2		90			Percent of total billed charges		475.2	40			Percent of total billed charges		211.2	80			Percent of total billed charges		422.4	90			Percent of total billed charges		475.2	85			Percent of total billed charges		448.8	85			Percent of total billed charges		448.8	85			Percent of total billed charges		448.8	100			Percent of total billed charges		528	100			Percent of total billed charges		528	100			Percent of total billed charges		528	33.3			Percent of total billed charges		175.824	33.3			Percent of total billed charges		175.824	100			Percent of total billed charges		528	175.824	475.2	
traction bow med  dow corning 67640002	270	RC	Outpatient			528	343.2		90			Percent of total billed charges		475.2	40			Percent of total billed charges		211.2	80			Percent of total billed charges		422.4	90			Percent of total billed charges		475.2	85			Percent of total billed charges		448.8	85			Percent of total billed charges		448.8	85			Percent of total billed charges		448.8	100			Percent of total billed charges		528	100			Percent of total billed charges		528	100			Percent of total billed charges		528	33.3			Percent of total billed charges		175.824	33.3			Percent of total billed charges		175.824	100			Percent of total billed charges		528	175.824	475.2	
traction bow small dow corning 67640003	270	RC	Outpatient			528	343.2		90			Percent of total billed charges		475.2	40			Percent of total billed charges		211.2	80			Percent of total billed charges		422.4	90			Percent of total billed charges		475.2	85			Percent of total billed charges		448.8	85			Percent of total billed charges		448.8	85			Percent of total billed charges		448.8	100			Percent of total billed charges		528	100			Percent of total billed charges		528	100			Percent of total billed charges		528	33.3			Percent of total billed charges		175.824	33.3			Percent of total billed charges		175.824	100			Percent of total billed charges		528	175.824	475.2	
twinfix ultra pk 4.5 suture anchor 72202893 s/n	278	RC	Outpatient			528	343.2		90			Percent of total billed charges		475.2	40			Percent of total billed charges		211.2	80			Percent of total billed charges		422.4	90			Percent of total billed charges		475.2	85			Percent of total billed charges		448.8	85			Percent of total billed charges		448.8	85			Percent of total billed charges		448.8	100			Percent of total billed charges		528	100			Percent of total billed charges		528	100			Percent of total billed charges		528	33.3			Percent of total billed charges		175.824	33.3			Percent of total billed charges		175.824	100			Percent of total billed charges		528	175.824	475.2	
twinfix ultra pk 5.5 suture anchor w/ ultrabraid suture  72202615 s/n	278	RC	Outpatient			528	343.2		90			Percent of total billed charges		475.2	40			Percent of total billed charges		211.2	80			Percent of total billed charges		422.4	90			Percent of total billed charges		475.2	85			Percent of total billed charges		448.8	85			Percent of total billed charges		448.8	85			Percent of total billed charges		448.8	100			Percent of total billed charges		528	100			Percent of total billed charges		528	100			Percent of total billed charges		528	33.3			Percent of total billed charges		175.824	33.3			Percent of total billed charges		175.824	100			Percent of total billed charges		528	175.824	475.2	
twinfix ultra anchor	278	RC	Outpatient			528	343.2		90			Percent of total billed charges		475.2	40			Percent of total billed charges		211.2	80			Percent of total billed charges		422.4	90			Percent of total billed charges		475.2	85			Percent of total billed charges		448.8	85			Percent of total billed charges		448.8	85			Percent of total billed charges		448.8	100			Percent of total billed charges		528	100			Percent of total billed charges		528	100			Percent of total billed charges		528	33.3			Percent of total billed charges		175.824	33.3			Percent of total billed charges		175.824	100			Percent of total billed charges		528	175.824	475.2	
twinfix ultra ti 5.5 suture anchor w/ ultrabraid sutures 72202618 s/n	278	RC	Outpatient			528	343.2		90			Percent of total billed charges		475.2	40			Percent of total billed charges		211.2	80			Percent of total billed charges		422.4	90			Percent of total billed charges		475.2	85			Percent of total billed charges		448.8	85			Percent of total billed charges		448.8	85			Percent of total billed charges		448.8	100			Percent of total billed charges		528	100			Percent of total billed charges		528	100			Percent of total billed charges		528	33.3			Percent of total billed charges		175.824	33.3			Percent of total billed charges		175.824	100			Percent of total billed charges		528	175.824	475.2	
werewolf flow 50 coblation wand 72290037 s/n	278	RC	Outpatient			528	343.2		90			Percent of total billed charges		475.2	40			Percent of total billed charges		211.2	80			Percent of total billed charges		422.4	90			Percent of total billed charges		475.2	85			Percent of total billed charges		448.8	85			Percent of total billed charges		448.8	85			Percent of total billed charges		448.8	100			Percent of total billed charges		528	100			Percent of total billed charges		528	100			Percent of total billed charges		528	33.3			Percent of total billed charges		175.824	33.3			Percent of total billed charges		175.824	100			Percent of total billed charges		528	175.824	475.2	
room/bed: semi private	120	RC	Outpatient			529	343.85		90			Percent of total billed charges		476.1	40			Percent of total billed charges		211.6	80			Percent of total billed charges		423.2	90			Percent of total billed charges		476.1	85			Percent of total billed charges		449.65	85			Percent of total billed charges		449.65	85			Percent of total billed charges		449.65	100			Percent of total billed charges		529	100			Percent of total billed charges		529	100			Percent of total billed charges		529	33.3			Percent of total billed charges		176.157	33.3			Percent of total billed charges		176.157	100			Percent of total billed charges		529	176.157	476.1	
room/bed: semi private	126	RC	Outpatient			529	343.85		90			Percent of total billed charges		476.1	40			Percent of total billed charges		211.6	80			Percent of total billed charges		423.2	90			Percent of total billed charges		476.1	85			Percent of total billed charges		449.65	85			Percent of total billed charges		449.65	85			Percent of total billed charges		449.65	100			Percent of total billed charges		529	100			Percent of total billed charges		529	100			Percent of total billed charges		529	33.3			Percent of total billed charges		176.157	33.3			Percent of total billed charges		176.157	100			Percent of total billed charges		529	176.157	476.1	
s/n peri-loc cable saddle short 74800601	278	RC	Outpatient			529	343.85		90			Percent of total billed charges		476.1	40			Percent of total billed charges		211.6	80			Percent of total billed charges		423.2	90			Percent of total billed charges		476.1	85			Percent of total billed charges		449.65	85			Percent of total billed charges		449.65	85			Percent of total billed charges		449.65	100			Percent of total billed charges		529	100			Percent of total billed charges		529	100			Percent of total billed charges		529	33.3			Percent of total billed charges		176.157	33.3			Percent of total billed charges		176.157	100			Percent of total billed charges		529	176.157	476.1	
s/n cable saddle	278	RC	Outpatient			529	343.85		90			Percent of total billed charges		476.1	40			Percent of total billed charges		211.6	80			Percent of total billed charges		423.2	90			Percent of total billed charges		476.1	85			Percent of total billed charges		449.65	85			Percent of total billed charges		449.65	85			Percent of total billed charges		449.65	100			Percent of total billed charges		529	100			Percent of total billed charges		529	100			Percent of total billed charges		529	33.3			Percent of total billed charges		176.157	33.3			Percent of total billed charges		176.157	100			Percent of total billed charges		529	176.157	476.1	
cannulated screw 6.5 x 50 602650s stryker	278	RC	Outpatient			530	344.5		90			Percent of total billed charges		477	40			Percent of total billed charges		212	80			Percent of total billed charges		424	90			Percent of total billed charges		477	85			Percent of total billed charges		450.5	85			Percent of total billed charges		450.5	85			Percent of total billed charges		450.5	100			Percent of total billed charges		530	100			Percent of total billed charges		530	100			Percent of total billed charges		530	33.3			Percent of total billed charges		176.49	33.3			Percent of total billed charges		176.49	100			Percent of total billed charges		530	176.49	477	
cannulated screw 6.5 x 80 326080s stryker	278	RC	Outpatient			530	344.5		90			Percent of total billed charges		477	40			Percent of total billed charges		212	80			Percent of total billed charges		424	90			Percent of total billed charges		477	85			Percent of total billed charges		450.5	85			Percent of total billed charges		450.5	85			Percent of total billed charges		450.5	100			Percent of total billed charges		530	100			Percent of total billed charges		530	100			Percent of total billed charges		530	33.3			Percent of total billed charges		176.49	33.3			Percent of total billed charges		176.49	100			Percent of total billed charges		530	176.49	477	
cannulated screw 6.5 x 85 326085s stryker	278	RC	Outpatient			530	344.5		90			Percent of total billed charges		477	40			Percent of total billed charges		212	80			Percent of total billed charges		424	90			Percent of total billed charges		477	85			Percent of total billed charges		450.5	85			Percent of total billed charges		450.5	85			Percent of total billed charges		450.5	100			Percent of total billed charges		530	100			Percent of total billed charges		530	100			Percent of total billed charges		530	33.3			Percent of total billed charges		176.49	33.3			Percent of total billed charges		176.49	100			Percent of total billed charges		530	176.49	477	
cannulated screw 6.5 x 55 602645s stryker	278	RC	Outpatient			530	344.5		90			Percent of total billed charges		477	40			Percent of total billed charges		212	80			Percent of total billed charges		424	90			Percent of total billed charges		477	85			Percent of total billed charges		450.5	85			Percent of total billed charges		450.5	85			Percent of total billed charges		450.5	100			Percent of total billed charges		530	100			Percent of total billed charges		530	100			Percent of total billed charges		530	33.3			Percent of total billed charges		176.49	33.3			Percent of total billed charges		176.49	100			Percent of total billed charges		530	176.49	477	
cannulated screw 6.5 x 55 602655s stryker	278	RC	Outpatient			530	344.5		90			Percent of total billed charges		477	40			Percent of total billed charges		212	80			Percent of total billed charges		424	90			Percent of total billed charges		477	85			Percent of total billed charges		450.5	85			Percent of total billed charges		450.5	85			Percent of total billed charges		450.5	100			Percent of total billed charges		530	100			Percent of total billed charges		530	100			Percent of total billed charges		530	33.3			Percent of total billed charges		176.49	33.3			Percent of total billed charges		176.49	100			Percent of total billed charges		530	176.49	477	
onq painbuster  pm028 i-flow	272	RC	Outpatient			530	344.5		90			Percent of total billed charges		477	40			Percent of total billed charges		212	80			Percent of total billed charges		424	90			Percent of total billed charges		477	85			Percent of total billed charges		450.5	85			Percent of total billed charges		450.5	85			Percent of total billed charges		450.5	100			Percent of total billed charges		530	100			Percent of total billed charges		530	100			Percent of total billed charges		530	33.3			Percent of total billed charges		176.49	33.3			Percent of total billed charges		176.49	100			Percent of total billed charges		530	176.49	477	
stryker 6.5 cann screw	278	RC	Outpatient			530	344.5		90			Percent of total billed charges		477	40			Percent of total billed charges		212	80			Percent of total billed charges		424	90			Percent of total billed charges		477	85			Percent of total billed charges		450.5	85			Percent of total billed charges		450.5	85			Percent of total billed charges		450.5	100			Percent of total billed charges		530	100			Percent of total billed charges		530	100			Percent of total billed charges		530	33.3			Percent of total billed charges		176.49	33.3			Percent of total billed charges		176.49	100			Percent of total billed charges		530	176.49	477	
stryker 6.5 screw 45mm 60263-072045	278	RC	Outpatient			530	344.5		90			Percent of total billed charges		477	40			Percent of total billed charges		212	80			Percent of total billed charges		424	90			Percent of total billed charges		477	85			Percent of total billed charges		450.5	85			Percent of total billed charges		450.5	85			Percent of total billed charges		450.5	100			Percent of total billed charges		530	100			Percent of total billed charges		530	100			Percent of total billed charges		530	33.3			Percent of total billed charges		176.49	33.3			Percent of total billed charges		176.49	100			Percent of total billed charges		530	176.49	477	
stryker 6.5 screw 55mm 60263-072055	278	RC	Outpatient			530	344.5		90			Percent of total billed charges		477	40			Percent of total billed charges		212	80			Percent of total billed charges		424	90			Percent of total billed charges		477	85			Percent of total billed charges		450.5	85			Percent of total billed charges		450.5	85			Percent of total billed charges		450.5	100			Percent of total billed charges		530	100			Percent of total billed charges		530	100			Percent of total billed charges		530	33.3			Percent of total billed charges		176.49	33.3			Percent of total billed charges		176.49	100			Percent of total billed charges		530	176.49	477	
arthrex transtibial acl kit ar-1897s	270	RC	Outpatient			531	345.15		90			Percent of total billed charges		477.9	40			Percent of total billed charges		212.4	80			Percent of total billed charges		424.8	90			Percent of total billed charges		477.9	85			Percent of total billed charges		451.35	85			Percent of total billed charges		451.35	85			Percent of total billed charges		451.35	100			Percent of total billed charges		531	100			Percent of total billed charges		531	100			Percent of total billed charges		531	33.3			Percent of total billed charges		176.823	33.3			Percent of total billed charges		176.823	100			Percent of total billed charges		531	176.823	477.9	
arthrex acl kit	270	RC	Outpatient			531	345.15		90			Percent of total billed charges		477.9	40			Percent of total billed charges		212.4	80			Percent of total billed charges		424.8	90			Percent of total billed charges		477.9	85			Percent of total billed charges		451.35	85			Percent of total billed charges		451.35	85			Percent of total billed charges		451.35	100			Percent of total billed charges		531	100			Percent of total billed charges		531	100			Percent of total billed charges		531	33.3			Percent of total billed charges		176.823	33.3			Percent of total billed charges		176.823	100			Percent of total billed charges		531	176.823	477.9	
arthrex transtibial acl kit ar-1898s	270	RC	Outpatient			531	345.15		90			Percent of total billed charges		477.9	40			Percent of total billed charges		212.4	80			Percent of total billed charges		424.8	90			Percent of total billed charges		477.9	85			Percent of total billed charges		451.35	85			Percent of total billed charges		451.35	85			Percent of total billed charges		451.35	100			Percent of total billed charges		531	100			Percent of total billed charges		531	100			Percent of total billed charges		531	33.3			Percent of total billed charges		176.823	33.3			Percent of total billed charges		176.823	100			Percent of total billed charges		531	176.823	477.9	
device endo stitch gun 173016 ussc	272	RC	Outpatient			531	345.15		90			Percent of total billed charges		477.9	40			Percent of total billed charges		212.4	80			Percent of total billed charges		424.8	90			Percent of total billed charges		477.9	85			Percent of total billed charges		451.35	85			Percent of total billed charges		451.35	85			Percent of total billed charges		451.35	100			Percent of total billed charges		531	100			Percent of total billed charges		531	100			Percent of total billed charges		531	33.3			Percent of total billed charges		176.823	33.3			Percent of total billed charges		176.823	100			Percent of total billed charges		531	176.823	477.9	
endo stitch	272	RC	Outpatient			531	345.15		90			Percent of total billed charges		477.9	40			Percent of total billed charges		212.4	80			Percent of total billed charges		424.8	90			Percent of total billed charges		477.9	85			Percent of total billed charges		451.35	85			Percent of total billed charges		451.35	85			Percent of total billed charges		451.35	100			Percent of total billed charges		531	100			Percent of total billed charges		531	100			Percent of total billed charges		531	33.3			Percent of total billed charges		176.823	33.3			Percent of total billed charges		176.823	100			Percent of total billed charges		531	176.823	477.9	
arthrex 2.4 suturetak p k	272	RC	Outpatient			532	345.8		90			Percent of total billed charges		478.8	40			Percent of total billed charges		212.8	80			Percent of total billed charges		425.6	90			Percent of total billed charges		478.8	85			Percent of total billed charges		452.2	85			Percent of total billed charges		452.2	85			Percent of total billed charges		452.2	100			Percent of total billed charges		532	100			Percent of total billed charges		532	100			Percent of total billed charges		532	33.3			Percent of total billed charges		177.156	33.3			Percent of total billed charges		177.156	100			Percent of total billed charges		532	177.156	478.8	
arthrex 2.4mm biosturetak perc kit ar-1934pi	272	RC	Outpatient			532	345.8		90			Percent of total billed charges		478.8	40			Percent of total billed charges		212.8	80			Percent of total billed charges		425.6	90			Percent of total billed charges		478.8	85			Percent of total billed charges		452.2	85			Percent of total billed charges		452.2	85			Percent of total billed charges		452.2	100			Percent of total billed charges		532	100			Percent of total billed charges		532	100			Percent of total billed charges		532	33.3			Percent of total billed charges		177.156	33.3			Percent of total billed charges		177.156	100			Percent of total billed charges		532	177.156	478.8	
depuy cathcart spacer	278	RC	Outpatient			532	345.8		90			Percent of total billed charges		478.8	40			Percent of total billed charges		212.8	80			Percent of total billed charges		425.6	90			Percent of total billed charges		478.8	85			Percent of total billed charges		452.2	85			Percent of total billed charges		452.2	85			Percent of total billed charges		452.2	100			Percent of total billed charges		532	100			Percent of total billed charges		532	100			Percent of total billed charges		532	33.3			Percent of total billed charges		177.156	33.3			Percent of total billed charges		177.156	100			Percent of total billed charges		532	177.156	478.8	
harm scpl dis hook 10mm	270	RC	Outpatient			532	345.8		90			Percent of total billed charges		478.8	40			Percent of total billed charges		212.8	80			Percent of total billed charges		425.6	90			Percent of total billed charges		478.8	85			Percent of total billed charges		452.2	85			Percent of total billed charges		452.2	85			Percent of total billed charges		452.2	100			Percent of total billed charges		532	100			Percent of total billed charges		532	100			Percent of total billed charges		532	33.3			Percent of total billed charges		177.156	33.3			Percent of total billed charges		177.156	100			Percent of total billed charges		532	177.156	478.8	
legacy set screw	278	RC	Outpatient			532	345.8		90			Percent of total billed charges		478.8	40			Percent of total billed charges		212.8	80			Percent of total billed charges		425.6	90			Percent of total billed charges		478.8	85			Percent of total billed charges		452.2	85			Percent of total billed charges		452.2	85			Percent of total billed charges		452.2	100			Percent of total billed charges		532	100			Percent of total billed charges		532	100			Percent of total billed charges		532	33.3			Percent of total billed charges		177.156	33.3			Percent of total billed charges		177.156	100			Percent of total billed charges		532	177.156	478.8	
hook endoscopic dissecting 10mm dh010 ethi	270	RC	Outpatient			532	345.8		90			Percent of total billed charges		478.8	40			Percent of total billed charges		212.8	80			Percent of total billed charges		425.6	90			Percent of total billed charges		478.8	85			Percent of total billed charges		452.2	85			Percent of total billed charges		452.2	85			Percent of total billed charges		452.2	100			Percent of total billed charges		532	100			Percent of total billed charges		532	100			Percent of total billed charges		532	33.3			Percent of total billed charges		177.156	33.3			Percent of total billed charges		177.156	100			Percent of total billed charges		532	177.156	478.8	
mod cathcart tapered spacer 1363-10-000 depuy	278	RC	Outpatient			532	345.8		90			Percent of total billed charges		478.8	40			Percent of total billed charges		212.8	80			Percent of total billed charges		425.6	90			Percent of total billed charges		478.8	85			Percent of total billed charges		452.2	85			Percent of total billed charges		452.2	85			Percent of total billed charges		452.2	100			Percent of total billed charges		532	100			Percent of total billed charges		532	100			Percent of total billed charges		532	33.3			Percent of total billed charges		177.156	33.3			Percent of total billed charges		177.156	100			Percent of total billed charges		532	177.156	478.8	
pico 7 negative pressure dressing 10cm x 30 cm 66022003 s/n	272	RC	Outpatient			532	345.8		90			Percent of total billed charges		478.8	40			Percent of total billed charges		212.8	80			Percent of total billed charges		425.6	90			Percent of total billed charges		478.8	85			Percent of total billed charges		452.2	85			Percent of total billed charges		452.2	85			Percent of total billed charges		452.2	100			Percent of total billed charges		532	100			Percent of total billed charges		532	100			Percent of total billed charges		532	33.3			Percent of total billed charges		177.156	33.3			Percent of total billed charges		177.156	100			Percent of total billed charges		532	177.156	478.8	
pico 7 negative pressure dressing 10cm x 40 cm 66022004 s/n	270	RC	Outpatient			532	345.8		90			Percent of total billed charges		478.8	40			Percent of total billed charges		212.8	80			Percent of total billed charges		425.6	90			Percent of total billed charges		478.8	85			Percent of total billed charges		452.2	85			Percent of total billed charges		452.2	85			Percent of total billed charges		452.2	100			Percent of total billed charges		532	100			Percent of total billed charges		532	100			Percent of total billed charges		532	33.3			Percent of total billed charges		177.156	33.3			Percent of total billed charges		177.156	100			Percent of total billed charges		532	177.156	478.8	
depuy battery pack 05-000-007-01s	272	RC	Outpatient			533	346.45		90			Percent of total billed charges		479.7	40			Percent of total billed charges		213.2	80			Percent of total billed charges		426.4	90			Percent of total billed charges		479.7	85			Percent of total billed charges		453.05	85			Percent of total billed charges		453.05	85			Percent of total billed charges		453.05	100			Percent of total billed charges		533	100			Percent of total billed charges		533	100			Percent of total billed charges		533	33.3			Percent of total billed charges		177.489	33.3			Percent of total billed charges		177.489	100			Percent of total billed charges		533	177.489	479.7	
cancellous bone scre 4.0 x 12mm 1100-3012 biomet	278	RC	Outpatient			534	347.1		90			Percent of total billed charges		480.6	40			Percent of total billed charges		213.6	80			Percent of total billed charges		427.2	90			Percent of total billed charges		480.6	85			Percent of total billed charges		453.9	85			Percent of total billed charges		453.9	85			Percent of total billed charges		453.9	100			Percent of total billed charges		534	100			Percent of total billed charges		534	100			Percent of total billed charges		534	33.3			Percent of total billed charges		177.822	33.3			Percent of total billed charges		177.822	100			Percent of total billed charges		534	177.822	480.6	
cancellous bone scre 4.0 x 16mm 1100-2016 biomet	278	RC	Outpatient			534	347.1		90			Percent of total billed charges		480.6	40			Percent of total billed charges		213.6	80			Percent of total billed charges		427.2	90			Percent of total billed charges		480.6	85			Percent of total billed charges		453.9	85			Percent of total billed charges		453.9	85			Percent of total billed charges		453.9	100			Percent of total billed charges		534	100			Percent of total billed charges		534	100			Percent of total billed charges		534	33.3			Percent of total billed charges		177.822	33.3			Percent of total billed charges		177.822	100			Percent of total billed charges		534	177.822	480.6	
cancellous bone scre 4.0 x 20mm 1100-3020 biomet	278	RC	Outpatient			534	347.1		90			Percent of total billed charges		480.6	40			Percent of total billed charges		213.6	80			Percent of total billed charges		427.2	90			Percent of total billed charges		480.6	85			Percent of total billed charges		453.9	85			Percent of total billed charges		453.9	85			Percent of total billed charges		453.9	100			Percent of total billed charges		534	100			Percent of total billed charges		534	100			Percent of total billed charges		534	33.3			Percent of total billed charges		177.822	33.3			Percent of total billed charges		177.822	100			Percent of total billed charges		534	177.822	480.6	
cancellous bone screw 4.35 x 12mm 1100-2112 biomet	278	RC	Outpatient			534	347.1		90			Percent of total billed charges		480.6	40			Percent of total billed charges		213.6	80			Percent of total billed charges		427.2	90			Percent of total billed charges		480.6	85			Percent of total billed charges		453.9	85			Percent of total billed charges		453.9	85			Percent of total billed charges		453.9	100			Percent of total billed charges		534	100			Percent of total billed charges		534	100			Percent of total billed charges		534	33.3			Percent of total billed charges		177.822	33.3			Percent of total billed charges		177.822	100			Percent of total billed charges		534	177.822	480.6	
cancellous bone screw 4.35 x 12mm 1100-3112 biomet	278	RC	Outpatient			534	347.1		90			Percent of total billed charges		480.6	40			Percent of total billed charges		213.6	80			Percent of total billed charges		427.2	90			Percent of total billed charges		480.6	85			Percent of total billed charges		453.9	85			Percent of total billed charges		453.9	85			Percent of total billed charges		453.9	100			Percent of total billed charges		534	100			Percent of total billed charges		534	100			Percent of total billed charges		534	33.3			Percent of total billed charges		177.822	33.3			Percent of total billed charges		177.822	100			Percent of total billed charges		534	177.822	480.6	
cancellous bone screw 4.35 x 14mm 1100-2114 biomet	278	RC	Outpatient			534	347.1		90			Percent of total billed charges		480.6	40			Percent of total billed charges		213.6	80			Percent of total billed charges		427.2	90			Percent of total billed charges		480.6	85			Percent of total billed charges		453.9	85			Percent of total billed charges		453.9	85			Percent of total billed charges		453.9	100			Percent of total billed charges		534	100			Percent of total billed charges		534	100			Percent of total billed charges		534	33.3			Percent of total billed charges		177.822	33.3			Percent of total billed charges		177.822	100			Percent of total billed charges		534	177.822	480.6	
cancellous bone screw 4.5 x 12mm 1100-2212 biomet	278	RC	Outpatient			534	347.1		90			Percent of total billed charges		480.6	40			Percent of total billed charges		213.6	80			Percent of total billed charges		427.2	90			Percent of total billed charges		480.6	85			Percent of total billed charges		453.9	85			Percent of total billed charges		453.9	85			Percent of total billed charges		453.9	100			Percent of total billed charges		534	100			Percent of total billed charges		534	100			Percent of total billed charges		534	33.3			Percent of total billed charges		177.822	33.3			Percent of total billed charges		177.822	100			Percent of total billed charges		534	177.822	480.6	
cancellous bone screw 4.5 x 12mm 1100-3212 biomet	278	RC	Outpatient			534	347.1		90			Percent of total billed charges		480.6	40			Percent of total billed charges		213.6	80			Percent of total billed charges		427.2	90			Percent of total billed charges		480.6	85			Percent of total billed charges		453.9	85			Percent of total billed charges		453.9	85			Percent of total billed charges		453.9	100			Percent of total billed charges		534	100			Percent of total billed charges		534	100			Percent of total billed charges		534	33.3			Percent of total billed charges		177.822	33.3			Percent of total billed charges		177.822	100			Percent of total billed charges		534	177.822	480.6	
cancellous bone screw 4.5 x 18mm 1100-2218 biomet	278	RC	Outpatient			534	347.1		90			Percent of total billed charges		480.6	40			Percent of total billed charges		213.6	80			Percent of total billed charges		427.2	90			Percent of total billed charges		480.6	85			Percent of total billed charges		453.9	85			Percent of total billed charges		453.9	85			Percent of total billed charges		453.9	100			Percent of total billed charges		534	100			Percent of total billed charges		534	100			Percent of total billed charges		534	33.3			Percent of total billed charges		177.822	33.3			Percent of total billed charges		177.822	100			Percent of total billed charges		534	177.822	480.6	
bio cervical screw cancel	278	RC	Outpatient			534	347.1		90			Percent of total billed charges		480.6	40			Percent of total billed charges		213.6	80			Percent of total billed charges		427.2	90			Percent of total billed charges		480.6	85			Percent of total billed charges		453.9	85			Percent of total billed charges		453.9	85			Percent of total billed charges		453.9	100			Percent of total billed charges		534	100			Percent of total billed charges		534	100			Percent of total billed charges		534	33.3			Percent of total billed charges		177.822	33.3			Percent of total billed charges		177.822	100			Percent of total billed charges		534	177.822	480.6	
cancellous bone scre 4.0 x 10mm 1100-2010 biomet	278	RC	Outpatient			534	347.1		90			Percent of total billed charges		480.6	40			Percent of total billed charges		213.6	80			Percent of total billed charges		427.2	90			Percent of total billed charges		480.6	85			Percent of total billed charges		453.9	85			Percent of total billed charges		453.9	85			Percent of total billed charges		453.9	100			Percent of total billed charges		534	100			Percent of total billed charges		534	100			Percent of total billed charges		534	33.3			Percent of total billed charges		177.822	33.3			Percent of total billed charges		177.822	100			Percent of total billed charges		534	177.822	480.6	
cancellous bone scre 4.0 x 10mm 1100-3010 biomet	278	RC	Outpatient			534	347.1		90			Percent of total billed charges		480.6	40			Percent of total billed charges		213.6	80			Percent of total billed charges		427.2	90			Percent of total billed charges		480.6	85			Percent of total billed charges		453.9	85			Percent of total billed charges		453.9	85			Percent of total billed charges		453.9	100			Percent of total billed charges		534	100			Percent of total billed charges		534	100			Percent of total billed charges		534	33.3			Percent of total billed charges		177.822	33.3			Percent of total billed charges		177.822	100			Percent of total billed charges		534	177.822	480.6	
cancellous bone scre 4.0 x 12mm 1100-2012 biomet	278	RC	Outpatient			534	347.1		90			Percent of total billed charges		480.6	40			Percent of total billed charges		213.6	80			Percent of total billed charges		427.2	90			Percent of total billed charges		480.6	85			Percent of total billed charges		453.9	85			Percent of total billed charges		453.9	85			Percent of total billed charges		453.9	100			Percent of total billed charges		534	100			Percent of total billed charges		534	100			Percent of total billed charges		534	33.3			Percent of total billed charges		177.822	33.3			Percent of total billed charges		177.822	100			Percent of total billed charges		534	177.822	480.6	
cancellous bone scre 4.0 x 14mm 1100-2014 biomet	278	RC	Outpatient			534	347.1		90			Percent of total billed charges		480.6	40			Percent of total billed charges		213.6	80			Percent of total billed charges		427.2	90			Percent of total billed charges		480.6	85			Percent of total billed charges		453.9	85			Percent of total billed charges		453.9	85			Percent of total billed charges		453.9	100			Percent of total billed charges		534	100			Percent of total billed charges		534	100			Percent of total billed charges		534	33.3			Percent of total billed charges		177.822	33.3			Percent of total billed charges		177.822	100			Percent of total billed charges		534	177.822	480.6	
cancellous bone scre 4.0 x 14mm 1100-3014 biomet	278	RC	Outpatient			534	347.1		90			Percent of total billed charges		480.6	40			Percent of total billed charges		213.6	80			Percent of total billed charges		427.2	90			Percent of total billed charges		480.6	85			Percent of total billed charges		453.9	85			Percent of total billed charges		453.9	85			Percent of total billed charges		453.9	100			Percent of total billed charges		534	100			Percent of total billed charges		534	100			Percent of total billed charges		534	33.3			Percent of total billed charges		177.822	33.3			Percent of total billed charges		177.822	100			Percent of total billed charges		534	177.822	480.6	
cancellous bone scre 4.0 x 16mm 1100-3016 biomet	278	RC	Outpatient			534	347.1		90			Percent of total billed charges		480.6	40			Percent of total billed charges		213.6	80			Percent of total billed charges		427.2	90			Percent of total billed charges		480.6	85			Percent of total billed charges		453.9	85			Percent of total billed charges		453.9	85			Percent of total billed charges		453.9	100			Percent of total billed charges		534	100			Percent of total billed charges		534	100			Percent of total billed charges		534	33.3			Percent of total billed charges		177.822	33.3			Percent of total billed charges		177.822	100			Percent of total billed charges		534	177.822	480.6	
cancellous bone scre 4.0 x 18mm 1100-2018 biomet	278	RC	Outpatient			534	347.1		90			Percent of total billed charges		480.6	40			Percent of total billed charges		213.6	80			Percent of total billed charges		427.2	90			Percent of total billed charges		480.6	85			Percent of total billed charges		453.9	85			Percent of total billed charges		453.9	85			Percent of total billed charges		453.9	100			Percent of total billed charges		534	100			Percent of total billed charges		534	100			Percent of total billed charges		534	33.3			Percent of total billed charges		177.822	33.3			Percent of total billed charges		177.822	100			Percent of total billed charges		534	177.822	480.6	
cancellous bone scre 4.0 x 18mm 1100-3018 biomet	278	RC	Outpatient			534	347.1		90			Percent of total billed charges		480.6	40			Percent of total billed charges		213.6	80			Percent of total billed charges		427.2	90			Percent of total billed charges		480.6	85			Percent of total billed charges		453.9	85			Percent of total billed charges		453.9	85			Percent of total billed charges		453.9	100			Percent of total billed charges		534	100			Percent of total billed charges		534	100			Percent of total billed charges		534	33.3			Percent of total billed charges		177.822	33.3			Percent of total billed charges		177.822	100			Percent of total billed charges		534	177.822	480.6	
cancellous bone scre 4.0 x 20mm 1100-2020 biomet	278	RC	Outpatient			534	347.1		90			Percent of total billed charges		480.6	40			Percent of total billed charges		213.6	80			Percent of total billed charges		427.2	90			Percent of total billed charges		480.6	85			Percent of total billed charges		453.9	85			Percent of total billed charges		453.9	85			Percent of total billed charges		453.9	100			Percent of total billed charges		534	100			Percent of total billed charges		534	100			Percent of total billed charges		534	33.3			Percent of total billed charges		177.822	33.3			Percent of total billed charges		177.822	100			Percent of total billed charges		534	177.822	480.6	
cancellous bone screw 4.35 x 10mm 1100-2110 biomet	278	RC	Outpatient			534	347.1		90			Percent of total billed charges		480.6	40			Percent of total billed charges		213.6	80			Percent of total billed charges		427.2	90			Percent of total billed charges		480.6	85			Percent of total billed charges		453.9	85			Percent of total billed charges		453.9	85			Percent of total billed charges		453.9	100			Percent of total billed charges		534	100			Percent of total billed charges		534	100			Percent of total billed charges		534	33.3			Percent of total billed charges		177.822	33.3			Percent of total billed charges		177.822	100			Percent of total billed charges		534	177.822	480.6	
cancellous bone screw 4.35 x 10mm 1100-3110 biomet	278	RC	Outpatient			534	347.1		90			Percent of total billed charges		480.6	40			Percent of total billed charges		213.6	80			Percent of total billed charges		427.2	90			Percent of total billed charges		480.6	85			Percent of total billed charges		453.9	85			Percent of total billed charges		453.9	85			Percent of total billed charges		453.9	100			Percent of total billed charges		534	100			Percent of total billed charges		534	100			Percent of total billed charges		534	33.3			Percent of total billed charges		177.822	33.3			Percent of total billed charges		177.822	100			Percent of total billed charges		534	177.822	480.6	
cancellous bone screw 4.35 x 14mm 1100-3114 biomet	278	RC	Outpatient			534	347.1		90			Percent of total billed charges		480.6	40			Percent of total billed charges		213.6	80			Percent of total billed charges		427.2	90			Percent of total billed charges		480.6	85			Percent of total billed charges		453.9	85			Percent of total billed charges		453.9	85			Percent of total billed charges		453.9	100			Percent of total billed charges		534	100			Percent of total billed charges		534	100			Percent of total billed charges		534	33.3			Percent of total billed charges		177.822	33.3			Percent of total billed charges		177.822	100			Percent of total billed charges		534	177.822	480.6	
cancellous bone screw 4.35 x 16mm 1100-2116 biomet	278	RC	Outpatient			534	347.1		90			Percent of total billed charges		480.6	40			Percent of total billed charges		213.6	80			Percent of total billed charges		427.2	90			Percent of total billed charges		480.6	85			Percent of total billed charges		453.9	85			Percent of total billed charges		453.9	85			Percent of total billed charges		453.9	100			Percent of total billed charges		534	100			Percent of total billed charges		534	100			Percent of total billed charges		534	33.3			Percent of total billed charges		177.822	33.3			Percent of total billed charges		177.822	100			Percent of total billed charges		534	177.822	480.6	
cancellous bone screw 4.35 x 16mm 1100-3116 biomet	278	RC	Outpatient			534	347.1		90			Percent of total billed charges		480.6	40			Percent of total billed charges		213.6	80			Percent of total billed charges		427.2	90			Percent of total billed charges		480.6	85			Percent of total billed charges		453.9	85			Percent of total billed charges		453.9	85			Percent of total billed charges		453.9	100			Percent of total billed charges		534	100			Percent of total billed charges		534	100			Percent of total billed charges		534	33.3			Percent of total billed charges		177.822	33.3			Percent of total billed charges		177.822	100			Percent of total billed charges		534	177.822	480.6	
cancellous bone screw 4.35 x 18mm 1100-2118 biomet	278	RC	Outpatient			534	347.1		90			Percent of total billed charges		480.6	40			Percent of total billed charges		213.6	80			Percent of total billed charges		427.2	90			Percent of total billed charges		480.6	85			Percent of total billed charges		453.9	85			Percent of total billed charges		453.9	85			Percent of total billed charges		453.9	100			Percent of total billed charges		534	100			Percent of total billed charges		534	100			Percent of total billed charges		534	33.3			Percent of total billed charges		177.822	33.3			Percent of total billed charges		177.822	100			Percent of total billed charges		534	177.822	480.6	
cancellous bone screw 4.35 x 18mm 1100-3118 biomet	278	RC	Outpatient			534	347.1		90			Percent of total billed charges		480.6	40			Percent of total billed charges		213.6	80			Percent of total billed charges		427.2	90			Percent of total billed charges		480.6	85			Percent of total billed charges		453.9	85			Percent of total billed charges		453.9	85			Percent of total billed charges		453.9	100			Percent of total billed charges		534	100			Percent of total billed charges		534	100			Percent of total billed charges		534	33.3			Percent of total billed charges		177.822	33.3			Percent of total billed charges		177.822	100			Percent of total billed charges		534	177.822	480.6	
cancellous bone screw 4.35 x 20mm 1100-2120 biomet	278	RC	Outpatient			534	347.1		90			Percent of total billed charges		480.6	40			Percent of total billed charges		213.6	80			Percent of total billed charges		427.2	90			Percent of total billed charges		480.6	85			Percent of total billed charges		453.9	85			Percent of total billed charges		453.9	85			Percent of total billed charges		453.9	100			Percent of total billed charges		534	100			Percent of total billed charges		534	100			Percent of total billed charges		534	33.3			Percent of total billed charges		177.822	33.3			Percent of total billed charges		177.822	100			Percent of total billed charges		534	177.822	480.6	
cancellous bone screw 4.5 x 14mm 1100-2214 biomet	278	RC	Outpatient			534	347.1		90			Percent of total billed charges		480.6	40			Percent of total billed charges		213.6	80			Percent of total billed charges		427.2	90			Percent of total billed charges		480.6	85			Percent of total billed charges		453.9	85			Percent of total billed charges		453.9	85			Percent of total billed charges		453.9	100			Percent of total billed charges		534	100			Percent of total billed charges		534	100			Percent of total billed charges		534	33.3			Percent of total billed charges		177.822	33.3			Percent of total billed charges		177.822	100			Percent of total billed charges		534	177.822	480.6	
cancellous bone screw 4.5 x 14mm 1100-3214 biomet	278	RC	Outpatient			534	347.1		90			Percent of total billed charges		480.6	40			Percent of total billed charges		213.6	80			Percent of total billed charges		427.2	90			Percent of total billed charges		480.6	85			Percent of total billed charges		453.9	85			Percent of total billed charges		453.9	85			Percent of total billed charges		453.9	100			Percent of total billed charges		534	100			Percent of total billed charges		534	100			Percent of total billed charges		534	33.3			Percent of total billed charges		177.822	33.3			Percent of total billed charges		177.822	100			Percent of total billed charges		534	177.822	480.6	
cancellous bone screw 4.5 x 16mm 1100-2216 biomet	278	RC	Outpatient			534	347.1		90			Percent of total billed charges		480.6	40			Percent of total billed charges		213.6	80			Percent of total billed charges		427.2	90			Percent of total billed charges		480.6	85			Percent of total billed charges		453.9	85			Percent of total billed charges		453.9	85			Percent of total billed charges		453.9	100			Percent of total billed charges		534	100			Percent of total billed charges		534	100			Percent of total billed charges		534	33.3			Percent of total billed charges		177.822	33.3			Percent of total billed charges		177.822	100			Percent of total billed charges		534	177.822	480.6	
cancellous bone screw 4.5 x 16mm 1100-3216 biomet	278	RC	Outpatient			534	347.1		90			Percent of total billed charges		480.6	40			Percent of total billed charges		213.6	80			Percent of total billed charges		427.2	90			Percent of total billed charges		480.6	85			Percent of total billed charges		453.9	85			Percent of total billed charges		453.9	85			Percent of total billed charges		453.9	100			Percent of total billed charges		534	100			Percent of total billed charges		534	100			Percent of total billed charges		534	33.3			Percent of total billed charges		177.822	33.3			Percent of total billed charges		177.822	100			Percent of total billed charges		534	177.822	480.6	
cancellous bone screw 4.5 x 18mm 1100-3218 biomet	278	RC	Outpatient			534	347.1		90			Percent of total billed charges		480.6	40			Percent of total billed charges		213.6	80			Percent of total billed charges		427.2	90			Percent of total billed charges		480.6	85			Percent of total billed charges		453.9	85			Percent of total billed charges		453.9	85			Percent of total billed charges		453.9	100			Percent of total billed charges		534	100			Percent of total billed charges		534	100			Percent of total billed charges		534	33.3			Percent of total billed charges		177.822	33.3			Percent of total billed charges		177.822	100			Percent of total billed charges		534	177.822	480.6	
birthing room 4 to 6 hrs	722	RC	Outpatient			535	347.75		90			Percent of total billed charges		481.5	40			Percent of total billed charges		214	80			Percent of total billed charges		428	90			Percent of total billed charges		481.5	85			Percent of total billed charges		454.75	85			Percent of total billed charges		454.75	85			Percent of total billed charges		454.75	100			Percent of total billed charges		535	100			Percent of total billed charges		535	100			Percent of total billed charges		535	33.3			Percent of total billed charges		178.155	33.3			Percent of total billed charges		178.155	100			Percent of total billed charges		535	178.155	481.5	
attain hybrid wire	275	RC	Outpatient			535	347.75		90			Percent of total billed charges		481.5	40			Percent of total billed charges		214	80			Percent of total billed charges		428	90			Percent of total billed charges		481.5	85			Percent of total billed charges		454.75	85			Percent of total billed charges		454.75	85			Percent of total billed charges		454.75	100			Percent of total billed charges		535	100			Percent of total billed charges		535	100			Percent of total billed charges		535	33.3			Percent of total billed charges		178.155	33.3			Percent of total billed charges		178.155	100			Percent of total billed charges		535	178.155	481.5	
crux  ivc delivery system 7012 crux biomedical	272	RC	Outpatient			535	347.75		90			Percent of total billed charges		481.5	40			Percent of total billed charges		214	80			Percent of total billed charges		428	90			Percent of total billed charges		481.5	85			Percent of total billed charges		454.75	85			Percent of total billed charges		454.75	85			Percent of total billed charges		454.75	100			Percent of total billed charges		535	100			Percent of total billed charges		535	100			Percent of total billed charges		535	33.3			Percent of total billed charges		178.155	33.3			Percent of total billed charges		178.155	100			Percent of total billed charges		535	178.155	481.5	
crux vena cava del syst	272	RC	Outpatient			535	347.75		90			Percent of total billed charges		481.5	40			Percent of total billed charges		214	80			Percent of total billed charges		428	90			Percent of total billed charges		481.5	85			Percent of total billed charges		454.75	85			Percent of total billed charges		454.75	85			Percent of total billed charges		454.75	100			Percent of total billed charges		535	100			Percent of total billed charges		535	100			Percent of total billed charges		535	33.3			Percent of total billed charges		178.155	33.3			Percent of total billed charges		178.155	100			Percent of total billed charges		535	178.155	481.5	
"fallope ring bander,disp."	270	RC	Outpatient			535	347.75		90			Percent of total billed charges		481.5	40			Percent of total billed charges		214	80			Percent of total billed charges		428	90			Percent of total billed charges		481.5	85			Percent of total billed charges		454.75	85			Percent of total billed charges		454.75	85			Percent of total billed charges		454.75	100			Percent of total billed charges		535	100			Percent of total billed charges		535	100			Percent of total billed charges		535	33.3			Percent of total billed charges		178.155	33.3			Percent of total billed charges		178.155	100			Percent of total billed charges		535	178.155	481.5	
gammagraft gg400	278	RC	Outpatient			535	347.75		90			Percent of total billed charges		481.5	40			Percent of total billed charges		214	80			Percent of total billed charges		428	90			Percent of total billed charges		481.5	85			Percent of total billed charges		454.75	85			Percent of total billed charges		454.75	85			Percent of total billed charges		454.75	100			Percent of total billed charges		535	100			Percent of total billed charges		535	100			Percent of total billed charges		535	33.3			Percent of total billed charges		178.155	33.3			Percent of total billed charges		178.155	100			Percent of total billed charges		535	178.155	481.5	
depuy 2.2mm drill bit w/ stop03-501-612	272	RC	Outpatient			535	347.75		90			Percent of total billed charges		481.5	40			Percent of total billed charges		214	80			Percent of total billed charges		428	90			Percent of total billed charges		481.5	85			Percent of total billed charges		454.75	85			Percent of total billed charges		454.75	85			Percent of total billed charges		454.75	100			Percent of total billed charges		535	100			Percent of total billed charges		535	100			Percent of total billed charges		535	33.3			Percent of total billed charges		178.155	33.3			Percent of total billed charges		178.155	100			Percent of total billed charges		535	178.155	481.5	
disp dual falope ring bander 6889-901 gyrus	270	RC	Outpatient			535	347.75		90			Percent of total billed charges		481.5	40			Percent of total billed charges		214	80			Percent of total billed charges		428	90			Percent of total billed charges		481.5	85			Percent of total billed charges		454.75	85			Percent of total billed charges		454.75	85			Percent of total billed charges		454.75	100			Percent of total billed charges		535	100			Percent of total billed charges		535	100			Percent of total billed charges		535	33.3			Percent of total billed charges		178.155	33.3			Percent of total billed charges		178.155	100			Percent of total billed charges		535	178.155	481.5	
jet-x 3 hole rancho cube	278	RC	Outpatient			535	347.75		90			Percent of total billed charges		481.5	40			Percent of total billed charges		214	80			Percent of total billed charges		428	90			Percent of total billed charges		481.5	85			Percent of total billed charges		454.75	85			Percent of total billed charges		454.75	85			Percent of total billed charges		454.75	100			Percent of total billed charges		535	100			Percent of total billed charges		535	100			Percent of total billed charges		535	33.3			Percent of total billed charges		178.155	33.3			Percent of total billed charges		178.155	100			Percent of total billed charges		535	178.155	481.5	
falope ring kit   006889-901 cirac	270	RC	Outpatient			535	347.75		90			Percent of total billed charges		481.5	40			Percent of total billed charges		214	80			Percent of total billed charges		428	90			Percent of total billed charges		481.5	85			Percent of total billed charges		454.75	85			Percent of total billed charges		454.75	85			Percent of total billed charges		454.75	100			Percent of total billed charges		535	100			Percent of total billed charges		535	100			Percent of total billed charges		535	33.3			Percent of total billed charges		178.155	33.3			Percent of total billed charges		178.155	100			Percent of total billed charges		535	178.155	481.5	
gamma graft gg400 promethean	278	RC	Outpatient			535	347.75		90			Percent of total billed charges		481.5	40			Percent of total billed charges		214	80			Percent of total billed charges		428	90			Percent of total billed charges		481.5	85			Percent of total billed charges		454.75	85			Percent of total billed charges		454.75	85			Percent of total billed charges		454.75	100			Percent of total billed charges		535	100			Percent of total billed charges		535	100			Percent of total billed charges		535	33.3			Percent of total billed charges		178.155	33.3			Percent of total billed charges		178.155	100			Percent of total billed charges		535	178.155	481.5	
guidewire attain	272	RC	Outpatient			535	347.75		90			Percent of total billed charges		481.5	40			Percent of total billed charges		214	80			Percent of total billed charges		428	90			Percent of total billed charges		481.5	85			Percent of total billed charges		454.75	85			Percent of total billed charges		454.75	85			Percent of total billed charges		454.75	100			Percent of total billed charges		535	100			Percent of total billed charges		535	100			Percent of total billed charges		535	33.3			Percent of total billed charges		178.155	33.3			Percent of total billed charges		178.155	100			Percent of total billed charges		535	178.155	481.5	
mt guidewire attain	272	RC	Outpatient			535	347.75		90			Percent of total billed charges		481.5	40			Percent of total billed charges		214	80			Percent of total billed charges		428	90			Percent of total billed charges		481.5	85			Percent of total billed charges		454.75	85			Percent of total billed charges		454.75	85			Percent of total billed charges		454.75	100			Percent of total billed charges		535	100			Percent of total billed charges		535	100			Percent of total billed charges		535	33.3			Percent of total billed charges		178.155	33.3			Percent of total billed charges		178.155	100			Percent of total billed charges		535	178.155	481.5	
iol turjc	278	RC	Outpatient			535	347.75		90			Percent of total billed charges		481.5	40			Percent of total billed charges		214	80			Percent of total billed charges		428	90			Percent of total billed charges		481.5	85			Percent of total billed charges		454.75	85			Percent of total billed charges		454.75	85			Percent of total billed charges		454.75	100			Percent of total billed charges		535	100			Percent of total billed charges		535	100			Percent of total billed charges		535	33.3			Percent of total billed charges		178.155	33.3			Percent of total billed charges		178.155	100			Percent of total billed charges		535	178.155	481.5	
mt attain hybrid wire	275	RC	Outpatient			535	347.75		90			Percent of total billed charges		481.5	40			Percent of total billed charges		214	80			Percent of total billed charges		428	90			Percent of total billed charges		481.5	85			Percent of total billed charges		454.75	85			Percent of total billed charges		454.75	85			Percent of total billed charges		454.75	100			Percent of total billed charges		535	100			Percent of total billed charges		535	100			Percent of total billed charges		535	33.3			Percent of total billed charges		178.155	33.3			Percent of total billed charges		178.155	100			Percent of total billed charges		535	178.155	481.5	
s/n 3-hole rancho cube 10-3453	278	RC	Outpatient			535	347.75		90			Percent of total billed charges		481.5	40			Percent of total billed charges		214	80			Percent of total billed charges		428	90			Percent of total billed charges		481.5	85			Percent of total billed charges		454.75	85			Percent of total billed charges		454.75	85			Percent of total billed charges		454.75	100			Percent of total billed charges		535	100			Percent of total billed charges		535	100			Percent of total billed charges		535	33.3			Percent of total billed charges		178.155	33.3			Percent of total billed charges		178.155	100			Percent of total billed charges		535	178.155	481.5	
room/bed: nursery intermediate	170	RC	Outpatient			535	347.75		90			Percent of total billed charges		481.5	40			Percent of total billed charges		214	80			Percent of total billed charges		428	90			Percent of total billed charges		481.5	85			Percent of total billed charges		454.75	85			Percent of total billed charges		454.75	85			Percent of total billed charges		454.75	100			Percent of total billed charges		535	100			Percent of total billed charges		535	100			Percent of total billed charges		535	33.3			Percent of total billed charges		178.155	33.3			Percent of total billed charges		178.155	100			Percent of total billed charges		535	178.155	481.5	
xr fluoroscopy over 1 hour non-rad	320	RC	Outpatient			535	347.75		90			Percent of total billed charges		481.5	40			Percent of total billed charges		214	80			Percent of total billed charges		428	90			Percent of total billed charges		481.5	85			Percent of total billed charges		454.75	85			Percent of total billed charges		454.75	85			Percent of total billed charges		454.75	100			Percent of total billed charges		535	100			Percent of total billed charges		535	100			Percent of total billed charges		535	33.3			Percent of total billed charges		178.155	33.3			Percent of total billed charges		178.155	100			Percent of total billed charges		535	178.155	481.5	
allomax graft retangular 0.8 x 1.6 2 x 4cm 1180010 bard	278	RC	Outpatient			536	348.4		90			Percent of total billed charges		482.4	40			Percent of total billed charges		214.4	80			Percent of total billed charges		428.8	90			Percent of total billed charges		482.4	85			Percent of total billed charges		455.6	85			Percent of total billed charges		455.6	85			Percent of total billed charges		455.6	100			Percent of total billed charges		536	100			Percent of total billed charges		536	100			Percent of total billed charges		536	33.3			Percent of total billed charges		178.488	33.3			Percent of total billed charges		178.488	100			Percent of total billed charges		536	178.488	482.4	
arthrex  flip cutter 8.0 mm ar-1204af-80	272	RC	Outpatient			536	348.4		90			Percent of total billed charges		482.4	40			Percent of total billed charges		214.4	80			Percent of total billed charges		428.8	90			Percent of total billed charges		482.4	85			Percent of total billed charges		455.6	85			Percent of total billed charges		455.6	85			Percent of total billed charges		455.6	100			Percent of total billed charges		536	100			Percent of total billed charges		536	100			Percent of total billed charges		536	33.3			Percent of total billed charges		178.488	33.3			Percent of total billed charges		178.488	100			Percent of total billed charges		536	178.488	482.4	
arthrex flip cutter 10mm ar-1204af-100	272	RC	Outpatient			536	348.4		90			Percent of total billed charges		482.4	40			Percent of total billed charges		214.4	80			Percent of total billed charges		428.8	90			Percent of total billed charges		482.4	85			Percent of total billed charges		455.6	85			Percent of total billed charges		455.6	85			Percent of total billed charges		455.6	100			Percent of total billed charges		536	100			Percent of total billed charges		536	100			Percent of total billed charges		536	33.3			Percent of total billed charges		178.488	33.3			Percent of total billed charges		178.488	100			Percent of total billed charges		536	178.488	482.4	
arthrex flip cutter 11mm ar-1204af-110	272	RC	Outpatient			536	348.4		90			Percent of total billed charges		482.4	40			Percent of total billed charges		214.4	80			Percent of total billed charges		428.8	90			Percent of total billed charges		482.4	85			Percent of total billed charges		455.6	85			Percent of total billed charges		455.6	85			Percent of total billed charges		455.6	100			Percent of total billed charges		536	100			Percent of total billed charges		536	100			Percent of total billed charges		536	33.3			Percent of total billed charges		178.488	33.3			Percent of total billed charges		178.488	100			Percent of total billed charges		536	178.488	482.4	
accu-pass direct suture passer crescent xl 23-2005 s/n	272	RC	Outpatient			536	348.4		90			Percent of total billed charges		482.4	40			Percent of total billed charges		214.4	80			Percent of total billed charges		428.8	90			Percent of total billed charges		482.4	85			Percent of total billed charges		455.6	85			Percent of total billed charges		455.6	85			Percent of total billed charges		455.6	100			Percent of total billed charges		536	100			Percent of total billed charges		536	100			Percent of total billed charges		536	33.3			Percent of total billed charges		178.488	33.3			Percent of total billed charges		178.488	100			Percent of total billed charges		536	178.488	482.4	
allomax 2 x 4	278	RC	Outpatient			536	348.4		90			Percent of total billed charges		482.4	40			Percent of total billed charges		214.4	80			Percent of total billed charges		428.8	90			Percent of total billed charges		482.4	85			Percent of total billed charges		455.6	85			Percent of total billed charges		455.6	85			Percent of total billed charges		455.6	100			Percent of total billed charges		536	100			Percent of total billed charges		536	100			Percent of total billed charges		536	33.3			Percent of total billed charges		178.488	33.3			Percent of total billed charges		178.488	100			Percent of total billed charges		536	178.488	482.4	
arthrex flip cutter 8.5mm ar-1204af-85	272	RC	Outpatient			536	348.4		90			Percent of total billed charges		482.4	40			Percent of total billed charges		214.4	80			Percent of total billed charges		428.8	90			Percent of total billed charges		482.4	85			Percent of total billed charges		455.6	85			Percent of total billed charges		455.6	85			Percent of total billed charges		455.6	100			Percent of total billed charges		536	100			Percent of total billed charges		536	100			Percent of total billed charges		536	33.3			Percent of total billed charges		178.488	33.3			Percent of total billed charges		178.488	100			Percent of total billed charges		536	178.488	482.4	
arthrex flip cutter 9.0mm ar-1204af-90	272	RC	Outpatient			536	348.4		90			Percent of total billed charges		482.4	40			Percent of total billed charges		214.4	80			Percent of total billed charges		428.8	90			Percent of total billed charges		482.4	85			Percent of total billed charges		455.6	85			Percent of total billed charges		455.6	85			Percent of total billed charges		455.6	100			Percent of total billed charges		536	100			Percent of total billed charges		536	100			Percent of total billed charges		536	33.3			Percent of total billed charges		178.488	33.3			Percent of total billed charges		178.488	100			Percent of total billed charges		536	178.488	482.4	
emg endotrach tube 8.0 medtronic	272	RC	Outpatient			536	348.4		90			Percent of total billed charges		482.4	40			Percent of total billed charges		214.4	80			Percent of total billed charges		428.8	90			Percent of total billed charges		482.4	85			Percent of total billed charges		455.6	85			Percent of total billed charges		455.6	85			Percent of total billed charges		455.6	100			Percent of total billed charges		536	100			Percent of total billed charges		536	100			Percent of total billed charges		536	33.3			Percent of total billed charges		178.488	33.3			Percent of total billed charges		178.488	100			Percent of total billed charges		536	178.488	482.4	
emg endotrach tube 6.0 medtronic	272	RC	Outpatient			536	348.4		90			Percent of total billed charges		482.4	40			Percent of total billed charges		214.4	80			Percent of total billed charges		428.8	90			Percent of total billed charges		482.4	85			Percent of total billed charges		455.6	85			Percent of total billed charges		455.6	85			Percent of total billed charges		455.6	100			Percent of total billed charges		536	100			Percent of total billed charges		536	100			Percent of total billed charges		536	33.3			Percent of total billed charges		178.488	33.3			Percent of total billed charges		178.488	100			Percent of total billed charges		536	178.488	482.4	
emg endotrach tube 7.0 medtronic	272	RC	Outpatient			536	348.4		90			Percent of total billed charges		482.4	40			Percent of total billed charges		214.4	80			Percent of total billed charges		428.8	90			Percent of total billed charges		482.4	85			Percent of total billed charges		455.6	85			Percent of total billed charges		455.6	85			Percent of total billed charges		455.6	100			Percent of total billed charges		536	100			Percent of total billed charges		536	100			Percent of total billed charges		536	33.3			Percent of total billed charges		178.488	33.3			Percent of total billed charges		178.488	100			Percent of total billed charges		536	178.488	482.4	
flipcutter arthrex	272	RC	Outpatient			536	348.4		90			Percent of total billed charges		482.4	40			Percent of total billed charges		214.4	80			Percent of total billed charges		428.8	90			Percent of total billed charges		482.4	85			Percent of total billed charges		455.6	85			Percent of total billed charges		455.6	85			Percent of total billed charges		455.6	100			Percent of total billed charges		536	100			Percent of total billed charges		536	100			Percent of total billed charges		536	33.3			Percent of total billed charges		178.488	33.3			Percent of total billed charges		178.488	100			Percent of total billed charges		536	178.488	482.4	
onq painbuster	272	RC	Outpatient			536	348.4		90			Percent of total billed charges		482.4	40			Percent of total billed charges		214.4	80			Percent of total billed charges		428.8	90			Percent of total billed charges		482.4	85			Percent of total billed charges		455.6	85			Percent of total billed charges		455.6	85			Percent of total billed charges		455.6	100			Percent of total billed charges		536	100			Percent of total billed charges		536	100			Percent of total billed charges		536	33.3			Percent of total billed charges		178.488	33.3			Percent of total billed charges		178.488	100			Percent of total billed charges		536	178.488	482.4	
onq painbuster  silver soaker expansion kit pmo25-a i-flow	272	RC	Outpatient			536	348.4		90			Percent of total billed charges		482.4	40			Percent of total billed charges		214.4	80			Percent of total billed charges		428.8	90			Percent of total billed charges		482.4	85			Percent of total billed charges		455.6	85			Percent of total billed charges		455.6	85			Percent of total billed charges		455.6	100			Percent of total billed charges		536	100			Percent of total billed charges		536	100			Percent of total billed charges		536	33.3			Percent of total billed charges		178.488	33.3			Percent of total billed charges		178.488	100			Percent of total billed charges		536	178.488	482.4	
onq painbuster with silver soaker pm028-a i-flow	272	RC	Outpatient			536	348.4		90			Percent of total billed charges		482.4	40			Percent of total billed charges		214.4	80			Percent of total billed charges		428.8	90			Percent of total billed charges		482.4	85			Percent of total billed charges		455.6	85			Percent of total billed charges		455.6	85			Percent of total billed charges		455.6	100			Percent of total billed charges		536	100			Percent of total billed charges		536	100			Percent of total billed charges		536	33.3			Percent of total billed charges		178.488	33.3			Percent of total billed charges		178.488	100			Percent of total billed charges		536	178.488	482.4	
nim tube	272	RC	Outpatient			536	348.4		90			Percent of total billed charges		482.4	40			Percent of total billed charges		214.4	80			Percent of total billed charges		428.8	90			Percent of total billed charges		482.4	85			Percent of total billed charges		455.6	85			Percent of total billed charges		455.6	85			Percent of total billed charges		455.6	100			Percent of total billed charges		536	100			Percent of total billed charges		536	100			Percent of total billed charges		536	33.3			Percent of total billed charges		178.488	33.3			Percent of total billed charges		178.488	100			Percent of total billed charges		536	178.488	482.4	
headless pins 7650-2038a howmedica	272	RC	Outpatient			537	349.05		90			Percent of total billed charges		483.3	40			Percent of total billed charges		214.8	80			Percent of total billed charges		429.6	90			Percent of total billed charges		483.3	85			Percent of total billed charges		456.45	85			Percent of total billed charges		456.45	85			Percent of total billed charges		456.45	100			Percent of total billed charges		537	100			Percent of total billed charges		537	100			Percent of total billed charges		537	33.3			Percent of total billed charges		178.821	33.3			Percent of total billed charges		178.821	100			Percent of total billed charges		537	178.821	483.3	
self drilling spinal screw 14mm 48654041 stryker	278	RC	Outpatient			537	349.05		90			Percent of total billed charges		483.3	40			Percent of total billed charges		214.8	80			Percent of total billed charges		429.6	90			Percent of total billed charges		483.3	85			Percent of total billed charges		456.45	85			Percent of total billed charges		456.45	85			Percent of total billed charges		456.45	100			Percent of total billed charges		537	100			Percent of total billed charges		537	100			Percent of total billed charges		537	33.3			Percent of total billed charges		178.821	33.3			Percent of total billed charges		178.821	100			Percent of total billed charges		537	178.821	483.3	
triathlon headless pin	272	RC	Outpatient			537	349.05		90			Percent of total billed charges		483.3	40			Percent of total billed charges		214.8	80			Percent of total billed charges		429.6	90			Percent of total billed charges		483.3	85			Percent of total billed charges		456.45	85			Percent of total billed charges		456.45	85			Percent of total billed charges		456.45	100			Percent of total billed charges		537	100			Percent of total billed charges		537	100			Percent of total billed charges		537	33.3			Percent of total billed charges		178.821	33.3			Percent of total billed charges		178.821	100			Percent of total billed charges		537	178.821	483.3	
stryker spine scr sd	278	RC	Outpatient			537	349.05		90			Percent of total billed charges		483.3	40			Percent of total billed charges		214.8	80			Percent of total billed charges		429.6	90			Percent of total billed charges		483.3	85			Percent of total billed charges		456.45	85			Percent of total billed charges		456.45	85			Percent of total billed charges		456.45	100			Percent of total billed charges		537	100			Percent of total billed charges		537	100			Percent of total billed charges		537	33.3			Percent of total billed charges		178.821	33.3			Percent of total billed charges		178.821	100			Percent of total billed charges		537	178.821	483.3	
cannulated screw 6.5 x 80 326080 stryker	272	RC	Outpatient			539	350.35		90			Percent of total billed charges		485.1	40			Percent of total billed charges		215.6	80			Percent of total billed charges		431.2	90			Percent of total billed charges		485.1	85			Percent of total billed charges		458.15	85			Percent of total billed charges		458.15	85			Percent of total billed charges		458.15	100			Percent of total billed charges		539	100			Percent of total billed charges		539	100			Percent of total billed charges		539	33.3			Percent of total billed charges		179.487	33.3			Percent of total billed charges		179.487	100			Percent of total billed charges		539	179.487	485.1	
complete w/bronchodilator	460	RC	Outpatient			539	350.35		90			Percent of total billed charges		485.1	40			Percent of total billed charges		215.6	80			Percent of total billed charges		431.2	90			Percent of total billed charges		485.1	85			Percent of total billed charges		458.15	85			Percent of total billed charges		458.15	85			Percent of total billed charges		458.15	100			Percent of total billed charges		539	100			Percent of total billed charges		539	100			Percent of total billed charges		539	33.3			Percent of total billed charges		179.487	33.3			Percent of total billed charges		179.487	100			Percent of total billed charges		539	179.487	485.1	
cannulated screw 6.5 stry	272	RC	Outpatient			539	350.35		90			Percent of total billed charges		485.1	40			Percent of total billed charges		215.6	80			Percent of total billed charges		431.2	90			Percent of total billed charges		485.1	85			Percent of total billed charges		458.15	85			Percent of total billed charges		458.15	85			Percent of total billed charges		458.15	100			Percent of total billed charges		539	100			Percent of total billed charges		539	100			Percent of total billed charges		539	33.3			Percent of total billed charges		179.487	33.3			Percent of total billed charges		179.487	100			Percent of total billed charges		539	179.487	485.1	
synthes ankle	278	RC	Outpatient			539	350.35		90			Percent of total billed charges		485.1	40			Percent of total billed charges		215.6	80			Percent of total billed charges		431.2	90			Percent of total billed charges		485.1	85			Percent of total billed charges		458.15	85			Percent of total billed charges		458.15	85			Percent of total billed charges		458.15	100			Percent of total billed charges		539	100			Percent of total billed charges		539	100			Percent of total billed charges		539	33.3			Percent of total billed charges		179.487	33.3			Percent of total billed charges		179.487	100			Percent of total billed charges		539	179.487	485.1	
ccpf chemo admin 5 hrs	335	RC	Outpatient			539.13	350.43		90			Percent of total billed charges		485.217	40			Percent of total billed charges		215.652	80			Percent of total billed charges		431.304	90			Percent of total billed charges		485.217	85			Percent of total billed charges		458.2605	85			Percent of total billed charges		458.2605	85			Percent of total billed charges		458.2605	100			Percent of total billed charges		539.13	100			Percent of total billed charges		539.13	100			Percent of total billed charges		539.13	33.3			Percent of total billed charges		179.5303	33.3			Percent of total billed charges		179.5303	100			Percent of total billed charges		539.13	179.5303	485.217	
ant cervical cancel screw	278	RC	Outpatient			540	351		90			Percent of total billed charges		486	40			Percent of total billed charges		216	80			Percent of total billed charges		432	90			Percent of total billed charges		486	85			Percent of total billed charges		459	85			Percent of total billed charges		459	85			Percent of total billed charges		459	100			Percent of total billed charges		540	100			Percent of total billed charges		540	100			Percent of total billed charges		540	33.3			Percent of total billed charges		179.82	33.3			Percent of total billed charges		179.82	100			Percent of total billed charges		540	179.82	486	
cosmetic - small scar - dlx1	940	RC	Outpatient			540	351		90			Percent of total billed charges		486	40			Percent of total billed charges		216	80			Percent of total billed charges		432	90			Percent of total billed charges		486	85			Percent of total billed charges		459	85			Percent of total billed charges		459	85			Percent of total billed charges		459	100			Percent of total billed charges		540	100			Percent of total billed charges		540	100			Percent of total billed charges		540	33.3			Percent of total billed charges		179.82	33.3			Percent of total billed charges		179.82	100			Percent of total billed charges		540	179.82	486	
l&d interceed	270	RC	Outpatient			540	351		90			Percent of total billed charges		486	40			Percent of total billed charges		216	80			Percent of total billed charges		432	90			Percent of total billed charges		486	85			Percent of total billed charges		459	85			Percent of total billed charges		459	85			Percent of total billed charges		459	100			Percent of total billed charges		540	100			Percent of total billed charges		540	100			Percent of total billed charges		540	33.3			Percent of total billed charges		179.82	33.3			Percent of total billed charges		179.82	100			Percent of total billed charges		540	179.82	486	
osteosponge filler 2.5cc	278	RC	Outpatient			540	351		90			Percent of total billed charges		486	40			Percent of total billed charges		216	80			Percent of total billed charges		432	90			Percent of total billed charges		486	85			Percent of total billed charges		459	85			Percent of total billed charges		459	85			Percent of total billed charges		459	100			Percent of total billed charges		540	100			Percent of total billed charges		540	100			Percent of total billed charges		540	33.3			Percent of total billed charges		179.82	33.3			Percent of total billed charges		179.82	100			Percent of total billed charges		540	179.82	486	
sofamor dlocking screw 871001	278	RC	Outpatient			540	351		90			Percent of total billed charges		486	40			Percent of total billed charges		216	80			Percent of total billed charges		432	90			Percent of total billed charges		486	85			Percent of total billed charges		459	85			Percent of total billed charges		459	85			Percent of total billed charges		459	100			Percent of total billed charges		540	100			Percent of total billed charges		540	100			Percent of total billed charges		540	33.3			Percent of total billed charges		179.82	33.3			Percent of total billed charges		179.82	100			Percent of total billed charges		540	179.82	486	
screw 17mm 8710017	278	RC	Outpatient			540	351		90			Percent of total billed charges		486	40			Percent of total billed charges		216	80			Percent of total billed charges		432	90			Percent of total billed charges		486	85			Percent of total billed charges		459	85			Percent of total billed charges		459	85			Percent of total billed charges		459	100			Percent of total billed charges		540	100			Percent of total billed charges		540	100			Percent of total billed charges		540	33.3			Percent of total billed charges		179.82	33.3			Percent of total billed charges		179.82	100			Percent of total billed charges		540	179.82	486	
arthrex trim-it drill pin 105 x 100 bio k-wire ar-4151ds	278	RC	Outpatient			541	351.65		90			Percent of total billed charges		486.9	40			Percent of total billed charges		216.4	80			Percent of total billed charges		432.8	90			Percent of total billed charges		486.9	85			Percent of total billed charges		459.85	85			Percent of total billed charges		459.85	85			Percent of total billed charges		459.85	100			Percent of total billed charges		541	100			Percent of total billed charges		541	100			Percent of total billed charges		541	33.3			Percent of total billed charges		180.153	33.3			Percent of total billed charges		180.153	100			Percent of total billed charges		541	180.153	486.9	
arthrex trim-it drill pin 2 x 100 bio k-wire ar-4152ds	278	RC	Outpatient			541	351.65		90			Percent of total billed charges		486.9	40			Percent of total billed charges		216.4	80			Percent of total billed charges		432.8	90			Percent of total billed charges		486.9	85			Percent of total billed charges		459.85	85			Percent of total billed charges		459.85	85			Percent of total billed charges		459.85	100			Percent of total billed charges		541	100			Percent of total billed charges		541	100			Percent of total billed charges		541	33.3			Percent of total billed charges		180.153	33.3			Percent of total billed charges		180.153	100			Percent of total billed charges		541	180.153	486.9	
beath pin 12-8192 s/n	272	RC	Outpatient			541	351.65		90			Percent of total billed charges		486.9	40			Percent of total billed charges		216.4	80			Percent of total billed charges		432.8	90			Percent of total billed charges		486.9	85			Percent of total billed charges		459.85	85			Percent of total billed charges		459.85	85			Percent of total billed charges		459.85	100			Percent of total billed charges		541	100			Percent of total billed charges		541	100			Percent of total billed charges		541	33.3			Percent of total billed charges		180.153	33.3			Percent of total billed charges		180.153	100			Percent of total billed charges		541	180.153	486.9	
arthrex bio k-wire	278	RC	Outpatient			541	351.65		90			Percent of total billed charges		486.9	40			Percent of total billed charges		216.4	80			Percent of total billed charges		432.8	90			Percent of total billed charges		486.9	85			Percent of total billed charges		459.85	85			Percent of total billed charges		459.85	85			Percent of total billed charges		459.85	100			Percent of total billed charges		541	100			Percent of total billed charges		541	100			Percent of total billed charges		541	33.3			Percent of total billed charges		180.153	33.3			Percent of total billed charges		180.153	100			Percent of total billed charges		541	180.153	486.9	
congruent l e plate	278	RC	Outpatient			541	351.65		90			Percent of total billed charges		486.9	40			Percent of total billed charges		216.4	80			Percent of total billed charges		432.8	90			Percent of total billed charges		486.9	85			Percent of total billed charges		459.85	85			Percent of total billed charges		459.85	85			Percent of total billed charges		459.85	100			Percent of total billed charges		541	100			Percent of total billed charges		541	100			Percent of total billed charges		541	33.3			Percent of total billed charges		180.153	33.3			Percent of total billed charges		180.153	100			Percent of total billed charges		541	180.153	486.9	
drill bit w/ steinman pin 125 x 5 depuy 86-4192	272	RC	Outpatient			541	351.65		90			Percent of total billed charges		486.9	40			Percent of total billed charges		216.4	80			Percent of total billed charges		432.8	90			Percent of total billed charges		486.9	85			Percent of total billed charges		459.85	85			Percent of total billed charges		459.85	85			Percent of total billed charges		459.85	100			Percent of total billed charges		541	100			Percent of total billed charges		541	100			Percent of total billed charges		541	33.3			Percent of total billed charges		180.153	33.3			Percent of total billed charges		180.153	100			Percent of total billed charges		541	180.153	486.9	
goldenbrg torp prosthesis	274	RC	Outpatient			541	351.65		90			Percent of total billed charges		486.9	40			Percent of total billed charges		216.4	80			Percent of total billed charges		432.8	90			Percent of total billed charges		486.9	85			Percent of total billed charges		459.85	85			Percent of total billed charges		459.85	85			Percent of total billed charges		459.85	100			Percent of total billed charges		541	100			Percent of total billed charges		541	100			Percent of total billed charges		541	33.3			Percent of total billed charges		180.153	33.3			Percent of total billed charges		180.153	100			Percent of total billed charges		541	180.153	486.9	
le congruent bone plate  pl-mtpr acumed	278	RC	Outpatient			541	351.65		90			Percent of total billed charges		486.9	40			Percent of total billed charges		216.4	80			Percent of total billed charges		432.8	90			Percent of total billed charges		486.9	85			Percent of total billed charges		459.85	85			Percent of total billed charges		459.85	85			Percent of total billed charges		459.85	100			Percent of total billed charges		541	100			Percent of total billed charges		541	100			Percent of total billed charges		541	33.3			Percent of total billed charges		180.153	33.3			Percent of total billed charges		180.153	100			Percent of total billed charges		541	180.153	486.9	
lower extremity congruent bone plate 3 hole glide  pl-gld3  acumed	278	RC	Outpatient			541	351.65		90			Percent of total billed charges		486.9	40			Percent of total billed charges		216.4	80			Percent of total billed charges		432.8	90			Percent of total billed charges		486.9	85			Percent of total billed charges		459.85	85			Percent of total billed charges		459.85	85			Percent of total billed charges		459.85	100			Percent of total billed charges		541	100			Percent of total billed charges		541	100			Percent of total billed charges		541	33.3			Percent of total billed charges		180.153	33.3			Percent of total billed charges		180.153	100			Percent of total billed charges		541	180.153	486.9	
lower extremity congruent bone plate 7 hole glide  pl-gld7 acumed	278	RC	Outpatient			541	351.65		90			Percent of total billed charges		486.9	40			Percent of total billed charges		216.4	80			Percent of total billed charges		432.8	90			Percent of total billed charges		486.9	85			Percent of total billed charges		459.85	85			Percent of total billed charges		459.85	85			Percent of total billed charges		459.85	100			Percent of total billed charges		541	100			Percent of total billed charges		541	100			Percent of total billed charges		541	33.3			Percent of total billed charges		180.153	33.3			Percent of total billed charges		180.153	100			Percent of total billed charges		541	180.153	486.9	
lower extremity congruent bone plate dorsal mtp fusion plate r pl-dmtpr  acumed	278	RC	Outpatient			541	351.65		90			Percent of total billed charges		486.9	40			Percent of total billed charges		216.4	80			Percent of total billed charges		432.8	90			Percent of total billed charges		486.9	85			Percent of total billed charges		459.85	85			Percent of total billed charges		459.85	85			Percent of total billed charges		459.85	100			Percent of total billed charges		541	100			Percent of total billed charges		541	100			Percent of total billed charges		541	33.3			Percent of total billed charges		180.153	33.3			Percent of total billed charges		180.153	100			Percent of total billed charges		541	180.153	486.9	
lower extremity congruent bone plate metatarsophalangeal l pl-mtpl  acumed	278	RC	Outpatient			541	351.65		90			Percent of total billed charges		486.9	40			Percent of total billed charges		216.4	80			Percent of total billed charges		432.8	90			Percent of total billed charges		486.9	85			Percent of total billed charges		459.85	85			Percent of total billed charges		459.85	85			Percent of total billed charges		459.85	100			Percent of total billed charges		541	100			Percent of total billed charges		541	100			Percent of total billed charges		541	33.3			Percent of total billed charges		180.153	33.3			Percent of total billed charges		180.153	100			Percent of total billed charges		541	180.153	486.9	
lower extremity congruent bone plate proximal  medial malleolar  pl-tibmm  acumed	278	RC	Outpatient			541	351.65		90			Percent of total billed charges		486.9	40			Percent of total billed charges		216.4	80			Percent of total billed charges		432.8	90			Percent of total billed charges		486.9	85			Percent of total billed charges		459.85	85			Percent of total billed charges		459.85	85			Percent of total billed charges		459.85	100			Percent of total billed charges		541	100			Percent of total billed charges		541	100			Percent of total billed charges		541	33.3			Percent of total billed charges		180.153	33.3			Percent of total billed charges		180.153	100			Percent of total billed charges		541	180.153	486.9	
lower extremity congruent bone plate proximal 1st metatarsal osteotomy r pl-bswdr  acumed	278	RC	Outpatient			541	351.65		90			Percent of total billed charges		486.9	40			Percent of total billed charges		216.4	80			Percent of total billed charges		432.8	90			Percent of total billed charges		486.9	85			Percent of total billed charges		459.85	85			Percent of total billed charges		459.85	85			Percent of total billed charges		459.85	100			Percent of total billed charges		541	100			Percent of total billed charges		541	100			Percent of total billed charges		541	33.3			Percent of total billed charges		180.153	33.3			Percent of total billed charges		180.153	100			Percent of total billed charges		541	180.153	486.9	
optivac mix kit	270	RC	Outpatient			541	351.65		90			Percent of total billed charges		486.9	40			Percent of total billed charges		216.4	80			Percent of total billed charges		432.8	90			Percent of total billed charges		486.9	85			Percent of total billed charges		459.85	85			Percent of total billed charges		459.85	85			Percent of total billed charges		459.85	100			Percent of total billed charges		541	100			Percent of total billed charges		541	100			Percent of total billed charges		541	33.3			Percent of total billed charges		180.153	33.3			Percent of total billed charges		180.153	100			Percent of total billed charges		541	180.153	486.9	
lower extremity congruent bone plate 5 hole glide  pl-gld5  acumed	278	RC	Outpatient			541	351.65		90			Percent of total billed charges		486.9	40			Percent of total billed charges		216.4	80			Percent of total billed charges		432.8	90			Percent of total billed charges		486.9	85			Percent of total billed charges		459.85	85			Percent of total billed charges		459.85	85			Percent of total billed charges		459.85	100			Percent of total billed charges		541	100			Percent of total billed charges		541	100			Percent of total billed charges		541	33.3			Percent of total billed charges		180.153	33.3			Percent of total billed charges		180.153	100			Percent of total billed charges		541	180.153	486.9	
lower extremity congruent bone plate dorsal mtp fusion plate l pl-dmtpl  acumed	278	RC	Outpatient			541	351.65		90			Percent of total billed charges		486.9	40			Percent of total billed charges		216.4	80			Percent of total billed charges		432.8	90			Percent of total billed charges		486.9	85			Percent of total billed charges		459.85	85			Percent of total billed charges		459.85	85			Percent of total billed charges		459.85	100			Percent of total billed charges		541	100			Percent of total billed charges		541	100			Percent of total billed charges		541	33.3			Percent of total billed charges		180.153	33.3			Percent of total billed charges		180.153	100			Percent of total billed charges		541	180.153	486.9	
lower extremity congruent bone plate proximal  anterior malleolar  pl-tibam  acumed	278	RC	Outpatient			541	351.65		90			Percent of total billed charges		486.9	40			Percent of total billed charges		216.4	80			Percent of total billed charges		432.8	90			Percent of total billed charges		486.9	85			Percent of total billed charges		459.85	85			Percent of total billed charges		459.85	85			Percent of total billed charges		459.85	100			Percent of total billed charges		541	100			Percent of total billed charges		541	100			Percent of total billed charges		541	33.3			Percent of total billed charges		180.153	33.3			Percent of total billed charges		180.153	100			Percent of total billed charges		541	180.153	486.9	
lower extremity congruent bone plate proximal 1st metatarsal osteotomy l pl-bswdl  acumed	278	RC	Outpatient			541	351.65		90			Percent of total billed charges		486.9	40			Percent of total billed charges		216.4	80			Percent of total billed charges		432.8	90			Percent of total billed charges		486.9	85			Percent of total billed charges		459.85	85			Percent of total billed charges		459.85	85			Percent of total billed charges		459.85	100			Percent of total billed charges		541	100			Percent of total billed charges		541	100			Percent of total billed charges		541	33.3			Percent of total billed charges		180.153	33.3			Percent of total billed charges		180.153	100			Percent of total billed charges		541	180.153	486.9	
optivac mix kit 410200	270	RC	Outpatient			541	351.65		90			Percent of total billed charges		486.9	40			Percent of total billed charges		216.4	80			Percent of total billed charges		432.8	90			Percent of total billed charges		486.9	85			Percent of total billed charges		459.85	85			Percent of total billed charges		459.85	85			Percent of total billed charges		459.85	100			Percent of total billed charges		541	100			Percent of total billed charges		541	100			Percent of total billed charges		541	33.3			Percent of total billed charges		180.153	33.3			Percent of total billed charges		180.153	100			Percent of total billed charges		541	180.153	486.9	
prosthesis goldenberg torp	274	RC	Outpatient			541	351.65		90			Percent of total billed charges		486.9	40			Percent of total billed charges		216.4	80			Percent of total billed charges		432.8	90			Percent of total billed charges		486.9	85			Percent of total billed charges		459.85	85			Percent of total billed charges		459.85	85			Percent of total billed charges		459.85	100			Percent of total billed charges		541	100			Percent of total billed charges		541	100			Percent of total billed charges		541	33.3			Percent of total billed charges		180.153	33.3			Percent of total billed charges		180.153	100			Percent of total billed charges		541	180.153	486.9	
s/n beath pin	272	RC	Outpatient			541	351.65		90			Percent of total billed charges		486.9	40			Percent of total billed charges		216.4	80			Percent of total billed charges		432.8	90			Percent of total billed charges		486.9	85			Percent of total billed charges		459.85	85			Percent of total billed charges		459.85	85			Percent of total billed charges		459.85	100			Percent of total billed charges		541	100			Percent of total billed charges		541	100			Percent of total billed charges		541	33.3			Percent of total billed charges		180.153	33.3			Percent of total billed charges		180.153	100			Percent of total billed charges		541	180.153	486.9	
steinman pin w/drill bit	272	RC	Outpatient			541	351.65		90			Percent of total billed charges		486.9	40			Percent of total billed charges		216.4	80			Percent of total billed charges		432.8	90			Percent of total billed charges		486.9	85			Percent of total billed charges		459.85	85			Percent of total billed charges		459.85	85			Percent of total billed charges		459.85	100			Percent of total billed charges		541	100			Percent of total billed charges		541	100			Percent of total billed charges		541	33.3			Percent of total billed charges		180.153	33.3			Percent of total billed charges		180.153	100			Percent of total billed charges		541	180.153	486.9	
endowrist force bipolar ref 471405 isi	272	RC	Outpatient			543	352.95		90			Percent of total billed charges		488.7	40			Percent of total billed charges		217.2	80			Percent of total billed charges		434.4	90			Percent of total billed charges		488.7	85			Percent of total billed charges		461.55	85			Percent of total billed charges		461.55	85			Percent of total billed charges		461.55	100			Percent of total billed charges		543	100			Percent of total billed charges		543	100			Percent of total billed charges		543	33.3			Percent of total billed charges		180.819	33.3			Percent of total billed charges		180.819	100			Percent of total billed charges		543	180.819	488.7	
syn brd length plate 8hl	278	RC	Outpatient			543	352.95		90			Percent of total billed charges		488.7	40			Percent of total billed charges		217.2	80			Percent of total billed charges		434.4	90			Percent of total billed charges		488.7	85			Percent of total billed charges		461.55	85			Percent of total billed charges		461.55	85			Percent of total billed charges		461.55	100			Percent of total billed charges		543	100			Percent of total billed charges		543	100			Percent of total billed charges		543	33.3			Percent of total billed charges		180.819	33.3			Percent of total billed charges		180.819	100			Percent of total billed charges		543	180.819	488.7	
firstpass needle and suture capture 22-4036 s/n	272	RC	Outpatient			544	353.6		90			Percent of total billed charges		489.6	40			Percent of total billed charges		217.6	80			Percent of total billed charges		435.2	90			Percent of total billed charges		489.6	85			Percent of total billed charges		462.4	85			Percent of total billed charges		462.4	85			Percent of total billed charges		462.4	100			Percent of total billed charges		544	100			Percent of total billed charges		544	100			Percent of total billed charges		544	33.3			Percent of total billed charges		181.152	33.3			Percent of total billed charges		181.152	100			Percent of total billed charges		544	181.152	489.6	
biomet ss sleeve	278	RC	Outpatient			545	354.25		90			Percent of total billed charges		490.5	40			Percent of total billed charges		218	80			Percent of total billed charges		436	90			Percent of total billed charges		490.5	85			Percent of total billed charges		463.25	85			Percent of total billed charges		463.25	85			Percent of total billed charges		463.25	100			Percent of total billed charges		545	100			Percent of total billed charges		545	100			Percent of total billed charges		545	33.3			Percent of total billed charges		181.485	33.3			Percent of total billed charges		181.485	100			Percent of total billed charges		545	181.485	490.5	
clearcut cement plug	278	RC	Outpatient			545	354.25		90			Percent of total billed charges		490.5	40			Percent of total billed charges		218	80			Percent of total billed charges		436	90			Percent of total billed charges		490.5	85			Percent of total billed charges		463.25	85			Percent of total billed charges		463.25	85			Percent of total billed charges		463.25	100			Percent of total billed charges		545	100			Percent of total billed charges		545	100			Percent of total billed charges		545	33.3			Percent of total billed charges		181.485	33.3			Percent of total billed charges		181.485	100			Percent of total billed charges		545	181.485	490.5	
clearcut cement plug 415-00-080 encore	278	RC	Outpatient			545	354.25		90			Percent of total billed charges		490.5	40			Percent of total billed charges		218	80			Percent of total billed charges		436	90			Percent of total billed charges		490.5	85			Percent of total billed charges		463.25	85			Percent of total billed charges		463.25	85			Percent of total billed charges		463.25	100			Percent of total billed charges		545	100			Percent of total billed charges		545	100			Percent of total billed charges		545	33.3			Percent of total billed charges		181.485	33.3			Percent of total billed charges		181.485	100			Percent of total billed charges		545	181.485	490.5	
clearcut cement plug 415-00-100 encore	278	RC	Outpatient			545	354.25		90			Percent of total billed charges		490.5	40			Percent of total billed charges		218	80			Percent of total billed charges		436	90			Percent of total billed charges		490.5	85			Percent of total billed charges		463.25	85			Percent of total billed charges		463.25	85			Percent of total billed charges		463.25	100			Percent of total billed charges		545	100			Percent of total billed charges		545	100			Percent of total billed charges		545	33.3			Percent of total billed charges		181.485	33.3			Percent of total billed charges		181.485	100			Percent of total billed charges		545	181.485	490.5	
clearcut cement plug 415-00-140 encore	278	RC	Outpatient			545	354.25		90			Percent of total billed charges		490.5	40			Percent of total billed charges		218	80			Percent of total billed charges		436	90			Percent of total billed charges		490.5	85			Percent of total billed charges		463.25	85			Percent of total billed charges		463.25	85			Percent of total billed charges		463.25	100			Percent of total billed charges		545	100			Percent of total billed charges		545	100			Percent of total billed charges		545	33.3			Percent of total billed charges		181.485	33.3			Percent of total billed charges		181.485	100			Percent of total billed charges		545	181.485	490.5	
clearcut cement plug 415-00-120 encore	278	RC	Outpatient			545	354.25		90			Percent of total billed charges		490.5	40			Percent of total billed charges		218	80			Percent of total billed charges		436	90			Percent of total billed charges		490.5	85			Percent of total billed charges		463.25	85			Percent of total billed charges		463.25	85			Percent of total billed charges		463.25	100			Percent of total billed charges		545	100			Percent of total billed charges		545	100			Percent of total billed charges		545	33.3			Percent of total billed charges		181.485	33.3			Percent of total billed charges		181.485	100			Percent of total billed charges		545	181.485	490.5	
stainless steel cable sleeve 2.0 350805 biomet	278	RC	Outpatient			545	354.25		90			Percent of total billed charges		490.5	40			Percent of total billed charges		218	80			Percent of total billed charges		436	90			Percent of total billed charges		490.5	85			Percent of total billed charges		463.25	85			Percent of total billed charges		463.25	85			Percent of total billed charges		463.25	100			Percent of total billed charges		545	100			Percent of total billed charges		545	100			Percent of total billed charges		545	33.3			Percent of total billed charges		181.485	33.3			Percent of total billed charges		181.485	100			Percent of total billed charges		545	181.485	490.5	
compression hip screw super lag  100mm l 121189 s/n	278	RC	Outpatient			546	354.9		90			Percent of total billed charges		491.4	40			Percent of total billed charges		218.4	80			Percent of total billed charges		436.8	90			Percent of total billed charges		491.4	85			Percent of total billed charges		464.1	85			Percent of total billed charges		464.1	85			Percent of total billed charges		464.1	100			Percent of total billed charges		546	100			Percent of total billed charges		546	100			Percent of total billed charges		546	33.3			Percent of total billed charges		181.818	33.3			Percent of total billed charges		181.818	100			Percent of total billed charges		546	181.818	491.4	
compression hip screw super lag screw 85mm 121186 s/n	278	RC	Outpatient			546	354.9		90			Percent of total billed charges		491.4	40			Percent of total billed charges		218.4	80			Percent of total billed charges		436.8	90			Percent of total billed charges		491.4	85			Percent of total billed charges		464.1	85			Percent of total billed charges		464.1	85			Percent of total billed charges		464.1	100			Percent of total billed charges		546	100			Percent of total billed charges		546	100			Percent of total billed charges		546	33.3			Percent of total billed charges		181.818	33.3			Percent of total billed charges		181.818	100			Percent of total billed charges		546	181.818	491.4	
compression hip screw super lag screw 90mm  121187 s/n	278	RC	Outpatient			546	354.9		90			Percent of total billed charges		491.4	40			Percent of total billed charges		218.4	80			Percent of total billed charges		436.8	90			Percent of total billed charges		491.4	85			Percent of total billed charges		464.1	85			Percent of total billed charges		464.1	85			Percent of total billed charges		464.1	100			Percent of total billed charges		546	100			Percent of total billed charges		546	100			Percent of total billed charges		546	33.3			Percent of total billed charges		181.818	33.3			Percent of total billed charges		181.818	100			Percent of total billed charges		546	181.818	491.4	
compression hip screw super lag screw 95mm 121188 s/n	278	RC	Outpatient			546	354.9		90			Percent of total billed charges		491.4	40			Percent of total billed charges		218.4	80			Percent of total billed charges		436.8	90			Percent of total billed charges		491.4	85			Percent of total billed charges		464.1	85			Percent of total billed charges		464.1	85			Percent of total billed charges		464.1	100			Percent of total billed charges		546	100			Percent of total billed charges		546	100			Percent of total billed charges		546	33.3			Percent of total billed charges		181.818	33.3			Percent of total billed charges		181.818	100			Percent of total billed charges		546	181.818	491.4	
diego larengeal debulking blade 70138015 gyrus	272	RC	Outpatient			546	354.9		90			Percent of total billed charges		491.4	40			Percent of total billed charges		218.4	80			Percent of total billed charges		436.8	90			Percent of total billed charges		491.4	85			Percent of total billed charges		464.1	85			Percent of total billed charges		464.1	85			Percent of total billed charges		464.1	100			Percent of total billed charges		546	100			Percent of total billed charges		546	100			Percent of total billed charges		546	33.3			Percent of total billed charges		181.818	33.3			Percent of total billed charges		181.818	100			Percent of total billed charges		546	181.818	491.4	
integra scr lag	278	RC	Outpatient			546	354.9		90			Percent of total billed charges		491.4	40			Percent of total billed charges		218.4	80			Percent of total billed charges		436.8	90			Percent of total billed charges		491.4	85			Percent of total billed charges		464.1	85			Percent of total billed charges		464.1	85			Percent of total billed charges		464.1	100			Percent of total billed charges		546	100			Percent of total billed charges		546	100			Percent of total billed charges		546	33.3			Percent of total billed charges		181.818	33.3			Percent of total billed charges		181.818	100			Percent of total billed charges		546	181.818	491.4	
integra scr lck 5.0	278	RC	Outpatient			546	354.9		90			Percent of total billed charges		491.4	40			Percent of total billed charges		218.4	80			Percent of total billed charges		436.8	90			Percent of total billed charges		491.4	85			Percent of total billed charges		464.1	85			Percent of total billed charges		464.1	85			Percent of total billed charges		464.1	100			Percent of total billed charges		546	100			Percent of total billed charges		546	100			Percent of total billed charges		546	33.3			Percent of total billed charges		181.818	33.3			Percent of total billed charges		181.818	100			Percent of total billed charges		546	181.818	491.4	
ir biopsy fna	360	RC	Outpatient			546	354.9		90			Percent of total billed charges		491.4	40			Percent of total billed charges		218.4	80			Percent of total billed charges		436.8	90			Percent of total billed charges		491.4	85			Percent of total billed charges		464.1	85			Percent of total billed charges		464.1	85			Percent of total billed charges		464.1	100			Percent of total billed charges		546	100			Percent of total billed charges		546	100			Percent of total billed charges		546	33.3			Percent of total billed charges		181.818	33.3			Percent of total billed charges		181.818	100			Percent of total billed charges		546	181.818	491.4	
fast-fix ultra nol del sy	272	RC	Outpatient			546	354.9		90			Percent of total billed charges		491.4	40			Percent of total billed charges		218.4	80			Percent of total billed charges		436.8	90			Percent of total billed charges		491.4	85			Percent of total billed charges		464.1	85			Percent of total billed charges		464.1	85			Percent of total billed charges		464.1	100			Percent of total billed charges		546	100			Percent of total billed charges		546	100			Percent of total billed charges		546	33.3			Percent of total billed charges		181.818	33.3			Percent of total billed charges		181.818	100			Percent of total billed charges		546	181.818	491.4	
lag screw 5 x 75mm 511-075nd integra life science	278	RC	Outpatient			546	354.9		90			Percent of total billed charges		491.4	40			Percent of total billed charges		218.4	80			Percent of total billed charges		436.8	90			Percent of total billed charges		491.4	85			Percent of total billed charges		464.1	85			Percent of total billed charges		464.1	85			Percent of total billed charges		464.1	100			Percent of total billed charges		546	100			Percent of total billed charges		546	100			Percent of total billed charges		546	33.3			Percent of total billed charges		181.818	33.3			Percent of total billed charges		181.818	100			Percent of total billed charges		546	181.818	491.4	
gyrus diego debulking bld	272	RC	Outpatient			546	354.9		90			Percent of total billed charges		491.4	40			Percent of total billed charges		218.4	80			Percent of total billed charges		436.8	90			Percent of total billed charges		491.4	85			Percent of total billed charges		464.1	85			Percent of total billed charges		464.1	85			Percent of total billed charges		464.1	100			Percent of total billed charges		546	100			Percent of total billed charges		546	100			Percent of total billed charges		546	33.3			Percent of total billed charges		181.818	33.3			Percent of total billed charges		181.818	100			Percent of total billed charges		546	181.818	491.4	
lag screw 5 x 65mm 511-065nd integra life science	278	RC	Outpatient			546	354.9		90			Percent of total billed charges		491.4	40			Percent of total billed charges		218.4	80			Percent of total billed charges		436.8	90			Percent of total billed charges		491.4	85			Percent of total billed charges		464.1	85			Percent of total billed charges		464.1	85			Percent of total billed charges		464.1	100			Percent of total billed charges		546	100			Percent of total billed charges		546	100			Percent of total billed charges		546	33.3			Percent of total billed charges		181.818	33.3			Percent of total billed charges		181.818	100			Percent of total billed charges		546	181.818	491.4	
locking screw ft 5 x 30mm 501-030nd integra life science	278	RC	Outpatient			546	354.9		90			Percent of total billed charges		491.4	40			Percent of total billed charges		218.4	80			Percent of total billed charges		436.8	90			Percent of total billed charges		491.4	85			Percent of total billed charges		464.1	85			Percent of total billed charges		464.1	85			Percent of total billed charges		464.1	100			Percent of total billed charges		546	100			Percent of total billed charges		546	100			Percent of total billed charges		546	33.3			Percent of total billed charges		181.818	33.3			Percent of total billed charges		181.818	100			Percent of total billed charges		546	181.818	491.4	
s/n chs lag screw super	278	RC	Outpatient			546	354.9		90			Percent of total billed charges		491.4	40			Percent of total billed charges		218.4	80			Percent of total billed charges		436.8	90			Percent of total billed charges		491.4	85			Percent of total billed charges		464.1	85			Percent of total billed charges		464.1	85			Percent of total billed charges		464.1	100			Percent of total billed charges		546	100			Percent of total billed charges		546	100			Percent of total billed charges		546	33.3			Percent of total billed charges		181.818	33.3			Percent of total billed charges		181.818	100			Percent of total billed charges		546	181.818	491.4	
ultra curved fast fix ndl del sys 72201491 s/n	272	RC	Outpatient			546	354.9		90			Percent of total billed charges		491.4	40			Percent of total billed charges		218.4	80			Percent of total billed charges		436.8	90			Percent of total billed charges		491.4	85			Percent of total billed charges		464.1	85			Percent of total billed charges		464.1	85			Percent of total billed charges		464.1	100			Percent of total billed charges		546	100			Percent of total billed charges		546	100			Percent of total billed charges		546	33.3			Percent of total billed charges		181.818	33.3			Percent of total billed charges		181.818	100			Percent of total billed charges		546	181.818	491.4	
zzscrmc ndl aspir w/imaging proce	360	RC	Outpatient			546	354.9		90			Percent of total billed charges		491.4	40			Percent of total billed charges		218.4	80			Percent of total billed charges		436.8	90			Percent of total billed charges		491.4	85			Percent of total billed charges		464.1	85			Percent of total billed charges		464.1	85			Percent of total billed charges		464.1	100			Percent of total billed charges		546	100			Percent of total billed charges		546	100			Percent of total billed charges		546	33.3			Percent of total billed charges		181.818	33.3			Percent of total billed charges		181.818	100			Percent of total billed charges		546	181.818	491.4	
bioraptor 2.3 suture anchor 72203281 s/n	278	RC	Outpatient			547	355.55		90			Percent of total billed charges		492.3	40			Percent of total billed charges		218.8	80			Percent of total billed charges		437.6	90			Percent of total billed charges		492.3	85			Percent of total billed charges		464.95	85			Percent of total billed charges		464.95	85			Percent of total billed charges		464.95	100			Percent of total billed charges		547	100			Percent of total billed charges		547	100			Percent of total billed charges		547	33.3			Percent of total billed charges		182.151	33.3			Percent of total billed charges		182.151	100			Percent of total billed charges		547	182.151	492.3	
bioraptor curved  2.3 pk suture anchor w/ ultrabraid 72203280 s/n	272	RC	Outpatient			547	355.55		90			Percent of total billed charges		492.3	40			Percent of total billed charges		218.8	80			Percent of total billed charges		437.6	90			Percent of total billed charges		492.3	85			Percent of total billed charges		464.95	85			Percent of total billed charges		464.95	85			Percent of total billed charges		464.95	100			Percent of total billed charges		547	100			Percent of total billed charges		547	100			Percent of total billed charges		547	33.3			Percent of total billed charges		182.151	33.3			Percent of total billed charges		182.151	100			Percent of total billed charges		547	182.151	492.3	
biorapture 2.9 ab suture anchor 72200775 s/n	278	RC	Outpatient			547	355.55		90			Percent of total billed charges		492.3	40			Percent of total billed charges		218.8	80			Percent of total billed charges		437.6	90			Percent of total billed charges		492.3	85			Percent of total billed charges		464.95	85			Percent of total billed charges		464.95	85			Percent of total billed charges		464.95	100			Percent of total billed charges		547	100			Percent of total billed charges		547	100			Percent of total billed charges		547	33.3			Percent of total billed charges		182.151	33.3			Percent of total billed charges		182.151	100			Percent of total billed charges		547	182.151	492.3	
s/n bioraptor	278	RC	Outpatient			547	355.55		90			Percent of total billed charges		492.3	40			Percent of total billed charges		218.8	80			Percent of total billed charges		437.6	90			Percent of total billed charges		492.3	85			Percent of total billed charges		464.95	85			Percent of total billed charges		464.95	85			Percent of total billed charges		464.95	100			Percent of total billed charges		547	100			Percent of total billed charges		547	100			Percent of total billed charges		547	33.3			Percent of total billed charges		182.151	33.3			Percent of total billed charges		182.151	100			Percent of total billed charges		547	182.151	492.3	
3.5mm reconstruction plate 5 hole 245.15	278	RC	Outpatient			548	356.2		90			Percent of total billed charges		493.2	40			Percent of total billed charges		219.2	80			Percent of total billed charges		438.4	90			Percent of total billed charges		493.2	85			Percent of total billed charges		465.8	85			Percent of total billed charges		465.8	85			Percent of total billed charges		465.8	100			Percent of total billed charges		548	100			Percent of total billed charges		548	100			Percent of total billed charges		548	33.3			Percent of total billed charges		182.484	33.3			Percent of total billed charges		182.484	100			Percent of total billed charges		548	182.484	493.2	
3.5mm reconstruction plate 7 hole 245.17	278	RC	Outpatient			548	356.2		90			Percent of total billed charges		493.2	40			Percent of total billed charges		219.2	80			Percent of total billed charges		438.4	90			Percent of total billed charges		493.2	85			Percent of total billed charges		465.8	85			Percent of total billed charges		465.8	85			Percent of total billed charges		465.8	100			Percent of total billed charges		548	100			Percent of total billed charges		548	100			Percent of total billed charges		548	33.3			Percent of total billed charges		182.484	33.3			Percent of total billed charges		182.484	100			Percent of total billed charges		548	182.484	493.2	
3.5mm reconstruction plate 8 hole 245.18	278	RC	Outpatient			548	356.2		90			Percent of total billed charges		493.2	40			Percent of total billed charges		219.2	80			Percent of total billed charges		438.4	90			Percent of total billed charges		493.2	85			Percent of total billed charges		465.8	85			Percent of total billed charges		465.8	85			Percent of total billed charges		465.8	100			Percent of total billed charges		548	100			Percent of total billed charges		548	100			Percent of total billed charges		548	33.3			Percent of total billed charges		182.484	33.3			Percent of total billed charges		182.484	100			Percent of total billed charges		548	182.484	493.2	
4.5mm str recon plate 11 hole 00-1179-007-11 zimmer	278	RC	Outpatient			548	356.2		90			Percent of total billed charges		493.2	40			Percent of total billed charges		219.2	80			Percent of total billed charges		438.4	90			Percent of total billed charges		493.2	85			Percent of total billed charges		465.8	85			Percent of total billed charges		465.8	85			Percent of total billed charges		465.8	100			Percent of total billed charges		548	100			Percent of total billed charges		548	100			Percent of total billed charges		548	33.3			Percent of total billed charges		182.484	33.3			Percent of total billed charges		182.484	100			Percent of total billed charges		548	182.484	493.2	
arthrex suture lasso w/wr	272	RC	Outpatient			548	356.2		90			Percent of total billed charges		493.2	40			Percent of total billed charges		219.2	80			Percent of total billed charges		438.4	90			Percent of total billed charges		493.2	85			Percent of total billed charges		465.8	85			Percent of total billed charges		465.8	85			Percent of total billed charges		465.8	100			Percent of total billed charges		548	100			Percent of total billed charges		548	100			Percent of total billed charges		548	33.3			Percent of total billed charges		182.484	33.3			Percent of total billed charges		182.484	100			Percent of total billed charges		548	182.484	493.2	
3.5mm reconstruction plate 4 hole 245.14	278	RC	Outpatient			548	356.2		90			Percent of total billed charges		493.2	40			Percent of total billed charges		219.2	80			Percent of total billed charges		438.4	90			Percent of total billed charges		493.2	85			Percent of total billed charges		465.8	85			Percent of total billed charges		465.8	85			Percent of total billed charges		465.8	100			Percent of total billed charges		548	100			Percent of total billed charges		548	100			Percent of total billed charges		548	33.3			Percent of total billed charges		182.484	33.3			Percent of total billed charges		182.484	100			Percent of total billed charges		548	182.484	493.2	
3.5mm reconstruction plate 6 hole 245.16	278	RC	Outpatient			548	356.2		90			Percent of total billed charges		493.2	40			Percent of total billed charges		219.2	80			Percent of total billed charges		438.4	90			Percent of total billed charges		493.2	85			Percent of total billed charges		465.8	85			Percent of total billed charges		465.8	85			Percent of total billed charges		465.8	100			Percent of total billed charges		548	100			Percent of total billed charges		548	100			Percent of total billed charges		548	33.3			Percent of total billed charges		182.484	33.3			Percent of total billed charges		182.484	100			Percent of total billed charges		548	182.484	493.2	
4.5mm str recon plate 12 hole 00-1179-007-12 zimmer	278	RC	Outpatient			548	356.2		90			Percent of total billed charges		493.2	40			Percent of total billed charges		219.2	80			Percent of total billed charges		438.4	90			Percent of total billed charges		493.2	85			Percent of total billed charges		465.8	85			Percent of total billed charges		465.8	85			Percent of total billed charges		465.8	100			Percent of total billed charges		548	100			Percent of total billed charges		548	100			Percent of total billed charges		548	33.3			Percent of total billed charges		182.484	33.3			Percent of total billed charges		182.484	100			Percent of total billed charges		548	182.484	493.2	
arthrex lp ti cannulated screw 4.5 x 55mm ar-8945-55pt	278	RC	Outpatient			548	356.2		90			Percent of total billed charges		493.2	40			Percent of total billed charges		219.2	80			Percent of total billed charges		438.4	90			Percent of total billed charges		493.2	85			Percent of total billed charges		465.8	85			Percent of total billed charges		465.8	85			Percent of total billed charges		465.8	100			Percent of total billed charges		548	100			Percent of total billed charges		548	100			Percent of total billed charges		548	33.3			Percent of total billed charges		182.484	33.3			Percent of total billed charges		182.484	100			Percent of total billed charges		548	182.484	493.2	
arthrex scr lp 4.5 can	278	RC	Outpatient			548	356.2		90			Percent of total billed charges		493.2	40			Percent of total billed charges		219.2	80			Percent of total billed charges		438.4	90			Percent of total billed charges		493.2	85			Percent of total billed charges		465.8	85			Percent of total billed charges		465.8	85			Percent of total billed charges		465.8	100			Percent of total billed charges		548	100			Percent of total billed charges		548	100			Percent of total billed charges		548	33.3			Percent of total billed charges		182.484	33.3			Percent of total billed charges		182.484	100			Percent of total billed charges		548	182.484	493.2	
arthrex suturelasso w/wire loop ar-4065w	272	RC	Outpatient			548	356.2		90			Percent of total billed charges		493.2	40			Percent of total billed charges		219.2	80			Percent of total billed charges		438.4	90			Percent of total billed charges		493.2	85			Percent of total billed charges		465.8	85			Percent of total billed charges		465.8	85			Percent of total billed charges		465.8	100			Percent of total billed charges		548	100			Percent of total billed charges		548	100			Percent of total billed charges		548	33.3			Percent of total billed charges		182.484	33.3			Percent of total billed charges		182.484	100			Percent of total billed charges		548	182.484	493.2	
femoral rod 9mm 213709 mitek	272	RC	Outpatient			548	356.2		90			Percent of total billed charges		493.2	40			Percent of total billed charges		219.2	80			Percent of total billed charges		438.4	90			Percent of total billed charges		493.2	85			Percent of total billed charges		465.8	85			Percent of total billed charges		465.8	85			Percent of total billed charges		465.8	100			Percent of total billed charges		548	100			Percent of total billed charges		548	100			Percent of total billed charges		548	33.3			Percent of total billed charges		182.484	33.3			Percent of total billed charges		182.484	100			Percent of total billed charges		548	182.484	493.2	
jet-x half pin cann	278	RC	Outpatient			548	356.2		90			Percent of total billed charges		493.2	40			Percent of total billed charges		219.2	80			Percent of total billed charges		438.4	90			Percent of total billed charges		493.2	85			Percent of total billed charges		465.8	85			Percent of total billed charges		465.8	85			Percent of total billed charges		465.8	100			Percent of total billed charges		548	100			Percent of total billed charges		548	100			Percent of total billed charges		548	33.3			Percent of total billed charges		182.484	33.3			Percent of total billed charges		182.484	100			Percent of total billed charges		548	182.484	493.2	
femoral rod 10mm 213710 mitek	272	RC	Outpatient			548	356.2		90			Percent of total billed charges		493.2	40			Percent of total billed charges		219.2	80			Percent of total billed charges		438.4	90			Percent of total billed charges		493.2	85			Percent of total billed charges		465.8	85			Percent of total billed charges		465.8	85			Percent of total billed charges		465.8	100			Percent of total billed charges		548	100			Percent of total billed charges		548	100			Percent of total billed charges		548	33.3			Percent of total billed charges		182.484	33.3			Percent of total billed charges		182.484	100			Percent of total billed charges		548	182.484	493.2	
femoral rod 11mm 213711 mitek	272	RC	Outpatient			548	356.2		90			Percent of total billed charges		493.2	40			Percent of total billed charges		219.2	80			Percent of total billed charges		438.4	90			Percent of total billed charges		493.2	85			Percent of total billed charges		465.8	85			Percent of total billed charges		465.8	85			Percent of total billed charges		465.8	100			Percent of total billed charges		548	100			Percent of total billed charges		548	100			Percent of total billed charges		548	33.3			Percent of total billed charges		182.484	33.3			Percent of total billed charges		182.484	100			Percent of total billed charges		548	182.484	493.2	
mitek fem rod	272	RC	Outpatient			548	356.2		90			Percent of total billed charges		493.2	40			Percent of total billed charges		219.2	80			Percent of total billed charges		438.4	90			Percent of total billed charges		493.2	85			Percent of total billed charges		465.8	85			Percent of total billed charges		465.8	85			Percent of total billed charges		465.8	100			Percent of total billed charges		548	100			Percent of total billed charges		548	100			Percent of total billed charges		548	33.3			Percent of total billed charges		182.484	33.3			Percent of total billed charges		182.484	100			Percent of total billed charges		548	182.484	493.2	
jet x 5 x 40mm half pin cannulated 7106-5405 s/n	278	RC	Outpatient			548	356.2		90			Percent of total billed charges		493.2	40			Percent of total billed charges		219.2	80			Percent of total billed charges		438.4	90			Percent of total billed charges		493.2	85			Percent of total billed charges		465.8	85			Percent of total billed charges		465.8	85			Percent of total billed charges		465.8	100			Percent of total billed charges		548	100			Percent of total billed charges		548	100			Percent of total billed charges		548	33.3			Percent of total billed charges		182.484	33.3			Percent of total billed charges		182.484	100			Percent of total billed charges		548	182.484	493.2	
mitek femoral rod 213709 depuy	272	RC	Outpatient			548	356.2		90			Percent of total billed charges		493.2	40			Percent of total billed charges		219.2	80			Percent of total billed charges		438.4	90			Percent of total billed charges		493.2	85			Percent of total billed charges		465.8	85			Percent of total billed charges		465.8	85			Percent of total billed charges		465.8	100			Percent of total billed charges		548	100			Percent of total billed charges		548	100			Percent of total billed charges		548	33.3			Percent of total billed charges		182.484	33.3			Percent of total billed charges		182.484	100			Percent of total billed charges		548	182.484	493.2	
pacu time 1 1/2 hours	270	RC	Outpatient			548	356.2		90			Percent of total billed charges		493.2	40			Percent of total billed charges		219.2	80			Percent of total billed charges		438.4	90			Percent of total billed charges		493.2	85			Percent of total billed charges		465.8	85			Percent of total billed charges		465.8	85			Percent of total billed charges		465.8	100			Percent of total billed charges		548	100			Percent of total billed charges		548	100			Percent of total billed charges		548	33.3			Percent of total billed charges		182.484	33.3			Percent of total billed charges		182.484	100			Percent of total billed charges		548	182.484	493.2	
rich reflect peglock head	278	RC	Outpatient			548	356.2		90			Percent of total billed charges		493.2	40			Percent of total billed charges		219.2	80			Percent of total billed charges		438.4	90			Percent of total billed charges		493.2	85			Percent of total billed charges		465.8	85			Percent of total billed charges		465.8	85			Percent of total billed charges		465.8	100			Percent of total billed charges		548	100			Percent of total billed charges		548	100			Percent of total billed charges		548	33.3			Percent of total billed charges		182.484	33.3			Percent of total billed charges		182.484	100			Percent of total billed charges		548	182.484	493.2	
syn plate 3.5 recon	278	RC	Outpatient			548	356.2		90			Percent of total billed charges		493.2	40			Percent of total billed charges		219.2	80			Percent of total billed charges		438.4	90			Percent of total billed charges		493.2	85			Percent of total billed charges		465.8	85			Percent of total billed charges		465.8	85			Percent of total billed charges		465.8	100			Percent of total billed charges		548	100			Percent of total billed charges		548	100			Percent of total billed charges		548	33.3			Percent of total billed charges		182.484	33.3			Percent of total billed charges		182.484	100			Percent of total billed charges		548	182.484	493.2	
reflection locking peg 35mm 71332538 s/n	278	RC	Outpatient			548	356.2		90			Percent of total billed charges		493.2	40			Percent of total billed charges		219.2	80			Percent of total billed charges		438.4	90			Percent of total billed charges		493.2	85			Percent of total billed charges		465.8	85			Percent of total billed charges		465.8	85			Percent of total billed charges		465.8	100			Percent of total billed charges		548	100			Percent of total billed charges		548	100			Percent of total billed charges		548	33.3			Percent of total billed charges		182.484	33.3			Percent of total billed charges		182.484	100			Percent of total billed charges		548	182.484	493.2	
reflection peg 28mm 71332528 s/n	278	RC	Outpatient			548	356.2		90			Percent of total billed charges		493.2	40			Percent of total billed charges		219.2	80			Percent of total billed charges		438.4	90			Percent of total billed charges		493.2	85			Percent of total billed charges		465.8	85			Percent of total billed charges		465.8	85			Percent of total billed charges		465.8	100			Percent of total billed charges		548	100			Percent of total billed charges		548	100			Percent of total billed charges		548	33.3			Percent of total billed charges		182.484	33.3			Percent of total billed charges		182.484	100			Percent of total billed charges		548	182.484	493.2	
stryker drill bit 5.0	272	RC	Outpatient			548	356.2		90			Percent of total billed charges		493.2	40			Percent of total billed charges		219.2	80			Percent of total billed charges		438.4	90			Percent of total billed charges		493.2	85			Percent of total billed charges		465.8	85			Percent of total billed charges		465.8	85			Percent of total billed charges		465.8	100			Percent of total billed charges		548	100			Percent of total billed charges		548	100			Percent of total billed charges		548	33.3			Percent of total billed charges		182.484	33.3			Percent of total billed charges		182.484	100			Percent of total billed charges		548	182.484	493.2	
stryker drill bit 5.0 x 340mm 1806-5020s	272	RC	Outpatient			548	356.2		90			Percent of total billed charges		493.2	40			Percent of total billed charges		219.2	80			Percent of total billed charges		438.4	90			Percent of total billed charges		493.2	85			Percent of total billed charges		465.8	85			Percent of total billed charges		465.8	85			Percent of total billed charges		465.8	100			Percent of total billed charges		548	100			Percent of total billed charges		548	100			Percent of total billed charges		548	33.3			Percent of total billed charges		182.484	33.3			Percent of total billed charges		182.484	100			Percent of total billed charges		548	182.484	493.2	
stryker v40 adapt sleeve	278	RC	Outpatient			548	356.2		90			Percent of total billed charges		493.2	40			Percent of total billed charges		219.2	80			Percent of total billed charges		438.4	90			Percent of total billed charges		493.2	85			Percent of total billed charges		465.8	85			Percent of total billed charges		465.8	85			Percent of total billed charges		465.8	100			Percent of total billed charges		548	100			Percent of total billed charges		548	100			Percent of total billed charges		548	33.3			Percent of total billed charges		182.484	33.3			Percent of total billed charges		182.484	100			Percent of total billed charges		548	182.484	493.2	
universal v40 taper adapter sleeve +0mm 6519-t-100 stryker	278	RC	Outpatient			548	356.2		90			Percent of total billed charges		493.2	40			Percent of total billed charges		219.2	80			Percent of total billed charges		438.4	90			Percent of total billed charges		493.2	85			Percent of total billed charges		465.8	85			Percent of total billed charges		465.8	85			Percent of total billed charges		465.8	100			Percent of total billed charges		548	100			Percent of total billed charges		548	100			Percent of total billed charges		548	33.3			Percent of total billed charges		182.484	33.3			Percent of total billed charges		182.484	100			Percent of total billed charges		548	182.484	493.2	
zimm 4.5 recon pl 11-12	278	RC	Outpatient			548	356.2		90			Percent of total billed charges		493.2	40			Percent of total billed charges		219.2	80			Percent of total billed charges		438.4	90			Percent of total billed charges		493.2	85			Percent of total billed charges		465.8	85			Percent of total billed charges		465.8	85			Percent of total billed charges		465.8	100			Percent of total billed charges		548	100			Percent of total billed charges		548	100			Percent of total billed charges		548	33.3			Percent of total billed charges		182.484	33.3			Percent of total billed charges		182.484	100			Percent of total billed charges		548	182.484	493.2	
a/n 3.2 x 358 guide pin	272	RC	Outpatient			549	356.85		90			Percent of total billed charges		494.1	40			Percent of total billed charges		219.6	80			Percent of total billed charges		439.2	90			Percent of total billed charges		494.1	85			Percent of total billed charges		466.65	85			Percent of total billed charges		466.65	85			Percent of total billed charges		466.65	100			Percent of total billed charges		549	100			Percent of total billed charges		549	100			Percent of total billed charges		549	33.3			Percent of total billed charges		182.817	33.3			Percent of total billed charges		182.817	100			Percent of total billed charges		549	182.817	494.1	
arthrex drill bit 2.5 cannulated ar-8737-05	272	RC	Outpatient			549	356.85		90			Percent of total billed charges		494.1	40			Percent of total billed charges		219.6	80			Percent of total billed charges		439.2	90			Percent of total billed charges		494.1	85			Percent of total billed charges		466.65	85			Percent of total billed charges		466.65	85			Percent of total billed charges		466.65	100			Percent of total billed charges		549	100			Percent of total billed charges		549	100			Percent of total billed charges		549	33.3			Percent of total billed charges		182.817	33.3			Percent of total billed charges		182.817	100			Percent of total billed charges		549	182.817	494.1	
arthrex quick fix scr 4.0	278	RC	Outpatient			549	356.85		90			Percent of total billed charges		494.1	40			Percent of total billed charges		219.6	80			Percent of total billed charges		439.2	90			Percent of total billed charges		494.1	85			Percent of total billed charges		466.65	85			Percent of total billed charges		466.65	85			Percent of total billed charges		466.65	100			Percent of total billed charges		549	100			Percent of total billed charges		549	100			Percent of total billed charges		549	33.3			Percent of total billed charges		182.817	33.3			Percent of total billed charges		182.817	100			Percent of total billed charges		549	182.817	494.1	
arthrex quickfix  screw 4.0 x 36mm ar-8740-36pts	278	RC	Outpatient			549	356.85		90			Percent of total billed charges		494.1	40			Percent of total billed charges		219.6	80			Percent of total billed charges		439.2	90			Percent of total billed charges		494.1	85			Percent of total billed charges		466.65	85			Percent of total billed charges		466.65	85			Percent of total billed charges		466.65	100			Percent of total billed charges		549	100			Percent of total billed charges		549	100			Percent of total billed charges		549	33.3			Percent of total billed charges		182.817	33.3			Percent of total billed charges		182.817	100			Percent of total billed charges		549	182.817	494.1	
arthrex drill bit 2.5 can	272	RC	Outpatient			549	356.85		90			Percent of total billed charges		494.1	40			Percent of total billed charges		219.6	80			Percent of total billed charges		439.2	90			Percent of total billed charges		494.1	85			Percent of total billed charges		466.65	85			Percent of total billed charges		466.65	85			Percent of total billed charges		466.65	100			Percent of total billed charges		549	100			Percent of total billed charges		549	100			Percent of total billed charges		549	33.3			Percent of total billed charges		182.817	33.3			Percent of total billed charges		182.817	100			Percent of total billed charges		549	182.817	494.1	
arthrex quickfix  screw 4.0 x 26mm ar-8740-26pts	278	RC	Outpatient			549	356.85		90			Percent of total billed charges		494.1	40			Percent of total billed charges		219.6	80			Percent of total billed charges		439.2	90			Percent of total billed charges		494.1	85			Percent of total billed charges		466.65	85			Percent of total billed charges		466.65	85			Percent of total billed charges		466.65	100			Percent of total billed charges		549	100			Percent of total billed charges		549	100			Percent of total billed charges		549	33.3			Percent of total billed charges		182.817	33.3			Percent of total billed charges		182.817	100			Percent of total billed charges		549	182.817	494.1	
guide pin 3.2 x 358 71177123 s/n	272	RC	Outpatient			549	356.85		90			Percent of total billed charges		494.1	40			Percent of total billed charges		219.6	80			Percent of total billed charges		439.2	90			Percent of total billed charges		494.1	85			Percent of total billed charges		466.65	85			Percent of total billed charges		466.65	85			Percent of total billed charges		466.65	100			Percent of total billed charges		549	100			Percent of total billed charges		549	100			Percent of total billed charges		549	33.3			Percent of total billed charges		182.817	33.3			Percent of total billed charges		182.817	100			Percent of total billed charges		549	182.817	494.1	
3.5mm reconstruction plate 10 hole 245.00	278	RC	Outpatient			550	357.5		90			Percent of total billed charges		495	40			Percent of total billed charges		220	80			Percent of total billed charges		440	90			Percent of total billed charges		495	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	100			Percent of total billed charges		550	100			Percent of total billed charges		550	100			Percent of total billed charges		550	33.3			Percent of total billed charges		183.15	33.3			Percent of total billed charges		183.15	100			Percent of total billed charges		550	183.15	495	
3.5mm reconstruction plate 9 hole 245.19	278	RC	Outpatient			550	357.5		90			Percent of total billed charges		495	40			Percent of total billed charges		220	80			Percent of total billed charges		440	90			Percent of total billed charges		495	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	100			Percent of total billed charges		550	100			Percent of total billed charges		550	100			Percent of total billed charges		550	33.3			Percent of total billed charges		183.15	33.3			Percent of total billed charges		183.15	100			Percent of total billed charges		550	183.15	495	
breast imp saline 125cc	278	RC	Outpatient			550	357.5		90			Percent of total billed charges		495	40			Percent of total billed charges		220	80			Percent of total billed charges		440	90			Percent of total billed charges		495	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	100			Percent of total billed charges		550	100			Percent of total billed charges		550	100			Percent of total billed charges		550	33.3			Percent of total billed charges		183.15	33.3			Percent of total billed charges		183.15	100			Percent of total billed charges		550	183.15	495	
breast imp saline 150cc	278	RC	Outpatient			550	357.5		90			Percent of total billed charges		495	40			Percent of total billed charges		220	80			Percent of total billed charges		440	90			Percent of total billed charges		495	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	100			Percent of total billed charges		550	100			Percent of total billed charges		550	100			Percent of total billed charges		550	33.3			Percent of total billed charges		183.15	33.3			Percent of total billed charges		183.15	100			Percent of total billed charges		550	183.15	495	
breast imp saline 330cc a	278	RC	Outpatient			550	357.5		90			Percent of total billed charges		495	40			Percent of total billed charges		220	80			Percent of total billed charges		440	90			Percent of total billed charges		495	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	100			Percent of total billed charges		550	100			Percent of total billed charges		550	100			Percent of total billed charges		550	33.3			Percent of total billed charges		183.15	33.3			Percent of total billed charges		183.15	100			Percent of total billed charges		550	183.15	495	
breast imp saline 425cc m	278	RC	Outpatient			550	357.5		90			Percent of total billed charges		495	40			Percent of total billed charges		220	80			Percent of total billed charges		440	90			Percent of total billed charges		495	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	100			Percent of total billed charges		550	100			Percent of total billed charges		550	100			Percent of total billed charges		550	33.3			Percent of total billed charges		183.15	33.3			Percent of total billed charges		183.15	100			Percent of total billed charges		550	183.15	495	
breast imp saline 460cc	278	RC	Outpatient			550	357.5		90			Percent of total billed charges		495	40			Percent of total billed charges		220	80			Percent of total billed charges		440	90			Percent of total billed charges		495	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	100			Percent of total billed charges		550	100			Percent of total billed charges		550	100			Percent of total billed charges		550	33.3			Percent of total billed charges		183.15	33.3			Percent of total billed charges		183.15	100			Percent of total billed charges		550	183.15	495	
condylar screw t2 5.0 x 60mm 1895-5060s stryker	278	RC	Outpatient			550	357.5		90			Percent of total billed charges		495	40			Percent of total billed charges		220	80			Percent of total billed charges		440	90			Percent of total billed charges		495	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	100			Percent of total billed charges		550	100			Percent of total billed charges		550	100			Percent of total billed charges		550	33.3			Percent of total billed charges		183.15	33.3			Percent of total billed charges		183.15	100			Percent of total billed charges		550	183.15	495	
condylar screw t2 5.0 x 75mm 1895-5075s stryker	278	RC	Outpatient			550	357.5		90			Percent of total billed charges		495	40			Percent of total billed charges		220	80			Percent of total billed charges		440	90			Percent of total billed charges		495	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	100			Percent of total billed charges		550	100			Percent of total billed charges		550	100			Percent of total billed charges		550	33.3			Percent of total billed charges		183.15	33.3			Percent of total billed charges		183.15	100			Percent of total billed charges		550	183.15	495	
condylar screw t2 5.0 x 80mm 1895-5080s stryker	278	RC	Outpatient			550	357.5		90			Percent of total billed charges		495	40			Percent of total billed charges		220	80			Percent of total billed charges		440	90			Percent of total billed charges		495	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	100			Percent of total billed charges		550	100			Percent of total billed charges		550	100			Percent of total billed charges		550	33.3			Percent of total billed charges		183.15	33.3			Percent of total billed charges		183.15	100			Percent of total billed charges		550	183.15	495	
condylar screw t2 5.0 x 90mm 1895-5090s stryker	278	RC	Outpatient			550	357.5		90			Percent of total billed charges		495	40			Percent of total billed charges		220	80			Percent of total billed charges		440	90			Percent of total billed charges		495	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	100			Percent of total billed charges		550	100			Percent of total billed charges		550	100			Percent of total billed charges		550	33.3			Percent of total billed charges		183.15	33.3			Percent of total billed charges		183.15	100			Percent of total billed charges		550	183.15	495	
breast imp saline 225cc	278	RC	Outpatient			550	357.5		90			Percent of total billed charges		495	40			Percent of total billed charges		220	80			Percent of total billed charges		440	90			Percent of total billed charges		495	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	100			Percent of total billed charges		550	100			Percent of total billed charges		550	100			Percent of total billed charges		550	33.3			Percent of total billed charges		183.15	33.3			Percent of total billed charges		183.15	100			Percent of total billed charges		550	183.15	495	
breast imp sizer 650cc	278	RC	Outpatient			550	357.5		90			Percent of total billed charges		495	40			Percent of total billed charges		220	80			Percent of total billed charges		440	90			Percent of total billed charges		495	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	100			Percent of total billed charges		550	100			Percent of total billed charges		550	100			Percent of total billed charges		550	33.3			Percent of total billed charges		183.15	33.3			Percent of total billed charges		183.15	100			Percent of total billed charges		550	183.15	495	
brest imp saline 275cc m	278	RC	Outpatient			550	357.5		90			Percent of total billed charges		495	40			Percent of total billed charges		220	80			Percent of total billed charges		440	90			Percent of total billed charges		495	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	100			Percent of total billed charges		550	100			Percent of total billed charges		550	100			Percent of total billed charges		550	33.3			Percent of total billed charges		183.15	33.3			Percent of total billed charges		183.15	100			Percent of total billed charges		550	183.15	495	
condylar nut t2 1895-5001s stryker	278	RC	Outpatient			550	357.5		90			Percent of total billed charges		495	40			Percent of total billed charges		220	80			Percent of total billed charges		440	90			Percent of total billed charges		495	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	100			Percent of total billed charges		550	100			Percent of total billed charges		550	100			Percent of total billed charges		550	33.3			Percent of total billed charges		183.15	33.3			Percent of total billed charges		183.15	100			Percent of total billed charges		550	183.15	495	
condylar screw t2 5.0 x 65mm 1895-5065s stryker	278	RC	Outpatient			550	357.5		90			Percent of total billed charges		495	40			Percent of total billed charges		220	80			Percent of total billed charges		440	90			Percent of total billed charges		495	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	100			Percent of total billed charges		550	100			Percent of total billed charges		550	100			Percent of total billed charges		550	33.3			Percent of total billed charges		183.15	33.3			Percent of total billed charges		183.15	100			Percent of total billed charges		550	183.15	495	
condylar screw t2 5.0 x 85mm 1895-5085s stryker	278	RC	Outpatient			550	357.5		90			Percent of total billed charges		495	40			Percent of total billed charges		220	80			Percent of total billed charges		440	90			Percent of total billed charges		495	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	100			Percent of total billed charges		550	100			Percent of total billed charges		550	100			Percent of total billed charges		550	33.3			Percent of total billed charges		183.15	33.3			Percent of total billed charges		183.15	100			Percent of total billed charges		550	183.15	495	
cosmetic - laser hair removal - back (complete) single session	983	RC	Outpatient			550	357.5		90			Percent of total billed charges		495	40			Percent of total billed charges		220	80			Percent of total billed charges		440	90			Percent of total billed charges		495	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	100			Percent of total billed charges		550	100			Percent of total billed charges		550	100			Percent of total billed charges		550	33.3			Percent of total billed charges		183.15	33.3			Percent of total billed charges		183.15	100			Percent of total billed charges		550	183.15	495	
fusion cup reamer 18mm fcrmr18 trimed	272	RC	Outpatient			550	357.5		90			Percent of total billed charges		495	40			Percent of total billed charges		220	80			Percent of total billed charges		440	90			Percent of total billed charges		495	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	100			Percent of total billed charges		550	100			Percent of total billed charges		550	100			Percent of total billed charges		550	33.3			Percent of total billed charges		183.15	33.3			Percent of total billed charges		183.15	100			Percent of total billed charges		550	183.15	495	
fusion cup reamer 18mm rmrufc-18 trimed	272	RC	Outpatient			550	357.5		90			Percent of total billed charges		495	40			Percent of total billed charges		220	80			Percent of total billed charges		440	90			Percent of total billed charges		495	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	100			Percent of total billed charges		550	100			Percent of total billed charges		550	100			Percent of total billed charges		550	33.3			Percent of total billed charges		183.15	33.3			Percent of total billed charges		183.15	100			Percent of total billed charges		550	183.15	495	
natrelle saline-filled implant 330cc 68-330 allergan	278	RC	Outpatient			550	357.5		90			Percent of total billed charges		495	40			Percent of total billed charges		220	80			Percent of total billed charges		440	90			Percent of total billed charges		495	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	100			Percent of total billed charges		550	100			Percent of total billed charges		550	100			Percent of total billed charges		550	33.3			Percent of total billed charges		183.15	33.3			Percent of total billed charges		183.15	100			Percent of total billed charges		550	183.15	495	
natrelle silicone filled  implant 475cc 20-475 allergan	278	RC	Outpatient			550	357.5		90			Percent of total billed charges		495	40			Percent of total billed charges		220	80			Percent of total billed charges		440	90			Percent of total billed charges		495	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	100			Percent of total billed charges		550	100			Percent of total billed charges		550	100			Percent of total billed charges		550	33.3			Percent of total billed charges		183.15	33.3			Percent of total billed charges		183.15	100			Percent of total billed charges		550	183.15	495	
natrelle sizer 650cc msz20650 allergan	278	RC	Outpatient			550	357.5		90			Percent of total billed charges		495	40			Percent of total billed charges		220	80			Percent of total billed charges		440	90			Percent of total billed charges		495	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	100			Percent of total billed charges		550	100			Percent of total billed charges		550	100			Percent of total billed charges		550	33.3			Percent of total billed charges		183.15	33.3			Percent of total billed charges		183.15	100			Percent of total billed charges		550	183.15	495	
rsp glenoid bp bone screw locking 5 x 14mm 506-03-114 encore	278	RC	Outpatient			550	357.5		90			Percent of total billed charges		495	40			Percent of total billed charges		220	80			Percent of total billed charges		440	90			Percent of total billed charges		495	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	100			Percent of total billed charges		550	100			Percent of total billed charges		550	100			Percent of total billed charges		550	33.3			Percent of total billed charges		183.15	33.3			Percent of total billed charges		183.15	100			Percent of total billed charges		550	183.15	495	
rsp glenoid bp bone screw locking 5 x 18mm 506-03-118 djo	278	RC	Outpatient			550	357.5		90			Percent of total billed charges		495	40			Percent of total billed charges		220	80			Percent of total billed charges		440	90			Percent of total billed charges		495	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	100			Percent of total billed charges		550	100			Percent of total billed charges		550	100			Percent of total billed charges		550	33.3			Percent of total billed charges		183.15	33.3			Percent of total billed charges		183.15	100			Percent of total billed charges		550	183.15	495	
rsp glenoid bp bone screw locking 5 x 22mm 506-03-122 encore	278	RC	Outpatient			550	357.5		90			Percent of total billed charges		495	40			Percent of total billed charges		220	80			Percent of total billed charges		440	90			Percent of total billed charges		495	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	100			Percent of total billed charges		550	100			Percent of total billed charges		550	100			Percent of total billed charges		550	33.3			Percent of total billed charges		183.15	33.3			Percent of total billed charges		183.15	100			Percent of total billed charges		550	183.15	495	
rsp glenoid bp bone screw locking 5 x 30mm 506-03-130 djo	278	RC	Outpatient			550	357.5		90			Percent of total billed charges		495	40			Percent of total billed charges		220	80			Percent of total billed charges		440	90			Percent of total billed charges		495	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	100			Percent of total billed charges		550	100			Percent of total billed charges		550	100			Percent of total billed charges		550	33.3			Percent of total billed charges		183.15	33.3			Percent of total billed charges		183.15	100			Percent of total billed charges		550	183.15	495	
rsp glenoid bp bone screw locking 5 x 34mm 506-03-134 encore	278	RC	Outpatient			550	357.5		90			Percent of total billed charges		495	40			Percent of total billed charges		220	80			Percent of total billed charges		440	90			Percent of total billed charges		495	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	100			Percent of total billed charges		550	100			Percent of total billed charges		550	100			Percent of total billed charges		550	33.3			Percent of total billed charges		183.15	33.3			Percent of total billed charges		183.15	100			Percent of total billed charges		550	183.15	495	
rsp glenoid bp bone screw nonlocking 3.5 x 20mm 506-02-120 encore	278	RC	Outpatient			550	357.5		90			Percent of total billed charges		495	40			Percent of total billed charges		220	80			Percent of total billed charges		440	90			Percent of total billed charges		495	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	100			Percent of total billed charges		550	100			Percent of total billed charges		550	100			Percent of total billed charges		550	33.3			Percent of total billed charges		183.15	33.3			Percent of total billed charges		183.15	100			Percent of total billed charges		550	183.15	495	
rsp glenoid bp bone screw nonlocking 3.5 x 32mm 506-02-132 encore	278	RC	Outpatient			550	357.5		90			Percent of total billed charges		495	40			Percent of total billed charges		220	80			Percent of total billed charges		440	90			Percent of total billed charges		495	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	100			Percent of total billed charges		550	100			Percent of total billed charges		550	100			Percent of total billed charges		550	33.3			Percent of total billed charges		183.15	33.3			Percent of total billed charges		183.15	100			Percent of total billed charges		550	183.15	495	
rsp glenoid bp bone screw nonlocking 3.5 x 38mm 506-02-138 encore	278	RC	Outpatient			550	357.5		90			Percent of total billed charges		495	40			Percent of total billed charges		220	80			Percent of total billed charges		440	90			Percent of total billed charges		495	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	100			Percent of total billed charges		550	100			Percent of total billed charges		550	100			Percent of total billed charges		550	33.3			Percent of total billed charges		183.15	33.3			Percent of total billed charges		183.15	100			Percent of total billed charges		550	183.15	495	
s/n drill 1.9 7220-3856	272	RC	Outpatient			550	357.5		90			Percent of total billed charges		495	40			Percent of total billed charges		220	80			Percent of total billed charges		440	90			Percent of total billed charges		495	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	100			Percent of total billed charges		550	100			Percent of total billed charges		550	100			Percent of total billed charges		550	33.3			Percent of total billed charges		183.15	33.3			Percent of total billed charges		183.15	100			Percent of total billed charges		550	183.15	495	
smooth round high profile 500cc  saline breast implant mentor 350-3500	278	RC	Outpatient			550	357.5		90			Percent of total billed charges		495	40			Percent of total billed charges		220	80			Percent of total billed charges		440	90			Percent of total billed charges		495	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	100			Percent of total billed charges		550	100			Percent of total billed charges		550	100			Percent of total billed charges		550	33.3			Percent of total billed charges		183.15	33.3			Percent of total billed charges		183.15	100			Percent of total billed charges		550	183.15	495	
smooth round mod profile 125cc saline  breast implant mentor 350-1610	278	RC	Outpatient			550	357.5		90			Percent of total billed charges		495	40			Percent of total billed charges		220	80			Percent of total billed charges		440	90			Percent of total billed charges		495	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	100			Percent of total billed charges		550	100			Percent of total billed charges		550	100			Percent of total billed charges		550	33.3			Percent of total billed charges		183.15	33.3			Percent of total billed charges		183.15	100			Percent of total billed charges		550	183.15	495	
stryker condylar nut	278	RC	Outpatient			550	357.5		90			Percent of total billed charges		495	40			Percent of total billed charges		220	80			Percent of total billed charges		440	90			Percent of total billed charges		495	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	100			Percent of total billed charges		550	100			Percent of total billed charges		550	100			Percent of total billed charges		550	33.3			Percent of total billed charges		183.15	33.3			Percent of total billed charges		183.15	100			Percent of total billed charges		550	183.15	495	
syn 3.5 recon plt 9-10 hl	278	RC	Outpatient			550	357.5		90			Percent of total billed charges		495	40			Percent of total billed charges		220	80			Percent of total billed charges		440	90			Percent of total billed charges		495	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	100			Percent of total billed charges		550	100			Percent of total billed charges		550	100			Percent of total billed charges		550	33.3			Percent of total billed charges		183.15	33.3			Percent of total billed charges		183.15	100			Percent of total billed charges		550	183.15	495	
rsp glenoid bp bone screw locking 5 x 26mm 506-03-126 djo	278	RC	Outpatient			550	357.5		90			Percent of total billed charges		495	40			Percent of total billed charges		220	80			Percent of total billed charges		440	90			Percent of total billed charges		495	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	100			Percent of total billed charges		550	100			Percent of total billed charges		550	100			Percent of total billed charges		550	33.3			Percent of total billed charges		183.15	33.3			Percent of total billed charges		183.15	100			Percent of total billed charges		550	183.15	495	
rsp glenoid bp bone screw locking 5 x 38mm 506-03-138 encore	278	RC	Outpatient			550	357.5		90			Percent of total billed charges		495	40			Percent of total billed charges		220	80			Percent of total billed charges		440	90			Percent of total billed charges		495	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	100			Percent of total billed charges		550	100			Percent of total billed charges		550	100			Percent of total billed charges		550	33.3			Percent of total billed charges		183.15	33.3			Percent of total billed charges		183.15	100			Percent of total billed charges		550	183.15	495	
rsp glenoid bp bone screw nonlocking 3.5 x 14mm 506-02-114 encore	278	RC	Outpatient			550	357.5		90			Percent of total billed charges		495	40			Percent of total billed charges		220	80			Percent of total billed charges		440	90			Percent of total billed charges		495	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	100			Percent of total billed charges		550	100			Percent of total billed charges		550	100			Percent of total billed charges		550	33.3			Percent of total billed charges		183.15	33.3			Percent of total billed charges		183.15	100			Percent of total billed charges		550	183.15	495	
rsp glenoid bp bone screw nonlocking 3.5 x 16mm 506-02-116 encore	278	RC	Outpatient			550	357.5		90			Percent of total billed charges		495	40			Percent of total billed charges		220	80			Percent of total billed charges		440	90			Percent of total billed charges		495	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	100			Percent of total billed charges		550	100			Percent of total billed charges		550	100			Percent of total billed charges		550	33.3			Percent of total billed charges		183.15	33.3			Percent of total billed charges		183.15	100			Percent of total billed charges		550	183.15	495	
rsp glenoid bp bone screw nonlocking 3.5 x 18mm 506-02-118 encore	278	RC	Outpatient			550	357.5		90			Percent of total billed charges		495	40			Percent of total billed charges		220	80			Percent of total billed charges		440	90			Percent of total billed charges		495	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	100			Percent of total billed charges		550	100			Percent of total billed charges		550	100			Percent of total billed charges		550	33.3			Percent of total billed charges		183.15	33.3			Percent of total billed charges		183.15	100			Percent of total billed charges		550	183.15	495	
rsp glenoid bp bone screw nonlocking 3.5 x 22mm 506-02-122 encore	278	RC	Outpatient			550	357.5		90			Percent of total billed charges		495	40			Percent of total billed charges		220	80			Percent of total billed charges		440	90			Percent of total billed charges		495	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	100			Percent of total billed charges		550	100			Percent of total billed charges		550	100			Percent of total billed charges		550	33.3			Percent of total billed charges		183.15	33.3			Percent of total billed charges		183.15	100			Percent of total billed charges		550	183.15	495	
rsp glenoid bp bone screw nonlocking 3.5 x 26mm 506-02-126 encore	278	RC	Outpatient			550	357.5		90			Percent of total billed charges		495	40			Percent of total billed charges		220	80			Percent of total billed charges		440	90			Percent of total billed charges		495	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	100			Percent of total billed charges		550	100			Percent of total billed charges		550	100			Percent of total billed charges		550	33.3			Percent of total billed charges		183.15	33.3			Percent of total billed charges		183.15	100			Percent of total billed charges		550	183.15	495	
rsp glenoid bp bone screw nonlocking 3.5 x 28mm 506-02-128 encore	278	RC	Outpatient			550	357.5		90			Percent of total billed charges		495	40			Percent of total billed charges		220	80			Percent of total billed charges		440	90			Percent of total billed charges		495	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	100			Percent of total billed charges		550	100			Percent of total billed charges		550	100			Percent of total billed charges		550	33.3			Percent of total billed charges		183.15	33.3			Percent of total billed charges		183.15	100			Percent of total billed charges		550	183.15	495	
rsp glenoid bp bone screw nonlocking 3.5 x 30mm 506-02-130 encore	278	RC	Outpatient			550	357.5		90			Percent of total billed charges		495	40			Percent of total billed charges		220	80			Percent of total billed charges		440	90			Percent of total billed charges		495	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	100			Percent of total billed charges		550	100			Percent of total billed charges		550	100			Percent of total billed charges		550	33.3			Percent of total billed charges		183.15	33.3			Percent of total billed charges		183.15	100			Percent of total billed charges		550	183.15	495	
rsp glenoid bp bone screw nonlocking 3.5 x 34mm 506-02-134 encore	278	RC	Outpatient			550	357.5		90			Percent of total billed charges		495	40			Percent of total billed charges		220	80			Percent of total billed charges		440	90			Percent of total billed charges		495	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	100			Percent of total billed charges		550	100			Percent of total billed charges		550	100			Percent of total billed charges		550	33.3			Percent of total billed charges		183.15	33.3			Percent of total billed charges		183.15	100			Percent of total billed charges		550	183.15	495	
rsp glenoid bp bone screw nonlocking 3.5 x 36mm 506-02-136 encore	278	RC	Outpatient			550	357.5		90			Percent of total billed charges		495	40			Percent of total billed charges		220	80			Percent of total billed charges		440	90			Percent of total billed charges		495	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	100			Percent of total billed charges		550	100			Percent of total billed charges		550	100			Percent of total billed charges		550	33.3			Percent of total billed charges		183.15	33.3			Percent of total billed charges		183.15	100			Percent of total billed charges		550	183.15	495	
rsp glenoid bp screw	278	RC	Outpatient			550	357.5		90			Percent of total billed charges		495	40			Percent of total billed charges		220	80			Percent of total billed charges		440	90			Percent of total billed charges		495	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	100			Percent of total billed charges		550	100			Percent of total billed charges		550	100			Percent of total billed charges		550	33.3			Percent of total billed charges		183.15	33.3			Percent of total billed charges		183.15	100			Percent of total billed charges		550	183.15	495	
scrmc atec mri biopsy system	621	RC	Outpatient			550	357.5		90			Percent of total billed charges		495	40			Percent of total billed charges		220	80			Percent of total billed charges		440	90			Percent of total billed charges		495	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	100			Percent of total billed charges		550	100			Percent of total billed charges		550	100			Percent of total billed charges		550	33.3			Percent of total billed charges		183.15	33.3			Percent of total billed charges		183.15	100			Percent of total billed charges		550	183.15	495	
scrmc brevera breast biopsy system/needle	621	RC	Outpatient			550	357.5		90			Percent of total billed charges		495	40			Percent of total billed charges		220	80			Percent of total billed charges		440	90			Percent of total billed charges		495	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	100			Percent of total billed charges		550	100			Percent of total billed charges		550	100			Percent of total billed charges		550	33.3			Percent of total billed charges		183.15	33.3			Percent of total billed charges		183.15	100			Percent of total billed charges		550	183.15	495	
scrmc mic-key introducer 18ga	621	RC	Outpatient			550	357.5		90			Percent of total billed charges		495	40			Percent of total billed charges		220	80			Percent of total billed charges		440	90			Percent of total billed charges		495	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	100			Percent of total billed charges		550	100			Percent of total billed charges		550	100			Percent of total billed charges		550	33.3			Percent of total billed charges		183.15	33.3			Percent of total billed charges		183.15	100			Percent of total billed charges		550	183.15	495	
smooth round high profile 460cc  saline breast implant mentor 350-3460	278	RC	Outpatient			550	357.5		90			Percent of total billed charges		495	40			Percent of total billed charges		220	80			Percent of total billed charges		440	90			Percent of total billed charges		495	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	100			Percent of total billed charges		550	100			Percent of total billed charges		550	100			Percent of total billed charges		550	33.3			Percent of total billed charges		183.15	33.3			Percent of total billed charges		183.15	100			Percent of total billed charges		550	183.15	495	
smooth round high profile 560cc saline breast implant mentor 350-3560	278	RC	Outpatient			550	357.5		90			Percent of total billed charges		495	40			Percent of total billed charges		220	80			Percent of total billed charges		440	90			Percent of total billed charges		495	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	100			Percent of total billed charges		550	100			Percent of total billed charges		550	100			Percent of total billed charges		550	33.3			Percent of total billed charges		183.15	33.3			Percent of total billed charges		183.15	100			Percent of total billed charges		550	183.15	495	
smooth round mod  profile 275cc  breast implant mentor 350-1640	278	RC	Outpatient			550	357.5		90			Percent of total billed charges		495	40			Percent of total billed charges		220	80			Percent of total billed charges		440	90			Percent of total billed charges		495	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	100			Percent of total billed charges		550	100			Percent of total billed charges		550	100			Percent of total billed charges		550	33.3			Percent of total billed charges		183.15	33.3			Percent of total billed charges		183.15	100			Percent of total billed charges		550	183.15	495	
smooth round mod plus profile 225-270cc  saline breast implant mentor 350-2225	278	RC	Outpatient			550	357.5		90			Percent of total billed charges		495	40			Percent of total billed charges		220	80			Percent of total billed charges		440	90			Percent of total billed charges		495	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	100			Percent of total billed charges		550	100			Percent of total billed charges		550	100			Percent of total billed charges		550	33.3			Percent of total billed charges		183.15	33.3			Percent of total billed charges		183.15	100			Percent of total billed charges		550	183.15	495	
smooth round mod plus profile 400cc saline breast implant mentor 350-2400	278	RC	Outpatient			550	357.5		90			Percent of total billed charges		495	40			Percent of total billed charges		220	80			Percent of total billed charges		440	90			Percent of total billed charges		495	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	100			Percent of total billed charges		550	100			Percent of total billed charges		550	100			Percent of total billed charges		550	33.3			Percent of total billed charges		183.15	33.3			Percent of total billed charges		183.15	100			Percent of total billed charges		550	183.15	495	
smooth round mod plus profile 425cc saline breast implant mentor 350-2425	278	RC	Outpatient			550	357.5		90			Percent of total billed charges		495	40			Percent of total billed charges		220	80			Percent of total billed charges		440	90			Percent of total billed charges		495	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	100			Percent of total billed charges		550	100			Percent of total billed charges		550	100			Percent of total billed charges		550	33.3			Percent of total billed charges		183.15	33.3			Percent of total billed charges		183.15	100			Percent of total billed charges		550	183.15	495	
smooth round mod plus profile 500cc saline breast implant mentor 350-2500	278	RC	Outpatient			550	357.5		90			Percent of total billed charges		495	40			Percent of total billed charges		220	80			Percent of total billed charges		440	90			Percent of total billed charges		495	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	100			Percent of total billed charges		550	100			Percent of total billed charges		550	100			Percent of total billed charges		550	33.3			Percent of total billed charges		183.15	33.3			Percent of total billed charges		183.15	100			Percent of total billed charges		550	183.15	495	
smooth round mod profile 225cc saline  breast implant mentor 350-1630	278	RC	Outpatient			550	357.5		90			Percent of total billed charges		495	40			Percent of total billed charges		220	80			Percent of total billed charges		440	90			Percent of total billed charges		495	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	100			Percent of total billed charges		550	100			Percent of total billed charges		550	100			Percent of total billed charges		550	33.3			Percent of total billed charges		183.15	33.3			Percent of total billed charges		183.15	100			Percent of total billed charges		550	183.15	495	
smooth round mod profile 475cc saline  breast implant mentor 350-2475	278	RC	Outpatient			550	357.5		90			Percent of total billed charges		495	40			Percent of total billed charges		220	80			Percent of total billed charges		440	90			Percent of total billed charges		495	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	100			Percent of total billed charges		550	100			Percent of total billed charges		550	100			Percent of total billed charges		550	33.3			Percent of total billed charges		183.15	33.3			Percent of total billed charges		183.15	100			Percent of total billed charges		550	183.15	495	
stryker screw 5.0 condyla	278	RC	Outpatient			550	357.5		90			Percent of total billed charges		495	40			Percent of total billed charges		220	80			Percent of total billed charges		440	90			Percent of total billed charges		495	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	85			Percent of total billed charges		467.5	100			Percent of total billed charges		550	100			Percent of total billed charges		550	100			Percent of total billed charges		550	33.3			Percent of total billed charges		183.15	33.3			Percent of total billed charges		183.15	100			Percent of total billed charges		550	183.15	495	
2.0mm straight plate 6 hole 243.16	278	RC	Outpatient			551	358.15		90			Percent of total billed charges		495.9	40			Percent of total billed charges		220.4	80			Percent of total billed charges		440.8	90			Percent of total billed charges		495.9	85			Percent of total billed charges		468.35	85			Percent of total billed charges		468.35	85			Percent of total billed charges		468.35	100			Percent of total billed charges		551	100			Percent of total billed charges		551	100			Percent of total billed charges		551	33.3			Percent of total billed charges		183.483	33.3			Percent of total billed charges		183.483	100			Percent of total billed charges		551	183.483	495.9	
mini fr pl str 5-6hl	278	RC	Outpatient			551	358.15		90			Percent of total billed charges		495.9	40			Percent of total billed charges		220.4	80			Percent of total billed charges		440.8	90			Percent of total billed charges		495.9	85			Percent of total billed charges		468.35	85			Percent of total billed charges		468.35	85			Percent of total billed charges		468.35	100			Percent of total billed charges		551	100			Percent of total billed charges		551	100			Percent of total billed charges		551	33.3			Percent of total billed charges		183.483	33.3			Percent of total billed charges		183.483	100			Percent of total billed charges		551	183.483	495.9	
mini frag plate 2mm 5 hole 7114-6024 s/n	278	RC	Outpatient			551	358.15		90			Percent of total billed charges		495.9	40			Percent of total billed charges		220.4	80			Percent of total billed charges		440.8	90			Percent of total billed charges		495.9	85			Percent of total billed charges		468.35	85			Percent of total billed charges		468.35	85			Percent of total billed charges		468.35	100			Percent of total billed charges		551	100			Percent of total billed charges		551	100			Percent of total billed charges		551	33.3			Percent of total billed charges		183.483	33.3			Percent of total billed charges		183.483	100			Percent of total billed charges		551	183.483	495.9	
mini frag plate 2mm 6 hole 7114-6026 s/n	278	RC	Outpatient			551	358.15		90			Percent of total billed charges		495.9	40			Percent of total billed charges		220.4	80			Percent of total billed charges		440.8	90			Percent of total billed charges		495.9	85			Percent of total billed charges		468.35	85			Percent of total billed charges		468.35	85			Percent of total billed charges		468.35	100			Percent of total billed charges		551	100			Percent of total billed charges		551	100			Percent of total billed charges		551	33.3			Percent of total billed charges		183.483	33.3			Percent of total billed charges		183.483	100			Percent of total billed charges		551	183.483	495.9	
ams screw	278	RC	Outpatient			552	358.8		90			Percent of total billed charges		496.8	40			Percent of total billed charges		220.8	80			Percent of total billed charges		441.6	90			Percent of total billed charges		496.8	85			Percent of total billed charges		469.2	85			Percent of total billed charges		469.2	85			Percent of total billed charges		469.2	100			Percent of total billed charges		552	100			Percent of total billed charges		552	100			Percent of total billed charges		552	33.3			Percent of total billed charges		183.816	33.3			Percent of total billed charges		183.816	100			Percent of total billed charges		552	183.816	496.8	
arthrex multi-fire sc ndl	272	RC	Outpatient			552	358.8		90			Percent of total billed charges		496.8	40			Percent of total billed charges		220.8	80			Percent of total billed charges		441.6	90			Percent of total billed charges		496.8	85			Percent of total billed charges		469.2	85			Percent of total billed charges		469.2	85			Percent of total billed charges		469.2	100			Percent of total billed charges		552	100			Percent of total billed charges		552	100			Percent of total billed charges		552	33.3			Percent of total billed charges		183.816	33.3			Percent of total billed charges		183.816	100			Percent of total billed charges		552	183.816	496.8	
arthrex multifire scorpion needle ar-13995n	272	RC	Outpatient			552	358.8		90			Percent of total billed charges		496.8	40			Percent of total billed charges		220.8	80			Percent of total billed charges		441.6	90			Percent of total billed charges		496.8	85			Percent of total billed charges		469.2	85			Percent of total billed charges		469.2	85			Percent of total billed charges		469.2	100			Percent of total billed charges		552	100			Percent of total billed charges		552	100			Percent of total billed charges		552	33.3			Percent of total billed charges		183.816	33.3			Percent of total billed charges		183.816	100			Percent of total billed charges		552	183.816	496.8	
endo gia 45 stapler	270	RC	Outpatient			552	358.8		90			Percent of total billed charges		496.8	40			Percent of total billed charges		220.8	80			Percent of total billed charges		441.6	90			Percent of total billed charges		496.8	85			Percent of total billed charges		469.2	85			Percent of total billed charges		469.2	85			Percent of total billed charges		469.2	100			Percent of total billed charges		552	100			Percent of total billed charges		552	100			Percent of total billed charges		552	33.3			Percent of total billed charges		183.816	33.3			Percent of total billed charges		183.816	100			Percent of total billed charges		552	183.816	496.8	
gyrus pks needle	272	RC	Outpatient			552	358.8		90			Percent of total billed charges		496.8	40			Percent of total billed charges		220.8	80			Percent of total billed charges		441.6	90			Percent of total billed charges		496.8	85			Percent of total billed charges		469.2	85			Percent of total billed charges		469.2	85			Percent of total billed charges		469.2	100			Percent of total billed charges		552	100			Percent of total billed charges		552	100			Percent of total billed charges		552	33.3			Percent of total billed charges		183.816	33.3			Percent of total billed charges		183.816	100			Percent of total billed charges		552	183.816	496.8	
imhs cp capture compressing screw 71683945 s/n	278	RC	Outpatient			552	358.8		90			Percent of total billed charges		496.8	40			Percent of total billed charges		220.8	80			Percent of total billed charges		441.6	90			Percent of total billed charges		496.8	85			Percent of total billed charges		469.2	85			Percent of total billed charges		469.2	85			Percent of total billed charges		469.2	100			Percent of total billed charges		552	100			Percent of total billed charges		552	100			Percent of total billed charges		552	33.3			Percent of total billed charges		183.816	33.3			Percent of total billed charges		183.816	100			Percent of total billed charges		552	183.816	496.8	
incision drain  7mmx25cm 24500000 wright	270	RC	Outpatient			552	358.8		90			Percent of total billed charges		496.8	40			Percent of total billed charges		220.8	80			Percent of total billed charges		441.6	90			Percent of total billed charges		496.8	85			Percent of total billed charges		469.2	85			Percent of total billed charges		469.2	85			Percent of total billed charges		469.2	100			Percent of total billed charges		552	100			Percent of total billed charges		552	100			Percent of total billed charges		552	33.3			Percent of total billed charges		183.816	33.3			Percent of total billed charges		183.816	100			Percent of total billed charges		552	183.816	496.8	
gyrus acmi pks needle electrode 950000	272	RC	Outpatient			552	358.8		90			Percent of total billed charges		496.8	40			Percent of total billed charges		220.8	80			Percent of total billed charges		441.6	90			Percent of total billed charges		496.8	85			Percent of total billed charges		469.2	85			Percent of total billed charges		469.2	85			Percent of total billed charges		469.2	100			Percent of total billed charges		552	100			Percent of total billed charges		552	100			Percent of total billed charges		552	33.3			Percent of total billed charges		183.816	33.3			Percent of total billed charges		183.816	100			Percent of total billed charges		552	183.816	496.8	
harm scpl dis.hook 5mm	272	RC	Outpatient			552	358.8		90			Percent of total billed charges		496.8	40			Percent of total billed charges		220.8	80			Percent of total billed charges		441.6	90			Percent of total billed charges		496.8	85			Percent of total billed charges		469.2	85			Percent of total billed charges		469.2	85			Percent of total billed charges		469.2	100			Percent of total billed charges		552	100			Percent of total billed charges		552	100			Percent of total billed charges		552	33.3			Percent of total billed charges		183.816	33.3			Percent of total billed charges		183.816	100			Percent of total billed charges		552	183.816	496.8	
imhs cap comp screw	278	RC	Outpatient			552	358.8		90			Percent of total billed charges		496.8	40			Percent of total billed charges		220.8	80			Percent of total billed charges		441.6	90			Percent of total billed charges		496.8	85			Percent of total billed charges		469.2	85			Percent of total billed charges		469.2	85			Percent of total billed charges		469.2	100			Percent of total billed charges		552	100			Percent of total billed charges		552	100			Percent of total billed charges		552	33.3			Percent of total billed charges		183.816	33.3			Percent of total billed charges		183.816	100			Percent of total billed charges		552	183.816	496.8	
intertan 4.7mm diaphyseal starter drill 7170-0006 s/n	272	RC	Outpatient			552	358.8		90			Percent of total billed charges		496.8	40			Percent of total billed charges		220.8	80			Percent of total billed charges		441.6	90			Percent of total billed charges		496.8	85			Percent of total billed charges		469.2	85			Percent of total billed charges		469.2	85			Percent of total billed charges		469.2	100			Percent of total billed charges		552	100			Percent of total billed charges		552	100			Percent of total billed charges		552	33.3			Percent of total billed charges		183.816	33.3			Percent of total billed charges		183.816	100			Percent of total billed charges		552	183.816	496.8	
jet x l bar 7106-2160 s/n	278	RC	Outpatient			552	358.8		90			Percent of total billed charges		496.8	40			Percent of total billed charges		220.8	80			Percent of total billed charges		441.6	90			Percent of total billed charges		496.8	85			Percent of total billed charges		469.2	85			Percent of total billed charges		469.2	85			Percent of total billed charges		469.2	100			Percent of total billed charges		552	100			Percent of total billed charges		552	100			Percent of total billed charges		552	33.3			Percent of total billed charges		183.816	33.3			Percent of total billed charges		183.816	100			Percent of total billed charges		552	183.816	496.8	
jet x v bar 7106-2180 s/n	278	RC	Outpatient			552	358.8		90			Percent of total billed charges		496.8	40			Percent of total billed charges		220.8	80			Percent of total billed charges		441.6	90			Percent of total billed charges		496.8	85			Percent of total billed charges		469.2	85			Percent of total billed charges		469.2	85			Percent of total billed charges		469.2	100			Percent of total billed charges		552	100			Percent of total billed charges		552	100			Percent of total billed charges		552	33.3			Percent of total billed charges		183.816	33.3			Percent of total billed charges		183.816	100			Percent of total billed charges		552	183.816	496.8	
jet-x bar l/v	278	RC	Outpatient			552	358.8		90			Percent of total billed charges		496.8	40			Percent of total billed charges		220.8	80			Percent of total billed charges		441.6	90			Percent of total billed charges		496.8	85			Percent of total billed charges		469.2	85			Percent of total billed charges		469.2	85			Percent of total billed charges		469.2	100			Percent of total billed charges		552	100			Percent of total billed charges		552	100			Percent of total billed charges		552	33.3			Percent of total billed charges		183.816	33.3			Percent of total billed charges		183.816	100			Percent of total billed charges		552	183.816	496.8	
s/n diaphyseal drill 4.7	272	RC	Outpatient			552	358.8		90			Percent of total billed charges		496.8	40			Percent of total billed charges		220.8	80			Percent of total billed charges		441.6	90			Percent of total billed charges		496.8	85			Percent of total billed charges		469.2	85			Percent of total billed charges		469.2	85			Percent of total billed charges		469.2	100			Percent of total billed charges		552	100			Percent of total billed charges		552	100			Percent of total billed charges		552	33.3			Percent of total billed charges		183.816	33.3			Percent of total billed charges		183.816	100			Percent of total billed charges		552	183.816	496.8	
titanium cervical spine locking screw 3.0 x 12mm 04.617.812 synthes	278	RC	Outpatient			552	358.8		90			Percent of total billed charges		496.8	40			Percent of total billed charges		220.8	80			Percent of total billed charges		441.6	90			Percent of total billed charges		496.8	85			Percent of total billed charges		469.2	85			Percent of total billed charges		469.2	85			Percent of total billed charges		469.2	100			Percent of total billed charges		552	100			Percent of total billed charges		552	100			Percent of total billed charges		552	33.3			Percent of total billed charges		183.816	33.3			Percent of total billed charges		183.816	100			Percent of total billed charges		552	183.816	496.8	
titanium cervical spine locking screw 3.0 x 14mm 04.617.814 synthes	278	RC	Outpatient			552	358.8		90			Percent of total billed charges		496.8	40			Percent of total billed charges		220.8	80			Percent of total billed charges		441.6	90			Percent of total billed charges		496.8	85			Percent of total billed charges		469.2	85			Percent of total billed charges		469.2	85			Percent of total billed charges		469.2	100			Percent of total billed charges		552	100			Percent of total billed charges		552	100			Percent of total billed charges		552	33.3			Percent of total billed charges		183.816	33.3			Percent of total billed charges		183.816	100			Percent of total billed charges		552	183.816	496.8	
radial head drain	270	RC	Outpatient			552	358.8		90			Percent of total billed charges		496.8	40			Percent of total billed charges		220.8	80			Percent of total billed charges		441.6	90			Percent of total billed charges		496.8	85			Percent of total billed charges		469.2	85			Percent of total billed charges		469.2	85			Percent of total billed charges		469.2	100			Percent of total billed charges		552	100			Percent of total billed charges		552	100			Percent of total billed charges		552	33.3			Percent of total billed charges		183.816	33.3			Percent of total billed charges		183.816	100			Percent of total billed charges		552	183.816	496.8	
staple endo gia 45 atw45 ethicon	270	RC	Outpatient			552	358.8		90			Percent of total billed charges		496.8	40			Percent of total billed charges		220.8	80			Percent of total billed charges		441.6	90			Percent of total billed charges		496.8	85			Percent of total billed charges		469.2	85			Percent of total billed charges		469.2	85			Percent of total billed charges		469.2	100			Percent of total billed charges		552	100			Percent of total billed charges		552	100			Percent of total billed charges		552	33.3			Percent of total billed charges		183.816	33.3			Percent of total billed charges		183.816	100			Percent of total billed charges		552	183.816	496.8	
syn 3.0 c-spine lock scr	278	RC	Outpatient			552	358.8		90			Percent of total billed charges		496.8	40			Percent of total billed charges		220.8	80			Percent of total billed charges		441.6	90			Percent of total billed charges		496.8	85			Percent of total billed charges		469.2	85			Percent of total billed charges		469.2	85			Percent of total billed charges		469.2	100			Percent of total billed charges		552	100			Percent of total billed charges		552	100			Percent of total billed charges		552	33.3			Percent of total billed charges		183.816	33.3			Percent of total billed charges		183.816	100			Percent of total billed charges		552	183.816	496.8	
titanium cervical spine locking screw 3.0 x 16mm 04.617.816 synthes	278	RC	Outpatient			552	358.8		90			Percent of total billed charges		496.8	40			Percent of total billed charges		220.8	80			Percent of total billed charges		441.6	90			Percent of total billed charges		496.8	85			Percent of total billed charges		469.2	85			Percent of total billed charges		469.2	85			Percent of total billed charges		469.2	100			Percent of total billed charges		552	100			Percent of total billed charges		552	100			Percent of total billed charges		552	33.3			Percent of total billed charges		183.816	33.3			Percent of total billed charges		183.816	100			Percent of total billed charges		552	183.816	496.8	
jet x 300mm bar 7106-2300 s/n	272	RC	Outpatient			553	359.45		90			Percent of total billed charges		497.7	40			Percent of total billed charges		221.2	80			Percent of total billed charges		442.4	90			Percent of total billed charges		497.7	85			Percent of total billed charges		470.05	85			Percent of total billed charges		470.05	85			Percent of total billed charges		470.05	100			Percent of total billed charges		553	100			Percent of total billed charges		553	100			Percent of total billed charges		553	33.3			Percent of total billed charges		184.149	33.3			Percent of total billed charges		184.149	100			Percent of total billed charges		553	184.149	497.7	
jet x 350mm bar 7106-2350 s/n	272	RC	Outpatient			553	359.45		90			Percent of total billed charges		497.7	40			Percent of total billed charges		221.2	80			Percent of total billed charges		442.4	90			Percent of total billed charges		497.7	85			Percent of total billed charges		470.05	85			Percent of total billed charges		470.05	85			Percent of total billed charges		470.05	100			Percent of total billed charges		553	100			Percent of total billed charges		553	100			Percent of total billed charges		553	33.3			Percent of total billed charges		184.149	33.3			Percent of total billed charges		184.149	100			Percent of total billed charges		553	184.149	497.7	
jet x 250mm bar 7106-2250 s/n	272	RC	Outpatient			553	359.45		90			Percent of total billed charges		497.7	40			Percent of total billed charges		221.2	80			Percent of total billed charges		442.4	90			Percent of total billed charges		497.7	85			Percent of total billed charges		470.05	85			Percent of total billed charges		470.05	85			Percent of total billed charges		470.05	100			Percent of total billed charges		553	100			Percent of total billed charges		553	100			Percent of total billed charges		553	33.3			Percent of total billed charges		184.149	33.3			Percent of total billed charges		184.149	100			Percent of total billed charges		553	184.149	497.7	
jet-x bar 250-350mm	272	RC	Outpatient			553	359.45		90			Percent of total billed charges		497.7	40			Percent of total billed charges		221.2	80			Percent of total billed charges		442.4	90			Percent of total billed charges		497.7	85			Percent of total billed charges		470.05	85			Percent of total billed charges		470.05	85			Percent of total billed charges		470.05	100			Percent of total billed charges		553	100			Percent of total billed charges		553	100			Percent of total billed charges		553	33.3			Percent of total billed charges		184.149	33.3			Percent of total billed charges		184.149	100			Percent of total billed charges		553	184.149	497.7	
3.5mm curved reconstruction plate 6 hole 245.30	278	RC	Outpatient			554	360.1		90			Percent of total billed charges		498.6	40			Percent of total billed charges		221.6	80			Percent of total billed charges		443.2	90			Percent of total billed charges		498.6	85			Percent of total billed charges		470.9	85			Percent of total billed charges		470.9	85			Percent of total billed charges		470.9	100			Percent of total billed charges		554	100			Percent of total billed charges		554	100			Percent of total billed charges		554	33.3			Percent of total billed charges		184.482	33.3			Percent of total billed charges		184.482	100			Percent of total billed charges		554	184.482	498.6	
3.5mm curved reconstruction plate 8 hole 245.31	278	RC	Outpatient			554	360.1		90			Percent of total billed charges		498.6	40			Percent of total billed charges		221.6	80			Percent of total billed charges		443.2	90			Percent of total billed charges		498.6	85			Percent of total billed charges		470.9	85			Percent of total billed charges		470.9	85			Percent of total billed charges		470.9	100			Percent of total billed charges		554	100			Percent of total billed charges		554	100			Percent of total billed charges		554	33.3			Percent of total billed charges		184.482	33.3			Percent of total billed charges		184.482	100			Percent of total billed charges		554	184.482	498.6	
biomet spine screw	278	RC	Outpatient			554	360.1		90			Percent of total billed charges		498.6	40			Percent of total billed charges		221.6	80			Percent of total billed charges		443.2	90			Percent of total billed charges		498.6	85			Percent of total billed charges		470.9	85			Percent of total billed charges		470.9	85			Percent of total billed charges		470.9	100			Percent of total billed charges		554	100			Percent of total billed charges		554	100			Percent of total billed charges		554	33.3			Percent of total billed charges		184.482	33.3			Percent of total billed charges		184.482	100			Percent of total billed charges		554	184.482	498.6	
genesis ii long stem 10mm x 100mm 71420628 s/n	278	RC	Outpatient			554	360.1		90			Percent of total billed charges		498.6	40			Percent of total billed charges		221.6	80			Percent of total billed charges		443.2	90			Percent of total billed charges		498.6	85			Percent of total billed charges		470.9	85			Percent of total billed charges		470.9	85			Percent of total billed charges		470.9	100			Percent of total billed charges		554	100			Percent of total billed charges		554	100			Percent of total billed charges		554	33.3			Percent of total billed charges		184.482	33.3			Percent of total billed charges		184.482	100			Percent of total billed charges		554	184.482	498.6	
genesis ii long stem s/n	278	RC	Outpatient			554	360.1		90			Percent of total billed charges		498.6	40			Percent of total billed charges		221.6	80			Percent of total billed charges		443.2	90			Percent of total billed charges		498.6	85			Percent of total billed charges		470.9	85			Percent of total billed charges		470.9	85			Percent of total billed charges		470.9	100			Percent of total billed charges		554	100			Percent of total billed charges		554	100			Percent of total billed charges		554	33.3			Percent of total billed charges		184.482	33.3			Percent of total billed charges		184.482	100			Percent of total billed charges		554	184.482	498.6	
legion cemented stem 14 x 120 71424186 s/n	278	RC	Outpatient			554	360.1		90			Percent of total billed charges		498.6	40			Percent of total billed charges		221.6	80			Percent of total billed charges		443.2	90			Percent of total billed charges		498.6	85			Percent of total billed charges		470.9	85			Percent of total billed charges		470.9	85			Percent of total billed charges		470.9	100			Percent of total billed charges		554	100			Percent of total billed charges		554	100			Percent of total billed charges		554	33.3			Percent of total billed charges		184.482	33.3			Percent of total billed charges		184.482	100			Percent of total billed charges		554	184.482	498.6	
legion cemented stem 14 x 160 71424206  s/n	278	RC	Outpatient			554	360.1		90			Percent of total billed charges		498.6	40			Percent of total billed charges		221.6	80			Percent of total billed charges		443.2	90			Percent of total billed charges		498.6	85			Percent of total billed charges		470.9	85			Percent of total billed charges		470.9	85			Percent of total billed charges		470.9	100			Percent of total billed charges		554	100			Percent of total billed charges		554	100			Percent of total billed charges		554	33.3			Percent of total billed charges		184.482	33.3			Percent of total billed charges		184.482	100			Percent of total billed charges		554	184.482	498.6	
legion pressfit stem straight 14mm x 120mm  s/n 71424027	278	RC	Outpatient			554	360.1		90			Percent of total billed charges		498.6	40			Percent of total billed charges		221.6	80			Percent of total billed charges		443.2	90			Percent of total billed charges		498.6	85			Percent of total billed charges		470.9	85			Percent of total billed charges		470.9	85			Percent of total billed charges		470.9	100			Percent of total billed charges		554	100			Percent of total billed charges		554	100			Percent of total billed charges		554	33.3			Percent of total billed charges		184.482	33.3			Percent of total billed charges		184.482	100			Percent of total billed charges		554	184.482	498.6	
legion pressfit stem straight 15mm x 160mm  s/n 71424048	278	RC	Outpatient			554	360.1		90			Percent of total billed charges		498.6	40			Percent of total billed charges		221.6	80			Percent of total billed charges		443.2	90			Percent of total billed charges		498.6	85			Percent of total billed charges		470.9	85			Percent of total billed charges		470.9	85			Percent of total billed charges		470.9	100			Percent of total billed charges		554	100			Percent of total billed charges		554	100			Percent of total billed charges		554	33.3			Percent of total billed charges		184.482	33.3			Percent of total billed charges		184.482	100			Percent of total billed charges		554	184.482	498.6	
legion pressfit stem straight 18mm x 160mm  s/n 71424051	278	RC	Outpatient			554	360.1		90			Percent of total billed charges		498.6	40			Percent of total billed charges		221.6	80			Percent of total billed charges		443.2	90			Percent of total billed charges		498.6	85			Percent of total billed charges		470.9	85			Percent of total billed charges		470.9	85			Percent of total billed charges		470.9	100			Percent of total billed charges		554	100			Percent of total billed charges		554	100			Percent of total billed charges		554	33.3			Percent of total billed charges		184.482	33.3			Percent of total billed charges		184.482	100			Percent of total billed charges		554	184.482	498.6	
legion cemented stem 16 x 120 71424188 s/n	278	RC	Outpatient			554	360.1		90			Percent of total billed charges		498.6	40			Percent of total billed charges		221.6	80			Percent of total billed charges		443.2	90			Percent of total billed charges		498.6	85			Percent of total billed charges		470.9	85			Percent of total billed charges		470.9	85			Percent of total billed charges		470.9	100			Percent of total billed charges		554	100			Percent of total billed charges		554	100			Percent of total billed charges		554	33.3			Percent of total billed charges		184.482	33.3			Percent of total billed charges		184.482	100			Percent of total billed charges		554	184.482	498.6	
legion pressfit stem straight 14mm x 160mm  s/n 71424047	278	RC	Outpatient			554	360.1		90			Percent of total billed charges		498.6	40			Percent of total billed charges		221.6	80			Percent of total billed charges		443.2	90			Percent of total billed charges		498.6	85			Percent of total billed charges		470.9	85			Percent of total billed charges		470.9	85			Percent of total billed charges		470.9	100			Percent of total billed charges		554	100			Percent of total billed charges		554	100			Percent of total billed charges		554	33.3			Percent of total billed charges		184.482	33.3			Percent of total billed charges		184.482	100			Percent of total billed charges		554	184.482	498.6	
legion pressfit stem straight 16mm x 160mm  s/n 71424049	278	RC	Outpatient			554	360.1		90			Percent of total billed charges		498.6	40			Percent of total billed charges		221.6	80			Percent of total billed charges		443.2	90			Percent of total billed charges		498.6	85			Percent of total billed charges		470.9	85			Percent of total billed charges		470.9	85			Percent of total billed charges		470.9	100			Percent of total billed charges		554	100			Percent of total billed charges		554	100			Percent of total billed charges		554	33.3			Percent of total billed charges		184.482	33.3			Percent of total billed charges		184.482	100			Percent of total billed charges		554	184.482	498.6	
legion pressfit stem straight 20mm x 160mm  s/n 71424053	278	RC	Outpatient			554	360.1		90			Percent of total billed charges		498.6	40			Percent of total billed charges		221.6	80			Percent of total billed charges		443.2	90			Percent of total billed charges		498.6	85			Percent of total billed charges		470.9	85			Percent of total billed charges		470.9	85			Percent of total billed charges		470.9	100			Percent of total billed charges		554	100			Percent of total billed charges		554	100			Percent of total billed charges		554	33.3			Percent of total billed charges		184.482	33.3			Percent of total billed charges		184.482	100			Percent of total billed charges		554	184.482	498.6	
s/n lgn cement stem	278	RC	Outpatient			554	360.1		90			Percent of total billed charges		498.6	40			Percent of total billed charges		221.6	80			Percent of total billed charges		443.2	90			Percent of total billed charges		498.6	85			Percent of total billed charges		470.9	85			Percent of total billed charges		470.9	85			Percent of total billed charges		470.9	100			Percent of total billed charges		554	100			Percent of total billed charges		554	100			Percent of total billed charges		554	33.3			Percent of total billed charges		184.482	33.3			Percent of total billed charges		184.482	100			Percent of total billed charges		554	184.482	498.6	
self thread monoka med cl	278	RC	Outpatient			554	360.1		90			Percent of total billed charges		498.6	40			Percent of total billed charges		221.6	80			Percent of total billed charges		443.2	90			Percent of total billed charges		498.6	85			Percent of total billed charges		470.9	85			Percent of total billed charges		470.9	85			Percent of total billed charges		470.9	100			Percent of total billed charges		554	100			Percent of total billed charges		554	100			Percent of total billed charges		554	33.3			Percent of total billed charges		184.482	33.3			Percent of total billed charges		184.482	100			Percent of total billed charges		554	184.482	498.6	
self-threading monoka med ophtalmics s1.181ou	278	RC	Outpatient			554	360.1		90			Percent of total billed charges		498.6	40			Percent of total billed charges		221.6	80			Percent of total billed charges		443.2	90			Percent of total billed charges		498.6	85			Percent of total billed charges		470.9	85			Percent of total billed charges		470.9	85			Percent of total billed charges		470.9	100			Percent of total billed charges		554	100			Percent of total billed charges		554	100			Percent of total billed charges		554	33.3			Percent of total billed charges		184.482	33.3			Percent of total billed charges		184.482	100			Percent of total billed charges		554	184.482	498.6	
spinal screw 20mm 1400-1009 biomet/ebi	278	RC	Outpatient			554	360.1		90			Percent of total billed charges		498.6	40			Percent of total billed charges		221.6	80			Percent of total billed charges		443.2	90			Percent of total billed charges		498.6	85			Percent of total billed charges		470.9	85			Percent of total billed charges		470.9	85			Percent of total billed charges		470.9	100			Percent of total billed charges		554	100			Percent of total billed charges		554	100			Percent of total billed charges		554	33.3			Percent of total billed charges		184.482	33.3			Percent of total billed charges		184.482	100			Percent of total billed charges		554	184.482	498.6	
spinal screw 25mm 1400-1011 biomet/ebi	278	RC	Outpatient			554	360.1		90			Percent of total billed charges		498.6	40			Percent of total billed charges		221.6	80			Percent of total billed charges		443.2	90			Percent of total billed charges		498.6	85			Percent of total billed charges		470.9	85			Percent of total billed charges		470.9	85			Percent of total billed charges		470.9	100			Percent of total billed charges		554	100			Percent of total billed charges		554	100			Percent of total billed charges		554	33.3			Percent of total billed charges		184.482	33.3			Percent of total billed charges		184.482	100			Percent of total billed charges		554	184.482	498.6	
syn cvd recon plate 6-8	278	RC	Outpatient			554	360.1		90			Percent of total billed charges		498.6	40			Percent of total billed charges		221.6	80			Percent of total billed charges		443.2	90			Percent of total billed charges		498.6	85			Percent of total billed charges		470.9	85			Percent of total billed charges		470.9	85			Percent of total billed charges		470.9	100			Percent of total billed charges		554	100			Percent of total billed charges		554	100			Percent of total billed charges		554	33.3			Percent of total billed charges		184.482	33.3			Percent of total billed charges		184.482	100			Percent of total billed charges		554	184.482	498.6	
endowrist monopolar curved scissors ref470179	272	RC	Outpatient			555	360.75		90			Percent of total billed charges		499.5	40			Percent of total billed charges		222	80			Percent of total billed charges		444	90			Percent of total billed charges		499.5	85			Percent of total billed charges		471.75	85			Percent of total billed charges		471.75	85			Percent of total billed charges		471.75	100			Percent of total billed charges		555	100			Percent of total billed charges		555	100			Percent of total billed charges		555	33.3			Percent of total billed charges		184.815	33.3			Percent of total billed charges		184.815	100			Percent of total billed charges		555	184.815	499.5	
locking screw t2 4.0 x 25mm 1896-4025s stryker	278	RC	Outpatient			555	360.75		90			Percent of total billed charges		499.5	40			Percent of total billed charges		222	80			Percent of total billed charges		444	90			Percent of total billed charges		499.5	85			Percent of total billed charges		471.75	85			Percent of total billed charges		471.75	85			Percent of total billed charges		471.75	100			Percent of total billed charges		555	100			Percent of total billed charges		555	100			Percent of total billed charges		555	33.3			Percent of total billed charges		184.815	33.3			Percent of total billed charges		184.815	100			Percent of total billed charges		555	184.815	499.5	
locking screw t2 4.0 x 26mm 1896-4026s stryker	278	RC	Outpatient			555	360.75		90			Percent of total billed charges		499.5	40			Percent of total billed charges		222	80			Percent of total billed charges		444	90			Percent of total billed charges		499.5	85			Percent of total billed charges		471.75	85			Percent of total billed charges		471.75	85			Percent of total billed charges		471.75	100			Percent of total billed charges		555	100			Percent of total billed charges		555	100			Percent of total billed charges		555	33.3			Percent of total billed charges		184.815	33.3			Percent of total billed charges		184.815	100			Percent of total billed charges		555	184.815	499.5	
locking screw t2 4.0 x 28mm 1896-4028s stryker	278	RC	Outpatient			555	360.75		90			Percent of total billed charges		499.5	40			Percent of total billed charges		222	80			Percent of total billed charges		444	90			Percent of total billed charges		499.5	85			Percent of total billed charges		471.75	85			Percent of total billed charges		471.75	85			Percent of total billed charges		471.75	100			Percent of total billed charges		555	100			Percent of total billed charges		555	100			Percent of total billed charges		555	33.3			Percent of total billed charges		184.815	33.3			Percent of total billed charges		184.815	100			Percent of total billed charges		555	184.815	499.5	
locking screw t2 4.0 x 30mm 1896-4030s stryker	278	RC	Outpatient			555	360.75		90			Percent of total billed charges		499.5	40			Percent of total billed charges		222	80			Percent of total billed charges		444	90			Percent of total billed charges		499.5	85			Percent of total billed charges		471.75	85			Percent of total billed charges		471.75	85			Percent of total billed charges		471.75	100			Percent of total billed charges		555	100			Percent of total billed charges		555	100			Percent of total billed charges		555	33.3			Percent of total billed charges		184.815	33.3			Percent of total billed charges		184.815	100			Percent of total billed charges		555	184.815	499.5	
locking screw t2 4.0 x 36mm 1896-4036s stryker	278	RC	Outpatient			555	360.75		90			Percent of total billed charges		499.5	40			Percent of total billed charges		222	80			Percent of total billed charges		444	90			Percent of total billed charges		499.5	85			Percent of total billed charges		471.75	85			Percent of total billed charges		471.75	85			Percent of total billed charges		471.75	100			Percent of total billed charges		555	100			Percent of total billed charges		555	100			Percent of total billed charges		555	33.3			Percent of total billed charges		184.815	33.3			Percent of total billed charges		184.815	100			Percent of total billed charges		555	184.815	499.5	
locking screw t2 4.0 x 45mm 1896-4045s stryker	278	RC	Outpatient			555	360.75		90			Percent of total billed charges		499.5	40			Percent of total billed charges		222	80			Percent of total billed charges		444	90			Percent of total billed charges		499.5	85			Percent of total billed charges		471.75	85			Percent of total billed charges		471.75	85			Percent of total billed charges		471.75	100			Percent of total billed charges		555	100			Percent of total billed charges		555	100			Percent of total billed charges		555	33.3			Percent of total billed charges		184.815	33.3			Percent of total billed charges		184.815	100			Percent of total billed charges		555	184.815	499.5	
locking screw t2 4.0 x 55mm 1896-4055s stryker	278	RC	Outpatient			555	360.75		90			Percent of total billed charges		499.5	40			Percent of total billed charges		222	80			Percent of total billed charges		444	90			Percent of total billed charges		499.5	85			Percent of total billed charges		471.75	85			Percent of total billed charges		471.75	85			Percent of total billed charges		471.75	100			Percent of total billed charges		555	100			Percent of total billed charges		555	100			Percent of total billed charges		555	33.3			Percent of total billed charges		184.815	33.3			Percent of total billed charges		184.815	100			Percent of total billed charges		555	184.815	499.5	
locking screw t2 4.0 x 22mm 1896-4022s stryker	278	RC	Outpatient			555	360.75		90			Percent of total billed charges		499.5	40			Percent of total billed charges		222	80			Percent of total billed charges		444	90			Percent of total billed charges		499.5	85			Percent of total billed charges		471.75	85			Percent of total billed charges		471.75	85			Percent of total billed charges		471.75	100			Percent of total billed charges		555	100			Percent of total billed charges		555	100			Percent of total billed charges		555	33.3			Percent of total billed charges		184.815	33.3			Percent of total billed charges		184.815	100			Percent of total billed charges		555	184.815	499.5	
locking screw t2 4.0 x 24mm 1896-4024s stryker	278	RC	Outpatient			555	360.75		90			Percent of total billed charges		499.5	40			Percent of total billed charges		222	80			Percent of total billed charges		444	90			Percent of total billed charges		499.5	85			Percent of total billed charges		471.75	85			Percent of total billed charges		471.75	85			Percent of total billed charges		471.75	100			Percent of total billed charges		555	100			Percent of total billed charges		555	100			Percent of total billed charges		555	33.3			Percent of total billed charges		184.815	33.3			Percent of total billed charges		184.815	100			Percent of total billed charges		555	184.815	499.5	
locking screw t2 4.0 x 32mm 1896-4032s stryker	278	RC	Outpatient			555	360.75		90			Percent of total billed charges		499.5	40			Percent of total billed charges		222	80			Percent of total billed charges		444	90			Percent of total billed charges		499.5	85			Percent of total billed charges		471.75	85			Percent of total billed charges		471.75	85			Percent of total billed charges		471.75	100			Percent of total billed charges		555	100			Percent of total billed charges		555	100			Percent of total billed charges		555	33.3			Percent of total billed charges		184.815	33.3			Percent of total billed charges		184.815	100			Percent of total billed charges		555	184.815	499.5	
locking screw t2 4.0 x 40mm 1896-4040s stryker	278	RC	Outpatient			555	360.75		90			Percent of total billed charges		499.5	40			Percent of total billed charges		222	80			Percent of total billed charges		444	90			Percent of total billed charges		499.5	85			Percent of total billed charges		471.75	85			Percent of total billed charges		471.75	85			Percent of total billed charges		471.75	100			Percent of total billed charges		555	100			Percent of total billed charges		555	100			Percent of total billed charges		555	33.3			Percent of total billed charges		184.815	33.3			Percent of total billed charges		184.815	100			Percent of total billed charges		555	184.815	499.5	
locking screw t2 4.0 x 50mm 1896-4050s stryker	278	RC	Outpatient			555	360.75		90			Percent of total billed charges		499.5	40			Percent of total billed charges		222	80			Percent of total billed charges		444	90			Percent of total billed charges		499.5	85			Percent of total billed charges		471.75	85			Percent of total billed charges		471.75	85			Percent of total billed charges		471.75	100			Percent of total billed charges		555	100			Percent of total billed charges		555	100			Percent of total billed charges		555	33.3			Percent of total billed charges		184.815	33.3			Percent of total billed charges		184.815	100			Percent of total billed charges		555	184.815	499.5	
locking screw t2 4.0 x 75mm 1896-4075s stryker	278	RC	Outpatient			555	360.75		90			Percent of total billed charges		499.5	40			Percent of total billed charges		222	80			Percent of total billed charges		444	90			Percent of total billed charges		499.5	85			Percent of total billed charges		471.75	85			Percent of total billed charges		471.75	85			Percent of total billed charges		471.75	100			Percent of total billed charges		555	100			Percent of total billed charges		555	100			Percent of total billed charges		555	33.3			Percent of total billed charges		184.815	33.3			Percent of total billed charges		184.815	100			Percent of total billed charges		555	184.815	499.5	
stryker screw 4.0 lcr t2	278	RC	Outpatient			555	360.75		90			Percent of total billed charges		499.5	40			Percent of total billed charges		222	80			Percent of total billed charges		444	90			Percent of total billed charges		499.5	85			Percent of total billed charges		471.75	85			Percent of total billed charges		471.75	85			Percent of total billed charges		471.75	100			Percent of total billed charges		555	100			Percent of total billed charges		555	100			Percent of total billed charges		555	33.3			Percent of total billed charges		184.815	33.3			Percent of total billed charges		184.815	100			Percent of total billed charges		555	184.815	499.5	
stryker var st screw	278	RC	Outpatient			555	360.75		90			Percent of total billed charges		499.5	40			Percent of total billed charges		222	80			Percent of total billed charges		444	90			Percent of total billed charges		499.5	85			Percent of total billed charges		471.75	85			Percent of total billed charges		471.75	85			Percent of total billed charges		471.75	100			Percent of total billed charges		555	100			Percent of total billed charges		555	100			Percent of total billed charges		555	33.3			Percent of total billed charges		184.815	33.3			Percent of total billed charges		184.815	100			Percent of total billed charges		555	184.815	499.5	
variable st screw 13mm 03-12-4013 stryker	278	RC	Outpatient			555	360.75		90			Percent of total billed charges		499.5	40			Percent of total billed charges		222	80			Percent of total billed charges		444	90			Percent of total billed charges		499.5	85			Percent of total billed charges		471.75	85			Percent of total billed charges		471.75	85			Percent of total billed charges		471.75	100			Percent of total billed charges		555	100			Percent of total billed charges		555	100			Percent of total billed charges		555	33.3			Percent of total billed charges		184.815	33.3			Percent of total billed charges		184.815	100			Percent of total billed charges		555	184.815	499.5	
arthrex transtibial acl kit ar-1978s	272	RC	Outpatient			556	361.4		90			Percent of total billed charges		500.4	40			Percent of total billed charges		222.4	80			Percent of total billed charges		444.8	90			Percent of total billed charges		500.4	85			Percent of total billed charges		472.6	85			Percent of total billed charges		472.6	85			Percent of total billed charges		472.6	100			Percent of total billed charges		556	100			Percent of total billed charges		556	100			Percent of total billed charges		556	33.3			Percent of total billed charges		185.148	33.3			Percent of total billed charges		185.148	100			Percent of total billed charges		556	185.148	500.4	
2.5mm drill bit 1395-1025 djo	272	RC	Outpatient			556	361.4		90			Percent of total billed charges		500.4	40			Percent of total billed charges		222.4	80			Percent of total billed charges		444.8	90			Percent of total billed charges		500.4	85			Percent of total billed charges		472.6	85			Percent of total billed charges		472.6	85			Percent of total billed charges		472.6	100			Percent of total billed charges		556	100			Percent of total billed charges		556	100			Percent of total billed charges		556	33.3			Percent of total billed charges		185.148	33.3			Percent of total billed charges		185.148	100			Percent of total billed charges		556	185.148	500.4	
arthrex tt acl kit	272	RC	Outpatient			556	361.4		90			Percent of total billed charges		500.4	40			Percent of total billed charges		222.4	80			Percent of total billed charges		444.8	90			Percent of total billed charges		500.4	85			Percent of total billed charges		472.6	85			Percent of total billed charges		472.6	85			Percent of total billed charges		472.6	100			Percent of total billed charges		556	100			Percent of total billed charges		556	100			Percent of total billed charges		556	33.3			Percent of total billed charges		185.148	33.3			Percent of total billed charges		185.148	100			Percent of total billed charges		556	185.148	500.4	
auto vac boehringer drain	270	RC	Outpatient			556	361.4		90			Percent of total billed charges		500.4	40			Percent of total billed charges		222.4	80			Percent of total billed charges		444.8	90			Percent of total billed charges		500.4	85			Percent of total billed charges		472.6	85			Percent of total billed charges		472.6	85			Percent of total billed charges		472.6	100			Percent of total billed charges		556	100			Percent of total billed charges		556	100			Percent of total billed charges		556	33.3			Percent of total billed charges		185.148	33.3			Percent of total billed charges		185.148	100			Percent of total billed charges		556	185.148	500.4	
grafton 1cc dbm paste a45001 osteotech	278	RC	Outpatient			556	361.4		90			Percent of total billed charges		500.4	40			Percent of total billed charges		222.4	80			Percent of total billed charges		444.8	90			Percent of total billed charges		500.4	85			Percent of total billed charges		472.6	85			Percent of total billed charges		472.6	85			Percent of total billed charges		472.6	100			Percent of total billed charges		556	100			Percent of total billed charges		556	100			Percent of total billed charges		556	33.3			Percent of total billed charges		185.148	33.3			Percent of total billed charges		185.148	100			Percent of total billed charges		556	185.148	500.4	
grafton 1cc dbm paste p45001 osteotech	278	RC	Outpatient			556	361.4		90			Percent of total billed charges		500.4	40			Percent of total billed charges		222.4	80			Percent of total billed charges		444.8	90			Percent of total billed charges		500.4	85			Percent of total billed charges		472.6	85			Percent of total billed charges		472.6	85			Percent of total billed charges		472.6	100			Percent of total billed charges		556	100			Percent of total billed charges		556	100			Percent of total billed charges		556	33.3			Percent of total billed charges		185.148	33.3			Percent of total billed charges		185.148	100			Percent of total billed charges		556	185.148	500.4	
grafton paste 1cc	278	RC	Outpatient			556	361.4		90			Percent of total billed charges		500.4	40			Percent of total billed charges		222.4	80			Percent of total billed charges		444.8	90			Percent of total billed charges		500.4	85			Percent of total billed charges		472.6	85			Percent of total billed charges		472.6	85			Percent of total billed charges		472.6	100			Percent of total billed charges		556	100			Percent of total billed charges		556	100			Percent of total billed charges		556	33.3			Percent of total billed charges		185.148	33.3			Percent of total billed charges		185.148	100			Percent of total billed charges		556	185.148	500.4	
depuy fem adaptor bolt	278	RC	Outpatient			556	361.4		90			Percent of total billed charges		500.4	40			Percent of total billed charges		222.4	80			Percent of total billed charges		444.8	90			Percent of total billed charges		500.4	85			Percent of total billed charges		472.6	85			Percent of total billed charges		472.6	85			Percent of total billed charges		472.6	100			Percent of total billed charges		556	100			Percent of total billed charges		556	100			Percent of total billed charges		556	33.3			Percent of total billed charges		185.148	33.3			Percent of total billed charges		185.148	100			Percent of total billed charges		556	185.148	500.4	
drain autovactc 3/16 7924-14 boehringer	270	RC	Outpatient			556	361.4		90			Percent of total billed charges		500.4	40			Percent of total billed charges		222.4	80			Percent of total billed charges		444.8	90			Percent of total billed charges		500.4	85			Percent of total billed charges		472.6	85			Percent of total billed charges		472.6	85			Percent of total billed charges		472.6	100			Percent of total billed charges		556	100			Percent of total billed charges		556	100			Percent of total billed charges		556	33.3			Percent of total billed charges		185.148	33.3			Percent of total billed charges		185.148	100			Percent of total billed charges		556	185.148	500.4	
grafton 1cc dbm putty a43102 osteotech	278	RC	Outpatient			556	361.4		90			Percent of total billed charges		500.4	40			Percent of total billed charges		222.4	80			Percent of total billed charges		444.8	90			Percent of total billed charges		500.4	85			Percent of total billed charges		472.6	85			Percent of total billed charges		472.6	85			Percent of total billed charges		472.6	100			Percent of total billed charges		556	100			Percent of total billed charges		556	100			Percent of total billed charges		556	33.3			Percent of total billed charges		185.148	33.3			Percent of total billed charges		185.148	100			Percent of total billed charges		556	185.148	500.4	
grafton 1cc dbm putty p43102 osteotech	278	RC	Outpatient			556	361.4		90			Percent of total billed charges		500.4	40			Percent of total billed charges		222.4	80			Percent of total billed charges		444.8	90			Percent of total billed charges		500.4	85			Percent of total billed charges		472.6	85			Percent of total billed charges		472.6	85			Percent of total billed charges		472.6	100			Percent of total billed charges		556	100			Percent of total billed charges		556	100			Percent of total billed charges		556	33.3			Percent of total billed charges		185.148	33.3			Percent of total billed charges		185.148	100			Percent of total billed charges		556	185.148	500.4	
grafton putty 1cc	278	RC	Outpatient			556	361.4		90			Percent of total billed charges		500.4	40			Percent of total billed charges		222.4	80			Percent of total billed charges		444.8	90			Percent of total billed charges		500.4	85			Percent of total billed charges		472.6	85			Percent of total billed charges		472.6	85			Percent of total billed charges		472.6	100			Percent of total billed charges		556	100			Percent of total billed charges		556	100			Percent of total billed charges		556	33.3			Percent of total billed charges		185.148	33.3			Percent of total billed charges		185.148	100			Percent of total billed charges		556	185.148	500.4	
pfc sigma fem adaptor bolt +2/-2 96-0784 depuy	278	RC	Outpatient			556	361.4		90			Percent of total billed charges		500.4	40			Percent of total billed charges		222.4	80			Percent of total billed charges		444.8	90			Percent of total billed charges		500.4	85			Percent of total billed charges		472.6	85			Percent of total billed charges		472.6	85			Percent of total billed charges		472.6	100			Percent of total billed charges		556	100			Percent of total billed charges		556	100			Percent of total billed charges		556	33.3			Percent of total billed charges		185.148	33.3			Percent of total billed charges		185.148	100			Percent of total billed charges		556	185.148	500.4	
turon 5.0mm stop drill 804-25-147 djo	272	RC	Outpatient			556	361.4		90			Percent of total billed charges		500.4	40			Percent of total billed charges		222.4	80			Percent of total billed charges		444.8	90			Percent of total billed charges		500.4	85			Percent of total billed charges		472.6	85			Percent of total billed charges		472.6	85			Percent of total billed charges		472.6	100			Percent of total billed charges		556	100			Percent of total billed charges		556	100			Percent of total billed charges		556	33.3			Percent of total billed charges		185.148	33.3			Percent of total billed charges		185.148	100			Percent of total billed charges		556	185.148	500.4	
arthrex locking 1/3 tub plate 4h  ar 8943t-04	278	RC	Outpatient			558	362.7		90			Percent of total billed charges		502.2	40			Percent of total billed charges		223.2	80			Percent of total billed charges		446.4	90			Percent of total billed charges		502.2	85			Percent of total billed charges		474.3	85			Percent of total billed charges		474.3	85			Percent of total billed charges		474.3	100			Percent of total billed charges		558	100			Percent of total billed charges		558	100			Percent of total billed charges		558	33.3			Percent of total billed charges		185.814	33.3			Percent of total billed charges		185.814	100			Percent of total billed charges		558	185.814	502.2	
autotome sphinctertome	272	RC	Outpatient			558	362.7		90			Percent of total billed charges		502.2	40			Percent of total billed charges		223.2	80			Percent of total billed charges		446.4	90			Percent of total billed charges		502.2	85			Percent of total billed charges		474.3	85			Percent of total billed charges		474.3	85			Percent of total billed charges		474.3	100			Percent of total billed charges		558	100			Percent of total billed charges		558	100			Percent of total billed charges		558	33.3			Percent of total billed charges		185.814	33.3			Percent of total billed charges		185.814	100			Percent of total billed charges		558	185.814	502.2	
arthrex 1/3 tub pl 4h	278	RC	Outpatient			558	362.7		90			Percent of total billed charges		502.2	40			Percent of total billed charges		223.2	80			Percent of total billed charges		446.4	90			Percent of total billed charges		502.2	85			Percent of total billed charges		474.3	85			Percent of total billed charges		474.3	85			Percent of total billed charges		474.3	100			Percent of total billed charges		558	100			Percent of total billed charges		558	100			Percent of total billed charges		558	33.3			Percent of total billed charges		185.814	33.3			Percent of total billed charges		185.814	100			Percent of total billed charges		558	185.814	502.2	
arthrex 9mm low profile reamer ar-1409lp	272	RC	Outpatient			559	363.35		90			Percent of total billed charges		503.1	40			Percent of total billed charges		223.6	80			Percent of total billed charges		447.2	90			Percent of total billed charges		503.1	85			Percent of total billed charges		475.15	85			Percent of total billed charges		475.15	85			Percent of total billed charges		475.15	100			Percent of total billed charges		559	100			Percent of total billed charges		559	100			Percent of total billed charges		559	33.3			Percent of total billed charges		186.147	33.3			Percent of total billed charges		186.147	100			Percent of total billed charges		559	186.147	503.1	
arthrex 10mm low profile reamer ar-1410lp	272	RC	Outpatient			559	363.35		90			Percent of total billed charges		503.1	40			Percent of total billed charges		223.6	80			Percent of total billed charges		447.2	90			Percent of total billed charges		503.1	85			Percent of total billed charges		475.15	85			Percent of total billed charges		475.15	85			Percent of total billed charges		475.15	100			Percent of total billed charges		559	100			Percent of total billed charges		559	100			Percent of total billed charges		559	33.3			Percent of total billed charges		186.147	33.3			Percent of total billed charges		186.147	100			Percent of total billed charges		559	186.147	503.1	
arthrex 5mm low profile reamer ar-1405lp	272	RC	Outpatient			559	363.35		90			Percent of total billed charges		503.1	40			Percent of total billed charges		223.6	80			Percent of total billed charges		447.2	90			Percent of total billed charges		503.1	85			Percent of total billed charges		475.15	85			Percent of total billed charges		475.15	85			Percent of total billed charges		475.15	100			Percent of total billed charges		559	100			Percent of total billed charges		559	100			Percent of total billed charges		559	33.3			Percent of total billed charges		186.147	33.3			Percent of total billed charges		186.147	100			Percent of total billed charges		559	186.147	503.1	
arthrex 7mm low profile reamer ar-1407lp-50	272	RC	Outpatient			559	363.35		90			Percent of total billed charges		503.1	40			Percent of total billed charges		223.6	80			Percent of total billed charges		447.2	90			Percent of total billed charges		503.1	85			Percent of total billed charges		475.15	85			Percent of total billed charges		475.15	85			Percent of total billed charges		475.15	100			Percent of total billed charges		559	100			Percent of total billed charges		559	100			Percent of total billed charges		559	33.3			Percent of total billed charges		186.147	33.3			Percent of total billed charges		186.147	100			Percent of total billed charges		559	186.147	503.1	
arthrex 8mm low profile reamer ar-1408lp	272	RC	Outpatient			559	363.35		90			Percent of total billed charges		503.1	40			Percent of total billed charges		223.6	80			Percent of total billed charges		447.2	90			Percent of total billed charges		503.1	85			Percent of total billed charges		475.15	85			Percent of total billed charges		475.15	85			Percent of total billed charges		475.15	100			Percent of total billed charges		559	100			Percent of total billed charges		559	100			Percent of total billed charges		559	33.3			Percent of total billed charges		186.147	33.3			Percent of total billed charges		186.147	100			Percent of total billed charges		559	186.147	503.1	
arthrex lp reamer	272	RC	Outpatient			559	363.35		90			Percent of total billed charges		503.1	40			Percent of total billed charges		223.6	80			Percent of total billed charges		447.2	90			Percent of total billed charges		503.1	85			Percent of total billed charges		475.15	85			Percent of total billed charges		475.15	85			Percent of total billed charges		475.15	100			Percent of total billed charges		559	100			Percent of total billed charges		559	100			Percent of total billed charges		559	33.3			Percent of total billed charges		186.147	33.3			Percent of total billed charges		186.147	100			Percent of total billed charges		559	186.147	503.1	
dst eea 28mm stapler  eea28 covidien	278	RC	Outpatient			559	363.35		90			Percent of total billed charges		503.1	40			Percent of total billed charges		223.6	80			Percent of total billed charges		447.2	90			Percent of total billed charges		503.1	85			Percent of total billed charges		475.15	85			Percent of total billed charges		475.15	85			Percent of total billed charges		475.15	100			Percent of total billed charges		559	100			Percent of total billed charges		559	100			Percent of total billed charges		559	33.3			Percent of total billed charges		186.147	33.3			Percent of total billed charges		186.147	100			Percent of total billed charges		559	186.147	503.1	
dst eea 33mm stapler eea33 covidien	278	RC	Outpatient			559	363.35		90			Percent of total billed charges		503.1	40			Percent of total billed charges		223.6	80			Percent of total billed charges		447.2	90			Percent of total billed charges		503.1	85			Percent of total billed charges		475.15	85			Percent of total billed charges		475.15	85			Percent of total billed charges		475.15	100			Percent of total billed charges		559	100			Percent of total billed charges		559	100			Percent of total billed charges		559	33.3			Percent of total billed charges		186.147	33.3			Percent of total billed charges		186.147	100			Percent of total billed charges		559	186.147	503.1	
endo gia 45-rotic 3.5	278	RC	Outpatient			559	363.35		90			Percent of total billed charges		503.1	40			Percent of total billed charges		223.6	80			Percent of total billed charges		447.2	90			Percent of total billed charges		503.1	85			Percent of total billed charges		475.15	85			Percent of total billed charges		475.15	85			Percent of total billed charges		475.15	100			Percent of total billed charges		559	100			Percent of total billed charges		559	100			Percent of total billed charges		559	33.3			Percent of total billed charges		186.147	33.3			Percent of total billed charges		186.147	100			Percent of total billed charges		559	186.147	503.1	
dst eea 31mm stapler  eea31 covidien	278	RC	Outpatient			559	363.35		90			Percent of total billed charges		503.1	40			Percent of total billed charges		223.6	80			Percent of total billed charges		447.2	90			Percent of total billed charges		503.1	85			Percent of total billed charges		475.15	85			Percent of total billed charges		475.15	85			Percent of total billed charges		475.15	100			Percent of total billed charges		559	100			Percent of total billed charges		559	100			Percent of total billed charges		559	33.3			Percent of total billed charges		186.147	33.3			Percent of total billed charges		186.147	100			Percent of total billed charges		559	186.147	503.1	
endo gia roticular staple 45 3.5 030455 ussc	278	RC	Outpatient			559	363.35		90			Percent of total billed charges		503.1	40			Percent of total billed charges		223.6	80			Percent of total billed charges		447.2	90			Percent of total billed charges		503.1	85			Percent of total billed charges		475.15	85			Percent of total billed charges		475.15	85			Percent of total billed charges		475.15	100			Percent of total billed charges		559	100			Percent of total billed charges		559	100			Percent of total billed charges		559	33.3			Percent of total billed charges		186.147	33.3			Percent of total billed charges		186.147	100			Percent of total billed charges		559	186.147	503.1	
endo gia roticular staple 45 4.8 030456 ussc	278	RC	Outpatient			559	363.35		90			Percent of total billed charges		503.1	40			Percent of total billed charges		223.6	80			Percent of total billed charges		447.2	90			Percent of total billed charges		503.1	85			Percent of total billed charges		475.15	85			Percent of total billed charges		475.15	85			Percent of total billed charges		475.15	100			Percent of total billed charges		559	100			Percent of total billed charges		559	100			Percent of total billed charges		559	33.3			Percent of total billed charges		186.147	33.3			Percent of total billed charges		186.147	100			Percent of total billed charges		559	186.147	503.1	
interceed adhesion barrier  3x4 4350 j&jethicon	270	RC	Outpatient			559	363.35		90			Percent of total billed charges		503.1	40			Percent of total billed charges		223.6	80			Percent of total billed charges		447.2	90			Percent of total billed charges		503.1	85			Percent of total billed charges		475.15	85			Percent of total billed charges		475.15	85			Percent of total billed charges		475.15	100			Percent of total billed charges		559	100			Percent of total billed charges		559	100			Percent of total billed charges		559	33.3			Percent of total billed charges		186.147	33.3			Percent of total billed charges		186.147	100			Percent of total billed charges		559	186.147	503.1	
syn lc-dcp plate 14-15hl	278	RC	Outpatient			559	363.35		90			Percent of total billed charges		503.1	40			Percent of total billed charges		223.6	80			Percent of total billed charges		447.2	90			Percent of total billed charges		503.1	85			Percent of total billed charges		475.15	85			Percent of total billed charges		475.15	85			Percent of total billed charges		475.15	100			Percent of total billed charges		559	100			Percent of total billed charges		559	100			Percent of total billed charges		559	33.3			Percent of total billed charges		186.147	33.3			Percent of total billed charges		186.147	100			Percent of total billed charges		559	186.147	503.1	
tray urology proc#123400	272	RC	Outpatient			559	363.35		90			Percent of total billed charges		503.1	40			Percent of total billed charges		223.6	80			Percent of total billed charges		447.2	90			Percent of total billed charges		503.1	85			Percent of total billed charges		475.15	85			Percent of total billed charges		475.15	85			Percent of total billed charges		475.15	100			Percent of total billed charges		559	100			Percent of total billed charges		559	100			Percent of total billed charges		559	33.3			Percent of total billed charges		186.147	33.3			Percent of total billed charges		186.147	100			Percent of total billed charges		559	186.147	503.1	
ball tip guide pin	270	RC	Outpatient			560	364		90			Percent of total billed charges		504	40			Percent of total billed charges		224	80			Percent of total billed charges		448	90			Percent of total billed charges		504	85			Percent of total billed charges		476	85			Percent of total billed charges		476	85			Percent of total billed charges		476	100			Percent of total billed charges		560	100			Percent of total billed charges		560	100			Percent of total billed charges		560	33.3			Percent of total billed charges		186.48	33.3			Percent of total billed charges		186.48	100			Percent of total billed charges		560	186.48	504	
"guide wire, ball tipped 1806-0085s styker"	270	RC	Outpatient			560	364		90			Percent of total billed charges		504	40			Percent of total billed charges		224	80			Percent of total billed charges		448	90			Percent of total billed charges		504	85			Percent of total billed charges		476	85			Percent of total billed charges		476	85			Percent of total billed charges		476	100			Percent of total billed charges		560	100			Percent of total billed charges		560	100			Percent of total billed charges		560	33.3			Percent of total billed charges		186.48	33.3			Percent of total billed charges		186.48	100			Percent of total billed charges		560	186.48	504	
richards distal sleeve	278	RC	Outpatient			560	364		90			Percent of total billed charges		504	40			Percent of total billed charges		224	80			Percent of total billed charges		448	90			Percent of total billed charges		504	85			Percent of total billed charges		476	85			Percent of total billed charges		476	85			Percent of total billed charges		476	100			Percent of total billed charges		560	100			Percent of total billed charges		560	100			Percent of total billed charges		560	33.3			Percent of total billed charges		186.48	33.3			Percent of total billed charges		186.48	100			Percent of total billed charges		560	186.48	504	
voyant-åÇ 5mm fusion device ref eb210	272	RC	Outpatient			561	364.65		90			Percent of total billed charges		504.9	40			Percent of total billed charges		224.4	80			Percent of total billed charges		448.8	90			Percent of total billed charges		504.9	85			Percent of total billed charges		476.85	85			Percent of total billed charges		476.85	85			Percent of total billed charges		476.85	100			Percent of total billed charges		561	100			Percent of total billed charges		561	100			Percent of total billed charges		561	33.3			Percent of total billed charges		186.813	33.3			Percent of total billed charges		186.813	100			Percent of total billed charges		561	186.813	504.9	
voyant maryland fusion device-ÌÁref eb212	272	RC	Outpatient			561	364.65		90			Percent of total billed charges		504.9	40			Percent of total billed charges		224.4	80			Percent of total billed charges		448.8	90			Percent of total billed charges		504.9	85			Percent of total billed charges		476.85	85			Percent of total billed charges		476.85	85			Percent of total billed charges		476.85	100			Percent of total billed charges		561	100			Percent of total billed charges		561	100			Percent of total billed charges		561	33.3			Percent of total billed charges		186.813	33.3			Percent of total billed charges		186.813	100			Percent of total billed charges		561	186.813	504.9	
voyant open fusion device applied eb240	272	RC	Outpatient			561	364.65		90			Percent of total billed charges		504.9	40			Percent of total billed charges		224.4	80			Percent of total billed charges		448.8	90			Percent of total billed charges		504.9	85			Percent of total billed charges		476.85	85			Percent of total billed charges		476.85	85			Percent of total billed charges		476.85	100			Percent of total billed charges		561	100			Percent of total billed charges		561	100			Percent of total billed charges		561	33.3			Percent of total billed charges		186.813	33.3			Percent of total billed charges		186.813	100			Percent of total billed charges		561	186.813	504.9	
voyant-åÇ fine fusion device ref eb20	272	RC	Outpatient			561	364.65		90			Percent of total billed charges		504.9	40			Percent of total billed charges		224.4	80			Percent of total billed charges		448.8	90			Percent of total billed charges		504.9	85			Percent of total billed charges		476.85	85			Percent of total billed charges		476.85	85			Percent of total billed charges		476.85	100			Percent of total billed charges		561	100			Percent of total billed charges		561	100			Percent of total billed charges		561	33.3			Percent of total billed charges		186.813	33.3			Percent of total billed charges		186.813	100			Percent of total billed charges		561	186.813	504.9	
2.7mm reconstruction plate 12 hole 245.23	278	RC	Outpatient			562	365.3		90			Percent of total billed charges		505.8	40			Percent of total billed charges		224.8	80			Percent of total billed charges		449.6	90			Percent of total billed charges		505.8	85			Percent of total billed charges		477.7	85			Percent of total billed charges		477.7	85			Percent of total billed charges		477.7	100			Percent of total billed charges		562	100			Percent of total billed charges		562	100			Percent of total billed charges		562	33.3			Percent of total billed charges		187.146	33.3			Percent of total billed charges		187.146	100			Percent of total billed charges		562	187.146	505.8	
dash access system	270	RC	Outpatient			562	365.3		90			Percent of total billed charges		505.8	40			Percent of total billed charges		224.8	80			Percent of total billed charges		449.6	90			Percent of total billed charges		505.8	85			Percent of total billed charges		477.7	85			Percent of total billed charges		477.7	85			Percent of total billed charges		477.7	100			Percent of total billed charges		562	100			Percent of total billed charges		562	100			Percent of total billed charges		562	33.3			Percent of total billed charges		187.146	33.3			Percent of total billed charges		187.146	100			Percent of total billed charges		562	187.146	505.8	
2.7mm reconstruction plate 10 hole 245.22	278	RC	Outpatient			562	365.3		90			Percent of total billed charges		505.8	40			Percent of total billed charges		224.8	80			Percent of total billed charges		449.6	90			Percent of total billed charges		505.8	85			Percent of total billed charges		477.7	85			Percent of total billed charges		477.7	85			Percent of total billed charges		477.7	100			Percent of total billed charges		562	100			Percent of total billed charges		562	100			Percent of total billed charges		562	33.3			Percent of total billed charges		187.146	33.3			Percent of total billed charges		187.146	100			Percent of total billed charges		562	187.146	505.8	
cannulated screw  2.5  x 12mm 71102212s s/n	278	RC	Outpatient			562	365.3		90			Percent of total billed charges		505.8	40			Percent of total billed charges		224.8	80			Percent of total billed charges		449.6	90			Percent of total billed charges		505.8	85			Percent of total billed charges		477.7	85			Percent of total billed charges		477.7	85			Percent of total billed charges		477.7	100			Percent of total billed charges		562	100			Percent of total billed charges		562	100			Percent of total billed charges		562	33.3			Percent of total billed charges		187.146	33.3			Percent of total billed charges		187.146	100			Percent of total billed charges		562	187.146	505.8	
cannulated screw 2.5  x 15mm 71102215s s/n	278	RC	Outpatient			562	365.3		90			Percent of total billed charges		505.8	40			Percent of total billed charges		224.8	80			Percent of total billed charges		449.6	90			Percent of total billed charges		505.8	85			Percent of total billed charges		477.7	85			Percent of total billed charges		477.7	85			Percent of total billed charges		477.7	100			Percent of total billed charges		562	100			Percent of total billed charges		562	100			Percent of total billed charges		562	33.3			Percent of total billed charges		187.146	33.3			Percent of total billed charges		187.146	100			Percent of total billed charges		562	187.146	505.8	
dorado balloon	272	RC	Outpatient			562	365.3		90			Percent of total billed charges		505.8	40			Percent of total billed charges		224.8	80			Percent of total billed charges		449.6	90			Percent of total billed charges		505.8	85			Percent of total billed charges		477.7	85			Percent of total billed charges		477.7	85			Percent of total billed charges		477.7	100			Percent of total billed charges		562	100			Percent of total billed charges		562	100			Percent of total billed charges		562	33.3			Percent of total billed charges		187.146	33.3			Percent of total billed charges		187.146	100			Percent of total billed charges		562	187.146	505.8	
dorado pta balloon 6 x 4 x 80 dr6064 bard	272	RC	Outpatient			562	365.3		90			Percent of total billed charges		505.8	40			Percent of total billed charges		224.8	80			Percent of total billed charges		449.6	90			Percent of total billed charges		505.8	85			Percent of total billed charges		477.7	85			Percent of total billed charges		477.7	85			Percent of total billed charges		477.7	100			Percent of total billed charges		562	100			Percent of total billed charges		562	100			Percent of total billed charges		562	33.3			Percent of total billed charges		187.146	33.3			Percent of total billed charges		187.146	100			Percent of total billed charges		562	187.146	505.8	
exoseal ex600 cordis	272	RC	Outpatient			562	365.3		90			Percent of total billed charges		505.8	40			Percent of total billed charges		224.8	80			Percent of total billed charges		449.6	90			Percent of total billed charges		505.8	85			Percent of total billed charges		477.7	85			Percent of total billed charges		477.7	85			Percent of total billed charges		477.7	100			Percent of total billed charges		562	100			Percent of total billed charges		562	100			Percent of total billed charges		562	33.3			Percent of total billed charges		187.146	33.3			Percent of total billed charges		187.146	100			Percent of total billed charges		562	187.146	505.8	
dorado pta balloon 5 x 4 x 80 dr8054 bard	272	RC	Outpatient			562	365.3		90			Percent of total billed charges		505.8	40			Percent of total billed charges		224.8	80			Percent of total billed charges		449.6	90			Percent of total billed charges		505.8	85			Percent of total billed charges		477.7	85			Percent of total billed charges		477.7	85			Percent of total billed charges		477.7	100			Percent of total billed charges		562	100			Percent of total billed charges		562	100			Percent of total billed charges		562	33.3			Percent of total billed charges		187.146	33.3			Percent of total billed charges		187.146	100			Percent of total billed charges		562	187.146	505.8	
exoseal	272	RC	Outpatient			562	365.3		90			Percent of total billed charges		505.8	40			Percent of total billed charges		224.8	80			Percent of total billed charges		449.6	90			Percent of total billed charges		505.8	85			Percent of total billed charges		477.7	85			Percent of total billed charges		477.7	85			Percent of total billed charges		477.7	100			Percent of total billed charges		562	100			Percent of total billed charges		562	100			Percent of total billed charges		562	33.3			Percent of total billed charges		187.146	33.3			Percent of total billed charges		187.146	100			Percent of total billed charges		562	187.146	505.8	
kyphx hv-r bone cement and mixer kyphon co1b	278	RC	Outpatient			562	365.3		90			Percent of total billed charges		505.8	40			Percent of total billed charges		224.8	80			Percent of total billed charges		449.6	90			Percent of total billed charges		505.8	85			Percent of total billed charges		477.7	85			Percent of total billed charges		477.7	85			Percent of total billed charges		477.7	100			Percent of total billed charges		562	100			Percent of total billed charges		562	100			Percent of total billed charges		562	33.3			Percent of total billed charges		187.146	33.3			Percent of total billed charges		187.146	100			Percent of total billed charges		562	187.146	505.8	
kyphon bone cement kit	278	RC	Outpatient			562	365.3		90			Percent of total billed charges		505.8	40			Percent of total billed charges		224.8	80			Percent of total billed charges		449.6	90			Percent of total billed charges		505.8	85			Percent of total billed charges		477.7	85			Percent of total billed charges		477.7	85			Percent of total billed charges		477.7	100			Percent of total billed charges		562	100			Percent of total billed charges		562	100			Percent of total billed charges		562	33.3			Percent of total billed charges		187.146	33.3			Percent of total billed charges		187.146	100			Percent of total billed charges		562	187.146	505.8	
kyphx curette	272	RC	Outpatient			562	365.3		90			Percent of total billed charges		505.8	40			Percent of total billed charges		224.8	80			Percent of total billed charges		449.6	90			Percent of total billed charges		505.8	85			Percent of total billed charges		477.7	85			Percent of total billed charges		477.7	85			Percent of total billed charges		477.7	100			Percent of total billed charges		562	100			Percent of total billed charges		562	100			Percent of total billed charges		562	33.3			Percent of total billed charges		187.146	33.3			Percent of total billed charges		187.146	100			Percent of total billed charges		562	187.146	505.8	
kyphx latitude ii curette 8.0mm a11b kyphon	272	RC	Outpatient			562	365.3		90			Percent of total billed charges		505.8	40			Percent of total billed charges		224.8	80			Percent of total billed charges		449.6	90			Percent of total billed charges		505.8	85			Percent of total billed charges		477.7	85			Percent of total billed charges		477.7	85			Percent of total billed charges		477.7	100			Percent of total billed charges		562	100			Percent of total billed charges		562	100			Percent of total billed charges		562	33.3			Percent of total billed charges		187.146	33.3			Percent of total billed charges		187.146	100			Percent of total billed charges		562	187.146	505.8	
screw cannulated 2.5	278	RC	Outpatient			562	365.3		90			Percent of total billed charges		505.8	40			Percent of total billed charges		224.8	80			Percent of total billed charges		449.6	90			Percent of total billed charges		505.8	85			Percent of total billed charges		477.7	85			Percent of total billed charges		477.7	85			Percent of total billed charges		477.7	100			Percent of total billed charges		562	100			Percent of total billed charges		562	100			Percent of total billed charges		562	33.3			Percent of total billed charges		187.146	33.3			Percent of total billed charges		187.146	100			Percent of total billed charges		562	187.146	505.8	
syn 2.7 recon plate 10-12	278	RC	Outpatient			562	365.3		90			Percent of total billed charges		505.8	40			Percent of total billed charges		224.8	80			Percent of total billed charges		449.6	90			Percent of total billed charges		505.8	85			Percent of total billed charges		477.7	85			Percent of total billed charges		477.7	85			Percent of total billed charges		477.7	100			Percent of total billed charges		562	100			Percent of total billed charges		562	100			Percent of total billed charges		562	33.3			Percent of total billed charges		187.146	33.3			Percent of total billed charges		187.146	100			Percent of total billed charges		562	187.146	505.8	
upex locking cort scr 3.5 x 10mm vt3.5 l10	278	RC	Outpatient			562	365.3		90			Percent of total billed charges		505.8	40			Percent of total billed charges		224.8	80			Percent of total billed charges		449.6	90			Percent of total billed charges		505.8	85			Percent of total billed charges		477.7	85			Percent of total billed charges		477.7	85			Percent of total billed charges		477.7	100			Percent of total billed charges		562	100			Percent of total billed charges		562	100			Percent of total billed charges		562	33.3			Percent of total billed charges		187.146	33.3			Percent of total billed charges		187.146	100			Percent of total billed charges		562	187.146	505.8	
upex locking cort scr 3.5 x 12mm vt3.5 l12	278	RC	Outpatient			562	365.3		90			Percent of total billed charges		505.8	40			Percent of total billed charges		224.8	80			Percent of total billed charges		449.6	90			Percent of total billed charges		505.8	85			Percent of total billed charges		477.7	85			Percent of total billed charges		477.7	85			Percent of total billed charges		477.7	100			Percent of total billed charges		562	100			Percent of total billed charges		562	100			Percent of total billed charges		562	33.3			Percent of total billed charges		187.146	33.3			Percent of total billed charges		187.146	100			Percent of total billed charges		562	187.146	505.8	
upex locking cort scr 3.5 x 14mm vt3.5 l14	278	RC	Outpatient			562	365.3		90			Percent of total billed charges		505.8	40			Percent of total billed charges		224.8	80			Percent of total billed charges		449.6	90			Percent of total billed charges		505.8	85			Percent of total billed charges		477.7	85			Percent of total billed charges		477.7	85			Percent of total billed charges		477.7	100			Percent of total billed charges		562	100			Percent of total billed charges		562	100			Percent of total billed charges		562	33.3			Percent of total billed charges		187.146	33.3			Percent of total billed charges		187.146	100			Percent of total billed charges		562	187.146	505.8	
xmcp metacarpal reamer 120-01000 extremity med	272	RC	Outpatient			562	365.3		90			Percent of total billed charges		505.8	40			Percent of total billed charges		224.8	80			Percent of total billed charges		449.6	90			Percent of total billed charges		505.8	85			Percent of total billed charges		477.7	85			Percent of total billed charges		477.7	85			Percent of total billed charges		477.7	100			Percent of total billed charges		562	100			Percent of total billed charges		562	100			Percent of total billed charges		562	33.3			Percent of total billed charges		187.146	33.3			Percent of total billed charges		187.146	100			Percent of total billed charges		562	187.146	505.8	
upex cortical scr lck	278	RC	Outpatient			562	365.3		90			Percent of total billed charges		505.8	40			Percent of total billed charges		224.8	80			Percent of total billed charges		449.6	90			Percent of total billed charges		505.8	85			Percent of total billed charges		477.7	85			Percent of total billed charges		477.7	85			Percent of total billed charges		477.7	100			Percent of total billed charges		562	100			Percent of total billed charges		562	100			Percent of total billed charges		562	33.3			Percent of total billed charges		187.146	33.3			Percent of total billed charges		187.146	100			Percent of total billed charges		562	187.146	505.8	
upex locking cort scr 3.5 x 16mm vt3.5 l16	278	RC	Outpatient			562	365.3		90			Percent of total billed charges		505.8	40			Percent of total billed charges		224.8	80			Percent of total billed charges		449.6	90			Percent of total billed charges		505.8	85			Percent of total billed charges		477.7	85			Percent of total billed charges		477.7	85			Percent of total billed charges		477.7	100			Percent of total billed charges		562	100			Percent of total billed charges		562	100			Percent of total billed charges		562	33.3			Percent of total billed charges		187.146	33.3			Percent of total billed charges		187.146	100			Percent of total billed charges		562	187.146	505.8	
upex locking cort scr 3.5 x 18mm vt3.5 l18	278	RC	Outpatient			562	365.3		90			Percent of total billed charges		505.8	40			Percent of total billed charges		224.8	80			Percent of total billed charges		449.6	90			Percent of total billed charges		505.8	85			Percent of total billed charges		477.7	85			Percent of total billed charges		477.7	85			Percent of total billed charges		477.7	100			Percent of total billed charges		562	100			Percent of total billed charges		562	100			Percent of total billed charges		562	33.3			Percent of total billed charges		187.146	33.3			Percent of total billed charges		187.146	100			Percent of total billed charges		562	187.146	505.8	
xmcp mc reamer	272	RC	Outpatient			562	365.3		90			Percent of total billed charges		505.8	40			Percent of total billed charges		224.8	80			Percent of total billed charges		449.6	90			Percent of total billed charges		505.8	85			Percent of total billed charges		477.7	85			Percent of total billed charges		477.7	85			Percent of total billed charges		477.7	100			Percent of total billed charges		562	100			Percent of total billed charges		562	100			Percent of total billed charges		562	33.3			Percent of total billed charges		187.146	33.3			Percent of total billed charges		187.146	100			Percent of total billed charges		562	187.146	505.8	
accord cable f/grip/plate	278	RC	Outpatient			563	365.95		90			Percent of total billed charges		506.7	40			Percent of total billed charges		225.2	80			Percent of total billed charges		450.4	90			Percent of total billed charges		506.7	85			Percent of total billed charges		478.55	85			Percent of total billed charges		478.55	85			Percent of total billed charges		478.55	100			Percent of total billed charges		563	100			Percent of total billed charges		563	100			Percent of total billed charges		563	33.3			Percent of total billed charges		187.479	33.3			Percent of total billed charges		187.479	100			Percent of total billed charges		563	187.479	506.7	
l-plate 1.7 ss-67763 stryker	278	RC	Outpatient			564	366.6		90			Percent of total billed charges		507.6	40			Percent of total billed charges		225.6	80			Percent of total billed charges		451.2	90			Percent of total billed charges		507.6	85			Percent of total billed charges		479.4	85			Percent of total billed charges		479.4	85			Percent of total billed charges		479.4	100			Percent of total billed charges		564	100			Percent of total billed charges		564	100			Percent of total billed charges		564	33.3			Percent of total billed charges		187.812	33.3			Percent of total billed charges		187.812	100			Percent of total billed charges		564	187.812	507.6	
mini fr pl q-tub 5-6 hl	278	RC	Outpatient			564	366.6		90			Percent of total billed charges		507.6	40			Percent of total billed charges		225.6	80			Percent of total billed charges		451.2	90			Percent of total billed charges		507.6	85			Percent of total billed charges		479.4	85			Percent of total billed charges		479.4	85			Percent of total billed charges		479.4	100			Percent of total billed charges		564	100			Percent of total billed charges		564	100			Percent of total billed charges		564	33.3			Percent of total billed charges		187.812	33.3			Percent of total billed charges		187.812	100			Percent of total billed charges		564	187.812	507.6	
l-plate 1.7 ss-67766 stryker	278	RC	Outpatient			564	366.6		90			Percent of total billed charges		507.6	40			Percent of total billed charges		225.6	80			Percent of total billed charges		451.2	90			Percent of total billed charges		507.6	85			Percent of total billed charges		479.4	85			Percent of total billed charges		479.4	85			Percent of total billed charges		479.4	100			Percent of total billed charges		564	100			Percent of total billed charges		564	100			Percent of total billed charges		564	33.3			Percent of total billed charges		187.812	33.3			Percent of total billed charges		187.812	100			Percent of total billed charges		564	187.812	507.6	
quarter-tubular plate w/collar 5 hole 242.05	278	RC	Outpatient			564	366.6		90			Percent of total billed charges		507.6	40			Percent of total billed charges		225.6	80			Percent of total billed charges		451.2	90			Percent of total billed charges		507.6	85			Percent of total billed charges		479.4	85			Percent of total billed charges		479.4	85			Percent of total billed charges		479.4	100			Percent of total billed charges		564	100			Percent of total billed charges		564	100			Percent of total billed charges		564	33.3			Percent of total billed charges		187.812	33.3			Percent of total billed charges		187.812	100			Percent of total billed charges		564	187.812	507.6	
quarter-tubular plate w/collar 6 hole 242.06	278	RC	Outpatient			564	366.6		90			Percent of total billed charges		507.6	40			Percent of total billed charges		225.6	80			Percent of total billed charges		451.2	90			Percent of total billed charges		507.6	85			Percent of total billed charges		479.4	85			Percent of total billed charges		479.4	85			Percent of total billed charges		479.4	100			Percent of total billed charges		564	100			Percent of total billed charges		564	100			Percent of total billed charges		564	33.3			Percent of total billed charges		187.812	33.3			Percent of total billed charges		187.812	100			Percent of total billed charges		564	187.812	507.6	
s/n mini frag plate 5 hole 7114-8005	278	RC	Outpatient			564	366.6		90			Percent of total billed charges		507.6	40			Percent of total billed charges		225.6	80			Percent of total billed charges		451.2	90			Percent of total billed charges		507.6	85			Percent of total billed charges		479.4	85			Percent of total billed charges		479.4	85			Percent of total billed charges		479.4	100			Percent of total billed charges		564	100			Percent of total billed charges		564	100			Percent of total billed charges		564	33.3			Percent of total billed charges		187.812	33.3			Percent of total billed charges		187.812	100			Percent of total billed charges		564	187.812	507.6	
s/n mini frag plate 6 hole 7114-8006	278	RC	Outpatient			564	366.6		90			Percent of total billed charges		507.6	40			Percent of total billed charges		225.6	80			Percent of total billed charges		451.2	90			Percent of total billed charges		507.6	85			Percent of total billed charges		479.4	85			Percent of total billed charges		479.4	85			Percent of total billed charges		479.4	100			Percent of total billed charges		564	100			Percent of total billed charges		564	100			Percent of total billed charges		564	33.3			Percent of total billed charges		187.812	33.3			Percent of total billed charges		187.812	100			Percent of total billed charges		564	187.812	507.6	
stryker 1.7 l plate	278	RC	Outpatient			564	366.6		90			Percent of total billed charges		507.6	40			Percent of total billed charges		225.6	80			Percent of total billed charges		451.2	90			Percent of total billed charges		507.6	85			Percent of total billed charges		479.4	85			Percent of total billed charges		479.4	85			Percent of total billed charges		479.4	100			Percent of total billed charges		564	100			Percent of total billed charges		564	100			Percent of total billed charges		564	33.3			Percent of total billed charges		187.812	33.3			Percent of total billed charges		187.812	100			Percent of total billed charges		564	187.812	507.6	
chemo admin. 5 hours	335	RC	Outpatient			565	367.25		90			Percent of total billed charges		508.5	40			Percent of total billed charges		226	80			Percent of total billed charges		452	90			Percent of total billed charges		508.5	85			Percent of total billed charges		480.25	85			Percent of total billed charges		480.25	85			Percent of total billed charges		480.25	100			Percent of total billed charges		565	100			Percent of total billed charges		565	100			Percent of total billed charges		565	33.3			Percent of total billed charges		188.145	33.3			Percent of total billed charges		188.145	100			Percent of total billed charges		565	188.145	508.5	
drill bit 3.2 x 310mm 703542 stryker	272	RC	Outpatient			565	367.25		90			Percent of total billed charges		508.5	40			Percent of total billed charges		226	80			Percent of total billed charges		452	90			Percent of total billed charges		508.5	85			Percent of total billed charges		480.25	85			Percent of total billed charges		480.25	85			Percent of total billed charges		480.25	100			Percent of total billed charges		565	100			Percent of total billed charges		565	100			Percent of total billed charges		565	33.3			Percent of total billed charges		188.145	33.3			Percent of total billed charges		188.145	100			Percent of total billed charges		565	188.145	508.5	
jet-x 4 hole rancho cube	272	RC	Outpatient			565	367.25		90			Percent of total billed charges		508.5	40			Percent of total billed charges		226	80			Percent of total billed charges		452	90			Percent of total billed charges		508.5	85			Percent of total billed charges		480.25	85			Percent of total billed charges		480.25	85			Percent of total billed charges		480.25	100			Percent of total billed charges		565	100			Percent of total billed charges		565	100			Percent of total billed charges		565	33.3			Percent of total billed charges		188.145	33.3			Percent of total billed charges		188.145	100			Percent of total billed charges		565	188.145	508.5	
s/n 4-hole rancho cube 10-3454	272	RC	Outpatient			565	367.25		90			Percent of total billed charges		508.5	40			Percent of total billed charges		226	80			Percent of total billed charges		452	90			Percent of total billed charges		508.5	85			Percent of total billed charges		480.25	85			Percent of total billed charges		480.25	85			Percent of total billed charges		480.25	100			Percent of total billed charges		565	100			Percent of total billed charges		565	100			Percent of total billed charges		565	33.3			Percent of total billed charges		188.145	33.3			Percent of total billed charges		188.145	100			Percent of total billed charges		565	188.145	508.5	
titanium 6.0 curved soft rod 45mm 498.139 synthes	272	RC	Outpatient			565	367.25		90			Percent of total billed charges		508.5	40			Percent of total billed charges		226	80			Percent of total billed charges		452	90			Percent of total billed charges		508.5	85			Percent of total billed charges		480.25	85			Percent of total billed charges		480.25	85			Percent of total billed charges		480.25	100			Percent of total billed charges		565	100			Percent of total billed charges		565	100			Percent of total billed charges		565	33.3			Percent of total billed charges		188.145	33.3			Percent of total billed charges		188.145	100			Percent of total billed charges		565	188.145	508.5	
titanium 6.0 curved soft rod 65mm 498.141 synthes	272	RC	Outpatient			565	367.25		90			Percent of total billed charges		508.5	40			Percent of total billed charges		226	80			Percent of total billed charges		452	90			Percent of total billed charges		508.5	85			Percent of total billed charges		480.25	85			Percent of total billed charges		480.25	85			Percent of total billed charges		480.25	100			Percent of total billed charges		565	100			Percent of total billed charges		565	100			Percent of total billed charges		565	33.3			Percent of total billed charges		188.145	33.3			Percent of total billed charges		188.145	100			Percent of total billed charges		565	188.145	508.5	
titanium 6.0 curved soft rod 70mm 04.620.170 synthes	272	RC	Outpatient			565	367.25		90			Percent of total billed charges		508.5	40			Percent of total billed charges		226	80			Percent of total billed charges		452	90			Percent of total billed charges		508.5	85			Percent of total billed charges		480.25	85			Percent of total billed charges		480.25	85			Percent of total billed charges		480.25	100			Percent of total billed charges		565	100			Percent of total billed charges		565	100			Percent of total billed charges		565	33.3			Percent of total billed charges		188.145	33.3			Percent of total billed charges		188.145	100			Percent of total billed charges		565	188.145	508.5	
titanium 6.0 curved soft rod 75mm 498.142 synthes	272	RC	Outpatient			565	367.25		90			Percent of total billed charges		508.5	40			Percent of total billed charges		226	80			Percent of total billed charges		452	90			Percent of total billed charges		508.5	85			Percent of total billed charges		480.25	85			Percent of total billed charges		480.25	85			Percent of total billed charges		480.25	100			Percent of total billed charges		565	100			Percent of total billed charges		565	100			Percent of total billed charges		565	33.3			Percent of total billed charges		188.145	33.3			Percent of total billed charges		188.145	100			Percent of total billed charges		565	188.145	508.5	
titanium 6.0 curved soft rod 85mm 498.143 synthes	272	RC	Outpatient			565	367.25		90			Percent of total billed charges		508.5	40			Percent of total billed charges		226	80			Percent of total billed charges		452	90			Percent of total billed charges		508.5	85			Percent of total billed charges		480.25	85			Percent of total billed charges		480.25	85			Percent of total billed charges		480.25	100			Percent of total billed charges		565	100			Percent of total billed charges		565	100			Percent of total billed charges		565	33.3			Percent of total billed charges		188.145	33.3			Percent of total billed charges		188.145	100			Percent of total billed charges		565	188.145	508.5	
stryker drill bit 3.2x310	272	RC	Outpatient			565	367.25		90			Percent of total billed charges		508.5	40			Percent of total billed charges		226	80			Percent of total billed charges		452	90			Percent of total billed charges		508.5	85			Percent of total billed charges		480.25	85			Percent of total billed charges		480.25	85			Percent of total billed charges		480.25	100			Percent of total billed charges		565	100			Percent of total billed charges		565	100			Percent of total billed charges		565	33.3			Percent of total billed charges		188.145	33.3			Percent of total billed charges		188.145	100			Percent of total billed charges		565	188.145	508.5	
synthes 6.0 curve rod	272	RC	Outpatient			565	367.25		90			Percent of total billed charges		508.5	40			Percent of total billed charges		226	80			Percent of total billed charges		452	90			Percent of total billed charges		508.5	85			Percent of total billed charges		480.25	85			Percent of total billed charges		480.25	85			Percent of total billed charges		480.25	100			Percent of total billed charges		565	100			Percent of total billed charges		565	100			Percent of total billed charges		565	33.3			Percent of total billed charges		188.145	33.3			Percent of total billed charges		188.145	100			Percent of total billed charges		565	188.145	508.5	
titanium 6.0 curved soft rod 35mm 04.620.135 synthes	272	RC	Outpatient			565	367.25		90			Percent of total billed charges		508.5	40			Percent of total billed charges		226	80			Percent of total billed charges		452	90			Percent of total billed charges		508.5	85			Percent of total billed charges		480.25	85			Percent of total billed charges		480.25	85			Percent of total billed charges		480.25	100			Percent of total billed charges		565	100			Percent of total billed charges		565	100			Percent of total billed charges		565	33.3			Percent of total billed charges		188.145	33.3			Percent of total billed charges		188.145	100			Percent of total billed charges		565	188.145	508.5	
titanium 6.0 curved soft rod 40mm 04.620.140 synthes	272	RC	Outpatient			565	367.25		90			Percent of total billed charges		508.5	40			Percent of total billed charges		226	80			Percent of total billed charges		452	90			Percent of total billed charges		508.5	85			Percent of total billed charges		480.25	85			Percent of total billed charges		480.25	85			Percent of total billed charges		480.25	100			Percent of total billed charges		565	100			Percent of total billed charges		565	100			Percent of total billed charges		565	33.3			Percent of total billed charges		188.145	33.3			Percent of total billed charges		188.145	100			Percent of total billed charges		565	188.145	508.5	
titanium 6.0 curved soft rod 50mm 04.620.150 synthes	272	RC	Outpatient			565	367.25		90			Percent of total billed charges		508.5	40			Percent of total billed charges		226	80			Percent of total billed charges		452	90			Percent of total billed charges		508.5	85			Percent of total billed charges		480.25	85			Percent of total billed charges		480.25	85			Percent of total billed charges		480.25	100			Percent of total billed charges		565	100			Percent of total billed charges		565	100			Percent of total billed charges		565	33.3			Percent of total billed charges		188.145	33.3			Percent of total billed charges		188.145	100			Percent of total billed charges		565	188.145	508.5	
titanium 6.0 curved soft rod 55mm 498.140 synthes	272	RC	Outpatient			565	367.25		90			Percent of total billed charges		508.5	40			Percent of total billed charges		226	80			Percent of total billed charges		452	90			Percent of total billed charges		508.5	85			Percent of total billed charges		480.25	85			Percent of total billed charges		480.25	85			Percent of total billed charges		480.25	100			Percent of total billed charges		565	100			Percent of total billed charges		565	100			Percent of total billed charges		565	33.3			Percent of total billed charges		188.145	33.3			Percent of total billed charges		188.145	100			Percent of total billed charges		565	188.145	508.5	
titanium 6.0 curved soft rod 60mm 04.620.160 synthes	272	RC	Outpatient			565	367.25		90			Percent of total billed charges		508.5	40			Percent of total billed charges		226	80			Percent of total billed charges		452	90			Percent of total billed charges		508.5	85			Percent of total billed charges		480.25	85			Percent of total billed charges		480.25	85			Percent of total billed charges		480.25	100			Percent of total billed charges		565	100			Percent of total billed charges		565	100			Percent of total billed charges		565	33.3			Percent of total billed charges		188.145	33.3			Percent of total billed charges		188.145	100			Percent of total billed charges		565	188.145	508.5	
titanium 6.0 curved soft rod 80mm 04.620.180 synthes	272	RC	Outpatient			565	367.25		90			Percent of total billed charges		508.5	40			Percent of total billed charges		226	80			Percent of total billed charges		452	90			Percent of total billed charges		508.5	85			Percent of total billed charges		480.25	85			Percent of total billed charges		480.25	85			Percent of total billed charges		480.25	100			Percent of total billed charges		565	100			Percent of total billed charges		565	100			Percent of total billed charges		565	33.3			Percent of total billed charges		188.145	33.3			Percent of total billed charges		188.145	100			Percent of total billed charges		565	188.145	508.5	
acutrak fusion screw	278	RC	Outpatient			566	367.9		90			Percent of total billed charges		509.4	40			Percent of total billed charges		226.4	80			Percent of total billed charges		452.8	90			Percent of total billed charges		509.4	85			Percent of total billed charges		481.1	85			Percent of total billed charges		481.1	85			Percent of total billed charges		481.1	100			Percent of total billed charges		566	100			Percent of total billed charges		566	100			Percent of total billed charges		566	33.3			Percent of total billed charges		188.478	33.3			Percent of total billed charges		188.478	100			Percent of total billed charges		566	188.478	509.4	
imp screw acutrak 27.0mm  atf270	278	RC	Outpatient			566	367.9		90			Percent of total billed charges		509.4	40			Percent of total billed charges		226.4	80			Percent of total billed charges		452.8	90			Percent of total billed charges		509.4	85			Percent of total billed charges		481.1	85			Percent of total billed charges		481.1	85			Percent of total billed charges		481.1	100			Percent of total billed charges		566	100			Percent of total billed charges		566	100			Percent of total billed charges		566	33.3			Percent of total billed charges		188.478	33.3			Percent of total billed charges		188.478	100			Percent of total billed charges		566	188.478	509.4	
imp screw acutrak 37mm  atf370	278	RC	Outpatient			566	367.9		90			Percent of total billed charges		509.4	40			Percent of total billed charges		226.4	80			Percent of total billed charges		452.8	90			Percent of total billed charges		509.4	85			Percent of total billed charges		481.1	85			Percent of total billed charges		481.1	85			Percent of total billed charges		481.1	100			Percent of total billed charges		566	100			Percent of total billed charges		566	100			Percent of total billed charges		566	33.3			Percent of total billed charges		188.478	33.3			Percent of total billed charges		188.478	100			Percent of total billed charges		566	188.478	509.4	
imp screw acutrak fusion 24mm aft240	278	RC	Outpatient			566	367.9		90			Percent of total billed charges		509.4	40			Percent of total billed charges		226.4	80			Percent of total billed charges		452.8	90			Percent of total billed charges		509.4	85			Percent of total billed charges		481.1	85			Percent of total billed charges		481.1	85			Percent of total billed charges		481.1	100			Percent of total billed charges		566	100			Percent of total billed charges		566	100			Percent of total billed charges		566	33.3			Percent of total billed charges		188.478	33.3			Percent of total billed charges		188.478	100			Percent of total billed charges		566	188.478	509.4	
imp screw acutrak fusion 32mm aft320s	278	RC	Outpatient			566	367.9		90			Percent of total billed charges		509.4	40			Percent of total billed charges		226.4	80			Percent of total billed charges		452.8	90			Percent of total billed charges		509.4	85			Percent of total billed charges		481.1	85			Percent of total billed charges		481.1	85			Percent of total billed charges		481.1	100			Percent of total billed charges		566	100			Percent of total billed charges		566	100			Percent of total billed charges		566	33.3			Percent of total billed charges		188.478	33.3			Percent of total billed charges		188.478	100			Percent of total billed charges		566	188.478	509.4	
acorn reamer 10mm 232408 mitek	272	RC	Outpatient			567	368.55		90			Percent of total billed charges		510.3	40			Percent of total billed charges		226.8	80			Percent of total billed charges		453.6	90			Percent of total billed charges		510.3	85			Percent of total billed charges		481.95	85			Percent of total billed charges		481.95	85			Percent of total billed charges		481.95	100			Percent of total billed charges		567	100			Percent of total billed charges		567	100			Percent of total billed charges		567	33.3			Percent of total billed charges		188.811	33.3			Percent of total billed charges		188.811	100			Percent of total billed charges		567	188.811	510.3	
acorn reamer 11.5mm 232411 mitek	272	RC	Outpatient			567	368.55		90			Percent of total billed charges		510.3	40			Percent of total billed charges		226.8	80			Percent of total billed charges		453.6	90			Percent of total billed charges		510.3	85			Percent of total billed charges		481.95	85			Percent of total billed charges		481.95	85			Percent of total billed charges		481.95	100			Percent of total billed charges		567	100			Percent of total billed charges		567	100			Percent of total billed charges		567	33.3			Percent of total billed charges		188.811	33.3			Percent of total billed charges		188.811	100			Percent of total billed charges		567	188.811	510.3	
acorn reamer 11mm 232410 mitek	272	RC	Outpatient			567	368.55		90			Percent of total billed charges		510.3	40			Percent of total billed charges		226.8	80			Percent of total billed charges		453.6	90			Percent of total billed charges		510.3	85			Percent of total billed charges		481.95	85			Percent of total billed charges		481.95	85			Percent of total billed charges		481.95	100			Percent of total billed charges		567	100			Percent of total billed charges		567	100			Percent of total billed charges		567	33.3			Percent of total billed charges		188.811	33.3			Percent of total billed charges		188.811	100			Percent of total billed charges		567	188.811	510.3	
ff reamer 11mm 232423 mitek	272	RC	Outpatient			567	368.55		90			Percent of total billed charges		510.3	40			Percent of total billed charges		226.8	80			Percent of total billed charges		453.6	90			Percent of total billed charges		510.3	85			Percent of total billed charges		481.95	85			Percent of total billed charges		481.95	85			Percent of total billed charges		481.95	100			Percent of total billed charges		567	100			Percent of total billed charges		567	100			Percent of total billed charges		567	33.3			Percent of total billed charges		188.811	33.3			Percent of total billed charges		188.811	100			Percent of total billed charges		567	188.811	510.3	
full fluted reamer 232425 mitek	272	RC	Outpatient			567	368.55		90			Percent of total billed charges		510.3	40			Percent of total billed charges		226.8	80			Percent of total billed charges		453.6	90			Percent of total billed charges		510.3	85			Percent of total billed charges		481.95	85			Percent of total billed charges		481.95	85			Percent of total billed charges		481.95	100			Percent of total billed charges		567	100			Percent of total billed charges		567	100			Percent of total billed charges		567	33.3			Percent of total billed charges		188.811	33.3			Percent of total billed charges		188.811	100			Percent of total billed charges		567	188.811	510.3	
ff reamer 11mm 232422 mitek	272	RC	Outpatient			567	368.55		90			Percent of total billed charges		510.3	40			Percent of total billed charges		226.8	80			Percent of total billed charges		453.6	90			Percent of total billed charges		510.3	85			Percent of total billed charges		481.95	85			Percent of total billed charges		481.95	85			Percent of total billed charges		481.95	100			Percent of total billed charges		567	100			Percent of total billed charges		567	100			Percent of total billed charges		567	33.3			Percent of total billed charges		188.811	33.3			Percent of total billed charges		188.811	100			Percent of total billed charges		567	188.811	510.3	
mitek acorn reamer	272	RC	Outpatient			567	368.55		90			Percent of total billed charges		510.3	40			Percent of total billed charges		226.8	80			Percent of total billed charges		453.6	90			Percent of total billed charges		510.3	85			Percent of total billed charges		481.95	85			Percent of total billed charges		481.95	85			Percent of total billed charges		481.95	100			Percent of total billed charges		567	100			Percent of total billed charges		567	100			Percent of total billed charges		567	33.3			Percent of total billed charges		188.811	33.3			Percent of total billed charges		188.811	100			Percent of total billed charges		567	188.811	510.3	
mitek fully fluted reamer 232421 depuy	272	RC	Outpatient			567	368.55		90			Percent of total billed charges		510.3	40			Percent of total billed charges		226.8	80			Percent of total billed charges		453.6	90			Percent of total billed charges		510.3	85			Percent of total billed charges		481.95	85			Percent of total billed charges		481.95	85			Percent of total billed charges		481.95	100			Percent of total billed charges		567	100			Percent of total billed charges		567	100			Percent of total billed charges		567	33.3			Percent of total billed charges		188.811	33.3			Percent of total billed charges		188.811	100			Percent of total billed charges		567	188.811	510.3	
mitek fluted reamer	272	RC	Outpatient			567	368.55		90			Percent of total billed charges		510.3	40			Percent of total billed charges		226.8	80			Percent of total billed charges		453.6	90			Percent of total billed charges		510.3	85			Percent of total billed charges		481.95	85			Percent of total billed charges		481.95	85			Percent of total billed charges		481.95	100			Percent of total billed charges		567	100			Percent of total billed charges		567	100			Percent of total billed charges		567	33.3			Percent of total billed charges		188.811	33.3			Percent of total billed charges		188.811	100			Percent of total billed charges		567	188.811	510.3	
qfx screw 10mm 71102281s s/n	278	RC	Outpatient			567	368.55		90			Percent of total billed charges		510.3	40			Percent of total billed charges		226.8	80			Percent of total billed charges		453.6	90			Percent of total billed charges		510.3	85			Percent of total billed charges		481.95	85			Percent of total billed charges		481.95	85			Percent of total billed charges		481.95	100			Percent of total billed charges		567	100			Percent of total billed charges		567	100			Percent of total billed charges		567	33.3			Percent of total billed charges		188.811	33.3			Percent of total billed charges		188.811	100			Percent of total billed charges		567	188.811	510.3	
qfx screw 12mm 71102282s s/n	278	RC	Outpatient			567	368.55		90			Percent of total billed charges		510.3	40			Percent of total billed charges		226.8	80			Percent of total billed charges		453.6	90			Percent of total billed charges		510.3	85			Percent of total billed charges		481.95	85			Percent of total billed charges		481.95	85			Percent of total billed charges		481.95	100			Percent of total billed charges		567	100			Percent of total billed charges		567	100			Percent of total billed charges		567	33.3			Percent of total billed charges		188.811	33.3			Percent of total billed charges		188.811	100			Percent of total billed charges		567	188.811	510.3	
qfx screw 14mm 71102283s s/n	278	RC	Outpatient			567	368.55		90			Percent of total billed charges		510.3	40			Percent of total billed charges		226.8	80			Percent of total billed charges		453.6	90			Percent of total billed charges		510.3	85			Percent of total billed charges		481.95	85			Percent of total billed charges		481.95	85			Percent of total billed charges		481.95	100			Percent of total billed charges		567	100			Percent of total billed charges		567	100			Percent of total billed charges		567	33.3			Percent of total billed charges		188.811	33.3			Percent of total billed charges		188.811	100			Percent of total billed charges		567	188.811	510.3	
s/n qfx screw	278	RC	Outpatient			567	368.55		90			Percent of total billed charges		510.3	40			Percent of total billed charges		226.8	80			Percent of total billed charges		453.6	90			Percent of total billed charges		510.3	85			Percent of total billed charges		481.95	85			Percent of total billed charges		481.95	85			Percent of total billed charges		481.95	100			Percent of total billed charges		567	100			Percent of total billed charges		567	100			Percent of total billed charges		567	33.3			Percent of total billed charges		188.811	33.3			Percent of total billed charges		188.811	100			Percent of total billed charges		567	188.811	510.3	
drill bit 3.5 x 180 700353 stryker	272	RC	Outpatient			568	369.2		90			Percent of total billed charges		511.2	40			Percent of total billed charges		227.2	80			Percent of total billed charges		454.4	90			Percent of total billed charges		511.2	85			Percent of total billed charges		482.8	85			Percent of total billed charges		482.8	85			Percent of total billed charges		482.8	100			Percent of total billed charges		568	100			Percent of total billed charges		568	100			Percent of total billed charges		568	33.3			Percent of total billed charges		189.144	33.3			Percent of total billed charges		189.144	100			Percent of total billed charges		568	189.144	511.2	
room/bed: private deluxe	110	RC	Outpatient			568	369.2		90			Percent of total billed charges		511.2	40			Percent of total billed charges		227.2	80			Percent of total billed charges		454.4	90			Percent of total billed charges		511.2	85			Percent of total billed charges		482.8	85			Percent of total billed charges		482.8	85			Percent of total billed charges		482.8	100			Percent of total billed charges		568	100			Percent of total billed charges		568	100			Percent of total billed charges		568	33.3			Percent of total billed charges		189.144	33.3			Percent of total billed charges		189.144	100			Percent of total billed charges		568	189.144	511.2	
room/bed: obstetrics	110	RC	Outpatient			568	369.2		90			Percent of total billed charges		511.2	40			Percent of total billed charges		227.2	80			Percent of total billed charges		454.4	90			Percent of total billed charges		511.2	85			Percent of total billed charges		482.8	85			Percent of total billed charges		482.8	85			Percent of total billed charges		482.8	100			Percent of total billed charges		568	100			Percent of total billed charges		568	100			Percent of total billed charges		568	33.3			Percent of total billed charges		189.144	33.3			Percent of total billed charges		189.144	100			Percent of total billed charges		568	189.144	511.2	
stryker drill bit 3.5	272	RC	Outpatient			568	369.2		90			Percent of total billed charges		511.2	40			Percent of total billed charges		227.2	80			Percent of total billed charges		454.4	90			Percent of total billed charges		511.2	85			Percent of total billed charges		482.8	85			Percent of total billed charges		482.8	85			Percent of total billed charges		482.8	100			Percent of total billed charges		568	100			Percent of total billed charges		568	100			Percent of total billed charges		568	33.3			Percent of total billed charges		189.144	33.3			Percent of total billed charges		189.144	100			Percent of total billed charges		568	189.144	511.2	
ultratine forehead 3.0	278	RC	Outpatient			568	369.2		90			Percent of total billed charges		511.2	40			Percent of total billed charges		227.2	80			Percent of total billed charges		454.4	90			Percent of total billed charges		511.2	85			Percent of total billed charges		482.8	85			Percent of total billed charges		482.8	85			Percent of total billed charges		482.8	100			Percent of total billed charges		568	100			Percent of total billed charges		568	100			Percent of total billed charges		568	33.3			Percent of total billed charges		189.144	33.3			Percent of total billed charges		189.144	100			Percent of total billed charges		568	189.144	511.2	
ultratine forehead 3.0 23202 microaire	278	RC	Outpatient			568	369.2		90			Percent of total billed charges		511.2	40			Percent of total billed charges		227.2	80			Percent of total billed charges		454.4	90			Percent of total billed charges		511.2	85			Percent of total billed charges		482.8	85			Percent of total billed charges		482.8	85			Percent of total billed charges		482.8	100			Percent of total billed charges		568	100			Percent of total billed charges		568	100			Percent of total billed charges		568	33.3			Percent of total billed charges		189.144	33.3			Percent of total billed charges		189.144	100			Percent of total billed charges		568	189.144	511.2	
balloon distention oms-pdbs2	270	RC	Outpatient			569	369.85		90			Percent of total billed charges		512.1	40			Percent of total billed charges		227.6	80			Percent of total billed charges		455.2	90			Percent of total billed charges		512.1	85			Percent of total billed charges		483.65	85			Percent of total billed charges		483.65	85			Percent of total billed charges		483.65	100			Percent of total billed charges		569	100			Percent of total billed charges		569	100			Percent of total billed charges		569	33.3			Percent of total billed charges		189.477	33.3			Percent of total billed charges		189.477	100			Percent of total billed charges		569	189.477	512.1	
balloon trocar	270	RC	Outpatient			569	369.85		90			Percent of total billed charges		512.1	40			Percent of total billed charges		227.6	80			Percent of total billed charges		455.2	90			Percent of total billed charges		512.1	85			Percent of total billed charges		483.65	85			Percent of total billed charges		483.65	85			Percent of total billed charges		483.65	100			Percent of total billed charges		569	100			Percent of total billed charges		569	100			Percent of total billed charges		569	33.3			Percent of total billed charges		189.477	33.3			Percent of total billed charges		189.477	100			Percent of total billed charges		569	189.477	512.1	
endo biliary stent exchange	360	RC	Outpatient			569	369.85		90			Percent of total billed charges		512.1	40			Percent of total billed charges		227.6	80			Percent of total billed charges		455.2	90			Percent of total billed charges		512.1	85			Percent of total billed charges		483.65	85			Percent of total billed charges		483.65	85			Percent of total billed charges		483.65	100			Percent of total billed charges		569	100			Percent of total billed charges		569	100			Percent of total billed charges		569	33.3			Percent of total billed charges		189.477	33.3			Percent of total billed charges		189.477	100			Percent of total billed charges		569	189.477	512.1	
bending template small 5 hole 7117-1005 s/n	272	RC	Outpatient			570	370.5		90			Percent of total billed charges		513	40			Percent of total billed charges		228	80			Percent of total billed charges		456	90			Percent of total billed charges		513	85			Percent of total billed charges		484.5	85			Percent of total billed charges		484.5	85			Percent of total billed charges		484.5	100			Percent of total billed charges		570	100			Percent of total billed charges		570	100			Percent of total billed charges		570	33.3			Percent of total billed charges		189.81	33.3			Percent of total billed charges		189.81	100			Percent of total billed charges		570	189.81	513	
bending template small 7 hole 7117-1007 s/n	272	RC	Outpatient			570	370.5		90			Percent of total billed charges		513	40			Percent of total billed charges		228	80			Percent of total billed charges		456	90			Percent of total billed charges		513	85			Percent of total billed charges		484.5	85			Percent of total billed charges		484.5	85			Percent of total billed charges		484.5	100			Percent of total billed charges		570	100			Percent of total billed charges		570	100			Percent of total billed charges		570	33.3			Percent of total billed charges		189.81	33.3			Percent of total billed charges		189.81	100			Percent of total billed charges		570	189.81	513	
bending template small 9 hole 7117-1009 s/n	272	RC	Outpatient			570	370.5		90			Percent of total billed charges		513	40			Percent of total billed charges		228	80			Percent of total billed charges		456	90			Percent of total billed charges		513	85			Percent of total billed charges		484.5	85			Percent of total billed charges		484.5	85			Percent of total billed charges		484.5	100			Percent of total billed charges		570	100			Percent of total billed charges		570	100			Percent of total billed charges		570	33.3			Percent of total billed charges		189.81	33.3			Percent of total billed charges		189.81	100			Percent of total billed charges		570	189.81	513	
s/n bending template smll	272	RC	Outpatient			570	370.5		90			Percent of total billed charges		513	40			Percent of total billed charges		228	80			Percent of total billed charges		456	90			Percent of total billed charges		513	85			Percent of total billed charges		484.5	85			Percent of total billed charges		484.5	85			Percent of total billed charges		484.5	100			Percent of total billed charges		570	100			Percent of total billed charges		570	100			Percent of total billed charges		570	33.3			Percent of total billed charges		189.81	33.3			Percent of total billed charges		189.81	100			Percent of total billed charges		570	189.81	513	
drill bit 3.1 702742 stryker	272	RC	Outpatient			571	371.15		90			Percent of total billed charges		513.9	40			Percent of total billed charges		228.4	80			Percent of total billed charges		456.8	90			Percent of total billed charges		513.9	85			Percent of total billed charges		485.35	85			Percent of total billed charges		485.35	85			Percent of total billed charges		485.35	100			Percent of total billed charges		571	100			Percent of total billed charges		571	100			Percent of total billed charges		571	33.3			Percent of total billed charges		190.143	33.3			Percent of total billed charges		190.143	100			Percent of total billed charges		571	190.143	513.9	
drill bit 3.1 703585 stryker	272	RC	Outpatient			571	371.15		90			Percent of total billed charges		513.9	40			Percent of total billed charges		228.4	80			Percent of total billed charges		456.8	90			Percent of total billed charges		513.9	85			Percent of total billed charges		485.35	85			Percent of total billed charges		485.35	85			Percent of total billed charges		485.35	100			Percent of total billed charges		571	100			Percent of total billed charges		571	100			Percent of total billed charges		571	33.3			Percent of total billed charges		190.143	33.3			Percent of total billed charges		190.143	100			Percent of total billed charges		571	190.143	513.9	
locking screw t2 5.0 x 25mm 1896-5025s stryker	278	RC	Outpatient			571	371.15		90			Percent of total billed charges		513.9	40			Percent of total billed charges		228.4	80			Percent of total billed charges		456.8	90			Percent of total billed charges		513.9	85			Percent of total billed charges		485.35	85			Percent of total billed charges		485.35	85			Percent of total billed charges		485.35	100			Percent of total billed charges		571	100			Percent of total billed charges		571	100			Percent of total billed charges		571	33.3			Percent of total billed charges		190.143	33.3			Percent of total billed charges		190.143	100			Percent of total billed charges		571	190.143	513.9	
locking screw t2 5.0 x 30mm 1896-5030s stryker	278	RC	Outpatient			571	371.15		90			Percent of total billed charges		513.9	40			Percent of total billed charges		228.4	80			Percent of total billed charges		456.8	90			Percent of total billed charges		513.9	85			Percent of total billed charges		485.35	85			Percent of total billed charges		485.35	85			Percent of total billed charges		485.35	100			Percent of total billed charges		571	100			Percent of total billed charges		571	100			Percent of total billed charges		571	33.3			Percent of total billed charges		190.143	33.3			Percent of total billed charges		190.143	100			Percent of total billed charges		571	190.143	513.9	
locking screw t2 5.0 x 32mm 1896-5032s stryker	278	RC	Outpatient			571	371.15		90			Percent of total billed charges		513.9	40			Percent of total billed charges		228.4	80			Percent of total billed charges		456.8	90			Percent of total billed charges		513.9	85			Percent of total billed charges		485.35	85			Percent of total billed charges		485.35	85			Percent of total billed charges		485.35	100			Percent of total billed charges		571	100			Percent of total billed charges		571	100			Percent of total billed charges		571	33.3			Percent of total billed charges		190.143	33.3			Percent of total billed charges		190.143	100			Percent of total billed charges		571	190.143	513.9	
locking screw t2 5.0 x 40mm 1896-5040s stryker	278	RC	Outpatient			571	371.15		90			Percent of total billed charges		513.9	40			Percent of total billed charges		228.4	80			Percent of total billed charges		456.8	90			Percent of total billed charges		513.9	85			Percent of total billed charges		485.35	85			Percent of total billed charges		485.35	85			Percent of total billed charges		485.35	100			Percent of total billed charges		571	100			Percent of total billed charges		571	100			Percent of total billed charges		571	33.3			Percent of total billed charges		190.143	33.3			Percent of total billed charges		190.143	100			Percent of total billed charges		571	190.143	513.9	
locking screw t2 5.0 x 42mm 1896-5042s stryker	278	RC	Outpatient			571	371.15		90			Percent of total billed charges		513.9	40			Percent of total billed charges		228.4	80			Percent of total billed charges		456.8	90			Percent of total billed charges		513.9	85			Percent of total billed charges		485.35	85			Percent of total billed charges		485.35	85			Percent of total billed charges		485.35	100			Percent of total billed charges		571	100			Percent of total billed charges		571	100			Percent of total billed charges		571	33.3			Percent of total billed charges		190.143	33.3			Percent of total billed charges		190.143	100			Percent of total billed charges		571	190.143	513.9	
locking screw t2 5.0 x 45mm 1896-5045s stryker	278	RC	Outpatient			571	371.15		90			Percent of total billed charges		513.9	40			Percent of total billed charges		228.4	80			Percent of total billed charges		456.8	90			Percent of total billed charges		513.9	85			Percent of total billed charges		485.35	85			Percent of total billed charges		485.35	85			Percent of total billed charges		485.35	100			Percent of total billed charges		571	100			Percent of total billed charges		571	100			Percent of total billed charges		571	33.3			Percent of total billed charges		190.143	33.3			Percent of total billed charges		190.143	100			Percent of total billed charges		571	190.143	513.9	
locking screw t2 5.0 x 47.5mm 1896-5047s stryker	278	RC	Outpatient			571	371.15		90			Percent of total billed charges		513.9	40			Percent of total billed charges		228.4	80			Percent of total billed charges		456.8	90			Percent of total billed charges		513.9	85			Percent of total billed charges		485.35	85			Percent of total billed charges		485.35	85			Percent of total billed charges		485.35	100			Percent of total billed charges		571	100			Percent of total billed charges		571	100			Percent of total billed charges		571	33.3			Percent of total billed charges		190.143	33.3			Percent of total billed charges		190.143	100			Percent of total billed charges		571	190.143	513.9	
locking screw t2 5.0 x 55mm 1896-5055s stryker	278	RC	Outpatient			571	371.15		90			Percent of total billed charges		513.9	40			Percent of total billed charges		228.4	80			Percent of total billed charges		456.8	90			Percent of total billed charges		513.9	85			Percent of total billed charges		485.35	85			Percent of total billed charges		485.35	85			Percent of total billed charges		485.35	100			Percent of total billed charges		571	100			Percent of total billed charges		571	100			Percent of total billed charges		571	33.3			Percent of total billed charges		190.143	33.3			Percent of total billed charges		190.143	100			Percent of total billed charges		571	190.143	513.9	
locking screw t2 5.0 x 70mm 1896-5070s stryker	278	RC	Outpatient			571	371.15		90			Percent of total billed charges		513.9	40			Percent of total billed charges		228.4	80			Percent of total billed charges		456.8	90			Percent of total billed charges		513.9	85			Percent of total billed charges		485.35	85			Percent of total billed charges		485.35	85			Percent of total billed charges		485.35	100			Percent of total billed charges		571	100			Percent of total billed charges		571	100			Percent of total billed charges		571	33.3			Percent of total billed charges		190.143	33.3			Percent of total billed charges		190.143	100			Percent of total billed charges		571	190.143	513.9	
locking screw t2 5.0 x 80mm 1896-5080s stryker	278	RC	Outpatient			571	371.15		90			Percent of total billed charges		513.9	40			Percent of total billed charges		228.4	80			Percent of total billed charges		456.8	90			Percent of total billed charges		513.9	85			Percent of total billed charges		485.35	85			Percent of total billed charges		485.35	85			Percent of total billed charges		485.35	100			Percent of total billed charges		571	100			Percent of total billed charges		571	100			Percent of total billed charges		571	33.3			Percent of total billed charges		190.143	33.3			Percent of total billed charges		190.143	100			Percent of total billed charges		571	190.143	513.9	
locking screw t2 5.0 x 90mm 1896-5090s stryker	278	RC	Outpatient			571	371.15		90			Percent of total billed charges		513.9	40			Percent of total billed charges		228.4	80			Percent of total billed charges		456.8	90			Percent of total billed charges		513.9	85			Percent of total billed charges		485.35	85			Percent of total billed charges		485.35	85			Percent of total billed charges		485.35	100			Percent of total billed charges		571	100			Percent of total billed charges		571	100			Percent of total billed charges		571	33.3			Percent of total billed charges		190.143	33.3			Percent of total billed charges		190.143	100			Percent of total billed charges		571	190.143	513.9	
locking screw t2 5.0 x 100mm 1896-5100s stryker	278	RC	Outpatient			571	371.15		90			Percent of total billed charges		513.9	40			Percent of total billed charges		228.4	80			Percent of total billed charges		456.8	90			Percent of total billed charges		513.9	85			Percent of total billed charges		485.35	85			Percent of total billed charges		485.35	85			Percent of total billed charges		485.35	100			Percent of total billed charges		571	100			Percent of total billed charges		571	100			Percent of total billed charges		571	33.3			Percent of total billed charges		190.143	33.3			Percent of total billed charges		190.143	100			Percent of total billed charges		571	190.143	513.9	
locking screw t2 5.0 x 27mm 1896-5027s stryker	278	RC	Outpatient			571	371.15		90			Percent of total billed charges		513.9	40			Percent of total billed charges		228.4	80			Percent of total billed charges		456.8	90			Percent of total billed charges		513.9	85			Percent of total billed charges		485.35	85			Percent of total billed charges		485.35	85			Percent of total billed charges		485.35	100			Percent of total billed charges		571	100			Percent of total billed charges		571	100			Percent of total billed charges		571	33.3			Percent of total billed charges		190.143	33.3			Percent of total billed charges		190.143	100			Percent of total billed charges		571	190.143	513.9	
locking screw t2 5.0 x 35mm 1896-5035s stryker	278	RC	Outpatient			571	371.15		90			Percent of total billed charges		513.9	40			Percent of total billed charges		228.4	80			Percent of total billed charges		456.8	90			Percent of total billed charges		513.9	85			Percent of total billed charges		485.35	85			Percent of total billed charges		485.35	85			Percent of total billed charges		485.35	100			Percent of total billed charges		571	100			Percent of total billed charges		571	100			Percent of total billed charges		571	33.3			Percent of total billed charges		190.143	33.3			Percent of total billed charges		190.143	100			Percent of total billed charges		571	190.143	513.9	
locking screw t2 5.0 x 37mm 1896-5037s stryker	278	RC	Outpatient			571	371.15		90			Percent of total billed charges		513.9	40			Percent of total billed charges		228.4	80			Percent of total billed charges		456.8	90			Percent of total billed charges		513.9	85			Percent of total billed charges		485.35	85			Percent of total billed charges		485.35	85			Percent of total billed charges		485.35	100			Percent of total billed charges		571	100			Percent of total billed charges		571	100			Percent of total billed charges		571	33.3			Percent of total billed charges		190.143	33.3			Percent of total billed charges		190.143	100			Percent of total billed charges		571	190.143	513.9	
locking screw t2 5.0 x 50mm 1896-5050s stryker	278	RC	Outpatient			571	371.15		90			Percent of total billed charges		513.9	40			Percent of total billed charges		228.4	80			Percent of total billed charges		456.8	90			Percent of total billed charges		513.9	85			Percent of total billed charges		485.35	85			Percent of total billed charges		485.35	85			Percent of total billed charges		485.35	100			Percent of total billed charges		571	100			Percent of total billed charges		571	100			Percent of total billed charges		571	33.3			Percent of total billed charges		190.143	33.3			Percent of total billed charges		190.143	100			Percent of total billed charges		571	190.143	513.9	
locking screw t2 5.0 x 52.5mm 1896-5052s stryker	278	RC	Outpatient			571	371.15		90			Percent of total billed charges		513.9	40			Percent of total billed charges		228.4	80			Percent of total billed charges		456.8	90			Percent of total billed charges		513.9	85			Percent of total billed charges		485.35	85			Percent of total billed charges		485.35	85			Percent of total billed charges		485.35	100			Percent of total billed charges		571	100			Percent of total billed charges		571	100			Percent of total billed charges		571	33.3			Percent of total billed charges		190.143	33.3			Percent of total billed charges		190.143	100			Percent of total billed charges		571	190.143	513.9	
locking screw t2 5.0 x 57mm 1896-5057s stryker	278	RC	Outpatient			571	371.15		90			Percent of total billed charges		513.9	40			Percent of total billed charges		228.4	80			Percent of total billed charges		456.8	90			Percent of total billed charges		513.9	85			Percent of total billed charges		485.35	85			Percent of total billed charges		485.35	85			Percent of total billed charges		485.35	100			Percent of total billed charges		571	100			Percent of total billed charges		571	100			Percent of total billed charges		571	33.3			Percent of total billed charges		190.143	33.3			Percent of total billed charges		190.143	100			Percent of total billed charges		571	190.143	513.9	
locking screw t2 5.0 x 60mm 1896-5060s stryker	278	RC	Outpatient			571	371.15		90			Percent of total billed charges		513.9	40			Percent of total billed charges		228.4	80			Percent of total billed charges		456.8	90			Percent of total billed charges		513.9	85			Percent of total billed charges		485.35	85			Percent of total billed charges		485.35	85			Percent of total billed charges		485.35	100			Percent of total billed charges		571	100			Percent of total billed charges		571	100			Percent of total billed charges		571	33.3			Percent of total billed charges		190.143	33.3			Percent of total billed charges		190.143	100			Percent of total billed charges		571	190.143	513.9	
locking screw t2 5.0 x 65mm 1896-5065s stryker	278	RC	Outpatient			571	371.15		90			Percent of total billed charges		513.9	40			Percent of total billed charges		228.4	80			Percent of total billed charges		456.8	90			Percent of total billed charges		513.9	85			Percent of total billed charges		485.35	85			Percent of total billed charges		485.35	85			Percent of total billed charges		485.35	100			Percent of total billed charges		571	100			Percent of total billed charges		571	100			Percent of total billed charges		571	33.3			Percent of total billed charges		190.143	33.3			Percent of total billed charges		190.143	100			Percent of total billed charges		571	190.143	513.9	
locking screw t2 5.0 x 75mm 1896-5075s stryker	278	RC	Outpatient			571	371.15		90			Percent of total billed charges		513.9	40			Percent of total billed charges		228.4	80			Percent of total billed charges		456.8	90			Percent of total billed charges		513.9	85			Percent of total billed charges		485.35	85			Percent of total billed charges		485.35	85			Percent of total billed charges		485.35	100			Percent of total billed charges		571	100			Percent of total billed charges		571	100			Percent of total billed charges		571	33.3			Percent of total billed charges		190.143	33.3			Percent of total billed charges		190.143	100			Percent of total billed charges		571	190.143	513.9	
locking screw t2 5.0 x 85mm 1896-5085s stryker	278	RC	Outpatient			571	371.15		90			Percent of total billed charges		513.9	40			Percent of total billed charges		228.4	80			Percent of total billed charges		456.8	90			Percent of total billed charges		513.9	85			Percent of total billed charges		485.35	85			Percent of total billed charges		485.35	85			Percent of total billed charges		485.35	100			Percent of total billed charges		571	100			Percent of total billed charges		571	100			Percent of total billed charges		571	33.3			Percent of total billed charges		190.143	33.3			Percent of total billed charges		190.143	100			Percent of total billed charges		571	190.143	513.9	
stryker drill bit 3.1	272	RC	Outpatient			571	371.15		90			Percent of total billed charges		513.9	40			Percent of total billed charges		228.4	80			Percent of total billed charges		456.8	90			Percent of total billed charges		513.9	85			Percent of total billed charges		485.35	85			Percent of total billed charges		485.35	85			Percent of total billed charges		485.35	100			Percent of total billed charges		571	100			Percent of total billed charges		571	100			Percent of total billed charges		571	33.3			Percent of total billed charges		190.143	33.3			Percent of total billed charges		190.143	100			Percent of total billed charges		571	190.143	513.9	
stryker screw 5.0 lck t2	278	RC	Outpatient			571	371.15		90			Percent of total billed charges		513.9	40			Percent of total billed charges		228.4	80			Percent of total billed charges		456.8	90			Percent of total billed charges		513.9	85			Percent of total billed charges		485.35	85			Percent of total billed charges		485.35	85			Percent of total billed charges		485.35	100			Percent of total billed charges		571	100			Percent of total billed charges		571	100			Percent of total billed charges		571	33.3			Percent of total billed charges		190.143	33.3			Percent of total billed charges		190.143	100			Percent of total billed charges		571	190.143	513.9	
ta 45 4.8 stapler ta4548s ussc	270	RC	Outpatient			571	371.15		90			Percent of total billed charges		513.9	40			Percent of total billed charges		228.4	80			Percent of total billed charges		456.8	90			Percent of total billed charges		513.9	85			Percent of total billed charges		485.35	85			Percent of total billed charges		485.35	85			Percent of total billed charges		485.35	100			Percent of total billed charges		571	100			Percent of total billed charges		571	100			Percent of total billed charges		571	33.3			Percent of total billed charges		190.143	33.3			Percent of total billed charges		190.143	100			Percent of total billed charges		571	190.143	513.9	
ta stapler w/ dts 45mm- 3.5mm ta4535s covidien	270	RC	Outpatient			571	371.15		90			Percent of total billed charges		513.9	40			Percent of total billed charges		228.4	80			Percent of total billed charges		456.8	90			Percent of total billed charges		513.9	85			Percent of total billed charges		485.35	85			Percent of total billed charges		485.35	85			Percent of total billed charges		485.35	100			Percent of total billed charges		571	100			Percent of total billed charges		571	100			Percent of total billed charges		571	33.3			Percent of total billed charges		190.143	33.3			Percent of total billed charges		190.143	100			Percent of total billed charges		571	190.143	513.9	
stapler ta45	270	RC	Outpatient			571	371.15		90			Percent of total billed charges		513.9	40			Percent of total billed charges		228.4	80			Percent of total billed charges		456.8	90			Percent of total billed charges		513.9	85			Percent of total billed charges		485.35	85			Percent of total billed charges		485.35	85			Percent of total billed charges		485.35	100			Percent of total billed charges		571	100			Percent of total billed charges		571	100			Percent of total billed charges		571	33.3			Percent of total billed charges		190.143	33.3			Percent of total billed charges		190.143	100			Percent of total billed charges		571	190.143	513.9	
acutrak mini fix scr	278	RC	Outpatient			572	371.8		90			Percent of total billed charges		514.8	40			Percent of total billed charges		228.8	80			Percent of total billed charges		457.6	90			Percent of total billed charges		514.8	85			Percent of total billed charges		486.2	85			Percent of total billed charges		486.2	85			Percent of total billed charges		486.2	100			Percent of total billed charges		572	100			Percent of total billed charges		572	100			Percent of total billed charges		572	33.3			Percent of total billed charges		190.476	33.3			Percent of total billed charges		190.476	100			Percent of total billed charges		572	190.476	514.8	
arthrotek screw anchor 3mm size 2 902570 biomet sports med	278	RC	Outpatient			572	371.8		90			Percent of total billed charges		514.8	40			Percent of total billed charges		228.8	80			Percent of total billed charges		457.6	90			Percent of total billed charges		514.8	85			Percent of total billed charges		486.2	85			Percent of total billed charges		486.2	85			Percent of total billed charges		486.2	100			Percent of total billed charges		572	100			Percent of total billed charges		572	100			Percent of total billed charges		572	33.3			Percent of total billed charges		190.476	33.3			Percent of total billed charges		190.476	100			Percent of total billed charges		572	190.476	514.8	
arthrotek screw anchor	278	RC	Outpatient			572	371.8		90			Percent of total billed charges		514.8	40			Percent of total billed charges		228.8	80			Percent of total billed charges		457.6	90			Percent of total billed charges		514.8	85			Percent of total billed charges		486.2	85			Percent of total billed charges		486.2	85			Percent of total billed charges		486.2	100			Percent of total billed charges		572	100			Percent of total billed charges		572	100			Percent of total billed charges		572	33.3			Percent of total billed charges		190.476	33.3			Percent of total billed charges		190.476	100			Percent of total billed charges		572	190.476	514.8	
mini-acutrak fixation screw 12.0 mm atm 120	278	RC	Outpatient			572	371.8		90			Percent of total billed charges		514.8	40			Percent of total billed charges		228.8	80			Percent of total billed charges		457.6	90			Percent of total billed charges		514.8	85			Percent of total billed charges		486.2	85			Percent of total billed charges		486.2	85			Percent of total billed charges		486.2	100			Percent of total billed charges		572	100			Percent of total billed charges		572	100			Percent of total billed charges		572	33.3			Percent of total billed charges		190.476	33.3			Percent of total billed charges		190.476	100			Percent of total billed charges		572	190.476	514.8	
mini-acutrak fixation screw 14.0mm atm 140	278	RC	Outpatient			572	371.8		90			Percent of total billed charges		514.8	40			Percent of total billed charges		228.8	80			Percent of total billed charges		457.6	90			Percent of total billed charges		514.8	85			Percent of total billed charges		486.2	85			Percent of total billed charges		486.2	85			Percent of total billed charges		486.2	100			Percent of total billed charges		572	100			Percent of total billed charges		572	100			Percent of total billed charges		572	33.3			Percent of total billed charges		190.476	33.3			Percent of total billed charges		190.476	100			Percent of total billed charges		572	190.476	514.8	
mini-acutrak fixation screw 18.0mm atm 180	278	RC	Outpatient			572	371.8		90			Percent of total billed charges		514.8	40			Percent of total billed charges		228.8	80			Percent of total billed charges		457.6	90			Percent of total billed charges		514.8	85			Percent of total billed charges		486.2	85			Percent of total billed charges		486.2	85			Percent of total billed charges		486.2	100			Percent of total billed charges		572	100			Percent of total billed charges		572	100			Percent of total billed charges		572	33.3			Percent of total billed charges		190.476	33.3			Percent of total billed charges		190.476	100			Percent of total billed charges		572	190.476	514.8	
mini-acutrak fixation screw 20.0mm atm 200	278	RC	Outpatient			572	371.8		90			Percent of total billed charges		514.8	40			Percent of total billed charges		228.8	80			Percent of total billed charges		457.6	90			Percent of total billed charges		514.8	85			Percent of total billed charges		486.2	85			Percent of total billed charges		486.2	85			Percent of total billed charges		486.2	100			Percent of total billed charges		572	100			Percent of total billed charges		572	100			Percent of total billed charges		572	33.3			Percent of total billed charges		190.476	33.3			Percent of total billed charges		190.476	100			Percent of total billed charges		572	190.476	514.8	
mini-acutrak fixation screw 10.0mm atm 100	278	RC	Outpatient			572	371.8		90			Percent of total billed charges		514.8	40			Percent of total billed charges		228.8	80			Percent of total billed charges		457.6	90			Percent of total billed charges		514.8	85			Percent of total billed charges		486.2	85			Percent of total billed charges		486.2	85			Percent of total billed charges		486.2	100			Percent of total billed charges		572	100			Percent of total billed charges		572	100			Percent of total billed charges		572	33.3			Percent of total billed charges		190.476	33.3			Percent of total billed charges		190.476	100			Percent of total billed charges		572	190.476	514.8	
mini-acutrak fixation screw 16.0mm atm 160	278	RC	Outpatient			572	371.8		90			Percent of total billed charges		514.8	40			Percent of total billed charges		228.8	80			Percent of total billed charges		457.6	90			Percent of total billed charges		514.8	85			Percent of total billed charges		486.2	85			Percent of total billed charges		486.2	85			Percent of total billed charges		486.2	100			Percent of total billed charges		572	100			Percent of total billed charges		572	100			Percent of total billed charges		572	33.3			Percent of total billed charges		190.476	33.3			Percent of total billed charges		190.476	100			Percent of total billed charges		572	190.476	514.8	
mini-acutrak fixation screw 22.0mm atm 220	278	RC	Outpatient			572	371.8		90			Percent of total billed charges		514.8	40			Percent of total billed charges		228.8	80			Percent of total billed charges		457.6	90			Percent of total billed charges		514.8	85			Percent of total billed charges		486.2	85			Percent of total billed charges		486.2	85			Percent of total billed charges		486.2	100			Percent of total billed charges		572	100			Percent of total billed charges		572	100			Percent of total billed charges		572	33.3			Percent of total billed charges		190.476	33.3			Percent of total billed charges		190.476	100			Percent of total billed charges		572	190.476	514.8	
mini-acutrak fixation screw 24.0mm atm 240	278	RC	Outpatient			572	371.8		90			Percent of total billed charges		514.8	40			Percent of total billed charges		228.8	80			Percent of total billed charges		457.6	90			Percent of total billed charges		514.8	85			Percent of total billed charges		486.2	85			Percent of total billed charges		486.2	85			Percent of total billed charges		486.2	100			Percent of total billed charges		572	100			Percent of total billed charges		572	100			Percent of total billed charges		572	33.3			Percent of total billed charges		190.476	33.3			Percent of total billed charges		190.476	100			Percent of total billed charges		572	190.476	514.8	
mini-acutrak fixation screw 26.0mm atm 260	278	RC	Outpatient			572	371.8		90			Percent of total billed charges		514.8	40			Percent of total billed charges		228.8	80			Percent of total billed charges		457.6	90			Percent of total billed charges		514.8	85			Percent of total billed charges		486.2	85			Percent of total billed charges		486.2	85			Percent of total billed charges		486.2	100			Percent of total billed charges		572	100			Percent of total billed charges		572	100			Percent of total billed charges		572	33.3			Percent of total billed charges		190.476	33.3			Percent of total billed charges		190.476	100			Percent of total billed charges		572	190.476	514.8	
stonetone papillotone	270	RC	Outpatient			572	371.8		90			Percent of total billed charges		514.8	40			Percent of total billed charges		228.8	80			Percent of total billed charges		457.6	90			Percent of total billed charges		514.8	85			Percent of total billed charges		486.2	85			Percent of total billed charges		486.2	85			Percent of total billed charges		486.2	100			Percent of total billed charges		572	100			Percent of total billed charges		572	100			Percent of total billed charges		572	33.3			Percent of total billed charges		190.476	33.3			Percent of total billed charges		190.476	100			Percent of total billed charges		572	190.476	514.8	
ti screw anchor 5mm 902571 arthrotek biomet sports med	278	RC	Outpatient			572	371.8		90			Percent of total billed charges		514.8	40			Percent of total billed charges		228.8	80			Percent of total billed charges		457.6	90			Percent of total billed charges		514.8	85			Percent of total billed charges		486.2	85			Percent of total billed charges		486.2	85			Percent of total billed charges		486.2	100			Percent of total billed charges		572	100			Percent of total billed charges		572	100			Percent of total billed charges		572	33.3			Percent of total billed charges		190.476	33.3			Percent of total billed charges		190.476	100			Percent of total billed charges		572	190.476	514.8	
blade hs curved 5mm hc325	270	RC	Outpatient			573	372.45		90			Percent of total billed charges		515.7	40			Percent of total billed charges		229.2	80			Percent of total billed charges		458.4	90			Percent of total billed charges		515.7	85			Percent of total billed charges		487.05	85			Percent of total billed charges		487.05	85			Percent of total billed charges		487.05	100			Percent of total billed charges		573	100			Percent of total billed charges		573	100			Percent of total billed charges		573	33.3			Percent of total billed charges		190.809	33.3			Percent of total billed charges		190.809	100			Percent of total billed charges		573	190.809	515.7	
click'x locking cap	278	RC	Outpatient			573	372.45		90			Percent of total billed charges		515.7	40			Percent of total billed charges		229.2	80			Percent of total billed charges		458.4	90			Percent of total billed charges		515.7	85			Percent of total billed charges		487.05	85			Percent of total billed charges		487.05	85			Percent of total billed charges		487.05	100			Percent of total billed charges		573	100			Percent of total billed charges		573	100			Percent of total billed charges		573	33.3			Percent of total billed charges		190.809	33.3			Percent of total billed charges		190.809	100			Percent of total billed charges		573	190.809	515.7	
click'x locking cap 498.570 synthes	278	RC	Outpatient			573	372.45		90			Percent of total billed charges		515.7	40			Percent of total billed charges		229.2	80			Percent of total billed charges		458.4	90			Percent of total billed charges		515.7	85			Percent of total billed charges		487.05	85			Percent of total billed charges		487.05	85			Percent of total billed charges		487.05	100			Percent of total billed charges		573	100			Percent of total billed charges		573	100			Percent of total billed charges		573	33.3			Percent of total billed charges		190.809	33.3			Percent of total billed charges		190.809	100			Percent of total billed charges		573	190.809	515.7	
diamond hex drive fix screw 4 x 14 6-f-4014 amendia	278	RC	Outpatient			573	372.45		90			Percent of total billed charges		515.7	40			Percent of total billed charges		229.2	80			Percent of total billed charges		458.4	90			Percent of total billed charges		515.7	85			Percent of total billed charges		487.05	85			Percent of total billed charges		487.05	85			Percent of total billed charges		487.05	100			Percent of total billed charges		573	100			Percent of total billed charges		573	100			Percent of total billed charges		573	33.3			Percent of total billed charges		190.809	33.3			Percent of total billed charges		190.809	100			Percent of total billed charges		573	190.809	515.7	
diamond hex drive fix screw 4 x 16  6-f-4016 amendia	278	RC	Outpatient			573	372.45		90			Percent of total billed charges		515.7	40			Percent of total billed charges		229.2	80			Percent of total billed charges		458.4	90			Percent of total billed charges		515.7	85			Percent of total billed charges		487.05	85			Percent of total billed charges		487.05	85			Percent of total billed charges		487.05	100			Percent of total billed charges		573	100			Percent of total billed charges		573	100			Percent of total billed charges		573	33.3			Percent of total billed charges		190.809	33.3			Percent of total billed charges		190.809	100			Percent of total billed charges		573	190.809	515.7	
grafton cancel chips 15cc	278	RC	Outpatient			573	372.45		90			Percent of total billed charges		515.7	40			Percent of total billed charges		229.2	80			Percent of total billed charges		458.4	90			Percent of total billed charges		515.7	85			Percent of total billed charges		487.05	85			Percent of total billed charges		487.05	85			Percent of total billed charges		487.05	100			Percent of total billed charges		573	100			Percent of total billed charges		573	100			Percent of total billed charges		573	33.3			Percent of total billed charges		190.809	33.3			Percent of total billed charges		190.809	100			Percent of total billed charges		573	190.809	515.7	
diamond cerv screw	278	RC	Outpatient			573	372.45		90			Percent of total billed charges		515.7	40			Percent of total billed charges		229.2	80			Percent of total billed charges		458.4	90			Percent of total billed charges		515.7	85			Percent of total billed charges		487.05	85			Percent of total billed charges		487.05	85			Percent of total billed charges		487.05	100			Percent of total billed charges		573	100			Percent of total billed charges		573	100			Percent of total billed charges		573	33.3			Percent of total billed charges		190.809	33.3			Percent of total billed charges		190.809	100			Percent of total billed charges		573	190.809	515.7	
diamond hex drive variable screw 4 x 16 6-v-4016 amendia	278	RC	Outpatient			573	372.45		90			Percent of total billed charges		515.7	40			Percent of total billed charges		229.2	80			Percent of total billed charges		458.4	90			Percent of total billed charges		515.7	85			Percent of total billed charges		487.05	85			Percent of total billed charges		487.05	85			Percent of total billed charges		487.05	100			Percent of total billed charges		573	100			Percent of total billed charges		573	100			Percent of total billed charges		573	33.3			Percent of total billed charges		190.809	33.3			Percent of total billed charges		190.809	100			Percent of total billed charges		573	190.809	515.7	
harm scpl 5mm blade	270	RC	Outpatient			573	372.45		90			Percent of total billed charges		515.7	40			Percent of total billed charges		229.2	80			Percent of total billed charges		458.4	90			Percent of total billed charges		515.7	85			Percent of total billed charges		487.05	85			Percent of total billed charges		487.05	85			Percent of total billed charges		487.05	100			Percent of total billed charges		573	100			Percent of total billed charges		573	100			Percent of total billed charges		573	33.3			Percent of total billed charges		190.809	33.3			Percent of total billed charges		190.809	100			Percent of total billed charges		573	190.809	515.7	
biorapture suture anchor 72202397 s/n	278	RC	Outpatient			574	373.1		90			Percent of total billed charges		516.6	40			Percent of total billed charges		229.6	80			Percent of total billed charges		459.2	90			Percent of total billed charges		516.6	85			Percent of total billed charges		487.9	85			Percent of total billed charges		487.9	85			Percent of total billed charges		487.9	100			Percent of total billed charges		574	100			Percent of total billed charges		574	100			Percent of total billed charges		574	33.3			Percent of total billed charges		191.142	33.3			Percent of total billed charges		191.142	100			Percent of total billed charges		574	191.142	516.6	
bioraptor 2.3 suture anchor 72202403 s/n	278	RC	Outpatient			574	373.1		90			Percent of total billed charges		516.6	40			Percent of total billed charges		229.6	80			Percent of total billed charges		459.2	90			Percent of total billed charges		516.6	85			Percent of total billed charges		487.9	85			Percent of total billed charges		487.9	85			Percent of total billed charges		487.9	100			Percent of total billed charges		574	100			Percent of total billed charges		574	100			Percent of total billed charges		574	33.3			Percent of total billed charges		191.142	33.3			Percent of total billed charges		191.142	100			Percent of total billed charges		574	191.142	516.6	
oscillating tip falcon saw cartridge 6725-127-105 stryker	272	RC	Outpatient			574	373.1		90			Percent of total billed charges		516.6	40			Percent of total billed charges		229.6	80			Percent of total billed charges		459.2	90			Percent of total billed charges		516.6	85			Percent of total billed charges		487.9	85			Percent of total billed charges		487.9	85			Percent of total billed charges		487.9	100			Percent of total billed charges		574	100			Percent of total billed charges		574	100			Percent of total billed charges		574	33.3			Percent of total billed charges		191.142	33.3			Percent of total billed charges		191.142	100			Percent of total billed charges		574	191.142	516.6	
s/n bioraptor w/insert	278	RC	Outpatient			574	373.1		90			Percent of total billed charges		516.6	40			Percent of total billed charges		229.6	80			Percent of total billed charges		459.2	90			Percent of total billed charges		516.6	85			Percent of total billed charges		487.9	85			Percent of total billed charges		487.9	85			Percent of total billed charges		487.9	100			Percent of total billed charges		574	100			Percent of total billed charges		574	100			Percent of total billed charges		574	33.3			Percent of total billed charges		191.142	33.3			Percent of total billed charges		191.142	100			Percent of total billed charges		574	191.142	516.6	
syn x-fix rod attach chg	270	RC	Outpatient			574	373.1		90			Percent of total billed charges		516.6	40			Percent of total billed charges		229.6	80			Percent of total billed charges		459.2	90			Percent of total billed charges		516.6	85			Percent of total billed charges		487.9	85			Percent of total billed charges		487.9	85			Percent of total billed charges		487.9	100			Percent of total billed charges		574	100			Percent of total billed charges		574	100			Percent of total billed charges		574	33.3			Percent of total billed charges		191.142	33.3			Percent of total billed charges		191.142	100			Percent of total billed charges		574	191.142	516.6	
rod for multi-pin clamp 393.753 synthes	270	RC	Outpatient			574	373.1		90			Percent of total billed charges		516.6	40			Percent of total billed charges		229.6	80			Percent of total billed charges		459.2	90			Percent of total billed charges		516.6	85			Percent of total billed charges		487.9	85			Percent of total billed charges		487.9	85			Percent of total billed charges		487.9	100			Percent of total billed charges		574	100			Percent of total billed charges		574	100			Percent of total billed charges		574	33.3			Percent of total billed charges		191.142	33.3			Percent of total billed charges		191.142	100			Percent of total billed charges		574	191.142	516.6	
zzscrmc adherent clot catheter	621	RC	Outpatient			574	373.1		90			Percent of total billed charges		516.6	40			Percent of total billed charges		229.6	80			Percent of total billed charges		459.2	90			Percent of total billed charges		516.6	85			Percent of total billed charges		487.9	85			Percent of total billed charges		487.9	85			Percent of total billed charges		487.9	100			Percent of total billed charges		574	100			Percent of total billed charges		574	100			Percent of total billed charges		574	33.3			Percent of total billed charges		191.142	33.3			Percent of total billed charges		191.142	100			Percent of total billed charges		574	191.142	516.6	
2.7mm cannulated drill bit quick coupling 160mm 310.67	278	RC	Outpatient			575	373.75		90			Percent of total billed charges		517.5	40			Percent of total billed charges		230	80			Percent of total billed charges		460	90			Percent of total billed charges		517.5	85			Percent of total billed charges		488.75	85			Percent of total billed charges		488.75	85			Percent of total billed charges		488.75	100			Percent of total billed charges		575	100			Percent of total billed charges		575	100			Percent of total billed charges		575	33.3			Percent of total billed charges		191.475	33.3			Percent of total billed charges		191.475	100			Percent of total billed charges		575	191.475	517.5	
4.0 screw  25mm 8710o12s sofamor danek	278	RC	Outpatient			575	373.75		90			Percent of total billed charges		517.5	40			Percent of total billed charges		230	80			Percent of total billed charges		460	90			Percent of total billed charges		517.5	85			Percent of total billed charges		488.75	85			Percent of total billed charges		488.75	85			Percent of total billed charges		488.75	100			Percent of total billed charges		575	100			Percent of total billed charges		575	100			Percent of total billed charges		575	33.3			Percent of total billed charges		191.475	33.3			Percent of total billed charges		191.475	100			Percent of total billed charges		575	191.475	517.5	
4mm drill bit 31-406181 biomet	272	RC	Outpatient			575	373.75		90			Percent of total billed charges		517.5	40			Percent of total billed charges		230	80			Percent of total billed charges		460	90			Percent of total billed charges		517.5	85			Percent of total billed charges		488.75	85			Percent of total billed charges		488.75	85			Percent of total billed charges		488.75	100			Percent of total billed charges		575	100			Percent of total billed charges		575	100			Percent of total billed charges		575	33.3			Percent of total billed charges		191.475	33.3			Percent of total billed charges		191.475	100			Percent of total billed charges		575	191.475	517.5	
3.5mm cannulated drill bit quick coupling 160mm 310.68	278	RC	Outpatient			575	373.75		90			Percent of total billed charges		517.5	40			Percent of total billed charges		230	80			Percent of total billed charges		460	90			Percent of total billed charges		517.5	85			Percent of total billed charges		488.75	85			Percent of total billed charges		488.75	85			Percent of total billed charges		488.75	100			Percent of total billed charges		575	100			Percent of total billed charges		575	100			Percent of total billed charges		575	33.3			Percent of total billed charges		191.475	33.3			Percent of total billed charges		191.475	100			Percent of total billed charges		575	191.475	517.5	
biomet 4.0 drill bit	272	RC	Outpatient			575	373.75		90			Percent of total billed charges		517.5	40			Percent of total billed charges		230	80			Percent of total billed charges		460	90			Percent of total billed charges		517.5	85			Percent of total billed charges		488.75	85			Percent of total billed charges		488.75	85			Percent of total billed charges		488.75	100			Percent of total billed charges		575	100			Percent of total billed charges		575	100			Percent of total billed charges		575	33.3			Percent of total billed charges		191.475	33.3			Percent of total billed charges		191.475	100			Percent of total billed charges		575	191.475	517.5	
dhs lag screw 280.90	278	RC	Outpatient			575	373.75		90			Percent of total billed charges		517.5	40			Percent of total billed charges		230	80			Percent of total billed charges		460	90			Percent of total billed charges		517.5	85			Percent of total billed charges		488.75	85			Percent of total billed charges		488.75	85			Percent of total billed charges		488.75	100			Percent of total billed charges		575	100			Percent of total billed charges		575	100			Percent of total billed charges		575	33.3			Percent of total billed charges		191.475	33.3			Percent of total billed charges		191.475	100			Percent of total billed charges		575	191.475	517.5	
insert kidney drain	983	RC	Outpatient			575	373.75		90			Percent of total billed charges		517.5	40			Percent of total billed charges		230	80			Percent of total billed charges		460	90			Percent of total billed charges		517.5	85			Percent of total billed charges		488.75	85			Percent of total billed charges		488.75	85			Percent of total billed charges		488.75	100			Percent of total billed charges		575	100			Percent of total billed charges		575	100			Percent of total billed charges		575	33.3			Percent of total billed charges		191.475	33.3			Percent of total billed charges		191.475	100			Percent of total billed charges		575	191.475	517.5	
new deal interaxis 11 x 13 wright 212113	278	RC	Outpatient			575	373.75		90			Percent of total billed charges		517.5	40			Percent of total billed charges		230	80			Percent of total billed charges		460	90			Percent of total billed charges		517.5	85			Percent of total billed charges		488.75	85			Percent of total billed charges		488.75	85			Percent of total billed charges		488.75	100			Percent of total billed charges		575	100			Percent of total billed charges		575	100			Percent of total billed charges		575	33.3			Percent of total billed charges		191.475	33.3			Percent of total billed charges		191.475	100			Percent of total billed charges		575	191.475	517.5	
orion ant cervical scw	278	RC	Outpatient			575	373.75		90			Percent of total billed charges		517.5	40			Percent of total billed charges		230	80			Percent of total billed charges		460	90			Percent of total billed charges		517.5	85			Percent of total billed charges		488.75	85			Percent of total billed charges		488.75	85			Percent of total billed charges		488.75	100			Percent of total billed charges		575	100			Percent of total billed charges		575	100			Percent of total billed charges		575	33.3			Percent of total billed charges		191.475	33.3			Percent of total billed charges		191.475	100			Percent of total billed charges		575	191.475	517.5	
screw comprssion 280.99	278	RC	Outpatient			575	373.75		90			Percent of total billed charges		517.5	40			Percent of total billed charges		230	80			Percent of total billed charges		460	90			Percent of total billed charges		517.5	85			Percent of total billed charges		488.75	85			Percent of total billed charges		488.75	85			Percent of total billed charges		488.75	100			Percent of total billed charges		575	100			Percent of total billed charges		575	100			Percent of total billed charges		575	33.3			Percent of total billed charges		191.475	33.3			Percent of total billed charges		191.475	100			Percent of total billed charges		575	191.475	517.5	
syn dhs lag screw	278	RC	Outpatient			575	373.75		90			Percent of total billed charges		517.5	40			Percent of total billed charges		230	80			Percent of total billed charges		460	90			Percent of total billed charges		517.5	85			Percent of total billed charges		488.75	85			Percent of total billed charges		488.75	85			Percent of total billed charges		488.75	100			Percent of total billed charges		575	100			Percent of total billed charges		575	100			Percent of total billed charges		575	33.3			Percent of total billed charges		191.475	33.3			Percent of total billed charges		191.475	100			Percent of total billed charges		575	191.475	517.5	
syn cannulated drill bit	278	RC	Outpatient			575	373.75		90			Percent of total billed charges		517.5	40			Percent of total billed charges		230	80			Percent of total billed charges		460	90			Percent of total billed charges		517.5	85			Percent of total billed charges		488.75	85			Percent of total billed charges		488.75	85			Percent of total billed charges		488.75	100			Percent of total billed charges		575	100			Percent of total billed charges		575	100			Percent of total billed charges		575	33.3			Percent of total billed charges		191.475	33.3			Percent of total billed charges		191.475	100			Percent of total billed charges		575	191.475	517.5	
uniclip	278	RC	Outpatient			575	373.75		90			Percent of total billed charges		517.5	40			Percent of total billed charges		230	80			Percent of total billed charges		460	90			Percent of total billed charges		517.5	85			Percent of total billed charges		488.75	85			Percent of total billed charges		488.75	85			Percent of total billed charges		488.75	100			Percent of total billed charges		575	100			Percent of total billed charges		575	100			Percent of total billed charges		575	33.3			Percent of total billed charges		191.475	33.3			Percent of total billed charges		191.475	100			Percent of total billed charges		575	191.475	517.5	
uniclip  11 lg 13 213113nd wright	278	RC	Outpatient			575	373.75		90			Percent of total billed charges		517.5	40			Percent of total billed charges		230	80			Percent of total billed charges		460	90			Percent of total billed charges		517.5	85			Percent of total billed charges		488.75	85			Percent of total billed charges		488.75	85			Percent of total billed charges		488.75	100			Percent of total billed charges		575	100			Percent of total billed charges		575	100			Percent of total billed charges		575	33.3			Percent of total billed charges		191.475	33.3			Percent of total billed charges		191.475	100			Percent of total billed charges		575	191.475	517.5	
uniclip 12 lg 14 213214nd wright	278	RC	Outpatient			575	373.75		90			Percent of total billed charges		517.5	40			Percent of total billed charges		230	80			Percent of total billed charges		460	90			Percent of total billed charges		517.5	85			Percent of total billed charges		488.75	85			Percent of total billed charges		488.75	85			Percent of total billed charges		488.75	100			Percent of total billed charges		575	100			Percent of total billed charges		575	100			Percent of total billed charges		575	33.3			Percent of total billed charges		191.475	33.3			Percent of total billed charges		191.475	100			Percent of total billed charges		575	191.475	517.5	
uniclip 13 lg 17 213317nd wright	278	RC	Outpatient			575	373.75		90			Percent of total billed charges		517.5	40			Percent of total billed charges		230	80			Percent of total billed charges		460	90			Percent of total billed charges		517.5	85			Percent of total billed charges		488.75	85			Percent of total billed charges		488.75	85			Percent of total billed charges		488.75	100			Percent of total billed charges		575	100			Percent of total billed charges		575	100			Percent of total billed charges		575	33.3			Percent of total billed charges		191.475	33.3			Percent of total billed charges		191.475	100			Percent of total billed charges		575	191.475	517.5	
uniclip  11 lg 15 213115nd wright	278	RC	Outpatient			575	373.75		90			Percent of total billed charges		517.5	40			Percent of total billed charges		230	80			Percent of total billed charges		460	90			Percent of total billed charges		517.5	85			Percent of total billed charges		488.75	85			Percent of total billed charges		488.75	85			Percent of total billed charges		488.75	100			Percent of total billed charges		575	100			Percent of total billed charges		575	100			Percent of total billed charges		575	33.3			Percent of total billed charges		191.475	33.3			Percent of total billed charges		191.475	100			Percent of total billed charges		575	191.475	517.5	
uniclip  11 lg 17 213117nd wright	278	RC	Outpatient			575	373.75		90			Percent of total billed charges		517.5	40			Percent of total billed charges		230	80			Percent of total billed charges		460	90			Percent of total billed charges		517.5	85			Percent of total billed charges		488.75	85			Percent of total billed charges		488.75	85			Percent of total billed charges		488.75	100			Percent of total billed charges		575	100			Percent of total billed charges		575	100			Percent of total billed charges		575	33.3			Percent of total billed charges		191.475	33.3			Percent of total billed charges		191.475	100			Percent of total billed charges		575	191.475	517.5	
uniclip  12 lg 16 213216nd wright	278	RC	Outpatient			575	373.75		90			Percent of total billed charges		517.5	40			Percent of total billed charges		230	80			Percent of total billed charges		460	90			Percent of total billed charges		517.5	85			Percent of total billed charges		488.75	85			Percent of total billed charges		488.75	85			Percent of total billed charges		488.75	100			Percent of total billed charges		575	100			Percent of total billed charges		575	100			Percent of total billed charges		575	33.3			Percent of total billed charges		191.475	33.3			Percent of total billed charges		191.475	100			Percent of total billed charges		575	191.475	517.5	
uniclip  13 lg 13 213313nd wright	278	RC	Outpatient			575	373.75		90			Percent of total billed charges		517.5	40			Percent of total billed charges		230	80			Percent of total billed charges		460	90			Percent of total billed charges		517.5	85			Percent of total billed charges		488.75	85			Percent of total billed charges		488.75	85			Percent of total billed charges		488.75	100			Percent of total billed charges		575	100			Percent of total billed charges		575	100			Percent of total billed charges		575	33.3			Percent of total billed charges		191.475	33.3			Percent of total billed charges		191.475	100			Percent of total billed charges		575	191.475	517.5	
uniclip  13 lg 15 213315nd wright	278	RC	Outpatient			575	373.75		90			Percent of total billed charges		517.5	40			Percent of total billed charges		230	80			Percent of total billed charges		460	90			Percent of total billed charges		517.5	85			Percent of total billed charges		488.75	85			Percent of total billed charges		488.75	85			Percent of total billed charges		488.75	100			Percent of total billed charges		575	100			Percent of total billed charges		575	100			Percent of total billed charges		575	33.3			Percent of total billed charges		191.475	33.3			Percent of total billed charges		191.475	100			Percent of total billed charges		575	191.475	517.5	
uniclip  13 lg 16 213316nd wright	278	RC	Outpatient			575	373.75		90			Percent of total billed charges		517.5	40			Percent of total billed charges		230	80			Percent of total billed charges		460	90			Percent of total billed charges		517.5	85			Percent of total billed charges		488.75	85			Percent of total billed charges		488.75	85			Percent of total billed charges		488.75	100			Percent of total billed charges		575	100			Percent of total billed charges		575	100			Percent of total billed charges		575	33.3			Percent of total billed charges		191.475	33.3			Percent of total billed charges		191.475	100			Percent of total billed charges		575	191.475	517.5	
uniclip  15 lg 12 213512nd wright	278	RC	Outpatient			575	373.75		90			Percent of total billed charges		517.5	40			Percent of total billed charges		230	80			Percent of total billed charges		460	90			Percent of total billed charges		517.5	85			Percent of total billed charges		488.75	85			Percent of total billed charges		488.75	85			Percent of total billed charges		488.75	100			Percent of total billed charges		575	100			Percent of total billed charges		575	100			Percent of total billed charges		575	33.3			Percent of total billed charges		191.475	33.3			Percent of total billed charges		191.475	100			Percent of total billed charges		575	191.475	517.5	
uniclip 20 lg 20 213820nd wright	278	RC	Outpatient			575	373.75		90			Percent of total billed charges		517.5	40			Percent of total billed charges		230	80			Percent of total billed charges		460	90			Percent of total billed charges		517.5	85			Percent of total billed charges		488.75	85			Percent of total billed charges		488.75	85			Percent of total billed charges		488.75	100			Percent of total billed charges		575	100			Percent of total billed charges		575	100			Percent of total billed charges		575	33.3			Percent of total billed charges		191.475	33.3			Percent of total billed charges		191.475	100			Percent of total billed charges		575	191.475	517.5	
zzscrmc gastrojejunostomy set	621	RC	Outpatient			575	373.75		90			Percent of total billed charges		517.5	40			Percent of total billed charges		230	80			Percent of total billed charges		460	90			Percent of total billed charges		517.5	85			Percent of total billed charges		488.75	85			Percent of total billed charges		488.75	85			Percent of total billed charges		488.75	100			Percent of total billed charges		575	100			Percent of total billed charges		575	100			Percent of total billed charges		575	33.3			Percent of total billed charges		191.475	33.3			Percent of total billed charges		191.475	100			Percent of total billed charges		575	191.475	517.5	
bio oss axle	278	RC	Outpatient			576	374.4		90			Percent of total billed charges		518.4	40			Percent of total billed charges		230.4	80			Percent of total billed charges		460.8	90			Percent of total billed charges		518.4	85			Percent of total billed charges		489.6	85			Percent of total billed charges		489.6	85			Percent of total billed charges		489.6	100			Percent of total billed charges		576	100			Percent of total billed charges		576	100			Percent of total billed charges		576	33.3			Percent of total billed charges		191.808	33.3			Percent of total billed charges		191.808	100			Percent of total billed charges		576	191.808	518.4	
bio oss fem bushings	278	RC	Outpatient			576	374.4		90			Percent of total billed charges		518.4	40			Percent of total billed charges		230.4	80			Percent of total billed charges		460.8	90			Percent of total billed charges		518.4	85			Percent of total billed charges		489.6	85			Percent of total billed charges		489.6	85			Percent of total billed charges		489.6	100			Percent of total billed charges		576	100			Percent of total billed charges		576	100			Percent of total billed charges		576	33.3			Percent of total billed charges		191.808	33.3			Percent of total billed charges		191.808	100			Percent of total billed charges		576	191.808	518.4	
ectra kit	270	RC	Outpatient			576	374.4		90			Percent of total billed charges		518.4	40			Percent of total billed charges		230.4	80			Percent of total billed charges		460.8	90			Percent of total billed charges		518.4	85			Percent of total billed charges		489.6	85			Percent of total billed charges		489.6	85			Percent of total billed charges		489.6	100			Percent of total billed charges		576	100			Percent of total billed charges		576	100			Percent of total billed charges		576	33.3			Percent of total billed charges		191.808	33.3			Percent of total billed charges		191.808	100			Percent of total billed charges		576	191.808	518.4	
endo gia 35 stapler	270	RC	Outpatient			576	374.4		90			Percent of total billed charges		518.4	40			Percent of total billed charges		230.4	80			Percent of total billed charges		460.8	90			Percent of total billed charges		518.4	85			Percent of total billed charges		489.6	85			Percent of total billed charges		489.6	85			Percent of total billed charges		489.6	100			Percent of total billed charges		576	100			Percent of total billed charges		576	100			Percent of total billed charges		576	33.3			Percent of total billed charges		191.808	33.3			Percent of total billed charges		191.808	100			Percent of total billed charges		576	191.808	518.4	
kit carpal ligament release ec 4116	270	RC	Outpatient			576	374.4		90			Percent of total billed charges		518.4	40			Percent of total billed charges		230.4	80			Percent of total billed charges		460.8	90			Percent of total billed charges		518.4	85			Percent of total billed charges		489.6	85			Percent of total billed charges		489.6	85			Percent of total billed charges		489.6	100			Percent of total billed charges		576	100			Percent of total billed charges		576	100			Percent of total billed charges		576	33.3			Percent of total billed charges		191.808	33.3			Percent of total billed charges		191.808	100			Percent of total billed charges		576	191.808	518.4	
oss axle 150480 biomet	278	RC	Outpatient			576	374.4		90			Percent of total billed charges		518.4	40			Percent of total billed charges		230.4	80			Percent of total billed charges		460.8	90			Percent of total billed charges		518.4	85			Percent of total billed charges		489.6	85			Percent of total billed charges		489.6	85			Percent of total billed charges		489.6	100			Percent of total billed charges		576	100			Percent of total billed charges		576	100			Percent of total billed charges		576	33.3			Percent of total billed charges		191.808	33.3			Percent of total billed charges		191.808	100			Percent of total billed charges		576	191.808	518.4	
oss femoral bearing 150477 biomet	278	RC	Outpatient			576	374.4		90			Percent of total billed charges		518.4	40			Percent of total billed charges		230.4	80			Percent of total billed charges		460.8	90			Percent of total billed charges		518.4	85			Percent of total billed charges		489.6	85			Percent of total billed charges		489.6	85			Percent of total billed charges		489.6	100			Percent of total billed charges		576	100			Percent of total billed charges		576	100			Percent of total billed charges		576	33.3			Percent of total billed charges		191.808	33.3			Percent of total billed charges		191.808	100			Percent of total billed charges		576	191.808	518.4	
staple endo gia 35  2.5 articula  atw35	270	RC	Outpatient			576	374.4		90			Percent of total billed charges		518.4	40			Percent of total billed charges		230.4	80			Percent of total billed charges		460.8	90			Percent of total billed charges		518.4	85			Percent of total billed charges		489.6	85			Percent of total billed charges		489.6	85			Percent of total billed charges		489.6	100			Percent of total billed charges		576	100			Percent of total billed charges		576	100			Percent of total billed charges		576	33.3			Percent of total billed charges		191.808	33.3			Percent of total billed charges		191.808	100			Percent of total billed charges		576	191.808	518.4	
5.5mm l-15 resorb allthread suture anchor w/tapered needles 905943 biomet	278	RC	Outpatient			578	375.7		90			Percent of total billed charges		520.2	40			Percent of total billed charges		231.2	80			Percent of total billed charges		462.4	90			Percent of total billed charges		520.2	85			Percent of total billed charges		491.3	85			Percent of total billed charges		491.3	85			Percent of total billed charges		491.3	100			Percent of total billed charges		578	100			Percent of total billed charges		578	100			Percent of total billed charges		578	33.3			Percent of total billed charges		192.474	33.3			Percent of total billed charges		192.474	100			Percent of total billed charges		578	192.474	520.2	
5.5mm peek knotless suture anchor 9048423 biomet	278	RC	Outpatient			578	375.7		90			Percent of total billed charges		520.2	40			Percent of total billed charges		231.2	80			Percent of total billed charges		462.4	90			Percent of total billed charges		520.2	85			Percent of total billed charges		491.3	85			Percent of total billed charges		491.3	85			Percent of total billed charges		491.3	100			Percent of total billed charges		578	100			Percent of total billed charges		578	100			Percent of total billed charges		578	33.3			Percent of total billed charges		192.474	33.3			Percent of total billed charges		192.474	100			Percent of total billed charges		578	192.474	520.2	
"arthrex biocartilage kit, large joint abs-1000-l"	272	RC	Outpatient			578	375.7		90			Percent of total billed charges		520.2	40			Percent of total billed charges		231.2	80			Percent of total billed charges		462.4	90			Percent of total billed charges		520.2	85			Percent of total billed charges		491.3	85			Percent of total billed charges		491.3	85			Percent of total billed charges		491.3	100			Percent of total billed charges		578	100			Percent of total billed charges		578	100			Percent of total billed charges		578	33.3			Percent of total billed charges		192.474	33.3			Percent of total billed charges		192.474	100			Percent of total billed charges		578	192.474	520.2	
"arthrex biocartilage kit, small joint abs-1000-s"	272	RC	Outpatient			578	375.7		90			Percent of total billed charges		520.2	40			Percent of total billed charges		231.2	80			Percent of total billed charges		462.4	90			Percent of total billed charges		520.2	85			Percent of total billed charges		491.3	85			Percent of total billed charges		491.3	85			Percent of total billed charges		491.3	100			Percent of total billed charges		578	100			Percent of total billed charges		578	100			Percent of total billed charges		578	33.3			Percent of total billed charges		192.474	33.3			Percent of total billed charges		192.474	100			Percent of total billed charges		578	192.474	520.2	
biomet l-15 resorb anchor	278	RC	Outpatient			578	375.7		90			Percent of total billed charges		520.2	40			Percent of total billed charges		231.2	80			Percent of total billed charges		462.4	90			Percent of total billed charges		520.2	85			Percent of total billed charges		491.3	85			Percent of total billed charges		491.3	85			Percent of total billed charges		491.3	100			Percent of total billed charges		578	100			Percent of total billed charges		578	100			Percent of total billed charges		578	33.3			Percent of total billed charges		192.474	33.3			Percent of total billed charges		192.474	100			Percent of total billed charges		578	192.474	520.2	
biomet ti anchor	278	RC	Outpatient			578	375.7		90			Percent of total billed charges		520.2	40			Percent of total billed charges		231.2	80			Percent of total billed charges		462.4	90			Percent of total billed charges		520.2	85			Percent of total billed charges		491.3	85			Percent of total billed charges		491.3	85			Percent of total billed charges		491.3	100			Percent of total billed charges		578	100			Percent of total billed charges		578	100			Percent of total billed charges		578	33.3			Percent of total billed charges		192.474	33.3			Percent of total billed charges		192.474	100			Percent of total billed charges		578	192.474	520.2	
breast imp saline 300cc	278	RC	Outpatient			578	375.7		90			Percent of total billed charges		520.2	40			Percent of total billed charges		231.2	80			Percent of total billed charges		462.4	90			Percent of total billed charges		520.2	85			Percent of total billed charges		491.3	85			Percent of total billed charges		491.3	85			Percent of total billed charges		491.3	100			Percent of total billed charges		578	100			Percent of total billed charges		578	100			Percent of total billed charges		578	33.3			Percent of total billed charges		192.474	33.3			Percent of total billed charges		192.474	100			Percent of total billed charges		578	192.474	520.2	
breast imp saline 350cc m	278	RC	Outpatient			578	375.7		90			Percent of total billed charges		520.2	40			Percent of total billed charges		231.2	80			Percent of total billed charges		462.4	90			Percent of total billed charges		520.2	85			Percent of total billed charges		491.3	85			Percent of total billed charges		491.3	85			Percent of total billed charges		491.3	100			Percent of total billed charges		578	100			Percent of total billed charges		578	100			Percent of total billed charges		578	33.3			Percent of total billed charges		192.474	33.3			Percent of total billed charges		192.474	100			Percent of total billed charges		578	192.474	520.2	
calibrated guide pin 3.2 x 230mm 110016 s/n	272	RC	Outpatient			578	375.7		90			Percent of total billed charges		520.2	40			Percent of total billed charges		231.2	80			Percent of total billed charges		462.4	90			Percent of total billed charges		520.2	85			Percent of total billed charges		491.3	85			Percent of total billed charges		491.3	85			Percent of total billed charges		491.3	100			Percent of total billed charges		578	100			Percent of total billed charges		578	100			Percent of total billed charges		578	33.3			Percent of total billed charges		192.474	33.3			Percent of total billed charges		192.474	100			Percent of total billed charges		578	192.474	520.2	
cysto long equip	272	RC	Outpatient			578	375.7		90			Percent of total billed charges		520.2	40			Percent of total billed charges		231.2	80			Percent of total billed charges		462.4	90			Percent of total billed charges		520.2	85			Percent of total billed charges		491.3	85			Percent of total billed charges		491.3	85			Percent of total billed charges		491.3	100			Percent of total billed charges		578	100			Percent of total billed charges		578	100			Percent of total billed charges		578	33.3			Percent of total billed charges		192.474	33.3			Percent of total billed charges		192.474	100			Percent of total billed charges		578	192.474	520.2	
5.5mm peek allthread suture anchor 905942p biomet	278	RC	Outpatient			578	375.7		90			Percent of total billed charges		520.2	40			Percent of total billed charges		231.2	80			Percent of total billed charges		462.4	90			Percent of total billed charges		520.2	85			Percent of total billed charges		491.3	85			Percent of total billed charges		491.3	85			Percent of total billed charges		491.3	100			Percent of total billed charges		578	100			Percent of total billed charges		578	100			Percent of total billed charges		578	33.3			Percent of total billed charges		192.474	33.3			Percent of total billed charges		192.474	100			Percent of total billed charges		578	192.474	520.2	
5mm allthread ti-anchor w/needles 902581 biomet	278	RC	Outpatient			578	375.7		90			Percent of total billed charges		520.2	40			Percent of total billed charges		231.2	80			Percent of total billed charges		462.4	90			Percent of total billed charges		520.2	85			Percent of total billed charges		491.3	85			Percent of total billed charges		491.3	85			Percent of total billed charges		491.3	100			Percent of total billed charges		578	100			Percent of total billed charges		578	100			Percent of total billed charges		578	33.3			Percent of total billed charges		192.474	33.3			Percent of total billed charges		192.474	100			Percent of total billed charges		578	192.474	520.2	
biomet peek anchor	278	RC	Outpatient			578	375.7		90			Percent of total billed charges		520.2	40			Percent of total billed charges		231.2	80			Percent of total billed charges		462.4	90			Percent of total billed charges		520.2	85			Percent of total billed charges		491.3	85			Percent of total billed charges		491.3	85			Percent of total billed charges		491.3	100			Percent of total billed charges		578	100			Percent of total billed charges		578	100			Percent of total billed charges		578	33.3			Percent of total billed charges		192.474	33.3			Percent of total billed charges		192.474	100			Percent of total billed charges		578	192.474	520.2	
breast imp saline 375cc	278	RC	Outpatient			578	375.7		90			Percent of total billed charges		520.2	40			Percent of total billed charges		231.2	80			Percent of total billed charges		462.4	90			Percent of total billed charges		520.2	85			Percent of total billed charges		491.3	85			Percent of total billed charges		491.3	85			Percent of total billed charges		491.3	100			Percent of total billed charges		578	100			Percent of total billed charges		578	100			Percent of total billed charges		578	33.3			Percent of total billed charges		192.474	33.3			Percent of total billed charges		192.474	100			Percent of total billed charges		578	192.474	520.2	
breast imp saline325 1600	278	RC	Outpatient			578	375.7		90			Percent of total billed charges		520.2	40			Percent of total billed charges		231.2	80			Percent of total billed charges		462.4	90			Percent of total billed charges		520.2	85			Percent of total billed charges		491.3	85			Percent of total billed charges		491.3	85			Percent of total billed charges		491.3	100			Percent of total billed charges		578	100			Percent of total billed charges		578	100			Percent of total billed charges		578	33.3			Percent of total billed charges		192.474	33.3			Percent of total billed charges		192.474	100			Percent of total billed charges		578	192.474	520.2	
external monitoring kit 46914 medtronic	272	RC	Outpatient			578	375.7		90			Percent of total billed charges		520.2	40			Percent of total billed charges		231.2	80			Percent of total billed charges		462.4	90			Percent of total billed charges		520.2	85			Percent of total billed charges		491.3	85			Percent of total billed charges		491.3	85			Percent of total billed charges		491.3	100			Percent of total billed charges		578	100			Percent of total billed charges		578	100			Percent of total billed charges		578	33.3			Percent of total billed charges		192.474	33.3			Percent of total billed charges		192.474	100			Percent of total billed charges		578	192.474	520.2	
natrelle sizer 265cc msz15265 allergan	272	RC	Outpatient			578	375.7		90			Percent of total billed charges		520.2	40			Percent of total billed charges		231.2	80			Percent of total billed charges		462.4	90			Percent of total billed charges		520.2	85			Percent of total billed charges		491.3	85			Percent of total billed charges		491.3	85			Percent of total billed charges		491.3	100			Percent of total billed charges		578	100			Percent of total billed charges		578	100			Percent of total billed charges		578	33.3			Percent of total billed charges		192.474	33.3			Percent of total billed charges		192.474	100			Percent of total billed charges		578	192.474	520.2	
natrelle sizer 400cc msz20400 allergan	272	RC	Outpatient			578	375.7		90			Percent of total billed charges		520.2	40			Percent of total billed charges		231.2	80			Percent of total billed charges		462.4	90			Percent of total billed charges		520.2	85			Percent of total billed charges		491.3	85			Percent of total billed charges		491.3	85			Percent of total billed charges		491.3	100			Percent of total billed charges		578	100			Percent of total billed charges		578	100			Percent of total billed charges		578	33.3			Percent of total billed charges		192.474	33.3			Percent of total billed charges		192.474	100			Percent of total billed charges		578	192.474	520.2	
natrelle sizer 550cc msz20550 allergan	272	RC	Outpatient			578	375.7		90			Percent of total billed charges		520.2	40			Percent of total billed charges		231.2	80			Percent of total billed charges		462.4	90			Percent of total billed charges		520.2	85			Percent of total billed charges		491.3	85			Percent of total billed charges		491.3	85			Percent of total billed charges		491.3	100			Percent of total billed charges		578	100			Percent of total billed charges		578	100			Percent of total billed charges		578	33.3			Percent of total billed charges		192.474	33.3			Percent of total billed charges		192.474	100			Percent of total billed charges		578	192.474	520.2	
leonard dual lum.cath10fr	278	RC	Outpatient			578	375.7		90			Percent of total billed charges		520.2	40			Percent of total billed charges		231.2	80			Percent of total billed charges		462.4	90			Percent of total billed charges		520.2	85			Percent of total billed charges		491.3	85			Percent of total billed charges		491.3	85			Percent of total billed charges		491.3	100			Percent of total billed charges		578	100			Percent of total billed charges		578	100			Percent of total billed charges		578	33.3			Percent of total billed charges		192.474	33.3			Percent of total billed charges		192.474	100			Percent of total billed charges		578	192.474	520.2	
medtronic csf monitor	272	RC	Outpatient			578	375.7		90			Percent of total billed charges		520.2	40			Percent of total billed charges		231.2	80			Percent of total billed charges		462.4	90			Percent of total billed charges		520.2	85			Percent of total billed charges		491.3	85			Percent of total billed charges		491.3	85			Percent of total billed charges		491.3	100			Percent of total billed charges		578	100			Percent of total billed charges		578	100			Percent of total billed charges		578	33.3			Percent of total billed charges		192.474	33.3			Percent of total billed charges		192.474	100			Percent of total billed charges		578	192.474	520.2	
natrelle sizer	272	RC	Outpatient			578	375.7		90			Percent of total billed charges		520.2	40			Percent of total billed charges		231.2	80			Percent of total billed charges		462.4	90			Percent of total billed charges		520.2	85			Percent of total billed charges		491.3	85			Percent of total billed charges		491.3	85			Percent of total billed charges		491.3	100			Percent of total billed charges		578	100			Percent of total billed charges		578	100			Percent of total billed charges		578	33.3			Percent of total billed charges		192.474	33.3			Percent of total billed charges		192.474	100			Percent of total billed charges		578	192.474	520.2	
natrelle sizer 325cc msz20325 allergan	272	RC	Outpatient			578	375.7		90			Percent of total billed charges		520.2	40			Percent of total billed charges		231.2	80			Percent of total billed charges		462.4	90			Percent of total billed charges		520.2	85			Percent of total billed charges		491.3	85			Percent of total billed charges		491.3	85			Percent of total billed charges		491.3	100			Percent of total billed charges		578	100			Percent of total billed charges		578	100			Percent of total billed charges		578	33.3			Percent of total billed charges		192.474	33.3			Percent of total billed charges		192.474	100			Percent of total billed charges		578	192.474	520.2	
natrelle sizer 339cc msz15229 allergan	272	RC	Outpatient			578	375.7		90			Percent of total billed charges		520.2	40			Percent of total billed charges		231.2	80			Percent of total billed charges		462.4	90			Percent of total billed charges		520.2	85			Percent of total billed charges		491.3	85			Percent of total billed charges		491.3	85			Percent of total billed charges		491.3	100			Percent of total billed charges		578	100			Percent of total billed charges		578	100			Percent of total billed charges		578	33.3			Percent of total billed charges		192.474	33.3			Percent of total billed charges		192.474	100			Percent of total billed charges		578	192.474	520.2	
s/n 3.2 guide pin cal	272	RC	Outpatient			578	375.7		90			Percent of total billed charges		520.2	40			Percent of total billed charges		231.2	80			Percent of total billed charges		462.4	90			Percent of total billed charges		520.2	85			Percent of total billed charges		491.3	85			Percent of total billed charges		491.3	85			Percent of total billed charges		491.3	100			Percent of total billed charges		578	100			Percent of total billed charges		578	100			Percent of total billed charges		578	33.3			Percent of total billed charges		192.474	33.3			Percent of total billed charges		192.474	100			Percent of total billed charges		578	192.474	520.2	
smooth round mod plus profile 350cc  saline breast implant mentor 350-2350	278	RC	Outpatient			578	375.7		90			Percent of total billed charges		520.2	40			Percent of total billed charges		231.2	80			Percent of total billed charges		462.4	90			Percent of total billed charges		520.2	85			Percent of total billed charges		491.3	85			Percent of total billed charges		491.3	85			Percent of total billed charges		491.3	100			Percent of total billed charges		578	100			Percent of total billed charges		578	100			Percent of total billed charges		578	33.3			Percent of total billed charges		192.474	33.3			Percent of total billed charges		192.474	100			Percent of total billed charges		578	192.474	520.2	
smooth round mod plus profile 375cc  breast implant mentor 350-1660	278	RC	Outpatient			578	375.7		90			Percent of total billed charges		520.2	40			Percent of total billed charges		231.2	80			Percent of total billed charges		462.4	90			Percent of total billed charges		520.2	85			Percent of total billed charges		491.3	85			Percent of total billed charges		491.3	85			Percent of total billed charges		491.3	100			Percent of total billed charges		578	100			Percent of total billed charges		578	100			Percent of total billed charges		578	33.3			Percent of total billed charges		192.474	33.3			Percent of total billed charges		192.474	100			Percent of total billed charges		578	192.474	520.2	
smooth round mod profile 300cc saline  breast implant mentor 350-1645	278	RC	Outpatient			578	375.7		90			Percent of total billed charges		520.2	40			Percent of total billed charges		231.2	80			Percent of total billed charges		462.4	90			Percent of total billed charges		520.2	85			Percent of total billed charges		491.3	85			Percent of total billed charges		491.3	85			Percent of total billed charges		491.3	100			Percent of total billed charges		578	100			Percent of total billed charges		578	100			Percent of total billed charges		578	33.3			Percent of total billed charges		192.474	33.3			Percent of total billed charges		192.474	100			Percent of total billed charges		578	192.474	520.2	
tray catheter leonard 10 fr 0603104 bard	278	RC	Outpatient			578	375.7		90			Percent of total billed charges		520.2	40			Percent of total billed charges		231.2	80			Percent of total billed charges		462.4	90			Percent of total billed charges		520.2	85			Percent of total billed charges		491.3	85			Percent of total billed charges		491.3	85			Percent of total billed charges		491.3	100			Percent of total billed charges		578	100			Percent of total billed charges		578	100			Percent of total billed charges		578	33.3			Percent of total billed charges		192.474	33.3			Percent of total billed charges		192.474	100			Percent of total billed charges		578	192.474	520.2	
peek all thread knotless anchor 5.5 904843p biomet	278	RC	Outpatient			578	375.7		90			Percent of total billed charges		520.2	40			Percent of total billed charges		231.2	80			Percent of total billed charges		462.4	90			Percent of total billed charges		520.2	85			Percent of total billed charges		491.3	85			Percent of total billed charges		491.3	85			Percent of total billed charges		491.3	100			Percent of total billed charges		578	100			Percent of total billed charges		578	100			Percent of total billed charges		578	33.3			Percent of total billed charges		192.474	33.3			Percent of total billed charges		192.474	100			Percent of total billed charges		578	192.474	520.2	
smooth round high profile 350cc saline breast implant mentor 350-3290	278	RC	Outpatient			578	375.7		90			Percent of total billed charges		520.2	40			Percent of total billed charges		231.2	80			Percent of total billed charges		462.4	90			Percent of total billed charges		520.2	85			Percent of total billed charges		491.3	85			Percent of total billed charges		491.3	85			Percent of total billed charges		491.3	100			Percent of total billed charges		578	100			Percent of total billed charges		578	100			Percent of total billed charges		578	33.3			Percent of total billed charges		192.474	33.3			Percent of total billed charges		192.474	100			Percent of total billed charges		578	192.474	520.2	
smooth round mod profile 325cc saline  breast implant mentor 350-1650	278	RC	Outpatient			578	375.7		90			Percent of total billed charges		520.2	40			Percent of total billed charges		231.2	80			Percent of total billed charges		462.4	90			Percent of total billed charges		520.2	85			Percent of total billed charges		491.3	85			Percent of total billed charges		491.3	85			Percent of total billed charges		491.3	100			Percent of total billed charges		578	100			Percent of total billed charges		578	100			Percent of total billed charges		578	33.3			Percent of total billed charges		192.474	33.3			Percent of total billed charges		192.474	100			Percent of total billed charges		578	192.474	520.2	
ultratone xl	270	RC	Outpatient			578	375.7		90			Percent of total billed charges		520.2	40			Percent of total billed charges		231.2	80			Percent of total billed charges		462.4	90			Percent of total billed charges		520.2	85			Percent of total billed charges		491.3	85			Percent of total billed charges		491.3	85			Percent of total billed charges		491.3	100			Percent of total billed charges		578	100			Percent of total billed charges		578	100			Percent of total billed charges		578	33.3			Percent of total billed charges		192.474	33.3			Percent of total billed charges		192.474	100			Percent of total billed charges		578	192.474	520.2	
elibra soft tissue force large sensor 61-9351 synvasive tech	272	RC	Outpatient			579	376.35		90			Percent of total billed charges		521.1	40			Percent of total billed charges		231.6	80			Percent of total billed charges		463.2	90			Percent of total billed charges		521.1	85			Percent of total billed charges		492.15	85			Percent of total billed charges		492.15	85			Percent of total billed charges		492.15	100			Percent of total billed charges		579	100			Percent of total billed charges		579	100			Percent of total billed charges		579	33.3			Percent of total billed charges		192.807	33.3			Percent of total billed charges		192.807	100			Percent of total billed charges		579	192.807	521.1	
elibra tissue sensor	272	RC	Outpatient			579	376.35		90			Percent of total billed charges		521.1	40			Percent of total billed charges		231.6	80			Percent of total billed charges		463.2	90			Percent of total billed charges		521.1	85			Percent of total billed charges		492.15	85			Percent of total billed charges		492.15	85			Percent of total billed charges		492.15	100			Percent of total billed charges		579	100			Percent of total billed charges		579	100			Percent of total billed charges		579	33.3			Percent of total billed charges		192.807	33.3			Percent of total billed charges		192.807	100			Percent of total billed charges		579	192.807	521.1	
healicoil pk 5.5 suture anchor 7220-3379 s/n	278	RC	Outpatient			579	376.35		90			Percent of total billed charges		521.1	40			Percent of total billed charges		231.6	80			Percent of total billed charges		463.2	90			Percent of total billed charges		521.1	85			Percent of total billed charges		492.15	85			Percent of total billed charges		492.15	85			Percent of total billed charges		492.15	100			Percent of total billed charges		579	100			Percent of total billed charges		579	100			Percent of total billed charges		579	33.3			Percent of total billed charges		192.807	33.3			Percent of total billed charges		192.807	100			Percent of total billed charges		579	192.807	521.1	
elibra soft tissue force large sensor 61-9321 synvasive tech	272	RC	Outpatient			579	376.35		90			Percent of total billed charges		521.1	40			Percent of total billed charges		231.6	80			Percent of total billed charges		463.2	90			Percent of total billed charges		521.1	85			Percent of total billed charges		492.15	85			Percent of total billed charges		492.15	85			Percent of total billed charges		492.15	100			Percent of total billed charges		579	100			Percent of total billed charges		579	100			Percent of total billed charges		579	33.3			Percent of total billed charges		192.807	33.3			Percent of total billed charges		192.807	100			Percent of total billed charges		579	192.807	521.1	
elibra soft tissue force small sensor 61-9311 synvasive tech	272	RC	Outpatient			579	376.35		90			Percent of total billed charges		521.1	40			Percent of total billed charges		231.6	80			Percent of total billed charges		463.2	90			Percent of total billed charges		521.1	85			Percent of total billed charges		492.15	85			Percent of total billed charges		492.15	85			Percent of total billed charges		492.15	100			Percent of total billed charges		579	100			Percent of total billed charges		579	100			Percent of total billed charges		579	33.3			Percent of total billed charges		192.807	33.3			Percent of total billed charges		192.807	100			Percent of total billed charges		579	192.807	521.1	
elibra soft tissue force small sensor 61-9341 synvasive tech	272	RC	Outpatient			579	376.35		90			Percent of total billed charges		521.1	40			Percent of total billed charges		231.6	80			Percent of total billed charges		463.2	90			Percent of total billed charges		521.1	85			Percent of total billed charges		492.15	85			Percent of total billed charges		492.15	85			Percent of total billed charges		492.15	100			Percent of total billed charges		579	100			Percent of total billed charges		579	100			Percent of total billed charges		579	33.3			Percent of total billed charges		192.807	33.3			Percent of total billed charges		192.807	100			Percent of total billed charges		579	192.807	521.1	
healicoil sa pk 4.5 suture anchor 7220-3378 s/n	278	RC	Outpatient			579	376.35		90			Percent of total billed charges		521.1	40			Percent of total billed charges		231.6	80			Percent of total billed charges		463.2	90			Percent of total billed charges		521.1	85			Percent of total billed charges		492.15	85			Percent of total billed charges		492.15	85			Percent of total billed charges		492.15	100			Percent of total billed charges		579	100			Percent of total billed charges		579	100			Percent of total billed charges		579	33.3			Percent of total billed charges		192.807	33.3			Percent of total billed charges		192.807	100			Percent of total billed charges		579	192.807	521.1	
med-flo pain pump smith & nephew dyonics  7209612	270	RC	Outpatient			579	376.35		90			Percent of total billed charges		521.1	40			Percent of total billed charges		231.6	80			Percent of total billed charges		463.2	90			Percent of total billed charges		521.1	85			Percent of total billed charges		492.15	85			Percent of total billed charges		492.15	85			Percent of total billed charges		492.15	100			Percent of total billed charges		579	100			Percent of total billed charges		579	100			Percent of total billed charges		579	33.3			Percent of total billed charges		192.807	33.3			Percent of total billed charges		192.807	100			Percent of total billed charges		579	192.807	521.1	
pain mgt system large	270	RC	Outpatient			579	376.35		90			Percent of total billed charges		521.1	40			Percent of total billed charges		231.6	80			Percent of total billed charges		463.2	90			Percent of total billed charges		521.1	85			Percent of total billed charges		492.15	85			Percent of total billed charges		492.15	85			Percent of total billed charges		492.15	100			Percent of total billed charges		579	100			Percent of total billed charges		579	100			Percent of total billed charges		579	33.3			Percent of total billed charges		192.807	33.3			Percent of total billed charges		192.807	100			Percent of total billed charges		579	192.807	521.1	
pain management system pm014	270	RC	Outpatient			579	376.35		90			Percent of total billed charges		521.1	40			Percent of total billed charges		231.6	80			Percent of total billed charges		463.2	90			Percent of total billed charges		521.1	85			Percent of total billed charges		492.15	85			Percent of total billed charges		492.15	85			Percent of total billed charges		492.15	100			Percent of total billed charges		579	100			Percent of total billed charges		579	100			Percent of total billed charges		579	33.3			Percent of total billed charges		192.807	33.3			Percent of total billed charges		192.807	100			Percent of total billed charges		579	192.807	521.1	
echelon flex 45 cutter ec45a ethicon	272	RC	Outpatient			580	377		90			Percent of total billed charges		522	40			Percent of total billed charges		232	80			Percent of total billed charges		464	90			Percent of total billed charges		522	85			Percent of total billed charges		493	85			Percent of total billed charges		493	85			Percent of total billed charges		493	100			Percent of total billed charges		580	100			Percent of total billed charges		580	100			Percent of total billed charges		580	33.3			Percent of total billed charges		193.14	33.3			Percent of total billed charges		193.14	100			Percent of total billed charges		580	193.14	522	
echolen flex 45 stapler	272	RC	Outpatient			580	377		90			Percent of total billed charges		522	40			Percent of total billed charges		232	80			Percent of total billed charges		464	90			Percent of total billed charges		522	85			Percent of total billed charges		493	85			Percent of total billed charges		493	85			Percent of total billed charges		493	100			Percent of total billed charges		580	100			Percent of total billed charges		580	100			Percent of total billed charges		580	33.3			Percent of total billed charges		193.14	33.3			Percent of total billed charges		193.14	100			Percent of total billed charges		580	193.14	522	
echolon flex 45 endo linear cutter ec45a ethicon	272	RC	Outpatient			580	377		90			Percent of total billed charges		522	40			Percent of total billed charges		232	80			Percent of total billed charges		464	90			Percent of total billed charges		522	85			Percent of total billed charges		493	85			Percent of total billed charges		493	85			Percent of total billed charges		493	100			Percent of total billed charges		580	100			Percent of total billed charges		580	100			Percent of total billed charges		580	33.3			Percent of total billed charges		193.14	33.3			Percent of total billed charges		193.14	100			Percent of total billed charges		580	193.14	522	
stapler echelon flex 45	272	RC	Outpatient			580	377		90			Percent of total billed charges		522	40			Percent of total billed charges		232	80			Percent of total billed charges		464	90			Percent of total billed charges		522	85			Percent of total billed charges		493	85			Percent of total billed charges		493	85			Percent of total billed charges		493	100			Percent of total billed charges		580	100			Percent of total billed charges		580	100			Percent of total billed charges		580	33.3			Percent of total billed charges		193.14	33.3			Percent of total billed charges		193.14	100			Percent of total billed charges		580	193.14	522	
anesthesia nerve/peripheral block	270	RC	Outpatient			581	377.65		90			Percent of total billed charges		522.9	40			Percent of total billed charges		232.4	80			Percent of total billed charges		464.8	90			Percent of total billed charges		522.9	85			Percent of total billed charges		493.85	85			Percent of total billed charges		493.85	85			Percent of total billed charges		493.85	100			Percent of total billed charges		581	100			Percent of total billed charges		581	100			Percent of total billed charges		581	33.3			Percent of total billed charges		193.473	33.3			Percent of total billed charges		193.473	100			Percent of total billed charges		581	193.473	522.9	
catheter navicross	272	RC	Outpatient			581	377.65		90			Percent of total billed charges		522.9	40			Percent of total billed charges		232.4	80			Percent of total billed charges		464.8	90			Percent of total billed charges		522.9	85			Percent of total billed charges		493.85	85			Percent of total billed charges		493.85	85			Percent of total billed charges		493.85	100			Percent of total billed charges		581	100			Percent of total billed charges		581	100			Percent of total billed charges		581	33.3			Percent of total billed charges		193.473	33.3			Percent of total billed charges		193.473	100			Percent of total billed charges		581	193.473	522.9	
acufex crucial tool	270	RC	Outpatient			581	377.65		90			Percent of total billed charges		522.9	40			Percent of total billed charges		232.4	80			Percent of total billed charges		464.8	90			Percent of total billed charges		522.9	85			Percent of total billed charges		493.85	85			Percent of total billed charges		493.85	85			Percent of total billed charges		493.85	100			Percent of total billed charges		581	100			Percent of total billed charges		581	100			Percent of total billed charges		581	33.3			Percent of total billed charges		193.473	33.3			Percent of total billed charges		193.473	100			Percent of total billed charges		581	193.473	522.9	
compresor open for tubular x fix 393.76	278	RC	Outpatient			581	377.65		90			Percent of total billed charges		522.9	40			Percent of total billed charges		232.4	80			Percent of total billed charges		464.8	90			Percent of total billed charges		522.9	85			Percent of total billed charges		493.85	85			Percent of total billed charges		493.85	85			Percent of total billed charges		493.85	100			Percent of total billed charges		581	100			Percent of total billed charges		581	100			Percent of total billed charges		581	33.3			Percent of total billed charges		193.473	33.3			Percent of total billed charges		193.473	100			Percent of total billed charges		581	193.473	522.9	
endo erbe procedure (argon plasma coagulation)	750	RC	Outpatient			581	377.65		90			Percent of total billed charges		522.9	40			Percent of total billed charges		232.4	80			Percent of total billed charges		464.8	90			Percent of total billed charges		522.9	85			Percent of total billed charges		493.85	85			Percent of total billed charges		493.85	85			Percent of total billed charges		493.85	100			Percent of total billed charges		581	100			Percent of total billed charges		581	100			Percent of total billed charges		581	33.3			Percent of total billed charges		193.473	33.3			Percent of total billed charges		193.473	100			Percent of total billed charges		581	193.473	522.9	
ext fix open compressor	278	RC	Outpatient			581	377.65		90			Percent of total billed charges		522.9	40			Percent of total billed charges		232.4	80			Percent of total billed charges		464.8	90			Percent of total billed charges		522.9	85			Percent of total billed charges		493.85	85			Percent of total billed charges		493.85	85			Percent of total billed charges		493.85	100			Percent of total billed charges		581	100			Percent of total billed charges		581	100			Percent of total billed charges		581	33.3			Percent of total billed charges		193.473	33.3			Percent of total billed charges		193.473	100			Percent of total billed charges		581	193.473	522.9	
navicross support cath nc35130 terumo	272	RC	Outpatient			581	377.65		90			Percent of total billed charges		522.9	40			Percent of total billed charges		232.4	80			Percent of total billed charges		464.8	90			Percent of total billed charges		522.9	85			Percent of total billed charges		493.85	85			Percent of total billed charges		493.85	85			Percent of total billed charges		493.85	100			Percent of total billed charges		581	100			Percent of total billed charges		581	100			Percent of total billed charges		581	33.3			Percent of total billed charges		193.473	33.3			Percent of total billed charges		193.473	100			Percent of total billed charges		581	193.473	522.9	
navicross support cath nc35901 terumo	272	RC	Outpatient			581	377.65		90			Percent of total billed charges		522.9	40			Percent of total billed charges		232.4	80			Percent of total billed charges		464.8	90			Percent of total billed charges		522.9	85			Percent of total billed charges		493.85	85			Percent of total billed charges		493.85	85			Percent of total billed charges		493.85	100			Percent of total billed charges		581	100			Percent of total billed charges		581	100			Percent of total billed charges		581	33.3			Percent of total billed charges		193.473	33.3			Percent of total billed charges		193.473	100			Percent of total billed charges		581	193.473	522.9	
arthrex locking 1/3 tub plate 5h  ar 8943t-05	278	RC	Outpatient			582	378.3		90			Percent of total billed charges		523.8	40			Percent of total billed charges		232.8	80			Percent of total billed charges		465.6	90			Percent of total billed charges		523.8	85			Percent of total billed charges		494.7	85			Percent of total billed charges		494.7	85			Percent of total billed charges		494.7	100			Percent of total billed charges		582	100			Percent of total billed charges		582	100			Percent of total billed charges		582	33.3			Percent of total billed charges		193.806	33.3			Percent of total billed charges		193.806	100			Percent of total billed charges		582	193.806	523.8	
cancellous cube 15cc community tissue service	278	RC	Outpatient			582	378.3		90			Percent of total billed charges		523.8	40			Percent of total billed charges		232.8	80			Percent of total billed charges		465.6	90			Percent of total billed charges		523.8	85			Percent of total billed charges		494.7	85			Percent of total billed charges		494.7	85			Percent of total billed charges		494.7	100			Percent of total billed charges		582	100			Percent of total billed charges		582	100			Percent of total billed charges		582	33.3			Percent of total billed charges		193.806	33.3			Percent of total billed charges		193.806	100			Percent of total billed charges		582	193.806	523.8	
arthrex 1/3 tub pl 5h	278	RC	Outpatient			582	378.3		90			Percent of total billed charges		523.8	40			Percent of total billed charges		232.8	80			Percent of total billed charges		465.6	90			Percent of total billed charges		523.8	85			Percent of total billed charges		494.7	85			Percent of total billed charges		494.7	85			Percent of total billed charges		494.7	100			Percent of total billed charges		582	100			Percent of total billed charges		582	100			Percent of total billed charges		582	33.3			Percent of total billed charges		193.806	33.3			Percent of total billed charges		193.806	100			Percent of total billed charges		582	193.806	523.8	
canc bone cubes 15cc  1137 comm tissue	278	RC	Outpatient			582	378.3		90			Percent of total billed charges		523.8	40			Percent of total billed charges		232.8	80			Percent of total billed charges		465.6	90			Percent of total billed charges		523.8	85			Percent of total billed charges		494.7	85			Percent of total billed charges		494.7	85			Percent of total billed charges		494.7	100			Percent of total billed charges		582	100			Percent of total billed charges		582	100			Percent of total billed charges		582	33.3			Percent of total billed charges		193.806	33.3			Percent of total billed charges		193.806	100			Percent of total billed charges		582	193.806	523.8	
cancellous cubes 15cc	278	RC	Outpatient			582	378.3		90			Percent of total billed charges		523.8	40			Percent of total billed charges		232.8	80			Percent of total billed charges		465.6	90			Percent of total billed charges		523.8	85			Percent of total billed charges		494.7	85			Percent of total billed charges		494.7	85			Percent of total billed charges		494.7	100			Percent of total billed charges		582	100			Percent of total billed charges		582	100			Percent of total billed charges		582	33.3			Percent of total billed charges		193.806	33.3			Percent of total billed charges		193.806	100			Percent of total billed charges		582	193.806	523.8	
drill bit 2.1 cann	272	RC	Outpatient			582	378.3		90			Percent of total billed charges		523.8	40			Percent of total billed charges		232.8	80			Percent of total billed charges		465.6	90			Percent of total billed charges		523.8	85			Percent of total billed charges		494.7	85			Percent of total billed charges		494.7	85			Percent of total billed charges		494.7	100			Percent of total billed charges		582	100			Percent of total billed charges		582	100			Percent of total billed charges		582	33.3			Percent of total billed charges		193.806	33.3			Percent of total billed charges		193.806	100			Percent of total billed charges		582	193.806	523.8	
genesis ii biconvex patella 23mm s/n 71420566	278	RC	Outpatient			582	378.3		90			Percent of total billed charges		523.8	40			Percent of total billed charges		232.8	80			Percent of total billed charges		465.6	90			Percent of total billed charges		523.8	85			Percent of total billed charges		494.7	85			Percent of total billed charges		494.7	85			Percent of total billed charges		494.7	100			Percent of total billed charges		582	100			Percent of total billed charges		582	100			Percent of total billed charges		582	33.3			Percent of total billed charges		193.806	33.3			Percent of total billed charges		193.806	100			Percent of total billed charges		582	193.806	523.8	
genesis ii resurfacing patella 29mm s/n 71420574	278	RC	Outpatient			582	378.3		90			Percent of total billed charges		523.8	40			Percent of total billed charges		232.8	80			Percent of total billed charges		465.6	90			Percent of total billed charges		523.8	85			Percent of total billed charges		494.7	85			Percent of total billed charges		494.7	85			Percent of total billed charges		494.7	100			Percent of total billed charges		582	100			Percent of total billed charges		582	100			Percent of total billed charges		582	33.3			Percent of total billed charges		193.806	33.3			Percent of total billed charges		193.806	100			Percent of total billed charges		582	193.806	523.8	
genesis ii resurfacing patella 35mm s/n 71420578	278	RC	Outpatient			582	378.3		90			Percent of total billed charges		523.8	40			Percent of total billed charges		232.8	80			Percent of total billed charges		465.6	90			Percent of total billed charges		523.8	85			Percent of total billed charges		494.7	85			Percent of total billed charges		494.7	85			Percent of total billed charges		494.7	100			Percent of total billed charges		582	100			Percent of total billed charges		582	100			Percent of total billed charges		582	33.3			Percent of total billed charges		193.806	33.3			Percent of total billed charges		193.806	100			Percent of total billed charges		582	193.806	523.8	
gii biconvex patella 29mm s/n 71420570	278	RC	Outpatient			582	378.3		90			Percent of total billed charges		523.8	40			Percent of total billed charges		232.8	80			Percent of total billed charges		465.6	90			Percent of total billed charges		523.8	85			Percent of total billed charges		494.7	85			Percent of total billed charges		494.7	85			Percent of total billed charges		494.7	100			Percent of total billed charges		582	100			Percent of total billed charges		582	100			Percent of total billed charges		582	33.3			Percent of total billed charges		193.806	33.3			Percent of total billed charges		193.806	100			Percent of total billed charges		582	193.806	523.8	
drill bit 2.1mm cannulated 01-1071-001 orthopediatrics	272	RC	Outpatient			582	378.3		90			Percent of total billed charges		523.8	40			Percent of total billed charges		232.8	80			Percent of total billed charges		465.6	90			Percent of total billed charges		523.8	85			Percent of total billed charges		494.7	85			Percent of total billed charges		494.7	85			Percent of total billed charges		494.7	100			Percent of total billed charges		582	100			Percent of total billed charges		582	100			Percent of total billed charges		582	33.3			Percent of total billed charges		193.806	33.3			Percent of total billed charges		193.806	100			Percent of total billed charges		582	193.806	523.8	
drill w/qc 4.5 71173508 s/n	278	RC	Outpatient			582	378.3		90			Percent of total billed charges		523.8	40			Percent of total billed charges		232.8	80			Percent of total billed charges		465.6	90			Percent of total billed charges		523.8	85			Percent of total billed charges		494.7	85			Percent of total billed charges		494.7	85			Percent of total billed charges		494.7	100			Percent of total billed charges		582	100			Percent of total billed charges		582	100			Percent of total billed charges		582	33.3			Percent of total billed charges		193.806	33.3			Percent of total billed charges		193.806	100			Percent of total billed charges		582	193.806	523.8	
genesis ii resurfacing patella 32mm s/n 71420576	278	RC	Outpatient			582	378.3		90			Percent of total billed charges		523.8	40			Percent of total billed charges		232.8	80			Percent of total billed charges		465.6	90			Percent of total billed charges		523.8	85			Percent of total billed charges		494.7	85			Percent of total billed charges		494.7	85			Percent of total billed charges		494.7	100			Percent of total billed charges		582	100			Percent of total billed charges		582	100			Percent of total billed charges		582	33.3			Percent of total billed charges		193.806	33.3			Percent of total billed charges		193.806	100			Percent of total billed charges		582	193.806	523.8	
gii biconvex patella 26mm s/n 71420568	278	RC	Outpatient			582	378.3		90			Percent of total billed charges		523.8	40			Percent of total billed charges		232.8	80			Percent of total billed charges		465.6	90			Percent of total billed charges		523.8	85			Percent of total billed charges		494.7	85			Percent of total billed charges		494.7	85			Percent of total billed charges		494.7	100			Percent of total billed charges		582	100			Percent of total billed charges		582	100			Percent of total billed charges		582	33.3			Percent of total billed charges		193.806	33.3			Percent of total billed charges		193.806	100			Percent of total billed charges		582	193.806	523.8	
gii biconvex patella 32mm s/n 71420572	278	RC	Outpatient			582	378.3		90			Percent of total billed charges		523.8	40			Percent of total billed charges		232.8	80			Percent of total billed charges		465.6	90			Percent of total billed charges		523.8	85			Percent of total billed charges		494.7	85			Percent of total billed charges		494.7	85			Percent of total billed charges		494.7	100			Percent of total billed charges		582	100			Percent of total billed charges		582	100			Percent of total billed charges		582	33.3			Percent of total billed charges		193.806	33.3			Percent of total billed charges		193.806	100			Percent of total billed charges		582	193.806	523.8	
mini fr pl t 2hl 2.0	278	RC	Outpatient			582	378.3		90			Percent of total billed charges		523.8	40			Percent of total billed charges		232.8	80			Percent of total billed charges		465.6	90			Percent of total billed charges		523.8	85			Percent of total billed charges		494.7	85			Percent of total billed charges		494.7	85			Percent of total billed charges		494.7	100			Percent of total billed charges		582	100			Percent of total billed charges		582	100			Percent of total billed charges		582	33.3			Percent of total billed charges		193.806	33.3			Percent of total billed charges		193.806	100			Percent of total billed charges		582	193.806	523.8	
mini frag t plate 7114-6034 s/n	278	RC	Outpatient			582	378.3		90			Percent of total billed charges		523.8	40			Percent of total billed charges		232.8	80			Percent of total billed charges		465.6	90			Percent of total billed charges		523.8	85			Percent of total billed charges		494.7	85			Percent of total billed charges		494.7	85			Percent of total billed charges		494.7	100			Percent of total billed charges		582	100			Percent of total billed charges		582	100			Percent of total billed charges		582	33.3			Percent of total billed charges		193.806	33.3			Percent of total billed charges		193.806	100			Percent of total billed charges		582	193.806	523.8	
peri-loc 4.5 cann dril bt	278	RC	Outpatient			582	378.3		90			Percent of total billed charges		523.8	40			Percent of total billed charges		232.8	80			Percent of total billed charges		465.6	90			Percent of total billed charges		523.8	85			Percent of total billed charges		494.7	85			Percent of total billed charges		494.7	85			Percent of total billed charges		494.7	100			Percent of total billed charges		582	100			Percent of total billed charges		582	100			Percent of total billed charges		582	33.3			Percent of total billed charges		193.806	33.3			Percent of total billed charges		193.806	100			Percent of total billed charges		582	193.806	523.8	
relieva balloon sinuplasty system sinus guide frontal rsf70 acclarent	272	RC	Outpatient			582	378.3		90			Percent of total billed charges		523.8	40			Percent of total billed charges		232.8	80			Percent of total billed charges		465.6	90			Percent of total billed charges		523.8	85			Percent of total billed charges		494.7	85			Percent of total billed charges		494.7	85			Percent of total billed charges		494.7	100			Percent of total billed charges		582	100			Percent of total billed charges		582	100			Percent of total billed charges		582	33.3			Percent of total billed charges		193.806	33.3			Percent of total billed charges		193.806	100			Percent of total billed charges		582	193.806	523.8	
relieva balloon sinuplasty system sinus guide maxillary rsm110 acclarent	272	RC	Outpatient			582	378.3		90			Percent of total billed charges		523.8	40			Percent of total billed charges		232.8	80			Percent of total billed charges		465.6	90			Percent of total billed charges		523.8	85			Percent of total billed charges		494.7	85			Percent of total billed charges		494.7	85			Percent of total billed charges		494.7	100			Percent of total billed charges		582	100			Percent of total billed charges		582	100			Percent of total billed charges		582	33.3			Percent of total billed charges		193.806	33.3			Percent of total billed charges		193.806	100			Percent of total billed charges		582	193.806	523.8	
relieva balloon sinuplasty system sinus guide sphenoid rss0 acclarent	272	RC	Outpatient			582	378.3		90			Percent of total billed charges		523.8	40			Percent of total billed charges		232.8	80			Percent of total billed charges		465.6	90			Percent of total billed charges		523.8	85			Percent of total billed charges		494.7	85			Percent of total billed charges		494.7	85			Percent of total billed charges		494.7	100			Percent of total billed charges		582	100			Percent of total billed charges		582	100			Percent of total billed charges		582	33.3			Percent of total billed charges		193.806	33.3			Percent of total billed charges		193.806	100			Percent of total billed charges		582	193.806	523.8	
relieva spin guide	272	RC	Outpatient			582	378.3		90			Percent of total billed charges		523.8	40			Percent of total billed charges		232.8	80			Percent of total billed charges		465.6	90			Percent of total billed charges		523.8	85			Percent of total billed charges		494.7	85			Percent of total billed charges		494.7	85			Percent of total billed charges		494.7	100			Percent of total billed charges		582	100			Percent of total billed charges		582	100			Percent of total billed charges		582	33.3			Percent of total billed charges		193.806	33.3			Percent of total billed charges		193.806	100			Percent of total billed charges		582	193.806	523.8	
4.5mm compression plate narrow 24 hole 390mm 00-4945-024-00 zimmer	278	RC	Outpatient			583	378.95		90			Percent of total billed charges		524.7	40			Percent of total billed charges		233.2	80			Percent of total billed charges		466.4	90			Percent of total billed charges		524.7	85			Percent of total billed charges		495.55	85			Percent of total billed charges		495.55	85			Percent of total billed charges		495.55	100			Percent of total billed charges		583	100			Percent of total billed charges		583	100			Percent of total billed charges		583	33.3			Percent of total billed charges		194.139	33.3			Percent of total billed charges		194.139	100			Percent of total billed charges		583	194.139	524.7	
4.5mm compression plate narrow 22 hole 358mm 00-4945-022-00 zimmer	278	RC	Outpatient			583	378.95		90			Percent of total billed charges		524.7	40			Percent of total billed charges		233.2	80			Percent of total billed charges		466.4	90			Percent of total billed charges		524.7	85			Percent of total billed charges		495.55	85			Percent of total billed charges		495.55	85			Percent of total billed charges		495.55	100			Percent of total billed charges		583	100			Percent of total billed charges		583	100			Percent of total billed charges		583	33.3			Percent of total billed charges		194.139	33.3			Percent of total billed charges		194.139	100			Percent of total billed charges		583	194.139	524.7	
drill bit 2.7 219535snd intregra life	272	RC	Outpatient			583	378.95		90			Percent of total billed charges		524.7	40			Percent of total billed charges		233.2	80			Percent of total billed charges		466.4	90			Percent of total billed charges		524.7	85			Percent of total billed charges		495.55	85			Percent of total billed charges		495.55	85			Percent of total billed charges		495.55	100			Percent of total billed charges		583	100			Percent of total billed charges		583	100			Percent of total billed charges		583	33.3			Percent of total billed charges		194.139	33.3			Percent of total billed charges		194.139	100			Percent of total billed charges		583	194.139	524.7	
integra drill bit 2.7	272	RC	Outpatient			583	378.95		90			Percent of total billed charges		524.7	40			Percent of total billed charges		233.2	80			Percent of total billed charges		466.4	90			Percent of total billed charges		524.7	85			Percent of total billed charges		495.55	85			Percent of total billed charges		495.55	85			Percent of total billed charges		495.55	100			Percent of total billed charges		583	100			Percent of total billed charges		583	100			Percent of total billed charges		583	33.3			Percent of total billed charges		194.139	33.3			Percent of total billed charges		194.139	100			Percent of total billed charges		583	194.139	524.7	
plates 1.5mm straight 446.031	278	RC	Outpatient			583	378.95		90			Percent of total billed charges		524.7	40			Percent of total billed charges		233.2	80			Percent of total billed charges		466.4	90			Percent of total billed charges		524.7	85			Percent of total billed charges		495.55	85			Percent of total billed charges		495.55	85			Percent of total billed charges		495.55	100			Percent of total billed charges		583	100			Percent of total billed charges		583	100			Percent of total billed charges		583	33.3			Percent of total billed charges		194.139	33.3			Percent of total billed charges		194.139	100			Percent of total billed charges		583	194.139	524.7	
syn titanium 1.5 wall plt	278	RC	Outpatient			583	378.95		90			Percent of total billed charges		524.7	40			Percent of total billed charges		233.2	80			Percent of total billed charges		466.4	90			Percent of total billed charges		524.7	85			Percent of total billed charges		495.55	85			Percent of total billed charges		495.55	85			Percent of total billed charges		495.55	100			Percent of total billed charges		583	100			Percent of total billed charges		583	100			Percent of total billed charges		583	33.3			Percent of total billed charges		194.139	33.3			Percent of total billed charges		194.139	100			Percent of total billed charges		583	194.139	524.7	
synthes 1.5mm ti wall plate 446.44	278	RC	Outpatient			583	378.95		90			Percent of total billed charges		524.7	40			Percent of total billed charges		233.2	80			Percent of total billed charges		466.4	90			Percent of total billed charges		524.7	85			Percent of total billed charges		495.55	85			Percent of total billed charges		495.55	85			Percent of total billed charges		495.55	100			Percent of total billed charges		583	100			Percent of total billed charges		583	100			Percent of total billed charges		583	33.3			Percent of total billed charges		194.139	33.3			Percent of total billed charges		194.139	100			Percent of total billed charges		583	194.139	524.7	
synthes 1.5mm ti wall plate 446.45	278	RC	Outpatient			583	378.95		90			Percent of total billed charges		524.7	40			Percent of total billed charges		233.2	80			Percent of total billed charges		466.4	90			Percent of total billed charges		524.7	85			Percent of total billed charges		495.55	85			Percent of total billed charges		495.55	85			Percent of total billed charges		495.55	100			Percent of total billed charges		583	100			Percent of total billed charges		583	100			Percent of total billed charges		583	33.3			Percent of total billed charges		194.139	33.3			Percent of total billed charges		194.139	100			Percent of total billed charges		583	194.139	524.7	
zimm 4.5 nw comp pl 22-24	278	RC	Outpatient			583	378.95		90			Percent of total billed charges		524.7	40			Percent of total billed charges		233.2	80			Percent of total billed charges		466.4	90			Percent of total billed charges		524.7	85			Percent of total billed charges		495.55	85			Percent of total billed charges		495.55	85			Percent of total billed charges		495.55	100			Percent of total billed charges		583	100			Percent of total billed charges		583	100			Percent of total billed charges		583	33.3			Percent of total billed charges		194.139	33.3			Percent of total billed charges		194.139	100			Percent of total billed charges		583	194.139	524.7	
2.0mm l-plate oblque left 243.33 synthes	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
4.0 cannulated screw long threaded 18mm 207.718	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
4.0 cannulated screw long threaded 28mm 207.728	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
4.0 cannulated screw long threaded 32mm 207.732	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
4.0 cannulated screw long threaded 36mm 207.736	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
4.0 cannulated screw long threaded 38mm 207.738	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
4.0 cannulated screw long threaded 40mm 207.740	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
4.0 cannulated screw long threaded 46mm 207.746	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
4.0 cannulated screw long threaded 48mm 207.748	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
4.0 cannulated screw short threaded 14mm 207.614	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
4.0 cannulated screw short threaded 16mm 207.616	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
4.0 cannulated screw short threaded 18mm 207.618	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
4.0 cannulated screw short threaded 20mm 207.620	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
4.0 cannulated screw short threaded 22mm 207.622	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
4.0 cannulated screw short threaded 24mm 207.624	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
4.0 cannulated screw short threaded 26mm 207.626	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
4.0 cannulated screw short threaded 36mm 207.636	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
4.0 cannulated screw short threaded 40mm 207.640	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
4.0 cannulated screw short threaded 42mm 207.642	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
4.0 cannulated screw short threaded 44mm 207.644	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
4.0 cannulated screw short threaded 50mm 207.650	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
2.0mm l-plate left 243.31 synthes	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
2.0mm l-plate oblque right 243.34 synthes	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
2.0mm l-plate right 243.32 synthes	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
2.7mm l-plate left 242.31	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
2.7mm l-plate oblique left 242.33	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
2.7mm l-plate oblique right 242.34	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
2.7mm l-plate right 242.32	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
4.0 cannulated screw long threaded 16mm 207.716	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
4.0 cannulated screw long threaded 20mm 207.720	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
4.0 cannulated screw long threaded 22mm 207.7202	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
4.0 cannulated screw long threaded 24mm 207.724	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
4.0 cannulated screw long threaded 26mm 207.726	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
4.0 cannulated screw long threaded 30mm 207.730	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
4.0 cannulated screw long threaded 34mm 207.734	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
4.0 cannulated screw long threaded 42mm 207.742	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
4.0 cannulated screw long threaded 44mm 207.744	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
4.0 cannulated screw long threaded 50mm 207.750	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
4.0 cannulated screw short threaded 10mm 207.610	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
4.0 cannulated screw short threaded 12mm 207.612	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
4.0 cannulated screw short threaded 28mm 207.628	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
4.0 cannulated screw short threaded 30mm 207.630	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
4.0 cannulated screw short threaded 32mm 207.632	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
4.0 cannulated screw short threaded 34mm 207.634	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
4.0 cannulated screw short threaded 38mm 207.638	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
4.0 cannulated screw short threaded 46mm 207.646	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
4.0 cannulated screw short threaded 48mm 207.648	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
cannulated screw 4.0 x 14mm 121814 s/n	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
cannulated screw 4.0 x 16mm 121816 s/n	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
h-plate 1.5mm 246.48	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
h-plate 2.0mm 243.48	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
imp screw cannulated 4.0mmx24mm 121824 s/n	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
imp screw cannulated 4.0mmx26mm 121826 s/n	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
imp screw cannulated 4.0mmx40mm 121840 s/n	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
imp screw cannulated 4.0mmx45mm 121845 s/n	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
jet-x mini 6mm offset bar  7106-5226 s/n	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
imp screw cannulated 4.0mmx28mm 121828 s/n	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
imp screw cannulated 4.0mmx34mm 121834 s/n	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
imp screw cannulated 4.0mmx38mm 121838 s/n	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
imp screw cannulated 4.0mmx50mm 121850 s/n	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
jet-x mini bar 6mm offset	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
mini fr pl h-plate	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
mini fr pl l-plt	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
s/n 4.0 cannulated screw  24mm  22-2824	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
s/n 4.0 cannulated screw  32mm 7110-1032	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
s/n 4.0 cannulated screw  35mm ss 22-2835	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
s/n 4.0 cannulated screw  42mm 7110-1042	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
s/n 4.0 cannulated screw  44mm 7110-1044	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
s/n 4.0 cannulated screw  46mm 7110-1046	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
s/n 4.0 cannulated screw  48mm 7110-1048	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
s/n 4.0 cannulated screw  50mm 7110-1050	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
s/n 4.0 cannulated screw  52mm 7110-1052	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
s/n 4.0 cannulated screw  54mm ss 12-1854	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
s/n 4.0 cannulated screw  56mm ss 12-1856	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
s/n 4.0 cannulated screw  58mm 7110-1058	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
s/n 4.0 cannulated screw  58mm ss 12-1858	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
s/n 4.0 cannulated screw  60mm ss 22-2860	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
s/n 4.0 cannulated screw  65mm ss 12-1865	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
s/n 4.0 cannulated screw  65mm ss 22-2865	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
s/n 4.0 cannulated screw  70mm 7110-1070	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
s/n 4.0 cannulated screw  70mm ss 22-2870	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
s/n 4.0 cannulated screw 20mm 7110-1020	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
s/n 4.0 cannulated screw 24mm 7110-1024	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
s/n 4.0 cannulated screw 34mm 7110-1034	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
s/n 4.0 cannulated screw 40mm ss 22-2840	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
s/n 4.0 cannulated screw 70mm ss 12-1870	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
s/n mini frag  l plate oblique 7114-6038	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
s/n mini frag h plate  4  hole 7114-6048	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
s/n mini frag l plate 2.7mm  7114-7001	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
s/n mini frag l plate 2.7mm 7114-7003	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
s/n mini frag l plate 2mm 7114-6044	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
s/n mini frag l plate 2mm 7114-6046	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
s/n mini frag l plate oblique  7114-7002	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
screw cannulated 4 x 12mm 12-1812 s/n	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
screw cannulated 4 x 18mm 12-1818 s/n	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
screw cannulated 4 x 22mm 12-1822 s/n	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
screw cannulated 4 x 30mm 12-1830 s/n	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
screw cannulated 4 x 36mm 12-1836 s/n	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
screw cannulated 4.0 x 42mm 121842	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
s/n  4.0 cannulated screw  26mm 7110-1026	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
s/n  4.0 cannulated screw  28mm 7110-1028	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
s/n  4.0 cannulated screw 36mm 7110-1036	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
s/n 4.0 cannulated screw  20mm 22-2820	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
s/n 4.0 cannulated screw  22mm  22-2822	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
s/n 4.0 cannulated screw  22mm 7110-1022	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
s/n 4.0 cannulated screw  26mm  22-2826	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
s/n 4.0 cannulated screw  28mm ss 22-2828	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
s/n 4.0 cannulated screw  30mm 7110-1030	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
s/n 4.0 cannulated screw  30mm ss 22-2830	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
s/n 4.0 cannulated screw  38mm 7110-1038	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
s/n 4.0 cannulated screw  40mm 7110-1040	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
s/n 4.0 cannulated screw  45mm ss 22-2845	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
s/n 4.0 cannulated screw  50mm ss 22-2850	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
s/n 4.0 cannulated screw  54mm 7110-1054	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
s/n 4.0 cannulated screw  56mm 7110-1056	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
s/n 4.0 cannulated screw  60mm 7110-1060	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
s/n 4.0 cannulated screw  65mm 7110-1065	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
s/n 4.0 cannulated screw 52mm ss 12-1852	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
s/n 4.0 cannulated screw 55mm ss 22-2855	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
s/n 4.0 cannulated screw 60mm ss 12-1860	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
s/n mini frag h plate 4  hole 7114-5030	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
s/n mini frag l plate oblique 7114-6036	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
s/n mini frag l plate oblique 7114-7004	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
screw cannulated 4 x 10mm 12-1810 s/n	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
screw cannulated 4 x 20mm 12-1820 s/n	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
screw cannulated 4.0 x 32mm 121832	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
screw cannulated 4.0 x 44mm 121844	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
screw cannulated 4.0 x 48 121848	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
screw cannulated 4.0mmx46mm 121846 s/n	278	RC	Outpatient			584	379.6		90			Percent of total billed charges		525.6	40			Percent of total billed charges		233.6	80			Percent of total billed charges		467.2	90			Percent of total billed charges		525.6	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	85			Percent of total billed charges		496.4	100			Percent of total billed charges		584	100			Percent of total billed charges		584	100			Percent of total billed charges		584	33.3			Percent of total billed charges		194.472	33.3			Percent of total billed charges		194.472	100			Percent of total billed charges		584	194.472	525.6	
2.0mm straight plate 3 hole 243.13	278	RC	Outpatient			586	380.9		90			Percent of total billed charges		527.4	40			Percent of total billed charges		234.4	80			Percent of total billed charges		468.8	90			Percent of total billed charges		527.4	85			Percent of total billed charges		498.1	85			Percent of total billed charges		498.1	85			Percent of total billed charges		498.1	100			Percent of total billed charges		586	100			Percent of total billed charges		586	100			Percent of total billed charges		586	33.3			Percent of total billed charges		195.138	33.3			Percent of total billed charges		195.138	100			Percent of total billed charges		586	195.138	527.4	
cannulated tap 4.0mm cannulated screw 147mm	278	RC	Outpatient			586	380.9		90			Percent of total billed charges		527.4	40			Percent of total billed charges		234.4	80			Percent of total billed charges		468.8	90			Percent of total billed charges		527.4	85			Percent of total billed charges		498.1	85			Percent of total billed charges		498.1	85			Percent of total billed charges		498.1	100			Percent of total billed charges		586	100			Percent of total billed charges		586	100			Percent of total billed charges		586	33.3			Percent of total billed charges		195.138	33.3			Percent of total billed charges		195.138	100			Percent of total billed charges		586	195.138	527.4	
cannulated tap for 4.5mm cannulated screws 311.59	278	RC	Outpatient			586	380.9		90			Percent of total billed charges		527.4	40			Percent of total billed charges		234.4	80			Percent of total billed charges		468.8	90			Percent of total billed charges		527.4	85			Percent of total billed charges		498.1	85			Percent of total billed charges		498.1	85			Percent of total billed charges		498.1	100			Percent of total billed charges		586	100			Percent of total billed charges		586	100			Percent of total billed charges		586	33.3			Percent of total billed charges		195.138	33.3			Percent of total billed charges		195.138	100			Percent of total billed charges		586	195.138	527.4	
cannulated tap for 7.0mm screws	278	RC	Outpatient			586	380.9		90			Percent of total billed charges		527.4	40			Percent of total billed charges		234.4	80			Percent of total billed charges		468.8	90			Percent of total billed charges		527.4	85			Percent of total billed charges		498.1	85			Percent of total billed charges		498.1	85			Percent of total billed charges		498.1	100			Percent of total billed charges		586	100			Percent of total billed charges		586	100			Percent of total billed charges		586	33.3			Percent of total billed charges		195.138	33.3			Percent of total billed charges		195.138	100			Percent of total billed charges		586	195.138	527.4	
1.5mm straight plate 3 hole 246.19	278	RC	Outpatient			586	380.9		90			Percent of total billed charges		527.4	40			Percent of total billed charges		234.4	80			Percent of total billed charges		468.8	90			Percent of total billed charges		527.4	85			Percent of total billed charges		498.1	85			Percent of total billed charges		498.1	85			Percent of total billed charges		498.1	100			Percent of total billed charges		586	100			Percent of total billed charges		586	100			Percent of total billed charges		586	33.3			Percent of total billed charges		195.138	33.3			Percent of total billed charges		195.138	100			Percent of total billed charges		586	195.138	527.4	
2.0mm straight plate 4 hole 243.14	278	RC	Outpatient			586	380.9		90			Percent of total billed charges		527.4	40			Percent of total billed charges		234.4	80			Percent of total billed charges		468.8	90			Percent of total billed charges		527.4	85			Percent of total billed charges		498.1	85			Percent of total billed charges		498.1	85			Percent of total billed charges		498.1	100			Percent of total billed charges		586	100			Percent of total billed charges		586	100			Percent of total billed charges		586	33.3			Percent of total billed charges		195.138	33.3			Percent of total billed charges		195.138	100			Percent of total billed charges		586	195.138	527.4	
biomet micromax l-15anchr	278	RC	Outpatient			586	380.9		90			Percent of total billed charges		527.4	40			Percent of total billed charges		234.4	80			Percent of total billed charges		468.8	90			Percent of total billed charges		527.4	85			Percent of total billed charges		498.1	85			Percent of total billed charges		498.1	85			Percent of total billed charges		498.1	100			Percent of total billed charges		586	100			Percent of total billed charges		586	100			Percent of total billed charges		586	33.3			Percent of total billed charges		195.138	33.3			Percent of total billed charges		195.138	100			Percent of total billed charges		586	195.138	527.4	
cannulated tap 311.68	278	RC	Outpatient			586	380.9		90			Percent of total billed charges		527.4	40			Percent of total billed charges		234.4	80			Percent of total billed charges		468.8	90			Percent of total billed charges		527.4	85			Percent of total billed charges		498.1	85			Percent of total billed charges		498.1	85			Percent of total billed charges		498.1	100			Percent of total billed charges		586	100			Percent of total billed charges		586	100			Percent of total billed charges		586	33.3			Percent of total billed charges		195.138	33.3			Percent of total billed charges		195.138	100			Percent of total billed charges		586	195.138	527.4	
cannulated tap for 3.5mm cannulated screw 146mm 311.39	278	RC	Outpatient			586	380.9		90			Percent of total billed charges		527.4	40			Percent of total billed charges		234.4	80			Percent of total billed charges		468.8	90			Percent of total billed charges		527.4	85			Percent of total billed charges		498.1	85			Percent of total billed charges		498.1	85			Percent of total billed charges		498.1	100			Percent of total billed charges		586	100			Percent of total billed charges		586	100			Percent of total billed charges		586	33.3			Percent of total billed charges		195.138	33.3			Percent of total billed charges		195.138	100			Percent of total billed charges		586	195.138	527.4	
micromax l-15 2.9mm suture anchor w/single suture 905456 biomet	278	RC	Outpatient			586	380.9		90			Percent of total billed charges		527.4	40			Percent of total billed charges		234.4	80			Percent of total billed charges		468.8	90			Percent of total billed charges		527.4	85			Percent of total billed charges		498.1	85			Percent of total billed charges		498.1	85			Percent of total billed charges		498.1	100			Percent of total billed charges		586	100			Percent of total billed charges		586	100			Percent of total billed charges		586	33.3			Percent of total billed charges		195.138	33.3			Percent of total billed charges		195.138	100			Percent of total billed charges		586	195.138	527.4	
mini fr pl str 3-4hl	278	RC	Outpatient			586	380.9		90			Percent of total billed charges		527.4	40			Percent of total billed charges		234.4	80			Percent of total billed charges		468.8	90			Percent of total billed charges		527.4	85			Percent of total billed charges		498.1	85			Percent of total billed charges		498.1	85			Percent of total billed charges		498.1	100			Percent of total billed charges		586	100			Percent of total billed charges		586	100			Percent of total billed charges		586	33.3			Percent of total billed charges		195.138	33.3			Percent of total billed charges		195.138	100			Percent of total billed charges		586	195.138	527.4	
mini frag plate 2mm 4 hole 7114-6022 s/n	278	RC	Outpatient			586	380.9		90			Percent of total billed charges		527.4	40			Percent of total billed charges		234.4	80			Percent of total billed charges		468.8	90			Percent of total billed charges		527.4	85			Percent of total billed charges		498.1	85			Percent of total billed charges		498.1	85			Percent of total billed charges		498.1	100			Percent of total billed charges		586	100			Percent of total billed charges		586	100			Percent of total billed charges		586	33.3			Percent of total billed charges		195.138	33.3			Percent of total billed charges		195.138	100			Percent of total billed charges		586	195.138	527.4	
imp tap screw can 4.0mm 311.34	278	RC	Outpatient			586	380.9		90			Percent of total billed charges		527.4	40			Percent of total billed charges		234.4	80			Percent of total billed charges		468.8	90			Percent of total billed charges		527.4	85			Percent of total billed charges		498.1	85			Percent of total billed charges		498.1	85			Percent of total billed charges		498.1	100			Percent of total billed charges		586	100			Percent of total billed charges		586	100			Percent of total billed charges		586	33.3			Percent of total billed charges		195.138	33.3			Percent of total billed charges		195.138	100			Percent of total billed charges		586	195.138	527.4	
mini frag plate 2mm 3 hole 7114-6020 s/n	278	RC	Outpatient			586	380.9		90			Percent of total billed charges		527.4	40			Percent of total billed charges		234.4	80			Percent of total billed charges		468.8	90			Percent of total billed charges		527.4	85			Percent of total billed charges		498.1	85			Percent of total billed charges		498.1	85			Percent of total billed charges		498.1	100			Percent of total billed charges		586	100			Percent of total billed charges		586	100			Percent of total billed charges		586	33.3			Percent of total billed charges		195.138	33.3			Percent of total billed charges		195.138	100			Percent of total billed charges		586	195.138	527.4	
synt tap cannulated screw	278	RC	Outpatient			586	380.9		90			Percent of total billed charges		527.4	40			Percent of total billed charges		234.4	80			Percent of total billed charges		468.8	90			Percent of total billed charges		527.4	85			Percent of total billed charges		498.1	85			Percent of total billed charges		498.1	85			Percent of total billed charges		498.1	100			Percent of total billed charges		586	100			Percent of total billed charges		586	100			Percent of total billed charges		586	33.3			Percent of total billed charges		195.138	33.3			Percent of total billed charges		195.138	100			Percent of total billed charges		586	195.138	527.4	
3.5mm compression plate 20-hole 247mm 00-4935-020-00 zimmer	278	RC	Outpatient			587	381.55		90			Percent of total billed charges		528.3	40			Percent of total billed charges		234.8	80			Percent of total billed charges		469.6	90			Percent of total billed charges		528.3	85			Percent of total billed charges		498.95	85			Percent of total billed charges		498.95	85			Percent of total billed charges		498.95	100			Percent of total billed charges		587	100			Percent of total billed charges		587	100			Percent of total billed charges		587	33.3			Percent of total billed charges		195.471	33.3			Percent of total billed charges		195.471	100			Percent of total billed charges		587	195.471	528.3	
bard uretheral obstruc kt	272	RC	Outpatient			587	381.55		90			Percent of total billed charges		528.3	40			Percent of total billed charges		234.8	80			Percent of total billed charges		469.6	90			Percent of total billed charges		528.3	85			Percent of total billed charges		498.95	85			Percent of total billed charges		498.95	85			Percent of total billed charges		498.95	100			Percent of total billed charges		587	100			Percent of total billed charges		587	100			Percent of total billed charges		587	33.3			Percent of total billed charges		195.471	33.3			Percent of total billed charges		195.471	100			Percent of total billed charges		587	195.471	528.3	
3.5mm compression plate 18-hole 217mm 00-4935-018-00 zimmer	278	RC	Outpatient			587	381.55		90			Percent of total billed charges		528.3	40			Percent of total billed charges		234.8	80			Percent of total billed charges		469.6	90			Percent of total billed charges		528.3	85			Percent of total billed charges		498.95	85			Percent of total billed charges		498.95	85			Percent of total billed charges		498.95	100			Percent of total billed charges		587	100			Percent of total billed charges		587	100			Percent of total billed charges		587	33.3			Percent of total billed charges		195.471	33.3			Percent of total billed charges		195.471	100			Percent of total billed charges		587	195.471	528.3	
dst eea 25mm stapler eea2535 covidien	278	RC	Outpatient			587	381.55		90			Percent of total billed charges		528.3	40			Percent of total billed charges		234.8	80			Percent of total billed charges		469.6	90			Percent of total billed charges		528.3	85			Percent of total billed charges		498.95	85			Percent of total billed charges		498.95	85			Percent of total billed charges		498.95	100			Percent of total billed charges		587	100			Percent of total billed charges		587	100			Percent of total billed charges		587	33.3			Percent of total billed charges		195.471	33.3			Percent of total billed charges		195.471	100			Percent of total billed charges		587	195.471	528.3	
drill bit 4.3 702743 stryker	272	RC	Outpatient			587	381.55		90			Percent of total billed charges		528.3	40			Percent of total billed charges		234.8	80			Percent of total billed charges		469.6	90			Percent of total billed charges		528.3	85			Percent of total billed charges		498.95	85			Percent of total billed charges		498.95	85			Percent of total billed charges		498.95	100			Percent of total billed charges		587	100			Percent of total billed charges		587	100			Percent of total billed charges		587	33.3			Percent of total billed charges		195.471	33.3			Percent of total billed charges		195.471	100			Percent of total billed charges		587	195.471	528.3	
drill bit 4.3 703541 stryker	272	RC	Outpatient			587	381.55		90			Percent of total billed charges		528.3	40			Percent of total billed charges		234.8	80			Percent of total billed charges		469.6	90			Percent of total billed charges		528.3	85			Percent of total billed charges		498.95	85			Percent of total billed charges		498.95	85			Percent of total billed charges		498.95	100			Percent of total billed charges		587	100			Percent of total billed charges		587	100			Percent of total billed charges		587	33.3			Percent of total billed charges		195.471	33.3			Percent of total billed charges		195.471	100			Percent of total billed charges		587	195.471	528.3	
stryker drill bit 4.3	272	RC	Outpatient			587	381.55		90			Percent of total billed charges		528.3	40			Percent of total billed charges		234.8	80			Percent of total billed charges		469.6	90			Percent of total billed charges		528.3	85			Percent of total billed charges		498.95	85			Percent of total billed charges		498.95	85			Percent of total billed charges		498.95	100			Percent of total billed charges		587	100			Percent of total billed charges		587	100			Percent of total billed charges		587	33.3			Percent of total billed charges		195.471	33.3			Percent of total billed charges		195.471	100			Percent of total billed charges		587	195.471	528.3	
synthes scr var angle	278	RC	Outpatient			587	381.55		90			Percent of total billed charges		528.3	40			Percent of total billed charges		234.8	80			Percent of total billed charges		469.6	90			Percent of total billed charges		528.3	85			Percent of total billed charges		498.95	85			Percent of total billed charges		498.95	85			Percent of total billed charges		498.95	100			Percent of total billed charges		587	100			Percent of total billed charges		587	100			Percent of total billed charges		587	33.3			Percent of total billed charges		195.471	33.3			Percent of total billed charges		195.471	100			Percent of total billed charges		587	195.471	528.3	
zimm 3.5 comp plt-18-20hl	278	RC	Outpatient			587	381.55		90			Percent of total billed charges		528.3	40			Percent of total billed charges		234.8	80			Percent of total billed charges		469.6	90			Percent of total billed charges		528.3	85			Percent of total billed charges		498.95	85			Percent of total billed charges		498.95	85			Percent of total billed charges		498.95	100			Percent of total billed charges		587	100			Percent of total billed charges		587	100			Percent of total billed charges		587	33.3			Percent of total billed charges		195.471	33.3			Percent of total billed charges		195.471	100			Percent of total billed charges		587	195.471	528.3	
urologist tray for obstructed urethra 123400 bard	272	RC	Outpatient			587	381.55		90			Percent of total billed charges		528.3	40			Percent of total billed charges		234.8	80			Percent of total billed charges		469.6	90			Percent of total billed charges		528.3	85			Percent of total billed charges		498.95	85			Percent of total billed charges		498.95	85			Percent of total billed charges		498.95	100			Percent of total billed charges		587	100			Percent of total billed charges		587	100			Percent of total billed charges		587	33.3			Percent of total billed charges		195.471	33.3			Percent of total billed charges		195.471	100			Percent of total billed charges		587	195.471	528.3	
3.0 cannulated screw 45.0mm 00-1071-5045 orthopediatrics	278	RC	Outpatient			588	382.2		90			Percent of total billed charges		529.2	40			Percent of total billed charges		235.2	80			Percent of total billed charges		470.4	90			Percent of total billed charges		529.2	85			Percent of total billed charges		499.8	85			Percent of total billed charges		499.8	85			Percent of total billed charges		499.8	100			Percent of total billed charges		588	100			Percent of total billed charges		588	100			Percent of total billed charges		588	33.3			Percent of total billed charges		195.804	33.3			Percent of total billed charges		195.804	100			Percent of total billed charges		588	195.804	529.2	
bio-mod glenoid drill bit 4.0 406588 biomet	272	RC	Outpatient			588	382.2		90			Percent of total billed charges		529.2	40			Percent of total billed charges		235.2	80			Percent of total billed charges		470.4	90			Percent of total billed charges		529.2	85			Percent of total billed charges		499.8	85			Percent of total billed charges		499.8	85			Percent of total billed charges		499.8	100			Percent of total billed charges		588	100			Percent of total billed charges		588	100			Percent of total billed charges		588	33.3			Percent of total billed charges		195.804	33.3			Percent of total billed charges		195.804	100			Percent of total billed charges		588	195.804	529.2	
cannulated screw 2.5  x 16mm 71102216s s/n	278	RC	Outpatient			588	382.2		90			Percent of total billed charges		529.2	40			Percent of total billed charges		235.2	80			Percent of total billed charges		470.4	90			Percent of total billed charges		529.2	85			Percent of total billed charges		499.8	85			Percent of total billed charges		499.8	85			Percent of total billed charges		499.8	100			Percent of total billed charges		588	100			Percent of total billed charges		588	100			Percent of total billed charges		588	33.3			Percent of total billed charges		195.804	33.3			Percent of total billed charges		195.804	100			Percent of total billed charges		588	195.804	529.2	
gold eyelid implant 1.0 grams ll3010	278	RC	Outpatient			588	382.2		90			Percent of total billed charges		529.2	40			Percent of total billed charges		235.2	80			Percent of total billed charges		470.4	90			Percent of total billed charges		529.2	85			Percent of total billed charges		499.8	85			Percent of total billed charges		499.8	85			Percent of total billed charges		499.8	100			Percent of total billed charges		588	100			Percent of total billed charges		588	100			Percent of total billed charges		588	33.3			Percent of total billed charges		195.804	33.3			Percent of total billed charges		195.804	100			Percent of total billed charges		588	195.804	529.2	
gold eyelid implant 1.2 grams ll3012	278	RC	Outpatient			588	382.2		90			Percent of total billed charges		529.2	40			Percent of total billed charges		235.2	80			Percent of total billed charges		470.4	90			Percent of total billed charges		529.2	85			Percent of total billed charges		499.8	85			Percent of total billed charges		499.8	85			Percent of total billed charges		499.8	100			Percent of total billed charges		588	100			Percent of total billed charges		588	100			Percent of total billed charges		588	33.3			Percent of total billed charges		195.804	33.3			Percent of total billed charges		195.804	100			Percent of total billed charges		588	195.804	529.2	
gold eyelid implant 1.4 grams ll3014	278	RC	Outpatient			588	382.2		90			Percent of total billed charges		529.2	40			Percent of total billed charges		235.2	80			Percent of total billed charges		470.4	90			Percent of total billed charges		529.2	85			Percent of total billed charges		499.8	85			Percent of total billed charges		499.8	85			Percent of total billed charges		499.8	100			Percent of total billed charges		588	100			Percent of total billed charges		588	100			Percent of total billed charges		588	33.3			Percent of total billed charges		195.804	33.3			Percent of total billed charges		195.804	100			Percent of total billed charges		588	195.804	529.2	
drill bit glenoid	272	RC	Outpatient			588	382.2		90			Percent of total billed charges		529.2	40			Percent of total billed charges		235.2	80			Percent of total billed charges		470.4	90			Percent of total billed charges		529.2	85			Percent of total billed charges		499.8	85			Percent of total billed charges		499.8	85			Percent of total billed charges		499.8	100			Percent of total billed charges		588	100			Percent of total billed charges		588	100			Percent of total billed charges		588	33.3			Percent of total billed charges		195.804	33.3			Percent of total billed charges		195.804	100			Percent of total billed charges		588	195.804	529.2	
gold eyelid implant 0.6 grams ll3006	278	RC	Outpatient			588	382.2		90			Percent of total billed charges		529.2	40			Percent of total billed charges		235.2	80			Percent of total billed charges		470.4	90			Percent of total billed charges		529.2	85			Percent of total billed charges		499.8	85			Percent of total billed charges		499.8	85			Percent of total billed charges		499.8	100			Percent of total billed charges		588	100			Percent of total billed charges		588	100			Percent of total billed charges		588	33.3			Percent of total billed charges		195.804	33.3			Percent of total billed charges		195.804	100			Percent of total billed charges		588	195.804	529.2	
gold eyelid implant 0.8 grams ll3008	278	RC	Outpatient			588	382.2		90			Percent of total billed charges		529.2	40			Percent of total billed charges		235.2	80			Percent of total billed charges		470.4	90			Percent of total billed charges		529.2	85			Percent of total billed charges		499.8	85			Percent of total billed charges		499.8	85			Percent of total billed charges		499.8	100			Percent of total billed charges		588	100			Percent of total billed charges		588	100			Percent of total billed charges		588	33.3			Percent of total billed charges		195.804	33.3			Percent of total billed charges		195.804	100			Percent of total billed charges		588	195.804	529.2	
gold eyelid implant 1.6 grams ll3016	278	RC	Outpatient			588	382.2		90			Percent of total billed charges		529.2	40			Percent of total billed charges		235.2	80			Percent of total billed charges		470.4	90			Percent of total billed charges		529.2	85			Percent of total billed charges		499.8	85			Percent of total billed charges		499.8	85			Percent of total billed charges		499.8	100			Percent of total billed charges		588	100			Percent of total billed charges		588	100			Percent of total billed charges		588	33.3			Percent of total billed charges		195.804	33.3			Percent of total billed charges		195.804	100			Percent of total billed charges		588	195.804	529.2	
orbital implant sizers	272	RC	Outpatient			588	382.2		90			Percent of total billed charges		529.2	40			Percent of total billed charges		235.2	80			Percent of total billed charges		470.4	90			Percent of total billed charges		529.2	85			Percent of total billed charges		499.8	85			Percent of total billed charges		499.8	85			Percent of total billed charges		499.8	100			Percent of total billed charges		588	100			Percent of total billed charges		588	100			Percent of total billed charges		588	33.3			Percent of total billed charges		195.804	33.3			Percent of total billed charges		195.804	100			Percent of total billed charges		588	195.804	529.2	
orbital implant sizers integrated orbital implants i000-13	272	RC	Outpatient			588	382.2		90			Percent of total billed charges		529.2	40			Percent of total billed charges		235.2	80			Percent of total billed charges		470.4	90			Percent of total billed charges		529.2	85			Percent of total billed charges		499.8	85			Percent of total billed charges		499.8	85			Percent of total billed charges		499.8	100			Percent of total billed charges		588	100			Percent of total billed charges		588	100			Percent of total billed charges		588	33.3			Percent of total billed charges		195.804	33.3			Percent of total billed charges		195.804	100			Percent of total billed charges		588	195.804	529.2	
screw cannulated 3.0	278	RC	Outpatient			588	382.2		90			Percent of total billed charges		529.2	40			Percent of total billed charges		235.2	80			Percent of total billed charges		470.4	90			Percent of total billed charges		529.2	85			Percent of total billed charges		499.8	85			Percent of total billed charges		499.8	85			Percent of total billed charges		499.8	100			Percent of total billed charges		588	100			Percent of total billed charges		588	100			Percent of total billed charges		588	33.3			Percent of total billed charges		195.804	33.3			Percent of total billed charges		195.804	100			Percent of total billed charges		588	195.804	529.2	
standard gold implant	278	RC	Outpatient			588	382.2		90			Percent of total billed charges		529.2	40			Percent of total billed charges		235.2	80			Percent of total billed charges		470.4	90			Percent of total billed charges		529.2	85			Percent of total billed charges		499.8	85			Percent of total billed charges		499.8	85			Percent of total billed charges		499.8	100			Percent of total billed charges		588	100			Percent of total billed charges		588	100			Percent of total billed charges		588	33.3			Percent of total billed charges		195.804	33.3			Percent of total billed charges		195.804	100			Percent of total billed charges		588	195.804	529.2	
temporary pacemaker removal charge	360	RC	Outpatient			589	382.85		90			Percent of total billed charges		530.1	40			Percent of total billed charges		235.6	80			Percent of total billed charges		471.2	90			Percent of total billed charges		530.1	85			Percent of total billed charges		500.65	85			Percent of total billed charges		500.65	85			Percent of total billed charges		500.65	100			Percent of total billed charges		589	100			Percent of total billed charges		589	100			Percent of total billed charges		589	33.3			Percent of total billed charges		196.137	33.3			Percent of total billed charges		196.137	100			Percent of total billed charges		589	196.137	530.1	
ccpf chemo admin 5.5 hrs	335	RC	Outpatient			589.88	383.42		90			Percent of total billed charges		530.892	40			Percent of total billed charges		235.952	80			Percent of total billed charges		471.904	90			Percent of total billed charges		530.892	85			Percent of total billed charges		501.398	85			Percent of total billed charges		501.398	85			Percent of total billed charges		501.398	100			Percent of total billed charges		589.88	100			Percent of total billed charges		589.88	100			Percent of total billed charges		589.88	33.3			Percent of total billed charges		196.43	33.3			Percent of total billed charges		196.43	100			Percent of total billed charges		589.88	196.43	530.892	
3.5mm calcaneal v-plate 87mm 00-4935-087-17 zimmer	278	RC	Outpatient			590	383.5		90			Percent of total billed charges		531	40			Percent of total billed charges		236	80			Percent of total billed charges		472	90			Percent of total billed charges		531	85			Percent of total billed charges		501.5	85			Percent of total billed charges		501.5	85			Percent of total billed charges		501.5	100			Percent of total billed charges		590	100			Percent of total billed charges		590	100			Percent of total billed charges		590	33.3			Percent of total billed charges		196.47	33.3			Percent of total billed charges		196.47	100			Percent of total billed charges		590	196.47	531	
3.5mm calcaneal plate 60mm 00-4935-060-17 zimmer	278	RC	Outpatient			590	383.5		90			Percent of total billed charges		531	40			Percent of total billed charges		236	80			Percent of total billed charges		472	90			Percent of total billed charges		531	85			Percent of total billed charges		501.5	85			Percent of total billed charges		501.5	85			Percent of total billed charges		501.5	100			Percent of total billed charges		590	100			Percent of total billed charges		590	100			Percent of total billed charges		590	33.3			Percent of total billed charges		196.47	33.3			Percent of total billed charges		196.47	100			Percent of total billed charges		590	196.47	531	
3.5mm calcaneal plate 70mm 00-4935-070-17 zimmer	278	RC	Outpatient			590	383.5		90			Percent of total billed charges		531	40			Percent of total billed charges		236	80			Percent of total billed charges		472	90			Percent of total billed charges		531	85			Percent of total billed charges		501.5	85			Percent of total billed charges		501.5	85			Percent of total billed charges		501.5	100			Percent of total billed charges		590	100			Percent of total billed charges		590	100			Percent of total billed charges		590	33.3			Percent of total billed charges		196.47	33.3			Percent of total billed charges		196.47	100			Percent of total billed charges		590	196.47	531	
4.5mm compression plate broad 20 hole 326mm 00-4945-020-01 zimmer	278	RC	Outpatient			590	383.5		90			Percent of total billed charges		531	40			Percent of total billed charges		236	80			Percent of total billed charges		472	90			Percent of total billed charges		531	85			Percent of total billed charges		501.5	85			Percent of total billed charges		501.5	85			Percent of total billed charges		501.5	100			Percent of total billed charges		590	100			Percent of total billed charges		590	100			Percent of total billed charges		590	33.3			Percent of total billed charges		196.47	33.3			Percent of total billed charges		196.47	100			Percent of total billed charges		590	196.47	531	
4.5mm compression plate broad 22 hole 358mm 00-4945-022-01 zimmer	278	RC	Outpatient			590	383.5		90			Percent of total billed charges		531	40			Percent of total billed charges		236	80			Percent of total billed charges		472	90			Percent of total billed charges		531	85			Percent of total billed charges		501.5	85			Percent of total billed charges		501.5	85			Percent of total billed charges		501.5	100			Percent of total billed charges		590	100			Percent of total billed charges		590	100			Percent of total billed charges		590	33.3			Percent of total billed charges		196.47	33.3			Percent of total billed charges		196.47	100			Percent of total billed charges		590	196.47	531	
endo gia 60 universal 2.5 030457 auto suture	272	RC	Outpatient			590	383.5		90			Percent of total billed charges		531	40			Percent of total billed charges		236	80			Percent of total billed charges		472	90			Percent of total billed charges		531	85			Percent of total billed charges		501.5	85			Percent of total billed charges		501.5	85			Percent of total billed charges		501.5	100			Percent of total billed charges		590	100			Percent of total billed charges		590	100			Percent of total billed charges		590	33.3			Percent of total billed charges		196.47	33.3			Percent of total billed charges		196.47	100			Percent of total billed charges		590	196.47	531	
endo gia 60-rotic 2.5	272	RC	Outpatient			590	383.5		90			Percent of total billed charges		531	40			Percent of total billed charges		236	80			Percent of total billed charges		472	90			Percent of total billed charges		531	85			Percent of total billed charges		501.5	85			Percent of total billed charges		501.5	85			Percent of total billed charges		501.5	100			Percent of total billed charges		590	100			Percent of total billed charges		590	100			Percent of total billed charges		590	33.3			Percent of total billed charges		196.47	33.3			Percent of total billed charges		196.47	100			Percent of total billed charges		590	196.47	531	
endo gia 60-rotic 3.5	272	RC	Outpatient			590	383.5		90			Percent of total billed charges		531	40			Percent of total billed charges		236	80			Percent of total billed charges		472	90			Percent of total billed charges		531	85			Percent of total billed charges		501.5	85			Percent of total billed charges		501.5	85			Percent of total billed charges		501.5	100			Percent of total billed charges		590	100			Percent of total billed charges		590	100			Percent of total billed charges		590	33.3			Percent of total billed charges		196.47	33.3			Percent of total billed charges		196.47	100			Percent of total billed charges		590	196.47	531	
endo gia roticular staple 60 3.5 030458 ussc	272	RC	Outpatient			590	383.5		90			Percent of total billed charges		531	40			Percent of total billed charges		236	80			Percent of total billed charges		472	90			Percent of total billed charges		531	85			Percent of total billed charges		501.5	85			Percent of total billed charges		501.5	85			Percent of total billed charges		501.5	100			Percent of total billed charges		590	100			Percent of total billed charges		590	100			Percent of total billed charges		590	33.3			Percent of total billed charges		196.47	33.3			Percent of total billed charges		196.47	100			Percent of total billed charges		590	196.47	531	
zimm 3.5 calcaneal plate	278	RC	Outpatient			590	383.5		90			Percent of total billed charges		531	40			Percent of total billed charges		236	80			Percent of total billed charges		472	90			Percent of total billed charges		531	85			Percent of total billed charges		501.5	85			Percent of total billed charges		501.5	85			Percent of total billed charges		501.5	100			Percent of total billed charges		590	100			Percent of total billed charges		590	100			Percent of total billed charges		590	33.3			Percent of total billed charges		196.47	33.3			Percent of total billed charges		196.47	100			Percent of total billed charges		590	196.47	531	
zimm 4.5 br comp pl 20-22	278	RC	Outpatient			590	383.5		90			Percent of total billed charges		531	40			Percent of total billed charges		236	80			Percent of total billed charges		472	90			Percent of total billed charges		531	85			Percent of total billed charges		501.5	85			Percent of total billed charges		501.5	85			Percent of total billed charges		501.5	100			Percent of total billed charges		590	100			Percent of total billed charges		590	100			Percent of total billed charges		590	33.3			Percent of total billed charges		196.47	33.3			Percent of total billed charges		196.47	100			Percent of total billed charges		590	196.47	531	
arthrex acp kit	272	RC	Outpatient			591	384.15		90			Percent of total billed charges		531.9	40			Percent of total billed charges		236.4	80			Percent of total billed charges		472.8	90			Percent of total billed charges		531.9	85			Percent of total billed charges		502.35	85			Percent of total billed charges		502.35	85			Percent of total billed charges		502.35	100			Percent of total billed charges		591	100			Percent of total billed charges		591	100			Percent of total billed charges		591	33.3			Percent of total billed charges		196.803	33.3			Percent of total billed charges		196.803	100			Percent of total billed charges		591	196.803	531.9	
arthrex acp kit series ii abs-10012	272	RC	Outpatient			591	384.15		90			Percent of total billed charges		531.9	40			Percent of total billed charges		236.4	80			Percent of total billed charges		472.8	90			Percent of total billed charges		531.9	85			Percent of total billed charges		502.35	85			Percent of total billed charges		502.35	85			Percent of total billed charges		502.35	100			Percent of total billed charges		591	100			Percent of total billed charges		591	100			Percent of total billed charges		591	33.3			Percent of total billed charges		196.803	33.3			Percent of total billed charges		196.803	100			Percent of total billed charges		591	196.803	531.9	
biomet 2.7 drill bit	272	RC	Outpatient			591	384.15		90			Percent of total billed charges		531.9	40			Percent of total billed charges		236.4	80			Percent of total billed charges		472.8	90			Percent of total billed charges		531.9	85			Percent of total billed charges		502.35	85			Percent of total billed charges		502.35	85			Percent of total billed charges		502.35	100			Percent of total billed charges		591	100			Percent of total billed charges		591	100			Percent of total billed charges		591	33.3			Percent of total billed charges		196.803	33.3			Percent of total billed charges		196.803	100			Percent of total billed charges		591	196.803	531.9	
2.7mm peripheral screw dril bit 405889 biomet	272	RC	Outpatient			591	384.15		90			Percent of total billed charges		531.9	40			Percent of total billed charges		236.4	80			Percent of total billed charges		472.8	90			Percent of total billed charges		531.9	85			Percent of total billed charges		502.35	85			Percent of total billed charges		502.35	85			Percent of total billed charges		502.35	100			Percent of total billed charges		591	100			Percent of total billed charges		591	100			Percent of total billed charges		591	33.3			Percent of total billed charges		196.803	33.3			Percent of total billed charges		196.803	100			Percent of total billed charges		591	196.803	531.9	
arthrex acp kit series 1 abs-10011	272	RC	Outpatient			591	384.15		90			Percent of total billed charges		531.9	40			Percent of total billed charges		236.4	80			Percent of total billed charges		472.8	90			Percent of total billed charges		531.9	85			Percent of total billed charges		502.35	85			Percent of total billed charges		502.35	85			Percent of total billed charges		502.35	100			Percent of total billed charges		591	100			Percent of total billed charges		591	100			Percent of total billed charges		591	33.3			Percent of total billed charges		196.803	33.3			Percent of total billed charges		196.803	100			Percent of total billed charges		591	196.803	531.9	
s/n gns ii resuf pat	278	RC	Outpatient			591	384.15		90			Percent of total billed charges		531.9	40			Percent of total billed charges		236.4	80			Percent of total billed charges		472.8	90			Percent of total billed charges		531.9	85			Percent of total billed charges		502.35	85			Percent of total billed charges		502.35	85			Percent of total billed charges		502.35	100			Percent of total billed charges		591	100			Percent of total billed charges		591	100			Percent of total billed charges		591	33.3			Percent of total billed charges		196.803	33.3			Percent of total billed charges		196.803	100			Percent of total billed charges		591	196.803	531.9	
gns uni tibial comp screw 22mm  725559 s/n	278	RC	Outpatient			592	384.8		90			Percent of total billed charges		532.8	40			Percent of total billed charges		236.8	80			Percent of total billed charges		473.6	90			Percent of total billed charges		532.8	85			Percent of total billed charges		503.2	85			Percent of total billed charges		503.2	85			Percent of total billed charges		503.2	100			Percent of total billed charges		592	100			Percent of total billed charges		592	100			Percent of total billed charges		592	33.3			Percent of total billed charges		197.136	33.3			Percent of total billed charges		197.136	100			Percent of total billed charges		592	197.136	532.8	
gns uni tibial mod peg 725557 s/n	278	RC	Outpatient			592	384.8		90			Percent of total billed charges		532.8	40			Percent of total billed charges		236.8	80			Percent of total billed charges		473.6	90			Percent of total billed charges		532.8	85			Percent of total billed charges		503.2	85			Percent of total billed charges		503.2	85			Percent of total billed charges		503.2	100			Percent of total billed charges		592	100			Percent of total billed charges		592	100			Percent of total billed charges		592	33.3			Percent of total billed charges		197.136	33.3			Percent of total billed charges		197.136	100			Percent of total billed charges		592	197.136	532.8	
generation bone cement	278	RC	Outpatient			592	384.8		90			Percent of total billed charges		532.8	40			Percent of total billed charges		236.8	80			Percent of total billed charges		473.6	90			Percent of total billed charges		532.8	85			Percent of total billed charges		503.2	85			Percent of total billed charges		503.2	85			Percent of total billed charges		503.2	100			Percent of total billed charges		592	100			Percent of total billed charges		592	100			Percent of total billed charges		592	33.3			Percent of total billed charges		197.136	33.3			Percent of total billed charges		197.136	100			Percent of total billed charges		592	197.136	532.8	
generation bone cement biomet 402401	278	RC	Outpatient			592	384.8		90			Percent of total billed charges		532.8	40			Percent of total billed charges		236.8	80			Percent of total billed charges		473.6	90			Percent of total billed charges		532.8	85			Percent of total billed charges		503.2	85			Percent of total billed charges		503.2	85			Percent of total billed charges		503.2	100			Percent of total billed charges		592	100			Percent of total billed charges		592	100			Percent of total billed charges		592	33.3			Percent of total billed charges		197.136	33.3			Percent of total billed charges		197.136	100			Percent of total billed charges		592	197.136	532.8	
gns uni tibial comp screw 16mm 725558 s/n	278	RC	Outpatient			592	384.8		90			Percent of total billed charges		532.8	40			Percent of total billed charges		236.8	80			Percent of total billed charges		473.6	90			Percent of total billed charges		532.8	85			Percent of total billed charges		503.2	85			Percent of total billed charges		503.2	85			Percent of total billed charges		503.2	100			Percent of total billed charges		592	100			Percent of total billed charges		592	100			Percent of total billed charges		592	33.3			Percent of total billed charges		197.136	33.3			Percent of total billed charges		197.136	100			Percent of total billed charges		592	197.136	532.8	
medcarpal fix system	278	RC	Outpatient			592	384.8		90			Percent of total billed charges		532.8	40			Percent of total billed charges		236.8	80			Percent of total billed charges		473.6	90			Percent of total billed charges		532.8	85			Percent of total billed charges		503.2	85			Percent of total billed charges		503.2	85			Percent of total billed charges		503.2	100			Percent of total billed charges		592	100			Percent of total billed charges		592	100			Percent of total billed charges		592	33.3			Percent of total billed charges		197.136	33.3			Percent of total billed charges		197.136	100			Percent of total billed charges		592	197.136	532.8	
lina loop	272	RC	Outpatient			592	384.8		90			Percent of total billed charges		532.8	40			Percent of total billed charges		236.8	80			Percent of total billed charges		473.6	90			Percent of total billed charges		532.8	85			Percent of total billed charges		503.2	85			Percent of total billed charges		503.2	85			Percent of total billed charges		503.2	100			Percent of total billed charges		592	100			Percent of total billed charges		592	100			Percent of total billed charges		592	33.3			Percent of total billed charges		197.136	33.3			Percent of total billed charges		197.136	100			Percent of total billed charges		592	197.136	532.8	
lina loop 489-el-160-8 tri-anim	272	RC	Outpatient			592	384.8		90			Percent of total billed charges		532.8	40			Percent of total billed charges		236.8	80			Percent of total billed charges		473.6	90			Percent of total billed charges		532.8	85			Percent of total billed charges		503.2	85			Percent of total billed charges		503.2	85			Percent of total billed charges		503.2	100			Percent of total billed charges		592	100			Percent of total billed charges		592	100			Percent of total billed charges		592	33.3			Percent of total billed charges		197.136	33.3			Percent of total billed charges		197.136	100			Percent of total billed charges		592	197.136	532.8	
metacarpal ifixation hand innovations mfs 062	278	RC	Outpatient			592	384.8		90			Percent of total billed charges		532.8	40			Percent of total billed charges		236.8	80			Percent of total billed charges		473.6	90			Percent of total billed charges		532.8	85			Percent of total billed charges		503.2	85			Percent of total billed charges		503.2	85			Percent of total billed charges		503.2	100			Percent of total billed charges		592	100			Percent of total billed charges		592	100			Percent of total billed charges		592	33.3			Percent of total billed charges		197.136	33.3			Percent of total billed charges		197.136	100			Percent of total billed charges		592	197.136	532.8	
sc-acufix 4.0 wide root bone screw 12mm 402-43112 abbott	278	RC	Outpatient			592	384.8		90			Percent of total billed charges		532.8	40			Percent of total billed charges		236.8	80			Percent of total billed charges		473.6	90			Percent of total billed charges		532.8	85			Percent of total billed charges		503.2	85			Percent of total billed charges		503.2	85			Percent of total billed charges		503.2	100			Percent of total billed charges		592	100			Percent of total billed charges		592	100			Percent of total billed charges		592	33.3			Percent of total billed charges		197.136	33.3			Percent of total billed charges		197.136	100			Percent of total billed charges		592	197.136	532.8	
sc-acufix 4.0 wide root bone screw 14mm 402-43114 abbott	278	RC	Outpatient			592	384.8		90			Percent of total billed charges		532.8	40			Percent of total billed charges		236.8	80			Percent of total billed charges		473.6	90			Percent of total billed charges		532.8	85			Percent of total billed charges		503.2	85			Percent of total billed charges		503.2	85			Percent of total billed charges		503.2	100			Percent of total billed charges		592	100			Percent of total billed charges		592	100			Percent of total billed charges		592	33.3			Percent of total billed charges		197.136	33.3			Percent of total billed charges		197.136	100			Percent of total billed charges		592	197.136	532.8	
sc-acufix 4.5 rescue bone screw 12mm 402-45112 abbott	278	RC	Outpatient			592	384.8		90			Percent of total billed charges		532.8	40			Percent of total billed charges		236.8	80			Percent of total billed charges		473.6	90			Percent of total billed charges		532.8	85			Percent of total billed charges		503.2	85			Percent of total billed charges		503.2	85			Percent of total billed charges		503.2	100			Percent of total billed charges		592	100			Percent of total billed charges		592	100			Percent of total billed charges		592	33.3			Percent of total billed charges		197.136	33.3			Percent of total billed charges		197.136	100			Percent of total billed charges		592	197.136	532.8	
sc-acufix 4.5 rescue bone screw 13mm 402-45113 abbott	278	RC	Outpatient			592	384.8		90			Percent of total billed charges		532.8	40			Percent of total billed charges		236.8	80			Percent of total billed charges		473.6	90			Percent of total billed charges		532.8	85			Percent of total billed charges		503.2	85			Percent of total billed charges		503.2	85			Percent of total billed charges		503.2	100			Percent of total billed charges		592	100			Percent of total billed charges		592	100			Percent of total billed charges		592	33.3			Percent of total billed charges		197.136	33.3			Percent of total billed charges		197.136	100			Percent of total billed charges		592	197.136	532.8	
sc-acufix graft screw	278	RC	Outpatient			592	384.8		90			Percent of total billed charges		532.8	40			Percent of total billed charges		236.8	80			Percent of total billed charges		473.6	90			Percent of total billed charges		532.8	85			Percent of total billed charges		503.2	85			Percent of total billed charges		503.2	85			Percent of total billed charges		503.2	100			Percent of total billed charges		592	100			Percent of total billed charges		592	100			Percent of total billed charges		592	33.3			Percent of total billed charges		197.136	33.3			Percent of total billed charges		197.136	100			Percent of total billed charges		592	197.136	532.8	
sc-acufix thinline primary bone screw 15mm 402-44015 abbott	278	RC	Outpatient			592	384.8		90			Percent of total billed charges		532.8	40			Percent of total billed charges		236.8	80			Percent of total billed charges		473.6	90			Percent of total billed charges		532.8	85			Percent of total billed charges		503.2	85			Percent of total billed charges		503.2	85			Percent of total billed charges		503.2	100			Percent of total billed charges		592	100			Percent of total billed charges		592	100			Percent of total billed charges		592	33.3			Percent of total billed charges		197.136	33.3			Percent of total billed charges		197.136	100			Percent of total billed charges		592	197.136	532.8	
sc-acufix thinline rescue screw 14mm 402-46014 abbott	278	RC	Outpatient			592	384.8		90			Percent of total billed charges		532.8	40			Percent of total billed charges		236.8	80			Percent of total billed charges		473.6	90			Percent of total billed charges		532.8	85			Percent of total billed charges		503.2	85			Percent of total billed charges		503.2	85			Percent of total billed charges		503.2	100			Percent of total billed charges		592	100			Percent of total billed charges		592	100			Percent of total billed charges		592	33.3			Percent of total billed charges		197.136	33.3			Percent of total billed charges		197.136	100			Percent of total billed charges		592	197.136	532.8	
sc-acufix thinline rescue screw 15mm 402-46015 abbott	278	RC	Outpatient			592	384.8		90			Percent of total billed charges		532.8	40			Percent of total billed charges		236.8	80			Percent of total billed charges		473.6	90			Percent of total billed charges		532.8	85			Percent of total billed charges		503.2	85			Percent of total billed charges		503.2	85			Percent of total billed charges		503.2	100			Percent of total billed charges		592	100			Percent of total billed charges		592	100			Percent of total billed charges		592	33.3			Percent of total billed charges		197.136	33.3			Percent of total billed charges		197.136	100			Percent of total billed charges		592	197.136	532.8	
sc-acufix 3.5 graft bone screw 10mm 402-42110 abbott	278	RC	Outpatient			592	384.8		90			Percent of total billed charges		532.8	40			Percent of total billed charges		236.8	80			Percent of total billed charges		473.6	90			Percent of total billed charges		532.8	85			Percent of total billed charges		503.2	85			Percent of total billed charges		503.2	85			Percent of total billed charges		503.2	100			Percent of total billed charges		592	100			Percent of total billed charges		592	100			Percent of total billed charges		592	33.3			Percent of total billed charges		197.136	33.3			Percent of total billed charges		197.136	100			Percent of total billed charges		592	197.136	532.8	
sc-acufix 3.5 graft bone screw 11mm 402-42111 abbott	278	RC	Outpatient			592	384.8		90			Percent of total billed charges		532.8	40			Percent of total billed charges		236.8	80			Percent of total billed charges		473.6	90			Percent of total billed charges		532.8	85			Percent of total billed charges		503.2	85			Percent of total billed charges		503.2	85			Percent of total billed charges		503.2	100			Percent of total billed charges		592	100			Percent of total billed charges		592	100			Percent of total billed charges		592	33.3			Percent of total billed charges		197.136	33.3			Percent of total billed charges		197.136	100			Percent of total billed charges		592	197.136	532.8	
sc-acufix 3.5 graft bone screw 8mm 402-42108 abbott	278	RC	Outpatient			592	384.8		90			Percent of total billed charges		532.8	40			Percent of total billed charges		236.8	80			Percent of total billed charges		473.6	90			Percent of total billed charges		532.8	85			Percent of total billed charges		503.2	85			Percent of total billed charges		503.2	85			Percent of total billed charges		503.2	100			Percent of total billed charges		592	100			Percent of total billed charges		592	100			Percent of total billed charges		592	33.3			Percent of total billed charges		197.136	33.3			Percent of total billed charges		197.136	100			Percent of total billed charges		592	197.136	532.8	
sc-acufix 3.5 graft bone screw 9mm 402-42109 abbott	278	RC	Outpatient			592	384.8		90			Percent of total billed charges		532.8	40			Percent of total billed charges		236.8	80			Percent of total billed charges		473.6	90			Percent of total billed charges		532.8	85			Percent of total billed charges		503.2	85			Percent of total billed charges		503.2	85			Percent of total billed charges		503.2	100			Percent of total billed charges		592	100			Percent of total billed charges		592	100			Percent of total billed charges		592	33.3			Percent of total billed charges		197.136	33.3			Percent of total billed charges		197.136	100			Percent of total billed charges		592	197.136	532.8	
sc-acufix 4.0 wide root bone screw 13mm 402-43113 abbott	278	RC	Outpatient			592	384.8		90			Percent of total billed charges		532.8	40			Percent of total billed charges		236.8	80			Percent of total billed charges		473.6	90			Percent of total billed charges		532.8	85			Percent of total billed charges		503.2	85			Percent of total billed charges		503.2	85			Percent of total billed charges		503.2	100			Percent of total billed charges		592	100			Percent of total billed charges		592	100			Percent of total billed charges		592	33.3			Percent of total billed charges		197.136	33.3			Percent of total billed charges		197.136	100			Percent of total billed charges		592	197.136	532.8	
sc-acufix 4.0 wide root bone screw 15mm 402-43115 abbott	278	RC	Outpatient			592	384.8		90			Percent of total billed charges		532.8	40			Percent of total billed charges		236.8	80			Percent of total billed charges		473.6	90			Percent of total billed charges		532.8	85			Percent of total billed charges		503.2	85			Percent of total billed charges		503.2	85			Percent of total billed charges		503.2	100			Percent of total billed charges		592	100			Percent of total billed charges		592	100			Percent of total billed charges		592	33.3			Percent of total billed charges		197.136	33.3			Percent of total billed charges		197.136	100			Percent of total billed charges		592	197.136	532.8	
sc-acufix 4.5 rescue bone screw 14mm 402-45114 abbott	278	RC	Outpatient			592	384.8		90			Percent of total billed charges		532.8	40			Percent of total billed charges		236.8	80			Percent of total billed charges		473.6	90			Percent of total billed charges		532.8	85			Percent of total billed charges		503.2	85			Percent of total billed charges		503.2	85			Percent of total billed charges		503.2	100			Percent of total billed charges		592	100			Percent of total billed charges		592	100			Percent of total billed charges		592	33.3			Percent of total billed charges		197.136	33.3			Percent of total billed charges		197.136	100			Percent of total billed charges		592	197.136	532.8	
sc-acufix 4.5 rescue bone screw 15mm 402-45115 abbott	278	RC	Outpatient			592	384.8		90			Percent of total billed charges		532.8	40			Percent of total billed charges		236.8	80			Percent of total billed charges		473.6	90			Percent of total billed charges		532.8	85			Percent of total billed charges		503.2	85			Percent of total billed charges		503.2	85			Percent of total billed charges		503.2	100			Percent of total billed charges		592	100			Percent of total billed charges		592	100			Percent of total billed charges		592	33.3			Percent of total billed charges		197.136	33.3			Percent of total billed charges		197.136	100			Percent of total billed charges		592	197.136	532.8	
sc-acufix primary screw	278	RC	Outpatient			592	384.8		90			Percent of total billed charges		532.8	40			Percent of total billed charges		236.8	80			Percent of total billed charges		473.6	90			Percent of total billed charges		532.8	85			Percent of total billed charges		503.2	85			Percent of total billed charges		503.2	85			Percent of total billed charges		503.2	100			Percent of total billed charges		592	100			Percent of total billed charges		592	100			Percent of total billed charges		592	33.3			Percent of total billed charges		197.136	33.3			Percent of total billed charges		197.136	100			Percent of total billed charges		592	197.136	532.8	
sc-acufix rescue screw	278	RC	Outpatient			592	384.8		90			Percent of total billed charges		532.8	40			Percent of total billed charges		236.8	80			Percent of total billed charges		473.6	90			Percent of total billed charges		532.8	85			Percent of total billed charges		503.2	85			Percent of total billed charges		503.2	85			Percent of total billed charges		503.2	100			Percent of total billed charges		592	100			Percent of total billed charges		592	100			Percent of total billed charges		592	33.3			Percent of total billed charges		197.136	33.3			Percent of total billed charges		197.136	100			Percent of total billed charges		592	197.136	532.8	
sc-acufix thinline primary bone screw 12mm 402-44012 abbott	278	RC	Outpatient			592	384.8		90			Percent of total billed charges		532.8	40			Percent of total billed charges		236.8	80			Percent of total billed charges		473.6	90			Percent of total billed charges		532.8	85			Percent of total billed charges		503.2	85			Percent of total billed charges		503.2	85			Percent of total billed charges		503.2	100			Percent of total billed charges		592	100			Percent of total billed charges		592	100			Percent of total billed charges		592	33.3			Percent of total billed charges		197.136	33.3			Percent of total billed charges		197.136	100			Percent of total billed charges		592	197.136	532.8	
sc-acufix thinline primary bone screw 13mm 402-44013 abbott	278	RC	Outpatient			592	384.8		90			Percent of total billed charges		532.8	40			Percent of total billed charges		236.8	80			Percent of total billed charges		473.6	90			Percent of total billed charges		532.8	85			Percent of total billed charges		503.2	85			Percent of total billed charges		503.2	85			Percent of total billed charges		503.2	100			Percent of total billed charges		592	100			Percent of total billed charges		592	100			Percent of total billed charges		592	33.3			Percent of total billed charges		197.136	33.3			Percent of total billed charges		197.136	100			Percent of total billed charges		592	197.136	532.8	
sc-acufix thinline primary bone screw 14mm 402-44014 abbott	278	RC	Outpatient			592	384.8		90			Percent of total billed charges		532.8	40			Percent of total billed charges		236.8	80			Percent of total billed charges		473.6	90			Percent of total billed charges		532.8	85			Percent of total billed charges		503.2	85			Percent of total billed charges		503.2	85			Percent of total billed charges		503.2	100			Percent of total billed charges		592	100			Percent of total billed charges		592	100			Percent of total billed charges		592	33.3			Percent of total billed charges		197.136	33.3			Percent of total billed charges		197.136	100			Percent of total billed charges		592	197.136	532.8	
sc-acufix thinline rescue screw 12mm 402-46012 abbott	278	RC	Outpatient			592	384.8		90			Percent of total billed charges		532.8	40			Percent of total billed charges		236.8	80			Percent of total billed charges		473.6	90			Percent of total billed charges		532.8	85			Percent of total billed charges		503.2	85			Percent of total billed charges		503.2	85			Percent of total billed charges		503.2	100			Percent of total billed charges		592	100			Percent of total billed charges		592	100			Percent of total billed charges		592	33.3			Percent of total billed charges		197.136	33.3			Percent of total billed charges		197.136	100			Percent of total billed charges		592	197.136	532.8	
sc-acufix thinline rescue screw 13mm 402-46013 abbott	278	RC	Outpatient			592	384.8		90			Percent of total billed charges		532.8	40			Percent of total billed charges		236.8	80			Percent of total billed charges		473.6	90			Percent of total billed charges		532.8	85			Percent of total billed charges		503.2	85			Percent of total billed charges		503.2	85			Percent of total billed charges		503.2	100			Percent of total billed charges		592	100			Percent of total billed charges		592	100			Percent of total billed charges		592	33.3			Percent of total billed charges		197.136	33.3			Percent of total billed charges		197.136	100			Percent of total billed charges		592	197.136	532.8	
sc-acufix wide root screw	278	RC	Outpatient			592	384.8		90			Percent of total billed charges		532.8	40			Percent of total billed charges		236.8	80			Percent of total billed charges		473.6	90			Percent of total billed charges		532.8	85			Percent of total billed charges		503.2	85			Percent of total billed charges		503.2	85			Percent of total billed charges		503.2	100			Percent of total billed charges		592	100			Percent of total billed charges		592	100			Percent of total billed charges		592	33.3			Percent of total billed charges		197.136	33.3			Percent of total billed charges		197.136	100			Percent of total billed charges		592	197.136	532.8	
uni tib peg/screw	278	RC	Outpatient			592	384.8		90			Percent of total billed charges		532.8	40			Percent of total billed charges		236.8	80			Percent of total billed charges		473.6	90			Percent of total billed charges		532.8	85			Percent of total billed charges		503.2	85			Percent of total billed charges		503.2	85			Percent of total billed charges		503.2	100			Percent of total billed charges		592	100			Percent of total billed charges		592	100			Percent of total billed charges		592	33.3			Percent of total billed charges		197.136	33.3			Percent of total billed charges		197.136	100			Percent of total billed charges		592	197.136	532.8	
drill long 3.2mm 71751149 s/n	272	RC	Outpatient			593	385.45		90			Percent of total billed charges		533.7	40			Percent of total billed charges		237.2	80			Percent of total billed charges		474.4	90			Percent of total billed charges		533.7	85			Percent of total billed charges		504.05	85			Percent of total billed charges		504.05	85			Percent of total billed charges		504.05	100			Percent of total billed charges		593	100			Percent of total billed charges		593	100			Percent of total billed charges		593	33.3			Percent of total billed charges		197.469	33.3			Percent of total billed charges		197.469	100			Percent of total billed charges		593	197.469	533.7	
drill short 3.2mm 71751148 s/n	272	RC	Outpatient			593	385.45		90			Percent of total billed charges		533.7	40			Percent of total billed charges		237.2	80			Percent of total billed charges		474.4	90			Percent of total billed charges		533.7	85			Percent of total billed charges		504.05	85			Percent of total billed charges		504.05	85			Percent of total billed charges		504.05	100			Percent of total billed charges		593	100			Percent of total billed charges		593	100			Percent of total billed charges		593	33.3			Percent of total billed charges		197.469	33.3			Percent of total billed charges		197.469	100			Percent of total billed charges		593	197.469	533.7	
drill bit 3.2 x 300mm 71177202 s/n	272	RC	Outpatient			593	385.45		90			Percent of total billed charges		533.7	40			Percent of total billed charges		237.2	80			Percent of total billed charges		474.4	90			Percent of total billed charges		533.7	85			Percent of total billed charges		504.05	85			Percent of total billed charges		504.05	85			Percent of total billed charges		504.05	100			Percent of total billed charges		593	100			Percent of total billed charges		593	100			Percent of total billed charges		593	33.3			Percent of total billed charges		197.469	33.3			Percent of total billed charges		197.469	100			Percent of total billed charges		593	197.469	533.7	
onq expansion kit	272	RC	Outpatient			593	385.45		90			Percent of total billed charges		533.7	40			Percent of total billed charges		237.2	80			Percent of total billed charges		474.4	90			Percent of total billed charges		533.7	85			Percent of total billed charges		504.05	85			Percent of total billed charges		504.05	85			Percent of total billed charges		504.05	100			Percent of total billed charges		593	100			Percent of total billed charges		593	100			Percent of total billed charges		593	33.3			Percent of total billed charges		197.469	33.3			Percent of total billed charges		197.469	100			Percent of total billed charges		593	197.469	533.7	
onq painbuster  silver soaker expansion kit pmo40-a i-flow	272	RC	Outpatient			593	385.45		90			Percent of total billed charges		533.7	40			Percent of total billed charges		237.2	80			Percent of total billed charges		474.4	90			Percent of total billed charges		533.7	85			Percent of total billed charges		504.05	85			Percent of total billed charges		504.05	85			Percent of total billed charges		504.05	100			Percent of total billed charges		593	100			Percent of total billed charges		593	100			Percent of total billed charges		593	33.3			Percent of total billed charges		197.469	33.3			Percent of total billed charges		197.469	100			Percent of total billed charges		593	197.469	533.7	
s/n 3.2 drill bit	272	RC	Outpatient			593	385.45		90			Percent of total billed charges		533.7	40			Percent of total billed charges		237.2	80			Percent of total billed charges		474.4	90			Percent of total billed charges		533.7	85			Percent of total billed charges		504.05	85			Percent of total billed charges		504.05	85			Percent of total billed charges		504.05	100			Percent of total billed charges		593	100			Percent of total billed charges		593	100			Percent of total billed charges		593	33.3			Percent of total billed charges		197.469	33.3			Percent of total billed charges		197.469	100			Percent of total billed charges		593	197.469	533.7	
clear trac cannula 8 x 76mm 7210121 s/n endo	272	RC	Outpatient			594	386.1		90			Percent of total billed charges		534.6	40			Percent of total billed charges		237.6	80			Percent of total billed charges		475.2	90			Percent of total billed charges		534.6	85			Percent of total billed charges		504.9	85			Percent of total billed charges		504.9	85			Percent of total billed charges		504.9	100			Percent of total billed charges		594	100			Percent of total billed charges		594	100			Percent of total billed charges		594	33.3			Percent of total billed charges		197.802	33.3			Percent of total billed charges		197.802	100			Percent of total billed charges		594	197.802	534.6	
endo gia 60 articulating load tan egia60avm covidien	272	RC	Outpatient			594	386.1		90			Percent of total billed charges		534.6	40			Percent of total billed charges		237.6	80			Percent of total billed charges		475.2	90			Percent of total billed charges		534.6	85			Percent of total billed charges		504.9	85			Percent of total billed charges		504.9	85			Percent of total billed charges		504.9	100			Percent of total billed charges		594	100			Percent of total billed charges		594	100			Percent of total billed charges		594	33.3			Percent of total billed charges		197.802	33.3			Percent of total billed charges		197.802	100			Percent of total billed charges		594	197.802	534.6	
endo gia 60 dlu ole	272	RC	Outpatient			594	386.1		90			Percent of total billed charges		534.6	40			Percent of total billed charges		237.6	80			Percent of total billed charges		475.2	90			Percent of total billed charges		534.6	85			Percent of total billed charges		504.9	85			Percent of total billed charges		504.9	85			Percent of total billed charges		504.9	100			Percent of total billed charges		594	100			Percent of total billed charges		594	100			Percent of total billed charges		594	33.3			Percent of total billed charges		197.802	33.3			Percent of total billed charges		197.802	100			Percent of total billed charges		594	197.802	534.6	
hickman dual lum.cath 9fr	270	RC	Outpatient			594	386.1		90			Percent of total billed charges		534.6	40			Percent of total billed charges		237.6	80			Percent of total billed charges		475.2	90			Percent of total billed charges		534.6	85			Percent of total billed charges		504.9	85			Percent of total billed charges		504.9	85			Percent of total billed charges		504.9	100			Percent of total billed charges		594	100			Percent of total billed charges		594	100			Percent of total billed charges		594	33.3			Percent of total billed charges		197.802	33.3			Percent of total billed charges		197.802	100			Percent of total billed charges		594	197.802	534.6	
endo gia 60 articulating load purple egia60amt covidien	272	RC	Outpatient			594	386.1		90			Percent of total billed charges		534.6	40			Percent of total billed charges		237.6	80			Percent of total billed charges		475.2	90			Percent of total billed charges		534.6	85			Percent of total billed charges		504.9	85			Percent of total billed charges		504.9	85			Percent of total billed charges		504.9	100			Percent of total billed charges		594	100			Percent of total billed charges		594	100			Percent of total billed charges		594	33.3			Percent of total billed charges		197.802	33.3			Percent of total billed charges		197.802	100			Percent of total billed charges		594	197.802	534.6	
prosthesis testicular small 450-1122 mentc	278	RC	Outpatient			594	386.1		90			Percent of total billed charges		534.6	40			Percent of total billed charges		237.6	80			Percent of total billed charges		475.2	90			Percent of total billed charges		534.6	85			Percent of total billed charges		504.9	85			Percent of total billed charges		504.9	85			Percent of total billed charges		504.9	100			Percent of total billed charges		594	100			Percent of total billed charges		594	100			Percent of total billed charges		594	33.3			Percent of total billed charges		197.802	33.3			Percent of total billed charges		197.802	100			Percent of total billed charges		594	197.802	534.6	
s/n clear trac cannula	272	RC	Outpatient			594	386.1		90			Percent of total billed charges		534.6	40			Percent of total billed charges		237.6	80			Percent of total billed charges		475.2	90			Percent of total billed charges		534.6	85			Percent of total billed charges		504.9	85			Percent of total billed charges		504.9	85			Percent of total billed charges		504.9	100			Percent of total billed charges		594	100			Percent of total billed charges		594	100			Percent of total billed charges		594	33.3			Percent of total billed charges		197.802	33.3			Percent of total billed charges		197.802	100			Percent of total billed charges		594	197.802	534.6	
prosthesis testicular large 450-1126 mentc	278	RC	Outpatient			594	386.1		90			Percent of total billed charges		534.6	40			Percent of total billed charges		237.6	80			Percent of total billed charges		475.2	90			Percent of total billed charges		534.6	85			Percent of total billed charges		504.9	85			Percent of total billed charges		504.9	85			Percent of total billed charges		504.9	100			Percent of total billed charges		594	100			Percent of total billed charges		594	100			Percent of total billed charges		594	33.3			Percent of total billed charges		197.802	33.3			Percent of total billed charges		197.802	100			Percent of total billed charges		594	197.802	534.6	
prosthesis testicular medium 450-1124 mentc	278	RC	Outpatient			594	386.1		90			Percent of total billed charges		534.6	40			Percent of total billed charges		237.6	80			Percent of total billed charges		475.2	90			Percent of total billed charges		534.6	85			Percent of total billed charges		504.9	85			Percent of total billed charges		504.9	85			Percent of total billed charges		504.9	100			Percent of total billed charges		594	100			Percent of total billed charges		594	100			Percent of total billed charges		594	33.3			Percent of total billed charges		197.802	33.3			Percent of total billed charges		197.802	100			Percent of total billed charges		594	197.802	534.6	
s/n cannula threaded cleartrac 72200904	272	RC	Outpatient			594	386.1		90			Percent of total billed charges		534.6	40			Percent of total billed charges		237.6	80			Percent of total billed charges		475.2	90			Percent of total billed charges		534.6	85			Percent of total billed charges		504.9	85			Percent of total billed charges		504.9	85			Percent of total billed charges		504.9	100			Percent of total billed charges		594	100			Percent of total billed charges		594	100			Percent of total billed charges		594	33.3			Percent of total billed charges		197.802	33.3			Percent of total billed charges		197.802	100			Percent of total billed charges		594	197.802	534.6	
testicle prosthesis	278	RC	Outpatient			594	386.1		90			Percent of total billed charges		534.6	40			Percent of total billed charges		237.6	80			Percent of total billed charges		475.2	90			Percent of total billed charges		534.6	85			Percent of total billed charges		504.9	85			Percent of total billed charges		504.9	85			Percent of total billed charges		504.9	100			Percent of total billed charges		594	100			Percent of total billed charges		594	100			Percent of total billed charges		594	33.3			Percent of total billed charges		197.802	33.3			Percent of total billed charges		197.802	100			Percent of total billed charges		594	197.802	534.6	
tray catheter hickman  9 fr0600604 bard	270	RC	Outpatient			594	386.1		90			Percent of total billed charges		534.6	40			Percent of total billed charges		237.6	80			Percent of total billed charges		475.2	90			Percent of total billed charges		534.6	85			Percent of total billed charges		504.9	85			Percent of total billed charges		504.9	85			Percent of total billed charges		504.9	100			Percent of total billed charges		594	100			Percent of total billed charges		594	100			Percent of total billed charges		594	33.3			Percent of total billed charges		197.802	33.3			Percent of total billed charges		197.802	100			Percent of total billed charges		594	197.802	534.6	
3.5mm reconstruction plate 11 hole 245.01	278	RC	Outpatient			595	386.75		90			Percent of total billed charges		535.5	40			Percent of total billed charges		238	80			Percent of total billed charges		476	90			Percent of total billed charges		535.5	85			Percent of total billed charges		505.75	85			Percent of total billed charges		505.75	85			Percent of total billed charges		505.75	100			Percent of total billed charges		595	100			Percent of total billed charges		595	100			Percent of total billed charges		595	33.3			Percent of total billed charges		198.135	33.3			Percent of total billed charges		198.135	100			Percent of total billed charges		595	198.135	535.5	
3.5mm cloverleaf plate 7 hole 152mm 00-4935-007-16 zimmer	278	RC	Outpatient			595	386.75		90			Percent of total billed charges		535.5	40			Percent of total billed charges		238	80			Percent of total billed charges		476	90			Percent of total billed charges		535.5	85			Percent of total billed charges		505.75	85			Percent of total billed charges		505.75	85			Percent of total billed charges		505.75	100			Percent of total billed charges		595	100			Percent of total billed charges		595	100			Percent of total billed charges		595	33.3			Percent of total billed charges		198.135	33.3			Percent of total billed charges		198.135	100			Percent of total billed charges		595	198.135	535.5	
3.5mm cloverleaf plate 8 hole 168mm 00-4935-008-16 zimmer	278	RC	Outpatient			595	386.75		90			Percent of total billed charges		535.5	40			Percent of total billed charges		238	80			Percent of total billed charges		476	90			Percent of total billed charges		535.5	85			Percent of total billed charges		505.75	85			Percent of total billed charges		505.75	85			Percent of total billed charges		505.75	100			Percent of total billed charges		595	100			Percent of total billed charges		595	100			Percent of total billed charges		595	33.3			Percent of total billed charges		198.135	33.3			Percent of total billed charges		198.135	100			Percent of total billed charges		595	198.135	535.5	
3.5mm reconstruction plate 12 hole 245.02	278	RC	Outpatient			595	386.75		90			Percent of total billed charges		535.5	40			Percent of total billed charges		238	80			Percent of total billed charges		476	90			Percent of total billed charges		535.5	85			Percent of total billed charges		505.75	85			Percent of total billed charges		505.75	85			Percent of total billed charges		505.75	100			Percent of total billed charges		595	100			Percent of total billed charges		595	100			Percent of total billed charges		595	33.3			Percent of total billed charges		198.135	33.3			Percent of total billed charges		198.135	100			Percent of total billed charges		595	198.135	535.5	
endo anchor fixation device ethicon eanchr5	272	RC	Outpatient			595	386.75		90			Percent of total billed charges		535.5	40			Percent of total billed charges		238	80			Percent of total billed charges		476	90			Percent of total billed charges		535.5	85			Percent of total billed charges		505.75	85			Percent of total billed charges		505.75	85			Percent of total billed charges		505.75	100			Percent of total billed charges		595	100			Percent of total billed charges		595	100			Percent of total billed charges		595	33.3			Percent of total billed charges		198.135	33.3			Percent of total billed charges		198.135	100			Percent of total billed charges		595	198.135	535.5	
endoanchor fixation serv	272	RC	Outpatient			595	386.75		90			Percent of total billed charges		535.5	40			Percent of total billed charges		238	80			Percent of total billed charges		476	90			Percent of total billed charges		535.5	85			Percent of total billed charges		505.75	85			Percent of total billed charges		505.75	85			Percent of total billed charges		505.75	100			Percent of total billed charges		595	100			Percent of total billed charges		595	100			Percent of total billed charges		595	33.3			Percent of total billed charges		198.135	33.3			Percent of total billed charges		198.135	100			Percent of total billed charges		595	198.135	535.5	
jet-x  1.8mm olive wire 10-2107 s/n	278	RC	Outpatient			595	386.75		90			Percent of total billed charges		535.5	40			Percent of total billed charges		238	80			Percent of total billed charges		476	90			Percent of total billed charges		535.5	85			Percent of total billed charges		505.75	85			Percent of total billed charges		505.75	85			Percent of total billed charges		505.75	100			Percent of total billed charges		595	100			Percent of total billed charges		595	100			Percent of total billed charges		595	33.3			Percent of total billed charges		198.135	33.3			Percent of total billed charges		198.135	100			Percent of total billed charges		595	198.135	535.5	
jet-x olive wire	278	RC	Outpatient			595	386.75		90			Percent of total billed charges		535.5	40			Percent of total billed charges		238	80			Percent of total billed charges		476	90			Percent of total billed charges		535.5	85			Percent of total billed charges		505.75	85			Percent of total billed charges		505.75	85			Percent of total billed charges		505.75	100			Percent of total billed charges		595	100			Percent of total billed charges		595	100			Percent of total billed charges		595	33.3			Percent of total billed charges		198.135	33.3			Percent of total billed charges		198.135	100			Percent of total billed charges		595	198.135	535.5	
syn 3.5 recon plt 11-12hl	278	RC	Outpatient			595	386.75		90			Percent of total billed charges		535.5	40			Percent of total billed charges		238	80			Percent of total billed charges		476	90			Percent of total billed charges		535.5	85			Percent of total billed charges		505.75	85			Percent of total billed charges		505.75	85			Percent of total billed charges		505.75	100			Percent of total billed charges		595	100			Percent of total billed charges		595	100			Percent of total billed charges		595	33.3			Percent of total billed charges		198.135	33.3			Percent of total billed charges		198.135	100			Percent of total billed charges		595	198.135	535.5	
zim 3.5 clover plt-7-8hl	278	RC	Outpatient			595	386.75		90			Percent of total billed charges		535.5	40			Percent of total billed charges		238	80			Percent of total billed charges		476	90			Percent of total billed charges		535.5	85			Percent of total billed charges		505.75	85			Percent of total billed charges		505.75	85			Percent of total billed charges		505.75	100			Percent of total billed charges		595	100			Percent of total billed charges		595	100			Percent of total billed charges		595	33.3			Percent of total billed charges		198.135	33.3			Percent of total billed charges		198.135	100			Percent of total billed charges		595	198.135	535.5	
7.0mm cannulated tap zimmer 1146-07	270	RC	Outpatient			596	387.4		90			Percent of total billed charges		536.4	40			Percent of total billed charges		238.4	80			Percent of total billed charges		476.8	90			Percent of total billed charges		536.4	85			Percent of total billed charges		506.6	85			Percent of total billed charges		506.6	85			Percent of total billed charges		506.6	100			Percent of total billed charges		596	100			Percent of total billed charges		596	100			Percent of total billed charges		596	33.3			Percent of total billed charges		198.468	33.3			Percent of total billed charges		198.468	100			Percent of total billed charges		596	198.468	536.4	
meniscal root repair instrument pack s/n 71935360	272	RC	Outpatient			596	387.4		90			Percent of total billed charges		536.4	40			Percent of total billed charges		238.4	80			Percent of total billed charges		476.8	90			Percent of total billed charges		536.4	85			Percent of total billed charges		506.6	85			Percent of total billed charges		506.6	85			Percent of total billed charges		506.6	100			Percent of total billed charges		596	100			Percent of total billed charges		596	100			Percent of total billed charges		596	33.3			Percent of total billed charges		198.468	33.3			Percent of total billed charges		198.468	100			Percent of total billed charges		596	198.468	536.4	
syn 2.0 drill bit	272	RC	Outpatient			596	387.4		90			Percent of total billed charges		536.4	40			Percent of total billed charges		238.4	80			Percent of total billed charges		476.8	90			Percent of total billed charges		536.4	85			Percent of total billed charges		506.6	85			Percent of total billed charges		506.6	85			Percent of total billed charges		506.6	100			Percent of total billed charges		596	100			Percent of total billed charges		596	100			Percent of total billed charges		596	33.3			Percent of total billed charges		198.468	33.3			Percent of total billed charges		198.468	100			Percent of total billed charges		596	198.468	536.4	
zimmer 7.0 can.tap	270	RC	Outpatient			596	387.4		90			Percent of total billed charges		536.4	40			Percent of total billed charges		238.4	80			Percent of total billed charges		476.8	90			Percent of total billed charges		536.4	85			Percent of total billed charges		506.6	85			Percent of total billed charges		506.6	85			Percent of total billed charges		506.6	100			Percent of total billed charges		596	100			Percent of total billed charges		596	100			Percent of total billed charges		596	33.3			Percent of total billed charges		198.468	33.3			Percent of total billed charges		198.468	100			Percent of total billed charges		596	198.468	536.4	
cobalt g mv bone cement 402439 biomet	278	RC	Outpatient			597	388.05		90			Percent of total billed charges		537.3	40			Percent of total billed charges		238.8	80			Percent of total billed charges		477.6	90			Percent of total billed charges		537.3	85			Percent of total billed charges		507.45	85			Percent of total billed charges		507.45	85			Percent of total billed charges		507.45	100			Percent of total billed charges		597	100			Percent of total billed charges		597	100			Percent of total billed charges		597	33.3			Percent of total billed charges		198.801	33.3			Percent of total billed charges		198.801	100			Percent of total billed charges		597	198.801	537.3	
cobalt g-hv cement	278	RC	Outpatient			597	388.05		90			Percent of total billed charges		537.3	40			Percent of total billed charges		238.8	80			Percent of total billed charges		477.6	90			Percent of total billed charges		537.3	85			Percent of total billed charges		507.45	85			Percent of total billed charges		507.45	85			Percent of total billed charges		507.45	100			Percent of total billed charges		597	100			Percent of total billed charges		597	100			Percent of total billed charges		597	33.3			Percent of total billed charges		198.801	33.3			Percent of total billed charges		198.801	100			Percent of total billed charges		597	198.801	537.3	
triathlon cr fem prep kit  5555-4203 stryker	272	RC	Outpatient			597	388.05		90			Percent of total billed charges		537.3	40			Percent of total billed charges		238.8	80			Percent of total billed charges		477.6	90			Percent of total billed charges		537.3	85			Percent of total billed charges		507.45	85			Percent of total billed charges		507.45	85			Percent of total billed charges		507.45	100			Percent of total billed charges		597	100			Percent of total billed charges		597	100			Percent of total billed charges		597	33.3			Percent of total billed charges		198.801	33.3			Percent of total billed charges		198.801	100			Percent of total billed charges		597	198.801	537.3	
triathlon cr fem prep kit  5555-4204 stryker	272	RC	Outpatient			597	388.05		90			Percent of total billed charges		537.3	40			Percent of total billed charges		238.8	80			Percent of total billed charges		477.6	90			Percent of total billed charges		537.3	85			Percent of total billed charges		507.45	85			Percent of total billed charges		507.45	85			Percent of total billed charges		507.45	100			Percent of total billed charges		597	100			Percent of total billed charges		597	100			Percent of total billed charges		597	33.3			Percent of total billed charges		198.801	33.3			Percent of total billed charges		198.801	100			Percent of total billed charges		597	198.801	537.3	
triathlon cr fem prep kit  5555-4208 stryker	272	RC	Outpatient			597	388.05		90			Percent of total billed charges		537.3	40			Percent of total billed charges		238.8	80			Percent of total billed charges		477.6	90			Percent of total billed charges		537.3	85			Percent of total billed charges		507.45	85			Percent of total billed charges		507.45	85			Percent of total billed charges		507.45	100			Percent of total billed charges		597	100			Percent of total billed charges		597	100			Percent of total billed charges		597	33.3			Percent of total billed charges		198.801	33.3			Percent of total billed charges		198.801	100			Percent of total billed charges		597	198.801	537.3	
triathlon cr fem prep kit sz 1  5555-4201 stryker	272	RC	Outpatient			597	388.05		90			Percent of total billed charges		537.3	40			Percent of total billed charges		238.8	80			Percent of total billed charges		477.6	90			Percent of total billed charges		537.3	85			Percent of total billed charges		507.45	85			Percent of total billed charges		507.45	85			Percent of total billed charges		507.45	100			Percent of total billed charges		597	100			Percent of total billed charges		597	100			Percent of total billed charges		597	33.3			Percent of total billed charges		198.801	33.3			Percent of total billed charges		198.801	100			Percent of total billed charges		597	198.801	537.3	
triathlon fem prep kit	272	RC	Outpatient			597	388.05		90			Percent of total billed charges		537.3	40			Percent of total billed charges		238.8	80			Percent of total billed charges		477.6	90			Percent of total billed charges		537.3	85			Percent of total billed charges		507.45	85			Percent of total billed charges		507.45	85			Percent of total billed charges		507.45	100			Percent of total billed charges		597	100			Percent of total billed charges		597	100			Percent of total billed charges		597	33.3			Percent of total billed charges		198.801	33.3			Percent of total billed charges		198.801	100			Percent of total billed charges		597	198.801	537.3	
precision fem. kit stryker 5555-420j	272	RC	Outpatient			597	388.05		90			Percent of total billed charges		537.3	40			Percent of total billed charges		238.8	80			Percent of total billed charges		477.6	90			Percent of total billed charges		537.3	85			Percent of total billed charges		507.45	85			Percent of total billed charges		507.45	85			Percent of total billed charges		507.45	100			Percent of total billed charges		597	100			Percent of total billed charges		597	100			Percent of total billed charges		597	33.3			Percent of total billed charges		198.801	33.3			Percent of total billed charges		198.801	100			Percent of total billed charges		597	198.801	537.3	
triathlon cr fem prep kit  5555-4205 stryker	272	RC	Outpatient			597	388.05		90			Percent of total billed charges		537.3	40			Percent of total billed charges		238.8	80			Percent of total billed charges		477.6	90			Percent of total billed charges		537.3	85			Percent of total billed charges		507.45	85			Percent of total billed charges		507.45	85			Percent of total billed charges		507.45	100			Percent of total billed charges		597	100			Percent of total billed charges		597	100			Percent of total billed charges		597	33.3			Percent of total billed charges		198.801	33.3			Percent of total billed charges		198.801	100			Percent of total billed charges		597	198.801	537.3	
triathlon cr fem prep kit  5555-4207 stryker	272	RC	Outpatient			597	388.05		90			Percent of total billed charges		537.3	40			Percent of total billed charges		238.8	80			Percent of total billed charges		477.6	90			Percent of total billed charges		537.3	85			Percent of total billed charges		507.45	85			Percent of total billed charges		507.45	85			Percent of total billed charges		507.45	100			Percent of total billed charges		597	100			Percent of total billed charges		597	100			Percent of total billed charges		597	33.3			Percent of total billed charges		198.801	33.3			Percent of total billed charges		198.801	100			Percent of total billed charges		597	198.801	537.3	
triathlon cr fem prep kit  5555-5282 stryker	272	RC	Outpatient			597	388.05		90			Percent of total billed charges		537.3	40			Percent of total billed charges		238.8	80			Percent of total billed charges		477.6	90			Percent of total billed charges		537.3	85			Percent of total billed charges		507.45	85			Percent of total billed charges		507.45	85			Percent of total billed charges		507.45	100			Percent of total billed charges		597	100			Percent of total billed charges		597	100			Percent of total billed charges		597	33.3			Percent of total billed charges		198.801	33.3			Percent of total billed charges		198.801	100			Percent of total billed charges		597	198.801	537.3	
triathlon cr fem prep kit sz 2 5555-4202 stryker	272	RC	Outpatient			597	388.05		90			Percent of total billed charges		537.3	40			Percent of total billed charges		238.8	80			Percent of total billed charges		477.6	90			Percent of total billed charges		537.3	85			Percent of total billed charges		507.45	85			Percent of total billed charges		507.45	85			Percent of total billed charges		507.45	100			Percent of total billed charges		597	100			Percent of total billed charges		597	100			Percent of total billed charges		597	33.3			Percent of total billed charges		198.801	33.3			Percent of total billed charges		198.801	100			Percent of total billed charges		597	198.801	537.3	
triathlon cr fem prep kit sz 6 5555-4206 stryker	272	RC	Outpatient			597	388.05		90			Percent of total billed charges		537.3	40			Percent of total billed charges		238.8	80			Percent of total billed charges		477.6	90			Percent of total billed charges		537.3	85			Percent of total billed charges		507.45	85			Percent of total billed charges		507.45	85			Percent of total billed charges		507.45	100			Percent of total billed charges		597	100			Percent of total billed charges		597	100			Percent of total billed charges		597	33.3			Percent of total billed charges		198.801	33.3			Percent of total billed charges		198.801	100			Percent of total billed charges		597	198.801	537.3	
laser - eye	360	RC	Outpatient			598	388.7		90			Percent of total billed charges		538.2	40			Percent of total billed charges		239.2	80			Percent of total billed charges		478.4	90			Percent of total billed charges		538.2	85			Percent of total billed charges		508.3	85			Percent of total billed charges		508.3	85			Percent of total billed charges		508.3	100			Percent of total billed charges		598	100			Percent of total billed charges		598	100			Percent of total billed charges		598	33.3			Percent of total billed charges		199.134	33.3			Percent of total billed charges		199.134	100			Percent of total billed charges		598	199.134	538.2	
mini fr pl multi-frag	278	RC	Outpatient			598	388.7		90			Percent of total billed charges		538.2	40			Percent of total billed charges		239.2	80			Percent of total billed charges		478.4	90			Percent of total billed charges		538.2	85			Percent of total billed charges		508.3	85			Percent of total billed charges		508.3	85			Percent of total billed charges		508.3	100			Percent of total billed charges		598	100			Percent of total billed charges		598	100			Percent of total billed charges		598	33.3			Percent of total billed charges		199.134	33.3			Percent of total billed charges		199.134	100			Percent of total billed charges		598	199.134	538.2	
multiple fragment plate 7 hole 242.21	278	RC	Outpatient			598	388.7		90			Percent of total billed charges		538.2	40			Percent of total billed charges		239.2	80			Percent of total billed charges		478.4	90			Percent of total billed charges		538.2	85			Percent of total billed charges		508.3	85			Percent of total billed charges		508.3	85			Percent of total billed charges		508.3	100			Percent of total billed charges		598	100			Percent of total billed charges		598	100			Percent of total billed charges		598	33.3			Percent of total billed charges		199.134	33.3			Percent of total billed charges		199.134	100			Percent of total billed charges		598	199.134	538.2	
s/n mini frag plate 7 hole 7114-7012	278	RC	Outpatient			598	388.7		90			Percent of total billed charges		538.2	40			Percent of total billed charges		239.2	80			Percent of total billed charges		478.4	90			Percent of total billed charges		538.2	85			Percent of total billed charges		508.3	85			Percent of total billed charges		508.3	85			Percent of total billed charges		508.3	100			Percent of total billed charges		598	100			Percent of total billed charges		598	100			Percent of total billed charges		598	33.3			Percent of total billed charges		199.134	33.3			Percent of total billed charges		199.134	100			Percent of total billed charges		598	199.134	538.2	
amplatz renal dilator set	270	RC	Outpatient			599	389.35		90			Percent of total billed charges		539.1	40			Percent of total billed charges		239.6	80			Percent of total billed charges		479.2	90			Percent of total billed charges		539.1	85			Percent of total billed charges		509.15	85			Percent of total billed charges		509.15	85			Percent of total billed charges		509.15	100			Percent of total billed charges		599	100			Percent of total billed charges		599	100			Percent of total billed charges		599	33.3			Percent of total billed charges		199.467	33.3			Percent of total billed charges		199.467	100			Percent of total billed charges		599	199.467	539.1	
amplatz renal dilator/sheath set 260-250 boston sc	270	RC	Outpatient			599	389.35		90			Percent of total billed charges		539.1	40			Percent of total billed charges		239.6	80			Percent of total billed charges		479.2	90			Percent of total billed charges		539.1	85			Percent of total billed charges		509.15	85			Percent of total billed charges		509.15	85			Percent of total billed charges		509.15	100			Percent of total billed charges		599	100			Percent of total billed charges		599	100			Percent of total billed charges		599	33.3			Percent of total billed charges		199.467	33.3			Percent of total billed charges		199.467	100			Percent of total billed charges		599	199.467	539.1	
eye laser	360	RC	Outpatient			599	389.35		90			Percent of total billed charges		539.1	40			Percent of total billed charges		239.6	80			Percent of total billed charges		479.2	90			Percent of total billed charges		539.1	85			Percent of total billed charges		509.15	85			Percent of total billed charges		509.15	85			Percent of total billed charges		509.15	100			Percent of total billed charges		599	100			Percent of total billed charges		599	100			Percent of total billed charges		599	33.3			Percent of total billed charges		199.467	33.3			Percent of total billed charges		199.467	100			Percent of total billed charges		599	199.467	539.1	
bs fineline bipolar lead 4480	278	RC	Outpatient			600	390		90			Percent of total billed charges		540	40			Percent of total billed charges		240	80			Percent of total billed charges		480	90			Percent of total billed charges		540	85			Percent of total billed charges		510	85			Percent of total billed charges		510	85			Percent of total billed charges		510	100			Percent of total billed charges		600	100			Percent of total billed charges		600	100			Percent of total billed charges		600	33.3			Percent of total billed charges		199.8	33.3			Percent of total billed charges		199.8	100			Percent of total billed charges		600	199.8	540	
cosmetic - laser hair removal underarms pkg of 5 sessions	983	RC	Outpatient			600	390		90			Percent of total billed charges		540	40			Percent of total billed charges		240	80			Percent of total billed charges		480	90			Percent of total billed charges		540	85			Percent of total billed charges		510	85			Percent of total billed charges		510	85			Percent of total billed charges		510	100			Percent of total billed charges		600	100			Percent of total billed charges		600	100			Percent of total billed charges		600	33.3			Percent of total billed charges		199.8	33.3			Percent of total billed charges		199.8	100			Percent of total billed charges		600	199.8	540	
cosmetic - laser treatment for skin laxity large area - single session	983	RC	Outpatient			600	390		90			Percent of total billed charges		540	40			Percent of total billed charges		240	80			Percent of total billed charges		480	90			Percent of total billed charges		540	85			Percent of total billed charges		510	85			Percent of total billed charges		510	85			Percent of total billed charges		510	100			Percent of total billed charges		600	100			Percent of total billed charges		600	100			Percent of total billed charges		600	33.3			Percent of total billed charges		199.8	33.3			Percent of total billed charges		199.8	100			Percent of total billed charges		600	199.8	540	
gyrus cutting forcep	272	RC	Outpatient			600	390		90			Percent of total billed charges		540	40			Percent of total billed charges		240	80			Percent of total billed charges		480	90			Percent of total billed charges		540	85			Percent of total billed charges		510	85			Percent of total billed charges		510	85			Percent of total billed charges		510	100			Percent of total billed charges		600	100			Percent of total billed charges		600	100			Percent of total billed charges		600	33.3			Percent of total billed charges		199.8	33.3			Percent of total billed charges		199.8	100			Percent of total billed charges		600	199.8	540	
howmedica pin set	272	RC	Outpatient			600	390		90			Percent of total billed charges		540	40			Percent of total billed charges		240	80			Percent of total billed charges		480	90			Percent of total billed charges		540	85			Percent of total billed charges		510	85			Percent of total billed charges		510	85			Percent of total billed charges		510	100			Percent of total billed charges		600	100			Percent of total billed charges		600	100			Percent of total billed charges		600	33.3			Percent of total billed charges		199.8	33.3			Percent of total billed charges		199.8	100			Percent of total billed charges		600	199.8	540	
plasmakinetic cutting forcep 5mm 33cm gyrus 3005pk	272	RC	Outpatient			600	390		90			Percent of total billed charges		540	40			Percent of total billed charges		240	80			Percent of total billed charges		480	90			Percent of total billed charges		540	85			Percent of total billed charges		510	85			Percent of total billed charges		510	85			Percent of total billed charges		510	100			Percent of total billed charges		600	100			Percent of total billed charges		600	100			Percent of total billed charges		600	33.3			Percent of total billed charges		199.8	33.3			Percent of total billed charges		199.8	100			Percent of total billed charges		600	199.8	540	
scient'x cervical screw	278	RC	Outpatient			600	390		90			Percent of total billed charges		540	40			Percent of total billed charges		240	80			Percent of total billed charges		480	90			Percent of total billed charges		540	85			Percent of total billed charges		510	85			Percent of total billed charges		510	85			Percent of total billed charges		510	100			Percent of total billed charges		600	100			Percent of total billed charges		600	100			Percent of total billed charges		600	33.3			Percent of total billed charges		199.8	33.3			Percent of total billed charges		199.8	100			Percent of total billed charges		600	199.8	540	
arthrex quickfix  screw 3 x 17mm ar 8931-17	278	RC	Outpatient			601	390.65		90			Percent of total billed charges		540.9	40			Percent of total billed charges		240.4	80			Percent of total billed charges		480.8	90			Percent of total billed charges		540.9	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	100			Percent of total billed charges		601	100			Percent of total billed charges		601	100			Percent of total billed charges		601	33.3			Percent of total billed charges		200.133	33.3			Percent of total billed charges		200.133	100			Percent of total billed charges		601	200.133	540.9	
arthrex quickfix scr	278	RC	Outpatient			601	390.65		90			Percent of total billed charges		540.9	40			Percent of total billed charges		240.4	80			Percent of total billed charges		480.8	90			Percent of total billed charges		540.9	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	100			Percent of total billed charges		601	100			Percent of total billed charges		601	100			Percent of total billed charges		601	33.3			Percent of total billed charges		200.133	33.3			Percent of total billed charges		200.133	100			Percent of total billed charges		601	200.133	540.9	
cannulated screw 7.0 x  130mm 71107130 s/n	278	RC	Outpatient			601	390.65		90			Percent of total billed charges		540.9	40			Percent of total billed charges		240.4	80			Percent of total billed charges		480.8	90			Percent of total billed charges		540.9	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	100			Percent of total billed charges		601	100			Percent of total billed charges		601	100			Percent of total billed charges		601	33.3			Percent of total billed charges		200.133	33.3			Percent of total billed charges		200.133	100			Percent of total billed charges		601	200.133	540.9	
cannulated screw 7.0 x 130mm ss 71127130 s/n	278	RC	Outpatient			601	390.65		90			Percent of total billed charges		540.9	40			Percent of total billed charges		240.4	80			Percent of total billed charges		480.8	90			Percent of total billed charges		540.9	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	100			Percent of total billed charges		601	100			Percent of total billed charges		601	100			Percent of total billed charges		601	33.3			Percent of total billed charges		200.133	33.3			Percent of total billed charges		200.133	100			Percent of total billed charges		601	200.133	540.9	
s/n 7.0 cannulated screw  100mm 7110-7100	278	RC	Outpatient			601	390.65		90			Percent of total billed charges		540.9	40			Percent of total billed charges		240.4	80			Percent of total billed charges		480.8	90			Percent of total billed charges		540.9	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	100			Percent of total billed charges		601	100			Percent of total billed charges		601	100			Percent of total billed charges		601	33.3			Percent of total billed charges		200.133	33.3			Percent of total billed charges		200.133	100			Percent of total billed charges		601	200.133	540.9	
s/n 7.0 cannulated screw  105mm 7110-7105	278	RC	Outpatient			601	390.65		90			Percent of total billed charges		540.9	40			Percent of total billed charges		240.4	80			Percent of total billed charges		480.8	90			Percent of total billed charges		540.9	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	100			Percent of total billed charges		601	100			Percent of total billed charges		601	100			Percent of total billed charges		601	33.3			Percent of total billed charges		200.133	33.3			Percent of total billed charges		200.133	100			Percent of total billed charges		601	200.133	540.9	
s/n 7.0 cannulated screw  55mm ss 7112-8055	278	RC	Outpatient			601	390.65		90			Percent of total billed charges		540.9	40			Percent of total billed charges		240.4	80			Percent of total billed charges		480.8	90			Percent of total billed charges		540.9	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	100			Percent of total billed charges		601	100			Percent of total billed charges		601	100			Percent of total billed charges		601	33.3			Percent of total billed charges		200.133	33.3			Percent of total billed charges		200.133	100			Percent of total billed charges		601	200.133	540.9	
s/n 7.0 cannulated screw  85mm ss 7112-7085	278	RC	Outpatient			601	390.65		90			Percent of total billed charges		540.9	40			Percent of total billed charges		240.4	80			Percent of total billed charges		480.8	90			Percent of total billed charges		540.9	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	100			Percent of total billed charges		601	100			Percent of total billed charges		601	100			Percent of total billed charges		601	33.3			Percent of total billed charges		200.133	33.3			Percent of total billed charges		200.133	100			Percent of total billed charges		601	200.133	540.9	
s/n 7.0 cannulated screw  95mm 7110-7095	278	RC	Outpatient			601	390.65		90			Percent of total billed charges		540.9	40			Percent of total billed charges		240.4	80			Percent of total billed charges		480.8	90			Percent of total billed charges		540.9	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	100			Percent of total billed charges		601	100			Percent of total billed charges		601	100			Percent of total billed charges		601	33.3			Percent of total billed charges		200.133	33.3			Percent of total billed charges		200.133	100			Percent of total billed charges		601	200.133	540.9	
s/n 7.0 cannulated screw  95mm ss 7112-7095	278	RC	Outpatient			601	390.65		90			Percent of total billed charges		540.9	40			Percent of total billed charges		240.4	80			Percent of total billed charges		480.8	90			Percent of total billed charges		540.9	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	100			Percent of total billed charges		601	100			Percent of total billed charges		601	100			Percent of total billed charges		601	33.3			Percent of total billed charges		200.133	33.3			Percent of total billed charges		200.133	100			Percent of total billed charges		601	200.133	540.9	
s/n 7.0 cannulated screw 115mm 7110-7115	278	RC	Outpatient			601	390.65		90			Percent of total billed charges		540.9	40			Percent of total billed charges		240.4	80			Percent of total billed charges		480.8	90			Percent of total billed charges		540.9	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	100			Percent of total billed charges		601	100			Percent of total billed charges		601	100			Percent of total billed charges		601	33.3			Percent of total billed charges		200.133	33.3			Percent of total billed charges		200.133	100			Percent of total billed charges		601	200.133	540.9	
s/n 7.0 cannulated screw 120mm 7110-7120	278	RC	Outpatient			601	390.65		90			Percent of total billed charges		540.9	40			Percent of total billed charges		240.4	80			Percent of total billed charges		480.8	90			Percent of total billed charges		540.9	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	100			Percent of total billed charges		601	100			Percent of total billed charges		601	100			Percent of total billed charges		601	33.3			Percent of total billed charges		200.133	33.3			Percent of total billed charges		200.133	100			Percent of total billed charges		601	200.133	540.9	
s/n 7.0 cannulated screw 120mm ss 7112-7120	278	RC	Outpatient			601	390.65		90			Percent of total billed charges		540.9	40			Percent of total billed charges		240.4	80			Percent of total billed charges		480.8	90			Percent of total billed charges		540.9	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	100			Percent of total billed charges		601	100			Percent of total billed charges		601	100			Percent of total billed charges		601	33.3			Percent of total billed charges		200.133	33.3			Percent of total billed charges		200.133	100			Percent of total billed charges		601	200.133	540.9	
s/n 7.0 cannulated screw 125mm ss 7112-7125	278	RC	Outpatient			601	390.65		90			Percent of total billed charges		540.9	40			Percent of total billed charges		240.4	80			Percent of total billed charges		480.8	90			Percent of total billed charges		540.9	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	100			Percent of total billed charges		601	100			Percent of total billed charges		601	100			Percent of total billed charges		601	33.3			Percent of total billed charges		200.133	33.3			Percent of total billed charges		200.133	100			Percent of total billed charges		601	200.133	540.9	
s/n 7.0 cannulated screw 60mm ss 7112-8060	278	RC	Outpatient			601	390.65		90			Percent of total billed charges		540.9	40			Percent of total billed charges		240.4	80			Percent of total billed charges		480.8	90			Percent of total billed charges		540.9	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	100			Percent of total billed charges		601	100			Percent of total billed charges		601	100			Percent of total billed charges		601	33.3			Percent of total billed charges		200.133	33.3			Percent of total billed charges		200.133	100			Percent of total billed charges		601	200.133	540.9	
s/n 7.0 cannulated screw 65mm ss 7112-8065	278	RC	Outpatient			601	390.65		90			Percent of total billed charges		540.9	40			Percent of total billed charges		240.4	80			Percent of total billed charges		480.8	90			Percent of total billed charges		540.9	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	100			Percent of total billed charges		601	100			Percent of total billed charges		601	100			Percent of total billed charges		601	33.3			Percent of total billed charges		200.133	33.3			Percent of total billed charges		200.133	100			Percent of total billed charges		601	200.133	540.9	
s/n 7.0 cannulated screw 70mm 7110-7070	278	RC	Outpatient			601	390.65		90			Percent of total billed charges		540.9	40			Percent of total billed charges		240.4	80			Percent of total billed charges		480.8	90			Percent of total billed charges		540.9	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	100			Percent of total billed charges		601	100			Percent of total billed charges		601	100			Percent of total billed charges		601	33.3			Percent of total billed charges		200.133	33.3			Percent of total billed charges		200.133	100			Percent of total billed charges		601	200.133	540.9	
s/n 7.0 cannulated screw 95mm 7110-8095	278	RC	Outpatient			601	390.65		90			Percent of total billed charges		540.9	40			Percent of total billed charges		240.4	80			Percent of total billed charges		480.8	90			Percent of total billed charges		540.9	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	100			Percent of total billed charges		601	100			Percent of total billed charges		601	100			Percent of total billed charges		601	33.3			Percent of total billed charges		200.133	33.3			Percent of total billed charges		200.133	100			Percent of total billed charges		601	200.133	540.9	
s/n 7.0 cannulated screw  100mm 7110-8100	278	RC	Outpatient			601	390.65		90			Percent of total billed charges		540.9	40			Percent of total billed charges		240.4	80			Percent of total billed charges		480.8	90			Percent of total billed charges		540.9	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	100			Percent of total billed charges		601	100			Percent of total billed charges		601	100			Percent of total billed charges		601	33.3			Percent of total billed charges		200.133	33.3			Percent of total billed charges		200.133	100			Percent of total billed charges		601	200.133	540.9	
s/n 7.0 cannulated screw  115mm ss 7112-7115	278	RC	Outpatient			601	390.65		90			Percent of total billed charges		540.9	40			Percent of total billed charges		240.4	80			Percent of total billed charges		480.8	90			Percent of total billed charges		540.9	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	100			Percent of total billed charges		601	100			Percent of total billed charges		601	100			Percent of total billed charges		601	33.3			Percent of total billed charges		200.133	33.3			Percent of total billed charges		200.133	100			Percent of total billed charges		601	200.133	540.9	
s/n 7.0 cannulated screw  50mm ss 7112-8050	278	RC	Outpatient			601	390.65		90			Percent of total billed charges		540.9	40			Percent of total billed charges		240.4	80			Percent of total billed charges		480.8	90			Percent of total billed charges		540.9	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	100			Percent of total billed charges		601	100			Percent of total billed charges		601	100			Percent of total billed charges		601	33.3			Percent of total billed charges		200.133	33.3			Percent of total billed charges		200.133	100			Percent of total billed charges		601	200.133	540.9	
s/n 7.0 cannulated screw  70mm ss 7112-8070	278	RC	Outpatient			601	390.65		90			Percent of total billed charges		540.9	40			Percent of total billed charges		240.4	80			Percent of total billed charges		480.8	90			Percent of total billed charges		540.9	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	100			Percent of total billed charges		601	100			Percent of total billed charges		601	100			Percent of total billed charges		601	33.3			Percent of total billed charges		200.133	33.3			Percent of total billed charges		200.133	100			Percent of total billed charges		601	200.133	540.9	
s/n 7.0 cannulated screw  85mm ss 7112-8085	278	RC	Outpatient			601	390.65		90			Percent of total billed charges		540.9	40			Percent of total billed charges		240.4	80			Percent of total billed charges		480.8	90			Percent of total billed charges		540.9	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	100			Percent of total billed charges		601	100			Percent of total billed charges		601	100			Percent of total billed charges		601	33.3			Percent of total billed charges		200.133	33.3			Percent of total billed charges		200.133	100			Percent of total billed charges		601	200.133	540.9	
s/n 7.0 cannulated screw  90mm 7110-7090	278	RC	Outpatient			601	390.65		90			Percent of total billed charges		540.9	40			Percent of total billed charges		240.4	80			Percent of total billed charges		480.8	90			Percent of total billed charges		540.9	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	100			Percent of total billed charges		601	100			Percent of total billed charges		601	100			Percent of total billed charges		601	33.3			Percent of total billed charges		200.133	33.3			Percent of total billed charges		200.133	100			Percent of total billed charges		601	200.133	540.9	
s/n 7.0 cannulated screw  90mm ss 7112-7090	278	RC	Outpatient			601	390.65		90			Percent of total billed charges		540.9	40			Percent of total billed charges		240.4	80			Percent of total billed charges		480.8	90			Percent of total billed charges		540.9	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	100			Percent of total billed charges		601	100			Percent of total billed charges		601	100			Percent of total billed charges		601	33.3			Percent of total billed charges		200.133	33.3			Percent of total billed charges		200.133	100			Percent of total billed charges		601	200.133	540.9	
s/n 7.0 cannulated screw 100mm ss 7112-7100	278	RC	Outpatient			601	390.65		90			Percent of total billed charges		540.9	40			Percent of total billed charges		240.4	80			Percent of total billed charges		480.8	90			Percent of total billed charges		540.9	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	100			Percent of total billed charges		601	100			Percent of total billed charges		601	100			Percent of total billed charges		601	33.3			Percent of total billed charges		200.133	33.3			Percent of total billed charges		200.133	100			Percent of total billed charges		601	200.133	540.9	
s/n 7.0 cannulated screw 105mm ss 7112-7105	278	RC	Outpatient			601	390.65		90			Percent of total billed charges		540.9	40			Percent of total billed charges		240.4	80			Percent of total billed charges		480.8	90			Percent of total billed charges		540.9	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	100			Percent of total billed charges		601	100			Percent of total billed charges		601	100			Percent of total billed charges		601	33.3			Percent of total billed charges		200.133	33.3			Percent of total billed charges		200.133	100			Percent of total billed charges		601	200.133	540.9	
s/n 7.0 cannulated screw 110mm 7110-7110	278	RC	Outpatient			601	390.65		90			Percent of total billed charges		540.9	40			Percent of total billed charges		240.4	80			Percent of total billed charges		480.8	90			Percent of total billed charges		540.9	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	100			Percent of total billed charges		601	100			Percent of total billed charges		601	100			Percent of total billed charges		601	33.3			Percent of total billed charges		200.133	33.3			Percent of total billed charges		200.133	100			Percent of total billed charges		601	200.133	540.9	
s/n 7.0 cannulated screw 110mm ss 7112-7110	278	RC	Outpatient			601	390.65		90			Percent of total billed charges		540.9	40			Percent of total billed charges		240.4	80			Percent of total billed charges		480.8	90			Percent of total billed charges		540.9	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	100			Percent of total billed charges		601	100			Percent of total billed charges		601	100			Percent of total billed charges		601	33.3			Percent of total billed charges		200.133	33.3			Percent of total billed charges		200.133	100			Percent of total billed charges		601	200.133	540.9	
s/n 7.0 cannulated screw 125mm 7110-7125	278	RC	Outpatient			601	390.65		90			Percent of total billed charges		540.9	40			Percent of total billed charges		240.4	80			Percent of total billed charges		480.8	90			Percent of total billed charges		540.9	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	100			Percent of total billed charges		601	100			Percent of total billed charges		601	100			Percent of total billed charges		601	33.3			Percent of total billed charges		200.133	33.3			Percent of total billed charges		200.133	100			Percent of total billed charges		601	200.133	540.9	
s/n 7.0 cannulated screw 45mm ss 7112-8045	278	RC	Outpatient			601	390.65		90			Percent of total billed charges		540.9	40			Percent of total billed charges		240.4	80			Percent of total billed charges		480.8	90			Percent of total billed charges		540.9	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	100			Percent of total billed charges		601	100			Percent of total billed charges		601	100			Percent of total billed charges		601	33.3			Percent of total billed charges		200.133	33.3			Percent of total billed charges		200.133	100			Percent of total billed charges		601	200.133	540.9	
s/n 7.0 cannulated screw 75mm ss 7112-8075	278	RC	Outpatient			601	390.65		90			Percent of total billed charges		540.9	40			Percent of total billed charges		240.4	80			Percent of total billed charges		480.8	90			Percent of total billed charges		540.9	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	100			Percent of total billed charges		601	100			Percent of total billed charges		601	100			Percent of total billed charges		601	33.3			Percent of total billed charges		200.133	33.3			Percent of total billed charges		200.133	100			Percent of total billed charges		601	200.133	540.9	
s/n 7.0 cannulated screw 80mm ss 7112-8080	278	RC	Outpatient			601	390.65		90			Percent of total billed charges		540.9	40			Percent of total billed charges		240.4	80			Percent of total billed charges		480.8	90			Percent of total billed charges		540.9	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	100			Percent of total billed charges		601	100			Percent of total billed charges		601	100			Percent of total billed charges		601	33.3			Percent of total billed charges		200.133	33.3			Percent of total billed charges		200.133	100			Percent of total billed charges		601	200.133	540.9	
s/n 7.0 cannulated screw 85mm 7110-7085	278	RC	Outpatient			601	390.65		90			Percent of total billed charges		540.9	40			Percent of total billed charges		240.4	80			Percent of total billed charges		480.8	90			Percent of total billed charges		540.9	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	100			Percent of total billed charges		601	100			Percent of total billed charges		601	100			Percent of total billed charges		601	33.3			Percent of total billed charges		200.133	33.3			Percent of total billed charges		200.133	100			Percent of total billed charges		601	200.133	540.9	
s/n 7.0 cannulated screw 90mm ss 7112-8090	278	RC	Outpatient			601	390.65		90			Percent of total billed charges		540.9	40			Percent of total billed charges		240.4	80			Percent of total billed charges		480.8	90			Percent of total billed charges		540.9	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	85			Percent of total billed charges		510.85	100			Percent of total billed charges		601	100			Percent of total billed charges		601	100			Percent of total billed charges		601	33.3			Percent of total billed charges		200.133	33.3			Percent of total billed charges		200.133	100			Percent of total billed charges		601	200.133	540.9	
ankle  arthroscopy kit s/n	272	RC	Outpatient			602	391.3		90			Percent of total billed charges		541.8	40			Percent of total billed charges		240.8	80			Percent of total billed charges		481.6	90			Percent of total billed charges		541.8	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	100			Percent of total billed charges		602	100			Percent of total billed charges		602	100			Percent of total billed charges		602	33.3			Percent of total billed charges		200.466	33.3			Percent of total billed charges		200.466	100			Percent of total billed charges		602	200.466	541.8	
arthrex transfix ii pin & graft passing wire set ar-1978s	272	RC	Outpatient			602	391.3		90			Percent of total billed charges		541.8	40			Percent of total billed charges		240.8	80			Percent of total billed charges		481.6	90			Percent of total billed charges		541.8	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	100			Percent of total billed charges		602	100			Percent of total billed charges		602	100			Percent of total billed charges		602	33.3			Percent of total billed charges		200.466	33.3			Percent of total billed charges		200.466	100			Percent of total billed charges		602	200.466	541.8	
arthrex transfix wire set	272	RC	Outpatient			602	391.3		90			Percent of total billed charges		541.8	40			Percent of total billed charges		240.8	80			Percent of total billed charges		481.6	90			Percent of total billed charges		541.8	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	100			Percent of total billed charges		602	100			Percent of total billed charges		602	100			Percent of total billed charges		602	33.3			Percent of total billed charges		200.466	33.3			Percent of total billed charges		200.466	100			Percent of total billed charges		602	200.466	541.8	
artho blade electro	270	RC	Outpatient			602	391.3		90			Percent of total billed charges		541.8	40			Percent of total billed charges		240.8	80			Percent of total billed charges		481.6	90			Percent of total billed charges		541.8	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	100			Percent of total billed charges		602	100			Percent of total billed charges		602	100			Percent of total billed charges		602	33.3			Percent of total billed charges		200.466	33.3			Percent of total billed charges		200.466	100			Percent of total billed charges		602	200.466	541.8	
arthrex ablator-aspirator	272	RC	Outpatient			602	391.3		90			Percent of total billed charges		541.8	40			Percent of total billed charges		240.8	80			Percent of total billed charges		481.6	90			Percent of total billed charges		541.8	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	100			Percent of total billed charges		602	100			Percent of total billed charges		602	100			Percent of total billed charges		602	33.3			Percent of total billed charges		200.466	33.3			Percent of total billed charges		200.466	100			Percent of total billed charges		602	200.466	541.8	
arthrex suture passer	272	RC	Outpatient			602	391.3		90			Percent of total billed charges		541.8	40			Percent of total billed charges		240.8	80			Percent of total billed charges		481.6	90			Percent of total billed charges		541.8	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	100			Percent of total billed charges		602	100			Percent of total billed charges		602	100			Percent of total billed charges		602	33.3			Percent of total billed charges		200.466	33.3			Percent of total billed charges		200.466	100			Percent of total billed charges		602	200.466	541.8	
arthrex suture passer 30 degree straight ar-4068-30	272	RC	Outpatient			602	391.3		90			Percent of total billed charges		541.8	40			Percent of total billed charges		240.8	80			Percent of total billed charges		481.6	90			Percent of total billed charges		541.8	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	100			Percent of total billed charges		602	100			Percent of total billed charges		602	100			Percent of total billed charges		602	33.3			Percent of total billed charges		200.466	33.3			Percent of total billed charges		200.466	100			Percent of total billed charges		602	200.466	541.8	
diapason rod union 160 665160 stryker	278	RC	Outpatient			602	391.3		90			Percent of total billed charges		541.8	40			Percent of total billed charges		240.8	80			Percent of total billed charges		481.6	90			Percent of total billed charges		541.8	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	100			Percent of total billed charges		602	100			Percent of total billed charges		602	100			Percent of total billed charges		602	33.3			Percent of total billed charges		200.466	33.3			Percent of total billed charges		200.466	100			Percent of total billed charges		602	200.466	541.8	
diapason rod union 170 665170 stryker	278	RC	Outpatient			602	391.3		90			Percent of total billed charges		541.8	40			Percent of total billed charges		240.8	80			Percent of total billed charges		481.6	90			Percent of total billed charges		541.8	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	100			Percent of total billed charges		602	100			Percent of total billed charges		602	100			Percent of total billed charges		602	33.3			Percent of total billed charges		200.466	33.3			Percent of total billed charges		200.466	100			Percent of total billed charges		602	200.466	541.8	
diapason rod union 180 665180 stryker	278	RC	Outpatient			602	391.3		90			Percent of total billed charges		541.8	40			Percent of total billed charges		240.8	80			Percent of total billed charges		481.6	90			Percent of total billed charges		541.8	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	100			Percent of total billed charges		602	100			Percent of total billed charges		602	100			Percent of total billed charges		602	33.3			Percent of total billed charges		200.466	33.3			Percent of total billed charges		200.466	100			Percent of total billed charges		602	200.466	541.8	
diapason rod union 250 665250 stryker	278	RC	Outpatient			602	391.3		90			Percent of total billed charges		541.8	40			Percent of total billed charges		240.8	80			Percent of total billed charges		481.6	90			Percent of total billed charges		541.8	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	100			Percent of total billed charges		602	100			Percent of total billed charges		602	100			Percent of total billed charges		602	33.3			Percent of total billed charges		200.466	33.3			Percent of total billed charges		200.466	100			Percent of total billed charges		602	200.466	541.8	
durasphere exp bulking agent 1ml 890-215 coloplast	278	RC	Outpatient			602	391.3		90			Percent of total billed charges		541.8	40			Percent of total billed charges		240.8	80			Percent of total billed charges		481.6	90			Percent of total billed charges		541.8	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	100			Percent of total billed charges		602	100			Percent of total billed charges		602	100			Percent of total billed charges		602	33.3			Percent of total billed charges		200.466	33.3			Percent of total billed charges		200.466	100			Percent of total billed charges		602	200.466	541.8	
electroblade s/n 7205961	270	RC	Outpatient			602	391.3		90			Percent of total billed charges		541.8	40			Percent of total billed charges		240.8	80			Percent of total billed charges		481.6	90			Percent of total billed charges		541.8	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	100			Percent of total billed charges		602	100			Percent of total billed charges		602	100			Percent of total billed charges		602	33.3			Percent of total billed charges		200.466	33.3			Percent of total billed charges		200.466	100			Percent of total billed charges		602	200.466	541.8	
hybrid screw 4.0 x 10mm fa self-drilling 48654010 stryker	278	RC	Outpatient			602	391.3		90			Percent of total billed charges		541.8	40			Percent of total billed charges		240.8	80			Percent of total billed charges		481.6	90			Percent of total billed charges		541.8	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	100			Percent of total billed charges		602	100			Percent of total billed charges		602	100			Percent of total billed charges		602	33.3			Percent of total billed charges		200.466	33.3			Percent of total billed charges		200.466	100			Percent of total billed charges		602	200.466	541.8	
hybrid screw 4.0 x 10mm va self-drilling 48644010 stryker	278	RC	Outpatient			602	391.3		90			Percent of total billed charges		541.8	40			Percent of total billed charges		240.8	80			Percent of total billed charges		481.6	90			Percent of total billed charges		541.8	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	100			Percent of total billed charges		602	100			Percent of total billed charges		602	100			Percent of total billed charges		602	33.3			Percent of total billed charges		200.466	33.3			Percent of total billed charges		200.466	100			Percent of total billed charges		602	200.466	541.8	
hybrid screw 4.0 x 12mm va self-drilling 48644012 stryker	278	RC	Outpatient			602	391.3		90			Percent of total billed charges		541.8	40			Percent of total billed charges		240.8	80			Percent of total billed charges		481.6	90			Percent of total billed charges		541.8	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	100			Percent of total billed charges		602	100			Percent of total billed charges		602	100			Percent of total billed charges		602	33.3			Percent of total billed charges		200.466	33.3			Percent of total billed charges		200.466	100			Percent of total billed charges		602	200.466	541.8	
hybrid screw 4.0 x 14mm fa self-drilling 48654014 stryker	278	RC	Outpatient			602	391.3		90			Percent of total billed charges		541.8	40			Percent of total billed charges		240.8	80			Percent of total billed charges		481.6	90			Percent of total billed charges		541.8	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	100			Percent of total billed charges		602	100			Percent of total billed charges		602	100			Percent of total billed charges		602	33.3			Percent of total billed charges		200.466	33.3			Percent of total billed charges		200.466	100			Percent of total billed charges		602	200.466	541.8	
hybrid screw 4.0 x 14mm va self-drilling 48644014 stryker	278	RC	Outpatient			602	391.3		90			Percent of total billed charges		541.8	40			Percent of total billed charges		240.8	80			Percent of total billed charges		481.6	90			Percent of total billed charges		541.8	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	100			Percent of total billed charges		602	100			Percent of total billed charges		602	100			Percent of total billed charges		602	33.3			Percent of total billed charges		200.466	33.3			Percent of total billed charges		200.466	100			Percent of total billed charges		602	200.466	541.8	
hybrid screw 4.0 x 16mm fa self-drilling 48654016 stryker	278	RC	Outpatient			602	391.3		90			Percent of total billed charges		541.8	40			Percent of total billed charges		240.8	80			Percent of total billed charges		481.6	90			Percent of total billed charges		541.8	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	100			Percent of total billed charges		602	100			Percent of total billed charges		602	100			Percent of total billed charges		602	33.3			Percent of total billed charges		200.466	33.3			Percent of total billed charges		200.466	100			Percent of total billed charges		602	200.466	541.8	
hybrid screw 4.0 x 18mm fa self-drilling 48654018 stryker	278	RC	Outpatient			602	391.3		90			Percent of total billed charges		541.8	40			Percent of total billed charges		240.8	80			Percent of total billed charges		481.6	90			Percent of total billed charges		541.8	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	100			Percent of total billed charges		602	100			Percent of total billed charges		602	100			Percent of total billed charges		602	33.3			Percent of total billed charges		200.466	33.3			Percent of total billed charges		200.466	100			Percent of total billed charges		602	200.466	541.8	
diapason rod union 120 665120 stryker	278	RC	Outpatient			602	391.3		90			Percent of total billed charges		541.8	40			Percent of total billed charges		240.8	80			Percent of total billed charges		481.6	90			Percent of total billed charges		541.8	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	100			Percent of total billed charges		602	100			Percent of total billed charges		602	100			Percent of total billed charges		602	33.3			Percent of total billed charges		200.466	33.3			Percent of total billed charges		200.466	100			Percent of total billed charges		602	200.466	541.8	
diapason rod union 130 665130 stryker	278	RC	Outpatient			602	391.3		90			Percent of total billed charges		541.8	40			Percent of total billed charges		240.8	80			Percent of total billed charges		481.6	90			Percent of total billed charges		541.8	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	100			Percent of total billed charges		602	100			Percent of total billed charges		602	100			Percent of total billed charges		602	33.3			Percent of total billed charges		200.466	33.3			Percent of total billed charges		200.466	100			Percent of total billed charges		602	200.466	541.8	
diapason rod union 140 665140 stryker	278	RC	Outpatient			602	391.3		90			Percent of total billed charges		541.8	40			Percent of total billed charges		240.8	80			Percent of total billed charges		481.6	90			Percent of total billed charges		541.8	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	100			Percent of total billed charges		602	100			Percent of total billed charges		602	100			Percent of total billed charges		602	33.3			Percent of total billed charges		200.466	33.3			Percent of total billed charges		200.466	100			Percent of total billed charges		602	200.466	541.8	
diapason rod union 150 665150 stryker	278	RC	Outpatient			602	391.3		90			Percent of total billed charges		541.8	40			Percent of total billed charges		240.8	80			Percent of total billed charges		481.6	90			Percent of total billed charges		541.8	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	100			Percent of total billed charges		602	100			Percent of total billed charges		602	100			Percent of total billed charges		602	33.3			Percent of total billed charges		200.466	33.3			Percent of total billed charges		200.466	100			Percent of total billed charges		602	200.466	541.8	
diapason rod union 190 665190 stryker	278	RC	Outpatient			602	391.3		90			Percent of total billed charges		541.8	40			Percent of total billed charges		240.8	80			Percent of total billed charges		481.6	90			Percent of total billed charges		541.8	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	100			Percent of total billed charges		602	100			Percent of total billed charges		602	100			Percent of total billed charges		602	33.3			Percent of total billed charges		200.466	33.3			Percent of total billed charges		200.466	100			Percent of total billed charges		602	200.466	541.8	
diapason rod union 200 665200 stryker	278	RC	Outpatient			602	391.3		90			Percent of total billed charges		541.8	40			Percent of total billed charges		240.8	80			Percent of total billed charges		481.6	90			Percent of total billed charges		541.8	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	100			Percent of total billed charges		602	100			Percent of total billed charges		602	100			Percent of total billed charges		602	33.3			Percent of total billed charges		200.466	33.3			Percent of total billed charges		200.466	100			Percent of total billed charges		602	200.466	541.8	
diapason rod union 210 665210 stryker	278	RC	Outpatient			602	391.3		90			Percent of total billed charges		541.8	40			Percent of total billed charges		240.8	80			Percent of total billed charges		481.6	90			Percent of total billed charges		541.8	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	100			Percent of total billed charges		602	100			Percent of total billed charges		602	100			Percent of total billed charges		602	33.3			Percent of total billed charges		200.466	33.3			Percent of total billed charges		200.466	100			Percent of total billed charges		602	200.466	541.8	
durasphere 1ml	278	RC	Outpatient			602	391.3		90			Percent of total billed charges		541.8	40			Percent of total billed charges		240.8	80			Percent of total billed charges		481.6	90			Percent of total billed charges		541.8	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	100			Percent of total billed charges		602	100			Percent of total billed charges		602	100			Percent of total billed charges		602	33.3			Percent of total billed charges		200.466	33.3			Percent of total billed charges		200.466	100			Percent of total billed charges		602	200.466	541.8	
electroblade resector 4.5 full radius s/n 7205960	270	RC	Outpatient			602	391.3		90			Percent of total billed charges		541.8	40			Percent of total billed charges		240.8	80			Percent of total billed charges		481.6	90			Percent of total billed charges		541.8	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	100			Percent of total billed charges		602	100			Percent of total billed charges		602	100			Percent of total billed charges		602	33.3			Percent of total billed charges		200.466	33.3			Percent of total billed charges		200.466	100			Percent of total billed charges		602	200.466	541.8	
endo gastrostomy feeding tube(peg kit)	270	RC	Outpatient			602	391.3		90			Percent of total billed charges		541.8	40			Percent of total billed charges		240.8	80			Percent of total billed charges		481.6	90			Percent of total billed charges		541.8	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	100			Percent of total billed charges		602	100			Percent of total billed charges		602	100			Percent of total billed charges		602	33.3			Percent of total billed charges		200.466	33.3			Percent of total billed charges		200.466	100			Percent of total billed charges		602	200.466	541.8	
hybrid screw 4.0 x 12mm fa self-drilling 48654012 stryker	278	RC	Outpatient			602	391.3		90			Percent of total billed charges		541.8	40			Percent of total billed charges		240.8	80			Percent of total billed charges		481.6	90			Percent of total billed charges		541.8	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	100			Percent of total billed charges		602	100			Percent of total billed charges		602	100			Percent of total billed charges		602	33.3			Percent of total billed charges		200.466	33.3			Percent of total billed charges		200.466	100			Percent of total billed charges		602	200.466	541.8	
hybrid screw 4.0 x 16mm va self-drilling 48644016 stryker	278	RC	Outpatient			602	391.3		90			Percent of total billed charges		541.8	40			Percent of total billed charges		240.8	80			Percent of total billed charges		481.6	90			Percent of total billed charges		541.8	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	100			Percent of total billed charges		602	100			Percent of total billed charges		602	100			Percent of total billed charges		602	33.3			Percent of total billed charges		200.466	33.3			Percent of total billed charges		200.466	100			Percent of total billed charges		602	200.466	541.8	
hybrid screw 4.0 x 18mm va self-drilling 48644018 stryker	278	RC	Outpatient			602	391.3		90			Percent of total billed charges		541.8	40			Percent of total billed charges		240.8	80			Percent of total billed charges		481.6	90			Percent of total billed charges		541.8	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	100			Percent of total billed charges		602	100			Percent of total billed charges		602	100			Percent of total billed charges		602	33.3			Percent of total billed charges		200.466	33.3			Percent of total billed charges		200.466	100			Percent of total billed charges		602	200.466	541.8	
i.g. system shoulder	278	RC	Outpatient			602	391.3		90			Percent of total billed charges		541.8	40			Percent of total billed charges		240.8	80			Percent of total billed charges		481.6	90			Percent of total billed charges		541.8	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	100			Percent of total billed charges		602	100			Percent of total billed charges		602	100			Percent of total billed charges		602	33.3			Percent of total billed charges		200.466	33.3			Percent of total billed charges		200.466	100			Percent of total billed charges		602	200.466	541.8	
"opes aspirating ablator, 4mm ar-9704a-90 arthrex"	272	RC	Outpatient			602	391.3		90			Percent of total billed charges		541.8	40			Percent of total billed charges		240.8	80			Percent of total billed charges		481.6	90			Percent of total billed charges		541.8	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	100			Percent of total billed charges		602	100			Percent of total billed charges		602	100			Percent of total billed charges		602	33.3			Percent of total billed charges		200.466	33.3			Percent of total billed charges		200.466	100			Percent of total billed charges		602	200.466	541.8	
s/n k-wire 1.1	272	RC	Outpatient			602	391.3		90			Percent of total billed charges		541.8	40			Percent of total billed charges		240.8	80			Percent of total billed charges		481.6	90			Percent of total billed charges		541.8	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	100			Percent of total billed charges		602	100			Percent of total billed charges		602	100			Percent of total billed charges		602	33.3			Percent of total billed charges		200.466	33.3			Percent of total billed charges		200.466	100			Percent of total billed charges		602	200.466	541.8	
sphinctertome	270	RC	Outpatient			602	391.3		90			Percent of total billed charges		541.8	40			Percent of total billed charges		240.8	80			Percent of total billed charges		481.6	90			Percent of total billed charges		541.8	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	100			Percent of total billed charges		602	100			Percent of total billed charges		602	100			Percent of total billed charges		602	33.3			Percent of total billed charges		200.466	33.3			Percent of total billed charges		200.466	100			Percent of total billed charges		602	200.466	541.8	
stryker rod union	278	RC	Outpatient			602	391.3		90			Percent of total billed charges		541.8	40			Percent of total billed charges		240.8	80			Percent of total billed charges		481.6	90			Percent of total billed charges		541.8	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	100			Percent of total billed charges		602	100			Percent of total billed charges		602	100			Percent of total billed charges		602	33.3			Percent of total billed charges		200.466	33.3			Percent of total billed charges		200.466	100			Percent of total billed charges		602	200.466	541.8	
powerlink dual lumen cath	272	RC	Outpatient			602	391.3		90			Percent of total billed charges		541.8	40			Percent of total billed charges		240.8	80			Percent of total billed charges		481.6	90			Percent of total billed charges		541.8	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	100			Percent of total billed charges		602	100			Percent of total billed charges		602	100			Percent of total billed charges		602	33.3			Percent of total billed charges		200.466	33.3			Percent of total billed charges		200.466	100			Percent of total billed charges		602	200.466	541.8	
powerlink dual lumen cath dl-35-90 endologix	272	RC	Outpatient			602	391.3		90			Percent of total billed charges		541.8	40			Percent of total billed charges		240.8	80			Percent of total billed charges		481.6	90			Percent of total billed charges		541.8	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	100			Percent of total billed charges		602	100			Percent of total billed charges		602	100			Percent of total billed charges		602	33.3			Percent of total billed charges		200.466	33.3			Percent of total billed charges		200.466	100			Percent of total billed charges		602	200.466	541.8	
reflex hybrid acp scr 4.0	278	RC	Outpatient			602	391.3		90			Percent of total billed charges		541.8	40			Percent of total billed charges		240.8	80			Percent of total billed charges		481.6	90			Percent of total billed charges		541.8	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	100			Percent of total billed charges		602	100			Percent of total billed charges		602	100			Percent of total billed charges		602	33.3			Percent of total billed charges		200.466	33.3			Percent of total billed charges		200.466	100			Percent of total billed charges		602	200.466	541.8	
shoulder slect ig system 1250	278	RC	Outpatient			602	391.3		90			Percent of total billed charges		541.8	40			Percent of total billed charges		240.8	80			Percent of total billed charges		481.6	90			Percent of total billed charges		541.8	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	100			Percent of total billed charges		602	100			Percent of total billed charges		602	100			Percent of total billed charges		602	33.3			Percent of total billed charges		200.466	33.3			Percent of total billed charges		200.466	100			Percent of total billed charges		602	200.466	541.8	
small joint inst kit	272	RC	Outpatient			602	391.3		90			Percent of total billed charges		541.8	40			Percent of total billed charges		240.8	80			Percent of total billed charges		481.6	90			Percent of total billed charges		541.8	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	100			Percent of total billed charges		602	100			Percent of total billed charges		602	100			Percent of total billed charges		602	33.3			Percent of total billed charges		200.466	33.3			Percent of total billed charges		200.466	100			Percent of total billed charges		602	200.466	541.8	
wrist arthroscopy kit 7205454 s/n	272	RC	Outpatient			602	391.3		90			Percent of total billed charges		541.8	40			Percent of total billed charges		240.8	80			Percent of total billed charges		481.6	90			Percent of total billed charges		541.8	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	85			Percent of total billed charges		511.7	100			Percent of total billed charges		602	100			Percent of total billed charges		602	100			Percent of total billed charges		602	33.3			Percent of total billed charges		200.466	33.3			Percent of total billed charges		200.466	100			Percent of total billed charges		602	200.466	541.8	
mini fr pl q-tub 3-4hl	278	RC	Outpatient			603	391.95		90			Percent of total billed charges		542.7	40			Percent of total billed charges		241.2	80			Percent of total billed charges		482.4	90			Percent of total billed charges		542.7	85			Percent of total billed charges		512.55	85			Percent of total billed charges		512.55	85			Percent of total billed charges		512.55	100			Percent of total billed charges		603	100			Percent of total billed charges		603	100			Percent of total billed charges		603	33.3			Percent of total billed charges		200.799	33.3			Percent of total billed charges		200.799	100			Percent of total billed charges		603	200.799	542.7	
quarter-tubular plate w/collar 3 hole 242.03	278	RC	Outpatient			603	391.95		90			Percent of total billed charges		542.7	40			Percent of total billed charges		241.2	80			Percent of total billed charges		482.4	90			Percent of total billed charges		542.7	85			Percent of total billed charges		512.55	85			Percent of total billed charges		512.55	85			Percent of total billed charges		512.55	100			Percent of total billed charges		603	100			Percent of total billed charges		603	100			Percent of total billed charges		603	33.3			Percent of total billed charges		200.799	33.3			Percent of total billed charges		200.799	100			Percent of total billed charges		603	200.799	542.7	
quarter-tubular plate w/collar 4 hole 242.04	278	RC	Outpatient			603	391.95		90			Percent of total billed charges		542.7	40			Percent of total billed charges		241.2	80			Percent of total billed charges		482.4	90			Percent of total billed charges		542.7	85			Percent of total billed charges		512.55	85			Percent of total billed charges		512.55	85			Percent of total billed charges		512.55	100			Percent of total billed charges		603	100			Percent of total billed charges		603	100			Percent of total billed charges		603	33.3			Percent of total billed charges		200.799	33.3			Percent of total billed charges		200.799	100			Percent of total billed charges		603	200.799	542.7	
s/n mini frag plate 3 hole 7114-8003	278	RC	Outpatient			603	391.95		90			Percent of total billed charges		542.7	40			Percent of total billed charges		241.2	80			Percent of total billed charges		482.4	90			Percent of total billed charges		542.7	85			Percent of total billed charges		512.55	85			Percent of total billed charges		512.55	85			Percent of total billed charges		512.55	100			Percent of total billed charges		603	100			Percent of total billed charges		603	100			Percent of total billed charges		603	33.3			Percent of total billed charges		200.799	33.3			Percent of total billed charges		200.799	100			Percent of total billed charges		603	200.799	542.7	
s/n mini frag plate 4 hole 7114-8004	278	RC	Outpatient			603	391.95		90			Percent of total billed charges		542.7	40			Percent of total billed charges		241.2	80			Percent of total billed charges		482.4	90			Percent of total billed charges		542.7	85			Percent of total billed charges		512.55	85			Percent of total billed charges		512.55	85			Percent of total billed charges		512.55	100			Percent of total billed charges		603	100			Percent of total billed charges		603	100			Percent of total billed charges		603	33.3			Percent of total billed charges		200.799	33.3			Percent of total billed charges		200.799	100			Percent of total billed charges		603	200.799	542.7	
3.5mm str recon plate 11 hole 130mm 00-1179-005-11 zimmer	278	RC	Outpatient			604	392.6		90			Percent of total billed charges		543.6	40			Percent of total billed charges		241.6	80			Percent of total billed charges		483.2	90			Percent of total billed charges		543.6	85			Percent of total billed charges		513.4	85			Percent of total billed charges		513.4	85			Percent of total billed charges		513.4	100			Percent of total billed charges		604	100			Percent of total billed charges		604	100			Percent of total billed charges		604	33.3			Percent of total billed charges		201.132	33.3			Percent of total billed charges		201.132	100			Percent of total billed charges		604	201.132	543.6	
acumed housing assembly	272	RC	Outpatient			604	392.6		90			Percent of total billed charges		543.6	40			Percent of total billed charges		241.6	80			Percent of total billed charges		483.2	90			Percent of total billed charges		543.6	85			Percent of total billed charges		513.4	85			Percent of total billed charges		513.4	85			Percent of total billed charges		513.4	100			Percent of total billed charges		604	100			Percent of total billed charges		604	100			Percent of total billed charges		604	33.3			Percent of total billed charges		201.132	33.3			Percent of total billed charges		201.132	100			Percent of total billed charges		604	201.132	543.6	
endobeam 200	272	RC	Outpatient			604	392.6		90			Percent of total billed charges		543.6	40			Percent of total billed charges		241.6	80			Percent of total billed charges		483.2	90			Percent of total billed charges		543.6	85			Percent of total billed charges		513.4	85			Percent of total billed charges		513.4	85			Percent of total billed charges		513.4	100			Percent of total billed charges		604	100			Percent of total billed charges		604	100			Percent of total billed charges		604	33.3			Percent of total billed charges		201.132	33.3			Percent of total billed charges		201.132	100			Percent of total billed charges		604	201.132	543.6	
drill /4mm short half pin 71063204 s/n	272	RC	Outpatient			604	392.6		90			Percent of total billed charges		543.6	40			Percent of total billed charges		241.6	80			Percent of total billed charges		483.2	90			Percent of total billed charges		543.6	85			Percent of total billed charges		513.4	85			Percent of total billed charges		513.4	85			Percent of total billed charges		513.4	100			Percent of total billed charges		604	100			Percent of total billed charges		604	100			Percent of total billed charges		604	33.3			Percent of total billed charges		201.132	33.3			Percent of total billed charges		201.132	100			Percent of total billed charges		604	201.132	543.6	
endobeam 200 suo200 bard	272	RC	Outpatient			604	392.6		90			Percent of total billed charges		543.6	40			Percent of total billed charges		241.6	80			Percent of total billed charges		483.2	90			Percent of total billed charges		543.6	85			Percent of total billed charges		513.4	85			Percent of total billed charges		513.4	85			Percent of total billed charges		513.4	100			Percent of total billed charges		604	100			Percent of total billed charges		604	100			Percent of total billed charges		604	33.3			Percent of total billed charges		201.132	33.3			Percent of total billed charges		201.132	100			Percent of total billed charges		604	201.132	543.6	
jet-x drill bit	272	RC	Outpatient			604	392.6		90			Percent of total billed charges		543.6	40			Percent of total billed charges		241.6	80			Percent of total billed charges		483.2	90			Percent of total billed charges		543.6	85			Percent of total billed charges		513.4	85			Percent of total billed charges		513.4	85			Percent of total billed charges		513.4	100			Percent of total billed charges		604	100			Percent of total billed charges		604	100			Percent of total billed charges		604	33.3			Percent of total billed charges		201.132	33.3			Percent of total billed charges		201.132	100			Percent of total billed charges		604	201.132	543.6	
pacu time 2 hours	270	RC	Outpatient			604	392.6		90			Percent of total billed charges		543.6	40			Percent of total billed charges		241.6	80			Percent of total billed charges		483.2	90			Percent of total billed charges		543.6	85			Percent of total billed charges		513.4	85			Percent of total billed charges		513.4	85			Percent of total billed charges		513.4	100			Percent of total billed charges		604	100			Percent of total billed charges		604	100			Percent of total billed charges		604	33.3			Percent of total billed charges		201.132	33.3			Percent of total billed charges		201.132	100			Percent of total billed charges		604	201.132	543.6	
richards distl fmrl wedge	278	RC	Outpatient			604	392.6		90			Percent of total billed charges		543.6	40			Percent of total billed charges		241.6	80			Percent of total billed charges		483.2	90			Percent of total billed charges		543.6	85			Percent of total billed charges		513.4	85			Percent of total billed charges		513.4	85			Percent of total billed charges		513.4	100			Percent of total billed charges		604	100			Percent of total billed charges		604	100			Percent of total billed charges		604	33.3			Percent of total billed charges		201.132	33.3			Percent of total billed charges		201.132	100			Percent of total billed charges		604	201.132	543.6	
small bone fixator housing assembly sm-5100 acumed	272	RC	Outpatient			604	392.6		90			Percent of total billed charges		543.6	40			Percent of total billed charges		241.6	80			Percent of total billed charges		483.2	90			Percent of total billed charges		543.6	85			Percent of total billed charges		513.4	85			Percent of total billed charges		513.4	85			Percent of total billed charges		513.4	100			Percent of total billed charges		604	100			Percent of total billed charges		604	100			Percent of total billed charges		604	33.3			Percent of total billed charges		201.132	33.3			Percent of total billed charges		201.132	100			Percent of total billed charges		604	201.132	543.6	
s/n jet-x 3.5 grad. drill bit 7106-3006	272	RC	Outpatient			604	392.6		90			Percent of total billed charges		543.6	40			Percent of total billed charges		241.6	80			Percent of total billed charges		483.2	90			Percent of total billed charges		543.6	85			Percent of total billed charges		513.4	85			Percent of total billed charges		513.4	85			Percent of total billed charges		513.4	100			Percent of total billed charges		604	100			Percent of total billed charges		604	100			Percent of total billed charges		604	33.3			Percent of total billed charges		201.132	33.3			Percent of total billed charges		201.132	100			Percent of total billed charges		604	201.132	543.6	
zimm 3.5 recon plate 11hl	278	RC	Outpatient			604	392.6		90			Percent of total billed charges		543.6	40			Percent of total billed charges		241.6	80			Percent of total billed charges		483.2	90			Percent of total billed charges		543.6	85			Percent of total billed charges		513.4	85			Percent of total billed charges		513.4	85			Percent of total billed charges		513.4	100			Percent of total billed charges		604	100			Percent of total billed charges		604	100			Percent of total billed charges		604	33.3			Percent of total billed charges		201.132	33.3			Percent of total billed charges		201.132	100			Percent of total billed charges		604	201.132	543.6	
s/n 6.5 cannulated screw  conical 100mm 7482-0100	278	RC	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	85			Percent of total billed charges		514.25	85			Percent of total billed charges		514.25	85			Percent of total billed charges		514.25	100			Percent of total billed charges		605	100			Percent of total billed charges		605	100			Percent of total billed charges		605	33.3			Percent of total billed charges		201.465	33.3			Percent of total billed charges		201.465	100			Percent of total billed charges		605	201.465	544.5	
screw cannul 6.5 conical	278	RC	Outpatient			605	393.25		90			Percent of total billed charges		544.5	40			Percent of total billed charges		242	80			Percent of total billed charges		484	90			Percent of total billed charges		544.5	85			Percent of total billed charges		514.25	85			Percent of total billed charges		514.25	85			Percent of total billed charges		514.25	100			Percent of total billed charges		605	100			Percent of total billed charges		605	100			Percent of total billed charges		605	33.3			Percent of total billed charges		201.465	33.3			Percent of total billed charges		201.465	100			Percent of total billed charges		605	201.465	544.5	
biceptor kit 9/15 72202301 s/n	278	RC	Outpatient			606	393.9		90			Percent of total billed charges		545.4	40			Percent of total billed charges		242.4	80			Percent of total billed charges		484.8	90			Percent of total billed charges		545.4	85			Percent of total billed charges		515.1	85			Percent of total billed charges		515.1	85			Percent of total billed charges		515.1	100			Percent of total billed charges		606	100			Percent of total billed charges		606	100			Percent of total billed charges		606	33.3			Percent of total billed charges		201.798	33.3			Percent of total billed charges		201.798	100			Percent of total billed charges		606	201.798	545.4	
s/n biceptor kit	278	RC	Outpatient			606	393.9		90			Percent of total billed charges		545.4	40			Percent of total billed charges		242.4	80			Percent of total billed charges		484.8	90			Percent of total billed charges		545.4	85			Percent of total billed charges		515.1	85			Percent of total billed charges		515.1	85			Percent of total billed charges		515.1	100			Percent of total billed charges		606	100			Percent of total billed charges		606	100			Percent of total billed charges		606	33.3			Percent of total billed charges		201.798	33.3			Percent of total billed charges		201.798	100			Percent of total billed charges		606	201.798	545.4	
cannulated overdrive 07-40230 stryker	272	RC	Outpatient			607	394.55		90			Percent of total billed charges		546.3	40			Percent of total billed charges		242.8	80			Percent of total billed charges		485.6	90			Percent of total billed charges		546.3	85			Percent of total billed charges		515.95	85			Percent of total billed charges		515.95	85			Percent of total billed charges		515.95	100			Percent of total billed charges		607	100			Percent of total billed charges		607	100			Percent of total billed charges		607	33.3			Percent of total billed charges		202.131	33.3			Percent of total billed charges		202.131	100			Percent of total billed charges		607	202.131	546.3	
escape nitinol retrieval basket 390-201 boston sci	272	RC	Outpatient			607	394.55		90			Percent of total billed charges		546.3	40			Percent of total billed charges		242.8	80			Percent of total billed charges		485.6	90			Percent of total billed charges		546.3	85			Percent of total billed charges		515.95	85			Percent of total billed charges		515.95	85			Percent of total billed charges		515.95	100			Percent of total billed charges		607	100			Percent of total billed charges		607	100			Percent of total billed charges		607	33.3			Percent of total billed charges		202.131	33.3			Percent of total billed charges		202.131	100			Percent of total billed charges		607	202.131	546.3	
jet x 400mm bar 7106-2400 s/n	278	RC	Outpatient			607	394.55		90			Percent of total billed charges		546.3	40			Percent of total billed charges		242.8	80			Percent of total billed charges		485.6	90			Percent of total billed charges		546.3	85			Percent of total billed charges		515.95	85			Percent of total billed charges		515.95	85			Percent of total billed charges		515.95	100			Percent of total billed charges		607	100			Percent of total billed charges		607	100			Percent of total billed charges		607	33.3			Percent of total billed charges		202.131	33.3			Percent of total billed charges		202.131	100			Percent of total billed charges		607	202.131	546.3	
jet-x bar 400mm	278	RC	Outpatient			607	394.55		90			Percent of total billed charges		546.3	40			Percent of total billed charges		242.8	80			Percent of total billed charges		485.6	90			Percent of total billed charges		546.3	85			Percent of total billed charges		515.95	85			Percent of total billed charges		515.95	85			Percent of total billed charges		515.95	100			Percent of total billed charges		607	100			Percent of total billed charges		607	100			Percent of total billed charges		607	33.3			Percent of total billed charges		202.131	33.3			Percent of total billed charges		202.131	100			Percent of total billed charges		607	202.131	546.3	
stable nut & washer 5.0 71632001 s/n	278	RC	Outpatient			607	394.55		90			Percent of total billed charges		546.3	40			Percent of total billed charges		242.8	80			Percent of total billed charges		485.6	90			Percent of total billed charges		546.3	85			Percent of total billed charges		515.95	85			Percent of total billed charges		515.95	85			Percent of total billed charges		515.95	100			Percent of total billed charges		607	100			Percent of total billed charges		607	100			Percent of total billed charges		607	33.3			Percent of total billed charges		202.131	33.3			Percent of total billed charges		202.131	100			Percent of total billed charges		607	202.131	546.3	
s/n sl nut & washer	278	RC	Outpatient			607	394.55		90			Percent of total billed charges		546.3	40			Percent of total billed charges		242.8	80			Percent of total billed charges		485.6	90			Percent of total billed charges		546.3	85			Percent of total billed charges		515.95	85			Percent of total billed charges		515.95	85			Percent of total billed charges		515.95	100			Percent of total billed charges		607	100			Percent of total billed charges		607	100			Percent of total billed charges		607	33.3			Percent of total billed charges		202.131	33.3			Percent of total billed charges		202.131	100			Percent of total billed charges		607	202.131	546.3	
stone basket escape ntl	272	RC	Outpatient			607	394.55		90			Percent of total billed charges		546.3	40			Percent of total billed charges		242.8	80			Percent of total billed charges		485.6	90			Percent of total billed charges		546.3	85			Percent of total billed charges		515.95	85			Percent of total billed charges		515.95	85			Percent of total billed charges		515.95	100			Percent of total billed charges		607	100			Percent of total billed charges		607	100			Percent of total billed charges		607	33.3			Percent of total billed charges		202.131	33.3			Percent of total billed charges		202.131	100			Percent of total billed charges		607	202.131	546.3	
stryker overdrill can	272	RC	Outpatient			607	394.55		90			Percent of total billed charges		546.3	40			Percent of total billed charges		242.8	80			Percent of total billed charges		485.6	90			Percent of total billed charges		546.3	85			Percent of total billed charges		515.95	85			Percent of total billed charges		515.95	85			Percent of total billed charges		515.95	100			Percent of total billed charges		607	100			Percent of total billed charges		607	100			Percent of total billed charges		607	33.3			Percent of total billed charges		202.131	33.3			Percent of total billed charges		202.131	100			Percent of total billed charges		607	202.131	546.3	
3.5mm lc-dcp plate 18 hole 223.68	278	RC	Outpatient			608	395.2		90			Percent of total billed charges		547.2	40			Percent of total billed charges		243.2	80			Percent of total billed charges		486.4	90			Percent of total billed charges		547.2	85			Percent of total billed charges		516.8	85			Percent of total billed charges		516.8	85			Percent of total billed charges		516.8	100			Percent of total billed charges		608	100			Percent of total billed charges		608	100			Percent of total billed charges		608	33.3			Percent of total billed charges		202.464	33.3			Percent of total billed charges		202.464	100			Percent of total billed charges		608	202.464	547.2	
3.5mm lc-dcp plate 20 hole 223.70	278	RC	Outpatient			608	395.2		90			Percent of total billed charges		547.2	40			Percent of total billed charges		243.2	80			Percent of total billed charges		486.4	90			Percent of total billed charges		547.2	85			Percent of total billed charges		516.8	85			Percent of total billed charges		516.8	85			Percent of total billed charges		516.8	100			Percent of total billed charges		608	100			Percent of total billed charges		608	100			Percent of total billed charges		608	33.3			Percent of total billed charges		202.464	33.3			Percent of total billed charges		202.464	100			Percent of total billed charges		608	202.464	547.2	
4.5mm narrow lc-dpc plate 20 hole 358mm 224.70	278	RC	Outpatient			608	395.2		90			Percent of total billed charges		547.2	40			Percent of total billed charges		243.2	80			Percent of total billed charges		486.4	90			Percent of total billed charges		547.2	85			Percent of total billed charges		516.8	85			Percent of total billed charges		516.8	85			Percent of total billed charges		516.8	100			Percent of total billed charges		608	100			Percent of total billed charges		608	100			Percent of total billed charges		608	33.3			Percent of total billed charges		202.464	33.3			Percent of total billed charges		202.464	100			Percent of total billed charges		608	202.464	547.2	
4.5mm narrow lc-dpc plate 22 hole 394mm 224.72	278	RC	Outpatient			608	395.2		90			Percent of total billed charges		547.2	40			Percent of total billed charges		243.2	80			Percent of total billed charges		486.4	90			Percent of total billed charges		547.2	85			Percent of total billed charges		516.8	85			Percent of total billed charges		516.8	85			Percent of total billed charges		516.8	100			Percent of total billed charges		608	100			Percent of total billed charges		608	100			Percent of total billed charges		608	33.3			Percent of total billed charges		202.464	33.3			Percent of total billed charges		202.464	100			Percent of total billed charges		608	202.464	547.2	
4.5mm narrow dcp plate 18 hole 295mm 224.18	278	RC	Outpatient			608	395.2		90			Percent of total billed charges		547.2	40			Percent of total billed charges		243.2	80			Percent of total billed charges		486.4	90			Percent of total billed charges		547.2	85			Percent of total billed charges		516.8	85			Percent of total billed charges		516.8	85			Percent of total billed charges		516.8	100			Percent of total billed charges		608	100			Percent of total billed charges		608	100			Percent of total billed charges		608	33.3			Percent of total billed charges		202.464	33.3			Percent of total billed charges		202.464	100			Percent of total billed charges		608	202.464	547.2	
4.5mm narrow dcp plate 20 hole 326mm 224.20	278	RC	Outpatient			608	395.2		90			Percent of total billed charges		547.2	40			Percent of total billed charges		243.2	80			Percent of total billed charges		486.4	90			Percent of total billed charges		547.2	85			Percent of total billed charges		516.8	85			Percent of total billed charges		516.8	85			Percent of total billed charges		516.8	100			Percent of total billed charges		608	100			Percent of total billed charges		608	100			Percent of total billed charges		608	33.3			Percent of total billed charges		202.464	33.3			Percent of total billed charges		202.464	100			Percent of total billed charges		608	202.464	547.2	
syn dcp plate 18-20hole	278	RC	Outpatient			608	395.2		90			Percent of total billed charges		547.2	40			Percent of total billed charges		243.2	80			Percent of total billed charges		486.4	90			Percent of total billed charges		547.2	85			Percent of total billed charges		516.8	85			Percent of total billed charges		516.8	85			Percent of total billed charges		516.8	100			Percent of total billed charges		608	100			Percent of total billed charges		608	100			Percent of total billed charges		608	33.3			Percent of total billed charges		202.464	33.3			Percent of total billed charges		202.464	100			Percent of total billed charges		608	202.464	547.2	
accent dilatation set	272	RC	Outpatient			610	396.5		90			Percent of total billed charges		549	40			Percent of total billed charges		244	80			Percent of total billed charges		488	90			Percent of total billed charges		549	85			Percent of total billed charges		518.5	85			Percent of total billed charges		518.5	85			Percent of total billed charges		518.5	100			Percent of total billed charges		610	100			Percent of total billed charges		610	100			Percent of total billed charges		610	33.3			Percent of total billed charges		203.13	33.3			Percent of total billed charges		203.13	100			Percent of total billed charges		610	203.13	549	
allograft femoral ring1.2	278	RC	Outpatient			610	396.5		90			Percent of total billed charges		549	40			Percent of total billed charges		244	80			Percent of total billed charges		488	90			Percent of total billed charges		549	85			Percent of total billed charges		518.5	85			Percent of total billed charges		518.5	85			Percent of total billed charges		518.5	100			Percent of total billed charges		610	100			Percent of total billed charges		610	100			Percent of total billed charges		610	33.3			Percent of total billed charges		203.13	33.3			Percent of total billed charges		203.13	100			Percent of total billed charges		610	203.13	549	
accent ureteral dilatation balloon cath set 7mm aubs-7-6 (g32851) k/c	272	RC	Outpatient			610	396.5		90			Percent of total billed charges		549	40			Percent of total billed charges		244	80			Percent of total billed charges		488	90			Percent of total billed charges		549	85			Percent of total billed charges		518.5	85			Percent of total billed charges		518.5	85			Percent of total billed charges		518.5	100			Percent of total billed charges		610	100			Percent of total billed charges		610	100			Percent of total billed charges		610	33.3			Percent of total billed charges		203.13	33.3			Percent of total billed charges		203.13	100			Percent of total billed charges		610	203.13	549	
im hip prep kit 121010 s/n	272	RC	Outpatient			610	396.5		90			Percent of total billed charges		549	40			Percent of total billed charges		244	80			Percent of total billed charges		488	90			Percent of total billed charges		549	85			Percent of total billed charges		518.5	85			Percent of total billed charges		518.5	85			Percent of total billed charges		518.5	100			Percent of total billed charges		610	100			Percent of total billed charges		610	100			Percent of total billed charges		610	33.3			Percent of total billed charges		203.13	33.3			Percent of total billed charges		203.13	100			Percent of total billed charges		610	203.13	549	
femoral ring allograft 1.6 community tissue	278	RC	Outpatient			610	396.5		90			Percent of total billed charges		549	40			Percent of total billed charges		244	80			Percent of total billed charges		488	90			Percent of total billed charges		549	85			Percent of total billed charges		518.5	85			Percent of total billed charges		518.5	85			Percent of total billed charges		518.5	100			Percent of total billed charges		610	100			Percent of total billed charges		610	100			Percent of total billed charges		610	33.3			Percent of total billed charges		203.13	33.3			Percent of total billed charges		203.13	100			Percent of total billed charges		610	203.13	549	
narrow plate 4.5mm 2 hole x 39mm 7114-1402 s/n	278	RC	Outpatient			610	396.5		90			Percent of total billed charges		549	40			Percent of total billed charges		244	80			Percent of total billed charges		488	90			Percent of total billed charges		549	85			Percent of total billed charges		518.5	85			Percent of total billed charges		518.5	85			Percent of total billed charges		518.5	100			Percent of total billed charges		610	100			Percent of total billed charges		610	100			Percent of total billed charges		610	33.3			Percent of total billed charges		203.13	33.3			Percent of total billed charges		203.13	100			Percent of total billed charges		610	203.13	549	
s/n 4.5 nar recon pl 2 hl	278	RC	Outpatient			610	396.5		90			Percent of total billed charges		549	40			Percent of total billed charges		244	80			Percent of total billed charges		488	90			Percent of total billed charges		549	85			Percent of total billed charges		518.5	85			Percent of total billed charges		518.5	85			Percent of total billed charges		518.5	100			Percent of total billed charges		610	100			Percent of total billed charges		610	100			Percent of total billed charges		610	33.3			Percent of total billed charges		203.13	33.3			Percent of total billed charges		203.13	100			Percent of total billed charges		610	203.13	549	
s/n im hip prep kit	272	RC	Outpatient			610	396.5		90			Percent of total billed charges		549	40			Percent of total billed charges		244	80			Percent of total billed charges		488	90			Percent of total billed charges		549	85			Percent of total billed charges		518.5	85			Percent of total billed charges		518.5	85			Percent of total billed charges		518.5	100			Percent of total billed charges		610	100			Percent of total billed charges		610	100			Percent of total billed charges		610	33.3			Percent of total billed charges		203.13	33.3			Percent of total billed charges		203.13	100			Percent of total billed charges		610	203.13	549	
cannulated screw 8.0 x 100mm 71109800s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 105mm 71109605s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 110mm 71109610s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 115mm 71109815s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 120mm 71109320s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 120mm 71109820s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 135mm 71109335s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 135mm 71109635s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 135mm 71109835s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 140mm 71109640s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 140mm 71109840s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 145mm 71109345s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 145mm 71109845s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 160mm 71109660s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 160mm 71109860s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 165mm 71109365s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 165mm 71109665s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 165mm 71109865s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 170mm 71109370s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 170mm 71109870s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 175mm 71109675s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 40mm 71109540s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 45mm 71109545s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 50mm 71109250s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 55mm 71109255s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 55mm 71109555s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 55mm 71109755s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 60mm 71109260s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 60mm 71109560s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 60mm 71109580s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 70mm 71109270s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 70mm 71109570s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 70mm 71109770s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 75mm 71109575s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 75mm 71109775s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 85mm 71109785s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 90mm 71109590s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 90mm 71109790s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 95mm 71109295s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 95mm 71109595s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 95mm 71109795s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 100mm 71109300s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 100mm 71109600s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 105mm 71109305s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 105mm 71109805s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 110mm 71109310s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 110mm 71109810s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 115mm 71109315s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 115mm 71109615s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 125mm 71109325s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 125mm 71109625s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 125mm 71109825s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 130mm 71109330s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 130mm 71109630s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 130mm 71109830s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 140mm 71109340s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 145mm 71109645s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 150mm 71109350s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 150mm 71109650s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 150mm 71109850s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 155mm 71109355s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 155mm 71109655s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 155mm 71109855s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 160mm 71109360s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 170mm 71109670s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 175mm 71109375s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 175mm 71109875s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 180mm 71109380s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 180mm 71109680s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 180mm 71109880s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 40mm 71109240s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 45mm 71109245s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 50mm 71109550s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 60mm 71109760s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 65mm 71109265s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 65mm 71109565s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 65mm 71109765s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 75mm 71109275s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 80mm 71109280s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 80mm 71109780s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 85mm 71109285s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 85mm 71109585s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
cannulated screw 8.0 x 90mm 71109290s s/n	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
gyrus pks plasma spatula	272	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
pks plasma spatula 5mm 952005pk gyrus/acmi	272	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
screw cannulated 8.0	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
titanium cannulated screw 8.0 x 45 611045s stryker	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
titanium cannulated screw 8.0 x 50 611050s stryker	278	RC	Outpatient			611	397.15		90			Percent of total billed charges		549.9	40			Percent of total billed charges		244.4	80			Percent of total billed charges		488.8	90			Percent of total billed charges		549.9	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	85			Percent of total billed charges		519.35	100			Percent of total billed charges		611	100			Percent of total billed charges		611	100			Percent of total billed charges		611	33.3			Percent of total billed charges		203.463	33.3			Percent of total billed charges		203.463	100			Percent of total billed charges		611	203.463	549.9	
4.5mm str recon plate 14 hole 00-1179-007-14 zimmer	278	RC	Outpatient			612	397.8		90			Percent of total billed charges		550.8	40			Percent of total billed charges		244.8	80			Percent of total billed charges		489.6	90			Percent of total billed charges		550.8	85			Percent of total billed charges		520.2	85			Percent of total billed charges		520.2	85			Percent of total billed charges		520.2	100			Percent of total billed charges		612	100			Percent of total billed charges		612	100			Percent of total billed charges		612	33.3			Percent of total billed charges		203.796	33.3			Percent of total billed charges		203.796	100			Percent of total billed charges		612	203.796	550.8	
chisel blade straight 10mm x 60mm s 75100519 s/n	272	RC	Outpatient			612	397.8		90			Percent of total billed charges		550.8	40			Percent of total billed charges		244.8	80			Percent of total billed charges		489.6	90			Percent of total billed charges		550.8	85			Percent of total billed charges		520.2	85			Percent of total billed charges		520.2	85			Percent of total billed charges		520.2	100			Percent of total billed charges		612	100			Percent of total billed charges		612	100			Percent of total billed charges		612	33.3			Percent of total billed charges		203.796	33.3			Percent of total billed charges		203.796	100			Percent of total billed charges		612	203.796	550.8	
chisel blade straight 12mm x 60mm s 75100520 s/n	272	RC	Outpatient			612	397.8		90			Percent of total billed charges		550.8	40			Percent of total billed charges		244.8	80			Percent of total billed charges		489.6	90			Percent of total billed charges		550.8	85			Percent of total billed charges		520.2	85			Percent of total billed charges		520.2	85			Percent of total billed charges		520.2	100			Percent of total billed charges		612	100			Percent of total billed charges		612	100			Percent of total billed charges		612	33.3			Percent of total billed charges		203.796	33.3			Percent of total billed charges		203.796	100			Percent of total billed charges		612	203.796	550.8	
chisel blade straight s/n	272	RC	Outpatient			612	397.8		90			Percent of total billed charges		550.8	40			Percent of total billed charges		244.8	80			Percent of total billed charges		489.6	90			Percent of total billed charges		550.8	85			Percent of total billed charges		520.2	85			Percent of total billed charges		520.2	85			Percent of total billed charges		520.2	100			Percent of total billed charges		612	100			Percent of total billed charges		612	100			Percent of total billed charges		612	33.3			Percent of total billed charges		203.796	33.3			Percent of total billed charges		203.796	100			Percent of total billed charges		612	203.796	550.8	
4.5mm str recon plate 13 hole 00-1179-007-13 zimmer	278	RC	Outpatient			612	397.8		90			Percent of total billed charges		550.8	40			Percent of total billed charges		244.8	80			Percent of total billed charges		489.6	90			Percent of total billed charges		550.8	85			Percent of total billed charges		520.2	85			Percent of total billed charges		520.2	85			Percent of total billed charges		520.2	100			Percent of total billed charges		612	100			Percent of total billed charges		612	100			Percent of total billed charges		612	33.3			Percent of total billed charges		203.796	33.3			Percent of total billed charges		203.796	100			Percent of total billed charges		612	203.796	550.8	
birthing room 6 & over	722	RC	Outpatient			612	397.8		90			Percent of total billed charges		550.8	40			Percent of total billed charges		244.8	80			Percent of total billed charges		489.6	90			Percent of total billed charges		550.8	85			Percent of total billed charges		520.2	85			Percent of total billed charges		520.2	85			Percent of total billed charges		520.2	100			Percent of total billed charges		612	100			Percent of total billed charges		612	100			Percent of total billed charges		612	33.3			Percent of total billed charges		203.796	33.3			Percent of total billed charges		203.796	100			Percent of total billed charges		612	203.796	550.8	
chisel blade straight 10mm x 120mm s long 75100522 s/n	272	RC	Outpatient			612	397.8		90			Percent of total billed charges		550.8	40			Percent of total billed charges		244.8	80			Percent of total billed charges		489.6	90			Percent of total billed charges		550.8	85			Percent of total billed charges		520.2	85			Percent of total billed charges		520.2	85			Percent of total billed charges		520.2	100			Percent of total billed charges		612	100			Percent of total billed charges		612	100			Percent of total billed charges		612	33.3			Percent of total billed charges		203.796	33.3			Percent of total billed charges		203.796	100			Percent of total billed charges		612	203.796	550.8	
chisel blade straight 10mm x 40mm s 75100517 s/n	272	RC	Outpatient			612	397.8		90			Percent of total billed charges		550.8	40			Percent of total billed charges		244.8	80			Percent of total billed charges		489.6	90			Percent of total billed charges		550.8	85			Percent of total billed charges		520.2	85			Percent of total billed charges		520.2	85			Percent of total billed charges		520.2	100			Percent of total billed charges		612	100			Percent of total billed charges		612	100			Percent of total billed charges		612	33.3			Percent of total billed charges		203.796	33.3			Percent of total billed charges		203.796	100			Percent of total billed charges		612	203.796	550.8	
chisel blade straight 12mm x 40mm s 75100518 s/n	272	RC	Outpatient			612	397.8		90			Percent of total billed charges		550.8	40			Percent of total billed charges		244.8	80			Percent of total billed charges		489.6	90			Percent of total billed charges		550.8	85			Percent of total billed charges		520.2	85			Percent of total billed charges		520.2	85			Percent of total billed charges		520.2	100			Percent of total billed charges		612	100			Percent of total billed charges		612	100			Percent of total billed charges		612	33.3			Percent of total billed charges		203.796	33.3			Percent of total billed charges		203.796	100			Percent of total billed charges		612	203.796	550.8	
endoscopic curved intraluminal stapler 33mm ecs33a ethicon	272	RC	Outpatient			612	397.8		90			Percent of total billed charges		550.8	40			Percent of total billed charges		244.8	80			Percent of total billed charges		489.6	90			Percent of total billed charges		550.8	85			Percent of total billed charges		520.2	85			Percent of total billed charges		520.2	85			Percent of total billed charges		520.2	100			Percent of total billed charges		612	100			Percent of total billed charges		612	100			Percent of total billed charges		612	33.3			Percent of total billed charges		203.796	33.3			Percent of total billed charges		203.796	100			Percent of total billed charges		612	203.796	550.8	
endoscopic curved intraluminal stapler 25mm ecs25a ethicon	272	RC	Outpatient			612	397.8		90			Percent of total billed charges		550.8	40			Percent of total billed charges		244.8	80			Percent of total billed charges		489.6	90			Percent of total billed charges		550.8	85			Percent of total billed charges		520.2	85			Percent of total billed charges		520.2	85			Percent of total billed charges		520.2	100			Percent of total billed charges		612	100			Percent of total billed charges		612	100			Percent of total billed charges		612	33.3			Percent of total billed charges		203.796	33.3			Percent of total billed charges		203.796	100			Percent of total billed charges		612	203.796	550.8	
endoscopic curved intraluminal stapler 29mm ecs29a ethicon	272	RC	Outpatient			612	397.8		90			Percent of total billed charges		550.8	40			Percent of total billed charges		244.8	80			Percent of total billed charges		489.6	90			Percent of total billed charges		550.8	85			Percent of total billed charges		520.2	85			Percent of total billed charges		520.2	85			Percent of total billed charges		520.2	100			Percent of total billed charges		612	100			Percent of total billed charges		612	100			Percent of total billed charges		612	33.3			Percent of total billed charges		203.796	33.3			Percent of total billed charges		203.796	100			Percent of total billed charges		612	203.796	550.8	
staples ecs curved	272	RC	Outpatient			612	397.8		90			Percent of total billed charges		550.8	40			Percent of total billed charges		244.8	80			Percent of total billed charges		489.6	90			Percent of total billed charges		550.8	85			Percent of total billed charges		520.2	85			Percent of total billed charges		520.2	85			Percent of total billed charges		520.2	100			Percent of total billed charges		612	100			Percent of total billed charges		612	100			Percent of total billed charges		612	33.3			Percent of total billed charges		203.796	33.3			Percent of total billed charges		203.796	100			Percent of total billed charges		612	203.796	550.8	
zimm 4.5 recon pl 13-14hl	278	RC	Outpatient			612	397.8		90			Percent of total billed charges		550.8	40			Percent of total billed charges		244.8	80			Percent of total billed charges		489.6	90			Percent of total billed charges		550.8	85			Percent of total billed charges		520.2	85			Percent of total billed charges		520.2	85			Percent of total billed charges		520.2	100			Percent of total billed charges		612	100			Percent of total billed charges		612	100			Percent of total billed charges		612	33.3			Percent of total billed charges		203.796	33.3			Percent of total billed charges		203.796	100			Percent of total billed charges		612	203.796	550.8	
2.7mm reconstruction plate straight 18 hole 144mm 00-1179-013-18 zimmer	278	RC	Outpatient			613	398.45		90			Percent of total billed charges		551.7	40			Percent of total billed charges		245.2	80			Percent of total billed charges		490.4	90			Percent of total billed charges		551.7	85			Percent of total billed charges		521.05	85			Percent of total billed charges		521.05	85			Percent of total billed charges		521.05	100			Percent of total billed charges		613	100			Percent of total billed charges		613	100			Percent of total billed charges		613	33.3			Percent of total billed charges		204.129	33.3			Percent of total billed charges		204.129	100			Percent of total billed charges		613	204.129	551.7	
2.7mm reconstruction plate straight 20 hole 160mm 00-1179-013-20 zimmer	278	RC	Outpatient			613	398.45		90			Percent of total billed charges		551.7	40			Percent of total billed charges		245.2	80			Percent of total billed charges		490.4	90			Percent of total billed charges		551.7	85			Percent of total billed charges		521.05	85			Percent of total billed charges		521.05	85			Percent of total billed charges		521.05	100			Percent of total billed charges		613	100			Percent of total billed charges		613	100			Percent of total billed charges		613	33.3			Percent of total billed charges		204.129	33.3			Percent of total billed charges		204.129	100			Percent of total billed charges		613	204.129	551.7	
biomet ss cable	278	RC	Outpatient			613	398.45		90			Percent of total billed charges		551.7	40			Percent of total billed charges		245.2	80			Percent of total billed charges		490.4	90			Percent of total billed charges		551.7	85			Percent of total billed charges		521.05	85			Percent of total billed charges		521.05	85			Percent of total billed charges		521.05	100			Percent of total billed charges		613	100			Percent of total billed charges		613	100			Percent of total billed charges		613	33.3			Percent of total billed charges		204.129	33.3			Percent of total billed charges		204.129	100			Percent of total billed charges		613	204.129	551.7	
stainless steel cable 2.0 x 750mm biomet 350800	278	RC	Outpatient			613	398.45		90			Percent of total billed charges		551.7	40			Percent of total billed charges		245.2	80			Percent of total billed charges		490.4	90			Percent of total billed charges		551.7	85			Percent of total billed charges		521.05	85			Percent of total billed charges		521.05	85			Percent of total billed charges		521.05	100			Percent of total billed charges		613	100			Percent of total billed charges		613	100			Percent of total billed charges		613	33.3			Percent of total billed charges		204.129	33.3			Percent of total billed charges		204.129	100			Percent of total billed charges		613	204.129	551.7	
zimm 2.7 recon pl 18-20hl	278	RC	Outpatient			613	398.45		90			Percent of total billed charges		551.7	40			Percent of total billed charges		245.2	80			Percent of total billed charges		490.4	90			Percent of total billed charges		551.7	85			Percent of total billed charges		521.05	85			Percent of total billed charges		521.05	85			Percent of total billed charges		521.05	100			Percent of total billed charges		613	100			Percent of total billed charges		613	100			Percent of total billed charges		613	33.3			Percent of total billed charges		204.129	33.3			Percent of total billed charges		204.129	100			Percent of total billed charges		613	204.129	551.7	
lithoclast rigid pneumatic probe 1.0 x 570mm 840-733 microvasive	272	RC	Outpatient			614	399.1		90			Percent of total billed charges		552.6	40			Percent of total billed charges		245.6	80			Percent of total billed charges		491.2	90			Percent of total billed charges		552.6	85			Percent of total billed charges		521.9	85			Percent of total billed charges		521.9	85			Percent of total billed charges		521.9	100			Percent of total billed charges		614	100			Percent of total billed charges		614	100			Percent of total billed charges		614	33.3			Percent of total billed charges		204.462	33.3			Percent of total billed charges		204.462	100			Percent of total billed charges		614	204.462	552.6	
lithoclast u/s probe	272	RC	Outpatient			614	399.1		90			Percent of total billed charges		552.6	40			Percent of total billed charges		245.6	80			Percent of total billed charges		491.2	90			Percent of total billed charges		552.6	85			Percent of total billed charges		521.9	85			Percent of total billed charges		521.9	85			Percent of total billed charges		521.9	100			Percent of total billed charges		614	100			Percent of total billed charges		614	100			Percent of total billed charges		614	33.3			Percent of total billed charges		204.462	33.3			Percent of total billed charges		204.462	100			Percent of total billed charges		614	204.462	552.6	
allomatrix putty 1cc	270	RC	Outpatient			615	399.75		90			Percent of total billed charges		553.5	40			Percent of total billed charges		246	80			Percent of total billed charges		492	90			Percent of total billed charges		553.5	85			Percent of total billed charges		522.75	85			Percent of total billed charges		522.75	85			Percent of total billed charges		522.75	100			Percent of total billed charges		615	100			Percent of total billed charges		615	100			Percent of total billed charges		615	33.3			Percent of total billed charges		204.795	33.3			Percent of total billed charges		204.795	100			Percent of total billed charges		615	204.795	553.5	
arthrex bc interferen scr	278	RC	Outpatient			615	399.75		90			Percent of total billed charges		553.5	40			Percent of total billed charges		246	80			Percent of total billed charges		492	90			Percent of total billed charges		553.5	85			Percent of total billed charges		522.75	85			Percent of total billed charges		522.75	85			Percent of total billed charges		522.75	100			Percent of total billed charges		615	100			Percent of total billed charges		615	100			Percent of total billed charges		615	33.3			Percent of total billed charges		204.795	33.3			Percent of total billed charges		204.795	100			Percent of total billed charges		615	204.795	553.5	
alexis retractor x-lg	270	RC	Outpatient			615	399.75		90			Percent of total billed charges		553.5	40			Percent of total billed charges		246	80			Percent of total billed charges		492	90			Percent of total billed charges		553.5	85			Percent of total billed charges		522.75	85			Percent of total billed charges		522.75	85			Percent of total billed charges		522.75	100			Percent of total billed charges		615	100			Percent of total billed charges		615	100			Percent of total billed charges		615	33.3			Percent of total billed charges		204.795	33.3			Percent of total billed charges		204.795	100			Percent of total billed charges		615	204.795	553.5	
allomatrix bone graft putty 1cc 8600-0100	270	RC	Outpatient			615	399.75		90			Percent of total billed charges		553.5	40			Percent of total billed charges		246	80			Percent of total billed charges		492	90			Percent of total billed charges		553.5	85			Percent of total billed charges		522.75	85			Percent of total billed charges		522.75	85			Percent of total billed charges		522.75	100			Percent of total billed charges		615	100			Percent of total billed charges		615	100			Percent of total billed charges		615	33.3			Percent of total billed charges		204.795	33.3			Percent of total billed charges		204.795	100			Percent of total billed charges		615	204.795	553.5	
arthrex bio-composite interference screw 9 x 23mm ar-1390c	278	RC	Outpatient			615	399.75		90			Percent of total billed charges		553.5	40			Percent of total billed charges		246	80			Percent of total billed charges		492	90			Percent of total billed charges		553.5	85			Percent of total billed charges		522.75	85			Percent of total billed charges		522.75	85			Percent of total billed charges		522.75	100			Percent of total billed charges		615	100			Percent of total billed charges		615	100			Percent of total billed charges		615	33.3			Percent of total billed charges		204.795	33.3			Percent of total billed charges		204.795	100			Percent of total billed charges		615	204.795	553.5	
t-plate 8 hole 240.16	278	RC	Outpatient			615	399.75		90			Percent of total billed charges		553.5	40			Percent of total billed charges		246	80			Percent of total billed charges		492	90			Percent of total billed charges		553.5	85			Percent of total billed charges		522.75	85			Percent of total billed charges		522.75	85			Percent of total billed charges		522.75	100			Percent of total billed charges		615	100			Percent of total billed charges		615	100			Percent of total billed charges		615	33.3			Percent of total billed charges		204.795	33.3			Percent of total billed charges		204.795	100			Percent of total billed charges		615	204.795	553.5	
retractor wound  x-large c8304 applied med	270	RC	Outpatient			615	399.75		90			Percent of total billed charges		553.5	40			Percent of total billed charges		246	80			Percent of total billed charges		492	90			Percent of total billed charges		553.5	85			Percent of total billed charges		522.75	85			Percent of total billed charges		522.75	85			Percent of total billed charges		522.75	100			Percent of total billed charges		615	100			Percent of total billed charges		615	100			Percent of total billed charges		615	33.3			Percent of total billed charges		204.795	33.3			Percent of total billed charges		204.795	100			Percent of total billed charges		615	204.795	553.5	
rsp tap 3.5mm 804-03-018 djo	272	RC	Outpatient			615	399.75		90			Percent of total billed charges		553.5	40			Percent of total billed charges		246	80			Percent of total billed charges		492	90			Percent of total billed charges		553.5	85			Percent of total billed charges		522.75	85			Percent of total billed charges		522.75	85			Percent of total billed charges		522.75	100			Percent of total billed charges		615	100			Percent of total billed charges		615	100			Percent of total billed charges		615	33.3			Percent of total billed charges		204.795	33.3			Percent of total billed charges		204.795	100			Percent of total billed charges		615	204.795	553.5	
syn sm t-plate 8hole	278	RC	Outpatient			615	399.75		90			Percent of total billed charges		553.5	40			Percent of total billed charges		246	80			Percent of total billed charges		492	90			Percent of total billed charges		553.5	85			Percent of total billed charges		522.75	85			Percent of total billed charges		522.75	85			Percent of total billed charges		522.75	100			Percent of total billed charges		615	100			Percent of total billed charges		615	100			Percent of total billed charges		615	33.3			Percent of total billed charges		204.795	33.3			Percent of total billed charges		204.795	100			Percent of total billed charges		615	204.795	553.5	
"135 dhs plate,, 2 holes, 46mm  281.102"	278	RC	Outpatient			616	400.4		90			Percent of total billed charges		554.4	40			Percent of total billed charges		246.4	80			Percent of total billed charges		492.8	90			Percent of total billed charges		554.4	85			Percent of total billed charges		523.6	85			Percent of total billed charges		523.6	85			Percent of total billed charges		523.6	100			Percent of total billed charges		616	100			Percent of total billed charges		616	100			Percent of total billed charges		616	33.3			Percent of total billed charges		205.128	33.3			Percent of total billed charges		205.128	100			Percent of total billed charges		616	205.128	554.4	
syn brd lenght plt 10hl	278	RC	Outpatient			616	400.4		90			Percent of total billed charges		554.4	40			Percent of total billed charges		246.4	80			Percent of total billed charges		492.8	90			Percent of total billed charges		554.4	85			Percent of total billed charges		523.6	85			Percent of total billed charges		523.6	85			Percent of total billed charges		523.6	100			Percent of total billed charges		616	100			Percent of total billed charges		616	100			Percent of total billed charges		616	33.3			Percent of total billed charges		205.128	33.3			Percent of total billed charges		205.128	100			Percent of total billed charges		616	205.128	554.4	
syn dhs plate 2-6 holes	278	RC	Outpatient			616	400.4		90			Percent of total billed charges		554.4	40			Percent of total billed charges		246.4	80			Percent of total billed charges		492.8	90			Percent of total billed charges		554.4	85			Percent of total billed charges		523.6	85			Percent of total billed charges		523.6	85			Percent of total billed charges		523.6	100			Percent of total billed charges		616	100			Percent of total billed charges		616	100			Percent of total billed charges		616	33.3			Percent of total billed charges		205.128	33.3			Percent of total billed charges		205.128	100			Percent of total billed charges		616	205.128	554.4	
juggerknot 1.0mm mini 912076 biomet sport	272	RC	Outpatient			617	401.05		90			Percent of total billed charges		555.3	40			Percent of total billed charges		246.8	80			Percent of total billed charges		493.6	90			Percent of total billed charges		555.3	85			Percent of total billed charges		524.45	85			Percent of total billed charges		524.45	85			Percent of total billed charges		524.45	100			Percent of total billed charges		617	100			Percent of total billed charges		617	100			Percent of total billed charges		617	33.3			Percent of total billed charges		205.461	33.3			Percent of total billed charges		205.461	100			Percent of total billed charges		617	205.461	555.3	
chemo admin. 5 1/2 hours	335	RC	Outpatient			618	401.7		90			Percent of total billed charges		556.2	40			Percent of total billed charges		247.2	80			Percent of total billed charges		494.4	90			Percent of total billed charges		556.2	85			Percent of total billed charges		525.3	85			Percent of total billed charges		525.3	85			Percent of total billed charges		525.3	100			Percent of total billed charges		618	100			Percent of total billed charges		618	100			Percent of total billed charges		618	33.3			Percent of total billed charges		205.794	33.3			Percent of total billed charges		205.794	100			Percent of total billed charges		618	205.794	556.2	
3.5mm curved reconstruction plate 12 hole 245.33	278	RC	Outpatient			619	402.35		90			Percent of total billed charges		557.1	40			Percent of total billed charges		247.6	80			Percent of total billed charges		495.2	90			Percent of total billed charges		557.1	85			Percent of total billed charges		526.15	85			Percent of total billed charges		526.15	85			Percent of total billed charges		526.15	100			Percent of total billed charges		619	100			Percent of total billed charges		619	100			Percent of total billed charges		619	33.3			Percent of total billed charges		206.127	33.3			Percent of total billed charges		206.127	100			Percent of total billed charges		619	206.127	557.1	
accuport	272	RC	Outpatient			619	402.35		90			Percent of total billed charges		557.1	40			Percent of total billed charges		247.6	80			Percent of total billed charges		495.2	90			Percent of total billed charges		557.1	85			Percent of total billed charges		526.15	85			Percent of total billed charges		526.15	85			Percent of total billed charges		526.15	100			Percent of total billed charges		619	100			Percent of total billed charges		619	100			Percent of total billed charges		619	33.3			Percent of total billed charges		206.127	33.3			Percent of total billed charges		206.127	100			Percent of total billed charges		619	206.127	557.1	
endo gia 60-rotic 4.8	270	RC	Outpatient			619	402.35		90			Percent of total billed charges		557.1	40			Percent of total billed charges		247.6	80			Percent of total billed charges		495.2	90			Percent of total billed charges		557.1	85			Percent of total billed charges		526.15	85			Percent of total billed charges		526.15	85			Percent of total billed charges		526.15	100			Percent of total billed charges		619	100			Percent of total billed charges		619	100			Percent of total billed charges		619	33.3			Percent of total billed charges		206.127	33.3			Percent of total billed charges		206.127	100			Percent of total billed charges		619	206.127	557.1	
gia 60 4.8 reload 030459 ussc	270	RC	Outpatient			619	402.35		90			Percent of total billed charges		557.1	40			Percent of total billed charges		247.6	80			Percent of total billed charges		495.2	90			Percent of total billed charges		557.1	85			Percent of total billed charges		526.15	85			Percent of total billed charges		526.15	85			Percent of total billed charges		526.15	100			Percent of total billed charges		619	100			Percent of total billed charges		619	100			Percent of total billed charges		619	33.3			Percent of total billed charges		206.127	33.3			Percent of total billed charges		206.127	100			Percent of total billed charges		619	206.127	557.1	
syn cvd recon plate 10-12	278	RC	Outpatient			619	402.35		90			Percent of total billed charges		557.1	40			Percent of total billed charges		247.6	80			Percent of total billed charges		495.2	90			Percent of total billed charges		557.1	85			Percent of total billed charges		526.15	85			Percent of total billed charges		526.15	85			Percent of total billed charges		526.15	100			Percent of total billed charges		619	100			Percent of total billed charges		619	100			Percent of total billed charges		619	33.3			Percent of total billed charges		206.127	33.3			Percent of total billed charges		206.127	100			Percent of total billed charges		619	206.127	557.1	
bio glenoid post pc	278	RC	Outpatient			620	403		90			Percent of total billed charges		558	40			Percent of total billed charges		248	80			Percent of total billed charges		496	90			Percent of total billed charges		558	85			Percent of total billed charges		527	85			Percent of total billed charges		527	85			Percent of total billed charges		527	100			Percent of total billed charges		620	100			Percent of total billed charges		620	100			Percent of total billed charges		620	33.3			Percent of total billed charges		206.46	33.3			Percent of total billed charges		206.46	100			Percent of total billed charges		620	206.46	558	
hybrid pc glenoid post 113951 biomet	278	RC	Outpatient			620	403		90			Percent of total billed charges		558	40			Percent of total billed charges		248	80			Percent of total billed charges		496	90			Percent of total billed charges		558	85			Percent of total billed charges		527	85			Percent of total billed charges		527	85			Percent of total billed charges		527	100			Percent of total billed charges		620	100			Percent of total billed charges		620	100			Percent of total billed charges		620	33.3			Percent of total billed charges		206.46	33.3			Percent of total billed charges		206.46	100			Percent of total billed charges		620	206.46	558	
medpor sheet	278	RC	Outpatient			620	403		90			Percent of total billed charges		558	40			Percent of total billed charges		248	80			Percent of total billed charges		496	90			Percent of total billed charges		558	85			Percent of total billed charges		527	85			Percent of total billed charges		527	85			Percent of total billed charges		527	100			Percent of total billed charges		620	100			Percent of total billed charges		620	100			Percent of total billed charges		620	33.3			Percent of total billed charges		206.46	33.3			Percent of total billed charges		206.46	100			Percent of total billed charges		620	206.46	558	
medpor surgical implant 0.35 x 50 x .035mm 83022 porex	278	RC	Outpatient			620	403		90			Percent of total billed charges		558	40			Percent of total billed charges		248	80			Percent of total billed charges		496	90			Percent of total billed charges		558	85			Percent of total billed charges		527	85			Percent of total billed charges		527	85			Percent of total billed charges		527	100			Percent of total billed charges		620	100			Percent of total billed charges		620	100			Percent of total billed charges		620	33.3			Percent of total billed charges		206.46	33.3			Percent of total billed charges		206.46	100			Percent of total billed charges		620	206.46	558	
s/n 6.5 cannulated screw  locking 100mm 7482-0300	278	RC	Outpatient			620	403		90			Percent of total billed charges		558	40			Percent of total billed charges		248	80			Percent of total billed charges		496	90			Percent of total billed charges		558	85			Percent of total billed charges		527	85			Percent of total billed charges		527	85			Percent of total billed charges		527	100			Percent of total billed charges		620	100			Percent of total billed charges		620	100			Percent of total billed charges		620	33.3			Percent of total billed charges		206.46	33.3			Percent of total billed charges		206.46	100			Percent of total billed charges		620	206.46	558	
s/n 6.5 cannulated screw  locking 105mm 7482-0305	278	RC	Outpatient			620	403		90			Percent of total billed charges		558	40			Percent of total billed charges		248	80			Percent of total billed charges		496	90			Percent of total billed charges		558	85			Percent of total billed charges		527	85			Percent of total billed charges		527	85			Percent of total billed charges		527	100			Percent of total billed charges		620	100			Percent of total billed charges		620	100			Percent of total billed charges		620	33.3			Percent of total billed charges		206.46	33.3			Percent of total billed charges		206.46	100			Percent of total billed charges		620	206.46	558	
s/n 6.5 cannulated screw  locking 110mm 7482-0310	278	RC	Outpatient			620	403		90			Percent of total billed charges		558	40			Percent of total billed charges		248	80			Percent of total billed charges		496	90			Percent of total billed charges		558	85			Percent of total billed charges		527	85			Percent of total billed charges		527	85			Percent of total billed charges		527	100			Percent of total billed charges		620	100			Percent of total billed charges		620	100			Percent of total billed charges		620	33.3			Percent of total billed charges		206.46	33.3			Percent of total billed charges		206.46	100			Percent of total billed charges		620	206.46	558	
s/n 6.5 lck cann scr	278	RC	Outpatient			620	403		90			Percent of total billed charges		558	40			Percent of total billed charges		248	80			Percent of total billed charges		496	90			Percent of total billed charges		558	85			Percent of total billed charges		527	85			Percent of total billed charges		527	85			Percent of total billed charges		527	100			Percent of total billed charges		620	100			Percent of total billed charges		620	100			Percent of total billed charges		620	33.3			Percent of total billed charges		206.46	33.3			Percent of total billed charges		206.46	100			Percent of total billed charges		620	206.46	558	
s/n 6.5 cannulated screw  locking 85mm 7482-00285	278	RC	Outpatient			620	403		90			Percent of total billed charges		558	40			Percent of total billed charges		248	80			Percent of total billed charges		496	90			Percent of total billed charges		558	85			Percent of total billed charges		527	85			Percent of total billed charges		527	85			Percent of total billed charges		527	100			Percent of total billed charges		620	100			Percent of total billed charges		620	100			Percent of total billed charges		620	33.3			Percent of total billed charges		206.46	33.3			Percent of total billed charges		206.46	100			Percent of total billed charges		620	206.46	558	
s/n 6.5 cannulated screw  locking 90mm 7482-0290	278	RC	Outpatient			620	403		90			Percent of total billed charges		558	40			Percent of total billed charges		248	80			Percent of total billed charges		496	90			Percent of total billed charges		558	85			Percent of total billed charges		527	85			Percent of total billed charges		527	85			Percent of total billed charges		527	100			Percent of total billed charges		620	100			Percent of total billed charges		620	100			Percent of total billed charges		620	33.3			Percent of total billed charges		206.46	33.3			Percent of total billed charges		206.46	100			Percent of total billed charges		620	206.46	558	
s/n 6.5 cannulated screw  locking 95mm 7482-0295	278	RC	Outpatient			620	403		90			Percent of total billed charges		558	40			Percent of total billed charges		248	80			Percent of total billed charges		496	90			Percent of total billed charges		558	85			Percent of total billed charges		527	85			Percent of total billed charges		527	85			Percent of total billed charges		527	100			Percent of total billed charges		620	100			Percent of total billed charges		620	100			Percent of total billed charges		620	33.3			Percent of total billed charges		206.46	33.3			Percent of total billed charges		206.46	100			Percent of total billed charges		620	206.46	558	
integra scr surefix 3.5	278	RC	Outpatient			621	403.65		90			Percent of total billed charges		558.9	40			Percent of total billed charges		248.4	80			Percent of total billed charges		496.8	90			Percent of total billed charges		558.9	85			Percent of total billed charges		527.85	85			Percent of total billed charges		527.85	85			Percent of total billed charges		527.85	100			Percent of total billed charges		621	100			Percent of total billed charges		621	100			Percent of total billed charges		621	33.3			Percent of total billed charges		206.793	33.3			Percent of total billed charges		206.793	100			Percent of total billed charges		621	206.793	558.9	
surefix screw 3.5 x 14mm 286314nd integra lifesciences	278	RC	Outpatient			621	403.65		90			Percent of total billed charges		558.9	40			Percent of total billed charges		248.4	80			Percent of total billed charges		496.8	90			Percent of total billed charges		558.9	85			Percent of total billed charges		527.85	85			Percent of total billed charges		527.85	85			Percent of total billed charges		527.85	100			Percent of total billed charges		621	100			Percent of total billed charges		621	100			Percent of total billed charges		621	33.3			Percent of total billed charges		206.793	33.3			Percent of total billed charges		206.793	100			Percent of total billed charges		621	206.793	558.9	
surefix screw 3.5 x 20mm 286320nd integra lifesciences	278	RC	Outpatient			621	403.65		90			Percent of total billed charges		558.9	40			Percent of total billed charges		248.4	80			Percent of total billed charges		496.8	90			Percent of total billed charges		558.9	85			Percent of total billed charges		527.85	85			Percent of total billed charges		527.85	85			Percent of total billed charges		527.85	100			Percent of total billed charges		621	100			Percent of total billed charges		621	100			Percent of total billed charges		621	33.3			Percent of total billed charges		206.793	33.3			Percent of total billed charges		206.793	100			Percent of total billed charges		621	206.793	558.9	
surefix screw 3.5 x 38mm 285338snd intregra science	278	RC	Outpatient			621	403.65		90			Percent of total billed charges		558.9	40			Percent of total billed charges		248.4	80			Percent of total billed charges		496.8	90			Percent of total billed charges		558.9	85			Percent of total billed charges		527.85	85			Percent of total billed charges		527.85	85			Percent of total billed charges		527.85	100			Percent of total billed charges		621	100			Percent of total billed charges		621	100			Percent of total billed charges		621	33.3			Percent of total billed charges		206.793	33.3			Percent of total billed charges		206.793	100			Percent of total billed charges		621	206.793	558.9	
surefix screw 3.5 x 16mm 285316snd intregra science	278	RC	Outpatient			621	403.65		90			Percent of total billed charges		558.9	40			Percent of total billed charges		248.4	80			Percent of total billed charges		496.8	90			Percent of total billed charges		558.9	85			Percent of total billed charges		527.85	85			Percent of total billed charges		527.85	85			Percent of total billed charges		527.85	100			Percent of total billed charges		621	100			Percent of total billed charges		621	100			Percent of total billed charges		621	33.3			Percent of total billed charges		206.793	33.3			Percent of total billed charges		206.793	100			Percent of total billed charges		621	206.793	558.9	
surefix screw 3.5 x 18mm 285318snd intregra science	278	RC	Outpatient			621	403.65		90			Percent of total billed charges		558.9	40			Percent of total billed charges		248.4	80			Percent of total billed charges		496.8	90			Percent of total billed charges		558.9	85			Percent of total billed charges		527.85	85			Percent of total billed charges		527.85	85			Percent of total billed charges		527.85	100			Percent of total billed charges		621	100			Percent of total billed charges		621	100			Percent of total billed charges		621	33.3			Percent of total billed charges		206.793	33.3			Percent of total billed charges		206.793	100			Percent of total billed charges		621	206.793	558.9	
surefix screw 3.5 x 20mm 285320snd intregra science	278	RC	Outpatient			621	403.65		90			Percent of total billed charges		558.9	40			Percent of total billed charges		248.4	80			Percent of total billed charges		496.8	90			Percent of total billed charges		558.9	85			Percent of total billed charges		527.85	85			Percent of total billed charges		527.85	85			Percent of total billed charges		527.85	100			Percent of total billed charges		621	100			Percent of total billed charges		621	100			Percent of total billed charges		621	33.3			Percent of total billed charges		206.793	33.3			Percent of total billed charges		206.793	100			Percent of total billed charges		621	206.793	558.9	
surefix screw 3.5 x 24mm 285324snd intregra science	278	RC	Outpatient			621	403.65		90			Percent of total billed charges		558.9	40			Percent of total billed charges		248.4	80			Percent of total billed charges		496.8	90			Percent of total billed charges		558.9	85			Percent of total billed charges		527.85	85			Percent of total billed charges		527.85	85			Percent of total billed charges		527.85	100			Percent of total billed charges		621	100			Percent of total billed charges		621	100			Percent of total billed charges		621	33.3			Percent of total billed charges		206.793	33.3			Percent of total billed charges		206.793	100			Percent of total billed charges		621	206.793	558.9	
surefix screw 3.5 x 26mm 285326snd intregra science	278	RC	Outpatient			621	403.65		90			Percent of total billed charges		558.9	40			Percent of total billed charges		248.4	80			Percent of total billed charges		496.8	90			Percent of total billed charges		558.9	85			Percent of total billed charges		527.85	85			Percent of total billed charges		527.85	85			Percent of total billed charges		527.85	100			Percent of total billed charges		621	100			Percent of total billed charges		621	100			Percent of total billed charges		621	33.3			Percent of total billed charges		206.793	33.3			Percent of total billed charges		206.793	100			Percent of total billed charges		621	206.793	558.9	
surefix screw 3.5 x 30mm 285330snd intregra science	278	RC	Outpatient			621	403.65		90			Percent of total billed charges		558.9	40			Percent of total billed charges		248.4	80			Percent of total billed charges		496.8	90			Percent of total billed charges		558.9	85			Percent of total billed charges		527.85	85			Percent of total billed charges		527.85	85			Percent of total billed charges		527.85	100			Percent of total billed charges		621	100			Percent of total billed charges		621	100			Percent of total billed charges		621	33.3			Percent of total billed charges		206.793	33.3			Percent of total billed charges		206.793	100			Percent of total billed charges		621	206.793	558.9	
surefix screw 3.5 x 34mm 285334snd intregra science	278	RC	Outpatient			621	403.65		90			Percent of total billed charges		558.9	40			Percent of total billed charges		248.4	80			Percent of total billed charges		496.8	90			Percent of total billed charges		558.9	85			Percent of total billed charges		527.85	85			Percent of total billed charges		527.85	85			Percent of total billed charges		527.85	100			Percent of total billed charges		621	100			Percent of total billed charges		621	100			Percent of total billed charges		621	33.3			Percent of total billed charges		206.793	33.3			Percent of total billed charges		206.793	100			Percent of total billed charges		621	206.793	558.9	
ccpf chemo admin 6 hrs	335	RC	Outpatient			622.38	404.54		90			Percent of total billed charges		560.142	40			Percent of total billed charges		248.952	80			Percent of total billed charges		497.904	90			Percent of total billed charges		560.142	85			Percent of total billed charges		529.023	85			Percent of total billed charges		529.023	85			Percent of total billed charges		529.023	100			Percent of total billed charges		622.38	100			Percent of total billed charges		622.38	100			Percent of total billed charges		622.38	33.3			Percent of total billed charges		207.2525	33.3			Percent of total billed charges		207.2525	100			Percent of total billed charges		622.38	207.2525	560.142	
cable assembly ss 1.3 x 762mm 2232-011-13 zimmer	278	RC	Outpatient			623	404.95		90			Percent of total billed charges		560.7	40			Percent of total billed charges		249.2	80			Percent of total billed charges		498.4	90			Percent of total billed charges		560.7	85			Percent of total billed charges		529.55	85			Percent of total billed charges		529.55	85			Percent of total billed charges		529.55	100			Percent of total billed charges		623	100			Percent of total billed charges		623	100			Percent of total billed charges		623	33.3			Percent of total billed charges		207.459	33.3			Percent of total billed charges		207.459	100			Percent of total billed charges		623	207.459	560.7	
j&j patella comp.resurfac	278	RC	Outpatient			623	404.95		90			Percent of total billed charges		560.7	40			Percent of total billed charges		249.2	80			Percent of total billed charges		498.4	90			Percent of total billed charges		560.7	85			Percent of total billed charges		529.55	85			Percent of total billed charges		529.55	85			Percent of total billed charges		529.55	100			Percent of total billed charges		623	100			Percent of total billed charges		623	100			Percent of total billed charges		623	33.3			Percent of total billed charges		207.459	33.3			Percent of total billed charges		207.459	100			Percent of total billed charges		623	207.459	560.7	
ring 3/4 115mm 393.732 syth	270	RC	Outpatient			623	404.95		90			Percent of total billed charges		560.7	40			Percent of total billed charges		249.2	80			Percent of total billed charges		498.4	90			Percent of total billed charges		560.7	85			Percent of total billed charges		529.55	85			Percent of total billed charges		529.55	85			Percent of total billed charges		529.55	100			Percent of total billed charges		623	100			Percent of total billed charges		623	100			Percent of total billed charges		623	33.3			Percent of total billed charges		207.459	33.3			Percent of total billed charges		207.459	100			Percent of total billed charges		623	207.459	560.7	
syn x-fix hyb 3/4rg 115mm	270	RC	Outpatient			623	404.95		90			Percent of total billed charges		560.7	40			Percent of total billed charges		249.2	80			Percent of total billed charges		498.4	90			Percent of total billed charges		560.7	85			Percent of total billed charges		529.55	85			Percent of total billed charges		529.55	85			Percent of total billed charges		529.55	100			Percent of total billed charges		623	100			Percent of total billed charges		623	100			Percent of total billed charges		623	33.3			Percent of total billed charges		207.459	33.3			Percent of total billed charges		207.459	100			Percent of total billed charges		623	207.459	560.7	
zimm 1.3 cable assembly	278	RC	Outpatient			623	404.95		90			Percent of total billed charges		560.7	40			Percent of total billed charges		249.2	80			Percent of total billed charges		498.4	90			Percent of total billed charges		560.7	85			Percent of total billed charges		529.55	85			Percent of total billed charges		529.55	85			Percent of total billed charges		529.55	100			Percent of total billed charges		623	100			Percent of total billed charges		623	100			Percent of total billed charges		623	33.3			Percent of total billed charges		207.459	33.3			Percent of total billed charges		207.459	100			Percent of total billed charges		623	207.459	560.7	
synthes 6.0 hard rod	278	RC	Outpatient			625	406.25		90			Percent of total billed charges		562.5	40			Percent of total billed charges		250	80			Percent of total billed charges		500	90			Percent of total billed charges		562.5	85			Percent of total billed charges		531.25	85			Percent of total billed charges		531.25	85			Percent of total billed charges		531.25	100			Percent of total billed charges		625	100			Percent of total billed charges		625	100			Percent of total billed charges		625	33.3			Percent of total billed charges		208.125	33.3			Percent of total billed charges		208.125	100			Percent of total billed charges		625	208.125	562.5	
titanium 6.0 hard rod 100mm 498.104 synthes	278	RC	Outpatient			625	406.25		90			Percent of total billed charges		562.5	40			Percent of total billed charges		250	80			Percent of total billed charges		500	90			Percent of total billed charges		562.5	85			Percent of total billed charges		531.25	85			Percent of total billed charges		531.25	85			Percent of total billed charges		531.25	100			Percent of total billed charges		625	100			Percent of total billed charges		625	100			Percent of total billed charges		625	33.3			Percent of total billed charges		208.125	33.3			Percent of total billed charges		208.125	100			Percent of total billed charges		625	208.125	562.5	
titanium 6.0 hard rod 150mm 498.106 synthes	278	RC	Outpatient			625	406.25		90			Percent of total billed charges		562.5	40			Percent of total billed charges		250	80			Percent of total billed charges		500	90			Percent of total billed charges		562.5	85			Percent of total billed charges		531.25	85			Percent of total billed charges		531.25	85			Percent of total billed charges		531.25	100			Percent of total billed charges		625	100			Percent of total billed charges		625	100			Percent of total billed charges		625	33.3			Percent of total billed charges		208.125	33.3			Percent of total billed charges		208.125	100			Percent of total billed charges		625	208.125	562.5	
titanium 6.0 hard rod 200mm 498.108 synthes	278	RC	Outpatient			625	406.25		90			Percent of total billed charges		562.5	40			Percent of total billed charges		250	80			Percent of total billed charges		500	90			Percent of total billed charges		562.5	85			Percent of total billed charges		531.25	85			Percent of total billed charges		531.25	85			Percent of total billed charges		531.25	100			Percent of total billed charges		625	100			Percent of total billed charges		625	100			Percent of total billed charges		625	33.3			Percent of total billed charges		208.125	33.3			Percent of total billed charges		208.125	100			Percent of total billed charges		625	208.125	562.5	
pleurx catherter kit	270	RC	Outpatient			625	406.25		90			Percent of total billed charges		562.5	40			Percent of total billed charges		250	80			Percent of total billed charges		500	90			Percent of total billed charges		562.5	85			Percent of total billed charges		531.25	85			Percent of total billed charges		531.25	85			Percent of total billed charges		531.25	100			Percent of total billed charges		625	100			Percent of total billed charges		625	100			Percent of total billed charges		625	33.3			Percent of total billed charges		208.125	33.3			Percent of total billed charges		208.125	100			Percent of total billed charges		625	208.125	562.5	
titanium 6.0 hard rod 125mm 498.105 synthes	278	RC	Outpatient			625	406.25		90			Percent of total billed charges		562.5	40			Percent of total billed charges		250	80			Percent of total billed charges		500	90			Percent of total billed charges		562.5	85			Percent of total billed charges		531.25	85			Percent of total billed charges		531.25	85			Percent of total billed charges		531.25	100			Percent of total billed charges		625	100			Percent of total billed charges		625	100			Percent of total billed charges		625	33.3			Percent of total billed charges		208.125	33.3			Percent of total billed charges		208.125	100			Percent of total billed charges		625	208.125	562.5	
endobeam 550	272	RC	Outpatient			626	406.9		90			Percent of total billed charges		563.4	40			Percent of total billed charges		250.4	80			Percent of total billed charges		500.8	90			Percent of total billed charges		563.4	85			Percent of total billed charges		532.1	85			Percent of total billed charges		532.1	85			Percent of total billed charges		532.1	100			Percent of total billed charges		626	100			Percent of total billed charges		626	100			Percent of total billed charges		626	33.3			Percent of total billed charges		208.458	33.3			Percent of total billed charges		208.458	100			Percent of total billed charges		626	208.458	563.4	
endobeam 550 suo550 bard	272	RC	Outpatient			626	406.9		90			Percent of total billed charges		563.4	40			Percent of total billed charges		250.4	80			Percent of total billed charges		500.8	90			Percent of total billed charges		563.4	85			Percent of total billed charges		532.1	85			Percent of total billed charges		532.1	85			Percent of total billed charges		532.1	100			Percent of total billed charges		626	100			Percent of total billed charges		626	100			Percent of total billed charges		626	33.3			Percent of total billed charges		208.458	33.3			Percent of total billed charges		208.458	100			Percent of total billed charges		626	208.458	563.4	
open compressor for small x fix 395.51 synthes	270	RC	Outpatient			626	406.9		90			Percent of total billed charges		563.4	40			Percent of total billed charges		250.4	80			Percent of total billed charges		500.8	90			Percent of total billed charges		563.4	85			Percent of total billed charges		532.1	85			Percent of total billed charges		532.1	85			Percent of total billed charges		532.1	100			Percent of total billed charges		626	100			Percent of total billed charges		626	100			Percent of total billed charges		626	33.3			Percent of total billed charges		208.458	33.3			Percent of total billed charges		208.458	100			Percent of total billed charges		626	208.458	563.4	
syn x-fix open compressor	270	RC	Outpatient			626	406.9		90			Percent of total billed charges		563.4	40			Percent of total billed charges		250.4	80			Percent of total billed charges		500.8	90			Percent of total billed charges		563.4	85			Percent of total billed charges		532.1	85			Percent of total billed charges		532.1	85			Percent of total billed charges		532.1	100			Percent of total billed charges		626	100			Percent of total billed charges		626	100			Percent of total billed charges		626	33.3			Percent of total billed charges		208.458	33.3			Percent of total billed charges		208.458	100			Percent of total billed charges		626	208.458	563.4	
ventralex hernia patch small circle 0010301 davol	278	RC	Outpatient			627	407.55		90			Percent of total billed charges		564.3	40			Percent of total billed charges		250.8	80			Percent of total billed charges		501.6	90			Percent of total billed charges		564.3	85			Percent of total billed charges		532.95	85			Percent of total billed charges		532.95	85			Percent of total billed charges		532.95	100			Percent of total billed charges		627	100			Percent of total billed charges		627	100			Percent of total billed charges		627	33.3			Percent of total billed charges		208.791	33.3			Percent of total billed charges		208.791	100			Percent of total billed charges		627	208.791	564.3	
navigation pin	272	RC	Outpatient			628	408.2		90			Percent of total billed charges		565.2	40			Percent of total billed charges		251.2	80			Percent of total billed charges		502.4	90			Percent of total billed charges		565.2	85			Percent of total billed charges		533.8	85			Percent of total billed charges		533.8	85			Percent of total billed charges		533.8	100			Percent of total billed charges		628	100			Percent of total billed charges		628	100			Percent of total billed charges		628	33.3			Percent of total billed charges		209.124	33.3			Percent of total billed charges		209.124	100			Percent of total billed charges		628	209.124	565.2	
navigation pin 6007-3-150 stryker	272	RC	Outpatient			628	408.2		90			Percent of total billed charges		565.2	40			Percent of total billed charges		251.2	80			Percent of total billed charges		502.4	90			Percent of total billed charges		565.2	85			Percent of total billed charges		533.8	85			Percent of total billed charges		533.8	85			Percent of total billed charges		533.8	100			Percent of total billed charges		628	100			Percent of total billed charges		628	100			Percent of total billed charges		628	33.3			Percent of total billed charges		209.124	33.3			Percent of total billed charges		209.124	100			Percent of total billed charges		628	209.124	565.2	
cortical screw 4.0 x 65mm 150265snd intregra life	278	RC	Outpatient			629	408.85		90			Percent of total billed charges		566.1	40			Percent of total billed charges		251.6	80			Percent of total billed charges		503.2	90			Percent of total billed charges		566.1	85			Percent of total billed charges		534.65	85			Percent of total billed charges		534.65	85			Percent of total billed charges		534.65	100			Percent of total billed charges		629	100			Percent of total billed charges		629	100			Percent of total billed charges		629	33.3			Percent of total billed charges		209.457	33.3			Percent of total billed charges		209.457	100			Percent of total billed charges		629	209.457	566.1	
congruent fibula plate	278	RC	Outpatient			629	408.85		90			Percent of total billed charges		566.1	40			Percent of total billed charges		251.6	80			Percent of total billed charges		503.2	90			Percent of total billed charges		566.1	85			Percent of total billed charges		534.65	85			Percent of total billed charges		534.65	85			Percent of total billed charges		534.65	100			Percent of total billed charges		629	100			Percent of total billed charges		629	100			Percent of total billed charges		629	33.3			Percent of total billed charges		209.457	33.3			Percent of total billed charges		209.457	100			Percent of total billed charges		629	209.457	566.1	
cortical screw 4.0 x 40mm 150240snd intregra life	278	RC	Outpatient			629	408.85		90			Percent of total billed charges		566.1	40			Percent of total billed charges		251.6	80			Percent of total billed charges		503.2	90			Percent of total billed charges		566.1	85			Percent of total billed charges		534.65	85			Percent of total billed charges		534.65	85			Percent of total billed charges		534.65	100			Percent of total billed charges		629	100			Percent of total billed charges		629	100			Percent of total billed charges		629	33.3			Percent of total billed charges		209.457	33.3			Percent of total billed charges		209.457	100			Percent of total billed charges		629	209.457	566.1	
external lumbar drainage management kit 43442 medtronic	272	RC	Outpatient			629	408.85		90			Percent of total billed charges		566.1	40			Percent of total billed charges		251.6	80			Percent of total billed charges		503.2	90			Percent of total billed charges		566.1	85			Percent of total billed charges		534.65	85			Percent of total billed charges		534.65	85			Percent of total billed charges		534.65	100			Percent of total billed charges		629	100			Percent of total billed charges		629	100			Percent of total billed charges		629	33.3			Percent of total billed charges		209.457	33.3			Percent of total billed charges		209.457	100			Percent of total billed charges		629	209.457	566.1	
disposable countersink 2.5 71177118 s/n	272	RC	Outpatient			629	408.85		90			Percent of total billed charges		566.1	40			Percent of total billed charges		251.6	80			Percent of total billed charges		503.2	90			Percent of total billed charges		566.1	85			Percent of total billed charges		534.65	85			Percent of total billed charges		534.65	85			Percent of total billed charges		534.65	100			Percent of total billed charges		629	100			Percent of total billed charges		629	100			Percent of total billed charges		629	33.3			Percent of total billed charges		209.457	33.3			Percent of total billed charges		209.457	100			Percent of total billed charges		629	209.457	566.1	
flexiva laser fiber 200 840-391 bost scient	272	RC	Outpatient			629	408.85		90			Percent of total billed charges		566.1	40			Percent of total billed charges		251.6	80			Percent of total billed charges		503.2	90			Percent of total billed charges		566.1	85			Percent of total billed charges		534.65	85			Percent of total billed charges		534.65	85			Percent of total billed charges		534.65	100			Percent of total billed charges		629	100			Percent of total billed charges		629	100			Percent of total billed charges		629	33.3			Percent of total billed charges		209.457	33.3			Percent of total billed charges		209.457	100			Percent of total billed charges		629	209.457	566.1	
flexiva laser fiber 200 m006r8403910 bost scientific	272	RC	Outpatient			629	408.85		90			Percent of total billed charges		566.1	40			Percent of total billed charges		251.6	80			Percent of total billed charges		503.2	90			Percent of total billed charges		566.1	85			Percent of total billed charges		534.65	85			Percent of total billed charges		534.65	85			Percent of total billed charges		534.65	100			Percent of total billed charges		629	100			Percent of total billed charges		629	100			Percent of total billed charges		629	33.3			Percent of total billed charges		209.457	33.3			Percent of total billed charges		209.457	100			Percent of total billed charges		629	209.457	566.1	
lower extremity congruent bone plate 7 hole distal fibula  pl-fib7  acumed	278	RC	Outpatient			629	408.85		90			Percent of total billed charges		566.1	40			Percent of total billed charges		251.6	80			Percent of total billed charges		503.2	90			Percent of total billed charges		566.1	85			Percent of total billed charges		534.65	85			Percent of total billed charges		534.65	85			Percent of total billed charges		534.65	100			Percent of total billed charges		629	100			Percent of total billed charges		629	100			Percent of total billed charges		629	33.3			Percent of total billed charges		209.457	33.3			Percent of total billed charges		209.457	100			Percent of total billed charges		629	209.457	566.1	
intetra scr cort 4.0	278	RC	Outpatient			629	408.85		90			Percent of total billed charges		566.1	40			Percent of total billed charges		251.6	80			Percent of total billed charges		503.2	90			Percent of total billed charges		566.1	85			Percent of total billed charges		534.65	85			Percent of total billed charges		534.65	85			Percent of total billed charges		534.65	100			Percent of total billed charges		629	100			Percent of total billed charges		629	100			Percent of total billed charges		629	33.3			Percent of total billed charges		209.457	33.3			Percent of total billed charges		209.457	100			Percent of total billed charges		629	209.457	566.1	
lower extremity congruent bone plate 5 hole distal fibula  pl-fib5  acumed	278	RC	Outpatient			629	408.85		90			Percent of total billed charges		566.1	40			Percent of total billed charges		251.6	80			Percent of total billed charges		503.2	90			Percent of total billed charges		566.1	85			Percent of total billed charges		534.65	85			Percent of total billed charges		534.65	85			Percent of total billed charges		534.65	100			Percent of total billed charges		629	100			Percent of total billed charges		629	100			Percent of total billed charges		629	33.3			Percent of total billed charges		209.457	33.3			Percent of total billed charges		209.457	100			Percent of total billed charges		629	209.457	566.1	
lumbar drain	272	RC	Outpatient			629	408.85		90			Percent of total billed charges		566.1	40			Percent of total billed charges		251.6	80			Percent of total billed charges		503.2	90			Percent of total billed charges		566.1	85			Percent of total billed charges		534.65	85			Percent of total billed charges		534.65	85			Percent of total billed charges		534.65	100			Percent of total billed charges		629	100			Percent of total billed charges		629	100			Percent of total billed charges		629	33.3			Percent of total billed charges		209.457	33.3			Percent of total billed charges		209.457	100			Percent of total billed charges		629	209.457	566.1	
memory gel smooth round mod classic profile 150cc  breast implant mentor 350-7150 mc	278	RC	Outpatient			629	408.85		90			Percent of total billed charges		566.1	40			Percent of total billed charges		251.6	80			Percent of total billed charges		503.2	90			Percent of total billed charges		566.1	85			Percent of total billed charges		534.65	85			Percent of total billed charges		534.65	85			Percent of total billed charges		534.65	100			Percent of total billed charges		629	100			Percent of total billed charges		629	100			Percent of total billed charges		629	33.3			Percent of total billed charges		209.457	33.3			Percent of total billed charges		209.457	100			Percent of total billed charges		629	209.457	566.1	
s/n 2.5 countersink	272	RC	Outpatient			629	408.85		90			Percent of total billed charges		566.1	40			Percent of total billed charges		251.6	80			Percent of total billed charges		503.2	90			Percent of total billed charges		566.1	85			Percent of total billed charges		534.65	85			Percent of total billed charges		534.65	85			Percent of total billed charges		534.65	100			Percent of total billed charges		629	100			Percent of total billed charges		629	100			Percent of total billed charges		629	33.3			Percent of total billed charges		209.457	33.3			Percent of total billed charges		209.457	100			Percent of total billed charges		629	209.457	566.1	
cath lab angioseal 6 fr evolution	270	RC	Outpatient			630	409.5		90			Percent of total billed charges		567	40			Percent of total billed charges		252	80			Percent of total billed charges		504	90			Percent of total billed charges		567	85			Percent of total billed charges		535.5	85			Percent of total billed charges		535.5	85			Percent of total billed charges		535.5	100			Percent of total billed charges		630	100			Percent of total billed charges		630	100			Percent of total billed charges		630	33.3			Percent of total billed charges		209.79	33.3			Percent of total billed charges		209.79	100			Percent of total billed charges		630	209.79	567	
cathlab angioseal evolution 6fr c610134	270	RC	Outpatient			630	409.5		90			Percent of total billed charges		567	40			Percent of total billed charges		252	80			Percent of total billed charges		504	90			Percent of total billed charges		567	85			Percent of total billed charges		535.5	85			Percent of total billed charges		535.5	85			Percent of total billed charges		535.5	100			Percent of total billed charges		630	100			Percent of total billed charges		630	100			Percent of total billed charges		630	33.3			Percent of total billed charges		209.79	33.3			Percent of total billed charges		209.79	100			Percent of total billed charges		630	209.79	567	
angioseal evolution	270	RC	Outpatient			630	409.5		90			Percent of total billed charges		567	40			Percent of total billed charges		252	80			Percent of total billed charges		504	90			Percent of total billed charges		567	85			Percent of total billed charges		535.5	85			Percent of total billed charges		535.5	85			Percent of total billed charges		535.5	100			Percent of total billed charges		630	100			Percent of total billed charges		630	100			Percent of total billed charges		630	33.3			Percent of total billed charges		209.79	33.3			Percent of total billed charges		209.79	100			Percent of total billed charges		630	209.79	567	
versys endo head	278	RC	Outpatient			630	409.5		90			Percent of total billed charges		567	40			Percent of total billed charges		252	80			Percent of total billed charges		504	90			Percent of total billed charges		567	85			Percent of total billed charges		535.5	85			Percent of total billed charges		535.5	85			Percent of total billed charges		535.5	100			Percent of total billed charges		630	100			Percent of total billed charges		630	100			Percent of total billed charges		630	33.3			Percent of total billed charges		209.79	33.3			Percent of total billed charges		209.79	100			Percent of total billed charges		630	209.79	567	
zimmer versys  femoral head 45mm 7818-3845	278	RC	Outpatient			630	409.5		90			Percent of total billed charges		567	40			Percent of total billed charges		252	80			Percent of total billed charges		504	90			Percent of total billed charges		567	85			Percent of total billed charges		535.5	85			Percent of total billed charges		535.5	85			Percent of total billed charges		535.5	100			Percent of total billed charges		630	100			Percent of total billed charges		630	100			Percent of total billed charges		630	33.3			Percent of total billed charges		209.79	33.3			Percent of total billed charges		209.79	100			Percent of total billed charges		630	209.79	567	
zimmer versys  femoral head 48mm 7818-48	278	RC	Outpatient			630	409.5		90			Percent of total billed charges		567	40			Percent of total billed charges		252	80			Percent of total billed charges		504	90			Percent of total billed charges		567	85			Percent of total billed charges		535.5	85			Percent of total billed charges		535.5	85			Percent of total billed charges		535.5	100			Percent of total billed charges		630	100			Percent of total billed charges		630	100			Percent of total billed charges		630	33.3			Percent of total billed charges		209.79	33.3			Percent of total billed charges		209.79	100			Percent of total billed charges		630	209.79	567	
zimmer versys  femoral head 50mm 7818-50	278	RC	Outpatient			630	409.5		90			Percent of total billed charges		567	40			Percent of total billed charges		252	80			Percent of total billed charges		504	90			Percent of total billed charges		567	85			Percent of total billed charges		535.5	85			Percent of total billed charges		535.5	85			Percent of total billed charges		535.5	100			Percent of total billed charges		630	100			Percent of total billed charges		630	100			Percent of total billed charges		630	33.3			Percent of total billed charges		209.79	33.3			Percent of total billed charges		209.79	100			Percent of total billed charges		630	209.79	567	
zimmer versys  femoral head 57mm 7818-57	278	RC	Outpatient			630	409.5		90			Percent of total billed charges		567	40			Percent of total billed charges		252	80			Percent of total billed charges		504	90			Percent of total billed charges		567	85			Percent of total billed charges		535.5	85			Percent of total billed charges		535.5	85			Percent of total billed charges		535.5	100			Percent of total billed charges		630	100			Percent of total billed charges		630	100			Percent of total billed charges		630	33.3			Percent of total billed charges		209.79	33.3			Percent of total billed charges		209.79	100			Percent of total billed charges		630	209.79	567	
zimmer versys femoral head 43mm 7818-43	278	RC	Outpatient			630	409.5		90			Percent of total billed charges		567	40			Percent of total billed charges		252	80			Percent of total billed charges		504	90			Percent of total billed charges		567	85			Percent of total billed charges		535.5	85			Percent of total billed charges		535.5	85			Percent of total billed charges		535.5	100			Percent of total billed charges		630	100			Percent of total billed charges		630	100			Percent of total billed charges		630	33.3			Percent of total billed charges		209.79	33.3			Percent of total billed charges		209.79	100			Percent of total billed charges		630	209.79	567	
zimmer versys femoral head 49mm 7818-49	278	RC	Outpatient			630	409.5		90			Percent of total billed charges		567	40			Percent of total billed charges		252	80			Percent of total billed charges		504	90			Percent of total billed charges		567	85			Percent of total billed charges		535.5	85			Percent of total billed charges		535.5	85			Percent of total billed charges		535.5	100			Percent of total billed charges		630	100			Percent of total billed charges		630	100			Percent of total billed charges		630	33.3			Percent of total billed charges		209.79	33.3			Percent of total billed charges		209.79	100			Percent of total billed charges		630	209.79	567	
zimmer versys  femoral head 38mm 7818-38	278	RC	Outpatient			630	409.5		90			Percent of total billed charges		567	40			Percent of total billed charges		252	80			Percent of total billed charges		504	90			Percent of total billed charges		567	85			Percent of total billed charges		535.5	85			Percent of total billed charges		535.5	85			Percent of total billed charges		535.5	100			Percent of total billed charges		630	100			Percent of total billed charges		630	100			Percent of total billed charges		630	33.3			Percent of total billed charges		209.79	33.3			Percent of total billed charges		209.79	100			Percent of total billed charges		630	209.79	567	
zimmer versys  femoral head 41mm 7818-3841	278	RC	Outpatient			630	409.5		90			Percent of total billed charges		567	40			Percent of total billed charges		252	80			Percent of total billed charges		504	90			Percent of total billed charges		567	85			Percent of total billed charges		535.5	85			Percent of total billed charges		535.5	85			Percent of total billed charges		535.5	100			Percent of total billed charges		630	100			Percent of total billed charges		630	100			Percent of total billed charges		630	33.3			Percent of total billed charges		209.79	33.3			Percent of total billed charges		209.79	100			Percent of total billed charges		630	209.79	567	
zimmer versys  femoral head 41mm 7818-41	278	RC	Outpatient			630	409.5		90			Percent of total billed charges		567	40			Percent of total billed charges		252	80			Percent of total billed charges		504	90			Percent of total billed charges		567	85			Percent of total billed charges		535.5	85			Percent of total billed charges		535.5	85			Percent of total billed charges		535.5	100			Percent of total billed charges		630	100			Percent of total billed charges		630	100			Percent of total billed charges		630	33.3			Percent of total billed charges		209.79	33.3			Percent of total billed charges		209.79	100			Percent of total billed charges		630	209.79	567	
zimmer versys  femoral head 44mm 7818-344	278	RC	Outpatient			630	409.5		90			Percent of total billed charges		567	40			Percent of total billed charges		252	80			Percent of total billed charges		504	90			Percent of total billed charges		567	85			Percent of total billed charges		535.5	85			Percent of total billed charges		535.5	85			Percent of total billed charges		535.5	100			Percent of total billed charges		630	100			Percent of total billed charges		630	100			Percent of total billed charges		630	33.3			Percent of total billed charges		209.79	33.3			Percent of total billed charges		209.79	100			Percent of total billed charges		630	209.79	567	
zimmer versys  femoral head 46mm 7818-46	278	RC	Outpatient			630	409.5		90			Percent of total billed charges		567	40			Percent of total billed charges		252	80			Percent of total billed charges		504	90			Percent of total billed charges		567	85			Percent of total billed charges		535.5	85			Percent of total billed charges		535.5	85			Percent of total billed charges		535.5	100			Percent of total billed charges		630	100			Percent of total billed charges		630	100			Percent of total billed charges		630	33.3			Percent of total billed charges		209.79	33.3			Percent of total billed charges		209.79	100			Percent of total billed charges		630	209.79	567	
zimmer versys  femoral head 47mm 7818-47	278	RC	Outpatient			630	409.5		90			Percent of total billed charges		567	40			Percent of total billed charges		252	80			Percent of total billed charges		504	90			Percent of total billed charges		567	85			Percent of total billed charges		535.5	85			Percent of total billed charges		535.5	85			Percent of total billed charges		535.5	100			Percent of total billed charges		630	100			Percent of total billed charges		630	100			Percent of total billed charges		630	33.3			Percent of total billed charges		209.79	33.3			Percent of total billed charges		209.79	100			Percent of total billed charges		630	209.79	567	
zimmer versys  femoral head 53mm 7818-53	278	RC	Outpatient			630	409.5		90			Percent of total billed charges		567	40			Percent of total billed charges		252	80			Percent of total billed charges		504	90			Percent of total billed charges		567	85			Percent of total billed charges		535.5	85			Percent of total billed charges		535.5	85			Percent of total billed charges		535.5	100			Percent of total billed charges		630	100			Percent of total billed charges		630	100			Percent of total billed charges		630	33.3			Percent of total billed charges		209.79	33.3			Percent of total billed charges		209.79	100			Percent of total billed charges		630	209.79	567	
zimmer versys  femoral head 54mm 7818-54	278	RC	Outpatient			630	409.5		90			Percent of total billed charges		567	40			Percent of total billed charges		252	80			Percent of total billed charges		504	90			Percent of total billed charges		567	85			Percent of total billed charges		535.5	85			Percent of total billed charges		535.5	85			Percent of total billed charges		535.5	100			Percent of total billed charges		630	100			Percent of total billed charges		630	100			Percent of total billed charges		630	33.3			Percent of total billed charges		209.79	33.3			Percent of total billed charges		209.79	100			Percent of total billed charges		630	209.79	567	
zimmer versys  femoral head 55mm 7818-55	278	RC	Outpatient			630	409.5		90			Percent of total billed charges		567	40			Percent of total billed charges		252	80			Percent of total billed charges		504	90			Percent of total billed charges		567	85			Percent of total billed charges		535.5	85			Percent of total billed charges		535.5	85			Percent of total billed charges		535.5	100			Percent of total billed charges		630	100			Percent of total billed charges		630	100			Percent of total billed charges		630	33.3			Percent of total billed charges		209.79	33.3			Percent of total billed charges		209.79	100			Percent of total billed charges		630	209.79	567	
zimmer versys  femoral head 60mm 7818-60	278	RC	Outpatient			630	409.5		90			Percent of total billed charges		567	40			Percent of total billed charges		252	80			Percent of total billed charges		504	90			Percent of total billed charges		567	85			Percent of total billed charges		535.5	85			Percent of total billed charges		535.5	85			Percent of total billed charges		535.5	100			Percent of total billed charges		630	100			Percent of total billed charges		630	100			Percent of total billed charges		630	33.3			Percent of total billed charges		209.79	33.3			Percent of total billed charges		209.79	100			Percent of total billed charges		630	209.79	567	
zimmer versys femoral head 39mm 7818-39	278	RC	Outpatient			630	409.5		90			Percent of total billed charges		567	40			Percent of total billed charges		252	80			Percent of total billed charges		504	90			Percent of total billed charges		567	85			Percent of total billed charges		535.5	85			Percent of total billed charges		535.5	85			Percent of total billed charges		535.5	100			Percent of total billed charges		630	100			Percent of total billed charges		630	100			Percent of total billed charges		630	33.3			Percent of total billed charges		209.79	33.3			Percent of total billed charges		209.79	100			Percent of total billed charges		630	209.79	567	
zimmer versys femoral head 40mm 7818-40	278	RC	Outpatient			630	409.5		90			Percent of total billed charges		567	40			Percent of total billed charges		252	80			Percent of total billed charges		504	90			Percent of total billed charges		567	85			Percent of total billed charges		535.5	85			Percent of total billed charges		535.5	85			Percent of total billed charges		535.5	100			Percent of total billed charges		630	100			Percent of total billed charges		630	100			Percent of total billed charges		630	33.3			Percent of total billed charges		209.79	33.3			Percent of total billed charges		209.79	100			Percent of total billed charges		630	209.79	567	
zimmer versys femoral head 51mm 7818-51	278	RC	Outpatient			630	409.5		90			Percent of total billed charges		567	40			Percent of total billed charges		252	80			Percent of total billed charges		504	90			Percent of total billed charges		567	85			Percent of total billed charges		535.5	85			Percent of total billed charges		535.5	85			Percent of total billed charges		535.5	100			Percent of total billed charges		630	100			Percent of total billed charges		630	100			Percent of total billed charges		630	33.3			Percent of total billed charges		209.79	33.3			Percent of total billed charges		209.79	100			Percent of total billed charges		630	209.79	567	
zimmer versys femoral head 52mm 7818-52	278	RC	Outpatient			630	409.5		90			Percent of total billed charges		567	40			Percent of total billed charges		252	80			Percent of total billed charges		504	90			Percent of total billed charges		567	85			Percent of total billed charges		535.5	85			Percent of total billed charges		535.5	85			Percent of total billed charges		535.5	100			Percent of total billed charges		630	100			Percent of total billed charges		630	100			Percent of total billed charges		630	33.3			Percent of total billed charges		209.79	33.3			Percent of total billed charges		209.79	100			Percent of total billed charges		630	209.79	567	
zimmer versys femoral head 63mm 7818-63	278	RC	Outpatient			630	409.5		90			Percent of total billed charges		567	40			Percent of total billed charges		252	80			Percent of total billed charges		504	90			Percent of total billed charges		567	85			Percent of total billed charges		535.5	85			Percent of total billed charges		535.5	85			Percent of total billed charges		535.5	100			Percent of total billed charges		630	100			Percent of total billed charges		630	100			Percent of total billed charges		630	33.3			Percent of total billed charges		209.79	33.3			Percent of total billed charges		209.79	100			Percent of total billed charges		630	209.79	567	
arthrex compression staple 151 x 15l ar-8004-15	278	RC	Outpatient			631	410.15		90			Percent of total billed charges		567.9	40			Percent of total billed charges		252.4	80			Percent of total billed charges		504.8	90			Percent of total billed charges		567.9	85			Percent of total billed charges		536.35	85			Percent of total billed charges		536.35	85			Percent of total billed charges		536.35	100			Percent of total billed charges		631	100			Percent of total billed charges		631	100			Percent of total billed charges		631	33.3			Percent of total billed charges		210.123	33.3			Percent of total billed charges		210.123	100			Percent of total billed charges		631	210.123	567.9	
arthrex lp ti cannulated screw 6.7 x 50 ar8967-1850	278	RC	Outpatient			631	410.15		90			Percent of total billed charges		567.9	40			Percent of total billed charges		252.4	80			Percent of total billed charges		504.8	90			Percent of total billed charges		567.9	85			Percent of total billed charges		536.35	85			Percent of total billed charges		536.35	85			Percent of total billed charges		536.35	100			Percent of total billed charges		631	100			Percent of total billed charges		631	100			Percent of total billed charges		631	33.3			Percent of total billed charges		210.123	33.3			Percent of total billed charges		210.123	100			Percent of total billed charges		631	210.123	567.9	
arthrex scr 6.7 can	278	RC	Outpatient			631	410.15		90			Percent of total billed charges		567.9	40			Percent of total billed charges		252.4	80			Percent of total billed charges		504.8	90			Percent of total billed charges		567.9	85			Percent of total billed charges		536.35	85			Percent of total billed charges		536.35	85			Percent of total billed charges		536.35	100			Percent of total billed charges		631	100			Percent of total billed charges		631	100			Percent of total billed charges		631	33.3			Percent of total billed charges		210.123	33.3			Percent of total billed charges		210.123	100			Percent of total billed charges		631	210.123	567.9	
biosteon inter scr	278	RC	Outpatient			631	410.15		90			Percent of total billed charges		567.9	40			Percent of total billed charges		252.4	80			Percent of total billed charges		504.8	90			Percent of total billed charges		567.9	85			Percent of total billed charges		536.35	85			Percent of total billed charges		536.35	85			Percent of total billed charges		536.35	100			Percent of total billed charges		631	100			Percent of total billed charges		631	100			Percent of total billed charges		631	33.3			Percent of total billed charges		210.123	33.3			Percent of total billed charges		210.123	100			Percent of total billed charges		631	210.123	567.9	
biosteon interference screw 7 x 23 234-010-161 stryker	278	RC	Outpatient			631	410.15		90			Percent of total billed charges		567.9	40			Percent of total billed charges		252.4	80			Percent of total billed charges		504.8	90			Percent of total billed charges		567.9	85			Percent of total billed charges		536.35	85			Percent of total billed charges		536.35	85			Percent of total billed charges		536.35	100			Percent of total billed charges		631	100			Percent of total billed charges		631	100			Percent of total billed charges		631	33.3			Percent of total billed charges		210.123	33.3			Percent of total billed charges		210.123	100			Percent of total billed charges		631	210.123	567.9	
biosteon interference screw 8 x 23 234-010-162 stryker	278	RC	Outpatient			631	410.15		90			Percent of total billed charges		567.9	40			Percent of total billed charges		252.4	80			Percent of total billed charges		504.8	90			Percent of total billed charges		567.9	85			Percent of total billed charges		536.35	85			Percent of total billed charges		536.35	85			Percent of total billed charges		536.35	100			Percent of total billed charges		631	100			Percent of total billed charges		631	100			Percent of total billed charges		631	33.3			Percent of total billed charges		210.123	33.3			Percent of total billed charges		210.123	100			Percent of total billed charges		631	210.123	567.9	
biosteon interference screw 8 x 28 234-010-165 stryker	278	RC	Outpatient			631	410.15		90			Percent of total billed charges		567.9	40			Percent of total billed charges		252.4	80			Percent of total billed charges		504.8	90			Percent of total billed charges		567.9	85			Percent of total billed charges		536.35	85			Percent of total billed charges		536.35	85			Percent of total billed charges		536.35	100			Percent of total billed charges		631	100			Percent of total billed charges		631	100			Percent of total billed charges		631	33.3			Percent of total billed charges		210.123	33.3			Percent of total billed charges		210.123	100			Percent of total billed charges		631	210.123	567.9	
biosteon interference screw 9 x 23 234-010-163 stryker	278	RC	Outpatient			631	410.15		90			Percent of total billed charges		567.9	40			Percent of total billed charges		252.4	80			Percent of total billed charges		504.8	90			Percent of total billed charges		567.9	85			Percent of total billed charges		536.35	85			Percent of total billed charges		536.35	85			Percent of total billed charges		536.35	100			Percent of total billed charges		631	100			Percent of total billed charges		631	100			Percent of total billed charges		631	33.3			Percent of total billed charges		210.123	33.3			Percent of total billed charges		210.123	100			Percent of total billed charges		631	210.123	567.9	
dall miles med cable grip 2mm 6704-0-210 how/stryker	270	RC	Outpatient			631	410.15		90			Percent of total billed charges		567.9	40			Percent of total billed charges		252.4	80			Percent of total billed charges		504.8	90			Percent of total billed charges		567.9	85			Percent of total billed charges		536.35	85			Percent of total billed charges		536.35	85			Percent of total billed charges		536.35	100			Percent of total billed charges		631	100			Percent of total billed charges		631	100			Percent of total billed charges		631	33.3			Percent of total billed charges		210.123	33.3			Percent of total billed charges		210.123	100			Percent of total billed charges		631	210.123	567.9	
dall-miles cable 1slee2.0	278	RC	Outpatient			631	410.15		90			Percent of total billed charges		567.9	40			Percent of total billed charges		252.4	80			Percent of total billed charges		504.8	90			Percent of total billed charges		567.9	85			Percent of total billed charges		536.35	85			Percent of total billed charges		536.35	85			Percent of total billed charges		536.35	100			Percent of total billed charges		631	100			Percent of total billed charges		631	100			Percent of total billed charges		631	33.3			Percent of total billed charges		210.123	33.3			Percent of total billed charges		210.123	100			Percent of total billed charges		631	210.123	567.9	
dall-miles med. grip	270	RC	Outpatient			631	410.15		90			Percent of total billed charges		567.9	40			Percent of total billed charges		252.4	80			Percent of total billed charges		504.8	90			Percent of total billed charges		567.9	85			Percent of total billed charges		536.35	85			Percent of total billed charges		536.35	85			Percent of total billed charges		536.35	100			Percent of total billed charges		631	100			Percent of total billed charges		631	100			Percent of total billed charges		631	33.3			Percent of total billed charges		210.123	33.3			Percent of total billed charges		210.123	100			Percent of total billed charges		631	210.123	567.9	
arthrex compression staple 201 x 20l ar-8005-20	278	RC	Outpatient			631	410.15		90			Percent of total billed charges		567.9	40			Percent of total billed charges		252.4	80			Percent of total billed charges		504.8	90			Percent of total billed charges		567.9	85			Percent of total billed charges		536.35	85			Percent of total billed charges		536.35	85			Percent of total billed charges		536.35	100			Percent of total billed charges		631	100			Percent of total billed charges		631	100			Percent of total billed charges		631	33.3			Percent of total billed charges		210.123	33.3			Percent of total billed charges		210.123	100			Percent of total billed charges		631	210.123	567.9	
arthrex lp ti cannulated screw 6.7 x 80 ar8967-1880	278	RC	Outpatient			631	410.15		90			Percent of total billed charges		567.9	40			Percent of total billed charges		252.4	80			Percent of total billed charges		504.8	90			Percent of total billed charges		567.9	85			Percent of total billed charges		536.35	85			Percent of total billed charges		536.35	85			Percent of total billed charges		536.35	100			Percent of total billed charges		631	100			Percent of total billed charges		631	100			Percent of total billed charges		631	33.3			Percent of total billed charges		210.123	33.3			Percent of total billed charges		210.123	100			Percent of total billed charges		631	210.123	567.9	
dall miles cable/sleeve set 2.0mm 6704-0-510 how/stryker	278	RC	Outpatient			631	410.15		90			Percent of total billed charges		567.9	40			Percent of total billed charges		252.4	80			Percent of total billed charges		504.8	90			Percent of total billed charges		567.9	85			Percent of total billed charges		536.35	85			Percent of total billed charges		536.35	85			Percent of total billed charges		536.35	100			Percent of total billed charges		631	100			Percent of total billed charges		631	100			Percent of total billed charges		631	33.3			Percent of total billed charges		210.123	33.3			Percent of total billed charges		210.123	100			Percent of total billed charges		631	210.123	567.9	
imp plate calcaneal 60mm 241.61	278	RC	Outpatient			631	410.15		90			Percent of total billed charges		567.9	40			Percent of total billed charges		252.4	80			Percent of total billed charges		504.8	90			Percent of total billed charges		567.9	85			Percent of total billed charges		536.35	85			Percent of total billed charges		536.35	85			Percent of total billed charges		536.35	100			Percent of total billed charges		631	100			Percent of total billed charges		631	100			Percent of total billed charges		631	33.3			Percent of total billed charges		210.123	33.3			Percent of total billed charges		210.123	100			Percent of total billed charges		631	210.123	567.9	
imp plate calcaneal 70mm 241.62	278	RC	Outpatient			631	410.15		90			Percent of total billed charges		567.9	40			Percent of total billed charges		252.4	80			Percent of total billed charges		504.8	90			Percent of total billed charges		567.9	85			Percent of total billed charges		536.35	85			Percent of total billed charges		536.35	85			Percent of total billed charges		536.35	100			Percent of total billed charges		631	100			Percent of total billed charges		631	100			Percent of total billed charges		631	33.3			Percent of total billed charges		210.123	33.3			Percent of total billed charges		210.123	100			Percent of total billed charges		631	210.123	567.9	
synthes calcaneal plate	278	RC	Outpatient			631	410.15		90			Percent of total billed charges		567.9	40			Percent of total billed charges		252.4	80			Percent of total billed charges		504.8	90			Percent of total billed charges		567.9	85			Percent of total billed charges		536.35	85			Percent of total billed charges		536.35	85			Percent of total billed charges		536.35	100			Percent of total billed charges		631	100			Percent of total billed charges		631	100			Percent of total billed charges		631	33.3			Percent of total billed charges		210.123	33.3			Percent of total billed charges		210.123	100			Percent of total billed charges		631	210.123	567.9	
acumed  5 hole compression plate 02-2005-s	278	RC	Outpatient			632	410.8		90			Percent of total billed charges		568.8	40			Percent of total billed charges		252.8	80			Percent of total billed charges		505.6	90			Percent of total billed charges		568.8	85			Percent of total billed charges		537.2	85			Percent of total billed charges		537.2	85			Percent of total billed charges		537.2	100			Percent of total billed charges		632	100			Percent of total billed charges		632	100			Percent of total billed charges		632	33.3			Percent of total billed charges		210.456	33.3			Percent of total billed charges		210.456	100			Percent of total billed charges		632	210.456	568.8	
acumed 7 hole compression plate 02-2007-s	278	RC	Outpatient			632	410.8		90			Percent of total billed charges		568.8	40			Percent of total billed charges		252.8	80			Percent of total billed charges		505.6	90			Percent of total billed charges		568.8	85			Percent of total billed charges		537.2	85			Percent of total billed charges		537.2	85			Percent of total billed charges		537.2	100			Percent of total billed charges		632	100			Percent of total billed charges		632	100			Percent of total billed charges		632	33.3			Percent of total billed charges		210.456	33.3			Percent of total billed charges		210.456	100			Percent of total billed charges		632	210.456	568.8	
osteo-clage 5-7hl comp pl	278	RC	Outpatient			632	410.8		90			Percent of total billed charges		568.8	40			Percent of total billed charges		252.8	80			Percent of total billed charges		505.6	90			Percent of total billed charges		568.8	85			Percent of total billed charges		537.2	85			Percent of total billed charges		537.2	85			Percent of total billed charges		537.2	100			Percent of total billed charges		632	100			Percent of total billed charges		632	100			Percent of total billed charges		632	33.3			Percent of total billed charges		210.456	33.3			Percent of total billed charges		210.456	100			Percent of total billed charges		632	210.456	568.8	
richards a/p pads	270	RC	Outpatient			632	410.8		90			Percent of total billed charges		568.8	40			Percent of total billed charges		252.8	80			Percent of total billed charges		505.6	90			Percent of total billed charges		568.8	85			Percent of total billed charges		537.2	85			Percent of total billed charges		537.2	85			Percent of total billed charges		537.2	100			Percent of total billed charges		632	100			Percent of total billed charges		632	100			Percent of total billed charges		632	33.3			Percent of total billed charges		210.456	33.3			Percent of total billed charges		210.456	100			Percent of total billed charges		632	210.456	568.8	
sc-acufix 4.0 self drilling bone screw 14mm 402-47114 abbott	278	RC	Outpatient			632	410.8		90			Percent of total billed charges		568.8	40			Percent of total billed charges		252.8	80			Percent of total billed charges		505.6	90			Percent of total billed charges		568.8	85			Percent of total billed charges		537.2	85			Percent of total billed charges		537.2	85			Percent of total billed charges		537.2	100			Percent of total billed charges		632	100			Percent of total billed charges		632	100			Percent of total billed charges		632	33.3			Percent of total billed charges		210.456	33.3			Percent of total billed charges		210.456	100			Percent of total billed charges		632	210.456	568.8	
sc-acufix 4.0 self drilling bone screw 12mm 402-47112 abbott	278	RC	Outpatient			632	410.8		90			Percent of total billed charges		568.8	40			Percent of total billed charges		252.8	80			Percent of total billed charges		505.6	90			Percent of total billed charges		568.8	85			Percent of total billed charges		537.2	85			Percent of total billed charges		537.2	85			Percent of total billed charges		537.2	100			Percent of total billed charges		632	100			Percent of total billed charges		632	100			Percent of total billed charges		632	33.3			Percent of total billed charges		210.456	33.3			Percent of total billed charges		210.456	100			Percent of total billed charges		632	210.456	568.8	
sc-acufix 4.0 self drilling bone screw 13mm 402-47113 abbott	278	RC	Outpatient			632	410.8		90			Percent of total billed charges		568.8	40			Percent of total billed charges		252.8	80			Percent of total billed charges		505.6	90			Percent of total billed charges		568.8	85			Percent of total billed charges		537.2	85			Percent of total billed charges		537.2	85			Percent of total billed charges		537.2	100			Percent of total billed charges		632	100			Percent of total billed charges		632	100			Percent of total billed charges		632	33.3			Percent of total billed charges		210.456	33.3			Percent of total billed charges		210.456	100			Percent of total billed charges		632	210.456	568.8	
sc-acufix 4.0 self drilling bone screw 15mm 402-47115 abbott	278	RC	Outpatient			632	410.8		90			Percent of total billed charges		568.8	40			Percent of total billed charges		252.8	80			Percent of total billed charges		505.6	90			Percent of total billed charges		568.8	85			Percent of total billed charges		537.2	85			Percent of total billed charges		537.2	85			Percent of total billed charges		537.2	100			Percent of total billed charges		632	100			Percent of total billed charges		632	100			Percent of total billed charges		632	33.3			Percent of total billed charges		210.456	33.3			Percent of total billed charges		210.456	100			Percent of total billed charges		632	210.456	568.8	
sc-acufix self dril screw	278	RC	Outpatient			632	410.8		90			Percent of total billed charges		568.8	40			Percent of total billed charges		252.8	80			Percent of total billed charges		505.6	90			Percent of total billed charges		568.8	85			Percent of total billed charges		537.2	85			Percent of total billed charges		537.2	85			Percent of total billed charges		537.2	100			Percent of total billed charges		632	100			Percent of total billed charges		632	100			Percent of total billed charges		632	33.3			Percent of total billed charges		210.456	33.3			Percent of total billed charges		210.456	100			Percent of total billed charges		632	210.456	568.8	
sc-acufix thinline self-drilling bone screw 12mm 402-48112 abbott	278	RC	Outpatient			632	410.8		90			Percent of total billed charges		568.8	40			Percent of total billed charges		252.8	80			Percent of total billed charges		505.6	90			Percent of total billed charges		568.8	85			Percent of total billed charges		537.2	85			Percent of total billed charges		537.2	85			Percent of total billed charges		537.2	100			Percent of total billed charges		632	100			Percent of total billed charges		632	100			Percent of total billed charges		632	33.3			Percent of total billed charges		210.456	33.3			Percent of total billed charges		210.456	100			Percent of total billed charges		632	210.456	568.8	
sc-acufix thinline self-drilling bone screw 13mm 402-48113 abbott	278	RC	Outpatient			632	410.8		90			Percent of total billed charges		568.8	40			Percent of total billed charges		252.8	80			Percent of total billed charges		505.6	90			Percent of total billed charges		568.8	85			Percent of total billed charges		537.2	85			Percent of total billed charges		537.2	85			Percent of total billed charges		537.2	100			Percent of total billed charges		632	100			Percent of total billed charges		632	100			Percent of total billed charges		632	33.3			Percent of total billed charges		210.456	33.3			Percent of total billed charges		210.456	100			Percent of total billed charges		632	210.456	568.8	
sc-acufix thinline self-drilling bone screw 14mm 402-48114 abbott	278	RC	Outpatient			632	410.8		90			Percent of total billed charges		568.8	40			Percent of total billed charges		252.8	80			Percent of total billed charges		505.6	90			Percent of total billed charges		568.8	85			Percent of total billed charges		537.2	85			Percent of total billed charges		537.2	85			Percent of total billed charges		537.2	100			Percent of total billed charges		632	100			Percent of total billed charges		632	100			Percent of total billed charges		632	33.3			Percent of total billed charges		210.456	33.3			Percent of total billed charges		210.456	100			Percent of total billed charges		632	210.456	568.8	
arthrex locking 1/3 tub plate 7h  ar 8943t-07	278	RC	Outpatient			633	411.45		90			Percent of total billed charges		569.7	40			Percent of total billed charges		253.2	80			Percent of total billed charges		506.4	90			Percent of total billed charges		569.7	85			Percent of total billed charges		538.05	85			Percent of total billed charges		538.05	85			Percent of total billed charges		538.05	100			Percent of total billed charges		633	100			Percent of total billed charges		633	100			Percent of total billed charges		633	33.3			Percent of total billed charges		210.789	33.3			Percent of total billed charges		210.789	100			Percent of total billed charges		633	210.789	569.7	
allocraft dbm 2cc 653002 stryker	278	RC	Outpatient			633	411.45		90			Percent of total billed charges		569.7	40			Percent of total billed charges		253.2	80			Percent of total billed charges		506.4	90			Percent of total billed charges		569.7	85			Percent of total billed charges		538.05	85			Percent of total billed charges		538.05	85			Percent of total billed charges		538.05	100			Percent of total billed charges		633	100			Percent of total billed charges		633	100			Percent of total billed charges		633	33.3			Percent of total billed charges		210.789	33.3			Percent of total billed charges		210.789	100			Percent of total billed charges		633	210.789	569.7	
allograft dbm 2cc	278	RC	Outpatient			633	411.45		90			Percent of total billed charges		569.7	40			Percent of total billed charges		253.2	80			Percent of total billed charges		506.4	90			Percent of total billed charges		569.7	85			Percent of total billed charges		538.05	85			Percent of total billed charges		538.05	85			Percent of total billed charges		538.05	100			Percent of total billed charges		633	100			Percent of total billed charges		633	100			Percent of total billed charges		633	33.3			Percent of total billed charges		210.789	33.3			Percent of total billed charges		210.789	100			Percent of total billed charges		633	210.789	569.7	
arthrex 1/3 tub pl 7h	278	RC	Outpatient			633	411.45		90			Percent of total billed charges		569.7	40			Percent of total billed charges		253.2	80			Percent of total billed charges		506.4	90			Percent of total billed charges		569.7	85			Percent of total billed charges		538.05	85			Percent of total billed charges		538.05	85			Percent of total billed charges		538.05	100			Percent of total billed charges		633	100			Percent of total billed charges		633	100			Percent of total billed charges		633	33.3			Percent of total billed charges		210.789	33.3			Percent of total billed charges		210.789	100			Percent of total billed charges		633	210.789	569.7	
richards post fmrl wedge	278	RC	Outpatient			633	411.45		90			Percent of total billed charges		569.7	40			Percent of total billed charges		253.2	80			Percent of total billed charges		506.4	90			Percent of total billed charges		569.7	85			Percent of total billed charges		538.05	85			Percent of total billed charges		538.05	85			Percent of total billed charges		538.05	100			Percent of total billed charges		633	100			Percent of total billed charges		633	100			Percent of total billed charges		633	33.3			Percent of total billed charges		210.789	33.3			Percent of total billed charges		210.789	100			Percent of total billed charges		633	210.789	569.7	
3.5mm compression plate 2 hole 7184-0202 s/n	278	RC	Outpatient			634	412.1		90			Percent of total billed charges		570.6	40			Percent of total billed charges		253.6	80			Percent of total billed charges		507.2	90			Percent of total billed charges		570.6	85			Percent of total billed charges		538.9	85			Percent of total billed charges		538.9	85			Percent of total billed charges		538.9	100			Percent of total billed charges		634	100			Percent of total billed charges		634	100			Percent of total billed charges		634	33.3			Percent of total billed charges		211.122	33.3			Percent of total billed charges		211.122	100			Percent of total billed charges		634	211.122	570.6	
3.5mm compression plate 6 hole 7184-0202 s/n	278	RC	Outpatient			634	412.1		90			Percent of total billed charges		570.6	40			Percent of total billed charges		253.6	80			Percent of total billed charges		507.2	90			Percent of total billed charges		570.6	85			Percent of total billed charges		538.9	85			Percent of total billed charges		538.9	85			Percent of total billed charges		538.9	100			Percent of total billed charges		634	100			Percent of total billed charges		634	100			Percent of total billed charges		634	33.3			Percent of total billed charges		211.122	33.3			Percent of total billed charges		211.122	100			Percent of total billed charges		634	211.122	570.6	
synthes 6.0 soft rod 75mm	272	RC	Outpatient			634	412.1		90			Percent of total billed charges		570.6	40			Percent of total billed charges		253.6	80			Percent of total billed charges		507.2	90			Percent of total billed charges		570.6	85			Percent of total billed charges		538.9	85			Percent of total billed charges		538.9	85			Percent of total billed charges		538.9	100			Percent of total billed charges		634	100			Percent of total billed charges		634	100			Percent of total billed charges		634	33.3			Percent of total billed charges		211.122	33.3			Percent of total billed charges		211.122	100			Percent of total billed charges		634	211.122	570.6	
titanium 6.0  soft rod 75mm 498.151 synthes	272	RC	Outpatient			634	412.1		90			Percent of total billed charges		570.6	40			Percent of total billed charges		253.6	80			Percent of total billed charges		507.2	90			Percent of total billed charges		570.6	85			Percent of total billed charges		538.9	85			Percent of total billed charges		538.9	85			Percent of total billed charges		538.9	100			Percent of total billed charges		634	100			Percent of total billed charges		634	100			Percent of total billed charges		634	33.3			Percent of total billed charges		211.122	33.3			Percent of total billed charges		211.122	100			Percent of total billed charges		634	211.122	570.6	
sm fr pl comp 2hl	278	RC	Outpatient			634	412.1		90			Percent of total billed charges		570.6	40			Percent of total billed charges		253.6	80			Percent of total billed charges		507.2	90			Percent of total billed charges		570.6	85			Percent of total billed charges		538.9	85			Percent of total billed charges		538.9	85			Percent of total billed charges		538.9	100			Percent of total billed charges		634	100			Percent of total billed charges		634	100			Percent of total billed charges		634	33.3			Percent of total billed charges		211.122	33.3			Percent of total billed charges		211.122	100			Percent of total billed charges		634	211.122	570.6	
cath lab leads isoflex 1948/52cm	278	RC	Outpatient			635	412.75		90			Percent of total billed charges		571.5	40			Percent of total billed charges		254	80			Percent of total billed charges		508	90			Percent of total billed charges		571.5	85			Percent of total billed charges		539.75	85			Percent of total billed charges		539.75	85			Percent of total billed charges		539.75	100			Percent of total billed charges		635	100			Percent of total billed charges		635	100			Percent of total billed charges		635	33.3			Percent of total billed charges		211.455	33.3			Percent of total billed charges		211.455	100			Percent of total billed charges		635	211.455	571.5	
cath lab trendril sts 2088tc/46cm	278	RC	Outpatient			635	412.75		90			Percent of total billed charges		571.5	40			Percent of total billed charges		254	80			Percent of total billed charges		508	90			Percent of total billed charges		571.5	85			Percent of total billed charges		539.75	85			Percent of total billed charges		539.75	85			Percent of total billed charges		539.75	100			Percent of total billed charges		635	100			Percent of total billed charges		635	100			Percent of total billed charges		635	33.3			Percent of total billed charges		211.455	33.3			Percent of total billed charges		211.455	100			Percent of total billed charges		635	211.455	571.5	
st jude lpa 1200m/58 tendril mri 58 lead	278	RC	Outpatient			635	412.75		90			Percent of total billed charges		571.5	40			Percent of total billed charges		254	80			Percent of total billed charges		508	90			Percent of total billed charges		571.5	85			Percent of total billed charges		539.75	85			Percent of total billed charges		539.75	85			Percent of total billed charges		539.75	100			Percent of total billed charges		635	100			Percent of total billed charges		635	100			Percent of total billed charges		635	33.3			Percent of total billed charges		211.455	33.3			Percent of total billed charges		211.455	100			Percent of total billed charges		635	211.455	571.5	
st jude isoflex 1948/52cm	278	RC	Outpatient			635	412.75		90			Percent of total billed charges		571.5	40			Percent of total billed charges		254	80			Percent of total billed charges		508	90			Percent of total billed charges		571.5	85			Percent of total billed charges		539.75	85			Percent of total billed charges		539.75	85			Percent of total billed charges		539.75	100			Percent of total billed charges		635	100			Percent of total billed charges		635	100			Percent of total billed charges		635	33.3			Percent of total billed charges		211.455	33.3			Percent of total billed charges		211.455	100			Percent of total billed charges		635	211.455	571.5	
2.0mm cannulated drill bit quick coupling 310.221	270	RC	Outpatient			636	413.4		90			Percent of total billed charges		572.4	40			Percent of total billed charges		254.4	80			Percent of total billed charges		508.8	90			Percent of total billed charges		572.4	85			Percent of total billed charges		540.6	85			Percent of total billed charges		540.6	85			Percent of total billed charges		540.6	100			Percent of total billed charges		636	100			Percent of total billed charges		636	100			Percent of total billed charges		636	33.3			Percent of total billed charges		211.788	33.3			Percent of total billed charges		211.788	100			Percent of total billed charges		636	211.788	572.4	
3.2mm cannulated drill bit 310.65	270	RC	Outpatient			636	413.4		90			Percent of total billed charges		572.4	40			Percent of total billed charges		254.4	80			Percent of total billed charges		508.8	90			Percent of total billed charges		572.4	85			Percent of total billed charges		540.6	85			Percent of total billed charges		540.6	85			Percent of total billed charges		540.6	100			Percent of total billed charges		636	100			Percent of total billed charges		636	100			Percent of total billed charges		636	33.3			Percent of total billed charges		211.788	33.3			Percent of total billed charges		211.788	100			Percent of total billed charges		636	211.788	572.4	
4.5mm cannulated drill bit 310.66	270	RC	Outpatient			636	413.4		90			Percent of total billed charges		572.4	40			Percent of total billed charges		254.4	80			Percent of total billed charges		508.8	90			Percent of total billed charges		572.4	85			Percent of total billed charges		540.6	85			Percent of total billed charges		540.6	85			Percent of total billed charges		540.6	100			Percent of total billed charges		636	100			Percent of total billed charges		636	100			Percent of total billed charges		636	33.3			Percent of total billed charges		211.788	33.3			Percent of total billed charges		211.788	100			Percent of total billed charges		636	211.788	572.4	
drill bit 4.5 x 195mm 310.48	270	RC	Outpatient			636	413.4		90			Percent of total billed charges		572.4	40			Percent of total billed charges		254.4	80			Percent of total billed charges		508.8	90			Percent of total billed charges		572.4	85			Percent of total billed charges		540.6	85			Percent of total billed charges		540.6	85			Percent of total billed charges		540.6	100			Percent of total billed charges		636	100			Percent of total billed charges		636	100			Percent of total billed charges		636	33.3			Percent of total billed charges		211.788	33.3			Percent of total billed charges		211.788	100			Percent of total billed charges		636	211.788	572.4	
drill bit jacobs chuck 2.5mm gold 310.24	270	RC	Outpatient			636	413.4		90			Percent of total billed charges		572.4	40			Percent of total billed charges		254.4	80			Percent of total billed charges		508.8	90			Percent of total billed charges		572.4	85			Percent of total billed charges		540.6	85			Percent of total billed charges		540.6	85			Percent of total billed charges		540.6	100			Percent of total billed charges		636	100			Percent of total billed charges		636	100			Percent of total billed charges		636	33.3			Percent of total billed charges		211.788	33.3			Percent of total billed charges		211.788	100			Percent of total billed charges		636	211.788	572.4	
drill bit jacobs chuck 3.5mm extra long 310.38	270	RC	Outpatient			636	413.4		90			Percent of total billed charges		572.4	40			Percent of total billed charges		254.4	80			Percent of total billed charges		508.8	90			Percent of total billed charges		572.4	85			Percent of total billed charges		540.6	85			Percent of total billed charges		540.6	85			Percent of total billed charges		540.6	100			Percent of total billed charges		636	100			Percent of total billed charges		636	100			Percent of total billed charges		636	33.3			Percent of total billed charges		211.788	33.3			Percent of total billed charges		211.788	100			Percent of total billed charges		636	211.788	572.4	
drill bit 1.8 x 100mm 310.510	270	RC	Outpatient			636	413.4		90			Percent of total billed charges		572.4	40			Percent of total billed charges		254.4	80			Percent of total billed charges		508.8	90			Percent of total billed charges		572.4	85			Percent of total billed charges		540.6	85			Percent of total billed charges		540.6	85			Percent of total billed charges		540.6	100			Percent of total billed charges		636	100			Percent of total billed charges		636	100			Percent of total billed charges		636	33.3			Percent of total billed charges		211.788	33.3			Percent of total billed charges		211.788	100			Percent of total billed charges		636	211.788	572.4	
drill bit jacobs chuck 3.5mm 310.36	270	RC	Outpatient			636	413.4		90			Percent of total billed charges		572.4	40			Percent of total billed charges		254.4	80			Percent of total billed charges		508.8	90			Percent of total billed charges		572.4	85			Percent of total billed charges		540.6	85			Percent of total billed charges		540.6	85			Percent of total billed charges		540.6	100			Percent of total billed charges		636	100			Percent of total billed charges		636	100			Percent of total billed charges		636	33.3			Percent of total billed charges		211.788	33.3			Percent of total billed charges		211.788	100			Percent of total billed charges		636	211.788	572.4	
drill bits quick coupling 356.97	270	RC	Outpatient			636	413.4		90			Percent of total billed charges		572.4	40			Percent of total billed charges		254.4	80			Percent of total billed charges		508.8	90			Percent of total billed charges		572.4	85			Percent of total billed charges		540.6	85			Percent of total billed charges		540.6	85			Percent of total billed charges		540.6	100			Percent of total billed charges		636	100			Percent of total billed charges		636	100			Percent of total billed charges		636	33.3			Percent of total billed charges		211.788	33.3			Percent of total billed charges		211.788	100			Percent of total billed charges		636	211.788	572.4	
id bands for fst fx struts 71070340 s/n	278	RC	Outpatient			636	413.4		90			Percent of total billed charges		572.4	40			Percent of total billed charges		254.4	80			Percent of total billed charges		508.8	90			Percent of total billed charges		572.4	85			Percent of total billed charges		540.6	85			Percent of total billed charges		540.6	85			Percent of total billed charges		540.6	100			Percent of total billed charges		636	100			Percent of total billed charges		636	100			Percent of total billed charges		636	33.3			Percent of total billed charges		211.788	33.3			Percent of total billed charges		211.788	100			Percent of total billed charges		636	211.788	572.4	
minor procedure room 1 1/2 hr	360	RC	Outpatient			636	413.4		90			Percent of total billed charges		572.4	40			Percent of total billed charges		254.4	80			Percent of total billed charges		508.8	90			Percent of total billed charges		572.4	85			Percent of total billed charges		540.6	85			Percent of total billed charges		540.6	85			Percent of total billed charges		540.6	100			Percent of total billed charges		636	100			Percent of total billed charges		636	100			Percent of total billed charges		636	33.3			Percent of total billed charges		211.788	33.3			Percent of total billed charges		211.788	100			Percent of total billed charges		636	211.788	572.4	
syn drill bit stnless	270	RC	Outpatient			636	413.4		90			Percent of total billed charges		572.4	40			Percent of total billed charges		254.4	80			Percent of total billed charges		508.8	90			Percent of total billed charges		572.4	85			Percent of total billed charges		540.6	85			Percent of total billed charges		540.6	85			Percent of total billed charges		540.6	100			Percent of total billed charges		636	100			Percent of total billed charges		636	100			Percent of total billed charges		636	33.3			Percent of total billed charges		211.788	33.3			Percent of total billed charges		211.788	100			Percent of total billed charges		636	211.788	572.4	
special procedure time 1 1/2 hr	270	RC	Outpatient			636	413.4		90			Percent of total billed charges		572.4	40			Percent of total billed charges		254.4	80			Percent of total billed charges		508.8	90			Percent of total billed charges		572.4	85			Percent of total billed charges		540.6	85			Percent of total billed charges		540.6	85			Percent of total billed charges		540.6	100			Percent of total billed charges		636	100			Percent of total billed charges		636	100			Percent of total billed charges		636	33.3			Percent of total billed charges		211.788	33.3			Percent of total billed charges		211.788	100			Percent of total billed charges		636	211.788	572.4	
taylor spatial id bands	278	RC	Outpatient			636	413.4		90			Percent of total billed charges		572.4	40			Percent of total billed charges		254.4	80			Percent of total billed charges		508.8	90			Percent of total billed charges		572.4	85			Percent of total billed charges		540.6	85			Percent of total billed charges		540.6	85			Percent of total billed charges		540.6	100			Percent of total billed charges		636	100			Percent of total billed charges		636	100			Percent of total billed charges		636	33.3			Percent of total billed charges		211.788	33.3			Percent of total billed charges		211.788	100			Percent of total billed charges		636	211.788	572.4	
versafx ii comp plate 8hl	278	RC	Outpatient			636	413.4		90			Percent of total billed charges		572.4	40			Percent of total billed charges		254.4	80			Percent of total billed charges		508.8	90			Percent of total billed charges		572.4	85			Percent of total billed charges		540.6	85			Percent of total billed charges		540.6	85			Percent of total billed charges		540.6	100			Percent of total billed charges		636	100			Percent of total billed charges		636	100			Percent of total billed charges		636	33.3			Percent of total billed charges		211.788	33.3			Percent of total billed charges		211.788	100			Percent of total billed charges		636	211.788	572.4	
zimmer versa-fx ii 8-hole keyed compression plate 130 degree 1193-130-08	278	RC	Outpatient			636	413.4		90			Percent of total billed charges		572.4	40			Percent of total billed charges		254.4	80			Percent of total billed charges		508.8	90			Percent of total billed charges		572.4	85			Percent of total billed charges		540.6	85			Percent of total billed charges		540.6	85			Percent of total billed charges		540.6	100			Percent of total billed charges		636	100			Percent of total billed charges		636	100			Percent of total billed charges		636	33.3			Percent of total billed charges		211.788	33.3			Percent of total billed charges		211.788	100			Percent of total billed charges		636	211.788	572.4	
zimmer versa-fx ii 8-hole keyed compression plate 140 degree 1193-140-08	278	RC	Outpatient			636	413.4		90			Percent of total billed charges		572.4	40			Percent of total billed charges		254.4	80			Percent of total billed charges		508.8	90			Percent of total billed charges		572.4	85			Percent of total billed charges		540.6	85			Percent of total billed charges		540.6	85			Percent of total billed charges		540.6	100			Percent of total billed charges		636	100			Percent of total billed charges		636	100			Percent of total billed charges		636	33.3			Percent of total billed charges		211.788	33.3			Percent of total billed charges		211.788	100			Percent of total billed charges		636	211.788	572.4	
zimmer versa-fx ii 8-hole keyed compression plate 150 degree 1193-150-08	278	RC	Outpatient			636	413.4		90			Percent of total billed charges		572.4	40			Percent of total billed charges		254.4	80			Percent of total billed charges		508.8	90			Percent of total billed charges		572.4	85			Percent of total billed charges		540.6	85			Percent of total billed charges		540.6	85			Percent of total billed charges		540.6	100			Percent of total billed charges		636	100			Percent of total billed charges		636	100			Percent of total billed charges		636	33.3			Percent of total billed charges		211.788	33.3			Percent of total billed charges		211.788	100			Percent of total billed charges		636	211.788	572.4	
zimmer versa-fx ii 8-hole keyless compression plate 150 degree 1194-150-08	278	RC	Outpatient			636	413.4		90			Percent of total billed charges		572.4	40			Percent of total billed charges		254.4	80			Percent of total billed charges		508.8	90			Percent of total billed charges		572.4	85			Percent of total billed charges		540.6	85			Percent of total billed charges		540.6	85			Percent of total billed charges		540.6	100			Percent of total billed charges		636	100			Percent of total billed charges		636	100			Percent of total billed charges		636	33.3			Percent of total billed charges		211.788	33.3			Percent of total billed charges		211.788	100			Percent of total billed charges		636	211.788	572.4	
zimmer versa-fx ii 8-hole keyed compression plate 135 degree 1193-135-08	278	RC	Outpatient			636	413.4		90			Percent of total billed charges		572.4	40			Percent of total billed charges		254.4	80			Percent of total billed charges		508.8	90			Percent of total billed charges		572.4	85			Percent of total billed charges		540.6	85			Percent of total billed charges		540.6	85			Percent of total billed charges		540.6	100			Percent of total billed charges		636	100			Percent of total billed charges		636	100			Percent of total billed charges		636	33.3			Percent of total billed charges		211.788	33.3			Percent of total billed charges		211.788	100			Percent of total billed charges		636	211.788	572.4	
zimmer versa-fx ii 8-hole keyed compression plate 145 degree 1193-145-08	278	RC	Outpatient			636	413.4		90			Percent of total billed charges		572.4	40			Percent of total billed charges		254.4	80			Percent of total billed charges		508.8	90			Percent of total billed charges		572.4	85			Percent of total billed charges		540.6	85			Percent of total billed charges		540.6	85			Percent of total billed charges		540.6	100			Percent of total billed charges		636	100			Percent of total billed charges		636	100			Percent of total billed charges		636	33.3			Percent of total billed charges		211.788	33.3			Percent of total billed charges		211.788	100			Percent of total billed charges		636	211.788	572.4	
zimmer versa-fx ii 8-hole keyless compression plate 130 degree 1194-130-08	278	RC	Outpatient			636	413.4		90			Percent of total billed charges		572.4	40			Percent of total billed charges		254.4	80			Percent of total billed charges		508.8	90			Percent of total billed charges		572.4	85			Percent of total billed charges		540.6	85			Percent of total billed charges		540.6	85			Percent of total billed charges		540.6	100			Percent of total billed charges		636	100			Percent of total billed charges		636	100			Percent of total billed charges		636	33.3			Percent of total billed charges		211.788	33.3			Percent of total billed charges		211.788	100			Percent of total billed charges		636	211.788	572.4	
zimmer versa-fx ii 8-hole keyless compression plate 135 degree 1194-135-08	278	RC	Outpatient			636	413.4		90			Percent of total billed charges		572.4	40			Percent of total billed charges		254.4	80			Percent of total billed charges		508.8	90			Percent of total billed charges		572.4	85			Percent of total billed charges		540.6	85			Percent of total billed charges		540.6	85			Percent of total billed charges		540.6	100			Percent of total billed charges		636	100			Percent of total billed charges		636	100			Percent of total billed charges		636	33.3			Percent of total billed charges		211.788	33.3			Percent of total billed charges		211.788	100			Percent of total billed charges		636	211.788	572.4	
zimmer versa-fx ii 8-hole keyless compression plate 140 degree 1194-140-08	278	RC	Outpatient			636	413.4		90			Percent of total billed charges		572.4	40			Percent of total billed charges		254.4	80			Percent of total billed charges		508.8	90			Percent of total billed charges		572.4	85			Percent of total billed charges		540.6	85			Percent of total billed charges		540.6	85			Percent of total billed charges		540.6	100			Percent of total billed charges		636	100			Percent of total billed charges		636	100			Percent of total billed charges		636	33.3			Percent of total billed charges		211.788	33.3			Percent of total billed charges		211.788	100			Percent of total billed charges		636	211.788	572.4	
zimmer versa-fx ii 8-hole keyless compression plate 145 degree 1194-145-08	278	RC	Outpatient			636	413.4		90			Percent of total billed charges		572.4	40			Percent of total billed charges		254.4	80			Percent of total billed charges		508.8	90			Percent of total billed charges		572.4	85			Percent of total billed charges		540.6	85			Percent of total billed charges		540.6	85			Percent of total billed charges		540.6	100			Percent of total billed charges		636	100			Percent of total billed charges		636	100			Percent of total billed charges		636	33.3			Percent of total billed charges		211.788	33.3			Percent of total billed charges		211.788	100			Percent of total billed charges		636	211.788	572.4	
arthrex bio-tenodesis kit	272	RC	Outpatient			637	414.05		90			Percent of total billed charges		573.3	40			Percent of total billed charges		254.8	80			Percent of total billed charges		509.6	90			Percent of total billed charges		573.3	85			Percent of total billed charges		541.45	85			Percent of total billed charges		541.45	85			Percent of total billed charges		541.45	100			Percent of total billed charges		637	100			Percent of total billed charges		637	100			Percent of total billed charges		637	33.3			Percent of total billed charges		212.121	33.3			Percent of total billed charges		212.121	100			Percent of total billed charges		637	212.121	573.3	
arthrex cool cut 50 aspirating ablator ar-9803a-50	272	RC	Outpatient			637	414.05		90			Percent of total billed charges		573.3	40			Percent of total billed charges		254.8	80			Percent of total billed charges		509.6	90			Percent of total billed charges		573.3	85			Percent of total billed charges		541.45	85			Percent of total billed charges		541.45	85			Percent of total billed charges		541.45	100			Percent of total billed charges		637	100			Percent of total billed charges		637	100			Percent of total billed charges		637	33.3			Percent of total billed charges		212.121	33.3			Percent of total billed charges		212.121	100			Percent of total billed charges		637	212.121	573.3	
arthrex coolcut 50 asp	272	RC	Outpatient			637	414.05		90			Percent of total billed charges		573.3	40			Percent of total billed charges		254.8	80			Percent of total billed charges		509.6	90			Percent of total billed charges		573.3	85			Percent of total billed charges		541.45	85			Percent of total billed charges		541.45	85			Percent of total billed charges		541.45	100			Percent of total billed charges		637	100			Percent of total billed charges		637	100			Percent of total billed charges		637	33.3			Percent of total billed charges		212.121	33.3			Percent of total billed charges		212.121	100			Percent of total billed charges		637	212.121	573.3	
arthrex bio-tenodesis kit  ar-1676ds	272	RC	Outpatient			637	414.05		90			Percent of total billed charges		573.3	40			Percent of total billed charges		254.8	80			Percent of total billed charges		509.6	90			Percent of total billed charges		573.3	85			Percent of total billed charges		541.45	85			Percent of total billed charges		541.45	85			Percent of total billed charges		541.45	100			Percent of total billed charges		637	100			Percent of total billed charges		637	100			Percent of total billed charges		637	33.3			Percent of total billed charges		212.121	33.3			Percent of total billed charges		212.121	100			Percent of total billed charges		637	212.121	573.3	
arthrex biocomp sut ta2.4	278	RC	Outpatient			637	414.05		90			Percent of total billed charges		573.3	40			Percent of total billed charges		254.8	80			Percent of total billed charges		509.6	90			Percent of total billed charges		573.3	85			Percent of total billed charges		541.45	85			Percent of total billed charges		541.45	85			Percent of total billed charges		541.45	100			Percent of total billed charges		637	100			Percent of total billed charges		637	100			Percent of total billed charges		637	33.3			Percent of total billed charges		212.121	33.3			Percent of total billed charges		212.121	100			Percent of total billed charges		637	212.121	573.3	
space maker plus 10-12mm smbttovl ussc	272	RC	Outpatient			637	414.05		90			Percent of total billed charges		573.3	40			Percent of total billed charges		254.8	80			Percent of total billed charges		509.6	90			Percent of total billed charges		573.3	85			Percent of total billed charges		541.45	85			Percent of total billed charges		541.45	85			Percent of total billed charges		541.45	100			Percent of total billed charges		637	100			Percent of total billed charges		637	100			Percent of total billed charges		637	33.3			Percent of total billed charges		212.121	33.3			Percent of total billed charges		212.121	100			Percent of total billed charges		637	212.121	573.3	
trocar spacemaker +	272	RC	Outpatient			637	414.05		90			Percent of total billed charges		573.3	40			Percent of total billed charges		254.8	80			Percent of total billed charges		509.6	90			Percent of total billed charges		573.3	85			Percent of total billed charges		541.45	85			Percent of total billed charges		541.45	85			Percent of total billed charges		541.45	100			Percent of total billed charges		637	100			Percent of total billed charges		637	100			Percent of total billed charges		637	33.3			Percent of total billed charges		212.121	33.3			Percent of total billed charges		212.121	100			Percent of total billed charges		637	212.121	573.3	
bio magnum taper insert	278	RC	Outpatient			639	415.35		90			Percent of total billed charges		575.1	40			Percent of total billed charges		255.6	80			Percent of total billed charges		511.2	90			Percent of total billed charges		575.1	85			Percent of total billed charges		543.15	85			Percent of total billed charges		543.15	85			Percent of total billed charges		543.15	100			Percent of total billed charges		639	100			Percent of total billed charges		639	100			Percent of total billed charges		639	33.3			Percent of total billed charges		212.787	33.3			Percent of total billed charges		212.787	100			Percent of total billed charges		639	212.787	575.1	
endobutton cl pac 7210153 s&n	278	RC	Outpatient			639	415.35		90			Percent of total billed charges		575.1	40			Percent of total billed charges		255.6	80			Percent of total billed charges		511.2	90			Percent of total billed charges		575.1	85			Percent of total billed charges		543.15	85			Percent of total billed charges		543.15	85			Percent of total billed charges		543.15	100			Percent of total billed charges		639	100			Percent of total billed charges		639	100			Percent of total billed charges		639	33.3			Percent of total billed charges		212.787	33.3			Percent of total billed charges		212.787	100			Percent of total billed charges		639	212.787	575.1	
gmrs bushing	278	RC	Outpatient			639	415.35		90			Percent of total billed charges		575.1	40			Percent of total billed charges		255.6	80			Percent of total billed charges		511.2	90			Percent of total billed charges		575.1	85			Percent of total billed charges		543.15	85			Percent of total billed charges		543.15	85			Percent of total billed charges		543.15	100			Percent of total billed charges		639	100			Percent of total billed charges		639	100			Percent of total billed charges		639	33.3			Percent of total billed charges		212.787	33.3			Percent of total billed charges		212.787	100			Percent of total billed charges		639	212.787	575.1	
gmrs bushing for small distal femur 6495-2-105 stryker	278	RC	Outpatient			639	415.35		90			Percent of total billed charges		575.1	40			Percent of total billed charges		255.6	80			Percent of total billed charges		511.2	90			Percent of total billed charges		575.1	85			Percent of total billed charges		543.15	85			Percent of total billed charges		543.15	85			Percent of total billed charges		543.15	100			Percent of total billed charges		639	100			Percent of total billed charges		639	100			Percent of total billed charges		639	33.3			Percent of total billed charges		212.787	33.3			Percent of total billed charges		212.787	100			Percent of total billed charges		639	212.787	575.1	
endo button cl pac	278	RC	Outpatient			639	415.35		90			Percent of total billed charges		575.1	40			Percent of total billed charges		255.6	80			Percent of total billed charges		511.2	90			Percent of total billed charges		575.1	85			Percent of total billed charges		543.15	85			Percent of total billed charges		543.15	85			Percent of total billed charges		543.15	100			Percent of total billed charges		639	100			Percent of total billed charges		639	100			Percent of total billed charges		639	33.3			Percent of total billed charges		212.787	33.3			Percent of total billed charges		212.787	100			Percent of total billed charges		639	212.787	575.1	
magnum 42-50mm taper insert 139254 -3 neck biomet	278	RC	Outpatient			639	415.35		90			Percent of total billed charges		575.1	40			Percent of total billed charges		255.6	80			Percent of total billed charges		511.2	90			Percent of total billed charges		575.1	85			Percent of total billed charges		543.15	85			Percent of total billed charges		543.15	85			Percent of total billed charges		543.15	100			Percent of total billed charges		639	100			Percent of total billed charges		639	100			Percent of total billed charges		639	33.3			Percent of total billed charges		212.787	33.3			Percent of total billed charges		212.787	100			Percent of total billed charges		639	212.787	575.1	
magnum 42-50mm taper insert 139256 std neck biomet	278	RC	Outpatient			639	415.35		90			Percent of total billed charges		575.1	40			Percent of total billed charges		255.6	80			Percent of total billed charges		511.2	90			Percent of total billed charges		575.1	85			Percent of total billed charges		543.15	85			Percent of total billed charges		543.15	85			Percent of total billed charges		543.15	100			Percent of total billed charges		639	100			Percent of total billed charges		639	100			Percent of total billed charges		639	33.3			Percent of total billed charges		212.787	33.3			Percent of total billed charges		212.787	100			Percent of total billed charges		639	212.787	575.1	
magnum 42-50mm taper insert 139258 +3 neck biomet	278	RC	Outpatient			639	415.35		90			Percent of total billed charges		575.1	40			Percent of total billed charges		255.6	80			Percent of total billed charges		511.2	90			Percent of total billed charges		575.1	85			Percent of total billed charges		543.15	85			Percent of total billed charges		543.15	85			Percent of total billed charges		543.15	100			Percent of total billed charges		639	100			Percent of total billed charges		639	100			Percent of total billed charges		639	33.3			Percent of total billed charges		212.787	33.3			Percent of total billed charges		212.787	100			Percent of total billed charges		639	212.787	575.1	
magnum 42-50mm taper insert 139261 +9 neck biomet	278	RC	Outpatient			639	415.35		90			Percent of total billed charges		575.1	40			Percent of total billed charges		255.6	80			Percent of total billed charges		511.2	90			Percent of total billed charges		575.1	85			Percent of total billed charges		543.15	85			Percent of total billed charges		543.15	85			Percent of total billed charges		543.15	100			Percent of total billed charges		639	100			Percent of total billed charges		639	100			Percent of total billed charges		639	33.3			Percent of total billed charges		212.787	33.3			Percent of total billed charges		212.787	100			Percent of total billed charges		639	212.787	575.1	
magnum 52-60mm taper insert 139264 -6 neck biomet	278	RC	Outpatient			639	415.35		90			Percent of total billed charges		575.1	40			Percent of total billed charges		255.6	80			Percent of total billed charges		511.2	90			Percent of total billed charges		575.1	85			Percent of total billed charges		543.15	85			Percent of total billed charges		543.15	85			Percent of total billed charges		543.15	100			Percent of total billed charges		639	100			Percent of total billed charges		639	100			Percent of total billed charges		639	33.3			Percent of total billed charges		212.787	33.3			Percent of total billed charges		212.787	100			Percent of total billed charges		639	212.787	575.1	
magnum 52-60mm taper insert 139274 +9 neck biomet	278	RC	Outpatient			639	415.35		90			Percent of total billed charges		575.1	40			Percent of total billed charges		255.6	80			Percent of total billed charges		511.2	90			Percent of total billed charges		575.1	85			Percent of total billed charges		543.15	85			Percent of total billed charges		543.15	85			Percent of total billed charges		543.15	100			Percent of total billed charges		639	100			Percent of total billed charges		639	100			Percent of total billed charges		639	33.3			Percent of total billed charges		212.787	33.3			Percent of total billed charges		212.787	100			Percent of total billed charges		639	212.787	575.1	
magnum 42-50mm taper insert 139252 -6 neck biomet	278	RC	Outpatient			639	415.35		90			Percent of total billed charges		575.1	40			Percent of total billed charges		255.6	80			Percent of total billed charges		511.2	90			Percent of total billed charges		575.1	85			Percent of total billed charges		543.15	85			Percent of total billed charges		543.15	85			Percent of total billed charges		543.15	100			Percent of total billed charges		639	100			Percent of total billed charges		639	100			Percent of total billed charges		639	33.3			Percent of total billed charges		212.787	33.3			Percent of total billed charges		212.787	100			Percent of total billed charges		639	212.787	575.1	
magnum 42-50mm taper insert 139259 +6 neck biomet	278	RC	Outpatient			639	415.35		90			Percent of total billed charges		575.1	40			Percent of total billed charges		255.6	80			Percent of total billed charges		511.2	90			Percent of total billed charges		575.1	85			Percent of total billed charges		543.15	85			Percent of total billed charges		543.15	85			Percent of total billed charges		543.15	100			Percent of total billed charges		639	100			Percent of total billed charges		639	100			Percent of total billed charges		639	33.3			Percent of total billed charges		212.787	33.3			Percent of total billed charges		212.787	100			Percent of total billed charges		639	212.787	575.1	
magnum 52-60mm taper insert 139266 -3 neck biomet	278	RC	Outpatient			639	415.35		90			Percent of total billed charges		575.1	40			Percent of total billed charges		255.6	80			Percent of total billed charges		511.2	90			Percent of total billed charges		575.1	85			Percent of total billed charges		543.15	85			Percent of total billed charges		543.15	85			Percent of total billed charges		543.15	100			Percent of total billed charges		639	100			Percent of total billed charges		639	100			Percent of total billed charges		639	33.3			Percent of total billed charges		212.787	33.3			Percent of total billed charges		212.787	100			Percent of total billed charges		639	212.787	575.1	
magnum 52-60mm taper insert 139268 std neck biomet	278	RC	Outpatient			639	415.35		90			Percent of total billed charges		575.1	40			Percent of total billed charges		255.6	80			Percent of total billed charges		511.2	90			Percent of total billed charges		575.1	85			Percent of total billed charges		543.15	85			Percent of total billed charges		543.15	85			Percent of total billed charges		543.15	100			Percent of total billed charges		639	100			Percent of total billed charges		639	100			Percent of total billed charges		639	33.3			Percent of total billed charges		212.787	33.3			Percent of total billed charges		212.787	100			Percent of total billed charges		639	212.787	575.1	
magnum 52-60mm taper insert 139270 +3 neck biomet	278	RC	Outpatient			639	415.35		90			Percent of total billed charges		575.1	40			Percent of total billed charges		255.6	80			Percent of total billed charges		511.2	90			Percent of total billed charges		575.1	85			Percent of total billed charges		543.15	85			Percent of total billed charges		543.15	85			Percent of total billed charges		543.15	100			Percent of total billed charges		639	100			Percent of total billed charges		639	100			Percent of total billed charges		639	33.3			Percent of total billed charges		212.787	33.3			Percent of total billed charges		212.787	100			Percent of total billed charges		639	212.787	575.1	
magnum 52-60mm taper insert 139272 +6 neck biomet	278	RC	Outpatient			639	415.35		90			Percent of total billed charges		575.1	40			Percent of total billed charges		255.6	80			Percent of total billed charges		511.2	90			Percent of total billed charges		575.1	85			Percent of total billed charges		543.15	85			Percent of total billed charges		543.15	85			Percent of total billed charges		543.15	100			Percent of total billed charges		639	100			Percent of total billed charges		639	100			Percent of total billed charges		639	33.3			Percent of total billed charges		212.787	33.3			Percent of total billed charges		212.787	100			Percent of total billed charges		639	212.787	575.1	
cancellous chips 15cc	278	RC	Outpatient			641	416.65		90			Percent of total billed charges		576.9	40			Percent of total billed charges		256.4	80			Percent of total billed charges		512.8	90			Percent of total billed charges		576.9	85			Percent of total billed charges		544.85	85			Percent of total billed charges		544.85	85			Percent of total billed charges		544.85	100			Percent of total billed charges		641	100			Percent of total billed charges		641	100			Percent of total billed charges		641	33.3			Percent of total billed charges		213.453	33.3			Percent of total billed charges		213.453	100			Percent of total billed charges		641	213.453	576.9	
cancellous chips 15cc 400145 mtf	278	RC	Outpatient			641	416.65		90			Percent of total billed charges		576.9	40			Percent of total billed charges		256.4	80			Percent of total billed charges		512.8	90			Percent of total billed charges		576.9	85			Percent of total billed charges		544.85	85			Percent of total billed charges		544.85	85			Percent of total billed charges		544.85	100			Percent of total billed charges		641	100			Percent of total billed charges		641	100			Percent of total billed charges		641	33.3			Percent of total billed charges		213.453	33.3			Percent of total billed charges		213.453	100			Percent of total billed charges		641	213.453	576.9	
cancellous chips 15cc 717920 s/n	278	RC	Outpatient			641	416.65		90			Percent of total billed charges		576.9	40			Percent of total billed charges		256.4	80			Percent of total billed charges		512.8	90			Percent of total billed charges		576.9	85			Percent of total billed charges		544.85	85			Percent of total billed charges		544.85	85			Percent of total billed charges		544.85	100			Percent of total billed charges		641	100			Percent of total billed charges		641	100			Percent of total billed charges		641	33.3			Percent of total billed charges		213.453	33.3			Percent of total billed charges		213.453	100			Percent of total billed charges		641	213.453	576.9	
compositcp interference screw 10 x 30mm 905261 biomet	278	RC	Outpatient			642	417.3		90			Percent of total billed charges		577.8	40			Percent of total billed charges		256.8	80			Percent of total billed charges		513.6	90			Percent of total billed charges		577.8	85			Percent of total billed charges		545.7	85			Percent of total billed charges		545.7	85			Percent of total billed charges		545.7	100			Percent of total billed charges		642	100			Percent of total billed charges		642	100			Percent of total billed charges		642	33.3			Percent of total billed charges		213.786	33.3			Percent of total billed charges		213.786	100			Percent of total billed charges		642	213.786	577.8	
composite inter scr	278	RC	Outpatient			642	417.3		90			Percent of total billed charges		577.8	40			Percent of total billed charges		256.8	80			Percent of total billed charges		513.6	90			Percent of total billed charges		577.8	85			Percent of total billed charges		545.7	85			Percent of total billed charges		545.7	85			Percent of total billed charges		545.7	100			Percent of total billed charges		642	100			Percent of total billed charges		642	100			Percent of total billed charges		642	33.3			Percent of total billed charges		213.786	33.3			Percent of total billed charges		213.786	100			Percent of total billed charges		642	213.786	577.8	
depuy srom fem sleeve plu	278	RC	Outpatient			642	417.3		90			Percent of total billed charges		577.8	40			Percent of total billed charges		256.8	80			Percent of total billed charges		513.6	90			Percent of total billed charges		577.8	85			Percent of total billed charges		545.7	85			Percent of total billed charges		545.7	85			Percent of total billed charges		545.7	100			Percent of total billed charges		642	100			Percent of total billed charges		642	100			Percent of total billed charges		642	33.3			Percent of total billed charges		213.786	33.3			Percent of total billed charges		213.786	100			Percent of total billed charges		642	213.786	577.8	
fast fix ndl del system 7207876 s/n	278	RC	Outpatient			642	417.3		90			Percent of total billed charges		577.8	40			Percent of total billed charges		256.8	80			Percent of total billed charges		513.6	90			Percent of total billed charges		577.8	85			Percent of total billed charges		545.7	85			Percent of total billed charges		545.7	85			Percent of total billed charges		545.7	100			Percent of total billed charges		642	100			Percent of total billed charges		642	100			Percent of total billed charges		642	33.3			Percent of total billed charges		213.786	33.3			Percent of total billed charges		213.786	100			Percent of total billed charges		642	213.786	577.8	
fast-fix needle del sys	278	RC	Outpatient			642	417.3		90			Percent of total billed charges		577.8	40			Percent of total billed charges		256.8	80			Percent of total billed charges		513.6	90			Percent of total billed charges		577.8	85			Percent of total billed charges		545.7	85			Percent of total billed charges		545.7	85			Percent of total billed charges		545.7	100			Percent of total billed charges		642	100			Percent of total billed charges		642	100			Percent of total billed charges		642	33.3			Percent of total billed charges		213.786	33.3			Percent of total billed charges		213.786	100			Percent of total billed charges		642	213.786	577.8	
fast fix ndl del system 7207877 s/n	278	RC	Outpatient			642	417.3		90			Percent of total billed charges		577.8	40			Percent of total billed charges		256.8	80			Percent of total billed charges		513.6	90			Percent of total billed charges		577.8	85			Percent of total billed charges		545.7	85			Percent of total billed charges		545.7	85			Percent of total billed charges		545.7	100			Percent of total billed charges		642	100			Percent of total billed charges		642	100			Percent of total billed charges		642	33.3			Percent of total billed charges		213.786	33.3			Percent of total billed charges		213.786	100			Percent of total billed charges		642	213.786	577.8	
gore-tex cardiovsclr ptch	278	RC	Outpatient			642	417.3		90			Percent of total billed charges		577.8	40			Percent of total billed charges		256.8	80			Percent of total billed charges		513.6	90			Percent of total billed charges		577.8	85			Percent of total billed charges		545.7	85			Percent of total billed charges		545.7	85			Percent of total billed charges		545.7	100			Percent of total billed charges		642	100			Percent of total billed charges		642	100			Percent of total billed charges		642	33.3			Percent of total billed charges		213.786	33.3			Percent of total billed charges		213.786	100			Percent of total billed charges		642	213.786	577.8	
graft cardiovascular patch 5 x 7.5cm .6mm 1705007506 gorwl	278	RC	Outpatient			642	417.3		90			Percent of total billed charges		577.8	40			Percent of total billed charges		256.8	80			Percent of total billed charges		513.6	90			Percent of total billed charges		577.8	85			Percent of total billed charges		545.7	85			Percent of total billed charges		545.7	85			Percent of total billed charges		545.7	100			Percent of total billed charges		642	100			Percent of total billed charges		642	100			Percent of total billed charges		642	33.3			Percent of total billed charges		213.786	33.3			Percent of total billed charges		213.786	100			Percent of total billed charges		642	213.786	577.8	
gyrus pks forcep-open	272	RC	Outpatient			642	417.3		90			Percent of total billed charges		577.8	40			Percent of total billed charges		256.8	80			Percent of total billed charges		513.6	90			Percent of total billed charges		577.8	85			Percent of total billed charges		545.7	85			Percent of total billed charges		545.7	85			Percent of total billed charges		545.7	100			Percent of total billed charges		642	100			Percent of total billed charges		642	100			Percent of total billed charges		642	33.3			Percent of total billed charges		213.786	33.3			Percent of total billed charges		213.786	100			Percent of total billed charges		642	213.786	577.8	
original feeding button	270	RC	Outpatient			642	417.3		90			Percent of total billed charges		577.8	40			Percent of total billed charges		256.8	80			Percent of total billed charges		513.6	90			Percent of total billed charges		577.8	85			Percent of total billed charges		545.7	85			Percent of total billed charges		545.7	85			Percent of total billed charges		545.7	100			Percent of total billed charges		642	100			Percent of total billed charges		642	100			Percent of total billed charges		642	33.3			Percent of total billed charges		213.786	33.3			Percent of total billed charges		213.786	100			Percent of total billed charges		642	213.786	577.8	
pks open seal  forcep 5mm 915000pk gyrus/acmi	272	RC	Outpatient			642	417.3		90			Percent of total billed charges		577.8	40			Percent of total billed charges		256.8	80			Percent of total billed charges		513.6	90			Percent of total billed charges		577.8	85			Percent of total billed charges		545.7	85			Percent of total billed charges		545.7	85			Percent of total billed charges		545.7	100			Percent of total billed charges		642	100			Percent of total billed charges		642	100			Percent of total billed charges		642	33.3			Percent of total billed charges		213.786	33.3			Percent of total billed charges		213.786	100			Percent of total billed charges		642	213.786	577.8	
straight-in handle	272	RC	Outpatient			642	417.3		90			Percent of total billed charges		577.8	40			Percent of total billed charges		256.8	80			Percent of total billed charges		513.6	90			Percent of total billed charges		577.8	85			Percent of total billed charges		545.7	85			Percent of total billed charges		545.7	85			Percent of total billed charges		545.7	100			Percent of total billed charges		642	100			Percent of total billed charges		642	100			Percent of total billed charges		642	33.3			Percent of total billed charges		213.786	33.3			Percent of total billed charges		213.786	100			Percent of total billed charges		642	213.786	577.8	
s-rom med fem sleeve 62-6010 depuy	278	RC	Outpatient			642	417.3		90			Percent of total billed charges		577.8	40			Percent of total billed charges		256.8	80			Percent of total billed charges		513.6	90			Percent of total billed charges		577.8	85			Percent of total billed charges		545.7	85			Percent of total billed charges		545.7	85			Percent of total billed charges		545.7	100			Percent of total billed charges		642	100			Percent of total billed charges		642	100			Percent of total billed charges		642	33.3			Percent of total billed charges		213.786	33.3			Percent of total billed charges		213.786	100			Percent of total billed charges		642	213.786	577.8	
vitagel 2.0 ml	272	RC	Outpatient			642	417.3		90			Percent of total billed charges		577.8	40			Percent of total billed charges		256.8	80			Percent of total billed charges		513.6	90			Percent of total billed charges		577.8	85			Percent of total billed charges		545.7	85			Percent of total billed charges		545.7	85			Percent of total billed charges		545.7	100			Percent of total billed charges		642	100			Percent of total billed charges		642	100			Percent of total billed charges		642	33.3			Percent of total billed charges		213.786	33.3			Percent of total billed charges		213.786	100			Percent of total billed charges		642	213.786	577.8	
s/n  5.5 cannulated screw 110mm 7110-6110	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 can screw  52mm titanium 7110 -5052	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 can screw  54mm titanium 7110 -5054	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 can screw 20mm titanium 7110 -5020	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 can screw 56mm titanium 7110 -5056	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 can screw 65mm titanium 7110 -5065	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 can screw 80mm titanium 7110 -5080	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw  100mm  7112 -6100	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw  105mm  7112 -6105	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw  120mm  7112 -6120	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw  20mm 7110-6020	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw  20mm 7112 -5020	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw  22mm 7110-6022	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw  26mm  7112 -5030	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw  28mm 7110-6028	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw  28mm 7112 -5028	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw  30mm 7110-6030	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw  32mm  7112 -5032	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw  32mm 7110-6032	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw  34mm 7110-6034	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw  38mm  7112 -6038	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw  44mm  7112 -5044	272	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw  44mm 7110-6044	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw  48mm  7112 -5048	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw  52mm  7112 -6052	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw  54mm  7112 -5054	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw  54mm 7110-6054	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw  56mm  7112 -5056	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw  56mm  7112 -6056	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw  58mm  7112 -6058	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw  58mm 7110-6058	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw  75mm 7112 -5075	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw  80mm 7112 -6080	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw  85mm  7112 -6085	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw  90mm 7110-6090	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw  95mm 7112 -5095	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 105mm 7110 -5105	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 105mm 7112 -5105	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 110mm  7112 -6110	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 110mm 7112 -5110	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 115mm 7110 -5115	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 120mm 7110-6120	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 16mm 26mm 7110 -5026	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 16mm 28mm 7110 -5028	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 16mm 40mm 7110 -5040	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 16mm 42mm 7110 -5042	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 16mm 46mm 7110 -5046	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 16mm 48mm 7110 -5048	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 22mm 7112 -5022	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 28mm 7112 -6028	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 32mm 105mm 7112 -4105	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 32mm 56mm 7112 -4056	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 32mm 60mm 7112 -4060	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 32mm 65mm 7112 -4065	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 32mm 75mm 7112 -4075	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 32mm 80mm 7112 -4080	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 32mm 85mm 7112 -4085	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 32mm 90mm 7112 -4090	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 36mm  7112 -6036	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 42mm  7112 -5042	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 42mm  7112 -6042	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 44mm  7112 -6044	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 46mm  7112 -6046	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 50mm  7112 -5050	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 52mm  7112 -5052	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 52mm 7110-6052	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 60mm  7112 -5060	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 70mm 7110-6070	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n t-plate 4 hole	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
t-plate 4 hole w/pf hole 7113-1604 s/n	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 can screw 58mm titanium 7110 -5058	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 can screw 60mm titanium 7110 -5060	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 can screw 70mm titanium 7110 -5070	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 can screw 75mm titanium 7110 -5075	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw  110mm 7110-5110	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw  120mm  7112 -5120	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw  26mm  7112 -5026	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw  36mm  7112 -5036	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw  36mm 7110-6036	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw  40mm  7112 -5040	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw  40mm 7110-6040	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw  42mm 7110-6042	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw  46mm  7112 -5046	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw  48mm 7110-6048	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw  50mm  7112 -6050	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw  50mm 7110-6050	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw  54mm  7112 -6054	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw  58mm  7112 -5058	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw  60mm  7112 -6060	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw  60mm 7110-6060	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw  65mm  7112 -5065	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw  65mm  7112 -6065	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw  65mm 7110-6065	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw  70mm  7112 -6070	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw  70mm 7112 -5070	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw  75mm 7110-6075	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw  80mm 7110-6080	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw  80mm 7112 -5080	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw  85mm 7110-6085	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw  90mm  7112 -5090	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw  90mm  7112 -6090	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw  95mm  7112 -6095	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 100mm 7110 -5100	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 100mm 7110-6100	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 105mm 7110-6105	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 115mm  7112 -6115	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 115mm 7110-6115	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 115mm 7112 -5115	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 120mm 7110 -5120	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 16mm 22mm 7110 -5022	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 16mm 30mm 7110 -5030	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 16mm 32mm 7110 -5032	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 16mm 34mm 7110 -5034	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 16mm 36mm 7110 -5036	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 16mm 38mm 7110 -5038	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 16mm 44mm 7110 -5044	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 16mm 50mm 7110 -5050	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 16mm 85mm 7110 -5085	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 20mm 7112 -6020	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 22mm 7112 -6022	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 24mm  7112 -6024	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 24mm 7110-6024	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 26mm  7112 -6026	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 26mm 7110-6026	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 30mm  7112 -6030	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 32mm  7112 -6032	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 32mm 100mm 7112 -4100	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 32mm 110mm 7112 -4110	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 32mm 115mm 7112 -4115	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 32mm 120mm 7112 -4120	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 32mm 44mm 7112 -4044	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 32mm 46mm 7112 -4046	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 32mm 48mm 7112 -4048	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 32mm 50mm 7112 -4050	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 32mm 52mm 7112 -4052	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 32mm 54mm 7112 -4054	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 32mm 70mm 7112 -4070	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 38mm 7110-6038	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 38mm 7112 -5038	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 46mm 7110-6046	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 75mm  7112 -6075	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 85mm  7112 -5085	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 90mm 7110 -5090	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
s/n 5.5 cannulated screw 95mm 7110 -5095	278	RC	Outpatient			643	417.95		90			Percent of total billed charges		578.7	40			Percent of total billed charges		257.2	80			Percent of total billed charges		514.4	90			Percent of total billed charges		578.7	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	85			Percent of total billed charges		546.55	100			Percent of total billed charges		643	100			Percent of total billed charges		643	100			Percent of total billed charges		643	33.3			Percent of total billed charges		214.119	33.3			Percent of total billed charges		214.119	100			Percent of total billed charges		643	214.119	578.7	
fast-fix meniscal repair system 7207877 s/n	272	RC	Outpatient			644	418.6		90			Percent of total billed charges		579.6	40			Percent of total billed charges		257.6	80			Percent of total billed charges		515.2	90			Percent of total billed charges		579.6	85			Percent of total billed charges		547.4	85			Percent of total billed charges		547.4	85			Percent of total billed charges		547.4	100			Percent of total billed charges		644	100			Percent of total billed charges		644	100			Percent of total billed charges		644	33.3			Percent of total billed charges		214.452	33.3			Percent of total billed charges		214.452	100			Percent of total billed charges		644	214.452	579.6	
meniscal repair system	272	RC	Outpatient			644	418.6		90			Percent of total billed charges		579.6	40			Percent of total billed charges		257.6	80			Percent of total billed charges		515.2	90			Percent of total billed charges		579.6	85			Percent of total billed charges		547.4	85			Percent of total billed charges		547.4	85			Percent of total billed charges		547.4	100			Percent of total billed charges		644	100			Percent of total billed charges		644	100			Percent of total billed charges		644	33.3			Percent of total billed charges		214.452	33.3			Percent of total billed charges		214.452	100			Percent of total billed charges		644	214.452	579.6	
s/n sureshot guide	272	RC	Outpatient			644	418.6		90			Percent of total billed charges		579.6	40			Percent of total billed charges		257.6	80			Percent of total billed charges		515.2	90			Percent of total billed charges		579.6	85			Percent of total billed charges		547.4	85			Percent of total billed charges		547.4	85			Percent of total billed charges		547.4	100			Percent of total billed charges		644	100			Percent of total billed charges		644	100			Percent of total billed charges		644	33.3			Percent of total billed charges		214.452	33.3			Percent of total billed charges		214.452	100			Percent of total billed charges		644	214.452	579.6	
sorbafix 30 0113116 bard	278	RC	Outpatient			644	418.6		90			Percent of total billed charges		579.6	40			Percent of total billed charges		257.6	80			Percent of total billed charges		515.2	90			Percent of total billed charges		579.6	85			Percent of total billed charges		547.4	85			Percent of total billed charges		547.4	85			Percent of total billed charges		547.4	100			Percent of total billed charges		644	100			Percent of total billed charges		644	100			Percent of total billed charges		644	33.3			Percent of total billed charges		214.452	33.3			Percent of total billed charges		214.452	100			Percent of total billed charges		644	214.452	579.6	
sureshot meta standard drill guide probe 71692814 s/n	272	RC	Outpatient			644	418.6		90			Percent of total billed charges		579.6	40			Percent of total billed charges		257.6	80			Percent of total billed charges		515.2	90			Percent of total billed charges		579.6	85			Percent of total billed charges		547.4	85			Percent of total billed charges		547.4	85			Percent of total billed charges		547.4	100			Percent of total billed charges		644	100			Percent of total billed charges		644	100			Percent of total billed charges		644	33.3			Percent of total billed charges		214.452	33.3			Percent of total billed charges		214.452	100			Percent of total billed charges		644	214.452	579.6	
twin fix screw	278	RC	Outpatient			644	418.6		90			Percent of total billed charges		579.6	40			Percent of total billed charges		257.6	80			Percent of total billed charges		515.2	90			Percent of total billed charges		579.6	85			Percent of total billed charges		547.4	85			Percent of total billed charges		547.4	85			Percent of total billed charges		547.4	100			Percent of total billed charges		644	100			Percent of total billed charges		644	100			Percent of total billed charges		644	33.3			Percent of total billed charges		214.452	33.3			Percent of total billed charges		214.452	100			Percent of total billed charges		644	214.452	579.6	
twinfix screw 3.2 x 26mm 58-30426 styrker	278	RC	Outpatient			644	418.6		90			Percent of total billed charges		579.6	40			Percent of total billed charges		257.6	80			Percent of total billed charges		515.2	90			Percent of total billed charges		579.6	85			Percent of total billed charges		547.4	85			Percent of total billed charges		547.4	85			Percent of total billed charges		547.4	100			Percent of total billed charges		644	100			Percent of total billed charges		644	100			Percent of total billed charges		644	33.3			Percent of total billed charges		214.452	33.3			Percent of total billed charges		214.452	100			Percent of total billed charges		644	214.452	579.6	
arthrex round delta biocomposite screw 8 x 28mm ar-5028c-08	272	RC	Outpatient			645	419.25		90			Percent of total billed charges		580.5	40			Percent of total billed charges		258	80			Percent of total billed charges		516	90			Percent of total billed charges		580.5	85			Percent of total billed charges		548.25	85			Percent of total billed charges		548.25	85			Percent of total billed charges		548.25	100			Percent of total billed charges		645	100			Percent of total billed charges		645	100			Percent of total billed charges		645	33.3			Percent of total billed charges		214.785	33.3			Percent of total billed charges		214.785	100			Percent of total billed charges		645	214.785	580.5	
arthrex bid-comp scr delt	272	RC	Outpatient			645	419.25		90			Percent of total billed charges		580.5	40			Percent of total billed charges		258	80			Percent of total billed charges		516	90			Percent of total billed charges		580.5	85			Percent of total billed charges		548.25	85			Percent of total billed charges		548.25	85			Percent of total billed charges		548.25	100			Percent of total billed charges		645	100			Percent of total billed charges		645	100			Percent of total billed charges		645	33.3			Percent of total billed charges		214.785	33.3			Percent of total billed charges		214.785	100			Percent of total billed charges		645	214.785	580.5	
arthrex interferance screw 7 x 20   ar-1370e	272	RC	Outpatient			645	419.25		90			Percent of total billed charges		580.5	40			Percent of total billed charges		258	80			Percent of total billed charges		516	90			Percent of total billed charges		580.5	85			Percent of total billed charges		548.25	85			Percent of total billed charges		548.25	85			Percent of total billed charges		548.25	100			Percent of total billed charges		645	100			Percent of total billed charges		645	100			Percent of total billed charges		645	33.3			Percent of total billed charges		214.785	33.3			Percent of total billed charges		214.785	100			Percent of total billed charges		645	214.785	580.5	
arthrex interferance screw 8 x 20   ar-1380e	272	RC	Outpatient			645	419.25		90			Percent of total billed charges		580.5	40			Percent of total billed charges		258	80			Percent of total billed charges		516	90			Percent of total billed charges		580.5	85			Percent of total billed charges		548.25	85			Percent of total billed charges		548.25	85			Percent of total billed charges		548.25	100			Percent of total billed charges		645	100			Percent of total billed charges		645	100			Percent of total billed charges		645	33.3			Percent of total billed charges		214.785	33.3			Percent of total billed charges		214.785	100			Percent of total billed charges		645	214.785	580.5	
arthrex round delta biocomposite screw 10 x 28mm ar-5028c-10	272	RC	Outpatient			645	419.25		90			Percent of total billed charges		580.5	40			Percent of total billed charges		258	80			Percent of total billed charges		516	90			Percent of total billed charges		580.5	85			Percent of total billed charges		548.25	85			Percent of total billed charges		548.25	85			Percent of total billed charges		548.25	100			Percent of total billed charges		645	100			Percent of total billed charges		645	100			Percent of total billed charges		645	33.3			Percent of total billed charges		214.785	33.3			Percent of total billed charges		214.785	100			Percent of total billed charges		645	214.785	580.5	
arthrex round delta biocomposite screw 11 x 28mm ar-5028c-11	272	RC	Outpatient			645	419.25		90			Percent of total billed charges		580.5	40			Percent of total billed charges		258	80			Percent of total billed charges		516	90			Percent of total billed charges		580.5	85			Percent of total billed charges		548.25	85			Percent of total billed charges		548.25	85			Percent of total billed charges		548.25	100			Percent of total billed charges		645	100			Percent of total billed charges		645	100			Percent of total billed charges		645	33.3			Percent of total billed charges		214.785	33.3			Percent of total billed charges		214.785	100			Percent of total billed charges		645	214.785	580.5	
arthrex round delta biocomposite screw 9 x 28mm ar-5028c-09	272	RC	Outpatient			645	419.25		90			Percent of total billed charges		580.5	40			Percent of total billed charges		258	80			Percent of total billed charges		516	90			Percent of total billed charges		580.5	85			Percent of total billed charges		548.25	85			Percent of total billed charges		548.25	85			Percent of total billed charges		548.25	100			Percent of total billed charges		645	100			Percent of total billed charges		645	100			Percent of total billed charges		645	33.3			Percent of total billed charges		214.785	33.3			Percent of total billed charges		214.785	100			Percent of total billed charges		645	214.785	580.5	
echelon flex 60 cutter ec60a ethicon	272	RC	Outpatient			645	419.25		90			Percent of total billed charges		580.5	40			Percent of total billed charges		258	80			Percent of total billed charges		516	90			Percent of total billed charges		580.5	85			Percent of total billed charges		548.25	85			Percent of total billed charges		548.25	85			Percent of total billed charges		548.25	100			Percent of total billed charges		645	100			Percent of total billed charges		645	100			Percent of total billed charges		645	33.3			Percent of total billed charges		214.785	33.3			Percent of total billed charges		214.785	100			Percent of total billed charges		645	214.785	580.5	
echelon flex 60 stapler	272	RC	Outpatient			645	419.25		90			Percent of total billed charges		580.5	40			Percent of total billed charges		258	80			Percent of total billed charges		516	90			Percent of total billed charges		580.5	85			Percent of total billed charges		548.25	85			Percent of total billed charges		548.25	85			Percent of total billed charges		548.25	100			Percent of total billed charges		645	100			Percent of total billed charges		645	100			Percent of total billed charges		645	33.3			Percent of total billed charges		214.785	33.3			Percent of total billed charges		214.785	100			Percent of total billed charges		645	214.785	580.5	
echolon flex 60 endo linear cutter ec60a ethicon	272	RC	Outpatient			645	419.25		90			Percent of total billed charges		580.5	40			Percent of total billed charges		258	80			Percent of total billed charges		516	90			Percent of total billed charges		580.5	85			Percent of total billed charges		548.25	85			Percent of total billed charges		548.25	85			Percent of total billed charges		548.25	100			Percent of total billed charges		645	100			Percent of total billed charges		645	100			Percent of total billed charges		645	33.3			Percent of total billed charges		214.785	33.3			Percent of total billed charges		214.785	100			Percent of total billed charges		645	214.785	580.5	
stapler echelon flex 60	272	RC	Outpatient			645	419.25		90			Percent of total billed charges		580.5	40			Percent of total billed charges		258	80			Percent of total billed charges		516	90			Percent of total billed charges		580.5	85			Percent of total billed charges		548.25	85			Percent of total billed charges		548.25	85			Percent of total billed charges		548.25	100			Percent of total billed charges		645	100			Percent of total billed charges		645	100			Percent of total billed charges		645	33.3			Percent of total billed charges		214.785	33.3			Percent of total billed charges		214.785	100			Percent of total billed charges		645	214.785	580.5	
biomet twist drill bit	272	RC	Outpatient			646	419.9		90			Percent of total billed charges		581.4	40			Percent of total billed charges		258.4	80			Percent of total billed charges		516.8	90			Percent of total billed charges		581.4	85			Percent of total billed charges		549.1	85			Percent of total billed charges		549.1	85			Percent of total billed charges		549.1	100			Percent of total billed charges		646	100			Percent of total billed charges		646	100			Percent of total billed charges		646	33.3			Percent of total billed charges		215.118	33.3			Percent of total billed charges		215.118	100			Percent of total billed charges		646	215.118	581.4	
cocr 12/14 taper femoral head 28mm - 3  71302803 s/n	278	RC	Outpatient			647	420.55		90			Percent of total billed charges		582.3	40			Percent of total billed charges		258.8	80			Percent of total billed charges		517.6	90			Percent of total billed charges		582.3	85			Percent of total billed charges		549.95	85			Percent of total billed charges		549.95	85			Percent of total billed charges		549.95	100			Percent of total billed charges		647	100			Percent of total billed charges		647	100			Percent of total billed charges		647	33.3			Percent of total billed charges		215.451	33.3			Percent of total billed charges		215.451	100			Percent of total billed charges		647	215.451	582.3	
cocr femoral head 12/14 28mm +0 71302800 s/n	278	RC	Outpatient			647	420.55		90			Percent of total billed charges		582.3	40			Percent of total billed charges		258.8	80			Percent of total billed charges		517.6	90			Percent of total billed charges		582.3	85			Percent of total billed charges		549.95	85			Percent of total billed charges		549.95	85			Percent of total billed charges		549.95	100			Percent of total billed charges		647	100			Percent of total billed charges		647	100			Percent of total billed charges		647	33.3			Percent of total billed charges		215.451	33.3			Percent of total billed charges		215.451	100			Percent of total billed charges		647	215.451	582.3	
cocr tapered femoral head 12/14 28mm +12 71302812 s/n	278	RC	Outpatient			647	420.55		90			Percent of total billed charges		582.3	40			Percent of total billed charges		258.8	80			Percent of total billed charges		517.6	90			Percent of total billed charges		582.3	85			Percent of total billed charges		549.95	85			Percent of total billed charges		549.95	85			Percent of total billed charges		549.95	100			Percent of total billed charges		647	100			Percent of total billed charges		647	100			Percent of total billed charges		647	33.3			Percent of total billed charges		215.451	33.3			Percent of total billed charges		215.451	100			Percent of total billed charges		647	215.451	582.3	
cocr tapered femoral head 12/14 28mm +4 71302804 s/n	278	RC	Outpatient			647	420.55		90			Percent of total billed charges		582.3	40			Percent of total billed charges		258.8	80			Percent of total billed charges		517.6	90			Percent of total billed charges		582.3	85			Percent of total billed charges		549.95	85			Percent of total billed charges		549.95	85			Percent of total billed charges		549.95	100			Percent of total billed charges		647	100			Percent of total billed charges		647	100			Percent of total billed charges		647	33.3			Percent of total billed charges		215.451	33.3			Percent of total billed charges		215.451	100			Percent of total billed charges		647	215.451	582.3	
cocr tapered femoral head 12/14 28mm +8 71302808 s/n	278	RC	Outpatient			647	420.55		90			Percent of total billed charges		582.3	40			Percent of total billed charges		258.8	80			Percent of total billed charges		517.6	90			Percent of total billed charges		582.3	85			Percent of total billed charges		549.95	85			Percent of total billed charges		549.95	85			Percent of total billed charges		549.95	100			Percent of total billed charges		647	100			Percent of total billed charges		647	100			Percent of total billed charges		647	33.3			Percent of total billed charges		215.451	33.3			Percent of total billed charges		215.451	100			Percent of total billed charges		647	215.451	582.3	
i.o. lens pharmacia	276	RC	Outpatient			647	420.55		90			Percent of total billed charges		582.3	40			Percent of total billed charges		258.8	80			Percent of total billed charges		517.6	90			Percent of total billed charges		582.3	85			Percent of total billed charges		549.95	85			Percent of total billed charges		549.95	85			Percent of total billed charges		549.95	100			Percent of total billed charges		647	100			Percent of total billed charges		647	100			Percent of total billed charges		647	33.3			Percent of total billed charges		215.451	33.3			Percent of total billed charges		215.451	100			Percent of total billed charges		647	215.451	582.3	
stryker asnis can 65 scr	278	RC	Outpatient			647	420.55		90			Percent of total billed charges		582.3	40			Percent of total billed charges		258.8	80			Percent of total billed charges		517.6	90			Percent of total billed charges		582.3	85			Percent of total billed charges		549.95	85			Percent of total billed charges		549.95	85			Percent of total billed charges		549.95	100			Percent of total billed charges		647	100			Percent of total billed charges		647	100			Percent of total billed charges		647	33.3			Percent of total billed charges		215.451	33.3			Percent of total billed charges		215.451	100			Percent of total billed charges		647	215.451	582.3	
ti asnis ii cannulated screw 6.5 x 45 602645s stryker	278	RC	Outpatient			647	420.55		90			Percent of total billed charges		582.3	40			Percent of total billed charges		258.8	80			Percent of total billed charges		517.6	90			Percent of total billed charges		582.3	85			Percent of total billed charges		549.95	85			Percent of total billed charges		549.95	85			Percent of total billed charges		549.95	100			Percent of total billed charges		647	100			Percent of total billed charges		647	100			Percent of total billed charges		647	33.3			Percent of total billed charges		215.451	33.3			Percent of total billed charges		215.451	100			Percent of total billed charges		647	215.451	582.3	
ti asnis ii cannulated screw 6.5 x 55 602655s stryker	278	RC	Outpatient			647	420.55		90			Percent of total billed charges		582.3	40			Percent of total billed charges		258.8	80			Percent of total billed charges		517.6	90			Percent of total billed charges		582.3	85			Percent of total billed charges		549.95	85			Percent of total billed charges		549.95	85			Percent of total billed charges		549.95	100			Percent of total billed charges		647	100			Percent of total billed charges		647	100			Percent of total billed charges		647	33.3			Percent of total billed charges		215.451	33.3			Percent of total billed charges		215.451	100			Percent of total billed charges		647	215.451	582.3	
s/n cc fem head tpr	278	RC	Outpatient			647	420.55		90			Percent of total billed charges		582.3	40			Percent of total billed charges		258.8	80			Percent of total billed charges		517.6	90			Percent of total billed charges		582.3	85			Percent of total billed charges		549.95	85			Percent of total billed charges		549.95	85			Percent of total billed charges		549.95	100			Percent of total billed charges		647	100			Percent of total billed charges		647	100			Percent of total billed charges		647	33.3			Percent of total billed charges		215.451	33.3			Percent of total billed charges		215.451	100			Percent of total billed charges		647	215.451	582.3	
3.5mm reconstruction plate 14 hole 245.04	278	RC	Outpatient			648	421.2		90			Percent of total billed charges		583.2	40			Percent of total billed charges		259.2	80			Percent of total billed charges		518.4	90			Percent of total billed charges		583.2	85			Percent of total billed charges		550.8	85			Percent of total billed charges		550.8	85			Percent of total billed charges		550.8	100			Percent of total billed charges		648	100			Percent of total billed charges		648	100			Percent of total billed charges		648	33.3			Percent of total billed charges		215.784	33.3			Percent of total billed charges		215.784	100			Percent of total billed charges		648	215.784	583.2	
cable assembly 1.8 x 635mm 2232-04-18 zimmer	278	RC	Outpatient			648	421.2		90			Percent of total billed charges		583.2	40			Percent of total billed charges		259.2	80			Percent of total billed charges		518.4	90			Percent of total billed charges		583.2	85			Percent of total billed charges		550.8	85			Percent of total billed charges		550.8	85			Percent of total billed charges		550.8	100			Percent of total billed charges		648	100			Percent of total billed charges		648	100			Percent of total billed charges		648	33.3			Percent of total billed charges		215.784	33.3			Percent of total billed charges		215.784	100			Percent of total billed charges		648	215.784	583.2	
3.5mm reconstruction plate 13 hole 245.03	278	RC	Outpatient			648	421.2		90			Percent of total billed charges		583.2	40			Percent of total billed charges		259.2	80			Percent of total billed charges		518.4	90			Percent of total billed charges		583.2	85			Percent of total billed charges		550.8	85			Percent of total billed charges		550.8	85			Percent of total billed charges		550.8	100			Percent of total billed charges		648	100			Percent of total billed charges		648	100			Percent of total billed charges		648	33.3			Percent of total billed charges		215.784	33.3			Percent of total billed charges		215.784	100			Percent of total billed charges		648	215.784	583.2	
syn 3.5 recon plt 13-14hl	278	RC	Outpatient			648	421.2		90			Percent of total billed charges		583.2	40			Percent of total billed charges		259.2	80			Percent of total billed charges		518.4	90			Percent of total billed charges		583.2	85			Percent of total billed charges		550.8	85			Percent of total billed charges		550.8	85			Percent of total billed charges		550.8	100			Percent of total billed charges		648	100			Percent of total billed charges		648	100			Percent of total billed charges		648	33.3			Percent of total billed charges		215.784	33.3			Percent of total billed charges		215.784	100			Percent of total billed charges		648	215.784	583.2	
zimm 1.8 intgralcrimp cbl	278	RC	Outpatient			648	421.2		90			Percent of total billed charges		583.2	40			Percent of total billed charges		259.2	80			Percent of total billed charges		518.4	90			Percent of total billed charges		583.2	85			Percent of total billed charges		550.8	85			Percent of total billed charges		550.8	85			Percent of total billed charges		550.8	100			Percent of total billed charges		648	100			Percent of total billed charges		648	100			Percent of total billed charges		648	33.3			Percent of total billed charges		215.784	33.3			Percent of total billed charges		215.784	100			Percent of total billed charges		648	215.784	583.2	
s/n 4.0 cannulated drill bit 7111-9007	272	RC	Outpatient			649	421.85		90			Percent of total billed charges		584.1	40			Percent of total billed charges		259.6	80			Percent of total billed charges		519.2	90			Percent of total billed charges		584.1	85			Percent of total billed charges		551.65	85			Percent of total billed charges		551.65	85			Percent of total billed charges		551.65	100			Percent of total billed charges		649	100			Percent of total billed charges		649	100			Percent of total billed charges		649	33.3			Percent of total billed charges		216.117	33.3			Percent of total billed charges		216.117	100			Percent of total billed charges		649	216.117	584.1	
s/n drill bit 4.0 cann	272	RC	Outpatient			649	421.85		90			Percent of total billed charges		584.1	40			Percent of total billed charges		259.6	80			Percent of total billed charges		519.2	90			Percent of total billed charges		584.1	85			Percent of total billed charges		551.65	85			Percent of total billed charges		551.65	85			Percent of total billed charges		551.65	100			Percent of total billed charges		649	100			Percent of total billed charges		649	100			Percent of total billed charges		649	33.3			Percent of total billed charges		216.117	33.3			Percent of total billed charges		216.117	100			Percent of total billed charges		649	216.117	584.1	
stage one cement spacer mold hip  neck 431187 biomet	272	RC	Outpatient			649	421.85		90			Percent of total billed charges		584.1	40			Percent of total billed charges		259.6	80			Percent of total billed charges		519.2	90			Percent of total billed charges		584.1	85			Percent of total billed charges		551.65	85			Percent of total billed charges		551.65	85			Percent of total billed charges		551.65	100			Percent of total billed charges		649	100			Percent of total billed charges		649	100			Percent of total billed charges		649	33.3			Percent of total billed charges		216.117	33.3			Percent of total billed charges		216.117	100			Percent of total billed charges		649	216.117	584.1	
4.8 cannulated drill bit 1100-69 s/n	270	RC	Outpatient			650	422.5		90			Percent of total billed charges		585	40			Percent of total billed charges		260	80			Percent of total billed charges		520	90			Percent of total billed charges		585	85			Percent of total billed charges		552.5	85			Percent of total billed charges		552.5	85			Percent of total billed charges		552.5	100			Percent of total billed charges		650	100			Percent of total billed charges		650	100			Percent of total billed charges		650	33.3			Percent of total billed charges		216.45	33.3			Percent of total billed charges		216.45	100			Percent of total billed charges		650	216.45	585	
balloon trocar system	272	RC	Outpatient			650	422.5		90			Percent of total billed charges		585	40			Percent of total billed charges		260	80			Percent of total billed charges		520	90			Percent of total billed charges		585	85			Percent of total billed charges		552.5	85			Percent of total billed charges		552.5	85			Percent of total billed charges		552.5	100			Percent of total billed charges		650	100			Percent of total billed charges		650	100			Percent of total billed charges		650	33.3			Percent of total billed charges		216.45	33.3			Percent of total billed charges		216.45	100			Percent of total billed charges		650	216.45	585	
cosmetic - laser hair removal - bikini line pkg of 5 sessions	983	RC	Outpatient			650	422.5		90			Percent of total billed charges		585	40			Percent of total billed charges		260	80			Percent of total billed charges		520	90			Percent of total billed charges		585	85			Percent of total billed charges		552.5	85			Percent of total billed charges		552.5	85			Percent of total billed charges		552.5	100			Percent of total billed charges		650	100			Percent of total billed charges		650	100			Percent of total billed charges		650	33.3			Percent of total billed charges		216.45	33.3			Percent of total billed charges		216.45	100			Percent of total billed charges		650	216.45	585	
cosmetic - laser hair removal upper lip and chin - 5 sessions	983	RC	Outpatient			650	422.5		90			Percent of total billed charges		585	40			Percent of total billed charges		260	80			Percent of total billed charges		520	90			Percent of total billed charges		585	85			Percent of total billed charges		552.5	85			Percent of total billed charges		552.5	85			Percent of total billed charges		552.5	100			Percent of total billed charges		650	100			Percent of total billed charges		650	100			Percent of total billed charges		650	33.3			Percent of total billed charges		216.45	33.3			Percent of total billed charges		216.45	100			Percent of total billed charges		650	216.45	585	
oval balloon with structural ballon trocar smsbtovl ussc	272	RC	Outpatient			650	422.5		90			Percent of total billed charges		585	40			Percent of total billed charges		260	80			Percent of total billed charges		520	90			Percent of total billed charges		585	85			Percent of total billed charges		552.5	85			Percent of total billed charges		552.5	85			Percent of total billed charges		552.5	100			Percent of total billed charges		650	100			Percent of total billed charges		650	100			Percent of total billed charges		650	33.3			Percent of total billed charges		216.45	33.3			Percent of total billed charges		216.45	100			Percent of total billed charges		650	216.45	585	
s/n 4.8 cannul drill bit	270	RC	Outpatient			650	422.5		90			Percent of total billed charges		585	40			Percent of total billed charges		260	80			Percent of total billed charges		520	90			Percent of total billed charges		585	85			Percent of total billed charges		552.5	85			Percent of total billed charges		552.5	85			Percent of total billed charges		552.5	100			Percent of total billed charges		650	100			Percent of total billed charges		650	100			Percent of total billed charges		650	33.3			Percent of total billed charges		216.45	33.3			Percent of total billed charges		216.45	100			Percent of total billed charges		650	216.45	585	
"s/n small t plate,  7113-0403"	278	RC	Outpatient			650	422.5		90			Percent of total billed charges		585	40			Percent of total billed charges		260	80			Percent of total billed charges		520	90			Percent of total billed charges		585	85			Percent of total billed charges		552.5	85			Percent of total billed charges		552.5	85			Percent of total billed charges		552.5	100			Percent of total billed charges		650	100			Percent of total billed charges		650	100			Percent of total billed charges		650	33.3			Percent of total billed charges		216.45	33.3			Percent of total billed charges		216.45	100			Percent of total billed charges		650	216.45	585	
tray advanced perc tra in	270	RC	Outpatient			650	422.5		90			Percent of total billed charges		585	40			Percent of total billed charges		260	80			Percent of total billed charges		520	90			Percent of total billed charges		585	85			Percent of total billed charges		552.5	85			Percent of total billed charges		552.5	85			Percent of total billed charges		552.5	100			Percent of total billed charges		650	100			Percent of total billed charges		650	100			Percent of total billed charges		650	33.3			Percent of total billed charges		216.45	33.3			Percent of total billed charges		216.45	100			Percent of total billed charges		650	216.45	585	
s/n sm t-plate 3 hl	278	RC	Outpatient			650	422.5		90			Percent of total billed charges		585	40			Percent of total billed charges		260	80			Percent of total billed charges		520	90			Percent of total billed charges		585	85			Percent of total billed charges		552.5	85			Percent of total billed charges		552.5	85			Percent of total billed charges		552.5	100			Percent of total billed charges		650	100			Percent of total billed charges		650	100			Percent of total billed charges		650	33.3			Percent of total billed charges		216.45	33.3			Percent of total billed charges		216.45	100			Percent of total billed charges		650	216.45	585	
6.4 captured  screw 100 mm 7164-2300 s/n	278	RC	Outpatient			651	423.15		90			Percent of total billed charges		585.9	40			Percent of total billed charges		260.4	80			Percent of total billed charges		520.8	90			Percent of total billed charges		585.9	85			Percent of total billed charges		553.35	85			Percent of total billed charges		553.35	85			Percent of total billed charges		553.35	100			Percent of total billed charges		651	100			Percent of total billed charges		651	100			Percent of total billed charges		651	33.3			Percent of total billed charges		216.783	33.3			Percent of total billed charges		216.783	100			Percent of total billed charges		651	216.783	585.9	
6.4 captured  screw 115 mm 7164-2315 s/n	278	RC	Outpatient			651	423.15		90			Percent of total billed charges		585.9	40			Percent of total billed charges		260.4	80			Percent of total billed charges		520.8	90			Percent of total billed charges		585.9	85			Percent of total billed charges		553.35	85			Percent of total billed charges		553.35	85			Percent of total billed charges		553.35	100			Percent of total billed charges		651	100			Percent of total billed charges		651	100			Percent of total billed charges		651	33.3			Percent of total billed charges		216.783	33.3			Percent of total billed charges		216.783	100			Percent of total billed charges		651	216.783	585.9	
6.4 captured  screw 95 mm 7164-2395 s/n	278	RC	Outpatient			651	423.15		90			Percent of total billed charges		585.9	40			Percent of total billed charges		260.4	80			Percent of total billed charges		520.8	90			Percent of total billed charges		585.9	85			Percent of total billed charges		553.35	85			Percent of total billed charges		553.35	85			Percent of total billed charges		553.35	100			Percent of total billed charges		651	100			Percent of total billed charges		651	100			Percent of total billed charges		651	33.3			Percent of total billed charges		216.783	33.3			Percent of total billed charges		216.783	100			Percent of total billed charges		651	216.783	585.9	
6.4 captured  screw 105 mm 7164-2305 s/n	278	RC	Outpatient			651	423.15		90			Percent of total billed charges		585.9	40			Percent of total billed charges		260.4	80			Percent of total billed charges		520.8	90			Percent of total billed charges		585.9	85			Percent of total billed charges		553.35	85			Percent of total billed charges		553.35	85			Percent of total billed charges		553.35	100			Percent of total billed charges		651	100			Percent of total billed charges		651	100			Percent of total billed charges		651	33.3			Percent of total billed charges		216.783	33.3			Percent of total billed charges		216.783	100			Percent of total billed charges		651	216.783	585.9	
6.4 captured  screw 110 mm 7164-2310 s/n	278	RC	Outpatient			651	423.15		90			Percent of total billed charges		585.9	40			Percent of total billed charges		260.4	80			Percent of total billed charges		520.8	90			Percent of total billed charges		585.9	85			Percent of total billed charges		553.35	85			Percent of total billed charges		553.35	85			Percent of total billed charges		553.35	100			Percent of total billed charges		651	100			Percent of total billed charges		651	100			Percent of total billed charges		651	33.3			Percent of total billed charges		216.783	33.3			Percent of total billed charges		216.783	100			Percent of total billed charges		651	216.783	585.9	
6.4 captured  screw 120 mm 7164-2320 s/n	278	RC	Outpatient			651	423.15		90			Percent of total billed charges		585.9	40			Percent of total billed charges		260.4	80			Percent of total billed charges		520.8	90			Percent of total billed charges		585.9	85			Percent of total billed charges		553.35	85			Percent of total billed charges		553.35	85			Percent of total billed charges		553.35	100			Percent of total billed charges		651	100			Percent of total billed charges		651	100			Percent of total billed charges		651	33.3			Percent of total billed charges		216.783	33.3			Percent of total billed charges		216.783	100			Percent of total billed charges		651	216.783	585.9	
6.4 captured  screw 125 mm 7164-2325 s/n	278	RC	Outpatient			651	423.15		90			Percent of total billed charges		585.9	40			Percent of total billed charges		260.4	80			Percent of total billed charges		520.8	90			Percent of total billed charges		585.9	85			Percent of total billed charges		553.35	85			Percent of total billed charges		553.35	85			Percent of total billed charges		553.35	100			Percent of total billed charges		651	100			Percent of total billed charges		651	100			Percent of total billed charges		651	33.3			Percent of total billed charges		216.783	33.3			Percent of total billed charges		216.783	100			Percent of total billed charges		651	216.783	585.9	
6.4 captured  screw 65 mm 7164-2365 s/n	278	RC	Outpatient			651	423.15		90			Percent of total billed charges		585.9	40			Percent of total billed charges		260.4	80			Percent of total billed charges		520.8	90			Percent of total billed charges		585.9	85			Percent of total billed charges		553.35	85			Percent of total billed charges		553.35	85			Percent of total billed charges		553.35	100			Percent of total billed charges		651	100			Percent of total billed charges		651	100			Percent of total billed charges		651	33.3			Percent of total billed charges		216.783	33.3			Percent of total billed charges		216.783	100			Percent of total billed charges		651	216.783	585.9	
6.4 captured  screw 70 mm 7164-2370 s/n	278	RC	Outpatient			651	423.15		90			Percent of total billed charges		585.9	40			Percent of total billed charges		260.4	80			Percent of total billed charges		520.8	90			Percent of total billed charges		585.9	85			Percent of total billed charges		553.35	85			Percent of total billed charges		553.35	85			Percent of total billed charges		553.35	100			Percent of total billed charges		651	100			Percent of total billed charges		651	100			Percent of total billed charges		651	33.3			Percent of total billed charges		216.783	33.3			Percent of total billed charges		216.783	100			Percent of total billed charges		651	216.783	585.9	
6.4 captured  screw 80 mm 7164-2380 s/n	278	RC	Outpatient			651	423.15		90			Percent of total billed charges		585.9	40			Percent of total billed charges		260.4	80			Percent of total billed charges		520.8	90			Percent of total billed charges		585.9	85			Percent of total billed charges		553.35	85			Percent of total billed charges		553.35	85			Percent of total billed charges		553.35	100			Percent of total billed charges		651	100			Percent of total billed charges		651	100			Percent of total billed charges		651	33.3			Percent of total billed charges		216.783	33.3			Percent of total billed charges		216.783	100			Percent of total billed charges		651	216.783	585.9	
6.4 captured  screw 85 mm 7164-2385 s/n	278	RC	Outpatient			651	423.15		90			Percent of total billed charges		585.9	40			Percent of total billed charges		260.4	80			Percent of total billed charges		520.8	90			Percent of total billed charges		585.9	85			Percent of total billed charges		553.35	85			Percent of total billed charges		553.35	85			Percent of total billed charges		553.35	100			Percent of total billed charges		651	100			Percent of total billed charges		651	100			Percent of total billed charges		651	33.3			Percent of total billed charges		216.783	33.3			Percent of total billed charges		216.783	100			Percent of total billed charges		651	216.783	585.9	
6.4 captured  screw 90 mm 7164-2390 s/n	278	RC	Outpatient			651	423.15		90			Percent of total billed charges		585.9	40			Percent of total billed charges		260.4	80			Percent of total billed charges		520.8	90			Percent of total billed charges		585.9	85			Percent of total billed charges		553.35	85			Percent of total billed charges		553.35	85			Percent of total billed charges		553.35	100			Percent of total billed charges		651	100			Percent of total billed charges		651	100			Percent of total billed charges		651	33.3			Percent of total billed charges		216.783	33.3			Percent of total billed charges		216.783	100			Percent of total billed charges		651	216.783	585.9	
6.4 captured screw 75 mm 7163-2375 7164-2375 s/n	278	RC	Outpatient			651	423.15		90			Percent of total billed charges		585.9	40			Percent of total billed charges		260.4	80			Percent of total billed charges		520.8	90			Percent of total billed charges		585.9	85			Percent of total billed charges		553.35	85			Percent of total billed charges		553.35	85			Percent of total billed charges		553.35	100			Percent of total billed charges		651	100			Percent of total billed charges		651	100			Percent of total billed charges		651	33.3			Percent of total billed charges		216.783	33.3			Percent of total billed charges		216.783	100			Percent of total billed charges		651	216.783	585.9	
s/n 6.4 captured  screw 65mm 7163-2365	278	RC	Outpatient			651	423.15		90			Percent of total billed charges		585.9	40			Percent of total billed charges		260.4	80			Percent of total billed charges		520.8	90			Percent of total billed charges		585.9	85			Percent of total billed charges		553.35	85			Percent of total billed charges		553.35	85			Percent of total billed charges		553.35	100			Percent of total billed charges		651	100			Percent of total billed charges		651	100			Percent of total billed charges		651	33.3			Percent of total billed charges		216.783	33.3			Percent of total billed charges		216.783	100			Percent of total billed charges		651	216.783	585.9	
s/n 6.4 captured  screw 85 mm 7163-2385	278	RC	Outpatient			651	423.15		90			Percent of total billed charges		585.9	40			Percent of total billed charges		260.4	80			Percent of total billed charges		520.8	90			Percent of total billed charges		585.9	85			Percent of total billed charges		553.35	85			Percent of total billed charges		553.35	85			Percent of total billed charges		553.35	100			Percent of total billed charges		651	100			Percent of total billed charges		651	100			Percent of total billed charges		651	33.3			Percent of total billed charges		216.783	33.3			Percent of total billed charges		216.783	100			Percent of total billed charges		651	216.783	585.9	
s/n 6.4 captured screw 110 mm 7163-2310	278	RC	Outpatient			651	423.15		90			Percent of total billed charges		585.9	40			Percent of total billed charges		260.4	80			Percent of total billed charges		520.8	90			Percent of total billed charges		585.9	85			Percent of total billed charges		553.35	85			Percent of total billed charges		553.35	85			Percent of total billed charges		553.35	100			Percent of total billed charges		651	100			Percent of total billed charges		651	100			Percent of total billed charges		651	33.3			Percent of total billed charges		216.783	33.3			Percent of total billed charges		216.783	100			Percent of total billed charges		651	216.783	585.9	
s/n 6.4 captured screw 115 mm 7163-2316	278	RC	Outpatient			651	423.15		90			Percent of total billed charges		585.9	40			Percent of total billed charges		260.4	80			Percent of total billed charges		520.8	90			Percent of total billed charges		585.9	85			Percent of total billed charges		553.35	85			Percent of total billed charges		553.35	85			Percent of total billed charges		553.35	100			Percent of total billed charges		651	100			Percent of total billed charges		651	100			Percent of total billed charges		651	33.3			Percent of total billed charges		216.783	33.3			Percent of total billed charges		216.783	100			Percent of total billed charges		651	216.783	585.9	
s/n 6.4 captured screw 120 mm 7163-2320	278	RC	Outpatient			651	423.15		90			Percent of total billed charges		585.9	40			Percent of total billed charges		260.4	80			Percent of total billed charges		520.8	90			Percent of total billed charges		585.9	85			Percent of total billed charges		553.35	85			Percent of total billed charges		553.35	85			Percent of total billed charges		553.35	100			Percent of total billed charges		651	100			Percent of total billed charges		651	100			Percent of total billed charges		651	33.3			Percent of total billed charges		216.783	33.3			Percent of total billed charges		216.783	100			Percent of total billed charges		651	216.783	585.9	
s/n 6.4 captured screw 70 mm 7163-2370	278	RC	Outpatient			651	423.15		90			Percent of total billed charges		585.9	40			Percent of total billed charges		260.4	80			Percent of total billed charges		520.8	90			Percent of total billed charges		585.9	85			Percent of total billed charges		553.35	85			Percent of total billed charges		553.35	85			Percent of total billed charges		553.35	100			Percent of total billed charges		651	100			Percent of total billed charges		651	100			Percent of total billed charges		651	33.3			Percent of total billed charges		216.783	33.3			Percent of total billed charges		216.783	100			Percent of total billed charges		651	216.783	585.9	
s/n 6.4 captured  screw 100 mm 7163-2300	278	RC	Outpatient			651	423.15		90			Percent of total billed charges		585.9	40			Percent of total billed charges		260.4	80			Percent of total billed charges		520.8	90			Percent of total billed charges		585.9	85			Percent of total billed charges		553.35	85			Percent of total billed charges		553.35	85			Percent of total billed charges		553.35	100			Percent of total billed charges		651	100			Percent of total billed charges		651	100			Percent of total billed charges		651	33.3			Percent of total billed charges		216.783	33.3			Percent of total billed charges		216.783	100			Percent of total billed charges		651	216.783	585.9	
s/n 6.4 captured  screw 90 mm 7163-2390	278	RC	Outpatient			651	423.15		90			Percent of total billed charges		585.9	40			Percent of total billed charges		260.4	80			Percent of total billed charges		520.8	90			Percent of total billed charges		585.9	85			Percent of total billed charges		553.35	85			Percent of total billed charges		553.35	85			Percent of total billed charges		553.35	100			Percent of total billed charges		651	100			Percent of total billed charges		651	100			Percent of total billed charges		651	33.3			Percent of total billed charges		216.783	33.3			Percent of total billed charges		216.783	100			Percent of total billed charges		651	216.783	585.9	
s/n 6.4 captured  screw 95 mm 7163-2395	278	RC	Outpatient			651	423.15		90			Percent of total billed charges		585.9	40			Percent of total billed charges		260.4	80			Percent of total billed charges		520.8	90			Percent of total billed charges		585.9	85			Percent of total billed charges		553.35	85			Percent of total billed charges		553.35	85			Percent of total billed charges		553.35	100			Percent of total billed charges		651	100			Percent of total billed charges		651	100			Percent of total billed charges		651	33.3			Percent of total billed charges		216.783	33.3			Percent of total billed charges		216.783	100			Percent of total billed charges		651	216.783	585.9	
s/n 6.4 captured screw 105 mm 7163-2305	278	RC	Outpatient			651	423.15		90			Percent of total billed charges		585.9	40			Percent of total billed charges		260.4	80			Percent of total billed charges		520.8	90			Percent of total billed charges		585.9	85			Percent of total billed charges		553.35	85			Percent of total billed charges		553.35	85			Percent of total billed charges		553.35	100			Percent of total billed charges		651	100			Percent of total billed charges		651	100			Percent of total billed charges		651	33.3			Percent of total billed charges		216.783	33.3			Percent of total billed charges		216.783	100			Percent of total billed charges		651	216.783	585.9	
s/n 6.4 captured screw 125 mm 7163-2325	278	RC	Outpatient			651	423.15		90			Percent of total billed charges		585.9	40			Percent of total billed charges		260.4	80			Percent of total billed charges		520.8	90			Percent of total billed charges		585.9	85			Percent of total billed charges		553.35	85			Percent of total billed charges		553.35	85			Percent of total billed charges		553.35	100			Percent of total billed charges		651	100			Percent of total billed charges		651	100			Percent of total billed charges		651	33.3			Percent of total billed charges		216.783	33.3			Percent of total billed charges		216.783	100			Percent of total billed charges		651	216.783	585.9	
trigen cap screw 6.4	278	RC	Outpatient			651	423.15		90			Percent of total billed charges		585.9	40			Percent of total billed charges		260.4	80			Percent of total billed charges		520.8	90			Percent of total billed charges		585.9	85			Percent of total billed charges		553.35	85			Percent of total billed charges		553.35	85			Percent of total billed charges		553.35	100			Percent of total billed charges		651	100			Percent of total billed charges		651	100			Percent of total billed charges		651	33.3			Percent of total billed charges		216.783	33.3			Percent of total billed charges		216.783	100			Percent of total billed charges		651	216.783	585.9	
arthrex double scorp ndl	272	RC	Outpatient			652	423.8		90			Percent of total billed charges		586.8	40			Percent of total billed charges		260.8	80			Percent of total billed charges		521.6	90			Percent of total billed charges		586.8	85			Percent of total billed charges		554.2	85			Percent of total billed charges		554.2	85			Percent of total billed charges		554.2	100			Percent of total billed charges		652	100			Percent of total billed charges		652	100			Percent of total billed charges		652	33.3			Percent of total billed charges		217.116	33.3			Percent of total billed charges		217.116	100			Percent of total billed charges		652	217.116	586.8	
calcigen 5cc	278	RC	Outpatient			652	423.8		90			Percent of total billed charges		586.8	40			Percent of total billed charges		260.8	80			Percent of total billed charges		521.6	90			Percent of total billed charges		586.8	85			Percent of total billed charges		554.2	85			Percent of total billed charges		554.2	85			Percent of total billed charges		554.2	100			Percent of total billed charges		652	100			Percent of total billed charges		652	100			Percent of total billed charges		652	33.3			Percent of total billed charges		217.116	33.3			Percent of total billed charges		217.116	100			Percent of total billed charges		652	217.116	586.8	
arthrex surefire double scorpion needle  ar-13994n	272	RC	Outpatient			652	423.8		90			Percent of total billed charges		586.8	40			Percent of total billed charges		260.8	80			Percent of total billed charges		521.6	90			Percent of total billed charges		586.8	85			Percent of total billed charges		554.2	85			Percent of total billed charges		554.2	85			Percent of total billed charges		554.2	100			Percent of total billed charges		652	100			Percent of total billed charges		652	100			Percent of total billed charges		652	33.3			Percent of total billed charges		217.116	33.3			Percent of total billed charges		217.116	100			Percent of total billed charges		652	217.116	586.8	
calcigen bone graft  5cc  biomet 348010	278	RC	Outpatient			652	423.8		90			Percent of total billed charges		586.8	40			Percent of total billed charges		260.8	80			Percent of total billed charges		521.6	90			Percent of total billed charges		586.8	85			Percent of total billed charges		554.2	85			Percent of total billed charges		554.2	85			Percent of total billed charges		554.2	100			Percent of total billed charges		652	100			Percent of total billed charges		652	100			Percent of total billed charges		652	33.3			Percent of total billed charges		217.116	33.3			Percent of total billed charges		217.116	100			Percent of total billed charges		652	217.116	586.8	
chemo admin. 6 hours	335	RC	Outpatient			652	423.8		90			Percent of total billed charges		586.8	40			Percent of total billed charges		260.8	80			Percent of total billed charges		521.6	90			Percent of total billed charges		586.8	85			Percent of total billed charges		554.2	85			Percent of total billed charges		554.2	85			Percent of total billed charges		554.2	100			Percent of total billed charges		652	100			Percent of total billed charges		652	100			Percent of total billed charges		652	33.3			Percent of total billed charges		217.116	33.3			Percent of total billed charges		217.116	100			Percent of total billed charges		652	217.116	586.8	
flowcardia microsheath xl	272	RC	Outpatient			652	423.8		90			Percent of total billed charges		586.8	40			Percent of total billed charges		260.8	80			Percent of total billed charges		521.6	90			Percent of total billed charges		586.8	85			Percent of total billed charges		554.2	85			Percent of total billed charges		554.2	85			Percent of total billed charges		554.2	100			Percent of total billed charges		652	100			Percent of total billed charges		652	100			Percent of total billed charges		652	33.3			Percent of total billed charges		217.116	33.3			Percent of total billed charges		217.116	100			Percent of total billed charges		652	217.116	586.8	
gore dryseal 24fr	272	RC	Outpatient			652	423.8		90			Percent of total billed charges		586.8	40			Percent of total billed charges		260.8	80			Percent of total billed charges		521.6	90			Percent of total billed charges		586.8	85			Percent of total billed charges		554.2	85			Percent of total billed charges		554.2	85			Percent of total billed charges		554.2	100			Percent of total billed charges		652	100			Percent of total billed charges		652	100			Percent of total billed charges		652	33.3			Percent of total billed charges		217.116	33.3			Percent of total billed charges		217.116	100			Percent of total billed charges		652	217.116	586.8	
gore dryseal sheath 24 fr sdv2428	272	RC	Outpatient			652	423.8		90			Percent of total billed charges		586.8	40			Percent of total billed charges		260.8	80			Percent of total billed charges		521.6	90			Percent of total billed charges		586.8	85			Percent of total billed charges		554.2	85			Percent of total billed charges		554.2	85			Percent of total billed charges		554.2	100			Percent of total billed charges		652	100			Percent of total billed charges		652	100			Percent of total billed charges		652	33.3			Percent of total billed charges		217.116	33.3			Percent of total billed charges		217.116	100			Percent of total billed charges		652	217.116	586.8	
intertan 100mm sub troch lag screw 7167-8010 s/n	278	RC	Outpatient			652	423.8		90			Percent of total billed charges		586.8	40			Percent of total billed charges		260.8	80			Percent of total billed charges		521.6	90			Percent of total billed charges		586.8	85			Percent of total billed charges		554.2	85			Percent of total billed charges		554.2	85			Percent of total billed charges		554.2	100			Percent of total billed charges		652	100			Percent of total billed charges		652	100			Percent of total billed charges		652	33.3			Percent of total billed charges		217.116	33.3			Percent of total billed charges		217.116	100			Percent of total billed charges		652	217.116	586.8	
intertan 105mm sub troch lag screw 7167-8005 s/n	278	RC	Outpatient			652	423.8		90			Percent of total billed charges		586.8	40			Percent of total billed charges		260.8	80			Percent of total billed charges		521.6	90			Percent of total billed charges		586.8	85			Percent of total billed charges		554.2	85			Percent of total billed charges		554.2	85			Percent of total billed charges		554.2	100			Percent of total billed charges		652	100			Percent of total billed charges		652	100			Percent of total billed charges		652	33.3			Percent of total billed charges		217.116	33.3			Percent of total billed charges		217.116	100			Percent of total billed charges		652	217.116	586.8	
intertan 110mm sub troch lag screw 7167-8011 s/n	278	RC	Outpatient			652	423.8		90			Percent of total billed charges		586.8	40			Percent of total billed charges		260.8	80			Percent of total billed charges		521.6	90			Percent of total billed charges		586.8	85			Percent of total billed charges		554.2	85			Percent of total billed charges		554.2	85			Percent of total billed charges		554.2	100			Percent of total billed charges		652	100			Percent of total billed charges		652	100			Percent of total billed charges		652	33.3			Percent of total billed charges		217.116	33.3			Percent of total billed charges		217.116	100			Percent of total billed charges		652	217.116	586.8	
intertan 115mm sub troch lag screw 7167-8015 s/n	278	RC	Outpatient			652	423.8		90			Percent of total billed charges		586.8	40			Percent of total billed charges		260.8	80			Percent of total billed charges		521.6	90			Percent of total billed charges		586.8	85			Percent of total billed charges		554.2	85			Percent of total billed charges		554.2	85			Percent of total billed charges		554.2	100			Percent of total billed charges		652	100			Percent of total billed charges		652	100			Percent of total billed charges		652	33.3			Percent of total billed charges		217.116	33.3			Percent of total billed charges		217.116	100			Percent of total billed charges		652	217.116	586.8	
intertan 80mm sub troch lag screw 7167-8080 s/n	278	RC	Outpatient			652	423.8		90			Percent of total billed charges		586.8	40			Percent of total billed charges		260.8	80			Percent of total billed charges		521.6	90			Percent of total billed charges		586.8	85			Percent of total billed charges		554.2	85			Percent of total billed charges		554.2	85			Percent of total billed charges		554.2	100			Percent of total billed charges		652	100			Percent of total billed charges		652	100			Percent of total billed charges		652	33.3			Percent of total billed charges		217.116	33.3			Percent of total billed charges		217.116	100			Percent of total billed charges		652	217.116	586.8	
intertan 85mm sub troch lag screw 7167-8085 s/n	278	RC	Outpatient			652	423.8		90			Percent of total billed charges		586.8	40			Percent of total billed charges		260.8	80			Percent of total billed charges		521.6	90			Percent of total billed charges		586.8	85			Percent of total billed charges		554.2	85			Percent of total billed charges		554.2	85			Percent of total billed charges		554.2	100			Percent of total billed charges		652	100			Percent of total billed charges		652	100			Percent of total billed charges		652	33.3			Percent of total billed charges		217.116	33.3			Percent of total billed charges		217.116	100			Percent of total billed charges		652	217.116	586.8	
intertan 90mm sub troch lag screw 7167-8090 s/n	278	RC	Outpatient			652	423.8		90			Percent of total billed charges		586.8	40			Percent of total billed charges		260.8	80			Percent of total billed charges		521.6	90			Percent of total billed charges		586.8	85			Percent of total billed charges		554.2	85			Percent of total billed charges		554.2	85			Percent of total billed charges		554.2	100			Percent of total billed charges		652	100			Percent of total billed charges		652	100			Percent of total billed charges		652	33.3			Percent of total billed charges		217.116	33.3			Percent of total billed charges		217.116	100			Percent of total billed charges		652	217.116	586.8	
flowcardia microsheath sl st 7fr support cath msxl17110 bard	272	RC	Outpatient			652	423.8		90			Percent of total billed charges		586.8	40			Percent of total billed charges		260.8	80			Percent of total billed charges		521.6	90			Percent of total billed charges		586.8	85			Percent of total billed charges		554.2	85			Percent of total billed charges		554.2	85			Percent of total billed charges		554.2	100			Percent of total billed charges		652	100			Percent of total billed charges		652	100			Percent of total billed charges		652	33.3			Percent of total billed charges		217.116	33.3			Percent of total billed charges		217.116	100			Percent of total billed charges		652	217.116	586.8	
gyrus pks plasma j-hook	272	RC	Outpatient			652	423.8		90			Percent of total billed charges		586.8	40			Percent of total billed charges		260.8	80			Percent of total billed charges		521.6	90			Percent of total billed charges		586.8	85			Percent of total billed charges		554.2	85			Percent of total billed charges		554.2	85			Percent of total billed charges		554.2	100			Percent of total billed charges		652	100			Percent of total billed charges		652	100			Percent of total billed charges		652	33.3			Percent of total billed charges		217.116	33.3			Percent of total billed charges		217.116	100			Percent of total billed charges		652	217.116	586.8	
intertan 95mm sub troch lag screw 7167-8095 s/n	278	RC	Outpatient			652	423.8		90			Percent of total billed charges		586.8	40			Percent of total billed charges		260.8	80			Percent of total billed charges		521.6	90			Percent of total billed charges		586.8	85			Percent of total billed charges		554.2	85			Percent of total billed charges		554.2	85			Percent of total billed charges		554.2	100			Percent of total billed charges		652	100			Percent of total billed charges		652	100			Percent of total billed charges		652	33.3			Percent of total billed charges		217.116	33.3			Percent of total billed charges		217.116	100			Percent of total billed charges		652	217.116	586.8	
mt 4574 45 lead	278	RC	Outpatient			652	423.8		90			Percent of total billed charges		586.8	40			Percent of total billed charges		260.8	80			Percent of total billed charges		521.6	90			Percent of total billed charges		586.8	85			Percent of total billed charges		554.2	85			Percent of total billed charges		554.2	85			Percent of total billed charges		554.2	100			Percent of total billed charges		652	100			Percent of total billed charges		652	100			Percent of total billed charges		652	33.3			Percent of total billed charges		217.116	33.3			Percent of total billed charges		217.116	100			Percent of total billed charges		652	217.116	586.8	
osteoraptor 2.3 suture anchor 72203290 s/n	278	RC	Outpatient			652	423.8		90			Percent of total billed charges		586.8	40			Percent of total billed charges		260.8	80			Percent of total billed charges		521.6	90			Percent of total billed charges		586.8	85			Percent of total billed charges		554.2	85			Percent of total billed charges		554.2	85			Percent of total billed charges		554.2	100			Percent of total billed charges		652	100			Percent of total billed charges		652	100			Percent of total billed charges		652	33.3			Percent of total billed charges		217.116	33.3			Percent of total billed charges		217.116	100			Percent of total billed charges		652	217.116	586.8	
pks plasma j-hook 5mm 956010pc gyrus/acmi	272	RC	Outpatient			652	423.8		90			Percent of total billed charges		586.8	40			Percent of total billed charges		260.8	80			Percent of total billed charges		521.6	90			Percent of total billed charges		586.8	85			Percent of total billed charges		554.2	85			Percent of total billed charges		554.2	85			Percent of total billed charges		554.2	100			Percent of total billed charges		652	100			Percent of total billed charges		652	100			Percent of total billed charges		652	33.3			Percent of total billed charges		217.116	33.3			Percent of total billed charges		217.116	100			Percent of total billed charges		652	217.116	586.8	
select-a-flow cb004 i-flow	272	RC	Outpatient			652	423.8		90			Percent of total billed charges		586.8	40			Percent of total billed charges		260.8	80			Percent of total billed charges		521.6	90			Percent of total billed charges		586.8	85			Percent of total billed charges		554.2	85			Percent of total billed charges		554.2	85			Percent of total billed charges		554.2	100			Percent of total billed charges		652	100			Percent of total billed charges		652	100			Percent of total billed charges		652	33.3			Percent of total billed charges		217.116	33.3			Percent of total billed charges		217.116	100			Percent of total billed charges		652	217.116	586.8	
s/n osteoraptor curved	278	RC	Outpatient			652	423.8		90			Percent of total billed charges		586.8	40			Percent of total billed charges		260.8	80			Percent of total billed charges		521.6	90			Percent of total billed charges		586.8	85			Percent of total billed charges		554.2	85			Percent of total billed charges		554.2	85			Percent of total billed charges		554.2	100			Percent of total billed charges		652	100			Percent of total billed charges		652	100			Percent of total billed charges		652	33.3			Percent of total billed charges		217.116	33.3			Percent of total billed charges		217.116	100			Percent of total billed charges		652	217.116	586.8	
cann lck scrw 5.7 x 100mm 71808100 s\n	278	RC	Outpatient			653	424.45		90			Percent of total billed charges		587.7	40			Percent of total billed charges		261.2	80			Percent of total billed charges		522.4	90			Percent of total billed charges		587.7	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	100			Percent of total billed charges		653	100			Percent of total billed charges		653	100			Percent of total billed charges		653	33.3			Percent of total billed charges		217.449	33.3			Percent of total billed charges		217.449	100			Percent of total billed charges		653	217.449	587.7	
cann lck scrw 5.7 x 110mm 71808110 s\n	278	RC	Outpatient			653	424.45		90			Percent of total billed charges		587.7	40			Percent of total billed charges		261.2	80			Percent of total billed charges		522.4	90			Percent of total billed charges		587.7	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	100			Percent of total billed charges		653	100			Percent of total billed charges		653	100			Percent of total billed charges		653	33.3			Percent of total billed charges		217.449	33.3			Percent of total billed charges		217.449	100			Percent of total billed charges		653	217.449	587.7	
cann lck scrw 5.7 x 115mm 71808115 s\n	278	RC	Outpatient			653	424.45		90			Percent of total billed charges		587.7	40			Percent of total billed charges		261.2	80			Percent of total billed charges		522.4	90			Percent of total billed charges		587.7	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	100			Percent of total billed charges		653	100			Percent of total billed charges		653	100			Percent of total billed charges		653	33.3			Percent of total billed charges		217.449	33.3			Percent of total billed charges		217.449	100			Percent of total billed charges		653	217.449	587.7	
cann lck scrw 5.7 x 20mm 71808020 s\n	278	RC	Outpatient			653	424.45		90			Percent of total billed charges		587.7	40			Percent of total billed charges		261.2	80			Percent of total billed charges		522.4	90			Percent of total billed charges		587.7	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	100			Percent of total billed charges		653	100			Percent of total billed charges		653	100			Percent of total billed charges		653	33.3			Percent of total billed charges		217.449	33.3			Percent of total billed charges		217.449	100			Percent of total billed charges		653	217.449	587.7	
cann lck scrw 5.7 x 25mm 71808025 s\n	278	RC	Outpatient			653	424.45		90			Percent of total billed charges		587.7	40			Percent of total billed charges		261.2	80			Percent of total billed charges		522.4	90			Percent of total billed charges		587.7	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	100			Percent of total billed charges		653	100			Percent of total billed charges		653	100			Percent of total billed charges		653	33.3			Percent of total billed charges		217.449	33.3			Percent of total billed charges		217.449	100			Percent of total billed charges		653	217.449	587.7	
cann lck scrw 5.7 x 30mm 71808030 s\n	278	RC	Outpatient			653	424.45		90			Percent of total billed charges		587.7	40			Percent of total billed charges		261.2	80			Percent of total billed charges		522.4	90			Percent of total billed charges		587.7	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	100			Percent of total billed charges		653	100			Percent of total billed charges		653	100			Percent of total billed charges		653	33.3			Percent of total billed charges		217.449	33.3			Percent of total billed charges		217.449	100			Percent of total billed charges		653	217.449	587.7	
cann lck scrw 5.7 x 35mm 71808035 s\n	278	RC	Outpatient			653	424.45		90			Percent of total billed charges		587.7	40			Percent of total billed charges		261.2	80			Percent of total billed charges		522.4	90			Percent of total billed charges		587.7	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	100			Percent of total billed charges		653	100			Percent of total billed charges		653	100			Percent of total billed charges		653	33.3			Percent of total billed charges		217.449	33.3			Percent of total billed charges		217.449	100			Percent of total billed charges		653	217.449	587.7	
cann lck scrw 5.7 x 45mm 71808045 s\n	278	RC	Outpatient			653	424.45		90			Percent of total billed charges		587.7	40			Percent of total billed charges		261.2	80			Percent of total billed charges		522.4	90			Percent of total billed charges		587.7	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	100			Percent of total billed charges		653	100			Percent of total billed charges		653	100			Percent of total billed charges		653	33.3			Percent of total billed charges		217.449	33.3			Percent of total billed charges		217.449	100			Percent of total billed charges		653	217.449	587.7	
cann lck scrw 5.7 x 50mm 71808050 s\n	278	RC	Outpatient			653	424.45		90			Percent of total billed charges		587.7	40			Percent of total billed charges		261.2	80			Percent of total billed charges		522.4	90			Percent of total billed charges		587.7	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	100			Percent of total billed charges		653	100			Percent of total billed charges		653	100			Percent of total billed charges		653	33.3			Percent of total billed charges		217.449	33.3			Percent of total billed charges		217.449	100			Percent of total billed charges		653	217.449	587.7	
cann lck scrw 5.7 x 60mm 71808060 s\n	278	RC	Outpatient			653	424.45		90			Percent of total billed charges		587.7	40			Percent of total billed charges		261.2	80			Percent of total billed charges		522.4	90			Percent of total billed charges		587.7	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	100			Percent of total billed charges		653	100			Percent of total billed charges		653	100			Percent of total billed charges		653	33.3			Percent of total billed charges		217.449	33.3			Percent of total billed charges		217.449	100			Percent of total billed charges		653	217.449	587.7	
cann lck scrw 5.7 x 65mm 71808065 s\n	278	RC	Outpatient			653	424.45		90			Percent of total billed charges		587.7	40			Percent of total billed charges		261.2	80			Percent of total billed charges		522.4	90			Percent of total billed charges		587.7	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	100			Percent of total billed charges		653	100			Percent of total billed charges		653	100			Percent of total billed charges		653	33.3			Percent of total billed charges		217.449	33.3			Percent of total billed charges		217.449	100			Percent of total billed charges		653	217.449	587.7	
cann lck scrw 5.7 x 70mm 71808070 s\n	278	RC	Outpatient			653	424.45		90			Percent of total billed charges		587.7	40			Percent of total billed charges		261.2	80			Percent of total billed charges		522.4	90			Percent of total billed charges		587.7	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	100			Percent of total billed charges		653	100			Percent of total billed charges		653	100			Percent of total billed charges		653	33.3			Percent of total billed charges		217.449	33.3			Percent of total billed charges		217.449	100			Percent of total billed charges		653	217.449	587.7	
cann lck scrw 5.7 x 75mm 71808075 s\n	278	RC	Outpatient			653	424.45		90			Percent of total billed charges		587.7	40			Percent of total billed charges		261.2	80			Percent of total billed charges		522.4	90			Percent of total billed charges		587.7	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	100			Percent of total billed charges		653	100			Percent of total billed charges		653	100			Percent of total billed charges		653	33.3			Percent of total billed charges		217.449	33.3			Percent of total billed charges		217.449	100			Percent of total billed charges		653	217.449	587.7	
cann lck scrw 5.7 x 80mm 71808080 s\n	278	RC	Outpatient			653	424.45		90			Percent of total billed charges		587.7	40			Percent of total billed charges		261.2	80			Percent of total billed charges		522.4	90			Percent of total billed charges		587.7	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	100			Percent of total billed charges		653	100			Percent of total billed charges		653	100			Percent of total billed charges		653	33.3			Percent of total billed charges		217.449	33.3			Percent of total billed charges		217.449	100			Percent of total billed charges		653	217.449	587.7	
cann lck scrw 5.7 x 90mm 71808090 s\n	278	RC	Outpatient			653	424.45		90			Percent of total billed charges		587.7	40			Percent of total billed charges		261.2	80			Percent of total billed charges		522.4	90			Percent of total billed charges		587.7	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	100			Percent of total billed charges		653	100			Percent of total billed charges		653	100			Percent of total billed charges		653	33.3			Percent of total billed charges		217.449	33.3			Percent of total billed charges		217.449	100			Percent of total billed charges		653	217.449	587.7	
cann lck scrw 5.7 x 95mm 71808095 s\n	278	RC	Outpatient			653	424.45		90			Percent of total billed charges		587.7	40			Percent of total billed charges		261.2	80			Percent of total billed charges		522.4	90			Percent of total billed charges		587.7	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	100			Percent of total billed charges		653	100			Percent of total billed charges		653	100			Percent of total billed charges		653	33.3			Percent of total billed charges		217.449	33.3			Percent of total billed charges		217.449	100			Percent of total billed charges		653	217.449	587.7	
cann scrw 5.7mm x 100mm 71828100 s\n	278	RC	Outpatient			653	424.45		90			Percent of total billed charges		587.7	40			Percent of total billed charges		261.2	80			Percent of total billed charges		522.4	90			Percent of total billed charges		587.7	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	100			Percent of total billed charges		653	100			Percent of total billed charges		653	100			Percent of total billed charges		653	33.3			Percent of total billed charges		217.449	33.3			Percent of total billed charges		217.449	100			Percent of total billed charges		653	217.449	587.7	
cann scrw 5.7mm x 20mm 71828020 s\n	278	RC	Outpatient			653	424.45		90			Percent of total billed charges		587.7	40			Percent of total billed charges		261.2	80			Percent of total billed charges		522.4	90			Percent of total billed charges		587.7	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	100			Percent of total billed charges		653	100			Percent of total billed charges		653	100			Percent of total billed charges		653	33.3			Percent of total billed charges		217.449	33.3			Percent of total billed charges		217.449	100			Percent of total billed charges		653	217.449	587.7	
cann scrw 5.7mm x 25mm 71828025 s\n	278	RC	Outpatient			653	424.45		90			Percent of total billed charges		587.7	40			Percent of total billed charges		261.2	80			Percent of total billed charges		522.4	90			Percent of total billed charges		587.7	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	100			Percent of total billed charges		653	100			Percent of total billed charges		653	100			Percent of total billed charges		653	33.3			Percent of total billed charges		217.449	33.3			Percent of total billed charges		217.449	100			Percent of total billed charges		653	217.449	587.7	
cann scrw 5.7mm x 30mm 71828030 s\n	278	RC	Outpatient			653	424.45		90			Percent of total billed charges		587.7	40			Percent of total billed charges		261.2	80			Percent of total billed charges		522.4	90			Percent of total billed charges		587.7	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	100			Percent of total billed charges		653	100			Percent of total billed charges		653	100			Percent of total billed charges		653	33.3			Percent of total billed charges		217.449	33.3			Percent of total billed charges		217.449	100			Percent of total billed charges		653	217.449	587.7	
cann scrw 5.7mm x 45mm 71828045 s\n	278	RC	Outpatient			653	424.45		90			Percent of total billed charges		587.7	40			Percent of total billed charges		261.2	80			Percent of total billed charges		522.4	90			Percent of total billed charges		587.7	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	100			Percent of total billed charges		653	100			Percent of total billed charges		653	100			Percent of total billed charges		653	33.3			Percent of total billed charges		217.449	33.3			Percent of total billed charges		217.449	100			Percent of total billed charges		653	217.449	587.7	
cann scrw 5.7mm x 50mm 71828050 s\n	278	RC	Outpatient			653	424.45		90			Percent of total billed charges		587.7	40			Percent of total billed charges		261.2	80			Percent of total billed charges		522.4	90			Percent of total billed charges		587.7	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	100			Percent of total billed charges		653	100			Percent of total billed charges		653	100			Percent of total billed charges		653	33.3			Percent of total billed charges		217.449	33.3			Percent of total billed charges		217.449	100			Percent of total billed charges		653	217.449	587.7	
cann scrw 5.7mm x 60mm 71828060 s\n	278	RC	Outpatient			653	424.45		90			Percent of total billed charges		587.7	40			Percent of total billed charges		261.2	80			Percent of total billed charges		522.4	90			Percent of total billed charges		587.7	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	100			Percent of total billed charges		653	100			Percent of total billed charges		653	100			Percent of total billed charges		653	33.3			Percent of total billed charges		217.449	33.3			Percent of total billed charges		217.449	100			Percent of total billed charges		653	217.449	587.7	
cann scrw 5.7mm x 65mm 71828065 s\n	278	RC	Outpatient			653	424.45		90			Percent of total billed charges		587.7	40			Percent of total billed charges		261.2	80			Percent of total billed charges		522.4	90			Percent of total billed charges		587.7	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	100			Percent of total billed charges		653	100			Percent of total billed charges		653	100			Percent of total billed charges		653	33.3			Percent of total billed charges		217.449	33.3			Percent of total billed charges		217.449	100			Percent of total billed charges		653	217.449	587.7	
cann scrw 5.7mm x 80mm 71828080 s\n	278	RC	Outpatient			653	424.45		90			Percent of total billed charges		587.7	40			Percent of total billed charges		261.2	80			Percent of total billed charges		522.4	90			Percent of total billed charges		587.7	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	100			Percent of total billed charges		653	100			Percent of total billed charges		653	100			Percent of total billed charges		653	33.3			Percent of total billed charges		217.449	33.3			Percent of total billed charges		217.449	100			Percent of total billed charges		653	217.449	587.7	
cann scrw 5.7mm x 85mm 71828085 s\n	278	RC	Outpatient			653	424.45		90			Percent of total billed charges		587.7	40			Percent of total billed charges		261.2	80			Percent of total billed charges		522.4	90			Percent of total billed charges		587.7	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	100			Percent of total billed charges		653	100			Percent of total billed charges		653	100			Percent of total billed charges		653	33.3			Percent of total billed charges		217.449	33.3			Percent of total billed charges		217.449	100			Percent of total billed charges		653	217.449	587.7	
cann scrw 5.7mm x 90mm 71828090 s\n	278	RC	Outpatient			653	424.45		90			Percent of total billed charges		587.7	40			Percent of total billed charges		261.2	80			Percent of total billed charges		522.4	90			Percent of total billed charges		587.7	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	100			Percent of total billed charges		653	100			Percent of total billed charges		653	100			Percent of total billed charges		653	33.3			Percent of total billed charges		217.449	33.3			Percent of total billed charges		217.449	100			Percent of total billed charges		653	217.449	587.7	
cann scrw 5.7mm x 95mm 71828095 s\n	278	RC	Outpatient			653	424.45		90			Percent of total billed charges		587.7	40			Percent of total billed charges		261.2	80			Percent of total billed charges		522.4	90			Percent of total billed charges		587.7	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	100			Percent of total billed charges		653	100			Percent of total billed charges		653	100			Percent of total billed charges		653	33.3			Percent of total billed charges		217.449	33.3			Percent of total billed charges		217.449	100			Percent of total billed charges		653	217.449	587.7	
apex hole eliminator-ps 1246-03-000 depuy	278	RC	Outpatient			653	424.45		90			Percent of total billed charges		587.7	40			Percent of total billed charges		261.2	80			Percent of total billed charges		522.4	90			Percent of total billed charges		587.7	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	100			Percent of total billed charges		653	100			Percent of total billed charges		653	100			Percent of total billed charges		653	33.3			Percent of total billed charges		217.449	33.3			Percent of total billed charges		217.449	100			Percent of total billed charges		653	217.449	587.7	
cann lck scrw 5.7 x 105mm 71808105 s\n	278	RC	Outpatient			653	424.45		90			Percent of total billed charges		587.7	40			Percent of total billed charges		261.2	80			Percent of total billed charges		522.4	90			Percent of total billed charges		587.7	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	100			Percent of total billed charges		653	100			Percent of total billed charges		653	100			Percent of total billed charges		653	33.3			Percent of total billed charges		217.449	33.3			Percent of total billed charges		217.449	100			Percent of total billed charges		653	217.449	587.7	
cann lck scrw 5.7 x 120mm 71808120 s\n	278	RC	Outpatient			653	424.45		90			Percent of total billed charges		587.7	40			Percent of total billed charges		261.2	80			Percent of total billed charges		522.4	90			Percent of total billed charges		587.7	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	100			Percent of total billed charges		653	100			Percent of total billed charges		653	100			Percent of total billed charges		653	33.3			Percent of total billed charges		217.449	33.3			Percent of total billed charges		217.449	100			Percent of total billed charges		653	217.449	587.7	
cann lck scrw 5.7 x 40mm 71808040 s\n	278	RC	Outpatient			653	424.45		90			Percent of total billed charges		587.7	40			Percent of total billed charges		261.2	80			Percent of total billed charges		522.4	90			Percent of total billed charges		587.7	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	100			Percent of total billed charges		653	100			Percent of total billed charges		653	100			Percent of total billed charges		653	33.3			Percent of total billed charges		217.449	33.3			Percent of total billed charges		217.449	100			Percent of total billed charges		653	217.449	587.7	
cann lck scrw 5.7 x 55mm 71808055 s\n	278	RC	Outpatient			653	424.45		90			Percent of total billed charges		587.7	40			Percent of total billed charges		261.2	80			Percent of total billed charges		522.4	90			Percent of total billed charges		587.7	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	100			Percent of total billed charges		653	100			Percent of total billed charges		653	100			Percent of total billed charges		653	33.3			Percent of total billed charges		217.449	33.3			Percent of total billed charges		217.449	100			Percent of total billed charges		653	217.449	587.7	
cann lck scrw 5.7 x 85mm 71808085 s\n	278	RC	Outpatient			653	424.45		90			Percent of total billed charges		587.7	40			Percent of total billed charges		261.2	80			Percent of total billed charges		522.4	90			Percent of total billed charges		587.7	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	100			Percent of total billed charges		653	100			Percent of total billed charges		653	100			Percent of total billed charges		653	33.3			Percent of total billed charges		217.449	33.3			Percent of total billed charges		217.449	100			Percent of total billed charges		653	217.449	587.7	
cann scrw 5.7mm x 35mm 71828035 s\n	278	RC	Outpatient			653	424.45		90			Percent of total billed charges		587.7	40			Percent of total billed charges		261.2	80			Percent of total billed charges		522.4	90			Percent of total billed charges		587.7	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	100			Percent of total billed charges		653	100			Percent of total billed charges		653	100			Percent of total billed charges		653	33.3			Percent of total billed charges		217.449	33.3			Percent of total billed charges		217.449	100			Percent of total billed charges		653	217.449	587.7	
cann scrw 5.7mm x 40mm 71828040 s\n	278	RC	Outpatient			653	424.45		90			Percent of total billed charges		587.7	40			Percent of total billed charges		261.2	80			Percent of total billed charges		522.4	90			Percent of total billed charges		587.7	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	100			Percent of total billed charges		653	100			Percent of total billed charges		653	100			Percent of total billed charges		653	33.3			Percent of total billed charges		217.449	33.3			Percent of total billed charges		217.449	100			Percent of total billed charges		653	217.449	587.7	
cann scrw 5.7mm x 55mm 71828055 s\n	278	RC	Outpatient			653	424.45		90			Percent of total billed charges		587.7	40			Percent of total billed charges		261.2	80			Percent of total billed charges		522.4	90			Percent of total billed charges		587.7	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	100			Percent of total billed charges		653	100			Percent of total billed charges		653	100			Percent of total billed charges		653	33.3			Percent of total billed charges		217.449	33.3			Percent of total billed charges		217.449	100			Percent of total billed charges		653	217.449	587.7	
cann scrw 5.7mm x 70mm 71828070 s\n	278	RC	Outpatient			653	424.45		90			Percent of total billed charges		587.7	40			Percent of total billed charges		261.2	80			Percent of total billed charges		522.4	90			Percent of total billed charges		587.7	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	100			Percent of total billed charges		653	100			Percent of total billed charges		653	100			Percent of total billed charges		653	33.3			Percent of total billed charges		217.449	33.3			Percent of total billed charges		217.449	100			Percent of total billed charges		653	217.449	587.7	
cann scrw 5.7mm x 75mm 71828075 s\n	278	RC	Outpatient			653	424.45		90			Percent of total billed charges		587.7	40			Percent of total billed charges		261.2	80			Percent of total billed charges		522.4	90			Percent of total billed charges		587.7	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	100			Percent of total billed charges		653	100			Percent of total billed charges		653	100			Percent of total billed charges		653	33.3			Percent of total billed charges		217.449	33.3			Percent of total billed charges		217.449	100			Percent of total billed charges		653	217.449	587.7	
depuy hole eliminator	278	RC	Outpatient			653	424.45		90			Percent of total billed charges		587.7	40			Percent of total billed charges		261.2	80			Percent of total billed charges		522.4	90			Percent of total billed charges		587.7	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	100			Percent of total billed charges		653	100			Percent of total billed charges		653	100			Percent of total billed charges		653	33.3			Percent of total billed charges		217.449	33.3			Percent of total billed charges		217.449	100			Percent of total billed charges		653	217.449	587.7	
s/n 5.7 cann lck scrw	278	RC	Outpatient			653	424.45		90			Percent of total billed charges		587.7	40			Percent of total billed charges		261.2	80			Percent of total billed charges		522.4	90			Percent of total billed charges		587.7	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	85			Percent of total billed charges		555.05	100			Percent of total billed charges		653	100			Percent of total billed charges		653	100			Percent of total billed charges		653	33.3			Percent of total billed charges		217.449	33.3			Percent of total billed charges		217.449	100			Percent of total billed charges		653	217.449	587.7	
#NAME?	272	RC	Outpatient			655	425.75		90			Percent of total billed charges		589.5	40			Percent of total billed charges		262	80			Percent of total billed charges		524	90			Percent of total billed charges		589.5	85			Percent of total billed charges		556.75	85			Percent of total billed charges		556.75	85			Percent of total billed charges		556.75	100			Percent of total billed charges		655	100			Percent of total billed charges		655	100			Percent of total billed charges		655	33.3			Percent of total billed charges		218.115	33.3			Percent of total billed charges		218.115	100			Percent of total billed charges		655	218.115	589.5	
4.5mm cobra head plate 8 hole 170mm 00-4945-008-14 zimmer	278	RC	Outpatient			655	425.75		90			Percent of total billed charges		589.5	40			Percent of total billed charges		262	80			Percent of total billed charges		524	90			Percent of total billed charges		589.5	85			Percent of total billed charges		556.75	85			Percent of total billed charges		556.75	85			Percent of total billed charges		556.75	100			Percent of total billed charges		655	100			Percent of total billed charges		655	100			Percent of total billed charges		655	33.3			Percent of total billed charges		218.115	33.3			Percent of total billed charges		218.115	100			Percent of total billed charges		655	218.115	589.5	
4.5mm cobra head plate 9 hole 186mm 00-4945-009-14 zimmer	278	RC	Outpatient			655	425.75		90			Percent of total billed charges		589.5	40			Percent of total billed charges		262	80			Percent of total billed charges		524	90			Percent of total billed charges		589.5	85			Percent of total billed charges		556.75	85			Percent of total billed charges		556.75	85			Percent of total billed charges		556.75	100			Percent of total billed charges		655	100			Percent of total billed charges		655	100			Percent of total billed charges		655	33.3			Percent of total billed charges		218.115	33.3			Percent of total billed charges		218.115	100			Percent of total billed charges		655	218.115	589.5	
arthrex 1/3 tub pl 6h	278	RC	Outpatient			655	425.75		90			Percent of total billed charges		589.5	40			Percent of total billed charges		262	80			Percent of total billed charges		524	90			Percent of total billed charges		589.5	85			Percent of total billed charges		556.75	85			Percent of total billed charges		556.75	85			Percent of total billed charges		556.75	100			Percent of total billed charges		655	100			Percent of total billed charges		655	100			Percent of total billed charges		655	33.3			Percent of total billed charges		218.115	33.3			Percent of total billed charges		218.115	100			Percent of total billed charges		655	218.115	589.5	
arthrex retro cutter 10mm ar-1204r-10s	272	RC	Outpatient			655	425.75		90			Percent of total billed charges		589.5	40			Percent of total billed charges		262	80			Percent of total billed charges		524	90			Percent of total billed charges		589.5	85			Percent of total billed charges		556.75	85			Percent of total billed charges		556.75	85			Percent of total billed charges		556.75	100			Percent of total billed charges		655	100			Percent of total billed charges		655	100			Percent of total billed charges		655	33.3			Percent of total billed charges		218.115	33.3			Percent of total billed charges		218.115	100			Percent of total billed charges		655	218.115	589.5	
arthrex retro cutter 8.5mm ar-1204r-085s	272	RC	Outpatient			655	425.75		90			Percent of total billed charges		589.5	40			Percent of total billed charges		262	80			Percent of total billed charges		524	90			Percent of total billed charges		589.5	85			Percent of total billed charges		556.75	85			Percent of total billed charges		556.75	85			Percent of total billed charges		556.75	100			Percent of total billed charges		655	100			Percent of total billed charges		655	100			Percent of total billed charges		655	33.3			Percent of total billed charges		218.115	33.3			Percent of total billed charges		218.115	100			Percent of total billed charges		655	218.115	589.5	
arthrex retro cutter 9.5mm ar-1204r-095s	272	RC	Outpatient			655	425.75		90			Percent of total billed charges		589.5	40			Percent of total billed charges		262	80			Percent of total billed charges		524	90			Percent of total billed charges		589.5	85			Percent of total billed charges		556.75	85			Percent of total billed charges		556.75	85			Percent of total billed charges		556.75	100			Percent of total billed charges		655	100			Percent of total billed charges		655	100			Percent of total billed charges		655	33.3			Percent of total billed charges		218.115	33.3			Percent of total billed charges		218.115	100			Percent of total billed charges		655	218.115	589.5	
arthrex transfix kit btb	272	RC	Outpatient			655	425.75		90			Percent of total billed charges		589.5	40			Percent of total billed charges		262	80			Percent of total billed charges		524	90			Percent of total billed charges		589.5	85			Percent of total billed charges		556.75	85			Percent of total billed charges		556.75	85			Percent of total billed charges		556.75	100			Percent of total billed charges		655	100			Percent of total billed charges		655	100			Percent of total billed charges		655	33.3			Percent of total billed charges		218.115	33.3			Percent of total billed charges		218.115	100			Percent of total billed charges		655	218.115	589.5	
arthrex btb transfix ii kit ar-1971s	272	RC	Outpatient			655	425.75		90			Percent of total billed charges		589.5	40			Percent of total billed charges		262	80			Percent of total billed charges		524	90			Percent of total billed charges		589.5	85			Percent of total billed charges		556.75	85			Percent of total billed charges		556.75	85			Percent of total billed charges		556.75	100			Percent of total billed charges		655	100			Percent of total billed charges		655	100			Percent of total billed charges		655	33.3			Percent of total billed charges		218.115	33.3			Percent of total billed charges		218.115	100			Percent of total billed charges		655	218.115	589.5	
arthrex locking 1/3 tub plate 6h  ar 8943t-06	278	RC	Outpatient			655	425.75		90			Percent of total billed charges		589.5	40			Percent of total billed charges		262	80			Percent of total billed charges		524	90			Percent of total billed charges		589.5	85			Percent of total billed charges		556.75	85			Percent of total billed charges		556.75	85			Percent of total billed charges		556.75	100			Percent of total billed charges		655	100			Percent of total billed charges		655	100			Percent of total billed charges		655	33.3			Percent of total billed charges		218.115	33.3			Percent of total billed charges		218.115	100			Percent of total billed charges		655	218.115	589.5	
arthrex retro cutter	272	RC	Outpatient			655	425.75		90			Percent of total billed charges		589.5	40			Percent of total billed charges		262	80			Percent of total billed charges		524	90			Percent of total billed charges		589.5	85			Percent of total billed charges		556.75	85			Percent of total billed charges		556.75	85			Percent of total billed charges		556.75	100			Percent of total billed charges		655	100			Percent of total billed charges		655	100			Percent of total billed charges		655	33.3			Percent of total billed charges		218.115	33.3			Percent of total billed charges		218.115	100			Percent of total billed charges		655	218.115	589.5	
zimm 4.5 cobra pl 8-9hl	278	RC	Outpatient			655	425.75		90			Percent of total billed charges		589.5	40			Percent of total billed charges		262	80			Percent of total billed charges		524	90			Percent of total billed charges		589.5	85			Percent of total billed charges		556.75	85			Percent of total billed charges		556.75	85			Percent of total billed charges		556.75	100			Percent of total billed charges		655	100			Percent of total billed charges		655	100			Percent of total billed charges		655	33.3			Percent of total billed charges		218.115	33.3			Percent of total billed charges		218.115	100			Percent of total billed charges		655	218.115	589.5	
4.5mm str recon plate 15 hole 00-1179-007-15 zimmer	278	RC	Outpatient			656	426.4		90			Percent of total billed charges		590.4	40			Percent of total billed charges		262.4	80			Percent of total billed charges		524.8	90			Percent of total billed charges		590.4	85			Percent of total billed charges		557.6	85			Percent of total billed charges		557.6	85			Percent of total billed charges		557.6	100			Percent of total billed charges		656	100			Percent of total billed charges		656	100			Percent of total billed charges		656	33.3			Percent of total billed charges		218.448	33.3			Percent of total billed charges		218.448	100			Percent of total billed charges		656	218.448	590.4	
4.5mm str recon plate 16 hole 00-1179-007-16 zimmer	278	RC	Outpatient			656	426.4		90			Percent of total billed charges		590.4	40			Percent of total billed charges		262.4	80			Percent of total billed charges		524.8	90			Percent of total billed charges		590.4	85			Percent of total billed charges		557.6	85			Percent of total billed charges		557.6	85			Percent of total billed charges		557.6	100			Percent of total billed charges		656	100			Percent of total billed charges		656	100			Percent of total billed charges		656	33.3			Percent of total billed charges		218.448	33.3			Percent of total billed charges		218.448	100			Percent of total billed charges		656	218.448	590.4	
zimm 4.5 recon pl 15-16hl	278	RC	Outpatient			656	426.4		90			Percent of total billed charges		590.4	40			Percent of total billed charges		262.4	80			Percent of total billed charges		524.8	90			Percent of total billed charges		590.4	85			Percent of total billed charges		557.6	85			Percent of total billed charges		557.6	85			Percent of total billed charges		557.6	100			Percent of total billed charges		656	100			Percent of total billed charges		656	100			Percent of total billed charges		656	33.3			Percent of total billed charges		218.448	33.3			Percent of total billed charges		218.448	100			Percent of total billed charges		656	218.448	590.4	
arthrex locking 1/3 tub plate 8h  ar 8943t-08	278	RC	Outpatient			657	427.05		90			Percent of total billed charges		591.3	40			Percent of total billed charges		262.8	80			Percent of total billed charges		525.6	90			Percent of total billed charges		591.3	85			Percent of total billed charges		558.45	85			Percent of total billed charges		558.45	85			Percent of total billed charges		558.45	100			Percent of total billed charges		657	100			Percent of total billed charges		657	100			Percent of total billed charges		657	33.3			Percent of total billed charges		218.781	33.3			Percent of total billed charges		218.781	100			Percent of total billed charges		657	218.781	591.3	
arthrex 1/3 tub pl 8h	278	RC	Outpatient			657	427.05		90			Percent of total billed charges		591.3	40			Percent of total billed charges		262.8	80			Percent of total billed charges		525.6	90			Percent of total billed charges		591.3	85			Percent of total billed charges		558.45	85			Percent of total billed charges		558.45	85			Percent of total billed charges		558.45	100			Percent of total billed charges		657	100			Percent of total billed charges		657	100			Percent of total billed charges		657	33.3			Percent of total billed charges		218.781	33.3			Percent of total billed charges		218.781	100			Percent of total billed charges		657	218.781	591.3	
varible angle screw 14mm 04.613.514 synthes	278	RC	Outpatient			658	427.7		90			Percent of total billed charges		592.2	40			Percent of total billed charges		263.2	80			Percent of total billed charges		526.4	90			Percent of total billed charges		592.2	85			Percent of total billed charges		559.3	85			Percent of total billed charges		559.3	85			Percent of total billed charges		559.3	100			Percent of total billed charges		658	100			Percent of total billed charges		658	100			Percent of total billed charges		658	33.3			Percent of total billed charges		219.114	33.3			Percent of total billed charges		219.114	100			Percent of total billed charges		658	219.114	592.2	
varible angle screw 18mm 04.613.518 synthes	278	RC	Outpatient			658	427.7		90			Percent of total billed charges		592.2	40			Percent of total billed charges		263.2	80			Percent of total billed charges		526.4	90			Percent of total billed charges		592.2	85			Percent of total billed charges		559.3	85			Percent of total billed charges		559.3	85			Percent of total billed charges		559.3	100			Percent of total billed charges		658	100			Percent of total billed charges		658	100			Percent of total billed charges		658	33.3			Percent of total billed charges		219.114	33.3			Percent of total billed charges		219.114	100			Percent of total billed charges		658	219.114	592.2	
vectra scr 4.0 cervical	278	RC	Outpatient			658	427.7		90			Percent of total billed charges		592.2	40			Percent of total billed charges		263.2	80			Percent of total billed charges		526.4	90			Percent of total billed charges		592.2	85			Percent of total billed charges		559.3	85			Percent of total billed charges		559.3	85			Percent of total billed charges		559.3	100			Percent of total billed charges		658	100			Percent of total billed charges		658	100			Percent of total billed charges		658	33.3			Percent of total billed charges		219.114	33.3			Percent of total billed charges		219.114	100			Percent of total billed charges		658	219.114	592.2	
versanail 6.5 x 70mm solid cortical proximal screw 1020-70 depuy	278	RC	Outpatient			658	427.7		90			Percent of total billed charges		592.2	40			Percent of total billed charges		263.2	80			Percent of total billed charges		526.4	90			Percent of total billed charges		592.2	85			Percent of total billed charges		559.3	85			Percent of total billed charges		559.3	85			Percent of total billed charges		559.3	100			Percent of total billed charges		658	100			Percent of total billed charges		658	100			Percent of total billed charges		658	33.3			Percent of total billed charges		219.114	33.3			Percent of total billed charges		219.114	100			Percent of total billed charges		658	219.114	592.2	
variable angle vectra cervical screw 4.0 x 16mm 04.613.516 synthes	278	RC	Outpatient			658	427.7		90			Percent of total billed charges		592.2	40			Percent of total billed charges		263.2	80			Percent of total billed charges		526.4	90			Percent of total billed charges		592.2	85			Percent of total billed charges		559.3	85			Percent of total billed charges		559.3	85			Percent of total billed charges		559.3	100			Percent of total billed charges		658	100			Percent of total billed charges		658	100			Percent of total billed charges		658	33.3			Percent of total billed charges		219.114	33.3			Percent of total billed charges		219.114	100			Percent of total billed charges		658	219.114	592.2	
versanail 6.5 cort screw	278	RC	Outpatient			658	427.7		90			Percent of total billed charges		592.2	40			Percent of total billed charges		263.2	80			Percent of total billed charges		526.4	90			Percent of total billed charges		592.2	85			Percent of total billed charges		559.3	85			Percent of total billed charges		559.3	85			Percent of total billed charges		559.3	100			Percent of total billed charges		658	100			Percent of total billed charges		658	100			Percent of total billed charges		658	33.3			Percent of total billed charges		219.114	33.3			Percent of total billed charges		219.114	100			Percent of total billed charges		658	219.114	592.2	
ethicon tri-staple 2.0 reload reinforced intelligent purple ref: sigtrsb60amt	278	RC	Outpatient			659	428.35		90			Percent of total billed charges		593.1	40			Percent of total billed charges		263.6	80			Percent of total billed charges		527.2	90			Percent of total billed charges		593.1	85			Percent of total billed charges		560.15	85			Percent of total billed charges		560.15	85			Percent of total billed charges		560.15	100			Percent of total billed charges		659	100			Percent of total billed charges		659	100			Percent of total billed charges		659	33.3			Percent of total billed charges		219.447	33.3			Percent of total billed charges		219.447	100			Percent of total billed charges		659	219.447	593.1	
arthrex reverse pin set ar-95075	272	RC	Outpatient			660	429		90			Percent of total billed charges		594	40			Percent of total billed charges		264	80			Percent of total billed charges		528	90			Percent of total billed charges		594	85			Percent of total billed charges		561	85			Percent of total billed charges		561	85			Percent of total billed charges		561	100			Percent of total billed charges		660	100			Percent of total billed charges		660	100			Percent of total billed charges		660	33.3			Percent of total billed charges		219.78	33.3			Percent of total billed charges		219.78	100			Percent of total billed charges		660	219.78	594	
bio 350974 lead	270	RC	Outpatient			660	429		90			Percent of total billed charges		594	40			Percent of total billed charges		264	80			Percent of total billed charges		528	90			Percent of total billed charges		594	85			Percent of total billed charges		561	85			Percent of total billed charges		561	85			Percent of total billed charges		561	100			Percent of total billed charges		660	100			Percent of total billed charges		660	100			Percent of total billed charges		660	33.3			Percent of total billed charges		219.78	33.3			Percent of total billed charges		219.78	100			Percent of total billed charges		660	219.78	594	
bio 350974-60 mri lead	278	RC	Outpatient			660	429		90			Percent of total billed charges		594	40			Percent of total billed charges		264	80			Percent of total billed charges		528	90			Percent of total billed charges		594	85			Percent of total billed charges		561	85			Percent of total billed charges		561	85			Percent of total billed charges		561	100			Percent of total billed charges		660	100			Percent of total billed charges		660	100			Percent of total billed charges		660	33.3			Percent of total billed charges		219.78	33.3			Percent of total billed charges		219.78	100			Percent of total billed charges		660	219.78	594	
bio 350975 lead	270	RC	Outpatient			660	429		90			Percent of total billed charges		594	40			Percent of total billed charges		264	80			Percent of total billed charges		528	90			Percent of total billed charges		594	85			Percent of total billed charges		561	85			Percent of total billed charges		561	85			Percent of total billed charges		561	100			Percent of total billed charges		660	100			Percent of total billed charges		660	100			Percent of total billed charges		660	33.3			Percent of total billed charges		219.78	33.3			Percent of total billed charges		219.78	100			Percent of total billed charges		660	219.78	594	
bio 350974-53 mri lead	278	RC	Outpatient			660	429		90			Percent of total billed charges		594	40			Percent of total billed charges		264	80			Percent of total billed charges		528	90			Percent of total billed charges		594	85			Percent of total billed charges		561	85			Percent of total billed charges		561	85			Percent of total billed charges		561	100			Percent of total billed charges		660	100			Percent of total billed charges		660	100			Percent of total billed charges		660	33.3			Percent of total billed charges		219.78	33.3			Percent of total billed charges		219.78	100			Percent of total billed charges		660	219.78	594	
emperion sz 13 sleeve std length s/n 71291662	278	RC	Outpatient			660	429		90			Percent of total billed charges		594	40			Percent of total billed charges		264	80			Percent of total billed charges		528	90			Percent of total billed charges		594	85			Percent of total billed charges		561	85			Percent of total billed charges		561	85			Percent of total billed charges		561	100			Percent of total billed charges		660	100			Percent of total billed charges		660	100			Percent of total billed charges		660	33.3			Percent of total billed charges		219.78	33.3			Percent of total billed charges		219.78	100			Percent of total billed charges		660	219.78	594	
imhs sleeve	278	RC	Outpatient			660	429		90			Percent of total billed charges		594	40			Percent of total billed charges		264	80			Percent of total billed charges		528	90			Percent of total billed charges		594	85			Percent of total billed charges		561	85			Percent of total billed charges		561	85			Percent of total billed charges		561	100			Percent of total billed charges		660	100			Percent of total billed charges		660	100			Percent of total billed charges		660	33.3			Percent of total billed charges		219.78	33.3			Percent of total billed charges		219.78	100			Percent of total billed charges		660	219.78	594	
emperion size 11 sleeve std length  s/n 71291651	278	RC	Outpatient			660	429		90			Percent of total billed charges		594	40			Percent of total billed charges		264	80			Percent of total billed charges		528	90			Percent of total billed charges		594	85			Percent of total billed charges		561	85			Percent of total billed charges		561	85			Percent of total billed charges		561	100			Percent of total billed charges		660	100			Percent of total billed charges		660	100			Percent of total billed charges		660	33.3			Percent of total billed charges		219.78	33.3			Percent of total billed charges		219.78	100			Percent of total billed charges		660	219.78	594	
im hip  screw sleeve hn1200 s/n	278	RC	Outpatient			660	429		90			Percent of total billed charges		594	40			Percent of total billed charges		264	80			Percent of total billed charges		528	90			Percent of total billed charges		594	85			Percent of total billed charges		561	85			Percent of total billed charges		561	85			Percent of total billed charges		561	100			Percent of total billed charges		660	100			Percent of total billed charges		660	100			Percent of total billed charges		660	33.3			Percent of total billed charges		219.78	33.3			Percent of total billed charges		219.78	100			Percent of total billed charges		660	219.78	594	
pacu time 2 1/2 hours	270	RC	Outpatient			660	429		90			Percent of total billed charges		594	40			Percent of total billed charges		264	80			Percent of total billed charges		528	90			Percent of total billed charges		594	85			Percent of total billed charges		561	85			Percent of total billed charges		561	85			Percent of total billed charges		561	100			Percent of total billed charges		660	100			Percent of total billed charges		660	100			Percent of total billed charges		660	33.3			Percent of total billed charges		219.78	33.3			Percent of total billed charges		219.78	100			Percent of total billed charges		660	219.78	594	
s/n biosure regenesorb screw 7 x 25mm 72204395	278	RC	Outpatient			660	429		90			Percent of total billed charges		594	40			Percent of total billed charges		264	80			Percent of total billed charges		528	90			Percent of total billed charges		594	85			Percent of total billed charges		561	85			Percent of total billed charges		561	85			Percent of total billed charges		561	100			Percent of total billed charges		660	100			Percent of total billed charges		660	100			Percent of total billed charges		660	33.3			Percent of total billed charges		219.78	33.3			Percent of total billed charges		219.78	100			Percent of total billed charges		660	219.78	594	
s/n biosure regenesorb screw 8 x 25mm 72204399	278	RC	Outpatient			660	429		90			Percent of total billed charges		594	40			Percent of total billed charges		264	80			Percent of total billed charges		528	90			Percent of total billed charges		594	85			Percent of total billed charges		561	85			Percent of total billed charges		561	85			Percent of total billed charges		561	100			Percent of total billed charges		660	100			Percent of total billed charges		660	100			Percent of total billed charges		660	33.3			Percent of total billed charges		219.78	33.3			Percent of total billed charges		219.78	100			Percent of total billed charges		660	219.78	594	
s/n biosure regenesorb screw 9 x 25mm 72204404	278	RC	Outpatient			660	429		90			Percent of total billed charges		594	40			Percent of total billed charges		264	80			Percent of total billed charges		528	90			Percent of total billed charges		594	85			Percent of total billed charges		561	85			Percent of total billed charges		561	85			Percent of total billed charges		561	100			Percent of total billed charges		660	100			Percent of total billed charges		660	100			Percent of total billed charges		660	33.3			Percent of total billed charges		219.78	33.3			Percent of total billed charges		219.78	100			Percent of total billed charges		660	219.78	594	
tendon anchor s/n 2504-1	278	RC	Outpatient			660	429		90			Percent of total billed charges		594	40			Percent of total billed charges		264	80			Percent of total billed charges		528	90			Percent of total billed charges		594	85			Percent of total billed charges		561	85			Percent of total billed charges		561	85			Percent of total billed charges		561	100			Percent of total billed charges		660	100			Percent of total billed charges		660	100			Percent of total billed charges		660	33.3			Percent of total billed charges		219.78	33.3			Percent of total billed charges		219.78	100			Percent of total billed charges		660	219.78	594	
s/n biosure regenesorb screw 10 x 20mm 72204407	278	RC	Outpatient			660	429		90			Percent of total billed charges		594	40			Percent of total billed charges		264	80			Percent of total billed charges		528	90			Percent of total billed charges		594	85			Percent of total billed charges		561	85			Percent of total billed charges		561	85			Percent of total billed charges		561	100			Percent of total billed charges		660	100			Percent of total billed charges		660	100			Percent of total billed charges		660	33.3			Percent of total billed charges		219.78	33.3			Percent of total billed charges		219.78	100			Percent of total billed charges		660	219.78	594	
s/n biosure regenesorb screw 5 x 20mm 72204389	278	RC	Outpatient			660	429		90			Percent of total billed charges		594	40			Percent of total billed charges		264	80			Percent of total billed charges		528	90			Percent of total billed charges		594	85			Percent of total billed charges		561	85			Percent of total billed charges		561	85			Percent of total billed charges		561	100			Percent of total billed charges		660	100			Percent of total billed charges		660	100			Percent of total billed charges		660	33.3			Percent of total billed charges		219.78	33.3			Percent of total billed charges		219.78	100			Percent of total billed charges		660	219.78	594	
s/n biosure regenesorb screw 7 x 20mm 72204394	278	RC	Outpatient			660	429		90			Percent of total billed charges		594	40			Percent of total billed charges		264	80			Percent of total billed charges		528	90			Percent of total billed charges		594	85			Percent of total billed charges		561	85			Percent of total billed charges		561	85			Percent of total billed charges		561	100			Percent of total billed charges		660	100			Percent of total billed charges		660	100			Percent of total billed charges		660	33.3			Percent of total billed charges		219.78	33.3			Percent of total billed charges		219.78	100			Percent of total billed charges		660	219.78	594	
s/n biosure regenesorb screw 8 x 20mm 72204398	278	RC	Outpatient			660	429		90			Percent of total billed charges		594	40			Percent of total billed charges		264	80			Percent of total billed charges		528	90			Percent of total billed charges		594	85			Percent of total billed charges		561	85			Percent of total billed charges		561	85			Percent of total billed charges		561	100			Percent of total billed charges		660	100			Percent of total billed charges		660	100			Percent of total billed charges		660	33.3			Percent of total billed charges		219.78	33.3			Percent of total billed charges		219.78	100			Percent of total billed charges		660	219.78	594	
s/n biosure regenesorb screw 9 x 20mm 72204403	278	RC	Outpatient			660	429		90			Percent of total billed charges		594	40			Percent of total billed charges		264	80			Percent of total billed charges		528	90			Percent of total billed charges		594	85			Percent of total billed charges		561	85			Percent of total billed charges		561	85			Percent of total billed charges		561	100			Percent of total billed charges		660	100			Percent of total billed charges		660	100			Percent of total billed charges		660	33.3			Percent of total billed charges		219.78	33.3			Percent of total billed charges		219.78	100			Percent of total billed charges		660	219.78	594	
s/n emp slv sm code 1 spt	278	RC	Outpatient			660	429		90			Percent of total billed charges		594	40			Percent of total billed charges		264	80			Percent of total billed charges		528	90			Percent of total billed charges		594	85			Percent of total billed charges		561	85			Percent of total billed charges		561	85			Percent of total billed charges		561	100			Percent of total billed charges		660	100			Percent of total billed charges		660	100			Percent of total billed charges		660	33.3			Percent of total billed charges		219.78	33.3			Percent of total billed charges		219.78	100			Percent of total billed charges		660	219.78	594	
scrmc filter retreival denali	270	RC	Outpatient			660	429		90			Percent of total billed charges		594	40			Percent of total billed charges		264	80			Percent of total billed charges		528	90			Percent of total billed charges		594	85			Percent of total billed charges		561	85			Percent of total billed charges		561	85			Percent of total billed charges		561	100			Percent of total billed charges		660	100			Percent of total billed charges		660	100			Percent of total billed charges		660	33.3			Percent of total billed charges		219.78	33.3			Percent of total billed charges		219.78	100			Percent of total billed charges		660	219.78	594	
acumed osteo-clage 1.6mm x 850mm 01-0002-s	278	RC	Outpatient			661	429.65		90			Percent of total billed charges		594.9	40			Percent of total billed charges		264.4	80			Percent of total billed charges		528.8	90			Percent of total billed charges		594.9	85			Percent of total billed charges		561.85	85			Percent of total billed charges		561.85	85			Percent of total billed charges		561.85	100			Percent of total billed charges		661	100			Percent of total billed charges		661	100			Percent of total billed charges		661	33.3			Percent of total billed charges		220.113	33.3			Percent of total billed charges		220.113	100			Percent of total billed charges		661	220.113	594.9	
acumed osteo-clage2.0mm x 850mm  01-0020-s	278	RC	Outpatient			661	429.65		90			Percent of total billed charges		594.9	40			Percent of total billed charges		264.4	80			Percent of total billed charges		528.8	90			Percent of total billed charges		594.9	85			Percent of total billed charges		561.85	85			Percent of total billed charges		561.85	85			Percent of total billed charges		561.85	100			Percent of total billed charges		661	100			Percent of total billed charges		661	100			Percent of total billed charges		661	33.3			Percent of total billed charges		220.113	33.3			Percent of total billed charges		220.113	100			Percent of total billed charges		661	220.113	594.9	
implant cable 2 x 150mm 01-0001 accu	278	RC	Outpatient			661	429.65		90			Percent of total billed charges		594.9	40			Percent of total billed charges		264.4	80			Percent of total billed charges		528.8	90			Percent of total billed charges		594.9	85			Percent of total billed charges		561.85	85			Percent of total billed charges		561.85	85			Percent of total billed charges		561.85	100			Percent of total billed charges		661	100			Percent of total billed charges		661	100			Percent of total billed charges		661	33.3			Percent of total billed charges		220.113	33.3			Percent of total billed charges		220.113	100			Percent of total billed charges		661	220.113	594.9	
osteo-clage cocr cable sl	278	RC	Outpatient			661	429.65		90			Percent of total billed charges		594.9	40			Percent of total billed charges		264.4	80			Percent of total billed charges		528.8	90			Percent of total billed charges		594.9	85			Percent of total billed charges		561.85	85			Percent of total billed charges		561.85	85			Percent of total billed charges		561.85	100			Percent of total billed charges		661	100			Percent of total billed charges		661	100			Percent of total billed charges		661	33.3			Percent of total billed charges		220.113	33.3			Percent of total billed charges		220.113	100			Percent of total billed charges		661	220.113	594.9	
ascension phs disposable pack--stryker phs-dis-str	272	RC	Outpatient			662	430.3		90			Percent of total billed charges		595.8	40			Percent of total billed charges		264.8	80			Percent of total billed charges		529.6	90			Percent of total billed charges		595.8	85			Percent of total billed charges		562.7	85			Percent of total billed charges		562.7	85			Percent of total billed charges		562.7	100			Percent of total billed charges		662	100			Percent of total billed charges		662	100			Percent of total billed charges		662	33.3			Percent of total billed charges		220.446	33.3			Percent of total billed charges		220.446	100			Percent of total billed charges		662	220.446	595.8	
ascension phs pack	272	RC	Outpatient			662	430.3		90			Percent of total billed charges		595.8	40			Percent of total billed charges		264.8	80			Percent of total billed charges		529.6	90			Percent of total billed charges		595.8	85			Percent of total billed charges		562.7	85			Percent of total billed charges		562.7	85			Percent of total billed charges		562.7	100			Percent of total billed charges		662	100			Percent of total billed charges		662	100			Percent of total billed charges		662	33.3			Percent of total billed charges		220.446	33.3			Percent of total billed charges		220.446	100			Percent of total billed charges		662	220.446	595.8	
contour design patium eyelid implant 0.6 grams ll5006 med dev corp	278	RC	Outpatient			662	430.3		90			Percent of total billed charges		595.8	40			Percent of total billed charges		264.8	80			Percent of total billed charges		529.6	90			Percent of total billed charges		595.8	85			Percent of total billed charges		562.7	85			Percent of total billed charges		562.7	85			Percent of total billed charges		562.7	100			Percent of total billed charges		662	100			Percent of total billed charges		662	100			Percent of total billed charges		662	33.3			Percent of total billed charges		220.446	33.3			Percent of total billed charges		220.446	100			Percent of total billed charges		662	220.446	595.8	
invis distal centralizer 10mm 71313210 s/n	272	RC	Outpatient			662	430.3		90			Percent of total billed charges		595.8	40			Percent of total billed charges		264.8	80			Percent of total billed charges		529.6	90			Percent of total billed charges		595.8	85			Percent of total billed charges		562.7	85			Percent of total billed charges		562.7	85			Percent of total billed charges		562.7	100			Percent of total billed charges		662	100			Percent of total billed charges		662	100			Percent of total billed charges		662	33.3			Percent of total billed charges		220.446	33.3			Percent of total billed charges		220.446	100			Percent of total billed charges		662	220.446	595.8	
piranha box forcep	272	RC	Outpatient			662	430.3		90			Percent of total billed charges		595.8	40			Percent of total billed charges		264.8	80			Percent of total billed charges		529.6	90			Percent of total billed charges		595.8	85			Percent of total billed charges		562.7	85			Percent of total billed charges		562.7	85			Percent of total billed charges		562.7	100			Percent of total billed charges		662	100			Percent of total billed charges		662	100			Percent of total billed charges		662	33.3			Percent of total billed charges		220.446	33.3			Percent of total billed charges		220.446	100			Percent of total billed charges		662	220.446	595.8	
perania 3 fr  bx forcep 505-160 microvasive	272	RC	Outpatient			662	430.3		90			Percent of total billed charges		595.8	40			Percent of total billed charges		264.8	80			Percent of total billed charges		529.6	90			Percent of total billed charges		595.8	85			Percent of total billed charges		562.7	85			Percent of total billed charges		562.7	85			Percent of total billed charges		562.7	100			Percent of total billed charges		662	100			Percent of total billed charges		662	100			Percent of total billed charges		662	33.3			Percent of total billed charges		220.446	33.3			Percent of total billed charges		220.446	100			Percent of total billed charges		662	220.446	595.8	
platium eyelid imp 0.6gm	278	RC	Outpatient			662	430.3		90			Percent of total billed charges		595.8	40			Percent of total billed charges		264.8	80			Percent of total billed charges		529.6	90			Percent of total billed charges		595.8	85			Percent of total billed charges		562.7	85			Percent of total billed charges		562.7	85			Percent of total billed charges		562.7	100			Percent of total billed charges		662	100			Percent of total billed charges		662	100			Percent of total billed charges		662	33.3			Percent of total billed charges		220.446	33.3			Percent of total billed charges		220.446	100			Percent of total billed charges		662	220.446	595.8	
3.5mm cloverleaf plate 10 hole 200mm 00-4935-010-16 zimmer	278	RC	Outpatient			663	430.95		90			Percent of total billed charges		596.7	40			Percent of total billed charges		265.2	80			Percent of total billed charges		530.4	90			Percent of total billed charges		596.7	85			Percent of total billed charges		563.55	85			Percent of total billed charges		563.55	85			Percent of total billed charges		563.55	100			Percent of total billed charges		663	100			Percent of total billed charges		663	100			Percent of total billed charges		663	33.3			Percent of total billed charges		220.779	33.3			Percent of total billed charges		220.779	100			Percent of total billed charges		663	220.779	596.7	
biomet vhs lag screw	278	RC	Outpatient			663	430.95		90			Percent of total billed charges		596.7	40			Percent of total billed charges		265.2	80			Percent of total billed charges		530.4	90			Percent of total billed charges		596.7	85			Percent of total billed charges		563.55	85			Percent of total billed charges		563.55	85			Percent of total billed charges		563.55	100			Percent of total billed charges		663	100			Percent of total billed charges		663	100			Percent of total billed charges		663	33.3			Percent of total billed charges		220.779	33.3			Percent of total billed charges		220.779	100			Percent of total billed charges		663	220.779	596.7	
c-qur v patch 4.3 x4.3 small 31200 atrium	278	RC	Outpatient			663	430.95		90			Percent of total billed charges		596.7	40			Percent of total billed charges		265.2	80			Percent of total billed charges		530.4	90			Percent of total billed charges		596.7	85			Percent of total billed charges		563.55	85			Percent of total billed charges		563.55	85			Percent of total billed charges		563.55	100			Percent of total billed charges		663	100			Percent of total billed charges		663	100			Percent of total billed charges		663	33.3			Percent of total billed charges		220.779	33.3			Percent of total billed charges		220.779	100			Percent of total billed charges		663	220.779	596.7	
extractor stone flat-wire std 4wr 2fr 115cm 014760 cook	270	RC	Outpatient			663	430.95		90			Percent of total billed charges		596.7	40			Percent of total billed charges		265.2	80			Percent of total billed charges		530.4	90			Percent of total billed charges		596.7	85			Percent of total billed charges		563.55	85			Percent of total billed charges		563.55	85			Percent of total billed charges		563.55	100			Percent of total billed charges		663	100			Percent of total billed charges		663	100			Percent of total billed charges		663	33.3			Percent of total billed charges		220.779	33.3			Percent of total billed charges		220.779	100			Percent of total billed charges		663	220.779	596.7	
netterville phonoform block lt 7040200 medtronic	278	RC	Outpatient			663	430.95		90			Percent of total billed charges		596.7	40			Percent of total billed charges		265.2	80			Percent of total billed charges		530.4	90			Percent of total billed charges		596.7	85			Percent of total billed charges		563.55	85			Percent of total billed charges		563.55	85			Percent of total billed charges		563.55	100			Percent of total billed charges		663	100			Percent of total billed charges		663	100			Percent of total billed charges		663	33.3			Percent of total billed charges		220.779	33.3			Percent of total billed charges		220.779	100			Percent of total billed charges		663	220.779	596.7	
netterville wedge 7040300 medtronic	278	RC	Outpatient			663	430.95		90			Percent of total billed charges		596.7	40			Percent of total billed charges		265.2	80			Percent of total billed charges		530.4	90			Percent of total billed charges		596.7	85			Percent of total billed charges		563.55	85			Percent of total billed charges		563.55	85			Percent of total billed charges		563.55	100			Percent of total billed charges		663	100			Percent of total billed charges		663	100			Percent of total billed charges		663	33.3			Percent of total billed charges		220.779	33.3			Percent of total billed charges		220.779	100			Percent of total billed charges		663	220.779	596.7	
mesh c-qur vpatch 4.3x4.3	278	RC	Outpatient			663	430.95		90			Percent of total billed charges		596.7	40			Percent of total billed charges		265.2	80			Percent of total billed charges		530.4	90			Percent of total billed charges		596.7	85			Percent of total billed charges		563.55	85			Percent of total billed charges		563.55	85			Percent of total billed charges		563.55	100			Percent of total billed charges		663	100			Percent of total billed charges		663	100			Percent of total billed charges		663	33.3			Percent of total billed charges		220.779	33.3			Percent of total billed charges		220.779	100			Percent of total billed charges		663	220.779	596.7	
netterville phonoform 8l	278	RC	Outpatient			663	430.95		90			Percent of total billed charges		596.7	40			Percent of total billed charges		265.2	80			Percent of total billed charges		530.4	90			Percent of total billed charges		596.7	85			Percent of total billed charges		563.55	85			Percent of total billed charges		563.55	85			Percent of total billed charges		563.55	100			Percent of total billed charges		663	100			Percent of total billed charges		663	100			Percent of total billed charges		663	33.3			Percent of total billed charges		220.779	33.3			Percent of total billed charges		220.779	100			Percent of total billed charges		663	220.779	596.7	
netterville phonoform block rt 7040100 medtronic	278	RC	Outpatient			663	430.95		90			Percent of total billed charges		596.7	40			Percent of total billed charges		265.2	80			Percent of total billed charges		530.4	90			Percent of total billed charges		596.7	85			Percent of total billed charges		563.55	85			Percent of total billed charges		563.55	85			Percent of total billed charges		563.55	100			Percent of total billed charges		663	100			Percent of total billed charges		663	100			Percent of total billed charges		663	33.3			Percent of total billed charges		220.779	33.3			Percent of total billed charges		220.779	100			Percent of total billed charges		663	220.779	596.7	
netterville wedge	278	RC	Outpatient			663	430.95		90			Percent of total billed charges		596.7	40			Percent of total billed charges		265.2	80			Percent of total billed charges		530.4	90			Percent of total billed charges		596.7	85			Percent of total billed charges		563.55	85			Percent of total billed charges		563.55	85			Percent of total billed charges		563.55	100			Percent of total billed charges		663	100			Percent of total billed charges		663	100			Percent of total billed charges		663	33.3			Percent of total billed charges		220.779	33.3			Percent of total billed charges		220.779	100			Percent of total billed charges		663	220.779	596.7	
vhs lag screw 12.7 x 100 mm 200200 biomet	278	RC	Outpatient			663	430.95		90			Percent of total billed charges		596.7	40			Percent of total billed charges		265.2	80			Percent of total billed charges		530.4	90			Percent of total billed charges		596.7	85			Percent of total billed charges		563.55	85			Percent of total billed charges		563.55	85			Percent of total billed charges		563.55	100			Percent of total billed charges		663	100			Percent of total billed charges		663	100			Percent of total billed charges		663	33.3			Percent of total billed charges		220.779	33.3			Percent of total billed charges		220.779	100			Percent of total billed charges		663	220.779	596.7	
vhs lag screw 12.7 x 105mm 200110 biomet	278	RC	Outpatient			663	430.95		90			Percent of total billed charges		596.7	40			Percent of total billed charges		265.2	80			Percent of total billed charges		530.4	90			Percent of total billed charges		596.7	85			Percent of total billed charges		563.55	85			Percent of total billed charges		563.55	85			Percent of total billed charges		563.55	100			Percent of total billed charges		663	100			Percent of total billed charges		663	100			Percent of total billed charges		663	33.3			Percent of total billed charges		220.779	33.3			Percent of total billed charges		220.779	100			Percent of total billed charges		663	220.779	596.7	
vhs lag screw 12.7 x 50mm 200150 biomet	278	RC	Outpatient			663	430.95		90			Percent of total billed charges		596.7	40			Percent of total billed charges		265.2	80			Percent of total billed charges		530.4	90			Percent of total billed charges		596.7	85			Percent of total billed charges		563.55	85			Percent of total billed charges		563.55	85			Percent of total billed charges		563.55	100			Percent of total billed charges		663	100			Percent of total billed charges		663	100			Percent of total billed charges		663	33.3			Percent of total billed charges		220.779	33.3			Percent of total billed charges		220.779	100			Percent of total billed charges		663	220.779	596.7	
vhs lag screw 12.7 x 60mm 200160  biomet	278	RC	Outpatient			663	430.95		90			Percent of total billed charges		596.7	40			Percent of total billed charges		265.2	80			Percent of total billed charges		530.4	90			Percent of total billed charges		596.7	85			Percent of total billed charges		563.55	85			Percent of total billed charges		563.55	85			Percent of total billed charges		563.55	100			Percent of total billed charges		663	100			Percent of total billed charges		663	100			Percent of total billed charges		663	33.3			Percent of total billed charges		220.779	33.3			Percent of total billed charges		220.779	100			Percent of total billed charges		663	220.779	596.7	
vhs lag screw 12.7 x 70mm 200170  biomet	278	RC	Outpatient			663	430.95		90			Percent of total billed charges		596.7	40			Percent of total billed charges		265.2	80			Percent of total billed charges		530.4	90			Percent of total billed charges		596.7	85			Percent of total billed charges		563.55	85			Percent of total billed charges		563.55	85			Percent of total billed charges		563.55	100			Percent of total billed charges		663	100			Percent of total billed charges		663	100			Percent of total billed charges		663	33.3			Percent of total billed charges		220.779	33.3			Percent of total billed charges		220.779	100			Percent of total billed charges		663	220.779	596.7	
vhs lag screw 12.7 x 85mm 200185 biomet	278	RC	Outpatient			663	430.95		90			Percent of total billed charges		596.7	40			Percent of total billed charges		265.2	80			Percent of total billed charges		530.4	90			Percent of total billed charges		596.7	85			Percent of total billed charges		563.55	85			Percent of total billed charges		563.55	85			Percent of total billed charges		563.55	100			Percent of total billed charges		663	100			Percent of total billed charges		663	100			Percent of total billed charges		663	33.3			Percent of total billed charges		220.779	33.3			Percent of total billed charges		220.779	100			Percent of total billed charges		663	220.779	596.7	
vhs lag screw 12.7 x 90mm 200190 biomet	278	RC	Outpatient			663	430.95		90			Percent of total billed charges		596.7	40			Percent of total billed charges		265.2	80			Percent of total billed charges		530.4	90			Percent of total billed charges		596.7	85			Percent of total billed charges		563.55	85			Percent of total billed charges		563.55	85			Percent of total billed charges		563.55	100			Percent of total billed charges		663	100			Percent of total billed charges		663	100			Percent of total billed charges		663	33.3			Percent of total billed charges		220.779	33.3			Percent of total billed charges		220.779	100			Percent of total billed charges		663	220.779	596.7	
vhs lag screw 12.7 x 95mm 200195 biomet	278	RC	Outpatient			663	430.95		90			Percent of total billed charges		596.7	40			Percent of total billed charges		265.2	80			Percent of total billed charges		530.4	90			Percent of total billed charges		596.7	85			Percent of total billed charges		563.55	85			Percent of total billed charges		563.55	85			Percent of total billed charges		563.55	100			Percent of total billed charges		663	100			Percent of total billed charges		663	100			Percent of total billed charges		663	33.3			Percent of total billed charges		220.779	33.3			Percent of total billed charges		220.779	100			Percent of total billed charges		663	220.779	596.7	
vhs lag screw 12.7 x 105mm 200205 biomet	278	RC	Outpatient			663	430.95		90			Percent of total billed charges		596.7	40			Percent of total billed charges		265.2	80			Percent of total billed charges		530.4	90			Percent of total billed charges		596.7	85			Percent of total billed charges		563.55	85			Percent of total billed charges		563.55	85			Percent of total billed charges		563.55	100			Percent of total billed charges		663	100			Percent of total billed charges		663	100			Percent of total billed charges		663	33.3			Percent of total billed charges		220.779	33.3			Percent of total billed charges		220.779	100			Percent of total billed charges		663	220.779	596.7	
vhs lag screw 12.7 x 110mm  200210 biomet	278	RC	Outpatient			663	430.95		90			Percent of total billed charges		596.7	40			Percent of total billed charges		265.2	80			Percent of total billed charges		530.4	90			Percent of total billed charges		596.7	85			Percent of total billed charges		563.55	85			Percent of total billed charges		563.55	85			Percent of total billed charges		563.55	100			Percent of total billed charges		663	100			Percent of total billed charges		663	100			Percent of total billed charges		663	33.3			Percent of total billed charges		220.779	33.3			Percent of total billed charges		220.779	100			Percent of total billed charges		663	220.779	596.7	
vhs lag screw 12.7 x 55mm 200155 biomet	278	RC	Outpatient			663	430.95		90			Percent of total billed charges		596.7	40			Percent of total billed charges		265.2	80			Percent of total billed charges		530.4	90			Percent of total billed charges		596.7	85			Percent of total billed charges		563.55	85			Percent of total billed charges		563.55	85			Percent of total billed charges		563.55	100			Percent of total billed charges		663	100			Percent of total billed charges		663	100			Percent of total billed charges		663	33.3			Percent of total billed charges		220.779	33.3			Percent of total billed charges		220.779	100			Percent of total billed charges		663	220.779	596.7	
vhs lag screw 12.7 x 65mm screw 200165 biomet	278	RC	Outpatient			663	430.95		90			Percent of total billed charges		596.7	40			Percent of total billed charges		265.2	80			Percent of total billed charges		530.4	90			Percent of total billed charges		596.7	85			Percent of total billed charges		563.55	85			Percent of total billed charges		563.55	85			Percent of total billed charges		563.55	100			Percent of total billed charges		663	100			Percent of total billed charges		663	100			Percent of total billed charges		663	33.3			Percent of total billed charges		220.779	33.3			Percent of total billed charges		220.779	100			Percent of total billed charges		663	220.779	596.7	
vhs lag screw 12.7 x 75mm 200175 biomet	278	RC	Outpatient			663	430.95		90			Percent of total billed charges		596.7	40			Percent of total billed charges		265.2	80			Percent of total billed charges		530.4	90			Percent of total billed charges		596.7	85			Percent of total billed charges		563.55	85			Percent of total billed charges		563.55	85			Percent of total billed charges		563.55	100			Percent of total billed charges		663	100			Percent of total billed charges		663	100			Percent of total billed charges		663	33.3			Percent of total billed charges		220.779	33.3			Percent of total billed charges		220.779	100			Percent of total billed charges		663	220.779	596.7	
vhs lag screw 12.7 x 80 200180 biomet	278	RC	Outpatient			663	430.95		90			Percent of total billed charges		596.7	40			Percent of total billed charges		265.2	80			Percent of total billed charges		530.4	90			Percent of total billed charges		596.7	85			Percent of total billed charges		563.55	85			Percent of total billed charges		563.55	85			Percent of total billed charges		563.55	100			Percent of total billed charges		663	100			Percent of total billed charges		663	100			Percent of total billed charges		663	33.3			Percent of total billed charges		220.779	33.3			Percent of total billed charges		220.779	100			Percent of total billed charges		663	220.779	596.7	
zim 3.5 clover 10hl	278	RC	Outpatient			663	430.95		90			Percent of total billed charges		596.7	40			Percent of total billed charges		265.2	80			Percent of total billed charges		530.4	90			Percent of total billed charges		596.7	85			Percent of total billed charges		563.55	85			Percent of total billed charges		563.55	85			Percent of total billed charges		563.55	100			Percent of total billed charges		663	100			Percent of total billed charges		663	100			Percent of total billed charges		663	33.3			Percent of total billed charges		220.779	33.3			Percent of total billed charges		220.779	100			Percent of total billed charges		663	220.779	596.7	
s/n one third tubular plate 3 hole 7113-0303	278	RC	Outpatient			664	431.6		90			Percent of total billed charges		597.6	40			Percent of total billed charges		265.6	80			Percent of total billed charges		531.2	90			Percent of total billed charges		597.6	85			Percent of total billed charges		564.4	85			Percent of total billed charges		564.4	85			Percent of total billed charges		564.4	100			Percent of total billed charges		664	100			Percent of total billed charges		664	100			Percent of total billed charges		664	33.3			Percent of total billed charges		221.112	33.3			Percent of total billed charges		221.112	100			Percent of total billed charges		664	221.112	597.6	
sm fr pl 1/3 tub 3-5 hl	278	RC	Outpatient			664	431.6		90			Percent of total billed charges		597.6	40			Percent of total billed charges		265.6	80			Percent of total billed charges		531.2	90			Percent of total billed charges		597.6	85			Percent of total billed charges		564.4	85			Percent of total billed charges		564.4	85			Percent of total billed charges		564.4	100			Percent of total billed charges		664	100			Percent of total billed charges		664	100			Percent of total billed charges		664	33.3			Percent of total billed charges		221.112	33.3			Percent of total billed charges		221.112	100			Percent of total billed charges		664	221.112	597.6	
s/n one third tubular plate 4 hole 7113-0304	278	RC	Outpatient			664	431.6		90			Percent of total billed charges		597.6	40			Percent of total billed charges		265.6	80			Percent of total billed charges		531.2	90			Percent of total billed charges		597.6	85			Percent of total billed charges		564.4	85			Percent of total billed charges		564.4	85			Percent of total billed charges		564.4	100			Percent of total billed charges		664	100			Percent of total billed charges		664	100			Percent of total billed charges		664	33.3			Percent of total billed charges		221.112	33.3			Percent of total billed charges		221.112	100			Percent of total billed charges		664	221.112	597.6	
s/n one third tubular plate 5 hole 7113-0305	278	RC	Outpatient			664	431.6		90			Percent of total billed charges		597.6	40			Percent of total billed charges		265.6	80			Percent of total billed charges		531.2	90			Percent of total billed charges		597.6	85			Percent of total billed charges		564.4	85			Percent of total billed charges		564.4	85			Percent of total billed charges		564.4	100			Percent of total billed charges		664	100			Percent of total billed charges		664	100			Percent of total billed charges		664	33.3			Percent of total billed charges		221.112	33.3			Percent of total billed charges		221.112	100			Percent of total billed charges		664	221.112	597.6	
tandem cocr shell/liner 47mm od  71322047 s/n	278	RC	Outpatient			665	432.25		90			Percent of total billed charges		598.5	40			Percent of total billed charges		266	80			Percent of total billed charges		532	90			Percent of total billed charges		598.5	85			Percent of total billed charges		565.25	85			Percent of total billed charges		565.25	85			Percent of total billed charges		565.25	100			Percent of total billed charges		665	100			Percent of total billed charges		665	100			Percent of total billed charges		665	33.3			Percent of total billed charges		221.445	33.3			Percent of total billed charges		221.445	100			Percent of total billed charges		665	221.445	598.5	
tandem shell/liner 40  71322040 s/n	278	RC	Outpatient			665	432.25		90			Percent of total billed charges		598.5	40			Percent of total billed charges		266	80			Percent of total billed charges		532	90			Percent of total billed charges		598.5	85			Percent of total billed charges		565.25	85			Percent of total billed charges		565.25	85			Percent of total billed charges		565.25	100			Percent of total billed charges		665	100			Percent of total billed charges		665	100			Percent of total billed charges		665	33.3			Percent of total billed charges		221.445	33.3			Percent of total billed charges		221.445	100			Percent of total billed charges		665	221.445	598.5	
tandem shell/liner 46  71322046 s/n	278	RC	Outpatient			665	432.25		90			Percent of total billed charges		598.5	40			Percent of total billed charges		266	80			Percent of total billed charges		532	90			Percent of total billed charges		598.5	85			Percent of total billed charges		565.25	85			Percent of total billed charges		565.25	85			Percent of total billed charges		565.25	100			Percent of total billed charges		665	100			Percent of total billed charges		665	100			Percent of total billed charges		665	33.3			Percent of total billed charges		221.445	33.3			Percent of total billed charges		221.445	100			Percent of total billed charges		665	221.445	598.5	
tandem shell/liner 51  71322051 s/n	278	RC	Outpatient			665	432.25		90			Percent of total billed charges		598.5	40			Percent of total billed charges		266	80			Percent of total billed charges		532	90			Percent of total billed charges		598.5	85			Percent of total billed charges		565.25	85			Percent of total billed charges		565.25	85			Percent of total billed charges		565.25	100			Percent of total billed charges		665	100			Percent of total billed charges		665	100			Percent of total billed charges		665	33.3			Percent of total billed charges		221.445	33.3			Percent of total billed charges		221.445	100			Percent of total billed charges		665	221.445	598.5	
tandem shell/liner 52  71322052 s/n	278	RC	Outpatient			665	432.25		90			Percent of total billed charges		598.5	40			Percent of total billed charges		266	80			Percent of total billed charges		532	90			Percent of total billed charges		598.5	85			Percent of total billed charges		565.25	85			Percent of total billed charges		565.25	85			Percent of total billed charges		565.25	100			Percent of total billed charges		665	100			Percent of total billed charges		665	100			Percent of total billed charges		665	33.3			Percent of total billed charges		221.445	33.3			Percent of total billed charges		221.445	100			Percent of total billed charges		665	221.445	598.5	
s/n tandem shl/liner	278	RC	Outpatient			665	432.25		90			Percent of total billed charges		598.5	40			Percent of total billed charges		266	80			Percent of total billed charges		532	90			Percent of total billed charges		598.5	85			Percent of total billed charges		565.25	85			Percent of total billed charges		565.25	85			Percent of total billed charges		565.25	100			Percent of total billed charges		665	100			Percent of total billed charges		665	100			Percent of total billed charges		665	33.3			Percent of total billed charges		221.445	33.3			Percent of total billed charges		221.445	100			Percent of total billed charges		665	221.445	598.5	
tandem cocr shl/liner 55od 28id 71322055 s/n	278	RC	Outpatient			665	432.25		90			Percent of total billed charges		598.5	40			Percent of total billed charges		266	80			Percent of total billed charges		532	90			Percent of total billed charges		598.5	85			Percent of total billed charges		565.25	85			Percent of total billed charges		565.25	85			Percent of total billed charges		565.25	100			Percent of total billed charges		665	100			Percent of total billed charges		665	100			Percent of total billed charges		665	33.3			Percent of total billed charges		221.445	33.3			Percent of total billed charges		221.445	100			Percent of total billed charges		665	221.445	598.5	
tandem cocr shl/liner 57od 28id 71322057 s/n	278	RC	Outpatient			665	432.25		90			Percent of total billed charges		598.5	40			Percent of total billed charges		266	80			Percent of total billed charges		532	90			Percent of total billed charges		598.5	85			Percent of total billed charges		565.25	85			Percent of total billed charges		565.25	85			Percent of total billed charges		565.25	100			Percent of total billed charges		665	100			Percent of total billed charges		665	100			Percent of total billed charges		665	33.3			Percent of total billed charges		221.445	33.3			Percent of total billed charges		221.445	100			Percent of total billed charges		665	221.445	598.5	
tandem shell/liner 41  71322041 s/n	278	RC	Outpatient			665	432.25		90			Percent of total billed charges		598.5	40			Percent of total billed charges		266	80			Percent of total billed charges		532	90			Percent of total billed charges		598.5	85			Percent of total billed charges		565.25	85			Percent of total billed charges		565.25	85			Percent of total billed charges		565.25	100			Percent of total billed charges		665	100			Percent of total billed charges		665	100			Percent of total billed charges		665	33.3			Percent of total billed charges		221.445	33.3			Percent of total billed charges		221.445	100			Percent of total billed charges		665	221.445	598.5	
tandem shell/liner 42  71322042 s/n	278	RC	Outpatient			665	432.25		90			Percent of total billed charges		598.5	40			Percent of total billed charges		266	80			Percent of total billed charges		532	90			Percent of total billed charges		598.5	85			Percent of total billed charges		565.25	85			Percent of total billed charges		565.25	85			Percent of total billed charges		565.25	100			Percent of total billed charges		665	100			Percent of total billed charges		665	100			Percent of total billed charges		665	33.3			Percent of total billed charges		221.445	33.3			Percent of total billed charges		221.445	100			Percent of total billed charges		665	221.445	598.5	
tandem shell/liner 45  71322045 s/n	278	RC	Outpatient			665	432.25		90			Percent of total billed charges		598.5	40			Percent of total billed charges		266	80			Percent of total billed charges		532	90			Percent of total billed charges		598.5	85			Percent of total billed charges		565.25	85			Percent of total billed charges		565.25	85			Percent of total billed charges		565.25	100			Percent of total billed charges		665	100			Percent of total billed charges		665	100			Percent of total billed charges		665	33.3			Percent of total billed charges		221.445	33.3			Percent of total billed charges		221.445	100			Percent of total billed charges		665	221.445	598.5	
tandem shell/liner 48mm 71322048 s/n	278	RC	Outpatient			665	432.25		90			Percent of total billed charges		598.5	40			Percent of total billed charges		266	80			Percent of total billed charges		532	90			Percent of total billed charges		598.5	85			Percent of total billed charges		565.25	85			Percent of total billed charges		565.25	85			Percent of total billed charges		565.25	100			Percent of total billed charges		665	100			Percent of total billed charges		665	100			Percent of total billed charges		665	33.3			Percent of total billed charges		221.445	33.3			Percent of total billed charges		221.445	100			Percent of total billed charges		665	221.445	598.5	
tandem shell/liner 49  71322049 s/n	278	RC	Outpatient			665	432.25		90			Percent of total billed charges		598.5	40			Percent of total billed charges		266	80			Percent of total billed charges		532	90			Percent of total billed charges		598.5	85			Percent of total billed charges		565.25	85			Percent of total billed charges		565.25	85			Percent of total billed charges		565.25	100			Percent of total billed charges		665	100			Percent of total billed charges		665	100			Percent of total billed charges		665	33.3			Percent of total billed charges		221.445	33.3			Percent of total billed charges		221.445	100			Percent of total billed charges		665	221.445	598.5	
tandem shell/liner 50  71322050 s/n	278	RC	Outpatient			665	432.25		90			Percent of total billed charges		598.5	40			Percent of total billed charges		266	80			Percent of total billed charges		532	90			Percent of total billed charges		598.5	85			Percent of total billed charges		565.25	85			Percent of total billed charges		565.25	85			Percent of total billed charges		565.25	100			Percent of total billed charges		665	100			Percent of total billed charges		665	100			Percent of total billed charges		665	33.3			Percent of total billed charges		221.445	33.3			Percent of total billed charges		221.445	100			Percent of total billed charges		665	221.445	598.5	
tandem shell/liner 53  71322053 s/n	278	RC	Outpatient			665	432.25		90			Percent of total billed charges		598.5	40			Percent of total billed charges		266	80			Percent of total billed charges		532	90			Percent of total billed charges		598.5	85			Percent of total billed charges		565.25	85			Percent of total billed charges		565.25	85			Percent of total billed charges		565.25	100			Percent of total billed charges		665	100			Percent of total billed charges		665	100			Percent of total billed charges		665	33.3			Percent of total billed charges		221.445	33.3			Percent of total billed charges		221.445	100			Percent of total billed charges		665	221.445	598.5	
tandem shell/liner 54  71322054 s/n	278	RC	Outpatient			665	432.25		90			Percent of total billed charges		598.5	40			Percent of total billed charges		266	80			Percent of total billed charges		532	90			Percent of total billed charges		598.5	85			Percent of total billed charges		565.25	85			Percent of total billed charges		565.25	85			Percent of total billed charges		565.25	100			Percent of total billed charges		665	100			Percent of total billed charges		665	100			Percent of total billed charges		665	33.3			Percent of total billed charges		221.445	33.3			Percent of total billed charges		221.445	100			Percent of total billed charges		665	221.445	598.5	
tandem shell/liner sz 43 71322043 s/n	278	RC	Outpatient			665	432.25		90			Percent of total billed charges		598.5	40			Percent of total billed charges		266	80			Percent of total billed charges		532	90			Percent of total billed charges		598.5	85			Percent of total billed charges		565.25	85			Percent of total billed charges		565.25	85			Percent of total billed charges		565.25	100			Percent of total billed charges		665	100			Percent of total billed charges		665	100			Percent of total billed charges		665	33.3			Percent of total billed charges		221.445	33.3			Percent of total billed charges		221.445	100			Percent of total billed charges		665	221.445	598.5	
tandem shell/liner sz 44 71322044 s/n	278	RC	Outpatient			665	432.25		90			Percent of total billed charges		598.5	40			Percent of total billed charges		266	80			Percent of total billed charges		532	90			Percent of total billed charges		598.5	85			Percent of total billed charges		565.25	85			Percent of total billed charges		565.25	85			Percent of total billed charges		565.25	100			Percent of total billed charges		665	100			Percent of total billed charges		665	100			Percent of total billed charges		665	33.3			Percent of total billed charges		221.445	33.3			Percent of total billed charges		221.445	100			Percent of total billed charges		665	221.445	598.5	
herbert screw	278	RC	Outpatient			666	432.9		90			Percent of total billed charges		599.4	40			Percent of total billed charges		266.4	80			Percent of total billed charges		532.8	90			Percent of total billed charges		599.4	85			Percent of total billed charges		566.1	85			Percent of total billed charges		566.1	85			Percent of total billed charges		566.1	100			Percent of total billed charges		666	100			Percent of total billed charges		666	100			Percent of total billed charges		666	33.3			Percent of total billed charges		221.778	33.3			Percent of total billed charges		221.778	100			Percent of total billed charges		666	221.778	599.4	
syn lc-dcp plate 16-18hle	278	RC	Outpatient			666	432.9		90			Percent of total billed charges		599.4	40			Percent of total billed charges		266.4	80			Percent of total billed charges		532.8	90			Percent of total billed charges		599.4	85			Percent of total billed charges		566.1	85			Percent of total billed charges		566.1	85			Percent of total billed charges		566.1	100			Percent of total billed charges		666	100			Percent of total billed charges		666	100			Percent of total billed charges		666	33.3			Percent of total billed charges		221.778	33.3			Percent of total billed charges		221.778	100			Percent of total billed charges		666	221.778	599.4	
anesthesia time 1 hour	370	RC	Outpatient			667	433.55		90			Percent of total billed charges		600.3	40			Percent of total billed charges		266.8	80			Percent of total billed charges		533.6	90			Percent of total billed charges		600.3	85			Percent of total billed charges		566.95	85			Percent of total billed charges		566.95	85			Percent of total billed charges		566.95	100			Percent of total billed charges		667	100			Percent of total billed charges		667	100			Percent of total billed charges		667	33.3			Percent of total billed charges		222.111	33.3			Percent of total billed charges		222.111	100			Percent of total billed charges		667	222.111	600.3	
duraloc dynamic locking ring 60172 1249-60-000 depuy	278	RC	Outpatient			667	433.55		90			Percent of total billed charges		600.3	40			Percent of total billed charges		266.8	80			Percent of total billed charges		533.6	90			Percent of total billed charges		600.3	85			Percent of total billed charges		566.95	85			Percent of total billed charges		566.95	85			Percent of total billed charges		566.95	100			Percent of total billed charges		667	100			Percent of total billed charges		667	100			Percent of total billed charges		667	33.3			Percent of total billed charges		222.111	33.3			Percent of total billed charges		222.111	100			Percent of total billed charges		667	222.111	600.3	
depuy locking ring	278	RC	Outpatient			667	433.55		90			Percent of total billed charges		600.3	40			Percent of total billed charges		266.8	80			Percent of total billed charges		533.6	90			Percent of total billed charges		600.3	85			Percent of total billed charges		566.95	85			Percent of total billed charges		566.95	85			Percent of total billed charges		566.95	100			Percent of total billed charges		667	100			Percent of total billed charges		667	100			Percent of total billed charges		667	33.3			Percent of total billed charges		222.111	33.3			Percent of total billed charges		222.111	100			Percent of total billed charges		667	222.111	600.3	
implate connector 12mm x 15 degree imp-wc-1215 skeletal dynamics	278	RC	Outpatient			668	434.2		90			Percent of total billed charges		601.2	40			Percent of total billed charges		267.2	80			Percent of total billed charges		534.4	90			Percent of total billed charges		601.2	85			Percent of total billed charges		567.8	85			Percent of total billed charges		567.8	85			Percent of total billed charges		567.8	100			Percent of total billed charges		668	100			Percent of total billed charges		668	100			Percent of total billed charges		668	33.3			Percent of total billed charges		222.444	33.3			Percent of total billed charges		222.444	100			Percent of total billed charges		668	222.444	601.2	
implate connector 12mm x 22 degree imp-wc-1222 skeletal dynamics	278	RC	Outpatient			668	434.2		90			Percent of total billed charges		601.2	40			Percent of total billed charges		267.2	80			Percent of total billed charges		534.4	90			Percent of total billed charges		601.2	85			Percent of total billed charges		567.8	85			Percent of total billed charges		567.8	85			Percent of total billed charges		567.8	100			Percent of total billed charges		668	100			Percent of total billed charges		668	100			Percent of total billed charges		668	33.3			Percent of total billed charges		222.444	33.3			Percent of total billed charges		222.444	100			Percent of total billed charges		668	222.444	601.2	
implate connector 12mm x 7.5 degree imp-wc-1207 skeletal dynamics	278	RC	Outpatient			668	434.2		90			Percent of total billed charges		601.2	40			Percent of total billed charges		267.2	80			Percent of total billed charges		534.4	90			Percent of total billed charges		601.2	85			Percent of total billed charges		567.8	85			Percent of total billed charges		567.8	85			Percent of total billed charges		567.8	100			Percent of total billed charges		668	100			Percent of total billed charges		668	100			Percent of total billed charges		668	33.3			Percent of total billed charges		222.444	33.3			Percent of total billed charges		222.444	100			Percent of total billed charges		668	222.444	601.2	
implate connector 2mm x 0 degree imp-wc-0200 skeletal dynamics	278	RC	Outpatient			668	434.2		90			Percent of total billed charges		601.2	40			Percent of total billed charges		267.2	80			Percent of total billed charges		534.4	90			Percent of total billed charges		601.2	85			Percent of total billed charges		567.8	85			Percent of total billed charges		567.8	85			Percent of total billed charges		567.8	100			Percent of total billed charges		668	100			Percent of total billed charges		668	100			Percent of total billed charges		668	33.3			Percent of total billed charges		222.444	33.3			Percent of total billed charges		222.444	100			Percent of total billed charges		668	222.444	601.2	
implate connector 2mm x 15 degree imp-wc-0215 skeletal dynamics	278	RC	Outpatient			668	434.2		90			Percent of total billed charges		601.2	40			Percent of total billed charges		267.2	80			Percent of total billed charges		534.4	90			Percent of total billed charges		601.2	85			Percent of total billed charges		567.8	85			Percent of total billed charges		567.8	85			Percent of total billed charges		567.8	100			Percent of total billed charges		668	100			Percent of total billed charges		668	100			Percent of total billed charges		668	33.3			Percent of total billed charges		222.444	33.3			Percent of total billed charges		222.444	100			Percent of total billed charges		668	222.444	601.2	
implate connector 2mm x 22 degree imp-wc-0222 skeletal dynamics	278	RC	Outpatient			668	434.2		90			Percent of total billed charges		601.2	40			Percent of total billed charges		267.2	80			Percent of total billed charges		534.4	90			Percent of total billed charges		601.2	85			Percent of total billed charges		567.8	85			Percent of total billed charges		567.8	85			Percent of total billed charges		567.8	100			Percent of total billed charges		668	100			Percent of total billed charges		668	100			Percent of total billed charges		668	33.3			Percent of total billed charges		222.444	33.3			Percent of total billed charges		222.444	100			Percent of total billed charges		668	222.444	601.2	
implate connector 7mm x 15 degree imp-wc-0715 skeletal dynamics	278	RC	Outpatient			668	434.2		90			Percent of total billed charges		601.2	40			Percent of total billed charges		267.2	80			Percent of total billed charges		534.4	90			Percent of total billed charges		601.2	85			Percent of total billed charges		567.8	85			Percent of total billed charges		567.8	85			Percent of total billed charges		567.8	100			Percent of total billed charges		668	100			Percent of total billed charges		668	100			Percent of total billed charges		668	33.3			Percent of total billed charges		222.444	33.3			Percent of total billed charges		222.444	100			Percent of total billed charges		668	222.444	601.2	
implate connector 7mm x 22 degree imp-wc-0722 skeletal dynamics	278	RC	Outpatient			668	434.2		90			Percent of total billed charges		601.2	40			Percent of total billed charges		267.2	80			Percent of total billed charges		534.4	90			Percent of total billed charges		601.2	85			Percent of total billed charges		567.8	85			Percent of total billed charges		567.8	85			Percent of total billed charges		567.8	100			Percent of total billed charges		668	100			Percent of total billed charges		668	100			Percent of total billed charges		668	33.3			Percent of total billed charges		222.444	33.3			Percent of total billed charges		222.444	100			Percent of total billed charges		668	222.444	601.2	
implate connector 7mm x 7.5 degree imp-wc-0707 skeletal dynamics	278	RC	Outpatient			668	434.2		90			Percent of total billed charges		601.2	40			Percent of total billed charges		267.2	80			Percent of total billed charges		534.4	90			Percent of total billed charges		601.2	85			Percent of total billed charges		567.8	85			Percent of total billed charges		567.8	85			Percent of total billed charges		567.8	100			Percent of total billed charges		668	100			Percent of total billed charges		668	100			Percent of total billed charges		668	33.3			Percent of total billed charges		222.444	33.3			Percent of total billed charges		222.444	100			Percent of total billed charges		668	222.444	601.2	
implate connector	278	RC	Outpatient			668	434.2		90			Percent of total billed charges		601.2	40			Percent of total billed charges		267.2	80			Percent of total billed charges		534.4	90			Percent of total billed charges		601.2	85			Percent of total billed charges		567.8	85			Percent of total billed charges		567.8	85			Percent of total billed charges		567.8	100			Percent of total billed charges		668	100			Percent of total billed charges		668	100			Percent of total billed charges		668	33.3			Percent of total billed charges		222.444	33.3			Percent of total billed charges		222.444	100			Percent of total billed charges		668	222.444	601.2	
implate connector 12mm x 0 degree imp-wc-1200 skeletal dynamics	278	RC	Outpatient			668	434.2		90			Percent of total billed charges		601.2	40			Percent of total billed charges		267.2	80			Percent of total billed charges		534.4	90			Percent of total billed charges		601.2	85			Percent of total billed charges		567.8	85			Percent of total billed charges		567.8	85			Percent of total billed charges		567.8	100			Percent of total billed charges		668	100			Percent of total billed charges		668	100			Percent of total billed charges		668	33.3			Percent of total billed charges		222.444	33.3			Percent of total billed charges		222.444	100			Percent of total billed charges		668	222.444	601.2	
implate connector 2mm x 7.5 degreeimp-wc-0207 skeletal dynamics	278	RC	Outpatient			668	434.2		90			Percent of total billed charges		601.2	40			Percent of total billed charges		267.2	80			Percent of total billed charges		534.4	90			Percent of total billed charges		601.2	85			Percent of total billed charges		567.8	85			Percent of total billed charges		567.8	85			Percent of total billed charges		567.8	100			Percent of total billed charges		668	100			Percent of total billed charges		668	100			Percent of total billed charges		668	33.3			Percent of total billed charges		222.444	33.3			Percent of total billed charges		222.444	100			Percent of total billed charges		668	222.444	601.2	
implate connector 7mm x 0 degree imp-wc-0700 skeletal dynamics	278	RC	Outpatient			668	434.2		90			Percent of total billed charges		601.2	40			Percent of total billed charges		267.2	80			Percent of total billed charges		534.4	90			Percent of total billed charges		601.2	85			Percent of total billed charges		567.8	85			Percent of total billed charges		567.8	85			Percent of total billed charges		567.8	100			Percent of total billed charges		668	100			Percent of total billed charges		668	100			Percent of total billed charges		668	33.3			Percent of total billed charges		222.444	33.3			Percent of total billed charges		222.444	100			Percent of total billed charges		668	222.444	601.2	
angiojet pumpset and collection bag 102181-001 medrad	272	RC	Outpatient			669	434.85		90			Percent of total billed charges		602.1	40			Percent of total billed charges		267.6	80			Percent of total billed charges		535.2	90			Percent of total billed charges		602.1	85			Percent of total billed charges		568.65	85			Percent of total billed charges		568.65	85			Percent of total billed charges		568.65	100			Percent of total billed charges		669	100			Percent of total billed charges		669	100			Percent of total billed charges		669	33.3			Percent of total billed charges		222.777	33.3			Percent of total billed charges		222.777	100			Percent of total billed charges		669	222.777	602.1	
angiojet sterile pumpsit	272	RC	Outpatient			669	434.85		90			Percent of total billed charges		602.1	40			Percent of total billed charges		267.6	80			Percent of total billed charges		535.2	90			Percent of total billed charges		602.1	85			Percent of total billed charges		568.65	85			Percent of total billed charges		568.65	85			Percent of total billed charges		568.65	100			Percent of total billed charges		669	100			Percent of total billed charges		669	100			Percent of total billed charges		669	33.3			Percent of total billed charges		222.777	33.3			Percent of total billed charges		222.777	100			Percent of total billed charges		669	222.777	602.1	
arthrex bio-pushlck kit	272	RC	Outpatient			669	434.85		90			Percent of total billed charges		602.1	40			Percent of total billed charges		267.6	80			Percent of total billed charges		535.2	90			Percent of total billed charges		602.1	85			Percent of total billed charges		568.65	85			Percent of total billed charges		568.65	85			Percent of total billed charges		568.65	100			Percent of total billed charges		669	100			Percent of total billed charges		669	100			Percent of total billed charges		669	33.3			Percent of total billed charges		222.777	33.3			Percent of total billed charges		222.777	100			Percent of total billed charges		669	222.777	602.1	
arthrex bio-pushlock kit ar-1926ds	272	RC	Outpatient			669	434.85		90			Percent of total billed charges		602.1	40			Percent of total billed charges		267.6	80			Percent of total billed charges		535.2	90			Percent of total billed charges		602.1	85			Percent of total billed charges		568.65	85			Percent of total billed charges		568.65	85			Percent of total billed charges		568.65	100			Percent of total billed charges		669	100			Percent of total billed charges		669	100			Percent of total billed charges		669	33.3			Percent of total billed charges		222.777	33.3			Percent of total billed charges		222.777	100			Percent of total billed charges		669	222.777	602.1	
arthrex suture snare a4064-15	272	RC	Outpatient			669	434.85		90			Percent of total billed charges		602.1	40			Percent of total billed charges		267.6	80			Percent of total billed charges		535.2	90			Percent of total billed charges		602.1	85			Percent of total billed charges		568.65	85			Percent of total billed charges		568.65	85			Percent of total billed charges		568.65	100			Percent of total billed charges		669	100			Percent of total billed charges		669	100			Percent of total billed charges		669	33.3			Percent of total billed charges		222.777	33.3			Percent of total billed charges		222.777	100			Percent of total billed charges		669	222.777	602.1	
cement presserizers zimm	278	RC	Outpatient			669	434.85		90			Percent of total billed charges		602.1	40			Percent of total billed charges		267.6	80			Percent of total billed charges		535.2	90			Percent of total billed charges		602.1	85			Percent of total billed charges		568.65	85			Percent of total billed charges		568.65	85			Percent of total billed charges		568.65	100			Percent of total billed charges		669	100			Percent of total billed charges		669	100			Percent of total billed charges		669	33.3			Percent of total billed charges		222.777	33.3			Percent of total billed charges		222.777	100			Percent of total billed charges		669	222.777	602.1	
arthrex acl reamer	272	RC	Outpatient			669	434.85		90			Percent of total billed charges		602.1	40			Percent of total billed charges		267.6	80			Percent of total billed charges		535.2	90			Percent of total billed charges		602.1	85			Percent of total billed charges		568.65	85			Percent of total billed charges		568.65	85			Percent of total billed charges		568.65	100			Percent of total billed charges		669	100			Percent of total billed charges		669	100			Percent of total billed charges		669	33.3			Percent of total billed charges		222.777	33.3			Percent of total billed charges		222.777	100			Percent of total billed charges		669	222.777	602.1	
arthrex bio-pushlock kit 2.9mm ar-1923ds	272	RC	Outpatient			669	434.85		90			Percent of total billed charges		602.1	40			Percent of total billed charges		267.6	80			Percent of total billed charges		535.2	90			Percent of total billed charges		602.1	85			Percent of total billed charges		568.65	85			Percent of total billed charges		568.65	85			Percent of total billed charges		568.65	100			Percent of total billed charges		669	100			Percent of total billed charges		669	100			Percent of total billed charges		669	33.3			Percent of total billed charges		222.777	33.3			Percent of total billed charges		222.777	100			Percent of total billed charges		669	222.777	602.1	
"arthrex coring reamer, cannulated ar-12245s"	272	RC	Outpatient			669	434.85		90			Percent of total billed charges		602.1	40			Percent of total billed charges		267.6	80			Percent of total billed charges		535.2	90			Percent of total billed charges		602.1	85			Percent of total billed charges		568.65	85			Percent of total billed charges		568.65	85			Percent of total billed charges		568.65	100			Percent of total billed charges		669	100			Percent of total billed charges		669	100			Percent of total billed charges		669	33.3			Percent of total billed charges		222.777	33.3			Percent of total billed charges		222.777	100			Percent of total billed charges		669	222.777	602.1	
arthrex suture snare	272	RC	Outpatient			669	434.85		90			Percent of total billed charges		602.1	40			Percent of total billed charges		267.6	80			Percent of total billed charges		535.2	90			Percent of total billed charges		602.1	85			Percent of total billed charges		568.65	85			Percent of total billed charges		568.65	85			Percent of total billed charges		568.65	100			Percent of total billed charges		669	100			Percent of total billed charges		669	100			Percent of total billed charges		669	33.3			Percent of total billed charges		222.777	33.3			Percent of total billed charges		222.777	100			Percent of total billed charges		669	222.777	602.1	
fox pta sv balloon 2.5 x 60mm 135cm 82378-02 abbott vas	272	RC	Outpatient			669	434.85		90			Percent of total billed charges		602.1	40			Percent of total billed charges		267.6	80			Percent of total billed charges		535.2	90			Percent of total billed charges		602.1	85			Percent of total billed charges		568.65	85			Percent of total billed charges		568.65	85			Percent of total billed charges		568.65	100			Percent of total billed charges		669	100			Percent of total billed charges		669	100			Percent of total billed charges		669	33.3			Percent of total billed charges		222.777	33.3			Percent of total billed charges		222.777	100			Percent of total billed charges		669	222.777	602.1	
fox pta sv balloon 4.0 x 40mm 135cm 82163-02 abbott vas	272	RC	Outpatient			669	434.85		90			Percent of total billed charges		602.1	40			Percent of total billed charges		267.6	80			Percent of total billed charges		535.2	90			Percent of total billed charges		602.1	85			Percent of total billed charges		568.65	85			Percent of total billed charges		568.65	85			Percent of total billed charges		568.65	100			Percent of total billed charges		669	100			Percent of total billed charges		669	100			Percent of total billed charges		669	33.3			Percent of total billed charges		222.777	33.3			Percent of total billed charges		222.777	100			Percent of total billed charges		669	222.777	602.1	
fox pta sv balloon 4.0 x 60mm 135cm 82165-02 abbott vas	272	RC	Outpatient			669	434.85		90			Percent of total billed charges		602.1	40			Percent of total billed charges		267.6	80			Percent of total billed charges		535.2	90			Percent of total billed charges		602.1	85			Percent of total billed charges		568.65	85			Percent of total billed charges		568.65	85			Percent of total billed charges		568.65	100			Percent of total billed charges		669	100			Percent of total billed charges		669	100			Percent of total billed charges		669	33.3			Percent of total billed charges		222.777	33.3			Percent of total billed charges		222.777	100			Percent of total billed charges		669	222.777	602.1	
gore dryseal sheath 12-16	272	RC	Outpatient			669	434.85		90			Percent of total billed charges		602.1	40			Percent of total billed charges		267.6	80			Percent of total billed charges		535.2	90			Percent of total billed charges		602.1	85			Percent of total billed charges		568.65	85			Percent of total billed charges		568.65	85			Percent of total billed charges		568.65	100			Percent of total billed charges		669	100			Percent of total billed charges		669	100			Percent of total billed charges		669	33.3			Percent of total billed charges		222.777	33.3			Percent of total billed charges		222.777	100			Percent of total billed charges		669	222.777	602.1	
flow track mhd8	270	RC	Outpatient			669	434.85		90			Percent of total billed charges		602.1	40			Percent of total billed charges		267.6	80			Percent of total billed charges		535.2	90			Percent of total billed charges		602.1	85			Percent of total billed charges		568.65	85			Percent of total billed charges		568.65	85			Percent of total billed charges		568.65	100			Percent of total billed charges		669	100			Percent of total billed charges		669	100			Percent of total billed charges		669	33.3			Percent of total billed charges		222.777	33.3			Percent of total billed charges		222.777	100			Percent of total billed charges		669	222.777	602.1	
fox pta cath sv	272	RC	Outpatient			669	434.85		90			Percent of total billed charges		602.1	40			Percent of total billed charges		267.6	80			Percent of total billed charges		535.2	90			Percent of total billed charges		602.1	85			Percent of total billed charges		568.65	85			Percent of total billed charges		568.65	85			Percent of total billed charges		568.65	100			Percent of total billed charges		669	100			Percent of total billed charges		669	100			Percent of total billed charges		669	33.3			Percent of total billed charges		222.777	33.3			Percent of total billed charges		222.777	100			Percent of total billed charges		669	222.777	602.1	
fox pta sv balloon 2.0 x 60mm 135cm 82197-02 abbott vas	272	RC	Outpatient			669	434.85		90			Percent of total billed charges		602.1	40			Percent of total billed charges		267.6	80			Percent of total billed charges		535.2	90			Percent of total billed charges		602.1	85			Percent of total billed charges		568.65	85			Percent of total billed charges		568.65	85			Percent of total billed charges		568.65	100			Percent of total billed charges		669	100			Percent of total billed charges		669	100			Percent of total billed charges		669	33.3			Percent of total billed charges		222.777	33.3			Percent of total billed charges		222.777	100			Percent of total billed charges		669	222.777	602.1	
fox pta sv balloon 2.5 x 40mm 135cm 82376-02 abbott vas	272	RC	Outpatient			669	434.85		90			Percent of total billed charges		602.1	40			Percent of total billed charges		267.6	80			Percent of total billed charges		535.2	90			Percent of total billed charges		602.1	85			Percent of total billed charges		568.65	85			Percent of total billed charges		568.65	85			Percent of total billed charges		568.65	100			Percent of total billed charges		669	100			Percent of total billed charges		669	100			Percent of total billed charges		669	33.3			Percent of total billed charges		222.777	33.3			Percent of total billed charges		222.777	100			Percent of total billed charges		669	222.777	602.1	
fox pta sv balloon 2.5 x 40mm 150cm 83376-02 abbott vas	272	RC	Outpatient			669	434.85		90			Percent of total billed charges		602.1	40			Percent of total billed charges		267.6	80			Percent of total billed charges		535.2	90			Percent of total billed charges		602.1	85			Percent of total billed charges		568.65	85			Percent of total billed charges		568.65	85			Percent of total billed charges		568.65	100			Percent of total billed charges		669	100			Percent of total billed charges		669	100			Percent of total billed charges		669	33.3			Percent of total billed charges		222.777	33.3			Percent of total billed charges		222.777	100			Percent of total billed charges		669	222.777	602.1	
fox pta sv balloon 2.5 x 60mm 150cm 83378-02 abbott vas	272	RC	Outpatient			669	434.85		90			Percent of total billed charges		602.1	40			Percent of total billed charges		267.6	80			Percent of total billed charges		535.2	90			Percent of total billed charges		602.1	85			Percent of total billed charges		568.65	85			Percent of total billed charges		568.65	85			Percent of total billed charges		568.65	100			Percent of total billed charges		669	100			Percent of total billed charges		669	100			Percent of total billed charges		669	33.3			Percent of total billed charges		222.777	33.3			Percent of total billed charges		222.777	100			Percent of total billed charges		669	222.777	602.1	
fox pta sv balloon 3.0 x 40mm 135cm 82153-02 abbott vas	272	RC	Outpatient			669	434.85		90			Percent of total billed charges		602.1	40			Percent of total billed charges		267.6	80			Percent of total billed charges		535.2	90			Percent of total billed charges		602.1	85			Percent of total billed charges		568.65	85			Percent of total billed charges		568.65	85			Percent of total billed charges		568.65	100			Percent of total billed charges		669	100			Percent of total billed charges		669	100			Percent of total billed charges		669	33.3			Percent of total billed charges		222.777	33.3			Percent of total billed charges		222.777	100			Percent of total billed charges		669	222.777	602.1	
fox pta sv balloon 3.0 x 40mm 150cm 83153-02 abbott vas	272	RC	Outpatient			669	434.85		90			Percent of total billed charges		602.1	40			Percent of total billed charges		267.6	80			Percent of total billed charges		535.2	90			Percent of total billed charges		602.1	85			Percent of total billed charges		568.65	85			Percent of total billed charges		568.65	85			Percent of total billed charges		568.65	100			Percent of total billed charges		669	100			Percent of total billed charges		669	100			Percent of total billed charges		669	33.3			Percent of total billed charges		222.777	33.3			Percent of total billed charges		222.777	100			Percent of total billed charges		669	222.777	602.1	
fox pta sv balloon 3.0 x 60mm 135cm 82155-02 abbott vas	272	RC	Outpatient			669	434.85		90			Percent of total billed charges		602.1	40			Percent of total billed charges		267.6	80			Percent of total billed charges		535.2	90			Percent of total billed charges		602.1	85			Percent of total billed charges		568.65	85			Percent of total billed charges		568.65	85			Percent of total billed charges		568.65	100			Percent of total billed charges		669	100			Percent of total billed charges		669	100			Percent of total billed charges		669	33.3			Percent of total billed charges		222.777	33.3			Percent of total billed charges		222.777	100			Percent of total billed charges		669	222.777	602.1	
fox pta sv balloon 4.0 x 60mm 135cm 83165-02 abbott vas	272	RC	Outpatient			669	434.85		90			Percent of total billed charges		602.1	40			Percent of total billed charges		267.6	80			Percent of total billed charges		535.2	90			Percent of total billed charges		602.1	85			Percent of total billed charges		568.65	85			Percent of total billed charges		568.65	85			Percent of total billed charges		568.65	100			Percent of total billed charges		669	100			Percent of total billed charges		669	100			Percent of total billed charges		669	33.3			Percent of total billed charges		222.777	33.3			Percent of total billed charges		222.777	100			Percent of total billed charges		669	222.777	602.1	
gore dryseal sheath 12 fr sdv1228	272	RC	Outpatient			669	434.85		90			Percent of total billed charges		602.1	40			Percent of total billed charges		267.6	80			Percent of total billed charges		535.2	90			Percent of total billed charges		602.1	85			Percent of total billed charges		568.65	85			Percent of total billed charges		568.65	85			Percent of total billed charges		568.65	100			Percent of total billed charges		669	100			Percent of total billed charges		669	100			Percent of total billed charges		669	33.3			Percent of total billed charges		222.777	33.3			Percent of total billed charges		222.777	100			Percent of total billed charges		669	222.777	602.1	
gore dryseal sheath 14 fr sdv1428	272	RC	Outpatient			669	434.85		90			Percent of total billed charges		602.1	40			Percent of total billed charges		267.6	80			Percent of total billed charges		535.2	90			Percent of total billed charges		602.1	85			Percent of total billed charges		568.65	85			Percent of total billed charges		568.65	85			Percent of total billed charges		568.65	100			Percent of total billed charges		669	100			Percent of total billed charges		669	100			Percent of total billed charges		669	33.3			Percent of total billed charges		222.777	33.3			Percent of total billed charges		222.777	100			Percent of total billed charges		669	222.777	602.1	
gore dryseal sheath 16 fr sdv1628	272	RC	Outpatient			669	434.85		90			Percent of total billed charges		602.1	40			Percent of total billed charges		267.6	80			Percent of total billed charges		535.2	90			Percent of total billed charges		602.1	85			Percent of total billed charges		568.65	85			Percent of total billed charges		568.65	85			Percent of total billed charges		568.65	100			Percent of total billed charges		669	100			Percent of total billed charges		669	100			Percent of total billed charges		669	33.3			Percent of total billed charges		222.777	33.3			Percent of total billed charges		222.777	100			Percent of total billed charges		669	222.777	602.1	
l&d d & c	720	RC	Outpatient			669	434.85		90			Percent of total billed charges		602.1	40			Percent of total billed charges		267.6	80			Percent of total billed charges		535.2	90			Percent of total billed charges		602.1	85			Percent of total billed charges		568.65	85			Percent of total billed charges		568.65	85			Percent of total billed charges		568.65	100			Percent of total billed charges		669	100			Percent of total billed charges		669	100			Percent of total billed charges		669	33.3			Percent of total billed charges		222.777	33.3			Percent of total billed charges		222.777	100			Percent of total billed charges		669	222.777	602.1	
medtronic bone mill	272	RC	Outpatient			669	434.85		90			Percent of total billed charges		602.1	40			Percent of total billed charges		267.6	80			Percent of total billed charges		535.2	90			Percent of total billed charges		602.1	85			Percent of total billed charges		568.65	85			Percent of total billed charges		568.65	85			Percent of total billed charges		568.65	100			Percent of total billed charges		669	100			Percent of total billed charges		669	100			Percent of total billed charges		669	33.3			Percent of total billed charges		222.777	33.3			Percent of total billed charges		222.777	100			Percent of total billed charges		669	222.777	602.1	
room/bed: nursery/icu	174	RC	Outpatient			669	434.85		90			Percent of total billed charges		602.1	40			Percent of total billed charges		267.6	80			Percent of total billed charges		535.2	90			Percent of total billed charges		602.1	85			Percent of total billed charges		568.65	85			Percent of total billed charges		568.65	85			Percent of total billed charges		568.65	100			Percent of total billed charges		669	100			Percent of total billed charges		669	100			Percent of total billed charges		669	33.3			Percent of total billed charges		222.777	33.3			Percent of total billed charges		222.777	100			Percent of total billed charges		669	222.777	602.1	
signature bone model	272	RC	Outpatient			669	434.85		90			Percent of total billed charges		602.1	40			Percent of total billed charges		267.6	80			Percent of total billed charges		535.2	90			Percent of total billed charges		602.1	85			Percent of total billed charges		568.65	85			Percent of total billed charges		568.65	85			Percent of total billed charges		568.65	100			Percent of total billed charges		669	100			Percent of total billed charges		669	100			Percent of total billed charges		669	33.3			Percent of total billed charges		222.777	33.3			Percent of total billed charges		222.777	100			Percent of total billed charges		669	222.777	602.1	
signature patient bone module 42-422410 biomet	272	RC	Outpatient			669	434.85		90			Percent of total billed charges		602.1	40			Percent of total billed charges		267.6	80			Percent of total billed charges		535.2	90			Percent of total billed charges		602.1	85			Percent of total billed charges		568.65	85			Percent of total billed charges		568.65	85			Percent of total billed charges		568.65	100			Percent of total billed charges		669	100			Percent of total billed charges		669	100			Percent of total billed charges		669	33.3			Percent of total billed charges		222.777	33.3			Percent of total billed charges		222.777	100			Percent of total billed charges		669	222.777	602.1	
signature patient bone module 42-422415 biomet	272	RC	Outpatient			669	434.85		90			Percent of total billed charges		602.1	40			Percent of total billed charges		267.6	80			Percent of total billed charges		535.2	90			Percent of total billed charges		602.1	85			Percent of total billed charges		568.65	85			Percent of total billed charges		568.65	85			Percent of total billed charges		568.65	100			Percent of total billed charges		669	100			Percent of total billed charges		669	100			Percent of total billed charges		669	33.3			Percent of total billed charges		222.777	33.3			Percent of total billed charges		222.777	100			Percent of total billed charges		669	222.777	602.1	
mini fr pl comp 5-6 hl	278	RC	Outpatient			670	435.5		90			Percent of total billed charges		603	40			Percent of total billed charges		268	80			Percent of total billed charges		536	90			Percent of total billed charges		603	85			Percent of total billed charges		569.5	85			Percent of total billed charges		569.5	85			Percent of total billed charges		569.5	100			Percent of total billed charges		670	100			Percent of total billed charges		670	100			Percent of total billed charges		670	33.3			Percent of total billed charges		223.11	33.3			Percent of total billed charges		223.11	100			Percent of total billed charges		670	223.11	603	
ligasure atlas	272	RC	Outpatient			670	435.5		90			Percent of total billed charges		603	40			Percent of total billed charges		268	80			Percent of total billed charges		536	90			Percent of total billed charges		603	85			Percent of total billed charges		569.5	85			Percent of total billed charges		569.5	85			Percent of total billed charges		569.5	100			Percent of total billed charges		670	100			Percent of total billed charges		670	100			Percent of total billed charges		670	33.3			Percent of total billed charges		223.11	33.3			Percent of total billed charges		223.11	100			Percent of total billed charges		670	223.11	603	
s/n mini frag plate 5 hole 7114-1905	278	RC	Outpatient			670	435.5		90			Percent of total billed charges		603	40			Percent of total billed charges		268	80			Percent of total billed charges		536	90			Percent of total billed charges		603	85			Percent of total billed charges		569.5	85			Percent of total billed charges		569.5	85			Percent of total billed charges		569.5	100			Percent of total billed charges		670	100			Percent of total billed charges		670	100			Percent of total billed charges		670	33.3			Percent of total billed charges		223.11	33.3			Percent of total billed charges		223.11	100			Percent of total billed charges		670	223.11	603	
s/n mini frag plate 6 hole 7114-1906	278	RC	Outpatient			670	435.5		90			Percent of total billed charges		603	40			Percent of total billed charges		268	80			Percent of total billed charges		536	90			Percent of total billed charges		603	85			Percent of total billed charges		569.5	85			Percent of total billed charges		569.5	85			Percent of total billed charges		569.5	100			Percent of total billed charges		670	100			Percent of total billed charges		670	100			Percent of total billed charges		670	33.3			Percent of total billed charges		223.11	33.3			Percent of total billed charges		223.11	100			Percent of total billed charges		670	223.11	603	
connecting rod 8 x 150mm 5028-8-150 stryker	278	RC	Outpatient			671	436.15		90			Percent of total billed charges		603.9	40			Percent of total billed charges		268.4	80			Percent of total billed charges		536.8	90			Percent of total billed charges		603.9	85			Percent of total billed charges		570.35	85			Percent of total billed charges		570.35	85			Percent of total billed charges		570.35	100			Percent of total billed charges		671	100			Percent of total billed charges		671	100			Percent of total billed charges		671	33.3			Percent of total billed charges		223.443	33.3			Percent of total billed charges		223.443	100			Percent of total billed charges		671	223.443	603.9	
stryker connect rod 150mm	278	RC	Outpatient			671	436.15		90			Percent of total billed charges		603.9	40			Percent of total billed charges		268.4	80			Percent of total billed charges		536.8	90			Percent of total billed charges		603.9	85			Percent of total billed charges		570.35	85			Percent of total billed charges		570.35	85			Percent of total billed charges		570.35	100			Percent of total billed charges		671	100			Percent of total billed charges		671	100			Percent of total billed charges		671	33.3			Percent of total billed charges		223.443	33.3			Percent of total billed charges		223.443	100			Percent of total billed charges		671	223.443	603.9	
mini fr pl q-tub 7-8 hl	278	RC	Outpatient			674	438.1		90			Percent of total billed charges		606.6	40			Percent of total billed charges		269.6	80			Percent of total billed charges		539.2	90			Percent of total billed charges		606.6	85			Percent of total billed charges		572.9	85			Percent of total billed charges		572.9	85			Percent of total billed charges		572.9	100			Percent of total billed charges		674	100			Percent of total billed charges		674	100			Percent of total billed charges		674	33.3			Percent of total billed charges		224.442	33.3			Percent of total billed charges		224.442	100			Percent of total billed charges		674	224.442	606.6	
p-l vlp plt 1/3 tub 5h	278	RC	Outpatient			674	438.1		90			Percent of total billed charges		606.6	40			Percent of total billed charges		269.6	80			Percent of total billed charges		539.2	90			Percent of total billed charges		606.6	85			Percent of total billed charges		572.9	85			Percent of total billed charges		572.9	85			Percent of total billed charges		572.9	100			Percent of total billed charges		674	100			Percent of total billed charges		674	100			Percent of total billed charges		674	33.3			Percent of total billed charges		224.442	33.3			Percent of total billed charges		224.442	100			Percent of total billed charges		674	224.442	606.6	
peri-loc 3.5 1/3 lk tub pl 5 h 72823005 s/n	278	RC	Outpatient			674	438.1		90			Percent of total billed charges		606.6	40			Percent of total billed charges		269.6	80			Percent of total billed charges		539.2	90			Percent of total billed charges		606.6	85			Percent of total billed charges		572.9	85			Percent of total billed charges		572.9	85			Percent of total billed charges		572.9	100			Percent of total billed charges		674	100			Percent of total billed charges		674	100			Percent of total billed charges		674	33.3			Percent of total billed charges		224.442	33.3			Percent of total billed charges		224.442	100			Percent of total billed charges		674	224.442	606.6	
quarter-tubular plate w/collar 8 hole 242.08	278	RC	Outpatient			674	438.1		90			Percent of total billed charges		606.6	40			Percent of total billed charges		269.6	80			Percent of total billed charges		539.2	90			Percent of total billed charges		606.6	85			Percent of total billed charges		572.9	85			Percent of total billed charges		572.9	85			Percent of total billed charges		572.9	100			Percent of total billed charges		674	100			Percent of total billed charges		674	100			Percent of total billed charges		674	33.3			Percent of total billed charges		224.442	33.3			Percent of total billed charges		224.442	100			Percent of total billed charges		674	224.442	606.6	
s/n mini frag plate 7 hole 7114-8007	278	RC	Outpatient			674	438.1		90			Percent of total billed charges		606.6	40			Percent of total billed charges		269.6	80			Percent of total billed charges		539.2	90			Percent of total billed charges		606.6	85			Percent of total billed charges		572.9	85			Percent of total billed charges		572.9	85			Percent of total billed charges		572.9	100			Percent of total billed charges		674	100			Percent of total billed charges		674	100			Percent of total billed charges		674	33.3			Percent of total billed charges		224.442	33.3			Percent of total billed charges		224.442	100			Percent of total billed charges		674	224.442	606.6	
quarter-tubular plate w/collar 7 hole 242.07	278	RC	Outpatient			674	438.1		90			Percent of total billed charges		606.6	40			Percent of total billed charges		269.6	80			Percent of total billed charges		539.2	90			Percent of total billed charges		606.6	85			Percent of total billed charges		572.9	85			Percent of total billed charges		572.9	85			Percent of total billed charges		572.9	100			Percent of total billed charges		674	100			Percent of total billed charges		674	100			Percent of total billed charges		674	33.3			Percent of total billed charges		224.442	33.3			Percent of total billed charges		224.442	100			Percent of total billed charges		674	224.442	606.6	
s/n mini frag plate 8 hole 7114-8008	278	RC	Outpatient			674	438.1		90			Percent of total billed charges		606.6	40			Percent of total billed charges		269.6	80			Percent of total billed charges		539.2	90			Percent of total billed charges		606.6	85			Percent of total billed charges		572.9	85			Percent of total billed charges		572.9	85			Percent of total billed charges		572.9	100			Percent of total billed charges		674	100			Percent of total billed charges		674	100			Percent of total billed charges		674	33.3			Percent of total billed charges		224.442	33.3			Percent of total billed charges		224.442	100			Percent of total billed charges		674	224.442	606.6	
holmium laser fiber 365	272	RC	Outpatient			677	440.05		90			Percent of total billed charges		609.3	40			Percent of total billed charges		270.8	80			Percent of total billed charges		541.6	90			Percent of total billed charges		609.3	85			Percent of total billed charges		575.45	85			Percent of total billed charges		575.45	85			Percent of total billed charges		575.45	100			Percent of total billed charges		677	100			Percent of total billed charges		677	100			Percent of total billed charges		677	33.3			Percent of total billed charges		225.441	33.3			Percent of total billed charges		225.441	100			Percent of total billed charges		677	225.441	609.3	
slimline ez laser fiber 365  840-893 boston scientic-micro	272	RC	Outpatient			677	440.05		90			Percent of total billed charges		609.3	40			Percent of total billed charges		270.8	80			Percent of total billed charges		541.6	90			Percent of total billed charges		609.3	85			Percent of total billed charges		575.45	85			Percent of total billed charges		575.45	85			Percent of total billed charges		575.45	100			Percent of total billed charges		677	100			Percent of total billed charges		677	100			Percent of total billed charges		677	33.3			Percent of total billed charges		225.441	33.3			Percent of total billed charges		225.441	100			Percent of total billed charges		677	225.441	609.3	
zimmer spine scr sd	278	RC	Outpatient			677	440.05		90			Percent of total billed charges		609.3	40			Percent of total billed charges		270.8	80			Percent of total billed charges		541.6	90			Percent of total billed charges		609.3	85			Percent of total billed charges		575.45	85			Percent of total billed charges		575.45	85			Percent of total billed charges		575.45	100			Percent of total billed charges		677	100			Percent of total billed charges		677	100			Percent of total billed charges		677	33.3			Percent of total billed charges		225.441	33.3			Percent of total billed charges		225.441	100			Percent of total billed charges		677	225.441	609.3	
zimmer spinal self drilling screw 4.2 x 12mm 07.00811.003	278	RC	Outpatient			677	440.05		90			Percent of total billed charges		609.3	40			Percent of total billed charges		270.8	80			Percent of total billed charges		541.6	90			Percent of total billed charges		609.3	85			Percent of total billed charges		575.45	85			Percent of total billed charges		575.45	85			Percent of total billed charges		575.45	100			Percent of total billed charges		677	100			Percent of total billed charges		677	100			Percent of total billed charges		677	33.3			Percent of total billed charges		225.441	33.3			Percent of total billed charges		225.441	100			Percent of total billed charges		677	225.441	609.3	
ccpf chemo admin 6.5 hrs	335	RC	Outpatient			678.88	441.27		90			Percent of total billed charges		610.992	40			Percent of total billed charges		271.552	80			Percent of total billed charges		543.104	90			Percent of total billed charges		610.992	85			Percent of total billed charges		577.048	85			Percent of total billed charges		577.048	85			Percent of total billed charges		577.048	100			Percent of total billed charges		678.88	100			Percent of total billed charges		678.88	100			Percent of total billed charges		678.88	33.3			Percent of total billed charges		226.067	33.3			Percent of total billed charges		226.067	100			Percent of total billed charges		678.88	226.067	610.992	
3.5mm compression plate 22-hole 265mm 00-4935-022-00 zimmer	278	RC	Outpatient			680	442		90			Percent of total billed charges		612	40			Percent of total billed charges		272	80			Percent of total billed charges		544	90			Percent of total billed charges		612	85			Percent of total billed charges		578	85			Percent of total billed charges		578	85			Percent of total billed charges		578	100			Percent of total billed charges		680	100			Percent of total billed charges		680	100			Percent of total billed charges		680	33.3			Percent of total billed charges		226.44	33.3			Percent of total billed charges		226.44	100			Percent of total billed charges		680	226.44	612	
zimm 3.5 comp plt-22 hole	278	RC	Outpatient			680	442		90			Percent of total billed charges		612	40			Percent of total billed charges		272	80			Percent of total billed charges		544	90			Percent of total billed charges		612	85			Percent of total billed charges		578	85			Percent of total billed charges		578	85			Percent of total billed charges		578	100			Percent of total billed charges		680	100			Percent of total billed charges		680	100			Percent of total billed charges		680	33.3			Percent of total billed charges		226.44	33.3			Percent of total billed charges		226.44	100			Percent of total billed charges		680	226.44	612	
beaded cable	278	RC	Outpatient			681	442.65		90			Percent of total billed charges		612.9	40			Percent of total billed charges		272.4	80			Percent of total billed charges		544.8	90			Percent of total billed charges		612.9	85			Percent of total billed charges		578.85	85			Percent of total billed charges		578.85	85			Percent of total billed charges		578.85	100			Percent of total billed charges		681	100			Percent of total billed charges		681	100			Percent of total billed charges		681	33.3			Percent of total billed charges		226.773	33.3			Percent of total billed charges		226.773	100			Percent of total billed charges		681	226.773	612.9	
beaded cable 2.0 6704-0-520 howmedica	278	RC	Outpatient			681	442.65		90			Percent of total billed charges		612.9	40			Percent of total billed charges		272.4	80			Percent of total billed charges		544.8	90			Percent of total billed charges		612.9	85			Percent of total billed charges		578.85	85			Percent of total billed charges		578.85	85			Percent of total billed charges		578.85	100			Percent of total billed charges		681	100			Percent of total billed charges		681	100			Percent of total billed charges		681	33.3			Percent of total billed charges		226.773	33.3			Percent of total billed charges		226.773	100			Percent of total billed charges		681	226.773	612.9	
viatrac 14 plus 5.0 x 40mm 135cm 1008193-40 abbott	278	RC	Outpatient			681	442.65		90			Percent of total billed charges		612.9	40			Percent of total billed charges		272.4	80			Percent of total billed charges		544.8	90			Percent of total billed charges		612.9	85			Percent of total billed charges		578.85	85			Percent of total billed charges		578.85	85			Percent of total billed charges		578.85	100			Percent of total billed charges		681	100			Percent of total billed charges		681	100			Percent of total billed charges		681	33.3			Percent of total billed charges		226.773	33.3			Percent of total billed charges		226.773	100			Percent of total billed charges		681	226.773	612.9	
viatrac stent	278	RC	Outpatient			681	442.65		90			Percent of total billed charges		612.9	40			Percent of total billed charges		272.4	80			Percent of total billed charges		544.8	90			Percent of total billed charges		612.9	85			Percent of total billed charges		578.85	85			Percent of total billed charges		578.85	85			Percent of total billed charges		578.85	100			Percent of total billed charges		681	100			Percent of total billed charges		681	100			Percent of total billed charges		681	33.3			Percent of total billed charges		226.773	33.3			Percent of total billed charges		226.773	100			Percent of total billed charges		681	226.773	612.9	
2.7mm reconstruction plate 14 hole 245.24	278	RC	Outpatient			683	443.95		90			Percent of total billed charges		614.7	40			Percent of total billed charges		273.2	80			Percent of total billed charges		546.4	90			Percent of total billed charges		614.7	85			Percent of total billed charges		580.55	85			Percent of total billed charges		580.55	85			Percent of total billed charges		580.55	100			Percent of total billed charges		683	100			Percent of total billed charges		683	100			Percent of total billed charges		683	33.3			Percent of total billed charges		227.439	33.3			Percent of total billed charges		227.439	100			Percent of total billed charges		683	227.439	614.7	
2.7mm reconstruction plate 16 hole 245.25	278	RC	Outpatient			683	443.95		90			Percent of total billed charges		614.7	40			Percent of total billed charges		273.2	80			Percent of total billed charges		546.4	90			Percent of total billed charges		614.7	85			Percent of total billed charges		580.55	85			Percent of total billed charges		580.55	85			Percent of total billed charges		580.55	100			Percent of total billed charges		683	100			Percent of total billed charges		683	100			Percent of total billed charges		683	33.3			Percent of total billed charges		227.439	33.3			Percent of total billed charges		227.439	100			Percent of total billed charges		683	227.439	614.7	
cath lab temporary pacemaker insertion	360	RC	Outpatient			683	443.95		90			Percent of total billed charges		614.7	40			Percent of total billed charges		273.2	80			Percent of total billed charges		546.4	90			Percent of total billed charges		614.7	85			Percent of total billed charges		580.55	85			Percent of total billed charges		580.55	85			Percent of total billed charges		580.55	100			Percent of total billed charges		683	100			Percent of total billed charges		683	100			Percent of total billed charges		683	33.3			Percent of total billed charges		227.439	33.3			Percent of total billed charges		227.439	100			Percent of total billed charges		683	227.439	614.7	
syn 2.7 recon plate 14-16	278	RC	Outpatient			683	443.95		90			Percent of total billed charges		614.7	40			Percent of total billed charges		273.2	80			Percent of total billed charges		546.4	90			Percent of total billed charges		614.7	85			Percent of total billed charges		580.55	85			Percent of total billed charges		580.55	85			Percent of total billed charges		580.55	100			Percent of total billed charges		683	100			Percent of total billed charges		683	100			Percent of total billed charges		683	33.3			Percent of total billed charges		227.439	33.3			Percent of total billed charges		227.439	100			Percent of total billed charges		683	227.439	614.7	
2.7 cannulated drill bit 702449 stryker	272	RC	Outpatient			684	444.6		90			Percent of total billed charges		615.6	40			Percent of total billed charges		273.6	80			Percent of total billed charges		547.2	90			Percent of total billed charges		615.6	85			Percent of total billed charges		581.4	85			Percent of total billed charges		581.4	85			Percent of total billed charges		581.4	100			Percent of total billed charges		684	100			Percent of total billed charges		684	100			Percent of total billed charges		684	33.3			Percent of total billed charges		227.772	33.3			Percent of total billed charges		227.772	100			Percent of total billed charges		684	227.772	615.6	
acumed  9 hole comp plate 02-2009-s	278	RC	Outpatient			684	444.6		90			Percent of total billed charges		615.6	40			Percent of total billed charges		273.6	80			Percent of total billed charges		547.2	90			Percent of total billed charges		615.6	85			Percent of total billed charges		581.4	85			Percent of total billed charges		581.4	85			Percent of total billed charges		581.4	100			Percent of total billed charges		684	100			Percent of total billed charges		684	100			Percent of total billed charges		684	33.3			Percent of total billed charges		227.772	33.3			Percent of total billed charges		227.772	100			Percent of total billed charges		684	227.772	615.6	
acumed  11 hole comp plate 02-2011-s	278	RC	Outpatient			684	444.6		90			Percent of total billed charges		615.6	40			Percent of total billed charges		273.6	80			Percent of total billed charges		547.2	90			Percent of total billed charges		615.6	85			Percent of total billed charges		581.4	85			Percent of total billed charges		581.4	85			Percent of total billed charges		581.4	100			Percent of total billed charges		684	100			Percent of total billed charges		684	100			Percent of total billed charges		684	33.3			Percent of total billed charges		227.772	33.3			Percent of total billed charges		227.772	100			Percent of total billed charges		684	227.772	615.6	
arthrex osteochonral fl s	272	RC	Outpatient			684	444.6		90			Percent of total billed charges		615.6	40			Percent of total billed charges		273.6	80			Percent of total billed charges		547.2	90			Percent of total billed charges		615.6	85			Percent of total billed charges		581.4	85			Percent of total billed charges		581.4	85			Percent of total billed charges		581.4	100			Percent of total billed charges		684	100			Percent of total billed charges		684	100			Percent of total billed charges		684	33.3			Percent of total billed charges		227.772	33.3			Percent of total billed charges		227.772	100			Percent of total billed charges		684	227.772	615.6	
biotrace bone cement radiopacifier 1730 bryan corp	278	RC	Outpatient			684	444.6		90			Percent of total billed charges		615.6	40			Percent of total billed charges		273.6	80			Percent of total billed charges		547.2	90			Percent of total billed charges		615.6	85			Percent of total billed charges		581.4	85			Percent of total billed charges		581.4	85			Percent of total billed charges		581.4	100			Percent of total billed charges		684	100			Percent of total billed charges		684	100			Percent of total billed charges		684	33.3			Percent of total billed charges		227.772	33.3			Percent of total billed charges		227.772	100			Percent of total billed charges		684	227.772	615.6	
osteo-clage 9-11hl comp p	278	RC	Outpatient			684	444.6		90			Percent of total billed charges		615.6	40			Percent of total billed charges		273.6	80			Percent of total billed charges		547.2	90			Percent of total billed charges		615.6	85			Percent of total billed charges		581.4	85			Percent of total billed charges		581.4	85			Percent of total billed charges		581.4	100			Percent of total billed charges		684	100			Percent of total billed charges		684	100			Percent of total billed charges		684	33.3			Percent of total billed charges		227.772	33.3			Percent of total billed charges		227.772	100			Percent of total billed charges		684	227.772	615.6	
stryker canulatd drill2.7	272	RC	Outpatient			684	444.6		90			Percent of total billed charges		615.6	40			Percent of total billed charges		273.6	80			Percent of total billed charges		547.2	90			Percent of total billed charges		615.6	85			Percent of total billed charges		581.4	85			Percent of total billed charges		581.4	85			Percent of total billed charges		581.4	100			Percent of total billed charges		684	100			Percent of total billed charges		684	100			Percent of total billed charges		684	33.3			Percent of total billed charges		227.772	33.3			Percent of total billed charges		227.772	100			Percent of total billed charges		684	227.772	615.6	
arthrex flipcutter iii variable size ar-1204ff	272	RC	Outpatient			685	445.25		90			Percent of total billed charges		616.5	40			Percent of total billed charges		274	80			Percent of total billed charges		548	90			Percent of total billed charges		616.5	85			Percent of total billed charges		582.25	85			Percent of total billed charges		582.25	85			Percent of total billed charges		582.25	100			Percent of total billed charges		685	100			Percent of total billed charges		685	100			Percent of total billed charges		685	33.3			Percent of total billed charges		228.105	33.3			Percent of total billed charges		228.105	100			Percent of total billed charges		685	228.105	616.5	
dall miles 2.0 mm sleeve	278	RC	Outpatient			688	447.2		90			Percent of total billed charges		619.2	40			Percent of total billed charges		275.2	80			Percent of total billed charges		550.4	90			Percent of total billed charges		619.2	85			Percent of total billed charges		584.8	85			Percent of total billed charges		584.8	85			Percent of total billed charges		584.8	100			Percent of total billed charges		688	100			Percent of total billed charges		688	100			Percent of total billed charges		688	33.3			Percent of total billed charges		229.104	33.3			Percent of total billed charges		229.104	100			Percent of total billed charges		688	229.104	619.2	
dall miles beaded cable sleeve set 2.0 3704-0-050 howmedica	278	RC	Outpatient			688	447.2		90			Percent of total billed charges		619.2	40			Percent of total billed charges		275.2	80			Percent of total billed charges		550.4	90			Percent of total billed charges		619.2	85			Percent of total billed charges		584.8	85			Percent of total billed charges		584.8	85			Percent of total billed charges		584.8	100			Percent of total billed charges		688	100			Percent of total billed charges		688	100			Percent of total billed charges		688	33.3			Percent of total billed charges		229.104	33.3			Percent of total billed charges		229.104	100			Percent of total billed charges		688	229.104	619.2	
titanium 6.0  soft rod 125mm 498.153 synthes	272	RC	Outpatient			688	447.2		90			Percent of total billed charges		619.2	40			Percent of total billed charges		275.2	80			Percent of total billed charges		550.4	90			Percent of total billed charges		619.2	85			Percent of total billed charges		584.8	85			Percent of total billed charges		584.8	85			Percent of total billed charges		584.8	100			Percent of total billed charges		688	100			Percent of total billed charges		688	100			Percent of total billed charges		688	33.3			Percent of total billed charges		229.104	33.3			Percent of total billed charges		229.104	100			Percent of total billed charges		688	229.104	619.2	
synthes 6.0 soft rod>75mm	272	RC	Outpatient			688	447.2		90			Percent of total billed charges		619.2	40			Percent of total billed charges		275.2	80			Percent of total billed charges		550.4	90			Percent of total billed charges		619.2	85			Percent of total billed charges		584.8	85			Percent of total billed charges		584.8	85			Percent of total billed charges		584.8	100			Percent of total billed charges		688	100			Percent of total billed charges		688	100			Percent of total billed charges		688	33.3			Percent of total billed charges		229.104	33.3			Percent of total billed charges		229.104	100			Percent of total billed charges		688	229.104	619.2	
titanium 6.0  soft rod 100mm 498.152 synthes	272	RC	Outpatient			688	447.2		90			Percent of total billed charges		619.2	40			Percent of total billed charges		275.2	80			Percent of total billed charges		550.4	90			Percent of total billed charges		619.2	85			Percent of total billed charges		584.8	85			Percent of total billed charges		584.8	85			Percent of total billed charges		584.8	100			Percent of total billed charges		688	100			Percent of total billed charges		688	100			Percent of total billed charges		688	33.3			Percent of total billed charges		229.104	33.3			Percent of total billed charges		229.104	100			Percent of total billed charges		688	229.104	619.2	
titanium 6.0  soft rod 150mm 498.154 synthes	272	RC	Outpatient			688	447.2		90			Percent of total billed charges		619.2	40			Percent of total billed charges		275.2	80			Percent of total billed charges		550.4	90			Percent of total billed charges		619.2	85			Percent of total billed charges		584.8	85			Percent of total billed charges		584.8	85			Percent of total billed charges		584.8	100			Percent of total billed charges		688	100			Percent of total billed charges		688	100			Percent of total billed charges		688	33.3			Percent of total billed charges		229.104	33.3			Percent of total billed charges		229.104	100			Percent of total billed charges		688	229.104	619.2	
flexiva id laser fiber 550 m006r8403930 boston scientific	272	RC	Outpatient			689	447.85		90			Percent of total billed charges		620.1	40			Percent of total billed charges		275.6	80			Percent of total billed charges		551.2	90			Percent of total billed charges		620.1	85			Percent of total billed charges		585.65	85			Percent of total billed charges		585.65	85			Percent of total billed charges		585.65	100			Percent of total billed charges		689	100			Percent of total billed charges		689	100			Percent of total billed charges		689	33.3			Percent of total billed charges		229.437	33.3			Percent of total billed charges		229.437	100			Percent of total billed charges		689	229.437	620.1	
flexiva laser fiber 550 840-393 bost scient	272	RC	Outpatient			689	447.85		90			Percent of total billed charges		620.1	40			Percent of total billed charges		275.6	80			Percent of total billed charges		551.2	90			Percent of total billed charges		620.1	85			Percent of total billed charges		585.65	85			Percent of total billed charges		585.65	85			Percent of total billed charges		585.65	100			Percent of total billed charges		689	100			Percent of total billed charges		689	100			Percent of total billed charges		689	33.3			Percent of total billed charges		229.437	33.3			Percent of total billed charges		229.437	100			Percent of total billed charges		689	229.437	620.1	
glidepath hemodialysis cath 14.5fr 23cm 5393230 bard	278	RC	Outpatient			689	447.85		90			Percent of total billed charges		620.1	40			Percent of total billed charges		275.6	80			Percent of total billed charges		551.2	90			Percent of total billed charges		620.1	85			Percent of total billed charges		585.65	85			Percent of total billed charges		585.65	85			Percent of total billed charges		585.65	100			Percent of total billed charges		689	100			Percent of total billed charges		689	100			Percent of total billed charges		689	33.3			Percent of total billed charges		229.437	33.3			Percent of total billed charges		229.437	100			Percent of total billed charges		689	229.437	620.1	
flexica laser fiber 550	272	RC	Outpatient			689	447.85		90			Percent of total billed charges		620.1	40			Percent of total billed charges		275.6	80			Percent of total billed charges		551.2	90			Percent of total billed charges		620.1	85			Percent of total billed charges		585.65	85			Percent of total billed charges		585.65	85			Percent of total billed charges		585.65	100			Percent of total billed charges		689	100			Percent of total billed charges		689	100			Percent of total billed charges		689	33.3			Percent of total billed charges		229.437	33.3			Percent of total billed charges		229.437	100			Percent of total billed charges		689	229.437	620.1	
glidepath hemodialysis cath 14.5fr 19cm 5393190 bard	278	RC	Outpatient			689	447.85		90			Percent of total billed charges		620.1	40			Percent of total billed charges		275.6	80			Percent of total billed charges		551.2	90			Percent of total billed charges		620.1	85			Percent of total billed charges		585.65	85			Percent of total billed charges		585.65	85			Percent of total billed charges		585.65	100			Percent of total billed charges		689	100			Percent of total billed charges		689	100			Percent of total billed charges		689	33.3			Percent of total billed charges		229.437	33.3			Percent of total billed charges		229.437	100			Percent of total billed charges		689	229.437	620.1	
hemodialysis catheter	278	RC	Outpatient			689	447.85		90			Percent of total billed charges		620.1	40			Percent of total billed charges		275.6	80			Percent of total billed charges		551.2	90			Percent of total billed charges		620.1	85			Percent of total billed charges		585.65	85			Percent of total billed charges		585.65	85			Percent of total billed charges		585.65	100			Percent of total billed charges		689	100			Percent of total billed charges		689	100			Percent of total billed charges		689	33.3			Percent of total billed charges		229.437	33.3			Percent of total billed charges		229.437	100			Percent of total billed charges		689	229.437	620.1	
jet x 5 x 50mm traction pin 7106-5503 s/n	278	RC	Outpatient			690	448.5		90			Percent of total billed charges		621	40			Percent of total billed charges		276	80			Percent of total billed charges		552	90			Percent of total billed charges		621	85			Percent of total billed charges		586.5	85			Percent of total billed charges		586.5	85			Percent of total billed charges		586.5	100			Percent of total billed charges		690	100			Percent of total billed charges		690	100			Percent of total billed charges		690	33.3			Percent of total billed charges		229.77	33.3			Percent of total billed charges		229.77	100			Percent of total billed charges		690	229.77	621	
4.5mm compression plate broad 24 hole 390mm 00-4945-024-01 zimmer	278	RC	Outpatient			691	449.15		90			Percent of total billed charges		621.9	40			Percent of total billed charges		276.4	80			Percent of total billed charges		552.8	90			Percent of total billed charges		621.9	85			Percent of total billed charges		587.35	85			Percent of total billed charges		587.35	85			Percent of total billed charges		587.35	100			Percent of total billed charges		691	100			Percent of total billed charges		691	100			Percent of total billed charges		691	33.3			Percent of total billed charges		230.103	33.3			Percent of total billed charges		230.103	100			Percent of total billed charges		691	230.103	621.9	
4.5mm compression plate broad 26 hole 423mm 00-4945-026-01 zimmer	278	RC	Outpatient			691	449.15		90			Percent of total billed charges		621.9	40			Percent of total billed charges		276.4	80			Percent of total billed charges		552.8	90			Percent of total billed charges		621.9	85			Percent of total billed charges		587.35	85			Percent of total billed charges		587.35	85			Percent of total billed charges		587.35	100			Percent of total billed charges		691	100			Percent of total billed charges		691	100			Percent of total billed charges		691	33.3			Percent of total billed charges		230.103	33.3			Percent of total billed charges		230.103	100			Percent of total billed charges		691	230.103	621.9	
zimm 4.5 br comp pl 24-26	278	RC	Outpatient			691	449.15		90			Percent of total billed charges		621.9	40			Percent of total billed charges		276.4	80			Percent of total billed charges		552.8	90			Percent of total billed charges		621.9	85			Percent of total billed charges		587.35	85			Percent of total billed charges		587.35	85			Percent of total billed charges		587.35	100			Percent of total billed charges		691	100			Percent of total billed charges		691	100			Percent of total billed charges		691	33.3			Percent of total billed charges		230.103	33.3			Percent of total billed charges		230.103	100			Percent of total billed charges		691	230.103	621.9	
hip revision kit 004545 s/n	272	RC	Outpatient			692	449.8		90			Percent of total billed charges		622.8	40			Percent of total billed charges		276.8	80			Percent of total billed charges		553.6	90			Percent of total billed charges		622.8	85			Percent of total billed charges		588.2	85			Percent of total billed charges		588.2	85			Percent of total billed charges		588.2	100			Percent of total billed charges		692	100			Percent of total billed charges		692	100			Percent of total billed charges		692	33.3			Percent of total billed charges		230.436	33.3			Percent of total billed charges		230.436	100			Percent of total billed charges		692	230.436	622.8	
s/n hip rev kit	272	RC	Outpatient			692	449.8		90			Percent of total billed charges		622.8	40			Percent of total billed charges		276.8	80			Percent of total billed charges		553.6	90			Percent of total billed charges		622.8	85			Percent of total billed charges		588.2	85			Percent of total billed charges		588.2	85			Percent of total billed charges		588.2	100			Percent of total billed charges		692	100			Percent of total billed charges		692	100			Percent of total billed charges		692	33.3			Percent of total billed charges		230.436	33.3			Percent of total billed charges		230.436	100			Percent of total billed charges		692	230.436	622.8	
arthrex 1/3 tub pl 10h	278	RC	Outpatient			693	450.45		90			Percent of total billed charges		623.7	40			Percent of total billed charges		277.2	80			Percent of total billed charges		554.4	90			Percent of total billed charges		623.7	85			Percent of total billed charges		589.05	85			Percent of total billed charges		589.05	85			Percent of total billed charges		589.05	100			Percent of total billed charges		693	100			Percent of total billed charges		693	100			Percent of total billed charges		693	33.3			Percent of total billed charges		230.769	33.3			Percent of total billed charges		230.769	100			Percent of total billed charges		693	230.769	623.7	
accord cable w/clamp 2.0	278	RC	Outpatient			693	450.45		90			Percent of total billed charges		623.7	40			Percent of total billed charges		277.2	80			Percent of total billed charges		554.4	90			Percent of total billed charges		623.7	85			Percent of total billed charges		589.05	85			Percent of total billed charges		589.05	85			Percent of total billed charges		589.05	100			Percent of total billed charges		693	100			Percent of total billed charges		693	100			Percent of total billed charges		693	33.3			Percent of total billed charges		230.769	33.3			Percent of total billed charges		230.769	100			Percent of total billed charges		693	230.769	623.7	
arthrex locking 1/3 tub plate 10h  ar 8943t-10	278	RC	Outpatient			693	450.45		90			Percent of total billed charges		623.7	40			Percent of total billed charges		277.2	80			Percent of total billed charges		554.4	90			Percent of total billed charges		623.7	85			Percent of total billed charges		589.05	85			Percent of total billed charges		589.05	85			Percent of total billed charges		589.05	100			Percent of total billed charges		693	100			Percent of total billed charges		693	100			Percent of total billed charges		693	33.3			Percent of total billed charges		230.769	33.3			Percent of total billed charges		230.769	100			Percent of total billed charges		693	230.769	623.7	
overdrill bit 2.7 702499 stryker	272	RC	Outpatient			693	450.45		90			Percent of total billed charges		623.7	40			Percent of total billed charges		277.2	80			Percent of total billed charges		554.4	90			Percent of total billed charges		623.7	85			Percent of total billed charges		589.05	85			Percent of total billed charges		589.05	85			Percent of total billed charges		589.05	100			Percent of total billed charges		693	100			Percent of total billed charges		693	100			Percent of total billed charges		693	33.3			Percent of total billed charges		230.769	33.3			Percent of total billed charges		230.769	100			Percent of total billed charges		693	230.769	623.7	
ring 3/4 140mm 393.734 syth	270	RC	Outpatient			693	450.45		90			Percent of total billed charges		623.7	40			Percent of total billed charges		277.2	80			Percent of total billed charges		554.4	90			Percent of total billed charges		623.7	85			Percent of total billed charges		589.05	85			Percent of total billed charges		589.05	85			Percent of total billed charges		589.05	100			Percent of total billed charges		693	100			Percent of total billed charges		693	100			Percent of total billed charges		693	33.3			Percent of total billed charges		230.769	33.3			Percent of total billed charges		230.769	100			Percent of total billed charges		693	230.769	623.7	
syn xfix hyb 3/4 rg 140mm	270	RC	Outpatient			693	450.45		90			Percent of total billed charges		623.7	40			Percent of total billed charges		277.2	80			Percent of total billed charges		554.4	90			Percent of total billed charges		623.7	85			Percent of total billed charges		589.05	85			Percent of total billed charges		589.05	85			Percent of total billed charges		589.05	100			Percent of total billed charges		693	100			Percent of total billed charges		693	100			Percent of total billed charges		693	33.3			Percent of total billed charges		230.769	33.3			Percent of total billed charges		230.769	100			Percent of total billed charges		693	230.769	623.7	
stryker over drill 2.7	272	RC	Outpatient			693	450.45		90			Percent of total billed charges		623.7	40			Percent of total billed charges		277.2	80			Percent of total billed charges		554.4	90			Percent of total billed charges		623.7	85			Percent of total billed charges		589.05	85			Percent of total billed charges		589.05	85			Percent of total billed charges		589.05	100			Percent of total billed charges		693	100			Percent of total billed charges		693	100			Percent of total billed charges		693	33.3			Percent of total billed charges		230.769	33.3			Percent of total billed charges		230.769	100			Percent of total billed charges		693	230.769	623.7	
flexible im nail 3.5 x 40000-1000-035 ortho pediatric	278	RC	Outpatient			695	451.75		90			Percent of total billed charges		625.5	40			Percent of total billed charges		278	80			Percent of total billed charges		556	90			Percent of total billed charges		625.5	85			Percent of total billed charges		590.75	85			Percent of total billed charges		590.75	85			Percent of total billed charges		590.75	100			Percent of total billed charges		695	100			Percent of total billed charges		695	100			Percent of total billed charges		695	33.3			Percent of total billed charges		231.435	33.3			Percent of total billed charges		231.435	100			Percent of total billed charges		695	231.435	625.5	
im nail-flex	278	RC	Outpatient			695	451.75		90			Percent of total billed charges		625.5	40			Percent of total billed charges		278	80			Percent of total billed charges		556	90			Percent of total billed charges		625.5	85			Percent of total billed charges		590.75	85			Percent of total billed charges		590.75	85			Percent of total billed charges		590.75	100			Percent of total billed charges		695	100			Percent of total billed charges		695	100			Percent of total billed charges		695	33.3			Percent of total billed charges		231.435	33.3			Percent of total billed charges		231.435	100			Percent of total billed charges		695	231.435	625.5	
arthrex angel cprp blood processing set abs-10009	272	RC	Outpatient			696	452.4		90			Percent of total billed charges		626.4	40			Percent of total billed charges		278.4	80			Percent of total billed charges		556.8	90			Percent of total billed charges		626.4	85			Percent of total billed charges		591.6	85			Percent of total billed charges		591.6	85			Percent of total billed charges		591.6	100			Percent of total billed charges		696	100			Percent of total billed charges		696	100			Percent of total billed charges		696	33.3			Percent of total billed charges		231.768	33.3			Percent of total billed charges		231.768	100			Percent of total billed charges		696	231.768	626.4	
jet x bar to bar clamp 7106-2002 s/n	278	RC	Outpatient			696.05	452.43		90			Percent of total billed charges		626.445	40			Percent of total billed charges		278.42	80			Percent of total billed charges		556.84	90			Percent of total billed charges		626.445	85			Percent of total billed charges		591.6425	85			Percent of total billed charges		591.6425	85			Percent of total billed charges		591.6425	100			Percent of total billed charges		696.05	100			Percent of total billed charges		696.05	100			Percent of total billed charges		696.05	33.3			Percent of total billed charges		231.7847	33.3			Percent of total billed charges		231.7847	100			Percent of total billed charges		696.05	231.7847	626.445	
jet x bar to pin clamp 7106-2001 s/n	272	RC	Outpatient			696.05	452.43		90			Percent of total billed charges		626.445	40			Percent of total billed charges		278.42	80			Percent of total billed charges		556.84	90			Percent of total billed charges		626.445	85			Percent of total billed charges		591.6425	85			Percent of total billed charges		591.6425	85			Percent of total billed charges		591.6425	100			Percent of total billed charges		696.05	100			Percent of total billed charges		696.05	100			Percent of total billed charges		696.05	33.3			Percent of total billed charges		231.7847	33.3			Percent of total billed charges		231.7847	100			Percent of total billed charges		696.05	231.7847	626.445	
reamer shaft 8.0 x 450 0227-3000s stryker	272	RC	Outpatient			697	453.05		90			Percent of total billed charges		627.3	40			Percent of total billed charges		278.8	80			Percent of total billed charges		557.6	90			Percent of total billed charges		627.3	85			Percent of total billed charges		592.45	85			Percent of total billed charges		592.45	85			Percent of total billed charges		592.45	100			Percent of total billed charges		697	100			Percent of total billed charges		697	100			Percent of total billed charges		697	33.3			Percent of total billed charges		232.101	33.3			Percent of total billed charges		232.101	100			Percent of total billed charges		697	232.101	627.3	
stryker reamer shaft	272	RC	Outpatient			697	453.05		90			Percent of total billed charges		627.3	40			Percent of total billed charges		278.8	80			Percent of total billed charges		557.6	90			Percent of total billed charges		627.3	85			Percent of total billed charges		592.45	85			Percent of total billed charges		592.45	85			Percent of total billed charges		592.45	100			Percent of total billed charges		697	100			Percent of total billed charges		697	100			Percent of total billed charges		697	33.3			Percent of total billed charges		232.101	33.3			Percent of total billed charges		232.101	100			Percent of total billed charges		697	232.101	627.3	
chisel blade offset s/n	272	RC	Outpatient			698	453.7		90			Percent of total billed charges		628.2	40			Percent of total billed charges		279.2	80			Percent of total billed charges		558.4	90			Percent of total billed charges		628.2	85			Percent of total billed charges		593.3	85			Percent of total billed charges		593.3	85			Percent of total billed charges		593.3	100			Percent of total billed charges		698	100			Percent of total billed charges		698	100			Percent of total billed charges		698	33.3			Percent of total billed charges		232.434	33.3			Percent of total billed charges		232.434	100			Percent of total billed charges		698	232.434	628.2	
chisel blade offset 10mm x 27mm o 15s  75100524 s/n	272	RC	Outpatient			698	453.7		90			Percent of total billed charges		628.2	40			Percent of total billed charges		279.2	80			Percent of total billed charges		558.4	90			Percent of total billed charges		628.2	85			Percent of total billed charges		593.3	85			Percent of total billed charges		593.3	85			Percent of total billed charges		593.3	100			Percent of total billed charges		698	100			Percent of total billed charges		698	100			Percent of total billed charges		698	33.3			Percent of total billed charges		232.434	33.3			Percent of total billed charges		232.434	100			Percent of total billed charges		698	232.434	628.2	
chisel blade offset 8mm x 27mm o 15s  75100523 s/n	272	RC	Outpatient			698	453.7		90			Percent of total billed charges		628.2	40			Percent of total billed charges		279.2	80			Percent of total billed charges		558.4	90			Percent of total billed charges		628.2	85			Percent of total billed charges		593.3	85			Percent of total billed charges		593.3	85			Percent of total billed charges		593.3	100			Percent of total billed charges		698	100			Percent of total billed charges		698	100			Percent of total billed charges		698	33.3			Percent of total billed charges		232.434	33.3			Percent of total billed charges		232.434	100			Percent of total billed charges		698	232.434	628.2	
3.5mm reconstruction plate 16 hole 245.06	278	RC	Outpatient			699	454.35		90			Percent of total billed charges		629.1	40			Percent of total billed charges		279.6	80			Percent of total billed charges		559.2	90			Percent of total billed charges		629.1	85			Percent of total billed charges		594.15	85			Percent of total billed charges		594.15	85			Percent of total billed charges		594.15	100			Percent of total billed charges		699	100			Percent of total billed charges		699	100			Percent of total billed charges		699	33.3			Percent of total billed charges		232.767	33.3			Percent of total billed charges		232.767	100			Percent of total billed charges		699	232.767	629.1	
3.5mm reconstruction plate 15 hole 245.05	278	RC	Outpatient			699	454.35		90			Percent of total billed charges		629.1	40			Percent of total billed charges		279.6	80			Percent of total billed charges		559.2	90			Percent of total billed charges		629.1	85			Percent of total billed charges		594.15	85			Percent of total billed charges		594.15	85			Percent of total billed charges		594.15	100			Percent of total billed charges		699	100			Percent of total billed charges		699	100			Percent of total billed charges		699	33.3			Percent of total billed charges		232.767	33.3			Percent of total billed charges		232.767	100			Percent of total billed charges		699	232.767	629.1	
syn 3.5 recon plt 15-16hl	278	RC	Outpatient			699	454.35		90			Percent of total billed charges		629.1	40			Percent of total billed charges		279.6	80			Percent of total billed charges		559.2	90			Percent of total billed charges		629.1	85			Percent of total billed charges		594.15	85			Percent of total billed charges		594.15	85			Percent of total billed charges		594.15	100			Percent of total billed charges		699	100			Percent of total billed charges		699	100			Percent of total billed charges		699	33.3			Percent of total billed charges		232.767	33.3			Percent of total billed charges		232.767	100			Percent of total billed charges		699	232.767	629.1	
bipolar electrode	272	RC	Outpatient			700	455		90			Percent of total billed charges		630	40			Percent of total billed charges		280	80			Percent of total billed charges		560	90			Percent of total billed charges		630	85			Percent of total billed charges		595	85			Percent of total billed charges		595	85			Percent of total billed charges		595	100			Percent of total billed charges		700	100			Percent of total billed charges		700	100			Percent of total billed charges		700	33.3			Percent of total billed charges		233.1	33.3			Percent of total billed charges		233.1	100			Percent of total billed charges		700	233.1	630	
bipolar coag ball electrode 24fr 27040nb/6 storz	272	RC	Outpatient			700	455		90			Percent of total billed charges		630	40			Percent of total billed charges		280	80			Percent of total billed charges		560	90			Percent of total billed charges		630	85			Percent of total billed charges		595	85			Percent of total billed charges		595	85			Percent of total billed charges		595	100			Percent of total billed charges		700	100			Percent of total billed charges		700	100			Percent of total billed charges		700	33.3			Percent of total billed charges		233.1	33.3			Percent of total billed charges		233.1	100			Percent of total billed charges		700	233.1	630	
bipolar coag loop electrode 24/26fr 27040gp1/6 storz	272	RC	Outpatient			700	455		90			Percent of total billed charges		630	40			Percent of total billed charges		280	80			Percent of total billed charges		560	90			Percent of total billed charges		630	85			Percent of total billed charges		595	85			Percent of total billed charges		595	85			Percent of total billed charges		595	100			Percent of total billed charges		700	100			Percent of total billed charges		700	100			Percent of total billed charges		700	33.3			Percent of total billed charges		233.1	33.3			Percent of total billed charges		233.1	100			Percent of total billed charges		700	233.1	630	
cosmetic - voluma - 2nd syringe	983	RC	Outpatient			700	455		90			Percent of total billed charges		630	40			Percent of total billed charges		280	80			Percent of total billed charges		560	90			Percent of total billed charges		630	85			Percent of total billed charges		595	85			Percent of total billed charges		595	85			Percent of total billed charges		595	100			Percent of total billed charges		700	100			Percent of total billed charges		700	100			Percent of total billed charges		700	33.3			Percent of total billed charges		233.1	33.3			Percent of total billed charges		233.1	100			Percent of total billed charges		700	233.1	630	
insert ureteral tube	983	RC	Outpatient			700	455		90			Percent of total billed charges		630	40			Percent of total billed charges		280	80			Percent of total billed charges		560	90			Percent of total billed charges		630	85			Percent of total billed charges		595	85			Percent of total billed charges		595	85			Percent of total billed charges		595	100			Percent of total billed charges		700	100			Percent of total billed charges		700	100			Percent of total billed charges		700	33.3			Percent of total billed charges		233.1	33.3			Percent of total billed charges		233.1	100			Percent of total billed charges		700	233.1	630	
relieva  gc090rs acclarent	272	RC	Outpatient			700	455		90			Percent of total billed charges		630	40			Percent of total billed charges		280	80			Percent of total billed charges		560	90			Percent of total billed charges		630	85			Percent of total billed charges		595	85			Percent of total billed charges		595	85			Percent of total billed charges		595	100			Percent of total billed charges		700	100			Percent of total billed charges		700	100			Percent of total billed charges		700	33.3			Percent of total billed charges		233.1	33.3			Percent of total billed charges		233.1	100			Percent of total billed charges		700	233.1	630	
relieva deployment guide	272	RC	Outpatient			700	455		90			Percent of total billed charges		630	40			Percent of total billed charges		280	80			Percent of total billed charges		560	90			Percent of total billed charges		630	85			Percent of total billed charges		595	85			Percent of total billed charges		595	85			Percent of total billed charges		595	100			Percent of total billed charges		700	100			Percent of total billed charges		700	100			Percent of total billed charges		700	33.3			Percent of total billed charges		233.1	33.3			Percent of total billed charges		233.1	100			Percent of total billed charges		700	233.1	630	
relieva gc090rs	272	RC	Outpatient			700	455		90			Percent of total billed charges		630	40			Percent of total billed charges		280	80			Percent of total billed charges		560	90			Percent of total billed charges		630	85			Percent of total billed charges		595	85			Percent of total billed charges		595	85			Percent of total billed charges		595	100			Percent of total billed charges		700	100			Percent of total billed charges		700	100			Percent of total billed charges		700	33.3			Percent of total billed charges		233.1	33.3			Percent of total billed charges		233.1	100			Percent of total billed charges		700	233.1	630	
relieva stratus deployment guide frontal-90s gc090rs acclarent	272	RC	Outpatient			700	455		90			Percent of total billed charges		630	40			Percent of total billed charges		280	80			Percent of total billed charges		560	90			Percent of total billed charges		630	85			Percent of total billed charges		595	85			Percent of total billed charges		595	85			Percent of total billed charges		595	100			Percent of total billed charges		700	100			Percent of total billed charges		700	100			Percent of total billed charges		700	33.3			Percent of total billed charges		233.1	33.3			Percent of total billed charges		233.1	100			Percent of total billed charges		700	233.1	630	
amniocentesis	721	RC	Outpatient			702	456.3		90			Percent of total billed charges		631.8	40			Percent of total billed charges		280.8	80			Percent of total billed charges		561.6	90			Percent of total billed charges		631.8	85			Percent of total billed charges		596.7	85			Percent of total billed charges		596.7	85			Percent of total billed charges		596.7	100			Percent of total billed charges		702	100			Percent of total billed charges		702	100			Percent of total billed charges		702	33.3			Percent of total billed charges		233.766	33.3			Percent of total billed charges		233.766	100			Percent of total billed charges		702	233.766	631.8	
amniocentesis charge	721	RC	Outpatient			702	456.3		90			Percent of total billed charges		631.8	40			Percent of total billed charges		280.8	80			Percent of total billed charges		561.6	90			Percent of total billed charges		631.8	85			Percent of total billed charges		596.7	85			Percent of total billed charges		596.7	85			Percent of total billed charges		596.7	100			Percent of total billed charges		702	100			Percent of total billed charges		702	100			Percent of total billed charges		702	33.3			Percent of total billed charges		233.766	33.3			Percent of total billed charges		233.766	100			Percent of total billed charges		702	233.766	631.8	
ankle scope kit 7205434a s/n	272	RC	Outpatient			702	456.3		90			Percent of total billed charges		631.8	40			Percent of total billed charges		280.8	80			Percent of total billed charges		561.6	90			Percent of total billed charges		631.8	85			Percent of total billed charges		596.7	85			Percent of total billed charges		596.7	85			Percent of total billed charges		596.7	100			Percent of total billed charges		702	100			Percent of total billed charges		702	100			Percent of total billed charges		702	33.3			Percent of total billed charges		233.766	33.3			Percent of total billed charges		233.766	100			Percent of total billed charges		702	233.766	631.8	
ankle scope kit	272	RC	Outpatient			702	456.3		90			Percent of total billed charges		631.8	40			Percent of total billed charges		280.8	80			Percent of total billed charges		561.6	90			Percent of total billed charges		631.8	85			Percent of total billed charges		596.7	85			Percent of total billed charges		596.7	85			Percent of total billed charges		596.7	100			Percent of total billed charges		702	100			Percent of total billed charges		702	100			Percent of total billed charges		702	33.3			Percent of total billed charges		233.766	33.3			Percent of total billed charges		233.766	100			Percent of total billed charges		702	233.766	631.8	
bone graft (cancellous)	278	RC	Outpatient			702	456.3		90			Percent of total billed charges		631.8	40			Percent of total billed charges		280.8	80			Percent of total billed charges		561.6	90			Percent of total billed charges		631.8	85			Percent of total billed charges		596.7	85			Percent of total billed charges		596.7	85			Percent of total billed charges		596.7	100			Percent of total billed charges		702	100			Percent of total billed charges		702	100			Percent of total billed charges		702	33.3			Percent of total billed charges		233.766	33.3			Percent of total billed charges		233.766	100			Percent of total billed charges		702	233.766	631.8	
hemaseal fibrin sealant	278	RC	Outpatient			702	456.3		90			Percent of total billed charges		631.8	40			Percent of total billed charges		280.8	80			Percent of total billed charges		561.6	90			Percent of total billed charges		631.8	85			Percent of total billed charges		596.7	85			Percent of total billed charges		596.7	85			Percent of total billed charges		596.7	100			Percent of total billed charges		702	100			Percent of total billed charges		702	100			Percent of total billed charges		702	33.3			Percent of total billed charges		233.766	33.3			Percent of total billed charges		233.766	100			Percent of total billed charges		702	233.766	631.8	
fox pta cath sv xl	272	RC	Outpatient			702	456.3		90			Percent of total billed charges		631.8	40			Percent of total billed charges		280.8	80			Percent of total billed charges		561.6	90			Percent of total billed charges		631.8	85			Percent of total billed charges		596.7	85			Percent of total billed charges		596.7	85			Percent of total billed charges		596.7	100			Percent of total billed charges		702	100			Percent of total billed charges		702	100			Percent of total billed charges		702	33.3			Percent of total billed charges		233.766	33.3			Percent of total billed charges		233.766	100			Percent of total billed charges		702	233.766	631.8	
fox pta sv balloon 4.0 x 100mm 135cm 82974-02 abbott vas	272	RC	Outpatient			702	456.3		90			Percent of total billed charges		631.8	40			Percent of total billed charges		280.8	80			Percent of total billed charges		561.6	90			Percent of total billed charges		631.8	85			Percent of total billed charges		596.7	85			Percent of total billed charges		596.7	85			Percent of total billed charges		596.7	100			Percent of total billed charges		702	100			Percent of total billed charges		702	100			Percent of total billed charges		702	33.3			Percent of total billed charges		233.766	33.3			Percent of total billed charges		233.766	100			Percent of total billed charges		702	233.766	631.8	
gamma graft gg625 promethean	278	RC	Outpatient			702	456.3		90			Percent of total billed charges		631.8	40			Percent of total billed charges		280.8	80			Percent of total billed charges		561.6	90			Percent of total billed charges		631.8	85			Percent of total billed charges		596.7	85			Percent of total billed charges		596.7	85			Percent of total billed charges		596.7	100			Percent of total billed charges		702	100			Percent of total billed charges		702	100			Percent of total billed charges		702	33.3			Percent of total billed charges		233.766	33.3			Percent of total billed charges		233.766	100			Percent of total billed charges		702	233.766	631.8	
gammagraft gg625	278	RC	Outpatient			702	456.3		90			Percent of total billed charges		631.8	40			Percent of total billed charges		280.8	80			Percent of total billed charges		561.6	90			Percent of total billed charges		631.8	85			Percent of total billed charges		596.7	85			Percent of total billed charges		596.7	85			Percent of total billed charges		596.7	100			Percent of total billed charges		702	100			Percent of total billed charges		702	100			Percent of total billed charges		702	33.3			Percent of total billed charges		233.766	33.3			Percent of total billed charges		233.766	100			Percent of total billed charges		702	233.766	631.8	
ligasure sm jaw	272	RC	Outpatient			702	456.3		90			Percent of total billed charges		631.8	40			Percent of total billed charges		280.8	80			Percent of total billed charges		561.6	90			Percent of total billed charges		631.8	85			Percent of total billed charges		596.7	85			Percent of total billed charges		596.7	85			Percent of total billed charges		596.7	100			Percent of total billed charges		702	100			Percent of total billed charges		702	100			Percent of total billed charges		702	33.3			Percent of total billed charges		233.766	33.3			Percent of total billed charges		233.766	100			Percent of total billed charges		702	233.766	631.8	
hemaseal apr 20ml 120	278	RC	Outpatient			702	456.3		90			Percent of total billed charges		631.8	40			Percent of total billed charges		280.8	80			Percent of total billed charges		561.6	90			Percent of total billed charges		631.8	85			Percent of total billed charges		596.7	85			Percent of total billed charges		596.7	85			Percent of total billed charges		596.7	100			Percent of total billed charges		702	100			Percent of total billed charges		702	100			Percent of total billed charges		702	33.3			Percent of total billed charges		233.766	33.3			Percent of total billed charges		233.766	100			Percent of total billed charges		702	233.766	631.8	
ligasure small jaw  covidien lf1212a	272	RC	Outpatient			702	456.3		90			Percent of total billed charges		631.8	40			Percent of total billed charges		280.8	80			Percent of total billed charges		561.6	90			Percent of total billed charges		631.8	85			Percent of total billed charges		596.7	85			Percent of total billed charges		596.7	85			Percent of total billed charges		596.7	100			Percent of total billed charges		702	100			Percent of total billed charges		702	100			Percent of total billed charges		702	33.3			Percent of total billed charges		233.766	33.3			Percent of total billed charges		233.766	100			Percent of total billed charges		702	233.766	631.8	
narrow plt 4.5mm 2 hl 71809452 s\n	278	RC	Outpatient			702	456.3		90			Percent of total billed charges		631.8	40			Percent of total billed charges		280.8	80			Percent of total billed charges		561.6	90			Percent of total billed charges		631.8	85			Percent of total billed charges		596.7	85			Percent of total billed charges		596.7	85			Percent of total billed charges		596.7	100			Percent of total billed charges		702	100			Percent of total billed charges		702	100			Percent of total billed charges		702	33.3			Percent of total billed charges		233.766	33.3			Percent of total billed charges		233.766	100			Percent of total billed charges		702	233.766	631.8	
port-a cath ii power pac ii  21-4455-24 smiths med	278	RC	Outpatient			702	456.3		90			Percent of total billed charges		631.8	40			Percent of total billed charges		280.8	80			Percent of total billed charges		561.6	90			Percent of total billed charges		631.8	85			Percent of total billed charges		596.7	85			Percent of total billed charges		596.7	85			Percent of total billed charges		596.7	100			Percent of total billed charges		702	100			Percent of total billed charges		702	100			Percent of total billed charges		702	33.3			Percent of total billed charges		233.766	33.3			Percent of total billed charges		233.766	100			Percent of total billed charges		702	233.766	631.8	
s/n 4.5 narrow pl 2 hl	278	RC	Outpatient			702	456.3		90			Percent of total billed charges		631.8	40			Percent of total billed charges		280.8	80			Percent of total billed charges		561.6	90			Percent of total billed charges		631.8	85			Percent of total billed charges		596.7	85			Percent of total billed charges		596.7	85			Percent of total billed charges		596.7	100			Percent of total billed charges		702	100			Percent of total billed charges		702	100			Percent of total billed charges		702	33.3			Percent of total billed charges		233.766	33.3			Percent of total billed charges		233.766	100			Percent of total billed charges		702	233.766	631.8	
seaspine cervical screw	278	RC	Outpatient			702	456.3		90			Percent of total billed charges		631.8	40			Percent of total billed charges		280.8	80			Percent of total billed charges		561.6	90			Percent of total billed charges		631.8	85			Percent of total billed charges		596.7	85			Percent of total billed charges		596.7	85			Percent of total billed charges		596.7	100			Percent of total billed charges		702	100			Percent of total billed charges		702	100			Percent of total billed charges		702	33.3			Percent of total billed charges		233.766	33.3			Percent of total billed charges		233.766	100			Percent of total billed charges		702	233.766	631.8	
1.7 profile hand locking t-plate 6 hole 57-10340 stryker	272	RC	Outpatient			705	458.25		90			Percent of total billed charges		634.5	40			Percent of total billed charges		282	80			Percent of total billed charges		564	90			Percent of total billed charges		634.5	85			Percent of total billed charges		599.25	85			Percent of total billed charges		599.25	85			Percent of total billed charges		599.25	100			Percent of total billed charges		705	100			Percent of total billed charges		705	100			Percent of total billed charges		705	33.3			Percent of total billed charges		234.765	33.3			Percent of total billed charges		234.765	100			Percent of total billed charges		705	234.765	634.5	
cutter linear 45mm ez45b	270	RC	Outpatient			705	458.25		90			Percent of total billed charges		634.5	40			Percent of total billed charges		282	80			Percent of total billed charges		564	90			Percent of total billed charges		634.5	85			Percent of total billed charges		599.25	85			Percent of total billed charges		599.25	85			Percent of total billed charges		599.25	100			Percent of total billed charges		705	100			Percent of total billed charges		705	100			Percent of total billed charges		705	33.3			Percent of total billed charges		234.765	33.3			Percent of total billed charges		234.765	100			Percent of total billed charges		705	234.765	634.5	
cutter linear 45mm thoracic ez45g	270	RC	Outpatient			705	458.25		90			Percent of total billed charges		634.5	40			Percent of total billed charges		282	80			Percent of total billed charges		564	90			Percent of total billed charges		634.5	85			Percent of total billed charges		599.25	85			Percent of total billed charges		599.25	85			Percent of total billed charges		599.25	100			Percent of total billed charges		705	100			Percent of total billed charges		705	100			Percent of total billed charges		705	33.3			Percent of total billed charges		234.765	33.3			Percent of total billed charges		234.765	100			Percent of total billed charges		705	234.765	634.5	
endo ez45 stapler	270	RC	Outpatient			705	458.25		90			Percent of total billed charges		634.5	40			Percent of total billed charges		282	80			Percent of total billed charges		564	90			Percent of total billed charges		634.5	85			Percent of total billed charges		599.25	85			Percent of total billed charges		599.25	85			Percent of total billed charges		599.25	100			Percent of total billed charges		705	100			Percent of total billed charges		705	100			Percent of total billed charges		705	33.3			Percent of total billed charges		234.765	33.3			Percent of total billed charges		234.765	100			Percent of total billed charges		705	234.765	634.5	
stryker 1.7 hand t-plate	272	RC	Outpatient			705	458.25		90			Percent of total billed charges		634.5	40			Percent of total billed charges		282	80			Percent of total billed charges		564	90			Percent of total billed charges		634.5	85			Percent of total billed charges		599.25	85			Percent of total billed charges		599.25	85			Percent of total billed charges		599.25	100			Percent of total billed charges		705	100			Percent of total billed charges		705	100			Percent of total billed charges		705	33.3			Percent of total billed charges		234.765	33.3			Percent of total billed charges		234.765	100			Percent of total billed charges		705	234.765	634.5	
endo stone lithotrypsy basket	270	RC	Outpatient			706	458.9		90			Percent of total billed charges		635.4	40			Percent of total billed charges		282.4	80			Percent of total billed charges		564.8	90			Percent of total billed charges		635.4	85			Percent of total billed charges		600.1	85			Percent of total billed charges		600.1	85			Percent of total billed charges		600.1	100			Percent of total billed charges		706	100			Percent of total billed charges		706	100			Percent of total billed charges		706	33.3			Percent of total billed charges		235.098	33.3			Percent of total billed charges		235.098	100			Percent of total billed charges		706	235.098	635.4	
richards unipolar head	278	RC	Outpatient			706	458.9		90			Percent of total billed charges		635.4	40			Percent of total billed charges		282.4	80			Percent of total billed charges		564.8	90			Percent of total billed charges		635.4	85			Percent of total billed charges		600.1	85			Percent of total billed charges		600.1	85			Percent of total billed charges		600.1	100			Percent of total billed charges		706	100			Percent of total billed charges		706	100			Percent of total billed charges		706	33.3			Percent of total billed charges		235.098	33.3			Percent of total billed charges		235.098	100			Percent of total billed charges		706	235.098	635.4	
"cutting loop, bipolar, 24/26 fr karl storz ref 27040gp1-s"	272	RC	Outpatient			707.86	460.11		90			Percent of total billed charges		637.074	40			Percent of total billed charges		283.144	80			Percent of total billed charges		566.288	90			Percent of total billed charges		637.074	85			Percent of total billed charges		601.681	85			Percent of total billed charges		601.681	85			Percent of total billed charges		601.681	100			Percent of total billed charges		707.86	100			Percent of total billed charges		707.86	100			Percent of total billed charges		707.86	33.3			Percent of total billed charges		235.7174	33.3			Percent of total billed charges		235.7174	100			Percent of total billed charges		707.86	235.7174	637.074	
cable grip fem 2mm hole 6740-7-820 hown	270	RC	Outpatient			708	460.2		90			Percent of total billed charges		637.2	40			Percent of total billed charges		283.2	80			Percent of total billed charges		566.4	90			Percent of total billed charges		637.2	85			Percent of total billed charges		601.8	85			Percent of total billed charges		601.8	85			Percent of total billed charges		601.8	100			Percent of total billed charges		708	100			Percent of total billed charges		708	100			Percent of total billed charges		708	33.3			Percent of total billed charges		235.764	33.3			Percent of total billed charges		235.764	100			Percent of total billed charges		708	235.764	637.2	
connecting rod 8 x 350mm 5028-8-350 stryker	278	RC	Outpatient			708	460.2		90			Percent of total billed charges		637.2	40			Percent of total billed charges		283.2	80			Percent of total billed charges		566.4	90			Percent of total billed charges		637.2	85			Percent of total billed charges		601.8	85			Percent of total billed charges		601.8	85			Percent of total billed charges		601.8	100			Percent of total billed charges		708	100			Percent of total billed charges		708	100			Percent of total billed charges		708	33.3			Percent of total billed charges		235.764	33.3			Percent of total billed charges		235.764	100			Percent of total billed charges		708	235.764	637.2	
d/m acumed grip	270	RC	Outpatient			708	460.2		90			Percent of total billed charges		637.2	40			Percent of total billed charges		283.2	80			Percent of total billed charges		566.4	90			Percent of total billed charges		637.2	85			Percent of total billed charges		601.8	85			Percent of total billed charges		601.8	85			Percent of total billed charges		601.8	100			Percent of total billed charges		708	100			Percent of total billed charges		708	100			Percent of total billed charges		708	33.3			Percent of total billed charges		235.764	33.3			Percent of total billed charges		235.764	100			Percent of total billed charges		708	235.764	637.2	
imp h/w bone screw 3.0mm x 22mm 1152-22 zimmer	278	RC	Outpatient			708	460.2		90			Percent of total billed charges		637.2	40			Percent of total billed charges		283.2	80			Percent of total billed charges		566.4	90			Percent of total billed charges		637.2	85			Percent of total billed charges		601.8	85			Percent of total billed charges		601.8	85			Percent of total billed charges		601.8	100			Percent of total billed charges		708	100			Percent of total billed charges		708	100			Percent of total billed charges		708	33.3			Percent of total billed charges		235.764	33.3			Percent of total billed charges		235.764	100			Percent of total billed charges		708	235.764	637.2	
herbert/whipple 3.0  screw 12mm 1152-12 zimmer	278	RC	Outpatient			708	460.2		90			Percent of total billed charges		637.2	40			Percent of total billed charges		283.2	80			Percent of total billed charges		566.4	90			Percent of total billed charges		637.2	85			Percent of total billed charges		601.8	85			Percent of total billed charges		601.8	85			Percent of total billed charges		601.8	100			Percent of total billed charges		708	100			Percent of total billed charges		708	100			Percent of total billed charges		708	33.3			Percent of total billed charges		235.764	33.3			Percent of total billed charges		235.764	100			Percent of total billed charges		708	235.764	637.2	
herbert/whipple 3.0  screw 14mm 1152-14 zimmer	278	RC	Outpatient			708	460.2		90			Percent of total billed charges		637.2	40			Percent of total billed charges		283.2	80			Percent of total billed charges		566.4	90			Percent of total billed charges		637.2	85			Percent of total billed charges		601.8	85			Percent of total billed charges		601.8	85			Percent of total billed charges		601.8	100			Percent of total billed charges		708	100			Percent of total billed charges		708	100			Percent of total billed charges		708	33.3			Percent of total billed charges		235.764	33.3			Percent of total billed charges		235.764	100			Percent of total billed charges		708	235.764	637.2	
herbert/whipple 3.0  screw 16mm 1152-16 zimmer	278	RC	Outpatient			708	460.2		90			Percent of total billed charges		637.2	40			Percent of total billed charges		283.2	80			Percent of total billed charges		566.4	90			Percent of total billed charges		637.2	85			Percent of total billed charges		601.8	85			Percent of total billed charges		601.8	85			Percent of total billed charges		601.8	100			Percent of total billed charges		708	100			Percent of total billed charges		708	100			Percent of total billed charges		708	33.3			Percent of total billed charges		235.764	33.3			Percent of total billed charges		235.764	100			Percent of total billed charges		708	235.764	637.2	
herbert/whipple 3.0  screw 20mm 1152-20 zimmer	278	RC	Outpatient			708	460.2		90			Percent of total billed charges		637.2	40			Percent of total billed charges		283.2	80			Percent of total billed charges		566.4	90			Percent of total billed charges		637.2	85			Percent of total billed charges		601.8	85			Percent of total billed charges		601.8	85			Percent of total billed charges		601.8	100			Percent of total billed charges		708	100			Percent of total billed charges		708	100			Percent of total billed charges		708	33.3			Percent of total billed charges		235.764	33.3			Percent of total billed charges		235.764	100			Percent of total billed charges		708	235.764	637.2	
herbert/whipple 3.0  screw 24mm 1152-24 zimmer	278	RC	Outpatient			708	460.2		90			Percent of total billed charges		637.2	40			Percent of total billed charges		283.2	80			Percent of total billed charges		566.4	90			Percent of total billed charges		637.2	85			Percent of total billed charges		601.8	85			Percent of total billed charges		601.8	85			Percent of total billed charges		601.8	100			Percent of total billed charges		708	100			Percent of total billed charges		708	100			Percent of total billed charges		708	33.3			Percent of total billed charges		235.764	33.3			Percent of total billed charges		235.764	100			Percent of total billed charges		708	235.764	637.2	
herbert/whipple 3.0  screw 26mm 1152-26 zimmer	278	RC	Outpatient			708	460.2		90			Percent of total billed charges		637.2	40			Percent of total billed charges		283.2	80			Percent of total billed charges		566.4	90			Percent of total billed charges		637.2	85			Percent of total billed charges		601.8	85			Percent of total billed charges		601.8	85			Percent of total billed charges		601.8	100			Percent of total billed charges		708	100			Percent of total billed charges		708	100			Percent of total billed charges		708	33.3			Percent of total billed charges		235.764	33.3			Percent of total billed charges		235.764	100			Percent of total billed charges		708	235.764	637.2	
herbert/whipple 3.0  screw 28mm 1152-28 zimmer	278	RC	Outpatient			708	460.2		90			Percent of total billed charges		637.2	40			Percent of total billed charges		283.2	80			Percent of total billed charges		566.4	90			Percent of total billed charges		637.2	85			Percent of total billed charges		601.8	85			Percent of total billed charges		601.8	85			Percent of total billed charges		601.8	100			Percent of total billed charges		708	100			Percent of total billed charges		708	100			Percent of total billed charges		708	33.3			Percent of total billed charges		235.764	33.3			Percent of total billed charges		235.764	100			Percent of total billed charges		708	235.764	637.2	
herbert/whipple 3.0  screw 30mm 1152-30 zimmer	278	RC	Outpatient			708	460.2		90			Percent of total billed charges		637.2	40			Percent of total billed charges		283.2	80			Percent of total billed charges		566.4	90			Percent of total billed charges		637.2	85			Percent of total billed charges		601.8	85			Percent of total billed charges		601.8	85			Percent of total billed charges		601.8	100			Percent of total billed charges		708	100			Percent of total billed charges		708	100			Percent of total billed charges		708	33.3			Percent of total billed charges		235.764	33.3			Percent of total billed charges		235.764	100			Percent of total billed charges		708	235.764	637.2	
herbert/whipple 3.0 screw 18mm 1152-18 zimmer	278	RC	Outpatient			708	460.2		90			Percent of total billed charges		637.2	40			Percent of total billed charges		283.2	80			Percent of total billed charges		566.4	90			Percent of total billed charges		637.2	85			Percent of total billed charges		601.8	85			Percent of total billed charges		601.8	85			Percent of total billed charges		601.8	100			Percent of total billed charges		708	100			Percent of total billed charges		708	100			Percent of total billed charges		708	33.3			Percent of total billed charges		235.764	33.3			Percent of total billed charges		235.764	100			Percent of total billed charges		708	235.764	637.2	
stryker connect rod 350mm	278	RC	Outpatient			708	460.2		90			Percent of total billed charges		637.2	40			Percent of total billed charges		283.2	80			Percent of total billed charges		566.4	90			Percent of total billed charges		637.2	85			Percent of total billed charges		601.8	85			Percent of total billed charges		601.8	85			Percent of total billed charges		601.8	100			Percent of total billed charges		708	100			Percent of total billed charges		708	100			Percent of total billed charges		708	33.3			Percent of total billed charges		235.764	33.3			Percent of total billed charges		235.764	100			Percent of total billed charges		708	235.764	637.2	
zimm herbert scw 3.0	278	RC	Outpatient			708	460.2		90			Percent of total billed charges		637.2	40			Percent of total billed charges		283.2	80			Percent of total billed charges		566.4	90			Percent of total billed charges		637.2	85			Percent of total billed charges		601.8	85			Percent of total billed charges		601.8	85			Percent of total billed charges		601.8	100			Percent of total billed charges		708	100			Percent of total billed charges		708	100			Percent of total billed charges		708	33.3			Percent of total billed charges		235.764	33.3			Percent of total billed charges		235.764	100			Percent of total billed charges		708	235.764	637.2	
staples ta55 roticulator	270	RC	Outpatient			709	460.85		90			Percent of total billed charges		638.1	40			Percent of total billed charges		283.6	80			Percent of total billed charges		567.2	90			Percent of total billed charges		638.1	85			Percent of total billed charges		602.65	85			Percent of total billed charges		602.65	85			Percent of total billed charges		602.65	100			Percent of total billed charges		709	100			Percent of total billed charges		709	100			Percent of total billed charges		709	33.3			Percent of total billed charges		236.097	33.3			Percent of total billed charges		236.097	100			Percent of total billed charges		709	236.097	638.1	
s/n rev knee kit	272	RC	Outpatient			710	461.5		90			Percent of total billed charges		639	40			Percent of total billed charges		284	80			Percent of total billed charges		568	90			Percent of total billed charges		639	85			Percent of total billed charges		603.5	85			Percent of total billed charges		603.5	85			Percent of total billed charges		603.5	100			Percent of total billed charges		710	100			Percent of total billed charges		710	100			Percent of total billed charges		710	33.3			Percent of total billed charges		236.43	33.3			Percent of total billed charges		236.43	100			Percent of total billed charges		710	236.43	639	
revision kit 004545 s/n	272	RC	Outpatient			710	461.5		90			Percent of total billed charges		639	40			Percent of total billed charges		284	80			Percent of total billed charges		568	90			Percent of total billed charges		639	85			Percent of total billed charges		603.5	85			Percent of total billed charges		603.5	85			Percent of total billed charges		603.5	100			Percent of total billed charges		710	100			Percent of total billed charges		710	100			Percent of total billed charges		710	33.3			Percent of total billed charges		236.43	33.3			Percent of total billed charges		236.43	100			Percent of total billed charges		710	236.43	639	
staples ta55 roticulr 4.8	270	RC	Outpatient			710	461.5		90			Percent of total billed charges		639	40			Percent of total billed charges		284	80			Percent of total billed charges		568	90			Percent of total billed charges		639	85			Percent of total billed charges		603.5	85			Percent of total billed charges		603.5	85			Percent of total billed charges		603.5	100			Percent of total billed charges		710	100			Percent of total billed charges		710	100			Percent of total billed charges		710	33.3			Percent of total billed charges		236.43	33.3			Percent of total billed charges		236.43	100			Percent of total billed charges		710	236.43	639	
chemo admin. 6 1/2 hours	335	RC	Outpatient			711	462.15		90			Percent of total billed charges		639.9	40			Percent of total billed charges		284.4	80			Percent of total billed charges		568.8	90			Percent of total billed charges		639.9	85			Percent of total billed charges		604.35	85			Percent of total billed charges		604.35	85			Percent of total billed charges		604.35	100			Percent of total billed charges		711	100			Percent of total billed charges		711	100			Percent of total billed charges		711	33.3			Percent of total billed charges		236.763	33.3			Percent of total billed charges		236.763	100			Percent of total billed charges		711	236.763	639.9	
mesh parietex vp 4.6	278	RC	Outpatient			711	462.15		90			Percent of total billed charges		639.9	40			Percent of total billed charges		284.4	80			Percent of total billed charges		568.8	90			Percent of total billed charges		639.9	85			Percent of total billed charges		604.35	85			Percent of total billed charges		604.35	85			Percent of total billed charges		604.35	100			Percent of total billed charges		711	100			Percent of total billed charges		711	100			Percent of total billed charges		711	33.3			Percent of total billed charges		236.763	33.3			Percent of total billed charges		236.763	100			Percent of total billed charges		711	236.763	639.9	
knee pin and drill pack 004546 s/n	272	RC	Outpatient			711	462.15		90			Percent of total billed charges		639.9	40			Percent of total billed charges		284.4	80			Percent of total billed charges		568.8	90			Percent of total billed charges		639.9	85			Percent of total billed charges		604.35	85			Percent of total billed charges		604.35	85			Percent of total billed charges		604.35	100			Percent of total billed charges		711	100			Percent of total billed charges		711	100			Percent of total billed charges		711	33.3			Percent of total billed charges		236.763	33.3			Percent of total billed charges		236.763	100			Percent of total billed charges		711	236.763	639.9	
parietex composite ventral patch 4.6cm  pco4vp covidien	278	RC	Outpatient			711	462.15		90			Percent of total billed charges		639.9	40			Percent of total billed charges		284.4	80			Percent of total billed charges		568.8	90			Percent of total billed charges		639.9	85			Percent of total billed charges		604.35	85			Percent of total billed charges		604.35	85			Percent of total billed charges		604.35	100			Percent of total billed charges		711	100			Percent of total billed charges		711	100			Percent of total billed charges		711	33.3			Percent of total billed charges		236.763	33.3			Percent of total billed charges		236.763	100			Percent of total billed charges		711	236.763	639.9	
s/n kru pin/drill	272	RC	Outpatient			711	462.15		90			Percent of total billed charges		639.9	40			Percent of total billed charges		284.4	80			Percent of total billed charges		568.8	90			Percent of total billed charges		639.9	85			Percent of total billed charges		604.35	85			Percent of total billed charges		604.35	85			Percent of total billed charges		604.35	100			Percent of total billed charges		711	100			Percent of total billed charges		711	100			Percent of total billed charges		711	33.3			Percent of total billed charges		236.763	33.3			Percent of total billed charges		236.763	100			Percent of total billed charges		711	236.763	639.9	
implant nail femoral interlock 12mm x 46cm 12-2134 s/n	278	RC	Outpatient			712	462.8		90			Percent of total billed charges		640.8	40			Percent of total billed charges		284.8	80			Percent of total billed charges		569.6	90			Percent of total billed charges		640.8	85			Percent of total billed charges		605.2	85			Percent of total billed charges		605.2	85			Percent of total billed charges		605.2	100			Percent of total billed charges		712	100			Percent of total billed charges		712	100			Percent of total billed charges		712	33.3			Percent of total billed charges		237.096	33.3			Percent of total billed charges		237.096	100			Percent of total billed charges		712	237.096	640.8	
implant nail tibial interlock 11mm x 28.5cm 12-2184 s/n	278	RC	Outpatient			712	462.8		90			Percent of total billed charges		640.8	40			Percent of total billed charges		284.8	80			Percent of total billed charges		569.6	90			Percent of total billed charges		640.8	85			Percent of total billed charges		605.2	85			Percent of total billed charges		605.2	85			Percent of total billed charges		605.2	100			Percent of total billed charges		712	100			Percent of total billed charges		712	100			Percent of total billed charges		712	33.3			Percent of total billed charges		237.096	33.3			Percent of total billed charges		237.096	100			Percent of total billed charges		712	237.096	640.8	
implant nail tibial interlock 11mm x 33cm 12-2187 s/n	278	RC	Outpatient			712	462.8		90			Percent of total billed charges		640.8	40			Percent of total billed charges		284.8	80			Percent of total billed charges		569.6	90			Percent of total billed charges		640.8	85			Percent of total billed charges		605.2	85			Percent of total billed charges		605.2	85			Percent of total billed charges		605.2	100			Percent of total billed charges		712	100			Percent of total billed charges		712	100			Percent of total billed charges		712	33.3			Percent of total billed charges		237.096	33.3			Percent of total billed charges		237.096	100			Percent of total billed charges		712	237.096	640.8	
imp nail femoral delta 12mmx44cm 122133	278	RC	Outpatient			712	462.8		90			Percent of total billed charges		640.8	40			Percent of total billed charges		284.8	80			Percent of total billed charges		569.6	90			Percent of total billed charges		640.8	85			Percent of total billed charges		605.2	85			Percent of total billed charges		605.2	85			Percent of total billed charges		605.2	100			Percent of total billed charges		712	100			Percent of total billed charges		712	100			Percent of total billed charges		712	33.3			Percent of total billed charges		237.096	33.3			Percent of total billed charges		237.096	100			Percent of total billed charges		712	237.096	640.8	
implant nail femoral interlock 12mm x 40cm 12-2131 s/n	278	RC	Outpatient			712	462.8		90			Percent of total billed charges		640.8	40			Percent of total billed charges		284.8	80			Percent of total billed charges		569.6	90			Percent of total billed charges		640.8	85			Percent of total billed charges		605.2	85			Percent of total billed charges		605.2	85			Percent of total billed charges		605.2	100			Percent of total billed charges		712	100			Percent of total billed charges		712	100			Percent of total billed charges		712	33.3			Percent of total billed charges		237.096	33.3			Percent of total billed charges		237.096	100			Percent of total billed charges		712	237.096	640.8	
implant nail femoral interlock 12mm x 42cm 12-2132 s/n	278	RC	Outpatient			712	462.8		90			Percent of total billed charges		640.8	40			Percent of total billed charges		284.8	80			Percent of total billed charges		569.6	90			Percent of total billed charges		640.8	85			Percent of total billed charges		605.2	85			Percent of total billed charges		605.2	85			Percent of total billed charges		605.2	100			Percent of total billed charges		712	100			Percent of total billed charges		712	100			Percent of total billed charges		712	33.3			Percent of total billed charges		237.096	33.3			Percent of total billed charges		237.096	100			Percent of total billed charges		712	237.096	640.8	
implant nail femoral interlock 12mm x 48cm 12-2135 s/n	278	RC	Outpatient			712	462.8		90			Percent of total billed charges		640.8	40			Percent of total billed charges		284.8	80			Percent of total billed charges		569.6	90			Percent of total billed charges		640.8	85			Percent of total billed charges		605.2	85			Percent of total billed charges		605.2	85			Percent of total billed charges		605.2	100			Percent of total billed charges		712	100			Percent of total billed charges		712	100			Percent of total billed charges		712	33.3			Percent of total billed charges		237.096	33.3			Percent of total billed charges		237.096	100			Percent of total billed charges		712	237.096	640.8	
implant nail femoral interlock 12mm x 50cm 12-2164 s/n	278	RC	Outpatient			712	462.8		90			Percent of total billed charges		640.8	40			Percent of total billed charges		284.8	80			Percent of total billed charges		569.6	90			Percent of total billed charges		640.8	85			Percent of total billed charges		605.2	85			Percent of total billed charges		605.2	85			Percent of total billed charges		605.2	100			Percent of total billed charges		712	100			Percent of total billed charges		712	100			Percent of total billed charges		712	33.3			Percent of total billed charges		237.096	33.3			Percent of total billed charges		237.096	100			Percent of total billed charges		712	237.096	640.8	
implant nail tibial interlock 11mm x 30cm 12-2185 s/n	278	RC	Outpatient			712	462.8		90			Percent of total billed charges		640.8	40			Percent of total billed charges		284.8	80			Percent of total billed charges		569.6	90			Percent of total billed charges		640.8	85			Percent of total billed charges		605.2	85			Percent of total billed charges		605.2	85			Percent of total billed charges		605.2	100			Percent of total billed charges		712	100			Percent of total billed charges		712	100			Percent of total billed charges		712	33.3			Percent of total billed charges		237.096	33.3			Percent of total billed charges		237.096	100			Percent of total billed charges		712	237.096	640.8	
implant nail tibial interlock 11mm x 34.5cm 12-2188 s/n	278	RC	Outpatient			712	462.8		90			Percent of total billed charges		640.8	40			Percent of total billed charges		284.8	80			Percent of total billed charges		569.6	90			Percent of total billed charges		640.8	85			Percent of total billed charges		605.2	85			Percent of total billed charges		605.2	85			Percent of total billed charges		605.2	100			Percent of total billed charges		712	100			Percent of total billed charges		712	100			Percent of total billed charges		712	33.3			Percent of total billed charges		237.096	33.3			Percent of total billed charges		237.096	100			Percent of total billed charges		712	237.096	640.8	
nail fem 12mm x 38cm 122130 s/n	278	RC	Outpatient			712	462.8		90			Percent of total billed charges		640.8	40			Percent of total billed charges		284.8	80			Percent of total billed charges		569.6	90			Percent of total billed charges		640.8	85			Percent of total billed charges		605.2	85			Percent of total billed charges		605.2	85			Percent of total billed charges		605.2	100			Percent of total billed charges		712	100			Percent of total billed charges		712	100			Percent of total billed charges		712	33.3			Percent of total billed charges		237.096	33.3			Percent of total billed charges		237.096	100			Percent of total billed charges		712	237.096	640.8	
r/t femoral nail	278	RC	Outpatient			712	462.8		90			Percent of total billed charges		640.8	40			Percent of total billed charges		284.8	80			Percent of total billed charges		569.6	90			Percent of total billed charges		640.8	85			Percent of total billed charges		605.2	85			Percent of total billed charges		605.2	85			Percent of total billed charges		605.2	100			Percent of total billed charges		712	100			Percent of total billed charges		712	100			Percent of total billed charges		712	33.3			Percent of total billed charges		237.096	33.3			Percent of total billed charges		237.096	100			Percent of total billed charges		712	237.096	640.8	
r/t tibial nail	278	RC	Outpatient			712	462.8		90			Percent of total billed charges		640.8	40			Percent of total billed charges		284.8	80			Percent of total billed charges		569.6	90			Percent of total billed charges		640.8	85			Percent of total billed charges		605.2	85			Percent of total billed charges		605.2	85			Percent of total billed charges		605.2	100			Percent of total billed charges		712	100			Percent of total billed charges		712	100			Percent of total billed charges		712	33.3			Percent of total billed charges		237.096	33.3			Percent of total billed charges		237.096	100			Percent of total billed charges		712	237.096	640.8	
richards tibial peg	278	RC	Outpatient			713	463.45		90			Percent of total billed charges		641.7	40			Percent of total billed charges		285.2	80			Percent of total billed charges		570.4	90			Percent of total billed charges		641.7	85			Percent of total billed charges		606.05	85			Percent of total billed charges		606.05	85			Percent of total billed charges		606.05	100			Percent of total billed charges		713	100			Percent of total billed charges		713	100			Percent of total billed charges		713	33.3			Percent of total billed charges		237.429	33.3			Percent of total billed charges		237.429	100			Percent of total billed charges		713	237.429	641.7	
staples ta30 roticular-v3	270	RC	Outpatient			714	464.1		90			Percent of total billed charges		642.6	40			Percent of total billed charges		285.6	80			Percent of total billed charges		571.2	90			Percent of total billed charges		642.6	85			Percent of total billed charges		606.9	85			Percent of total billed charges		606.9	85			Percent of total billed charges		606.9	100			Percent of total billed charges		714	100			Percent of total billed charges		714	100			Percent of total billed charges		714	33.3			Percent of total billed charges		237.762	33.3			Percent of total billed charges		237.762	100			Percent of total billed charges		714	237.762	642.6	
endo dilation	750	RC	Outpatient			715	464.75		90			Percent of total billed charges		643.5	40			Percent of total billed charges		286	80			Percent of total billed charges		572	90			Percent of total billed charges		643.5	85			Percent of total billed charges		607.75	85			Percent of total billed charges		607.75	85			Percent of total billed charges		607.75	100			Percent of total billed charges		715	100			Percent of total billed charges		715	100			Percent of total billed charges		715	33.3			Percent of total billed charges		238.095	33.3			Percent of total billed charges		238.095	100			Percent of total billed charges		715	238.095	643.5	
imp plate 6 hole x 103mm 222.06	278	RC	Outpatient			716	465.4		90			Percent of total billed charges		644.4	40			Percent of total billed charges		286.4	80			Percent of total billed charges		572.8	90			Percent of total billed charges		644.4	85			Percent of total billed charges		608.6	85			Percent of total billed charges		608.6	85			Percent of total billed charges		608.6	100			Percent of total billed charges		716	100			Percent of total billed charges		716	100			Percent of total billed charges		716	33.3			Percent of total billed charges		238.428	33.3			Percent of total billed charges		238.428	100			Percent of total billed charges		716	238.428	644.4	
lg fr pl semi tub 4-7 hl	278	RC	Outpatient			716	465.4		90			Percent of total billed charges		644.4	40			Percent of total billed charges		286.4	80			Percent of total billed charges		572.8	90			Percent of total billed charges		644.4	85			Percent of total billed charges		608.6	85			Percent of total billed charges		608.6	85			Percent of total billed charges		608.6	100			Percent of total billed charges		716	100			Percent of total billed charges		716	100			Percent of total billed charges		716	33.3			Percent of total billed charges		238.428	33.3			Percent of total billed charges		238.428	100			Percent of total billed charges		716	238.428	644.4	
imp plate 4 hole x 103mm 222.04	278	RC	Outpatient			716	465.4		90			Percent of total billed charges		644.4	40			Percent of total billed charges		286.4	80			Percent of total billed charges		572.8	90			Percent of total billed charges		644.4	85			Percent of total billed charges		608.6	85			Percent of total billed charges		608.6	85			Percent of total billed charges		608.6	100			Percent of total billed charges		716	100			Percent of total billed charges		716	100			Percent of total billed charges		716	33.3			Percent of total billed charges		238.428	33.3			Percent of total billed charges		238.428	100			Percent of total billed charges		716	238.428	644.4	
pacu time 3 hours	270	RC	Outpatient			716	465.4		90			Percent of total billed charges		644.4	40			Percent of total billed charges		286.4	80			Percent of total billed charges		572.8	90			Percent of total billed charges		644.4	85			Percent of total billed charges		608.6	85			Percent of total billed charges		608.6	85			Percent of total billed charges		608.6	100			Percent of total billed charges		716	100			Percent of total billed charges		716	100			Percent of total billed charges		716	33.3			Percent of total billed charges		238.428	33.3			Percent of total billed charges		238.428	100			Percent of total billed charges		716	238.428	644.4	
suturefix ultra anchor 1.9 72203854 s/n	278	RC	Outpatient			716	465.4		90			Percent of total billed charges		644.4	40			Percent of total billed charges		286.4	80			Percent of total billed charges		572.8	90			Percent of total billed charges		644.4	85			Percent of total billed charges		608.6	85			Percent of total billed charges		608.6	85			Percent of total billed charges		608.6	100			Percent of total billed charges		716	100			Percent of total billed charges		716	100			Percent of total billed charges		716	33.3			Percent of total billed charges		238.428	33.3			Percent of total billed charges		238.428	100			Percent of total billed charges		716	238.428	644.4	
suturefix ultra anchor 72203853 s/n	278	RC	Outpatient			716	465.4		90			Percent of total billed charges		644.4	40			Percent of total billed charges		286.4	80			Percent of total billed charges		572.8	90			Percent of total billed charges		644.4	85			Percent of total billed charges		608.6	85			Percent of total billed charges		608.6	85			Percent of total billed charges		608.6	100			Percent of total billed charges		716	100			Percent of total billed charges		716	100			Percent of total billed charges		716	33.3			Percent of total billed charges		238.428	33.3			Percent of total billed charges		238.428	100			Percent of total billed charges		716	238.428	644.4	
s/n lg frag  5 hole  plate 7114-1305	278	RC	Outpatient			716	465.4		90			Percent of total billed charges		644.4	40			Percent of total billed charges		286.4	80			Percent of total billed charges		572.8	90			Percent of total billed charges		644.4	85			Percent of total billed charges		608.6	85			Percent of total billed charges		608.6	85			Percent of total billed charges		608.6	100			Percent of total billed charges		716	100			Percent of total billed charges		716	100			Percent of total billed charges		716	33.3			Percent of total billed charges		238.428	33.3			Percent of total billed charges		238.428	100			Percent of total billed charges		716	238.428	644.4	
s/n lg frag  6 hole  plate 7114-1306	278	RC	Outpatient			716	465.4		90			Percent of total billed charges		644.4	40			Percent of total billed charges		286.4	80			Percent of total billed charges		572.8	90			Percent of total billed charges		644.4	85			Percent of total billed charges		608.6	85			Percent of total billed charges		608.6	85			Percent of total billed charges		608.6	100			Percent of total billed charges		716	100			Percent of total billed charges		716	100			Percent of total billed charges		716	33.3			Percent of total billed charges		238.428	33.3			Percent of total billed charges		238.428	100			Percent of total billed charges		716	238.428	644.4	
s/n lg frag  7 hole  plate 7114-1307	278	RC	Outpatient			716	465.4		90			Percent of total billed charges		644.4	40			Percent of total billed charges		286.4	80			Percent of total billed charges		572.8	90			Percent of total billed charges		644.4	85			Percent of total billed charges		608.6	85			Percent of total billed charges		608.6	85			Percent of total billed charges		608.6	100			Percent of total billed charges		716	100			Percent of total billed charges		716	100			Percent of total billed charges		716	33.3			Percent of total billed charges		238.428	33.3			Percent of total billed charges		238.428	100			Percent of total billed charges		716	238.428	644.4	
s/n lg frag 4 hole   plate 7114-1304	278	RC	Outpatient			716	465.4		90			Percent of total billed charges		644.4	40			Percent of total billed charges		286.4	80			Percent of total billed charges		572.8	90			Percent of total billed charges		644.4	85			Percent of total billed charges		608.6	85			Percent of total billed charges		608.6	85			Percent of total billed charges		608.6	100			Percent of total billed charges		716	100			Percent of total billed charges		716	100			Percent of total billed charges		716	33.3			Percent of total billed charges		238.428	33.3			Percent of total billed charges		238.428	100			Percent of total billed charges		716	238.428	644.4	
suturefix ultra anchor 1.7 72203852 s/n	278	RC	Outpatient			716	465.4		90			Percent of total billed charges		644.4	40			Percent of total billed charges		286.4	80			Percent of total billed charges		572.8	90			Percent of total billed charges		644.4	85			Percent of total billed charges		608.6	85			Percent of total billed charges		608.6	85			Percent of total billed charges		608.6	100			Percent of total billed charges		716	100			Percent of total billed charges		716	100			Percent of total billed charges		716	33.3			Percent of total billed charges		238.428	33.3			Percent of total billed charges		238.428	100			Percent of total billed charges		716	238.428	644.4	
ascension scr cann 1.5	278	RC	Outpatient			717	466.05		90			Percent of total billed charges		645.3	40			Percent of total billed charges		286.8	80			Percent of total billed charges		573.6	90			Percent of total billed charges		645.3	85			Percent of total billed charges		609.45	85			Percent of total billed charges		609.45	85			Percent of total billed charges		609.45	100			Percent of total billed charges		717	100			Percent of total billed charges		717	100			Percent of total billed charges		717	33.3			Percent of total billed charges		238.761	33.3			Percent of total billed charges		238.761	100			Percent of total billed charges		717	238.761	645.3	
cannulated screw 1.5 x 16mm 151-016-070 ascension	278	RC	Outpatient			717	466.05		90			Percent of total billed charges		645.3	40			Percent of total billed charges		286.8	80			Percent of total billed charges		573.6	90			Percent of total billed charges		645.3	85			Percent of total billed charges		609.45	85			Percent of total billed charges		609.45	85			Percent of total billed charges		609.45	100			Percent of total billed charges		717	100			Percent of total billed charges		717	100			Percent of total billed charges		717	33.3			Percent of total billed charges		238.761	33.3			Percent of total billed charges		238.761	100			Percent of total billed charges		717	238.761	645.3	
cannulated screw 1.5 x 18mm 151-018-070 ascension	278	RC	Outpatient			717	466.05		90			Percent of total billed charges		645.3	40			Percent of total billed charges		286.8	80			Percent of total billed charges		573.6	90			Percent of total billed charges		645.3	85			Percent of total billed charges		609.45	85			Percent of total billed charges		609.45	85			Percent of total billed charges		609.45	100			Percent of total billed charges		717	100			Percent of total billed charges		717	100			Percent of total billed charges		717	33.3			Percent of total billed charges		238.761	33.3			Percent of total billed charges		238.761	100			Percent of total billed charges		717	238.761	645.3	
dbx putty 2.5cc	278	RC	Outpatient			717	466.05		90			Percent of total billed charges		645.3	40			Percent of total billed charges		286.8	80			Percent of total billed charges		573.6	90			Percent of total billed charges		645.3	85			Percent of total billed charges		609.45	85			Percent of total billed charges		609.45	85			Percent of total billed charges		609.45	100			Percent of total billed charges		717	100			Percent of total billed charges		717	100			Percent of total billed charges		717	33.3			Percent of total billed charges		238.761	33.3			Percent of total billed charges		238.761	100			Percent of total billed charges		717	238.761	645.3	
putty dbx 2.5cc 038025 mtf	278	RC	Outpatient			717	466.05		90			Percent of total billed charges		645.3	40			Percent of total billed charges		286.8	80			Percent of total billed charges		573.6	90			Percent of total billed charges		645.3	85			Percent of total billed charges		609.45	85			Percent of total billed charges		609.45	85			Percent of total billed charges		609.45	100			Percent of total billed charges		717	100			Percent of total billed charges		717	100			Percent of total billed charges		717	33.3			Percent of total billed charges		238.761	33.3			Percent of total billed charges		238.761	100			Percent of total billed charges		717	238.761	645.3	
harm scpl 5mm shear-open	270	RC	Outpatient			720	468		90			Percent of total billed charges		648	40			Percent of total billed charges		288	80			Percent of total billed charges		576	90			Percent of total billed charges		648	85			Percent of total billed charges		612	85			Percent of total billed charges		612	85			Percent of total billed charges		612	100			Percent of total billed charges		720	100			Percent of total billed charges		720	100			Percent of total billed charges		720	33.3			Percent of total billed charges		239.76	33.3			Percent of total billed charges		239.76	100			Percent of total billed charges		720	239.76	648	
variable angle vectra cervical screw 4.5 x 16mm 04.613.566 synthes	278	RC	Outpatient			720	468		90			Percent of total billed charges		648	40			Percent of total billed charges		288	80			Percent of total billed charges		576	90			Percent of total billed charges		648	85			Percent of total billed charges		612	85			Percent of total billed charges		612	85			Percent of total billed charges		612	100			Percent of total billed charges		720	100			Percent of total billed charges		720	100			Percent of total billed charges		720	33.3			Percent of total billed charges		239.76	33.3			Percent of total billed charges		239.76	100			Percent of total billed charges		720	239.76	648	
vectra scr 4.5 cervical	278	RC	Outpatient			720	468		90			Percent of total billed charges		648	40			Percent of total billed charges		288	80			Percent of total billed charges		576	90			Percent of total billed charges		648	85			Percent of total billed charges		612	85			Percent of total billed charges		612	85			Percent of total billed charges		612	100			Percent of total billed charges		720	100			Percent of total billed charges		720	100			Percent of total billed charges		720	33.3			Percent of total billed charges		239.76	33.3			Percent of total billed charges		239.76	100			Percent of total billed charges		720	239.76	648	
variable angle vectra cervical screw 4.5 x 18mm 04.613.568 synthes	278	RC	Outpatient			720	468		90			Percent of total billed charges		648	40			Percent of total billed charges		288	80			Percent of total billed charges		576	90			Percent of total billed charges		648	85			Percent of total billed charges		612	85			Percent of total billed charges		612	85			Percent of total billed charges		612	100			Percent of total billed charges		720	100			Percent of total billed charges		720	100			Percent of total billed charges		720	33.3			Percent of total billed charges		239.76	33.3			Percent of total billed charges		239.76	100			Percent of total billed charges		720	239.76	648	
congruent radial plate	278	RC	Outpatient			722	469.3		90			Percent of total billed charges		649.8	40			Percent of total billed charges		288.8	80			Percent of total billed charges		577.6	90			Percent of total billed charges		649.8	85			Percent of total billed charges		613.7	85			Percent of total billed charges		613.7	85			Percent of total billed charges		613.7	100			Percent of total billed charges		722	100			Percent of total billed charges		722	100			Percent of total billed charges		722	33.3			Percent of total billed charges		240.426	33.3			Percent of total billed charges		240.426	100			Percent of total billed charges		722	240.426	649.8	
jet-x trocar	272	RC	Outpatient			722	469.3		90			Percent of total billed charges		649.8	40			Percent of total billed charges		288.8	80			Percent of total billed charges		577.6	90			Percent of total billed charges		649.8	85			Percent of total billed charges		613.7	85			Percent of total billed charges		613.7	85			Percent of total billed charges		613.7	100			Percent of total billed charges		722	100			Percent of total billed charges		722	100			Percent of total billed charges		722	33.3			Percent of total billed charges		240.426	33.3			Percent of total billed charges		240.426	100			Percent of total billed charges		722	240.426	649.8	
s/n jet-x 5mm trocar 7106-3012	272	RC	Outpatient			722	469.3		90			Percent of total billed charges		649.8	40			Percent of total billed charges		288.8	80			Percent of total billed charges		577.6	90			Percent of total billed charges		649.8	85			Percent of total billed charges		613.7	85			Percent of total billed charges		613.7	85			Percent of total billed charges		613.7	100			Percent of total billed charges		722	100			Percent of total billed charges		722	100			Percent of total billed charges		722	33.3			Percent of total billed charges		240.426	33.3			Percent of total billed charges		240.426	100			Percent of total billed charges		722	240.426	649.8	
upper extremity congruent bone plate 26mm r distal radius plate acumed  pl-dr26	278	RC	Outpatient			722	469.3		90			Percent of total billed charges		649.8	40			Percent of total billed charges		288.8	80			Percent of total billed charges		577.6	90			Percent of total billed charges		649.8	85			Percent of total billed charges		613.7	85			Percent of total billed charges		613.7	85			Percent of total billed charges		613.7	100			Percent of total billed charges		722	100			Percent of total billed charges		722	100			Percent of total billed charges		722	33.3			Percent of total billed charges		240.426	33.3			Percent of total billed charges		240.426	100			Percent of total billed charges		722	240.426	649.8	
upper extremity congruent bone plate 60mm volar radius plate  acumed pl-vo60	278	RC	Outpatient			722	469.3		90			Percent of total billed charges		649.8	40			Percent of total billed charges		288.8	80			Percent of total billed charges		577.6	90			Percent of total billed charges		649.8	85			Percent of total billed charges		613.7	85			Percent of total billed charges		613.7	85			Percent of total billed charges		613.7	100			Percent of total billed charges		722	100			Percent of total billed charges		722	100			Percent of total billed charges		722	33.3			Percent of total billed charges		240.426	33.3			Percent of total billed charges		240.426	100			Percent of total billed charges		722	240.426	649.8	
upper extremity congruent bone plate 26mm l distal radius plate acumed pl-dl26	278	RC	Outpatient			722	469.3		90			Percent of total billed charges		649.8	40			Percent of total billed charges		288.8	80			Percent of total billed charges		577.6	90			Percent of total billed charges		649.8	85			Percent of total billed charges		613.7	85			Percent of total billed charges		613.7	85			Percent of total billed charges		613.7	100			Percent of total billed charges		722	100			Percent of total billed charges		722	100			Percent of total billed charges		722	33.3			Percent of total billed charges		240.426	33.3			Percent of total billed charges		240.426	100			Percent of total billed charges		722	240.426	649.8	
upper extremity congruent bone plate 47mm volar radius plate acumed  pl-vo47	278	RC	Outpatient			722	469.3		90			Percent of total billed charges		649.8	40			Percent of total billed charges		288.8	80			Percent of total billed charges		577.6	90			Percent of total billed charges		649.8	85			Percent of total billed charges		613.7	85			Percent of total billed charges		613.7	85			Percent of total billed charges		613.7	100			Percent of total billed charges		722	100			Percent of total billed charges		722	100			Percent of total billed charges		722	33.3			Percent of total billed charges		240.426	33.3			Percent of total billed charges		240.426	100			Percent of total billed charges		722	240.426	649.8	
vnus closure cath	272	RC	Outpatient			722	469.3		90			Percent of total billed charges		649.8	40			Percent of total billed charges		288.8	80			Percent of total billed charges		577.6	90			Percent of total billed charges		649.8	85			Percent of total billed charges		613.7	85			Percent of total billed charges		613.7	85			Percent of total billed charges		613.7	100			Percent of total billed charges		722	100			Percent of total billed charges		722	100			Percent of total billed charges		722	33.3			Percent of total billed charges		240.426	33.3			Percent of total billed charges		240.426	100			Percent of total billed charges		722	240.426	649.8	
vnus rfs closure cath rfs2-6-12	272	RC	Outpatient			722	469.3		90			Percent of total billed charges		649.8	40			Percent of total billed charges		288.8	80			Percent of total billed charges		577.6	90			Percent of total billed charges		649.8	85			Percent of total billed charges		613.7	85			Percent of total billed charges		613.7	85			Percent of total billed charges		613.7	100			Percent of total billed charges		722	100			Percent of total billed charges		722	100			Percent of total billed charges		722	33.3			Percent of total billed charges		240.426	33.3			Percent of total billed charges		240.426	100			Percent of total billed charges		722	240.426	649.8	
j&j hip head pfc	278	RC	Outpatient			723	469.95		90			Percent of total billed charges		650.7	40			Percent of total billed charges		289.2	80			Percent of total billed charges		578.4	90			Percent of total billed charges		650.7	85			Percent of total billed charges		614.55	85			Percent of total billed charges		614.55	85			Percent of total billed charges		614.55	100			Percent of total billed charges		723	100			Percent of total billed charges		723	100			Percent of total billed charges		723	33.3			Percent of total billed charges		240.759	33.3			Percent of total billed charges		240.759	100			Percent of total billed charges		723	240.759	650.7	
j&j ptella comp ist ov dm	278	RC	Outpatient			723	469.95		90			Percent of total billed charges		650.7	40			Percent of total billed charges		289.2	80			Percent of total billed charges		578.4	90			Percent of total billed charges		650.7	85			Percent of total billed charges		614.55	85			Percent of total billed charges		614.55	85			Percent of total billed charges		614.55	100			Percent of total billed charges		723	100			Percent of total billed charges		723	100			Percent of total billed charges		723	33.3			Percent of total billed charges		240.759	33.3			Percent of total billed charges		240.759	100			Percent of total billed charges		723	240.759	650.7	
j&j s-rom femoral head	278	RC	Outpatient			723	469.95		90			Percent of total billed charges		650.7	40			Percent of total billed charges		289.2	80			Percent of total billed charges		578.4	90			Percent of total billed charges		650.7	85			Percent of total billed charges		614.55	85			Percent of total billed charges		614.55	85			Percent of total billed charges		614.55	100			Percent of total billed charges		723	100			Percent of total billed charges		723	100			Percent of total billed charges		723	33.3			Percent of total billed charges		240.759	33.3			Percent of total billed charges		240.759	100			Percent of total billed charges		723	240.759	650.7	
stonetome	270	RC	Outpatient			723	469.95		90			Percent of total billed charges		650.7	40			Percent of total billed charges		289.2	80			Percent of total billed charges		578.4	90			Percent of total billed charges		650.7	85			Percent of total billed charges		614.55	85			Percent of total billed charges		614.55	85			Percent of total billed charges		614.55	100			Percent of total billed charges		723	100			Percent of total billed charges		723	100			Percent of total billed charges		723	33.3			Percent of total billed charges		240.759	33.3			Percent of total billed charges		240.759	100			Percent of total billed charges		723	240.759	650.7	
ccpf chemo admin 7 hrs	335	RC	Outpatient			723.63	470.36		90			Percent of total billed charges		651.267	40			Percent of total billed charges		289.452	80			Percent of total billed charges		578.904	90			Percent of total billed charges		651.267	85			Percent of total billed charges		615.0855	85			Percent of total billed charges		615.0855	85			Percent of total billed charges		615.0855	100			Percent of total billed charges		723.63	100			Percent of total billed charges		723.63	100			Percent of total billed charges		723.63	33.3			Percent of total billed charges		240.9688	33.3			Percent of total billed charges		240.9688	100			Percent of total billed charges		723.63	240.9688	651.267	
scrmc cath maestro microcath 2.4x110cm	621	RC	Outpatient			725	471.25		90			Percent of total billed charges		652.5	40			Percent of total billed charges		290	80			Percent of total billed charges		580	90			Percent of total billed charges		652.5	85			Percent of total billed charges		616.25	85			Percent of total billed charges		616.25	85			Percent of total billed charges		616.25	100			Percent of total billed charges		725	100			Percent of total billed charges		725	100			Percent of total billed charges		725	33.3			Percent of total billed charges		241.425	33.3			Percent of total billed charges		241.425	100			Percent of total billed charges		725	241.425	652.5	
stryker xia rad rod	278	RC	Outpatient			725	471.25		90			Percent of total billed charges		652.5	40			Percent of total billed charges		290	80			Percent of total billed charges		580	90			Percent of total billed charges		652.5	85			Percent of total billed charges		616.25	85			Percent of total billed charges		616.25	85			Percent of total billed charges		616.25	100			Percent of total billed charges		725	100			Percent of total billed charges		725	100			Percent of total billed charges		725	33.3			Percent of total billed charges		241.425	33.3			Percent of total billed charges		241.425	100			Percent of total billed charges		725	241.425	652.5	
scrmc cath maestro microcath 2.8x110cm	621	RC	Outpatient			725	471.25		90			Percent of total billed charges		652.5	40			Percent of total billed charges		290	80			Percent of total billed charges		580	90			Percent of total billed charges		652.5	85			Percent of total billed charges		616.25	85			Percent of total billed charges		616.25	85			Percent of total billed charges		616.25	100			Percent of total billed charges		725	100			Percent of total billed charges		725	100			Percent of total billed charges		725	33.3			Percent of total billed charges		241.425	33.3			Percent of total billed charges		241.425	100			Percent of total billed charges		725	241.425	652.5	
xia ii rad rod 3.5 x 30mm 48218030 stryker	278	RC	Outpatient			725	471.25		90			Percent of total billed charges		652.5	40			Percent of total billed charges		290	80			Percent of total billed charges		580	90			Percent of total billed charges		652.5	85			Percent of total billed charges		616.25	85			Percent of total billed charges		616.25	85			Percent of total billed charges		616.25	100			Percent of total billed charges		725	100			Percent of total billed charges		725	100			Percent of total billed charges		725	33.3			Percent of total billed charges		241.425	33.3			Percent of total billed charges		241.425	100			Percent of total billed charges		725	241.425	652.5	
xia ii rad rod 3.5 x 35mm 48218035 stryker	278	RC	Outpatient			725	471.25		90			Percent of total billed charges		652.5	40			Percent of total billed charges		290	80			Percent of total billed charges		580	90			Percent of total billed charges		652.5	85			Percent of total billed charges		616.25	85			Percent of total billed charges		616.25	85			Percent of total billed charges		616.25	100			Percent of total billed charges		725	100			Percent of total billed charges		725	100			Percent of total billed charges		725	33.3			Percent of total billed charges		241.425	33.3			Percent of total billed charges		241.425	100			Percent of total billed charges		725	241.425	652.5	
xia ii rad rod 4.25 x 50mm 48218050 stryker	278	RC	Outpatient			725	471.25		90			Percent of total billed charges		652.5	40			Percent of total billed charges		290	80			Percent of total billed charges		580	90			Percent of total billed charges		652.5	85			Percent of total billed charges		616.25	85			Percent of total billed charges		616.25	85			Percent of total billed charges		616.25	100			Percent of total billed charges		725	100			Percent of total billed charges		725	100			Percent of total billed charges		725	33.3			Percent of total billed charges		241.425	33.3			Percent of total billed charges		241.425	100			Percent of total billed charges		725	241.425	652.5	
xia ii rad rod 4.25 x 60mm 48218060 stryker	278	RC	Outpatient			725	471.25		90			Percent of total billed charges		652.5	40			Percent of total billed charges		290	80			Percent of total billed charges		580	90			Percent of total billed charges		652.5	85			Percent of total billed charges		616.25	85			Percent of total billed charges		616.25	85			Percent of total billed charges		616.25	100			Percent of total billed charges		725	100			Percent of total billed charges		725	100			Percent of total billed charges		725	33.3			Percent of total billed charges		241.425	33.3			Percent of total billed charges		241.425	100			Percent of total billed charges		725	241.425	652.5	
xia ii rad rod 5.0 x 90mm 48218090 stryker	278	RC	Outpatient			725	471.25		90			Percent of total billed charges		652.5	40			Percent of total billed charges		290	80			Percent of total billed charges		580	90			Percent of total billed charges		652.5	85			Percent of total billed charges		616.25	85			Percent of total billed charges		616.25	85			Percent of total billed charges		616.25	100			Percent of total billed charges		725	100			Percent of total billed charges		725	100			Percent of total billed charges		725	33.3			Percent of total billed charges		241.425	33.3			Percent of total billed charges		241.425	100			Percent of total billed charges		725	241.425	652.5	
xia ii rad rod 3.5 x 40mm 48218040 stryker	278	RC	Outpatient			725	471.25		90			Percent of total billed charges		652.5	40			Percent of total billed charges		290	80			Percent of total billed charges		580	90			Percent of total billed charges		652.5	85			Percent of total billed charges		616.25	85			Percent of total billed charges		616.25	85			Percent of total billed charges		616.25	100			Percent of total billed charges		725	100			Percent of total billed charges		725	100			Percent of total billed charges		725	33.3			Percent of total billed charges		241.425	33.3			Percent of total billed charges		241.425	100			Percent of total billed charges		725	241.425	652.5	
xia ii rad rod 4.25 x 45mm 48218045 stryker	278	RC	Outpatient			725	471.25		90			Percent of total billed charges		652.5	40			Percent of total billed charges		290	80			Percent of total billed charges		580	90			Percent of total billed charges		652.5	85			Percent of total billed charges		616.25	85			Percent of total billed charges		616.25	85			Percent of total billed charges		616.25	100			Percent of total billed charges		725	100			Percent of total billed charges		725	100			Percent of total billed charges		725	33.3			Percent of total billed charges		241.425	33.3			Percent of total billed charges		241.425	100			Percent of total billed charges		725	241.425	652.5	
xia ii rad rod 4.25 x 70mm 48218070 stryker	278	RC	Outpatient			725	471.25		90			Percent of total billed charges		652.5	40			Percent of total billed charges		290	80			Percent of total billed charges		580	90			Percent of total billed charges		652.5	85			Percent of total billed charges		616.25	85			Percent of total billed charges		616.25	85			Percent of total billed charges		616.25	100			Percent of total billed charges		725	100			Percent of total billed charges		725	100			Percent of total billed charges		725	33.3			Percent of total billed charges		241.425	33.3			Percent of total billed charges		241.425	100			Percent of total billed charges		725	241.425	652.5	
xia ii rad rod 5.0 x 80mm 48218080 stryker	278	RC	Outpatient			725	471.25		90			Percent of total billed charges		652.5	40			Percent of total billed charges		290	80			Percent of total billed charges		580	90			Percent of total billed charges		652.5	85			Percent of total billed charges		616.25	85			Percent of total billed charges		616.25	85			Percent of total billed charges		616.25	100			Percent of total billed charges		725	100			Percent of total billed charges		725	100			Percent of total billed charges		725	33.3			Percent of total billed charges		241.425	33.3			Percent of total billed charges		241.425	100			Percent of total billed charges		725	241.425	652.5	
arthrex stimublast putty 2.5cc abs-2001-02	278	RC	Outpatient			726	471.9		90			Percent of total billed charges		653.4	40			Percent of total billed charges		290.4	80			Percent of total billed charges		580.8	90			Percent of total billed charges		653.4	85			Percent of total billed charges		617.1	85			Percent of total billed charges		617.1	85			Percent of total billed charges		617.1	100			Percent of total billed charges		726	100			Percent of total billed charges		726	100			Percent of total billed charges		726	33.3			Percent of total billed charges		241.758	33.3			Percent of total billed charges		241.758	100			Percent of total billed charges		726	241.758	653.4	
4.5mm cobra head plate 11 hole 218mm 00-4945-011-14 zimmer	278	RC	Outpatient			727	472.55		90			Percent of total billed charges		654.3	40			Percent of total billed charges		290.8	80			Percent of total billed charges		581.6	90			Percent of total billed charges		654.3	85			Percent of total billed charges		617.95	85			Percent of total billed charges		617.95	85			Percent of total billed charges		617.95	100			Percent of total billed charges		727	100			Percent of total billed charges		727	100			Percent of total billed charges		727	33.3			Percent of total billed charges		242.091	33.3			Percent of total billed charges		242.091	100			Percent of total billed charges		727	242.091	654.3	
4.5mm cobra head plate 10 hole 202mm 00-4945-010-14 zimmer	278	RC	Outpatient			727	472.55		90			Percent of total billed charges		654.3	40			Percent of total billed charges		290.8	80			Percent of total billed charges		581.6	90			Percent of total billed charges		654.3	85			Percent of total billed charges		617.95	85			Percent of total billed charges		617.95	85			Percent of total billed charges		617.95	100			Percent of total billed charges		727	100			Percent of total billed charges		727	100			Percent of total billed charges		727	33.3			Percent of total billed charges		242.091	33.3			Percent of total billed charges		242.091	100			Percent of total billed charges		727	242.091	654.3	
zimm 4.5 cobra pl 10-11hl	278	RC	Outpatient			727	472.55		90			Percent of total billed charges		654.3	40			Percent of total billed charges		290.8	80			Percent of total billed charges		581.6	90			Percent of total billed charges		654.3	85			Percent of total billed charges		617.95	85			Percent of total billed charges		617.95	85			Percent of total billed charges		617.95	100			Percent of total billed charges		727	100			Percent of total billed charges		727	100			Percent of total billed charges		727	33.3			Percent of total billed charges		242.091	33.3			Percent of total billed charges		242.091	100			Percent of total billed charges		727	242.091	654.3	
chemo admin. 9 hours	335	RC	Outpatient			732	475.8		90			Percent of total billed charges		658.8	40			Percent of total billed charges		292.8	80			Percent of total billed charges		585.6	90			Percent of total billed charges		658.8	85			Percent of total billed charges		622.2	85			Percent of total billed charges		622.2	85			Percent of total billed charges		622.2	100			Percent of total billed charges		732	100			Percent of total billed charges		732	100			Percent of total billed charges		732	33.3			Percent of total billed charges		243.756	33.3			Percent of total billed charges		243.756	100			Percent of total billed charges		732	243.756	658.8	
hemorrhoidal circular stapler  ethicon pph01	272	RC	Outpatient			732	475.8		90			Percent of total billed charges		658.8	40			Percent of total billed charges		292.8	80			Percent of total billed charges		585.6	90			Percent of total billed charges		658.8	85			Percent of total billed charges		622.2	85			Percent of total billed charges		622.2	85			Percent of total billed charges		622.2	100			Percent of total billed charges		732	100			Percent of total billed charges		732	100			Percent of total billed charges		732	33.3			Percent of total billed charges		243.756	33.3			Percent of total billed charges		243.756	100			Percent of total billed charges		732	243.756	658.8	
i-clip fixation device pla-20 ussc	275	RC	Outpatient			732	475.8		90			Percent of total billed charges		658.8	40			Percent of total billed charges		292.8	80			Percent of total billed charges		585.6	90			Percent of total billed charges		658.8	85			Percent of total billed charges		622.2	85			Percent of total billed charges		622.2	85			Percent of total billed charges		622.2	100			Percent of total billed charges		732	100			Percent of total billed charges		732	100			Percent of total billed charges		732	33.3			Percent of total billed charges		243.756	33.3			Percent of total billed charges		243.756	100			Percent of total billed charges		732	243.756	658.8	
hemorrhoid stapler	272	RC	Outpatient			732	475.8		90			Percent of total billed charges		658.8	40			Percent of total billed charges		292.8	80			Percent of total billed charges		585.6	90			Percent of total billed charges		658.8	85			Percent of total billed charges		622.2	85			Percent of total billed charges		622.2	85			Percent of total billed charges		622.2	100			Percent of total billed charges		732	100			Percent of total billed charges		732	100			Percent of total billed charges		732	33.3			Percent of total billed charges		243.756	33.3			Percent of total billed charges		243.756	100			Percent of total billed charges		732	243.756	658.8	
i-clip	275	RC	Outpatient			732	475.8		90			Percent of total billed charges		658.8	40			Percent of total billed charges		292.8	80			Percent of total billed charges		585.6	90			Percent of total billed charges		658.8	85			Percent of total billed charges		622.2	85			Percent of total billed charges		622.2	85			Percent of total billed charges		622.2	100			Percent of total billed charges		732	100			Percent of total billed charges		732	100			Percent of total billed charges		732	33.3			Percent of total billed charges		243.756	33.3			Percent of total billed charges		243.756	100			Percent of total billed charges		732	243.756	658.8	
3.5mm curved reconstruction plate 14 hole 245.34	278	RC	Outpatient			734	477.1		90			Percent of total billed charges		660.6	40			Percent of total billed charges		293.6	80			Percent of total billed charges		587.2	90			Percent of total billed charges		660.6	85			Percent of total billed charges		623.9	85			Percent of total billed charges		623.9	85			Percent of total billed charges		623.9	100			Percent of total billed charges		734	100			Percent of total billed charges		734	100			Percent of total billed charges		734	33.3			Percent of total billed charges		244.422	33.3			Percent of total billed charges		244.422	100			Percent of total billed charges		734	244.422	660.6	
3.5mm curved reconstruction plate 16 hole 245.35	278	RC	Outpatient			734	477.1		90			Percent of total billed charges		660.6	40			Percent of total billed charges		293.6	80			Percent of total billed charges		587.2	90			Percent of total billed charges		660.6	85			Percent of total billed charges		623.9	85			Percent of total billed charges		623.9	85			Percent of total billed charges		623.9	100			Percent of total billed charges		734	100			Percent of total billed charges		734	100			Percent of total billed charges		734	33.3			Percent of total billed charges		244.422	33.3			Percent of total billed charges		244.422	100			Percent of total billed charges		734	244.422	660.6	
flexiva id trac tip laser fiber 200 m006r8403960	272	RC	Outpatient			734	477.1		90			Percent of total billed charges		660.6	40			Percent of total billed charges		293.6	80			Percent of total billed charges		587.2	90			Percent of total billed charges		660.6	85			Percent of total billed charges		623.9	85			Percent of total billed charges		623.9	85			Percent of total billed charges		623.9	100			Percent of total billed charges		734	100			Percent of total billed charges		734	100			Percent of total billed charges		734	33.3			Percent of total billed charges		244.422	33.3			Percent of total billed charges		244.422	100			Percent of total billed charges		734	244.422	660.6	
syn cvd recon plate 14-16	278	RC	Outpatient			734	477.1		90			Percent of total billed charges		660.6	40			Percent of total billed charges		293.6	80			Percent of total billed charges		587.2	90			Percent of total billed charges		660.6	85			Percent of total billed charges		623.9	85			Percent of total billed charges		623.9	85			Percent of total billed charges		623.9	100			Percent of total billed charges		734	100			Percent of total billed charges		734	100			Percent of total billed charges		734	33.3			Percent of total billed charges		244.422	33.3			Percent of total billed charges		244.422	100			Percent of total billed charges		734	244.422	660.6	
tissue procurement	270	RC	Outpatient			735	477.75		90			Percent of total billed charges		661.5	40			Percent of total billed charges		294	80			Percent of total billed charges		588	90			Percent of total billed charges		661.5	85			Percent of total billed charges		624.75	85			Percent of total billed charges		624.75	85			Percent of total billed charges		624.75	100			Percent of total billed charges		735	100			Percent of total billed charges		735	100			Percent of total billed charges		735	33.3			Percent of total billed charges		244.755	33.3			Percent of total billed charges		244.755	100			Percent of total billed charges		735	244.755	661.5	
sonicision scd396 covidien	272	RC	Outpatient			736	478.4		90			Percent of total billed charges		662.4	40			Percent of total billed charges		294.4	80			Percent of total billed charges		588.8	90			Percent of total billed charges		662.4	85			Percent of total billed charges		625.6	85			Percent of total billed charges		625.6	85			Percent of total billed charges		625.6	100			Percent of total billed charges		736	100			Percent of total billed charges		736	100			Percent of total billed charges		736	33.3			Percent of total billed charges		245.088	33.3			Percent of total billed charges		245.088	100			Percent of total billed charges		736	245.088	662.4	
sonicision	272	RC	Outpatient			736	478.4		90			Percent of total billed charges		662.4	40			Percent of total billed charges		294.4	80			Percent of total billed charges		588.8	90			Percent of total billed charges		662.4	85			Percent of total billed charges		625.6	85			Percent of total billed charges		625.6	85			Percent of total billed charges		625.6	100			Percent of total billed charges		736	100			Percent of total billed charges		736	100			Percent of total billed charges		736	33.3			Percent of total billed charges		245.088	33.3			Percent of total billed charges		245.088	100			Percent of total billed charges		736	245.088	662.4	
2.7mm reconstruction plate straight 22 hole 176mm 00-1179-013-22 zimmer	278	RC	Outpatient			738	479.7		90			Percent of total billed charges		664.2	40			Percent of total billed charges		295.2	80			Percent of total billed charges		590.4	90			Percent of total billed charges		664.2	85			Percent of total billed charges		627.3	85			Percent of total billed charges		627.3	85			Percent of total billed charges		627.3	100			Percent of total billed charges		738	100			Percent of total billed charges		738	100			Percent of total billed charges		738	33.3			Percent of total billed charges		245.754	33.3			Percent of total billed charges		245.754	100			Percent of total billed charges		738	245.754	664.2	
p-l vlp plt 1/3 tub 6h	278	RC	Outpatient			738	479.7		90			Percent of total billed charges		664.2	40			Percent of total billed charges		295.2	80			Percent of total billed charges		590.4	90			Percent of total billed charges		664.2	85			Percent of total billed charges		627.3	85			Percent of total billed charges		627.3	85			Percent of total billed charges		627.3	100			Percent of total billed charges		738	100			Percent of total billed charges		738	100			Percent of total billed charges		738	33.3			Percent of total billed charges		245.754	33.3			Percent of total billed charges		245.754	100			Percent of total billed charges		738	245.754	664.2	
peri-loc 3.5 1/3 lk tub pl 6 h 72823006 s/n	278	RC	Outpatient			738	479.7		90			Percent of total billed charges		664.2	40			Percent of total billed charges		295.2	80			Percent of total billed charges		590.4	90			Percent of total billed charges		664.2	85			Percent of total billed charges		627.3	85			Percent of total billed charges		627.3	85			Percent of total billed charges		627.3	100			Percent of total billed charges		738	100			Percent of total billed charges		738	100			Percent of total billed charges		738	33.3			Percent of total billed charges		245.754	33.3			Percent of total billed charges		245.754	100			Percent of total billed charges		738	245.754	664.2	
zimm 2.7 recon pl 22hole	278	RC	Outpatient			738	479.7		90			Percent of total billed charges		664.2	40			Percent of total billed charges		295.2	80			Percent of total billed charges		590.4	90			Percent of total billed charges		664.2	85			Percent of total billed charges		627.3	85			Percent of total billed charges		627.3	85			Percent of total billed charges		627.3	100			Percent of total billed charges		738	100			Percent of total billed charges		738	100			Percent of total billed charges		738	33.3			Percent of total billed charges		245.754	33.3			Percent of total billed charges		245.754	100			Percent of total billed charges		738	245.754	664.2	
4.5mm narrow dcp plate 22 hole 358mm 224.22	278	RC	Outpatient			739	480.35		90			Percent of total billed charges		665.1	40			Percent of total billed charges		295.6	80			Percent of total billed charges		591.2	90			Percent of total billed charges		665.1	85			Percent of total billed charges		628.15	85			Percent of total billed charges		628.15	85			Percent of total billed charges		628.15	100			Percent of total billed charges		739	100			Percent of total billed charges		739	100			Percent of total billed charges		739	33.3			Percent of total billed charges		246.087	33.3			Percent of total billed charges		246.087	100			Percent of total billed charges		739	246.087	665.1	
4.5mm narrow dcp plate 24 hole 390mm 224.24	278	RC	Outpatient			739	480.35		90			Percent of total billed charges		665.1	40			Percent of total billed charges		295.6	80			Percent of total billed charges		591.2	90			Percent of total billed charges		665.1	85			Percent of total billed charges		628.15	85			Percent of total billed charges		628.15	85			Percent of total billed charges		628.15	100			Percent of total billed charges		739	100			Percent of total billed charges		739	100			Percent of total billed charges		739	33.3			Percent of total billed charges		246.087	33.3			Percent of total billed charges		246.087	100			Percent of total billed charges		739	246.087	665.1	
legion post long screw-on fem wedge sz 5-6 5mm 71421805 s/n	278	RC	Outpatient			739	480.35		90			Percent of total billed charges		665.1	40			Percent of total billed charges		295.6	80			Percent of total billed charges		591.2	90			Percent of total billed charges		665.1	85			Percent of total billed charges		628.15	85			Percent of total billed charges		628.15	85			Percent of total billed charges		628.15	100			Percent of total billed charges		739	100			Percent of total billed charges		739	100			Percent of total billed charges		739	33.3			Percent of total billed charges		246.087	33.3			Percent of total billed charges		246.087	100			Percent of total billed charges		739	246.087	665.1	
legion post long screw-on fem wedge sz 7-8 5mm 71421807 s/n	278	RC	Outpatient			739	480.35		90			Percent of total billed charges		665.1	40			Percent of total billed charges		295.6	80			Percent of total billed charges		591.2	90			Percent of total billed charges		665.1	85			Percent of total billed charges		628.15	85			Percent of total billed charges		628.15	85			Percent of total billed charges		628.15	100			Percent of total billed charges		739	100			Percent of total billed charges		739	100			Percent of total billed charges		739	33.3			Percent of total billed charges		246.087	33.3			Percent of total billed charges		246.087	100			Percent of total billed charges		739	246.087	665.1	
mitek ridgidfix guide 10mm 213810	272	RC	Outpatient			739	480.35		90			Percent of total billed charges		665.1	40			Percent of total billed charges		295.6	80			Percent of total billed charges		591.2	90			Percent of total billed charges		665.1	85			Percent of total billed charges		628.15	85			Percent of total billed charges		628.15	85			Percent of total billed charges		628.15	100			Percent of total billed charges		739	100			Percent of total billed charges		739	100			Percent of total billed charges		739	33.3			Percent of total billed charges		246.087	33.3			Percent of total billed charges		246.087	100			Percent of total billed charges		739	246.087	665.1	
mitek rigidfix guide	272	RC	Outpatient			739	480.35		90			Percent of total billed charges		665.1	40			Percent of total billed charges		295.6	80			Percent of total billed charges		591.2	90			Percent of total billed charges		665.1	85			Percent of total billed charges		628.15	85			Percent of total billed charges		628.15	85			Percent of total billed charges		628.15	100			Percent of total billed charges		739	100			Percent of total billed charges		739	100			Percent of total billed charges		739	33.3			Percent of total billed charges		246.087	33.3			Percent of total billed charges		246.087	100			Percent of total billed charges		739	246.087	665.1	
s/n lgn post wedge	278	RC	Outpatient			739	480.35		90			Percent of total billed charges		665.1	40			Percent of total billed charges		295.6	80			Percent of total billed charges		591.2	90			Percent of total billed charges		665.1	85			Percent of total billed charges		628.15	85			Percent of total billed charges		628.15	85			Percent of total billed charges		628.15	100			Percent of total billed charges		739	100			Percent of total billed charges		739	100			Percent of total billed charges		739	33.3			Percent of total billed charges		246.087	33.3			Percent of total billed charges		246.087	100			Percent of total billed charges		739	246.087	665.1	
syn dcp plate 22-24hole	278	RC	Outpatient			739	480.35		90			Percent of total billed charges		665.1	40			Percent of total billed charges		295.6	80			Percent of total billed charges		591.2	90			Percent of total billed charges		665.1	85			Percent of total billed charges		628.15	85			Percent of total billed charges		628.15	85			Percent of total billed charges		628.15	100			Percent of total billed charges		739	100			Percent of total billed charges		739	100			Percent of total billed charges		739	33.3			Percent of total billed charges		246.087	33.3			Percent of total billed charges		246.087	100			Percent of total billed charges		739	246.087	665.1	
bio 3-post patellar comp	278	RC	Outpatient			740	481		90			Percent of total billed charges		666	40			Percent of total billed charges		296	80			Percent of total billed charges		592	90			Percent of total billed charges		666	85			Percent of total billed charges		629	85			Percent of total billed charges		629	85			Percent of total billed charges		629	100			Percent of total billed charges		740	100			Percent of total billed charges		740	100			Percent of total billed charges		740	33.3			Percent of total billed charges		246.42	33.3			Percent of total billed charges		246.42	100			Percent of total billed charges		740	246.42	666	
s/n 3.5mm compression plate 8 hole 7184-0208	278	RC	Outpatient			742	482.3		90			Percent of total billed charges		667.8	40			Percent of total billed charges		296.8	80			Percent of total billed charges		593.6	90			Percent of total billed charges		667.8	85			Percent of total billed charges		630.7	85			Percent of total billed charges		630.7	85			Percent of total billed charges		630.7	100			Percent of total billed charges		742	100			Percent of total billed charges		742	100			Percent of total billed charges		742	33.3			Percent of total billed charges		247.086	33.3			Percent of total billed charges		247.086	100			Percent of total billed charges		742	247.086	667.8	
sm fr pl comp 7-8 hl	278	RC	Outpatient			742	482.3		90			Percent of total billed charges		667.8	40			Percent of total billed charges		296.8	80			Percent of total billed charges		593.6	90			Percent of total billed charges		667.8	85			Percent of total billed charges		630.7	85			Percent of total billed charges		630.7	85			Percent of total billed charges		630.7	100			Percent of total billed charges		742	100			Percent of total billed charges		742	100			Percent of total billed charges		742	33.3			Percent of total billed charges		247.086	33.3			Percent of total billed charges		247.086	100			Percent of total billed charges		742	247.086	667.8	
s/n 3.5mm compression plate 7 hole 7184-0207 s/n	278	RC	Outpatient			742	482.3		90			Percent of total billed charges		667.8	40			Percent of total billed charges		296.8	80			Percent of total billed charges		593.6	90			Percent of total billed charges		667.8	85			Percent of total billed charges		630.7	85			Percent of total billed charges		630.7	85			Percent of total billed charges		630.7	100			Percent of total billed charges		742	100			Percent of total billed charges		742	100			Percent of total billed charges		742	33.3			Percent of total billed charges		247.086	33.3			Percent of total billed charges		247.086	100			Percent of total billed charges		742	247.086	667.8	
s/n 3.5mm x 7 hole plate 7113-0207 s/n	278	RC	Outpatient			742	482.3		90			Percent of total billed charges		667.8	40			Percent of total billed charges		296.8	80			Percent of total billed charges		593.6	90			Percent of total billed charges		667.8	85			Percent of total billed charges		630.7	85			Percent of total billed charges		630.7	85			Percent of total billed charges		630.7	100			Percent of total billed charges		742	100			Percent of total billed charges		742	100			Percent of total billed charges		742	33.3			Percent of total billed charges		247.086	33.3			Percent of total billed charges		247.086	100			Percent of total billed charges		742	247.086	667.8	
s/n 3.5mm x 8 hole plate 7113-0208 s/n	278	RC	Outpatient			742	482.3		90			Percent of total billed charges		667.8	40			Percent of total billed charges		296.8	80			Percent of total billed charges		593.6	90			Percent of total billed charges		667.8	85			Percent of total billed charges		630.7	85			Percent of total billed charges		630.7	85			Percent of total billed charges		630.7	100			Percent of total billed charges		742	100			Percent of total billed charges		742	100			Percent of total billed charges		742	33.3			Percent of total billed charges		247.086	33.3			Percent of total billed charges		247.086	100			Percent of total billed charges		742	247.086	667.8	
arthrex 1/3 tub pl 12h	278	RC	Outpatient			743	482.95		90			Percent of total billed charges		668.7	40			Percent of total billed charges		297.2	80			Percent of total billed charges		594.4	90			Percent of total billed charges		668.7	85			Percent of total billed charges		631.55	85			Percent of total billed charges		631.55	85			Percent of total billed charges		631.55	100			Percent of total billed charges		743	100			Percent of total billed charges		743	100			Percent of total billed charges		743	33.3			Percent of total billed charges		247.419	33.3			Percent of total billed charges		247.419	100			Percent of total billed charges		743	247.419	668.7	
arthrex bio-comp inter sc	278	RC	Outpatient			743	482.95		90			Percent of total billed charges		668.7	40			Percent of total billed charges		297.2	80			Percent of total billed charges		594.4	90			Percent of total billed charges		668.7	85			Percent of total billed charges		631.55	85			Percent of total billed charges		631.55	85			Percent of total billed charges		631.55	100			Percent of total billed charges		743	100			Percent of total billed charges		743	100			Percent of total billed charges		743	33.3			Percent of total billed charges		247.419	33.3			Percent of total billed charges		247.419	100			Percent of total billed charges		743	247.419	668.7	
arthrex bio-composite interference screw cannulated 10 x 35mm ar-5035tc-10	278	RC	Outpatient			743	482.95		90			Percent of total billed charges		668.7	40			Percent of total billed charges		297.2	80			Percent of total billed charges		594.4	90			Percent of total billed charges		668.7	85			Percent of total billed charges		631.55	85			Percent of total billed charges		631.55	85			Percent of total billed charges		631.55	100			Percent of total billed charges		743	100			Percent of total billed charges		743	100			Percent of total billed charges		743	33.3			Percent of total billed charges		247.419	33.3			Percent of total billed charges		247.419	100			Percent of total billed charges		743	247.419	668.7	
arthrex bio-composite interference screw cannulated 12 x 35mm ar-5035tc-12	278	RC	Outpatient			743	482.95		90			Percent of total billed charges		668.7	40			Percent of total billed charges		297.2	80			Percent of total billed charges		594.4	90			Percent of total billed charges		668.7	85			Percent of total billed charges		631.55	85			Percent of total billed charges		631.55	85			Percent of total billed charges		631.55	100			Percent of total billed charges		743	100			Percent of total billed charges		743	100			Percent of total billed charges		743	33.3			Percent of total billed charges		247.419	33.3			Percent of total billed charges		247.419	100			Percent of total billed charges		743	247.419	668.7	
arthrex bio-composite interference screw cannulated 9 x 35mm ar-5035tc-09	278	RC	Outpatient			743	482.95		90			Percent of total billed charges		668.7	40			Percent of total billed charges		297.2	80			Percent of total billed charges		594.4	90			Percent of total billed charges		668.7	85			Percent of total billed charges		631.55	85			Percent of total billed charges		631.55	85			Percent of total billed charges		631.55	100			Percent of total billed charges		743	100			Percent of total billed charges		743	100			Percent of total billed charges		743	33.3			Percent of total billed charges		247.419	33.3			Percent of total billed charges		247.419	100			Percent of total billed charges		743	247.419	668.7	
arthrex locking 1/3 tub plate 12h  ar 8943t-12	278	RC	Outpatient			743	482.95		90			Percent of total billed charges		668.7	40			Percent of total billed charges		297.2	80			Percent of total billed charges		594.4	90			Percent of total billed charges		668.7	85			Percent of total billed charges		631.55	85			Percent of total billed charges		631.55	85			Percent of total billed charges		631.55	100			Percent of total billed charges		743	100			Percent of total billed charges		743	100			Percent of total billed charges		743	33.3			Percent of total billed charges		247.419	33.3			Percent of total billed charges		247.419	100			Percent of total billed charges		743	247.419	668.7	
arthrex peek tenodesis screw 4 x 10mm ar-1540ps	278	RC	Outpatient			743	482.95		90			Percent of total billed charges		668.7	40			Percent of total billed charges		297.2	80			Percent of total billed charges		594.4	90			Percent of total billed charges		668.7	85			Percent of total billed charges		631.55	85			Percent of total billed charges		631.55	85			Percent of total billed charges		631.55	100			Percent of total billed charges		743	100			Percent of total billed charges		743	100			Percent of total billed charges		743	33.3			Percent of total billed charges		247.419	33.3			Percent of total billed charges		247.419	100			Percent of total billed charges		743	247.419	668.7	
ascension glenoid peg med gln-0920-030-02p integra	278	RC	Outpatient			743	482.95		90			Percent of total billed charges		668.7	40			Percent of total billed charges		297.2	80			Percent of total billed charges		594.4	90			Percent of total billed charges		668.7	85			Percent of total billed charges		631.55	85			Percent of total billed charges		631.55	85			Percent of total billed charges		631.55	100			Percent of total billed charges		743	100			Percent of total billed charges		743	100			Percent of total billed charges		743	33.3			Percent of total billed charges		247.419	33.3			Percent of total billed charges		247.419	100			Percent of total billed charges		743	247.419	668.7	
arthrex bio-composite interference screw cannulated 11 x 35mm ar-5035tc-11	278	RC	Outpatient			743	482.95		90			Percent of total billed charges		668.7	40			Percent of total billed charges		297.2	80			Percent of total billed charges		594.4	90			Percent of total billed charges		668.7	85			Percent of total billed charges		631.55	85			Percent of total billed charges		631.55	85			Percent of total billed charges		631.55	100			Percent of total billed charges		743	100			Percent of total billed charges		743	100			Percent of total billed charges		743	33.3			Percent of total billed charges		247.419	33.3			Percent of total billed charges		247.419	100			Percent of total billed charges		743	247.419	668.7	
arthrex scr peek teno	278	RC	Outpatient			743	482.95		90			Percent of total billed charges		668.7	40			Percent of total billed charges		297.2	80			Percent of total billed charges		594.4	90			Percent of total billed charges		668.7	85			Percent of total billed charges		631.55	85			Percent of total billed charges		631.55	85			Percent of total billed charges		631.55	100			Percent of total billed charges		743	100			Percent of total billed charges		743	100			Percent of total billed charges		743	33.3			Percent of total billed charges		247.419	33.3			Percent of total billed charges		247.419	100			Percent of total billed charges		743	247.419	668.7	
ascension glenoid peg large gln-0920-030-03p integra	278	RC	Outpatient			743	482.95		90			Percent of total billed charges		668.7	40			Percent of total billed charges		297.2	80			Percent of total billed charges		594.4	90			Percent of total billed charges		668.7	85			Percent of total billed charges		631.55	85			Percent of total billed charges		631.55	85			Percent of total billed charges		631.55	100			Percent of total billed charges		743	100			Percent of total billed charges		743	100			Percent of total billed charges		743	33.3			Percent of total billed charges		247.419	33.3			Percent of total billed charges		247.419	100			Percent of total billed charges		743	247.419	668.7	
fast fix 360 curved ndl delivery sys 72202468 s/n	272	RC	Outpatient			743	482.95		90			Percent of total billed charges		668.7	40			Percent of total billed charges		297.2	80			Percent of total billed charges		594.4	90			Percent of total billed charges		668.7	85			Percent of total billed charges		631.55	85			Percent of total billed charges		631.55	85			Percent of total billed charges		631.55	100			Percent of total billed charges		743	100			Percent of total billed charges		743	100			Percent of total billed charges		743	33.3			Percent of total billed charges		247.419	33.3			Percent of total billed charges		247.419	100			Percent of total billed charges		743	247.419	668.7	
fast fix 360 straight ndl delivery sys 72202467 s/n	272	RC	Outpatient			743	482.95		90			Percent of total billed charges		668.7	40			Percent of total billed charges		297.2	80			Percent of total billed charges		594.4	90			Percent of total billed charges		668.7	85			Percent of total billed charges		631.55	85			Percent of total billed charges		631.55	85			Percent of total billed charges		631.55	100			Percent of total billed charges		743	100			Percent of total billed charges		743	100			Percent of total billed charges		743	33.3			Percent of total billed charges		247.419	33.3			Percent of total billed charges		247.419	100			Percent of total billed charges		743	247.419	668.7	
humeral neck neutral 520-00-000 djo	278	RC	Outpatient			743	482.95		90			Percent of total billed charges		668.7	40			Percent of total billed charges		297.2	80			Percent of total billed charges		594.4	90			Percent of total billed charges		668.7	85			Percent of total billed charges		631.55	85			Percent of total billed charges		631.55	85			Percent of total billed charges		631.55	100			Percent of total billed charges		743	100			Percent of total billed charges		743	100			Percent of total billed charges		743	33.3			Percent of total billed charges		247.419	33.3			Percent of total billed charges		247.419	100			Percent of total billed charges		743	247.419	668.7	
iovera smart tip ref: stt0513-5	272	RC	Outpatient			743	482.95		90			Percent of total billed charges		668.7	40			Percent of total billed charges		297.2	80			Percent of total billed charges		594.4	90			Percent of total billed charges		668.7	85			Percent of total billed charges		631.55	85			Percent of total billed charges		631.55	85			Percent of total billed charges		631.55	100			Percent of total billed charges		743	100			Percent of total billed charges		743	100			Percent of total billed charges		743	33.3			Percent of total billed charges		247.419	33.3			Percent of total billed charges		247.419	100			Percent of total billed charges		743	247.419	668.7	
tibial insert sz 5 - 6 8mm journey uni rt med/lt lat 71422265	278	RC	Outpatient			743	482.95		90			Percent of total billed charges		668.7	40			Percent of total billed charges		297.2	80			Percent of total billed charges		594.4	90			Percent of total billed charges		668.7	85			Percent of total billed charges		631.55	85			Percent of total billed charges		631.55	85			Percent of total billed charges		631.55	100			Percent of total billed charges		743	100			Percent of total billed charges		743	100			Percent of total billed charges		743	33.3			Percent of total billed charges		247.419	33.3			Percent of total billed charges		247.419	100			Percent of total billed charges		743	247.419	668.7	
medtronic mm emg et tube	272	RC	Outpatient			744	483.6		90			Percent of total billed charges		669.6	40			Percent of total billed charges		297.6	80			Percent of total billed charges		595.2	90			Percent of total billed charges		669.6	85			Percent of total billed charges		632.4	85			Percent of total billed charges		632.4	85			Percent of total billed charges		632.4	100			Percent of total billed charges		744	100			Percent of total billed charges		744	100			Percent of total billed charges		744	33.3			Percent of total billed charges		247.752	33.3			Percent of total billed charges		247.752	100			Percent of total billed charges		744	247.752	669.6	
nim emg endotracheal tube 9450062 medtronic	272	RC	Outpatient			744	483.6		90			Percent of total billed charges		669.6	40			Percent of total billed charges		297.6	80			Percent of total billed charges		595.2	90			Percent of total billed charges		669.6	85			Percent of total billed charges		632.4	85			Percent of total billed charges		632.4	85			Percent of total billed charges		632.4	100			Percent of total billed charges		744	100			Percent of total billed charges		744	100			Percent of total billed charges		744	33.3			Percent of total billed charges		247.752	33.3			Percent of total billed charges		247.752	100			Percent of total billed charges		744	247.752	669.6	
blade harmonic scapel cs150	270	RC	Outpatient			746	484.9		90			Percent of total billed charges		671.4	40			Percent of total billed charges		298.4	80			Percent of total billed charges		596.8	90			Percent of total billed charges		671.4	85			Percent of total billed charges		634.1	85			Percent of total billed charges		634.1	85			Percent of total billed charges		634.1	100			Percent of total billed charges		746	100			Percent of total billed charges		746	100			Percent of total billed charges		746	33.3			Percent of total billed charges		248.418	33.3			Percent of total billed charges		248.418	100			Percent of total billed charges		746	248.418	671.4	
harm scpl 10mm shear-open	270	RC	Outpatient			746	484.9		90			Percent of total billed charges		671.4	40			Percent of total billed charges		298.4	80			Percent of total billed charges		596.8	90			Percent of total billed charges		671.4	85			Percent of total billed charges		634.1	85			Percent of total billed charges		634.1	85			Percent of total billed charges		634.1	100			Percent of total billed charges		746	100			Percent of total billed charges		746	100			Percent of total billed charges		746	33.3			Percent of total billed charges		248.418	33.3			Percent of total billed charges		248.418	100			Percent of total billed charges		746	248.418	671.4	
zimmer 1.8 cable assembly 2232-02-28	278	RC	Outpatient			746	484.9		90			Percent of total billed charges		671.4	40			Percent of total billed charges		298.4	80			Percent of total billed charges		596.8	90			Percent of total billed charges		671.4	85			Percent of total billed charges		634.1	85			Percent of total billed charges		634.1	85			Percent of total billed charges		634.1	100			Percent of total billed charges		746	100			Percent of total billed charges		746	100			Percent of total billed charges		746	33.3			Percent of total billed charges		248.418	33.3			Percent of total billed charges		248.418	100			Percent of total billed charges		746	248.418	671.4	
cod ballon cath	272	RC	Outpatient			747	485.55		90			Percent of total billed charges		672.3	40			Percent of total billed charges		298.8	80			Percent of total billed charges		597.6	90			Percent of total billed charges		672.3	85			Percent of total billed charges		634.95	85			Percent of total billed charges		634.95	85			Percent of total billed charges		634.95	100			Percent of total billed charges		747	100			Percent of total billed charges		747	100			Percent of total billed charges		747	33.3			Percent of total billed charges		248.751	33.3			Percent of total billed charges		248.751	100			Percent of total billed charges		747	248.751	672.3	
coda balloon catheter 10 fr x 100 cm g36042 cook coda-10.0-35-100-32	272	RC	Outpatient			747	485.55		90			Percent of total billed charges		672.3	40			Percent of total billed charges		298.8	80			Percent of total billed charges		597.6	90			Percent of total billed charges		672.3	85			Percent of total billed charges		634.95	85			Percent of total billed charges		634.95	85			Percent of total billed charges		634.95	100			Percent of total billed charges		747	100			Percent of total billed charges		747	100			Percent of total billed charges		747	33.3			Percent of total billed charges		248.751	33.3			Percent of total billed charges		248.751	100			Percent of total billed charges		747	248.751	672.3	
3.5mm reconstruction plate 18 hole 245.08	278	RC	Outpatient			748	486.2		90			Percent of total billed charges		673.2	40			Percent of total billed charges		299.2	80			Percent of total billed charges		598.4	90			Percent of total billed charges		673.2	85			Percent of total billed charges		635.8	85			Percent of total billed charges		635.8	85			Percent of total billed charges		635.8	100			Percent of total billed charges		748	100			Percent of total billed charges		748	100			Percent of total billed charges		748	33.3			Percent of total billed charges		249.084	33.3			Percent of total billed charges		249.084	100			Percent of total billed charges		748	249.084	673.2	
syn 3.5 recon plte 18hl	278	RC	Outpatient			748	486.2		90			Percent of total billed charges		673.2	40			Percent of total billed charges		299.2	80			Percent of total billed charges		598.4	90			Percent of total billed charges		673.2	85			Percent of total billed charges		635.8	85			Percent of total billed charges		635.8	85			Percent of total billed charges		635.8	100			Percent of total billed charges		748	100			Percent of total billed charges		748	100			Percent of total billed charges		748	33.3			Percent of total billed charges		249.084	33.3			Percent of total billed charges		249.084	100			Percent of total billed charges		748	249.084	673.2	
syn 4.5 brd plt 20-22hl	278	RC	Outpatient			750	487.5		90			Percent of total billed charges		675	40			Percent of total billed charges		300	80			Percent of total billed charges		600	90			Percent of total billed charges		675	85			Percent of total billed charges		637.5	85			Percent of total billed charges		637.5	85			Percent of total billed charges		637.5	100			Percent of total billed charges		750	100			Percent of total billed charges		750	100			Percent of total billed charges		750	33.3			Percent of total billed charges		249.75	33.3			Percent of total billed charges		249.75	100			Percent of total billed charges		750	249.75	675	
"coagulating electrode, bipolar 24/26fr storz ref 27040bl1-s"	272	RC	Outpatient			750.36	487.73		90			Percent of total billed charges		675.324	40			Percent of total billed charges		300.144	80			Percent of total billed charges		600.288	90			Percent of total billed charges		675.324	85			Percent of total billed charges		637.806	85			Percent of total billed charges		637.806	85			Percent of total billed charges		637.806	100			Percent of total billed charges		750.36	100			Percent of total billed charges		750.36	100			Percent of total billed charges		750.36	33.3			Percent of total billed charges		249.8699	33.3			Percent of total billed charges		249.8699	100			Percent of total billed charges		750.36	249.8699	675.324	
ring 3/4 165mm 393.736 synthes	270	RC	Outpatient			751	488.15		90			Percent of total billed charges		675.9	40			Percent of total billed charges		300.4	80			Percent of total billed charges		600.8	90			Percent of total billed charges		675.9	85			Percent of total billed charges		638.35	85			Percent of total billed charges		638.35	85			Percent of total billed charges		638.35	100			Percent of total billed charges		751	100			Percent of total billed charges		751	100			Percent of total billed charges		751	33.3			Percent of total billed charges		250.083	33.3			Percent of total billed charges		250.083	100			Percent of total billed charges		751	250.083	675.9	
syn xfix hyb 3/4 rg 165mm	270	RC	Outpatient			751	488.15		90			Percent of total billed charges		675.9	40			Percent of total billed charges		300.4	80			Percent of total billed charges		600.8	90			Percent of total billed charges		675.9	85			Percent of total billed charges		638.35	85			Percent of total billed charges		638.35	85			Percent of total billed charges		638.35	100			Percent of total billed charges		751	100			Percent of total billed charges		751	100			Percent of total billed charges		751	33.3			Percent of total billed charges		250.083	33.3			Percent of total billed charges		250.083	100			Percent of total billed charges		751	250.083	675.9	
accuris femoral reamer 71237101 s&n	272	RC	Outpatient			752	488.8		90			Percent of total billed charges		676.8	40			Percent of total billed charges		300.8	80			Percent of total billed charges		601.6	90			Percent of total billed charges		676.8	85			Percent of total billed charges		639.2	85			Percent of total billed charges		639.2	85			Percent of total billed charges		639.2	100			Percent of total billed charges		752	100			Percent of total billed charges		752	100			Percent of total billed charges		752	33.3			Percent of total billed charges		250.416	33.3			Percent of total billed charges		250.416	100			Percent of total billed charges		752	250.416	676.8	
arthrex tightrope synd	278	RC	Outpatient			752	488.8		90			Percent of total billed charges		676.8	40			Percent of total billed charges		300.8	80			Percent of total billed charges		601.6	90			Percent of total billed charges		676.8	85			Percent of total billed charges		639.2	85			Percent of total billed charges		639.2	85			Percent of total billed charges		639.2	100			Percent of total billed charges		752	100			Percent of total billed charges		752	100			Percent of total billed charges		752	33.3			Percent of total billed charges		250.416	33.3			Percent of total billed charges		250.416	100			Percent of total billed charges		752	250.416	676.8	
arthrex tightrope syndesmosis repair kit ss  ar-8921 ds	278	RC	Outpatient			752	488.8		90			Percent of total billed charges		676.8	40			Percent of total billed charges		300.8	80			Percent of total billed charges		601.6	90			Percent of total billed charges		676.8	85			Percent of total billed charges		639.2	85			Percent of total billed charges		639.2	85			Percent of total billed charges		639.2	100			Percent of total billed charges		752	100			Percent of total billed charges		752	100			Percent of total billed charges		752	33.3			Percent of total billed charges		250.416	33.3			Percent of total billed charges		250.416	100			Percent of total billed charges		752	250.416	676.8	
arthrex tightrope syndesmosis repair kit ti  ar-8920 ds	278	RC	Outpatient			752	488.8		90			Percent of total billed charges		676.8	40			Percent of total billed charges		300.8	80			Percent of total billed charges		601.6	90			Percent of total billed charges		676.8	85			Percent of total billed charges		639.2	85			Percent of total billed charges		639.2	85			Percent of total billed charges		639.2	100			Percent of total billed charges		752	100			Percent of total billed charges		752	100			Percent of total billed charges		752	33.3			Percent of total billed charges		250.416	33.3			Percent of total billed charges		250.416	100			Percent of total billed charges		752	250.416	676.8	
clearance drill msphbcd acumed	272	RC	Outpatient			752	488.8		90			Percent of total billed charges		676.8	40			Percent of total billed charges		300.8	80			Percent of total billed charges		601.6	90			Percent of total billed charges		676.8	85			Percent of total billed charges		639.2	85			Percent of total billed charges		639.2	85			Percent of total billed charges		639.2	100			Percent of total billed charges		752	100			Percent of total billed charges		752	100			Percent of total billed charges		752	33.3			Percent of total billed charges		250.416	33.3			Percent of total billed charges		250.416	100			Percent of total billed charges		752	250.416	676.8	
milagro interferance screw 10 x 23 mm 231835 mitek	272	RC	Outpatient			752	488.8		90			Percent of total billed charges		676.8	40			Percent of total billed charges		300.8	80			Percent of total billed charges		601.6	90			Percent of total billed charges		676.8	85			Percent of total billed charges		639.2	85			Percent of total billed charges		639.2	85			Percent of total billed charges		639.2	100			Percent of total billed charges		752	100			Percent of total billed charges		752	100			Percent of total billed charges		752	33.3			Percent of total billed charges		250.416	33.3			Percent of total billed charges		250.416	100			Percent of total billed charges		752	250.416	676.8	
milagro interferance screw 11 x 30mm 231850 mitek	272	RC	Outpatient			752	488.8		90			Percent of total billed charges		676.8	40			Percent of total billed charges		300.8	80			Percent of total billed charges		601.6	90			Percent of total billed charges		676.8	85			Percent of total billed charges		639.2	85			Percent of total billed charges		639.2	85			Percent of total billed charges		639.2	100			Percent of total billed charges		752	100			Percent of total billed charges		752	100			Percent of total billed charges		752	33.3			Percent of total billed charges		250.416	33.3			Percent of total billed charges		250.416	100			Percent of total billed charges		752	250.416	676.8	
milagro interferance screw 12 x 30 mm 231860 mitek	272	RC	Outpatient			752	488.8		90			Percent of total billed charges		676.8	40			Percent of total billed charges		300.8	80			Percent of total billed charges		601.6	90			Percent of total billed charges		676.8	85			Percent of total billed charges		639.2	85			Percent of total billed charges		639.2	85			Percent of total billed charges		639.2	100			Percent of total billed charges		752	100			Percent of total billed charges		752	100			Percent of total billed charges		752	33.3			Percent of total billed charges		250.416	33.3			Percent of total billed charges		250.416	100			Percent of total billed charges		752	250.416	676.8	
milagro interferance screw 8 x 30mm 231815 mitek	272	RC	Outpatient			752	488.8		90			Percent of total billed charges		676.8	40			Percent of total billed charges		300.8	80			Percent of total billed charges		601.6	90			Percent of total billed charges		676.8	85			Percent of total billed charges		639.2	85			Percent of total billed charges		639.2	85			Percent of total billed charges		639.2	100			Percent of total billed charges		752	100			Percent of total billed charges		752	100			Percent of total billed charges		752	33.3			Percent of total billed charges		250.416	33.3			Percent of total billed charges		250.416	100			Percent of total billed charges		752	250.416	676.8	
milagro interferance screw 9 x 23 mm 231820 mitek	272	RC	Outpatient			752	488.8		90			Percent of total billed charges		676.8	40			Percent of total billed charges		300.8	80			Percent of total billed charges		601.6	90			Percent of total billed charges		676.8	85			Percent of total billed charges		639.2	85			Percent of total billed charges		639.2	85			Percent of total billed charges		639.2	100			Percent of total billed charges		752	100			Percent of total billed charges		752	100			Percent of total billed charges		752	33.3			Percent of total billed charges		250.416	33.3			Percent of total billed charges		250.416	100			Percent of total billed charges		752	250.416	676.8	
mitek milago interferance screw 8 x 23mm 231810 depuy	272	RC	Outpatient			752	488.8		90			Percent of total billed charges		676.8	40			Percent of total billed charges		300.8	80			Percent of total billed charges		601.6	90			Percent of total billed charges		676.8	85			Percent of total billed charges		639.2	85			Percent of total billed charges		639.2	85			Percent of total billed charges		639.2	100			Percent of total billed charges		752	100			Percent of total billed charges		752	100			Percent of total billed charges		752	33.3			Percent of total billed charges		250.416	33.3			Percent of total billed charges		250.416	100			Percent of total billed charges		752	250.416	676.8	
milagro interferance screw 10 x 30 mm 231840 mitek	272	RC	Outpatient			752	488.8		90			Percent of total billed charges		676.8	40			Percent of total billed charges		300.8	80			Percent of total billed charges		601.6	90			Percent of total billed charges		676.8	85			Percent of total billed charges		639.2	85			Percent of total billed charges		639.2	85			Percent of total billed charges		639.2	100			Percent of total billed charges		752	100			Percent of total billed charges		752	100			Percent of total billed charges		752	33.3			Percent of total billed charges		250.416	33.3			Percent of total billed charges		250.416	100			Percent of total billed charges		752	250.416	676.8	
milagro interferance screw 9 x 35 mm 231830 mitek	272	RC	Outpatient			752	488.8		90			Percent of total billed charges		676.8	40			Percent of total billed charges		300.8	80			Percent of total billed charges		601.6	90			Percent of total billed charges		676.8	85			Percent of total billed charges		639.2	85			Percent of total billed charges		639.2	85			Percent of total billed charges		639.2	100			Percent of total billed charges		752	100			Percent of total billed charges		752	100			Percent of total billed charges		752	33.3			Percent of total billed charges		250.416	33.3			Percent of total billed charges		250.416	100			Percent of total billed charges		752	250.416	676.8	
mitek milago interferance screw 9 x 30mm 231825 depuy	272	RC	Outpatient			752	488.8		90			Percent of total billed charges		676.8	40			Percent of total billed charges		300.8	80			Percent of total billed charges		601.6	90			Percent of total billed charges		676.8	85			Percent of total billed charges		639.2	85			Percent of total billed charges		639.2	85			Percent of total billed charges		639.2	100			Percent of total billed charges		752	100			Percent of total billed charges		752	100			Percent of total billed charges		752	33.3			Percent of total billed charges		250.416	33.3			Percent of total billed charges		250.416	100			Percent of total billed charges		752	250.416	676.8	
mitek milagro inter screw	272	RC	Outpatient			752	488.8		90			Percent of total billed charges		676.8	40			Percent of total billed charges		300.8	80			Percent of total billed charges		601.6	90			Percent of total billed charges		676.8	85			Percent of total billed charges		639.2	85			Percent of total billed charges		639.2	85			Percent of total billed charges		639.2	100			Percent of total billed charges		752	100			Percent of total billed charges		752	100			Percent of total billed charges		752	33.3			Percent of total billed charges		250.416	33.3			Percent of total billed charges		250.416	100			Percent of total billed charges		752	250.416	676.8	
relieva solo pro sinus balloon cath gc030 acclarent	272	RC	Outpatient			752	488.8		90			Percent of total billed charges		676.8	40			Percent of total billed charges		300.8	80			Percent of total billed charges		601.6	90			Percent of total billed charges		676.8	85			Percent of total billed charges		639.2	85			Percent of total billed charges		639.2	85			Percent of total billed charges		639.2	100			Percent of total billed charges		752	100			Percent of total billed charges		752	100			Percent of total billed charges		752	33.3			Percent of total billed charges		250.416	33.3			Percent of total billed charges		250.416	100			Percent of total billed charges		752	250.416	676.8	
relieva solo pro sinus balloon cath gc070 acclarent	272	RC	Outpatient			752	488.8		90			Percent of total billed charges		676.8	40			Percent of total billed charges		300.8	80			Percent of total billed charges		601.6	90			Percent of total billed charges		676.8	85			Percent of total billed charges		639.2	85			Percent of total billed charges		639.2	85			Percent of total billed charges		639.2	100			Percent of total billed charges		752	100			Percent of total billed charges		752	100			Percent of total billed charges		752	33.3			Percent of total billed charges		250.416	33.3			Percent of total billed charges		250.416	100			Percent of total billed charges		752	250.416	676.8	
relieva solo pro sinus balloon cath gc110 acclarent	272	RC	Outpatient			752	488.8		90			Percent of total billed charges		676.8	40			Percent of total billed charges		300.8	80			Percent of total billed charges		601.6	90			Percent of total billed charges		676.8	85			Percent of total billed charges		639.2	85			Percent of total billed charges		639.2	85			Percent of total billed charges		639.2	100			Percent of total billed charges		752	100			Percent of total billed charges		752	100			Percent of total billed charges		752	33.3			Percent of total billed charges		250.416	33.3			Percent of total billed charges		250.416	100			Percent of total billed charges		752	250.416	676.8	
relieva solo pro sinus balloon cath gc110s acclarent	272	RC	Outpatient			752	488.8		90			Percent of total billed charges		676.8	40			Percent of total billed charges		300.8	80			Percent of total billed charges		601.6	90			Percent of total billed charges		676.8	85			Percent of total billed charges		639.2	85			Percent of total billed charges		639.2	85			Percent of total billed charges		639.2	100			Percent of total billed charges		752	100			Percent of total billed charges		752	100			Percent of total billed charges		752	33.3			Percent of total billed charges		250.416	33.3			Percent of total billed charges		250.416	100			Percent of total billed charges		752	250.416	676.8	
rich accuris fem reamer	272	RC	Outpatient			752	488.8		90			Percent of total billed charges		676.8	40			Percent of total billed charges		300.8	80			Percent of total billed charges		601.6	90			Percent of total billed charges		676.8	85			Percent of total billed charges		639.2	85			Percent of total billed charges		639.2	85			Percent of total billed charges		639.2	100			Percent of total billed charges		752	100			Percent of total billed charges		752	100			Percent of total billed charges		752	33.3			Percent of total billed charges		250.416	33.3			Percent of total billed charges		250.416	100			Percent of total billed charges		752	250.416	676.8	
relieva sinus guide cath	272	RC	Outpatient			752	488.8		90			Percent of total billed charges		676.8	40			Percent of total billed charges		300.8	80			Percent of total billed charges		601.6	90			Percent of total billed charges		676.8	85			Percent of total billed charges		639.2	85			Percent of total billed charges		639.2	85			Percent of total billed charges		639.2	100			Percent of total billed charges		752	100			Percent of total billed charges		752	100			Percent of total billed charges		752	33.3			Percent of total billed charges		250.416	33.3			Percent of total billed charges		250.416	100			Percent of total billed charges		752	250.416	676.8	
relieva solo pro sinus balloon cath gc000 acclarent	272	RC	Outpatient			752	488.8		90			Percent of total billed charges		676.8	40			Percent of total billed charges		300.8	80			Percent of total billed charges		601.6	90			Percent of total billed charges		676.8	85			Percent of total billed charges		639.2	85			Percent of total billed charges		639.2	85			Percent of total billed charges		639.2	100			Percent of total billed charges		752	100			Percent of total billed charges		752	100			Percent of total billed charges		752	33.3			Percent of total billed charges		250.416	33.3			Percent of total billed charges		250.416	100			Percent of total billed charges		752	250.416	676.8	
relieva solo pro sinus balloon cath gc090 acclarent	272	RC	Outpatient			752	488.8		90			Percent of total billed charges		676.8	40			Percent of total billed charges		300.8	80			Percent of total billed charges		601.6	90			Percent of total billed charges		676.8	85			Percent of total billed charges		639.2	85			Percent of total billed charges		639.2	85			Percent of total billed charges		639.2	100			Percent of total billed charges		752	100			Percent of total billed charges		752	100			Percent of total billed charges		752	33.3			Percent of total billed charges		250.416	33.3			Percent of total billed charges		250.416	100			Percent of total billed charges		752	250.416	676.8	
s/n 1/3 tub pl 2-3 hl	278	RC	Outpatient			752	488.8		90			Percent of total billed charges		676.8	40			Percent of total billed charges		300.8	80			Percent of total billed charges		601.6	90			Percent of total billed charges		676.8	85			Percent of total billed charges		639.2	85			Percent of total billed charges		639.2	85			Percent of total billed charges		639.2	100			Percent of total billed charges		752	100			Percent of total billed charges		752	100			Percent of total billed charges		752	33.3			Percent of total billed charges		250.416	33.3			Percent of total billed charges		250.416	100			Percent of total billed charges		752	250.416	676.8	
tubular 1/3 plt 2 hl 71829432 s\n	278	RC	Outpatient			752	488.8		90			Percent of total billed charges		676.8	40			Percent of total billed charges		300.8	80			Percent of total billed charges		601.6	90			Percent of total billed charges		676.8	85			Percent of total billed charges		639.2	85			Percent of total billed charges		639.2	85			Percent of total billed charges		639.2	100			Percent of total billed charges		752	100			Percent of total billed charges		752	100			Percent of total billed charges		752	33.3			Percent of total billed charges		250.416	33.3			Percent of total billed charges		250.416	100			Percent of total billed charges		752	250.416	676.8	
tubular 1/3 plt 2 hl 71809432 s\n	278	RC	Outpatient			752	488.8		90			Percent of total billed charges		676.8	40			Percent of total billed charges		300.8	80			Percent of total billed charges		601.6	90			Percent of total billed charges		676.8	85			Percent of total billed charges		639.2	85			Percent of total billed charges		639.2	85			Percent of total billed charges		639.2	100			Percent of total billed charges		752	100			Percent of total billed charges		752	100			Percent of total billed charges		752	33.3			Percent of total billed charges		250.416	33.3			Percent of total billed charges		250.416	100			Percent of total billed charges		752	250.416	676.8	
tubular 1/3 plt 3 hl 71809433 s\n	278	RC	Outpatient			752	488.8		90			Percent of total billed charges		676.8	40			Percent of total billed charges		300.8	80			Percent of total billed charges		601.6	90			Percent of total billed charges		676.8	85			Percent of total billed charges		639.2	85			Percent of total billed charges		639.2	85			Percent of total billed charges		639.2	100			Percent of total billed charges		752	100			Percent of total billed charges		752	100			Percent of total billed charges		752	33.3			Percent of total billed charges		250.416	33.3			Percent of total billed charges		250.416	100			Percent of total billed charges		752	250.416	676.8	
tubular 1/3 plt 3 hl 71829433 s\n	278	RC	Outpatient			752	488.8		90			Percent of total billed charges		676.8	40			Percent of total billed charges		300.8	80			Percent of total billed charges		601.6	90			Percent of total billed charges		676.8	85			Percent of total billed charges		639.2	85			Percent of total billed charges		639.2	85			Percent of total billed charges		639.2	100			Percent of total billed charges		752	100			Percent of total billed charges		752	100			Percent of total billed charges		752	33.3			Percent of total billed charges		250.416	33.3			Percent of total billed charges		250.416	100			Percent of total billed charges		752	250.416	676.8	
lg fr pl lg t-plt 3hl	278	RC	Outpatient			753	489.45		90			Percent of total billed charges		677.7	40			Percent of total billed charges		301.2	80			Percent of total billed charges		602.4	90			Percent of total billed charges		677.7	85			Percent of total billed charges		640.05	85			Percent of total billed charges		640.05	85			Percent of total billed charges		640.05	100			Percent of total billed charges		753	100			Percent of total billed charges		753	100			Percent of total billed charges		753	33.3			Percent of total billed charges		250.749	33.3			Percent of total billed charges		250.749	100			Percent of total billed charges		753	250.749	677.7	
s/n lg frag t plate 3 hole 7114-1603	278	RC	Outpatient			753	489.45		90			Percent of total billed charges		677.7	40			Percent of total billed charges		301.2	80			Percent of total billed charges		602.4	90			Percent of total billed charges		677.7	85			Percent of total billed charges		640.05	85			Percent of total billed charges		640.05	85			Percent of total billed charges		640.05	100			Percent of total billed charges		753	100			Percent of total billed charges		753	100			Percent of total billed charges		753	33.3			Percent of total billed charges		250.749	33.3			Percent of total billed charges		250.749	100			Percent of total billed charges		753	250.749	677.7	
blade curved shears lcsc5	270	RC	Outpatient			754	490.1		90			Percent of total billed charges		678.6	40			Percent of total billed charges		301.6	80			Percent of total billed charges		603.2	90			Percent of total billed charges		678.6	85			Percent of total billed charges		640.9	85			Percent of total billed charges		640.9	85			Percent of total billed charges		640.9	100			Percent of total billed charges		754	100			Percent of total billed charges		754	100			Percent of total billed charges		754	33.3			Percent of total billed charges		251.082	33.3			Percent of total billed charges		251.082	100			Percent of total billed charges		754	251.082	678.6	
blade hs blunt tip 5mm lcsb5  lcsk5	270	RC	Outpatient			754	490.1		90			Percent of total billed charges		678.6	40			Percent of total billed charges		301.6	80			Percent of total billed charges		603.2	90			Percent of total billed charges		678.6	85			Percent of total billed charges		640.9	85			Percent of total billed charges		640.9	85			Percent of total billed charges		640.9	100			Percent of total billed charges		754	100			Percent of total billed charges		754	100			Percent of total billed charges		754	33.3			Percent of total billed charges		251.082	33.3			Percent of total billed charges		251.082	100			Percent of total billed charges		754	251.082	678.6	
harm scpl 5mm cs-lap 36cm	270	RC	Outpatient			754	490.1		90			Percent of total billed charges		678.6	40			Percent of total billed charges		301.6	80			Percent of total billed charges		603.2	90			Percent of total billed charges		678.6	85			Percent of total billed charges		640.9	85			Percent of total billed charges		640.9	85			Percent of total billed charges		640.9	100			Percent of total billed charges		754	100			Percent of total billed charges		754	100			Percent of total billed charges		754	33.3			Percent of total billed charges		251.082	33.3			Percent of total billed charges		251.082	100			Percent of total billed charges		754	251.082	678.6	
versa step lap chole kit	270	RC	Outpatient			754	490.1		90			Percent of total billed charges		678.6	40			Percent of total billed charges		301.6	80			Percent of total billed charges		603.2	90			Percent of total billed charges		678.6	85			Percent of total billed charges		640.9	85			Percent of total billed charges		640.9	85			Percent of total billed charges		640.9	100			Percent of total billed charges		754	100			Percent of total billed charges		754	100			Percent of total billed charges		754	33.3			Percent of total billed charges		251.082	33.3			Percent of total billed charges		251.082	100			Percent of total billed charges		754	251.082	678.6	
versa step lap chole kit ussc 00c9049	270	RC	Outpatient			754	490.1		90			Percent of total billed charges		678.6	40			Percent of total billed charges		301.6	80			Percent of total billed charges		603.2	90			Percent of total billed charges		678.6	85			Percent of total billed charges		640.9	85			Percent of total billed charges		640.9	85			Percent of total billed charges		640.9	100			Percent of total billed charges		754	100			Percent of total billed charges		754	100			Percent of total billed charges		754	33.3			Percent of total billed charges		251.082	33.3			Percent of total billed charges		251.082	100			Percent of total billed charges		754	251.082	678.6	
cath precept	272	RC	Outpatient			755	490.75		90			Percent of total billed charges		679.5	40			Percent of total billed charges		302	80			Percent of total billed charges		604	90			Percent of total billed charges		679.5	85			Percent of total billed charges		641.75	85			Percent of total billed charges		641.75	85			Percent of total billed charges		641.75	100			Percent of total billed charges		755	100			Percent of total billed charges		755	100			Percent of total billed charges		755	33.3			Percent of total billed charges		251.415	33.3			Percent of total billed charges		251.415	100			Percent of total billed charges		755	251.415	679.5	
mini fr pl comp 7 hl	278	RC	Outpatient			756	491.4		90			Percent of total billed charges		680.4	40			Percent of total billed charges		302.4	80			Percent of total billed charges		604.8	90			Percent of total billed charges		680.4	85			Percent of total billed charges		642.6	85			Percent of total billed charges		642.6	85			Percent of total billed charges		642.6	100			Percent of total billed charges		756	100			Percent of total billed charges		756	100			Percent of total billed charges		756	33.3			Percent of total billed charges		251.748	33.3			Percent of total billed charges		251.748	100			Percent of total billed charges		756	251.748	680.4	
s/n mini frag  plate 7 hole 7114-1907	278	RC	Outpatient			756	491.4		90			Percent of total billed charges		680.4	40			Percent of total billed charges		302.4	80			Percent of total billed charges		604.8	90			Percent of total billed charges		680.4	85			Percent of total billed charges		642.6	85			Percent of total billed charges		642.6	85			Percent of total billed charges		642.6	100			Percent of total billed charges		756	100			Percent of total billed charges		756	100			Percent of total billed charges		756	33.3			Percent of total billed charges		251.748	33.3			Percent of total billed charges		251.748	100			Percent of total billed charges		756	251.748	680.4	
chemo admin. 7 hours	335	RC	Outpatient			758	492.7		90			Percent of total billed charges		682.2	40			Percent of total billed charges		303.2	80			Percent of total billed charges		606.4	90			Percent of total billed charges		682.2	85			Percent of total billed charges		644.3	85			Percent of total billed charges		644.3	85			Percent of total billed charges		644.3	100			Percent of total billed charges		758	100			Percent of total billed charges		758	100			Percent of total billed charges		758	33.3			Percent of total billed charges		252.414	33.3			Percent of total billed charges		252.414	100			Percent of total billed charges		758	252.414	682.2	
cosmetic - voluma - 1st syringe	983	RC	Outpatient			760	494		90			Percent of total billed charges		684	40			Percent of total billed charges		304	80			Percent of total billed charges		608	90			Percent of total billed charges		684	85			Percent of total billed charges		646	85			Percent of total billed charges		646	85			Percent of total billed charges		646	100			Percent of total billed charges		760	100			Percent of total billed charges		760	100			Percent of total billed charges		760	33.3			Percent of total billed charges		253.08	33.3			Percent of total billed charges		253.08	100			Percent of total billed charges		760	253.08	684	
s/n t-plate 6 holes	278	RC	Outpatient			761	494.65		90			Percent of total billed charges		684.9	40			Percent of total billed charges		304.4	80			Percent of total billed charges		608.8	90			Percent of total billed charges		684.9	85			Percent of total billed charges		646.85	85			Percent of total billed charges		646.85	85			Percent of total billed charges		646.85	100			Percent of total billed charges		761	100			Percent of total billed charges		761	100			Percent of total billed charges		761	33.3			Percent of total billed charges		253.413	33.3			Percent of total billed charges		253.413	100			Percent of total billed charges		761	253.413	684.9	
t-plate 6 hole w/pf hole 7113-1606 s/n	278	RC	Outpatient			761	494.65		90			Percent of total billed charges		684.9	40			Percent of total billed charges		304.4	80			Percent of total billed charges		608.8	90			Percent of total billed charges		684.9	85			Percent of total billed charges		646.85	85			Percent of total billed charges		646.85	85			Percent of total billed charges		646.85	100			Percent of total billed charges		761	100			Percent of total billed charges		761	100			Percent of total billed charges		761	33.3			Percent of total billed charges		253.413	33.3			Percent of total billed charges		253.413	100			Percent of total billed charges		761	253.413	684.9	
dissector trocar	272	RC	Outpatient			763	495.95		90			Percent of total billed charges		686.7	40			Percent of total billed charges		305.2	80			Percent of total billed charges		610.4	90			Percent of total billed charges		686.7	85			Percent of total billed charges		648.55	85			Percent of total billed charges		648.55	85			Percent of total billed charges		648.55	100			Percent of total billed charges		763	100			Percent of total billed charges		763	100			Percent of total billed charges		763	33.3			Percent of total billed charges		254.079	33.3			Percent of total billed charges		254.079	100			Percent of total billed charges		763	254.079	686.7	
spacemaker dissector balloon trocar smsbtovl ussc	272	RC	Outpatient			763	495.95		90			Percent of total billed charges		686.7	40			Percent of total billed charges		305.2	80			Percent of total billed charges		610.4	90			Percent of total billed charges		686.7	85			Percent of total billed charges		648.55	85			Percent of total billed charges		648.55	85			Percent of total billed charges		648.55	100			Percent of total billed charges		763	100			Percent of total billed charges		763	100			Percent of total billed charges		763	33.3			Percent of total billed charges		254.079	33.3			Percent of total billed charges		254.079	100			Percent of total billed charges		763	254.079	686.7	
6mm cann tap for 4.2mm dc screw 311.601 synthes	272	RC	Outpatient			764	496.6		90			Percent of total billed charges		687.6	40			Percent of total billed charges		305.6	80			Percent of total billed charges		611.2	90			Percent of total billed charges		687.6	85			Percent of total billed charges		649.4	85			Percent of total billed charges		649.4	85			Percent of total billed charges		649.4	100			Percent of total billed charges		764	100			Percent of total billed charges		764	100			Percent of total billed charges		764	33.3			Percent of total billed charges		254.412	33.3			Percent of total billed charges		254.412	100			Percent of total billed charges		764	254.412	687.6	
6mm cann tap for 5.2mm dc screw 311.602 synthes	272	RC	Outpatient			764	496.6		90			Percent of total billed charges		687.6	40			Percent of total billed charges		305.6	80			Percent of total billed charges		611.2	90			Percent of total billed charges		687.6	85			Percent of total billed charges		649.4	85			Percent of total billed charges		649.4	85			Percent of total billed charges		649.4	100			Percent of total billed charges		764	100			Percent of total billed charges		764	100			Percent of total billed charges		764	33.3			Percent of total billed charges		254.412	33.3			Percent of total billed charges		254.412	100			Percent of total billed charges		764	254.412	687.6	
attain command 6250	275	RC	Outpatient			764	496.6		90			Percent of total billed charges		687.6	40			Percent of total billed charges		305.6	80			Percent of total billed charges		611.2	90			Percent of total billed charges		687.6	85			Percent of total billed charges		649.4	85			Percent of total billed charges		649.4	85			Percent of total billed charges		649.4	100			Percent of total billed charges		764	100			Percent of total billed charges		764	100			Percent of total billed charges		764	33.3			Percent of total billed charges		254.412	33.3			Percent of total billed charges		254.412	100			Percent of total billed charges		764	254.412	687.6	
mt attain command 6250 sheath	275	RC	Outpatient			764	496.6		90			Percent of total billed charges		687.6	40			Percent of total billed charges		305.6	80			Percent of total billed charges		611.2	90			Percent of total billed charges		687.6	85			Percent of total billed charges		649.4	85			Percent of total billed charges		649.4	85			Percent of total billed charges		649.4	100			Percent of total billed charges		764	100			Percent of total billed charges		764	100			Percent of total billed charges		764	33.3			Percent of total billed charges		254.412	33.3			Percent of total billed charges		254.412	100			Percent of total billed charges		764	254.412	687.6	
osteoselect dbm putty 2.5cc 309025	278	RC	Outpatient			764	496.6		90			Percent of total billed charges		687.6	40			Percent of total billed charges		305.6	80			Percent of total billed charges		611.2	90			Percent of total billed charges		687.6	85			Percent of total billed charges		649.4	85			Percent of total billed charges		649.4	85			Percent of total billed charges		649.4	100			Percent of total billed charges		764	100			Percent of total billed charges		764	100			Percent of total billed charges		764	33.3			Percent of total billed charges		254.412	33.3			Percent of total billed charges		254.412	100			Percent of total billed charges		764	254.412	687.6	
ostco select dbm 2.5cc	278	RC	Outpatient			764	496.6		90			Percent of total billed charges		687.6	40			Percent of total billed charges		305.6	80			Percent of total billed charges		611.2	90			Percent of total billed charges		687.6	85			Percent of total billed charges		649.4	85			Percent of total billed charges		649.4	85			Percent of total billed charges		649.4	100			Percent of total billed charges		764	100			Percent of total billed charges		764	100			Percent of total billed charges		764	33.3			Percent of total billed charges		254.412	33.3			Percent of total billed charges		254.412	100			Percent of total billed charges		764	254.412	687.6	
syn 5.2 tap	272	RC	Outpatient			764	496.6		90			Percent of total billed charges		687.6	40			Percent of total billed charges		305.6	80			Percent of total billed charges		611.2	90			Percent of total billed charges		687.6	85			Percent of total billed charges		649.4	85			Percent of total billed charges		649.4	85			Percent of total billed charges		649.4	100			Percent of total billed charges		764	100			Percent of total billed charges		764	100			Percent of total billed charges		764	33.3			Percent of total billed charges		254.412	33.3			Percent of total billed charges		254.412	100			Percent of total billed charges		764	254.412	687.6	
plate compres screw 5 sl 120mm 130 12-1135 s/n	278	RC	Outpatient			768	499.2		90			Percent of total billed charges		691.2	40			Percent of total billed charges		307.2	80			Percent of total billed charges		614.4	90			Percent of total billed charges		691.2	85			Percent of total billed charges		652.8	85			Percent of total billed charges		652.8	85			Percent of total billed charges		652.8	100			Percent of total billed charges		768	100			Percent of total billed charges		768	100			Percent of total billed charges		768	33.3			Percent of total billed charges		255.744	33.3			Percent of total billed charges		255.744	100			Percent of total billed charges		768	255.744	691.2	
s/n s plate ambi	278	RC	Outpatient			768	499.2		90			Percent of total billed charges		691.2	40			Percent of total billed charges		307.2	80			Percent of total billed charges		614.4	90			Percent of total billed charges		691.2	85			Percent of total billed charges		652.8	85			Percent of total billed charges		652.8	85			Percent of total billed charges		652.8	100			Percent of total billed charges		768	100			Percent of total billed charges		768	100			Percent of total billed charges		768	33.3			Percent of total billed charges		255.744	33.3			Percent of total billed charges		255.744	100			Percent of total billed charges		768	255.744	691.2	
plate compres  screw 3 sl 80mm 150 12-1129 s/n	278	RC	Outpatient			768	499.2		90			Percent of total billed charges		691.2	40			Percent of total billed charges		307.2	80			Percent of total billed charges		614.4	90			Percent of total billed charges		691.2	85			Percent of total billed charges		652.8	85			Percent of total billed charges		652.8	85			Percent of total billed charges		652.8	100			Percent of total billed charges		768	100			Percent of total billed charges		768	100			Percent of total billed charges		768	33.3			Percent of total billed charges		255.744	33.3			Percent of total billed charges		255.744	100			Percent of total billed charges		768	255.744	691.2	
ccpf chemo admin 7.5 hrs	335	RC	Outpatient			768.38	499.44		90			Percent of total billed charges		691.542	40			Percent of total billed charges		307.352	80			Percent of total billed charges		614.704	90			Percent of total billed charges		691.542	85			Percent of total billed charges		653.123	85			Percent of total billed charges		653.123	85			Percent of total billed charges		653.123	100			Percent of total billed charges		768.38	100			Percent of total billed charges		768.38	100			Percent of total billed charges		768.38	33.3			Percent of total billed charges		255.8705	33.3			Percent of total billed charges		255.8705	100			Percent of total billed charges		768.38	255.8705	691.542	
cloverleaf plate 3 hole 7113-0603 s/n	278	RC	Outpatient			769	499.85		90			Percent of total billed charges		692.1	40			Percent of total billed charges		307.6	80			Percent of total billed charges		615.2	90			Percent of total billed charges		692.1	85			Percent of total billed charges		653.65	85			Percent of total billed charges		653.65	85			Percent of total billed charges		653.65	100			Percent of total billed charges		769	100			Percent of total billed charges		769	100			Percent of total billed charges		769	33.3			Percent of total billed charges		256.077	33.3			Percent of total billed charges		256.077	100			Percent of total billed charges		769	256.077	692.1	
s/n cloverleaf plate 3 hole 7113-0603	278	RC	Outpatient			769	499.85		90			Percent of total billed charges		692.1	40			Percent of total billed charges		307.6	80			Percent of total billed charges		615.2	90			Percent of total billed charges		692.1	85			Percent of total billed charges		653.65	85			Percent of total billed charges		653.65	85			Percent of total billed charges		653.65	100			Percent of total billed charges		769	100			Percent of total billed charges		769	100			Percent of total billed charges		769	33.3			Percent of total billed charges		256.077	33.3			Percent of total billed charges		256.077	100			Percent of total billed charges		769	256.077	692.1	
sm fr pl cloverleaf 3hl	278	RC	Outpatient			769	499.85		90			Percent of total billed charges		692.1	40			Percent of total billed charges		307.6	80			Percent of total billed charges		615.2	90			Percent of total billed charges		692.1	85			Percent of total billed charges		653.65	85			Percent of total billed charges		653.65	85			Percent of total billed charges		653.65	100			Percent of total billed charges		769	100			Percent of total billed charges		769	100			Percent of total billed charges		769	33.3			Percent of total billed charges		256.077	33.3			Percent of total billed charges		256.077	100			Percent of total billed charges		769	256.077	692.1	
allthread ti anchor 6.5 902582 biomet sports	278	RC	Outpatient			770	500.5		90			Percent of total billed charges		693	40			Percent of total billed charges		308	80			Percent of total billed charges		616	90			Percent of total billed charges		693	85			Percent of total billed charges		654.5	85			Percent of total billed charges		654.5	85			Percent of total billed charges		654.5	100			Percent of total billed charges		770	100			Percent of total billed charges		770	100			Percent of total billed charges		770	33.3			Percent of total billed charges		256.41	33.3			Percent of total billed charges		256.41	100			Percent of total billed charges		770	256.41	693	
bio allthread 6.5 anchor	278	RC	Outpatient			770	500.5		90			Percent of total billed charges		693	40			Percent of total billed charges		308	80			Percent of total billed charges		616	90			Percent of total billed charges		693	85			Percent of total billed charges		654.5	85			Percent of total billed charges		654.5	85			Percent of total billed charges		654.5	100			Percent of total billed charges		770	100			Percent of total billed charges		770	100			Percent of total billed charges		770	33.3			Percent of total billed charges		256.41	33.3			Percent of total billed charges		256.41	100			Percent of total billed charges		770	256.41	693	
s/n small t plate  7114-0406	278	RC	Outpatient			770	500.5		90			Percent of total billed charges		693	40			Percent of total billed charges		308	80			Percent of total billed charges		616	90			Percent of total billed charges		693	85			Percent of total billed charges		654.5	85			Percent of total billed charges		654.5	85			Percent of total billed charges		654.5	100			Percent of total billed charges		770	100			Percent of total billed charges		770	100			Percent of total billed charges		770	33.3			Percent of total billed charges		256.41	33.3			Percent of total billed charges		256.41	100			Percent of total billed charges		770	256.41	693	
sm fr pl t rt angle	278	RC	Outpatient			770	500.5		90			Percent of total billed charges		693	40			Percent of total billed charges		308	80			Percent of total billed charges		616	90			Percent of total billed charges		693	85			Percent of total billed charges		654.5	85			Percent of total billed charges		654.5	85			Percent of total billed charges		654.5	100			Percent of total billed charges		770	100			Percent of total billed charges		770	100			Percent of total billed charges		770	33.3			Percent of total billed charges		256.41	33.3			Percent of total billed charges		256.41	100			Percent of total billed charges		770	256.41	693	
bakri postpartum balloon 14 fr cooks medical ref g24237	272	RC	Outpatient			771.99	501.79		90			Percent of total billed charges		694.791	40			Percent of total billed charges		308.796	80			Percent of total billed charges		617.592	90			Percent of total billed charges		694.791	85			Percent of total billed charges		656.1915	85			Percent of total billed charges		656.1915	85			Percent of total billed charges		656.1915	100			Percent of total billed charges		771.99	100			Percent of total billed charges		771.99	100			Percent of total billed charges		771.99	33.3			Percent of total billed charges		257.0727	33.3			Percent of total billed charges		257.0727	100			Percent of total billed charges		771.99	257.0727	694.791	
gold eyelid implant 2.8	278	RC	Outpatient			772	501.8		90			Percent of total billed charges		694.8	40			Percent of total billed charges		308.8	80			Percent of total billed charges		617.6	90			Percent of total billed charges		694.8	85			Percent of total billed charges		656.2	85			Percent of total billed charges		656.2	85			Percent of total billed charges		656.2	100			Percent of total billed charges		772	100			Percent of total billed charges		772	100			Percent of total billed charges		772	33.3			Percent of total billed charges		257.076	33.3			Percent of total billed charges		257.076	100			Percent of total billed charges		772	257.076	694.8	
evos distal radius ti 1.8mm drill 7115-8092 s/n	272	RC	Outpatient			772	501.8		90			Percent of total billed charges		694.8	40			Percent of total billed charges		308.8	80			Percent of total billed charges		617.6	90			Percent of total billed charges		694.8	85			Percent of total billed charges		656.2	85			Percent of total billed charges		656.2	85			Percent of total billed charges		656.2	100			Percent of total billed charges		772	100			Percent of total billed charges		772	100			Percent of total billed charges		772	33.3			Percent of total billed charges		257.076	33.3			Percent of total billed charges		257.076	100			Percent of total billed charges		772	257.076	694.8	
gold eyelid implant 2.8 grams med dev	278	RC	Outpatient			772	501.8		90			Percent of total billed charges		694.8	40			Percent of total billed charges		308.8	80			Percent of total billed charges		617.6	90			Percent of total billed charges		694.8	85			Percent of total billed charges		656.2	85			Percent of total billed charges		656.2	85			Percent of total billed charges		656.2	100			Percent of total billed charges		772	100			Percent of total billed charges		772	100			Percent of total billed charges		772	33.3			Percent of total billed charges		257.076	33.3			Percent of total billed charges		257.076	100			Percent of total billed charges		772	257.076	694.8	
mitek rigidfix 2.7mm btb cross pin kit 210127 depuy	272	RC	Outpatient			772	501.8		90			Percent of total billed charges		694.8	40			Percent of total billed charges		308.8	80			Percent of total billed charges		617.6	90			Percent of total billed charges		694.8	85			Percent of total billed charges		656.2	85			Percent of total billed charges		656.2	85			Percent of total billed charges		656.2	100			Percent of total billed charges		772	100			Percent of total billed charges		772	100			Percent of total billed charges		772	33.3			Percent of total billed charges		257.076	33.3			Percent of total billed charges		257.076	100			Percent of total billed charges		772	257.076	694.8	
mitek rigidfix 3.3mm btb cross pin kit 210133 depuy	272	RC	Outpatient			772	501.8		90			Percent of total billed charges		694.8	40			Percent of total billed charges		308.8	80			Percent of total billed charges		617.6	90			Percent of total billed charges		694.8	85			Percent of total billed charges		656.2	85			Percent of total billed charges		656.2	85			Percent of total billed charges		656.2	100			Percent of total billed charges		772	100			Percent of total billed charges		772	100			Percent of total billed charges		772	33.3			Percent of total billed charges		257.076	33.3			Percent of total billed charges		257.076	100			Percent of total billed charges		772	257.076	694.8	
mitek btb kit	272	RC	Outpatient			772	501.8		90			Percent of total billed charges		694.8	40			Percent of total billed charges		308.8	80			Percent of total billed charges		617.6	90			Percent of total billed charges		694.8	85			Percent of total billed charges		656.2	85			Percent of total billed charges		656.2	85			Percent of total billed charges		656.2	100			Percent of total billed charges		772	100			Percent of total billed charges		772	100			Percent of total billed charges		772	33.3			Percent of total billed charges		257.076	33.3			Percent of total billed charges		257.076	100			Percent of total billed charges		772	257.076	694.8	
pacu time 3 1/2 hours	270	RC	Outpatient			772	501.8		90			Percent of total billed charges		694.8	40			Percent of total billed charges		308.8	80			Percent of total billed charges		617.6	90			Percent of total billed charges		694.8	85			Percent of total billed charges		656.2	85			Percent of total billed charges		656.2	85			Percent of total billed charges		656.2	100			Percent of total billed charges		772	100			Percent of total billed charges		772	100			Percent of total billed charges		772	33.3			Percent of total billed charges		257.076	33.3			Percent of total billed charges		257.076	100			Percent of total billed charges		772	257.076	694.8	
trocar 213703	272	RC	Outpatient			772	501.8		90			Percent of total billed charges		694.8	40			Percent of total billed charges		308.8	80			Percent of total billed charges		617.6	90			Percent of total billed charges		694.8	85			Percent of total billed charges		656.2	85			Percent of total billed charges		656.2	85			Percent of total billed charges		656.2	100			Percent of total billed charges		772	100			Percent of total billed charges		772	100			Percent of total billed charges		772	33.3			Percent of total billed charges		257.076	33.3			Percent of total billed charges		257.076	100			Percent of total billed charges		772	257.076	694.8	
3.5mm lc-dcp plate 14 hole 223.64	278	RC	Outpatient			778	505.7		90			Percent of total billed charges		700.2	40			Percent of total billed charges		311.2	80			Percent of total billed charges		622.4	90			Percent of total billed charges		700.2	85			Percent of total billed charges		661.3	85			Percent of total billed charges		661.3	85			Percent of total billed charges		661.3	100			Percent of total billed charges		778	100			Percent of total billed charges		778	100			Percent of total billed charges		778	33.3			Percent of total billed charges		259.074	33.3			Percent of total billed charges		259.074	100			Percent of total billed charges		778	259.074	700.2	
3.5mm lc-dcp plate 15 hole 223.65	278	RC	Outpatient			778	505.7		90			Percent of total billed charges		700.2	40			Percent of total billed charges		311.2	80			Percent of total billed charges		622.4	90			Percent of total billed charges		700.2	85			Percent of total billed charges		661.3	85			Percent of total billed charges		661.3	85			Percent of total billed charges		661.3	100			Percent of total billed charges		778	100			Percent of total billed charges		778	100			Percent of total billed charges		778	33.3			Percent of total billed charges		259.074	33.3			Percent of total billed charges		259.074	100			Percent of total billed charges		778	259.074	700.2	
3.5mm lc-dcp plate 16 hole 223.66	278	RC	Outpatient			778	505.7		90			Percent of total billed charges		700.2	40			Percent of total billed charges		311.2	80			Percent of total billed charges		622.4	90			Percent of total billed charges		700.2	85			Percent of total billed charges		661.3	85			Percent of total billed charges		661.3	85			Percent of total billed charges		661.3	100			Percent of total billed charges		778	100			Percent of total billed charges		778	100			Percent of total billed charges		778	33.3			Percent of total billed charges		259.074	33.3			Percent of total billed charges		259.074	100			Percent of total billed charges		778	259.074	700.2	
4.5mm narrow dcp plate 13 hole 215mm 224.13	278	RC	Outpatient			778	505.7		90			Percent of total billed charges		700.2	40			Percent of total billed charges		311.2	80			Percent of total billed charges		622.4	90			Percent of total billed charges		700.2	85			Percent of total billed charges		661.3	85			Percent of total billed charges		661.3	85			Percent of total billed charges		661.3	100			Percent of total billed charges		778	100			Percent of total billed charges		778	100			Percent of total billed charges		778	33.3			Percent of total billed charges		259.074	33.3			Percent of total billed charges		259.074	100			Percent of total billed charges		778	259.074	700.2	
4.5mm narrow lc-dpc plate 14 hole 286mm 224.66	278	RC	Outpatient			778	505.7		90			Percent of total billed charges		700.2	40			Percent of total billed charges		311.2	80			Percent of total billed charges		622.4	90			Percent of total billed charges		700.2	85			Percent of total billed charges		661.3	85			Percent of total billed charges		661.3	85			Percent of total billed charges		661.3	100			Percent of total billed charges		778	100			Percent of total billed charges		778	100			Percent of total billed charges		778	33.3			Percent of total billed charges		259.074	33.3			Percent of total billed charges		259.074	100			Percent of total billed charges		778	259.074	700.2	
4.5mm narrow dcp plate 14 hole 231mm 224.14	278	RC	Outpatient			778	505.7		90			Percent of total billed charges		700.2	40			Percent of total billed charges		311.2	80			Percent of total billed charges		622.4	90			Percent of total billed charges		700.2	85			Percent of total billed charges		661.3	85			Percent of total billed charges		661.3	85			Percent of total billed charges		661.3	100			Percent of total billed charges		778	100			Percent of total billed charges		778	100			Percent of total billed charges		778	33.3			Percent of total billed charges		259.074	33.3			Percent of total billed charges		259.074	100			Percent of total billed charges		778	259.074	700.2	
4.5mm narrow dcp plate 15 hole 247mm 224.15	278	RC	Outpatient			778	505.7		90			Percent of total billed charges		700.2	40			Percent of total billed charges		311.2	80			Percent of total billed charges		622.4	90			Percent of total billed charges		700.2	85			Percent of total billed charges		661.3	85			Percent of total billed charges		661.3	85			Percent of total billed charges		661.3	100			Percent of total billed charges		778	100			Percent of total billed charges		778	100			Percent of total billed charges		778	33.3			Percent of total billed charges		259.074	33.3			Percent of total billed charges		259.074	100			Percent of total billed charges		778	259.074	700.2	
4.5mm narrow dcp plate 16 hole 263mm 224.16	278	RC	Outpatient			778	505.7		90			Percent of total billed charges		700.2	40			Percent of total billed charges		311.2	80			Percent of total billed charges		622.4	90			Percent of total billed charges		700.2	85			Percent of total billed charges		661.3	85			Percent of total billed charges		661.3	85			Percent of total billed charges		661.3	100			Percent of total billed charges		778	100			Percent of total billed charges		778	100			Percent of total billed charges		778	33.3			Percent of total billed charges		259.074	33.3			Percent of total billed charges		259.074	100			Percent of total billed charges		778	259.074	700.2	
4.5mm narrow lc-dpc plate 14 hole 250mm 224.64	278	RC	Outpatient			778	505.7		90			Percent of total billed charges		700.2	40			Percent of total billed charges		311.2	80			Percent of total billed charges		622.4	90			Percent of total billed charges		700.2	85			Percent of total billed charges		661.3	85			Percent of total billed charges		661.3	85			Percent of total billed charges		661.3	100			Percent of total billed charges		778	100			Percent of total billed charges		778	100			Percent of total billed charges		778	33.3			Percent of total billed charges		259.074	33.3			Percent of total billed charges		259.074	100			Percent of total billed charges		778	259.074	700.2	
4.5mm narrow lc-dpc plate 15 hole 268mm 224.665	278	RC	Outpatient			778	505.7		90			Percent of total billed charges		700.2	40			Percent of total billed charges		311.2	80			Percent of total billed charges		622.4	90			Percent of total billed charges		700.2	85			Percent of total billed charges		661.3	85			Percent of total billed charges		661.3	85			Percent of total billed charges		661.3	100			Percent of total billed charges		778	100			Percent of total billed charges		778	100			Percent of total billed charges		778	33.3			Percent of total billed charges		259.074	33.3			Percent of total billed charges		259.074	100			Percent of total billed charges		778	259.074	700.2	
4.5mm narrow lc-dpc plate 18 hole 323mm 224.68	278	RC	Outpatient			778	505.7		90			Percent of total billed charges		700.2	40			Percent of total billed charges		311.2	80			Percent of total billed charges		622.4	90			Percent of total billed charges		700.2	85			Percent of total billed charges		661.3	85			Percent of total billed charges		661.3	85			Percent of total billed charges		661.3	100			Percent of total billed charges		778	100			Percent of total billed charges		778	100			Percent of total billed charges		778	33.3			Percent of total billed charges		259.074	33.3			Percent of total billed charges		259.074	100			Percent of total billed charges		778	259.074	700.2	
"s/n small t plate, 7113-0503"	278	RC	Outpatient			778	505.7		90			Percent of total billed charges		700.2	40			Percent of total billed charges		311.2	80			Percent of total billed charges		622.4	90			Percent of total billed charges		700.2	85			Percent of total billed charges		661.3	85			Percent of total billed charges		661.3	85			Percent of total billed charges		661.3	100			Percent of total billed charges		778	100			Percent of total billed charges		778	100			Percent of total billed charges		778	33.3			Percent of total billed charges		259.074	33.3			Percent of total billed charges		259.074	100			Percent of total billed charges		778	259.074	700.2	
sm fr pl t oblique 3hl	278	RC	Outpatient			778	505.7		90			Percent of total billed charges		700.2	40			Percent of total billed charges		311.2	80			Percent of total billed charges		622.4	90			Percent of total billed charges		700.2	85			Percent of total billed charges		661.3	85			Percent of total billed charges		661.3	85			Percent of total billed charges		661.3	100			Percent of total billed charges		778	100			Percent of total billed charges		778	100			Percent of total billed charges		778	33.3			Percent of total billed charges		259.074	33.3			Percent of total billed charges		259.074	100			Percent of total billed charges		778	259.074	700.2	
syn dcp plate 13-16 hole	278	RC	Outpatient			778	505.7		90			Percent of total billed charges		700.2	40			Percent of total billed charges		311.2	80			Percent of total billed charges		622.4	90			Percent of total billed charges		700.2	85			Percent of total billed charges		661.3	85			Percent of total billed charges		661.3	85			Percent of total billed charges		661.3	100			Percent of total billed charges		778	100			Percent of total billed charges		778	100			Percent of total billed charges		778	33.3			Percent of total billed charges		259.074	33.3			Percent of total billed charges		259.074	100			Percent of total billed charges		778	259.074	700.2	
synthes mini	270	RC	Outpatient			778	505.7		90			Percent of total billed charges		700.2	40			Percent of total billed charges		311.2	80			Percent of total billed charges		622.4	90			Percent of total billed charges		700.2	85			Percent of total billed charges		661.3	85			Percent of total billed charges		661.3	85			Percent of total billed charges		661.3	100			Percent of total billed charges		778	100			Percent of total billed charges		778	100			Percent of total billed charges		778	33.3			Percent of total billed charges		259.074	33.3			Percent of total billed charges		259.074	100			Percent of total billed charges		778	259.074	700.2	
anesthesia time 1 1/2 hours	370	RC	Outpatient			779	506.35		90			Percent of total billed charges		701.1	40			Percent of total billed charges		311.6	80			Percent of total billed charges		623.2	90			Percent of total billed charges		701.1	85			Percent of total billed charges		662.15	85			Percent of total billed charges		662.15	85			Percent of total billed charges		662.15	100			Percent of total billed charges		779	100			Percent of total billed charges		779	100			Percent of total billed charges		779	33.3			Percent of total billed charges		259.407	33.3			Percent of total billed charges		259.407	100			Percent of total billed charges		779	259.407	701.1	
falcon cutting cartridge 6625-127-090  stryker	272	RC	Outpatient			779	506.35		90			Percent of total billed charges		701.1	40			Percent of total billed charges		311.6	80			Percent of total billed charges		623.2	90			Percent of total billed charges		701.1	85			Percent of total billed charges		662.15	85			Percent of total billed charges		662.15	85			Percent of total billed charges		662.15	100			Percent of total billed charges		779	100			Percent of total billed charges		779	100			Percent of total billed charges		779	33.3			Percent of total billed charges		259.407	33.3			Percent of total billed charges		259.407	100			Percent of total billed charges		779	259.407	701.1	
falcon cut cart	272	RC	Outpatient			779	506.35		90			Percent of total billed charges		701.1	40			Percent of total billed charges		311.6	80			Percent of total billed charges		623.2	90			Percent of total billed charges		701.1	85			Percent of total billed charges		662.15	85			Percent of total billed charges		662.15	85			Percent of total billed charges		662.15	100			Percent of total billed charges		779	100			Percent of total billed charges		779	100			Percent of total billed charges		779	33.3			Percent of total billed charges		259.407	33.3			Percent of total billed charges		259.407	100			Percent of total billed charges		779	259.407	701.1	
compositcp 30 interference screw 8 x 25mm 905213 biomet	278	RC	Outpatient			781	507.65		90			Percent of total billed charges		702.9	40			Percent of total billed charges		312.4	80			Percent of total billed charges		624.8	90			Percent of total billed charges		702.9	85			Percent of total billed charges		663.85	85			Percent of total billed charges		663.85	85			Percent of total billed charges		663.85	100			Percent of total billed charges		781	100			Percent of total billed charges		781	100			Percent of total billed charges		781	33.3			Percent of total billed charges		260.073	33.3			Percent of total billed charges		260.073	100			Percent of total billed charges		781	260.073	702.9	
compositcp 30 interference screw 9 x 25mm 905216 biomet	278	RC	Outpatient			781	507.65		90			Percent of total billed charges		702.9	40			Percent of total billed charges		312.4	80			Percent of total billed charges		624.8	90			Percent of total billed charges		702.9	85			Percent of total billed charges		663.85	85			Percent of total billed charges		663.85	85			Percent of total billed charges		663.85	100			Percent of total billed charges		781	100			Percent of total billed charges		781	100			Percent of total billed charges		781	33.3			Percent of total billed charges		260.073	33.3			Percent of total billed charges		260.073	100			Percent of total billed charges		781	260.073	702.9	
compositcp 30 inter scr	278	RC	Outpatient			781	507.65		90			Percent of total billed charges		702.9	40			Percent of total billed charges		312.4	80			Percent of total billed charges		624.8	90			Percent of total billed charges		702.9	85			Percent of total billed charges		663.85	85			Percent of total billed charges		663.85	85			Percent of total billed charges		663.85	100			Percent of total billed charges		781	100			Percent of total billed charges		781	100			Percent of total billed charges		781	33.3			Percent of total billed charges		260.073	33.3			Percent of total billed charges		260.073	100			Percent of total billed charges		781	260.073	702.9	
compositcp 30 interference screw 9 x 30mm 905217 biomet sports	278	RC	Outpatient			781	507.65		90			Percent of total billed charges		702.9	40			Percent of total billed charges		312.4	80			Percent of total billed charges		624.8	90			Percent of total billed charges		702.9	85			Percent of total billed charges		663.85	85			Percent of total billed charges		663.85	85			Percent of total billed charges		663.85	100			Percent of total billed charges		781	100			Percent of total billed charges		781	100			Percent of total billed charges		781	33.3			Percent of total billed charges		260.073	33.3			Percent of total billed charges		260.073	100			Percent of total billed charges		781	260.073	702.9	
syn lc-dcp plate 20hole	278	RC	Outpatient			781	507.65		90			Percent of total billed charges		702.9	40			Percent of total billed charges		312.4	80			Percent of total billed charges		624.8	90			Percent of total billed charges		702.9	85			Percent of total billed charges		663.85	85			Percent of total billed charges		663.85	85			Percent of total billed charges		663.85	100			Percent of total billed charges		781	100			Percent of total billed charges		781	100			Percent of total billed charges		781	33.3			Percent of total billed charges		260.073	33.3			Percent of total billed charges		260.073	100			Percent of total billed charges		781	260.073	702.9	
assembly kit 90-9480sc mentor	272	RC	Outpatient			782	508.3		90			Percent of total billed charges		703.8	40			Percent of total billed charges		312.8	80			Percent of total billed charges		625.6	90			Percent of total billed charges		703.8	85			Percent of total billed charges		664.7	85			Percent of total billed charges		664.7	85			Percent of total billed charges		664.7	100			Percent of total billed charges		782	100			Percent of total billed charges		782	100			Percent of total billed charges		782	33.3			Percent of total billed charges		260.406	33.3			Percent of total billed charges		260.406	100			Percent of total billed charges		782	260.406	703.8	
penile prost assembly kit	272	RC	Outpatient			782	508.3		90			Percent of total billed charges		703.8	40			Percent of total billed charges		312.8	80			Percent of total billed charges		625.6	90			Percent of total billed charges		703.8	85			Percent of total billed charges		664.7	85			Percent of total billed charges		664.7	85			Percent of total billed charges		664.7	100			Percent of total billed charges		782	100			Percent of total billed charges		782	100			Percent of total billed charges		782	33.3			Percent of total billed charges		260.406	33.3			Percent of total billed charges		260.406	100			Percent of total billed charges		782	260.406	703.8	
zzscrmc stone baskets	621	RC	Outpatient			782	508.3		90			Percent of total billed charges		703.8	40			Percent of total billed charges		312.8	80			Percent of total billed charges		625.6	90			Percent of total billed charges		703.8	85			Percent of total billed charges		664.7	85			Percent of total billed charges		664.7	85			Percent of total billed charges		664.7	100			Percent of total billed charges		782	100			Percent of total billed charges		782	100			Percent of total billed charges		782	33.3			Percent of total billed charges		260.406	33.3			Percent of total billed charges		260.406	100			Percent of total billed charges		782	260.406	703.8	
lg fr pl cp brd cmp 26hl	278	RC	Outpatient			783	508.95		90			Percent of total billed charges		704.7	40			Percent of total billed charges		313.2	80			Percent of total billed charges		626.4	90			Percent of total billed charges		704.7	85			Percent of total billed charges		665.55	85			Percent of total billed charges		665.55	85			Percent of total billed charges		665.55	100			Percent of total billed charges		783	100			Percent of total billed charges		783	100			Percent of total billed charges		783	33.3			Percent of total billed charges		260.739	33.3			Percent of total billed charges		260.739	100			Percent of total billed charges		783	260.739	704.7	
s/n lg frag plate 4.5mm 26 hole 7184-1226	278	RC	Outpatient			783	508.95		90			Percent of total billed charges		704.7	40			Percent of total billed charges		313.2	80			Percent of total billed charges		626.4	90			Percent of total billed charges		704.7	85			Percent of total billed charges		665.55	85			Percent of total billed charges		665.55	85			Percent of total billed charges		665.55	100			Percent of total billed charges		783	100			Percent of total billed charges		783	100			Percent of total billed charges		783	33.3			Percent of total billed charges		260.739	33.3			Percent of total billed charges		260.739	100			Percent of total billed charges		783	260.739	704.7	
s/n ultrabutton adjustable fixation device 72290003	278	RC	Outpatient			784	509.6		90			Percent of total billed charges		705.6	40			Percent of total billed charges		313.6	80			Percent of total billed charges		627.2	90			Percent of total billed charges		705.6	85			Percent of total billed charges		666.4	85			Percent of total billed charges		666.4	85			Percent of total billed charges		666.4	100			Percent of total billed charges		784	100			Percent of total billed charges		784	100			Percent of total billed charges		784	33.3			Percent of total billed charges		261.072	33.3			Percent of total billed charges		261.072	100			Percent of total billed charges		784	261.072	705.6	
arthrex acl tightrope ar-1588t	278	RC	Outpatient			788	512.2		90			Percent of total billed charges		709.2	40			Percent of total billed charges		315.2	80			Percent of total billed charges		630.4	90			Percent of total billed charges		709.2	85			Percent of total billed charges		669.8	85			Percent of total billed charges		669.8	85			Percent of total billed charges		669.8	100			Percent of total billed charges		788	100			Percent of total billed charges		788	100			Percent of total billed charges		788	33.3			Percent of total billed charges		262.404	33.3			Percent of total billed charges		262.404	100			Percent of total billed charges		788	262.404	709.2	
arthrex tightrope acl	278	RC	Outpatient			788	512.2		90			Percent of total billed charges		709.2	40			Percent of total billed charges		315.2	80			Percent of total billed charges		630.4	90			Percent of total billed charges		709.2	85			Percent of total billed charges		669.8	85			Percent of total billed charges		669.8	85			Percent of total billed charges		669.8	100			Percent of total billed charges		788	100			Percent of total billed charges		788	100			Percent of total billed charges		788	33.3			Percent of total billed charges		262.404	33.3			Percent of total billed charges		262.404	100			Percent of total billed charges		788	262.404	709.2	
drill bit 5.2mm cannulated s/n 7111-9106	272	RC	Outpatient			789	512.85		90			Percent of total billed charges		710.1	40			Percent of total billed charges		315.6	80			Percent of total billed charges		631.2	90			Percent of total billed charges		710.1	85			Percent of total billed charges		670.65	85			Percent of total billed charges		670.65	85			Percent of total billed charges		670.65	100			Percent of total billed charges		789	100			Percent of total billed charges		789	100			Percent of total billed charges		789	33.3			Percent of total billed charges		262.737	33.3			Percent of total billed charges		262.737	100			Percent of total billed charges		789	262.737	710.1	
s/n dril bit 5.2 cann	272	RC	Outpatient			789	512.85		90			Percent of total billed charges		710.1	40			Percent of total billed charges		315.6	80			Percent of total billed charges		631.2	90			Percent of total billed charges		710.1	85			Percent of total billed charges		670.65	85			Percent of total billed charges		670.65	85			Percent of total billed charges		670.65	100			Percent of total billed charges		789	100			Percent of total billed charges		789	100			Percent of total billed charges		789	33.3			Percent of total billed charges		262.737	33.3			Percent of total billed charges		262.737	100			Percent of total billed charges		789	262.737	710.1	
cobalt g bone cement 402433 biomet	278	RC	Outpatient			792	514.8		90			Percent of total billed charges		712.8	40			Percent of total billed charges		316.8	80			Percent of total billed charges		633.6	90			Percent of total billed charges		712.8	85			Percent of total billed charges		673.2	85			Percent of total billed charges		673.2	85			Percent of total billed charges		673.2	100			Percent of total billed charges		792	100			Percent of total billed charges		792	100			Percent of total billed charges		792	33.3			Percent of total billed charges		263.736	33.3			Percent of total billed charges		263.736	100			Percent of total billed charges		792	263.736	712.8	
cobalt/palacos g cement	278	RC	Outpatient			792	514.8		90			Percent of total billed charges		712.8	40			Percent of total billed charges		316.8	80			Percent of total billed charges		633.6	90			Percent of total billed charges		712.8	85			Percent of total billed charges		673.2	85			Percent of total billed charges		673.2	85			Percent of total billed charges		673.2	100			Percent of total billed charges		792	100			Percent of total billed charges		792	100			Percent of total billed charges		792	33.3			Percent of total billed charges		263.736	33.3			Percent of total billed charges		263.736	100			Percent of total billed charges		792	263.736	712.8	
hemicap 8.0mm taper post  9080-0016-w arthrosurface	278	RC	Outpatient			792	514.8		90			Percent of total billed charges		712.8	40			Percent of total billed charges		316.8	80			Percent of total billed charges		633.6	90			Percent of total billed charges		712.8	85			Percent of total billed charges		673.2	85			Percent of total billed charges		673.2	85			Percent of total billed charges		673.2	100			Percent of total billed charges		792	100			Percent of total billed charges		792	100			Percent of total billed charges		792	33.3			Percent of total billed charges		263.736	33.3			Percent of total billed charges		263.736	100			Percent of total billed charges		792	263.736	712.8	
hemicap 9.5mm taper post  9095-0018-w arthrosurface	278	RC	Outpatient			792	514.8		90			Percent of total billed charges		712.8	40			Percent of total billed charges		316.8	80			Percent of total billed charges		633.6	90			Percent of total billed charges		712.8	85			Percent of total billed charges		673.2	85			Percent of total billed charges		673.2	85			Percent of total billed charges		673.2	100			Percent of total billed charges		792	100			Percent of total billed charges		792	100			Percent of total billed charges		792	33.3			Percent of total billed charges		263.736	33.3			Percent of total billed charges		263.736	100			Percent of total billed charges		792	263.736	712.8	
hemicap taper post	278	RC	Outpatient			792	514.8		90			Percent of total billed charges		712.8	40			Percent of total billed charges		316.8	80			Percent of total billed charges		633.6	90			Percent of total billed charges		712.8	85			Percent of total billed charges		673.2	85			Percent of total billed charges		673.2	85			Percent of total billed charges		673.2	100			Percent of total billed charges		792	100			Percent of total billed charges		792	100			Percent of total billed charges		792	33.3			Percent of total billed charges		263.736	33.3			Percent of total billed charges		263.736	100			Percent of total billed charges		792	263.736	712.8	
hemicap resurfacing system 15mm articular comp 1.5x2.5mm 9152-1525-w arthrosurface	278	RC	Outpatient			792	514.8		90			Percent of total billed charges		712.8	40			Percent of total billed charges		316.8	80			Percent of total billed charges		633.6	90			Percent of total billed charges		712.8	85			Percent of total billed charges		673.2	85			Percent of total billed charges		673.2	85			Percent of total billed charges		673.2	100			Percent of total billed charges		792	100			Percent of total billed charges		792	100			Percent of total billed charges		792	33.3			Percent of total billed charges		263.736	33.3			Percent of total billed charges		263.736	100			Percent of total billed charges		792	263.736	712.8	
metricath 4.0-8.0 rx4080100 angiometrx	272	RC	Outpatient			792	514.8		90			Percent of total billed charges		712.8	40			Percent of total billed charges		316.8	80			Percent of total billed charges		633.6	90			Percent of total billed charges		712.8	85			Percent of total billed charges		673.2	85			Percent of total billed charges		673.2	85			Percent of total billed charges		673.2	100			Percent of total billed charges		792	100			Percent of total billed charges		792	100			Percent of total billed charges		792	33.3			Percent of total billed charges		263.736	33.3			Percent of total billed charges		263.736	100			Percent of total billed charges		792	263.736	712.8	
"nexgen  patella, 32mm 00-5972-065-32 zimmer"	278	RC	Outpatient			792	514.8		90			Percent of total billed charges		712.8	40			Percent of total billed charges		316.8	80			Percent of total billed charges		633.6	90			Percent of total billed charges		712.8	85			Percent of total billed charges		673.2	85			Percent of total billed charges		673.2	85			Percent of total billed charges		673.2	100			Percent of total billed charges		792	100			Percent of total billed charges		792	100			Percent of total billed charges		792	33.3			Percent of total billed charges		263.736	33.3			Percent of total billed charges		263.736	100			Percent of total billed charges		792	263.736	712.8	
"nexgen  patella, 41mm 00-5972-065-41 zimmer"	278	RC	Outpatient			792	514.8		90			Percent of total billed charges		712.8	40			Percent of total billed charges		316.8	80			Percent of total billed charges		633.6	90			Percent of total billed charges		712.8	85			Percent of total billed charges		673.2	85			Percent of total billed charges		673.2	85			Percent of total billed charges		673.2	100			Percent of total billed charges		792	100			Percent of total billed charges		792	100			Percent of total billed charges		792	33.3			Percent of total billed charges		263.736	33.3			Percent of total billed charges		263.736	100			Percent of total billed charges		792	263.736	712.8	
nexgen patella 38mm 00-5972-065-38 zimmer	278	RC	Outpatient			792	514.8		90			Percent of total billed charges		712.8	40			Percent of total billed charges		316.8	80			Percent of total billed charges		633.6	90			Percent of total billed charges		712.8	85			Percent of total billed charges		673.2	85			Percent of total billed charges		673.2	85			Percent of total billed charges		673.2	100			Percent of total billed charges		792	100			Percent of total billed charges		792	100			Percent of total billed charges		792	33.3			Percent of total billed charges		263.736	33.3			Percent of total billed charges		263.736	100			Percent of total billed charges		792	263.736	712.8	
palacos g antibiotic bone cement 424810 biomet	278	RC	Outpatient			792	514.8		90			Percent of total billed charges		712.8	40			Percent of total billed charges		316.8	80			Percent of total billed charges		633.6	90			Percent of total billed charges		712.8	85			Percent of total billed charges		673.2	85			Percent of total billed charges		673.2	85			Percent of total billed charges		673.2	100			Percent of total billed charges		792	100			Percent of total billed charges		792	100			Percent of total billed charges		792	33.3			Percent of total billed charges		263.736	33.3			Percent of total billed charges		263.736	100			Percent of total billed charges		792	263.736	712.8	
metricath	272	RC	Outpatient			792	514.8		90			Percent of total billed charges		712.8	40			Percent of total billed charges		316.8	80			Percent of total billed charges		633.6	90			Percent of total billed charges		712.8	85			Percent of total billed charges		673.2	85			Percent of total billed charges		673.2	85			Percent of total billed charges		673.2	100			Percent of total billed charges		792	100			Percent of total billed charges		792	100			Percent of total billed charges		792	33.3			Percent of total billed charges		263.736	33.3			Percent of total billed charges		263.736	100			Percent of total billed charges		792	263.736	712.8	
zimm nexgen patella	278	RC	Outpatient			792	514.8		90			Percent of total billed charges		712.8	40			Percent of total billed charges		316.8	80			Percent of total billed charges		633.6	90			Percent of total billed charges		712.8	85			Percent of total billed charges		673.2	85			Percent of total billed charges		673.2	85			Percent of total billed charges		673.2	100			Percent of total billed charges		792	100			Percent of total billed charges		792	100			Percent of total billed charges		792	33.3			Percent of total billed charges		263.736	33.3			Percent of total billed charges		263.736	100			Percent of total billed charges		792	263.736	712.8	
zimmer nexgen  patella  35mm 5972-65-35	278	RC	Outpatient			792	514.8		90			Percent of total billed charges		712.8	40			Percent of total billed charges		316.8	80			Percent of total billed charges		633.6	90			Percent of total billed charges		712.8	85			Percent of total billed charges		673.2	85			Percent of total billed charges		673.2	85			Percent of total billed charges		673.2	100			Percent of total billed charges		792	100			Percent of total billed charges		792	100			Percent of total billed charges		792	33.3			Percent of total billed charges		263.736	33.3			Percent of total billed charges		263.736	100			Percent of total billed charges		792	263.736	712.8	
zimmer nexgen patella  29mm 5972-65-29	278	RC	Outpatient			792	514.8		90			Percent of total billed charges		712.8	40			Percent of total billed charges		316.8	80			Percent of total billed charges		633.6	90			Percent of total billed charges		712.8	85			Percent of total billed charges		673.2	85			Percent of total billed charges		673.2	85			Percent of total billed charges		673.2	100			Percent of total billed charges		792	100			Percent of total billed charges		792	100			Percent of total billed charges		792	33.3			Percent of total billed charges		263.736	33.3			Percent of total billed charges		263.736	100			Percent of total billed charges		792	263.736	712.8	
p-l vlp plt 1/3 tub 7h	278	RC	Outpatient			797	518.05		90			Percent of total billed charges		717.3	40			Percent of total billed charges		318.8	80			Percent of total billed charges		637.6	90			Percent of total billed charges		717.3	85			Percent of total billed charges		677.45	85			Percent of total billed charges		677.45	85			Percent of total billed charges		677.45	100			Percent of total billed charges		797	100			Percent of total billed charges		797	100			Percent of total billed charges		797	33.3			Percent of total billed charges		265.401	33.3			Percent of total billed charges		265.401	100			Percent of total billed charges		797	265.401	717.3	
peri-loc 3.5 1/3 lk tub pl 7 h 72823007 s/n	278	RC	Outpatient			797	518.05		90			Percent of total billed charges		717.3	40			Percent of total billed charges		318.8	80			Percent of total billed charges		637.6	90			Percent of total billed charges		717.3	85			Percent of total billed charges		677.45	85			Percent of total billed charges		677.45	85			Percent of total billed charges		677.45	100			Percent of total billed charges		797	100			Percent of total billed charges		797	100			Percent of total billed charges		797	33.3			Percent of total billed charges		265.401	33.3			Percent of total billed charges		265.401	100			Percent of total billed charges		797	265.401	717.3	
stryker xia max bod	278	RC	Outpatient			797	518.05		90			Percent of total billed charges		717.3	40			Percent of total billed charges		318.8	80			Percent of total billed charges		637.6	90			Percent of total billed charges		717.3	85			Percent of total billed charges		677.45	85			Percent of total billed charges		677.45	85			Percent of total billed charges		677.45	100			Percent of total billed charges		797	100			Percent of total billed charges		797	100			Percent of total billed charges		797	33.3			Percent of total billed charges		265.401	33.3			Percent of total billed charges		265.401	100			Percent of total billed charges		797	265.401	717.3	
xia max rad double radius 70mm 48219070 stryker	278	RC	Outpatient			797	518.05		90			Percent of total billed charges		717.3	40			Percent of total billed charges		318.8	80			Percent of total billed charges		637.6	90			Percent of total billed charges		717.3	85			Percent of total billed charges		677.45	85			Percent of total billed charges		677.45	85			Percent of total billed charges		677.45	100			Percent of total billed charges		797	100			Percent of total billed charges		797	100			Percent of total billed charges		797	33.3			Percent of total billed charges		265.401	33.3			Percent of total billed charges		265.401	100			Percent of total billed charges		797	265.401	717.3	
xia max rad double radius 80mm 48219080 stryker	278	RC	Outpatient			797	518.05		90			Percent of total billed charges		717.3	40			Percent of total billed charges		318.8	80			Percent of total billed charges		637.6	90			Percent of total billed charges		717.3	85			Percent of total billed charges		677.45	85			Percent of total billed charges		677.45	85			Percent of total billed charges		677.45	100			Percent of total billed charges		797	100			Percent of total billed charges		797	100			Percent of total billed charges		797	33.3			Percent of total billed charges		265.401	33.3			Percent of total billed charges		265.401	100			Percent of total billed charges		797	265.401	717.3	
xia max rad double radius 50mm 48219050 stryker	278	RC	Outpatient			797	518.05		90			Percent of total billed charges		717.3	40			Percent of total billed charges		318.8	80			Percent of total billed charges		637.6	90			Percent of total billed charges		717.3	85			Percent of total billed charges		677.45	85			Percent of total billed charges		677.45	85			Percent of total billed charges		677.45	100			Percent of total billed charges		797	100			Percent of total billed charges		797	100			Percent of total billed charges		797	33.3			Percent of total billed charges		265.401	33.3			Percent of total billed charges		265.401	100			Percent of total billed charges		797	265.401	717.3	
xia max rad double radius 60mm 48219060 stryker	278	RC	Outpatient			797	518.05		90			Percent of total billed charges		717.3	40			Percent of total billed charges		318.8	80			Percent of total billed charges		637.6	90			Percent of total billed charges		717.3	85			Percent of total billed charges		677.45	85			Percent of total billed charges		677.45	85			Percent of total billed charges		677.45	100			Percent of total billed charges		797	100			Percent of total billed charges		797	100			Percent of total billed charges		797	33.3			Percent of total billed charges		265.401	33.3			Percent of total billed charges		265.401	100			Percent of total billed charges		797	265.401	717.3	
bio poly acct shell	278	RC	Outpatient			798	518.7		90			Percent of total billed charges		718.2	40			Percent of total billed charges		319.2	80			Percent of total billed charges		638.4	90			Percent of total billed charges		718.2	85			Percent of total billed charges		678.3	85			Percent of total billed charges		678.3	85			Percent of total billed charges		678.3	100			Percent of total billed charges		798	100			Percent of total billed charges		798	100			Percent of total billed charges		798	33.3			Percent of total billed charges		265.734	33.3			Percent of total billed charges		265.734	100			Percent of total billed charges		798	265.734	718.2	
biomet all poly  hi wall  shell 63mm 163466	278	RC	Outpatient			798	518.7		90			Percent of total billed charges		718.2	40			Percent of total billed charges		319.2	80			Percent of total billed charges		638.4	90			Percent of total billed charges		718.2	85			Percent of total billed charges		678.3	85			Percent of total billed charges		678.3	85			Percent of total billed charges		678.3	100			Percent of total billed charges		798	100			Percent of total billed charges		798	100			Percent of total billed charges		798	33.3			Percent of total billed charges		265.734	33.3			Percent of total billed charges		265.734	100			Percent of total billed charges		798	265.734	718.2	
biomet all poly  hi wall  shell 69mm 163468	278	RC	Outpatient			798	518.7		90			Percent of total billed charges		718.2	40			Percent of total billed charges		319.2	80			Percent of total billed charges		638.4	90			Percent of total billed charges		718.2	85			Percent of total billed charges		678.3	85			Percent of total billed charges		678.3	85			Percent of total billed charges		678.3	100			Percent of total billed charges		798	100			Percent of total billed charges		798	100			Percent of total billed charges		798	33.3			Percent of total billed charges		265.734	33.3			Percent of total billed charges		265.734	100			Percent of total billed charges		798	265.734	718.2	
biomet all poly  hi wall shell 54mm 163463	278	RC	Outpatient			798	518.7		90			Percent of total billed charges		718.2	40			Percent of total billed charges		319.2	80			Percent of total billed charges		638.4	90			Percent of total billed charges		718.2	85			Percent of total billed charges		678.3	85			Percent of total billed charges		678.3	85			Percent of total billed charges		678.3	100			Percent of total billed charges		798	100			Percent of total billed charges		798	100			Percent of total billed charges		798	33.3			Percent of total billed charges		265.734	33.3			Percent of total billed charges		265.734	100			Percent of total billed charges		798	265.734	718.2	
biomet all poly  hi wall shell 57mm 163464	278	RC	Outpatient			798	518.7		90			Percent of total billed charges		718.2	40			Percent of total billed charges		319.2	80			Percent of total billed charges		638.4	90			Percent of total billed charges		718.2	85			Percent of total billed charges		678.3	85			Percent of total billed charges		678.3	85			Percent of total billed charges		678.3	100			Percent of total billed charges		798	100			Percent of total billed charges		798	100			Percent of total billed charges		798	33.3			Percent of total billed charges		265.734	33.3			Percent of total billed charges		265.734	100			Percent of total billed charges		798	265.734	718.2	
biomet all poly  hi wall shell 66mm 163467	278	RC	Outpatient			798	518.7		90			Percent of total billed charges		718.2	40			Percent of total billed charges		319.2	80			Percent of total billed charges		638.4	90			Percent of total billed charges		718.2	85			Percent of total billed charges		678.3	85			Percent of total billed charges		678.3	85			Percent of total billed charges		678.3	100			Percent of total billed charges		798	100			Percent of total billed charges		798	100			Percent of total billed charges		798	33.3			Percent of total billed charges		265.734	33.3			Percent of total billed charges		265.734	100			Percent of total billed charges		798	265.734	718.2	
biomet all poly hi wall  shell 48mm 163461	278	RC	Outpatient			798	518.7		90			Percent of total billed charges		718.2	40			Percent of total billed charges		319.2	80			Percent of total billed charges		638.4	90			Percent of total billed charges		718.2	85			Percent of total billed charges		678.3	85			Percent of total billed charges		678.3	85			Percent of total billed charges		678.3	100			Percent of total billed charges		798	100			Percent of total billed charges		798	100			Percent of total billed charges		798	33.3			Percent of total billed charges		265.734	33.3			Percent of total billed charges		265.734	100			Percent of total billed charges		798	265.734	718.2	
biomet all poly hi wall  shell 51mm 163462	278	RC	Outpatient			798	518.7		90			Percent of total billed charges		718.2	40			Percent of total billed charges		319.2	80			Percent of total billed charges		638.4	90			Percent of total billed charges		718.2	85			Percent of total billed charges		678.3	85			Percent of total billed charges		678.3	85			Percent of total billed charges		678.3	100			Percent of total billed charges		798	100			Percent of total billed charges		798	100			Percent of total billed charges		798	33.3			Percent of total billed charges		265.734	33.3			Percent of total billed charges		265.734	100			Percent of total billed charges		798	265.734	718.2	
biomet all poly d hi wall  shell 60mm 163465	278	RC	Outpatient			798	518.7		90			Percent of total billed charges		718.2	40			Percent of total billed charges		319.2	80			Percent of total billed charges		638.4	90			Percent of total billed charges		718.2	85			Percent of total billed charges		678.3	85			Percent of total billed charges		678.3	85			Percent of total billed charges		678.3	100			Percent of total billed charges		798	100			Percent of total billed charges		798	100			Percent of total billed charges		798	33.3			Percent of total billed charges		265.734	33.3			Percent of total billed charges		265.734	100			Percent of total billed charges		798	265.734	718.2	
"cosmetic - laser hair removal - face, cheek and side burns pkg of 5"	983	RC	Outpatient			800	520		90			Percent of total billed charges		720	40			Percent of total billed charges		320	80			Percent of total billed charges		640	90			Percent of total billed charges		720	85			Percent of total billed charges		680	85			Percent of total billed charges		680	85			Percent of total billed charges		680	100			Percent of total billed charges		800	100			Percent of total billed charges		800	100			Percent of total billed charges		800	33.3			Percent of total billed charges		266.4	33.3			Percent of total billed charges		266.4	100			Percent of total billed charges		800	266.4	720	
"cosmetic - laser hair removal - neck, front or back 5 sessions"	983	RC	Outpatient			800	520		90			Percent of total billed charges		720	40			Percent of total billed charges		320	80			Percent of total billed charges		640	90			Percent of total billed charges		720	85			Percent of total billed charges		680	85			Percent of total billed charges		680	85			Percent of total billed charges		680	100			Percent of total billed charges		800	100			Percent of total billed charges		800	100			Percent of total billed charges		800	33.3			Percent of total billed charges		266.4	33.3			Percent of total billed charges		266.4	100			Percent of total billed charges		800	266.4	720	
cosmetic - laser hair removal -extended bikini line pkg of 5 sessions	983	RC	Outpatient			800	520		90			Percent of total billed charges		720	40			Percent of total billed charges		320	80			Percent of total billed charges		640	90			Percent of total billed charges		720	85			Percent of total billed charges		680	85			Percent of total billed charges		680	85			Percent of total billed charges		680	100			Percent of total billed charges		800	100			Percent of total billed charges		800	100			Percent of total billed charges		800	33.3			Percent of total billed charges		266.4	33.3			Percent of total billed charges		266.4	100			Percent of total billed charges		800	266.4	720	
cosmetic - laser hair removal - upper or forearms pkg of 5 sessions	983	RC	Outpatient			800	520		90			Percent of total billed charges		720	40			Percent of total billed charges		320	80			Percent of total billed charges		640	90			Percent of total billed charges		720	85			Percent of total billed charges		680	85			Percent of total billed charges		680	85			Percent of total billed charges		680	100			Percent of total billed charges		800	100			Percent of total billed charges		800	100			Percent of total billed charges		800	33.3			Percent of total billed charges		266.4	33.3			Percent of total billed charges		266.4	100			Percent of total billed charges		800	266.4	720	
cosmetic - minor office procedure b	983	RC	Outpatient			800	520		90			Percent of total billed charges		720	40			Percent of total billed charges		320	80			Percent of total billed charges		640	90			Percent of total billed charges		720	85			Percent of total billed charges		680	85			Percent of total billed charges		680	85			Percent of total billed charges		680	100			Percent of total billed charges		800	100			Percent of total billed charges		800	100			Percent of total billed charges		800	33.3			Percent of total billed charges		266.4	33.3			Percent of total billed charges		266.4	100			Percent of total billed charges		800	266.4	720	
cosmetic - small scar - ed	983	RC	Outpatient			800	520		90			Percent of total billed charges		720	40			Percent of total billed charges		320	80			Percent of total billed charges		640	90			Percent of total billed charges		720	85			Percent of total billed charges		680	85			Percent of total billed charges		680	85			Percent of total billed charges		680	100			Percent of total billed charges		800	100			Percent of total billed charges		800	100			Percent of total billed charges		800	33.3			Percent of total billed charges		266.4	33.3			Percent of total billed charges		266.4	100			Percent of total billed charges		800	266.4	720	
optifix 30 0113126 bard	278	RC	Outpatient			800	520		90			Percent of total billed charges		720	40			Percent of total billed charges		320	80			Percent of total billed charges		640	90			Percent of total billed charges		720	85			Percent of total billed charges		680	85			Percent of total billed charges		680	85			Percent of total billed charges		680	100			Percent of total billed charges		800	100			Percent of total billed charges		800	100			Percent of total billed charges		800	33.3			Percent of total billed charges		266.4	33.3			Percent of total billed charges		266.4	100			Percent of total billed charges		800	266.4	720	
relieva flex sinus guide cath gc070crf acclarent	272	RC	Outpatient			801	520.65		90			Percent of total billed charges		720.9	40			Percent of total billed charges		320.4	80			Percent of total billed charges		640.8	90			Percent of total billed charges		720.9	85			Percent of total billed charges		680.85	85			Percent of total billed charges		680.85	85			Percent of total billed charges		680.85	100			Percent of total billed charges		801	100			Percent of total billed charges		801	100			Percent of total billed charges		801	33.3			Percent of total billed charges		266.733	33.3			Percent of total billed charges		266.733	100			Percent of total billed charges		801	266.733	720.9	
plate colles fracture 191163 ebi 191163t	278	RC	Outpatient			801	520.65		90			Percent of total billed charges		720.9	40			Percent of total billed charges		320.4	80			Percent of total billed charges		640.8	90			Percent of total billed charges		720.9	85			Percent of total billed charges		680.85	85			Percent of total billed charges		680.85	85			Percent of total billed charges		680.85	100			Percent of total billed charges		801	100			Percent of total billed charges		801	100			Percent of total billed charges		801	33.3			Percent of total billed charges		266.733	33.3			Percent of total billed charges		266.733	100			Percent of total billed charges		801	266.733	720.9	
"plate, becton colles"	278	RC	Outpatient			801	520.65		90			Percent of total billed charges		720.9	40			Percent of total billed charges		320.4	80			Percent of total billed charges		640.8	90			Percent of total billed charges		720.9	85			Percent of total billed charges		680.85	85			Percent of total billed charges		680.85	85			Percent of total billed charges		680.85	100			Percent of total billed charges		801	100			Percent of total billed charges		801	100			Percent of total billed charges		801	33.3			Percent of total billed charges		266.733	33.3			Percent of total billed charges		266.733	100			Percent of total billed charges		801	266.733	720.9	
relieva flex sinus guide cath gc000rf acclarent	272	RC	Outpatient			801	520.65		90			Percent of total billed charges		720.9	40			Percent of total billed charges		320.4	80			Percent of total billed charges		640.8	90			Percent of total billed charges		720.9	85			Percent of total billed charges		680.85	85			Percent of total billed charges		680.85	85			Percent of total billed charges		680.85	100			Percent of total billed charges		801	100			Percent of total billed charges		801	100			Percent of total billed charges		801	33.3			Percent of total billed charges		266.733	33.3			Percent of total billed charges		266.733	100			Percent of total billed charges		801	266.733	720.9	
relieva flex sinus guide cath gc070rf acclarent	272	RC	Outpatient			801	520.65		90			Percent of total billed charges		720.9	40			Percent of total billed charges		320.4	80			Percent of total billed charges		640.8	90			Percent of total billed charges		720.9	85			Percent of total billed charges		680.85	85			Percent of total billed charges		680.85	85			Percent of total billed charges		680.85	100			Percent of total billed charges		801	100			Percent of total billed charges		801	100			Percent of total billed charges		801	33.3			Percent of total billed charges		266.733	33.3			Percent of total billed charges		266.733	100			Percent of total billed charges		801	266.733	720.9	
relieva flex sinus guide cath gc110rf acclarent	272	RC	Outpatient			801	520.65		90			Percent of total billed charges		720.9	40			Percent of total billed charges		320.4	80			Percent of total billed charges		640.8	90			Percent of total billed charges		720.9	85			Percent of total billed charges		680.85	85			Percent of total billed charges		680.85	85			Percent of total billed charges		680.85	100			Percent of total billed charges		801	100			Percent of total billed charges		801	100			Percent of total billed charges		801	33.3			Percent of total billed charges		266.733	33.3			Percent of total billed charges		266.733	100			Percent of total billed charges		801	266.733	720.9	
relieva guide cath flex	272	RC	Outpatient			801	520.65		90			Percent of total billed charges		720.9	40			Percent of total billed charges		320.4	80			Percent of total billed charges		640.8	90			Percent of total billed charges		720.9	85			Percent of total billed charges		680.85	85			Percent of total billed charges		680.85	85			Percent of total billed charges		680.85	100			Percent of total billed charges		801	100			Percent of total billed charges		801	100			Percent of total billed charges		801	33.3			Percent of total billed charges		266.733	33.3			Percent of total billed charges		266.733	100			Percent of total billed charges		801	266.733	720.9	
l&d intensive care charge	721	RC	Outpatient			802	521.3		90			Percent of total billed charges		721.8	40			Percent of total billed charges		320.8	80			Percent of total billed charges		641.6	90			Percent of total billed charges		721.8	85			Percent of total billed charges		681.7	85			Percent of total billed charges		681.7	85			Percent of total billed charges		681.7	100			Percent of total billed charges		802	100			Percent of total billed charges		802	100			Percent of total billed charges		802	33.3			Percent of total billed charges		267.066	33.3			Percent of total billed charges		267.066	100			Percent of total billed charges		802	267.066	721.8	
jax gel 4cc	278	RC	Outpatient			802	521.3		90			Percent of total billed charges		721.8	40			Percent of total billed charges		320.8	80			Percent of total billed charges		641.6	90			Percent of total billed charges		721.8	85			Percent of total billed charges		681.7	85			Percent of total billed charges		681.7	85			Percent of total billed charges		681.7	100			Percent of total billed charges		802	100			Percent of total billed charges		802	100			Percent of total billed charges		802	33.3			Percent of total billed charges		267.066	33.3			Percent of total billed charges		267.066	100			Percent of total billed charges		802	267.066	721.8	
jax gel 4cc   7192 8937 smith & nephew	278	RC	Outpatient			802	521.3		90			Percent of total billed charges		721.8	40			Percent of total billed charges		320.8	80			Percent of total billed charges		641.6	90			Percent of total billed charges		721.8	85			Percent of total billed charges		681.7	85			Percent of total billed charges		681.7	85			Percent of total billed charges		681.7	100			Percent of total billed charges		802	100			Percent of total billed charges		802	100			Percent of total billed charges		802	33.3			Percent of total billed charges		267.066	33.3			Percent of total billed charges		267.066	100			Percent of total billed charges		802	267.066	721.8	
richards cemented patella	278	RC	Outpatient			802	521.3		90			Percent of total billed charges		721.8	40			Percent of total billed charges		320.8	80			Percent of total billed charges		641.6	90			Percent of total billed charges		721.8	85			Percent of total billed charges		681.7	85			Percent of total billed charges		681.7	85			Percent of total billed charges		681.7	100			Percent of total billed charges		802	100			Percent of total billed charges		802	100			Percent of total billed charges		802	33.3			Percent of total billed charges		267.066	33.3			Percent of total billed charges		267.066	100			Percent of total billed charges		802	267.066	721.8	
syn volar dist rad plate	278	RC	Outpatient			802	521.3		90			Percent of total billed charges		721.8	40			Percent of total billed charges		320.8	80			Percent of total billed charges		641.6	90			Percent of total billed charges		721.8	85			Percent of total billed charges		681.7	85			Percent of total billed charges		681.7	85			Percent of total billed charges		681.7	100			Percent of total billed charges		802	100			Percent of total billed charges		802	100			Percent of total billed charges		802	33.3			Percent of total billed charges		267.066	33.3			Percent of total billed charges		267.066	100			Percent of total billed charges		802	267.066	721.8	
richards hybrid patella	278	RC	Outpatient			802	521.3		90			Percent of total billed charges		721.8	40			Percent of total billed charges		320.8	80			Percent of total billed charges		641.6	90			Percent of total billed charges		721.8	85			Percent of total billed charges		681.7	85			Percent of total billed charges		681.7	85			Percent of total billed charges		681.7	100			Percent of total billed charges		802	100			Percent of total billed charges		802	100			Percent of total billed charges		802	33.3			Percent of total billed charges		267.066	33.3			Percent of total billed charges		267.066	100			Percent of total billed charges		802	267.066	721.8	
volar left 242.483 synthes	278	RC	Outpatient			802	521.3		90			Percent of total billed charges		721.8	40			Percent of total billed charges		320.8	80			Percent of total billed charges		641.6	90			Percent of total billed charges		721.8	85			Percent of total billed charges		681.7	85			Percent of total billed charges		681.7	85			Percent of total billed charges		681.7	100			Percent of total billed charges		802	100			Percent of total billed charges		802	100			Percent of total billed charges		802	33.3			Percent of total billed charges		267.066	33.3			Percent of total billed charges		267.066	100			Percent of total billed charges		802	267.066	721.8	
volar right 242.473 synthes	278	RC	Outpatient			802	521.3		90			Percent of total billed charges		721.8	40			Percent of total billed charges		320.8	80			Percent of total billed charges		641.6	90			Percent of total billed charges		721.8	85			Percent of total billed charges		681.7	85			Percent of total billed charges		681.7	85			Percent of total billed charges		681.7	100			Percent of total billed charges		802	100			Percent of total billed charges		802	100			Percent of total billed charges		802	33.3			Percent of total billed charges		267.066	33.3			Percent of total billed charges		267.066	100			Percent of total billed charges		802	267.066	721.8	
chemo admin. 7 1/2 hours	335	RC	Outpatient			805	523.25		90			Percent of total billed charges		724.5	40			Percent of total billed charges		322	80			Percent of total billed charges		644	90			Percent of total billed charges		724.5	85			Percent of total billed charges		684.25	85			Percent of total billed charges		684.25	85			Percent of total billed charges		684.25	100			Percent of total billed charges		805	100			Percent of total billed charges		805	100			Percent of total billed charges		805	33.3			Percent of total billed charges		268.065	33.3			Percent of total billed charges		268.065	100			Percent of total billed charges		805	268.065	724.5	
bio glenoid post	278	RC	Outpatient			806	523.9		90			Percent of total billed charges		725.4	40			Percent of total billed charges		322.4	80			Percent of total billed charges		644.8	90			Percent of total billed charges		725.4	85			Percent of total billed charges		685.1	85			Percent of total billed charges		685.1	85			Percent of total billed charges		685.1	100			Percent of total billed charges		806	100			Percent of total billed charges		806	100			Percent of total billed charges		806	33.3			Percent of total billed charges		268.398	33.3			Percent of total billed charges		268.398	100			Percent of total billed charges		806	268.398	725.4	
drill bit 5.0 cannulated 71177134 s/n	272	RC	Outpatient			806	523.9		90			Percent of total billed charges		725.4	40			Percent of total billed charges		322.4	80			Percent of total billed charges		644.8	90			Percent of total billed charges		725.4	85			Percent of total billed charges		685.1	85			Percent of total billed charges		685.1	85			Percent of total billed charges		685.1	100			Percent of total billed charges		806	100			Percent of total billed charges		806	100			Percent of total billed charges		806	33.3			Percent of total billed charges		268.398	33.3			Percent of total billed charges		268.398	100			Percent of total billed charges		806	268.398	725.4	
drill bit 5.5 cannulated 71177135 s/n	272	RC	Outpatient			806	523.9		90			Percent of total billed charges		725.4	40			Percent of total billed charges		322.4	80			Percent of total billed charges		644.8	90			Percent of total billed charges		725.4	85			Percent of total billed charges		685.1	85			Percent of total billed charges		685.1	85			Percent of total billed charges		685.1	100			Percent of total billed charges		806	100			Percent of total billed charges		806	100			Percent of total billed charges		806	33.3			Percent of total billed charges		268.398	33.3			Percent of total billed charges		268.398	100			Percent of total billed charges		806	268.398	725.4	
s/n drill bit 5.5 can	272	RC	Outpatient			806	523.9		90			Percent of total billed charges		725.4	40			Percent of total billed charges		322.4	80			Percent of total billed charges		644.8	90			Percent of total billed charges		725.4	85			Percent of total billed charges		685.1	85			Percent of total billed charges		685.1	85			Percent of total billed charges		685.1	100			Percent of total billed charges		806	100			Percent of total billed charges		806	100			Percent of total billed charges		806	33.3			Percent of total billed charges		268.398	33.3			Percent of total billed charges		268.398	100			Percent of total billed charges		806	268.398	725.4	
s/n drill bit 5.0 cann	272	RC	Outpatient			806	523.9		90			Percent of total billed charges		725.4	40			Percent of total billed charges		322.4	80			Percent of total billed charges		644.8	90			Percent of total billed charges		725.4	85			Percent of total billed charges		685.1	85			Percent of total billed charges		685.1	85			Percent of total billed charges		685.1	100			Percent of total billed charges		806	100			Percent of total billed charges		806	100			Percent of total billed charges		806	33.3			Percent of total billed charges		268.398	33.3			Percent of total billed charges		268.398	100			Percent of total billed charges		806	268.398	725.4	
fem hd 28mm med 00-9026-029-00 zimmer	278	RC	Outpatient			807	524.55		90			Percent of total billed charges		726.3	40			Percent of total billed charges		322.8	80			Percent of total billed charges		645.6	90			Percent of total billed charges		726.3	85			Percent of total billed charges		685.95	85			Percent of total billed charges		685.95	85			Percent of total billed charges		685.95	100			Percent of total billed charges		807	100			Percent of total billed charges		807	100			Percent of total billed charges		807	33.3			Percent of total billed charges		268.731	33.3			Percent of total billed charges		268.731	100			Percent of total billed charges		807	268.731	726.3	
fem hd 28mm sht 00-9026-028-00 zimmer	278	RC	Outpatient			807	524.55		90			Percent of total billed charges		726.3	40			Percent of total billed charges		322.8	80			Percent of total billed charges		645.6	90			Percent of total billed charges		726.3	85			Percent of total billed charges		685.95	85			Percent of total billed charges		685.95	85			Percent of total billed charges		685.95	100			Percent of total billed charges		807	100			Percent of total billed charges		807	100			Percent of total billed charges		807	33.3			Percent of total billed charges		268.731	33.3			Percent of total billed charges		268.731	100			Percent of total billed charges		807	268.731	726.3	
fem hd 28mm lng 00-9026-030-00 zimmer	278	RC	Outpatient			807	524.55		90			Percent of total billed charges		726.3	40			Percent of total billed charges		322.8	80			Percent of total billed charges		645.6	90			Percent of total billed charges		726.3	85			Percent of total billed charges		685.95	85			Percent of total billed charges		685.95	85			Percent of total billed charges		685.95	100			Percent of total billed charges		807	100			Percent of total billed charges		807	100			Percent of total billed charges		807	33.3			Percent of total billed charges		268.731	33.3			Percent of total billed charges		268.731	100			Percent of total billed charges		807	268.731	726.3	
fem hd 28mm plus 00-9026-029-35 zimmer	278	RC	Outpatient			807	524.55		90			Percent of total billed charges		726.3	40			Percent of total billed charges		322.8	80			Percent of total billed charges		645.6	90			Percent of total billed charges		726.3	85			Percent of total billed charges		685.95	85			Percent of total billed charges		685.95	85			Percent of total billed charges		685.95	100			Percent of total billed charges		807	100			Percent of total billed charges		807	100			Percent of total billed charges		807	33.3			Percent of total billed charges		268.731	33.3			Percent of total billed charges		268.731	100			Percent of total billed charges		807	268.731	726.3	
fem head 28mm 9026-28-35 zimmer	278	RC	Outpatient			807	524.55		90			Percent of total billed charges		726.3	40			Percent of total billed charges		322.8	80			Percent of total billed charges		645.6	90			Percent of total billed charges		726.3	85			Percent of total billed charges		685.95	85			Percent of total billed charges		685.95	85			Percent of total billed charges		685.95	100			Percent of total billed charges		807	100			Percent of total billed charges		807	100			Percent of total billed charges		807	33.3			Percent of total billed charges		268.731	33.3			Percent of total billed charges		268.731	100			Percent of total billed charges		807	268.731	726.3	
femoral head 8018-28-01 zimmer	278	RC	Outpatient			807	524.55		90			Percent of total billed charges		726.3	40			Percent of total billed charges		322.8	80			Percent of total billed charges		645.6	90			Percent of total billed charges		726.3	85			Percent of total billed charges		685.95	85			Percent of total billed charges		685.95	85			Percent of total billed charges		685.95	100			Percent of total billed charges		807	100			Percent of total billed charges		807	100			Percent of total billed charges		807	33.3			Percent of total billed charges		268.731	33.3			Percent of total billed charges		268.731	100			Percent of total billed charges		807	268.731	726.3	
zimmer femoral head -2 x 22mm 8018-22-20	278	RC	Outpatient			807	524.55		90			Percent of total billed charges		726.3	40			Percent of total billed charges		322.8	80			Percent of total billed charges		645.6	90			Percent of total billed charges		726.3	85			Percent of total billed charges		685.95	85			Percent of total billed charges		685.95	85			Percent of total billed charges		685.95	100			Percent of total billed charges		807	100			Percent of total billed charges		807	100			Percent of total billed charges		807	33.3			Percent of total billed charges		268.731	33.3			Percent of total billed charges		268.731	100			Percent of total billed charges		807	268.731	726.3	
zimmer femoral head 0 x 22mm 8018-22-02	278	RC	Outpatient			807	524.55		90			Percent of total billed charges		726.3	40			Percent of total billed charges		322.8	80			Percent of total billed charges		645.6	90			Percent of total billed charges		726.3	85			Percent of total billed charges		685.95	85			Percent of total billed charges		685.95	85			Percent of total billed charges		685.95	100			Percent of total billed charges		807	100			Percent of total billed charges		807	100			Percent of total billed charges		807	33.3			Percent of total billed charges		268.731	33.3			Percent of total billed charges		268.731	100			Percent of total billed charges		807	268.731	726.3	
versys femoral head	278	RC	Outpatient			807	524.55		90			Percent of total billed charges		726.3	40			Percent of total billed charges		322.8	80			Percent of total billed charges		645.6	90			Percent of total billed charges		726.3	85			Percent of total billed charges		685.95	85			Percent of total billed charges		685.95	85			Percent of total billed charges		685.95	100			Percent of total billed charges		807	100			Percent of total billed charges		807	100			Percent of total billed charges		807	33.3			Percent of total billed charges		268.731	33.3			Percent of total billed charges		268.731	100			Percent of total billed charges		807	268.731	726.3	
zimmer femoral head +3 x 22mm 8018-22-30	278	RC	Outpatient			807	524.55		90			Percent of total billed charges		726.3	40			Percent of total billed charges		322.8	80			Percent of total billed charges		645.6	90			Percent of total billed charges		726.3	85			Percent of total billed charges		685.95	85			Percent of total billed charges		685.95	85			Percent of total billed charges		685.95	100			Percent of total billed charges		807	100			Percent of total billed charges		807	100			Percent of total billed charges		807	33.3			Percent of total billed charges		268.731	33.3			Percent of total billed charges		268.731	100			Percent of total billed charges		807	268.731	726.3	
zimmer femoral head +3.5 x 28mm 8018-28-03	278	RC	Outpatient			807	524.55		90			Percent of total billed charges		726.3	40			Percent of total billed charges		322.8	80			Percent of total billed charges		645.6	90			Percent of total billed charges		726.3	85			Percent of total billed charges		685.95	85			Percent of total billed charges		685.95	85			Percent of total billed charges		685.95	100			Percent of total billed charges		807	100			Percent of total billed charges		807	100			Percent of total billed charges		807	33.3			Percent of total billed charges		268.731	33.3			Percent of total billed charges		268.731	100			Percent of total billed charges		807	268.731	726.3	
zimmer femoral head +7 x 28mm 8018-28-04	278	RC	Outpatient			807	524.55		90			Percent of total billed charges		726.3	40			Percent of total billed charges		322.8	80			Percent of total billed charges		645.6	90			Percent of total billed charges		726.3	85			Percent of total billed charges		685.95	85			Percent of total billed charges		685.95	85			Percent of total billed charges		685.95	100			Percent of total billed charges		807	100			Percent of total billed charges		807	100			Percent of total billed charges		807	33.3			Percent of total billed charges		268.731	33.3			Percent of total billed charges		268.731	100			Percent of total billed charges		807	268.731	726.3	
zimmer femoral head -10.5 x 28mm 8018-28-05	278	RC	Outpatient			807	524.55		90			Percent of total billed charges		726.3	40			Percent of total billed charges		322.8	80			Percent of total billed charges		645.6	90			Percent of total billed charges		726.3	85			Percent of total billed charges		685.95	85			Percent of total billed charges		685.95	85			Percent of total billed charges		685.95	100			Percent of total billed charges		807	100			Percent of total billed charges		807	100			Percent of total billed charges		807	33.3			Percent of total billed charges		268.731	33.3			Percent of total billed charges		268.731	100			Percent of total billed charges		807	268.731	726.3	
zimmer femoral head -3.5 x 28mm 8018-28-01	278	RC	Outpatient			807	524.55		90			Percent of total billed charges		726.3	40			Percent of total billed charges		322.8	80			Percent of total billed charges		645.6	90			Percent of total billed charges		726.3	85			Percent of total billed charges		685.95	85			Percent of total billed charges		685.95	85			Percent of total billed charges		685.95	100			Percent of total billed charges		807	100			Percent of total billed charges		807	100			Percent of total billed charges		807	33.3			Percent of total billed charges		268.731	33.3			Percent of total billed charges		268.731	100			Percent of total billed charges		807	268.731	726.3	
zimmer femoral head 0 x 28mm 8018-28-02	278	RC	Outpatient			807	524.55		90			Percent of total billed charges		726.3	40			Percent of total billed charges		322.8	80			Percent of total billed charges		645.6	90			Percent of total billed charges		726.3	85			Percent of total billed charges		685.95	85			Percent of total billed charges		685.95	85			Percent of total billed charges		685.95	100			Percent of total billed charges		807	100			Percent of total billed charges		807	100			Percent of total billed charges		807	33.3			Percent of total billed charges		268.731	33.3			Percent of total billed charges		268.731	100			Percent of total billed charges		807	268.731	726.3	
410148sub-select catheter	272	RC	Outpatient			809	525.85		90			Percent of total billed charges		728.1	40			Percent of total billed charges		323.6	80			Percent of total billed charges		647.2	90			Percent of total billed charges		728.1	85			Percent of total billed charges		687.65	85			Percent of total billed charges		687.65	85			Percent of total billed charges		687.65	100			Percent of total billed charges		809	100			Percent of total billed charges		809	100			Percent of total billed charges		809	33.3			Percent of total billed charges		269.397	33.3			Percent of total billed charges		269.397	100			Percent of total billed charges		809	269.397	728.1	
capio suture capturing device 831825 boston scientific	272	RC	Outpatient			809	525.85		90			Percent of total billed charges		728.1	40			Percent of total billed charges		323.6	80			Percent of total billed charges		647.2	90			Percent of total billed charges		728.1	85			Percent of total billed charges		687.65	85			Percent of total billed charges		687.65	85			Percent of total billed charges		687.65	100			Percent of total billed charges		809	100			Percent of total billed charges		809	100			Percent of total billed charges		809	33.3			Percent of total billed charges		269.397	33.3			Percent of total billed charges		269.397	100			Percent of total billed charges		809	269.397	728.1	
capio suture capturing device 831826 boston scientific	272	RC	Outpatient			809	525.85		90			Percent of total billed charges		728.1	40			Percent of total billed charges		323.6	80			Percent of total billed charges		647.2	90			Percent of total billed charges		728.1	85			Percent of total billed charges		687.65	85			Percent of total billed charges		687.65	85			Percent of total billed charges		687.65	100			Percent of total billed charges		809	100			Percent of total billed charges		809	100			Percent of total billed charges		809	33.3			Percent of total billed charges		269.397	33.3			Percent of total billed charges		269.397	100			Percent of total billed charges		809	269.397	728.1	
capio suturing device 831125 boston scientific	272	RC	Outpatient			809	525.85		90			Percent of total billed charges		728.1	40			Percent of total billed charges		323.6	80			Percent of total billed charges		647.2	90			Percent of total billed charges		728.1	85			Percent of total billed charges		687.65	85			Percent of total billed charges		687.65	85			Percent of total billed charges		687.65	100			Percent of total billed charges		809	100			Percent of total billed charges		809	100			Percent of total billed charges		809	33.3			Percent of total billed charges		269.397	33.3			Percent of total billed charges		269.397	100			Percent of total billed charges		809	269.397	728.1	
capio suturing device	272	RC	Outpatient			809	525.85		90			Percent of total billed charges		728.1	40			Percent of total billed charges		323.6	80			Percent of total billed charges		647.2	90			Percent of total billed charges		728.1	85			Percent of total billed charges		687.65	85			Percent of total billed charges		687.65	85			Percent of total billed charges		687.65	100			Percent of total billed charges		809	100			Percent of total billed charges		809	100			Percent of total billed charges		809	33.3			Percent of total billed charges		269.397	33.3			Percent of total billed charges		269.397	100			Percent of total billed charges		809	269.397	728.1	
imhs cp lag screw	278	RC	Outpatient			810	526.5		90			Percent of total billed charges		729	40			Percent of total billed charges		324	80			Percent of total billed charges		648	90			Percent of total billed charges		729	85			Percent of total billed charges		688.5	85			Percent of total billed charges		688.5	85			Percent of total billed charges		688.5	100			Percent of total billed charges		810	100			Percent of total billed charges		810	100			Percent of total billed charges		810	33.3			Percent of total billed charges		269.73	33.3			Percent of total billed charges		269.73	100			Percent of total billed charges		810	269.73	729	
imhs cp lag screw 12.7 x 105mm 7168-4105 s/n	278	RC	Outpatient			810	526.5		90			Percent of total billed charges		729	40			Percent of total billed charges		324	80			Percent of total billed charges		648	90			Percent of total billed charges		729	85			Percent of total billed charges		688.5	85			Percent of total billed charges		688.5	85			Percent of total billed charges		688.5	100			Percent of total billed charges		810	100			Percent of total billed charges		810	100			Percent of total billed charges		810	33.3			Percent of total billed charges		269.73	33.3			Percent of total billed charges		269.73	100			Percent of total billed charges		810	269.73	729	
imhs cp lag screw 12.7 x 110mm 7168-4110 s/n	278	RC	Outpatient			810	526.5		90			Percent of total billed charges		729	40			Percent of total billed charges		324	80			Percent of total billed charges		648	90			Percent of total billed charges		729	85			Percent of total billed charges		688.5	85			Percent of total billed charges		688.5	85			Percent of total billed charges		688.5	100			Percent of total billed charges		810	100			Percent of total billed charges		810	100			Percent of total billed charges		810	33.3			Percent of total billed charges		269.73	33.3			Percent of total billed charges		269.73	100			Percent of total billed charges		810	269.73	729	
imhs cp lag screw 12.7 x 120mm 7168-4120 s/n	278	RC	Outpatient			810	526.5		90			Percent of total billed charges		729	40			Percent of total billed charges		324	80			Percent of total billed charges		648	90			Percent of total billed charges		729	85			Percent of total billed charges		688.5	85			Percent of total billed charges		688.5	85			Percent of total billed charges		688.5	100			Percent of total billed charges		810	100			Percent of total billed charges		810	100			Percent of total billed charges		810	33.3			Percent of total billed charges		269.73	33.3			Percent of total billed charges		269.73	100			Percent of total billed charges		810	269.73	729	
imhs cp lag screw 12.7 x 125mm 7168-4125 s/n	278	RC	Outpatient			810	526.5		90			Percent of total billed charges		729	40			Percent of total billed charges		324	80			Percent of total billed charges		648	90			Percent of total billed charges		729	85			Percent of total billed charges		688.5	85			Percent of total billed charges		688.5	85			Percent of total billed charges		688.5	100			Percent of total billed charges		810	100			Percent of total billed charges		810	100			Percent of total billed charges		810	33.3			Percent of total billed charges		269.73	33.3			Percent of total billed charges		269.73	100			Percent of total billed charges		810	269.73	729	
imhs cp lag screw 12.7 x 130mm 7168-4130 s/n	278	RC	Outpatient			810	526.5		90			Percent of total billed charges		729	40			Percent of total billed charges		324	80			Percent of total billed charges		648	90			Percent of total billed charges		729	85			Percent of total billed charges		688.5	85			Percent of total billed charges		688.5	85			Percent of total billed charges		688.5	100			Percent of total billed charges		810	100			Percent of total billed charges		810	100			Percent of total billed charges		810	33.3			Percent of total billed charges		269.73	33.3			Percent of total billed charges		269.73	100			Percent of total billed charges		810	269.73	729	
imhs cp lag screw 12.7 x 140mm 7168-4140 s/n	278	RC	Outpatient			810	526.5		90			Percent of total billed charges		729	40			Percent of total billed charges		324	80			Percent of total billed charges		648	90			Percent of total billed charges		729	85			Percent of total billed charges		688.5	85			Percent of total billed charges		688.5	85			Percent of total billed charges		688.5	100			Percent of total billed charges		810	100			Percent of total billed charges		810	100			Percent of total billed charges		810	33.3			Percent of total billed charges		269.73	33.3			Percent of total billed charges		269.73	100			Percent of total billed charges		810	269.73	729	
imhs cp lag screw 12.7 x 75mm 7168-4075 s/n	278	RC	Outpatient			810	526.5		90			Percent of total billed charges		729	40			Percent of total billed charges		324	80			Percent of total billed charges		648	90			Percent of total billed charges		729	85			Percent of total billed charges		688.5	85			Percent of total billed charges		688.5	85			Percent of total billed charges		688.5	100			Percent of total billed charges		810	100			Percent of total billed charges		810	100			Percent of total billed charges		810	33.3			Percent of total billed charges		269.73	33.3			Percent of total billed charges		269.73	100			Percent of total billed charges		810	269.73	729	
imhs cp lag screw 12.7 x 85mm 7168-4085 s/n	278	RC	Outpatient			810	526.5		90			Percent of total billed charges		729	40			Percent of total billed charges		324	80			Percent of total billed charges		648	90			Percent of total billed charges		729	85			Percent of total billed charges		688.5	85			Percent of total billed charges		688.5	85			Percent of total billed charges		688.5	100			Percent of total billed charges		810	100			Percent of total billed charges		810	100			Percent of total billed charges		810	33.3			Percent of total billed charges		269.73	33.3			Percent of total billed charges		269.73	100			Percent of total billed charges		810	269.73	729	
imhs cp lag screw 12.7 x 90mm 7168-4090 s/n	278	RC	Outpatient			810	526.5		90			Percent of total billed charges		729	40			Percent of total billed charges		324	80			Percent of total billed charges		648	90			Percent of total billed charges		729	85			Percent of total billed charges		688.5	85			Percent of total billed charges		688.5	85			Percent of total billed charges		688.5	100			Percent of total billed charges		810	100			Percent of total billed charges		810	100			Percent of total billed charges		810	33.3			Percent of total billed charges		269.73	33.3			Percent of total billed charges		269.73	100			Percent of total billed charges		810	269.73	729	
imhs cp lag screw 12.7 x 95mm 7168-4095 s/n	278	RC	Outpatient			810	526.5		90			Percent of total billed charges		729	40			Percent of total billed charges		324	80			Percent of total billed charges		648	90			Percent of total billed charges		729	85			Percent of total billed charges		688.5	85			Percent of total billed charges		688.5	85			Percent of total billed charges		688.5	100			Percent of total billed charges		810	100			Percent of total billed charges		810	100			Percent of total billed charges		810	33.3			Percent of total billed charges		269.73	33.3			Percent of total billed charges		269.73	100			Percent of total billed charges		810	269.73	729	
imhs cp lag screw 12.7 x 100mm 7168-4100 s/n	278	RC	Outpatient			810	526.5		90			Percent of total billed charges		729	40			Percent of total billed charges		324	80			Percent of total billed charges		648	90			Percent of total billed charges		729	85			Percent of total billed charges		688.5	85			Percent of total billed charges		688.5	85			Percent of total billed charges		688.5	100			Percent of total billed charges		810	100			Percent of total billed charges		810	100			Percent of total billed charges		810	33.3			Percent of total billed charges		269.73	33.3			Percent of total billed charges		269.73	100			Percent of total billed charges		810	269.73	729	
imhs cp lag screw 12.7 x 115mm 7168-4115 s/n	278	RC	Outpatient			810	526.5		90			Percent of total billed charges		729	40			Percent of total billed charges		324	80			Percent of total billed charges		648	90			Percent of total billed charges		729	85			Percent of total billed charges		688.5	85			Percent of total billed charges		688.5	85			Percent of total billed charges		688.5	100			Percent of total billed charges		810	100			Percent of total billed charges		810	100			Percent of total billed charges		810	33.3			Percent of total billed charges		269.73	33.3			Percent of total billed charges		269.73	100			Percent of total billed charges		810	269.73	729	
imhs cp lag screw 12.7 x 135mm 7168-4135 s/n	278	RC	Outpatient			810	526.5		90			Percent of total billed charges		729	40			Percent of total billed charges		324	80			Percent of total billed charges		648	90			Percent of total billed charges		729	85			Percent of total billed charges		688.5	85			Percent of total billed charges		688.5	85			Percent of total billed charges		688.5	100			Percent of total billed charges		810	100			Percent of total billed charges		810	100			Percent of total billed charges		810	33.3			Percent of total billed charges		269.73	33.3			Percent of total billed charges		269.73	100			Percent of total billed charges		810	269.73	729	
imhs cp lag screw 12.7 x 70mm 7168-4070 s/n	278	RC	Outpatient			810	526.5		90			Percent of total billed charges		729	40			Percent of total billed charges		324	80			Percent of total billed charges		648	90			Percent of total billed charges		729	85			Percent of total billed charges		688.5	85			Percent of total billed charges		688.5	85			Percent of total billed charges		688.5	100			Percent of total billed charges		810	100			Percent of total billed charges		810	100			Percent of total billed charges		810	33.3			Percent of total billed charges		269.73	33.3			Percent of total billed charges		269.73	100			Percent of total billed charges		810	269.73	729	
imhs cp lag screw 12.7 x 80mm 7168-4080 s/n	278	RC	Outpatient			810	526.5		90			Percent of total billed charges		729	40			Percent of total billed charges		324	80			Percent of total billed charges		648	90			Percent of total billed charges		729	85			Percent of total billed charges		688.5	85			Percent of total billed charges		688.5	85			Percent of total billed charges		688.5	100			Percent of total billed charges		810	100			Percent of total billed charges		810	100			Percent of total billed charges		810	33.3			Percent of total billed charges		269.73	33.3			Percent of total billed charges		269.73	100			Percent of total billed charges		810	269.73	729	
harm scpl 10mm shear -lap	270	RC	Outpatient			812	527.8		90			Percent of total billed charges		730.8	40			Percent of total billed charges		324.8	80			Percent of total billed charges		649.6	90			Percent of total billed charges		730.8	85			Percent of total billed charges		690.2	85			Percent of total billed charges		690.2	85			Percent of total billed charges		690.2	100			Percent of total billed charges		812	100			Percent of total billed charges		812	100			Percent of total billed charges		812	33.3			Percent of total billed charges		270.396	33.3			Percent of total billed charges		270.396	100			Percent of total billed charges		812	270.396	730.8	
harmonic scapel 10mm laproscopic coagulating shears lcs15	270	RC	Outpatient			812	527.8		90			Percent of total billed charges		730.8	40			Percent of total billed charges		324.8	80			Percent of total billed charges		649.6	90			Percent of total billed charges		730.8	85			Percent of total billed charges		690.2	85			Percent of total billed charges		690.2	85			Percent of total billed charges		690.2	100			Percent of total billed charges		812	100			Percent of total billed charges		812	100			Percent of total billed charges		812	33.3			Percent of total billed charges		270.396	33.3			Percent of total billed charges		270.396	100			Percent of total billed charges		812	270.396	730.8	
shears laparsonic coagulating lcs16	270	RC	Outpatient			812	527.8		90			Percent of total billed charges		730.8	40			Percent of total billed charges		324.8	80			Percent of total billed charges		649.6	90			Percent of total billed charges		730.8	85			Percent of total billed charges		690.2	85			Percent of total billed charges		690.2	85			Percent of total billed charges		690.2	100			Percent of total billed charges		812	100			Percent of total billed charges		812	100			Percent of total billed charges		812	33.3			Percent of total billed charges		270.396	33.3			Percent of total billed charges		270.396	100			Percent of total billed charges		812	270.396	730.8	
accuport end delivery cannula 11ga x 120mm 307.034 zimmer	272	RC	Outpatient			813	528.45		90			Percent of total billed charges		731.7	40			Percent of total billed charges		325.2	80			Percent of total billed charges		650.4	90			Percent of total billed charges		731.7	85			Percent of total billed charges		691.05	85			Percent of total billed charges		691.05	85			Percent of total billed charges		691.05	100			Percent of total billed charges		813	100			Percent of total billed charges		813	100			Percent of total billed charges		813	33.3			Percent of total billed charges		270.729	33.3			Percent of total billed charges		270.729	100			Percent of total billed charges		813	270.729	731.7	
accuport side-delivery  cannula 11ga x 120mm  307.032 zimmer	278	RC	Outpatient			813	528.45		90			Percent of total billed charges		731.7	40			Percent of total billed charges		325.2	80			Percent of total billed charges		650.4	90			Percent of total billed charges		731.7	85			Percent of total billed charges		691.05	85			Percent of total billed charges		691.05	85			Percent of total billed charges		691.05	100			Percent of total billed charges		813	100			Percent of total billed charges		813	100			Percent of total billed charges		813	33.3			Percent of total billed charges		270.729	33.3			Percent of total billed charges		270.729	100			Percent of total billed charges		813	270.729	731.7	
11.0mm cannulated drill bit large qc/190mm 360.06 synthes	270	RC	Outpatient			813	528.45		90			Percent of total billed charges		731.7	40			Percent of total billed charges		325.2	80			Percent of total billed charges		650.4	90			Percent of total billed charges		731.7	85			Percent of total billed charges		691.05	85			Percent of total billed charges		691.05	85			Percent of total billed charges		691.05	100			Percent of total billed charges		813	100			Percent of total billed charges		813	100			Percent of total billed charges		813	33.3			Percent of total billed charges		270.729	33.3			Percent of total billed charges		270.729	100			Percent of total billed charges		813	270.729	731.7	
ligasure 10mm ls1037 covidien	272	RC	Outpatient			813	528.45		90			Percent of total billed charges		731.7	40			Percent of total billed charges		325.2	80			Percent of total billed charges		650.4	90			Percent of total billed charges		731.7	85			Percent of total billed charges		691.05	85			Percent of total billed charges		691.05	85			Percent of total billed charges		691.05	100			Percent of total billed charges		813	100			Percent of total billed charges		813	100			Percent of total billed charges		813	33.3			Percent of total billed charges		270.729	33.3			Percent of total billed charges		270.729	100			Percent of total billed charges		813	270.729	731.7	
ligasure v 10mm	272	RC	Outpatient			813	528.45		90			Percent of total billed charges		731.7	40			Percent of total billed charges		325.2	80			Percent of total billed charges		650.4	90			Percent of total billed charges		731.7	85			Percent of total billed charges		691.05	85			Percent of total billed charges		691.05	85			Percent of total billed charges		691.05	100			Percent of total billed charges		813	100			Percent of total billed charges		813	100			Percent of total billed charges		813	33.3			Percent of total billed charges		270.729	33.3			Percent of total billed charges		270.729	100			Percent of total billed charges		813	270.729	731.7	
syn 11.0 cann drill bit	270	RC	Outpatient			813	528.45		90			Percent of total billed charges		731.7	40			Percent of total billed charges		325.2	80			Percent of total billed charges		650.4	90			Percent of total billed charges		731.7	85			Percent of total billed charges		691.05	85			Percent of total billed charges		691.05	85			Percent of total billed charges		691.05	100			Percent of total billed charges		813	100			Percent of total billed charges		813	100			Percent of total billed charges		813	33.3			Percent of total billed charges		270.729	33.3			Percent of total billed charges		270.729	100			Percent of total billed charges		813	270.729	731.7	
3.5mm curved reconstruction plate 18 hole 245.36	278	RC	Outpatient			816	530.4		90			Percent of total billed charges		734.4	40			Percent of total billed charges		326.4	80			Percent of total billed charges		652.8	90			Percent of total billed charges		734.4	85			Percent of total billed charges		693.6	85			Percent of total billed charges		693.6	85			Percent of total billed charges		693.6	100			Percent of total billed charges		816	100			Percent of total billed charges		816	100			Percent of total billed charges		816	33.3			Percent of total billed charges		271.728	33.3			Percent of total billed charges		271.728	100			Percent of total billed charges		816	271.728	734.4	
syn cvd recon plate 18hl	278	RC	Outpatient			816	530.4		90			Percent of total billed charges		734.4	40			Percent of total billed charges		326.4	80			Percent of total billed charges		652.8	90			Percent of total billed charges		734.4	85			Percent of total billed charges		693.6	85			Percent of total billed charges		693.6	85			Percent of total billed charges		693.6	100			Percent of total billed charges		816	100			Percent of total billed charges		816	100			Percent of total billed charges		816	33.3			Percent of total billed charges		271.728	33.3			Percent of total billed charges		271.728	100			Percent of total billed charges		816	271.728	734.4	
speedreleasegÌ?Ì? guided release instrument ref sn20 tmc	272	RC	Outpatient			816.75	530.89		90			Percent of total billed charges		735.075	40			Percent of total billed charges		326.7	80			Percent of total billed charges		653.4	90			Percent of total billed charges		735.075	85			Percent of total billed charges		694.2375	85			Percent of total billed charges		694.2375	85			Percent of total billed charges		694.2375	100			Percent of total billed charges		816.75	100			Percent of total billed charges		816.75	100			Percent of total billed charges		816.75	33.3			Percent of total billed charges		271.9778	33.3			Percent of total billed charges		271.9778	100			Percent of total billed charges		816.75	271.9778	735.075	
15171 trunk and ext each addl 100s charge	761	RC	Outpatient			817	531.05		90			Percent of total billed charges		735.3	40			Percent of total billed charges		326.8	80			Percent of total billed charges		653.6	90			Percent of total billed charges		735.3	85			Percent of total billed charges		694.45	85			Percent of total billed charges		694.45	85			Percent of total billed charges		694.45	100			Percent of total billed charges		817	100			Percent of total billed charges		817	100			Percent of total billed charges		817	33.3			Percent of total billed charges		272.061	33.3			Percent of total billed charges		272.061	100			Percent of total billed charges		817	272.061	735.3	
avaflex curved needle w/o cannula stryker ref 1025-011-500	272	RC	Outpatient			817.84	531.6		90			Percent of total billed charges		736.056	40			Percent of total billed charges		327.136	80			Percent of total billed charges		654.272	90			Percent of total billed charges		736.056	85			Percent of total billed charges		695.164	85			Percent of total billed charges		695.164	85			Percent of total billed charges		695.164	100			Percent of total billed charges		817.84	100			Percent of total billed charges		817.84	100			Percent of total billed charges		817.84	33.3			Percent of total billed charges		272.3407	33.3			Percent of total billed charges		272.3407	100			Percent of total billed charges		817.84	272.3407	736.056	
stryker avaflex curved needle w/o cannula ref 1025011500	272	RC	Outpatient			817.84	531.6		90			Percent of total billed charges		736.056	40			Percent of total billed charges		327.136	80			Percent of total billed charges		654.272	90			Percent of total billed charges		736.056	85			Percent of total billed charges		695.164	85			Percent of total billed charges		695.164	85			Percent of total billed charges		695.164	100			Percent of total billed charges		817.84	100			Percent of total billed charges		817.84	100			Percent of total billed charges		817.84	33.3			Percent of total billed charges		272.3407	33.3			Percent of total billed charges		272.3407	100			Percent of total billed charges		817.84	272.3407	736.056	
cable pin  65mm lg 2232-050-21 zimmer	278	RC	Outpatient			818	531.7		90			Percent of total billed charges		736.2	40			Percent of total billed charges		327.2	80			Percent of total billed charges		654.4	90			Percent of total billed charges		736.2	85			Percent of total billed charges		695.3	85			Percent of total billed charges		695.3	85			Percent of total billed charges		695.3	100			Percent of total billed charges		818	100			Percent of total billed charges		818	100			Percent of total billed charges		818	33.3			Percent of total billed charges		272.394	33.3			Percent of total billed charges		272.394	100			Percent of total billed charges		818	272.394	736.2	
cable pin  35mm lg 2232-050-18 zimmer	278	RC	Outpatient			818	531.7		90			Percent of total billed charges		736.2	40			Percent of total billed charges		327.2	80			Percent of total billed charges		654.4	90			Percent of total billed charges		736.2	85			Percent of total billed charges		695.3	85			Percent of total billed charges		695.3	85			Percent of total billed charges		695.3	100			Percent of total billed charges		818	100			Percent of total billed charges		818	100			Percent of total billed charges		818	33.3			Percent of total billed charges		272.394	33.3			Percent of total billed charges		272.394	100			Percent of total billed charges		818	272.394	736.2	
cable pin  40mm lg 2232-050-19 zimmer	278	RC	Outpatient			818	531.7		90			Percent of total billed charges		736.2	40			Percent of total billed charges		327.2	80			Percent of total billed charges		654.4	90			Percent of total billed charges		736.2	85			Percent of total billed charges		695.3	85			Percent of total billed charges		695.3	85			Percent of total billed charges		695.3	100			Percent of total billed charges		818	100			Percent of total billed charges		818	100			Percent of total billed charges		818	33.3			Percent of total billed charges		272.394	33.3			Percent of total billed charges		272.394	100			Percent of total billed charges		818	272.394	736.2	
cable pin 45mm lg 2232-050-20 zimmer	278	RC	Outpatient			818	531.7		90			Percent of total billed charges		736.2	40			Percent of total billed charges		327.2	80			Percent of total billed charges		654.4	90			Percent of total billed charges		736.2	85			Percent of total billed charges		695.3	85			Percent of total billed charges		695.3	85			Percent of total billed charges		695.3	100			Percent of total billed charges		818	100			Percent of total billed charges		818	100			Percent of total billed charges		818	33.3			Percent of total billed charges		272.394	33.3			Percent of total billed charges		272.394	100			Percent of total billed charges		818	272.394	736.2	
recon plate 4.5mm 3 hole x 45mm 7114-0003 s/n	278	RC	Outpatient			818	531.7		90			Percent of total billed charges		736.2	40			Percent of total billed charges		327.2	80			Percent of total billed charges		654.4	90			Percent of total billed charges		736.2	85			Percent of total billed charges		695.3	85			Percent of total billed charges		695.3	85			Percent of total billed charges		695.3	100			Percent of total billed charges		818	100			Percent of total billed charges		818	100			Percent of total billed charges		818	33.3			Percent of total billed charges		272.394	33.3			Percent of total billed charges		272.394	100			Percent of total billed charges		818	272.394	736.2	
recon plate 4.5mm 4 hole x 61mm 7114-0004 s/n	278	RC	Outpatient			818	531.7		90			Percent of total billed charges		736.2	40			Percent of total billed charges		327.2	80			Percent of total billed charges		654.4	90			Percent of total billed charges		736.2	85			Percent of total billed charges		695.3	85			Percent of total billed charges		695.3	85			Percent of total billed charges		695.3	100			Percent of total billed charges		818	100			Percent of total billed charges		818	100			Percent of total billed charges		818	33.3			Percent of total billed charges		272.394	33.3			Percent of total billed charges		272.394	100			Percent of total billed charges		818	272.394	736.2	
s/n 4.5 recon plate 3-4hl	278	RC	Outpatient			818	531.7		90			Percent of total billed charges		736.2	40			Percent of total billed charges		327.2	80			Percent of total billed charges		654.4	90			Percent of total billed charges		736.2	85			Percent of total billed charges		695.3	85			Percent of total billed charges		695.3	85			Percent of total billed charges		695.3	100			Percent of total billed charges		818	100			Percent of total billed charges		818	100			Percent of total billed charges		818	33.3			Percent of total billed charges		272.394	33.3			Percent of total billed charges		272.394	100			Percent of total billed charges		818	272.394	736.2	
zimmer cable pins	278	RC	Outpatient			818	531.7		90			Percent of total billed charges		736.2	40			Percent of total billed charges		327.2	80			Percent of total billed charges		654.4	90			Percent of total billed charges		736.2	85			Percent of total billed charges		695.3	85			Percent of total billed charges		695.3	85			Percent of total billed charges		695.3	100			Percent of total billed charges		818	100			Percent of total billed charges		818	100			Percent of total billed charges		818	33.3			Percent of total billed charges		272.394	33.3			Percent of total billed charges		272.394	100			Percent of total billed charges		818	272.394	736.2	
arthrex coolcut 90 asp	272	RC	Outpatient			819	532.35		90			Percent of total billed charges		737.1	40			Percent of total billed charges		327.6	80			Percent of total billed charges		655.2	90			Percent of total billed charges		737.1	85			Percent of total billed charges		696.15	85			Percent of total billed charges		696.15	85			Percent of total billed charges		696.15	100			Percent of total billed charges		819	100			Percent of total billed charges		819	100			Percent of total billed charges		819	33.3			Percent of total billed charges		272.727	33.3			Percent of total billed charges		272.727	100			Percent of total billed charges		819	272.727	737.1	
arthrex meniscal cinch ar-4500	278	RC	Outpatient			819	532.35		90			Percent of total billed charges		737.1	40			Percent of total billed charges		327.6	80			Percent of total billed charges		655.2	90			Percent of total billed charges		737.1	85			Percent of total billed charges		696.15	85			Percent of total billed charges		696.15	85			Percent of total billed charges		696.15	100			Percent of total billed charges		819	100			Percent of total billed charges		819	100			Percent of total billed charges		819	33.3			Percent of total billed charges		272.727	33.3			Percent of total billed charges		272.727	100			Percent of total billed charges		819	272.727	737.1	
corkscrew ft micro	278	RC	Outpatient			819	532.35		90			Percent of total billed charges		737.1	40			Percent of total billed charges		327.6	80			Percent of total billed charges		655.2	90			Percent of total billed charges		737.1	85			Percent of total billed charges		696.15	85			Percent of total billed charges		696.15	85			Percent of total billed charges		696.15	100			Percent of total billed charges		819	100			Percent of total billed charges		819	100			Percent of total billed charges		819	33.3			Percent of total billed charges		272.727	33.3			Percent of total billed charges		272.727	100			Percent of total billed charges		819	272.727	737.1	
arthrex cool cut 90 aspirating ablator ar-9803a-90	272	RC	Outpatient			819	532.35		90			Percent of total billed charges		737.1	40			Percent of total billed charges		327.6	80			Percent of total billed charges		655.2	90			Percent of total billed charges		737.1	85			Percent of total billed charges		696.15	85			Percent of total billed charges		696.15	85			Percent of total billed charges		696.15	100			Percent of total billed charges		819	100			Percent of total billed charges		819	100			Percent of total billed charges		819	33.3			Percent of total billed charges		272.727	33.3			Percent of total billed charges		272.727	100			Percent of total billed charges		819	272.727	737.1	
arthrex corkscrew ft micros 2.2 suture anchor ar-1318ft	278	RC	Outpatient			819	532.35		90			Percent of total billed charges		737.1	40			Percent of total billed charges		327.6	80			Percent of total billed charges		655.2	90			Percent of total billed charges		737.1	85			Percent of total billed charges		696.15	85			Percent of total billed charges		696.15	85			Percent of total billed charges		696.15	100			Percent of total billed charges		819	100			Percent of total billed charges		819	100			Percent of total billed charges		819	33.3			Percent of total billed charges		272.727	33.3			Percent of total billed charges		272.727	100			Percent of total billed charges		819	272.727	737.1	
arthrex meniscal cinch	278	RC	Outpatient			819	532.35		90			Percent of total billed charges		737.1	40			Percent of total billed charges		327.6	80			Percent of total billed charges		655.2	90			Percent of total billed charges		737.1	85			Percent of total billed charges		696.15	85			Percent of total billed charges		696.15	85			Percent of total billed charges		696.15	100			Percent of total billed charges		819	100			Percent of total billed charges		819	100			Percent of total billed charges		819	33.3			Percent of total billed charges		272.727	33.3			Percent of total billed charges		272.727	100			Percent of total billed charges		819	272.727	737.1	
arthrex mini corkscrew ft ar1319ft	278	RC	Outpatient			819	532.35		90			Percent of total billed charges		737.1	40			Percent of total billed charges		327.6	80			Percent of total billed charges		655.2	90			Percent of total billed charges		737.1	85			Percent of total billed charges		696.15	85			Percent of total billed charges		696.15	85			Percent of total billed charges		696.15	100			Percent of total billed charges		819	100			Percent of total billed charges		819	100			Percent of total billed charges		819	33.3			Percent of total billed charges		272.727	33.3			Percent of total billed charges		272.727	100			Percent of total billed charges		819	272.727	737.1	
corkscrew ft mini	278	RC	Outpatient			819	532.35		90			Percent of total billed charges		737.1	40			Percent of total billed charges		327.6	80			Percent of total billed charges		655.2	90			Percent of total billed charges		737.1	85			Percent of total billed charges		696.15	85			Percent of total billed charges		696.15	85			Percent of total billed charges		696.15	100			Percent of total billed charges		819	100			Percent of total billed charges		819	100			Percent of total billed charges		819	33.3			Percent of total billed charges		272.727	33.3			Percent of total billed charges		272.727	100			Percent of total billed charges		819	272.727	737.1	
ccpf chemo admin 8 hrs	335	RC	Outpatient			819.88	532.92		90			Percent of total billed charges		737.892	40			Percent of total billed charges		327.952	80			Percent of total billed charges		655.904	90			Percent of total billed charges		737.892	85			Percent of total billed charges		696.898	85			Percent of total billed charges		696.898	85			Percent of total billed charges		696.898	100			Percent of total billed charges		819.88	100			Percent of total billed charges		819.88	100			Percent of total billed charges		819.88	33.3			Percent of total billed charges		273.02	33.3			Percent of total billed charges		273.02	100			Percent of total billed charges		819.88	273.02	737.892	
headless 7.0mm cannulated screw 75mm 7193-4760 s/n	278	RC	Outpatient			820	533		90			Percent of total billed charges		738	40			Percent of total billed charges		328	80			Percent of total billed charges		656	90			Percent of total billed charges		738	85			Percent of total billed charges		697	85			Percent of total billed charges		697	85			Percent of total billed charges		697	100			Percent of total billed charges		820	100			Percent of total billed charges		820	100			Percent of total billed charges		820	33.3			Percent of total billed charges		273.06	33.3			Percent of total billed charges		273.06	100			Percent of total billed charges		820	273.06	738	
headless 7.0mm cannulated screw 70mm 7193-4759 s/n	278	RC	Outpatient			820	533		90			Percent of total billed charges		738	40			Percent of total billed charges		328	80			Percent of total billed charges		656	90			Percent of total billed charges		738	85			Percent of total billed charges		697	85			Percent of total billed charges		697	85			Percent of total billed charges		697	100			Percent of total billed charges		820	100			Percent of total billed charges		820	100			Percent of total billed charges		820	33.3			Percent of total billed charges		273.06	33.3			Percent of total billed charges		273.06	100			Percent of total billed charges		820	273.06	738	
s/n screw 7.0 cann	278	RC	Outpatient			820	533		90			Percent of total billed charges		738	40			Percent of total billed charges		328	80			Percent of total billed charges		656	90			Percent of total billed charges		738	85			Percent of total billed charges		697	85			Percent of total billed charges		697	85			Percent of total billed charges		697	100			Percent of total billed charges		820	100			Percent of total billed charges		820	100			Percent of total billed charges		820	33.3			Percent of total billed charges		273.06	33.3			Percent of total billed charges		273.06	100			Percent of total billed charges		820	273.06	738	
scrmc mic-key low profile g-j tube	621	RC	Outpatient			821	533.65		90			Percent of total billed charges		738.9	40			Percent of total billed charges		328.4	80			Percent of total billed charges		656.8	90			Percent of total billed charges		738.9	85			Percent of total billed charges		697.85	85			Percent of total billed charges		697.85	85			Percent of total billed charges		697.85	100			Percent of total billed charges		821	100			Percent of total billed charges		821	100			Percent of total billed charges		821	33.3			Percent of total billed charges		273.393	33.3			Percent of total billed charges		273.393	100			Percent of total billed charges		821	273.393	738.9	
tisseel 5ml	272	RC	Outpatient			822	534.3		90			Percent of total billed charges		739.8	40			Percent of total billed charges		328.8	80			Percent of total billed charges		657.6	90			Percent of total billed charges		739.8	85			Percent of total billed charges		698.7	85			Percent of total billed charges		698.7	85			Percent of total billed charges		698.7	100			Percent of total billed charges		822	100			Percent of total billed charges		822	100			Percent of total billed charges		822	33.3			Percent of total billed charges		273.726	33.3			Percent of total billed charges		273.726	100			Percent of total billed charges		822	273.726	739.8	
tisseel vh kit 5ml 921030 baxter bioscience	272	RC	Outpatient			822	534.3		90			Percent of total billed charges		739.8	40			Percent of total billed charges		328.8	80			Percent of total billed charges		657.6	90			Percent of total billed charges		739.8	85			Percent of total billed charges		698.7	85			Percent of total billed charges		698.7	85			Percent of total billed charges		698.7	100			Percent of total billed charges		822	100			Percent of total billed charges		822	100			Percent of total billed charges		822	33.3			Percent of total billed charges		273.726	33.3			Percent of total billed charges		273.726	100			Percent of total billed charges		822	273.726	739.8	
clamp universal 393.75 synthes	270	RC	Outpatient			823	534.95		90			Percent of total billed charges		740.7	40			Percent of total billed charges		329.2	80			Percent of total billed charges		658.4	90			Percent of total billed charges		740.7	85			Percent of total billed charges		699.55	85			Percent of total billed charges		699.55	85			Percent of total billed charges		699.55	100			Percent of total billed charges		823	100			Percent of total billed charges		823	100			Percent of total billed charges		823	33.3			Percent of total billed charges		274.059	33.3			Percent of total billed charges		274.059	100			Percent of total billed charges		823	274.059	740.7	
arthrex t3 amz disposables kit ar-13217	272	RC	Outpatient			823	534.95		90			Percent of total billed charges		740.7	40			Percent of total billed charges		329.2	80			Percent of total billed charges		658.4	90			Percent of total billed charges		740.7	85			Percent of total billed charges		699.55	85			Percent of total billed charges		699.55	85			Percent of total billed charges		699.55	100			Percent of total billed charges		823	100			Percent of total billed charges		823	100			Percent of total billed charges		823	33.3			Percent of total billed charges		274.059	33.3			Percent of total billed charges		274.059	100			Percent of total billed charges		823	274.059	740.7	
cancellous chips 30cc 717921 s/n	278	RC	Outpatient			823	534.95		90			Percent of total billed charges		740.7	40			Percent of total billed charges		329.2	80			Percent of total billed charges		658.4	90			Percent of total billed charges		740.7	85			Percent of total billed charges		699.55	85			Percent of total billed charges		699.55	85			Percent of total billed charges		699.55	100			Percent of total billed charges		823	100			Percent of total billed charges		823	100			Percent of total billed charges		823	33.3			Percent of total billed charges		274.059	33.3			Percent of total billed charges		274.059	100			Percent of total billed charges		823	274.059	740.7	
canellous chips 30cc s/n	278	RC	Outpatient			823	534.95		90			Percent of total billed charges		740.7	40			Percent of total billed charges		329.2	80			Percent of total billed charges		658.4	90			Percent of total billed charges		740.7	85			Percent of total billed charges		699.55	85			Percent of total billed charges		699.55	85			Percent of total billed charges		699.55	100			Percent of total billed charges		823	100			Percent of total billed charges		823	100			Percent of total billed charges		823	33.3			Percent of total billed charges		274.059	33.3			Percent of total billed charges		274.059	100			Percent of total billed charges		823	274.059	740.7	
connector universal joint 393.71 synthes	270	RC	Outpatient			823	534.95		90			Percent of total billed charges		740.7	40			Percent of total billed charges		329.2	80			Percent of total billed charges		658.4	90			Percent of total billed charges		740.7	85			Percent of total billed charges		699.55	85			Percent of total billed charges		699.55	85			Percent of total billed charges		699.55	100			Percent of total billed charges		823	100			Percent of total billed charges		823	100			Percent of total billed charges		823	33.3			Percent of total billed charges		274.059	33.3			Percent of total billed charges		274.059	100			Percent of total billed charges		823	274.059	740.7	
ext fix universal clamp	270	RC	Outpatient			823	534.95		90			Percent of total billed charges		740.7	40			Percent of total billed charges		329.2	80			Percent of total billed charges		658.4	90			Percent of total billed charges		740.7	85			Percent of total billed charges		699.55	85			Percent of total billed charges		699.55	85			Percent of total billed charges		699.55	100			Percent of total billed charges		823	100			Percent of total billed charges		823	100			Percent of total billed charges		823	33.3			Percent of total billed charges		274.059	33.3			Percent of total billed charges		274.059	100			Percent of total billed charges		823	274.059	740.7	
7.9 drill bit 702601 stryker	272	RC	Outpatient			824	535.6		90			Percent of total billed charges		741.6	40			Percent of total billed charges		329.6	80			Percent of total billed charges		659.2	90			Percent of total billed charges		741.6	85			Percent of total billed charges		700.4	85			Percent of total billed charges		700.4	85			Percent of total billed charges		700.4	100			Percent of total billed charges		824	100			Percent of total billed charges		824	100			Percent of total billed charges		824	33.3			Percent of total billed charges		274.392	33.3			Percent of total billed charges		274.392	100			Percent of total billed charges		824	274.392	741.6	
integra trocar awl	272	RC	Outpatient			824	535.6		90			Percent of total billed charges		741.6	40			Percent of total billed charges		329.6	80			Percent of total billed charges		659.2	90			Percent of total billed charges		741.6	85			Percent of total billed charges		700.4	85			Percent of total billed charges		700.4	85			Percent of total billed charges		700.4	100			Percent of total billed charges		824	100			Percent of total billed charges		824	100			Percent of total billed charges		824	33.3			Percent of total billed charges		274.392	33.3			Percent of total billed charges		274.392	100			Percent of total billed charges		824	274.392	741.6	
kit lap chole versa step00c9049 dr ivey	270	RC	Outpatient			824	535.6		90			Percent of total billed charges		741.6	40			Percent of total billed charges		329.6	80			Percent of total billed charges		659.2	90			Percent of total billed charges		741.6	85			Percent of total billed charges		700.4	85			Percent of total billed charges		700.4	85			Percent of total billed charges		700.4	100			Percent of total billed charges		824	100			Percent of total billed charges		824	100			Percent of total billed charges		824	33.3			Percent of total billed charges		274.392	33.3			Percent of total billed charges		274.392	100			Percent of total billed charges		824	274.392	741.6	
stryker drill bit 4.9	272	RC	Outpatient			824	535.6		90			Percent of total billed charges		741.6	40			Percent of total billed charges		329.6	80			Percent of total billed charges		659.2	90			Percent of total billed charges		741.6	85			Percent of total billed charges		700.4	85			Percent of total billed charges		700.4	85			Percent of total billed charges		700.4	100			Percent of total billed charges		824	100			Percent of total billed charges		824	100			Percent of total billed charges		824	33.3			Percent of total billed charges		274.392	33.3			Percent of total billed charges		274.392	100			Percent of total billed charges		824	274.392	741.6	
trocar awl 519-040nd intregra life science	272	RC	Outpatient			824	535.6		90			Percent of total billed charges		741.6	40			Percent of total billed charges		329.6	80			Percent of total billed charges		659.2	90			Percent of total billed charges		741.6	85			Percent of total billed charges		700.4	85			Percent of total billed charges		700.4	85			Percent of total billed charges		700.4	100			Percent of total billed charges		824	100			Percent of total billed charges		824	100			Percent of total billed charges		824	33.3			Percent of total billed charges		274.392	33.3			Percent of total billed charges		274.392	100			Percent of total billed charges		824	274.392	741.6	
ussc lap gb kit	270	RC	Outpatient			824	535.6		90			Percent of total billed charges		741.6	40			Percent of total billed charges		329.6	80			Percent of total billed charges		659.2	90			Percent of total billed charges		741.6	85			Percent of total billed charges		700.4	85			Percent of total billed charges		700.4	85			Percent of total billed charges		700.4	100			Percent of total billed charges		824	100			Percent of total billed charges		824	100			Percent of total billed charges		824	33.3			Percent of total billed charges		274.392	33.3			Percent of total billed charges		274.392	100			Percent of total billed charges		824	274.392	741.6	
2.75mm drill w/ 0.066 cannulation ar-7000-14 arthrex	272	RC	Outpatient			825	536.25		90			Percent of total billed charges		742.5	40			Percent of total billed charges		330	80			Percent of total billed charges		660	90			Percent of total billed charges		742.5	85			Percent of total billed charges		701.25	85			Percent of total billed charges		701.25	85			Percent of total billed charges		701.25	100			Percent of total billed charges		825	100			Percent of total billed charges		825	100			Percent of total billed charges		825	33.3			Percent of total billed charges		274.725	33.3			Percent of total billed charges		274.725	100			Percent of total billed charges		825	274.725	742.5	
bs 7731- 52cm ;7732-58cm;7735- 45cm;7736- 52cm lead	278	RC	Outpatient			825	536.25		90			Percent of total billed charges		742.5	40			Percent of total billed charges		330	80			Percent of total billed charges		660	90			Percent of total billed charges		742.5	85			Percent of total billed charges		701.25	85			Percent of total billed charges		701.25	85			Percent of total billed charges		701.25	100			Percent of total billed charges		825	100			Percent of total billed charges		825	100			Percent of total billed charges		825	33.3			Percent of total billed charges		274.725	33.3			Percent of total billed charges		274.725	100			Percent of total billed charges		825	274.725	742.5	
intra-aortic pump 1 time	270	RC	Outpatient			825	536.25		90			Percent of total billed charges		742.5	40			Percent of total billed charges		330	80			Percent of total billed charges		660	90			Percent of total billed charges		742.5	85			Percent of total billed charges		701.25	85			Percent of total billed charges		701.25	85			Percent of total billed charges		701.25	100			Percent of total billed charges		825	100			Percent of total billed charges		825	100			Percent of total billed charges		825	33.3			Percent of total billed charges		274.725	33.3			Percent of total billed charges		274.725	100			Percent of total billed charges		825	274.725	742.5	
arthrotek bone mulch kit	270	RC	Outpatient			826	536.9		90			Percent of total billed charges		743.4	40			Percent of total billed charges		330.4	80			Percent of total billed charges		660.8	90			Percent of total billed charges		743.4	85			Percent of total billed charges		702.1	85			Percent of total billed charges		702.1	85			Percent of total billed charges		702.1	100			Percent of total billed charges		826	100			Percent of total billed charges		826	100			Percent of total billed charges		826	33.3			Percent of total billed charges		275.058	33.3			Percent of total billed charges		275.058	100			Percent of total billed charges		826	275.058	743.4	
disposable kit #3 cp456453 arthrotek biomet sports med	270	RC	Outpatient			826	536.9		90			Percent of total billed charges		743.4	40			Percent of total billed charges		330.4	80			Percent of total billed charges		660.8	90			Percent of total billed charges		743.4	85			Percent of total billed charges		702.1	85			Percent of total billed charges		702.1	85			Percent of total billed charges		702.1	100			Percent of total billed charges		826	100			Percent of total billed charges		826	100			Percent of total billed charges		826	33.3			Percent of total billed charges		275.058	33.3			Percent of total billed charges		275.058	100			Percent of total billed charges		826	275.058	743.4	
drill bit 1.8 71101525 s/n	272	RC	Outpatient			826	536.9		90			Percent of total billed charges		743.4	40			Percent of total billed charges		330.4	80			Percent of total billed charges		660.8	90			Percent of total billed charges		743.4	85			Percent of total billed charges		702.1	85			Percent of total billed charges		702.1	85			Percent of total billed charges		702.1	100			Percent of total billed charges		826	100			Percent of total billed charges		826	100			Percent of total billed charges		826	33.3			Percent of total billed charges		275.058	33.3			Percent of total billed charges		275.058	100			Percent of total billed charges		826	275.058	743.4	
drill bit 2.0 71177110 s/n	272	RC	Outpatient			826	536.9		90			Percent of total billed charges		743.4	40			Percent of total billed charges		330.4	80			Percent of total billed charges		660.8	90			Percent of total billed charges		743.4	85			Percent of total billed charges		702.1	85			Percent of total billed charges		702.1	85			Percent of total billed charges		702.1	100			Percent of total billed charges		826	100			Percent of total billed charges		826	100			Percent of total billed charges		826	33.3			Percent of total billed charges		275.058	33.3			Percent of total billed charges		275.058	100			Percent of total billed charges		826	275.058	743.4	
s/n drill bit 1.8 & 2.0	272	RC	Outpatient			826	536.9		90			Percent of total billed charges		743.4	40			Percent of total billed charges		330.4	80			Percent of total billed charges		660.8	90			Percent of total billed charges		743.4	85			Percent of total billed charges		702.1	85			Percent of total billed charges		702.1	85			Percent of total billed charges		702.1	100			Percent of total billed charges		826	100			Percent of total billed charges		826	100			Percent of total billed charges		826	33.3			Percent of total billed charges		275.058	33.3			Percent of total billed charges		275.058	100			Percent of total billed charges		826	275.058	743.4	
pacu time 4 hours	270	RC	Outpatient			828	538.2		90			Percent of total billed charges		745.2	40			Percent of total billed charges		331.2	80			Percent of total billed charges		662.4	90			Percent of total billed charges		745.2	85			Percent of total billed charges		703.8	85			Percent of total billed charges		703.8	85			Percent of total billed charges		703.8	100			Percent of total billed charges		828	100			Percent of total billed charges		828	100			Percent of total billed charges		828	33.3			Percent of total billed charges		275.724	33.3			Percent of total billed charges		275.724	100			Percent of total billed charges		828	275.724	745.2	
pangea lock cap	278	RC	Outpatient			830	539.5		90			Percent of total billed charges		747	40			Percent of total billed charges		332	80			Percent of total billed charges		664	90			Percent of total billed charges		747	85			Percent of total billed charges		705.5	85			Percent of total billed charges		705.5	85			Percent of total billed charges		705.5	100			Percent of total billed charges		830	100			Percent of total billed charges		830	100			Percent of total billed charges		830	33.3			Percent of total billed charges		276.39	33.3			Percent of total billed charges		276.39	100			Percent of total billed charges		830	276.39	747	
titanium pangea locking cap 04.620.000 synthes	278	RC	Outpatient			830	539.5		90			Percent of total billed charges		747	40			Percent of total billed charges		332	80			Percent of total billed charges		664	90			Percent of total billed charges		747	85			Percent of total billed charges		705.5	85			Percent of total billed charges		705.5	85			Percent of total billed charges		705.5	100			Percent of total billed charges		830	100			Percent of total billed charges		830	100			Percent of total billed charges		830	33.3			Percent of total billed charges		276.39	33.3			Percent of total billed charges		276.39	100			Percent of total billed charges		830	276.39	747	
2.7mm reconstruction plate straight 24 hole 192mm 00-1179-013-24 zimmer	278	RC	Outpatient			832	540.8		90			Percent of total billed charges		748.8	40			Percent of total billed charges		332.8	80			Percent of total billed charges		665.6	90			Percent of total billed charges		748.8	85			Percent of total billed charges		707.2	85			Percent of total billed charges		707.2	85			Percent of total billed charges		707.2	100			Percent of total billed charges		832	100			Percent of total billed charges		832	100			Percent of total billed charges		832	33.3			Percent of total billed charges		277.056	33.3			Percent of total billed charges		277.056	100			Percent of total billed charges		832	277.056	748.8	
flexiva tractip 200 laser fiber bost scientific  840-396	272	RC	Outpatient			832	540.8		90			Percent of total billed charges		748.8	40			Percent of total billed charges		332.8	80			Percent of total billed charges		665.6	90			Percent of total billed charges		748.8	85			Percent of total billed charges		707.2	85			Percent of total billed charges		707.2	85			Percent of total billed charges		707.2	100			Percent of total billed charges		832	100			Percent of total billed charges		832	100			Percent of total billed charges		832	33.3			Percent of total billed charges		277.056	33.3			Percent of total billed charges		277.056	100			Percent of total billed charges		832	277.056	748.8	
trac tip 200 laser fiber	272	RC	Outpatient			832	540.8		90			Percent of total billed charges		748.8	40			Percent of total billed charges		332.8	80			Percent of total billed charges		665.6	90			Percent of total billed charges		748.8	85			Percent of total billed charges		707.2	85			Percent of total billed charges		707.2	85			Percent of total billed charges		707.2	100			Percent of total billed charges		832	100			Percent of total billed charges		832	100			Percent of total billed charges		832	33.3			Percent of total billed charges		277.056	33.3			Percent of total billed charges		277.056	100			Percent of total billed charges		832	277.056	748.8	
v40 femoral head  28mm +4 6260-5-228 styker	278	RC	Outpatient			832	540.8		90			Percent of total billed charges		748.8	40			Percent of total billed charges		332.8	80			Percent of total billed charges		665.6	90			Percent of total billed charges		748.8	85			Percent of total billed charges		707.2	85			Percent of total billed charges		707.2	85			Percent of total billed charges		707.2	100			Percent of total billed charges		832	100			Percent of total billed charges		832	100			Percent of total billed charges		832	33.3			Percent of total billed charges		277.056	33.3			Percent of total billed charges		277.056	100			Percent of total billed charges		832	277.056	748.8	
v40 femoral head  28mm 0 6260-5-128 styker	278	RC	Outpatient			832	540.8		90			Percent of total billed charges		748.8	40			Percent of total billed charges		332.8	80			Percent of total billed charges		665.6	90			Percent of total billed charges		748.8	85			Percent of total billed charges		707.2	85			Percent of total billed charges		707.2	85			Percent of total billed charges		707.2	100			Percent of total billed charges		832	100			Percent of total billed charges		832	100			Percent of total billed charges		832	33.3			Percent of total billed charges		277.056	33.3			Percent of total billed charges		277.056	100			Percent of total billed charges		832	277.056	748.8	
v40 femoral head  22mm +3 6260-4-222 styker	278	RC	Outpatient			832	540.8		90			Percent of total billed charges		748.8	40			Percent of total billed charges		332.8	80			Percent of total billed charges		665.6	90			Percent of total billed charges		748.8	85			Percent of total billed charges		707.2	85			Percent of total billed charges		707.2	85			Percent of total billed charges		707.2	100			Percent of total billed charges		832	100			Percent of total billed charges		832	100			Percent of total billed charges		832	33.3			Percent of total billed charges		277.056	33.3			Percent of total billed charges		277.056	100			Percent of total billed charges		832	277.056	748.8	
zimm 2.7 recon pl 24 hole	278	RC	Outpatient			832	540.8		90			Percent of total billed charges		748.8	40			Percent of total billed charges		332.8	80			Percent of total billed charges		665.6	90			Percent of total billed charges		748.8	85			Percent of total billed charges		707.2	85			Percent of total billed charges		707.2	85			Percent of total billed charges		707.2	100			Percent of total billed charges		832	100			Percent of total billed charges		832	100			Percent of total billed charges		832	33.3			Percent of total billed charges		277.056	33.3			Percent of total billed charges		277.056	100			Percent of total billed charges		832	277.056	748.8	
chronos beta-tcp gran med	278	RC	Outpatient			833	541.45		90			Percent of total billed charges		749.7	40			Percent of total billed charges		333.2	80			Percent of total billed charges		666.4	90			Percent of total billed charges		749.7	85			Percent of total billed charges		708.05	85			Percent of total billed charges		708.05	85			Percent of total billed charges		708.05	100			Percent of total billed charges		833	100			Percent of total billed charges		833	100			Percent of total billed charges		833	33.3			Percent of total billed charges		277.389	33.3			Percent of total billed charges		277.389	100			Percent of total billed charges		833	277.389	749.7	
acl disposable kit 232300 mitek	272	RC	Outpatient			833	541.45		90			Percent of total billed charges		749.7	40			Percent of total billed charges		333.2	80			Percent of total billed charges		666.4	90			Percent of total billed charges		749.7	85			Percent of total billed charges		708.05	85			Percent of total billed charges		708.05	85			Percent of total billed charges		708.05	100			Percent of total billed charges		833	100			Percent of total billed charges		833	100			Percent of total billed charges		833	33.3			Percent of total billed charges		277.389	33.3			Percent of total billed charges		277.389	100			Percent of total billed charges		833	277.389	749.7	
chronos beta-tcp granules--med 1.4-2.8mm/5cc 2519575 synthes	278	RC	Outpatient			833	541.45		90			Percent of total billed charges		749.7	40			Percent of total billed charges		333.2	80			Percent of total billed charges		666.4	90			Percent of total billed charges		749.7	85			Percent of total billed charges		708.05	85			Percent of total billed charges		708.05	85			Percent of total billed charges		708.05	100			Percent of total billed charges		833	100			Percent of total billed charges		833	100			Percent of total billed charges		833	33.3			Percent of total billed charges		277.389	33.3			Percent of total billed charges		277.389	100			Percent of total billed charges		833	277.389	749.7	
mitek acl kit 232300 depuy	272	RC	Outpatient			833	541.45		90			Percent of total billed charges		749.7	40			Percent of total billed charges		333.2	80			Percent of total billed charges		666.4	90			Percent of total billed charges		749.7	85			Percent of total billed charges		708.05	85			Percent of total billed charges		708.05	85			Percent of total billed charges		708.05	100			Percent of total billed charges		833	100			Percent of total billed charges		833	100			Percent of total billed charges		833	33.3			Percent of total billed charges		277.389	33.3			Percent of total billed charges		277.389	100			Percent of total billed charges		833	277.389	749.7	
mitek acl kit	272	RC	Outpatient			833	541.45		90			Percent of total billed charges		749.7	40			Percent of total billed charges		333.2	80			Percent of total billed charges		666.4	90			Percent of total billed charges		749.7	85			Percent of total billed charges		708.05	85			Percent of total billed charges		708.05	85			Percent of total billed charges		708.05	100			Percent of total billed charges		833	100			Percent of total billed charges		833	100			Percent of total billed charges		833	33.3			Percent of total billed charges		277.389	33.3			Percent of total billed charges		277.389	100			Percent of total billed charges		833	277.389	749.7	
toggleloc fem fixation device w/ ziploop 904755 biomet sports	278	RC	Outpatient			833	541.45		90			Percent of total billed charges		749.7	40			Percent of total billed charges		333.2	80			Percent of total billed charges		666.4	90			Percent of total billed charges		749.7	85			Percent of total billed charges		708.05	85			Percent of total billed charges		708.05	85			Percent of total billed charges		708.05	100			Percent of total billed charges		833	100			Percent of total billed charges		833	100			Percent of total billed charges		833	33.3			Percent of total billed charges		277.389	33.3			Percent of total billed charges		277.389	100			Percent of total billed charges		833	277.389	749.7	
toggleloc fem fix 904755	278	RC	Outpatient			833	541.45		90			Percent of total billed charges		749.7	40			Percent of total billed charges		333.2	80			Percent of total billed charges		666.4	90			Percent of total billed charges		749.7	85			Percent of total billed charges		708.05	85			Percent of total billed charges		708.05	85			Percent of total billed charges		708.05	100			Percent of total billed charges		833	100			Percent of total billed charges		833	100			Percent of total billed charges		833	33.3			Percent of total billed charges		277.389	33.3			Percent of total billed charges		277.389	100			Percent of total billed charges		833	277.389	749.7	
richards prim.dis. sleeve	270	RC	Outpatient			835	542.75		90			Percent of total billed charges		751.5	40			Percent of total billed charges		334	80			Percent of total billed charges		668	90			Percent of total billed charges		751.5	85			Percent of total billed charges		709.75	85			Percent of total billed charges		709.75	85			Percent of total billed charges		709.75	100			Percent of total billed charges		835	100			Percent of total billed charges		835	100			Percent of total billed charges		835	33.3			Percent of total billed charges		278.055	33.3			Percent of total billed charges		278.055	100			Percent of total billed charges		835	278.055	751.5	
bipolar metal shell 66mm od 00-5001-066-00 zimmer	278	RC	Outpatient			836	543.4		90			Percent of total billed charges		752.4	40			Percent of total billed charges		334.4	80			Percent of total billed charges		668.8	90			Percent of total billed charges		752.4	85			Percent of total billed charges		710.6	85			Percent of total billed charges		710.6	85			Percent of total billed charges		710.6	100			Percent of total billed charges		836	100			Percent of total billed charges		836	100			Percent of total billed charges		836	33.3			Percent of total billed charges		278.388	33.3			Percent of total billed charges		278.388	100			Percent of total billed charges		836	278.388	752.4	
zimmer bipolar metal shell 38mm 5001-38	278	RC	Outpatient			836	543.4		90			Percent of total billed charges		752.4	40			Percent of total billed charges		334.4	80			Percent of total billed charges		668.8	90			Percent of total billed charges		752.4	85			Percent of total billed charges		710.6	85			Percent of total billed charges		710.6	85			Percent of total billed charges		710.6	100			Percent of total billed charges		836	100			Percent of total billed charges		836	100			Percent of total billed charges		836	33.3			Percent of total billed charges		278.388	33.3			Percent of total billed charges		278.388	100			Percent of total billed charges		836	278.388	752.4	
zimmer bipolar metal shell 39mm 5001-39	278	RC	Outpatient			836	543.4		90			Percent of total billed charges		752.4	40			Percent of total billed charges		334.4	80			Percent of total billed charges		668.8	90			Percent of total billed charges		752.4	85			Percent of total billed charges		710.6	85			Percent of total billed charges		710.6	85			Percent of total billed charges		710.6	100			Percent of total billed charges		836	100			Percent of total billed charges		836	100			Percent of total billed charges		836	33.3			Percent of total billed charges		278.388	33.3			Percent of total billed charges		278.388	100			Percent of total billed charges		836	278.388	752.4	
zimmer bipolar metal shell 40mm 5001-40	278	RC	Outpatient			836	543.4		90			Percent of total billed charges		752.4	40			Percent of total billed charges		334.4	80			Percent of total billed charges		668.8	90			Percent of total billed charges		752.4	85			Percent of total billed charges		710.6	85			Percent of total billed charges		710.6	85			Percent of total billed charges		710.6	100			Percent of total billed charges		836	100			Percent of total billed charges		836	100			Percent of total billed charges		836	33.3			Percent of total billed charges		278.388	33.3			Percent of total billed charges		278.388	100			Percent of total billed charges		836	278.388	752.4	
zimmer bipolar metal shell 41mm 5001-41	278	RC	Outpatient			836	543.4		90			Percent of total billed charges		752.4	40			Percent of total billed charges		334.4	80			Percent of total billed charges		668.8	90			Percent of total billed charges		752.4	85			Percent of total billed charges		710.6	85			Percent of total billed charges		710.6	85			Percent of total billed charges		710.6	100			Percent of total billed charges		836	100			Percent of total billed charges		836	100			Percent of total billed charges		836	33.3			Percent of total billed charges		278.388	33.3			Percent of total billed charges		278.388	100			Percent of total billed charges		836	278.388	752.4	
zimmer bipolar metal shell 43mm 5001-43	278	RC	Outpatient			836	543.4		90			Percent of total billed charges		752.4	40			Percent of total billed charges		334.4	80			Percent of total billed charges		668.8	90			Percent of total billed charges		752.4	85			Percent of total billed charges		710.6	85			Percent of total billed charges		710.6	85			Percent of total billed charges		710.6	100			Percent of total billed charges		836	100			Percent of total billed charges		836	100			Percent of total billed charges		836	33.3			Percent of total billed charges		278.388	33.3			Percent of total billed charges		278.388	100			Percent of total billed charges		836	278.388	752.4	
zimmer bipolar metal shell 44mm 5001-44	278	RC	Outpatient			836	543.4		90			Percent of total billed charges		752.4	40			Percent of total billed charges		334.4	80			Percent of total billed charges		668.8	90			Percent of total billed charges		752.4	85			Percent of total billed charges		710.6	85			Percent of total billed charges		710.6	85			Percent of total billed charges		710.6	100			Percent of total billed charges		836	100			Percent of total billed charges		836	100			Percent of total billed charges		836	33.3			Percent of total billed charges		278.388	33.3			Percent of total billed charges		278.388	100			Percent of total billed charges		836	278.388	752.4	
zimmer bipolar metal shell 45mm 5001-45	278	RC	Outpatient			836	543.4		90			Percent of total billed charges		752.4	40			Percent of total billed charges		334.4	80			Percent of total billed charges		668.8	90			Percent of total billed charges		752.4	85			Percent of total billed charges		710.6	85			Percent of total billed charges		710.6	85			Percent of total billed charges		710.6	100			Percent of total billed charges		836	100			Percent of total billed charges		836	100			Percent of total billed charges		836	33.3			Percent of total billed charges		278.388	33.3			Percent of total billed charges		278.388	100			Percent of total billed charges		836	278.388	752.4	
zimmer bipolar metal shell 46mm 5001-46	278	RC	Outpatient			836	543.4		90			Percent of total billed charges		752.4	40			Percent of total billed charges		334.4	80			Percent of total billed charges		668.8	90			Percent of total billed charges		752.4	85			Percent of total billed charges		710.6	85			Percent of total billed charges		710.6	85			Percent of total billed charges		710.6	100			Percent of total billed charges		836	100			Percent of total billed charges		836	100			Percent of total billed charges		836	33.3			Percent of total billed charges		278.388	33.3			Percent of total billed charges		278.388	100			Percent of total billed charges		836	278.388	752.4	
zimmer bipolar metal shell 47mm 5001-47	278	RC	Outpatient			836	543.4		90			Percent of total billed charges		752.4	40			Percent of total billed charges		334.4	80			Percent of total billed charges		668.8	90			Percent of total billed charges		752.4	85			Percent of total billed charges		710.6	85			Percent of total billed charges		710.6	85			Percent of total billed charges		710.6	100			Percent of total billed charges		836	100			Percent of total billed charges		836	100			Percent of total billed charges		836	33.3			Percent of total billed charges		278.388	33.3			Percent of total billed charges		278.388	100			Percent of total billed charges		836	278.388	752.4	
zimmer bipolar metal shell 49mm 5001-49	278	RC	Outpatient			836	543.4		90			Percent of total billed charges		752.4	40			Percent of total billed charges		334.4	80			Percent of total billed charges		668.8	90			Percent of total billed charges		752.4	85			Percent of total billed charges		710.6	85			Percent of total billed charges		710.6	85			Percent of total billed charges		710.6	100			Percent of total billed charges		836	100			Percent of total billed charges		836	100			Percent of total billed charges		836	33.3			Percent of total billed charges		278.388	33.3			Percent of total billed charges		278.388	100			Percent of total billed charges		836	278.388	752.4	
zimmer bipolar metal shell 51mm 5001-51	278	RC	Outpatient			836	543.4		90			Percent of total billed charges		752.4	40			Percent of total billed charges		334.4	80			Percent of total billed charges		668.8	90			Percent of total billed charges		752.4	85			Percent of total billed charges		710.6	85			Percent of total billed charges		710.6	85			Percent of total billed charges		710.6	100			Percent of total billed charges		836	100			Percent of total billed charges		836	100			Percent of total billed charges		836	33.3			Percent of total billed charges		278.388	33.3			Percent of total billed charges		278.388	100			Percent of total billed charges		836	278.388	752.4	
zimmer bipolar metal shell 53mm 5001-53	278	RC	Outpatient			836	543.4		90			Percent of total billed charges		752.4	40			Percent of total billed charges		334.4	80			Percent of total billed charges		668.8	90			Percent of total billed charges		752.4	85			Percent of total billed charges		710.6	85			Percent of total billed charges		710.6	85			Percent of total billed charges		710.6	100			Percent of total billed charges		836	100			Percent of total billed charges		836	100			Percent of total billed charges		836	33.3			Percent of total billed charges		278.388	33.3			Percent of total billed charges		278.388	100			Percent of total billed charges		836	278.388	752.4	
zimmer bipolar metal shell 54mm 5001-54	278	RC	Outpatient			836	543.4		90			Percent of total billed charges		752.4	40			Percent of total billed charges		334.4	80			Percent of total billed charges		668.8	90			Percent of total billed charges		752.4	85			Percent of total billed charges		710.6	85			Percent of total billed charges		710.6	85			Percent of total billed charges		710.6	100			Percent of total billed charges		836	100			Percent of total billed charges		836	100			Percent of total billed charges		836	33.3			Percent of total billed charges		278.388	33.3			Percent of total billed charges		278.388	100			Percent of total billed charges		836	278.388	752.4	
zimmer bipolar metal shell 57mm 5001-57	278	RC	Outpatient			836	543.4		90			Percent of total billed charges		752.4	40			Percent of total billed charges		334.4	80			Percent of total billed charges		668.8	90			Percent of total billed charges		752.4	85			Percent of total billed charges		710.6	85			Percent of total billed charges		710.6	85			Percent of total billed charges		710.6	100			Percent of total billed charges		836	100			Percent of total billed charges		836	100			Percent of total billed charges		836	33.3			Percent of total billed charges		278.388	33.3			Percent of total billed charges		278.388	100			Percent of total billed charges		836	278.388	752.4	
zimmer bipolar metal shell 58mm 5001-58	278	RC	Outpatient			836	543.4		90			Percent of total billed charges		752.4	40			Percent of total billed charges		334.4	80			Percent of total billed charges		668.8	90			Percent of total billed charges		752.4	85			Percent of total billed charges		710.6	85			Percent of total billed charges		710.6	85			Percent of total billed charges		710.6	100			Percent of total billed charges		836	100			Percent of total billed charges		836	100			Percent of total billed charges		836	33.3			Percent of total billed charges		278.388	33.3			Percent of total billed charges		278.388	100			Percent of total billed charges		836	278.388	752.4	
zimmer bipolar metal shell 60mm 5001-60	278	RC	Outpatient			836	543.4		90			Percent of total billed charges		752.4	40			Percent of total billed charges		334.4	80			Percent of total billed charges		668.8	90			Percent of total billed charges		752.4	85			Percent of total billed charges		710.6	85			Percent of total billed charges		710.6	85			Percent of total billed charges		710.6	100			Percent of total billed charges		836	100			Percent of total billed charges		836	100			Percent of total billed charges		836	33.3			Percent of total billed charges		278.388	33.3			Percent of total billed charges		278.388	100			Percent of total billed charges		836	278.388	752.4	
zimmer bipolar metal shell 62mm 5001-62	278	RC	Outpatient			836	543.4		90			Percent of total billed charges		752.4	40			Percent of total billed charges		334.4	80			Percent of total billed charges		668.8	90			Percent of total billed charges		752.4	85			Percent of total billed charges		710.6	85			Percent of total billed charges		710.6	85			Percent of total billed charges		710.6	100			Percent of total billed charges		836	100			Percent of total billed charges		836	100			Percent of total billed charges		836	33.3			Percent of total billed charges		278.388	33.3			Percent of total billed charges		278.388	100			Percent of total billed charges		836	278.388	752.4	
zimmer bipolar metal shell 64mm 5001-64	278	RC	Outpatient			836	543.4		90			Percent of total billed charges		752.4	40			Percent of total billed charges		334.4	80			Percent of total billed charges		668.8	90			Percent of total billed charges		752.4	85			Percent of total billed charges		710.6	85			Percent of total billed charges		710.6	85			Percent of total billed charges		710.6	100			Percent of total billed charges		836	100			Percent of total billed charges		836	100			Percent of total billed charges		836	33.3			Percent of total billed charges		278.388	33.3			Percent of total billed charges		278.388	100			Percent of total billed charges		836	278.388	752.4	
zimmer bipolar metal shell 70mm 5001-70	278	RC	Outpatient			836	543.4		90			Percent of total billed charges		752.4	40			Percent of total billed charges		334.4	80			Percent of total billed charges		668.8	90			Percent of total billed charges		752.4	85			Percent of total billed charges		710.6	85			Percent of total billed charges		710.6	85			Percent of total billed charges		710.6	100			Percent of total billed charges		836	100			Percent of total billed charges		836	100			Percent of total billed charges		836	33.3			Percent of total billed charges		278.388	33.3			Percent of total billed charges		278.388	100			Percent of total billed charges		836	278.388	752.4	
zimm bipolar shell	278	RC	Outpatient			836	543.4		90			Percent of total billed charges		752.4	40			Percent of total billed charges		334.4	80			Percent of total billed charges		668.8	90			Percent of total billed charges		752.4	85			Percent of total billed charges		710.6	85			Percent of total billed charges		710.6	85			Percent of total billed charges		710.6	100			Percent of total billed charges		836	100			Percent of total billed charges		836	100			Percent of total billed charges		836	33.3			Percent of total billed charges		278.388	33.3			Percent of total billed charges		278.388	100			Percent of total billed charges		836	278.388	752.4	
zimmer bipolar metal shell 42mm 5001-42	278	RC	Outpatient			836	543.4		90			Percent of total billed charges		752.4	40			Percent of total billed charges		334.4	80			Percent of total billed charges		668.8	90			Percent of total billed charges		752.4	85			Percent of total billed charges		710.6	85			Percent of total billed charges		710.6	85			Percent of total billed charges		710.6	100			Percent of total billed charges		836	100			Percent of total billed charges		836	100			Percent of total billed charges		836	33.3			Percent of total billed charges		278.388	33.3			Percent of total billed charges		278.388	100			Percent of total billed charges		836	278.388	752.4	
zimmer bipolar metal shell 48mm 5001-48	278	RC	Outpatient			836	543.4		90			Percent of total billed charges		752.4	40			Percent of total billed charges		334.4	80			Percent of total billed charges		668.8	90			Percent of total billed charges		752.4	85			Percent of total billed charges		710.6	85			Percent of total billed charges		710.6	85			Percent of total billed charges		710.6	100			Percent of total billed charges		836	100			Percent of total billed charges		836	100			Percent of total billed charges		836	33.3			Percent of total billed charges		278.388	33.3			Percent of total billed charges		278.388	100			Percent of total billed charges		836	278.388	752.4	
zimmer bipolar metal shell 50mm 5001-50	278	RC	Outpatient			836	543.4		90			Percent of total billed charges		752.4	40			Percent of total billed charges		334.4	80			Percent of total billed charges		668.8	90			Percent of total billed charges		752.4	85			Percent of total billed charges		710.6	85			Percent of total billed charges		710.6	85			Percent of total billed charges		710.6	100			Percent of total billed charges		836	100			Percent of total billed charges		836	100			Percent of total billed charges		836	33.3			Percent of total billed charges		278.388	33.3			Percent of total billed charges		278.388	100			Percent of total billed charges		836	278.388	752.4	
zimmer bipolar metal shell 52mm 5001-52	278	RC	Outpatient			836	543.4		90			Percent of total billed charges		752.4	40			Percent of total billed charges		334.4	80			Percent of total billed charges		668.8	90			Percent of total billed charges		752.4	85			Percent of total billed charges		710.6	85			Percent of total billed charges		710.6	85			Percent of total billed charges		710.6	100			Percent of total billed charges		836	100			Percent of total billed charges		836	100			Percent of total billed charges		836	33.3			Percent of total billed charges		278.388	33.3			Percent of total billed charges		278.388	100			Percent of total billed charges		836	278.388	752.4	
zimmer bipolar metal shell 55mm 5001-55	278	RC	Outpatient			836	543.4		90			Percent of total billed charges		752.4	40			Percent of total billed charges		334.4	80			Percent of total billed charges		668.8	90			Percent of total billed charges		752.4	85			Percent of total billed charges		710.6	85			Percent of total billed charges		710.6	85			Percent of total billed charges		710.6	100			Percent of total billed charges		836	100			Percent of total billed charges		836	100			Percent of total billed charges		836	33.3			Percent of total billed charges		278.388	33.3			Percent of total billed charges		278.388	100			Percent of total billed charges		836	278.388	752.4	
zimmer bipolar metal shell 65mm 5001-65	278	RC	Outpatient			836	543.4		90			Percent of total billed charges		752.4	40			Percent of total billed charges		334.4	80			Percent of total billed charges		668.8	90			Percent of total billed charges		752.4	85			Percent of total billed charges		710.6	85			Percent of total billed charges		710.6	85			Percent of total billed charges		710.6	100			Percent of total billed charges		836	100			Percent of total billed charges		836	100			Percent of total billed charges		836	33.3			Percent of total billed charges		278.388	33.3			Percent of total billed charges		278.388	100			Percent of total billed charges		836	278.388	752.4	
zimmer bipolar metal shell 68mm 5001-68	278	RC	Outpatient			836	543.4		90			Percent of total billed charges		752.4	40			Percent of total billed charges		334.4	80			Percent of total billed charges		668.8	90			Percent of total billed charges		752.4	85			Percent of total billed charges		710.6	85			Percent of total billed charges		710.6	85			Percent of total billed charges		710.6	100			Percent of total billed charges		836	100			Percent of total billed charges		836	100			Percent of total billed charges		836	33.3			Percent of total billed charges		278.388	33.3			Percent of total billed charges		278.388	100			Percent of total billed charges		836	278.388	752.4	
zimmer bipolar metal shell 72mm 5001-72	278	RC	Outpatient			836	543.4		90			Percent of total billed charges		752.4	40			Percent of total billed charges		334.4	80			Percent of total billed charges		668.8	90			Percent of total billed charges		752.4	85			Percent of total billed charges		710.6	85			Percent of total billed charges		710.6	85			Percent of total billed charges		710.6	100			Percent of total billed charges		836	100			Percent of total billed charges		836	100			Percent of total billed charges		836	33.3			Percent of total billed charges		278.388	33.3			Percent of total billed charges		278.388	100			Percent of total billed charges		836	278.388	752.4	
"allograft cancellous bone chip 4-10mm, 30cc 030400300 isotis orthobiologic"	278	RC	Outpatient			838	544.7		90			Percent of total billed charges		754.2	40			Percent of total billed charges		335.2	80			Percent of total billed charges		670.4	90			Percent of total billed charges		754.2	85			Percent of total billed charges		712.3	85			Percent of total billed charges		712.3	85			Percent of total billed charges		712.3	100			Percent of total billed charges		838	100			Percent of total billed charges		838	100			Percent of total billed charges		838	33.3			Percent of total billed charges		279.054	33.3			Percent of total billed charges		279.054	100			Percent of total billed charges		838	279.054	754.2	
cancellous chips 30cc 400150 mtf	278	RC	Outpatient			838	544.7		90			Percent of total billed charges		754.2	40			Percent of total billed charges		335.2	80			Percent of total billed charges		670.4	90			Percent of total billed charges		754.2	85			Percent of total billed charges		712.3	85			Percent of total billed charges		712.3	85			Percent of total billed charges		712.3	100			Percent of total billed charges		838	100			Percent of total billed charges		838	100			Percent of total billed charges		838	33.3			Percent of total billed charges		279.054	33.3			Percent of total billed charges		279.054	100			Percent of total billed charges		838	279.054	754.2	
cancellous chips 30cc	278	RC	Outpatient			838	544.7		90			Percent of total billed charges		754.2	40			Percent of total billed charges		335.2	80			Percent of total billed charges		670.4	90			Percent of total billed charges		754.2	85			Percent of total billed charges		712.3	85			Percent of total billed charges		712.3	85			Percent of total billed charges		712.3	100			Percent of total billed charges		838	100			Percent of total billed charges		838	100			Percent of total billed charges		838	33.3			Percent of total billed charges		279.054	33.3			Percent of total billed charges		279.054	100			Percent of total billed charges		838	279.054	754.2	
lcp plate 2.0 8 hole 247.348 synthes	278	RC	Outpatient			838	544.7		90			Percent of total billed charges		754.2	40			Percent of total billed charges		335.2	80			Percent of total billed charges		670.4	90			Percent of total billed charges		754.2	85			Percent of total billed charges		712.3	85			Percent of total billed charges		712.3	85			Percent of total billed charges		712.3	100			Percent of total billed charges		838	100			Percent of total billed charges		838	100			Percent of total billed charges		838	33.3			Percent of total billed charges		279.054	33.3			Percent of total billed charges		279.054	100			Percent of total billed charges		838	279.054	754.2	
syn 2.0 lcp plate 8hl	278	RC	Outpatient			838	544.7		90			Percent of total billed charges		754.2	40			Percent of total billed charges		335.2	80			Percent of total billed charges		670.4	90			Percent of total billed charges		754.2	85			Percent of total billed charges		712.3	85			Percent of total billed charges		712.3	85			Percent of total billed charges		712.3	100			Percent of total billed charges		838	100			Percent of total billed charges		838	100			Percent of total billed charges		838	33.3			Percent of total billed charges		279.054	33.3			Percent of total billed charges		279.054	100			Percent of total billed charges		838	279.054	754.2	
cannulated screw  tap 4mm 11-7079 s/n	278	RC	Outpatient			841	546.65		90			Percent of total billed charges		756.9	40			Percent of total billed charges		336.4	80			Percent of total billed charges		672.8	90			Percent of total billed charges		756.9	85			Percent of total billed charges		714.85	85			Percent of total billed charges		714.85	85			Percent of total billed charges		714.85	100			Percent of total billed charges		841	100			Percent of total billed charges		841	100			Percent of total billed charges		841	33.3			Percent of total billed charges		280.053	33.3			Percent of total billed charges		280.053	100			Percent of total billed charges		841	280.053	756.9	
secure strap tacker 12	272	RC	Outpatient			841	546.65		90			Percent of total billed charges		756.9	40			Percent of total billed charges		336.4	80			Percent of total billed charges		672.8	90			Percent of total billed charges		756.9	85			Percent of total billed charges		714.85	85			Percent of total billed charges		714.85	85			Percent of total billed charges		714.85	100			Percent of total billed charges		841	100			Percent of total billed charges		841	100			Percent of total billed charges		841	33.3			Percent of total billed charges		280.053	33.3			Percent of total billed charges		280.053	100			Percent of total billed charges		841	280.053	756.9	
s/n tap 4.0 cannul screw	278	RC	Outpatient			841	546.65		90			Percent of total billed charges		756.9	40			Percent of total billed charges		336.4	80			Percent of total billed charges		672.8	90			Percent of total billed charges		756.9	85			Percent of total billed charges		714.85	85			Percent of total billed charges		714.85	85			Percent of total billed charges		714.85	100			Percent of total billed charges		841	100			Percent of total billed charges		841	100			Percent of total billed charges		841	33.3			Percent of total billed charges		280.053	33.3			Percent of total billed charges		280.053	100			Percent of total billed charges		841	280.053	756.9	
securestrap 12 tacker strap12 ethicon	272	RC	Outpatient			841	546.65		90			Percent of total billed charges		756.9	40			Percent of total billed charges		336.4	80			Percent of total billed charges		672.8	90			Percent of total billed charges		756.9	85			Percent of total billed charges		714.85	85			Percent of total billed charges		714.85	85			Percent of total billed charges		714.85	100			Percent of total billed charges		841	100			Percent of total billed charges		841	100			Percent of total billed charges		841	33.3			Percent of total billed charges		280.053	33.3			Percent of total billed charges		280.053	100			Percent of total billed charges		841	280.053	756.9	
endo gastrostomy tube change with dil	750	RC	Outpatient			842	547.3		90			Percent of total billed charges		757.8	40			Percent of total billed charges		336.8	80			Percent of total billed charges		673.6	90			Percent of total billed charges		757.8	85			Percent of total billed charges		715.7	85			Percent of total billed charges		715.7	85			Percent of total billed charges		715.7	100			Percent of total billed charges		842	100			Percent of total billed charges		842	100			Percent of total billed charges		842	33.3			Percent of total billed charges		280.386	33.3			Percent of total billed charges		280.386	100			Percent of total billed charges		842	280.386	757.8	
gyrus pks forcep-cut	272	RC	Outpatient			842	547.3		90			Percent of total billed charges		757.8	40			Percent of total billed charges		336.8	80			Percent of total billed charges		673.6	90			Percent of total billed charges		757.8	85			Percent of total billed charges		715.7	85			Percent of total billed charges		715.7	85			Percent of total billed charges		715.7	100			Percent of total billed charges		842	100			Percent of total billed charges		842	100			Percent of total billed charges		842	33.3			Percent of total billed charges		280.386	33.3			Percent of total billed charges		280.386	100			Percent of total billed charges		842	280.386	757.8	
multifix s peek 6.5mm om-2365 s/n	278	RC	Outpatient			842	547.3		90			Percent of total billed charges		757.8	40			Percent of total billed charges		336.8	80			Percent of total billed charges		673.6	90			Percent of total billed charges		757.8	85			Percent of total billed charges		715.7	85			Percent of total billed charges		715.7	85			Percent of total billed charges		715.7	100			Percent of total billed charges		842	100			Percent of total billed charges		842	100			Percent of total billed charges		842	33.3			Percent of total billed charges		280.386	33.3			Percent of total billed charges		280.386	100			Percent of total billed charges		842	280.386	757.8	
multifix s peek 5.5mm om-2300 s/n	270	RC	Outpatient			842	547.3		90			Percent of total billed charges		757.8	40			Percent of total billed charges		336.8	80			Percent of total billed charges		673.6	90			Percent of total billed charges		757.8	85			Percent of total billed charges		715.7	85			Percent of total billed charges		715.7	85			Percent of total billed charges		715.7	100			Percent of total billed charges		842	100			Percent of total billed charges		842	100			Percent of total billed charges		842	33.3			Percent of total billed charges		280.386	33.3			Percent of total billed charges		280.386	100			Percent of total billed charges		842	280.386	757.8	
pks cutting forcep 5mm 920005pk gyrus/acmi	272	RC	Outpatient			842	547.3		90			Percent of total billed charges		757.8	40			Percent of total billed charges		336.8	80			Percent of total billed charges		673.6	90			Percent of total billed charges		757.8	85			Percent of total billed charges		715.7	85			Percent of total billed charges		715.7	85			Percent of total billed charges		715.7	100			Percent of total billed charges		842	100			Percent of total billed charges		842	100			Percent of total billed charges		842	33.3			Percent of total billed charges		280.386	33.3			Percent of total billed charges		280.386	100			Percent of total billed charges		842	280.386	757.8	
cervical spine screw 3.7 x 14mm 04.647.874 synthes	278	RC	Outpatient			844	548.6		90			Percent of total billed charges		759.6	40			Percent of total billed charges		337.6	80			Percent of total billed charges		675.2	90			Percent of total billed charges		759.6	85			Percent of total billed charges		717.4	85			Percent of total billed charges		717.4	85			Percent of total billed charges		717.4	100			Percent of total billed charges		844	100			Percent of total billed charges		844	100			Percent of total billed charges		844	33.3			Percent of total billed charges		281.052	33.3			Percent of total billed charges		281.052	100			Percent of total billed charges		844	281.052	759.6	
syn scw 3.7 cervical	278	RC	Outpatient			844	548.6		90			Percent of total billed charges		759.6	40			Percent of total billed charges		337.6	80			Percent of total billed charges		675.2	90			Percent of total billed charges		759.6	85			Percent of total billed charges		717.4	85			Percent of total billed charges		717.4	85			Percent of total billed charges		717.4	100			Percent of total billed charges		844	100			Percent of total billed charges		844	100			Percent of total billed charges		844	33.3			Percent of total billed charges		281.052	33.3			Percent of total billed charges		281.052	100			Percent of total billed charges		844	281.052	759.6	
clamp adjustable wire/pin 393.464 synthes	270	RC	Outpatient			845	549.25		90			Percent of total billed charges		760.5	40			Percent of total billed charges		338	80			Percent of total billed charges		676	90			Percent of total billed charges		760.5	85			Percent of total billed charges		718.25	85			Percent of total billed charges		718.25	85			Percent of total billed charges		718.25	100			Percent of total billed charges		845	100			Percent of total billed charges		845	100			Percent of total billed charges		845	33.3			Percent of total billed charges		281.385	33.3			Percent of total billed charges		281.385	100			Percent of total billed charges		845	281.385	760.5	
clamp  large external fixation 393.66 synthes	270	RC	Outpatient			845	549.25		90			Percent of total billed charges		760.5	40			Percent of total billed charges		338	80			Percent of total billed charges		676	90			Percent of total billed charges		760.5	85			Percent of total billed charges		718.25	85			Percent of total billed charges		718.25	85			Percent of total billed charges		718.25	100			Percent of total billed charges		845	100			Percent of total billed charges		845	100			Percent of total billed charges		845	33.3			Percent of total billed charges		281.385	33.3			Percent of total billed charges		281.385	100			Percent of total billed charges		845	281.385	760.5	
clamp tube to tube 393.361 synthes	270	RC	Outpatient			845	549.25		90			Percent of total billed charges		760.5	40			Percent of total billed charges		338	80			Percent of total billed charges		676	90			Percent of total billed charges		760.5	85			Percent of total billed charges		718.25	85			Percent of total billed charges		718.25	85			Percent of total billed charges		718.25	100			Percent of total billed charges		845	100			Percent of total billed charges		845	100			Percent of total billed charges		845	33.3			Percent of total billed charges		281.385	33.3			Percent of total billed charges		281.385	100			Percent of total billed charges		845	281.385	760.5	
ext fix transverse clamp	270	RC	Outpatient			845	549.25		90			Percent of total billed charges		760.5	40			Percent of total billed charges		338	80			Percent of total billed charges		676	90			Percent of total billed charges		760.5	85			Percent of total billed charges		718.25	85			Percent of total billed charges		718.25	85			Percent of total billed charges		718.25	100			Percent of total billed charges		845	100			Percent of total billed charges		845	100			Percent of total billed charges		845	33.3			Percent of total billed charges		281.385	33.3			Percent of total billed charges		281.385	100			Percent of total billed charges		845	281.385	760.5	
x-fix adj wire/pin clamp	270	RC	Outpatient			845	549.25		90			Percent of total billed charges		760.5	40			Percent of total billed charges		338	80			Percent of total billed charges		676	90			Percent of total billed charges		760.5	85			Percent of total billed charges		718.25	85			Percent of total billed charges		718.25	85			Percent of total billed charges		718.25	100			Percent of total billed charges		845	100			Percent of total billed charges		845	100			Percent of total billed charges		845	33.3			Percent of total billed charges		281.385	33.3			Percent of total billed charges		281.385	100			Percent of total billed charges		845	281.385	760.5	
x-fix titanium tube clamp	270	RC	Outpatient			845	549.25		90			Percent of total billed charges		760.5	40			Percent of total billed charges		338	80			Percent of total billed charges		676	90			Percent of total billed charges		760.5	85			Percent of total billed charges		718.25	85			Percent of total billed charges		718.25	85			Percent of total billed charges		718.25	100			Percent of total billed charges		845	100			Percent of total billed charges		845	100			Percent of total billed charges		845	33.3			Percent of total billed charges		281.385	33.3			Percent of total billed charges		281.385	100			Percent of total billed charges		845	281.385	760.5	
ligasure maryland 5mm lf1937 covidien	272	RC	Outpatient			846	549.9		90			Percent of total billed charges		761.4	40			Percent of total billed charges		338.4	80			Percent of total billed charges		676.8	90			Percent of total billed charges		761.4	85			Percent of total billed charges		719.1	85			Percent of total billed charges		719.1	85			Percent of total billed charges		719.1	100			Percent of total billed charges		846	100			Percent of total billed charges		846	100			Percent of total billed charges		846	33.3			Percent of total billed charges		281.718	33.3			Percent of total billed charges		281.718	100			Percent of total billed charges		846	281.718	761.4	
mesh parietex comp 10x15	278	RC	Outpatient			847	550.55		90			Percent of total billed charges		762.3	40			Percent of total billed charges		338.8	80			Percent of total billed charges		677.6	90			Percent of total billed charges		762.3	85			Percent of total billed charges		719.95	85			Percent of total billed charges		719.95	85			Percent of total billed charges		719.95	100			Percent of total billed charges		847	100			Percent of total billed charges		847	100			Percent of total billed charges		847	33.3			Percent of total billed charges		282.051	33.3			Percent of total billed charges		282.051	100			Percent of total billed charges		847	282.051	762.3	
mesh parietex comp rd 12	278	RC	Outpatient			847	550.55		90			Percent of total billed charges		762.3	40			Percent of total billed charges		338.8	80			Percent of total billed charges		677.6	90			Percent of total billed charges		762.3	85			Percent of total billed charges		719.95	85			Percent of total billed charges		719.95	85			Percent of total billed charges		719.95	100			Percent of total billed charges		847	100			Percent of total billed charges		847	100			Percent of total billed charges		847	33.3			Percent of total billed charges		282.051	33.3			Percent of total billed charges		282.051	100			Percent of total billed charges		847	282.051	762.3	
s/n  one third tubular plate 12 hole 7114-0312	278	RC	Outpatient			847	550.55		90			Percent of total billed charges		762.3	40			Percent of total billed charges		338.8	80			Percent of total billed charges		677.6	90			Percent of total billed charges		762.3	85			Percent of total billed charges		719.95	85			Percent of total billed charges		719.95	85			Percent of total billed charges		719.95	100			Percent of total billed charges		847	100			Percent of total billed charges		847	100			Percent of total billed charges		847	33.3			Percent of total billed charges		282.051	33.3			Percent of total billed charges		282.051	100			Percent of total billed charges		847	282.051	762.3	
parietex mesh  15 x 10    pc01510x covidien	278	RC	Outpatient			847	550.55		90			Percent of total billed charges		762.3	40			Percent of total billed charges		338.8	80			Percent of total billed charges		677.6	90			Percent of total billed charges		762.3	85			Percent of total billed charges		719.95	85			Percent of total billed charges		719.95	85			Percent of total billed charges		719.95	100			Percent of total billed charges		847	100			Percent of total billed charges		847	100			Percent of total billed charges		847	33.3			Percent of total billed charges		282.051	33.3			Percent of total billed charges		282.051	100			Percent of total billed charges		847	282.051	762.3	
parietex mesh  round 12cm    pc012x covidien	278	RC	Outpatient			847	550.55		90			Percent of total billed charges		762.3	40			Percent of total billed charges		338.8	80			Percent of total billed charges		677.6	90			Percent of total billed charges		762.3	85			Percent of total billed charges		719.95	85			Percent of total billed charges		719.95	85			Percent of total billed charges		719.95	100			Percent of total billed charges		847	100			Percent of total billed charges		847	100			Percent of total billed charges		847	33.3			Percent of total billed charges		282.051	33.3			Percent of total billed charges		282.051	100			Percent of total billed charges		847	282.051	762.3	
sm fr pl 1/3 tub 12hl	278	RC	Outpatient			847	550.55		90			Percent of total billed charges		762.3	40			Percent of total billed charges		338.8	80			Percent of total billed charges		677.6	90			Percent of total billed charges		762.3	85			Percent of total billed charges		719.95	85			Percent of total billed charges		719.95	85			Percent of total billed charges		719.95	100			Percent of total billed charges		847	100			Percent of total billed charges		847	100			Percent of total billed charges		847	33.3			Percent of total billed charges		282.051	33.3			Percent of total billed charges		282.051	100			Percent of total billed charges		847	282.051	762.3	
minor procedure room 2 hr	360	RC	Outpatient			848	551.2		90			Percent of total billed charges		763.2	40			Percent of total billed charges		339.2	80			Percent of total billed charges		678.4	90			Percent of total billed charges		763.2	85			Percent of total billed charges		720.8	85			Percent of total billed charges		720.8	85			Percent of total billed charges		720.8	100			Percent of total billed charges		848	100			Percent of total billed charges		848	100			Percent of total billed charges		848	33.3			Percent of total billed charges		282.384	33.3			Percent of total billed charges		282.384	100			Percent of total billed charges		848	282.384	763.2	
special procedure time 2 hr	270	RC	Outpatient			848	551.2		90			Percent of total billed charges		763.2	40			Percent of total billed charges		339.2	80			Percent of total billed charges		678.4	90			Percent of total billed charges		763.2	85			Percent of total billed charges		720.8	85			Percent of total billed charges		720.8	85			Percent of total billed charges		720.8	100			Percent of total billed charges		848	100			Percent of total billed charges		848	100			Percent of total billed charges		848	33.3			Percent of total billed charges		282.384	33.3			Percent of total billed charges		282.384	100			Percent of total billed charges		848	282.384	763.2	
mesh parietex vp 6.6	278	RC	Outpatient			851	553.15		90			Percent of total billed charges		765.9	40			Percent of total billed charges		340.4	80			Percent of total billed charges		680.8	90			Percent of total billed charges		765.9	85			Percent of total billed charges		723.35	85			Percent of total billed charges		723.35	85			Percent of total billed charges		723.35	100			Percent of total billed charges		851	100			Percent of total billed charges		851	100			Percent of total billed charges		851	33.3			Percent of total billed charges		283.383	33.3			Percent of total billed charges		283.383	100			Percent of total billed charges		851	283.383	765.9	
parietex composite ventral patch 8.6cm  pco8vp covidien	278	RC	Outpatient			851	553.15		90			Percent of total billed charges		765.9	40			Percent of total billed charges		340.4	80			Percent of total billed charges		680.8	90			Percent of total billed charges		765.9	85			Percent of total billed charges		723.35	85			Percent of total billed charges		723.35	85			Percent of total billed charges		723.35	100			Percent of total billed charges		851	100			Percent of total billed charges		851	100			Percent of total billed charges		851	33.3			Percent of total billed charges		283.383	33.3			Percent of total billed charges		283.383	100			Percent of total billed charges		851	283.383	765.9	
cannulated reamer 16mm distal 03.211.016 synthes	272	RC	Outpatient			852	553.8		90			Percent of total billed charges		766.8	40			Percent of total billed charges		340.8	80			Percent of total billed charges		681.6	90			Percent of total billed charges		766.8	85			Percent of total billed charges		724.2	85			Percent of total billed charges		724.2	85			Percent of total billed charges		724.2	100			Percent of total billed charges		852	100			Percent of total billed charges		852	100			Percent of total billed charges		852	33.3			Percent of total billed charges		283.716	33.3			Percent of total billed charges		283.716	100			Percent of total billed charges		852	283.716	766.8	
cannulated reamer 16mm prox 03.211.116 synthes	272	RC	Outpatient			852	553.8		90			Percent of total billed charges		766.8	40			Percent of total billed charges		340.8	80			Percent of total billed charges		681.6	90			Percent of total billed charges		766.8	85			Percent of total billed charges		724.2	85			Percent of total billed charges		724.2	85			Percent of total billed charges		724.2	100			Percent of total billed charges		852	100			Percent of total billed charges		852	100			Percent of total billed charges		852	33.3			Percent of total billed charges		283.716	33.3			Percent of total billed charges		283.716	100			Percent of total billed charges		852	283.716	766.8	
syn cann reamer	272	RC	Outpatient			852	553.8		90			Percent of total billed charges		766.8	40			Percent of total billed charges		340.8	80			Percent of total billed charges		681.6	90			Percent of total billed charges		766.8	85			Percent of total billed charges		724.2	85			Percent of total billed charges		724.2	85			Percent of total billed charges		724.2	100			Percent of total billed charges		852	100			Percent of total billed charges		852	100			Percent of total billed charges		852	33.3			Percent of total billed charges		283.716	33.3			Percent of total billed charges		283.716	100			Percent of total billed charges		852	283.716	766.8	
oblique t-plate 4 hole 7113-0504 s/n	278	RC	Outpatient			854	555.1		90			Percent of total billed charges		768.6	40			Percent of total billed charges		341.6	80			Percent of total billed charges		683.2	90			Percent of total billed charges		768.6	85			Percent of total billed charges		725.9	85			Percent of total billed charges		725.9	85			Percent of total billed charges		725.9	100			Percent of total billed charges		854	100			Percent of total billed charges		854	100			Percent of total billed charges		854	33.3			Percent of total billed charges		284.382	33.3			Percent of total billed charges		284.382	100			Percent of total billed charges		854	284.382	768.6	
s/n cloverleaf plate 4 hole 7113-0604	278	RC	Outpatient			854	555.1		90			Percent of total billed charges		768.6	40			Percent of total billed charges		341.6	80			Percent of total billed charges		683.2	90			Percent of total billed charges		768.6	85			Percent of total billed charges		725.9	85			Percent of total billed charges		725.9	85			Percent of total billed charges		725.9	100			Percent of total billed charges		854	100			Percent of total billed charges		854	100			Percent of total billed charges		854	33.3			Percent of total billed charges		284.382	33.3			Percent of total billed charges		284.382	100			Percent of total billed charges		854	284.382	768.6	
sm fr pl cloverleaf 4hl	278	RC	Outpatient			854	555.1		90			Percent of total billed charges		768.6	40			Percent of total billed charges		341.6	80			Percent of total billed charges		683.2	90			Percent of total billed charges		768.6	85			Percent of total billed charges		725.9	85			Percent of total billed charges		725.9	85			Percent of total billed charges		725.9	100			Percent of total billed charges		854	100			Percent of total billed charges		854	100			Percent of total billed charges		854	33.3			Percent of total billed charges		284.382	33.3			Percent of total billed charges		284.382	100			Percent of total billed charges		854	284.382	768.6	
sm fr pl t oblique 4hl	278	RC	Outpatient			854	555.1		90			Percent of total billed charges		768.6	40			Percent of total billed charges		341.6	80			Percent of total billed charges		683.2	90			Percent of total billed charges		768.6	85			Percent of total billed charges		725.9	85			Percent of total billed charges		725.9	85			Percent of total billed charges		725.9	100			Percent of total billed charges		854	100			Percent of total billed charges		854	100			Percent of total billed charges		854	33.3			Percent of total billed charges		284.382	33.3			Percent of total billed charges		284.382	100			Percent of total billed charges		854	284.382	768.6	
composi tcp 60  inter scr	278	RC	Outpatient			856	556.4		90			Percent of total billed charges		770.4	40			Percent of total billed charges		342.4	80			Percent of total billed charges		684.8	90			Percent of total billed charges		770.4	85			Percent of total billed charges		727.6	85			Percent of total billed charges		727.6	85			Percent of total billed charges		727.6	100			Percent of total billed charges		856	100			Percent of total billed charges		856	100			Percent of total billed charges		856	33.3			Percent of total billed charges		285.048	33.3			Percent of total billed charges		285.048	100			Percent of total billed charges		856	285.048	770.4	
compositcp 60 interference screw 9 x 25mm 905256 biomet	278	RC	Outpatient			856	556.4		90			Percent of total billed charges		770.4	40			Percent of total billed charges		342.4	80			Percent of total billed charges		684.8	90			Percent of total billed charges		770.4	85			Percent of total billed charges		727.6	85			Percent of total billed charges		727.6	85			Percent of total billed charges		727.6	100			Percent of total billed charges		856	100			Percent of total billed charges		856	100			Percent of total billed charges		856	33.3			Percent of total billed charges		285.048	33.3			Percent of total billed charges		285.048	100			Percent of total billed charges		856	285.048	770.4	
compositcp 60 interference screw 9 x 30mm 905257 biomet	278	RC	Outpatient			856	556.4		90			Percent of total billed charges		770.4	40			Percent of total billed charges		342.4	80			Percent of total billed charges		684.8	90			Percent of total billed charges		770.4	85			Percent of total billed charges		727.6	85			Percent of total billed charges		727.6	85			Percent of total billed charges		727.6	100			Percent of total billed charges		856	100			Percent of total billed charges		856	100			Percent of total billed charges		856	33.3			Percent of total billed charges		285.048	33.3			Percent of total billed charges		285.048	100			Percent of total billed charges		856	285.048	770.4	
tritomegÌ?Ì? triple-edge release instrument ref sn-21	272	RC	Outpatient			856.35	556.63		90			Percent of total billed charges		770.715	40			Percent of total billed charges		342.54	80			Percent of total billed charges		685.08	90			Percent of total billed charges		770.715	85			Percent of total billed charges		727.8975	85			Percent of total billed charges		727.8975	85			Percent of total billed charges		727.8975	100			Percent of total billed charges		856.35	100			Percent of total billed charges		856.35	100			Percent of total billed charges		856.35	33.3			Percent of total billed charges		285.1646	33.3			Percent of total billed charges		285.1646	100			Percent of total billed charges		856.35	285.1646	770.715	
3.5mm compression plate 5 hole 7184-0205 s/n	278	RC	Outpatient			859	558.35		90			Percent of total billed charges		773.1	40			Percent of total billed charges		343.6	80			Percent of total billed charges		687.2	90			Percent of total billed charges		773.1	85			Percent of total billed charges		730.15	85			Percent of total billed charges		730.15	85			Percent of total billed charges		730.15	100			Percent of total billed charges		859	100			Percent of total billed charges		859	100			Percent of total billed charges		859	33.3			Percent of total billed charges		286.047	33.3			Percent of total billed charges		286.047	100			Percent of total billed charges		859	286.047	773.1	
acumed mtp instrument and reamer system mtp-0000	272	RC	Outpatient			859	558.35		90			Percent of total billed charges		773.1	40			Percent of total billed charges		343.6	80			Percent of total billed charges		687.2	90			Percent of total billed charges		773.1	85			Percent of total billed charges		730.15	85			Percent of total billed charges		730.15	85			Percent of total billed charges		730.15	100			Percent of total billed charges		859	100			Percent of total billed charges		859	100			Percent of total billed charges		859	33.3			Percent of total billed charges		286.047	33.3			Percent of total billed charges		286.047	100			Percent of total billed charges		859	286.047	773.1	
chemo admin. 8 hours	335	RC	Outpatient			859	558.35		90			Percent of total billed charges		773.1	40			Percent of total billed charges		343.6	80			Percent of total billed charges		687.2	90			Percent of total billed charges		773.1	85			Percent of total billed charges		730.15	85			Percent of total billed charges		730.15	85			Percent of total billed charges		730.15	100			Percent of total billed charges		859	100			Percent of total billed charges		859	100			Percent of total billed charges		859	33.3			Percent of total billed charges		286.047	33.3			Percent of total billed charges		286.047	100			Percent of total billed charges		859	286.047	773.1	
3.5mm compression plate 6 hole 7114-0206 s/n	278	RC	Outpatient			859	558.35		90			Percent of total billed charges		773.1	40			Percent of total billed charges		343.6	80			Percent of total billed charges		687.2	90			Percent of total billed charges		773.1	85			Percent of total billed charges		730.15	85			Percent of total billed charges		730.15	85			Percent of total billed charges		730.15	100			Percent of total billed charges		859	100			Percent of total billed charges		859	100			Percent of total billed charges		859	33.3			Percent of total billed charges		286.047	33.3			Percent of total billed charges		286.047	100			Percent of total billed charges		859	286.047	773.1	
5 hole compression plate 7113-0205 s/n	278	RC	Outpatient			859	558.35		90			Percent of total billed charges		773.1	40			Percent of total billed charges		343.6	80			Percent of total billed charges		687.2	90			Percent of total billed charges		773.1	85			Percent of total billed charges		730.15	85			Percent of total billed charges		730.15	85			Percent of total billed charges		730.15	100			Percent of total billed charges		859	100			Percent of total billed charges		859	100			Percent of total billed charges		859	33.3			Percent of total billed charges		286.047	33.3			Percent of total billed charges		286.047	100			Percent of total billed charges		859	286.047	773.1	
mtp reamer	272	RC	Outpatient			859	558.35		90			Percent of total billed charges		773.1	40			Percent of total billed charges		343.6	80			Percent of total billed charges		687.2	90			Percent of total billed charges		773.1	85			Percent of total billed charges		730.15	85			Percent of total billed charges		730.15	85			Percent of total billed charges		730.15	100			Percent of total billed charges		859	100			Percent of total billed charges		859	100			Percent of total billed charges		859	33.3			Percent of total billed charges		286.047	33.3			Percent of total billed charges		286.047	100			Percent of total billed charges		859	286.047	773.1	
s/n 3.5mm x 6 hole plate 7113-0206 s/n	278	RC	Outpatient			859	558.35		90			Percent of total billed charges		773.1	40			Percent of total billed charges		343.6	80			Percent of total billed charges		687.2	90			Percent of total billed charges		773.1	85			Percent of total billed charges		730.15	85			Percent of total billed charges		730.15	85			Percent of total billed charges		730.15	100			Percent of total billed charges		859	100			Percent of total billed charges		859	100			Percent of total billed charges		859	33.3			Percent of total billed charges		286.047	33.3			Percent of total billed charges		286.047	100			Percent of total billed charges		859	286.047	773.1	
sm fr pl comp 5-6 hl	278	RC	Outpatient			859	558.35		90			Percent of total billed charges		773.1	40			Percent of total billed charges		343.6	80			Percent of total billed charges		687.2	90			Percent of total billed charges		773.1	85			Percent of total billed charges		730.15	85			Percent of total billed charges		730.15	85			Percent of total billed charges		730.15	100			Percent of total billed charges		859	100			Percent of total billed charges		859	100			Percent of total billed charges		859	33.3			Percent of total billed charges		286.047	33.3			Percent of total billed charges		286.047	100			Percent of total billed charges		859	286.047	773.1	
ligasure v sealer/divider ls1500 vl	272	RC	Outpatient			860	559		90			Percent of total billed charges		774	40			Percent of total billed charges		344	80			Percent of total billed charges		688	90			Percent of total billed charges		774	85			Percent of total billed charges		731	85			Percent of total billed charges		731	85			Percent of total billed charges		731	100			Percent of total billed charges		860	100			Percent of total billed charges		860	100			Percent of total billed charges		860	33.3			Percent of total billed charges		286.38	33.3			Percent of total billed charges		286.38	100			Percent of total billed charges		860	286.38	774	
ligasure v	272	RC	Outpatient			860	559		90			Percent of total billed charges		774	40			Percent of total billed charges		344	80			Percent of total billed charges		688	90			Percent of total billed charges		774	85			Percent of total billed charges		731	85			Percent of total billed charges		731	85			Percent of total billed charges		731	100			Percent of total billed charges		860	100			Percent of total billed charges		860	100			Percent of total billed charges		860	33.3			Percent of total billed charges		286.38	33.3			Percent of total billed charges		286.38	100			Percent of total billed charges		860	286.38	774	
relieva illumination sys	272	RC	Outpatient			861	559.65		90			Percent of total billed charges		774.9	40			Percent of total billed charges		344.4	80			Percent of total billed charges		688.8	90			Percent of total billed charges		774.9	85			Percent of total billed charges		731.85	85			Percent of total billed charges		731.85	85			Percent of total billed charges		731.85	100			Percent of total billed charges		861	100			Percent of total billed charges		861	100			Percent of total billed charges		861	33.3			Percent of total billed charges		286.713	33.3			Percent of total billed charges		286.713	100			Percent of total billed charges		861	286.713	774.9	
relieva luma sinus illumination sys sis-100a acclarent	272	RC	Outpatient			861	559.65		90			Percent of total billed charges		774.9	40			Percent of total billed charges		344.4	80			Percent of total billed charges		688.8	90			Percent of total billed charges		774.9	85			Percent of total billed charges		731.85	85			Percent of total billed charges		731.85	85			Percent of total billed charges		731.85	100			Percent of total billed charges		861	100			Percent of total billed charges		861	100			Percent of total billed charges		861	33.3			Percent of total billed charges		286.713	33.3			Percent of total billed charges		286.713	100			Percent of total billed charges		861	286.713	774.9	
relieva luma sinus illumination sys sis-100b acclarent	272	RC	Outpatient			861	559.65		90			Percent of total billed charges		774.9	40			Percent of total billed charges		344.4	80			Percent of total billed charges		688.8	90			Percent of total billed charges		774.9	85			Percent of total billed charges		731.85	85			Percent of total billed charges		731.85	85			Percent of total billed charges		731.85	100			Percent of total billed charges		861	100			Percent of total billed charges		861	100			Percent of total billed charges		861	33.3			Percent of total billed charges		286.713	33.3			Percent of total billed charges		286.713	100			Percent of total billed charges		861	286.713	774.9	
acutrak 2 profile drill at2-m1813 acumed	272	RC	Outpatient			863	560.95		90			Percent of total billed charges		776.7	40			Percent of total billed charges		345.2	80			Percent of total billed charges		690.4	90			Percent of total billed charges		776.7	85			Percent of total billed charges		733.55	85			Percent of total billed charges		733.55	85			Percent of total billed charges		733.55	100			Percent of total billed charges		863	100			Percent of total billed charges		863	100			Percent of total billed charges		863	33.3			Percent of total billed charges		287.379	33.3			Percent of total billed charges		287.379	100			Percent of total billed charges		863	287.379	776.7	
jo hall morris splint instruments	270	RC	Outpatient			864	561.6		90			Percent of total billed charges		777.6	40			Percent of total billed charges		345.6	80			Percent of total billed charges		691.2	90			Percent of total billed charges		777.6	85			Percent of total billed charges		734.4	85			Percent of total billed charges		734.4	85			Percent of total billed charges		734.4	100			Percent of total billed charges		864	100			Percent of total billed charges		864	100			Percent of total billed charges		864	33.3			Percent of total billed charges		287.712	33.3			Percent of total billed charges		287.712	100			Percent of total billed charges		864	287.712	777.6	
splint jo hall morris	270	RC	Outpatient			864	561.6		90			Percent of total billed charges		777.6	40			Percent of total billed charges		345.6	80			Percent of total billed charges		691.2	90			Percent of total billed charges		777.6	85			Percent of total billed charges		734.4	85			Percent of total billed charges		734.4	85			Percent of total billed charges		734.4	100			Percent of total billed charges		864	100			Percent of total billed charges		864	100			Percent of total billed charges		864	33.3			Percent of total billed charges		287.712	33.3			Percent of total billed charges		287.712	100			Percent of total billed charges		864	287.712	777.6	
gray rev flexible osteotome 12 x 120 6210-0-710 stryker	272	RC	Outpatient			865	562.25		90			Percent of total billed charges		778.5	40			Percent of total billed charges		346	80			Percent of total billed charges		692	90			Percent of total billed charges		778.5	85			Percent of total billed charges		735.25	85			Percent of total billed charges		735.25	85			Percent of total billed charges		735.25	100			Percent of total billed charges		865	100			Percent of total billed charges		865	100			Percent of total billed charges		865	33.3			Percent of total billed charges		288.045	33.3			Percent of total billed charges		288.045	100			Percent of total billed charges		865	288.045	778.5	
stryker flex osteotone	272	RC	Outpatient			865	562.25		90			Percent of total billed charges		778.5	40			Percent of total billed charges		346	80			Percent of total billed charges		692	90			Percent of total billed charges		778.5	85			Percent of total billed charges		735.25	85			Percent of total billed charges		735.25	85			Percent of total billed charges		735.25	100			Percent of total billed charges		865	100			Percent of total billed charges		865	100			Percent of total billed charges		865	33.3			Percent of total billed charges		288.045	33.3			Percent of total billed charges		288.045	100			Percent of total billed charges		865	288.045	778.5	
eon patient programmer 3851 st. jude med	270	RC	Outpatient			866	562.9		90			Percent of total billed charges		779.4	40			Percent of total billed charges		346.4	80			Percent of total billed charges		692.8	90			Percent of total billed charges		779.4	85			Percent of total billed charges		736.1	85			Percent of total billed charges		736.1	85			Percent of total billed charges		736.1	100			Percent of total billed charges		866	100			Percent of total billed charges		866	100			Percent of total billed charges		866	33.3			Percent of total billed charges		288.378	33.3			Percent of total billed charges		288.378	100			Percent of total billed charges		866	288.378	779.4	
eon chg system	270	RC	Outpatient			866	562.9		90			Percent of total billed charges		779.4	40			Percent of total billed charges		346.4	80			Percent of total billed charges		692.8	90			Percent of total billed charges		779.4	85			Percent of total billed charges		736.1	85			Percent of total billed charges		736.1	85			Percent of total billed charges		736.1	100			Percent of total billed charges		866	100			Percent of total billed charges		866	100			Percent of total billed charges		866	33.3			Percent of total billed charges		288.378	33.3			Percent of total billed charges		288.378	100			Percent of total billed charges		866	288.378	779.4	
eon mini le charging system 3722 st. jude med	270	RC	Outpatient			866	562.9		90			Percent of total billed charges		779.4	40			Percent of total billed charges		346.4	80			Percent of total billed charges		692.8	90			Percent of total billed charges		779.4	85			Percent of total billed charges		736.1	85			Percent of total billed charges		736.1	85			Percent of total billed charges		736.1	100			Percent of total billed charges		866	100			Percent of total billed charges		866	100			Percent of total billed charges		866	33.3			Percent of total billed charges		288.378	33.3			Percent of total billed charges		288.378	100			Percent of total billed charges		866	288.378	779.4	
eon pt programmer	270	RC	Outpatient			866	562.9		90			Percent of total billed charges		779.4	40			Percent of total billed charges		346.4	80			Percent of total billed charges		692.8	90			Percent of total billed charges		779.4	85			Percent of total billed charges		736.1	85			Percent of total billed charges		736.1	85			Percent of total billed charges		736.1	100			Percent of total billed charges		866	100			Percent of total billed charges		866	100			Percent of total billed charges		866	33.3			Percent of total billed charges		288.378	33.3			Percent of total billed charges		288.378	100			Percent of total billed charges		866	288.378	779.4	
holmium laser fiber 200	272	RC	Outpatient			868	564.2		90			Percent of total billed charges		781.2	40			Percent of total billed charges		347.2	80			Percent of total billed charges		694.4	90			Percent of total billed charges		781.2	85			Percent of total billed charges		737.8	85			Percent of total billed charges		737.8	85			Percent of total billed charges		737.8	100			Percent of total billed charges		868	100			Percent of total billed charges		868	100			Percent of total billed charges		868	33.3			Percent of total billed charges		289.044	33.3			Percent of total billed charges		289.044	100			Percent of total billed charges		868	289.044	781.2	
slimline ez laser fiber 200 840-892 boston scientic-micro	272	RC	Outpatient			868	564.2		90			Percent of total billed charges		781.2	40			Percent of total billed charges		347.2	80			Percent of total billed charges		694.4	90			Percent of total billed charges		781.2	85			Percent of total billed charges		737.8	85			Percent of total billed charges		737.8	85			Percent of total billed charges		737.8	100			Percent of total billed charges		868	100			Percent of total billed charges		868	100			Percent of total billed charges		868	33.3			Percent of total billed charges		289.044	33.3			Percent of total billed charges		289.044	100			Percent of total billed charges		868	289.044	781.2	
zzscrmc cope set	621	RC	Outpatient			868	564.2		90			Percent of total billed charges		781.2	40			Percent of total billed charges		347.2	80			Percent of total billed charges		694.4	90			Percent of total billed charges		781.2	85			Percent of total billed charges		737.8	85			Percent of total billed charges		737.8	85			Percent of total billed charges		737.8	100			Percent of total billed charges		868	100			Percent of total billed charges		868	100			Percent of total billed charges		868	33.3			Percent of total billed charges		289.044	33.3			Percent of total billed charges		289.044	100			Percent of total billed charges		868	289.044	781.2	
endo gastrostomy button change	750	RC	Outpatient			869	564.85		90			Percent of total billed charges		782.1	40			Percent of total billed charges		347.6	80			Percent of total billed charges		695.2	90			Percent of total billed charges		782.1	85			Percent of total billed charges		738.65	85			Percent of total billed charges		738.65	85			Percent of total billed charges		738.65	100			Percent of total billed charges		869	100			Percent of total billed charges		869	100			Percent of total billed charges		869	33.3			Percent of total billed charges		289.377	33.3			Percent of total billed charges		289.377	100			Percent of total billed charges		869	289.377	782.1	
comp plt 3.5mm 3 hl 71829403 s\n	278	RC	Outpatient			871	566.15		90			Percent of total billed charges		783.9	40			Percent of total billed charges		348.4	80			Percent of total billed charges		696.8	90			Percent of total billed charges		783.9	85			Percent of total billed charges		740.35	85			Percent of total billed charges		740.35	85			Percent of total billed charges		740.35	100			Percent of total billed charges		871	100			Percent of total billed charges		871	100			Percent of total billed charges		871	33.3			Percent of total billed charges		290.043	33.3			Percent of total billed charges		290.043	100			Percent of total billed charges		871	290.043	783.9	
comp plt 3.5mm 4 hl 71809404 s\n	278	RC	Outpatient			871	566.15		90			Percent of total billed charges		783.9	40			Percent of total billed charges		348.4	80			Percent of total billed charges		696.8	90			Percent of total billed charges		783.9	85			Percent of total billed charges		740.35	85			Percent of total billed charges		740.35	85			Percent of total billed charges		740.35	100			Percent of total billed charges		871	100			Percent of total billed charges		871	100			Percent of total billed charges		871	33.3			Percent of total billed charges		290.043	33.3			Percent of total billed charges		290.043	100			Percent of total billed charges		871	290.043	783.9	
comp plt 3.5mm 2 hl 71809402 s\n	278	RC	Outpatient			871	566.15		90			Percent of total billed charges		783.9	40			Percent of total billed charges		348.4	80			Percent of total billed charges		696.8	90			Percent of total billed charges		783.9	85			Percent of total billed charges		740.35	85			Percent of total billed charges		740.35	85			Percent of total billed charges		740.35	100			Percent of total billed charges		871	100			Percent of total billed charges		871	100			Percent of total billed charges		871	33.3			Percent of total billed charges		290.043	33.3			Percent of total billed charges		290.043	100			Percent of total billed charges		871	290.043	783.9	
comp plt 3.5mm 3 hl 71809403 s\n	278	RC	Outpatient			871	566.15		90			Percent of total billed charges		783.9	40			Percent of total billed charges		348.4	80			Percent of total billed charges		696.8	90			Percent of total billed charges		783.9	85			Percent of total billed charges		740.35	85			Percent of total billed charges		740.35	85			Percent of total billed charges		740.35	100			Percent of total billed charges		871	100			Percent of total billed charges		871	100			Percent of total billed charges		871	33.3			Percent of total billed charges		290.043	33.3			Percent of total billed charges		290.043	100			Percent of total billed charges		871	290.043	783.9	
comp plt 3.5mm 4 hl 71829404 s\n	278	RC	Outpatient			871	566.15		90			Percent of total billed charges		783.9	40			Percent of total billed charges		348.4	80			Percent of total billed charges		696.8	90			Percent of total billed charges		783.9	85			Percent of total billed charges		740.35	85			Percent of total billed charges		740.35	85			Percent of total billed charges		740.35	100			Percent of total billed charges		871	100			Percent of total billed charges		871	100			Percent of total billed charges		871	33.3			Percent of total billed charges		290.043	33.3			Percent of total billed charges		290.043	100			Percent of total billed charges		871	290.043	783.9	
s/n 3.5 comp pl 2-4 hl	278	RC	Outpatient			871	566.15		90			Percent of total billed charges		783.9	40			Percent of total billed charges		348.4	80			Percent of total billed charges		696.8	90			Percent of total billed charges		783.9	85			Percent of total billed charges		740.35	85			Percent of total billed charges		740.35	85			Percent of total billed charges		740.35	100			Percent of total billed charges		871	100			Percent of total billed charges		871	100			Percent of total billed charges		871	33.3			Percent of total billed charges		290.043	33.3			Percent of total billed charges		290.043	100			Percent of total billed charges		871	290.043	783.9	
bio maxim i-beam stem	278	RC	Outpatient			872	566.8		90			Percent of total billed charges		784.8	40			Percent of total billed charges		348.8	80			Percent of total billed charges		697.6	90			Percent of total billed charges		784.8	85			Percent of total billed charges		741.2	85			Percent of total billed charges		741.2	85			Percent of total billed charges		741.2	100			Percent of total billed charges		872	100			Percent of total billed charges		872	100			Percent of total billed charges		872	33.3			Percent of total billed charges		290.376	33.3			Percent of total billed charges		290.376	100			Percent of total billed charges		872	290.376	784.8	
biomet primary stem	278	RC	Outpatient			872	566.8		90			Percent of total billed charges		784.8	40			Percent of total billed charges		348.8	80			Percent of total billed charges		697.6	90			Percent of total billed charges		784.8	85			Percent of total billed charges		741.2	85			Percent of total billed charges		741.2	85			Percent of total billed charges		741.2	100			Percent of total billed charges		872	100			Percent of total billed charges		872	100			Percent of total billed charges		872	33.3			Percent of total billed charges		290.376	33.3			Percent of total billed charges		290.376	100			Percent of total billed charges		872	290.376	784.8	
biomet primary stem 80mm x 15.0mm 141320	278	RC	Outpatient			872	566.8		90			Percent of total billed charges		784.8	40			Percent of total billed charges		348.8	80			Percent of total billed charges		697.6	90			Percent of total billed charges		784.8	85			Percent of total billed charges		741.2	85			Percent of total billed charges		741.2	85			Percent of total billed charges		741.2	100			Percent of total billed charges		872	100			Percent of total billed charges		872	100			Percent of total billed charges		872	33.3			Percent of total billed charges		290.376	33.3			Percent of total billed charges		290.376	100			Percent of total billed charges		872	290.376	784.8	
biomet  modular finned stem 80mm 141316	278	RC	Outpatient			872	566.8		90			Percent of total billed charges		784.8	40			Percent of total billed charges		348.8	80			Percent of total billed charges		697.6	90			Percent of total billed charges		784.8	85			Percent of total billed charges		741.2	85			Percent of total billed charges		741.2	85			Percent of total billed charges		741.2	100			Percent of total billed charges		872	100			Percent of total billed charges		872	100			Percent of total billed charges		872	33.3			Percent of total billed charges		290.376	33.3			Percent of total billed charges		290.376	100			Percent of total billed charges		872	290.376	784.8	
biomet maxim modular finned stem 141314	278	RC	Outpatient			872	566.8		90			Percent of total billed charges		784.8	40			Percent of total billed charges		348.8	80			Percent of total billed charges		697.6	90			Percent of total billed charges		784.8	85			Percent of total billed charges		741.2	85			Percent of total billed charges		741.2	85			Percent of total billed charges		741.2	100			Percent of total billed charges		872	100			Percent of total billed charges		872	100			Percent of total billed charges		872	33.3			Percent of total billed charges		290.376	33.3			Percent of total billed charges		290.376	100			Percent of total billed charges		872	290.376	784.8	
biomet primary stem 80mm x 12.5mm 141318	278	RC	Outpatient			872	566.8		90			Percent of total billed charges		784.8	40			Percent of total billed charges		348.8	80			Percent of total billed charges		697.6	90			Percent of total billed charges		784.8	85			Percent of total billed charges		741.2	85			Percent of total billed charges		741.2	85			Percent of total billed charges		741.2	100			Percent of total billed charges		872	100			Percent of total billed charges		872	100			Percent of total billed charges		872	33.3			Percent of total billed charges		290.376	33.3			Percent of total billed charges		290.376	100			Percent of total billed charges		872	290.376	784.8	
gore q50 cath	272	RC	Outpatient			872	566.8		90			Percent of total billed charges		784.8	40			Percent of total billed charges		348.8	80			Percent of total billed charges		697.6	90			Percent of total billed charges		784.8	85			Percent of total billed charges		741.2	85			Percent of total billed charges		741.2	85			Percent of total billed charges		741.2	100			Percent of total billed charges		872	100			Percent of total billed charges		872	100			Percent of total billed charges		872	33.3			Percent of total billed charges		290.376	33.3			Percent of total billed charges		290.376	100			Percent of total billed charges		872	290.376	784.8	
maxim mod i-beam stem 48mm 141310 biomet	278	RC	Outpatient			872	566.8		90			Percent of total billed charges		784.8	40			Percent of total billed charges		348.8	80			Percent of total billed charges		697.6	90			Percent of total billed charges		784.8	85			Percent of total billed charges		741.2	85			Percent of total billed charges		741.2	85			Percent of total billed charges		741.2	100			Percent of total billed charges		872	100			Percent of total billed charges		872	100			Percent of total billed charges		872	33.3			Percent of total billed charges		290.376	33.3			Percent of total billed charges		290.376	100			Percent of total billed charges		872	290.376	784.8	
q50 stent graft balloon q50-65 w l gore	272	RC	Outpatient			872	566.8		90			Percent of total billed charges		784.8	40			Percent of total billed charges		348.8	80			Percent of total billed charges		697.6	90			Percent of total billed charges		784.8	85			Percent of total billed charges		741.2	85			Percent of total billed charges		741.2	85			Percent of total billed charges		741.2	100			Percent of total billed charges		872	100			Percent of total billed charges		872	100			Percent of total billed charges		872	33.3			Percent of total billed charges		290.376	33.3			Percent of total billed charges		290.376	100			Percent of total billed charges		872	290.376	784.8	
s/n washer 12.7mm ti	278	RC	Outpatient			872	566.8		90			Percent of total billed charges		784.8	40			Percent of total billed charges		348.8	80			Percent of total billed charges		697.6	90			Percent of total billed charges		784.8	85			Percent of total billed charges		741.2	85			Percent of total billed charges		741.2	85			Percent of total billed charges		741.2	100			Percent of total billed charges		872	100			Percent of total billed charges		872	100			Percent of total billed charges		872	33.3			Percent of total billed charges		290.376	33.3			Percent of total billed charges		290.376	100			Percent of total billed charges		872	290.376	784.8	
arthrex tightrope btb	272	RC	Outpatient			873	567.45		90			Percent of total billed charges		785.7	40			Percent of total billed charges		349.2	80			Percent of total billed charges		698.4	90			Percent of total billed charges		785.7	85			Percent of total billed charges		742.05	85			Percent of total billed charges		742.05	85			Percent of total billed charges		742.05	100			Percent of total billed charges		873	100			Percent of total billed charges		873	100			Percent of total billed charges		873	33.3			Percent of total billed charges		290.709	33.3			Percent of total billed charges		290.709	100			Percent of total billed charges		873	290.709	785.7	
arthrex btbtightrope ar-1588btb	272	RC	Outpatient			873	567.45		90			Percent of total billed charges		785.7	40			Percent of total billed charges		349.2	80			Percent of total billed charges		698.4	90			Percent of total billed charges		785.7	85			Percent of total billed charges		742.05	85			Percent of total billed charges		742.05	85			Percent of total billed charges		742.05	100			Percent of total billed charges		873	100			Percent of total billed charges		873	100			Percent of total billed charges		873	33.3			Percent of total billed charges		290.709	33.3			Percent of total billed charges		290.709	100			Percent of total billed charges		873	290.709	785.7	
"arthrex peek swivelock suture anchor, double loaded ar-2324pslc-2"	278	RC	Outpatient			873	567.45		90			Percent of total billed charges		785.7	40			Percent of total billed charges		349.2	80			Percent of total billed charges		698.4	90			Percent of total billed charges		785.7	85			Percent of total billed charges		742.05	85			Percent of total billed charges		742.05	85			Percent of total billed charges		742.05	100			Percent of total billed charges		873	100			Percent of total billed charges		873	100			Percent of total billed charges		873	33.3			Percent of total billed charges		290.709	33.3			Percent of total billed charges		290.709	100			Percent of total billed charges		873	290.709	785.7	
"arthrex tightrope rt, double loaded ar-1588rt-j"	278	RC	Outpatient			873	567.45		90			Percent of total billed charges		785.7	40			Percent of total billed charges		349.2	80			Percent of total billed charges		698.4	90			Percent of total billed charges		785.7	85			Percent of total billed charges		742.05	85			Percent of total billed charges		742.05	85			Percent of total billed charges		742.05	100			Percent of total billed charges		873	100			Percent of total billed charges		873	100			Percent of total billed charges		873	33.3			Percent of total billed charges		290.709	33.3			Percent of total billed charges		290.709	100			Percent of total billed charges		873	290.709	785.7	
room/bed: private	110	RC	Outpatient			873.5	567.78		90			Percent of total billed charges		786.15	40			Percent of total billed charges		349.4	80			Percent of total billed charges		698.8	90			Percent of total billed charges		786.15	85			Percent of total billed charges		742.475	85			Percent of total billed charges		742.475	85			Percent of total billed charges		742.475	100			Percent of total billed charges		873.5	100			Percent of total billed charges		873.5	100			Percent of total billed charges		873.5	33.3			Percent of total billed charges		290.8755	33.3			Percent of total billed charges		290.8755	100			Percent of total billed charges		873.5	290.8755	786.15	
room/bed: private	116	RC	Outpatient			873.5	567.78		90			Percent of total billed charges		786.15	40			Percent of total billed charges		349.4	80			Percent of total billed charges		698.8	90			Percent of total billed charges		786.15	85			Percent of total billed charges		742.475	85			Percent of total billed charges		742.475	85			Percent of total billed charges		742.475	100			Percent of total billed charges		873.5	100			Percent of total billed charges		873.5	100			Percent of total billed charges		873.5	33.3			Percent of total billed charges		290.8755	33.3			Percent of total billed charges		290.8755	100			Percent of total billed charges		873.5	290.8755	786.15	
room/bed: private	200	RC	Outpatient			873.5	567.78		90			Percent of total billed charges		786.15	40			Percent of total billed charges		349.4	80			Percent of total billed charges		698.8	90			Percent of total billed charges		786.15	85			Percent of total billed charges		742.475	85			Percent of total billed charges		742.475	85			Percent of total billed charges		742.475	100			Percent of total billed charges		873.5	100			Percent of total billed charges		873.5	100			Percent of total billed charges		873.5	33.3			Percent of total billed charges		290.8755	33.3			Percent of total billed charges		290.8755	100			Percent of total billed charges		873.5	290.8755	786.15	
sureform stapler 60 spu bx 6 ref 480460 isi	272	RC	Outpatient			874.5	568.43		90			Percent of total billed charges		787.05	40			Percent of total billed charges		349.8	80			Percent of total billed charges		699.6	90			Percent of total billed charges		787.05	85			Percent of total billed charges		743.325	85			Percent of total billed charges		743.325	85			Percent of total billed charges		743.325	100			Percent of total billed charges		874.5	100			Percent of total billed charges		874.5	100			Percent of total billed charges		874.5	33.3			Percent of total billed charges		291.2085	33.3			Percent of total billed charges		291.2085	100			Percent of total billed charges		874.5	291.2085	787.05	
2.7 cannulated drill bit 7117-3581 s/n	270	RC	Outpatient			875	568.75		90			Percent of total billed charges		787.5	40			Percent of total billed charges		350	80			Percent of total billed charges		700	90			Percent of total billed charges		787.5	85			Percent of total billed charges		743.75	85			Percent of total billed charges		743.75	85			Percent of total billed charges		743.75	100			Percent of total billed charges		875	100			Percent of total billed charges		875	100			Percent of total billed charges		875	33.3			Percent of total billed charges		291.375	33.3			Percent of total billed charges		291.375	100			Percent of total billed charges		875	291.375	787.5	
accuport zone delivery cannula 8ga x 200mm 308.084 zimmer	272	RC	Outpatient			875	568.75		90			Percent of total billed charges		787.5	40			Percent of total billed charges		350	80			Percent of total billed charges		700	90			Percent of total billed charges		787.5	85			Percent of total billed charges		743.75	85			Percent of total billed charges		743.75	85			Percent of total billed charges		743.75	100			Percent of total billed charges		875	100			Percent of total billed charges		875	100			Percent of total billed charges		875	33.3			Percent of total billed charges		291.375	33.3			Percent of total billed charges		291.375	100			Percent of total billed charges		875	291.375	787.5	
s/n drill bit 2.7 cann	270	RC	Outpatient			875	568.75		90			Percent of total billed charges		787.5	40			Percent of total billed charges		350	80			Percent of total billed charges		700	90			Percent of total billed charges		787.5	85			Percent of total billed charges		743.75	85			Percent of total billed charges		743.75	85			Percent of total billed charges		743.75	100			Percent of total billed charges		875	100			Percent of total billed charges		875	100			Percent of total billed charges		875	33.3			Percent of total billed charges		291.375	33.3			Percent of total billed charges		291.375	100			Percent of total billed charges		875	291.375	787.5	
q-fix suture anchor 2.8mm 25-2800 s/n	278	RC	Outpatient			875	568.75		90			Percent of total billed charges		787.5	40			Percent of total billed charges		350	80			Percent of total billed charges		700	90			Percent of total billed charges		787.5	85			Percent of total billed charges		743.75	85			Percent of total billed charges		743.75	85			Percent of total billed charges		743.75	100			Percent of total billed charges		875	100			Percent of total billed charges		875	100			Percent of total billed charges		875	33.3			Percent of total billed charges		291.375	33.3			Percent of total billed charges		291.375	100			Percent of total billed charges		875	291.375	787.5	
legacy rod-pre-cont.	278	RC	Outpatient			877	570.05		90			Percent of total billed charges		789.3	40			Percent of total billed charges		350.8	80			Percent of total billed charges		701.6	90			Percent of total billed charges		789.3	85			Percent of total billed charges		745.45	85			Percent of total billed charges		745.45	85			Percent of total billed charges		745.45	100			Percent of total billed charges		877	100			Percent of total billed charges		877	100			Percent of total billed charges		877	33.3			Percent of total billed charges		292.041	33.3			Percent of total billed charges		292.041	100			Percent of total billed charges		877	292.041	789.3	
syn 4.5 brd plt 24-26hl	278	RC	Outpatient			877	570.05		90			Percent of total billed charges		789.3	40			Percent of total billed charges		350.8	80			Percent of total billed charges		701.6	90			Percent of total billed charges		789.3	85			Percent of total billed charges		745.45	85			Percent of total billed charges		745.45	85			Percent of total billed charges		745.45	100			Percent of total billed charges		877	100			Percent of total billed charges		877	100			Percent of total billed charges		877	33.3			Percent of total billed charges		292.041	33.3			Percent of total billed charges		292.041	100			Percent of total billed charges		877	292.041	789.3	
s/n 3.5 reconstruction plate 4 hole 7114-0104	278	RC	Outpatient			877	570.05		90			Percent of total billed charges		789.3	40			Percent of total billed charges		350.8	80			Percent of total billed charges		701.6	90			Percent of total billed charges		789.3	85			Percent of total billed charges		745.45	85			Percent of total billed charges		745.45	85			Percent of total billed charges		745.45	100			Percent of total billed charges		877	100			Percent of total billed charges		877	100			Percent of total billed charges		877	33.3			Percent of total billed charges		292.041	33.3			Percent of total billed charges		292.041	100			Percent of total billed charges		877	292.041	789.3	
s/n 3.5 reconstruction plate 5 hole 7114-0105	278	RC	Outpatient			877	570.05		90			Percent of total billed charges		789.3	40			Percent of total billed charges		350.8	80			Percent of total billed charges		701.6	90			Percent of total billed charges		789.3	85			Percent of total billed charges		745.45	85			Percent of total billed charges		745.45	85			Percent of total billed charges		745.45	100			Percent of total billed charges		877	100			Percent of total billed charges		877	100			Percent of total billed charges		877	33.3			Percent of total billed charges		292.041	33.3			Percent of total billed charges		292.041	100			Percent of total billed charges		877	292.041	789.3	
sm fr pl recon 4-5 hl	278	RC	Outpatient			877	570.05		90			Percent of total billed charges		789.3	40			Percent of total billed charges		350.8	80			Percent of total billed charges		701.6	90			Percent of total billed charges		789.3	85			Percent of total billed charges		745.45	85			Percent of total billed charges		745.45	85			Percent of total billed charges		745.45	100			Percent of total billed charges		877	100			Percent of total billed charges		877	100			Percent of total billed charges		877	33.3			Percent of total billed charges		292.041	33.3			Percent of total billed charges		292.041	100			Percent of total billed charges		877	292.041	789.3	
acutak 6/7 fixation screw 100mm ap-67100-s acumed	278	RC	Outpatient			879	571.35		90			Percent of total billed charges		791.1	40			Percent of total billed charges		351.6	80			Percent of total billed charges		703.2	90			Percent of total billed charges		791.1	85			Percent of total billed charges		747.15	85			Percent of total billed charges		747.15	85			Percent of total billed charges		747.15	100			Percent of total billed charges		879	100			Percent of total billed charges		879	100			Percent of total billed charges		879	33.3			Percent of total billed charges		292.707	33.3			Percent of total billed charges		292.707	100			Percent of total billed charges		879	292.707	791.1	
acutak 6/7 fixation screw 55mm ap-6755-s acumed	278	RC	Outpatient			879	571.35		90			Percent of total billed charges		791.1	40			Percent of total billed charges		351.6	80			Percent of total billed charges		703.2	90			Percent of total billed charges		791.1	85			Percent of total billed charges		747.15	85			Percent of total billed charges		747.15	85			Percent of total billed charges		747.15	100			Percent of total billed charges		879	100			Percent of total billed charges		879	100			Percent of total billed charges		879	33.3			Percent of total billed charges		292.707	33.3			Percent of total billed charges		292.707	100			Percent of total billed charges		879	292.707	791.1	
acutrak 617 fix scr	278	RC	Outpatient			879	571.35		90			Percent of total billed charges		791.1	40			Percent of total billed charges		351.6	80			Percent of total billed charges		703.2	90			Percent of total billed charges		791.1	85			Percent of total billed charges		747.15	85			Percent of total billed charges		747.15	85			Percent of total billed charges		747.15	100			Percent of total billed charges		879	100			Percent of total billed charges		879	100			Percent of total billed charges		879	33.3			Percent of total billed charges		292.707	33.3			Percent of total billed charges		292.707	100			Percent of total billed charges		879	292.707	791.1	
acutak 6/7 fixation screw 65mm ap-6765-s acumed	278	RC	Outpatient			879	571.35		90			Percent of total billed charges		791.1	40			Percent of total billed charges		351.6	80			Percent of total billed charges		703.2	90			Percent of total billed charges		791.1	85			Percent of total billed charges		747.15	85			Percent of total billed charges		747.15	85			Percent of total billed charges		747.15	100			Percent of total billed charges		879	100			Percent of total billed charges		879	100			Percent of total billed charges		879	33.3			Percent of total billed charges		292.707	33.3			Percent of total billed charges		292.707	100			Percent of total billed charges		879	292.707	791.1	
acutak 6/7 fixation screw 70mm ap-6770-s acumed	278	RC	Outpatient			879	571.35		90			Percent of total billed charges		791.1	40			Percent of total billed charges		351.6	80			Percent of total billed charges		703.2	90			Percent of total billed charges		791.1	85			Percent of total billed charges		747.15	85			Percent of total billed charges		747.15	85			Percent of total billed charges		747.15	100			Percent of total billed charges		879	100			Percent of total billed charges		879	100			Percent of total billed charges		879	33.3			Percent of total billed charges		292.707	33.3			Percent of total billed charges		292.707	100			Percent of total billed charges		879	292.707	791.1	
acutak 6/7 fixation screw 90mm ap-6790-s acumed	278	RC	Outpatient			879	571.35		90			Percent of total billed charges		791.1	40			Percent of total billed charges		351.6	80			Percent of total billed charges		703.2	90			Percent of total billed charges		791.1	85			Percent of total billed charges		747.15	85			Percent of total billed charges		747.15	85			Percent of total billed charges		747.15	100			Percent of total billed charges		879	100			Percent of total billed charges		879	100			Percent of total billed charges		879	33.3			Percent of total billed charges		292.707	33.3			Percent of total billed charges		292.707	100			Percent of total billed charges		879	292.707	791.1	
lg fr pl cobra 11hl	278	RC	Outpatient			879	571.35		90			Percent of total billed charges		791.1	40			Percent of total billed charges		351.6	80			Percent of total billed charges		703.2	90			Percent of total billed charges		791.1	85			Percent of total billed charges		747.15	85			Percent of total billed charges		747.15	85			Percent of total billed charges		747.15	100			Percent of total billed charges		879	100			Percent of total billed charges		879	100			Percent of total billed charges		879	33.3			Percent of total billed charges		292.707	33.3			Percent of total billed charges		292.707	100			Percent of total billed charges		879	292.707	791.1	
s/n lg frag  plate 11 hole  7114-1811	278	RC	Outpatient			879	571.35		90			Percent of total billed charges		791.1	40			Percent of total billed charges		351.6	80			Percent of total billed charges		703.2	90			Percent of total billed charges		791.1	85			Percent of total billed charges		747.15	85			Percent of total billed charges		747.15	85			Percent of total billed charges		747.15	100			Percent of total billed charges		879	100			Percent of total billed charges		879	100			Percent of total billed charges		879	33.3			Percent of total billed charges		292.707	33.3			Percent of total billed charges		292.707	100			Percent of total billed charges		879	292.707	791.1	
lg fr pl lg t-plt 4hl	278	RC	Outpatient			880	572		90			Percent of total billed charges		792	40			Percent of total billed charges		352	80			Percent of total billed charges		704	90			Percent of total billed charges		792	85			Percent of total billed charges		748	85			Percent of total billed charges		748	85			Percent of total billed charges		748	100			Percent of total billed charges		880	100			Percent of total billed charges		880	100			Percent of total billed charges		880	33.3			Percent of total billed charges		293.04	33.3			Percent of total billed charges		293.04	100			Percent of total billed charges		880	293.04	792	
navigation fee	272	RC	Outpatient			880	572		90			Percent of total billed charges		792	40			Percent of total billed charges		352	80			Percent of total billed charges		704	90			Percent of total billed charges		792	85			Percent of total billed charges		748	85			Percent of total billed charges		748	85			Percent of total billed charges		748	100			Percent of total billed charges		880	100			Percent of total billed charges		880	100			Percent of total billed charges		880	33.3			Percent of total billed charges		293.04	33.3			Percent of total billed charges		293.04	100			Percent of total billed charges		880	293.04	792	
biomet mallory/head 45-55 mm lateral claw connector 11-105006	278	RC	Outpatient			883	573.95		90			Percent of total billed charges		794.7	40			Percent of total billed charges		353.2	80			Percent of total billed charges		706.4	90			Percent of total billed charges		794.7	85			Percent of total billed charges		750.55	85			Percent of total billed charges		750.55	85			Percent of total billed charges		750.55	100			Percent of total billed charges		883	100			Percent of total billed charges		883	100			Percent of total billed charges		883	33.3			Percent of total billed charges		294.039	33.3			Percent of total billed charges		294.039	100			Percent of total billed charges		883	294.039	794.7	
biomet mh 60-70mm claw connector 11-105009	278	RC	Outpatient			883	573.95		90			Percent of total billed charges		794.7	40			Percent of total billed charges		353.2	80			Percent of total billed charges		706.4	90			Percent of total billed charges		794.7	85			Percent of total billed charges		750.55	85			Percent of total billed charges		750.55	85			Percent of total billed charges		750.55	100			Percent of total billed charges		883	100			Percent of total billed charges		883	100			Percent of total billed charges		883	33.3			Percent of total billed charges		294.039	33.3			Percent of total billed charges		294.039	100			Percent of total billed charges		883	294.039	794.7	
arthrex bio-cs/tigertail2	278	RC	Outpatient			883	573.95		90			Percent of total billed charges		794.7	40			Percent of total billed charges		353.2	80			Percent of total billed charges		706.4	90			Percent of total billed charges		794.7	85			Percent of total billed charges		750.55	85			Percent of total billed charges		750.55	85			Percent of total billed charges		750.55	100			Percent of total billed charges		883	100			Percent of total billed charges		883	100			Percent of total billed charges		883	33.3			Percent of total billed charges		294.039	33.3			Percent of total billed charges		294.039	100			Percent of total billed charges		883	294.039	794.7	
arthrex biocomposite corkscrew suture anchor 5.5 w/2 tiger tail  ar-1927bcft	278	RC	Outpatient			883	573.95		90			Percent of total billed charges		794.7	40			Percent of total billed charges		353.2	80			Percent of total billed charges		706.4	90			Percent of total billed charges		794.7	85			Percent of total billed charges		750.55	85			Percent of total billed charges		750.55	85			Percent of total billed charges		750.55	100			Percent of total billed charges		883	100			Percent of total billed charges		883	100			Percent of total billed charges		883	33.3			Percent of total billed charges		294.039	33.3			Percent of total billed charges		294.039	100			Percent of total billed charges		883	294.039	794.7	
arthrotek ezloc fem fix	278	RC	Outpatient			883	573.95		90			Percent of total billed charges		794.7	40			Percent of total billed charges		353.2	80			Percent of total billed charges		706.4	90			Percent of total billed charges		794.7	85			Percent of total billed charges		750.55	85			Percent of total billed charges		750.55	85			Percent of total billed charges		750.55	100			Percent of total billed charges		883	100			Percent of total billed charges		883	100			Percent of total billed charges		883	33.3			Percent of total billed charges		294.039	33.3			Percent of total billed charges		294.039	100			Percent of total billed charges		883	294.039	794.7	
bio claw connector	278	RC	Outpatient			883	573.95		90			Percent of total billed charges		794.7	40			Percent of total billed charges		353.2	80			Percent of total billed charges		706.4	90			Percent of total billed charges		794.7	85			Percent of total billed charges		750.55	85			Percent of total billed charges		750.55	85			Percent of total billed charges		750.55	100			Percent of total billed charges		883	100			Percent of total billed charges		883	100			Percent of total billed charges		883	33.3			Percent of total billed charges		294.039	33.3			Percent of total billed charges		294.039	100			Percent of total billed charges		883	294.039	794.7	
biomet mh 55-65mm lat claw connector 11-105088	278	RC	Outpatient			883	573.95		90			Percent of total billed charges		794.7	40			Percent of total billed charges		353.2	80			Percent of total billed charges		706.4	90			Percent of total billed charges		794.7	85			Percent of total billed charges		750.55	85			Percent of total billed charges		750.55	85			Percent of total billed charges		750.55	100			Percent of total billed charges		883	100			Percent of total billed charges		883	100			Percent of total billed charges		883	33.3			Percent of total billed charges		294.039	33.3			Percent of total billed charges		294.039	100			Percent of total billed charges		883	294.039	794.7	
ezloc fem fix 9-10mm x 20mm 904781 arthrotek biomet sports med	278	RC	Outpatient			883	573.95		90			Percent of total billed charges		794.7	40			Percent of total billed charges		353.2	80			Percent of total billed charges		706.4	90			Percent of total billed charges		794.7	85			Percent of total billed charges		750.55	85			Percent of total billed charges		750.55	85			Percent of total billed charges		750.55	100			Percent of total billed charges		883	100			Percent of total billed charges		883	100			Percent of total billed charges		883	33.3			Percent of total billed charges		294.039	33.3			Percent of total billed charges		294.039	100			Percent of total billed charges		883	294.039	794.7	
m/h lat claw connector 50-60mm 11-105007 biomet	278	RC	Outpatient			883	573.95		90			Percent of total billed charges		794.7	40			Percent of total billed charges		353.2	80			Percent of total billed charges		706.4	90			Percent of total billed charges		794.7	85			Percent of total billed charges		750.55	85			Percent of total billed charges		750.55	85			Percent of total billed charges		750.55	100			Percent of total billed charges		883	100			Percent of total billed charges		883	100			Percent of total billed charges		883	33.3			Percent of total billed charges		294.039	33.3			Percent of total billed charges		294.039	100			Percent of total billed charges		883	294.039	794.7	
hoffman clamp	278	RC	Outpatient			883	573.95		90			Percent of total billed charges		794.7	40			Percent of total billed charges		353.2	80			Percent of total billed charges		706.4	90			Percent of total billed charges		794.7	85			Percent of total billed charges		750.55	85			Percent of total billed charges		750.55	85			Percent of total billed charges		750.55	100			Percent of total billed charges		883	100			Percent of total billed charges		883	100			Percent of total billed charges		883	33.3			Percent of total billed charges		294.039	33.3			Percent of total billed charges		294.039	100			Percent of total billed charges		883	294.039	794.7	
stryker hoffman 2 ex-fix rod to rod clamp 4920-1-010	278	RC	Outpatient			883	573.95		90			Percent of total billed charges		794.7	40			Percent of total billed charges		353.2	80			Percent of total billed charges		706.4	90			Percent of total billed charges		794.7	85			Percent of total billed charges		750.55	85			Percent of total billed charges		750.55	85			Percent of total billed charges		750.55	100			Percent of total billed charges		883	100			Percent of total billed charges		883	100			Percent of total billed charges		883	33.3			Percent of total billed charges		294.039	33.3			Percent of total billed charges		294.039	100			Percent of total billed charges		883	294.039	794.7	
stryker hoffman 2 ex-fix pin to rod clamp 4920-1-020	278	RC	Outpatient			883	573.95		90			Percent of total billed charges		794.7	40			Percent of total billed charges		353.2	80			Percent of total billed charges		706.4	90			Percent of total billed charges		794.7	85			Percent of total billed charges		750.55	85			Percent of total billed charges		750.55	85			Percent of total billed charges		750.55	100			Percent of total billed charges		883	100			Percent of total billed charges		883	100			Percent of total billed charges		883	33.3			Percent of total billed charges		294.039	33.3			Percent of total billed charges		294.039	100			Percent of total billed charges		883	294.039	794.7	
vnus premium plus cath	272	RC	Outpatient			883	573.95		90			Percent of total billed charges		794.7	40			Percent of total billed charges		353.2	80			Percent of total billed charges		706.4	90			Percent of total billed charges		794.7	85			Percent of total billed charges		750.55	85			Percent of total billed charges		750.55	85			Percent of total billed charges		750.55	100			Percent of total billed charges		883	100			Percent of total billed charges		883	100			Percent of total billed charges		883	33.3			Percent of total billed charges		294.039	33.3			Percent of total billed charges		294.039	100			Percent of total billed charges		883	294.039	794.7	
vnus premium plus cath cl6-100	272	RC	Outpatient			883	573.95		90			Percent of total billed charges		794.7	40			Percent of total billed charges		353.2	80			Percent of total billed charges		706.4	90			Percent of total billed charges		794.7	85			Percent of total billed charges		750.55	85			Percent of total billed charges		750.55	85			Percent of total billed charges		750.55	100			Percent of total billed charges		883	100			Percent of total billed charges		883	100			Percent of total billed charges		883	33.3			Percent of total billed charges		294.039	33.3			Percent of total billed charges		294.039	100			Percent of total billed charges		883	294.039	794.7	
arthrex mini peek pushlock 2.5 ar-8825p	278	RC	Outpatient			884	574.6		90			Percent of total billed charges		795.6	40			Percent of total billed charges		353.6	80			Percent of total billed charges		707.2	90			Percent of total billed charges		795.6	85			Percent of total billed charges		751.4	85			Percent of total billed charges		751.4	85			Percent of total billed charges		751.4	100			Percent of total billed charges		884	100			Percent of total billed charges		884	100			Percent of total billed charges		884	33.3			Percent of total billed charges		294.372	33.3			Percent of total billed charges		294.372	100			Percent of total billed charges		884	294.372	795.6	
arthrex push lock pk mini	278	RC	Outpatient			884	574.6		90			Percent of total billed charges		795.6	40			Percent of total billed charges		353.6	80			Percent of total billed charges		707.2	90			Percent of total billed charges		795.6	85			Percent of total billed charges		751.4	85			Percent of total billed charges		751.4	85			Percent of total billed charges		751.4	100			Percent of total billed charges		884	100			Percent of total billed charges		884	100			Percent of total billed charges		884	33.3			Percent of total billed charges		294.372	33.3			Percent of total billed charges		294.372	100			Percent of total billed charges		884	294.372	795.6	
c-qur v patch 6.4 x6.4 med 31201 atrium	278	RC	Outpatient			884	574.6		90			Percent of total billed charges		795.6	40			Percent of total billed charges		353.6	80			Percent of total billed charges		707.2	90			Percent of total billed charges		795.6	85			Percent of total billed charges		751.4	85			Percent of total billed charges		751.4	85			Percent of total billed charges		751.4	100			Percent of total billed charges		884	100			Percent of total billed charges		884	100			Percent of total billed charges		884	33.3			Percent of total billed charges		294.372	33.3			Percent of total billed charges		294.372	100			Percent of total billed charges		884	294.372	795.6	
harm scpl ace 36p	272	RC	Outpatient			884	574.6		90			Percent of total billed charges		795.6	40			Percent of total billed charges		353.6	80			Percent of total billed charges		707.2	90			Percent of total billed charges		795.6	85			Percent of total billed charges		751.4	85			Percent of total billed charges		751.4	85			Percent of total billed charges		751.4	100			Percent of total billed charges		884	100			Percent of total billed charges		884	100			Percent of total billed charges		884	33.3			Percent of total billed charges		294.372	33.3			Percent of total billed charges		294.372	100			Percent of total billed charges		884	294.372	795.6	
mesh c-qur v-patch6.4x6.4	278	RC	Outpatient			884	574.6		90			Percent of total billed charges		795.6	40			Percent of total billed charges		353.6	80			Percent of total billed charges		707.2	90			Percent of total billed charges		795.6	85			Percent of total billed charges		751.4	85			Percent of total billed charges		751.4	85			Percent of total billed charges		751.4	100			Percent of total billed charges		884	100			Percent of total billed charges		884	100			Percent of total billed charges		884	33.3			Percent of total billed charges		294.372	33.3			Percent of total billed charges		294.372	100			Percent of total billed charges		884	294.372	795.6	
asnis ii cannulated 6.5 twist drill 702601 stryker	272	RC	Outpatient			886	575.9		90			Percent of total billed charges		797.4	40			Percent of total billed charges		354.4	80			Percent of total billed charges		708.8	90			Percent of total billed charges		797.4	85			Percent of total billed charges		753.1	85			Percent of total billed charges		753.1	85			Percent of total billed charges		753.1	100			Percent of total billed charges		886	100			Percent of total billed charges		886	100			Percent of total billed charges		886	33.3			Percent of total billed charges		295.038	33.3			Percent of total billed charges		295.038	100			Percent of total billed charges		886	295.038	797.4	
enseal	270	RC	Outpatient			886	575.9		90			Percent of total billed charges		797.4	40			Percent of total billed charges		354.4	80			Percent of total billed charges		708.8	90			Percent of total billed charges		797.4	85			Percent of total billed charges		753.1	85			Percent of total billed charges		753.1	85			Percent of total billed charges		753.1	100			Percent of total billed charges		886	100			Percent of total billed charges		886	100			Percent of total billed charges		886	33.3			Percent of total billed charges		295.038	33.3			Percent of total billed charges		295.038	100			Percent of total billed charges		886	295.038	797.4	
stryker asnis can 6.5 dri	272	RC	Outpatient			886	575.9		90			Percent of total billed charges		797.4	40			Percent of total billed charges		354.4	80			Percent of total billed charges		708.8	90			Percent of total billed charges		797.4	85			Percent of total billed charges		753.1	85			Percent of total billed charges		753.1	85			Percent of total billed charges		753.1	100			Percent of total billed charges		886	100			Percent of total billed charges		886	100			Percent of total billed charges		886	33.3			Percent of total billed charges		295.038	33.3			Percent of total billed charges		295.038	100			Percent of total billed charges		886	295.038	797.4	
cosmetic - submental liposuction	983	RC	Outpatient			888	577.2		90			Percent of total billed charges		799.2	40			Percent of total billed charges		355.2	80			Percent of total billed charges		710.4	90			Percent of total billed charges		799.2	85			Percent of total billed charges		754.8	85			Percent of total billed charges		754.8	85			Percent of total billed charges		754.8	100			Percent of total billed charges		888	100			Percent of total billed charges		888	100			Percent of total billed charges		888	33.3			Percent of total billed charges		295.704	33.3			Percent of total billed charges		295.704	100			Percent of total billed charges		888	295.704	799.2	
cosmetic-iliac	983	RC	Outpatient			888	577.2		90			Percent of total billed charges		799.2	40			Percent of total billed charges		355.2	80			Percent of total billed charges		710.4	90			Percent of total billed charges		799.2	85			Percent of total billed charges		754.8	85			Percent of total billed charges		754.8	85			Percent of total billed charges		754.8	100			Percent of total billed charges		888	100			Percent of total billed charges		888	100			Percent of total billed charges		888	33.3			Percent of total billed charges		295.704	33.3			Percent of total billed charges		295.704	100			Percent of total billed charges		888	295.704	799.2	
anesthesia time 2 hours	370	RC	Outpatient			891	579.15		90			Percent of total billed charges		801.9	40			Percent of total billed charges		356.4	80			Percent of total billed charges		712.8	90			Percent of total billed charges		801.9	85			Percent of total billed charges		757.35	85			Percent of total billed charges		757.35	85			Percent of total billed charges		757.35	100			Percent of total billed charges		891	100			Percent of total billed charges		891	100			Percent of total billed charges		891	33.3			Percent of total billed charges		296.703	33.3			Percent of total billed charges		296.703	100			Percent of total billed charges		891	296.703	801.9	
biomet endo head	274	RC	Outpatient			893	580.45		90			Percent of total billed charges		803.7	40			Percent of total billed charges		357.2	80			Percent of total billed charges		714.4	90			Percent of total billed charges		803.7	85			Percent of total billed charges		759.05	85			Percent of total billed charges		759.05	85			Percent of total billed charges		759.05	100			Percent of total billed charges		893	100			Percent of total billed charges		893	100			Percent of total billed charges		893	33.3			Percent of total billed charges		297.369	33.3			Percent of total billed charges		297.369	100			Percent of total billed charges		893	297.369	803.7	
endo ii mod endo head sz 42 12-139008 biomet	274	RC	Outpatient			893	580.45		90			Percent of total billed charges		803.7	40			Percent of total billed charges		357.2	80			Percent of total billed charges		714.4	90			Percent of total billed charges		803.7	85			Percent of total billed charges		759.05	85			Percent of total billed charges		759.05	85			Percent of total billed charges		759.05	100			Percent of total billed charges		893	100			Percent of total billed charges		893	100			Percent of total billed charges		893	33.3			Percent of total billed charges		297.369	33.3			Percent of total billed charges		297.369	100			Percent of total billed charges		893	297.369	803.7	
endo ii mod endo head sz 44 12-139012 biomet	274	RC	Outpatient			893	580.45		90			Percent of total billed charges		803.7	40			Percent of total billed charges		357.2	80			Percent of total billed charges		714.4	90			Percent of total billed charges		803.7	85			Percent of total billed charges		759.05	85			Percent of total billed charges		759.05	85			Percent of total billed charges		759.05	100			Percent of total billed charges		893	100			Percent of total billed charges		893	100			Percent of total billed charges		893	33.3			Percent of total billed charges		297.369	33.3			Percent of total billed charges		297.369	100			Percent of total billed charges		893	297.369	803.7	
endo ii mod endo head sz 41 12-139006 biomet	274	RC	Outpatient			893	580.45		90			Percent of total billed charges		803.7	40			Percent of total billed charges		357.2	80			Percent of total billed charges		714.4	90			Percent of total billed charges		803.7	85			Percent of total billed charges		759.05	85			Percent of total billed charges		759.05	85			Percent of total billed charges		759.05	100			Percent of total billed charges		893	100			Percent of total billed charges		893	100			Percent of total billed charges		893	33.3			Percent of total billed charges		297.369	33.3			Percent of total billed charges		297.369	100			Percent of total billed charges		893	297.369	803.7	
endo ii mod endo head sz 45 12-139014 biomet	274	RC	Outpatient			893	580.45		90			Percent of total billed charges		803.7	40			Percent of total billed charges		357.2	80			Percent of total billed charges		714.4	90			Percent of total billed charges		803.7	85			Percent of total billed charges		759.05	85			Percent of total billed charges		759.05	85			Percent of total billed charges		759.05	100			Percent of total billed charges		893	100			Percent of total billed charges		893	100			Percent of total billed charges		893	33.3			Percent of total billed charges		297.369	33.3			Percent of total billed charges		297.369	100			Percent of total billed charges		893	297.369	803.7	
reliant balloon cath rel46 12fr medtronic	272	RC	Outpatient			893	580.45		90			Percent of total billed charges		803.7	40			Percent of total billed charges		357.2	80			Percent of total billed charges		714.4	90			Percent of total billed charges		803.7	85			Percent of total billed charges		759.05	85			Percent of total billed charges		759.05	85			Percent of total billed charges		759.05	100			Percent of total billed charges		893	100			Percent of total billed charges		893	100			Percent of total billed charges		893	33.3			Percent of total billed charges		297.369	33.3			Percent of total billed charges		297.369	100			Percent of total billed charges		893	297.369	803.7	
reliant balloon cath	272	RC	Outpatient			893	580.45		90			Percent of total billed charges		803.7	40			Percent of total billed charges		357.2	80			Percent of total billed charges		714.4	90			Percent of total billed charges		803.7	85			Percent of total billed charges		759.05	85			Percent of total billed charges		759.05	85			Percent of total billed charges		759.05	100			Percent of total billed charges		893	100			Percent of total billed charges		893	100			Percent of total billed charges		893	33.3			Percent of total billed charges		297.369	33.3			Percent of total billed charges		297.369	100			Percent of total billed charges		893	297.369	803.7	
1.5mm condylar plate 7 hole (left) 246.61	278	RC	Outpatient			898	583.7		90			Percent of total billed charges		808.2	40			Percent of total billed charges		359.2	80			Percent of total billed charges		718.4	90			Percent of total billed charges		808.2	85			Percent of total billed charges		763.3	85			Percent of total billed charges		763.3	85			Percent of total billed charges		763.3	100			Percent of total billed charges		898	100			Percent of total billed charges		898	100			Percent of total billed charges		898	33.3			Percent of total billed charges		299.034	33.3			Percent of total billed charges		299.034	100			Percent of total billed charges		898	299.034	808.2	
2.0mm condylar plate 7 hole (left) 243.61	278	RC	Outpatient			898	583.7		90			Percent of total billed charges		808.2	40			Percent of total billed charges		359.2	80			Percent of total billed charges		718.4	90			Percent of total billed charges		808.2	85			Percent of total billed charges		763.3	85			Percent of total billed charges		763.3	85			Percent of total billed charges		763.3	100			Percent of total billed charges		898	100			Percent of total billed charges		898	100			Percent of total billed charges		898	33.3			Percent of total billed charges		299.034	33.3			Percent of total billed charges		299.034	100			Percent of total billed charges		898	299.034	808.2	
1.5mm condylar plate 7 hole (right) 246.62	278	RC	Outpatient			898	583.7		90			Percent of total billed charges		808.2	40			Percent of total billed charges		359.2	80			Percent of total billed charges		718.4	90			Percent of total billed charges		808.2	85			Percent of total billed charges		763.3	85			Percent of total billed charges		763.3	85			Percent of total billed charges		763.3	100			Percent of total billed charges		898	100			Percent of total billed charges		898	100			Percent of total billed charges		898	33.3			Percent of total billed charges		299.034	33.3			Percent of total billed charges		299.034	100			Percent of total billed charges		898	299.034	808.2	
2.7mm condylar plate 7 hole (left) 242.61	278	RC	Outpatient			898	583.7		90			Percent of total billed charges		808.2	40			Percent of total billed charges		359.2	80			Percent of total billed charges		718.4	90			Percent of total billed charges		808.2	85			Percent of total billed charges		763.3	85			Percent of total billed charges		763.3	85			Percent of total billed charges		763.3	100			Percent of total billed charges		898	100			Percent of total billed charges		898	100			Percent of total billed charges		898	33.3			Percent of total billed charges		299.034	33.3			Percent of total billed charges		299.034	100			Percent of total billed charges		898	299.034	808.2	
2.7mm condylar plate 7 hole (right) 242.62	278	RC	Outpatient			898	583.7		90			Percent of total billed charges		808.2	40			Percent of total billed charges		359.2	80			Percent of total billed charges		718.4	90			Percent of total billed charges		808.2	85			Percent of total billed charges		763.3	85			Percent of total billed charges		763.3	85			Percent of total billed charges		763.3	100			Percent of total billed charges		898	100			Percent of total billed charges		898	100			Percent of total billed charges		898	33.3			Percent of total billed charges		299.034	33.3			Percent of total billed charges		299.034	100			Percent of total billed charges		898	299.034	808.2	
2.7mm condylar plate 7 hole (right) 243.62	278	RC	Outpatient			898	583.7		90			Percent of total billed charges		808.2	40			Percent of total billed charges		359.2	80			Percent of total billed charges		718.4	90			Percent of total billed charges		808.2	85			Percent of total billed charges		763.3	85			Percent of total billed charges		763.3	85			Percent of total billed charges		763.3	100			Percent of total billed charges		898	100			Percent of total billed charges		898	100			Percent of total billed charges		898	33.3			Percent of total billed charges		299.034	33.3			Percent of total billed charges		299.034	100			Percent of total billed charges		898	299.034	808.2	
mini fr pl condylar	278	RC	Outpatient			898	583.7		90			Percent of total billed charges		808.2	40			Percent of total billed charges		359.2	80			Percent of total billed charges		718.4	90			Percent of total billed charges		808.2	85			Percent of total billed charges		763.3	85			Percent of total billed charges		763.3	85			Percent of total billed charges		763.3	100			Percent of total billed charges		898	100			Percent of total billed charges		898	100			Percent of total billed charges		898	33.3			Percent of total billed charges		299.034	33.3			Percent of total billed charges		299.034	100			Percent of total billed charges		898	299.034	808.2	
mini frag  plate  7 hole 7114-5028 s/n	278	RC	Outpatient			898	583.7		90			Percent of total billed charges		808.2	40			Percent of total billed charges		359.2	80			Percent of total billed charges		718.4	90			Percent of total billed charges		808.2	85			Percent of total billed charges		763.3	85			Percent of total billed charges		763.3	85			Percent of total billed charges		763.3	100			Percent of total billed charges		898	100			Percent of total billed charges		898	100			Percent of total billed charges		898	33.3			Percent of total billed charges		299.034	33.3			Percent of total billed charges		299.034	100			Percent of total billed charges		898	299.034	808.2	
mini frag plate  7 hole  7114-5026 s/n	278	RC	Outpatient			898	583.7		90			Percent of total billed charges		808.2	40			Percent of total billed charges		359.2	80			Percent of total billed charges		718.4	90			Percent of total billed charges		808.2	85			Percent of total billed charges		763.3	85			Percent of total billed charges		763.3	85			Percent of total billed charges		763.3	100			Percent of total billed charges		898	100			Percent of total billed charges		898	100			Percent of total billed charges		898	33.3			Percent of total billed charges		299.034	33.3			Percent of total billed charges		299.034	100			Percent of total billed charges		898	299.034	808.2	
s/n mini frag  plate  7 hole  7114-6040	278	RC	Outpatient			898	583.7		90			Percent of total billed charges		808.2	40			Percent of total billed charges		359.2	80			Percent of total billed charges		718.4	90			Percent of total billed charges		808.2	85			Percent of total billed charges		763.3	85			Percent of total billed charges		763.3	85			Percent of total billed charges		763.3	100			Percent of total billed charges		898	100			Percent of total billed charges		898	100			Percent of total billed charges		898	33.3			Percent of total billed charges		299.034	33.3			Percent of total billed charges		299.034	100			Percent of total billed charges		898	299.034	808.2	
s/n mini frag  plate  7 hole  7114-7008	278	RC	Outpatient			898	583.7		90			Percent of total billed charges		808.2	40			Percent of total billed charges		359.2	80			Percent of total billed charges		718.4	90			Percent of total billed charges		808.2	85			Percent of total billed charges		763.3	85			Percent of total billed charges		763.3	85			Percent of total billed charges		763.3	100			Percent of total billed charges		898	100			Percent of total billed charges		898	100			Percent of total billed charges		898	33.3			Percent of total billed charges		299.034	33.3			Percent of total billed charges		299.034	100			Percent of total billed charges		898	299.034	808.2	
s/n mini frag  plate  7 hole  7114-7010	278	RC	Outpatient			898	583.7		90			Percent of total billed charges		808.2	40			Percent of total billed charges		359.2	80			Percent of total billed charges		718.4	90			Percent of total billed charges		808.2	85			Percent of total billed charges		763.3	85			Percent of total billed charges		763.3	85			Percent of total billed charges		763.3	100			Percent of total billed charges		898	100			Percent of total billed charges		898	100			Percent of total billed charges		898	33.3			Percent of total billed charges		299.034	33.3			Percent of total billed charges		299.034	100			Percent of total billed charges		898	299.034	808.2	
s/n mini frag  plate 2mm 7 hole 7114-6042	278	RC	Outpatient			898	583.7		90			Percent of total billed charges		808.2	40			Percent of total billed charges		359.2	80			Percent of total billed charges		718.4	90			Percent of total billed charges		808.2	85			Percent of total billed charges		763.3	85			Percent of total billed charges		763.3	85			Percent of total billed charges		763.3	100			Percent of total billed charges		898	100			Percent of total billed charges		898	100			Percent of total billed charges		898	33.3			Percent of total billed charges		299.034	33.3			Percent of total billed charges		299.034	100			Percent of total billed charges		898	299.034	808.2	
ams accessory kit 72401850 american med	270	RC	Outpatient			903	586.95		90			Percent of total billed charges		812.7	40			Percent of total billed charges		361.2	80			Percent of total billed charges		722.4	90			Percent of total billed charges		812.7	85			Percent of total billed charges		767.55	85			Percent of total billed charges		767.55	85			Percent of total billed charges		767.55	100			Percent of total billed charges		903	100			Percent of total billed charges		903	100			Percent of total billed charges		903	33.3			Percent of total billed charges		300.699	33.3			Percent of total billed charges		300.699	100			Percent of total billed charges		903	300.699	812.7	
assembly kit tru-lock conn 909480s	270	RC	Outpatient			903	586.95		90			Percent of total billed charges		812.7	40			Percent of total billed charges		361.2	80			Percent of total billed charges		722.4	90			Percent of total billed charges		812.7	85			Percent of total billed charges		767.55	85			Percent of total billed charges		767.55	85			Percent of total billed charges		767.55	100			Percent of total billed charges		903	100			Percent of total billed charges		903	100			Percent of total billed charges		903	33.3			Percent of total billed charges		300.699	33.3			Percent of total billed charges		300.699	100			Percent of total billed charges		903	300.699	812.7	
penile pros reser assbly	270	RC	Outpatient			903	586.95		90			Percent of total billed charges		812.7	40			Percent of total billed charges		361.2	80			Percent of total billed charges		722.4	90			Percent of total billed charges		812.7	85			Percent of total billed charges		767.55	85			Percent of total billed charges		767.55	85			Percent of total billed charges		767.55	100			Percent of total billed charges		903	100			Percent of total billed charges		903	100			Percent of total billed charges		903	33.3			Percent of total billed charges		300.699	33.3			Percent of total billed charges		300.699	100			Percent of total billed charges		903	300.699	812.7	
pubic symphysis plate	278	RC	Outpatient			903	586.95		90			Percent of total billed charges		812.7	40			Percent of total billed charges		361.2	80			Percent of total billed charges		722.4	90			Percent of total billed charges		812.7	85			Percent of total billed charges		767.55	85			Percent of total billed charges		767.55	85			Percent of total billed charges		767.55	100			Percent of total billed charges		903	100			Percent of total billed charges		903	100			Percent of total billed charges		903	33.3			Percent of total billed charges		300.699	33.3			Percent of total billed charges		300.699	100			Percent of total billed charges		903	300.699	812.7	
pubic symphysis plate 71926791 smith/nephew	278	RC	Outpatient			903	586.95		90			Percent of total billed charges		812.7	40			Percent of total billed charges		361.2	80			Percent of total billed charges		722.4	90			Percent of total billed charges		812.7	85			Percent of total billed charges		767.55	85			Percent of total billed charges		767.55	85			Percent of total billed charges		767.55	100			Percent of total billed charges		903	100			Percent of total billed charges		903	100			Percent of total billed charges		903	33.3			Percent of total billed charges		300.699	33.3			Percent of total billed charges		300.699	100			Percent of total billed charges		903	300.699	812.7	
titan assembly kit 91-9480sc coloplast	272	RC	Outpatient			903	586.95		90			Percent of total billed charges		812.7	40			Percent of total billed charges		361.2	80			Percent of total billed charges		722.4	90			Percent of total billed charges		812.7	85			Percent of total billed charges		767.55	85			Percent of total billed charges		767.55	85			Percent of total billed charges		767.55	100			Percent of total billed charges		903	100			Percent of total billed charges		903	100			Percent of total billed charges		903	33.3			Percent of total billed charges		300.699	33.3			Percent of total billed charges		300.699	100			Percent of total billed charges		903	300.699	812.7	
titan penile prosth kit	272	RC	Outpatient			903	586.95		90			Percent of total billed charges		812.7	40			Percent of total billed charges		361.2	80			Percent of total billed charges		722.4	90			Percent of total billed charges		812.7	85			Percent of total billed charges		767.55	85			Percent of total billed charges		767.55	85			Percent of total billed charges		767.55	100			Percent of total billed charges		903	100			Percent of total billed charges		903	100			Percent of total billed charges		903	33.3			Percent of total billed charges		300.699	33.3			Percent of total billed charges		300.699	100			Percent of total billed charges		903	300.699	812.7	
bio 28mm mod heads	278	RC	Outpatient			904	587.6		90			Percent of total billed charges		813.6	40			Percent of total billed charges		361.6	80			Percent of total billed charges		723.2	90			Percent of total billed charges		813.6	85			Percent of total billed charges		768.4	85			Percent of total billed charges		768.4	85			Percent of total billed charges		768.4	100			Percent of total billed charges		904	100			Percent of total billed charges		904	100			Percent of total billed charges		904	33.3			Percent of total billed charges		301.032	33.3			Percent of total billed charges		301.032	100			Percent of total billed charges		904	301.032	813.6	
intertan subtrach lag scr	278	RC	Outpatient			904	587.6		90			Percent of total billed charges		813.6	40			Percent of total billed charges		361.6	80			Percent of total billed charges		723.2	90			Percent of total billed charges		813.6	85			Percent of total billed charges		768.4	85			Percent of total billed charges		768.4	85			Percent of total billed charges		768.4	100			Percent of total billed charges		904	100			Percent of total billed charges		904	100			Percent of total billed charges		904	33.3			Percent of total billed charges		301.032	33.3			Percent of total billed charges		301.032	100			Percent of total billed charges		904	301.032	813.6	
bio 377176 s 45 lead	278	RC	Outpatient			908	590.2		90			Percent of total billed charges		817.2	40			Percent of total billed charges		363.2	80			Percent of total billed charges		726.4	90			Percent of total billed charges		817.2	85			Percent of total billed charges		771.8	85			Percent of total billed charges		771.8	85			Percent of total billed charges		771.8	100			Percent of total billed charges		908	100			Percent of total billed charges		908	100			Percent of total billed charges		908	33.3			Percent of total billed charges		302.364	33.3			Percent of total billed charges		302.364	100			Percent of total billed charges		908	302.364	817.2	
bio 377177 s 53 lead	278	RC	Outpatient			908	590.2		90			Percent of total billed charges		817.2	40			Percent of total billed charges		363.2	80			Percent of total billed charges		726.4	90			Percent of total billed charges		817.2	85			Percent of total billed charges		771.8	85			Percent of total billed charges		771.8	85			Percent of total billed charges		771.8	100			Percent of total billed charges		908	100			Percent of total billed charges		908	100			Percent of total billed charges		908	33.3			Percent of total billed charges		302.364	33.3			Percent of total billed charges		302.364	100			Percent of total billed charges		908	302.364	817.2	
bio 377179 s 60	278	RC	Outpatient			908	590.2		90			Percent of total billed charges		817.2	40			Percent of total billed charges		363.2	80			Percent of total billed charges		726.4	90			Percent of total billed charges		817.2	85			Percent of total billed charges		771.8	85			Percent of total billed charges		771.8	85			Percent of total billed charges		771.8	100			Percent of total billed charges		908	100			Percent of total billed charges		908	100			Percent of total billed charges		908	33.3			Percent of total billed charges		302.364	33.3			Percent of total billed charges		302.364	100			Percent of total billed charges		908	302.364	817.2	
cath lab venogram lt extremity subclavian	481	RC	Outpatient			908	590.2		90			Percent of total billed charges		817.2	40			Percent of total billed charges		363.2	80			Percent of total billed charges		726.4	90			Percent of total billed charges		817.2	85			Percent of total billed charges		771.8	85			Percent of total billed charges		771.8	85			Percent of total billed charges		771.8	100			Percent of total billed charges		908	100			Percent of total billed charges		908	100			Percent of total billed charges		908	33.3			Percent of total billed charges		302.364	33.3			Percent of total billed charges		302.364	100			Percent of total billed charges		908	302.364	817.2	
humeral head 42mm 520-42-016 djo	278	RC	Outpatient			908	590.2		90			Percent of total billed charges		817.2	40			Percent of total billed charges		363.2	80			Percent of total billed charges		726.4	90			Percent of total billed charges		817.2	85			Percent of total billed charges		771.8	85			Percent of total billed charges		771.8	85			Percent of total billed charges		771.8	100			Percent of total billed charges		908	100			Percent of total billed charges		908	100			Percent of total billed charges		908	33.3			Percent of total billed charges		302.364	33.3			Percent of total billed charges		302.364	100			Percent of total billed charges		908	302.364	817.2	
humeral head 50mm 520-50-022 djo	278	RC	Outpatient			908	590.2		90			Percent of total billed charges		817.2	40			Percent of total billed charges		363.2	80			Percent of total billed charges		726.4	90			Percent of total billed charges		817.2	85			Percent of total billed charges		771.8	85			Percent of total billed charges		771.8	85			Percent of total billed charges		771.8	100			Percent of total billed charges		908	100			Percent of total billed charges		908	100			Percent of total billed charges		908	33.3			Percent of total billed charges		302.364	33.3			Percent of total billed charges		302.364	100			Percent of total billed charges		908	302.364	817.2	
jet-x 6 hole pin clampe 7106-7376 s/n	278	RC	Outpatient			908	590.2		90			Percent of total billed charges		817.2	40			Percent of total billed charges		363.2	80			Percent of total billed charges		726.4	90			Percent of total billed charges		817.2	85			Percent of total billed charges		771.8	85			Percent of total billed charges		771.8	85			Percent of total billed charges		771.8	100			Percent of total billed charges		908	100			Percent of total billed charges		908	100			Percent of total billed charges		908	33.3			Percent of total billed charges		302.364	33.3			Percent of total billed charges		302.364	100			Percent of total billed charges		908	302.364	817.2	
s/n visionaire block	270	RC	Outpatient			908	590.2		90			Percent of total billed charges		817.2	40			Percent of total billed charges		363.2	80			Percent of total billed charges		726.4	90			Percent of total billed charges		817.2	85			Percent of total billed charges		771.8	85			Percent of total billed charges		771.8	85			Percent of total billed charges		771.8	100			Percent of total billed charges		908	100			Percent of total billed charges		908	100			Percent of total billed charges		908	33.3			Percent of total billed charges		302.364	33.3			Percent of total billed charges		302.364	100			Percent of total billed charges		908	302.364	817.2	
s/n visionaire cut blk	272	RC	Outpatient			908	590.2		90			Percent of total billed charges		817.2	40			Percent of total billed charges		363.2	80			Percent of total billed charges		726.4	90			Percent of total billed charges		817.2	85			Percent of total billed charges		771.8	85			Percent of total billed charges		771.8	85			Percent of total billed charges		771.8	100			Percent of total billed charges		908	100			Percent of total billed charges		908	100			Percent of total billed charges		908	33.3			Percent of total billed charges		302.364	33.3			Percent of total billed charges		302.364	100			Percent of total billed charges		908	302.364	817.2	
st jude lpa1200m/46 lead	278	RC	Outpatient			908	590.2		90			Percent of total billed charges		817.2	40			Percent of total billed charges		363.2	80			Percent of total billed charges		726.4	90			Percent of total billed charges		817.2	85			Percent of total billed charges		771.8	85			Percent of total billed charges		771.8	85			Percent of total billed charges		771.8	100			Percent of total billed charges		908	100			Percent of total billed charges		908	100			Percent of total billed charges		908	33.3			Percent of total billed charges		302.364	33.3			Percent of total billed charges		302.364	100			Percent of total billed charges		908	302.364	817.2	
st jude lpa1200m/52 lead	278	RC	Outpatient			908	590.2		90			Percent of total billed charges		817.2	40			Percent of total billed charges		363.2	80			Percent of total billed charges		726.4	90			Percent of total billed charges		817.2	85			Percent of total billed charges		771.8	85			Percent of total billed charges		771.8	85			Percent of total billed charges		771.8	100			Percent of total billed charges		908	100			Percent of total billed charges		908	100			Percent of total billed charges		908	33.3			Percent of total billed charges		302.364	33.3			Percent of total billed charges		302.364	100			Percent of total billed charges		908	302.364	817.2	
visionaire block v0200022 s/n	270	RC	Outpatient			908	590.2		90			Percent of total billed charges		817.2	40			Percent of total billed charges		363.2	80			Percent of total billed charges		726.4	90			Percent of total billed charges		817.2	85			Percent of total billed charges		771.8	85			Percent of total billed charges		771.8	85			Percent of total billed charges		771.8	100			Percent of total billed charges		908	100			Percent of total billed charges		908	100			Percent of total billed charges		908	33.3			Percent of total billed charges		302.364	33.3			Percent of total billed charges		302.364	100			Percent of total billed charges		908	302.364	817.2	
visionaire block vo100022 s/n	270	RC	Outpatient			908	590.2		90			Percent of total billed charges		817.2	40			Percent of total billed charges		363.2	80			Percent of total billed charges		726.4	90			Percent of total billed charges		817.2	85			Percent of total billed charges		771.8	85			Percent of total billed charges		771.8	85			Percent of total billed charges		771.8	100			Percent of total billed charges		908	100			Percent of total billed charges		908	100			Percent of total billed charges		908	33.3			Percent of total billed charges		302.364	33.3			Percent of total billed charges		302.364	100			Percent of total billed charges		908	302.364	817.2	
visionaire block v0100023 s/n	270	RC	Outpatient			908	590.2		90			Percent of total billed charges		817.2	40			Percent of total billed charges		363.2	80			Percent of total billed charges		726.4	90			Percent of total billed charges		817.2	85			Percent of total billed charges		771.8	85			Percent of total billed charges		771.8	85			Percent of total billed charges		771.8	100			Percent of total billed charges		908	100			Percent of total billed charges		908	100			Percent of total billed charges		908	33.3			Percent of total billed charges		302.364	33.3			Percent of total billed charges		302.364	100			Percent of total billed charges		908	302.364	817.2	
visionaire block v0200023 s/n	278	RC	Outpatient			908	590.2		90			Percent of total billed charges		817.2	40			Percent of total billed charges		363.2	80			Percent of total billed charges		726.4	90			Percent of total billed charges		817.2	85			Percent of total billed charges		771.8	85			Percent of total billed charges		771.8	85			Percent of total billed charges		771.8	100			Percent of total billed charges		908	100			Percent of total billed charges		908	100			Percent of total billed charges		908	33.3			Percent of total billed charges		302.364	33.3			Percent of total billed charges		302.364	100			Percent of total billed charges		908	302.364	817.2	
oblique t-plate 5 hole 7113-0505 s/n	278	RC	Outpatient			909	590.85		90			Percent of total billed charges		818.1	40			Percent of total billed charges		363.6	80			Percent of total billed charges		727.2	90			Percent of total billed charges		818.1	85			Percent of total billed charges		772.65	85			Percent of total billed charges		772.65	85			Percent of total billed charges		772.65	100			Percent of total billed charges		909	100			Percent of total billed charges		909	100			Percent of total billed charges		909	33.3			Percent of total billed charges		302.697	33.3			Percent of total billed charges		302.697	100			Percent of total billed charges		909	302.697	818.1	
sm fr pl t oblique 5hl	278	RC	Outpatient			909	590.85		90			Percent of total billed charges		818.1	40			Percent of total billed charges		363.6	80			Percent of total billed charges		727.2	90			Percent of total billed charges		818.1	85			Percent of total billed charges		772.65	85			Percent of total billed charges		772.65	85			Percent of total billed charges		772.65	100			Percent of total billed charges		909	100			Percent of total billed charges		909	100			Percent of total billed charges		909	33.3			Percent of total billed charges		302.697	33.3			Percent of total billed charges		302.697	100			Percent of total billed charges		909	302.697	818.1	
3500236 tracheostomy ed charge	450	RC	Outpatient			911	592.15		90			Percent of total billed charges		819.9	40			Percent of total billed charges		364.4	80			Percent of total billed charges		728.8	90			Percent of total billed charges		819.9	85			Percent of total billed charges		774.35	85			Percent of total billed charges		774.35	85			Percent of total billed charges		774.35	100			Percent of total billed charges		911	100			Percent of total billed charges		911	100			Percent of total billed charges		911	33.3			Percent of total billed charges		303.363	33.3			Percent of total billed charges		303.363	100			Percent of total billed charges		911	303.363	819.9	
cath lab venogram rt extremity subclavian	481	RC	Outpatient			911	592.15		90			Percent of total billed charges		819.9	40			Percent of total billed charges		364.4	80			Percent of total billed charges		728.8	90			Percent of total billed charges		819.9	85			Percent of total billed charges		774.35	85			Percent of total billed charges		774.35	85			Percent of total billed charges		774.35	100			Percent of total billed charges		911	100			Percent of total billed charges		911	100			Percent of total billed charges		911	33.3			Percent of total billed charges		303.363	33.3			Percent of total billed charges		303.363	100			Percent of total billed charges		911	303.363	819.9	
chemo admin. 8 1/2 hours	335	RC	Outpatient			912	592.8		90			Percent of total billed charges		820.8	40			Percent of total billed charges		364.8	80			Percent of total billed charges		729.6	90			Percent of total billed charges		820.8	85			Percent of total billed charges		775.2	85			Percent of total billed charges		775.2	85			Percent of total billed charges		775.2	100			Percent of total billed charges		912	100			Percent of total billed charges		912	100			Percent of total billed charges		912	33.3			Percent of total billed charges		303.696	33.3			Percent of total billed charges		303.696	100			Percent of total billed charges		912	303.696	820.8	
zzscrmc liver access & biopsy set	621	RC	Outpatient			912	592.8		90			Percent of total billed charges		820.8	40			Percent of total billed charges		364.8	80			Percent of total billed charges		729.6	90			Percent of total billed charges		820.8	85			Percent of total billed charges		775.2	85			Percent of total billed charges		775.2	85			Percent of total billed charges		775.2	100			Percent of total billed charges		912	100			Percent of total billed charges		912	100			Percent of total billed charges		912	33.3			Percent of total billed charges		303.696	33.3			Percent of total billed charges		303.696	100			Percent of total billed charges		912	303.696	820.8	
"cath,therno pa 7.5 fr"	270	RC	Outpatient			913	593.45		90			Percent of total billed charges		821.7	40			Percent of total billed charges		365.2	80			Percent of total billed charges		730.4	90			Percent of total billed charges		821.7	85			Percent of total billed charges		776.05	85			Percent of total billed charges		776.05	85			Percent of total billed charges		776.05	100			Percent of total billed charges		913	100			Percent of total billed charges		913	100			Percent of total billed charges		913	33.3			Percent of total billed charges		304.029	33.3			Percent of total billed charges		304.029	100			Percent of total billed charges		913	304.029	821.7	
j&j acetabular liner	278	RC	Outpatient			913	593.45		90			Percent of total billed charges		821.7	40			Percent of total billed charges		365.2	80			Percent of total billed charges		730.4	90			Percent of total billed charges		821.7	85			Percent of total billed charges		776.05	85			Percent of total billed charges		776.05	85			Percent of total billed charges		776.05	100			Percent of total billed charges		913	100			Percent of total billed charges		913	100			Percent of total billed charges		913	33.3			Percent of total billed charges		304.029	33.3			Percent of total billed charges		304.029	100			Percent of total billed charges		913	304.029	821.7	
biomet ss cable/sleeve	278	RC	Outpatient			915	594.75		90			Percent of total billed charges		823.5	40			Percent of total billed charges		366	80			Percent of total billed charges		732	90			Percent of total billed charges		823.5	85			Percent of total billed charges		777.75	85			Percent of total billed charges		777.75	85			Percent of total billed charges		777.75	100			Percent of total billed charges		915	100			Percent of total billed charges		915	100			Percent of total billed charges		915	33.3			Percent of total billed charges		304.695	33.3			Percent of total billed charges		304.695	100			Percent of total billed charges		915	304.695	823.5	
cancellous cubes 30cc	278	RC	Outpatient			915	594.75		90			Percent of total billed charges		823.5	40			Percent of total billed charges		366	80			Percent of total billed charges		732	90			Percent of total billed charges		823.5	85			Percent of total billed charges		777.75	85			Percent of total billed charges		777.75	85			Percent of total billed charges		777.75	100			Percent of total billed charges		915	100			Percent of total billed charges		915	100			Percent of total billed charges		915	33.3			Percent of total billed charges		304.695	33.3			Percent of total billed charges		304.695	100			Percent of total billed charges		915	304.695	823.5	
2.0 mm ss cable/sleeve combo 350806 biomet	278	RC	Outpatient			915	594.75		90			Percent of total billed charges		823.5	40			Percent of total billed charges		366	80			Percent of total billed charges		732	90			Percent of total billed charges		823.5	85			Percent of total billed charges		777.75	85			Percent of total billed charges		777.75	85			Percent of total billed charges		777.75	100			Percent of total billed charges		915	100			Percent of total billed charges		915	100			Percent of total billed charges		915	33.3			Percent of total billed charges		304.695	33.3			Percent of total billed charges		304.695	100			Percent of total billed charges		915	304.695	823.5	
imp cubes cancellous 30cc 1136 community tissue	278	RC	Outpatient			915	594.75		90			Percent of total billed charges		823.5	40			Percent of total billed charges		366	80			Percent of total billed charges		732	90			Percent of total billed charges		823.5	85			Percent of total billed charges		777.75	85			Percent of total billed charges		777.75	85			Percent of total billed charges		777.75	100			Percent of total billed charges		915	100			Percent of total billed charges		915	100			Percent of total billed charges		915	33.3			Percent of total billed charges		304.695	33.3			Percent of total billed charges		304.695	100			Percent of total billed charges		915	304.695	823.5	
genesis special trocar pin 71927250 s/n	278	RC	Outpatient			915	594.75		90			Percent of total billed charges		823.5	40			Percent of total billed charges		366	80			Percent of total billed charges		732	90			Percent of total billed charges		823.5	85			Percent of total billed charges		777.75	85			Percent of total billed charges		777.75	85			Percent of total billed charges		777.75	100			Percent of total billed charges		915	100			Percent of total billed charges		915	100			Percent of total billed charges		915	33.3			Percent of total billed charges		304.695	33.3			Percent of total billed charges		304.695	100			Percent of total billed charges		915	304.695	823.5	
genesis trocar pin 71210001 1/8 x 3 s/n	278	RC	Outpatient			915	594.75		90			Percent of total billed charges		823.5	40			Percent of total billed charges		366	80			Percent of total billed charges		732	90			Percent of total billed charges		823.5	85			Percent of total billed charges		777.75	85			Percent of total billed charges		777.75	85			Percent of total billed charges		777.75	100			Percent of total billed charges		915	100			Percent of total billed charges		915	100			Percent of total billed charges		915	33.3			Percent of total billed charges		304.695	33.3			Percent of total billed charges		304.695	100			Percent of total billed charges		915	304.695	823.5	
endo paracentesis	360	RC	Outpatient			916	595.4		90			Percent of total billed charges		824.4	40			Percent of total billed charges		366.4	80			Percent of total billed charges		732.8	90			Percent of total billed charges		824.4	85			Percent of total billed charges		778.6	85			Percent of total billed charges		778.6	85			Percent of total billed charges		778.6	100			Percent of total billed charges		916	100			Percent of total billed charges		916	100			Percent of total billed charges		916	33.3			Percent of total billed charges		305.028	33.3			Percent of total billed charges		305.028	100			Percent of total billed charges		916	305.028	824.4	
thoracentesis	360	RC	Outpatient			916	595.4		90			Percent of total billed charges		824.4	40			Percent of total billed charges		366.4	80			Percent of total billed charges		732.8	90			Percent of total billed charges		824.4	85			Percent of total billed charges		778.6	85			Percent of total billed charges		778.6	85			Percent of total billed charges		778.6	100			Percent of total billed charges		916	100			Percent of total billed charges		916	100			Percent of total billed charges		916	33.3			Percent of total billed charges		305.028	33.3			Percent of total billed charges		305.028	100			Percent of total billed charges		916	305.028	824.4	
kit fecal mgmt 411100	272	RC	Outpatient			917	596.05		90			Percent of total billed charges		825.3	40			Percent of total billed charges		366.8	80			Percent of total billed charges		733.6	90			Percent of total billed charges		825.3	85			Percent of total billed charges		779.45	85			Percent of total billed charges		779.45	85			Percent of total billed charges		779.45	100			Percent of total billed charges		917	100			Percent of total billed charges		917	100			Percent of total billed charges		917	33.3			Percent of total billed charges		305.361	33.3			Percent of total billed charges		305.361	100			Percent of total billed charges		917	305.361	825.3	
syn xfix hyb 3/4 rg 205mm	270	RC	Outpatient			917	596.05		90			Percent of total billed charges		825.3	40			Percent of total billed charges		366.8	80			Percent of total billed charges		733.6	90			Percent of total billed charges		825.3	85			Percent of total billed charges		779.45	85			Percent of total billed charges		779.45	85			Percent of total billed charges		779.45	100			Percent of total billed charges		917	100			Percent of total billed charges		917	100			Percent of total billed charges		917	33.3			Percent of total billed charges		305.361	33.3			Percent of total billed charges		305.361	100			Percent of total billed charges		917	305.361	825.3	
ring 3/4 205mm 393.722 synthes	270	RC	Outpatient			917	596.05		90			Percent of total billed charges		825.3	40			Percent of total billed charges		366.8	80			Percent of total billed charges		733.6	90			Percent of total billed charges		825.3	85			Percent of total billed charges		779.45	85			Percent of total billed charges		779.45	85			Percent of total billed charges		779.45	100			Percent of total billed charges		917	100			Percent of total billed charges		917	100			Percent of total billed charges		917	33.3			Percent of total billed charges		305.361	33.3			Percent of total billed charges		305.361	100			Percent of total billed charges		917	305.361	825.3	
avaflex curved needle w/ cannula stryker ref 1025-011-000	272	RC	Outpatient			918.4	596.96		90			Percent of total billed charges		826.56	40			Percent of total billed charges		367.36	80			Percent of total billed charges		734.72	90			Percent of total billed charges		826.56	85			Percent of total billed charges		780.64	85			Percent of total billed charges		780.64	85			Percent of total billed charges		780.64	100			Percent of total billed charges		918.4	100			Percent of total billed charges		918.4	100			Percent of total billed charges		918.4	33.3			Percent of total billed charges		305.8272	33.3			Percent of total billed charges		305.8272	100			Percent of total billed charges		918.4	305.8272	826.56	
half pin fix bolt 5mm 100615 s/n	278	RC	Outpatient			919	597.35		90			Percent of total billed charges		827.1	40			Percent of total billed charges		367.6	80			Percent of total billed charges		735.2	90			Percent of total billed charges		827.1	85			Percent of total billed charges		781.15	85			Percent of total billed charges		781.15	85			Percent of total billed charges		781.15	100			Percent of total billed charges		919	100			Percent of total billed charges		919	100			Percent of total billed charges		919	33.3			Percent of total billed charges		306.027	33.3			Percent of total billed charges		306.027	100			Percent of total billed charges		919	306.027	827.1	
s/n 1/2 pin fix bolt	278	RC	Outpatient			919	597.35		90			Percent of total billed charges		827.1	40			Percent of total billed charges		367.6	80			Percent of total billed charges		735.2	90			Percent of total billed charges		827.1	85			Percent of total billed charges		781.15	85			Percent of total billed charges		781.15	85			Percent of total billed charges		781.15	100			Percent of total billed charges		919	100			Percent of total billed charges		919	100			Percent of total billed charges		919	33.3			Percent of total billed charges		306.027	33.3			Percent of total billed charges		306.027	100			Percent of total billed charges		919	306.027	827.1	
scrmc penumbra lantern microcath 45 degree tip	621	RC	Outpatient			920	598		90			Percent of total billed charges		828	40			Percent of total billed charges		368	80			Percent of total billed charges		736	90			Percent of total billed charges		828	85			Percent of total billed charges		782	85			Percent of total billed charges		782	85			Percent of total billed charges		782	100			Percent of total billed charges		920	100			Percent of total billed charges		920	100			Percent of total billed charges		920	33.3			Percent of total billed charges		306.36	33.3			Percent of total billed charges		306.36	100			Percent of total billed charges		920	306.36	828	
2.7mm reconstruction plate 18 hole 245.26	278	RC	Outpatient			923	599.95		90			Percent of total billed charges		830.7	40			Percent of total billed charges		369.2	80			Percent of total billed charges		738.4	90			Percent of total billed charges		830.7	85			Percent of total billed charges		784.55	85			Percent of total billed charges		784.55	85			Percent of total billed charges		784.55	100			Percent of total billed charges		923	100			Percent of total billed charges		923	100			Percent of total billed charges		923	33.3			Percent of total billed charges		307.359	33.3			Percent of total billed charges		307.359	100			Percent of total billed charges		923	307.359	830.7	
buttress plate	278	RC	Outpatient			923	599.95		90			Percent of total billed charges		830.7	40			Percent of total billed charges		369.2	80			Percent of total billed charges		738.4	90			Percent of total billed charges		830.7	85			Percent of total billed charges		784.55	85			Percent of total billed charges		784.55	85			Percent of total billed charges		784.55	100			Percent of total billed charges		923	100			Percent of total billed charges		923	100			Percent of total billed charges		923	33.3			Percent of total billed charges		307.359	33.3			Percent of total billed charges		307.359	100			Percent of total billed charges		923	307.359	830.7	
2.7mm reconstruction plate 20 hole 245.27	278	RC	Outpatient			923	599.95		90			Percent of total billed charges		830.7	40			Percent of total billed charges		369.2	80			Percent of total billed charges		738.4	90			Percent of total billed charges		830.7	85			Percent of total billed charges		784.55	85			Percent of total billed charges		784.55	85			Percent of total billed charges		784.55	100			Percent of total billed charges		923	100			Percent of total billed charges		923	100			Percent of total billed charges		923	33.3			Percent of total billed charges		307.359	33.3			Percent of total billed charges		307.359	100			Percent of total billed charges		923	307.359	830.7	
arthrex push lock	278	RC	Outpatient			923	599.95		90			Percent of total billed charges		830.7	40			Percent of total billed charges		369.2	80			Percent of total billed charges		738.4	90			Percent of total billed charges		830.7	85			Percent of total billed charges		784.55	85			Percent of total billed charges		784.55	85			Percent of total billed charges		784.55	100			Percent of total billed charges		923	100			Percent of total billed charges		923	100			Percent of total billed charges		923	33.3			Percent of total billed charges		307.359	33.3			Percent of total billed charges		307.359	100			Percent of total billed charges		923	307.359	830.7	
arthrex pushlock 3.5mm x 14mm ar-1926ps	278	RC	Outpatient			923	599.95		90			Percent of total billed charges		830.7	40			Percent of total billed charges		369.2	80			Percent of total billed charges		738.4	90			Percent of total billed charges		830.7	85			Percent of total billed charges		784.55	85			Percent of total billed charges		784.55	85			Percent of total billed charges		784.55	100			Percent of total billed charges		923	100			Percent of total billed charges		923	100			Percent of total billed charges		923	33.3			Percent of total billed charges		307.359	33.3			Percent of total billed charges		307.359	100			Percent of total billed charges		923	307.359	830.7	
syn 2.7 recon plate 18-20	278	RC	Outpatient			923	599.95		90			Percent of total billed charges		830.7	40			Percent of total billed charges		369.2	80			Percent of total billed charges		738.4	90			Percent of total billed charges		830.7	85			Percent of total billed charges		784.55	85			Percent of total billed charges		784.55	85			Percent of total billed charges		784.55	100			Percent of total billed charges		923	100			Percent of total billed charges		923	100			Percent of total billed charges		923	33.3			Percent of total billed charges		307.359	33.3			Percent of total billed charges		307.359	100			Percent of total billed charges		923	307.359	830.7	
plate l buttress 11 hole 210mm 240.49	278	RC	Outpatient			923	599.95		90			Percent of total billed charges		830.7	40			Percent of total billed charges		369.2	80			Percent of total billed charges		738.4	90			Percent of total billed charges		830.7	85			Percent of total billed charges		784.55	85			Percent of total billed charges		784.55	85			Percent of total billed charges		784.55	100			Percent of total billed charges		923	100			Percent of total billed charges		923	100			Percent of total billed charges		923	33.3			Percent of total billed charges		307.359	33.3			Percent of total billed charges		307.359	100			Percent of total billed charges		923	307.359	830.7	
vitoss foam pack 2.5cc	278	RC	Outpatient			923	599.95		90			Percent of total billed charges		830.7	40			Percent of total billed charges		369.2	80			Percent of total billed charges		738.4	90			Percent of total billed charges		830.7	85			Percent of total billed charges		784.55	85			Percent of total billed charges		784.55	85			Percent of total billed charges		784.55	100			Percent of total billed charges		923	100			Percent of total billed charges		923	100			Percent of total billed charges		923	33.3			Percent of total billed charges		307.359	33.3			Percent of total billed charges		307.359	100			Percent of total billed charges		923	307.359	830.7	
vitoss foam pack 2.5cc 2102-1402 stryker	278	RC	Outpatient			923	599.95		90			Percent of total billed charges		830.7	40			Percent of total billed charges		369.2	80			Percent of total billed charges		738.4	90			Percent of total billed charges		830.7	85			Percent of total billed charges		784.55	85			Percent of total billed charges		784.55	85			Percent of total billed charges		784.55	100			Percent of total billed charges		923	100			Percent of total billed charges		923	100			Percent of total billed charges		923	33.3			Percent of total billed charges		307.359	33.3			Percent of total billed charges		307.359	100			Percent of total billed charges		923	307.359	830.7	
ventralex hernia patch med circle w/strap 6.4cm x 6.4xcm 0010302 bard	278	RC	Outpatient			923	599.95		90			Percent of total billed charges		830.7	40			Percent of total billed charges		369.2	80			Percent of total billed charges		738.4	90			Percent of total billed charges		830.7	85			Percent of total billed charges		784.55	85			Percent of total billed charges		784.55	85			Percent of total billed charges		784.55	100			Percent of total billed charges		923	100			Percent of total billed charges		923	100			Percent of total billed charges		923	33.3			Percent of total billed charges		307.359	33.3			Percent of total billed charges		307.359	100			Percent of total billed charges		923	307.359	830.7	
6.2mm tap for pedicle screw311.696 synthes	272	RC	Outpatient			924	600.6		90			Percent of total billed charges		831.6	40			Percent of total billed charges		369.6	80			Percent of total billed charges		739.2	90			Percent of total billed charges		831.6	85			Percent of total billed charges		785.4	85			Percent of total billed charges		785.4	85			Percent of total billed charges		785.4	100			Percent of total billed charges		924	100			Percent of total billed charges		924	100			Percent of total billed charges		924	33.3			Percent of total billed charges		307.692	33.3			Percent of total billed charges		307.692	100			Percent of total billed charges		924	307.692	831.6	
synthes ped scr tap	272	RC	Outpatient			924	600.6		90			Percent of total billed charges		831.6	40			Percent of total billed charges		369.6	80			Percent of total billed charges		739.2	90			Percent of total billed charges		831.6	85			Percent of total billed charges		785.4	85			Percent of total billed charges		785.4	85			Percent of total billed charges		785.4	100			Percent of total billed charges		924	100			Percent of total billed charges		924	100			Percent of total billed charges		924	33.3			Percent of total billed charges		307.692	33.3			Percent of total billed charges		307.692	100			Percent of total billed charges		924	307.692	831.6	
cannulated drill bit 13.0mm 290mm 351.27 synthes	270	RC	Outpatient			925	601.25		90			Percent of total billed charges		832.5	40			Percent of total billed charges		370	80			Percent of total billed charges		740	90			Percent of total billed charges		832.5	85			Percent of total billed charges		786.25	85			Percent of total billed charges		786.25	85			Percent of total billed charges		786.25	100			Percent of total billed charges		925	100			Percent of total billed charges		925	100			Percent of total billed charges		925	33.3			Percent of total billed charges		308.025	33.3			Percent of total billed charges		308.025	100			Percent of total billed charges		925	308.025	832.5	
syn 13.0 drill bit	270	RC	Outpatient			925	601.25		90			Percent of total billed charges		832.5	40			Percent of total billed charges		370	80			Percent of total billed charges		740	90			Percent of total billed charges		832.5	85			Percent of total billed charges		786.25	85			Percent of total billed charges		786.25	85			Percent of total billed charges		786.25	100			Percent of total billed charges		925	100			Percent of total billed charges		925	100			Percent of total billed charges		925	33.3			Percent of total billed charges		308.025	33.3			Percent of total billed charges		308.025	100			Percent of total billed charges		925	308.025	832.5	
syn 3.0 can drill bit	270	RC	Outpatient			925	601.25		90			Percent of total billed charges		832.5	40			Percent of total billed charges		370	80			Percent of total billed charges		740	90			Percent of total billed charges		832.5	85			Percent of total billed charges		786.25	85			Percent of total billed charges		786.25	85			Percent of total billed charges		786.25	100			Percent of total billed charges		925	100			Percent of total billed charges		925	100			Percent of total billed charges		925	33.3			Percent of total billed charges		308.025	33.3			Percent of total billed charges		308.025	100			Percent of total billed charges		925	308.025	832.5	
clamp combination 393.647	278	RC	Outpatient			927	602.55		90			Percent of total billed charges		834.3	40			Percent of total billed charges		370.8	80			Percent of total billed charges		741.6	90			Percent of total billed charges		834.3	85			Percent of total billed charges		787.95	85			Percent of total billed charges		787.95	85			Percent of total billed charges		787.95	100			Percent of total billed charges		927	100			Percent of total billed charges		927	100			Percent of total billed charges		927	33.3			Percent of total billed charges		308.691	33.3			Percent of total billed charges		308.691	100			Percent of total billed charges		927	308.691	834.3	
ex fix combination clamps	278	RC	Outpatient			927	602.55		90			Percent of total billed charges		834.3	40			Percent of total billed charges		370.8	80			Percent of total billed charges		741.6	90			Percent of total billed charges		834.3	85			Percent of total billed charges		787.95	85			Percent of total billed charges		787.95	85			Percent of total billed charges		787.95	100			Percent of total billed charges		927	100			Percent of total billed charges		927	100			Percent of total billed charges		927	33.3			Percent of total billed charges		308.691	33.3			Percent of total billed charges		308.691	100			Percent of total billed charges		927	308.691	834.3	
3.5mm reconstruction plate 20 hole 245.10	278	RC	Outpatient			929	603.85		90			Percent of total billed charges		836.1	40			Percent of total billed charges		371.6	80			Percent of total billed charges		743.2	90			Percent of total billed charges		836.1	85			Percent of total billed charges		789.65	85			Percent of total billed charges		789.65	85			Percent of total billed charges		789.65	100			Percent of total billed charges		929	100			Percent of total billed charges		929	100			Percent of total billed charges		929	33.3			Percent of total billed charges		309.357	33.3			Percent of total billed charges		309.357	100			Percent of total billed charges		929	309.357	836.1	
3.5mm reconstruction plate 22 hole 245.12	278	RC	Outpatient			929	603.85		90			Percent of total billed charges		836.1	40			Percent of total billed charges		371.6	80			Percent of total billed charges		743.2	90			Percent of total billed charges		836.1	85			Percent of total billed charges		789.65	85			Percent of total billed charges		789.65	85			Percent of total billed charges		789.65	100			Percent of total billed charges		929	100			Percent of total billed charges		929	100			Percent of total billed charges		929	33.3			Percent of total billed charges		309.357	33.3			Percent of total billed charges		309.357	100			Percent of total billed charges		929	309.357	836.1	
3800033 chest tube plcmt/pericard ed charge	450	RC	Outpatient			929	603.85		90			Percent of total billed charges		836.1	40			Percent of total billed charges		371.6	80			Percent of total billed charges		743.2	90			Percent of total billed charges		836.1	85			Percent of total billed charges		789.65	85			Percent of total billed charges		789.65	85			Percent of total billed charges		789.65	100			Percent of total billed charges		929	100			Percent of total billed charges		929	100			Percent of total billed charges		929	33.3			Percent of total billed charges		309.357	33.3			Percent of total billed charges		309.357	100			Percent of total billed charges		929	309.357	836.1	
s/n  3.5mm compression plate 4 hole 7184-0204 s/n	278	RC	Outpatient			929	603.85		90			Percent of total billed charges		836.1	40			Percent of total billed charges		371.6	80			Percent of total billed charges		743.2	90			Percent of total billed charges		836.1	85			Percent of total billed charges		789.65	85			Percent of total billed charges		789.65	85			Percent of total billed charges		789.65	100			Percent of total billed charges		929	100			Percent of total billed charges		929	100			Percent of total billed charges		929	33.3			Percent of total billed charges		309.357	33.3			Percent of total billed charges		309.357	100			Percent of total billed charges		929	309.357	836.1	
s/n 3.5mm compression plate 3 hole 7184-0203 s/n	278	RC	Outpatient			929	603.85		90			Percent of total billed charges		836.1	40			Percent of total billed charges		371.6	80			Percent of total billed charges		743.2	90			Percent of total billed charges		836.1	85			Percent of total billed charges		789.65	85			Percent of total billed charges		789.65	85			Percent of total billed charges		789.65	100			Percent of total billed charges		929	100			Percent of total billed charges		929	100			Percent of total billed charges		929	33.3			Percent of total billed charges		309.357	33.3			Percent of total billed charges		309.357	100			Percent of total billed charges		929	309.357	836.1	
sm fr pl comp 3-4 hl	278	RC	Outpatient			929	603.85		90			Percent of total billed charges		836.1	40			Percent of total billed charges		371.6	80			Percent of total billed charges		743.2	90			Percent of total billed charges		836.1	85			Percent of total billed charges		789.65	85			Percent of total billed charges		789.65	85			Percent of total billed charges		789.65	100			Percent of total billed charges		929	100			Percent of total billed charges		929	100			Percent of total billed charges		929	33.3			Percent of total billed charges		309.357	33.3			Percent of total billed charges		309.357	100			Percent of total billed charges		929	309.357	836.1	
syn 3.5 recon plt 20-22hl	278	RC	Outpatient			929	603.85		90			Percent of total billed charges		836.1	40			Percent of total billed charges		371.6	80			Percent of total billed charges		743.2	90			Percent of total billed charges		836.1	85			Percent of total billed charges		789.65	85			Percent of total billed charges		789.65	85			Percent of total billed charges		789.65	100			Percent of total billed charges		929	100			Percent of total billed charges		929	100			Percent of total billed charges		929	33.3			Percent of total billed charges		309.357	33.3			Percent of total billed charges		309.357	100			Percent of total billed charges		929	309.357	836.1	
central v line > 5yrs old	272	RC	Outpatient			930	604.5		90			Percent of total billed charges		837	40			Percent of total billed charges		372	80			Percent of total billed charges		744	90			Percent of total billed charges		837	85			Percent of total billed charges		790.5	85			Percent of total billed charges		790.5	85			Percent of total billed charges		790.5	100			Percent of total billed charges		930	100			Percent of total billed charges		930	100			Percent of total billed charges		930	33.3			Percent of total billed charges		309.69	33.3			Percent of total billed charges		309.69	100			Percent of total billed charges		930	309.69	837	
3800181 central line insertion ed charge	450	RC	Outpatient			930	604.5		90			Percent of total billed charges		837	40			Percent of total billed charges		372	80			Percent of total billed charges		744	90			Percent of total billed charges		837	85			Percent of total billed charges		790.5	85			Percent of total billed charges		790.5	85			Percent of total billed charges		790.5	100			Percent of total billed charges		930	100			Percent of total billed charges		930	100			Percent of total billed charges		930	33.3			Percent of total billed charges		309.69	33.3			Percent of total billed charges		309.69	100			Percent of total billed charges		930	309.69	837	
fem head 32mm short 9026-32 zimmer	278	RC	Outpatient			930	604.5		90			Percent of total billed charges		837	40			Percent of total billed charges		372	80			Percent of total billed charges		744	90			Percent of total billed charges		837	85			Percent of total billed charges		790.5	85			Percent of total billed charges		790.5	85			Percent of total billed charges		790.5	100			Percent of total billed charges		930	100			Percent of total billed charges		930	100			Percent of total billed charges		930	33.3			Percent of total billed charges		309.69	33.3			Percent of total billed charges		309.69	100			Percent of total billed charges		930	309.69	837	
zimmer fem head short	278	RC	Outpatient			930	604.5		90			Percent of total billed charges		837	40			Percent of total billed charges		372	80			Percent of total billed charges		744	90			Percent of total billed charges		837	85			Percent of total billed charges		790.5	85			Percent of total billed charges		790.5	85			Percent of total billed charges		790.5	100			Percent of total billed charges		930	100			Percent of total billed charges		930	100			Percent of total billed charges		930	33.3			Percent of total billed charges		309.69	33.3			Percent of total billed charges		309.69	100			Percent of total billed charges		930	309.69	837	
parham band plate	278	RC	Outpatient			931	605.15		90			Percent of total billed charges		837.9	40			Percent of total billed charges		372.4	80			Percent of total billed charges		744.8	90			Percent of total billed charges		837.9	85			Percent of total billed charges		791.35	85			Percent of total billed charges		791.35	85			Percent of total billed charges		791.35	100			Percent of total billed charges		931	100			Percent of total billed charges		931	100			Percent of total billed charges		931	33.3			Percent of total billed charges		310.023	33.3			Percent of total billed charges		310.023	100			Percent of total billed charges		931	310.023	837.9	
arthrex bio-cork scr np4	278	RC	Outpatient			932	605.8		90			Percent of total billed charges		838.8	40			Percent of total billed charges		372.8	80			Percent of total billed charges		745.6	90			Percent of total billed charges		838.8	85			Percent of total billed charges		792.2	85			Percent of total billed charges		792.2	85			Percent of total billed charges		792.2	100			Percent of total billed charges		932	100			Percent of total billed charges		932	100			Percent of total billed charges		932	33.3			Percent of total billed charges		310.356	33.3			Percent of total billed charges		310.356	100			Percent of total billed charges		932	310.356	838.8	
arthrex bio-corkscrew ft suture anchor 5.5 x 14.7mm ar-1927bnp4	278	RC	Outpatient			932	605.8		90			Percent of total billed charges		838.8	40			Percent of total billed charges		372.8	80			Percent of total billed charges		745.6	90			Percent of total billed charges		838.8	85			Percent of total billed charges		792.2	85			Percent of total billed charges		792.2	85			Percent of total billed charges		792.2	100			Percent of total billed charges		932	100			Percent of total billed charges		932	100			Percent of total billed charges		932	33.3			Percent of total billed charges		310.356	33.3			Percent of total billed charges		310.356	100			Percent of total billed charges		932	310.356	838.8	
s/n 1/3 tub pl 4-5 hl	278	RC	Outpatient			934	607.1		90			Percent of total billed charges		840.6	40			Percent of total billed charges		373.6	80			Percent of total billed charges		747.2	90			Percent of total billed charges		840.6	85			Percent of total billed charges		793.9	85			Percent of total billed charges		793.9	85			Percent of total billed charges		793.9	100			Percent of total billed charges		934	100			Percent of total billed charges		934	100			Percent of total billed charges		934	33.3			Percent of total billed charges		311.022	33.3			Percent of total billed charges		311.022	100			Percent of total billed charges		934	311.022	840.6	
tubular 1/3 plt 4 hl 71829434 s\n	278	RC	Outpatient			934	607.1		90			Percent of total billed charges		840.6	40			Percent of total billed charges		373.6	80			Percent of total billed charges		747.2	90			Percent of total billed charges		840.6	85			Percent of total billed charges		793.9	85			Percent of total billed charges		793.9	85			Percent of total billed charges		793.9	100			Percent of total billed charges		934	100			Percent of total billed charges		934	100			Percent of total billed charges		934	33.3			Percent of total billed charges		311.022	33.3			Percent of total billed charges		311.022	100			Percent of total billed charges		934	311.022	840.6	
tubular 1/3 plt 5 hl 71809435 s\n	278	RC	Outpatient			934	607.1		90			Percent of total billed charges		840.6	40			Percent of total billed charges		373.6	80			Percent of total billed charges		747.2	90			Percent of total billed charges		840.6	85			Percent of total billed charges		793.9	85			Percent of total billed charges		793.9	85			Percent of total billed charges		793.9	100			Percent of total billed charges		934	100			Percent of total billed charges		934	100			Percent of total billed charges		934	33.3			Percent of total billed charges		311.022	33.3			Percent of total billed charges		311.022	100			Percent of total billed charges		934	311.022	840.6	
tubular 1/3 plt 4 hl 71809434 s\n	278	RC	Outpatient			934	607.1		90			Percent of total billed charges		840.6	40			Percent of total billed charges		373.6	80			Percent of total billed charges		747.2	90			Percent of total billed charges		840.6	85			Percent of total billed charges		793.9	85			Percent of total billed charges		793.9	85			Percent of total billed charges		793.9	100			Percent of total billed charges		934	100			Percent of total billed charges		934	100			Percent of total billed charges		934	33.3			Percent of total billed charges		311.022	33.3			Percent of total billed charges		311.022	100			Percent of total billed charges		934	311.022	840.6	
tubular 1/3 plt 5 hl 71829435 s\n	278	RC	Outpatient			934	607.1		90			Percent of total billed charges		840.6	40			Percent of total billed charges		373.6	80			Percent of total billed charges		747.2	90			Percent of total billed charges		840.6	85			Percent of total billed charges		793.9	85			Percent of total billed charges		793.9	85			Percent of total billed charges		793.9	100			Percent of total billed charges		934	100			Percent of total billed charges		934	100			Percent of total billed charges		934	33.3			Percent of total billed charges		311.022	33.3			Percent of total billed charges		311.022	100			Percent of total billed charges		934	311.022	840.6	
jet-x mini clamp	278	RC	Outpatient			936	608.4		90			Percent of total billed charges		842.4	40			Percent of total billed charges		374.4	80			Percent of total billed charges		748.8	90			Percent of total billed charges		842.4	85			Percent of total billed charges		795.6	85			Percent of total billed charges		795.6	85			Percent of total billed charges		795.6	100			Percent of total billed charges		936	100			Percent of total billed charges		936	100			Percent of total billed charges		936	33.3			Percent of total billed charges		311.688	33.3			Percent of total billed charges		311.688	100			Percent of total billed charges		936	311.688	842.4	
dorsal radius plate stnd (l) 54-25291 stryker	278	RC	Outpatient			937	609.05		90			Percent of total billed charges		843.3	40			Percent of total billed charges		374.8	80			Percent of total billed charges		749.6	90			Percent of total billed charges		843.3	85			Percent of total billed charges		796.45	85			Percent of total billed charges		796.45	85			Percent of total billed charges		796.45	100			Percent of total billed charges		937	100			Percent of total billed charges		937	100			Percent of total billed charges		937	33.3			Percent of total billed charges		312.021	33.3			Percent of total billed charges		312.021	100			Percent of total billed charges		937	312.021	843.3	
dorsal radius plate stnd (r) 54-25290 stryker	278	RC	Outpatient			937	609.05		90			Percent of total billed charges		843.3	40			Percent of total billed charges		374.8	80			Percent of total billed charges		749.6	90			Percent of total billed charges		843.3	85			Percent of total billed charges		796.45	85			Percent of total billed charges		796.45	85			Percent of total billed charges		796.45	100			Percent of total billed charges		937	100			Percent of total billed charges		937	100			Percent of total billed charges		937	33.3			Percent of total billed charges		312.021	33.3			Percent of total billed charges		312.021	100			Percent of total billed charges		937	312.021	843.3	
stryk dorsal dist rad plt	278	RC	Outpatient			937	609.05		90			Percent of total billed charges		843.3	40			Percent of total billed charges		374.8	80			Percent of total billed charges		749.6	90			Percent of total billed charges		843.3	85			Percent of total billed charges		796.45	85			Percent of total billed charges		796.45	85			Percent of total billed charges		796.45	100			Percent of total billed charges		937	100			Percent of total billed charges		937	100			Percent of total billed charges		937	33.3			Percent of total billed charges		312.021	33.3			Percent of total billed charges		312.021	100			Percent of total billed charges		937	312.021	843.3	
grafton cancel chips 30cc	278	RC	Outpatient			939	610.35		90			Percent of total billed charges		845.1	40			Percent of total billed charges		375.6	80			Percent of total billed charges		751.2	90			Percent of total billed charges		845.1	85			Percent of total billed charges		798.15	85			Percent of total billed charges		798.15	85			Percent of total billed charges		798.15	100			Percent of total billed charges		939	100			Percent of total billed charges		939	100			Percent of total billed charges		939	33.3			Percent of total billed charges		312.687	33.3			Percent of total billed charges		312.687	100			Percent of total billed charges		939	312.687	845.1	
holmium laser fiber 550	272	RC	Outpatient			939	610.35		90			Percent of total billed charges		845.1	40			Percent of total billed charges		375.6	80			Percent of total billed charges		751.2	90			Percent of total billed charges		845.1	85			Percent of total billed charges		798.15	85			Percent of total billed charges		798.15	85			Percent of total billed charges		798.15	100			Percent of total billed charges		939	100			Percent of total billed charges		939	100			Percent of total billed charges		939	33.3			Percent of total billed charges		312.687	33.3			Percent of total billed charges		312.687	100			Percent of total billed charges		939	312.687	845.1	
"scrmc pta, ea. add peripheral art"	320	RC	Outpatient			939	610.35		90			Percent of total billed charges		845.1	40			Percent of total billed charges		375.6	80			Percent of total billed charges		751.2	90			Percent of total billed charges		845.1	85			Percent of total billed charges		798.15	85			Percent of total billed charges		798.15	85			Percent of total billed charges		798.15	100			Percent of total billed charges		939	100			Percent of total billed charges		939	100			Percent of total billed charges		939	33.3			Percent of total billed charges		312.687	33.3			Percent of total billed charges		312.687	100			Percent of total billed charges		939	312.687	845.1	
purse string device disposa 020242 auto suture	270	RC	Outpatient			939	610.35		90			Percent of total billed charges		845.1	40			Percent of total billed charges		375.6	80			Percent of total billed charges		751.2	90			Percent of total billed charges		845.1	85			Percent of total billed charges		798.15	85			Percent of total billed charges		798.15	85			Percent of total billed charges		798.15	100			Percent of total billed charges		939	100			Percent of total billed charges		939	100			Percent of total billed charges		939	33.3			Percent of total billed charges		312.687	33.3			Percent of total billed charges		312.687	100			Percent of total billed charges		939	312.687	845.1	
purse string instrument	270	RC	Outpatient			939	610.35		90			Percent of total billed charges		845.1	40			Percent of total billed charges		375.6	80			Percent of total billed charges		751.2	90			Percent of total billed charges		845.1	85			Percent of total billed charges		798.15	85			Percent of total billed charges		798.15	85			Percent of total billed charges		798.15	100			Percent of total billed charges		939	100			Percent of total billed charges		939	100			Percent of total billed charges		939	33.3			Percent of total billed charges		312.687	33.3			Percent of total billed charges		312.687	100			Percent of total billed charges		939	312.687	845.1	
slimline ez laser fiber 550  840-894 boston scientic-micro	272	RC	Outpatient			939	610.35		90			Percent of total billed charges		845.1	40			Percent of total billed charges		375.6	80			Percent of total billed charges		751.2	90			Percent of total billed charges		845.1	85			Percent of total billed charges		798.15	85			Percent of total billed charges		798.15	85			Percent of total billed charges		798.15	100			Percent of total billed charges		939	100			Percent of total billed charges		939	100			Percent of total billed charges		939	33.3			Percent of total billed charges		312.687	33.3			Percent of total billed charges		312.687	100			Percent of total billed charges		939	312.687	845.1	
"zzscrmc pta, ea. add. p v 75964"	320	RC	Outpatient			939	610.35		90			Percent of total billed charges		845.1	40			Percent of total billed charges		375.6	80			Percent of total billed charges		751.2	90			Percent of total billed charges		845.1	85			Percent of total billed charges		798.15	85			Percent of total billed charges		798.15	85			Percent of total billed charges		798.15	100			Percent of total billed charges		939	100			Percent of total billed charges		939	100			Percent of total billed charges		939	33.3			Percent of total billed charges		312.687	33.3			Percent of total billed charges		312.687	100			Percent of total billed charges		939	312.687	845.1	
mini fr pl comp 8-10 h	278	RC	Outpatient			940	611		90			Percent of total billed charges		846	40			Percent of total billed charges		376	80			Percent of total billed charges		752	90			Percent of total billed charges		846	85			Percent of total billed charges		799	85			Percent of total billed charges		799	85			Percent of total billed charges		799	100			Percent of total billed charges		940	100			Percent of total billed charges		940	100			Percent of total billed charges		940	33.3			Percent of total billed charges		313.02	33.3			Percent of total billed charges		313.02	100			Percent of total billed charges		940	313.02	846	
s/n mini frag plate 10 hole 7114-1910	278	RC	Outpatient			940	611		90			Percent of total billed charges		846	40			Percent of total billed charges		376	80			Percent of total billed charges		752	90			Percent of total billed charges		846	85			Percent of total billed charges		799	85			Percent of total billed charges		799	85			Percent of total billed charges		799	100			Percent of total billed charges		940	100			Percent of total billed charges		940	100			Percent of total billed charges		940	33.3			Percent of total billed charges		313.02	33.3			Percent of total billed charges		313.02	100			Percent of total billed charges		940	313.02	846	
s/n mini frag plate 8 hole 7114-1908	278	RC	Outpatient			940	611		90			Percent of total billed charges		846	40			Percent of total billed charges		376	80			Percent of total billed charges		752	90			Percent of total billed charges		846	85			Percent of total billed charges		799	85			Percent of total billed charges		799	85			Percent of total billed charges		799	100			Percent of total billed charges		940	100			Percent of total billed charges		940	100			Percent of total billed charges		940	33.3			Percent of total billed charges		313.02	33.3			Percent of total billed charges		313.02	100			Percent of total billed charges		940	313.02	846	
s/n mini frag plate 9 hole 7114-1909	278	RC	Outpatient			940	611		90			Percent of total billed charges		846	40			Percent of total billed charges		376	80			Percent of total billed charges		752	90			Percent of total billed charges		846	85			Percent of total billed charges		799	85			Percent of total billed charges		799	85			Percent of total billed charges		799	100			Percent of total billed charges		940	100			Percent of total billed charges		940	100			Percent of total billed charges		940	33.3			Percent of total billed charges		313.02	33.3			Percent of total billed charges		313.02	100			Percent of total billed charges		940	313.02	846	
chisel blade radial 17mm x 120mm 24s 75100530 s/n	272	RC	Outpatient			941	611.65		90			Percent of total billed charges		846.9	40			Percent of total billed charges		376.4	80			Percent of total billed charges		752.8	90			Percent of total billed charges		846.9	85			Percent of total billed charges		799.85	85			Percent of total billed charges		799.85	85			Percent of total billed charges		799.85	100			Percent of total billed charges		941	100			Percent of total billed charges		941	100			Percent of total billed charges		941	33.3			Percent of total billed charges		313.353	33.3			Percent of total billed charges		313.353	100			Percent of total billed charges		941	313.353	846.9	
chisel blade radial s/n	272	RC	Outpatient			941	611.65		90			Percent of total billed charges		846.9	40			Percent of total billed charges		376.4	80			Percent of total billed charges		752.8	90			Percent of total billed charges		846.9	85			Percent of total billed charges		799.85	85			Percent of total billed charges		799.85	85			Percent of total billed charges		799.85	100			Percent of total billed charges		941	100			Percent of total billed charges		941	100			Percent of total billed charges		941	33.3			Percent of total billed charges		313.353	33.3			Percent of total billed charges		313.353	100			Percent of total billed charges		941	313.353	846.9	
bio 22mm mod head	278	RC	Outpatient			941	611.65		90			Percent of total billed charges		846.9	40			Percent of total billed charges		376.4	80			Percent of total billed charges		752.8	90			Percent of total billed charges		846.9	85			Percent of total billed charges		799.85	85			Percent of total billed charges		799.85	85			Percent of total billed charges		799.85	100			Percent of total billed charges		941	100			Percent of total billed charges		941	100			Percent of total billed charges		941	33.3			Percent of total billed charges		313.353	33.3			Percent of total billed charges		313.353	100			Percent of total billed charges		941	313.353	846.9	
chisel blade radial 13mm x 120mm 18s 75100529 s/n	272	RC	Outpatient			941	611.65		90			Percent of total billed charges		846.9	40			Percent of total billed charges		376.4	80			Percent of total billed charges		752.8	90			Percent of total billed charges		846.9	85			Percent of total billed charges		799.85	85			Percent of total billed charges		799.85	85			Percent of total billed charges		799.85	100			Percent of total billed charges		941	100			Percent of total billed charges		941	100			Percent of total billed charges		941	33.3			Percent of total billed charges		313.353	33.3			Percent of total billed charges		313.353	100			Percent of total billed charges		941	313.353	846.9	
endotine forehead 3.0	278	RC	Outpatient			945	614.25		90			Percent of total billed charges		850.5	40			Percent of total billed charges		378	80			Percent of total billed charges		756	90			Percent of total billed charges		850.5	85			Percent of total billed charges		803.25	85			Percent of total billed charges		803.25	85			Percent of total billed charges		803.25	100			Percent of total billed charges		945	100			Percent of total billed charges		945	100			Percent of total billed charges		945	33.3			Percent of total billed charges		314.685	33.3			Percent of total billed charges		314.685	100			Percent of total billed charges		945	314.685	850.5	
endotine forehead 3.0 22202 microair	278	RC	Outpatient			945	614.25		90			Percent of total billed charges		850.5	40			Percent of total billed charges		378	80			Percent of total billed charges		756	90			Percent of total billed charges		850.5	85			Percent of total billed charges		803.25	85			Percent of total billed charges		803.25	85			Percent of total billed charges		803.25	100			Percent of total billed charges		945	100			Percent of total billed charges		945	100			Percent of total billed charges		945	33.3			Percent of total billed charges		314.685	33.3			Percent of total billed charges		314.685	100			Percent of total billed charges		945	314.685	850.5	
syn x-fix universal clamp	270	RC	Outpatient			945	614.25		90			Percent of total billed charges		850.5	40			Percent of total billed charges		378	80			Percent of total billed charges		756	90			Percent of total billed charges		850.5	85			Percent of total billed charges		803.25	85			Percent of total billed charges		803.25	85			Percent of total billed charges		803.25	100			Percent of total billed charges		945	100			Percent of total billed charges		945	100			Percent of total billed charges		945	33.3			Percent of total billed charges		314.685	33.3			Percent of total billed charges		314.685	100			Percent of total billed charges		945	314.685	850.5	
univeral clamp 4 position 393.7574 synthes	270	RC	Outpatient			945	614.25		90			Percent of total billed charges		850.5	40			Percent of total billed charges		378	80			Percent of total billed charges		756	90			Percent of total billed charges		850.5	85			Percent of total billed charges		803.25	85			Percent of total billed charges		803.25	85			Percent of total billed charges		803.25	100			Percent of total billed charges		945	100			Percent of total billed charges		945	100			Percent of total billed charges		945	33.3			Percent of total billed charges		314.685	33.3			Percent of total billed charges		314.685	100			Percent of total billed charges		945	314.685	850.5	
"hall primecut cassettes, 1.37 x 105 x 25 mm ref sh137-105-25 stryker"	272	RC	Outpatient			951.14	618.24		90			Percent of total billed charges		856.026	40			Percent of total billed charges		380.456	80			Percent of total billed charges		760.912	90			Percent of total billed charges		856.026	85			Percent of total billed charges		808.469	85			Percent of total billed charges		808.469	85			Percent of total billed charges		808.469	100			Percent of total billed charges		951.14	100			Percent of total billed charges		951.14	100			Percent of total billed charges		951.14	33.3			Percent of total billed charges		316.7296	33.3			Percent of total billed charges		316.7296	100			Percent of total billed charges		951.14	316.7296	856.026	
lg fr pl cp nar cmp 2-5hl	278	RC	Outpatient			952	618.8		90			Percent of total billed charges		856.8	40			Percent of total billed charges		380.8	80			Percent of total billed charges		761.6	90			Percent of total billed charges		856.8	85			Percent of total billed charges		809.2	85			Percent of total billed charges		809.2	85			Percent of total billed charges		809.2	100			Percent of total billed charges		952	100			Percent of total billed charges		952	100			Percent of total billed charges		952	33.3			Percent of total billed charges		317.016	33.3			Percent of total billed charges		317.016	100			Percent of total billed charges		952	317.016	856.8	
s/n lg frag plate 4.5mm 2 hole 7184-1402	278	RC	Outpatient			952	618.8		90			Percent of total billed charges		856.8	40			Percent of total billed charges		380.8	80			Percent of total billed charges		761.6	90			Percent of total billed charges		856.8	85			Percent of total billed charges		809.2	85			Percent of total billed charges		809.2	85			Percent of total billed charges		809.2	100			Percent of total billed charges		952	100			Percent of total billed charges		952	100			Percent of total billed charges		952	33.3			Percent of total billed charges		317.016	33.3			Percent of total billed charges		317.016	100			Percent of total billed charges		952	317.016	856.8	
s/n lg frag plate 4.5mm 3 hole 7184-1403	278	RC	Outpatient			952	618.8		90			Percent of total billed charges		856.8	40			Percent of total billed charges		380.8	80			Percent of total billed charges		761.6	90			Percent of total billed charges		856.8	85			Percent of total billed charges		809.2	85			Percent of total billed charges		809.2	85			Percent of total billed charges		809.2	100			Percent of total billed charges		952	100			Percent of total billed charges		952	100			Percent of total billed charges		952	33.3			Percent of total billed charges		317.016	33.3			Percent of total billed charges		317.016	100			Percent of total billed charges		952	317.016	856.8	
s/n lg frag plate 4.5mm 4 hole 7184-1404	278	RC	Outpatient			952	618.8		90			Percent of total billed charges		856.8	40			Percent of total billed charges		380.8	80			Percent of total billed charges		761.6	90			Percent of total billed charges		856.8	85			Percent of total billed charges		809.2	85			Percent of total billed charges		809.2	85			Percent of total billed charges		809.2	100			Percent of total billed charges		952	100			Percent of total billed charges		952	100			Percent of total billed charges		952	33.3			Percent of total billed charges		317.016	33.3			Percent of total billed charges		317.016	100			Percent of total billed charges		952	317.016	856.8	
s/n lg frag plate 4.5mm 5 hole 7184-1405	278	RC	Outpatient			952	618.8		90			Percent of total billed charges		856.8	40			Percent of total billed charges		380.8	80			Percent of total billed charges		761.6	90			Percent of total billed charges		856.8	85			Percent of total billed charges		809.2	85			Percent of total billed charges		809.2	85			Percent of total billed charges		809.2	100			Percent of total billed charges		952	100			Percent of total billed charges		952	100			Percent of total billed charges		952	33.3			Percent of total billed charges		317.016	33.3			Percent of total billed charges		317.016	100			Percent of total billed charges		952	317.016	856.8	
gamma-bsm kit 1cc 76-6001 etex	278	RC	Outpatient			953	619.45		90			Percent of total billed charges		857.7	40			Percent of total billed charges		381.2	80			Percent of total billed charges		762.4	90			Percent of total billed charges		857.7	85			Percent of total billed charges		810.05	85			Percent of total billed charges		810.05	85			Percent of total billed charges		810.05	100			Percent of total billed charges		953	100			Percent of total billed charges		953	100			Percent of total billed charges		953	33.3			Percent of total billed charges		317.349	33.3			Percent of total billed charges		317.349	100			Percent of total billed charges		953	317.349	857.7	
etex gamma-bsm 1cc	278	RC	Outpatient			953	619.45		90			Percent of total billed charges		857.7	40			Percent of total billed charges		381.2	80			Percent of total billed charges		762.4	90			Percent of total billed charges		857.7	85			Percent of total billed charges		810.05	85			Percent of total billed charges		810.05	85			Percent of total billed charges		810.05	100			Percent of total billed charges		953	100			Percent of total billed charges		953	100			Percent of total billed charges		953	33.3			Percent of total billed charges		317.349	33.3			Percent of total billed charges		317.349	100			Percent of total billed charges		953	317.349	857.7	
merci microcatheter	272	RC	Outpatient			953	619.45		90			Percent of total billed charges		857.7	40			Percent of total billed charges		381.2	80			Percent of total billed charges		762.4	90			Percent of total billed charges		857.7	85			Percent of total billed charges		810.05	85			Percent of total billed charges		810.05	85			Percent of total billed charges		810.05	100			Percent of total billed charges		953	100			Percent of total billed charges		953	100			Percent of total billed charges		953	33.3			Percent of total billed charges		317.349	33.3			Percent of total billed charges		317.349	100			Percent of total billed charges		953	317.349	857.7	
merci microcatheter 14x 90043 concentric	272	RC	Outpatient			953	619.45		90			Percent of total billed charges		857.7	40			Percent of total billed charges		381.2	80			Percent of total billed charges		762.4	90			Percent of total billed charges		857.7	85			Percent of total billed charges		810.05	85			Percent of total billed charges		810.05	85			Percent of total billed charges		810.05	100			Percent of total billed charges		953	100			Percent of total billed charges		953	100			Percent of total billed charges		953	33.3			Percent of total billed charges		317.349	33.3			Percent of total billed charges		317.349	100			Percent of total billed charges		953	317.349	857.7	
merci microcatheter 18l 90044 concentric	272	RC	Outpatient			953	619.45		90			Percent of total billed charges		857.7	40			Percent of total billed charges		381.2	80			Percent of total billed charges		762.4	90			Percent of total billed charges		857.7	85			Percent of total billed charges		810.05	85			Percent of total billed charges		810.05	85			Percent of total billed charges		810.05	100			Percent of total billed charges		953	100			Percent of total billed charges		953	100			Percent of total billed charges		953	33.3			Percent of total billed charges		317.349	33.3			Percent of total billed charges		317.349	100			Percent of total billed charges		953	317.349	857.7	
"arthrex button, dog bone ar-2270"	278	RC	Outpatient			954	620.1		90			Percent of total billed charges		858.6	40			Percent of total billed charges		381.6	80			Percent of total billed charges		763.2	90			Percent of total billed charges		858.6	85			Percent of total billed charges		810.9	85			Percent of total billed charges		810.9	85			Percent of total billed charges		810.9	100			Percent of total billed charges		954	100			Percent of total billed charges		954	100			Percent of total billed charges		954	33.3			Percent of total billed charges		317.682	33.3			Percent of total billed charges		317.682	100			Percent of total billed charges		954	317.682	858.6	
arthrex button	278	RC	Outpatient			954	620.1		90			Percent of total billed charges		858.6	40			Percent of total billed charges		381.6	80			Percent of total billed charges		763.2	90			Percent of total billed charges		858.6	85			Percent of total billed charges		810.9	85			Percent of total billed charges		810.9	85			Percent of total billed charges		810.9	100			Percent of total billed charges		954	100			Percent of total billed charges		954	100			Percent of total billed charges		954	33.3			Percent of total billed charges		317.682	33.3			Percent of total billed charges		317.682	100			Percent of total billed charges		954	317.682	858.6	
arthrex bio-composite tenodesis screw 4.75 x 15mm ar-1547bc	278	RC	Outpatient			955	620.75		90			Percent of total billed charges		859.5	40			Percent of total billed charges		382	80			Percent of total billed charges		764	90			Percent of total billed charges		859.5	85			Percent of total billed charges		811.75	85			Percent of total billed charges		811.75	85			Percent of total billed charges		811.75	100			Percent of total billed charges		955	100			Percent of total billed charges		955	100			Percent of total billed charges		955	33.3			Percent of total billed charges		318.015	33.3			Percent of total billed charges		318.015	100			Percent of total billed charges		955	318.015	859.5	
arthrex bio-composite tenodesis screw 4mm ar-1540bc	278	RC	Outpatient			955	620.75		90			Percent of total billed charges		859.5	40			Percent of total billed charges		382	80			Percent of total billed charges		764	90			Percent of total billed charges		859.5	85			Percent of total billed charges		811.75	85			Percent of total billed charges		811.75	85			Percent of total billed charges		811.75	100			Percent of total billed charges		955	100			Percent of total billed charges		955	100			Percent of total billed charges		955	33.3			Percent of total billed charges		318.015	33.3			Percent of total billed charges		318.015	100			Percent of total billed charges		955	318.015	859.5	
arthrex bio-composite tenodesis screw 5.5 x 15mm ar-1555bc	278	RC	Outpatient			955	620.75		90			Percent of total billed charges		859.5	40			Percent of total billed charges		382	80			Percent of total billed charges		764	90			Percent of total billed charges		859.5	85			Percent of total billed charges		811.75	85			Percent of total billed charges		811.75	85			Percent of total billed charges		811.75	100			Percent of total billed charges		955	100			Percent of total billed charges		955	100			Percent of total billed charges		955	33.3			Percent of total billed charges		318.015	33.3			Percent of total billed charges		318.015	100			Percent of total billed charges		955	318.015	859.5	
arthrex bio-compression screw 2.7 x 2.4mm ar-5025b-24	278	RC	Outpatient			955	620.75		90			Percent of total billed charges		859.5	40			Percent of total billed charges		382	80			Percent of total billed charges		764	90			Percent of total billed charges		859.5	85			Percent of total billed charges		811.75	85			Percent of total billed charges		811.75	85			Percent of total billed charges		811.75	100			Percent of total billed charges		955	100			Percent of total billed charges		955	100			Percent of total billed charges		955	33.3			Percent of total billed charges		318.015	33.3			Percent of total billed charges		318.015	100			Percent of total billed charges		955	318.015	859.5	
arthrex bio-comp screw	278	RC	Outpatient			955	620.75		90			Percent of total billed charges		859.5	40			Percent of total billed charges		382	80			Percent of total billed charges		764	90			Percent of total billed charges		859.5	85			Percent of total billed charges		811.75	85			Percent of total billed charges		811.75	85			Percent of total billed charges		811.75	100			Percent of total billed charges		955	100			Percent of total billed charges		955	100			Percent of total billed charges		955	33.3			Percent of total billed charges		318.015	33.3			Percent of total billed charges		318.015	100			Percent of total billed charges		955	318.015	859.5	
arthrex bio-composite tenodesis screw 3 x 8mm ar-1530bc	278	RC	Outpatient			955	620.75		90			Percent of total billed charges		859.5	40			Percent of total billed charges		382	80			Percent of total billed charges		764	90			Percent of total billed charges		859.5	85			Percent of total billed charges		811.75	85			Percent of total billed charges		811.75	85			Percent of total billed charges		811.75	100			Percent of total billed charges		955	100			Percent of total billed charges		955	100			Percent of total billed charges		955	33.3			Percent of total billed charges		318.015	33.3			Percent of total billed charges		318.015	100			Percent of total billed charges		955	318.015	859.5	
arthrex bio-compression screw 2.7 x 2.0mm ar-5025b-20	278	RC	Outpatient			955	620.75		90			Percent of total billed charges		859.5	40			Percent of total billed charges		382	80			Percent of total billed charges		764	90			Percent of total billed charges		859.5	85			Percent of total billed charges		811.75	85			Percent of total billed charges		811.75	85			Percent of total billed charges		811.75	100			Percent of total billed charges		955	100			Percent of total billed charges		955	100			Percent of total billed charges		955	33.3			Percent of total billed charges		318.015	33.3			Percent of total billed charges		318.015	100			Percent of total billed charges		955	318.015	859.5	
zzscrmc cranioplastic kit	621	RC	Outpatient			955	620.75		90			Percent of total billed charges		859.5	40			Percent of total billed charges		382	80			Percent of total billed charges		764	90			Percent of total billed charges		859.5	85			Percent of total billed charges		811.75	85			Percent of total billed charges		811.75	85			Percent of total billed charges		811.75	100			Percent of total billed charges		955	100			Percent of total billed charges		955	100			Percent of total billed charges		955	33.3			Percent of total billed charges		318.015	33.3			Percent of total billed charges		318.015	100			Percent of total billed charges		955	318.015	859.5	
uni knee tibial surface 27x44 zimmer 2790-55-12	278	RC	Outpatient			956	621.4		90			Percent of total billed charges		860.4	40			Percent of total billed charges		382.4	80			Percent of total billed charges		764.8	90			Percent of total billed charges		860.4	85			Percent of total billed charges		812.6	85			Percent of total billed charges		812.6	85			Percent of total billed charges		812.6	100			Percent of total billed charges		956	100			Percent of total billed charges		956	100			Percent of total billed charges		956	33.3			Percent of total billed charges		318.348	33.3			Percent of total billed charges		318.348	100			Percent of total billed charges		956	318.348	860.4	
zimmer art surface unicondylar 5788-40-10	278	RC	Outpatient			956	621.4		90			Percent of total billed charges		860.4	40			Percent of total billed charges		382.4	80			Percent of total billed charges		764.8	90			Percent of total billed charges		860.4	85			Percent of total billed charges		812.6	85			Percent of total billed charges		812.6	85			Percent of total billed charges		812.6	100			Percent of total billed charges		956	100			Percent of total billed charges		956	100			Percent of total billed charges		956	33.3			Percent of total billed charges		318.348	33.3			Percent of total billed charges		318.348	100			Percent of total billed charges		956	318.348	860.4	
zimmer art surface unicondylar 5788-40-14	278	RC	Outpatient			956	621.4		90			Percent of total billed charges		860.4	40			Percent of total billed charges		382.4	80			Percent of total billed charges		764.8	90			Percent of total billed charges		860.4	85			Percent of total billed charges		812.6	85			Percent of total billed charges		812.6	85			Percent of total billed charges		812.6	100			Percent of total billed charges		956	100			Percent of total billed charges		956	100			Percent of total billed charges		956	33.3			Percent of total billed charges		318.348	33.3			Percent of total billed charges		318.348	100			Percent of total billed charges		956	318.348	860.4	
zimmer art surface unicondylar 5788-50-10	278	RC	Outpatient			956	621.4		90			Percent of total billed charges		860.4	40			Percent of total billed charges		382.4	80			Percent of total billed charges		764.8	90			Percent of total billed charges		860.4	85			Percent of total billed charges		812.6	85			Percent of total billed charges		812.6	85			Percent of total billed charges		812.6	100			Percent of total billed charges		956	100			Percent of total billed charges		956	100			Percent of total billed charges		956	33.3			Percent of total billed charges		318.348	33.3			Percent of total billed charges		318.348	100			Percent of total billed charges		956	318.348	860.4	
zimmer art surface unicondylar 5788-50-12	278	RC	Outpatient			956	621.4		90			Percent of total billed charges		860.4	40			Percent of total billed charges		382.4	80			Percent of total billed charges		764.8	90			Percent of total billed charges		860.4	85			Percent of total billed charges		812.6	85			Percent of total billed charges		812.6	85			Percent of total billed charges		812.6	100			Percent of total billed charges		956	100			Percent of total billed charges		956	100			Percent of total billed charges		956	33.3			Percent of total billed charges		318.348	33.3			Percent of total billed charges		318.348	100			Percent of total billed charges		956	318.348	860.4	
zimmer art surface unicondylar 5788-60-14	278	RC	Outpatient			956	621.4		90			Percent of total billed charges		860.4	40			Percent of total billed charges		382.4	80			Percent of total billed charges		764.8	90			Percent of total billed charges		860.4	85			Percent of total billed charges		812.6	85			Percent of total billed charges		812.6	85			Percent of total billed charges		812.6	100			Percent of total billed charges		956	100			Percent of total billed charges		956	100			Percent of total billed charges		956	33.3			Percent of total billed charges		318.348	33.3			Percent of total billed charges		318.348	100			Percent of total billed charges		956	318.348	860.4	
zimmer art surface unicondylar 5788-70-14	278	RC	Outpatient			956	621.4		90			Percent of total billed charges		860.4	40			Percent of total billed charges		382.4	80			Percent of total billed charges		764.8	90			Percent of total billed charges		860.4	85			Percent of total billed charges		812.6	85			Percent of total billed charges		812.6	85			Percent of total billed charges		812.6	100			Percent of total billed charges		956	100			Percent of total billed charges		956	100			Percent of total billed charges		956	33.3			Percent of total billed charges		318.348	33.3			Percent of total billed charges		318.348	100			Percent of total billed charges		956	318.348	860.4	
zimmer art surface unicondylar 5788-80-12	278	RC	Outpatient			956	621.4		90			Percent of total billed charges		860.4	40			Percent of total billed charges		382.4	80			Percent of total billed charges		764.8	90			Percent of total billed charges		860.4	85			Percent of total billed charges		812.6	85			Percent of total billed charges		812.6	85			Percent of total billed charges		812.6	100			Percent of total billed charges		956	100			Percent of total billed charges		956	100			Percent of total billed charges		956	33.3			Percent of total billed charges		318.348	33.3			Percent of total billed charges		318.348	100			Percent of total billed charges		956	318.348	860.4	
zimmer art surface unicondylar 5788-80-14	278	RC	Outpatient			956	621.4		90			Percent of total billed charges		860.4	40			Percent of total billed charges		382.4	80			Percent of total billed charges		764.8	90			Percent of total billed charges		860.4	85			Percent of total billed charges		812.6	85			Percent of total billed charges		812.6	85			Percent of total billed charges		812.6	100			Percent of total billed charges		956	100			Percent of total billed charges		956	100			Percent of total billed charges		956	33.3			Percent of total billed charges		318.348	33.3			Percent of total billed charges		318.348	100			Percent of total billed charges		956	318.348	860.4	
zimmer tibial art surface 12mm 5788-50-12	278	RC	Outpatient			956	621.4		90			Percent of total billed charges		860.4	40			Percent of total billed charges		382.4	80			Percent of total billed charges		764.8	90			Percent of total billed charges		860.4	85			Percent of total billed charges		812.6	85			Percent of total billed charges		812.6	85			Percent of total billed charges		812.6	100			Percent of total billed charges		956	100			Percent of total billed charges		956	100			Percent of total billed charges		956	33.3			Percent of total billed charges		318.348	33.3			Percent of total billed charges		318.348	100			Percent of total billed charges		956	318.348	860.4	
zimmer tibial art surface 14mm 5788-50-14	278	RC	Outpatient			956	621.4		90			Percent of total billed charges		860.4	40			Percent of total billed charges		382.4	80			Percent of total billed charges		764.8	90			Percent of total billed charges		860.4	85			Percent of total billed charges		812.6	85			Percent of total billed charges		812.6	85			Percent of total billed charges		812.6	100			Percent of total billed charges		956	100			Percent of total billed charges		956	100			Percent of total billed charges		956	33.3			Percent of total billed charges		318.348	33.3			Percent of total billed charges		318.348	100			Percent of total billed charges		956	318.348	860.4	
uni tibial art surface 8mm  5788-40-08 zimmer	278	RC	Outpatient			956	621.4		90			Percent of total billed charges		860.4	40			Percent of total billed charges		382.4	80			Percent of total billed charges		764.8	90			Percent of total billed charges		860.4	85			Percent of total billed charges		812.6	85			Percent of total billed charges		812.6	85			Percent of total billed charges		812.6	100			Percent of total billed charges		956	100			Percent of total billed charges		956	100			Percent of total billed charges		956	33.3			Percent of total billed charges		318.348	33.3			Percent of total billed charges		318.348	100			Percent of total billed charges		956	318.348	860.4	
uni tibial surface	278	RC	Outpatient			956	621.4		90			Percent of total billed charges		860.4	40			Percent of total billed charges		382.4	80			Percent of total billed charges		764.8	90			Percent of total billed charges		860.4	85			Percent of total billed charges		812.6	85			Percent of total billed charges		812.6	85			Percent of total billed charges		812.6	100			Percent of total billed charges		956	100			Percent of total billed charges		956	100			Percent of total billed charges		956	33.3			Percent of total billed charges		318.348	33.3			Percent of total billed charges		318.348	100			Percent of total billed charges		956	318.348	860.4	
zimmer art surface unicondylar 5788-40-08	278	RC	Outpatient			956	621.4		90			Percent of total billed charges		860.4	40			Percent of total billed charges		382.4	80			Percent of total billed charges		764.8	90			Percent of total billed charges		860.4	85			Percent of total billed charges		812.6	85			Percent of total billed charges		812.6	85			Percent of total billed charges		812.6	100			Percent of total billed charges		956	100			Percent of total billed charges		956	100			Percent of total billed charges		956	33.3			Percent of total billed charges		318.348	33.3			Percent of total billed charges		318.348	100			Percent of total billed charges		956	318.348	860.4	
zimmer art surface unicondylar 5788-40-12	278	RC	Outpatient			956	621.4		90			Percent of total billed charges		860.4	40			Percent of total billed charges		382.4	80			Percent of total billed charges		764.8	90			Percent of total billed charges		860.4	85			Percent of total billed charges		812.6	85			Percent of total billed charges		812.6	85			Percent of total billed charges		812.6	100			Percent of total billed charges		956	100			Percent of total billed charges		956	100			Percent of total billed charges		956	33.3			Percent of total billed charges		318.348	33.3			Percent of total billed charges		318.348	100			Percent of total billed charges		956	318.348	860.4	
zimmer art surface unicondylar 5788-50-08	278	RC	Outpatient			956	621.4		90			Percent of total billed charges		860.4	40			Percent of total billed charges		382.4	80			Percent of total billed charges		764.8	90			Percent of total billed charges		860.4	85			Percent of total billed charges		812.6	85			Percent of total billed charges		812.6	85			Percent of total billed charges		812.6	100			Percent of total billed charges		956	100			Percent of total billed charges		956	100			Percent of total billed charges		956	33.3			Percent of total billed charges		318.348	33.3			Percent of total billed charges		318.348	100			Percent of total billed charges		956	318.348	860.4	
zimmer art surface unicondylar 5788-50-14	278	RC	Outpatient			956	621.4		90			Percent of total billed charges		860.4	40			Percent of total billed charges		382.4	80			Percent of total billed charges		764.8	90			Percent of total billed charges		860.4	85			Percent of total billed charges		812.6	85			Percent of total billed charges		812.6	85			Percent of total billed charges		812.6	100			Percent of total billed charges		956	100			Percent of total billed charges		956	100			Percent of total billed charges		956	33.3			Percent of total billed charges		318.348	33.3			Percent of total billed charges		318.348	100			Percent of total billed charges		956	318.348	860.4	
zimmer art surface unicondylar 5788-60-08	278	RC	Outpatient			956	621.4		90			Percent of total billed charges		860.4	40			Percent of total billed charges		382.4	80			Percent of total billed charges		764.8	90			Percent of total billed charges		860.4	85			Percent of total billed charges		812.6	85			Percent of total billed charges		812.6	85			Percent of total billed charges		812.6	100			Percent of total billed charges		956	100			Percent of total billed charges		956	100			Percent of total billed charges		956	33.3			Percent of total billed charges		318.348	33.3			Percent of total billed charges		318.348	100			Percent of total billed charges		956	318.348	860.4	
zimmer art surface unicondylar 5788-60-10	278	RC	Outpatient			956	621.4		90			Percent of total billed charges		860.4	40			Percent of total billed charges		382.4	80			Percent of total billed charges		764.8	90			Percent of total billed charges		860.4	85			Percent of total billed charges		812.6	85			Percent of total billed charges		812.6	85			Percent of total billed charges		812.6	100			Percent of total billed charges		956	100			Percent of total billed charges		956	100			Percent of total billed charges		956	33.3			Percent of total billed charges		318.348	33.3			Percent of total billed charges		318.348	100			Percent of total billed charges		956	318.348	860.4	
zimmer art surface unicondylar 5788-60-12	278	RC	Outpatient			956	621.4		90			Percent of total billed charges		860.4	40			Percent of total billed charges		382.4	80			Percent of total billed charges		764.8	90			Percent of total billed charges		860.4	85			Percent of total billed charges		812.6	85			Percent of total billed charges		812.6	85			Percent of total billed charges		812.6	100			Percent of total billed charges		956	100			Percent of total billed charges		956	100			Percent of total billed charges		956	33.3			Percent of total billed charges		318.348	33.3			Percent of total billed charges		318.348	100			Percent of total billed charges		956	318.348	860.4	
zimmer art surface unicondylar 5788-70-08	278	RC	Outpatient			956	621.4		90			Percent of total billed charges		860.4	40			Percent of total billed charges		382.4	80			Percent of total billed charges		764.8	90			Percent of total billed charges		860.4	85			Percent of total billed charges		812.6	85			Percent of total billed charges		812.6	85			Percent of total billed charges		812.6	100			Percent of total billed charges		956	100			Percent of total billed charges		956	100			Percent of total billed charges		956	33.3			Percent of total billed charges		318.348	33.3			Percent of total billed charges		318.348	100			Percent of total billed charges		956	318.348	860.4	
zimmer art surface unicondylar 5788-70-10	278	RC	Outpatient			956	621.4		90			Percent of total billed charges		860.4	40			Percent of total billed charges		382.4	80			Percent of total billed charges		764.8	90			Percent of total billed charges		860.4	85			Percent of total billed charges		812.6	85			Percent of total billed charges		812.6	85			Percent of total billed charges		812.6	100			Percent of total billed charges		956	100			Percent of total billed charges		956	100			Percent of total billed charges		956	33.3			Percent of total billed charges		318.348	33.3			Percent of total billed charges		318.348	100			Percent of total billed charges		956	318.348	860.4	
zimmer art surface unicondylar 5788-70-12	278	RC	Outpatient			956	621.4		90			Percent of total billed charges		860.4	40			Percent of total billed charges		382.4	80			Percent of total billed charges		764.8	90			Percent of total billed charges		860.4	85			Percent of total billed charges		812.6	85			Percent of total billed charges		812.6	85			Percent of total billed charges		812.6	100			Percent of total billed charges		956	100			Percent of total billed charges		956	100			Percent of total billed charges		956	33.3			Percent of total billed charges		318.348	33.3			Percent of total billed charges		318.348	100			Percent of total billed charges		956	318.348	860.4	
zimmer art surface unicondylar 5788-80-08	278	RC	Outpatient			956	621.4		90			Percent of total billed charges		860.4	40			Percent of total billed charges		382.4	80			Percent of total billed charges		764.8	90			Percent of total billed charges		860.4	85			Percent of total billed charges		812.6	85			Percent of total billed charges		812.6	85			Percent of total billed charges		812.6	100			Percent of total billed charges		956	100			Percent of total billed charges		956	100			Percent of total billed charges		956	33.3			Percent of total billed charges		318.348	33.3			Percent of total billed charges		318.348	100			Percent of total billed charges		956	318.348	860.4	
zimmer art surface unicondylar 5788-80-10	278	RC	Outpatient			956	621.4		90			Percent of total billed charges		860.4	40			Percent of total billed charges		382.4	80			Percent of total billed charges		764.8	90			Percent of total billed charges		860.4	85			Percent of total billed charges		812.6	85			Percent of total billed charges		812.6	85			Percent of total billed charges		812.6	100			Percent of total billed charges		956	100			Percent of total billed charges		956	100			Percent of total billed charges		956	33.3			Percent of total billed charges		318.348	33.3			Percent of total billed charges		318.348	100			Percent of total billed charges		956	318.348	860.4	
2.7mm drill bit w/quick connect standard tip s/n ref 71933035	272	RC	Outpatient			959.5	623.68		90			Percent of total billed charges		863.55	40			Percent of total billed charges		383.8	80			Percent of total billed charges		767.6	90			Percent of total billed charges		863.55	85			Percent of total billed charges		815.575	85			Percent of total billed charges		815.575	85			Percent of total billed charges		815.575	100			Percent of total billed charges		959.5	100			Percent of total billed charges		959.5	100			Percent of total billed charges		959.5	33.3			Percent of total billed charges		319.5135	33.3			Percent of total billed charges		319.5135	100			Percent of total billed charges		959.5	319.5135	863.55	
jet-x pin tower	278	RC	Outpatient			962	625.3		90			Percent of total billed charges		865.8	40			Percent of total billed charges		384.8	80			Percent of total billed charges		769.6	90			Percent of total billed charges		865.8	85			Percent of total billed charges		817.7	85			Percent of total billed charges		817.7	85			Percent of total billed charges		817.7	100			Percent of total billed charges		962	100			Percent of total billed charges		962	100			Percent of total billed charges		962	33.3			Percent of total billed charges		320.346	33.3			Percent of total billed charges		320.346	100			Percent of total billed charges		962	320.346	865.8	
s/n jet-x fixator pin tower 7105-1018	278	RC	Outpatient			962	625.3		90			Percent of total billed charges		865.8	40			Percent of total billed charges		384.8	80			Percent of total billed charges		769.6	90			Percent of total billed charges		865.8	85			Percent of total billed charges		817.7	85			Percent of total billed charges		817.7	85			Percent of total billed charges		817.7	100			Percent of total billed charges		962	100			Percent of total billed charges		962	100			Percent of total billed charges		962	33.3			Percent of total billed charges		320.346	33.3			Percent of total billed charges		320.346	100			Percent of total billed charges		962	320.346	865.8	
calcaneal y plate 87mm 241.65	278	RC	Outpatient			963	625.95		90			Percent of total billed charges		866.7	40			Percent of total billed charges		385.2	80			Percent of total billed charges		770.4	90			Percent of total billed charges		866.7	85			Percent of total billed charges		818.55	85			Percent of total billed charges		818.55	85			Percent of total billed charges		818.55	100			Percent of total billed charges		963	100			Percent of total billed charges		963	100			Percent of total billed charges		963	33.3			Percent of total billed charges		320.679	33.3			Percent of total billed charges		320.679	100			Percent of total billed charges		963	320.679	866.7	
synthes y plate elbow	278	RC	Outpatient			963	625.95		90			Percent of total billed charges		866.7	40			Percent of total billed charges		385.2	80			Percent of total billed charges		770.4	90			Percent of total billed charges		866.7	85			Percent of total billed charges		818.55	85			Percent of total billed charges		818.55	85			Percent of total billed charges		818.55	100			Percent of total billed charges		963	100			Percent of total billed charges		963	100			Percent of total billed charges		963	33.3			Percent of total billed charges		320.679	33.3			Percent of total billed charges		320.679	100			Percent of total billed charges		963	320.679	866.7	
y plate for humeral condyle 241.64	278	RC	Outpatient			963	625.95		90			Percent of total billed charges		866.7	40			Percent of total billed charges		385.2	80			Percent of total billed charges		770.4	90			Percent of total billed charges		866.7	85			Percent of total billed charges		818.55	85			Percent of total billed charges		818.55	85			Percent of total billed charges		818.55	100			Percent of total billed charges		963	100			Percent of total billed charges		963	100			Percent of total billed charges		963	33.3			Percent of total billed charges		320.679	33.3			Percent of total billed charges		320.679	100			Percent of total billed charges		963	320.679	866.7	
biomet cocr cable/sleeve	278	RC	Outpatient			964	626.6		90			Percent of total billed charges		867.6	40			Percent of total billed charges		385.6	80			Percent of total billed charges		771.2	90			Percent of total billed charges		867.6	85			Percent of total billed charges		819.4	85			Percent of total billed charges		819.4	85			Percent of total billed charges		819.4	100			Percent of total billed charges		964	100			Percent of total billed charges		964	100			Percent of total billed charges		964	33.3			Percent of total billed charges		321.012	33.3			Percent of total billed charges		321.012	100			Percent of total billed charges		964	321.012	867.6	
cable/sleeve set cocr 2.0mm 120010 biomet	278	RC	Outpatient			964	626.6		90			Percent of total billed charges		867.6	40			Percent of total billed charges		385.6	80			Percent of total billed charges		771.2	90			Percent of total billed charges		867.6	85			Percent of total billed charges		819.4	85			Percent of total billed charges		819.4	85			Percent of total billed charges		819.4	100			Percent of total billed charges		964	100			Percent of total billed charges		964	100			Percent of total billed charges		964	33.3			Percent of total billed charges		321.012	33.3			Percent of total billed charges		321.012	100			Percent of total billed charges		964	321.012	867.6	
cocr cable/sleeve set 1.6mm x 750mm 120011 biomet	278	RC	Outpatient			964	626.6		90			Percent of total billed charges		867.6	40			Percent of total billed charges		385.6	80			Percent of total billed charges		771.2	90			Percent of total billed charges		867.6	85			Percent of total billed charges		819.4	85			Percent of total billed charges		819.4	85			Percent of total billed charges		819.4	100			Percent of total billed charges		964	100			Percent of total billed charges		964	100			Percent of total billed charges		964	33.3			Percent of total billed charges		321.012	33.3			Percent of total billed charges		321.012	100			Percent of total billed charges		964	321.012	867.6	
ir biliary stent internal w/o dilation	320	RC	Outpatient			964	626.6		90			Percent of total billed charges		867.6	40			Percent of total billed charges		385.6	80			Percent of total billed charges		771.2	90			Percent of total billed charges		867.6	85			Percent of total billed charges		819.4	85			Percent of total billed charges		819.4	85			Percent of total billed charges		819.4	100			Percent of total billed charges		964	100			Percent of total billed charges		964	100			Percent of total billed charges		964	33.3			Percent of total billed charges		321.012	33.3			Percent of total billed charges		321.012	100			Percent of total billed charges		964	321.012	867.6	
calcigen bone graft  10cc vol 348012	278	RC	Outpatient			965	627.25		90			Percent of total billed charges		868.5	40			Percent of total billed charges		386	80			Percent of total billed charges		772	90			Percent of total billed charges		868.5	85			Percent of total billed charges		820.25	85			Percent of total billed charges		820.25	85			Percent of total billed charges		820.25	100			Percent of total billed charges		965	100			Percent of total billed charges		965	100			Percent of total billed charges		965	33.3			Percent of total billed charges		321.345	33.3			Percent of total billed charges		321.345	100			Percent of total billed charges		965	321.345	868.5	
calcigen 10cc	278	RC	Outpatient			965	627.25		90			Percent of total billed charges		868.5	40			Percent of total billed charges		386	80			Percent of total billed charges		772	90			Percent of total billed charges		868.5	85			Percent of total billed charges		820.25	85			Percent of total billed charges		820.25	85			Percent of total billed charges		820.25	100			Percent of total billed charges		965	100			Percent of total billed charges		965	100			Percent of total billed charges		965	33.3			Percent of total billed charges		321.345	33.3			Percent of total billed charges		321.345	100			Percent of total billed charges		965	321.345	868.5	
picc line insertion per anesthesia	272	RC	Outpatient			965	627.25		90			Percent of total billed charges		868.5	40			Percent of total billed charges		386	80			Percent of total billed charges		772	90			Percent of total billed charges		868.5	85			Percent of total billed charges		820.25	85			Percent of total billed charges		820.25	85			Percent of total billed charges		820.25	100			Percent of total billed charges		965	100			Percent of total billed charges		965	100			Percent of total billed charges		965	33.3			Percent of total billed charges		321.345	33.3			Percent of total billed charges		321.345	100			Percent of total billed charges		965	321.345	868.5	
im nailing	278	RC	Outpatient			968	629.2		90			Percent of total billed charges		871.2	40			Percent of total billed charges		387.2	80			Percent of total billed charges		774.4	90			Percent of total billed charges		871.2	85			Percent of total billed charges		822.8	85			Percent of total billed charges		822.8	85			Percent of total billed charges		822.8	100			Percent of total billed charges		968	100			Percent of total billed charges		968	100			Percent of total billed charges		968	33.3			Percent of total billed charges		322.344	33.3			Percent of total billed charges		322.344	100			Percent of total billed charges		968	322.344	871.2	
lap disc	270	RC	Outpatient			968	629.2		90			Percent of total billed charges		871.2	40			Percent of total billed charges		387.2	80			Percent of total billed charges		774.4	90			Percent of total billed charges		871.2	85			Percent of total billed charges		822.8	85			Percent of total billed charges		822.8	85			Percent of total billed charges		822.8	100			Percent of total billed charges		968	100			Percent of total billed charges		968	100			Percent of total billed charges		968	33.3			Percent of total billed charges		322.344	33.3			Percent of total billed charges		322.344	100			Percent of total billed charges		968	322.344	871.2	
lap disc large ld112 ethicon	270	RC	Outpatient			968	629.2		90			Percent of total billed charges		871.2	40			Percent of total billed charges		387.2	80			Percent of total billed charges		774.4	90			Percent of total billed charges		871.2	85			Percent of total billed charges		822.8	85			Percent of total billed charges		822.8	85			Percent of total billed charges		822.8	100			Percent of total billed charges		968	100			Percent of total billed charges		968	100			Percent of total billed charges		968	33.3			Percent of total billed charges		322.344	33.3			Percent of total billed charges		322.344	100			Percent of total billed charges		968	322.344	871.2	
intramedullary nail	278	RC	Outpatient			968	629.2		90			Percent of total billed charges		871.2	40			Percent of total billed charges		387.2	80			Percent of total billed charges		774.4	90			Percent of total billed charges		871.2	85			Percent of total billed charges		822.8	85			Percent of total billed charges		822.8	85			Percent of total billed charges		822.8	100			Percent of total billed charges		968	100			Percent of total billed charges		968	100			Percent of total billed charges		968	33.3			Percent of total billed charges		322.344	33.3			Percent of total billed charges		322.344	100			Percent of total billed charges		968	322.344	871.2	
kuntsher clover leaf im nail biomet	278	RC	Outpatient			968	629.2		90			Percent of total billed charges		871.2	40			Percent of total billed charges		387.2	80			Percent of total billed charges		774.4	90			Percent of total billed charges		871.2	85			Percent of total billed charges		822.8	85			Percent of total billed charges		822.8	85			Percent of total billed charges		822.8	100			Percent of total billed charges		968	100			Percent of total billed charges		968	100			Percent of total billed charges		968	33.3			Percent of total billed charges		322.344	33.3			Percent of total billed charges		322.344	100			Percent of total billed charges		968	322.344	871.2	
lap disc standard ld111 ethicon	270	RC	Outpatient			968	629.2		90			Percent of total billed charges		871.2	40			Percent of total billed charges		387.2	80			Percent of total billed charges		774.4	90			Percent of total billed charges		871.2	85			Percent of total billed charges		822.8	85			Percent of total billed charges		822.8	85			Percent of total billed charges		822.8	100			Percent of total billed charges		968	100			Percent of total billed charges		968	100			Percent of total billed charges		968	33.3			Percent of total billed charges		322.344	33.3			Percent of total billed charges		322.344	100			Percent of total billed charges		968	322.344	871.2	
distal radius plate r 242.472	278	RC	Outpatient			970	630.5		90			Percent of total billed charges		873	40			Percent of total billed charges		388	80			Percent of total billed charges		776	90			Percent of total billed charges		873	85			Percent of total billed charges		824.5	85			Percent of total billed charges		824.5	85			Percent of total billed charges		824.5	100			Percent of total billed charges		970	100			Percent of total billed charges		970	100			Percent of total billed charges		970	33.3			Percent of total billed charges		323.01	33.3			Percent of total billed charges		323.01	100			Percent of total billed charges		970	323.01	873	
grafton can c 30cc(3-6mm)	278	RC	Outpatient			970	630.5		90			Percent of total billed charges		873	40			Percent of total billed charges		388	80			Percent of total billed charges		776	90			Percent of total billed charges		873	85			Percent of total billed charges		824.5	85			Percent of total billed charges		824.5	85			Percent of total billed charges		824.5	100			Percent of total billed charges		970	100			Percent of total billed charges		970	100			Percent of total billed charges		970	33.3			Percent of total billed charges		323.01	33.3			Percent of total billed charges		323.01	100			Percent of total billed charges		970	323.01	873	
distal radius plate l 242.482	278	RC	Outpatient			970	630.5		90			Percent of total billed charges		873	40			Percent of total billed charges		388	80			Percent of total billed charges		776	90			Percent of total billed charges		873	85			Percent of total billed charges		824.5	85			Percent of total billed charges		824.5	85			Percent of total billed charges		824.5	100			Percent of total billed charges		970	100			Percent of total billed charges		970	100			Percent of total billed charges		970	33.3			Percent of total billed charges		323.01	33.3			Percent of total billed charges		323.01	100			Percent of total billed charges		970	323.01	873	
r3 20 deg xlpe acet liner 32 x 48mm 71337648 s/n	278	RC	Outpatient			970	630.5		90			Percent of total billed charges		873	40			Percent of total billed charges		388	80			Percent of total billed charges		776	90			Percent of total billed charges		873	85			Percent of total billed charges		824.5	85			Percent of total billed charges		824.5	85			Percent of total billed charges		824.5	100			Percent of total billed charges		970	100			Percent of total billed charges		970	100			Percent of total billed charges		970	33.3			Percent of total billed charges		323.01	33.3			Percent of total billed charges		323.01	100			Percent of total billed charges		970	323.01	873	
r3 xlpe  acet liner 40 x 60mm 71338681 s/n	278	RC	Outpatient			970	630.5		90			Percent of total billed charges		873	40			Percent of total billed charges		388	80			Percent of total billed charges		776	90			Percent of total billed charges		873	85			Percent of total billed charges		824.5	85			Percent of total billed charges		824.5	85			Percent of total billed charges		824.5	100			Percent of total billed charges		970	100			Percent of total billed charges		970	100			Percent of total billed charges		970	33.3			Percent of total billed charges		323.01	33.3			Percent of total billed charges		323.01	100			Percent of total billed charges		970	323.01	873	
r3 xlpe  acet liner 44 x 60mm 71331106 s/n	278	RC	Outpatient			970	630.5		90			Percent of total billed charges		873	40			Percent of total billed charges		388	80			Percent of total billed charges		776	90			Percent of total billed charges		873	85			Percent of total billed charges		824.5	85			Percent of total billed charges		824.5	85			Percent of total billed charges		824.5	100			Percent of total billed charges		970	100			Percent of total billed charges		970	100			Percent of total billed charges		970	33.3			Percent of total billed charges		323.01	33.3			Percent of total billed charges		323.01	100			Percent of total billed charges		970	323.01	873	
r3 xlpe  acet liner 44 x 64mm 71331108 s/n	278	RC	Outpatient			970	630.5		90			Percent of total billed charges		873	40			Percent of total billed charges		388	80			Percent of total billed charges		776	90			Percent of total billed charges		873	85			Percent of total billed charges		824.5	85			Percent of total billed charges		824.5	85			Percent of total billed charges		824.5	100			Percent of total billed charges		970	100			Percent of total billed charges		970	100			Percent of total billed charges		970	33.3			Percent of total billed charges		323.01	33.3			Percent of total billed charges		323.01	100			Percent of total billed charges		970	323.01	873	
r3 xlpe  acetabular  liner 40 x 56mm 71338687 s/n	278	RC	Outpatient			970	630.5		90			Percent of total billed charges		873	40			Percent of total billed charges		388	80			Percent of total billed charges		776	90			Percent of total billed charges		873	85			Percent of total billed charges		824.5	85			Percent of total billed charges		824.5	85			Percent of total billed charges		824.5	100			Percent of total billed charges		970	100			Percent of total billed charges		970	100			Percent of total billed charges		970	33.3			Percent of total billed charges		323.01	33.3			Percent of total billed charges		323.01	100			Percent of total billed charges		970	323.01	873	
r3 xlpe  acetabular liner 40 x 58mm 71338688 s/n	278	RC	Outpatient			970	630.5		90			Percent of total billed charges		873	40			Percent of total billed charges		388	80			Percent of total billed charges		776	90			Percent of total billed charges		873	85			Percent of total billed charges		824.5	85			Percent of total billed charges		824.5	85			Percent of total billed charges		824.5	100			Percent of total billed charges		970	100			Percent of total billed charges		970	100			Percent of total billed charges		970	33.3			Percent of total billed charges		323.01	33.3			Percent of total billed charges		323.01	100			Percent of total billed charges		970	323.01	873	
r3 xlpe acet liner 36 x 54mm 71335754 s/n	278	RC	Outpatient			970	630.5		90			Percent of total billed charges		873	40			Percent of total billed charges		388	80			Percent of total billed charges		776	90			Percent of total billed charges		873	85			Percent of total billed charges		824.5	85			Percent of total billed charges		824.5	85			Percent of total billed charges		824.5	100			Percent of total billed charges		970	100			Percent of total billed charges		970	100			Percent of total billed charges		970	33.3			Percent of total billed charges		323.01	33.3			Percent of total billed charges		323.01	100			Percent of total billed charges		970	323.01	873	
r3 xlpe acetabular liner 40 x 70mm 71338684 s/n	278	RC	Outpatient			970	630.5		90			Percent of total billed charges		873	40			Percent of total billed charges		388	80			Percent of total billed charges		776	90			Percent of total billed charges		873	85			Percent of total billed charges		824.5	85			Percent of total billed charges		824.5	85			Percent of total billed charges		824.5	100			Percent of total billed charges		970	100			Percent of total billed charges		970	100			Percent of total billed charges		970	33.3			Percent of total billed charges		323.01	33.3			Percent of total billed charges		323.01	100			Percent of total billed charges		970	323.01	873	
reflection  liner 70-76 71332470 s/n	278	RC	Outpatient			970	630.5		90			Percent of total billed charges		873	40			Percent of total billed charges		388	80			Percent of total billed charges		776	90			Percent of total billed charges		873	85			Percent of total billed charges		824.5	85			Percent of total billed charges		824.5	85			Percent of total billed charges		824.5	100			Percent of total billed charges		970	100			Percent of total billed charges		970	100			Percent of total billed charges		970	33.3			Percent of total billed charges		323.01	33.3			Percent of total billed charges		323.01	100			Percent of total billed charges		970	323.01	873	
reflection liner 46-48 71332446 s/n	278	RC	Outpatient			970	630.5		90			Percent of total billed charges		873	40			Percent of total billed charges		388	80			Percent of total billed charges		776	90			Percent of total billed charges		873	85			Percent of total billed charges		824.5	85			Percent of total billed charges		824.5	85			Percent of total billed charges		824.5	100			Percent of total billed charges		970	100			Percent of total billed charges		970	100			Percent of total billed charges		970	33.3			Percent of total billed charges		323.01	33.3			Percent of total billed charges		323.01	100			Percent of total billed charges		970	323.01	873	
reflection liner 54-56 71332454 s/n	278	RC	Outpatient			970	630.5		90			Percent of total billed charges		873	40			Percent of total billed charges		388	80			Percent of total billed charges		776	90			Percent of total billed charges		873	85			Percent of total billed charges		824.5	85			Percent of total billed charges		824.5	85			Percent of total billed charges		824.5	100			Percent of total billed charges		970	100			Percent of total billed charges		970	100			Percent of total billed charges		970	33.3			Percent of total billed charges		323.01	33.3			Percent of total billed charges		323.01	100			Percent of total billed charges		970	323.01	873	
reflection liner 58-60 71332458 s/n	278	RC	Outpatient			970	630.5		90			Percent of total billed charges		873	40			Percent of total billed charges		388	80			Percent of total billed charges		776	90			Percent of total billed charges		873	85			Percent of total billed charges		824.5	85			Percent of total billed charges		824.5	85			Percent of total billed charges		824.5	100			Percent of total billed charges		970	100			Percent of total billed charges		970	100			Percent of total billed charges		970	33.3			Percent of total billed charges		323.01	33.3			Percent of total billed charges		323.01	100			Percent of total billed charges		970	323.01	873	
reflection liner 66-68 71332466 s/n	278	RC	Outpatient			970	630.5		90			Percent of total billed charges		873	40			Percent of total billed charges		388	80			Percent of total billed charges		776	90			Percent of total billed charges		873	85			Percent of total billed charges		824.5	85			Percent of total billed charges		824.5	85			Percent of total billed charges		824.5	100			Percent of total billed charges		970	100			Percent of total billed charges		970	100			Percent of total billed charges		970	33.3			Percent of total billed charges		323.01	33.3			Percent of total billed charges		323.01	100			Percent of total billed charges		970	323.01	873	
s/n r3 acet lnr	278	RC	Outpatient			970	630.5		90			Percent of total billed charges		873	40			Percent of total billed charges		388	80			Percent of total billed charges		776	90			Percent of total billed charges		873	85			Percent of total billed charges		824.5	85			Percent of total billed charges		824.5	85			Percent of total billed charges		824.5	100			Percent of total billed charges		970	100			Percent of total billed charges		970	100			Percent of total billed charges		970	33.3			Percent of total billed charges		323.01	33.3			Percent of total billed charges		323.01	100			Percent of total billed charges		970	323.01	873	
r3 0 deg +4 xlpe acet liner 32mm x 56mm 71336656 s/n	278	RC	Outpatient			970	630.5		90			Percent of total billed charges		873	40			Percent of total billed charges		388	80			Percent of total billed charges		776	90			Percent of total billed charges		873	85			Percent of total billed charges		824.5	85			Percent of total billed charges		824.5	85			Percent of total billed charges		824.5	100			Percent of total billed charges		970	100			Percent of total billed charges		970	100			Percent of total billed charges		970	33.3			Percent of total billed charges		323.01	33.3			Percent of total billed charges		323.01	100			Percent of total billed charges		970	323.01	873	
r3 xlpe  acet liner 40 x 56mm 71338704 s/n	278	RC	Outpatient			970	630.5		90			Percent of total billed charges		873	40			Percent of total billed charges		388	80			Percent of total billed charges		776	90			Percent of total billed charges		873	85			Percent of total billed charges		824.5	85			Percent of total billed charges		824.5	85			Percent of total billed charges		824.5	100			Percent of total billed charges		970	100			Percent of total billed charges		970	100			Percent of total billed charges		970	33.3			Percent of total billed charges		323.01	33.3			Percent of total billed charges		323.01	100			Percent of total billed charges		970	323.01	873	
r3 xlpe acet liner 32 x 48mm 71339548 s/n	278	RC	Outpatient			970	630.5		90			Percent of total billed charges		873	40			Percent of total billed charges		388	80			Percent of total billed charges		776	90			Percent of total billed charges		873	85			Percent of total billed charges		824.5	85			Percent of total billed charges		824.5	85			Percent of total billed charges		824.5	100			Percent of total billed charges		970	100			Percent of total billed charges		970	100			Percent of total billed charges		970	33.3			Percent of total billed charges		323.01	33.3			Percent of total billed charges		323.01	100			Percent of total billed charges		970	323.01	873	
r3 xlpe acet liner 32 x 50mm 71339550 s/n	278	RC	Outpatient			970	630.5		90			Percent of total billed charges		873	40			Percent of total billed charges		388	80			Percent of total billed charges		776	90			Percent of total billed charges		873	85			Percent of total billed charges		824.5	85			Percent of total billed charges		824.5	85			Percent of total billed charges		824.5	100			Percent of total billed charges		970	100			Percent of total billed charges		970	100			Percent of total billed charges		970	33.3			Percent of total billed charges		323.01	33.3			Percent of total billed charges		323.01	100			Percent of total billed charges		970	323.01	873	
r3 xlpe acet liner 36 x 52mm 71332752 s/n	278	RC	Outpatient			970	630.5		90			Percent of total billed charges		873	40			Percent of total billed charges		388	80			Percent of total billed charges		776	90			Percent of total billed charges		873	85			Percent of total billed charges		824.5	85			Percent of total billed charges		824.5	85			Percent of total billed charges		824.5	100			Percent of total billed charges		970	100			Percent of total billed charges		970	100			Percent of total billed charges		970	33.3			Percent of total billed charges		323.01	33.3			Percent of total billed charges		323.01	100			Percent of total billed charges		970	323.01	873	
r3 xlpe acetabular liner 36 x 52mm 71335752 s/n	278	RC	Outpatient			970	630.5		90			Percent of total billed charges		873	40			Percent of total billed charges		388	80			Percent of total billed charges		776	90			Percent of total billed charges		873	85			Percent of total billed charges		824.5	85			Percent of total billed charges		824.5	85			Percent of total billed charges		824.5	100			Percent of total billed charges		970	100			Percent of total billed charges		970	100			Percent of total billed charges		970	33.3			Percent of total billed charges		323.01	33.3			Percent of total billed charges		323.01	100			Percent of total billed charges		970	323.01	873	
r3 xlpe acetabular liner 40 x 50mm 71338680 s/n	278	RC	Outpatient			970	630.5		90			Percent of total billed charges		873	40			Percent of total billed charges		388	80			Percent of total billed charges		776	90			Percent of total billed charges		873	85			Percent of total billed charges		824.5	85			Percent of total billed charges		824.5	85			Percent of total billed charges		824.5	100			Percent of total billed charges		970	100			Percent of total billed charges		970	100			Percent of total billed charges		970	33.3			Percent of total billed charges		323.01	33.3			Percent of total billed charges		323.01	100			Percent of total billed charges		970	323.01	873	
r3 xlpe acetabular liner 40 x 56mm 71338679 s/n	278	RC	Outpatient			970	630.5		90			Percent of total billed charges		873	40			Percent of total billed charges		388	80			Percent of total billed charges		776	90			Percent of total billed charges		873	85			Percent of total billed charges		824.5	85			Percent of total billed charges		824.5	85			Percent of total billed charges		824.5	100			Percent of total billed charges		970	100			Percent of total billed charges		970	100			Percent of total billed charges		970	33.3			Percent of total billed charges		323.01	33.3			Percent of total billed charges		323.01	100			Percent of total billed charges		970	323.01	873	
reflection  liner 62-64 71332462 s/n	278	RC	Outpatient			970	630.5		90			Percent of total billed charges		873	40			Percent of total billed charges		388	80			Percent of total billed charges		776	90			Percent of total billed charges		873	85			Percent of total billed charges		824.5	85			Percent of total billed charges		824.5	85			Percent of total billed charges		824.5	100			Percent of total billed charges		970	100			Percent of total billed charges		970	100			Percent of total billed charges		970	33.3			Percent of total billed charges		323.01	33.3			Percent of total billed charges		323.01	100			Percent of total billed charges		970	323.01	873	
reflection liner 50-52 71332450 s/n	278	RC	Outpatient			970	630.5		90			Percent of total billed charges		873	40			Percent of total billed charges		388	80			Percent of total billed charges		776	90			Percent of total billed charges		873	85			Percent of total billed charges		824.5	85			Percent of total billed charges		824.5	85			Percent of total billed charges		824.5	100			Percent of total billed charges		970	100			Percent of total billed charges		970	100			Percent of total billed charges		970	33.3			Percent of total billed charges		323.01	33.3			Percent of total billed charges		323.01	100			Percent of total billed charges		970	323.01	873	
reflection xlpe 20 degree acetabular liner sz g s/n 71333346	278	RC	Outpatient			970	630.5		90			Percent of total billed charges		873	40			Percent of total billed charges		388	80			Percent of total billed charges		776	90			Percent of total billed charges		873	85			Percent of total billed charges		824.5	85			Percent of total billed charges		824.5	85			Percent of total billed charges		824.5	100			Percent of total billed charges		970	100			Percent of total billed charges		970	100			Percent of total billed charges		970	33.3			Percent of total billed charges		323.01	33.3			Percent of total billed charges		323.01	100			Percent of total billed charges		970	323.01	873	
s/n reflect lnr 20 degree	278	RC	Outpatient			970	630.5		90			Percent of total billed charges		873	40			Percent of total billed charges		388	80			Percent of total billed charges		776	90			Percent of total billed charges		873	85			Percent of total billed charges		824.5	85			Percent of total billed charges		824.5	85			Percent of total billed charges		824.5	100			Percent of total billed charges		970	100			Percent of total billed charges		970	100			Percent of total billed charges		970	33.3			Percent of total billed charges		323.01	33.3			Percent of total billed charges		323.01	100			Percent of total billed charges		970	323.01	873	
syn dorsal dist rad plate	278	RC	Outpatient			970	630.5		90			Percent of total billed charges		873	40			Percent of total billed charges		388	80			Percent of total billed charges		776	90			Percent of total billed charges		873	85			Percent of total billed charges		824.5	85			Percent of total billed charges		824.5	85			Percent of total billed charges		824.5	100			Percent of total billed charges		970	100			Percent of total billed charges		970	100			Percent of total billed charges		970	33.3			Percent of total billed charges		323.01	33.3			Percent of total billed charges		323.01	100			Percent of total billed charges		970	323.01	873	
charlotte compression staple 201 x 25l 4311-0008 wright	278	RC	Outpatient			973	632.45		90			Percent of total billed charges		875.7	40			Percent of total billed charges		389.2	80			Percent of total billed charges		778.4	90			Percent of total billed charges		875.7	85			Percent of total billed charges		827.05	85			Percent of total billed charges		827.05	85			Percent of total billed charges		827.05	100			Percent of total billed charges		973	100			Percent of total billed charges		973	100			Percent of total billed charges		973	33.3			Percent of total billed charges		324.009	33.3			Percent of total billed charges		324.009	100			Percent of total billed charges		973	324.009	875.7	
compression screw 201 x 20l 4311-0007 wright	278	RC	Outpatient			973	632.45		90			Percent of total billed charges		875.7	40			Percent of total billed charges		389.2	80			Percent of total billed charges		778.4	90			Percent of total billed charges		875.7	85			Percent of total billed charges		827.05	85			Percent of total billed charges		827.05	85			Percent of total billed charges		827.05	100			Percent of total billed charges		973	100			Percent of total billed charges		973	100			Percent of total billed charges		973	33.3			Percent of total billed charges		324.009	33.3			Percent of total billed charges		324.009	100			Percent of total billed charges		973	324.009	875.7	
sm fr pl cloverleaf 5hl	278	RC	Outpatient			974	633.1		90			Percent of total billed charges		876.6	40			Percent of total billed charges		389.6	80			Percent of total billed charges		779.2	90			Percent of total billed charges		876.6	85			Percent of total billed charges		827.9	85			Percent of total billed charges		827.9	85			Percent of total billed charges		827.9	100			Percent of total billed charges		974	100			Percent of total billed charges		974	100			Percent of total billed charges		974	33.3			Percent of total billed charges		324.342	33.3			Percent of total billed charges		324.342	100			Percent of total billed charges		974	324.342	876.6	
s/n cloverleaf plate 5 hole 7114-0625	278	RC	Outpatient			974	633.1		90			Percent of total billed charges		876.6	40			Percent of total billed charges		389.6	80			Percent of total billed charges		779.2	90			Percent of total billed charges		876.6	85			Percent of total billed charges		827.9	85			Percent of total billed charges		827.9	85			Percent of total billed charges		827.9	100			Percent of total billed charges		974	100			Percent of total billed charges		974	100			Percent of total billed charges		974	33.3			Percent of total billed charges		324.342	33.3			Percent of total billed charges		324.342	100			Percent of total billed charges		974	324.342	876.6	
clamp ring to rod 393.436 synthes	270	RC	Outpatient			976	634.4		90			Percent of total billed charges		878.4	40			Percent of total billed charges		390.4	80			Percent of total billed charges		780.8	90			Percent of total billed charges		878.4	85			Percent of total billed charges		829.6	85			Percent of total billed charges		829.6	85			Percent of total billed charges		829.6	100			Percent of total billed charges		976	100			Percent of total billed charges		976	100			Percent of total billed charges		976	33.3			Percent of total billed charges		325.008	33.3			Percent of total billed charges		325.008	100			Percent of total billed charges		976	325.008	878.4	
ext fix ring to rod clamp	270	RC	Outpatient			976	634.4		90			Percent of total billed charges		878.4	40			Percent of total billed charges		390.4	80			Percent of total billed charges		780.8	90			Percent of total billed charges		878.4	85			Percent of total billed charges		829.6	85			Percent of total billed charges		829.6	85			Percent of total billed charges		829.6	100			Percent of total billed charges		976	100			Percent of total billed charges		976	100			Percent of total billed charges		976	33.3			Percent of total billed charges		325.008	33.3			Percent of total billed charges		325.008	100			Percent of total billed charges		976	325.008	878.4	
imp plate chs 4slot 135deg 100 124131	278	RC	Outpatient			980	637		90			Percent of total billed charges		882	40			Percent of total billed charges		392	80			Percent of total billed charges		784	90			Percent of total billed charges		882	85			Percent of total billed charges		833	85			Percent of total billed charges		833	85			Percent of total billed charges		833	100			Percent of total billed charges		980	100			Percent of total billed charges		980	100			Percent of total billed charges		980	33.3			Percent of total billed charges		326.34	33.3			Percent of total billed charges		326.34	100			Percent of total billed charges		980	326.34	882	
imp plate screw hip 100mm 4 sl 124133	278	RC	Outpatient			980	637		90			Percent of total billed charges		882	40			Percent of total billed charges		392	80			Percent of total billed charges		784	90			Percent of total billed charges		882	85			Percent of total billed charges		833	85			Percent of total billed charges		833	85			Percent of total billed charges		833	100			Percent of total billed charges		980	100			Percent of total billed charges		980	100			Percent of total billed charges		980	33.3			Percent of total billed charges		326.34	33.3			Percent of total billed charges		326.34	100			Percent of total billed charges		980	326.34	882	
imp plate chs 4slot 130deg 100 124130	278	RC	Outpatient			980	637		90			Percent of total billed charges		882	40			Percent of total billed charges		392	80			Percent of total billed charges		784	90			Percent of total billed charges		882	85			Percent of total billed charges		833	85			Percent of total billed charges		833	85			Percent of total billed charges		833	100			Percent of total billed charges		980	100			Percent of total billed charges		980	100			Percent of total billed charges		980	33.3			Percent of total billed charges		326.34	33.3			Percent of total billed charges		326.34	100			Percent of total billed charges		980	326.34	882	
imp plate chs 4slot 140deg 100 124132	278	RC	Outpatient			980	637		90			Percent of total billed charges		882	40			Percent of total billed charges		392	80			Percent of total billed charges		784	90			Percent of total billed charges		882	85			Percent of total billed charges		833	85			Percent of total billed charges		833	85			Percent of total billed charges		833	100			Percent of total billed charges		980	100			Percent of total billed charges		980	100			Percent of total billed charges		980	33.3			Percent of total billed charges		326.34	33.3			Percent of total billed charges		326.34	100			Percent of total billed charges		980	326.34	882	
imp plate screw hip shrt barre 124176	278	RC	Outpatient			980	637		90			Percent of total billed charges		882	40			Percent of total billed charges		392	80			Percent of total billed charges		784	90			Percent of total billed charges		882	85			Percent of total billed charges		833	85			Percent of total billed charges		833	85			Percent of total billed charges		833	100			Percent of total billed charges		980	100			Percent of total billed charges		980	100			Percent of total billed charges		980	33.3			Percent of total billed charges		326.34	33.3			Percent of total billed charges		326.34	100			Percent of total billed charges		980	326.34	882	
imp plate screw hip shrt barre 124177	278	RC	Outpatient			980	637		90			Percent of total billed charges		882	40			Percent of total billed charges		392	80			Percent of total billed charges		784	90			Percent of total billed charges		882	85			Percent of total billed charges		833	85			Percent of total billed charges		833	85			Percent of total billed charges		833	100			Percent of total billed charges		980	100			Percent of total billed charges		980	100			Percent of total billed charges		980	33.3			Percent of total billed charges		326.34	33.3			Percent of total billed charges		326.34	100			Percent of total billed charges		980	326.34	882	
implant plate compress 4 sl 150 deg 100mm 12-4134 s/n	278	RC	Outpatient			980	637		90			Percent of total billed charges		882	40			Percent of total billed charges		392	80			Percent of total billed charges		784	90			Percent of total billed charges		882	85			Percent of total billed charges		833	85			Percent of total billed charges		833	85			Percent of total billed charges		833	100			Percent of total billed charges		980	100			Percent of total billed charges		980	100			Percent of total billed charges		980	33.3			Percent of total billed charges		326.34	33.3			Percent of total billed charges		326.34	100			Percent of total billed charges		980	326.34	882	
implant plate compress sht brl 4 sl 140 deg 100mm 12-4178 s/n	278	RC	Outpatient			980	637		90			Percent of total billed charges		882	40			Percent of total billed charges		392	80			Percent of total billed charges		784	90			Percent of total billed charges		882	85			Percent of total billed charges		833	85			Percent of total billed charges		833	85			Percent of total billed charges		833	100			Percent of total billed charges		980	100			Percent of total billed charges		980	100			Percent of total billed charges		980	33.3			Percent of total billed charges		326.34	33.3			Percent of total billed charges		326.34	100			Percent of total billed charges		980	326.34	882	
implant plate compress sht brl 4 sl 145 deg 100mm 12-4179 s/n	278	RC	Outpatient			980	637		90			Percent of total billed charges		882	40			Percent of total billed charges		392	80			Percent of total billed charges		784	90			Percent of total billed charges		882	85			Percent of total billed charges		833	85			Percent of total billed charges		833	85			Percent of total billed charges		833	100			Percent of total billed charges		980	100			Percent of total billed charges		980	100			Percent of total billed charges		980	33.3			Percent of total billed charges		326.34	33.3			Percent of total billed charges		326.34	100			Percent of total billed charges		980	326.34	882	
s/n chs 4hl	278	RC	Outpatient			980	637		90			Percent of total billed charges		882	40			Percent of total billed charges		392	80			Percent of total billed charges		784	90			Percent of total billed charges		882	85			Percent of total billed charges		833	85			Percent of total billed charges		833	85			Percent of total billed charges		833	100			Percent of total billed charges		980	100			Percent of total billed charges		980	100			Percent of total billed charges		980	33.3			Percent of total billed charges		326.34	33.3			Percent of total billed charges		326.34	100			Percent of total billed charges		980	326.34	882	
s/n classic hip screw 4 hole	278	RC	Outpatient			980	637		90			Percent of total billed charges		882	40			Percent of total billed charges		392	80			Percent of total billed charges		784	90			Percent of total billed charges		882	85			Percent of total billed charges		833	85			Percent of total billed charges		833	85			Percent of total billed charges		833	100			Percent of total billed charges		980	100			Percent of total billed charges		980	100			Percent of total billed charges		980	33.3			Percent of total billed charges		326.34	33.3			Percent of total billed charges		326.34	100			Percent of total billed charges		980	326.34	882	
bio drg stem	278	RC	Outpatient			981	637.65		90			Percent of total billed charges		882.9	40			Percent of total billed charges		392.4	80			Percent of total billed charges		784.8	90			Percent of total billed charges		882.9	85			Percent of total billed charges		833.85	85			Percent of total billed charges		833.85	85			Percent of total billed charges		833.85	100			Percent of total billed charges		981	100			Percent of total billed charges		981	100			Percent of total billed charges		981	33.3			Percent of total billed charges		326.673	33.3			Percent of total billed charges		326.673	100			Percent of total billed charges		981	326.673	882.9	
biomet biomoore ll  stem 12mm 139209	278	RC	Outpatient			981	637.65		90			Percent of total billed charges		882.9	40			Percent of total billed charges		392.4	80			Percent of total billed charges		784.8	90			Percent of total billed charges		882.9	85			Percent of total billed charges		833.85	85			Percent of total billed charges		833.85	85			Percent of total billed charges		833.85	100			Percent of total billed charges		981	100			Percent of total billed charges		981	100			Percent of total billed charges		981	33.3			Percent of total billed charges		326.673	33.3			Percent of total billed charges		326.673	100			Percent of total billed charges		981	326.673	882.9	
biomet biomoore ll  stem 16mm 139211	278	RC	Outpatient			981	637.65		90			Percent of total billed charges		882.9	40			Percent of total billed charges		392.4	80			Percent of total billed charges		784.8	90			Percent of total billed charges		882.9	85			Percent of total billed charges		833.85	85			Percent of total billed charges		833.85	85			Percent of total billed charges		833.85	100			Percent of total billed charges		981	100			Percent of total billed charges		981	100			Percent of total billed charges		981	33.3			Percent of total billed charges		326.673	33.3			Percent of total billed charges		326.673	100			Percent of total billed charges		981	326.673	882.9	
biomet biomoore ll solid stem 14mm 139204	278	RC	Outpatient			981	637.65		90			Percent of total billed charges		882.9	40			Percent of total billed charges		392.4	80			Percent of total billed charges		784.8	90			Percent of total billed charges		882.9	85			Percent of total billed charges		833.85	85			Percent of total billed charges		833.85	85			Percent of total billed charges		833.85	100			Percent of total billed charges		981	100			Percent of total billed charges		981	100			Percent of total billed charges		981	33.3			Percent of total billed charges		326.673	33.3			Percent of total billed charges		326.673	100			Percent of total billed charges		981	326.673	882.9	
biomet biomoore ll solid stem 16mm 139205	278	RC	Outpatient			981	637.65		90			Percent of total billed charges		882.9	40			Percent of total billed charges		392.4	80			Percent of total billed charges		784.8	90			Percent of total billed charges		882.9	85			Percent of total billed charges		833.85	85			Percent of total billed charges		833.85	85			Percent of total billed charges		833.85	100			Percent of total billed charges		981	100			Percent of total billed charges		981	100			Percent of total billed charges		981	33.3			Percent of total billed charges		326.673	33.3			Percent of total billed charges		326.673	100			Percent of total billed charges		981	326.673	882.9	
biomet biomoore ll  stem 14mm 139210	278	RC	Outpatient			981	637.65		90			Percent of total billed charges		882.9	40			Percent of total billed charges		392.4	80			Percent of total billed charges		784.8	90			Percent of total billed charges		882.9	85			Percent of total billed charges		833.85	85			Percent of total billed charges		833.85	85			Percent of total billed charges		833.85	100			Percent of total billed charges		981	100			Percent of total billed charges		981	100			Percent of total billed charges		981	33.3			Percent of total billed charges		326.673	33.3			Percent of total billed charges		326.673	100			Percent of total billed charges		981	326.673	882.9	
biomet biomoore ll solid stem 10mm 139202	278	RC	Outpatient			981	637.65		90			Percent of total billed charges		882.9	40			Percent of total billed charges		392.4	80			Percent of total billed charges		784.8	90			Percent of total billed charges		882.9	85			Percent of total billed charges		833.85	85			Percent of total billed charges		833.85	85			Percent of total billed charges		833.85	100			Percent of total billed charges		981	100			Percent of total billed charges		981	100			Percent of total billed charges		981	33.3			Percent of total billed charges		326.673	33.3			Percent of total billed charges		326.673	100			Percent of total billed charges		981	326.673	882.9	
biomet biomoore ll solid stem 12mm 139203	278	RC	Outpatient			981	637.65		90			Percent of total billed charges		882.9	40			Percent of total billed charges		392.4	80			Percent of total billed charges		784.8	90			Percent of total billed charges		882.9	85			Percent of total billed charges		833.85	85			Percent of total billed charges		833.85	85			Percent of total billed charges		833.85	100			Percent of total billed charges		981	100			Percent of total billed charges		981	100			Percent of total billed charges		981	33.3			Percent of total billed charges		326.673	33.3			Percent of total billed charges		326.673	100			Percent of total billed charges		981	326.673	882.9	
jet-x mini 6mm bar to 4mm pin clamp 7106-2011  s/n	278	RC	Outpatient			982	638.3		90			Percent of total billed charges		883.8	40			Percent of total billed charges		392.8	80			Percent of total billed charges		785.6	90			Percent of total billed charges		883.8	85			Percent of total billed charges		834.7	85			Percent of total billed charges		834.7	85			Percent of total billed charges		834.7	100			Percent of total billed charges		982	100			Percent of total billed charges		982	100			Percent of total billed charges		982	33.3			Percent of total billed charges		327.006	33.3			Percent of total billed charges		327.006	100			Percent of total billed charges		982	327.006	883.8	
jet-x mini freedom clamp	278	RC	Outpatient			982	638.3		90			Percent of total billed charges		883.8	40			Percent of total billed charges		392.8	80			Percent of total billed charges		785.6	90			Percent of total billed charges		883.8	85			Percent of total billed charges		834.7	85			Percent of total billed charges		834.7	85			Percent of total billed charges		834.7	100			Percent of total billed charges		982	100			Percent of total billed charges		982	100			Percent of total billed charges		982	33.3			Percent of total billed charges		327.006	33.3			Percent of total billed charges		327.006	100			Percent of total billed charges		982	327.006	883.8	
jet-x mini 6mm bar to 6mm pin clamp 7106-2012 s/n	278	RC	Outpatient			982	638.3		90			Percent of total billed charges		883.8	40			Percent of total billed charges		392.8	80			Percent of total billed charges		785.6	90			Percent of total billed charges		883.8	85			Percent of total billed charges		834.7	85			Percent of total billed charges		834.7	85			Percent of total billed charges		834.7	100			Percent of total billed charges		982	100			Percent of total billed charges		982	100			Percent of total billed charges		982	33.3			Percent of total billed charges		327.006	33.3			Percent of total billed charges		327.006	100			Percent of total billed charges		982	327.006	883.8	
currette 11 g stryker ref 0306-621-000	272	RC	Outpatient			985.3	640.45		90			Percent of total billed charges		886.77	40			Percent of total billed charges		394.12	80			Percent of total billed charges		788.24	90			Percent of total billed charges		886.77	85			Percent of total billed charges		837.505	85			Percent of total billed charges		837.505	85			Percent of total billed charges		837.505	100			Percent of total billed charges		985.3	100			Percent of total billed charges		985.3	100			Percent of total billed charges		985.3	33.3			Percent of total billed charges		328.1049	33.3			Percent of total billed charges		328.1049	100			Percent of total billed charges		985.3	328.1049	886.77	
d-rad plate 4 hl left wide smart pack  71158020 s/n	272	RC	Outpatient			986	640.9		90			Percent of total billed charges		887.4	40			Percent of total billed charges		394.4	80			Percent of total billed charges		788.8	90			Percent of total billed charges		887.4	85			Percent of total billed charges		838.1	85			Percent of total billed charges		838.1	85			Percent of total billed charges		838.1	100			Percent of total billed charges		986	100			Percent of total billed charges		986	100			Percent of total billed charges		986	33.3			Percent of total billed charges		328.338	33.3			Percent of total billed charges		328.338	100			Percent of total billed charges		986	328.338	887.4	
endo esophagoscopy with rigiflex dilation	750	RC	Outpatient			986	640.9		90			Percent of total billed charges		887.4	40			Percent of total billed charges		394.4	80			Percent of total billed charges		788.8	90			Percent of total billed charges		887.4	85			Percent of total billed charges		838.1	85			Percent of total billed charges		838.1	85			Percent of total billed charges		838.1	100			Percent of total billed charges		986	100			Percent of total billed charges		986	100			Percent of total billed charges		986	33.3			Percent of total billed charges		328.338	33.3			Percent of total billed charges		328.338	100			Percent of total billed charges		986	328.338	887.4	
d-rad plate 4 hl left standard pack 71158019 s/n	272	RC	Outpatient			986	640.9		90			Percent of total billed charges		887.4	40			Percent of total billed charges		394.4	80			Percent of total billed charges		788.8	90			Percent of total billed charges		887.4	85			Percent of total billed charges		838.1	85			Percent of total billed charges		838.1	85			Percent of total billed charges		838.1	100			Percent of total billed charges		986	100			Percent of total billed charges		986	100			Percent of total billed charges		986	33.3			Percent of total billed charges		328.338	33.3			Percent of total billed charges		328.338	100			Percent of total billed charges		986	328.338	887.4	
d-rad plate 4 hl right wide pack 71158022 s/n	272	RC	Outpatient			986	640.9		90			Percent of total billed charges		887.4	40			Percent of total billed charges		394.4	80			Percent of total billed charges		788.8	90			Percent of total billed charges		887.4	85			Percent of total billed charges		838.1	85			Percent of total billed charges		838.1	85			Percent of total billed charges		838.1	100			Percent of total billed charges		986	100			Percent of total billed charges		986	100			Percent of total billed charges		986	33.3			Percent of total billed charges		328.338	33.3			Percent of total billed charges		328.338	100			Percent of total billed charges		986	328.338	887.4	
s/n d-rad pl 4hl	272	RC	Outpatient			986	640.9		90			Percent of total billed charges		887.4	40			Percent of total billed charges		394.4	80			Percent of total billed charges		788.8	90			Percent of total billed charges		887.4	85			Percent of total billed charges		838.1	85			Percent of total billed charges		838.1	85			Percent of total billed charges		838.1	100			Percent of total billed charges		986	100			Percent of total billed charges		986	100			Percent of total billed charges		986	33.3			Percent of total billed charges		328.338	33.3			Percent of total billed charges		328.338	100			Percent of total billed charges		986	328.338	887.4	
corkscrew ft anchor	278	RC	Outpatient			989	642.85		90			Percent of total billed charges		890.1	40			Percent of total billed charges		395.6	80			Percent of total billed charges		791.2	90			Percent of total billed charges		890.1	85			Percent of total billed charges		840.65	85			Percent of total billed charges		840.65	85			Percent of total billed charges		840.65	100			Percent of total billed charges		989	100			Percent of total billed charges		989	100			Percent of total billed charges		989	33.3			Percent of total billed charges		329.337	33.3			Percent of total billed charges		329.337	100			Percent of total billed charges		989	329.337	890.1	
arthrex corkscrew ft 4.5 suture anchor ar-1928sf-45	278	RC	Outpatient			989	642.85		90			Percent of total billed charges		890.1	40			Percent of total billed charges		395.6	80			Percent of total billed charges		791.2	90			Percent of total billed charges		890.1	85			Percent of total billed charges		840.65	85			Percent of total billed charges		840.65	85			Percent of total billed charges		840.65	100			Percent of total billed charges		989	100			Percent of total billed charges		989	100			Percent of total billed charges		989	33.3			Percent of total billed charges		329.337	33.3			Percent of total billed charges		329.337	100			Percent of total billed charges		989	329.337	890.1	
6227 def attain	272	RC	Outpatient			990	643.5		90			Percent of total billed charges		891	40			Percent of total billed charges		396	80			Percent of total billed charges		792	90			Percent of total billed charges		891	85			Percent of total billed charges		841.5	85			Percent of total billed charges		841.5	85			Percent of total billed charges		841.5	100			Percent of total billed charges		990	100			Percent of total billed charges		990	100			Percent of total billed charges		990	33.3			Percent of total billed charges		329.67	33.3			Percent of total billed charges		329.67	100			Percent of total billed charges		990	329.67	891	
bio 346368 lead	278	RC	Outpatient			990	643.5		90			Percent of total billed charges		891	40			Percent of total billed charges		396	80			Percent of total billed charges		792	90			Percent of total billed charges		891	85			Percent of total billed charges		841.5	85			Percent of total billed charges		841.5	85			Percent of total billed charges		841.5	100			Percent of total billed charges		990	100			Percent of total billed charges		990	100			Percent of total billed charges		990	33.3			Percent of total billed charges		329.67	33.3			Percent of total billed charges		329.67	100			Percent of total billed charges		990	329.67	891	
bio 346369 lead	278	RC	Outpatient			990	643.5		90			Percent of total billed charges		891	40			Percent of total billed charges		396	80			Percent of total billed charges		792	90			Percent of total billed charges		891	85			Percent of total billed charges		841.5	85			Percent of total billed charges		841.5	85			Percent of total billed charges		841.5	100			Percent of total billed charges		990	100			Percent of total billed charges		990	100			Percent of total billed charges		990	33.3			Percent of total billed charges		329.67	33.3			Percent of total billed charges		329.67	100			Percent of total billed charges		990	329.67	891	
breast imp sil 800cc (20)	278	RC	Outpatient			990	643.5		90			Percent of total billed charges		891	40			Percent of total billed charges		396	80			Percent of total billed charges		792	90			Percent of total billed charges		891	85			Percent of total billed charges		841.5	85			Percent of total billed charges		841.5	85			Percent of total billed charges		841.5	100			Percent of total billed charges		990	100			Percent of total billed charges		990	100			Percent of total billed charges		990	33.3			Percent of total billed charges		329.67	33.3			Percent of total billed charges		329.67	100			Percent of total billed charges		990	329.67	891	
breast imp silicon 210cc	278	RC	Outpatient			990	643.5		90			Percent of total billed charges		891	40			Percent of total billed charges		396	80			Percent of total billed charges		792	90			Percent of total billed charges		891	85			Percent of total billed charges		841.5	85			Percent of total billed charges		841.5	85			Percent of total billed charges		841.5	100			Percent of total billed charges		990	100			Percent of total billed charges		990	100			Percent of total billed charges		990	33.3			Percent of total billed charges		329.67	33.3			Percent of total billed charges		329.67	100			Percent of total billed charges		990	329.67	891	
bs 4459	278	RC	Outpatient			990	643.5		90			Percent of total billed charges		891	40			Percent of total billed charges		396	80			Percent of total billed charges		792	90			Percent of total billed charges		891	85			Percent of total billed charges		841.5	85			Percent of total billed charges		841.5	85			Percent of total billed charges		841.5	100			Percent of total billed charges		990	100			Percent of total billed charges		990	100			Percent of total billed charges		990	33.3			Percent of total billed charges		329.67	33.3			Percent of total billed charges		329.67	100			Percent of total billed charges		990	329.67	891	
bs 4480	278	RC	Outpatient			990	643.5		90			Percent of total billed charges		891	40			Percent of total billed charges		396	80			Percent of total billed charges		792	90			Percent of total billed charges		891	85			Percent of total billed charges		841.5	85			Percent of total billed charges		841.5	85			Percent of total billed charges		841.5	100			Percent of total billed charges		990	100			Percent of total billed charges		990	100			Percent of total billed charges		990	33.3			Percent of total billed charges		329.67	33.3			Percent of total billed charges		329.67	100			Percent of total billed charges		990	329.67	891	
346368 lead	278	RC	Outpatient			990	643.5		90			Percent of total billed charges		891	40			Percent of total billed charges		396	80			Percent of total billed charges		792	90			Percent of total billed charges		891	85			Percent of total billed charges		841.5	85			Percent of total billed charges		841.5	85			Percent of total billed charges		841.5	100			Percent of total billed charges		990	100			Percent of total billed charges		990	100			Percent of total billed charges		990	33.3			Percent of total billed charges		329.67	33.3			Percent of total billed charges		329.67	100			Percent of total billed charges		990	329.67	891	
bs 4458	278	RC	Outpatient			990	643.5		90			Percent of total billed charges		891	40			Percent of total billed charges		396	80			Percent of total billed charges		792	90			Percent of total billed charges		891	85			Percent of total billed charges		841.5	85			Percent of total billed charges		841.5	85			Percent of total billed charges		841.5	100			Percent of total billed charges		990	100			Percent of total billed charges		990	100			Percent of total billed charges		990	33.3			Percent of total billed charges		329.67	33.3			Percent of total billed charges		329.67	100			Percent of total billed charges		990	329.67	891	
bs 4479	278	RC	Outpatient			990	643.5		90			Percent of total billed charges		891	40			Percent of total billed charges		396	80			Percent of total billed charges		792	90			Percent of total billed charges		891	85			Percent of total billed charges		841.5	85			Percent of total billed charges		841.5	85			Percent of total billed charges		841.5	100			Percent of total billed charges		990	100			Percent of total billed charges		990	100			Percent of total billed charges		990	33.3			Percent of total billed charges		329.67	33.3			Percent of total billed charges		329.67	100			Percent of total billed charges		990	329.67	891	
natrelle silicone filled  implant 450cc 20-450 allergan	278	RC	Outpatient			990	643.5		90			Percent of total billed charges		891	40			Percent of total billed charges		396	80			Percent of total billed charges		792	90			Percent of total billed charges		891	85			Percent of total billed charges		841.5	85			Percent of total billed charges		841.5	85			Percent of total billed charges		841.5	100			Percent of total billed charges		990	100			Percent of total billed charges		990	100			Percent of total billed charges		990	33.3			Percent of total billed charges		329.67	33.3			Percent of total billed charges		329.67	100			Percent of total billed charges		990	329.67	891	
natrelle silicone filled  implant 210cc 10-210 allergan	278	RC	Outpatient			990	643.5		90			Percent of total billed charges		891	40			Percent of total billed charges		396	80			Percent of total billed charges		792	90			Percent of total billed charges		891	85			Percent of total billed charges		841.5	85			Percent of total billed charges		841.5	85			Percent of total billed charges		841.5	100			Percent of total billed charges		990	100			Percent of total billed charges		990	100			Percent of total billed charges		990	33.3			Percent of total billed charges		329.67	33.3			Percent of total billed charges		329.67	100			Percent of total billed charges		990	329.67	891	
natrelle silicone filled  implant 234cc 15-234 allergan	278	RC	Outpatient			990	643.5		90			Percent of total billed charges		891	40			Percent of total billed charges		396	80			Percent of total billed charges		792	90			Percent of total billed charges		891	85			Percent of total billed charges		841.5	85			Percent of total billed charges		841.5	85			Percent of total billed charges		841.5	100			Percent of total billed charges		990	100			Percent of total billed charges		990	100			Percent of total billed charges		990	33.3			Percent of total billed charges		329.67	33.3			Percent of total billed charges		329.67	100			Percent of total billed charges		990	329.67	891	
natrelle silicone filled  implant 500cc 20-500 allergan	278	RC	Outpatient			990	643.5		90			Percent of total billed charges		891	40			Percent of total billed charges		396	80			Percent of total billed charges		792	90			Percent of total billed charges		891	85			Percent of total billed charges		841.5	85			Percent of total billed charges		841.5	85			Percent of total billed charges		841.5	100			Percent of total billed charges		990	100			Percent of total billed charges		990	100			Percent of total billed charges		990	33.3			Percent of total billed charges		329.67	33.3			Percent of total billed charges		329.67	100			Percent of total billed charges		990	329.67	891	
natrelle silicone filled  implant 800cc 20-800  allergan	278	RC	Outpatient			990	643.5		90			Percent of total billed charges		891	40			Percent of total billed charges		396	80			Percent of total billed charges		792	90			Percent of total billed charges		891	85			Percent of total billed charges		841.5	85			Percent of total billed charges		841.5	85			Percent of total billed charges		841.5	100			Percent of total billed charges		990	100			Percent of total billed charges		990	100			Percent of total billed charges		990	33.3			Percent of total billed charges		329.67	33.3			Percent of total billed charges		329.67	100			Percent of total billed charges		990	329.67	891	
omega surgical 40 mm x 11 mm osculating blade ref zms-4011	272	RC	Outpatient			990	643.5		90			Percent of total billed charges		891	40			Percent of total billed charges		396	80			Percent of total billed charges		792	90			Percent of total billed charges		891	85			Percent of total billed charges		841.5	85			Percent of total billed charges		841.5	85			Percent of total billed charges		841.5	100			Percent of total billed charges		990	100			Percent of total billed charges		990	100			Percent of total billed charges		990	33.3			Percent of total billed charges		329.67	33.3			Percent of total billed charges		329.67	100			Percent of total billed charges		990	329.67	891	
s/n visionaire cut block	272	RC	Outpatient			990	643.5		90			Percent of total billed charges		891	40			Percent of total billed charges		396	80			Percent of total billed charges		792	90			Percent of total billed charges		891	85			Percent of total billed charges		841.5	85			Percent of total billed charges		841.5	85			Percent of total billed charges		841.5	100			Percent of total billed charges		990	100			Percent of total billed charges		990	100			Percent of total billed charges		990	33.3			Percent of total billed charges		329.67	33.3			Percent of total billed charges		329.67	100			Percent of total billed charges		990	329.67	891	
lg fr pl lg t-plt 5hl	278	RC	Outpatient			991	644.15		90			Percent of total billed charges		891.9	40			Percent of total billed charges		396.4	80			Percent of total billed charges		792.8	90			Percent of total billed charges		891.9	85			Percent of total billed charges		842.35	85			Percent of total billed charges		842.35	85			Percent of total billed charges		842.35	100			Percent of total billed charges		991	100			Percent of total billed charges		991	100			Percent of total billed charges		991	33.3			Percent of total billed charges		330.003	33.3			Percent of total billed charges		330.003	100			Percent of total billed charges		991	330.003	891.9	
s/n lg frag t plate 5 hole 7114-1605	278	RC	Outpatient			991	644.15		90			Percent of total billed charges		891.9	40			Percent of total billed charges		396.4	80			Percent of total billed charges		792.8	90			Percent of total billed charges		891.9	85			Percent of total billed charges		842.35	85			Percent of total billed charges		842.35	85			Percent of total billed charges		842.35	100			Percent of total billed charges		991	100			Percent of total billed charges		991	100			Percent of total billed charges		991	33.3			Percent of total billed charges		330.003	33.3			Percent of total billed charges		330.003	100			Percent of total billed charges		991	330.003	891.9	
adcon l #g0001	270	RC	Outpatient			993	645.45		90			Percent of total billed charges		893.7	40			Percent of total billed charges		397.2	80			Percent of total billed charges		794.4	90			Percent of total billed charges		893.7	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	100			Percent of total billed charges		993	100			Percent of total billed charges		993	100			Percent of total billed charges		993	33.3			Percent of total billed charges		330.669	33.3			Percent of total billed charges		330.669	100			Percent of total billed charges		993	330.669	893.7	
allomatrix  bone graft putty 5cc 8600-0500	270	RC	Outpatient			993	645.45		90			Percent of total billed charges		893.7	40			Percent of total billed charges		397.2	80			Percent of total billed charges		794.4	90			Percent of total billed charges		893.7	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	100			Percent of total billed charges		993	100			Percent of total billed charges		993	100			Percent of total billed charges		993	33.3			Percent of total billed charges		330.669	33.3			Percent of total billed charges		330.669	100			Percent of total billed charges		993	330.669	893.7	
allomatrix putty 5cc	270	RC	Outpatient			993	645.45		90			Percent of total billed charges		893.7	40			Percent of total billed charges		397.2	80			Percent of total billed charges		794.4	90			Percent of total billed charges		893.7	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	100			Percent of total billed charges		993	100			Percent of total billed charges		993	100			Percent of total billed charges		993	33.3			Percent of total billed charges		330.669	33.3			Percent of total billed charges		330.669	100			Percent of total billed charges		993	330.669	893.7	
adcon l	270	RC	Outpatient			993	645.45		90			Percent of total billed charges		893.7	40			Percent of total billed charges		397.2	80			Percent of total billed charges		794.4	90			Percent of total billed charges		893.7	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	100			Percent of total billed charges		993	100			Percent of total billed charges		993	100			Percent of total billed charges		993	33.3			Percent of total billed charges		330.669	33.3			Percent of total billed charges		330.669	100			Percent of total billed charges		993	330.669	893.7	
ams accessory kit 72401685 american med	272	RC	Outpatient			993	645.45		90			Percent of total billed charges		893.7	40			Percent of total billed charges		397.2	80			Percent of total billed charges		794.4	90			Percent of total billed charges		893.7	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	100			Percent of total billed charges		993	100			Percent of total billed charges		993	100			Percent of total billed charges		993	33.3			Percent of total billed charges		330.669	33.3			Percent of total billed charges		330.669	100			Percent of total billed charges		993	330.669	893.7	
ams sphincter accessrykit	272	RC	Outpatient			993	645.45		90			Percent of total billed charges		893.7	40			Percent of total billed charges		397.2	80			Percent of total billed charges		794.4	90			Percent of total billed charges		893.7	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	100			Percent of total billed charges		993	100			Percent of total billed charges		993	100			Percent of total billed charges		993	33.3			Percent of total billed charges		330.669	33.3			Percent of total billed charges		330.669	100			Percent of total billed charges		993	330.669	893.7	
arthrex bio-comp anc sl	278	RC	Outpatient			993	645.45		90			Percent of total billed charges		893.7	40			Percent of total billed charges		397.2	80			Percent of total billed charges		794.4	90			Percent of total billed charges		893.7	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	100			Percent of total billed charges		993	100			Percent of total billed charges		993	100			Percent of total billed charges		993	33.3			Percent of total billed charges		330.669	33.3			Percent of total billed charges		330.669	100			Percent of total billed charges		993	330.669	893.7	
arthrex bio-swivelock suture anchor 4.75 x 20.70mm ar-2324bslm	278	RC	Outpatient			993	645.45		90			Percent of total billed charges		893.7	40			Percent of total billed charges		397.2	80			Percent of total billed charges		794.4	90			Percent of total billed charges		893.7	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	100			Percent of total billed charges		993	100			Percent of total billed charges		993	100			Percent of total billed charges		993	33.3			Percent of total billed charges		330.669	33.3			Percent of total billed charges		330.669	100			Percent of total billed charges		993	330.669	893.7	
cosmetic - arms liposuction	983	RC	Outpatient			993	645.45		90			Percent of total billed charges		893.7	40			Percent of total billed charges		397.2	80			Percent of total billed charges		794.4	90			Percent of total billed charges		893.7	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	100			Percent of total billed charges		993	100			Percent of total billed charges		993	100			Percent of total billed charges		993	33.3			Percent of total billed charges		330.669	33.3			Percent of total billed charges		330.669	100			Percent of total billed charges		993	330.669	893.7	
elev rim liner 10d 46 x 28 00-6110-046-28 zimmer	278	RC	Outpatient			993	645.45		90			Percent of total billed charges		893.7	40			Percent of total billed charges		397.2	80			Percent of total billed charges		794.4	90			Percent of total billed charges		893.7	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	100			Percent of total billed charges		993	100			Percent of total billed charges		993	100			Percent of total billed charges		993	33.3			Percent of total billed charges		330.669	33.3			Percent of total billed charges		330.669	100			Percent of total billed charges		993	330.669	893.7	
elev rim liner 10d 48 x 28 00-6110-048-28 zimmer	278	RC	Outpatient			993	645.45		90			Percent of total billed charges		893.7	40			Percent of total billed charges		397.2	80			Percent of total billed charges		794.4	90			Percent of total billed charges		893.7	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	100			Percent of total billed charges		993	100			Percent of total billed charges		993	100			Percent of total billed charges		993	33.3			Percent of total billed charges		330.669	33.3			Percent of total billed charges		330.669	100			Percent of total billed charges		993	330.669	893.7	
elev rim liner 10d 62 x 28 00-6110-062-28 zimmer	278	RC	Outpatient			993	645.45		90			Percent of total billed charges		893.7	40			Percent of total billed charges		397.2	80			Percent of total billed charges		794.4	90			Percent of total billed charges		893.7	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	100			Percent of total billed charges		993	100			Percent of total billed charges		993	100			Percent of total billed charges		993	33.3			Percent of total billed charges		330.669	33.3			Percent of total billed charges		330.669	100			Percent of total billed charges		993	330.669	893.7	
elev rim liner 10d 68 x 28 00-6110-068-28 zimmer	278	RC	Outpatient			993	645.45		90			Percent of total billed charges		893.7	40			Percent of total billed charges		397.2	80			Percent of total billed charges		794.4	90			Percent of total billed charges		893.7	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	100			Percent of total billed charges		993	100			Percent of total billed charges		993	100			Percent of total billed charges		993	33.3			Percent of total billed charges		330.669	33.3			Percent of total billed charges		330.669	100			Percent of total billed charges		993	330.669	893.7	
elev rim liner 10d 70 x 28 00-6110-070-28 zimmer	278	RC	Outpatient			993	645.45		90			Percent of total billed charges		893.7	40			Percent of total billed charges		397.2	80			Percent of total billed charges		794.4	90			Percent of total billed charges		893.7	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	100			Percent of total billed charges		993	100			Percent of total billed charges		993	100			Percent of total billed charges		993	33.3			Percent of total billed charges		330.669	33.3			Percent of total billed charges		330.669	100			Percent of total billed charges		993	330.669	893.7	
elev rim liner 10d 72 x 28 00-6110-072-28 zimmer	278	RC	Outpatient			993	645.45		90			Percent of total billed charges		893.7	40			Percent of total billed charges		397.2	80			Percent of total billed charges		794.4	90			Percent of total billed charges		893.7	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	100			Percent of total billed charges		993	100			Percent of total billed charges		993	100			Percent of total billed charges		993	33.3			Percent of total billed charges		330.669	33.3			Percent of total billed charges		330.669	100			Percent of total billed charges		993	330.669	893.7	
elev rim liner 10d 74 x 28 00-6110-074-28 zimmer	278	RC	Outpatient			993	645.45		90			Percent of total billed charges		893.7	40			Percent of total billed charges		397.2	80			Percent of total billed charges		794.4	90			Percent of total billed charges		893.7	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	100			Percent of total billed charges		993	100			Percent of total billed charges		993	100			Percent of total billed charges		993	33.3			Percent of total billed charges		330.669	33.3			Percent of total billed charges		330.669	100			Percent of total billed charges		993	330.669	893.7	
elev rim liner 10d 80 x 28 00-6110-080-28 zimmer	278	RC	Outpatient			993	645.45		90			Percent of total billed charges		893.7	40			Percent of total billed charges		397.2	80			Percent of total billed charges		794.4	90			Percent of total billed charges		893.7	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	100			Percent of total billed charges		993	100			Percent of total billed charges		993	100			Percent of total billed charges		993	33.3			Percent of total billed charges		330.669	33.3			Percent of total billed charges		330.669	100			Percent of total billed charges		993	330.669	893.7	
elev rim liner 20d  00-6120-050-28 zimmer	278	RC	Outpatient			993	645.45		90			Percent of total billed charges		893.7	40			Percent of total billed charges		397.2	80			Percent of total billed charges		794.4	90			Percent of total billed charges		893.7	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	100			Percent of total billed charges		993	100			Percent of total billed charges		993	100			Percent of total billed charges		993	33.3			Percent of total billed charges		330.669	33.3			Percent of total billed charges		330.669	100			Percent of total billed charges		993	330.669	893.7	
elev rim liner 20d 44 x 28 00-6120-044-28 zimmer	278	RC	Outpatient			993	645.45		90			Percent of total billed charges		893.7	40			Percent of total billed charges		397.2	80			Percent of total billed charges		794.4	90			Percent of total billed charges		893.7	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	100			Percent of total billed charges		993	100			Percent of total billed charges		993	100			Percent of total billed charges		993	33.3			Percent of total billed charges		330.669	33.3			Percent of total billed charges		330.669	100			Percent of total billed charges		993	330.669	893.7	
elev rim liner 20d 58 x 28 00-6120-058-28 zimmer	278	RC	Outpatient			993	645.45		90			Percent of total billed charges		893.7	40			Percent of total billed charges		397.2	80			Percent of total billed charges		794.4	90			Percent of total billed charges		893.7	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	100			Percent of total billed charges		993	100			Percent of total billed charges		993	100			Percent of total billed charges		993	33.3			Percent of total billed charges		330.669	33.3			Percent of total billed charges		330.669	100			Percent of total billed charges		993	330.669	893.7	
elev rim liner 20d 68 x 28 00-6120-068-28 zimmer	278	RC	Outpatient			993	645.45		90			Percent of total billed charges		893.7	40			Percent of total billed charges		397.2	80			Percent of total billed charges		794.4	90			Percent of total billed charges		893.7	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	100			Percent of total billed charges		993	100			Percent of total billed charges		993	100			Percent of total billed charges		993	33.3			Percent of total billed charges		330.669	33.3			Percent of total billed charges		330.669	100			Percent of total billed charges		993	330.669	893.7	
elev rim liner 20d 72 x 28 00-6120-072-28 zimmer	278	RC	Outpatient			993	645.45		90			Percent of total billed charges		893.7	40			Percent of total billed charges		397.2	80			Percent of total billed charges		794.4	90			Percent of total billed charges		893.7	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	100			Percent of total billed charges		993	100			Percent of total billed charges		993	100			Percent of total billed charges		993	33.3			Percent of total billed charges		330.669	33.3			Percent of total billed charges		330.669	100			Percent of total billed charges		993	330.669	893.7	
elev rim liner 20d 74 x 28 00-6120-074-28 zimmer	278	RC	Outpatient			993	645.45		90			Percent of total billed charges		893.7	40			Percent of total billed charges		397.2	80			Percent of total billed charges		794.4	90			Percent of total billed charges		893.7	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	100			Percent of total billed charges		993	100			Percent of total billed charges		993	100			Percent of total billed charges		993	33.3			Percent of total billed charges		330.669	33.3			Percent of total billed charges		330.669	100			Percent of total billed charges		993	330.669	893.7	
elev rim liner 20d 76 x 28 00-6120-076-28 zimmer	278	RC	Outpatient			993	645.45		90			Percent of total billed charges		893.7	40			Percent of total billed charges		397.2	80			Percent of total billed charges		794.4	90			Percent of total billed charges		893.7	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	100			Percent of total billed charges		993	100			Percent of total billed charges		993	100			Percent of total billed charges		993	33.3			Percent of total billed charges		330.669	33.3			Percent of total billed charges		330.669	100			Percent of total billed charges		993	330.669	893.7	
elev rim liner 20d 80 x 28 00-6120-080-28 zimmer	278	RC	Outpatient			993	645.45		90			Percent of total billed charges		893.7	40			Percent of total billed charges		397.2	80			Percent of total billed charges		794.4	90			Percent of total billed charges		893.7	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	100			Percent of total billed charges		993	100			Percent of total billed charges		993	100			Percent of total billed charges		993	33.3			Percent of total billed charges		330.669	33.3			Percent of total billed charges		330.669	100			Percent of total billed charges		993	330.669	893.7	
elev rim liner 10d 44 x 28 00-6110-044-28 zimmer	278	RC	Outpatient			993	645.45		90			Percent of total billed charges		893.7	40			Percent of total billed charges		397.2	80			Percent of total billed charges		794.4	90			Percent of total billed charges		893.7	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	100			Percent of total billed charges		993	100			Percent of total billed charges		993	100			Percent of total billed charges		993	33.3			Percent of total billed charges		330.669	33.3			Percent of total billed charges		330.669	100			Percent of total billed charges		993	330.669	893.7	
elev rim liner 10d 50 x 28 00-6110-050-28 zimmer	278	RC	Outpatient			993	645.45		90			Percent of total billed charges		893.7	40			Percent of total billed charges		397.2	80			Percent of total billed charges		794.4	90			Percent of total billed charges		893.7	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	100			Percent of total billed charges		993	100			Percent of total billed charges		993	100			Percent of total billed charges		993	33.3			Percent of total billed charges		330.669	33.3			Percent of total billed charges		330.669	100			Percent of total billed charges		993	330.669	893.7	
elev rim liner 10d 58 x 28 00-6110-058-28 zimmer	278	RC	Outpatient			993	645.45		90			Percent of total billed charges		893.7	40			Percent of total billed charges		397.2	80			Percent of total billed charges		794.4	90			Percent of total billed charges		893.7	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	100			Percent of total billed charges		993	100			Percent of total billed charges		993	100			Percent of total billed charges		993	33.3			Percent of total billed charges		330.669	33.3			Percent of total billed charges		330.669	100			Percent of total billed charges		993	330.669	893.7	
elev rim liner 10d 60 x 28 00-6110-060-28 zimmer	278	RC	Outpatient			993	645.45		90			Percent of total billed charges		893.7	40			Percent of total billed charges		397.2	80			Percent of total billed charges		794.4	90			Percent of total billed charges		893.7	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	100			Percent of total billed charges		993	100			Percent of total billed charges		993	100			Percent of total billed charges		993	33.3			Percent of total billed charges		330.669	33.3			Percent of total billed charges		330.669	100			Percent of total billed charges		993	330.669	893.7	
elev rim liner 10d 64 x 28 00-6110-064-28 zimmer	278	RC	Outpatient			993	645.45		90			Percent of total billed charges		893.7	40			Percent of total billed charges		397.2	80			Percent of total billed charges		794.4	90			Percent of total billed charges		893.7	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	100			Percent of total billed charges		993	100			Percent of total billed charges		993	100			Percent of total billed charges		993	33.3			Percent of total billed charges		330.669	33.3			Percent of total billed charges		330.669	100			Percent of total billed charges		993	330.669	893.7	
elev rim liner 10d 66 x 28 00-6110-066-28 zimmer	278	RC	Outpatient			993	645.45		90			Percent of total billed charges		893.7	40			Percent of total billed charges		397.2	80			Percent of total billed charges		794.4	90			Percent of total billed charges		893.7	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	100			Percent of total billed charges		993	100			Percent of total billed charges		993	100			Percent of total billed charges		993	33.3			Percent of total billed charges		330.669	33.3			Percent of total billed charges		330.669	100			Percent of total billed charges		993	330.669	893.7	
elev rim liner 10d 76 x 28 00-6110-076-28 zimmer	278	RC	Outpatient			993	645.45		90			Percent of total billed charges		893.7	40			Percent of total billed charges		397.2	80			Percent of total billed charges		794.4	90			Percent of total billed charges		893.7	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	100			Percent of total billed charges		993	100			Percent of total billed charges		993	100			Percent of total billed charges		993	33.3			Percent of total billed charges		330.669	33.3			Percent of total billed charges		330.669	100			Percent of total billed charges		993	330.669	893.7	
elev rim liner 10d 78 x 28 00-6110-078-28 zimmer	278	RC	Outpatient			993	645.45		90			Percent of total billed charges		893.7	40			Percent of total billed charges		397.2	80			Percent of total billed charges		794.4	90			Percent of total billed charges		893.7	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	100			Percent of total billed charges		993	100			Percent of total billed charges		993	100			Percent of total billed charges		993	33.3			Percent of total billed charges		330.669	33.3			Percent of total billed charges		330.669	100			Percent of total billed charges		993	330.669	893.7	
elev rim liner 20d 46 x 28 00-6120-046-28 zimmer	278	RC	Outpatient			993	645.45		90			Percent of total billed charges		893.7	40			Percent of total billed charges		397.2	80			Percent of total billed charges		794.4	90			Percent of total billed charges		893.7	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	100			Percent of total billed charges		993	100			Percent of total billed charges		993	100			Percent of total billed charges		993	33.3			Percent of total billed charges		330.669	33.3			Percent of total billed charges		330.669	100			Percent of total billed charges		993	330.669	893.7	
elev rim liner 20d 48 x 28 00-6120-048-28 zimmer	278	RC	Outpatient			993	645.45		90			Percent of total billed charges		893.7	40			Percent of total billed charges		397.2	80			Percent of total billed charges		794.4	90			Percent of total billed charges		893.7	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	100			Percent of total billed charges		993	100			Percent of total billed charges		993	100			Percent of total billed charges		993	33.3			Percent of total billed charges		330.669	33.3			Percent of total billed charges		330.669	100			Percent of total billed charges		993	330.669	893.7	
elev rim liner 20d 56 x 28 00-6120-056-28 zimmer	278	RC	Outpatient			993	645.45		90			Percent of total billed charges		893.7	40			Percent of total billed charges		397.2	80			Percent of total billed charges		794.4	90			Percent of total billed charges		893.7	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	100			Percent of total billed charges		993	100			Percent of total billed charges		993	100			Percent of total billed charges		993	33.3			Percent of total billed charges		330.669	33.3			Percent of total billed charges		330.669	100			Percent of total billed charges		993	330.669	893.7	
elev rim liner 20d 60 x 28 00-6120-060-28 zimmer	278	RC	Outpatient			993	645.45		90			Percent of total billed charges		893.7	40			Percent of total billed charges		397.2	80			Percent of total billed charges		794.4	90			Percent of total billed charges		893.7	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	100			Percent of total billed charges		993	100			Percent of total billed charges		993	100			Percent of total billed charges		993	33.3			Percent of total billed charges		330.669	33.3			Percent of total billed charges		330.669	100			Percent of total billed charges		993	330.669	893.7	
elev rim liner 20d 62 x 28 00-6120-062-28 zimmer	278	RC	Outpatient			993	645.45		90			Percent of total billed charges		893.7	40			Percent of total billed charges		397.2	80			Percent of total billed charges		794.4	90			Percent of total billed charges		893.7	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	100			Percent of total billed charges		993	100			Percent of total billed charges		993	100			Percent of total billed charges		993	33.3			Percent of total billed charges		330.669	33.3			Percent of total billed charges		330.669	100			Percent of total billed charges		993	330.669	893.7	
elev rim liner 20d 64x 28 00-6120-064-28 zimmer	278	RC	Outpatient			993	645.45		90			Percent of total billed charges		893.7	40			Percent of total billed charges		397.2	80			Percent of total billed charges		794.4	90			Percent of total billed charges		893.7	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	100			Percent of total billed charges		993	100			Percent of total billed charges		993	100			Percent of total billed charges		993	33.3			Percent of total billed charges		330.669	33.3			Percent of total billed charges		330.669	100			Percent of total billed charges		993	330.669	893.7	
elev rim liner 20d 66 x 28 00-6120-066-28 zimmer	278	RC	Outpatient			993	645.45		90			Percent of total billed charges		893.7	40			Percent of total billed charges		397.2	80			Percent of total billed charges		794.4	90			Percent of total billed charges		893.7	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	100			Percent of total billed charges		993	100			Percent of total billed charges		993	100			Percent of total billed charges		993	33.3			Percent of total billed charges		330.669	33.3			Percent of total billed charges		330.669	100			Percent of total billed charges		993	330.669	893.7	
elev rim liner 20d 70 x 28 00-6120-070-28 zimmer	278	RC	Outpatient			993	645.45		90			Percent of total billed charges		893.7	40			Percent of total billed charges		397.2	80			Percent of total billed charges		794.4	90			Percent of total billed charges		893.7	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	100			Percent of total billed charges		993	100			Percent of total billed charges		993	100			Percent of total billed charges		993	33.3			Percent of total billed charges		330.669	33.3			Percent of total billed charges		330.669	100			Percent of total billed charges		993	330.669	893.7	
elev rim liner 20d 78 x 28 00-6120-078-28 zimmer	278	RC	Outpatient			993	645.45		90			Percent of total billed charges		893.7	40			Percent of total billed charges		397.2	80			Percent of total billed charges		794.4	90			Percent of total billed charges		893.7	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	100			Percent of total billed charges		993	100			Percent of total billed charges		993	100			Percent of total billed charges		993	33.3			Percent of total billed charges		330.669	33.3			Percent of total billed charges		330.669	100			Percent of total billed charges		993	330.669	893.7	
system one comp lap cbdg kit 5000	270	RC	Outpatient			993	645.45		90			Percent of total billed charges		893.7	40			Percent of total billed charges		397.2	80			Percent of total billed charges		794.4	90			Percent of total billed charges		893.7	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	100			Percent of total billed charges		993	100			Percent of total billed charges		993	100			Percent of total billed charges		993	33.3			Percent of total billed charges		330.669	33.3			Percent of total billed charges		330.669	100			Percent of total billed charges		993	330.669	893.7	
taut systm 1 lap cbde kit	270	RC	Outpatient			993	645.45		90			Percent of total billed charges		893.7	40			Percent of total billed charges		397.2	80			Percent of total billed charges		794.4	90			Percent of total billed charges		893.7	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	100			Percent of total billed charges		993	100			Percent of total billed charges		993	100			Percent of total billed charges		993	33.3			Percent of total billed charges		330.669	33.3			Percent of total billed charges		330.669	100			Percent of total billed charges		993	330.669	893.7	
zimmer elev rim liner	278	RC	Outpatient			993	645.45		90			Percent of total billed charges		893.7	40			Percent of total billed charges		397.2	80			Percent of total billed charges		794.4	90			Percent of total billed charges		893.7	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	85			Percent of total billed charges		844.05	100			Percent of total billed charges		993	100			Percent of total billed charges		993	100			Percent of total billed charges		993	33.3			Percent of total billed charges		330.669	33.3			Percent of total billed charges		330.669	100			Percent of total billed charges		993	330.669	893.7	
depuy uniplate screw	278	RC	Outpatient			996	647.4		90			Percent of total billed charges		896.4	40			Percent of total billed charges		398.4	80			Percent of total billed charges		796.8	90			Percent of total billed charges		896.4	85			Percent of total billed charges		846.6	85			Percent of total billed charges		846.6	85			Percent of total billed charges		846.6	100			Percent of total billed charges		996	100			Percent of total billed charges		996	100			Percent of total billed charges		996	33.3			Percent of total billed charges		331.668	33.3			Percent of total billed charges		331.668	100			Percent of total billed charges		996	331.668	896.4	
uniplate screw 12mm 189707012 depuy	278	RC	Outpatient			996	647.4		90			Percent of total billed charges		896.4	40			Percent of total billed charges		398.4	80			Percent of total billed charges		796.8	90			Percent of total billed charges		896.4	85			Percent of total billed charges		846.6	85			Percent of total billed charges		846.6	85			Percent of total billed charges		846.6	100			Percent of total billed charges		996	100			Percent of total billed charges		996	100			Percent of total billed charges		996	33.3			Percent of total billed charges		331.668	33.3			Percent of total billed charges		331.668	100			Percent of total billed charges		996	331.668	896.4	
uniplate screw 14mm 189707014 depuy	278	RC	Outpatient			996	647.4		90			Percent of total billed charges		896.4	40			Percent of total billed charges		398.4	80			Percent of total billed charges		796.8	90			Percent of total billed charges		896.4	85			Percent of total billed charges		846.6	85			Percent of total billed charges		846.6	85			Percent of total billed charges		846.6	100			Percent of total billed charges		996	100			Percent of total billed charges		996	100			Percent of total billed charges		996	33.3			Percent of total billed charges		331.668	33.3			Percent of total billed charges		331.668	100			Percent of total billed charges		996	331.668	896.4	
uniplate screw 16mm 189707016 depuy	278	RC	Outpatient			996	647.4		90			Percent of total billed charges		896.4	40			Percent of total billed charges		398.4	80			Percent of total billed charges		796.8	90			Percent of total billed charges		896.4	85			Percent of total billed charges		846.6	85			Percent of total billed charges		846.6	85			Percent of total billed charges		846.6	100			Percent of total billed charges		996	100			Percent of total billed charges		996	100			Percent of total billed charges		996	33.3			Percent of total billed charges		331.668	33.3			Percent of total billed charges		331.668	100			Percent of total billed charges		996	331.668	896.4	
ex. fix. universal joint	278	RC	Outpatient			999	649.35		90			Percent of total billed charges		899.1	40			Percent of total billed charges		399.6	80			Percent of total billed charges		799.2	90			Percent of total billed charges		899.1	85			Percent of total billed charges		849.15	85			Percent of total billed charges		849.15	85			Percent of total billed charges		849.15	100			Percent of total billed charges		999	100			Percent of total billed charges		999	100			Percent of total billed charges		999	33.3			Percent of total billed charges		332.667	33.3			Percent of total billed charges		332.667	100			Percent of total billed charges		999	332.667	899.1	
cosmetic - minor office procedure c	983	RC	Outpatient			1000	650		90			Percent of total billed charges		900	40			Percent of total billed charges		400	80			Percent of total billed charges		800	90			Percent of total billed charges		900	85			Percent of total billed charges		850	85			Percent of total billed charges		850	85			Percent of total billed charges		850	100			Percent of total billed charges		1000	100			Percent of total billed charges		1000	100			Percent of total billed charges		1000	33.3			Percent of total billed charges		333	33.3			Percent of total billed charges		333	100			Percent of total billed charges		1000	333	900	
cosmetic - photofacial package of 3 sessions	983	RC	Outpatient			1000	650		90			Percent of total billed charges		900	40			Percent of total billed charges		400	80			Percent of total billed charges		800	90			Percent of total billed charges		900	85			Percent of total billed charges		850	85			Percent of total billed charges		850	85			Percent of total billed charges		850	100			Percent of total billed charges		1000	100			Percent of total billed charges		1000	100			Percent of total billed charges		1000	33.3			Percent of total billed charges		333	33.3			Percent of total billed charges		333	100			Percent of total billed charges		1000	333	900	
cosmetic - rosacea treatment package of three sessions	983	RC	Outpatient			1000	650		90			Percent of total billed charges		900	40			Percent of total billed charges		400	80			Percent of total billed charges		800	90			Percent of total billed charges		900	85			Percent of total billed charges		850	85			Percent of total billed charges		850	85			Percent of total billed charges		850	100			Percent of total billed charges		1000	100			Percent of total billed charges		1000	100			Percent of total billed charges		1000	33.3			Percent of total billed charges		333	33.3			Percent of total billed charges		333	100			Percent of total billed charges		1000	333	900	
cosmetic - kybella two syringes	983	RC	Outpatient			1000	650		90			Percent of total billed charges		900	40			Percent of total billed charges		400	80			Percent of total billed charges		800	90			Percent of total billed charges		900	85			Percent of total billed charges		850	85			Percent of total billed charges		850	85			Percent of total billed charges		850	100			Percent of total billed charges		1000	100			Percent of total billed charges		1000	100			Percent of total billed charges		1000	33.3			Percent of total billed charges		333	33.3			Percent of total billed charges		333	100			Percent of total billed charges		1000	333	900	
biomet dbm putty 3cc syr	278	RC	Outpatient			1001	650.65		90			Percent of total billed charges		900.9	40			Percent of total billed charges		400.4	80			Percent of total billed charges		800.8	90			Percent of total billed charges		900.9	85			Percent of total billed charges		850.85	85			Percent of total billed charges		850.85	85			Percent of total billed charges		850.85	100			Percent of total billed charges		1001	100			Percent of total billed charges		1001	100			Percent of total billed charges		1001	33.3			Percent of total billed charges		333.333	33.3			Percent of total billed charges		333.333	100			Percent of total billed charges		1001	333.333	900.9	
biomet dbm putty 3cc syringe 9083	278	RC	Outpatient			1001	650.65		90			Percent of total billed charges		900.9	40			Percent of total billed charges		400.4	80			Percent of total billed charges		800.8	90			Percent of total billed charges		900.9	85			Percent of total billed charges		850.85	85			Percent of total billed charges		850.85	85			Percent of total billed charges		850.85	100			Percent of total billed charges		1001	100			Percent of total billed charges		1001	100			Percent of total billed charges		1001	33.3			Percent of total billed charges		333.333	33.3			Percent of total billed charges		333.333	100			Percent of total billed charges		1001	333.333	900.9	
acetabular x-plant blade 5206-58 biomet	272	RC	Outpatient			1003	651.95		90			Percent of total billed charges		902.7	40			Percent of total billed charges		401.2	80			Percent of total billed charges		802.4	90			Percent of total billed charges		902.7	85			Percent of total billed charges		852.55	85			Percent of total billed charges		852.55	85			Percent of total billed charges		852.55	100			Percent of total billed charges		1003	100			Percent of total billed charges		1003	100			Percent of total billed charges		1003	33.3			Percent of total billed charges		333.999	33.3			Percent of total billed charges		333.999	100			Percent of total billed charges		1003	333.999	902.7	
arthrex bio-composite swivelock tenodesis anchor 8 x 19.5mm ar-1662bc-8	278	RC	Outpatient			1003	651.95		90			Percent of total billed charges		902.7	40			Percent of total billed charges		401.2	80			Percent of total billed charges		802.4	90			Percent of total billed charges		902.7	85			Percent of total billed charges		852.55	85			Percent of total billed charges		852.55	85			Percent of total billed charges		852.55	100			Percent of total billed charges		1003	100			Percent of total billed charges		1003	100			Percent of total billed charges		1003	33.3			Percent of total billed charges		333.999	33.3			Percent of total billed charges		333.999	100			Percent of total billed charges		1003	333.999	902.7	
acetabular x-plant blade 5205-58 biomet	272	RC	Outpatient			1003	651.95		90			Percent of total billed charges		902.7	40			Percent of total billed charges		401.2	80			Percent of total billed charges		802.4	90			Percent of total billed charges		902.7	85			Percent of total billed charges		852.55	85			Percent of total billed charges		852.55	85			Percent of total billed charges		852.55	100			Percent of total billed charges		1003	100			Percent of total billed charges		1003	100			Percent of total billed charges		1003	33.3			Percent of total billed charges		333.999	33.3			Percent of total billed charges		333.999	100			Percent of total billed charges		1003	333.999	902.7	
arthrex bio-comp sl tenod	278	RC	Outpatient			1003	651.95		90			Percent of total billed charges		902.7	40			Percent of total billed charges		401.2	80			Percent of total billed charges		802.4	90			Percent of total billed charges		902.7	85			Percent of total billed charges		852.55	85			Percent of total billed charges		852.55	85			Percent of total billed charges		852.55	100			Percent of total billed charges		1003	100			Percent of total billed charges		1003	100			Percent of total billed charges		1003	33.3			Percent of total billed charges		333.999	33.3			Percent of total billed charges		333.999	100			Percent of total billed charges		1003	333.999	902.7	
arthrex bio-composite swivelock tenodesis anchor 7 x 19.5mm ar-1662bc-7	278	RC	Outpatient			1003	651.95		90			Percent of total billed charges		902.7	40			Percent of total billed charges		401.2	80			Percent of total billed charges		802.4	90			Percent of total billed charges		902.7	85			Percent of total billed charges		852.55	85			Percent of total billed charges		852.55	85			Percent of total billed charges		852.55	100			Percent of total billed charges		1003	100			Percent of total billed charges		1003	100			Percent of total billed charges		1003	33.3			Percent of total billed charges		333.999	33.3			Percent of total billed charges		333.999	100			Percent of total billed charges		1003	333.999	902.7	
biomet acct. x-plant bld	272	RC	Outpatient			1003	651.95		90			Percent of total billed charges		902.7	40			Percent of total billed charges		401.2	80			Percent of total billed charges		802.4	90			Percent of total billed charges		902.7	85			Percent of total billed charges		852.55	85			Percent of total billed charges		852.55	85			Percent of total billed charges		852.55	100			Percent of total billed charges		1003	100			Percent of total billed charges		1003	100			Percent of total billed charges		1003	33.3			Percent of total billed charges		333.999	33.3			Percent of total billed charges		333.999	100			Percent of total billed charges		1003	333.999	902.7	
donar sclera-whole	278	RC	Outpatient			1003	651.95		90			Percent of total billed charges		902.7	40			Percent of total billed charges		401.2	80			Percent of total billed charges		802.4	90			Percent of total billed charges		902.7	85			Percent of total billed charges		852.55	85			Percent of total billed charges		852.55	85			Percent of total billed charges		852.55	100			Percent of total billed charges		1003	100			Percent of total billed charges		1003	100			Percent of total billed charges		1003	33.3			Percent of total billed charges		333.999	33.3			Percent of total billed charges		333.999	100			Percent of total billed charges		1003	333.999	902.7	
depuy cathcart hp ball	278	RC	Outpatient			1003	651.95		90			Percent of total billed charges		902.7	40			Percent of total billed charges		401.2	80			Percent of total billed charges		802.4	90			Percent of total billed charges		902.7	85			Percent of total billed charges		852.55	85			Percent of total billed charges		852.55	85			Percent of total billed charges		852.55	100			Percent of total billed charges		1003	100			Percent of total billed charges		1003	100			Percent of total billed charges		1003	33.3			Percent of total billed charges		333.999	33.3			Percent of total billed charges		333.999	100			Percent of total billed charges		1003	333.999	902.7	
donar sclera whole lyons eye bank	278	RC	Outpatient			1003	651.95		90			Percent of total billed charges		902.7	40			Percent of total billed charges		401.2	80			Percent of total billed charges		802.4	90			Percent of total billed charges		902.7	85			Percent of total billed charges		852.55	85			Percent of total billed charges		852.55	85			Percent of total billed charges		852.55	100			Percent of total billed charges		1003	100			Percent of total billed charges		1003	100			Percent of total billed charges		1003	33.3			Percent of total billed charges		333.999	33.3			Percent of total billed charges		333.999	100			Percent of total billed charges		1003	333.999	902.7	
medtronic delivery sheath	272	RC	Outpatient			1003	651.95		90			Percent of total billed charges		902.7	40			Percent of total billed charges		401.2	80			Percent of total billed charges		802.4	90			Percent of total billed charges		902.7	85			Percent of total billed charges		852.55	85			Percent of total billed charges		852.55	85			Percent of total billed charges		852.55	100			Percent of total billed charges		1003	100			Percent of total billed charges		1003	100			Percent of total billed charges		1003	33.3			Percent of total billed charges		333.999	33.3			Percent of total billed charges		333.999	100			Percent of total billed charges		1003	333.999	902.7	
intergro dbm plus 2cc	278	RC	Outpatient			1003	651.95		90			Percent of total billed charges		902.7	40			Percent of total billed charges		401.2	80			Percent of total billed charges		802.4	90			Percent of total billed charges		902.7	85			Percent of total billed charges		852.55	85			Percent of total billed charges		852.55	85			Percent of total billed charges		852.55	100			Percent of total billed charges		1003	100			Percent of total billed charges		1003	100			Percent of total billed charges		1003	33.3			Percent of total billed charges		333.999	33.3			Percent of total billed charges		333.999	100			Percent of total billed charges		1003	333.999	902.7	
intergro dbm plus 2cc dbww02 biomet/ebi	278	RC	Outpatient			1003	651.95		90			Percent of total billed charges		902.7	40			Percent of total billed charges		401.2	80			Percent of total billed charges		802.4	90			Percent of total billed charges		902.7	85			Percent of total billed charges		852.55	85			Percent of total billed charges		852.55	85			Percent of total billed charges		852.55	100			Percent of total billed charges		1003	100			Percent of total billed charges		1003	100			Percent of total billed charges		1003	33.3			Percent of total billed charges		333.999	33.3			Percent of total billed charges		333.999	100			Percent of total billed charges		1003	333.999	902.7	
lead biotronik selox	278	RC	Outpatient			1003	651.95		90			Percent of total billed charges		902.7	40			Percent of total billed charges		401.2	80			Percent of total billed charges		802.4	90			Percent of total billed charges		902.7	85			Percent of total billed charges		852.55	85			Percent of total billed charges		852.55	85			Percent of total billed charges		852.55	100			Percent of total billed charges		1003	100			Percent of total billed charges		1003	100			Percent of total billed charges		1003	33.3			Percent of total billed charges		333.999	33.3			Percent of total billed charges		333.999	100			Percent of total billed charges		1003	333.999	902.7	
mini bead kit  5cc wright 8400-0611	278	RC	Outpatient			1003	651.95		90			Percent of total billed charges		902.7	40			Percent of total billed charges		401.2	80			Percent of total billed charges		802.4	90			Percent of total billed charges		902.7	85			Percent of total billed charges		852.55	85			Percent of total billed charges		852.55	85			Percent of total billed charges		852.55	100			Percent of total billed charges		1003	100			Percent of total billed charges		1003	100			Percent of total billed charges		1003	33.3			Percent of total billed charges		333.999	33.3			Percent of total billed charges		333.999	100			Percent of total billed charges		1003	333.999	902.7	
mod cathcart fx head hip ball 48mm 1363-48-000 depuy	278	RC	Outpatient			1003	651.95		90			Percent of total billed charges		902.7	40			Percent of total billed charges		401.2	80			Percent of total billed charges		802.4	90			Percent of total billed charges		902.7	85			Percent of total billed charges		852.55	85			Percent of total billed charges		852.55	85			Percent of total billed charges		852.55	100			Percent of total billed charges		1003	100			Percent of total billed charges		1003	100			Percent of total billed charges		1003	33.3			Percent of total billed charges		333.999	33.3			Percent of total billed charges		333.999	100			Percent of total billed charges		1003	333.999	902.7	
tibialis anter. allograft	278	RC	Outpatient			1003	651.95		90			Percent of total billed charges		902.7	40			Percent of total billed charges		401.2	80			Percent of total billed charges		802.4	90			Percent of total billed charges		902.7	85			Percent of total billed charges		852.55	85			Percent of total billed charges		852.55	85			Percent of total billed charges		852.55	100			Percent of total billed charges		1003	100			Percent of total billed charges		1003	100			Percent of total billed charges		1003	33.3			Percent of total billed charges		333.999	33.3			Percent of total billed charges		333.999	100			Percent of total billed charges		1003	333.999	902.7	
tube reamer intracone in inner 1428-005-00 zimmer	270	RC	Outpatient			1003	651.95		90			Percent of total billed charges		902.7	40			Percent of total billed charges		401.2	80			Percent of total billed charges		802.4	90			Percent of total billed charges		902.7	85			Percent of total billed charges		852.55	85			Percent of total billed charges		852.55	85			Percent of total billed charges		852.55	100			Percent of total billed charges		1003	100			Percent of total billed charges		1003	100			Percent of total billed charges		1003	33.3			Percent of total billed charges		333.999	33.3			Percent of total billed charges		333.999	100			Percent of total billed charges		1003	333.999	902.7	
wright antibio beads 5cc	278	RC	Outpatient			1003	651.95		90			Percent of total billed charges		902.7	40			Percent of total billed charges		401.2	80			Percent of total billed charges		802.4	90			Percent of total billed charges		902.7	85			Percent of total billed charges		852.55	85			Percent of total billed charges		852.55	85			Percent of total billed charges		852.55	100			Percent of total billed charges		1003	100			Percent of total billed charges		1003	100			Percent of total billed charges		1003	33.3			Percent of total billed charges		333.999	33.3			Percent of total billed charges		333.999	100			Percent of total billed charges		1003	333.999	902.7	
zimmer intracone reamer	270	RC	Outpatient			1003	651.95		90			Percent of total billed charges		902.7	40			Percent of total billed charges		401.2	80			Percent of total billed charges		802.4	90			Percent of total billed charges		902.7	85			Percent of total billed charges		852.55	85			Percent of total billed charges		852.55	85			Percent of total billed charges		852.55	100			Percent of total billed charges		1003	100			Percent of total billed charges		1003	100			Percent of total billed charges		1003	33.3			Percent of total billed charges		333.999	33.3			Percent of total billed charges		333.999	100			Percent of total billed charges		1003	333.999	902.7	
anesthesia time 2 1/2 hours	370	RC	Outpatient			1004	652.6		90			Percent of total billed charges		903.6	40			Percent of total billed charges		401.6	80			Percent of total billed charges		803.2	90			Percent of total billed charges		903.6	85			Percent of total billed charges		853.4	85			Percent of total billed charges		853.4	85			Percent of total billed charges		853.4	100			Percent of total billed charges		1004	100			Percent of total billed charges		1004	100			Percent of total billed charges		1004	33.3			Percent of total billed charges		334.332	33.3			Percent of total billed charges		334.332	100			Percent of total billed charges		1004	334.332	903.6	
biomet mallory head trochanteric bolt 13-104756	278	RC	Outpatient			1005	653.25		90			Percent of total billed charges		904.5	40			Percent of total billed charges		402	80			Percent of total billed charges		804	90			Percent of total billed charges		904.5	85			Percent of total billed charges		854.25	85			Percent of total billed charges		854.25	85			Percent of total billed charges		854.25	100			Percent of total billed charges		1005	100			Percent of total billed charges		1005	100			Percent of total billed charges		1005	33.3			Percent of total billed charges		334.665	33.3			Percent of total billed charges		334.665	100			Percent of total billed charges		1005	334.665	904.5	
bio trocanteric bolt	278	RC	Outpatient			1005	653.25		90			Percent of total billed charges		904.5	40			Percent of total billed charges		402	80			Percent of total billed charges		804	90			Percent of total billed charges		904.5	85			Percent of total billed charges		854.25	85			Percent of total billed charges		854.25	85			Percent of total billed charges		854.25	100			Percent of total billed charges		1005	100			Percent of total billed charges		1005	100			Percent of total billed charges		1005	33.3			Percent of total billed charges		334.665	33.3			Percent of total billed charges		334.665	100			Percent of total billed charges		1005	334.665	904.5	
biomet mallory/head trochanter bolt 11-104910	278	RC	Outpatient			1005	653.25		90			Percent of total billed charges		904.5	40			Percent of total billed charges		402	80			Percent of total billed charges		804	90			Percent of total billed charges		904.5	85			Percent of total billed charges		854.25	85			Percent of total billed charges		854.25	85			Percent of total billed charges		854.25	100			Percent of total billed charges		1005	100			Percent of total billed charges		1005	100			Percent of total billed charges		1005	33.3			Percent of total billed charges		334.665	33.3			Percent of total billed charges		334.665	100			Percent of total billed charges		1005	334.665	904.5	
relieva luma cable	272	RC	Outpatient			1005	653.25		90			Percent of total billed charges		904.5	40			Percent of total billed charges		402	80			Percent of total billed charges		804	90			Percent of total billed charges		904.5	85			Percent of total billed charges		854.25	85			Percent of total billed charges		854.25	85			Percent of total billed charges		854.25	100			Percent of total billed charges		1005	100			Percent of total billed charges		1005	100			Percent of total billed charges		1005	33.3			Percent of total billed charges		334.665	33.3			Percent of total billed charges		334.665	100			Percent of total billed charges		1005	334.665	904.5	
standard post 4.5 x 30 mm screw 48900430 stryker	278	RC	Outpatient			1010	656.5		90			Percent of total billed charges		909	40			Percent of total billed charges		404	80			Percent of total billed charges		808	90			Percent of total billed charges		909	85			Percent of total billed charges		858.5	85			Percent of total billed charges		858.5	85			Percent of total billed charges		858.5	100			Percent of total billed charges		1010	100			Percent of total billed charges		1010	100			Percent of total billed charges		1010	33.3			Percent of total billed charges		336.33	33.3			Percent of total billed charges		336.33	100			Percent of total billed charges		1010	336.33	909	
standard post 5.5 x 25 mm screw 48900525 stryker	278	RC	Outpatient			1010	656.5		90			Percent of total billed charges		909	40			Percent of total billed charges		404	80			Percent of total billed charges		808	90			Percent of total billed charges		909	85			Percent of total billed charges		858.5	85			Percent of total billed charges		858.5	85			Percent of total billed charges		858.5	100			Percent of total billed charges		1010	100			Percent of total billed charges		1010	100			Percent of total billed charges		1010	33.3			Percent of total billed charges		336.33	33.3			Percent of total billed charges		336.33	100			Percent of total billed charges		1010	336.33	909	
standard post 5.5 x 40 mm screw 48900540 stryker	278	RC	Outpatient			1010	656.5		90			Percent of total billed charges		909	40			Percent of total billed charges		404	80			Percent of total billed charges		808	90			Percent of total billed charges		909	85			Percent of total billed charges		858.5	85			Percent of total billed charges		858.5	85			Percent of total billed charges		858.5	100			Percent of total billed charges		1010	100			Percent of total billed charges		1010	100			Percent of total billed charges		1010	33.3			Percent of total billed charges		336.33	33.3			Percent of total billed charges		336.33	100			Percent of total billed charges		1010	336.33	909	
standard post 5.5 x 50 mm screw 48900550 stryker	278	RC	Outpatient			1010	656.5		90			Percent of total billed charges		909	40			Percent of total billed charges		404	80			Percent of total billed charges		808	90			Percent of total billed charges		909	85			Percent of total billed charges		858.5	85			Percent of total billed charges		858.5	85			Percent of total billed charges		858.5	100			Percent of total billed charges		1010	100			Percent of total billed charges		1010	100			Percent of total billed charges		1010	33.3			Percent of total billed charges		336.33	33.3			Percent of total billed charges		336.33	100			Percent of total billed charges		1010	336.33	909	
standard post 6.5 x 30 mm screw 48900630 stryker	278	RC	Outpatient			1010	656.5		90			Percent of total billed charges		909	40			Percent of total billed charges		404	80			Percent of total billed charges		808	90			Percent of total billed charges		909	85			Percent of total billed charges		858.5	85			Percent of total billed charges		858.5	85			Percent of total billed charges		858.5	100			Percent of total billed charges		1010	100			Percent of total billed charges		1010	100			Percent of total billed charges		1010	33.3			Percent of total billed charges		336.33	33.3			Percent of total billed charges		336.33	100			Percent of total billed charges		1010	336.33	909	
standard post 6.5 x 45 mm screw 48900645 stryker	278	RC	Outpatient			1010	656.5		90			Percent of total billed charges		909	40			Percent of total billed charges		404	80			Percent of total billed charges		808	90			Percent of total billed charges		909	85			Percent of total billed charges		858.5	85			Percent of total billed charges		858.5	85			Percent of total billed charges		858.5	100			Percent of total billed charges		1010	100			Percent of total billed charges		1010	100			Percent of total billed charges		1010	33.3			Percent of total billed charges		336.33	33.3			Percent of total billed charges		336.33	100			Percent of total billed charges		1010	336.33	909	
standard post 6.5 x 50 mm screw 48900650 stryker	278	RC	Outpatient			1010	656.5		90			Percent of total billed charges		909	40			Percent of total billed charges		404	80			Percent of total billed charges		808	90			Percent of total billed charges		909	85			Percent of total billed charges		858.5	85			Percent of total billed charges		858.5	85			Percent of total billed charges		858.5	100			Percent of total billed charges		1010	100			Percent of total billed charges		1010	100			Percent of total billed charges		1010	33.3			Percent of total billed charges		336.33	33.3			Percent of total billed charges		336.33	100			Percent of total billed charges		1010	336.33	909	
standard post 6.5 x 80 mm screw 48900680 stryker	278	RC	Outpatient			1010	656.5		90			Percent of total billed charges		909	40			Percent of total billed charges		404	80			Percent of total billed charges		808	90			Percent of total billed charges		909	85			Percent of total billed charges		858.5	85			Percent of total billed charges		858.5	85			Percent of total billed charges		858.5	100			Percent of total billed charges		1010	100			Percent of total billed charges		1010	100			Percent of total billed charges		1010	33.3			Percent of total billed charges		336.33	33.3			Percent of total billed charges		336.33	100			Percent of total billed charges		1010	336.33	909	
standard post 7.5 x 35 mm screw 48900735 stryker	278	RC	Outpatient			1010	656.5		90			Percent of total billed charges		909	40			Percent of total billed charges		404	80			Percent of total billed charges		808	90			Percent of total billed charges		909	85			Percent of total billed charges		858.5	85			Percent of total billed charges		858.5	85			Percent of total billed charges		858.5	100			Percent of total billed charges		1010	100			Percent of total billed charges		1010	100			Percent of total billed charges		1010	33.3			Percent of total billed charges		336.33	33.3			Percent of total billed charges		336.33	100			Percent of total billed charges		1010	336.33	909	
standard post 7.5 x 40 mm screw 48900740 stryker	278	RC	Outpatient			1010	656.5		90			Percent of total billed charges		909	40			Percent of total billed charges		404	80			Percent of total billed charges		808	90			Percent of total billed charges		909	85			Percent of total billed charges		858.5	85			Percent of total billed charges		858.5	85			Percent of total billed charges		858.5	100			Percent of total billed charges		1010	100			Percent of total billed charges		1010	100			Percent of total billed charges		1010	33.3			Percent of total billed charges		336.33	33.3			Percent of total billed charges		336.33	100			Percent of total billed charges		1010	336.33	909	
standard post 7.5 x 45 mm screw 48900745 stryker	278	RC	Outpatient			1010	656.5		90			Percent of total billed charges		909	40			Percent of total billed charges		404	80			Percent of total billed charges		808	90			Percent of total billed charges		909	85			Percent of total billed charges		858.5	85			Percent of total billed charges		858.5	85			Percent of total billed charges		858.5	100			Percent of total billed charges		1010	100			Percent of total billed charges		1010	100			Percent of total billed charges		1010	33.3			Percent of total billed charges		336.33	33.3			Percent of total billed charges		336.33	100			Percent of total billed charges		1010	336.33	909	
standard post 7.5 x 50 mm screw 48900750 stryker	278	RC	Outpatient			1010	656.5		90			Percent of total billed charges		909	40			Percent of total billed charges		404	80			Percent of total billed charges		808	90			Percent of total billed charges		909	85			Percent of total billed charges		858.5	85			Percent of total billed charges		858.5	85			Percent of total billed charges		858.5	100			Percent of total billed charges		1010	100			Percent of total billed charges		1010	100			Percent of total billed charges		1010	33.3			Percent of total billed charges		336.33	33.3			Percent of total billed charges		336.33	100			Percent of total billed charges		1010	336.33	909	
standard post 8.5 x 35 mm screw 48900835 stryker	278	RC	Outpatient			1010	656.5		90			Percent of total billed charges		909	40			Percent of total billed charges		404	80			Percent of total billed charges		808	90			Percent of total billed charges		909	85			Percent of total billed charges		858.5	85			Percent of total billed charges		858.5	85			Percent of total billed charges		858.5	100			Percent of total billed charges		1010	100			Percent of total billed charges		1010	100			Percent of total billed charges		1010	33.3			Percent of total billed charges		336.33	33.3			Percent of total billed charges		336.33	100			Percent of total billed charges		1010	336.33	909	
standard post 8.5 x 40 mm screw 48900840 stryker	278	RC	Outpatient			1010	656.5		90			Percent of total billed charges		909	40			Percent of total billed charges		404	80			Percent of total billed charges		808	90			Percent of total billed charges		909	85			Percent of total billed charges		858.5	85			Percent of total billed charges		858.5	85			Percent of total billed charges		858.5	100			Percent of total billed charges		1010	100			Percent of total billed charges		1010	100			Percent of total billed charges		1010	33.3			Percent of total billed charges		336.33	33.3			Percent of total billed charges		336.33	100			Percent of total billed charges		1010	336.33	909	
standard post 8.5 x 60 mm screw 48900860 stryker	278	RC	Outpatient			1010	656.5		90			Percent of total billed charges		909	40			Percent of total billed charges		404	80			Percent of total billed charges		808	90			Percent of total billed charges		909	85			Percent of total billed charges		858.5	85			Percent of total billed charges		858.5	85			Percent of total billed charges		858.5	100			Percent of total billed charges		1010	100			Percent of total billed charges		1010	100			Percent of total billed charges		1010	33.3			Percent of total billed charges		336.33	33.3			Percent of total billed charges		336.33	100			Percent of total billed charges		1010	336.33	909	
stryker std post 6.5/7.5s	278	RC	Outpatient			1010	656.5		90			Percent of total billed charges		909	40			Percent of total billed charges		404	80			Percent of total billed charges		808	90			Percent of total billed charges		909	85			Percent of total billed charges		858.5	85			Percent of total billed charges		858.5	85			Percent of total billed charges		858.5	100			Percent of total billed charges		1010	100			Percent of total billed charges		1010	100			Percent of total billed charges		1010	33.3			Percent of total billed charges		336.33	33.3			Percent of total billed charges		336.33	100			Percent of total billed charges		1010	336.33	909	
standard post 4.5 x 25 mm screw 48900425 stryker	278	RC	Outpatient			1010	656.5		90			Percent of total billed charges		909	40			Percent of total billed charges		404	80			Percent of total billed charges		808	90			Percent of total billed charges		909	85			Percent of total billed charges		858.5	85			Percent of total billed charges		858.5	85			Percent of total billed charges		858.5	100			Percent of total billed charges		1010	100			Percent of total billed charges		1010	100			Percent of total billed charges		1010	33.3			Percent of total billed charges		336.33	33.3			Percent of total billed charges		336.33	100			Percent of total billed charges		1010	336.33	909	
standard post 4.5 x 35 mm screw 48900435 stryker	278	RC	Outpatient			1010	656.5		90			Percent of total billed charges		909	40			Percent of total billed charges		404	80			Percent of total billed charges		808	90			Percent of total billed charges		909	85			Percent of total billed charges		858.5	85			Percent of total billed charges		858.5	85			Percent of total billed charges		858.5	100			Percent of total billed charges		1010	100			Percent of total billed charges		1010	100			Percent of total billed charges		1010	33.3			Percent of total billed charges		336.33	33.3			Percent of total billed charges		336.33	100			Percent of total billed charges		1010	336.33	909	
standard post 4.5 x 40 mm screw 48900440 stryker	278	RC	Outpatient			1010	656.5		90			Percent of total billed charges		909	40			Percent of total billed charges		404	80			Percent of total billed charges		808	90			Percent of total billed charges		909	85			Percent of total billed charges		858.5	85			Percent of total billed charges		858.5	85			Percent of total billed charges		858.5	100			Percent of total billed charges		1010	100			Percent of total billed charges		1010	100			Percent of total billed charges		1010	33.3			Percent of total billed charges		336.33	33.3			Percent of total billed charges		336.33	100			Percent of total billed charges		1010	336.33	909	
standard post 5.5 x 30 mm screw 48900530 stryker	278	RC	Outpatient			1010	656.5		90			Percent of total billed charges		909	40			Percent of total billed charges		404	80			Percent of total billed charges		808	90			Percent of total billed charges		909	85			Percent of total billed charges		858.5	85			Percent of total billed charges		858.5	85			Percent of total billed charges		858.5	100			Percent of total billed charges		1010	100			Percent of total billed charges		1010	100			Percent of total billed charges		1010	33.3			Percent of total billed charges		336.33	33.3			Percent of total billed charges		336.33	100			Percent of total billed charges		1010	336.33	909	
standard post 5.5 x 35 mm screw 48900535 stryker	278	RC	Outpatient			1010	656.5		90			Percent of total billed charges		909	40			Percent of total billed charges		404	80			Percent of total billed charges		808	90			Percent of total billed charges		909	85			Percent of total billed charges		858.5	85			Percent of total billed charges		858.5	85			Percent of total billed charges		858.5	100			Percent of total billed charges		1010	100			Percent of total billed charges		1010	100			Percent of total billed charges		1010	33.3			Percent of total billed charges		336.33	33.3			Percent of total billed charges		336.33	100			Percent of total billed charges		1010	336.33	909	
standard post 5.5 x 45 mm screw 48900545 stryker	278	RC	Outpatient			1010	656.5		90			Percent of total billed charges		909	40			Percent of total billed charges		404	80			Percent of total billed charges		808	90			Percent of total billed charges		909	85			Percent of total billed charges		858.5	85			Percent of total billed charges		858.5	85			Percent of total billed charges		858.5	100			Percent of total billed charges		1010	100			Percent of total billed charges		1010	100			Percent of total billed charges		1010	33.3			Percent of total billed charges		336.33	33.3			Percent of total billed charges		336.33	100			Percent of total billed charges		1010	336.33	909	
standard post 6.5 x 35 mm screw 48900635 stryker	278	RC	Outpatient			1010	656.5		90			Percent of total billed charges		909	40			Percent of total billed charges		404	80			Percent of total billed charges		808	90			Percent of total billed charges		909	85			Percent of total billed charges		858.5	85			Percent of total billed charges		858.5	85			Percent of total billed charges		858.5	100			Percent of total billed charges		1010	100			Percent of total billed charges		1010	100			Percent of total billed charges		1010	33.3			Percent of total billed charges		336.33	33.3			Percent of total billed charges		336.33	100			Percent of total billed charges		1010	336.33	909	
standard post 6.5 x 40 mm screw 48900640 stryker	278	RC	Outpatient			1010	656.5		90			Percent of total billed charges		909	40			Percent of total billed charges		404	80			Percent of total billed charges		808	90			Percent of total billed charges		909	85			Percent of total billed charges		858.5	85			Percent of total billed charges		858.5	85			Percent of total billed charges		858.5	100			Percent of total billed charges		1010	100			Percent of total billed charges		1010	100			Percent of total billed charges		1010	33.3			Percent of total billed charges		336.33	33.3			Percent of total billed charges		336.33	100			Percent of total billed charges		1010	336.33	909	
standard post 6.5 x 55 mm screw 48900655 stryker	278	RC	Outpatient			1010	656.5		90			Percent of total billed charges		909	40			Percent of total billed charges		404	80			Percent of total billed charges		808	90			Percent of total billed charges		909	85			Percent of total billed charges		858.5	85			Percent of total billed charges		858.5	85			Percent of total billed charges		858.5	100			Percent of total billed charges		1010	100			Percent of total billed charges		1010	100			Percent of total billed charges		1010	33.3			Percent of total billed charges		336.33	33.3			Percent of total billed charges		336.33	100			Percent of total billed charges		1010	336.33	909	
standard post 7.5 x 55 mm screw 48900755 stryker	278	RC	Outpatient			1010	656.5		90			Percent of total billed charges		909	40			Percent of total billed charges		404	80			Percent of total billed charges		808	90			Percent of total billed charges		909	85			Percent of total billed charges		858.5	85			Percent of total billed charges		858.5	85			Percent of total billed charges		858.5	100			Percent of total billed charges		1010	100			Percent of total billed charges		1010	100			Percent of total billed charges		1010	33.3			Percent of total billed charges		336.33	33.3			Percent of total billed charges		336.33	100			Percent of total billed charges		1010	336.33	909	
standard post 7.5 x 60 mm screw 48900760 stryker	278	RC	Outpatient			1010	656.5		90			Percent of total billed charges		909	40			Percent of total billed charges		404	80			Percent of total billed charges		808	90			Percent of total billed charges		909	85			Percent of total billed charges		858.5	85			Percent of total billed charges		858.5	85			Percent of total billed charges		858.5	100			Percent of total billed charges		1010	100			Percent of total billed charges		1010	100			Percent of total billed charges		1010	33.3			Percent of total billed charges		336.33	33.3			Percent of total billed charges		336.33	100			Percent of total billed charges		1010	336.33	909	
standard post 8.5 x 30 mm screw 48900830 stryker	278	RC	Outpatient			1010	656.5		90			Percent of total billed charges		909	40			Percent of total billed charges		404	80			Percent of total billed charges		808	90			Percent of total billed charges		909	85			Percent of total billed charges		858.5	85			Percent of total billed charges		858.5	85			Percent of total billed charges		858.5	100			Percent of total billed charges		1010	100			Percent of total billed charges		1010	100			Percent of total billed charges		1010	33.3			Percent of total billed charges		336.33	33.3			Percent of total billed charges		336.33	100			Percent of total billed charges		1010	336.33	909	
standard post 8.5 x 45 mm screw 48900845 stryker	278	RC	Outpatient			1010	656.5		90			Percent of total billed charges		909	40			Percent of total billed charges		404	80			Percent of total billed charges		808	90			Percent of total billed charges		909	85			Percent of total billed charges		858.5	85			Percent of total billed charges		858.5	85			Percent of total billed charges		858.5	100			Percent of total billed charges		1010	100			Percent of total billed charges		1010	100			Percent of total billed charges		1010	33.3			Percent of total billed charges		336.33	33.3			Percent of total billed charges		336.33	100			Percent of total billed charges		1010	336.33	909	
standard post 8.5 x 50 mm screw 48900850 stryker	278	RC	Outpatient			1010	656.5		90			Percent of total billed charges		909	40			Percent of total billed charges		404	80			Percent of total billed charges		808	90			Percent of total billed charges		909	85			Percent of total billed charges		858.5	85			Percent of total billed charges		858.5	85			Percent of total billed charges		858.5	100			Percent of total billed charges		1010	100			Percent of total billed charges		1010	100			Percent of total billed charges		1010	33.3			Percent of total billed charges		336.33	33.3			Percent of total billed charges		336.33	100			Percent of total billed charges		1010	336.33	909	
standard post 8.5 x 55 mm screw 48900855 stryker	278	RC	Outpatient			1010	656.5		90			Percent of total billed charges		909	40			Percent of total billed charges		404	80			Percent of total billed charges		808	90			Percent of total billed charges		909	85			Percent of total billed charges		858.5	85			Percent of total billed charges		858.5	85			Percent of total billed charges		858.5	100			Percent of total billed charges		1010	100			Percent of total billed charges		1010	100			Percent of total billed charges		1010	33.3			Percent of total billed charges		336.33	33.3			Percent of total billed charges		336.33	100			Percent of total billed charges		1010	336.33	909	
chemo admin. 9 1/2 hours	335	RC	Outpatient			1012	657.8		90			Percent of total billed charges		910.8	40			Percent of total billed charges		404.8	80			Percent of total billed charges		809.6	90			Percent of total billed charges		910.8	85			Percent of total billed charges		860.2	85			Percent of total billed charges		860.2	85			Percent of total billed charges		860.2	100			Percent of total billed charges		1012	100			Percent of total billed charges		1012	100			Percent of total billed charges		1012	33.3			Percent of total billed charges		336.996	33.3			Percent of total billed charges		336.996	100			Percent of total billed charges		1012	336.996	910.8	
acutrak 4/5 fixation screw 50.0 am-0050-s	278	RC	Outpatient			1015	659.75		90			Percent of total billed charges		913.5	40			Percent of total billed charges		406	80			Percent of total billed charges		812	90			Percent of total billed charges		913.5	85			Percent of total billed charges		862.75	85			Percent of total billed charges		862.75	85			Percent of total billed charges		862.75	100			Percent of total billed charges		1015	100			Percent of total billed charges		1015	100			Percent of total billed charges		1015	33.3			Percent of total billed charges		337.995	33.3			Percent of total billed charges		337.995	100			Percent of total billed charges		1015	337.995	913.5	
acutrak fixation screw 15.0 mm   at-1150-s acumed	278	RC	Outpatient			1015	659.75		90			Percent of total billed charges		913.5	40			Percent of total billed charges		406	80			Percent of total billed charges		812	90			Percent of total billed charges		913.5	85			Percent of total billed charges		862.75	85			Percent of total billed charges		862.75	85			Percent of total billed charges		862.75	100			Percent of total billed charges		1015	100			Percent of total billed charges		1015	100			Percent of total billed charges		1015	33.3			Percent of total billed charges		337.995	33.3			Percent of total billed charges		337.995	100			Percent of total billed charges		1015	337.995	913.5	
acutrak fixation screw 22.5 mm   at-1225-s acumed	278	RC	Outpatient			1015	659.75		90			Percent of total billed charges		913.5	40			Percent of total billed charges		406	80			Percent of total billed charges		812	90			Percent of total billed charges		913.5	85			Percent of total billed charges		862.75	85			Percent of total billed charges		862.75	85			Percent of total billed charges		862.75	100			Percent of total billed charges		1015	100			Percent of total billed charges		1015	100			Percent of total billed charges		1015	33.3			Percent of total billed charges		337.995	33.3			Percent of total billed charges		337.995	100			Percent of total billed charges		1015	337.995	913.5	
acutrak fixation screw 30.0 mm   at-1300-s acumed	278	RC	Outpatient			1015	659.75		90			Percent of total billed charges		913.5	40			Percent of total billed charges		406	80			Percent of total billed charges		812	90			Percent of total billed charges		913.5	85			Percent of total billed charges		862.75	85			Percent of total billed charges		862.75	85			Percent of total billed charges		862.75	100			Percent of total billed charges		1015	100			Percent of total billed charges		1015	100			Percent of total billed charges		1015	33.3			Percent of total billed charges		337.995	33.3			Percent of total billed charges		337.995	100			Percent of total billed charges		1015	337.995	913.5	
acutrak plus fixation screw 60.0 mm ap-0060-s	278	RC	Outpatient			1015	659.75		90			Percent of total billed charges		913.5	40			Percent of total billed charges		406	80			Percent of total billed charges		812	90			Percent of total billed charges		913.5	85			Percent of total billed charges		862.75	85			Percent of total billed charges		862.75	85			Percent of total billed charges		862.75	100			Percent of total billed charges		1015	100			Percent of total billed charges		1015	100			Percent of total billed charges		1015	33.3			Percent of total billed charges		337.995	33.3			Percent of total billed charges		337.995	100			Percent of total billed charges		1015	337.995	913.5	
acutrak plus fixation screw 70.0 mm ap-0070-s	278	RC	Outpatient			1015	659.75		90			Percent of total billed charges		913.5	40			Percent of total billed charges		406	80			Percent of total billed charges		812	90			Percent of total billed charges		913.5	85			Percent of total billed charges		862.75	85			Percent of total billed charges		862.75	85			Percent of total billed charges		862.75	100			Percent of total billed charges		1015	100			Percent of total billed charges		1015	100			Percent of total billed charges		1015	33.3			Percent of total billed charges		337.995	33.3			Percent of total billed charges		337.995	100			Percent of total billed charges		1015	337.995	913.5	
acutrak plus fixation screw 80.0 mm ap-0080-s	278	RC	Outpatient			1015	659.75		90			Percent of total billed charges		913.5	40			Percent of total billed charges		406	80			Percent of total billed charges		812	90			Percent of total billed charges		913.5	85			Percent of total billed charges		862.75	85			Percent of total billed charges		862.75	85			Percent of total billed charges		862.75	100			Percent of total billed charges		1015	100			Percent of total billed charges		1015	100			Percent of total billed charges		1015	33.3			Percent of total billed charges		337.995	33.3			Percent of total billed charges		337.995	100			Percent of total billed charges		1015	337.995	913.5	
acutrak 4/5 fixation screw 25.0 am-0025-s	278	RC	Outpatient			1015	659.75		90			Percent of total billed charges		913.5	40			Percent of total billed charges		406	80			Percent of total billed charges		812	90			Percent of total billed charges		913.5	85			Percent of total billed charges		862.75	85			Percent of total billed charges		862.75	85			Percent of total billed charges		862.75	100			Percent of total billed charges		1015	100			Percent of total billed charges		1015	100			Percent of total billed charges		1015	33.3			Percent of total billed charges		337.995	33.3			Percent of total billed charges		337.995	100			Percent of total billed charges		1015	337.995	913.5	
acutrak 4/5 fixation screw 30.0 am-0030-s	278	RC	Outpatient			1015	659.75		90			Percent of total billed charges		913.5	40			Percent of total billed charges		406	80			Percent of total billed charges		812	90			Percent of total billed charges		913.5	85			Percent of total billed charges		862.75	85			Percent of total billed charges		862.75	85			Percent of total billed charges		862.75	100			Percent of total billed charges		1015	100			Percent of total billed charges		1015	100			Percent of total billed charges		1015	33.3			Percent of total billed charges		337.995	33.3			Percent of total billed charges		337.995	100			Percent of total billed charges		1015	337.995	913.5	
acutrak 4/5 fixation screw 35.0 am-0035-s	278	RC	Outpatient			1015	659.75		90			Percent of total billed charges		913.5	40			Percent of total billed charges		406	80			Percent of total billed charges		812	90			Percent of total billed charges		913.5	85			Percent of total billed charges		862.75	85			Percent of total billed charges		862.75	85			Percent of total billed charges		862.75	100			Percent of total billed charges		1015	100			Percent of total billed charges		1015	100			Percent of total billed charges		1015	33.3			Percent of total billed charges		337.995	33.3			Percent of total billed charges		337.995	100			Percent of total billed charges		1015	337.995	913.5	
acutrak 4/5 fixation screw 40.0 am-0040-s	278	RC	Outpatient			1015	659.75		90			Percent of total billed charges		913.5	40			Percent of total billed charges		406	80			Percent of total billed charges		812	90			Percent of total billed charges		913.5	85			Percent of total billed charges		862.75	85			Percent of total billed charges		862.75	85			Percent of total billed charges		862.75	100			Percent of total billed charges		1015	100			Percent of total billed charges		1015	100			Percent of total billed charges		1015	33.3			Percent of total billed charges		337.995	33.3			Percent of total billed charges		337.995	100			Percent of total billed charges		1015	337.995	913.5	
acutrak 4/5 fixation screw 45.0 am-0045-s	278	RC	Outpatient			1015	659.75		90			Percent of total billed charges		913.5	40			Percent of total billed charges		406	80			Percent of total billed charges		812	90			Percent of total billed charges		913.5	85			Percent of total billed charges		862.75	85			Percent of total billed charges		862.75	85			Percent of total billed charges		862.75	100			Percent of total billed charges		1015	100			Percent of total billed charges		1015	100			Percent of total billed charges		1015	33.3			Percent of total billed charges		337.995	33.3			Percent of total billed charges		337.995	100			Percent of total billed charges		1015	337.995	913.5	
acutrak fixation screw	278	RC	Outpatient			1015	659.75		90			Percent of total billed charges		913.5	40			Percent of total billed charges		406	80			Percent of total billed charges		812	90			Percent of total billed charges		913.5	85			Percent of total billed charges		862.75	85			Percent of total billed charges		862.75	85			Percent of total billed charges		862.75	100			Percent of total billed charges		1015	100			Percent of total billed charges		1015	100			Percent of total billed charges		1015	33.3			Percent of total billed charges		337.995	33.3			Percent of total billed charges		337.995	100			Percent of total billed charges		1015	337.995	913.5	
acutrak fixation screw 12.5 mm   at-1125-s acumed	278	RC	Outpatient			1015	659.75		90			Percent of total billed charges		913.5	40			Percent of total billed charges		406	80			Percent of total billed charges		812	90			Percent of total billed charges		913.5	85			Percent of total billed charges		862.75	85			Percent of total billed charges		862.75	85			Percent of total billed charges		862.75	100			Percent of total billed charges		1015	100			Percent of total billed charges		1015	100			Percent of total billed charges		1015	33.3			Percent of total billed charges		337.995	33.3			Percent of total billed charges		337.995	100			Percent of total billed charges		1015	337.995	913.5	
acutrak fixation screw 17.5 mm   at-1175-s acumed	278	RC	Outpatient			1015	659.75		90			Percent of total billed charges		913.5	40			Percent of total billed charges		406	80			Percent of total billed charges		812	90			Percent of total billed charges		913.5	85			Percent of total billed charges		862.75	85			Percent of total billed charges		862.75	85			Percent of total billed charges		862.75	100			Percent of total billed charges		1015	100			Percent of total billed charges		1015	100			Percent of total billed charges		1015	33.3			Percent of total billed charges		337.995	33.3			Percent of total billed charges		337.995	100			Percent of total billed charges		1015	337.995	913.5	
acutrak fixation screw 20.0 mm   at-1200-s acumed	278	RC	Outpatient			1015	659.75		90			Percent of total billed charges		913.5	40			Percent of total billed charges		406	80			Percent of total billed charges		812	90			Percent of total billed charges		913.5	85			Percent of total billed charges		862.75	85			Percent of total billed charges		862.75	85			Percent of total billed charges		862.75	100			Percent of total billed charges		1015	100			Percent of total billed charges		1015	100			Percent of total billed charges		1015	33.3			Percent of total billed charges		337.995	33.3			Percent of total billed charges		337.995	100			Percent of total billed charges		1015	337.995	913.5	
acutrak fixation screw 27.5 mm   at-1275-s acumed	278	RC	Outpatient			1015	659.75		90			Percent of total billed charges		913.5	40			Percent of total billed charges		406	80			Percent of total billed charges		812	90			Percent of total billed charges		913.5	85			Percent of total billed charges		862.75	85			Percent of total billed charges		862.75	85			Percent of total billed charges		862.75	100			Percent of total billed charges		1015	100			Percent of total billed charges		1015	100			Percent of total billed charges		1015	33.3			Percent of total billed charges		337.995	33.3			Percent of total billed charges		337.995	100			Percent of total billed charges		1015	337.995	913.5	
acutrak plus fixation screw 35.0 mm ap-0035-s	278	RC	Outpatient			1015	659.75		90			Percent of total billed charges		913.5	40			Percent of total billed charges		406	80			Percent of total billed charges		812	90			Percent of total billed charges		913.5	85			Percent of total billed charges		862.75	85			Percent of total billed charges		862.75	85			Percent of total billed charges		862.75	100			Percent of total billed charges		1015	100			Percent of total billed charges		1015	100			Percent of total billed charges		1015	33.3			Percent of total billed charges		337.995	33.3			Percent of total billed charges		337.995	100			Percent of total billed charges		1015	337.995	913.5	
acutrak plus fixation screw 40.0 mm ap-0040-s	278	RC	Outpatient			1015	659.75		90			Percent of total billed charges		913.5	40			Percent of total billed charges		406	80			Percent of total billed charges		812	90			Percent of total billed charges		913.5	85			Percent of total billed charges		862.75	85			Percent of total billed charges		862.75	85			Percent of total billed charges		862.75	100			Percent of total billed charges		1015	100			Percent of total billed charges		1015	100			Percent of total billed charges		1015	33.3			Percent of total billed charges		337.995	33.3			Percent of total billed charges		337.995	100			Percent of total billed charges		1015	337.995	913.5	
acutrak plus fixation screw 45.0 mm ap-0045-s	278	RC	Outpatient			1015	659.75		90			Percent of total billed charges		913.5	40			Percent of total billed charges		406	80			Percent of total billed charges		812	90			Percent of total billed charges		913.5	85			Percent of total billed charges		862.75	85			Percent of total billed charges		862.75	85			Percent of total billed charges		862.75	100			Percent of total billed charges		1015	100			Percent of total billed charges		1015	100			Percent of total billed charges		1015	33.3			Percent of total billed charges		337.995	33.3			Percent of total billed charges		337.995	100			Percent of total billed charges		1015	337.995	913.5	
acutrak plus fixation screw 50.0 mm ap-0050-s	278	RC	Outpatient			1015	659.75		90			Percent of total billed charges		913.5	40			Percent of total billed charges		406	80			Percent of total billed charges		812	90			Percent of total billed charges		913.5	85			Percent of total billed charges		862.75	85			Percent of total billed charges		862.75	85			Percent of total billed charges		862.75	100			Percent of total billed charges		1015	100			Percent of total billed charges		1015	100			Percent of total billed charges		1015	33.3			Percent of total billed charges		337.995	33.3			Percent of total billed charges		337.995	100			Percent of total billed charges		1015	337.995	913.5	
acutrak plus fixation screw 55.0 mm ap-0055-s	278	RC	Outpatient			1015	659.75		90			Percent of total billed charges		913.5	40			Percent of total billed charges		406	80			Percent of total billed charges		812	90			Percent of total billed charges		913.5	85			Percent of total billed charges		862.75	85			Percent of total billed charges		862.75	85			Percent of total billed charges		862.75	100			Percent of total billed charges		1015	100			Percent of total billed charges		1015	100			Percent of total billed charges		1015	33.3			Percent of total billed charges		337.995	33.3			Percent of total billed charges		337.995	100			Percent of total billed charges		1015	337.995	913.5	
acutrak plus fixation screw 65.0 mm ap-0065-s	278	RC	Outpatient			1015	659.75		90			Percent of total billed charges		913.5	40			Percent of total billed charges		406	80			Percent of total billed charges		812	90			Percent of total billed charges		913.5	85			Percent of total billed charges		862.75	85			Percent of total billed charges		862.75	85			Percent of total billed charges		862.75	100			Percent of total billed charges		1015	100			Percent of total billed charges		1015	100			Percent of total billed charges		1015	33.3			Percent of total billed charges		337.995	33.3			Percent of total billed charges		337.995	100			Percent of total billed charges		1015	337.995	913.5	
acutrak plus fixation screw 75.0 mm ap-0075-s	278	RC	Outpatient			1015	659.75		90			Percent of total billed charges		913.5	40			Percent of total billed charges		406	80			Percent of total billed charges		812	90			Percent of total billed charges		913.5	85			Percent of total billed charges		862.75	85			Percent of total billed charges		862.75	85			Percent of total billed charges		862.75	100			Percent of total billed charges		1015	100			Percent of total billed charges		1015	100			Percent of total billed charges		1015	33.3			Percent of total billed charges		337.995	33.3			Percent of total billed charges		337.995	100			Percent of total billed charges		1015	337.995	913.5	
acutrak screw 25.0 mm   at-1250-s acumed	278	RC	Outpatient			1015	659.75		90			Percent of total billed charges		913.5	40			Percent of total billed charges		406	80			Percent of total billed charges		812	90			Percent of total billed charges		913.5	85			Percent of total billed charges		862.75	85			Percent of total billed charges		862.75	85			Percent of total billed charges		862.75	100			Percent of total billed charges		1015	100			Percent of total billed charges		1015	100			Percent of total billed charges		1015	33.3			Percent of total billed charges		337.995	33.3			Percent of total billed charges		337.995	100			Percent of total billed charges		1015	337.995	913.5	
scorpio resurfacing patella comp #5 10mm 730510 stryker	278	RC	Outpatient			1015	659.75		90			Percent of total billed charges		913.5	40			Percent of total billed charges		406	80			Percent of total billed charges		812	90			Percent of total billed charges		913.5	85			Percent of total billed charges		862.75	85			Percent of total billed charges		862.75	85			Percent of total billed charges		862.75	100			Percent of total billed charges		1015	100			Percent of total billed charges		1015	100			Percent of total billed charges		1015	33.3			Percent of total billed charges		337.995	33.3			Percent of total billed charges		337.995	100			Percent of total billed charges		1015	337.995	913.5	
stryker scorpio resuf pat	278	RC	Outpatient			1015	659.75		90			Percent of total billed charges		913.5	40			Percent of total billed charges		406	80			Percent of total billed charges		812	90			Percent of total billed charges		913.5	85			Percent of total billed charges		862.75	85			Percent of total billed charges		862.75	85			Percent of total billed charges		862.75	100			Percent of total billed charges		1015	100			Percent of total billed charges		1015	100			Percent of total billed charges		1015	33.3			Percent of total billed charges		337.995	33.3			Percent of total billed charges		337.995	100			Percent of total billed charges		1015	337.995	913.5	
narrow plt 4.5mm 5 hl 71829455 s\n	278	RC	Outpatient			1017	661.05		90			Percent of total billed charges		915.3	40			Percent of total billed charges		406.8	80			Percent of total billed charges		813.6	90			Percent of total billed charges		915.3	85			Percent of total billed charges		864.45	85			Percent of total billed charges		864.45	85			Percent of total billed charges		864.45	100			Percent of total billed charges		1017	100			Percent of total billed charges		1017	100			Percent of total billed charges		1017	33.3			Percent of total billed charges		338.661	33.3			Percent of total billed charges		338.661	100			Percent of total billed charges		1017	338.661	915.3	
narrow plt 4.5mm 3 hl 71829453 s\n	278	RC	Outpatient			1017	661.05		90			Percent of total billed charges		915.3	40			Percent of total billed charges		406.8	80			Percent of total billed charges		813.6	90			Percent of total billed charges		915.3	85			Percent of total billed charges		864.45	85			Percent of total billed charges		864.45	85			Percent of total billed charges		864.45	100			Percent of total billed charges		1017	100			Percent of total billed charges		1017	100			Percent of total billed charges		1017	33.3			Percent of total billed charges		338.661	33.3			Percent of total billed charges		338.661	100			Percent of total billed charges		1017	338.661	915.3	
narrow plt 4.5mm 4 hl 71829454 s\n	278	RC	Outpatient			1017	661.05		90			Percent of total billed charges		915.3	40			Percent of total billed charges		406.8	80			Percent of total billed charges		813.6	90			Percent of total billed charges		915.3	85			Percent of total billed charges		864.45	85			Percent of total billed charges		864.45	85			Percent of total billed charges		864.45	100			Percent of total billed charges		1017	100			Percent of total billed charges		1017	100			Percent of total billed charges		1017	33.3			Percent of total billed charges		338.661	33.3			Percent of total billed charges		338.661	100			Percent of total billed charges		1017	338.661	915.3	
s/n 4.5 narrow pl 3-5 hl	278	RC	Outpatient			1017	661.05		90			Percent of total billed charges		915.3	40			Percent of total billed charges		406.8	80			Percent of total billed charges		813.6	90			Percent of total billed charges		915.3	85			Percent of total billed charges		864.45	85			Percent of total billed charges		864.45	85			Percent of total billed charges		864.45	100			Percent of total billed charges		1017	100			Percent of total billed charges		1017	100			Percent of total billed charges		1017	33.3			Percent of total billed charges		338.661	33.3			Percent of total billed charges		338.661	100			Percent of total billed charges		1017	338.661	915.3	
myosure lite 30-403lite hologics	272	RC	Outpatient			1018	661.7		90			Percent of total billed charges		916.2	40			Percent of total billed charges		407.2	80			Percent of total billed charges		814.4	90			Percent of total billed charges		916.2	85			Percent of total billed charges		865.3	85			Percent of total billed charges		865.3	85			Percent of total billed charges		865.3	100			Percent of total billed charges		1018	100			Percent of total billed charges		1018	100			Percent of total billed charges		1018	33.3			Percent of total billed charges		338.994	33.3			Percent of total billed charges		338.994	100			Percent of total billed charges		1018	338.994	916.2	
acumed fib rod im drill ref: 40-0111	272	RC	Outpatient			1020	663		90			Percent of total billed charges		918	40			Percent of total billed charges		408	80			Percent of total billed charges		816	90			Percent of total billed charges		918	85			Percent of total billed charges		867	85			Percent of total billed charges		867	85			Percent of total billed charges		867	100			Percent of total billed charges		1020	100			Percent of total billed charges		1020	100			Percent of total billed charges		1020	33.3			Percent of total billed charges		339.66	33.3			Percent of total billed charges		339.66	100			Percent of total billed charges		1020	339.66	918	
accord 2.0 ss cable w/ clamp 71340008 s/n	278	RC	Outpatient			1023	664.95		90			Percent of total billed charges		920.7	40			Percent of total billed charges		409.2	80			Percent of total billed charges		818.4	90			Percent of total billed charges		920.7	85			Percent of total billed charges		869.55	85			Percent of total billed charges		869.55	85			Percent of total billed charges		869.55	100			Percent of total billed charges		1023	100			Percent of total billed charges		1023	100			Percent of total billed charges		1023	33.3			Percent of total billed charges		340.659	33.3			Percent of total billed charges		340.659	100			Percent of total billed charges		1023	340.659	920.7	
accord ss cable w/clamp	278	RC	Outpatient			1023	664.95		90			Percent of total billed charges		920.7	40			Percent of total billed charges		409.2	80			Percent of total billed charges		818.4	90			Percent of total billed charges		920.7	85			Percent of total billed charges		869.55	85			Percent of total billed charges		869.55	85			Percent of total billed charges		869.55	100			Percent of total billed charges		1023	100			Percent of total billed charges		1023	100			Percent of total billed charges		1023	33.3			Percent of total billed charges		340.659	33.3			Percent of total billed charges		340.659	100			Percent of total billed charges		1023	340.659	920.7	
modular distal femoral fixation peg 5575-x-000 stryker	278	RC	Outpatient			1023	664.95		90			Percent of total billed charges		920.7	40			Percent of total billed charges		409.2	80			Percent of total billed charges		818.4	90			Percent of total billed charges		920.7	85			Percent of total billed charges		869.55	85			Percent of total billed charges		869.55	85			Percent of total billed charges		869.55	100			Percent of total billed charges		1023	100			Percent of total billed charges		1023	100			Percent of total billed charges		1023	33.3			Percent of total billed charges		340.659	33.3			Percent of total billed charges		340.659	100			Percent of total billed charges		1023	340.659	920.7	
stryker fem peg	278	RC	Outpatient			1023	664.95		90			Percent of total billed charges		920.7	40			Percent of total billed charges		409.2	80			Percent of total billed charges		818.4	90			Percent of total billed charges		920.7	85			Percent of total billed charges		869.55	85			Percent of total billed charges		869.55	85			Percent of total billed charges		869.55	100			Percent of total billed charges		1023	100			Percent of total billed charges		1023	100			Percent of total billed charges		1023	33.3			Percent of total billed charges		340.659	33.3			Percent of total billed charges		340.659	100			Percent of total billed charges		1023	340.659	920.7	
fem head 28mm long 9026-30 zimmer	278	RC	Outpatient			1024	665.6		90			Percent of total billed charges		921.6	40			Percent of total billed charges		409.6	80			Percent of total billed charges		819.2	90			Percent of total billed charges		921.6	85			Percent of total billed charges		870.4	85			Percent of total billed charges		870.4	85			Percent of total billed charges		870.4	100			Percent of total billed charges		1024	100			Percent of total billed charges		1024	100			Percent of total billed charges		1024	33.3			Percent of total billed charges		340.992	33.3			Percent of total billed charges		340.992	100			Percent of total billed charges		1024	340.992	921.6	
zimmer fem head long	278	RC	Outpatient			1024	665.6		90			Percent of total billed charges		921.6	40			Percent of total billed charges		409.6	80			Percent of total billed charges		819.2	90			Percent of total billed charges		921.6	85			Percent of total billed charges		870.4	85			Percent of total billed charges		870.4	85			Percent of total billed charges		870.4	100			Percent of total billed charges		1024	100			Percent of total billed charges		1024	100			Percent of total billed charges		1024	33.3			Percent of total billed charges		340.992	33.3			Percent of total billed charges		340.992	100			Percent of total billed charges		1024	340.992	921.6	
sm fr pl recon 6 hl	278	RC	Outpatient			1026	666.9		90			Percent of total billed charges		923.4	40			Percent of total billed charges		410.4	80			Percent of total billed charges		820.8	90			Percent of total billed charges		923.4	85			Percent of total billed charges		872.1	85			Percent of total billed charges		872.1	85			Percent of total billed charges		872.1	100			Percent of total billed charges		1026	100			Percent of total billed charges		1026	100			Percent of total billed charges		1026	33.3			Percent of total billed charges		341.658	33.3			Percent of total billed charges		341.658	100			Percent of total billed charges		1026	341.658	923.4	
s/n 3.5 reconstruction plate 6 hole 7114-0106	278	RC	Outpatient			1026	666.9		90			Percent of total billed charges		923.4	40			Percent of total billed charges		410.4	80			Percent of total billed charges		820.8	90			Percent of total billed charges		923.4	85			Percent of total billed charges		872.1	85			Percent of total billed charges		872.1	85			Percent of total billed charges		872.1	100			Percent of total billed charges		1026	100			Percent of total billed charges		1026	100			Percent of total billed charges		1026	33.3			Percent of total billed charges		341.658	33.3			Percent of total billed charges		341.658	100			Percent of total billed charges		1026	341.658	923.4	
breast imp cohesive 350cc	278	RC	Outpatient			1031	670.15		90			Percent of total billed charges		927.9	40			Percent of total billed charges		412.4	80			Percent of total billed charges		824.8	90			Percent of total billed charges		927.9	85			Percent of total billed charges		876.35	85			Percent of total billed charges		876.35	85			Percent of total billed charges		876.35	100			Percent of total billed charges		1031	100			Percent of total billed charges		1031	100			Percent of total billed charges		1031	33.3			Percent of total billed charges		343.323	33.3			Percent of total billed charges		343.323	100			Percent of total billed charges		1031	343.323	927.9	
lap band access port 1	278	RC	Outpatient			1031	670.15		90			Percent of total billed charges		927.9	40			Percent of total billed charges		412.4	80			Percent of total billed charges		824.8	90			Percent of total billed charges		927.9	85			Percent of total billed charges		876.35	85			Percent of total billed charges		876.35	85			Percent of total billed charges		876.35	100			Percent of total billed charges		1031	100			Percent of total billed charges		1031	100			Percent of total billed charges		1031	33.3			Percent of total billed charges		343.323	33.3			Percent of total billed charges		343.323	100			Percent of total billed charges		1031	343.323	927.9	
lap band system access port 1 kit b2104 apollo endo	278	RC	Outpatient			1031	670.15		90			Percent of total billed charges		927.9	40			Percent of total billed charges		412.4	80			Percent of total billed charges		824.8	90			Percent of total billed charges		927.9	85			Percent of total billed charges		876.35	85			Percent of total billed charges		876.35	85			Percent of total billed charges		876.35	100			Percent of total billed charges		1031	100			Percent of total billed charges		1031	100			Percent of total billed charges		1031	33.3			Percent of total billed charges		343.323	33.3			Percent of total billed charges		343.323	100			Percent of total billed charges		1031	343.323	927.9	
smooth round high profile cohesive i gel 350cc  breast implant mentor 350-3504bc	278	RC	Outpatient			1031	670.15		90			Percent of total billed charges		927.9	40			Percent of total billed charges		412.4	80			Percent of total billed charges		824.8	90			Percent of total billed charges		927.9	85			Percent of total billed charges		876.35	85			Percent of total billed charges		876.35	85			Percent of total billed charges		876.35	100			Percent of total billed charges		1031	100			Percent of total billed charges		1031	100			Percent of total billed charges		1031	33.3			Percent of total billed charges		343.323	33.3			Percent of total billed charges		343.323	100			Percent of total billed charges		1031	343.323	927.9	
power flow aphresis port bard a710962	278	RC	Outpatient			1031	670.15		90			Percent of total billed charges		927.9	40			Percent of total billed charges		412.4	80			Percent of total billed charges		824.8	90			Percent of total billed charges		927.9	85			Percent of total billed charges		876.35	85			Percent of total billed charges		876.35	85			Percent of total billed charges		876.35	100			Percent of total billed charges		1031	100			Percent of total billed charges		1031	100			Percent of total billed charges		1031	33.3			Percent of total billed charges		343.323	33.3			Percent of total billed charges		343.323	100			Percent of total billed charges		1031	343.323	927.9	
endowrist vessell sealer extend ref 480422 intuitive surgical	272	RC	Outpatient			1031.25	670.31		90			Percent of total billed charges		928.125	40			Percent of total billed charges		412.5	80			Percent of total billed charges		825	90			Percent of total billed charges		928.125	85			Percent of total billed charges		876.5625	85			Percent of total billed charges		876.5625	85			Percent of total billed charges		876.5625	100			Percent of total billed charges		1031.25	100			Percent of total billed charges		1031.25	100			Percent of total billed charges		1031.25	33.3			Percent of total billed charges		343.4063	33.3			Percent of total billed charges		343.4063	100			Percent of total billed charges		1031.25	343.4063	928.125	
j&jtibial ins pster lippd	278	RC	Outpatient			1032	670.8		90			Percent of total billed charges		928.8	40			Percent of total billed charges		412.8	80			Percent of total billed charges		825.6	90			Percent of total billed charges		928.8	85			Percent of total billed charges		877.2	85			Percent of total billed charges		877.2	85			Percent of total billed charges		877.2	100			Percent of total billed charges		1032	100			Percent of total billed charges		1032	100			Percent of total billed charges		1032	33.3			Percent of total billed charges		343.656	33.3			Percent of total billed charges		343.656	100			Percent of total billed charges		1032	343.656	928.8	
mesh parietex 8cm	278	RC	Outpatient			1032	670.8		90			Percent of total billed charges		928.8	40			Percent of total billed charges		412.8	80			Percent of total billed charges		825.6	90			Percent of total billed charges		928.8	85			Percent of total billed charges		877.2	85			Percent of total billed charges		877.2	85			Percent of total billed charges		877.2	100			Percent of total billed charges		1032	100			Percent of total billed charges		1032	100			Percent of total billed charges		1032	33.3			Percent of total billed charges		343.656	33.3			Percent of total billed charges		343.656	100			Percent of total billed charges		1032	343.656	928.8	
parietex mesh 8cm pco80sx ussc	278	RC	Outpatient			1032	670.8		90			Percent of total billed charges		928.8	40			Percent of total billed charges		412.8	80			Percent of total billed charges		825.6	90			Percent of total billed charges		928.8	85			Percent of total billed charges		877.2	85			Percent of total billed charges		877.2	85			Percent of total billed charges		877.2	100			Percent of total billed charges		1032	100			Percent of total billed charges		1032	100			Percent of total billed charges		1032	33.3			Percent of total billed charges		343.656	33.3			Percent of total billed charges		343.656	100			Percent of total billed charges		1032	343.656	928.8	
gyrus pks omni	272	RC	Outpatient			1033	671.45		90			Percent of total billed charges		929.7	40			Percent of total billed charges		413.2	80			Percent of total billed charges		826.4	90			Percent of total billed charges		929.7	85			Percent of total billed charges		878.05	85			Percent of total billed charges		878.05	85			Percent of total billed charges		878.05	100			Percent of total billed charges		1033	100			Percent of total billed charges		1033	100			Percent of total billed charges		1033	33.3			Percent of total billed charges		343.989	33.3			Percent of total billed charges		343.989	100			Percent of total billed charges		1033	343.989	929.7	
mini fr pl t 3-4 hl	278	RC	Outpatient			1033	671.45		90			Percent of total billed charges		929.7	40			Percent of total billed charges		413.2	80			Percent of total billed charges		826.4	90			Percent of total billed charges		929.7	85			Percent of total billed charges		878.05	85			Percent of total billed charges		878.05	85			Percent of total billed charges		878.05	100			Percent of total billed charges		1033	100			Percent of total billed charges		1033	100			Percent of total billed charges		1033	33.3			Percent of total billed charges		343.989	33.3			Percent of total billed charges		343.989	100			Percent of total billed charges		1033	343.989	929.7	
mini frag t plate 7114-5024 s/n	278	RC	Outpatient			1033	671.45		90			Percent of total billed charges		929.7	40			Percent of total billed charges		413.2	80			Percent of total billed charges		826.4	90			Percent of total billed charges		929.7	85			Percent of total billed charges		878.05	85			Percent of total billed charges		878.05	85			Percent of total billed charges		878.05	100			Percent of total billed charges		1033	100			Percent of total billed charges		1033	100			Percent of total billed charges		1033	33.3			Percent of total billed charges		343.989	33.3			Percent of total billed charges		343.989	100			Percent of total billed charges		1033	343.989	929.7	
mini frag t plate  7114-6032 s/n	278	RC	Outpatient			1033	671.45		90			Percent of total billed charges		929.7	40			Percent of total billed charges		413.2	80			Percent of total billed charges		826.4	90			Percent of total billed charges		929.7	85			Percent of total billed charges		878.05	85			Percent of total billed charges		878.05	85			Percent of total billed charges		878.05	100			Percent of total billed charges		1033	100			Percent of total billed charges		1033	100			Percent of total billed charges		1033	33.3			Percent of total billed charges		343.989	33.3			Percent of total billed charges		343.989	100			Percent of total billed charges		1033	343.989	929.7	
mini frag t plate 7114-6030 s/n	278	RC	Outpatient			1033	671.45		90			Percent of total billed charges		929.7	40			Percent of total billed charges		413.2	80			Percent of total billed charges		826.4	90			Percent of total billed charges		929.7	85			Percent of total billed charges		878.05	85			Percent of total billed charges		878.05	85			Percent of total billed charges		878.05	100			Percent of total billed charges		1033	100			Percent of total billed charges		1033	100			Percent of total billed charges		1033	33.3			Percent of total billed charges		343.989	33.3			Percent of total billed charges		343.989	100			Percent of total billed charges		1033	343.989	929.7	
permacol 1mm 5x5	278	RC	Outpatient			1033	671.45		90			Percent of total billed charges		929.7	40			Percent of total billed charges		413.2	80			Percent of total billed charges		826.4	90			Percent of total billed charges		929.7	85			Percent of total billed charges		878.05	85			Percent of total billed charges		878.05	85			Percent of total billed charges		878.05	100			Percent of total billed charges		1033	100			Percent of total billed charges		1033	100			Percent of total billed charges		1033	33.3			Percent of total billed charges		343.989	33.3			Percent of total billed charges		343.989	100			Percent of total billed charges		1033	343.989	929.7	
s/n mini frag t plate 7114-5022	278	RC	Outpatient			1033	671.45		90			Percent of total billed charges		929.7	40			Percent of total billed charges		413.2	80			Percent of total billed charges		826.4	90			Percent of total billed charges		929.7	85			Percent of total billed charges		878.05	85			Percent of total billed charges		878.05	85			Percent of total billed charges		878.05	100			Percent of total billed charges		1033	100			Percent of total billed charges		1033	100			Percent of total billed charges		1033	33.3			Percent of total billed charges		343.989	33.3			Percent of total billed charges		343.989	100			Percent of total billed charges		1033	343.989	929.7	
permacol 1mm thick 5 x 5 cm 100055 lsl	278	RC	Outpatient			1033	671.45		90			Percent of total billed charges		929.7	40			Percent of total billed charges		413.2	80			Percent of total billed charges		826.4	90			Percent of total billed charges		929.7	85			Percent of total billed charges		878.05	85			Percent of total billed charges		878.05	85			Percent of total billed charges		878.05	100			Percent of total billed charges		1033	100			Percent of total billed charges		1033	100			Percent of total billed charges		1033	33.3			Percent of total billed charges		343.989	33.3			Percent of total billed charges		343.989	100			Percent of total billed charges		1033	343.989	929.7	
vnus pack	272	RC	Outpatient			1033	671.45		90			Percent of total billed charges		929.7	40			Percent of total billed charges		413.2	80			Percent of total billed charges		826.4	90			Percent of total billed charges		929.7	85			Percent of total billed charges		878.05	85			Percent of total billed charges		878.05	85			Percent of total billed charges		878.05	100			Percent of total billed charges		1033	100			Percent of total billed charges		1033	100			Percent of total billed charges		1033	33.3			Percent of total billed charges		343.989	33.3			Percent of total billed charges		343.989	100			Percent of total billed charges		1033	343.989	929.7	
vnus premium plus pack with cath/sheath	272	RC	Outpatient			1033	671.45		90			Percent of total billed charges		929.7	40			Percent of total billed charges		413.2	80			Percent of total billed charges		826.4	90			Percent of total billed charges		929.7	85			Percent of total billed charges		878.05	85			Percent of total billed charges		878.05	85			Percent of total billed charges		878.05	100			Percent of total billed charges		1033	100			Percent of total billed charges		1033	100			Percent of total billed charges		1033	33.3			Percent of total billed charges		343.989	33.3			Percent of total billed charges		343.989	100			Percent of total billed charges		1033	343.989	929.7	
jet-x bar multi pin clamp 7106-4005 s/n	278	RC	Outpatient			1035	672.75		90			Percent of total billed charges		931.5	40			Percent of total billed charges		414	80			Percent of total billed charges		828	90			Percent of total billed charges		931.5	85			Percent of total billed charges		879.75	85			Percent of total billed charges		879.75	85			Percent of total billed charges		879.75	100			Percent of total billed charges		1035	100			Percent of total billed charges		1035	100			Percent of total billed charges		1035	33.3			Percent of total billed charges		344.655	33.3			Percent of total billed charges		344.655	100			Percent of total billed charges		1035	344.655	931.5	
jet-x bar multi pin clmp	278	RC	Outpatient			1035	672.75		90			Percent of total billed charges		931.5	40			Percent of total billed charges		414	80			Percent of total billed charges		828	90			Percent of total billed charges		931.5	85			Percent of total billed charges		879.75	85			Percent of total billed charges		879.75	85			Percent of total billed charges		879.75	100			Percent of total billed charges		1035	100			Percent of total billed charges		1035	100			Percent of total billed charges		1035	33.3			Percent of total billed charges		344.655	33.3			Percent of total billed charges		344.655	100			Percent of total billed charges		1035	344.655	931.5	
scorpio universal dome patella #5 8mm 73-3508 stryker	278	RC	Outpatient			1035	672.75		90			Percent of total billed charges		931.5	40			Percent of total billed charges		414	80			Percent of total billed charges		828	90			Percent of total billed charges		931.5	85			Percent of total billed charges		879.75	85			Percent of total billed charges		879.75	85			Percent of total billed charges		879.75	100			Percent of total billed charges		1035	100			Percent of total billed charges		1035	100			Percent of total billed charges		1035	33.3			Percent of total billed charges		344.655	33.3			Percent of total billed charges		344.655	100			Percent of total billed charges		1035	344.655	931.5	
stryker scor dome pat 8mm	278	RC	Outpatient			1035	672.75		90			Percent of total billed charges		931.5	40			Percent of total billed charges		414	80			Percent of total billed charges		828	90			Percent of total billed charges		931.5	85			Percent of total billed charges		879.75	85			Percent of total billed charges		879.75	85			Percent of total billed charges		879.75	100			Percent of total billed charges		1035	100			Percent of total billed charges		1035	100			Percent of total billed charges		1035	33.3			Percent of total billed charges		344.655	33.3			Percent of total billed charges		344.655	100			Percent of total billed charges		1035	344.655	931.5	
truclear incisor device 72202536 medtronic	272	RC	Outpatient			1037	674.05		90			Percent of total billed charges		933.3	40			Percent of total billed charges		414.8	80			Percent of total billed charges		829.6	90			Percent of total billed charges		933.3	85			Percent of total billed charges		881.45	85			Percent of total billed charges		881.45	85			Percent of total billed charges		881.45	100			Percent of total billed charges		1037	100			Percent of total billed charges		1037	100			Percent of total billed charges		1037	33.3			Percent of total billed charges		345.321	33.3			Percent of total billed charges		345.321	100			Percent of total billed charges		1037	345.321	933.3	
kit lap cholecystectomy fdc32 & ftr32	270	RC	Outpatient			1040	676		90			Percent of total billed charges		936	40			Percent of total billed charges		416	80			Percent of total billed charges		832	90			Percent of total billed charges		936	85			Percent of total billed charges		884	85			Percent of total billed charges		884	85			Percent of total billed charges		884	100			Percent of total billed charges		1040	100			Percent of total billed charges		1040	100			Percent of total billed charges		1040	33.3			Percent of total billed charges		346.32	33.3			Percent of total billed charges		346.32	100			Percent of total billed charges		1040	346.32	936	
lap chole kit fdc32	270	RC	Outpatient			1040	676		90			Percent of total billed charges		936	40			Percent of total billed charges		416	80			Percent of total billed charges		832	90			Percent of total billed charges		936	85			Percent of total billed charges		884	85			Percent of total billed charges		884	85			Percent of total billed charges		884	100			Percent of total billed charges		1040	100			Percent of total billed charges		1040	100			Percent of total billed charges		1040	33.3			Percent of total billed charges		346.32	33.3			Percent of total billed charges		346.32	100			Percent of total billed charges		1040	346.32	936	
c-qur v patch 8.0 x 8.0cm large 31202 atrium	278	RC	Outpatient			1041	676.65		90			Percent of total billed charges		936.9	40			Percent of total billed charges		416.4	80			Percent of total billed charges		832.8	90			Percent of total billed charges		936.9	85			Percent of total billed charges		884.85	85			Percent of total billed charges		884.85	85			Percent of total billed charges		884.85	100			Percent of total billed charges		1041	100			Percent of total billed charges		1041	100			Percent of total billed charges		1041	33.3			Percent of total billed charges		346.653	33.3			Percent of total billed charges		346.653	100			Percent of total billed charges		1041	346.653	936.9	
mesh c-qur v-patch 8x8	278	RC	Outpatient			1041	676.65		90			Percent of total billed charges		936.9	40			Percent of total billed charges		416.4	80			Percent of total billed charges		832.8	90			Percent of total billed charges		936.9	85			Percent of total billed charges		884.85	85			Percent of total billed charges		884.85	85			Percent of total billed charges		884.85	100			Percent of total billed charges		1041	100			Percent of total billed charges		1041	100			Percent of total billed charges		1041	33.3			Percent of total billed charges		346.653	33.3			Percent of total billed charges		346.653	100			Percent of total billed charges		1041	346.653	936.9	
rich supracondylor hip 8h	278	RC	Outpatient			1041	676.65		90			Percent of total billed charges		936.9	40			Percent of total billed charges		416.4	80			Percent of total billed charges		832.8	90			Percent of total billed charges		936.9	85			Percent of total billed charges		884.85	85			Percent of total billed charges		884.85	85			Percent of total billed charges		884.85	100			Percent of total billed charges		1041	100			Percent of total billed charges		1041	100			Percent of total billed charges		1041	33.3			Percent of total billed charges		346.653	33.3			Percent of total billed charges		346.653	100			Percent of total billed charges		1041	346.653	936.9	
charlotte compression staple 13 x 13 4311-0002 wright	278	RC	Outpatient			1042	677.3		90			Percent of total billed charges		937.8	40			Percent of total billed charges		416.8	80			Percent of total billed charges		833.6	90			Percent of total billed charges		937.8	85			Percent of total billed charges		885.7	85			Percent of total billed charges		885.7	85			Percent of total billed charges		885.7	100			Percent of total billed charges		1042	100			Percent of total billed charges		1042	100			Percent of total billed charges		1042	33.3			Percent of total billed charges		346.986	33.3			Percent of total billed charges		346.986	100			Percent of total billed charges		1042	346.986	937.8	
conical orbital implant 4ml porex surg  7222	278	RC	Outpatient			1043	677.95		90			Percent of total billed charges		938.7	40			Percent of total billed charges		417.2	80			Percent of total billed charges		834.4	90			Percent of total billed charges		938.7	85			Percent of total billed charges		886.55	85			Percent of total billed charges		886.55	85			Percent of total billed charges		886.55	100			Percent of total billed charges		1043	100			Percent of total billed charges		1043	100			Percent of total billed charges		1043	33.3			Percent of total billed charges		347.319	33.3			Percent of total billed charges		347.319	100			Percent of total billed charges		1043	347.319	938.7	
conical orbital implant 5ml porex surg 7223	278	RC	Outpatient			1043	677.95		90			Percent of total billed charges		938.7	40			Percent of total billed charges		417.2	80			Percent of total billed charges		834.4	90			Percent of total billed charges		938.7	85			Percent of total billed charges		886.55	85			Percent of total billed charges		886.55	85			Percent of total billed charges		886.55	100			Percent of total billed charges		1043	100			Percent of total billed charges		1043	100			Percent of total billed charges		1043	33.3			Percent of total billed charges		347.319	33.3			Percent of total billed charges		347.319	100			Percent of total billed charges		1043	347.319	938.7	
conical orbital implant	278	RC	Outpatient			1043	677.95		90			Percent of total billed charges		938.7	40			Percent of total billed charges		417.2	80			Percent of total billed charges		834.4	90			Percent of total billed charges		938.7	85			Percent of total billed charges		886.55	85			Percent of total billed charges		886.55	85			Percent of total billed charges		886.55	100			Percent of total billed charges		1043	100			Percent of total billed charges		1043	100			Percent of total billed charges		1043	33.3			Percent of total billed charges		347.319	33.3			Percent of total billed charges		347.319	100			Percent of total billed charges		1043	347.319	938.7	
ligasure 5mm lf1837 lf1637 covidien	272	RC	Outpatient			1043	677.95		90			Percent of total billed charges		938.7	40			Percent of total billed charges		417.2	80			Percent of total billed charges		834.4	90			Percent of total billed charges		938.7	85			Percent of total billed charges		886.55	85			Percent of total billed charges		886.55	85			Percent of total billed charges		886.55	100			Percent of total billed charges		1043	100			Percent of total billed charges		1043	100			Percent of total billed charges		1043	33.3			Percent of total billed charges		347.319	33.3			Percent of total billed charges		347.319	100			Percent of total billed charges		1043	347.319	938.7	
ligasure 5mm	272	RC	Outpatient			1043	677.95		90			Percent of total billed charges		938.7	40			Percent of total billed charges		417.2	80			Percent of total billed charges		834.4	90			Percent of total billed charges		938.7	85			Percent of total billed charges		886.55	85			Percent of total billed charges		886.55	85			Percent of total billed charges		886.55	100			Percent of total billed charges		1043	100			Percent of total billed charges		1043	100			Percent of total billed charges		1043	33.3			Percent of total billed charges		347.319	33.3			Percent of total billed charges		347.319	100			Percent of total billed charges		1043	347.319	938.7	
vitagel 4.5 ml	272	RC	Outpatient			1043	677.95		90			Percent of total billed charges		938.7	40			Percent of total billed charges		417.2	80			Percent of total billed charges		834.4	90			Percent of total billed charges		938.7	85			Percent of total billed charges		886.55	85			Percent of total billed charges		886.55	85			Percent of total billed charges		886.55	100			Percent of total billed charges		1043	100			Percent of total billed charges		1043	100			Percent of total billed charges		1043	33.3			Percent of total billed charges		347.319	33.3			Percent of total billed charges		347.319	100			Percent of total billed charges		1043	347.319	938.7	
vitagel surgical hemastat 4.5ml collagen/thrombin suspension 2113-0000 stryker	272	RC	Outpatient			1043	677.95		90			Percent of total billed charges		938.7	40			Percent of total billed charges		417.2	80			Percent of total billed charges		834.4	90			Percent of total billed charges		938.7	85			Percent of total billed charges		886.55	85			Percent of total billed charges		886.55	85			Percent of total billed charges		886.55	100			Percent of total billed charges		1043	100			Percent of total billed charges		1043	100			Percent of total billed charges		1043	33.3			Percent of total billed charges		347.319	33.3			Percent of total billed charges		347.319	100			Percent of total billed charges		1043	347.319	938.7	
scrmc set tips access	621	RC	Outpatient			1045	679.25		90			Percent of total billed charges		940.5	40			Percent of total billed charges		418	80			Percent of total billed charges		836	90			Percent of total billed charges		940.5	85			Percent of total billed charges		888.25	85			Percent of total billed charges		888.25	85			Percent of total billed charges		888.25	100			Percent of total billed charges		1045	100			Percent of total billed charges		1045	100			Percent of total billed charges		1045	33.3			Percent of total billed charges		347.985	33.3			Percent of total billed charges		347.985	100			Percent of total billed charges		1045	347.985	940.5	
sm fr pl recon 7 hl	278	RC	Outpatient			1048	681.2		90			Percent of total billed charges		943.2	40			Percent of total billed charges		419.2	80			Percent of total billed charges		838.4	90			Percent of total billed charges		943.2	85			Percent of total billed charges		890.8	85			Percent of total billed charges		890.8	85			Percent of total billed charges		890.8	100			Percent of total billed charges		1048	100			Percent of total billed charges		1048	100			Percent of total billed charges		1048	33.3			Percent of total billed charges		348.984	33.3			Percent of total billed charges		348.984	100			Percent of total billed charges		1048	348.984	943.2	
s/n 3.5 recon plate 7 hole 7114-0107	278	RC	Outpatient			1048	681.2		90			Percent of total billed charges		943.2	40			Percent of total billed charges		419.2	80			Percent of total billed charges		838.4	90			Percent of total billed charges		943.2	85			Percent of total billed charges		890.8	85			Percent of total billed charges		890.8	85			Percent of total billed charges		890.8	100			Percent of total billed charges		1048	100			Percent of total billed charges		1048	100			Percent of total billed charges		1048	33.3			Percent of total billed charges		348.984	33.3			Percent of total billed charges		348.984	100			Percent of total billed charges		1048	348.984	943.2	
cosmetic - laser hair removal bikini line & underarms pkg of 5 sessions	983	RC	Outpatient			1050	682.5		90			Percent of total billed charges		945	40			Percent of total billed charges		420	80			Percent of total billed charges		840	90			Percent of total billed charges		945	85			Percent of total billed charges		892.5	85			Percent of total billed charges		892.5	85			Percent of total billed charges		892.5	100			Percent of total billed charges		1050	100			Percent of total billed charges		1050	100			Percent of total billed charges		1050	33.3			Percent of total billed charges		349.65	33.3			Percent of total billed charges		349.65	100			Percent of total billed charges		1050	349.65	945	
gns uni med/lge art insr 11mm 71248211 s/n	278	RC	Outpatient			1051	683.15		90			Percent of total billed charges		945.9	40			Percent of total billed charges		420.4	80			Percent of total billed charges		840.8	90			Percent of total billed charges		945.9	85			Percent of total billed charges		893.35	85			Percent of total billed charges		893.35	85			Percent of total billed charges		893.35	100			Percent of total billed charges		1051	100			Percent of total billed charges		1051	100			Percent of total billed charges		1051	33.3			Percent of total billed charges		349.983	33.3			Percent of total billed charges		349.983	100			Percent of total billed charges		1051	349.983	945.9	
gns uni med/lge art insr 8mm 71248208 s/n	278	RC	Outpatient			1051	683.15		90			Percent of total billed charges		945.9	40			Percent of total billed charges		420.4	80			Percent of total billed charges		840.8	90			Percent of total billed charges		945.9	85			Percent of total billed charges		893.35	85			Percent of total billed charges		893.35	85			Percent of total billed charges		893.35	100			Percent of total billed charges		1051	100			Percent of total billed charges		1051	100			Percent of total billed charges		1051	33.3			Percent of total billed charges		349.983	33.3			Percent of total billed charges		349.983	100			Percent of total billed charges		1051	349.983	945.9	
gns uni med/lge art insr 9mm 71248209 s/n	278	RC	Outpatient			1051	683.15		90			Percent of total billed charges		945.9	40			Percent of total billed charges		420.4	80			Percent of total billed charges		840.8	90			Percent of total billed charges		945.9	85			Percent of total billed charges		893.35	85			Percent of total billed charges		893.35	85			Percent of total billed charges		893.35	100			Percent of total billed charges		1051	100			Percent of total billed charges		1051	100			Percent of total billed charges		1051	33.3			Percent of total billed charges		349.983	33.3			Percent of total billed charges		349.983	100			Percent of total billed charges		1051	349.983	945.9	
gns uni x-lge/mag art insr 10mm 71248310 s/n	278	RC	Outpatient			1051	683.15		90			Percent of total billed charges		945.9	40			Percent of total billed charges		420.4	80			Percent of total billed charges		840.8	90			Percent of total billed charges		945.9	85			Percent of total billed charges		893.35	85			Percent of total billed charges		893.35	85			Percent of total billed charges		893.35	100			Percent of total billed charges		1051	100			Percent of total billed charges		1051	100			Percent of total billed charges		1051	33.3			Percent of total billed charges		349.983	33.3			Percent of total billed charges		349.983	100			Percent of total billed charges		1051	349.983	945.9	
gns uni x-lge/mag art insr 11mm 71248311 s/n	278	RC	Outpatient			1051	683.15		90			Percent of total billed charges		945.9	40			Percent of total billed charges		420.4	80			Percent of total billed charges		840.8	90			Percent of total billed charges		945.9	85			Percent of total billed charges		893.35	85			Percent of total billed charges		893.35	85			Percent of total billed charges		893.35	100			Percent of total billed charges		1051	100			Percent of total billed charges		1051	100			Percent of total billed charges		1051	33.3			Percent of total billed charges		349.983	33.3			Percent of total billed charges		349.983	100			Percent of total billed charges		1051	349.983	945.9	
gns uni x-lge/mag art insr 8mm 71248308 s/n	278	RC	Outpatient			1051	683.15		90			Percent of total billed charges		945.9	40			Percent of total billed charges		420.4	80			Percent of total billed charges		840.8	90			Percent of total billed charges		945.9	85			Percent of total billed charges		893.35	85			Percent of total billed charges		893.35	85			Percent of total billed charges		893.35	100			Percent of total billed charges		1051	100			Percent of total billed charges		1051	100			Percent of total billed charges		1051	33.3			Percent of total billed charges		349.983	33.3			Percent of total billed charges		349.983	100			Percent of total billed charges		1051	349.983	945.9	
gns uni x-sm/sm art insr 10mm 71248110 s/n	278	RC	Outpatient			1051	683.15		90			Percent of total billed charges		945.9	40			Percent of total billed charges		420.4	80			Percent of total billed charges		840.8	90			Percent of total billed charges		945.9	85			Percent of total billed charges		893.35	85			Percent of total billed charges		893.35	85			Percent of total billed charges		893.35	100			Percent of total billed charges		1051	100			Percent of total billed charges		1051	100			Percent of total billed charges		1051	33.3			Percent of total billed charges		349.983	33.3			Percent of total billed charges		349.983	100			Percent of total billed charges		1051	349.983	945.9	
gns uni x-sm/sm art insr 11mm 71248111 s/n	278	RC	Outpatient			1051	683.15		90			Percent of total billed charges		945.9	40			Percent of total billed charges		420.4	80			Percent of total billed charges		840.8	90			Percent of total billed charges		945.9	85			Percent of total billed charges		893.35	85			Percent of total billed charges		893.35	85			Percent of total billed charges		893.35	100			Percent of total billed charges		1051	100			Percent of total billed charges		1051	100			Percent of total billed charges		1051	33.3			Percent of total billed charges		349.983	33.3			Percent of total billed charges		349.983	100			Percent of total billed charges		1051	349.983	945.9	
gns uni x-sm/sm art insr 12mm 71248112 s/n	278	RC	Outpatient			1051	683.15		90			Percent of total billed charges		945.9	40			Percent of total billed charges		420.4	80			Percent of total billed charges		840.8	90			Percent of total billed charges		945.9	85			Percent of total billed charges		893.35	85			Percent of total billed charges		893.35	85			Percent of total billed charges		893.35	100			Percent of total billed charges		1051	100			Percent of total billed charges		1051	100			Percent of total billed charges		1051	33.3			Percent of total billed charges		349.983	33.3			Percent of total billed charges		349.983	100			Percent of total billed charges		1051	349.983	945.9	
gns uni x-sm/sm art insr 9mm 71248109 s/n	278	RC	Outpatient			1051	683.15		90			Percent of total billed charges		945.9	40			Percent of total billed charges		420.4	80			Percent of total billed charges		840.8	90			Percent of total billed charges		945.9	85			Percent of total billed charges		893.35	85			Percent of total billed charges		893.35	85			Percent of total billed charges		893.35	100			Percent of total billed charges		1051	100			Percent of total billed charges		1051	100			Percent of total billed charges		1051	33.3			Percent of total billed charges		349.983	33.3			Percent of total billed charges		349.983	100			Percent of total billed charges		1051	349.983	945.9	
kit pluerx cath 50-7000b	272	RC	Outpatient			1051	683.15		90			Percent of total billed charges		945.9	40			Percent of total billed charges		420.4	80			Percent of total billed charges		840.8	90			Percent of total billed charges		945.9	85			Percent of total billed charges		893.35	85			Percent of total billed charges		893.35	85			Percent of total billed charges		893.35	100			Percent of total billed charges		1051	100			Percent of total billed charges		1051	100			Percent of total billed charges		1051	33.3			Percent of total billed charges		349.983	33.3			Percent of total billed charges		349.983	100			Percent of total billed charges		1051	349.983	945.9	
gns uni med/lge art insr 10mm 71248210 s/n	278	RC	Outpatient			1051	683.15		90			Percent of total billed charges		945.9	40			Percent of total billed charges		420.4	80			Percent of total billed charges		840.8	90			Percent of total billed charges		945.9	85			Percent of total billed charges		893.35	85			Percent of total billed charges		893.35	85			Percent of total billed charges		893.35	100			Percent of total billed charges		1051	100			Percent of total billed charges		1051	100			Percent of total billed charges		1051	33.3			Percent of total billed charges		349.983	33.3			Percent of total billed charges		349.983	100			Percent of total billed charges		1051	349.983	945.9	
gns uni med/lge art insr 12mm 71248212 s/n	278	RC	Outpatient			1051	683.15		90			Percent of total billed charges		945.9	40			Percent of total billed charges		420.4	80			Percent of total billed charges		840.8	90			Percent of total billed charges		945.9	85			Percent of total billed charges		893.35	85			Percent of total billed charges		893.35	85			Percent of total billed charges		893.35	100			Percent of total billed charges		1051	100			Percent of total billed charges		1051	100			Percent of total billed charges		1051	33.3			Percent of total billed charges		349.983	33.3			Percent of total billed charges		349.983	100			Percent of total billed charges		1051	349.983	945.9	
gns uni x-lge/mag art insr 12mm 71248312 s/n	278	RC	Outpatient			1051	683.15		90			Percent of total billed charges		945.9	40			Percent of total billed charges		420.4	80			Percent of total billed charges		840.8	90			Percent of total billed charges		945.9	85			Percent of total billed charges		893.35	85			Percent of total billed charges		893.35	85			Percent of total billed charges		893.35	100			Percent of total billed charges		1051	100			Percent of total billed charges		1051	100			Percent of total billed charges		1051	33.3			Percent of total billed charges		349.983	33.3			Percent of total billed charges		349.983	100			Percent of total billed charges		1051	349.983	945.9	
gns uni x-lge/mag art insr 9mm 712483089 s/n	278	RC	Outpatient			1051	683.15		90			Percent of total billed charges		945.9	40			Percent of total billed charges		420.4	80			Percent of total billed charges		840.8	90			Percent of total billed charges		945.9	85			Percent of total billed charges		893.35	85			Percent of total billed charges		893.35	85			Percent of total billed charges		893.35	100			Percent of total billed charges		1051	100			Percent of total billed charges		1051	100			Percent of total billed charges		1051	33.3			Percent of total billed charges		349.983	33.3			Percent of total billed charges		349.983	100			Percent of total billed charges		1051	349.983	945.9	
gns uni x-sm/sm art insr 8mm 71248108 s/n	278	RC	Outpatient			1051	683.15		90			Percent of total billed charges		945.9	40			Percent of total billed charges		420.4	80			Percent of total billed charges		840.8	90			Percent of total billed charges		945.9	85			Percent of total billed charges		893.35	85			Percent of total billed charges		893.35	85			Percent of total billed charges		893.35	100			Percent of total billed charges		1051	100			Percent of total billed charges		1051	100			Percent of total billed charges		1051	33.3			Percent of total billed charges		349.983	33.3			Percent of total billed charges		349.983	100			Percent of total billed charges		1051	349.983	945.9	
uni art insert	278	RC	Outpatient			1051	683.15		90			Percent of total billed charges		945.9	40			Percent of total billed charges		420.4	80			Percent of total billed charges		840.8	90			Percent of total billed charges		945.9	85			Percent of total billed charges		893.35	85			Percent of total billed charges		893.35	85			Percent of total billed charges		893.35	100			Percent of total billed charges		1051	100			Percent of total billed charges		1051	100			Percent of total billed charges		1051	33.3			Percent of total billed charges		349.983	33.3			Percent of total billed charges		349.983	100			Percent of total billed charges		1051	349.983	945.9	
jax gel 10cc   7117 8010 smith & nephew	278	RC	Outpatient			1053	684.45		90			Percent of total billed charges		947.7	40			Percent of total billed charges		421.2	80			Percent of total billed charges		842.4	90			Percent of total billed charges		947.7	85			Percent of total billed charges		895.05	85			Percent of total billed charges		895.05	85			Percent of total billed charges		895.05	100			Percent of total billed charges		1053	100			Percent of total billed charges		1053	100			Percent of total billed charges		1053	33.3			Percent of total billed charges		350.649	33.3			Percent of total billed charges		350.649	100			Percent of total billed charges		1053	350.649	947.7	
jax gel 10cc	278	RC	Outpatient			1053	684.45		90			Percent of total billed charges		947.7	40			Percent of total billed charges		421.2	80			Percent of total billed charges		842.4	90			Percent of total billed charges		947.7	85			Percent of total billed charges		895.05	85			Percent of total billed charges		895.05	85			Percent of total billed charges		895.05	100			Percent of total billed charges		1053	100			Percent of total billed charges		1053	100			Percent of total billed charges		1053	33.3			Percent of total billed charges		350.649	33.3			Percent of total billed charges		350.649	100			Percent of total billed charges		1053	350.649	947.7	
allograft femur shaft-split  18.0cm 0123172-023 16-6671 community	278	RC	Outpatient			1056	686.4		90			Percent of total billed charges		950.4	40			Percent of total billed charges		422.4	80			Percent of total billed charges		844.8	90			Percent of total billed charges		950.4	85			Percent of total billed charges		897.6	85			Percent of total billed charges		897.6	85			Percent of total billed charges		897.6	100			Percent of total billed charges		1056	100			Percent of total billed charges		1056	100			Percent of total billed charges		1056	33.3			Percent of total billed charges		351.648	33.3			Percent of total billed charges		351.648	100			Percent of total billed charges		1056	351.648	950.4	
allograft femur shaft-split 23.0cm 1137-14 community	278	RC	Outpatient			1056	686.4		90			Percent of total billed charges		950.4	40			Percent of total billed charges		422.4	80			Percent of total billed charges		844.8	90			Percent of total billed charges		950.4	85			Percent of total billed charges		897.6	85			Percent of total billed charges		897.6	85			Percent of total billed charges		897.6	100			Percent of total billed charges		1056	100			Percent of total billed charges		1056	100			Percent of total billed charges		1056	33.3			Percent of total billed charges		351.648	33.3			Percent of total billed charges		351.648	100			Percent of total billed charges		1056	351.648	950.4	
allograft femur shaft-split 24.0cm 1137-14 maxxeus	278	RC	Outpatient			1056	686.4		90			Percent of total billed charges		950.4	40			Percent of total billed charges		422.4	80			Percent of total billed charges		844.8	90			Percent of total billed charges		950.4	85			Percent of total billed charges		897.6	85			Percent of total billed charges		897.6	85			Percent of total billed charges		897.6	100			Percent of total billed charges		1056	100			Percent of total billed charges		1056	100			Percent of total billed charges		1056	33.3			Percent of total billed charges		351.648	33.3			Percent of total billed charges		351.648	100			Percent of total billed charges		1056	351.648	950.4	
max-core bx instrument mc 1810 18g bard	278	RC	Outpatient			1056	686.4		90			Percent of total billed charges		950.4	40			Percent of total billed charges		422.4	80			Percent of total billed charges		844.8	90			Percent of total billed charges		950.4	85			Percent of total billed charges		897.6	85			Percent of total billed charges		897.6	85			Percent of total billed charges		897.6	100			Percent of total billed charges		1056	100			Percent of total billed charges		1056	100			Percent of total billed charges		1056	33.3			Percent of total billed charges		351.648	33.3			Percent of total billed charges		351.648	100			Percent of total billed charges		1056	351.648	950.4	
chemo admin. 10 hours	335	RC	Outpatient			1059	688.35		90			Percent of total billed charges		953.1	40			Percent of total billed charges		423.6	80			Percent of total billed charges		847.2	90			Percent of total billed charges		953.1	85			Percent of total billed charges		900.15	85			Percent of total billed charges		900.15	85			Percent of total billed charges		900.15	100			Percent of total billed charges		1059	100			Percent of total billed charges		1059	100			Percent of total billed charges		1059	33.3			Percent of total billed charges		352.647	33.3			Percent of total billed charges		352.647	100			Percent of total billed charges		1059	352.647	953.1	
minor procedure room 2 1/2 hr	360	RC	Outpatient			1060	689		90			Percent of total billed charges		954	40			Percent of total billed charges		424	80			Percent of total billed charges		848	90			Percent of total billed charges		954	85			Percent of total billed charges		901	85			Percent of total billed charges		901	85			Percent of total billed charges		901	100			Percent of total billed charges		1060	100			Percent of total billed charges		1060	100			Percent of total billed charges		1060	33.3			Percent of total billed charges		352.98	33.3			Percent of total billed charges		352.98	100			Percent of total billed charges		1060	352.98	954	
mrh knee tibial sleeve 6481-2-140 stryker	278	RC	Outpatient			1062	690.3		90			Percent of total billed charges		955.8	40			Percent of total billed charges		424.8	80			Percent of total billed charges		849.6	90			Percent of total billed charges		955.8	85			Percent of total billed charges		902.7	85			Percent of total billed charges		902.7	85			Percent of total billed charges		902.7	100			Percent of total billed charges		1062	100			Percent of total billed charges		1062	100			Percent of total billed charges		1062	33.3			Percent of total billed charges		353.646	33.3			Percent of total billed charges		353.646	100			Percent of total billed charges		1062	353.646	955.8	
lithoclast pneumatic prob	272	RC	Outpatient			1062	690.3		90			Percent of total billed charges		955.8	40			Percent of total billed charges		424.8	80			Percent of total billed charges		849.6	90			Percent of total billed charges		955.8	85			Percent of total billed charges		902.7	85			Percent of total billed charges		902.7	85			Percent of total billed charges		902.7	100			Percent of total billed charges		1062	100			Percent of total billed charges		1062	100			Percent of total billed charges		1062	33.3			Percent of total billed charges		353.646	33.3			Percent of total billed charges		353.646	100			Percent of total billed charges		1062	353.646	955.8	
lithoclast probe 3.3mm x 403cm 840-716 microvasive	272	RC	Outpatient			1062	690.3		90			Percent of total billed charges		955.8	40			Percent of total billed charges		424.8	80			Percent of total billed charges		849.6	90			Percent of total billed charges		955.8	85			Percent of total billed charges		902.7	85			Percent of total billed charges		902.7	85			Percent of total billed charges		902.7	100			Percent of total billed charges		1062	100			Percent of total billed charges		1062	100			Percent of total billed charges		1062	33.3			Percent of total billed charges		353.646	33.3			Percent of total billed charges		353.646	100			Percent of total billed charges		1062	353.646	955.8	
lithoclast rigid pneumatic probe 3.8x 403mm 840-717 microvasive	272	RC	Outpatient			1062	690.3		90			Percent of total billed charges		955.8	40			Percent of total billed charges		424.8	80			Percent of total billed charges		849.6	90			Percent of total billed charges		955.8	85			Percent of total billed charges		902.7	85			Percent of total billed charges		902.7	85			Percent of total billed charges		902.7	100			Percent of total billed charges		1062	100			Percent of total billed charges		1062	100			Percent of total billed charges		1062	33.3			Percent of total billed charges		353.646	33.3			Percent of total billed charges		353.646	100			Percent of total billed charges		1062	353.646	955.8	
stryker tib sleeve	278	RC	Outpatient			1062	690.3		90			Percent of total billed charges		955.8	40			Percent of total billed charges		424.8	80			Percent of total billed charges		849.6	90			Percent of total billed charges		955.8	85			Percent of total billed charges		902.7	85			Percent of total billed charges		902.7	85			Percent of total billed charges		902.7	100			Percent of total billed charges		1062	100			Percent of total billed charges		1062	100			Percent of total billed charges		1062	33.3			Percent of total billed charges		353.646	33.3			Percent of total billed charges		353.646	100			Percent of total billed charges		1062	353.646	955.8	
harm scpl ace 14 s	272	RC	Outpatient			1064	691.6		90			Percent of total billed charges		957.6	40			Percent of total billed charges		425.6	80			Percent of total billed charges		851.2	90			Percent of total billed charges		957.6	85			Percent of total billed charges		904.4	85			Percent of total billed charges		904.4	85			Percent of total billed charges		904.4	100			Percent of total billed charges		1064	100			Percent of total billed charges		1064	100			Percent of total billed charges		1064	33.3			Percent of total billed charges		354.312	33.3			Percent of total billed charges		354.312	100			Percent of total billed charges		1064	354.312	957.6	
harmonic ace curved shears hand control ace36p ace36e har36 ethicon	272	RC	Outpatient			1064	691.6		90			Percent of total billed charges		957.6	40			Percent of total billed charges		425.6	80			Percent of total billed charges		851.2	90			Percent of total billed charges		957.6	85			Percent of total billed charges		904.4	85			Percent of total billed charges		904.4	85			Percent of total billed charges		904.4	100			Percent of total billed charges		1064	100			Percent of total billed charges		1064	100			Percent of total billed charges		1064	33.3			Percent of total billed charges		354.312	33.3			Percent of total billed charges		354.312	100			Percent of total billed charges		1064	354.312	957.6	
s/n  one third tubular plate 9 hole 7114-0309	278	RC	Outpatient			1065	692.25		90			Percent of total billed charges		958.5	40			Percent of total billed charges		426	80			Percent of total billed charges		852	90			Percent of total billed charges		958.5	85			Percent of total billed charges		905.25	85			Percent of total billed charges		905.25	85			Percent of total billed charges		905.25	100			Percent of total billed charges		1065	100			Percent of total billed charges		1065	100			Percent of total billed charges		1065	33.3			Percent of total billed charges		354.645	33.3			Percent of total billed charges		354.645	100			Percent of total billed charges		1065	354.645	958.5	
s/n one third tubular plate 9  hole 7113-0309	278	RC	Outpatient			1065	692.25		90			Percent of total billed charges		958.5	40			Percent of total billed charges		426	80			Percent of total billed charges		852	90			Percent of total billed charges		958.5	85			Percent of total billed charges		905.25	85			Percent of total billed charges		905.25	85			Percent of total billed charges		905.25	100			Percent of total billed charges		1065	100			Percent of total billed charges		1065	100			Percent of total billed charges		1065	33.3			Percent of total billed charges		354.645	33.3			Percent of total billed charges		354.645	100			Percent of total billed charges		1065	354.645	958.5	
s/n  one third tubular plate 10 hole 7113-0310	278	RC	Outpatient			1065	692.25		90			Percent of total billed charges		958.5	40			Percent of total billed charges		426	80			Percent of total billed charges		852	90			Percent of total billed charges		958.5	85			Percent of total billed charges		905.25	85			Percent of total billed charges		905.25	85			Percent of total billed charges		905.25	100			Percent of total billed charges		1065	100			Percent of total billed charges		1065	100			Percent of total billed charges		1065	33.3			Percent of total billed charges		354.645	33.3			Percent of total billed charges		354.645	100			Percent of total billed charges		1065	354.645	958.5	
s/n one third tubular plate 6 hole 7113-0306	278	RC	Outpatient			1065	692.25		90			Percent of total billed charges		958.5	40			Percent of total billed charges		426	80			Percent of total billed charges		852	90			Percent of total billed charges		958.5	85			Percent of total billed charges		905.25	85			Percent of total billed charges		905.25	85			Percent of total billed charges		905.25	100			Percent of total billed charges		1065	100			Percent of total billed charges		1065	100			Percent of total billed charges		1065	33.3			Percent of total billed charges		354.645	33.3			Percent of total billed charges		354.645	100			Percent of total billed charges		1065	354.645	958.5	
s/n one third tubular plate 7 hole 7113-0307	278	RC	Outpatient			1065	692.25		90			Percent of total billed charges		958.5	40			Percent of total billed charges		426	80			Percent of total billed charges		852	90			Percent of total billed charges		958.5	85			Percent of total billed charges		905.25	85			Percent of total billed charges		905.25	85			Percent of total billed charges		905.25	100			Percent of total billed charges		1065	100			Percent of total billed charges		1065	100			Percent of total billed charges		1065	33.3			Percent of total billed charges		354.645	33.3			Percent of total billed charges		354.645	100			Percent of total billed charges		1065	354.645	958.5	
s/n one third tubular plate 8 hole 7113-0308	278	RC	Outpatient			1065	692.25		90			Percent of total billed charges		958.5	40			Percent of total billed charges		426	80			Percent of total billed charges		852	90			Percent of total billed charges		958.5	85			Percent of total billed charges		905.25	85			Percent of total billed charges		905.25	85			Percent of total billed charges		905.25	100			Percent of total billed charges		1065	100			Percent of total billed charges		1065	100			Percent of total billed charges		1065	33.3			Percent of total billed charges		354.645	33.3			Percent of total billed charges		354.645	100			Percent of total billed charges		1065	354.645	958.5	
sm fr pl 1/3 tub 6-10hl	278	RC	Outpatient			1065	692.25		90			Percent of total billed charges		958.5	40			Percent of total billed charges		426	80			Percent of total billed charges		852	90			Percent of total billed charges		958.5	85			Percent of total billed charges		905.25	85			Percent of total billed charges		905.25	85			Percent of total billed charges		905.25	100			Percent of total billed charges		1065	100			Percent of total billed charges		1065	100			Percent of total billed charges		1065	33.3			Percent of total billed charges		354.645	33.3			Percent of total billed charges		354.645	100			Percent of total billed charges		1065	354.645	958.5	
osteoselect dbm putty 5cc	278	RC	Outpatient			1067	693.55		90			Percent of total billed charges		960.3	40			Percent of total billed charges		426.8	80			Percent of total billed charges		853.6	90			Percent of total billed charges		960.3	85			Percent of total billed charges		906.95	85			Percent of total billed charges		906.95	85			Percent of total billed charges		906.95	100			Percent of total billed charges		1067	100			Percent of total billed charges		1067	100			Percent of total billed charges		1067	33.3			Percent of total billed charges		355.311	33.3			Percent of total billed charges		355.311	100			Percent of total billed charges		1067	355.311	960.3	
osteoselect dbm putty 5cc 309050  bacterin	278	RC	Outpatient			1067	693.55		90			Percent of total billed charges		960.3	40			Percent of total billed charges		426.8	80			Percent of total billed charges		853.6	90			Percent of total billed charges		960.3	85			Percent of total billed charges		906.95	85			Percent of total billed charges		906.95	85			Percent of total billed charges		906.95	100			Percent of total billed charges		1067	100			Percent of total billed charges		1067	100			Percent of total billed charges		1067	33.3			Percent of total billed charges		355.311	33.3			Percent of total billed charges		355.311	100			Percent of total billed charges		1067	355.311	960.3	
implant nail delta ii 8mm x 30cm 12-1904 s/n	278	RC	Outpatient			1069	694.85		90			Percent of total billed charges		962.1	40			Percent of total billed charges		427.6	80			Percent of total billed charges		855.2	90			Percent of total billed charges		962.1	85			Percent of total billed charges		908.65	85			Percent of total billed charges		908.65	85			Percent of total billed charges		908.65	100			Percent of total billed charges		1069	100			Percent of total billed charges		1069	100			Percent of total billed charges		1069	33.3			Percent of total billed charges		355.977	33.3			Percent of total billed charges		355.977	100			Percent of total billed charges		1069	355.977	962.1	
implant nail delta ii 8mm x 36cm 12-1907 s/n	278	RC	Outpatient			1069	694.85		90			Percent of total billed charges		962.1	40			Percent of total billed charges		427.6	80			Percent of total billed charges		855.2	90			Percent of total billed charges		962.1	85			Percent of total billed charges		908.65	85			Percent of total billed charges		908.65	85			Percent of total billed charges		908.65	100			Percent of total billed charges		1069	100			Percent of total billed charges		1069	100			Percent of total billed charges		1069	33.3			Percent of total billed charges		355.977	33.3			Percent of total billed charges		355.977	100			Percent of total billed charges		1069	355.977	962.1	
imp nail femoral russell & taylor 121903	278	RC	Outpatient			1069	694.85		90			Percent of total billed charges		962.1	40			Percent of total billed charges		427.6	80			Percent of total billed charges		855.2	90			Percent of total billed charges		962.1	85			Percent of total billed charges		908.65	85			Percent of total billed charges		908.65	85			Percent of total billed charges		908.65	100			Percent of total billed charges		1069	100			Percent of total billed charges		1069	100			Percent of total billed charges		1069	33.3			Percent of total billed charges		355.977	33.3			Percent of total billed charges		355.977	100			Percent of total billed charges		1069	355.977	962.1	
implant nail delta ii 8mm x 28cm 12-1903 s/n	278	RC	Outpatient			1069	694.85		90			Percent of total billed charges		962.1	40			Percent of total billed charges		427.6	80			Percent of total billed charges		855.2	90			Percent of total billed charges		962.1	85			Percent of total billed charges		908.65	85			Percent of total billed charges		908.65	85			Percent of total billed charges		908.65	100			Percent of total billed charges		1069	100			Percent of total billed charges		1069	100			Percent of total billed charges		1069	33.3			Percent of total billed charges		355.977	33.3			Percent of total billed charges		355.977	100			Percent of total billed charges		1069	355.977	962.1	
implant nail delta ii 8mm x 32cm 12-1905 s/n	278	RC	Outpatient			1069	694.85		90			Percent of total billed charges		962.1	40			Percent of total billed charges		427.6	80			Percent of total billed charges		855.2	90			Percent of total billed charges		962.1	85			Percent of total billed charges		908.65	85			Percent of total billed charges		908.65	85			Percent of total billed charges		908.65	100			Percent of total billed charges		1069	100			Percent of total billed charges		1069	100			Percent of total billed charges		1069	33.3			Percent of total billed charges		355.977	33.3			Percent of total billed charges		355.977	100			Percent of total billed charges		1069	355.977	962.1	
implant nail delta ii 8mm x 34cm 12-1906 s/n	278	RC	Outpatient			1069	694.85		90			Percent of total billed charges		962.1	40			Percent of total billed charges		427.6	80			Percent of total billed charges		855.2	90			Percent of total billed charges		962.1	85			Percent of total billed charges		908.65	85			Percent of total billed charges		908.65	85			Percent of total billed charges		908.65	100			Percent of total billed charges		1069	100			Percent of total billed charges		1069	100			Percent of total billed charges		1069	33.3			Percent of total billed charges		355.977	33.3			Percent of total billed charges		355.977	100			Percent of total billed charges		1069	355.977	962.1	
implant nail delta ii 8mm x 38cm 12-1908 s/n	278	RC	Outpatient			1069	694.85		90			Percent of total billed charges		962.1	40			Percent of total billed charges		427.6	80			Percent of total billed charges		855.2	90			Percent of total billed charges		962.1	85			Percent of total billed charges		908.65	85			Percent of total billed charges		908.65	85			Percent of total billed charges		908.65	100			Percent of total billed charges		1069	100			Percent of total billed charges		1069	100			Percent of total billed charges		1069	33.3			Percent of total billed charges		355.977	33.3			Percent of total billed charges		355.977	100			Percent of total billed charges		1069	355.977	962.1	
r/t delta ii femoral nail	278	RC	Outpatient			1069	694.85		90			Percent of total billed charges		962.1	40			Percent of total billed charges		427.6	80			Percent of total billed charges		855.2	90			Percent of total billed charges		962.1	85			Percent of total billed charges		908.65	85			Percent of total billed charges		908.65	85			Percent of total billed charges		908.65	100			Percent of total billed charges		1069	100			Percent of total billed charges		1069	100			Percent of total billed charges		1069	33.3			Percent of total billed charges		355.977	33.3			Percent of total billed charges		355.977	100			Percent of total billed charges		1069	355.977	962.1	
gps ii disposable kit 800-1003a biomet	272	RC	Outpatient			1073	697.45		90			Percent of total billed charges		965.7	40			Percent of total billed charges		429.2	80			Percent of total billed charges		858.4	90			Percent of total billed charges		965.7	85			Percent of total billed charges		912.05	85			Percent of total billed charges		912.05	85			Percent of total billed charges		912.05	100			Percent of total billed charges		1073	100			Percent of total billed charges		1073	100			Percent of total billed charges		1073	33.3			Percent of total billed charges		357.309	33.3			Percent of total billed charges		357.309	100			Percent of total billed charges		1073	357.309	965.7	
gps seperation kit	272	RC	Outpatient			1073	697.45		90			Percent of total billed charges		965.7	40			Percent of total billed charges		429.2	80			Percent of total billed charges		858.4	90			Percent of total billed charges		965.7	85			Percent of total billed charges		912.05	85			Percent of total billed charges		912.05	85			Percent of total billed charges		912.05	100			Percent of total billed charges		1073	100			Percent of total billed charges		1073	100			Percent of total billed charges		1073	33.3			Percent of total billed charges		357.309	33.3			Percent of total billed charges		357.309	100			Percent of total billed charges		1073	357.309	965.7	
gps platelet cont. seperation unit cell factor tech -- biomet 800-0502	272	RC	Outpatient			1073	697.45		90			Percent of total billed charges		965.7	40			Percent of total billed charges		429.2	80			Percent of total billed charges		858.4	90			Percent of total billed charges		965.7	85			Percent of total billed charges		912.05	85			Percent of total billed charges		912.05	85			Percent of total billed charges		912.05	100			Percent of total billed charges		1073	100			Percent of total billed charges		1073	100			Percent of total billed charges		1073	33.3			Percent of total billed charges		357.309	33.3			Percent of total billed charges		357.309	100			Percent of total billed charges		1073	357.309	965.7	
natrelle silicone 405cc breast implant srm-405	278	RC	Outpatient			1073	697.45		90			Percent of total billed charges		965.7	40			Percent of total billed charges		429.2	80			Percent of total billed charges		858.4	90			Percent of total billed charges		965.7	85			Percent of total billed charges		912.05	85			Percent of total billed charges		912.05	85			Percent of total billed charges		912.05	100			Percent of total billed charges		1073	100			Percent of total billed charges		1073	100			Percent of total billed charges		1073	33.3			Percent of total billed charges		357.309	33.3			Percent of total billed charges		357.309	100			Percent of total billed charges		1073	357.309	965.7	
wright x-ream blade	272	RC	Outpatient			1074	698.1		90			Percent of total billed charges		966.6	40			Percent of total billed charges		429.6	80			Percent of total billed charges		859.2	90			Percent of total billed charges		966.6	85			Percent of total billed charges		912.9	85			Percent of total billed charges		912.9	85			Percent of total billed charges		912.9	100			Percent of total billed charges		1074	100			Percent of total billed charges		1074	100			Percent of total billed charges		1074	33.3			Percent of total billed charges		357.642	33.3			Percent of total billed charges		357.642	100			Percent of total billed charges		1074	357.642	966.6	
x-ream blade 20bl-1200 wright med	272	RC	Outpatient			1074	698.1		90			Percent of total billed charges		966.6	40			Percent of total billed charges		429.6	80			Percent of total billed charges		859.2	90			Percent of total billed charges		966.6	85			Percent of total billed charges		912.9	85			Percent of total billed charges		912.9	85			Percent of total billed charges		912.9	100			Percent of total billed charges		1074	100			Percent of total billed charges		1074	100			Percent of total billed charges		1074	33.3			Percent of total billed charges		357.642	33.3			Percent of total billed charges		357.642	100			Percent of total billed charges		1074	357.642	966.6	
jet x multiple pin clamp 7106-2005 s/n	278	RC	Outpatient			1077	700.05		90			Percent of total billed charges		969.3	40			Percent of total billed charges		430.8	80			Percent of total billed charges		861.6	90			Percent of total billed charges		969.3	85			Percent of total billed charges		915.45	85			Percent of total billed charges		915.45	85			Percent of total billed charges		915.45	100			Percent of total billed charges		1077	100			Percent of total billed charges		1077	100			Percent of total billed charges		1077	33.3			Percent of total billed charges		358.641	33.3			Percent of total billed charges		358.641	100			Percent of total billed charges		1077	358.641	969.3	
jet-x multi pin clamp	278	RC	Outpatient			1077	700.05		90			Percent of total billed charges		969.3	40			Percent of total billed charges		430.8	80			Percent of total billed charges		861.6	90			Percent of total billed charges		969.3	85			Percent of total billed charges		915.45	85			Percent of total billed charges		915.45	85			Percent of total billed charges		915.45	100			Percent of total billed charges		1077	100			Percent of total billed charges		1077	100			Percent of total billed charges		1077	33.3			Percent of total billed charges		358.641	33.3			Percent of total billed charges		358.641	100			Percent of total billed charges		1077	358.641	969.3	
zimmer fem head  9026-29	278	RC	Outpatient			1085	705.25		90			Percent of total billed charges		976.5	40			Percent of total billed charges		434	80			Percent of total billed charges		868	90			Percent of total billed charges		976.5	85			Percent of total billed charges		922.25	85			Percent of total billed charges		922.25	85			Percent of total billed charges		922.25	100			Percent of total billed charges		1085	100			Percent of total billed charges		1085	100			Percent of total billed charges		1085	33.3			Percent of total billed charges		361.305	33.3			Percent of total billed charges		361.305	100			Percent of total billed charges		1085	361.305	976.5	
profix metaphyseal tib stem 16mm 71501009 s/n	278	RC	Outpatient			1087	706.55		90			Percent of total billed charges		978.3	40			Percent of total billed charges		434.8	80			Percent of total billed charges		869.6	90			Percent of total billed charges		978.3	85			Percent of total billed charges		923.95	85			Percent of total billed charges		923.95	85			Percent of total billed charges		923.95	100			Percent of total billed charges		1087	100			Percent of total billed charges		1087	100			Percent of total billed charges		1087	33.3			Percent of total billed charges		361.971	33.3			Percent of total billed charges		361.971	100			Percent of total billed charges		1087	361.971	978.3	
profix metaphyseal tib stem 18mm 71501010 s/n	278	RC	Outpatient			1087	706.55		90			Percent of total billed charges		978.3	40			Percent of total billed charges		434.8	80			Percent of total billed charges		869.6	90			Percent of total billed charges		978.3	85			Percent of total billed charges		923.95	85			Percent of total billed charges		923.95	85			Percent of total billed charges		923.95	100			Percent of total billed charges		1087	100			Percent of total billed charges		1087	100			Percent of total billed charges		1087	33.3			Percent of total billed charges		361.971	33.3			Percent of total billed charges		361.971	100			Percent of total billed charges		1087	361.971	978.3	
s/n profix meta tib stm	278	RC	Outpatient			1087	706.55		90			Percent of total billed charges		978.3	40			Percent of total billed charges		434.8	80			Percent of total billed charges		869.6	90			Percent of total billed charges		978.3	85			Percent of total billed charges		923.95	85			Percent of total billed charges		923.95	85			Percent of total billed charges		923.95	100			Percent of total billed charges		1087	100			Percent of total billed charges		1087	100			Percent of total billed charges		1087	33.3			Percent of total billed charges		361.971	33.3			Percent of total billed charges		361.971	100			Percent of total billed charges		1087	361.971	978.3	
arthrex bio-swivelock c	278	RC	Outpatient			1089	707.85		90			Percent of total billed charges		980.1	40			Percent of total billed charges		435.6	80			Percent of total billed charges		871.2	90			Percent of total billed charges		980.1	85			Percent of total billed charges		925.65	85			Percent of total billed charges		925.65	85			Percent of total billed charges		925.65	100			Percent of total billed charges		1089	100			Percent of total billed charges		1089	100			Percent of total billed charges		1089	33.3			Percent of total billed charges		362.637	33.3			Percent of total billed charges		362.637	100			Percent of total billed charges		1089	362.637	980.1	
arthrex bio-swivelock c suture anchor 5.5 x 19.1mm ar-2323bslc	278	RC	Outpatient			1089	707.85		90			Percent of total billed charges		980.1	40			Percent of total billed charges		435.6	80			Percent of total billed charges		871.2	90			Percent of total billed charges		980.1	85			Percent of total billed charges		925.65	85			Percent of total billed charges		925.65	85			Percent of total billed charges		925.65	100			Percent of total billed charges		1089	100			Percent of total billed charges		1089	100			Percent of total billed charges		1089	33.3			Percent of total billed charges		362.637	33.3			Percent of total billed charges		362.637	100			Percent of total billed charges		1089	362.637	980.1	
arthrex bio-swivelock c suture anchor 5.5 x 24.5mm ar-2323bcc	278	RC	Outpatient			1089	707.85		90			Percent of total billed charges		980.1	40			Percent of total billed charges		435.6	80			Percent of total billed charges		871.2	90			Percent of total billed charges		980.1	85			Percent of total billed charges		925.65	85			Percent of total billed charges		925.65	85			Percent of total billed charges		925.65	100			Percent of total billed charges		1089	100			Percent of total billed charges		1089	100			Percent of total billed charges		1089	33.3			Percent of total billed charges		362.637	33.3			Percent of total billed charges		362.637	100			Percent of total billed charges		1089	362.637	980.1	
arthrex biocomposite pushlock 3.5 x 14mm ar-1926bc	278	RC	Outpatient			1089	707.85		90			Percent of total billed charges		980.1	40			Percent of total billed charges		435.6	80			Percent of total billed charges		871.2	90			Percent of total billed charges		980.1	85			Percent of total billed charges		925.65	85			Percent of total billed charges		925.65	85			Percent of total billed charges		925.65	100			Percent of total billed charges		1089	100			Percent of total billed charges		1089	100			Percent of total billed charges		1089	33.3			Percent of total billed charges		362.637	33.3			Percent of total billed charges		362.637	100			Percent of total billed charges		1089	362.637	980.1	
arthrex bio-comp pushlock	278	RC	Outpatient			1089	707.85		90			Percent of total billed charges		980.1	40			Percent of total billed charges		435.6	80			Percent of total billed charges		871.2	90			Percent of total billed charges		980.1	85			Percent of total billed charges		925.65	85			Percent of total billed charges		925.65	85			Percent of total billed charges		925.65	100			Percent of total billed charges		1089	100			Percent of total billed charges		1089	100			Percent of total billed charges		1089	33.3			Percent of total billed charges		362.637	33.3			Percent of total billed charges		362.637	100			Percent of total billed charges		1089	362.637	980.1	
arthrex bio-composite swivelock tenodesis screw 6.25 x 19mm ar-1662bc	278	RC	Outpatient			1089	707.85		90			Percent of total billed charges		980.1	40			Percent of total billed charges		435.6	80			Percent of total billed charges		871.2	90			Percent of total billed charges		980.1	85			Percent of total billed charges		925.65	85			Percent of total billed charges		925.65	85			Percent of total billed charges		925.65	100			Percent of total billed charges		1089	100			Percent of total billed charges		1089	100			Percent of total billed charges		1089	33.3			Percent of total billed charges		362.637	33.3			Percent of total billed charges		362.637	100			Percent of total billed charges		1089	362.637	980.1	
arthrex bio-swivelock c suture anchor 4.75 x 19.1mm ar-2324bcc	278	RC	Outpatient			1089	707.85		90			Percent of total billed charges		980.1	40			Percent of total billed charges		435.6	80			Percent of total billed charges		871.2	90			Percent of total billed charges		980.1	85			Percent of total billed charges		925.65	85			Percent of total billed charges		925.65	85			Percent of total billed charges		925.65	100			Percent of total billed charges		1089	100			Percent of total billed charges		1089	100			Percent of total billed charges		1089	33.3			Percent of total billed charges		362.637	33.3			Percent of total billed charges		362.637	100			Percent of total billed charges		1089	362.637	980.1	
arthrex biocomposite pushlock 2.9 x 15.5mm ar-1923bc	278	RC	Outpatient			1089	707.85		90			Percent of total billed charges		980.1	40			Percent of total billed charges		435.6	80			Percent of total billed charges		871.2	90			Percent of total billed charges		980.1	85			Percent of total billed charges		925.65	85			Percent of total billed charges		925.65	85			Percent of total billed charges		925.65	100			Percent of total billed charges		1089	100			Percent of total billed charges		1089	100			Percent of total billed charges		1089	33.3			Percent of total billed charges		362.637	33.3			Percent of total billed charges		362.637	100			Percent of total billed charges		1089	362.637	980.1	
arthrex biocomposite pushlock 4.5 x 18.5mm ar-1922bc	278	RC	Outpatient			1089	707.85		90			Percent of total billed charges		980.1	40			Percent of total billed charges		435.6	80			Percent of total billed charges		871.2	90			Percent of total billed charges		980.1	85			Percent of total billed charges		925.65	85			Percent of total billed charges		925.65	85			Percent of total billed charges		925.65	100			Percent of total billed charges		1089	100			Percent of total billed charges		1089	100			Percent of total billed charges		1089	33.3			Percent of total billed charges		362.637	33.3			Percent of total billed charges		362.637	100			Percent of total billed charges		1089	362.637	980.1	
jet-x mini pin clamp mult	278	RC	Outpatient			1089	707.85		90			Percent of total billed charges		980.1	40			Percent of total billed charges		435.6	80			Percent of total billed charges		871.2	90			Percent of total billed charges		980.1	85			Percent of total billed charges		925.65	85			Percent of total billed charges		925.65	85			Percent of total billed charges		925.65	100			Percent of total billed charges		1089	100			Percent of total billed charges		1089	100			Percent of total billed charges		1089	33.3			Percent of total billed charges		362.637	33.3			Percent of total billed charges		362.637	100			Percent of total billed charges		1089	362.637	980.1	
jet-x multiple pin clamp 7106-2015 s/n	278	RC	Outpatient			1089	707.85		90			Percent of total billed charges		980.1	40			Percent of total billed charges		435.6	80			Percent of total billed charges		871.2	90			Percent of total billed charges		980.1	85			Percent of total billed charges		925.65	85			Percent of total billed charges		925.65	85			Percent of total billed charges		925.65	100			Percent of total billed charges		1089	100			Percent of total billed charges		1089	100			Percent of total billed charges		1089	33.3			Percent of total billed charges		362.637	33.3			Percent of total billed charges		362.637	100			Percent of total billed charges		1089	362.637	980.1	
synthes forearm / wrist	270	RC	Outpatient			1089	707.85		90			Percent of total billed charges		980.1	40			Percent of total billed charges		435.6	80			Percent of total billed charges		871.2	90			Percent of total billed charges		980.1	85			Percent of total billed charges		925.65	85			Percent of total billed charges		925.65	85			Percent of total billed charges		925.65	100			Percent of total billed charges		1089	100			Percent of total billed charges		1089	100			Percent of total billed charges		1089	33.3			Percent of total billed charges		362.637	33.3			Percent of total billed charges		362.637	100			Percent of total billed charges		1089	362.637	980.1	
allograft femur ring 1.2cm 083128-053 community tissue	278	RC	Outpatient			1091	709.15		90			Percent of total billed charges		981.9	40			Percent of total billed charges		436.4	80			Percent of total billed charges		872.8	90			Percent of total billed charges		981.9	85			Percent of total billed charges		927.35	85			Percent of total billed charges		927.35	85			Percent of total billed charges		927.35	100			Percent of total billed charges		1091	100			Percent of total billed charges		1091	100			Percent of total billed charges		1091	33.3			Percent of total billed charges		363.303	33.3			Percent of total billed charges		363.303	100			Percent of total billed charges		1091	363.303	981.9	
allograft femur ring 1.2cm 093018-046 community tissue	278	RC	Outpatient			1091	709.15		90			Percent of total billed charges		981.9	40			Percent of total billed charges		436.4	80			Percent of total billed charges		872.8	90			Percent of total billed charges		981.9	85			Percent of total billed charges		927.35	85			Percent of total billed charges		927.35	85			Percent of total billed charges		927.35	100			Percent of total billed charges		1091	100			Percent of total billed charges		1091	100			Percent of total billed charges		1091	33.3			Percent of total billed charges		363.303	33.3			Percent of total billed charges		363.303	100			Percent of total billed charges		1091	363.303	981.9	
biomet 28mm modular head -3mm 163661	278	RC	Outpatient			1091	709.15		90			Percent of total billed charges		981.9	40			Percent of total billed charges		436.4	80			Percent of total billed charges		872.8	90			Percent of total billed charges		981.9	85			Percent of total billed charges		927.35	85			Percent of total billed charges		927.35	85			Percent of total billed charges		927.35	100			Percent of total billed charges		1091	100			Percent of total billed charges		1091	100			Percent of total billed charges		1091	33.3			Percent of total billed charges		363.303	33.3			Percent of total billed charges		363.303	100			Percent of total billed charges		1091	363.303	981.9	
biomet 28mm modular head plus 3mm 163663	278	RC	Outpatient			1091	709.15		90			Percent of total billed charges		981.9	40			Percent of total billed charges		436.4	80			Percent of total billed charges		872.8	90			Percent of total billed charges		981.9	85			Percent of total billed charges		927.35	85			Percent of total billed charges		927.35	85			Percent of total billed charges		927.35	100			Percent of total billed charges		1091	100			Percent of total billed charges		1091	100			Percent of total billed charges		1091	33.3			Percent of total billed charges		363.303	33.3			Percent of total billed charges		363.303	100			Percent of total billed charges		1091	363.303	981.9	
biomet 32mm modular head plus 12mm 163673	278	RC	Outpatient			1091	709.15		90			Percent of total billed charges		981.9	40			Percent of total billed charges		436.4	80			Percent of total billed charges		872.8	90			Percent of total billed charges		981.9	85			Percent of total billed charges		927.35	85			Percent of total billed charges		927.35	85			Percent of total billed charges		927.35	100			Percent of total billed charges		1091	100			Percent of total billed charges		1091	100			Percent of total billed charges		1091	33.3			Percent of total billed charges		363.303	33.3			Percent of total billed charges		363.303	100			Percent of total billed charges		1091	363.303	981.9	
biomet 32mm modular head plus 3mm 163670	278	RC	Outpatient			1091	709.15		90			Percent of total billed charges		981.9	40			Percent of total billed charges		436.4	80			Percent of total billed charges		872.8	90			Percent of total billed charges		981.9	85			Percent of total billed charges		927.35	85			Percent of total billed charges		927.35	85			Percent of total billed charges		927.35	100			Percent of total billed charges		1091	100			Percent of total billed charges		1091	100			Percent of total billed charges		1091	33.3			Percent of total billed charges		363.303	33.3			Percent of total billed charges		363.303	100			Percent of total billed charges		1091	363.303	981.9	
biomet 32mm modular head plus 9mm 163672	278	RC	Outpatient			1091	709.15		90			Percent of total billed charges		981.9	40			Percent of total billed charges		436.4	80			Percent of total billed charges		872.8	90			Percent of total billed charges		981.9	85			Percent of total billed charges		927.35	85			Percent of total billed charges		927.35	85			Percent of total billed charges		927.35	100			Percent of total billed charges		1091	100			Percent of total billed charges		1091	100			Percent of total billed charges		1091	33.3			Percent of total billed charges		363.303	33.3			Percent of total billed charges		363.303	100			Percent of total billed charges		1091	363.303	981.9	
bio modular head	278	RC	Outpatient			1091	709.15		90			Percent of total billed charges		981.9	40			Percent of total billed charges		436.4	80			Percent of total billed charges		872.8	90			Percent of total billed charges		981.9	85			Percent of total billed charges		927.35	85			Percent of total billed charges		927.35	85			Percent of total billed charges		927.35	100			Percent of total billed charges		1091	100			Percent of total billed charges		1091	100			Percent of total billed charges		1091	33.3			Percent of total billed charges		363.303	33.3			Percent of total billed charges		363.303	100			Percent of total billed charges		1091	363.303	981.9	
biomet 22mm modular head minus 3mm 163653	278	RC	Outpatient			1091	709.15		90			Percent of total billed charges		981.9	40			Percent of total billed charges		436.4	80			Percent of total billed charges		872.8	90			Percent of total billed charges		981.9	85			Percent of total billed charges		927.35	85			Percent of total billed charges		927.35	85			Percent of total billed charges		927.35	100			Percent of total billed charges		1091	100			Percent of total billed charges		1091	100			Percent of total billed charges		1091	33.3			Percent of total billed charges		363.303	33.3			Percent of total billed charges		363.303	100			Percent of total billed charges		1091	363.303	981.9	
biomet 22mm modular head minus 5mm 163652	278	RC	Outpatient			1091	709.15		90			Percent of total billed charges		981.9	40			Percent of total billed charges		436.4	80			Percent of total billed charges		872.8	90			Percent of total billed charges		981.9	85			Percent of total billed charges		927.35	85			Percent of total billed charges		927.35	85			Percent of total billed charges		927.35	100			Percent of total billed charges		1091	100			Percent of total billed charges		1091	100			Percent of total billed charges		1091	33.3			Percent of total billed charges		363.303	33.3			Percent of total billed charges		363.303	100			Percent of total billed charges		1091	363.303	981.9	
biomet 22mm modular head standard 163651	278	RC	Outpatient			1091	709.15		90			Percent of total billed charges		981.9	40			Percent of total billed charges		436.4	80			Percent of total billed charges		872.8	90			Percent of total billed charges		981.9	85			Percent of total billed charges		927.35	85			Percent of total billed charges		927.35	85			Percent of total billed charges		927.35	100			Percent of total billed charges		1091	100			Percent of total billed charges		1091	100			Percent of total billed charges		1091	33.3			Percent of total billed charges		363.303	33.3			Percent of total billed charges		363.303	100			Percent of total billed charges		1091	363.303	981.9	
biomet 28mm modular head plus 12mm 163666	278	RC	Outpatient			1091	709.15		90			Percent of total billed charges		981.9	40			Percent of total billed charges		436.4	80			Percent of total billed charges		872.8	90			Percent of total billed charges		981.9	85			Percent of total billed charges		927.35	85			Percent of total billed charges		927.35	85			Percent of total billed charges		927.35	100			Percent of total billed charges		1091	100			Percent of total billed charges		1091	100			Percent of total billed charges		1091	33.3			Percent of total billed charges		363.303	33.3			Percent of total billed charges		363.303	100			Percent of total billed charges		1091	363.303	981.9	
biomet 28mm modular head plus 9mm 163665	278	RC	Outpatient			1091	709.15		90			Percent of total billed charges		981.9	40			Percent of total billed charges		436.4	80			Percent of total billed charges		872.8	90			Percent of total billed charges		981.9	85			Percent of total billed charges		927.35	85			Percent of total billed charges		927.35	85			Percent of total billed charges		927.35	100			Percent of total billed charges		1091	100			Percent of total billed charges		1091	100			Percent of total billed charges		1091	33.3			Percent of total billed charges		363.303	33.3			Percent of total billed charges		363.303	100			Percent of total billed charges		1091	363.303	981.9	
biomet 32mm modular head minus 6mm 163667	278	RC	Outpatient			1091	709.15		90			Percent of total billed charges		981.9	40			Percent of total billed charges		436.4	80			Percent of total billed charges		872.8	90			Percent of total billed charges		981.9	85			Percent of total billed charges		927.35	85			Percent of total billed charges		927.35	85			Percent of total billed charges		927.35	100			Percent of total billed charges		1091	100			Percent of total billed charges		1091	100			Percent of total billed charges		1091	33.3			Percent of total billed charges		363.303	33.3			Percent of total billed charges		363.303	100			Percent of total billed charges		1091	363.303	981.9	
biomet 32mm modular head plus 6mm 163674	278	RC	Outpatient			1091	709.15		90			Percent of total billed charges		981.9	40			Percent of total billed charges		436.4	80			Percent of total billed charges		872.8	90			Percent of total billed charges		981.9	85			Percent of total billed charges		927.35	85			Percent of total billed charges		927.35	85			Percent of total billed charges		927.35	100			Percent of total billed charges		1091	100			Percent of total billed charges		1091	100			Percent of total billed charges		1091	33.3			Percent of total billed charges		363.303	33.3			Percent of total billed charges		363.303	100			Percent of total billed charges		1091	363.303	981.9	
biomet 32mm modular head standard 163669	278	RC	Outpatient			1091	709.15		90			Percent of total billed charges		981.9	40			Percent of total billed charges		436.4	80			Percent of total billed charges		872.8	90			Percent of total billed charges		981.9	85			Percent of total billed charges		927.35	85			Percent of total billed charges		927.35	85			Percent of total billed charges		927.35	100			Percent of total billed charges		1091	100			Percent of total billed charges		1091	100			Percent of total billed charges		1091	33.3			Percent of total billed charges		363.303	33.3			Percent of total billed charges		363.303	100			Percent of total billed charges		1091	363.303	981.9	
biomet 40mm femoral head type 1 taper minus 3mm 010001036	278	RC	Outpatient			1091	709.15		90			Percent of total billed charges		981.9	40			Percent of total billed charges		436.4	80			Percent of total billed charges		872.8	90			Percent of total billed charges		981.9	85			Percent of total billed charges		927.35	85			Percent of total billed charges		927.35	85			Percent of total billed charges		927.35	100			Percent of total billed charges		1091	100			Percent of total billed charges		1091	100			Percent of total billed charges		1091	33.3			Percent of total billed charges		363.303	33.3			Percent of total billed charges		363.303	100			Percent of total billed charges		1091	363.303	981.9	
head minus 6mm 163660	278	RC	Outpatient			1091	709.15		90			Percent of total billed charges		981.9	40			Percent of total billed charges		436.4	80			Percent of total billed charges		872.8	90			Percent of total billed charges		981.9	85			Percent of total billed charges		927.35	85			Percent of total billed charges		927.35	85			Percent of total billed charges		927.35	100			Percent of total billed charges		1091	100			Percent of total billed charges		1091	100			Percent of total billed charges		1091	33.3			Percent of total billed charges		363.303	33.3			Percent of total billed charges		363.303	100			Percent of total billed charges		1091	363.303	981.9	
femoral ring allograft 1.2  1142-12 community tissue	278	RC	Outpatient			1091	709.15		90			Percent of total billed charges		981.9	40			Percent of total billed charges		436.4	80			Percent of total billed charges		872.8	90			Percent of total billed charges		981.9	85			Percent of total billed charges		927.35	85			Percent of total billed charges		927.35	85			Percent of total billed charges		927.35	100			Percent of total billed charges		1091	100			Percent of total billed charges		1091	100			Percent of total billed charges		1091	33.3			Percent of total billed charges		363.303	33.3			Percent of total billed charges		363.303	100			Percent of total billed charges		1091	363.303	981.9	
head 32mm minus 3mm biomet 163668	278	RC	Outpatient			1091	709.15		90			Percent of total billed charges		981.9	40			Percent of total billed charges		436.4	80			Percent of total billed charges		872.8	90			Percent of total billed charges		981.9	85			Percent of total billed charges		927.35	85			Percent of total billed charges		927.35	85			Percent of total billed charges		927.35	100			Percent of total billed charges		1091	100			Percent of total billed charges		1091	100			Percent of total billed charges		1091	33.3			Percent of total billed charges		363.303	33.3			Percent of total billed charges		363.303	100			Percent of total billed charges		1091	363.303	981.9	
modular head 28mm plus 6 163638	278	RC	Outpatient			1091	709.15		90			Percent of total billed charges		981.9	40			Percent of total billed charges		436.4	80			Percent of total billed charges		872.8	90			Percent of total billed charges		981.9	85			Percent of total billed charges		927.35	85			Percent of total billed charges		927.35	85			Percent of total billed charges		927.35	100			Percent of total billed charges		1091	100			Percent of total billed charges		1091	100			Percent of total billed charges		1091	33.3			Percent of total billed charges		363.303	33.3			Percent of total billed charges		363.303	100			Percent of total billed charges		1091	363.303	981.9	
modular head component 28mm 163662	278	RC	Outpatient			1091	709.15		90			Percent of total billed charges		981.9	40			Percent of total billed charges		436.4	80			Percent of total billed charges		872.8	90			Percent of total billed charges		981.9	85			Percent of total billed charges		927.35	85			Percent of total billed charges		927.35	85			Percent of total billed charges		927.35	100			Percent of total billed charges		1091	100			Percent of total billed charges		1091	100			Percent of total billed charges		1091	33.3			Percent of total billed charges		363.303	33.3			Percent of total billed charges		363.303	100			Percent of total billed charges		1091	363.303	981.9	
aquamantys 2.3	272	RC	Outpatient			1093	710.45		90			Percent of total billed charges		983.7	40			Percent of total billed charges		437.2	80			Percent of total billed charges		874.4	90			Percent of total billed charges		983.7	85			Percent of total billed charges		929.05	85			Percent of total billed charges		929.05	85			Percent of total billed charges		929.05	100			Percent of total billed charges		1093	100			Percent of total billed charges		1093	100			Percent of total billed charges		1093	33.3			Percent of total billed charges		363.969	33.3			Percent of total billed charges		363.969	100			Percent of total billed charges		1093	363.969	983.7	
aquamantys 2.3 23-113-1 salient	272	RC	Outpatient			1093	710.45		90			Percent of total billed charges		983.7	40			Percent of total billed charges		437.2	80			Percent of total billed charges		874.4	90			Percent of total billed charges		983.7	85			Percent of total billed charges		929.05	85			Percent of total billed charges		929.05	85			Percent of total billed charges		929.05	100			Percent of total billed charges		1093	100			Percent of total billed charges		1093	100			Percent of total billed charges		1093	33.3			Percent of total billed charges		363.969	33.3			Percent of total billed charges		363.969	100			Percent of total billed charges		1093	363.969	983.7	
mesh parietex vp 8.6	278	RC	Outpatient			1095	711.75		90			Percent of total billed charges		985.5	40			Percent of total billed charges		438	80			Percent of total billed charges		876	90			Percent of total billed charges		985.5	85			Percent of total billed charges		930.75	85			Percent of total billed charges		930.75	85			Percent of total billed charges		930.75	100			Percent of total billed charges		1095	100			Percent of total billed charges		1095	100			Percent of total billed charges		1095	33.3			Percent of total billed charges		364.635	33.3			Percent of total billed charges		364.635	100			Percent of total billed charges		1095	364.635	985.5	
parietex composite ventral patch 6.6cm  pco6vp covidien	278	RC	Outpatient			1095	711.75		90			Percent of total billed charges		985.5	40			Percent of total billed charges		438	80			Percent of total billed charges		876	90			Percent of total billed charges		985.5	85			Percent of total billed charges		930.75	85			Percent of total billed charges		930.75	85			Percent of total billed charges		930.75	100			Percent of total billed charges		1095	100			Percent of total billed charges		1095	100			Percent of total billed charges		1095	33.3			Percent of total billed charges		364.635	33.3			Percent of total billed charges		364.635	100			Percent of total billed charges		1095	364.635	985.5	
endo flex	750	RC	Outpatient			1096	712.4		90			Percent of total billed charges		986.4	40			Percent of total billed charges		438.4	80			Percent of total billed charges		876.8	90			Percent of total billed charges		986.4	85			Percent of total billed charges		931.6	85			Percent of total billed charges		931.6	85			Percent of total billed charges		931.6	100			Percent of total billed charges		1096	100			Percent of total billed charges		1096	100			Percent of total billed charges		1096	33.3			Percent of total billed charges		364.968	33.3			Percent of total billed charges		364.968	100			Percent of total billed charges		1096	364.968	986.4	
cable plates 6 hole ss 2232-003-01 zimmer	278	RC	Outpatient			1097	713.05		90			Percent of total billed charges		987.3	40			Percent of total billed charges		438.8	80			Percent of total billed charges		877.6	90			Percent of total billed charges		987.3	85			Percent of total billed charges		932.45	85			Percent of total billed charges		932.45	85			Percent of total billed charges		932.45	100			Percent of total billed charges		1097	100			Percent of total billed charges		1097	100			Percent of total billed charges		1097	33.3			Percent of total billed charges		365.301	33.3			Percent of total billed charges		365.301	100			Percent of total billed charges		1097	365.301	987.3	
zimmer 6-hl cable plate	278	RC	Outpatient			1097	713.05		90			Percent of total billed charges		987.3	40			Percent of total billed charges		438.8	80			Percent of total billed charges		877.6	90			Percent of total billed charges		987.3	85			Percent of total billed charges		932.45	85			Percent of total billed charges		932.45	85			Percent of total billed charges		932.45	100			Percent of total billed charges		1097	100			Percent of total billed charges		1097	100			Percent of total billed charges		1097	33.3			Percent of total billed charges		365.301	33.3			Percent of total billed charges		365.301	100			Percent of total billed charges		1097	365.301	987.3	
breast imp saline 200cc a	278	RC	Outpatient			1099	714.35		90			Percent of total billed charges		989.1	40			Percent of total billed charges		439.6	80			Percent of total billed charges		879.2	90			Percent of total billed charges		989.1	85			Percent of total billed charges		934.15	85			Percent of total billed charges		934.15	85			Percent of total billed charges		934.15	100			Percent of total billed charges		1099	100			Percent of total billed charges		1099	100			Percent of total billed charges		1099	33.3			Percent of total billed charges		365.967	33.3			Percent of total billed charges		365.967	100			Percent of total billed charges		1099	365.967	989.1	
breast imp saline 175cc	278	RC	Outpatient			1099	714.35		90			Percent of total billed charges		989.1	40			Percent of total billed charges		439.6	80			Percent of total billed charges		879.2	90			Percent of total billed charges		989.1	85			Percent of total billed charges		934.15	85			Percent of total billed charges		934.15	85			Percent of total billed charges		934.15	100			Percent of total billed charges		1099	100			Percent of total billed charges		1099	100			Percent of total billed charges		1099	33.3			Percent of total billed charges		365.967	33.3			Percent of total billed charges		365.967	100			Percent of total billed charges		1099	365.967	989.1	
breast imp saline 240cc a	278	RC	Outpatient			1099	714.35		90			Percent of total billed charges		989.1	40			Percent of total billed charges		439.6	80			Percent of total billed charges		879.2	90			Percent of total billed charges		989.1	85			Percent of total billed charges		934.15	85			Percent of total billed charges		934.15	85			Percent of total billed charges		934.15	100			Percent of total billed charges		1099	100			Percent of total billed charges		1099	100			Percent of total billed charges		1099	33.3			Percent of total billed charges		365.967	33.3			Percent of total billed charges		365.967	100			Percent of total billed charges		1099	365.967	989.1	
breast imp saline 250cc	278	RC	Outpatient			1099	714.35		90			Percent of total billed charges		989.1	40			Percent of total billed charges		439.6	80			Percent of total billed charges		879.2	90			Percent of total billed charges		989.1	85			Percent of total billed charges		934.15	85			Percent of total billed charges		934.15	85			Percent of total billed charges		934.15	100			Percent of total billed charges		1099	100			Percent of total billed charges		1099	100			Percent of total billed charges		1099	33.3			Percent of total billed charges		365.967	33.3			Percent of total billed charges		365.967	100			Percent of total billed charges		1099	365.967	989.1	
breast imp saline 280cc	278	RC	Outpatient			1099	714.35		90			Percent of total billed charges		989.1	40			Percent of total billed charges		439.6	80			Percent of total billed charges		879.2	90			Percent of total billed charges		989.1	85			Percent of total billed charges		934.15	85			Percent of total billed charges		934.15	85			Percent of total billed charges		934.15	100			Percent of total billed charges		1099	100			Percent of total billed charges		1099	100			Percent of total billed charges		1099	33.3			Percent of total billed charges		365.967	33.3			Percent of total billed charges		365.967	100			Percent of total billed charges		1099	365.967	989.1	
breast implant 300cc alle	278	RC	Outpatient			1099	714.35		90			Percent of total billed charges		989.1	40			Percent of total billed charges		439.6	80			Percent of total billed charges		879.2	90			Percent of total billed charges		989.1	85			Percent of total billed charges		934.15	85			Percent of total billed charges		934.15	85			Percent of total billed charges		934.15	100			Percent of total billed charges		1099	100			Percent of total billed charges		1099	100			Percent of total billed charges		1099	33.3			Percent of total billed charges		365.967	33.3			Percent of total billed charges		365.967	100			Percent of total billed charges		1099	365.967	989.1	
natrelle saline-filled implant 175cc 68lp-175 allergan	278	RC	Outpatient			1099	714.35		90			Percent of total billed charges		989.1	40			Percent of total billed charges		439.6	80			Percent of total billed charges		879.2	90			Percent of total billed charges		989.1	85			Percent of total billed charges		934.15	85			Percent of total billed charges		934.15	85			Percent of total billed charges		934.15	100			Percent of total billed charges		1099	100			Percent of total billed charges		1099	100			Percent of total billed charges		1099	33.3			Percent of total billed charges		365.967	33.3			Percent of total billed charges		365.967	100			Percent of total billed charges		1099	365.967	989.1	
natrelle saline-filled implant 200cc 68lp-200 allergan	278	RC	Outpatient			1099	714.35		90			Percent of total billed charges		989.1	40			Percent of total billed charges		439.6	80			Percent of total billed charges		879.2	90			Percent of total billed charges		989.1	85			Percent of total billed charges		934.15	85			Percent of total billed charges		934.15	85			Percent of total billed charges		934.15	100			Percent of total billed charges		1099	100			Percent of total billed charges		1099	100			Percent of total billed charges		1099	33.3			Percent of total billed charges		365.967	33.3			Percent of total billed charges		365.967	100			Percent of total billed charges		1099	365.967	989.1	
natrelle saline-filled implant 250cc 68lp-250 allergan	278	RC	Outpatient			1099	714.35		90			Percent of total billed charges		989.1	40			Percent of total billed charges		439.6	80			Percent of total billed charges		879.2	90			Percent of total billed charges		989.1	85			Percent of total billed charges		934.15	85			Percent of total billed charges		934.15	85			Percent of total billed charges		934.15	100			Percent of total billed charges		1099	100			Percent of total billed charges		1099	100			Percent of total billed charges		1099	33.3			Percent of total billed charges		365.967	33.3			Percent of total billed charges		365.967	100			Percent of total billed charges		1099	365.967	989.1	
natrelle saline-filled implant 280cc 68hp-280 allergan	278	RC	Outpatient			1099	714.35		90			Percent of total billed charges		989.1	40			Percent of total billed charges		439.6	80			Percent of total billed charges		879.2	90			Percent of total billed charges		989.1	85			Percent of total billed charges		934.15	85			Percent of total billed charges		934.15	85			Percent of total billed charges		934.15	100			Percent of total billed charges		1099	100			Percent of total billed charges		1099	100			Percent of total billed charges		1099	33.3			Percent of total billed charges		365.967	33.3			Percent of total billed charges		365.967	100			Percent of total billed charges		1099	365.967	989.1	
natrelle saline-filled implant 300cc 68lp-300 allergan	278	RC	Outpatient			1099	714.35		90			Percent of total billed charges		989.1	40			Percent of total billed charges		439.6	80			Percent of total billed charges		879.2	90			Percent of total billed charges		989.1	85			Percent of total billed charges		934.15	85			Percent of total billed charges		934.15	85			Percent of total billed charges		934.15	100			Percent of total billed charges		1099	100			Percent of total billed charges		1099	100			Percent of total billed charges		1099	33.3			Percent of total billed charges		365.967	33.3			Percent of total billed charges		365.967	100			Percent of total billed charges		1099	365.967	989.1	
secure strap tacker	270	RC	Outpatient			1099	714.35		90			Percent of total billed charges		989.1	40			Percent of total billed charges		439.6	80			Percent of total billed charges		879.2	90			Percent of total billed charges		989.1	85			Percent of total billed charges		934.15	85			Percent of total billed charges		934.15	85			Percent of total billed charges		934.15	100			Percent of total billed charges		1099	100			Percent of total billed charges		1099	100			Percent of total billed charges		1099	33.3			Percent of total billed charges		365.967	33.3			Percent of total billed charges		365.967	100			Percent of total billed charges		1099	365.967	989.1	
securestrap 25 tacker strap25 ethicon	270	RC	Outpatient			1099	714.35		90			Percent of total billed charges		989.1	40			Percent of total billed charges		439.6	80			Percent of total billed charges		879.2	90			Percent of total billed charges		989.1	85			Percent of total billed charges		934.15	85			Percent of total billed charges		934.15	85			Percent of total billed charges		934.15	100			Percent of total billed charges		1099	100			Percent of total billed charges		1099	100			Percent of total billed charges		1099	33.3			Percent of total billed charges		365.967	33.3			Percent of total billed charges		365.967	100			Percent of total billed charges		1099	365.967	989.1	
cosmetic - laser hair removal - front/neck/chin 5 sessions	983	RC	Outpatient			1100	715		90			Percent of total billed charges		990	40			Percent of total billed charges		440	80			Percent of total billed charges		880	90			Percent of total billed charges		990	85			Percent of total billed charges		935	85			Percent of total billed charges		935	85			Percent of total billed charges		935	100			Percent of total billed charges		1100	100			Percent of total billed charges		1100	100			Percent of total billed charges		1100	33.3			Percent of total billed charges		366.3	33.3			Percent of total billed charges		366.3	100			Percent of total billed charges		1100	366.3	990	
scrmc cath progreat	270	RC	Outpatient			1100	715		90			Percent of total billed charges		990	40			Percent of total billed charges		440	80			Percent of total billed charges		880	90			Percent of total billed charges		990	85			Percent of total billed charges		935	85			Percent of total billed charges		935	85			Percent of total billed charges		935	100			Percent of total billed charges		1100	100			Percent of total billed charges		1100	100			Percent of total billed charges		1100	33.3			Percent of total billed charges		366.3	33.3			Percent of total billed charges		366.3	100			Percent of total billed charges		1100	366.3	990	
gyrus pks forcep-halo	272	RC	Outpatient			1103	716.95		90			Percent of total billed charges		992.7	40			Percent of total billed charges		441.2	80			Percent of total billed charges		882.4	90			Percent of total billed charges		992.7	85			Percent of total billed charges		937.55	85			Percent of total billed charges		937.55	85			Percent of total billed charges		937.55	100			Percent of total billed charges		1103	100			Percent of total billed charges		1103	100			Percent of total billed charges		1103	33.3			Percent of total billed charges		367.299	33.3			Percent of total billed charges		367.299	100			Percent of total billed charges		1103	367.299	992.7	
halo pks cutting forcep hacf0533 gyrus	272	RC	Outpatient			1103	716.95		90			Percent of total billed charges		992.7	40			Percent of total billed charges		441.2	80			Percent of total billed charges		882.4	90			Percent of total billed charges		992.7	85			Percent of total billed charges		937.55	85			Percent of total billed charges		937.55	85			Percent of total billed charges		937.55	100			Percent of total billed charges		1103	100			Percent of total billed charges		1103	100			Percent of total billed charges		1103	33.3			Percent of total billed charges		367.299	33.3			Percent of total billed charges		367.299	100			Percent of total billed charges		1103	367.299	992.7	
elbow scope kit	272	RC	Outpatient			1103	716.95		90			Percent of total billed charges		992.7	40			Percent of total billed charges		441.2	80			Percent of total billed charges		882.4	90			Percent of total billed charges		992.7	85			Percent of total billed charges		937.55	85			Percent of total billed charges		937.55	85			Percent of total billed charges		937.55	100			Percent of total billed charges		1103	100			Percent of total billed charges		1103	100			Percent of total billed charges		1103	33.3			Percent of total billed charges		367.299	33.3			Percent of total billed charges		367.299	100			Percent of total billed charges		1103	367.299	992.7	
elbow u/a kit 7205434e s/n	272	RC	Outpatient			1103	716.95		90			Percent of total billed charges		992.7	40			Percent of total billed charges		441.2	80			Percent of total billed charges		882.4	90			Percent of total billed charges		992.7	85			Percent of total billed charges		937.55	85			Percent of total billed charges		937.55	85			Percent of total billed charges		937.55	100			Percent of total billed charges		1103	100			Percent of total billed charges		1103	100			Percent of total billed charges		1103	33.3			Percent of total billed charges		367.299	33.3			Percent of total billed charges		367.299	100			Percent of total billed charges		1103	367.299	992.7	
lpt great toe sizer	272	RC	Outpatient			1103	716.95		90			Percent of total billed charges		992.7	40			Percent of total billed charges		441.2	80			Percent of total billed charges		882.4	90			Percent of total billed charges		992.7	85			Percent of total billed charges		937.55	85			Percent of total billed charges		937.55	85			Percent of total billed charges		937.55	100			Percent of total billed charges		1103	100			Percent of total billed charges		1103	100			Percent of total billed charges		1103	33.3			Percent of total billed charges		367.299	33.3			Percent of total billed charges		367.299	100			Percent of total billed charges		1103	367.299	992.7	
lpt great sizing set 4871000 wright	272	RC	Outpatient			1103	716.95		90			Percent of total billed charges		992.7	40			Percent of total billed charges		441.2	80			Percent of total billed charges		882.4	90			Percent of total billed charges		992.7	85			Percent of total billed charges		937.55	85			Percent of total billed charges		937.55	85			Percent of total billed charges		937.55	100			Percent of total billed charges		1103	100			Percent of total billed charges		1103	100			Percent of total billed charges		1103	33.3			Percent of total billed charges		367.299	33.3			Percent of total billed charges		367.299	100			Percent of total billed charges		1103	367.299	992.7	
repicci ii tibia insert lg 10mm 215076 biomet	278	RC	Outpatient			1103	716.95		90			Percent of total billed charges		992.7	40			Percent of total billed charges		441.2	80			Percent of total billed charges		882.4	90			Percent of total billed charges		992.7	85			Percent of total billed charges		937.55	85			Percent of total billed charges		937.55	85			Percent of total billed charges		937.55	100			Percent of total billed charges		1103	100			Percent of total billed charges		1103	100			Percent of total billed charges		1103	33.3			Percent of total billed charges		367.299	33.3			Percent of total billed charges		367.299	100			Percent of total billed charges		1103	367.299	992.7	
uni tibial insert	278	RC	Outpatient			1103	716.95		90			Percent of total billed charges		992.7	40			Percent of total billed charges		441.2	80			Percent of total billed charges		882.4	90			Percent of total billed charges		992.7	85			Percent of total billed charges		937.55	85			Percent of total billed charges		937.55	85			Percent of total billed charges		937.55	100			Percent of total billed charges		1103	100			Percent of total billed charges		1103	100			Percent of total billed charges		1103	33.3			Percent of total billed charges		367.299	33.3			Percent of total billed charges		367.299	100			Percent of total billed charges		1103	367.299	992.7	
mesh ventralex lg circle	278	RC	Outpatient			1104	717.6		90			Percent of total billed charges		993.6	40			Percent of total billed charges		441.6	80			Percent of total billed charges		883.2	90			Percent of total billed charges		993.6	85			Percent of total billed charges		938.4	85			Percent of total billed charges		938.4	85			Percent of total billed charges		938.4	100			Percent of total billed charges		1104	100			Percent of total billed charges		1104	100			Percent of total billed charges		1104	33.3			Percent of total billed charges		367.632	33.3			Percent of total billed charges		367.632	100			Percent of total billed charges		1104	367.632	993.6	
ventralex hernia patch large circle w/strap  0010303 bard	278	RC	Outpatient			1104	717.6		90			Percent of total billed charges		993.6	40			Percent of total billed charges		441.6	80			Percent of total billed charges		883.2	90			Percent of total billed charges		993.6	85			Percent of total billed charges		938.4	85			Percent of total billed charges		938.4	85			Percent of total billed charges		938.4	100			Percent of total billed charges		1104	100			Percent of total billed charges		1104	100			Percent of total billed charges		1104	33.3			Percent of total billed charges		367.632	33.3			Percent of total billed charges		367.632	100			Percent of total billed charges		1104	367.632	993.6	
22851 application of intervertebral biomechanical devices	983	RC	Outpatient			1105	718.25		90			Percent of total billed charges		994.5	40			Percent of total billed charges		442	80			Percent of total billed charges		884	90			Percent of total billed charges		994.5	85			Percent of total billed charges		939.25	85			Percent of total billed charges		939.25	85			Percent of total billed charges		939.25	100			Percent of total billed charges		1105	100			Percent of total billed charges		1105	100			Percent of total billed charges		1105	33.3			Percent of total billed charges		367.965	33.3			Percent of total billed charges		367.965	100			Percent of total billed charges		1105	367.965	994.5	
ac joint disp system 904837 biomet sports	278	RC	Outpatient			1105	718.25		90			Percent of total billed charges		994.5	40			Percent of total billed charges		442	80			Percent of total billed charges		884	90			Percent of total billed charges		994.5	85			Percent of total billed charges		939.25	85			Percent of total billed charges		939.25	85			Percent of total billed charges		939.25	100			Percent of total billed charges		1105	100			Percent of total billed charges		1105	100			Percent of total billed charges		1105	33.3			Percent of total billed charges		367.965	33.3			Percent of total billed charges		367.965	100			Percent of total billed charges		1105	367.965	994.5	
bio a/c joint kit	278	RC	Outpatient			1105	718.25		90			Percent of total billed charges		994.5	40			Percent of total billed charges		442	80			Percent of total billed charges		884	90			Percent of total billed charges		994.5	85			Percent of total billed charges		939.25	85			Percent of total billed charges		939.25	85			Percent of total billed charges		939.25	100			Percent of total billed charges		1105	100			Percent of total billed charges		1105	100			Percent of total billed charges		1105	33.3			Percent of total billed charges		367.965	33.3			Percent of total billed charges		367.965	100			Percent of total billed charges		1105	367.965	994.5	
clavicle plate j lt 9 hole pl-cl9jl acumed	278	RC	Outpatient			1106	718.9		90			Percent of total billed charges		995.4	40			Percent of total billed charges		442.4	80			Percent of total billed charges		884.8	90			Percent of total billed charges		995.4	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	33.3			Percent of total billed charges		368.298	33.3			Percent of total billed charges		368.298	100			Percent of total billed charges		1106	368.298	995.4	
clavicle plate j rt 9 hole pl-cl9jr acumed	278	RC	Outpatient			1106	718.9		90			Percent of total billed charges		995.4	40			Percent of total billed charges		442.4	80			Percent of total billed charges		884.8	90			Percent of total billed charges		995.4	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	33.3			Percent of total billed charges		368.298	33.3			Percent of total billed charges		368.298	100			Percent of total billed charges		1106	368.298	995.4	
clavicle plate lg lt 10 hole pl-cl10ll acumed	278	RC	Outpatient			1106	718.9		90			Percent of total billed charges		995.4	40			Percent of total billed charges		442.4	80			Percent of total billed charges		884.8	90			Percent of total billed charges		995.4	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	33.3			Percent of total billed charges		368.298	33.3			Percent of total billed charges		368.298	100			Percent of total billed charges		1106	368.298	995.4	
clavicle plate med lt 8 hole pl-cl8ml acumed	278	RC	Outpatient			1106	718.9		90			Percent of total billed charges		995.4	40			Percent of total billed charges		442.4	80			Percent of total billed charges		884.8	90			Percent of total billed charges		995.4	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	33.3			Percent of total billed charges		368.298	33.3			Percent of total billed charges		368.298	100			Percent of total billed charges		1106	368.298	995.4	
clavicle plate med rt 8 hole pl-cl8mr acumed	278	RC	Outpatient			1106	718.9		90			Percent of total billed charges		995.4	40			Percent of total billed charges		442.4	80			Percent of total billed charges		884.8	90			Percent of total billed charges		995.4	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	33.3			Percent of total billed charges		368.298	33.3			Percent of total billed charges		368.298	100			Percent of total billed charges		1106	368.298	995.4	
clavicle plate sm rt 8 hole pl-cl8sr acumed	278	RC	Outpatient			1106	718.9		90			Percent of total billed charges		995.4	40			Percent of total billed charges		442.4	80			Percent of total billed charges		884.8	90			Percent of total billed charges		995.4	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	33.3			Percent of total billed charges		368.298	33.3			Percent of total billed charges		368.298	100			Percent of total billed charges		1106	368.298	995.4	
clavicle plate-lg	278	RC	Outpatient			1106	718.9		90			Percent of total billed charges		995.4	40			Percent of total billed charges		442.4	80			Percent of total billed charges		884.8	90			Percent of total billed charges		995.4	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	33.3			Percent of total billed charges		368.298	33.3			Percent of total billed charges		368.298	100			Percent of total billed charges		1106	368.298	995.4	
congruent  elbow plate acumed pl-elm10	278	RC	Outpatient			1106	718.9		90			Percent of total billed charges		995.4	40			Percent of total billed charges		442.4	80			Percent of total billed charges		884.8	90			Percent of total billed charges		995.4	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	33.3			Percent of total billed charges		368.298	33.3			Percent of total billed charges		368.298	100			Percent of total billed charges		1106	368.298	995.4	
clavicle plate j lt 8 hole pl-cl8jl acumed	278	RC	Outpatient			1106	718.9		90			Percent of total billed charges		995.4	40			Percent of total billed charges		442.4	80			Percent of total billed charges		884.8	90			Percent of total billed charges		995.4	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	33.3			Percent of total billed charges		368.298	33.3			Percent of total billed charges		368.298	100			Percent of total billed charges		1106	368.298	995.4	
clavicle plate j rt 8 hole pl-cl8jr acumed	278	RC	Outpatient			1106	718.9		90			Percent of total billed charges		995.4	40			Percent of total billed charges		442.4	80			Percent of total billed charges		884.8	90			Percent of total billed charges		995.4	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	33.3			Percent of total billed charges		368.298	33.3			Percent of total billed charges		368.298	100			Percent of total billed charges		1106	368.298	995.4	
clavicle plate lg lt 8 hole pl-cl8ll acumed	278	RC	Outpatient			1106	718.9		90			Percent of total billed charges		995.4	40			Percent of total billed charges		442.4	80			Percent of total billed charges		884.8	90			Percent of total billed charges		995.4	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	33.3			Percent of total billed charges		368.298	33.3			Percent of total billed charges		368.298	100			Percent of total billed charges		1106	368.298	995.4	
clavicle plate lg rt 10 hole pl-cl10lr acumed	278	RC	Outpatient			1106	718.9		90			Percent of total billed charges		995.4	40			Percent of total billed charges		442.4	80			Percent of total billed charges		884.8	90			Percent of total billed charges		995.4	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	33.3			Percent of total billed charges		368.298	33.3			Percent of total billed charges		368.298	100			Percent of total billed charges		1106	368.298	995.4	
clavicle plate lg rt 8 hole pl-cl8lr acumed	278	RC	Outpatient			1106	718.9		90			Percent of total billed charges		995.4	40			Percent of total billed charges		442.4	80			Percent of total billed charges		884.8	90			Percent of total billed charges		995.4	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	33.3			Percent of total billed charges		368.298	33.3			Percent of total billed charges		368.298	100			Percent of total billed charges		1106	368.298	995.4	
clavicle plate sm lt 6 hole pl-cl6sl acumed	278	RC	Outpatient			1106	718.9		90			Percent of total billed charges		995.4	40			Percent of total billed charges		442.4	80			Percent of total billed charges		884.8	90			Percent of total billed charges		995.4	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	33.3			Percent of total billed charges		368.298	33.3			Percent of total billed charges		368.298	100			Percent of total billed charges		1106	368.298	995.4	
clavicle plate sm lt 8 hole pl-cl8sl acumed	278	RC	Outpatient			1106	718.9		90			Percent of total billed charges		995.4	40			Percent of total billed charges		442.4	80			Percent of total billed charges		884.8	90			Percent of total billed charges		995.4	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	33.3			Percent of total billed charges		368.298	33.3			Percent of total billed charges		368.298	100			Percent of total billed charges		1106	368.298	995.4	
clavicle plate sm rt 6 hole pl-cl6sr acumed	278	RC	Outpatient			1106	718.9		90			Percent of total billed charges		995.4	40			Percent of total billed charges		442.4	80			Percent of total billed charges		884.8	90			Percent of total billed charges		995.4	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	33.3			Percent of total billed charges		368.298	33.3			Percent of total billed charges		368.298	100			Percent of total billed charges		1106	368.298	995.4	
congruent elbow plate	278	RC	Outpatient			1106	718.9		90			Percent of total billed charges		995.4	40			Percent of total billed charges		442.4	80			Percent of total billed charges		884.8	90			Percent of total billed charges		995.4	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	33.3			Percent of total billed charges		368.298	33.3			Percent of total billed charges		368.298	100			Percent of total billed charges		1106	368.298	995.4	
congruent post elbow plate pl-elpo acumed	278	RC	Outpatient			1106	718.9		90			Percent of total billed charges		995.4	40			Percent of total billed charges		442.4	80			Percent of total billed charges		884.8	90			Percent of total billed charges		995.4	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	33.3			Percent of total billed charges		368.298	33.3			Percent of total billed charges		368.298	100			Percent of total billed charges		1106	368.298	995.4	
elbow congruent plate  pl-elcol acumed	278	RC	Outpatient			1106	718.9		90			Percent of total billed charges		995.4	40			Percent of total billed charges		442.4	80			Percent of total billed charges		884.8	90			Percent of total billed charges		995.4	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	33.3			Percent of total billed charges		368.298	33.3			Percent of total billed charges		368.298	100			Percent of total billed charges		1106	368.298	995.4	
elbow congruent plate  pl-elcor acumed	278	RC	Outpatient			1106	718.9		90			Percent of total billed charges		995.4	40			Percent of total billed charges		442.4	80			Percent of total billed charges		884.8	90			Percent of total billed charges		995.4	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	33.3			Percent of total billed charges		368.298	33.3			Percent of total billed charges		368.298	100			Percent of total billed charges		1106	368.298	995.4	
elbow congruent plate  pl-elml acumed	278	RC	Outpatient			1106	718.9		90			Percent of total billed charges		995.4	40			Percent of total billed charges		442.4	80			Percent of total billed charges		884.8	90			Percent of total billed charges		995.4	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	33.3			Percent of total billed charges		368.298	33.3			Percent of total billed charges		368.298	100			Percent of total billed charges		1106	368.298	995.4	
elbow congruent plate  pl-elox acumed	278	RC	Outpatient			1106	718.9		90			Percent of total billed charges		995.4	40			Percent of total billed charges		442.4	80			Percent of total billed charges		884.8	90			Percent of total billed charges		995.4	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	33.3			Percent of total billed charges		368.298	33.3			Percent of total billed charges		368.298	100			Percent of total billed charges		1106	368.298	995.4	
elbow congruent plate   pl-elmm acumed	278	RC	Outpatient			1106	718.9		90			Percent of total billed charges		995.4	40			Percent of total billed charges		442.4	80			Percent of total billed charges		884.8	90			Percent of total billed charges		995.4	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	33.3			Percent of total billed charges		368.298	33.3			Percent of total billed charges		368.298	100			Percent of total billed charges		1106	368.298	995.4	
elbow congruent plate   pl-elmx acumed	278	RC	Outpatient			1106	718.9		90			Percent of total billed charges		995.4	40			Percent of total billed charges		442.4	80			Percent of total billed charges		884.8	90			Percent of total billed charges		995.4	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	33.3			Percent of total billed charges		368.298	33.3			Percent of total billed charges		368.298	100			Percent of total billed charges		1106	368.298	995.4	
elbow congruent plate  pl-elms acumed	278	RC	Outpatient			1106	718.9		90			Percent of total billed charges		995.4	40			Percent of total billed charges		442.4	80			Percent of total billed charges		884.8	90			Percent of total billed charges		995.4	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	33.3			Percent of total billed charges		368.298	33.3			Percent of total billed charges		368.298	100			Percent of total billed charges		1106	368.298	995.4	
long post 6.5 x 40 mm screw 48901640 stryker	278	RC	Outpatient			1106	718.9		90			Percent of total billed charges		995.4	40			Percent of total billed charges		442.4	80			Percent of total billed charges		884.8	90			Percent of total billed charges		995.4	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	33.3			Percent of total billed charges		368.298	33.3			Percent of total billed charges		368.298	100			Percent of total billed charges		1106	368.298	995.4	
long post 7.5 x 45 mm screw 48901745 stryker	278	RC	Outpatient			1106	718.9		90			Percent of total billed charges		995.4	40			Percent of total billed charges		442.4	80			Percent of total billed charges		884.8	90			Percent of total billed charges		995.4	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	33.3			Percent of total billed charges		368.298	33.3			Percent of total billed charges		368.298	100			Percent of total billed charges		1106	368.298	995.4	
mayo clinic elbow congruent plate  long lateral epicondyal r pl-ellmr acumed	278	RC	Outpatient			1106	718.9		90			Percent of total billed charges		995.4	40			Percent of total billed charges		442.4	80			Percent of total billed charges		884.8	90			Percent of total billed charges		995.4	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	33.3			Percent of total billed charges		368.298	33.3			Percent of total billed charges		368.298	100			Percent of total billed charges		1106	368.298	995.4	
mayo clinic elbow congruent plate  long olecranon plate pl-elol	278	RC	Outpatient			1106	718.9		90			Percent of total billed charges		995.4	40			Percent of total billed charges		442.4	80			Percent of total billed charges		884.8	90			Percent of total billed charges		995.4	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	33.3			Percent of total billed charges		368.298	33.3			Percent of total billed charges		368.298	100			Percent of total billed charges		1106	368.298	995.4	
mayo clinic elbow congruent plate  small lateral epicondyal l pl-ellsl acumed	278	RC	Outpatient			1106	718.9		90			Percent of total billed charges		995.4	40			Percent of total billed charges		442.4	80			Percent of total billed charges		884.8	90			Percent of total billed charges		995.4	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	33.3			Percent of total billed charges		368.298	33.3			Percent of total billed charges		368.298	100			Percent of total billed charges		1106	368.298	995.4	
mayo clinic elbow congruent plate  small lateral epicondyal r pl-ellsr acumed	278	RC	Outpatient			1106	718.9		90			Percent of total billed charges		995.4	40			Percent of total billed charges		442.4	80			Percent of total billed charges		884.8	90			Percent of total billed charges		995.4	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	33.3			Percent of total billed charges		368.298	33.3			Percent of total billed charges		368.298	100			Percent of total billed charges		1106	368.298	995.4	
mayo clinic elbow congruent plate  standard olecranon plate pl-elom	278	RC	Outpatient			1106	718.9		90			Percent of total billed charges		995.4	40			Percent of total billed charges		442.4	80			Percent of total billed charges		884.8	90			Percent of total billed charges		995.4	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	33.3			Percent of total billed charges		368.298	33.3			Percent of total billed charges		368.298	100			Percent of total billed charges		1106	368.298	995.4	
long post 6.5 x 45 mm screw 48901645 stryker	278	RC	Outpatient			1106	718.9		90			Percent of total billed charges		995.4	40			Percent of total billed charges		442.4	80			Percent of total billed charges		884.8	90			Percent of total billed charges		995.4	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	33.3			Percent of total billed charges		368.298	33.3			Percent of total billed charges		368.298	100			Percent of total billed charges		1106	368.298	995.4	
long post 6.5 x 50 mm screw 48901650 stryker	278	RC	Outpatient			1106	718.9		90			Percent of total billed charges		995.4	40			Percent of total billed charges		442.4	80			Percent of total billed charges		884.8	90			Percent of total billed charges		995.4	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	33.3			Percent of total billed charges		368.298	33.3			Percent of total billed charges		368.298	100			Percent of total billed charges		1106	368.298	995.4	
long post 7.5 x 40 mm screw 48901740 stryker	278	RC	Outpatient			1106	718.9		90			Percent of total billed charges		995.4	40			Percent of total billed charges		442.4	80			Percent of total billed charges		884.8	90			Percent of total billed charges		995.4	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	33.3			Percent of total billed charges		368.298	33.3			Percent of total billed charges		368.298	100			Percent of total billed charges		1106	368.298	995.4	
long post 7.5 x 50 mm screw 48901750 stryker	278	RC	Outpatient			1106	718.9		90			Percent of total billed charges		995.4	40			Percent of total billed charges		442.4	80			Percent of total billed charges		884.8	90			Percent of total billed charges		995.4	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	33.3			Percent of total billed charges		368.298	33.3			Percent of total billed charges		368.298	100			Percent of total billed charges		1106	368.298	995.4	
mayo clinic elbow congruent plate  long lateral epicondyal l pl-ellmr  acumed	278	RC	Outpatient			1106	718.9		90			Percent of total billed charges		995.4	40			Percent of total billed charges		442.4	80			Percent of total billed charges		884.8	90			Percent of total billed charges		995.4	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	33.3			Percent of total billed charges		368.298	33.3			Percent of total billed charges		368.298	100			Percent of total billed charges		1106	368.298	995.4	
stryker lg post 6.5/7.5sc	278	RC	Outpatient			1106	718.9		90			Percent of total billed charges		995.4	40			Percent of total billed charges		442.4	80			Percent of total billed charges		884.8	90			Percent of total billed charges		995.4	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	85			Percent of total billed charges		940.1	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	100			Percent of total billed charges		1106	33.3			Percent of total billed charges		368.298	33.3			Percent of total billed charges		368.298	100			Percent of total billed charges		1106	368.298	995.4	
rich suparcondylor hip10h	278	RC	Outpatient			1107	719.55		90			Percent of total billed charges		996.3	40			Percent of total billed charges		442.8	80			Percent of total billed charges		885.6	90			Percent of total billed charges		996.3	85			Percent of total billed charges		940.95	85			Percent of total billed charges		940.95	85			Percent of total billed charges		940.95	100			Percent of total billed charges		1107	100			Percent of total billed charges		1107	100			Percent of total billed charges		1107	33.3			Percent of total billed charges		368.631	33.3			Percent of total billed charges		368.631	100			Percent of total billed charges		1107	368.631	996.3	
comp plt 3.5mm 5 hl 71809405 s\n	278	RC	Outpatient			1108	720.2		90			Percent of total billed charges		997.2	40			Percent of total billed charges		443.2	80			Percent of total billed charges		886.4	90			Percent of total billed charges		997.2	85			Percent of total billed charges		941.8	85			Percent of total billed charges		941.8	85			Percent of total billed charges		941.8	100			Percent of total billed charges		1108	100			Percent of total billed charges		1108	100			Percent of total billed charges		1108	33.3			Percent of total billed charges		368.964	33.3			Percent of total billed charges		368.964	100			Percent of total billed charges		1108	368.964	997.2	
comp plt 3.5mm 5 hl 71829405 s\n	278	RC	Outpatient			1108	720.2		90			Percent of total billed charges		997.2	40			Percent of total billed charges		443.2	80			Percent of total billed charges		886.4	90			Percent of total billed charges		997.2	85			Percent of total billed charges		941.8	85			Percent of total billed charges		941.8	85			Percent of total billed charges		941.8	100			Percent of total billed charges		1108	100			Percent of total billed charges		1108	100			Percent of total billed charges		1108	33.3			Percent of total billed charges		368.964	33.3			Percent of total billed charges		368.964	100			Percent of total billed charges		1108	368.964	997.2	
comp plt 3.5mm 6 hl 71809406 s\n	278	RC	Outpatient			1108	720.2		90			Percent of total billed charges		997.2	40			Percent of total billed charges		443.2	80			Percent of total billed charges		886.4	90			Percent of total billed charges		997.2	85			Percent of total billed charges		941.8	85			Percent of total billed charges		941.8	85			Percent of total billed charges		941.8	100			Percent of total billed charges		1108	100			Percent of total billed charges		1108	100			Percent of total billed charges		1108	33.3			Percent of total billed charges		368.964	33.3			Percent of total billed charges		368.964	100			Percent of total billed charges		1108	368.964	997.2	
comp plt 3.5mm 6 hl 71829406 s\n	278	RC	Outpatient			1108	720.2		90			Percent of total billed charges		997.2	40			Percent of total billed charges		443.2	80			Percent of total billed charges		886.4	90			Percent of total billed charges		997.2	85			Percent of total billed charges		941.8	85			Percent of total billed charges		941.8	85			Percent of total billed charges		941.8	100			Percent of total billed charges		1108	100			Percent of total billed charges		1108	100			Percent of total billed charges		1108	33.3			Percent of total billed charges		368.964	33.3			Percent of total billed charges		368.964	100			Percent of total billed charges		1108	368.964	997.2	
s/n 3.5 comp pl 5-6 hl	278	RC	Outpatient			1108	720.2		90			Percent of total billed charges		997.2	40			Percent of total billed charges		443.2	80			Percent of total billed charges		886.4	90			Percent of total billed charges		997.2	85			Percent of total billed charges		941.8	85			Percent of total billed charges		941.8	85			Percent of total billed charges		941.8	100			Percent of total billed charges		1108	100			Percent of total billed charges		1108	100			Percent of total billed charges		1108	33.3			Percent of total billed charges		368.964	33.3			Percent of total billed charges		368.964	100			Percent of total billed charges		1108	368.964	997.2	
multi-pin 393.756 synthes	270	RC	Outpatient			1109	720.85		90			Percent of total billed charges		998.1	40			Percent of total billed charges		443.6	80			Percent of total billed charges		887.2	90			Percent of total billed charges		998.1	85			Percent of total billed charges		942.65	85			Percent of total billed charges		942.65	85			Percent of total billed charges		942.65	100			Percent of total billed charges		1109	100			Percent of total billed charges		1109	100			Percent of total billed charges		1109	33.3			Percent of total billed charges		369.297	33.3			Percent of total billed charges		369.297	100			Percent of total billed charges		1109	369.297	998.1	
j&j fmoral stm ultima cem	278	RC	Outpatient			1109	720.85		90			Percent of total billed charges		998.1	40			Percent of total billed charges		443.6	80			Percent of total billed charges		887.2	90			Percent of total billed charges		998.1	85			Percent of total billed charges		942.65	85			Percent of total billed charges		942.65	85			Percent of total billed charges		942.65	100			Percent of total billed charges		1109	100			Percent of total billed charges		1109	100			Percent of total billed charges		1109	33.3			Percent of total billed charges		369.297	33.3			Percent of total billed charges		369.297	100			Percent of total billed charges		1109	369.297	998.1	
syn x-fix multi pin clamp	270	RC	Outpatient			1109	720.85		90			Percent of total billed charges		998.1	40			Percent of total billed charges		443.6	80			Percent of total billed charges		887.2	90			Percent of total billed charges		998.1	85			Percent of total billed charges		942.65	85			Percent of total billed charges		942.65	85			Percent of total billed charges		942.65	100			Percent of total billed charges		1109	100			Percent of total billed charges		1109	100			Percent of total billed charges		1109	33.3			Percent of total billed charges		369.297	33.3			Percent of total billed charges		369.297	100			Percent of total billed charges		1109	369.297	998.1	
triathlon sym poly patell	278	RC	Outpatient			1109	720.85		90			Percent of total billed charges		998.1	40			Percent of total billed charges		443.6	80			Percent of total billed charges		887.2	90			Percent of total billed charges		998.1	85			Percent of total billed charges		942.65	85			Percent of total billed charges		942.65	85			Percent of total billed charges		942.65	100			Percent of total billed charges		1109	100			Percent of total billed charges		1109	100			Percent of total billed charges		1109	33.3			Percent of total billed charges		369.297	33.3			Percent of total billed charges		369.297	100			Percent of total billed charges		1109	369.297	998.1	
triathlon patella 27x8mm 5550-l-278 howmedica	278	RC	Outpatient			1109	720.85		90			Percent of total billed charges		998.1	40			Percent of total billed charges		443.6	80			Percent of total billed charges		887.2	90			Percent of total billed charges		998.1	85			Percent of total billed charges		942.65	85			Percent of total billed charges		942.65	85			Percent of total billed charges		942.65	100			Percent of total billed charges		1109	100			Percent of total billed charges		1109	100			Percent of total billed charges		1109	33.3			Percent of total billed charges		369.297	33.3			Percent of total billed charges		369.297	100			Percent of total billed charges		1109	369.297	998.1	
triathlon symmetric all poly patella 31mm 5550-l-319 howmedica	278	RC	Outpatient			1109	720.85		90			Percent of total billed charges		998.1	40			Percent of total billed charges		443.6	80			Percent of total billed charges		887.2	90			Percent of total billed charges		998.1	85			Percent of total billed charges		942.65	85			Percent of total billed charges		942.65	85			Percent of total billed charges		942.65	100			Percent of total billed charges		1109	100			Percent of total billed charges		1109	100			Percent of total billed charges		1109	33.3			Percent of total billed charges		369.297	33.3			Percent of total billed charges		369.297	100			Percent of total billed charges		1109	369.297	998.1	
curved recon plate 3.5mm 8 hole x 94mm 7114-0608 s/n	278	RC	Outpatient			1110	721.5		90			Percent of total billed charges		999	40			Percent of total billed charges		444	80			Percent of total billed charges		888	90			Percent of total billed charges		999	85			Percent of total billed charges		943.5	85			Percent of total billed charges		943.5	85			Percent of total billed charges		943.5	100			Percent of total billed charges		1110	100			Percent of total billed charges		1110	100			Percent of total billed charges		1110	33.3			Percent of total billed charges		369.63	33.3			Percent of total billed charges		369.63	100			Percent of total billed charges		1110	369.63	999	
curved recon plate 3.5mm 6 hole x 70mm 7114-0606 s/n	278	RC	Outpatient			1110	721.5		90			Percent of total billed charges		999	40			Percent of total billed charges		444	80			Percent of total billed charges		888	90			Percent of total billed charges		999	85			Percent of total billed charges		943.5	85			Percent of total billed charges		943.5	85			Percent of total billed charges		943.5	100			Percent of total billed charges		1110	100			Percent of total billed charges		1110	100			Percent of total billed charges		1110	33.3			Percent of total billed charges		369.63	33.3			Percent of total billed charges		369.63	100			Percent of total billed charges		1110	369.63	999	
s/n 3.5 c recon pl 6-8hl	278	RC	Outpatient			1110	721.5		90			Percent of total billed charges		999	40			Percent of total billed charges		444	80			Percent of total billed charges		888	90			Percent of total billed charges		999	85			Percent of total billed charges		943.5	85			Percent of total billed charges		943.5	85			Percent of total billed charges		943.5	100			Percent of total billed charges		1110	100			Percent of total billed charges		1110	100			Percent of total billed charges		1110	33.3			Percent of total billed charges		369.63	33.3			Percent of total billed charges		369.63	100			Percent of total billed charges		1110	369.63	999	
implant nail femoral delta locking 10mm x 34cm 12-2021 s/n	278	RC	Outpatient			1113	723.45		90			Percent of total billed charges		1001.7	40			Percent of total billed charges		445.2	80			Percent of total billed charges		890.4	90			Percent of total billed charges		1001.7	85			Percent of total billed charges		946.05	85			Percent of total billed charges		946.05	85			Percent of total billed charges		946.05	100			Percent of total billed charges		1113	100			Percent of total billed charges		1113	100			Percent of total billed charges		1113	33.3			Percent of total billed charges		370.629	33.3			Percent of total billed charges		370.629	100			Percent of total billed charges		1113	370.629	1001.7	
implant nail femoral delta locking 10mm x 36cm 12-2022 s/n	278	RC	Outpatient			1113	723.45		90			Percent of total billed charges		1001.7	40			Percent of total billed charges		445.2	80			Percent of total billed charges		890.4	90			Percent of total billed charges		1001.7	85			Percent of total billed charges		946.05	85			Percent of total billed charges		946.05	85			Percent of total billed charges		946.05	100			Percent of total billed charges		1113	100			Percent of total billed charges		1113	100			Percent of total billed charges		1113	33.3			Percent of total billed charges		370.629	33.3			Percent of total billed charges		370.629	100			Percent of total billed charges		1113	370.629	1001.7	
implant nail femoral delta locking 10mm x 42cm 12-2025 s/n	278	RC	Outpatient			1113	723.45		90			Percent of total billed charges		1001.7	40			Percent of total billed charges		445.2	80			Percent of total billed charges		890.4	90			Percent of total billed charges		1001.7	85			Percent of total billed charges		946.05	85			Percent of total billed charges		946.05	85			Percent of total billed charges		946.05	100			Percent of total billed charges		1113	100			Percent of total billed charges		1113	100			Percent of total billed charges		1113	33.3			Percent of total billed charges		370.629	33.3			Percent of total billed charges		370.629	100			Percent of total billed charges		1113	370.629	1001.7	
implant nail femoral delta locking 10mm x 44cm 12-2017 s/n	278	RC	Outpatient			1113	723.45		90			Percent of total billed charges		1001.7	40			Percent of total billed charges		445.2	80			Percent of total billed charges		890.4	90			Percent of total billed charges		1001.7	85			Percent of total billed charges		946.05	85			Percent of total billed charges		946.05	85			Percent of total billed charges		946.05	100			Percent of total billed charges		1113	100			Percent of total billed charges		1113	100			Percent of total billed charges		1113	33.3			Percent of total billed charges		370.629	33.3			Percent of total billed charges		370.629	100			Percent of total billed charges		1113	370.629	1001.7	
imp nail femoral delta 10mmx40cm 122024	278	RC	Outpatient			1113	723.45		90			Percent of total billed charges		1001.7	40			Percent of total billed charges		445.2	80			Percent of total billed charges		890.4	90			Percent of total billed charges		1001.7	85			Percent of total billed charges		946.05	85			Percent of total billed charges		946.05	85			Percent of total billed charges		946.05	100			Percent of total billed charges		1113	100			Percent of total billed charges		1113	100			Percent of total billed charges		1113	33.3			Percent of total billed charges		370.629	33.3			Percent of total billed charges		370.629	100			Percent of total billed charges		1113	370.629	1001.7	
implant nail femoral delta locking 10mm x 38cm 12-2023 s/n	278	RC	Outpatient			1113	723.45		90			Percent of total billed charges		1001.7	40			Percent of total billed charges		445.2	80			Percent of total billed charges		890.4	90			Percent of total billed charges		1001.7	85			Percent of total billed charges		946.05	85			Percent of total billed charges		946.05	85			Percent of total billed charges		946.05	100			Percent of total billed charges		1113	100			Percent of total billed charges		1113	100			Percent of total billed charges		1113	33.3			Percent of total billed charges		370.629	33.3			Percent of total billed charges		370.629	100			Percent of total billed charges		1113	370.629	1001.7	
implant nail femoral delta locking 10mm x 46cm 12-2018 s/n	278	RC	Outpatient			1113	723.45		90			Percent of total billed charges		1001.7	40			Percent of total billed charges		445.2	80			Percent of total billed charges		890.4	90			Percent of total billed charges		1001.7	85			Percent of total billed charges		946.05	85			Percent of total billed charges		946.05	85			Percent of total billed charges		946.05	100			Percent of total billed charges		1113	100			Percent of total billed charges		1113	100			Percent of total billed charges		1113	33.3			Percent of total billed charges		370.629	33.3			Percent of total billed charges		370.629	100			Percent of total billed charges		1113	370.629	1001.7	
implant nail femoral delta locking 10mm x 48cm 12-2019 s/n	278	RC	Outpatient			1113	723.45		90			Percent of total billed charges		1001.7	40			Percent of total billed charges		445.2	80			Percent of total billed charges		890.4	90			Percent of total billed charges		1001.7	85			Percent of total billed charges		946.05	85			Percent of total billed charges		946.05	85			Percent of total billed charges		946.05	100			Percent of total billed charges		1113	100			Percent of total billed charges		1113	100			Percent of total billed charges		1113	33.3			Percent of total billed charges		370.629	33.3			Percent of total billed charges		370.629	100			Percent of total billed charges		1113	370.629	1001.7	
r/t delta femoral nail	278	RC	Outpatient			1113	723.45		90			Percent of total billed charges		1001.7	40			Percent of total billed charges		445.2	80			Percent of total billed charges		890.4	90			Percent of total billed charges		1001.7	85			Percent of total billed charges		946.05	85			Percent of total billed charges		946.05	85			Percent of total billed charges		946.05	100			Percent of total billed charges		1113	100			Percent of total billed charges		1113	100			Percent of total billed charges		1113	33.3			Percent of total billed charges		370.629	33.3			Percent of total billed charges		370.629	100			Percent of total billed charges		1113	370.629	1001.7	
arthrex pl lck st 4h	278	RC	Outpatient			1114	724.1		90			Percent of total billed charges		1002.6	40			Percent of total billed charges		445.6	80			Percent of total billed charges		891.2	90			Percent of total billed charges		1002.6	85			Percent of total billed charges		946.9	85			Percent of total billed charges		946.9	85			Percent of total billed charges		946.9	100			Percent of total billed charges		1114	100			Percent of total billed charges		1114	100			Percent of total billed charges		1114	33.3			Percent of total billed charges		370.962	33.3			Percent of total billed charges		370.962	100			Percent of total billed charges		1114	370.962	1002.6	
bactisure 1 liter 00-8887-001-00 zimmer	270	RC	Outpatient			1114	724.1		90			Percent of total billed charges		1002.6	40			Percent of total billed charges		445.6	80			Percent of total billed charges		891.2	90			Percent of total billed charges		1002.6	85			Percent of total billed charges		946.9	85			Percent of total billed charges		946.9	85			Percent of total billed charges		946.9	100			Percent of total billed charges		1114	100			Percent of total billed charges		1114	100			Percent of total billed charges		1114	33.3			Percent of total billed charges		370.962	33.3			Percent of total billed charges		370.962	100			Percent of total billed charges		1114	370.962	1002.6	
werewolf flow 90 coblation wand 72290038 s/n	272	RC	Outpatient			1114	724.1		90			Percent of total billed charges		1002.6	40			Percent of total billed charges		445.6	80			Percent of total billed charges		891.2	90			Percent of total billed charges		1002.6	85			Percent of total billed charges		946.9	85			Percent of total billed charges		946.9	85			Percent of total billed charges		946.9	100			Percent of total billed charges		1114	100			Percent of total billed charges		1114	100			Percent of total billed charges		1114	33.3			Percent of total billed charges		370.962	33.3			Percent of total billed charges		370.962	100			Percent of total billed charges		1114	370.962	1002.6	
anesthesia time 3 hours	370	RC	Outpatient			1115	724.75		90			Percent of total billed charges		1003.5	40			Percent of total billed charges		446	80			Percent of total billed charges		892	90			Percent of total billed charges		1003.5	85			Percent of total billed charges		947.75	85			Percent of total billed charges		947.75	85			Percent of total billed charges		947.75	100			Percent of total billed charges		1115	100			Percent of total billed charges		1115	100			Percent of total billed charges		1115	33.3			Percent of total billed charges		371.295	33.3			Percent of total billed charges		371.295	100			Percent of total billed charges		1115	371.295	1003.5	
sup med clavicular locking plate 8h r 71823409 s/n	278	RC	Outpatient			1120	728		90			Percent of total billed charges		1008	40			Percent of total billed charges		448	80			Percent of total billed charges		896	90			Percent of total billed charges		1008	85			Percent of total billed charges		952	85			Percent of total billed charges		952	85			Percent of total billed charges		952	100			Percent of total billed charges		1120	100			Percent of total billed charges		1120	100			Percent of total billed charges		1120	33.3			Percent of total billed charges		372.96	33.3			Percent of total billed charges		372.96	100			Percent of total billed charges		1120	372.96	1008	
biomet vhs plate	278	RC	Outpatient			1123	729.95		90			Percent of total billed charges		1010.7	40			Percent of total billed charges		449.2	80			Percent of total billed charges		898.4	90			Percent of total billed charges		1010.7	85			Percent of total billed charges		954.55	85			Percent of total billed charges		954.55	85			Percent of total billed charges		954.55	100			Percent of total billed charges		1123	100			Percent of total billed charges		1123	100			Percent of total billed charges		1123	33.3			Percent of total billed charges		373.959	33.3			Percent of total billed charges		373.959	100			Percent of total billed charges		1123	373.959	1010.7	
biomet vhs plate 4 hole 200104	278	RC	Outpatient			1123	729.95		90			Percent of total billed charges		1010.7	40			Percent of total billed charges		449.2	80			Percent of total billed charges		898.4	90			Percent of total billed charges		1010.7	85			Percent of total billed charges		954.55	85			Percent of total billed charges		954.55	85			Percent of total billed charges		954.55	100			Percent of total billed charges		1123	100			Percent of total billed charges		1123	100			Percent of total billed charges		1123	33.3			Percent of total billed charges		373.959	33.3			Percent of total billed charges		373.959	100			Percent of total billed charges		1123	373.959	1010.7	
biomet vhs plate 6 hole 200106	278	RC	Outpatient			1123	729.95		90			Percent of total billed charges		1010.7	40			Percent of total billed charges		449.2	80			Percent of total billed charges		898.4	90			Percent of total billed charges		1010.7	85			Percent of total billed charges		954.55	85			Percent of total billed charges		954.55	85			Percent of total billed charges		954.55	100			Percent of total billed charges		1123	100			Percent of total billed charges		1123	100			Percent of total billed charges		1123	33.3			Percent of total billed charges		373.959	33.3			Percent of total billed charges		373.959	100			Percent of total billed charges		1123	373.959	1010.7	
biomet vhs plate 2 hole 201102	278	RC	Outpatient			1123	729.95		90			Percent of total billed charges		1010.7	40			Percent of total billed charges		449.2	80			Percent of total billed charges		898.4	90			Percent of total billed charges		1010.7	85			Percent of total billed charges		954.55	85			Percent of total billed charges		954.55	85			Percent of total billed charges		954.55	100			Percent of total billed charges		1123	100			Percent of total billed charges		1123	100			Percent of total billed charges		1123	33.3			Percent of total billed charges		373.959	33.3			Percent of total billed charges		373.959	100			Percent of total billed charges		1123	373.959	1010.7	
compression rod 519-175nd integra life science	272	RC	Outpatient			1123	729.95		90			Percent of total billed charges		1010.7	40			Percent of total billed charges		449.2	80			Percent of total billed charges		898.4	90			Percent of total billed charges		1010.7	85			Percent of total billed charges		954.55	85			Percent of total billed charges		954.55	85			Percent of total billed charges		954.55	100			Percent of total billed charges		1123	100			Percent of total billed charges		1123	100			Percent of total billed charges		1123	33.3			Percent of total billed charges		373.959	33.3			Percent of total billed charges		373.959	100			Percent of total billed charges		1123	373.959	1010.7	
depuy srom hinge pin	278	RC	Outpatient			1123	729.95		90			Percent of total billed charges		1010.7	40			Percent of total billed charges		449.2	80			Percent of total billed charges		898.4	90			Percent of total billed charges		1010.7	85			Percent of total billed charges		954.55	85			Percent of total billed charges		954.55	85			Percent of total billed charges		954.55	100			Percent of total billed charges		1123	100			Percent of total billed charges		1123	100			Percent of total billed charges		1123	33.3			Percent of total billed charges		373.959	33.3			Percent of total billed charges		373.959	100			Percent of total billed charges		1123	373.959	1010.7	
endo egd	750	RC	Outpatient			1123	729.95		90			Percent of total billed charges		1010.7	40			Percent of total billed charges		449.2	80			Percent of total billed charges		898.4	90			Percent of total billed charges		1010.7	85			Percent of total billed charges		954.55	85			Percent of total billed charges		954.55	85			Percent of total billed charges		954.55	100			Percent of total billed charges		1123	100			Percent of total billed charges		1123	100			Percent of total billed charges		1123	33.3			Percent of total billed charges		373.959	33.3			Percent of total billed charges		373.959	100			Percent of total billed charges		1123	373.959	1010.7	
integra comp rod	272	RC	Outpatient			1123	729.95		90			Percent of total billed charges		1010.7	40			Percent of total billed charges		449.2	80			Percent of total billed charges		898.4	90			Percent of total billed charges		1010.7	85			Percent of total billed charges		954.55	85			Percent of total billed charges		954.55	85			Percent of total billed charges		954.55	100			Percent of total billed charges		1123	100			Percent of total billed charges		1123	100			Percent of total billed charges		1123	33.3			Percent of total billed charges		373.959	33.3			Percent of total billed charges		373.959	100			Percent of total billed charges		1123	373.959	1010.7	
vhs varible angle plate 6 hole / 120mm 200106 biomet	278	RC	Outpatient			1123	729.95		90			Percent of total billed charges		1010.7	40			Percent of total billed charges		449.2	80			Percent of total billed charges		898.4	90			Percent of total billed charges		1010.7	85			Percent of total billed charges		954.55	85			Percent of total billed charges		954.55	85			Percent of total billed charges		954.55	100			Percent of total billed charges		1123	100			Percent of total billed charges		1123	100			Percent of total billed charges		1123	33.3			Percent of total billed charges		373.959	33.3			Percent of total billed charges		373.959	100			Percent of total billed charges		1123	373.959	1010.7	
brest imp saline 420cc	278	RC	Outpatient			1126	731.9		90			Percent of total billed charges		1013.4	40			Percent of total billed charges		450.4	80			Percent of total billed charges		900.8	90			Percent of total billed charges		1013.4	85			Percent of total billed charges		957.1	85			Percent of total billed charges		957.1	85			Percent of total billed charges		957.1	100			Percent of total billed charges		1126	100			Percent of total billed charges		1126	100			Percent of total billed charges		1126	33.3			Percent of total billed charges		374.958	33.3			Percent of total billed charges		374.958	100			Percent of total billed charges		1126	374.958	1013.4	
smooth round high profile 420cc  saline breast implant mentor 350-3420	278	RC	Outpatient			1126	731.9		90			Percent of total billed charges		1013.4	40			Percent of total billed charges		450.4	80			Percent of total billed charges		900.8	90			Percent of total billed charges		1013.4	85			Percent of total billed charges		957.1	85			Percent of total billed charges		957.1	85			Percent of total billed charges		957.1	100			Percent of total billed charges		1126	100			Percent of total billed charges		1126	100			Percent of total billed charges		1126	33.3			Percent of total billed charges		374.958	33.3			Percent of total billed charges		374.958	100			Percent of total billed charges		1126	374.958	1013.4	
peri-loc 3.5 l-d fib lk pl 9 h lt 72821009 s/n	278	RC	Outpatient			1130	734.5		90			Percent of total billed charges		1017	40			Percent of total billed charges		452	80			Percent of total billed charges		904	90			Percent of total billed charges		1017	85			Percent of total billed charges		960.5	85			Percent of total billed charges		960.5	85			Percent of total billed charges		960.5	100			Percent of total billed charges		1130	100			Percent of total billed charges		1130	100			Percent of total billed charges		1130	33.3			Percent of total billed charges		376.29	33.3			Percent of total billed charges		376.29	100			Percent of total billed charges		1130	376.29	1017	
peri-loc 3.5 l-d fib lk pl 9 h rt 72822009 s/n	278	RC	Outpatient			1130	734.5		90			Percent of total billed charges		1017	40			Percent of total billed charges		452	80			Percent of total billed charges		904	90			Percent of total billed charges		1017	85			Percent of total billed charges		960.5	85			Percent of total billed charges		960.5	85			Percent of total billed charges		960.5	100			Percent of total billed charges		1130	100			Percent of total billed charges		1130	100			Percent of total billed charges		1130	33.3			Percent of total billed charges		376.29	33.3			Percent of total billed charges		376.29	100			Percent of total billed charges		1130	376.29	1017	
achilles tendon with calc 20.2cm 430200 mtf	278	RC	Outpatient			1135	737.75		90			Percent of total billed charges		1021.5	40			Percent of total billed charges		454	80			Percent of total billed charges		908	90			Percent of total billed charges		1021.5	85			Percent of total billed charges		964.75	85			Percent of total billed charges		964.75	85			Percent of total billed charges		964.75	100			Percent of total billed charges		1135	100			Percent of total billed charges		1135	100			Percent of total billed charges		1135	33.3			Percent of total billed charges		377.955	33.3			Percent of total billed charges		377.955	100			Percent of total billed charges		1135	377.955	1021.5	
allograft achilles tendon with calc 21.0cm 430200 mtf	278	RC	Outpatient			1135	737.75		90			Percent of total billed charges		1021.5	40			Percent of total billed charges		454	80			Percent of total billed charges		908	90			Percent of total billed charges		1021.5	85			Percent of total billed charges		964.75	85			Percent of total billed charges		964.75	85			Percent of total billed charges		964.75	100			Percent of total billed charges		1135	100			Percent of total billed charges		1135	100			Percent of total billed charges		1135	33.3			Percent of total billed charges		377.955	33.3			Percent of total billed charges		377.955	100			Percent of total billed charges		1135	377.955	1021.5	
s/n sup med clav lk pl 6&7h	278	RC	Outpatient			1135	737.75		90			Percent of total billed charges		1021.5	40			Percent of total billed charges		454	80			Percent of total billed charges		908	90			Percent of total billed charges		1021.5	85			Percent of total billed charges		964.75	85			Percent of total billed charges		964.75	85			Percent of total billed charges		964.75	100			Percent of total billed charges		1135	100			Percent of total billed charges		1135	100			Percent of total billed charges		1135	33.3			Percent of total billed charges		377.955	33.3			Percent of total billed charges		377.955	100			Percent of total billed charges		1135	377.955	1021.5	
sup med clavicular locking plate 6h r 71823413 s/n	278	RC	Outpatient			1135	737.75		90			Percent of total billed charges		1021.5	40			Percent of total billed charges		454	80			Percent of total billed charges		908	90			Percent of total billed charges		1021.5	85			Percent of total billed charges		964.75	85			Percent of total billed charges		964.75	85			Percent of total billed charges		964.75	100			Percent of total billed charges		1135	100			Percent of total billed charges		1135	100			Percent of total billed charges		1135	33.3			Percent of total billed charges		377.955	33.3			Percent of total billed charges		377.955	100			Percent of total billed charges		1135	377.955	1021.5	
sup med clavicular locking plate 7h l 71823412 s/n	278	RC	Outpatient			1135	737.75		90			Percent of total billed charges		1021.5	40			Percent of total billed charges		454	80			Percent of total billed charges		908	90			Percent of total billed charges		1021.5	85			Percent of total billed charges		964.75	85			Percent of total billed charges		964.75	85			Percent of total billed charges		964.75	100			Percent of total billed charges		1135	100			Percent of total billed charges		1135	100			Percent of total billed charges		1135	33.3			Percent of total billed charges		377.955	33.3			Percent of total billed charges		377.955	100			Percent of total billed charges		1135	377.955	1021.5	
sup med clavicular locking plate 6h l 71823411 s/n	278	RC	Outpatient			1135	737.75		90			Percent of total billed charges		1021.5	40			Percent of total billed charges		454	80			Percent of total billed charges		908	90			Percent of total billed charges		1021.5	85			Percent of total billed charges		964.75	85			Percent of total billed charges		964.75	85			Percent of total billed charges		964.75	100			Percent of total billed charges		1135	100			Percent of total billed charges		1135	100			Percent of total billed charges		1135	33.3			Percent of total billed charges		377.955	33.3			Percent of total billed charges		377.955	100			Percent of total billed charges		1135	377.955	1021.5	
endo flex with polypectomy	750	RC	Outpatient			1137	739.05		90			Percent of total billed charges		1023.3	40			Percent of total billed charges		454.8	80			Percent of total billed charges		909.6	90			Percent of total billed charges		1023.3	85			Percent of total billed charges		966.45	85			Percent of total billed charges		966.45	85			Percent of total billed charges		966.45	100			Percent of total billed charges		1137	100			Percent of total billed charges		1137	100			Percent of total billed charges		1137	33.3			Percent of total billed charges		378.621	33.3			Percent of total billed charges		378.621	100			Percent of total billed charges		1137	378.621	1023.3	
medtronic needle elect.	272	RC	Outpatient			1137	739.05		90			Percent of total billed charges		1023.3	40			Percent of total billed charges		454.8	80			Percent of total billed charges		909.6	90			Percent of total billed charges		1023.3	85			Percent of total billed charges		966.45	85			Percent of total billed charges		966.45	85			Percent of total billed charges		966.45	100			Percent of total billed charges		1137	100			Percent of total billed charges		1137	100			Percent of total billed charges		1137	33.3			Percent of total billed charges		378.621	33.3			Percent of total billed charges		378.621	100			Percent of total billed charges		1137	378.621	1023.3	
twisted needle electrode 22mm 9450062 medtronic	272	RC	Outpatient			1137	739.05		90			Percent of total billed charges		1023.3	40			Percent of total billed charges		454.8	80			Percent of total billed charges		909.6	90			Percent of total billed charges		1023.3	85			Percent of total billed charges		966.45	85			Percent of total billed charges		966.45	85			Percent of total billed charges		966.45	100			Percent of total billed charges		1137	100			Percent of total billed charges		1137	100			Percent of total billed charges		1137	33.3			Percent of total billed charges		378.621	33.3			Percent of total billed charges		378.621	100			Percent of total billed charges		1137	378.621	1023.3	
twist pair needle electrode 31mm 9450003 medtronic	272	RC	Outpatient			1137	739.05		90			Percent of total billed charges		1023.3	40			Percent of total billed charges		454.8	80			Percent of total billed charges		909.6	90			Percent of total billed charges		1023.3	85			Percent of total billed charges		966.45	85			Percent of total billed charges		966.45	85			Percent of total billed charges		966.45	100			Percent of total billed charges		1137	100			Percent of total billed charges		1137	100			Percent of total billed charges		1137	33.3			Percent of total billed charges		378.621	33.3			Percent of total billed charges		378.621	100			Percent of total billed charges		1137	378.621	1023.3	
bio trochanteric claw	278	RC	Outpatient			1140	741		90			Percent of total billed charges		1026	40			Percent of total billed charges		456	80			Percent of total billed charges		912	90			Percent of total billed charges		1026	85			Percent of total billed charges		969	85			Percent of total billed charges		969	85			Percent of total billed charges		969	100			Percent of total billed charges		1140	100			Percent of total billed charges		1140	100			Percent of total billed charges		1140	33.3			Percent of total billed charges		379.62	33.3			Percent of total billed charges		379.62	100			Percent of total billed charges		1140	379.62	1026	
biomet mallory/head trocanteric claw med 53mm lg 11-105020	278	RC	Outpatient			1140	741		90			Percent of total billed charges		1026	40			Percent of total billed charges		456	80			Percent of total billed charges		912	90			Percent of total billed charges		1026	85			Percent of total billed charges		969	85			Percent of total billed charges		969	85			Percent of total billed charges		969	100			Percent of total billed charges		1140	100			Percent of total billed charges		1140	100			Percent of total billed charges		1140	33.3			Percent of total billed charges		379.62	33.3			Percent of total billed charges		379.62	100			Percent of total billed charges		1140	379.62	1026	
biomet mh trochanteric claw lg 11-105008	278	RC	Outpatient			1140	741		90			Percent of total billed charges		1026	40			Percent of total billed charges		456	80			Percent of total billed charges		912	90			Percent of total billed charges		1026	85			Percent of total billed charges		969	85			Percent of total billed charges		969	85			Percent of total billed charges		969	100			Percent of total billed charges		1140	100			Percent of total billed charges		1140	100			Percent of total billed charges		1140	33.3			Percent of total billed charges		379.62	33.3			Percent of total billed charges		379.62	100			Percent of total billed charges		1140	379.62	1026	
m/h trochanteric claw lg 73mm 11-105021 biomet	278	RC	Outpatient			1140	741		90			Percent of total billed charges		1026	40			Percent of total billed charges		456	80			Percent of total billed charges		912	90			Percent of total billed charges		1026	85			Percent of total billed charges		969	85			Percent of total billed charges		969	85			Percent of total billed charges		969	100			Percent of total billed charges		1140	100			Percent of total billed charges		1140	100			Percent of total billed charges		1140	33.3			Percent of total billed charges		379.62	33.3			Percent of total billed charges		379.62	100			Percent of total billed charges		1140	379.62	1026	
imp plate chs 6-slot 130deg  124140	278	RC	Outpatient			1142	742.3		90			Percent of total billed charges		1027.8	40			Percent of total billed charges		456.8	80			Percent of total billed charges		913.6	90			Percent of total billed charges		1027.8	85			Percent of total billed charges		970.7	85			Percent of total billed charges		970.7	85			Percent of total billed charges		970.7	100			Percent of total billed charges		1142	100			Percent of total billed charges		1142	100			Percent of total billed charges		1142	33.3			Percent of total billed charges		380.286	33.3			Percent of total billed charges		380.286	100			Percent of total billed charges		1142	380.286	1027.8	
implant plate compress 6 sl 135 deg 140mm 12-4142 s/n	278	RC	Outpatient			1142	742.3		90			Percent of total billed charges		1027.8	40			Percent of total billed charges		456.8	80			Percent of total billed charges		913.6	90			Percent of total billed charges		1027.8	85			Percent of total billed charges		970.7	85			Percent of total billed charges		970.7	85			Percent of total billed charges		970.7	100			Percent of total billed charges		1142	100			Percent of total billed charges		1142	100			Percent of total billed charges		1142	33.3			Percent of total billed charges		380.286	33.3			Percent of total billed charges		380.286	100			Percent of total billed charges		1142	380.286	1027.8	
implant plate compress 6 sl 150 deg 140mm 12-4144 s/n	278	RC	Outpatient			1142	742.3		90			Percent of total billed charges		1027.8	40			Percent of total billed charges		456.8	80			Percent of total billed charges		913.6	90			Percent of total billed charges		1027.8	85			Percent of total billed charges		970.7	85			Percent of total billed charges		970.7	85			Percent of total billed charges		970.7	100			Percent of total billed charges		1142	100			Percent of total billed charges		1142	100			Percent of total billed charges		1142	33.3			Percent of total billed charges		380.286	33.3			Percent of total billed charges		380.286	100			Percent of total billed charges		1142	380.286	1027.8	
implant plate compress 6 sl 135 deg 140mm 12-4141 s/n	278	RC	Outpatient			1142	742.3		90			Percent of total billed charges		1027.8	40			Percent of total billed charges		456.8	80			Percent of total billed charges		913.6	90			Percent of total billed charges		1027.8	85			Percent of total billed charges		970.7	85			Percent of total billed charges		970.7	85			Percent of total billed charges		970.7	100			Percent of total billed charges		1142	100			Percent of total billed charges		1142	100			Percent of total billed charges		1142	33.3			Percent of total billed charges		380.286	33.3			Percent of total billed charges		380.286	100			Percent of total billed charges		1142	380.286	1027.8	
implant plate compress 6 sl 145 deg 140mm 12-4143 s/n	278	RC	Outpatient			1142	742.3		90			Percent of total billed charges		1027.8	40			Percent of total billed charges		456.8	80			Percent of total billed charges		913.6	90			Percent of total billed charges		1027.8	85			Percent of total billed charges		970.7	85			Percent of total billed charges		970.7	85			Percent of total billed charges		970.7	100			Percent of total billed charges		1142	100			Percent of total billed charges		1142	100			Percent of total billed charges		1142	33.3			Percent of total billed charges		380.286	33.3			Percent of total billed charges		380.286	100			Percent of total billed charges		1142	380.286	1027.8	
s/n classic hip screw 6 hole	278	RC	Outpatient			1142	742.3		90			Percent of total billed charges		1027.8	40			Percent of total billed charges		456.8	80			Percent of total billed charges		913.6	90			Percent of total billed charges		1027.8	85			Percent of total billed charges		970.7	85			Percent of total billed charges		970.7	85			Percent of total billed charges		970.7	100			Percent of total billed charges		1142	100			Percent of total billed charges		1142	100			Percent of total billed charges		1142	33.3			Percent of total billed charges		380.286	33.3			Percent of total billed charges		380.286	100			Percent of total billed charges		1142	380.286	1027.8	
s/n chs 6hl	278	RC	Outpatient			1142	742.3		90			Percent of total billed charges		1027.8	40			Percent of total billed charges		456.8	80			Percent of total billed charges		913.6	90			Percent of total billed charges		1027.8	85			Percent of total billed charges		970.7	85			Percent of total billed charges		970.7	85			Percent of total billed charges		970.7	100			Percent of total billed charges		1142	100			Percent of total billed charges		1142	100			Percent of total billed charges		1142	33.3			Percent of total billed charges		380.286	33.3			Percent of total billed charges		380.286	100			Percent of total billed charges		1142	380.286	1027.8	
femoral nail 10mm x 360mm 465.36 synthes	278	RC	Outpatient			1145	744.25		90			Percent of total billed charges		1030.5	40			Percent of total billed charges		458	80			Percent of total billed charges		916	90			Percent of total billed charges		1030.5	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	33.3			Percent of total billed charges		381.285	33.3			Percent of total billed charges		381.285	100			Percent of total billed charges		1145	381.285	1030.5	
femoral nail 10mm x 380mm 465.38 synthes	278	RC	Outpatient			1145	744.25		90			Percent of total billed charges		1030.5	40			Percent of total billed charges		458	80			Percent of total billed charges		916	90			Percent of total billed charges		1030.5	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	33.3			Percent of total billed charges		381.285	33.3			Percent of total billed charges		381.285	100			Percent of total billed charges		1145	381.285	1030.5	
femoral nail 10mm x 400mm 465.40 synthes	278	RC	Outpatient			1145	744.25		90			Percent of total billed charges		1030.5	40			Percent of total billed charges		458	80			Percent of total billed charges		916	90			Percent of total billed charges		1030.5	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	33.3			Percent of total billed charges		381.285	33.3			Percent of total billed charges		381.285	100			Percent of total billed charges		1145	381.285	1030.5	
fem nails 9mm x 420mm 464.42	278	RC	Outpatient			1145	744.25		90			Percent of total billed charges		1030.5	40			Percent of total billed charges		458	80			Percent of total billed charges		916	90			Percent of total billed charges		1030.5	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	33.3			Percent of total billed charges		381.285	33.3			Percent of total billed charges		381.285	100			Percent of total billed charges		1145	381.285	1030.5	
titanium solid femoral nail 10mm x 300mm 465.30 synthes	278	RC	Outpatient			1145	744.25		90			Percent of total billed charges		1030.5	40			Percent of total billed charges		458	80			Percent of total billed charges		916	90			Percent of total billed charges		1030.5	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	33.3			Percent of total billed charges		381.285	33.3			Percent of total billed charges		381.285	100			Percent of total billed charges		1145	381.285	1030.5	
titanium solid femoral nail 10mm x 340mm 465.34 synthes	278	RC	Outpatient			1145	744.25		90			Percent of total billed charges		1030.5	40			Percent of total billed charges		458	80			Percent of total billed charges		916	90			Percent of total billed charges		1030.5	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	33.3			Percent of total billed charges		381.285	33.3			Percent of total billed charges		381.285	100			Percent of total billed charges		1145	381.285	1030.5	
titanium solid femoral nail 10mm x 420mm 465.42 synthes	278	RC	Outpatient			1145	744.25		90			Percent of total billed charges		1030.5	40			Percent of total billed charges		458	80			Percent of total billed charges		916	90			Percent of total billed charges		1030.5	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	33.3			Percent of total billed charges		381.285	33.3			Percent of total billed charges		381.285	100			Percent of total billed charges		1145	381.285	1030.5	
titanium solid femoral nail 10mm x 440mm 465.44 synthes	278	RC	Outpatient			1145	744.25		90			Percent of total billed charges		1030.5	40			Percent of total billed charges		458	80			Percent of total billed charges		916	90			Percent of total billed charges		1030.5	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	33.3			Percent of total billed charges		381.285	33.3			Percent of total billed charges		381.285	100			Percent of total billed charges		1145	381.285	1030.5	
titanium solid femoral nail 10mm x 480mm 465.48 synthes	278	RC	Outpatient			1145	744.25		90			Percent of total billed charges		1030.5	40			Percent of total billed charges		458	80			Percent of total billed charges		916	90			Percent of total billed charges		1030.5	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	33.3			Percent of total billed charges		381.285	33.3			Percent of total billed charges		381.285	100			Percent of total billed charges		1145	381.285	1030.5	
titanium solid femoral nail 11mm x 320mm 466.32 synthes	278	RC	Outpatient			1145	744.25		90			Percent of total billed charges		1030.5	40			Percent of total billed charges		458	80			Percent of total billed charges		916	90			Percent of total billed charges		1030.5	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	33.3			Percent of total billed charges		381.285	33.3			Percent of total billed charges		381.285	100			Percent of total billed charges		1145	381.285	1030.5	
titanium solid femoral nail 11mm x 360mm 466.36 synthes	278	RC	Outpatient			1145	744.25		90			Percent of total billed charges		1030.5	40			Percent of total billed charges		458	80			Percent of total billed charges		916	90			Percent of total billed charges		1030.5	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	33.3			Percent of total billed charges		381.285	33.3			Percent of total billed charges		381.285	100			Percent of total billed charges		1145	381.285	1030.5	
titanium solid femoral nail 11mm x 380mm 466.38 synthes	278	RC	Outpatient			1145	744.25		90			Percent of total billed charges		1030.5	40			Percent of total billed charges		458	80			Percent of total billed charges		916	90			Percent of total billed charges		1030.5	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	33.3			Percent of total billed charges		381.285	33.3			Percent of total billed charges		381.285	100			Percent of total billed charges		1145	381.285	1030.5	
titanium solid femoral nail 11mm x 420mm 466.42 synthes	278	RC	Outpatient			1145	744.25		90			Percent of total billed charges		1030.5	40			Percent of total billed charges		458	80			Percent of total billed charges		916	90			Percent of total billed charges		1030.5	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	33.3			Percent of total billed charges		381.285	33.3			Percent of total billed charges		381.285	100			Percent of total billed charges		1145	381.285	1030.5	
titanium solid femoral nail 11mm x 440mm 466.44 synthes	278	RC	Outpatient			1145	744.25		90			Percent of total billed charges		1030.5	40			Percent of total billed charges		458	80			Percent of total billed charges		916	90			Percent of total billed charges		1030.5	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	33.3			Percent of total billed charges		381.285	33.3			Percent of total billed charges		381.285	100			Percent of total billed charges		1145	381.285	1030.5	
titanium solid femoral nail 12mm x 320mm 467.34 synthes	278	RC	Outpatient			1145	744.25		90			Percent of total billed charges		1030.5	40			Percent of total billed charges		458	80			Percent of total billed charges		916	90			Percent of total billed charges		1030.5	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	33.3			Percent of total billed charges		381.285	33.3			Percent of total billed charges		381.285	100			Percent of total billed charges		1145	381.285	1030.5	
titanium solid femoral nail 12mm x 360mm 467.36 synthes	278	RC	Outpatient			1145	744.25		90			Percent of total billed charges		1030.5	40			Percent of total billed charges		458	80			Percent of total billed charges		916	90			Percent of total billed charges		1030.5	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	33.3			Percent of total billed charges		381.285	33.3			Percent of total billed charges		381.285	100			Percent of total billed charges		1145	381.285	1030.5	
titanium solid femoral nail 9mm x 300mm 464.30 synthes	278	RC	Outpatient			1145	744.25		90			Percent of total billed charges		1030.5	40			Percent of total billed charges		458	80			Percent of total billed charges		916	90			Percent of total billed charges		1030.5	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	33.3			Percent of total billed charges		381.285	33.3			Percent of total billed charges		381.285	100			Percent of total billed charges		1145	381.285	1030.5	
titanium solid femoral nail 9mm x 340mm 464.34 synthes	278	RC	Outpatient			1145	744.25		90			Percent of total billed charges		1030.5	40			Percent of total billed charges		458	80			Percent of total billed charges		916	90			Percent of total billed charges		1030.5	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	33.3			Percent of total billed charges		381.285	33.3			Percent of total billed charges		381.285	100			Percent of total billed charges		1145	381.285	1030.5	
titanium solid femoral nail 9mm x 360mm 464.36 synthes	278	RC	Outpatient			1145	744.25		90			Percent of total billed charges		1030.5	40			Percent of total billed charges		458	80			Percent of total billed charges		916	90			Percent of total billed charges		1030.5	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	33.3			Percent of total billed charges		381.285	33.3			Percent of total billed charges		381.285	100			Percent of total billed charges		1145	381.285	1030.5	
titanium solid femoral nail 9mm x 420mm 464.42 synthes	278	RC	Outpatient			1145	744.25		90			Percent of total billed charges		1030.5	40			Percent of total billed charges		458	80			Percent of total billed charges		916	90			Percent of total billed charges		1030.5	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	33.3			Percent of total billed charges		381.285	33.3			Percent of total billed charges		381.285	100			Percent of total billed charges		1145	381.285	1030.5	
titanium solid femoral nail 9mm x 440mm 464.44 synthes	278	RC	Outpatient			1145	744.25		90			Percent of total billed charges		1030.5	40			Percent of total billed charges		458	80			Percent of total billed charges		916	90			Percent of total billed charges		1030.5	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	33.3			Percent of total billed charges		381.285	33.3			Percent of total billed charges		381.285	100			Percent of total billed charges		1145	381.285	1030.5	
titanium solid femoral nail 9mm x 460mm 464.46 synthes	278	RC	Outpatient			1145	744.25		90			Percent of total billed charges		1030.5	40			Percent of total billed charges		458	80			Percent of total billed charges		916	90			Percent of total billed charges		1030.5	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	33.3			Percent of total billed charges		381.285	33.3			Percent of total billed charges		381.285	100			Percent of total billed charges		1145	381.285	1030.5	
titanium solid femoral nail 9mm x 480mm 464.48 synthes	278	RC	Outpatient			1145	744.25		90			Percent of total billed charges		1030.5	40			Percent of total billed charges		458	80			Percent of total billed charges		916	90			Percent of total billed charges		1030.5	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	33.3			Percent of total billed charges		381.285	33.3			Percent of total billed charges		381.285	100			Percent of total billed charges		1145	381.285	1030.5	
syn titan. femoral nail	278	RC	Outpatient			1145	744.25		90			Percent of total billed charges		1030.5	40			Percent of total billed charges		458	80			Percent of total billed charges		916	90			Percent of total billed charges		1030.5	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	33.3			Percent of total billed charges		381.285	33.3			Percent of total billed charges		381.285	100			Percent of total billed charges		1145	381.285	1030.5	
titanium solid femoral nail 10mm x 320mm 465.32 synthes	278	RC	Outpatient			1145	744.25		90			Percent of total billed charges		1030.5	40			Percent of total billed charges		458	80			Percent of total billed charges		916	90			Percent of total billed charges		1030.5	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	33.3			Percent of total billed charges		381.285	33.3			Percent of total billed charges		381.285	100			Percent of total billed charges		1145	381.285	1030.5	
titanium solid femoral nail 10mm x 460mm 465.46 synthes	278	RC	Outpatient			1145	744.25		90			Percent of total billed charges		1030.5	40			Percent of total billed charges		458	80			Percent of total billed charges		916	90			Percent of total billed charges		1030.5	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	33.3			Percent of total billed charges		381.285	33.3			Percent of total billed charges		381.285	100			Percent of total billed charges		1145	381.285	1030.5	
titanium solid femoral nail 11mm x 300mm 466.30 synthes	278	RC	Outpatient			1145	744.25		90			Percent of total billed charges		1030.5	40			Percent of total billed charges		458	80			Percent of total billed charges		916	90			Percent of total billed charges		1030.5	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	33.3			Percent of total billed charges		381.285	33.3			Percent of total billed charges		381.285	100			Percent of total billed charges		1145	381.285	1030.5	
titanium solid femoral nail 11mm x 340mm 466.34 synthes	278	RC	Outpatient			1145	744.25		90			Percent of total billed charges		1030.5	40			Percent of total billed charges		458	80			Percent of total billed charges		916	90			Percent of total billed charges		1030.5	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	33.3			Percent of total billed charges		381.285	33.3			Percent of total billed charges		381.285	100			Percent of total billed charges		1145	381.285	1030.5	
titanium solid femoral nail 11mm x 400mm 466.40 synthes	278	RC	Outpatient			1145	744.25		90			Percent of total billed charges		1030.5	40			Percent of total billed charges		458	80			Percent of total billed charges		916	90			Percent of total billed charges		1030.5	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	33.3			Percent of total billed charges		381.285	33.3			Percent of total billed charges		381.285	100			Percent of total billed charges		1145	381.285	1030.5	
titanium solid femoral nail 11mm x 460mm 466.46 synthes	278	RC	Outpatient			1145	744.25		90			Percent of total billed charges		1030.5	40			Percent of total billed charges		458	80			Percent of total billed charges		916	90			Percent of total billed charges		1030.5	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	33.3			Percent of total billed charges		381.285	33.3			Percent of total billed charges		381.285	100			Percent of total billed charges		1145	381.285	1030.5	
titanium solid femoral nail 11mm x 480mm 466.48 synthes	278	RC	Outpatient			1145	744.25		90			Percent of total billed charges		1030.5	40			Percent of total billed charges		458	80			Percent of total billed charges		916	90			Percent of total billed charges		1030.5	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	33.3			Percent of total billed charges		381.285	33.3			Percent of total billed charges		381.285	100			Percent of total billed charges		1145	381.285	1030.5	
titanium solid femoral nail 12mm x 300mm 467.30 synthes	278	RC	Outpatient			1145	744.25		90			Percent of total billed charges		1030.5	40			Percent of total billed charges		458	80			Percent of total billed charges		916	90			Percent of total billed charges		1030.5	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	33.3			Percent of total billed charges		381.285	33.3			Percent of total billed charges		381.285	100			Percent of total billed charges		1145	381.285	1030.5	
titanium solid femoral nail 12mm x 380mm 467.38 synthes	278	RC	Outpatient			1145	744.25		90			Percent of total billed charges		1030.5	40			Percent of total billed charges		458	80			Percent of total billed charges		916	90			Percent of total billed charges		1030.5	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	33.3			Percent of total billed charges		381.285	33.3			Percent of total billed charges		381.285	100			Percent of total billed charges		1145	381.285	1030.5	
titanium solid femoral nail 12mm x 400mm 467.40 synthes	278	RC	Outpatient			1145	744.25		90			Percent of total billed charges		1030.5	40			Percent of total billed charges		458	80			Percent of total billed charges		916	90			Percent of total billed charges		1030.5	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	33.3			Percent of total billed charges		381.285	33.3			Percent of total billed charges		381.285	100			Percent of total billed charges		1145	381.285	1030.5	
titanium solid femoral nail 12mm x 420mm 467.42 synthes	278	RC	Outpatient			1145	744.25		90			Percent of total billed charges		1030.5	40			Percent of total billed charges		458	80			Percent of total billed charges		916	90			Percent of total billed charges		1030.5	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	33.3			Percent of total billed charges		381.285	33.3			Percent of total billed charges		381.285	100			Percent of total billed charges		1145	381.285	1030.5	
titanium solid femoral nail 12mm x 440mm 467.44 synthes	278	RC	Outpatient			1145	744.25		90			Percent of total billed charges		1030.5	40			Percent of total billed charges		458	80			Percent of total billed charges		916	90			Percent of total billed charges		1030.5	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	33.3			Percent of total billed charges		381.285	33.3			Percent of total billed charges		381.285	100			Percent of total billed charges		1145	381.285	1030.5	
titanium solid femoral nail 12mm x 460mm 467.46 synthes	278	RC	Outpatient			1145	744.25		90			Percent of total billed charges		1030.5	40			Percent of total billed charges		458	80			Percent of total billed charges		916	90			Percent of total billed charges		1030.5	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	33.3			Percent of total billed charges		381.285	33.3			Percent of total billed charges		381.285	100			Percent of total billed charges		1145	381.285	1030.5	
titanium solid femoral nail 12mm x 480mm 467.48 synthes	278	RC	Outpatient			1145	744.25		90			Percent of total billed charges		1030.5	40			Percent of total billed charges		458	80			Percent of total billed charges		916	90			Percent of total billed charges		1030.5	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	33.3			Percent of total billed charges		381.285	33.3			Percent of total billed charges		381.285	100			Percent of total billed charges		1145	381.285	1030.5	
titanium solid femoral nail 9mm x 320mm 464.30 synthes	278	RC	Outpatient			1145	744.25		90			Percent of total billed charges		1030.5	40			Percent of total billed charges		458	80			Percent of total billed charges		916	90			Percent of total billed charges		1030.5	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	33.3			Percent of total billed charges		381.285	33.3			Percent of total billed charges		381.285	100			Percent of total billed charges		1145	381.285	1030.5	
titanium solid femoral nail 9mm x 380mm 464.38 synthes	278	RC	Outpatient			1145	744.25		90			Percent of total billed charges		1030.5	40			Percent of total billed charges		458	80			Percent of total billed charges		916	90			Percent of total billed charges		1030.5	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	33.3			Percent of total billed charges		381.285	33.3			Percent of total billed charges		381.285	100			Percent of total billed charges		1145	381.285	1030.5	
titanium solid femoral nail 9mm x 400mm 464.40 synthes	278	RC	Outpatient			1145	744.25		90			Percent of total billed charges		1030.5	40			Percent of total billed charges		458	80			Percent of total billed charges		916	90			Percent of total billed charges		1030.5	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	85			Percent of total billed charges		973.25	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	100			Percent of total billed charges		1145	33.3			Percent of total billed charges		381.285	33.3			Percent of total billed charges		381.285	100			Percent of total billed charges		1145	381.285	1030.5	
s/n cloverleaf plate 7 hole 7114-0627	278	RC	Outpatient			1146	744.9		90			Percent of total billed charges		1031.4	40			Percent of total billed charges		458.4	80			Percent of total billed charges		916.8	90			Percent of total billed charges		1031.4	85			Percent of total billed charges		974.1	85			Percent of total billed charges		974.1	85			Percent of total billed charges		974.1	100			Percent of total billed charges		1146	100			Percent of total billed charges		1146	100			Percent of total billed charges		1146	33.3			Percent of total billed charges		381.618	33.3			Percent of total billed charges		381.618	100			Percent of total billed charges		1146	381.618	1031.4	
s/n cloverleaf plate 6 hole 7114-0626	278	RC	Outpatient			1146	744.9		90			Percent of total billed charges		1031.4	40			Percent of total billed charges		458.4	80			Percent of total billed charges		916.8	90			Percent of total billed charges		1031.4	85			Percent of total billed charges		974.1	85			Percent of total billed charges		974.1	85			Percent of total billed charges		974.1	100			Percent of total billed charges		1146	100			Percent of total billed charges		1146	100			Percent of total billed charges		1146	33.3			Percent of total billed charges		381.618	33.3			Percent of total billed charges		381.618	100			Percent of total billed charges		1146	381.618	1031.4	
sm fr pl cloverleaf 6-7hl	278	RC	Outpatient			1146	744.9		90			Percent of total billed charges		1031.4	40			Percent of total billed charges		458.4	80			Percent of total billed charges		916.8	90			Percent of total billed charges		1031.4	85			Percent of total billed charges		974.1	85			Percent of total billed charges		974.1	85			Percent of total billed charges		974.1	100			Percent of total billed charges		1146	100			Percent of total billed charges		1146	100			Percent of total billed charges		1146	33.3			Percent of total billed charges		381.618	33.3			Percent of total billed charges		381.618	100			Percent of total billed charges		1146	381.618	1031.4	
arthrex bio-comp anc slsp	278	RC	Outpatient			1147	745.55		90			Percent of total billed charges		1032.3	40			Percent of total billed charges		458.8	80			Percent of total billed charges		917.6	90			Percent of total billed charges		1032.3	85			Percent of total billed charges		974.95	85			Percent of total billed charges		974.95	85			Percent of total billed charges		974.95	100			Percent of total billed charges		1147	100			Percent of total billed charges		1147	100			Percent of total billed charges		1147	33.3			Percent of total billed charges		381.951	33.3			Percent of total billed charges		381.951	100			Percent of total billed charges		1147	381.951	1032.3	
arthrex bio-comp swivelock sp suture anchor 4.75 x 24.5mm ar-2324bcm	278	RC	Outpatient			1147	745.55		90			Percent of total billed charges		1032.3	40			Percent of total billed charges		458.8	80			Percent of total billed charges		917.6	90			Percent of total billed charges		1032.3	85			Percent of total billed charges		974.95	85			Percent of total billed charges		974.95	85			Percent of total billed charges		974.95	100			Percent of total billed charges		1147	100			Percent of total billed charges		1147	100			Percent of total billed charges		1147	33.3			Percent of total billed charges		381.951	33.3			Percent of total billed charges		381.951	100			Percent of total billed charges		1147	381.951	1032.3	
harm scpl 9cm shear	272	RC	Outpatient			1147	745.55		90			Percent of total billed charges		1032.3	40			Percent of total billed charges		458.8	80			Percent of total billed charges		917.6	90			Percent of total billed charges		1032.3	85			Percent of total billed charges		974.95	85			Percent of total billed charges		974.95	85			Percent of total billed charges		974.95	100			Percent of total billed charges		1147	100			Percent of total billed charges		1147	100			Percent of total billed charges		1147	33.3			Percent of total billed charges		381.951	33.3			Percent of total billed charges		381.951	100			Percent of total billed charges		1147	381.951	1032.3	
hemi cap post	278	RC	Outpatient			1147	745.55		90			Percent of total billed charges		1032.3	40			Percent of total billed charges		458.8	80			Percent of total billed charges		917.6	90			Percent of total billed charges		1032.3	85			Percent of total billed charges		974.95	85			Percent of total billed charges		974.95	85			Percent of total billed charges		974.95	100			Percent of total billed charges		1147	100			Percent of total billed charges		1147	100			Percent of total billed charges		1147	33.3			Percent of total billed charges		381.951	33.3			Percent of total billed charges		381.951	100			Percent of total billed charges		1147	381.951	1032.3	
harmonic focus 9cm curved shear fcs9 har9f ethicon	272	RC	Outpatient			1147	745.55		90			Percent of total billed charges		1032.3	40			Percent of total billed charges		458.8	80			Percent of total billed charges		917.6	90			Percent of total billed charges		1032.3	85			Percent of total billed charges		974.95	85			Percent of total billed charges		974.95	85			Percent of total billed charges		974.95	100			Percent of total billed charges		1147	100			Percent of total billed charges		1147	100			Percent of total billed charges		1147	33.3			Percent of total billed charges		381.951	33.3			Percent of total billed charges		381.951	100			Percent of total billed charges		1147	381.951	1032.3	
hemicap 8.5mm fixation stub p085-0017-w arthrosurface	278	RC	Outpatient			1147	745.55		90			Percent of total billed charges		1032.3	40			Percent of total billed charges		458.8	80			Percent of total billed charges		917.6	90			Percent of total billed charges		1032.3	85			Percent of total billed charges		974.95	85			Percent of total billed charges		974.95	85			Percent of total billed charges		974.95	100			Percent of total billed charges		1147	100			Percent of total billed charges		1147	100			Percent of total billed charges		1147	33.3			Percent of total billed charges		381.951	33.3			Percent of total billed charges		381.951	100			Percent of total billed charges		1147	381.951	1032.3	
tisseel fibrin sealant 10ml prefilled syringe 1506080 baxter	272	RC	Outpatient			1148	746.2		90			Percent of total billed charges		1033.2	40			Percent of total billed charges		459.2	80			Percent of total billed charges		918.4	90			Percent of total billed charges		1033.2	85			Percent of total billed charges		975.8	85			Percent of total billed charges		975.8	85			Percent of total billed charges		975.8	100			Percent of total billed charges		1148	100			Percent of total billed charges		1148	100			Percent of total billed charges		1148	33.3			Percent of total billed charges		382.284	33.3			Percent of total billed charges		382.284	100			Percent of total billed charges		1148	382.284	1033.2	
15176 accellular each addl 100sq charge	761	RC	Outpatient			1151	748.15		90			Percent of total billed charges		1035.9	40			Percent of total billed charges		460.4	80			Percent of total billed charges		920.8	90			Percent of total billed charges		1035.9	85			Percent of total billed charges		978.35	85			Percent of total billed charges		978.35	85			Percent of total billed charges		978.35	100			Percent of total billed charges		1151	100			Percent of total billed charges		1151	100			Percent of total billed charges		1151	33.3			Percent of total billed charges		383.283	33.3			Percent of total billed charges		383.283	100			Percent of total billed charges		1151	383.283	1035.9	
15300 allograft fist 100sq cm charge	761	RC	Outpatient			1151	748.15		90			Percent of total billed charges		1035.9	40			Percent of total billed charges		460.4	80			Percent of total billed charges		920.8	90			Percent of total billed charges		1035.9	85			Percent of total billed charges		978.35	85			Percent of total billed charges		978.35	85			Percent of total billed charges		978.35	100			Percent of total billed charges		1151	100			Percent of total billed charges		1151	100			Percent of total billed charges		1151	33.3			Percent of total billed charges		383.283	33.3			Percent of total billed charges		383.283	100			Percent of total billed charges		1151	383.283	1035.9	
15301 allograft ea addl 100 sq charge	761	RC	Outpatient			1151	748.15		90			Percent of total billed charges		1035.9	40			Percent of total billed charges		460.4	80			Percent of total billed charges		920.8	90			Percent of total billed charges		1035.9	85			Percent of total billed charges		978.35	85			Percent of total billed charges		978.35	85			Percent of total billed charges		978.35	100			Percent of total billed charges		1151	100			Percent of total billed charges		1151	100			Percent of total billed charges		1151	33.3			Percent of total billed charges		383.283	33.3			Percent of total billed charges		383.283	100			Percent of total billed charges		1151	383.283	1035.9	
15175 acellar dermal 1st 100sq charge	761	RC	Outpatient			1151	748.15		90			Percent of total billed charges		1035.9	40			Percent of total billed charges		460.4	80			Percent of total billed charges		920.8	90			Percent of total billed charges		1035.9	85			Percent of total billed charges		978.35	85			Percent of total billed charges		978.35	85			Percent of total billed charges		978.35	100			Percent of total billed charges		1151	100			Percent of total billed charges		1151	100			Percent of total billed charges		1151	33.3			Percent of total billed charges		383.283	33.3			Percent of total billed charges		383.283	100			Percent of total billed charges		1151	383.283	1035.9	
15330 acellular first 100 sq cm charge	761	RC	Outpatient			1151	748.15		90			Percent of total billed charges		1035.9	40			Percent of total billed charges		460.4	80			Percent of total billed charges		920.8	90			Percent of total billed charges		1035.9	85			Percent of total billed charges		978.35	85			Percent of total billed charges		978.35	85			Percent of total billed charges		978.35	100			Percent of total billed charges		1151	100			Percent of total billed charges		1151	100			Percent of total billed charges		1151	33.3			Percent of total billed charges		383.283	33.3			Percent of total billed charges		383.283	100			Percent of total billed charges		1151	383.283	1035.9	
15331 allograft ea addl 100 sq cm charge	761	RC	Outpatient			1151	748.15		90			Percent of total billed charges		1035.9	40			Percent of total billed charges		460.4	80			Percent of total billed charges		920.8	90			Percent of total billed charges		1035.9	85			Percent of total billed charges		978.35	85			Percent of total billed charges		978.35	85			Percent of total billed charges		978.35	100			Percent of total billed charges		1151	100			Percent of total billed charges		1151	100			Percent of total billed charges		1151	33.3			Percent of total billed charges		383.283	33.3			Percent of total billed charges		383.283	100			Percent of total billed charges		1151	383.283	1035.9	
gelport c8101  applied medical c8106 c8xx2	272	RC	Outpatient			1153	749.45		90			Percent of total billed charges		1037.7	40			Percent of total billed charges		461.2	80			Percent of total billed charges		922.4	90			Percent of total billed charges		1037.7	85			Percent of total billed charges		980.05	85			Percent of total billed charges		980.05	85			Percent of total billed charges		980.05	100			Percent of total billed charges		1153	100			Percent of total billed charges		1153	100			Percent of total billed charges		1153	33.3			Percent of total billed charges		383.949	33.3			Percent of total billed charges		383.949	100			Percent of total billed charges		1153	383.949	1037.7	
gelport	272	RC	Outpatient			1153	749.45		90			Percent of total billed charges		1037.7	40			Percent of total billed charges		461.2	80			Percent of total billed charges		922.4	90			Percent of total billed charges		1037.7	85			Percent of total billed charges		980.05	85			Percent of total billed charges		980.05	85			Percent of total billed charges		980.05	100			Percent of total billed charges		1153	100			Percent of total billed charges		1153	100			Percent of total billed charges		1153	33.3			Percent of total billed charges		383.949	33.3			Percent of total billed charges		383.949	100			Percent of total billed charges		1153	383.949	1037.7	
navigation pin preloaded	272	RC	Outpatient			1153	749.45		90			Percent of total billed charges		1037.7	40			Percent of total billed charges		461.2	80			Percent of total billed charges		922.4	90			Percent of total billed charges		1037.7	85			Percent of total billed charges		980.05	85			Percent of total billed charges		980.05	85			Percent of total billed charges		980.05	100			Percent of total billed charges		1153	100			Percent of total billed charges		1153	100			Percent of total billed charges		1153	33.3			Percent of total billed charges		383.949	33.3			Percent of total billed charges		383.949	100			Percent of total billed charges		1153	383.949	1037.7	
navigation pre-loaded pin 6003-003-090 stryker	272	RC	Outpatient			1153	749.45		90			Percent of total billed charges		1037.7	40			Percent of total billed charges		461.2	80			Percent of total billed charges		922.4	90			Percent of total billed charges		1037.7	85			Percent of total billed charges		980.05	85			Percent of total billed charges		980.05	85			Percent of total billed charges		980.05	100			Percent of total billed charges		1153	100			Percent of total billed charges		1153	100			Percent of total billed charges		1153	33.3			Percent of total billed charges		383.949	33.3			Percent of total billed charges		383.949	100			Percent of total billed charges		1153	383.949	1037.7	
breast imp saline 350	278	RC	Outpatient			1154	750.1		90			Percent of total billed charges		1038.6	40			Percent of total billed charges		461.6	80			Percent of total billed charges		923.2	90			Percent of total billed charges		1038.6	85			Percent of total billed charges		980.9	85			Percent of total billed charges		980.9	85			Percent of total billed charges		980.9	100			Percent of total billed charges		1154	100			Percent of total billed charges		1154	100			Percent of total billed charges		1154	33.3			Percent of total billed charges		384.282	33.3			Percent of total billed charges		384.282	100			Percent of total billed charges		1154	384.282	1038.6	
natrelle saline implant 68hp-350 allergan	278	RC	Outpatient			1154	750.1		90			Percent of total billed charges		1038.6	40			Percent of total billed charges		461.6	80			Percent of total billed charges		923.2	90			Percent of total billed charges		1038.6	85			Percent of total billed charges		980.9	85			Percent of total billed charges		980.9	85			Percent of total billed charges		980.9	100			Percent of total billed charges		1154	100			Percent of total billed charges		1154	100			Percent of total billed charges		1154	33.3			Percent of total billed charges		384.282	33.3			Percent of total billed charges		384.282	100			Percent of total billed charges		1154	384.282	1038.6	
richards post.stblzer ins	278	RC	Outpatient			1155	750.75		90			Percent of total billed charges		1039.5	40			Percent of total billed charges		462	80			Percent of total billed charges		924	90			Percent of total billed charges		1039.5	85			Percent of total billed charges		981.75	85			Percent of total billed charges		981.75	85			Percent of total billed charges		981.75	100			Percent of total billed charges		1155	100			Percent of total billed charges		1155	100			Percent of total billed charges		1155	33.3			Percent of total billed charges		384.615	33.3			Percent of total billed charges		384.615	100			Percent of total billed charges		1155	384.615	1039.5	
breast imp saline 325cc	278	RC	Outpatient			1161	754.65		90			Percent of total billed charges		1044.9	40			Percent of total billed charges		464.4	80			Percent of total billed charges		928.8	90			Percent of total billed charges		1044.9	85			Percent of total billed charges		986.85	85			Percent of total billed charges		986.85	85			Percent of total billed charges		986.85	100			Percent of total billed charges		1161	100			Percent of total billed charges		1161	100			Percent of total billed charges		1161	33.3			Percent of total billed charges		386.613	33.3			Percent of total billed charges		386.613	100			Percent of total billed charges		1161	386.613	1044.9	
breast imp saline 3800cc	278	RC	Outpatient			1161	754.65		90			Percent of total billed charges		1044.9	40			Percent of total billed charges		464.4	80			Percent of total billed charges		928.8	90			Percent of total billed charges		1044.9	85			Percent of total billed charges		986.85	85			Percent of total billed charges		986.85	85			Percent of total billed charges		986.85	100			Percent of total billed charges		1161	100			Percent of total billed charges		1161	100			Percent of total billed charges		1161	33.3			Percent of total billed charges		386.613	33.3			Percent of total billed charges		386.613	100			Percent of total billed charges		1161	386.613	1044.9	
smooth round high profile 325-390cc saline breast implant mentor 350-2325	278	RC	Outpatient			1161	754.65		90			Percent of total billed charges		1044.9	40			Percent of total billed charges		464.4	80			Percent of total billed charges		928.8	90			Percent of total billed charges		1044.9	85			Percent of total billed charges		986.85	85			Percent of total billed charges		986.85	85			Percent of total billed charges		986.85	100			Percent of total billed charges		1161	100			Percent of total billed charges		1161	100			Percent of total billed charges		1161	33.3			Percent of total billed charges		386.613	33.3			Percent of total billed charges		386.613	100			Percent of total billed charges		1161	386.613	1044.9	
smooth round high profile 380-450cc saline breast implant mentor 350-3380	278	RC	Outpatient			1161	754.65		90			Percent of total billed charges		1044.9	40			Percent of total billed charges		464.4	80			Percent of total billed charges		928.8	90			Percent of total billed charges		1044.9	85			Percent of total billed charges		986.85	85			Percent of total billed charges		986.85	85			Percent of total billed charges		986.85	100			Percent of total billed charges		1161	100			Percent of total billed charges		1161	100			Percent of total billed charges		1161	33.3			Percent of total billed charges		386.613	33.3			Percent of total billed charges		386.613	100			Percent of total billed charges		1161	386.613	1044.9	
s/n inf med clav lk pl 10h	278	RC	Outpatient			1162	755.3		90			Percent of total billed charges		1045.8	40			Percent of total billed charges		464.8	80			Percent of total billed charges		929.6	90			Percent of total billed charges		1045.8	85			Percent of total billed charges		987.7	85			Percent of total billed charges		987.7	85			Percent of total billed charges		987.7	100			Percent of total billed charges		1162	100			Percent of total billed charges		1162	100			Percent of total billed charges		1162	33.3			Percent of total billed charges		386.946	33.3			Percent of total billed charges		386.946	100			Percent of total billed charges		1162	386.946	1045.8	
s/n sup med clav lk pl10 h	278	RC	Outpatient			1162	755.3		90			Percent of total billed charges		1045.8	40			Percent of total billed charges		464.8	80			Percent of total billed charges		929.6	90			Percent of total billed charges		1045.8	85			Percent of total billed charges		987.7	85			Percent of total billed charges		987.7	85			Percent of total billed charges		987.7	100			Percent of total billed charges		1162	100			Percent of total billed charges		1162	100			Percent of total billed charges		1162	33.3			Percent of total billed charges		386.946	33.3			Percent of total billed charges		386.946	100			Percent of total billed charges		1162	386.946	1045.8	
s/n sup med clav lk pl10h	278	RC	Outpatient			1162	755.3		90			Percent of total billed charges		1045.8	40			Percent of total billed charges		464.8	80			Percent of total billed charges		929.6	90			Percent of total billed charges		1045.8	85			Percent of total billed charges		987.7	85			Percent of total billed charges		987.7	85			Percent of total billed charges		987.7	100			Percent of total billed charges		1162	100			Percent of total billed charges		1162	100			Percent of total billed charges		1162	33.3			Percent of total billed charges		386.946	33.3			Percent of total billed charges		386.946	100			Percent of total billed charges		1162	386.946	1045.8	
j&j fmoral stm ultima pf	278	RC	Outpatient			1165	757.25		90			Percent of total billed charges		1048.5	40			Percent of total billed charges		466	80			Percent of total billed charges		932	90			Percent of total billed charges		1048.5	85			Percent of total billed charges		990.25	85			Percent of total billed charges		990.25	85			Percent of total billed charges		990.25	100			Percent of total billed charges		1165	100			Percent of total billed charges		1165	100			Percent of total billed charges		1165	33.3			Percent of total billed charges		387.945	33.3			Percent of total billed charges		387.945	100			Percent of total billed charges		1165	387.945	1048.5	
endo egd & brush/wash	750	RC	Outpatient			1170	760.5		90			Percent of total billed charges		1053	40			Percent of total billed charges		468	80			Percent of total billed charges		936	90			Percent of total billed charges		1053	85			Percent of total billed charges		994.5	85			Percent of total billed charges		994.5	85			Percent of total billed charges		994.5	100			Percent of total billed charges		1170	100			Percent of total billed charges		1170	100			Percent of total billed charges		1170	33.3			Percent of total billed charges		389.61	33.3			Percent of total billed charges		389.61	100			Percent of total billed charges		1170	389.61	1053	
tibiaxus plate lat	278	RC	Outpatient			1170	760.5		90			Percent of total billed charges		1053	40			Percent of total billed charges		468	80			Percent of total billed charges		936	90			Percent of total billed charges		1053	85			Percent of total billed charges		994.5	85			Percent of total billed charges		994.5	85			Percent of total billed charges		994.5	100			Percent of total billed charges		1170	100			Percent of total billed charges		1170	100			Percent of total billed charges		1170	33.3			Percent of total billed charges		389.61	33.3			Percent of total billed charges		389.61	100			Percent of total billed charges		1170	389.61	1053	
tibiaxus plate med	278	RC	Outpatient			1170	760.5		90			Percent of total billed charges		1053	40			Percent of total billed charges		468	80			Percent of total billed charges		936	90			Percent of total billed charges		1053	85			Percent of total billed charges		994.5	85			Percent of total billed charges		994.5	85			Percent of total billed charges		994.5	100			Percent of total billed charges		1170	100			Percent of total billed charges		1170	100			Percent of total billed charges		1170	33.3			Percent of total billed charges		389.61	33.3			Percent of total billed charges		389.61	100			Percent of total billed charges		1170	389.61	1053	
tibiaxys left lateral  anterior plate 150020snd intregra life	278	RC	Outpatient			1170	760.5		90			Percent of total billed charges		1053	40			Percent of total billed charges		468	80			Percent of total billed charges		936	90			Percent of total billed charges		1053	85			Percent of total billed charges		994.5	85			Percent of total billed charges		994.5	85			Percent of total billed charges		994.5	100			Percent of total billed charges		1170	100			Percent of total billed charges		1170	100			Percent of total billed charges		1170	33.3			Percent of total billed charges		389.61	33.3			Percent of total billed charges		389.61	100			Percent of total billed charges		1170	389.61	1053	
tibiaxys left medial anterior plate 150010snd intregra life	278	RC	Outpatient			1170	760.5		90			Percent of total billed charges		1053	40			Percent of total billed charges		468	80			Percent of total billed charges		936	90			Percent of total billed charges		1053	85			Percent of total billed charges		994.5	85			Percent of total billed charges		994.5	85			Percent of total billed charges		994.5	100			Percent of total billed charges		1170	100			Percent of total billed charges		1170	100			Percent of total billed charges		1170	33.3			Percent of total billed charges		389.61	33.3			Percent of total billed charges		389.61	100			Percent of total billed charges		1170	389.61	1053	
allograf femur strut whol	278	RC	Outpatient			1173	762.45		90			Percent of total billed charges		1055.7	40			Percent of total billed charges		469.2	80			Percent of total billed charges		938.4	90			Percent of total billed charges		1055.7	85			Percent of total billed charges		997.05	85			Percent of total billed charges		997.05	85			Percent of total billed charges		997.05	100			Percent of total billed charges		1173	100			Percent of total billed charges		1173	100			Percent of total billed charges		1173	33.3			Percent of total billed charges		390.609	33.3			Percent of total billed charges		390.609	100			Percent of total billed charges		1173	390.609	1055.7	
gore tri-lobe balloon cath bc2640	272	RC	Outpatient			1173	762.45		90			Percent of total billed charges		1055.7	40			Percent of total billed charges		469.2	80			Percent of total billed charges		938.4	90			Percent of total billed charges		1055.7	85			Percent of total billed charges		997.05	85			Percent of total billed charges		997.05	85			Percent of total billed charges		997.05	100			Percent of total billed charges		1173	100			Percent of total billed charges		1173	100			Percent of total billed charges		1173	33.3			Percent of total billed charges		390.609	33.3			Percent of total billed charges		390.609	100			Percent of total billed charges		1173	390.609	1055.7	
"femur, whole strut allograft community tissue"	278	RC	Outpatient			1173	762.45		90			Percent of total billed charges		1055.7	40			Percent of total billed charges		469.2	80			Percent of total billed charges		938.4	90			Percent of total billed charges		1055.7	85			Percent of total billed charges		997.05	85			Percent of total billed charges		997.05	85			Percent of total billed charges		997.05	100			Percent of total billed charges		1173	100			Percent of total billed charges		1173	100			Percent of total billed charges		1173	33.3			Percent of total billed charges		390.609	33.3			Percent of total billed charges		390.609	100			Percent of total billed charges		1173	390.609	1055.7	
gore tri-lobe balloon	272	RC	Outpatient			1173	762.45		90			Percent of total billed charges		1055.7	40			Percent of total billed charges		469.2	80			Percent of total billed charges		938.4	90			Percent of total billed charges		1055.7	85			Percent of total billed charges		997.05	85			Percent of total billed charges		997.05	85			Percent of total billed charges		997.05	100			Percent of total billed charges		1173	100			Percent of total billed charges		1173	100			Percent of total billed charges		1173	33.3			Percent of total billed charges		390.609	33.3			Percent of total billed charges		390.609	100			Percent of total billed charges		1173	390.609	1055.7	
gore tri-lobe balloon cath bc2645	272	RC	Outpatient			1173	762.45		90			Percent of total billed charges		1055.7	40			Percent of total billed charges		469.2	80			Percent of total billed charges		938.4	90			Percent of total billed charges		1055.7	85			Percent of total billed charges		997.05	85			Percent of total billed charges		997.05	85			Percent of total billed charges		997.05	100			Percent of total billed charges		1173	100			Percent of total billed charges		1173	100			Percent of total billed charges		1173	33.3			Percent of total billed charges		390.609	33.3			Percent of total billed charges		390.609	100			Percent of total billed charges		1173	390.609	1055.7	
peri-loc 3.5 pl-d fib lk pl 5 h 72820805 s/n	278	RC	Outpatient			1173	762.45		90			Percent of total billed charges		1055.7	40			Percent of total billed charges		469.2	80			Percent of total billed charges		938.4	90			Percent of total billed charges		1055.7	85			Percent of total billed charges		997.05	85			Percent of total billed charges		997.05	85			Percent of total billed charges		997.05	100			Percent of total billed charges		1173	100			Percent of total billed charges		1173	100			Percent of total billed charges		1173	33.3			Percent of total billed charges		390.609	33.3			Percent of total billed charges		390.609	100			Percent of total billed charges		1173	390.609	1055.7	
s/n vlp pl dist fib pl 5h	278	RC	Outpatient			1173	762.45		90			Percent of total billed charges		1055.7	40			Percent of total billed charges		469.2	80			Percent of total billed charges		938.4	90			Percent of total billed charges		1055.7	85			Percent of total billed charges		997.05	85			Percent of total billed charges		997.05	85			Percent of total billed charges		997.05	100			Percent of total billed charges		1173	100			Percent of total billed charges		1173	100			Percent of total billed charges		1173	33.3			Percent of total billed charges		390.609	33.3			Percent of total billed charges		390.609	100			Percent of total billed charges		1173	390.609	1055.7	
triathlon asymmetric patella 5551-l-299 stryker	278	RC	Outpatient			1173	762.45		90			Percent of total billed charges		1055.7	40			Percent of total billed charges		469.2	80			Percent of total billed charges		938.4	90			Percent of total billed charges		1055.7	85			Percent of total billed charges		997.05	85			Percent of total billed charges		997.05	85			Percent of total billed charges		997.05	100			Percent of total billed charges		1173	100			Percent of total billed charges		1173	100			Percent of total billed charges		1173	33.3			Percent of total billed charges		390.609	33.3			Percent of total billed charges		390.609	100			Percent of total billed charges		1173	390.609	1055.7	
triathlon asymmetric patella 5551-l-320 stryker	278	RC	Outpatient			1173	762.45		90			Percent of total billed charges		1055.7	40			Percent of total billed charges		469.2	80			Percent of total billed charges		938.4	90			Percent of total billed charges		1055.7	85			Percent of total billed charges		997.05	85			Percent of total billed charges		997.05	85			Percent of total billed charges		997.05	100			Percent of total billed charges		1173	100			Percent of total billed charges		1173	100			Percent of total billed charges		1173	33.3			Percent of total billed charges		390.609	33.3			Percent of total billed charges		390.609	100			Percent of total billed charges		1173	390.609	1055.7	
triathlon asymmetric patella 5551-l-350 stryker	278	RC	Outpatient			1173	762.45		90			Percent of total billed charges		1055.7	40			Percent of total billed charges		469.2	80			Percent of total billed charges		938.4	90			Percent of total billed charges		1055.7	85			Percent of total billed charges		997.05	85			Percent of total billed charges		997.05	85			Percent of total billed charges		997.05	100			Percent of total billed charges		1173	100			Percent of total billed charges		1173	100			Percent of total billed charges		1173	33.3			Percent of total billed charges		390.609	33.3			Percent of total billed charges		390.609	100			Percent of total billed charges		1173	390.609	1055.7	
triathlon patella	278	RC	Outpatient			1173	762.45		90			Percent of total billed charges		1055.7	40			Percent of total billed charges		469.2	80			Percent of total billed charges		938.4	90			Percent of total billed charges		1055.7	85			Percent of total billed charges		997.05	85			Percent of total billed charges		997.05	85			Percent of total billed charges		997.05	100			Percent of total billed charges		1173	100			Percent of total billed charges		1173	100			Percent of total billed charges		1173	33.3			Percent of total billed charges		390.609	33.3			Percent of total billed charges		390.609	100			Percent of total billed charges		1173	390.609	1055.7	
peri-loc 3.5 pl-d fib lk pl 5 h 72820905 s/n	278	RC	Outpatient			1173	762.45		90			Percent of total billed charges		1055.7	40			Percent of total billed charges		469.2	80			Percent of total billed charges		938.4	90			Percent of total billed charges		1055.7	85			Percent of total billed charges		997.05	85			Percent of total billed charges		997.05	85			Percent of total billed charges		997.05	100			Percent of total billed charges		1173	100			Percent of total billed charges		1173	100			Percent of total billed charges		1173	33.3			Percent of total billed charges		390.609	33.3			Percent of total billed charges		390.609	100			Percent of total billed charges		1173	390.609	1055.7	
peri-loc 3.5 l-d fib lk pl 5 h rt 72802005 s/n	278	RC	Outpatient			1174	763.1		90			Percent of total billed charges		1056.6	40			Percent of total billed charges		469.6	80			Percent of total billed charges		939.2	90			Percent of total billed charges		1056.6	85			Percent of total billed charges		997.9	85			Percent of total billed charges		997.9	85			Percent of total billed charges		997.9	100			Percent of total billed charges		1174	100			Percent of total billed charges		1174	100			Percent of total billed charges		1174	33.3			Percent of total billed charges		390.942	33.3			Percent of total billed charges		390.942	100			Percent of total billed charges		1174	390.942	1056.6	
peri-loc 3.5 l-d fib lk pl 5 h lt 72821005 s/n	278	RC	Outpatient			1174	763.1		90			Percent of total billed charges		1056.6	40			Percent of total billed charges		469.6	80			Percent of total billed charges		939.2	90			Percent of total billed charges		1056.6	85			Percent of total billed charges		997.9	85			Percent of total billed charges		997.9	85			Percent of total billed charges		997.9	100			Percent of total billed charges		1174	100			Percent of total billed charges		1174	100			Percent of total billed charges		1174	33.3			Percent of total billed charges		390.942	33.3			Percent of total billed charges		390.942	100			Percent of total billed charges		1174	390.942	1056.6	
peri-loc 3.5 l-d fib lk pl 5 h rt 72822005 s/n	278	RC	Outpatient			1174	763.1		90			Percent of total billed charges		1056.6	40			Percent of total billed charges		469.6	80			Percent of total billed charges		939.2	90			Percent of total billed charges		1056.6	85			Percent of total billed charges		997.9	85			Percent of total billed charges		997.9	85			Percent of total billed charges		997.9	100			Percent of total billed charges		1174	100			Percent of total billed charges		1174	100			Percent of total billed charges		1174	33.3			Percent of total billed charges		390.942	33.3			Percent of total billed charges		390.942	100			Percent of total billed charges		1174	390.942	1056.6	
arthrex locking straight plate 6  hole ar-8943c-06	278	RC	Outpatient			1176	764.4		90			Percent of total billed charges		1058.4	40			Percent of total billed charges		470.4	80			Percent of total billed charges		940.8	90			Percent of total billed charges		1058.4	85			Percent of total billed charges		999.6	85			Percent of total billed charges		999.6	85			Percent of total billed charges		999.6	100			Percent of total billed charges		1176	100			Percent of total billed charges		1176	100			Percent of total billed charges		1176	33.3			Percent of total billed charges		391.608	33.3			Percent of total billed charges		391.608	100			Percent of total billed charges		1176	391.608	1058.4	
arthrex pl lck st 6h	278	RC	Outpatient			1176	764.4		90			Percent of total billed charges		1058.4	40			Percent of total billed charges		470.4	80			Percent of total billed charges		940.8	90			Percent of total billed charges		1058.4	85			Percent of total billed charges		999.6	85			Percent of total billed charges		999.6	85			Percent of total billed charges		999.6	100			Percent of total billed charges		1176	100			Percent of total billed charges		1176	100			Percent of total billed charges		1176	33.3			Percent of total billed charges		391.608	33.3			Percent of total billed charges		391.608	100			Percent of total billed charges		1176	391.608	1058.4	
sm fr pl recon 8 hl	278	RC	Outpatient			1176	764.4		90			Percent of total billed charges		1058.4	40			Percent of total billed charges		470.4	80			Percent of total billed charges		940.8	90			Percent of total billed charges		1058.4	85			Percent of total billed charges		999.6	85			Percent of total billed charges		999.6	85			Percent of total billed charges		999.6	100			Percent of total billed charges		1176	100			Percent of total billed charges		1176	100			Percent of total billed charges		1176	33.3			Percent of total billed charges		391.608	33.3			Percent of total billed charges		391.608	100			Percent of total billed charges		1176	391.608	1058.4	
s/n  3.5 recon plate 8 hole  7114-0108	278	RC	Outpatient			1176	764.4		90			Percent of total billed charges		1058.4	40			Percent of total billed charges		470.4	80			Percent of total billed charges		940.8	90			Percent of total billed charges		1058.4	85			Percent of total billed charges		999.6	85			Percent of total billed charges		999.6	85			Percent of total billed charges		999.6	100			Percent of total billed charges		1176	100			Percent of total billed charges		1176	100			Percent of total billed charges		1176	33.3			Percent of total billed charges		391.608	33.3			Percent of total billed charges		391.608	100			Percent of total billed charges		1176	391.608	1058.4	
mini fr pl comp 12 hl	278	RC	Outpatient			1178	765.7		90			Percent of total billed charges		1060.2	40			Percent of total billed charges		471.2	80			Percent of total billed charges		942.4	90			Percent of total billed charges		1060.2	85			Percent of total billed charges		1001.3	85			Percent of total billed charges		1001.3	85			Percent of total billed charges		1001.3	100			Percent of total billed charges		1178	100			Percent of total billed charges		1178	100			Percent of total billed charges		1178	33.3			Percent of total billed charges		392.274	33.3			Percent of total billed charges		392.274	100			Percent of total billed charges		1178	392.274	1060.2	
s/n mini frag plate 12 hole 7114-1912	278	RC	Outpatient			1178	765.7		90			Percent of total billed charges		1060.2	40			Percent of total billed charges		471.2	80			Percent of total billed charges		942.4	90			Percent of total billed charges		1060.2	85			Percent of total billed charges		1001.3	85			Percent of total billed charges		1001.3	85			Percent of total billed charges		1001.3	100			Percent of total billed charges		1178	100			Percent of total billed charges		1178	100			Percent of total billed charges		1178	33.3			Percent of total billed charges		392.274	33.3			Percent of total billed charges		392.274	100			Percent of total billed charges		1178	392.274	1060.2	
stryker cement mixing sys	270	RC	Outpatient			1178	765.7		90			Percent of total billed charges		1060.2	40			Percent of total billed charges		471.2	80			Percent of total billed charges		942.4	90			Percent of total billed charges		1060.2	85			Percent of total billed charges		1001.3	85			Percent of total billed charges		1001.3	85			Percent of total billed charges		1001.3	100			Percent of total billed charges		1178	100			Percent of total billed charges		1178	100			Percent of total billed charges		1178	33.3			Percent of total billed charges		392.274	33.3			Percent of total billed charges		392.274	100			Percent of total billed charges		1178	392.274	1060.2	
4.0 titanium lock screw 15mm 04.802.200 stryker	278	RC	Outpatient			1179	766.35		90			Percent of total billed charges		1061.1	40			Percent of total billed charges		471.6	80			Percent of total billed charges		943.2	90			Percent of total billed charges		1061.1	85			Percent of total billed charges		1002.15	85			Percent of total billed charges		1002.15	85			Percent of total billed charges		1002.15	100			Percent of total billed charges		1179	100			Percent of total billed charges		1179	100			Percent of total billed charges		1179	33.3			Percent of total billed charges		392.607	33.3			Percent of total billed charges		392.607	100			Percent of total billed charges		1179	392.607	1061.1	
4.0 titanium lock screw 20mm 04.802.201 stryker	278	RC	Outpatient			1179	766.35		90			Percent of total billed charges		1061.1	40			Percent of total billed charges		471.6	80			Percent of total billed charges		943.2	90			Percent of total billed charges		1061.1	85			Percent of total billed charges		1002.15	85			Percent of total billed charges		1002.15	85			Percent of total billed charges		1002.15	100			Percent of total billed charges		1179	100			Percent of total billed charges		1179	100			Percent of total billed charges		1179	33.3			Percent of total billed charges		392.607	33.3			Percent of total billed charges		392.607	100			Percent of total billed charges		1179	392.607	1061.1	
4.0 titanium lock screw 25mm 04.802.202 stryker	278	RC	Outpatient			1179	766.35		90			Percent of total billed charges		1061.1	40			Percent of total billed charges		471.6	80			Percent of total billed charges		943.2	90			Percent of total billed charges		1061.1	85			Percent of total billed charges		1002.15	85			Percent of total billed charges		1002.15	85			Percent of total billed charges		1002.15	100			Percent of total billed charges		1179	100			Percent of total billed charges		1179	100			Percent of total billed charges		1179	33.3			Percent of total billed charges		392.607	33.3			Percent of total billed charges		392.607	100			Percent of total billed charges		1179	392.607	1061.1	
4.0 titanium lock screw 30mm 04.802.203 stryker	278	RC	Outpatient			1179	766.35		90			Percent of total billed charges		1061.1	40			Percent of total billed charges		471.6	80			Percent of total billed charges		943.2	90			Percent of total billed charges		1061.1	85			Percent of total billed charges		1002.15	85			Percent of total billed charges		1002.15	85			Percent of total billed charges		1002.15	100			Percent of total billed charges		1179	100			Percent of total billed charges		1179	100			Percent of total billed charges		1179	33.3			Percent of total billed charges		392.607	33.3			Percent of total billed charges		392.607	100			Percent of total billed charges		1179	392.607	1061.1	
syn titan 4.0 locking scr	278	RC	Outpatient			1179	766.35		90			Percent of total billed charges		1061.1	40			Percent of total billed charges		471.6	80			Percent of total billed charges		943.2	90			Percent of total billed charges		1061.1	85			Percent of total billed charges		1002.15	85			Percent of total billed charges		1002.15	85			Percent of total billed charges		1002.15	100			Percent of total billed charges		1179	100			Percent of total billed charges		1179	100			Percent of total billed charges		1179	33.3			Percent of total billed charges		392.607	33.3			Percent of total billed charges		392.607	100			Percent of total billed charges		1179	392.607	1061.1	
2.7mm reconstruction plate 22 hole 245.28	278	RC	Outpatient			1181	767.65		90			Percent of total billed charges		1062.9	40			Percent of total billed charges		472.4	80			Percent of total billed charges		944.8	90			Percent of total billed charges		1062.9	85			Percent of total billed charges		1003.85	85			Percent of total billed charges		1003.85	85			Percent of total billed charges		1003.85	100			Percent of total billed charges		1181	100			Percent of total billed charges		1181	100			Percent of total billed charges		1181	33.3			Percent of total billed charges		393.273	33.3			Percent of total billed charges		393.273	100			Percent of total billed charges		1181	393.273	1062.9	
2.7mm reconstruction plate 29 hole 245.29	278	RC	Outpatient			1181	767.65		90			Percent of total billed charges		1062.9	40			Percent of total billed charges		472.4	80			Percent of total billed charges		944.8	90			Percent of total billed charges		1062.9	85			Percent of total billed charges		1003.85	85			Percent of total billed charges		1003.85	85			Percent of total billed charges		1003.85	100			Percent of total billed charges		1181	100			Percent of total billed charges		1181	100			Percent of total billed charges		1181	33.3			Percent of total billed charges		393.273	33.3			Percent of total billed charges		393.273	100			Percent of total billed charges		1181	393.273	1062.9	
syn 2.7 recon plate 22-24	278	RC	Outpatient			1181	767.65		90			Percent of total billed charges		1062.9	40			Percent of total billed charges		472.4	80			Percent of total billed charges		944.8	90			Percent of total billed charges		1062.9	85			Percent of total billed charges		1003.85	85			Percent of total billed charges		1003.85	85			Percent of total billed charges		1003.85	100			Percent of total billed charges		1181	100			Percent of total billed charges		1181	100			Percent of total billed charges		1181	33.3			Percent of total billed charges		393.273	33.3			Percent of total billed charges		393.273	100			Percent of total billed charges		1181	393.273	1062.9	
allograft pat wedge uni	278	RC	Outpatient			1182	768.3		90			Percent of total billed charges		1063.8	40			Percent of total billed charges		472.8	80			Percent of total billed charges		945.6	90			Percent of total billed charges		1063.8	85			Percent of total billed charges		1004.7	85			Percent of total billed charges		1004.7	85			Percent of total billed charges		1004.7	100			Percent of total billed charges		1182	100			Percent of total billed charges		1182	100			Percent of total billed charges		1182	33.3			Percent of total billed charges		393.606	33.3			Percent of total billed charges		393.606	100			Percent of total billed charges		1182	393.606	1063.8	
"patella wedge, unicortical 7 x 12 x 12 01.14015.009 tutogen"	278	RC	Outpatient			1182	768.3		90			Percent of total billed charges		1063.8	40			Percent of total billed charges		472.8	80			Percent of total billed charges		945.6	90			Percent of total billed charges		1063.8	85			Percent of total billed charges		1004.7	85			Percent of total billed charges		1004.7	85			Percent of total billed charges		1004.7	100			Percent of total billed charges		1182	100			Percent of total billed charges		1182	100			Percent of total billed charges		1182	33.3			Percent of total billed charges		393.606	33.3			Percent of total billed charges		393.606	100			Percent of total billed charges		1182	393.606	1063.8	
"patella wedge, unicortical 6 x 12 x 12 01.14015.005 tutogen"	278	RC	Outpatient			1182	768.3		90			Percent of total billed charges		1063.8	40			Percent of total billed charges		472.8	80			Percent of total billed charges		945.6	90			Percent of total billed charges		1063.8	85			Percent of total billed charges		1004.7	85			Percent of total billed charges		1004.7	85			Percent of total billed charges		1004.7	100			Percent of total billed charges		1182	100			Percent of total billed charges		1182	100			Percent of total billed charges		1182	33.3			Percent of total billed charges		393.606	33.3			Percent of total billed charges		393.606	100			Percent of total billed charges		1182	393.606	1063.8	
depuy srom ps dist fem au	278	RC	Outpatient			1183	768.95		90			Percent of total billed charges		1064.7	40			Percent of total billed charges		473.2	80			Percent of total billed charges		946.4	90			Percent of total billed charges		1064.7	85			Percent of total billed charges		1005.55	85			Percent of total billed charges		1005.55	85			Percent of total billed charges		1005.55	100			Percent of total billed charges		1183	100			Percent of total billed charges		1183	100			Percent of total billed charges		1183	33.3			Percent of total billed charges		393.939	33.3			Percent of total billed charges		393.939	100			Percent of total billed charges		1183	393.939	1064.7	
imp plate screw hip shrt barre 124166	278	RC	Outpatient			1183	768.95		90			Percent of total billed charges		1064.7	40			Percent of total billed charges		473.2	80			Percent of total billed charges		946.4	90			Percent of total billed charges		1064.7	85			Percent of total billed charges		1005.55	85			Percent of total billed charges		1005.55	85			Percent of total billed charges		1005.55	100			Percent of total billed charges		1183	100			Percent of total billed charges		1183	100			Percent of total billed charges		1183	33.3			Percent of total billed charges		393.939	33.3			Percent of total billed charges		393.939	100			Percent of total billed charges		1183	393.939	1064.7	
imp plate screw hip shrt barre 124167	278	RC	Outpatient			1183	768.95		90			Percent of total billed charges		1064.7	40			Percent of total billed charges		473.2	80			Percent of total billed charges		946.4	90			Percent of total billed charges		1064.7	85			Percent of total billed charges		1005.55	85			Percent of total billed charges		1005.55	85			Percent of total billed charges		1005.55	100			Percent of total billed charges		1183	100			Percent of total billed charges		1183	100			Percent of total billed charges		1183	33.3			Percent of total billed charges		393.939	33.3			Percent of total billed charges		393.939	100			Percent of total billed charges		1183	393.939	1064.7	
implant plate compress sht brl 5 sl 135 deg 120mm 12-4165 s/n	278	RC	Outpatient			1183	768.95		90			Percent of total billed charges		1064.7	40			Percent of total billed charges		473.2	80			Percent of total billed charges		946.4	90			Percent of total billed charges		1064.7	85			Percent of total billed charges		1005.55	85			Percent of total billed charges		1005.55	85			Percent of total billed charges		1005.55	100			Percent of total billed charges		1183	100			Percent of total billed charges		1183	100			Percent of total billed charges		1183	33.3			Percent of total billed charges		393.939	33.3			Percent of total billed charges		393.939	100			Percent of total billed charges		1183	393.939	1064.7	
implant plate compress sht brl 5 sl 145 deg 120mm 12-4168 s/n	278	RC	Outpatient			1183	768.95		90			Percent of total billed charges		1064.7	40			Percent of total billed charges		473.2	80			Percent of total billed charges		946.4	90			Percent of total billed charges		1064.7	85			Percent of total billed charges		1005.55	85			Percent of total billed charges		1005.55	85			Percent of total billed charges		1005.55	100			Percent of total billed charges		1183	100			Percent of total billed charges		1183	100			Percent of total billed charges		1183	33.3			Percent of total billed charges		393.939	33.3			Percent of total billed charges		393.939	100			Percent of total billed charges		1183	393.939	1064.7	
implant plate compress sht brl 5 sl 150 deg 120mm 12-4169 s/n	278	RC	Outpatient			1183	768.95		90			Percent of total billed charges		1064.7	40			Percent of total billed charges		473.2	80			Percent of total billed charges		946.4	90			Percent of total billed charges		1064.7	85			Percent of total billed charges		1005.55	85			Percent of total billed charges		1005.55	85			Percent of total billed charges		1005.55	100			Percent of total billed charges		1183	100			Percent of total billed charges		1183	100			Percent of total billed charges		1183	33.3			Percent of total billed charges		393.939	33.3			Percent of total billed charges		393.939	100			Percent of total billed charges		1183	393.939	1064.7	
noiles post stabalized dist/post fem augment block m xsm/sm 62-3832 depuy	278	RC	Outpatient			1183	768.95		90			Percent of total billed charges		1064.7	40			Percent of total billed charges		473.2	80			Percent of total billed charges		946.4	90			Percent of total billed charges		1064.7	85			Percent of total billed charges		1005.55	85			Percent of total billed charges		1005.55	85			Percent of total billed charges		1005.55	100			Percent of total billed charges		1183	100			Percent of total billed charges		1183	100			Percent of total billed charges		1183	33.3			Percent of total billed charges		393.939	33.3			Percent of total billed charges		393.939	100			Percent of total billed charges		1183	393.939	1064.7	
plate 5 slot 120mm 124135 smith&nephew	278	RC	Outpatient			1183	768.95		90			Percent of total billed charges		1064.7	40			Percent of total billed charges		473.2	80			Percent of total billed charges		946.4	90			Percent of total billed charges		1064.7	85			Percent of total billed charges		1005.55	85			Percent of total billed charges		1005.55	85			Percent of total billed charges		1005.55	100			Percent of total billed charges		1183	100			Percent of total billed charges		1183	100			Percent of total billed charges		1183	33.3			Percent of total billed charges		393.939	33.3			Percent of total billed charges		393.939	100			Percent of total billed charges		1183	393.939	1064.7	
plate compress 5 sl 135 deg 120mm 12-4136 s/n	278	RC	Outpatient			1183	768.95		90			Percent of total billed charges		1064.7	40			Percent of total billed charges		473.2	80			Percent of total billed charges		946.4	90			Percent of total billed charges		1064.7	85			Percent of total billed charges		1005.55	85			Percent of total billed charges		1005.55	85			Percent of total billed charges		1005.55	100			Percent of total billed charges		1183	100			Percent of total billed charges		1183	100			Percent of total billed charges		1183	33.3			Percent of total billed charges		393.939	33.3			Percent of total billed charges		393.939	100			Percent of total billed charges		1183	393.939	1064.7	
plate compress 5 sl 140 deg 120mm 12-4137 s/n	278	RC	Outpatient			1183	768.95		90			Percent of total billed charges		1064.7	40			Percent of total billed charges		473.2	80			Percent of total billed charges		946.4	90			Percent of total billed charges		1064.7	85			Percent of total billed charges		1005.55	85			Percent of total billed charges		1005.55	85			Percent of total billed charges		1005.55	100			Percent of total billed charges		1183	100			Percent of total billed charges		1183	100			Percent of total billed charges		1183	33.3			Percent of total billed charges		393.939	33.3			Percent of total billed charges		393.939	100			Percent of total billed charges		1183	393.939	1064.7	
plate compress 5 sl 145 deg 120mm 12-4138 s/n	278	RC	Outpatient			1183	768.95		90			Percent of total billed charges		1064.7	40			Percent of total billed charges		473.2	80			Percent of total billed charges		946.4	90			Percent of total billed charges		1064.7	85			Percent of total billed charges		1005.55	85			Percent of total billed charges		1005.55	85			Percent of total billed charges		1005.55	100			Percent of total billed charges		1183	100			Percent of total billed charges		1183	100			Percent of total billed charges		1183	33.3			Percent of total billed charges		393.939	33.3			Percent of total billed charges		393.939	100			Percent of total billed charges		1183	393.939	1064.7	
rich hip scw classic 5hl	278	RC	Outpatient			1183	768.95		90			Percent of total billed charges		1064.7	40			Percent of total billed charges		473.2	80			Percent of total billed charges		946.4	90			Percent of total billed charges		1064.7	85			Percent of total billed charges		1005.55	85			Percent of total billed charges		1005.55	85			Percent of total billed charges		1005.55	100			Percent of total billed charges		1183	100			Percent of total billed charges		1183	100			Percent of total billed charges		1183	33.3			Percent of total billed charges		393.939	33.3			Percent of total billed charges		393.939	100			Percent of total billed charges		1183	393.939	1064.7	
s/n classic hip screw 5 hole	278	RC	Outpatient			1183	768.95		90			Percent of total billed charges		1064.7	40			Percent of total billed charges		473.2	80			Percent of total billed charges		946.4	90			Percent of total billed charges		1064.7	85			Percent of total billed charges		1005.55	85			Percent of total billed charges		1005.55	85			Percent of total billed charges		1005.55	100			Percent of total billed charges		1183	100			Percent of total billed charges		1183	100			Percent of total billed charges		1183	33.3			Percent of total billed charges		393.939	33.3			Percent of total billed charges		393.939	100			Percent of total billed charges		1183	393.939	1064.7	
plate compress  5 sl 150 deg 120mm 12-4139 s/n	278	RC	Outpatient			1183	768.95		90			Percent of total billed charges		1064.7	40			Percent of total billed charges		473.2	80			Percent of total billed charges		946.4	90			Percent of total billed charges		1064.7	85			Percent of total billed charges		1005.55	85			Percent of total billed charges		1005.55	85			Percent of total billed charges		1005.55	100			Percent of total billed charges		1183	100			Percent of total billed charges		1183	100			Percent of total billed charges		1183	33.3			Percent of total billed charges		393.939	33.3			Percent of total billed charges		393.939	100			Percent of total billed charges		1183	393.939	1064.7	
im fem nail 8mm x 28cm 2252-280-08 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im fem nail 8mm x 30cm 2252-300-08 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im fem nail 8mm x 32cm 2252-320-08 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im fem nail 8mm x 34cm 2252-340-08 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im fem nail 8mm x 36cm 2252-360-08 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im fem nail 8mm x 38cm 2252-380-08 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im fem nail 8mm x 40cm 2252-400-08 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im fem nail 8mm x 42cm 2252-420-08 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im fem nail 9mm x 32cm 2252-320-09 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im fem nail 9mm x 36cm 2252-360-09 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im fem nail 9mm x 38cm 2252-380-09 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 10mm x 24cm 2252-240-10 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 10mm x 28cm 2252-280-10 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 10mm x 32cm 2252-320-10 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 10mm x 34cm 2252-340-10 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 10mm x 38cm 2252-380-10 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 10mm x 40cm 2252-400-10 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 10mm x 44cm 2252-440-10 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 10mm x 48cm 2252-480-10 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 11mm x 24cm 2252-240-11 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 11mm x 30cm 2252-300-11 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 11mm x 34cm 2252-340-11 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 11mm x 36cm 2252-360-11 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 11mm x 42cm 2252-420-11 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 11mm x 44cm 2252-440-11 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 12mm x 24cm 2252-240-12 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 12mm x 26cm 2252-260-12 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 12mm x 32cm 2252-320-12 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 12mm x 34cm 2252-340-12 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 12mm x 40cm 2252-400-12 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 13mm x 24cm 2252-240-13 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 13mm x 32cm 2252-320-13 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 13mm x 34cm 2252-340-13 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 13mm x 36cm 2252-360-13 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 13mm x 40cm 2252-400-13 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 13mm x 44cm 2252-440-13 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 13mm x 46cm 2252-460-13 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 13mm x 48cm 2252-480-13 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 13mm x 50cm 2252-500-13 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 14mm x 32cm 2252-320-14 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 14mm x 34cm 2252-340-14 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 14mm x 36cm 2252-360-14 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 14mm x 40cm 2252-400-14 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 14mm x 44cm 2252-440-14 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 15mm x 32cm 2252-320-15 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 15mm x 34cm 2252-340-15 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 15mm x 46cm 2252-460-15 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 15mm x 48cm 2252-480-15 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 15mm x 50cm 2252-500-15 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 16mm x 36cm 2252-360-16 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 8mm x 44cm 2252-440-08 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 9mm x 40cm 2252-400-09 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 9mm x 42cm 2252-420-09 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 9mm x 44cm 2252-440-09 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
imp nail tibial delta 10 x 27 12-2177  smith	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
imp nail tibial delta 10 x 31.5 12-2180  smith	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
imp nail tibial delta 10 x 33 12-2181  smith	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
imp nail tibial delta 11mmx36.0cm 122189	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
imp nail tibial delta 9mm x 31.5 122173	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
imp nail tibial delta 9mm x 33 cm 122174	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
imp nail tibial delta 9mm x 34.5cm 122175	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
imp nail tibial delta 9mm x 36.0 122176	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
implant nail tibial delta locking  8mm x 28.5cm 12-2051 s/n	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
implant nail tibial delta locking  8mm x 30cm 12-2052 s/n	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
implant nail tibial delta locking 8mm x 33cm 12-2054 s/n	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
implant nail tibial interlock delta 9mm x 30cm 12-2172 s/n	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
implant nail tibial interlock delta 9mm x 38cm 12-2218 s/n	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im fem nail 8mm x 24cm 2252-240-08 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im fem nail 8mm x 26cm 2252-260-08 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im fem nail 9mm x 26cm 2252-260-09 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im fem nail 9mm x 28cm 2252-280-09 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im fem nail 9mm x 30cm 2252-300-09 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im fem nail 9mm x 34cm 2252-340-09 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 10mm x 26cm 2252-260-10 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 10mm x 30cm 2252-300-10 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 10mm x 36cm 2252-360-10 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 10mm x 42cm 2252-420-10 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 10mm x 46cm 2252-460-10 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 11mm x 26cm 2252-260-11 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 11mm x 28cm 2252-280-11 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 11mm x 32cm 2252-320-11 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 11mm x 38cm 2252-380-11 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 11mm x 40cm 2252-400-11 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 11mm x 46cm 2252-460-11 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 11mm x 48cm 2252-480-11 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 12mm x 28cm 2252-280-12 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 12mm x 30cm 2252-300-12 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 12mm x 36cm 2252-360-12 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 12mm x 38cm 2252-380-12 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 12mm x 42cm 2252-420-12 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 12mm x 44cm 2252-440-12 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 12mm x 46cm 2252-460-12 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 12mm x 48cm 2252-480-12 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 13mm x 26cm 2252-260-13 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 13mm x 28cm 2252-280-13 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 13mm x 30cm 2252-300-13 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 13mm x 38cm 2252-380-13 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 13mm x 42cm 2252-420-13 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 14mm x 28cm 2252-280-14 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 14mm x 30cm 2252-300-14 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 14mm x 38cm 2252-380-14 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 14mm x 42cm 2252-420-14 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 14mm x 46cm 2252-460-14 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 14mm x 48cm 2252-480-14 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 14mm x 50cm 2252-500-14 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 15mm x 30cm 2252-300-15 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 15mm x 36cm 2252-360-15 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 15mm x 38cm 2252-380-15 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 15mm x 40cm 2252-400-15 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 15mm x 42cm 2252-420-15 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 15mm x 44cm 2252-440-15 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 16mm x 30cm 2252-300-16 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 16mm x 32cm 2252-320-16 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 16mm x 34cm 2252-340-16 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 16mm x 38cm 2252-380-16 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 16mm x 40cm 2252-400-16 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 16mm x 42cm 2252-420-16 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 16mm x 44cm 2252-440-16 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 16mm x 46cm 2252-460-16 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 16mm x 48cm 2252-480-16 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 16mm x 50cm 2252-500-16 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 9mm x 24cm 2252-240-09 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
im femoral nail 9mm x 46cm 2252-460-09 zimmer	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
imp nail tibial delta 10 x 28.5 12-2178  smith	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
imp nail tibial delta 10 x 30 12-2179  smith	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
imp nail tibial delta 10 x 34.5 12-2182  smith	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
imp nail tibial delta 8mmx34.5cm  122055	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
implant nail tibial delta 9mm x 42cm 12-2166 s/n	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
implant nail tibial delta locking 8mm x 31.5cm 12-2053 s/n	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
implant nail tibial delta locking 8mm x 36cm 12-2056 s/n	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
implant nail tibial interlock delta 10mm x 36cm 12-2183 s/n	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
implant nail tibial interlock delta 9mm x 27cm 12-2170 s/n	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
implant nail tibial interlock delta 9mm x 28.5cm 12-2171 s/n	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
implant nail tibial interlock delta 9mm x 40cm  s/n	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
r/t delta tibial nail	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
zimmer im fem nail	278	RC	Outpatient			1185	770.25		90			Percent of total billed charges		1066.5	40			Percent of total billed charges		474	80			Percent of total billed charges		948	90			Percent of total billed charges		1066.5	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	85			Percent of total billed charges		1007.25	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	100			Percent of total billed charges		1185	33.3			Percent of total billed charges		394.605	33.3			Percent of total billed charges		394.605	100			Percent of total billed charges		1185	394.605	1066.5	
depuy 3-peg patella	278	RC	Outpatient			1186	770.9		90			Percent of total billed charges		1067.4	40			Percent of total billed charges		474.4	80			Percent of total billed charges		948.8	90			Percent of total billed charges		1067.4	85			Percent of total billed charges		1008.1	85			Percent of total billed charges		1008.1	85			Percent of total billed charges		1008.1	100			Percent of total billed charges		1186	100			Percent of total billed charges		1186	100			Percent of total billed charges		1186	33.3			Percent of total billed charges		394.938	33.3			Percent of total billed charges		394.938	100			Percent of total billed charges		1186	394.938	1067.4	
endo pleurx catheter placement	272	RC	Outpatient			1186	770.9		90			Percent of total billed charges		1067.4	40			Percent of total billed charges		474.4	80			Percent of total billed charges		948.8	90			Percent of total billed charges		1067.4	85			Percent of total billed charges		1008.1	85			Percent of total billed charges		1008.1	85			Percent of total billed charges		1008.1	100			Percent of total billed charges		1186	100			Percent of total billed charges		1186	100			Percent of total billed charges		1186	33.3			Percent of total billed charges		394.938	33.3			Percent of total billed charges		394.938	100			Percent of total billed charges		1186	394.938	1067.4	
oval dome patella 3-peg 32mm 96-0100 depuy	278	RC	Outpatient			1186	770.9		90			Percent of total billed charges		1067.4	40			Percent of total billed charges		474.4	80			Percent of total billed charges		948.8	90			Percent of total billed charges		1067.4	85			Percent of total billed charges		1008.1	85			Percent of total billed charges		1008.1	85			Percent of total billed charges		1008.1	100			Percent of total billed charges		1186	100			Percent of total billed charges		1186	100			Percent of total billed charges		1186	33.3			Percent of total billed charges		394.938	33.3			Percent of total billed charges		394.938	100			Percent of total billed charges		1186	394.938	1067.4	
oval dome patella 3-peg 35mm 96-0101 depuy	278	RC	Outpatient			1186	770.9		90			Percent of total billed charges		1067.4	40			Percent of total billed charges		474.4	80			Percent of total billed charges		948.8	90			Percent of total billed charges		1067.4	85			Percent of total billed charges		1008.1	85			Percent of total billed charges		1008.1	85			Percent of total billed charges		1008.1	100			Percent of total billed charges		1186	100			Percent of total billed charges		1186	100			Percent of total billed charges		1186	33.3			Percent of total billed charges		394.938	33.3			Percent of total billed charges		394.938	100			Percent of total billed charges		1186	394.938	1067.4	
oval dome patella 3-peg 38mm 96-0102 depuy	278	RC	Outpatient			1186	770.9		90			Percent of total billed charges		1067.4	40			Percent of total billed charges		474.4	80			Percent of total billed charges		948.8	90			Percent of total billed charges		1067.4	85			Percent of total billed charges		1008.1	85			Percent of total billed charges		1008.1	85			Percent of total billed charges		1008.1	100			Percent of total billed charges		1186	100			Percent of total billed charges		1186	100			Percent of total billed charges		1186	33.3			Percent of total billed charges		394.938	33.3			Percent of total billed charges		394.938	100			Percent of total billed charges		1186	394.938	1067.4	
vitasure abosorbable hemostat 3.0 gm 2114-0003 stryker	272	RC	Outpatient			1191	774.15		90			Percent of total billed charges		1071.9	40			Percent of total billed charges		476.4	80			Percent of total billed charges		952.8	90			Percent of total billed charges		1071.9	85			Percent of total billed charges		1012.35	85			Percent of total billed charges		1012.35	85			Percent of total billed charges		1012.35	100			Percent of total billed charges		1191	100			Percent of total billed charges		1191	100			Percent of total billed charges		1191	33.3			Percent of total billed charges		396.603	33.3			Percent of total billed charges		396.603	100			Percent of total billed charges		1191	396.603	1071.9	
vitasure	272	RC	Outpatient			1191	774.15		90			Percent of total billed charges		1071.9	40			Percent of total billed charges		476.4	80			Percent of total billed charges		952.8	90			Percent of total billed charges		1071.9	85			Percent of total billed charges		1012.35	85			Percent of total billed charges		1012.35	85			Percent of total billed charges		1012.35	100			Percent of total billed charges		1191	100			Percent of total billed charges		1191	100			Percent of total billed charges		1191	33.3			Percent of total billed charges		396.603	33.3			Percent of total billed charges		396.603	100			Percent of total billed charges		1191	396.603	1071.9	
aquamantys mbs 23-301-1 salient	272	RC	Outpatient			1193	775.45		90			Percent of total billed charges		1073.7	40			Percent of total billed charges		477.2	80			Percent of total billed charges		954.4	90			Percent of total billed charges		1073.7	85			Percent of total billed charges		1014.05	85			Percent of total billed charges		1014.05	85			Percent of total billed charges		1014.05	100			Percent of total billed charges		1193	100			Percent of total billed charges		1193	100			Percent of total billed charges		1193	33.3			Percent of total billed charges		397.269	33.3			Percent of total billed charges		397.269	100			Percent of total billed charges		1193	397.269	1073.7	
aquamatys  mbs	272	RC	Outpatient			1193	775.45		90			Percent of total billed charges		1073.7	40			Percent of total billed charges		477.2	80			Percent of total billed charges		954.4	90			Percent of total billed charges		1073.7	85			Percent of total billed charges		1014.05	85			Percent of total billed charges		1014.05	85			Percent of total billed charges		1014.05	100			Percent of total billed charges		1193	100			Percent of total billed charges		1193	100			Percent of total billed charges		1193	33.3			Percent of total billed charges		397.269	33.3			Percent of total billed charges		397.269	100			Percent of total billed charges		1193	397.269	1073.7	
amnio allograft	278	RC	Outpatient			1194	776.1		90			Percent of total billed charges		1074.6	40			Percent of total billed charges		477.6	80			Percent of total billed charges		955.2	90			Percent of total billed charges		1074.6	85			Percent of total billed charges		1014.9	85			Percent of total billed charges		1014.9	85			Percent of total billed charges		1014.9	100			Percent of total billed charges		1194	100			Percent of total billed charges		1194	100			Percent of total billed charges		1194	33.3			Percent of total billed charges		397.602	33.3			Percent of total billed charges		397.602	100			Percent of total billed charges		1194	397.602	1074.6	
ambiodry amniotic membrane 2 x 3 ad-520 iop	278	RC	Outpatient			1194	776.1		90			Percent of total billed charges		1074.6	40			Percent of total billed charges		477.6	80			Percent of total billed charges		955.2	90			Percent of total billed charges		1074.6	85			Percent of total billed charges		1014.9	85			Percent of total billed charges		1014.9	85			Percent of total billed charges		1014.9	100			Percent of total billed charges		1194	100			Percent of total billed charges		1194	100			Percent of total billed charges		1194	33.3			Percent of total billed charges		397.602	33.3			Percent of total billed charges		397.602	100			Percent of total billed charges		1194	397.602	1074.6	
lg fr pl t-buttress 4-5hl	278	RC	Outpatient			1199	779.35		90			Percent of total billed charges		1079.1	40			Percent of total billed charges		479.6	80			Percent of total billed charges		959.2	90			Percent of total billed charges		1079.1	85			Percent of total billed charges		1019.15	85			Percent of total billed charges		1019.15	85			Percent of total billed charges		1019.15	100			Percent of total billed charges		1199	100			Percent of total billed charges		1199	100			Percent of total billed charges		1199	33.3			Percent of total billed charges		399.267	33.3			Percent of total billed charges		399.267	100			Percent of total billed charges		1199	399.267	1079.1	
s/n lg frag  4 hole plate  7114-1704	278	RC	Outpatient			1199	779.35		90			Percent of total billed charges		1079.1	40			Percent of total billed charges		479.6	80			Percent of total billed charges		959.2	90			Percent of total billed charges		1079.1	85			Percent of total billed charges		1019.15	85			Percent of total billed charges		1019.15	85			Percent of total billed charges		1019.15	100			Percent of total billed charges		1199	100			Percent of total billed charges		1199	100			Percent of total billed charges		1199	33.3			Percent of total billed charges		399.267	33.3			Percent of total billed charges		399.267	100			Percent of total billed charges		1199	399.267	1079.1	
s/n lg frag  plate 5 hole 7114-1705	278	RC	Outpatient			1199	779.35		90			Percent of total billed charges		1079.1	40			Percent of total billed charges		479.6	80			Percent of total billed charges		959.2	90			Percent of total billed charges		1079.1	85			Percent of total billed charges		1019.15	85			Percent of total billed charges		1019.15	85			Percent of total billed charges		1019.15	100			Percent of total billed charges		1199	100			Percent of total billed charges		1199	100			Percent of total billed charges		1199	33.3			Percent of total billed charges		399.267	33.3			Percent of total billed charges		399.267	100			Percent of total billed charges		1199	399.267	1079.1	
hii pin to rod coupling 4-5/8mm 4921-1-020 stryker	278	RC	Outpatient			1200	780		90			Percent of total billed charges		1080	40			Percent of total billed charges		480	80			Percent of total billed charges		960	90			Percent of total billed charges		1080	85			Percent of total billed charges		1020	85			Percent of total billed charges		1020	85			Percent of total billed charges		1020	100			Percent of total billed charges		1200	100			Percent of total billed charges		1200	100			Percent of total billed charges		1200	33.3			Percent of total billed charges		399.6	33.3			Percent of total billed charges		399.6	100			Percent of total billed charges		1200	399.6	1080	
stryker pin-rod clamp	278	RC	Outpatient			1200	780		90			Percent of total billed charges		1080	40			Percent of total billed charges		480	80			Percent of total billed charges		960	90			Percent of total billed charges		1080	85			Percent of total billed charges		1020	85			Percent of total billed charges		1020	85			Percent of total billed charges		1020	100			Percent of total billed charges		1200	100			Percent of total billed charges		1200	100			Percent of total billed charges		1200	33.3			Percent of total billed charges		399.6	33.3			Percent of total billed charges		399.6	100			Percent of total billed charges		1200	399.6	1080	
asorbatack	272	RC	Outpatient			1201	780.65		90			Percent of total billed charges		1080.9	40			Percent of total billed charges		480.4	80			Percent of total billed charges		960.8	90			Percent of total billed charges		1080.9	85			Percent of total billed charges		1020.85	85			Percent of total billed charges		1020.85	85			Percent of total billed charges		1020.85	100			Percent of total billed charges		1201	100			Percent of total billed charges		1201	100			Percent of total billed charges		1201	33.3			Percent of total billed charges		399.933	33.3			Percent of total billed charges		399.933	100			Percent of total billed charges		1201	399.933	1080.9	
ccr tapered femoral  head 12/14 22mm +8 71302208 s/n	278	RC	Outpatient			1201	780.65		90			Percent of total billed charges		1080.9	40			Percent of total billed charges		480.4	80			Percent of total billed charges		960.8	90			Percent of total billed charges		1080.9	85			Percent of total billed charges		1020.85	85			Percent of total billed charges		1020.85	85			Percent of total billed charges		1020.85	100			Percent of total billed charges		1201	100			Percent of total billed charges		1201	100			Percent of total billed charges		1201	33.3			Percent of total billed charges		399.933	33.3			Percent of total billed charges		399.933	100			Percent of total billed charges		1201	399.933	1080.9	
cocr tapered femoral head 12/14 26mm +12 71302612 s/n	278	RC	Outpatient			1201	780.65		90			Percent of total billed charges		1080.9	40			Percent of total billed charges		480.4	80			Percent of total billed charges		960.8	90			Percent of total billed charges		1080.9	85			Percent of total billed charges		1020.85	85			Percent of total billed charges		1020.85	85			Percent of total billed charges		1020.85	100			Percent of total billed charges		1201	100			Percent of total billed charges		1201	100			Percent of total billed charges		1201	33.3			Percent of total billed charges		399.933	33.3			Percent of total billed charges		399.933	100			Percent of total billed charges		1201	399.933	1080.9	
cocr tapered femoral head 12/14 26mm +8 71302608 s/n	278	RC	Outpatient			1201	780.65		90			Percent of total billed charges		1080.9	40			Percent of total billed charges		480.4	80			Percent of total billed charges		960.8	90			Percent of total billed charges		1080.9	85			Percent of total billed charges		1020.85	85			Percent of total billed charges		1020.85	85			Percent of total billed charges		1020.85	100			Percent of total billed charges		1201	100			Percent of total billed charges		1201	100			Percent of total billed charges		1201	33.3			Percent of total billed charges		399.933	33.3			Percent of total billed charges		399.933	100			Percent of total billed charges		1201	399.933	1080.9	
cocr tapered femoral head 12/14 22mm +0 71302200 s/n	278	RC	Outpatient			1201	780.65		90			Percent of total billed charges		1080.9	40			Percent of total billed charges		480.4	80			Percent of total billed charges		960.8	90			Percent of total billed charges		1080.9	85			Percent of total billed charges		1020.85	85			Percent of total billed charges		1020.85	85			Percent of total billed charges		1020.85	100			Percent of total billed charges		1201	100			Percent of total billed charges		1201	100			Percent of total billed charges		1201	33.3			Percent of total billed charges		399.933	33.3			Percent of total billed charges		399.933	100			Percent of total billed charges		1201	399.933	1080.9	
cocr tapered femoral head 12/14 22mm +12 71302212 s/n	278	RC	Outpatient			1201	780.65		90			Percent of total billed charges		1080.9	40			Percent of total billed charges		480.4	80			Percent of total billed charges		960.8	90			Percent of total billed charges		1080.9	85			Percent of total billed charges		1020.85	85			Percent of total billed charges		1020.85	85			Percent of total billed charges		1020.85	100			Percent of total billed charges		1201	100			Percent of total billed charges		1201	100			Percent of total billed charges		1201	33.3			Percent of total billed charges		399.933	33.3			Percent of total billed charges		399.933	100			Percent of total billed charges		1201	399.933	1080.9	
cocr tapered femoral head 12/14 22mm +4 71302204 s/n	278	RC	Outpatient			1201	780.65		90			Percent of total billed charges		1080.9	40			Percent of total billed charges		480.4	80			Percent of total billed charges		960.8	90			Percent of total billed charges		1080.9	85			Percent of total billed charges		1020.85	85			Percent of total billed charges		1020.85	85			Percent of total billed charges		1020.85	100			Percent of total billed charges		1201	100			Percent of total billed charges		1201	100			Percent of total billed charges		1201	33.3			Percent of total billed charges		399.933	33.3			Percent of total billed charges		399.933	100			Percent of total billed charges		1201	399.933	1080.9	
cocr tapered femoral head 12/14 26mm +0 71302600 s/n	278	RC	Outpatient			1201	780.65		90			Percent of total billed charges		1080.9	40			Percent of total billed charges		480.4	80			Percent of total billed charges		960.8	90			Percent of total billed charges		1080.9	85			Percent of total billed charges		1020.85	85			Percent of total billed charges		1020.85	85			Percent of total billed charges		1020.85	100			Percent of total billed charges		1201	100			Percent of total billed charges		1201	100			Percent of total billed charges		1201	33.3			Percent of total billed charges		399.933	33.3			Percent of total billed charges		399.933	100			Percent of total billed charges		1201	399.933	1080.9	
richards bi polar head	278	RC	Outpatient			1201	780.65		90			Percent of total billed charges		1080.9	40			Percent of total billed charges		480.4	80			Percent of total billed charges		960.8	90			Percent of total billed charges		1080.9	85			Percent of total billed charges		1020.85	85			Percent of total billed charges		1020.85	85			Percent of total billed charges		1020.85	100			Percent of total billed charges		1201	100			Percent of total billed charges		1201	100			Percent of total billed charges		1201	33.3			Percent of total billed charges		399.933	33.3			Percent of total billed charges		399.933	100			Percent of total billed charges		1201	399.933	1080.9	
staple absorbatack abstack2 covidian ussc	272	RC	Outpatient			1201	780.65		90			Percent of total billed charges		1080.9	40			Percent of total billed charges		480.4	80			Percent of total billed charges		960.8	90			Percent of total billed charges		1080.9	85			Percent of total billed charges		1020.85	85			Percent of total billed charges		1020.85	85			Percent of total billed charges		1020.85	100			Percent of total billed charges		1201	100			Percent of total billed charges		1201	100			Percent of total billed charges		1201	33.3			Percent of total billed charges		399.933	33.3			Percent of total billed charges		399.933	100			Percent of total billed charges		1201	399.933	1080.9	
biomet vhs plate 8 hole 200108	278	RC	Outpatient			1203	781.95		90			Percent of total billed charges		1082.7	40			Percent of total billed charges		481.2	80			Percent of total billed charges		962.4	90			Percent of total billed charges		1082.7	85			Percent of total billed charges		1022.55	85			Percent of total billed charges		1022.55	85			Percent of total billed charges		1022.55	100			Percent of total billed charges		1203	100			Percent of total billed charges		1203	100			Percent of total billed charges		1203	33.3			Percent of total billed charges		400.599	33.3			Percent of total billed charges		400.599	100			Percent of total billed charges		1203	400.599	1082.7	
osteonics cr tib bearing	278	RC	Outpatient			1203	781.95		90			Percent of total billed charges		1082.7	40			Percent of total billed charges		481.2	80			Percent of total billed charges		962.4	90			Percent of total billed charges		1082.7	85			Percent of total billed charges		1022.55	85			Percent of total billed charges		1022.55	85			Percent of total billed charges		1022.55	100			Percent of total billed charges		1203	100			Percent of total billed charges		1203	100			Percent of total billed charges		1203	33.3			Percent of total billed charges		400.599	33.3			Percent of total billed charges		400.599	100			Percent of total billed charges		1203	400.599	1082.7	
osteonics  cr tib bearing insert 8mm #7 72-6-0708a	278	RC	Outpatient			1203	781.95		90			Percent of total billed charges		1082.7	40			Percent of total billed charges		481.2	80			Percent of total billed charges		962.4	90			Percent of total billed charges		1082.7	85			Percent of total billed charges		1022.55	85			Percent of total billed charges		1022.55	85			Percent of total billed charges		1022.55	100			Percent of total billed charges		1203	100			Percent of total billed charges		1203	100			Percent of total billed charges		1203	33.3			Percent of total billed charges		400.599	33.3			Percent of total billed charges		400.599	100			Percent of total billed charges		1203	400.599	1082.7	
osteonics tibial bearing inst 12mm #7 72-6-0712a	278	RC	Outpatient			1203	781.95		90			Percent of total billed charges		1082.7	40			Percent of total billed charges		481.2	80			Percent of total billed charges		962.4	90			Percent of total billed charges		1082.7	85			Percent of total billed charges		1022.55	85			Percent of total billed charges		1022.55	85			Percent of total billed charges		1022.55	100			Percent of total billed charges		1203	100			Percent of total billed charges		1203	100			Percent of total billed charges		1203	33.3			Percent of total billed charges		400.599	33.3			Percent of total billed charges		400.599	100			Percent of total billed charges		1203	400.599	1082.7	
osteonics tibial bearing inst cr 8mm #7 72-2-0708	278	RC	Outpatient			1203	781.95		90			Percent of total billed charges		1082.7	40			Percent of total billed charges		481.2	80			Percent of total billed charges		962.4	90			Percent of total billed charges		1082.7	85			Percent of total billed charges		1022.55	85			Percent of total billed charges		1022.55	85			Percent of total billed charges		1022.55	100			Percent of total billed charges		1203	100			Percent of total billed charges		1203	100			Percent of total billed charges		1203	33.3			Percent of total billed charges		400.599	33.3			Percent of total billed charges		400.599	100			Percent of total billed charges		1203	400.599	1082.7	
vhs 8 hole plate	278	RC	Outpatient			1203	781.95		90			Percent of total billed charges		1082.7	40			Percent of total billed charges		481.2	80			Percent of total billed charges		962.4	90			Percent of total billed charges		1082.7	85			Percent of total billed charges		1022.55	85			Percent of total billed charges		1022.55	85			Percent of total billed charges		1022.55	100			Percent of total billed charges		1203	100			Percent of total billed charges		1203	100			Percent of total billed charges		1203	33.3			Percent of total billed charges		400.599	33.3			Percent of total billed charges		400.599	100			Percent of total billed charges		1203	400.599	1082.7	
"closed treatment of pelvic ring fracture, dislocation, diastasis or subluxation"	983	RC	Outpatient			1205	783.25		90			Percent of total billed charges		1084.5	40			Percent of total billed charges		482	80			Percent of total billed charges		964	90			Percent of total billed charges		1084.5	85			Percent of total billed charges		1024.25	85			Percent of total billed charges		1024.25	85			Percent of total billed charges		1024.25	100			Percent of total billed charges		1205	100			Percent of total billed charges		1205	100			Percent of total billed charges		1205	33.3			Percent of total billed charges		401.265	33.3			Percent of total billed charges		401.265	100			Percent of total billed charges		1205	401.265	1084.5	
allograft femur shaft-split  22.0cm 090632-010 16-6671 community	278	RC	Outpatient			1210	786.5		90			Percent of total billed charges		1089	40			Percent of total billed charges		484	80			Percent of total billed charges		968	90			Percent of total billed charges		1089	85			Percent of total billed charges		1028.5	85			Percent of total billed charges		1028.5	85			Percent of total billed charges		1028.5	100			Percent of total billed charges		1210	100			Percent of total billed charges		1210	100			Percent of total billed charges		1210	33.3			Percent of total billed charges		402.93	33.3			Percent of total billed charges		402.93	100			Percent of total billed charges		1210	402.93	1089	
allograft femur shaft-split  22.0cm 092594-009 15-0049 community	278	RC	Outpatient			1210	786.5		90			Percent of total billed charges		1089	40			Percent of total billed charges		484	80			Percent of total billed charges		968	90			Percent of total billed charges		1089	85			Percent of total billed charges		1028.5	85			Percent of total billed charges		1028.5	85			Percent of total billed charges		1028.5	100			Percent of total billed charges		1210	100			Percent of total billed charges		1210	100			Percent of total billed charges		1210	33.3			Percent of total billed charges		402.93	33.3			Percent of total billed charges		402.93	100			Percent of total billed charges		1210	402.93	1089	
allograft femur shaft-split  22.0cm 100263-028 community	278	RC	Outpatient			1210	786.5		90			Percent of total billed charges		1089	40			Percent of total billed charges		484	80			Percent of total billed charges		968	90			Percent of total billed charges		1089	85			Percent of total billed charges		1028.5	85			Percent of total billed charges		1028.5	85			Percent of total billed charges		1028.5	100			Percent of total billed charges		1210	100			Percent of total billed charges		1210	100			Percent of total billed charges		1210	33.3			Percent of total billed charges		402.93	33.3			Percent of total billed charges		402.93	100			Percent of total billed charges		1210	402.93	1089	
allograft femur shaft-split  24.0cm 100263-029 community	278	RC	Outpatient			1210	786.5		90			Percent of total billed charges		1089	40			Percent of total billed charges		484	80			Percent of total billed charges		968	90			Percent of total billed charges		1089	85			Percent of total billed charges		1028.5	85			Percent of total billed charges		1028.5	85			Percent of total billed charges		1028.5	100			Percent of total billed charges		1210	100			Percent of total billed charges		1210	100			Percent of total billed charges		1210	33.3			Percent of total billed charges		402.93	33.3			Percent of total billed charges		402.93	100			Percent of total billed charges		1210	402.93	1089	
allograft femur shaft-split 22.0cm 1137-14 community	278	RC	Outpatient			1210	786.5		90			Percent of total billed charges		1089	40			Percent of total billed charges		484	80			Percent of total billed charges		968	90			Percent of total billed charges		1089	85			Percent of total billed charges		1028.5	85			Percent of total billed charges		1028.5	85			Percent of total billed charges		1028.5	100			Percent of total billed charges		1210	100			Percent of total billed charges		1210	100			Percent of total billed charges		1210	33.3			Percent of total billed charges		402.93	33.3			Percent of total billed charges		402.93	100			Percent of total billed charges		1210	402.93	1089	
octrode trial lead	278	RC	Outpatient			1213	788.45		90			Percent of total billed charges		1091.7	40			Percent of total billed charges		485.2	80			Percent of total billed charges		970.4	90			Percent of total billed charges		1091.7	85			Percent of total billed charges		1031.05	85			Percent of total billed charges		1031.05	85			Percent of total billed charges		1031.05	100			Percent of total billed charges		1213	100			Percent of total billed charges		1213	100			Percent of total billed charges		1213	33.3			Percent of total billed charges		403.929	33.3			Percent of total billed charges		403.929	100			Percent of total billed charges		1213	403.929	1091.7	
lg fr pl semi tube 8-12hl	278	RC	Outpatient			1214	789.1		90			Percent of total billed charges		1092.6	40			Percent of total billed charges		485.6	80			Percent of total billed charges		971.2	90			Percent of total billed charges		1092.6	85			Percent of total billed charges		1031.9	85			Percent of total billed charges		1031.9	85			Percent of total billed charges		1031.9	100			Percent of total billed charges		1214	100			Percent of total billed charges		1214	100			Percent of total billed charges		1214	33.3			Percent of total billed charges		404.262	33.3			Percent of total billed charges		404.262	100			Percent of total billed charges		1214	404.262	1092.6	
s/n lg frag  plate 7114-1308	278	RC	Outpatient			1214	789.1		90			Percent of total billed charges		1092.6	40			Percent of total billed charges		485.6	80			Percent of total billed charges		971.2	90			Percent of total billed charges		1092.6	85			Percent of total billed charges		1031.9	85			Percent of total billed charges		1031.9	85			Percent of total billed charges		1031.9	100			Percent of total billed charges		1214	100			Percent of total billed charges		1214	100			Percent of total billed charges		1214	33.3			Percent of total billed charges		404.262	33.3			Percent of total billed charges		404.262	100			Percent of total billed charges		1214	404.262	1092.6	
s/n lg frag  plate 7114-1309	278	RC	Outpatient			1214	789.1		90			Percent of total billed charges		1092.6	40			Percent of total billed charges		485.6	80			Percent of total billed charges		971.2	90			Percent of total billed charges		1092.6	85			Percent of total billed charges		1031.9	85			Percent of total billed charges		1031.9	85			Percent of total billed charges		1031.9	100			Percent of total billed charges		1214	100			Percent of total billed charges		1214	100			Percent of total billed charges		1214	33.3			Percent of total billed charges		404.262	33.3			Percent of total billed charges		404.262	100			Percent of total billed charges		1214	404.262	1092.6	
s/n lg frag  plate 7114-1311	278	RC	Outpatient			1214	789.1		90			Percent of total billed charges		1092.6	40			Percent of total billed charges		485.6	80			Percent of total billed charges		971.2	90			Percent of total billed charges		1092.6	85			Percent of total billed charges		1031.9	85			Percent of total billed charges		1031.9	85			Percent of total billed charges		1031.9	100			Percent of total billed charges		1214	100			Percent of total billed charges		1214	100			Percent of total billed charges		1214	33.3			Percent of total billed charges		404.262	33.3			Percent of total billed charges		404.262	100			Percent of total billed charges		1214	404.262	1092.6	
s/n lg frag  plate 7114-1310	278	RC	Outpatient			1214	789.1		90			Percent of total billed charges		1092.6	40			Percent of total billed charges		485.6	80			Percent of total billed charges		971.2	90			Percent of total billed charges		1092.6	85			Percent of total billed charges		1031.9	85			Percent of total billed charges		1031.9	85			Percent of total billed charges		1031.9	100			Percent of total billed charges		1214	100			Percent of total billed charges		1214	100			Percent of total billed charges		1214	33.3			Percent of total billed charges		404.262	33.3			Percent of total billed charges		404.262	100			Percent of total billed charges		1214	404.262	1092.6	
s/n lg frag  plate 7114-1312	278	RC	Outpatient			1214	789.1		90			Percent of total billed charges		1092.6	40			Percent of total billed charges		485.6	80			Percent of total billed charges		971.2	90			Percent of total billed charges		1092.6	85			Percent of total billed charges		1031.9	85			Percent of total billed charges		1031.9	85			Percent of total billed charges		1031.9	100			Percent of total billed charges		1214	100			Percent of total billed charges		1214	100			Percent of total billed charges		1214	33.3			Percent of total billed charges		404.262	33.3			Percent of total billed charges		404.262	100			Percent of total billed charges		1214	404.262	1092.6	
room/bed: critical care	210	RC	Outpatient			1218	791.7		90			Percent of total billed charges		1096.2	40			Percent of total billed charges		487.2	80			Percent of total billed charges		974.4	90			Percent of total billed charges		1096.2	85			Percent of total billed charges		1035.3	85			Percent of total billed charges		1035.3	85			Percent of total billed charges		1035.3	100			Percent of total billed charges		1218	100			Percent of total billed charges		1218	100			Percent of total billed charges		1218	33.3			Percent of total billed charges		405.594	33.3			Percent of total billed charges		405.594	100			Percent of total billed charges		1218	405.594	1096.2	
room/bed: icu	200	RC	Outpatient			1218	791.7		90			Percent of total billed charges		1096.2	40			Percent of total billed charges		487.2	80			Percent of total billed charges		974.4	90			Percent of total billed charges		1096.2	85			Percent of total billed charges		1035.3	85			Percent of total billed charges		1035.3	85			Percent of total billed charges		1035.3	100			Percent of total billed charges		1218	100			Percent of total billed charges		1218	100			Percent of total billed charges		1218	33.3			Percent of total billed charges		405.594	33.3			Percent of total billed charges		405.594	100			Percent of total billed charges		1218	405.594	1096.2	
inf med clavicular locking plate 8h 71823405 s/n	278	RC	Outpatient			1219	792.35		90			Percent of total billed charges		1097.1	40			Percent of total billed charges		487.6	80			Percent of total billed charges		975.2	90			Percent of total billed charges		1097.1	85			Percent of total billed charges		1036.15	85			Percent of total billed charges		1036.15	85			Percent of total billed charges		1036.15	100			Percent of total billed charges		1219	100			Percent of total billed charges		1219	100			Percent of total billed charges		1219	33.3			Percent of total billed charges		405.927	33.3			Percent of total billed charges		405.927	100			Percent of total billed charges		1219	405.927	1097.1	
s/n inf med clav lk pl 8h	278	RC	Outpatient			1219	792.35		90			Percent of total billed charges		1097.1	40			Percent of total billed charges		487.6	80			Percent of total billed charges		975.2	90			Percent of total billed charges		1097.1	85			Percent of total billed charges		1036.15	85			Percent of total billed charges		1036.15	85			Percent of total billed charges		1036.15	100			Percent of total billed charges		1219	100			Percent of total billed charges		1219	100			Percent of total billed charges		1219	33.3			Percent of total billed charges		405.927	33.3			Percent of total billed charges		405.927	100			Percent of total billed charges		1219	405.927	1097.1	
s/n sup med clav lk pl 6+7 h	278	RC	Outpatient			1219	792.35		90			Percent of total billed charges		1097.1	40			Percent of total billed charges		487.6	80			Percent of total billed charges		975.2	90			Percent of total billed charges		1097.1	85			Percent of total billed charges		1036.15	85			Percent of total billed charges		1036.15	85			Percent of total billed charges		1036.15	100			Percent of total billed charges		1219	100			Percent of total billed charges		1219	100			Percent of total billed charges		1219	33.3			Percent of total billed charges		405.927	33.3			Percent of total billed charges		405.927	100			Percent of total billed charges		1219	405.927	1097.1	
s/n dup med clav lk pl 8h	278	RC	Outpatient			1219	792.35		90			Percent of total billed charges		1097.1	40			Percent of total billed charges		487.6	80			Percent of total billed charges		975.2	90			Percent of total billed charges		1097.1	85			Percent of total billed charges		1036.15	85			Percent of total billed charges		1036.15	85			Percent of total billed charges		1036.15	100			Percent of total billed charges		1219	100			Percent of total billed charges		1219	100			Percent of total billed charges		1219	33.3			Percent of total billed charges		405.927	33.3			Percent of total billed charges		405.927	100			Percent of total billed charges		1219	405.927	1097.1	
arthrex compression stapl	278	RC	Outpatient			1220	793		90			Percent of total billed charges		1098	40			Percent of total billed charges		488	80			Percent of total billed charges		976	90			Percent of total billed charges		1098	85			Percent of total billed charges		1037	85			Percent of total billed charges		1037	85			Percent of total billed charges		1037	100			Percent of total billed charges		1220	100			Percent of total billed charges		1220	100			Percent of total billed charges		1220	33.3			Percent of total billed charges		406.26	33.3			Percent of total billed charges		406.26	100			Percent of total billed charges		1220	406.26	1098	
j&j tib.comp.all-poly cur	278	RC	Outpatient			1224	795.6		90			Percent of total billed charges		1101.6	40			Percent of total billed charges		489.6	80			Percent of total billed charges		979.2	90			Percent of total billed charges		1101.6	85			Percent of total billed charges		1040.4	85			Percent of total billed charges		1040.4	85			Percent of total billed charges		1040.4	100			Percent of total billed charges		1224	100			Percent of total billed charges		1224	100			Percent of total billed charges		1224	33.3			Percent of total billed charges		407.592	33.3			Percent of total billed charges		407.592	100			Percent of total billed charges		1224	407.592	1101.6	
arthrex oats kit 10mm ar-1981-105	272	RC	Outpatient			1226	796.9		90			Percent of total billed charges		1103.4	40			Percent of total billed charges		490.4	80			Percent of total billed charges		980.8	90			Percent of total billed charges		1103.4	85			Percent of total billed charges		1042.1	85			Percent of total billed charges		1042.1	85			Percent of total billed charges		1042.1	100			Percent of total billed charges		1226	100			Percent of total billed charges		1226	100			Percent of total billed charges		1226	33.3			Percent of total billed charges		408.258	33.3			Percent of total billed charges		408.258	100			Percent of total billed charges		1226	408.258	1103.4	
arthrex oats set	272	RC	Outpatient			1226	796.9		90			Percent of total billed charges		1103.4	40			Percent of total billed charges		490.4	80			Percent of total billed charges		980.8	90			Percent of total billed charges		1103.4	85			Percent of total billed charges		1042.1	85			Percent of total billed charges		1042.1	85			Percent of total billed charges		1042.1	100			Percent of total billed charges		1226	100			Percent of total billed charges		1226	100			Percent of total billed charges		1226	33.3			Percent of total billed charges		408.258	33.3			Percent of total billed charges		408.258	100			Percent of total billed charges		1226	408.258	1103.4	
arthrex osteochondral flap rep kit ar-4095s	272	RC	Outpatient			1227	797.55		90			Percent of total billed charges		1104.3	40			Percent of total billed charges		490.8	80			Percent of total billed charges		981.6	90			Percent of total billed charges		1104.3	85			Percent of total billed charges		1042.95	85			Percent of total billed charges		1042.95	85			Percent of total billed charges		1042.95	100			Percent of total billed charges		1227	100			Percent of total billed charges		1227	100			Percent of total billed charges		1227	33.3			Percent of total billed charges		408.591	33.3			Percent of total billed charges		408.591	100			Percent of total billed charges		1227	408.591	1104.3	
anesthesia time 3 1/2 hours	370	RC	Outpatient			1228	798.2		90			Percent of total billed charges		1105.2	40			Percent of total billed charges		491.2	80			Percent of total billed charges		982.4	90			Percent of total billed charges		1105.2	85			Percent of total billed charges		1043.8	85			Percent of total billed charges		1043.8	85			Percent of total billed charges		1043.8	100			Percent of total billed charges		1228	100			Percent of total billed charges		1228	100			Percent of total billed charges		1228	33.3			Percent of total billed charges		408.924	33.3			Percent of total billed charges		408.924	100			Percent of total billed charges		1228	408.924	1105.2	
arthrex bio-swivelock c suture anchor 4.75 x 19.1mm w/fibertape  ar-2324bcct	272	RC	Outpatient			1229	798.85		90			Percent of total billed charges		1106.1	40			Percent of total billed charges		491.6	80			Percent of total billed charges		983.2	90			Percent of total billed charges		1106.1	85			Percent of total billed charges		1044.65	85			Percent of total billed charges		1044.65	85			Percent of total billed charges		1044.65	100			Percent of total billed charges		1229	100			Percent of total billed charges		1229	100			Percent of total billed charges		1229	33.3			Percent of total billed charges		409.257	33.3			Percent of total billed charges		409.257	100			Percent of total billed charges		1229	409.257	1106.1	
arthrex bio-comp slc w/ft	272	RC	Outpatient			1229	798.85		90			Percent of total billed charges		1106.1	40			Percent of total billed charges		491.6	80			Percent of total billed charges		983.2	90			Percent of total billed charges		1106.1	85			Percent of total billed charges		1044.65	85			Percent of total billed charges		1044.65	85			Percent of total billed charges		1044.65	100			Percent of total billed charges		1229	100			Percent of total billed charges		1229	100			Percent of total billed charges		1229	33.3			Percent of total billed charges		409.257	33.3			Percent of total billed charges		409.257	100			Percent of total billed charges		1229	409.257	1106.1	
arthrex bio-swivelock c suture anchor 4.75 x 19.1mm w/ tigertape loop ar-2324bcctt	272	RC	Outpatient			1229	798.85		90			Percent of total billed charges		1106.1	40			Percent of total billed charges		491.6	80			Percent of total billed charges		983.2	90			Percent of total billed charges		1106.1	85			Percent of total billed charges		1044.65	85			Percent of total billed charges		1044.65	85			Percent of total billed charges		1044.65	100			Percent of total billed charges		1229	100			Percent of total billed charges		1229	100			Percent of total billed charges		1229	33.3			Percent of total billed charges		409.257	33.3			Percent of total billed charges		409.257	100			Percent of total billed charges		1229	409.257	1106.1	
j&j bipolar head & liner	278	RC	Outpatient			1229	798.85		90			Percent of total billed charges		1106.1	40			Percent of total billed charges		491.6	80			Percent of total billed charges		983.2	90			Percent of total billed charges		1106.1	85			Percent of total billed charges		1044.65	85			Percent of total billed charges		1044.65	85			Percent of total billed charges		1044.65	100			Percent of total billed charges		1229	100			Percent of total billed charges		1229	100			Percent of total billed charges		1229	33.3			Percent of total billed charges		409.257	33.3			Percent of total billed charges		409.257	100			Percent of total billed charges		1229	409.257	1106.1	
lg fr pl buttress 3hl	278	RC	Outpatient			1230	799.5		90			Percent of total billed charges		1107	40			Percent of total billed charges		492	80			Percent of total billed charges		984	90			Percent of total billed charges		1107	85			Percent of total billed charges		1045.5	85			Percent of total billed charges		1045.5	85			Percent of total billed charges		1045.5	100			Percent of total billed charges		1230	100			Percent of total billed charges		1230	100			Percent of total billed charges		1230	33.3			Percent of total billed charges		409.59	33.3			Percent of total billed charges		409.59	100			Percent of total billed charges		1230	409.59	1107	
s/n lg frag  plate 3 hole  7114-1003	278	RC	Outpatient			1230	799.5		90			Percent of total billed charges		1107	40			Percent of total billed charges		492	80			Percent of total billed charges		984	90			Percent of total billed charges		1107	85			Percent of total billed charges		1045.5	85			Percent of total billed charges		1045.5	85			Percent of total billed charges		1045.5	100			Percent of total billed charges		1230	100			Percent of total billed charges		1230	100			Percent of total billed charges		1230	33.3			Percent of total billed charges		409.59	33.3			Percent of total billed charges		409.59	100			Percent of total billed charges		1230	409.59	1107	
s/n lg frag  plate 3 hole  7114-1103	278	RC	Outpatient			1230	799.5		90			Percent of total billed charges		1107	40			Percent of total billed charges		492	80			Percent of total billed charges		984	90			Percent of total billed charges		1107	85			Percent of total billed charges		1045.5	85			Percent of total billed charges		1045.5	85			Percent of total billed charges		1045.5	100			Percent of total billed charges		1230	100			Percent of total billed charges		1230	100			Percent of total billed charges		1230	33.3			Percent of total billed charges		409.59	33.3			Percent of total billed charges		409.59	100			Percent of total billed charges		1230	409.59	1107	
versys hip  femoral head  zimmer 8018-36-01	278	RC	Outpatient			1230	799.5		90			Percent of total billed charges		1107	40			Percent of total billed charges		492	80			Percent of total billed charges		984	90			Percent of total billed charges		1107	85			Percent of total billed charges		1045.5	85			Percent of total billed charges		1045.5	85			Percent of total billed charges		1045.5	100			Percent of total billed charges		1230	100			Percent of total billed charges		1230	100			Percent of total billed charges		1230	33.3			Percent of total billed charges		409.59	33.3			Percent of total billed charges		409.59	100			Percent of total billed charges		1230	409.59	1107	
zimmer fem head	278	RC	Outpatient			1230	799.5		90			Percent of total billed charges		1107	40			Percent of total billed charges		492	80			Percent of total billed charges		984	90			Percent of total billed charges		1107	85			Percent of total billed charges		1045.5	85			Percent of total billed charges		1045.5	85			Percent of total billed charges		1045.5	100			Percent of total billed charges		1230	100			Percent of total billed charges		1230	100			Percent of total billed charges		1230	33.3			Percent of total billed charges		409.59	33.3			Percent of total billed charges		409.59	100			Percent of total billed charges		1230	409.59	1107	
im tibial nail 10mm x 32cm 2253-320-10 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 10mm x 34cm 2253-340-10 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 11mm x 18cm 2253-180-11 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 11mm x 20cm 2253-200-11 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 11mm x 24cm 2253-240-11 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 11mm x 28cm 2253-280-11 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 11mm x 34cm 2253-340-11 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 11mm x 40cm 2253-400-11 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 11mm x 42cm 2253-420-11 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 11mm x 44cm 2253-440-11 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 12mm x 20cm 2253-200-12 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 12mm x 26cm 2253-260-12 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 12mm x 32cm 2253-320-12 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 12mm x 34cm 2253-340-12 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 12mm x 36cm 2253-360-12 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 12mm x 38cm 2253-380-12 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 12mm x 42cm 2253-420-12 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 12mm x 44cm 2253-440-12 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 13mm x 22cm 2253-220-13 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 13mm x 24cm 2253-240-13 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 13mm x 26cm 2253-260-13 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 13mm x 32cm 2253-320-13 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 13mm x 38cm 2253-380-13 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 13mm x 40cm 2253-400-13 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 13mm x 44cm 2253-440-13 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 13mm x 46cm 2253-460-13 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 14mm x 26cm 2253-260-14 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 14mm x 28cm 2253-280-14 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 14mm x 32cm 2253-320-14 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 14mm x 34cm 2253-340-14 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 14mm x 38cm 2253-380-14 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 14mm x 42cm 2253-420-14 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 14mm x 44cm 2253-440-14 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 15mm x 24cm 2253-240-15 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 15mm x 30cm 2253-300-15 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 15mm x 40cm 2253-400-15 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 15mm x 44cm 2253-440-15 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
imtramedullary fixation tibial nail 10mm x 18cm 2253-180-10 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
imtramedullary fixation tibial nail 10mm x 20cm 2253-200-10 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
imtramedullary fixation tibial nail 10mm x 22cm 2253-220-10 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
imtramedullary fixation tibial nail 10mm x 24cm 2253-240-10 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
imtramedullary fixation tibial nail 6mm x 20cm 2253-200-06 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
imtramedullary fixation tibial nail 6mm x 26cm 2253-260-06 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
imtramedullary fixation tibial nail 6mm x 34cm 2253-340-06 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
imtramedullary fixation tibial nail 7mm x 18cm 2253-180-07 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
imtramedullary fixation tibial nail 7mm x 24cm 2253-240-07 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
imtramedullary fixation tibial nail 7mm x 26cm 2253-260-07 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
imtramedullary fixation tibial nail 7mm x 28cm 2253-280-07 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
imtramedullary fixation tibial nail 7mm x 38cm 2253-380-07 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
imtramedullary fixation tibial nail 7mm x 40cm 2253-400-07 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
imtramedullary fixation tibial nail 8mm x 24cm 2253-240-08 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
imtramedullary fixation tibial nail 8mm x 26cm 2253-260-08 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
imtramedullary fixation tibial nail 8mm x 32cm 2253-320-08 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
imtramedullary fixation tibial nail 8mm x 34cm 2253-340-08 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
imtramedullary fixation tibial nail 8mm x 38cm 2253-380-08 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
imtramedullary fixation tibial nail 9mm x 20cm 2253-200-09 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
imtramedullary fixation tibial nail 9mm x 26cm 2253-260-09 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
imtramedullary fixation tibial nail 9mm x 32cm 2253-320-09 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
imtramedullary fixation tibial nail 9mm x 34cm 2253-340-09 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
imtramedullary fixation tibial nail 9mm x 40cm 2253-400-09 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
imtramedullary fixation tibial nail 9mm x 42cm 2253-420-09 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 10mm x 26cm 2253-260-10 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 10mm x 28cm 2253-280-10 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 10mm x 30cm 2253-300-10 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 10mm x 36cm 2253-360-10 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 10mm x 38cm 2253-380-10 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 10mm x 40cm 2253-400-10 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 10mm x 42cm 2253-420-10 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 10mm x 44cm 2253-440-10 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 11mm x 22cm 2253-220-11 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 11mm x 26cm 2253-260-11 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 11mm x 30cm 2253-300-11 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 11mm x 32cm 2253-320-11 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 11mm x 36cm 2253-360-11 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 11mm x 38cm 2253-380-11 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 11mm x 48cm 2253-480-11 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 12mm x 22cm 2253-220-12 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 12mm x 24cm 2253-240-12 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 12mm x 28cm 2253-280-12 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 12mm x 30cm 2253-300-12 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 12mm x 40cm 2253-400-12 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 12mm x 46cm 2253-460-12 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 13mm x 28cm 2253-280-13 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 13mm x 30cm 2253-300-13 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 13mm x 34cm 2253-340-13 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 13mm x 36cm 2253-360-13 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 13mm x 42cm 2253-420-13 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 14mm x 24cm 2253-240-14 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 14mm x 30cm 2253-300-14 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 14mm x 36cm 2253-360-14 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 14mm x 40cm 2253-400-14 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 15mm x 26cm 2253-260-15 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 15mm x 28cm 2253-280-15 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 15mm x 32cm 2253-320-15 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 15mm x 34cm 2253-340-15 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 15mm x 36cm 2253-360-15 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 15mm x 38cm 2253-380-15 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 15mm x 42cm 2253-420-15 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 6mm x 18cm 2253-180-06 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
im tibial nail 9mm x 30cm 2253-30009 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
imtramedullary fixation tibial nail 6mm x 22cm 2253-220-06 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
imtramedullary fixation tibial nail 6mm x 24cm 2253-240-06 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
imtramedullary fixation tibial nail 6mm x 28cm 2253-280-06 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
imtramedullary fixation tibial nail 6mm x 30cm 2253-300-06 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
imtramedullary fixation tibial nail 6mm x 32cm 2253-320-06 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
imtramedullary fixation tibial nail 6mm x 36cm 2253-360-06 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
imtramedullary fixation tibial nail 6mm x 38cm 2253-380-06 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
imtramedullary fixation tibial nail 7mm x 20cm 2253-200-07 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
imtramedullary fixation tibial nail 7mm x 22cm 2253-220-07 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
imtramedullary fixation tibial nail 7mm x 30cm 2253-300-07 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
imtramedullary fixation tibial nail 7mm x 32cm 2253-320-07 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
imtramedullary fixation tibial nail 7mm x 34cm 2253-340-07 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
imtramedullary fixation tibial nail 7mm x 36cm 2253-360-07 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
imtramedullary fixation tibial nail 8mm x 18cm 2253-180-08 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
imtramedullary fixation tibial nail 8mm x 20cm 2253-200-08 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
imtramedullary fixation tibial nail 8mm x 22cm 2253-220-08 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
imtramedullary fixation tibial nail 8mm x 30cm 2253-300-08 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
imtramedullary fixation tibial nail 8mm x 36cm 2253-360-08 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
imtramedullary fixation tibial nail 8mm x 40cm 2253-400-08 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
imtramedullary fixation tibial nail 8mm x 42cm 2253-420-08 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
imtramedullary fixation tibial nail 8mm x 86cm 2253-280-08 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
imtramedullary fixation tibial nail 9mm x 18cm 2253-180-09 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
imtramedullary fixation tibial nail 9mm x 22cm 2253-220-09 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
imtramedullary fixation tibial nail 9mm x 24cm 2253-240-09 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
imtramedullary fixation tibial nail 9mm x 28cm 2253-280-09 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
imtramedullary fixation tibial nail 9mm x 30cm 2253-300-09 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
imtramedullary fixation tibial nail 9mm x 36cm 2253-360-09 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
imtramedullary fixation tibial nail 9mm x 38cm 2253-380-09 zimmer	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
zimmer im tib nail	278	RC	Outpatient			1234	802.1		90			Percent of total billed charges		1110.6	40			Percent of total billed charges		493.6	80			Percent of total billed charges		987.2	90			Percent of total billed charges		1110.6	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	85			Percent of total billed charges		1048.9	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	100			Percent of total billed charges		1234	33.3			Percent of total billed charges		410.922	33.3			Percent of total billed charges		410.922	100			Percent of total billed charges		1234	410.922	1110.6	
cemented stem extender 40mm 6476-b-250 stryker	278	RC	Outpatient			1236	803.4		90			Percent of total billed charges		1112.4	40			Percent of total billed charges		494.4	80			Percent of total billed charges		988.8	90			Percent of total billed charges		1112.4	85			Percent of total billed charges		1050.6	85			Percent of total billed charges		1050.6	85			Percent of total billed charges		1050.6	100			Percent of total billed charges		1236	100			Percent of total billed charges		1236	100			Percent of total billed charges		1236	33.3			Percent of total billed charges		411.588	33.3			Percent of total billed charges		411.588	100			Percent of total billed charges		1236	411.588	1112.4	
stryker stem ext cement	278	RC	Outpatient			1236	803.4		90			Percent of total billed charges		1112.4	40			Percent of total billed charges		494.4	80			Percent of total billed charges		988.8	90			Percent of total billed charges		1112.4	85			Percent of total billed charges		1050.6	85			Percent of total billed charges		1050.6	85			Percent of total billed charges		1050.6	100			Percent of total billed charges		1236	100			Percent of total billed charges		1236	100			Percent of total billed charges		1236	33.3			Percent of total billed charges		411.588	33.3			Percent of total billed charges		411.588	100			Percent of total billed charges		1236	411.588	1112.4	
breast imp silicon 650cc	278	RC	Outpatient			1238	804.7		90			Percent of total billed charges		1114.2	40			Percent of total billed charges		495.2	80			Percent of total billed charges		990.4	90			Percent of total billed charges		1114.2	85			Percent of total billed charges		1052.3	85			Percent of total billed charges		1052.3	85			Percent of total billed charges		1052.3	100			Percent of total billed charges		1238	100			Percent of total billed charges		1238	100			Percent of total billed charges		1238	33.3			Percent of total billed charges		412.254	33.3			Percent of total billed charges		412.254	100			Percent of total billed charges		1238	412.254	1114.2	
allocraft dbm 5cc	278	RC	Outpatient			1238	804.7		90			Percent of total billed charges		1114.2	40			Percent of total billed charges		495.2	80			Percent of total billed charges		990.4	90			Percent of total billed charges		1114.2	85			Percent of total billed charges		1052.3	85			Percent of total billed charges		1052.3	85			Percent of total billed charges		1052.3	100			Percent of total billed charges		1238	100			Percent of total billed charges		1238	100			Percent of total billed charges		1238	33.3			Percent of total billed charges		412.254	33.3			Percent of total billed charges		412.254	100			Percent of total billed charges		1238	412.254	1114.2	
allocraft dbm 5cc 653005 stryker	278	RC	Outpatient			1238	804.7		90			Percent of total billed charges		1114.2	40			Percent of total billed charges		495.2	80			Percent of total billed charges		990.4	90			Percent of total billed charges		1114.2	85			Percent of total billed charges		1052.3	85			Percent of total billed charges		1052.3	85			Percent of total billed charges		1052.3	100			Percent of total billed charges		1238	100			Percent of total billed charges		1238	100			Percent of total billed charges		1238	33.3			Percent of total billed charges		412.254	33.3			Percent of total billed charges		412.254	100			Percent of total billed charges		1238	412.254	1114.2	
breast imp gel 550cc	278	RC	Outpatient			1238	804.7		90			Percent of total billed charges		1114.2	40			Percent of total billed charges		495.2	80			Percent of total billed charges		990.4	90			Percent of total billed charges		1114.2	85			Percent of total billed charges		1052.3	85			Percent of total billed charges		1052.3	85			Percent of total billed charges		1052.3	100			Percent of total billed charges		1238	100			Percent of total billed charges		1238	100			Percent of total billed charges		1238	33.3			Percent of total billed charges		412.254	33.3			Percent of total billed charges		412.254	100			Percent of total billed charges		1238	412.254	1114.2	
breast implant sil 350cc	278	RC	Outpatient			1238	804.7		90			Percent of total billed charges		1114.2	40			Percent of total billed charges		495.2	80			Percent of total billed charges		990.4	90			Percent of total billed charges		1114.2	85			Percent of total billed charges		1052.3	85			Percent of total billed charges		1052.3	85			Percent of total billed charges		1052.3	100			Percent of total billed charges		1238	100			Percent of total billed charges		1238	100			Percent of total billed charges		1238	33.3			Percent of total billed charges		412.254	33.3			Percent of total billed charges		412.254	100			Percent of total billed charges		1238	412.254	1114.2	
explant truncated blade 62mm 00-7053-062-10 zimmer biomet	272	RC	Outpatient			1238	804.7		90			Percent of total billed charges		1114.2	40			Percent of total billed charges		495.2	80			Percent of total billed charges		990.4	90			Percent of total billed charges		1114.2	85			Percent of total billed charges		1052.3	85			Percent of total billed charges		1052.3	85			Percent of total billed charges		1052.3	100			Percent of total billed charges		1238	100			Percent of total billed charges		1238	100			Percent of total billed charges		1238	33.3			Percent of total billed charges		412.254	33.3			Percent of total billed charges		412.254	100			Percent of total billed charges		1238	412.254	1114.2	
natrelle silicone filled  implant 650cc 20-650 allergan	278	RC	Outpatient			1238	804.7		90			Percent of total billed charges		1114.2	40			Percent of total billed charges		495.2	80			Percent of total billed charges		990.4	90			Percent of total billed charges		1114.2	85			Percent of total billed charges		1052.3	85			Percent of total billed charges		1052.3	85			Percent of total billed charges		1052.3	100			Percent of total billed charges		1238	100			Percent of total billed charges		1238	100			Percent of total billed charges		1238	33.3			Percent of total billed charges		412.254	33.3			Percent of total billed charges		412.254	100			Percent of total billed charges		1238	412.254	1114.2	
natrelle gel high profile 550cc mplant 20-550 allergan	278	RC	Outpatient			1238	804.7		90			Percent of total billed charges		1114.2	40			Percent of total billed charges		495.2	80			Percent of total billed charges		990.4	90			Percent of total billed charges		1114.2	85			Percent of total billed charges		1052.3	85			Percent of total billed charges		1052.3	85			Percent of total billed charges		1052.3	100			Percent of total billed charges		1238	100			Percent of total billed charges		1238	100			Percent of total billed charges		1238	33.3			Percent of total billed charges		412.254	33.3			Percent of total billed charges		412.254	100			Percent of total billed charges		1238	412.254	1114.2	
natrelle silicone filled  implant 350cc 20-350 allergan	278	RC	Outpatient			1238	804.7		90			Percent of total billed charges		1114.2	40			Percent of total billed charges		495.2	80			Percent of total billed charges		990.4	90			Percent of total billed charges		1114.2	85			Percent of total billed charges		1052.3	85			Percent of total billed charges		1052.3	85			Percent of total billed charges		1052.3	100			Percent of total billed charges		1238	100			Percent of total billed charges		1238	100			Percent of total billed charges		1238	33.3			Percent of total billed charges		412.254	33.3			Percent of total billed charges		412.254	100			Percent of total billed charges		1238	412.254	1114.2	
jet-x short c/d module	278	RC	Outpatient			1239	805.35		90			Percent of total billed charges		1115.1	40			Percent of total billed charges		495.6	80			Percent of total billed charges		991.2	90			Percent of total billed charges		1115.1	85			Percent of total billed charges		1053.15	85			Percent of total billed charges		1053.15	85			Percent of total billed charges		1053.15	100			Percent of total billed charges		1239	100			Percent of total billed charges		1239	100			Percent of total billed charges		1239	33.3			Percent of total billed charges		412.587	33.3			Percent of total billed charges		412.587	100			Percent of total billed charges		1239	412.587	1115.1	
s/n jet-x  comp/dist module 7105-1051	278	RC	Outpatient			1239	805.35		90			Percent of total billed charges		1115.1	40			Percent of total billed charges		495.6	80			Percent of total billed charges		991.2	90			Percent of total billed charges		1115.1	85			Percent of total billed charges		1053.15	85			Percent of total billed charges		1053.15	85			Percent of total billed charges		1053.15	100			Percent of total billed charges		1239	100			Percent of total billed charges		1239	100			Percent of total billed charges		1239	33.3			Percent of total billed charges		412.587	33.3			Percent of total billed charges		412.587	100			Percent of total billed charges		1239	412.587	1115.1	
atlas har23 ethicon	272	RC	Outpatient			1241	806.65		90			Percent of total billed charges		1116.9	40			Percent of total billed charges		496.4	80			Percent of total billed charges		992.8	90			Percent of total billed charges		1116.9	85			Percent of total billed charges		1054.85	85			Percent of total billed charges		1054.85	85			Percent of total billed charges		1054.85	100			Percent of total billed charges		1241	100			Percent of total billed charges		1241	100			Percent of total billed charges		1241	33.3			Percent of total billed charges		413.253	33.3			Percent of total billed charges		413.253	100			Percent of total billed charges		1241	413.253	1116.9	
harm scpl atlas har23	272	RC	Outpatient			1241	806.65		90			Percent of total billed charges		1116.9	40			Percent of total billed charges		496.4	80			Percent of total billed charges		992.8	90			Percent of total billed charges		1116.9	85			Percent of total billed charges		1054.85	85			Percent of total billed charges		1054.85	85			Percent of total billed charges		1054.85	100			Percent of total billed charges		1241	100			Percent of total billed charges		1241	100			Percent of total billed charges		1241	33.3			Percent of total billed charges		413.253	33.3			Percent of total billed charges		413.253	100			Percent of total billed charges		1241	413.253	1116.9	
breast imp saline 275cc	278	RC	Outpatient			1242	807.3		90			Percent of total billed charges		1117.8	40			Percent of total billed charges		496.8	80			Percent of total billed charges		993.6	90			Percent of total billed charges		1117.8	85			Percent of total billed charges		1055.7	85			Percent of total billed charges		1055.7	85			Percent of total billed charges		1055.7	100			Percent of total billed charges		1242	100			Percent of total billed charges		1242	100			Percent of total billed charges		1242	33.3			Percent of total billed charges		413.586	33.3			Percent of total billed charges		413.586	100			Percent of total billed charges		1242	413.586	1117.8	
breast imp saline 300cc m	278	RC	Outpatient			1242	807.3		90			Percent of total billed charges		1117.8	40			Percent of total billed charges		496.8	80			Percent of total billed charges		993.6	90			Percent of total billed charges		1117.8	85			Percent of total billed charges		1055.7	85			Percent of total billed charges		1055.7	85			Percent of total billed charges		1055.7	100			Percent of total billed charges		1242	100			Percent of total billed charges		1242	100			Percent of total billed charges		1242	33.3			Percent of total billed charges		413.586	33.3			Percent of total billed charges		413.586	100			Percent of total billed charges		1242	413.586	1117.8	
breast imp saline 330cc	278	RC	Outpatient			1242	807.3		90			Percent of total billed charges		1117.8	40			Percent of total billed charges		496.8	80			Percent of total billed charges		993.6	90			Percent of total billed charges		1117.8	85			Percent of total billed charges		1055.7	85			Percent of total billed charges		1055.7	85			Percent of total billed charges		1055.7	100			Percent of total billed charges		1242	100			Percent of total billed charges		1242	100			Percent of total billed charges		1242	33.3			Percent of total billed charges		413.586	33.3			Percent of total billed charges		413.586	100			Percent of total billed charges		1242	413.586	1117.8	
breast imp saline 200cc m	278	RC	Outpatient			1242	807.3		90			Percent of total billed charges		1117.8	40			Percent of total billed charges		496.8	80			Percent of total billed charges		993.6	90			Percent of total billed charges		1117.8	85			Percent of total billed charges		1055.7	85			Percent of total billed charges		1055.7	85			Percent of total billed charges		1055.7	100			Percent of total billed charges		1242	100			Percent of total billed charges		1242	100			Percent of total billed charges		1242	33.3			Percent of total billed charges		413.586	33.3			Percent of total billed charges		413.586	100			Percent of total billed charges		1242	413.586	1117.8	
breast imp saline 210cc	278	RC	Outpatient			1242	807.3		90			Percent of total billed charges		1117.8	40			Percent of total billed charges		496.8	80			Percent of total billed charges		993.6	90			Percent of total billed charges		1117.8	85			Percent of total billed charges		1055.7	85			Percent of total billed charges		1055.7	85			Percent of total billed charges		1055.7	100			Percent of total billed charges		1242	100			Percent of total billed charges		1242	100			Percent of total billed charges		1242	33.3			Percent of total billed charges		413.586	33.3			Percent of total billed charges		413.586	100			Percent of total billed charges		1242	413.586	1117.8	
breast imp saline 250cc m	278	RC	Outpatient			1242	807.3		90			Percent of total billed charges		1117.8	40			Percent of total billed charges		496.8	80			Percent of total billed charges		993.6	90			Percent of total billed charges		1117.8	85			Percent of total billed charges		1055.7	85			Percent of total billed charges		1055.7	85			Percent of total billed charges		1055.7	100			Percent of total billed charges		1242	100			Percent of total billed charges		1242	100			Percent of total billed charges		1242	33.3			Percent of total billed charges		413.586	33.3			Percent of total billed charges		413.586	100			Percent of total billed charges		1242	413.586	1117.8	
breast imp saline 270cc	278	RC	Outpatient			1242	807.3		90			Percent of total billed charges		1117.8	40			Percent of total billed charges		496.8	80			Percent of total billed charges		993.6	90			Percent of total billed charges		1117.8	85			Percent of total billed charges		1055.7	85			Percent of total billed charges		1055.7	85			Percent of total billed charges		1055.7	100			Percent of total billed charges		1242	100			Percent of total billed charges		1242	100			Percent of total billed charges		1242	33.3			Percent of total billed charges		413.586	33.3			Percent of total billed charges		413.586	100			Percent of total billed charges		1242	413.586	1117.8	
breast imp saline 310cc	278	RC	Outpatient			1242	807.3		90			Percent of total billed charges		1117.8	40			Percent of total billed charges		496.8	80			Percent of total billed charges		993.6	90			Percent of total billed charges		1117.8	85			Percent of total billed charges		1055.7	85			Percent of total billed charges		1055.7	85			Percent of total billed charges		1055.7	100			Percent of total billed charges		1242	100			Percent of total billed charges		1242	100			Percent of total billed charges		1242	33.3			Percent of total billed charges		413.586	33.3			Percent of total billed charges		413.586	100			Percent of total billed charges		1242	413.586	1117.8	
natrelle saline-filled implant 210cc 68-210 allergan	278	RC	Outpatient			1242	807.3		90			Percent of total billed charges		1117.8	40			Percent of total billed charges		496.8	80			Percent of total billed charges		993.6	90			Percent of total billed charges		1117.8	85			Percent of total billed charges		1055.7	85			Percent of total billed charges		1055.7	85			Percent of total billed charges		1055.7	100			Percent of total billed charges		1242	100			Percent of total billed charges		1242	100			Percent of total billed charges		1242	33.3			Percent of total billed charges		413.586	33.3			Percent of total billed charges		413.586	100			Percent of total billed charges		1242	413.586	1117.8	
smooth round high profile 210-250cc  breast implant mentor 350-3210	278	RC	Outpatient			1242	807.3		90			Percent of total billed charges		1117.8	40			Percent of total billed charges		496.8	80			Percent of total billed charges		993.6	90			Percent of total billed charges		1117.8	85			Percent of total billed charges		1055.7	85			Percent of total billed charges		1055.7	85			Percent of total billed charges		1055.7	100			Percent of total billed charges		1242	100			Percent of total billed charges		1242	100			Percent of total billed charges		1242	33.3			Percent of total billed charges		413.586	33.3			Percent of total billed charges		413.586	100			Percent of total billed charges		1242	413.586	1117.8	
smooth round high profile 270-325cc  breast implant mentor 350-3270	278	RC	Outpatient			1242	807.3		90			Percent of total billed charges		1117.8	40			Percent of total billed charges		496.8	80			Percent of total billed charges		993.6	90			Percent of total billed charges		1117.8	85			Percent of total billed charges		1055.7	85			Percent of total billed charges		1055.7	85			Percent of total billed charges		1055.7	100			Percent of total billed charges		1242	100			Percent of total billed charges		1242	100			Percent of total billed charges		1242	33.3			Percent of total billed charges		413.586	33.3			Percent of total billed charges		413.586	100			Percent of total billed charges		1242	413.586	1117.8	
smooth round high profile 310-375cc  breast implant mentor 350-3310	278	RC	Outpatient			1242	807.3		90			Percent of total billed charges		1117.8	40			Percent of total billed charges		496.8	80			Percent of total billed charges		993.6	90			Percent of total billed charges		1117.8	85			Percent of total billed charges		1055.7	85			Percent of total billed charges		1055.7	85			Percent of total billed charges		1055.7	100			Percent of total billed charges		1242	100			Percent of total billed charges		1242	100			Percent of total billed charges		1242	33.3			Percent of total billed charges		413.586	33.3			Percent of total billed charges		413.586	100			Percent of total billed charges		1242	413.586	1117.8	
smooth round mod  profile 200cc  breast implant mentor 350-1625	278	RC	Outpatient			1242	807.3		90			Percent of total billed charges		1117.8	40			Percent of total billed charges		496.8	80			Percent of total billed charges		993.6	90			Percent of total billed charges		1117.8	85			Percent of total billed charges		1055.7	85			Percent of total billed charges		1055.7	85			Percent of total billed charges		1055.7	100			Percent of total billed charges		1242	100			Percent of total billed charges		1242	100			Percent of total billed charges		1242	33.3			Percent of total billed charges		413.586	33.3			Percent of total billed charges		413.586	100			Percent of total billed charges		1242	413.586	1117.8	
smooth round mod  profile 250cc  breast implant mentor 350-1635	278	RC	Outpatient			1242	807.3		90			Percent of total billed charges		1117.8	40			Percent of total billed charges		496.8	80			Percent of total billed charges		993.6	90			Percent of total billed charges		1117.8	85			Percent of total billed charges		1055.7	85			Percent of total billed charges		1055.7	85			Percent of total billed charges		1055.7	100			Percent of total billed charges		1242	100			Percent of total billed charges		1242	100			Percent of total billed charges		1242	33.3			Percent of total billed charges		413.586	33.3			Percent of total billed charges		413.586	100			Percent of total billed charges		1242	413.586	1117.8	
smooth round mod plus profile 250-300cc  breast implant mentor 350-2250	278	RC	Outpatient			1242	807.3		90			Percent of total billed charges		1117.8	40			Percent of total billed charges		496.8	80			Percent of total billed charges		993.6	90			Percent of total billed charges		1117.8	85			Percent of total billed charges		1055.7	85			Percent of total billed charges		1055.7	85			Percent of total billed charges		1055.7	100			Percent of total billed charges		1242	100			Percent of total billed charges		1242	100			Percent of total billed charges		1242	33.3			Percent of total billed charges		413.586	33.3			Percent of total billed charges		413.586	100			Percent of total billed charges		1242	413.586	1117.8	
smooth round mod plus profile 275 -330cc  breast implant mentor 350-2275	278	RC	Outpatient			1242	807.3		90			Percent of total billed charges		1117.8	40			Percent of total billed charges		496.8	80			Percent of total billed charges		993.6	90			Percent of total billed charges		1117.8	85			Percent of total billed charges		1055.7	85			Percent of total billed charges		1055.7	85			Percent of total billed charges		1055.7	100			Percent of total billed charges		1242	100			Percent of total billed charges		1242	100			Percent of total billed charges		1242	33.3			Percent of total billed charges		413.586	33.3			Percent of total billed charges		413.586	100			Percent of total billed charges		1242	413.586	1117.8	
smooth round mod plus profile 300-360cc  breast implant mentor 350-2300	278	RC	Outpatient			1242	807.3		90			Percent of total billed charges		1117.8	40			Percent of total billed charges		496.8	80			Percent of total billed charges		993.6	90			Percent of total billed charges		1117.8	85			Percent of total billed charges		1055.7	85			Percent of total billed charges		1055.7	85			Percent of total billed charges		1055.7	100			Percent of total billed charges		1242	100			Percent of total billed charges		1242	100			Percent of total billed charges		1242	33.3			Percent of total billed charges		413.586	33.3			Percent of total billed charges		413.586	100			Percent of total billed charges		1242	413.586	1117.8	
synthes ext. fix. simples	278	RC	Outpatient			1242	807.3		90			Percent of total billed charges		1117.8	40			Percent of total billed charges		496.8	80			Percent of total billed charges		993.6	90			Percent of total billed charges		1117.8	85			Percent of total billed charges		1055.7	85			Percent of total billed charges		1055.7	85			Percent of total billed charges		1055.7	100			Percent of total billed charges		1242	100			Percent of total billed charges		1242	100			Percent of total billed charges		1242	33.3			Percent of total billed charges		413.586	33.3			Percent of total billed charges		413.586	100			Percent of total billed charges		1242	413.586	1117.8	
smooth round high profile 230-275cc  saline breast implant mentor 350-3230	278	RC	Outpatient			1242	807.3		90			Percent of total billed charges		1117.8	40			Percent of total billed charges		496.8	80			Percent of total billed charges		993.6	90			Percent of total billed charges		1117.8	85			Percent of total billed charges		1055.7	85			Percent of total billed charges		1055.7	85			Percent of total billed charges		1055.7	100			Percent of total billed charges		1242	100			Percent of total billed charges		1242	100			Percent of total billed charges		1242	33.3			Percent of total billed charges		413.586	33.3			Percent of total billed charges		413.586	100			Percent of total billed charges		1242	413.586	1117.8	
smooth round high profile 250-300cc  breast implant mentor 350-3250	278	RC	Outpatient			1242	807.3		90			Percent of total billed charges		1117.8	40			Percent of total billed charges		496.8	80			Percent of total billed charges		993.6	90			Percent of total billed charges		1117.8	85			Percent of total billed charges		1055.7	85			Percent of total billed charges		1055.7	85			Percent of total billed charges		1055.7	100			Percent of total billed charges		1242	100			Percent of total billed charges		1242	100			Percent of total billed charges		1242	33.3			Percent of total billed charges		413.586	33.3			Percent of total billed charges		413.586	100			Percent of total billed charges		1242	413.586	1117.8	
smooth round high profile 330-400cc  breast implant mentor 350-3330	278	RC	Outpatient			1242	807.3		90			Percent of total billed charges		1117.8	40			Percent of total billed charges		496.8	80			Percent of total billed charges		993.6	90			Percent of total billed charges		1117.8	85			Percent of total billed charges		1055.7	85			Percent of total billed charges		1055.7	85			Percent of total billed charges		1055.7	100			Percent of total billed charges		1242	100			Percent of total billed charges		1242	100			Percent of total billed charges		1242	33.3			Percent of total billed charges		413.586	33.3			Percent of total billed charges		413.586	100			Percent of total billed charges		1242	413.586	1117.8	
smooth round mod plus profile 200-240cc  breast implant mentor 350-2200	278	RC	Outpatient			1242	807.3		90			Percent of total billed charges		1117.8	40			Percent of total billed charges		496.8	80			Percent of total billed charges		993.6	90			Percent of total billed charges		1117.8	85			Percent of total billed charges		1055.7	85			Percent of total billed charges		1055.7	85			Percent of total billed charges		1055.7	100			Percent of total billed charges		1242	100			Percent of total billed charges		1242	100			Percent of total billed charges		1242	33.3			Percent of total billed charges		413.586	33.3			Percent of total billed charges		413.586	100			Percent of total billed charges		1242	413.586	1117.8	
inf med clavicular locking plate 10h 71823406 s/n	278	RC	Outpatient			1243	807.95		90			Percent of total billed charges		1118.7	40			Percent of total billed charges		497.2	80			Percent of total billed charges		994.4	90			Percent of total billed charges		1118.7	85			Percent of total billed charges		1056.55	85			Percent of total billed charges		1056.55	85			Percent of total billed charges		1056.55	100			Percent of total billed charges		1243	100			Percent of total billed charges		1243	100			Percent of total billed charges		1243	33.3			Percent of total billed charges		413.919	33.3			Percent of total billed charges		413.919	100			Percent of total billed charges		1243	413.919	1118.7	
inf med clavicular locking plate  71823407 s/n	278	RC	Outpatient			1243	807.95		90			Percent of total billed charges		1118.7	40			Percent of total billed charges		497.2	80			Percent of total billed charges		994.4	90			Percent of total billed charges		1118.7	85			Percent of total billed charges		1056.55	85			Percent of total billed charges		1056.55	85			Percent of total billed charges		1056.55	100			Percent of total billed charges		1243	100			Percent of total billed charges		1243	100			Percent of total billed charges		1243	33.3			Percent of total billed charges		413.919	33.3			Percent of total billed charges		413.919	100			Percent of total billed charges		1243	413.919	1118.7	
s/n inf dist clav lk pl	278	RC	Outpatient			1243	807.95		90			Percent of total billed charges		1118.7	40			Percent of total billed charges		497.2	80			Percent of total billed charges		994.4	90			Percent of total billed charges		1118.7	85			Percent of total billed charges		1056.55	85			Percent of total billed charges		1056.55	85			Percent of total billed charges		1056.55	100			Percent of total billed charges		1243	100			Percent of total billed charges		1243	100			Percent of total billed charges		1243	33.3			Percent of total billed charges		413.919	33.3			Percent of total billed charges		413.919	100			Percent of total billed charges		1243	413.919	1118.7	
sup dist clavicular locking plate  r 71823404 s/n	278	RC	Outpatient			1243	807.95		90			Percent of total billed charges		1118.7	40			Percent of total billed charges		497.2	80			Percent of total billed charges		994.4	90			Percent of total billed charges		1118.7	85			Percent of total billed charges		1056.55	85			Percent of total billed charges		1056.55	85			Percent of total billed charges		1056.55	100			Percent of total billed charges		1243	100			Percent of total billed charges		1243	100			Percent of total billed charges		1243	33.3			Percent of total billed charges		413.919	33.3			Percent of total billed charges		413.919	100			Percent of total billed charges		1243	413.919	1118.7	
s/n inf med clav lk pl10h	278	RC	Outpatient			1243	807.95		90			Percent of total billed charges		1118.7	40			Percent of total billed charges		497.2	80			Percent of total billed charges		994.4	90			Percent of total billed charges		1118.7	85			Percent of total billed charges		1056.55	85			Percent of total billed charges		1056.55	85			Percent of total billed charges		1056.55	100			Percent of total billed charges		1243	100			Percent of total billed charges		1243	100			Percent of total billed charges		1243	33.3			Percent of total billed charges		413.919	33.3			Percent of total billed charges		413.919	100			Percent of total billed charges		1243	413.919	1118.7	
s/n sup dist clav lk pl	278	RC	Outpatient			1243	807.95		90			Percent of total billed charges		1118.7	40			Percent of total billed charges		497.2	80			Percent of total billed charges		994.4	90			Percent of total billed charges		1118.7	85			Percent of total billed charges		1056.55	85			Percent of total billed charges		1056.55	85			Percent of total billed charges		1056.55	100			Percent of total billed charges		1243	100			Percent of total billed charges		1243	100			Percent of total billed charges		1243	33.3			Percent of total billed charges		413.919	33.3			Percent of total billed charges		413.919	100			Percent of total billed charges		1243	413.919	1118.7	
sup dist clavicular locking plate  l 71823403 s/n	278	RC	Outpatient			1243	807.95		90			Percent of total billed charges		1118.7	40			Percent of total billed charges		497.2	80			Percent of total billed charges		994.4	90			Percent of total billed charges		1118.7	85			Percent of total billed charges		1056.55	85			Percent of total billed charges		1056.55	85			Percent of total billed charges		1056.55	100			Percent of total billed charges		1243	100			Percent of total billed charges		1243	100			Percent of total billed charges		1243	33.3			Percent of total billed charges		413.919	33.3			Percent of total billed charges		413.919	100			Percent of total billed charges		1243	413.919	1118.7	
zimmer 8-hole ulnar plate	278	RC	Outpatient			1243	807.95		90			Percent of total billed charges		1118.7	40			Percent of total billed charges		497.2	80			Percent of total billed charges		994.4	90			Percent of total billed charges		1118.7	85			Percent of total billed charges		1056.55	85			Percent of total billed charges		1056.55	85			Percent of total billed charges		1056.55	100			Percent of total billed charges		1243	100			Percent of total billed charges		1243	100			Percent of total billed charges		1243	33.3			Percent of total billed charges		413.919	33.3			Percent of total billed charges		413.919	100			Percent of total billed charges		1243	413.919	1118.7	
zimmer 8 hole ulnar plate 2348-09-08	278	RC	Outpatient			1243	807.95		90			Percent of total billed charges		1118.7	40			Percent of total billed charges		497.2	80			Percent of total billed charges		994.4	90			Percent of total billed charges		1118.7	85			Percent of total billed charges		1056.55	85			Percent of total billed charges		1056.55	85			Percent of total billed charges		1056.55	100			Percent of total billed charges		1243	100			Percent of total billed charges		1243	100			Percent of total billed charges		1243	33.3			Percent of total billed charges		413.919	33.3			Percent of total billed charges		413.919	100			Percent of total billed charges		1243	413.919	1118.7	
patellar dome 34mm 5220-12 zimmer	278	RC	Outpatient			1245	809.25		90			Percent of total billed charges		1120.5	40			Percent of total billed charges		498	80			Percent of total billed charges		996	90			Percent of total billed charges		1120.5	85			Percent of total billed charges		1058.25	85			Percent of total billed charges		1058.25	85			Percent of total billed charges		1058.25	100			Percent of total billed charges		1245	100			Percent of total billed charges		1245	100			Percent of total billed charges		1245	33.3			Percent of total billed charges		414.585	33.3			Percent of total billed charges		414.585	100			Percent of total billed charges		1245	414.585	1120.5	
patellar dome 32mm 5220-11 zimmer	278	RC	Outpatient			1245	809.25		90			Percent of total billed charges		1120.5	40			Percent of total billed charges		498	80			Percent of total billed charges		996	90			Percent of total billed charges		1120.5	85			Percent of total billed charges		1058.25	85			Percent of total billed charges		1058.25	85			Percent of total billed charges		1058.25	100			Percent of total billed charges		1245	100			Percent of total billed charges		1245	100			Percent of total billed charges		1245	33.3			Percent of total billed charges		414.585	33.3			Percent of total billed charges		414.585	100			Percent of total billed charges		1245	414.585	1120.5	
zimmer domed patella	278	RC	Outpatient			1245	809.25		90			Percent of total billed charges		1120.5	40			Percent of total billed charges		498	80			Percent of total billed charges		996	90			Percent of total billed charges		1120.5	85			Percent of total billed charges		1058.25	85			Percent of total billed charges		1058.25	85			Percent of total billed charges		1058.25	100			Percent of total billed charges		1245	100			Percent of total billed charges		1245	100			Percent of total billed charges		1245	33.3			Percent of total billed charges		414.585	33.3			Percent of total billed charges		414.585	100			Percent of total billed charges		1245	414.585	1120.5	
bio arcom patellar comp	278	RC	Outpatient			1248	811.2		90			Percent of total billed charges		1123.2	40			Percent of total billed charges		499.2	80			Percent of total billed charges		998.4	90			Percent of total billed charges		1123.2	85			Percent of total billed charges		1060.8	85			Percent of total billed charges		1060.8	85			Percent of total billed charges		1060.8	100			Percent of total billed charges		1248	100			Percent of total billed charges		1248	100			Percent of total billed charges		1248	33.3			Percent of total billed charges		415.584	33.3			Percent of total billed charges		415.584	100			Percent of total billed charges		1248	415.584	1123.2	
biomet patellar component 31 mm 11-150826	278	RC	Outpatient			1248	811.2		90			Percent of total billed charges		1123.2	40			Percent of total billed charges		499.2	80			Percent of total billed charges		998.4	90			Percent of total billed charges		1123.2	85			Percent of total billed charges		1060.8	85			Percent of total billed charges		1060.8	85			Percent of total billed charges		1060.8	100			Percent of total billed charges		1248	100			Percent of total billed charges		1248	100			Percent of total billed charges		1248	33.3			Percent of total billed charges		415.584	33.3			Percent of total billed charges		415.584	100			Percent of total billed charges		1248	415.584	1123.2	
biomet patellar component 31mm 11-150840	278	RC	Outpatient			1248	811.2		90			Percent of total billed charges		1123.2	40			Percent of total billed charges		499.2	80			Percent of total billed charges		998.4	90			Percent of total billed charges		1123.2	85			Percent of total billed charges		1060.8	85			Percent of total billed charges		1060.8	85			Percent of total billed charges		1060.8	100			Percent of total billed charges		1248	100			Percent of total billed charges		1248	100			Percent of total billed charges		1248	33.3			Percent of total billed charges		415.584	33.3			Percent of total billed charges		415.584	100			Percent of total billed charges		1248	415.584	1123.2	
biomet  patellar component 28 mm 11-150825	278	RC	Outpatient			1248	811.2		90			Percent of total billed charges		1123.2	40			Percent of total billed charges		499.2	80			Percent of total billed charges		998.4	90			Percent of total billed charges		1123.2	85			Percent of total billed charges		1060.8	85			Percent of total billed charges		1060.8	85			Percent of total billed charges		1060.8	100			Percent of total billed charges		1248	100			Percent of total billed charges		1248	100			Percent of total billed charges		1248	33.3			Percent of total billed charges		415.584	33.3			Percent of total billed charges		415.584	100			Percent of total billed charges		1248	415.584	1123.2	
biomet patellar component 34 mm 11-150828	278	RC	Outpatient			1248	811.2		90			Percent of total billed charges		1123.2	40			Percent of total billed charges		499.2	80			Percent of total billed charges		998.4	90			Percent of total billed charges		1123.2	85			Percent of total billed charges		1060.8	85			Percent of total billed charges		1060.8	85			Percent of total billed charges		1060.8	100			Percent of total billed charges		1248	100			Percent of total billed charges		1248	100			Percent of total billed charges		1248	33.3			Percent of total billed charges		415.584	33.3			Percent of total billed charges		415.584	100			Percent of total billed charges		1248	415.584	1123.2	
biomet patellar component 34mm 11-150842	278	RC	Outpatient			1248	811.2		90			Percent of total billed charges		1123.2	40			Percent of total billed charges		499.2	80			Percent of total billed charges		998.4	90			Percent of total billed charges		1123.2	85			Percent of total billed charges		1060.8	85			Percent of total billed charges		1060.8	85			Percent of total billed charges		1060.8	100			Percent of total billed charges		1248	100			Percent of total billed charges		1248	100			Percent of total billed charges		1248	33.3			Percent of total billed charges		415.584	33.3			Percent of total billed charges		415.584	100			Percent of total billed charges		1248	415.584	1123.2	
biomet patellar component 37 mm 11-150830	278	RC	Outpatient			1248	811.2		90			Percent of total billed charges		1123.2	40			Percent of total billed charges		499.2	80			Percent of total billed charges		998.4	90			Percent of total billed charges		1123.2	85			Percent of total billed charges		1060.8	85			Percent of total billed charges		1060.8	85			Percent of total billed charges		1060.8	100			Percent of total billed charges		1248	100			Percent of total billed charges		1248	100			Percent of total billed charges		1248	33.3			Percent of total billed charges		415.584	33.3			Percent of total billed charges		415.584	100			Percent of total billed charges		1248	415.584	1123.2	
patella  28 mm 7339440 11-150838	278	RC	Outpatient			1248	811.2		90			Percent of total billed charges		1123.2	40			Percent of total billed charges		499.2	80			Percent of total billed charges		998.4	90			Percent of total billed charges		1123.2	85			Percent of total billed charges		1060.8	85			Percent of total billed charges		1060.8	85			Percent of total billed charges		1060.8	100			Percent of total billed charges		1248	100			Percent of total billed charges		1248	100			Percent of total billed charges		1248	33.3			Percent of total billed charges		415.584	33.3			Percent of total billed charges		415.584	100			Percent of total billed charges		1248	415.584	1123.2	
patella 3 post 37mm 11-150844	278	RC	Outpatient			1248	811.2		90			Percent of total billed charges		1123.2	40			Percent of total billed charges		499.2	80			Percent of total billed charges		998.4	90			Percent of total billed charges		1123.2	85			Percent of total billed charges		1060.8	85			Percent of total billed charges		1060.8	85			Percent of total billed charges		1060.8	100			Percent of total billed charges		1248	100			Percent of total billed charges		1248	100			Percent of total billed charges		1248	33.3			Percent of total billed charges		415.584	33.3			Percent of total billed charges		415.584	100			Percent of total billed charges		1248	415.584	1123.2	
versanail lag screw	278	RC	Outpatient			1249	811.85		90			Percent of total billed charges		1124.1	40			Percent of total billed charges		499.6	80			Percent of total billed charges		999.2	90			Percent of total billed charges		1124.1	85			Percent of total billed charges		1061.65	85			Percent of total billed charges		1061.65	85			Percent of total billed charges		1061.65	100			Percent of total billed charges		1249	100			Percent of total billed charges		1249	100			Percent of total billed charges		1249	33.3			Percent of total billed charges		415.917	33.3			Percent of total billed charges		415.917	100			Percent of total billed charges		1249	415.917	1124.1	
versanail 6.5 x 105mm solid cancellous lag screw 1030-105 depuy	278	RC	Outpatient			1249	811.85		90			Percent of total billed charges		1124.1	40			Percent of total billed charges		499.6	80			Percent of total billed charges		999.2	90			Percent of total billed charges		1124.1	85			Percent of total billed charges		1061.65	85			Percent of total billed charges		1061.65	85			Percent of total billed charges		1061.65	100			Percent of total billed charges		1249	100			Percent of total billed charges		1249	100			Percent of total billed charges		1249	33.3			Percent of total billed charges		415.917	33.3			Percent of total billed charges		415.917	100			Percent of total billed charges		1249	415.917	1124.1	
cosmetic - laser hair removal - upper or lower back pkg of 5 sessions	983	RC	Outpatient			1250	812.5		90			Percent of total billed charges		1125	40			Percent of total billed charges		500	80			Percent of total billed charges		1000	90			Percent of total billed charges		1125	85			Percent of total billed charges		1062.5	85			Percent of total billed charges		1062.5	85			Percent of total billed charges		1062.5	100			Percent of total billed charges		1250	100			Percent of total billed charges		1250	100			Percent of total billed charges		1250	33.3			Percent of total billed charges		416.25	33.3			Percent of total billed charges		416.25	100			Percent of total billed charges		1250	416.25	1125	
cosmetic - laser hair removal - abdomen (male) pkg of 5 sessions	983	RC	Outpatient			1250	812.5		90			Percent of total billed charges		1125	40			Percent of total billed charges		500	80			Percent of total billed charges		1000	90			Percent of total billed charges		1125	85			Percent of total billed charges		1062.5	85			Percent of total billed charges		1062.5	85			Percent of total billed charges		1062.5	100			Percent of total billed charges		1250	100			Percent of total billed charges		1250	100			Percent of total billed charges		1250	33.3			Percent of total billed charges		416.25	33.3			Percent of total billed charges		416.25	100			Percent of total billed charges		1250	416.25	1125	
cosmetic - laser hair removal - arms (complete) pkg of 5 sessions	983	RC	Outpatient			1250	812.5		90			Percent of total billed charges		1125	40			Percent of total billed charges		500	80			Percent of total billed charges		1000	90			Percent of total billed charges		1125	85			Percent of total billed charges		1062.5	85			Percent of total billed charges		1062.5	85			Percent of total billed charges		1062.5	100			Percent of total billed charges		1250	100			Percent of total billed charges		1250	100			Percent of total billed charges		1250	33.3			Percent of total billed charges		416.25	33.3			Percent of total billed charges		416.25	100			Percent of total billed charges		1250	416.25	1125	
cosmetic - laser hair removal - upper or lower legs pkg of 5 sessions	983	RC	Outpatient			1250	812.5		90			Percent of total billed charges		1125	40			Percent of total billed charges		500	80			Percent of total billed charges		1000	90			Percent of total billed charges		1125	85			Percent of total billed charges		1062.5	85			Percent of total billed charges		1062.5	85			Percent of total billed charges		1062.5	100			Percent of total billed charges		1250	100			Percent of total billed charges		1250	100			Percent of total billed charges		1250	33.3			Percent of total billed charges		416.25	33.3			Percent of total billed charges		416.25	100			Percent of total billed charges		1250	416.25	1125	
s/n obiq t-plate 3 hl	278	RC	Outpatient			1252	813.8		90			Percent of total billed charges		1126.8	40			Percent of total billed charges		500.8	80			Percent of total billed charges		1001.6	90			Percent of total billed charges		1126.8	85			Percent of total billed charges		1064.2	85			Percent of total billed charges		1064.2	85			Percent of total billed charges		1064.2	100			Percent of total billed charges		1252	100			Percent of total billed charges		1252	100			Percent of total billed charges		1252	33.3			Percent of total billed charges		416.916	33.3			Percent of total billed charges		416.916	100			Percent of total billed charges		1252	416.916	1126.8	
t-plt oblique 3 hl 71809613 s\n	278	RC	Outpatient			1252	813.8		90			Percent of total billed charges		1126.8	40			Percent of total billed charges		500.8	80			Percent of total billed charges		1001.6	90			Percent of total billed charges		1126.8	85			Percent of total billed charges		1064.2	85			Percent of total billed charges		1064.2	85			Percent of total billed charges		1064.2	100			Percent of total billed charges		1252	100			Percent of total billed charges		1252	100			Percent of total billed charges		1252	33.3			Percent of total billed charges		416.916	33.3			Percent of total billed charges		416.916	100			Percent of total billed charges		1252	416.916	1126.8	
t-plt oblique 3 hl 71829613 s\n	278	RC	Outpatient			1252	813.8		90			Percent of total billed charges		1126.8	40			Percent of total billed charges		500.8	80			Percent of total billed charges		1001.6	90			Percent of total billed charges		1126.8	85			Percent of total billed charges		1064.2	85			Percent of total billed charges		1064.2	85			Percent of total billed charges		1064.2	100			Percent of total billed charges		1252	100			Percent of total billed charges		1252	100			Percent of total billed charges		1252	33.3			Percent of total billed charges		416.916	33.3			Percent of total billed charges		416.916	100			Percent of total billed charges		1252	416.916	1126.8	
ligasure impact	272	RC	Outpatient			1253	814.45		90			Percent of total billed charges		1127.7	40			Percent of total billed charges		501.2	80			Percent of total billed charges		1002.4	90			Percent of total billed charges		1127.7	85			Percent of total billed charges		1065.05	85			Percent of total billed charges		1065.05	85			Percent of total billed charges		1065.05	100			Percent of total billed charges		1253	100			Percent of total billed charges		1253	100			Percent of total billed charges		1253	33.3			Percent of total billed charges		417.249	33.3			Percent of total billed charges		417.249	100			Percent of total billed charges		1253	417.249	1127.7	
ligasure impact lf4200 lf4318 lf4418 covidien	272	RC	Outpatient			1253	814.45		90			Percent of total billed charges		1127.7	40			Percent of total billed charges		501.2	80			Percent of total billed charges		1002.4	90			Percent of total billed charges		1127.7	85			Percent of total billed charges		1065.05	85			Percent of total billed charges		1065.05	85			Percent of total billed charges		1065.05	100			Percent of total billed charges		1253	100			Percent of total billed charges		1253	100			Percent of total billed charges		1253	33.3			Percent of total billed charges		417.249	33.3			Percent of total billed charges		417.249	100			Percent of total billed charges		1253	417.249	1127.7	
arthrex ac tightrope ac repair kit  ar-2257	278	RC	Outpatient			1254	815.1		90			Percent of total billed charges		1128.6	40			Percent of total billed charges		501.6	80			Percent of total billed charges		1003.2	90			Percent of total billed charges		1128.6	85			Percent of total billed charges		1065.9	85			Percent of total billed charges		1065.9	85			Percent of total billed charges		1065.9	100			Percent of total billed charges		1254	100			Percent of total billed charges		1254	100			Percent of total billed charges		1254	33.3			Percent of total billed charges		417.582	33.3			Percent of total billed charges		417.582	100			Percent of total billed charges		1254	417.582	1128.6	
arthrex tightrope	278	RC	Outpatient			1254	815.1		90			Percent of total billed charges		1128.6	40			Percent of total billed charges		501.6	80			Percent of total billed charges		1003.2	90			Percent of total billed charges		1128.6	85			Percent of total billed charges		1065.9	85			Percent of total billed charges		1065.9	85			Percent of total billed charges		1065.9	100			Percent of total billed charges		1254	100			Percent of total billed charges		1254	100			Percent of total billed charges		1254	33.3			Percent of total billed charges		417.582	33.3			Percent of total billed charges		417.582	100			Percent of total billed charges		1254	417.582	1128.6	
explant full blade 56mm 00-7053-056-20 zimmer biomet	272	RC	Outpatient			1254	815.1		90			Percent of total billed charges		1128.6	40			Percent of total billed charges		501.6	80			Percent of total billed charges		1003.2	90			Percent of total billed charges		1128.6	85			Percent of total billed charges		1065.9	85			Percent of total billed charges		1065.9	85			Percent of total billed charges		1065.9	100			Percent of total billed charges		1254	100			Percent of total billed charges		1254	100			Percent of total billed charges		1254	33.3			Percent of total billed charges		417.582	33.3			Percent of total billed charges		417.582	100			Percent of total billed charges		1254	417.582	1128.6	
explant full blade 62mm 00-7053-062-20 zimmer biomet	272	RC	Outpatient			1254	815.1		90			Percent of total billed charges		1128.6	40			Percent of total billed charges		501.6	80			Percent of total billed charges		1003.2	90			Percent of total billed charges		1128.6	85			Percent of total billed charges		1065.9	85			Percent of total billed charges		1065.9	85			Percent of total billed charges		1065.9	100			Percent of total billed charges		1254	100			Percent of total billed charges		1254	100			Percent of total billed charges		1254	33.3			Percent of total billed charges		417.582	33.3			Percent of total billed charges		417.582	100			Percent of total billed charges		1254	417.582	1128.6	
gamma lag screw 10.5 x 105mm 3060-0105s stryker	278	RC	Outpatient			1257	817.05		90			Percent of total billed charges		1131.3	40			Percent of total billed charges		502.8	80			Percent of total billed charges		1005.6	90			Percent of total billed charges		1131.3	85			Percent of total billed charges		1068.45	85			Percent of total billed charges		1068.45	85			Percent of total billed charges		1068.45	100			Percent of total billed charges		1257	100			Percent of total billed charges		1257	100			Percent of total billed charges		1257	33.3			Percent of total billed charges		418.581	33.3			Percent of total billed charges		418.581	100			Percent of total billed charges		1257	418.581	1131.3	
gamma lag screw 10.5 x 115mm 3060-0115s stryker	278	RC	Outpatient			1257	817.05		90			Percent of total billed charges		1131.3	40			Percent of total billed charges		502.8	80			Percent of total billed charges		1005.6	90			Percent of total billed charges		1131.3	85			Percent of total billed charges		1068.45	85			Percent of total billed charges		1068.45	85			Percent of total billed charges		1068.45	100			Percent of total billed charges		1257	100			Percent of total billed charges		1257	100			Percent of total billed charges		1257	33.3			Percent of total billed charges		418.581	33.3			Percent of total billed charges		418.581	100			Percent of total billed charges		1257	418.581	1131.3	
gamma lag screw 10.5 x 75mm 3060-0075s stryker	278	RC	Outpatient			1257	817.05		90			Percent of total billed charges		1131.3	40			Percent of total billed charges		502.8	80			Percent of total billed charges		1005.6	90			Percent of total billed charges		1131.3	85			Percent of total billed charges		1068.45	85			Percent of total billed charges		1068.45	85			Percent of total billed charges		1068.45	100			Percent of total billed charges		1257	100			Percent of total billed charges		1257	100			Percent of total billed charges		1257	33.3			Percent of total billed charges		418.581	33.3			Percent of total billed charges		418.581	100			Percent of total billed charges		1257	418.581	1131.3	
gamma lag screw 10.5 x 80mm 3060-0080s stryker	278	RC	Outpatient			1257	817.05		90			Percent of total billed charges		1131.3	40			Percent of total billed charges		502.8	80			Percent of total billed charges		1005.6	90			Percent of total billed charges		1131.3	85			Percent of total billed charges		1068.45	85			Percent of total billed charges		1068.45	85			Percent of total billed charges		1068.45	100			Percent of total billed charges		1257	100			Percent of total billed charges		1257	100			Percent of total billed charges		1257	33.3			Percent of total billed charges		418.581	33.3			Percent of total billed charges		418.581	100			Percent of total billed charges		1257	418.581	1131.3	
gamma lag screw 10.5 x 90mm 3060-0090s stryker	278	RC	Outpatient			1257	817.05		90			Percent of total billed charges		1131.3	40			Percent of total billed charges		502.8	80			Percent of total billed charges		1005.6	90			Percent of total billed charges		1131.3	85			Percent of total billed charges		1068.45	85			Percent of total billed charges		1068.45	85			Percent of total billed charges		1068.45	100			Percent of total billed charges		1257	100			Percent of total billed charges		1257	100			Percent of total billed charges		1257	33.3			Percent of total billed charges		418.581	33.3			Percent of total billed charges		418.581	100			Percent of total billed charges		1257	418.581	1131.3	
gamma lag screw	278	RC	Outpatient			1257	817.05		90			Percent of total billed charges		1131.3	40			Percent of total billed charges		502.8	80			Percent of total billed charges		1005.6	90			Percent of total billed charges		1131.3	85			Percent of total billed charges		1068.45	85			Percent of total billed charges		1068.45	85			Percent of total billed charges		1068.45	100			Percent of total billed charges		1257	100			Percent of total billed charges		1257	100			Percent of total billed charges		1257	33.3			Percent of total billed charges		418.581	33.3			Percent of total billed charges		418.581	100			Percent of total billed charges		1257	418.581	1131.3	
gamma lag screw 10.5 x 100mm 3060-0100s stryker	278	RC	Outpatient			1257	817.05		90			Percent of total billed charges		1131.3	40			Percent of total billed charges		502.8	80			Percent of total billed charges		1005.6	90			Percent of total billed charges		1131.3	85			Percent of total billed charges		1068.45	85			Percent of total billed charges		1068.45	85			Percent of total billed charges		1068.45	100			Percent of total billed charges		1257	100			Percent of total billed charges		1257	100			Percent of total billed charges		1257	33.3			Percent of total billed charges		418.581	33.3			Percent of total billed charges		418.581	100			Percent of total billed charges		1257	418.581	1131.3	
gamma lag screw 10.5 x 110mm 3060-0110s stryker	278	RC	Outpatient			1257	817.05		90			Percent of total billed charges		1131.3	40			Percent of total billed charges		502.8	80			Percent of total billed charges		1005.6	90			Percent of total billed charges		1131.3	85			Percent of total billed charges		1068.45	85			Percent of total billed charges		1068.45	85			Percent of total billed charges		1068.45	100			Percent of total billed charges		1257	100			Percent of total billed charges		1257	100			Percent of total billed charges		1257	33.3			Percent of total billed charges		418.581	33.3			Percent of total billed charges		418.581	100			Percent of total billed charges		1257	418.581	1131.3	
gamma lag screw 10.5 x 85mm 3060-0085s stryker	278	RC	Outpatient			1257	817.05		90			Percent of total billed charges		1131.3	40			Percent of total billed charges		502.8	80			Percent of total billed charges		1005.6	90			Percent of total billed charges		1131.3	85			Percent of total billed charges		1068.45	85			Percent of total billed charges		1068.45	85			Percent of total billed charges		1068.45	100			Percent of total billed charges		1257	100			Percent of total billed charges		1257	100			Percent of total billed charges		1257	33.3			Percent of total billed charges		418.581	33.3			Percent of total billed charges		418.581	100			Percent of total billed charges		1257	418.581	1131.3	
gamma lag screw 10.5 x 95mm 3060-0095s stryker	278	RC	Outpatient			1257	817.05		90			Percent of total billed charges		1131.3	40			Percent of total billed charges		502.8	80			Percent of total billed charges		1005.6	90			Percent of total billed charges		1131.3	85			Percent of total billed charges		1068.45	85			Percent of total billed charges		1068.45	85			Percent of total billed charges		1068.45	100			Percent of total billed charges		1257	100			Percent of total billed charges		1257	100			Percent of total billed charges		1257	33.3			Percent of total billed charges		418.581	33.3			Percent of total billed charges		418.581	100			Percent of total billed charges		1257	418.581	1131.3	
bio hip liner 28mm	278	RC	Outpatient			1258	817.7		90			Percent of total billed charges		1132.2	40			Percent of total billed charges		503.2	80			Percent of total billed charges		1006.4	90			Percent of total billed charges		1132.2	85			Percent of total billed charges		1069.3	85			Percent of total billed charges		1069.3	85			Percent of total billed charges		1069.3	100			Percent of total billed charges		1258	100			Percent of total billed charges		1258	100			Percent of total billed charges		1258	33.3			Percent of total billed charges		418.914	33.3			Percent of total billed charges		418.914	100			Percent of total billed charges		1258	418.914	1132.2	
biomet  28mm 10 degree cupliner sz25 105915	278	RC	Outpatient			1258	817.7		90			Percent of total billed charges		1132.2	40			Percent of total billed charges		503.2	80			Percent of total billed charges		1006.4	90			Percent of total billed charges		1132.2	85			Percent of total billed charges		1069.3	85			Percent of total billed charges		1069.3	85			Percent of total billed charges		1069.3	100			Percent of total billed charges		1258	100			Percent of total billed charges		1258	100			Percent of total billed charges		1258	33.3			Percent of total billed charges		418.914	33.3			Percent of total billed charges		418.914	100			Percent of total billed charges		1258	418.914	1132.2	
biomet  28mm 10 degree cupliner sz26 105916	278	RC	Outpatient			1258	817.7		90			Percent of total billed charges		1132.2	40			Percent of total billed charges		503.2	80			Percent of total billed charges		1006.4	90			Percent of total billed charges		1132.2	85			Percent of total billed charges		1069.3	85			Percent of total billed charges		1069.3	85			Percent of total billed charges		1069.3	100			Percent of total billed charges		1258	100			Percent of total billed charges		1258	100			Percent of total billed charges		1258	33.3			Percent of total billed charges		418.914	33.3			Percent of total billed charges		418.914	100			Percent of total billed charges		1258	418.914	1132.2	
biomet  28mm 10 degree liner sz27 105917	278	RC	Outpatient			1258	817.7		90			Percent of total billed charges		1132.2	40			Percent of total billed charges		503.2	80			Percent of total billed charges		1006.4	90			Percent of total billed charges		1132.2	85			Percent of total billed charges		1069.3	85			Percent of total billed charges		1069.3	85			Percent of total billed charges		1069.3	100			Percent of total billed charges		1258	100			Percent of total billed charges		1258	100			Percent of total billed charges		1258	33.3			Percent of total billed charges		418.914	33.3			Percent of total billed charges		418.914	100			Percent of total billed charges		1258	418.914	1132.2	
biomet 28mm  cupliner sz21 105911	278	RC	Outpatient			1258	817.7		90			Percent of total billed charges		1132.2	40			Percent of total billed charges		503.2	80			Percent of total billed charges		1006.4	90			Percent of total billed charges		1132.2	85			Percent of total billed charges		1069.3	85			Percent of total billed charges		1069.3	85			Percent of total billed charges		1069.3	100			Percent of total billed charges		1258	100			Percent of total billed charges		1258	100			Percent of total billed charges		1258	33.3			Percent of total billed charges		418.914	33.3			Percent of total billed charges		418.914	100			Percent of total billed charges		1258	418.914	1132.2	
biomet 28mm hiwall liner  sz 28 105908	278	RC	Outpatient			1258	817.7		90			Percent of total billed charges		1132.2	40			Percent of total billed charges		503.2	80			Percent of total billed charges		1006.4	90			Percent of total billed charges		1132.2	85			Percent of total billed charges		1069.3	85			Percent of total billed charges		1069.3	85			Percent of total billed charges		1069.3	100			Percent of total billed charges		1258	100			Percent of total billed charges		1258	100			Percent of total billed charges		1258	33.3			Percent of total billed charges		418.914	33.3			Percent of total billed charges		418.914	100			Percent of total billed charges		1258	418.914	1132.2	
biomet 28mm hiwall liner sz 22 105902	278	RC	Outpatient			1258	817.7		90			Percent of total billed charges		1132.2	40			Percent of total billed charges		503.2	80			Percent of total billed charges		1006.4	90			Percent of total billed charges		1132.2	85			Percent of total billed charges		1069.3	85			Percent of total billed charges		1069.3	85			Percent of total billed charges		1069.3	100			Percent of total billed charges		1258	100			Percent of total billed charges		1258	100			Percent of total billed charges		1258	33.3			Percent of total billed charges		418.914	33.3			Percent of total billed charges		418.914	100			Percent of total billed charges		1258	418.914	1132.2	
biomet hip liner 28mm sz2 105901	278	RC	Outpatient			1258	817.7		90			Percent of total billed charges		1132.2	40			Percent of total billed charges		503.2	80			Percent of total billed charges		1006.4	90			Percent of total billed charges		1132.2	85			Percent of total billed charges		1069.3	85			Percent of total billed charges		1069.3	85			Percent of total billed charges		1069.3	100			Percent of total billed charges		1258	100			Percent of total billed charges		1258	100			Percent of total billed charges		1258	33.3			Percent of total billed charges		418.914	33.3			Percent of total billed charges		418.914	100			Percent of total billed charges		1258	418.914	1132.2	
arthrex acl reamer 992-1233	278	RC	Outpatient			1258	817.7		90			Percent of total billed charges		1132.2	40			Percent of total billed charges		503.2	80			Percent of total billed charges		1006.4	90			Percent of total billed charges		1132.2	85			Percent of total billed charges		1069.3	85			Percent of total billed charges		1069.3	85			Percent of total billed charges		1069.3	100			Percent of total billed charges		1258	100			Percent of total billed charges		1258	100			Percent of total billed charges		1258	33.3			Percent of total billed charges		418.914	33.3			Percent of total billed charges		418.914	100			Percent of total billed charges		1258	418.914	1132.2	
biomet  28mm 10 degree cupliner sz23 105913	278	RC	Outpatient			1258	817.7		90			Percent of total billed charges		1132.2	40			Percent of total billed charges		503.2	80			Percent of total billed charges		1006.4	90			Percent of total billed charges		1132.2	85			Percent of total billed charges		1069.3	85			Percent of total billed charges		1069.3	85			Percent of total billed charges		1069.3	100			Percent of total billed charges		1258	100			Percent of total billed charges		1258	100			Percent of total billed charges		1258	33.3			Percent of total billed charges		418.914	33.3			Percent of total billed charges		418.914	100			Percent of total billed charges		1258	418.914	1132.2	
biomet 28mm 10 degree  acet. liner 11-105914	278	RC	Outpatient			1258	817.7		90			Percent of total billed charges		1132.2	40			Percent of total billed charges		503.2	80			Percent of total billed charges		1006.4	90			Percent of total billed charges		1132.2	85			Percent of total billed charges		1069.3	85			Percent of total billed charges		1069.3	85			Percent of total billed charges		1069.3	100			Percent of total billed charges		1258	100			Percent of total billed charges		1258	100			Percent of total billed charges		1258	33.3			Percent of total billed charges		418.914	33.3			Percent of total billed charges		418.914	100			Percent of total billed charges		1258	418.914	1132.2	
biomet 28mm 10 degree cupliner sz22 105912	278	RC	Outpatient			1258	817.7		90			Percent of total billed charges		1132.2	40			Percent of total billed charges		503.2	80			Percent of total billed charges		1006.4	90			Percent of total billed charges		1132.2	85			Percent of total billed charges		1069.3	85			Percent of total billed charges		1069.3	85			Percent of total billed charges		1069.3	100			Percent of total billed charges		1258	100			Percent of total billed charges		1258	100			Percent of total billed charges		1258	33.3			Percent of total billed charges		418.914	33.3			Percent of total billed charges		418.914	100			Percent of total billed charges		1258	418.914	1132.2	
biomet 28mm 10 degree liner sz28 105918	278	RC	Outpatient			1258	817.7		90			Percent of total billed charges		1132.2	40			Percent of total billed charges		503.2	80			Percent of total billed charges		1006.4	90			Percent of total billed charges		1132.2	85			Percent of total billed charges		1069.3	85			Percent of total billed charges		1069.3	85			Percent of total billed charges		1069.3	100			Percent of total billed charges		1258	100			Percent of total billed charges		1258	100			Percent of total billed charges		1258	33.3			Percent of total billed charges		418.914	33.3			Percent of total billed charges		418.914	100			Percent of total billed charges		1258	418.914	1132.2	
biomet 28mm hiwall liner  sz 27 105907	278	RC	Outpatient			1258	817.7		90			Percent of total billed charges		1132.2	40			Percent of total billed charges		503.2	80			Percent of total billed charges		1006.4	90			Percent of total billed charges		1132.2	85			Percent of total billed charges		1069.3	85			Percent of total billed charges		1069.3	85			Percent of total billed charges		1069.3	100			Percent of total billed charges		1258	100			Percent of total billed charges		1258	100			Percent of total billed charges		1258	33.3			Percent of total billed charges		418.914	33.3			Percent of total billed charges		418.914	100			Percent of total billed charges		1258	418.914	1132.2	
liner 105905 biomet 25	278	RC	Outpatient			1258	817.7		90			Percent of total billed charges		1132.2	40			Percent of total billed charges		503.2	80			Percent of total billed charges		1006.4	90			Percent of total billed charges		1132.2	85			Percent of total billed charges		1069.3	85			Percent of total billed charges		1069.3	85			Percent of total billed charges		1069.3	100			Percent of total billed charges		1258	100			Percent of total billed charges		1258	100			Percent of total billed charges		1258	33.3			Percent of total billed charges		418.914	33.3			Percent of total billed charges		418.914	100			Percent of total billed charges		1258	418.914	1132.2	
liner ring lock acetabular sz 26 105906 biomet	278	RC	Outpatient			1258	817.7		90			Percent of total billed charges		1132.2	40			Percent of total billed charges		503.2	80			Percent of total billed charges		1006.4	90			Percent of total billed charges		1132.2	85			Percent of total billed charges		1069.3	85			Percent of total billed charges		1069.3	85			Percent of total billed charges		1069.3	100			Percent of total billed charges		1258	100			Percent of total billed charges		1258	100			Percent of total billed charges		1258	33.3			Percent of total billed charges		418.914	33.3			Percent of total billed charges		418.914	100			Percent of total billed charges		1258	418.914	1132.2	
liner ring lock acetabular  sz 23 105903 biomet	278	RC	Outpatient			1258	817.7		90			Percent of total billed charges		1132.2	40			Percent of total billed charges		503.2	80			Percent of total billed charges		1006.4	90			Percent of total billed charges		1132.2	85			Percent of total billed charges		1069.3	85			Percent of total billed charges		1069.3	85			Percent of total billed charges		1069.3	100			Percent of total billed charges		1258	100			Percent of total billed charges		1258	100			Percent of total billed charges		1258	33.3			Percent of total billed charges		418.914	33.3			Percent of total billed charges		418.914	100			Percent of total billed charges		1258	418.914	1132.2	
liner ring lock acetabular  sz 24 105904 biomet	278	RC	Outpatient			1258	817.7		90			Percent of total billed charges		1132.2	40			Percent of total billed charges		503.2	80			Percent of total billed charges		1006.4	90			Percent of total billed charges		1132.2	85			Percent of total billed charges		1069.3	85			Percent of total billed charges		1069.3	85			Percent of total billed charges		1069.3	100			Percent of total billed charges		1258	100			Percent of total billed charges		1258	100			Percent of total billed charges		1258	33.3			Percent of total billed charges		418.914	33.3			Percent of total billed charges		418.914	100			Percent of total billed charges		1258	418.914	1132.2	
rich supracondylor hip12h	278	RC	Outpatient			1258	817.7		90			Percent of total billed charges		1132.2	40			Percent of total billed charges		503.2	80			Percent of total billed charges		1006.4	90			Percent of total billed charges		1132.2	85			Percent of total billed charges		1069.3	85			Percent of total billed charges		1069.3	85			Percent of total billed charges		1069.3	100			Percent of total billed charges		1258	100			Percent of total billed charges		1258	100			Percent of total billed charges		1258	33.3			Percent of total billed charges		418.914	33.3			Percent of total billed charges		418.914	100			Percent of total billed charges		1258	418.914	1132.2	
l-buttress plate 4 hole angled lt 240.44	278	RC	Outpatient			1260	819		90			Percent of total billed charges		1134	40			Percent of total billed charges		504	80			Percent of total billed charges		1008	90			Percent of total billed charges		1134	85			Percent of total billed charges		1071	85			Percent of total billed charges		1071	85			Percent of total billed charges		1071	100			Percent of total billed charges		1260	100			Percent of total billed charges		1260	100			Percent of total billed charges		1260	33.3			Percent of total billed charges		419.58	33.3			Percent of total billed charges		419.58	100			Percent of total billed charges		1260	419.58	1134	
l-buttress plate 4 hole angled rt 240.54	278	RC	Outpatient			1260	819		90			Percent of total billed charges		1134	40			Percent of total billed charges		504	80			Percent of total billed charges		1008	90			Percent of total billed charges		1134	85			Percent of total billed charges		1071	85			Percent of total billed charges		1071	85			Percent of total billed charges		1071	100			Percent of total billed charges		1260	100			Percent of total billed charges		1260	100			Percent of total billed charges		1260	33.3			Percent of total billed charges		419.58	33.3			Percent of total billed charges		419.58	100			Percent of total billed charges		1260	419.58	1134	
lg fr pl l-buttress	278	RC	Outpatient			1260	819		90			Percent of total billed charges		1134	40			Percent of total billed charges		504	80			Percent of total billed charges		1008	90			Percent of total billed charges		1134	85			Percent of total billed charges		1071	85			Percent of total billed charges		1071	85			Percent of total billed charges		1071	100			Percent of total billed charges		1260	100			Percent of total billed charges		1260	100			Percent of total billed charges		1260	33.3			Percent of total billed charges		419.58	33.3			Percent of total billed charges		419.58	100			Percent of total billed charges		1260	419.58	1134	
s/n lg frag  plate 4 hole   7113-0904	278	RC	Outpatient			1260	819		90			Percent of total billed charges		1134	40			Percent of total billed charges		504	80			Percent of total billed charges		1008	90			Percent of total billed charges		1134	85			Percent of total billed charges		1071	85			Percent of total billed charges		1071	85			Percent of total billed charges		1071	100			Percent of total billed charges		1260	100			Percent of total billed charges		1260	100			Percent of total billed charges		1260	33.3			Percent of total billed charges		419.58	33.3			Percent of total billed charges		419.58	100			Percent of total billed charges		1260	419.58	1134	
s/n lg frag  plate 4 hole   7113-0804	278	RC	Outpatient			1260	819		90			Percent of total billed charges		1134	40			Percent of total billed charges		504	80			Percent of total billed charges		1008	90			Percent of total billed charges		1134	85			Percent of total billed charges		1071	85			Percent of total billed charges		1071	85			Percent of total billed charges		1071	100			Percent of total billed charges		1260	100			Percent of total billed charges		1260	100			Percent of total billed charges		1260	33.3			Percent of total billed charges		419.58	33.3			Percent of total billed charges		419.58	100			Percent of total billed charges		1260	419.58	1134	
s/n 1/3 tub pl 6-7 hl	278	RC	Outpatient			1262	820.3		90			Percent of total billed charges		1135.8	40			Percent of total billed charges		504.8	80			Percent of total billed charges		1009.6	90			Percent of total billed charges		1135.8	85			Percent of total billed charges		1072.7	85			Percent of total billed charges		1072.7	85			Percent of total billed charges		1072.7	100			Percent of total billed charges		1262	100			Percent of total billed charges		1262	100			Percent of total billed charges		1262	33.3			Percent of total billed charges		420.246	33.3			Percent of total billed charges		420.246	100			Percent of total billed charges		1262	420.246	1135.8	
tubular 1/3 plt 6 hl 71809436 s\n	278	RC	Outpatient			1262	820.3		90			Percent of total billed charges		1135.8	40			Percent of total billed charges		504.8	80			Percent of total billed charges		1009.6	90			Percent of total billed charges		1135.8	85			Percent of total billed charges		1072.7	85			Percent of total billed charges		1072.7	85			Percent of total billed charges		1072.7	100			Percent of total billed charges		1262	100			Percent of total billed charges		1262	100			Percent of total billed charges		1262	33.3			Percent of total billed charges		420.246	33.3			Percent of total billed charges		420.246	100			Percent of total billed charges		1262	420.246	1135.8	
tubular 1/3 plt 7 hl 71809437 s\n	278	RC	Outpatient			1262	820.3		90			Percent of total billed charges		1135.8	40			Percent of total billed charges		504.8	80			Percent of total billed charges		1009.6	90			Percent of total billed charges		1135.8	85			Percent of total billed charges		1072.7	85			Percent of total billed charges		1072.7	85			Percent of total billed charges		1072.7	100			Percent of total billed charges		1262	100			Percent of total billed charges		1262	100			Percent of total billed charges		1262	33.3			Percent of total billed charges		420.246	33.3			Percent of total billed charges		420.246	100			Percent of total billed charges		1262	420.246	1135.8	
tubular 1/3 plt 6 hl 71829436 s\n	278	RC	Outpatient			1262	820.3		90			Percent of total billed charges		1135.8	40			Percent of total billed charges		504.8	80			Percent of total billed charges		1009.6	90			Percent of total billed charges		1135.8	85			Percent of total billed charges		1072.7	85			Percent of total billed charges		1072.7	85			Percent of total billed charges		1072.7	100			Percent of total billed charges		1262	100			Percent of total billed charges		1262	100			Percent of total billed charges		1262	33.3			Percent of total billed charges		420.246	33.3			Percent of total billed charges		420.246	100			Percent of total billed charges		1262	420.246	1135.8	
tubular 1/3 plt 7 hl 71829437 s\n	278	RC	Outpatient			1262	820.3		90			Percent of total billed charges		1135.8	40			Percent of total billed charges		504.8	80			Percent of total billed charges		1009.6	90			Percent of total billed charges		1135.8	85			Percent of total billed charges		1072.7	85			Percent of total billed charges		1072.7	85			Percent of total billed charges		1072.7	100			Percent of total billed charges		1262	100			Percent of total billed charges		1262	100			Percent of total billed charges		1262	33.3			Percent of total billed charges		420.246	33.3			Percent of total billed charges		420.246	100			Percent of total billed charges		1262	420.246	1135.8	
endo bronch	750	RC	Outpatient			1263	820.95		90			Percent of total billed charges		1136.7	40			Percent of total billed charges		505.2	80			Percent of total billed charges		1010.4	90			Percent of total billed charges		1136.7	85			Percent of total billed charges		1073.55	85			Percent of total billed charges		1073.55	85			Percent of total billed charges		1073.55	100			Percent of total billed charges		1263	100			Percent of total billed charges		1263	100			Percent of total billed charges		1263	33.3			Percent of total billed charges		420.579	33.3			Percent of total billed charges		420.579	100			Percent of total billed charges		1263	420.579	1136.7	
endo ercp	750	RC	Outpatient			1263	820.95		90			Percent of total billed charges		1136.7	40			Percent of total billed charges		505.2	80			Percent of total billed charges		1010.4	90			Percent of total billed charges		1136.7	85			Percent of total billed charges		1073.55	85			Percent of total billed charges		1073.55	85			Percent of total billed charges		1073.55	100			Percent of total billed charges		1263	100			Percent of total billed charges		1263	100			Percent of total billed charges		1263	33.3			Percent of total billed charges		420.579	33.3			Percent of total billed charges		420.579	100			Percent of total billed charges		1263	420.579	1136.7	
endo flex w/ decompression tube	750	RC	Outpatient			1263	820.95		90			Percent of total billed charges		1136.7	40			Percent of total billed charges		505.2	80			Percent of total billed charges		1010.4	90			Percent of total billed charges		1136.7	85			Percent of total billed charges		1073.55	85			Percent of total billed charges		1073.55	85			Percent of total billed charges		1073.55	100			Percent of total billed charges		1263	100			Percent of total billed charges		1263	100			Percent of total billed charges		1263	33.3			Percent of total billed charges		420.579	33.3			Percent of total billed charges		420.579	100			Percent of total billed charges		1263	420.579	1136.7	
parietex parastomal mesh15cm/50mm pcopm15h50 covidien	278	RC	Outpatient			1263	820.95		90			Percent of total billed charges		1136.7	40			Percent of total billed charges		505.2	80			Percent of total billed charges		1010.4	90			Percent of total billed charges		1136.7	85			Percent of total billed charges		1073.55	85			Percent of total billed charges		1073.55	85			Percent of total billed charges		1073.55	100			Percent of total billed charges		1263	100			Percent of total billed charges		1263	100			Percent of total billed charges		1263	33.3			Percent of total billed charges		420.579	33.3			Percent of total billed charges		420.579	100			Percent of total billed charges		1263	420.579	1136.7	
s/n 3.5 recon plate 9 hole 7114-0109	278	RC	Outpatient			1263	820.95		90			Percent of total billed charges		1136.7	40			Percent of total billed charges		505.2	80			Percent of total billed charges		1010.4	90			Percent of total billed charges		1136.7	85			Percent of total billed charges		1073.55	85			Percent of total billed charges		1073.55	85			Percent of total billed charges		1073.55	100			Percent of total billed charges		1263	100			Percent of total billed charges		1263	100			Percent of total billed charges		1263	33.3			Percent of total billed charges		420.579	33.3			Percent of total billed charges		420.579	100			Percent of total billed charges		1263	420.579	1136.7	
sm fr pl recon 9-10 hl	278	RC	Outpatient			1263	820.95		90			Percent of total billed charges		1136.7	40			Percent of total billed charges		505.2	80			Percent of total billed charges		1010.4	90			Percent of total billed charges		1136.7	85			Percent of total billed charges		1073.55	85			Percent of total billed charges		1073.55	85			Percent of total billed charges		1073.55	100			Percent of total billed charges		1263	100			Percent of total billed charges		1263	100			Percent of total billed charges		1263	33.3			Percent of total billed charges		420.579	33.3			Percent of total billed charges		420.579	100			Percent of total billed charges		1263	420.579	1136.7	
s/n 3.5 recon  plate 10 hole 7114-0110	278	RC	Outpatient			1263	820.95		90			Percent of total billed charges		1136.7	40			Percent of total billed charges		505.2	80			Percent of total billed charges		1010.4	90			Percent of total billed charges		1136.7	85			Percent of total billed charges		1073.55	85			Percent of total billed charges		1073.55	85			Percent of total billed charges		1073.55	100			Percent of total billed charges		1263	100			Percent of total billed charges		1263	100			Percent of total billed charges		1263	33.3			Percent of total billed charges		420.579	33.3			Percent of total billed charges		420.579	100			Percent of total billed charges		1263	420.579	1136.7	
28292 cor hlx vlgs rsc prx phlx bs	983	RC	Outpatient			1267	823.55		90			Percent of total billed charges		1140.3	40			Percent of total billed charges		506.8	80			Percent of total billed charges		1013.6	90			Percent of total billed charges		1140.3	85			Percent of total billed charges		1076.95	85			Percent of total billed charges		1076.95	85			Percent of total billed charges		1076.95	100			Percent of total billed charges		1267	100			Percent of total billed charges		1267	100			Percent of total billed charges		1267	33.3			Percent of total billed charges		421.911	33.3			Percent of total billed charges		421.911	100			Percent of total billed charges		1267	421.911	1140.3	
locking tubular plt 3.5mm 4 hl 71829004 s\n	278	RC	Outpatient			1268	824.2		90			Percent of total billed charges		1141.2	40			Percent of total billed charges		507.2	80			Percent of total billed charges		1014.4	90			Percent of total billed charges		1141.2	85			Percent of total billed charges		1077.8	85			Percent of total billed charges		1077.8	85			Percent of total billed charges		1077.8	100			Percent of total billed charges		1268	100			Percent of total billed charges		1268	100			Percent of total billed charges		1268	33.3			Percent of total billed charges		422.244	33.3			Percent of total billed charges		422.244	100			Percent of total billed charges		1268	422.244	1141.2	
locking tubular plt 3.5mm 6 hl 71829006 s\n	278	RC	Outpatient			1268	824.2		90			Percent of total billed charges		1141.2	40			Percent of total billed charges		507.2	80			Percent of total billed charges		1014.4	90			Percent of total billed charges		1141.2	85			Percent of total billed charges		1077.8	85			Percent of total billed charges		1077.8	85			Percent of total billed charges		1077.8	100			Percent of total billed charges		1268	100			Percent of total billed charges		1268	100			Percent of total billed charges		1268	33.3			Percent of total billed charges		422.244	33.3			Percent of total billed charges		422.244	100			Percent of total billed charges		1268	422.244	1141.2	
s/n 3.5 lck tub pl 4-6hl	278	RC	Outpatient			1268	824.2		90			Percent of total billed charges		1141.2	40			Percent of total billed charges		507.2	80			Percent of total billed charges		1014.4	90			Percent of total billed charges		1141.2	85			Percent of total billed charges		1077.8	85			Percent of total billed charges		1077.8	85			Percent of total billed charges		1077.8	100			Percent of total billed charges		1268	100			Percent of total billed charges		1268	100			Percent of total billed charges		1268	33.3			Percent of total billed charges		422.244	33.3			Percent of total billed charges		422.244	100			Percent of total billed charges		1268	422.244	1141.2	
tubular plt 3.5mm 6hl 71809006 s\n	278	RC	Outpatient			1268	824.2		90			Percent of total billed charges		1141.2	40			Percent of total billed charges		507.2	80			Percent of total billed charges		1014.4	90			Percent of total billed charges		1141.2	85			Percent of total billed charges		1077.8	85			Percent of total billed charges		1077.8	85			Percent of total billed charges		1077.8	100			Percent of total billed charges		1268	100			Percent of total billed charges		1268	100			Percent of total billed charges		1268	33.3			Percent of total billed charges		422.244	33.3			Percent of total billed charges		422.244	100			Percent of total billed charges		1268	422.244	1141.2	
tubular plt 3.5mm 4hl 71809004 s\n	278	RC	Outpatient			1268	824.2		90			Percent of total billed charges		1141.2	40			Percent of total billed charges		507.2	80			Percent of total billed charges		1014.4	90			Percent of total billed charges		1141.2	85			Percent of total billed charges		1077.8	85			Percent of total billed charges		1077.8	85			Percent of total billed charges		1077.8	100			Percent of total billed charges		1268	100			Percent of total billed charges		1268	100			Percent of total billed charges		1268	33.3			Percent of total billed charges		422.244	33.3			Percent of total billed charges		422.244	100			Percent of total billed charges		1268	422.244	1141.2	
mrh knee bumper insert 6481-2-133 stryker	278	RC	Outpatient			1269	824.85		90			Percent of total billed charges		1142.1	40			Percent of total billed charges		507.6	80			Percent of total billed charges		1015.2	90			Percent of total billed charges		1142.1	85			Percent of total billed charges		1078.65	85			Percent of total billed charges		1078.65	85			Percent of total billed charges		1078.65	100			Percent of total billed charges		1269	100			Percent of total billed charges		1269	100			Percent of total billed charges		1269	33.3			Percent of total billed charges		422.577	33.3			Percent of total billed charges		422.577	100			Percent of total billed charges		1269	422.577	1142.1	
mrh knee bumper insert 6481-2-130 stryker	278	RC	Outpatient			1269	824.85		90			Percent of total billed charges		1142.1	40			Percent of total billed charges		507.6	80			Percent of total billed charges		1015.2	90			Percent of total billed charges		1142.1	85			Percent of total billed charges		1078.65	85			Percent of total billed charges		1078.65	85			Percent of total billed charges		1078.65	100			Percent of total billed charges		1269	100			Percent of total billed charges		1269	100			Percent of total billed charges		1269	33.3			Percent of total billed charges		422.577	33.3			Percent of total billed charges		422.577	100			Percent of total billed charges		1269	422.577	1142.1	
stryker bumper inst	278	RC	Outpatient			1269	824.85		90			Percent of total billed charges		1142.1	40			Percent of total billed charges		507.6	80			Percent of total billed charges		1015.2	90			Percent of total billed charges		1142.1	85			Percent of total billed charges		1078.65	85			Percent of total billed charges		1078.65	85			Percent of total billed charges		1078.65	100			Percent of total billed charges		1269	100			Percent of total billed charges		1269	100			Percent of total billed charges		1269	33.3			Percent of total billed charges		422.577	33.3			Percent of total billed charges		422.577	100			Percent of total billed charges		1269	422.577	1142.1	
l&d scheduled c/s	720	RC	Outpatient			1271	826.15		90			Percent of total billed charges		1143.9	40			Percent of total billed charges		508.4	80			Percent of total billed charges		1016.8	90			Percent of total billed charges		1143.9	85			Percent of total billed charges		1080.35	85			Percent of total billed charges		1080.35	85			Percent of total billed charges		1080.35	100			Percent of total billed charges		1271	100			Percent of total billed charges		1271	100			Percent of total billed charges		1271	33.3			Percent of total billed charges		423.243	33.3			Percent of total billed charges		423.243	100			Percent of total billed charges		1271	423.243	1143.9	
vaginal delivery level 1 charge	720	RC	Outpatient			1271	826.15		90			Percent of total billed charges		1143.9	40			Percent of total billed charges		508.4	80			Percent of total billed charges		1016.8	90			Percent of total billed charges		1143.9	85			Percent of total billed charges		1080.35	85			Percent of total billed charges		1080.35	85			Percent of total billed charges		1080.35	100			Percent of total billed charges		1271	100			Percent of total billed charges		1271	100			Percent of total billed charges		1271	33.3			Percent of total billed charges		423.243	33.3			Percent of total billed charges		423.243	100			Percent of total billed charges		1271	423.243	1143.9	
lithoclast probe 1.0 microvasive 840-210	270	RC	Outpatient			1273	827.45		90			Percent of total billed charges		1145.7	40			Percent of total billed charges		509.2	80			Percent of total billed charges		1018.4	90			Percent of total billed charges		1145.7	85			Percent of total billed charges		1082.05	85			Percent of total billed charges		1082.05	85			Percent of total billed charges		1082.05	100			Percent of total billed charges		1273	100			Percent of total billed charges		1273	100			Percent of total billed charges		1273	33.3			Percent of total billed charges		423.909	33.3			Percent of total billed charges		423.909	100			Percent of total billed charges		1273	423.909	1145.7	
lithoclast probe 2.0 microvasive 840-220	270	RC	Outpatient			1273	827.45		90			Percent of total billed charges		1145.7	40			Percent of total billed charges		509.2	80			Percent of total billed charges		1018.4	90			Percent of total billed charges		1145.7	85			Percent of total billed charges		1082.05	85			Percent of total billed charges		1082.05	85			Percent of total billed charges		1082.05	100			Percent of total billed charges		1273	100			Percent of total billed charges		1273	100			Percent of total billed charges		1273	33.3			Percent of total billed charges		423.909	33.3			Percent of total billed charges		423.909	100			Percent of total billed charges		1273	423.909	1145.7	
lithotrobe 2mm 840-220	270	RC	Outpatient			1273	827.45		90			Percent of total billed charges		1145.7	40			Percent of total billed charges		509.2	80			Percent of total billed charges		1018.4	90			Percent of total billed charges		1145.7	85			Percent of total billed charges		1082.05	85			Percent of total billed charges		1082.05	85			Percent of total billed charges		1082.05	100			Percent of total billed charges		1273	100			Percent of total billed charges		1273	100			Percent of total billed charges		1273	33.3			Percent of total billed charges		423.909	33.3			Percent of total billed charges		423.909	100			Percent of total billed charges		1273	423.909	1145.7	
lithotrobe 1mm 840-210	270	RC	Outpatient			1273	827.45		90			Percent of total billed charges		1145.7	40			Percent of total billed charges		509.2	80			Percent of total billed charges		1018.4	90			Percent of total billed charges		1145.7	85			Percent of total billed charges		1082.05	85			Percent of total billed charges		1082.05	85			Percent of total billed charges		1082.05	100			Percent of total billed charges		1273	100			Percent of total billed charges		1273	100			Percent of total billed charges		1273	33.3			Percent of total billed charges		423.909	33.3			Percent of total billed charges		423.909	100			Percent of total billed charges		1273	423.909	1145.7	
probe lithoclast 0.8 x 555mm rigid 840-208 bosva	270	RC	Outpatient			1273	827.45		90			Percent of total billed charges		1145.7	40			Percent of total billed charges		509.2	80			Percent of total billed charges		1018.4	90			Percent of total billed charges		1145.7	85			Percent of total billed charges		1082.05	85			Percent of total billed charges		1082.05	85			Percent of total billed charges		1082.05	100			Percent of total billed charges		1273	100			Percent of total billed charges		1273	100			Percent of total billed charges		1273	33.3			Percent of total billed charges		423.909	33.3			Percent of total billed charges		423.909	100			Percent of total billed charges		1273	423.909	1145.7	
swiss lithocast probe	270	RC	Outpatient			1273	827.45		90			Percent of total billed charges		1145.7	40			Percent of total billed charges		509.2	80			Percent of total billed charges		1018.4	90			Percent of total billed charges		1145.7	85			Percent of total billed charges		1082.05	85			Percent of total billed charges		1082.05	85			Percent of total billed charges		1082.05	100			Percent of total billed charges		1273	100			Percent of total billed charges		1273	100			Percent of total billed charges		1273	33.3			Percent of total billed charges		423.909	33.3			Percent of total billed charges		423.909	100			Percent of total billed charges		1273	423.909	1145.7	
comp plt 3.5mm 4 hl 71809104 s\n	278	RC	Outpatient			1274	828.1		90			Percent of total billed charges		1146.6	40			Percent of total billed charges		509.6	80			Percent of total billed charges		1019.2	90			Percent of total billed charges		1146.6	85			Percent of total billed charges		1082.9	85			Percent of total billed charges		1082.9	85			Percent of total billed charges		1082.9	100			Percent of total billed charges		1274	100			Percent of total billed charges		1274	100			Percent of total billed charges		1274	33.3			Percent of total billed charges		424.242	33.3			Percent of total billed charges		424.242	100			Percent of total billed charges		1274	424.242	1146.6	
comp plt 3.5mm 4 hl 71809704 s\n	278	RC	Outpatient			1274	828.1		90			Percent of total billed charges		1146.6	40			Percent of total billed charges		509.6	80			Percent of total billed charges		1019.2	90			Percent of total billed charges		1146.6	85			Percent of total billed charges		1082.9	85			Percent of total billed charges		1082.9	85			Percent of total billed charges		1082.9	100			Percent of total billed charges		1274	100			Percent of total billed charges		1274	100			Percent of total billed charges		1274	33.3			Percent of total billed charges		424.242	33.3			Percent of total billed charges		424.242	100			Percent of total billed charges		1274	424.242	1146.6	
comp plt 3.5mm 4 hl 71829704 s\n	278	RC	Outpatient			1274	828.1		90			Percent of total billed charges		1146.6	40			Percent of total billed charges		509.6	80			Percent of total billed charges		1019.2	90			Percent of total billed charges		1146.6	85			Percent of total billed charges		1082.9	85			Percent of total billed charges		1082.9	85			Percent of total billed charges		1082.9	100			Percent of total billed charges		1274	100			Percent of total billed charges		1274	100			Percent of total billed charges		1274	33.3			Percent of total billed charges		424.242	33.3			Percent of total billed charges		424.242	100			Percent of total billed charges		1274	424.242	1146.6	
t-plate 8 hole w/pf hole 7113-1608 s/n	278	RC	Outpatient			1274	828.1		90			Percent of total billed charges		1146.6	40			Percent of total billed charges		509.6	80			Percent of total billed charges		1019.2	90			Percent of total billed charges		1146.6	85			Percent of total billed charges		1082.9	85			Percent of total billed charges		1082.9	85			Percent of total billed charges		1082.9	100			Percent of total billed charges		1274	100			Percent of total billed charges		1274	100			Percent of total billed charges		1274	33.3			Percent of total billed charges		424.242	33.3			Percent of total billed charges		424.242	100			Percent of total billed charges		1274	424.242	1146.6	
s/n 3.5 lck comp pl 4hl	278	RC	Outpatient			1274	828.1		90			Percent of total billed charges		1146.6	40			Percent of total billed charges		509.6	80			Percent of total billed charges		1019.2	90			Percent of total billed charges		1146.6	85			Percent of total billed charges		1082.9	85			Percent of total billed charges		1082.9	85			Percent of total billed charges		1082.9	100			Percent of total billed charges		1274	100			Percent of total billed charges		1274	100			Percent of total billed charges		1274	33.3			Percent of total billed charges		424.242	33.3			Percent of total billed charges		424.242	100			Percent of total billed charges		1274	424.242	1146.6	
s/n t-plate 8 hole	278	RC	Outpatient			1274	828.1		90			Percent of total billed charges		1146.6	40			Percent of total billed charges		509.6	80			Percent of total billed charges		1019.2	90			Percent of total billed charges		1146.6	85			Percent of total billed charges		1082.9	85			Percent of total billed charges		1082.9	85			Percent of total billed charges		1082.9	100			Percent of total billed charges		1274	100			Percent of total billed charges		1274	100			Percent of total billed charges		1274	33.3			Percent of total billed charges		424.242	33.3			Percent of total billed charges		424.242	100			Percent of total billed charges		1274	424.242	1146.6	
martin dissector	270	RC	Outpatient			1275	828.75		90			Percent of total billed charges		1147.5	40			Percent of total billed charges		510	80			Percent of total billed charges		1020	90			Percent of total billed charges		1147.5	85			Percent of total billed charges		1083.75	85			Percent of total billed charges		1083.75	85			Percent of total billed charges		1083.75	100			Percent of total billed charges		1275	100			Percent of total billed charges		1275	100			Percent of total billed charges		1275	33.3			Percent of total billed charges		424.575	33.3			Percent of total billed charges		424.575	100			Percent of total billed charges		1275	424.575	1147.5	
martin dissector 30390 vascular architects	270	RC	Outpatient			1275	828.75		90			Percent of total billed charges		1147.5	40			Percent of total billed charges		510	80			Percent of total billed charges		1020	90			Percent of total billed charges		1147.5	85			Percent of total billed charges		1083.75	85			Percent of total billed charges		1083.75	85			Percent of total billed charges		1083.75	100			Percent of total billed charges		1275	100			Percent of total billed charges		1275	100			Percent of total billed charges		1275	33.3			Percent of total billed charges		424.575	33.3			Percent of total billed charges		424.575	100			Percent of total billed charges		1275	424.575	1147.5	
variax dist lat fib pl6hl	278	RC	Outpatient			1276	829.4		90			Percent of total billed charges		1148.4	40			Percent of total billed charges		510.4	80			Percent of total billed charges		1020.8	90			Percent of total billed charges		1148.4	85			Percent of total billed charges		1084.6	85			Percent of total billed charges		1084.6	85			Percent of total billed charges		1084.6	100			Percent of total billed charges		1276	100			Percent of total billed charges		1276	100			Percent of total billed charges		1276	33.3			Percent of total billed charges		424.908	33.3			Percent of total billed charges		424.908	100			Percent of total billed charges		1276	424.908	1148.4	
variax dist lat fib plate 6hl 40-20906 stryker	278	RC	Outpatient			1276	829.4		90			Percent of total billed charges		1148.4	40			Percent of total billed charges		510.4	80			Percent of total billed charges		1020.8	90			Percent of total billed charges		1148.4	85			Percent of total billed charges		1084.6	85			Percent of total billed charges		1084.6	85			Percent of total billed charges		1084.6	100			Percent of total billed charges		1276	100			Percent of total billed charges		1276	100			Percent of total billed charges		1276	33.3			Percent of total billed charges		424.908	33.3			Percent of total billed charges		424.908	100			Percent of total billed charges		1276	424.908	1148.4	
s/n  werewolf fastseal 6.0 ref 72290042	272	RC	Outpatient			1278.75	831.19		90			Percent of total billed charges		1150.875	40			Percent of total billed charges		511.5	80			Percent of total billed charges		1023	90			Percent of total billed charges		1150.875	85			Percent of total billed charges		1086.9375	85			Percent of total billed charges		1086.9375	85			Percent of total billed charges		1086.9375	100			Percent of total billed charges		1278.75	100			Percent of total billed charges		1278.75	100			Percent of total billed charges		1278.75	33.3			Percent of total billed charges		425.8238	33.3			Percent of total billed charges		425.8238	100			Percent of total billed charges		1278.75	425.8238	1150.875	
breast imp silicon 270cc	278	RC	Outpatient			1279	831.35		90			Percent of total billed charges		1151.1	40			Percent of total billed charges		511.6	80			Percent of total billed charges		1023.2	90			Percent of total billed charges		1151.1	85			Percent of total billed charges		1087.15	85			Percent of total billed charges		1087.15	85			Percent of total billed charges		1087.15	100			Percent of total billed charges		1279	100			Percent of total billed charges		1279	100			Percent of total billed charges		1279	33.3			Percent of total billed charges		425.907	33.3			Percent of total billed charges		425.907	100			Percent of total billed charges		1279	425.907	1151.1	
natrelle silicone filled  implant 270cc 10-270 allergan	278	RC	Outpatient			1279	831.35		90			Percent of total billed charges		1151.1	40			Percent of total billed charges		511.6	80			Percent of total billed charges		1023.2	90			Percent of total billed charges		1151.1	85			Percent of total billed charges		1087.15	85			Percent of total billed charges		1087.15	85			Percent of total billed charges		1087.15	100			Percent of total billed charges		1279	100			Percent of total billed charges		1279	100			Percent of total billed charges		1279	33.3			Percent of total billed charges		425.907	33.3			Percent of total billed charges		425.907	100			Percent of total billed charges		1279	425.907	1151.1	
prosthesis hip 43 x 203 00-4021-008-43 zimmer	274	RC	Outpatient			1280	832		90			Percent of total billed charges		1152	40			Percent of total billed charges		512	80			Percent of total billed charges		1024	90			Percent of total billed charges		1152	85			Percent of total billed charges		1088	85			Percent of total billed charges		1088	85			Percent of total billed charges		1088	100			Percent of total billed charges		1280	100			Percent of total billed charges		1280	100			Percent of total billed charges		1280	33.3			Percent of total billed charges		426.24	33.3			Percent of total billed charges		426.24	100			Percent of total billed charges		1280	426.24	1152	
imp grafton flex 2.5. x 5.0cm  a42110 osteotech	278	RC	Outpatient			1282	833.3		90			Percent of total billed charges		1153.8	40			Percent of total billed charges		512.8	80			Percent of total billed charges		1025.6	90			Percent of total billed charges		1153.8	85			Percent of total billed charges		1089.7	85			Percent of total billed charges		1089.7	85			Percent of total billed charges		1089.7	100			Percent of total billed charges		1282	100			Percent of total billed charges		1282	100			Percent of total billed charges		1282	33.3			Percent of total billed charges		426.906	33.3			Percent of total billed charges		426.906	100			Percent of total billed charges		1282	426.906	1153.8	
imp grafton flex 2.5. x 5.0cm  p42110 osteotech	278	RC	Outpatient			1282	833.3		90			Percent of total billed charges		1153.8	40			Percent of total billed charges		512.8	80			Percent of total billed charges		1025.6	90			Percent of total billed charges		1153.8	85			Percent of total billed charges		1089.7	85			Percent of total billed charges		1089.7	85			Percent of total billed charges		1089.7	100			Percent of total billed charges		1282	100			Percent of total billed charges		1282	100			Percent of total billed charges		1282	33.3			Percent of total billed charges		426.906	33.3			Percent of total billed charges		426.906	100			Percent of total billed charges		1282	426.906	1153.8	
grafton flex 2.5 x 5	278	RC	Outpatient			1282	833.3		90			Percent of total billed charges		1153.8	40			Percent of total billed charges		512.8	80			Percent of total billed charges		1025.6	90			Percent of total billed charges		1153.8	85			Percent of total billed charges		1089.7	85			Percent of total billed charges		1089.7	85			Percent of total billed charges		1089.7	100			Percent of total billed charges		1282	100			Percent of total billed charges		1282	100			Percent of total billed charges		1282	33.3			Percent of total billed charges		426.906	33.3			Percent of total billed charges		426.906	100			Percent of total billed charges		1282	426.906	1153.8	
peri-loc 3.5 pl-d fib lk pl 6 h 72820906 s/n	278	RC	Outpatient			1282	833.3		90			Percent of total billed charges		1153.8	40			Percent of total billed charges		512.8	80			Percent of total billed charges		1025.6	90			Percent of total billed charges		1153.8	85			Percent of total billed charges		1089.7	85			Percent of total billed charges		1089.7	85			Percent of total billed charges		1089.7	100			Percent of total billed charges		1282	100			Percent of total billed charges		1282	100			Percent of total billed charges		1282	33.3			Percent of total billed charges		426.906	33.3			Percent of total billed charges		426.906	100			Percent of total billed charges		1282	426.906	1153.8	
s/n vlp pl dist fib pl 6h	278	RC	Outpatient			1282	833.3		90			Percent of total billed charges		1153.8	40			Percent of total billed charges		512.8	80			Percent of total billed charges		1025.6	90			Percent of total billed charges		1153.8	85			Percent of total billed charges		1089.7	85			Percent of total billed charges		1089.7	85			Percent of total billed charges		1089.7	100			Percent of total billed charges		1282	100			Percent of total billed charges		1282	100			Percent of total billed charges		1282	33.3			Percent of total billed charges		426.906	33.3			Percent of total billed charges		426.906	100			Percent of total billed charges		1282	426.906	1153.8	
peri-loc 3.5 pl-d fib lk pl 6 h 72820806 s/n	278	RC	Outpatient			1282	833.3		90			Percent of total billed charges		1153.8	40			Percent of total billed charges		512.8	80			Percent of total billed charges		1025.6	90			Percent of total billed charges		1153.8	85			Percent of total billed charges		1089.7	85			Percent of total billed charges		1089.7	85			Percent of total billed charges		1089.7	100			Percent of total billed charges		1282	100			Percent of total billed charges		1282	100			Percent of total billed charges		1282	33.3			Percent of total billed charges		426.906	33.3			Percent of total billed charges		426.906	100			Percent of total billed charges		1282	426.906	1153.8	
s/n 3.5mm compression plate 10 hole 7184-0210	278	RC	Outpatient			1283	833.95		90			Percent of total billed charges		1154.7	40			Percent of total billed charges		513.2	80			Percent of total billed charges		1026.4	90			Percent of total billed charges		1154.7	85			Percent of total billed charges		1090.55	85			Percent of total billed charges		1090.55	85			Percent of total billed charges		1090.55	100			Percent of total billed charges		1283	100			Percent of total billed charges		1283	100			Percent of total billed charges		1283	33.3			Percent of total billed charges		427.239	33.3			Percent of total billed charges		427.239	100			Percent of total billed charges		1283	427.239	1154.7	
s/n 3.5mm compression plate 9 hole 7184-0209	278	RC	Outpatient			1283	833.95		90			Percent of total billed charges		1154.7	40			Percent of total billed charges		513.2	80			Percent of total billed charges		1026.4	90			Percent of total billed charges		1154.7	85			Percent of total billed charges		1090.55	85			Percent of total billed charges		1090.55	85			Percent of total billed charges		1090.55	100			Percent of total billed charges		1283	100			Percent of total billed charges		1283	100			Percent of total billed charges		1283	33.3			Percent of total billed charges		427.239	33.3			Percent of total billed charges		427.239	100			Percent of total billed charges		1283	427.239	1154.7	
s/n 3.5mm x 10 hole plate 7113-0210 s/n	278	RC	Outpatient			1283	833.95		90			Percent of total billed charges		1154.7	40			Percent of total billed charges		513.2	80			Percent of total billed charges		1026.4	90			Percent of total billed charges		1154.7	85			Percent of total billed charges		1090.55	85			Percent of total billed charges		1090.55	85			Percent of total billed charges		1090.55	100			Percent of total billed charges		1283	100			Percent of total billed charges		1283	100			Percent of total billed charges		1283	33.3			Percent of total billed charges		427.239	33.3			Percent of total billed charges		427.239	100			Percent of total billed charges		1283	427.239	1154.7	
s/n 3.5mm x 9 hole plate 7113-0209 s/n	278	RC	Outpatient			1283	833.95		90			Percent of total billed charges		1154.7	40			Percent of total billed charges		513.2	80			Percent of total billed charges		1026.4	90			Percent of total billed charges		1154.7	85			Percent of total billed charges		1090.55	85			Percent of total billed charges		1090.55	85			Percent of total billed charges		1090.55	100			Percent of total billed charges		1283	100			Percent of total billed charges		1283	100			Percent of total billed charges		1283	33.3			Percent of total billed charges		427.239	33.3			Percent of total billed charges		427.239	100			Percent of total billed charges		1283	427.239	1154.7	
sm fr pl comp 9-10 hl	278	RC	Outpatient			1283	833.95		90			Percent of total billed charges		1154.7	40			Percent of total billed charges		513.2	80			Percent of total billed charges		1026.4	90			Percent of total billed charges		1154.7	85			Percent of total billed charges		1090.55	85			Percent of total billed charges		1090.55	85			Percent of total billed charges		1090.55	100			Percent of total billed charges		1283	100			Percent of total billed charges		1283	100			Percent of total billed charges		1283	33.3			Percent of total billed charges		427.239	33.3			Percent of total billed charges		427.239	100			Percent of total billed charges		1283	427.239	1154.7	
jet-x bar-pin/bar clamp	278	RC	Outpatient			1286	835.9		90			Percent of total billed charges		1157.4	40			Percent of total billed charges		514.4	80			Percent of total billed charges		1028.8	90			Percent of total billed charges		1157.4	85			Percent of total billed charges		1093.1	85			Percent of total billed charges		1093.1	85			Percent of total billed charges		1093.1	100			Percent of total billed charges		1286	100			Percent of total billed charges		1286	100			Percent of total billed charges		1286	33.3			Percent of total billed charges		428.238	33.3			Percent of total billed charges		428.238	100			Percent of total billed charges		1286	428.238	1157.4	
congruent elbow plate xlg	278	RC	Outpatient			1288	837.2		90			Percent of total billed charges		1159.2	40			Percent of total billed charges		515.2	80			Percent of total billed charges		1030.4	90			Percent of total billed charges		1159.2	85			Percent of total billed charges		1094.8	85			Percent of total billed charges		1094.8	85			Percent of total billed charges		1094.8	100			Percent of total billed charges		1288	100			Percent of total billed charges		1288	100			Percent of total billed charges		1288	33.3			Percent of total billed charges		428.904	33.3			Percent of total billed charges		428.904	100			Percent of total billed charges		1288	428.904	1159.2	
elbow congruent plate pl-elmml acumed	278	RC	Outpatient			1288	837.2		90			Percent of total billed charges		1159.2	40			Percent of total billed charges		515.2	80			Percent of total billed charges		1030.4	90			Percent of total billed charges		1159.2	85			Percent of total billed charges		1094.8	85			Percent of total billed charges		1094.8	85			Percent of total billed charges		1094.8	100			Percent of total billed charges		1288	100			Percent of total billed charges		1288	100			Percent of total billed charges		1288	33.3			Percent of total billed charges		428.904	33.3			Percent of total billed charges		428.904	100			Percent of total billed charges		1288	428.904	1159.2	
elbow congruent plate  l pl-eloxl acumed	278	RC	Outpatient			1288	837.2		90			Percent of total billed charges		1159.2	40			Percent of total billed charges		515.2	80			Percent of total billed charges		1030.4	90			Percent of total billed charges		1159.2	85			Percent of total billed charges		1094.8	85			Percent of total billed charges		1094.8	85			Percent of total billed charges		1094.8	100			Percent of total billed charges		1288	100			Percent of total billed charges		1288	100			Percent of total billed charges		1288	33.3			Percent of total billed charges		428.904	33.3			Percent of total billed charges		428.904	100			Percent of total billed charges		1288	428.904	1159.2	
elbow congruent plate  pl-eloxr acumed	278	RC	Outpatient			1288	837.2		90			Percent of total billed charges		1159.2	40			Percent of total billed charges		515.2	80			Percent of total billed charges		1030.4	90			Percent of total billed charges		1159.2	85			Percent of total billed charges		1094.8	85			Percent of total billed charges		1094.8	85			Percent of total billed charges		1094.8	100			Percent of total billed charges		1288	100			Percent of total billed charges		1288	100			Percent of total billed charges		1288	33.3			Percent of total billed charges		428.904	33.3			Percent of total billed charges		428.904	100			Percent of total billed charges		1288	428.904	1159.2	
mayo clinic elbow congruent plate extra long lateral epicondyal r pl-ellxr acumed	278	RC	Outpatient			1288	837.2		90			Percent of total billed charges		1159.2	40			Percent of total billed charges		515.2	80			Percent of total billed charges		1030.4	90			Percent of total billed charges		1159.2	85			Percent of total billed charges		1094.8	85			Percent of total billed charges		1094.8	85			Percent of total billed charges		1094.8	100			Percent of total billed charges		1288	100			Percent of total billed charges		1288	100			Percent of total billed charges		1288	33.3			Percent of total billed charges		428.904	33.3			Percent of total billed charges		428.904	100			Percent of total billed charges		1288	428.904	1159.2	
mayo clinic elbow congruent plate extra long lateral epicondyal l pl-ellxl acumed	278	RC	Outpatient			1288	837.2		90			Percent of total billed charges		1159.2	40			Percent of total billed charges		515.2	80			Percent of total billed charges		1030.4	90			Percent of total billed charges		1159.2	85			Percent of total billed charges		1094.8	85			Percent of total billed charges		1094.8	85			Percent of total billed charges		1094.8	100			Percent of total billed charges		1288	100			Percent of total billed charges		1288	100			Percent of total billed charges		1288	33.3			Percent of total billed charges		428.904	33.3			Percent of total billed charges		428.904	100			Percent of total billed charges		1288	428.904	1159.2	
hii rod to rod coupling 8/8mm 4921-1-010 stryker	278	RC	Outpatient			1289	837.85		90			Percent of total billed charges		1160.1	40			Percent of total billed charges		515.6	80			Percent of total billed charges		1031.2	90			Percent of total billed charges		1160.1	85			Percent of total billed charges		1095.65	85			Percent of total billed charges		1095.65	85			Percent of total billed charges		1095.65	100			Percent of total billed charges		1289	100			Percent of total billed charges		1289	100			Percent of total billed charges		1289	33.3			Percent of total billed charges		429.237	33.3			Percent of total billed charges		429.237	100			Percent of total billed charges		1289	429.237	1160.1	
solopath sheath	272	RC	Outpatient			1289	837.85		90			Percent of total billed charges		1160.1	40			Percent of total billed charges		515.6	80			Percent of total billed charges		1031.2	90			Percent of total billed charges		1160.1	85			Percent of total billed charges		1095.65	85			Percent of total billed charges		1095.65	85			Percent of total billed charges		1095.65	100			Percent of total billed charges		1289	100			Percent of total billed charges		1289	100			Percent of total billed charges		1289	33.3			Percent of total billed charges		429.237	33.3			Percent of total billed charges		429.237	100			Percent of total billed charges		1289	429.237	1160.1	
solopath sheath stfi-1425 terumo	272	RC	Outpatient			1289	837.85		90			Percent of total billed charges		1160.1	40			Percent of total billed charges		515.6	80			Percent of total billed charges		1031.2	90			Percent of total billed charges		1160.1	85			Percent of total billed charges		1095.65	85			Percent of total billed charges		1095.65	85			Percent of total billed charges		1095.65	100			Percent of total billed charges		1289	100			Percent of total billed charges		1289	100			Percent of total billed charges		1289	33.3			Percent of total billed charges		429.237	33.3			Percent of total billed charges		429.237	100			Percent of total billed charges		1289	429.237	1160.1	
solopath sheath stfi-1825 terumo	272	RC	Outpatient			1289	837.85		90			Percent of total billed charges		1160.1	40			Percent of total billed charges		515.6	80			Percent of total billed charges		1031.2	90			Percent of total billed charges		1160.1	85			Percent of total billed charges		1095.65	85			Percent of total billed charges		1095.65	85			Percent of total billed charges		1095.65	100			Percent of total billed charges		1289	100			Percent of total billed charges		1289	100			Percent of total billed charges		1289	33.3			Percent of total billed charges		429.237	33.3			Percent of total billed charges		429.237	100			Percent of total billed charges		1289	429.237	1160.1	
stryker rod-rod clamp	278	RC	Outpatient			1289	837.85		90			Percent of total billed charges		1160.1	40			Percent of total billed charges		515.6	80			Percent of total billed charges		1031.2	90			Percent of total billed charges		1160.1	85			Percent of total billed charges		1095.65	85			Percent of total billed charges		1095.65	85			Percent of total billed charges		1095.65	100			Percent of total billed charges		1289	100			Percent of total billed charges		1289	100			Percent of total billed charges		1289	33.3			Percent of total billed charges		429.237	33.3			Percent of total billed charges		429.237	100			Percent of total billed charges		1289	429.237	1160.1	
endo bronch with transbronchial needle biopsy	750	RC	Outpatient			1290	838.5		90			Percent of total billed charges		1161	40			Percent of total billed charges		516	80			Percent of total billed charges		1032	90			Percent of total billed charges		1161	85			Percent of total billed charges		1096.5	85			Percent of total billed charges		1096.5	85			Percent of total billed charges		1096.5	100			Percent of total billed charges		1290	100			Percent of total billed charges		1290	100			Percent of total billed charges		1290	33.3			Percent of total billed charges		429.57	33.3			Percent of total billed charges		429.57	100			Percent of total billed charges		1290	429.57	1161	
richards hfms stem	278	RC	Outpatient			1291	839.15		90			Percent of total billed charges		1161.9	40			Percent of total billed charges		516.4	80			Percent of total billed charges		1032.8	90			Percent of total billed charges		1161.9	85			Percent of total billed charges		1097.35	85			Percent of total billed charges		1097.35	85			Percent of total billed charges		1097.35	100			Percent of total billed charges		1291	100			Percent of total billed charges		1291	100			Percent of total billed charges		1291	33.3			Percent of total billed charges		429.903	33.3			Percent of total billed charges		429.903	100			Percent of total billed charges		1291	429.903	1161.9	
curvtek cartridge 7mm 906750	270	RC	Outpatient			1298	843.7		90			Percent of total billed charges		1168.2	40			Percent of total billed charges		519.2	80			Percent of total billed charges		1038.4	90			Percent of total billed charges		1168.2	85			Percent of total billed charges		1103.3	85			Percent of total billed charges		1103.3	85			Percent of total billed charges		1103.3	100			Percent of total billed charges		1298	100			Percent of total billed charges		1298	100			Percent of total billed charges		1298	33.3			Percent of total billed charges		432.234	33.3			Percent of total billed charges		432.234	100			Percent of total billed charges		1298	432.234	1168.2	
arthrotek curvtek cart	270	RC	Outpatient			1298	843.7		90			Percent of total billed charges		1168.2	40			Percent of total billed charges		519.2	80			Percent of total billed charges		1038.4	90			Percent of total billed charges		1168.2	85			Percent of total billed charges		1103.3	85			Percent of total billed charges		1103.3	85			Percent of total billed charges		1103.3	100			Percent of total billed charges		1298	100			Percent of total billed charges		1298	100			Percent of total billed charges		1298	33.3			Percent of total billed charges		432.234	33.3			Percent of total billed charges		432.234	100			Percent of total billed charges		1298	432.234	1168.2	
breast imp silicon 375cc	278	RC	Outpatient			1299	844.35		90			Percent of total billed charges		1169.1	40			Percent of total billed charges		519.6	80			Percent of total billed charges		1039.2	90			Percent of total billed charges		1169.1	85			Percent of total billed charges		1104.15	85			Percent of total billed charges		1104.15	85			Percent of total billed charges		1104.15	100			Percent of total billed charges		1299	100			Percent of total billed charges		1299	100			Percent of total billed charges		1299	33.3			Percent of total billed charges		432.567	33.3			Percent of total billed charges		432.567	100			Percent of total billed charges		1299	432.567	1169.1	
arthrex locking straight plate 7  hole ar-8943c-07	278	RC	Outpatient			1299	844.35		90			Percent of total billed charges		1169.1	40			Percent of total billed charges		519.6	80			Percent of total billed charges		1039.2	90			Percent of total billed charges		1169.1	85			Percent of total billed charges		1104.15	85			Percent of total billed charges		1104.15	85			Percent of total billed charges		1104.15	100			Percent of total billed charges		1299	100			Percent of total billed charges		1299	100			Percent of total billed charges		1299	33.3			Percent of total billed charges		432.567	33.3			Percent of total billed charges		432.567	100			Percent of total billed charges		1299	432.567	1169.1	
arthrex pl lck st 7h	278	RC	Outpatient			1299	844.35		90			Percent of total billed charges		1169.1	40			Percent of total billed charges		519.6	80			Percent of total billed charges		1039.2	90			Percent of total billed charges		1169.1	85			Percent of total billed charges		1104.15	85			Percent of total billed charges		1104.15	85			Percent of total billed charges		1104.15	100			Percent of total billed charges		1299	100			Percent of total billed charges		1299	100			Percent of total billed charges		1299	33.3			Percent of total billed charges		432.567	33.3			Percent of total billed charges		432.567	100			Percent of total billed charges		1299	432.567	1169.1	
crx sterile pack	272	RC	Outpatient			1299	844.35		90			Percent of total billed charges		1169.1	40			Percent of total billed charges		519.6	80			Percent of total billed charges		1039.2	90			Percent of total billed charges		1169.1	85			Percent of total billed charges		1104.15	85			Percent of total billed charges		1104.15	85			Percent of total billed charges		1104.15	100			Percent of total billed charges		1299	100			Percent of total billed charges		1299	100			Percent of total billed charges		1299	33.3			Percent of total billed charges		432.567	33.3			Percent of total billed charges		432.567	100			Percent of total billed charges		1299	432.567	1169.1	
natrelle silicone filled  implant 375cc 20-375 allergan	278	RC	Outpatient			1299	844.35		90			Percent of total billed charges		1169.1	40			Percent of total billed charges		519.6	80			Percent of total billed charges		1039.2	90			Percent of total billed charges		1169.1	85			Percent of total billed charges		1104.15	85			Percent of total billed charges		1104.15	85			Percent of total billed charges		1104.15	100			Percent of total billed charges		1299	100			Percent of total billed charges		1299	100			Percent of total billed charges		1299	33.3			Percent of total billed charges		432.567	33.3			Percent of total billed charges		432.567	100			Percent of total billed charges		1299	432.567	1169.1	
sonoma crx sterile pack st0100	272	RC	Outpatient			1299	844.35		90			Percent of total billed charges		1169.1	40			Percent of total billed charges		519.6	80			Percent of total billed charges		1039.2	90			Percent of total billed charges		1169.1	85			Percent of total billed charges		1104.15	85			Percent of total billed charges		1104.15	85			Percent of total billed charges		1104.15	100			Percent of total billed charges		1299	100			Percent of total billed charges		1299	100			Percent of total billed charges		1299	33.3			Percent of total billed charges		432.567	33.3			Percent of total billed charges		432.567	100			Percent of total billed charges		1299	432.567	1169.1	
femoral head 32mm 9026-33-35 zimmer	278	RC	Outpatient			1301	845.65		90			Percent of total billed charges		1170.9	40			Percent of total billed charges		520.4	80			Percent of total billed charges		1040.8	90			Percent of total billed charges		1170.9	85			Percent of total billed charges		1105.85	85			Percent of total billed charges		1105.85	85			Percent of total billed charges		1105.85	100			Percent of total billed charges		1301	100			Percent of total billed charges		1301	100			Percent of total billed charges		1301	33.3			Percent of total billed charges		433.233	33.3			Percent of total billed charges		433.233	100			Percent of total billed charges		1301	433.233	1170.9	
zimmer 32mm fem head	278	RC	Outpatient			1301	845.65		90			Percent of total billed charges		1170.9	40			Percent of total billed charges		520.4	80			Percent of total billed charges		1040.8	90			Percent of total billed charges		1170.9	85			Percent of total billed charges		1105.85	85			Percent of total billed charges		1105.85	85			Percent of total billed charges		1105.85	100			Percent of total billed charges		1301	100			Percent of total billed charges		1301	100			Percent of total billed charges		1301	33.3			Percent of total billed charges		433.233	33.3			Percent of total billed charges		433.233	100			Percent of total billed charges		1301	433.233	1170.9	
acumed med lck elb pl	278	RC	Outpatient			1304	847.6		90			Percent of total billed charges		1173.6	40			Percent of total billed charges		521.6	80			Percent of total billed charges		1043.2	90			Percent of total billed charges		1173.6	85			Percent of total billed charges		1108.4	85			Percent of total billed charges		1108.4	85			Percent of total billed charges		1108.4	100			Percent of total billed charges		1304	100			Percent of total billed charges		1304	100			Percent of total billed charges		1304	33.3			Percent of total billed charges		434.232	33.3			Percent of total billed charges		434.232	100			Percent of total billed charges		1304	434.232	1173.6	
acumed medial elbow locking plate pl-lem7	278	RC	Outpatient			1304	847.6		90			Percent of total billed charges		1173.6	40			Percent of total billed charges		521.6	80			Percent of total billed charges		1043.2	90			Percent of total billed charges		1173.6	85			Percent of total billed charges		1108.4	85			Percent of total billed charges		1108.4	85			Percent of total billed charges		1108.4	100			Percent of total billed charges		1304	100			Percent of total billed charges		1304	100			Percent of total billed charges		1304	33.3			Percent of total billed charges		434.232	33.3			Percent of total billed charges		434.232	100			Percent of total billed charges		1304	434.232	1173.6	
cath iabp 10.5 fr 50cc	270	RC	Outpatient			1304	847.6		90			Percent of total billed charges		1173.6	40			Percent of total billed charges		521.6	80			Percent of total billed charges		1043.2	90			Percent of total billed charges		1173.6	85			Percent of total billed charges		1108.4	85			Percent of total billed charges		1108.4	85			Percent of total billed charges		1108.4	100			Percent of total billed charges		1304	100			Percent of total billed charges		1304	100			Percent of total billed charges		1304	33.3			Percent of total billed charges		434.232	33.3			Percent of total billed charges		434.232	100			Percent of total billed charges		1304	434.232	1173.6	
cath iabp 9.5 fr 34cc	270	RC	Outpatient			1304	847.6		90			Percent of total billed charges		1173.6	40			Percent of total billed charges		521.6	80			Percent of total billed charges		1043.2	90			Percent of total billed charges		1173.6	85			Percent of total billed charges		1108.4	85			Percent of total billed charges		1108.4	85			Percent of total billed charges		1108.4	100			Percent of total billed charges		1304	100			Percent of total billed charges		1304	100			Percent of total billed charges		1304	33.3			Percent of total billed charges		434.232	33.3			Percent of total billed charges		434.232	100			Percent of total billed charges		1304	434.232	1173.6	
bio drg fenest stem	278	RC	Outpatient			1304	847.6		90			Percent of total billed charges		1173.6	40			Percent of total billed charges		521.6	80			Percent of total billed charges		1043.2	90			Percent of total billed charges		1173.6	85			Percent of total billed charges		1108.4	85			Percent of total billed charges		1108.4	85			Percent of total billed charges		1108.4	100			Percent of total billed charges		1304	100			Percent of total billed charges		1304	100			Percent of total billed charges		1304	33.3			Percent of total billed charges		434.232	33.3			Percent of total billed charges		434.232	100			Percent of total billed charges		1304	434.232	1173.6	
cath iabp 9.5 fr 40cc	270	RC	Outpatient			1304	847.6		90			Percent of total billed charges		1173.6	40			Percent of total billed charges		521.6	80			Percent of total billed charges		1043.2	90			Percent of total billed charges		1173.6	85			Percent of total billed charges		1108.4	85			Percent of total billed charges		1108.4	85			Percent of total billed charges		1108.4	100			Percent of total billed charges		1304	100			Percent of total billed charges		1304	100			Percent of total billed charges		1304	33.3			Percent of total billed charges		434.232	33.3			Percent of total billed charges		434.232	100			Percent of total billed charges		1304	434.232	1173.6	
intertan 100mm lag/95mm comp screw 7167-7100 s/n	278	RC	Outpatient			1304	847.6		90			Percent of total billed charges		1173.6	40			Percent of total billed charges		521.6	80			Percent of total billed charges		1043.2	90			Percent of total billed charges		1173.6	85			Percent of total billed charges		1108.4	85			Percent of total billed charges		1108.4	85			Percent of total billed charges		1108.4	100			Percent of total billed charges		1304	100			Percent of total billed charges		1304	100			Percent of total billed charges		1304	33.3			Percent of total billed charges		434.232	33.3			Percent of total billed charges		434.232	100			Percent of total billed charges		1304	434.232	1173.6	
intertan 105mm lag/100mm comp screw 7167-7105 s/n	278	RC	Outpatient			1304	847.6		90			Percent of total billed charges		1173.6	40			Percent of total billed charges		521.6	80			Percent of total billed charges		1043.2	90			Percent of total billed charges		1173.6	85			Percent of total billed charges		1108.4	85			Percent of total billed charges		1108.4	85			Percent of total billed charges		1108.4	100			Percent of total billed charges		1304	100			Percent of total billed charges		1304	100			Percent of total billed charges		1304	33.3			Percent of total billed charges		434.232	33.3			Percent of total billed charges		434.232	100			Percent of total billed charges		1304	434.232	1173.6	
intertan 110mm lag/105mm comp screw 7167-7110 s/n	278	RC	Outpatient			1304	847.6		90			Percent of total billed charges		1173.6	40			Percent of total billed charges		521.6	80			Percent of total billed charges		1043.2	90			Percent of total billed charges		1173.6	85			Percent of total billed charges		1108.4	85			Percent of total billed charges		1108.4	85			Percent of total billed charges		1108.4	100			Percent of total billed charges		1304	100			Percent of total billed charges		1304	100			Percent of total billed charges		1304	33.3			Percent of total billed charges		434.232	33.3			Percent of total billed charges		434.232	100			Percent of total billed charges		1304	434.232	1173.6	
intertan 115mm lag/100mm comp screw 7167-7115 s/n	278	RC	Outpatient			1304	847.6		90			Percent of total billed charges		1173.6	40			Percent of total billed charges		521.6	80			Percent of total billed charges		1043.2	90			Percent of total billed charges		1173.6	85			Percent of total billed charges		1108.4	85			Percent of total billed charges		1108.4	85			Percent of total billed charges		1108.4	100			Percent of total billed charges		1304	100			Percent of total billed charges		1304	100			Percent of total billed charges		1304	33.3			Percent of total billed charges		434.232	33.3			Percent of total billed charges		434.232	100			Percent of total billed charges		1304	434.232	1173.6	
intertan 80mm lag/75mm comp screw 7167-7080 s/n	278	RC	Outpatient			1304	847.6		90			Percent of total billed charges		1173.6	40			Percent of total billed charges		521.6	80			Percent of total billed charges		1043.2	90			Percent of total billed charges		1173.6	85			Percent of total billed charges		1108.4	85			Percent of total billed charges		1108.4	85			Percent of total billed charges		1108.4	100			Percent of total billed charges		1304	100			Percent of total billed charges		1304	100			Percent of total billed charges		1304	33.3			Percent of total billed charges		434.232	33.3			Percent of total billed charges		434.232	100			Percent of total billed charges		1304	434.232	1173.6	
intertan 85mm lag/80mm comp screw 7167-7085 s/n	278	RC	Outpatient			1304	847.6		90			Percent of total billed charges		1173.6	40			Percent of total billed charges		521.6	80			Percent of total billed charges		1043.2	90			Percent of total billed charges		1173.6	85			Percent of total billed charges		1108.4	85			Percent of total billed charges		1108.4	85			Percent of total billed charges		1108.4	100			Percent of total billed charges		1304	100			Percent of total billed charges		1304	100			Percent of total billed charges		1304	33.3			Percent of total billed charges		434.232	33.3			Percent of total billed charges		434.232	100			Percent of total billed charges		1304	434.232	1173.6	
intertan 90mm lag/85mm comp screw 7167-7090 s/n	278	RC	Outpatient			1304	847.6		90			Percent of total billed charges		1173.6	40			Percent of total billed charges		521.6	80			Percent of total billed charges		1043.2	90			Percent of total billed charges		1173.6	85			Percent of total billed charges		1108.4	85			Percent of total billed charges		1108.4	85			Percent of total billed charges		1108.4	100			Percent of total billed charges		1304	100			Percent of total billed charges		1304	100			Percent of total billed charges		1304	33.3			Percent of total billed charges		434.232	33.3			Percent of total billed charges		434.232	100			Percent of total billed charges		1304	434.232	1173.6	
intertan 95mm lag/90mm comp screw 7167-7095 s/n	278	RC	Outpatient			1304	847.6		90			Percent of total billed charges		1173.6	40			Percent of total billed charges		521.6	80			Percent of total billed charges		1043.2	90			Percent of total billed charges		1173.6	85			Percent of total billed charges		1108.4	85			Percent of total billed charges		1108.4	85			Percent of total billed charges		1108.4	100			Percent of total billed charges		1304	100			Percent of total billed charges		1304	100			Percent of total billed charges		1304	33.3			Percent of total billed charges		434.232	33.3			Percent of total billed charges		434.232	100			Percent of total billed charges		1304	434.232	1173.6	
intertan compression screw 30mm 7167-2030 s/n	278	RC	Outpatient			1304	847.6		90			Percent of total billed charges		1173.6	40			Percent of total billed charges		521.6	80			Percent of total billed charges		1043.2	90			Percent of total billed charges		1173.6	85			Percent of total billed charges		1108.4	85			Percent of total billed charges		1108.4	85			Percent of total billed charges		1108.4	100			Percent of total billed charges		1304	100			Percent of total billed charges		1304	100			Percent of total billed charges		1304	33.3			Percent of total billed charges		434.232	33.3			Percent of total billed charges		434.232	100			Percent of total billed charges		1304	434.232	1173.6	
lg fr pl lg t-plt 6hl	278	RC	Outpatient			1304	847.6		90			Percent of total billed charges		1173.6	40			Percent of total billed charges		521.6	80			Percent of total billed charges		1043.2	90			Percent of total billed charges		1173.6	85			Percent of total billed charges		1108.4	85			Percent of total billed charges		1108.4	85			Percent of total billed charges		1108.4	100			Percent of total billed charges		1304	100			Percent of total billed charges		1304	100			Percent of total billed charges		1304	33.3			Percent of total billed charges		434.232	33.3			Percent of total billed charges		434.232	100			Percent of total billed charges		1304	434.232	1173.6	
nim-eclipse system	272	RC	Outpatient			1304	847.6		90			Percent of total billed charges		1173.6	40			Percent of total billed charges		521.6	80			Percent of total billed charges		1043.2	90			Percent of total billed charges		1173.6	85			Percent of total billed charges		1108.4	85			Percent of total billed charges		1108.4	85			Percent of total billed charges		1108.4	100			Percent of total billed charges		1304	100			Percent of total billed charges		1304	100			Percent of total billed charges		1304	33.3			Percent of total billed charges		434.232	33.3			Percent of total billed charges		434.232	100			Percent of total billed charges		1304	434.232	1173.6	
nim-eclipse system 945spk1004 medtronic	272	RC	Outpatient			1304	847.6		90			Percent of total billed charges		1173.6	40			Percent of total billed charges		521.6	80			Percent of total billed charges		1043.2	90			Percent of total billed charges		1173.6	85			Percent of total billed charges		1108.4	85			Percent of total billed charges		1108.4	85			Percent of total billed charges		1108.4	100			Percent of total billed charges		1304	100			Percent of total billed charges		1304	100			Percent of total billed charges		1304	33.3			Percent of total billed charges		434.232	33.3			Percent of total billed charges		434.232	100			Percent of total billed charges		1304	434.232	1173.6	
intertan lag/comp scr	278	RC	Outpatient			1304	847.6		90			Percent of total billed charges		1173.6	40			Percent of total billed charges		521.6	80			Percent of total billed charges		1043.2	90			Percent of total billed charges		1173.6	85			Percent of total billed charges		1108.4	85			Percent of total billed charges		1108.4	85			Percent of total billed charges		1108.4	100			Percent of total billed charges		1304	100			Percent of total billed charges		1304	100			Percent of total billed charges		1304	33.3			Percent of total billed charges		434.232	33.3			Percent of total billed charges		434.232	100			Percent of total billed charges		1304	434.232	1173.6	
s/n lg frag t plate 6 hole 7114-1606	278	RC	Outpatient			1304	847.6		90			Percent of total billed charges		1173.6	40			Percent of total billed charges		521.6	80			Percent of total billed charges		1043.2	90			Percent of total billed charges		1173.6	85			Percent of total billed charges		1108.4	85			Percent of total billed charges		1108.4	85			Percent of total billed charges		1108.4	100			Percent of total billed charges		1304	100			Percent of total billed charges		1304	100			Percent of total billed charges		1304	33.3			Percent of total billed charges		434.232	33.3			Percent of total billed charges		434.232	100			Percent of total billed charges		1304	434.232	1173.6	
s/n small t plate  7113-0404	278	RC	Outpatient			1304	847.6		90			Percent of total billed charges		1173.6	40			Percent of total billed charges		521.6	80			Percent of total billed charges		1043.2	90			Percent of total billed charges		1173.6	85			Percent of total billed charges		1108.4	85			Percent of total billed charges		1108.4	85			Percent of total billed charges		1108.4	100			Percent of total billed charges		1304	100			Percent of total billed charges		1304	100			Percent of total billed charges		1304	33.3			Percent of total billed charges		434.232	33.3			Percent of total billed charges		434.232	100			Percent of total billed charges		1304	434.232	1173.6	
small t-plate 4 hole 71130405 s/n	278	RC	Outpatient			1304	847.6		90			Percent of total billed charges		1173.6	40			Percent of total billed charges		521.6	80			Percent of total billed charges		1043.2	90			Percent of total billed charges		1173.6	85			Percent of total billed charges		1108.4	85			Percent of total billed charges		1108.4	85			Percent of total billed charges		1108.4	100			Percent of total billed charges		1304	100			Percent of total billed charges		1304	100			Percent of total billed charges		1304	33.3			Percent of total billed charges		434.232	33.3			Percent of total billed charges		434.232	100			Percent of total billed charges		1304	434.232	1173.6	
t-plt small 4 hl 71809604 s\n	278	RC	Outpatient			1304	847.6		90			Percent of total billed charges		1173.6	40			Percent of total billed charges		521.6	80			Percent of total billed charges		1043.2	90			Percent of total billed charges		1173.6	85			Percent of total billed charges		1108.4	85			Percent of total billed charges		1108.4	85			Percent of total billed charges		1108.4	100			Percent of total billed charges		1304	100			Percent of total billed charges		1304	100			Percent of total billed charges		1304	33.3			Percent of total billed charges		434.232	33.3			Percent of total billed charges		434.232	100			Percent of total billed charges		1304	434.232	1173.6	
s/n lg frag t plate 4 hole 7114-1604	278	RC	Outpatient			1304	847.6		90			Percent of total billed charges		1173.6	40			Percent of total billed charges		521.6	80			Percent of total billed charges		1043.2	90			Percent of total billed charges		1173.6	85			Percent of total billed charges		1108.4	85			Percent of total billed charges		1108.4	85			Percent of total billed charges		1108.4	100			Percent of total billed charges		1304	100			Percent of total billed charges		1304	100			Percent of total billed charges		1304	33.3			Percent of total billed charges		434.232	33.3			Percent of total billed charges		434.232	100			Percent of total billed charges		1304	434.232	1173.6	
s/n sm t-plate 4 hl	278	RC	Outpatient			1304	847.6		90			Percent of total billed charges		1173.6	40			Percent of total billed charges		521.6	80			Percent of total billed charges		1043.2	90			Percent of total billed charges		1173.6	85			Percent of total billed charges		1108.4	85			Percent of total billed charges		1108.4	85			Percent of total billed charges		1108.4	100			Percent of total billed charges		1304	100			Percent of total billed charges		1304	100			Percent of total billed charges		1304	33.3			Percent of total billed charges		434.232	33.3			Percent of total billed charges		434.232	100			Percent of total billed charges		1304	434.232	1173.6	
t-plt sm 4 hl 71829604 s\n	278	RC	Outpatient			1304	847.6		90			Percent of total billed charges		1173.6	40			Percent of total billed charges		521.6	80			Percent of total billed charges		1043.2	90			Percent of total billed charges		1173.6	85			Percent of total billed charges		1108.4	85			Percent of total billed charges		1108.4	85			Percent of total billed charges		1108.4	100			Percent of total billed charges		1304	100			Percent of total billed charges		1304	100			Percent of total billed charges		1304	33.3			Percent of total billed charges		434.232	33.3			Percent of total billed charges		434.232	100			Percent of total billed charges		1304	434.232	1173.6	
xmcp lag screw	278	RC	Outpatient			1304	847.6		90			Percent of total billed charges		1173.6	40			Percent of total billed charges		521.6	80			Percent of total billed charges		1043.2	90			Percent of total billed charges		1173.6	85			Percent of total billed charges		1108.4	85			Percent of total billed charges		1108.4	85			Percent of total billed charges		1108.4	100			Percent of total billed charges		1304	100			Percent of total billed charges		1304	100			Percent of total billed charges		1304	33.3			Percent of total billed charges		434.232	33.3			Percent of total billed charges		434.232	100			Percent of total billed charges		1304	434.232	1173.6	
xmcp solid small lag screw 4.0 x 24mm 113-40024 extremity med	278	RC	Outpatient			1304	847.6		90			Percent of total billed charges		1173.6	40			Percent of total billed charges		521.6	80			Percent of total billed charges		1043.2	90			Percent of total billed charges		1173.6	85			Percent of total billed charges		1108.4	85			Percent of total billed charges		1108.4	85			Percent of total billed charges		1108.4	100			Percent of total billed charges		1304	100			Percent of total billed charges		1304	100			Percent of total billed charges		1304	33.3			Percent of total billed charges		434.232	33.3			Percent of total billed charges		434.232	100			Percent of total billed charges		1304	434.232	1173.6	
s/n vlp mtp pl	278	RC	Outpatient			1305	848.25		90			Percent of total billed charges		1174.5	40			Percent of total billed charges		522	80			Percent of total billed charges		1044	90			Percent of total billed charges		1174.5	85			Percent of total billed charges		1109.25	85			Percent of total billed charges		1109.25	85			Percent of total billed charges		1109.25	100			Percent of total billed charges		1305	100			Percent of total billed charges		1305	100			Percent of total billed charges		1305	33.3			Percent of total billed charges		434.565	33.3			Percent of total billed charges		434.565	100			Percent of total billed charges		1305	434.565	1174.5	
vlp 2.7 mtp plate prim lt 72824015s s/n	278	RC	Outpatient			1305	848.25		90			Percent of total billed charges		1174.5	40			Percent of total billed charges		522	80			Percent of total billed charges		1044	90			Percent of total billed charges		1174.5	85			Percent of total billed charges		1109.25	85			Percent of total billed charges		1109.25	85			Percent of total billed charges		1109.25	100			Percent of total billed charges		1305	100			Percent of total billed charges		1305	100			Percent of total billed charges		1305	33.3			Percent of total billed charges		434.565	33.3			Percent of total billed charges		434.565	100			Percent of total billed charges		1305	434.565	1174.5	
click'x 3-d head	278	RC	Outpatient			1309	850.85		90			Percent of total billed charges		1178.1	40			Percent of total billed charges		523.6	80			Percent of total billed charges		1047.2	90			Percent of total billed charges		1178.1	85			Percent of total billed charges		1112.65	85			Percent of total billed charges		1112.65	85			Percent of total billed charges		1112.65	100			Percent of total billed charges		1309	100			Percent of total billed charges		1309	100			Percent of total billed charges		1309	33.3			Percent of total billed charges		435.897	33.3			Percent of total billed charges		435.897	100			Percent of total billed charges		1309	435.897	1178.1	
ti 3-d head 498.571 synthes	278	RC	Outpatient			1309	850.85		90			Percent of total billed charges		1178.1	40			Percent of total billed charges		523.6	80			Percent of total billed charges		1047.2	90			Percent of total billed charges		1178.1	85			Percent of total billed charges		1112.65	85			Percent of total billed charges		1112.65	85			Percent of total billed charges		1112.65	100			Percent of total billed charges		1309	100			Percent of total billed charges		1309	100			Percent of total billed charges		1309	33.3			Percent of total billed charges		435.897	33.3			Percent of total billed charges		435.897	100			Percent of total billed charges		1309	435.897	1178.1	
acumed locking olecranon plate pl-leo11	278	RC	Outpatient			1310	851.5		90			Percent of total billed charges		1179	40			Percent of total billed charges		524	80			Percent of total billed charges		1048	90			Percent of total billed charges		1179	85			Percent of total billed charges		1113.5	85			Percent of total billed charges		1113.5	85			Percent of total billed charges		1113.5	100			Percent of total billed charges		1310	100			Percent of total billed charges		1310	100			Percent of total billed charges		1310	33.3			Percent of total billed charges		436.23	33.3			Percent of total billed charges		436.23	100			Percent of total billed charges		1310	436.23	1179	
acumed lck olecranon pl	278	RC	Outpatient			1310	851.5		90			Percent of total billed charges		1179	40			Percent of total billed charges		524	80			Percent of total billed charges		1048	90			Percent of total billed charges		1179	85			Percent of total billed charges		1113.5	85			Percent of total billed charges		1113.5	85			Percent of total billed charges		1113.5	100			Percent of total billed charges		1310	100			Percent of total billed charges		1310	100			Percent of total billed charges		1310	33.3			Percent of total billed charges		436.23	33.3			Percent of total billed charges		436.23	100			Percent of total billed charges		1310	436.23	1179	
endo egd with gastric lavage	750	RC	Outpatient			1310	851.5		90			Percent of total billed charges		1179	40			Percent of total billed charges		524	80			Percent of total billed charges		1048	90			Percent of total billed charges		1179	85			Percent of total billed charges		1113.5	85			Percent of total billed charges		1113.5	85			Percent of total billed charges		1113.5	100			Percent of total billed charges		1310	100			Percent of total billed charges		1310	100			Percent of total billed charges		1310	33.3			Percent of total billed charges		436.23	33.3			Percent of total billed charges		436.23	100			Percent of total billed charges		1310	436.23	1179	
simplex g w/ tobramycin bone cement 6197-9-001 stryker	278	RC	Outpatient			1310	851.5		90			Percent of total billed charges		1179	40			Percent of total billed charges		524	80			Percent of total billed charges		1048	90			Percent of total billed charges		1179	85			Percent of total billed charges		1113.5	85			Percent of total billed charges		1113.5	85			Percent of total billed charges		1113.5	100			Percent of total billed charges		1310	100			Percent of total billed charges		1310	100			Percent of total billed charges		1310	33.3			Percent of total billed charges		436.23	33.3			Percent of total billed charges		436.23	100			Percent of total billed charges		1310	436.23	1179	
simplex g wi tob	278	RC	Outpatient			1310	851.5		90			Percent of total billed charges		1179	40			Percent of total billed charges		524	80			Percent of total billed charges		1048	90			Percent of total billed charges		1179	85			Percent of total billed charges		1113.5	85			Percent of total billed charges		1113.5	85			Percent of total billed charges		1113.5	100			Percent of total billed charges		1310	100			Percent of total billed charges		1310	100			Percent of total billed charges		1310	33.3			Percent of total billed charges		436.23	33.3			Percent of total billed charges		436.23	100			Percent of total billed charges		1310	436.23	1179	
syn titan plate orbtl fl	278	RC	Outpatient			1311	852.15		90			Percent of total billed charges		1179.9	40			Percent of total billed charges		524.4	80			Percent of total billed charges		1048.8	90			Percent of total billed charges		1179.9	85			Percent of total billed charges		1114.35	85			Percent of total billed charges		1114.35	85			Percent of total billed charges		1114.35	100			Percent of total billed charges		1311	100			Percent of total billed charges		1311	100			Percent of total billed charges		1311	33.3			Percent of total billed charges		436.563	33.3			Percent of total billed charges		436.563	100			Percent of total billed charges		1311	436.563	1179.9	
universal orbital floor plate synthes 446.40	278	RC	Outpatient			1311	852.15		90			Percent of total billed charges		1179.9	40			Percent of total billed charges		524.4	80			Percent of total billed charges		1048.8	90			Percent of total billed charges		1179.9	85			Percent of total billed charges		1114.35	85			Percent of total billed charges		1114.35	85			Percent of total billed charges		1114.35	100			Percent of total billed charges		1311	100			Percent of total billed charges		1311	100			Percent of total billed charges		1311	33.3			Percent of total billed charges		436.563	33.3			Percent of total billed charges		436.563	100			Percent of total billed charges		1311	436.563	1179.9	
zzscrmc teg wire	621	RC	Outpatient			1315	854.75		90			Percent of total billed charges		1183.5	40			Percent of total billed charges		526	80			Percent of total billed charges		1052	90			Percent of total billed charges		1183.5	85			Percent of total billed charges		1117.75	85			Percent of total billed charges		1117.75	85			Percent of total billed charges		1117.75	100			Percent of total billed charges		1315	100			Percent of total billed charges		1315	100			Percent of total billed charges		1315	33.3			Percent of total billed charges		437.895	33.3			Percent of total billed charges		437.895	100			Percent of total billed charges		1315	437.895	1183.5	
dbx putty 5cc	278	RC	Outpatient			1316	855.4		90			Percent of total billed charges		1184.4	40			Percent of total billed charges		526.4	80			Percent of total billed charges		1052.8	90			Percent of total billed charges		1184.4	85			Percent of total billed charges		1118.6	85			Percent of total billed charges		1118.6	85			Percent of total billed charges		1118.6	100			Percent of total billed charges		1316	100			Percent of total billed charges		1316	100			Percent of total billed charges		1316	33.3			Percent of total billed charges		438.228	33.3			Percent of total billed charges		438.228	100			Percent of total billed charges		1316	438.228	1184.4	
putty dbx 5cc 038050	278	RC	Outpatient			1316	855.4		90			Percent of total billed charges		1184.4	40			Percent of total billed charges		526.4	80			Percent of total billed charges		1052.8	90			Percent of total billed charges		1184.4	85			Percent of total billed charges		1118.6	85			Percent of total billed charges		1118.6	85			Percent of total billed charges		1118.6	100			Percent of total billed charges		1316	100			Percent of total billed charges		1316	100			Percent of total billed charges		1316	33.3			Percent of total billed charges		438.228	33.3			Percent of total billed charges		438.228	100			Percent of total billed charges		1316	438.228	1184.4	
scrmc snare gooseneck retrvl device	621	RC	Outpatient			1320	858		90			Percent of total billed charges		1188	40			Percent of total billed charges		528	80			Percent of total billed charges		1056	90			Percent of total billed charges		1188	85			Percent of total billed charges		1122	85			Percent of total billed charges		1122	85			Percent of total billed charges		1122	100			Percent of total billed charges		1320	100			Percent of total billed charges		1320	100			Percent of total billed charges		1320	33.3			Percent of total billed charges		439.56	33.3			Percent of total billed charges		439.56	100			Percent of total billed charges		1320	439.56	1188	
stratus nimbus 100mm electrode ref nim-100-10bb	272	RC	Outpatient			1320	858		90			Percent of total billed charges		1188	40			Percent of total billed charges		528	80			Percent of total billed charges		1056	90			Percent of total billed charges		1188	85			Percent of total billed charges		1122	85			Percent of total billed charges		1122	85			Percent of total billed charges		1122	100			Percent of total billed charges		1320	100			Percent of total billed charges		1320	100			Percent of total billed charges		1320	33.3			Percent of total billed charges		439.56	33.3			Percent of total billed charges		439.56	100			Percent of total billed charges		1320	439.56	1188	
endo gi injection/egd or colon	750	RC	Outpatient			1325	861.25		90			Percent of total billed charges		1192.5	40			Percent of total billed charges		530	80			Percent of total billed charges		1060	90			Percent of total billed charges		1192.5	85			Percent of total billed charges		1126.25	85			Percent of total billed charges		1126.25	85			Percent of total billed charges		1126.25	100			Percent of total billed charges		1325	100			Percent of total billed charges		1325	100			Percent of total billed charges		1325	33.3			Percent of total billed charges		441.225	33.3			Percent of total billed charges		441.225	100			Percent of total billed charges		1325	441.225	1192.5	
endo egd with gi injection	750	RC	Outpatient			1325	861.25		90			Percent of total billed charges		1192.5	40			Percent of total billed charges		530	80			Percent of total billed charges		1060	90			Percent of total billed charges		1192.5	85			Percent of total billed charges		1126.25	85			Percent of total billed charges		1126.25	85			Percent of total billed charges		1126.25	100			Percent of total billed charges		1325	100			Percent of total billed charges		1325	100			Percent of total billed charges		1325	33.3			Percent of total billed charges		441.225	33.3			Percent of total billed charges		441.225	100			Percent of total billed charges		1325	441.225	1192.5	
r3 3 hole acet shell 52mm 71335552 s/n	278	RC	Outpatient			1331	865.15		90			Percent of total billed charges		1197.9	40			Percent of total billed charges		532.4	80			Percent of total billed charges		1064.8	90			Percent of total billed charges		1197.9	85			Percent of total billed charges		1131.35	85			Percent of total billed charges		1131.35	85			Percent of total billed charges		1131.35	100			Percent of total billed charges		1331	100			Percent of total billed charges		1331	100			Percent of total billed charges		1331	33.3			Percent of total billed charges		443.223	33.3			Percent of total billed charges		443.223	100			Percent of total billed charges		1331	443.223	1197.9	
r3 3 hole acet shell 58mm 71335558 s/n	278	RC	Outpatient			1331	865.15		90			Percent of total billed charges		1197.9	40			Percent of total billed charges		532.4	80			Percent of total billed charges		1064.8	90			Percent of total billed charges		1197.9	85			Percent of total billed charges		1131.35	85			Percent of total billed charges		1131.35	85			Percent of total billed charges		1131.35	100			Percent of total billed charges		1331	100			Percent of total billed charges		1331	100			Percent of total billed charges		1331	33.3			Percent of total billed charges		443.223	33.3			Percent of total billed charges		443.223	100			Percent of total billed charges		1331	443.223	1197.9	
r3 3 hole acet shell 60mm 71335560 s/n	278	RC	Outpatient			1331	865.15		90			Percent of total billed charges		1197.9	40			Percent of total billed charges		532.4	80			Percent of total billed charges		1064.8	90			Percent of total billed charges		1197.9	85			Percent of total billed charges		1131.35	85			Percent of total billed charges		1131.35	85			Percent of total billed charges		1131.35	100			Percent of total billed charges		1331	100			Percent of total billed charges		1331	100			Percent of total billed charges		1331	33.3			Percent of total billed charges		443.223	33.3			Percent of total billed charges		443.223	100			Percent of total billed charges		1331	443.223	1197.9	
r3 3 hole acet shell 64mm 71335564 s/n	278	RC	Outpatient			1331	865.15		90			Percent of total billed charges		1197.9	40			Percent of total billed charges		532.4	80			Percent of total billed charges		1064.8	90			Percent of total billed charges		1197.9	85			Percent of total billed charges		1131.35	85			Percent of total billed charges		1131.35	85			Percent of total billed charges		1131.35	100			Percent of total billed charges		1331	100			Percent of total billed charges		1331	100			Percent of total billed charges		1331	33.3			Percent of total billed charges		443.223	33.3			Percent of total billed charges		443.223	100			Percent of total billed charges		1331	443.223	1197.9	
s/n r3 3 hole acet. shell	278	RC	Outpatient			1331	865.15		90			Percent of total billed charges		1197.9	40			Percent of total billed charges		532.4	80			Percent of total billed charges		1064.8	90			Percent of total billed charges		1197.9	85			Percent of total billed charges		1131.35	85			Percent of total billed charges		1131.35	85			Percent of total billed charges		1131.35	100			Percent of total billed charges		1331	100			Percent of total billed charges		1331	100			Percent of total billed charges		1331	33.3			Percent of total billed charges		443.223	33.3			Percent of total billed charges		443.223	100			Percent of total billed charges		1331	443.223	1197.9	
r3 3 hole acet shell 50mm 71335550 s/n	278	RC	Outpatient			1331	865.15		90			Percent of total billed charges		1197.9	40			Percent of total billed charges		532.4	80			Percent of total billed charges		1064.8	90			Percent of total billed charges		1197.9	85			Percent of total billed charges		1131.35	85			Percent of total billed charges		1131.35	85			Percent of total billed charges		1131.35	100			Percent of total billed charges		1331	100			Percent of total billed charges		1331	100			Percent of total billed charges		1331	33.3			Percent of total billed charges		443.223	33.3			Percent of total billed charges		443.223	100			Percent of total billed charges		1331	443.223	1197.9	
r3 3 hole acet shell 56mm 71335556 s/n	278	RC	Outpatient			1331	865.15		90			Percent of total billed charges		1197.9	40			Percent of total billed charges		532.4	80			Percent of total billed charges		1064.8	90			Percent of total billed charges		1197.9	85			Percent of total billed charges		1131.35	85			Percent of total billed charges		1131.35	85			Percent of total billed charges		1131.35	100			Percent of total billed charges		1331	100			Percent of total billed charges		1331	100			Percent of total billed charges		1331	33.3			Percent of total billed charges		443.223	33.3			Percent of total billed charges		443.223	100			Percent of total billed charges		1331	443.223	1197.9	
r3 3 hole acet shell 66mm 71335566 s/n	278	RC	Outpatient			1331	865.15		90			Percent of total billed charges		1197.9	40			Percent of total billed charges		532.4	80			Percent of total billed charges		1064.8	90			Percent of total billed charges		1197.9	85			Percent of total billed charges		1131.35	85			Percent of total billed charges		1131.35	85			Percent of total billed charges		1131.35	100			Percent of total billed charges		1331	100			Percent of total billed charges		1331	100			Percent of total billed charges		1331	33.3			Percent of total billed charges		443.223	33.3			Percent of total billed charges		443.223	100			Percent of total billed charges		1331	443.223	1197.9	
depuy spinal screw	278	RC	Outpatient			1333	866.45		90			Percent of total billed charges		1199.7	40			Percent of total billed charges		533.2	80			Percent of total billed charges		1066.4	90			Percent of total billed charges		1199.7	85			Percent of total billed charges		1133.05	85			Percent of total billed charges		1133.05	85			Percent of total billed charges		1133.05	100			Percent of total billed charges		1333	100			Percent of total billed charges		1333	100			Percent of total billed charges		1333	33.3			Percent of total billed charges		443.889	33.3			Percent of total billed charges		443.889	100			Percent of total billed charges		1333	443.889	1199.7	
spinal screw 25mm 1728-03-025 depuy	278	RC	Outpatient			1333	866.45		90			Percent of total billed charges		1199.7	40			Percent of total billed charges		533.2	80			Percent of total billed charges		1066.4	90			Percent of total billed charges		1199.7	85			Percent of total billed charges		1133.05	85			Percent of total billed charges		1133.05	85			Percent of total billed charges		1133.05	100			Percent of total billed charges		1333	100			Percent of total billed charges		1333	100			Percent of total billed charges		1333	33.3			Percent of total billed charges		443.889	33.3			Percent of total billed charges		443.889	100			Percent of total billed charges		1333	443.889	1199.7	
s/n v-d-r lk pl 3h	278	RC	Outpatient			1334	867.1		90			Percent of total billed charges		1200.6	40			Percent of total billed charges		533.6	80			Percent of total billed charges		1067.2	90			Percent of total billed charges		1200.6	85			Percent of total billed charges		1133.9	85			Percent of total billed charges		1133.9	85			Percent of total billed charges		1133.9	100			Percent of total billed charges		1334	100			Percent of total billed charges		1334	100			Percent of total billed charges		1334	33.3			Percent of total billed charges		444.222	33.3			Percent of total billed charges		444.222	100			Percent of total billed charges		1334	444.222	1200.6	
v-d-r locking plate wde hd 3h l 71823118 s/n	278	RC	Outpatient			1334	867.1		90			Percent of total billed charges		1200.6	40			Percent of total billed charges		533.6	80			Percent of total billed charges		1067.2	90			Percent of total billed charges		1200.6	85			Percent of total billed charges		1133.9	85			Percent of total billed charges		1133.9	85			Percent of total billed charges		1133.9	100			Percent of total billed charges		1334	100			Percent of total billed charges		1334	100			Percent of total billed charges		1334	33.3			Percent of total billed charges		444.222	33.3			Percent of total billed charges		444.222	100			Percent of total billed charges		1334	444.222	1200.6	
v-d-r locking plate std hd 3h l 71823110 s/n	278	RC	Outpatient			1334	867.1		90			Percent of total billed charges		1200.6	40			Percent of total billed charges		533.6	80			Percent of total billed charges		1067.2	90			Percent of total billed charges		1200.6	85			Percent of total billed charges		1133.9	85			Percent of total billed charges		1133.9	85			Percent of total billed charges		1133.9	100			Percent of total billed charges		1334	100			Percent of total billed charges		1334	100			Percent of total billed charges		1334	33.3			Percent of total billed charges		444.222	33.3			Percent of total billed charges		444.222	100			Percent of total billed charges		1334	444.222	1200.6	
v-d-r locking plate std hd 3h r 71823114 s/n	278	RC	Outpatient			1334	867.1		90			Percent of total billed charges		1200.6	40			Percent of total billed charges		533.6	80			Percent of total billed charges		1067.2	90			Percent of total billed charges		1200.6	85			Percent of total billed charges		1133.9	85			Percent of total billed charges		1133.9	85			Percent of total billed charges		1133.9	100			Percent of total billed charges		1334	100			Percent of total billed charges		1334	100			Percent of total billed charges		1334	33.3			Percent of total billed charges		444.222	33.3			Percent of total billed charges		444.222	100			Percent of total billed charges		1334	444.222	1200.6	
v-d-r locking plate wde hd 3h r 71823122 s/n	278	RC	Outpatient			1334	867.1		90			Percent of total billed charges		1200.6	40			Percent of total billed charges		533.6	80			Percent of total billed charges		1067.2	90			Percent of total billed charges		1200.6	85			Percent of total billed charges		1133.9	85			Percent of total billed charges		1133.9	85			Percent of total billed charges		1133.9	100			Percent of total billed charges		1334	100			Percent of total billed charges		1334	100			Percent of total billed charges		1334	33.3			Percent of total billed charges		444.222	33.3			Percent of total billed charges		444.222	100			Percent of total billed charges		1334	444.222	1200.6	
cath lab elafix 44cm lead p2 744	270	RC	Outpatient			1337	869.05		90			Percent of total billed charges		1203.3	40			Percent of total billed charges		534.8	80			Percent of total billed charges		1069.6	90			Percent of total billed charges		1203.3	85			Percent of total billed charges		1136.45	85			Percent of total billed charges		1136.45	85			Percent of total billed charges		1136.45	100			Percent of total billed charges		1337	100			Percent of total billed charges		1337	100			Percent of total billed charges		1337	33.3			Percent of total billed charges		445.221	33.3			Percent of total billed charges		445.221	100			Percent of total billed charges		1337	445.221	1203.3	
cath lab elepass 52cm lead 1752	270	RC	Outpatient			1337	869.05		90			Percent of total billed charges		1203.3	40			Percent of total billed charges		534.8	80			Percent of total billed charges		1069.6	90			Percent of total billed charges		1203.3	85			Percent of total billed charges		1136.45	85			Percent of total billed charges		1136.45	85			Percent of total billed charges		1136.45	100			Percent of total billed charges		1337	100			Percent of total billed charges		1337	100			Percent of total billed charges		1337	33.3			Percent of total billed charges		445.221	33.3			Percent of total billed charges		445.221	100			Percent of total billed charges		1337	445.221	1203.3	
elafix 44cm lead p2744	270	RC	Outpatient			1337	869.05		90			Percent of total billed charges		1203.3	40			Percent of total billed charges		534.8	80			Percent of total billed charges		1069.6	90			Percent of total billed charges		1203.3	85			Percent of total billed charges		1136.45	85			Percent of total billed charges		1136.45	85			Percent of total billed charges		1136.45	100			Percent of total billed charges		1337	100			Percent of total billed charges		1337	100			Percent of total billed charges		1337	33.3			Percent of total billed charges		445.221	33.3			Percent of total billed charges		445.221	100			Percent of total billed charges		1337	445.221	1203.3	
elapass 52cm lead p752	270	RC	Outpatient			1337	869.05		90			Percent of total billed charges		1203.3	40			Percent of total billed charges		534.8	80			Percent of total billed charges		1069.6	90			Percent of total billed charges		1203.3	85			Percent of total billed charges		1136.45	85			Percent of total billed charges		1136.45	85			Percent of total billed charges		1136.45	100			Percent of total billed charges		1337	100			Percent of total billed charges		1337	100			Percent of total billed charges		1337	33.3			Percent of total billed charges		445.221	33.3			Percent of total billed charges		445.221	100			Percent of total billed charges		1337	445.221	1203.3	
breast imp silicon 280cc	278	RC	Outpatient			1338	869.7		90			Percent of total billed charges		1204.2	40			Percent of total billed charges		535.2	80			Percent of total billed charges		1070.4	90			Percent of total billed charges		1204.2	85			Percent of total billed charges		1137.3	85			Percent of total billed charges		1137.3	85			Percent of total billed charges		1137.3	100			Percent of total billed charges		1338	100			Percent of total billed charges		1338	100			Percent of total billed charges		1338	33.3			Percent of total billed charges		445.554	33.3			Percent of total billed charges		445.554	100			Percent of total billed charges		1338	445.554	1204.2	
breast imp silicon 265cc	278	RC	Outpatient			1338	869.7		90			Percent of total billed charges		1204.2	40			Percent of total billed charges		535.2	80			Percent of total billed charges		1070.4	90			Percent of total billed charges		1204.2	85			Percent of total billed charges		1137.3	85			Percent of total billed charges		1137.3	85			Percent of total billed charges		1137.3	100			Percent of total billed charges		1338	100			Percent of total billed charges		1338	100			Percent of total billed charges		1338	33.3			Percent of total billed charges		445.554	33.3			Percent of total billed charges		445.554	100			Percent of total billed charges		1338	445.554	1204.2	
natrelle silicone filled  implant 265cc 15-265 allergan	278	RC	Outpatient			1338	869.7		90			Percent of total billed charges		1204.2	40			Percent of total billed charges		535.2	80			Percent of total billed charges		1070.4	90			Percent of total billed charges		1204.2	85			Percent of total billed charges		1137.3	85			Percent of total billed charges		1137.3	85			Percent of total billed charges		1137.3	100			Percent of total billed charges		1338	100			Percent of total billed charges		1338	100			Percent of total billed charges		1338	33.3			Percent of total billed charges		445.554	33.3			Percent of total billed charges		445.554	100			Percent of total billed charges		1338	445.554	1204.2	
natrelle silicone filled  implant 280cc 20-280 allergan	278	RC	Outpatient			1338	869.7		90			Percent of total billed charges		1204.2	40			Percent of total billed charges		535.2	80			Percent of total billed charges		1070.4	90			Percent of total billed charges		1204.2	85			Percent of total billed charges		1137.3	85			Percent of total billed charges		1137.3	85			Percent of total billed charges		1137.3	100			Percent of total billed charges		1338	100			Percent of total billed charges		1338	100			Percent of total billed charges		1338	33.3			Percent of total billed charges		445.554	33.3			Percent of total billed charges		445.554	100			Percent of total billed charges		1338	445.554	1204.2	
breat imp silicon 260cc	278	RC	Outpatient			1339	870.35		90			Percent of total billed charges		1205.1	40			Percent of total billed charges		535.6	80			Percent of total billed charges		1071.2	90			Percent of total billed charges		1205.1	85			Percent of total billed charges		1138.15	85			Percent of total billed charges		1138.15	85			Percent of total billed charges		1138.15	100			Percent of total billed charges		1339	100			Percent of total billed charges		1339	100			Percent of total billed charges		1339	33.3			Percent of total billed charges		445.887	33.3			Percent of total billed charges		445.887	100			Percent of total billed charges		1339	445.887	1205.1	
breast imp silicon 339cc	278	RC	Outpatient			1339	870.35		90			Percent of total billed charges		1205.1	40			Percent of total billed charges		535.6	80			Percent of total billed charges		1071.2	90			Percent of total billed charges		1205.1	85			Percent of total billed charges		1138.15	85			Percent of total billed charges		1138.15	85			Percent of total billed charges		1138.15	100			Percent of total billed charges		1339	100			Percent of total billed charges		1339	100			Percent of total billed charges		1339	33.3			Percent of total billed charges		445.887	33.3			Percent of total billed charges		445.887	100			Percent of total billed charges		1339	445.887	1205.1	
natrelle silicone filled  implant 260cc 20-260 allergan	278	RC	Outpatient			1339	870.35		90			Percent of total billed charges		1205.1	40			Percent of total billed charges		535.6	80			Percent of total billed charges		1071.2	90			Percent of total billed charges		1205.1	85			Percent of total billed charges		1138.15	85			Percent of total billed charges		1138.15	85			Percent of total billed charges		1138.15	100			Percent of total billed charges		1339	100			Percent of total billed charges		1339	100			Percent of total billed charges		1339	33.3			Percent of total billed charges		445.887	33.3			Percent of total billed charges		445.887	100			Percent of total billed charges		1339	445.887	1205.1	
natrelle silicone filled  implant 339cc 15-339 allergan	278	RC	Outpatient			1339	870.35		90			Percent of total billed charges		1205.1	40			Percent of total billed charges		535.6	80			Percent of total billed charges		1071.2	90			Percent of total billed charges		1205.1	85			Percent of total billed charges		1138.15	85			Percent of total billed charges		1138.15	85			Percent of total billed charges		1138.15	100			Percent of total billed charges		1339	100			Percent of total billed charges		1339	100			Percent of total billed charges		1339	33.3			Percent of total billed charges		445.887	33.3			Percent of total billed charges		445.887	100			Percent of total billed charges		1339	445.887	1205.1	
anesthesia time 4 hours	370	RC	Outpatient			1340	871		90			Percent of total billed charges		1206	40			Percent of total billed charges		536	80			Percent of total billed charges		1072	90			Percent of total billed charges		1206	85			Percent of total billed charges		1139	85			Percent of total billed charges		1139	85			Percent of total billed charges		1139	100			Percent of total billed charges		1340	100			Percent of total billed charges		1340	100			Percent of total billed charges		1340	33.3			Percent of total billed charges		446.22	33.3			Percent of total billed charges		446.22	100			Percent of total billed charges		1340	446.22	1206	
lg fr pl spoon	278	RC	Outpatient			1342	872.3		90			Percent of total billed charges		1207.8	40			Percent of total billed charges		536.8	80			Percent of total billed charges		1073.6	90			Percent of total billed charges		1207.8	85			Percent of total billed charges		1140.7	85			Percent of total billed charges		1140.7	85			Percent of total billed charges		1140.7	100			Percent of total billed charges		1342	100			Percent of total billed charges		1342	100			Percent of total billed charges		1342	33.3			Percent of total billed charges		446.886	33.3			Percent of total billed charges		446.886	100			Percent of total billed charges		1342	446.886	1207.8	
s/n lg frag   plate 6 hole  7114-1506	278	RC	Outpatient			1342	872.3		90			Percent of total billed charges		1207.8	40			Percent of total billed charges		536.8	80			Percent of total billed charges		1073.6	90			Percent of total billed charges		1207.8	85			Percent of total billed charges		1140.7	85			Percent of total billed charges		1140.7	85			Percent of total billed charges		1140.7	100			Percent of total billed charges		1342	100			Percent of total billed charges		1342	100			Percent of total billed charges		1342	33.3			Percent of total billed charges		446.886	33.3			Percent of total billed charges		446.886	100			Percent of total billed charges		1342	446.886	1207.8	
s/n lg frag  plate 5 hole  7114-1505	278	RC	Outpatient			1342	872.3		90			Percent of total billed charges		1207.8	40			Percent of total billed charges		536.8	80			Percent of total billed charges		1073.6	90			Percent of total billed charges		1207.8	85			Percent of total billed charges		1140.7	85			Percent of total billed charges		1140.7	85			Percent of total billed charges		1140.7	100			Percent of total billed charges		1342	100			Percent of total billed charges		1342	100			Percent of total billed charges		1342	33.3			Percent of total billed charges		446.886	33.3			Percent of total billed charges		446.886	100			Percent of total billed charges		1342	446.886	1207.8	
cable plates 8 hole ss 2232-03-02 zimmer	278	RC	Outpatient			1344	873.6		90			Percent of total billed charges		1209.6	40			Percent of total billed charges		537.6	80			Percent of total billed charges		1075.2	90			Percent of total billed charges		1209.6	85			Percent of total billed charges		1142.4	85			Percent of total billed charges		1142.4	85			Percent of total billed charges		1142.4	100			Percent of total billed charges		1344	100			Percent of total billed charges		1344	100			Percent of total billed charges		1344	33.3			Percent of total billed charges		447.552	33.3			Percent of total billed charges		447.552	100			Percent of total billed charges		1344	447.552	1209.6	
endo egd with polypectomy	750	RC	Outpatient			1344	873.6		90			Percent of total billed charges		1209.6	40			Percent of total billed charges		537.6	80			Percent of total billed charges		1075.2	90			Percent of total billed charges		1209.6	85			Percent of total billed charges		1142.4	85			Percent of total billed charges		1142.4	85			Percent of total billed charges		1142.4	100			Percent of total billed charges		1344	100			Percent of total billed charges		1344	100			Percent of total billed charges		1344	33.3			Percent of total billed charges		447.552	33.3			Percent of total billed charges		447.552	100			Percent of total billed charges		1344	447.552	1209.6	
toggleloc a/c fixation device 904834 biomet	278	RC	Outpatient			1344	873.6		90			Percent of total billed charges		1209.6	40			Percent of total billed charges		537.6	80			Percent of total billed charges		1075.2	90			Percent of total billed charges		1209.6	85			Percent of total billed charges		1142.4	85			Percent of total billed charges		1142.4	85			Percent of total billed charges		1142.4	100			Percent of total billed charges		1344	100			Percent of total billed charges		1344	100			Percent of total billed charges		1344	33.3			Percent of total billed charges		447.552	33.3			Percent of total billed charges		447.552	100			Percent of total billed charges		1344	447.552	1209.6	
toggleloc ac fix device	278	RC	Outpatient			1344	873.6		90			Percent of total billed charges		1209.6	40			Percent of total billed charges		537.6	80			Percent of total billed charges		1075.2	90			Percent of total billed charges		1209.6	85			Percent of total billed charges		1142.4	85			Percent of total billed charges		1142.4	85			Percent of total billed charges		1142.4	100			Percent of total billed charges		1344	100			Percent of total billed charges		1344	100			Percent of total billed charges		1344	33.3			Percent of total billed charges		447.552	33.3			Percent of total billed charges		447.552	100			Percent of total billed charges		1344	447.552	1209.6	
zimmer 8-hl cable plate	278	RC	Outpatient			1344	873.6		90			Percent of total billed charges		1209.6	40			Percent of total billed charges		537.6	80			Percent of total billed charges		1075.2	90			Percent of total billed charges		1209.6	85			Percent of total billed charges		1142.4	85			Percent of total billed charges		1142.4	85			Percent of total billed charges		1142.4	100			Percent of total billed charges		1344	100			Percent of total billed charges		1344	100			Percent of total billed charges		1344	33.3			Percent of total billed charges		447.552	33.3			Percent of total billed charges		447.552	100			Percent of total billed charges		1344	447.552	1209.6	
arthrex mini tightrope 1.1mm ar-8914ds	278	RC	Outpatient			1354	880.1		90			Percent of total billed charges		1218.6	40			Percent of total billed charges		541.6	80			Percent of total billed charges		1083.2	90			Percent of total billed charges		1218.6	85			Percent of total billed charges		1150.9	85			Percent of total billed charges		1150.9	85			Percent of total billed charges		1150.9	100			Percent of total billed charges		1354	100			Percent of total billed charges		1354	100			Percent of total billed charges		1354	33.3			Percent of total billed charges		450.882	33.3			Percent of total billed charges		450.882	100			Percent of total billed charges		1354	450.882	1218.6	
arthrex tightrope mini	278	RC	Outpatient			1354	880.1		90			Percent of total billed charges		1218.6	40			Percent of total billed charges		541.6	80			Percent of total billed charges		1083.2	90			Percent of total billed charges		1218.6	85			Percent of total billed charges		1150.9	85			Percent of total billed charges		1150.9	85			Percent of total billed charges		1150.9	100			Percent of total billed charges		1354	100			Percent of total billed charges		1354	100			Percent of total billed charges		1354	33.3			Percent of total billed charges		450.882	33.3			Percent of total billed charges		450.882	100			Percent of total billed charges		1354	450.882	1218.6	
mini frag plate 8hole 72442072n s/n	278	RC	Outpatient			1356	881.4		90			Percent of total billed charges		1220.4	40			Percent of total billed charges		542.4	80			Percent of total billed charges		1084.8	90			Percent of total billed charges		1220.4	85			Percent of total billed charges		1152.6	85			Percent of total billed charges		1152.6	85			Percent of total billed charges		1152.6	100			Percent of total billed charges		1356	100			Percent of total billed charges		1356	100			Percent of total billed charges		1356	33.3			Percent of total billed charges		451.548	33.3			Percent of total billed charges		451.548	100			Percent of total billed charges		1356	451.548	1220.4	
lap band ez access port kit c-2304 apollo endosurgery	278	RC	Outpatient			1361	884.65		90			Percent of total billed charges		1224.9	40			Percent of total billed charges		544.4	80			Percent of total billed charges		1088.8	90			Percent of total billed charges		1224.9	85			Percent of total billed charges		1156.85	85			Percent of total billed charges		1156.85	85			Percent of total billed charges		1156.85	100			Percent of total billed charges		1361	100			Percent of total billed charges		1361	100			Percent of total billed charges		1361	33.3			Percent of total billed charges		453.213	33.3			Percent of total billed charges		453.213	100			Percent of total billed charges		1361	453.213	1224.9	
4.5mm medial distal tibia plate 6 hole 125mm lt 224.507	278	RC	Outpatient			1362	885.3		90			Percent of total billed charges		1225.8	40			Percent of total billed charges		544.8	80			Percent of total billed charges		1089.6	90			Percent of total billed charges		1225.8	85			Percent of total billed charges		1157.7	85			Percent of total billed charges		1157.7	85			Percent of total billed charges		1157.7	100			Percent of total billed charges		1362	100			Percent of total billed charges		1362	100			Percent of total billed charges		1362	33.3			Percent of total billed charges		453.546	33.3			Percent of total billed charges		453.546	100			Percent of total billed charges		1362	453.546	1225.8	
4.5mm medial distal tibia plate 6 hole 125mm rt 224.506	278	RC	Outpatient			1362	885.3		90			Percent of total billed charges		1225.8	40			Percent of total billed charges		544.8	80			Percent of total billed charges		1089.6	90			Percent of total billed charges		1225.8	85			Percent of total billed charges		1157.7	85			Percent of total billed charges		1157.7	85			Percent of total billed charges		1157.7	100			Percent of total billed charges		1362	100			Percent of total billed charges		1362	100			Percent of total billed charges		1362	33.3			Percent of total billed charges		453.546	33.3			Percent of total billed charges		453.546	100			Percent of total billed charges		1362	453.546	1225.8	
arthrex clavicle fx pl	278	RC	Outpatient			1362	885.3		90			Percent of total billed charges		1225.8	40			Percent of total billed charges		544.8	80			Percent of total billed charges		1089.6	90			Percent of total billed charges		1225.8	85			Percent of total billed charges		1157.7	85			Percent of total billed charges		1157.7	85			Percent of total billed charges		1157.7	100			Percent of total billed charges		1362	100			Percent of total billed charges		1362	100			Percent of total billed charges		1362	33.3			Percent of total billed charges		453.546	33.3			Percent of total billed charges		453.546	100			Percent of total billed charges		1362	453.546	1225.8	
arthrex clavicle fx pl left 8hl ar-2652cl	278	RC	Outpatient			1362	885.3		90			Percent of total billed charges		1225.8	40			Percent of total billed charges		544.8	80			Percent of total billed charges		1089.6	90			Percent of total billed charges		1225.8	85			Percent of total billed charges		1157.7	85			Percent of total billed charges		1157.7	85			Percent of total billed charges		1157.7	100			Percent of total billed charges		1362	100			Percent of total billed charges		1362	100			Percent of total billed charges		1362	33.3			Percent of total billed charges		453.546	33.3			Percent of total billed charges		453.546	100			Percent of total billed charges		1362	453.546	1225.8	
arthrex locking straight plate 8  hole ar-8943c-08	278	RC	Outpatient			1362	885.3		90			Percent of total billed charges		1225.8	40			Percent of total billed charges		544.8	80			Percent of total billed charges		1089.6	90			Percent of total billed charges		1225.8	85			Percent of total billed charges		1157.7	85			Percent of total billed charges		1157.7	85			Percent of total billed charges		1157.7	100			Percent of total billed charges		1362	100			Percent of total billed charges		1362	100			Percent of total billed charges		1362	33.3			Percent of total billed charges		453.546	33.3			Percent of total billed charges		453.546	100			Percent of total billed charges		1362	453.546	1225.8	
arthrex pl lck st 8h	278	RC	Outpatient			1362	885.3		90			Percent of total billed charges		1225.8	40			Percent of total billed charges		544.8	80			Percent of total billed charges		1089.6	90			Percent of total billed charges		1225.8	85			Percent of total billed charges		1157.7	85			Percent of total billed charges		1157.7	85			Percent of total billed charges		1157.7	100			Percent of total billed charges		1362	100			Percent of total billed charges		1362	100			Percent of total billed charges		1362	33.3			Percent of total billed charges		453.546	33.3			Percent of total billed charges		453.546	100			Percent of total billed charges		1362	453.546	1225.8	
jet-x bar-10.5	278	RC	Outpatient			1362	885.3		90			Percent of total billed charges		1225.8	40			Percent of total billed charges		544.8	80			Percent of total billed charges		1089.6	90			Percent of total billed charges		1225.8	85			Percent of total billed charges		1157.7	85			Percent of total billed charges		1157.7	85			Percent of total billed charges		1157.7	100			Percent of total billed charges		1362	100			Percent of total billed charges		1362	100			Percent of total billed charges		1362	33.3			Percent of total billed charges		453.546	33.3			Percent of total billed charges		453.546	100			Percent of total billed charges		1362	453.546	1225.8	
jet-x bar-bar clamp 6mm	278	RC	Outpatient			1362	885.3		90			Percent of total billed charges		1225.8	40			Percent of total billed charges		544.8	80			Percent of total billed charges		1089.6	90			Percent of total billed charges		1225.8	85			Percent of total billed charges		1157.7	85			Percent of total billed charges		1157.7	85			Percent of total billed charges		1157.7	100			Percent of total billed charges		1362	100			Percent of total billed charges		1362	100			Percent of total billed charges		1362	33.3			Percent of total billed charges		453.546	33.3			Percent of total billed charges		453.546	100			Percent of total billed charges		1362	453.546	1225.8	
jet-x mini 6mm bar to 10.5mm pin clamp 7106-2019 s/n	278	RC	Outpatient			1362	885.3		90			Percent of total billed charges		1225.8	40			Percent of total billed charges		544.8	80			Percent of total billed charges		1089.6	90			Percent of total billed charges		1225.8	85			Percent of total billed charges		1157.7	85			Percent of total billed charges		1157.7	85			Percent of total billed charges		1157.7	100			Percent of total billed charges		1362	100			Percent of total billed charges		1362	100			Percent of total billed charges		1362	33.3			Percent of total billed charges		453.546	33.3			Percent of total billed charges		453.546	100			Percent of total billed charges		1362	453.546	1225.8	
jet-x pin clamp 10.5mm 7106-2010 s/n	278	RC	Outpatient			1362	885.3		90			Percent of total billed charges		1225.8	40			Percent of total billed charges		544.8	80			Percent of total billed charges		1089.6	90			Percent of total billed charges		1225.8	85			Percent of total billed charges		1157.7	85			Percent of total billed charges		1157.7	85			Percent of total billed charges		1157.7	100			Percent of total billed charges		1362	100			Percent of total billed charges		1362	100			Percent of total billed charges		1362	33.3			Percent of total billed charges		453.546	33.3			Percent of total billed charges		453.546	100			Percent of total billed charges		1362	453.546	1225.8	
synthes 4.5 proximal tibial plate 2 holes 41mm (l) 240.002	278	RC	Outpatient			1362	885.3		90			Percent of total billed charges		1225.8	40			Percent of total billed charges		544.8	80			Percent of total billed charges		1089.6	90			Percent of total billed charges		1225.8	85			Percent of total billed charges		1157.7	85			Percent of total billed charges		1157.7	85			Percent of total billed charges		1157.7	100			Percent of total billed charges		1362	100			Percent of total billed charges		1362	100			Percent of total billed charges		1362	33.3			Percent of total billed charges		453.546	33.3			Percent of total billed charges		453.546	100			Percent of total billed charges		1362	453.546	1225.8	
synthes 4.5 proximal tibial plate 2 holes 41mm (l) 240.003	278	RC	Outpatient			1362	885.3		90			Percent of total billed charges		1225.8	40			Percent of total billed charges		544.8	80			Percent of total billed charges		1089.6	90			Percent of total billed charges		1225.8	85			Percent of total billed charges		1157.7	85			Percent of total billed charges		1157.7	85			Percent of total billed charges		1157.7	100			Percent of total billed charges		1362	100			Percent of total billed charges		1362	100			Percent of total billed charges		1362	33.3			Percent of total billed charges		453.546	33.3			Percent of total billed charges		453.546	100			Percent of total billed charges		1362	453.546	1225.8	
synthes 4.5 proximal tibial plate 4 hole 73mm (l) 240.005	278	RC	Outpatient			1362	885.3		90			Percent of total billed charges		1225.8	40			Percent of total billed charges		544.8	80			Percent of total billed charges		1089.6	90			Percent of total billed charges		1225.8	85			Percent of total billed charges		1157.7	85			Percent of total billed charges		1157.7	85			Percent of total billed charges		1157.7	100			Percent of total billed charges		1362	100			Percent of total billed charges		1362	100			Percent of total billed charges		1362	33.3			Percent of total billed charges		453.546	33.3			Percent of total billed charges		453.546	100			Percent of total billed charges		1362	453.546	1225.8	
synthes 4.5 proximal tibial plate 6 hole 109mm (r) 240.006	278	RC	Outpatient			1362	885.3		90			Percent of total billed charges		1225.8	40			Percent of total billed charges		544.8	80			Percent of total billed charges		1089.6	90			Percent of total billed charges		1225.8	85			Percent of total billed charges		1157.7	85			Percent of total billed charges		1157.7	85			Percent of total billed charges		1157.7	100			Percent of total billed charges		1362	100			Percent of total billed charges		1362	100			Percent of total billed charges		1362	33.3			Percent of total billed charges		453.546	33.3			Percent of total billed charges		453.546	100			Percent of total billed charges		1362	453.546	1225.8	
syn 4.5 dist tib pl 2-6hl	278	RC	Outpatient			1362	885.3		90			Percent of total billed charges		1225.8	40			Percent of total billed charges		544.8	80			Percent of total billed charges		1089.6	90			Percent of total billed charges		1225.8	85			Percent of total billed charges		1157.7	85			Percent of total billed charges		1157.7	85			Percent of total billed charges		1157.7	100			Percent of total billed charges		1362	100			Percent of total billed charges		1362	100			Percent of total billed charges		1362	33.3			Percent of total billed charges		453.546	33.3			Percent of total billed charges		453.546	100			Percent of total billed charges		1362	453.546	1225.8	
synthes 4.5 proximal tibial plate 4 hole 73mm (r) 240.004	278	RC	Outpatient			1362	885.3		90			Percent of total billed charges		1225.8	40			Percent of total billed charges		544.8	80			Percent of total billed charges		1089.6	90			Percent of total billed charges		1225.8	85			Percent of total billed charges		1157.7	85			Percent of total billed charges		1157.7	85			Percent of total billed charges		1157.7	100			Percent of total billed charges		1362	100			Percent of total billed charges		1362	100			Percent of total billed charges		1362	33.3			Percent of total billed charges		453.546	33.3			Percent of total billed charges		453.546	100			Percent of total billed charges		1362	453.546	1225.8	
synthes 4.5 proximal tibial plate 6 hole 109mm (l) 240.007	278	RC	Outpatient			1362	885.3		90			Percent of total billed charges		1225.8	40			Percent of total billed charges		544.8	80			Percent of total billed charges		1089.6	90			Percent of total billed charges		1225.8	85			Percent of total billed charges		1157.7	85			Percent of total billed charges		1157.7	85			Percent of total billed charges		1157.7	100			Percent of total billed charges		1362	100			Percent of total billed charges		1362	100			Percent of total billed charges		1362	33.3			Percent of total billed charges		453.546	33.3			Percent of total billed charges		453.546	100			Percent of total billed charges		1362	453.546	1225.8	
comp plt 4.5mm 4 hl 71829304 s\n	278	RC	Outpatient			1366	887.9		90			Percent of total billed charges		1229.4	40			Percent of total billed charges		546.4	80			Percent of total billed charges		1092.8	90			Percent of total billed charges		1229.4	85			Percent of total billed charges		1161.1	85			Percent of total billed charges		1161.1	85			Percent of total billed charges		1161.1	100			Percent of total billed charges		1366	100			Percent of total billed charges		1366	100			Percent of total billed charges		1366	33.3			Percent of total billed charges		454.878	33.3			Percent of total billed charges		454.878	100			Percent of total billed charges		1366	454.878	1229.4	
comp plt 4.5mm 4 hl 71809304 s\n	278	RC	Outpatient			1366	887.9		90			Percent of total billed charges		1229.4	40			Percent of total billed charges		546.4	80			Percent of total billed charges		1092.8	90			Percent of total billed charges		1229.4	85			Percent of total billed charges		1161.1	85			Percent of total billed charges		1161.1	85			Percent of total billed charges		1161.1	100			Percent of total billed charges		1366	100			Percent of total billed charges		1366	100			Percent of total billed charges		1366	33.3			Percent of total billed charges		454.878	33.3			Percent of total billed charges		454.878	100			Percent of total billed charges		1366	454.878	1229.4	
s/n 4.5 lck comp pl 4 hl	278	RC	Outpatient			1366	887.9		90			Percent of total billed charges		1229.4	40			Percent of total billed charges		546.4	80			Percent of total billed charges		1092.8	90			Percent of total billed charges		1229.4	85			Percent of total billed charges		1161.1	85			Percent of total billed charges		1161.1	85			Percent of total billed charges		1161.1	100			Percent of total billed charges		1366	100			Percent of total billed charges		1366	100			Percent of total billed charges		1366	33.3			Percent of total billed charges		454.878	33.3			Percent of total billed charges		454.878	100			Percent of total billed charges		1366	454.878	1229.4	
s/n journey pfj trochlear reamer ref 71563430s/n	272	RC	Outpatient			1366.2	888.03		90			Percent of total billed charges		1229.58	40			Percent of total billed charges		546.48	80			Percent of total billed charges		1092.96	90			Percent of total billed charges		1229.58	85			Percent of total billed charges		1161.27	85			Percent of total billed charges		1161.27	85			Percent of total billed charges		1161.27	100			Percent of total billed charges		1366.2	100			Percent of total billed charges		1366.2	100			Percent of total billed charges		1366.2	33.3			Percent of total billed charges		454.9446	33.3			Percent of total billed charges		454.9446	100			Percent of total billed charges		1366.2	454.9446	1229.58	
hii 5 hole pin clamp 4921-2-020 stryker	278	RC	Outpatient			1368	889.2		90			Percent of total billed charges		1231.2	40			Percent of total billed charges		547.2	80			Percent of total billed charges		1094.4	90			Percent of total billed charges		1231.2	85			Percent of total billed charges		1162.8	85			Percent of total billed charges		1162.8	85			Percent of total billed charges		1162.8	100			Percent of total billed charges		1368	100			Percent of total billed charges		1368	100			Percent of total billed charges		1368	33.3			Percent of total billed charges		455.544	33.3			Percent of total billed charges		455.544	100			Percent of total billed charges		1368	455.544	1231.2	
stryker pin clamp 5hl	278	RC	Outpatient			1368	889.2		90			Percent of total billed charges		1231.2	40			Percent of total billed charges		547.2	80			Percent of total billed charges		1094.4	90			Percent of total billed charges		1231.2	85			Percent of total billed charges		1162.8	85			Percent of total billed charges		1162.8	85			Percent of total billed charges		1162.8	100			Percent of total billed charges		1368	100			Percent of total billed charges		1368	100			Percent of total billed charges		1368	33.3			Percent of total billed charges		455.544	33.3			Percent of total billed charges		455.544	100			Percent of total billed charges		1368	455.544	1231.2	
biomet dbm putty 5cc syr	278	RC	Outpatient			1369	889.85		90			Percent of total billed charges		1232.1	40			Percent of total billed charges		547.6	80			Percent of total billed charges		1095.2	90			Percent of total billed charges		1232.1	85			Percent of total billed charges		1163.65	85			Percent of total billed charges		1163.65	85			Percent of total billed charges		1163.65	100			Percent of total billed charges		1369	100			Percent of total billed charges		1369	100			Percent of total billed charges		1369	33.3			Percent of total billed charges		455.877	33.3			Percent of total billed charges		455.877	100			Percent of total billed charges		1369	455.877	1232.1	
biomet dbm putty 5cc syringe 9085	278	RC	Outpatient			1369	889.85		90			Percent of total billed charges		1232.1	40			Percent of total billed charges		547.6	80			Percent of total billed charges		1095.2	90			Percent of total billed charges		1232.1	85			Percent of total billed charges		1163.65	85			Percent of total billed charges		1163.65	85			Percent of total billed charges		1163.65	100			Percent of total billed charges		1369	100			Percent of total billed charges		1369	100			Percent of total billed charges		1369	33.3			Percent of total billed charges		455.877	33.3			Percent of total billed charges		455.877	100			Percent of total billed charges		1369	455.877	1232.1	
arthrex transfix implant 3 x 40mm ar-1351k-cp	272	RC	Outpatient			1374	893.1		90			Percent of total billed charges		1236.6	40			Percent of total billed charges		549.6	80			Percent of total billed charges		1099.2	90			Percent of total billed charges		1236.6	85			Percent of total billed charges		1167.9	85			Percent of total billed charges		1167.9	85			Percent of total billed charges		1167.9	100			Percent of total billed charges		1374	100			Percent of total billed charges		1374	100			Percent of total billed charges		1374	33.3			Percent of total billed charges		457.542	33.3			Percent of total billed charges		457.542	100			Percent of total billed charges		1374	457.542	1236.6	
arthrex 50mm transfix implant conveince pack ar-1351lk-cp	272	RC	Outpatient			1374	893.1		90			Percent of total billed charges		1236.6	40			Percent of total billed charges		549.6	80			Percent of total billed charges		1099.2	90			Percent of total billed charges		1236.6	85			Percent of total billed charges		1167.9	85			Percent of total billed charges		1167.9	85			Percent of total billed charges		1167.9	100			Percent of total billed charges		1374	100			Percent of total billed charges		1374	100			Percent of total billed charges		1374	33.3			Percent of total billed charges		457.542	33.3			Percent of total billed charges		457.542	100			Percent of total billed charges		1374	457.542	1236.6	
arthrex transfix imp kit	272	RC	Outpatient			1374	893.1		90			Percent of total billed charges		1236.6	40			Percent of total billed charges		549.6	80			Percent of total billed charges		1099.2	90			Percent of total billed charges		1236.6	85			Percent of total billed charges		1167.9	85			Percent of total billed charges		1167.9	85			Percent of total billed charges		1167.9	100			Percent of total billed charges		1374	100			Percent of total billed charges		1374	100			Percent of total billed charges		1374	33.3			Percent of total billed charges		457.542	33.3			Percent of total billed charges		457.542	100			Percent of total billed charges		1374	457.542	1236.6	
distal lateral fibula plate 4 hole 40-20904 stryker	278	RC	Outpatient			1374	893.1		90			Percent of total billed charges		1236.6	40			Percent of total billed charges		549.6	80			Percent of total billed charges		1099.2	90			Percent of total billed charges		1236.6	85			Percent of total billed charges		1167.9	85			Percent of total billed charges		1167.9	85			Percent of total billed charges		1167.9	100			Percent of total billed charges		1374	100			Percent of total billed charges		1374	100			Percent of total billed charges		1374	33.3			Percent of total billed charges		457.542	33.3			Percent of total billed charges		457.542	100			Percent of total billed charges		1374	457.542	1236.6	
stryker dist la f pl 4hl	278	RC	Outpatient			1374	893.1		90			Percent of total billed charges		1236.6	40			Percent of total billed charges		549.6	80			Percent of total billed charges		1099.2	90			Percent of total billed charges		1236.6	85			Percent of total billed charges		1167.9	85			Percent of total billed charges		1167.9	85			Percent of total billed charges		1167.9	100			Percent of total billed charges		1374	100			Percent of total billed charges		1374	100			Percent of total billed charges		1374	33.3			Percent of total billed charges		457.542	33.3			Percent of total billed charges		457.542	100			Percent of total billed charges		1374	457.542	1236.6	
curved recon plate 3.5mm 10 hole x 118mm 7114-0610 s/n	278	RC	Outpatient			1375	893.75		90			Percent of total billed charges		1237.5	40			Percent of total billed charges		550	80			Percent of total billed charges		1100	90			Percent of total billed charges		1237.5	85			Percent of total billed charges		1168.75	85			Percent of total billed charges		1168.75	85			Percent of total billed charges		1168.75	100			Percent of total billed charges		1375	100			Percent of total billed charges		1375	100			Percent of total billed charges		1375	33.3			Percent of total billed charges		457.875	33.3			Percent of total billed charges		457.875	100			Percent of total billed charges		1375	457.875	1237.5	
curved recon plate 3.5mm 12 hole x 142mm 7114-0612 s/n	278	RC	Outpatient			1375	893.75		90			Percent of total billed charges		1237.5	40			Percent of total billed charges		550	80			Percent of total billed charges		1100	90			Percent of total billed charges		1237.5	85			Percent of total billed charges		1168.75	85			Percent of total billed charges		1168.75	85			Percent of total billed charges		1168.75	100			Percent of total billed charges		1375	100			Percent of total billed charges		1375	100			Percent of total billed charges		1375	33.3			Percent of total billed charges		457.875	33.3			Percent of total billed charges		457.875	100			Percent of total billed charges		1375	457.875	1237.5	
s/n 3.5c recon pl10-12 hl	278	RC	Outpatient			1375	893.75		90			Percent of total billed charges		1237.5	40			Percent of total billed charges		550	80			Percent of total billed charges		1100	90			Percent of total billed charges		1237.5	85			Percent of total billed charges		1168.75	85			Percent of total billed charges		1168.75	85			Percent of total billed charges		1168.75	100			Percent of total billed charges		1375	100			Percent of total billed charges		1375	100			Percent of total billed charges		1375	33.3			Percent of total billed charges		457.875	33.3			Percent of total billed charges		457.875	100			Percent of total billed charges		1375	457.875	1237.5	
endo egd with foreign body removal	750	RC	Outpatient			1384	899.6		90			Percent of total billed charges		1245.6	40			Percent of total billed charges		553.6	80			Percent of total billed charges		1107.2	90			Percent of total billed charges		1245.6	85			Percent of total billed charges		1176.4	85			Percent of total billed charges		1176.4	85			Percent of total billed charges		1176.4	100			Percent of total billed charges		1384	100			Percent of total billed charges		1384	100			Percent of total billed charges		1384	33.3			Percent of total billed charges		460.872	33.3			Percent of total billed charges		460.872	100			Percent of total billed charges		1384	460.872	1245.6	
vnus intravascular cath	272	RC	Outpatient			1388	902.2		90			Percent of total billed charges		1249.2	40			Percent of total billed charges		555.2	80			Percent of total billed charges		1110.4	90			Percent of total billed charges		1249.2	85			Percent of total billed charges		1179.8	85			Percent of total billed charges		1179.8	85			Percent of total billed charges		1179.8	100			Percent of total billed charges		1388	100			Percent of total billed charges		1388	100			Percent of total billed charges		1388	33.3			Percent of total billed charges		462.204	33.3			Percent of total billed charges		462.204	100			Percent of total billed charges		1388	462.204	1249.2	
scrmc penumbra ruby soft coil 4mmx15cm	621	RC	Outpatient			1390	903.5		90			Percent of total billed charges		1251	40			Percent of total billed charges		556	80			Percent of total billed charges		1112	90			Percent of total billed charges		1251	85			Percent of total billed charges		1181.5	85			Percent of total billed charges		1181.5	85			Percent of total billed charges		1181.5	100			Percent of total billed charges		1390	100			Percent of total billed charges		1390	100			Percent of total billed charges		1390	33.3			Percent of total billed charges		462.87	33.3			Percent of total billed charges		462.87	100			Percent of total billed charges		1390	462.87	1251	
peri-loc 3.5 pl-d fib lk pl 7 h 72820807 s/n	278	RC	Outpatient			1392	904.8		90			Percent of total billed charges		1252.8	40			Percent of total billed charges		556.8	80			Percent of total billed charges		1113.6	90			Percent of total billed charges		1252.8	85			Percent of total billed charges		1183.2	85			Percent of total billed charges		1183.2	85			Percent of total billed charges		1183.2	100			Percent of total billed charges		1392	100			Percent of total billed charges		1392	100			Percent of total billed charges		1392	33.3			Percent of total billed charges		463.536	33.3			Percent of total billed charges		463.536	100			Percent of total billed charges		1392	463.536	1252.8	
peri-loc 3.5 pl-d fib lk pl 7 h 72820907 s/n	278	RC	Outpatient			1392	904.8		90			Percent of total billed charges		1252.8	40			Percent of total billed charges		556.8	80			Percent of total billed charges		1113.6	90			Percent of total billed charges		1252.8	85			Percent of total billed charges		1183.2	85			Percent of total billed charges		1183.2	85			Percent of total billed charges		1183.2	100			Percent of total billed charges		1392	100			Percent of total billed charges		1392	100			Percent of total billed charges		1392	33.3			Percent of total billed charges		463.536	33.3			Percent of total billed charges		463.536	100			Percent of total billed charges		1392	463.536	1252.8	
s/n vlp pl dist fib pl 7h	278	RC	Outpatient			1392	904.8		90			Percent of total billed charges		1252.8	40			Percent of total billed charges		556.8	80			Percent of total billed charges		1113.6	90			Percent of total billed charges		1252.8	85			Percent of total billed charges		1183.2	85			Percent of total billed charges		1183.2	85			Percent of total billed charges		1183.2	100			Percent of total billed charges		1392	100			Percent of total billed charges		1392	100			Percent of total billed charges		1392	33.3			Percent of total billed charges		463.536	33.3			Percent of total billed charges		463.536	100			Percent of total billed charges		1392	463.536	1252.8	
syn wrist fusion plt 9 hl	278	RC	Outpatient			1392	904.8		90			Percent of total billed charges		1252.8	40			Percent of total billed charges		556.8	80			Percent of total billed charges		1113.6	90			Percent of total billed charges		1252.8	85			Percent of total billed charges		1183.2	85			Percent of total billed charges		1183.2	85			Percent of total billed charges		1183.2	100			Percent of total billed charges		1392	100			Percent of total billed charges		1392	100			Percent of total billed charges		1392	33.3			Percent of total billed charges		463.536	33.3			Percent of total billed charges		463.536	100			Percent of total billed charges		1392	463.536	1252.8	
synthes wrist fusion plate 9 hole 442.53	278	RC	Outpatient			1392	904.8		90			Percent of total billed charges		1252.8	40			Percent of total billed charges		556.8	80			Percent of total billed charges		1113.6	90			Percent of total billed charges		1252.8	85			Percent of total billed charges		1183.2	85			Percent of total billed charges		1183.2	85			Percent of total billed charges		1183.2	100			Percent of total billed charges		1392	100			Percent of total billed charges		1392	100			Percent of total billed charges		1392	33.3			Percent of total billed charges		463.536	33.3			Percent of total billed charges		463.536	100			Percent of total billed charges		1392	463.536	1252.8	
aquamantys evs	272	RC	Outpatient			1394	906.1		90			Percent of total billed charges		1254.6	40			Percent of total billed charges		557.6	80			Percent of total billed charges		1115.2	90			Percent of total billed charges		1254.6	85			Percent of total billed charges		1184.9	85			Percent of total billed charges		1184.9	85			Percent of total billed charges		1184.9	100			Percent of total billed charges		1394	100			Percent of total billed charges		1394	100			Percent of total billed charges		1394	33.3			Percent of total billed charges		464.202	33.3			Percent of total billed charges		464.202	100			Percent of total billed charges		1394	464.202	1254.6	
aquamantys evs 23-121-1 salient	272	RC	Outpatient			1394	906.1		90			Percent of total billed charges		1254.6	40			Percent of total billed charges		557.6	80			Percent of total billed charges		1115.2	90			Percent of total billed charges		1254.6	85			Percent of total billed charges		1184.9	85			Percent of total billed charges		1184.9	85			Percent of total billed charges		1184.9	100			Percent of total billed charges		1394	100			Percent of total billed charges		1394	100			Percent of total billed charges		1394	33.3			Percent of total billed charges		464.202	33.3			Percent of total billed charges		464.202	100			Percent of total billed charges		1394	464.202	1254.6	
arthrex synd repair cann	278	RC	Outpatient			1394	906.1		90			Percent of total billed charges		1254.6	40			Percent of total billed charges		557.6	80			Percent of total billed charges		1115.2	90			Percent of total billed charges		1254.6	85			Percent of total billed charges		1184.9	85			Percent of total billed charges		1184.9	85			Percent of total billed charges		1184.9	100			Percent of total billed charges		1394	100			Percent of total billed charges		1394	100			Percent of total billed charges		1394	33.3			Percent of total billed charges		464.202	33.3			Percent of total billed charges		464.202	100			Percent of total billed charges		1394	464.202	1254.6	
arthrex mini tightrope repair kit ar-8911ds	272	RC	Outpatient			1394	906.1		90			Percent of total billed charges		1254.6	40			Percent of total billed charges		557.6	80			Percent of total billed charges		1115.2	90			Percent of total billed charges		1254.6	85			Percent of total billed charges		1184.9	85			Percent of total billed charges		1184.9	85			Percent of total billed charges		1184.9	100			Percent of total billed charges		1394	100			Percent of total billed charges		1394	100			Percent of total billed charges		1394	33.3			Percent of total billed charges		464.202	33.3			Percent of total billed charges		464.202	100			Percent of total billed charges		1394	464.202	1254.6	
arthrex tightrope mini kt	272	RC	Outpatient			1394	906.1		90			Percent of total billed charges		1254.6	40			Percent of total billed charges		557.6	80			Percent of total billed charges		1115.2	90			Percent of total billed charges		1254.6	85			Percent of total billed charges		1184.9	85			Percent of total billed charges		1184.9	85			Percent of total billed charges		1184.9	100			Percent of total billed charges		1394	100			Percent of total billed charges		1394	100			Percent of total billed charges		1394	33.3			Percent of total billed charges		464.202	33.3			Percent of total billed charges		464.202	100			Percent of total billed charges		1394	464.202	1254.6	
arthrex tightrope syndesmosis repair kit ss cannulated  ar-8921 cds	278	RC	Outpatient			1394	906.1		90			Percent of total billed charges		1254.6	40			Percent of total billed charges		557.6	80			Percent of total billed charges		1115.2	90			Percent of total billed charges		1254.6	85			Percent of total billed charges		1184.9	85			Percent of total billed charges		1184.9	85			Percent of total billed charges		1184.9	100			Percent of total billed charges		1394	100			Percent of total billed charges		1394	100			Percent of total billed charges		1394	33.3			Percent of total billed charges		464.202	33.3			Percent of total billed charges		464.202	100			Percent of total billed charges		1394	464.202	1254.6	
arthrex tightrope syndesmosis repair kit ti cannulated  ar-8920cds	278	RC	Outpatient			1394	906.1		90			Percent of total billed charges		1254.6	40			Percent of total billed charges		557.6	80			Percent of total billed charges		1115.2	90			Percent of total billed charges		1254.6	85			Percent of total billed charges		1184.9	85			Percent of total billed charges		1184.9	85			Percent of total billed charges		1184.9	100			Percent of total billed charges		1394	100			Percent of total billed charges		1394	100			Percent of total billed charges		1394	33.3			Percent of total billed charges		464.202	33.3			Percent of total billed charges		464.202	100			Percent of total billed charges		1394	464.202	1254.6	
coated bio-eye hydroyapatite 18mm orbital implant i0018c integrated orb imp	278	RC	Outpatient			1394	906.1		90			Percent of total billed charges		1254.6	40			Percent of total billed charges		557.6	80			Percent of total billed charges		1115.2	90			Percent of total billed charges		1254.6	85			Percent of total billed charges		1184.9	85			Percent of total billed charges		1184.9	85			Percent of total billed charges		1184.9	100			Percent of total billed charges		1394	100			Percent of total billed charges		1394	100			Percent of total billed charges		1394	33.3			Percent of total billed charges		464.202	33.3			Percent of total billed charges		464.202	100			Percent of total billed charges		1394	464.202	1254.6	
exportap aspiration cath 6fr 613994431745 medtronic	272	RC	Outpatient			1394	906.1		90			Percent of total billed charges		1254.6	40			Percent of total billed charges		557.6	80			Percent of total billed charges		1115.2	90			Percent of total billed charges		1254.6	85			Percent of total billed charges		1184.9	85			Percent of total billed charges		1184.9	85			Percent of total billed charges		1184.9	100			Percent of total billed charges		1394	100			Percent of total billed charges		1394	100			Percent of total billed charges		1394	33.3			Percent of total billed charges		464.202	33.3			Percent of total billed charges		464.202	100			Percent of total billed charges		1394	464.202	1254.6	
hydroxapatite orbital implant 20mm i000-18	278	RC	Outpatient			1394	906.1		90			Percent of total billed charges		1254.6	40			Percent of total billed charges		557.6	80			Percent of total billed charges		1115.2	90			Percent of total billed charges		1254.6	85			Percent of total billed charges		1184.9	85			Percent of total billed charges		1184.9	85			Percent of total billed charges		1184.9	100			Percent of total billed charges		1394	100			Percent of total billed charges		1394	100			Percent of total billed charges		1394	33.3			Percent of total billed charges		464.202	33.3			Percent of total billed charges		464.202	100			Percent of total billed charges		1394	464.202	1254.6	
hydroxy apatite implant	278	RC	Outpatient			1394	906.1		90			Percent of total billed charges		1254.6	40			Percent of total billed charges		557.6	80			Percent of total billed charges		1115.2	90			Percent of total billed charges		1254.6	85			Percent of total billed charges		1184.9	85			Percent of total billed charges		1184.9	85			Percent of total billed charges		1184.9	100			Percent of total billed charges		1394	100			Percent of total billed charges		1394	100			Percent of total billed charges		1394	33.3			Percent of total billed charges		464.202	33.3			Percent of total billed charges		464.202	100			Percent of total billed charges		1394	464.202	1254.6	
hydroxyapatite orbital implant 16mm i000-16	278	RC	Outpatient			1394	906.1		90			Percent of total billed charges		1254.6	40			Percent of total billed charges		557.6	80			Percent of total billed charges		1115.2	90			Percent of total billed charges		1254.6	85			Percent of total billed charges		1184.9	85			Percent of total billed charges		1184.9	85			Percent of total billed charges		1184.9	100			Percent of total billed charges		1394	100			Percent of total billed charges		1394	100			Percent of total billed charges		1394	33.3			Percent of total billed charges		464.202	33.3			Percent of total billed charges		464.202	100			Percent of total billed charges		1394	464.202	1254.6	
exportap cath	272	RC	Outpatient			1394	906.1		90			Percent of total billed charges		1254.6	40			Percent of total billed charges		557.6	80			Percent of total billed charges		1115.2	90			Percent of total billed charges		1254.6	85			Percent of total billed charges		1184.9	85			Percent of total billed charges		1184.9	85			Percent of total billed charges		1184.9	100			Percent of total billed charges		1394	100			Percent of total billed charges		1394	100			Percent of total billed charges		1394	33.3			Percent of total billed charges		464.202	33.3			Percent of total billed charges		464.202	100			Percent of total billed charges		1394	464.202	1254.6	
hydroxyapatite orbital implant i000-18 integrated orbital implant	278	RC	Outpatient			1394	906.1		90			Percent of total billed charges		1254.6	40			Percent of total billed charges		557.6	80			Percent of total billed charges		1115.2	90			Percent of total billed charges		1254.6	85			Percent of total billed charges		1184.9	85			Percent of total billed charges		1184.9	85			Percent of total billed charges		1184.9	100			Percent of total billed charges		1394	100			Percent of total billed charges		1394	100			Percent of total billed charges		1394	33.3			Percent of total billed charges		464.202	33.3			Percent of total billed charges		464.202	100			Percent of total billed charges		1394	464.202	1254.6	
oval dome patella 41mm depuy 96-0103	278	RC	Outpatient			1394	906.1		90			Percent of total billed charges		1254.6	40			Percent of total billed charges		557.6	80			Percent of total billed charges		1115.2	90			Percent of total billed charges		1254.6	85			Percent of total billed charges		1184.9	85			Percent of total billed charges		1184.9	85			Percent of total billed charges		1184.9	100			Percent of total billed charges		1394	100			Percent of total billed charges		1394	100			Percent of total billed charges		1394	33.3			Percent of total billed charges		464.202	33.3			Percent of total billed charges		464.202	100			Percent of total billed charges		1394	464.202	1254.6	
j&j pat.comp.inset ovl dm	278	RC	Outpatient			1394	906.1		90			Percent of total billed charges		1254.6	40			Percent of total billed charges		557.6	80			Percent of total billed charges		1115.2	90			Percent of total billed charges		1254.6	85			Percent of total billed charges		1184.9	85			Percent of total billed charges		1184.9	85			Percent of total billed charges		1184.9	100			Percent of total billed charges		1394	100			Percent of total billed charges		1394	100			Percent of total billed charges		1394	33.3			Percent of total billed charges		464.202	33.3			Percent of total billed charges		464.202	100			Percent of total billed charges		1394	464.202	1254.6	
pro osteon implant #5b040	278	RC	Outpatient			1394	906.1		90			Percent of total billed charges		1254.6	40			Percent of total billed charges		557.6	80			Percent of total billed charges		1115.2	90			Percent of total billed charges		1254.6	85			Percent of total billed charges		1184.9	85			Percent of total billed charges		1184.9	85			Percent of total billed charges		1184.9	100			Percent of total billed charges		1394	100			Percent of total billed charges		1394	100			Percent of total billed charges		1394	33.3			Percent of total billed charges		464.202	33.3			Percent of total billed charges		464.202	100			Percent of total billed charges		1394	464.202	1254.6	
acetabular liner 28mm 12-105884 biomet	278	RC	Outpatient			1396	907.4		90			Percent of total billed charges		1256.4	40			Percent of total billed charges		558.4	80			Percent of total billed charges		1116.8	90			Percent of total billed charges		1256.4	85			Percent of total billed charges		1186.6	85			Percent of total billed charges		1186.6	85			Percent of total billed charges		1186.6	100			Percent of total billed charges		1396	100			Percent of total billed charges		1396	100			Percent of total billed charges		1396	33.3			Percent of total billed charges		464.868	33.3			Percent of total billed charges		464.868	100			Percent of total billed charges		1396	464.868	1256.4	
bio hip liner 28mm acrom	278	RC	Outpatient			1396	907.4		90			Percent of total billed charges		1256.4	40			Percent of total billed charges		558.4	80			Percent of total billed charges		1116.8	90			Percent of total billed charges		1256.4	85			Percent of total billed charges		1186.6	85			Percent of total billed charges		1186.6	85			Percent of total billed charges		1186.6	100			Percent of total billed charges		1396	100			Percent of total billed charges		1396	100			Percent of total billed charges		1396	33.3			Percent of total billed charges		464.868	33.3			Percent of total billed charges		464.868	100			Percent of total billed charges		1396	464.868	1256.4	
biomet 28mm  standard liner  size 28 12-105888	278	RC	Outpatient			1396	907.4		90			Percent of total billed charges		1256.4	40			Percent of total billed charges		558.4	80			Percent of total billed charges		1116.8	90			Percent of total billed charges		1256.4	85			Percent of total billed charges		1186.6	85			Percent of total billed charges		1186.6	85			Percent of total billed charges		1186.6	100			Percent of total billed charges		1396	100			Percent of total billed charges		1396	100			Percent of total billed charges		1396	33.3			Percent of total billed charges		464.868	33.3			Percent of total billed charges		464.868	100			Percent of total billed charges		1396	464.868	1256.4	
biomet 28mm 10 degree liner size 23 11-105913	278	RC	Outpatient			1396	907.4		90			Percent of total billed charges		1256.4	40			Percent of total billed charges		558.4	80			Percent of total billed charges		1116.8	90			Percent of total billed charges		1256.4	85			Percent of total billed charges		1186.6	85			Percent of total billed charges		1186.6	85			Percent of total billed charges		1186.6	100			Percent of total billed charges		1396	100			Percent of total billed charges		1396	100			Percent of total billed charges		1396	33.3			Percent of total billed charges		464.868	33.3			Percent of total billed charges		464.868	100			Percent of total billed charges		1396	464.868	1256.4	
biomet 28mm 10 degree liner size 24 11-105914	278	RC	Outpatient			1396	907.4		90			Percent of total billed charges		1256.4	40			Percent of total billed charges		558.4	80			Percent of total billed charges		1116.8	90			Percent of total billed charges		1256.4	85			Percent of total billed charges		1186.6	85			Percent of total billed charges		1186.6	85			Percent of total billed charges		1186.6	100			Percent of total billed charges		1396	100			Percent of total billed charges		1396	100			Percent of total billed charges		1396	33.3			Percent of total billed charges		464.868	33.3			Percent of total billed charges		464.868	100			Percent of total billed charges		1396	464.868	1256.4	
biomet 28mm 10 degree liner size 25 11-105915	278	RC	Outpatient			1396	907.4		90			Percent of total billed charges		1256.4	40			Percent of total billed charges		558.4	80			Percent of total billed charges		1116.8	90			Percent of total billed charges		1256.4	85			Percent of total billed charges		1186.6	85			Percent of total billed charges		1186.6	85			Percent of total billed charges		1186.6	100			Percent of total billed charges		1396	100			Percent of total billed charges		1396	100			Percent of total billed charges		1396	33.3			Percent of total billed charges		464.868	33.3			Percent of total billed charges		464.868	100			Percent of total billed charges		1396	464.868	1256.4	
biomet 28mm 10 dergree liner sz27 11-105917	278	RC	Outpatient			1396	907.4		90			Percent of total billed charges		1256.4	40			Percent of total billed charges		558.4	80			Percent of total billed charges		1116.8	90			Percent of total billed charges		1256.4	85			Percent of total billed charges		1186.6	85			Percent of total billed charges		1186.6	85			Percent of total billed charges		1186.6	100			Percent of total billed charges		1396	100			Percent of total billed charges		1396	100			Percent of total billed charges		1396	33.3			Percent of total billed charges		464.868	33.3			Percent of total billed charges		464.868	100			Percent of total billed charges		1396	464.868	1256.4	
biomet 28mm hiwall liner size 23 11-105903	278	RC	Outpatient			1396	907.4		90			Percent of total billed charges		1256.4	40			Percent of total billed charges		558.4	80			Percent of total billed charges		1116.8	90			Percent of total billed charges		1256.4	85			Percent of total billed charges		1186.6	85			Percent of total billed charges		1186.6	85			Percent of total billed charges		1186.6	100			Percent of total billed charges		1396	100			Percent of total billed charges		1396	100			Percent of total billed charges		1396	33.3			Percent of total billed charges		464.868	33.3			Percent of total billed charges		464.868	100			Percent of total billed charges		1396	464.868	1256.4	
biomet 28mm hiwall liner size 26 11-105906	278	RC	Outpatient			1396	907.4		90			Percent of total billed charges		1256.4	40			Percent of total billed charges		558.4	80			Percent of total billed charges		1116.8	90			Percent of total billed charges		1256.4	85			Percent of total billed charges		1186.6	85			Percent of total billed charges		1186.6	85			Percent of total billed charges		1186.6	100			Percent of total billed charges		1396	100			Percent of total billed charges		1396	100			Percent of total billed charges		1396	33.3			Percent of total billed charges		464.868	33.3			Percent of total billed charges		464.868	100			Percent of total billed charges		1396	464.868	1256.4	
biomet 28mm hiwall liners size 21 11-105901	278	RC	Outpatient			1396	907.4		90			Percent of total billed charges		1256.4	40			Percent of total billed charges		558.4	80			Percent of total billed charges		1116.8	90			Percent of total billed charges		1256.4	85			Percent of total billed charges		1186.6	85			Percent of total billed charges		1186.6	85			Percent of total billed charges		1186.6	100			Percent of total billed charges		1396	100			Percent of total billed charges		1396	100			Percent of total billed charges		1396	33.3			Percent of total billed charges		464.868	33.3			Percent of total billed charges		464.868	100			Percent of total billed charges		1396	464.868	1256.4	
biomet 28mm hiwall liners size 22 11-105902	278	RC	Outpatient			1396	907.4		90			Percent of total billed charges		1256.4	40			Percent of total billed charges		558.4	80			Percent of total billed charges		1116.8	90			Percent of total billed charges		1256.4	85			Percent of total billed charges		1186.6	85			Percent of total billed charges		1186.6	85			Percent of total billed charges		1186.6	100			Percent of total billed charges		1396	100			Percent of total billed charges		1396	100			Percent of total billed charges		1396	33.3			Percent of total billed charges		464.868	33.3			Percent of total billed charges		464.868	100			Percent of total billed charges		1396	464.868	1256.4	
biomet 28mm hiwall liners size 27 11-105907	278	RC	Outpatient			1396	907.4		90			Percent of total billed charges		1256.4	40			Percent of total billed charges		558.4	80			Percent of total billed charges		1116.8	90			Percent of total billed charges		1256.4	85			Percent of total billed charges		1186.6	85			Percent of total billed charges		1186.6	85			Percent of total billed charges		1186.6	100			Percent of total billed charges		1396	100			Percent of total billed charges		1396	100			Percent of total billed charges		1396	33.3			Percent of total billed charges		464.868	33.3			Percent of total billed charges		464.868	100			Percent of total billed charges		1396	464.868	1256.4	
biomet 28mm hiwall liners size 28 11-105908	278	RC	Outpatient			1396	907.4		90			Percent of total billed charges		1256.4	40			Percent of total billed charges		558.4	80			Percent of total billed charges		1116.8	90			Percent of total billed charges		1256.4	85			Percent of total billed charges		1186.6	85			Percent of total billed charges		1186.6	85			Percent of total billed charges		1186.6	100			Percent of total billed charges		1396	100			Percent of total billed charges		1396	100			Percent of total billed charges		1396	33.3			Percent of total billed charges		464.868	33.3			Percent of total billed charges		464.868	100			Percent of total billed charges		1396	464.868	1256.4	
biomet 28mm standard liner size 27 12-105887	278	RC	Outpatient			1396	907.4		90			Percent of total billed charges		1256.4	40			Percent of total billed charges		558.4	80			Percent of total billed charges		1116.8	90			Percent of total billed charges		1256.4	85			Percent of total billed charges		1186.6	85			Percent of total billed charges		1186.6	85			Percent of total billed charges		1186.6	100			Percent of total billed charges		1396	100			Percent of total billed charges		1396	100			Percent of total billed charges		1396	33.3			Percent of total billed charges		464.868	33.3			Percent of total billed charges		464.868	100			Percent of total billed charges		1396	464.868	1256.4	
cup liner   sz 23 12-105883 biomet	278	RC	Outpatient			1396	907.4		90			Percent of total billed charges		1256.4	40			Percent of total billed charges		558.4	80			Percent of total billed charges		1116.8	90			Percent of total billed charges		1256.4	85			Percent of total billed charges		1186.6	85			Percent of total billed charges		1186.6	85			Percent of total billed charges		1186.6	100			Percent of total billed charges		1396	100			Percent of total billed charges		1396	100			Percent of total billed charges		1396	33.3			Percent of total billed charges		464.868	33.3			Percent of total billed charges		464.868	100			Percent of total billed charges		1396	464.868	1256.4	
biomet  28mm 10 dergree liner sz28 11-105918	278	RC	Outpatient			1396	907.4		90			Percent of total billed charges		1256.4	40			Percent of total billed charges		558.4	80			Percent of total billed charges		1116.8	90			Percent of total billed charges		1256.4	85			Percent of total billed charges		1186.6	85			Percent of total billed charges		1186.6	85			Percent of total billed charges		1186.6	100			Percent of total billed charges		1396	100			Percent of total billed charges		1396	100			Percent of total billed charges		1396	33.3			Percent of total billed charges		464.868	33.3			Percent of total billed charges		464.868	100			Percent of total billed charges		1396	464.868	1256.4	
biomet 28mm 10 degree liner size 21 11-105911	278	RC	Outpatient			1396	907.4		90			Percent of total billed charges		1256.4	40			Percent of total billed charges		558.4	80			Percent of total billed charges		1116.8	90			Percent of total billed charges		1256.4	85			Percent of total billed charges		1186.6	85			Percent of total billed charges		1186.6	85			Percent of total billed charges		1186.6	100			Percent of total billed charges		1396	100			Percent of total billed charges		1396	100			Percent of total billed charges		1396	33.3			Percent of total billed charges		464.868	33.3			Percent of total billed charges		464.868	100			Percent of total billed charges		1396	464.868	1256.4	
biomet 28mm 10 degree liner size 22 11-105912	278	RC	Outpatient			1396	907.4		90			Percent of total billed charges		1256.4	40			Percent of total billed charges		558.4	80			Percent of total billed charges		1116.8	90			Percent of total billed charges		1256.4	85			Percent of total billed charges		1186.6	85			Percent of total billed charges		1186.6	85			Percent of total billed charges		1186.6	100			Percent of total billed charges		1396	100			Percent of total billed charges		1396	100			Percent of total billed charges		1396	33.3			Percent of total billed charges		464.868	33.3			Percent of total billed charges		464.868	100			Percent of total billed charges		1396	464.868	1256.4	
biomet 28mm 10 degree liner size 26 11-105916	278	RC	Outpatient			1396	907.4		90			Percent of total billed charges		1256.4	40			Percent of total billed charges		558.4	80			Percent of total billed charges		1116.8	90			Percent of total billed charges		1256.4	85			Percent of total billed charges		1186.6	85			Percent of total billed charges		1186.6	85			Percent of total billed charges		1186.6	100			Percent of total billed charges		1396	100			Percent of total billed charges		1396	100			Percent of total billed charges		1396	33.3			Percent of total billed charges		464.868	33.3			Percent of total billed charges		464.868	100			Percent of total billed charges		1396	464.868	1256.4	
biomet 28mm hiwall liner size 24 11-105904	278	RC	Outpatient			1396	907.4		90			Percent of total billed charges		1256.4	40			Percent of total billed charges		558.4	80			Percent of total billed charges		1116.8	90			Percent of total billed charges		1256.4	85			Percent of total billed charges		1186.6	85			Percent of total billed charges		1186.6	85			Percent of total billed charges		1186.6	100			Percent of total billed charges		1396	100			Percent of total billed charges		1396	100			Percent of total billed charges		1396	33.3			Percent of total billed charges		464.868	33.3			Percent of total billed charges		464.868	100			Percent of total billed charges		1396	464.868	1256.4	
biomet 28mm hiwall liners size 25 11-105905	278	RC	Outpatient			1396	907.4		90			Percent of total billed charges		1256.4	40			Percent of total billed charges		558.4	80			Percent of total billed charges		1116.8	90			Percent of total billed charges		1256.4	85			Percent of total billed charges		1186.6	85			Percent of total billed charges		1186.6	85			Percent of total billed charges		1186.6	100			Percent of total billed charges		1396	100			Percent of total billed charges		1396	100			Percent of total billed charges		1396	33.3			Percent of total billed charges		464.868	33.3			Percent of total billed charges		464.868	100			Percent of total billed charges		1396	464.868	1256.4	
biomet 28mm maxrom standard liner acrom size 21 12-105881	278	RC	Outpatient			1396	907.4		90			Percent of total billed charges		1256.4	40			Percent of total billed charges		558.4	80			Percent of total billed charges		1116.8	90			Percent of total billed charges		1256.4	85			Percent of total billed charges		1186.6	85			Percent of total billed charges		1186.6	85			Percent of total billed charges		1186.6	100			Percent of total billed charges		1396	100			Percent of total billed charges		1396	100			Percent of total billed charges		1396	33.3			Percent of total billed charges		464.868	33.3			Percent of total billed charges		464.868	100			Percent of total billed charges		1396	464.868	1256.4	
liner ring lock acet sz 24 12-105884 biomet	278	RC	Outpatient			1396	907.4		90			Percent of total billed charges		1256.4	40			Percent of total billed charges		558.4	80			Percent of total billed charges		1116.8	90			Percent of total billed charges		1256.4	85			Percent of total billed charges		1186.6	85			Percent of total billed charges		1186.6	85			Percent of total billed charges		1186.6	100			Percent of total billed charges		1396	100			Percent of total billed charges		1396	100			Percent of total billed charges		1396	33.3			Percent of total billed charges		464.868	33.3			Percent of total billed charges		464.868	100			Percent of total billed charges		1396	464.868	1256.4	
liner ring lock acetabular sz 22 12-105882 biomet	278	RC	Outpatient			1396	907.4		90			Percent of total billed charges		1256.4	40			Percent of total billed charges		558.4	80			Percent of total billed charges		1116.8	90			Percent of total billed charges		1256.4	85			Percent of total billed charges		1186.6	85			Percent of total billed charges		1186.6	85			Percent of total billed charges		1186.6	100			Percent of total billed charges		1396	100			Percent of total billed charges		1396	100			Percent of total billed charges		1396	33.3			Percent of total billed charges		464.868	33.3			Percent of total billed charges		464.868	100			Percent of total billed charges		1396	464.868	1256.4	
liner ring lock acetr  sz 26 12-105886 biomet	278	RC	Outpatient			1396	907.4		90			Percent of total billed charges		1256.4	40			Percent of total billed charges		558.4	80			Percent of total billed charges		1116.8	90			Percent of total billed charges		1256.4	85			Percent of total billed charges		1186.6	85			Percent of total billed charges		1186.6	85			Percent of total billed charges		1186.6	100			Percent of total billed charges		1396	100			Percent of total billed charges		1396	100			Percent of total billed charges		1396	33.3			Percent of total billed charges		464.868	33.3			Percent of total billed charges		464.868	100			Percent of total billed charges		1396	464.868	1256.4	
liner ring lock acet sz 25 12-105885 biomet	278	RC	Outpatient			1396	907.4		90			Percent of total billed charges		1256.4	40			Percent of total billed charges		558.4	80			Percent of total billed charges		1116.8	90			Percent of total billed charges		1256.4	85			Percent of total billed charges		1186.6	85			Percent of total billed charges		1186.6	85			Percent of total billed charges		1186.6	100			Percent of total billed charges		1396	100			Percent of total billed charges		1396	100			Percent of total billed charges		1396	33.3			Percent of total billed charges		464.868	33.3			Percent of total billed charges		464.868	100			Percent of total billed charges		1396	464.868	1256.4	
recon plt 3.5mm 4 hl 71829514 s\n	278	RC	Outpatient			1396	907.4		90			Percent of total billed charges		1256.4	40			Percent of total billed charges		558.4	80			Percent of total billed charges		1116.8	90			Percent of total billed charges		1256.4	85			Percent of total billed charges		1186.6	85			Percent of total billed charges		1186.6	85			Percent of total billed charges		1186.6	100			Percent of total billed charges		1396	100			Percent of total billed charges		1396	100			Percent of total billed charges		1396	33.3			Percent of total billed charges		464.868	33.3			Percent of total billed charges		464.868	100			Percent of total billed charges		1396	464.868	1256.4	
recon plt 3.5mm 4 hl71809514 s\n	278	RC	Outpatient			1396	907.4		90			Percent of total billed charges		1256.4	40			Percent of total billed charges		558.4	80			Percent of total billed charges		1116.8	90			Percent of total billed charges		1256.4	85			Percent of total billed charges		1186.6	85			Percent of total billed charges		1186.6	85			Percent of total billed charges		1186.6	100			Percent of total billed charges		1396	100			Percent of total billed charges		1396	100			Percent of total billed charges		1396	33.3			Percent of total billed charges		464.868	33.3			Percent of total billed charges		464.868	100			Percent of total billed charges		1396	464.868	1256.4	
s/n 3.5 recon pl 4 hl	278	RC	Outpatient			1396	907.4		90			Percent of total billed charges		1256.4	40			Percent of total billed charges		558.4	80			Percent of total billed charges		1116.8	90			Percent of total billed charges		1256.4	85			Percent of total billed charges		1186.6	85			Percent of total billed charges		1186.6	85			Percent of total billed charges		1186.6	100			Percent of total billed charges		1396	100			Percent of total billed charges		1396	100			Percent of total billed charges		1396	33.3			Percent of total billed charges		464.868	33.3			Percent of total billed charges		464.868	100			Percent of total billed charges		1396	464.868	1256.4	
explant full blade 50 mm zimmer ref 00-7053-050-20	272	RC	Outpatient			1402.5	911.63		90			Percent of total billed charges		1262.25	40			Percent of total billed charges		561	80			Percent of total billed charges		1122	90			Percent of total billed charges		1262.25	85			Percent of total billed charges		1192.125	85			Percent of total billed charges		1192.125	85			Percent of total billed charges		1192.125	100			Percent of total billed charges		1402.5	100			Percent of total billed charges		1402.5	100			Percent of total billed charges		1402.5	33.3			Percent of total billed charges		467.0325	33.3			Percent of total billed charges		467.0325	100			Percent of total billed charges		1402.5	467.0325	1262.25	
explant truncated blade 50 mm zimmer ref 00-7053-050-10	272	RC	Outpatient			1402.5	911.63		90			Percent of total billed charges		1262.25	40			Percent of total billed charges		561	80			Percent of total billed charges		1122	90			Percent of total billed charges		1262.25	85			Percent of total billed charges		1192.125	85			Percent of total billed charges		1192.125	85			Percent of total billed charges		1192.125	100			Percent of total billed charges		1402.5	100			Percent of total billed charges		1402.5	100			Percent of total billed charges		1402.5	33.3			Percent of total billed charges		467.0325	33.3			Percent of total billed charges		467.0325	100			Percent of total billed charges		1402.5	467.0325	1262.25	
zimmer  trabecular metal explant full blade 48 mm ref 00-7053-048-20	272	RC	Outpatient			1402.5	911.63		90			Percent of total billed charges		1262.25	40			Percent of total billed charges		561	80			Percent of total billed charges		1122	90			Percent of total billed charges		1262.25	85			Percent of total billed charges		1192.125	85			Percent of total billed charges		1192.125	85			Percent of total billed charges		1192.125	100			Percent of total billed charges		1402.5	100			Percent of total billed charges		1402.5	100			Percent of total billed charges		1402.5	33.3			Percent of total billed charges		467.0325	33.3			Percent of total billed charges		467.0325	100			Percent of total billed charges		1402.5	467.0325	1262.25	
zimmer explant truncated blade 58 mm 00-7053-058-10	272	RC	Outpatient			1402.5	911.63		90			Percent of total billed charges		1262.25	40			Percent of total billed charges		561	80			Percent of total billed charges		1122	90			Percent of total billed charges		1262.25	85			Percent of total billed charges		1192.125	85			Percent of total billed charges		1192.125	85			Percent of total billed charges		1192.125	100			Percent of total billed charges		1402.5	100			Percent of total billed charges		1402.5	100			Percent of total billed charges		1402.5	33.3			Percent of total billed charges		467.0325	33.3			Percent of total billed charges		467.0325	100			Percent of total billed charges		1402.5	467.0325	1262.25	
zimmer trabecular metal explant truncated blade 48 mm ref 00-7053-048-10	272	RC	Outpatient			1402.5	911.63		90			Percent of total billed charges		1262.25	40			Percent of total billed charges		561	80			Percent of total billed charges		1122	90			Percent of total billed charges		1262.25	85			Percent of total billed charges		1192.125	85			Percent of total billed charges		1192.125	85			Percent of total billed charges		1192.125	100			Percent of total billed charges		1402.5	100			Percent of total billed charges		1402.5	100			Percent of total billed charges		1402.5	33.3			Percent of total billed charges		467.0325	33.3			Percent of total billed charges		467.0325	100			Percent of total billed charges		1402.5	467.0325	1262.25	
zimmer/biomet explant full blade 54 mm ref 00-7053-054-20	272	RC	Outpatient			1402.5	911.63		90			Percent of total billed charges		1262.25	40			Percent of total billed charges		561	80			Percent of total billed charges		1122	90			Percent of total billed charges		1262.25	85			Percent of total billed charges		1192.125	85			Percent of total billed charges		1192.125	85			Percent of total billed charges		1192.125	100			Percent of total billed charges		1402.5	100			Percent of total billed charges		1402.5	100			Percent of total billed charges		1402.5	33.3			Percent of total billed charges		467.0325	33.3			Percent of total billed charges		467.0325	100			Percent of total billed charges		1402.5	467.0325	1262.25	
zimmer biomet explant truncated blade 54 mm ref 00-7053-054-10	272	RC	Outpatient			1402.5	911.63		90			Percent of total billed charges		1262.25	40			Percent of total billed charges		561	80			Percent of total billed charges		1122	90			Percent of total billed charges		1262.25	85			Percent of total billed charges		1192.125	85			Percent of total billed charges		1192.125	85			Percent of total billed charges		1192.125	100			Percent of total billed charges		1402.5	100			Percent of total billed charges		1402.5	100			Percent of total billed charges		1402.5	33.3			Percent of total billed charges		467.0325	33.3			Percent of total billed charges		467.0325	100			Percent of total billed charges		1402.5	467.0325	1262.25	
zimmer explant full blade 58 mm 00-7053-058-20	272	RC	Outpatient			1402.5	911.63		90			Percent of total billed charges		1262.25	40			Percent of total billed charges		561	80			Percent of total billed charges		1122	90			Percent of total billed charges		1262.25	85			Percent of total billed charges		1192.125	85			Percent of total billed charges		1192.125	85			Percent of total billed charges		1192.125	100			Percent of total billed charges		1402.5	100			Percent of total billed charges		1402.5	100			Percent of total billed charges		1402.5	33.3			Percent of total billed charges		467.0325	33.3			Percent of total billed charges		467.0325	100			Percent of total billed charges		1402.5	467.0325	1262.25	
cath lab st jude biv icd accessory	272	RC	Outpatient			1404	912.6		90			Percent of total billed charges		1263.6	40			Percent of total billed charges		561.6	80			Percent of total billed charges		1123.2	90			Percent of total billed charges		1263.6	85			Percent of total billed charges		1193.4	85			Percent of total billed charges		1193.4	85			Percent of total billed charges		1193.4	100			Percent of total billed charges		1404	100			Percent of total billed charges		1404	100			Percent of total billed charges		1404	33.3			Percent of total billed charges		467.532	33.3			Percent of total billed charges		467.532	100			Percent of total billed charges		1404	467.532	1263.6	
lg fr pl t-buttress 6hl	278	RC	Outpatient			1404	912.6		90			Percent of total billed charges		1263.6	40			Percent of total billed charges		561.6	80			Percent of total billed charges		1123.2	90			Percent of total billed charges		1263.6	85			Percent of total billed charges		1193.4	85			Percent of total billed charges		1193.4	85			Percent of total billed charges		1193.4	100			Percent of total billed charges		1404	100			Percent of total billed charges		1404	100			Percent of total billed charges		1404	33.3			Percent of total billed charges		467.532	33.3			Percent of total billed charges		467.532	100			Percent of total billed charges		1404	467.532	1263.6	
st jude biv/icd accessor	272	RC	Outpatient			1404	912.6		90			Percent of total billed charges		1263.6	40			Percent of total billed charges		561.6	80			Percent of total billed charges		1123.2	90			Percent of total billed charges		1263.6	85			Percent of total billed charges		1193.4	85			Percent of total billed charges		1193.4	85			Percent of total billed charges		1193.4	100			Percent of total billed charges		1404	100			Percent of total billed charges		1404	100			Percent of total billed charges		1404	33.3			Percent of total billed charges		467.532	33.3			Percent of total billed charges		467.532	100			Percent of total billed charges		1404	467.532	1263.6	
s/n lg frag  plate 6 hole 7114-1706	278	RC	Outpatient			1404	912.6		90			Percent of total billed charges		1263.6	40			Percent of total billed charges		561.6	80			Percent of total billed charges		1123.2	90			Percent of total billed charges		1263.6	85			Percent of total billed charges		1193.4	85			Percent of total billed charges		1193.4	85			Percent of total billed charges		1193.4	100			Percent of total billed charges		1404	100			Percent of total billed charges		1404	100			Percent of total billed charges		1404	33.3			Percent of total billed charges		467.532	33.3			Percent of total billed charges		467.532	100			Percent of total billed charges		1404	467.532	1263.6	
vhs variable angle plate	278	RC	Outpatient			1404	912.6		90			Percent of total billed charges		1263.6	40			Percent of total billed charges		561.6	80			Percent of total billed charges		1123.2	90			Percent of total billed charges		1263.6	85			Percent of total billed charges		1193.4	85			Percent of total billed charges		1193.4	85			Percent of total billed charges		1193.4	100			Percent of total billed charges		1404	100			Percent of total billed charges		1404	100			Percent of total billed charges		1404	33.3			Percent of total billed charges		467.532	33.3			Percent of total billed charges		467.532	100			Percent of total billed charges		1404	467.532	1263.6	
vaginal delivery level 2 charge	720	RC	Outpatient			1404	912.6		90			Percent of total billed charges		1263.6	40			Percent of total billed charges		561.6	80			Percent of total billed charges		1123.2	90			Percent of total billed charges		1263.6	85			Percent of total billed charges		1193.4	85			Percent of total billed charges		1193.4	85			Percent of total billed charges		1193.4	100			Percent of total billed charges		1404	100			Percent of total billed charges		1404	100			Percent of total billed charges		1404	33.3			Percent of total billed charges		467.532	33.3			Percent of total billed charges		467.532	100			Percent of total billed charges		1404	467.532	1263.6	
vhs variable ange plate 10 hole  200110 biomet	278	RC	Outpatient			1404	912.6		90			Percent of total billed charges		1263.6	40			Percent of total billed charges		561.6	80			Percent of total billed charges		1123.2	90			Percent of total billed charges		1263.6	85			Percent of total billed charges		1193.4	85			Percent of total billed charges		1193.4	85			Percent of total billed charges		1193.4	100			Percent of total billed charges		1404	100			Percent of total billed charges		1404	100			Percent of total billed charges		1404	33.3			Percent of total billed charges		467.532	33.3			Percent of total billed charges		467.532	100			Percent of total billed charges		1404	467.532	1263.6	
distal lateral fibula plate 8 hole 40-20908 stryker	278	RC	Outpatient			1407	914.55		90			Percent of total billed charges		1266.3	40			Percent of total billed charges		562.8	80			Percent of total billed charges		1125.6	90			Percent of total billed charges		1266.3	85			Percent of total billed charges		1195.95	85			Percent of total billed charges		1195.95	85			Percent of total billed charges		1195.95	100			Percent of total billed charges		1407	100			Percent of total billed charges		1407	100			Percent of total billed charges		1407	33.3			Percent of total billed charges		468.531	33.3			Percent of total billed charges		468.531	100			Percent of total billed charges		1407	468.531	1266.3	
lg fr pl cp nar cmp 6-9hl	278	RC	Outpatient			1407	914.55		90			Percent of total billed charges		1266.3	40			Percent of total billed charges		562.8	80			Percent of total billed charges		1125.6	90			Percent of total billed charges		1266.3	85			Percent of total billed charges		1195.95	85			Percent of total billed charges		1195.95	85			Percent of total billed charges		1195.95	100			Percent of total billed charges		1407	100			Percent of total billed charges		1407	100			Percent of total billed charges		1407	33.3			Percent of total billed charges		468.531	33.3			Percent of total billed charges		468.531	100			Percent of total billed charges		1407	468.531	1266.3	
s/n lg frag plate 4.5mm 6 hole 7184-1406	278	RC	Outpatient			1407	914.55		90			Percent of total billed charges		1266.3	40			Percent of total billed charges		562.8	80			Percent of total billed charges		1125.6	90			Percent of total billed charges		1266.3	85			Percent of total billed charges		1195.95	85			Percent of total billed charges		1195.95	85			Percent of total billed charges		1195.95	100			Percent of total billed charges		1407	100			Percent of total billed charges		1407	100			Percent of total billed charges		1407	33.3			Percent of total billed charges		468.531	33.3			Percent of total billed charges		468.531	100			Percent of total billed charges		1407	468.531	1266.3	
s/n lg frag plate 4.5mm 8 hole 7184-1408	278	RC	Outpatient			1407	914.55		90			Percent of total billed charges		1266.3	40			Percent of total billed charges		562.8	80			Percent of total billed charges		1125.6	90			Percent of total billed charges		1266.3	85			Percent of total billed charges		1195.95	85			Percent of total billed charges		1195.95	85			Percent of total billed charges		1195.95	100			Percent of total billed charges		1407	100			Percent of total billed charges		1407	100			Percent of total billed charges		1407	33.3			Percent of total billed charges		468.531	33.3			Percent of total billed charges		468.531	100			Percent of total billed charges		1407	468.531	1266.3	
s/n lg frag plate 4.5mm 9 hole 7184-1409	278	RC	Outpatient			1407	914.55		90			Percent of total billed charges		1266.3	40			Percent of total billed charges		562.8	80			Percent of total billed charges		1125.6	90			Percent of total billed charges		1266.3	85			Percent of total billed charges		1195.95	85			Percent of total billed charges		1195.95	85			Percent of total billed charges		1195.95	100			Percent of total billed charges		1407	100			Percent of total billed charges		1407	100			Percent of total billed charges		1407	33.3			Percent of total billed charges		468.531	33.3			Percent of total billed charges		468.531	100			Percent of total billed charges		1407	468.531	1266.3	
sm fr pl recon 11-12hl	278	RC	Outpatient			1407	914.55		90			Percent of total billed charges		1266.3	40			Percent of total billed charges		562.8	80			Percent of total billed charges		1125.6	90			Percent of total billed charges		1266.3	85			Percent of total billed charges		1195.95	85			Percent of total billed charges		1195.95	85			Percent of total billed charges		1195.95	100			Percent of total billed charges		1407	100			Percent of total billed charges		1407	100			Percent of total billed charges		1407	33.3			Percent of total billed charges		468.531	33.3			Percent of total billed charges		468.531	100			Percent of total billed charges		1407	468.531	1266.3	
pleurx pleural cath kit ref: 50-7000b	272	RC	Outpatient			1407	914.55		90			Percent of total billed charges		1266.3	40			Percent of total billed charges		562.8	80			Percent of total billed charges		1125.6	90			Percent of total billed charges		1266.3	85			Percent of total billed charges		1195.95	85			Percent of total billed charges		1195.95	85			Percent of total billed charges		1195.95	100			Percent of total billed charges		1407	100			Percent of total billed charges		1407	100			Percent of total billed charges		1407	33.3			Percent of total billed charges		468.531	33.3			Percent of total billed charges		468.531	100			Percent of total billed charges		1407	468.531	1266.3	
s/n 3.5 recon plate 11 hole 7114-0111	278	RC	Outpatient			1407	914.55		90			Percent of total billed charges		1266.3	40			Percent of total billed charges		562.8	80			Percent of total billed charges		1125.6	90			Percent of total billed charges		1266.3	85			Percent of total billed charges		1195.95	85			Percent of total billed charges		1195.95	85			Percent of total billed charges		1195.95	100			Percent of total billed charges		1407	100			Percent of total billed charges		1407	100			Percent of total billed charges		1407	33.3			Percent of total billed charges		468.531	33.3			Percent of total billed charges		468.531	100			Percent of total billed charges		1407	468.531	1266.3	
s/n lg frag plate 4.5mm 7 hole 7184-1407	278	RC	Outpatient			1407	914.55		90			Percent of total billed charges		1266.3	40			Percent of total billed charges		562.8	80			Percent of total billed charges		1125.6	90			Percent of total billed charges		1266.3	85			Percent of total billed charges		1195.95	85			Percent of total billed charges		1195.95	85			Percent of total billed charges		1195.95	100			Percent of total billed charges		1407	100			Percent of total billed charges		1407	100			Percent of total billed charges		1407	33.3			Percent of total billed charges		468.531	33.3			Percent of total billed charges		468.531	100			Percent of total billed charges		1407	468.531	1266.3	
s/ng 3.5 recon plate 12 hole 7114-0112	278	RC	Outpatient			1407	914.55		90			Percent of total billed charges		1266.3	40			Percent of total billed charges		562.8	80			Percent of total billed charges		1125.6	90			Percent of total billed charges		1266.3	85			Percent of total billed charges		1195.95	85			Percent of total billed charges		1195.95	85			Percent of total billed charges		1195.95	100			Percent of total billed charges		1407	100			Percent of total billed charges		1407	100			Percent of total billed charges		1407	33.3			Percent of total billed charges		468.531	33.3			Percent of total billed charges		468.531	100			Percent of total billed charges		1407	468.531	1266.3	
biomet patella series a	278	RC	Outpatient			1412	917.8		90			Percent of total billed charges		1270.8	40			Percent of total billed charges		564.8	80			Percent of total billed charges		1129.6	90			Percent of total billed charges		1270.8	85			Percent of total billed charges		1200.2	85			Percent of total billed charges		1200.2	85			Percent of total billed charges		1200.2	100			Percent of total billed charges		1412	100			Percent of total billed charges		1412	100			Percent of total billed charges		1412	33.3			Percent of total billed charges		470.196	33.3			Percent of total billed charges		470.196	100			Percent of total billed charges		1412	470.196	1270.8	
series a patella 3 1/4 pegs 31mm x 8.8mm 184764 biomet	278	RC	Outpatient			1412	917.8		90			Percent of total billed charges		1270.8	40			Percent of total billed charges		564.8	80			Percent of total billed charges		1129.6	90			Percent of total billed charges		1270.8	85			Percent of total billed charges		1200.2	85			Percent of total billed charges		1200.2	85			Percent of total billed charges		1200.2	100			Percent of total billed charges		1412	100			Percent of total billed charges		1412	100			Percent of total billed charges		1412	33.3			Percent of total billed charges		470.196	33.3			Percent of total billed charges		470.196	100			Percent of total billed charges		1412	470.196	1270.8	
series a standard patella 3 1/4 pegs 34mm x 8.5mm 184766 biomet	278	RC	Outpatient			1412	917.8		90			Percent of total billed charges		1270.8	40			Percent of total billed charges		564.8	80			Percent of total billed charges		1129.6	90			Percent of total billed charges		1270.8	85			Percent of total billed charges		1200.2	85			Percent of total billed charges		1200.2	85			Percent of total billed charges		1200.2	100			Percent of total billed charges		1412	100			Percent of total billed charges		1412	100			Percent of total billed charges		1412	33.3			Percent of total billed charges		470.196	33.3			Percent of total billed charges		470.196	100			Percent of total billed charges		1412	470.196	1270.8	
s/n calcaneal plate 60mm  7114-4010	278	RC	Outpatient			1417	921.05		90			Percent of total billed charges		1275.3	40			Percent of total billed charges		566.8	80			Percent of total billed charges		1133.6	90			Percent of total billed charges		1275.3	85			Percent of total billed charges		1204.45	85			Percent of total billed charges		1204.45	85			Percent of total billed charges		1204.45	100			Percent of total billed charges		1417	100			Percent of total billed charges		1417	100			Percent of total billed charges		1417	33.3			Percent of total billed charges		471.861	33.3			Percent of total billed charges		471.861	100			Percent of total billed charges		1417	471.861	1275.3	
s/n calcaneal plate 70mm  7114-4011	278	RC	Outpatient			1417	921.05		90			Percent of total billed charges		1275.3	40			Percent of total billed charges		566.8	80			Percent of total billed charges		1133.6	90			Percent of total billed charges		1275.3	85			Percent of total billed charges		1204.45	85			Percent of total billed charges		1204.45	85			Percent of total billed charges		1204.45	100			Percent of total billed charges		1417	100			Percent of total billed charges		1417	100			Percent of total billed charges		1417	33.3			Percent of total billed charges		471.861	33.3			Percent of total billed charges		471.861	100			Percent of total billed charges		1417	471.861	1275.3	
sm fr pl calcaneal 10-11h	278	RC	Outpatient			1417	921.05		90			Percent of total billed charges		1275.3	40			Percent of total billed charges		566.8	80			Percent of total billed charges		1133.6	90			Percent of total billed charges		1275.3	85			Percent of total billed charges		1204.45	85			Percent of total billed charges		1204.45	85			Percent of total billed charges		1204.45	100			Percent of total billed charges		1417	100			Percent of total billed charges		1417	100			Percent of total billed charges		1417	33.3			Percent of total billed charges		471.861	33.3			Percent of total billed charges		471.861	100			Percent of total billed charges		1417	471.861	1275.3	
s/n v-d-r lk pl 5h	278	RC	Outpatient			1418	921.7		90			Percent of total billed charges		1276.2	40			Percent of total billed charges		567.2	80			Percent of total billed charges		1134.4	90			Percent of total billed charges		1276.2	85			Percent of total billed charges		1205.3	85			Percent of total billed charges		1205.3	85			Percent of total billed charges		1205.3	100			Percent of total billed charges		1418	100			Percent of total billed charges		1418	100			Percent of total billed charges		1418	33.3			Percent of total billed charges		472.194	33.3			Percent of total billed charges		472.194	100			Percent of total billed charges		1418	472.194	1276.2	
v-d-r locking plate std hd 5h r 71823116 s/n	278	RC	Outpatient			1418	921.7		90			Percent of total billed charges		1276.2	40			Percent of total billed charges		567.2	80			Percent of total billed charges		1134.4	90			Percent of total billed charges		1276.2	85			Percent of total billed charges		1205.3	85			Percent of total billed charges		1205.3	85			Percent of total billed charges		1205.3	100			Percent of total billed charges		1418	100			Percent of total billed charges		1418	100			Percent of total billed charges		1418	33.3			Percent of total billed charges		472.194	33.3			Percent of total billed charges		472.194	100			Percent of total billed charges		1418	472.194	1276.2	
v-d-r locking plate wde hd 5h l 71823120 s/n	278	RC	Outpatient			1418	921.7		90			Percent of total billed charges		1276.2	40			Percent of total billed charges		567.2	80			Percent of total billed charges		1134.4	90			Percent of total billed charges		1276.2	85			Percent of total billed charges		1205.3	85			Percent of total billed charges		1205.3	85			Percent of total billed charges		1205.3	100			Percent of total billed charges		1418	100			Percent of total billed charges		1418	100			Percent of total billed charges		1418	33.3			Percent of total billed charges		472.194	33.3			Percent of total billed charges		472.194	100			Percent of total billed charges		1418	472.194	1276.2	
v-d-r locking plate std hd 5h l 71823112 s/n	278	RC	Outpatient			1418	921.7		90			Percent of total billed charges		1276.2	40			Percent of total billed charges		567.2	80			Percent of total billed charges		1134.4	90			Percent of total billed charges		1276.2	85			Percent of total billed charges		1205.3	85			Percent of total billed charges		1205.3	85			Percent of total billed charges		1205.3	100			Percent of total billed charges		1418	100			Percent of total billed charges		1418	100			Percent of total billed charges		1418	33.3			Percent of total billed charges		472.194	33.3			Percent of total billed charges		472.194	100			Percent of total billed charges		1418	472.194	1276.2	
v-d-r locking plate wde hd 5h r 71823124 s/n	278	RC	Outpatient			1418	921.7		90			Percent of total billed charges		1276.2	40			Percent of total billed charges		567.2	80			Percent of total billed charges		1134.4	90			Percent of total billed charges		1276.2	85			Percent of total billed charges		1205.3	85			Percent of total billed charges		1205.3	85			Percent of total billed charges		1205.3	100			Percent of total billed charges		1418	100			Percent of total billed charges		1418	100			Percent of total billed charges		1418	33.3			Percent of total billed charges		472.194	33.3			Percent of total billed charges		472.194	100			Percent of total billed charges		1418	472.194	1276.2	
4.5mm medial distal tibia plate 10 hole 197mm lt 224.510	278	RC	Outpatient			1420	923		90			Percent of total billed charges		1278	40			Percent of total billed charges		568	80			Percent of total billed charges		1136	90			Percent of total billed charges		1278	85			Percent of total billed charges		1207	85			Percent of total billed charges		1207	85			Percent of total billed charges		1207	100			Percent of total billed charges		1420	100			Percent of total billed charges		1420	100			Percent of total billed charges		1420	33.3			Percent of total billed charges		472.86	33.3			Percent of total billed charges		472.86	100			Percent of total billed charges		1420	472.86	1278	
4.5mm medial distal tibia plate 10 hole 197mm lt 224.511	278	RC	Outpatient			1420	923		90			Percent of total billed charges		1278	40			Percent of total billed charges		568	80			Percent of total billed charges		1136	90			Percent of total billed charges		1278	85			Percent of total billed charges		1207	85			Percent of total billed charges		1207	85			Percent of total billed charges		1207	100			Percent of total billed charges		1420	100			Percent of total billed charges		1420	100			Percent of total billed charges		1420	33.3			Percent of total billed charges		472.86	33.3			Percent of total billed charges		472.86	100			Percent of total billed charges		1420	472.86	1278	
4.5mm medial distal tibia plate 8 hole 161mm lt 224.509	278	RC	Outpatient			1420	923		90			Percent of total billed charges		1278	40			Percent of total billed charges		568	80			Percent of total billed charges		1136	90			Percent of total billed charges		1278	85			Percent of total billed charges		1207	85			Percent of total billed charges		1207	85			Percent of total billed charges		1207	100			Percent of total billed charges		1420	100			Percent of total billed charges		1420	100			Percent of total billed charges		1420	33.3			Percent of total billed charges		472.86	33.3			Percent of total billed charges		472.86	100			Percent of total billed charges		1420	472.86	1278	
4.5mm medial distal tibia plate 8 hole 161mm rt 224.508	278	RC	Outpatient			1420	923		90			Percent of total billed charges		1278	40			Percent of total billed charges		568	80			Percent of total billed charges		1136	90			Percent of total billed charges		1278	85			Percent of total billed charges		1207	85			Percent of total billed charges		1207	85			Percent of total billed charges		1207	100			Percent of total billed charges		1420	100			Percent of total billed charges		1420	100			Percent of total billed charges		1420	33.3			Percent of total billed charges		472.86	33.3			Percent of total billed charges		472.86	100			Percent of total billed charges		1420	472.86	1278	
syn 4.5 dist tib plt 10hl	278	RC	Outpatient			1420	923		90			Percent of total billed charges		1278	40			Percent of total billed charges		568	80			Percent of total billed charges		1136	90			Percent of total billed charges		1278	85			Percent of total billed charges		1207	85			Percent of total billed charges		1207	85			Percent of total billed charges		1207	100			Percent of total billed charges		1420	100			Percent of total billed charges		1420	100			Percent of total billed charges		1420	33.3			Percent of total billed charges		472.86	33.3			Percent of total billed charges		472.86	100			Percent of total billed charges		1420	472.86	1278	
synthes 4.5 proximal tibial plate 10 hole 181mm (r) 240.010	278	RC	Outpatient			1420	923		90			Percent of total billed charges		1278	40			Percent of total billed charges		568	80			Percent of total billed charges		1136	90			Percent of total billed charges		1278	85			Percent of total billed charges		1207	85			Percent of total billed charges		1207	85			Percent of total billed charges		1207	100			Percent of total billed charges		1420	100			Percent of total billed charges		1420	100			Percent of total billed charges		1420	33.3			Percent of total billed charges		472.86	33.3			Percent of total billed charges		472.86	100			Percent of total billed charges		1420	472.86	1278	
synthes 4.5 proximal tibial plate 8 hole 145mm (l) 240.009	278	RC	Outpatient			1420	923		90			Percent of total billed charges		1278	40			Percent of total billed charges		568	80			Percent of total billed charges		1136	90			Percent of total billed charges		1278	85			Percent of total billed charges		1207	85			Percent of total billed charges		1207	85			Percent of total billed charges		1207	100			Percent of total billed charges		1420	100			Percent of total billed charges		1420	100			Percent of total billed charges		1420	33.3			Percent of total billed charges		472.86	33.3			Percent of total billed charges		472.86	100			Percent of total billed charges		1420	472.86	1278	
syn 4.5 dist tib plt 8hl	278	RC	Outpatient			1420	923		90			Percent of total billed charges		1278	40			Percent of total billed charges		568	80			Percent of total billed charges		1136	90			Percent of total billed charges		1278	85			Percent of total billed charges		1207	85			Percent of total billed charges		1207	85			Percent of total billed charges		1207	100			Percent of total billed charges		1420	100			Percent of total billed charges		1420	100			Percent of total billed charges		1420	33.3			Percent of total billed charges		472.86	33.3			Percent of total billed charges		472.86	100			Percent of total billed charges		1420	472.86	1278	
synthes 4.5 proximal tibial plate 10 hole 181mm (l) 240.011	278	RC	Outpatient			1420	923		90			Percent of total billed charges		1278	40			Percent of total billed charges		568	80			Percent of total billed charges		1136	90			Percent of total billed charges		1278	85			Percent of total billed charges		1207	85			Percent of total billed charges		1207	85			Percent of total billed charges		1207	100			Percent of total billed charges		1420	100			Percent of total billed charges		1420	100			Percent of total billed charges		1420	33.3			Percent of total billed charges		472.86	33.3			Percent of total billed charges		472.86	100			Percent of total billed charges		1420	472.86	1278	
synthes 4.5 proximal tibial plate 8 hole 145mm (r) 240.008	278	RC	Outpatient			1420	923		90			Percent of total billed charges		1278	40			Percent of total billed charges		568	80			Percent of total billed charges		1136	90			Percent of total billed charges		1278	85			Percent of total billed charges		1207	85			Percent of total billed charges		1207	85			Percent of total billed charges		1207	100			Percent of total billed charges		1420	100			Percent of total billed charges		1420	100			Percent of total billed charges		1420	33.3			Percent of total billed charges		472.86	33.3			Percent of total billed charges		472.86	100			Percent of total billed charges		1420	472.86	1278	
evos 2.0 flex plate	278	RC	Outpatient			1424	925.6		90			Percent of total billed charges		1281.6	40			Percent of total billed charges		569.6	80			Percent of total billed charges		1139.2	90			Percent of total billed charges		1281.6	85			Percent of total billed charges		1210.4	85			Percent of total billed charges		1210.4	85			Percent of total billed charges		1210.4	100			Percent of total billed charges		1424	100			Percent of total billed charges		1424	100			Percent of total billed charges		1424	33.3			Percent of total billed charges		474.192	33.3			Percent of total billed charges		474.192	100			Percent of total billed charges		1424	474.192	1281.6	
evos 2.0 flex plate 6 hole s/n 72442060n	278	RC	Outpatient			1424	925.6		90			Percent of total billed charges		1281.6	40			Percent of total billed charges		569.6	80			Percent of total billed charges		1139.2	90			Percent of total billed charges		1281.6	85			Percent of total billed charges		1210.4	85			Percent of total billed charges		1210.4	85			Percent of total billed charges		1210.4	100			Percent of total billed charges		1424	100			Percent of total billed charges		1424	100			Percent of total billed charges		1424	33.3			Percent of total billed charges		474.192	33.3			Percent of total billed charges		474.192	100			Percent of total billed charges		1424	474.192	1281.6	
endo egd with rigiflex dil (balloon)	750	RC	Outpatient			1424	925.6		90			Percent of total billed charges		1281.6	40			Percent of total billed charges		569.6	80			Percent of total billed charges		1139.2	90			Percent of total billed charges		1281.6	85			Percent of total billed charges		1210.4	85			Percent of total billed charges		1210.4	85			Percent of total billed charges		1210.4	100			Percent of total billed charges		1424	100			Percent of total billed charges		1424	100			Percent of total billed charges		1424	33.3			Percent of total billed charges		474.192	33.3			Percent of total billed charges		474.192	100			Percent of total billed charges		1424	474.192	1281.6	
colles frame richards	278	RC	Outpatient			1426	926.9		90			Percent of total billed charges		1283.4	40			Percent of total billed charges		570.4	80			Percent of total billed charges		1140.8	90			Percent of total billed charges		1283.4	85			Percent of total billed charges		1212.1	85			Percent of total billed charges		1212.1	85			Percent of total billed charges		1212.1	100			Percent of total billed charges		1426	100			Percent of total billed charges		1426	100			Percent of total billed charges		1426	33.3			Percent of total billed charges		474.858	33.3			Percent of total billed charges		474.858	100			Percent of total billed charges		1426	474.858	1283.4	
mini hook plate 5 hole mhook-5 trimed	278	RC	Outpatient			1427	927.55		90			Percent of total billed charges		1284.3	40			Percent of total billed charges		570.8	80			Percent of total billed charges		1141.6	90			Percent of total billed charges		1284.3	85			Percent of total billed charges		1212.95	85			Percent of total billed charges		1212.95	85			Percent of total billed charges		1212.95	100			Percent of total billed charges		1427	100			Percent of total billed charges		1427	100			Percent of total billed charges		1427	33.3			Percent of total billed charges		475.191	33.3			Percent of total billed charges		475.191	100			Percent of total billed charges		1427	475.191	1284.3	
mini hoffman	278	RC	Outpatient			1429	928.85		90			Percent of total billed charges		1286.1	40			Percent of total billed charges		571.6	80			Percent of total billed charges		1143.2	90			Percent of total billed charges		1286.1	85			Percent of total billed charges		1214.65	85			Percent of total billed charges		1214.65	85			Percent of total billed charges		1214.65	100			Percent of total billed charges		1429	100			Percent of total billed charges		1429	100			Percent of total billed charges		1429	33.3			Percent of total billed charges		475.857	33.3			Percent of total billed charges		475.857	100			Percent of total billed charges		1429	475.857	1286.1	
bio offset tib tray adr	278	RC	Outpatient			1430	929.5		90			Percent of total billed charges		1287	40			Percent of total billed charges		572	80			Percent of total billed charges		1144	90			Percent of total billed charges		1287	85			Percent of total billed charges		1215.5	85			Percent of total billed charges		1215.5	85			Percent of total billed charges		1215.5	100			Percent of total billed charges		1430	100			Percent of total billed charges		1430	100			Percent of total billed charges		1430	33.3			Percent of total billed charges		476.19	33.3			Percent of total billed charges		476.19	100			Percent of total billed charges		1430	476.19	1287	
offset tibial tray adaptor   141489 biomet	278	RC	Outpatient			1430	929.5		90			Percent of total billed charges		1287	40			Percent of total billed charges		572	80			Percent of total billed charges		1144	90			Percent of total billed charges		1287	85			Percent of total billed charges		1215.5	85			Percent of total billed charges		1215.5	85			Percent of total billed charges		1215.5	100			Percent of total billed charges		1430	100			Percent of total billed charges		1430	100			Percent of total billed charges		1430	33.3			Percent of total billed charges		476.19	33.3			Percent of total billed charges		476.19	100			Percent of total billed charges		1430	476.19	1287	
offset tibial tray adaptor 2.5mm  141490 biomet	278	RC	Outpatient			1430	929.5		90			Percent of total billed charges		1287	40			Percent of total billed charges		572	80			Percent of total billed charges		1144	90			Percent of total billed charges		1287	85			Percent of total billed charges		1215.5	85			Percent of total billed charges		1215.5	85			Percent of total billed charges		1215.5	100			Percent of total billed charges		1430	100			Percent of total billed charges		1430	100			Percent of total billed charges		1430	33.3			Percent of total billed charges		476.19	33.3			Percent of total billed charges		476.19	100			Percent of total billed charges		1430	476.19	1287	
offset tibial tray adaptor 5.0  141491 biomet	278	RC	Outpatient			1430	929.5		90			Percent of total billed charges		1287	40			Percent of total billed charges		572	80			Percent of total billed charges		1144	90			Percent of total billed charges		1287	85			Percent of total billed charges		1215.5	85			Percent of total billed charges		1215.5	85			Percent of total billed charges		1215.5	100			Percent of total billed charges		1430	100			Percent of total billed charges		1430	100			Percent of total billed charges		1430	33.3			Percent of total billed charges		476.19	33.3			Percent of total billed charges		476.19	100			Percent of total billed charges		1430	476.19	1287	
scrmc pleurx pleural catheter kit	270	RC	Outpatient			1430	929.5		90			Percent of total billed charges		1287	40			Percent of total billed charges		572	80			Percent of total billed charges		1144	90			Percent of total billed charges		1287	85			Percent of total billed charges		1215.5	85			Percent of total billed charges		1215.5	85			Percent of total billed charges		1215.5	100			Percent of total billed charges		1430	100			Percent of total billed charges		1430	100			Percent of total billed charges		1430	33.3			Percent of total billed charges		476.19	33.3			Percent of total billed charges		476.19	100			Percent of total billed charges		1430	476.19	1287	
endo colon w/decompression tube	750	RC	Outpatient			1431	930.15		90			Percent of total billed charges		1287.9	40			Percent of total billed charges		572.4	80			Percent of total billed charges		1144.8	90			Percent of total billed charges		1287.9	85			Percent of total billed charges		1216.35	85			Percent of total billed charges		1216.35	85			Percent of total billed charges		1216.35	100			Percent of total billed charges		1431	100			Percent of total billed charges		1431	100			Percent of total billed charges		1431	33.3			Percent of total billed charges		476.523	33.3			Percent of total billed charges		476.523	100			Percent of total billed charges		1431	476.523	1287.9	
biomet 360 tibial cruciate wing 185650	278	RC	Outpatient			1432	930.8		90			Percent of total billed charges		1288.8	40			Percent of total billed charges		572.8	80			Percent of total billed charges		1145.6	90			Percent of total billed charges		1288.8	85			Percent of total billed charges		1217.2	85			Percent of total billed charges		1217.2	85			Percent of total billed charges		1217.2	100			Percent of total billed charges		1432	100			Percent of total billed charges		1432	100			Percent of total billed charges		1432	33.3			Percent of total billed charges		476.856	33.3			Percent of total billed charges		476.856	100			Percent of total billed charges		1432	476.856	1288.8	
click'x pedicle screw dual core 5.2 x 30mm  487.070 synthes	278	RC	Outpatient			1432	930.8		90			Percent of total billed charges		1288.8	40			Percent of total billed charges		572.8	80			Percent of total billed charges		1145.6	90			Percent of total billed charges		1288.8	85			Percent of total billed charges		1217.2	85			Percent of total billed charges		1217.2	85			Percent of total billed charges		1217.2	100			Percent of total billed charges		1432	100			Percent of total billed charges		1432	100			Percent of total billed charges		1432	33.3			Percent of total billed charges		476.856	33.3			Percent of total billed charges		476.856	100			Percent of total billed charges		1432	476.856	1288.8	
click'x pedicle screw dual core 5.2 x 45mm  487.073 synthes	278	RC	Outpatient			1432	930.8		90			Percent of total billed charges		1288.8	40			Percent of total billed charges		572.8	80			Percent of total billed charges		1145.6	90			Percent of total billed charges		1288.8	85			Percent of total billed charges		1217.2	85			Percent of total billed charges		1217.2	85			Percent of total billed charges		1217.2	100			Percent of total billed charges		1432	100			Percent of total billed charges		1432	100			Percent of total billed charges		1432	33.3			Percent of total billed charges		476.856	33.3			Percent of total billed charges		476.856	100			Percent of total billed charges		1432	476.856	1288.8	
click'x pedicle screw dual core 5.2 x 55mm  487.075 synthes	278	RC	Outpatient			1432	930.8		90			Percent of total billed charges		1288.8	40			Percent of total billed charges		572.8	80			Percent of total billed charges		1145.6	90			Percent of total billed charges		1288.8	85			Percent of total billed charges		1217.2	85			Percent of total billed charges		1217.2	85			Percent of total billed charges		1217.2	100			Percent of total billed charges		1432	100			Percent of total billed charges		1432	100			Percent of total billed charges		1432	33.3			Percent of total billed charges		476.856	33.3			Percent of total billed charges		476.856	100			Percent of total billed charges		1432	476.856	1288.8	
click'x pedicle screw dual core 6.2 x 45mm  498.563 synthes	278	RC	Outpatient			1432	930.8		90			Percent of total billed charges		1288.8	40			Percent of total billed charges		572.8	80			Percent of total billed charges		1145.6	90			Percent of total billed charges		1288.8	85			Percent of total billed charges		1217.2	85			Percent of total billed charges		1217.2	85			Percent of total billed charges		1217.2	100			Percent of total billed charges		1432	100			Percent of total billed charges		1432	100			Percent of total billed charges		1432	33.3			Percent of total billed charges		476.856	33.3			Percent of total billed charges		476.856	100			Percent of total billed charges		1432	476.856	1288.8	
click'x pedicle screw dual core 6.2 x 50mm  498.564 synthes	278	RC	Outpatient			1432	930.8		90			Percent of total billed charges		1288.8	40			Percent of total billed charges		572.8	80			Percent of total billed charges		1145.6	90			Percent of total billed charges		1288.8	85			Percent of total billed charges		1217.2	85			Percent of total billed charges		1217.2	85			Percent of total billed charges		1217.2	100			Percent of total billed charges		1432	100			Percent of total billed charges		1432	100			Percent of total billed charges		1432	33.3			Percent of total billed charges		476.856	33.3			Percent of total billed charges		476.856	100			Percent of total billed charges		1432	476.856	1288.8	
click'x pedicle screw dual core 6.2 x 55mm  498.565 synthes	278	RC	Outpatient			1432	930.8		90			Percent of total billed charges		1288.8	40			Percent of total billed charges		572.8	80			Percent of total billed charges		1145.6	90			Percent of total billed charges		1288.8	85			Percent of total billed charges		1217.2	85			Percent of total billed charges		1217.2	85			Percent of total billed charges		1217.2	100			Percent of total billed charges		1432	100			Percent of total billed charges		1432	100			Percent of total billed charges		1432	33.3			Percent of total billed charges		476.856	33.3			Percent of total billed charges		476.856	100			Percent of total billed charges		1432	476.856	1288.8	
click'x pedicle screw dual core 6.2 x 65mm  498.567 synthes	278	RC	Outpatient			1432	930.8		90			Percent of total billed charges		1288.8	40			Percent of total billed charges		572.8	80			Percent of total billed charges		1145.6	90			Percent of total billed charges		1288.8	85			Percent of total billed charges		1217.2	85			Percent of total billed charges		1217.2	85			Percent of total billed charges		1217.2	100			Percent of total billed charges		1432	100			Percent of total billed charges		1432	100			Percent of total billed charges		1432	33.3			Percent of total billed charges		476.856	33.3			Percent of total billed charges		476.856	100			Percent of total billed charges		1432	476.856	1288.8	
click'x pedicle screw dual core 7.0 x 35mm  498.502 synthes	278	RC	Outpatient			1432	930.8		90			Percent of total billed charges		1288.8	40			Percent of total billed charges		572.8	80			Percent of total billed charges		1145.6	90			Percent of total billed charges		1288.8	85			Percent of total billed charges		1217.2	85			Percent of total billed charges		1217.2	85			Percent of total billed charges		1217.2	100			Percent of total billed charges		1432	100			Percent of total billed charges		1432	100			Percent of total billed charges		1432	33.3			Percent of total billed charges		476.856	33.3			Percent of total billed charges		476.856	100			Percent of total billed charges		1432	476.856	1288.8	
click'x pedicle screw dual core 8.0 x 45mm  487.083 synthes	278	RC	Outpatient			1432	930.8		90			Percent of total billed charges		1288.8	40			Percent of total billed charges		572.8	80			Percent of total billed charges		1145.6	90			Percent of total billed charges		1288.8	85			Percent of total billed charges		1217.2	85			Percent of total billed charges		1217.2	85			Percent of total billed charges		1217.2	100			Percent of total billed charges		1432	100			Percent of total billed charges		1432	100			Percent of total billed charges		1432	33.3			Percent of total billed charges		476.856	33.3			Percent of total billed charges		476.856	100			Percent of total billed charges		1432	476.856	1288.8	
click'x pedicle screw single core 6.2 x 45mm  498.583 synthes	278	RC	Outpatient			1432	930.8		90			Percent of total billed charges		1288.8	40			Percent of total billed charges		572.8	80			Percent of total billed charges		1145.6	90			Percent of total billed charges		1288.8	85			Percent of total billed charges		1217.2	85			Percent of total billed charges		1217.2	85			Percent of total billed charges		1217.2	100			Percent of total billed charges		1432	100			Percent of total billed charges		1432	100			Percent of total billed charges		1432	33.3			Percent of total billed charges		476.856	33.3			Percent of total billed charges		476.856	100			Percent of total billed charges		1432	476.856	1288.8	
bio tib cruciate wing 360	278	RC	Outpatient			1432	930.8		90			Percent of total billed charges		1288.8	40			Percent of total billed charges		572.8	80			Percent of total billed charges		1145.6	90			Percent of total billed charges		1288.8	85			Percent of total billed charges		1217.2	85			Percent of total billed charges		1217.2	85			Percent of total billed charges		1217.2	100			Percent of total billed charges		1432	100			Percent of total billed charges		1432	100			Percent of total billed charges		1432	33.3			Percent of total billed charges		476.856	33.3			Percent of total billed charges		476.856	100			Percent of total billed charges		1432	476.856	1288.8	
click'x ped scr dual core	278	RC	Outpatient			1432	930.8		90			Percent of total billed charges		1288.8	40			Percent of total billed charges		572.8	80			Percent of total billed charges		1145.6	90			Percent of total billed charges		1288.8	85			Percent of total billed charges		1217.2	85			Percent of total billed charges		1217.2	85			Percent of total billed charges		1217.2	100			Percent of total billed charges		1432	100			Percent of total billed charges		1432	100			Percent of total billed charges		1432	33.3			Percent of total billed charges		476.856	33.3			Percent of total billed charges		476.856	100			Percent of total billed charges		1432	476.856	1288.8	
click'x pedicle screw dual core 5.2 x 35mm  487.071 synthes	278	RC	Outpatient			1432	930.8		90			Percent of total billed charges		1288.8	40			Percent of total billed charges		572.8	80			Percent of total billed charges		1145.6	90			Percent of total billed charges		1288.8	85			Percent of total billed charges		1217.2	85			Percent of total billed charges		1217.2	85			Percent of total billed charges		1217.2	100			Percent of total billed charges		1432	100			Percent of total billed charges		1432	100			Percent of total billed charges		1432	33.3			Percent of total billed charges		476.856	33.3			Percent of total billed charges		476.856	100			Percent of total billed charges		1432	476.856	1288.8	
click'x pedicle screw dual core 5.2 x 40mm  487.072 synthes	278	RC	Outpatient			1432	930.8		90			Percent of total billed charges		1288.8	40			Percent of total billed charges		572.8	80			Percent of total billed charges		1145.6	90			Percent of total billed charges		1288.8	85			Percent of total billed charges		1217.2	85			Percent of total billed charges		1217.2	85			Percent of total billed charges		1217.2	100			Percent of total billed charges		1432	100			Percent of total billed charges		1432	100			Percent of total billed charges		1432	33.3			Percent of total billed charges		476.856	33.3			Percent of total billed charges		476.856	100			Percent of total billed charges		1432	476.856	1288.8	
click'x pedicle screw dual core 5.2 x 55mm  487.074 synthes	278	RC	Outpatient			1432	930.8		90			Percent of total billed charges		1288.8	40			Percent of total billed charges		572.8	80			Percent of total billed charges		1145.6	90			Percent of total billed charges		1288.8	85			Percent of total billed charges		1217.2	85			Percent of total billed charges		1217.2	85			Percent of total billed charges		1217.2	100			Percent of total billed charges		1432	100			Percent of total billed charges		1432	100			Percent of total billed charges		1432	33.3			Percent of total billed charges		476.856	33.3			Percent of total billed charges		476.856	100			Percent of total billed charges		1432	476.856	1288.8	
click'x pedicle screw dual core 6.2 x 30mm  498.560 synthes	278	RC	Outpatient			1432	930.8		90			Percent of total billed charges		1288.8	40			Percent of total billed charges		572.8	80			Percent of total billed charges		1145.6	90			Percent of total billed charges		1288.8	85			Percent of total billed charges		1217.2	85			Percent of total billed charges		1217.2	85			Percent of total billed charges		1217.2	100			Percent of total billed charges		1432	100			Percent of total billed charges		1432	100			Percent of total billed charges		1432	33.3			Percent of total billed charges		476.856	33.3			Percent of total billed charges		476.856	100			Percent of total billed charges		1432	476.856	1288.8	
click'x pedicle screw dual core 6.2 x 35mm  498.561 synthes	278	RC	Outpatient			1432	930.8		90			Percent of total billed charges		1288.8	40			Percent of total billed charges		572.8	80			Percent of total billed charges		1145.6	90			Percent of total billed charges		1288.8	85			Percent of total billed charges		1217.2	85			Percent of total billed charges		1217.2	85			Percent of total billed charges		1217.2	100			Percent of total billed charges		1432	100			Percent of total billed charges		1432	100			Percent of total billed charges		1432	33.3			Percent of total billed charges		476.856	33.3			Percent of total billed charges		476.856	100			Percent of total billed charges		1432	476.856	1288.8	
click'x pedicle screw dual core 6.2 x 40mm  498.562 synthes	278	RC	Outpatient			1432	930.8		90			Percent of total billed charges		1288.8	40			Percent of total billed charges		572.8	80			Percent of total billed charges		1145.6	90			Percent of total billed charges		1288.8	85			Percent of total billed charges		1217.2	85			Percent of total billed charges		1217.2	85			Percent of total billed charges		1217.2	100			Percent of total billed charges		1432	100			Percent of total billed charges		1432	100			Percent of total billed charges		1432	33.3			Percent of total billed charges		476.856	33.3			Percent of total billed charges		476.856	100			Percent of total billed charges		1432	476.856	1288.8	
click'x pedicle screw dual core 6.2 x 60mm  498.566 synthes	278	RC	Outpatient			1432	930.8		90			Percent of total billed charges		1288.8	40			Percent of total billed charges		572.8	80			Percent of total billed charges		1145.6	90			Percent of total billed charges		1288.8	85			Percent of total billed charges		1217.2	85			Percent of total billed charges		1217.2	85			Percent of total billed charges		1217.2	100			Percent of total billed charges		1432	100			Percent of total billed charges		1432	100			Percent of total billed charges		1432	33.3			Percent of total billed charges		476.856	33.3			Percent of total billed charges		476.856	100			Percent of total billed charges		1432	476.856	1288.8	
click'x pedicle screw dual core 7.0 x 40mm  498.503 synthes	278	RC	Outpatient			1432	930.8		90			Percent of total billed charges		1288.8	40			Percent of total billed charges		572.8	80			Percent of total billed charges		1145.6	90			Percent of total billed charges		1288.8	85			Percent of total billed charges		1217.2	85			Percent of total billed charges		1217.2	85			Percent of total billed charges		1217.2	100			Percent of total billed charges		1432	100			Percent of total billed charges		1432	100			Percent of total billed charges		1432	33.3			Percent of total billed charges		476.856	33.3			Percent of total billed charges		476.856	100			Percent of total billed charges		1432	476.856	1288.8	
click'x pedicle screw dual core 7.0 x 45mm  498.504 synthes	278	RC	Outpatient			1432	930.8		90			Percent of total billed charges		1288.8	40			Percent of total billed charges		572.8	80			Percent of total billed charges		1145.6	90			Percent of total billed charges		1288.8	85			Percent of total billed charges		1217.2	85			Percent of total billed charges		1217.2	85			Percent of total billed charges		1217.2	100			Percent of total billed charges		1432	100			Percent of total billed charges		1432	100			Percent of total billed charges		1432	33.3			Percent of total billed charges		476.856	33.3			Percent of total billed charges		476.856	100			Percent of total billed charges		1432	476.856	1288.8	
click'x pedicle screw single core 6.2 x 35mm  498.581 synthes	278	RC	Outpatient			1432	930.8		90			Percent of total billed charges		1288.8	40			Percent of total billed charges		572.8	80			Percent of total billed charges		1145.6	90			Percent of total billed charges		1288.8	85			Percent of total billed charges		1217.2	85			Percent of total billed charges		1217.2	85			Percent of total billed charges		1217.2	100			Percent of total billed charges		1432	100			Percent of total billed charges		1432	100			Percent of total billed charges		1432	33.3			Percent of total billed charges		476.856	33.3			Percent of total billed charges		476.856	100			Percent of total billed charges		1432	476.856	1288.8	
gianturco grifka vascular occlusion device ggvods-9 234112 cook	278	RC	Outpatient			1432	930.8		90			Percent of total billed charges		1288.8	40			Percent of total billed charges		572.8	80			Percent of total billed charges		1145.6	90			Percent of total billed charges		1288.8	85			Percent of total billed charges		1217.2	85			Percent of total billed charges		1217.2	85			Percent of total billed charges		1217.2	100			Percent of total billed charges		1432	100			Percent of total billed charges		1432	100			Percent of total billed charges		1432	33.3			Percent of total billed charges		476.856	33.3			Percent of total billed charges		476.856	100			Percent of total billed charges		1432	476.856	1288.8	
vascular occlucler ggvods	278	RC	Outpatient			1432	930.8		90			Percent of total billed charges		1288.8	40			Percent of total billed charges		572.8	80			Percent of total billed charges		1145.6	90			Percent of total billed charges		1288.8	85			Percent of total billed charges		1217.2	85			Percent of total billed charges		1217.2	85			Percent of total billed charges		1217.2	100			Percent of total billed charges		1432	100			Percent of total billed charges		1432	100			Percent of total billed charges		1432	33.3			Percent of total billed charges		476.856	33.3			Percent of total billed charges		476.856	100			Percent of total billed charges		1432	476.856	1288.8	
jet-x long c/d module	278	RC	Outpatient			1439	935.35		90			Percent of total billed charges		1295.1	40			Percent of total billed charges		575.6	80			Percent of total billed charges		1151.2	90			Percent of total billed charges		1295.1	85			Percent of total billed charges		1223.15	85			Percent of total billed charges		1223.15	85			Percent of total billed charges		1223.15	100			Percent of total billed charges		1439	100			Percent of total billed charges		1439	100			Percent of total billed charges		1439	33.3			Percent of total billed charges		479.187	33.3			Percent of total billed charges		479.187	100			Percent of total billed charges		1439	479.187	1295.1	
jet-x stand c/d module	278	RC	Outpatient			1439	935.35		90			Percent of total billed charges		1295.1	40			Percent of total billed charges		575.6	80			Percent of total billed charges		1151.2	90			Percent of total billed charges		1295.1	85			Percent of total billed charges		1223.15	85			Percent of total billed charges		1223.15	85			Percent of total billed charges		1223.15	100			Percent of total billed charges		1439	100			Percent of total billed charges		1439	100			Percent of total billed charges		1439	33.3			Percent of total billed charges		479.187	33.3			Percent of total billed charges		479.187	100			Percent of total billed charges		1439	479.187	1295.1	
s/n jet-x  comp/dist module 7105-1052	278	RC	Outpatient			1439	935.35		90			Percent of total billed charges		1295.1	40			Percent of total billed charges		575.6	80			Percent of total billed charges		1151.2	90			Percent of total billed charges		1295.1	85			Percent of total billed charges		1223.15	85			Percent of total billed charges		1223.15	85			Percent of total billed charges		1223.15	100			Percent of total billed charges		1439	100			Percent of total billed charges		1439	100			Percent of total billed charges		1439	33.3			Percent of total billed charges		479.187	33.3			Percent of total billed charges		479.187	100			Percent of total billed charges		1439	479.187	1295.1	
s/n jet-x com/dist module 7105-1053	278	RC	Outpatient			1439	935.35		90			Percent of total billed charges		1295.1	40			Percent of total billed charges		575.6	80			Percent of total billed charges		1151.2	90			Percent of total billed charges		1295.1	85			Percent of total billed charges		1223.15	85			Percent of total billed charges		1223.15	85			Percent of total billed charges		1223.15	100			Percent of total billed charges		1439	100			Percent of total billed charges		1439	100			Percent of total billed charges		1439	33.3			Percent of total billed charges		479.187	33.3			Percent of total billed charges		479.187	100			Percent of total billed charges		1439	479.187	1295.1	
bio oss yoke	278	RC	Outpatient			1442	937.3		90			Percent of total billed charges		1297.8	40			Percent of total billed charges		576.8	80			Percent of total billed charges		1153.6	90			Percent of total billed charges		1297.8	85			Percent of total billed charges		1225.7	85			Percent of total billed charges		1225.7	85			Percent of total billed charges		1225.7	100			Percent of total billed charges		1442	100			Percent of total billed charges		1442	100			Percent of total billed charges		1442	33.3			Percent of total billed charges		480.186	33.3			Percent of total billed charges		480.186	100			Percent of total billed charges		1442	480.186	1297.8	
oss reinforced yoke 150479 biomet	278	RC	Outpatient			1442	937.3		90			Percent of total billed charges		1297.8	40			Percent of total billed charges		576.8	80			Percent of total billed charges		1153.6	90			Percent of total billed charges		1297.8	85			Percent of total billed charges		1225.7	85			Percent of total billed charges		1225.7	85			Percent of total billed charges		1225.7	100			Percent of total billed charges		1442	100			Percent of total billed charges		1442	100			Percent of total billed charges		1442	33.3			Percent of total billed charges		480.186	33.3			Percent of total billed charges		480.186	100			Percent of total billed charges		1442	480.186	1297.8	
broad plt 4.5mm 6 hl 71809486 s\n	278	RC	Outpatient			1444	938.6		90			Percent of total billed charges		1299.6	40			Percent of total billed charges		577.6	80			Percent of total billed charges		1155.2	90			Percent of total billed charges		1299.6	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	33.3			Percent of total billed charges		480.852	33.3			Percent of total billed charges		480.852	100			Percent of total billed charges		1444	480.852	1299.6	
broad plt 4.5mm 6 hl 71829486 s\n	278	RC	Outpatient			1444	938.6		90			Percent of total billed charges		1299.6	40			Percent of total billed charges		577.6	80			Percent of total billed charges		1155.2	90			Percent of total billed charges		1299.6	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	33.3			Percent of total billed charges		480.852	33.3			Percent of total billed charges		480.852	100			Percent of total billed charges		1444	480.852	1299.6	
broad plt 4.5mm 7 hl 71809487 s\n	278	RC	Outpatient			1444	938.6		90			Percent of total billed charges		1299.6	40			Percent of total billed charges		577.6	80			Percent of total billed charges		1155.2	90			Percent of total billed charges		1299.6	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	33.3			Percent of total billed charges		480.852	33.3			Percent of total billed charges		480.852	100			Percent of total billed charges		1444	480.852	1299.6	
broad plt 4.5mm 7 hl 71829487 s\n	278	RC	Outpatient			1444	938.6		90			Percent of total billed charges		1299.6	40			Percent of total billed charges		577.6	80			Percent of total billed charges		1155.2	90			Percent of total billed charges		1299.6	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	33.3			Percent of total billed charges		480.852	33.3			Percent of total billed charges		480.852	100			Percent of total billed charges		1444	480.852	1299.6	
denali vena cava filter femoral dl900f bard	278	RC	Outpatient			1444	938.6		90			Percent of total billed charges		1299.6	40			Percent of total billed charges		577.6	80			Percent of total billed charges		1155.2	90			Percent of total billed charges		1299.6	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	33.3			Percent of total billed charges		480.852	33.3			Percent of total billed charges		480.852	100			Percent of total billed charges		1444	480.852	1299.6	
retroarc sling 9000262 ams	278	RC	Outpatient			1444	938.6		90			Percent of total billed charges		1299.6	40			Percent of total billed charges		577.6	80			Percent of total billed charges		1155.2	90			Percent of total billed charges		1299.6	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	33.3			Percent of total billed charges		480.852	33.3			Percent of total billed charges		480.852	100			Percent of total billed charges		1444	480.852	1299.6	
s/n 4.5 broad pl 6-7 hl	278	RC	Outpatient			1444	938.6		90			Percent of total billed charges		1299.6	40			Percent of total billed charges		577.6	80			Percent of total billed charges		1155.2	90			Percent of total billed charges		1299.6	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	33.3			Percent of total billed charges		480.852	33.3			Percent of total billed charges		480.852	100			Percent of total billed charges		1444	480.852	1299.6	
syn titan cann. fem. nail	278	RC	Outpatient			1444	938.6		90			Percent of total billed charges		1299.6	40			Percent of total billed charges		577.6	80			Percent of total billed charges		1155.2	90			Percent of total billed charges		1299.6	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	33.3			Percent of total billed charges		480.852	33.3			Percent of total billed charges		480.852	100			Percent of total billed charges		1444	480.852	1299.6	
titanium cannulated femoral nail 10mm x 300mm 474.031 synthes	278	RC	Outpatient			1444	938.6		90			Percent of total billed charges		1299.6	40			Percent of total billed charges		577.6	80			Percent of total billed charges		1155.2	90			Percent of total billed charges		1299.6	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	33.3			Percent of total billed charges		480.852	33.3			Percent of total billed charges		480.852	100			Percent of total billed charges		1444	480.852	1299.6	
titanium cannulated femoral nail 10mm x 340mm 474.034 synthes	278	RC	Outpatient			1444	938.6		90			Percent of total billed charges		1299.6	40			Percent of total billed charges		577.6	80			Percent of total billed charges		1155.2	90			Percent of total billed charges		1299.6	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	33.3			Percent of total billed charges		480.852	33.3			Percent of total billed charges		480.852	100			Percent of total billed charges		1444	480.852	1299.6	
titanium cannulated femoral nail 10mm x 380mm 474.038 synthes	278	RC	Outpatient			1444	938.6		90			Percent of total billed charges		1299.6	40			Percent of total billed charges		577.6	80			Percent of total billed charges		1155.2	90			Percent of total billed charges		1299.6	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	33.3			Percent of total billed charges		480.852	33.3			Percent of total billed charges		480.852	100			Percent of total billed charges		1444	480.852	1299.6	
titanium cannulated femoral nail 10mm x 420mm 474.042 synthes	278	RC	Outpatient			1444	938.6		90			Percent of total billed charges		1299.6	40			Percent of total billed charges		577.6	80			Percent of total billed charges		1155.2	90			Percent of total billed charges		1299.6	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	33.3			Percent of total billed charges		480.852	33.3			Percent of total billed charges		480.852	100			Percent of total billed charges		1444	480.852	1299.6	
titanium cannulated femoral nail 10mm x 440mm 474.044 synthes	278	RC	Outpatient			1444	938.6		90			Percent of total billed charges		1299.6	40			Percent of total billed charges		577.6	80			Percent of total billed charges		1155.2	90			Percent of total billed charges		1299.6	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	33.3			Percent of total billed charges		480.852	33.3			Percent of total billed charges		480.852	100			Percent of total billed charges		1444	480.852	1299.6	
titanium cannulated femoral nail 11mm x 300mm 474.131 synthes	278	RC	Outpatient			1444	938.6		90			Percent of total billed charges		1299.6	40			Percent of total billed charges		577.6	80			Percent of total billed charges		1155.2	90			Percent of total billed charges		1299.6	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	33.3			Percent of total billed charges		480.852	33.3			Percent of total billed charges		480.852	100			Percent of total billed charges		1444	480.852	1299.6	
titanium cannulated femoral nail 11mm x 360mm 474.136 synthes	278	RC	Outpatient			1444	938.6		90			Percent of total billed charges		1299.6	40			Percent of total billed charges		577.6	80			Percent of total billed charges		1155.2	90			Percent of total billed charges		1299.6	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	33.3			Percent of total billed charges		480.852	33.3			Percent of total billed charges		480.852	100			Percent of total billed charges		1444	480.852	1299.6	
titanium cannulated femoral nail 11mm x 400mm 474.141 synthes	278	RC	Outpatient			1444	938.6		90			Percent of total billed charges		1299.6	40			Percent of total billed charges		577.6	80			Percent of total billed charges		1155.2	90			Percent of total billed charges		1299.6	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	33.3			Percent of total billed charges		480.852	33.3			Percent of total billed charges		480.852	100			Percent of total billed charges		1444	480.852	1299.6	
titanium cannulated femoral nail 11mm x 460mm 474.146 synthes	278	RC	Outpatient			1444	938.6		90			Percent of total billed charges		1299.6	40			Percent of total billed charges		577.6	80			Percent of total billed charges		1155.2	90			Percent of total billed charges		1299.6	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	33.3			Percent of total billed charges		480.852	33.3			Percent of total billed charges		480.852	100			Percent of total billed charges		1444	480.852	1299.6	
titanium cannulated femoral nail 11mm x 480mm 474.148 synthes	278	RC	Outpatient			1444	938.6		90			Percent of total billed charges		1299.6	40			Percent of total billed charges		577.6	80			Percent of total billed charges		1155.2	90			Percent of total billed charges		1299.6	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	33.3			Percent of total billed charges		480.852	33.3			Percent of total billed charges		480.852	100			Percent of total billed charges		1444	480.852	1299.6	
titanium cannulated femoral nail 12mm x 300mm 474.231 synthes	278	RC	Outpatient			1444	938.6		90			Percent of total billed charges		1299.6	40			Percent of total billed charges		577.6	80			Percent of total billed charges		1155.2	90			Percent of total billed charges		1299.6	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	33.3			Percent of total billed charges		480.852	33.3			Percent of total billed charges		480.852	100			Percent of total billed charges		1444	480.852	1299.6	
titanium cannulated femoral nail 12mm x 320mm 474.232 synthes	278	RC	Outpatient			1444	938.6		90			Percent of total billed charges		1299.6	40			Percent of total billed charges		577.6	80			Percent of total billed charges		1155.2	90			Percent of total billed charges		1299.6	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	33.3			Percent of total billed charges		480.852	33.3			Percent of total billed charges		480.852	100			Percent of total billed charges		1444	480.852	1299.6	
titanium cannulated femoral nail 12mm x 380mm 474.238 synthes	278	RC	Outpatient			1444	938.6		90			Percent of total billed charges		1299.6	40			Percent of total billed charges		577.6	80			Percent of total billed charges		1155.2	90			Percent of total billed charges		1299.6	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	33.3			Percent of total billed charges		480.852	33.3			Percent of total billed charges		480.852	100			Percent of total billed charges		1444	480.852	1299.6	
titanium cannulated femoral nail 12mm x 420mm 474.242 synthes	278	RC	Outpatient			1444	938.6		90			Percent of total billed charges		1299.6	40			Percent of total billed charges		577.6	80			Percent of total billed charges		1155.2	90			Percent of total billed charges		1299.6	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	33.3			Percent of total billed charges		480.852	33.3			Percent of total billed charges		480.852	100			Percent of total billed charges		1444	480.852	1299.6	
titanium cannulated femoral nail 12mm x 440mm 474.244 synthes	278	RC	Outpatient			1444	938.6		90			Percent of total billed charges		1299.6	40			Percent of total billed charges		577.6	80			Percent of total billed charges		1155.2	90			Percent of total billed charges		1299.6	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	33.3			Percent of total billed charges		480.852	33.3			Percent of total billed charges		480.852	100			Percent of total billed charges		1444	480.852	1299.6	
titanium cannulated femoral nail 12mm x 460mm 474.246 synthes	278	RC	Outpatient			1444	938.6		90			Percent of total billed charges		1299.6	40			Percent of total billed charges		577.6	80			Percent of total billed charges		1155.2	90			Percent of total billed charges		1299.6	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	33.3			Percent of total billed charges		480.852	33.3			Percent of total billed charges		480.852	100			Percent of total billed charges		1444	480.852	1299.6	
retroarc sling 1006241 ams	278	RC	Outpatient			1444	938.6		90			Percent of total billed charges		1299.6	40			Percent of total billed charges		577.6	80			Percent of total billed charges		1155.2	90			Percent of total billed charges		1299.6	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	33.3			Percent of total billed charges		480.852	33.3			Percent of total billed charges		480.852	100			Percent of total billed charges		1444	480.852	1299.6	
titanium cannulated femoral nail 10mm x 320mm 474.032 synthes	278	RC	Outpatient			1444	938.6		90			Percent of total billed charges		1299.6	40			Percent of total billed charges		577.6	80			Percent of total billed charges		1155.2	90			Percent of total billed charges		1299.6	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	33.3			Percent of total billed charges		480.852	33.3			Percent of total billed charges		480.852	100			Percent of total billed charges		1444	480.852	1299.6	
titanium cannulated femoral nail 10mm x 360mm 474.036 synthes	278	RC	Outpatient			1444	938.6		90			Percent of total billed charges		1299.6	40			Percent of total billed charges		577.6	80			Percent of total billed charges		1155.2	90			Percent of total billed charges		1299.6	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	33.3			Percent of total billed charges		480.852	33.3			Percent of total billed charges		480.852	100			Percent of total billed charges		1444	480.852	1299.6	
titanium cannulated femoral nail 10mm x 400mm 474.040 synthes	278	RC	Outpatient			1444	938.6		90			Percent of total billed charges		1299.6	40			Percent of total billed charges		577.6	80			Percent of total billed charges		1155.2	90			Percent of total billed charges		1299.6	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	33.3			Percent of total billed charges		480.852	33.3			Percent of total billed charges		480.852	100			Percent of total billed charges		1444	480.852	1299.6	
titanium cannulated femoral nail 10mm x 460mm 474.046 synthes	278	RC	Outpatient			1444	938.6		90			Percent of total billed charges		1299.6	40			Percent of total billed charges		577.6	80			Percent of total billed charges		1155.2	90			Percent of total billed charges		1299.6	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	33.3			Percent of total billed charges		480.852	33.3			Percent of total billed charges		480.852	100			Percent of total billed charges		1444	480.852	1299.6	
titanium cannulated femoral nail 10mm x 480mm 474.048 synthes	278	RC	Outpatient			1444	938.6		90			Percent of total billed charges		1299.6	40			Percent of total billed charges		577.6	80			Percent of total billed charges		1155.2	90			Percent of total billed charges		1299.6	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	33.3			Percent of total billed charges		480.852	33.3			Percent of total billed charges		480.852	100			Percent of total billed charges		1444	480.852	1299.6	
titanium cannulated femoral nail 11mm x 320mm 474.132 synthes	278	RC	Outpatient			1444	938.6		90			Percent of total billed charges		1299.6	40			Percent of total billed charges		577.6	80			Percent of total billed charges		1155.2	90			Percent of total billed charges		1299.6	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	33.3			Percent of total billed charges		480.852	33.3			Percent of total billed charges		480.852	100			Percent of total billed charges		1444	480.852	1299.6	
titanium cannulated femoral nail 11mm x 340mm 474.134 synthes	278	RC	Outpatient			1444	938.6		90			Percent of total billed charges		1299.6	40			Percent of total billed charges		577.6	80			Percent of total billed charges		1155.2	90			Percent of total billed charges		1299.6	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	33.3			Percent of total billed charges		480.852	33.3			Percent of total billed charges		480.852	100			Percent of total billed charges		1444	480.852	1299.6	
titanium cannulated femoral nail 11mm x 380mm 474.138 synthes	278	RC	Outpatient			1444	938.6		90			Percent of total billed charges		1299.6	40			Percent of total billed charges		577.6	80			Percent of total billed charges		1155.2	90			Percent of total billed charges		1299.6	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	33.3			Percent of total billed charges		480.852	33.3			Percent of total billed charges		480.852	100			Percent of total billed charges		1444	480.852	1299.6	
titanium cannulated femoral nail 11mm x 420mm 474.142 synthes	278	RC	Outpatient			1444	938.6		90			Percent of total billed charges		1299.6	40			Percent of total billed charges		577.6	80			Percent of total billed charges		1155.2	90			Percent of total billed charges		1299.6	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	33.3			Percent of total billed charges		480.852	33.3			Percent of total billed charges		480.852	100			Percent of total billed charges		1444	480.852	1299.6	
titanium cannulated femoral nail 11mm x 440mm 474.144 synthes 48	278	RC	Outpatient			1444	938.6		90			Percent of total billed charges		1299.6	40			Percent of total billed charges		577.6	80			Percent of total billed charges		1155.2	90			Percent of total billed charges		1299.6	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	33.3			Percent of total billed charges		480.852	33.3			Percent of total billed charges		480.852	100			Percent of total billed charges		1444	480.852	1299.6	
titanium cannulated femoral nail 12mm x 340mm 474.234 synthes	278	RC	Outpatient			1444	938.6		90			Percent of total billed charges		1299.6	40			Percent of total billed charges		577.6	80			Percent of total billed charges		1155.2	90			Percent of total billed charges		1299.6	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	33.3			Percent of total billed charges		480.852	33.3			Percent of total billed charges		480.852	100			Percent of total billed charges		1444	480.852	1299.6	
titanium cannulated femoral nail 12mm x 360mm 474.236 synthes	278	RC	Outpatient			1444	938.6		90			Percent of total billed charges		1299.6	40			Percent of total billed charges		577.6	80			Percent of total billed charges		1155.2	90			Percent of total billed charges		1299.6	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	33.3			Percent of total billed charges		480.852	33.3			Percent of total billed charges		480.852	100			Percent of total billed charges		1444	480.852	1299.6	
titanium cannulated femoral nail 12mm x 400mm 474.241 synthes	278	RC	Outpatient			1444	938.6		90			Percent of total billed charges		1299.6	40			Percent of total billed charges		577.6	80			Percent of total billed charges		1155.2	90			Percent of total billed charges		1299.6	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	33.3			Percent of total billed charges		480.852	33.3			Percent of total billed charges		480.852	100			Percent of total billed charges		1444	480.852	1299.6	
titanium cannulated femoral nail 12mm x 480mm 474.248 synthes	278	RC	Outpatient			1444	938.6		90			Percent of total billed charges		1299.6	40			Percent of total billed charges		577.6	80			Percent of total billed charges		1155.2	90			Percent of total billed charges		1299.6	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	85			Percent of total billed charges		1227.4	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	100			Percent of total billed charges		1444	33.3			Percent of total billed charges		480.852	33.3			Percent of total billed charges		480.852	100			Percent of total billed charges		1444	480.852	1299.6	
2.0mm straight plate 20 hole 243.19	278	RC	Outpatient			1447	940.55		90			Percent of total billed charges		1302.3	40			Percent of total billed charges		578.8	80			Percent of total billed charges		1157.6	90			Percent of total billed charges		1302.3	85			Percent of total billed charges		1229.95	85			Percent of total billed charges		1229.95	85			Percent of total billed charges		1229.95	100			Percent of total billed charges		1447	100			Percent of total billed charges		1447	100			Percent of total billed charges		1447	33.3			Percent of total billed charges		481.851	33.3			Percent of total billed charges		481.851	100			Percent of total billed charges		1447	481.851	1302.3	
mini fr pl str 20hl	278	RC	Outpatient			1447	940.55		90			Percent of total billed charges		1302.3	40			Percent of total billed charges		578.8	80			Percent of total billed charges		1157.6	90			Percent of total billed charges		1302.3	85			Percent of total billed charges		1229.95	85			Percent of total billed charges		1229.95	85			Percent of total billed charges		1229.95	100			Percent of total billed charges		1447	100			Percent of total billed charges		1447	100			Percent of total billed charges		1447	33.3			Percent of total billed charges		481.851	33.3			Percent of total billed charges		481.851	100			Percent of total billed charges		1447	481.851	1302.3	
mini frag  plate  20 hole 7114-5020 s/n	278	RC	Outpatient			1447	940.55		90			Percent of total billed charges		1302.3	40			Percent of total billed charges		578.8	80			Percent of total billed charges		1157.6	90			Percent of total billed charges		1302.3	85			Percent of total billed charges		1229.95	85			Percent of total billed charges		1229.95	85			Percent of total billed charges		1229.95	100			Percent of total billed charges		1447	100			Percent of total billed charges		1447	100			Percent of total billed charges		1447	33.3			Percent of total billed charges		481.851	33.3			Percent of total billed charges		481.851	100			Percent of total billed charges		1447	481.851	1302.3	
mini frag plate 2mm 20 hole 7114-6028 s/n	278	RC	Outpatient			1447	940.55		90			Percent of total billed charges		1302.3	40			Percent of total billed charges		578.8	80			Percent of total billed charges		1157.6	90			Percent of total billed charges		1302.3	85			Percent of total billed charges		1229.95	85			Percent of total billed charges		1229.95	85			Percent of total billed charges		1229.95	100			Percent of total billed charges		1447	100			Percent of total billed charges		1447	100			Percent of total billed charges		1447	33.3			Percent of total billed charges		481.851	33.3			Percent of total billed charges		481.851	100			Percent of total billed charges		1447	481.851	1302.3	
rejuvenate modular neck 38mm nls-380000b stryker	278	RC	Outpatient			1447	940.55		90			Percent of total billed charges		1302.3	40			Percent of total billed charges		578.8	80			Percent of total billed charges		1157.6	90			Percent of total billed charges		1302.3	85			Percent of total billed charges		1229.95	85			Percent of total billed charges		1229.95	85			Percent of total billed charges		1229.95	100			Percent of total billed charges		1447	100			Percent of total billed charges		1447	100			Percent of total billed charges		1447	33.3			Percent of total billed charges		481.851	33.3			Percent of total billed charges		481.851	100			Percent of total billed charges		1447	481.851	1302.3	
rejuvenate modular neck 38mm nlv-380800g stryker	278	RC	Outpatient			1447	940.55		90			Percent of total billed charges		1302.3	40			Percent of total billed charges		578.8	80			Percent of total billed charges		1157.6	90			Percent of total billed charges		1302.3	85			Percent of total billed charges		1229.95	85			Percent of total billed charges		1229.95	85			Percent of total billed charges		1229.95	100			Percent of total billed charges		1447	100			Percent of total billed charges		1447	100			Percent of total billed charges		1447	33.3			Percent of total billed charges		481.851	33.3			Percent of total billed charges		481.851	100			Percent of total billed charges		1447	481.851	1302.3	
rejuvenate modular neck 42mm nlv-420800g stryker	278	RC	Outpatient			1447	940.55		90			Percent of total billed charges		1302.3	40			Percent of total billed charges		578.8	80			Percent of total billed charges		1157.6	90			Percent of total billed charges		1302.3	85			Percent of total billed charges		1229.95	85			Percent of total billed charges		1229.95	85			Percent of total billed charges		1229.95	100			Percent of total billed charges		1447	100			Percent of total billed charges		1447	100			Percent of total billed charges		1447	33.3			Percent of total billed charges		481.851	33.3			Percent of total billed charges		481.851	100			Percent of total billed charges		1447	481.851	1302.3	
rejuvenate modular neck nls-300000b how/ost	278	RC	Outpatient			1447	940.55		90			Percent of total billed charges		1302.3	40			Percent of total billed charges		578.8	80			Percent of total billed charges		1157.6	90			Percent of total billed charges		1302.3	85			Percent of total billed charges		1229.95	85			Percent of total billed charges		1229.95	85			Percent of total billed charges		1229.95	100			Percent of total billed charges		1447	100			Percent of total billed charges		1447	100			Percent of total billed charges		1447	33.3			Percent of total billed charges		481.851	33.3			Percent of total billed charges		481.851	100			Percent of total billed charges		1447	481.851	1302.3	
rejuvenate spt modular stem  #7 spt-070000s stryker	278	RC	Outpatient			1447	940.55		90			Percent of total billed charges		1302.3	40			Percent of total billed charges		578.8	80			Percent of total billed charges		1157.6	90			Percent of total billed charges		1302.3	85			Percent of total billed charges		1229.95	85			Percent of total billed charges		1229.95	85			Percent of total billed charges		1229.95	100			Percent of total billed charges		1447	100			Percent of total billed charges		1447	100			Percent of total billed charges		1447	33.3			Percent of total billed charges		481.851	33.3			Percent of total billed charges		481.851	100			Percent of total billed charges		1447	481.851	1302.3	
rejuvenate mod neck	278	RC	Outpatient			1447	940.55		90			Percent of total billed charges		1302.3	40			Percent of total billed charges		578.8	80			Percent of total billed charges		1157.6	90			Percent of total billed charges		1302.3	85			Percent of total billed charges		1229.95	85			Percent of total billed charges		1229.95	85			Percent of total billed charges		1229.95	100			Percent of total billed charges		1447	100			Percent of total billed charges		1447	100			Percent of total billed charges		1447	33.3			Percent of total billed charges		481.851	33.3			Percent of total billed charges		481.851	100			Percent of total billed charges		1447	481.851	1302.3	
rejuvenate modular neck 34mm nls-340000b stryker	278	RC	Outpatient			1447	940.55		90			Percent of total billed charges		1302.3	40			Percent of total billed charges		578.8	80			Percent of total billed charges		1157.6	90			Percent of total billed charges		1302.3	85			Percent of total billed charges		1229.95	85			Percent of total billed charges		1229.95	85			Percent of total billed charges		1229.95	100			Percent of total billed charges		1447	100			Percent of total billed charges		1447	100			Percent of total billed charges		1447	33.3			Percent of total billed charges		481.851	33.3			Percent of total billed charges		481.851	100			Percent of total billed charges		1447	481.851	1302.3	
rejuvenate modular neck 34mm nlv-340800g stryker	278	RC	Outpatient			1447	940.55		90			Percent of total billed charges		1302.3	40			Percent of total billed charges		578.8	80			Percent of total billed charges		1157.6	90			Percent of total billed charges		1302.3	85			Percent of total billed charges		1229.95	85			Percent of total billed charges		1229.95	85			Percent of total billed charges		1229.95	100			Percent of total billed charges		1447	100			Percent of total billed charges		1447	100			Percent of total billed charges		1447	33.3			Percent of total billed charges		481.851	33.3			Percent of total billed charges		481.851	100			Percent of total billed charges		1447	481.851	1302.3	
biomet troch grip	278	RC	Outpatient			1448	941.2		90			Percent of total billed charges		1303.2	40			Percent of total billed charges		579.2	80			Percent of total billed charges		1158.4	90			Percent of total billed charges		1303.2	85			Percent of total billed charges		1230.8	85			Percent of total billed charges		1230.8	85			Percent of total billed charges		1230.8	100			Percent of total billed charges		1448	100			Percent of total billed charges		1448	100			Percent of total billed charges		1448	33.3			Percent of total billed charges		482.184	33.3			Percent of total billed charges		482.184	100			Percent of total billed charges		1448	482.184	1303.2	
cocr troch grip 2.0mm lg 120009 biomet	278	RC	Outpatient			1448	941.2		90			Percent of total billed charges		1303.2	40			Percent of total billed charges		579.2	80			Percent of total billed charges		1158.4	90			Percent of total billed charges		1303.2	85			Percent of total billed charges		1230.8	85			Percent of total billed charges		1230.8	85			Percent of total billed charges		1230.8	100			Percent of total billed charges		1448	100			Percent of total billed charges		1448	100			Percent of total billed charges		1448	33.3			Percent of total billed charges		482.184	33.3			Percent of total billed charges		482.184	100			Percent of total billed charges		1448	482.184	1303.2	
lg fr pl cp nar cmp 24hl	278	RC	Outpatient			1448	941.2		90			Percent of total billed charges		1303.2	40			Percent of total billed charges		579.2	80			Percent of total billed charges		1158.4	90			Percent of total billed charges		1303.2	85			Percent of total billed charges		1230.8	85			Percent of total billed charges		1230.8	85			Percent of total billed charges		1230.8	100			Percent of total billed charges		1448	100			Percent of total billed charges		1448	100			Percent of total billed charges		1448	33.3			Percent of total billed charges		482.184	33.3			Percent of total billed charges		482.184	100			Percent of total billed charges		1448	482.184	1303.2	
s/n lg frag plate 4.5mm 24 hole 7184-1424	278	RC	Outpatient			1448	941.2		90			Percent of total billed charges		1303.2	40			Percent of total billed charges		579.2	80			Percent of total billed charges		1158.4	90			Percent of total billed charges		1303.2	85			Percent of total billed charges		1230.8	85			Percent of total billed charges		1230.8	85			Percent of total billed charges		1230.8	100			Percent of total billed charges		1448	100			Percent of total billed charges		1448	100			Percent of total billed charges		1448	33.3			Percent of total billed charges		482.184	33.3			Percent of total billed charges		482.184	100			Percent of total billed charges		1448	482.184	1303.2	
arthrex acl	270	RC	Outpatient			1450	942.5		90			Percent of total billed charges		1305	40			Percent of total billed charges		580	80			Percent of total billed charges		1160	90			Percent of total billed charges		1305	85			Percent of total billed charges		1232.5	85			Percent of total billed charges		1232.5	85			Percent of total billed charges		1232.5	100			Percent of total billed charges		1450	100			Percent of total billed charges		1450	100			Percent of total billed charges		1450	33.3			Percent of total billed charges		482.85	33.3			Percent of total billed charges		482.85	100			Percent of total billed charges		1450	482.85	1305	
anesthesia time 4 1/2 hours	370	RC	Outpatient			1451	943.15		90			Percent of total billed charges		1305.9	40			Percent of total billed charges		580.4	80			Percent of total billed charges		1160.8	90			Percent of total billed charges		1305.9	85			Percent of total billed charges		1233.35	85			Percent of total billed charges		1233.35	85			Percent of total billed charges		1233.35	100			Percent of total billed charges		1451	100			Percent of total billed charges		1451	100			Percent of total billed charges		1451	33.3			Percent of total billed charges		483.183	33.3			Percent of total billed charges		483.183	100			Percent of total billed charges		1451	483.183	1305.9	
reflection  liner 28id 70-76 0 deg latl +4mm 71330470 s/n	278	RC	Outpatient			1453	944.45		90			Percent of total billed charges		1307.7	40			Percent of total billed charges		581.2	80			Percent of total billed charges		1162.4	90			Percent of total billed charges		1307.7	85			Percent of total billed charges		1235.05	85			Percent of total billed charges		1235.05	85			Percent of total billed charges		1235.05	100			Percent of total billed charges		1453	100			Percent of total billed charges		1453	100			Percent of total billed charges		1453	33.3			Percent of total billed charges		483.849	33.3			Percent of total billed charges		483.849	100			Percent of total billed charges		1453	483.849	1307.7	
reflection liner  28id 62-64 0 deg latl +4mm 71330462 s/n	278	RC	Outpatient			1453	944.45		90			Percent of total billed charges		1307.7	40			Percent of total billed charges		581.2	80			Percent of total billed charges		1162.4	90			Percent of total billed charges		1307.7	85			Percent of total billed charges		1235.05	85			Percent of total billed charges		1235.05	85			Percent of total billed charges		1235.05	100			Percent of total billed charges		1453	100			Percent of total billed charges		1453	100			Percent of total billed charges		1453	33.3			Percent of total billed charges		483.849	33.3			Percent of total billed charges		483.849	100			Percent of total billed charges		1453	483.849	1307.7	
reflection liner  28id 66-68 0 deg latl +4mm 71330466 s/n	278	RC	Outpatient			1453	944.45		90			Percent of total billed charges		1307.7	40			Percent of total billed charges		581.2	80			Percent of total billed charges		1162.4	90			Percent of total billed charges		1307.7	85			Percent of total billed charges		1235.05	85			Percent of total billed charges		1235.05	85			Percent of total billed charges		1235.05	100			Percent of total billed charges		1453	100			Percent of total billed charges		1453	100			Percent of total billed charges		1453	33.3			Percent of total billed charges		483.849	33.3			Percent of total billed charges		483.849	100			Percent of total billed charges		1453	483.849	1307.7	
reflection liner 28id 50-52 0 deg latl +4mm 71330450 s/n	278	RC	Outpatient			1453	944.45		90			Percent of total billed charges		1307.7	40			Percent of total billed charges		581.2	80			Percent of total billed charges		1162.4	90			Percent of total billed charges		1307.7	85			Percent of total billed charges		1235.05	85			Percent of total billed charges		1235.05	85			Percent of total billed charges		1235.05	100			Percent of total billed charges		1453	100			Percent of total billed charges		1453	100			Percent of total billed charges		1453	33.3			Percent of total billed charges		483.849	33.3			Percent of total billed charges		483.849	100			Percent of total billed charges		1453	483.849	1307.7	
reflection liner 28id 54-56 0 deg latl +4mm 71330454 s/n	278	RC	Outpatient			1453	944.45		90			Percent of total billed charges		1307.7	40			Percent of total billed charges		581.2	80			Percent of total billed charges		1162.4	90			Percent of total billed charges		1307.7	85			Percent of total billed charges		1235.05	85			Percent of total billed charges		1235.05	85			Percent of total billed charges		1235.05	100			Percent of total billed charges		1453	100			Percent of total billed charges		1453	100			Percent of total billed charges		1453	33.3			Percent of total billed charges		483.849	33.3			Percent of total billed charges		483.849	100			Percent of total billed charges		1453	483.849	1307.7	
reflection liner 28id 58-60 0 deg latl +4mm 71330458 s/n	278	RC	Outpatient			1453	944.45		90			Percent of total billed charges		1307.7	40			Percent of total billed charges		581.2	80			Percent of total billed charges		1162.4	90			Percent of total billed charges		1307.7	85			Percent of total billed charges		1235.05	85			Percent of total billed charges		1235.05	85			Percent of total billed charges		1235.05	100			Percent of total billed charges		1453	100			Percent of total billed charges		1453	100			Percent of total billed charges		1453	33.3			Percent of total billed charges		483.849	33.3			Percent of total billed charges		483.849	100			Percent of total billed charges		1453	483.849	1307.7	
reflection liner 28id 46-48 0 deg latl +4mm 71330446 s/n	278	RC	Outpatient			1453	944.45		90			Percent of total billed charges		1307.7	40			Percent of total billed charges		581.2	80			Percent of total billed charges		1162.4	90			Percent of total billed charges		1307.7	85			Percent of total billed charges		1235.05	85			Percent of total billed charges		1235.05	85			Percent of total billed charges		1235.05	100			Percent of total billed charges		1453	100			Percent of total billed charges		1453	100			Percent of total billed charges		1453	33.3			Percent of total billed charges		483.849	33.3			Percent of total billed charges		483.849	100			Percent of total billed charges		1453	483.849	1307.7	
richards reflect lnr	278	RC	Outpatient			1453	944.45		90			Percent of total billed charges		1307.7	40			Percent of total billed charges		581.2	80			Percent of total billed charges		1162.4	90			Percent of total billed charges		1307.7	85			Percent of total billed charges		1235.05	85			Percent of total billed charges		1235.05	85			Percent of total billed charges		1235.05	100			Percent of total billed charges		1453	100			Percent of total billed charges		1453	100			Percent of total billed charges		1453	33.3			Percent of total billed charges		483.849	33.3			Percent of total billed charges		483.849	100			Percent of total billed charges		1453	483.849	1307.7	
cath lab cath ranger lp (20/30/40)	278	RC	Outpatient			1454	945.1		90			Percent of total billed charges		1308.6	40			Percent of total billed charges		581.6	80			Percent of total billed charges		1163.2	90			Percent of total billed charges		1308.6	85			Percent of total billed charges		1235.9	85			Percent of total billed charges		1235.9	85			Percent of total billed charges		1235.9	100			Percent of total billed charges		1454	100			Percent of total billed charges		1454	100			Percent of total billed charges		1454	33.3			Percent of total billed charges		484.182	33.3			Percent of total billed charges		484.182	100			Percent of total billed charges		1454	484.182	1308.6	
cath quantum ranger 25mm	278	RC	Outpatient			1454	945.1		90			Percent of total billed charges		1308.6	40			Percent of total billed charges		581.6	80			Percent of total billed charges		1163.2	90			Percent of total billed charges		1308.6	85			Percent of total billed charges		1235.9	85			Percent of total billed charges		1235.9	85			Percent of total billed charges		1235.9	100			Percent of total billed charges		1454	100			Percent of total billed charges		1454	100			Percent of total billed charges		1454	33.3			Percent of total billed charges		484.182	33.3			Percent of total billed charges		484.182	100			Percent of total billed charges		1454	484.182	1308.6	
cath ranger lp(20/30/40)	278	RC	Outpatient			1454	945.1		90			Percent of total billed charges		1308.6	40			Percent of total billed charges		581.6	80			Percent of total billed charges		1163.2	90			Percent of total billed charges		1308.6	85			Percent of total billed charges		1235.9	85			Percent of total billed charges		1235.9	85			Percent of total billed charges		1235.9	100			Percent of total billed charges		1454	100			Percent of total billed charges		1454	100			Percent of total billed charges		1454	33.3			Percent of total billed charges		484.182	33.3			Percent of total billed charges		484.182	100			Percent of total billed charges		1454	484.182	1308.6	
endo colon w/polypectomy	750	RC	Outpatient			1457	947.05		90			Percent of total billed charges		1311.3	40			Percent of total billed charges		582.8	80			Percent of total billed charges		1165.6	90			Percent of total billed charges		1311.3	85			Percent of total billed charges		1238.45	85			Percent of total billed charges		1238.45	85			Percent of total billed charges		1238.45	100			Percent of total billed charges		1457	100			Percent of total billed charges		1457	100			Percent of total billed charges		1457	33.3			Percent of total billed charges		485.181	33.3			Percent of total billed charges		485.181	100			Percent of total billed charges		1457	485.181	1311.3	
zzscrmc cement del. system	621	RC	Outpatient			1457	947.05		90			Percent of total billed charges		1311.3	40			Percent of total billed charges		582.8	80			Percent of total billed charges		1165.6	90			Percent of total billed charges		1311.3	85			Percent of total billed charges		1238.45	85			Percent of total billed charges		1238.45	85			Percent of total billed charges		1238.45	100			Percent of total billed charges		1457	100			Percent of total billed charges		1457	100			Percent of total billed charges		1457	33.3			Percent of total billed charges		485.181	33.3			Percent of total billed charges		485.181	100			Percent of total billed charges		1457	485.181	1311.3	
accord 150mm titan pl	278	RC	Outpatient			1458	947.7		90			Percent of total billed charges		1312.2	40			Percent of total billed charges		583.2	80			Percent of total billed charges		1166.4	90			Percent of total billed charges		1312.2	85			Percent of total billed charges		1239.3	85			Percent of total billed charges		1239.3	85			Percent of total billed charges		1239.3	100			Percent of total billed charges		1458	100			Percent of total billed charges		1458	100			Percent of total billed charges		1458	33.3			Percent of total billed charges		485.514	33.3			Percent of total billed charges		485.514	100			Percent of total billed charges		1458	485.514	1312.2	
accord 150mm titanium plate 7134-6150 s/n	278	RC	Outpatient			1458	947.7		90			Percent of total billed charges		1312.2	40			Percent of total billed charges		583.2	80			Percent of total billed charges		1166.4	90			Percent of total billed charges		1312.2	85			Percent of total billed charges		1239.3	85			Percent of total billed charges		1239.3	85			Percent of total billed charges		1239.3	100			Percent of total billed charges		1458	100			Percent of total billed charges		1458	100			Percent of total billed charges		1458	33.3			Percent of total billed charges		485.514	33.3			Percent of total billed charges		485.514	100			Percent of total billed charges		1458	485.514	1312.2	
acutrak 2 bone screw micro 10mm at2-c10-s acumed	278	RC	Outpatient			1461	949.65		90			Percent of total billed charges		1314.9	40			Percent of total billed charges		584.4	80			Percent of total billed charges		1168.8	90			Percent of total billed charges		1314.9	85			Percent of total billed charges		1241.85	85			Percent of total billed charges		1241.85	85			Percent of total billed charges		1241.85	100			Percent of total billed charges		1461	100			Percent of total billed charges		1461	100			Percent of total billed charges		1461	33.3			Percent of total billed charges		486.513	33.3			Percent of total billed charges		486.513	100			Percent of total billed charges		1461	486.513	1314.9	
acutrak 2 bone screw micro 12mm at2-c12-s acumed	278	RC	Outpatient			1461	949.65		90			Percent of total billed charges		1314.9	40			Percent of total billed charges		584.4	80			Percent of total billed charges		1168.8	90			Percent of total billed charges		1314.9	85			Percent of total billed charges		1241.85	85			Percent of total billed charges		1241.85	85			Percent of total billed charges		1241.85	100			Percent of total billed charges		1461	100			Percent of total billed charges		1461	100			Percent of total billed charges		1461	33.3			Percent of total billed charges		486.513	33.3			Percent of total billed charges		486.513	100			Percent of total billed charges		1461	486.513	1314.9	
acutrak 2 bone screw micro 13mm at2-c13-s acumed	278	RC	Outpatient			1461	949.65		90			Percent of total billed charges		1314.9	40			Percent of total billed charges		584.4	80			Percent of total billed charges		1168.8	90			Percent of total billed charges		1314.9	85			Percent of total billed charges		1241.85	85			Percent of total billed charges		1241.85	85			Percent of total billed charges		1241.85	100			Percent of total billed charges		1461	100			Percent of total billed charges		1461	100			Percent of total billed charges		1461	33.3			Percent of total billed charges		486.513	33.3			Percent of total billed charges		486.513	100			Percent of total billed charges		1461	486.513	1314.9	
acutrak 2 bone screw micro 18mm at2-c18-s acumed	278	RC	Outpatient			1461	949.65		90			Percent of total billed charges		1314.9	40			Percent of total billed charges		584.4	80			Percent of total billed charges		1168.8	90			Percent of total billed charges		1314.9	85			Percent of total billed charges		1241.85	85			Percent of total billed charges		1241.85	85			Percent of total billed charges		1241.85	100			Percent of total billed charges		1461	100			Percent of total billed charges		1461	100			Percent of total billed charges		1461	33.3			Percent of total billed charges		486.513	33.3			Percent of total billed charges		486.513	100			Percent of total billed charges		1461	486.513	1314.9	
acutrak 2 bone screw micro 20mm at2-c20-s acumed	278	RC	Outpatient			1461	949.65		90			Percent of total billed charges		1314.9	40			Percent of total billed charges		584.4	80			Percent of total billed charges		1168.8	90			Percent of total billed charges		1314.9	85			Percent of total billed charges		1241.85	85			Percent of total billed charges		1241.85	85			Percent of total billed charges		1241.85	100			Percent of total billed charges		1461	100			Percent of total billed charges		1461	100			Percent of total billed charges		1461	33.3			Percent of total billed charges		486.513	33.3			Percent of total billed charges		486.513	100			Percent of total billed charges		1461	486.513	1314.9	
acutrak 2 bone screw mini 16mm at2-m16-s acumed	278	RC	Outpatient			1461	949.65		90			Percent of total billed charges		1314.9	40			Percent of total billed charges		584.4	80			Percent of total billed charges		1168.8	90			Percent of total billed charges		1314.9	85			Percent of total billed charges		1241.85	85			Percent of total billed charges		1241.85	85			Percent of total billed charges		1241.85	100			Percent of total billed charges		1461	100			Percent of total billed charges		1461	100			Percent of total billed charges		1461	33.3			Percent of total billed charges		486.513	33.3			Percent of total billed charges		486.513	100			Percent of total billed charges		1461	486.513	1314.9	
acutrak 2 bone screw mini 28mm at2-m28-s acumed	278	RC	Outpatient			1461	949.65		90			Percent of total billed charges		1314.9	40			Percent of total billed charges		584.4	80			Percent of total billed charges		1168.8	90			Percent of total billed charges		1314.9	85			Percent of total billed charges		1241.85	85			Percent of total billed charges		1241.85	85			Percent of total billed charges		1241.85	100			Percent of total billed charges		1461	100			Percent of total billed charges		1461	100			Percent of total billed charges		1461	33.3			Percent of total billed charges		486.513	33.3			Percent of total billed charges		486.513	100			Percent of total billed charges		1461	486.513	1314.9	
acutrak 2 bone screw std 20mm at2-s20-s acumed	278	RC	Outpatient			1461	949.65		90			Percent of total billed charges		1314.9	40			Percent of total billed charges		584.4	80			Percent of total billed charges		1168.8	90			Percent of total billed charges		1314.9	85			Percent of total billed charges		1241.85	85			Percent of total billed charges		1241.85	85			Percent of total billed charges		1241.85	100			Percent of total billed charges		1461	100			Percent of total billed charges		1461	100			Percent of total billed charges		1461	33.3			Percent of total billed charges		486.513	33.3			Percent of total billed charges		486.513	100			Percent of total billed charges		1461	486.513	1314.9	
acutrak 2 bone screw std 22mm at2-s22-s acumed	278	RC	Outpatient			1461	949.65		90			Percent of total billed charges		1314.9	40			Percent of total billed charges		584.4	80			Percent of total billed charges		1168.8	90			Percent of total billed charges		1314.9	85			Percent of total billed charges		1241.85	85			Percent of total billed charges		1241.85	85			Percent of total billed charges		1241.85	100			Percent of total billed charges		1461	100			Percent of total billed charges		1461	100			Percent of total billed charges		1461	33.3			Percent of total billed charges		486.513	33.3			Percent of total billed charges		486.513	100			Percent of total billed charges		1461	486.513	1314.9	
acutrak 2 bone screw std 24mm at2-s24-s acumed	278	RC	Outpatient			1461	949.65		90			Percent of total billed charges		1314.9	40			Percent of total billed charges		584.4	80			Percent of total billed charges		1168.8	90			Percent of total billed charges		1314.9	85			Percent of total billed charges		1241.85	85			Percent of total billed charges		1241.85	85			Percent of total billed charges		1241.85	100			Percent of total billed charges		1461	100			Percent of total billed charges		1461	100			Percent of total billed charges		1461	33.3			Percent of total billed charges		486.513	33.3			Percent of total billed charges		486.513	100			Percent of total billed charges		1461	486.513	1314.9	
acutrak 2 bone screw std 28mm at2-s28-s acumed	278	RC	Outpatient			1461	949.65		90			Percent of total billed charges		1314.9	40			Percent of total billed charges		584.4	80			Percent of total billed charges		1168.8	90			Percent of total billed charges		1314.9	85			Percent of total billed charges		1241.85	85			Percent of total billed charges		1241.85	85			Percent of total billed charges		1241.85	100			Percent of total billed charges		1461	100			Percent of total billed charges		1461	100			Percent of total billed charges		1461	33.3			Percent of total billed charges		486.513	33.3			Percent of total billed charges		486.513	100			Percent of total billed charges		1461	486.513	1314.9	
acutrak 2 bone screw std 32mm at2-s32-s acumed	278	RC	Outpatient			1461	949.65		90			Percent of total billed charges		1314.9	40			Percent of total billed charges		584.4	80			Percent of total billed charges		1168.8	90			Percent of total billed charges		1314.9	85			Percent of total billed charges		1241.85	85			Percent of total billed charges		1241.85	85			Percent of total billed charges		1241.85	100			Percent of total billed charges		1461	100			Percent of total billed charges		1461	100			Percent of total billed charges		1461	33.3			Percent of total billed charges		486.513	33.3			Percent of total billed charges		486.513	100			Percent of total billed charges		1461	486.513	1314.9	
acutrak 2 std scr	278	RC	Outpatient			1461	949.65		90			Percent of total billed charges		1314.9	40			Percent of total billed charges		584.4	80			Percent of total billed charges		1168.8	90			Percent of total billed charges		1314.9	85			Percent of total billed charges		1241.85	85			Percent of total billed charges		1241.85	85			Percent of total billed charges		1241.85	100			Percent of total billed charges		1461	100			Percent of total billed charges		1461	100			Percent of total billed charges		1461	33.3			Percent of total billed charges		486.513	33.3			Percent of total billed charges		486.513	100			Percent of total billed charges		1461	486.513	1314.9	
acutrak 2 bone screw micro 11mm at2-c11-s acumed	278	RC	Outpatient			1461	949.65		90			Percent of total billed charges		1314.9	40			Percent of total billed charges		584.4	80			Percent of total billed charges		1168.8	90			Percent of total billed charges		1314.9	85			Percent of total billed charges		1241.85	85			Percent of total billed charges		1241.85	85			Percent of total billed charges		1241.85	100			Percent of total billed charges		1461	100			Percent of total billed charges		1461	100			Percent of total billed charges		1461	33.3			Percent of total billed charges		486.513	33.3			Percent of total billed charges		486.513	100			Percent of total billed charges		1461	486.513	1314.9	
acutrak 2 bone screw micro 14mm at2-c14-s acumed	278	RC	Outpatient			1461	949.65		90			Percent of total billed charges		1314.9	40			Percent of total billed charges		584.4	80			Percent of total billed charges		1168.8	90			Percent of total billed charges		1314.9	85			Percent of total billed charges		1241.85	85			Percent of total billed charges		1241.85	85			Percent of total billed charges		1241.85	100			Percent of total billed charges		1461	100			Percent of total billed charges		1461	100			Percent of total billed charges		1461	33.3			Percent of total billed charges		486.513	33.3			Percent of total billed charges		486.513	100			Percent of total billed charges		1461	486.513	1314.9	
acutrak 2 bone screw micro 16mm at2-c16-s acumed	278	RC	Outpatient			1461	949.65		90			Percent of total billed charges		1314.9	40			Percent of total billed charges		584.4	80			Percent of total billed charges		1168.8	90			Percent of total billed charges		1314.9	85			Percent of total billed charges		1241.85	85			Percent of total billed charges		1241.85	85			Percent of total billed charges		1241.85	100			Percent of total billed charges		1461	100			Percent of total billed charges		1461	100			Percent of total billed charges		1461	33.3			Percent of total billed charges		486.513	33.3			Percent of total billed charges		486.513	100			Percent of total billed charges		1461	486.513	1314.9	
acutrak 2 bone screw micro 8mm at2-c08-s acumed	278	RC	Outpatient			1461	949.65		90			Percent of total billed charges		1314.9	40			Percent of total billed charges		584.4	80			Percent of total billed charges		1168.8	90			Percent of total billed charges		1314.9	85			Percent of total billed charges		1241.85	85			Percent of total billed charges		1241.85	85			Percent of total billed charges		1241.85	100			Percent of total billed charges		1461	100			Percent of total billed charges		1461	100			Percent of total billed charges		1461	33.3			Percent of total billed charges		486.513	33.3			Percent of total billed charges		486.513	100			Percent of total billed charges		1461	486.513	1314.9	
acutrak 2 bone screw micro 9mm at2-c09-s acumed	278	RC	Outpatient			1461	949.65		90			Percent of total billed charges		1314.9	40			Percent of total billed charges		584.4	80			Percent of total billed charges		1168.8	90			Percent of total billed charges		1314.9	85			Percent of total billed charges		1241.85	85			Percent of total billed charges		1241.85	85			Percent of total billed charges		1241.85	100			Percent of total billed charges		1461	100			Percent of total billed charges		1461	100			Percent of total billed charges		1461	33.3			Percent of total billed charges		486.513	33.3			Percent of total billed charges		486.513	100			Percent of total billed charges		1461	486.513	1314.9	
acutrak 2 bone screw mini 18mm at2-m18-s acumed	278	RC	Outpatient			1461	949.65		90			Percent of total billed charges		1314.9	40			Percent of total billed charges		584.4	80			Percent of total billed charges		1168.8	90			Percent of total billed charges		1314.9	85			Percent of total billed charges		1241.85	85			Percent of total billed charges		1241.85	85			Percent of total billed charges		1241.85	100			Percent of total billed charges		1461	100			Percent of total billed charges		1461	100			Percent of total billed charges		1461	33.3			Percent of total billed charges		486.513	33.3			Percent of total billed charges		486.513	100			Percent of total billed charges		1461	486.513	1314.9	
acutrak 2 bone screw mini 20mm at2-m20-s acumed	278	RC	Outpatient			1461	949.65		90			Percent of total billed charges		1314.9	40			Percent of total billed charges		584.4	80			Percent of total billed charges		1168.8	90			Percent of total billed charges		1314.9	85			Percent of total billed charges		1241.85	85			Percent of total billed charges		1241.85	85			Percent of total billed charges		1241.85	100			Percent of total billed charges		1461	100			Percent of total billed charges		1461	100			Percent of total billed charges		1461	33.3			Percent of total billed charges		486.513	33.3			Percent of total billed charges		486.513	100			Percent of total billed charges		1461	486.513	1314.9	
acutrak 2 bone screw mini 22mm at2-m22-s acumed	278	RC	Outpatient			1461	949.65		90			Percent of total billed charges		1314.9	40			Percent of total billed charges		584.4	80			Percent of total billed charges		1168.8	90			Percent of total billed charges		1314.9	85			Percent of total billed charges		1241.85	85			Percent of total billed charges		1241.85	85			Percent of total billed charges		1241.85	100			Percent of total billed charges		1461	100			Percent of total billed charges		1461	100			Percent of total billed charges		1461	33.3			Percent of total billed charges		486.513	33.3			Percent of total billed charges		486.513	100			Percent of total billed charges		1461	486.513	1314.9	
acutrak 2 bone screw mini 24mm at2-m24-s acumed	278	RC	Outpatient			1461	949.65		90			Percent of total billed charges		1314.9	40			Percent of total billed charges		584.4	80			Percent of total billed charges		1168.8	90			Percent of total billed charges		1314.9	85			Percent of total billed charges		1241.85	85			Percent of total billed charges		1241.85	85			Percent of total billed charges		1241.85	100			Percent of total billed charges		1461	100			Percent of total billed charges		1461	100			Percent of total billed charges		1461	33.3			Percent of total billed charges		486.513	33.3			Percent of total billed charges		486.513	100			Percent of total billed charges		1461	486.513	1314.9	
acutrak 2 bone screw mini 26mm at2-m26-s acumed	278	RC	Outpatient			1461	949.65		90			Percent of total billed charges		1314.9	40			Percent of total billed charges		584.4	80			Percent of total billed charges		1168.8	90			Percent of total billed charges		1314.9	85			Percent of total billed charges		1241.85	85			Percent of total billed charges		1241.85	85			Percent of total billed charges		1241.85	100			Percent of total billed charges		1461	100			Percent of total billed charges		1461	100			Percent of total billed charges		1461	33.3			Percent of total billed charges		486.513	33.3			Percent of total billed charges		486.513	100			Percent of total billed charges		1461	486.513	1314.9	
acutrak 2 bone screw mini 30mm at2-m30-s acumed	278	RC	Outpatient			1461	949.65		90			Percent of total billed charges		1314.9	40			Percent of total billed charges		584.4	80			Percent of total billed charges		1168.8	90			Percent of total billed charges		1314.9	85			Percent of total billed charges		1241.85	85			Percent of total billed charges		1241.85	85			Percent of total billed charges		1241.85	100			Percent of total billed charges		1461	100			Percent of total billed charges		1461	100			Percent of total billed charges		1461	33.3			Percent of total billed charges		486.513	33.3			Percent of total billed charges		486.513	100			Percent of total billed charges		1461	486.513	1314.9	
acutrak 2 bone screw std 16mm at2-s316-s acumed	278	RC	Outpatient			1461	949.65		90			Percent of total billed charges		1314.9	40			Percent of total billed charges		584.4	80			Percent of total billed charges		1168.8	90			Percent of total billed charges		1314.9	85			Percent of total billed charges		1241.85	85			Percent of total billed charges		1241.85	85			Percent of total billed charges		1241.85	100			Percent of total billed charges		1461	100			Percent of total billed charges		1461	100			Percent of total billed charges		1461	33.3			Percent of total billed charges		486.513	33.3			Percent of total billed charges		486.513	100			Percent of total billed charges		1461	486.513	1314.9	
acutrak 2 bone screw std 18mm at2-s18-s acumed	278	RC	Outpatient			1461	949.65		90			Percent of total billed charges		1314.9	40			Percent of total billed charges		584.4	80			Percent of total billed charges		1168.8	90			Percent of total billed charges		1314.9	85			Percent of total billed charges		1241.85	85			Percent of total billed charges		1241.85	85			Percent of total billed charges		1241.85	100			Percent of total billed charges		1461	100			Percent of total billed charges		1461	100			Percent of total billed charges		1461	33.3			Percent of total billed charges		486.513	33.3			Percent of total billed charges		486.513	100			Percent of total billed charges		1461	486.513	1314.9	
acutrak 2 bone screw std 26mm at2-s26-s acumed	278	RC	Outpatient			1461	949.65		90			Percent of total billed charges		1314.9	40			Percent of total billed charges		584.4	80			Percent of total billed charges		1168.8	90			Percent of total billed charges		1314.9	85			Percent of total billed charges		1241.85	85			Percent of total billed charges		1241.85	85			Percent of total billed charges		1241.85	100			Percent of total billed charges		1461	100			Percent of total billed charges		1461	100			Percent of total billed charges		1461	33.3			Percent of total billed charges		486.513	33.3			Percent of total billed charges		486.513	100			Percent of total billed charges		1461	486.513	1314.9	
acutrak 2 bone screw std 30mm at2-s30-s acumed	278	RC	Outpatient			1461	949.65		90			Percent of total billed charges		1314.9	40			Percent of total billed charges		584.4	80			Percent of total billed charges		1168.8	90			Percent of total billed charges		1314.9	85			Percent of total billed charges		1241.85	85			Percent of total billed charges		1241.85	85			Percent of total billed charges		1241.85	100			Percent of total billed charges		1461	100			Percent of total billed charges		1461	100			Percent of total billed charges		1461	33.3			Percent of total billed charges		486.513	33.3			Percent of total billed charges		486.513	100			Percent of total billed charges		1461	486.513	1314.9	
acutrak 2 bone screw std 34mm at2-s34-s acumed	278	RC	Outpatient			1461	949.65		90			Percent of total billed charges		1314.9	40			Percent of total billed charges		584.4	80			Percent of total billed charges		1168.8	90			Percent of total billed charges		1314.9	85			Percent of total billed charges		1241.85	85			Percent of total billed charges		1241.85	85			Percent of total billed charges		1241.85	100			Percent of total billed charges		1461	100			Percent of total billed charges		1461	100			Percent of total billed charges		1461	33.3			Percent of total billed charges		486.513	33.3			Percent of total billed charges		486.513	100			Percent of total billed charges		1461	486.513	1314.9	
acutrak 2 micro scr	278	RC	Outpatient			1461	949.65		90			Percent of total billed charges		1314.9	40			Percent of total billed charges		584.4	80			Percent of total billed charges		1168.8	90			Percent of total billed charges		1314.9	85			Percent of total billed charges		1241.85	85			Percent of total billed charges		1241.85	85			Percent of total billed charges		1241.85	100			Percent of total billed charges		1461	100			Percent of total billed charges		1461	100			Percent of total billed charges		1461	33.3			Percent of total billed charges		486.513	33.3			Percent of total billed charges		486.513	100			Percent of total billed charges		1461	486.513	1314.9	
acutrak 2 mini scr	278	RC	Outpatient			1461	949.65		90			Percent of total billed charges		1314.9	40			Percent of total billed charges		584.4	80			Percent of total billed charges		1168.8	90			Percent of total billed charges		1314.9	85			Percent of total billed charges		1241.85	85			Percent of total billed charges		1241.85	85			Percent of total billed charges		1241.85	100			Percent of total billed charges		1461	100			Percent of total billed charges		1461	100			Percent of total billed charges		1461	33.3			Percent of total billed charges		486.513	33.3			Percent of total billed charges		486.513	100			Percent of total billed charges		1461	486.513	1314.9	
toggleloc/ washer kit	272	RC	Outpatient			1461	949.65		90			Percent of total billed charges		1314.9	40			Percent of total billed charges		584.4	80			Percent of total billed charges		1168.8	90			Percent of total billed charges		1314.9	85			Percent of total billed charges		1241.85	85			Percent of total billed charges		1241.85	85			Percent of total billed charges		1241.85	100			Percent of total billed charges		1461	100			Percent of total billed charges		1461	100			Percent of total billed charges		1461	33.3			Percent of total billed charges		486.513	33.3			Percent of total billed charges		486.513	100			Percent of total billed charges		1461	486.513	1314.9	
toggleloc/washer disp kit 909846 biomet	272	RC	Outpatient			1461	949.65		90			Percent of total billed charges		1314.9	40			Percent of total billed charges		584.4	80			Percent of total billed charges		1168.8	90			Percent of total billed charges		1314.9	85			Percent of total billed charges		1241.85	85			Percent of total billed charges		1241.85	85			Percent of total billed charges		1241.85	100			Percent of total billed charges		1461	100			Percent of total billed charges		1461	100			Percent of total billed charges		1461	33.3			Percent of total billed charges		486.513	33.3			Percent of total billed charges		486.513	100			Percent of total billed charges		1461	486.513	1314.9	
gynecare morcellex mxo100 ethcon	272	RC	Outpatient			1462	950.3		90			Percent of total billed charges		1315.8	40			Percent of total billed charges		584.8	80			Percent of total billed charges		1169.6	90			Percent of total billed charges		1315.8	85			Percent of total billed charges		1242.7	85			Percent of total billed charges		1242.7	85			Percent of total billed charges		1242.7	100			Percent of total billed charges		1462	100			Percent of total billed charges		1462	100			Percent of total billed charges		1462	33.3			Percent of total billed charges		486.846	33.3			Percent of total billed charges		486.846	100			Percent of total billed charges		1462	486.846	1315.8	
morcellator	272	RC	Outpatient			1462	950.3		90			Percent of total billed charges		1315.8	40			Percent of total billed charges		584.8	80			Percent of total billed charges		1169.6	90			Percent of total billed charges		1315.8	85			Percent of total billed charges		1242.7	85			Percent of total billed charges		1242.7	85			Percent of total billed charges		1242.7	100			Percent of total billed charges		1462	100			Percent of total billed charges		1462	100			Percent of total billed charges		1462	33.3			Percent of total billed charges		486.846	33.3			Percent of total billed charges		486.846	100			Percent of total billed charges		1462	486.846	1315.8	
lg fr pl lg t-plt 8hl	278	RC	Outpatient			1462	950.3		90			Percent of total billed charges		1315.8	40			Percent of total billed charges		584.8	80			Percent of total billed charges		1169.6	90			Percent of total billed charges		1315.8	85			Percent of total billed charges		1242.7	85			Percent of total billed charges		1242.7	85			Percent of total billed charges		1242.7	100			Percent of total billed charges		1462	100			Percent of total billed charges		1462	100			Percent of total billed charges		1462	33.3			Percent of total billed charges		486.846	33.3			Percent of total billed charges		486.846	100			Percent of total billed charges		1462	486.846	1315.8	
s/n lg frag  plate 8 hole 7114-1608	278	RC	Outpatient			1462	950.3		90			Percent of total billed charges		1315.8	40			Percent of total billed charges		584.8	80			Percent of total billed charges		1169.6	90			Percent of total billed charges		1315.8	85			Percent of total billed charges		1242.7	85			Percent of total billed charges		1242.7	85			Percent of total billed charges		1242.7	100			Percent of total billed charges		1462	100			Percent of total billed charges		1462	100			Percent of total billed charges		1462	33.3			Percent of total billed charges		486.846	33.3			Percent of total billed charges		486.846	100			Percent of total billed charges		1462	486.846	1315.8	
lg fr pl cp brd cmp 6-7h	278	RC	Outpatient			1463	950.95		90			Percent of total billed charges		1316.7	40			Percent of total billed charges		585.2	80			Percent of total billed charges		1170.4	90			Percent of total billed charges		1316.7	85			Percent of total billed charges		1243.55	85			Percent of total billed charges		1243.55	85			Percent of total billed charges		1243.55	100			Percent of total billed charges		1463	100			Percent of total billed charges		1463	100			Percent of total billed charges		1463	33.3			Percent of total billed charges		487.179	33.3			Percent of total billed charges		487.179	100			Percent of total billed charges		1463	487.179	1316.7	
s/n lg frag  plate 4.5mm 6 hole 7184-1206	278	RC	Outpatient			1463	950.95		90			Percent of total billed charges		1316.7	40			Percent of total billed charges		585.2	80			Percent of total billed charges		1170.4	90			Percent of total billed charges		1316.7	85			Percent of total billed charges		1243.55	85			Percent of total billed charges		1243.55	85			Percent of total billed charges		1243.55	100			Percent of total billed charges		1463	100			Percent of total billed charges		1463	100			Percent of total billed charges		1463	33.3			Percent of total billed charges		487.179	33.3			Percent of total billed charges		487.179	100			Percent of total billed charges		1463	487.179	1316.7	
s/n lg frag plate 4.5mm 7 hole 7184-1207	278	RC	Outpatient			1463	950.95		90			Percent of total billed charges		1316.7	40			Percent of total billed charges		585.2	80			Percent of total billed charges		1170.4	90			Percent of total billed charges		1316.7	85			Percent of total billed charges		1243.55	85			Percent of total billed charges		1243.55	85			Percent of total billed charges		1243.55	100			Percent of total billed charges		1463	100			Percent of total billed charges		1463	100			Percent of total billed charges		1463	33.3			Percent of total billed charges		487.179	33.3			Percent of total billed charges		487.179	100			Percent of total billed charges		1463	487.179	1316.7	
cocr 12/14 taper femoral head 28mm + 16  71302816 s/n	278	RC	Outpatient			1464	951.6		90			Percent of total billed charges		1317.6	40			Percent of total billed charges		585.6	80			Percent of total billed charges		1171.2	90			Percent of total billed charges		1317.6	85			Percent of total billed charges		1244.4	85			Percent of total billed charges		1244.4	85			Percent of total billed charges		1244.4	100			Percent of total billed charges		1464	100			Percent of total billed charges		1464	100			Percent of total billed charges		1464	33.3			Percent of total billed charges		487.512	33.3			Percent of total billed charges		487.512	100			Percent of total billed charges		1464	487.512	1317.6	
richards femoral head	278	RC	Outpatient			1464	951.6		90			Percent of total billed charges		1317.6	40			Percent of total billed charges		585.6	80			Percent of total billed charges		1171.2	90			Percent of total billed charges		1317.6	85			Percent of total billed charges		1244.4	85			Percent of total billed charges		1244.4	85			Percent of total billed charges		1244.4	100			Percent of total billed charges		1464	100			Percent of total billed charges		1464	100			Percent of total billed charges		1464	33.3			Percent of total billed charges		487.512	33.3			Percent of total billed charges		487.512	100			Percent of total billed charges		1464	487.512	1317.6	
stryker v40 fem head	278	RC	Outpatient			1464	951.6		90			Percent of total billed charges		1317.6	40			Percent of total billed charges		585.6	80			Percent of total billed charges		1171.2	90			Percent of total billed charges		1317.6	85			Percent of total billed charges		1244.4	85			Percent of total billed charges		1244.4	85			Percent of total billed charges		1244.4	100			Percent of total billed charges		1464	100			Percent of total billed charges		1464	100			Percent of total billed charges		1464	33.3			Percent of total billed charges		487.512	33.3			Percent of total billed charges		487.512	100			Percent of total billed charges		1464	487.512	1317.6	
cocr 12/14 taper femoral head 32mm + 0  71303200 s/n	278	RC	Outpatient			1465	952.25		90			Percent of total billed charges		1318.5	40			Percent of total billed charges		586	80			Percent of total billed charges		1172	90			Percent of total billed charges		1318.5	85			Percent of total billed charges		1245.25	85			Percent of total billed charges		1245.25	85			Percent of total billed charges		1245.25	100			Percent of total billed charges		1465	100			Percent of total billed charges		1465	100			Percent of total billed charges		1465	33.3			Percent of total billed charges		487.845	33.3			Percent of total billed charges		487.845	100			Percent of total billed charges		1465	487.845	1318.5	
rich cc fem	278	RC	Outpatient			1465	952.25		90			Percent of total billed charges		1318.5	40			Percent of total billed charges		586	80			Percent of total billed charges		1172	90			Percent of total billed charges		1318.5	85			Percent of total billed charges		1245.25	85			Percent of total billed charges		1245.25	85			Percent of total billed charges		1245.25	100			Percent of total billed charges		1465	100			Percent of total billed charges		1465	100			Percent of total billed charges		1465	33.3			Percent of total billed charges		487.845	33.3			Percent of total billed charges		487.845	100			Percent of total billed charges		1465	487.845	1318.5	
biomet 360 offset adaptor 2.5mm w/ screw 185210	278	RC	Outpatient			1467	953.55		90			Percent of total billed charges		1320.3	40			Percent of total billed charges		586.8	80			Percent of total billed charges		1173.6	90			Percent of total billed charges		1320.3	85			Percent of total billed charges		1246.95	85			Percent of total billed charges		1246.95	85			Percent of total billed charges		1246.95	100			Percent of total billed charges		1467	100			Percent of total billed charges		1467	100			Percent of total billed charges		1467	33.3			Percent of total billed charges		488.511	33.3			Percent of total billed charges		488.511	100			Percent of total billed charges		1467	488.511	1320.3	
biomet 360 offset adaptor 5mm w/ screw 185211	278	RC	Outpatient			1467	953.55		90			Percent of total billed charges		1320.3	40			Percent of total billed charges		586.8	80			Percent of total billed charges		1173.6	90			Percent of total billed charges		1320.3	85			Percent of total billed charges		1246.95	85			Percent of total billed charges		1246.95	85			Percent of total billed charges		1246.95	100			Percent of total billed charges		1467	100			Percent of total billed charges		1467	100			Percent of total billed charges		1467	33.3			Percent of total billed charges		488.511	33.3			Percent of total billed charges		488.511	100			Percent of total billed charges		1467	488.511	1320.3	
biomet 360 offset adaptor 7.5mm w/ screw 185212	278	RC	Outpatient			1467	953.55		90			Percent of total billed charges		1320.3	40			Percent of total billed charges		586.8	80			Percent of total billed charges		1173.6	90			Percent of total billed charges		1320.3	85			Percent of total billed charges		1246.95	85			Percent of total billed charges		1246.95	85			Percent of total billed charges		1246.95	100			Percent of total billed charges		1467	100			Percent of total billed charges		1467	100			Percent of total billed charges		1467	33.3			Percent of total billed charges		488.511	33.3			Percent of total billed charges		488.511	100			Percent of total billed charges		1467	488.511	1320.3	
bio offset adaptor 360	278	RC	Outpatient			1467	953.55		90			Percent of total billed charges		1320.3	40			Percent of total billed charges		586.8	80			Percent of total billed charges		1173.6	90			Percent of total billed charges		1320.3	85			Percent of total billed charges		1246.95	85			Percent of total billed charges		1246.95	85			Percent of total billed charges		1246.95	100			Percent of total billed charges		1467	100			Percent of total billed charges		1467	100			Percent of total billed charges		1467	33.3			Percent of total billed charges		488.511	33.3			Percent of total billed charges		488.511	100			Percent of total billed charges		1467	488.511	1320.3	
distal lateral fibula plate 3 hole 40-20903 stryker	278	RC	Outpatient			1468	954.2		90			Percent of total billed charges		1321.2	40			Percent of total billed charges		587.2	80			Percent of total billed charges		1174.4	90			Percent of total billed charges		1321.2	85			Percent of total billed charges		1247.8	85			Percent of total billed charges		1247.8	85			Percent of total billed charges		1247.8	100			Percent of total billed charges		1468	100			Percent of total billed charges		1468	100			Percent of total billed charges		1468	33.3			Percent of total billed charges		488.844	33.3			Percent of total billed charges		488.844	100			Percent of total billed charges		1468	488.844	1321.2	
stryker dist la f pl 3hl	278	RC	Outpatient			1468	954.2		90			Percent of total billed charges		1321.2	40			Percent of total billed charges		587.2	80			Percent of total billed charges		1174.4	90			Percent of total billed charges		1321.2	85			Percent of total billed charges		1247.8	85			Percent of total billed charges		1247.8	85			Percent of total billed charges		1247.8	100			Percent of total billed charges		1468	100			Percent of total billed charges		1468	100			Percent of total billed charges		1468	33.3			Percent of total billed charges		488.844	33.3			Percent of total billed charges		488.844	100			Percent of total billed charges		1468	488.844	1321.2	
variax dist lat fib pl5hl	278	RC	Outpatient			1468	954.2		90			Percent of total billed charges		1321.2	40			Percent of total billed charges		587.2	80			Percent of total billed charges		1174.4	90			Percent of total billed charges		1321.2	85			Percent of total billed charges		1247.8	85			Percent of total billed charges		1247.8	85			Percent of total billed charges		1247.8	100			Percent of total billed charges		1468	100			Percent of total billed charges		1468	100			Percent of total billed charges		1468	33.3			Percent of total billed charges		488.844	33.3			Percent of total billed charges		488.844	100			Percent of total billed charges		1468	488.844	1321.2	
variax dist lat fib plate 5hl 40-20905 stryker	278	RC	Outpatient			1468	954.2		90			Percent of total billed charges		1321.2	40			Percent of total billed charges		587.2	80			Percent of total billed charges		1174.4	90			Percent of total billed charges		1321.2	85			Percent of total billed charges		1247.8	85			Percent of total billed charges		1247.8	85			Percent of total billed charges		1247.8	100			Percent of total billed charges		1468	100			Percent of total billed charges		1468	100			Percent of total billed charges		1468	33.3			Percent of total billed charges		488.844	33.3			Percent of total billed charges		488.844	100			Percent of total billed charges		1468	488.844	1321.2	
triathlon asymmetric patella 29 x 9mm 5551-g-299 stryker	278	RC	Outpatient			1471	956.15		90			Percent of total billed charges		1323.9	40			Percent of total billed charges		588.4	80			Percent of total billed charges		1176.8	90			Percent of total billed charges		1323.9	85			Percent of total billed charges		1250.35	85			Percent of total billed charges		1250.35	85			Percent of total billed charges		1250.35	100			Percent of total billed charges		1471	100			Percent of total billed charges		1471	100			Percent of total billed charges		1471	33.3			Percent of total billed charges		489.843	33.3			Percent of total billed charges		489.843	100			Percent of total billed charges		1471	489.843	1323.9	
triathlon asymmetric patella32 x 10mm 5551-l-320 stryker	278	RC	Outpatient			1471	956.15		90			Percent of total billed charges		1323.9	40			Percent of total billed charges		588.4	80			Percent of total billed charges		1176.8	90			Percent of total billed charges		1323.9	85			Percent of total billed charges		1250.35	85			Percent of total billed charges		1250.35	85			Percent of total billed charges		1250.35	100			Percent of total billed charges		1471	100			Percent of total billed charges		1471	100			Percent of total billed charges		1471	33.3			Percent of total billed charges		489.843	33.3			Percent of total billed charges		489.843	100			Percent of total billed charges		1471	489.843	1323.9	
triathlon patella asy	278	RC	Outpatient			1471	956.15		90			Percent of total billed charges		1323.9	40			Percent of total billed charges		588.4	80			Percent of total billed charges		1176.8	90			Percent of total billed charges		1323.9	85			Percent of total billed charges		1250.35	85			Percent of total billed charges		1250.35	85			Percent of total billed charges		1250.35	100			Percent of total billed charges		1471	100			Percent of total billed charges		1471	100			Percent of total billed charges		1471	33.3			Percent of total billed charges		489.843	33.3			Percent of total billed charges		489.843	100			Percent of total billed charges		1471	489.843	1323.9	
triathlon asymmetric patella 5551-g-350 stryker	278	RC	Outpatient			1471	956.15		90			Percent of total billed charges		1323.9	40			Percent of total billed charges		588.4	80			Percent of total billed charges		1176.8	90			Percent of total billed charges		1323.9	85			Percent of total billed charges		1250.35	85			Percent of total billed charges		1250.35	85			Percent of total billed charges		1250.35	100			Percent of total billed charges		1471	100			Percent of total billed charges		1471	100			Percent of total billed charges		1471	33.3			Percent of total billed charges		489.843	33.3			Percent of total billed charges		489.843	100			Percent of total billed charges		1471	489.843	1323.9	
3.5mm locking recon pl 4 hl 7182-2604 s/n	278	RC	Outpatient			1472	956.8		90			Percent of total billed charges		1324.8	40			Percent of total billed charges		588.8	80			Percent of total billed charges		1177.6	90			Percent of total billed charges		1324.8	85			Percent of total billed charges		1251.2	85			Percent of total billed charges		1251.2	85			Percent of total billed charges		1251.2	100			Percent of total billed charges		1472	100			Percent of total billed charges		1472	100			Percent of total billed charges		1472	33.3			Percent of total billed charges		490.176	33.3			Percent of total billed charges		490.176	100			Percent of total billed charges		1472	490.176	1324.8	
s/n 3.5 lck recon pl 4 hl	278	RC	Outpatient			1472	956.8		90			Percent of total billed charges		1324.8	40			Percent of total billed charges		588.8	80			Percent of total billed charges		1177.6	90			Percent of total billed charges		1324.8	85			Percent of total billed charges		1251.2	85			Percent of total billed charges		1251.2	85			Percent of total billed charges		1251.2	100			Percent of total billed charges		1472	100			Percent of total billed charges		1472	100			Percent of total billed charges		1472	33.3			Percent of total billed charges		490.176	33.3			Percent of total billed charges		490.176	100			Percent of total billed charges		1472	490.176	1324.8	
recon plt 3.5mm 4 hl 71809204 s\n	278	RC	Outpatient			1472	956.8		90			Percent of total billed charges		1324.8	40			Percent of total billed charges		588.8	80			Percent of total billed charges		1177.6	90			Percent of total billed charges		1324.8	85			Percent of total billed charges		1251.2	85			Percent of total billed charges		1251.2	85			Percent of total billed charges		1251.2	100			Percent of total billed charges		1472	100			Percent of total billed charges		1472	100			Percent of total billed charges		1472	33.3			Percent of total billed charges		490.176	33.3			Percent of total billed charges		490.176	100			Percent of total billed charges		1472	490.176	1324.8	
recon plt 3.5mm 4hl 71829204 s\n	278	RC	Outpatient			1472	956.8		90			Percent of total billed charges		1324.8	40			Percent of total billed charges		588.8	80			Percent of total billed charges		1177.6	90			Percent of total billed charges		1324.8	85			Percent of total billed charges		1251.2	85			Percent of total billed charges		1251.2	85			Percent of total billed charges		1251.2	100			Percent of total billed charges		1472	100			Percent of total billed charges		1472	100			Percent of total billed charges		1472	33.3			Percent of total billed charges		490.176	33.3			Percent of total billed charges		490.176	100			Percent of total billed charges		1472	490.176	1324.8	
thunderbeat	272	RC	Outpatient			1473	957.45		90			Percent of total billed charges		1325.7	40			Percent of total billed charges		589.2	80			Percent of total billed charges		1178.4	90			Percent of total billed charges		1325.7	85			Percent of total billed charges		1252.05	85			Percent of total billed charges		1252.05	85			Percent of total billed charges		1252.05	100			Percent of total billed charges		1473	100			Percent of total billed charges		1473	100			Percent of total billed charges		1473	33.3			Percent of total billed charges		490.509	33.3			Percent of total billed charges		490.509	100			Percent of total billed charges		1473	490.509	1325.7	
thunderbeat tb-0535ic olympus	272	RC	Outpatient			1473	957.45		90			Percent of total billed charges		1325.7	40			Percent of total billed charges		589.2	80			Percent of total billed charges		1178.4	90			Percent of total billed charges		1325.7	85			Percent of total billed charges		1252.05	85			Percent of total billed charges		1252.05	85			Percent of total billed charges		1252.05	100			Percent of total billed charges		1473	100			Percent of total billed charges		1473	100			Percent of total billed charges		1473	33.3			Percent of total billed charges		490.509	33.3			Percent of total billed charges		490.509	100			Percent of total billed charges		1473	490.509	1325.7	
butterfly washer 21.7mm ti 71101693s  s/n	278	RC	Outpatient			1475	958.75		90			Percent of total billed charges		1327.5	40			Percent of total billed charges		590	80			Percent of total billed charges		1180	90			Percent of total billed charges		1327.5	85			Percent of total billed charges		1253.75	85			Percent of total billed charges		1253.75	85			Percent of total billed charges		1253.75	100			Percent of total billed charges		1475	100			Percent of total billed charges		1475	100			Percent of total billed charges		1475	33.3			Percent of total billed charges		491.175	33.3			Percent of total billed charges		491.175	100			Percent of total billed charges		1475	491.175	1327.5	
s/n washer 21.7 bf ti	278	RC	Outpatient			1475	958.75		90			Percent of total billed charges		1327.5	40			Percent of total billed charges		590	80			Percent of total billed charges		1180	90			Percent of total billed charges		1327.5	85			Percent of total billed charges		1253.75	85			Percent of total billed charges		1253.75	85			Percent of total billed charges		1253.75	100			Percent of total billed charges		1475	100			Percent of total billed charges		1475	100			Percent of total billed charges		1475	33.3			Percent of total billed charges		491.175	33.3			Percent of total billed charges		491.175	100			Percent of total billed charges		1475	491.175	1327.5	
aigis patch icd	272	RC	Outpatient			1476	959.4		90			Percent of total billed charges		1328.4	40			Percent of total billed charges		590.4	80			Percent of total billed charges		1180.8	90			Percent of total billed charges		1328.4	85			Percent of total billed charges		1254.6	85			Percent of total billed charges		1254.6	85			Percent of total billed charges		1254.6	100			Percent of total billed charges		1476	100			Percent of total billed charges		1476	100			Percent of total billed charges		1476	33.3			Percent of total billed charges		491.508	33.3			Percent of total billed charges		491.508	100			Percent of total billed charges		1476	491.508	1328.4	
fetal pillow ref pf-010 safe ob	272	RC	Outpatient			1476.75	959.89		90			Percent of total billed charges		1329.075	40			Percent of total billed charges		590.7	80			Percent of total billed charges		1181.4	90			Percent of total billed charges		1329.075	85			Percent of total billed charges		1255.2375	85			Percent of total billed charges		1255.2375	85			Percent of total billed charges		1255.2375	100			Percent of total billed charges		1476.75	100			Percent of total billed charges		1476.75	100			Percent of total billed charges		1476.75	33.3			Percent of total billed charges		491.7578	33.3			Percent of total billed charges		491.7578	100			Percent of total billed charges		1476.75	491.7578	1329.075	
cath lab aigia icd	272	RC	Outpatient			1477	960.05		90			Percent of total billed charges		1329.3	40			Percent of total billed charges		590.8	80			Percent of total billed charges		1181.6	90			Percent of total billed charges		1329.3	85			Percent of total billed charges		1255.45	85			Percent of total billed charges		1255.45	85			Percent of total billed charges		1255.45	100			Percent of total billed charges		1477	100			Percent of total billed charges		1477	100			Percent of total billed charges		1477	33.3			Percent of total billed charges		491.841	33.3			Percent of total billed charges		491.841	100			Percent of total billed charges		1477	491.841	1329.3	
cath lab aigis icd	272	RC	Outpatient			1477	960.05		90			Percent of total billed charges		1329.3	40			Percent of total billed charges		590.8	80			Percent of total billed charges		1181.6	90			Percent of total billed charges		1329.3	85			Percent of total billed charges		1255.45	85			Percent of total billed charges		1255.45	85			Percent of total billed charges		1255.45	100			Percent of total billed charges		1477	100			Percent of total billed charges		1477	100			Percent of total billed charges		1477	33.3			Percent of total billed charges		491.841	33.3			Percent of total billed charges		491.841	100			Percent of total billed charges		1477	491.841	1329.3	
cath lab tyrx patch ppm	272	RC	Outpatient			1477	960.05		90			Percent of total billed charges		1329.3	40			Percent of total billed charges		590.8	80			Percent of total billed charges		1181.6	90			Percent of total billed charges		1329.3	85			Percent of total billed charges		1255.45	85			Percent of total billed charges		1255.45	85			Percent of total billed charges		1255.45	100			Percent of total billed charges		1477	100			Percent of total billed charges		1477	100			Percent of total billed charges		1477	33.3			Percent of total billed charges		491.841	33.3			Percent of total billed charges		491.841	100			Percent of total billed charges		1477	491.841	1329.3	
4.5mm medial distal tibia plate 12 hole 233mm rt 224.512	278	RC	Outpatient			1478	960.7		90			Percent of total billed charges		1330.2	40			Percent of total billed charges		591.2	80			Percent of total billed charges		1182.4	90			Percent of total billed charges		1330.2	85			Percent of total billed charges		1256.3	85			Percent of total billed charges		1256.3	85			Percent of total billed charges		1256.3	100			Percent of total billed charges		1478	100			Percent of total billed charges		1478	100			Percent of total billed charges		1478	33.3			Percent of total billed charges		492.174	33.3			Percent of total billed charges		492.174	100			Percent of total billed charges		1478	492.174	1330.2	
4.5mm medial distal tibia plate 14 hole 269mm lt 224.515	278	RC	Outpatient			1478	960.7		90			Percent of total billed charges		1330.2	40			Percent of total billed charges		591.2	80			Percent of total billed charges		1182.4	90			Percent of total billed charges		1330.2	85			Percent of total billed charges		1256.3	85			Percent of total billed charges		1256.3	85			Percent of total billed charges		1256.3	100			Percent of total billed charges		1478	100			Percent of total billed charges		1478	100			Percent of total billed charges		1478	33.3			Percent of total billed charges		492.174	33.3			Percent of total billed charges		492.174	100			Percent of total billed charges		1478	492.174	1330.2	
4.5mm medial distal tibia plate 14 hole 269mm rt 224.514	278	RC	Outpatient			1478	960.7		90			Percent of total billed charges		1330.2	40			Percent of total billed charges		591.2	80			Percent of total billed charges		1182.4	90			Percent of total billed charges		1330.2	85			Percent of total billed charges		1256.3	85			Percent of total billed charges		1256.3	85			Percent of total billed charges		1256.3	100			Percent of total billed charges		1478	100			Percent of total billed charges		1478	100			Percent of total billed charges		1478	33.3			Percent of total billed charges		492.174	33.3			Percent of total billed charges		492.174	100			Percent of total billed charges		1478	492.174	1330.2	
4.5mm medial distal tibia plate 12 hole 233mm lt 224.513	278	RC	Outpatient			1478	960.7		90			Percent of total billed charges		1330.2	40			Percent of total billed charges		591.2	80			Percent of total billed charges		1182.4	90			Percent of total billed charges		1330.2	85			Percent of total billed charges		1256.3	85			Percent of total billed charges		1256.3	85			Percent of total billed charges		1256.3	100			Percent of total billed charges		1478	100			Percent of total billed charges		1478	100			Percent of total billed charges		1478	33.3			Percent of total billed charges		492.174	33.3			Percent of total billed charges		492.174	100			Percent of total billed charges		1478	492.174	1330.2	
s/n obiq t-plate 4-5 hl	278	RC	Outpatient			1478	960.7		90			Percent of total billed charges		1330.2	40			Percent of total billed charges		591.2	80			Percent of total billed charges		1182.4	90			Percent of total billed charges		1330.2	85			Percent of total billed charges		1256.3	85			Percent of total billed charges		1256.3	85			Percent of total billed charges		1256.3	100			Percent of total billed charges		1478	100			Percent of total billed charges		1478	100			Percent of total billed charges		1478	33.3			Percent of total billed charges		492.174	33.3			Percent of total billed charges		492.174	100			Percent of total billed charges		1478	492.174	1330.2	
syn 4.5 dist tib plt 12hl	278	RC	Outpatient			1478	960.7		90			Percent of total billed charges		1330.2	40			Percent of total billed charges		591.2	80			Percent of total billed charges		1182.4	90			Percent of total billed charges		1330.2	85			Percent of total billed charges		1256.3	85			Percent of total billed charges		1256.3	85			Percent of total billed charges		1256.3	100			Percent of total billed charges		1478	100			Percent of total billed charges		1478	100			Percent of total billed charges		1478	33.3			Percent of total billed charges		492.174	33.3			Percent of total billed charges		492.174	100			Percent of total billed charges		1478	492.174	1330.2	
synthes 4.5 proximal tibial plate 14 hole 253mm (r) 240.014	278	RC	Outpatient			1478	960.7		90			Percent of total billed charges		1330.2	40			Percent of total billed charges		591.2	80			Percent of total billed charges		1182.4	90			Percent of total billed charges		1330.2	85			Percent of total billed charges		1256.3	85			Percent of total billed charges		1256.3	85			Percent of total billed charges		1256.3	100			Percent of total billed charges		1478	100			Percent of total billed charges		1478	100			Percent of total billed charges		1478	33.3			Percent of total billed charges		492.174	33.3			Percent of total billed charges		492.174	100			Percent of total billed charges		1478	492.174	1330.2	
t-plt oblique 4 hl 71809614 s\n	278	RC	Outpatient			1478	960.7		90			Percent of total billed charges		1330.2	40			Percent of total billed charges		591.2	80			Percent of total billed charges		1182.4	90			Percent of total billed charges		1330.2	85			Percent of total billed charges		1256.3	85			Percent of total billed charges		1256.3	85			Percent of total billed charges		1256.3	100			Percent of total billed charges		1478	100			Percent of total billed charges		1478	100			Percent of total billed charges		1478	33.3			Percent of total billed charges		492.174	33.3			Percent of total billed charges		492.174	100			Percent of total billed charges		1478	492.174	1330.2	
t-plt oblique 4 hl 71829614 s\n	278	RC	Outpatient			1478	960.7		90			Percent of total billed charges		1330.2	40			Percent of total billed charges		591.2	80			Percent of total billed charges		1182.4	90			Percent of total billed charges		1330.2	85			Percent of total billed charges		1256.3	85			Percent of total billed charges		1256.3	85			Percent of total billed charges		1256.3	100			Percent of total billed charges		1478	100			Percent of total billed charges		1478	100			Percent of total billed charges		1478	33.3			Percent of total billed charges		492.174	33.3			Percent of total billed charges		492.174	100			Percent of total billed charges		1478	492.174	1330.2	
syn 4.5 dist tib plt 14hl	278	RC	Outpatient			1478	960.7		90			Percent of total billed charges		1330.2	40			Percent of total billed charges		591.2	80			Percent of total billed charges		1182.4	90			Percent of total billed charges		1330.2	85			Percent of total billed charges		1256.3	85			Percent of total billed charges		1256.3	85			Percent of total billed charges		1256.3	100			Percent of total billed charges		1478	100			Percent of total billed charges		1478	100			Percent of total billed charges		1478	33.3			Percent of total billed charges		492.174	33.3			Percent of total billed charges		492.174	100			Percent of total billed charges		1478	492.174	1330.2	
synthes 4.5 proximal tibial plate 12 hole 217mm (l) 240.013	278	RC	Outpatient			1478	960.7		90			Percent of total billed charges		1330.2	40			Percent of total billed charges		591.2	80			Percent of total billed charges		1182.4	90			Percent of total billed charges		1330.2	85			Percent of total billed charges		1256.3	85			Percent of total billed charges		1256.3	85			Percent of total billed charges		1256.3	100			Percent of total billed charges		1478	100			Percent of total billed charges		1478	100			Percent of total billed charges		1478	33.3			Percent of total billed charges		492.174	33.3			Percent of total billed charges		492.174	100			Percent of total billed charges		1478	492.174	1330.2	
synthes 4.5 proximal tibial plate 12 hole 217mm (r) 240.012	278	RC	Outpatient			1478	960.7		90			Percent of total billed charges		1330.2	40			Percent of total billed charges		591.2	80			Percent of total billed charges		1182.4	90			Percent of total billed charges		1330.2	85			Percent of total billed charges		1256.3	85			Percent of total billed charges		1256.3	85			Percent of total billed charges		1256.3	100			Percent of total billed charges		1478	100			Percent of total billed charges		1478	100			Percent of total billed charges		1478	33.3			Percent of total billed charges		492.174	33.3			Percent of total billed charges		492.174	100			Percent of total billed charges		1478	492.174	1330.2	
synthes 4.5 proximal tibial plate 14 hole 253mm (l) 240.015	278	RC	Outpatient			1478	960.7		90			Percent of total billed charges		1330.2	40			Percent of total billed charges		591.2	80			Percent of total billed charges		1182.4	90			Percent of total billed charges		1330.2	85			Percent of total billed charges		1256.3	85			Percent of total billed charges		1256.3	85			Percent of total billed charges		1256.3	100			Percent of total billed charges		1478	100			Percent of total billed charges		1478	100			Percent of total billed charges		1478	33.3			Percent of total billed charges		492.174	33.3			Percent of total billed charges		492.174	100			Percent of total billed charges		1478	492.174	1330.2	
t-plt oblique 5 hl 71809615 s\n	278	RC	Outpatient			1478	960.7		90			Percent of total billed charges		1330.2	40			Percent of total billed charges		591.2	80			Percent of total billed charges		1182.4	90			Percent of total billed charges		1330.2	85			Percent of total billed charges		1256.3	85			Percent of total billed charges		1256.3	85			Percent of total billed charges		1256.3	100			Percent of total billed charges		1478	100			Percent of total billed charges		1478	100			Percent of total billed charges		1478	33.3			Percent of total billed charges		492.174	33.3			Percent of total billed charges		492.174	100			Percent of total billed charges		1478	492.174	1330.2	
t-plt oblique 5 hl 71829615 s\n	278	RC	Outpatient			1478	960.7		90			Percent of total billed charges		1330.2	40			Percent of total billed charges		591.2	80			Percent of total billed charges		1182.4	90			Percent of total billed charges		1330.2	85			Percent of total billed charges		1256.3	85			Percent of total billed charges		1256.3	85			Percent of total billed charges		1256.3	100			Percent of total billed charges		1478	100			Percent of total billed charges		1478	100			Percent of total billed charges		1478	33.3			Percent of total billed charges		492.174	33.3			Percent of total billed charges		492.174	100			Percent of total billed charges		1478	492.174	1330.2	
breast imp saline 240cc	278	RC	Outpatient			1481	962.65		90			Percent of total billed charges		1332.9	40			Percent of total billed charges		592.4	80			Percent of total billed charges		1184.8	90			Percent of total billed charges		1332.9	85			Percent of total billed charges		1258.85	85			Percent of total billed charges		1258.85	85			Percent of total billed charges		1258.85	100			Percent of total billed charges		1481	100			Percent of total billed charges		1481	100			Percent of total billed charges		1481	33.3			Percent of total billed charges		493.173	33.3			Percent of total billed charges		493.173	100			Percent of total billed charges		1481	493.173	1332.9	
breast imp silicon 286cc	278	RC	Outpatient			1481	962.65		90			Percent of total billed charges		1332.9	40			Percent of total billed charges		592.4	80			Percent of total billed charges		1184.8	90			Percent of total billed charges		1332.9	85			Percent of total billed charges		1258.85	85			Percent of total billed charges		1258.85	85			Percent of total billed charges		1258.85	100			Percent of total billed charges		1481	100			Percent of total billed charges		1481	100			Percent of total billed charges		1481	33.3			Percent of total billed charges		493.173	33.3			Percent of total billed charges		493.173	100			Percent of total billed charges		1481	493.173	1332.9	
breast imp silicon 300cc	278	RC	Outpatient			1481	962.65		90			Percent of total billed charges		1332.9	40			Percent of total billed charges		592.4	80			Percent of total billed charges		1184.8	90			Percent of total billed charges		1332.9	85			Percent of total billed charges		1258.85	85			Percent of total billed charges		1258.85	85			Percent of total billed charges		1258.85	100			Percent of total billed charges		1481	100			Percent of total billed charges		1481	100			Percent of total billed charges		1481	33.3			Percent of total billed charges		493.173	33.3			Percent of total billed charges		493.173	100			Percent of total billed charges		1481	493.173	1332.9	
breast imp silicon 304cc	278	RC	Outpatient			1481	962.65		90			Percent of total billed charges		1332.9	40			Percent of total billed charges		592.4	80			Percent of total billed charges		1184.8	90			Percent of total billed charges		1332.9	85			Percent of total billed charges		1258.85	85			Percent of total billed charges		1258.85	85			Percent of total billed charges		1258.85	100			Percent of total billed charges		1481	100			Percent of total billed charges		1481	100			Percent of total billed charges		1481	33.3			Percent of total billed charges		493.173	33.3			Percent of total billed charges		493.173	100			Percent of total billed charges		1481	493.173	1332.9	
breast imp silicon 325cc	278	RC	Outpatient			1481	962.65		90			Percent of total billed charges		1332.9	40			Percent of total billed charges		592.4	80			Percent of total billed charges		1184.8	90			Percent of total billed charges		1332.9	85			Percent of total billed charges		1258.85	85			Percent of total billed charges		1258.85	85			Percent of total billed charges		1258.85	100			Percent of total billed charges		1481	100			Percent of total billed charges		1481	100			Percent of total billed charges		1481	33.3			Percent of total billed charges		493.173	33.3			Percent of total billed charges		493.173	100			Percent of total billed charges		1481	493.173	1332.9	
breast imp silicone 575cc	278	RC	Outpatient			1481	962.65		90			Percent of total billed charges		1332.9	40			Percent of total billed charges		592.4	80			Percent of total billed charges		1184.8	90			Percent of total billed charges		1332.9	85			Percent of total billed charges		1258.85	85			Percent of total billed charges		1258.85	85			Percent of total billed charges		1258.85	100			Percent of total billed charges		1481	100			Percent of total billed charges		1481	100			Percent of total billed charges		1481	33.3			Percent of total billed charges		493.173	33.3			Percent of total billed charges		493.173	100			Percent of total billed charges		1481	493.173	1332.9	
breast imp silicone 659cc	278	RC	Outpatient			1481	962.65		90			Percent of total billed charges		1332.9	40			Percent of total billed charges		592.4	80			Percent of total billed charges		1184.8	90			Percent of total billed charges		1332.9	85			Percent of total billed charges		1258.85	85			Percent of total billed charges		1258.85	85			Percent of total billed charges		1258.85	100			Percent of total billed charges		1481	100			Percent of total billed charges		1481	100			Percent of total billed charges		1481	33.3			Percent of total billed charges		493.173	33.3			Percent of total billed charges		493.173	100			Percent of total billed charges		1481	493.173	1332.9	
breast imo silicon 425cc	278	RC	Outpatient			1481	962.65		90			Percent of total billed charges		1332.9	40			Percent of total billed charges		592.4	80			Percent of total billed charges		1184.8	90			Percent of total billed charges		1332.9	85			Percent of total billed charges		1258.85	85			Percent of total billed charges		1258.85	85			Percent of total billed charges		1258.85	100			Percent of total billed charges		1481	100			Percent of total billed charges		1481	100			Percent of total billed charges		1481	33.3			Percent of total billed charges		493.173	33.3			Percent of total billed charges		493.173	100			Percent of total billed charges		1481	493.173	1332.9	
breast imp saline 230cc	278	RC	Outpatient			1481	962.65		90			Percent of total billed charges		1332.9	40			Percent of total billed charges		592.4	80			Percent of total billed charges		1184.8	90			Percent of total billed charges		1332.9	85			Percent of total billed charges		1258.85	85			Percent of total billed charges		1258.85	85			Percent of total billed charges		1258.85	100			Percent of total billed charges		1481	100			Percent of total billed charges		1481	100			Percent of total billed charges		1481	33.3			Percent of total billed charges		493.173	33.3			Percent of total billed charges		493.173	100			Percent of total billed charges		1481	493.173	1332.9	
breast imp silicon 240cc	278	RC	Outpatient			1481	962.65		90			Percent of total billed charges		1332.9	40			Percent of total billed charges		592.4	80			Percent of total billed charges		1184.8	90			Percent of total billed charges		1332.9	85			Percent of total billed charges		1258.85	85			Percent of total billed charges		1258.85	85			Percent of total billed charges		1258.85	100			Percent of total billed charges		1481	100			Percent of total billed charges		1481	100			Percent of total billed charges		1481	33.3			Percent of total billed charges		493.173	33.3			Percent of total billed charges		493.173	100			Percent of total billed charges		1481	493.173	1332.9	
breast imp silicon 400cc	278	RC	Outpatient			1481	962.65		90			Percent of total billed charges		1332.9	40			Percent of total billed charges		592.4	80			Percent of total billed charges		1184.8	90			Percent of total billed charges		1332.9	85			Percent of total billed charges		1258.85	85			Percent of total billed charges		1258.85	85			Percent of total billed charges		1258.85	100			Percent of total billed charges		1481	100			Percent of total billed charges		1481	100			Percent of total billed charges		1481	33.3			Percent of total billed charges		493.173	33.3			Percent of total billed charges		493.173	100			Percent of total billed charges		1481	493.173	1332.9	
breast imp silicon 600cc	278	RC	Outpatient			1481	962.65		90			Percent of total billed charges		1332.9	40			Percent of total billed charges		592.4	80			Percent of total billed charges		1184.8	90			Percent of total billed charges		1332.9	85			Percent of total billed charges		1258.85	85			Percent of total billed charges		1258.85	85			Percent of total billed charges		1258.85	100			Percent of total billed charges		1481	100			Percent of total billed charges		1481	100			Percent of total billed charges		1481	33.3			Percent of total billed charges		493.173	33.3			Percent of total billed charges		493.173	100			Percent of total billed charges		1481	493.173	1332.9	
natrelle saline-filled implant 286cc 15-286 allergan	278	RC	Outpatient			1481	962.65		90			Percent of total billed charges		1332.9	40			Percent of total billed charges		592.4	80			Percent of total billed charges		1184.8	90			Percent of total billed charges		1332.9	85			Percent of total billed charges		1258.85	85			Percent of total billed charges		1258.85	85			Percent of total billed charges		1258.85	100			Percent of total billed charges		1481	100			Percent of total billed charges		1481	100			Percent of total billed charges		1481	33.3			Percent of total billed charges		493.173	33.3			Percent of total billed charges		493.173	100			Percent of total billed charges		1481	493.173	1332.9	
natrelle saline-filled implant 400cc 20-400 allergan	278	RC	Outpatient			1481	962.65		90			Percent of total billed charges		1332.9	40			Percent of total billed charges		592.4	80			Percent of total billed charges		1184.8	90			Percent of total billed charges		1332.9	85			Percent of total billed charges		1258.85	85			Percent of total billed charges		1258.85	85			Percent of total billed charges		1258.85	100			Percent of total billed charges		1481	100			Percent of total billed charges		1481	100			Percent of total billed charges		1481	33.3			Percent of total billed charges		493.173	33.3			Percent of total billed charges		493.173	100			Percent of total billed charges		1481	493.173	1332.9	
natrelle saline-filled implant 68mp 240cc 68-240 allergan	278	RC	Outpatient			1481	962.65		90			Percent of total billed charges		1332.9	40			Percent of total billed charges		592.4	80			Percent of total billed charges		1184.8	90			Percent of total billed charges		1332.9	85			Percent of total billed charges		1258.85	85			Percent of total billed charges		1258.85	85			Percent of total billed charges		1258.85	100			Percent of total billed charges		1481	100			Percent of total billed charges		1481	100			Percent of total billed charges		1481	33.3			Percent of total billed charges		493.173	33.3			Percent of total billed charges		493.173	100			Percent of total billed charges		1481	493.173	1332.9	
natrelle silicone filled  implant 240cc 10-240 allergan	278	RC	Outpatient			1481	962.65		90			Percent of total billed charges		1332.9	40			Percent of total billed charges		592.4	80			Percent of total billed charges		1184.8	90			Percent of total billed charges		1332.9	85			Percent of total billed charges		1258.85	85			Percent of total billed charges		1258.85	85			Percent of total billed charges		1258.85	100			Percent of total billed charges		1481	100			Percent of total billed charges		1481	100			Percent of total billed charges		1481	33.3			Percent of total billed charges		493.173	33.3			Percent of total billed charges		493.173	100			Percent of total billed charges		1481	493.173	1332.9	
natrelle silicone filled  implant 325cc 20-325 allergan	278	RC	Outpatient			1481	962.65		90			Percent of total billed charges		1332.9	40			Percent of total billed charges		592.4	80			Percent of total billed charges		1184.8	90			Percent of total billed charges		1332.9	85			Percent of total billed charges		1258.85	85			Percent of total billed charges		1258.85	85			Percent of total billed charges		1258.85	100			Percent of total billed charges		1481	100			Percent of total billed charges		1481	100			Percent of total billed charges		1481	33.3			Percent of total billed charges		493.173	33.3			Percent of total billed charges		493.173	100			Percent of total billed charges		1481	493.173	1332.9	
natrelle silicone filled  implant 575cc 15-575 allergan	278	RC	Outpatient			1481	962.65		90			Percent of total billed charges		1332.9	40			Percent of total billed charges		592.4	80			Percent of total billed charges		1184.8	90			Percent of total billed charges		1332.9	85			Percent of total billed charges		1258.85	85			Percent of total billed charges		1258.85	85			Percent of total billed charges		1258.85	100			Percent of total billed charges		1481	100			Percent of total billed charges		1481	100			Percent of total billed charges		1481	33.3			Percent of total billed charges		493.173	33.3			Percent of total billed charges		493.173	100			Percent of total billed charges		1481	493.173	1332.9	
natrelle silicone filled  implant 230cc 20-230 allergan	278	RC	Outpatient			1481	962.65		90			Percent of total billed charges		1332.9	40			Percent of total billed charges		592.4	80			Percent of total billed charges		1184.8	90			Percent of total billed charges		1332.9	85			Percent of total billed charges		1258.85	85			Percent of total billed charges		1258.85	85			Percent of total billed charges		1258.85	100			Percent of total billed charges		1481	100			Percent of total billed charges		1481	100			Percent of total billed charges		1481	33.3			Percent of total billed charges		493.173	33.3			Percent of total billed charges		493.173	100			Percent of total billed charges		1481	493.173	1332.9	
natrelle silicone filled  implant 300cc 20-300 allergan	278	RC	Outpatient			1481	962.65		90			Percent of total billed charges		1332.9	40			Percent of total billed charges		592.4	80			Percent of total billed charges		1184.8	90			Percent of total billed charges		1332.9	85			Percent of total billed charges		1258.85	85			Percent of total billed charges		1258.85	85			Percent of total billed charges		1258.85	100			Percent of total billed charges		1481	100			Percent of total billed charges		1481	100			Percent of total billed charges		1481	33.3			Percent of total billed charges		493.173	33.3			Percent of total billed charges		493.173	100			Percent of total billed charges		1481	493.173	1332.9	
natrelle silicone filled  implant 304cc 15-304 allergan	278	RC	Outpatient			1481	962.65		90			Percent of total billed charges		1332.9	40			Percent of total billed charges		592.4	80			Percent of total billed charges		1184.8	90			Percent of total billed charges		1332.9	85			Percent of total billed charges		1258.85	85			Percent of total billed charges		1258.85	85			Percent of total billed charges		1258.85	100			Percent of total billed charges		1481	100			Percent of total billed charges		1481	100			Percent of total billed charges		1481	33.3			Percent of total billed charges		493.173	33.3			Percent of total billed charges		493.173	100			Percent of total billed charges		1481	493.173	1332.9	
natrelle silicone filled  implant 425cc 20-425 allergan	278	RC	Outpatient			1481	962.65		90			Percent of total billed charges		1332.9	40			Percent of total billed charges		592.4	80			Percent of total billed charges		1184.8	90			Percent of total billed charges		1332.9	85			Percent of total billed charges		1258.85	85			Percent of total billed charges		1258.85	85			Percent of total billed charges		1258.85	100			Percent of total billed charges		1481	100			Percent of total billed charges		1481	100			Percent of total billed charges		1481	33.3			Percent of total billed charges		493.173	33.3			Percent of total billed charges		493.173	100			Percent of total billed charges		1481	493.173	1332.9	
natrelle silicone filled  implant 600cc 20-600 allergan	278	RC	Outpatient			1481	962.65		90			Percent of total billed charges		1332.9	40			Percent of total billed charges		592.4	80			Percent of total billed charges		1184.8	90			Percent of total billed charges		1332.9	85			Percent of total billed charges		1258.85	85			Percent of total billed charges		1258.85	85			Percent of total billed charges		1258.85	100			Percent of total billed charges		1481	100			Percent of total billed charges		1481	100			Percent of total billed charges		1481	33.3			Percent of total billed charges		493.173	33.3			Percent of total billed charges		493.173	100			Percent of total billed charges		1481	493.173	1332.9	
natrelle silicone filled  implant 600cc 45-600 allergan	278	RC	Outpatient			1481	962.65		90			Percent of total billed charges		1332.9	40			Percent of total billed charges		592.4	80			Percent of total billed charges		1184.8	90			Percent of total billed charges		1332.9	85			Percent of total billed charges		1258.85	85			Percent of total billed charges		1258.85	85			Percent of total billed charges		1258.85	100			Percent of total billed charges		1481	100			Percent of total billed charges		1481	100			Percent of total billed charges		1481	33.3			Percent of total billed charges		493.173	33.3			Percent of total billed charges		493.173	100			Percent of total billed charges		1481	493.173	1332.9	
duraseal spine sealant system 202050 cividien	272	RC	Outpatient			1484	964.6		90			Percent of total billed charges		1335.6	40			Percent of total billed charges		593.6	80			Percent of total billed charges		1187.2	90			Percent of total billed charges		1335.6	85			Percent of total billed charges		1261.4	85			Percent of total billed charges		1261.4	85			Percent of total billed charges		1261.4	100			Percent of total billed charges		1484	100			Percent of total billed charges		1484	100			Percent of total billed charges		1484	33.3			Percent of total billed charges		494.172	33.3			Percent of total billed charges		494.172	100			Percent of total billed charges		1484	494.172	1335.6	
duraseal	272	RC	Outpatient			1484	964.6		90			Percent of total billed charges		1335.6	40			Percent of total billed charges		593.6	80			Percent of total billed charges		1187.2	90			Percent of total billed charges		1335.6	85			Percent of total billed charges		1261.4	85			Percent of total billed charges		1261.4	85			Percent of total billed charges		1261.4	100			Percent of total billed charges		1484	100			Percent of total billed charges		1484	100			Percent of total billed charges		1484	33.3			Percent of total billed charges		494.172	33.3			Percent of total billed charges		494.172	100			Percent of total billed charges		1484	494.172	1335.6	
endo colon with foreign body removal	750	RC	Outpatient			1484	964.6		90			Percent of total billed charges		1335.6	40			Percent of total billed charges		593.6	80			Percent of total billed charges		1187.2	90			Percent of total billed charges		1335.6	85			Percent of total billed charges		1261.4	85			Percent of total billed charges		1261.4	85			Percent of total billed charges		1261.4	100			Percent of total billed charges		1484	100			Percent of total billed charges		1484	100			Percent of total billed charges		1484	33.3			Percent of total billed charges		494.172	33.3			Percent of total billed charges		494.172	100			Percent of total billed charges		1484	494.172	1335.6	
pul art cath set-up	270	RC	Outpatient			1484	964.6		90			Percent of total billed charges		1335.6	40			Percent of total billed charges		593.6	80			Percent of total billed charges		1187.2	90			Percent of total billed charges		1335.6	85			Percent of total billed charges		1261.4	85			Percent of total billed charges		1261.4	85			Percent of total billed charges		1261.4	100			Percent of total billed charges		1484	100			Percent of total billed charges		1484	100			Percent of total billed charges		1484	33.3			Percent of total billed charges		494.172	33.3			Percent of total billed charges		494.172	100			Percent of total billed charges		1484	494.172	1335.6	
sjm lead accessories kit  ref mn12050	272	RC	Outpatient			1485	965.25		90			Percent of total billed charges		1336.5	40			Percent of total billed charges		594	80			Percent of total billed charges		1188	90			Percent of total billed charges		1336.5	85			Percent of total billed charges		1262.25	85			Percent of total billed charges		1262.25	85			Percent of total billed charges		1262.25	100			Percent of total billed charges		1485	100			Percent of total billed charges		1485	100			Percent of total billed charges		1485	33.3			Percent of total billed charges		494.505	33.3			Percent of total billed charges		494.505	100			Percent of total billed charges		1485	494.505	1336.5	
t-plate sm 5 hl 71829605 s\n	278	RC	Outpatient			1485	965.25		90			Percent of total billed charges		1336.5	40			Percent of total billed charges		594	80			Percent of total billed charges		1188	90			Percent of total billed charges		1336.5	85			Percent of total billed charges		1262.25	85			Percent of total billed charges		1262.25	85			Percent of total billed charges		1262.25	100			Percent of total billed charges		1485	100			Percent of total billed charges		1485	100			Percent of total billed charges		1485	33.3			Percent of total billed charges		494.505	33.3			Percent of total billed charges		494.505	100			Percent of total billed charges		1485	494.505	1336.5	
t-plt small 5 hl 71809605 s\n	278	RC	Outpatient			1485	965.25		90			Percent of total billed charges		1336.5	40			Percent of total billed charges		594	80			Percent of total billed charges		1188	90			Percent of total billed charges		1336.5	85			Percent of total billed charges		1262.25	85			Percent of total billed charges		1262.25	85			Percent of total billed charges		1262.25	100			Percent of total billed charges		1485	100			Percent of total billed charges		1485	100			Percent of total billed charges		1485	33.3			Percent of total billed charges		494.505	33.3			Percent of total billed charges		494.505	100			Percent of total billed charges		1485	494.505	1336.5	
s/n sm t-plate 5 hl	278	RC	Outpatient			1485	965.25		90			Percent of total billed charges		1336.5	40			Percent of total billed charges		594	80			Percent of total billed charges		1188	90			Percent of total billed charges		1336.5	85			Percent of total billed charges		1262.25	85			Percent of total billed charges		1262.25	85			Percent of total billed charges		1262.25	100			Percent of total billed charges		1485	100			Percent of total billed charges		1485	100			Percent of total billed charges		1485	33.3			Percent of total billed charges		494.505	33.3			Percent of total billed charges		494.505	100			Percent of total billed charges		1485	494.505	1336.5	
synthes cable with crimp	278	RC	Outpatient			1488	967.2		90			Percent of total billed charges		1339.2	40			Percent of total billed charges		595.2	80			Percent of total billed charges		1190.4	90			Percent of total billed charges		1339.2	85			Percent of total billed charges		1264.8	85			Percent of total billed charges		1264.8	85			Percent of total billed charges		1264.8	100			Percent of total billed charges		1488	100			Percent of total billed charges		1488	100			Percent of total billed charges		1488	33.3			Percent of total billed charges		495.504	33.3			Percent of total billed charges		495.504	100			Percent of total billed charges		1488	495.504	1339.2	
synthes cable with crimp 1.0mmx75mm 298.800.01s	278	RC	Outpatient			1488	967.2		90			Percent of total billed charges		1339.2	40			Percent of total billed charges		595.2	80			Percent of total billed charges		1190.4	90			Percent of total billed charges		1339.2	85			Percent of total billed charges		1264.8	85			Percent of total billed charges		1264.8	85			Percent of total billed charges		1264.8	100			Percent of total billed charges		1488	100			Percent of total billed charges		1488	100			Percent of total billed charges		1488	33.3			Percent of total billed charges		495.504	33.3			Percent of total billed charges		495.504	100			Percent of total billed charges		1488	495.504	1339.2	
s/n 3.5mm calcaneus pl sm right 72824029s	278	RC	Outpatient			1490	968.5		90			Percent of total billed charges		1341	40			Percent of total billed charges		596	80			Percent of total billed charges		1192	90			Percent of total billed charges		1341	85			Percent of total billed charges		1266.5	85			Percent of total billed charges		1266.5	85			Percent of total billed charges		1266.5	100			Percent of total billed charges		1490	100			Percent of total billed charges		1490	100			Percent of total billed charges		1490	33.3			Percent of total billed charges		496.17	33.3			Percent of total billed charges		496.17	100			Percent of total billed charges		1490	496.17	1341	
titanium wrist fusion plate short bend 8 hole 442.52 synthes	278	RC	Outpatient			1490	968.5		90			Percent of total billed charges		1341	40			Percent of total billed charges		596	80			Percent of total billed charges		1192	90			Percent of total billed charges		1341	85			Percent of total billed charges		1266.5	85			Percent of total billed charges		1266.5	85			Percent of total billed charges		1266.5	100			Percent of total billed charges		1490	100			Percent of total billed charges		1490	100			Percent of total billed charges		1490	33.3			Percent of total billed charges		496.17	33.3			Percent of total billed charges		496.17	100			Percent of total billed charges		1490	496.17	1341	
syn wrist fusion plt 8 hl	278	RC	Outpatient			1490	968.5		90			Percent of total billed charges		1341	40			Percent of total billed charges		596	80			Percent of total billed charges		1192	90			Percent of total billed charges		1341	85			Percent of total billed charges		1266.5	85			Percent of total billed charges		1266.5	85			Percent of total billed charges		1266.5	100			Percent of total billed charges		1490	100			Percent of total billed charges		1490	100			Percent of total billed charges		1490	33.3			Percent of total billed charges		496.17	33.3			Percent of total billed charges		496.17	100			Percent of total billed charges		1490	496.17	1341	
titanium wrist fusion plate standard bend 8 hole 442.51 synthes	278	RC	Outpatient			1490	968.5		90			Percent of total billed charges		1341	40			Percent of total billed charges		596	80			Percent of total billed charges		1192	90			Percent of total billed charges		1341	85			Percent of total billed charges		1266.5	85			Percent of total billed charges		1266.5	85			Percent of total billed charges		1266.5	100			Percent of total billed charges		1490	100			Percent of total billed charges		1490	100			Percent of total billed charges		1490	33.3			Percent of total billed charges		496.17	33.3			Percent of total billed charges		496.17	100			Percent of total billed charges		1490	496.17	1341	
jet-x bar-ring clamp	278	RC	Outpatient			1492	969.8		90			Percent of total billed charges		1342.8	40			Percent of total billed charges		596.8	80			Percent of total billed charges		1193.6	90			Percent of total billed charges		1342.8	85			Percent of total billed charges		1268.2	85			Percent of total billed charges		1268.2	85			Percent of total billed charges		1268.2	100			Percent of total billed charges		1492	100			Percent of total billed charges		1492	100			Percent of total billed charges		1492	33.3			Percent of total billed charges		496.836	33.3			Percent of total billed charges		496.836	100			Percent of total billed charges		1492	496.836	1342.8	
jet x bar to ring clamp 7106-2004 s/n	278	RC	Outpatient			1492	969.8		90			Percent of total billed charges		1342.8	40			Percent of total billed charges		596.8	80			Percent of total billed charges		1193.6	90			Percent of total billed charges		1342.8	85			Percent of total billed charges		1268.2	85			Percent of total billed charges		1268.2	85			Percent of total billed charges		1268.2	100			Percent of total billed charges		1492	100			Percent of total billed charges		1492	100			Percent of total billed charges		1492	33.3			Percent of total billed charges		496.836	33.3			Percent of total billed charges		496.836	100			Percent of total billed charges		1492	496.836	1342.8	
relieva ultirra sinus balloon cath 7 x 16 bc0716ru acclarent	272	RC	Outpatient			1492	969.8		90			Percent of total billed charges		1342.8	40			Percent of total billed charges		596.8	80			Percent of total billed charges		1193.6	90			Percent of total billed charges		1342.8	85			Percent of total billed charges		1268.2	85			Percent of total billed charges		1268.2	85			Percent of total billed charges		1268.2	100			Percent of total billed charges		1492	100			Percent of total billed charges		1492	100			Percent of total billed charges		1492	33.3			Percent of total billed charges		496.836	33.3			Percent of total billed charges		496.836	100			Percent of total billed charges		1492	496.836	1342.8	
syn titan. tibial nail	278	RC	Outpatient			1492	969.8		90			Percent of total billed charges		1342.8	40			Percent of total billed charges		596.8	80			Percent of total billed charges		1193.6	90			Percent of total billed charges		1342.8	85			Percent of total billed charges		1268.2	85			Percent of total billed charges		1268.2	85			Percent of total billed charges		1268.2	100			Percent of total billed charges		1492	100			Percent of total billed charges		1492	100			Percent of total billed charges		1492	33.3			Percent of total billed charges		496.836	33.3			Percent of total billed charges		496.836	100			Percent of total billed charges		1492	496.836	1342.8	
titanium solid tibial nail 10mm x 400mm 476.40 synthes	278	RC	Outpatient			1492	969.8		90			Percent of total billed charges		1342.8	40			Percent of total billed charges		596.8	80			Percent of total billed charges		1193.6	90			Percent of total billed charges		1342.8	85			Percent of total billed charges		1268.2	85			Percent of total billed charges		1268.2	85			Percent of total billed charges		1268.2	100			Percent of total billed charges		1492	100			Percent of total billed charges		1492	100			Percent of total billed charges		1492	33.3			Percent of total billed charges		496.836	33.3			Percent of total billed charges		496.836	100			Percent of total billed charges		1492	496.836	1342.8	
titanium solid tibial nail 8mm x 255mm (blue) 478.25 synthes	278	RC	Outpatient			1492	969.8		90			Percent of total billed charges		1342.8	40			Percent of total billed charges		596.8	80			Percent of total billed charges		1193.6	90			Percent of total billed charges		1342.8	85			Percent of total billed charges		1268.2	85			Percent of total billed charges		1268.2	85			Percent of total billed charges		1268.2	100			Percent of total billed charges		1492	100			Percent of total billed charges		1492	100			Percent of total billed charges		1492	33.3			Percent of total billed charges		496.836	33.3			Percent of total billed charges		496.836	100			Percent of total billed charges		1492	496.836	1342.8	
titanium solid tibial nail 8mm x 270mm (blue) 478.27 synthes	278	RC	Outpatient			1492	969.8		90			Percent of total billed charges		1342.8	40			Percent of total billed charges		596.8	80			Percent of total billed charges		1193.6	90			Percent of total billed charges		1342.8	85			Percent of total billed charges		1268.2	85			Percent of total billed charges		1268.2	85			Percent of total billed charges		1268.2	100			Percent of total billed charges		1492	100			Percent of total billed charges		1492	100			Percent of total billed charges		1492	33.3			Percent of total billed charges		496.836	33.3			Percent of total billed charges		496.836	100			Percent of total billed charges		1492	496.836	1342.8	
titanium solid tibial nail 8mm x 315mm (blue) 478.31 synthes	278	RC	Outpatient			1492	969.8		90			Percent of total billed charges		1342.8	40			Percent of total billed charges		596.8	80			Percent of total billed charges		1193.6	90			Percent of total billed charges		1342.8	85			Percent of total billed charges		1268.2	85			Percent of total billed charges		1268.2	85			Percent of total billed charges		1268.2	100			Percent of total billed charges		1492	100			Percent of total billed charges		1492	100			Percent of total billed charges		1492	33.3			Percent of total billed charges		496.836	33.3			Percent of total billed charges		496.836	100			Percent of total billed charges		1492	496.836	1342.8	
titanium solid tibial nail 8mm x 330mm (blue) 478.33 synthes	278	RC	Outpatient			1492	969.8		90			Percent of total billed charges		1342.8	40			Percent of total billed charges		596.8	80			Percent of total billed charges		1193.6	90			Percent of total billed charges		1342.8	85			Percent of total billed charges		1268.2	85			Percent of total billed charges		1268.2	85			Percent of total billed charges		1268.2	100			Percent of total billed charges		1492	100			Percent of total billed charges		1492	100			Percent of total billed charges		1492	33.3			Percent of total billed charges		496.836	33.3			Percent of total billed charges		496.836	100			Percent of total billed charges		1492	496.836	1342.8	
titanium solid tibial nail 8mm x 380mm (blue) 478.38 synthes	278	RC	Outpatient			1492	969.8		90			Percent of total billed charges		1342.8	40			Percent of total billed charges		596.8	80			Percent of total billed charges		1193.6	90			Percent of total billed charges		1342.8	85			Percent of total billed charges		1268.2	85			Percent of total billed charges		1268.2	85			Percent of total billed charges		1268.2	100			Percent of total billed charges		1492	100			Percent of total billed charges		1492	100			Percent of total billed charges		1492	33.3			Percent of total billed charges		496.836	33.3			Percent of total billed charges		496.836	100			Percent of total billed charges		1492	496.836	1342.8	
titanium solid tibial nail 8mm x 400mm (blue) 478.40 synthes	278	RC	Outpatient			1492	969.8		90			Percent of total billed charges		1342.8	40			Percent of total billed charges		596.8	80			Percent of total billed charges		1193.6	90			Percent of total billed charges		1342.8	85			Percent of total billed charges		1268.2	85			Percent of total billed charges		1268.2	85			Percent of total billed charges		1268.2	100			Percent of total billed charges		1492	100			Percent of total billed charges		1492	100			Percent of total billed charges		1492	33.3			Percent of total billed charges		496.836	33.3			Percent of total billed charges		496.836	100			Percent of total billed charges		1492	496.836	1342.8	
titanium solid tibial nail 9mm x 255mm 479.25 synthes	278	RC	Outpatient			1492	969.8		90			Percent of total billed charges		1342.8	40			Percent of total billed charges		596.8	80			Percent of total billed charges		1193.6	90			Percent of total billed charges		1342.8	85			Percent of total billed charges		1268.2	85			Percent of total billed charges		1268.2	85			Percent of total billed charges		1268.2	100			Percent of total billed charges		1492	100			Percent of total billed charges		1492	100			Percent of total billed charges		1492	33.3			Percent of total billed charges		496.836	33.3			Percent of total billed charges		496.836	100			Percent of total billed charges		1492	496.836	1342.8	
titanium solid tibial nail 9mm x 270mm 479.27 synthes	278	RC	Outpatient			1492	969.8		90			Percent of total billed charges		1342.8	40			Percent of total billed charges		596.8	80			Percent of total billed charges		1193.6	90			Percent of total billed charges		1342.8	85			Percent of total billed charges		1268.2	85			Percent of total billed charges		1268.2	85			Percent of total billed charges		1268.2	100			Percent of total billed charges		1492	100			Percent of total billed charges		1492	100			Percent of total billed charges		1492	33.3			Percent of total billed charges		496.836	33.3			Percent of total billed charges		496.836	100			Percent of total billed charges		1492	496.836	1342.8	
titanium solid tibial nail 9mm x 315mm 479.31 synthes	278	RC	Outpatient			1492	969.8		90			Percent of total billed charges		1342.8	40			Percent of total billed charges		596.8	80			Percent of total billed charges		1193.6	90			Percent of total billed charges		1342.8	85			Percent of total billed charges		1268.2	85			Percent of total billed charges		1268.2	85			Percent of total billed charges		1268.2	100			Percent of total billed charges		1492	100			Percent of total billed charges		1492	100			Percent of total billed charges		1492	33.3			Percent of total billed charges		496.836	33.3			Percent of total billed charges		496.836	100			Percent of total billed charges		1492	496.836	1342.8	
titanium solid tibial nail 9mm x 330mm 479.33 synthes	278	RC	Outpatient			1492	969.8		90			Percent of total billed charges		1342.8	40			Percent of total billed charges		596.8	80			Percent of total billed charges		1193.6	90			Percent of total billed charges		1342.8	85			Percent of total billed charges		1268.2	85			Percent of total billed charges		1268.2	85			Percent of total billed charges		1268.2	100			Percent of total billed charges		1492	100			Percent of total billed charges		1492	100			Percent of total billed charges		1492	33.3			Percent of total billed charges		496.836	33.3			Percent of total billed charges		496.836	100			Percent of total billed charges		1492	496.836	1342.8	
relieva ultirra bal cath	272	RC	Outpatient			1492	969.8		90			Percent of total billed charges		1342.8	40			Percent of total billed charges		596.8	80			Percent of total billed charges		1193.6	90			Percent of total billed charges		1342.8	85			Percent of total billed charges		1268.2	85			Percent of total billed charges		1268.2	85			Percent of total billed charges		1268.2	100			Percent of total billed charges		1492	100			Percent of total billed charges		1492	100			Percent of total billed charges		1492	33.3			Percent of total billed charges		496.836	33.3			Percent of total billed charges		496.836	100			Percent of total billed charges		1492	496.836	1342.8	
tit tibial nail 10 x 31.5 476.31 synthes	278	RC	Outpatient			1492	969.8		90			Percent of total billed charges		1342.8	40			Percent of total billed charges		596.8	80			Percent of total billed charges		1193.6	90			Percent of total billed charges		1342.8	85			Percent of total billed charges		1268.2	85			Percent of total billed charges		1268.2	85			Percent of total billed charges		1268.2	100			Percent of total billed charges		1492	100			Percent of total billed charges		1492	100			Percent of total billed charges		1492	33.3			Percent of total billed charges		496.836	33.3			Percent of total billed charges		496.836	100			Percent of total billed charges		1492	496.836	1342.8	
titanium solid tibial nail 8mm x 285mm (blue) 478.28 synthes	278	RC	Outpatient			1492	969.8		90			Percent of total billed charges		1342.8	40			Percent of total billed charges		596.8	80			Percent of total billed charges		1193.6	90			Percent of total billed charges		1342.8	85			Percent of total billed charges		1268.2	85			Percent of total billed charges		1268.2	85			Percent of total billed charges		1268.2	100			Percent of total billed charges		1492	100			Percent of total billed charges		1492	100			Percent of total billed charges		1492	33.3			Percent of total billed charges		496.836	33.3			Percent of total billed charges		496.836	100			Percent of total billed charges		1492	496.836	1342.8	
titanium solid tibial nail 8mm x 300mm (blue) 478.30 synthes	278	RC	Outpatient			1492	969.8		90			Percent of total billed charges		1342.8	40			Percent of total billed charges		596.8	80			Percent of total billed charges		1193.6	90			Percent of total billed charges		1342.8	85			Percent of total billed charges		1268.2	85			Percent of total billed charges		1268.2	85			Percent of total billed charges		1268.2	100			Percent of total billed charges		1492	100			Percent of total billed charges		1492	100			Percent of total billed charges		1492	33.3			Percent of total billed charges		496.836	33.3			Percent of total billed charges		496.836	100			Percent of total billed charges		1492	496.836	1342.8	
titanium solid tibial nail 8mm x 345mm (blue) 478.34 synthes	278	RC	Outpatient			1492	969.8		90			Percent of total billed charges		1342.8	40			Percent of total billed charges		596.8	80			Percent of total billed charges		1193.6	90			Percent of total billed charges		1342.8	85			Percent of total billed charges		1268.2	85			Percent of total billed charges		1268.2	85			Percent of total billed charges		1268.2	100			Percent of total billed charges		1492	100			Percent of total billed charges		1492	100			Percent of total billed charges		1492	33.3			Percent of total billed charges		496.836	33.3			Percent of total billed charges		496.836	100			Percent of total billed charges		1492	496.836	1342.8	
titanium solid tibial nail 8mm x 360mm (blue) 478.36 synthes	278	RC	Outpatient			1492	969.8		90			Percent of total billed charges		1342.8	40			Percent of total billed charges		596.8	80			Percent of total billed charges		1193.6	90			Percent of total billed charges		1342.8	85			Percent of total billed charges		1268.2	85			Percent of total billed charges		1268.2	85			Percent of total billed charges		1268.2	100			Percent of total billed charges		1492	100			Percent of total billed charges		1492	100			Percent of total billed charges		1492	33.3			Percent of total billed charges		496.836	33.3			Percent of total billed charges		496.836	100			Percent of total billed charges		1492	496.836	1342.8	
titanium solid tibial nail 8mm x 420mm (blue) 478.42 synthes	278	RC	Outpatient			1492	969.8		90			Percent of total billed charges		1342.8	40			Percent of total billed charges		596.8	80			Percent of total billed charges		1193.6	90			Percent of total billed charges		1342.8	85			Percent of total billed charges		1268.2	85			Percent of total billed charges		1268.2	85			Percent of total billed charges		1268.2	100			Percent of total billed charges		1492	100			Percent of total billed charges		1492	100			Percent of total billed charges		1492	33.3			Percent of total billed charges		496.836	33.3			Percent of total billed charges		496.836	100			Percent of total billed charges		1492	496.836	1342.8	
titanium solid tibial nail 9mm x 285mm 479.28 synthes	278	RC	Outpatient			1492	969.8		90			Percent of total billed charges		1342.8	40			Percent of total billed charges		596.8	80			Percent of total billed charges		1193.6	90			Percent of total billed charges		1342.8	85			Percent of total billed charges		1268.2	85			Percent of total billed charges		1268.2	85			Percent of total billed charges		1268.2	100			Percent of total billed charges		1492	100			Percent of total billed charges		1492	100			Percent of total billed charges		1492	33.3			Percent of total billed charges		496.836	33.3			Percent of total billed charges		496.836	100			Percent of total billed charges		1492	496.836	1342.8	
titanium solid tibial nail 9mm x 300mm 479.30 synthes	278	RC	Outpatient			1492	969.8		90			Percent of total billed charges		1342.8	40			Percent of total billed charges		596.8	80			Percent of total billed charges		1193.6	90			Percent of total billed charges		1342.8	85			Percent of total billed charges		1268.2	85			Percent of total billed charges		1268.2	85			Percent of total billed charges		1268.2	100			Percent of total billed charges		1492	100			Percent of total billed charges		1492	100			Percent of total billed charges		1492	33.3			Percent of total billed charges		496.836	33.3			Percent of total billed charges		496.836	100			Percent of total billed charges		1492	496.836	1342.8	
titanium solid tibial nail 9mm x 345mm 479.34 synthes	278	RC	Outpatient			1492	969.8		90			Percent of total billed charges		1342.8	40			Percent of total billed charges		596.8	80			Percent of total billed charges		1193.6	90			Percent of total billed charges		1342.8	85			Percent of total billed charges		1268.2	85			Percent of total billed charges		1268.2	85			Percent of total billed charges		1268.2	100			Percent of total billed charges		1492	100			Percent of total billed charges		1492	100			Percent of total billed charges		1492	33.3			Percent of total billed charges		496.836	33.3			Percent of total billed charges		496.836	100			Percent of total billed charges		1492	496.836	1342.8	
titanium solid tibial nail 9mm x 360mm 479.36 synthes	278	RC	Outpatient			1492	969.8		90			Percent of total billed charges		1342.8	40			Percent of total billed charges		596.8	80			Percent of total billed charges		1193.6	90			Percent of total billed charges		1342.8	85			Percent of total billed charges		1268.2	85			Percent of total billed charges		1268.2	85			Percent of total billed charges		1268.2	100			Percent of total billed charges		1492	100			Percent of total billed charges		1492	100			Percent of total billed charges		1492	33.3			Percent of total billed charges		496.836	33.3			Percent of total billed charges		496.836	100			Percent of total billed charges		1492	496.836	1342.8	
titanium solid tibial nail 9mm x 380mm 479.38 synthes	278	RC	Outpatient			1492	969.8		90			Percent of total billed charges		1342.8	40			Percent of total billed charges		596.8	80			Percent of total billed charges		1193.6	90			Percent of total billed charges		1342.8	85			Percent of total billed charges		1268.2	85			Percent of total billed charges		1268.2	85			Percent of total billed charges		1268.2	100			Percent of total billed charges		1492	100			Percent of total billed charges		1492	100			Percent of total billed charges		1492	33.3			Percent of total billed charges		496.836	33.3			Percent of total billed charges		496.836	100			Percent of total billed charges		1492	496.836	1342.8	
titanium solid tibial nail 9mm x 400mm 479.40 synthes	278	RC	Outpatient			1492	969.8		90			Percent of total billed charges		1342.8	40			Percent of total billed charges		596.8	80			Percent of total billed charges		1193.6	90			Percent of total billed charges		1342.8	85			Percent of total billed charges		1268.2	85			Percent of total billed charges		1268.2	85			Percent of total billed charges		1268.2	100			Percent of total billed charges		1492	100			Percent of total billed charges		1492	100			Percent of total billed charges		1492	33.3			Percent of total billed charges		496.836	33.3			Percent of total billed charges		496.836	100			Percent of total billed charges		1492	496.836	1342.8	
titanium solid tibial nail 9mm x 420mm 479.42 synthes	278	RC	Outpatient			1492	969.8		90			Percent of total billed charges		1342.8	40			Percent of total billed charges		596.8	80			Percent of total billed charges		1193.6	90			Percent of total billed charges		1342.8	85			Percent of total billed charges		1268.2	85			Percent of total billed charges		1268.2	85			Percent of total billed charges		1268.2	100			Percent of total billed charges		1492	100			Percent of total billed charges		1492	100			Percent of total billed charges		1492	33.3			Percent of total billed charges		496.836	33.3			Percent of total billed charges		496.836	100			Percent of total billed charges		1492	496.836	1342.8	
ambio dry 2 4x4	278	RC	Outpatient			1494	971.1		90			Percent of total billed charges		1344.6	40			Percent of total billed charges		597.6	80			Percent of total billed charges		1195.2	90			Percent of total billed charges		1344.6	85			Percent of total billed charges		1269.9	85			Percent of total billed charges		1269.9	85			Percent of total billed charges		1269.9	100			Percent of total billed charges		1494	100			Percent of total billed charges		1494	100			Percent of total billed charges		1494	33.3			Percent of total billed charges		497.502	33.3			Percent of total billed charges		497.502	100			Percent of total billed charges		1494	497.502	1344.6	
ambiodry  amniotic membrane aallograft 4 x 4  ad5440 iop	278	RC	Outpatient			1494	971.1		90			Percent of total billed charges		1344.6	40			Percent of total billed charges		597.6	80			Percent of total billed charges		1195.2	90			Percent of total billed charges		1344.6	85			Percent of total billed charges		1269.9	85			Percent of total billed charges		1269.9	85			Percent of total billed charges		1269.9	100			Percent of total billed charges		1494	100			Percent of total billed charges		1494	100			Percent of total billed charges		1494	33.3			Percent of total billed charges		497.502	33.3			Percent of total billed charges		497.502	100			Percent of total billed charges		1494	497.502	1344.6	
ambiodry 2 amniotic membrane 4 x 4  iop	278	RC	Outpatient			1494	971.1		90			Percent of total billed charges		1344.6	40			Percent of total billed charges		597.6	80			Percent of total billed charges		1195.2	90			Percent of total billed charges		1344.6	85			Percent of total billed charges		1269.9	85			Percent of total billed charges		1269.9	85			Percent of total billed charges		1269.9	100			Percent of total billed charges		1494	100			Percent of total billed charges		1494	100			Percent of total billed charges		1494	33.3			Percent of total billed charges		497.502	33.3			Percent of total billed charges		497.502	100			Percent of total billed charges		1494	497.502	1344.6	
integra stand bend pl	278	RC	Outpatient			1494	971.1		90			Percent of total billed charges		1344.6	40			Percent of total billed charges		597.6	80			Percent of total billed charges		1195.2	90			Percent of total billed charges		1344.6	85			Percent of total billed charges		1269.9	85			Percent of total billed charges		1269.9	85			Percent of total billed charges		1269.9	100			Percent of total billed charges		1494	100			Percent of total billed charges		1494	100			Percent of total billed charges		1494	33.3			Percent of total billed charges		497.502	33.3			Percent of total billed charges		497.502	100			Percent of total billed charges		1494	497.502	1344.6	
standard bend plate 303101 intregra lifesciences	278	RC	Outpatient			1494	971.1		90			Percent of total billed charges		1344.6	40			Percent of total billed charges		597.6	80			Percent of total billed charges		1195.2	90			Percent of total billed charges		1344.6	85			Percent of total billed charges		1269.9	85			Percent of total billed charges		1269.9	85			Percent of total billed charges		1269.9	100			Percent of total billed charges		1494	100			Percent of total billed charges		1494	100			Percent of total billed charges		1494	33.3			Percent of total billed charges		497.502	33.3			Percent of total billed charges		497.502	100			Percent of total billed charges		1494	497.502	1344.6	
cosmetic - dyschromia spot treatment 31-40 cm package of 3 treatments	983	RC	Outpatient			1500	975		90			Percent of total billed charges		1350	40			Percent of total billed charges		600	80			Percent of total billed charges		1200	90			Percent of total billed charges		1350	85			Percent of total billed charges		1275	85			Percent of total billed charges		1275	85			Percent of total billed charges		1275	100			Percent of total billed charges		1500	100			Percent of total billed charges		1500	100			Percent of total billed charges		1500	33.3			Percent of total billed charges		499.5	33.3			Percent of total billed charges		499.5	100			Percent of total billed charges		1500	499.5	1350	
rich bipolar shel 41-56mm	278	RC	Outpatient			1500	975		90			Percent of total billed charges		1350	40			Percent of total billed charges		600	80			Percent of total billed charges		1200	90			Percent of total billed charges		1350	85			Percent of total billed charges		1275	85			Percent of total billed charges		1275	85			Percent of total billed charges		1275	100			Percent of total billed charges		1500	100			Percent of total billed charges		1500	100			Percent of total billed charges		1500	33.3			Percent of total billed charges		499.5	33.3			Percent of total billed charges		499.5	100			Percent of total billed charges		1500	499.5	1350	
universal bipolar shell 45mm 126545 s/n	278	RC	Outpatient			1500	975		90			Percent of total billed charges		1350	40			Percent of total billed charges		600	80			Percent of total billed charges		1200	90			Percent of total billed charges		1350	85			Percent of total billed charges		1275	85			Percent of total billed charges		1275	85			Percent of total billed charges		1275	100			Percent of total billed charges		1500	100			Percent of total billed charges		1500	100			Percent of total billed charges		1500	33.3			Percent of total billed charges		499.5	33.3			Percent of total billed charges		499.5	100			Percent of total billed charges		1500	499.5	1350	
universal bipolar shell 48mm 126548 s/n	278	RC	Outpatient			1500	975		90			Percent of total billed charges		1350	40			Percent of total billed charges		600	80			Percent of total billed charges		1200	90			Percent of total billed charges		1350	85			Percent of total billed charges		1275	85			Percent of total billed charges		1275	85			Percent of total billed charges		1275	100			Percent of total billed charges		1500	100			Percent of total billed charges		1500	100			Percent of total billed charges		1500	33.3			Percent of total billed charges		499.5	33.3			Percent of total billed charges		499.5	100			Percent of total billed charges		1500	499.5	1350	
universal bipolar shell 49mm 126549 s/n	278	RC	Outpatient			1500	975		90			Percent of total billed charges		1350	40			Percent of total billed charges		600	80			Percent of total billed charges		1200	90			Percent of total billed charges		1350	85			Percent of total billed charges		1275	85			Percent of total billed charges		1275	85			Percent of total billed charges		1275	100			Percent of total billed charges		1500	100			Percent of total billed charges		1500	100			Percent of total billed charges		1500	33.3			Percent of total billed charges		499.5	33.3			Percent of total billed charges		499.5	100			Percent of total billed charges		1500	499.5	1350	
universal bipolar shell 50mm 126550 s/n	278	RC	Outpatient			1500	975		90			Percent of total billed charges		1350	40			Percent of total billed charges		600	80			Percent of total billed charges		1200	90			Percent of total billed charges		1350	85			Percent of total billed charges		1275	85			Percent of total billed charges		1275	85			Percent of total billed charges		1275	100			Percent of total billed charges		1500	100			Percent of total billed charges		1500	100			Percent of total billed charges		1500	33.3			Percent of total billed charges		499.5	33.3			Percent of total billed charges		499.5	100			Percent of total billed charges		1500	499.5	1350	
universal bipolar shell 53mm 126553 s/n	278	RC	Outpatient			1500	975		90			Percent of total billed charges		1350	40			Percent of total billed charges		600	80			Percent of total billed charges		1200	90			Percent of total billed charges		1350	85			Percent of total billed charges		1275	85			Percent of total billed charges		1275	85			Percent of total billed charges		1275	100			Percent of total billed charges		1500	100			Percent of total billed charges		1500	100			Percent of total billed charges		1500	33.3			Percent of total billed charges		499.5	33.3			Percent of total billed charges		499.5	100			Percent of total billed charges		1500	499.5	1350	
universal bipolar shell 55mm 126555 s/n	278	RC	Outpatient			1500	975		90			Percent of total billed charges		1350	40			Percent of total billed charges		600	80			Percent of total billed charges		1200	90			Percent of total billed charges		1350	85			Percent of total billed charges		1275	85			Percent of total billed charges		1275	85			Percent of total billed charges		1275	100			Percent of total billed charges		1500	100			Percent of total billed charges		1500	100			Percent of total billed charges		1500	33.3			Percent of total billed charges		499.5	33.3			Percent of total billed charges		499.5	100			Percent of total billed charges		1500	499.5	1350	
universal bipolar shell 42mm 126442 s/n	278	RC	Outpatient			1500	975		90			Percent of total billed charges		1350	40			Percent of total billed charges		600	80			Percent of total billed charges		1200	90			Percent of total billed charges		1350	85			Percent of total billed charges		1275	85			Percent of total billed charges		1275	85			Percent of total billed charges		1275	100			Percent of total billed charges		1500	100			Percent of total billed charges		1500	100			Percent of total billed charges		1500	33.3			Percent of total billed charges		499.5	33.3			Percent of total billed charges		499.5	100			Percent of total billed charges		1500	499.5	1350	
universal bipolar shell 43mm 126543 s/n	278	RC	Outpatient			1500	975		90			Percent of total billed charges		1350	40			Percent of total billed charges		600	80			Percent of total billed charges		1200	90			Percent of total billed charges		1350	85			Percent of total billed charges		1275	85			Percent of total billed charges		1275	85			Percent of total billed charges		1275	100			Percent of total billed charges		1500	100			Percent of total billed charges		1500	100			Percent of total billed charges		1500	33.3			Percent of total billed charges		499.5	33.3			Percent of total billed charges		499.5	100			Percent of total billed charges		1500	499.5	1350	
universal bipolar shell 44mm 126544 s/n	278	RC	Outpatient			1500	975		90			Percent of total billed charges		1350	40			Percent of total billed charges		600	80			Percent of total billed charges		1200	90			Percent of total billed charges		1350	85			Percent of total billed charges		1275	85			Percent of total billed charges		1275	85			Percent of total billed charges		1275	100			Percent of total billed charges		1500	100			Percent of total billed charges		1500	100			Percent of total billed charges		1500	33.3			Percent of total billed charges		499.5	33.3			Percent of total billed charges		499.5	100			Percent of total billed charges		1500	499.5	1350	
universal bipolar shell 46mm 126546 s/n	278	RC	Outpatient			1500	975		90			Percent of total billed charges		1350	40			Percent of total billed charges		600	80			Percent of total billed charges		1200	90			Percent of total billed charges		1350	85			Percent of total billed charges		1275	85			Percent of total billed charges		1275	85			Percent of total billed charges		1275	100			Percent of total billed charges		1500	100			Percent of total billed charges		1500	100			Percent of total billed charges		1500	33.3			Percent of total billed charges		499.5	33.3			Percent of total billed charges		499.5	100			Percent of total billed charges		1500	499.5	1350	
universal bipolar shell 47mm 126547 s/n	278	RC	Outpatient			1500	975		90			Percent of total billed charges		1350	40			Percent of total billed charges		600	80			Percent of total billed charges		1200	90			Percent of total billed charges		1350	85			Percent of total billed charges		1275	85			Percent of total billed charges		1275	85			Percent of total billed charges		1275	100			Percent of total billed charges		1500	100			Percent of total billed charges		1500	100			Percent of total billed charges		1500	33.3			Percent of total billed charges		499.5	33.3			Percent of total billed charges		499.5	100			Percent of total billed charges		1500	499.5	1350	
universal bipolar shell 51mm 126551 s/n	278	RC	Outpatient			1500	975		90			Percent of total billed charges		1350	40			Percent of total billed charges		600	80			Percent of total billed charges		1200	90			Percent of total billed charges		1350	85			Percent of total billed charges		1275	85			Percent of total billed charges		1275	85			Percent of total billed charges		1275	100			Percent of total billed charges		1500	100			Percent of total billed charges		1500	100			Percent of total billed charges		1500	33.3			Percent of total billed charges		499.5	33.3			Percent of total billed charges		499.5	100			Percent of total billed charges		1500	499.5	1350	
universal bipolar shell 52mm 126552 s/n	278	RC	Outpatient			1500	975		90			Percent of total billed charges		1350	40			Percent of total billed charges		600	80			Percent of total billed charges		1200	90			Percent of total billed charges		1350	85			Percent of total billed charges		1275	85			Percent of total billed charges		1275	85			Percent of total billed charges		1275	100			Percent of total billed charges		1500	100			Percent of total billed charges		1500	100			Percent of total billed charges		1500	33.3			Percent of total billed charges		499.5	33.3			Percent of total billed charges		499.5	100			Percent of total billed charges		1500	499.5	1350	
universal bipolar shell 54mm 126554 s/n	278	RC	Outpatient			1500	975		90			Percent of total billed charges		1350	40			Percent of total billed charges		600	80			Percent of total billed charges		1200	90			Percent of total billed charges		1350	85			Percent of total billed charges		1275	85			Percent of total billed charges		1275	85			Percent of total billed charges		1275	100			Percent of total billed charges		1500	100			Percent of total billed charges		1500	100			Percent of total billed charges		1500	33.3			Percent of total billed charges		499.5	33.3			Percent of total billed charges		499.5	100			Percent of total billed charges		1500	499.5	1350	
universal bipolar shell 56mm 126556 s/n	278	RC	Outpatient			1500	975		90			Percent of total billed charges		1350	40			Percent of total billed charges		600	80			Percent of total billed charges		1200	90			Percent of total billed charges		1350	85			Percent of total billed charges		1275	85			Percent of total billed charges		1275	85			Percent of total billed charges		1275	100			Percent of total billed charges		1500	100			Percent of total billed charges		1500	100			Percent of total billed charges		1500	33.3			Percent of total billed charges		499.5	33.3			Percent of total billed charges		499.5	100			Percent of total billed charges		1500	499.5	1350	
arthrex lck dist fib pl4h	278	RC	Outpatient			1502	976.3		90			Percent of total billed charges		1351.8	40			Percent of total billed charges		600.8	80			Percent of total billed charges		1201.6	90			Percent of total billed charges		1351.8	85			Percent of total billed charges		1276.7	85			Percent of total billed charges		1276.7	85			Percent of total billed charges		1276.7	100			Percent of total billed charges		1502	100			Percent of total billed charges		1502	100			Percent of total billed charges		1502	33.3			Percent of total billed charges		500.166	33.3			Percent of total billed charges		500.166	100			Percent of total billed charges		1502	500.166	1351.8	
arthrex locking distal fibula pl rt 4h ar-8943br-04	278	RC	Outpatient			1502	976.3		90			Percent of total billed charges		1351.8	40			Percent of total billed charges		600.8	80			Percent of total billed charges		1201.6	90			Percent of total billed charges		1351.8	85			Percent of total billed charges		1276.7	85			Percent of total billed charges		1276.7	85			Percent of total billed charges		1276.7	100			Percent of total billed charges		1502	100			Percent of total billed charges		1502	100			Percent of total billed charges		1502	33.3			Percent of total billed charges		500.166	33.3			Percent of total billed charges		500.166	100			Percent of total billed charges		1502	500.166	1351.8	
arthrex locking distal fibula pl lt 4h ar-8943bl-04	278	RC	Outpatient			1502	976.3		90			Percent of total billed charges		1351.8	40			Percent of total billed charges		600.8	80			Percent of total billed charges		1201.6	90			Percent of total billed charges		1351.8	85			Percent of total billed charges		1276.7	85			Percent of total billed charges		1276.7	85			Percent of total billed charges		1276.7	100			Percent of total billed charges		1502	100			Percent of total billed charges		1502	100			Percent of total billed charges		1502	33.3			Percent of total billed charges		500.166	33.3			Percent of total billed charges		500.166	100			Percent of total billed charges		1502	500.166	1351.8	
intepro y-sling 72404000 ams	278	RC	Outpatient			1502	976.3		90			Percent of total billed charges		1351.8	40			Percent of total billed charges		600.8	80			Percent of total billed charges		1201.6	90			Percent of total billed charges		1351.8	85			Percent of total billed charges		1276.7	85			Percent of total billed charges		1276.7	85			Percent of total billed charges		1276.7	100			Percent of total billed charges		1502	100			Percent of total billed charges		1502	100			Percent of total billed charges		1502	33.3			Percent of total billed charges		500.166	33.3			Percent of total billed charges		500.166	100			Percent of total billed charges		1502	500.166	1351.8	
intepro y-sling	278	RC	Outpatient			1502	976.3		90			Percent of total billed charges		1351.8	40			Percent of total billed charges		600.8	80			Percent of total billed charges		1201.6	90			Percent of total billed charges		1351.8	85			Percent of total billed charges		1276.7	85			Percent of total billed charges		1276.7	85			Percent of total billed charges		1276.7	100			Percent of total billed charges		1502	100			Percent of total billed charges		1502	100			Percent of total billed charges		1502	33.3			Percent of total billed charges		500.166	33.3			Percent of total billed charges		500.166	100			Percent of total billed charges		1502	500.166	1351.8	
cath lab cath surpass	278	RC	Outpatient			1504	977.6		90			Percent of total billed charges		1353.6	40			Percent of total billed charges		601.6	80			Percent of total billed charges		1203.2	90			Percent of total billed charges		1353.6	85			Percent of total billed charges		1278.4	85			Percent of total billed charges		1278.4	85			Percent of total billed charges		1278.4	100			Percent of total billed charges		1504	100			Percent of total billed charges		1504	100			Percent of total billed charges		1504	33.3			Percent of total billed charges		500.832	33.3			Percent of total billed charges		500.832	100			Percent of total billed charges		1504	500.832	1353.6	
cath lab lead 4074 medtronic	278	RC	Outpatient			1504	977.6		90			Percent of total billed charges		1353.6	40			Percent of total billed charges		601.6	80			Percent of total billed charges		1203.2	90			Percent of total billed charges		1353.6	85			Percent of total billed charges		1278.4	85			Percent of total billed charges		1278.4	85			Percent of total billed charges		1278.4	100			Percent of total billed charges		1504	100			Percent of total billed charges		1504	100			Percent of total billed charges		1504	33.3			Percent of total billed charges		500.832	33.3			Percent of total billed charges		500.832	100			Percent of total billed charges		1504	500.832	1353.6	
cath surpass	278	RC	Outpatient			1504	977.6		90			Percent of total billed charges		1353.6	40			Percent of total billed charges		601.6	80			Percent of total billed charges		1203.2	90			Percent of total billed charges		1353.6	85			Percent of total billed charges		1278.4	85			Percent of total billed charges		1278.4	85			Percent of total billed charges		1278.4	100			Percent of total billed charges		1504	100			Percent of total billed charges		1504	100			Percent of total billed charges		1504	33.3			Percent of total billed charges		500.832	33.3			Percent of total billed charges		500.832	100			Percent of total billed charges		1504	500.832	1353.6	
bio hip liner hwall	278	RC	Outpatient			1504	977.6		90			Percent of total billed charges		1353.6	40			Percent of total billed charges		601.6	80			Percent of total billed charges		1203.2	90			Percent of total billed charges		1353.6	85			Percent of total billed charges		1278.4	85			Percent of total billed charges		1278.4	85			Percent of total billed charges		1278.4	100			Percent of total billed charges		1504	100			Percent of total billed charges		1504	100			Percent of total billed charges		1504	33.3			Percent of total billed charges		500.832	33.3			Percent of total billed charges		500.832	100			Percent of total billed charges		1504	500.832	1353.6	
boost 5 cc	278	RC	Outpatient			1504	977.6		90			Percent of total billed charges		1353.6	40			Percent of total billed charges		601.6	80			Percent of total billed charges		1203.2	90			Percent of total billed charges		1353.6	85			Percent of total billed charges		1278.4	85			Percent of total billed charges		1278.4	85			Percent of total billed charges		1278.4	100			Percent of total billed charges		1504	100			Percent of total billed charges		1504	100			Percent of total billed charges		1504	33.3			Percent of total billed charges		500.832	33.3			Percent of total billed charges		500.832	100			Percent of total billed charges		1504	500.832	1353.6	
boost dbm 48 - dbm 5.0 cc 1 cell factor tech	278	RC	Outpatient			1504	977.6		90			Percent of total billed charges		1353.6	40			Percent of total billed charges		601.6	80			Percent of total billed charges		1203.2	90			Percent of total billed charges		1353.6	85			Percent of total billed charges		1278.4	85			Percent of total billed charges		1278.4	85			Percent of total billed charges		1278.4	100			Percent of total billed charges		1504	100			Percent of total billed charges		1504	100			Percent of total billed charges		1504	33.3			Percent of total billed charges		500.832	33.3			Percent of total billed charges		500.832	100			Percent of total billed charges		1504	500.832	1353.6	
cortical lok bone plug 456040 ebi	272	RC	Outpatient			1504	977.6		90			Percent of total billed charges		1353.6	40			Percent of total billed charges		601.6	80			Percent of total billed charges		1203.2	90			Percent of total billed charges		1353.6	85			Percent of total billed charges		1278.4	85			Percent of total billed charges		1278.4	85			Percent of total billed charges		1278.4	100			Percent of total billed charges		1504	100			Percent of total billed charges		1504	100			Percent of total billed charges		1504	33.3			Percent of total billed charges		500.832	33.3			Percent of total billed charges		500.832	100			Percent of total billed charges		1504	500.832	1353.6	
ebi cort lok bone plug	272	RC	Outpatient			1504	977.6		90			Percent of total billed charges		1353.6	40			Percent of total billed charges		601.6	80			Percent of total billed charges		1203.2	90			Percent of total billed charges		1353.6	85			Percent of total billed charges		1278.4	85			Percent of total billed charges		1278.4	85			Percent of total billed charges		1278.4	100			Percent of total billed charges		1504	100			Percent of total billed charges		1504	100			Percent of total billed charges		1504	33.3			Percent of total billed charges		500.832	33.3			Percent of total billed charges		500.832	100			Percent of total billed charges		1504	500.832	1353.6	
jet-x reedom clamp 10.5 to 10.5mm  7106-4002 s/n	278	RC	Outpatient			1504	977.6		90			Percent of total billed charges		1353.6	40			Percent of total billed charges		601.6	80			Percent of total billed charges		1203.2	90			Percent of total billed charges		1353.6	85			Percent of total billed charges		1278.4	85			Percent of total billed charges		1278.4	85			Percent of total billed charges		1278.4	100			Percent of total billed charges		1504	100			Percent of total billed charges		1504	100			Percent of total billed charges		1504	33.3			Percent of total billed charges		500.832	33.3			Percent of total billed charges		500.832	100			Percent of total billed charges		1504	500.832	1353.6	
jet-x reedom clamp 10.5 to 4mm  7106-4010 s/n	278	RC	Outpatient			1504	977.6		90			Percent of total billed charges		1353.6	40			Percent of total billed charges		601.6	80			Percent of total billed charges		1203.2	90			Percent of total billed charges		1353.6	85			Percent of total billed charges		1278.4	85			Percent of total billed charges		1278.4	85			Percent of total billed charges		1278.4	100			Percent of total billed charges		1504	100			Percent of total billed charges		1504	100			Percent of total billed charges		1504	33.3			Percent of total billed charges		500.832	33.3			Percent of total billed charges		500.832	100			Percent of total billed charges		1504	500.832	1353.6	
lok-n-load dbm 10cc 48-dbm2 cell factor	278	RC	Outpatient			1504	977.6		90			Percent of total billed charges		1353.6	40			Percent of total billed charges		601.6	80			Percent of total billed charges		1203.2	90			Percent of total billed charges		1353.6	85			Percent of total billed charges		1278.4	85			Percent of total billed charges		1278.4	85			Percent of total billed charges		1278.4	100			Percent of total billed charges		1504	100			Percent of total billed charges		1504	100			Percent of total billed charges		1504	33.3			Percent of total billed charges		500.832	33.3			Percent of total billed charges		500.832	100			Percent of total billed charges		1504	500.832	1353.6	
lok-n-load dbm 5cc 48-dbm1 cell factor	278	RC	Outpatient			1504	977.6		90			Percent of total billed charges		1353.6	40			Percent of total billed charges		601.6	80			Percent of total billed charges		1203.2	90			Percent of total billed charges		1353.6	85			Percent of total billed charges		1278.4	85			Percent of total billed charges		1278.4	85			Percent of total billed charges		1278.4	100			Percent of total billed charges		1504	100			Percent of total billed charges		1504	100			Percent of total billed charges		1504	33.3			Percent of total billed charges		500.832	33.3			Percent of total billed charges		500.832	100			Percent of total billed charges		1504	500.832	1353.6	
medtronic nim probe	272	RC	Outpatient			1504	977.6		90			Percent of total billed charges		1353.6	40			Percent of total billed charges		601.6	80			Percent of total billed charges		1203.2	90			Percent of total billed charges		1353.6	85			Percent of total billed charges		1278.4	85			Percent of total billed charges		1278.4	85			Percent of total billed charges		1278.4	100			Percent of total billed charges		1504	100			Percent of total billed charges		1504	100			Percent of total billed charges		1504	33.3			Percent of total billed charges		500.832	33.3			Percent of total billed charges		500.832	100			Percent of total billed charges		1504	500.832	1353.6	
min pedicle probe lumbar 9450047 medtronic	272	RC	Outpatient			1504	977.6		90			Percent of total billed charges		1353.6	40			Percent of total billed charges		601.6	80			Percent of total billed charges		1203.2	90			Percent of total billed charges		1353.6	85			Percent of total billed charges		1278.4	85			Percent of total billed charges		1278.4	85			Percent of total billed charges		1278.4	100			Percent of total billed charges		1504	100			Percent of total billed charges		1504	100			Percent of total billed charges		1504	33.3			Percent of total billed charges		500.832	33.3			Percent of total billed charges		500.832	100			Percent of total billed charges		1504	500.832	1353.6	
nim spine stem central ball tip probe 9450044 medtronic	272	RC	Outpatient			1504	977.6		90			Percent of total billed charges		1353.6	40			Percent of total billed charges		601.6	80			Percent of total billed charges		1203.2	90			Percent of total billed charges		1353.6	85			Percent of total billed charges		1278.4	85			Percent of total billed charges		1278.4	85			Percent of total billed charges		1278.4	100			Percent of total billed charges		1504	100			Percent of total billed charges		1504	100			Percent of total billed charges		1504	33.3			Percent of total billed charges		500.832	33.3			Percent of total billed charges		500.832	100			Percent of total billed charges		1504	500.832	1353.6	
"nim-spine pedicle probe, straight 9450059 medtronic"	272	RC	Outpatient			1504	977.6		90			Percent of total billed charges		1353.6	40			Percent of total billed charges		601.6	80			Percent of total billed charges		1203.2	90			Percent of total billed charges		1353.6	85			Percent of total billed charges		1278.4	85			Percent of total billed charges		1278.4	85			Percent of total billed charges		1278.4	100			Percent of total billed charges		1504	100			Percent of total billed charges		1504	100			Percent of total billed charges		1504	33.3			Percent of total billed charges		500.832	33.3			Percent of total billed charges		500.832	100			Percent of total billed charges		1504	500.832	1353.6	
"nim-spine stim bulltip probe, straight 9450057 medtronic"	272	RC	Outpatient			1504	977.6		90			Percent of total billed charges		1353.6	40			Percent of total billed charges		601.6	80			Percent of total billed charges		1203.2	90			Percent of total billed charges		1353.6	85			Percent of total billed charges		1278.4	85			Percent of total billed charges		1278.4	85			Percent of total billed charges		1278.4	100			Percent of total billed charges		1504	100			Percent of total billed charges		1504	100			Percent of total billed charges		1504	33.3			Percent of total billed charges		500.832	33.3			Percent of total billed charges		500.832	100			Percent of total billed charges		1504	500.832	1353.6	
jet-x freedom clamp	278	RC	Outpatient			1504	977.6		90			Percent of total billed charges		1353.6	40			Percent of total billed charges		601.6	80			Percent of total billed charges		1203.2	90			Percent of total billed charges		1353.6	85			Percent of total billed charges		1278.4	85			Percent of total billed charges		1278.4	85			Percent of total billed charges		1278.4	100			Percent of total billed charges		1504	100			Percent of total billed charges		1504	100			Percent of total billed charges		1504	33.3			Percent of total billed charges		500.832	33.3			Percent of total billed charges		500.832	100			Percent of total billed charges		1504	500.832	1353.6	
jet-x reedom clamp 10.5 to 5mm  7106-4001 s/n	278	RC	Outpatient			1504	977.6		90			Percent of total billed charges		1353.6	40			Percent of total billed charges		601.6	80			Percent of total billed charges		1203.2	90			Percent of total billed charges		1353.6	85			Percent of total billed charges		1278.4	85			Percent of total billed charges		1278.4	85			Percent of total billed charges		1278.4	100			Percent of total billed charges		1504	100			Percent of total billed charges		1504	100			Percent of total billed charges		1504	33.3			Percent of total billed charges		500.832	33.3			Percent of total billed charges		500.832	100			Percent of total billed charges		1504	500.832	1353.6	
lead 4074 medtronic	278	RC	Outpatient			1504	977.6		90			Percent of total billed charges		1353.6	40			Percent of total billed charges		601.6	80			Percent of total billed charges		1203.2	90			Percent of total billed charges		1353.6	85			Percent of total billed charges		1278.4	85			Percent of total billed charges		1278.4	85			Percent of total billed charges		1278.4	100			Percent of total billed charges		1504	100			Percent of total billed charges		1504	100			Percent of total billed charges		1504	33.3			Percent of total billed charges		500.832	33.3			Percent of total billed charges		500.832	100			Percent of total billed charges		1504	500.832	1353.6	
mt 4074-52cm lead	278	RC	Outpatient			1504	977.6		90			Percent of total billed charges		1353.6	40			Percent of total billed charges		601.6	80			Percent of total billed charges		1203.2	90			Percent of total billed charges		1353.6	85			Percent of total billed charges		1278.4	85			Percent of total billed charges		1278.4	85			Percent of total billed charges		1278.4	100			Percent of total billed charges		1504	100			Percent of total billed charges		1504	100			Percent of total billed charges		1504	33.3			Percent of total billed charges		500.832	33.3			Percent of total billed charges		500.832	100			Percent of total billed charges		1504	500.832	1353.6	
mt 4074-58cm lead	278	RC	Outpatient			1504	977.6		90			Percent of total billed charges		1353.6	40			Percent of total billed charges		601.6	80			Percent of total billed charges		1203.2	90			Percent of total billed charges		1353.6	85			Percent of total billed charges		1278.4	85			Percent of total billed charges		1278.4	85			Percent of total billed charges		1278.4	100			Percent of total billed charges		1504	100			Percent of total billed charges		1504	100			Percent of total billed charges		1504	33.3			Percent of total billed charges		500.832	33.3			Percent of total billed charges		500.832	100			Percent of total billed charges		1504	500.832	1353.6	
"nim-spine thoracic pedicle probe,  9450019 medtronic"	272	RC	Outpatient			1504	977.6		90			Percent of total billed charges		1353.6	40			Percent of total billed charges		601.6	80			Percent of total billed charges		1203.2	90			Percent of total billed charges		1353.6	85			Percent of total billed charges		1278.4	85			Percent of total billed charges		1278.4	85			Percent of total billed charges		1278.4	100			Percent of total billed charges		1504	100			Percent of total billed charges		1504	100			Percent of total billed charges		1504	33.3			Percent of total billed charges		500.832	33.3			Percent of total billed charges		500.832	100			Percent of total billed charges		1504	500.832	1353.6	
ring loc acet lnr +5mm 28mm/hi-wall sz 24 12-105904 biomet	278	RC	Outpatient			1504	977.6		90			Percent of total billed charges		1353.6	40			Percent of total billed charges		601.6	80			Percent of total billed charges		1203.2	90			Percent of total billed charges		1353.6	85			Percent of total billed charges		1278.4	85			Percent of total billed charges		1278.4	85			Percent of total billed charges		1278.4	100			Percent of total billed charges		1504	100			Percent of total billed charges		1504	100			Percent of total billed charges		1504	33.3			Percent of total billed charges		500.832	33.3			Percent of total billed charges		500.832	100			Percent of total billed charges		1504	500.832	1353.6	
viagraf putty 5cc	278	RC	Outpatient			1504	977.6		90			Percent of total billed charges		1353.6	40			Percent of total billed charges		601.6	80			Percent of total billed charges		1203.2	90			Percent of total billed charges		1353.6	85			Percent of total billed charges		1278.4	85			Percent of total billed charges		1278.4	85			Percent of total billed charges		1278.4	100			Percent of total billed charges		1504	100			Percent of total billed charges		1504	100			Percent of total billed charges		1504	33.3			Percent of total billed charges		500.832	33.3			Percent of total billed charges		500.832	100			Percent of total billed charges		1504	500.832	1353.6	
viagraf putty 5cc 717904 s/n	278	RC	Outpatient			1504	977.6		90			Percent of total billed charges		1353.6	40			Percent of total billed charges		601.6	80			Percent of total billed charges		1203.2	90			Percent of total billed charges		1353.6	85			Percent of total billed charges		1278.4	85			Percent of total billed charges		1278.4	85			Percent of total billed charges		1278.4	100			Percent of total billed charges		1504	100			Percent of total billed charges		1504	100			Percent of total billed charges		1504	33.3			Percent of total billed charges		500.832	33.3			Percent of total billed charges		500.832	100			Percent of total billed charges		1504	500.832	1353.6	
viagraf paste 5cc	278	RC	Outpatient			1504	977.6		90			Percent of total billed charges		1353.6	40			Percent of total billed charges		601.6	80			Percent of total billed charges		1203.2	90			Percent of total billed charges		1353.6	85			Percent of total billed charges		1278.4	85			Percent of total billed charges		1278.4	85			Percent of total billed charges		1278.4	100			Percent of total billed charges		1504	100			Percent of total billed charges		1504	100			Percent of total billed charges		1504	33.3			Percent of total billed charges		500.832	33.3			Percent of total billed charges		500.832	100			Percent of total billed charges		1504	500.832	1353.6	
viagraf paste 5cc 717907 s/n	278	RC	Outpatient			1504	977.6		90			Percent of total billed charges		1353.6	40			Percent of total billed charges		601.6	80			Percent of total billed charges		1203.2	90			Percent of total billed charges		1353.6	85			Percent of total billed charges		1278.4	85			Percent of total billed charges		1278.4	85			Percent of total billed charges		1278.4	100			Percent of total billed charges		1504	100			Percent of total billed charges		1504	100			Percent of total billed charges		1504	33.3			Percent of total billed charges		500.832	33.3			Percent of total billed charges		500.832	100			Percent of total billed charges		1504	500.832	1353.6	
depuy srom head	278	RC	Outpatient			1506	978.9		90			Percent of total billed charges		1355.4	40			Percent of total billed charges		602.4	80			Percent of total billed charges		1204.8	90			Percent of total billed charges		1355.4	85			Percent of total billed charges		1280.1	85			Percent of total billed charges		1280.1	85			Percent of total billed charges		1280.1	100			Percent of total billed charges		1506	100			Percent of total billed charges		1506	100			Percent of total billed charges		1506	33.3			Percent of total billed charges		501.498	33.3			Percent of total billed charges		501.498	100			Percent of total billed charges		1506	501.498	1355.4	
head srom hip 85-5953 depuy	278	RC	Outpatient			1506	978.9		90			Percent of total billed charges		1355.4	40			Percent of total billed charges		602.4	80			Percent of total billed charges		1204.8	90			Percent of total billed charges		1355.4	85			Percent of total billed charges		1280.1	85			Percent of total billed charges		1280.1	85			Percent of total billed charges		1280.1	100			Percent of total billed charges		1506	100			Percent of total billed charges		1506	100			Percent of total billed charges		1506	33.3			Percent of total billed charges		501.498	33.3			Percent of total billed charges		501.498	100			Percent of total billed charges		1506	501.498	1355.4	
srom femoral head 28mm +6 52-2029 depuy	278	RC	Outpatient			1506	978.9		90			Percent of total billed charges		1355.4	40			Percent of total billed charges		602.4	80			Percent of total billed charges		1204.8	90			Percent of total billed charges		1355.4	85			Percent of total billed charges		1280.1	85			Percent of total billed charges		1280.1	85			Percent of total billed charges		1280.1	100			Percent of total billed charges		1506	100			Percent of total billed charges		1506	100			Percent of total billed charges		1506	33.3			Percent of total billed charges		501.498	33.3			Percent of total billed charges		501.498	100			Percent of total billed charges		1506	501.498	1355.4	
endo egd with dil	750	RC	Outpatient			1511	982.15		90			Percent of total billed charges		1359.9	40			Percent of total billed charges		604.4	80			Percent of total billed charges		1208.8	90			Percent of total billed charges		1359.9	85			Percent of total billed charges		1284.35	85			Percent of total billed charges		1284.35	85			Percent of total billed charges		1284.35	100			Percent of total billed charges		1511	100			Percent of total billed charges		1511	100			Percent of total billed charges		1511	33.3			Percent of total billed charges		503.163	33.3			Percent of total billed charges		503.163	100			Percent of total billed charges		1511	503.163	1359.9	
fluted stem extender 10 x 80mm 6478-6-600 how/stryker	278	RC	Outpatient			1512	982.8		90			Percent of total billed charges		1360.8	40			Percent of total billed charges		604.8	80			Percent of total billed charges		1209.6	90			Percent of total billed charges		1360.8	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	33.3			Percent of total billed charges		503.496	33.3			Percent of total billed charges		503.496	100			Percent of total billed charges		1512	503.496	1360.8	
fluted stem extender 14 x 155mm 6478-6-705 how/stryker	278	RC	Outpatient			1512	982.8		90			Percent of total billed charges		1360.8	40			Percent of total billed charges		604.8	80			Percent of total billed charges		1209.6	90			Percent of total billed charges		1360.8	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	33.3			Percent of total billed charges		503.496	33.3			Percent of total billed charges		503.496	100			Percent of total billed charges		1512	503.496	1360.8	
syn titan.cann.tibial nl	278	RC	Outpatient			1512	982.8		90			Percent of total billed charges		1360.8	40			Percent of total billed charges		604.8	80			Percent of total billed charges		1209.6	90			Percent of total billed charges		1360.8	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	33.3			Percent of total billed charges		503.496	33.3			Percent of total billed charges		503.496	100			Percent of total billed charges		1512	503.496	1360.8	
titanium cannulated tibial nail (green) 10mm x 255mm 485.025 synthes	278	RC	Outpatient			1512	982.8		90			Percent of total billed charges		1360.8	40			Percent of total billed charges		604.8	80			Percent of total billed charges		1209.6	90			Percent of total billed charges		1360.8	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	33.3			Percent of total billed charges		503.496	33.3			Percent of total billed charges		503.496	100			Percent of total billed charges		1512	503.496	1360.8	
titanium cannulated tibial nail (green) 10mm x 285mm 485.028 synthes	278	RC	Outpatient			1512	982.8		90			Percent of total billed charges		1360.8	40			Percent of total billed charges		604.8	80			Percent of total billed charges		1209.6	90			Percent of total billed charges		1360.8	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	33.3			Percent of total billed charges		503.496	33.3			Percent of total billed charges		503.496	100			Percent of total billed charges		1512	503.496	1360.8	
titanium cannulated tibial nail (green) 10mm x 315mm 485.031 synthes	278	RC	Outpatient			1512	982.8		90			Percent of total billed charges		1360.8	40			Percent of total billed charges		604.8	80			Percent of total billed charges		1209.6	90			Percent of total billed charges		1360.8	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	33.3			Percent of total billed charges		503.496	33.3			Percent of total billed charges		503.496	100			Percent of total billed charges		1512	503.496	1360.8	
titanium cannulated tibial nail (green) 10mm x 380mm 485.038 synthes	278	RC	Outpatient			1512	982.8		90			Percent of total billed charges		1360.8	40			Percent of total billed charges		604.8	80			Percent of total billed charges		1209.6	90			Percent of total billed charges		1360.8	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	33.3			Percent of total billed charges		503.496	33.3			Percent of total billed charges		503.496	100			Percent of total billed charges		1512	503.496	1360.8	
titanium cannulated tibial nail (green) 10mm x 400mm 485.040 synthes	278	RC	Outpatient			1512	982.8		90			Percent of total billed charges		1360.8	40			Percent of total billed charges		604.8	80			Percent of total billed charges		1209.6	90			Percent of total billed charges		1360.8	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	33.3			Percent of total billed charges		503.496	33.3			Percent of total billed charges		503.496	100			Percent of total billed charges		1512	503.496	1360.8	
titanium cannulated tibial nail (green) 10mm x 420mm 485.042 synthes	278	RC	Outpatient			1512	982.8		90			Percent of total billed charges		1360.8	40			Percent of total billed charges		604.8	80			Percent of total billed charges		1209.6	90			Percent of total billed charges		1360.8	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	33.3			Percent of total billed charges		503.496	33.3			Percent of total billed charges		503.496	100			Percent of total billed charges		1512	503.496	1360.8	
titanium cannulated tibial nail 11mm x 300mm 485.130 synthes	278	RC	Outpatient			1512	982.8		90			Percent of total billed charges		1360.8	40			Percent of total billed charges		604.8	80			Percent of total billed charges		1209.6	90			Percent of total billed charges		1360.8	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	33.3			Percent of total billed charges		503.496	33.3			Percent of total billed charges		503.496	100			Percent of total billed charges		1512	503.496	1360.8	
titanium cannulated tibial nail 11mm x 330mm 485.133 synthes	278	RC	Outpatient			1512	982.8		90			Percent of total billed charges		1360.8	40			Percent of total billed charges		604.8	80			Percent of total billed charges		1209.6	90			Percent of total billed charges		1360.8	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	33.3			Percent of total billed charges		503.496	33.3			Percent of total billed charges		503.496	100			Percent of total billed charges		1512	503.496	1360.8	
titanium cannulated tibial nail 11mm x 360mm 485.136 synthes	278	RC	Outpatient			1512	982.8		90			Percent of total billed charges		1360.8	40			Percent of total billed charges		604.8	80			Percent of total billed charges		1209.6	90			Percent of total billed charges		1360.8	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	33.3			Percent of total billed charges		503.496	33.3			Percent of total billed charges		503.496	100			Percent of total billed charges		1512	503.496	1360.8	
titanium cannulated tibial nail 11mm x 400mm 485.140 synthes	278	RC	Outpatient			1512	982.8		90			Percent of total billed charges		1360.8	40			Percent of total billed charges		604.8	80			Percent of total billed charges		1209.6	90			Percent of total billed charges		1360.8	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	33.3			Percent of total billed charges		503.496	33.3			Percent of total billed charges		503.496	100			Percent of total billed charges		1512	503.496	1360.8	
titanium cannulated tibial nail 12mm x 270mm 485.227 synthes	278	RC	Outpatient			1512	982.8		90			Percent of total billed charges		1360.8	40			Percent of total billed charges		604.8	80			Percent of total billed charges		1209.6	90			Percent of total billed charges		1360.8	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	33.3			Percent of total billed charges		503.496	33.3			Percent of total billed charges		503.496	100			Percent of total billed charges		1512	503.496	1360.8	
titanium cannulated tibial nail 12mm x 315mm 485.231 synthes	278	RC	Outpatient			1512	982.8		90			Percent of total billed charges		1360.8	40			Percent of total billed charges		604.8	80			Percent of total billed charges		1209.6	90			Percent of total billed charges		1360.8	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	33.3			Percent of total billed charges		503.496	33.3			Percent of total billed charges		503.496	100			Percent of total billed charges		1512	503.496	1360.8	
titanium cannulated tibial nail 12mm x 345mm 485.234 synthes	278	RC	Outpatient			1512	982.8		90			Percent of total billed charges		1360.8	40			Percent of total billed charges		604.8	80			Percent of total billed charges		1209.6	90			Percent of total billed charges		1360.8	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	33.3			Percent of total billed charges		503.496	33.3			Percent of total billed charges		503.496	100			Percent of total billed charges		1512	503.496	1360.8	
titanium cannulated tibial nail 12mm x 360mm 485.236 synthes	278	RC	Outpatient			1512	982.8		90			Percent of total billed charges		1360.8	40			Percent of total billed charges		604.8	80			Percent of total billed charges		1209.6	90			Percent of total billed charges		1360.8	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	33.3			Percent of total billed charges		503.496	33.3			Percent of total billed charges		503.496	100			Percent of total billed charges		1512	503.496	1360.8	
titanium cannulated tibial nail 12mm x 400mm 485.240 synthes	278	RC	Outpatient			1512	982.8		90			Percent of total billed charges		1360.8	40			Percent of total billed charges		604.8	80			Percent of total billed charges		1209.6	90			Percent of total billed charges		1360.8	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	33.3			Percent of total billed charges		503.496	33.3			Percent of total billed charges		503.496	100			Percent of total billed charges		1512	503.496	1360.8	
titanium cannulated tibial nail 12mm x 420mm 485.242 synthes	278	RC	Outpatient			1512	982.8		90			Percent of total billed charges		1360.8	40			Percent of total billed charges		604.8	80			Percent of total billed charges		1209.6	90			Percent of total billed charges		1360.8	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	33.3			Percent of total billed charges		503.496	33.3			Percent of total billed charges		503.496	100			Percent of total billed charges		1512	503.496	1360.8	
stryker fluted stem ext	278	RC	Outpatient			1512	982.8		90			Percent of total billed charges		1360.8	40			Percent of total billed charges		604.8	80			Percent of total billed charges		1209.6	90			Percent of total billed charges		1360.8	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	33.3			Percent of total billed charges		503.496	33.3			Percent of total billed charges		503.496	100			Percent of total billed charges		1512	503.496	1360.8	
titanium cannulated tibial nail (green) 10mm x 270mm 485.027 synthes	278	RC	Outpatient			1512	982.8		90			Percent of total billed charges		1360.8	40			Percent of total billed charges		604.8	80			Percent of total billed charges		1209.6	90			Percent of total billed charges		1360.8	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	33.3			Percent of total billed charges		503.496	33.3			Percent of total billed charges		503.496	100			Percent of total billed charges		1512	503.496	1360.8	
titanium cannulated tibial nail (green) 10mm x 300mm 485.030 synthes	278	RC	Outpatient			1512	982.8		90			Percent of total billed charges		1360.8	40			Percent of total billed charges		604.8	80			Percent of total billed charges		1209.6	90			Percent of total billed charges		1360.8	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	33.3			Percent of total billed charges		503.496	33.3			Percent of total billed charges		503.496	100			Percent of total billed charges		1512	503.496	1360.8	
titanium cannulated tibial nail (green) 10mm x 330mm 485.033 synthes	278	RC	Outpatient			1512	982.8		90			Percent of total billed charges		1360.8	40			Percent of total billed charges		604.8	80			Percent of total billed charges		1209.6	90			Percent of total billed charges		1360.8	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	33.3			Percent of total billed charges		503.496	33.3			Percent of total billed charges		503.496	100			Percent of total billed charges		1512	503.496	1360.8	
titanium cannulated tibial nail (green) 10mm x 345mm 485.034 synthes	278	RC	Outpatient			1512	982.8		90			Percent of total billed charges		1360.8	40			Percent of total billed charges		604.8	80			Percent of total billed charges		1209.6	90			Percent of total billed charges		1360.8	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	33.3			Percent of total billed charges		503.496	33.3			Percent of total billed charges		503.496	100			Percent of total billed charges		1512	503.496	1360.8	
titanium cannulated tibial nail (green) 10mm x 360mm 485.036 synthes	278	RC	Outpatient			1512	982.8		90			Percent of total billed charges		1360.8	40			Percent of total billed charges		604.8	80			Percent of total billed charges		1209.6	90			Percent of total billed charges		1360.8	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	33.3			Percent of total billed charges		503.496	33.3			Percent of total billed charges		503.496	100			Percent of total billed charges		1512	503.496	1360.8	
titanium cannulated tibial nail 11mm x 255mm 485.125 synthes	278	RC	Outpatient			1512	982.8		90			Percent of total billed charges		1360.8	40			Percent of total billed charges		604.8	80			Percent of total billed charges		1209.6	90			Percent of total billed charges		1360.8	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	33.3			Percent of total billed charges		503.496	33.3			Percent of total billed charges		503.496	100			Percent of total billed charges		1512	503.496	1360.8	
titanium cannulated tibial nail 11mm x 270mm 485.127 synthes	278	RC	Outpatient			1512	982.8		90			Percent of total billed charges		1360.8	40			Percent of total billed charges		604.8	80			Percent of total billed charges		1209.6	90			Percent of total billed charges		1360.8	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	33.3			Percent of total billed charges		503.496	33.3			Percent of total billed charges		503.496	100			Percent of total billed charges		1512	503.496	1360.8	
titanium cannulated tibial nail 11mm x 285mm 485.128 synthes	278	RC	Outpatient			1512	982.8		90			Percent of total billed charges		1360.8	40			Percent of total billed charges		604.8	80			Percent of total billed charges		1209.6	90			Percent of total billed charges		1360.8	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	33.3			Percent of total billed charges		503.496	33.3			Percent of total billed charges		503.496	100			Percent of total billed charges		1512	503.496	1360.8	
titanium cannulated tibial nail 11mm x 315mm 485.131 synthes	278	RC	Outpatient			1512	982.8		90			Percent of total billed charges		1360.8	40			Percent of total billed charges		604.8	80			Percent of total billed charges		1209.6	90			Percent of total billed charges		1360.8	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	33.3			Percent of total billed charges		503.496	33.3			Percent of total billed charges		503.496	100			Percent of total billed charges		1512	503.496	1360.8	
titanium cannulated tibial nail 11mm x 345mm 485.134 synthes	278	RC	Outpatient			1512	982.8		90			Percent of total billed charges		1360.8	40			Percent of total billed charges		604.8	80			Percent of total billed charges		1209.6	90			Percent of total billed charges		1360.8	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	33.3			Percent of total billed charges		503.496	33.3			Percent of total billed charges		503.496	100			Percent of total billed charges		1512	503.496	1360.8	
titanium cannulated tibial nail 11mm x 380mm 485.138 synthes	278	RC	Outpatient			1512	982.8		90			Percent of total billed charges		1360.8	40			Percent of total billed charges		604.8	80			Percent of total billed charges		1209.6	90			Percent of total billed charges		1360.8	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	33.3			Percent of total billed charges		503.496	33.3			Percent of total billed charges		503.496	100			Percent of total billed charges		1512	503.496	1360.8	
titanium cannulated tibial nail 11mm x 420mm 485.142 synthes	278	RC	Outpatient			1512	982.8		90			Percent of total billed charges		1360.8	40			Percent of total billed charges		604.8	80			Percent of total billed charges		1209.6	90			Percent of total billed charges		1360.8	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	33.3			Percent of total billed charges		503.496	33.3			Percent of total billed charges		503.496	100			Percent of total billed charges		1512	503.496	1360.8	
titanium cannulated tibial nail 12mm x 255mm 485.225 synthes	278	RC	Outpatient			1512	982.8		90			Percent of total billed charges		1360.8	40			Percent of total billed charges		604.8	80			Percent of total billed charges		1209.6	90			Percent of total billed charges		1360.8	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	33.3			Percent of total billed charges		503.496	33.3			Percent of total billed charges		503.496	100			Percent of total billed charges		1512	503.496	1360.8	
titanium cannulated tibial nail 12mm x 285mm 485.228 synthes	278	RC	Outpatient			1512	982.8		90			Percent of total billed charges		1360.8	40			Percent of total billed charges		604.8	80			Percent of total billed charges		1209.6	90			Percent of total billed charges		1360.8	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	33.3			Percent of total billed charges		503.496	33.3			Percent of total billed charges		503.496	100			Percent of total billed charges		1512	503.496	1360.8	
titanium cannulated tibial nail 12mm x 300mm 485.230 synthes	278	RC	Outpatient			1512	982.8		90			Percent of total billed charges		1360.8	40			Percent of total billed charges		604.8	80			Percent of total billed charges		1209.6	90			Percent of total billed charges		1360.8	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	33.3			Percent of total billed charges		503.496	33.3			Percent of total billed charges		503.496	100			Percent of total billed charges		1512	503.496	1360.8	
titanium cannulated tibial nail 12mm x 330mm 485.233 synthes	278	RC	Outpatient			1512	982.8		90			Percent of total billed charges		1360.8	40			Percent of total billed charges		604.8	80			Percent of total billed charges		1209.6	90			Percent of total billed charges		1360.8	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	33.3			Percent of total billed charges		503.496	33.3			Percent of total billed charges		503.496	100			Percent of total billed charges		1512	503.496	1360.8	
titanium cannulated tibial nail 12mm x 380mm 485.238 synthes	278	RC	Outpatient			1512	982.8		90			Percent of total billed charges		1360.8	40			Percent of total billed charges		604.8	80			Percent of total billed charges		1209.6	90			Percent of total billed charges		1360.8	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	33.3			Percent of total billed charges		503.496	33.3			Percent of total billed charges		503.496	100			Percent of total billed charges		1512	503.496	1360.8	
titanium tibial nail 9x360 479.36	278	RC	Outpatient			1512	982.8		90			Percent of total billed charges		1360.8	40			Percent of total billed charges		604.8	80			Percent of total billed charges		1209.6	90			Percent of total billed charges		1360.8	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	85			Percent of total billed charges		1285.2	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	100			Percent of total billed charges		1512	33.3			Percent of total billed charges		503.496	33.3			Percent of total billed charges		503.496	100			Percent of total billed charges		1512	503.496	1360.8	
stryker ulna plate	278	RC	Outpatient			1515	984.75		90			Percent of total billed charges		1363.5	40			Percent of total billed charges		606	80			Percent of total billed charges		1212	90			Percent of total billed charges		1363.5	85			Percent of total billed charges		1287.75	85			Percent of total billed charges		1287.75	85			Percent of total billed charges		1287.75	100			Percent of total billed charges		1515	100			Percent of total billed charges		1515	100			Percent of total billed charges		1515	33.3			Percent of total billed charges		504.495	33.3			Percent of total billed charges		504.495	100			Percent of total billed charges		1515	504.495	1363.5	
ulnar column plate long right 54-25404  stryker	278	RC	Outpatient			1515	984.75		90			Percent of total billed charges		1363.5	40			Percent of total billed charges		606	80			Percent of total billed charges		1212	90			Percent of total billed charges		1363.5	85			Percent of total billed charges		1287.75	85			Percent of total billed charges		1287.75	85			Percent of total billed charges		1287.75	100			Percent of total billed charges		1515	100			Percent of total billed charges		1515	100			Percent of total billed charges		1515	33.3			Percent of total billed charges		504.495	33.3			Percent of total billed charges		504.495	100			Percent of total billed charges		1515	504.495	1363.5	
ulnar column plate short left 54-25403 stryker	278	RC	Outpatient			1515	984.75		90			Percent of total billed charges		1363.5	40			Percent of total billed charges		606	80			Percent of total billed charges		1212	90			Percent of total billed charges		1363.5	85			Percent of total billed charges		1287.75	85			Percent of total billed charges		1287.75	85			Percent of total billed charges		1287.75	100			Percent of total billed charges		1515	100			Percent of total billed charges		1515	100			Percent of total billed charges		1515	33.3			Percent of total billed charges		504.495	33.3			Percent of total billed charges		504.495	100			Percent of total billed charges		1515	504.495	1363.5	
evos 2.0 flex plate 8 hole s/n 72442062n	278	RC	Outpatient			1520	988		90			Percent of total billed charges		1368	40			Percent of total billed charges		608	80			Percent of total billed charges		1216	90			Percent of total billed charges		1368	85			Percent of total billed charges		1292	85			Percent of total billed charges		1292	85			Percent of total billed charges		1292	100			Percent of total billed charges		1520	100			Percent of total billed charges		1520	100			Percent of total billed charges		1520	33.3			Percent of total billed charges		506.16	33.3			Percent of total billed charges		506.16	100			Percent of total billed charges		1520	506.16	1368	
implant nail supracondylar im five 11mm x 20cm 71122388 s/n	278	RC	Outpatient			1526	991.9		90			Percent of total billed charges		1373.4	40			Percent of total billed charges		610.4	80			Percent of total billed charges		1220.8	90			Percent of total billed charges		1373.4	85			Percent of total billed charges		1297.1	85			Percent of total billed charges		1297.1	85			Percent of total billed charges		1297.1	100			Percent of total billed charges		1526	100			Percent of total billed charges		1526	100			Percent of total billed charges		1526	33.3			Percent of total billed charges		508.158	33.3			Percent of total billed charges		508.158	100			Percent of total billed charges		1526	508.158	1373.4	
implant nail supracondylar im five 11mm x 25cm 71122389 s/n	278	RC	Outpatient			1526	991.9		90			Percent of total billed charges		1373.4	40			Percent of total billed charges		610.4	80			Percent of total billed charges		1220.8	90			Percent of total billed charges		1373.4	85			Percent of total billed charges		1297.1	85			Percent of total billed charges		1297.1	85			Percent of total billed charges		1297.1	100			Percent of total billed charges		1526	100			Percent of total billed charges		1526	100			Percent of total billed charges		1526	33.3			Percent of total billed charges		508.158	33.3			Percent of total billed charges		508.158	100			Percent of total billed charges		1526	508.158	1373.4	
imp nail im supracond 12mmx20cm 71122392	278	RC	Outpatient			1526	991.9		90			Percent of total billed charges		1373.4	40			Percent of total billed charges		610.4	80			Percent of total billed charges		1220.8	90			Percent of total billed charges		1373.4	85			Percent of total billed charges		1297.1	85			Percent of total billed charges		1297.1	85			Percent of total billed charges		1297.1	100			Percent of total billed charges		1526	100			Percent of total billed charges		1526	100			Percent of total billed charges		1526	33.3			Percent of total billed charges		508.158	33.3			Percent of total billed charges		508.158	100			Percent of total billed charges		1526	508.158	1373.4	
implant nail supracondylar im five 12mm x 25cm 71122393 s/n	278	RC	Outpatient			1526	991.9		90			Percent of total billed charges		1373.4	40			Percent of total billed charges		610.4	80			Percent of total billed charges		1220.8	90			Percent of total billed charges		1373.4	85			Percent of total billed charges		1297.1	85			Percent of total billed charges		1297.1	85			Percent of total billed charges		1297.1	100			Percent of total billed charges		1526	100			Percent of total billed charges		1526	100			Percent of total billed charges		1526	33.3			Percent of total billed charges		508.158	33.3			Percent of total billed charges		508.158	100			Percent of total billed charges		1526	508.158	1373.4	
r/t supracondylar nail	278	RC	Outpatient			1526	991.9		90			Percent of total billed charges		1373.4	40			Percent of total billed charges		610.4	80			Percent of total billed charges		1220.8	90			Percent of total billed charges		1373.4	85			Percent of total billed charges		1297.1	85			Percent of total billed charges		1297.1	85			Percent of total billed charges		1297.1	100			Percent of total billed charges		1526	100			Percent of total billed charges		1526	100			Percent of total billed charges		1526	33.3			Percent of total billed charges		508.158	33.3			Percent of total billed charges		508.158	100			Percent of total billed charges		1526	508.158	1373.4	
breast imp silicon 700cc	278	RC	Outpatient			1528	993.2		90			Percent of total billed charges		1375.2	40			Percent of total billed charges		611.2	80			Percent of total billed charges		1222.4	90			Percent of total billed charges		1375.2	85			Percent of total billed charges		1298.8	85			Percent of total billed charges		1298.8	85			Percent of total billed charges		1298.8	100			Percent of total billed charges		1528	100			Percent of total billed charges		1528	100			Percent of total billed charges		1528	33.3			Percent of total billed charges		508.824	33.3			Percent of total billed charges		508.824	100			Percent of total billed charges		1528	508.824	1375.2	
breast imp silicon 800cc	278	RC	Outpatient			1528	993.2		90			Percent of total billed charges		1375.2	40			Percent of total billed charges		611.2	80			Percent of total billed charges		1222.4	90			Percent of total billed charges		1375.2	85			Percent of total billed charges		1298.8	85			Percent of total billed charges		1298.8	85			Percent of total billed charges		1298.8	100			Percent of total billed charges		1528	100			Percent of total billed charges		1528	100			Percent of total billed charges		1528	33.3			Percent of total billed charges		508.824	33.3			Percent of total billed charges		508.824	100			Percent of total billed charges		1528	508.824	1375.2	
natrelle silicone filled  implant 800cc 45-800  allergan	278	RC	Outpatient			1528	993.2		90			Percent of total billed charges		1375.2	40			Percent of total billed charges		611.2	80			Percent of total billed charges		1222.4	90			Percent of total billed charges		1375.2	85			Percent of total billed charges		1298.8	85			Percent of total billed charges		1298.8	85			Percent of total billed charges		1298.8	100			Percent of total billed charges		1528	100			Percent of total billed charges		1528	100			Percent of total billed charges		1528	33.3			Percent of total billed charges		508.824	33.3			Percent of total billed charges		508.824	100			Percent of total billed charges		1528	508.824	1375.2	
natrelle silicone filled  implant 700cc 45-700 allergan	278	RC	Outpatient			1528	993.2		90			Percent of total billed charges		1375.2	40			Percent of total billed charges		611.2	80			Percent of total billed charges		1222.4	90			Percent of total billed charges		1375.2	85			Percent of total billed charges		1298.8	85			Percent of total billed charges		1298.8	85			Percent of total billed charges		1298.8	100			Percent of total billed charges		1528	100			Percent of total billed charges		1528	100			Percent of total billed charges		1528	33.3			Percent of total billed charges		508.824	33.3			Percent of total billed charges		508.824	100			Percent of total billed charges		1528	508.824	1375.2	
bio biopolar cup	278	RC	Outpatient			1530	994.5		90			Percent of total billed charges		1377	40			Percent of total billed charges		612	80			Percent of total billed charges		1224	90			Percent of total billed charges		1377	85			Percent of total billed charges		1300.5	85			Percent of total billed charges		1300.5	85			Percent of total billed charges		1300.5	100			Percent of total billed charges		1530	100			Percent of total billed charges		1530	100			Percent of total billed charges		1530	33.3			Percent of total billed charges		509.49	33.3			Percent of total billed charges		509.49	100			Percent of total billed charges		1530	509.49	1377	
zzscrmc bs cutting balloon cath	272	RC	Outpatient			1530	994.5		90			Percent of total billed charges		1377	40			Percent of total billed charges		612	80			Percent of total billed charges		1224	90			Percent of total billed charges		1377	85			Percent of total billed charges		1300.5	85			Percent of total billed charges		1300.5	85			Percent of total billed charges		1300.5	100			Percent of total billed charges		1530	100			Percent of total billed charges		1530	100			Percent of total billed charges		1530	33.3			Percent of total billed charges		509.49	33.3			Percent of total billed charges		509.49	100			Percent of total billed charges		1530	509.49	1377	
implant plate compress 8 sl 135 deg 180mm 12-4145 s/n	278	RC	Outpatient			1534	997.1		90			Percent of total billed charges		1380.6	40			Percent of total billed charges		613.6	80			Percent of total billed charges		1227.2	90			Percent of total billed charges		1380.6	85			Percent of total billed charges		1303.9	85			Percent of total billed charges		1303.9	85			Percent of total billed charges		1303.9	100			Percent of total billed charges		1534	100			Percent of total billed charges		1534	100			Percent of total billed charges		1534	33.3			Percent of total billed charges		510.822	33.3			Percent of total billed charges		510.822	100			Percent of total billed charges		1534	510.822	1380.6	
implant plate compress 8 sl 140 deg 180mm 12-4147 s/n	278	RC	Outpatient			1534	997.1		90			Percent of total billed charges		1380.6	40			Percent of total billed charges		613.6	80			Percent of total billed charges		1227.2	90			Percent of total billed charges		1380.6	85			Percent of total billed charges		1303.9	85			Percent of total billed charges		1303.9	85			Percent of total billed charges		1303.9	100			Percent of total billed charges		1534	100			Percent of total billed charges		1534	100			Percent of total billed charges		1534	33.3			Percent of total billed charges		510.822	33.3			Percent of total billed charges		510.822	100			Percent of total billed charges		1534	510.822	1380.6	
implant plate compress 8 sl 145 deg 180mm 12-4148 s/n	278	RC	Outpatient			1534	997.1		90			Percent of total billed charges		1380.6	40			Percent of total billed charges		613.6	80			Percent of total billed charges		1227.2	90			Percent of total billed charges		1380.6	85			Percent of total billed charges		1303.9	85			Percent of total billed charges		1303.9	85			Percent of total billed charges		1303.9	100			Percent of total billed charges		1534	100			Percent of total billed charges		1534	100			Percent of total billed charges		1534	33.3			Percent of total billed charges		510.822	33.3			Percent of total billed charges		510.822	100			Percent of total billed charges		1534	510.822	1380.6	
implant plate compress 8 sl 150 deg 180mm 12-4149 s/n	278	RC	Outpatient			1534	997.1		90			Percent of total billed charges		1380.6	40			Percent of total billed charges		613.6	80			Percent of total billed charges		1227.2	90			Percent of total billed charges		1380.6	85			Percent of total billed charges		1303.9	85			Percent of total billed charges		1303.9	85			Percent of total billed charges		1303.9	100			Percent of total billed charges		1534	100			Percent of total billed charges		1534	100			Percent of total billed charges		1534	33.3			Percent of total billed charges		510.822	33.3			Percent of total billed charges		510.822	100			Percent of total billed charges		1534	510.822	1380.6	
rich hip scw classic 8hl	278	RC	Outpatient			1534	997.1		90			Percent of total billed charges		1380.6	40			Percent of total billed charges		613.6	80			Percent of total billed charges		1227.2	90			Percent of total billed charges		1380.6	85			Percent of total billed charges		1303.9	85			Percent of total billed charges		1303.9	85			Percent of total billed charges		1303.9	100			Percent of total billed charges		1534	100			Percent of total billed charges		1534	100			Percent of total billed charges		1534	33.3			Percent of total billed charges		510.822	33.3			Percent of total billed charges		510.822	100			Percent of total billed charges		1534	510.822	1380.6	
s/n classic hip screw 8 hole	278	RC	Outpatient			1534	997.1		90			Percent of total billed charges		1380.6	40			Percent of total billed charges		613.6	80			Percent of total billed charges		1227.2	90			Percent of total billed charges		1380.6	85			Percent of total billed charges		1303.9	85			Percent of total billed charges		1303.9	85			Percent of total billed charges		1303.9	100			Percent of total billed charges		1534	100			Percent of total billed charges		1534	100			Percent of total billed charges		1534	33.3			Percent of total billed charges		510.822	33.3			Percent of total billed charges		510.822	100			Percent of total billed charges		1534	510.822	1380.6	
cath lab final pack ds2co13 135-54	270	RC	Outpatient			1535	997.75		90			Percent of total billed charges		1381.5	40			Percent of total billed charges		614	80			Percent of total billed charges		1228	90			Percent of total billed charges		1381.5	85			Percent of total billed charges		1304.75	85			Percent of total billed charges		1304.75	85			Percent of total billed charges		1304.75	100			Percent of total billed charges		1535	100			Percent of total billed charges		1535	100			Percent of total billed charges		1535	33.3			Percent of total billed charges		511.155	33.3			Percent of total billed charges		511.155	100			Percent of total billed charges		1535	511.155	1381.5	
cath lab final pack dsco14 wide-54	270	RC	Outpatient			1535	997.75		90			Percent of total billed charges		1381.5	40			Percent of total billed charges		614	80			Percent of total billed charges		1228	90			Percent of total billed charges		1381.5	85			Percent of total billed charges		1304.75	85			Percent of total billed charges		1304.75	85			Percent of total billed charges		1304.75	100			Percent of total billed charges		1535	100			Percent of total billed charges		1535	100			Percent of total billed charges		1535	33.3			Percent of total billed charges		511.155	33.3			Percent of total billed charges		511.155	100			Percent of total billed charges		1535	511.155	1381.5	
ds2c013 final pack 135-54	270	RC	Outpatient			1535	997.75		90			Percent of total billed charges		1381.5	40			Percent of total billed charges		614	80			Percent of total billed charges		1228	90			Percent of total billed charges		1381.5	85			Percent of total billed charges		1304.75	85			Percent of total billed charges		1304.75	85			Percent of total billed charges		1304.75	100			Percent of total billed charges		1535	100			Percent of total billed charges		1535	100			Percent of total billed charges		1535	33.3			Percent of total billed charges		511.155	33.3			Percent of total billed charges		511.155	100			Percent of total billed charges		1535	511.155	1381.5	
ds2c014 final pack wid-54	270	RC	Outpatient			1535	997.75		90			Percent of total billed charges		1381.5	40			Percent of total billed charges		614	80			Percent of total billed charges		1228	90			Percent of total billed charges		1381.5	85			Percent of total billed charges		1304.75	85			Percent of total billed charges		1304.75	85			Percent of total billed charges		1304.75	100			Percent of total billed charges		1535	100			Percent of total billed charges		1535	100			Percent of total billed charges		1535	33.3			Percent of total billed charges		511.155	33.3			Percent of total billed charges		511.155	100			Percent of total billed charges		1535	511.155	1381.5	
aphresis platelet exchange	360	RC	Outpatient			1538	999.7		90			Percent of total billed charges		1384.2	40			Percent of total billed charges		615.2	80			Percent of total billed charges		1230.4	90			Percent of total billed charges		1384.2	85			Percent of total billed charges		1307.3	85			Percent of total billed charges		1307.3	85			Percent of total billed charges		1307.3	100			Percent of total billed charges		1538	100			Percent of total billed charges		1538	100			Percent of total billed charges		1538	33.3			Percent of total billed charges		512.154	33.3			Percent of total billed charges		512.154	100			Percent of total billed charges		1538	512.154	1384.2	
vaginal delivery level 3 charge	720	RC	Outpatient			1538	999.7		90			Percent of total billed charges		1384.2	40			Percent of total billed charges		615.2	80			Percent of total billed charges		1230.4	90			Percent of total billed charges		1384.2	85			Percent of total billed charges		1307.3	85			Percent of total billed charges		1307.3	85			Percent of total billed charges		1307.3	100			Percent of total billed charges		1538	100			Percent of total billed charges		1538	100			Percent of total billed charges		1538	33.3			Percent of total billed charges		512.154	33.3			Percent of total billed charges		512.154	100			Percent of total billed charges		1538	512.154	1384.2	
dermaclose rc 204010 wound care	278	RC	Outpatient			1540	1001		90			Percent of total billed charges		1386	40			Percent of total billed charges		616	80			Percent of total billed charges		1232	90			Percent of total billed charges		1386	85			Percent of total billed charges		1309	85			Percent of total billed charges		1309	85			Percent of total billed charges		1309	100			Percent of total billed charges		1540	100			Percent of total billed charges		1540	100			Percent of total billed charges		1540	33.3			Percent of total billed charges		512.82	33.3			Percent of total billed charges		512.82	100			Percent of total billed charges		1540	512.82	1386	
dermaclose rc	278	RC	Outpatient			1540	1001		90			Percent of total billed charges		1386	40			Percent of total billed charges		616	80			Percent of total billed charges		1232	90			Percent of total billed charges		1386	85			Percent of total billed charges		1309	85			Percent of total billed charges		1309	85			Percent of total billed charges		1309	100			Percent of total billed charges		1540	100			Percent of total billed charges		1540	100			Percent of total billed charges		1540	33.3			Percent of total billed charges		512.82	33.3			Percent of total billed charges		512.82	100			Percent of total billed charges		1540	512.82	1386	
osteonics dome patella	278	RC	Outpatient			1540	1001		90			Percent of total billed charges		1386	40			Percent of total billed charges		616	80			Percent of total billed charges		1232	90			Percent of total billed charges		1386	85			Percent of total billed charges		1309	85			Percent of total billed charges		1309	85			Percent of total billed charges		1309	100			Percent of total billed charges		1540	100			Percent of total billed charges		1540	100			Percent of total billed charges		1540	33.3			Percent of total billed charges		512.82	33.3			Percent of total billed charges		512.82	100			Percent of total billed charges		1540	512.82	1386	
osteonics scorpio dome patella #7 73-3708	278	RC	Outpatient			1540	1001		90			Percent of total billed charges		1386	40			Percent of total billed charges		616	80			Percent of total billed charges		1232	90			Percent of total billed charges		1386	85			Percent of total billed charges		1309	85			Percent of total billed charges		1309	85			Percent of total billed charges		1309	100			Percent of total billed charges		1540	100			Percent of total billed charges		1540	100			Percent of total billed charges		1540	33.3			Percent of total billed charges		512.82	33.3			Percent of total billed charges		512.82	100			Percent of total billed charges		1540	512.82	1386	
stryker scorpio dome pat	278	RC	Outpatient			1540	1001		90			Percent of total billed charges		1386	40			Percent of total billed charges		616	80			Percent of total billed charges		1232	90			Percent of total billed charges		1386	85			Percent of total billed charges		1309	85			Percent of total billed charges		1309	85			Percent of total billed charges		1309	100			Percent of total billed charges		1540	100			Percent of total billed charges		1540	100			Percent of total billed charges		1540	33.3			Percent of total billed charges		512.82	33.3			Percent of total billed charges		512.82	100			Percent of total billed charges		1540	512.82	1386	
scorpio flex x3 univ dome patella 8mm #5 73-20-3508 stryker	278	RC	Outpatient			1540	1001		90			Percent of total billed charges		1386	40			Percent of total billed charges		616	80			Percent of total billed charges		1232	90			Percent of total billed charges		1386	85			Percent of total billed charges		1309	85			Percent of total billed charges		1309	85			Percent of total billed charges		1309	100			Percent of total billed charges		1540	100			Percent of total billed charges		1540	100			Percent of total billed charges		1540	33.3			Percent of total billed charges		512.82	33.3			Percent of total billed charges		512.82	100			Percent of total billed charges		1540	512.82	1386	
scorpio flex x3 univ dome patella 8mm #7 73-20-3708 stryker	278	RC	Outpatient			1540	1001		90			Percent of total billed charges		1386	40			Percent of total billed charges		616	80			Percent of total billed charges		1232	90			Percent of total billed charges		1386	85			Percent of total billed charges		1309	85			Percent of total billed charges		1309	85			Percent of total billed charges		1309	100			Percent of total billed charges		1540	100			Percent of total billed charges		1540	100			Percent of total billed charges		1540	33.3			Percent of total billed charges		512.82	33.3			Percent of total billed charges		512.82	100			Percent of total billed charges		1540	512.82	1386	
scorpio x3 universal dome patella #9 10mm 73-20-3910 stryker	278	RC	Outpatient			1540	1001		90			Percent of total billed charges		1386	40			Percent of total billed charges		616	80			Percent of total billed charges		1232	90			Percent of total billed charges		1386	85			Percent of total billed charges		1309	85			Percent of total billed charges		1309	85			Percent of total billed charges		1309	100			Percent of total billed charges		1540	100			Percent of total billed charges		1540	100			Percent of total billed charges		1540	33.3			Percent of total billed charges		512.82	33.3			Percent of total billed charges		512.82	100			Percent of total billed charges		1540	512.82	1386	
mollring cutter 7cm mrc4407 vascular architects	270	RC	Outpatient			1542	1002.3		90			Percent of total billed charges		1387.8	40			Percent of total billed charges		616.8	80			Percent of total billed charges		1233.6	90			Percent of total billed charges		1387.8	85			Percent of total billed charges		1310.7	85			Percent of total billed charges		1310.7	85			Percent of total billed charges		1310.7	100			Percent of total billed charges		1542	100			Percent of total billed charges		1542	100			Percent of total billed charges		1542	33.3			Percent of total billed charges		513.486	33.3			Percent of total billed charges		513.486	100			Percent of total billed charges		1542	513.486	1387.8	
moll ring cutter	270	RC	Outpatient			1542	1002.3		90			Percent of total billed charges		1387.8	40			Percent of total billed charges		616.8	80			Percent of total billed charges		1233.6	90			Percent of total billed charges		1387.8	85			Percent of total billed charges		1310.7	85			Percent of total billed charges		1310.7	85			Percent of total billed charges		1310.7	100			Percent of total billed charges		1542	100			Percent of total billed charges		1542	100			Percent of total billed charges		1542	33.3			Percent of total billed charges		513.486	33.3			Percent of total billed charges		513.486	100			Percent of total billed charges		1542	513.486	1387.8	
mollring cutter 5cm mrc4405 vascular architects	270	RC	Outpatient			1542	1002.3		90			Percent of total billed charges		1387.8	40			Percent of total billed charges		616.8	80			Percent of total billed charges		1233.6	90			Percent of total billed charges		1387.8	85			Percent of total billed charges		1310.7	85			Percent of total billed charges		1310.7	85			Percent of total billed charges		1310.7	100			Percent of total billed charges		1542	100			Percent of total billed charges		1542	100			Percent of total billed charges		1542	33.3			Percent of total billed charges		513.486	33.3			Percent of total billed charges		513.486	100			Percent of total billed charges		1542	513.486	1387.8	
mollring cutter 6cm mrc4406 vascular architects	270	RC	Outpatient			1542	1002.3		90			Percent of total billed charges		1387.8	40			Percent of total billed charges		616.8	80			Percent of total billed charges		1233.6	90			Percent of total billed charges		1387.8	85			Percent of total billed charges		1310.7	85			Percent of total billed charges		1310.7	85			Percent of total billed charges		1310.7	100			Percent of total billed charges		1542	100			Percent of total billed charges		1542	100			Percent of total billed charges		1542	33.3			Percent of total billed charges		513.486	33.3			Percent of total billed charges		513.486	100			Percent of total billed charges		1542	513.486	1387.8	
vlp 3.5mm calcaneous large left s/n 72824030s	278	RC	Outpatient			1542	1002.3		90			Percent of total billed charges		1387.8	40			Percent of total billed charges		616.8	80			Percent of total billed charges		1233.6	90			Percent of total billed charges		1387.8	85			Percent of total billed charges		1310.7	85			Percent of total billed charges		1310.7	85			Percent of total billed charges		1310.7	100			Percent of total billed charges		1542	100			Percent of total billed charges		1542	100			Percent of total billed charges		1542	33.3			Percent of total billed charges		513.486	33.3			Percent of total billed charges		513.486	100			Percent of total billed charges		1542	513.486	1387.8	
p-l vlp plt fib l-d 3h	278	RC	Outpatient			1544	1003.6		90			Percent of total billed charges		1389.6	40			Percent of total billed charges		617.6	80			Percent of total billed charges		1235.2	90			Percent of total billed charges		1389.6	85			Percent of total billed charges		1312.4	85			Percent of total billed charges		1312.4	85			Percent of total billed charges		1312.4	100			Percent of total billed charges		1544	100			Percent of total billed charges		1544	100			Percent of total billed charges		1544	33.3			Percent of total billed charges		514.152	33.3			Percent of total billed charges		514.152	100			Percent of total billed charges		1544	514.152	1389.6	
peri-loc 3.5 l-d fib lk pl 3 h lt 72821003 s/n	278	RC	Outpatient			1544	1003.6		90			Percent of total billed charges		1389.6	40			Percent of total billed charges		617.6	80			Percent of total billed charges		1235.2	90			Percent of total billed charges		1389.6	85			Percent of total billed charges		1312.4	85			Percent of total billed charges		1312.4	85			Percent of total billed charges		1312.4	100			Percent of total billed charges		1544	100			Percent of total billed charges		1544	100			Percent of total billed charges		1544	33.3			Percent of total billed charges		514.152	33.3			Percent of total billed charges		514.152	100			Percent of total billed charges		1544	514.152	1389.6	
peri-loc 3.5 vlp p-d tibia lk pl 3 h rt 72820303 s/n	278	RC	Outpatient			1544	1003.6		90			Percent of total billed charges		1389.6	40			Percent of total billed charges		617.6	80			Percent of total billed charges		1235.2	90			Percent of total billed charges		1389.6	85			Percent of total billed charges		1312.4	85			Percent of total billed charges		1312.4	85			Percent of total billed charges		1312.4	100			Percent of total billed charges		1544	100			Percent of total billed charges		1544	100			Percent of total billed charges		1544	33.3			Percent of total billed charges		514.152	33.3			Percent of total billed charges		514.152	100			Percent of total billed charges		1544	514.152	1389.6	
richards poly tibia	278	RC	Outpatient			1544	1003.6		90			Percent of total billed charges		1389.6	40			Percent of total billed charges		617.6	80			Percent of total billed charges		1235.2	90			Percent of total billed charges		1389.6	85			Percent of total billed charges		1312.4	85			Percent of total billed charges		1312.4	85			Percent of total billed charges		1312.4	100			Percent of total billed charges		1544	100			Percent of total billed charges		1544	100			Percent of total billed charges		1544	33.3			Percent of total billed charges		514.152	33.3			Percent of total billed charges		514.152	100			Percent of total billed charges		1544	514.152	1389.6	
s/n vlp post dis tib pl3h	278	RC	Outpatient			1544	1003.6		90			Percent of total billed charges		1389.6	40			Percent of total billed charges		617.6	80			Percent of total billed charges		1235.2	90			Percent of total billed charges		1389.6	85			Percent of total billed charges		1312.4	85			Percent of total billed charges		1312.4	85			Percent of total billed charges		1312.4	100			Percent of total billed charges		1544	100			Percent of total billed charges		1544	100			Percent of total billed charges		1544	33.3			Percent of total billed charges		514.152	33.3			Percent of total billed charges		514.152	100			Percent of total billed charges		1544	514.152	1389.6	
peri-loc 3.5 l-d fib lk pl 3 h rt 72822003 s/n	278	RC	Outpatient			1544	1003.6		90			Percent of total billed charges		1389.6	40			Percent of total billed charges		617.6	80			Percent of total billed charges		1235.2	90			Percent of total billed charges		1389.6	85			Percent of total billed charges		1312.4	85			Percent of total billed charges		1312.4	85			Percent of total billed charges		1312.4	100			Percent of total billed charges		1544	100			Percent of total billed charges		1544	100			Percent of total billed charges		1544	33.3			Percent of total billed charges		514.152	33.3			Percent of total billed charges		514.152	100			Percent of total billed charges		1544	514.152	1389.6	
peri-loc 3.5 vlp p-d tibia lk pl 3 h lt 72820203 s/n	278	RC	Outpatient			1544	1003.6		90			Percent of total billed charges		1389.6	40			Percent of total billed charges		617.6	80			Percent of total billed charges		1235.2	90			Percent of total billed charges		1389.6	85			Percent of total billed charges		1312.4	85			Percent of total billed charges		1312.4	85			Percent of total billed charges		1312.4	100			Percent of total billed charges		1544	100			Percent of total billed charges		1544	100			Percent of total billed charges		1544	33.3			Percent of total billed charges		514.152	33.3			Percent of total billed charges		514.152	100			Percent of total billed charges		1544	514.152	1389.6	
richards hybrid tibia	278	RC	Outpatient			1544	1003.6		90			Percent of total billed charges		1389.6	40			Percent of total billed charges		617.6	80			Percent of total billed charges		1235.2	90			Percent of total billed charges		1389.6	85			Percent of total billed charges		1312.4	85			Percent of total billed charges		1312.4	85			Percent of total billed charges		1312.4	100			Percent of total billed charges		1544	100			Percent of total billed charges		1544	100			Percent of total billed charges		1544	33.3			Percent of total billed charges		514.152	33.3			Percent of total billed charges		514.152	100			Percent of total billed charges		1544	514.152	1389.6	
28293 correction of bunion	983	RC	Outpatient			1550	1007.5		90			Percent of total billed charges		1395	40			Percent of total billed charges		620	80			Percent of total billed charges		1240	90			Percent of total billed charges		1395	85			Percent of total billed charges		1317.5	85			Percent of total billed charges		1317.5	85			Percent of total billed charges		1317.5	100			Percent of total billed charges		1550	100			Percent of total billed charges		1550	100			Percent of total billed charges		1550	33.3			Percent of total billed charges		516.15	33.3			Percent of total billed charges		516.15	100			Percent of total billed charges		1550	516.15	1395	
cathlab st jude tendril sts 2088tc/52cm lead	278	RC	Outpatient			1551	1008.15		90			Percent of total billed charges		1395.9	40			Percent of total billed charges		620.4	80			Percent of total billed charges		1240.8	90			Percent of total billed charges		1395.9	85			Percent of total billed charges		1318.35	85			Percent of total billed charges		1318.35	85			Percent of total billed charges		1318.35	100			Percent of total billed charges		1551	100			Percent of total billed charges		1551	100			Percent of total billed charges		1551	33.3			Percent of total billed charges		516.483	33.3			Percent of total billed charges		516.483	100			Percent of total billed charges		1551	516.483	1395.9	
cathlab st jude tendril sts 2088tc/58cm lead	278	RC	Outpatient			1551	1008.15		90			Percent of total billed charges		1395.9	40			Percent of total billed charges		620.4	80			Percent of total billed charges		1240.8	90			Percent of total billed charges		1395.9	85			Percent of total billed charges		1318.35	85			Percent of total billed charges		1318.35	85			Percent of total billed charges		1318.35	100			Percent of total billed charges		1551	100			Percent of total billed charges		1551	100			Percent of total billed charges		1551	33.3			Percent of total billed charges		516.483	33.3			Percent of total billed charges		516.483	100			Percent of total billed charges		1551	516.483	1395.9	
tendril sts 2088tc /46cm	278	RC	Outpatient			1551	1008.15		90			Percent of total billed charges		1395.9	40			Percent of total billed charges		620.4	80			Percent of total billed charges		1240.8	90			Percent of total billed charges		1395.9	85			Percent of total billed charges		1318.35	85			Percent of total billed charges		1318.35	85			Percent of total billed charges		1318.35	100			Percent of total billed charges		1551	100			Percent of total billed charges		1551	100			Percent of total billed charges		1551	33.3			Percent of total billed charges		516.483	33.3			Percent of total billed charges		516.483	100			Percent of total billed charges		1551	516.483	1395.9	
locking tubular plt 3.5mm 7 hl 71829007 s\n	278	RC	Outpatient			1556	1011.4		90			Percent of total billed charges		1400.4	40			Percent of total billed charges		622.4	80			Percent of total billed charges		1244.8	90			Percent of total billed charges		1400.4	85			Percent of total billed charges		1322.6	85			Percent of total billed charges		1322.6	85			Percent of total billed charges		1322.6	100			Percent of total billed charges		1556	100			Percent of total billed charges		1556	100			Percent of total billed charges		1556	33.3			Percent of total billed charges		518.148	33.3			Percent of total billed charges		518.148	100			Percent of total billed charges		1556	518.148	1400.4	
s/n 3.5 lck tub pl 7hl	278	RC	Outpatient			1556	1011.4		90			Percent of total billed charges		1400.4	40			Percent of total billed charges		622.4	80			Percent of total billed charges		1244.8	90			Percent of total billed charges		1400.4	85			Percent of total billed charges		1322.6	85			Percent of total billed charges		1322.6	85			Percent of total billed charges		1322.6	100			Percent of total billed charges		1556	100			Percent of total billed charges		1556	100			Percent of total billed charges		1556	33.3			Percent of total billed charges		518.148	33.3			Percent of total billed charges		518.148	100			Percent of total billed charges		1556	518.148	1400.4	
genesis ii cr articular insert size 3-4 9mm 71420490 s/n	278	RC	Outpatient			1558	1012.7		90			Percent of total billed charges		1402.2	40			Percent of total billed charges		623.2	80			Percent of total billed charges		1246.4	90			Percent of total billed charges		1402.2	85			Percent of total billed charges		1324.3	85			Percent of total billed charges		1324.3	85			Percent of total billed charges		1324.3	100			Percent of total billed charges		1558	100			Percent of total billed charges		1558	100			Percent of total billed charges		1558	33.3			Percent of total billed charges		518.814	33.3			Percent of total billed charges		518.814	100			Percent of total billed charges		1558	518.814	1402.2	
genesis ii cr articular insert size 7-8 11mm 71420512 s/n	278	RC	Outpatient			1558	1012.7		90			Percent of total billed charges		1402.2	40			Percent of total billed charges		623.2	80			Percent of total billed charges		1246.4	90			Percent of total billed charges		1402.2	85			Percent of total billed charges		1324.3	85			Percent of total billed charges		1324.3	85			Percent of total billed charges		1324.3	100			Percent of total billed charges		1558	100			Percent of total billed charges		1558	100			Percent of total billed charges		1558	33.3			Percent of total billed charges		518.814	33.3			Percent of total billed charges		518.814	100			Percent of total billed charges		1558	518.814	1402.2	
genesis ii cr articular insert size 7-8 13mm 71420514 s/n	278	RC	Outpatient			1558	1012.7		90			Percent of total billed charges		1402.2	40			Percent of total billed charges		623.2	80			Percent of total billed charges		1246.4	90			Percent of total billed charges		1402.2	85			Percent of total billed charges		1324.3	85			Percent of total billed charges		1324.3	85			Percent of total billed charges		1324.3	100			Percent of total billed charges		1558	100			Percent of total billed charges		1558	100			Percent of total billed charges		1558	33.3			Percent of total billed charges		518.814	33.3			Percent of total billed charges		518.814	100			Percent of total billed charges		1558	518.814	1402.2	
genesis ii dished art insert size 5-6 15mm  71420784 s/n	278	RC	Outpatient			1558	1012.7		90			Percent of total billed charges		1402.2	40			Percent of total billed charges		623.2	80			Percent of total billed charges		1246.4	90			Percent of total billed charges		1402.2	85			Percent of total billed charges		1324.3	85			Percent of total billed charges		1324.3	85			Percent of total billed charges		1324.3	100			Percent of total billed charges		1558	100			Percent of total billed charges		1558	100			Percent of total billed charges		1558	33.3			Percent of total billed charges		518.814	33.3			Percent of total billed charges		518.814	100			Percent of total billed charges		1558	518.814	1402.2	
genesis ii dished articular insert size 3-4 11mm  71420768 s/n	278	RC	Outpatient			1558	1012.7		90			Percent of total billed charges		1402.2	40			Percent of total billed charges		623.2	80			Percent of total billed charges		1246.4	90			Percent of total billed charges		1402.2	85			Percent of total billed charges		1324.3	85			Percent of total billed charges		1324.3	85			Percent of total billed charges		1324.3	100			Percent of total billed charges		1558	100			Percent of total billed charges		1558	100			Percent of total billed charges		1558	33.3			Percent of total billed charges		518.814	33.3			Percent of total billed charges		518.814	100			Percent of total billed charges		1558	518.814	1402.2	
genesis ii dished articular insert size 3-4 13mm 71420770 s/n	278	RC	Outpatient			1558	1012.7		90			Percent of total billed charges		1402.2	40			Percent of total billed charges		623.2	80			Percent of total billed charges		1246.4	90			Percent of total billed charges		1402.2	85			Percent of total billed charges		1324.3	85			Percent of total billed charges		1324.3	85			Percent of total billed charges		1324.3	100			Percent of total billed charges		1558	100			Percent of total billed charges		1558	100			Percent of total billed charges		1558	33.3			Percent of total billed charges		518.814	33.3			Percent of total billed charges		518.814	100			Percent of total billed charges		1558	518.814	1402.2	
genesis ii dished articular insert size 3-4 21mm 71420776 s/n	278	RC	Outpatient			1558	1012.7		90			Percent of total billed charges		1402.2	40			Percent of total billed charges		623.2	80			Percent of total billed charges		1246.4	90			Percent of total billed charges		1402.2	85			Percent of total billed charges		1324.3	85			Percent of total billed charges		1324.3	85			Percent of total billed charges		1324.3	100			Percent of total billed charges		1558	100			Percent of total billed charges		1558	100			Percent of total billed charges		1558	33.3			Percent of total billed charges		518.814	33.3			Percent of total billed charges		518.814	100			Percent of total billed charges		1558	518.814	1402.2	
genesis ii dished articular insert size 3-4 9mm  71420766 s/n	278	RC	Outpatient			1558	1012.7		90			Percent of total billed charges		1402.2	40			Percent of total billed charges		623.2	80			Percent of total billed charges		1246.4	90			Percent of total billed charges		1402.2	85			Percent of total billed charges		1324.3	85			Percent of total billed charges		1324.3	85			Percent of total billed charges		1324.3	100			Percent of total billed charges		1558	100			Percent of total billed charges		1558	100			Percent of total billed charges		1558	33.3			Percent of total billed charges		518.814	33.3			Percent of total billed charges		518.814	100			Percent of total billed charges		1558	518.814	1402.2	
genesis ii dished articular insert size 5-6 11mm 71420780 s/n	278	RC	Outpatient			1558	1012.7		90			Percent of total billed charges		1402.2	40			Percent of total billed charges		623.2	80			Percent of total billed charges		1246.4	90			Percent of total billed charges		1402.2	85			Percent of total billed charges		1324.3	85			Percent of total billed charges		1324.3	85			Percent of total billed charges		1324.3	100			Percent of total billed charges		1558	100			Percent of total billed charges		1558	100			Percent of total billed charges		1558	33.3			Percent of total billed charges		518.814	33.3			Percent of total billed charges		518.814	100			Percent of total billed charges		1558	518.814	1402.2	
genesis ii dished articular insert size 5-6 13mm 71420782 s/n	278	RC	Outpatient			1558	1012.7		90			Percent of total billed charges		1402.2	40			Percent of total billed charges		623.2	80			Percent of total billed charges		1246.4	90			Percent of total billed charges		1402.2	85			Percent of total billed charges		1324.3	85			Percent of total billed charges		1324.3	85			Percent of total billed charges		1324.3	100			Percent of total billed charges		1558	100			Percent of total billed charges		1558	100			Percent of total billed charges		1558	33.3			Percent of total billed charges		518.814	33.3			Percent of total billed charges		518.814	100			Percent of total billed charges		1558	518.814	1402.2	
genesis ii dished articular insert size 5-6 9mm 71420778 s/n	278	RC	Outpatient			1558	1012.7		90			Percent of total billed charges		1402.2	40			Percent of total billed charges		623.2	80			Percent of total billed charges		1246.4	90			Percent of total billed charges		1402.2	85			Percent of total billed charges		1324.3	85			Percent of total billed charges		1324.3	85			Percent of total billed charges		1324.3	100			Percent of total billed charges		1558	100			Percent of total billed charges		1558	100			Percent of total billed charges		1558	33.3			Percent of total billed charges		518.814	33.3			Percent of total billed charges		518.814	100			Percent of total billed charges		1558	518.814	1402.2	
genesis ii dished articular insert size 7-8 13mm 71420794 s/n	278	RC	Outpatient			1558	1012.7		90			Percent of total billed charges		1402.2	40			Percent of total billed charges		623.2	80			Percent of total billed charges		1246.4	90			Percent of total billed charges		1402.2	85			Percent of total billed charges		1324.3	85			Percent of total billed charges		1324.3	85			Percent of total billed charges		1324.3	100			Percent of total billed charges		1558	100			Percent of total billed charges		1558	100			Percent of total billed charges		1558	33.3			Percent of total billed charges		518.814	33.3			Percent of total billed charges		518.814	100			Percent of total billed charges		1558	518.814	1402.2	
genesis ii dished articular insert size 7-8 21mm  71420800 s/n	278	RC	Outpatient			1558	1012.7		90			Percent of total billed charges		1402.2	40			Percent of total billed charges		623.2	80			Percent of total billed charges		1246.4	90			Percent of total billed charges		1402.2	85			Percent of total billed charges		1324.3	85			Percent of total billed charges		1324.3	85			Percent of total billed charges		1324.3	100			Percent of total billed charges		1558	100			Percent of total billed charges		1558	100			Percent of total billed charges		1558	33.3			Percent of total billed charges		518.814	33.3			Percent of total billed charges		518.814	100			Percent of total billed charges		1558	518.814	1402.2	
genesis ii cr articular insert 11mm 71420492 s/n	278	RC	Outpatient			1558	1012.7		90			Percent of total billed charges		1402.2	40			Percent of total billed charges		623.2	80			Percent of total billed charges		1246.4	90			Percent of total billed charges		1402.2	85			Percent of total billed charges		1324.3	85			Percent of total billed charges		1324.3	85			Percent of total billed charges		1324.3	100			Percent of total billed charges		1558	100			Percent of total billed charges		1558	100			Percent of total billed charges		1558	33.3			Percent of total billed charges		518.814	33.3			Percent of total billed charges		518.814	100			Percent of total billed charges		1558	518.814	1402.2	
genesis ii cr articular insert size 5-6 11mm  s/n	278	RC	Outpatient			1558	1012.7		90			Percent of total billed charges		1402.2	40			Percent of total billed charges		623.2	80			Percent of total billed charges		1246.4	90			Percent of total billed charges		1402.2	85			Percent of total billed charges		1324.3	85			Percent of total billed charges		1324.3	85			Percent of total billed charges		1324.3	100			Percent of total billed charges		1558	100			Percent of total billed charges		1558	100			Percent of total billed charges		1558	33.3			Percent of total billed charges		518.814	33.3			Percent of total billed charges		518.814	100			Percent of total billed charges		1558	518.814	1402.2	
genesis ii cr articular insert size 5-6 13mm 71420504 s/n	278	RC	Outpatient			1558	1012.7		90			Percent of total billed charges		1402.2	40			Percent of total billed charges		623.2	80			Percent of total billed charges		1246.4	90			Percent of total billed charges		1402.2	85			Percent of total billed charges		1324.3	85			Percent of total billed charges		1324.3	85			Percent of total billed charges		1324.3	100			Percent of total billed charges		1558	100			Percent of total billed charges		1558	100			Percent of total billed charges		1558	33.3			Percent of total billed charges		518.814	33.3			Percent of total billed charges		518.814	100			Percent of total billed charges		1558	518.814	1402.2	
genesis ii cr articular insert size 5-6 15mm 71420506 s/n	278	RC	Outpatient			1558	1012.7		90			Percent of total billed charges		1402.2	40			Percent of total billed charges		623.2	80			Percent of total billed charges		1246.4	90			Percent of total billed charges		1402.2	85			Percent of total billed charges		1324.3	85			Percent of total billed charges		1324.3	85			Percent of total billed charges		1324.3	100			Percent of total billed charges		1558	100			Percent of total billed charges		1558	100			Percent of total billed charges		1558	33.3			Percent of total billed charges		518.814	33.3			Percent of total billed charges		518.814	100			Percent of total billed charges		1558	518.814	1402.2	
genesis ii cr articular insert size 7-8  9mm 71420510 s/n	278	RC	Outpatient			1558	1012.7		90			Percent of total billed charges		1402.2	40			Percent of total billed charges		623.2	80			Percent of total billed charges		1246.4	90			Percent of total billed charges		1402.2	85			Percent of total billed charges		1324.3	85			Percent of total billed charges		1324.3	85			Percent of total billed charges		1324.3	100			Percent of total billed charges		1558	100			Percent of total billed charges		1558	100			Percent of total billed charges		1558	33.3			Percent of total billed charges		518.814	33.3			Percent of total billed charges		518.814	100			Percent of total billed charges		1558	518.814	1402.2	
genesis ii cr articular insert size 7-8 15mm 71420516 s/n	278	RC	Outpatient			1558	1012.7		90			Percent of total billed charges		1402.2	40			Percent of total billed charges		623.2	80			Percent of total billed charges		1246.4	90			Percent of total billed charges		1402.2	85			Percent of total billed charges		1324.3	85			Percent of total billed charges		1324.3	85			Percent of total billed charges		1324.3	100			Percent of total billed charges		1558	100			Percent of total billed charges		1558	100			Percent of total billed charges		1558	33.3			Percent of total billed charges		518.814	33.3			Percent of total billed charges		518.814	100			Percent of total billed charges		1558	518.814	1402.2	
genesis ii cr articular insert sz 3-4 13mm 71420494 s/n	278	RC	Outpatient			1558	1012.7		90			Percent of total billed charges		1402.2	40			Percent of total billed charges		623.2	80			Percent of total billed charges		1246.4	90			Percent of total billed charges		1402.2	85			Percent of total billed charges		1324.3	85			Percent of total billed charges		1324.3	85			Percent of total billed charges		1324.3	100			Percent of total billed charges		1558	100			Percent of total billed charges		1558	100			Percent of total billed charges		1558	33.3			Percent of total billed charges		518.814	33.3			Percent of total billed charges		518.814	100			Percent of total billed charges		1558	518.814	1402.2	
genesis ii cr articular insert sz 3-4 15mm 71420496 s/n	278	RC	Outpatient			1558	1012.7		90			Percent of total billed charges		1402.2	40			Percent of total billed charges		623.2	80			Percent of total billed charges		1246.4	90			Percent of total billed charges		1402.2	85			Percent of total billed charges		1324.3	85			Percent of total billed charges		1324.3	85			Percent of total billed charges		1324.3	100			Percent of total billed charges		1558	100			Percent of total billed charges		1558	100			Percent of total billed charges		1558	33.3			Percent of total billed charges		518.814	33.3			Percent of total billed charges		518.814	100			Percent of total billed charges		1558	518.814	1402.2	
genesis ii dished art insert size 5-6 18mm 71420786 s/n	278	RC	Outpatient			1558	1012.7		90			Percent of total billed charges		1402.2	40			Percent of total billed charges		623.2	80			Percent of total billed charges		1246.4	90			Percent of total billed charges		1402.2	85			Percent of total billed charges		1324.3	85			Percent of total billed charges		1324.3	85			Percent of total billed charges		1324.3	100			Percent of total billed charges		1558	100			Percent of total billed charges		1558	100			Percent of total billed charges		1558	33.3			Percent of total billed charges		518.814	33.3			Percent of total billed charges		518.814	100			Percent of total billed charges		1558	518.814	1402.2	
genesis ii dished art insert size 5-6 21mm 71420788 s/n	278	RC	Outpatient			1558	1012.7		90			Percent of total billed charges		1402.2	40			Percent of total billed charges		623.2	80			Percent of total billed charges		1246.4	90			Percent of total billed charges		1402.2	85			Percent of total billed charges		1324.3	85			Percent of total billed charges		1324.3	85			Percent of total billed charges		1324.3	100			Percent of total billed charges		1558	100			Percent of total billed charges		1558	100			Percent of total billed charges		1558	33.3			Percent of total billed charges		518.814	33.3			Percent of total billed charges		518.814	100			Percent of total billed charges		1558	518.814	1402.2	
genesis ii dished art insert sz 7-8 15mm 71420796 s/n	278	RC	Outpatient			1558	1012.7		90			Percent of total billed charges		1402.2	40			Percent of total billed charges		623.2	80			Percent of total billed charges		1246.4	90			Percent of total billed charges		1402.2	85			Percent of total billed charges		1324.3	85			Percent of total billed charges		1324.3	85			Percent of total billed charges		1324.3	100			Percent of total billed charges		1558	100			Percent of total billed charges		1558	100			Percent of total billed charges		1558	33.3			Percent of total billed charges		518.814	33.3			Percent of total billed charges		518.814	100			Percent of total billed charges		1558	518.814	1402.2	
genesis ii dished articular insert size 3-4 18mm  71420774 s/n	278	RC	Outpatient			1558	1012.7		90			Percent of total billed charges		1402.2	40			Percent of total billed charges		623.2	80			Percent of total billed charges		1246.4	90			Percent of total billed charges		1402.2	85			Percent of total billed charges		1324.3	85			Percent of total billed charges		1324.3	85			Percent of total billed charges		1324.3	100			Percent of total billed charges		1558	100			Percent of total billed charges		1558	100			Percent of total billed charges		1558	33.3			Percent of total billed charges		518.814	33.3			Percent of total billed charges		518.814	100			Percent of total billed charges		1558	518.814	1402.2	
genesis ii dished articular insert size 7-8 11mm  71420792 s/n	278	RC	Outpatient			1558	1012.7		90			Percent of total billed charges		1402.2	40			Percent of total billed charges		623.2	80			Percent of total billed charges		1246.4	90			Percent of total billed charges		1402.2	85			Percent of total billed charges		1324.3	85			Percent of total billed charges		1324.3	85			Percent of total billed charges		1324.3	100			Percent of total billed charges		1558	100			Percent of total billed charges		1558	100			Percent of total billed charges		1558	33.3			Percent of total billed charges		518.814	33.3			Percent of total billed charges		518.814	100			Percent of total billed charges		1558	518.814	1402.2	
genesis ii dished articular insert size 7-8 18mm  71420798 s/n	278	RC	Outpatient			1558	1012.7		90			Percent of total billed charges		1402.2	40			Percent of total billed charges		623.2	80			Percent of total billed charges		1246.4	90			Percent of total billed charges		1402.2	85			Percent of total billed charges		1324.3	85			Percent of total billed charges		1324.3	85			Percent of total billed charges		1324.3	100			Percent of total billed charges		1558	100			Percent of total billed charges		1558	100			Percent of total billed charges		1558	33.3			Percent of total billed charges		518.814	33.3			Percent of total billed charges		518.814	100			Percent of total billed charges		1558	518.814	1402.2	
genesis ii dished articular insert size 7-8 9mm 71420790 s/n	278	RC	Outpatient			1558	1012.7		90			Percent of total billed charges		1402.2	40			Percent of total billed charges		623.2	80			Percent of total billed charges		1246.4	90			Percent of total billed charges		1402.2	85			Percent of total billed charges		1324.3	85			Percent of total billed charges		1324.3	85			Percent of total billed charges		1324.3	100			Percent of total billed charges		1558	100			Percent of total billed charges		1558	100			Percent of total billed charges		1558	33.3			Percent of total billed charges		518.814	33.3			Percent of total billed charges		518.814	100			Percent of total billed charges		1558	518.814	1402.2	
richards gii articul inst	278	RC	Outpatient			1558	1012.7		90			Percent of total billed charges		1402.2	40			Percent of total billed charges		623.2	80			Percent of total billed charges		1246.4	90			Percent of total billed charges		1402.2	85			Percent of total billed charges		1324.3	85			Percent of total billed charges		1324.3	85			Percent of total billed charges		1324.3	100			Percent of total billed charges		1558	100			Percent of total billed charges		1558	100			Percent of total billed charges		1558	33.3			Percent of total billed charges		518.814	33.3			Percent of total billed charges		518.814	100			Percent of total billed charges		1558	518.814	1402.2	
rich dished art. insert	278	RC	Outpatient			1558	1012.7		90			Percent of total billed charges		1402.2	40			Percent of total billed charges		623.2	80			Percent of total billed charges		1246.4	90			Percent of total billed charges		1402.2	85			Percent of total billed charges		1324.3	85			Percent of total billed charges		1324.3	85			Percent of total billed charges		1324.3	100			Percent of total billed charges		1558	100			Percent of total billed charges		1558	100			Percent of total billed charges		1558	33.3			Percent of total billed charges		518.814	33.3			Percent of total billed charges		518.814	100			Percent of total billed charges		1558	518.814	1402.2	
anesthesia time 5 hours	370	RC	Outpatient			1564	1016.6		90			Percent of total billed charges		1407.6	40			Percent of total billed charges		625.6	80			Percent of total billed charges		1251.2	90			Percent of total billed charges		1407.6	85			Percent of total billed charges		1329.4	85			Percent of total billed charges		1329.4	85			Percent of total billed charges		1329.4	100			Percent of total billed charges		1564	100			Percent of total billed charges		1564	100			Percent of total billed charges		1564	33.3			Percent of total billed charges		520.812	33.3			Percent of total billed charges		520.812	100			Percent of total billed charges		1564	520.812	1407.6	
bio reg sleeve aug	278	RC	Outpatient			1564	1016.6		90			Percent of total billed charges		1407.6	40			Percent of total billed charges		625.6	80			Percent of total billed charges		1251.2	90			Percent of total billed charges		1407.6	85			Percent of total billed charges		1329.4	85			Percent of total billed charges		1329.4	85			Percent of total billed charges		1329.4	100			Percent of total billed charges		1564	100			Percent of total billed charges		1564	100			Percent of total billed charges		1564	33.3			Percent of total billed charges		520.812	33.3			Percent of total billed charges		520.812	100			Percent of total billed charges		1564	520.812	1407.6	
mt 5554-45cm lead	278	RC	Outpatient			1564	1016.6		90			Percent of total billed charges		1407.6	40			Percent of total billed charges		625.6	80			Percent of total billed charges		1251.2	90			Percent of total billed charges		1407.6	85			Percent of total billed charges		1329.4	85			Percent of total billed charges		1329.4	85			Percent of total billed charges		1329.4	100			Percent of total billed charges		1564	100			Percent of total billed charges		1564	100			Percent of total billed charges		1564	33.3			Percent of total billed charges		520.812	33.3			Percent of total billed charges		520.812	100			Percent of total billed charges		1564	520.812	1407.6	
mt 5554-53cm lead	278	RC	Outpatient			1564	1016.6		90			Percent of total billed charges		1407.6	40			Percent of total billed charges		625.6	80			Percent of total billed charges		1251.2	90			Percent of total billed charges		1407.6	85			Percent of total billed charges		1329.4	85			Percent of total billed charges		1329.4	85			Percent of total billed charges		1329.4	100			Percent of total billed charges		1564	100			Percent of total billed charges		1564	100			Percent of total billed charges		1564	33.3			Percent of total billed charges		520.812	33.3			Percent of total billed charges		520.812	100			Percent of total billed charges		1564	520.812	1407.6	
regenerex porous titanium 25mm sleeve augment 184602 biomet	278	RC	Outpatient			1564	1016.6		90			Percent of total billed charges		1407.6	40			Percent of total billed charges		625.6	80			Percent of total billed charges		1251.2	90			Percent of total billed charges		1407.6	85			Percent of total billed charges		1329.4	85			Percent of total billed charges		1329.4	85			Percent of total billed charges		1329.4	100			Percent of total billed charges		1564	100			Percent of total billed charges		1564	100			Percent of total billed charges		1564	33.3			Percent of total billed charges		520.812	33.3			Percent of total billed charges		520.812	100			Percent of total billed charges		1564	520.812	1407.6	
scorpio tibia aug 1/2 block 5mm #5 75-3-0505 osteo/stryker	278	RC	Outpatient			1566	1017.9		90			Percent of total billed charges		1409.4	40			Percent of total billed charges		626.4	80			Percent of total billed charges		1252.8	90			Percent of total billed charges		1409.4	85			Percent of total billed charges		1331.1	85			Percent of total billed charges		1331.1	85			Percent of total billed charges		1331.1	100			Percent of total billed charges		1566	100			Percent of total billed charges		1566	100			Percent of total billed charges		1566	33.3			Percent of total billed charges		521.478	33.3			Percent of total billed charges		521.478	100			Percent of total billed charges		1566	521.478	1409.4	
stryker scorp ti aug1/2bl	278	RC	Outpatient			1566	1017.9		90			Percent of total billed charges		1409.4	40			Percent of total billed charges		626.4	80			Percent of total billed charges		1252.8	90			Percent of total billed charges		1409.4	85			Percent of total billed charges		1331.1	85			Percent of total billed charges		1331.1	85			Percent of total billed charges		1331.1	100			Percent of total billed charges		1566	100			Percent of total billed charges		1566	100			Percent of total billed charges		1566	33.3			Percent of total billed charges		521.478	33.3			Percent of total billed charges		521.478	100			Percent of total billed charges		1566	521.478	1409.4	
comp plt 3.5mm 7 hl 71809407 s\n	278	RC	Outpatient			1570	1020.5		90			Percent of total billed charges		1413	40			Percent of total billed charges		628	80			Percent of total billed charges		1256	90			Percent of total billed charges		1413	85			Percent of total billed charges		1334.5	85			Percent of total billed charges		1334.5	85			Percent of total billed charges		1334.5	100			Percent of total billed charges		1570	100			Percent of total billed charges		1570	100			Percent of total billed charges		1570	33.3			Percent of total billed charges		522.81	33.3			Percent of total billed charges		522.81	100			Percent of total billed charges		1570	522.81	1413	
comp plt 3.5mm 7 hl 71829407 s\n	278	RC	Outpatient			1570	1020.5		90			Percent of total billed charges		1413	40			Percent of total billed charges		628	80			Percent of total billed charges		1256	90			Percent of total billed charges		1413	85			Percent of total billed charges		1334.5	85			Percent of total billed charges		1334.5	85			Percent of total billed charges		1334.5	100			Percent of total billed charges		1570	100			Percent of total billed charges		1570	100			Percent of total billed charges		1570	33.3			Percent of total billed charges		522.81	33.3			Percent of total billed charges		522.81	100			Percent of total billed charges		1570	522.81	1413	
comp plt 3.5mm 8 hl 71829408 s\n	278	RC	Outpatient			1570	1020.5		90			Percent of total billed charges		1413	40			Percent of total billed charges		628	80			Percent of total billed charges		1256	90			Percent of total billed charges		1413	85			Percent of total billed charges		1334.5	85			Percent of total billed charges		1334.5	85			Percent of total billed charges		1334.5	100			Percent of total billed charges		1570	100			Percent of total billed charges		1570	100			Percent of total billed charges		1570	33.3			Percent of total billed charges		522.81	33.3			Percent of total billed charges		522.81	100			Percent of total billed charges		1570	522.81	1413	
comp plt 3.5mm 8 hl 71809408 s\n	278	RC	Outpatient			1570	1020.5		90			Percent of total billed charges		1413	40			Percent of total billed charges		628	80			Percent of total billed charges		1256	90			Percent of total billed charges		1413	85			Percent of total billed charges		1334.5	85			Percent of total billed charges		1334.5	85			Percent of total billed charges		1334.5	100			Percent of total billed charges		1570	100			Percent of total billed charges		1570	100			Percent of total billed charges		1570	33.3			Percent of total billed charges		522.81	33.3			Percent of total billed charges		522.81	100			Percent of total billed charges		1570	522.81	1413	
profix poly patellar comp sz 26mm 71525020 s/n	272	RC	Outpatient			1570	1020.5		90			Percent of total billed charges		1413	40			Percent of total billed charges		628	80			Percent of total billed charges		1256	90			Percent of total billed charges		1413	85			Percent of total billed charges		1334.5	85			Percent of total billed charges		1334.5	85			Percent of total billed charges		1334.5	100			Percent of total billed charges		1570	100			Percent of total billed charges		1570	100			Percent of total billed charges		1570	33.3			Percent of total billed charges		522.81	33.3			Percent of total billed charges		522.81	100			Percent of total billed charges		1570	522.81	1413	
profix poly patellar comp sz 29mm 71525030 s/n	272	RC	Outpatient			1570	1020.5		90			Percent of total billed charges		1413	40			Percent of total billed charges		628	80			Percent of total billed charges		1256	90			Percent of total billed charges		1413	85			Percent of total billed charges		1334.5	85			Percent of total billed charges		1334.5	85			Percent of total billed charges		1334.5	100			Percent of total billed charges		1570	100			Percent of total billed charges		1570	100			Percent of total billed charges		1570	33.3			Percent of total billed charges		522.81	33.3			Percent of total billed charges		522.81	100			Percent of total billed charges		1570	522.81	1413	
s/n 3.5 comp pl 7-8 hl	278	RC	Outpatient			1570	1020.5		90			Percent of total billed charges		1413	40			Percent of total billed charges		628	80			Percent of total billed charges		1256	90			Percent of total billed charges		1413	85			Percent of total billed charges		1334.5	85			Percent of total billed charges		1334.5	85			Percent of total billed charges		1334.5	100			Percent of total billed charges		1570	100			Percent of total billed charges		1570	100			Percent of total billed charges		1570	33.3			Percent of total billed charges		522.81	33.3			Percent of total billed charges		522.81	100			Percent of total billed charges		1570	522.81	1413	
s/n profix poly patella	272	RC	Outpatient			1570	1020.5		90			Percent of total billed charges		1413	40			Percent of total billed charges		628	80			Percent of total billed charges		1256	90			Percent of total billed charges		1413	85			Percent of total billed charges		1334.5	85			Percent of total billed charges		1334.5	85			Percent of total billed charges		1334.5	100			Percent of total billed charges		1570	100			Percent of total billed charges		1570	100			Percent of total billed charges		1570	33.3			Percent of total billed charges		522.81	33.3			Percent of total billed charges		522.81	100			Percent of total billed charges		1570	522.81	1413	
cath lab lead 4076 medtronic	278	RC	Outpatient			1576	1024.4		90			Percent of total billed charges		1418.4	40			Percent of total billed charges		630.4	80			Percent of total billed charges		1260.8	90			Percent of total billed charges		1418.4	85			Percent of total billed charges		1339.6	85			Percent of total billed charges		1339.6	85			Percent of total billed charges		1339.6	100			Percent of total billed charges		1576	100			Percent of total billed charges		1576	100			Percent of total billed charges		1576	33.3			Percent of total billed charges		524.808	33.3			Percent of total billed charges		524.808	100			Percent of total billed charges		1576	524.808	1418.4	
lead 4076 medtronic	278	RC	Outpatient			1576	1024.4		90			Percent of total billed charges		1418.4	40			Percent of total billed charges		630.4	80			Percent of total billed charges		1260.8	90			Percent of total billed charges		1418.4	85			Percent of total billed charges		1339.6	85			Percent of total billed charges		1339.6	85			Percent of total billed charges		1339.6	100			Percent of total billed charges		1576	100			Percent of total billed charges		1576	100			Percent of total billed charges		1576	33.3			Percent of total billed charges		524.808	33.3			Percent of total billed charges		524.808	100			Percent of total billed charges		1576	524.808	1418.4	
mt 4076-52cm lead	278	RC	Outpatient			1576	1024.4		90			Percent of total billed charges		1418.4	40			Percent of total billed charges		630.4	80			Percent of total billed charges		1260.8	90			Percent of total billed charges		1418.4	85			Percent of total billed charges		1339.6	85			Percent of total billed charges		1339.6	85			Percent of total billed charges		1339.6	100			Percent of total billed charges		1576	100			Percent of total billed charges		1576	100			Percent of total billed charges		1576	33.3			Percent of total billed charges		524.808	33.3			Percent of total billed charges		524.808	100			Percent of total billed charges		1576	524.808	1418.4	
endo egd with gold/silver probe treatment	750	RC	Outpatient			1578	1025.7		90			Percent of total billed charges		1420.2	40			Percent of total billed charges		631.2	80			Percent of total billed charges		1262.4	90			Percent of total billed charges		1420.2	85			Percent of total billed charges		1341.3	85			Percent of total billed charges		1341.3	85			Percent of total billed charges		1341.3	100			Percent of total billed charges		1578	100			Percent of total billed charges		1578	100			Percent of total billed charges		1578	33.3			Percent of total billed charges		525.474	33.3			Percent of total billed charges		525.474	100			Percent of total billed charges		1578	525.474	1420.2	
lg fr pl cobra 8 hl	278	RC	Outpatient			1582	1028.3		90			Percent of total billed charges		1423.8	40			Percent of total billed charges		632.8	80			Percent of total billed charges		1265.6	90			Percent of total billed charges		1423.8	85			Percent of total billed charges		1344.7	85			Percent of total billed charges		1344.7	85			Percent of total billed charges		1344.7	100			Percent of total billed charges		1582	100			Percent of total billed charges		1582	100			Percent of total billed charges		1582	33.3			Percent of total billed charges		526.806	33.3			Percent of total billed charges		526.806	100			Percent of total billed charges		1582	526.806	1423.8	
s/n lg frag  plate 8 hole  7114-1808	278	RC	Outpatient			1582	1028.3		90			Percent of total billed charges		1423.8	40			Percent of total billed charges		632.8	80			Percent of total billed charges		1265.6	90			Percent of total billed charges		1423.8	85			Percent of total billed charges		1344.7	85			Percent of total billed charges		1344.7	85			Percent of total billed charges		1344.7	100			Percent of total billed charges		1582	100			Percent of total billed charges		1582	100			Percent of total billed charges		1582	33.3			Percent of total billed charges		526.806	33.3			Percent of total billed charges		526.806	100			Percent of total billed charges		1582	526.806	1423.8	
ancure deployment pack	270	RC	Outpatient			1584	1029.6		90			Percent of total billed charges		1425.6	40			Percent of total billed charges		633.6	80			Percent of total billed charges		1267.2	90			Percent of total billed charges		1425.6	85			Percent of total billed charges		1346.4	85			Percent of total billed charges		1346.4	85			Percent of total billed charges		1346.4	100			Percent of total billed charges		1584	100			Percent of total billed charges		1584	100			Percent of total billed charges		1584	33.3			Percent of total billed charges		527.472	33.3			Percent of total billed charges		527.472	100			Percent of total billed charges		1584	527.472	1425.6	
cath lab elapass 758 sorin lead	278	RC	Outpatient			1592	1034.8		90			Percent of total billed charges		1432.8	40			Percent of total billed charges		636.8	80			Percent of total billed charges		1273.6	90			Percent of total billed charges		1432.8	85			Percent of total billed charges		1353.2	85			Percent of total billed charges		1353.2	85			Percent of total billed charges		1353.2	100			Percent of total billed charges		1592	100			Percent of total billed charges		1592	100			Percent of total billed charges		1592	33.3			Percent of total billed charges		530.136	33.3			Percent of total billed charges		530.136	100			Percent of total billed charges		1592	530.136	1432.8	
elapass p 758 sorin lead	278	RC	Outpatient			1592	1034.8		90			Percent of total billed charges		1432.8	40			Percent of total billed charges		636.8	80			Percent of total billed charges		1273.6	90			Percent of total billed charges		1432.8	85			Percent of total billed charges		1353.2	85			Percent of total billed charges		1353.2	85			Percent of total billed charges		1353.2	100			Percent of total billed charges		1592	100			Percent of total billed charges		1592	100			Percent of total billed charges		1592	33.3			Percent of total billed charges		530.136	33.3			Percent of total billed charges		530.136	100			Percent of total billed charges		1592	530.136	1432.8	
mini hook plate 7 hole mhook-7 trimed	278	RC	Outpatient			1592	1034.8		90			Percent of total billed charges		1432.8	40			Percent of total billed charges		636.8	80			Percent of total billed charges		1273.6	90			Percent of total billed charges		1432.8	85			Percent of total billed charges		1353.2	85			Percent of total billed charges		1353.2	85			Percent of total billed charges		1353.2	100			Percent of total billed charges		1592	100			Percent of total billed charges		1592	100			Percent of total billed charges		1592	33.3			Percent of total billed charges		530.136	33.3			Percent of total billed charges		530.136	100			Percent of total billed charges		1592	530.136	1432.8	
closure fast 7f 100cm cf7-7-100 vnus	272	RC	Outpatient			1594	1036.1		90			Percent of total billed charges		1434.6	40			Percent of total billed charges		637.6	80			Percent of total billed charges		1275.2	90			Percent of total billed charges		1434.6	85			Percent of total billed charges		1354.9	85			Percent of total billed charges		1354.9	85			Percent of total billed charges		1354.9	100			Percent of total billed charges		1594	100			Percent of total billed charges		1594	100			Percent of total billed charges		1594	33.3			Percent of total billed charges		530.802	33.3			Percent of total billed charges		530.802	100			Percent of total billed charges		1594	530.802	1434.6	
relieva stratus microflow spacer frontal sinus 14mm bc1417rs acclarent	272	RC	Outpatient			1594	1036.1		90			Percent of total billed charges		1434.6	40			Percent of total billed charges		637.6	80			Percent of total billed charges		1275.2	90			Percent of total billed charges		1434.6	85			Percent of total billed charges		1354.9	85			Percent of total billed charges		1354.9	85			Percent of total billed charges		1354.9	100			Percent of total billed charges		1594	100			Percent of total billed charges		1594	100			Percent of total billed charges		1594	33.3			Percent of total billed charges		530.802	33.3			Percent of total billed charges		530.802	100			Percent of total billed charges		1594	530.802	1434.6	
tornus 88	272	RC	Outpatient			1594	1036.1		90			Percent of total billed charges		1434.6	40			Percent of total billed charges		637.6	80			Percent of total billed charges		1275.2	90			Percent of total billed charges		1434.6	85			Percent of total billed charges		1354.9	85			Percent of total billed charges		1354.9	85			Percent of total billed charges		1354.9	100			Percent of total billed charges		1594	100			Percent of total billed charges		1594	100			Percent of total billed charges		1594	33.3			Percent of total billed charges		530.802	33.3			Percent of total billed charges		530.802	100			Percent of total billed charges		1594	530.802	1434.6	
relieva microflow spacer	272	RC	Outpatient			1594	1036.1		90			Percent of total billed charges		1434.6	40			Percent of total billed charges		637.6	80			Percent of total billed charges		1275.2	90			Percent of total billed charges		1434.6	85			Percent of total billed charges		1354.9	85			Percent of total billed charges		1354.9	85			Percent of total billed charges		1354.9	100			Percent of total billed charges		1594	100			Percent of total billed charges		1594	100			Percent of total billed charges		1594	33.3			Percent of total billed charges		530.802	33.3			Percent of total billed charges		530.802	100			Percent of total billed charges		1594	530.802	1434.6	
tornus 88 flex at35135 abbott vas	272	RC	Outpatient			1594	1036.1		90			Percent of total billed charges		1434.6	40			Percent of total billed charges		637.6	80			Percent of total billed charges		1275.2	90			Percent of total billed charges		1434.6	85			Percent of total billed charges		1354.9	85			Percent of total billed charges		1354.9	85			Percent of total billed charges		1354.9	100			Percent of total billed charges		1594	100			Percent of total billed charges		1594	100			Percent of total billed charges		1594	33.3			Percent of total billed charges		530.802	33.3			Percent of total billed charges		530.802	100			Percent of total billed charges		1594	530.802	1434.6	
vnus closure cath 7f	272	RC	Outpatient			1594	1036.1		90			Percent of total billed charges		1434.6	40			Percent of total billed charges		637.6	80			Percent of total billed charges		1275.2	90			Percent of total billed charges		1434.6	85			Percent of total billed charges		1354.9	85			Percent of total billed charges		1354.9	85			Percent of total billed charges		1354.9	100			Percent of total billed charges		1594	100			Percent of total billed charges		1594	100			Percent of total billed charges		1594	33.3			Percent of total billed charges		530.802	33.3			Percent of total billed charges		530.802	100			Percent of total billed charges		1594	530.802	1434.6	
stryker univ head	278	RC	Outpatient			1596	1037.4		90			Percent of total billed charges		1436.4	40			Percent of total billed charges		638.4	80			Percent of total billed charges		1276.8	90			Percent of total billed charges		1436.4	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	33.3			Percent of total billed charges		531.468	33.3			Percent of total billed charges		531.468	100			Percent of total billed charges		1596	531.468	1436.4	
uhr universal bipolar head 26 x 42mm uh1-42-26 osteonics	278	RC	Outpatient			1596	1037.4		90			Percent of total billed charges		1436.4	40			Percent of total billed charges		638.4	80			Percent of total billed charges		1276.8	90			Percent of total billed charges		1436.4	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	33.3			Percent of total billed charges		531.468	33.3			Percent of total billed charges		531.468	100			Percent of total billed charges		1596	531.468	1436.4	
uhr universal bipolar head 26 x 46mm uh1-46-26 osteonics	278	RC	Outpatient			1596	1037.4		90			Percent of total billed charges		1436.4	40			Percent of total billed charges		638.4	80			Percent of total billed charges		1276.8	90			Percent of total billed charges		1436.4	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	33.3			Percent of total billed charges		531.468	33.3			Percent of total billed charges		531.468	100			Percent of total billed charges		1596	531.468	1436.4	
uhr universal bipolar head 26 x 51mm uh1-51-26 osteonics	278	RC	Outpatient			1596	1037.4		90			Percent of total billed charges		1436.4	40			Percent of total billed charges		638.4	80			Percent of total billed charges		1276.8	90			Percent of total billed charges		1436.4	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	33.3			Percent of total billed charges		531.468	33.3			Percent of total billed charges		531.468	100			Percent of total billed charges		1596	531.468	1436.4	
uhr universal bipolar head 26 x 52mm uh1-52-26 osteonics	278	RC	Outpatient			1596	1037.4		90			Percent of total billed charges		1436.4	40			Percent of total billed charges		638.4	80			Percent of total billed charges		1276.8	90			Percent of total billed charges		1436.4	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	33.3			Percent of total billed charges		531.468	33.3			Percent of total billed charges		531.468	100			Percent of total billed charges		1596	531.468	1436.4	
uhr universal bipolar head 26 x 54mm uh1-54-26 osteonics	278	RC	Outpatient			1596	1037.4		90			Percent of total billed charges		1436.4	40			Percent of total billed charges		638.4	80			Percent of total billed charges		1276.8	90			Percent of total billed charges		1436.4	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	33.3			Percent of total billed charges		531.468	33.3			Percent of total billed charges		531.468	100			Percent of total billed charges		1596	531.468	1436.4	
uhr universal bipolar head 26 x 58mm uh1-58-26 osteonics	278	RC	Outpatient			1596	1037.4		90			Percent of total billed charges		1436.4	40			Percent of total billed charges		638.4	80			Percent of total billed charges		1276.8	90			Percent of total billed charges		1436.4	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	33.3			Percent of total billed charges		531.468	33.3			Percent of total billed charges		531.468	100			Percent of total billed charges		1596	531.468	1436.4	
uhr universal bipolar head 26 x 61mm uh1-61-26 osteonics	278	RC	Outpatient			1596	1037.4		90			Percent of total billed charges		1436.4	40			Percent of total billed charges		638.4	80			Percent of total billed charges		1276.8	90			Percent of total billed charges		1436.4	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	33.3			Percent of total billed charges		531.468	33.3			Percent of total billed charges		531.468	100			Percent of total billed charges		1596	531.468	1436.4	
uhr universal bipolar head 26 x 64mm uh1-64-26 osteonics	278	RC	Outpatient			1596	1037.4		90			Percent of total billed charges		1436.4	40			Percent of total billed charges		638.4	80			Percent of total billed charges		1276.8	90			Percent of total billed charges		1436.4	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	33.3			Percent of total billed charges		531.468	33.3			Percent of total billed charges		531.468	100			Percent of total billed charges		1596	531.468	1436.4	
uhr universal bipolar head 26 x 68mm uh1-68-26 osteonics	278	RC	Outpatient			1596	1037.4		90			Percent of total billed charges		1436.4	40			Percent of total billed charges		638.4	80			Percent of total billed charges		1276.8	90			Percent of total billed charges		1436.4	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	33.3			Percent of total billed charges		531.468	33.3			Percent of total billed charges		531.468	100			Percent of total billed charges		1596	531.468	1436.4	
uhr universal bipolar head 28 x 44mm uh1-44-28 osteonics	278	RC	Outpatient			1596	1037.4		90			Percent of total billed charges		1436.4	40			Percent of total billed charges		638.4	80			Percent of total billed charges		1276.8	90			Percent of total billed charges		1436.4	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	33.3			Percent of total billed charges		531.468	33.3			Percent of total billed charges		531.468	100			Percent of total billed charges		1596	531.468	1436.4	
uhr universal bipolar head 28 x 45mm uh1-45-28 osteonics	278	RC	Outpatient			1596	1037.4		90			Percent of total billed charges		1436.4	40			Percent of total billed charges		638.4	80			Percent of total billed charges		1276.8	90			Percent of total billed charges		1436.4	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	33.3			Percent of total billed charges		531.468	33.3			Percent of total billed charges		531.468	100			Percent of total billed charges		1596	531.468	1436.4	
uhr universal bipolar head 28 x 49mm uh1-49-28 osteonics	278	RC	Outpatient			1596	1037.4		90			Percent of total billed charges		1436.4	40			Percent of total billed charges		638.4	80			Percent of total billed charges		1276.8	90			Percent of total billed charges		1436.4	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	33.3			Percent of total billed charges		531.468	33.3			Percent of total billed charges		531.468	100			Percent of total billed charges		1596	531.468	1436.4	
uhr universal bipolar head 28 x 50mm uh1-50-28 osteonics	278	RC	Outpatient			1596	1037.4		90			Percent of total billed charges		1436.4	40			Percent of total billed charges		638.4	80			Percent of total billed charges		1276.8	90			Percent of total billed charges		1436.4	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	33.3			Percent of total billed charges		531.468	33.3			Percent of total billed charges		531.468	100			Percent of total billed charges		1596	531.468	1436.4	
uhr universal bipolar head 28 x 54mm uh1-54-28 osteonics	278	RC	Outpatient			1596	1037.4		90			Percent of total billed charges		1436.4	40			Percent of total billed charges		638.4	80			Percent of total billed charges		1276.8	90			Percent of total billed charges		1436.4	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	33.3			Percent of total billed charges		531.468	33.3			Percent of total billed charges		531.468	100			Percent of total billed charges		1596	531.468	1436.4	
uhr universal bipolar head 28 x 61mm uh1-61-28 osteonics	278	RC	Outpatient			1596	1037.4		90			Percent of total billed charges		1436.4	40			Percent of total billed charges		638.4	80			Percent of total billed charges		1276.8	90			Percent of total billed charges		1436.4	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	33.3			Percent of total billed charges		531.468	33.3			Percent of total billed charges		531.468	100			Percent of total billed charges		1596	531.468	1436.4	
uhr universal bipolar head 28 x 68mm uh1-68-28 osteonics	278	RC	Outpatient			1596	1037.4		90			Percent of total billed charges		1436.4	40			Percent of total billed charges		638.4	80			Percent of total billed charges		1276.8	90			Percent of total billed charges		1436.4	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	33.3			Percent of total billed charges		531.468	33.3			Percent of total billed charges		531.468	100			Percent of total billed charges		1596	531.468	1436.4	
uhr universal bipolar head 28 x 72mm uh1-72-28 osteonics	278	RC	Outpatient			1596	1037.4		90			Percent of total billed charges		1436.4	40			Percent of total billed charges		638.4	80			Percent of total billed charges		1276.8	90			Percent of total billed charges		1436.4	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	33.3			Percent of total billed charges		531.468	33.3			Percent of total billed charges		531.468	100			Percent of total billed charges		1596	531.468	1436.4	
uhr universal bipolar head 26 x 41mm uh1-41-26 osteonics	278	RC	Outpatient			1596	1037.4		90			Percent of total billed charges		1436.4	40			Percent of total billed charges		638.4	80			Percent of total billed charges		1276.8	90			Percent of total billed charges		1436.4	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	33.3			Percent of total billed charges		531.468	33.3			Percent of total billed charges		531.468	100			Percent of total billed charges		1596	531.468	1436.4	
uhr universal bipolar head 26 x 43mm uh1-43-26 osteonics	278	RC	Outpatient			1596	1037.4		90			Percent of total billed charges		1436.4	40			Percent of total billed charges		638.4	80			Percent of total billed charges		1276.8	90			Percent of total billed charges		1436.4	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	33.3			Percent of total billed charges		531.468	33.3			Percent of total billed charges		531.468	100			Percent of total billed charges		1596	531.468	1436.4	
uhr universal bipolar head 26 x 47mm uh1-47-26 osteonics	278	RC	Outpatient			1596	1037.4		90			Percent of total billed charges		1436.4	40			Percent of total billed charges		638.4	80			Percent of total billed charges		1276.8	90			Percent of total billed charges		1436.4	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	33.3			Percent of total billed charges		531.468	33.3			Percent of total billed charges		531.468	100			Percent of total billed charges		1596	531.468	1436.4	
uhr universal bipolar head 26 x 48mm uh1-48-26 osteonics	278	RC	Outpatient			1596	1037.4		90			Percent of total billed charges		1436.4	40			Percent of total billed charges		638.4	80			Percent of total billed charges		1276.8	90			Percent of total billed charges		1436.4	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	33.3			Percent of total billed charges		531.468	33.3			Percent of total billed charges		531.468	100			Percent of total billed charges		1596	531.468	1436.4	
uhr universal bipolar head 26 x 49mm uh1-49-26 osteonics	278	RC	Outpatient			1596	1037.4		90			Percent of total billed charges		1436.4	40			Percent of total billed charges		638.4	80			Percent of total billed charges		1276.8	90			Percent of total billed charges		1436.4	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	33.3			Percent of total billed charges		531.468	33.3			Percent of total billed charges		531.468	100			Percent of total billed charges		1596	531.468	1436.4	
uhr universal bipolar head 26 x 53mm uh1-53-26 osteonics	278	RC	Outpatient			1596	1037.4		90			Percent of total billed charges		1436.4	40			Percent of total billed charges		638.4	80			Percent of total billed charges		1276.8	90			Percent of total billed charges		1436.4	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	33.3			Percent of total billed charges		531.468	33.3			Percent of total billed charges		531.468	100			Percent of total billed charges		1596	531.468	1436.4	
uhr universal bipolar head 26 x 55mm uh1-55-26 osteonics	278	RC	Outpatient			1596	1037.4		90			Percent of total billed charges		1436.4	40			Percent of total billed charges		638.4	80			Percent of total billed charges		1276.8	90			Percent of total billed charges		1436.4	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	33.3			Percent of total billed charges		531.468	33.3			Percent of total billed charges		531.468	100			Percent of total billed charges		1596	531.468	1436.4	
uhr universal bipolar head 26 x 56mm uh1-56-26 osteonics	278	RC	Outpatient			1596	1037.4		90			Percent of total billed charges		1436.4	40			Percent of total billed charges		638.4	80			Percent of total billed charges		1276.8	90			Percent of total billed charges		1436.4	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	33.3			Percent of total billed charges		531.468	33.3			Percent of total billed charges		531.468	100			Percent of total billed charges		1596	531.468	1436.4	
uhr universal bipolar head 26 x 72mm uh1-72-26 osteonics	278	RC	Outpatient			1596	1037.4		90			Percent of total billed charges		1436.4	40			Percent of total billed charges		638.4	80			Percent of total billed charges		1276.8	90			Percent of total billed charges		1436.4	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	33.3			Percent of total billed charges		531.468	33.3			Percent of total billed charges		531.468	100			Percent of total billed charges		1596	531.468	1436.4	
uhr universal bipolar head 28 x 42mm uh1-42-28 osteonics	278	RC	Outpatient			1596	1037.4		90			Percent of total billed charges		1436.4	40			Percent of total billed charges		638.4	80			Percent of total billed charges		1276.8	90			Percent of total billed charges		1436.4	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	33.3			Percent of total billed charges		531.468	33.3			Percent of total billed charges		531.468	100			Percent of total billed charges		1596	531.468	1436.4	
uhr universal bipolar head 28 x 46mm uh1-46-28 osteonics	278	RC	Outpatient			1596	1037.4		90			Percent of total billed charges		1436.4	40			Percent of total billed charges		638.4	80			Percent of total billed charges		1276.8	90			Percent of total billed charges		1436.4	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	33.3			Percent of total billed charges		531.468	33.3			Percent of total billed charges		531.468	100			Percent of total billed charges		1596	531.468	1436.4	
uhr universal bipolar head 28 x 47mm uh1-47-28 osteonics	278	RC	Outpatient			1596	1037.4		90			Percent of total billed charges		1436.4	40			Percent of total billed charges		638.4	80			Percent of total billed charges		1276.8	90			Percent of total billed charges		1436.4	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	33.3			Percent of total billed charges		531.468	33.3			Percent of total billed charges		531.468	100			Percent of total billed charges		1596	531.468	1436.4	
uhr universal bipolar head 28 x 48mm uh1-48-28 osteonics	278	RC	Outpatient			1596	1037.4		90			Percent of total billed charges		1436.4	40			Percent of total billed charges		638.4	80			Percent of total billed charges		1276.8	90			Percent of total billed charges		1436.4	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	33.3			Percent of total billed charges		531.468	33.3			Percent of total billed charges		531.468	100			Percent of total billed charges		1596	531.468	1436.4	
uhr universal bipolar head 28 x 52mm uh1-52-28 osteonics	278	RC	Outpatient			1596	1037.4		90			Percent of total billed charges		1436.4	40			Percent of total billed charges		638.4	80			Percent of total billed charges		1276.8	90			Percent of total billed charges		1436.4	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	33.3			Percent of total billed charges		531.468	33.3			Percent of total billed charges		531.468	100			Percent of total billed charges		1596	531.468	1436.4	
uhr universal bipolar head 28 x 53mm uh1-53-28 osteonics	278	RC	Outpatient			1596	1037.4		90			Percent of total billed charges		1436.4	40			Percent of total billed charges		638.4	80			Percent of total billed charges		1276.8	90			Percent of total billed charges		1436.4	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	33.3			Percent of total billed charges		531.468	33.3			Percent of total billed charges		531.468	100			Percent of total billed charges		1596	531.468	1436.4	
uhr universal bipolar head 28 x 55mm uh1-55-28 osteonics	278	RC	Outpatient			1596	1037.4		90			Percent of total billed charges		1436.4	40			Percent of total billed charges		638.4	80			Percent of total billed charges		1276.8	90			Percent of total billed charges		1436.4	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	33.3			Percent of total billed charges		531.468	33.3			Percent of total billed charges		531.468	100			Percent of total billed charges		1596	531.468	1436.4	
uhr universal bipolar head 28 x 56mm uh1-56-28 osteonics	278	RC	Outpatient			1596	1037.4		90			Percent of total billed charges		1436.4	40			Percent of total billed charges		638.4	80			Percent of total billed charges		1276.8	90			Percent of total billed charges		1436.4	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	33.3			Percent of total billed charges		531.468	33.3			Percent of total billed charges		531.468	100			Percent of total billed charges		1596	531.468	1436.4	
uhr universal bipolar head 28 x 58mm uh1-58-28 osteonics	278	RC	Outpatient			1596	1037.4		90			Percent of total billed charges		1436.4	40			Percent of total billed charges		638.4	80			Percent of total billed charges		1276.8	90			Percent of total billed charges		1436.4	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	33.3			Percent of total billed charges		531.468	33.3			Percent of total billed charges		531.468	100			Percent of total billed charges		1596	531.468	1436.4	
uhr universal bipolar head 28 x 64mm uh1-64-28 osteonics	278	RC	Outpatient			1596	1037.4		90			Percent of total billed charges		1436.4	40			Percent of total billed charges		638.4	80			Percent of total billed charges		1276.8	90			Percent of total billed charges		1436.4	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	85			Percent of total billed charges		1356.6	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	100			Percent of total billed charges		1596	33.3			Percent of total billed charges		531.468	33.3			Percent of total billed charges		531.468	100			Percent of total billed charges		1596	531.468	1436.4	
distal lateral fibula plate 9 hole 40-20909 stryker	278	RC	Outpatient			1597	1038.05		90			Percent of total billed charges		1437.3	40			Percent of total billed charges		638.8	80			Percent of total billed charges		1277.6	90			Percent of total billed charges		1437.3	85			Percent of total billed charges		1357.45	85			Percent of total billed charges		1357.45	85			Percent of total billed charges		1357.45	100			Percent of total billed charges		1597	100			Percent of total billed charges		1597	100			Percent of total billed charges		1597	33.3			Percent of total billed charges		531.801	33.3			Percent of total billed charges		531.801	100			Percent of total billed charges		1597	531.801	1437.3	
stryker dist la f pl 9hl	278	RC	Outpatient			1597	1038.05		90			Percent of total billed charges		1437.3	40			Percent of total billed charges		638.8	80			Percent of total billed charges		1277.6	90			Percent of total billed charges		1437.3	85			Percent of total billed charges		1357.45	85			Percent of total billed charges		1357.45	85			Percent of total billed charges		1357.45	100			Percent of total billed charges		1597	100			Percent of total billed charges		1597	100			Percent of total billed charges		1597	33.3			Percent of total billed charges		531.801	33.3			Percent of total billed charges		531.801	100			Percent of total billed charges		1597	531.801	1437.3	
jet-x ring adapter	278	RC	Outpatient			1598	1038.7		90			Percent of total billed charges		1438.2	40			Percent of total billed charges		639.2	80			Percent of total billed charges		1278.4	90			Percent of total billed charges		1438.2	85			Percent of total billed charges		1358.3	85			Percent of total billed charges		1358.3	85			Percent of total billed charges		1358.3	100			Percent of total billed charges		1598	100			Percent of total billed charges		1598	100			Percent of total billed charges		1598	33.3			Percent of total billed charges		532.134	33.3			Percent of total billed charges		532.134	100			Percent of total billed charges		1598	532.134	1438.2	
s/n jet-x  ring adaptor 7105-1047	278	RC	Outpatient			1598	1038.7		90			Percent of total billed charges		1438.2	40			Percent of total billed charges		639.2	80			Percent of total billed charges		1278.4	90			Percent of total billed charges		1438.2	85			Percent of total billed charges		1358.3	85			Percent of total billed charges		1358.3	85			Percent of total billed charges		1358.3	100			Percent of total billed charges		1598	100			Percent of total billed charges		1598	100			Percent of total billed charges		1598	33.3			Percent of total billed charges		532.134	33.3			Percent of total billed charges		532.134	100			Percent of total billed charges		1598	532.134	1438.2	
acufex trunav retrograde drill 8.0 mm 72204042 s/n	272	RC	Outpatient			1598.85	1039.25		90			Percent of total billed charges		1438.965	40			Percent of total billed charges		639.54	80			Percent of total billed charges		1279.08	90			Percent of total billed charges		1438.965	85			Percent of total billed charges		1359.0225	85			Percent of total billed charges		1359.0225	85			Percent of total billed charges		1359.0225	100			Percent of total billed charges		1598.85	100			Percent of total billed charges		1598.85	100			Percent of total billed charges		1598.85	33.3			Percent of total billed charges		532.4171	33.3			Percent of total billed charges		532.4171	100			Percent of total billed charges		1598.85	532.4171	1438.965	
acufex trunav retrograde drill 9.0 mm 72204044 s/n	272	RC	Outpatient			1598.85	1039.25		90			Percent of total billed charges		1438.965	40			Percent of total billed charges		639.54	80			Percent of total billed charges		1279.08	90			Percent of total billed charges		1438.965	85			Percent of total billed charges		1359.0225	85			Percent of total billed charges		1359.0225	85			Percent of total billed charges		1359.0225	100			Percent of total billed charges		1598.85	100			Percent of total billed charges		1598.85	100			Percent of total billed charges		1598.85	33.3			Percent of total billed charges		532.4171	33.3			Percent of total billed charges		532.4171	100			Percent of total billed charges		1598.85	532.4171	1438.965	
acufex trunav retrograde drill 9.5 mm 72204045 s/n	272	RC	Outpatient			1598.85	1039.25		90			Percent of total billed charges		1438.965	40			Percent of total billed charges		639.54	80			Percent of total billed charges		1279.08	90			Percent of total billed charges		1438.965	85			Percent of total billed charges		1359.0225	85			Percent of total billed charges		1359.0225	85			Percent of total billed charges		1359.0225	100			Percent of total billed charges		1598.85	100			Percent of total billed charges		1598.85	100			Percent of total billed charges		1598.85	33.3			Percent of total billed charges		532.4171	33.3			Percent of total billed charges		532.4171	100			Percent of total billed charges		1598.85	532.4171	1438.965	
acufex trunav retrograde drill10 mm 72204046 s/n	272	RC	Outpatient			1598.85	1039.25		90			Percent of total billed charges		1438.965	40			Percent of total billed charges		639.54	80			Percent of total billed charges		1279.08	90			Percent of total billed charges		1438.965	85			Percent of total billed charges		1359.0225	85			Percent of total billed charges		1359.0225	85			Percent of total billed charges		1359.0225	100			Percent of total billed charges		1598.85	100			Percent of total billed charges		1598.85	100			Percent of total billed charges		1598.85	33.3			Percent of total billed charges		532.4171	33.3			Percent of total billed charges		532.4171	100			Percent of total billed charges		1598.85	532.4171	1438.965	
s/n retrograde drill 8.5 mm ref 7220-4043	272	RC	Outpatient			1598.9	1039.29		90			Percent of total billed charges		1439.01	40			Percent of total billed charges		639.56	80			Percent of total billed charges		1279.12	90			Percent of total billed charges		1439.01	85			Percent of total billed charges		1359.065	85			Percent of total billed charges		1359.065	85			Percent of total billed charges		1359.065	100			Percent of total billed charges		1598.9	100			Percent of total billed charges		1598.9	100			Percent of total billed charges		1598.9	33.3			Percent of total billed charges		532.4337	33.3			Percent of total billed charges		532.4337	100			Percent of total billed charges		1598.9	532.4337	1439.01	
dbx mix 5cc	278	RC	Outpatient			1599	1039.35		90			Percent of total billed charges		1439.1	40			Percent of total billed charges		639.6	80			Percent of total billed charges		1279.2	90			Percent of total billed charges		1439.1	85			Percent of total billed charges		1359.15	85			Percent of total billed charges		1359.15	85			Percent of total billed charges		1359.15	100			Percent of total billed charges		1599	100			Percent of total billed charges		1599	100			Percent of total billed charges		1599	33.3			Percent of total billed charges		532.467	33.3			Percent of total billed charges		532.467	100			Percent of total billed charges		1599	532.467	1439.1	
dbx mix 5cc 058050	278	RC	Outpatient			1599	1039.35		90			Percent of total billed charges		1439.1	40			Percent of total billed charges		639.6	80			Percent of total billed charges		1279.2	90			Percent of total billed charges		1439.1	85			Percent of total billed charges		1359.15	85			Percent of total billed charges		1359.15	85			Percent of total billed charges		1359.15	100			Percent of total billed charges		1599	100			Percent of total billed charges		1599	100			Percent of total billed charges		1599	33.3			Percent of total billed charges		532.467	33.3			Percent of total billed charges		532.467	100			Percent of total billed charges		1599	532.467	1439.1	
peri-loc 3.5 vlp l-p tibia lk pl 4 h lt 72820304 s/n	278	RC	Outpatient			1599	1039.35		90			Percent of total billed charges		1439.1	40			Percent of total billed charges		639.6	80			Percent of total billed charges		1279.2	90			Percent of total billed charges		1439.1	85			Percent of total billed charges		1359.15	85			Percent of total billed charges		1359.15	85			Percent of total billed charges		1359.15	100			Percent of total billed charges		1599	100			Percent of total billed charges		1599	100			Percent of total billed charges		1599	33.3			Percent of total billed charges		532.467	33.3			Percent of total billed charges		532.467	100			Percent of total billed charges		1599	532.467	1439.1	
peri-loc 3.5 vlp l-p tibia lk pl 4 h rt 72820404 s/n	278	RC	Outpatient			1599	1039.35		90			Percent of total billed charges		1439.1	40			Percent of total billed charges		639.6	80			Percent of total billed charges		1279.2	90			Percent of total billed charges		1439.1	85			Percent of total billed charges		1359.15	85			Percent of total billed charges		1359.15	85			Percent of total billed charges		1359.15	100			Percent of total billed charges		1599	100			Percent of total billed charges		1599	100			Percent of total billed charges		1599	33.3			Percent of total billed charges		532.467	33.3			Percent of total billed charges		532.467	100			Percent of total billed charges		1599	532.467	1439.1	
peri-loc 3.5 vlp pm-p tibia lk pl 4 h lt 72820104 s/n	278	RC	Outpatient			1599	1039.35		90			Percent of total billed charges		1439.1	40			Percent of total billed charges		639.6	80			Percent of total billed charges		1279.2	90			Percent of total billed charges		1439.1	85			Percent of total billed charges		1359.15	85			Percent of total billed charges		1359.15	85			Percent of total billed charges		1359.15	100			Percent of total billed charges		1599	100			Percent of total billed charges		1599	100			Percent of total billed charges		1599	33.3			Percent of total billed charges		532.467	33.3			Percent of total billed charges		532.467	100			Percent of total billed charges		1599	532.467	1439.1	
peri-loc 3.5 vlp pm-p tibia lk pl 4 h rt 72820204 s/n	278	RC	Outpatient			1599	1039.35		90			Percent of total billed charges		1439.1	40			Percent of total billed charges		639.6	80			Percent of total billed charges		1279.2	90			Percent of total billed charges		1439.1	85			Percent of total billed charges		1359.15	85			Percent of total billed charges		1359.15	85			Percent of total billed charges		1359.15	100			Percent of total billed charges		1599	100			Percent of total billed charges		1599	100			Percent of total billed charges		1599	33.3			Percent of total billed charges		532.467	33.3			Percent of total billed charges		532.467	100			Percent of total billed charges		1599	532.467	1439.1	
cosmetic - medium scar	940	RC	Outpatient			1600	1040		90			Percent of total billed charges		1440	40			Percent of total billed charges		640	80			Percent of total billed charges		1280	90			Percent of total billed charges		1440	85			Percent of total billed charges		1360	85			Percent of total billed charges		1360	85			Percent of total billed charges		1360	100			Percent of total billed charges		1600	100			Percent of total billed charges		1600	100			Percent of total billed charges		1600	33.3			Percent of total billed charges		532.8	33.3			Percent of total billed charges		532.8	100			Percent of total billed charges		1600	532.8	1440	
cosmetic - minor or procedure b	983	RC	Outpatient			1600	1040		90			Percent of total billed charges		1440	40			Percent of total billed charges		640	80			Percent of total billed charges		1280	90			Percent of total billed charges		1440	85			Percent of total billed charges		1360	85			Percent of total billed charges		1360	85			Percent of total billed charges		1360	100			Percent of total billed charges		1600	100			Percent of total billed charges		1600	100			Percent of total billed charges		1600	33.3			Percent of total billed charges		532.8	33.3			Percent of total billed charges		532.8	100			Percent of total billed charges		1600	532.8	1440	
chronos beta-tcp stp 50mm	278	RC	Outpatient			1601	1040.65		90			Percent of total billed charges		1440.9	40			Percent of total billed charges		640.4	80			Percent of total billed charges		1280.8	90			Percent of total billed charges		1440.9	85			Percent of total billed charges		1360.85	85			Percent of total billed charges		1360.85	85			Percent of total billed charges		1360.85	100			Percent of total billed charges		1601	100			Percent of total billed charges		1601	100			Percent of total billed charges		1601	33.3			Percent of total billed charges		533.133	33.3			Percent of total billed charges		533.133	100			Percent of total billed charges		1601	533.133	1440.9	
chronos beta-tcp strip 50mm x 25mm x 3mm 07.801.100.99s synthes	278	RC	Outpatient			1601	1040.65		90			Percent of total billed charges		1440.9	40			Percent of total billed charges		640.4	80			Percent of total billed charges		1280.8	90			Percent of total billed charges		1440.9	85			Percent of total billed charges		1360.85	85			Percent of total billed charges		1360.85	85			Percent of total billed charges		1360.85	100			Percent of total billed charges		1601	100			Percent of total billed charges		1601	100			Percent of total billed charges		1601	33.3			Percent of total billed charges		533.133	33.3			Percent of total billed charges		533.133	100			Percent of total billed charges		1601	533.133	1440.9	
arthrex autograft graftlink system ar-1588au-cp	278	RC	Outpatient			1604	1042.6		90			Percent of total billed charges		1443.6	40			Percent of total billed charges		641.6	80			Percent of total billed charges		1283.2	90			Percent of total billed charges		1443.6	85			Percent of total billed charges		1363.4	85			Percent of total billed charges		1363.4	85			Percent of total billed charges		1363.4	100			Percent of total billed charges		1604	100			Percent of total billed charges		1604	100			Percent of total billed charges		1604	33.3			Percent of total billed charges		534.132	33.3			Percent of total billed charges		534.132	100			Percent of total billed charges		1604	534.132	1443.6	
cath clear way 1 x 20	272	RC	Outpatient			1605	1043.25		90			Percent of total billed charges		1444.5	40			Percent of total billed charges		642	80			Percent of total billed charges		1284	90			Percent of total billed charges		1444.5	85			Percent of total billed charges		1364.25	85			Percent of total billed charges		1364.25	85			Percent of total billed charges		1364.25	100			Percent of total billed charges		1605	100			Percent of total billed charges		1605	100			Percent of total billed charges		1605	33.3			Percent of total billed charges		534.465	33.3			Percent of total billed charges		534.465	100			Percent of total billed charges		1605	534.465	1444.5	
clear way rx perfusion cath 1.0 x 20mm 80202 atrium	272	RC	Outpatient			1605	1043.25		90			Percent of total billed charges		1444.5	40			Percent of total billed charges		642	80			Percent of total billed charges		1284	90			Percent of total billed charges		1444.5	85			Percent of total billed charges		1364.25	85			Percent of total billed charges		1364.25	85			Percent of total billed charges		1364.25	100			Percent of total billed charges		1605	100			Percent of total billed charges		1605	100			Percent of total billed charges		1605	33.3			Percent of total billed charges		534.465	33.3			Percent of total billed charges		534.465	100			Percent of total billed charges		1605	534.465	1444.5	
total head 32mm 7210-32-000 zimmer	278	RC	Outpatient			1605	1043.25		90			Percent of total billed charges		1444.5	40			Percent of total billed charges		642	80			Percent of total billed charges		1284	90			Percent of total billed charges		1444.5	85			Percent of total billed charges		1364.25	85			Percent of total billed charges		1364.25	85			Percent of total billed charges		1364.25	100			Percent of total billed charges		1605	100			Percent of total billed charges		1605	100			Percent of total billed charges		1605	33.3			Percent of total billed charges		534.465	33.3			Percent of total billed charges		534.465	100			Percent of total billed charges		1605	534.465	1444.5	
stryker bipolar hd uhr	278	RC	Outpatient			1605	1043.25		90			Percent of total billed charges		1444.5	40			Percent of total billed charges		642	80			Percent of total billed charges		1284	90			Percent of total billed charges		1444.5	85			Percent of total billed charges		1364.25	85			Percent of total billed charges		1364.25	85			Percent of total billed charges		1364.25	100			Percent of total billed charges		1605	100			Percent of total billed charges		1605	100			Percent of total billed charges		1605	33.3			Percent of total billed charges		534.465	33.3			Percent of total billed charges		534.465	100			Percent of total billed charges		1605	534.465	1444.5	
uhr universal bi-polar head 28 x 51mm uh1-51-28 stryker	278	RC	Outpatient			1605	1043.25		90			Percent of total billed charges		1444.5	40			Percent of total billed charges		642	80			Percent of total billed charges		1284	90			Percent of total billed charges		1444.5	85			Percent of total billed charges		1364.25	85			Percent of total billed charges		1364.25	85			Percent of total billed charges		1364.25	100			Percent of total billed charges		1605	100			Percent of total billed charges		1605	100			Percent of total billed charges		1605	33.3			Percent of total billed charges		534.465	33.3			Percent of total billed charges		534.465	100			Percent of total billed charges		1605	534.465	1444.5	
zimmer total head	278	RC	Outpatient			1605	1043.25		90			Percent of total billed charges		1444.5	40			Percent of total billed charges		642	80			Percent of total billed charges		1284	90			Percent of total billed charges		1444.5	85			Percent of total billed charges		1364.25	85			Percent of total billed charges		1364.25	85			Percent of total billed charges		1364.25	100			Percent of total billed charges		1605	100			Percent of total billed charges		1605	100			Percent of total billed charges		1605	33.3			Percent of total billed charges		534.465	33.3			Percent of total billed charges		534.465	100			Percent of total billed charges		1605	534.465	1444.5	
bio 36mm mod. head	278	RC	Outpatient			1615	1049.75		90			Percent of total billed charges		1453.5	40			Percent of total billed charges		646	80			Percent of total billed charges		1292	90			Percent of total billed charges		1453.5	85			Percent of total billed charges		1372.75	85			Percent of total billed charges		1372.75	85			Percent of total billed charges		1372.75	100			Percent of total billed charges		1615	100			Percent of total billed charges		1615	100			Percent of total billed charges		1615	33.3			Percent of total billed charges		537.795	33.3			Percent of total billed charges		537.795	100			Percent of total billed charges		1615	537.795	1453.5	
modular head 36mm +12mm 11-363666 biomet	278	RC	Outpatient			1615	1049.75		90			Percent of total billed charges		1453.5	40			Percent of total billed charges		646	80			Percent of total billed charges		1292	90			Percent of total billed charges		1453.5	85			Percent of total billed charges		1372.75	85			Percent of total billed charges		1372.75	85			Percent of total billed charges		1372.75	100			Percent of total billed charges		1615	100			Percent of total billed charges		1615	100			Percent of total billed charges		1615	33.3			Percent of total billed charges		537.795	33.3			Percent of total billed charges		537.795	100			Percent of total billed charges		1615	537.795	1453.5	
modular head 36mm +6mm 11-363664 biomet	278	RC	Outpatient			1615	1049.75		90			Percent of total billed charges		1453.5	40			Percent of total billed charges		646	80			Percent of total billed charges		1292	90			Percent of total billed charges		1453.5	85			Percent of total billed charges		1372.75	85			Percent of total billed charges		1372.75	85			Percent of total billed charges		1372.75	100			Percent of total billed charges		1615	100			Percent of total billed charges		1615	100			Percent of total billed charges		1615	33.3			Percent of total billed charges		537.795	33.3			Percent of total billed charges		537.795	100			Percent of total billed charges		1615	537.795	1453.5	
modular head 36mm +9mm 11-363665 biomet	278	RC	Outpatient			1615	1049.75		90			Percent of total billed charges		1453.5	40			Percent of total billed charges		646	80			Percent of total billed charges		1292	90			Percent of total billed charges		1453.5	85			Percent of total billed charges		1372.75	85			Percent of total billed charges		1372.75	85			Percent of total billed charges		1372.75	100			Percent of total billed charges		1615	100			Percent of total billed charges		1615	100			Percent of total billed charges		1615	33.3			Percent of total billed charges		537.795	33.3			Percent of total billed charges		537.795	100			Percent of total billed charges		1615	537.795	1453.5	
modular head 36mm -3mm 11-363661 biomet	278	RC	Outpatient			1615	1049.75		90			Percent of total billed charges		1453.5	40			Percent of total billed charges		646	80			Percent of total billed charges		1292	90			Percent of total billed charges		1453.5	85			Percent of total billed charges		1372.75	85			Percent of total billed charges		1372.75	85			Percent of total billed charges		1372.75	100			Percent of total billed charges		1615	100			Percent of total billed charges		1615	100			Percent of total billed charges		1615	33.3			Percent of total billed charges		537.795	33.3			Percent of total billed charges		537.795	100			Percent of total billed charges		1615	537.795	1453.5	
modular head 36mm -6mm 11-363660 biomet	278	RC	Outpatient			1615	1049.75		90			Percent of total billed charges		1453.5	40			Percent of total billed charges		646	80			Percent of total billed charges		1292	90			Percent of total billed charges		1453.5	85			Percent of total billed charges		1372.75	85			Percent of total billed charges		1372.75	85			Percent of total billed charges		1372.75	100			Percent of total billed charges		1615	100			Percent of total billed charges		1615	100			Percent of total billed charges		1615	33.3			Percent of total billed charges		537.795	33.3			Percent of total billed charges		537.795	100			Percent of total billed charges		1615	537.795	1453.5	
modular head 36mm std 11-363662 biomet	278	RC	Outpatient			1615	1049.75		90			Percent of total billed charges		1453.5	40			Percent of total billed charges		646	80			Percent of total billed charges		1292	90			Percent of total billed charges		1453.5	85			Percent of total billed charges		1372.75	85			Percent of total billed charges		1372.75	85			Percent of total billed charges		1372.75	100			Percent of total billed charges		1615	100			Percent of total billed charges		1615	100			Percent of total billed charges		1615	33.3			Percent of total billed charges		537.795	33.3			Percent of total billed charges		537.795	100			Percent of total billed charges		1615	537.795	1453.5	
modular head 36mm +3mm 11-363663 biomet	278	RC	Outpatient			1615	1049.75		90			Percent of total billed charges		1453.5	40			Percent of total billed charges		646	80			Percent of total billed charges		1292	90			Percent of total billed charges		1453.5	85			Percent of total billed charges		1372.75	85			Percent of total billed charges		1372.75	85			Percent of total billed charges		1372.75	100			Percent of total billed charges		1615	100			Percent of total billed charges		1615	100			Percent of total billed charges		1615	33.3			Percent of total billed charges		537.795	33.3			Percent of total billed charges		537.795	100			Percent of total billed charges		1615	537.795	1453.5	
allograft biocartilage	278	RC	Outpatient			1617	1051.05		90			Percent of total billed charges		1455.3	40			Percent of total billed charges		646.8	80			Percent of total billed charges		1293.6	90			Percent of total billed charges		1455.3	85			Percent of total billed charges		1374.45	85			Percent of total billed charges		1374.45	85			Percent of total billed charges		1374.45	100			Percent of total billed charges		1617	100			Percent of total billed charges		1617	100			Percent of total billed charges		1617	33.3			Percent of total billed charges		538.461	33.3			Percent of total billed charges		538.461	100			Percent of total billed charges		1617	538.461	1455.3	
biocartilage 1cc abs-1010-bc arthrex	278	RC	Outpatient			1617	1051.05		90			Percent of total billed charges		1455.3	40			Percent of total billed charges		646.8	80			Percent of total billed charges		1293.6	90			Percent of total billed charges		1455.3	85			Percent of total billed charges		1374.45	85			Percent of total billed charges		1374.45	85			Percent of total billed charges		1374.45	100			Percent of total billed charges		1617	100			Percent of total billed charges		1617	100			Percent of total billed charges		1617	33.3			Percent of total billed charges		538.461	33.3			Percent of total billed charges		538.461	100			Percent of total billed charges		1617	538.461	1455.3	
intexen graft	278	RC	Outpatient			1624	1055.6		90			Percent of total billed charges		1461.6	40			Percent of total billed charges		649.6	80			Percent of total billed charges		1299.2	90			Percent of total billed charges		1461.6	85			Percent of total billed charges		1380.4	85			Percent of total billed charges		1380.4	85			Percent of total billed charges		1380.4	100			Percent of total billed charges		1624	100			Percent of total billed charges		1624	100			Percent of total billed charges		1624	33.3			Percent of total billed charges		540.792	33.3			Percent of total billed charges		540.792	100			Percent of total billed charges		1624	540.792	1461.6	
s/n calcaneal plate 9 hole y plate  7114-4012	278	RC	Outpatient			1624	1055.6		90			Percent of total billed charges		1461.6	40			Percent of total billed charges		649.6	80			Percent of total billed charges		1299.2	90			Percent of total billed charges		1461.6	85			Percent of total billed charges		1380.4	85			Percent of total billed charges		1380.4	85			Percent of total billed charges		1380.4	100			Percent of total billed charges		1624	100			Percent of total billed charges		1624	100			Percent of total billed charges		1624	33.3			Percent of total billed charges		540.792	33.3			Percent of total billed charges		540.792	100			Percent of total billed charges		1624	540.792	1461.6	
sm fr pl calcaneal 9 hl	278	RC	Outpatient			1624	1055.6		90			Percent of total billed charges		1461.6	40			Percent of total billed charges		649.6	80			Percent of total billed charges		1299.2	90			Percent of total billed charges		1461.6	85			Percent of total billed charges		1380.4	85			Percent of total billed charges		1380.4	85			Percent of total billed charges		1380.4	100			Percent of total billed charges		1624	100			Percent of total billed charges		1624	100			Percent of total billed charges		1624	33.3			Percent of total billed charges		540.792	33.3			Percent of total billed charges		540.792	100			Percent of total billed charges		1624	540.792	1461.6	
epifix gs-5220 2.0 x 2.0cm mimed	278	RC	Outpatient			1626	1056.9		90			Percent of total billed charges		1463.4	40			Percent of total billed charges		650.4	80			Percent of total billed charges		1300.8	90			Percent of total billed charges		1463.4	85			Percent of total billed charges		1382.1	85			Percent of total billed charges		1382.1	85			Percent of total billed charges		1382.1	100			Percent of total billed charges		1626	100			Percent of total billed charges		1626	100			Percent of total billed charges		1626	33.3			Percent of total billed charges		541.458	33.3			Percent of total billed charges		541.458	100			Percent of total billed charges		1626	541.458	1463.4	
p-l vlp plt fib l-d 4 h	278	RC	Outpatient			1627	1057.55		90			Percent of total billed charges		1464.3	40			Percent of total billed charges		650.8	80			Percent of total billed charges		1301.6	90			Percent of total billed charges		1464.3	85			Percent of total billed charges		1382.95	85			Percent of total billed charges		1382.95	85			Percent of total billed charges		1382.95	100			Percent of total billed charges		1627	100			Percent of total billed charges		1627	100			Percent of total billed charges		1627	33.3			Percent of total billed charges		541.791	33.3			Percent of total billed charges		541.791	100			Percent of total billed charges		1627	541.791	1464.3	
peri-loc 3.5 l-d fib lk pl 4 h lt 72821004 s/n	278	RC	Outpatient			1627	1057.55		90			Percent of total billed charges		1464.3	40			Percent of total billed charges		650.8	80			Percent of total billed charges		1301.6	90			Percent of total billed charges		1464.3	85			Percent of total billed charges		1382.95	85			Percent of total billed charges		1382.95	85			Percent of total billed charges		1382.95	100			Percent of total billed charges		1627	100			Percent of total billed charges		1627	100			Percent of total billed charges		1627	33.3			Percent of total billed charges		541.791	33.3			Percent of total billed charges		541.791	100			Percent of total billed charges		1627	541.791	1464.3	
peri-loc 3.5 l-d fib lk pl 4 h rt 72822004 s/n	278	RC	Outpatient			1627	1057.55		90			Percent of total billed charges		1464.3	40			Percent of total billed charges		650.8	80			Percent of total billed charges		1301.6	90			Percent of total billed charges		1464.3	85			Percent of total billed charges		1382.95	85			Percent of total billed charges		1382.95	85			Percent of total billed charges		1382.95	100			Percent of total billed charges		1627	100			Percent of total billed charges		1627	100			Percent of total billed charges		1627	33.3			Percent of total billed charges		541.791	33.3			Percent of total billed charges		541.791	100			Percent of total billed charges		1627	541.791	1464.3	
calcigen 25cc	278	RC	Outpatient			1629	1058.85		90			Percent of total billed charges		1466.1	40			Percent of total billed charges		651.6	80			Percent of total billed charges		1303.2	90			Percent of total billed charges		1466.1	85			Percent of total billed charges		1384.65	85			Percent of total billed charges		1384.65	85			Percent of total billed charges		1384.65	100			Percent of total billed charges		1629	100			Percent of total billed charges		1629	100			Percent of total billed charges		1629	33.3			Percent of total billed charges		542.457	33.3			Percent of total billed charges		542.457	100			Percent of total billed charges		1629	542.457	1466.1	
calcigen bone graft 25cc  biomet 348014	278	RC	Outpatient			1629	1058.85		90			Percent of total billed charges		1466.1	40			Percent of total billed charges		651.6	80			Percent of total billed charges		1303.2	90			Percent of total billed charges		1466.1	85			Percent of total billed charges		1384.65	85			Percent of total billed charges		1384.65	85			Percent of total billed charges		1384.65	100			Percent of total billed charges		1629	100			Percent of total billed charges		1629	100			Percent of total billed charges		1629	33.3			Percent of total billed charges		542.457	33.3			Percent of total billed charges		542.457	100			Percent of total billed charges		1629	542.457	1466.1	
bio 32mm head	278	RC	Outpatient			1635	1062.75		90			Percent of total billed charges		1471.5	40			Percent of total billed charges		654	80			Percent of total billed charges		1308	90			Percent of total billed charges		1471.5	85			Percent of total billed charges		1389.75	85			Percent of total billed charges		1389.75	85			Percent of total billed charges		1389.75	100			Percent of total billed charges		1635	100			Percent of total billed charges		1635	100			Percent of total billed charges		1635	33.3			Percent of total billed charges		544.455	33.3			Percent of total billed charges		544.455	100			Percent of total billed charges		1635	544.455	1471.5	
bio m2a mod head	278	RC	Outpatient			1635	1062.75		90			Percent of total billed charges		1471.5	40			Percent of total billed charges		654	80			Percent of total billed charges		1308	90			Percent of total billed charges		1471.5	85			Percent of total billed charges		1389.75	85			Percent of total billed charges		1389.75	85			Percent of total billed charges		1389.75	100			Percent of total billed charges		1635	100			Percent of total billed charges		1635	100			Percent of total billed charges		1635	33.3			Percent of total billed charges		544.455	33.3			Percent of total billed charges		544.455	100			Percent of total billed charges		1635	544.455	1471.5	
biomet 32mm modular head 11-163668	278	RC	Outpatient			1635	1062.75		90			Percent of total billed charges		1471.5	40			Percent of total billed charges		654	80			Percent of total billed charges		1308	90			Percent of total billed charges		1471.5	85			Percent of total billed charges		1389.75	85			Percent of total billed charges		1389.75	85			Percent of total billed charges		1389.75	100			Percent of total billed charges		1635	100			Percent of total billed charges		1635	100			Percent of total billed charges		1635	33.3			Percent of total billed charges		544.455	33.3			Percent of total billed charges		544.455	100			Percent of total billed charges		1635	544.455	1471.5	
biomet m2a 28mm mod head plus 12 11-163666	278	RC	Outpatient			1635	1062.75		90			Percent of total billed charges		1471.5	40			Percent of total billed charges		654	80			Percent of total billed charges		1308	90			Percent of total billed charges		1471.5	85			Percent of total billed charges		1389.75	85			Percent of total billed charges		1389.75	85			Percent of total billed charges		1389.75	100			Percent of total billed charges		1635	100			Percent of total billed charges		1635	100			Percent of total billed charges		1635	33.3			Percent of total billed charges		544.455	33.3			Percent of total billed charges		544.455	100			Percent of total billed charges		1635	544.455	1471.5	
biomet m2a 28mm mod head plus 3 11-163663	278	RC	Outpatient			1635	1062.75		90			Percent of total billed charges		1471.5	40			Percent of total billed charges		654	80			Percent of total billed charges		1308	90			Percent of total billed charges		1471.5	85			Percent of total billed charges		1389.75	85			Percent of total billed charges		1389.75	85			Percent of total billed charges		1389.75	100			Percent of total billed charges		1635	100			Percent of total billed charges		1635	100			Percent of total billed charges		1635	33.3			Percent of total billed charges		544.455	33.3			Percent of total billed charges		544.455	100			Percent of total billed charges		1635	544.455	1471.5	
biomet m2a 28mm mod head plus 6mm 11-163664	278	RC	Outpatient			1635	1062.75		90			Percent of total billed charges		1471.5	40			Percent of total billed charges		654	80			Percent of total billed charges		1308	90			Percent of total billed charges		1471.5	85			Percent of total billed charges		1389.75	85			Percent of total billed charges		1389.75	85			Percent of total billed charges		1389.75	100			Percent of total billed charges		1635	100			Percent of total billed charges		1635	100			Percent of total billed charges		1635	33.3			Percent of total billed charges		544.455	33.3			Percent of total billed charges		544.455	100			Percent of total billed charges		1635	544.455	1471.5	
biomet m2a 28mm mod head plus 9 11-163665	278	RC	Outpatient			1635	1062.75		90			Percent of total billed charges		1471.5	40			Percent of total billed charges		654	80			Percent of total billed charges		1308	90			Percent of total billed charges		1471.5	85			Percent of total billed charges		1389.75	85			Percent of total billed charges		1389.75	85			Percent of total billed charges		1389.75	100			Percent of total billed charges		1635	100			Percent of total billed charges		1635	100			Percent of total billed charges		1635	33.3			Percent of total billed charges		544.455	33.3			Percent of total billed charges		544.455	100			Percent of total billed charges		1635	544.455	1471.5	
biomet m2a 28mm mod head standard 11-163662	278	RC	Outpatient			1635	1062.75		90			Percent of total billed charges		1471.5	40			Percent of total billed charges		654	80			Percent of total billed charges		1308	90			Percent of total billed charges		1471.5	85			Percent of total billed charges		1389.75	85			Percent of total billed charges		1389.75	85			Percent of total billed charges		1389.75	100			Percent of total billed charges		1635	100			Percent of total billed charges		1635	100			Percent of total billed charges		1635	33.3			Percent of total billed charges		544.455	33.3			Percent of total billed charges		544.455	100			Percent of total billed charges		1635	544.455	1471.5	
biomet m2a 32mm mod head  11-163669	278	RC	Outpatient			1635	1062.75		90			Percent of total billed charges		1471.5	40			Percent of total billed charges		654	80			Percent of total billed charges		1308	90			Percent of total billed charges		1471.5	85			Percent of total billed charges		1389.75	85			Percent of total billed charges		1389.75	85			Percent of total billed charges		1389.75	100			Percent of total billed charges		1635	100			Percent of total billed charges		1635	100			Percent of total billed charges		1635	33.3			Percent of total billed charges		544.455	33.3			Percent of total billed charges		544.455	100			Percent of total billed charges		1635	544.455	1471.5	
biomet m2a 32mm mod head minus 6mm 11-163667	278	RC	Outpatient			1635	1062.75		90			Percent of total billed charges		1471.5	40			Percent of total billed charges		654	80			Percent of total billed charges		1308	90			Percent of total billed charges		1471.5	85			Percent of total billed charges		1389.75	85			Percent of total billed charges		1389.75	85			Percent of total billed charges		1389.75	100			Percent of total billed charges		1635	100			Percent of total billed charges		1635	100			Percent of total billed charges		1635	33.3			Percent of total billed charges		544.455	33.3			Percent of total billed charges		544.455	100			Percent of total billed charges		1635	544.455	1471.5	
biomet m2a 32mm mod head plus 12mm 11-163673	278	RC	Outpatient			1635	1062.75		90			Percent of total billed charges		1471.5	40			Percent of total billed charges		654	80			Percent of total billed charges		1308	90			Percent of total billed charges		1471.5	85			Percent of total billed charges		1389.75	85			Percent of total billed charges		1389.75	85			Percent of total billed charges		1389.75	100			Percent of total billed charges		1635	100			Percent of total billed charges		1635	100			Percent of total billed charges		1635	33.3			Percent of total billed charges		544.455	33.3			Percent of total billed charges		544.455	100			Percent of total billed charges		1635	544.455	1471.5	
biomet m2a 32mm mod head plus 6mm 11-163671	278	RC	Outpatient			1635	1062.75		90			Percent of total billed charges		1471.5	40			Percent of total billed charges		654	80			Percent of total billed charges		1308	90			Percent of total billed charges		1471.5	85			Percent of total billed charges		1389.75	85			Percent of total billed charges		1389.75	85			Percent of total billed charges		1389.75	100			Percent of total billed charges		1635	100			Percent of total billed charges		1635	100			Percent of total billed charges		1635	33.3			Percent of total billed charges		544.455	33.3			Percent of total billed charges		544.455	100			Percent of total billed charges		1635	544.455	1471.5	
biomet m2a 28mm mod head minus 3 11-163661	278	RC	Outpatient			1635	1062.75		90			Percent of total billed charges		1471.5	40			Percent of total billed charges		654	80			Percent of total billed charges		1308	90			Percent of total billed charges		1471.5	85			Percent of total billed charges		1389.75	85			Percent of total billed charges		1389.75	85			Percent of total billed charges		1389.75	100			Percent of total billed charges		1635	100			Percent of total billed charges		1635	100			Percent of total billed charges		1635	33.3			Percent of total billed charges		544.455	33.3			Percent of total billed charges		544.455	100			Percent of total billed charges		1635	544.455	1471.5	
biomet m2a 28mm mod head minus 6 11-163660	278	RC	Outpatient			1635	1062.75		90			Percent of total billed charges		1471.5	40			Percent of total billed charges		654	80			Percent of total billed charges		1308	90			Percent of total billed charges		1471.5	85			Percent of total billed charges		1389.75	85			Percent of total billed charges		1389.75	85			Percent of total billed charges		1389.75	100			Percent of total billed charges		1635	100			Percent of total billed charges		1635	100			Percent of total billed charges		1635	33.3			Percent of total billed charges		544.455	33.3			Percent of total billed charges		544.455	100			Percent of total billed charges		1635	544.455	1471.5	
biomet m2a 32mm mod head plus 3mm 11-163670	278	RC	Outpatient			1635	1062.75		90			Percent of total billed charges		1471.5	40			Percent of total billed charges		654	80			Percent of total billed charges		1308	90			Percent of total billed charges		1471.5	85			Percent of total billed charges		1389.75	85			Percent of total billed charges		1389.75	85			Percent of total billed charges		1389.75	100			Percent of total billed charges		1635	100			Percent of total billed charges		1635	100			Percent of total billed charges		1635	33.3			Percent of total billed charges		544.455	33.3			Percent of total billed charges		544.455	100			Percent of total billed charges		1635	544.455	1471.5	
biomet m2a 32mm mod head plus 9mm 11-163672	278	RC	Outpatient			1635	1062.75		90			Percent of total billed charges		1471.5	40			Percent of total billed charges		654	80			Percent of total billed charges		1308	90			Percent of total billed charges		1471.5	85			Percent of total billed charges		1389.75	85			Percent of total billed charges		1389.75	85			Percent of total billed charges		1389.75	100			Percent of total billed charges		1635	100			Percent of total billed charges		1635	100			Percent of total billed charges		1635	33.3			Percent of total billed charges		544.455	33.3			Percent of total billed charges		544.455	100			Percent of total billed charges		1635	544.455	1471.5	
recon plate 4.5mm 14 hole x 221mm 7114-0014 s/n	278	RC	Outpatient			1637	1064.05		90			Percent of total billed charges		1473.3	40			Percent of total billed charges		654.8	80			Percent of total billed charges		1309.6	90			Percent of total billed charges		1473.3	85			Percent of total billed charges		1391.45	85			Percent of total billed charges		1391.45	85			Percent of total billed charges		1391.45	100			Percent of total billed charges		1637	100			Percent of total billed charges		1637	100			Percent of total billed charges		1637	33.3			Percent of total billed charges		545.121	33.3			Percent of total billed charges		545.121	100			Percent of total billed charges		1637	545.121	1473.3	
s/n 4.5 recon plate 14 hl	278	RC	Outpatient			1637	1064.05		90			Percent of total billed charges		1473.3	40			Percent of total billed charges		654.8	80			Percent of total billed charges		1309.6	90			Percent of total billed charges		1473.3	85			Percent of total billed charges		1391.45	85			Percent of total billed charges		1391.45	85			Percent of total billed charges		1391.45	100			Percent of total billed charges		1637	100			Percent of total billed charges		1637	100			Percent of total billed charges		1637	33.3			Percent of total billed charges		545.121	33.3			Percent of total billed charges		545.121	100			Percent of total billed charges		1637	545.121	1473.3	
s/n 3.5 recon plate 13 hole 7114-0113	278	RC	Outpatient			1642	1067.3		90			Percent of total billed charges		1477.8	40			Percent of total billed charges		656.8	80			Percent of total billed charges		1313.6	90			Percent of total billed charges		1477.8	85			Percent of total billed charges		1395.7	85			Percent of total billed charges		1395.7	85			Percent of total billed charges		1395.7	100			Percent of total billed charges		1642	100			Percent of total billed charges		1642	100			Percent of total billed charges		1642	33.3			Percent of total billed charges		546.786	33.3			Percent of total billed charges		546.786	100			Percent of total billed charges		1642	546.786	1477.8	
s/n 3.5 recon plate 14 hole 7114-0114	278	RC	Outpatient			1642	1067.3		90			Percent of total billed charges		1477.8	40			Percent of total billed charges		656.8	80			Percent of total billed charges		1313.6	90			Percent of total billed charges		1477.8	85			Percent of total billed charges		1395.7	85			Percent of total billed charges		1395.7	85			Percent of total billed charges		1395.7	100			Percent of total billed charges		1642	100			Percent of total billed charges		1642	100			Percent of total billed charges		1642	33.3			Percent of total billed charges		546.786	33.3			Percent of total billed charges		546.786	100			Percent of total billed charges		1642	546.786	1477.8	
sm fr pl recon 13-14hl	278	RC	Outpatient			1642	1067.3		90			Percent of total billed charges		1477.8	40			Percent of total billed charges		656.8	80			Percent of total billed charges		1313.6	90			Percent of total billed charges		1477.8	85			Percent of total billed charges		1395.7	85			Percent of total billed charges		1395.7	85			Percent of total billed charges		1395.7	100			Percent of total billed charges		1642	100			Percent of total billed charges		1642	100			Percent of total billed charges		1642	33.3			Percent of total billed charges		546.786	33.3			Percent of total billed charges		546.786	100			Percent of total billed charges		1642	546.786	1477.8	
cable plates10 hole ss 2232-003-03 zimmer	278	RC	Outpatient			1643	1067.95		90			Percent of total billed charges		1478.7	40			Percent of total billed charges		657.2	80			Percent of total billed charges		1314.4	90			Percent of total billed charges		1478.7	85			Percent of total billed charges		1396.55	85			Percent of total billed charges		1396.55	85			Percent of total billed charges		1396.55	100			Percent of total billed charges		1643	100			Percent of total billed charges		1643	100			Percent of total billed charges		1643	33.3			Percent of total billed charges		547.119	33.3			Percent of total billed charges		547.119	100			Percent of total billed charges		1643	547.119	1478.7	
cath iab 8fr 34cc	270	RC	Outpatient			1643	1067.95		90			Percent of total billed charges		1478.7	40			Percent of total billed charges		657.2	80			Percent of total billed charges		1314.4	90			Percent of total billed charges		1478.7	85			Percent of total billed charges		1396.55	85			Percent of total billed charges		1396.55	85			Percent of total billed charges		1396.55	100			Percent of total billed charges		1643	100			Percent of total billed charges		1643	100			Percent of total billed charges		1643	33.3			Percent of total billed charges		547.119	33.3			Percent of total billed charges		547.119	100			Percent of total billed charges		1643	547.119	1478.7	
cath iabp 8fr 40cc fideli	270	RC	Outpatient			1643	1067.95		90			Percent of total billed charges		1478.7	40			Percent of total billed charges		657.2	80			Percent of total billed charges		1314.4	90			Percent of total billed charges		1478.7	85			Percent of total billed charges		1396.55	85			Percent of total billed charges		1396.55	85			Percent of total billed charges		1396.55	100			Percent of total billed charges		1643	100			Percent of total billed charges		1643	100			Percent of total billed charges		1643	33.3			Percent of total billed charges		547.119	33.3			Percent of total billed charges		547.119	100			Percent of total billed charges		1643	547.119	1478.7	
zimmer 10-hl cable plate	278	RC	Outpatient			1643	1067.95		90			Percent of total billed charges		1478.7	40			Percent of total billed charges		657.2	80			Percent of total billed charges		1314.4	90			Percent of total billed charges		1478.7	85			Percent of total billed charges		1396.55	85			Percent of total billed charges		1396.55	85			Percent of total billed charges		1396.55	100			Percent of total billed charges		1643	100			Percent of total billed charges		1643	100			Percent of total billed charges		1643	33.3			Percent of total billed charges		547.119	33.3			Percent of total billed charges		547.119	100			Percent of total billed charges		1643	547.119	1478.7	
graftech cervical spacer	278	RC	Outpatient			1645	1069.25		90			Percent of total billed charges		1480.5	40			Percent of total billed charges		658	80			Percent of total billed charges		1316	90			Percent of total billed charges		1480.5	85			Percent of total billed charges		1398.25	85			Percent of total billed charges		1398.25	85			Percent of total billed charges		1398.25	100			Percent of total billed charges		1645	100			Percent of total billed charges		1645	100			Percent of total billed charges		1645	33.3			Percent of total billed charges		547.785	33.3			Percent of total billed charges		547.785	100			Percent of total billed charges		1645	547.785	1480.5	
graftech cervical spacer 12mm l 80022 osteotech	278	RC	Outpatient			1645	1069.25		90			Percent of total billed charges		1480.5	40			Percent of total billed charges		658	80			Percent of total billed charges		1316	90			Percent of total billed charges		1480.5	85			Percent of total billed charges		1398.25	85			Percent of total billed charges		1398.25	85			Percent of total billed charges		1398.25	100			Percent of total billed charges		1645	100			Percent of total billed charges		1645	100			Percent of total billed charges		1645	33.3			Percent of total billed charges		547.785	33.3			Percent of total billed charges		547.785	100			Percent of total billed charges		1645	547.785	1480.5	
graftech cervical spacer 6mm l a80016 osteotech	278	RC	Outpatient			1645	1069.25		90			Percent of total billed charges		1480.5	40			Percent of total billed charges		658	80			Percent of total billed charges		1316	90			Percent of total billed charges		1480.5	85			Percent of total billed charges		1398.25	85			Percent of total billed charges		1398.25	85			Percent of total billed charges		1398.25	100			Percent of total billed charges		1645	100			Percent of total billed charges		1645	100			Percent of total billed charges		1645	33.3			Percent of total billed charges		547.785	33.3			Percent of total billed charges		547.785	100			Percent of total billed charges		1645	547.785	1480.5	
graftech cervical spacer 7mm l a980017 osteotech	278	RC	Outpatient			1645	1069.25		90			Percent of total billed charges		1480.5	40			Percent of total billed charges		658	80			Percent of total billed charges		1316	90			Percent of total billed charges		1480.5	85			Percent of total billed charges		1398.25	85			Percent of total billed charges		1398.25	85			Percent of total billed charges		1398.25	100			Percent of total billed charges		1645	100			Percent of total billed charges		1645	100			Percent of total billed charges		1645	33.3			Percent of total billed charges		547.785	33.3			Percent of total billed charges		547.785	100			Percent of total billed charges		1645	547.785	1480.5	
graftech cervical spacer 9mm l a80019 osteotech	278	RC	Outpatient			1645	1069.25		90			Percent of total billed charges		1480.5	40			Percent of total billed charges		658	80			Percent of total billed charges		1316	90			Percent of total billed charges		1480.5	85			Percent of total billed charges		1398.25	85			Percent of total billed charges		1398.25	85			Percent of total billed charges		1398.25	100			Percent of total billed charges		1645	100			Percent of total billed charges		1645	100			Percent of total billed charges		1645	33.3			Percent of total billed charges		547.785	33.3			Percent of total billed charges		547.785	100			Percent of total billed charges		1645	547.785	1480.5	
graftech cervical spacer 10mm l 80020 osteotech	278	RC	Outpatient			1645	1069.25		90			Percent of total billed charges		1480.5	40			Percent of total billed charges		658	80			Percent of total billed charges		1316	90			Percent of total billed charges		1480.5	85			Percent of total billed charges		1398.25	85			Percent of total billed charges		1398.25	85			Percent of total billed charges		1398.25	100			Percent of total billed charges		1645	100			Percent of total billed charges		1645	100			Percent of total billed charges		1645	33.3			Percent of total billed charges		547.785	33.3			Percent of total billed charges		547.785	100			Percent of total billed charges		1645	547.785	1480.5	
graftech cervical spacer 10mm l a380020 osteotech	278	RC	Outpatient			1645	1069.25		90			Percent of total billed charges		1480.5	40			Percent of total billed charges		658	80			Percent of total billed charges		1316	90			Percent of total billed charges		1480.5	85			Percent of total billed charges		1398.25	85			Percent of total billed charges		1398.25	85			Percent of total billed charges		1398.25	100			Percent of total billed charges		1645	100			Percent of total billed charges		1645	100			Percent of total billed charges		1645	33.3			Percent of total billed charges		547.785	33.3			Percent of total billed charges		547.785	100			Percent of total billed charges		1645	547.785	1480.5	
graftech cervical spacer 10mm l p80020 osteotech	278	RC	Outpatient			1645	1069.25		90			Percent of total billed charges		1480.5	40			Percent of total billed charges		658	80			Percent of total billed charges		1316	90			Percent of total billed charges		1480.5	85			Percent of total billed charges		1398.25	85			Percent of total billed charges		1398.25	85			Percent of total billed charges		1398.25	100			Percent of total billed charges		1645	100			Percent of total billed charges		1645	100			Percent of total billed charges		1645	33.3			Percent of total billed charges		547.785	33.3			Percent of total billed charges		547.785	100			Percent of total billed charges		1645	547.785	1480.5	
graftech cervical spacer 11mm l 80021 osteotech	278	RC	Outpatient			1645	1069.25		90			Percent of total billed charges		1480.5	40			Percent of total billed charges		658	80			Percent of total billed charges		1316	90			Percent of total billed charges		1480.5	85			Percent of total billed charges		1398.25	85			Percent of total billed charges		1398.25	85			Percent of total billed charges		1398.25	100			Percent of total billed charges		1645	100			Percent of total billed charges		1645	100			Percent of total billed charges		1645	33.3			Percent of total billed charges		547.785	33.3			Percent of total billed charges		547.785	100			Percent of total billed charges		1645	547.785	1480.5	
graftech cervical spacer 13mm l 80023 osteotech	278	RC	Outpatient			1645	1069.25		90			Percent of total billed charges		1480.5	40			Percent of total billed charges		658	80			Percent of total billed charges		1316	90			Percent of total billed charges		1480.5	85			Percent of total billed charges		1398.25	85			Percent of total billed charges		1398.25	85			Percent of total billed charges		1398.25	100			Percent of total billed charges		1645	100			Percent of total billed charges		1645	100			Percent of total billed charges		1645	33.3			Percent of total billed charges		547.785	33.3			Percent of total billed charges		547.785	100			Percent of total billed charges		1645	547.785	1480.5	
graftech cervical spacer 5mm l a80015 osteotech	278	RC	Outpatient			1645	1069.25		90			Percent of total billed charges		1480.5	40			Percent of total billed charges		658	80			Percent of total billed charges		1316	90			Percent of total billed charges		1480.5	85			Percent of total billed charges		1398.25	85			Percent of total billed charges		1398.25	85			Percent of total billed charges		1398.25	100			Percent of total billed charges		1645	100			Percent of total billed charges		1645	100			Percent of total billed charges		1645	33.3			Percent of total billed charges		547.785	33.3			Percent of total billed charges		547.785	100			Percent of total billed charges		1645	547.785	1480.5	
graftech cervical spacer 5mm l p80015 osteotech	278	RC	Outpatient			1645	1069.25		90			Percent of total billed charges		1480.5	40			Percent of total billed charges		658	80			Percent of total billed charges		1316	90			Percent of total billed charges		1480.5	85			Percent of total billed charges		1398.25	85			Percent of total billed charges		1398.25	85			Percent of total billed charges		1398.25	100			Percent of total billed charges		1645	100			Percent of total billed charges		1645	100			Percent of total billed charges		1645	33.3			Percent of total billed charges		547.785	33.3			Percent of total billed charges		547.785	100			Percent of total billed charges		1645	547.785	1480.5	
graftech cervical spacer 6mm l p80016 osteotech	278	RC	Outpatient			1645	1069.25		90			Percent of total billed charges		1480.5	40			Percent of total billed charges		658	80			Percent of total billed charges		1316	90			Percent of total billed charges		1480.5	85			Percent of total billed charges		1398.25	85			Percent of total billed charges		1398.25	85			Percent of total billed charges		1398.25	100			Percent of total billed charges		1645	100			Percent of total billed charges		1645	100			Percent of total billed charges		1645	33.3			Percent of total billed charges		547.785	33.3			Percent of total billed charges		547.785	100			Percent of total billed charges		1645	547.785	1480.5	
graftech cervical spacer 7mm l p80017 osteotech	278	RC	Outpatient			1645	1069.25		90			Percent of total billed charges		1480.5	40			Percent of total billed charges		658	80			Percent of total billed charges		1316	90			Percent of total billed charges		1480.5	85			Percent of total billed charges		1398.25	85			Percent of total billed charges		1398.25	85			Percent of total billed charges		1398.25	100			Percent of total billed charges		1645	100			Percent of total billed charges		1645	100			Percent of total billed charges		1645	33.3			Percent of total billed charges		547.785	33.3			Percent of total billed charges		547.785	100			Percent of total billed charges		1645	547.785	1480.5	
graftech cervical spacer 8mm l a80018 osteotech	278	RC	Outpatient			1645	1069.25		90			Percent of total billed charges		1480.5	40			Percent of total billed charges		658	80			Percent of total billed charges		1316	90			Percent of total billed charges		1480.5	85			Percent of total billed charges		1398.25	85			Percent of total billed charges		1398.25	85			Percent of total billed charges		1398.25	100			Percent of total billed charges		1645	100			Percent of total billed charges		1645	100			Percent of total billed charges		1645	33.3			Percent of total billed charges		547.785	33.3			Percent of total billed charges		547.785	100			Percent of total billed charges		1645	547.785	1480.5	
graftech cervical spacer 8mm l p80018 osteotech	278	RC	Outpatient			1645	1069.25		90			Percent of total billed charges		1480.5	40			Percent of total billed charges		658	80			Percent of total billed charges		1316	90			Percent of total billed charges		1480.5	85			Percent of total billed charges		1398.25	85			Percent of total billed charges		1398.25	85			Percent of total billed charges		1398.25	100			Percent of total billed charges		1645	100			Percent of total billed charges		1645	100			Percent of total billed charges		1645	33.3			Percent of total billed charges		547.785	33.3			Percent of total billed charges		547.785	100			Percent of total billed charges		1645	547.785	1480.5	
peri-loc 3.5 vlp p-d tibia lk pl 5 h rt 72820305 s/n	278	RC	Outpatient			1645	1069.25		90			Percent of total billed charges		1480.5	40			Percent of total billed charges		658	80			Percent of total billed charges		1316	90			Percent of total billed charges		1480.5	85			Percent of total billed charges		1398.25	85			Percent of total billed charges		1398.25	85			Percent of total billed charges		1398.25	100			Percent of total billed charges		1645	100			Percent of total billed charges		1645	100			Percent of total billed charges		1645	33.3			Percent of total billed charges		547.785	33.3			Percent of total billed charges		547.785	100			Percent of total billed charges		1645	547.785	1480.5	
s/n vlp pos dist tib pl5h	278	RC	Outpatient			1645	1069.25		90			Percent of total billed charges		1480.5	40			Percent of total billed charges		658	80			Percent of total billed charges		1316	90			Percent of total billed charges		1480.5	85			Percent of total billed charges		1398.25	85			Percent of total billed charges		1398.25	85			Percent of total billed charges		1398.25	100			Percent of total billed charges		1645	100			Percent of total billed charges		1645	100			Percent of total billed charges		1645	33.3			Percent of total billed charges		547.785	33.3			Percent of total billed charges		547.785	100			Percent of total billed charges		1645	547.785	1480.5	
peri-loc 3.5 vlp p-d tibia lk pl 5 h lt 72820205 s/n	278	RC	Outpatient			1645	1069.25		90			Percent of total billed charges		1480.5	40			Percent of total billed charges		658	80			Percent of total billed charges		1316	90			Percent of total billed charges		1480.5	85			Percent of total billed charges		1398.25	85			Percent of total billed charges		1398.25	85			Percent of total billed charges		1398.25	100			Percent of total billed charges		1645	100			Percent of total billed charges		1645	100			Percent of total billed charges		1645	33.3			Percent of total billed charges		547.785	33.3			Percent of total billed charges		547.785	100			Percent of total billed charges		1645	547.785	1480.5	
ascension glenoid peg small gln-0920-030-01p integra	278	RC	Outpatient			1650	1072.5		90			Percent of total billed charges		1485	40			Percent of total billed charges		660	80			Percent of total billed charges		1320	90			Percent of total billed charges		1485	85			Percent of total billed charges		1402.5	85			Percent of total billed charges		1402.5	85			Percent of total billed charges		1402.5	100			Percent of total billed charges		1650	100			Percent of total billed charges		1650	100			Percent of total billed charges		1650	33.3			Percent of total billed charges		549.45	33.3			Percent of total billed charges		549.45	100			Percent of total billed charges		1650	549.45	1485	
duotome 500 prostate micro fiber m0068408460 boston scient	272	RC	Outpatient			1650	1072.5		90			Percent of total billed charges		1485	40			Percent of total billed charges		660	80			Percent of total billed charges		1320	90			Percent of total billed charges		1485	85			Percent of total billed charges		1402.5	85			Percent of total billed charges		1402.5	85			Percent of total billed charges		1402.5	100			Percent of total billed charges		1650	100			Percent of total billed charges		1650	100			Percent of total billed charges		1650	33.3			Percent of total billed charges		549.45	33.3			Percent of total billed charges		549.45	100			Percent of total billed charges		1650	549.45	1485	
duotome laser fiber	272	RC	Outpatient			1650	1072.5		90			Percent of total billed charges		1485	40			Percent of total billed charges		660	80			Percent of total billed charges		1320	90			Percent of total billed charges		1485	85			Percent of total billed charges		1402.5	85			Percent of total billed charges		1402.5	85			Percent of total billed charges		1402.5	100			Percent of total billed charges		1650	100			Percent of total billed charges		1650	100			Percent of total billed charges		1650	33.3			Percent of total billed charges		549.45	33.3			Percent of total billed charges		549.45	100			Percent of total billed charges		1650	549.45	1485	
tibial base  journey unit rt med/lt lat s/n 71422435	278	RC	Outpatient			1650	1072.5		90			Percent of total billed charges		1485	40			Percent of total billed charges		660	80			Percent of total billed charges		1320	90			Percent of total billed charges		1485	85			Percent of total billed charges		1402.5	85			Percent of total billed charges		1402.5	85			Percent of total billed charges		1402.5	100			Percent of total billed charges		1650	100			Percent of total billed charges		1650	100			Percent of total billed charges		1650	33.3			Percent of total billed charges		549.45	33.3			Percent of total billed charges		549.45	100			Percent of total billed charges		1650	549.45	1485	
narrow plt 4.5mm 3 hl 71809453 s\n	278	RC	Outpatient			1657	1077.05		90			Percent of total billed charges		1491.3	40			Percent of total billed charges		662.8	80			Percent of total billed charges		1325.6	90			Percent of total billed charges		1491.3	85			Percent of total billed charges		1408.45	85			Percent of total billed charges		1408.45	85			Percent of total billed charges		1408.45	100			Percent of total billed charges		1657	100			Percent of total billed charges		1657	100			Percent of total billed charges		1657	33.3			Percent of total billed charges		551.781	33.3			Percent of total billed charges		551.781	100			Percent of total billed charges		1657	551.781	1491.3	
narrow plt 4.5mm 4 hl 71809454 s\n	278	RC	Outpatient			1657	1077.05		90			Percent of total billed charges		1491.3	40			Percent of total billed charges		662.8	80			Percent of total billed charges		1325.6	90			Percent of total billed charges		1491.3	85			Percent of total billed charges		1408.45	85			Percent of total billed charges		1408.45	85			Percent of total billed charges		1408.45	100			Percent of total billed charges		1657	100			Percent of total billed charges		1657	100			Percent of total billed charges		1657	33.3			Percent of total billed charges		551.781	33.3			Percent of total billed charges		551.781	100			Percent of total billed charges		1657	551.781	1491.3	
narrow plt 4.5mm 5 hl 71809455 s\n	278	RC	Outpatient			1657	1077.05		90			Percent of total billed charges		1491.3	40			Percent of total billed charges		662.8	80			Percent of total billed charges		1325.6	90			Percent of total billed charges		1491.3	85			Percent of total billed charges		1408.45	85			Percent of total billed charges		1408.45	85			Percent of total billed charges		1408.45	100			Percent of total billed charges		1657	100			Percent of total billed charges		1657	100			Percent of total billed charges		1657	33.3			Percent of total billed charges		551.781	33.3			Percent of total billed charges		551.781	100			Percent of total billed charges		1657	551.781	1491.3	
narrow plt 4.5mm 8 hl 71809458 s\n	278	RC	Outpatient			1657	1077.05		90			Percent of total billed charges		1491.3	40			Percent of total billed charges		662.8	80			Percent of total billed charges		1325.6	90			Percent of total billed charges		1491.3	85			Percent of total billed charges		1408.45	85			Percent of total billed charges		1408.45	85			Percent of total billed charges		1408.45	100			Percent of total billed charges		1657	100			Percent of total billed charges		1657	100			Percent of total billed charges		1657	33.3			Percent of total billed charges		551.781	33.3			Percent of total billed charges		551.781	100			Percent of total billed charges		1657	551.781	1491.3	
narrow plt 4.5mm 8 hl 71829458 s\n	278	RC	Outpatient			1657	1077.05		90			Percent of total billed charges		1491.3	40			Percent of total billed charges		662.8	80			Percent of total billed charges		1325.6	90			Percent of total billed charges		1491.3	85			Percent of total billed charges		1408.45	85			Percent of total billed charges		1408.45	85			Percent of total billed charges		1408.45	100			Percent of total billed charges		1657	100			Percent of total billed charges		1657	100			Percent of total billed charges		1657	33.3			Percent of total billed charges		551.781	33.3			Percent of total billed charges		551.781	100			Percent of total billed charges		1657	551.781	1491.3	
narrow plt 4.5mm 9 hl 71829459 s\n	278	RC	Outpatient			1657	1077.05		90			Percent of total billed charges		1491.3	40			Percent of total billed charges		662.8	80			Percent of total billed charges		1325.6	90			Percent of total billed charges		1491.3	85			Percent of total billed charges		1408.45	85			Percent of total billed charges		1408.45	85			Percent of total billed charges		1408.45	100			Percent of total billed charges		1657	100			Percent of total billed charges		1657	100			Percent of total billed charges		1657	33.3			Percent of total billed charges		551.781	33.3			Percent of total billed charges		551.781	100			Percent of total billed charges		1657	551.781	1491.3	
narrow plt 4.5mm6 hl 71829456 s\n	278	RC	Outpatient			1657	1077.05		90			Percent of total billed charges		1491.3	40			Percent of total billed charges		662.8	80			Percent of total billed charges		1325.6	90			Percent of total billed charges		1491.3	85			Percent of total billed charges		1408.45	85			Percent of total billed charges		1408.45	85			Percent of total billed charges		1408.45	100			Percent of total billed charges		1657	100			Percent of total billed charges		1657	100			Percent of total billed charges		1657	33.3			Percent of total billed charges		551.781	33.3			Percent of total billed charges		551.781	100			Percent of total billed charges		1657	551.781	1491.3	
narrow plt 4.5mm 6 hl 71809456 s\n	278	RC	Outpatient			1657	1077.05		90			Percent of total billed charges		1491.3	40			Percent of total billed charges		662.8	80			Percent of total billed charges		1325.6	90			Percent of total billed charges		1491.3	85			Percent of total billed charges		1408.45	85			Percent of total billed charges		1408.45	85			Percent of total billed charges		1408.45	100			Percent of total billed charges		1657	100			Percent of total billed charges		1657	100			Percent of total billed charges		1657	33.3			Percent of total billed charges		551.781	33.3			Percent of total billed charges		551.781	100			Percent of total billed charges		1657	551.781	1491.3	
narrow plt 4.5mm 7 hl 71809457 s\n	278	RC	Outpatient			1657	1077.05		90			Percent of total billed charges		1491.3	40			Percent of total billed charges		662.8	80			Percent of total billed charges		1325.6	90			Percent of total billed charges		1491.3	85			Percent of total billed charges		1408.45	85			Percent of total billed charges		1408.45	85			Percent of total billed charges		1408.45	100			Percent of total billed charges		1657	100			Percent of total billed charges		1657	100			Percent of total billed charges		1657	33.3			Percent of total billed charges		551.781	33.3			Percent of total billed charges		551.781	100			Percent of total billed charges		1657	551.781	1491.3	
narrow plt 4.5mm 7 hl 71829457 s\n	278	RC	Outpatient			1657	1077.05		90			Percent of total billed charges		1491.3	40			Percent of total billed charges		662.8	80			Percent of total billed charges		1325.6	90			Percent of total billed charges		1491.3	85			Percent of total billed charges		1408.45	85			Percent of total billed charges		1408.45	85			Percent of total billed charges		1408.45	100			Percent of total billed charges		1657	100			Percent of total billed charges		1657	100			Percent of total billed charges		1657	33.3			Percent of total billed charges		551.781	33.3			Percent of total billed charges		551.781	100			Percent of total billed charges		1657	551.781	1491.3	
narrow plt 4.5mm 9 hl 71809459 s\n	278	RC	Outpatient			1657	1077.05		90			Percent of total billed charges		1491.3	40			Percent of total billed charges		662.8	80			Percent of total billed charges		1325.6	90			Percent of total billed charges		1491.3	85			Percent of total billed charges		1408.45	85			Percent of total billed charges		1408.45	85			Percent of total billed charges		1408.45	100			Percent of total billed charges		1657	100			Percent of total billed charges		1657	100			Percent of total billed charges		1657	33.3			Percent of total billed charges		551.781	33.3			Percent of total billed charges		551.781	100			Percent of total billed charges		1657	551.781	1491.3	
s/n 4.5 narrow pl 6-9hl	278	RC	Outpatient			1657	1077.05		90			Percent of total billed charges		1491.3	40			Percent of total billed charges		662.8	80			Percent of total billed charges		1325.6	90			Percent of total billed charges		1491.3	85			Percent of total billed charges		1408.45	85			Percent of total billed charges		1408.45	85			Percent of total billed charges		1408.45	100			Percent of total billed charges		1657	100			Percent of total billed charges		1657	100			Percent of total billed charges		1657	33.3			Percent of total billed charges		551.781	33.3			Percent of total billed charges		551.781	100			Percent of total billed charges		1657	551.781	1491.3	
comp plt 3.5mm 6 hl 71809106 s\n	278	RC	Outpatient			1662	1080.3		90			Percent of total billed charges		1495.8	40			Percent of total billed charges		664.8	80			Percent of total billed charges		1329.6	90			Percent of total billed charges		1495.8	85			Percent of total billed charges		1412.7	85			Percent of total billed charges		1412.7	85			Percent of total billed charges		1412.7	100			Percent of total billed charges		1662	100			Percent of total billed charges		1662	100			Percent of total billed charges		1662	33.3			Percent of total billed charges		553.446	33.3			Percent of total billed charges		553.446	100			Percent of total billed charges		1662	553.446	1495.8	
comp plt 3.5mm 6 hl 71809706 s\n	278	RC	Outpatient			1662	1080.3		90			Percent of total billed charges		1495.8	40			Percent of total billed charges		664.8	80			Percent of total billed charges		1329.6	90			Percent of total billed charges		1495.8	85			Percent of total billed charges		1412.7	85			Percent of total billed charges		1412.7	85			Percent of total billed charges		1412.7	100			Percent of total billed charges		1662	100			Percent of total billed charges		1662	100			Percent of total billed charges		1662	33.3			Percent of total billed charges		553.446	33.3			Percent of total billed charges		553.446	100			Percent of total billed charges		1662	553.446	1495.8	
comp plt 3.5mm 6 hl 71829706 s\n	278	RC	Outpatient			1662	1080.3		90			Percent of total billed charges		1495.8	40			Percent of total billed charges		664.8	80			Percent of total billed charges		1329.6	90			Percent of total billed charges		1495.8	85			Percent of total billed charges		1412.7	85			Percent of total billed charges		1412.7	85			Percent of total billed charges		1412.7	100			Percent of total billed charges		1662	100			Percent of total billed charges		1662	100			Percent of total billed charges		1662	33.3			Percent of total billed charges		553.446	33.3			Percent of total billed charges		553.446	100			Percent of total billed charges		1662	553.446	1495.8	
s/n 3.5 lck comp pl 6hl	278	RC	Outpatient			1662	1080.3		90			Percent of total billed charges		1495.8	40			Percent of total billed charges		664.8	80			Percent of total billed charges		1329.6	90			Percent of total billed charges		1495.8	85			Percent of total billed charges		1412.7	85			Percent of total billed charges		1412.7	85			Percent of total billed charges		1412.7	100			Percent of total billed charges		1662	100			Percent of total billed charges		1662	100			Percent of total billed charges		1662	33.3			Percent of total billed charges		553.446	33.3			Percent of total billed charges		553.446	100			Percent of total billed charges		1662	553.446	1495.8	
answer stem 10mm 162603	278	RC	Outpatient			1665	1082.25		90			Percent of total billed charges		1498.5	40			Percent of total billed charges		666	80			Percent of total billed charges		1332	90			Percent of total billed charges		1498.5	85			Percent of total billed charges		1415.25	85			Percent of total billed charges		1415.25	85			Percent of total billed charges		1415.25	100			Percent of total billed charges		1665	100			Percent of total billed charges		1665	100			Percent of total billed charges		1665	33.3			Percent of total billed charges		554.445	33.3			Percent of total billed charges		554.445	100			Percent of total billed charges		1665	554.445	1498.5	
answer stem 11mm 162602	278	RC	Outpatient			1665	1082.25		90			Percent of total billed charges		1498.5	40			Percent of total billed charges		666	80			Percent of total billed charges		1332	90			Percent of total billed charges		1498.5	85			Percent of total billed charges		1415.25	85			Percent of total billed charges		1415.25	85			Percent of total billed charges		1415.25	100			Percent of total billed charges		1665	100			Percent of total billed charges		1665	100			Percent of total billed charges		1665	33.3			Percent of total billed charges		554.445	33.3			Percent of total billed charges		554.445	100			Percent of total billed charges		1665	554.445	1498.5	
answer stem 15mm 162604	278	RC	Outpatient			1665	1082.25		90			Percent of total billed charges		1498.5	40			Percent of total billed charges		666	80			Percent of total billed charges		1332	90			Percent of total billed charges		1498.5	85			Percent of total billed charges		1415.25	85			Percent of total billed charges		1415.25	85			Percent of total billed charges		1415.25	100			Percent of total billed charges		1665	100			Percent of total billed charges		1665	100			Percent of total billed charges		1665	33.3			Percent of total billed charges		554.445	33.3			Percent of total billed charges		554.445	100			Percent of total billed charges		1665	554.445	1498.5	
answer stem 9mm 162601	278	RC	Outpatient			1665	1082.25		90			Percent of total billed charges		1498.5	40			Percent of total billed charges		666	80			Percent of total billed charges		1332	90			Percent of total billed charges		1498.5	85			Percent of total billed charges		1415.25	85			Percent of total billed charges		1415.25	85			Percent of total billed charges		1415.25	100			Percent of total billed charges		1665	100			Percent of total billed charges		1665	100			Percent of total billed charges		1665	33.3			Percent of total billed charges		554.445	33.3			Percent of total billed charges		554.445	100			Percent of total billed charges		1665	554.445	1498.5	
bio answer hip stem	278	RC	Outpatient			1665	1082.25		90			Percent of total billed charges		1498.5	40			Percent of total billed charges		666	80			Percent of total billed charges		1332	90			Percent of total billed charges		1498.5	85			Percent of total billed charges		1415.25	85			Percent of total billed charges		1415.25	85			Percent of total billed charges		1415.25	100			Percent of total billed charges		1665	100			Percent of total billed charges		1665	100			Percent of total billed charges		1665	33.3			Percent of total billed charges		554.445	33.3			Percent of total billed charges		554.445	100			Percent of total billed charges		1665	554.445	1498.5	
stem femoral cemented 17mm 162605 bmet	278	RC	Outpatient			1665	1082.25		90			Percent of total billed charges		1498.5	40			Percent of total billed charges		666	80			Percent of total billed charges		1332	90			Percent of total billed charges		1498.5	85			Percent of total billed charges		1415.25	85			Percent of total billed charges		1415.25	85			Percent of total billed charges		1415.25	100			Percent of total billed charges		1665	100			Percent of total billed charges		1665	100			Percent of total billed charges		1665	33.3			Percent of total billed charges		554.445	33.3			Percent of total billed charges		554.445	100			Percent of total billed charges		1665	554.445	1498.5	
genesis ii posterior stabilized insert size 3-4 15mm 71420822 s/n	278	RC	Outpatient			1668	1084.2		90			Percent of total billed charges		1501.2	40			Percent of total billed charges		667.2	80			Percent of total billed charges		1334.4	90			Percent of total billed charges		1501.2	85			Percent of total billed charges		1417.8	85			Percent of total billed charges		1417.8	85			Percent of total billed charges		1417.8	100			Percent of total billed charges		1668	100			Percent of total billed charges		1668	100			Percent of total billed charges		1668	33.3			Percent of total billed charges		555.444	33.3			Percent of total billed charges		555.444	100			Percent of total billed charges		1668	555.444	1501.2	
genesis ii posterior stabilized insert size 3-4 18mm  71420824 s/n	278	RC	Outpatient			1668	1084.2		90			Percent of total billed charges		1501.2	40			Percent of total billed charges		667.2	80			Percent of total billed charges		1334.4	90			Percent of total billed charges		1501.2	85			Percent of total billed charges		1417.8	85			Percent of total billed charges		1417.8	85			Percent of total billed charges		1417.8	100			Percent of total billed charges		1668	100			Percent of total billed charges		1668	100			Percent of total billed charges		1668	33.3			Percent of total billed charges		555.444	33.3			Percent of total billed charges		555.444	100			Percent of total billed charges		1668	555.444	1501.2	
genesis ii posterior stabilized insert size 5-6 15mm  71420836 s/n	278	RC	Outpatient			1668	1084.2		90			Percent of total billed charges		1501.2	40			Percent of total billed charges		667.2	80			Percent of total billed charges		1334.4	90			Percent of total billed charges		1501.2	85			Percent of total billed charges		1417.8	85			Percent of total billed charges		1417.8	85			Percent of total billed charges		1417.8	100			Percent of total billed charges		1668	100			Percent of total billed charges		1668	100			Percent of total billed charges		1668	33.3			Percent of total billed charges		555.444	33.3			Percent of total billed charges		555.444	100			Percent of total billed charges		1668	555.444	1501.2	
genesis ii posterior stabilized insert size 5-6 9mm 71420830 s/n	278	RC	Outpatient			1668	1084.2		90			Percent of total billed charges		1501.2	40			Percent of total billed charges		667.2	80			Percent of total billed charges		1334.4	90			Percent of total billed charges		1501.2	85			Percent of total billed charges		1417.8	85			Percent of total billed charges		1417.8	85			Percent of total billed charges		1417.8	100			Percent of total billed charges		1668	100			Percent of total billed charges		1668	100			Percent of total billed charges		1668	33.3			Percent of total billed charges		555.444	33.3			Percent of total billed charges		555.444	100			Percent of total billed charges		1668	555.444	1501.2	
genesis ii posterior stabilized insert size 7-8 11mm  71420846 s/n	278	RC	Outpatient			1668	1084.2		90			Percent of total billed charges		1501.2	40			Percent of total billed charges		667.2	80			Percent of total billed charges		1334.4	90			Percent of total billed charges		1501.2	85			Percent of total billed charges		1417.8	85			Percent of total billed charges		1417.8	85			Percent of total billed charges		1417.8	100			Percent of total billed charges		1668	100			Percent of total billed charges		1668	100			Percent of total billed charges		1668	33.3			Percent of total billed charges		555.444	33.3			Percent of total billed charges		555.444	100			Percent of total billed charges		1668	555.444	1501.2	
genesis ii posterior stabilized insert size 7-8 13mm  71420848 s/n	278	RC	Outpatient			1668	1084.2		90			Percent of total billed charges		1501.2	40			Percent of total billed charges		667.2	80			Percent of total billed charges		1334.4	90			Percent of total billed charges		1501.2	85			Percent of total billed charges		1417.8	85			Percent of total billed charges		1417.8	85			Percent of total billed charges		1417.8	100			Percent of total billed charges		1668	100			Percent of total billed charges		1668	100			Percent of total billed charges		1668	33.3			Percent of total billed charges		555.444	33.3			Percent of total billed charges		555.444	100			Percent of total billed charges		1668	555.444	1501.2	
genesis ii posterior stabilized insert size 7-8 18mm 71420852 s/n	278	RC	Outpatient			1668	1084.2		90			Percent of total billed charges		1501.2	40			Percent of total billed charges		667.2	80			Percent of total billed charges		1334.4	90			Percent of total billed charges		1501.2	85			Percent of total billed charges		1417.8	85			Percent of total billed charges		1417.8	85			Percent of total billed charges		1417.8	100			Percent of total billed charges		1668	100			Percent of total billed charges		1668	100			Percent of total billed charges		1668	33.3			Percent of total billed charges		555.444	33.3			Percent of total billed charges		555.444	100			Percent of total billed charges		1668	555.444	1501.2	
genesis ii posterior stabilized insert size 7-8 9mm  71420844 s/n	278	RC	Outpatient			1668	1084.2		90			Percent of total billed charges		1501.2	40			Percent of total billed charges		667.2	80			Percent of total billed charges		1334.4	90			Percent of total billed charges		1501.2	85			Percent of total billed charges		1417.8	85			Percent of total billed charges		1417.8	85			Percent of total billed charges		1417.8	100			Percent of total billed charges		1668	100			Percent of total billed charges		1668	100			Percent of total billed charges		1668	33.3			Percent of total billed charges		555.444	33.3			Percent of total billed charges		555.444	100			Percent of total billed charges		1668	555.444	1501.2	
gii psilized art insr sz 7-8 15mm 71420850 s/n	278	RC	Outpatient			1668	1084.2		90			Percent of total billed charges		1501.2	40			Percent of total billed charges		667.2	80			Percent of total billed charges		1334.4	90			Percent of total billed charges		1501.2	85			Percent of total billed charges		1417.8	85			Percent of total billed charges		1417.8	85			Percent of total billed charges		1417.8	100			Percent of total billed charges		1668	100			Percent of total billed charges		1668	100			Percent of total billed charges		1668	33.3			Percent of total billed charges		555.444	33.3			Percent of total billed charges		555.444	100			Percent of total billed charges		1668	555.444	1501.2	
grafton 5cc dbm putty p43105 osteotech	278	RC	Outpatient			1668	1084.2		90			Percent of total billed charges		1501.2	40			Percent of total billed charges		667.2	80			Percent of total billed charges		1334.4	90			Percent of total billed charges		1501.2	85			Percent of total billed charges		1417.8	85			Percent of total billed charges		1417.8	85			Percent of total billed charges		1417.8	100			Percent of total billed charges		1668	100			Percent of total billed charges		1668	100			Percent of total billed charges		1668	33.3			Percent of total billed charges		555.444	33.3			Percent of total billed charges		555.444	100			Percent of total billed charges		1668	555.444	1501.2	
grafton putty 5cc	278	RC	Outpatient			1668	1084.2		90			Percent of total billed charges		1501.2	40			Percent of total billed charges		667.2	80			Percent of total billed charges		1334.4	90			Percent of total billed charges		1501.2	85			Percent of total billed charges		1417.8	85			Percent of total billed charges		1417.8	85			Percent of total billed charges		1417.8	100			Percent of total billed charges		1668	100			Percent of total billed charges		1668	100			Percent of total billed charges		1668	33.3			Percent of total billed charges		555.444	33.3			Percent of total billed charges		555.444	100			Percent of total billed charges		1668	555.444	1501.2	
genesis ii posterior stabilized insert size 3-4 11mm  71420818 s/n	278	RC	Outpatient			1668	1084.2		90			Percent of total billed charges		1501.2	40			Percent of total billed charges		667.2	80			Percent of total billed charges		1334.4	90			Percent of total billed charges		1501.2	85			Percent of total billed charges		1417.8	85			Percent of total billed charges		1417.8	85			Percent of total billed charges		1417.8	100			Percent of total billed charges		1668	100			Percent of total billed charges		1668	100			Percent of total billed charges		1668	33.3			Percent of total billed charges		555.444	33.3			Percent of total billed charges		555.444	100			Percent of total billed charges		1668	555.444	1501.2	
genesis ii posterior stabilized insert size 3-4 13mm  71420820 s/n	278	RC	Outpatient			1668	1084.2		90			Percent of total billed charges		1501.2	40			Percent of total billed charges		667.2	80			Percent of total billed charges		1334.4	90			Percent of total billed charges		1501.2	85			Percent of total billed charges		1417.8	85			Percent of total billed charges		1417.8	85			Percent of total billed charges		1417.8	100			Percent of total billed charges		1668	100			Percent of total billed charges		1668	100			Percent of total billed charges		1668	33.3			Percent of total billed charges		555.444	33.3			Percent of total billed charges		555.444	100			Percent of total billed charges		1668	555.444	1501.2	
genesis ii posterior stabilized insert size 3-4 9mm  71420816 s/n	278	RC	Outpatient			1668	1084.2		90			Percent of total billed charges		1501.2	40			Percent of total billed charges		667.2	80			Percent of total billed charges		1334.4	90			Percent of total billed charges		1501.2	85			Percent of total billed charges		1417.8	85			Percent of total billed charges		1417.8	85			Percent of total billed charges		1417.8	100			Percent of total billed charges		1668	100			Percent of total billed charges		1668	100			Percent of total billed charges		1668	33.3			Percent of total billed charges		555.444	33.3			Percent of total billed charges		555.444	100			Percent of total billed charges		1668	555.444	1501.2	
genesis ii posterior stabilized insert size 5-6 11mm 71420832 s/n	278	RC	Outpatient			1668	1084.2		90			Percent of total billed charges		1501.2	40			Percent of total billed charges		667.2	80			Percent of total billed charges		1334.4	90			Percent of total billed charges		1501.2	85			Percent of total billed charges		1417.8	85			Percent of total billed charges		1417.8	85			Percent of total billed charges		1417.8	100			Percent of total billed charges		1668	100			Percent of total billed charges		1668	100			Percent of total billed charges		1668	33.3			Percent of total billed charges		555.444	33.3			Percent of total billed charges		555.444	100			Percent of total billed charges		1668	555.444	1501.2	
genesis ii posterior stabilized insert size 5-6 13mm 71420834 s/n	278	RC	Outpatient			1668	1084.2		90			Percent of total billed charges		1501.2	40			Percent of total billed charges		667.2	80			Percent of total billed charges		1334.4	90			Percent of total billed charges		1501.2	85			Percent of total billed charges		1417.8	85			Percent of total billed charges		1417.8	85			Percent of total billed charges		1417.8	100			Percent of total billed charges		1668	100			Percent of total billed charges		1668	100			Percent of total billed charges		1668	33.3			Percent of total billed charges		555.444	33.3			Percent of total billed charges		555.444	100			Percent of total billed charges		1668	555.444	1501.2	
genesis ii posterior stabilized insert size 5-6 18mm 71420838 s/n	278	RC	Outpatient			1668	1084.2		90			Percent of total billed charges		1501.2	40			Percent of total billed charges		667.2	80			Percent of total billed charges		1334.4	90			Percent of total billed charges		1501.2	85			Percent of total billed charges		1417.8	85			Percent of total billed charges		1417.8	85			Percent of total billed charges		1417.8	100			Percent of total billed charges		1668	100			Percent of total billed charges		1668	100			Percent of total billed charges		1668	33.3			Percent of total billed charges		555.444	33.3			Percent of total billed charges		555.444	100			Percent of total billed charges		1668	555.444	1501.2	
grafton 5cc dbm putty a43105 osteotech	278	RC	Outpatient			1668	1084.2		90			Percent of total billed charges		1501.2	40			Percent of total billed charges		667.2	80			Percent of total billed charges		1334.4	90			Percent of total billed charges		1501.2	85			Percent of total billed charges		1417.8	85			Percent of total billed charges		1417.8	85			Percent of total billed charges		1417.8	100			Percent of total billed charges		1668	100			Percent of total billed charges		1668	100			Percent of total billed charges		1668	33.3			Percent of total billed charges		555.444	33.3			Percent of total billed charges		555.444	100			Percent of total billed charges		1668	555.444	1501.2	
rich gii ps art insr stnd	278	RC	Outpatient			1668	1084.2		90			Percent of total billed charges		1501.2	40			Percent of total billed charges		667.2	80			Percent of total billed charges		1334.4	90			Percent of total billed charges		1501.2	85			Percent of total billed charges		1417.8	85			Percent of total billed charges		1417.8	85			Percent of total billed charges		1417.8	100			Percent of total billed charges		1668	100			Percent of total billed charges		1668	100			Percent of total billed charges		1668	33.3			Percent of total billed charges		555.444	33.3			Percent of total billed charges		555.444	100			Percent of total billed charges		1668	555.444	1501.2	
endo egd & varcies banding	750	RC	Outpatient			1671	1086.15		90			Percent of total billed charges		1503.9	40			Percent of total billed charges		668.4	80			Percent of total billed charges		1336.8	90			Percent of total billed charges		1503.9	85			Percent of total billed charges		1420.35	85			Percent of total billed charges		1420.35	85			Percent of total billed charges		1420.35	100			Percent of total billed charges		1671	100			Percent of total billed charges		1671	100			Percent of total billed charges		1671	33.3			Percent of total billed charges		556.443	33.3			Percent of total billed charges		556.443	100			Percent of total billed charges		1671	556.443	1503.9	
endo egd with erbe proc (apc)	750	RC	Outpatient			1671	1086.15		90			Percent of total billed charges		1503.9	40			Percent of total billed charges		668.4	80			Percent of total billed charges		1336.8	90			Percent of total billed charges		1503.9	85			Percent of total billed charges		1420.35	85			Percent of total billed charges		1420.35	85			Percent of total billed charges		1420.35	100			Percent of total billed charges		1671	100			Percent of total billed charges		1671	100			Percent of total billed charges		1671	33.3			Percent of total billed charges		556.443	33.3			Percent of total billed charges		556.443	100			Percent of total billed charges		1671	556.443	1503.9	
eye or time	270	RC	Outpatient			1671	1086.15		90			Percent of total billed charges		1503.9	40			Percent of total billed charges		668.4	80			Percent of total billed charges		1336.8	90			Percent of total billed charges		1503.9	85			Percent of total billed charges		1420.35	85			Percent of total billed charges		1420.35	85			Percent of total billed charges		1420.35	100			Percent of total billed charges		1671	100			Percent of total billed charges		1671	100			Percent of total billed charges		1671	33.3			Percent of total billed charges		556.443	33.3			Percent of total billed charges		556.443	100			Percent of total billed charges		1671	556.443	1503.9	
l&d nonscheduled c/s	720	RC	Outpatient			1671	1086.15		90			Percent of total billed charges		1503.9	40			Percent of total billed charges		668.4	80			Percent of total billed charges		1336.8	90			Percent of total billed charges		1503.9	85			Percent of total billed charges		1420.35	85			Percent of total billed charges		1420.35	85			Percent of total billed charges		1420.35	100			Percent of total billed charges		1671	100			Percent of total billed charges		1671	100			Percent of total billed charges		1671	33.3			Percent of total billed charges		556.443	33.3			Percent of total billed charges		556.443	100			Percent of total billed charges		1671	556.443	1503.9	
lateral dist humeral locking plate 5h l 71822405 s/n	278	RC	Outpatient			1671	1086.15		90			Percent of total billed charges		1503.9	40			Percent of total billed charges		668.4	80			Percent of total billed charges		1336.8	90			Percent of total billed charges		1503.9	85			Percent of total billed charges		1420.35	85			Percent of total billed charges		1420.35	85			Percent of total billed charges		1420.35	100			Percent of total billed charges		1671	100			Percent of total billed charges		1671	100			Percent of total billed charges		1671	33.3			Percent of total billed charges		556.443	33.3			Percent of total billed charges		556.443	100			Percent of total billed charges		1671	556.443	1503.9	
med distal humeral locking plate 5h r 71821805 s/n	278	RC	Outpatient			1671	1086.15		90			Percent of total billed charges		1503.9	40			Percent of total billed charges		668.4	80			Percent of total billed charges		1336.8	90			Percent of total billed charges		1503.9	85			Percent of total billed charges		1420.35	85			Percent of total billed charges		1420.35	85			Percent of total billed charges		1420.35	100			Percent of total billed charges		1671	100			Percent of total billed charges		1671	100			Percent of total billed charges		1671	33.3			Percent of total billed charges		556.443	33.3			Percent of total billed charges		556.443	100			Percent of total billed charges		1671	556.443	1503.9	
lateral dist humeral locking plate 5h r 71822505 s/n	278	RC	Outpatient			1671	1086.15		90			Percent of total billed charges		1503.9	40			Percent of total billed charges		668.4	80			Percent of total billed charges		1336.8	90			Percent of total billed charges		1503.9	85			Percent of total billed charges		1420.35	85			Percent of total billed charges		1420.35	85			Percent of total billed charges		1420.35	100			Percent of total billed charges		1671	100			Percent of total billed charges		1671	100			Percent of total billed charges		1671	33.3			Percent of total billed charges		556.443	33.3			Percent of total billed charges		556.443	100			Percent of total billed charges		1671	556.443	1503.9	
med distal humeral locking plate 5h l 71821905 s/n	278	RC	Outpatient			1671	1086.15		90			Percent of total billed charges		1503.9	40			Percent of total billed charges		668.4	80			Percent of total billed charges		1336.8	90			Percent of total billed charges		1503.9	85			Percent of total billed charges		1420.35	85			Percent of total billed charges		1420.35	85			Percent of total billed charges		1420.35	100			Percent of total billed charges		1671	100			Percent of total billed charges		1671	100			Percent of total billed charges		1671	33.3			Percent of total billed charges		556.443	33.3			Percent of total billed charges		556.443	100			Percent of total billed charges		1671	556.443	1503.9	
s/n cloverleaf plate 8 hole 7114-0628	278	RC	Outpatient			1671	1086.15		90			Percent of total billed charges		1503.9	40			Percent of total billed charges		668.4	80			Percent of total billed charges		1336.8	90			Percent of total billed charges		1503.9	85			Percent of total billed charges		1420.35	85			Percent of total billed charges		1420.35	85			Percent of total billed charges		1420.35	100			Percent of total billed charges		1671	100			Percent of total billed charges		1671	100			Percent of total billed charges		1671	33.3			Percent of total billed charges		556.443	33.3			Percent of total billed charges		556.443	100			Percent of total billed charges		1671	556.443	1503.9	
s/n cloverleaf plate 9 hole 7114-0629	278	RC	Outpatient			1671	1086.15		90			Percent of total billed charges		1503.9	40			Percent of total billed charges		668.4	80			Percent of total billed charges		1336.8	90			Percent of total billed charges		1503.9	85			Percent of total billed charges		1420.35	85			Percent of total billed charges		1420.35	85			Percent of total billed charges		1420.35	100			Percent of total billed charges		1671	100			Percent of total billed charges		1671	100			Percent of total billed charges		1671	33.3			Percent of total billed charges		556.443	33.3			Percent of total billed charges		556.443	100			Percent of total billed charges		1671	556.443	1503.9	
s/n latdist hum lk pl 5h	278	RC	Outpatient			1671	1086.15		90			Percent of total billed charges		1503.9	40			Percent of total billed charges		668.4	80			Percent of total billed charges		1336.8	90			Percent of total billed charges		1503.9	85			Percent of total billed charges		1420.35	85			Percent of total billed charges		1420.35	85			Percent of total billed charges		1420.35	100			Percent of total billed charges		1671	100			Percent of total billed charges		1671	100			Percent of total billed charges		1671	33.3			Percent of total billed charges		556.443	33.3			Percent of total billed charges		556.443	100			Percent of total billed charges		1671	556.443	1503.9	
s/n meddist hum lk pl 5h	278	RC	Outpatient			1671	1086.15		90			Percent of total billed charges		1503.9	40			Percent of total billed charges		668.4	80			Percent of total billed charges		1336.8	90			Percent of total billed charges		1503.9	85			Percent of total billed charges		1420.35	85			Percent of total billed charges		1420.35	85			Percent of total billed charges		1420.35	100			Percent of total billed charges		1671	100			Percent of total billed charges		1671	100			Percent of total billed charges		1671	33.3			Percent of total billed charges		556.443	33.3			Percent of total billed charges		556.443	100			Percent of total billed charges		1671	556.443	1503.9	
sm fr pl cloverleaf 8-9hl	278	RC	Outpatient			1671	1086.15		90			Percent of total billed charges		1503.9	40			Percent of total billed charges		668.4	80			Percent of total billed charges		1336.8	90			Percent of total billed charges		1503.9	85			Percent of total billed charges		1420.35	85			Percent of total billed charges		1420.35	85			Percent of total billed charges		1420.35	100			Percent of total billed charges		1671	100			Percent of total billed charges		1671	100			Percent of total billed charges		1671	33.3			Percent of total billed charges		556.443	33.3			Percent of total billed charges		556.443	100			Percent of total billed charges		1671	556.443	1503.9	
cosmetic - perioral or periorbital laser	983	RC	Outpatient			1672	1086.8		90			Percent of total billed charges		1504.8	40			Percent of total billed charges		668.8	80			Percent of total billed charges		1337.6	90			Percent of total billed charges		1504.8	85			Percent of total billed charges		1421.2	85			Percent of total billed charges		1421.2	85			Percent of total billed charges		1421.2	100			Percent of total billed charges		1672	100			Percent of total billed charges		1672	100			Percent of total billed charges		1672	33.3			Percent of total billed charges		556.776	33.3			Percent of total billed charges		556.776	100			Percent of total billed charges		1672	556.776	1504.8	
richards hip fx stem	278	RC	Outpatient			1674	1088.1		90			Percent of total billed charges		1506.6	40			Percent of total billed charges		669.6	80			Percent of total billed charges		1339.2	90			Percent of total billed charges		1506.6	85			Percent of total billed charges		1422.9	85			Percent of total billed charges		1422.9	85			Percent of total billed charges		1422.9	100			Percent of total billed charges		1674	100			Percent of total billed charges		1674	100			Percent of total billed charges		1674	33.3			Percent of total billed charges		557.442	33.3			Percent of total billed charges		557.442	100			Percent of total billed charges		1674	557.442	1506.6	
anesthesia time 5 1/2 hours	370	RC	Outpatient			1676	1089.4		90			Percent of total billed charges		1508.4	40			Percent of total billed charges		670.4	80			Percent of total billed charges		1340.8	90			Percent of total billed charges		1508.4	85			Percent of total billed charges		1424.6	85			Percent of total billed charges		1424.6	85			Percent of total billed charges		1424.6	100			Percent of total billed charges		1676	100			Percent of total billed charges		1676	100			Percent of total billed charges		1676	33.3			Percent of total billed charges		558.108	33.3			Percent of total billed charges		558.108	100			Percent of total billed charges		1676	558.108	1508.4	
bio oss tib bearing	278	RC	Outpatient			1677	1090.05		90			Percent of total billed charges		1509.3	40			Percent of total billed charges		670.8	80			Percent of total billed charges		1341.6	90			Percent of total billed charges		1509.3	85			Percent of total billed charges		1425.45	85			Percent of total billed charges		1425.45	85			Percent of total billed charges		1425.45	100			Percent of total billed charges		1677	100			Percent of total billed charges		1677	100			Percent of total billed charges		1677	33.3			Percent of total billed charges		558.441	33.3			Percent of total billed charges		558.441	100			Percent of total billed charges		1677	558.441	1509.3	
oss 12mm tibial bearing 150410 biomet	278	RC	Outpatient			1677	1090.05		90			Percent of total billed charges		1509.3	40			Percent of total billed charges		670.8	80			Percent of total billed charges		1341.6	90			Percent of total billed charges		1509.3	85			Percent of total billed charges		1425.45	85			Percent of total billed charges		1425.45	85			Percent of total billed charges		1425.45	100			Percent of total billed charges		1677	100			Percent of total billed charges		1677	100			Percent of total billed charges		1677	33.3			Percent of total billed charges		558.441	33.3			Percent of total billed charges		558.441	100			Percent of total billed charges		1677	558.441	1509.3	
oss 14mm tibial bearing 150411 biomet	278	RC	Outpatient			1677	1090.05		90			Percent of total billed charges		1509.3	40			Percent of total billed charges		670.8	80			Percent of total billed charges		1341.6	90			Percent of total billed charges		1509.3	85			Percent of total billed charges		1425.45	85			Percent of total billed charges		1425.45	85			Percent of total billed charges		1425.45	100			Percent of total billed charges		1677	100			Percent of total billed charges		1677	100			Percent of total billed charges		1677	33.3			Percent of total billed charges		558.441	33.3			Percent of total billed charges		558.441	100			Percent of total billed charges		1677	558.441	1509.3	
12mm x 130mm shoulder stem sh-1213-s polarus	278	RC	Outpatient			1681	1092.65		90			Percent of total billed charges		1512.9	40			Percent of total billed charges		672.4	80			Percent of total billed charges		1344.8	90			Percent of total billed charges		1512.9	85			Percent of total billed charges		1428.85	85			Percent of total billed charges		1428.85	85			Percent of total billed charges		1428.85	100			Percent of total billed charges		1681	100			Percent of total billed charges		1681	100			Percent of total billed charges		1681	33.3			Percent of total billed charges		559.773	33.3			Percent of total billed charges		559.773	100			Percent of total billed charges		1681	559.773	1512.9	
13mm x 130mm shoulder stem sh-1313-s polarus	278	RC	Outpatient			1681	1092.65		90			Percent of total billed charges		1512.9	40			Percent of total billed charges		672.4	80			Percent of total billed charges		1344.8	90			Percent of total billed charges		1512.9	85			Percent of total billed charges		1428.85	85			Percent of total billed charges		1428.85	85			Percent of total billed charges		1428.85	100			Percent of total billed charges		1681	100			Percent of total billed charges		1681	100			Percent of total billed charges		1681	33.3			Percent of total billed charges		559.773	33.3			Percent of total billed charges		559.773	100			Percent of total billed charges		1681	559.773	1512.9	
14mm x 130mm shoulder stem sh-1413-s polarus	278	RC	Outpatient			1681	1092.65		90			Percent of total billed charges		1512.9	40			Percent of total billed charges		672.4	80			Percent of total billed charges		1344.8	90			Percent of total billed charges		1512.9	85			Percent of total billed charges		1428.85	85			Percent of total billed charges		1428.85	85			Percent of total billed charges		1428.85	100			Percent of total billed charges		1681	100			Percent of total billed charges		1681	100			Percent of total billed charges		1681	33.3			Percent of total billed charges		559.773	33.3			Percent of total billed charges		559.773	100			Percent of total billed charges		1681	559.773	1512.9	
7mm x 130mm shoulder stem sh-0713-s polarus	278	RC	Outpatient			1681	1092.65		90			Percent of total billed charges		1512.9	40			Percent of total billed charges		672.4	80			Percent of total billed charges		1344.8	90			Percent of total billed charges		1512.9	85			Percent of total billed charges		1428.85	85			Percent of total billed charges		1428.85	85			Percent of total billed charges		1428.85	100			Percent of total billed charges		1681	100			Percent of total billed charges		1681	100			Percent of total billed charges		1681	33.3			Percent of total billed charges		559.773	33.3			Percent of total billed charges		559.773	100			Percent of total billed charges		1681	559.773	1512.9	
8mm x 130mm shoulder stem sh-0813-s polarus	278	RC	Outpatient			1681	1092.65		90			Percent of total billed charges		1512.9	40			Percent of total billed charges		672.4	80			Percent of total billed charges		1344.8	90			Percent of total billed charges		1512.9	85			Percent of total billed charges		1428.85	85			Percent of total billed charges		1428.85	85			Percent of total billed charges		1428.85	100			Percent of total billed charges		1681	100			Percent of total billed charges		1681	100			Percent of total billed charges		1681	33.3			Percent of total billed charges		559.773	33.3			Percent of total billed charges		559.773	100			Percent of total billed charges		1681	559.773	1512.9	
10mm x 130mm shoulder stem sh-1013-s polarus	278	RC	Outpatient			1681	1092.65		90			Percent of total billed charges		1512.9	40			Percent of total billed charges		672.4	80			Percent of total billed charges		1344.8	90			Percent of total billed charges		1512.9	85			Percent of total billed charges		1428.85	85			Percent of total billed charges		1428.85	85			Percent of total billed charges		1428.85	100			Percent of total billed charges		1681	100			Percent of total billed charges		1681	100			Percent of total billed charges		1681	33.3			Percent of total billed charges		559.773	33.3			Percent of total billed charges		559.773	100			Percent of total billed charges		1681	559.773	1512.9	
11mm x 130mm shoulder stem sh-1113-s polarus	278	RC	Outpatient			1681	1092.65		90			Percent of total billed charges		1512.9	40			Percent of total billed charges		672.4	80			Percent of total billed charges		1344.8	90			Percent of total billed charges		1512.9	85			Percent of total billed charges		1428.85	85			Percent of total billed charges		1428.85	85			Percent of total billed charges		1428.85	100			Percent of total billed charges		1681	100			Percent of total billed charges		1681	100			Percent of total billed charges		1681	33.3			Percent of total billed charges		559.773	33.3			Percent of total billed charges		559.773	100			Percent of total billed charges		1681	559.773	1512.9	
15mm x 130mm shoulder stem sh-1513-s polarus	278	RC	Outpatient			1681	1092.65		90			Percent of total billed charges		1512.9	40			Percent of total billed charges		672.4	80			Percent of total billed charges		1344.8	90			Percent of total billed charges		1512.9	85			Percent of total billed charges		1428.85	85			Percent of total billed charges		1428.85	85			Percent of total billed charges		1428.85	100			Percent of total billed charges		1681	100			Percent of total billed charges		1681	100			Percent of total billed charges		1681	33.3			Percent of total billed charges		559.773	33.3			Percent of total billed charges		559.773	100			Percent of total billed charges		1681	559.773	1512.9	
9mm x 130mm shoulder stem sh-0913-s polarus	278	RC	Outpatient			1681	1092.65		90			Percent of total billed charges		1512.9	40			Percent of total billed charges		672.4	80			Percent of total billed charges		1344.8	90			Percent of total billed charges		1512.9	85			Percent of total billed charges		1428.85	85			Percent of total billed charges		1428.85	85			Percent of total billed charges		1428.85	100			Percent of total billed charges		1681	100			Percent of total billed charges		1681	100			Percent of total billed charges		1681	33.3			Percent of total billed charges		559.773	33.3			Percent of total billed charges		559.773	100			Percent of total billed charges		1681	559.773	1512.9	
polarus short stems	278	RC	Outpatient			1681	1092.65		90			Percent of total billed charges		1512.9	40			Percent of total billed charges		672.4	80			Percent of total billed charges		1344.8	90			Percent of total billed charges		1512.9	85			Percent of total billed charges		1428.85	85			Percent of total billed charges		1428.85	85			Percent of total billed charges		1428.85	100			Percent of total billed charges		1681	100			Percent of total billed charges		1681	100			Percent of total billed charges		1681	33.3			Percent of total billed charges		559.773	33.3			Percent of total billed charges		559.773	100			Percent of total billed charges		1681	559.773	1512.9	
endo colon w/gold/silver probe	750	RC	Outpatient			1685	1095.25		90			Percent of total billed charges		1516.5	40			Percent of total billed charges		674	80			Percent of total billed charges		1348	90			Percent of total billed charges		1516.5	85			Percent of total billed charges		1432.25	85			Percent of total billed charges		1432.25	85			Percent of total billed charges		1432.25	100			Percent of total billed charges		1685	100			Percent of total billed charges		1685	100			Percent of total billed charges		1685	33.3			Percent of total billed charges		561.105	33.3			Percent of total billed charges		561.105	100			Percent of total billed charges		1685	561.105	1516.5	
ir renal cath perc drain +/or inj lt	320	RC	Outpatient			1685	1095.25		90			Percent of total billed charges		1516.5	40			Percent of total billed charges		674	80			Percent of total billed charges		1348	90			Percent of total billed charges		1516.5	85			Percent of total billed charges		1432.25	85			Percent of total billed charges		1432.25	85			Percent of total billed charges		1432.25	100			Percent of total billed charges		1685	100			Percent of total billed charges		1685	100			Percent of total billed charges		1685	33.3			Percent of total billed charges		561.105	33.3			Percent of total billed charges		561.105	100			Percent of total billed charges		1685	561.105	1516.5	
ir ureteral cath/stent place perc bilate	320	RC	Outpatient			1685	1095.25		90			Percent of total billed charges		1516.5	40			Percent of total billed charges		674	80			Percent of total billed charges		1348	90			Percent of total billed charges		1516.5	85			Percent of total billed charges		1432.25	85			Percent of total billed charges		1432.25	85			Percent of total billed charges		1432.25	100			Percent of total billed charges		1685	100			Percent of total billed charges		1685	100			Percent of total billed charges		1685	33.3			Percent of total billed charges		561.105	33.3			Percent of total billed charges		561.105	100			Percent of total billed charges		1685	561.105	1516.5	
ir renal cath perc drain +/or inj rt	320	RC	Outpatient			1685	1095.25		90			Percent of total billed charges		1516.5	40			Percent of total billed charges		674	80			Percent of total billed charges		1348	90			Percent of total billed charges		1516.5	85			Percent of total billed charges		1432.25	85			Percent of total billed charges		1432.25	85			Percent of total billed charges		1432.25	100			Percent of total billed charges		1685	100			Percent of total billed charges		1685	100			Percent of total billed charges		1685	33.3			Percent of total billed charges		561.105	33.3			Percent of total billed charges		561.105	100			Percent of total billed charges		1685	561.105	1516.5	
lg fr pl h00k	278	RC	Outpatient			1686	1095.9		90			Percent of total billed charges		1517.4	40			Percent of total billed charges		674.4	80			Percent of total billed charges		1348.8	90			Percent of total billed charges		1517.4	85			Percent of total billed charges		1433.1	85			Percent of total billed charges		1433.1	85			Percent of total billed charges		1433.1	100			Percent of total billed charges		1686	100			Percent of total billed charges		1686	100			Percent of total billed charges		1686	33.3			Percent of total billed charges		561.438	33.3			Percent of total billed charges		561.438	100			Percent of total billed charges		1686	561.438	1517.4	
s/n lg frag  plate 4 hole  7114-1704	278	RC	Outpatient			1686	1095.9		90			Percent of total billed charges		1517.4	40			Percent of total billed charges		674.4	80			Percent of total billed charges		1348.8	90			Percent of total billed charges		1517.4	85			Percent of total billed charges		1433.1	85			Percent of total billed charges		1433.1	85			Percent of total billed charges		1433.1	100			Percent of total billed charges		1686	100			Percent of total billed charges		1686	100			Percent of total billed charges		1686	33.3			Percent of total billed charges		561.438	33.3			Percent of total billed charges		561.438	100			Percent of total billed charges		1686	561.438	1517.4	
hta set	272	RC	Outpatient			1693	1100.45		90			Percent of total billed charges		1523.7	40			Percent of total billed charges		677.2	80			Percent of total billed charges		1354.4	90			Percent of total billed charges		1523.7	85			Percent of total billed charges		1439.05	85			Percent of total billed charges		1439.05	85			Percent of total billed charges		1439.05	100			Percent of total billed charges		1693	100			Percent of total billed charges		1693	100			Percent of total billed charges		1693	33.3			Percent of total billed charges		563.769	33.3			Percent of total billed charges		563.769	100			Percent of total billed charges		1693	563.769	1523.7	
procedure set 55015 boston scientific	272	RC	Outpatient			1693	1100.45		90			Percent of total billed charges		1523.7	40			Percent of total billed charges		677.2	80			Percent of total billed charges		1354.4	90			Percent of total billed charges		1523.7	85			Percent of total billed charges		1439.05	85			Percent of total billed charges		1439.05	85			Percent of total billed charges		1439.05	100			Percent of total billed charges		1693	100			Percent of total billed charges		1693	100			Percent of total billed charges		1693	33.3			Percent of total billed charges		563.769	33.3			Percent of total billed charges		563.769	100			Percent of total billed charges		1693	563.769	1523.7	
arhthex graftrope ar-2258	278	RC	Outpatient			1695	1101.75		90			Percent of total billed charges		1525.5	40			Percent of total billed charges		678	80			Percent of total billed charges		1356	90			Percent of total billed charges		1525.5	85			Percent of total billed charges		1440.75	85			Percent of total billed charges		1440.75	85			Percent of total billed charges		1440.75	100			Percent of total billed charges		1695	100			Percent of total billed charges		1695	100			Percent of total billed charges		1695	33.3			Percent of total billed charges		564.435	33.3			Percent of total billed charges		564.435	100			Percent of total billed charges		1695	564.435	1525.5	
arthrex graftrope	278	RC	Outpatient			1695	1101.75		90			Percent of total billed charges		1525.5	40			Percent of total billed charges		678	80			Percent of total billed charges		1356	90			Percent of total billed charges		1525.5	85			Percent of total billed charges		1440.75	85			Percent of total billed charges		1440.75	85			Percent of total billed charges		1440.75	100			Percent of total billed charges		1695	100			Percent of total billed charges		1695	100			Percent of total billed charges		1695	33.3			Percent of total billed charges		564.435	33.3			Percent of total billed charges		564.435	100			Percent of total billed charges		1695	564.435	1525.5	
curved recon plate 3.5mm 14 hole x 166mm 7114-0614 s/n	278	RC	Outpatient			1696	1102.4		90			Percent of total billed charges		1526.4	40			Percent of total billed charges		678.4	80			Percent of total billed charges		1356.8	90			Percent of total billed charges		1526.4	85			Percent of total billed charges		1441.6	85			Percent of total billed charges		1441.6	85			Percent of total billed charges		1441.6	100			Percent of total billed charges		1696	100			Percent of total billed charges		1696	100			Percent of total billed charges		1696	33.3			Percent of total billed charges		564.768	33.3			Percent of total billed charges		564.768	100			Percent of total billed charges		1696	564.768	1526.4	
curved recon plate 3.5mm 16 hole x 190mm 7114-0616 s/n	278	RC	Outpatient			1696	1102.4		90			Percent of total billed charges		1526.4	40			Percent of total billed charges		678.4	80			Percent of total billed charges		1356.8	90			Percent of total billed charges		1526.4	85			Percent of total billed charges		1441.6	85			Percent of total billed charges		1441.6	85			Percent of total billed charges		1441.6	100			Percent of total billed charges		1696	100			Percent of total billed charges		1696	100			Percent of total billed charges		1696	33.3			Percent of total billed charges		564.768	33.3			Percent of total billed charges		564.768	100			Percent of total billed charges		1696	564.768	1526.4	
s/n 3.5 c recon pl14-16hl	278	RC	Outpatient			1696	1102.4		90			Percent of total billed charges		1526.4	40			Percent of total billed charges		678.4	80			Percent of total billed charges		1356.8	90			Percent of total billed charges		1526.4	85			Percent of total billed charges		1441.6	85			Percent of total billed charges		1441.6	85			Percent of total billed charges		1441.6	100			Percent of total billed charges		1696	100			Percent of total billed charges		1696	100			Percent of total billed charges		1696	33.3			Percent of total billed charges		564.768	33.3			Percent of total billed charges		564.768	100			Percent of total billed charges		1696	564.768	1526.4	
acu-loc  ex narrow 70-0064 acumed	278	RC	Outpatient			1697	1103.05		90			Percent of total billed charges		1527.3	40			Percent of total billed charges		678.8	80			Percent of total billed charges		1357.6	90			Percent of total billed charges		1527.3	85			Percent of total billed charges		1442.45	85			Percent of total billed charges		1442.45	85			Percent of total billed charges		1442.45	100			Percent of total billed charges		1697	100			Percent of total billed charges		1697	100			Percent of total billed charges		1697	33.3			Percent of total billed charges		565.101	33.3			Percent of total billed charges		565.101	100			Percent of total billed charges		1697	565.101	1527.3	
acu-loc ex standard  70-0063 acumed	278	RC	Outpatient			1697	1103.05		90			Percent of total billed charges		1527.3	40			Percent of total billed charges		678.8	80			Percent of total billed charges		1357.6	90			Percent of total billed charges		1527.3	85			Percent of total billed charges		1442.45	85			Percent of total billed charges		1442.45	85			Percent of total billed charges		1442.45	100			Percent of total billed charges		1697	100			Percent of total billed charges		1697	100			Percent of total billed charges		1697	33.3			Percent of total billed charges		565.101	33.3			Percent of total billed charges		565.101	100			Percent of total billed charges		1697	565.101	1527.3	
acumed dist rad plt ex	278	RC	Outpatient			1697	1103.05		90			Percent of total billed charges		1527.3	40			Percent of total billed charges		678.8	80			Percent of total billed charges		1357.6	90			Percent of total billed charges		1527.3	85			Percent of total billed charges		1442.45	85			Percent of total billed charges		1442.45	85			Percent of total billed charges		1442.45	100			Percent of total billed charges		1697	100			Percent of total billed charges		1697	100			Percent of total billed charges		1697	33.3			Percent of total billed charges		565.101	33.3			Percent of total billed charges		565.101	100			Percent of total billed charges		1697	565.101	1527.3	
cath lab tendril- s dx 1688tc/52	272	RC	Outpatient			1698	1103.7		90			Percent of total billed charges		1528.2	40			Percent of total billed charges		679.2	80			Percent of total billed charges		1358.4	90			Percent of total billed charges		1528.2	85			Percent of total billed charges		1443.3	85			Percent of total billed charges		1443.3	85			Percent of total billed charges		1443.3	100			Percent of total billed charges		1698	100			Percent of total billed charges		1698	100			Percent of total billed charges		1698	33.3			Percent of total billed charges		565.434	33.3			Percent of total billed charges		565.434	100			Percent of total billed charges		1698	565.434	1528.2	
st jude 1688tc/52tend-sdx	272	RC	Outpatient			1698	1103.7		90			Percent of total billed charges		1528.2	40			Percent of total billed charges		679.2	80			Percent of total billed charges		1358.4	90			Percent of total billed charges		1528.2	85			Percent of total billed charges		1443.3	85			Percent of total billed charges		1443.3	85			Percent of total billed charges		1443.3	100			Percent of total billed charges		1698	100			Percent of total billed charges		1698	100			Percent of total billed charges		1698	33.3			Percent of total billed charges		565.434	33.3			Percent of total billed charges		565.434	100			Percent of total billed charges		1698	565.434	1528.2	
arthrex pl lck st 10h	278	RC	Outpatient			1705	1108.25		90			Percent of total billed charges		1534.5	40			Percent of total billed charges		682	80			Percent of total billed charges		1364	90			Percent of total billed charges		1534.5	85			Percent of total billed charges		1449.25	85			Percent of total billed charges		1449.25	85			Percent of total billed charges		1449.25	100			Percent of total billed charges		1705	100			Percent of total billed charges		1705	100			Percent of total billed charges		1705	33.3			Percent of total billed charges		567.765	33.3			Percent of total billed charges		567.765	100			Percent of total billed charges		1705	567.765	1534.5	
bravo activation ed charge scnt (trauma reg only)	683	RC	Outpatient			1705	1108.25		90			Percent of total billed charges		1534.5	40			Percent of total billed charges		682	80			Percent of total billed charges		1364	90			Percent of total billed charges		1534.5	85			Percent of total billed charges		1449.25	85			Percent of total billed charges		1449.25	85			Percent of total billed charges		1449.25	100			Percent of total billed charges		1705	100			Percent of total billed charges		1705	100			Percent of total billed charges		1705	33.3			Percent of total billed charges		567.765	33.3			Percent of total billed charges		567.765	100			Percent of total billed charges		1705	567.765	1534.5	
breat imp 27500 adj	278	RC	Outpatient			1705	1108.25		90			Percent of total billed charges		1534.5	40			Percent of total billed charges		682	80			Percent of total billed charges		1364	90			Percent of total billed charges		1534.5	85			Percent of total billed charges		1449.25	85			Percent of total billed charges		1449.25	85			Percent of total billed charges		1449.25	100			Percent of total billed charges		1705	100			Percent of total billed charges		1705	100			Percent of total billed charges		1705	33.3			Percent of total billed charges		567.765	33.3			Percent of total billed charges		567.765	100			Percent of total billed charges		1705	567.765	1534.5	
arthrex locking straight plate 10  hole ar-8943c-10	278	RC	Outpatient			1705	1108.25		90			Percent of total billed charges		1534.5	40			Percent of total billed charges		682	80			Percent of total billed charges		1364	90			Percent of total billed charges		1534.5	85			Percent of total billed charges		1449.25	85			Percent of total billed charges		1449.25	85			Percent of total billed charges		1449.25	100			Percent of total billed charges		1705	100			Percent of total billed charges		1705	100			Percent of total billed charges		1705	33.3			Percent of total billed charges		567.765	33.3			Percent of total billed charges		567.765	100			Percent of total billed charges		1705	567.765	1534.5	
breast imp 325cc adj	278	RC	Outpatient			1705	1108.25		90			Percent of total billed charges		1534.5	40			Percent of total billed charges		682	80			Percent of total billed charges		1364	90			Percent of total billed charges		1534.5	85			Percent of total billed charges		1449.25	85			Percent of total billed charges		1449.25	85			Percent of total billed charges		1449.25	100			Percent of total billed charges		1705	100			Percent of total billed charges		1705	100			Percent of total billed charges		1705	33.3			Percent of total billed charges		567.765	33.3			Percent of total billed charges		567.765	100			Percent of total billed charges		1705	567.765	1534.5	
external fixation 99-36501	278	RC	Outpatient			1705	1108.25		90			Percent of total billed charges		1534.5	40			Percent of total billed charges		682	80			Percent of total billed charges		1364	90			Percent of total billed charges		1534.5	85			Percent of total billed charges		1449.25	85			Percent of total billed charges		1449.25	85			Percent of total billed charges		1449.25	100			Percent of total billed charges		1705	100			Percent of total billed charges		1705	100			Percent of total billed charges		1705	33.3			Percent of total billed charges		567.765	33.3			Percent of total billed charges		567.765	100			Percent of total billed charges		1705	567.765	1534.5	
orthofix externl fixation	278	RC	Outpatient			1705	1108.25		90			Percent of total billed charges		1534.5	40			Percent of total billed charges		682	80			Percent of total billed charges		1364	90			Percent of total billed charges		1534.5	85			Percent of total billed charges		1449.25	85			Percent of total billed charges		1449.25	85			Percent of total billed charges		1449.25	100			Percent of total billed charges		1705	100			Percent of total billed charges		1705	100			Percent of total billed charges		1705	33.3			Percent of total billed charges		567.765	33.3			Percent of total billed charges		567.765	100			Percent of total billed charges		1705	567.765	1534.5	
spectrim smooth round 325cc adjustable breast implant mentor 350-1450	278	RC	Outpatient			1705	1108.25		90			Percent of total billed charges		1534.5	40			Percent of total billed charges		682	80			Percent of total billed charges		1364	90			Percent of total billed charges		1534.5	85			Percent of total billed charges		1449.25	85			Percent of total billed charges		1449.25	85			Percent of total billed charges		1449.25	100			Percent of total billed charges		1705	100			Percent of total billed charges		1705	100			Percent of total billed charges		1705	33.3			Percent of total billed charges		567.765	33.3			Percent of total billed charges		567.765	100			Percent of total billed charges		1705	567.765	1534.5	
tissue expander 575cc	278	RC	Outpatient			1705	1108.25		90			Percent of total billed charges		1534.5	40			Percent of total billed charges		682	80			Percent of total billed charges		1364	90			Percent of total billed charges		1534.5	85			Percent of total billed charges		1449.25	85			Percent of total billed charges		1449.25	85			Percent of total billed charges		1449.25	100			Percent of total billed charges		1705	100			Percent of total billed charges		1705	100			Percent of total billed charges		1705	33.3			Percent of total billed charges		567.765	33.3			Percent of total billed charges		567.765	100			Percent of total billed charges		1705	567.765	1534.5	
spectrim smooth round 275cc adjustable breast implant mentor 350-1440	278	RC	Outpatient			1705	1108.25		90			Percent of total billed charges		1534.5	40			Percent of total billed charges		682	80			Percent of total billed charges		1364	90			Percent of total billed charges		1534.5	85			Percent of total billed charges		1449.25	85			Percent of total billed charges		1449.25	85			Percent of total billed charges		1449.25	100			Percent of total billed charges		1705	100			Percent of total billed charges		1705	100			Percent of total billed charges		1705	33.3			Percent of total billed charges		567.765	33.3			Percent of total billed charges		567.765	100			Percent of total billed charges		1705	567.765	1534.5	
spectrum smooth round breast tissue expander 575cc 350-1490 mentor	278	RC	Outpatient			1705	1108.25		90			Percent of total billed charges		1534.5	40			Percent of total billed charges		682	80			Percent of total billed charges		1364	90			Percent of total billed charges		1534.5	85			Percent of total billed charges		1449.25	85			Percent of total billed charges		1449.25	85			Percent of total billed charges		1449.25	100			Percent of total billed charges		1705	100			Percent of total billed charges		1705	100			Percent of total billed charges		1705	33.3			Percent of total billed charges		567.765	33.3			Percent of total billed charges		567.765	100			Percent of total billed charges		1705	567.765	1534.5	
zenith occulder	278	RC	Outpatient			1705	1108.25		90			Percent of total billed charges		1534.5	40			Percent of total billed charges		682	80			Percent of total billed charges		1364	90			Percent of total billed charges		1534.5	85			Percent of total billed charges		1449.25	85			Percent of total billed charges		1449.25	85			Percent of total billed charges		1449.25	100			Percent of total billed charges		1705	100			Percent of total billed charges		1705	100			Percent of total billed charges		1705	33.3			Percent of total billed charges		567.765	33.3			Percent of total billed charges		567.765	100			Percent of total billed charges		1705	567.765	1534.5	
bio maxim fem aug w/bolt	278	RC	Outpatient			1709	1110.85		90			Percent of total billed charges		1538.1	40			Percent of total billed charges		683.6	80			Percent of total billed charges		1367.2	90			Percent of total billed charges		1538.1	85			Percent of total billed charges		1452.65	85			Percent of total billed charges		1452.65	85			Percent of total billed charges		1452.65	100			Percent of total billed charges		1709	100			Percent of total billed charges		1709	100			Percent of total billed charges		1709	33.3			Percent of total billed charges		569.097	33.3			Percent of total billed charges		569.097	100			Percent of total billed charges		1709	569.097	1538.1	
cath lab cps standard package	270	RC	Outpatient			1709	1110.85		90			Percent of total billed charges		1538.1	40			Percent of total billed charges		683.6	80			Percent of total billed charges		1367.2	90			Percent of total billed charges		1538.1	85			Percent of total billed charges		1452.65	85			Percent of total billed charges		1452.65	85			Percent of total billed charges		1452.65	100			Percent of total billed charges		1709	100			Percent of total billed charges		1709	100			Percent of total billed charges		1709	33.3			Percent of total billed charges		569.097	33.3			Percent of total billed charges		569.097	100			Percent of total billed charges		1709	569.097	1538.1	
cps standard package	270	RC	Outpatient			1709	1110.85		90			Percent of total billed charges		1538.1	40			Percent of total billed charges		683.6	80			Percent of total billed charges		1367.2	90			Percent of total billed charges		1538.1	85			Percent of total billed charges		1452.65	85			Percent of total billed charges		1452.65	85			Percent of total billed charges		1452.65	100			Percent of total billed charges		1709	100			Percent of total billed charges		1709	100			Percent of total billed charges		1709	33.3			Percent of total billed charges		569.097	33.3			Percent of total billed charges		569.097	100			Percent of total billed charges		1709	569.097	1538.1	
maxim fem aug w/bolt 10 x 70 145353 biomet	278	RC	Outpatient			1709	1110.85		90			Percent of total billed charges		1538.1	40			Percent of total billed charges		683.6	80			Percent of total billed charges		1367.2	90			Percent of total billed charges		1538.1	85			Percent of total billed charges		1452.65	85			Percent of total billed charges		1452.65	85			Percent of total billed charges		1452.65	100			Percent of total billed charges		1709	100			Percent of total billed charges		1709	100			Percent of total billed charges		1709	33.3			Percent of total billed charges		569.097	33.3			Percent of total billed charges		569.097	100			Percent of total billed charges		1709	569.097	1538.1	
maxim fem aug w/bolt 6 x 70 145333 biomet	278	RC	Outpatient			1709	1110.85		90			Percent of total billed charges		1538.1	40			Percent of total billed charges		683.6	80			Percent of total billed charges		1367.2	90			Percent of total billed charges		1538.1	85			Percent of total billed charges		1452.65	85			Percent of total billed charges		1452.65	85			Percent of total billed charges		1452.65	100			Percent of total billed charges		1709	100			Percent of total billed charges		1709	100			Percent of total billed charges		1709	33.3			Percent of total billed charges		569.097	33.3			Percent of total billed charges		569.097	100			Percent of total billed charges		1709	569.097	1538.1	
maxim fem aug w/bolt 6 x 70 145343 biomet	278	RC	Outpatient			1709	1110.85		90			Percent of total billed charges		1538.1	40			Percent of total billed charges		683.6	80			Percent of total billed charges		1367.2	90			Percent of total billed charges		1538.1	85			Percent of total billed charges		1452.65	85			Percent of total billed charges		1452.65	85			Percent of total billed charges		1452.65	100			Percent of total billed charges		1709	100			Percent of total billed charges		1709	100			Percent of total billed charges		1709	33.3			Percent of total billed charges		569.097	33.3			Percent of total billed charges		569.097	100			Percent of total billed charges		1709	569.097	1538.1	
cc moore endo 46mm 76570346 s/n	274	RC	Outpatient			1713	1113.45		90			Percent of total billed charges		1541.7	40			Percent of total billed charges		685.2	80			Percent of total billed charges		1370.4	90			Percent of total billed charges		1541.7	85			Percent of total billed charges		1456.05	85			Percent of total billed charges		1456.05	85			Percent of total billed charges		1456.05	100			Percent of total billed charges		1713	100			Percent of total billed charges		1713	100			Percent of total billed charges		1713	33.3			Percent of total billed charges		570.429	33.3			Percent of total billed charges		570.429	100			Percent of total billed charges		1713	570.429	1541.7	
cc moore endo 47mm 76570347 s/n	274	RC	Outpatient			1713	1113.45		90			Percent of total billed charges		1541.7	40			Percent of total billed charges		685.2	80			Percent of total billed charges		1370.4	90			Percent of total billed charges		1541.7	85			Percent of total billed charges		1456.05	85			Percent of total billed charges		1456.05	85			Percent of total billed charges		1456.05	100			Percent of total billed charges		1713	100			Percent of total billed charges		1713	100			Percent of total billed charges		1713	33.3			Percent of total billed charges		570.429	33.3			Percent of total billed charges		570.429	100			Percent of total billed charges		1713	570.429	1541.7	
cc moore endo 48mm 76570348 s/n	274	RC	Outpatient			1713	1113.45		90			Percent of total billed charges		1541.7	40			Percent of total billed charges		685.2	80			Percent of total billed charges		1370.4	90			Percent of total billed charges		1541.7	85			Percent of total billed charges		1456.05	85			Percent of total billed charges		1456.05	85			Percent of total billed charges		1456.05	100			Percent of total billed charges		1713	100			Percent of total billed charges		1713	100			Percent of total billed charges		1713	33.3			Percent of total billed charges		570.429	33.3			Percent of total billed charges		570.429	100			Percent of total billed charges		1713	570.429	1541.7	
cc moore endo 49mm 76570349 s/n	274	RC	Outpatient			1713	1113.45		90			Percent of total billed charges		1541.7	40			Percent of total billed charges		685.2	80			Percent of total billed charges		1370.4	90			Percent of total billed charges		1541.7	85			Percent of total billed charges		1456.05	85			Percent of total billed charges		1456.05	85			Percent of total billed charges		1456.05	100			Percent of total billed charges		1713	100			Percent of total billed charges		1713	100			Percent of total billed charges		1713	33.3			Percent of total billed charges		570.429	33.3			Percent of total billed charges		570.429	100			Percent of total billed charges		1713	570.429	1541.7	
cc moore endo 52mm 76570352 s/n	274	RC	Outpatient			1713	1113.45		90			Percent of total billed charges		1541.7	40			Percent of total billed charges		685.2	80			Percent of total billed charges		1370.4	90			Percent of total billed charges		1541.7	85			Percent of total billed charges		1456.05	85			Percent of total billed charges		1456.05	85			Percent of total billed charges		1456.05	100			Percent of total billed charges		1713	100			Percent of total billed charges		1713	100			Percent of total billed charges		1713	33.3			Percent of total billed charges		570.429	33.3			Percent of total billed charges		570.429	100			Percent of total billed charges		1713	570.429	1541.7	
cc moore endo 50mm 76570350 s/n	274	RC	Outpatient			1713	1113.45		90			Percent of total billed charges		1541.7	40			Percent of total billed charges		685.2	80			Percent of total billed charges		1370.4	90			Percent of total billed charges		1541.7	85			Percent of total billed charges		1456.05	85			Percent of total billed charges		1456.05	85			Percent of total billed charges		1456.05	100			Percent of total billed charges		1713	100			Percent of total billed charges		1713	100			Percent of total billed charges		1713	33.3			Percent of total billed charges		570.429	33.3			Percent of total billed charges		570.429	100			Percent of total billed charges		1713	570.429	1541.7	
cc moore endo 51mm 76570351 s/n	274	RC	Outpatient			1713	1113.45		90			Percent of total billed charges		1541.7	40			Percent of total billed charges		685.2	80			Percent of total billed charges		1370.4	90			Percent of total billed charges		1541.7	85			Percent of total billed charges		1456.05	85			Percent of total billed charges		1456.05	85			Percent of total billed charges		1456.05	100			Percent of total billed charges		1713	100			Percent of total billed charges		1713	100			Percent of total billed charges		1713	33.3			Percent of total billed charges		570.429	33.3			Percent of total billed charges		570.429	100			Percent of total billed charges		1713	570.429	1541.7	
cc moore endo 53mm 76570353 s/n	274	RC	Outpatient			1713	1113.45		90			Percent of total billed charges		1541.7	40			Percent of total billed charges		685.2	80			Percent of total billed charges		1370.4	90			Percent of total billed charges		1541.7	85			Percent of total billed charges		1456.05	85			Percent of total billed charges		1456.05	85			Percent of total billed charges		1456.05	100			Percent of total billed charges		1713	100			Percent of total billed charges		1713	100			Percent of total billed charges		1713	33.3			Percent of total billed charges		570.429	33.3			Percent of total billed charges		570.429	100			Percent of total billed charges		1713	570.429	1541.7	
cc moore endo 54mm 76570354 s/n	274	RC	Outpatient			1713	1113.45		90			Percent of total billed charges		1541.7	40			Percent of total billed charges		685.2	80			Percent of total billed charges		1370.4	90			Percent of total billed charges		1541.7	85			Percent of total billed charges		1456.05	85			Percent of total billed charges		1456.05	85			Percent of total billed charges		1456.05	100			Percent of total billed charges		1713	100			Percent of total billed charges		1713	100			Percent of total billed charges		1713	33.3			Percent of total billed charges		570.429	33.3			Percent of total billed charges		570.429	100			Percent of total billed charges		1713	570.429	1541.7	
moore fenestrated head 120944	274	RC	Outpatient			1713	1113.45		90			Percent of total billed charges		1541.7	40			Percent of total billed charges		685.2	80			Percent of total billed charges		1370.4	90			Percent of total billed charges		1541.7	85			Percent of total billed charges		1456.05	85			Percent of total billed charges		1456.05	85			Percent of total billed charges		1456.05	100			Percent of total billed charges		1713	100			Percent of total billed charges		1713	100			Percent of total billed charges		1713	33.3			Percent of total billed charges		570.429	33.3			Percent of total billed charges		570.429	100			Percent of total billed charges		1713	570.429	1541.7	
biomet 360 tibial augment 63 x 15mm 185251	278	RC	Outpatient			1714	1114.1		90			Percent of total billed charges		1542.6	40			Percent of total billed charges		685.6	80			Percent of total billed charges		1371.2	90			Percent of total billed charges		1542.6	85			Percent of total billed charges		1456.9	85			Percent of total billed charges		1456.9	85			Percent of total billed charges		1456.9	100			Percent of total billed charges		1714	100			Percent of total billed charges		1714	100			Percent of total billed charges		1714	33.3			Percent of total billed charges		570.762	33.3			Percent of total billed charges		570.762	100			Percent of total billed charges		1714	570.762	1542.6	
biomet tib augment 360	278	RC	Outpatient			1714	1114.1		90			Percent of total billed charges		1542.6	40			Percent of total billed charges		685.6	80			Percent of total billed charges		1371.2	90			Percent of total billed charges		1542.6	85			Percent of total billed charges		1456.9	85			Percent of total billed charges		1456.9	85			Percent of total billed charges		1456.9	100			Percent of total billed charges		1714	100			Percent of total billed charges		1714	100			Percent of total billed charges		1714	33.3			Percent of total billed charges		570.762	33.3			Percent of total billed charges		570.762	100			Percent of total billed charges		1714	570.762	1542.6	
biomet 360 tibial augment 63 x 15mm 185241	278	RC	Outpatient			1714	1114.1		90			Percent of total billed charges		1542.6	40			Percent of total billed charges		685.6	80			Percent of total billed charges		1371.2	90			Percent of total billed charges		1542.6	85			Percent of total billed charges		1456.9	85			Percent of total billed charges		1456.9	85			Percent of total billed charges		1456.9	100			Percent of total billed charges		1714	100			Percent of total billed charges		1714	100			Percent of total billed charges		1714	33.3			Percent of total billed charges		570.762	33.3			Percent of total billed charges		570.762	100			Percent of total billed charges		1714	570.762	1542.6	
biomet 360 tibial augment 67 x 18mm 185232	278	RC	Outpatient			1714	1114.1		90			Percent of total billed charges		1542.6	40			Percent of total billed charges		685.6	80			Percent of total billed charges		1371.2	90			Percent of total billed charges		1542.6	85			Percent of total billed charges		1456.9	85			Percent of total billed charges		1456.9	85			Percent of total billed charges		1456.9	100			Percent of total billed charges		1714	100			Percent of total billed charges		1714	100			Percent of total billed charges		1714	33.3			Percent of total billed charges		570.762	33.3			Percent of total billed charges		570.762	100			Percent of total billed charges		1714	570.762	1542.6	
lateral dist humeral locking plate 11h r 71822511 s/n	278	RC	Outpatient			1714	1114.1		90			Percent of total billed charges		1542.6	40			Percent of total billed charges		685.6	80			Percent of total billed charges		1371.2	90			Percent of total billed charges		1542.6	85			Percent of total billed charges		1456.9	85			Percent of total billed charges		1456.9	85			Percent of total billed charges		1456.9	100			Percent of total billed charges		1714	100			Percent of total billed charges		1714	100			Percent of total billed charges		1714	33.3			Percent of total billed charges		570.762	33.3			Percent of total billed charges		570.762	100			Percent of total billed charges		1714	570.762	1542.6	
lateral dist humeral locking plate 11h l 71822411 s/n	278	RC	Outpatient			1714	1114.1		90			Percent of total billed charges		1542.6	40			Percent of total billed charges		685.6	80			Percent of total billed charges		1371.2	90			Percent of total billed charges		1542.6	85			Percent of total billed charges		1456.9	85			Percent of total billed charges		1456.9	85			Percent of total billed charges		1456.9	100			Percent of total billed charges		1714	100			Percent of total billed charges		1714	100			Percent of total billed charges		1714	33.3			Percent of total billed charges		570.762	33.3			Percent of total billed charges		570.762	100			Percent of total billed charges		1714	570.762	1542.6	
p-l vlp plt fib l-d 5h	278	RC	Outpatient			1714	1114.1		90			Percent of total billed charges		1542.6	40			Percent of total billed charges		685.6	80			Percent of total billed charges		1371.2	90			Percent of total billed charges		1542.6	85			Percent of total billed charges		1456.9	85			Percent of total billed charges		1456.9	85			Percent of total billed charges		1456.9	100			Percent of total billed charges		1714	100			Percent of total billed charges		1714	100			Percent of total billed charges		1714	33.3			Percent of total billed charges		570.762	33.3			Percent of total billed charges		570.762	100			Percent of total billed charges		1714	570.762	1542.6	
s/n latdist hum lk pl 11h	278	RC	Outpatient			1714	1114.1		90			Percent of total billed charges		1542.6	40			Percent of total billed charges		685.6	80			Percent of total billed charges		1371.2	90			Percent of total billed charges		1542.6	85			Percent of total billed charges		1456.9	85			Percent of total billed charges		1456.9	85			Percent of total billed charges		1456.9	100			Percent of total billed charges		1714	100			Percent of total billed charges		1714	100			Percent of total billed charges		1714	33.3			Percent of total billed charges		570.762	33.3			Percent of total billed charges		570.762	100			Percent of total billed charges		1714	570.762	1542.6	
endo egd & esoph stent	750	RC	Outpatient			1718	1116.7		90			Percent of total billed charges		1546.2	40			Percent of total billed charges		687.2	80			Percent of total billed charges		1374.4	90			Percent of total billed charges		1546.2	85			Percent of total billed charges		1460.3	85			Percent of total billed charges		1460.3	85			Percent of total billed charges		1460.3	100			Percent of total billed charges		1718	100			Percent of total billed charges		1718	100			Percent of total billed charges		1718	33.3			Percent of total billed charges		572.094	33.3			Percent of total billed charges		572.094	100			Percent of total billed charges		1718	572.094	1546.2	
breast imp silicon 360cc	278	RC	Outpatient			1719	1117.35		90			Percent of total billed charges		1547.1	40			Percent of total billed charges		687.6	80			Percent of total billed charges		1375.2	90			Percent of total billed charges		1547.1	85			Percent of total billed charges		1461.15	85			Percent of total billed charges		1461.15	85			Percent of total billed charges		1461.15	100			Percent of total billed charges		1719	100			Percent of total billed charges		1719	100			Percent of total billed charges		1719	33.3			Percent of total billed charges		572.427	33.3			Percent of total billed charges		572.427	100			Percent of total billed charges		1719	572.427	1547.1	
breast imp silicn 550cc a	278	RC	Outpatient			1719	1117.35		90			Percent of total billed charges		1547.1	40			Percent of total billed charges		687.6	80			Percent of total billed charges		1375.2	90			Percent of total billed charges		1547.1	85			Percent of total billed charges		1461.15	85			Percent of total billed charges		1461.15	85			Percent of total billed charges		1461.15	100			Percent of total billed charges		1719	100			Percent of total billed charges		1719	100			Percent of total billed charges		1719	33.3			Percent of total billed charges		572.427	33.3			Percent of total billed charges		572.427	100			Percent of total billed charges		1719	572.427	1547.1	
breast imp silicon 400cca	278	RC	Outpatient			1719	1117.35		90			Percent of total billed charges		1547.1	40			Percent of total billed charges		687.6	80			Percent of total billed charges		1375.2	90			Percent of total billed charges		1547.1	85			Percent of total billed charges		1461.15	85			Percent of total billed charges		1461.15	85			Percent of total billed charges		1461.15	100			Percent of total billed charges		1719	100			Percent of total billed charges		1719	100			Percent of total billed charges		1719	33.3			Percent of total billed charges		572.427	33.3			Percent of total billed charges		572.427	100			Percent of total billed charges		1719	572.427	1547.1	
breast imp silicon 460cc	278	RC	Outpatient			1719	1117.35		90			Percent of total billed charges		1547.1	40			Percent of total billed charges		687.6	80			Percent of total billed charges		1375.2	90			Percent of total billed charges		1547.1	85			Percent of total billed charges		1461.15	85			Percent of total billed charges		1461.15	85			Percent of total billed charges		1461.15	100			Percent of total billed charges		1719	100			Percent of total billed charges		1719	100			Percent of total billed charges		1719	33.3			Percent of total billed charges		572.427	33.3			Percent of total billed charges		572.427	100			Percent of total billed charges		1719	572.427	1547.1	
breast imp silicon 500cc	278	RC	Outpatient			1719	1117.35		90			Percent of total billed charges		1547.1	40			Percent of total billed charges		687.6	80			Percent of total billed charges		1375.2	90			Percent of total billed charges		1547.1	85			Percent of total billed charges		1461.15	85			Percent of total billed charges		1461.15	85			Percent of total billed charges		1461.15	100			Percent of total billed charges		1719	100			Percent of total billed charges		1719	100			Percent of total billed charges		1719	33.3			Percent of total billed charges		572.427	33.3			Percent of total billed charges		572.427	100			Percent of total billed charges		1719	572.427	1547.1	
natrelle silicone filled  implant 400cc 45-400 allergan	278	RC	Outpatient			1719	1117.35		90			Percent of total billed charges		1547.1	40			Percent of total billed charges		687.6	80			Percent of total billed charges		1375.2	90			Percent of total billed charges		1547.1	85			Percent of total billed charges		1461.15	85			Percent of total billed charges		1461.15	85			Percent of total billed charges		1461.15	100			Percent of total billed charges		1719	100			Percent of total billed charges		1719	100			Percent of total billed charges		1719	33.3			Percent of total billed charges		572.427	33.3			Percent of total billed charges		572.427	100			Percent of total billed charges		1719	572.427	1547.1	
natrelle silicone filled  implant 360cc 45-360 allergan	278	RC	Outpatient			1719	1117.35		90			Percent of total billed charges		1547.1	40			Percent of total billed charges		687.6	80			Percent of total billed charges		1375.2	90			Percent of total billed charges		1547.1	85			Percent of total billed charges		1461.15	85			Percent of total billed charges		1461.15	85			Percent of total billed charges		1461.15	100			Percent of total billed charges		1719	100			Percent of total billed charges		1719	100			Percent of total billed charges		1719	33.3			Percent of total billed charges		572.427	33.3			Percent of total billed charges		572.427	100			Percent of total billed charges		1719	572.427	1547.1	
natrelle silicone filled  implant 460cc 45-460 allergan	278	RC	Outpatient			1719	1117.35		90			Percent of total billed charges		1547.1	40			Percent of total billed charges		687.6	80			Percent of total billed charges		1375.2	90			Percent of total billed charges		1547.1	85			Percent of total billed charges		1461.15	85			Percent of total billed charges		1461.15	85			Percent of total billed charges		1461.15	100			Percent of total billed charges		1719	100			Percent of total billed charges		1719	100			Percent of total billed charges		1719	33.3			Percent of total billed charges		572.427	33.3			Percent of total billed charges		572.427	100			Percent of total billed charges		1719	572.427	1547.1	
natrelle silicone filled  implant 500cc 45-500 allergan	278	RC	Outpatient			1719	1117.35		90			Percent of total billed charges		1547.1	40			Percent of total billed charges		687.6	80			Percent of total billed charges		1375.2	90			Percent of total billed charges		1547.1	85			Percent of total billed charges		1461.15	85			Percent of total billed charges		1461.15	85			Percent of total billed charges		1461.15	100			Percent of total billed charges		1719	100			Percent of total billed charges		1719	100			Percent of total billed charges		1719	33.3			Percent of total billed charges		572.427	33.3			Percent of total billed charges		572.427	100			Percent of total billed charges		1719	572.427	1547.1	
natrelle silicone filled  implant 550cc 45-550 allergan	278	RC	Outpatient			1719	1117.35		90			Percent of total billed charges		1547.1	40			Percent of total billed charges		687.6	80			Percent of total billed charges		1375.2	90			Percent of total billed charges		1547.1	85			Percent of total billed charges		1461.15	85			Percent of total billed charges		1461.15	85			Percent of total billed charges		1461.15	100			Percent of total billed charges		1719	100			Percent of total billed charges		1719	100			Percent of total billed charges		1719	33.3			Percent of total billed charges		572.427	33.3			Percent of total billed charges		572.427	100			Percent of total billed charges		1719	572.427	1547.1	
savannah-t pedicle screw 5.5 x 45mm 10-01-5546-1 amendia	278	RC	Outpatient			1719	1117.35		90			Percent of total billed charges		1547.1	40			Percent of total billed charges		687.6	80			Percent of total billed charges		1375.2	90			Percent of total billed charges		1547.1	85			Percent of total billed charges		1461.15	85			Percent of total billed charges		1461.15	85			Percent of total billed charges		1461.15	100			Percent of total billed charges		1719	100			Percent of total billed charges		1719	100			Percent of total billed charges		1719	33.3			Percent of total billed charges		572.427	33.3			Percent of total billed charges		572.427	100			Percent of total billed charges		1719	572.427	1547.1	
savannah-t ped scr	278	RC	Outpatient			1719	1117.35		90			Percent of total billed charges		1547.1	40			Percent of total billed charges		687.6	80			Percent of total billed charges		1375.2	90			Percent of total billed charges		1547.1	85			Percent of total billed charges		1461.15	85			Percent of total billed charges		1461.15	85			Percent of total billed charges		1461.15	100			Percent of total billed charges		1719	100			Percent of total billed charges		1719	100			Percent of total billed charges		1719	33.3			Percent of total billed charges		572.427	33.3			Percent of total billed charges		572.427	100			Percent of total billed charges		1719	572.427	1547.1	
arthrex lapidus pl	278	RC	Outpatient			1720	1118		90			Percent of total billed charges		1548	40			Percent of total billed charges		688	80			Percent of total billed charges		1376	90			Percent of total billed charges		1548	85			Percent of total billed charges		1462	85			Percent of total billed charges		1462	85			Percent of total billed charges		1462	100			Percent of total billed charges		1720	100			Percent of total billed charges		1720	100			Percent of total billed charges		1720	33.3			Percent of total billed charges		572.76	33.3			Percent of total billed charges		572.76	100			Percent of total billed charges		1720	572.76	1548	
arthrex lapidus plate ar-8941	278	RC	Outpatient			1720	1118		90			Percent of total billed charges		1548	40			Percent of total billed charges		688	80			Percent of total billed charges		1376	90			Percent of total billed charges		1548	85			Percent of total billed charges		1462	85			Percent of total billed charges		1462	85			Percent of total billed charges		1462	100			Percent of total billed charges		1720	100			Percent of total billed charges		1720	100			Percent of total billed charges		1720	33.3			Percent of total billed charges		572.76	33.3			Percent of total billed charges		572.76	100			Percent of total billed charges		1720	572.76	1548	
arthrex locking straight plate 12  hole ar-8943c-12	278	RC	Outpatient			1720	1118		90			Percent of total billed charges		1548	40			Percent of total billed charges		688	80			Percent of total billed charges		1376	90			Percent of total billed charges		1548	85			Percent of total billed charges		1462	85			Percent of total billed charges		1462	85			Percent of total billed charges		1462	100			Percent of total billed charges		1720	100			Percent of total billed charges		1720	100			Percent of total billed charges		1720	33.3			Percent of total billed charges		572.76	33.3			Percent of total billed charges		572.76	100			Percent of total billed charges		1720	572.76	1548	
arthrex pl lck st 12h	278	RC	Outpatient			1720	1118		90			Percent of total billed charges		1548	40			Percent of total billed charges		688	80			Percent of total billed charges		1376	90			Percent of total billed charges		1548	85			Percent of total billed charges		1462	85			Percent of total billed charges		1462	85			Percent of total billed charges		1462	100			Percent of total billed charges		1720	100			Percent of total billed charges		1720	100			Percent of total billed charges		1720	33.3			Percent of total billed charges		572.76	33.3			Percent of total billed charges		572.76	100			Percent of total billed charges		1720	572.76	1548	
arthex low profile t-plate 2.4mm 3 hole ar-8952mt-03	278	RC	Outpatient			1720	1118		90			Percent of total billed charges		1548	40			Percent of total billed charges		688	80			Percent of total billed charges		1376	90			Percent of total billed charges		1548	85			Percent of total billed charges		1462	85			Percent of total billed charges		1462	85			Percent of total billed charges		1462	100			Percent of total billed charges		1720	100			Percent of total billed charges		1720	100			Percent of total billed charges		1720	33.3			Percent of total billed charges		572.76	33.3			Percent of total billed charges		572.76	100			Percent of total billed charges		1720	572.76	1548	
arthrex pl lp 2.4 t 3hl	278	RC	Outpatient			1720	1118		90			Percent of total billed charges		1548	40			Percent of total billed charges		688	80			Percent of total billed charges		1376	90			Percent of total billed charges		1548	85			Percent of total billed charges		1462	85			Percent of total billed charges		1462	85			Percent of total billed charges		1462	100			Percent of total billed charges		1720	100			Percent of total billed charges		1720	100			Percent of total billed charges		1720	33.3			Percent of total billed charges		572.76	33.3			Percent of total billed charges		572.76	100			Percent of total billed charges		1720	572.76	1548	
lg fr pl cobra 9 hl	278	RC	Outpatient			1720	1118		90			Percent of total billed charges		1548	40			Percent of total billed charges		688	80			Percent of total billed charges		1376	90			Percent of total billed charges		1548	85			Percent of total billed charges		1462	85			Percent of total billed charges		1462	85			Percent of total billed charges		1462	100			Percent of total billed charges		1720	100			Percent of total billed charges		1720	100			Percent of total billed charges		1720	33.3			Percent of total billed charges		572.76	33.3			Percent of total billed charges		572.76	100			Percent of total billed charges		1720	572.76	1548	
s/n lg frag  plate 9 hole  7114-1809	278	RC	Outpatient			1720	1118		90			Percent of total billed charges		1548	40			Percent of total billed charges		688	80			Percent of total billed charges		1376	90			Percent of total billed charges		1548	85			Percent of total billed charges		1462	85			Percent of total billed charges		1462	85			Percent of total billed charges		1462	100			Percent of total billed charges		1720	100			Percent of total billed charges		1720	100			Percent of total billed charges		1720	33.3			Percent of total billed charges		572.76	33.3			Percent of total billed charges		572.76	100			Percent of total billed charges		1720	572.76	1548	
gii oval resurf patella 29mm s/n 71421029	278	RC	Outpatient			1721	1118.65		90			Percent of total billed charges		1548.9	40			Percent of total billed charges		688.4	80			Percent of total billed charges		1376.8	90			Percent of total billed charges		1548.9	85			Percent of total billed charges		1462.85	85			Percent of total billed charges		1462.85	85			Percent of total billed charges		1462.85	100			Percent of total billed charges		1721	100			Percent of total billed charges		1721	100			Percent of total billed charges		1721	33.3			Percent of total billed charges		573.093	33.3			Percent of total billed charges		573.093	100			Percent of total billed charges		1721	573.093	1548.9	
gii oval resurf patellar 35mm s/n 71421035	278	RC	Outpatient			1721	1118.65		90			Percent of total billed charges		1548.9	40			Percent of total billed charges		688.4	80			Percent of total billed charges		1376.8	90			Percent of total billed charges		1548.9	85			Percent of total billed charges		1462.85	85			Percent of total billed charges		1462.85	85			Percent of total billed charges		1462.85	100			Percent of total billed charges		1721	100			Percent of total billed charges		1721	100			Percent of total billed charges		1721	33.3			Percent of total billed charges		573.093	33.3			Percent of total billed charges		573.093	100			Percent of total billed charges		1721	573.093	1548.9	
gii oval resurf patellar 38mm s/n 71421038	278	RC	Outpatient			1721	1118.65		90			Percent of total billed charges		1548.9	40			Percent of total billed charges		688.4	80			Percent of total billed charges		1376.8	90			Percent of total billed charges		1548.9	85			Percent of total billed charges		1462.85	85			Percent of total billed charges		1462.85	85			Percent of total billed charges		1462.85	100			Percent of total billed charges		1721	100			Percent of total billed charges		1721	100			Percent of total billed charges		1721	33.3			Percent of total billed charges		573.093	33.3			Percent of total billed charges		573.093	100			Percent of total billed charges		1721	573.093	1548.9	
gii oval resurf patellar 32mm s/n 71421032	278	RC	Outpatient			1721	1118.65		90			Percent of total billed charges		1548.9	40			Percent of total billed charges		688.4	80			Percent of total billed charges		1376.8	90			Percent of total billed charges		1548.9	85			Percent of total billed charges		1462.85	85			Percent of total billed charges		1462.85	85			Percent of total billed charges		1462.85	100			Percent of total billed charges		1721	100			Percent of total billed charges		1721	100			Percent of total billed charges		1721	33.3			Percent of total billed charges		573.093	33.3			Percent of total billed charges		573.093	100			Percent of total billed charges		1721	573.093	1548.9	
gii oval resurf patellar 41mm s/n 71421041	278	RC	Outpatient			1721	1118.65		90			Percent of total billed charges		1548.9	40			Percent of total billed charges		688.4	80			Percent of total billed charges		1376.8	90			Percent of total billed charges		1548.9	85			Percent of total billed charges		1462.85	85			Percent of total billed charges		1462.85	85			Percent of total billed charges		1462.85	100			Percent of total billed charges		1721	100			Percent of total billed charges		1721	100			Percent of total billed charges		1721	33.3			Percent of total billed charges		573.093	33.3			Percent of total billed charges		573.093	100			Percent of total billed charges		1721	573.093	1548.9	
gii oxinium p/s fem lt sz 2 s/n 71421012	278	RC	Outpatient			1721	1118.65		90			Percent of total billed charges		1548.9	40			Percent of total billed charges		688.4	80			Percent of total billed charges		1376.8	90			Percent of total billed charges		1548.9	85			Percent of total billed charges		1462.85	85			Percent of total billed charges		1462.85	85			Percent of total billed charges		1462.85	100			Percent of total billed charges		1721	100			Percent of total billed charges		1721	100			Percent of total billed charges		1721	33.3			Percent of total billed charges		573.093	33.3			Percent of total billed charges		573.093	100			Percent of total billed charges		1721	573.093	1548.9	
rich gii oval resurf pat	278	RC	Outpatient			1721	1118.65		90			Percent of total billed charges		1548.9	40			Percent of total billed charges		688.4	80			Percent of total billed charges		1376.8	90			Percent of total billed charges		1548.9	85			Percent of total billed charges		1462.85	85			Percent of total billed charges		1462.85	85			Percent of total billed charges		1462.85	100			Percent of total billed charges		1721	100			Percent of total billed charges		1721	100			Percent of total billed charges		1721	33.3			Percent of total billed charges		573.093	33.3			Percent of total billed charges		573.093	100			Percent of total billed charges		1721	573.093	1548.9	
breast implant gel 450cc	278	RC	Outpatient			1724	1120.6		90			Percent of total billed charges		1551.6	40			Percent of total billed charges		689.6	80			Percent of total billed charges		1379.2	90			Percent of total billed charges		1551.6	85			Percent of total billed charges		1465.4	85			Percent of total billed charges		1465.4	85			Percent of total billed charges		1465.4	100			Percent of total billed charges		1724	100			Percent of total billed charges		1724	100			Percent of total billed charges		1724	33.3			Percent of total billed charges		574.092	33.3			Percent of total billed charges		574.092	100			Percent of total billed charges		1724	574.092	1551.6	
silicone gel breast implant textured shaped 450cc 20676-450e sientra	278	RC	Outpatient			1724	1120.6		90			Percent of total billed charges		1551.6	40			Percent of total billed charges		689.6	80			Percent of total billed charges		1379.2	90			Percent of total billed charges		1551.6	85			Percent of total billed charges		1465.4	85			Percent of total billed charges		1465.4	85			Percent of total billed charges		1465.4	100			Percent of total billed charges		1724	100			Percent of total billed charges		1724	100			Percent of total billed charges		1724	33.3			Percent of total billed charges		574.092	33.3			Percent of total billed charges		574.092	100			Percent of total billed charges		1724	574.092	1551.6	
allomatrix  bone graft putty 10cc 8600-1000	270	RC	Outpatient			1725	1121.25		90			Percent of total billed charges		1552.5	40			Percent of total billed charges		690	80			Percent of total billed charges		1380	90			Percent of total billed charges		1552.5	85			Percent of total billed charges		1466.25	85			Percent of total billed charges		1466.25	85			Percent of total billed charges		1466.25	100			Percent of total billed charges		1725	100			Percent of total billed charges		1725	100			Percent of total billed charges		1725	33.3			Percent of total billed charges		574.425	33.3			Percent of total billed charges		574.425	100			Percent of total billed charges		1725	574.425	1552.5	
allomatrix putty 10cc	270	RC	Outpatient			1725	1121.25		90			Percent of total billed charges		1552.5	40			Percent of total billed charges		690	80			Percent of total billed charges		1380	90			Percent of total billed charges		1552.5	85			Percent of total billed charges		1466.25	85			Percent of total billed charges		1466.25	85			Percent of total billed charges		1466.25	100			Percent of total billed charges		1725	100			Percent of total billed charges		1725	100			Percent of total billed charges		1725	33.3			Percent of total billed charges		574.425	33.3			Percent of total billed charges		574.425	100			Percent of total billed charges		1725	574.425	1552.5	
ligasure atlas hs	272	RC	Outpatient			1725	1121.25		90			Percent of total billed charges		1552.5	40			Percent of total billed charges		690	80			Percent of total billed charges		1380	90			Percent of total billed charges		1552.5	85			Percent of total billed charges		1466.25	85			Percent of total billed charges		1466.25	85			Percent of total billed charges		1466.25	100			Percent of total billed charges		1725	100			Percent of total billed charges		1725	100			Percent of total billed charges		1725	33.3			Percent of total billed charges		574.425	33.3			Percent of total billed charges		574.425	100			Percent of total billed charges		1725	574.425	1552.5	
ligasure atlas handswitch ls1020 vl	272	RC	Outpatient			1725	1121.25		90			Percent of total billed charges		1552.5	40			Percent of total billed charges		690	80			Percent of total billed charges		1380	90			Percent of total billed charges		1552.5	85			Percent of total billed charges		1466.25	85			Percent of total billed charges		1466.25	85			Percent of total billed charges		1466.25	100			Percent of total billed charges		1725	100			Percent of total billed charges		1725	100			Percent of total billed charges		1725	33.3			Percent of total billed charges		574.425	33.3			Percent of total billed charges		574.425	100			Percent of total billed charges		1725	574.425	1552.5	
richards bi polar shell	278	RC	Outpatient			1726	1121.9		90			Percent of total billed charges		1553.4	40			Percent of total billed charges		690.4	80			Percent of total billed charges		1380.8	90			Percent of total billed charges		1553.4	85			Percent of total billed charges		1467.1	85			Percent of total billed charges		1467.1	85			Percent of total billed charges		1467.1	100			Percent of total billed charges		1726	100			Percent of total billed charges		1726	100			Percent of total billed charges		1726	33.3			Percent of total billed charges		574.758	33.3			Percent of total billed charges		574.758	100			Percent of total billed charges		1726	574.758	1553.4	
universal bipolar shell 38mm 126438 s/n	278	RC	Outpatient			1726	1121.9		90			Percent of total billed charges		1553.4	40			Percent of total billed charges		690.4	80			Percent of total billed charges		1380.8	90			Percent of total billed charges		1553.4	85			Percent of total billed charges		1467.1	85			Percent of total billed charges		1467.1	85			Percent of total billed charges		1467.1	100			Percent of total billed charges		1726	100			Percent of total billed charges		1726	100			Percent of total billed charges		1726	33.3			Percent of total billed charges		574.758	33.3			Percent of total billed charges		574.758	100			Percent of total billed charges		1726	574.758	1553.4	
universal bipolar shell 40mm 126440 s/n	278	RC	Outpatient			1726	1121.9		90			Percent of total billed charges		1553.4	40			Percent of total billed charges		690.4	80			Percent of total billed charges		1380.8	90			Percent of total billed charges		1553.4	85			Percent of total billed charges		1467.1	85			Percent of total billed charges		1467.1	85			Percent of total billed charges		1467.1	100			Percent of total billed charges		1726	100			Percent of total billed charges		1726	100			Percent of total billed charges		1726	33.3			Percent of total billed charges		574.758	33.3			Percent of total billed charges		574.758	100			Percent of total billed charges		1726	574.758	1553.4	
universal bipolar shell 58mm 126558 s/n	278	RC	Outpatient			1726	1121.9		90			Percent of total billed charges		1553.4	40			Percent of total billed charges		690.4	80			Percent of total billed charges		1380.8	90			Percent of total billed charges		1553.4	85			Percent of total billed charges		1467.1	85			Percent of total billed charges		1467.1	85			Percent of total billed charges		1467.1	100			Percent of total billed charges		1726	100			Percent of total billed charges		1726	100			Percent of total billed charges		1726	33.3			Percent of total billed charges		574.758	33.3			Percent of total billed charges		574.758	100			Percent of total billed charges		1726	574.758	1553.4	
universal bipolar shell 59mm 126559 s/n	278	RC	Outpatient			1726	1121.9		90			Percent of total billed charges		1553.4	40			Percent of total billed charges		690.4	80			Percent of total billed charges		1380.8	90			Percent of total billed charges		1553.4	85			Percent of total billed charges		1467.1	85			Percent of total billed charges		1467.1	85			Percent of total billed charges		1467.1	100			Percent of total billed charges		1726	100			Percent of total billed charges		1726	100			Percent of total billed charges		1726	33.3			Percent of total billed charges		574.758	33.3			Percent of total billed charges		574.758	100			Percent of total billed charges		1726	574.758	1553.4	
universal bipolar shell 39mm 126439 s/n	278	RC	Outpatient			1726	1121.9		90			Percent of total billed charges		1553.4	40			Percent of total billed charges		690.4	80			Percent of total billed charges		1380.8	90			Percent of total billed charges		1553.4	85			Percent of total billed charges		1467.1	85			Percent of total billed charges		1467.1	85			Percent of total billed charges		1467.1	100			Percent of total billed charges		1726	100			Percent of total billed charges		1726	100			Percent of total billed charges		1726	33.3			Percent of total billed charges		574.758	33.3			Percent of total billed charges		574.758	100			Percent of total billed charges		1726	574.758	1553.4	
universal bipolar shell 57mm 126557 s/n	278	RC	Outpatient			1726	1121.9		90			Percent of total billed charges		1553.4	40			Percent of total billed charges		690.4	80			Percent of total billed charges		1380.8	90			Percent of total billed charges		1553.4	85			Percent of total billed charges		1467.1	85			Percent of total billed charges		1467.1	85			Percent of total billed charges		1467.1	100			Percent of total billed charges		1726	100			Percent of total billed charges		1726	100			Percent of total billed charges		1726	33.3			Percent of total billed charges		574.758	33.3			Percent of total billed charges		574.758	100			Percent of total billed charges		1726	574.758	1553.4	
universal bipolar shell 60mm 126560 s/n	278	RC	Outpatient			1726	1121.9		90			Percent of total billed charges		1553.4	40			Percent of total billed charges		690.4	80			Percent of total billed charges		1380.8	90			Percent of total billed charges		1553.4	85			Percent of total billed charges		1467.1	85			Percent of total billed charges		1467.1	85			Percent of total billed charges		1467.1	100			Percent of total billed charges		1726	100			Percent of total billed charges		1726	100			Percent of total billed charges		1726	33.3			Percent of total billed charges		574.758	33.3			Percent of total billed charges		574.758	100			Percent of total billed charges		1726	574.758	1553.4	
richards p/s module w/tpr	278	RC	Outpatient			1727	1122.55		90			Percent of total billed charges		1554.3	40			Percent of total billed charges		690.8	80			Percent of total billed charges		1381.6	90			Percent of total billed charges		1554.3	85			Percent of total billed charges		1467.95	85			Percent of total billed charges		1467.95	85			Percent of total billed charges		1467.95	100			Percent of total billed charges		1727	100			Percent of total billed charges		1727	100			Percent of total billed charges		1727	33.3			Percent of total billed charges		575.091	33.3			Percent of total billed charges		575.091	100			Percent of total billed charges		1727	575.091	1554.3	
arthrex lk lat hook pl 3h	278	RC	Outpatient			1733	1126.45		90			Percent of total billed charges		1559.7	40			Percent of total billed charges		693.2	80			Percent of total billed charges		1386.4	90			Percent of total billed charges		1559.7	85			Percent of total billed charges		1473.05	85			Percent of total billed charges		1473.05	85			Percent of total billed charges		1473.05	100			Percent of total billed charges		1733	100			Percent of total billed charges		1733	100			Percent of total billed charges		1733	33.3			Percent of total billed charges		577.089	33.3			Percent of total billed charges		577.089	100			Percent of total billed charges		1733	577.089	1559.7	
"arthrex locking hook plate, 3hl ar-8943th-03"	278	RC	Outpatient			1733	1126.45		90			Percent of total billed charges		1559.7	40			Percent of total billed charges		693.2	80			Percent of total billed charges		1386.4	90			Percent of total billed charges		1559.7	85			Percent of total billed charges		1473.05	85			Percent of total billed charges		1473.05	85			Percent of total billed charges		1473.05	100			Percent of total billed charges		1733	100			Percent of total billed charges		1733	100			Percent of total billed charges		1733	33.3			Percent of total billed charges		577.089	33.3			Percent of total billed charges		577.089	100			Percent of total billed charges		1733	577.089	1559.7	
polarcath .014	272	RC	Outpatient			1733	1126.45		90			Percent of total billed charges		1559.7	40			Percent of total billed charges		693.2	80			Percent of total billed charges		1386.4	90			Percent of total billed charges		1559.7	85			Percent of total billed charges		1473.05	85			Percent of total billed charges		1473.05	85			Percent of total billed charges		1473.05	100			Percent of total billed charges		1733	100			Percent of total billed charges		1733	100			Percent of total billed charges		1733	33.3			Percent of total billed charges		577.089	33.3			Percent of total billed charges		577.089	100			Percent of total billed charges		1733	577.089	1559.7	
polarcath dilatation cath .014  2.0 x 60 x 150 t20601500 boston scient	272	RC	Outpatient			1733	1126.45		90			Percent of total billed charges		1559.7	40			Percent of total billed charges		693.2	80			Percent of total billed charges		1386.4	90			Percent of total billed charges		1559.7	85			Percent of total billed charges		1473.05	85			Percent of total billed charges		1473.05	85			Percent of total billed charges		1473.05	100			Percent of total billed charges		1733	100			Percent of total billed charges		1733	100			Percent of total billed charges		1733	33.3			Percent of total billed charges		577.089	33.3			Percent of total billed charges		577.089	100			Percent of total billed charges		1733	577.089	1559.7	
polarcath dilatation cath .014  3.0 x 20 x 150 t302015001 boston scient	272	RC	Outpatient			1733	1126.45		90			Percent of total billed charges		1559.7	40			Percent of total billed charges		693.2	80			Percent of total billed charges		1386.4	90			Percent of total billed charges		1559.7	85			Percent of total billed charges		1473.05	85			Percent of total billed charges		1473.05	85			Percent of total billed charges		1473.05	100			Percent of total billed charges		1733	100			Percent of total billed charges		1733	100			Percent of total billed charges		1733	33.3			Percent of total billed charges		577.089	33.3			Percent of total billed charges		577.089	100			Percent of total billed charges		1733	577.089	1559.7	
polarcath dilatation cath .014  3.0 x 60 x 150 t306015001 boston scient	272	RC	Outpatient			1733	1126.45		90			Percent of total billed charges		1559.7	40			Percent of total billed charges		693.2	80			Percent of total billed charges		1386.4	90			Percent of total billed charges		1559.7	85			Percent of total billed charges		1473.05	85			Percent of total billed charges		1473.05	85			Percent of total billed charges		1473.05	100			Percent of total billed charges		1733	100			Percent of total billed charges		1733	100			Percent of total billed charges		1733	33.3			Percent of total billed charges		577.089	33.3			Percent of total billed charges		577.089	100			Percent of total billed charges		1733	577.089	1559.7	
polarcath dilatation cath .014  4.0 x 20 x 150 t402015001 boston scient	272	RC	Outpatient			1733	1126.45		90			Percent of total billed charges		1559.7	40			Percent of total billed charges		693.2	80			Percent of total billed charges		1386.4	90			Percent of total billed charges		1559.7	85			Percent of total billed charges		1473.05	85			Percent of total billed charges		1473.05	85			Percent of total billed charges		1473.05	100			Percent of total billed charges		1733	100			Percent of total billed charges		1733	100			Percent of total billed charges		1733	33.3			Percent of total billed charges		577.089	33.3			Percent of total billed charges		577.089	100			Percent of total billed charges		1733	577.089	1559.7	
polarcath dilatation cath .014  4.0 x 40 x 150 t404015001 boston scient	272	RC	Outpatient			1733	1126.45		90			Percent of total billed charges		1559.7	40			Percent of total billed charges		693.2	80			Percent of total billed charges		1386.4	90			Percent of total billed charges		1559.7	85			Percent of total billed charges		1473.05	85			Percent of total billed charges		1473.05	85			Percent of total billed charges		1473.05	100			Percent of total billed charges		1733	100			Percent of total billed charges		1733	100			Percent of total billed charges		1733	33.3			Percent of total billed charges		577.089	33.3			Percent of total billed charges		577.089	100			Percent of total billed charges		1733	577.089	1559.7	
polarcath dilatation cath .014  4.0 x 60 x 150 t406015001 boston scient	272	RC	Outpatient			1733	1126.45		90			Percent of total billed charges		1559.7	40			Percent of total billed charges		693.2	80			Percent of total billed charges		1386.4	90			Percent of total billed charges		1559.7	85			Percent of total billed charges		1473.05	85			Percent of total billed charges		1473.05	85			Percent of total billed charges		1473.05	100			Percent of total billed charges		1733	100			Percent of total billed charges		1733	100			Percent of total billed charges		1733	33.3			Percent of total billed charges		577.089	33.3			Percent of total billed charges		577.089	100			Percent of total billed charges		1733	577.089	1559.7	
polarcath dilatation cath .014  2.0 x 20 x 150 t20201500 boston scient	272	RC	Outpatient			1733	1126.45		90			Percent of total billed charges		1559.7	40			Percent of total billed charges		693.2	80			Percent of total billed charges		1386.4	90			Percent of total billed charges		1559.7	85			Percent of total billed charges		1473.05	85			Percent of total billed charges		1473.05	85			Percent of total billed charges		1473.05	100			Percent of total billed charges		1733	100			Percent of total billed charges		1733	100			Percent of total billed charges		1733	33.3			Percent of total billed charges		577.089	33.3			Percent of total billed charges		577.089	100			Percent of total billed charges		1733	577.089	1559.7	
polarcath dilatation cath .014  2.0 x 40 x 150 t20401500 boston scient	272	RC	Outpatient			1733	1126.45		90			Percent of total billed charges		1559.7	40			Percent of total billed charges		693.2	80			Percent of total billed charges		1386.4	90			Percent of total billed charges		1559.7	85			Percent of total billed charges		1473.05	85			Percent of total billed charges		1473.05	85			Percent of total billed charges		1473.05	100			Percent of total billed charges		1733	100			Percent of total billed charges		1733	100			Percent of total billed charges		1733	33.3			Percent of total billed charges		577.089	33.3			Percent of total billed charges		577.089	100			Percent of total billed charges		1733	577.089	1559.7	
polarcath dilatation cath .014  3.0 x 100 x 150 t30100150 boston scient	272	RC	Outpatient			1733	1126.45		90			Percent of total billed charges		1559.7	40			Percent of total billed charges		693.2	80			Percent of total billed charges		1386.4	90			Percent of total billed charges		1559.7	85			Percent of total billed charges		1473.05	85			Percent of total billed charges		1473.05	85			Percent of total billed charges		1473.05	100			Percent of total billed charges		1733	100			Percent of total billed charges		1733	100			Percent of total billed charges		1733	33.3			Percent of total billed charges		577.089	33.3			Percent of total billed charges		577.089	100			Percent of total billed charges		1733	577.089	1559.7	
polarcath dilatation cath .014  3.0 x 40 x 150 t304015001 boston scient	272	RC	Outpatient			1733	1126.45		90			Percent of total billed charges		1559.7	40			Percent of total billed charges		693.2	80			Percent of total billed charges		1386.4	90			Percent of total billed charges		1559.7	85			Percent of total billed charges		1473.05	85			Percent of total billed charges		1473.05	85			Percent of total billed charges		1473.05	100			Percent of total billed charges		1733	100			Percent of total billed charges		1733	100			Percent of total billed charges		1733	33.3			Percent of total billed charges		577.089	33.3			Percent of total billed charges		577.089	100			Percent of total billed charges		1733	577.089	1559.7	
polarus php plate	278	RC	Outpatient			1735	1127.75		90			Percent of total billed charges		1561.5	40			Percent of total billed charges		694	80			Percent of total billed charges		1388	90			Percent of total billed charges		1561.5	85			Percent of total billed charges		1474.75	85			Percent of total billed charges		1474.75	85			Percent of total billed charges		1474.75	100			Percent of total billed charges		1735	100			Percent of total billed charges		1735	100			Percent of total billed charges		1735	33.3			Percent of total billed charges		577.755	33.3			Percent of total billed charges		577.755	100			Percent of total billed charges		1735	577.755	1561.5	
polarus php plate pl-phgl acumed	278	RC	Outpatient			1735	1127.75		90			Percent of total billed charges		1561.5	40			Percent of total billed charges		694	80			Percent of total billed charges		1388	90			Percent of total billed charges		1561.5	85			Percent of total billed charges		1474.75	85			Percent of total billed charges		1474.75	85			Percent of total billed charges		1474.75	100			Percent of total billed charges		1735	100			Percent of total billed charges		1735	100			Percent of total billed charges		1735	33.3			Percent of total billed charges		577.755	33.3			Percent of total billed charges		577.755	100			Percent of total billed charges		1735	577.755	1561.5	
genesis biconvex pat comp 35mm med 71204429 s/n	278	RC	Outpatient			1739	1130.35		90			Percent of total billed charges		1565.1	40			Percent of total billed charges		695.6	80			Percent of total billed charges		1391.2	90			Percent of total billed charges		1565.1	85			Percent of total billed charges		1478.15	85			Percent of total billed charges		1478.15	85			Percent of total billed charges		1478.15	100			Percent of total billed charges		1739	100			Percent of total billed charges		1739	100			Percent of total billed charges		1739	33.3			Percent of total billed charges		579.087	33.3			Percent of total billed charges		579.087	100			Percent of total billed charges		1739	579.087	1565.1	
s/n biconvex pat	278	RC	Outpatient			1739	1130.35		90			Percent of total billed charges		1565.1	40			Percent of total billed charges		695.6	80			Percent of total billed charges		1391.2	90			Percent of total billed charges		1565.1	85			Percent of total billed charges		1478.15	85			Percent of total billed charges		1478.15	85			Percent of total billed charges		1478.15	100			Percent of total billed charges		1739	100			Percent of total billed charges		1739	100			Percent of total billed charges		1739	33.3			Percent of total billed charges		579.087	33.3			Percent of total billed charges		579.087	100			Percent of total billed charges		1739	579.087	1565.1	
biomet cable plate 3 hole	278	RC	Outpatient			1744	1133.6		90			Percent of total billed charges		1569.6	40			Percent of total billed charges		697.6	80			Percent of total billed charges		1395.2	90			Percent of total billed charges		1569.6	85			Percent of total billed charges		1482.4	85			Percent of total billed charges		1482.4	85			Percent of total billed charges		1482.4	100			Percent of total billed charges		1744	100			Percent of total billed charges		1744	100			Percent of total billed charges		1744	33.3			Percent of total billed charges		580.752	33.3			Percent of total billed charges		580.752	100			Percent of total billed charges		1744	580.752	1569.6	
ss cable plate 3 hole 110mm 350813 biomet	278	RC	Outpatient			1744	1133.6		90			Percent of total billed charges		1569.6	40			Percent of total billed charges		697.6	80			Percent of total billed charges		1395.2	90			Percent of total billed charges		1569.6	85			Percent of total billed charges		1482.4	85			Percent of total billed charges		1482.4	85			Percent of total billed charges		1482.4	100			Percent of total billed charges		1744	100			Percent of total billed charges		1744	100			Percent of total billed charges		1744	33.3			Percent of total billed charges		580.752	33.3			Percent of total billed charges		580.752	100			Percent of total billed charges		1744	580.752	1569.6	
vanguard constrained tibial bearing 18 x 71/75 183888 biomet	278	RC	Outpatient			1744	1133.6		90			Percent of total billed charges		1569.6	40			Percent of total billed charges		697.6	80			Percent of total billed charges		1395.2	90			Percent of total billed charges		1569.6	85			Percent of total billed charges		1482.4	85			Percent of total billed charges		1482.4	85			Percent of total billed charges		1482.4	100			Percent of total billed charges		1744	100			Percent of total billed charges		1744	100			Percent of total billed charges		1744	33.3			Percent of total billed charges		580.752	33.3			Percent of total billed charges		580.752	100			Percent of total billed charges		1744	580.752	1569.6	
p-l-d humeral locking plate 5h l 71822605 s/n	278	RC	Outpatient			1745	1134.25		90			Percent of total billed charges		1570.5	40			Percent of total billed charges		698	80			Percent of total billed charges		1396	90			Percent of total billed charges		1570.5	85			Percent of total billed charges		1483.25	85			Percent of total billed charges		1483.25	85			Percent of total billed charges		1483.25	100			Percent of total billed charges		1745	100			Percent of total billed charges		1745	100			Percent of total billed charges		1745	33.3			Percent of total billed charges		581.085	33.3			Percent of total billed charges		581.085	100			Percent of total billed charges		1745	581.085	1570.5	
p-l-d humeral locking plate 5h r 71822705 s/n	278	RC	Outpatient			1745	1134.25		90			Percent of total billed charges		1570.5	40			Percent of total billed charges		698	80			Percent of total billed charges		1396	90			Percent of total billed charges		1570.5	85			Percent of total billed charges		1483.25	85			Percent of total billed charges		1483.25	85			Percent of total billed charges		1483.25	100			Percent of total billed charges		1745	100			Percent of total billed charges		1745	100			Percent of total billed charges		1745	33.3			Percent of total billed charges		581.085	33.3			Percent of total billed charges		581.085	100			Percent of total billed charges		1745	581.085	1570.5	
s/n p-l-d hum lk pl 5h	278	RC	Outpatient			1745	1134.25		90			Percent of total billed charges		1570.5	40			Percent of total billed charges		698	80			Percent of total billed charges		1396	90			Percent of total billed charges		1570.5	85			Percent of total billed charges		1483.25	85			Percent of total billed charges		1483.25	85			Percent of total billed charges		1483.25	100			Percent of total billed charges		1745	100			Percent of total billed charges		1745	100			Percent of total billed charges		1745	33.3			Percent of total billed charges		581.085	33.3			Percent of total billed charges		581.085	100			Percent of total billed charges		1745	581.085	1570.5	
s/n 1/3 tub pl 8-10 hl	278	RC	Outpatient			1753	1139.45		90			Percent of total billed charges		1577.7	40			Percent of total billed charges		701.2	80			Percent of total billed charges		1402.4	90			Percent of total billed charges		1577.7	85			Percent of total billed charges		1490.05	85			Percent of total billed charges		1490.05	85			Percent of total billed charges		1490.05	100			Percent of total billed charges		1753	100			Percent of total billed charges		1753	100			Percent of total billed charges		1753	33.3			Percent of total billed charges		583.749	33.3			Percent of total billed charges		583.749	100			Percent of total billed charges		1753	583.749	1577.7	
tubular 1/3 plt 10 hl 71829440 s\n	278	RC	Outpatient			1753	1139.45		90			Percent of total billed charges		1577.7	40			Percent of total billed charges		701.2	80			Percent of total billed charges		1402.4	90			Percent of total billed charges		1577.7	85			Percent of total billed charges		1490.05	85			Percent of total billed charges		1490.05	85			Percent of total billed charges		1490.05	100			Percent of total billed charges		1753	100			Percent of total billed charges		1753	100			Percent of total billed charges		1753	33.3			Percent of total billed charges		583.749	33.3			Percent of total billed charges		583.749	100			Percent of total billed charges		1753	583.749	1577.7	
tubular 1/3 plt 8 hl 71829438 s\n	278	RC	Outpatient			1753	1139.45		90			Percent of total billed charges		1577.7	40			Percent of total billed charges		701.2	80			Percent of total billed charges		1402.4	90			Percent of total billed charges		1577.7	85			Percent of total billed charges		1490.05	85			Percent of total billed charges		1490.05	85			Percent of total billed charges		1490.05	100			Percent of total billed charges		1753	100			Percent of total billed charges		1753	100			Percent of total billed charges		1753	33.3			Percent of total billed charges		583.749	33.3			Percent of total billed charges		583.749	100			Percent of total billed charges		1753	583.749	1577.7	
tubular 1/3 plt 10 hl 71809440 s\n	278	RC	Outpatient			1753	1139.45		90			Percent of total billed charges		1577.7	40			Percent of total billed charges		701.2	80			Percent of total billed charges		1402.4	90			Percent of total billed charges		1577.7	85			Percent of total billed charges		1490.05	85			Percent of total billed charges		1490.05	85			Percent of total billed charges		1490.05	100			Percent of total billed charges		1753	100			Percent of total billed charges		1753	100			Percent of total billed charges		1753	33.3			Percent of total billed charges		583.749	33.3			Percent of total billed charges		583.749	100			Percent of total billed charges		1753	583.749	1577.7	
tubular 1/3 plt 8 hl 71809438 s\n	278	RC	Outpatient			1753	1139.45		90			Percent of total billed charges		1577.7	40			Percent of total billed charges		701.2	80			Percent of total billed charges		1402.4	90			Percent of total billed charges		1577.7	85			Percent of total billed charges		1490.05	85			Percent of total billed charges		1490.05	85			Percent of total billed charges		1490.05	100			Percent of total billed charges		1753	100			Percent of total billed charges		1753	100			Percent of total billed charges		1753	33.3			Percent of total billed charges		583.749	33.3			Percent of total billed charges		583.749	100			Percent of total billed charges		1753	583.749	1577.7	
depuy srom hip liner	278	RC	Outpatient			1755	1140.75		90			Percent of total billed charges		1579.5	40			Percent of total billed charges		702	80			Percent of total billed charges		1404	90			Percent of total billed charges		1579.5	85			Percent of total billed charges		1491.75	85			Percent of total billed charges		1491.75	85			Percent of total billed charges		1491.75	100			Percent of total billed charges		1755	100			Percent of total billed charges		1755	100			Percent of total billed charges		1755	33.3			Percent of total billed charges		584.415	33.3			Percent of total billed charges		584.415	100			Percent of total billed charges		1755	584.415	1579.5	
hi-profile gel expanders 500cc 350-5004bc mentor	278	RC	Outpatient			1755	1140.75		90			Percent of total billed charges		1579.5	40			Percent of total billed charges		702	80			Percent of total billed charges		1404	90			Percent of total billed charges		1579.5	85			Percent of total billed charges		1491.75	85			Percent of total billed charges		1491.75	85			Percent of total billed charges		1491.75	100			Percent of total billed charges		1755	100			Percent of total billed charges		1755	100			Percent of total billed charges		1755	33.3			Percent of total billed charges		584.415	33.3			Percent of total billed charges		584.415	100			Percent of total billed charges		1755	584.415	1579.5	
hi-profile gel expanders 550cc 350-5504bc mentor	278	RC	Outpatient			1755	1140.75		90			Percent of total billed charges		1579.5	40			Percent of total billed charges		702	80			Percent of total billed charges		1404	90			Percent of total billed charges		1579.5	85			Percent of total billed charges		1491.75	85			Percent of total billed charges		1491.75	85			Percent of total billed charges		1491.75	100			Percent of total billed charges		1755	100			Percent of total billed charges		1755	100			Percent of total billed charges		1755	33.3			Percent of total billed charges		584.415	33.3			Percent of total billed charges		584.415	100			Percent of total billed charges		1755	584.415	1579.5	
hi-profile gel expanders 400cc 350-4004bc mentor	278	RC	Outpatient			1755	1140.75		90			Percent of total billed charges		1579.5	40			Percent of total billed charges		702	80			Percent of total billed charges		1404	90			Percent of total billed charges		1579.5	85			Percent of total billed charges		1491.75	85			Percent of total billed charges		1491.75	85			Percent of total billed charges		1491.75	100			Percent of total billed charges		1755	100			Percent of total billed charges		1755	100			Percent of total billed charges		1755	33.3			Percent of total billed charges		584.415	33.3			Percent of total billed charges		584.415	100			Percent of total billed charges		1755	584.415	1579.5	
hi-profile gel expanders 450cc 350-4504bc mentor	278	RC	Outpatient			1755	1140.75		90			Percent of total billed charges		1579.5	40			Percent of total billed charges		702	80			Percent of total billed charges		1404	90			Percent of total billed charges		1579.5	85			Percent of total billed charges		1491.75	85			Percent of total billed charges		1491.75	85			Percent of total billed charges		1491.75	100			Percent of total billed charges		1755	100			Percent of total billed charges		1755	100			Percent of total billed charges		1755	33.3			Percent of total billed charges		584.415	33.3			Percent of total billed charges		584.415	100			Percent of total billed charges		1755	584.415	1579.5	
liner srom hip 85-7727 depuy	278	RC	Outpatient			1755	1140.75		90			Percent of total billed charges		1579.5	40			Percent of total billed charges		702	80			Percent of total billed charges		1404	90			Percent of total billed charges		1579.5	85			Percent of total billed charges		1491.75	85			Percent of total billed charges		1491.75	85			Percent of total billed charges		1491.75	100			Percent of total billed charges		1755	100			Percent of total billed charges		1755	100			Percent of total billed charges		1755	33.3			Percent of total billed charges		584.415	33.3			Percent of total billed charges		584.415	100			Percent of total billed charges		1755	584.415	1579.5	
testicular implant	278	RC	Outpatient			1755	1140.75		90			Percent of total billed charges		1579.5	40			Percent of total billed charges		702	80			Percent of total billed charges		1404	90			Percent of total billed charges		1579.5	85			Percent of total billed charges		1491.75	85			Percent of total billed charges		1491.75	85			Percent of total billed charges		1491.75	100			Percent of total billed charges		1755	100			Percent of total billed charges		1755	100			Percent of total billed charges		1755	33.3			Percent of total billed charges		584.415	33.3			Percent of total billed charges		584.415	100			Percent of total billed charges		1755	584.415	1579.5	
testicular implant oval 3232-0454 sili med	278	RC	Outpatient			1755	1140.75		90			Percent of total billed charges		1579.5	40			Percent of total billed charges		702	80			Percent of total billed charges		1404	90			Percent of total billed charges		1579.5	85			Percent of total billed charges		1491.75	85			Percent of total billed charges		1491.75	85			Percent of total billed charges		1491.75	100			Percent of total billed charges		1755	100			Percent of total billed charges		1755	100			Percent of total billed charges		1755	33.3			Percent of total billed charges		584.415	33.3			Percent of total billed charges		584.415	100			Percent of total billed charges		1755	584.415	1579.5	
tissue expander-gel 400cc	278	RC	Outpatient			1755	1140.75		90			Percent of total billed charges		1579.5	40			Percent of total billed charges		702	80			Percent of total billed charges		1404	90			Percent of total billed charges		1579.5	85			Percent of total billed charges		1491.75	85			Percent of total billed charges		1491.75	85			Percent of total billed charges		1491.75	100			Percent of total billed charges		1755	100			Percent of total billed charges		1755	100			Percent of total billed charges		1755	33.3			Percent of total billed charges		584.415	33.3			Percent of total billed charges		584.415	100			Percent of total billed charges		1755	584.415	1579.5	
tissue expander-gel 550cc	278	RC	Outpatient			1755	1140.75		90			Percent of total billed charges		1579.5	40			Percent of total billed charges		702	80			Percent of total billed charges		1404	90			Percent of total billed charges		1579.5	85			Percent of total billed charges		1491.75	85			Percent of total billed charges		1491.75	85			Percent of total billed charges		1491.75	100			Percent of total billed charges		1755	100			Percent of total billed charges		1755	100			Percent of total billed charges		1755	33.3			Percent of total billed charges		584.415	33.3			Percent of total billed charges		584.415	100			Percent of total billed charges		1755	584.415	1579.5	
tissue expander-gel 350cc	278	RC	Outpatient			1755	1140.75		90			Percent of total billed charges		1579.5	40			Percent of total billed charges		702	80			Percent of total billed charges		1404	90			Percent of total billed charges		1579.5	85			Percent of total billed charges		1491.75	85			Percent of total billed charges		1491.75	85			Percent of total billed charges		1491.75	100			Percent of total billed charges		1755	100			Percent of total billed charges		1755	100			Percent of total billed charges		1755	33.3			Percent of total billed charges		584.415	33.3			Percent of total billed charges		584.415	100			Percent of total billed charges		1755	584.415	1579.5	
tissue expander-gel 450cc	278	RC	Outpatient			1755	1140.75		90			Percent of total billed charges		1579.5	40			Percent of total billed charges		702	80			Percent of total billed charges		1404	90			Percent of total billed charges		1579.5	85			Percent of total billed charges		1491.75	85			Percent of total billed charges		1491.75	85			Percent of total billed charges		1491.75	100			Percent of total billed charges		1755	100			Percent of total billed charges		1755	100			Percent of total billed charges		1755	33.3			Percent of total billed charges		584.415	33.3			Percent of total billed charges		584.415	100			Percent of total billed charges		1755	584.415	1579.5	
fibular rods 3.6mm x 150mm fl-3615-s polarus	278	RC	Outpatient			1756	1141.4		90			Percent of total billed charges		1580.4	40			Percent of total billed charges		702.4	80			Percent of total billed charges		1404.8	90			Percent of total billed charges		1580.4	85			Percent of total billed charges		1492.6	85			Percent of total billed charges		1492.6	85			Percent of total billed charges		1492.6	100			Percent of total billed charges		1756	100			Percent of total billed charges		1756	100			Percent of total billed charges		1756	33.3			Percent of total billed charges		584.748	33.3			Percent of total billed charges		584.748	100			Percent of total billed charges		1756	584.748	1580.4	
fibular rods 3.0mm x 150mm fl-3015-s polarus	278	RC	Outpatient			1756	1141.4		90			Percent of total billed charges		1580.4	40			Percent of total billed charges		702.4	80			Percent of total billed charges		1404.8	90			Percent of total billed charges		1580.4	85			Percent of total billed charges		1492.6	85			Percent of total billed charges		1492.6	85			Percent of total billed charges		1492.6	100			Percent of total billed charges		1756	100			Percent of total billed charges		1756	100			Percent of total billed charges		1756	33.3			Percent of total billed charges		584.748	33.3			Percent of total billed charges		584.748	100			Percent of total billed charges		1756	584.748	1580.4	
mdm x3 insert 1236-2-244 stryker	278	RC	Outpatient			1756	1141.4		90			Percent of total billed charges		1580.4	40			Percent of total billed charges		702.4	80			Percent of total billed charges		1404.8	90			Percent of total billed charges		1580.4	85			Percent of total billed charges		1492.6	85			Percent of total billed charges		1492.6	85			Percent of total billed charges		1492.6	100			Percent of total billed charges		1756	100			Percent of total billed charges		1756	100			Percent of total billed charges		1756	33.3			Percent of total billed charges		584.748	33.3			Percent of total billed charges		584.748	100			Percent of total billed charges		1756	584.748	1580.4	
polarus ulna/radial/fibul	278	RC	Outpatient			1756	1141.4		90			Percent of total billed charges		1580.4	40			Percent of total billed charges		702.4	80			Percent of total billed charges		1404.8	90			Percent of total billed charges		1580.4	85			Percent of total billed charges		1492.6	85			Percent of total billed charges		1492.6	85			Percent of total billed charges		1492.6	100			Percent of total billed charges		1756	100			Percent of total billed charges		1756	100			Percent of total billed charges		1756	33.3			Percent of total billed charges		584.748	33.3			Percent of total billed charges		584.748	100			Percent of total billed charges		1756	584.748	1580.4	
radius rod 3.0mm x 190mm rl-3019-s polarus	278	RC	Outpatient			1756	1141.4		90			Percent of total billed charges		1580.4	40			Percent of total billed charges		702.4	80			Percent of total billed charges		1404.8	90			Percent of total billed charges		1580.4	85			Percent of total billed charges		1492.6	85			Percent of total billed charges		1492.6	85			Percent of total billed charges		1492.6	100			Percent of total billed charges		1756	100			Percent of total billed charges		1756	100			Percent of total billed charges		1756	33.3			Percent of total billed charges		584.748	33.3			Percent of total billed charges		584.748	100			Percent of total billed charges		1756	584.748	1580.4	
radius rod 3.0mm x 230mm rl-3023-s polarus	278	RC	Outpatient			1756	1141.4		90			Percent of total billed charges		1580.4	40			Percent of total billed charges		702.4	80			Percent of total billed charges		1404.8	90			Percent of total billed charges		1580.4	85			Percent of total billed charges		1492.6	85			Percent of total billed charges		1492.6	85			Percent of total billed charges		1492.6	100			Percent of total billed charges		1756	100			Percent of total billed charges		1756	100			Percent of total billed charges		1756	33.3			Percent of total billed charges		584.748	33.3			Percent of total billed charges		584.748	100			Percent of total billed charges		1756	584.748	1580.4	
radius rod 3.6mm x 190mm rl-3619-s polarus	278	RC	Outpatient			1756	1141.4		90			Percent of total billed charges		1580.4	40			Percent of total billed charges		702.4	80			Percent of total billed charges		1404.8	90			Percent of total billed charges		1580.4	85			Percent of total billed charges		1492.6	85			Percent of total billed charges		1492.6	85			Percent of total billed charges		1492.6	100			Percent of total billed charges		1756	100			Percent of total billed charges		1756	100			Percent of total billed charges		1756	33.3			Percent of total billed charges		584.748	33.3			Percent of total billed charges		584.748	100			Percent of total billed charges		1756	584.748	1580.4	
radius rod 3.6mm x 210.mm rr-3621-s polarus	278	RC	Outpatient			1756	1141.4		90			Percent of total billed charges		1580.4	40			Percent of total billed charges		702.4	80			Percent of total billed charges		1404.8	90			Percent of total billed charges		1580.4	85			Percent of total billed charges		1492.6	85			Percent of total billed charges		1492.6	85			Percent of total billed charges		1492.6	100			Percent of total billed charges		1756	100			Percent of total billed charges		1756	100			Percent of total billed charges		1756	33.3			Percent of total billed charges		584.748	33.3			Percent of total billed charges		584.748	100			Percent of total billed charges		1756	584.748	1580.4	
radius rod 3.6mm x 210mm rl-3621-s polarus	278	RC	Outpatient			1756	1141.4		90			Percent of total billed charges		1580.4	40			Percent of total billed charges		702.4	80			Percent of total billed charges		1404.8	90			Percent of total billed charges		1580.4	85			Percent of total billed charges		1492.6	85			Percent of total billed charges		1492.6	85			Percent of total billed charges		1492.6	100			Percent of total billed charges		1756	100			Percent of total billed charges		1756	100			Percent of total billed charges		1756	33.3			Percent of total billed charges		584.748	33.3			Percent of total billed charges		584.748	100			Percent of total billed charges		1756	584.748	1580.4	
radius rod 3.6mm x 230.mm rr-3623-s polarus	278	RC	Outpatient			1756	1141.4		90			Percent of total billed charges		1580.4	40			Percent of total billed charges		702.4	80			Percent of total billed charges		1404.8	90			Percent of total billed charges		1580.4	85			Percent of total billed charges		1492.6	85			Percent of total billed charges		1492.6	85			Percent of total billed charges		1492.6	100			Percent of total billed charges		1756	100			Percent of total billed charges		1756	100			Percent of total billed charges		1756	33.3			Percent of total billed charges		584.748	33.3			Percent of total billed charges		584.748	100			Percent of total billed charges		1756	584.748	1580.4	
radius rod 3.omm x 190.mm  rr-3019-s polarus	278	RC	Outpatient			1756	1141.4		90			Percent of total billed charges		1580.4	40			Percent of total billed charges		702.4	80			Percent of total billed charges		1404.8	90			Percent of total billed charges		1580.4	85			Percent of total billed charges		1492.6	85			Percent of total billed charges		1492.6	85			Percent of total billed charges		1492.6	100			Percent of total billed charges		1756	100			Percent of total billed charges		1756	100			Percent of total billed charges		1756	33.3			Percent of total billed charges		584.748	33.3			Percent of total billed charges		584.748	100			Percent of total billed charges		1756	584.748	1580.4	
radius rod 3.omm x 210.mm rr-3021-s polarus	278	RC	Outpatient			1756	1141.4		90			Percent of total billed charges		1580.4	40			Percent of total billed charges		702.4	80			Percent of total billed charges		1404.8	90			Percent of total billed charges		1580.4	85			Percent of total billed charges		1492.6	85			Percent of total billed charges		1492.6	85			Percent of total billed charges		1492.6	100			Percent of total billed charges		1756	100			Percent of total billed charges		1756	100			Percent of total billed charges		1756	33.3			Percent of total billed charges		584.748	33.3			Percent of total billed charges		584.748	100			Percent of total billed charges		1756	584.748	1580.4	
radius rod 3.0mm x 210mm rl-3021-s polarus	278	RC	Outpatient			1756	1141.4		90			Percent of total billed charges		1580.4	40			Percent of total billed charges		702.4	80			Percent of total billed charges		1404.8	90			Percent of total billed charges		1580.4	85			Percent of total billed charges		1492.6	85			Percent of total billed charges		1492.6	85			Percent of total billed charges		1492.6	100			Percent of total billed charges		1756	100			Percent of total billed charges		1756	100			Percent of total billed charges		1756	33.3			Percent of total billed charges		584.748	33.3			Percent of total billed charges		584.748	100			Percent of total billed charges		1756	584.748	1580.4	
radius rod 3.6mm x 190.mm rr-3619-s polarus	278	RC	Outpatient			1756	1141.4		90			Percent of total billed charges		1580.4	40			Percent of total billed charges		702.4	80			Percent of total billed charges		1404.8	90			Percent of total billed charges		1580.4	85			Percent of total billed charges		1492.6	85			Percent of total billed charges		1492.6	85			Percent of total billed charges		1492.6	100			Percent of total billed charges		1756	100			Percent of total billed charges		1756	100			Percent of total billed charges		1756	33.3			Percent of total billed charges		584.748	33.3			Percent of total billed charges		584.748	100			Percent of total billed charges		1756	584.748	1580.4	
radius rod 3.6mm x 230mm rl-3623-s polarus	278	RC	Outpatient			1756	1141.4		90			Percent of total billed charges		1580.4	40			Percent of total billed charges		702.4	80			Percent of total billed charges		1404.8	90			Percent of total billed charges		1580.4	85			Percent of total billed charges		1492.6	85			Percent of total billed charges		1492.6	85			Percent of total billed charges		1492.6	100			Percent of total billed charges		1756	100			Percent of total billed charges		1756	100			Percent of total billed charges		1756	33.3			Percent of total billed charges		584.748	33.3			Percent of total billed charges		584.748	100			Percent of total billed charges		1756	584.748	1580.4	
radius rod 3.omm x 230.mm rr-3023s polarus	278	RC	Outpatient			1756	1141.4		90			Percent of total billed charges		1580.4	40			Percent of total billed charges		702.4	80			Percent of total billed charges		1404.8	90			Percent of total billed charges		1580.4	85			Percent of total billed charges		1492.6	85			Percent of total billed charges		1492.6	85			Percent of total billed charges		1492.6	100			Percent of total billed charges		1756	100			Percent of total billed charges		1756	100			Percent of total billed charges		1756	33.3			Percent of total billed charges		584.748	33.3			Percent of total billed charges		584.748	100			Percent of total billed charges		1756	584.748	1580.4	
resorations adm mdm x3 insert 1236-2-848 stryker	278	RC	Outpatient			1756	1141.4		90			Percent of total billed charges		1580.4	40			Percent of total billed charges		702.4	80			Percent of total billed charges		1404.8	90			Percent of total billed charges		1580.4	85			Percent of total billed charges		1492.6	85			Percent of total billed charges		1492.6	85			Percent of total billed charges		1492.6	100			Percent of total billed charges		1756	100			Percent of total billed charges		1756	100			Percent of total billed charges		1756	33.3			Percent of total billed charges		584.748	33.3			Percent of total billed charges		584.748	100			Percent of total billed charges		1756	584.748	1580.4	
resorations adm mdm x3 insert 1236-2-852 stryker	278	RC	Outpatient			1756	1141.4		90			Percent of total billed charges		1580.4	40			Percent of total billed charges		702.4	80			Percent of total billed charges		1404.8	90			Percent of total billed charges		1580.4	85			Percent of total billed charges		1492.6	85			Percent of total billed charges		1492.6	85			Percent of total billed charges		1492.6	100			Percent of total billed charges		1756	100			Percent of total billed charges		1756	100			Percent of total billed charges		1756	33.3			Percent of total billed charges		584.748	33.3			Percent of total billed charges		584.748	100			Percent of total billed charges		1756	584.748	1580.4	
ulna rod 3.0 x 230mm ul-3023-s polarus	278	RC	Outpatient			1756	1141.4		90			Percent of total billed charges		1580.4	40			Percent of total billed charges		702.4	80			Percent of total billed charges		1404.8	90			Percent of total billed charges		1580.4	85			Percent of total billed charges		1492.6	85			Percent of total billed charges		1492.6	85			Percent of total billed charges		1492.6	100			Percent of total billed charges		1756	100			Percent of total billed charges		1756	100			Percent of total billed charges		1756	33.3			Percent of total billed charges		584.748	33.3			Percent of total billed charges		584.748	100			Percent of total billed charges		1756	584.748	1580.4	
ulna rod 3.0 x 270mm ul-3027-s polarus	278	RC	Outpatient			1756	1141.4		90			Percent of total billed charges		1580.4	40			Percent of total billed charges		702.4	80			Percent of total billed charges		1404.8	90			Percent of total billed charges		1580.4	85			Percent of total billed charges		1492.6	85			Percent of total billed charges		1492.6	85			Percent of total billed charges		1492.6	100			Percent of total billed charges		1756	100			Percent of total billed charges		1756	100			Percent of total billed charges		1756	33.3			Percent of total billed charges		584.748	33.3			Percent of total billed charges		584.748	100			Percent of total billed charges		1756	584.748	1580.4	
ulna rod 3.6 x 210mm ul-3621-s polarus	278	RC	Outpatient			1756	1141.4		90			Percent of total billed charges		1580.4	40			Percent of total billed charges		702.4	80			Percent of total billed charges		1404.8	90			Percent of total billed charges		1580.4	85			Percent of total billed charges		1492.6	85			Percent of total billed charges		1492.6	85			Percent of total billed charges		1492.6	100			Percent of total billed charges		1756	100			Percent of total billed charges		1756	100			Percent of total billed charges		1756	33.3			Percent of total billed charges		584.748	33.3			Percent of total billed charges		584.748	100			Percent of total billed charges		1756	584.748	1580.4	
ulna rod 3.6 x 230mm ul-3631-s polarus	278	RC	Outpatient			1756	1141.4		90			Percent of total billed charges		1580.4	40			Percent of total billed charges		702.4	80			Percent of total billed charges		1404.8	90			Percent of total billed charges		1580.4	85			Percent of total billed charges		1492.6	85			Percent of total billed charges		1492.6	85			Percent of total billed charges		1492.6	100			Percent of total billed charges		1756	100			Percent of total billed charges		1756	100			Percent of total billed charges		1756	33.3			Percent of total billed charges		584.748	33.3			Percent of total billed charges		584.748	100			Percent of total billed charges		1756	584.748	1580.4	
ulna rod 3.6 x 250mm ul-3651-s polarus	278	RC	Outpatient			1756	1141.4		90			Percent of total billed charges		1580.4	40			Percent of total billed charges		702.4	80			Percent of total billed charges		1404.8	90			Percent of total billed charges		1580.4	85			Percent of total billed charges		1492.6	85			Percent of total billed charges		1492.6	85			Percent of total billed charges		1492.6	100			Percent of total billed charges		1756	100			Percent of total billed charges		1756	100			Percent of total billed charges		1756	33.3			Percent of total billed charges		584.748	33.3			Percent of total billed charges		584.748	100			Percent of total billed charges		1756	584.748	1580.4	
ulna rod 3.0 x 210mm ul-3021-s polarus	278	RC	Outpatient			1756	1141.4		90			Percent of total billed charges		1580.4	40			Percent of total billed charges		702.4	80			Percent of total billed charges		1404.8	90			Percent of total billed charges		1580.4	85			Percent of total billed charges		1492.6	85			Percent of total billed charges		1492.6	85			Percent of total billed charges		1492.6	100			Percent of total billed charges		1756	100			Percent of total billed charges		1756	100			Percent of total billed charges		1756	33.3			Percent of total billed charges		584.748	33.3			Percent of total billed charges		584.748	100			Percent of total billed charges		1756	584.748	1580.4	
ulna rod 3.0 x 250mm ul-3025-s polarus	278	RC	Outpatient			1756	1141.4		90			Percent of total billed charges		1580.4	40			Percent of total billed charges		702.4	80			Percent of total billed charges		1404.8	90			Percent of total billed charges		1580.4	85			Percent of total billed charges		1492.6	85			Percent of total billed charges		1492.6	85			Percent of total billed charges		1492.6	100			Percent of total billed charges		1756	100			Percent of total billed charges		1756	100			Percent of total billed charges		1756	33.3			Percent of total billed charges		584.748	33.3			Percent of total billed charges		584.748	100			Percent of total billed charges		1756	584.748	1580.4	
ulna rod 3.6 x 270mm ul-3671-s polarus	278	RC	Outpatient			1756	1141.4		90			Percent of total billed charges		1580.4	40			Percent of total billed charges		702.4	80			Percent of total billed charges		1404.8	90			Percent of total billed charges		1580.4	85			Percent of total billed charges		1492.6	85			Percent of total billed charges		1492.6	85			Percent of total billed charges		1492.6	100			Percent of total billed charges		1756	100			Percent of total billed charges		1756	100			Percent of total billed charges		1756	33.3			Percent of total billed charges		584.748	33.3			Percent of total billed charges		584.748	100			Percent of total billed charges		1756	584.748	1580.4	
syn orbital mesh plate	278	RC	Outpatient			1763	1145.95		90			Percent of total billed charges		1586.7	40			Percent of total billed charges		705.2	80			Percent of total billed charges		1410.4	90			Percent of total billed charges		1586.7	85			Percent of total billed charges		1498.55	85			Percent of total billed charges		1498.55	85			Percent of total billed charges		1498.55	100			Percent of total billed charges		1763	100			Percent of total billed charges		1763	100			Percent of total billed charges		1763	33.3			Percent of total billed charges		587.079	33.3			Percent of total billed charges		587.079	100			Percent of total billed charges		1763	587.079	1586.7	
synthes orbital mesh plate 0.4mm 420.304	278	RC	Outpatient			1763	1145.95		90			Percent of total billed charges		1586.7	40			Percent of total billed charges		705.2	80			Percent of total billed charges		1410.4	90			Percent of total billed charges		1586.7	85			Percent of total billed charges		1498.55	85			Percent of total billed charges		1498.55	85			Percent of total billed charges		1498.55	100			Percent of total billed charges		1763	100			Percent of total billed charges		1763	100			Percent of total billed charges		1763	33.3			Percent of total billed charges		587.079	33.3			Percent of total billed charges		587.079	100			Percent of total billed charges		1763	587.079	1586.7	
femoral nail 10mm x 14cm 2240-10-14 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 10mm x 18cm 2240-10-18 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 10mm x 20cm 2240-10-20 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 10mm x 26cm 2240-10-26 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 10mm x 28cm 2240-10-28 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 10mm x 30cm 2240-10-30 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 10mm x 32cm 2240-10-32 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 10mm x 36cm 2240-10-36 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 10mm x 46cm 2240-10-46 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 11mm x 14cm 2240-11-14 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 11mm x 18cm 2240-11-18 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 11mm x 20cm 2240-11-20 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 11mm x 22cm 2240-11-22 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 11mm x 26cm 2240-11-26 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 11mm x 30cm 2240-11-30 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 11mm x 34cm 2240-11-34 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 11mm x 36cm 2240-11-36 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 12mm x 16cm 2240-12-16 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 12mm x 18cm 2240-12-18 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 12mm x 28cm 2240-12-28 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 12mm x 30cm 2240-12-30 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 12mm x 32cm 2240-12-32 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 12mm x 34cm 2240-12-34 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 12mm x 36cm 2240-12-36 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 12mm x 40cm 2240-12-40 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 12mm x 44cm 2240-12-44 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 13mm x 14cm 2240-13-14 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 13mm x 16cm 2240-13-16 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 13mm x 18cm 2240-13-18 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 13mm x 20cm 2240-13-20 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 13mm x 22cm 2240-13-22 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 13mm x 24cm 2240-13-24 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 13mm x 32cm 2240-13-32 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 13mm x 34cm 2240-13-34 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 13mm x 36cm 2240-13-36 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 13mm x 40cm 2240-13-40 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 13mm x 42cm 2240-13-42 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 13mm x 46cm 2240-13-46 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 14mm x 18cm 2240-14-18 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 14mm x 22cm 2240-14-22 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 14mm x 24cm 2240-14-24 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 14mm x 34cm 2240-14-34 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 14mm x 44cm 2240-14-44 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 14mm x 46cm 2240-14-46 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 14mm x 48cm 2240-14-48 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 9mm x 16cm 2240-09-16 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 9mm x 20cm 2240-09-20 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 9mm x 22cm 2240-09-22 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 9mm x 26cm 2240-09-26 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 9mm x 32cm 2240-09-32 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 9mm x 36cm 2240-09-36 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 9mm x 38cm 2240-09-38 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 9mm x 44cm 2240-09-44 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 9mm x 46cm 2240-09-46 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 9mm x 48cm 2240-09-48 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
implant plate supracondylar 8 sl 90 deg 164mm 12-4170	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 10mm x 16cm 2240-10-16 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 10mm x 22cm 2240-10-22 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 10mm x 24cm 2240-10-24 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 10mm x 34cm 2240-10-34 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 10mm x 38cm 2240-10-38 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 10mm x 40cm 2240-10-40 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 10mm x 42cm 2240-10-42 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 10mm x 44cm 2240-10-44 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 10mm x 48cm 2240-10-48 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 11mm x 16cm 2240-11-16 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 11mm x 24cm 2240-11-24 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 11mm x 28cm 2240-11-28 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 11mm x 32cm 2240-11-32 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 11mm x 38cm 2240-11-38 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 11mm x 40cm 2240-11-40 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 11mm x 42cm 2240-11-42 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 11mm x 44cm 2240-11-44 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 11mm x 46cm 2240-11-46 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 11mm x 48cm 2240-11-48 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 12mm x 14cm 2240-12-14 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 12mm x 20cm 2240-12-20 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 12mm x 22cm 2240-12-22 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 12mm x 24cm 2240-12-24 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 12mm x 26cm 2240-12-26 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 12mm x 38cm 2240-12-38 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 12mm x 42cm 2240-12-42 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 12mm x 46cm 2240-12-46 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 12mm x 48cm 2240-12-48 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 13mm x 26cm 2240-13-26 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 13mm x 28cm 2240-13-28 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 13mm x 30cm 2240-13-30 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 13mm x 38cm 2240-13-38 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 13mm x 44cm 2240-13-44 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 13mm x 48cm 2240-13-48 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 14mm x 14cm 2240-14-14 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 14mm x 16cm 2240-14-16 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 14mm x 20cm 2240-14-20 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 14mm x 26cm 2240-14-26 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 14mm x 28cm 2240-14-28 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 14mm x 30cm 2240-14-30 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 14mm x 32cm 2240-14-32 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 14mm x 36cm 2240-14-36 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 14mm x 38cm 2240-14-38 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 14mm x 40cm 2240-14-40 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 14mm x 42cm 2240-14-42 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 9mm x 14cm 2240-09-14 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 9mm x 18cm 2240-09-18 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 9mm x 24cm 2240-09-24 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 9mm x 28cm 2240-09-28 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 9mm x 30cm 2240-09-30 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 9mm x 34cm 2240-09-34 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 9mm x 40cm 2240-09-40 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
femoral nail 9mm x 42cm 2240-09-42 zimmer	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
implant plate supracondylar 8 sl 95 deg 164mm 12-4173	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
rich hip supracond 8hl	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
zimmer retro fem nail	278	RC	Outpatient			1765	1147.25		90			Percent of total billed charges		1588.5	40			Percent of total billed charges		706	80			Percent of total billed charges		1412	90			Percent of total billed charges		1588.5	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	85			Percent of total billed charges		1500.25	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	100			Percent of total billed charges		1765	33.3			Percent of total billed charges		587.745	33.3			Percent of total billed charges		587.745	100			Percent of total billed charges		1765	587.745	1588.5	
imp plate supracondylar 10 slo 12-4174	278	RC	Outpatient			1766	1147.9		90			Percent of total billed charges		1589.4	40			Percent of total billed charges		706.4	80			Percent of total billed charges		1412.8	90			Percent of total billed charges		1589.4	85			Percent of total billed charges		1501.1	85			Percent of total billed charges		1501.1	85			Percent of total billed charges		1501.1	100			Percent of total billed charges		1766	100			Percent of total billed charges		1766	100			Percent of total billed charges		1766	33.3			Percent of total billed charges		588.078	33.3			Percent of total billed charges		588.078	100			Percent of total billed charges		1766	588.078	1589.4	
implant plate supracondylar 10 sl 90 deg 204mm 12-4171 s/n	278	RC	Outpatient			1766	1147.9		90			Percent of total billed charges		1589.4	40			Percent of total billed charges		706.4	80			Percent of total billed charges		1412.8	90			Percent of total billed charges		1589.4	85			Percent of total billed charges		1501.1	85			Percent of total billed charges		1501.1	85			Percent of total billed charges		1501.1	100			Percent of total billed charges		1766	100			Percent of total billed charges		1766	100			Percent of total billed charges		1766	33.3			Percent of total billed charges		588.078	33.3			Percent of total billed charges		588.078	100			Percent of total billed charges		1766	588.078	1589.4	
s/n chs sc 10hl	278	RC	Outpatient			1766	1147.9		90			Percent of total billed charges		1589.4	40			Percent of total billed charges		706.4	80			Percent of total billed charges		1412.8	90			Percent of total billed charges		1589.4	85			Percent of total billed charges		1501.1	85			Percent of total billed charges		1501.1	85			Percent of total billed charges		1501.1	100			Percent of total billed charges		1766	100			Percent of total billed charges		1766	100			Percent of total billed charges		1766	33.3			Percent of total billed charges		588.078	33.3			Percent of total billed charges		588.078	100			Percent of total billed charges		1766	588.078	1589.4	
im humeral nail 06mm x 19.5cm 2254-195-06 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
im humeral nail 06mm x 21cm 2254-210-06 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
im humeral nail 06mm x 30cm 2254-300-06 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
im humeral nail 07mm x 21cm 2254-210-07 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
im humeral nail 07mm x 22.5cm 2254-285-07 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
im humeral nail 07mm x 27cm 2254-270-07 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
im humeral nail 08mm x 18cm 2254-180-08 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
im humeral nail 08mm x 24cm 2254-240-08 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
im humeral nail 08mm x 25.5cm 2254-255-08 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
im humeral nail 09mm x 18cm 2254-180-09 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
im humeral nail 09mm x 19.5cm 2254-195-09 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
im humeral nail 09mm x 21cm 2254-210-09 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
im humeral nail 09mm x 28.5cm 2254-285-09 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
im humeral nail 09mm x 30cm 2254-300-09 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
im humeral nail 10mm x 24cm 2254-240-10 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
im humeral nail 10mm x 25.5cm 2254-255-10 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
im humeral nail 10mm x 27cm 2254-270-10 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
im humeral nail 10mm x 28.5cm 2254-285-10 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
im humeral nail 10mm x 300cm 2254-300-10 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
im humeral nail 11mm x 22.5cm 2254-225-11 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
im humeral nail 11mm x 27cm 2254-270-11 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
im humeral nail 11mm x 30cm 2254-300-11 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
im humeral nail 12mm x 18cm 2254-180-12 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
im humeral nail 12mm x 24cm 2254-240-12 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
im humeral nail 12mm x 25.5cm 2254-255-12 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
im humeral nail 12mm x 27cm 2254-270-12 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
im humeral nail 12mm x 30cm 2254-300-12 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
im humeral nail 13mm x 18cm 2254-180-13 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
im humeral nail 13mm x 22.5cm 2254-225-13 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
im humeral nail 13mm x 27cm 2254-270-13 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
im humeral nail 13mm x 28.5cm 2254-285-13 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
im humeral nail 13mm x 30cm 2254-300-13 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
im humeral nail 06mm x 18cm 2254-180-06 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
im humeral nail 06mm x 22.5cm 2254-225-06 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
im humeral nail 06mm x 24cm 2254-240-06 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
im humeral nail 06mm x 25.5cm 2254-255-06 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
im humeral nail 06mm x 27cm 2254-270-06 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
im humeral nail 06mm x 28.5cm 2254-285-06 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
im humeral nail 07mm x 18cm 2254-180-07 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
im humeral nail 07mm x 19.5cm 2254-195-07 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
im humeral nail 07mm x 22.5cm 2254-225-07 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
im humeral nail 07mm x 24cm 2254-240-07 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
im humeral nail 07mm x 30cm 2254-300-07 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
im humeral nail 08mm x 19.5cm 2254-195-08 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
im humeral nail 08mm x 21cm 2254-210-08 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
im humeral nail 08mm x 22.5cm 2254-225-08 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
im humeral nail 08mm x 27cm 2254-270-08 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
im humeral nail 08mm x 28.5cm 2254-285-08 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
im humeral nail 08mm x 30cm 2254-300-08 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
im humeral nail 09mm x 22.5cm 2254-225-09 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
im humeral nail 09mm x 22.5cm 2254-255-09 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
im humeral nail 09mm x 24cm 2254-240-09 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
im humeral nail 10mm x 18cm 2254-180-10 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
im humeral nail 10mm x 19.5cm 2254-195-10 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
im humeral nail 10mm x 21cm 2254-210-10 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
im humeral nail 10mm x 22.5cm 2254-225-10 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
im humeral nail 11mm x 18cm 2254-180-11 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
im humeral nail 11mm x 19.5cm 2254-195-11 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
im humeral nail 11mm x 21cm 2254-210-11 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
im humeral nail 11mm x 24cm 2254-240-11 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
im humeral nail 11mm x 25.5cm 2254-255-11 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
im humeral nail 11mm x 28.5cm 2254-285-11 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
im humeral nail 12mm x 19.5cm 2254-195-12 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
im humeral nail 12mm x 21cm 2254-210-12 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
im humeral nail 12mm x 22.5cm 2254-22.5-12 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
im humeral nail 12mm x 28.5cm 2254-285-12 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
im humeral nail 13mm x 19.5cm 2254-195-13 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
im humeral nail 13mm x 21cm 2254-210-13 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
im humeral nail 13mm x 24cm 2254-240-13 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
im humeral nail 13mm x 25.5cm 2254-255-13 zimmer	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
zimmer im hum nail	278	RC	Outpatient			1773	1152.45		90			Percent of total billed charges		1595.7	40			Percent of total billed charges		709.2	80			Percent of total billed charges		1418.4	90			Percent of total billed charges		1595.7	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	85			Percent of total billed charges		1507.05	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	100			Percent of total billed charges		1773	33.3			Percent of total billed charges		590.409	33.3			Percent of total billed charges		590.409	100			Percent of total billed charges		1773	590.409	1595.7	
arthrex lck dist fib pl5h	278	RC	Outpatient			1774	1153.1		90			Percent of total billed charges		1596.6	40			Percent of total billed charges		709.6	80			Percent of total billed charges		1419.2	90			Percent of total billed charges		1596.6	85			Percent of total billed charges		1507.9	85			Percent of total billed charges		1507.9	85			Percent of total billed charges		1507.9	100			Percent of total billed charges		1774	100			Percent of total billed charges		1774	100			Percent of total billed charges		1774	33.3			Percent of total billed charges		590.742	33.3			Percent of total billed charges		590.742	100			Percent of total billed charges		1774	590.742	1596.6	
arthrex locking distal fibula pl lt 5h ar-8943bl-05	278	RC	Outpatient			1774	1153.1		90			Percent of total billed charges		1596.6	40			Percent of total billed charges		709.6	80			Percent of total billed charges		1419.2	90			Percent of total billed charges		1596.6	85			Percent of total billed charges		1507.9	85			Percent of total billed charges		1507.9	85			Percent of total billed charges		1507.9	100			Percent of total billed charges		1774	100			Percent of total billed charges		1774	100			Percent of total billed charges		1774	33.3			Percent of total billed charges		590.742	33.3			Percent of total billed charges		590.742	100			Percent of total billed charges		1774	590.742	1596.6	
arthrex locking distal fibula pl rt 5h ar-8943br-05	278	RC	Outpatient			1774	1153.1		90			Percent of total billed charges		1596.6	40			Percent of total billed charges		709.6	80			Percent of total billed charges		1419.2	90			Percent of total billed charges		1596.6	85			Percent of total billed charges		1507.9	85			Percent of total billed charges		1507.9	85			Percent of total billed charges		1507.9	100			Percent of total billed charges		1774	100			Percent of total billed charges		1774	100			Percent of total billed charges		1774	33.3			Percent of total billed charges		590.742	33.3			Percent of total billed charges		590.742	100			Percent of total billed charges		1774	590.742	1596.6	
accord 200mm titan plate	278	RC	Outpatient			1785	1160.25		90			Percent of total billed charges		1606.5	40			Percent of total billed charges		714	80			Percent of total billed charges		1428	90			Percent of total billed charges		1606.5	85			Percent of total billed charges		1517.25	85			Percent of total billed charges		1517.25	85			Percent of total billed charges		1517.25	100			Percent of total billed charges		1785	100			Percent of total billed charges		1785	100			Percent of total billed charges		1785	33.3			Percent of total billed charges		594.405	33.3			Percent of total billed charges		594.405	100			Percent of total billed charges		1785	594.405	1606.5	
accord  200mm titanium plate 7134-6200 s/n	278	RC	Outpatient			1785	1160.25		90			Percent of total billed charges		1606.5	40			Percent of total billed charges		714	80			Percent of total billed charges		1428	90			Percent of total billed charges		1606.5	85			Percent of total billed charges		1517.25	85			Percent of total billed charges		1517.25	85			Percent of total billed charges		1517.25	100			Percent of total billed charges		1785	100			Percent of total billed charges		1785	100			Percent of total billed charges		1785	33.3			Percent of total billed charges		594.405	33.3			Percent of total billed charges		594.405	100			Percent of total billed charges		1785	594.405	1606.5	
stapler ceea	270	RC	Outpatient			1785	1160.25		90			Percent of total billed charges		1606.5	40			Percent of total billed charges		714	80			Percent of total billed charges		1428	90			Percent of total billed charges		1606.5	85			Percent of total billed charges		1517.25	85			Percent of total billed charges		1517.25	85			Percent of total billed charges		1517.25	100			Percent of total billed charges		1785	100			Percent of total billed charges		1785	100			Percent of total billed charges		1785	33.3			Percent of total billed charges		594.405	33.3			Percent of total billed charges		594.405	100			Percent of total billed charges		1785	594.405	1606.5	
stapler surg prem+ ceea 25mm 111985	270	RC	Outpatient			1785	1160.25		90			Percent of total billed charges		1606.5	40			Percent of total billed charges		714	80			Percent of total billed charges		1428	90			Percent of total billed charges		1606.5	85			Percent of total billed charges		1517.25	85			Percent of total billed charges		1517.25	85			Percent of total billed charges		1517.25	100			Percent of total billed charges		1785	100			Percent of total billed charges		1785	100			Percent of total billed charges		1785	33.3			Percent of total billed charges		594.405	33.3			Percent of total billed charges		594.405	100			Percent of total billed charges		1785	594.405	1606.5	
stapler surg prem+ ceea 21mm 111983	270	RC	Outpatient			1785	1160.25		90			Percent of total billed charges		1606.5	40			Percent of total billed charges		714	80			Percent of total billed charges		1428	90			Percent of total billed charges		1606.5	85			Percent of total billed charges		1517.25	85			Percent of total billed charges		1517.25	85			Percent of total billed charges		1517.25	100			Percent of total billed charges		1785	100			Percent of total billed charges		1785	100			Percent of total billed charges		1785	33.3			Percent of total billed charges		594.405	33.3			Percent of total billed charges		594.405	100			Percent of total billed charges		1785	594.405	1606.5	
stapler surg prem+ ceea 28mm 111987	270	RC	Outpatient			1785	1160.25		90			Percent of total billed charges		1606.5	40			Percent of total billed charges		714	80			Percent of total billed charges		1428	90			Percent of total billed charges		1606.5	85			Percent of total billed charges		1517.25	85			Percent of total billed charges		1517.25	85			Percent of total billed charges		1517.25	100			Percent of total billed charges		1785	100			Percent of total billed charges		1785	100			Percent of total billed charges		1785	33.3			Percent of total billed charges		594.405	33.3			Percent of total billed charges		594.405	100			Percent of total billed charges		1785	594.405	1606.5	
stapler surg prem+ ceea 31mm 111989	270	RC	Outpatient			1785	1160.25		90			Percent of total billed charges		1606.5	40			Percent of total billed charges		714	80			Percent of total billed charges		1428	90			Percent of total billed charges		1606.5	85			Percent of total billed charges		1517.25	85			Percent of total billed charges		1517.25	85			Percent of total billed charges		1517.25	100			Percent of total billed charges		1785	100			Percent of total billed charges		1785	100			Percent of total billed charges		1785	33.3			Percent of total billed charges		594.405	33.3			Percent of total billed charges		594.405	100			Percent of total billed charges		1785	594.405	1606.5	
anesthesia time 6 hours	370	RC	Outpatient			1788	1162.2		90			Percent of total billed charges		1609.2	40			Percent of total billed charges		715.2	80			Percent of total billed charges		1430.4	90			Percent of total billed charges		1609.2	85			Percent of total billed charges		1519.8	85			Percent of total billed charges		1519.8	85			Percent of total billed charges		1519.8	100			Percent of total billed charges		1788	100			Percent of total billed charges		1788	100			Percent of total billed charges		1788	33.3			Percent of total billed charges		595.404	33.3			Percent of total billed charges		595.404	100			Percent of total billed charges		1788	595.404	1609.2	
comp plt 4.5mm 6 hl 71809306 s\n	278	RC	Outpatient			1789	1162.85		90			Percent of total billed charges		1610.1	40			Percent of total billed charges		715.6	80			Percent of total billed charges		1431.2	90			Percent of total billed charges		1610.1	85			Percent of total billed charges		1520.65	85			Percent of total billed charges		1520.65	85			Percent of total billed charges		1520.65	100			Percent of total billed charges		1789	100			Percent of total billed charges		1789	100			Percent of total billed charges		1789	33.3			Percent of total billed charges		595.737	33.3			Percent of total billed charges		595.737	100			Percent of total billed charges		1789	595.737	1610.1	
comp plt 4.5mm 6 hl 71829306 s\n	278	RC	Outpatient			1789	1162.85		90			Percent of total billed charges		1610.1	40			Percent of total billed charges		715.6	80			Percent of total billed charges		1431.2	90			Percent of total billed charges		1610.1	85			Percent of total billed charges		1520.65	85			Percent of total billed charges		1520.65	85			Percent of total billed charges		1520.65	100			Percent of total billed charges		1789	100			Percent of total billed charges		1789	100			Percent of total billed charges		1789	33.3			Percent of total billed charges		595.737	33.3			Percent of total billed charges		595.737	100			Percent of total billed charges		1789	595.737	1610.1	
s/n 4.5 lck comp pl 6 hl	278	RC	Outpatient			1789	1162.85		90			Percent of total billed charges		1610.1	40			Percent of total billed charges		715.6	80			Percent of total billed charges		1431.2	90			Percent of total billed charges		1610.1	85			Percent of total billed charges		1520.65	85			Percent of total billed charges		1520.65	85			Percent of total billed charges		1520.65	100			Percent of total billed charges		1789	100			Percent of total billed charges		1789	100			Percent of total billed charges		1789	33.3			Percent of total billed charges		595.737	33.3			Percent of total billed charges		595.737	100			Percent of total billed charges		1789	595.737	1610.1	
bone mulch screw disp kit 909825 arthrotek biomet sports med	278	RC	Outpatient			1790	1163.5		90			Percent of total billed charges		1611	40			Percent of total billed charges		716	80			Percent of total billed charges		1432	90			Percent of total billed charges		1611	85			Percent of total billed charges		1521.5	85			Percent of total billed charges		1521.5	85			Percent of total billed charges		1521.5	100			Percent of total billed charges		1790	100			Percent of total billed charges		1790	100			Percent of total billed charges		1790	33.3			Percent of total billed charges		596.07	33.3			Percent of total billed charges		596.07	100			Percent of total billed charges		1790	596.07	1611	
genesis ii dished art insert size 1-2 21mm  71420764 s/n	278	RC	Outpatient			1790	1163.5		90			Percent of total billed charges		1611	40			Percent of total billed charges		716	80			Percent of total billed charges		1432	90			Percent of total billed charges		1611	85			Percent of total billed charges		1521.5	85			Percent of total billed charges		1521.5	85			Percent of total billed charges		1521.5	100			Percent of total billed charges		1790	100			Percent of total billed charges		1790	100			Percent of total billed charges		1790	33.3			Percent of total billed charges		596.07	33.3			Percent of total billed charges		596.07	100			Percent of total billed charges		1790	596.07	1611	
genesis ii dished articular insert size 1-2 13mm 71420758 s/n	278	RC	Outpatient			1790	1163.5		90			Percent of total billed charges		1611	40			Percent of total billed charges		716	80			Percent of total billed charges		1432	90			Percent of total billed charges		1611	85			Percent of total billed charges		1521.5	85			Percent of total billed charges		1521.5	85			Percent of total billed charges		1521.5	100			Percent of total billed charges		1790	100			Percent of total billed charges		1790	100			Percent of total billed charges		1790	33.3			Percent of total billed charges		596.07	33.3			Percent of total billed charges		596.07	100			Percent of total billed charges		1790	596.07	1611	
genesis ii dished articular insert size 1-2 15mm 71420760 s/n	278	RC	Outpatient			1790	1163.5		90			Percent of total billed charges		1611	40			Percent of total billed charges		716	80			Percent of total billed charges		1432	90			Percent of total billed charges		1611	85			Percent of total billed charges		1521.5	85			Percent of total billed charges		1521.5	85			Percent of total billed charges		1521.5	100			Percent of total billed charges		1790	100			Percent of total billed charges		1790	100			Percent of total billed charges		1790	33.3			Percent of total billed charges		596.07	33.3			Percent of total billed charges		596.07	100			Percent of total billed charges		1790	596.07	1611	
genesis ii dished articular insert size 1-2 18mm 71420762 s/n	278	RC	Outpatient			1790	1163.5		90			Percent of total billed charges		1611	40			Percent of total billed charges		716	80			Percent of total billed charges		1432	90			Percent of total billed charges		1611	85			Percent of total billed charges		1521.5	85			Percent of total billed charges		1521.5	85			Percent of total billed charges		1521.5	100			Percent of total billed charges		1790	100			Percent of total billed charges		1790	100			Percent of total billed charges		1790	33.3			Percent of total billed charges		596.07	33.3			Percent of total billed charges		596.07	100			Percent of total billed charges		1790	596.07	1611	
genesis ii dished articular insert size 1-2 9mm 71420754 s/n	278	RC	Outpatient			1790	1163.5		90			Percent of total billed charges		1611	40			Percent of total billed charges		716	80			Percent of total billed charges		1432	90			Percent of total billed charges		1611	85			Percent of total billed charges		1521.5	85			Percent of total billed charges		1521.5	85			Percent of total billed charges		1521.5	100			Percent of total billed charges		1790	100			Percent of total billed charges		1790	100			Percent of total billed charges		1790	33.3			Percent of total billed charges		596.07	33.3			Percent of total billed charges		596.07	100			Percent of total billed charges		1790	596.07	1611	
genesis ii dished articular insert size 1-2 11mm  71420756 s/n	278	RC	Outpatient			1790	1163.5		90			Percent of total billed charges		1611	40			Percent of total billed charges		716	80			Percent of total billed charges		1432	90			Percent of total billed charges		1611	85			Percent of total billed charges		1521.5	85			Percent of total billed charges		1521.5	85			Percent of total billed charges		1521.5	100			Percent of total billed charges		1790	100			Percent of total billed charges		1790	100			Percent of total billed charges		1790	33.3			Percent of total billed charges		596.07	33.3			Percent of total billed charges		596.07	100			Percent of total billed charges		1790	596.07	1611	
journey patella resurfacing 32mm 74024832 s/n	278	RC	Outpatient			1790	1163.5		90			Percent of total billed charges		1611	40			Percent of total billed charges		716	80			Percent of total billed charges		1432	90			Percent of total billed charges		1611	85			Percent of total billed charges		1521.5	85			Percent of total billed charges		1521.5	85			Percent of total billed charges		1521.5	100			Percent of total billed charges		1790	100			Percent of total billed charges		1790	100			Percent of total billed charges		1790	33.3			Percent of total billed charges		596.07	33.3			Percent of total billed charges		596.07	100			Percent of total billed charges		1790	596.07	1611	
rich dished art insert sz	278	RC	Outpatient			1790	1163.5		90			Percent of total billed charges		1611	40			Percent of total billed charges		716	80			Percent of total billed charges		1432	90			Percent of total billed charges		1611	85			Percent of total billed charges		1521.5	85			Percent of total billed charges		1521.5	85			Percent of total billed charges		1521.5	100			Percent of total billed charges		1790	100			Percent of total billed charges		1790	100			Percent of total billed charges		1790	33.3			Percent of total billed charges		596.07	33.3			Percent of total billed charges		596.07	100			Percent of total billed charges		1790	596.07	1611	
s/n journey resurf pat	278	RC	Outpatient			1790	1163.5		90			Percent of total billed charges		1611	40			Percent of total billed charges		716	80			Percent of total billed charges		1432	90			Percent of total billed charges		1611	85			Percent of total billed charges		1521.5	85			Percent of total billed charges		1521.5	85			Percent of total billed charges		1521.5	100			Percent of total billed charges		1790	100			Percent of total billed charges		1790	100			Percent of total billed charges		1790	33.3			Percent of total billed charges		596.07	33.3			Percent of total billed charges		596.07	100			Percent of total billed charges		1790	596.07	1611	
sm fr pl recon 15-16hl	278	RC	Outpatient			1790	1163.5		90			Percent of total billed charges		1611	40			Percent of total billed charges		716	80			Percent of total billed charges		1432	90			Percent of total billed charges		1611	85			Percent of total billed charges		1521.5	85			Percent of total billed charges		1521.5	85			Percent of total billed charges		1521.5	100			Percent of total billed charges		1790	100			Percent of total billed charges		1790	100			Percent of total billed charges		1790	33.3			Percent of total billed charges		596.07	33.3			Percent of total billed charges		596.07	100			Percent of total billed charges		1790	596.07	1611	
recon plate 3.5 16 hole 7114-0116 s/n	278	RC	Outpatient			1790	1163.5		90			Percent of total billed charges		1611	40			Percent of total billed charges		716	80			Percent of total billed charges		1432	90			Percent of total billed charges		1611	85			Percent of total billed charges		1521.5	85			Percent of total billed charges		1521.5	85			Percent of total billed charges		1521.5	100			Percent of total billed charges		1790	100			Percent of total billed charges		1790	100			Percent of total billed charges		1790	33.3			Percent of total billed charges		596.07	33.3			Percent of total billed charges		596.07	100			Percent of total billed charges		1790	596.07	1611	
s/n 3.5 recon plate 15 hole 7114-0115	278	RC	Outpatient			1790	1163.5		90			Percent of total billed charges		1611	40			Percent of total billed charges		716	80			Percent of total billed charges		1432	90			Percent of total billed charges		1611	85			Percent of total billed charges		1521.5	85			Percent of total billed charges		1521.5	85			Percent of total billed charges		1521.5	100			Percent of total billed charges		1790	100			Percent of total billed charges		1790	100			Percent of total billed charges		1790	33.3			Percent of total billed charges		596.07	33.3			Percent of total billed charges		596.07	100			Percent of total billed charges		1790	596.07	1611	
genesis ii cr articular insert sz 1-2 11mm 71420482 s/n	278	RC	Outpatient			1791	1164.15		90			Percent of total billed charges		1611.9	40			Percent of total billed charges		716.4	80			Percent of total billed charges		1432.8	90			Percent of total billed charges		1611.9	85			Percent of total billed charges		1522.35	85			Percent of total billed charges		1522.35	85			Percent of total billed charges		1522.35	100			Percent of total billed charges		1791	100			Percent of total billed charges		1791	100			Percent of total billed charges		1791	33.3			Percent of total billed charges		596.403	33.3			Percent of total billed charges		596.403	100			Percent of total billed charges		1791	596.403	1611.9	
genesis ii cr articular insert sz 1-2 15mm 71420486 s/n	278	RC	Outpatient			1791	1164.15		90			Percent of total billed charges		1611.9	40			Percent of total billed charges		716.4	80			Percent of total billed charges		1432.8	90			Percent of total billed charges		1611.9	85			Percent of total billed charges		1522.35	85			Percent of total billed charges		1522.35	85			Percent of total billed charges		1522.35	100			Percent of total billed charges		1791	100			Percent of total billed charges		1791	100			Percent of total billed charges		1791	33.3			Percent of total billed charges		596.403	33.3			Percent of total billed charges		596.403	100			Percent of total billed charges		1791	596.403	1611.9	
genesis ii cr articular insert sz 1-2 9mm 71420480 s/n	278	RC	Outpatient			1791	1164.15		90			Percent of total billed charges		1611.9	40			Percent of total billed charges		716.4	80			Percent of total billed charges		1432.8	90			Percent of total billed charges		1611.9	85			Percent of total billed charges		1522.35	85			Percent of total billed charges		1522.35	85			Percent of total billed charges		1522.35	100			Percent of total billed charges		1791	100			Percent of total billed charges		1791	100			Percent of total billed charges		1791	33.3			Percent of total billed charges		596.403	33.3			Percent of total billed charges		596.403	100			Percent of total billed charges		1791	596.403	1611.9	
evos 2.4mm strength plate 8 hole 72442472n s/n	278	RC	Outpatient			1791	1164.15		90			Percent of total billed charges		1611.9	40			Percent of total billed charges		716.4	80			Percent of total billed charges		1432.8	90			Percent of total billed charges		1611.9	85			Percent of total billed charges		1522.35	85			Percent of total billed charges		1522.35	85			Percent of total billed charges		1522.35	100			Percent of total billed charges		1791	100			Percent of total billed charges		1791	100			Percent of total billed charges		1791	33.3			Percent of total billed charges		596.403	33.3			Percent of total billed charges		596.403	100			Percent of total billed charges		1791	596.403	1611.9	
genesis ii cr articular insert sz 1-2  18mm 71420488 s/n	278	RC	Outpatient			1791	1164.15		90			Percent of total billed charges		1611.9	40			Percent of total billed charges		716.4	80			Percent of total billed charges		1432.8	90			Percent of total billed charges		1611.9	85			Percent of total billed charges		1522.35	85			Percent of total billed charges		1522.35	85			Percent of total billed charges		1522.35	100			Percent of total billed charges		1791	100			Percent of total billed charges		1791	100			Percent of total billed charges		1791	33.3			Percent of total billed charges		596.403	33.3			Percent of total billed charges		596.403	100			Percent of total billed charges		1791	596.403	1611.9	
genesis ii cr articular insert sz 1-2 13mm 71420484 s/n	278	RC	Outpatient			1791	1164.15		90			Percent of total billed charges		1611.9	40			Percent of total billed charges		716.4	80			Percent of total billed charges		1432.8	90			Percent of total billed charges		1611.9	85			Percent of total billed charges		1522.35	85			Percent of total billed charges		1522.35	85			Percent of total billed charges		1522.35	100			Percent of total billed charges		1791	100			Percent of total billed charges		1791	100			Percent of total billed charges		1791	33.3			Percent of total billed charges		596.403	33.3			Percent of total billed charges		596.403	100			Percent of total billed charges		1791	596.403	1611.9	
rich gii art ins 1-2/18mm	278	RC	Outpatient			1791	1164.15		90			Percent of total billed charges		1611.9	40			Percent of total billed charges		716.4	80			Percent of total billed charges		1432.8	90			Percent of total billed charges		1611.9	85			Percent of total billed charges		1522.35	85			Percent of total billed charges		1522.35	85			Percent of total billed charges		1522.35	100			Percent of total billed charges		1791	100			Percent of total billed charges		1791	100			Percent of total billed charges		1791	33.3			Percent of total billed charges		596.403	33.3			Percent of total billed charges		596.403	100			Percent of total billed charges		1791	596.403	1611.9	
comp reverse shoulder humeral bearing std 44-41mm xl-115366 biomet	278	RC	Outpatient			1797	1168.05		90			Percent of total billed charges		1617.3	40			Percent of total billed charges		718.8	80			Percent of total billed charges		1437.6	90			Percent of total billed charges		1617.3	85			Percent of total billed charges		1527.45	85			Percent of total billed charges		1527.45	85			Percent of total billed charges		1527.45	100			Percent of total billed charges		1797	100			Percent of total billed charges		1797	100			Percent of total billed charges		1797	33.3			Percent of total billed charges		598.401	33.3			Percent of total billed charges		598.401	100			Percent of total billed charges		1797	598.401	1617.3	
bio rsp hum bear	278	RC	Outpatient			1797	1168.05		90			Percent of total billed charges		1617.3	40			Percent of total billed charges		718.8	80			Percent of total billed charges		1437.6	90			Percent of total billed charges		1617.3	85			Percent of total billed charges		1527.45	85			Percent of total billed charges		1527.45	85			Percent of total billed charges		1527.45	100			Percent of total billed charges		1797	100			Percent of total billed charges		1797	100			Percent of total billed charges		1797	33.3			Percent of total billed charges		598.401	33.3			Percent of total billed charges		598.401	100			Percent of total billed charges		1797	598.401	1617.3	
comp reverse shoulder humeral bearing std 44-36mm ep-115393 biomet	278	RC	Outpatient			1797	1168.05		90			Percent of total billed charges		1617.3	40			Percent of total billed charges		718.8	80			Percent of total billed charges		1437.6	90			Percent of total billed charges		1617.3	85			Percent of total billed charges		1527.45	85			Percent of total billed charges		1527.45	85			Percent of total billed charges		1527.45	100			Percent of total billed charges		1797	100			Percent of total billed charges		1797	100			Percent of total billed charges		1797	33.3			Percent of total billed charges		598.401	33.3			Percent of total billed charges		598.401	100			Percent of total billed charges		1797	598.401	1617.3	
comp reverse shoulder humeral bearing std 44-36mm xl-115363 biomet	278	RC	Outpatient			1797	1168.05		90			Percent of total billed charges		1617.3	40			Percent of total billed charges		718.8	80			Percent of total billed charges		1437.6	90			Percent of total billed charges		1617.3	85			Percent of total billed charges		1527.45	85			Percent of total billed charges		1527.45	85			Percent of total billed charges		1527.45	100			Percent of total billed charges		1797	100			Percent of total billed charges		1797	100			Percent of total billed charges		1797	33.3			Percent of total billed charges		598.401	33.3			Percent of total billed charges		598.401	100			Percent of total billed charges		1797	598.401	1617.3	
taper univesal co-cr fem head 28mm +4 129936 s/n	278	RC	Outpatient			1798	1168.7		90			Percent of total billed charges		1618.2	40			Percent of total billed charges		719.2	80			Percent of total billed charges		1438.4	90			Percent of total billed charges		1618.2	85			Percent of total billed charges		1528.3	85			Percent of total billed charges		1528.3	85			Percent of total billed charges		1528.3	100			Percent of total billed charges		1798	100			Percent of total billed charges		1798	100			Percent of total billed charges		1798	33.3			Percent of total billed charges		598.734	33.3			Percent of total billed charges		598.734	100			Percent of total billed charges		1798	598.734	1618.2	
s/n univ. fem head 28mm	278	RC	Outpatient			1798	1168.7		90			Percent of total billed charges		1618.2	40			Percent of total billed charges		719.2	80			Percent of total billed charges		1438.4	90			Percent of total billed charges		1618.2	85			Percent of total billed charges		1528.3	85			Percent of total billed charges		1528.3	85			Percent of total billed charges		1528.3	100			Percent of total billed charges		1798	100			Percent of total billed charges		1798	100			Percent of total billed charges		1798	33.3			Percent of total billed charges		598.734	33.3			Percent of total billed charges		598.734	100			Percent of total billed charges		1798	598.734	1618.2	
cosmetic - laser treatment for skin laxity small area - pkg of 3 sessions	983	RC	Outpatient			1800	1170		90			Percent of total billed charges		1620	40			Percent of total billed charges		720	80			Percent of total billed charges		1440	90			Percent of total billed charges		1620	85			Percent of total billed charges		1530	85			Percent of total billed charges		1530	85			Percent of total billed charges		1530	100			Percent of total billed charges		1800	100			Percent of total billed charges		1800	100			Percent of total billed charges		1800	33.3			Percent of total billed charges		599.4	33.3			Percent of total billed charges		599.4	100			Percent of total billed charges		1800	599.4	1620	
cervical graft	278	RC	Outpatient			1801	1170.65		90			Percent of total billed charges		1620.9	40			Percent of total billed charges		720.4	80			Percent of total billed charges		1440.8	90			Percent of total billed charges		1620.9	85			Percent of total billed charges		1530.85	85			Percent of total billed charges		1530.85	85			Percent of total billed charges		1530.85	100			Percent of total billed charges		1801	100			Percent of total billed charges		1801	100			Percent of total billed charges		1801	33.3			Percent of total billed charges		599.733	33.3			Percent of total billed charges		599.733	100			Percent of total billed charges		1801	599.733	1620.9	
cervical graft 6mm 6183-2-006 stryker	278	RC	Outpatient			1801	1170.65		90			Percent of total billed charges		1620.9	40			Percent of total billed charges		720.4	80			Percent of total billed charges		1440.8	90			Percent of total billed charges		1620.9	85			Percent of total billed charges		1530.85	85			Percent of total billed charges		1530.85	85			Percent of total billed charges		1530.85	100			Percent of total billed charges		1801	100			Percent of total billed charges		1801	100			Percent of total billed charges		1801	33.3			Percent of total billed charges		599.733	33.3			Percent of total billed charges		599.733	100			Percent of total billed charges		1801	599.733	1620.9	
cervical graft 7mm 6183-2-007 stryker	278	RC	Outpatient			1801	1170.65		90			Percent of total billed charges		1620.9	40			Percent of total billed charges		720.4	80			Percent of total billed charges		1440.8	90			Percent of total billed charges		1620.9	85			Percent of total billed charges		1530.85	85			Percent of total billed charges		1530.85	85			Percent of total billed charges		1530.85	100			Percent of total billed charges		1801	100			Percent of total billed charges		1801	100			Percent of total billed charges		1801	33.3			Percent of total billed charges		599.733	33.3			Percent of total billed charges		599.733	100			Percent of total billed charges		1801	599.733	1620.9	
cervical graft 8mm 6183-2-008 stryker	278	RC	Outpatient			1801	1170.65		90			Percent of total billed charges		1620.9	40			Percent of total billed charges		720.4	80			Percent of total billed charges		1440.8	90			Percent of total billed charges		1620.9	85			Percent of total billed charges		1530.85	85			Percent of total billed charges		1530.85	85			Percent of total billed charges		1530.85	100			Percent of total billed charges		1801	100			Percent of total billed charges		1801	100			Percent of total billed charges		1801	33.3			Percent of total billed charges		599.733	33.3			Percent of total billed charges		599.733	100			Percent of total billed charges		1801	599.733	1620.9	
cervical graft 9mm 6183-2-009 stryker	278	RC	Outpatient			1801	1170.65		90			Percent of total billed charges		1620.9	40			Percent of total billed charges		720.4	80			Percent of total billed charges		1440.8	90			Percent of total billed charges		1620.9	85			Percent of total billed charges		1530.85	85			Percent of total billed charges		1530.85	85			Percent of total billed charges		1530.85	100			Percent of total billed charges		1801	100			Percent of total billed charges		1801	100			Percent of total billed charges		1801	33.3			Percent of total billed charges		599.733	33.3			Percent of total billed charges		599.733	100			Percent of total billed charges		1801	599.733	1620.9	
p-l vlp plt fib l-d 7h	278	RC	Outpatient			1801	1170.65		90			Percent of total billed charges		1620.9	40			Percent of total billed charges		720.4	80			Percent of total billed charges		1440.8	90			Percent of total billed charges		1620.9	85			Percent of total billed charges		1530.85	85			Percent of total billed charges		1530.85	85			Percent of total billed charges		1530.85	100			Percent of total billed charges		1801	100			Percent of total billed charges		1801	100			Percent of total billed charges		1801	33.3			Percent of total billed charges		599.733	33.3			Percent of total billed charges		599.733	100			Percent of total billed charges		1801	599.733	1620.9	
peri-loc 3.5 l-d fib lk pl 7 h lt 72821007 s/n	278	RC	Outpatient			1801	1170.65		90			Percent of total billed charges		1620.9	40			Percent of total billed charges		720.4	80			Percent of total billed charges		1440.8	90			Percent of total billed charges		1620.9	85			Percent of total billed charges		1530.85	85			Percent of total billed charges		1530.85	85			Percent of total billed charges		1530.85	100			Percent of total billed charges		1801	100			Percent of total billed charges		1801	100			Percent of total billed charges		1801	33.3			Percent of total billed charges		599.733	33.3			Percent of total billed charges		599.733	100			Percent of total billed charges		1801	599.733	1620.9	
peri-loc 3.5 l-d fib lk pl 7 h rt 72822007 s/n	278	RC	Outpatient			1801	1170.65		90			Percent of total billed charges		1620.9	40			Percent of total billed charges		720.4	80			Percent of total billed charges		1440.8	90			Percent of total billed charges		1620.9	85			Percent of total billed charges		1530.85	85			Percent of total billed charges		1530.85	85			Percent of total billed charges		1530.85	100			Percent of total billed charges		1801	100			Percent of total billed charges		1801	100			Percent of total billed charges		1801	33.3			Percent of total billed charges		599.733	33.3			Percent of total billed charges		599.733	100			Percent of total billed charges		1801	599.733	1620.9	
breast imp 350cc	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
breast imp gel 300cc	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
depuy srom fem blk	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
natrelle gel round implant 30-350 allergan	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
natrelle saline-filled implant 168-300 allergan	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing left 3mm 159540 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing left 3mm 159547 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing left 3mm 159554 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing left 4mm 159548 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing left 5mm 159542 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing left 5mm 159556 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing left 6mm 159543 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing left 6mm 159544 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing left 6mm 159550 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing left 6mm 159557 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing left 7mm 159544 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing left 7mm 159551 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing left 8mm 159545 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing left 8mm 159552 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing left 9mm 159546 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing left 9mm 159553 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing left 9mm 159560 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing lg sz 4 154635 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing lg sz 9 154640 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing med  sz 9 154632 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing right 36mm 159571 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing right 3mm 159575 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing right 3mm 159582 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing right 4mm 159576 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing right 4mm 159583 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing right 5mm 159570 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing right 5mm 159577 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing right 6mm 159585 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing right 7mm 159579 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing right 7mm 159586 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing small  sz3 154618 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing small  sz5 154620 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing small  sz9 154624 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing x-lg sz 4 154643 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing x-lg sz 7 154646 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing x-lg sz 9 154648 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
natrelle gel round implant 30-325 allergan	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford bearing	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing left 4mm 159541 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing left 4mm 159555 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing left 5mm 159549 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing left 7mm 159558 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing left 8mm 159559 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing lg sz 3 154634 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing lg sz 5 154636 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing lg sz 6 154637 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing lg sz 7 154638 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing lg sz 8 154639 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing med  sz 3 154626 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing med  sz 4 154627 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing med  sz 5 154628 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing med  sz 6 154629 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing med  sz 7 154630 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing med  sz 8 154631 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing right 3mm 159568 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing right 4mm 159569 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing right 5mm 159584 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing right 6mm 159578 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing right 7mm 159572 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing right 8mm 159573 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing right 8mm 159580 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing right 8mm 159587 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing right 9mm 159574 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing right 9mm 159581 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing right 9mm 159588 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing small  sz4 154619 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing small  sz6 154621 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing small  sz7 154622 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing small  sz8 154623 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing x-lg sz 3 154642 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing x-lg sz 5 154644 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing x-lg sz 6 154645 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
oxford meniscal bearing x-lg sz 8 154647 biomet	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
silicone breast imp 325cc	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
silicone breast imp 350cc	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
srom rotating hinge knee dist fem aug block 10mm 623810 depuy	278	RC	Outpatient			1805	1173.25		90			Percent of total billed charges		1624.5	40			Percent of total billed charges		722	80			Percent of total billed charges		1444	90			Percent of total billed charges		1624.5	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	85			Percent of total billed charges		1534.25	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	100			Percent of total billed charges		1805	33.3			Percent of total billed charges		601.065	33.3			Percent of total billed charges		601.065	100			Percent of total billed charges		1805	601.065	1624.5	
bio maxim tib block	278	RC	Outpatient			1807	1174.55		90			Percent of total billed charges		1626.3	40			Percent of total billed charges		722.8	80			Percent of total billed charges		1445.6	90			Percent of total billed charges		1626.3	85			Percent of total billed charges		1535.95	85			Percent of total billed charges		1535.95	85			Percent of total billed charges		1535.95	100			Percent of total billed charges		1807	100			Percent of total billed charges		1807	100			Percent of total billed charges		1807	33.3			Percent of total billed charges		601.731	33.3			Percent of total billed charges		601.731	100			Percent of total billed charges		1807	601.731	1626.3	
maxim mod tib aug block w/ screws 10 x 63mm 141761 biomet	278	RC	Outpatient			1807	1174.55		90			Percent of total billed charges		1626.3	40			Percent of total billed charges		722.8	80			Percent of total billed charges		1445.6	90			Percent of total billed charges		1626.3	85			Percent of total billed charges		1535.95	85			Percent of total billed charges		1535.95	85			Percent of total billed charges		1535.95	100			Percent of total billed charges		1807	100			Percent of total billed charges		1807	100			Percent of total billed charges		1807	33.3			Percent of total billed charges		601.731	33.3			Percent of total billed charges		601.731	100			Percent of total billed charges		1807	601.731	1626.3	
maxim mod tib aug block w/ screws 10 x 79mm 141765 biomet	278	RC	Outpatient			1807	1174.55		90			Percent of total billed charges		1626.3	40			Percent of total billed charges		722.8	80			Percent of total billed charges		1445.6	90			Percent of total billed charges		1626.3	85			Percent of total billed charges		1535.95	85			Percent of total billed charges		1535.95	85			Percent of total billed charges		1535.95	100			Percent of total billed charges		1807	100			Percent of total billed charges		1807	100			Percent of total billed charges		1807	33.3			Percent of total billed charges		601.731	33.3			Percent of total billed charges		601.731	100			Percent of total billed charges		1807	601.731	1626.3	
maxim mod tib aug block w/screw 6 x 63mm 141741 biomet	278	RC	Outpatient			1807	1174.55		90			Percent of total billed charges		1626.3	40			Percent of total billed charges		722.8	80			Percent of total billed charges		1445.6	90			Percent of total billed charges		1626.3	85			Percent of total billed charges		1535.95	85			Percent of total billed charges		1535.95	85			Percent of total billed charges		1535.95	100			Percent of total billed charges		1807	100			Percent of total billed charges		1807	100			Percent of total billed charges		1807	33.3			Percent of total billed charges		601.731	33.3			Percent of total billed charges		601.731	100			Percent of total billed charges		1807	601.731	1626.3	
maxim mod tib aug block w/screws 10 x 67mm 141762 biomet	278	RC	Outpatient			1807	1174.55		90			Percent of total billed charges		1626.3	40			Percent of total billed charges		722.8	80			Percent of total billed charges		1445.6	90			Percent of total billed charges		1626.3	85			Percent of total billed charges		1535.95	85			Percent of total billed charges		1535.95	85			Percent of total billed charges		1535.95	100			Percent of total billed charges		1807	100			Percent of total billed charges		1807	100			Percent of total billed charges		1807	33.3			Percent of total billed charges		601.731	33.3			Percent of total billed charges		601.731	100			Percent of total billed charges		1807	601.731	1626.3	
maxim mod tib aug block w/screws 10 x 71mm 141763 biomet	278	RC	Outpatient			1807	1174.55		90			Percent of total billed charges		1626.3	40			Percent of total billed charges		722.8	80			Percent of total billed charges		1445.6	90			Percent of total billed charges		1626.3	85			Percent of total billed charges		1535.95	85			Percent of total billed charges		1535.95	85			Percent of total billed charges		1535.95	100			Percent of total billed charges		1807	100			Percent of total billed charges		1807	100			Percent of total billed charges		1807	33.3			Percent of total billed charges		601.731	33.3			Percent of total billed charges		601.731	100			Percent of total billed charges		1807	601.731	1626.3	
maxim mod tib aug block w/screws 6 x 67mm 141742 biomet	278	RC	Outpatient			1807	1174.55		90			Percent of total billed charges		1626.3	40			Percent of total billed charges		722.8	80			Percent of total billed charges		1445.6	90			Percent of total billed charges		1626.3	85			Percent of total billed charges		1535.95	85			Percent of total billed charges		1535.95	85			Percent of total billed charges		1535.95	100			Percent of total billed charges		1807	100			Percent of total billed charges		1807	100			Percent of total billed charges		1807	33.3			Percent of total billed charges		601.731	33.3			Percent of total billed charges		601.731	100			Percent of total billed charges		1807	601.731	1626.3	
maxim mod tib aug block w/screws 6 x 71mm 141743 biomet	278	RC	Outpatient			1807	1174.55		90			Percent of total billed charges		1626.3	40			Percent of total billed charges		722.8	80			Percent of total billed charges		1445.6	90			Percent of total billed charges		1626.3	85			Percent of total billed charges		1535.95	85			Percent of total billed charges		1535.95	85			Percent of total billed charges		1535.95	100			Percent of total billed charges		1807	100			Percent of total billed charges		1807	100			Percent of total billed charges		1807	33.3			Percent of total billed charges		601.731	33.3			Percent of total billed charges		601.731	100			Percent of total billed charges		1807	601.731	1626.3	
39mm x 16mm should head sh-3916-s polarus	278	RC	Outpatient			1811	1177.15		90			Percent of total billed charges		1629.9	40			Percent of total billed charges		724.4	80			Percent of total billed charges		1448.8	90			Percent of total billed charges		1629.9	85			Percent of total billed charges		1539.35	85			Percent of total billed charges		1539.35	85			Percent of total billed charges		1539.35	100			Percent of total billed charges		1811	100			Percent of total billed charges		1811	100			Percent of total billed charges		1811	33.3			Percent of total billed charges		603.063	33.3			Percent of total billed charges		603.063	100			Percent of total billed charges		1811	603.063	1629.9	
43mm x 21mm should head sh-4321-s polarus	278	RC	Outpatient			1811	1177.15		90			Percent of total billed charges		1629.9	40			Percent of total billed charges		724.4	80			Percent of total billed charges		1448.8	90			Percent of total billed charges		1629.9	85			Percent of total billed charges		1539.35	85			Percent of total billed charges		1539.35	85			Percent of total billed charges		1539.35	100			Percent of total billed charges		1811	100			Percent of total billed charges		1811	100			Percent of total billed charges		1811	33.3			Percent of total billed charges		603.063	33.3			Percent of total billed charges		603.063	100			Percent of total billed charges		1811	603.063	1629.9	
47mm x 18mm should head sh-4718-s polarus	278	RC	Outpatient			1811	1177.15		90			Percent of total billed charges		1629.9	40			Percent of total billed charges		724.4	80			Percent of total billed charges		1448.8	90			Percent of total billed charges		1629.9	85			Percent of total billed charges		1539.35	85			Percent of total billed charges		1539.35	85			Percent of total billed charges		1539.35	100			Percent of total billed charges		1811	100			Percent of total billed charges		1811	100			Percent of total billed charges		1811	33.3			Percent of total billed charges		603.063	33.3			Percent of total billed charges		603.063	100			Percent of total billed charges		1811	603.063	1629.9	
51mm x 23mm shoulder head sh-5123-s polarus	278	RC	Outpatient			1811	1177.15		90			Percent of total billed charges		1629.9	40			Percent of total billed charges		724.4	80			Percent of total billed charges		1448.8	90			Percent of total billed charges		1629.9	85			Percent of total billed charges		1539.35	85			Percent of total billed charges		1539.35	85			Percent of total billed charges		1539.35	100			Percent of total billed charges		1811	100			Percent of total billed charges		1811	100			Percent of total billed charges		1811	33.3			Percent of total billed charges		603.063	33.3			Percent of total billed charges		603.063	100			Percent of total billed charges		1811	603.063	1629.9	
39mm x 20mm should head sh-3920-s polarus	278	RC	Outpatient			1811	1177.15		90			Percent of total billed charges		1629.9	40			Percent of total billed charges		724.4	80			Percent of total billed charges		1448.8	90			Percent of total billed charges		1629.9	85			Percent of total billed charges		1539.35	85			Percent of total billed charges		1539.35	85			Percent of total billed charges		1539.35	100			Percent of total billed charges		1811	100			Percent of total billed charges		1811	100			Percent of total billed charges		1811	33.3			Percent of total billed charges		603.063	33.3			Percent of total billed charges		603.063	100			Percent of total billed charges		1811	603.063	1629.9	
43mm x 17mm should head sh-4317-s polarus	278	RC	Outpatient			1811	1177.15		90			Percent of total billed charges		1629.9	40			Percent of total billed charges		724.4	80			Percent of total billed charges		1448.8	90			Percent of total billed charges		1629.9	85			Percent of total billed charges		1539.35	85			Percent of total billed charges		1539.35	85			Percent of total billed charges		1539.35	100			Percent of total billed charges		1811	100			Percent of total billed charges		1811	100			Percent of total billed charges		1811	33.3			Percent of total billed charges		603.063	33.3			Percent of total billed charges		603.063	100			Percent of total billed charges		1811	603.063	1629.9	
47mm x 22mm should head sh-4722-s polarus	278	RC	Outpatient			1811	1177.15		90			Percent of total billed charges		1629.9	40			Percent of total billed charges		724.4	80			Percent of total billed charges		1448.8	90			Percent of total billed charges		1629.9	85			Percent of total billed charges		1539.35	85			Percent of total billed charges		1539.35	85			Percent of total billed charges		1539.35	100			Percent of total billed charges		1811	100			Percent of total billed charges		1811	100			Percent of total billed charges		1811	33.3			Percent of total billed charges		603.063	33.3			Percent of total billed charges		603.063	100			Percent of total billed charges		1811	603.063	1629.9	
51mm x 19mm shoulder head sh-5119-s polarus	278	RC	Outpatient			1811	1177.15		90			Percent of total billed charges		1629.9	40			Percent of total billed charges		724.4	80			Percent of total billed charges		1448.8	90			Percent of total billed charges		1629.9	85			Percent of total billed charges		1539.35	85			Percent of total billed charges		1539.35	85			Percent of total billed charges		1539.35	100			Percent of total billed charges		1811	100			Percent of total billed charges		1811	100			Percent of total billed charges		1811	33.3			Percent of total billed charges		603.063	33.3			Percent of total billed charges		603.063	100			Percent of total billed charges		1811	603.063	1629.9	
tissuemend 4cm x 4cm 6495-9-104 tei	278	RC	Outpatient			1811	1177.15		90			Percent of total billed charges		1629.9	40			Percent of total billed charges		724.4	80			Percent of total billed charges		1448.8	90			Percent of total billed charges		1629.9	85			Percent of total billed charges		1539.35	85			Percent of total billed charges		1539.35	85			Percent of total billed charges		1539.35	100			Percent of total billed charges		1811	100			Percent of total billed charges		1811	100			Percent of total billed charges		1811	33.3			Percent of total billed charges		603.063	33.3			Percent of total billed charges		603.063	100			Percent of total billed charges		1811	603.063	1629.9	
tissuemend 4cm x 4cm fenestrated 6495-9-114 tei	278	RC	Outpatient			1811	1177.15		90			Percent of total billed charges		1629.9	40			Percent of total billed charges		724.4	80			Percent of total billed charges		1448.8	90			Percent of total billed charges		1629.9	85			Percent of total billed charges		1539.35	85			Percent of total billed charges		1539.35	85			Percent of total billed charges		1539.35	100			Percent of total billed charges		1811	100			Percent of total billed charges		1811	100			Percent of total billed charges		1811	33.3			Percent of total billed charges		603.063	33.3			Percent of total billed charges		603.063	100			Percent of total billed charges		1811	603.063	1629.9	
polarus mod shoulder head	278	RC	Outpatient			1811	1177.15		90			Percent of total billed charges		1629.9	40			Percent of total billed charges		724.4	80			Percent of total billed charges		1448.8	90			Percent of total billed charges		1629.9	85			Percent of total billed charges		1539.35	85			Percent of total billed charges		1539.35	85			Percent of total billed charges		1539.35	100			Percent of total billed charges		1811	100			Percent of total billed charges		1811	100			Percent of total billed charges		1811	33.3			Percent of total billed charges		603.063	33.3			Percent of total billed charges		603.063	100			Percent of total billed charges		1811	603.063	1629.9	
tissuemend 4 x 4 cm	278	RC	Outpatient			1811	1177.15		90			Percent of total billed charges		1629.9	40			Percent of total billed charges		724.4	80			Percent of total billed charges		1448.8	90			Percent of total billed charges		1629.9	85			Percent of total billed charges		1539.35	85			Percent of total billed charges		1539.35	85			Percent of total billed charges		1539.35	100			Percent of total billed charges		1811	100			Percent of total billed charges		1811	100			Percent of total billed charges		1811	33.3			Percent of total billed charges		603.063	33.3			Percent of total billed charges		603.063	100			Percent of total billed charges		1811	603.063	1629.9	
acetabular liner 20 degree 28mm 6320-48-28 zimmer	278	RC	Outpatient			1813	1178.45		90			Percent of total billed charges		1631.7	40			Percent of total billed charges		725.2	80			Percent of total billed charges		1450.4	90			Percent of total billed charges		1631.7	85			Percent of total billed charges		1541.05	85			Percent of total billed charges		1541.05	85			Percent of total billed charges		1541.05	100			Percent of total billed charges		1813	100			Percent of total billed charges		1813	100			Percent of total billed charges		1813	33.3			Percent of total billed charges		603.729	33.3			Percent of total billed charges		603.729	100			Percent of total billed charges		1813	603.729	1631.7	
zimmer  acet liner 28mm 10 degree 6310-50-28	278	RC	Outpatient			1813	1178.45		90			Percent of total billed charges		1631.7	40			Percent of total billed charges		725.2	80			Percent of total billed charges		1450.4	90			Percent of total billed charges		1631.7	85			Percent of total billed charges		1541.05	85			Percent of total billed charges		1541.05	85			Percent of total billed charges		1541.05	100			Percent of total billed charges		1813	100			Percent of total billed charges		1813	100			Percent of total billed charges		1813	33.3			Percent of total billed charges		603.729	33.3			Percent of total billed charges		603.729	100			Percent of total billed charges		1813	603.729	1631.7	
zimmer liner	278	RC	Outpatient			1813	1178.45		90			Percent of total billed charges		1631.7	40			Percent of total billed charges		725.2	80			Percent of total billed charges		1450.4	90			Percent of total billed charges		1631.7	85			Percent of total billed charges		1541.05	85			Percent of total billed charges		1541.05	85			Percent of total billed charges		1541.05	100			Percent of total billed charges		1813	100			Percent of total billed charges		1813	100			Percent of total billed charges		1813	33.3			Percent of total billed charges		603.729	33.3			Percent of total billed charges		603.729	100			Percent of total billed charges		1813	603.729	1631.7	
allograft gracilis 23.2 cm x 5.0mm 430300 mtf	278	RC	Outpatient			1815	1179.75		90			Percent of total billed charges		1633.5	40			Percent of total billed charges		726	80			Percent of total billed charges		1452	90			Percent of total billed charges		1633.5	85			Percent of total billed charges		1542.75	85			Percent of total billed charges		1542.75	85			Percent of total billed charges		1542.75	100			Percent of total billed charges		1815	100			Percent of total billed charges		1815	100			Percent of total billed charges		1815	33.3			Percent of total billed charges		604.395	33.3			Percent of total billed charges		604.395	100			Percent of total billed charges		1815	604.395	1633.5	
allograft gracilis 24.0 cm x 3.5mm 430300 mtf	278	RC	Outpatient			1815	1179.75		90			Percent of total billed charges		1633.5	40			Percent of total billed charges		726	80			Percent of total billed charges		1452	90			Percent of total billed charges		1633.5	85			Percent of total billed charges		1542.75	85			Percent of total billed charges		1542.75	85			Percent of total billed charges		1542.75	100			Percent of total billed charges		1815	100			Percent of total billed charges		1815	100			Percent of total billed charges		1815	33.3			Percent of total billed charges		604.395	33.3			Percent of total billed charges		604.395	100			Percent of total billed charges		1815	604.395	1633.5	
allograft gracilis tendon  22 cm x 5.0mm 430300 mtf	278	RC	Outpatient			1815	1179.75		90			Percent of total billed charges		1633.5	40			Percent of total billed charges		726	80			Percent of total billed charges		1452	90			Percent of total billed charges		1633.5	85			Percent of total billed charges		1542.75	85			Percent of total billed charges		1542.75	85			Percent of total billed charges		1542.75	100			Percent of total billed charges		1815	100			Percent of total billed charges		1815	100			Percent of total billed charges		1815	33.3			Percent of total billed charges		604.395	33.3			Percent of total billed charges		604.395	100			Percent of total billed charges		1815	604.395	1633.5	
allograft gracilis 22.0 cm x 4.0mm 430300 mtf	278	RC	Outpatient			1815	1179.75		90			Percent of total billed charges		1633.5	40			Percent of total billed charges		726	80			Percent of total billed charges		1452	90			Percent of total billed charges		1633.5	85			Percent of total billed charges		1542.75	85			Percent of total billed charges		1542.75	85			Percent of total billed charges		1542.75	100			Percent of total billed charges		1815	100			Percent of total billed charges		1815	100			Percent of total billed charges		1815	33.3			Percent of total billed charges		604.395	33.3			Percent of total billed charges		604.395	100			Percent of total billed charges		1815	604.395	1633.5	
allograft gracilis 24 cm x 5.0mm 430300 mtf	278	RC	Outpatient			1815	1179.75		90			Percent of total billed charges		1633.5	40			Percent of total billed charges		726	80			Percent of total billed charges		1452	90			Percent of total billed charges		1633.5	85			Percent of total billed charges		1542.75	85			Percent of total billed charges		1542.75	85			Percent of total billed charges		1542.75	100			Percent of total billed charges		1815	100			Percent of total billed charges		1815	100			Percent of total billed charges		1815	33.3			Percent of total billed charges		604.395	33.3			Percent of total billed charges		604.395	100			Percent of total billed charges		1815	604.395	1633.5	
allograft gracilis 25.2 cm x 4.0mm 430300 mtf	278	RC	Outpatient			1815	1179.75		90			Percent of total billed charges		1633.5	40			Percent of total billed charges		726	80			Percent of total billed charges		1452	90			Percent of total billed charges		1633.5	85			Percent of total billed charges		1542.75	85			Percent of total billed charges		1542.75	85			Percent of total billed charges		1542.75	100			Percent of total billed charges		1815	100			Percent of total billed charges		1815	100			Percent of total billed charges		1815	33.3			Percent of total billed charges		604.395	33.3			Percent of total billed charges		604.395	100			Percent of total billed charges		1815	604.395	1633.5	
biomet g7 acetabular shell 54mm 010000664	278	RC	Outpatient			1818	1181.7		90			Percent of total billed charges		1636.2	40			Percent of total billed charges		727.2	80			Percent of total billed charges		1454.4	90			Percent of total billed charges		1636.2	85			Percent of total billed charges		1545.3	85			Percent of total billed charges		1545.3	85			Percent of total billed charges		1545.3	100			Percent of total billed charges		1818	100			Percent of total billed charges		1818	100			Percent of total billed charges		1818	33.3			Percent of total billed charges		605.394	33.3			Percent of total billed charges		605.394	100			Percent of total billed charges		1818	605.394	1636.2	
endo egd with triclip procedure	750	RC	Outpatient			1819	1182.35		90			Percent of total billed charges		1637.1	40			Percent of total billed charges		727.6	80			Percent of total billed charges		1455.2	90			Percent of total billed charges		1637.1	85			Percent of total billed charges		1546.15	85			Percent of total billed charges		1546.15	85			Percent of total billed charges		1546.15	100			Percent of total billed charges		1819	100			Percent of total billed charges		1819	100			Percent of total billed charges		1819	33.3			Percent of total billed charges		605.727	33.3			Percent of total billed charges		605.727	100			Percent of total billed charges		1819	605.727	1637.1	
recon plt 3.5mm 6 hl 71809516 s\n	278	RC	Outpatient			1821	1183.65		90			Percent of total billed charges		1638.9	40			Percent of total billed charges		728.4	80			Percent of total billed charges		1456.8	90			Percent of total billed charges		1638.9	85			Percent of total billed charges		1547.85	85			Percent of total billed charges		1547.85	85			Percent of total billed charges		1547.85	100			Percent of total billed charges		1821	100			Percent of total billed charges		1821	100			Percent of total billed charges		1821	33.3			Percent of total billed charges		606.393	33.3			Percent of total billed charges		606.393	100			Percent of total billed charges		1821	606.393	1638.9	
recon plt 3.5mm 6 hl 71829516 s\n	278	RC	Outpatient			1821	1183.65		90			Percent of total billed charges		1638.9	40			Percent of total billed charges		728.4	80			Percent of total billed charges		1456.8	90			Percent of total billed charges		1638.9	85			Percent of total billed charges		1547.85	85			Percent of total billed charges		1547.85	85			Percent of total billed charges		1547.85	100			Percent of total billed charges		1821	100			Percent of total billed charges		1821	100			Percent of total billed charges		1821	33.3			Percent of total billed charges		606.393	33.3			Percent of total billed charges		606.393	100			Percent of total billed charges		1821	606.393	1638.9	
s/n 3.5 recon pl 6 hl	278	RC	Outpatient			1821	1183.65		90			Percent of total billed charges		1638.9	40			Percent of total billed charges		728.4	80			Percent of total billed charges		1456.8	90			Percent of total billed charges		1638.9	85			Percent of total billed charges		1547.85	85			Percent of total billed charges		1547.85	85			Percent of total billed charges		1547.85	100			Percent of total billed charges		1821	100			Percent of total billed charges		1821	100			Percent of total billed charges		1821	33.3			Percent of total billed charges		606.393	33.3			Percent of total billed charges		606.393	100			Percent of total billed charges		1821	606.393	1638.9	
endo egd with peg placement	750	RC	Outpatient			1825	1186.25		90			Percent of total billed charges		1642.5	40			Percent of total billed charges		730	80			Percent of total billed charges		1460	90			Percent of total billed charges		1642.5	85			Percent of total billed charges		1551.25	85			Percent of total billed charges		1551.25	85			Percent of total billed charges		1551.25	100			Percent of total billed charges		1825	100			Percent of total billed charges		1825	100			Percent of total billed charges		1825	33.3			Percent of total billed charges		607.725	33.3			Percent of total billed charges		607.725	100			Percent of total billed charges		1825	607.725	1642.5	
cath lab v-lead 1888tc/52cm	278	RC	Outpatient			1837	1194.05		90			Percent of total billed charges		1653.3	40			Percent of total billed charges		734.8	80			Percent of total billed charges		1469.6	90			Percent of total billed charges		1653.3	85			Percent of total billed charges		1561.45	85			Percent of total billed charges		1561.45	85			Percent of total billed charges		1561.45	100			Percent of total billed charges		1837	100			Percent of total billed charges		1837	100			Percent of total billed charges		1837	33.3			Percent of total billed charges		611.721	33.3			Percent of total billed charges		611.721	100			Percent of total billed charges		1837	611.721	1653.3	
cath lab a-lead 1888tc/46cm	278	RC	Outpatient			1837	1194.05		90			Percent of total billed charges		1653.3	40			Percent of total billed charges		734.8	80			Percent of total billed charges		1469.6	90			Percent of total billed charges		1653.3	85			Percent of total billed charges		1561.45	85			Percent of total billed charges		1561.45	85			Percent of total billed charges		1561.45	100			Percent of total billed charges		1837	100			Percent of total billed charges		1837	100			Percent of total billed charges		1837	33.3			Percent of total billed charges		611.721	33.3			Percent of total billed charges		611.721	100			Percent of total billed charges		1837	611.721	1653.3	
st. jude 1888tc/46 a-lead	278	RC	Outpatient			1837	1194.05		90			Percent of total billed charges		1653.3	40			Percent of total billed charges		734.8	80			Percent of total billed charges		1469.6	90			Percent of total billed charges		1653.3	85			Percent of total billed charges		1561.45	85			Percent of total billed charges		1561.45	85			Percent of total billed charges		1561.45	100			Percent of total billed charges		1837	100			Percent of total billed charges		1837	100			Percent of total billed charges		1837	33.3			Percent of total billed charges		611.721	33.3			Percent of total billed charges		611.721	100			Percent of total billed charges		1837	611.721	1653.3	
st. jude 1888tc/52 vlead	278	RC	Outpatient			1837	1194.05		90			Percent of total billed charges		1653.3	40			Percent of total billed charges		734.8	80			Percent of total billed charges		1469.6	90			Percent of total billed charges		1653.3	85			Percent of total billed charges		1561.45	85			Percent of total billed charges		1561.45	85			Percent of total billed charges		1561.45	100			Percent of total billed charges		1837	100			Percent of total billed charges		1837	100			Percent of total billed charges		1837	33.3			Percent of total billed charges		611.721	33.3			Percent of total billed charges		611.721	100			Percent of total billed charges		1837	611.721	1653.3	
p-l-d humeral locking plate 7h r 71822707 s/n	278	RC	Outpatient			1839	1195.35		90			Percent of total billed charges		1655.1	40			Percent of total billed charges		735.6	80			Percent of total billed charges		1471.2	90			Percent of total billed charges		1655.1	85			Percent of total billed charges		1563.15	85			Percent of total billed charges		1563.15	85			Percent of total billed charges		1563.15	100			Percent of total billed charges		1839	100			Percent of total billed charges		1839	100			Percent of total billed charges		1839	33.3			Percent of total billed charges		612.387	33.3			Percent of total billed charges		612.387	100			Percent of total billed charges		1839	612.387	1655.1	
p-l-d humeral locking plate 7h l 71822607 s/n	278	RC	Outpatient			1839	1195.35		90			Percent of total billed charges		1655.1	40			Percent of total billed charges		735.6	80			Percent of total billed charges		1471.2	90			Percent of total billed charges		1655.1	85			Percent of total billed charges		1563.15	85			Percent of total billed charges		1563.15	85			Percent of total billed charges		1563.15	100			Percent of total billed charges		1839	100			Percent of total billed charges		1839	100			Percent of total billed charges		1839	33.3			Percent of total billed charges		612.387	33.3			Percent of total billed charges		612.387	100			Percent of total billed charges		1839	612.387	1655.1	
s/n p-l-d hum lk pl 7h	278	RC	Outpatient			1839	1195.35		90			Percent of total billed charges		1655.1	40			Percent of total billed charges		735.6	80			Percent of total billed charges		1471.2	90			Percent of total billed charges		1655.1	85			Percent of total billed charges		1563.15	85			Percent of total billed charges		1563.15	85			Percent of total billed charges		1563.15	100			Percent of total billed charges		1839	100			Percent of total billed charges		1839	100			Percent of total billed charges		1839	33.3			Percent of total billed charges		612.387	33.3			Percent of total billed charges		612.387	100			Percent of total billed charges		1839	612.387	1655.1	
implate metacarpal nail	278	RC	Outpatient			1840	1196		90			Percent of total billed charges		1656	40			Percent of total billed charges		736	80			Percent of total billed charges		1472	90			Percent of total billed charges		1656	85			Percent of total billed charges		1564	85			Percent of total billed charges		1564	85			Percent of total billed charges		1564	100			Percent of total billed charges		1840	100			Percent of total billed charges		1840	100			Percent of total billed charges		1840	33.3			Percent of total billed charges		612.72	33.3			Percent of total billed charges		612.72	100			Percent of total billed charges		1840	612.72	1656	
implate nail dist radius short imp-drn-sht skeletal dynamics	278	RC	Outpatient			1840	1196		90			Percent of total billed charges		1656	40			Percent of total billed charges		736	80			Percent of total billed charges		1472	90			Percent of total billed charges		1656	85			Percent of total billed charges		1564	85			Percent of total billed charges		1564	85			Percent of total billed charges		1564	100			Percent of total billed charges		1840	100			Percent of total billed charges		1840	100			Percent of total billed charges		1840	33.3			Percent of total billed charges		612.72	33.3			Percent of total billed charges		612.72	100			Percent of total billed charges		1840	612.72	1656	
implate radial nail	278	RC	Outpatient			1840	1196		90			Percent of total billed charges		1656	40			Percent of total billed charges		736	80			Percent of total billed charges		1472	90			Percent of total billed charges		1656	85			Percent of total billed charges		1564	85			Percent of total billed charges		1564	85			Percent of total billed charges		1564	100			Percent of total billed charges		1840	100			Percent of total billed charges		1840	100			Percent of total billed charges		1840	33.3			Percent of total billed charges		612.72	33.3			Percent of total billed charges		612.72	100			Percent of total billed charges		1840	612.72	1656	
lateral dist humeral locking plate 7h l 71822407 s/n	278	RC	Outpatient			1840	1196		90			Percent of total billed charges		1656	40			Percent of total billed charges		736	80			Percent of total billed charges		1472	90			Percent of total billed charges		1656	85			Percent of total billed charges		1564	85			Percent of total billed charges		1564	85			Percent of total billed charges		1564	100			Percent of total billed charges		1840	100			Percent of total billed charges		1840	100			Percent of total billed charges		1840	33.3			Percent of total billed charges		612.72	33.3			Percent of total billed charges		612.72	100			Percent of total billed charges		1840	612.72	1656	
implate nail dist radius long imp-drn-lng skeletal dynamics	278	RC	Outpatient			1840	1196		90			Percent of total billed charges		1656	40			Percent of total billed charges		736	80			Percent of total billed charges		1472	90			Percent of total billed charges		1656	85			Percent of total billed charges		1564	85			Percent of total billed charges		1564	85			Percent of total billed charges		1564	100			Percent of total billed charges		1840	100			Percent of total billed charges		1840	100			Percent of total billed charges		1840	33.3			Percent of total billed charges		612.72	33.3			Percent of total billed charges		612.72	100			Percent of total billed charges		1840	612.72	1656	
implate nail metacarpal stand 4.0mm imp-mcn-s40 skeletal dynamics	278	RC	Outpatient			1840	1196		90			Percent of total billed charges		1656	40			Percent of total billed charges		736	80			Percent of total billed charges		1472	90			Percent of total billed charges		1656	85			Percent of total billed charges		1564	85			Percent of total billed charges		1564	85			Percent of total billed charges		1564	100			Percent of total billed charges		1840	100			Percent of total billed charges		1840	100			Percent of total billed charges		1840	33.3			Percent of total billed charges		612.72	33.3			Percent of total billed charges		612.72	100			Percent of total billed charges		1840	612.72	1656	
implate nail metacarpal stand 5.0mm imp-mcn-s50 skeletal dynamics	278	RC	Outpatient			1840	1196		90			Percent of total billed charges		1656	40			Percent of total billed charges		736	80			Percent of total billed charges		1472	90			Percent of total billed charges		1656	85			Percent of total billed charges		1564	85			Percent of total billed charges		1564	85			Percent of total billed charges		1564	100			Percent of total billed charges		1840	100			Percent of total billed charges		1840	100			Percent of total billed charges		1840	33.3			Percent of total billed charges		612.72	33.3			Percent of total billed charges		612.72	100			Percent of total billed charges		1840	612.72	1656	
lateral dist humeral locking plate 7h r 71822507 s/n	278	RC	Outpatient			1840	1196		90			Percent of total billed charges		1656	40			Percent of total billed charges		736	80			Percent of total billed charges		1472	90			Percent of total billed charges		1656	85			Percent of total billed charges		1564	85			Percent of total billed charges		1564	85			Percent of total billed charges		1564	100			Percent of total billed charges		1840	100			Percent of total billed charges		1840	100			Percent of total billed charges		1840	33.3			Percent of total billed charges		612.72	33.3			Percent of total billed charges		612.72	100			Percent of total billed charges		1840	612.72	1656	
med distal humeral locking plate 7h l 71821907 s/n	278	RC	Outpatient			1840	1196		90			Percent of total billed charges		1656	40			Percent of total billed charges		736	80			Percent of total billed charges		1472	90			Percent of total billed charges		1656	85			Percent of total billed charges		1564	85			Percent of total billed charges		1564	85			Percent of total billed charges		1564	100			Percent of total billed charges		1840	100			Percent of total billed charges		1840	100			Percent of total billed charges		1840	33.3			Percent of total billed charges		612.72	33.3			Percent of total billed charges		612.72	100			Percent of total billed charges		1840	612.72	1656	
med distal humeral locking plate 7h r 71821807 s/n	278	RC	Outpatient			1840	1196		90			Percent of total billed charges		1656	40			Percent of total billed charges		736	80			Percent of total billed charges		1472	90			Percent of total billed charges		1656	85			Percent of total billed charges		1564	85			Percent of total billed charges		1564	85			Percent of total billed charges		1564	100			Percent of total billed charges		1840	100			Percent of total billed charges		1840	100			Percent of total billed charges		1840	33.3			Percent of total billed charges		612.72	33.3			Percent of total billed charges		612.72	100			Percent of total billed charges		1840	612.72	1656	
s/n latdist hum lk pl 7h	278	RC	Outpatient			1840	1196		90			Percent of total billed charges		1656	40			Percent of total billed charges		736	80			Percent of total billed charges		1472	90			Percent of total billed charges		1656	85			Percent of total billed charges		1564	85			Percent of total billed charges		1564	85			Percent of total billed charges		1564	100			Percent of total billed charges		1840	100			Percent of total billed charges		1840	100			Percent of total billed charges		1840	33.3			Percent of total billed charges		612.72	33.3			Percent of total billed charges		612.72	100			Percent of total billed charges		1840	612.72	1656	
s/n meddist hum lk pl 7h	278	RC	Outpatient			1840	1196		90			Percent of total billed charges		1656	40			Percent of total billed charges		736	80			Percent of total billed charges		1472	90			Percent of total billed charges		1656	85			Percent of total billed charges		1564	85			Percent of total billed charges		1564	85			Percent of total billed charges		1564	100			Percent of total billed charges		1840	100			Percent of total billed charges		1840	100			Percent of total billed charges		1840	33.3			Percent of total billed charges		612.72	33.3			Percent of total billed charges		612.72	100			Percent of total billed charges		1840	612.72	1656	
mesh parietex 10 x 8 comp	278	RC	Outpatient			1846	1199.9		90			Percent of total billed charges		1661.4	40			Percent of total billed charges		738.4	80			Percent of total billed charges		1476.8	90			Percent of total billed charges		1661.4	85			Percent of total billed charges		1569.1	85			Percent of total billed charges		1569.1	85			Percent of total billed charges		1569.1	100			Percent of total billed charges		1846	100			Percent of total billed charges		1846	100			Percent of total billed charges		1846	33.3			Percent of total billed charges		614.718	33.3			Percent of total billed charges		614.718	100			Percent of total billed charges		1846	614.718	1661.4	
parietex mesh 10 x 8   (25 x 20cm)  pc02520x covidien	278	RC	Outpatient			1846	1199.9		90			Percent of total billed charges		1661.4	40			Percent of total billed charges		738.4	80			Percent of total billed charges		1476.8	90			Percent of total billed charges		1661.4	85			Percent of total billed charges		1569.1	85			Percent of total billed charges		1569.1	85			Percent of total billed charges		1569.1	100			Percent of total billed charges		1846	100			Percent of total billed charges		1846	100			Percent of total billed charges		1846	33.3			Percent of total billed charges		614.718	33.3			Percent of total billed charges		614.718	100			Percent of total billed charges		1846	614.718	1661.4	
stryker small offset connector 48902015	278	RC	Outpatient			1848	1201.2		90			Percent of total billed charges		1663.2	40			Percent of total billed charges		739.2	80			Percent of total billed charges		1478.4	90			Percent of total billed charges		1663.2	85			Percent of total billed charges		1570.8	85			Percent of total billed charges		1570.8	85			Percent of total billed charges		1570.8	100			Percent of total billed charges		1848	100			Percent of total billed charges		1848	100			Percent of total billed charges		1848	33.3			Percent of total billed charges		615.384	33.3			Percent of total billed charges		615.384	100			Percent of total billed charges		1848	615.384	1663.2	
stryker medium offset connector 48902020	278	RC	Outpatient			1848	1201.2		90			Percent of total billed charges		1663.2	40			Percent of total billed charges		739.2	80			Percent of total billed charges		1478.4	90			Percent of total billed charges		1663.2	85			Percent of total billed charges		1570.8	85			Percent of total billed charges		1570.8	85			Percent of total billed charges		1570.8	100			Percent of total billed charges		1848	100			Percent of total billed charges		1848	100			Percent of total billed charges		1848	33.3			Percent of total billed charges		615.384	33.3			Percent of total billed charges		615.384	100			Percent of total billed charges		1848	615.384	1663.2	
stryker sm ofset connect	278	RC	Outpatient			1848	1201.2		90			Percent of total billed charges		1663.2	40			Percent of total billed charges		739.2	80			Percent of total billed charges		1478.4	90			Percent of total billed charges		1663.2	85			Percent of total billed charges		1570.8	85			Percent of total billed charges		1570.8	85			Percent of total billed charges		1570.8	100			Percent of total billed charges		1848	100			Percent of total billed charges		1848	100			Percent of total billed charges		1848	33.3			Percent of total billed charges		615.384	33.3			Percent of total billed charges		615.384	100			Percent of total billed charges		1848	615.384	1663.2	
endo egd & gi inj w/silver probe	750	RC	Outpatient			1852	1203.8		90			Percent of total billed charges		1666.8	40			Percent of total billed charges		740.8	80			Percent of total billed charges		1481.6	90			Percent of total billed charges		1666.8	85			Percent of total billed charges		1574.2	85			Percent of total billed charges		1574.2	85			Percent of total billed charges		1574.2	100			Percent of total billed charges		1852	100			Percent of total billed charges		1852	100			Percent of total billed charges		1852	33.3			Percent of total billed charges		616.716	33.3			Percent of total billed charges		616.716	100			Percent of total billed charges		1852	616.716	1666.8	
bio maxim tibial bearing	278	RC	Outpatient			1853	1204.45		90			Percent of total billed charges		1667.7	40			Percent of total billed charges		741.2	80			Percent of total billed charges		1482.4	90			Percent of total billed charges		1667.7	85			Percent of total billed charges		1575.05	85			Percent of total billed charges		1575.05	85			Percent of total billed charges		1575.05	100			Percent of total billed charges		1853	100			Percent of total billed charges		1853	100			Percent of total billed charges		1853	33.3			Percent of total billed charges		617.049	33.3			Percent of total billed charges		617.049	100			Percent of total billed charges		1853	617.049	1667.7	
biomet  tibial bearing 16 x 87/91 11-146196	278	RC	Outpatient			1853	1204.45		90			Percent of total billed charges		1667.7	40			Percent of total billed charges		741.2	80			Percent of total billed charges		1482.4	90			Percent of total billed charges		1667.7	85			Percent of total billed charges		1575.05	85			Percent of total billed charges		1575.05	85			Percent of total billed charges		1575.05	100			Percent of total billed charges		1853	100			Percent of total billed charges		1853	100			Percent of total billed charges		1853	33.3			Percent of total billed charges		617.049	33.3			Percent of total billed charges		617.049	100			Percent of total billed charges		1853	617.049	1667.7	
biomet tibial bearing 10 x 63/67 11-146130	278	RC	Outpatient			1853	1204.45		90			Percent of total billed charges		1667.7	40			Percent of total billed charges		741.2	80			Percent of total billed charges		1482.4	90			Percent of total billed charges		1667.7	85			Percent of total billed charges		1575.05	85			Percent of total billed charges		1575.05	85			Percent of total billed charges		1575.05	100			Percent of total billed charges		1853	100			Percent of total billed charges		1853	100			Percent of total billed charges		1853	33.3			Percent of total billed charges		617.049	33.3			Percent of total billed charges		617.049	100			Percent of total billed charges		1853	617.049	1667.7	
biomet tibial bearing 10 x 79/83 11-146170	278	RC	Outpatient			1853	1204.45		90			Percent of total billed charges		1667.7	40			Percent of total billed charges		741.2	80			Percent of total billed charges		1482.4	90			Percent of total billed charges		1667.7	85			Percent of total billed charges		1575.05	85			Percent of total billed charges		1575.05	85			Percent of total billed charges		1575.05	100			Percent of total billed charges		1853	100			Percent of total billed charges		1853	100			Percent of total billed charges		1853	33.3			Percent of total billed charges		617.049	33.3			Percent of total billed charges		617.049	100			Percent of total billed charges		1853	617.049	1667.7	
biomet tibial bearing 10 x 87/91 11-146190	278	RC	Outpatient			1853	1204.45		90			Percent of total billed charges		1667.7	40			Percent of total billed charges		741.2	80			Percent of total billed charges		1482.4	90			Percent of total billed charges		1667.7	85			Percent of total billed charges		1575.05	85			Percent of total billed charges		1575.05	85			Percent of total billed charges		1575.05	100			Percent of total billed charges		1853	100			Percent of total billed charges		1853	100			Percent of total billed charges		1853	33.3			Percent of total billed charges		617.049	33.3			Percent of total billed charges		617.049	100			Percent of total billed charges		1853	617.049	1667.7	
biomet tibial bearing 12 x 71/75 11-146152	278	RC	Outpatient			1853	1204.45		90			Percent of total billed charges		1667.7	40			Percent of total billed charges		741.2	80			Percent of total billed charges		1482.4	90			Percent of total billed charges		1667.7	85			Percent of total billed charges		1575.05	85			Percent of total billed charges		1575.05	85			Percent of total billed charges		1575.05	100			Percent of total billed charges		1853	100			Percent of total billed charges		1853	100			Percent of total billed charges		1853	33.3			Percent of total billed charges		617.049	33.3			Percent of total billed charges		617.049	100			Percent of total billed charges		1853	617.049	1667.7	
biomet tibial bearing 12 x 79/83 11-146172	278	RC	Outpatient			1853	1204.45		90			Percent of total billed charges		1667.7	40			Percent of total billed charges		741.2	80			Percent of total billed charges		1482.4	90			Percent of total billed charges		1667.7	85			Percent of total billed charges		1575.05	85			Percent of total billed charges		1575.05	85			Percent of total billed charges		1575.05	100			Percent of total billed charges		1853	100			Percent of total billed charges		1853	100			Percent of total billed charges		1853	33.3			Percent of total billed charges		617.049	33.3			Percent of total billed charges		617.049	100			Percent of total billed charges		1853	617.049	1667.7	
biomet tibial bearing 12 x 87/91 11-146192	278	RC	Outpatient			1853	1204.45		90			Percent of total billed charges		1667.7	40			Percent of total billed charges		741.2	80			Percent of total billed charges		1482.4	90			Percent of total billed charges		1667.7	85			Percent of total billed charges		1575.05	85			Percent of total billed charges		1575.05	85			Percent of total billed charges		1575.05	100			Percent of total billed charges		1853	100			Percent of total billed charges		1853	100			Percent of total billed charges		1853	33.3			Percent of total billed charges		617.049	33.3			Percent of total billed charges		617.049	100			Percent of total billed charges		1853	617.049	1667.7	
biomet tibial bearing 14 x 71/75 11-146154	278	RC	Outpatient			1853	1204.45		90			Percent of total billed charges		1667.7	40			Percent of total billed charges		741.2	80			Percent of total billed charges		1482.4	90			Percent of total billed charges		1667.7	85			Percent of total billed charges		1575.05	85			Percent of total billed charges		1575.05	85			Percent of total billed charges		1575.05	100			Percent of total billed charges		1853	100			Percent of total billed charges		1853	100			Percent of total billed charges		1853	33.3			Percent of total billed charges		617.049	33.3			Percent of total billed charges		617.049	100			Percent of total billed charges		1853	617.049	1667.7	
biomet tibial bearing 14 x 87/91 11-146194	278	RC	Outpatient			1853	1204.45		90			Percent of total billed charges		1667.7	40			Percent of total billed charges		741.2	80			Percent of total billed charges		1482.4	90			Percent of total billed charges		1667.7	85			Percent of total billed charges		1575.05	85			Percent of total billed charges		1575.05	85			Percent of total billed charges		1575.05	100			Percent of total billed charges		1853	100			Percent of total billed charges		1853	100			Percent of total billed charges		1853	33.3			Percent of total billed charges		617.049	33.3			Percent of total billed charges		617.049	100			Percent of total billed charges		1853	617.049	1667.7	
biomet tibial bearing 16 x 63/67 11-146136	278	RC	Outpatient			1853	1204.45		90			Percent of total billed charges		1667.7	40			Percent of total billed charges		741.2	80			Percent of total billed charges		1482.4	90			Percent of total billed charges		1667.7	85			Percent of total billed charges		1575.05	85			Percent of total billed charges		1575.05	85			Percent of total billed charges		1575.05	100			Percent of total billed charges		1853	100			Percent of total billed charges		1853	100			Percent of total billed charges		1853	33.3			Percent of total billed charges		617.049	33.3			Percent of total billed charges		617.049	100			Percent of total billed charges		1853	617.049	1667.7	
biomet tibial bearing 18 x 63/67 11-146138	278	RC	Outpatient			1853	1204.45		90			Percent of total billed charges		1667.7	40			Percent of total billed charges		741.2	80			Percent of total billed charges		1482.4	90			Percent of total billed charges		1667.7	85			Percent of total billed charges		1575.05	85			Percent of total billed charges		1575.05	85			Percent of total billed charges		1575.05	100			Percent of total billed charges		1853	100			Percent of total billed charges		1853	100			Percent of total billed charges		1853	33.3			Percent of total billed charges		617.049	33.3			Percent of total billed charges		617.049	100			Percent of total billed charges		1853	617.049	1667.7	
cannulated screw 6.5 x 125mm 71106825s s/n	278	RC	Outpatient			1853	1204.45		90			Percent of total billed charges		1667.7	40			Percent of total billed charges		741.2	80			Percent of total billed charges		1482.4	90			Percent of total billed charges		1667.7	85			Percent of total billed charges		1575.05	85			Percent of total billed charges		1575.05	85			Percent of total billed charges		1575.05	100			Percent of total billed charges		1853	100			Percent of total billed charges		1853	100			Percent of total billed charges		1853	33.3			Percent of total billed charges		617.049	33.3			Percent of total billed charges		617.049	100			Percent of total billed charges		1853	617.049	1667.7	
biomet tibial bearing 10 x 71/75 11-146150	278	RC	Outpatient			1853	1204.45		90			Percent of total billed charges		1667.7	40			Percent of total billed charges		741.2	80			Percent of total billed charges		1482.4	90			Percent of total billed charges		1667.7	85			Percent of total billed charges		1575.05	85			Percent of total billed charges		1575.05	85			Percent of total billed charges		1575.05	100			Percent of total billed charges		1853	100			Percent of total billed charges		1853	100			Percent of total billed charges		1853	33.3			Percent of total billed charges		617.049	33.3			Percent of total billed charges		617.049	100			Percent of total billed charges		1853	617.049	1667.7	
biomet tibial bearing 12 x 63/67 11-146132	278	RC	Outpatient			1853	1204.45		90			Percent of total billed charges		1667.7	40			Percent of total billed charges		741.2	80			Percent of total billed charges		1482.4	90			Percent of total billed charges		1667.7	85			Percent of total billed charges		1575.05	85			Percent of total billed charges		1575.05	85			Percent of total billed charges		1575.05	100			Percent of total billed charges		1853	100			Percent of total billed charges		1853	100			Percent of total billed charges		1853	33.3			Percent of total billed charges		617.049	33.3			Percent of total billed charges		617.049	100			Percent of total billed charges		1853	617.049	1667.7	
biomet tibial bearing 14 x 63/67 11-146134	278	RC	Outpatient			1853	1204.45		90			Percent of total billed charges		1667.7	40			Percent of total billed charges		741.2	80			Percent of total billed charges		1482.4	90			Percent of total billed charges		1667.7	85			Percent of total billed charges		1575.05	85			Percent of total billed charges		1575.05	85			Percent of total billed charges		1575.05	100			Percent of total billed charges		1853	100			Percent of total billed charges		1853	100			Percent of total billed charges		1853	33.3			Percent of total billed charges		617.049	33.3			Percent of total billed charges		617.049	100			Percent of total billed charges		1853	617.049	1667.7	
biomet tibial bearing 14 x 79/83 11-146174	278	RC	Outpatient			1853	1204.45		90			Percent of total billed charges		1667.7	40			Percent of total billed charges		741.2	80			Percent of total billed charges		1482.4	90			Percent of total billed charges		1667.7	85			Percent of total billed charges		1575.05	85			Percent of total billed charges		1575.05	85			Percent of total billed charges		1575.05	100			Percent of total billed charges		1853	100			Percent of total billed charges		1853	100			Percent of total billed charges		1853	33.3			Percent of total billed charges		617.049	33.3			Percent of total billed charges		617.049	100			Percent of total billed charges		1853	617.049	1667.7	
biomet tibial bearing 16 x 71/75 11-146156	278	RC	Outpatient			1853	1204.45		90			Percent of total billed charges		1667.7	40			Percent of total billed charges		741.2	80			Percent of total billed charges		1482.4	90			Percent of total billed charges		1667.7	85			Percent of total billed charges		1575.05	85			Percent of total billed charges		1575.05	85			Percent of total billed charges		1575.05	100			Percent of total billed charges		1853	100			Percent of total billed charges		1853	100			Percent of total billed charges		1853	33.3			Percent of total billed charges		617.049	33.3			Percent of total billed charges		617.049	100			Percent of total billed charges		1853	617.049	1667.7	
biomet tibial bearing 16 x 79/83 11-146176	278	RC	Outpatient			1853	1204.45		90			Percent of total billed charges		1667.7	40			Percent of total billed charges		741.2	80			Percent of total billed charges		1482.4	90			Percent of total billed charges		1667.7	85			Percent of total billed charges		1575.05	85			Percent of total billed charges		1575.05	85			Percent of total billed charges		1575.05	100			Percent of total billed charges		1853	100			Percent of total billed charges		1853	100			Percent of total billed charges		1853	33.3			Percent of total billed charges		617.049	33.3			Percent of total billed charges		617.049	100			Percent of total billed charges		1853	617.049	1667.7	
biomet tibial bearing 18 x 71/75 11-146158	278	RC	Outpatient			1853	1204.45		90			Percent of total billed charges		1667.7	40			Percent of total billed charges		741.2	80			Percent of total billed charges		1482.4	90			Percent of total billed charges		1667.7	85			Percent of total billed charges		1575.05	85			Percent of total billed charges		1575.05	85			Percent of total billed charges		1575.05	100			Percent of total billed charges		1853	100			Percent of total billed charges		1853	100			Percent of total billed charges		1853	33.3			Percent of total billed charges		617.049	33.3			Percent of total billed charges		617.049	100			Percent of total billed charges		1853	617.049	1667.7	
biomet tibial bearing 18 x 79/83 11-146178	278	RC	Outpatient			1853	1204.45		90			Percent of total billed charges		1667.7	40			Percent of total billed charges		741.2	80			Percent of total billed charges		1482.4	90			Percent of total billed charges		1667.7	85			Percent of total billed charges		1575.05	85			Percent of total billed charges		1575.05	85			Percent of total billed charges		1575.05	100			Percent of total billed charges		1853	100			Percent of total billed charges		1853	100			Percent of total billed charges		1853	33.3			Percent of total billed charges		617.049	33.3			Percent of total billed charges		617.049	100			Percent of total billed charges		1853	617.049	1667.7	
biomet tibial bearing 18 x 87/91 11-146198	278	RC	Outpatient			1853	1204.45		90			Percent of total billed charges		1667.7	40			Percent of total billed charges		741.2	80			Percent of total billed charges		1482.4	90			Percent of total billed charges		1667.7	85			Percent of total billed charges		1575.05	85			Percent of total billed charges		1575.05	85			Percent of total billed charges		1575.05	100			Percent of total billed charges		1853	100			Percent of total billed charges		1853	100			Percent of total billed charges		1853	33.3			Percent of total billed charges		617.049	33.3			Percent of total billed charges		617.049	100			Percent of total billed charges		1853	617.049	1667.7	
lg fr pl cobra 10 hl	278	RC	Outpatient			1853	1204.45		90			Percent of total billed charges		1667.7	40			Percent of total billed charges		741.2	80			Percent of total billed charges		1482.4	90			Percent of total billed charges		1667.7	85			Percent of total billed charges		1575.05	85			Percent of total billed charges		1575.05	85			Percent of total billed charges		1575.05	100			Percent of total billed charges		1853	100			Percent of total billed charges		1853	100			Percent of total billed charges		1853	33.3			Percent of total billed charges		617.049	33.3			Percent of total billed charges		617.049	100			Percent of total billed charges		1853	617.049	1667.7	
j&j acetabular shell	278	RC	Outpatient			1853	1204.45		90			Percent of total billed charges		1667.7	40			Percent of total billed charges		741.2	80			Percent of total billed charges		1482.4	90			Percent of total billed charges		1667.7	85			Percent of total billed charges		1575.05	85			Percent of total billed charges		1575.05	85			Percent of total billed charges		1575.05	100			Percent of total billed charges		1853	100			Percent of total billed charges		1853	100			Percent of total billed charges		1853	33.3			Percent of total billed charges		617.049	33.3			Percent of total billed charges		617.049	100			Percent of total billed charges		1853	617.049	1667.7	
s/n lg frag  plate 10 hole  7114-1810	278	RC	Outpatient			1853	1204.45		90			Percent of total billed charges		1667.7	40			Percent of total billed charges		741.2	80			Percent of total billed charges		1482.4	90			Percent of total billed charges		1667.7	85			Percent of total billed charges		1575.05	85			Percent of total billed charges		1575.05	85			Percent of total billed charges		1575.05	100			Percent of total billed charges		1853	100			Percent of total billed charges		1853	100			Percent of total billed charges		1853	33.3			Percent of total billed charges		617.049	33.3			Percent of total billed charges		617.049	100			Percent of total billed charges		1853	617.049	1667.7	
biomet vhs plate 12 hole 200112	278	RC	Outpatient			1855	1205.75		90			Percent of total billed charges		1669.5	40			Percent of total billed charges		742	80			Percent of total billed charges		1484	90			Percent of total billed charges		1669.5	85			Percent of total billed charges		1576.75	85			Percent of total billed charges		1576.75	85			Percent of total billed charges		1576.75	100			Percent of total billed charges		1855	100			Percent of total billed charges		1855	100			Percent of total billed charges		1855	33.3			Percent of total billed charges		617.715	33.3			Percent of total billed charges		617.715	100			Percent of total billed charges		1855	617.715	1669.5	
biomet vhs plate 14 hole 200114	278	RC	Outpatient			1855	1205.75		90			Percent of total billed charges		1669.5	40			Percent of total billed charges		742	80			Percent of total billed charges		1484	90			Percent of total billed charges		1669.5	85			Percent of total billed charges		1576.75	85			Percent of total billed charges		1576.75	85			Percent of total billed charges		1576.75	100			Percent of total billed charges		1855	100			Percent of total billed charges		1855	100			Percent of total billed charges		1855	33.3			Percent of total billed charges		617.715	33.3			Percent of total billed charges		617.715	100			Percent of total billed charges		1855	617.715	1669.5	
vhs lag screw 12.7 x 125mm 200225 biomet	278	RC	Outpatient			1855	1205.75		90			Percent of total billed charges		1669.5	40			Percent of total billed charges		742	80			Percent of total billed charges		1484	90			Percent of total billed charges		1669.5	85			Percent of total billed charges		1576.75	85			Percent of total billed charges		1576.75	85			Percent of total billed charges		1576.75	100			Percent of total billed charges		1855	100			Percent of total billed charges		1855	100			Percent of total billed charges		1855	33.3			Percent of total billed charges		617.715	33.3			Percent of total billed charges		617.715	100			Percent of total billed charges		1855	617.715	1669.5	
vhs 12 hole plate	278	RC	Outpatient			1855	1205.75		90			Percent of total billed charges		1669.5	40			Percent of total billed charges		742	80			Percent of total billed charges		1484	90			Percent of total billed charges		1669.5	85			Percent of total billed charges		1576.75	85			Percent of total billed charges		1576.75	85			Percent of total billed charges		1576.75	100			Percent of total billed charges		1855	100			Percent of total billed charges		1855	100			Percent of total billed charges		1855	33.3			Percent of total billed charges		617.715	33.3			Percent of total billed charges		617.715	100			Percent of total billed charges		1855	617.715	1669.5	
vhs 14 hole plate	278	RC	Outpatient			1855	1205.75		90			Percent of total billed charges		1669.5	40			Percent of total billed charges		742	80			Percent of total billed charges		1484	90			Percent of total billed charges		1669.5	85			Percent of total billed charges		1576.75	85			Percent of total billed charges		1576.75	85			Percent of total billed charges		1576.75	100			Percent of total billed charges		1855	100			Percent of total billed charges		1855	100			Percent of total billed charges		1855	33.3			Percent of total billed charges		617.715	33.3			Percent of total billed charges		617.715	100			Percent of total billed charges		1855	617.715	1669.5	
vhs lag screw 12.7 x 120mm  200220 biomet	278	RC	Outpatient			1855	1205.75		90			Percent of total billed charges		1669.5	40			Percent of total billed charges		742	80			Percent of total billed charges		1484	90			Percent of total billed charges		1669.5	85			Percent of total billed charges		1576.75	85			Percent of total billed charges		1576.75	85			Percent of total billed charges		1576.75	100			Percent of total billed charges		1855	100			Percent of total billed charges		1855	100			Percent of total billed charges		1855	33.3			Percent of total billed charges		617.715	33.3			Percent of total billed charges		617.715	100			Percent of total billed charges		1855	617.715	1669.5	
vhs lag screw 12.7 x 130mm 200230 biomet	278	RC	Outpatient			1855	1205.75		90			Percent of total billed charges		1669.5	40			Percent of total billed charges		742	80			Percent of total billed charges		1484	90			Percent of total billed charges		1669.5	85			Percent of total billed charges		1576.75	85			Percent of total billed charges		1576.75	85			Percent of total billed charges		1576.75	100			Percent of total billed charges		1855	100			Percent of total billed charges		1855	100			Percent of total billed charges		1855	33.3			Percent of total billed charges		617.715	33.3			Percent of total billed charges		617.715	100			Percent of total billed charges		1855	617.715	1669.5	
cath lab st. jude cps slittable guide	272	RC	Outpatient			1859	1208.35		90			Percent of total billed charges		1673.1	40			Percent of total billed charges		743.6	80			Percent of total billed charges		1487.2	90			Percent of total billed charges		1673.1	85			Percent of total billed charges		1580.15	85			Percent of total billed charges		1580.15	85			Percent of total billed charges		1580.15	100			Percent of total billed charges		1859	100			Percent of total billed charges		1859	100			Percent of total billed charges		1859	33.3			Percent of total billed charges		619.047	33.3			Percent of total billed charges		619.047	100			Percent of total billed charges		1859	619.047	1673.1	
s/n 3.5 recon plate 18 hole 7114-0118	278	RC	Outpatient			1859	1208.35		90			Percent of total billed charges		1673.1	40			Percent of total billed charges		743.6	80			Percent of total billed charges		1487.2	90			Percent of total billed charges		1673.1	85			Percent of total billed charges		1580.15	85			Percent of total billed charges		1580.15	85			Percent of total billed charges		1580.15	100			Percent of total billed charges		1859	100			Percent of total billed charges		1859	100			Percent of total billed charges		1859	33.3			Percent of total billed charges		619.047	33.3			Percent of total billed charges		619.047	100			Percent of total billed charges		1859	619.047	1673.1	
sm fr pl recon 18 hl	278	RC	Outpatient			1859	1208.35		90			Percent of total billed charges		1673.1	40			Percent of total billed charges		743.6	80			Percent of total billed charges		1487.2	90			Percent of total billed charges		1673.1	85			Percent of total billed charges		1580.15	85			Percent of total billed charges		1580.15	85			Percent of total billed charges		1580.15	100			Percent of total billed charges		1859	100			Percent of total billed charges		1859	100			Percent of total billed charges		1859	33.3			Percent of total billed charges		619.047	33.3			Percent of total billed charges		619.047	100			Percent of total billed charges		1859	619.047	1673.1	
st. jude slittable guide	272	RC	Outpatient			1859	1208.35		90			Percent of total billed charges		1673.1	40			Percent of total billed charges		743.6	80			Percent of total billed charges		1487.2	90			Percent of total billed charges		1673.1	85			Percent of total billed charges		1580.15	85			Percent of total billed charges		1580.15	85			Percent of total billed charges		1580.15	100			Percent of total billed charges		1859	100			Percent of total billed charges		1859	100			Percent of total billed charges		1859	33.3			Percent of total billed charges		619.047	33.3			Percent of total billed charges		619.047	100			Percent of total billed charges		1859	619.047	1673.1	
bio vanguard fem aug rev	278	RC	Outpatient			1860	1209		90			Percent of total billed charges		1674	40			Percent of total billed charges		744	80			Percent of total billed charges		1488	90			Percent of total billed charges		1674	85			Percent of total billed charges		1581	85			Percent of total billed charges		1581	85			Percent of total billed charges		1581	100			Percent of total billed charges		1860	100			Percent of total billed charges		1860	100			Percent of total billed charges		1860	33.3			Percent of total billed charges		619.38	33.3			Percent of total billed charges		619.38	100			Percent of total billed charges		1860	619.38	1674	
j&j s-rom proximal sleeve	278	RC	Outpatient			1860	1209		90			Percent of total billed charges		1674	40			Percent of total billed charges		744	80			Percent of total billed charges		1488	90			Percent of total billed charges		1674	85			Percent of total billed charges		1581	85			Percent of total billed charges		1581	85			Percent of total billed charges		1581	100			Percent of total billed charges		1860	100			Percent of total billed charges		1860	100			Percent of total billed charges		1860	33.3			Percent of total billed charges		619.38	33.3			Percent of total billed charges		619.38	100			Percent of total billed charges		1860	619.38	1674	
vanguard femoral distal  augment rev 10 x 65 rl 185384 biomet	278	RC	Outpatient			1860	1209		90			Percent of total billed charges		1674	40			Percent of total billed charges		744	80			Percent of total billed charges		1488	90			Percent of total billed charges		1674	85			Percent of total billed charges		1581	85			Percent of total billed charges		1581	85			Percent of total billed charges		1581	100			Percent of total billed charges		1860	100			Percent of total billed charges		1860	100			Percent of total billed charges		1860	33.3			Percent of total billed charges		619.38	33.3			Percent of total billed charges		619.38	100			Percent of total billed charges		1860	619.38	1674	
vanguard femoral distal  augment rev 5 x 67.5 rl 185305 biomet	278	RC	Outpatient			1860	1209		90			Percent of total billed charges		1674	40			Percent of total billed charges		744	80			Percent of total billed charges		1488	90			Percent of total billed charges		1674	85			Percent of total billed charges		1581	85			Percent of total billed charges		1581	85			Percent of total billed charges		1581	100			Percent of total billed charges		1860	100			Percent of total billed charges		1860	100			Percent of total billed charges		1860	33.3			Percent of total billed charges		619.38	33.3			Percent of total billed charges		619.38	100			Percent of total billed charges		1860	619.38	1674	
vanguard femoral distal  augment rev 5 x 70 rl/lm 185306 biomet	278	RC	Outpatient			1860	1209		90			Percent of total billed charges		1674	40			Percent of total billed charges		744	80			Percent of total billed charges		1488	90			Percent of total billed charges		1674	85			Percent of total billed charges		1581	85			Percent of total billed charges		1581	85			Percent of total billed charges		1581	100			Percent of total billed charges		1860	100			Percent of total billed charges		1860	100			Percent of total billed charges		1860	33.3			Percent of total billed charges		619.38	33.3			Percent of total billed charges		619.38	100			Percent of total billed charges		1860	619.38	1674	
vanguard femoral posterior  augment rev 10 x 67.5 185425 biomet	278	RC	Outpatient			1860	1209		90			Percent of total billed charges		1674	40			Percent of total billed charges		744	80			Percent of total billed charges		1488	90			Percent of total billed charges		1674	85			Percent of total billed charges		1581	85			Percent of total billed charges		1581	85			Percent of total billed charges		1581	100			Percent of total billed charges		1860	100			Percent of total billed charges		1860	100			Percent of total billed charges		1860	33.3			Percent of total billed charges		619.38	33.3			Percent of total billed charges		619.38	100			Percent of total billed charges		1860	619.38	1674	
vanguard femoral posterior  augment rev 5 x 67.5 185345 biomet	278	RC	Outpatient			1860	1209		90			Percent of total billed charges		1674	40			Percent of total billed charges		744	80			Percent of total billed charges		1488	90			Percent of total billed charges		1674	85			Percent of total billed charges		1581	85			Percent of total billed charges		1581	85			Percent of total billed charges		1581	100			Percent of total billed charges		1860	100			Percent of total billed charges		1860	100			Percent of total billed charges		1860	33.3			Percent of total billed charges		619.38	33.3			Percent of total billed charges		619.38	100			Percent of total billed charges		1860	619.38	1674	
vanguard femoral  distal  augment rev 15 x 65 rm 185484 biomet	278	RC	Outpatient			1860	1209		90			Percent of total billed charges		1674	40			Percent of total billed charges		744	80			Percent of total billed charges		1488	90			Percent of total billed charges		1674	85			Percent of total billed charges		1581	85			Percent of total billed charges		1581	85			Percent of total billed charges		1581	100			Percent of total billed charges		1860	100			Percent of total billed charges		1860	100			Percent of total billed charges		1860	33.3			Percent of total billed charges		619.38	33.3			Percent of total billed charges		619.38	100			Percent of total billed charges		1860	619.38	1674	
vanguard femoral distal  augment rev 10 x 62.5 rl/lm 185383 biomet	278	RC	Outpatient			1860	1209		90			Percent of total billed charges		1674	40			Percent of total billed charges		744	80			Percent of total billed charges		1488	90			Percent of total billed charges		1674	85			Percent of total billed charges		1581	85			Percent of total billed charges		1581	85			Percent of total billed charges		1581	100			Percent of total billed charges		1860	100			Percent of total billed charges		1860	100			Percent of total billed charges		1860	33.3			Percent of total billed charges		619.38	33.3			Percent of total billed charges		619.38	100			Percent of total billed charges		1860	619.38	1674	
vanguard femoral distal  augment rev 10 x 62.5 rm 185403 biomet	278	RC	Outpatient			1860	1209		90			Percent of total billed charges		1674	40			Percent of total billed charges		744	80			Percent of total billed charges		1488	90			Percent of total billed charges		1674	85			Percent of total billed charges		1581	85			Percent of total billed charges		1581	85			Percent of total billed charges		1581	100			Percent of total billed charges		1860	100			Percent of total billed charges		1860	100			Percent of total billed charges		1860	33.3			Percent of total billed charges		619.38	33.3			Percent of total billed charges		619.38	100			Percent of total billed charges		1860	619.38	1674	
vanguard femoral distal  augment rev 10 x 65 rm 185404 biomet	278	RC	Outpatient			1860	1209		90			Percent of total billed charges		1674	40			Percent of total billed charges		744	80			Percent of total billed charges		1488	90			Percent of total billed charges		1674	85			Percent of total billed charges		1581	85			Percent of total billed charges		1581	85			Percent of total billed charges		1581	100			Percent of total billed charges		1860	100			Percent of total billed charges		1860	100			Percent of total billed charges		1860	33.3			Percent of total billed charges		619.38	33.3			Percent of total billed charges		619.38	100			Percent of total billed charges		1860	619.38	1674	
vanguard femoral posterior  augment rev 5 x 65  185344 biomet	278	RC	Outpatient			1860	1209		90			Percent of total billed charges		1674	40			Percent of total billed charges		744	80			Percent of total billed charges		1488	90			Percent of total billed charges		1674	85			Percent of total billed charges		1581	85			Percent of total billed charges		1581	85			Percent of total billed charges		1581	100			Percent of total billed charges		1860	100			Percent of total billed charges		1860	100			Percent of total billed charges		1860	33.3			Percent of total billed charges		619.38	33.3			Percent of total billed charges		619.38	100			Percent of total billed charges		1860	619.38	1674	
duracon tib wedge	278	RC	Outpatient			1862	1210.3		90			Percent of total billed charges		1675.8	40			Percent of total billed charges		744.8	80			Percent of total billed charges		1489.6	90			Percent of total billed charges		1675.8	85			Percent of total billed charges		1582.7	85			Percent of total billed charges		1582.7	85			Percent of total billed charges		1582.7	100			Percent of total billed charges		1862	100			Percent of total billed charges		1862	100			Percent of total billed charges		1862	33.3			Percent of total billed charges		620.046	33.3			Percent of total billed charges		620.046	100			Percent of total billed charges		1862	620.046	1675.8	
duracon flat tibial wedge sm-1 10mm 6630-6-110 stryker	278	RC	Outpatient			1862	1210.3		90			Percent of total billed charges		1675.8	40			Percent of total billed charges		744.8	80			Percent of total billed charges		1489.6	90			Percent of total billed charges		1675.8	85			Percent of total billed charges		1582.7	85			Percent of total billed charges		1582.7	85			Percent of total billed charges		1582.7	100			Percent of total billed charges		1862	100			Percent of total billed charges		1862	100			Percent of total billed charges		1862	33.3			Percent of total billed charges		620.046	33.3			Percent of total billed charges		620.046	100			Percent of total billed charges		1862	620.046	1675.8	
taylor spatial full ring	278	RC	Outpatient			1866	1212.9		90			Percent of total billed charges		1679.4	40			Percent of total billed charges		746.4	80			Percent of total billed charges		1492.8	90			Percent of total billed charges		1679.4	85			Percent of total billed charges		1586.1	85			Percent of total billed charges		1586.1	85			Percent of total billed charges		1586.1	100			Percent of total billed charges		1866	100			Percent of total billed charges		1866	100			Percent of total billed charges		1866	33.3			Percent of total billed charges		621.378	33.3			Percent of total billed charges		621.378	100			Percent of total billed charges		1866	621.378	1679.4	
taylor sptial frame full ring 130mm 71070133 s/n	278	RC	Outpatient			1866	1212.9		90			Percent of total billed charges		1679.4	40			Percent of total billed charges		746.4	80			Percent of total billed charges		1492.8	90			Percent of total billed charges		1679.4	85			Percent of total billed charges		1586.1	85			Percent of total billed charges		1586.1	85			Percent of total billed charges		1586.1	100			Percent of total billed charges		1866	100			Percent of total billed charges		1866	100			Percent of total billed charges		1866	33.3			Percent of total billed charges		621.378	33.3			Percent of total billed charges		621.378	100			Percent of total billed charges		1866	621.378	1679.4	
cement spacer-tibia	272	RC	Outpatient			1869	1214.85		90			Percent of total billed charges		1682.1	40			Percent of total billed charges		747.6	80			Percent of total billed charges		1495.2	90			Percent of total billed charges		1682.1	85			Percent of total billed charges		1588.65	85			Percent of total billed charges		1588.65	85			Percent of total billed charges		1588.65	100			Percent of total billed charges		1869	100			Percent of total billed charges		1869	100			Percent of total billed charges		1869	33.3			Percent of total billed charges		622.377	33.3			Percent of total billed charges		622.377	100			Percent of total billed charges		1869	622.377	1682.1	
stage one cement spacer mold knee tib 65mm 433165 biomet	272	RC	Outpatient			1869	1214.85		90			Percent of total billed charges		1682.1	40			Percent of total billed charges		747.6	80			Percent of total billed charges		1495.2	90			Percent of total billed charges		1682.1	85			Percent of total billed charges		1588.65	85			Percent of total billed charges		1588.65	85			Percent of total billed charges		1588.65	100			Percent of total billed charges		1869	100			Percent of total billed charges		1869	100			Percent of total billed charges		1869	33.3			Percent of total billed charges		622.377	33.3			Percent of total billed charges		622.377	100			Percent of total billed charges		1869	622.377	1682.1	
stage one cement spacer mold knee tib 75mm 433175 biomet	272	RC	Outpatient			1869	1214.85		90			Percent of total billed charges		1682.1	40			Percent of total billed charges		747.6	80			Percent of total billed charges		1495.2	90			Percent of total billed charges		1682.1	85			Percent of total billed charges		1588.65	85			Percent of total billed charges		1588.65	85			Percent of total billed charges		1588.65	100			Percent of total billed charges		1869	100			Percent of total billed charges		1869	100			Percent of total billed charges		1869	33.3			Percent of total billed charges		622.377	33.3			Percent of total billed charges		622.377	100			Percent of total billed charges		1869	622.377	1682.1	
stage one cement spacer mold knee tib 70mm 433170 biomet	272	RC	Outpatient			1869	1214.85		90			Percent of total billed charges		1682.1	40			Percent of total billed charges		747.6	80			Percent of total billed charges		1495.2	90			Percent of total billed charges		1682.1	85			Percent of total billed charges		1588.65	85			Percent of total billed charges		1588.65	85			Percent of total billed charges		1588.65	100			Percent of total billed charges		1869	100			Percent of total billed charges		1869	100			Percent of total billed charges		1869	33.3			Percent of total billed charges		622.377	33.3			Percent of total billed charges		622.377	100			Percent of total billed charges		1869	622.377	1682.1	
stage one cement spacer mold knee tib 80mm 433180 biomet	272	RC	Outpatient			1869	1214.85		90			Percent of total billed charges		1682.1	40			Percent of total billed charges		747.6	80			Percent of total billed charges		1495.2	90			Percent of total billed charges		1682.1	85			Percent of total billed charges		1588.65	85			Percent of total billed charges		1588.65	85			Percent of total billed charges		1588.65	100			Percent of total billed charges		1869	100			Percent of total billed charges		1869	100			Percent of total billed charges		1869	33.3			Percent of total billed charges		622.377	33.3			Percent of total billed charges		622.377	100			Percent of total billed charges		1869	622.377	1682.1	
hemicap patella	278	RC	Outpatient			1871	1216.15		90			Percent of total billed charges		1683.9	40			Percent of total billed charges		748.4	80			Percent of total billed charges		1496.8	90			Percent of total billed charges		1683.9	85			Percent of total billed charges		1590.35	85			Percent of total billed charges		1590.35	85			Percent of total billed charges		1590.35	100			Percent of total billed charges		1871	100			Percent of total billed charges		1871	100			Percent of total billed charges		1871	33.3			Percent of total billed charges		623.043	33.3			Percent of total billed charges		623.043	100			Percent of total billed charges		1871	623.043	1683.9	
hemicap patella 1.0 x 3.0mm offset  p205-1030-w arthrosurface	278	RC	Outpatient			1871	1216.15		90			Percent of total billed charges		1683.9	40			Percent of total billed charges		748.4	80			Percent of total billed charges		1496.8	90			Percent of total billed charges		1683.9	85			Percent of total billed charges		1590.35	85			Percent of total billed charges		1590.35	85			Percent of total billed charges		1590.35	100			Percent of total billed charges		1871	100			Percent of total billed charges		1871	100			Percent of total billed charges		1871	33.3			Percent of total billed charges		623.043	33.3			Percent of total billed charges		623.043	100			Percent of total billed charges		1871	623.043	1683.9	
hemicap patella 1.0 x 3.5mm offset  p205-1035-w arthrosurface	278	RC	Outpatient			1871	1216.15		90			Percent of total billed charges		1683.9	40			Percent of total billed charges		748.4	80			Percent of total billed charges		1496.8	90			Percent of total billed charges		1683.9	85			Percent of total billed charges		1590.35	85			Percent of total billed charges		1590.35	85			Percent of total billed charges		1590.35	100			Percent of total billed charges		1871	100			Percent of total billed charges		1871	100			Percent of total billed charges		1871	33.3			Percent of total billed charges		623.043	33.3			Percent of total billed charges		623.043	100			Percent of total billed charges		1871	623.043	1683.9	
olecranon locking plate 4h r 71823904 s/n	278	RC	Outpatient			1871	1216.15		90			Percent of total billed charges		1683.9	40			Percent of total billed charges		748.4	80			Percent of total billed charges		1496.8	90			Percent of total billed charges		1683.9	85			Percent of total billed charges		1590.35	85			Percent of total billed charges		1590.35	85			Percent of total billed charges		1590.35	100			Percent of total billed charges		1871	100			Percent of total billed charges		1871	100			Percent of total billed charges		1871	33.3			Percent of total billed charges		623.043	33.3			Percent of total billed charges		623.043	100			Percent of total billed charges		1871	623.043	1683.9	
olecranon locking plate 4h l 71822904 s/n	278	RC	Outpatient			1871	1216.15		90			Percent of total billed charges		1683.9	40			Percent of total billed charges		748.4	80			Percent of total billed charges		1496.8	90			Percent of total billed charges		1683.9	85			Percent of total billed charges		1590.35	85			Percent of total billed charges		1590.35	85			Percent of total billed charges		1590.35	100			Percent of total billed charges		1871	100			Percent of total billed charges		1871	100			Percent of total billed charges		1871	33.3			Percent of total billed charges		623.043	33.3			Percent of total billed charges		623.043	100			Percent of total billed charges		1871	623.043	1683.9	
s/n olecranon lk pl 4h	278	RC	Outpatient			1871	1216.15		90			Percent of total billed charges		1683.9	40			Percent of total billed charges		748.4	80			Percent of total billed charges		1496.8	90			Percent of total billed charges		1683.9	85			Percent of total billed charges		1590.35	85			Percent of total billed charges		1590.35	85			Percent of total billed charges		1590.35	100			Percent of total billed charges		1871	100			Percent of total billed charges		1871	100			Percent of total billed charges		1871	33.3			Percent of total billed charges		623.043	33.3			Percent of total billed charges		623.043	100			Percent of total billed charges		1871	623.043	1683.9	
1688tc lead	272	RC	Outpatient			1872	1216.8		90			Percent of total billed charges		1684.8	40			Percent of total billed charges		748.8	80			Percent of total billed charges		1497.6	90			Percent of total billed charges		1684.8	85			Percent of total billed charges		1591.2	85			Percent of total billed charges		1591.2	85			Percent of total billed charges		1591.2	100			Percent of total billed charges		1872	100			Percent of total billed charges		1872	100			Percent of total billed charges		1872	33.3			Percent of total billed charges		623.376	33.3			Percent of total billed charges		623.376	100			Percent of total billed charges		1872	623.376	1684.8	
4f 3830 a-lead	272	RC	Outpatient			1872	1216.8		90			Percent of total billed charges		1684.8	40			Percent of total billed charges		748.8	80			Percent of total billed charges		1497.6	90			Percent of total billed charges		1684.8	85			Percent of total billed charges		1591.2	85			Percent of total billed charges		1591.2	85			Percent of total billed charges		1591.2	100			Percent of total billed charges		1872	100			Percent of total billed charges		1872	100			Percent of total billed charges		1872	33.3			Percent of total billed charges		623.376	33.3			Percent of total billed charges		623.376	100			Percent of total billed charges		1872	623.376	1684.8	
4f 3830 v-lead	272	RC	Outpatient			1872	1216.8		90			Percent of total billed charges		1684.8	40			Percent of total billed charges		748.8	80			Percent of total billed charges		1497.6	90			Percent of total billed charges		1684.8	85			Percent of total billed charges		1591.2	85			Percent of total billed charges		1591.2	85			Percent of total billed charges		1591.2	100			Percent of total billed charges		1872	100			Percent of total billed charges		1872	100			Percent of total billed charges		1872	33.3			Percent of total billed charges		623.376	33.3			Percent of total billed charges		623.376	100			Percent of total billed charges		1872	623.376	1684.8	
cath lab 4 french 3830 a-lead	272	RC	Outpatient			1872	1216.8		90			Percent of total billed charges		1684.8	40			Percent of total billed charges		748.8	80			Percent of total billed charges		1497.6	90			Percent of total billed charges		1684.8	85			Percent of total billed charges		1591.2	85			Percent of total billed charges		1591.2	85			Percent of total billed charges		1591.2	100			Percent of total billed charges		1872	100			Percent of total billed charges		1872	100			Percent of total billed charges		1872	33.3			Percent of total billed charges		623.376	33.3			Percent of total billed charges		623.376	100			Percent of total billed charges		1872	623.376	1684.8	
cath lab 4fr 3830 a-lead	272	RC	Outpatient			1872	1216.8		90			Percent of total billed charges		1684.8	40			Percent of total billed charges		748.8	80			Percent of total billed charges		1497.6	90			Percent of total billed charges		1684.8	85			Percent of total billed charges		1591.2	85			Percent of total billed charges		1591.2	85			Percent of total billed charges		1591.2	100			Percent of total billed charges		1872	100			Percent of total billed charges		1872	100			Percent of total billed charges		1872	33.3			Percent of total billed charges		623.376	33.3			Percent of total billed charges		623.376	100			Percent of total billed charges		1872	623.376	1684.8	
cath lab tendril 1688tc/46cm	272	RC	Outpatient			1872	1216.8		90			Percent of total billed charges		1684.8	40			Percent of total billed charges		748.8	80			Percent of total billed charges		1497.6	90			Percent of total billed charges		1684.8	85			Percent of total billed charges		1591.2	85			Percent of total billed charges		1591.2	85			Percent of total billed charges		1591.2	100			Percent of total billed charges		1872	100			Percent of total billed charges		1872	100			Percent of total billed charges		1872	33.3			Percent of total billed charges		623.376	33.3			Percent of total billed charges		623.376	100			Percent of total billed charges		1872	623.376	1684.8	
cataract extraction with lens	360	RC	Outpatient			1872	1216.8		90			Percent of total billed charges		1684.8	40			Percent of total billed charges		748.8	80			Percent of total billed charges		1497.6	90			Percent of total billed charges		1684.8	85			Percent of total billed charges		1591.2	85			Percent of total billed charges		1591.2	85			Percent of total billed charges		1591.2	100			Percent of total billed charges		1872	100			Percent of total billed charges		1872	100			Percent of total billed charges		1872	33.3			Percent of total billed charges		623.376	33.3			Percent of total billed charges		623.376	100			Percent of total billed charges		1872	623.376	1684.8	
cath lab 4 french 3832 v-lead	272	RC	Outpatient			1872	1216.8		90			Percent of total billed charges		1684.8	40			Percent of total billed charges		748.8	80			Percent of total billed charges		1497.6	90			Percent of total billed charges		1684.8	85			Percent of total billed charges		1591.2	85			Percent of total billed charges		1591.2	85			Percent of total billed charges		1591.2	100			Percent of total billed charges		1872	100			Percent of total billed charges		1872	100			Percent of total billed charges		1872	33.3			Percent of total billed charges		623.376	33.3			Percent of total billed charges		623.376	100			Percent of total billed charges		1872	623.376	1684.8	
endo colon w/triclip	750	RC	Outpatient			1872	1216.8		90			Percent of total billed charges		1684.8	40			Percent of total billed charges		748.8	80			Percent of total billed charges		1497.6	90			Percent of total billed charges		1684.8	85			Percent of total billed charges		1591.2	85			Percent of total billed charges		1591.2	85			Percent of total billed charges		1591.2	100			Percent of total billed charges		1872	100			Percent of total billed charges		1872	100			Percent of total billed charges		1872	33.3			Percent of total billed charges		623.376	33.3			Percent of total billed charges		623.376	100			Percent of total billed charges		1872	623.376	1684.8	
ultra congruent tibial insert sz a 16.0mm 1644428 zimmer	278	RC	Outpatient			1876	1219.4		90			Percent of total billed charges		1688.4	40			Percent of total billed charges		750.4	80			Percent of total billed charges		1500.8	90			Percent of total billed charges		1688.4	85			Percent of total billed charges		1594.6	85			Percent of total billed charges		1594.6	85			Percent of total billed charges		1594.6	100			Percent of total billed charges		1876	100			Percent of total billed charges		1876	100			Percent of total billed charges		1876	33.3			Percent of total billed charges		624.708	33.3			Percent of total billed charges		624.708	100			Percent of total billed charges		1876	624.708	1688.4	
zimmer tib insert cong	278	RC	Outpatient			1876	1219.4		90			Percent of total billed charges		1688.4	40			Percent of total billed charges		750.4	80			Percent of total billed charges		1500.8	90			Percent of total billed charges		1688.4	85			Percent of total billed charges		1594.6	85			Percent of total billed charges		1594.6	85			Percent of total billed charges		1594.6	100			Percent of total billed charges		1876	100			Percent of total billed charges		1876	100			Percent of total billed charges		1876	33.3			Percent of total billed charges		624.708	33.3			Percent of total billed charges		624.708	100			Percent of total billed charges		1876	624.708	1688.4	
semi-tendonosis allograft 081739-018 community tissue	278	RC	Outpatient			1877	1220.05		90			Percent of total billed charges		1689.3	40			Percent of total billed charges		750.8	80			Percent of total billed charges		1501.6	90			Percent of total billed charges		1689.3	85			Percent of total billed charges		1595.45	85			Percent of total billed charges		1595.45	85			Percent of total billed charges		1595.45	100			Percent of total billed charges		1877	100			Percent of total billed charges		1877	100			Percent of total billed charges		1877	33.3			Percent of total billed charges		625.041	33.3			Percent of total billed charges		625.041	100			Percent of total billed charges		1877	625.041	1689.3	
3.5mm locking recon pl 6 hl 7182-2606 s/n	278	RC	Outpatient			1881	1222.65		90			Percent of total billed charges		1692.9	40			Percent of total billed charges		752.4	80			Percent of total billed charges		1504.8	90			Percent of total billed charges		1692.9	85			Percent of total billed charges		1598.85	85			Percent of total billed charges		1598.85	85			Percent of total billed charges		1598.85	100			Percent of total billed charges		1881	100			Percent of total billed charges		1881	100			Percent of total billed charges		1881	33.3			Percent of total billed charges		626.373	33.3			Percent of total billed charges		626.373	100			Percent of total billed charges		1881	626.373	1692.9	
recon plt 3.5mm 6hl 71829206 s\n	278	RC	Outpatient			1881	1222.65		90			Percent of total billed charges		1692.9	40			Percent of total billed charges		752.4	80			Percent of total billed charges		1504.8	90			Percent of total billed charges		1692.9	85			Percent of total billed charges		1598.85	85			Percent of total billed charges		1598.85	85			Percent of total billed charges		1598.85	100			Percent of total billed charges		1881	100			Percent of total billed charges		1881	100			Percent of total billed charges		1881	33.3			Percent of total billed charges		626.373	33.3			Percent of total billed charges		626.373	100			Percent of total billed charges		1881	626.373	1692.9	
recon plt 3.5mm 6 hl 71809206 s\n	278	RC	Outpatient			1881	1222.65		90			Percent of total billed charges		1692.9	40			Percent of total billed charges		752.4	80			Percent of total billed charges		1504.8	90			Percent of total billed charges		1692.9	85			Percent of total billed charges		1598.85	85			Percent of total billed charges		1598.85	85			Percent of total billed charges		1598.85	100			Percent of total billed charges		1881	100			Percent of total billed charges		1881	100			Percent of total billed charges		1881	33.3			Percent of total billed charges		626.373	33.3			Percent of total billed charges		626.373	100			Percent of total billed charges		1881	626.373	1692.9	
s/n 3.5 lck recon pl 6	278	RC	Outpatient			1881	1222.65		90			Percent of total billed charges		1692.9	40			Percent of total billed charges		752.4	80			Percent of total billed charges		1504.8	90			Percent of total billed charges		1692.9	85			Percent of total billed charges		1598.85	85			Percent of total billed charges		1598.85	85			Percent of total billed charges		1598.85	100			Percent of total billed charges		1881	100			Percent of total billed charges		1881	100			Percent of total billed charges		1881	33.3			Percent of total billed charges		626.373	33.3			Percent of total billed charges		626.373	100			Percent of total billed charges		1881	626.373	1692.9	
s/n 3.5mm compression plate 14 hole 7184-0214	278	RC	Outpatient			1882	1223.3		90			Percent of total billed charges		1693.8	40			Percent of total billed charges		752.8	80			Percent of total billed charges		1505.6	90			Percent of total billed charges		1693.8	85			Percent of total billed charges		1599.7	85			Percent of total billed charges		1599.7	85			Percent of total billed charges		1599.7	100			Percent of total billed charges		1882	100			Percent of total billed charges		1882	100			Percent of total billed charges		1882	33.3			Percent of total billed charges		626.706	33.3			Percent of total billed charges		626.706	100			Percent of total billed charges		1882	626.706	1693.8	
sm fr pl comp 14 hl	278	RC	Outpatient			1882	1223.3		90			Percent of total billed charges		1693.8	40			Percent of total billed charges		752.8	80			Percent of total billed charges		1505.6	90			Percent of total billed charges		1693.8	85			Percent of total billed charges		1599.7	85			Percent of total billed charges		1599.7	85			Percent of total billed charges		1599.7	100			Percent of total billed charges		1882	100			Percent of total billed charges		1882	100			Percent of total billed charges		1882	33.3			Percent of total billed charges		626.706	33.3			Percent of total billed charges		626.706	100			Percent of total billed charges		1882	626.706	1693.8	
lcp 3.5 clavicle hook plate 6 hl right 241.094s synthes	278	RC	Outpatient			1883	1223.95		90			Percent of total billed charges		1694.7	40			Percent of total billed charges		753.2	80			Percent of total billed charges		1506.4	90			Percent of total billed charges		1694.7	85			Percent of total billed charges		1600.55	85			Percent of total billed charges		1600.55	85			Percent of total billed charges		1600.55	100			Percent of total billed charges		1883	100			Percent of total billed charges		1883	100			Percent of total billed charges		1883	33.3			Percent of total billed charges		627.039	33.3			Percent of total billed charges		627.039	100			Percent of total billed charges		1883	627.039	1694.7	
lcp 3.5 clavicle hook plate 6 hl left 241.095s synthes	278	RC	Outpatient			1883	1223.95		90			Percent of total billed charges		1694.7	40			Percent of total billed charges		753.2	80			Percent of total billed charges		1506.4	90			Percent of total billed charges		1694.7	85			Percent of total billed charges		1600.55	85			Percent of total billed charges		1600.55	85			Percent of total billed charges		1600.55	100			Percent of total billed charges		1883	100			Percent of total billed charges		1883	100			Percent of total billed charges		1883	33.3			Percent of total billed charges		627.039	33.3			Percent of total billed charges		627.039	100			Percent of total billed charges		1883	627.039	1694.7	
lcp 3.5 clavicle hook plate 6 hl left 241.097s synthes	278	RC	Outpatient			1883	1223.95		90			Percent of total billed charges		1694.7	40			Percent of total billed charges		753.2	80			Percent of total billed charges		1506.4	90			Percent of total billed charges		1694.7	85			Percent of total billed charges		1600.55	85			Percent of total billed charges		1600.55	85			Percent of total billed charges		1600.55	100			Percent of total billed charges		1883	100			Percent of total billed charges		1883	100			Percent of total billed charges		1883	33.3			Percent of total billed charges		627.039	33.3			Percent of total billed charges		627.039	100			Percent of total billed charges		1883	627.039	1694.7	
syn clavicle hk pl 6hl	278	RC	Outpatient			1883	1223.95		90			Percent of total billed charges		1694.7	40			Percent of total billed charges		753.2	80			Percent of total billed charges		1506.4	90			Percent of total billed charges		1694.7	85			Percent of total billed charges		1600.55	85			Percent of total billed charges		1600.55	85			Percent of total billed charges		1600.55	100			Percent of total billed charges		1883	100			Percent of total billed charges		1883	100			Percent of total billed charges		1883	33.3			Percent of total billed charges		627.039	33.3			Percent of total billed charges		627.039	100			Percent of total billed charges		1883	627.039	1694.7	
endo colon w/rigiflex dil	750	RC	Outpatient			1885	1225.25		90			Percent of total billed charges		1696.5	40			Percent of total billed charges		754	80			Percent of total billed charges		1508	90			Percent of total billed charges		1696.5	85			Percent of total billed charges		1602.25	85			Percent of total billed charges		1602.25	85			Percent of total billed charges		1602.25	100			Percent of total billed charges		1885	100			Percent of total billed charges		1885	100			Percent of total billed charges		1885	33.3			Percent of total billed charges		627.705	33.3			Percent of total billed charges		627.705	100			Percent of total billed charges		1885	627.705	1696.5	
p-l vlp plt fib l-d 9h	278	RC	Outpatient			1887	1226.55		90			Percent of total billed charges		1698.3	40			Percent of total billed charges		754.8	80			Percent of total billed charges		1509.6	90			Percent of total billed charges		1698.3	85			Percent of total billed charges		1603.95	85			Percent of total billed charges		1603.95	85			Percent of total billed charges		1603.95	100			Percent of total billed charges		1887	100			Percent of total billed charges		1887	100			Percent of total billed charges		1887	33.3			Percent of total billed charges		628.371	33.3			Percent of total billed charges		628.371	100			Percent of total billed charges		1887	628.371	1698.3	
epifix 2 x 3 cm	278	RC	Outpatient			1888	1227.2		90			Percent of total billed charges		1699.2	40			Percent of total billed charges		755.2	80			Percent of total billed charges		1510.4	90			Percent of total billed charges		1699.2	85			Percent of total billed charges		1604.8	85			Percent of total billed charges		1604.8	85			Percent of total billed charges		1604.8	100			Percent of total billed charges		1888	100			Percent of total billed charges		1888	100			Percent of total billed charges		1888	33.3			Percent of total billed charges		628.704	33.3			Percent of total billed charges		628.704	100			Percent of total billed charges		1888	628.704	1699.2	
epifix gs-5230 2.0 x 3.0cm mimed	278	RC	Outpatient			1888	1227.2		90			Percent of total billed charges		1699.2	40			Percent of total billed charges		755.2	80			Percent of total billed charges		1510.4	90			Percent of total billed charges		1699.2	85			Percent of total billed charges		1604.8	85			Percent of total billed charges		1604.8	85			Percent of total billed charges		1604.8	100			Percent of total billed charges		1888	100			Percent of total billed charges		1888	100			Percent of total billed charges		1888	33.3			Percent of total billed charges		628.704	33.3			Percent of total billed charges		628.704	100			Percent of total billed charges		1888	628.704	1699.2	
scrmc penumbra packing coil 30cm	621	RC	Outpatient			1890	1228.5		90			Percent of total billed charges		1701	40			Percent of total billed charges		756	80			Percent of total billed charges		1512	90			Percent of total billed charges		1701	85			Percent of total billed charges		1606.5	85			Percent of total billed charges		1606.5	85			Percent of total billed charges		1606.5	100			Percent of total billed charges		1890	100			Percent of total billed charges		1890	100			Percent of total billed charges		1890	33.3			Percent of total billed charges		629.37	33.3			Percent of total billed charges		629.37	100			Percent of total billed charges		1890	629.37	1701	
scrmc penumbra packing coil 45cm	621	RC	Outpatient			1890	1228.5		90			Percent of total billed charges		1701	40			Percent of total billed charges		756	80			Percent of total billed charges		1512	90			Percent of total billed charges		1701	85			Percent of total billed charges		1606.5	85			Percent of total billed charges		1606.5	85			Percent of total billed charges		1606.5	100			Percent of total billed charges		1890	100			Percent of total billed charges		1890	100			Percent of total billed charges		1890	33.3			Percent of total billed charges		629.37	33.3			Percent of total billed charges		629.37	100			Percent of total billed charges		1890	629.37	1701	
orion ant cerv plate 28mm	278	RC	Outpatient			1893	1230.45		90			Percent of total billed charges		1703.7	40			Percent of total billed charges		757.2	80			Percent of total billed charges		1514.4	90			Percent of total billed charges		1703.7	85			Percent of total billed charges		1609.05	85			Percent of total billed charges		1609.05	85			Percent of total billed charges		1609.05	100			Percent of total billed charges		1893	100			Percent of total billed charges		1893	100			Percent of total billed charges		1893	33.3			Percent of total billed charges		630.369	33.3			Percent of total billed charges		630.369	100			Percent of total billed charges		1893	630.369	1703.7	
depuy pfc dist aug combo	278	RC	Outpatient			1896	1232.4		90			Percent of total billed charges		1706.4	40			Percent of total billed charges		758.4	80			Percent of total billed charges		1516.8	90			Percent of total billed charges		1706.4	85			Percent of total billed charges		1611.6	85			Percent of total billed charges		1611.6	85			Percent of total billed charges		1611.6	100			Percent of total billed charges		1896	100			Percent of total billed charges		1896	100			Percent of total billed charges		1896	33.3			Percent of total billed charges		631.368	33.3			Percent of total billed charges		631.368	100			Percent of total billed charges		1896	631.368	1706.4	
nexgen option stem tibial plate size 3 00-5986-037-01 zimmer	278	RC	Outpatient			1896	1232.4		90			Percent of total billed charges		1706.4	40			Percent of total billed charges		758.4	80			Percent of total billed charges		1516.8	90			Percent of total billed charges		1706.4	85			Percent of total billed charges		1611.6	85			Percent of total billed charges		1611.6	85			Percent of total billed charges		1611.6	100			Percent of total billed charges		1896	100			Percent of total billed charges		1896	100			Percent of total billed charges		1896	33.3			Percent of total billed charges		631.368	33.3			Percent of total billed charges		631.368	100			Percent of total billed charges		1896	631.368	1706.4	
nexgen option stem tibial plate size 6 00-5986-047-02 zimmer	278	RC	Outpatient			1896	1232.4		90			Percent of total billed charges		1706.4	40			Percent of total billed charges		758.4	80			Percent of total billed charges		1516.8	90			Percent of total billed charges		1706.4	85			Percent of total billed charges		1611.6	85			Percent of total billed charges		1611.6	85			Percent of total billed charges		1611.6	100			Percent of total billed charges		1896	100			Percent of total billed charges		1896	100			Percent of total billed charges		1896	33.3			Percent of total billed charges		631.368	33.3			Percent of total billed charges		631.368	100			Percent of total billed charges		1896	631.368	1706.4	
nexgen option stem tibial plate size 7 00-5986-057-02 zimmer	278	RC	Outpatient			1896	1232.4		90			Percent of total billed charges		1706.4	40			Percent of total billed charges		758.4	80			Percent of total billed charges		1516.8	90			Percent of total billed charges		1706.4	85			Percent of total billed charges		1611.6	85			Percent of total billed charges		1611.6	85			Percent of total billed charges		1611.6	100			Percent of total billed charges		1896	100			Percent of total billed charges		1896	100			Percent of total billed charges		1896	33.3			Percent of total billed charges		631.368	33.3			Percent of total billed charges		631.368	100			Percent of total billed charges		1896	631.368	1706.4	
nexgen option stem tibial plate size 4 00-5986-037-02 zimmer	278	RC	Outpatient			1896	1232.4		90			Percent of total billed charges		1706.4	40			Percent of total billed charges		758.4	80			Percent of total billed charges		1516.8	90			Percent of total billed charges		1706.4	85			Percent of total billed charges		1611.6	85			Percent of total billed charges		1611.6	85			Percent of total billed charges		1611.6	100			Percent of total billed charges		1896	100			Percent of total billed charges		1896	100			Percent of total billed charges		1896	33.3			Percent of total billed charges		631.368	33.3			Percent of total billed charges		631.368	100			Percent of total billed charges		1896	631.368	1706.4	
nexgen option stem tibial plate size 7 00-5986-057-01 zimmer	278	RC	Outpatient			1896	1232.4		90			Percent of total billed charges		1706.4	40			Percent of total billed charges		758.4	80			Percent of total billed charges		1516.8	90			Percent of total billed charges		1706.4	85			Percent of total billed charges		1611.6	85			Percent of total billed charges		1611.6	85			Percent of total billed charges		1611.6	100			Percent of total billed charges		1896	100			Percent of total billed charges		1896	100			Percent of total billed charges		1896	33.3			Percent of total billed charges		631.368	33.3			Percent of total billed charges		631.368	100			Percent of total billed charges		1896	631.368	1706.4	
pfc sigma dist augment combo sz 2.5 16mm lt 96-0851 depuy	278	RC	Outpatient			1896	1232.4		90			Percent of total billed charges		1706.4	40			Percent of total billed charges		758.4	80			Percent of total billed charges		1516.8	90			Percent of total billed charges		1706.4	85			Percent of total billed charges		1611.6	85			Percent of total billed charges		1611.6	85			Percent of total billed charges		1611.6	100			Percent of total billed charges		1896	100			Percent of total billed charges		1896	100			Percent of total billed charges		1896	33.3			Percent of total billed charges		631.368	33.3			Percent of total billed charges		631.368	100			Percent of total billed charges		1896	631.368	1706.4	
zimm tibial comp	278	RC	Outpatient			1896	1232.4		90			Percent of total billed charges		1706.4	40			Percent of total billed charges		758.4	80			Percent of total billed charges		1516.8	90			Percent of total billed charges		1706.4	85			Percent of total billed charges		1611.6	85			Percent of total billed charges		1611.6	85			Percent of total billed charges		1611.6	100			Percent of total billed charges		1896	100			Percent of total billed charges		1896	100			Percent of total billed charges		1896	33.3			Percent of total billed charges		631.368	33.3			Percent of total billed charges		631.368	100			Percent of total billed charges		1896	631.368	1706.4	
zimmer nexgen  tibial comp  5986-47-01	278	RC	Outpatient			1896	1232.4		90			Percent of total billed charges		1706.4	40			Percent of total billed charges		758.4	80			Percent of total billed charges		1516.8	90			Percent of total billed charges		1706.4	85			Percent of total billed charges		1611.6	85			Percent of total billed charges		1611.6	85			Percent of total billed charges		1611.6	100			Percent of total billed charges		1896	100			Percent of total billed charges		1896	100			Percent of total billed charges		1896	33.3			Percent of total billed charges		631.368	33.3			Percent of total billed charges		631.368	100			Percent of total billed charges		1896	631.368	1706.4	
amniofill 500 mg af-0500 mimedx	278	RC	Outpatient			1898	1233.7		90			Percent of total billed charges		1708.2	40			Percent of total billed charges		759.2	80			Percent of total billed charges		1518.4	90			Percent of total billed charges		1708.2	85			Percent of total billed charges		1613.3	85			Percent of total billed charges		1613.3	85			Percent of total billed charges		1613.3	100			Percent of total billed charges		1898	100			Percent of total billed charges		1898	100			Percent of total billed charges		1898	33.3			Percent of total billed charges		632.034	33.3			Percent of total billed charges		632.034	100			Percent of total billed charges		1898	632.034	1708.2	
bearing 10 x 79/83mm 11-146370	278	RC	Outpatient			1899	1234.35		90			Percent of total billed charges		1709.1	40			Percent of total billed charges		759.6	80			Percent of total billed charges		1519.2	90			Percent of total billed charges		1709.1	85			Percent of total billed charges		1614.15	85			Percent of total billed charges		1614.15	85			Percent of total billed charges		1614.15	100			Percent of total billed charges		1899	100			Percent of total billed charges		1899	100			Percent of total billed charges		1899	33.3			Percent of total billed charges		632.367	33.3			Percent of total billed charges		632.367	100			Percent of total billed charges		1899	632.367	1709.1	
biomet  tibial bearing 14 x 87/91 11-146394	278	RC	Outpatient			1899	1234.35		90			Percent of total billed charges		1709.1	40			Percent of total billed charges		759.6	80			Percent of total billed charges		1519.2	90			Percent of total billed charges		1709.1	85			Percent of total billed charges		1614.15	85			Percent of total billed charges		1614.15	85			Percent of total billed charges		1614.15	100			Percent of total billed charges		1899	100			Percent of total billed charges		1899	100			Percent of total billed charges		1899	33.3			Percent of total billed charges		632.367	33.3			Percent of total billed charges		632.367	100			Percent of total billed charges		1899	632.367	1709.1	
biomet tibial bearing 10 x 63/67 11-146330	278	RC	Outpatient			1899	1234.35		90			Percent of total billed charges		1709.1	40			Percent of total billed charges		759.6	80			Percent of total billed charges		1519.2	90			Percent of total billed charges		1709.1	85			Percent of total billed charges		1614.15	85			Percent of total billed charges		1614.15	85			Percent of total billed charges		1614.15	100			Percent of total billed charges		1899	100			Percent of total billed charges		1899	100			Percent of total billed charges		1899	33.3			Percent of total billed charges		632.367	33.3			Percent of total billed charges		632.367	100			Percent of total billed charges		1899	632.367	1709.1	
biomet tibial bearing 16 x 63/67 11-146336	278	RC	Outpatient			1899	1234.35		90			Percent of total billed charges		1709.1	40			Percent of total billed charges		759.6	80			Percent of total billed charges		1519.2	90			Percent of total billed charges		1709.1	85			Percent of total billed charges		1614.15	85			Percent of total billed charges		1614.15	85			Percent of total billed charges		1614.15	100			Percent of total billed charges		1899	100			Percent of total billed charges		1899	100			Percent of total billed charges		1899	33.3			Percent of total billed charges		632.367	33.3			Percent of total billed charges		632.367	100			Percent of total billed charges		1899	632.367	1709.1	
biomet tibial bearing 16 x 79/83 11-146376	278	RC	Outpatient			1899	1234.35		90			Percent of total billed charges		1709.1	40			Percent of total billed charges		759.6	80			Percent of total billed charges		1519.2	90			Percent of total billed charges		1709.1	85			Percent of total billed charges		1614.15	85			Percent of total billed charges		1614.15	85			Percent of total billed charges		1614.15	100			Percent of total billed charges		1899	100			Percent of total billed charges		1899	100			Percent of total billed charges		1899	33.3			Percent of total billed charges		632.367	33.3			Percent of total billed charges		632.367	100			Percent of total billed charges		1899	632.367	1709.1	
biomet tibial bearing 22 x 71/75 11-146362	278	RC	Outpatient			1899	1234.35		90			Percent of total billed charges		1709.1	40			Percent of total billed charges		759.6	80			Percent of total billed charges		1519.2	90			Percent of total billed charges		1709.1	85			Percent of total billed charges		1614.15	85			Percent of total billed charges		1614.15	85			Percent of total billed charges		1614.15	100			Percent of total billed charges		1899	100			Percent of total billed charges		1899	100			Percent of total billed charges		1899	33.3			Percent of total billed charges		632.367	33.3			Percent of total billed charges		632.367	100			Percent of total billed charges		1899	632.367	1709.1	
biomet  tibial bearing 12 x 87/91 11-146392	278	RC	Outpatient			1899	1234.35		90			Percent of total billed charges		1709.1	40			Percent of total billed charges		759.6	80			Percent of total billed charges		1519.2	90			Percent of total billed charges		1709.1	85			Percent of total billed charges		1614.15	85			Percent of total billed charges		1614.15	85			Percent of total billed charges		1614.15	100			Percent of total billed charges		1899	100			Percent of total billed charges		1899	100			Percent of total billed charges		1899	33.3			Percent of total billed charges		632.367	33.3			Percent of total billed charges		632.367	100			Percent of total billed charges		1899	632.367	1709.1	
biomet  tibial bearing 14 x 71/75 11-146354	278	RC	Outpatient			1899	1234.35		90			Percent of total billed charges		1709.1	40			Percent of total billed charges		759.6	80			Percent of total billed charges		1519.2	90			Percent of total billed charges		1709.1	85			Percent of total billed charges		1614.15	85			Percent of total billed charges		1614.15	85			Percent of total billed charges		1614.15	100			Percent of total billed charges		1899	100			Percent of total billed charges		1899	100			Percent of total billed charges		1899	33.3			Percent of total billed charges		632.367	33.3			Percent of total billed charges		632.367	100			Percent of total billed charges		1899	632.367	1709.1	
biomet tibial bearing 10 x 87/91 11-146390	278	RC	Outpatient			1899	1234.35		90			Percent of total billed charges		1709.1	40			Percent of total billed charges		759.6	80			Percent of total billed charges		1519.2	90			Percent of total billed charges		1709.1	85			Percent of total billed charges		1614.15	85			Percent of total billed charges		1614.15	85			Percent of total billed charges		1614.15	100			Percent of total billed charges		1899	100			Percent of total billed charges		1899	100			Percent of total billed charges		1899	33.3			Percent of total billed charges		632.367	33.3			Percent of total billed charges		632.367	100			Percent of total billed charges		1899	632.367	1709.1	
biomet tibial bearing 12 x 63/67 11-146332	278	RC	Outpatient			1899	1234.35		90			Percent of total billed charges		1709.1	40			Percent of total billed charges		759.6	80			Percent of total billed charges		1519.2	90			Percent of total billed charges		1709.1	85			Percent of total billed charges		1614.15	85			Percent of total billed charges		1614.15	85			Percent of total billed charges		1614.15	100			Percent of total billed charges		1899	100			Percent of total billed charges		1899	100			Percent of total billed charges		1899	33.3			Percent of total billed charges		632.367	33.3			Percent of total billed charges		632.367	100			Percent of total billed charges		1899	632.367	1709.1	
biomet tibial bearing 12x79/83 11-146372	278	RC	Outpatient			1899	1234.35		90			Percent of total billed charges		1709.1	40			Percent of total billed charges		759.6	80			Percent of total billed charges		1519.2	90			Percent of total billed charges		1709.1	85			Percent of total billed charges		1614.15	85			Percent of total billed charges		1614.15	85			Percent of total billed charges		1614.15	100			Percent of total billed charges		1899	100			Percent of total billed charges		1899	100			Percent of total billed charges		1899	33.3			Percent of total billed charges		632.367	33.3			Percent of total billed charges		632.367	100			Percent of total billed charges		1899	632.367	1709.1	
biomet tibial bearing 14 x 79/83 11-146374	278	RC	Outpatient			1899	1234.35		90			Percent of total billed charges		1709.1	40			Percent of total billed charges		759.6	80			Percent of total billed charges		1519.2	90			Percent of total billed charges		1709.1	85			Percent of total billed charges		1614.15	85			Percent of total billed charges		1614.15	85			Percent of total billed charges		1614.15	100			Percent of total billed charges		1899	100			Percent of total billed charges		1899	100			Percent of total billed charges		1899	33.3			Percent of total billed charges		632.367	33.3			Percent of total billed charges		632.367	100			Percent of total billed charges		1899	632.367	1709.1	
biomet tibial bearing 16 x 71/75 11-146356	278	RC	Outpatient			1899	1234.35		90			Percent of total billed charges		1709.1	40			Percent of total billed charges		759.6	80			Percent of total billed charges		1519.2	90			Percent of total billed charges		1709.1	85			Percent of total billed charges		1614.15	85			Percent of total billed charges		1614.15	85			Percent of total billed charges		1614.15	100			Percent of total billed charges		1899	100			Percent of total billed charges		1899	100			Percent of total billed charges		1899	33.3			Percent of total billed charges		632.367	33.3			Percent of total billed charges		632.367	100			Percent of total billed charges		1899	632.367	1709.1	
biomet tibial bearing 18 x 63/67 11-146338	278	RC	Outpatient			1899	1234.35		90			Percent of total billed charges		1709.1	40			Percent of total billed charges		759.6	80			Percent of total billed charges		1519.2	90			Percent of total billed charges		1709.1	85			Percent of total billed charges		1614.15	85			Percent of total billed charges		1614.15	85			Percent of total billed charges		1614.15	100			Percent of total billed charges		1899	100			Percent of total billed charges		1899	100			Percent of total billed charges		1899	33.3			Percent of total billed charges		632.367	33.3			Percent of total billed charges		632.367	100			Percent of total billed charges		1899	632.367	1709.1	
biomet tibial bearing 18 x 71/75 11-146358	278	RC	Outpatient			1899	1234.35		90			Percent of total billed charges		1709.1	40			Percent of total billed charges		759.6	80			Percent of total billed charges		1519.2	90			Percent of total billed charges		1709.1	85			Percent of total billed charges		1614.15	85			Percent of total billed charges		1614.15	85			Percent of total billed charges		1614.15	100			Percent of total billed charges		1899	100			Percent of total billed charges		1899	100			Percent of total billed charges		1899	33.3			Percent of total billed charges		632.367	33.3			Percent of total billed charges		632.367	100			Percent of total billed charges		1899	632.367	1709.1	
dcm maxim  bearing 14 x 67mm 11-146334 biomet	278	RC	Outpatient			1899	1234.35		90			Percent of total billed charges		1709.1	40			Percent of total billed charges		759.6	80			Percent of total billed charges		1519.2	90			Percent of total billed charges		1709.1	85			Percent of total billed charges		1614.15	85			Percent of total billed charges		1614.15	85			Percent of total billed charges		1614.15	100			Percent of total billed charges		1899	100			Percent of total billed charges		1899	100			Percent of total billed charges		1899	33.3			Percent of total billed charges		632.367	33.3			Percent of total billed charges		632.367	100			Percent of total billed charges		1899	632.367	1709.1	
maxim bearing 12 x 71mm 11-146352	278	RC	Outpatient			1899	1234.35		90			Percent of total billed charges		1709.1	40			Percent of total billed charges		759.6	80			Percent of total billed charges		1519.2	90			Percent of total billed charges		1709.1	85			Percent of total billed charges		1614.15	85			Percent of total billed charges		1614.15	85			Percent of total billed charges		1614.15	100			Percent of total billed charges		1899	100			Percent of total billed charges		1899	100			Percent of total billed charges		1899	33.3			Percent of total billed charges		632.367	33.3			Percent of total billed charges		632.367	100			Percent of total billed charges		1899	632.367	1709.1	
maxin bearing 10 x 71mm 11-146350	278	RC	Outpatient			1899	1234.35		90			Percent of total billed charges		1709.1	40			Percent of total billed charges		759.6	80			Percent of total billed charges		1519.2	90			Percent of total billed charges		1709.1	85			Percent of total billed charges		1614.15	85			Percent of total billed charges		1614.15	85			Percent of total billed charges		1614.15	100			Percent of total billed charges		1899	100			Percent of total billed charges		1899	100			Percent of total billed charges		1899	33.3			Percent of total billed charges		632.367	33.3			Percent of total billed charges		632.367	100			Percent of total billed charges		1899	632.367	1709.1	
anesthesia time 6 1/2 hours	370	RC	Outpatient			1900	1235		90			Percent of total billed charges		1710	40			Percent of total billed charges		760	80			Percent of total billed charges		1520	90			Percent of total billed charges		1710	85			Percent of total billed charges		1615	85			Percent of total billed charges		1615	85			Percent of total billed charges		1615	100			Percent of total billed charges		1900	100			Percent of total billed charges		1900	100			Percent of total billed charges		1900	33.3			Percent of total billed charges		632.7	33.3			Percent of total billed charges		632.7	100			Percent of total billed charges		1900	632.7	1710	
depuy fluted rod	278	RC	Outpatient			1905	1238.25		90			Percent of total billed charges		1714.5	40			Percent of total billed charges		762	80			Percent of total billed charges		1524	90			Percent of total billed charges		1714.5	85			Percent of total billed charges		1619.25	85			Percent of total billed charges		1619.25	85			Percent of total billed charges		1619.25	100			Percent of total billed charges		1905	100			Percent of total billed charges		1905	100			Percent of total billed charges		1905	33.3			Percent of total billed charges		634.365	33.3			Percent of total billed charges		634.365	100			Percent of total billed charges		1905	634.365	1714.5	
fluted rod 14 x 75mm 86-6416 depuy	278	RC	Outpatient			1905	1238.25		90			Percent of total billed charges		1714.5	40			Percent of total billed charges		762	80			Percent of total billed charges		1524	90			Percent of total billed charges		1714.5	85			Percent of total billed charges		1619.25	85			Percent of total billed charges		1619.25	85			Percent of total billed charges		1619.25	100			Percent of total billed charges		1905	100			Percent of total billed charges		1905	100			Percent of total billed charges		1905	33.3			Percent of total billed charges		634.365	33.3			Percent of total billed charges		634.365	100			Percent of total billed charges		1905	634.365	1714.5	
testicular pros saline fl	278	RC	Outpatient			1905	1238.25		90			Percent of total billed charges		1714.5	40			Percent of total billed charges		762	80			Percent of total billed charges		1524	90			Percent of total billed charges		1714.5	85			Percent of total billed charges		1619.25	85			Percent of total billed charges		1619.25	85			Percent of total billed charges		1619.25	100			Percent of total billed charges		1905	100			Percent of total billed charges		1905	100			Percent of total billed charges		1905	33.3			Percent of total billed charges		634.365	33.3			Percent of total billed charges		634.365	100			Percent of total billed charges		1905	634.365	1714.5	
lg fr pl buttress 5hl	278	RC	Outpatient			1906	1238.9		90			Percent of total billed charges		1715.4	40			Percent of total billed charges		762.4	80			Percent of total billed charges		1524.8	90			Percent of total billed charges		1715.4	85			Percent of total billed charges		1620.1	85			Percent of total billed charges		1620.1	85			Percent of total billed charges		1620.1	100			Percent of total billed charges		1906	100			Percent of total billed charges		1906	100			Percent of total billed charges		1906	33.3			Percent of total billed charges		634.698	33.3			Percent of total billed charges		634.698	100			Percent of total billed charges		1906	634.698	1715.4	
s/n lg frag  plate 5 hole  7114-1105	278	RC	Outpatient			1906	1238.9		90			Percent of total billed charges		1715.4	40			Percent of total billed charges		762.4	80			Percent of total billed charges		1524.8	90			Percent of total billed charges		1715.4	85			Percent of total billed charges		1620.1	85			Percent of total billed charges		1620.1	85			Percent of total billed charges		1620.1	100			Percent of total billed charges		1906	100			Percent of total billed charges		1906	100			Percent of total billed charges		1906	33.3			Percent of total billed charges		634.698	33.3			Percent of total billed charges		634.698	100			Percent of total billed charges		1906	634.698	1715.4	
s/n lg frag  plate 5 hole  7114-1005	278	RC	Outpatient			1906	1238.9		90			Percent of total billed charges		1715.4	40			Percent of total billed charges		762.4	80			Percent of total billed charges		1524.8	90			Percent of total billed charges		1715.4	85			Percent of total billed charges		1620.1	85			Percent of total billed charges		1620.1	85			Percent of total billed charges		1620.1	100			Percent of total billed charges		1906	100			Percent of total billed charges		1906	100			Percent of total billed charges		1906	33.3			Percent of total billed charges		634.698	33.3			Percent of total billed charges		634.698	100			Percent of total billed charges		1906	634.698	1715.4	
arthex lk lat hook pl7hl	278	RC	Outpatient			1910	1241.5		90			Percent of total billed charges		1719	40			Percent of total billed charges		764	80			Percent of total billed charges		1528	90			Percent of total billed charges		1719	85			Percent of total billed charges		1623.5	85			Percent of total billed charges		1623.5	85			Percent of total billed charges		1623.5	100			Percent of total billed charges		1910	100			Percent of total billed charges		1910	100			Percent of total billed charges		1910	33.3			Percent of total billed charges		636.03	33.3			Percent of total billed charges		636.03	100			Percent of total billed charges		1910	636.03	1719	
arthrex lk lat hook pl5hl	278	RC	Outpatient			1910	1241.5		90			Percent of total billed charges		1719	40			Percent of total billed charges		764	80			Percent of total billed charges		1528	90			Percent of total billed charges		1719	85			Percent of total billed charges		1623.5	85			Percent of total billed charges		1623.5	85			Percent of total billed charges		1623.5	100			Percent of total billed charges		1910	100			Percent of total billed charges		1910	100			Percent of total billed charges		1910	33.3			Percent of total billed charges		636.03	33.3			Percent of total billed charges		636.03	100			Percent of total billed charges		1910	636.03	1719	
"arthrex locking hook plate, 5hl ar-8943th-05"	278	RC	Outpatient			1910	1241.5		90			Percent of total billed charges		1719	40			Percent of total billed charges		764	80			Percent of total billed charges		1528	90			Percent of total billed charges		1719	85			Percent of total billed charges		1623.5	85			Percent of total billed charges		1623.5	85			Percent of total billed charges		1623.5	100			Percent of total billed charges		1910	100			Percent of total billed charges		1910	100			Percent of total billed charges		1910	33.3			Percent of total billed charges		636.03	33.3			Percent of total billed charges		636.03	100			Percent of total billed charges		1910	636.03	1719	
breast imp gel 400cc	278	RC	Outpatient			1910	1241.5		90			Percent of total billed charges		1719	40			Percent of total billed charges		764	80			Percent of total billed charges		1528	90			Percent of total billed charges		1719	85			Percent of total billed charges		1623.5	85			Percent of total billed charges		1623.5	85			Percent of total billed charges		1623.5	100			Percent of total billed charges		1910	100			Percent of total billed charges		1910	100			Percent of total billed charges		1910	33.3			Percent of total billed charges		636.03	33.3			Percent of total billed charges		636.03	100			Percent of total billed charges		1910	636.03	1719	
"arthrex locking hook plate, 7hl ar-8943th-07"	278	RC	Outpatient			1910	1241.5		90			Percent of total billed charges		1719	40			Percent of total billed charges		764	80			Percent of total billed charges		1528	90			Percent of total billed charges		1719	85			Percent of total billed charges		1623.5	85			Percent of total billed charges		1623.5	85			Percent of total billed charges		1623.5	100			Percent of total billed charges		1910	100			Percent of total billed charges		1910	100			Percent of total billed charges		1910	33.3			Percent of total billed charges		636.03	33.3			Percent of total billed charges		636.03	100			Percent of total billed charges		1910	636.03	1719	
savannah-t cross link	278	RC	Outpatient			1910	1241.5		90			Percent of total billed charges		1719	40			Percent of total billed charges		764	80			Percent of total billed charges		1528	90			Percent of total billed charges		1719	85			Percent of total billed charges		1623.5	85			Percent of total billed charges		1623.5	85			Percent of total billed charges		1623.5	100			Percent of total billed charges		1910	100			Percent of total billed charges		1910	100			Percent of total billed charges		1910	33.3			Percent of total billed charges		636.03	33.3			Percent of total billed charges		636.03	100			Percent of total billed charges		1910	636.03	1719	
savannah-t cross link cl102910 amendia	278	RC	Outpatient			1910	1241.5		90			Percent of total billed charges		1719	40			Percent of total billed charges		764	80			Percent of total billed charges		1528	90			Percent of total billed charges		1719	85			Percent of total billed charges		1623.5	85			Percent of total billed charges		1623.5	85			Percent of total billed charges		1623.5	100			Percent of total billed charges		1910	100			Percent of total billed charges		1910	100			Percent of total billed charges		1910	33.3			Percent of total billed charges		636.03	33.3			Percent of total billed charges		636.03	100			Percent of total billed charges		1910	636.03	1719	
siltex round high profile breast implant gel-filled  400cc 354-4400 mentor	278	RC	Outpatient			1910	1241.5		90			Percent of total billed charges		1719	40			Percent of total billed charges		764	80			Percent of total billed charges		1528	90			Percent of total billed charges		1719	85			Percent of total billed charges		1623.5	85			Percent of total billed charges		1623.5	85			Percent of total billed charges		1623.5	100			Percent of total billed charges		1910	100			Percent of total billed charges		1910	100			Percent of total billed charges		1910	33.3			Percent of total billed charges		636.03	33.3			Percent of total billed charges		636.03	100			Percent of total billed charges		1910	636.03	1719	
genesis ii post stabilized art insert sz 1-2 11mm 71420804 s/n	278	RC	Outpatient			1913	1243.45		90			Percent of total billed charges		1721.7	40			Percent of total billed charges		765.2	80			Percent of total billed charges		1530.4	90			Percent of total billed charges		1721.7	85			Percent of total billed charges		1626.05	85			Percent of total billed charges		1626.05	85			Percent of total billed charges		1626.05	100			Percent of total billed charges		1913	100			Percent of total billed charges		1913	100			Percent of total billed charges		1913	33.3			Percent of total billed charges		637.029	33.3			Percent of total billed charges		637.029	100			Percent of total billed charges		1913	637.029	1721.7	
genesis ii post stabilized art insrt sz 1-2 15mm  71420808 s/n	278	RC	Outpatient			1913	1243.45		90			Percent of total billed charges		1721.7	40			Percent of total billed charges		765.2	80			Percent of total billed charges		1530.4	90			Percent of total billed charges		1721.7	85			Percent of total billed charges		1626.05	85			Percent of total billed charges		1626.05	85			Percent of total billed charges		1626.05	100			Percent of total billed charges		1913	100			Percent of total billed charges		1913	100			Percent of total billed charges		1913	33.3			Percent of total billed charges		637.029	33.3			Percent of total billed charges		637.029	100			Percent of total billed charges		1913	637.029	1721.7	
genesis ii posterior stabilized insert size 1-2 9mm  71420802 s/n	278	RC	Outpatient			1913	1243.45		90			Percent of total billed charges		1721.7	40			Percent of total billed charges		765.2	80			Percent of total billed charges		1530.4	90			Percent of total billed charges		1721.7	85			Percent of total billed charges		1626.05	85			Percent of total billed charges		1626.05	85			Percent of total billed charges		1626.05	100			Percent of total billed charges		1913	100			Percent of total billed charges		1913	100			Percent of total billed charges		1913	33.3			Percent of total billed charges		637.029	33.3			Percent of total billed charges		637.029	100			Percent of total billed charges		1913	637.029	1721.7	
genesis ii posterior stabilized insert size 3-4 21mm 71420826 s/n	278	RC	Outpatient			1913	1243.45		90			Percent of total billed charges		1721.7	40			Percent of total billed charges		765.2	80			Percent of total billed charges		1530.4	90			Percent of total billed charges		1721.7	85			Percent of total billed charges		1626.05	85			Percent of total billed charges		1626.05	85			Percent of total billed charges		1626.05	100			Percent of total billed charges		1913	100			Percent of total billed charges		1913	100			Percent of total billed charges		1913	33.3			Percent of total billed charges		637.029	33.3			Percent of total billed charges		637.029	100			Percent of total billed charges		1913	637.029	1721.7	
genesis ii posterior stabilized insert size 3-4 25mm  71420828 s/n	278	RC	Outpatient			1913	1243.45		90			Percent of total billed charges		1721.7	40			Percent of total billed charges		765.2	80			Percent of total billed charges		1530.4	90			Percent of total billed charges		1721.7	85			Percent of total billed charges		1626.05	85			Percent of total billed charges		1626.05	85			Percent of total billed charges		1626.05	100			Percent of total billed charges		1913	100			Percent of total billed charges		1913	100			Percent of total billed charges		1913	33.3			Percent of total billed charges		637.029	33.3			Percent of total billed charges		637.029	100			Percent of total billed charges		1913	637.029	1721.7	
genesis ii posterior stabilized insert size 5-6 25mm  71420842 s/n	278	RC	Outpatient			1913	1243.45		90			Percent of total billed charges		1721.7	40			Percent of total billed charges		765.2	80			Percent of total billed charges		1530.4	90			Percent of total billed charges		1721.7	85			Percent of total billed charges		1626.05	85			Percent of total billed charges		1626.05	85			Percent of total billed charges		1626.05	100			Percent of total billed charges		1913	100			Percent of total billed charges		1913	100			Percent of total billed charges		1913	33.3			Percent of total billed charges		637.029	33.3			Percent of total billed charges		637.029	100			Percent of total billed charges		1913	637.029	1721.7	
genesis ii post stabilized art insrt sz 7-8 21mm  71420854 s/n	278	RC	Outpatient			1913	1243.45		90			Percent of total billed charges		1721.7	40			Percent of total billed charges		765.2	80			Percent of total billed charges		1530.4	90			Percent of total billed charges		1721.7	85			Percent of total billed charges		1626.05	85			Percent of total billed charges		1626.05	85			Percent of total billed charges		1626.05	100			Percent of total billed charges		1913	100			Percent of total billed charges		1913	100			Percent of total billed charges		1913	33.3			Percent of total billed charges		637.029	33.3			Percent of total billed charges		637.029	100			Percent of total billed charges		1913	637.029	1721.7	
genesis ii posterior stabilized insert size 1-2 13mm 71420806 s/n	278	RC	Outpatient			1913	1243.45		90			Percent of total billed charges		1721.7	40			Percent of total billed charges		765.2	80			Percent of total billed charges		1530.4	90			Percent of total billed charges		1721.7	85			Percent of total billed charges		1626.05	85			Percent of total billed charges		1626.05	85			Percent of total billed charges		1626.05	100			Percent of total billed charges		1913	100			Percent of total billed charges		1913	100			Percent of total billed charges		1913	33.3			Percent of total billed charges		637.029	33.3			Percent of total billed charges		637.029	100			Percent of total billed charges		1913	637.029	1721.7	
genesis ii posterior stabilized insert size 1-2 18mm  71420810 s/n	278	RC	Outpatient			1913	1243.45		90			Percent of total billed charges		1721.7	40			Percent of total billed charges		765.2	80			Percent of total billed charges		1530.4	90			Percent of total billed charges		1721.7	85			Percent of total billed charges		1626.05	85			Percent of total billed charges		1626.05	85			Percent of total billed charges		1626.05	100			Percent of total billed charges		1913	100			Percent of total billed charges		1913	100			Percent of total billed charges		1913	33.3			Percent of total billed charges		637.029	33.3			Percent of total billed charges		637.029	100			Percent of total billed charges		1913	637.029	1721.7	
genesis ii posterior stabilized insert size 1-2 21mm  71420812 s/n	278	RC	Outpatient			1913	1243.45		90			Percent of total billed charges		1721.7	40			Percent of total billed charges		765.2	80			Percent of total billed charges		1530.4	90			Percent of total billed charges		1721.7	85			Percent of total billed charges		1626.05	85			Percent of total billed charges		1626.05	85			Percent of total billed charges		1626.05	100			Percent of total billed charges		1913	100			Percent of total billed charges		1913	100			Percent of total billed charges		1913	33.3			Percent of total billed charges		637.029	33.3			Percent of total billed charges		637.029	100			Percent of total billed charges		1913	637.029	1721.7	
genesis ii posterior stabilized insert size 5-6 21mm  71420840 s/n	278	RC	Outpatient			1913	1243.45		90			Percent of total billed charges		1721.7	40			Percent of total billed charges		765.2	80			Percent of total billed charges		1530.4	90			Percent of total billed charges		1721.7	85			Percent of total billed charges		1626.05	85			Percent of total billed charges		1626.05	85			Percent of total billed charges		1626.05	100			Percent of total billed charges		1913	100			Percent of total billed charges		1913	100			Percent of total billed charges		1913	33.3			Percent of total billed charges		637.029	33.3			Percent of total billed charges		637.029	100			Percent of total billed charges		1913	637.029	1721.7	
genesis ii posterior stabilized insert size 7-8 25mm  71420856 s/n	278	RC	Outpatient			1913	1243.45		90			Percent of total billed charges		1721.7	40			Percent of total billed charges		765.2	80			Percent of total billed charges		1530.4	90			Percent of total billed charges		1721.7	85			Percent of total billed charges		1626.05	85			Percent of total billed charges		1626.05	85			Percent of total billed charges		1626.05	100			Percent of total billed charges		1913	100			Percent of total billed charges		1913	100			Percent of total billed charges		1913	33.3			Percent of total billed charges		637.029	33.3			Percent of total billed charges		637.029	100			Percent of total billed charges		1913	637.029	1721.7	
rich gii ps art insr	278	RC	Outpatient			1913	1243.45		90			Percent of total billed charges		1721.7	40			Percent of total billed charges		765.2	80			Percent of total billed charges		1530.4	90			Percent of total billed charges		1721.7	85			Percent of total billed charges		1626.05	85			Percent of total billed charges		1626.05	85			Percent of total billed charges		1626.05	100			Percent of total billed charges		1913	100			Percent of total billed charges		1913	100			Percent of total billed charges		1913	33.3			Percent of total billed charges		637.029	33.3			Percent of total billed charges		637.029	100			Percent of total billed charges		1913	637.029	1721.7	
richards cemented base	278	RC	Outpatient			1915	1244.75		90			Percent of total billed charges		1723.5	40			Percent of total billed charges		766	80			Percent of total billed charges		1532	90			Percent of total billed charges		1723.5	85			Percent of total billed charges		1627.75	85			Percent of total billed charges		1627.75	85			Percent of total billed charges		1627.75	100			Percent of total billed charges		1915	100			Percent of total billed charges		1915	100			Percent of total billed charges		1915	33.3			Percent of total billed charges		637.695	33.3			Percent of total billed charges		637.695	100			Percent of total billed charges		1915	637.695	1723.5	
accord 75mm troch grip	278	RC	Outpatient			1917	1246.05		90			Percent of total billed charges		1725.3	40			Percent of total billed charges		766.8	80			Percent of total billed charges		1533.6	90			Percent of total billed charges		1725.3	85			Percent of total billed charges		1629.45	85			Percent of total billed charges		1629.45	85			Percent of total billed charges		1629.45	100			Percent of total billed charges		1917	100			Percent of total billed charges		1917	100			Percent of total billed charges		1917	33.3			Percent of total billed charges		638.361	33.3			Percent of total billed charges		638.361	100			Percent of total billed charges		1917	638.361	1725.3	
accord small75mm 3-cable troch grip 7134-0003 s/n	278	RC	Outpatient			1917	1246.05		90			Percent of total billed charges		1725.3	40			Percent of total billed charges		766.8	80			Percent of total billed charges		1533.6	90			Percent of total billed charges		1725.3	85			Percent of total billed charges		1629.45	85			Percent of total billed charges		1629.45	85			Percent of total billed charges		1629.45	100			Percent of total billed charges		1917	100			Percent of total billed charges		1917	100			Percent of total billed charges		1917	33.3			Percent of total billed charges		638.361	33.3			Percent of total billed charges		638.361	100			Percent of total billed charges		1917	638.361	1725.3	
comp plt 3.5mm 9 hl 71809409 s\n	278	RC	Outpatient			1917	1246.05		90			Percent of total billed charges		1725.3	40			Percent of total billed charges		766.8	80			Percent of total billed charges		1533.6	90			Percent of total billed charges		1725.3	85			Percent of total billed charges		1629.45	85			Percent of total billed charges		1629.45	85			Percent of total billed charges		1629.45	100			Percent of total billed charges		1917	100			Percent of total billed charges		1917	100			Percent of total billed charges		1917	33.3			Percent of total billed charges		638.361	33.3			Percent of total billed charges		638.361	100			Percent of total billed charges		1917	638.361	1725.3	
comp plt 3.5mm 10 hl 71809410 s\n	278	RC	Outpatient			1917	1246.05		90			Percent of total billed charges		1725.3	40			Percent of total billed charges		766.8	80			Percent of total billed charges		1533.6	90			Percent of total billed charges		1725.3	85			Percent of total billed charges		1629.45	85			Percent of total billed charges		1629.45	85			Percent of total billed charges		1629.45	100			Percent of total billed charges		1917	100			Percent of total billed charges		1917	100			Percent of total billed charges		1917	33.3			Percent of total billed charges		638.361	33.3			Percent of total billed charges		638.361	100			Percent of total billed charges		1917	638.361	1725.3	
comp plt 3.5mm 10 hl 71829410 s\n	278	RC	Outpatient			1917	1246.05		90			Percent of total billed charges		1725.3	40			Percent of total billed charges		766.8	80			Percent of total billed charges		1533.6	90			Percent of total billed charges		1725.3	85			Percent of total billed charges		1629.45	85			Percent of total billed charges		1629.45	85			Percent of total billed charges		1629.45	100			Percent of total billed charges		1917	100			Percent of total billed charges		1917	100			Percent of total billed charges		1917	33.3			Percent of total billed charges		638.361	33.3			Percent of total billed charges		638.361	100			Percent of total billed charges		1917	638.361	1725.3	
comp plt 3.5mm 9 hl 71829409 s\n	278	RC	Outpatient			1917	1246.05		90			Percent of total billed charges		1725.3	40			Percent of total billed charges		766.8	80			Percent of total billed charges		1533.6	90			Percent of total billed charges		1725.3	85			Percent of total billed charges		1629.45	85			Percent of total billed charges		1629.45	85			Percent of total billed charges		1629.45	100			Percent of total billed charges		1917	100			Percent of total billed charges		1917	100			Percent of total billed charges		1917	33.3			Percent of total billed charges		638.361	33.3			Percent of total billed charges		638.361	100			Percent of total billed charges		1917	638.361	1725.3	
s/n 3.5 comp pl 9-10 hl	278	RC	Outpatient			1917	1246.05		90			Percent of total billed charges		1725.3	40			Percent of total billed charges		766.8	80			Percent of total billed charges		1533.6	90			Percent of total billed charges		1725.3	85			Percent of total billed charges		1629.45	85			Percent of total billed charges		1629.45	85			Percent of total billed charges		1629.45	100			Percent of total billed charges		1917	100			Percent of total billed charges		1917	100			Percent of total billed charges		1917	33.3			Percent of total billed charges		638.361	33.3			Percent of total billed charges		638.361	100			Percent of total billed charges		1917	638.361	1725.3	
accord 85mm troch grip	278	RC	Outpatient			1918	1246.7		90			Percent of total billed charges		1726.2	40			Percent of total billed charges		767.2	80			Percent of total billed charges		1534.4	90			Percent of total billed charges		1726.2	85			Percent of total billed charges		1630.3	85			Percent of total billed charges		1630.3	85			Percent of total billed charges		1630.3	100			Percent of total billed charges		1918	100			Percent of total billed charges		1918	100			Percent of total billed charges		1918	33.3			Percent of total billed charges		638.694	33.3			Percent of total billed charges		638.694	100			Percent of total billed charges		1918	638.694	1726.2	
accord std 85mm 3-cable troch grip 71340010 s/n	278	RC	Outpatient			1918	1246.7		90			Percent of total billed charges		1726.2	40			Percent of total billed charges		767.2	80			Percent of total billed charges		1534.4	90			Percent of total billed charges		1726.2	85			Percent of total billed charges		1630.3	85			Percent of total billed charges		1630.3	85			Percent of total billed charges		1630.3	100			Percent of total billed charges		1918	100			Percent of total billed charges		1918	100			Percent of total billed charges		1918	33.3			Percent of total billed charges		638.694	33.3			Percent of total billed charges		638.694	100			Percent of total billed charges		1918	638.694	1726.2	
acu-loc  dorsal  plate narrow right 70-0058 acumed	278	RC	Outpatient			1922	1249.3		90			Percent of total billed charges		1729.8	40			Percent of total billed charges		768.8	80			Percent of total billed charges		1537.6	90			Percent of total billed charges		1729.8	85			Percent of total billed charges		1633.7	85			Percent of total billed charges		1633.7	85			Percent of total billed charges		1633.7	100			Percent of total billed charges		1922	100			Percent of total billed charges		1922	100			Percent of total billed charges		1922	33.3			Percent of total billed charges		640.026	33.3			Percent of total billed charges		640.026	100			Percent of total billed charges		1922	640.026	1729.8	
acu-loc dorsal plate  narrow left 70-0057 acumed	278	RC	Outpatient			1922	1249.3		90			Percent of total billed charges		1729.8	40			Percent of total billed charges		768.8	80			Percent of total billed charges		1537.6	90			Percent of total billed charges		1729.8	85			Percent of total billed charges		1633.7	85			Percent of total billed charges		1633.7	85			Percent of total billed charges		1633.7	100			Percent of total billed charges		1922	100			Percent of total billed charges		1922	100			Percent of total billed charges		1922	33.3			Percent of total billed charges		640.026	33.3			Percent of total billed charges		640.026	100			Percent of total billed charges		1922	640.026	1729.8	
acu-loc dorsal plate standard left 70-0055 acumed	278	RC	Outpatient			1922	1249.3		90			Percent of total billed charges		1729.8	40			Percent of total billed charges		768.8	80			Percent of total billed charges		1537.6	90			Percent of total billed charges		1729.8	85			Percent of total billed charges		1633.7	85			Percent of total billed charges		1633.7	85			Percent of total billed charges		1633.7	100			Percent of total billed charges		1922	100			Percent of total billed charges		1922	100			Percent of total billed charges		1922	33.3			Percent of total billed charges		640.026	33.3			Percent of total billed charges		640.026	100			Percent of total billed charges		1922	640.026	1729.8	
acu-loc dorsal plate standard right 70-0056 acumed	278	RC	Outpatient			1922	1249.3		90			Percent of total billed charges		1729.8	40			Percent of total billed charges		768.8	80			Percent of total billed charges		1537.6	90			Percent of total billed charges		1729.8	85			Percent of total billed charges		1633.7	85			Percent of total billed charges		1633.7	85			Percent of total billed charges		1633.7	100			Percent of total billed charges		1922	100			Percent of total billed charges		1922	100			Percent of total billed charges		1922	33.3			Percent of total billed charges		640.026	33.3			Percent of total billed charges		640.026	100			Percent of total billed charges		1922	640.026	1729.8	
"acu-loc vdr plate, standard left pl-dr50l acumed"	278	RC	Outpatient			1922	1249.3		90			Percent of total billed charges		1729.8	40			Percent of total billed charges		768.8	80			Percent of total billed charges		1537.6	90			Percent of total billed charges		1729.8	85			Percent of total billed charges		1633.7	85			Percent of total billed charges		1633.7	85			Percent of total billed charges		1633.7	100			Percent of total billed charges		1922	100			Percent of total billed charges		1922	100			Percent of total billed charges		1922	33.3			Percent of total billed charges		640.026	33.3			Percent of total billed charges		640.026	100			Percent of total billed charges		1922	640.026	1729.8	
"acu-loc vdr plate, standard, right pl-dr50r acumed"	278	RC	Outpatient			1922	1249.3		90			Percent of total billed charges		1729.8	40			Percent of total billed charges		768.8	80			Percent of total billed charges		1537.6	90			Percent of total billed charges		1729.8	85			Percent of total billed charges		1633.7	85			Percent of total billed charges		1633.7	85			Percent of total billed charges		1633.7	100			Percent of total billed charges		1922	100			Percent of total billed charges		1922	100			Percent of total billed charges		1922	33.3			Percent of total billed charges		640.026	33.3			Percent of total billed charges		640.026	100			Percent of total billed charges		1922	640.026	1729.8	
acumed dist rad/ulna plt	278	RC	Outpatient			1922	1249.3		90			Percent of total billed charges		1729.8	40			Percent of total billed charges		768.8	80			Percent of total billed charges		1537.6	90			Percent of total billed charges		1729.8	85			Percent of total billed charges		1633.7	85			Percent of total billed charges		1633.7	85			Percent of total billed charges		1633.7	100			Percent of total billed charges		1922	100			Percent of total billed charges		1922	100			Percent of total billed charges		1922	33.3			Percent of total billed charges		640.026	33.3			Percent of total billed charges		640.026	100			Percent of total billed charges		1922	640.026	1729.8	
triathlon fem aug dist	278	RC	Outpatient			1933	1256.45		90			Percent of total billed charges		1739.7	40			Percent of total billed charges		773.2	80			Percent of total billed charges		1546.4	90			Percent of total billed charges		1739.7	85			Percent of total billed charges		1643.05	85			Percent of total billed charges		1643.05	85			Percent of total billed charges		1643.05	100			Percent of total billed charges		1933	100			Percent of total billed charges		1933	100			Percent of total billed charges		1933	33.3			Percent of total billed charges		643.689	33.3			Percent of total billed charges		643.689	100			Percent of total billed charges		1933	643.689	1739.7	
triathlon fem dist augment 10mm 5541-a-401 stryker	278	RC	Outpatient			1933	1256.45		90			Percent of total billed charges		1739.7	40			Percent of total billed charges		773.2	80			Percent of total billed charges		1546.4	90			Percent of total billed charges		1739.7	85			Percent of total billed charges		1643.05	85			Percent of total billed charges		1643.05	85			Percent of total billed charges		1643.05	100			Percent of total billed charges		1933	100			Percent of total billed charges		1933	100			Percent of total billed charges		1933	33.3			Percent of total billed charges		643.689	33.3			Percent of total billed charges		643.689	100			Percent of total billed charges		1933	643.689	1739.7	
triathlon fem dist augment 10mm 5541-a-501 stryker	278	RC	Outpatient			1933	1256.45		90			Percent of total billed charges		1739.7	40			Percent of total billed charges		773.2	80			Percent of total billed charges		1546.4	90			Percent of total billed charges		1739.7	85			Percent of total billed charges		1643.05	85			Percent of total billed charges		1643.05	85			Percent of total billed charges		1643.05	100			Percent of total billed charges		1933	100			Percent of total billed charges		1933	100			Percent of total billed charges		1933	33.3			Percent of total billed charges		643.689	33.3			Percent of total billed charges		643.689	100			Percent of total billed charges		1933	643.689	1739.7	
stryker poly insert	278	RC	Outpatient			1937	1259.05		90			Percent of total billed charges		1743.3	40			Percent of total billed charges		774.8	80			Percent of total billed charges		1549.6	90			Percent of total billed charges		1743.3	85			Percent of total billed charges		1646.45	85			Percent of total billed charges		1646.45	85			Percent of total billed charges		1646.45	100			Percent of total billed charges		1937	100			Percent of total billed charges		1937	100			Percent of total billed charges		1937	33.3			Percent of total billed charges		645.021	33.3			Percent of total billed charges		645.021	100			Percent of total billed charges		1937	645.021	1743.3	
system 12 poly insert 6352-5-096 how/osteo	278	RC	Outpatient			1937	1259.05		90			Percent of total billed charges		1743.3	40			Percent of total billed charges		774.8	80			Percent of total billed charges		1549.6	90			Percent of total billed charges		1743.3	85			Percent of total billed charges		1646.45	85			Percent of total billed charges		1646.45	85			Percent of total billed charges		1646.45	100			Percent of total billed charges		1937	100			Percent of total billed charges		1937	100			Percent of total billed charges		1937	33.3			Percent of total billed charges		645.021	33.3			Percent of total billed charges		645.021	100			Percent of total billed charges		1937	645.021	1743.3	
endo colon with erbe proc (apc)	750	RC	Outpatient			1939	1260.35		90			Percent of total billed charges		1745.1	40			Percent of total billed charges		775.6	80			Percent of total billed charges		1551.2	90			Percent of total billed charges		1745.1	85			Percent of total billed charges		1648.15	85			Percent of total billed charges		1648.15	85			Percent of total billed charges		1648.15	100			Percent of total billed charges		1939	100			Percent of total billed charges		1939	100			Percent of total billed charges		1939	33.3			Percent of total billed charges		645.687	33.3			Percent of total billed charges		645.687	100			Percent of total billed charges		1939	645.687	1745.1	
locking tubular plt 3.5mm 8 hl 71829008 s\n	278	RC	Outpatient			1940	1261		90			Percent of total billed charges		1746	40			Percent of total billed charges		776	80			Percent of total billed charges		1552	90			Percent of total billed charges		1746	85			Percent of total billed charges		1649	85			Percent of total billed charges		1649	85			Percent of total billed charges		1649	100			Percent of total billed charges		1940	100			Percent of total billed charges		1940	100			Percent of total billed charges		1940	33.3			Percent of total billed charges		646.02	33.3			Percent of total billed charges		646.02	100			Percent of total billed charges		1940	646.02	1746	
locking tubular plt 3.5mm 9 hl 71829009 s\n	278	RC	Outpatient			1940	1261		90			Percent of total billed charges		1746	40			Percent of total billed charges		776	80			Percent of total billed charges		1552	90			Percent of total billed charges		1746	85			Percent of total billed charges		1649	85			Percent of total billed charges		1649	85			Percent of total billed charges		1649	100			Percent of total billed charges		1940	100			Percent of total billed charges		1940	100			Percent of total billed charges		1940	33.3			Percent of total billed charges		646.02	33.3			Percent of total billed charges		646.02	100			Percent of total billed charges		1940	646.02	1746	
plate compress 12 sl 130 deg 260mm 12-4155 s/n	278	RC	Outpatient			1940	1261		90			Percent of total billed charges		1746	40			Percent of total billed charges		776	80			Percent of total billed charges		1552	90			Percent of total billed charges		1746	85			Percent of total billed charges		1649	85			Percent of total billed charges		1649	85			Percent of total billed charges		1649	100			Percent of total billed charges		1940	100			Percent of total billed charges		1940	100			Percent of total billed charges		1940	33.3			Percent of total billed charges		646.02	33.3			Percent of total billed charges		646.02	100			Percent of total billed charges		1940	646.02	1746	
plate compress 12 sl 135 deg 260mm 12-4156 s/n	278	RC	Outpatient			1940	1261		90			Percent of total billed charges		1746	40			Percent of total billed charges		776	80			Percent of total billed charges		1552	90			Percent of total billed charges		1746	85			Percent of total billed charges		1649	85			Percent of total billed charges		1649	85			Percent of total billed charges		1649	100			Percent of total billed charges		1940	100			Percent of total billed charges		1940	100			Percent of total billed charges		1940	33.3			Percent of total billed charges		646.02	33.3			Percent of total billed charges		646.02	100			Percent of total billed charges		1940	646.02	1746	
plate compress 12 sl 140 deg 260mm 12-4157 s/n	278	RC	Outpatient			1940	1261		90			Percent of total billed charges		1746	40			Percent of total billed charges		776	80			Percent of total billed charges		1552	90			Percent of total billed charges		1746	85			Percent of total billed charges		1649	85			Percent of total billed charges		1649	85			Percent of total billed charges		1649	100			Percent of total billed charges		1940	100			Percent of total billed charges		1940	100			Percent of total billed charges		1940	33.3			Percent of total billed charges		646.02	33.3			Percent of total billed charges		646.02	100			Percent of total billed charges		1940	646.02	1746	
rich hip scw classic 12hl	278	RC	Outpatient			1940	1261		90			Percent of total billed charges		1746	40			Percent of total billed charges		776	80			Percent of total billed charges		1552	90			Percent of total billed charges		1746	85			Percent of total billed charges		1649	85			Percent of total billed charges		1649	85			Percent of total billed charges		1649	100			Percent of total billed charges		1940	100			Percent of total billed charges		1940	100			Percent of total billed charges		1940	33.3			Percent of total billed charges		646.02	33.3			Percent of total billed charges		646.02	100			Percent of total billed charges		1940	646.02	1746	
s/n 3.5 lck tub pl 8-10hl	278	RC	Outpatient			1940	1261		90			Percent of total billed charges		1746	40			Percent of total billed charges		776	80			Percent of total billed charges		1552	90			Percent of total billed charges		1746	85			Percent of total billed charges		1649	85			Percent of total billed charges		1649	85			Percent of total billed charges		1649	100			Percent of total billed charges		1940	100			Percent of total billed charges		1940	100			Percent of total billed charges		1940	33.3			Percent of total billed charges		646.02	33.3			Percent of total billed charges		646.02	100			Percent of total billed charges		1940	646.02	1746	
plate compress 12 sl 145 deg 260mm 12-4158 s/n	278	RC	Outpatient			1940	1261		90			Percent of total billed charges		1746	40			Percent of total billed charges		776	80			Percent of total billed charges		1552	90			Percent of total billed charges		1746	85			Percent of total billed charges		1649	85			Percent of total billed charges		1649	85			Percent of total billed charges		1649	100			Percent of total billed charges		1940	100			Percent of total billed charges		1940	100			Percent of total billed charges		1940	33.3			Percent of total billed charges		646.02	33.3			Percent of total billed charges		646.02	100			Percent of total billed charges		1940	646.02	1746	
plate compress 12 sl 150 deg 260mm 12-4159 s/n	278	RC	Outpatient			1940	1261		90			Percent of total billed charges		1746	40			Percent of total billed charges		776	80			Percent of total billed charges		1552	90			Percent of total billed charges		1746	85			Percent of total billed charges		1649	85			Percent of total billed charges		1649	85			Percent of total billed charges		1649	100			Percent of total billed charges		1940	100			Percent of total billed charges		1940	100			Percent of total billed charges		1940	33.3			Percent of total billed charges		646.02	33.3			Percent of total billed charges		646.02	100			Percent of total billed charges		1940	646.02	1746	
s/n classic hip screw 12 hole	278	RC	Outpatient			1940	1261		90			Percent of total billed charges		1746	40			Percent of total billed charges		776	80			Percent of total billed charges		1552	90			Percent of total billed charges		1746	85			Percent of total billed charges		1649	85			Percent of total billed charges		1649	85			Percent of total billed charges		1649	100			Percent of total billed charges		1940	100			Percent of total billed charges		1940	100			Percent of total billed charges		1940	33.3			Percent of total billed charges		646.02	33.3			Percent of total billed charges		646.02	100			Percent of total billed charges		1940	646.02	1746	
tubular plt 3.5mm 10 hl 71829010 s\n	278	RC	Outpatient			1940	1261		90			Percent of total billed charges		1746	40			Percent of total billed charges		776	80			Percent of total billed charges		1552	90			Percent of total billed charges		1746	85			Percent of total billed charges		1649	85			Percent of total billed charges		1649	85			Percent of total billed charges		1649	100			Percent of total billed charges		1940	100			Percent of total billed charges		1940	100			Percent of total billed charges		1940	33.3			Percent of total billed charges		646.02	33.3			Percent of total billed charges		646.02	100			Percent of total billed charges		1940	646.02	1746	
tubular plt 3.5mm 10hl 71809010 s\n	278	RC	Outpatient			1940	1261		90			Percent of total billed charges		1746	40			Percent of total billed charges		776	80			Percent of total billed charges		1552	90			Percent of total billed charges		1746	85			Percent of total billed charges		1649	85			Percent of total billed charges		1649	85			Percent of total billed charges		1649	100			Percent of total billed charges		1940	100			Percent of total billed charges		1940	100			Percent of total billed charges		1940	33.3			Percent of total billed charges		646.02	33.3			Percent of total billed charges		646.02	100			Percent of total billed charges		1940	646.02	1746	
tubular plt 3.5mm 8hl 71809008 s\n	278	RC	Outpatient			1940	1261		90			Percent of total billed charges		1746	40			Percent of total billed charges		776	80			Percent of total billed charges		1552	90			Percent of total billed charges		1746	85			Percent of total billed charges		1649	85			Percent of total billed charges		1649	85			Percent of total billed charges		1649	100			Percent of total billed charges		1940	100			Percent of total billed charges		1940	100			Percent of total billed charges		1940	33.3			Percent of total billed charges		646.02	33.3			Percent of total billed charges		646.02	100			Percent of total billed charges		1940	646.02	1746	
polarcath dilatation cath .014  2.0 x 100 x 150 t20100150 boston scient	272	RC	Outpatient			1943	1262.95		90			Percent of total billed charges		1748.7	40			Percent of total billed charges		777.2	80			Percent of total billed charges		1554.4	90			Percent of total billed charges		1748.7	85			Percent of total billed charges		1651.55	85			Percent of total billed charges		1651.55	85			Percent of total billed charges		1651.55	100			Percent of total billed charges		1943	100			Percent of total billed charges		1943	100			Percent of total billed charges		1943	33.3			Percent of total billed charges		647.019	33.3			Percent of total billed charges		647.019	100			Percent of total billed charges		1943	647.019	1748.7	
polarcath dilatation cath .014  4.0 x 100 x 150 t40100150 boston scient	272	RC	Outpatient			1943	1262.95		90			Percent of total billed charges		1748.7	40			Percent of total billed charges		777.2	80			Percent of total billed charges		1554.4	90			Percent of total billed charges		1748.7	85			Percent of total billed charges		1651.55	85			Percent of total billed charges		1651.55	85			Percent of total billed charges		1651.55	100			Percent of total billed charges		1943	100			Percent of total billed charges		1943	100			Percent of total billed charges		1943	33.3			Percent of total billed charges		647.019	33.3			Percent of total billed charges		647.019	100			Percent of total billed charges		1943	647.019	1748.7	
polarcath dilatation cath .014  5.0 x 100 x 135 t5015013501 boston scient	272	RC	Outpatient			1943	1262.95		90			Percent of total billed charges		1748.7	40			Percent of total billed charges		777.2	80			Percent of total billed charges		1554.4	90			Percent of total billed charges		1748.7	85			Percent of total billed charges		1651.55	85			Percent of total billed charges		1651.55	85			Percent of total billed charges		1651.55	100			Percent of total billed charges		1943	100			Percent of total billed charges		1943	100			Percent of total billed charges		1943	33.3			Percent of total billed charges		647.019	33.3			Percent of total billed charges		647.019	100			Percent of total billed charges		1943	647.019	1748.7	
polarcath dilatation cath .014  6.0 x 100 x 135 t60100135 boston scient	272	RC	Outpatient			1943	1262.95		90			Percent of total billed charges		1748.7	40			Percent of total billed charges		777.2	80			Percent of total billed charges		1554.4	90			Percent of total billed charges		1748.7	85			Percent of total billed charges		1651.55	85			Percent of total billed charges		1651.55	85			Percent of total billed charges		1651.55	100			Percent of total billed charges		1943	100			Percent of total billed charges		1943	100			Percent of total billed charges		1943	33.3			Percent of total billed charges		647.019	33.3			Percent of total billed charges		647.019	100			Percent of total billed charges		1943	647.019	1748.7	
polarcath .014 100mm	272	RC	Outpatient			1943	1262.95		90			Percent of total billed charges		1748.7	40			Percent of total billed charges		777.2	80			Percent of total billed charges		1554.4	90			Percent of total billed charges		1748.7	85			Percent of total billed charges		1651.55	85			Percent of total billed charges		1651.55	85			Percent of total billed charges		1651.55	100			Percent of total billed charges		1943	100			Percent of total billed charges		1943	100			Percent of total billed charges		1943	33.3			Percent of total billed charges		647.019	33.3			Percent of total billed charges		647.019	100			Percent of total billed charges		1943	647.019	1748.7	
patellar component 8 x 32mm 5110-67-32 zimmer	278	RC	Outpatient			1946	1264.9		90			Percent of total billed charges		1751.4	40			Percent of total billed charges		778.4	80			Percent of total billed charges		1556.8	90			Percent of total billed charges		1751.4	85			Percent of total billed charges		1654.1	85			Percent of total billed charges		1654.1	85			Percent of total billed charges		1654.1	100			Percent of total billed charges		1946	100			Percent of total billed charges		1946	100			Percent of total billed charges		1946	33.3			Percent of total billed charges		648.018	33.3			Percent of total billed charges		648.018	100			Percent of total billed charges		1946	648.018	1751.4	
zimm patella comp	278	RC	Outpatient			1946	1264.9		90			Percent of total billed charges		1751.4	40			Percent of total billed charges		778.4	80			Percent of total billed charges		1556.8	90			Percent of total billed charges		1751.4	85			Percent of total billed charges		1654.1	85			Percent of total billed charges		1654.1	85			Percent of total billed charges		1654.1	100			Percent of total billed charges		1946	100			Percent of total billed charges		1946	100			Percent of total billed charges		1946	33.3			Percent of total billed charges		648.018	33.3			Percent of total billed charges		648.018	100			Percent of total billed charges		1946	648.018	1751.4	
grafton flex 5.0 x 5.0	278	RC	Outpatient			1950	1267.5		90			Percent of total billed charges		1755	40			Percent of total billed charges		780	80			Percent of total billed charges		1560	90			Percent of total billed charges		1755	85			Percent of total billed charges		1657.5	85			Percent of total billed charges		1657.5	85			Percent of total billed charges		1657.5	100			Percent of total billed charges		1950	100			Percent of total billed charges		1950	100			Percent of total billed charges		1950	33.3			Percent of total billed charges		649.35	33.3			Percent of total billed charges		649.35	100			Percent of total billed charges		1950	649.35	1755	
im hip screw 12 x 21 hn3512 s/n	278	RC	Outpatient			1950	1267.5		90			Percent of total billed charges		1755	40			Percent of total billed charges		780	80			Percent of total billed charges		1560	90			Percent of total billed charges		1755	85			Percent of total billed charges		1657.5	85			Percent of total billed charges		1657.5	85			Percent of total billed charges		1657.5	100			Percent of total billed charges		1950	100			Percent of total billed charges		1950	100			Percent of total billed charges		1950	33.3			Percent of total billed charges		649.35	33.3			Percent of total billed charges		649.35	100			Percent of total billed charges		1950	649.35	1755	
imhs nail short	278	RC	Outpatient			1950	1267.5		90			Percent of total billed charges		1755	40			Percent of total billed charges		780	80			Percent of total billed charges		1560	90			Percent of total billed charges		1755	85			Percent of total billed charges		1657.5	85			Percent of total billed charges		1657.5	85			Percent of total billed charges		1657.5	100			Percent of total billed charges		1950	100			Percent of total billed charges		1950	100			Percent of total billed charges		1950	33.3			Percent of total billed charges		649.35	33.3			Percent of total billed charges		649.35	100			Percent of total billed charges		1950	649.35	1755	
imp grafton flex 5.0 x 5.0cm  a42150 osteotech	278	RC	Outpatient			1950	1267.5		90			Percent of total billed charges		1755	40			Percent of total billed charges		780	80			Percent of total billed charges		1560	90			Percent of total billed charges		1755	85			Percent of total billed charges		1657.5	85			Percent of total billed charges		1657.5	85			Percent of total billed charges		1657.5	100			Percent of total billed charges		1950	100			Percent of total billed charges		1950	100			Percent of total billed charges		1950	33.3			Percent of total billed charges		649.35	33.3			Percent of total billed charges		649.35	100			Percent of total billed charges		1950	649.35	1755	
legion offset coupler 2mm 71424223 s/n	278	RC	Outpatient			1950	1267.5		90			Percent of total billed charges		1755	40			Percent of total billed charges		780	80			Percent of total billed charges		1560	90			Percent of total billed charges		1755	85			Percent of total billed charges		1657.5	85			Percent of total billed charges		1657.5	85			Percent of total billed charges		1657.5	100			Percent of total billed charges		1950	100			Percent of total billed charges		1950	100			Percent of total billed charges		1950	33.3			Percent of total billed charges		649.35	33.3			Percent of total billed charges		649.35	100			Percent of total billed charges		1950	649.35	1755	
imp grafton flex 5.0 x 5.0cm  p42150 osteotech	278	RC	Outpatient			1950	1267.5		90			Percent of total billed charges		1755	40			Percent of total billed charges		780	80			Percent of total billed charges		1560	90			Percent of total billed charges		1755	85			Percent of total billed charges		1657.5	85			Percent of total billed charges		1657.5	85			Percent of total billed charges		1657.5	100			Percent of total billed charges		1950	100			Percent of total billed charges		1950	100			Percent of total billed charges		1950	33.3			Percent of total billed charges		649.35	33.3			Percent of total billed charges		649.35	100			Percent of total billed charges		1950	649.35	1755	
imp grafton flex 5.0 x.0cm  522150  mtf	278	RC	Outpatient			1950	1267.5		90			Percent of total billed charges		1755	40			Percent of total billed charges		780	80			Percent of total billed charges		1560	90			Percent of total billed charges		1755	85			Percent of total billed charges		1657.5	85			Percent of total billed charges		1657.5	85			Percent of total billed charges		1657.5	100			Percent of total billed charges		1950	100			Percent of total billed charges		1950	100			Percent of total billed charges		1950	33.3			Percent of total billed charges		649.35	33.3			Percent of total billed charges		649.35	100			Percent of total billed charges		1950	649.35	1755	
legion offset coupler 6mm 71424227 s/n	278	RC	Outpatient			1950	1267.5		90			Percent of total billed charges		1755	40			Percent of total billed charges		780	80			Percent of total billed charges		1560	90			Percent of total billed charges		1755	85			Percent of total billed charges		1657.5	85			Percent of total billed charges		1657.5	85			Percent of total billed charges		1657.5	100			Percent of total billed charges		1950	100			Percent of total billed charges		1950	100			Percent of total billed charges		1950	33.3			Percent of total billed charges		649.35	33.3			Percent of total billed charges		649.35	100			Percent of total billed charges		1950	649.35	1755	
s/n imhs nail short 14 x 21 130 degree hn3014	278	RC	Outpatient			1950	1267.5		90			Percent of total billed charges		1755	40			Percent of total billed charges		780	80			Percent of total billed charges		1560	90			Percent of total billed charges		1755	85			Percent of total billed charges		1657.5	85			Percent of total billed charges		1657.5	85			Percent of total billed charges		1657.5	100			Percent of total billed charges		1950	100			Percent of total billed charges		1950	100			Percent of total billed charges		1950	33.3			Percent of total billed charges		649.35	33.3			Percent of total billed charges		649.35	100			Percent of total billed charges		1950	649.35	1755	
s/n imhs nail short 14 x 21 135 degree hn3514	278	RC	Outpatient			1950	1267.5		90			Percent of total billed charges		1755	40			Percent of total billed charges		780	80			Percent of total billed charges		1560	90			Percent of total billed charges		1755	85			Percent of total billed charges		1657.5	85			Percent of total billed charges		1657.5	85			Percent of total billed charges		1657.5	100			Percent of total billed charges		1950	100			Percent of total billed charges		1950	100			Percent of total billed charges		1950	33.3			Percent of total billed charges		649.35	33.3			Percent of total billed charges		649.35	100			Percent of total billed charges		1950	649.35	1755	
s/n imhs nail short 16 x 21 130 degree hn3016	278	RC	Outpatient			1950	1267.5		90			Percent of total billed charges		1755	40			Percent of total billed charges		780	80			Percent of total billed charges		1560	90			Percent of total billed charges		1755	85			Percent of total billed charges		1657.5	85			Percent of total billed charges		1657.5	85			Percent of total billed charges		1657.5	100			Percent of total billed charges		1950	100			Percent of total billed charges		1950	100			Percent of total billed charges		1950	33.3			Percent of total billed charges		649.35	33.3			Percent of total billed charges		649.35	100			Percent of total billed charges		1950	649.35	1755	
s/n lgn offset coupler	278	RC	Outpatient			1950	1267.5		90			Percent of total billed charges		1755	40			Percent of total billed charges		780	80			Percent of total billed charges		1560	90			Percent of total billed charges		1755	85			Percent of total billed charges		1657.5	85			Percent of total billed charges		1657.5	85			Percent of total billed charges		1657.5	100			Percent of total billed charges		1950	100			Percent of total billed charges		1950	100			Percent of total billed charges		1950	33.3			Percent of total billed charges		649.35	33.3			Percent of total billed charges		649.35	100			Percent of total billed charges		1950	649.35	1755	
s/n imhs nail  12 x 21 130 degree hn3012	278	RC	Outpatient			1950	1267.5		90			Percent of total billed charges		1755	40			Percent of total billed charges		780	80			Percent of total billed charges		1560	90			Percent of total billed charges		1755	85			Percent of total billed charges		1657.5	85			Percent of total billed charges		1657.5	85			Percent of total billed charges		1657.5	100			Percent of total billed charges		1950	100			Percent of total billed charges		1950	100			Percent of total billed charges		1950	33.3			Percent of total billed charges		649.35	33.3			Percent of total billed charges		649.35	100			Percent of total billed charges		1950	649.35	1755	
s/n imhs nail short 10 x 21 130 degree 7116-3010	278	RC	Outpatient			1950	1267.5		90			Percent of total billed charges		1755	40			Percent of total billed charges		780	80			Percent of total billed charges		1560	90			Percent of total billed charges		1755	85			Percent of total billed charges		1657.5	85			Percent of total billed charges		1657.5	85			Percent of total billed charges		1657.5	100			Percent of total billed charges		1950	100			Percent of total billed charges		1950	100			Percent of total billed charges		1950	33.3			Percent of total billed charges		649.35	33.3			Percent of total billed charges		649.35	100			Percent of total billed charges		1950	649.35	1755	
s/n imhs nail short 10 x 21 135 degree 7116-3510	278	RC	Outpatient			1950	1267.5		90			Percent of total billed charges		1755	40			Percent of total billed charges		780	80			Percent of total billed charges		1560	90			Percent of total billed charges		1755	85			Percent of total billed charges		1657.5	85			Percent of total billed charges		1657.5	85			Percent of total billed charges		1657.5	100			Percent of total billed charges		1950	100			Percent of total billed charges		1950	100			Percent of total billed charges		1950	33.3			Percent of total billed charges		649.35	33.3			Percent of total billed charges		649.35	100			Percent of total billed charges		1950	649.35	1755	
s/n imhs nail short 16 x 21 135 degree hn3516	278	RC	Outpatient			1950	1267.5		90			Percent of total billed charges		1755	40			Percent of total billed charges		780	80			Percent of total billed charges		1560	90			Percent of total billed charges		1755	85			Percent of total billed charges		1657.5	85			Percent of total billed charges		1657.5	85			Percent of total billed charges		1657.5	100			Percent of total billed charges		1950	100			Percent of total billed charges		1950	100			Percent of total billed charges		1950	33.3			Percent of total billed charges		649.35	33.3			Percent of total billed charges		649.35	100			Percent of total billed charges		1950	649.35	1755	
grafton flex 2.5 x 10	278	RC	Outpatient			1951	1268.15		90			Percent of total billed charges		1755.9	40			Percent of total billed charges		780.4	80			Percent of total billed charges		1560.8	90			Percent of total billed charges		1755.9	85			Percent of total billed charges		1658.35	85			Percent of total billed charges		1658.35	85			Percent of total billed charges		1658.35	100			Percent of total billed charges		1951	100			Percent of total billed charges		1951	100			Percent of total billed charges		1951	33.3			Percent of total billed charges		649.683	33.3			Percent of total billed charges		649.683	100			Percent of total billed charges		1951	649.683	1755.9	
imp grafton flex 2.5 x 10cm  a42100 osteotech	278	RC	Outpatient			1951	1268.15		90			Percent of total billed charges		1755.9	40			Percent of total billed charges		780.4	80			Percent of total billed charges		1560.8	90			Percent of total billed charges		1755.9	85			Percent of total billed charges		1658.35	85			Percent of total billed charges		1658.35	85			Percent of total billed charges		1658.35	100			Percent of total billed charges		1951	100			Percent of total billed charges		1951	100			Percent of total billed charges		1951	33.3			Percent of total billed charges		649.683	33.3			Percent of total billed charges		649.683	100			Percent of total billed charges		1951	649.683	1755.9	
imp grafton flex 2.5 x 10cm  p42100 osteotech	278	RC	Outpatient			1951	1268.15		90			Percent of total billed charges		1755.9	40			Percent of total billed charges		780.4	80			Percent of total billed charges		1560.8	90			Percent of total billed charges		1755.9	85			Percent of total billed charges		1658.35	85			Percent of total billed charges		1658.35	85			Percent of total billed charges		1658.35	100			Percent of total billed charges		1951	100			Percent of total billed charges		1951	100			Percent of total billed charges		1951	33.3			Percent of total billed charges		649.683	33.3			Percent of total billed charges		649.683	100			Percent of total billed charges		1951	649.683	1755.9	
"acu-loc vdr plate, wide left pl-dr70l acumed"	278	RC	Outpatient			1956	1271.4		90			Percent of total billed charges		1760.4	40			Percent of total billed charges		782.4	80			Percent of total billed charges		1564.8	90			Percent of total billed charges		1760.4	85			Percent of total billed charges		1662.6	85			Percent of total billed charges		1662.6	85			Percent of total billed charges		1662.6	100			Percent of total billed charges		1956	100			Percent of total billed charges		1956	100			Percent of total billed charges		1956	33.3			Percent of total billed charges		651.348	33.3			Percent of total billed charges		651.348	100			Percent of total billed charges		1956	651.348	1760.4	
"acu-loc vdr plate, narrow left pl-dr30l acumed"	278	RC	Outpatient			1956	1271.4		90			Percent of total billed charges		1760.4	40			Percent of total billed charges		782.4	80			Percent of total billed charges		1564.8	90			Percent of total billed charges		1760.4	85			Percent of total billed charges		1662.6	85			Percent of total billed charges		1662.6	85			Percent of total billed charges		1662.6	100			Percent of total billed charges		1956	100			Percent of total billed charges		1956	100			Percent of total billed charges		1956	33.3			Percent of total billed charges		651.348	33.3			Percent of total billed charges		651.348	100			Percent of total billed charges		1956	651.348	1760.4	
"acu-loc vdr plate, narrow right  pl-dr30r acumed"	278	RC	Outpatient			1956	1271.4		90			Percent of total billed charges		1760.4	40			Percent of total billed charges		782.4	80			Percent of total billed charges		1564.8	90			Percent of total billed charges		1760.4	85			Percent of total billed charges		1662.6	85			Percent of total billed charges		1662.6	85			Percent of total billed charges		1662.6	100			Percent of total billed charges		1956	100			Percent of total billed charges		1956	100			Percent of total billed charges		1956	33.3			Percent of total billed charges		651.348	33.3			Percent of total billed charges		651.348	100			Percent of total billed charges		1956	651.348	1760.4	
"acu-loc vdr plate, wide right pl-dr70r acumed"	278	RC	Outpatient			1956	1271.4		90			Percent of total billed charges		1760.4	40			Percent of total billed charges		782.4	80			Percent of total billed charges		1564.8	90			Percent of total billed charges		1760.4	85			Percent of total billed charges		1662.6	85			Percent of total billed charges		1662.6	85			Percent of total billed charges		1662.6	100			Percent of total billed charges		1956	100			Percent of total billed charges		1956	100			Percent of total billed charges		1956	33.3			Percent of total billed charges		651.348	33.3			Percent of total billed charges		651.348	100			Percent of total billed charges		1956	651.348	1760.4	
acumed vdr plate	278	RC	Outpatient			1956	1271.4		90			Percent of total billed charges		1760.4	40			Percent of total billed charges		782.4	80			Percent of total billed charges		1564.8	90			Percent of total billed charges		1760.4	85			Percent of total billed charges		1662.6	85			Percent of total billed charges		1662.6	85			Percent of total billed charges		1662.6	100			Percent of total billed charges		1956	100			Percent of total billed charges		1956	100			Percent of total billed charges		1956	33.3			Percent of total billed charges		651.348	33.3			Percent of total billed charges		651.348	100			Percent of total billed charges		1956	651.348	1760.4	
j&j tibial ins rp-stab	278	RC	Outpatient			1956	1271.4		90			Percent of total billed charges		1760.4	40			Percent of total billed charges		782.4	80			Percent of total billed charges		1564.8	90			Percent of total billed charges		1760.4	85			Percent of total billed charges		1662.6	85			Percent of total billed charges		1662.6	85			Percent of total billed charges		1662.6	100			Percent of total billed charges		1956	100			Percent of total billed charges		1956	100			Percent of total billed charges		1956	33.3			Percent of total billed charges		651.348	33.3			Percent of total billed charges		651.348	100			Percent of total billed charges		1956	651.348	1760.4	
rsp glenoid humeral stem adapter 6mm 506-12-000 encor12	278	RC	Outpatient			1956	1271.4		90			Percent of total billed charges		1760.4	40			Percent of total billed charges		782.4	80			Percent of total billed charges		1564.8	90			Percent of total billed charges		1760.4	85			Percent of total billed charges		1662.6	85			Percent of total billed charges		1662.6	85			Percent of total billed charges		1662.6	100			Percent of total billed charges		1956	100			Percent of total billed charges		1956	100			Percent of total billed charges		1956	33.3			Percent of total billed charges		651.348	33.3			Percent of total billed charges		651.348	100			Percent of total billed charges		1956	651.348	1760.4	
rsp glenoid humeral stem adapter 6mm 506-06-000 encore	278	RC	Outpatient			1956	1271.4		90			Percent of total billed charges		1760.4	40			Percent of total billed charges		782.4	80			Percent of total billed charges		1564.8	90			Percent of total billed charges		1760.4	85			Percent of total billed charges		1662.6	85			Percent of total billed charges		1662.6	85			Percent of total billed charges		1662.6	100			Percent of total billed charges		1956	100			Percent of total billed charges		1956	100			Percent of total billed charges		1956	33.3			Percent of total billed charges		651.348	33.3			Percent of total billed charges		651.348	100			Percent of total billed charges		1956	651.348	1760.4	
rsp humeral stem adap	278	RC	Outpatient			1956	1271.4		90			Percent of total billed charges		1760.4	40			Percent of total billed charges		782.4	80			Percent of total billed charges		1564.8	90			Percent of total billed charges		1760.4	85			Percent of total billed charges		1662.6	85			Percent of total billed charges		1662.6	85			Percent of total billed charges		1662.6	100			Percent of total billed charges		1956	100			Percent of total billed charges		1956	100			Percent of total billed charges		1956	33.3			Percent of total billed charges		651.348	33.3			Percent of total billed charges		651.348	100			Percent of total billed charges		1956	651.348	1760.4	
tibial insert rp-stab 96-2151 depuy	278	RC	Outpatient			1956	1271.4		90			Percent of total billed charges		1760.4	40			Percent of total billed charges		782.4	80			Percent of total billed charges		1564.8	90			Percent of total billed charges		1760.4	85			Percent of total billed charges		1662.6	85			Percent of total billed charges		1662.6	85			Percent of total billed charges		1662.6	100			Percent of total billed charges		1956	100			Percent of total billed charges		1956	100			Percent of total billed charges		1956	33.3			Percent of total billed charges		651.348	33.3			Percent of total billed charges		651.348	100			Percent of total billed charges		1956	651.348	1760.4	
actifuse abs e-z-fil putyy 2.5ml 5 060050 78050 fuse tec	278	RC	Outpatient			1965	1277.25		90			Percent of total billed charges		1768.5	40			Percent of total billed charges		786	80			Percent of total billed charges		1572	90			Percent of total billed charges		1768.5	85			Percent of total billed charges		1670.25	85			Percent of total billed charges		1670.25	85			Percent of total billed charges		1670.25	100			Percent of total billed charges		1965	100			Percent of total billed charges		1965	100			Percent of total billed charges		1965	33.3			Percent of total billed charges		654.345	33.3			Percent of total billed charges		654.345	100			Percent of total billed charges		1965	654.345	1768.5	
bio ringloc lnr 32mm xl	278	RC	Outpatient			1965	1277.25		90			Percent of total billed charges		1768.5	40			Percent of total billed charges		786	80			Percent of total billed charges		1572	90			Percent of total billed charges		1768.5	85			Percent of total billed charges		1670.25	85			Percent of total billed charges		1670.25	85			Percent of total billed charges		1670.25	100			Percent of total billed charges		1965	100			Percent of total billed charges		1965	100			Percent of total billed charges		1965	33.3			Percent of total billed charges		654.345	33.3			Percent of total billed charges		654.345	100			Percent of total billed charges		1965	654.345	1768.5	
actifuse-abx putty 2.5ml	278	RC	Outpatient			1965	1277.25		90			Percent of total billed charges		1768.5	40			Percent of total billed charges		786	80			Percent of total billed charges		1572	90			Percent of total billed charges		1768.5	85			Percent of total billed charges		1670.25	85			Percent of total billed charges		1670.25	85			Percent of total billed charges		1670.25	100			Percent of total billed charges		1965	100			Percent of total billed charges		1965	100			Percent of total billed charges		1965	33.3			Percent of total billed charges		654.345	33.3			Percent of total billed charges		654.345	100			Percent of total billed charges		1965	654.345	1768.5	
miig micro stat procedure kit 84x3-0404 wright	278	RC	Outpatient			1965	1277.25		90			Percent of total billed charges		1768.5	40			Percent of total billed charges		786	80			Percent of total billed charges		1572	90			Percent of total billed charges		1768.5	85			Percent of total billed charges		1670.25	85			Percent of total billed charges		1670.25	85			Percent of total billed charges		1670.25	100			Percent of total billed charges		1965	100			Percent of total billed charges		1965	100			Percent of total billed charges		1965	33.3			Percent of total billed charges		654.345	33.3			Percent of total billed charges		654.345	100			Percent of total billed charges		1965	654.345	1768.5	
miig stat kit	278	RC	Outpatient			1965	1277.25		90			Percent of total billed charges		1768.5	40			Percent of total billed charges		786	80			Percent of total billed charges		1572	90			Percent of total billed charges		1768.5	85			Percent of total billed charges		1670.25	85			Percent of total billed charges		1670.25	85			Percent of total billed charges		1670.25	100			Percent of total billed charges		1965	100			Percent of total billed charges		1965	100			Percent of total billed charges		1965	33.3			Percent of total billed charges		654.345	33.3			Percent of total billed charges		654.345	100			Percent of total billed charges		1965	654.345	1768.5	
permacol 1mm 5x10	278	RC	Outpatient			1965	1277.25		90			Percent of total billed charges		1768.5	40			Percent of total billed charges		786	80			Percent of total billed charges		1572	90			Percent of total billed charges		1768.5	85			Percent of total billed charges		1670.25	85			Percent of total billed charges		1670.25	85			Percent of total billed charges		1670.25	100			Percent of total billed charges		1965	100			Percent of total billed charges		1965	100			Percent of total billed charges		1965	33.3			Percent of total billed charges		654.345	33.3			Percent of total billed charges		654.345	100			Percent of total billed charges		1965	654.345	1768.5	
permacol 1mm thick 5 x 10 cm 100510 lsl	278	RC	Outpatient			1965	1277.25		90			Percent of total billed charges		1768.5	40			Percent of total billed charges		786	80			Percent of total billed charges		1572	90			Percent of total billed charges		1768.5	85			Percent of total billed charges		1670.25	85			Percent of total billed charges		1670.25	85			Percent of total billed charges		1670.25	100			Percent of total billed charges		1965	100			Percent of total billed charges		1965	100			Percent of total billed charges		1965	33.3			Percent of total billed charges		654.345	33.3			Percent of total billed charges		654.345	100			Percent of total billed charges		1965	654.345	1768.5	
evos 2.7mm strength plate 20 hole 72442772n s/n	278	RC	Outpatient			1971	1281.15		90			Percent of total billed charges		1773.9	40			Percent of total billed charges		788.4	80			Percent of total billed charges		1576.8	90			Percent of total billed charges		1773.9	85			Percent of total billed charges		1675.35	85			Percent of total billed charges		1675.35	85			Percent of total billed charges		1675.35	100			Percent of total billed charges		1971	100			Percent of total billed charges		1971	100			Percent of total billed charges		1971	33.3			Percent of total billed charges		656.343	33.3			Percent of total billed charges		656.343	100			Percent of total billed charges		1971	656.343	1773.9	
p-l vlp plt fib l-d 11h	278	RC	Outpatient			1971	1281.15		90			Percent of total billed charges		1773.9	40			Percent of total billed charges		788.4	80			Percent of total billed charges		1576.8	90			Percent of total billed charges		1773.9	85			Percent of total billed charges		1675.35	85			Percent of total billed charges		1675.35	85			Percent of total billed charges		1675.35	100			Percent of total billed charges		1971	100			Percent of total billed charges		1971	100			Percent of total billed charges		1971	33.3			Percent of total billed charges		656.343	33.3			Percent of total billed charges		656.343	100			Percent of total billed charges		1971	656.343	1773.9	
peri-loc 3.5 l-d fib lk pl 11 h rt 72822011 s/n	278	RC	Outpatient			1971	1281.15		90			Percent of total billed charges		1773.9	40			Percent of total billed charges		788.4	80			Percent of total billed charges		1576.8	90			Percent of total billed charges		1773.9	85			Percent of total billed charges		1675.35	85			Percent of total billed charges		1675.35	85			Percent of total billed charges		1675.35	100			Percent of total billed charges		1971	100			Percent of total billed charges		1971	100			Percent of total billed charges		1971	33.3			Percent of total billed charges		656.343	33.3			Percent of total billed charges		656.343	100			Percent of total billed charges		1971	656.343	1773.9	
peri-loc 3.5 l-d fib lk pl 11 h lt 72821011 s/n	278	RC	Outpatient			1971	1281.15		90			Percent of total billed charges		1773.9	40			Percent of total billed charges		788.4	80			Percent of total billed charges		1576.8	90			Percent of total billed charges		1773.9	85			Percent of total billed charges		1675.35	85			Percent of total billed charges		1675.35	85			Percent of total billed charges		1675.35	100			Percent of total billed charges		1971	100			Percent of total billed charges		1971	100			Percent of total billed charges		1971	33.3			Percent of total billed charges		656.343	33.3			Percent of total billed charges		656.343	100			Percent of total billed charges		1971	656.343	1773.9	
stryker volar plate	278	RC	Outpatient			1971	1281.15		90			Percent of total billed charges		1773.9	40			Percent of total billed charges		788.4	80			Percent of total billed charges		1576.8	90			Percent of total billed charges		1773.9	85			Percent of total billed charges		1675.35	85			Percent of total billed charges		1675.35	85			Percent of total billed charges		1675.35	100			Percent of total billed charges		1971	100			Percent of total billed charges		1971	100			Percent of total billed charges		1971	33.3			Percent of total billed charges		656.343	33.3			Percent of total billed charges		656.343	100			Percent of total billed charges		1971	656.343	1773.9	
"volar smartlock dr plt narrow, left 54-25374 stryker"	278	RC	Outpatient			1971	1281.15		90			Percent of total billed charges		1773.9	40			Percent of total billed charges		788.4	80			Percent of total billed charges		1576.8	90			Percent of total billed charges		1773.9	85			Percent of total billed charges		1675.35	85			Percent of total billed charges		1675.35	85			Percent of total billed charges		1675.35	100			Percent of total billed charges		1971	100			Percent of total billed charges		1971	100			Percent of total billed charges		1971	33.3			Percent of total billed charges		656.343	33.3			Percent of total billed charges		656.343	100			Percent of total billed charges		1971	656.343	1773.9	
"volar smartlock dr plt narrow, right 54-25384 stryker"	278	RC	Outpatient			1971	1281.15		90			Percent of total billed charges		1773.9	40			Percent of total billed charges		788.4	80			Percent of total billed charges		1576.8	90			Percent of total billed charges		1773.9	85			Percent of total billed charges		1675.35	85			Percent of total billed charges		1675.35	85			Percent of total billed charges		1675.35	100			Percent of total billed charges		1971	100			Percent of total billed charges		1971	100			Percent of total billed charges		1971	33.3			Percent of total billed charges		656.343	33.3			Percent of total billed charges		656.343	100			Percent of total billed charges		1971	656.343	1773.9	
"volar smartlock dr plt standard, right 54-25386 stryker"	278	RC	Outpatient			1971	1281.15		90			Percent of total billed charges		1773.9	40			Percent of total billed charges		788.4	80			Percent of total billed charges		1576.8	90			Percent of total billed charges		1773.9	85			Percent of total billed charges		1675.35	85			Percent of total billed charges		1675.35	85			Percent of total billed charges		1675.35	100			Percent of total billed charges		1971	100			Percent of total billed charges		1971	100			Percent of total billed charges		1971	33.3			Percent of total billed charges		656.343	33.3			Percent of total billed charges		656.343	100			Percent of total billed charges		1971	656.343	1773.9	
"volar smartlock dr plt standard, left 54-25376 stryker"	278	RC	Outpatient			1971	1281.15		90			Percent of total billed charges		1773.9	40			Percent of total billed charges		788.4	80			Percent of total billed charges		1576.8	90			Percent of total billed charges		1773.9	85			Percent of total billed charges		1675.35	85			Percent of total billed charges		1675.35	85			Percent of total billed charges		1675.35	100			Percent of total billed charges		1971	100			Percent of total billed charges		1971	100			Percent of total billed charges		1971	33.3			Percent of total billed charges		656.343	33.3			Percent of total billed charges		656.343	100			Percent of total billed charges		1971	656.343	1773.9	
evos 2.7 strength plate	278	RC	Outpatient			1972	1281.8		90			Percent of total billed charges		1774.8	40			Percent of total billed charges		788.8	80			Percent of total billed charges		1577.6	90			Percent of total billed charges		1774.8	85			Percent of total billed charges		1676.2	85			Percent of total billed charges		1676.2	85			Percent of total billed charges		1676.2	100			Percent of total billed charges		1972	100			Percent of total billed charges		1972	100			Percent of total billed charges		1972	33.3			Percent of total billed charges		656.676	33.3			Percent of total billed charges		656.676	100			Percent of total billed charges		1972	656.676	1774.8	
novasure kit ns2013 (ns2013kitus) hologic	272	RC	Outpatient			1975	1283.75		90			Percent of total billed charges		1777.5	40			Percent of total billed charges		790	80			Percent of total billed charges		1580	90			Percent of total billed charges		1777.5	85			Percent of total billed charges		1678.75	85			Percent of total billed charges		1678.75	85			Percent of total billed charges		1678.75	100			Percent of total billed charges		1975	100			Percent of total billed charges		1975	100			Percent of total billed charges		1975	33.3			Percent of total billed charges		657.675	33.3			Percent of total billed charges		657.675	100			Percent of total billed charges		1975	657.675	1777.5	
novasure wand ns2000	272	RC	Outpatient			1975	1283.75		90			Percent of total billed charges		1777.5	40			Percent of total billed charges		790	80			Percent of total billed charges		1580	90			Percent of total billed charges		1777.5	85			Percent of total billed charges		1678.75	85			Percent of total billed charges		1678.75	85			Percent of total billed charges		1678.75	100			Percent of total billed charges		1975	100			Percent of total billed charges		1975	100			Percent of total billed charges		1975	33.3			Percent of total billed charges		657.675	33.3			Percent of total billed charges		657.675	100			Percent of total billed charges		1975	657.675	1777.5	
arthrex lck dist fib pl6h	278	RC	Outpatient			1979	1286.35		90			Percent of total billed charges		1781.1	40			Percent of total billed charges		791.6	80			Percent of total billed charges		1583.2	90			Percent of total billed charges		1781.1	85			Percent of total billed charges		1682.15	85			Percent of total billed charges		1682.15	85			Percent of total billed charges		1682.15	100			Percent of total billed charges		1979	100			Percent of total billed charges		1979	100			Percent of total billed charges		1979	33.3			Percent of total billed charges		659.007	33.3			Percent of total billed charges		659.007	100			Percent of total billed charges		1979	659.007	1781.1	
arthrex locking distal fibula pl rt 6h ar-8943br-06	278	RC	Outpatient			1979	1286.35		90			Percent of total billed charges		1781.1	40			Percent of total billed charges		791.6	80			Percent of total billed charges		1583.2	90			Percent of total billed charges		1781.1	85			Percent of total billed charges		1682.15	85			Percent of total billed charges		1682.15	85			Percent of total billed charges		1682.15	100			Percent of total billed charges		1979	100			Percent of total billed charges		1979	100			Percent of total billed charges		1979	33.3			Percent of total billed charges		659.007	33.3			Percent of total billed charges		659.007	100			Percent of total billed charges		1979	659.007	1781.1	
arthrex locking distal fibula pl lt 6h ar-8943bl-06	278	RC	Outpatient			1979	1286.35		90			Percent of total billed charges		1781.1	40			Percent of total billed charges		791.6	80			Percent of total billed charges		1583.2	90			Percent of total billed charges		1781.1	85			Percent of total billed charges		1682.15	85			Percent of total billed charges		1682.15	85			Percent of total billed charges		1682.15	100			Percent of total billed charges		1979	100			Percent of total billed charges		1979	100			Percent of total billed charges		1979	33.3			Percent of total billed charges		659.007	33.3			Percent of total billed charges		659.007	100			Percent of total billed charges		1979	659.007	1781.1	
probenix 10cc	278	RC	Outpatient			1986	1290.9		90			Percent of total billed charges		1787.4	40			Percent of total billed charges		794.4	80			Percent of total billed charges		1588.8	90			Percent of total billed charges		1787.4	85			Percent of total billed charges		1688.1	85			Percent of total billed charges		1688.1	85			Percent of total billed charges		1688.1	100			Percent of total billed charges		1986	100			Percent of total billed charges		1986	100			Percent of total billed charges		1986	33.3			Percent of total billed charges		661.338	33.3			Percent of total billed charges		661.338	100			Percent of total billed charges		1986	661.338	1787.4	
progenix dbm putty 10cc 005110 spinalgraft	278	RC	Outpatient			1986	1290.9		90			Percent of total billed charges		1787.4	40			Percent of total billed charges		794.4	80			Percent of total billed charges		1588.8	90			Percent of total billed charges		1787.4	85			Percent of total billed charges		1688.1	85			Percent of total billed charges		1688.1	85			Percent of total billed charges		1688.1	100			Percent of total billed charges		1986	100			Percent of total billed charges		1986	100			Percent of total billed charges		1986	33.3			Percent of total billed charges		661.338	33.3			Percent of total billed charges		661.338	100			Percent of total billed charges		1986	661.338	1787.4	
lateral dist humeral locking plate 9h r 71822509 s/n	278	RC	Outpatient			1987	1291.55		90			Percent of total billed charges		1788.3	40			Percent of total billed charges		794.8	80			Percent of total billed charges		1589.6	90			Percent of total billed charges		1788.3	85			Percent of total billed charges		1688.95	85			Percent of total billed charges		1688.95	85			Percent of total billed charges		1688.95	100			Percent of total billed charges		1987	100			Percent of total billed charges		1987	100			Percent of total billed charges		1987	33.3			Percent of total billed charges		661.671	33.3			Percent of total billed charges		661.671	100			Percent of total billed charges		1987	661.671	1788.3	
p-l-d humeral locking plate 9h l 71822609 s/n	278	RC	Outpatient			1987	1291.55		90			Percent of total billed charges		1788.3	40			Percent of total billed charges		794.8	80			Percent of total billed charges		1589.6	90			Percent of total billed charges		1788.3	85			Percent of total billed charges		1688.95	85			Percent of total billed charges		1688.95	85			Percent of total billed charges		1688.95	100			Percent of total billed charges		1987	100			Percent of total billed charges		1987	100			Percent of total billed charges		1987	33.3			Percent of total billed charges		661.671	33.3			Percent of total billed charges		661.671	100			Percent of total billed charges		1987	661.671	1788.3	
p-l-d humeral locking plate 9h r 71822709 s/n	278	RC	Outpatient			1987	1291.55		90			Percent of total billed charges		1788.3	40			Percent of total billed charges		794.8	80			Percent of total billed charges		1589.6	90			Percent of total billed charges		1788.3	85			Percent of total billed charges		1688.95	85			Percent of total billed charges		1688.95	85			Percent of total billed charges		1688.95	100			Percent of total billed charges		1987	100			Percent of total billed charges		1987	100			Percent of total billed charges		1987	33.3			Percent of total billed charges		661.671	33.3			Percent of total billed charges		661.671	100			Percent of total billed charges		1987	661.671	1788.3	
lateral dist humeral locking plate 9h l 71822409 s/n	278	RC	Outpatient			1987	1291.55		90			Percent of total billed charges		1788.3	40			Percent of total billed charges		794.8	80			Percent of total billed charges		1589.6	90			Percent of total billed charges		1788.3	85			Percent of total billed charges		1688.95	85			Percent of total billed charges		1688.95	85			Percent of total billed charges		1688.95	100			Percent of total billed charges		1987	100			Percent of total billed charges		1987	100			Percent of total billed charges		1987	33.3			Percent of total billed charges		661.671	33.3			Percent of total billed charges		661.671	100			Percent of total billed charges		1987	661.671	1788.3	
med distal humeral locking plate 9h l 71821909 s/n	278	RC	Outpatient			1987	1291.55		90			Percent of total billed charges		1788.3	40			Percent of total billed charges		794.8	80			Percent of total billed charges		1589.6	90			Percent of total billed charges		1788.3	85			Percent of total billed charges		1688.95	85			Percent of total billed charges		1688.95	85			Percent of total billed charges		1688.95	100			Percent of total billed charges		1987	100			Percent of total billed charges		1987	100			Percent of total billed charges		1987	33.3			Percent of total billed charges		661.671	33.3			Percent of total billed charges		661.671	100			Percent of total billed charges		1987	661.671	1788.3	
med distal humeral locking plate 9h r 71821809 s/n	278	RC	Outpatient			1987	1291.55		90			Percent of total billed charges		1788.3	40			Percent of total billed charges		794.8	80			Percent of total billed charges		1589.6	90			Percent of total billed charges		1788.3	85			Percent of total billed charges		1688.95	85			Percent of total billed charges		1688.95	85			Percent of total billed charges		1688.95	100			Percent of total billed charges		1987	100			Percent of total billed charges		1987	100			Percent of total billed charges		1987	33.3			Percent of total billed charges		661.671	33.3			Percent of total billed charges		661.671	100			Percent of total billed charges		1987	661.671	1788.3	
s/n latdist hum lk pl 9h	278	RC	Outpatient			1987	1291.55		90			Percent of total billed charges		1788.3	40			Percent of total billed charges		794.8	80			Percent of total billed charges		1589.6	90			Percent of total billed charges		1788.3	85			Percent of total billed charges		1688.95	85			Percent of total billed charges		1688.95	85			Percent of total billed charges		1688.95	100			Percent of total billed charges		1987	100			Percent of total billed charges		1987	100			Percent of total billed charges		1987	33.3			Percent of total billed charges		661.671	33.3			Percent of total billed charges		661.671	100			Percent of total billed charges		1987	661.671	1788.3	
s/n p-l-d hum lk pl 9h	278	RC	Outpatient			1987	1291.55		90			Percent of total billed charges		1788.3	40			Percent of total billed charges		794.8	80			Percent of total billed charges		1589.6	90			Percent of total billed charges		1788.3	85			Percent of total billed charges		1688.95	85			Percent of total billed charges		1688.95	85			Percent of total billed charges		1688.95	100			Percent of total billed charges		1987	100			Percent of total billed charges		1987	100			Percent of total billed charges		1987	33.3			Percent of total billed charges		661.671	33.3			Percent of total billed charges		661.671	100			Percent of total billed charges		1987	661.671	1788.3	
s/n meddist hum lk pl 9h	278	RC	Outpatient			1987	1291.55		90			Percent of total billed charges		1788.3	40			Percent of total billed charges		794.8	80			Percent of total billed charges		1589.6	90			Percent of total billed charges		1788.3	85			Percent of total billed charges		1688.95	85			Percent of total billed charges		1688.95	85			Percent of total billed charges		1688.95	100			Percent of total billed charges		1987	100			Percent of total billed charges		1987	100			Percent of total billed charges		1987	33.3			Percent of total billed charges		661.671	33.3			Percent of total billed charges		661.671	100			Percent of total billed charges		1987	661.671	1788.3	
component femoral matrix mh1215a s/n	278	RC	Outpatient			1988	1292.2		90			Percent of total billed charges		1789.2	40			Percent of total billed charges		795.2	80			Percent of total billed charges		1590.4	90			Percent of total billed charges		1789.2	85			Percent of total billed charges		1689.8	85			Percent of total billed charges		1689.8	85			Percent of total billed charges		1689.8	100			Percent of total billed charges		1988	100			Percent of total billed charges		1988	100			Percent of total billed charges		1988	33.3			Percent of total billed charges		662.004	33.3			Percent of total billed charges		662.004	100			Percent of total billed charges		1988	662.004	1789.2	
hip fx distal sleeve	278	RC	Outpatient			1988	1292.2		90			Percent of total billed charges		1789.2	40			Percent of total billed charges		795.2	80			Percent of total billed charges		1590.4	90			Percent of total billed charges		1789.2	85			Percent of total billed charges		1689.8	85			Percent of total billed charges		1689.8	85			Percent of total billed charges		1689.8	100			Percent of total billed charges		1988	100			Percent of total billed charges		1988	100			Percent of total billed charges		1988	33.3			Percent of total billed charges		662.004	33.3			Percent of total billed charges		662.004	100			Percent of total billed charges		1988	662.004	1789.2	
hip fx stem	278	RC	Outpatient			1988	1292.2		90			Percent of total billed charges		1789.2	40			Percent of total billed charges		795.2	80			Percent of total billed charges		1590.4	90			Percent of total billed charges		1789.2	85			Percent of total billed charges		1689.8	85			Percent of total billed charges		1689.8	85			Percent of total billed charges		1689.8	100			Percent of total billed charges		1988	100			Percent of total billed charges		1988	100			Percent of total billed charges		1988	33.3			Percent of total billed charges		662.004	33.3			Percent of total billed charges		662.004	100			Percent of total billed charges		1988	662.004	1789.2	
richards femoral stem	278	RC	Outpatient			1988	1292.2		90			Percent of total billed charges		1789.2	40			Percent of total billed charges		795.2	80			Percent of total billed charges		1590.4	90			Percent of total billed charges		1789.2	85			Percent of total billed charges		1689.8	85			Percent of total billed charges		1689.8	85			Percent of total billed charges		1689.8	100			Percent of total billed charges		1988	100			Percent of total billed charges		1988	100			Percent of total billed charges		1988	33.3			Percent of total billed charges		662.004	33.3			Percent of total billed charges		662.004	100			Percent of total billed charges		1988	662.004	1789.2	
stem matrix  mh0609a s/n	278	RC	Outpatient			1988	1292.2		90			Percent of total billed charges		1789.2	40			Percent of total billed charges		795.2	80			Percent of total billed charges		1590.4	90			Percent of total billed charges		1789.2	85			Percent of total billed charges		1689.8	85			Percent of total billed charges		1689.8	85			Percent of total billed charges		1689.8	100			Percent of total billed charges		1988	100			Percent of total billed charges		1988	100			Percent of total billed charges		1988	33.3			Percent of total billed charges		662.004	33.3			Percent of total billed charges		662.004	100			Percent of total billed charges		1988	662.004	1789.2	
stem matrix mh1013a s/n	278	RC	Outpatient			1988	1292.2		90			Percent of total billed charges		1789.2	40			Percent of total billed charges		795.2	80			Percent of total billed charges		1590.4	90			Percent of total billed charges		1789.2	85			Percent of total billed charges		1689.8	85			Percent of total billed charges		1689.8	85			Percent of total billed charges		1689.8	100			Percent of total billed charges		1988	100			Percent of total billed charges		1988	100			Percent of total billed charges		1988	33.3			Percent of total billed charges		662.004	33.3			Percent of total billed charges		662.004	100			Percent of total billed charges		1988	662.004	1789.2	
broad plt 4.5mm 10 hl 71829490 s\n	278	RC	Outpatient			1990	1293.5		90			Percent of total billed charges		1791	40			Percent of total billed charges		796	80			Percent of total billed charges		1592	90			Percent of total billed charges		1791	85			Percent of total billed charges		1691.5	85			Percent of total billed charges		1691.5	85			Percent of total billed charges		1691.5	100			Percent of total billed charges		1990	100			Percent of total billed charges		1990	100			Percent of total billed charges		1990	33.3			Percent of total billed charges		662.67	33.3			Percent of total billed charges		662.67	100			Percent of total billed charges		1990	662.67	1791	
broad plt 4.5mm 8 hl 71829488 s\n	278	RC	Outpatient			1990	1293.5		90			Percent of total billed charges		1791	40			Percent of total billed charges		796	80			Percent of total billed charges		1592	90			Percent of total billed charges		1791	85			Percent of total billed charges		1691.5	85			Percent of total billed charges		1691.5	85			Percent of total billed charges		1691.5	100			Percent of total billed charges		1990	100			Percent of total billed charges		1990	100			Percent of total billed charges		1990	33.3			Percent of total billed charges		662.67	33.3			Percent of total billed charges		662.67	100			Percent of total billed charges		1990	662.67	1791	
broad plt 4.5mm 10 hl 71809490 s\n	278	RC	Outpatient			1990	1293.5		90			Percent of total billed charges		1791	40			Percent of total billed charges		796	80			Percent of total billed charges		1592	90			Percent of total billed charges		1791	85			Percent of total billed charges		1691.5	85			Percent of total billed charges		1691.5	85			Percent of total billed charges		1691.5	100			Percent of total billed charges		1990	100			Percent of total billed charges		1990	100			Percent of total billed charges		1990	33.3			Percent of total billed charges		662.67	33.3			Percent of total billed charges		662.67	100			Percent of total billed charges		1990	662.67	1791	
broad plt 4.5mm 8 hl 71809488 s\n	278	RC	Outpatient			1990	1293.5		90			Percent of total billed charges		1791	40			Percent of total billed charges		796	80			Percent of total billed charges		1592	90			Percent of total billed charges		1791	85			Percent of total billed charges		1691.5	85			Percent of total billed charges		1691.5	85			Percent of total billed charges		1691.5	100			Percent of total billed charges		1990	100			Percent of total billed charges		1990	100			Percent of total billed charges		1990	33.3			Percent of total billed charges		662.67	33.3			Percent of total billed charges		662.67	100			Percent of total billed charges		1990	662.67	1791	
broad plt 4.5mm 9 hl 71809489 s\n	278	RC	Outpatient			1990	1293.5		90			Percent of total billed charges		1791	40			Percent of total billed charges		796	80			Percent of total billed charges		1592	90			Percent of total billed charges		1791	85			Percent of total billed charges		1691.5	85			Percent of total billed charges		1691.5	85			Percent of total billed charges		1691.5	100			Percent of total billed charges		1990	100			Percent of total billed charges		1990	100			Percent of total billed charges		1990	33.3			Percent of total billed charges		662.67	33.3			Percent of total billed charges		662.67	100			Percent of total billed charges		1990	662.67	1791	
broad plt 4.5mm 9 hl 71829489 s\n	278	RC	Outpatient			1990	1293.5		90			Percent of total billed charges		1791	40			Percent of total billed charges		796	80			Percent of total billed charges		1592	90			Percent of total billed charges		1791	85			Percent of total billed charges		1691.5	85			Percent of total billed charges		1691.5	85			Percent of total billed charges		1691.5	100			Percent of total billed charges		1990	100			Percent of total billed charges		1990	100			Percent of total billed charges		1990	33.3			Percent of total billed charges		662.67	33.3			Percent of total billed charges		662.67	100			Percent of total billed charges		1990	662.67	1791	
s/n 4.5 broad pl 8-10 hl	278	RC	Outpatient			1990	1293.5		90			Percent of total billed charges		1791	40			Percent of total billed charges		796	80			Percent of total billed charges		1592	90			Percent of total billed charges		1791	85			Percent of total billed charges		1691.5	85			Percent of total billed charges		1691.5	85			Percent of total billed charges		1691.5	100			Percent of total billed charges		1990	100			Percent of total billed charges		1990	100			Percent of total billed charges		1990	33.3			Percent of total billed charges		662.67	33.3			Percent of total billed charges		662.67	100			Percent of total billed charges		1990	662.67	1791	
cath lab isoflex 1642t tined	278	RC	Outpatient			1992	1294.8		90			Percent of total billed charges		1792.8	40			Percent of total billed charges		796.8	80			Percent of total billed charges		1593.6	90			Percent of total billed charges		1792.8	85			Percent of total billed charges		1693.2	85			Percent of total billed charges		1693.2	85			Percent of total billed charges		1693.2	100			Percent of total billed charges		1992	100			Percent of total billed charges		1992	100			Percent of total billed charges		1992	33.3			Percent of total billed charges		663.336	33.3			Percent of total billed charges		663.336	100			Percent of total billed charges		1992	663.336	1792.8	
cath lab isoflex 1642t/46cm	278	RC	Outpatient			1992	1294.8		90			Percent of total billed charges		1792.8	40			Percent of total billed charges		796.8	80			Percent of total billed charges		1593.6	90			Percent of total billed charges		1792.8	85			Percent of total billed charges		1693.2	85			Percent of total billed charges		1693.2	85			Percent of total billed charges		1693.2	100			Percent of total billed charges		1992	100			Percent of total billed charges		1992	100			Percent of total billed charges		1992	33.3			Percent of total billed charges		663.336	33.3			Percent of total billed charges		663.336	100			Percent of total billed charges		1992	663.336	1792.8	
cath lab isoflex 1648t/52cm	275	RC	Outpatient			1992	1294.8		90			Percent of total billed charges		1792.8	40			Percent of total billed charges		796.8	80			Percent of total billed charges		1593.6	90			Percent of total billed charges		1792.8	85			Percent of total billed charges		1693.2	85			Percent of total billed charges		1693.2	85			Percent of total billed charges		1693.2	100			Percent of total billed charges		1992	100			Percent of total billed charges		1992	100			Percent of total billed charges		1992	33.3			Percent of total billed charges		663.336	33.3			Percent of total billed charges		663.336	100			Percent of total billed charges		1992	663.336	1792.8	
isoflex 1642t/46 cm lead	278	RC	Outpatient			1992	1294.8		90			Percent of total billed charges		1792.8	40			Percent of total billed charges		796.8	80			Percent of total billed charges		1593.6	90			Percent of total billed charges		1792.8	85			Percent of total billed charges		1693.2	85			Percent of total billed charges		1693.2	85			Percent of total billed charges		1693.2	100			Percent of total billed charges		1992	100			Percent of total billed charges		1992	100			Percent of total billed charges		1992	33.3			Percent of total billed charges		663.336	33.3			Percent of total billed charges		663.336	100			Percent of total billed charges		1992	663.336	1792.8	
isoflex 1648t/52 cm lead	275	RC	Outpatient			1992	1294.8		90			Percent of total billed charges		1792.8	40			Percent of total billed charges		796.8	80			Percent of total billed charges		1593.6	90			Percent of total billed charges		1792.8	85			Percent of total billed charges		1693.2	85			Percent of total billed charges		1693.2	85			Percent of total billed charges		1693.2	100			Percent of total billed charges		1992	100			Percent of total billed charges		1992	100			Percent of total billed charges		1992	33.3			Percent of total billed charges		663.336	33.3			Percent of total billed charges		663.336	100			Percent of total billed charges		1992	663.336	1792.8	
st. jude tined a-lead1642	278	RC	Outpatient			1992	1294.8		90			Percent of total billed charges		1792.8	40			Percent of total billed charges		796.8	80			Percent of total billed charges		1593.6	90			Percent of total billed charges		1792.8	85			Percent of total billed charges		1693.2	85			Percent of total billed charges		1693.2	85			Percent of total billed charges		1693.2	100			Percent of total billed charges		1992	100			Percent of total billed charges		1992	100			Percent of total billed charges		1992	33.3			Percent of total billed charges		663.336	33.3			Percent of total billed charges		663.336	100			Percent of total billed charges		1992	663.336	1792.8	
orthosonics 10mm scraper probe ohs2100su orthofix	272	RC	Outpatient			1995	1296.75		90			Percent of total billed charges		1795.5	40			Percent of total billed charges		798	80			Percent of total billed charges		1596	90			Percent of total billed charges		1795.5	85			Percent of total billed charges		1695.75	85			Percent of total billed charges		1695.75	85			Percent of total billed charges		1695.75	100			Percent of total billed charges		1995	100			Percent of total billed charges		1995	100			Percent of total billed charges		1995	33.3			Percent of total billed charges		664.335	33.3			Percent of total billed charges		664.335	100			Percent of total billed charges		1995	664.335	1795.5	
orthosonics 8mm hoe probe ohh2081su orthofix	272	RC	Outpatient			1995	1296.75		90			Percent of total billed charges		1795.5	40			Percent of total billed charges		798	80			Percent of total billed charges		1596	90			Percent of total billed charges		1795.5	85			Percent of total billed charges		1695.75	85			Percent of total billed charges		1695.75	85			Percent of total billed charges		1695.75	100			Percent of total billed charges		1995	100			Percent of total billed charges		1995	100			Percent of total billed charges		1995	33.3			Percent of total billed charges		664.335	33.3			Percent of total billed charges		664.335	100			Percent of total billed charges		1995	664.335	1795.5	
orthosonics 8mm scraper probe ohso2080su orthofix	272	RC	Outpatient			1995	1296.75		90			Percent of total billed charges		1795.5	40			Percent of total billed charges		798	80			Percent of total billed charges		1596	90			Percent of total billed charges		1795.5	85			Percent of total billed charges		1695.75	85			Percent of total billed charges		1695.75	85			Percent of total billed charges		1695.75	100			Percent of total billed charges		1995	100			Percent of total billed charges		1995	100			Percent of total billed charges		1995	33.3			Percent of total billed charges		664.335	33.3			Percent of total billed charges		664.335	100			Percent of total billed charges		1995	664.335	1795.5	
orthosonics extraction probe exp2681su orthofix	272	RC	Outpatient			1995	1296.75		90			Percent of total billed charges		1795.5	40			Percent of total billed charges		798	80			Percent of total billed charges		1596	90			Percent of total billed charges		1795.5	85			Percent of total billed charges		1695.75	85			Percent of total billed charges		1695.75	85			Percent of total billed charges		1695.75	100			Percent of total billed charges		1995	100			Percent of total billed charges		1995	100			Percent of total billed charges		1995	33.3			Percent of total billed charges		664.335	33.3			Percent of total billed charges		664.335	100			Percent of total billed charges		1995	664.335	1795.5	
"offset adaptor 8mm offset, reg 6478-6-500 how/osteo"	278	RC	Outpatient			1995	1296.75		90			Percent of total billed charges		1795.5	40			Percent of total billed charges		798	80			Percent of total billed charges		1596	90			Percent of total billed charges		1795.5	85			Percent of total billed charges		1695.75	85			Percent of total billed charges		1695.75	85			Percent of total billed charges		1695.75	100			Percent of total billed charges		1995	100			Percent of total billed charges		1995	100			Percent of total billed charges		1995	33.3			Percent of total billed charges		664.335	33.3			Percent of total billed charges		664.335	100			Percent of total billed charges		1995	664.335	1795.5	
orthosonic osteotome	272	RC	Outpatient			1995	1296.75		90			Percent of total billed charges		1795.5	40			Percent of total billed charges		798	80			Percent of total billed charges		1596	90			Percent of total billed charges		1795.5	85			Percent of total billed charges		1695.75	85			Percent of total billed charges		1695.75	85			Percent of total billed charges		1695.75	100			Percent of total billed charges		1995	100			Percent of total billed charges		1995	100			Percent of total billed charges		1995	33.3			Percent of total billed charges		664.335	33.3			Percent of total billed charges		664.335	100			Percent of total billed charges		1995	664.335	1795.5	
orthosonics 6mm piercer probe ohp2062su orthofix	272	RC	Outpatient			1995	1296.75		90			Percent of total billed charges		1795.5	40			Percent of total billed charges		798	80			Percent of total billed charges		1596	90			Percent of total billed charges		1795.5	85			Percent of total billed charges		1695.75	85			Percent of total billed charges		1695.75	85			Percent of total billed charges		1695.75	100			Percent of total billed charges		1995	100			Percent of total billed charges		1995	100			Percent of total billed charges		1995	33.3			Percent of total billed charges		664.335	33.3			Percent of total billed charges		664.335	100			Percent of total billed charges		1995	664.335	1795.5	
orthosonics 6mm serrated osteotome ohso2060su orthofix	272	RC	Outpatient			1995	1296.75		90			Percent of total billed charges		1795.5	40			Percent of total billed charges		798	80			Percent of total billed charges		1596	90			Percent of total billed charges		1795.5	85			Percent of total billed charges		1695.75	85			Percent of total billed charges		1695.75	85			Percent of total billed charges		1695.75	100			Percent of total billed charges		1995	100			Percent of total billed charges		1995	100			Percent of total billed charges		1995	33.3			Percent of total billed charges		664.335	33.3			Percent of total billed charges		664.335	100			Percent of total billed charges		1995	664.335	1795.5	
orthsonic probe	272	RC	Outpatient			1995	1296.75		90			Percent of total billed charges		1795.5	40			Percent of total billed charges		798	80			Percent of total billed charges		1596	90			Percent of total billed charges		1795.5	85			Percent of total billed charges		1695.75	85			Percent of total billed charges		1695.75	85			Percent of total billed charges		1695.75	100			Percent of total billed charges		1995	100			Percent of total billed charges		1995	100			Percent of total billed charges		1995	33.3			Percent of total billed charges		664.335	33.3			Percent of total billed charges		664.335	100			Percent of total billed charges		1995	664.335	1795.5	
stryker offset adapter	278	RC	Outpatient			1995	1296.75		90			Percent of total billed charges		1795.5	40			Percent of total billed charges		798	80			Percent of total billed charges		1596	90			Percent of total billed charges		1795.5	85			Percent of total billed charges		1695.75	85			Percent of total billed charges		1695.75	85			Percent of total billed charges		1695.75	100			Percent of total billed charges		1995	100			Percent of total billed charges		1995	100			Percent of total billed charges		1995	33.3			Percent of total billed charges		664.335	33.3			Percent of total billed charges		664.335	100			Percent of total billed charges		1995	664.335	1795.5	
bio symetric pip fixor	278	RC	Outpatient			1996	1297.4		90			Percent of total billed charges		1796.4	40			Percent of total billed charges		798.4	80			Percent of total billed charges		1596.8	90			Percent of total billed charges		1796.4	85			Percent of total billed charges		1696.6	85			Percent of total billed charges		1696.6	85			Percent of total billed charges		1696.6	100			Percent of total billed charges		1996	100			Percent of total billed charges		1996	100			Percent of total billed charges		1996	33.3			Percent of total billed charges		664.668	33.3			Percent of total billed charges		664.668	100			Percent of total billed charges		1996	664.668	1796.4	
bio symetric pip fixor kit 200103	278	RC	Outpatient			1996	1297.4		90			Percent of total billed charges		1796.4	40			Percent of total billed charges		798.4	80			Percent of total billed charges		1596.8	90			Percent of total billed charges		1796.4	85			Percent of total billed charges		1696.6	85			Percent of total billed charges		1696.6	85			Percent of total billed charges		1696.6	100			Percent of total billed charges		1996	100			Percent of total billed charges		1996	100			Percent of total billed charges		1996	33.3			Percent of total billed charges		664.668	33.3			Percent of total billed charges		664.668	100			Percent of total billed charges		1996	664.668	1796.4	
pelvilace	278	RC	Outpatient			1996	1297.4		90			Percent of total billed charges		1796.4	40			Percent of total billed charges		798.4	80			Percent of total billed charges		1596.8	90			Percent of total billed charges		1796.4	85			Percent of total billed charges		1696.6	85			Percent of total billed charges		1696.6	85			Percent of total billed charges		1696.6	100			Percent of total billed charges		1996	100			Percent of total billed charges		1996	100			Percent of total billed charges		1996	33.3			Percent of total billed charges		664.668	33.3			Percent of total billed charges		664.668	100			Percent of total billed charges		1996	664.668	1796.4	
pelvilace biourethral support sys 482150 bard	278	RC	Outpatient			1996	1297.4		90			Percent of total billed charges		1796.4	40			Percent of total billed charges		798.4	80			Percent of total billed charges		1596.8	90			Percent of total billed charges		1796.4	85			Percent of total billed charges		1696.6	85			Percent of total billed charges		1696.6	85			Percent of total billed charges		1696.6	100			Percent of total billed charges		1996	100			Percent of total billed charges		1996	100			Percent of total billed charges		1996	33.3			Percent of total billed charges		664.668	33.3			Percent of total billed charges		664.668	100			Percent of total billed charges		1996	664.668	1796.4	
proximal humeral plates large left pl-phgi acumed	272	RC	Outpatient			1996	1297.4		90			Percent of total billed charges		1796.4	40			Percent of total billed charges		798.4	80			Percent of total billed charges		1596.8	90			Percent of total billed charges		1796.4	85			Percent of total billed charges		1696.6	85			Percent of total billed charges		1696.6	85			Percent of total billed charges		1696.6	100			Percent of total billed charges		1996	100			Percent of total billed charges		1996	100			Percent of total billed charges		1996	33.3			Percent of total billed charges		664.668	33.3			Percent of total billed charges		664.668	100			Percent of total billed charges		1996	664.668	1796.4	
proximal humeral plates small left pl-phsl acumed	272	RC	Outpatient			1996	1297.4		90			Percent of total billed charges		1796.4	40			Percent of total billed charges		798.4	80			Percent of total billed charges		1596.8	90			Percent of total billed charges		1796.4	85			Percent of total billed charges		1696.6	85			Percent of total billed charges		1696.6	85			Percent of total billed charges		1696.6	100			Percent of total billed charges		1996	100			Percent of total billed charges		1996	100			Percent of total billed charges		1996	33.3			Percent of total billed charges		664.668	33.3			Percent of total billed charges		664.668	100			Percent of total billed charges		1996	664.668	1796.4	
revision tibial stem 120mm zimmer 6215-00-120	278	RC	Outpatient			1996	1297.4		90			Percent of total billed charges		1796.4	40			Percent of total billed charges		798.4	80			Percent of total billed charges		1596.8	90			Percent of total billed charges		1796.4	85			Percent of total billed charges		1696.6	85			Percent of total billed charges		1696.6	85			Percent of total billed charges		1696.6	100			Percent of total billed charges		1996	100			Percent of total billed charges		1996	100			Percent of total billed charges		1996	33.3			Percent of total billed charges		664.668	33.3			Percent of total billed charges		664.668	100			Percent of total billed charges		1996	664.668	1796.4	
polarus prox humeral plt	272	RC	Outpatient			1996	1297.4		90			Percent of total billed charges		1796.4	40			Percent of total billed charges		798.4	80			Percent of total billed charges		1596.8	90			Percent of total billed charges		1796.4	85			Percent of total billed charges		1696.6	85			Percent of total billed charges		1696.6	85			Percent of total billed charges		1696.6	100			Percent of total billed charges		1996	100			Percent of total billed charges		1996	100			Percent of total billed charges		1996	33.3			Percent of total billed charges		664.668	33.3			Percent of total billed charges		664.668	100			Percent of total billed charges		1996	664.668	1796.4	
proximal humeral plates 2 part fx  pl-ph2p acumed	272	RC	Outpatient			1996	1297.4		90			Percent of total billed charges		1796.4	40			Percent of total billed charges		798.4	80			Percent of total billed charges		1596.8	90			Percent of total billed charges		1796.4	85			Percent of total billed charges		1696.6	85			Percent of total billed charges		1696.6	85			Percent of total billed charges		1696.6	100			Percent of total billed charges		1996	100			Percent of total billed charges		1996	100			Percent of total billed charges		1996	33.3			Percent of total billed charges		664.668	33.3			Percent of total billed charges		664.668	100			Percent of total billed charges		1996	664.668	1796.4	
proximal humeral plates large right pl-phgr acumed	272	RC	Outpatient			1996	1297.4		90			Percent of total billed charges		1796.4	40			Percent of total billed charges		798.4	80			Percent of total billed charges		1596.8	90			Percent of total billed charges		1796.4	85			Percent of total billed charges		1696.6	85			Percent of total billed charges		1696.6	85			Percent of total billed charges		1696.6	100			Percent of total billed charges		1996	100			Percent of total billed charges		1996	100			Percent of total billed charges		1996	33.3			Percent of total billed charges		664.668	33.3			Percent of total billed charges		664.668	100			Percent of total billed charges		1996	664.668	1796.4	
proximal humeral plates small right pl-phsr acumed	272	RC	Outpatient			1996	1297.4		90			Percent of total billed charges		1796.4	40			Percent of total billed charges		798.4	80			Percent of total billed charges		1596.8	90			Percent of total billed charges		1796.4	85			Percent of total billed charges		1696.6	85			Percent of total billed charges		1696.6	85			Percent of total billed charges		1696.6	100			Percent of total billed charges		1996	100			Percent of total billed charges		1996	100			Percent of total billed charges		1996	33.3			Percent of total billed charges		664.668	33.3			Percent of total billed charges		664.668	100			Percent of total billed charges		1996	664.668	1796.4	
richards ceramic fem head	278	RC	Outpatient			1996	1297.4		90			Percent of total billed charges		1796.4	40			Percent of total billed charges		798.4	80			Percent of total billed charges		1596.8	90			Percent of total billed charges		1796.4	85			Percent of total billed charges		1696.6	85			Percent of total billed charges		1696.6	85			Percent of total billed charges		1696.6	100			Percent of total billed charges		1996	100			Percent of total billed charges		1996	100			Percent of total billed charges		1996	33.3			Percent of total billed charges		664.668	33.3			Percent of total billed charges		664.668	100			Percent of total billed charges		1996	664.668	1796.4	
richards por.tibial base	278	RC	Outpatient			1996	1297.4		90			Percent of total billed charges		1796.4	40			Percent of total billed charges		798.4	80			Percent of total billed charges		1596.8	90			Percent of total billed charges		1796.4	85			Percent of total billed charges		1696.6	85			Percent of total billed charges		1696.6	85			Percent of total billed charges		1696.6	100			Percent of total billed charges		1996	100			Percent of total billed charges		1996	100			Percent of total billed charges		1996	33.3			Percent of total billed charges		664.668	33.3			Percent of total billed charges		664.668	100			Percent of total billed charges		1996	664.668	1796.4	
zimmer rev tibial stem	278	RC	Outpatient			1996	1297.4		90			Percent of total billed charges		1796.4	40			Percent of total billed charges		798.4	80			Percent of total billed charges		1596.8	90			Percent of total billed charges		1796.4	85			Percent of total billed charges		1696.6	85			Percent of total billed charges		1696.6	85			Percent of total billed charges		1696.6	100			Percent of total billed charges		1996	100			Percent of total billed charges		1996	100			Percent of total billed charges		1996	33.3			Percent of total billed charges		664.668	33.3			Percent of total billed charges		664.668	100			Percent of total billed charges		1996	664.668	1796.4	
cosmetic - minor or procedure c	983	RC	Outpatient			2000	1300		90			Percent of total billed charges		1800	40			Percent of total billed charges		800	80			Percent of total billed charges		1600	90			Percent of total billed charges		1800	85			Percent of total billed charges		1700	85			Percent of total billed charges		1700	85			Percent of total billed charges		1700	100			Percent of total billed charges		2000	100			Percent of total billed charges		2000	100			Percent of total billed charges		2000	33.3			Percent of total billed charges		666	33.3			Percent of total billed charges		666	100			Percent of total billed charges		2000	666	1800	
"ima - independent medical evaluation, first two hrs. of review"	983	RC	Outpatient			2000	1300		90			Percent of total billed charges		1800	40			Percent of total billed charges		800	80			Percent of total billed charges		1600	90			Percent of total billed charges		1800	85			Percent of total billed charges		1700	85			Percent of total billed charges		1700	85			Percent of total billed charges		1700	100			Percent of total billed charges		2000	100			Percent of total billed charges		2000	100			Percent of total billed charges		2000	33.3			Percent of total billed charges		666	33.3			Percent of total billed charges		666	100			Percent of total billed charges		2000	666	1800	
vanquish - pkg of 4 sessions	983	RC	Outpatient			2000	1300		90			Percent of total billed charges		1800	40			Percent of total billed charges		800	80			Percent of total billed charges		1600	90			Percent of total billed charges		1800	85			Percent of total billed charges		1700	85			Percent of total billed charges		1700	85			Percent of total billed charges		1700	100			Percent of total billed charges		2000	100			Percent of total billed charges		2000	100			Percent of total billed charges		2000	33.3			Percent of total billed charges		666	33.3			Percent of total billed charges		666	100			Percent of total billed charges		2000	666	1800	
cancellous crunch 5cc 717914 s/n	278	RC	Outpatient			2002	1301.3		90			Percent of total billed charges		1801.8	40			Percent of total billed charges		800.8	80			Percent of total billed charges		1601.6	90			Percent of total billed charges		1801.8	85			Percent of total billed charges		1701.7	85			Percent of total billed charges		1701.7	85			Percent of total billed charges		1701.7	100			Percent of total billed charges		2002	100			Percent of total billed charges		2002	100			Percent of total billed charges		2002	33.3			Percent of total billed charges		666.666	33.3			Percent of total billed charges		666.666	100			Percent of total billed charges		2002	666.666	1801.8	
cancellous crunch 5cc s/n	278	RC	Outpatient			2002	1301.3		90			Percent of total billed charges		1801.8	40			Percent of total billed charges		800.8	80			Percent of total billed charges		1601.6	90			Percent of total billed charges		1801.8	85			Percent of total billed charges		1701.7	85			Percent of total billed charges		1701.7	85			Percent of total billed charges		1701.7	100			Percent of total billed charges		2002	100			Percent of total billed charges		2002	100			Percent of total billed charges		2002	33.3			Percent of total billed charges		666.666	33.3			Percent of total billed charges		666.666	100			Percent of total billed charges		2002	666.666	1801.8	
c taper head +2.5mm s-1400-hh82 stryker	278	RC	Outpatient			2003	1301.95		90			Percent of total billed charges		1802.7	40			Percent of total billed charges		801.2	80			Percent of total billed charges		1602.4	90			Percent of total billed charges		1802.7	85			Percent of total billed charges		1702.55	85			Percent of total billed charges		1702.55	85			Percent of total billed charges		1702.55	100			Percent of total billed charges		2003	100			Percent of total billed charges		2003	100			Percent of total billed charges		2003	33.3			Percent of total billed charges		666.999	33.3			Percent of total billed charges		666.999	100			Percent of total billed charges		2003	666.999	1802.7	
c taper head +7.5mm s-1400-hh84 stryker	278	RC	Outpatient			2003	1301.95		90			Percent of total billed charges		1802.7	40			Percent of total billed charges		801.2	80			Percent of total billed charges		1602.4	90			Percent of total billed charges		1802.7	85			Percent of total billed charges		1702.55	85			Percent of total billed charges		1702.55	85			Percent of total billed charges		1702.55	100			Percent of total billed charges		2003	100			Percent of total billed charges		2003	100			Percent of total billed charges		2003	33.3			Percent of total billed charges		666.999	33.3			Percent of total billed charges		666.999	100			Percent of total billed charges		2003	666.999	1802.7	
c-taper head 06-2205 22mm/-5 osteo/stryker	278	RC	Outpatient			2003	1301.95		90			Percent of total billed charges		1802.7	40			Percent of total billed charges		801.2	80			Percent of total billed charges		1602.4	90			Percent of total billed charges		1802.7	85			Percent of total billed charges		1702.55	85			Percent of total billed charges		1702.55	85			Percent of total billed charges		1702.55	100			Percent of total billed charges		2003	100			Percent of total billed charges		2003	100			Percent of total billed charges		2003	33.3			Percent of total billed charges		666.999	33.3			Percent of total billed charges		666.999	100			Percent of total billed charges		2003	666.999	1802.7	
c-taper head 06-2210 22mm/-1 osteo/stryker	278	RC	Outpatient			2003	1301.95		90			Percent of total billed charges		1802.7	40			Percent of total billed charges		801.2	80			Percent of total billed charges		1602.4	90			Percent of total billed charges		1802.7	85			Percent of total billed charges		1702.55	85			Percent of total billed charges		1702.55	85			Percent of total billed charges		1702.55	100			Percent of total billed charges		2003	100			Percent of total billed charges		2003	100			Percent of total billed charges		2003	33.3			Percent of total billed charges		666.999	33.3			Percent of total billed charges		666.999	100			Percent of total billed charges		2003	666.999	1802.7	
c-taper head 06-2600 osteonics	278	RC	Outpatient			2003	1301.95		90			Percent of total billed charges		1802.7	40			Percent of total billed charges		801.2	80			Percent of total billed charges		1602.4	90			Percent of total billed charges		1802.7	85			Percent of total billed charges		1702.55	85			Percent of total billed charges		1702.55	85			Percent of total billed charges		1702.55	100			Percent of total billed charges		2003	100			Percent of total billed charges		2003	100			Percent of total billed charges		2003	33.3			Percent of total billed charges		666.999	33.3			Percent of total billed charges		666.999	100			Percent of total billed charges		2003	666.999	1802.7	
c-taper head 06-2805 osteo/stryker	278	RC	Outpatient			2003	1301.95		90			Percent of total billed charges		1802.7	40			Percent of total billed charges		801.2	80			Percent of total billed charges		1602.4	90			Percent of total billed charges		1802.7	85			Percent of total billed charges		1702.55	85			Percent of total billed charges		1702.55	85			Percent of total billed charges		1702.55	100			Percent of total billed charges		2003	100			Percent of total billed charges		2003	100			Percent of total billed charges		2003	33.3			Percent of total billed charges		666.999	33.3			Percent of total billed charges		666.999	100			Percent of total billed charges		2003	666.999	1802.7	
c-taper head 06-2810 osteo/stryker	278	RC	Outpatient			2003	1301.95		90			Percent of total billed charges		1802.7	40			Percent of total billed charges		801.2	80			Percent of total billed charges		1602.4	90			Percent of total billed charges		1802.7	85			Percent of total billed charges		1702.55	85			Percent of total billed charges		1702.55	85			Percent of total billed charges		1702.55	100			Percent of total billed charges		2003	100			Percent of total billed charges		2003	100			Percent of total billed charges		2003	33.3			Percent of total billed charges		666.999	33.3			Percent of total billed charges		666.999	100			Percent of total billed charges		2003	666.999	1802.7	
c-taper head 06-2800 osteo/stryker	278	RC	Outpatient			2003	1301.95		90			Percent of total billed charges		1802.7	40			Percent of total billed charges		801.2	80			Percent of total billed charges		1602.4	90			Percent of total billed charges		1802.7	85			Percent of total billed charges		1702.55	85			Percent of total billed charges		1702.55	85			Percent of total billed charges		1702.55	100			Percent of total billed charges		2003	100			Percent of total billed charges		2003	100			Percent of total billed charges		2003	33.3			Percent of total billed charges		666.999	33.3			Percent of total billed charges		666.999	100			Percent of total billed charges		2003	666.999	1802.7	
c-taper head 06-2898 osteo/stryker	278	RC	Outpatient			2003	1301.95		90			Percent of total billed charges		1802.7	40			Percent of total billed charges		801.2	80			Percent of total billed charges		1602.4	90			Percent of total billed charges		1802.7	85			Percent of total billed charges		1702.55	85			Percent of total billed charges		1702.55	85			Percent of total billed charges		1702.55	100			Percent of total billed charges		2003	100			Percent of total billed charges		2003	100			Percent of total billed charges		2003	33.3			Percent of total billed charges		666.999	33.3			Percent of total billed charges		666.999	100			Percent of total billed charges		2003	666.999	1802.7	
c-taper lfit  head 06-2200 22mm/+0 osteo/stryker	278	RC	Outpatient			2003	1301.95		90			Percent of total billed charges		1802.7	40			Percent of total billed charges		801.2	80			Percent of total billed charges		1602.4	90			Percent of total billed charges		1802.7	85			Percent of total billed charges		1702.55	85			Percent of total billed charges		1702.55	85			Percent of total billed charges		1702.55	100			Percent of total billed charges		2003	100			Percent of total billed charges		2003	100			Percent of total billed charges		2003	33.3			Percent of total billed charges		666.999	33.3			Percent of total billed charges		666.999	100			Percent of total billed charges		2003	666.999	1802.7	
stryker c taper head	278	RC	Outpatient			2003	1301.95		90			Percent of total billed charges		1802.7	40			Percent of total billed charges		801.2	80			Percent of total billed charges		1602.4	90			Percent of total billed charges		1802.7	85			Percent of total billed charges		1702.55	85			Percent of total billed charges		1702.55	85			Percent of total billed charges		1702.55	100			Percent of total billed charges		2003	100			Percent of total billed charges		2003	100			Percent of total billed charges		2003	33.3			Percent of total billed charges		666.999	33.3			Percent of total billed charges		666.999	100			Percent of total billed charges		2003	666.999	1802.7	
biomet bipolar cup 43mm 11-165210	278	RC	Outpatient			2006	1303.9		90			Percent of total billed charges		1805.4	40			Percent of total billed charges		802.4	80			Percent of total billed charges		1604.8	90			Percent of total billed charges		1805.4	85			Percent of total billed charges		1705.1	85			Percent of total billed charges		1705.1	85			Percent of total billed charges		1705.1	100			Percent of total billed charges		2006	100			Percent of total billed charges		2006	100			Percent of total billed charges		2006	33.3			Percent of total billed charges		667.998	33.3			Percent of total billed charges		667.998	100			Percent of total billed charges		2006	667.998	1805.4	
biomet bipolar cup 44mm 11-165212	278	RC	Outpatient			2006	1303.9		90			Percent of total billed charges		1805.4	40			Percent of total billed charges		802.4	80			Percent of total billed charges		1604.8	90			Percent of total billed charges		1805.4	85			Percent of total billed charges		1705.1	85			Percent of total billed charges		1705.1	85			Percent of total billed charges		1705.1	100			Percent of total billed charges		2006	100			Percent of total billed charges		2006	100			Percent of total billed charges		2006	33.3			Percent of total billed charges		667.998	33.3			Percent of total billed charges		667.998	100			Percent of total billed charges		2006	667.998	1805.4	
biomet bipolar cup 45mm 11-165214	278	RC	Outpatient			2006	1303.9		90			Percent of total billed charges		1805.4	40			Percent of total billed charges		802.4	80			Percent of total billed charges		1604.8	90			Percent of total billed charges		1805.4	85			Percent of total billed charges		1705.1	85			Percent of total billed charges		1705.1	85			Percent of total billed charges		1705.1	100			Percent of total billed charges		2006	100			Percent of total billed charges		2006	100			Percent of total billed charges		2006	33.3			Percent of total billed charges		667.998	33.3			Percent of total billed charges		667.998	100			Percent of total billed charges		2006	667.998	1805.4	
biomet bipolar cup 46mm 11-165216	278	RC	Outpatient			2006	1303.9		90			Percent of total billed charges		1805.4	40			Percent of total billed charges		802.4	80			Percent of total billed charges		1604.8	90			Percent of total billed charges		1805.4	85			Percent of total billed charges		1705.1	85			Percent of total billed charges		1705.1	85			Percent of total billed charges		1705.1	100			Percent of total billed charges		2006	100			Percent of total billed charges		2006	100			Percent of total billed charges		2006	33.3			Percent of total billed charges		667.998	33.3			Percent of total billed charges		667.998	100			Percent of total billed charges		2006	667.998	1805.4	
biomet bipolar cup 47mm 11-165218	278	RC	Outpatient			2006	1303.9		90			Percent of total billed charges		1805.4	40			Percent of total billed charges		802.4	80			Percent of total billed charges		1604.8	90			Percent of total billed charges		1805.4	85			Percent of total billed charges		1705.1	85			Percent of total billed charges		1705.1	85			Percent of total billed charges		1705.1	100			Percent of total billed charges		2006	100			Percent of total billed charges		2006	100			Percent of total billed charges		2006	33.3			Percent of total billed charges		667.998	33.3			Percent of total billed charges		667.998	100			Percent of total billed charges		2006	667.998	1805.4	
biomet bipolar cup 48mm 11-165220	278	RC	Outpatient			2006	1303.9		90			Percent of total billed charges		1805.4	40			Percent of total billed charges		802.4	80			Percent of total billed charges		1604.8	90			Percent of total billed charges		1805.4	85			Percent of total billed charges		1705.1	85			Percent of total billed charges		1705.1	85			Percent of total billed charges		1705.1	100			Percent of total billed charges		2006	100			Percent of total billed charges		2006	100			Percent of total billed charges		2006	33.3			Percent of total billed charges		667.998	33.3			Percent of total billed charges		667.998	100			Percent of total billed charges		2006	667.998	1805.4	
biomet bipolar cup 49mm 11-165222	278	RC	Outpatient			2006	1303.9		90			Percent of total billed charges		1805.4	40			Percent of total billed charges		802.4	80			Percent of total billed charges		1604.8	90			Percent of total billed charges		1805.4	85			Percent of total billed charges		1705.1	85			Percent of total billed charges		1705.1	85			Percent of total billed charges		1705.1	100			Percent of total billed charges		2006	100			Percent of total billed charges		2006	100			Percent of total billed charges		2006	33.3			Percent of total billed charges		667.998	33.3			Percent of total billed charges		667.998	100			Percent of total billed charges		2006	667.998	1805.4	
biomet bipolar cup 53mm 11-165230	278	RC	Outpatient			2006	1303.9		90			Percent of total billed charges		1805.4	40			Percent of total billed charges		802.4	80			Percent of total billed charges		1604.8	90			Percent of total billed charges		1805.4	85			Percent of total billed charges		1705.1	85			Percent of total billed charges		1705.1	85			Percent of total billed charges		1705.1	100			Percent of total billed charges		2006	100			Percent of total billed charges		2006	100			Percent of total billed charges		2006	33.3			Percent of total billed charges		667.998	33.3			Percent of total billed charges		667.998	100			Percent of total billed charges		2006	667.998	1805.4	
biomet bipolar cup 54mm 11-165232	278	RC	Outpatient			2006	1303.9		90			Percent of total billed charges		1805.4	40			Percent of total billed charges		802.4	80			Percent of total billed charges		1604.8	90			Percent of total billed charges		1805.4	85			Percent of total billed charges		1705.1	85			Percent of total billed charges		1705.1	85			Percent of total billed charges		1705.1	100			Percent of total billed charges		2006	100			Percent of total billed charges		2006	100			Percent of total billed charges		2006	33.3			Percent of total billed charges		667.998	33.3			Percent of total billed charges		667.998	100			Percent of total billed charges		2006	667.998	1805.4	
bio bi-polar cup	278	RC	Outpatient			2006	1303.9		90			Percent of total billed charges		1805.4	40			Percent of total billed charges		802.4	80			Percent of total billed charges		1604.8	90			Percent of total billed charges		1805.4	85			Percent of total billed charges		1705.1	85			Percent of total billed charges		1705.1	85			Percent of total billed charges		1705.1	100			Percent of total billed charges		2006	100			Percent of total billed charges		2006	100			Percent of total billed charges		2006	33.3			Percent of total billed charges		667.998	33.3			Percent of total billed charges		667.998	100			Percent of total billed charges		2006	667.998	1805.4	
biomet bi-polar cup 51mm 11-165226	278	RC	Outpatient			2006	1303.9		90			Percent of total billed charges		1805.4	40			Percent of total billed charges		802.4	80			Percent of total billed charges		1604.8	90			Percent of total billed charges		1805.4	85			Percent of total billed charges		1705.1	85			Percent of total billed charges		1705.1	85			Percent of total billed charges		1705.1	100			Percent of total billed charges		2006	100			Percent of total billed charges		2006	100			Percent of total billed charges		2006	33.3			Percent of total billed charges		667.998	33.3			Percent of total billed charges		667.998	100			Percent of total billed charges		2006	667.998	1805.4	
biomet bi-polar cup 52mm 11-165228	278	RC	Outpatient			2006	1303.9		90			Percent of total billed charges		1805.4	40			Percent of total billed charges		802.4	80			Percent of total billed charges		1604.8	90			Percent of total billed charges		1805.4	85			Percent of total billed charges		1705.1	85			Percent of total billed charges		1705.1	85			Percent of total billed charges		1705.1	100			Percent of total billed charges		2006	100			Percent of total billed charges		2006	100			Percent of total billed charges		2006	33.3			Percent of total billed charges		667.998	33.3			Percent of total billed charges		667.998	100			Percent of total billed charges		2006	667.998	1805.4	
biomet bipolar cup 41mm 11-165206	278	RC	Outpatient			2006	1303.9		90			Percent of total billed charges		1805.4	40			Percent of total billed charges		802.4	80			Percent of total billed charges		1604.8	90			Percent of total billed charges		1805.4	85			Percent of total billed charges		1705.1	85			Percent of total billed charges		1705.1	85			Percent of total billed charges		1705.1	100			Percent of total billed charges		2006	100			Percent of total billed charges		2006	100			Percent of total billed charges		2006	33.3			Percent of total billed charges		667.998	33.3			Percent of total billed charges		667.998	100			Percent of total billed charges		2006	667.998	1805.4	
biomet bipolar cup 42mm 11-165208	278	RC	Outpatient			2006	1303.9		90			Percent of total billed charges		1805.4	40			Percent of total billed charges		802.4	80			Percent of total billed charges		1604.8	90			Percent of total billed charges		1805.4	85			Percent of total billed charges		1705.1	85			Percent of total billed charges		1705.1	85			Percent of total billed charges		1705.1	100			Percent of total billed charges		2006	100			Percent of total billed charges		2006	100			Percent of total billed charges		2006	33.3			Percent of total billed charges		667.998	33.3			Percent of total billed charges		667.998	100			Percent of total billed charges		2006	667.998	1805.4	
biomet bipolar cup 50mm 11-165224	278	RC	Outpatient			2006	1303.9		90			Percent of total billed charges		1805.4	40			Percent of total billed charges		802.4	80			Percent of total billed charges		1604.8	90			Percent of total billed charges		1805.4	85			Percent of total billed charges		1705.1	85			Percent of total billed charges		1705.1	85			Percent of total billed charges		1705.1	100			Percent of total billed charges		2006	100			Percent of total billed charges		2006	100			Percent of total billed charges		2006	33.3			Percent of total billed charges		667.998	33.3			Percent of total billed charges		667.998	100			Percent of total billed charges		2006	667.998	1805.4	
biomet bipolar cup 55mm 11-165234	278	RC	Outpatient			2006	1303.9		90			Percent of total billed charges		1805.4	40			Percent of total billed charges		802.4	80			Percent of total billed charges		1604.8	90			Percent of total billed charges		1805.4	85			Percent of total billed charges		1705.1	85			Percent of total billed charges		1705.1	85			Percent of total billed charges		1705.1	100			Percent of total billed charges		2006	100			Percent of total billed charges		2006	100			Percent of total billed charges		2006	33.3			Percent of total billed charges		667.998	33.3			Percent of total billed charges		667.998	100			Percent of total billed charges		2006	667.998	1805.4	
biomet bipolar cup 57mm 11-165236	278	RC	Outpatient			2006	1303.9		90			Percent of total billed charges		1805.4	40			Percent of total billed charges		802.4	80			Percent of total billed charges		1604.8	90			Percent of total billed charges		1805.4	85			Percent of total billed charges		1705.1	85			Percent of total billed charges		1705.1	85			Percent of total billed charges		1705.1	100			Percent of total billed charges		2006	100			Percent of total billed charges		2006	100			Percent of total billed charges		2006	33.3			Percent of total billed charges		667.998	33.3			Percent of total billed charges		667.998	100			Percent of total billed charges		2006	667.998	1805.4	
biomet bipolar cup 57mm 11-165238	278	RC	Outpatient			2006	1303.9		90			Percent of total billed charges		1805.4	40			Percent of total billed charges		802.4	80			Percent of total billed charges		1604.8	90			Percent of total billed charges		1805.4	85			Percent of total billed charges		1705.1	85			Percent of total billed charges		1705.1	85			Percent of total billed charges		1705.1	100			Percent of total billed charges		2006	100			Percent of total billed charges		2006	100			Percent of total billed charges		2006	33.3			Percent of total billed charges		667.998	33.3			Percent of total billed charges		667.998	100			Percent of total billed charges		2006	667.998	1805.4	
biomet bipolar cup 58mm 11-165240	278	RC	Outpatient			2006	1303.9		90			Percent of total billed charges		1805.4	40			Percent of total billed charges		802.4	80			Percent of total billed charges		1604.8	90			Percent of total billed charges		1805.4	85			Percent of total billed charges		1705.1	85			Percent of total billed charges		1705.1	85			Percent of total billed charges		1705.1	100			Percent of total billed charges		2006	100			Percent of total billed charges		2006	100			Percent of total billed charges		2006	33.3			Percent of total billed charges		667.998	33.3			Percent of total billed charges		667.998	100			Percent of total billed charges		2006	667.998	1805.4	
explant 60mm long 7053-60-20 zimmer	272	RC	Outpatient			2006	1303.9		90			Percent of total billed charges		1805.4	40			Percent of total billed charges		802.4	80			Percent of total billed charges		1604.8	90			Percent of total billed charges		1805.4	85			Percent of total billed charges		1705.1	85			Percent of total billed charges		1705.1	85			Percent of total billed charges		1705.1	100			Percent of total billed charges		2006	100			Percent of total billed charges		2006	100			Percent of total billed charges		2006	33.3			Percent of total billed charges		667.998	33.3			Percent of total billed charges		667.998	100			Percent of total billed charges		2006	667.998	1805.4	
explant 60mm short 7053-60-10 zimmer	272	RC	Outpatient			2006	1303.9		90			Percent of total billed charges		1805.4	40			Percent of total billed charges		802.4	80			Percent of total billed charges		1604.8	90			Percent of total billed charges		1805.4	85			Percent of total billed charges		1705.1	85			Percent of total billed charges		1705.1	85			Percent of total billed charges		1705.1	100			Percent of total billed charges		2006	100			Percent of total billed charges		2006	100			Percent of total billed charges		2006	33.3			Percent of total billed charges		667.998	33.3			Percent of total billed charges		667.998	100			Percent of total billed charges		2006	667.998	1805.4	
greenlight hps bph fiber p[toc 10-2090 ams	272	RC	Outpatient			2006	1303.9		90			Percent of total billed charges		1805.4	40			Percent of total billed charges		802.4	80			Percent of total billed charges		1604.8	90			Percent of total billed charges		1805.4	85			Percent of total billed charges		1705.1	85			Percent of total billed charges		1705.1	85			Percent of total billed charges		1705.1	100			Percent of total billed charges		2006	100			Percent of total billed charges		2006	100			Percent of total billed charges		2006	33.3			Percent of total billed charges		667.998	33.3			Percent of total billed charges		667.998	100			Percent of total billed charges		2006	667.998	1805.4	
greenlight laser fiber	272	RC	Outpatient			2006	1303.9		90			Percent of total billed charges		1805.4	40			Percent of total billed charges		802.4	80			Percent of total billed charges		1604.8	90			Percent of total billed charges		1805.4	85			Percent of total billed charges		1705.1	85			Percent of total billed charges		1705.1	85			Percent of total billed charges		1705.1	100			Percent of total billed charges		2006	100			Percent of total billed charges		2006	100			Percent of total billed charges		2006	33.3			Percent of total billed charges		667.998	33.3			Percent of total billed charges		667.998	100			Percent of total billed charges		2006	667.998	1805.4	
zimmer x-plant blade	272	RC	Outpatient			2006	1303.9		90			Percent of total billed charges		1805.4	40			Percent of total billed charges		802.4	80			Percent of total billed charges		1604.8	90			Percent of total billed charges		1805.4	85			Percent of total billed charges		1705.1	85			Percent of total billed charges		1705.1	85			Percent of total billed charges		1705.1	100			Percent of total billed charges		2006	100			Percent of total billed charges		2006	100			Percent of total billed charges		2006	33.3			Percent of total billed charges		667.998	33.3			Percent of total billed charges		667.998	100			Percent of total billed charges		2006	667.998	1805.4	
ascension silicone pip spip-520-1-w	278	RC	Outpatient			2008	1305.2		90			Percent of total billed charges		1807.2	40			Percent of total billed charges		803.2	80			Percent of total billed charges		1606.4	90			Percent of total billed charges		1807.2	85			Percent of total billed charges		1706.8	85			Percent of total billed charges		1706.8	85			Percent of total billed charges		1706.8	100			Percent of total billed charges		2008	100			Percent of total billed charges		2008	100			Percent of total billed charges		2008	33.3			Percent of total billed charges		668.664	33.3			Percent of total billed charges		668.664	100			Percent of total billed charges		2008	668.664	1807.2	
ascension spip	278	RC	Outpatient			2008	1305.2		90			Percent of total billed charges		1807.2	40			Percent of total billed charges		803.2	80			Percent of total billed charges		1606.4	90			Percent of total billed charges		1807.2	85			Percent of total billed charges		1706.8	85			Percent of total billed charges		1706.8	85			Percent of total billed charges		1706.8	100			Percent of total billed charges		2008	100			Percent of total billed charges		2008	100			Percent of total billed charges		2008	33.3			Percent of total billed charges		668.664	33.3			Percent of total billed charges		668.664	100			Percent of total billed charges		2008	668.664	1807.2	
myosure xl 50-501xl hologics	272	RC	Outpatient			2008	1305.2		90			Percent of total billed charges		1807.2	40			Percent of total billed charges		803.2	80			Percent of total billed charges		1606.4	90			Percent of total billed charges		1807.2	85			Percent of total billed charges		1706.8	85			Percent of total billed charges		1706.8	85			Percent of total billed charges		1706.8	100			Percent of total billed charges		2008	100			Percent of total billed charges		2008	100			Percent of total billed charges		2008	33.3			Percent of total billed charges		668.664	33.3			Percent of total billed charges		668.664	100			Percent of total billed charges		2008	668.664	1807.2	
myosure xl 50-503xl hologics	272	RC	Outpatient			2008	1305.2		90			Percent of total billed charges		1807.2	40			Percent of total billed charges		803.2	80			Percent of total billed charges		1606.4	90			Percent of total billed charges		1807.2	85			Percent of total billed charges		1706.8	85			Percent of total billed charges		1706.8	85			Percent of total billed charges		1706.8	100			Percent of total billed charges		2008	100			Percent of total billed charges		2008	100			Percent of total billed charges		2008	33.3			Percent of total billed charges		668.664	33.3			Percent of total billed charges		668.664	100			Percent of total billed charges		2008	668.664	1807.2	
allograft gracilis tendon  22.2 cm x 5.0mm 430300 mtf	278	RC	Outpatient			2011	1307.15		90			Percent of total billed charges		1809.9	40			Percent of total billed charges		804.4	80			Percent of total billed charges		1608.8	90			Percent of total billed charges		1809.9	85			Percent of total billed charges		1709.35	85			Percent of total billed charges		1709.35	85			Percent of total billed charges		1709.35	100			Percent of total billed charges		2011	100			Percent of total billed charges		2011	100			Percent of total billed charges		2011	33.3			Percent of total billed charges		669.663	33.3			Percent of total billed charges		669.663	100			Percent of total billed charges		2011	669.663	1809.9	
allograft gracilis	278	RC	Outpatient			2011	1307.15		90			Percent of total billed charges		1809.9	40			Percent of total billed charges		804.4	80			Percent of total billed charges		1608.8	90			Percent of total billed charges		1809.9	85			Percent of total billed charges		1709.35	85			Percent of total billed charges		1709.35	85			Percent of total billed charges		1709.35	100			Percent of total billed charges		2011	100			Percent of total billed charges		2011	100			Percent of total billed charges		2011	33.3			Percent of total billed charges		669.663	33.3			Percent of total billed charges		669.663	100			Percent of total billed charges		2011	669.663	1809.9	
anesthesia time 7 hours	270	RC	Outpatient			2012	1307.8		90			Percent of total billed charges		1810.8	40			Percent of total billed charges		804.8	80			Percent of total billed charges		1609.6	90			Percent of total billed charges		1810.8	85			Percent of total billed charges		1710.2	85			Percent of total billed charges		1710.2	85			Percent of total billed charges		1710.2	100			Percent of total billed charges		2012	100			Percent of total billed charges		2012	100			Percent of total billed charges		2012	33.3			Percent of total billed charges		669.996	33.3			Percent of total billed charges		669.996	100			Percent of total billed charges		2012	669.996	1810.8	
implant plate supracondylar 12sl 95 deg 244mm 12-4175	278	RC	Outpatient			2012	1307.8		90			Percent of total billed charges		1810.8	40			Percent of total billed charges		804.8	80			Percent of total billed charges		1609.6	90			Percent of total billed charges		1810.8	85			Percent of total billed charges		1710.2	85			Percent of total billed charges		1710.2	85			Percent of total billed charges		1710.2	100			Percent of total billed charges		2012	100			Percent of total billed charges		2012	100			Percent of total billed charges		2012	33.3			Percent of total billed charges		669.996	33.3			Percent of total billed charges		669.996	100			Percent of total billed charges		2012	669.996	1810.8	
implant plate supracondylar 12sl 90 deg 244mm 12-4172	278	RC	Outpatient			2012	1307.8		90			Percent of total billed charges		1810.8	40			Percent of total billed charges		804.8	80			Percent of total billed charges		1609.6	90			Percent of total billed charges		1810.8	85			Percent of total billed charges		1710.2	85			Percent of total billed charges		1710.2	85			Percent of total billed charges		1710.2	100			Percent of total billed charges		2012	100			Percent of total billed charges		2012	100			Percent of total billed charges		2012	33.3			Percent of total billed charges		669.996	33.3			Percent of total billed charges		669.996	100			Percent of total billed charges		2012	669.996	1810.8	
s/n chs sc 12hl	278	RC	Outpatient			2012	1307.8		90			Percent of total billed charges		1810.8	40			Percent of total billed charges		804.8	80			Percent of total billed charges		1609.6	90			Percent of total billed charges		1810.8	85			Percent of total billed charges		1710.2	85			Percent of total billed charges		1710.2	85			Percent of total billed charges		1710.2	100			Percent of total billed charges		2012	100			Percent of total billed charges		2012	100			Percent of total billed charges		2012	33.3			Percent of total billed charges		669.996	33.3			Percent of total billed charges		669.996	100			Percent of total billed charges		2012	669.996	1810.8	
"fast fx strut for tsf, short 71070710 s/n"	278	RC	Outpatient			2014	1309.1		90			Percent of total billed charges		1812.6	40			Percent of total billed charges		805.6	80			Percent of total billed charges		1611.2	90			Percent of total billed charges		1812.6	85			Percent of total billed charges		1711.9	85			Percent of total billed charges		1711.9	85			Percent of total billed charges		1711.9	100			Percent of total billed charges		2014	100			Percent of total billed charges		2014	100			Percent of total billed charges		2014	33.3			Percent of total billed charges		670.662	33.3			Percent of total billed charges		670.662	100			Percent of total billed charges		2014	670.662	1812.6	
fast fix strut x-short 71070705 s/n	278	RC	Outpatient			2014	1309.1		90			Percent of total billed charges		1812.6	40			Percent of total billed charges		805.6	80			Percent of total billed charges		1611.2	90			Percent of total billed charges		1812.6	85			Percent of total billed charges		1711.9	85			Percent of total billed charges		1711.9	85			Percent of total billed charges		1711.9	100			Percent of total billed charges		2014	100			Percent of total billed charges		2014	100			Percent of total billed charges		2014	33.3			Percent of total billed charges		670.662	33.3			Percent of total billed charges		670.662	100			Percent of total billed charges		2014	670.662	1812.6	
"fast fx strut for tsf, med 71070720 s/n"	278	RC	Outpatient			2014	1309.1		90			Percent of total billed charges		1812.6	40			Percent of total billed charges		805.6	80			Percent of total billed charges		1611.2	90			Percent of total billed charges		1812.6	85			Percent of total billed charges		1711.9	85			Percent of total billed charges		1711.9	85			Percent of total billed charges		1711.9	100			Percent of total billed charges		2014	100			Percent of total billed charges		2014	100			Percent of total billed charges		2014	33.3			Percent of total billed charges		670.662	33.3			Percent of total billed charges		670.662	100			Percent of total billed charges		2014	670.662	1812.6	
fast fx strut x-st	278	RC	Outpatient			2014	1309.1		90			Percent of total billed charges		1812.6	40			Percent of total billed charges		805.6	80			Percent of total billed charges		1611.2	90			Percent of total billed charges		1812.6	85			Percent of total billed charges		1711.9	85			Percent of total billed charges		1711.9	85			Percent of total billed charges		1711.9	100			Percent of total billed charges		2014	100			Percent of total billed charges		2014	100			Percent of total billed charges		2014	33.3			Percent of total billed charges		670.662	33.3			Percent of total billed charges		670.662	100			Percent of total billed charges		2014	670.662	1812.6	
taylor spatial strut	278	RC	Outpatient			2014	1309.1		90			Percent of total billed charges		1812.6	40			Percent of total billed charges		805.6	80			Percent of total billed charges		1611.2	90			Percent of total billed charges		1812.6	85			Percent of total billed charges		1711.9	85			Percent of total billed charges		1711.9	85			Percent of total billed charges		1711.9	100			Percent of total billed charges		2014	100			Percent of total billed charges		2014	100			Percent of total billed charges		2014	33.3			Percent of total billed charges		670.662	33.3			Percent of total billed charges		670.662	100			Percent of total billed charges		2014	670.662	1812.6	
mrh knee axel 6481-2-120 stryker	278	RC	Outpatient			2015	1309.75		90			Percent of total billed charges		1813.5	40			Percent of total billed charges		806	80			Percent of total billed charges		1612	90			Percent of total billed charges		1813.5	85			Percent of total billed charges		1712.75	85			Percent of total billed charges		1712.75	85			Percent of total billed charges		1712.75	100			Percent of total billed charges		2015	100			Percent of total billed charges		2015	100			Percent of total billed charges		2015	33.3			Percent of total billed charges		670.995	33.3			Percent of total billed charges		670.995	100			Percent of total billed charges		2015	670.995	1813.5	
stryker mrh knee axle	278	RC	Outpatient			2015	1309.75		90			Percent of total billed charges		1813.5	40			Percent of total billed charges		806	80			Percent of total billed charges		1612	90			Percent of total billed charges		1813.5	85			Percent of total billed charges		1712.75	85			Percent of total billed charges		1712.75	85			Percent of total billed charges		1712.75	100			Percent of total billed charges		2015	100			Percent of total billed charges		2015	100			Percent of total billed charges		2015	33.3			Percent of total billed charges		670.995	33.3			Percent of total billed charges		670.995	100			Percent of total billed charges		2015	670.995	1813.5	
biomet cable plate 5 hole	278	RC	Outpatient			2016	1310.4		90			Percent of total billed charges		1814.4	40			Percent of total billed charges		806.4	80			Percent of total billed charges		1612.8	90			Percent of total billed charges		1814.4	85			Percent of total billed charges		1713.6	85			Percent of total billed charges		1713.6	85			Percent of total billed charges		1713.6	100			Percent of total billed charges		2016	100			Percent of total billed charges		2016	100			Percent of total billed charges		2016	33.3			Percent of total billed charges		671.328	33.3			Percent of total billed charges		671.328	100			Percent of total billed charges		2016	671.328	1814.4	
ss cable plate 5 hole 160mm 350815 biomet	278	RC	Outpatient			2016	1310.4		90			Percent of total billed charges		1814.4	40			Percent of total billed charges		806.4	80			Percent of total billed charges		1612.8	90			Percent of total billed charges		1814.4	85			Percent of total billed charges		1713.6	85			Percent of total billed charges		1713.6	85			Percent of total billed charges		1713.6	100			Percent of total billed charges		2016	100			Percent of total billed charges		2016	100			Percent of total billed charges		2016	33.3			Percent of total billed charges		671.328	33.3			Percent of total billed charges		671.328	100			Percent of total billed charges		2016	671.328	1814.4	
macrosslink 42mm 4107042 stryker	278	RC	Outpatient			2026	1316.9		90			Percent of total billed charges		1823.4	40			Percent of total billed charges		810.4	80			Percent of total billed charges		1620.8	90			Percent of total billed charges		1823.4	85			Percent of total billed charges		1722.1	85			Percent of total billed charges		1722.1	85			Percent of total billed charges		1722.1	100			Percent of total billed charges		2026	100			Percent of total billed charges		2026	100			Percent of total billed charges		2026	33.3			Percent of total billed charges		674.658	33.3			Percent of total billed charges		674.658	100			Percent of total billed charges		2026	674.658	1823.4	
macrosslink 50mm 4107050 stryker	278	RC	Outpatient			2026	1316.9		90			Percent of total billed charges		1823.4	40			Percent of total billed charges		810.4	80			Percent of total billed charges		1620.8	90			Percent of total billed charges		1823.4	85			Percent of total billed charges		1722.1	85			Percent of total billed charges		1722.1	85			Percent of total billed charges		1722.1	100			Percent of total billed charges		2026	100			Percent of total billed charges		2026	100			Percent of total billed charges		2026	33.3			Percent of total billed charges		674.658	33.3			Percent of total billed charges		674.658	100			Percent of total billed charges		2026	674.658	1823.4	
stryker macrosslink	278	RC	Outpatient			2026	1316.9		90			Percent of total billed charges		1823.4	40			Percent of total billed charges		810.4	80			Percent of total billed charges		1620.8	90			Percent of total billed charges		1823.4	85			Percent of total billed charges		1722.1	85			Percent of total billed charges		1722.1	85			Percent of total billed charges		1722.1	100			Percent of total billed charges		2026	100			Percent of total billed charges		2026	100			Percent of total billed charges		2026	33.3			Percent of total billed charges		674.658	33.3			Percent of total billed charges		674.658	100			Percent of total billed charges		2026	674.658	1823.4	
biomet vanguard tibial bearing 10 x 59 183400	278	RC	Outpatient			2027	1317.55		90			Percent of total billed charges		1824.3	40			Percent of total billed charges		810.8	80			Percent of total billed charges		1621.6	90			Percent of total billed charges		1824.3	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	33.3			Percent of total billed charges		674.991	33.3			Percent of total billed charges		674.991	100			Percent of total billed charges		2027	674.991	1824.3	
biomet vanguard tibial bearing 10 x 63/67 183420	278	RC	Outpatient			2027	1317.55		90			Percent of total billed charges		1824.3	40			Percent of total billed charges		810.8	80			Percent of total billed charges		1621.6	90			Percent of total billed charges		1824.3	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	33.3			Percent of total billed charges		674.991	33.3			Percent of total billed charges		674.991	100			Percent of total billed charges		2027	674.991	1824.3	
biomet vanguard tibial bearing 10 x 71/75 183540	278	RC	Outpatient			2027	1317.55		90			Percent of total billed charges		1824.3	40			Percent of total billed charges		810.8	80			Percent of total billed charges		1621.6	90			Percent of total billed charges		1824.3	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	33.3			Percent of total billed charges		674.991	33.3			Percent of total billed charges		674.991	100			Percent of total billed charges		2027	674.991	1824.3	
biomet vanguard tibial bearing 10 x 87/91 183480	278	RC	Outpatient			2027	1317.55		90			Percent of total billed charges		1824.3	40			Percent of total billed charges		810.8	80			Percent of total billed charges		1621.6	90			Percent of total billed charges		1824.3	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	33.3			Percent of total billed charges		674.991	33.3			Percent of total billed charges		674.991	100			Percent of total billed charges		2027	674.991	1824.3	
biomet vanguard tibial bearing 12 x 59 183502	278	RC	Outpatient			2027	1317.55		90			Percent of total billed charges		1824.3	40			Percent of total billed charges		810.8	80			Percent of total billed charges		1621.6	90			Percent of total billed charges		1824.3	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	33.3			Percent of total billed charges		674.991	33.3			Percent of total billed charges		674.991	100			Percent of total billed charges		2027	674.991	1824.3	
biomet vanguard tibial bearing 12 x 63/67 183522	278	RC	Outpatient			2027	1317.55		90			Percent of total billed charges		1824.3	40			Percent of total billed charges		810.8	80			Percent of total billed charges		1621.6	90			Percent of total billed charges		1824.3	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	33.3			Percent of total billed charges		674.991	33.3			Percent of total billed charges		674.991	100			Percent of total billed charges		2027	674.991	1824.3	
biomet vanguard tibial bearing 12 x 71/75 183442	278	RC	Outpatient			2027	1317.55		90			Percent of total billed charges		1824.3	40			Percent of total billed charges		810.8	80			Percent of total billed charges		1621.6	90			Percent of total billed charges		1824.3	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	33.3			Percent of total billed charges		674.991	33.3			Percent of total billed charges		674.991	100			Percent of total billed charges		2027	674.991	1824.3	
biomet vanguard tibial bearing 12 x 71/75 183542	278	RC	Outpatient			2027	1317.55		90			Percent of total billed charges		1824.3	40			Percent of total billed charges		810.8	80			Percent of total billed charges		1621.6	90			Percent of total billed charges		1824.3	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	33.3			Percent of total billed charges		674.991	33.3			Percent of total billed charges		674.991	100			Percent of total billed charges		2027	674.991	1824.3	
biomet vanguard tibial bearing 12 x 87/91 183482	278	RC	Outpatient			2027	1317.55		90			Percent of total billed charges		1824.3	40			Percent of total billed charges		810.8	80			Percent of total billed charges		1621.6	90			Percent of total billed charges		1824.3	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	33.3			Percent of total billed charges		674.991	33.3			Percent of total billed charges		674.991	100			Percent of total billed charges		2027	674.991	1824.3	
biomet vanguard tibial bearing 14 x 59 183404	278	RC	Outpatient			2027	1317.55		90			Percent of total billed charges		1824.3	40			Percent of total billed charges		810.8	80			Percent of total billed charges		1621.6	90			Percent of total billed charges		1824.3	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	33.3			Percent of total billed charges		674.991	33.3			Percent of total billed charges		674.991	100			Percent of total billed charges		2027	674.991	1824.3	
biomet vanguard tibial bearing 14 x 59 183504	278	RC	Outpatient			2027	1317.55		90			Percent of total billed charges		1824.3	40			Percent of total billed charges		810.8	80			Percent of total billed charges		1621.6	90			Percent of total billed charges		1824.3	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	33.3			Percent of total billed charges		674.991	33.3			Percent of total billed charges		674.991	100			Percent of total billed charges		2027	674.991	1824.3	
biomet vanguard tibial bearing 14 x 63/67 183524	278	RC	Outpatient			2027	1317.55		90			Percent of total billed charges		1824.3	40			Percent of total billed charges		810.8	80			Percent of total billed charges		1621.6	90			Percent of total billed charges		1824.3	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	33.3			Percent of total billed charges		674.991	33.3			Percent of total billed charges		674.991	100			Percent of total billed charges		2027	674.991	1824.3	
biomet vanguard tibial bearing 14 x 71/75 183544	278	RC	Outpatient			2027	1317.55		90			Percent of total billed charges		1824.3	40			Percent of total billed charges		810.8	80			Percent of total billed charges		1621.6	90			Percent of total billed charges		1824.3	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	33.3			Percent of total billed charges		674.991	33.3			Percent of total billed charges		674.991	100			Percent of total billed charges		2027	674.991	1824.3	
biomet vanguard tibial bearing 14 x 79/83 183564	278	RC	Outpatient			2027	1317.55		90			Percent of total billed charges		1824.3	40			Percent of total billed charges		810.8	80			Percent of total billed charges		1621.6	90			Percent of total billed charges		1824.3	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	33.3			Percent of total billed charges		674.991	33.3			Percent of total billed charges		674.991	100			Percent of total billed charges		2027	674.991	1824.3	
biomet vanguard tibial bearing 16 x 59 183506	278	RC	Outpatient			2027	1317.55		90			Percent of total billed charges		1824.3	40			Percent of total billed charges		810.8	80			Percent of total billed charges		1621.6	90			Percent of total billed charges		1824.3	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	33.3			Percent of total billed charges		674.991	33.3			Percent of total billed charges		674.991	100			Percent of total billed charges		2027	674.991	1824.3	
biomet vanguard tibial bearing 16 x 63/67 183426	278	RC	Outpatient			2027	1317.55		90			Percent of total billed charges		1824.3	40			Percent of total billed charges		810.8	80			Percent of total billed charges		1621.6	90			Percent of total billed charges		1824.3	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	33.3			Percent of total billed charges		674.991	33.3			Percent of total billed charges		674.991	100			Percent of total billed charges		2027	674.991	1824.3	
biomet vanguard tibial bearing 16 x 79/83 183466	278	RC	Outpatient			2027	1317.55		90			Percent of total billed charges		1824.3	40			Percent of total billed charges		810.8	80			Percent of total billed charges		1621.6	90			Percent of total billed charges		1824.3	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	33.3			Percent of total billed charges		674.991	33.3			Percent of total billed charges		674.991	100			Percent of total billed charges		2027	674.991	1824.3	
biomet vanguard tibial bearing 16 x 79/83 183566	278	RC	Outpatient			2027	1317.55		90			Percent of total billed charges		1824.3	40			Percent of total billed charges		810.8	80			Percent of total billed charges		1621.6	90			Percent of total billed charges		1824.3	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	33.3			Percent of total billed charges		674.991	33.3			Percent of total billed charges		674.991	100			Percent of total billed charges		2027	674.991	1824.3	
biomet vanguard tibial bearing 16 x 87/91 183586	278	RC	Outpatient			2027	1317.55		90			Percent of total billed charges		1824.3	40			Percent of total billed charges		810.8	80			Percent of total billed charges		1621.6	90			Percent of total billed charges		1824.3	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	33.3			Percent of total billed charges		674.991	33.3			Percent of total billed charges		674.991	100			Percent of total billed charges		2027	674.991	1824.3	
biomet vanguard tibial bearing 18 x 59 183408	278	RC	Outpatient			2027	1317.55		90			Percent of total billed charges		1824.3	40			Percent of total billed charges		810.8	80			Percent of total billed charges		1621.6	90			Percent of total billed charges		1824.3	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	33.3			Percent of total billed charges		674.991	33.3			Percent of total billed charges		674.991	100			Percent of total billed charges		2027	674.991	1824.3	
biomet vanguard tibial bearing 18 x 59 183508	278	RC	Outpatient			2027	1317.55		90			Percent of total billed charges		1824.3	40			Percent of total billed charges		810.8	80			Percent of total billed charges		1621.6	90			Percent of total billed charges		1824.3	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	33.3			Percent of total billed charges		674.991	33.3			Percent of total billed charges		674.991	100			Percent of total billed charges		2027	674.991	1824.3	
biomet vanguard tibial bearing 18 x 63/67 183428	278	RC	Outpatient			2027	1317.55		90			Percent of total billed charges		1824.3	40			Percent of total billed charges		810.8	80			Percent of total billed charges		1621.6	90			Percent of total billed charges		1824.3	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	33.3			Percent of total billed charges		674.991	33.3			Percent of total billed charges		674.991	100			Percent of total billed charges		2027	674.991	1824.3	
biomet vanguard tibial bearing 18 x 71/75 183448	278	RC	Outpatient			2027	1317.55		90			Percent of total billed charges		1824.3	40			Percent of total billed charges		810.8	80			Percent of total billed charges		1621.6	90			Percent of total billed charges		1824.3	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	33.3			Percent of total billed charges		674.991	33.3			Percent of total billed charges		674.991	100			Percent of total billed charges		2027	674.991	1824.3	
biomet vanguard tibial bearing 18 x 87/91 183588	278	RC	Outpatient			2027	1317.55		90			Percent of total billed charges		1824.3	40			Percent of total billed charges		810.8	80			Percent of total billed charges		1621.6	90			Percent of total billed charges		1824.3	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	33.3			Percent of total billed charges		674.991	33.3			Percent of total billed charges		674.991	100			Percent of total billed charges		2027	674.991	1824.3	
biomet vanguard tibial bearing 20 x 63/67 183530	278	RC	Outpatient			2027	1317.55		90			Percent of total billed charges		1824.3	40			Percent of total billed charges		810.8	80			Percent of total billed charges		1621.6	90			Percent of total billed charges		1824.3	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	33.3			Percent of total billed charges		674.991	33.3			Percent of total billed charges		674.991	100			Percent of total billed charges		2027	674.991	1824.3	
bio vanguard std bearing	278	RC	Outpatient			2027	1317.55		90			Percent of total billed charges		1824.3	40			Percent of total billed charges		810.8	80			Percent of total billed charges		1621.6	90			Percent of total billed charges		1824.3	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	33.3			Percent of total billed charges		674.991	33.3			Percent of total billed charges		674.991	100			Percent of total billed charges		2027	674.991	1824.3	
biomet vanguard tibial bearing 10 x 59 183500	278	RC	Outpatient			2027	1317.55		90			Percent of total billed charges		1824.3	40			Percent of total billed charges		810.8	80			Percent of total billed charges		1621.6	90			Percent of total billed charges		1824.3	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	33.3			Percent of total billed charges		674.991	33.3			Percent of total billed charges		674.991	100			Percent of total billed charges		2027	674.991	1824.3	
biomet vanguard tibial bearing 10 x 63/67 183520	278	RC	Outpatient			2027	1317.55		90			Percent of total billed charges		1824.3	40			Percent of total billed charges		810.8	80			Percent of total billed charges		1621.6	90			Percent of total billed charges		1824.3	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	33.3			Percent of total billed charges		674.991	33.3			Percent of total billed charges		674.991	100			Percent of total billed charges		2027	674.991	1824.3	
biomet vanguard tibial bearing 10 x 71/75 183440	278	RC	Outpatient			2027	1317.55		90			Percent of total billed charges		1824.3	40			Percent of total billed charges		810.8	80			Percent of total billed charges		1621.6	90			Percent of total billed charges		1824.3	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	33.3			Percent of total billed charges		674.991	33.3			Percent of total billed charges		674.991	100			Percent of total billed charges		2027	674.991	1824.3	
biomet vanguard tibial bearing 10 x 79/83 183460	278	RC	Outpatient			2027	1317.55		90			Percent of total billed charges		1824.3	40			Percent of total billed charges		810.8	80			Percent of total billed charges		1621.6	90			Percent of total billed charges		1824.3	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	33.3			Percent of total billed charges		674.991	33.3			Percent of total billed charges		674.991	100			Percent of total billed charges		2027	674.991	1824.3	
biomet vanguard tibial bearing 10 x 79/83 183462	278	RC	Outpatient			2027	1317.55		90			Percent of total billed charges		1824.3	40			Percent of total billed charges		810.8	80			Percent of total billed charges		1621.6	90			Percent of total billed charges		1824.3	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	33.3			Percent of total billed charges		674.991	33.3			Percent of total billed charges		674.991	100			Percent of total billed charges		2027	674.991	1824.3	
biomet vanguard tibial bearing 10 x 79/83 183560	278	RC	Outpatient			2027	1317.55		90			Percent of total billed charges		1824.3	40			Percent of total billed charges		810.8	80			Percent of total billed charges		1621.6	90			Percent of total billed charges		1824.3	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	33.3			Percent of total billed charges		674.991	33.3			Percent of total billed charges		674.991	100			Percent of total billed charges		2027	674.991	1824.3	
biomet vanguard tibial bearing 10 x 87/91 183580	278	RC	Outpatient			2027	1317.55		90			Percent of total billed charges		1824.3	40			Percent of total billed charges		810.8	80			Percent of total billed charges		1621.6	90			Percent of total billed charges		1824.3	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	33.3			Percent of total billed charges		674.991	33.3			Percent of total billed charges		674.991	100			Percent of total billed charges		2027	674.991	1824.3	
biomet vanguard tibial bearing 12 x 59 183402	278	RC	Outpatient			2027	1317.55		90			Percent of total billed charges		1824.3	40			Percent of total billed charges		810.8	80			Percent of total billed charges		1621.6	90			Percent of total billed charges		1824.3	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	33.3			Percent of total billed charges		674.991	33.3			Percent of total billed charges		674.991	100			Percent of total billed charges		2027	674.991	1824.3	
biomet vanguard tibial bearing 12 x 63/67 183422	278	RC	Outpatient			2027	1317.55		90			Percent of total billed charges		1824.3	40			Percent of total billed charges		810.8	80			Percent of total billed charges		1621.6	90			Percent of total billed charges		1824.3	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	33.3			Percent of total billed charges		674.991	33.3			Percent of total billed charges		674.991	100			Percent of total billed charges		2027	674.991	1824.3	
biomet vanguard tibial bearing 12 x 79/83 183562	278	RC	Outpatient			2027	1317.55		90			Percent of total billed charges		1824.3	40			Percent of total billed charges		810.8	80			Percent of total billed charges		1621.6	90			Percent of total billed charges		1824.3	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	33.3			Percent of total billed charges		674.991	33.3			Percent of total billed charges		674.991	100			Percent of total billed charges		2027	674.991	1824.3	
biomet vanguard tibial bearing 12 x 87/91 183582	278	RC	Outpatient			2027	1317.55		90			Percent of total billed charges		1824.3	40			Percent of total billed charges		810.8	80			Percent of total billed charges		1621.6	90			Percent of total billed charges		1824.3	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	33.3			Percent of total billed charges		674.991	33.3			Percent of total billed charges		674.991	100			Percent of total billed charges		2027	674.991	1824.3	
biomet vanguard tibial bearing 14 x 63/67 183424	278	RC	Outpatient			2027	1317.55		90			Percent of total billed charges		1824.3	40			Percent of total billed charges		810.8	80			Percent of total billed charges		1621.6	90			Percent of total billed charges		1824.3	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	33.3			Percent of total billed charges		674.991	33.3			Percent of total billed charges		674.991	100			Percent of total billed charges		2027	674.991	1824.3	
biomet vanguard tibial bearing 14 x 71/75 183444	278	RC	Outpatient			2027	1317.55		90			Percent of total billed charges		1824.3	40			Percent of total billed charges		810.8	80			Percent of total billed charges		1621.6	90			Percent of total billed charges		1824.3	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	33.3			Percent of total billed charges		674.991	33.3			Percent of total billed charges		674.991	100			Percent of total billed charges		2027	674.991	1824.3	
biomet vanguard tibial bearing 14 x 79/83 183464	278	RC	Outpatient			2027	1317.55		90			Percent of total billed charges		1824.3	40			Percent of total billed charges		810.8	80			Percent of total billed charges		1621.6	90			Percent of total billed charges		1824.3	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	33.3			Percent of total billed charges		674.991	33.3			Percent of total billed charges		674.991	100			Percent of total billed charges		2027	674.991	1824.3	
biomet vanguard tibial bearing 14 x 87/91 183484	278	RC	Outpatient			2027	1317.55		90			Percent of total billed charges		1824.3	40			Percent of total billed charges		810.8	80			Percent of total billed charges		1621.6	90			Percent of total billed charges		1824.3	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	33.3			Percent of total billed charges		674.991	33.3			Percent of total billed charges		674.991	100			Percent of total billed charges		2027	674.991	1824.3	
biomet vanguard tibial bearing 14 x 87/91 183584	278	RC	Outpatient			2027	1317.55		90			Percent of total billed charges		1824.3	40			Percent of total billed charges		810.8	80			Percent of total billed charges		1621.6	90			Percent of total billed charges		1824.3	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	33.3			Percent of total billed charges		674.991	33.3			Percent of total billed charges		674.991	100			Percent of total billed charges		2027	674.991	1824.3	
biomet vanguard tibial bearing 16 x 63/67 183526	278	RC	Outpatient			2027	1317.55		90			Percent of total billed charges		1824.3	40			Percent of total billed charges		810.8	80			Percent of total billed charges		1621.6	90			Percent of total billed charges		1824.3	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	33.3			Percent of total billed charges		674.991	33.3			Percent of total billed charges		674.991	100			Percent of total billed charges		2027	674.991	1824.3	
biomet vanguard tibial bearing 16 x 71/75 183446	278	RC	Outpatient			2027	1317.55		90			Percent of total billed charges		1824.3	40			Percent of total billed charges		810.8	80			Percent of total billed charges		1621.6	90			Percent of total billed charges		1824.3	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	33.3			Percent of total billed charges		674.991	33.3			Percent of total billed charges		674.991	100			Percent of total billed charges		2027	674.991	1824.3	
biomet vanguard tibial bearing 16 x 71/75 183546	278	RC	Outpatient			2027	1317.55		90			Percent of total billed charges		1824.3	40			Percent of total billed charges		810.8	80			Percent of total billed charges		1621.6	90			Percent of total billed charges		1824.3	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	33.3			Percent of total billed charges		674.991	33.3			Percent of total billed charges		674.991	100			Percent of total billed charges		2027	674.991	1824.3	
biomet vanguard tibial bearing 16 x 87/91 183486	278	RC	Outpatient			2027	1317.55		90			Percent of total billed charges		1824.3	40			Percent of total billed charges		810.8	80			Percent of total billed charges		1621.6	90			Percent of total billed charges		1824.3	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	33.3			Percent of total billed charges		674.991	33.3			Percent of total billed charges		674.991	100			Percent of total billed charges		2027	674.991	1824.3	
biomet vanguard tibial bearing 18 x 63/67 183528	278	RC	Outpatient			2027	1317.55		90			Percent of total billed charges		1824.3	40			Percent of total billed charges		810.8	80			Percent of total billed charges		1621.6	90			Percent of total billed charges		1824.3	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	33.3			Percent of total billed charges		674.991	33.3			Percent of total billed charges		674.991	100			Percent of total billed charges		2027	674.991	1824.3	
biomet vanguard tibial bearing 18 x 71/75 183548	278	RC	Outpatient			2027	1317.55		90			Percent of total billed charges		1824.3	40			Percent of total billed charges		810.8	80			Percent of total billed charges		1621.6	90			Percent of total billed charges		1824.3	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	33.3			Percent of total billed charges		674.991	33.3			Percent of total billed charges		674.991	100			Percent of total billed charges		2027	674.991	1824.3	
biomet vanguard tibial bearing 18 x 79/83 183468	278	RC	Outpatient			2027	1317.55		90			Percent of total billed charges		1824.3	40			Percent of total billed charges		810.8	80			Percent of total billed charges		1621.6	90			Percent of total billed charges		1824.3	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	33.3			Percent of total billed charges		674.991	33.3			Percent of total billed charges		674.991	100			Percent of total billed charges		2027	674.991	1824.3	
biomet vanguard tibial bearing 18 x 79/83 183568	278	RC	Outpatient			2027	1317.55		90			Percent of total billed charges		1824.3	40			Percent of total billed charges		810.8	80			Percent of total billed charges		1621.6	90			Percent of total billed charges		1824.3	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	33.3			Percent of total billed charges		674.991	33.3			Percent of total billed charges		674.991	100			Percent of total billed charges		2027	674.991	1824.3	
biomet vanguard tibial bearing 18 x 87/91 183488	278	RC	Outpatient			2027	1317.55		90			Percent of total billed charges		1824.3	40			Percent of total billed charges		810.8	80			Percent of total billed charges		1621.6	90			Percent of total billed charges		1824.3	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	33.3			Percent of total billed charges		674.991	33.3			Percent of total billed charges		674.991	100			Percent of total billed charges		2027	674.991	1824.3	
biomet vanguard tibial bearing 20 x 59 183510	278	RC	Outpatient			2027	1317.55		90			Percent of total billed charges		1824.3	40			Percent of total billed charges		810.8	80			Percent of total billed charges		1621.6	90			Percent of total billed charges		1824.3	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	33.3			Percent of total billed charges		674.991	33.3			Percent of total billed charges		674.991	100			Percent of total billed charges		2027	674.991	1824.3	
biomet vanguard tibial bearing 20 x 71/75 183550	278	RC	Outpatient			2027	1317.55		90			Percent of total billed charges		1824.3	40			Percent of total billed charges		810.8	80			Percent of total billed charges		1621.6	90			Percent of total billed charges		1824.3	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	33.3			Percent of total billed charges		674.991	33.3			Percent of total billed charges		674.991	100			Percent of total billed charges		2027	674.991	1824.3	
biomet vanguard tibial bearing 20 x 79/83 183570	278	RC	Outpatient			2027	1317.55		90			Percent of total billed charges		1824.3	40			Percent of total billed charges		810.8	80			Percent of total billed charges		1621.6	90			Percent of total billed charges		1824.3	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	33.3			Percent of total billed charges		674.991	33.3			Percent of total billed charges		674.991	100			Percent of total billed charges		2027	674.991	1824.3	
biomet vanguard tibial bearing 20 x 87/91 183590	278	RC	Outpatient			2027	1317.55		90			Percent of total billed charges		1824.3	40			Percent of total billed charges		810.8	80			Percent of total billed charges		1621.6	90			Percent of total billed charges		1824.3	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	33.3			Percent of total billed charges		674.991	33.3			Percent of total billed charges		674.991	100			Percent of total billed charges		2027	674.991	1824.3	
s/n vlp cal pl 3.5 sm	278	RC	Outpatient			2027	1317.55		90			Percent of total billed charges		1824.3	40			Percent of total billed charges		810.8	80			Percent of total billed charges		1621.6	90			Percent of total billed charges		1824.3	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	33.3			Percent of total billed charges		674.991	33.3			Percent of total billed charges		674.991	100			Percent of total billed charges		2027	674.991	1824.3	
peri-loc 3.5 vlp calcaneus pl sm lt 72824028s s/n	278	RC	Outpatient			2027	1317.55		90			Percent of total billed charges		1824.3	40			Percent of total billed charges		810.8	80			Percent of total billed charges		1621.6	90			Percent of total billed charges		1824.3	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	85			Percent of total billed charges		1722.95	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	100			Percent of total billed charges		2027	33.3			Percent of total billed charges		674.991	33.3			Percent of total billed charges		674.991	100			Percent of total billed charges		2027	674.991	1824.3	
fem head 36mm short 9026-36 zimmer	278	RC	Outpatient			2029	1318.85		90			Percent of total billed charges		1826.1	40			Percent of total billed charges		811.6	80			Percent of total billed charges		1623.2	90			Percent of total billed charges		1826.1	85			Percent of total billed charges		1724.65	85			Percent of total billed charges		1724.65	85			Percent of total billed charges		1724.65	100			Percent of total billed charges		2029	100			Percent of total billed charges		2029	100			Percent of total billed charges		2029	33.3			Percent of total billed charges		675.657	33.3			Percent of total billed charges		675.657	100			Percent of total billed charges		2029	675.657	1826.1	
zimmer fem head 36mm	278	RC	Outpatient			2029	1318.85		90			Percent of total billed charges		1826.1	40			Percent of total billed charges		811.6	80			Percent of total billed charges		1623.2	90			Percent of total billed charges		1826.1	85			Percent of total billed charges		1724.65	85			Percent of total billed charges		1724.65	85			Percent of total billed charges		1724.65	100			Percent of total billed charges		2029	100			Percent of total billed charges		2029	100			Percent of total billed charges		2029	33.3			Percent of total billed charges		675.657	33.3			Percent of total billed charges		675.657	100			Percent of total billed charges		2029	675.657	1826.1	
micro-6 ureteroscope acmi	270	RC	Outpatient			2030	1319.5		90			Percent of total billed charges		1827	40			Percent of total billed charges		812	80			Percent of total billed charges		1624	90			Percent of total billed charges		1827	85			Percent of total billed charges		1725.5	85			Percent of total billed charges		1725.5	85			Percent of total billed charges		1725.5	100			Percent of total billed charges		2030	100			Percent of total billed charges		2030	100			Percent of total billed charges		2030	33.3			Percent of total billed charges		675.99	33.3			Percent of total billed charges		675.99	100			Percent of total billed charges		2030	675.99	1827	
ureteroscopy/ultrasonic	270	RC	Outpatient			2030	1319.5		90			Percent of total billed charges		1827	40			Percent of total billed charges		812	80			Percent of total billed charges		1624	90			Percent of total billed charges		1827	85			Percent of total billed charges		1725.5	85			Percent of total billed charges		1725.5	85			Percent of total billed charges		1725.5	100			Percent of total billed charges		2030	100			Percent of total billed charges		2030	100			Percent of total billed charges		2030	33.3			Percent of total billed charges		675.99	33.3			Percent of total billed charges		675.99	100			Percent of total billed charges		2030	675.99	1827	
urteroscope acmi	270	RC	Outpatient			2030	1319.5		90			Percent of total billed charges		1827	40			Percent of total billed charges		812	80			Percent of total billed charges		1624	90			Percent of total billed charges		1827	85			Percent of total billed charges		1725.5	85			Percent of total billed charges		1725.5	85			Percent of total billed charges		1725.5	100			Percent of total billed charges		2030	100			Percent of total billed charges		2030	100			Percent of total billed charges		2030	33.3			Percent of total billed charges		675.99	33.3			Percent of total billed charges		675.99	100			Percent of total billed charges		2030	675.99	1827	
genesis ii  non-porous  tibial baseplate left sz 7 71420172 s/n	278	RC	Outpatient			2033	1321.45		90			Percent of total billed charges		1829.7	40			Percent of total billed charges		813.2	80			Percent of total billed charges		1626.4	90			Percent of total billed charges		1829.7	85			Percent of total billed charges		1728.05	85			Percent of total billed charges		1728.05	85			Percent of total billed charges		1728.05	100			Percent of total billed charges		2033	100			Percent of total billed charges		2033	100			Percent of total billed charges		2033	33.3			Percent of total billed charges		676.989	33.3			Percent of total billed charges		676.989	100			Percent of total billed charges		2033	676.989	1829.7	
genesis ii non porous tibial baseplate  size 6 right 71420188	278	RC	Outpatient			2033	1321.45		90			Percent of total billed charges		1829.7	40			Percent of total billed charges		813.2	80			Percent of total billed charges		1626.4	90			Percent of total billed charges		1829.7	85			Percent of total billed charges		1728.05	85			Percent of total billed charges		1728.05	85			Percent of total billed charges		1728.05	100			Percent of total billed charges		2033	100			Percent of total billed charges		2033	100			Percent of total billed charges		2033	33.3			Percent of total billed charges		676.989	33.3			Percent of total billed charges		676.989	100			Percent of total billed charges		2033	676.989	1829.7	
genesis ii non-porous tib baseplate left sz 6  71420170  s/n	278	RC	Outpatient			2033	1321.45		90			Percent of total billed charges		1829.7	40			Percent of total billed charges		813.2	80			Percent of total billed charges		1626.4	90			Percent of total billed charges		1829.7	85			Percent of total billed charges		1728.05	85			Percent of total billed charges		1728.05	85			Percent of total billed charges		1728.05	100			Percent of total billed charges		2033	100			Percent of total billed charges		2033	100			Percent of total billed charges		2033	33.3			Percent of total billed charges		676.989	33.3			Percent of total billed charges		676.989	100			Percent of total billed charges		2033	676.989	1829.7	
genesis ii non-porous tibial baseplate size 2 left 71420162 s/n	278	RC	Outpatient			2033	1321.45		90			Percent of total billed charges		1829.7	40			Percent of total billed charges		813.2	80			Percent of total billed charges		1626.4	90			Percent of total billed charges		1829.7	85			Percent of total billed charges		1728.05	85			Percent of total billed charges		1728.05	85			Percent of total billed charges		1728.05	100			Percent of total billed charges		2033	100			Percent of total billed charges		2033	100			Percent of total billed charges		2033	33.3			Percent of total billed charges		676.989	33.3			Percent of total billed charges		676.989	100			Percent of total billed charges		2033	676.989	1829.7	
genesis ii non-porous tibial baseplate size 4 left 71420166 s/n	278	RC	Outpatient			2033	1321.45		90			Percent of total billed charges		1829.7	40			Percent of total billed charges		813.2	80			Percent of total billed charges		1626.4	90			Percent of total billed charges		1829.7	85			Percent of total billed charges		1728.05	85			Percent of total billed charges		1728.05	85			Percent of total billed charges		1728.05	100			Percent of total billed charges		2033	100			Percent of total billed charges		2033	100			Percent of total billed charges		2033	33.3			Percent of total billed charges		676.989	33.3			Percent of total billed charges		676.989	100			Percent of total billed charges		2033	676.989	1829.7	
genesis ii non-porous tibial baseplate size 5 left71420168 s/n	278	RC	Outpatient			2033	1321.45		90			Percent of total billed charges		1829.7	40			Percent of total billed charges		813.2	80			Percent of total billed charges		1626.4	90			Percent of total billed charges		1829.7	85			Percent of total billed charges		1728.05	85			Percent of total billed charges		1728.05	85			Percent of total billed charges		1728.05	100			Percent of total billed charges		2033	100			Percent of total billed charges		2033	100			Percent of total billed charges		2033	33.3			Percent of total billed charges		676.989	33.3			Percent of total billed charges		676.989	100			Percent of total billed charges		2033	676.989	1829.7	
genesis ii non-porous tibial baseplate size 1 left 71420160 s/n	278	RC	Outpatient			2033	1321.45		90			Percent of total billed charges		1829.7	40			Percent of total billed charges		813.2	80			Percent of total billed charges		1626.4	90			Percent of total billed charges		1829.7	85			Percent of total billed charges		1728.05	85			Percent of total billed charges		1728.05	85			Percent of total billed charges		1728.05	100			Percent of total billed charges		2033	100			Percent of total billed charges		2033	100			Percent of total billed charges		2033	33.3			Percent of total billed charges		676.989	33.3			Percent of total billed charges		676.989	100			Percent of total billed charges		2033	676.989	1829.7	
genesis ii non-porous tibial baseplate size 1 right  71420176 s/n	278	RC	Outpatient			2033	1321.45		90			Percent of total billed charges		1829.7	40			Percent of total billed charges		813.2	80			Percent of total billed charges		1626.4	90			Percent of total billed charges		1829.7	85			Percent of total billed charges		1728.05	85			Percent of total billed charges		1728.05	85			Percent of total billed charges		1728.05	100			Percent of total billed charges		2033	100			Percent of total billed charges		2033	100			Percent of total billed charges		2033	33.3			Percent of total billed charges		676.989	33.3			Percent of total billed charges		676.989	100			Percent of total billed charges		2033	676.989	1829.7	
genesis ii non-porous tibial baseplate size 2 right 71420180 s/n	278	RC	Outpatient			2033	1321.45		90			Percent of total billed charges		1829.7	40			Percent of total billed charges		813.2	80			Percent of total billed charges		1626.4	90			Percent of total billed charges		1829.7	85			Percent of total billed charges		1728.05	85			Percent of total billed charges		1728.05	85			Percent of total billed charges		1728.05	100			Percent of total billed charges		2033	100			Percent of total billed charges		2033	100			Percent of total billed charges		2033	33.3			Percent of total billed charges		676.989	33.3			Percent of total billed charges		676.989	100			Percent of total billed charges		2033	676.989	1829.7	
genesis ii non-porous tibial baseplate size 4 right 71420184 s/n	278	RC	Outpatient			2033	1321.45		90			Percent of total billed charges		1829.7	40			Percent of total billed charges		813.2	80			Percent of total billed charges		1626.4	90			Percent of total billed charges		1829.7	85			Percent of total billed charges		1728.05	85			Percent of total billed charges		1728.05	85			Percent of total billed charges		1728.05	100			Percent of total billed charges		2033	100			Percent of total billed charges		2033	100			Percent of total billed charges		2033	33.3			Percent of total billed charges		676.989	33.3			Percent of total billed charges		676.989	100			Percent of total billed charges		2033	676.989	1829.7	
genesis ii non-porous tibial baseplate size 5 right  71420186 s/n	278	RC	Outpatient			2033	1321.45		90			Percent of total billed charges		1829.7	40			Percent of total billed charges		813.2	80			Percent of total billed charges		1626.4	90			Percent of total billed charges		1829.7	85			Percent of total billed charges		1728.05	85			Percent of total billed charges		1728.05	85			Percent of total billed charges		1728.05	100			Percent of total billed charges		2033	100			Percent of total billed charges		2033	100			Percent of total billed charges		2033	33.3			Percent of total billed charges		676.989	33.3			Percent of total billed charges		676.989	100			Percent of total billed charges		2033	676.989	1829.7	
genesis ii non-porous tibial baseplate size 7 right 71420190 s/n	278	RC	Outpatient			2033	1321.45		90			Percent of total billed charges		1829.7	40			Percent of total billed charges		813.2	80			Percent of total billed charges		1626.4	90			Percent of total billed charges		1829.7	85			Percent of total billed charges		1728.05	85			Percent of total billed charges		1728.05	85			Percent of total billed charges		1728.05	100			Percent of total billed charges		2033	100			Percent of total billed charges		2033	100			Percent of total billed charges		2033	33.3			Percent of total billed charges		676.989	33.3			Percent of total billed charges		676.989	100			Percent of total billed charges		2033	676.989	1829.7	
genesis ii non-porous tibial baseplate size 8 left  71420174 s/n	278	RC	Outpatient			2033	1321.45		90			Percent of total billed charges		1829.7	40			Percent of total billed charges		813.2	80			Percent of total billed charges		1626.4	90			Percent of total billed charges		1829.7	85			Percent of total billed charges		1728.05	85			Percent of total billed charges		1728.05	85			Percent of total billed charges		1728.05	100			Percent of total billed charges		2033	100			Percent of total billed charges		2033	100			Percent of total billed charges		2033	33.3			Percent of total billed charges		676.989	33.3			Percent of total billed charges		676.989	100			Percent of total billed charges		2033	676.989	1829.7	
genesis ii non-porous tibial baseplate size 8 right 71420191 s/n	278	RC	Outpatient			2033	1321.45		90			Percent of total billed charges		1829.7	40			Percent of total billed charges		813.2	80			Percent of total billed charges		1626.4	90			Percent of total billed charges		1829.7	85			Percent of total billed charges		1728.05	85			Percent of total billed charges		1728.05	85			Percent of total billed charges		1728.05	100			Percent of total billed charges		2033	100			Percent of total billed charges		2033	100			Percent of total billed charges		2033	33.3			Percent of total billed charges		676.989	33.3			Percent of total billed charges		676.989	100			Percent of total billed charges		2033	676.989	1829.7	
genesis ii tibial baseplate (left) sz3 71420164 s/n	278	RC	Outpatient			2033	1321.45		90			Percent of total billed charges		1829.7	40			Percent of total billed charges		813.2	80			Percent of total billed charges		1626.4	90			Percent of total billed charges		1829.7	85			Percent of total billed charges		1728.05	85			Percent of total billed charges		1728.05	85			Percent of total billed charges		1728.05	100			Percent of total billed charges		2033	100			Percent of total billed charges		2033	100			Percent of total billed charges		2033	33.3			Percent of total billed charges		676.989	33.3			Percent of total billed charges		676.989	100			Percent of total billed charges		2033	676.989	1829.7	
richards gii np tibia 1-2	278	RC	Outpatient			2033	1321.45		90			Percent of total billed charges		1829.7	40			Percent of total billed charges		813.2	80			Percent of total billed charges		1626.4	90			Percent of total billed charges		1829.7	85			Percent of total billed charges		1728.05	85			Percent of total billed charges		1728.05	85			Percent of total billed charges		1728.05	100			Percent of total billed charges		2033	100			Percent of total billed charges		2033	100			Percent of total billed charges		2033	33.3			Percent of total billed charges		676.989	33.3			Percent of total billed charges		676.989	100			Percent of total billed charges		2033	676.989	1829.7	
comp plt 3.5mm 8 hl 71809108 s\n	278	RC	Outpatient			2036	1323.4		90			Percent of total billed charges		1832.4	40			Percent of total billed charges		814.4	80			Percent of total billed charges		1628.8	90			Percent of total billed charges		1832.4	85			Percent of total billed charges		1730.6	85			Percent of total billed charges		1730.6	85			Percent of total billed charges		1730.6	100			Percent of total billed charges		2036	100			Percent of total billed charges		2036	100			Percent of total billed charges		2036	33.3			Percent of total billed charges		677.988	33.3			Percent of total billed charges		677.988	100			Percent of total billed charges		2036	677.988	1832.4	
comp plt 3.5mm 8 hl 71829708 s\n	278	RC	Outpatient			2036	1323.4		90			Percent of total billed charges		1832.4	40			Percent of total billed charges		814.4	80			Percent of total billed charges		1628.8	90			Percent of total billed charges		1832.4	85			Percent of total billed charges		1730.6	85			Percent of total billed charges		1730.6	85			Percent of total billed charges		1730.6	100			Percent of total billed charges		2036	100			Percent of total billed charges		2036	100			Percent of total billed charges		2036	33.3			Percent of total billed charges		677.988	33.3			Percent of total billed charges		677.988	100			Percent of total billed charges		2036	677.988	1832.4	
comp plt 3.5mm 8 hl 71809708 s\n	278	RC	Outpatient			2036	1323.4		90			Percent of total billed charges		1832.4	40			Percent of total billed charges		814.4	80			Percent of total billed charges		1628.8	90			Percent of total billed charges		1832.4	85			Percent of total billed charges		1730.6	85			Percent of total billed charges		1730.6	85			Percent of total billed charges		1730.6	100			Percent of total billed charges		2036	100			Percent of total billed charges		2036	100			Percent of total billed charges		2036	33.3			Percent of total billed charges		677.988	33.3			Percent of total billed charges		677.988	100			Percent of total billed charges		2036	677.988	1832.4	
s/n 3.5 lck comp pl 8 hl	278	RC	Outpatient			2036	1323.4		90			Percent of total billed charges		1832.4	40			Percent of total billed charges		814.4	80			Percent of total billed charges		1628.8	90			Percent of total billed charges		1832.4	85			Percent of total billed charges		1730.6	85			Percent of total billed charges		1730.6	85			Percent of total billed charges		1730.6	100			Percent of total billed charges		2036	100			Percent of total billed charges		2036	100			Percent of total billed charges		2036	33.3			Percent of total billed charges		677.988	33.3			Percent of total billed charges		677.988	100			Percent of total billed charges		2036	677.988	1832.4	
cath lab tendril st 1882tc/46cm	272	RC	Outpatient			2037	1324.05		90			Percent of total billed charges		1833.3	40			Percent of total billed charges		814.8	80			Percent of total billed charges		1629.6	90			Percent of total billed charges		1833.3	85			Percent of total billed charges		1731.45	85			Percent of total billed charges		1731.45	85			Percent of total billed charges		1731.45	100			Percent of total billed charges		2037	100			Percent of total billed charges		2037	100			Percent of total billed charges		2037	33.3			Percent of total billed charges		678.321	33.3			Percent of total billed charges		678.321	100			Percent of total billed charges		2037	678.321	1833.3	
st jude ten st1882tc/46cm	272	RC	Outpatient			2037	1324.05		90			Percent of total billed charges		1833.3	40			Percent of total billed charges		814.8	80			Percent of total billed charges		1629.6	90			Percent of total billed charges		1833.3	85			Percent of total billed charges		1731.45	85			Percent of total billed charges		1731.45	85			Percent of total billed charges		1731.45	100			Percent of total billed charges		2037	100			Percent of total billed charges		2037	100			Percent of total billed charges		2037	33.3			Percent of total billed charges		678.321	33.3			Percent of total billed charges		678.321	100			Percent of total billed charges		2037	678.321	1833.3	
synthes maxi	270	RC	Outpatient			2037	1324.05		90			Percent of total billed charges		1833.3	40			Percent of total billed charges		814.8	80			Percent of total billed charges		1629.6	90			Percent of total billed charges		1833.3	85			Percent of total billed charges		1731.45	85			Percent of total billed charges		1731.45	85			Percent of total billed charges		1731.45	100			Percent of total billed charges		2037	100			Percent of total billed charges		2037	100			Percent of total billed charges		2037	33.3			Percent of total billed charges		678.321	33.3			Percent of total billed charges		678.321	100			Percent of total billed charges		2037	678.321	1833.3	
olecranon locking plate 6h l 71822906 s/n	278	RC	Outpatient			2039	1325.35		90			Percent of total billed charges		1835.1	40			Percent of total billed charges		815.6	80			Percent of total billed charges		1631.2	90			Percent of total billed charges		1835.1	85			Percent of total billed charges		1733.15	85			Percent of total billed charges		1733.15	85			Percent of total billed charges		1733.15	100			Percent of total billed charges		2039	100			Percent of total billed charges		2039	100			Percent of total billed charges		2039	33.3			Percent of total billed charges		678.987	33.3			Percent of total billed charges		678.987	100			Percent of total billed charges		2039	678.987	1835.1	
olecranon locking plate 6h r 71823906 s/n	278	RC	Outpatient			2039	1325.35		90			Percent of total billed charges		1835.1	40			Percent of total billed charges		815.6	80			Percent of total billed charges		1631.2	90			Percent of total billed charges		1835.1	85			Percent of total billed charges		1733.15	85			Percent of total billed charges		1733.15	85			Percent of total billed charges		1733.15	100			Percent of total billed charges		2039	100			Percent of total billed charges		2039	100			Percent of total billed charges		2039	33.3			Percent of total billed charges		678.987	33.3			Percent of total billed charges		678.987	100			Percent of total billed charges		2039	678.987	1835.1	
alloderm select tissue matrix 4 x 7 cm medium thickness 141828 allegan	278	RC	Outpatient			2041.05	1326.68		90			Percent of total billed charges		1836.945	40			Percent of total billed charges		816.42	80			Percent of total billed charges		1632.84	90			Percent of total billed charges		1836.945	85			Percent of total billed charges		1734.8925	85			Percent of total billed charges		1734.8925	85			Percent of total billed charges		1734.8925	100			Percent of total billed charges		2041.05	100			Percent of total billed charges		2041.05	100			Percent of total billed charges		2041.05	33.3			Percent of total billed charges		679.6697	33.3			Percent of total billed charges		679.6697	100			Percent of total billed charges		2041.05	679.6697	1836.945	
arthrex lck deltoid av pl	272	RC	Outpatient			2043	1327.95		90			Percent of total billed charges		1838.7	40			Percent of total billed charges		817.2	80			Percent of total billed charges		1634.4	90			Percent of total billed charges		1838.7	85			Percent of total billed charges		1736.55	85			Percent of total billed charges		1736.55	85			Percent of total billed charges		1736.55	100			Percent of total billed charges		2043	100			Percent of total billed charges		2043	100			Percent of total billed charges		2043	33.3			Percent of total billed charges		680.319	33.3			Percent of total billed charges		680.319	100			Percent of total billed charges		2043	680.319	1838.7	
biomet vanguard tibial bearing 10 x 71/75 183640	278	RC	Outpatient			2045	1329.25		90			Percent of total billed charges		1840.5	40			Percent of total billed charges		818	80			Percent of total billed charges		1636	90			Percent of total billed charges		1840.5	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	33.3			Percent of total billed charges		680.985	33.3			Percent of total billed charges		680.985	100			Percent of total billed charges		2045	680.985	1840.5	
biomet vanguard tibial bearing 10 x 79/83 183660	278	RC	Outpatient			2045	1329.25		90			Percent of total billed charges		1840.5	40			Percent of total billed charges		818	80			Percent of total billed charges		1636	90			Percent of total billed charges		1840.5	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	33.3			Percent of total billed charges		680.985	33.3			Percent of total billed charges		680.985	100			Percent of total billed charges		2045	680.985	1840.5	
biomet vanguard tibial bearing 10 x 87/91 183680	278	RC	Outpatient			2045	1329.25		90			Percent of total billed charges		1840.5	40			Percent of total billed charges		818	80			Percent of total billed charges		1636	90			Percent of total billed charges		1840.5	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	33.3			Percent of total billed charges		680.985	33.3			Percent of total billed charges		680.985	100			Percent of total billed charges		2045	680.985	1840.5	
biomet vanguard tibial bearing 12 x 59 183602	278	RC	Outpatient			2045	1329.25		90			Percent of total billed charges		1840.5	40			Percent of total billed charges		818	80			Percent of total billed charges		1636	90			Percent of total billed charges		1840.5	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	33.3			Percent of total billed charges		680.985	33.3			Percent of total billed charges		680.985	100			Percent of total billed charges		2045	680.985	1840.5	
biomet vanguard tibial bearing 12 x 63/67 183622	278	RC	Outpatient			2045	1329.25		90			Percent of total billed charges		1840.5	40			Percent of total billed charges		818	80			Percent of total billed charges		1636	90			Percent of total billed charges		1840.5	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	33.3			Percent of total billed charges		680.985	33.3			Percent of total billed charges		680.985	100			Percent of total billed charges		2045	680.985	1840.5	
biomet vanguard tibial bearing 12 x 71/75 183642	278	RC	Outpatient			2045	1329.25		90			Percent of total billed charges		1840.5	40			Percent of total billed charges		818	80			Percent of total billed charges		1636	90			Percent of total billed charges		1840.5	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	33.3			Percent of total billed charges		680.985	33.3			Percent of total billed charges		680.985	100			Percent of total billed charges		2045	680.985	1840.5	
biomet vanguard tibial bearing 12 x 79/83 183662	278	RC	Outpatient			2045	1329.25		90			Percent of total billed charges		1840.5	40			Percent of total billed charges		818	80			Percent of total billed charges		1636	90			Percent of total billed charges		1840.5	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	33.3			Percent of total billed charges		680.985	33.3			Percent of total billed charges		680.985	100			Percent of total billed charges		2045	680.985	1840.5	
biomet vanguard tibial bearing 12 x 87/91 183682	278	RC	Outpatient			2045	1329.25		90			Percent of total billed charges		1840.5	40			Percent of total billed charges		818	80			Percent of total billed charges		1636	90			Percent of total billed charges		1840.5	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	33.3			Percent of total billed charges		680.985	33.3			Percent of total billed charges		680.985	100			Percent of total billed charges		2045	680.985	1840.5	
biomet vanguard tibial bearing 14 x 63/67 183624	278	RC	Outpatient			2045	1329.25		90			Percent of total billed charges		1840.5	40			Percent of total billed charges		818	80			Percent of total billed charges		1636	90			Percent of total billed charges		1840.5	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	33.3			Percent of total billed charges		680.985	33.3			Percent of total billed charges		680.985	100			Percent of total billed charges		2045	680.985	1840.5	
biomet vanguard tibial bearing 16 x 59 183606	278	RC	Outpatient			2045	1329.25		90			Percent of total billed charges		1840.5	40			Percent of total billed charges		818	80			Percent of total billed charges		1636	90			Percent of total billed charges		1840.5	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	33.3			Percent of total billed charges		680.985	33.3			Percent of total billed charges		680.985	100			Percent of total billed charges		2045	680.985	1840.5	
biomet vanguard tibial bearing 16 x 71/75 183646	278	RC	Outpatient			2045	1329.25		90			Percent of total billed charges		1840.5	40			Percent of total billed charges		818	80			Percent of total billed charges		1636	90			Percent of total billed charges		1840.5	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	33.3			Percent of total billed charges		680.985	33.3			Percent of total billed charges		680.985	100			Percent of total billed charges		2045	680.985	1840.5	
biomet vanguard tibial bearing 18 x 59 183608	278	RC	Outpatient			2045	1329.25		90			Percent of total billed charges		1840.5	40			Percent of total billed charges		818	80			Percent of total billed charges		1636	90			Percent of total billed charges		1840.5	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	33.3			Percent of total billed charges		680.985	33.3			Percent of total billed charges		680.985	100			Percent of total billed charges		2045	680.985	1840.5	
biomet vanguard tibial bearing 18 x 63/67 183628	278	RC	Outpatient			2045	1329.25		90			Percent of total billed charges		1840.5	40			Percent of total billed charges		818	80			Percent of total billed charges		1636	90			Percent of total billed charges		1840.5	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	33.3			Percent of total billed charges		680.985	33.3			Percent of total billed charges		680.985	100			Percent of total billed charges		2045	680.985	1840.5	
biomet vanguard tibial bearing 18 x 87/91 183688	278	RC	Outpatient			2045	1329.25		90			Percent of total billed charges		1840.5	40			Percent of total billed charges		818	80			Percent of total billed charges		1636	90			Percent of total billed charges		1840.5	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	33.3			Percent of total billed charges		680.985	33.3			Percent of total billed charges		680.985	100			Percent of total billed charges		2045	680.985	1840.5	
biomet vanguard tibial bearing 20 x 59 183610	278	RC	Outpatient			2045	1329.25		90			Percent of total billed charges		1840.5	40			Percent of total billed charges		818	80			Percent of total billed charges		1636	90			Percent of total billed charges		1840.5	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	33.3			Percent of total billed charges		680.985	33.3			Percent of total billed charges		680.985	100			Percent of total billed charges		2045	680.985	1840.5	
biomet vanguard tibial bearing 20 x 63/67 183630	278	RC	Outpatient			2045	1329.25		90			Percent of total billed charges		1840.5	40			Percent of total billed charges		818	80			Percent of total billed charges		1636	90			Percent of total billed charges		1840.5	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	33.3			Percent of total billed charges		680.985	33.3			Percent of total billed charges		680.985	100			Percent of total billed charges		2045	680.985	1840.5	
biomet vanguard tibial bearing 20 x 71/75 183650	278	RC	Outpatient			2045	1329.25		90			Percent of total billed charges		1840.5	40			Percent of total billed charges		818	80			Percent of total billed charges		1636	90			Percent of total billed charges		1840.5	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	33.3			Percent of total billed charges		680.985	33.3			Percent of total billed charges		680.985	100			Percent of total billed charges		2045	680.985	1840.5	
biomet vanguard tibial bearing 20 x 79/83 183670	278	RC	Outpatient			2045	1329.25		90			Percent of total billed charges		1840.5	40			Percent of total billed charges		818	80			Percent of total billed charges		1636	90			Percent of total billed charges		1840.5	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	33.3			Percent of total billed charges		680.985	33.3			Percent of total billed charges		680.985	100			Percent of total billed charges		2045	680.985	1840.5	
biomet vanguard tibial bearing 20 x 87/91 183690	278	RC	Outpatient			2045	1329.25		90			Percent of total billed charges		1840.5	40			Percent of total billed charges		818	80			Percent of total billed charges		1636	90			Percent of total billed charges		1840.5	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	33.3			Percent of total billed charges		680.985	33.3			Percent of total billed charges		680.985	100			Percent of total billed charges		2045	680.985	1840.5	
bio vanguard ps+tib bear	278	RC	Outpatient			2045	1329.25		90			Percent of total billed charges		1840.5	40			Percent of total billed charges		818	80			Percent of total billed charges		1636	90			Percent of total billed charges		1840.5	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	33.3			Percent of total billed charges		680.985	33.3			Percent of total billed charges		680.985	100			Percent of total billed charges		2045	680.985	1840.5	
biomet vanguard tibial bearing 10 x 59 183600	278	RC	Outpatient			2045	1329.25		90			Percent of total billed charges		1840.5	40			Percent of total billed charges		818	80			Percent of total billed charges		1636	90			Percent of total billed charges		1840.5	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	33.3			Percent of total billed charges		680.985	33.3			Percent of total billed charges		680.985	100			Percent of total billed charges		2045	680.985	1840.5	
biomet vanguard tibial bearing 10 x 63/67 183620	278	RC	Outpatient			2045	1329.25		90			Percent of total billed charges		1840.5	40			Percent of total billed charges		818	80			Percent of total billed charges		1636	90			Percent of total billed charges		1840.5	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	33.3			Percent of total billed charges		680.985	33.3			Percent of total billed charges		680.985	100			Percent of total billed charges		2045	680.985	1840.5	
biomet vanguard tibial bearing 14 x 71/75 183644	278	RC	Outpatient			2045	1329.25		90			Percent of total billed charges		1840.5	40			Percent of total billed charges		818	80			Percent of total billed charges		1636	90			Percent of total billed charges		1840.5	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	33.3			Percent of total billed charges		680.985	33.3			Percent of total billed charges		680.985	100			Percent of total billed charges		2045	680.985	1840.5	
biomet vanguard tibial bearing 14 x 79/83 183664	278	RC	Outpatient			2045	1329.25		90			Percent of total billed charges		1840.5	40			Percent of total billed charges		818	80			Percent of total billed charges		1636	90			Percent of total billed charges		1840.5	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	33.3			Percent of total billed charges		680.985	33.3			Percent of total billed charges		680.985	100			Percent of total billed charges		2045	680.985	1840.5	
biomet vanguard tibial bearing 14 x 87/91 183684	278	RC	Outpatient			2045	1329.25		90			Percent of total billed charges		1840.5	40			Percent of total billed charges		818	80			Percent of total billed charges		1636	90			Percent of total billed charges		1840.5	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	33.3			Percent of total billed charges		680.985	33.3			Percent of total billed charges		680.985	100			Percent of total billed charges		2045	680.985	1840.5	
biomet vanguard tibial bearing 16 x 63/67 183626	278	RC	Outpatient			2045	1329.25		90			Percent of total billed charges		1840.5	40			Percent of total billed charges		818	80			Percent of total billed charges		1636	90			Percent of total billed charges		1840.5	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	33.3			Percent of total billed charges		680.985	33.3			Percent of total billed charges		680.985	100			Percent of total billed charges		2045	680.985	1840.5	
biomet vanguard tibial bearing 16 x 79/83 183666	278	RC	Outpatient			2045	1329.25		90			Percent of total billed charges		1840.5	40			Percent of total billed charges		818	80			Percent of total billed charges		1636	90			Percent of total billed charges		1840.5	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	33.3			Percent of total billed charges		680.985	33.3			Percent of total billed charges		680.985	100			Percent of total billed charges		2045	680.985	1840.5	
biomet vanguard tibial bearing 16 x 87/91 183686	278	RC	Outpatient			2045	1329.25		90			Percent of total billed charges		1840.5	40			Percent of total billed charges		818	80			Percent of total billed charges		1636	90			Percent of total billed charges		1840.5	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	33.3			Percent of total billed charges		680.985	33.3			Percent of total billed charges		680.985	100			Percent of total billed charges		2045	680.985	1840.5	
biomet vanguard tibial bearing 18 x 71/75 183648	278	RC	Outpatient			2045	1329.25		90			Percent of total billed charges		1840.5	40			Percent of total billed charges		818	80			Percent of total billed charges		1636	90			Percent of total billed charges		1840.5	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	33.3			Percent of total billed charges		680.985	33.3			Percent of total billed charges		680.985	100			Percent of total billed charges		2045	680.985	1840.5	
biomet vanguard tibial bearing 18 x 79/83 183668	278	RC	Outpatient			2045	1329.25		90			Percent of total billed charges		1840.5	40			Percent of total billed charges		818	80			Percent of total billed charges		1636	90			Percent of total billed charges		1840.5	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	33.3			Percent of total billed charges		680.985	33.3			Percent of total billed charges		680.985	100			Percent of total billed charges		2045	680.985	1840.5	
vanguard ant stab tibial bearing 10 x 71mm 189024 biomet	278	RC	Outpatient			2045	1329.25		90			Percent of total billed charges		1840.5	40			Percent of total billed charges		818	80			Percent of total billed charges		1636	90			Percent of total billed charges		1840.5	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	33.3			Percent of total billed charges		680.985	33.3			Percent of total billed charges		680.985	100			Percent of total billed charges		2045	680.985	1840.5	
vanguard ant stab tibial bearing 10 x 83mm 189120 biomet	278	RC	Outpatient			2045	1329.25		90			Percent of total billed charges		1840.5	40			Percent of total billed charges		818	80			Percent of total billed charges		1636	90			Percent of total billed charges		1840.5	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	33.3			Percent of total billed charges		680.985	33.3			Percent of total billed charges		680.985	100			Percent of total billed charges		2045	680.985	1840.5	
vanguard ant stab tibial bearing 12 x 87mm 189142 biomet	278	RC	Outpatient			2045	1329.25		90			Percent of total billed charges		1840.5	40			Percent of total billed charges		818	80			Percent of total billed charges		1636	90			Percent of total billed charges		1840.5	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	33.3			Percent of total billed charges		680.985	33.3			Percent of total billed charges		680.985	100			Percent of total billed charges		2045	680.985	1840.5	
vanguard ant stab tibial bearing 12 x 91mm 189162 biomet	278	RC	Outpatient			2045	1329.25		90			Percent of total billed charges		1840.5	40			Percent of total billed charges		818	80			Percent of total billed charges		1636	90			Percent of total billed charges		1840.5	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	33.3			Percent of total billed charges		680.985	33.3			Percent of total billed charges		680.985	100			Percent of total billed charges		2045	680.985	1840.5	
vanguard ant stab tibial bearing 14 x 91mm 189164 biomet	278	RC	Outpatient			2045	1329.25		90			Percent of total billed charges		1840.5	40			Percent of total billed charges		818	80			Percent of total billed charges		1636	90			Percent of total billed charges		1840.5	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	33.3			Percent of total billed charges		680.985	33.3			Percent of total billed charges		680.985	100			Percent of total billed charges		2045	680.985	1840.5	
vanguard ant stab tibial bearing 16 x 87mm 189146 biomet	278	RC	Outpatient			2045	1329.25		90			Percent of total billed charges		1840.5	40			Percent of total billed charges		818	80			Percent of total billed charges		1636	90			Percent of total billed charges		1840.5	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	33.3			Percent of total billed charges		680.985	33.3			Percent of total billed charges		680.985	100			Percent of total billed charges		2045	680.985	1840.5	
vanguard ant stab tibial bearing 10 x 87mm 189140 biomet	278	RC	Outpatient			2045	1329.25		90			Percent of total billed charges		1840.5	40			Percent of total billed charges		818	80			Percent of total billed charges		1636	90			Percent of total billed charges		1840.5	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	33.3			Percent of total billed charges		680.985	33.3			Percent of total billed charges		680.985	100			Percent of total billed charges		2045	680.985	1840.5	
vanguard ant stab tibial bearing 10 x 91mm 189160 biomet	278	RC	Outpatient			2045	1329.25		90			Percent of total billed charges		1840.5	40			Percent of total billed charges		818	80			Percent of total billed charges		1636	90			Percent of total billed charges		1840.5	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	33.3			Percent of total billed charges		680.985	33.3			Percent of total billed charges		680.985	100			Percent of total billed charges		2045	680.985	1840.5	
vanguard ant stab tibial bearing 14 x 87mm 189144 biomet	278	RC	Outpatient			2045	1329.25		90			Percent of total billed charges		1840.5	40			Percent of total billed charges		818	80			Percent of total billed charges		1636	90			Percent of total billed charges		1840.5	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	33.3			Percent of total billed charges		680.985	33.3			Percent of total billed charges		680.985	100			Percent of total billed charges		2045	680.985	1840.5	
vanguard ant stab tibial bearing 16 x 91mm 189166 biomet	278	RC	Outpatient			2045	1329.25		90			Percent of total billed charges		1840.5	40			Percent of total billed charges		818	80			Percent of total billed charges		1636	90			Percent of total billed charges		1840.5	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	33.3			Percent of total billed charges		680.985	33.3			Percent of total billed charges		680.985	100			Percent of total billed charges		2045	680.985	1840.5	
vanguard ant stab tibial bearing 18 x 87mm 189148 biomet	278	RC	Outpatient			2045	1329.25		90			Percent of total billed charges		1840.5	40			Percent of total billed charges		818	80			Percent of total billed charges		1636	90			Percent of total billed charges		1840.5	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	33.3			Percent of total billed charges		680.985	33.3			Percent of total billed charges		680.985	100			Percent of total billed charges		2045	680.985	1840.5	
vanguard ant stab tibial bearing 18 x 91mm 189688 biomet	278	RC	Outpatient			2045	1329.25		90			Percent of total billed charges		1840.5	40			Percent of total billed charges		818	80			Percent of total billed charges		1636	90			Percent of total billed charges		1840.5	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	33.3			Percent of total billed charges		680.985	33.3			Percent of total billed charges		680.985	100			Percent of total billed charges		2045	680.985	1840.5	
vanguard ant stab tibial bearing 20 x 87mm 189150 biomet	278	RC	Outpatient			2045	1329.25		90			Percent of total billed charges		1840.5	40			Percent of total billed charges		818	80			Percent of total billed charges		1636	90			Percent of total billed charges		1840.5	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	33.3			Percent of total billed charges		680.985	33.3			Percent of total billed charges		680.985	100			Percent of total billed charges		2045	680.985	1840.5	
vanguard ant stab tibial bearing 20 x 91mm 189170 biomet	278	RC	Outpatient			2045	1329.25		90			Percent of total billed charges		1840.5	40			Percent of total billed charges		818	80			Percent of total billed charges		1636	90			Percent of total billed charges		1840.5	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	85			Percent of total billed charges		1738.25	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	100			Percent of total billed charges		2045	33.3			Percent of total billed charges		680.985	33.3			Percent of total billed charges		680.985	100			Percent of total billed charges		2045	680.985	1840.5	
lg fr pl cp nar cmp 10-12	278	RC	Outpatient			2048	1331.2		90			Percent of total billed charges		1843.2	40			Percent of total billed charges		819.2	80			Percent of total billed charges		1638.4	90			Percent of total billed charges		1843.2	85			Percent of total billed charges		1740.8	85			Percent of total billed charges		1740.8	85			Percent of total billed charges		1740.8	100			Percent of total billed charges		2048	100			Percent of total billed charges		2048	100			Percent of total billed charges		2048	33.3			Percent of total billed charges		681.984	33.3			Percent of total billed charges		681.984	100			Percent of total billed charges		2048	681.984	1843.2	
s/n lg frag plate 4.5mm 11 hole 7184-1411	278	RC	Outpatient			2048	1331.2		90			Percent of total billed charges		1843.2	40			Percent of total billed charges		819.2	80			Percent of total billed charges		1638.4	90			Percent of total billed charges		1843.2	85			Percent of total billed charges		1740.8	85			Percent of total billed charges		1740.8	85			Percent of total billed charges		1740.8	100			Percent of total billed charges		2048	100			Percent of total billed charges		2048	100			Percent of total billed charges		2048	33.3			Percent of total billed charges		681.984	33.3			Percent of total billed charges		681.984	100			Percent of total billed charges		2048	681.984	1843.2	
s/n lg frag plate 4.5mm 12 hole 7184-1412	278	RC	Outpatient			2048	1331.2		90			Percent of total billed charges		1843.2	40			Percent of total billed charges		819.2	80			Percent of total billed charges		1638.4	90			Percent of total billed charges		1843.2	85			Percent of total billed charges		1740.8	85			Percent of total billed charges		1740.8	85			Percent of total billed charges		1740.8	100			Percent of total billed charges		2048	100			Percent of total billed charges		2048	100			Percent of total billed charges		2048	33.3			Percent of total billed charges		681.984	33.3			Percent of total billed charges		681.984	100			Percent of total billed charges		2048	681.984	1843.2	
s/n lg frag plate 4.5mm 10 hole 7184-1410	278	RC	Outpatient			2048	1331.2		90			Percent of total billed charges		1843.2	40			Percent of total billed charges		819.2	80			Percent of total billed charges		1638.4	90			Percent of total billed charges		1843.2	85			Percent of total billed charges		1740.8	85			Percent of total billed charges		1740.8	85			Percent of total billed charges		1740.8	100			Percent of total billed charges		2048	100			Percent of total billed charges		2048	100			Percent of total billed charges		2048	33.3			Percent of total billed charges		681.984	33.3			Percent of total billed charges		681.984	100			Percent of total billed charges		2048	681.984	1843.2	
zimm drg stem	278	RC	Outpatient			2054	1335.1		90			Percent of total billed charges		1848.6	40			Percent of total billed charges		821.6	80			Percent of total billed charges		1643.2	90			Percent of total billed charges		1848.6	85			Percent of total billed charges		1745.9	85			Percent of total billed charges		1745.9	85			Percent of total billed charges		1745.9	100			Percent of total billed charges		2054	100			Percent of total billed charges		2054	100			Percent of total billed charges		2054	33.3			Percent of total billed charges		683.982	33.3			Percent of total billed charges		683.982	100			Percent of total billed charges		2054	683.982	1848.6	
zimmer versys cemented ld/fx 16 7833-16	278	RC	Outpatient			2054	1335.1		90			Percent of total billed charges		1848.6	40			Percent of total billed charges		821.6	80			Percent of total billed charges		1643.2	90			Percent of total billed charges		1848.6	85			Percent of total billed charges		1745.9	85			Percent of total billed charges		1745.9	85			Percent of total billed charges		1745.9	100			Percent of total billed charges		2054	100			Percent of total billed charges		2054	100			Percent of total billed charges		2054	33.3			Percent of total billed charges		683.982	33.3			Percent of total billed charges		683.982	100			Percent of total billed charges		2054	683.982	1848.6	
zimmer versys cemented ld/fx 11 7833-11	278	RC	Outpatient			2054	1335.1		90			Percent of total billed charges		1848.6	40			Percent of total billed charges		821.6	80			Percent of total billed charges		1643.2	90			Percent of total billed charges		1848.6	85			Percent of total billed charges		1745.9	85			Percent of total billed charges		1745.9	85			Percent of total billed charges		1745.9	100			Percent of total billed charges		2054	100			Percent of total billed charges		2054	100			Percent of total billed charges		2054	33.3			Percent of total billed charges		683.982	33.3			Percent of total billed charges		683.982	100			Percent of total billed charges		2054	683.982	1848.6	
zimmer versys cemented ld/fx 12 7833-12	278	RC	Outpatient			2054	1335.1		90			Percent of total billed charges		1848.6	40			Percent of total billed charges		821.6	80			Percent of total billed charges		1643.2	90			Percent of total billed charges		1848.6	85			Percent of total billed charges		1745.9	85			Percent of total billed charges		1745.9	85			Percent of total billed charges		1745.9	100			Percent of total billed charges		2054	100			Percent of total billed charges		2054	100			Percent of total billed charges		2054	33.3			Percent of total billed charges		683.982	33.3			Percent of total billed charges		683.982	100			Percent of total billed charges		2054	683.982	1848.6	
zimmer versys cemented ld/fx 14 7833-14	278	RC	Outpatient			2054	1335.1		90			Percent of total billed charges		1848.6	40			Percent of total billed charges		821.6	80			Percent of total billed charges		1643.2	90			Percent of total billed charges		1848.6	85			Percent of total billed charges		1745.9	85			Percent of total billed charges		1745.9	85			Percent of total billed charges		1745.9	100			Percent of total billed charges		2054	100			Percent of total billed charges		2054	100			Percent of total billed charges		2054	33.3			Percent of total billed charges		683.982	33.3			Percent of total billed charges		683.982	100			Percent of total billed charges		2054	683.982	1848.6	
zimmer versys cemented ld/fx 18 7833-18	278	RC	Outpatient			2054	1335.1		90			Percent of total billed charges		1848.6	40			Percent of total billed charges		821.6	80			Percent of total billed charges		1643.2	90			Percent of total billed charges		1848.6	85			Percent of total billed charges		1745.9	85			Percent of total billed charges		1745.9	85			Percent of total billed charges		1745.9	100			Percent of total billed charges		2054	100			Percent of total billed charges		2054	100			Percent of total billed charges		2054	33.3			Percent of total billed charges		683.982	33.3			Percent of total billed charges		683.982	100			Percent of total billed charges		2054	683.982	1848.6	
zimmer versys press-fit ld/fx 11 7834-11	278	RC	Outpatient			2054	1335.1		90			Percent of total billed charges		1848.6	40			Percent of total billed charges		821.6	80			Percent of total billed charges		1643.2	90			Percent of total billed charges		1848.6	85			Percent of total billed charges		1745.9	85			Percent of total billed charges		1745.9	85			Percent of total billed charges		1745.9	100			Percent of total billed charges		2054	100			Percent of total billed charges		2054	100			Percent of total billed charges		2054	33.3			Percent of total billed charges		683.982	33.3			Percent of total billed charges		683.982	100			Percent of total billed charges		2054	683.982	1848.6	
zimmer versys press-fit ld/fx 12 7834-12	278	RC	Outpatient			2054	1335.1		90			Percent of total billed charges		1848.6	40			Percent of total billed charges		821.6	80			Percent of total billed charges		1643.2	90			Percent of total billed charges		1848.6	85			Percent of total billed charges		1745.9	85			Percent of total billed charges		1745.9	85			Percent of total billed charges		1745.9	100			Percent of total billed charges		2054	100			Percent of total billed charges		2054	100			Percent of total billed charges		2054	33.3			Percent of total billed charges		683.982	33.3			Percent of total billed charges		683.982	100			Percent of total billed charges		2054	683.982	1848.6	
zimmer versys press-fit ld/fx 13 7834-13	278	RC	Outpatient			2054	1335.1		90			Percent of total billed charges		1848.6	40			Percent of total billed charges		821.6	80			Percent of total billed charges		1643.2	90			Percent of total billed charges		1848.6	85			Percent of total billed charges		1745.9	85			Percent of total billed charges		1745.9	85			Percent of total billed charges		1745.9	100			Percent of total billed charges		2054	100			Percent of total billed charges		2054	100			Percent of total billed charges		2054	33.3			Percent of total billed charges		683.982	33.3			Percent of total billed charges		683.982	100			Percent of total billed charges		2054	683.982	1848.6	
zimmer versys press-fit ld/fx 14 7834-14	278	RC	Outpatient			2054	1335.1		90			Percent of total billed charges		1848.6	40			Percent of total billed charges		821.6	80			Percent of total billed charges		1643.2	90			Percent of total billed charges		1848.6	85			Percent of total billed charges		1745.9	85			Percent of total billed charges		1745.9	85			Percent of total billed charges		1745.9	100			Percent of total billed charges		2054	100			Percent of total billed charges		2054	100			Percent of total billed charges		2054	33.3			Percent of total billed charges		683.982	33.3			Percent of total billed charges		683.982	100			Percent of total billed charges		2054	683.982	1848.6	
zimmer versys press-fit ld/fx 15 7834-15	278	RC	Outpatient			2054	1335.1		90			Percent of total billed charges		1848.6	40			Percent of total billed charges		821.6	80			Percent of total billed charges		1643.2	90			Percent of total billed charges		1848.6	85			Percent of total billed charges		1745.9	85			Percent of total billed charges		1745.9	85			Percent of total billed charges		1745.9	100			Percent of total billed charges		2054	100			Percent of total billed charges		2054	100			Percent of total billed charges		2054	33.3			Percent of total billed charges		683.982	33.3			Percent of total billed charges		683.982	100			Percent of total billed charges		2054	683.982	1848.6	
zimmer versys press-fit ld/fx 16 7834-16	278	RC	Outpatient			2054	1335.1		90			Percent of total billed charges		1848.6	40			Percent of total billed charges		821.6	80			Percent of total billed charges		1643.2	90			Percent of total billed charges		1848.6	85			Percent of total billed charges		1745.9	85			Percent of total billed charges		1745.9	85			Percent of total billed charges		1745.9	100			Percent of total billed charges		2054	100			Percent of total billed charges		2054	100			Percent of total billed charges		2054	33.3			Percent of total billed charges		683.982	33.3			Percent of total billed charges		683.982	100			Percent of total billed charges		2054	683.982	1848.6	
scorpio distal fem augment #7 10mm lt block 75-1-0710 stryker	278	RC	Outpatient			2056	1336.4		90			Percent of total billed charges		1850.4	40			Percent of total billed charges		822.4	80			Percent of total billed charges		1644.8	90			Percent of total billed charges		1850.4	85			Percent of total billed charges		1747.6	85			Percent of total billed charges		1747.6	85			Percent of total billed charges		1747.6	100			Percent of total billed charges		2056	100			Percent of total billed charges		2056	100			Percent of total billed charges		2056	33.3			Percent of total billed charges		684.648	33.3			Percent of total billed charges		684.648	100			Percent of total billed charges		2056	684.648	1850.4	
scorpio post fem augment #7 5mm 75-2-0705 stryker	278	RC	Outpatient			2056	1336.4		90			Percent of total billed charges		1850.4	40			Percent of total billed charges		822.4	80			Percent of total billed charges		1644.8	90			Percent of total billed charges		1850.4	85			Percent of total billed charges		1747.6	85			Percent of total billed charges		1747.6	85			Percent of total billed charges		1747.6	100			Percent of total billed charges		2056	100			Percent of total billed charges		2056	100			Percent of total billed charges		2056	33.3			Percent of total billed charges		684.648	33.3			Percent of total billed charges		684.648	100			Percent of total billed charges		2056	684.648	1850.4	
stryker scorpio fem aug	278	RC	Outpatient			2056	1336.4		90			Percent of total billed charges		1850.4	40			Percent of total billed charges		822.4	80			Percent of total billed charges		1644.8	90			Percent of total billed charges		1850.4	85			Percent of total billed charges		1747.6	85			Percent of total billed charges		1747.6	85			Percent of total billed charges		1747.6	100			Percent of total billed charges		2056	100			Percent of total billed charges		2056	100			Percent of total billed charges		2056	33.3			Percent of total billed charges		684.648	33.3			Percent of total billed charges		684.648	100			Percent of total billed charges		2056	684.648	1850.4	
scorpio distal fem augment #7 5mm lt block 75-1-0705 stryker	278	RC	Outpatient			2056	1336.4		90			Percent of total billed charges		1850.4	40			Percent of total billed charges		822.4	80			Percent of total billed charges		1644.8	90			Percent of total billed charges		1850.4	85			Percent of total billed charges		1747.6	85			Percent of total billed charges		1747.6	85			Percent of total billed charges		1747.6	100			Percent of total billed charges		2056	100			Percent of total billed charges		2056	100			Percent of total billed charges		2056	33.3			Percent of total billed charges		684.648	33.3			Percent of total billed charges		684.648	100			Percent of total billed charges		2056	684.648	1850.4	
acetabular shell holes 48mm 6200-48-22 zimmer	278	RC	Outpatient			2060	1339		90			Percent of total billed charges		1854	40			Percent of total billed charges		824	80			Percent of total billed charges		1648	90			Percent of total billed charges		1854	85			Percent of total billed charges		1751	85			Percent of total billed charges		1751	85			Percent of total billed charges		1751	100			Percent of total billed charges		2060	100			Percent of total billed charges		2060	100			Percent of total billed charges		2060	33.3			Percent of total billed charges		685.98	33.3			Percent of total billed charges		685.98	100			Percent of total billed charges		2060	685.98	1854	
triolgy acet shell 52mm 00-6200-052-22 zimmer	278	RC	Outpatient			2060	1339		90			Percent of total billed charges		1854	40			Percent of total billed charges		824	80			Percent of total billed charges		1648	90			Percent of total billed charges		1854	85			Percent of total billed charges		1751	85			Percent of total billed charges		1751	85			Percent of total billed charges		1751	100			Percent of total billed charges		2060	100			Percent of total billed charges		2060	100			Percent of total billed charges		2060	33.3			Percent of total billed charges		685.98	33.3			Percent of total billed charges		685.98	100			Percent of total billed charges		2060	685.98	1854	
triolgy acet shell 56mm od cluster 00-6200-056-22 zimmer	278	RC	Outpatient			2060	1339		90			Percent of total billed charges		1854	40			Percent of total billed charges		824	80			Percent of total billed charges		1648	90			Percent of total billed charges		1854	85			Percent of total billed charges		1751	85			Percent of total billed charges		1751	85			Percent of total billed charges		1751	100			Percent of total billed charges		2060	100			Percent of total billed charges		2060	100			Percent of total billed charges		2060	33.3			Percent of total billed charges		685.98	33.3			Percent of total billed charges		685.98	100			Percent of total billed charges		2060	685.98	1854	
triolgy acet shell 62mm od cluster 00-6200-062-22 zimmer	278	RC	Outpatient			2060	1339		90			Percent of total billed charges		1854	40			Percent of total billed charges		824	80			Percent of total billed charges		1648	90			Percent of total billed charges		1854	85			Percent of total billed charges		1751	85			Percent of total billed charges		1751	85			Percent of total billed charges		1751	100			Percent of total billed charges		2060	100			Percent of total billed charges		2060	100			Percent of total billed charges		2060	33.3			Percent of total billed charges		685.98	33.3			Percent of total billed charges		685.98	100			Percent of total billed charges		2060	685.98	1854	
triolgy acet shell 64mm od cluster 00-6200-064-22 zimmer	278	RC	Outpatient			2060	1339		90			Percent of total billed charges		1854	40			Percent of total billed charges		824	80			Percent of total billed charges		1648	90			Percent of total billed charges		1854	85			Percent of total billed charges		1751	85			Percent of total billed charges		1751	85			Percent of total billed charges		1751	100			Percent of total billed charges		2060	100			Percent of total billed charges		2060	100			Percent of total billed charges		2060	33.3			Percent of total billed charges		685.98	33.3			Percent of total billed charges		685.98	100			Percent of total billed charges		2060	685.98	1854	
triolgy acet shell 66mm od cluster 00-6200-066-22 zimmer	278	RC	Outpatient			2060	1339		90			Percent of total billed charges		1854	40			Percent of total billed charges		824	80			Percent of total billed charges		1648	90			Percent of total billed charges		1854	85			Percent of total billed charges		1751	85			Percent of total billed charges		1751	85			Percent of total billed charges		1751	100			Percent of total billed charges		2060	100			Percent of total billed charges		2060	100			Percent of total billed charges		2060	33.3			Percent of total billed charges		685.98	33.3			Percent of total billed charges		685.98	100			Percent of total billed charges		2060	685.98	1854	
triolgy acet shell 68mm od cluster 00-6200-068-22 zimmer	278	RC	Outpatient			2060	1339		90			Percent of total billed charges		1854	40			Percent of total billed charges		824	80			Percent of total billed charges		1648	90			Percent of total billed charges		1854	85			Percent of total billed charges		1751	85			Percent of total billed charges		1751	85			Percent of total billed charges		1751	100			Percent of total billed charges		2060	100			Percent of total billed charges		2060	100			Percent of total billed charges		2060	33.3			Percent of total billed charges		685.98	33.3			Percent of total billed charges		685.98	100			Percent of total billed charges		2060	685.98	1854	
zimm acetabular shell	278	RC	Outpatient			2060	1339		90			Percent of total billed charges		1854	40			Percent of total billed charges		824	80			Percent of total billed charges		1648	90			Percent of total billed charges		1854	85			Percent of total billed charges		1751	85			Percent of total billed charges		1751	85			Percent of total billed charges		1751	100			Percent of total billed charges		2060	100			Percent of total billed charges		2060	100			Percent of total billed charges		2060	33.3			Percent of total billed charges		685.98	33.3			Percent of total billed charges		685.98	100			Percent of total billed charges		2060	685.98	1854	
triolgy acet shell 54mm od cluster 00-6200-054-22 zimmer	278	RC	Outpatient			2060	1339		90			Percent of total billed charges		1854	40			Percent of total billed charges		824	80			Percent of total billed charges		1648	90			Percent of total billed charges		1854	85			Percent of total billed charges		1751	85			Percent of total billed charges		1751	85			Percent of total billed charges		1751	100			Percent of total billed charges		2060	100			Percent of total billed charges		2060	100			Percent of total billed charges		2060	33.3			Percent of total billed charges		685.98	33.3			Percent of total billed charges		685.98	100			Percent of total billed charges		2060	685.98	1854	
triolgy acet shell 58mm od cluster 00-6200-058-22 zimmer	278	RC	Outpatient			2060	1339		90			Percent of total billed charges		1854	40			Percent of total billed charges		824	80			Percent of total billed charges		1648	90			Percent of total billed charges		1854	85			Percent of total billed charges		1751	85			Percent of total billed charges		1751	85			Percent of total billed charges		1751	100			Percent of total billed charges		2060	100			Percent of total billed charges		2060	100			Percent of total billed charges		2060	33.3			Percent of total billed charges		685.98	33.3			Percent of total billed charges		685.98	100			Percent of total billed charges		2060	685.98	1854	
triolgy acet shell 60mm od cluster 00-6200-060-22 zimmer	278	RC	Outpatient			2060	1339		90			Percent of total billed charges		1854	40			Percent of total billed charges		824	80			Percent of total billed charges		1648	90			Percent of total billed charges		1854	85			Percent of total billed charges		1751	85			Percent of total billed charges		1751	85			Percent of total billed charges		1751	100			Percent of total billed charges		2060	100			Percent of total billed charges		2060	100			Percent of total billed charges		2060	33.3			Percent of total billed charges		685.98	33.3			Percent of total billed charges		685.98	100			Percent of total billed charges		2060	685.98	1854	
triolgy acet shell 70mm od cluster 00-6200-070-22 zimmer	278	RC	Outpatient			2060	1339		90			Percent of total billed charges		1854	40			Percent of total billed charges		824	80			Percent of total billed charges		1648	90			Percent of total billed charges		1854	85			Percent of total billed charges		1751	85			Percent of total billed charges		1751	85			Percent of total billed charges		1751	100			Percent of total billed charges		2060	100			Percent of total billed charges		2060	100			Percent of total billed charges		2060	33.3			Percent of total billed charges		685.98	33.3			Percent of total billed charges		685.98	100			Percent of total billed charges		2060	685.98	1854	
zimmer  acet. shell  holes 50mm 6200-50-22	278	RC	Outpatient			2060	1339		90			Percent of total billed charges		1854	40			Percent of total billed charges		824	80			Percent of total billed charges		1648	90			Percent of total billed charges		1854	85			Percent of total billed charges		1751	85			Percent of total billed charges		1751	85			Percent of total billed charges		1751	100			Percent of total billed charges		2060	100			Percent of total billed charges		2060	100			Percent of total billed charges		2060	33.3			Percent of total billed charges		685.98	33.3			Percent of total billed charges		685.98	100			Percent of total billed charges		2060	685.98	1854	
triathlon poly ps tib ins	278	RC	Outpatient			2070	1345.5		90			Percent of total billed charges		1863	40			Percent of total billed charges		828	80			Percent of total billed charges		1656	90			Percent of total billed charges		1863	85			Percent of total billed charges		1759.5	85			Percent of total billed charges		1759.5	85			Percent of total billed charges		1759.5	100			Percent of total billed charges		2070	100			Percent of total billed charges		2070	100			Percent of total billed charges		2070	33.3			Percent of total billed charges		689.31	33.3			Percent of total billed charges		689.31	100			Percent of total billed charges		2070	689.31	1863	
triathlon standard ploy cr tibial insert 4x9mm 5530-p-409 howmedica	278	RC	Outpatient			2070	1345.5		90			Percent of total billed charges		1863	40			Percent of total billed charges		828	80			Percent of total billed charges		1656	90			Percent of total billed charges		1863	85			Percent of total billed charges		1759.5	85			Percent of total billed charges		1759.5	85			Percent of total billed charges		1759.5	100			Percent of total billed charges		2070	100			Percent of total billed charges		2070	100			Percent of total billed charges		2070	33.3			Percent of total billed charges		689.31	33.3			Percent of total billed charges		689.31	100			Percent of total billed charges		2070	689.31	1863	
triathlon standard poly ps tibial insert sz 4 5532-p-409 howmedica	278	RC	Outpatient			2070	1345.5		90			Percent of total billed charges		1863	40			Percent of total billed charges		828	80			Percent of total billed charges		1656	90			Percent of total billed charges		1863	85			Percent of total billed charges		1759.5	85			Percent of total billed charges		1759.5	85			Percent of total billed charges		1759.5	100			Percent of total billed charges		2070	100			Percent of total billed charges		2070	100			Percent of total billed charges		2070	33.3			Percent of total billed charges		689.31	33.3			Percent of total billed charges		689.31	100			Percent of total billed charges		2070	689.31	1863	
triathlon tibial insert sz 2-9mm 5530-p-209 howmedica	278	RC	Outpatient			2070	1345.5		90			Percent of total billed charges		1863	40			Percent of total billed charges		828	80			Percent of total billed charges		1656	90			Percent of total billed charges		1863	85			Percent of total billed charges		1759.5	85			Percent of total billed charges		1759.5	85			Percent of total billed charges		1759.5	100			Percent of total billed charges		2070	100			Percent of total billed charges		2070	100			Percent of total billed charges		2070	33.3			Percent of total billed charges		689.31	33.3			Percent of total billed charges		689.31	100			Percent of total billed charges		2070	689.31	1863	
triathlon std ply cr tib	278	RC	Outpatient			2070	1345.5		90			Percent of total billed charges		1863	40			Percent of total billed charges		828	80			Percent of total billed charges		1656	90			Percent of total billed charges		1863	85			Percent of total billed charges		1759.5	85			Percent of total billed charges		1759.5	85			Percent of total billed charges		1759.5	100			Percent of total billed charges		2070	100			Percent of total billed charges		2070	100			Percent of total billed charges		2070	33.3			Percent of total billed charges		689.31	33.3			Percent of total billed charges		689.31	100			Percent of total billed charges		2070	689.31	1863	
bearing 14 x 79/83mm 11-146574	278	RC	Outpatient			2076	1349.4		90			Percent of total billed charges		1868.4	40			Percent of total billed charges		830.4	80			Percent of total billed charges		1660.8	90			Percent of total billed charges		1868.4	85			Percent of total billed charges		1764.6	85			Percent of total billed charges		1764.6	85			Percent of total billed charges		1764.6	100			Percent of total billed charges		2076	100			Percent of total billed charges		2076	100			Percent of total billed charges		2076	33.3			Percent of total billed charges		691.308	33.3			Percent of total billed charges		691.308	100			Percent of total billed charges		2076	691.308	1868.4	
bio maxim ps tib bear	278	RC	Outpatient			2076	1349.4		90			Percent of total billed charges		1868.4	40			Percent of total billed charges		830.4	80			Percent of total billed charges		1660.8	90			Percent of total billed charges		1868.4	85			Percent of total billed charges		1764.6	85			Percent of total billed charges		1764.6	85			Percent of total billed charges		1764.6	100			Percent of total billed charges		2076	100			Percent of total billed charges		2076	100			Percent of total billed charges		2076	33.3			Percent of total billed charges		691.308	33.3			Percent of total billed charges		691.308	100			Percent of total billed charges		2076	691.308	1868.4	
biomet  tibial bearing 12 x 63/67 11-146530	278	RC	Outpatient			2076	1349.4		90			Percent of total billed charges		1868.4	40			Percent of total billed charges		830.4	80			Percent of total billed charges		1660.8	90			Percent of total billed charges		1868.4	85			Percent of total billed charges		1764.6	85			Percent of total billed charges		1764.6	85			Percent of total billed charges		1764.6	100			Percent of total billed charges		2076	100			Percent of total billed charges		2076	100			Percent of total billed charges		2076	33.3			Percent of total billed charges		691.308	33.3			Percent of total billed charges		691.308	100			Percent of total billed charges		2076	691.308	1868.4	
biomet  tibial bearing 14 x 63/67 11-146534	278	RC	Outpatient			2076	1349.4		90			Percent of total billed charges		1868.4	40			Percent of total billed charges		830.4	80			Percent of total billed charges		1660.8	90			Percent of total billed charges		1868.4	85			Percent of total billed charges		1764.6	85			Percent of total billed charges		1764.6	85			Percent of total billed charges		1764.6	100			Percent of total billed charges		2076	100			Percent of total billed charges		2076	100			Percent of total billed charges		2076	33.3			Percent of total billed charges		691.308	33.3			Percent of total billed charges		691.308	100			Percent of total billed charges		2076	691.308	1868.4	
biomet  tibial bearing 16 x 63/67 11-146536	278	RC	Outpatient			2076	1349.4		90			Percent of total billed charges		1868.4	40			Percent of total billed charges		830.4	80			Percent of total billed charges		1660.8	90			Percent of total billed charges		1868.4	85			Percent of total billed charges		1764.6	85			Percent of total billed charges		1764.6	85			Percent of total billed charges		1764.6	100			Percent of total billed charges		2076	100			Percent of total billed charges		2076	100			Percent of total billed charges		2076	33.3			Percent of total billed charges		691.308	33.3			Percent of total billed charges		691.308	100			Percent of total billed charges		2076	691.308	1868.4	
biomet  tibial bearing 18 x 79/83 11-146578	278	RC	Outpatient			2076	1349.4		90			Percent of total billed charges		1868.4	40			Percent of total billed charges		830.4	80			Percent of total billed charges		1660.8	90			Percent of total billed charges		1868.4	85			Percent of total billed charges		1764.6	85			Percent of total billed charges		1764.6	85			Percent of total billed charges		1764.6	100			Percent of total billed charges		2076	100			Percent of total billed charges		2076	100			Percent of total billed charges		2076	33.3			Percent of total billed charges		691.308	33.3			Percent of total billed charges		691.308	100			Percent of total billed charges		2076	691.308	1868.4	
biomet maxim ps bearing 12x71/75 11-146552	278	RC	Outpatient			2076	1349.4		90			Percent of total billed charges		1868.4	40			Percent of total billed charges		830.4	80			Percent of total billed charges		1660.8	90			Percent of total billed charges		1868.4	85			Percent of total billed charges		1764.6	85			Percent of total billed charges		1764.6	85			Percent of total billed charges		1764.6	100			Percent of total billed charges		2076	100			Percent of total billed charges		2076	100			Percent of total billed charges		2076	33.3			Percent of total billed charges		691.308	33.3			Percent of total billed charges		691.308	100			Percent of total billed charges		2076	691.308	1868.4	
biomet maxim tibial  bearing 12x83mm 11-1466572	278	RC	Outpatient			2076	1349.4		90			Percent of total billed charges		1868.4	40			Percent of total billed charges		830.4	80			Percent of total billed charges		1660.8	90			Percent of total billed charges		1868.4	85			Percent of total billed charges		1764.6	85			Percent of total billed charges		1764.6	85			Percent of total billed charges		1764.6	100			Percent of total billed charges		2076	100			Percent of total billed charges		2076	100			Percent of total billed charges		2076	33.3			Percent of total billed charges		691.308	33.3			Percent of total billed charges		691.308	100			Percent of total billed charges		2076	691.308	1868.4	
biomet tibial bearing 10 x 87/91 11-146590	278	RC	Outpatient			2076	1349.4		90			Percent of total billed charges		1868.4	40			Percent of total billed charges		830.4	80			Percent of total billed charges		1660.8	90			Percent of total billed charges		1868.4	85			Percent of total billed charges		1764.6	85			Percent of total billed charges		1764.6	85			Percent of total billed charges		1764.6	100			Percent of total billed charges		2076	100			Percent of total billed charges		2076	100			Percent of total billed charges		2076	33.3			Percent of total billed charges		691.308	33.3			Percent of total billed charges		691.308	100			Percent of total billed charges		2076	691.308	1868.4	
biomet tibial bearing 12 x 63/67 11-146532	278	RC	Outpatient			2076	1349.4		90			Percent of total billed charges		1868.4	40			Percent of total billed charges		830.4	80			Percent of total billed charges		1660.8	90			Percent of total billed charges		1868.4	85			Percent of total billed charges		1764.6	85			Percent of total billed charges		1764.6	85			Percent of total billed charges		1764.6	100			Percent of total billed charges		2076	100			Percent of total billed charges		2076	100			Percent of total billed charges		2076	33.3			Percent of total billed charges		691.308	33.3			Percent of total billed charges		691.308	100			Percent of total billed charges		2076	691.308	1868.4	
biomet tibial bearing 18 x 63/67 11-146538	278	RC	Outpatient			2076	1349.4		90			Percent of total billed charges		1868.4	40			Percent of total billed charges		830.4	80			Percent of total billed charges		1660.8	90			Percent of total billed charges		1868.4	85			Percent of total billed charges		1764.6	85			Percent of total billed charges		1764.6	85			Percent of total billed charges		1764.6	100			Percent of total billed charges		2076	100			Percent of total billed charges		2076	100			Percent of total billed charges		2076	33.3			Percent of total billed charges		691.308	33.3			Percent of total billed charges		691.308	100			Percent of total billed charges		2076	691.308	1868.4	
biomet tibial bearing 12 x 87/91 11-146592	278	RC	Outpatient			2076	1349.4		90			Percent of total billed charges		1868.4	40			Percent of total billed charges		830.4	80			Percent of total billed charges		1660.8	90			Percent of total billed charges		1868.4	85			Percent of total billed charges		1764.6	85			Percent of total billed charges		1764.6	85			Percent of total billed charges		1764.6	100			Percent of total billed charges		2076	100			Percent of total billed charges		2076	100			Percent of total billed charges		2076	33.3			Percent of total billed charges		691.308	33.3			Percent of total billed charges		691.308	100			Percent of total billed charges		2076	691.308	1868.4	
biomet tibial bearing 14 x 87/91 11-146594	278	RC	Outpatient			2076	1349.4		90			Percent of total billed charges		1868.4	40			Percent of total billed charges		830.4	80			Percent of total billed charges		1660.8	90			Percent of total billed charges		1868.4	85			Percent of total billed charges		1764.6	85			Percent of total billed charges		1764.6	85			Percent of total billed charges		1764.6	100			Percent of total billed charges		2076	100			Percent of total billed charges		2076	100			Percent of total billed charges		2076	33.3			Percent of total billed charges		691.308	33.3			Percent of total billed charges		691.308	100			Percent of total billed charges		2076	691.308	1868.4	
biomet tibial bearing 16 x 79/83 11-146576	278	RC	Outpatient			2076	1349.4		90			Percent of total billed charges		1868.4	40			Percent of total billed charges		830.4	80			Percent of total billed charges		1660.8	90			Percent of total billed charges		1868.4	85			Percent of total billed charges		1764.6	85			Percent of total billed charges		1764.6	85			Percent of total billed charges		1764.6	100			Percent of total billed charges		2076	100			Percent of total billed charges		2076	100			Percent of total billed charges		2076	33.3			Percent of total billed charges		691.308	33.3			Percent of total billed charges		691.308	100			Percent of total billed charges		2076	691.308	1868.4	
biomet tibial bearing 16 x 87/91 11-146596	278	RC	Outpatient			2076	1349.4		90			Percent of total billed charges		1868.4	40			Percent of total billed charges		830.4	80			Percent of total billed charges		1660.8	90			Percent of total billed charges		1868.4	85			Percent of total billed charges		1764.6	85			Percent of total billed charges		1764.6	85			Percent of total billed charges		1764.6	100			Percent of total billed charges		2076	100			Percent of total billed charges		2076	100			Percent of total billed charges		2076	33.3			Percent of total billed charges		691.308	33.3			Percent of total billed charges		691.308	100			Percent of total billed charges		2076	691.308	1868.4	
biomet tibial bearing 18 x 87/91 11-146598	278	RC	Outpatient			2076	1349.4		90			Percent of total billed charges		1868.4	40			Percent of total billed charges		830.4	80			Percent of total billed charges		1660.8	90			Percent of total billed charges		1868.4	85			Percent of total billed charges		1764.6	85			Percent of total billed charges		1764.6	85			Percent of total billed charges		1764.6	100			Percent of total billed charges		2076	100			Percent of total billed charges		2076	100			Percent of total billed charges		2076	33.3			Percent of total billed charges		691.308	33.3			Percent of total billed charges		691.308	100			Percent of total billed charges		2076	691.308	1868.4	
maxim bearing 14 x 71mm 11-146554	278	RC	Outpatient			2076	1349.4		90			Percent of total billed charges		1868.4	40			Percent of total billed charges		830.4	80			Percent of total billed charges		1660.8	90			Percent of total billed charges		1868.4	85			Percent of total billed charges		1764.6	85			Percent of total billed charges		1764.6	85			Percent of total billed charges		1764.6	100			Percent of total billed charges		2076	100			Percent of total billed charges		2076	100			Percent of total billed charges		2076	33.3			Percent of total billed charges		691.308	33.3			Percent of total billed charges		691.308	100			Percent of total billed charges		2076	691.308	1868.4	
maxim ps bearing 10 x 83mm 11-146570	278	RC	Outpatient			2076	1349.4		90			Percent of total billed charges		1868.4	40			Percent of total billed charges		830.4	80			Percent of total billed charges		1660.8	90			Percent of total billed charges		1868.4	85			Percent of total billed charges		1764.6	85			Percent of total billed charges		1764.6	85			Percent of total billed charges		1764.6	100			Percent of total billed charges		2076	100			Percent of total billed charges		2076	100			Percent of total billed charges		2076	33.3			Percent of total billed charges		691.308	33.3			Percent of total billed charges		691.308	100			Percent of total billed charges		2076	691.308	1868.4	
maxim ps bearing 20 x 71/75 11-146560 biomet	278	RC	Outpatient			2076	1349.4		90			Percent of total billed charges		1868.4	40			Percent of total billed charges		830.4	80			Percent of total billed charges		1660.8	90			Percent of total billed charges		1868.4	85			Percent of total billed charges		1764.6	85			Percent of total billed charges		1764.6	85			Percent of total billed charges		1764.6	100			Percent of total billed charges		2076	100			Percent of total billed charges		2076	100			Percent of total billed charges		2076	33.3			Percent of total billed charges		691.308	33.3			Percent of total billed charges		691.308	100			Percent of total billed charges		2076	691.308	1868.4	
maxim ps bearing 10 x 75mm 11-146550	278	RC	Outpatient			2076	1349.4		90			Percent of total billed charges		1868.4	40			Percent of total billed charges		830.4	80			Percent of total billed charges		1660.8	90			Percent of total billed charges		1868.4	85			Percent of total billed charges		1764.6	85			Percent of total billed charges		1764.6	85			Percent of total billed charges		1764.6	100			Percent of total billed charges		2076	100			Percent of total billed charges		2076	100			Percent of total billed charges		2076	33.3			Percent of total billed charges		691.308	33.3			Percent of total billed charges		691.308	100			Percent of total billed charges		2076	691.308	1868.4	
maxim ps bearing 12 x 83mm 11-146572	278	RC	Outpatient			2076	1349.4		90			Percent of total billed charges		1868.4	40			Percent of total billed charges		830.4	80			Percent of total billed charges		1660.8	90			Percent of total billed charges		1868.4	85			Percent of total billed charges		1764.6	85			Percent of total billed charges		1764.6	85			Percent of total billed charges		1764.6	100			Percent of total billed charges		2076	100			Percent of total billed charges		2076	100			Percent of total billed charges		2076	33.3			Percent of total billed charges		691.308	33.3			Percent of total billed charges		691.308	100			Percent of total billed charges		2076	691.308	1868.4	
maxim ps bearing 16 x 71mm  11-146556	278	RC	Outpatient			2076	1349.4		90			Percent of total billed charges		1868.4	40			Percent of total billed charges		830.4	80			Percent of total billed charges		1660.8	90			Percent of total billed charges		1868.4	85			Percent of total billed charges		1764.6	85			Percent of total billed charges		1764.6	85			Percent of total billed charges		1764.6	100			Percent of total billed charges		2076	100			Percent of total billed charges		2076	100			Percent of total billed charges		2076	33.3			Percent of total billed charges		691.308	33.3			Percent of total billed charges		691.308	100			Percent of total billed charges		2076	691.308	1868.4	
acumed wrist fusion plate  pl-wf44	278	RC	Outpatient			2078	1350.7		90			Percent of total billed charges		1870.2	40			Percent of total billed charges		831.2	80			Percent of total billed charges		1662.4	90			Percent of total billed charges		1870.2	85			Percent of total billed charges		1766.3	85			Percent of total billed charges		1766.3	85			Percent of total billed charges		1766.3	100			Percent of total billed charges		2078	100			Percent of total billed charges		2078	100			Percent of total billed charges		2078	33.3			Percent of total billed charges		691.974	33.3			Percent of total billed charges		691.974	100			Percent of total billed charges		2078	691.974	1870.2	
acumed wrist fusion plate pl-wf40	278	RC	Outpatient			2078	1350.7		90			Percent of total billed charges		1870.2	40			Percent of total billed charges		831.2	80			Percent of total billed charges		1662.4	90			Percent of total billed charges		1870.2	85			Percent of total billed charges		1766.3	85			Percent of total billed charges		1766.3	85			Percent of total billed charges		1766.3	100			Percent of total billed charges		2078	100			Percent of total billed charges		2078	100			Percent of total billed charges		2078	33.3			Percent of total billed charges		691.974	33.3			Percent of total billed charges		691.974	100			Percent of total billed charges		2078	691.974	1870.2	
acumed wrist fusion plate pl-wf33	278	RC	Outpatient			2078	1350.7		90			Percent of total billed charges		1870.2	40			Percent of total billed charges		831.2	80			Percent of total billed charges		1662.4	90			Percent of total billed charges		1870.2	85			Percent of total billed charges		1766.3	85			Percent of total billed charges		1766.3	85			Percent of total billed charges		1766.3	100			Percent of total billed charges		2078	100			Percent of total billed charges		2078	100			Percent of total billed charges		2078	33.3			Percent of total billed charges		691.974	33.3			Percent of total billed charges		691.974	100			Percent of total billed charges		2078	691.974	1870.2	
hub cap/mini fusion plate	278	RC	Outpatient			2078	1350.7		90			Percent of total billed charges		1870.2	40			Percent of total billed charges		831.2	80			Percent of total billed charges		1662.4	90			Percent of total billed charges		1870.2	85			Percent of total billed charges		1766.3	85			Percent of total billed charges		1766.3	85			Percent of total billed charges		1766.3	100			Percent of total billed charges		2078	100			Percent of total billed charges		2078	100			Percent of total billed charges		2078	33.3			Percent of total billed charges		691.974	33.3			Percent of total billed charges		691.974	100			Percent of total billed charges		2078	691.974	1870.2	
biomet gpac ii all poly tibia 10 x 75 102711	278	RC	Outpatient			2086	1355.9		90			Percent of total billed charges		1877.4	40			Percent of total billed charges		834.4	80			Percent of total billed charges		1668.8	90			Percent of total billed charges		1877.4	85			Percent of total billed charges		1773.1	85			Percent of total billed charges		1773.1	85			Percent of total billed charges		1773.1	100			Percent of total billed charges		2086	100			Percent of total billed charges		2086	100			Percent of total billed charges		2086	33.3			Percent of total billed charges		694.638	33.3			Percent of total billed charges		694.638	100			Percent of total billed charges		2086	694.638	1877.4	
biomet gpac ii all poly tibia 10 x 80 102716	278	RC	Outpatient			2086	1355.9		90			Percent of total billed charges		1877.4	40			Percent of total billed charges		834.4	80			Percent of total billed charges		1668.8	90			Percent of total billed charges		1877.4	85			Percent of total billed charges		1773.1	85			Percent of total billed charges		1773.1	85			Percent of total billed charges		1773.1	100			Percent of total billed charges		2086	100			Percent of total billed charges		2086	100			Percent of total billed charges		2086	33.3			Percent of total billed charges		694.638	33.3			Percent of total billed charges		694.638	100			Percent of total billed charges		2086	694.638	1877.4	
biomet gpac ii all poly tibia 10 x 85 102721	278	RC	Outpatient			2086	1355.9		90			Percent of total billed charges		1877.4	40			Percent of total billed charges		834.4	80			Percent of total billed charges		1668.8	90			Percent of total billed charges		1877.4	85			Percent of total billed charges		1773.1	85			Percent of total billed charges		1773.1	85			Percent of total billed charges		1773.1	100			Percent of total billed charges		2086	100			Percent of total billed charges		2086	100			Percent of total billed charges		2086	33.3			Percent of total billed charges		694.638	33.3			Percent of total billed charges		694.638	100			Percent of total billed charges		2086	694.638	1877.4	
biomet gpac ii all poly tibia 12 x 65 102702	278	RC	Outpatient			2086	1355.9		90			Percent of total billed charges		1877.4	40			Percent of total billed charges		834.4	80			Percent of total billed charges		1668.8	90			Percent of total billed charges		1877.4	85			Percent of total billed charges		1773.1	85			Percent of total billed charges		1773.1	85			Percent of total billed charges		1773.1	100			Percent of total billed charges		2086	100			Percent of total billed charges		2086	100			Percent of total billed charges		2086	33.3			Percent of total billed charges		694.638	33.3			Percent of total billed charges		694.638	100			Percent of total billed charges		2086	694.638	1877.4	
biomet gpac ii all poly tibia 12 x 80 102717	278	RC	Outpatient			2086	1355.9		90			Percent of total billed charges		1877.4	40			Percent of total billed charges		834.4	80			Percent of total billed charges		1668.8	90			Percent of total billed charges		1877.4	85			Percent of total billed charges		1773.1	85			Percent of total billed charges		1773.1	85			Percent of total billed charges		1773.1	100			Percent of total billed charges		2086	100			Percent of total billed charges		2086	100			Percent of total billed charges		2086	33.3			Percent of total billed charges		694.638	33.3			Percent of total billed charges		694.638	100			Percent of total billed charges		2086	694.638	1877.4	
biomet gpac ii all poly tibia 14 x 75 102713	278	RC	Outpatient			2086	1355.9		90			Percent of total billed charges		1877.4	40			Percent of total billed charges		834.4	80			Percent of total billed charges		1668.8	90			Percent of total billed charges		1877.4	85			Percent of total billed charges		1773.1	85			Percent of total billed charges		1773.1	85			Percent of total billed charges		1773.1	100			Percent of total billed charges		2086	100			Percent of total billed charges		2086	100			Percent of total billed charges		2086	33.3			Percent of total billed charges		694.638	33.3			Percent of total billed charges		694.638	100			Percent of total billed charges		2086	694.638	1877.4	
biomet gpac ii all poly tibia 14 x 80 102718	278	RC	Outpatient			2086	1355.9		90			Percent of total billed charges		1877.4	40			Percent of total billed charges		834.4	80			Percent of total billed charges		1668.8	90			Percent of total billed charges		1877.4	85			Percent of total billed charges		1773.1	85			Percent of total billed charges		1773.1	85			Percent of total billed charges		1773.1	100			Percent of total billed charges		2086	100			Percent of total billed charges		2086	100			Percent of total billed charges		2086	33.3			Percent of total billed charges		694.638	33.3			Percent of total billed charges		694.638	100			Percent of total billed charges		2086	694.638	1877.4	
biomet gpac ii all poly tibia 8 x 75 102710	278	RC	Outpatient			2086	1355.9		90			Percent of total billed charges		1877.4	40			Percent of total billed charges		834.4	80			Percent of total billed charges		1668.8	90			Percent of total billed charges		1877.4	85			Percent of total billed charges		1773.1	85			Percent of total billed charges		1773.1	85			Percent of total billed charges		1773.1	100			Percent of total billed charges		2086	100			Percent of total billed charges		2086	100			Percent of total billed charges		2086	33.3			Percent of total billed charges		694.638	33.3			Percent of total billed charges		694.638	100			Percent of total billed charges		2086	694.638	1877.4	
biomet gpac ii all poly tibia 8 x 80 102715	278	RC	Outpatient			2086	1355.9		90			Percent of total billed charges		1877.4	40			Percent of total billed charges		834.4	80			Percent of total billed charges		1668.8	90			Percent of total billed charges		1877.4	85			Percent of total billed charges		1773.1	85			Percent of total billed charges		1773.1	85			Percent of total billed charges		1773.1	100			Percent of total billed charges		2086	100			Percent of total billed charges		2086	100			Percent of total billed charges		2086	33.3			Percent of total billed charges		694.638	33.3			Percent of total billed charges		694.638	100			Percent of total billed charges		2086	694.638	1877.4	
biomet gpac ii all poly tibia 8 x 85 102720	278	RC	Outpatient			2086	1355.9		90			Percent of total billed charges		1877.4	40			Percent of total billed charges		834.4	80			Percent of total billed charges		1668.8	90			Percent of total billed charges		1877.4	85			Percent of total billed charges		1773.1	85			Percent of total billed charges		1773.1	85			Percent of total billed charges		1773.1	100			Percent of total billed charges		2086	100			Percent of total billed charges		2086	100			Percent of total billed charges		2086	33.3			Percent of total billed charges		694.638	33.3			Percent of total billed charges		694.638	100			Percent of total billed charges		2086	694.638	1877.4	
cryoplasty inflation unit pciu4  boston scientific	272	RC	Outpatient			2086	1355.9		90			Percent of total billed charges		1877.4	40			Percent of total billed charges		834.4	80			Percent of total billed charges		1668.8	90			Percent of total billed charges		1877.4	85			Percent of total billed charges		1773.1	85			Percent of total billed charges		1773.1	85			Percent of total billed charges		1773.1	100			Percent of total billed charges		2086	100			Percent of total billed charges		2086	100			Percent of total billed charges		2086	33.3			Percent of total billed charges		694.638	33.3			Percent of total billed charges		694.638	100			Percent of total billed charges		2086	694.638	1877.4	
cryoplasty inflator	272	RC	Outpatient			2086	1355.9		90			Percent of total billed charges		1877.4	40			Percent of total billed charges		834.4	80			Percent of total billed charges		1668.8	90			Percent of total billed charges		1877.4	85			Percent of total billed charges		1773.1	85			Percent of total billed charges		1773.1	85			Percent of total billed charges		1773.1	100			Percent of total billed charges		2086	100			Percent of total billed charges		2086	100			Percent of total billed charges		2086	33.3			Percent of total billed charges		694.638	33.3			Percent of total billed charges		694.638	100			Percent of total billed charges		2086	694.638	1877.4	
bio poly tibia	278	RC	Outpatient			2086	1355.9		90			Percent of total billed charges		1877.4	40			Percent of total billed charges		834.4	80			Percent of total billed charges		1668.8	90			Percent of total billed charges		1877.4	85			Percent of total billed charges		1773.1	85			Percent of total billed charges		1773.1	85			Percent of total billed charges		1773.1	100			Percent of total billed charges		2086	100			Percent of total billed charges		2086	100			Percent of total billed charges		2086	33.3			Percent of total billed charges		694.638	33.3			Percent of total billed charges		694.638	100			Percent of total billed charges		2086	694.638	1877.4	
biomet gpac ii all poly tibia 10 x 65 102701	278	RC	Outpatient			2086	1355.9		90			Percent of total billed charges		1877.4	40			Percent of total billed charges		834.4	80			Percent of total billed charges		1668.8	90			Percent of total billed charges		1877.4	85			Percent of total billed charges		1773.1	85			Percent of total billed charges		1773.1	85			Percent of total billed charges		1773.1	100			Percent of total billed charges		2086	100			Percent of total billed charges		2086	100			Percent of total billed charges		2086	33.3			Percent of total billed charges		694.638	33.3			Percent of total billed charges		694.638	100			Percent of total billed charges		2086	694.638	1877.4	
biomet gpac ii all poly tibia 10 x 70 102706	278	RC	Outpatient			2086	1355.9		90			Percent of total billed charges		1877.4	40			Percent of total billed charges		834.4	80			Percent of total billed charges		1668.8	90			Percent of total billed charges		1877.4	85			Percent of total billed charges		1773.1	85			Percent of total billed charges		1773.1	85			Percent of total billed charges		1773.1	100			Percent of total billed charges		2086	100			Percent of total billed charges		2086	100			Percent of total billed charges		2086	33.3			Percent of total billed charges		694.638	33.3			Percent of total billed charges		694.638	100			Percent of total billed charges		2086	694.638	1877.4	
biomet gpac ii all poly tibia 10 x 90 102726	278	RC	Outpatient			2086	1355.9		90			Percent of total billed charges		1877.4	40			Percent of total billed charges		834.4	80			Percent of total billed charges		1668.8	90			Percent of total billed charges		1877.4	85			Percent of total billed charges		1773.1	85			Percent of total billed charges		1773.1	85			Percent of total billed charges		1773.1	100			Percent of total billed charges		2086	100			Percent of total billed charges		2086	100			Percent of total billed charges		2086	33.3			Percent of total billed charges		694.638	33.3			Percent of total billed charges		694.638	100			Percent of total billed charges		2086	694.638	1877.4	
biomet gpac ii all poly tibia 12 x 70 102707	278	RC	Outpatient			2086	1355.9		90			Percent of total billed charges		1877.4	40			Percent of total billed charges		834.4	80			Percent of total billed charges		1668.8	90			Percent of total billed charges		1877.4	85			Percent of total billed charges		1773.1	85			Percent of total billed charges		1773.1	85			Percent of total billed charges		1773.1	100			Percent of total billed charges		2086	100			Percent of total billed charges		2086	100			Percent of total billed charges		2086	33.3			Percent of total billed charges		694.638	33.3			Percent of total billed charges		694.638	100			Percent of total billed charges		2086	694.638	1877.4	
biomet gpac ii all poly tibia 12 x 75 102712	278	RC	Outpatient			2086	1355.9		90			Percent of total billed charges		1877.4	40			Percent of total billed charges		834.4	80			Percent of total billed charges		1668.8	90			Percent of total billed charges		1877.4	85			Percent of total billed charges		1773.1	85			Percent of total billed charges		1773.1	85			Percent of total billed charges		1773.1	100			Percent of total billed charges		2086	100			Percent of total billed charges		2086	100			Percent of total billed charges		2086	33.3			Percent of total billed charges		694.638	33.3			Percent of total billed charges		694.638	100			Percent of total billed charges		2086	694.638	1877.4	
biomet gpac ii all poly tibia 12 x 85 102722	278	RC	Outpatient			2086	1355.9		90			Percent of total billed charges		1877.4	40			Percent of total billed charges		834.4	80			Percent of total billed charges		1668.8	90			Percent of total billed charges		1877.4	85			Percent of total billed charges		1773.1	85			Percent of total billed charges		1773.1	85			Percent of total billed charges		1773.1	100			Percent of total billed charges		2086	100			Percent of total billed charges		2086	100			Percent of total billed charges		2086	33.3			Percent of total billed charges		694.638	33.3			Percent of total billed charges		694.638	100			Percent of total billed charges		2086	694.638	1877.4	
biomet gpac ii all poly tibia 12 x 90 102727	278	RC	Outpatient			2086	1355.9		90			Percent of total billed charges		1877.4	40			Percent of total billed charges		834.4	80			Percent of total billed charges		1668.8	90			Percent of total billed charges		1877.4	85			Percent of total billed charges		1773.1	85			Percent of total billed charges		1773.1	85			Percent of total billed charges		1773.1	100			Percent of total billed charges		2086	100			Percent of total billed charges		2086	100			Percent of total billed charges		2086	33.3			Percent of total billed charges		694.638	33.3			Percent of total billed charges		694.638	100			Percent of total billed charges		2086	694.638	1877.4	
biomet gpac ii all poly tibia 14 x 65 102703	278	RC	Outpatient			2086	1355.9		90			Percent of total billed charges		1877.4	40			Percent of total billed charges		834.4	80			Percent of total billed charges		1668.8	90			Percent of total billed charges		1877.4	85			Percent of total billed charges		1773.1	85			Percent of total billed charges		1773.1	85			Percent of total billed charges		1773.1	100			Percent of total billed charges		2086	100			Percent of total billed charges		2086	100			Percent of total billed charges		2086	33.3			Percent of total billed charges		694.638	33.3			Percent of total billed charges		694.638	100			Percent of total billed charges		2086	694.638	1877.4	
biomet gpac ii all poly tibia 14 x 85 102723	278	RC	Outpatient			2086	1355.9		90			Percent of total billed charges		1877.4	40			Percent of total billed charges		834.4	80			Percent of total billed charges		1668.8	90			Percent of total billed charges		1877.4	85			Percent of total billed charges		1773.1	85			Percent of total billed charges		1773.1	85			Percent of total billed charges		1773.1	100			Percent of total billed charges		2086	100			Percent of total billed charges		2086	100			Percent of total billed charges		2086	33.3			Percent of total billed charges		694.638	33.3			Percent of total billed charges		694.638	100			Percent of total billed charges		2086	694.638	1877.4	
biomet gpac ii all poly tibia 14 x 90 102728	278	RC	Outpatient			2086	1355.9		90			Percent of total billed charges		1877.4	40			Percent of total billed charges		834.4	80			Percent of total billed charges		1668.8	90			Percent of total billed charges		1877.4	85			Percent of total billed charges		1773.1	85			Percent of total billed charges		1773.1	85			Percent of total billed charges		1773.1	100			Percent of total billed charges		2086	100			Percent of total billed charges		2086	100			Percent of total billed charges		2086	33.3			Percent of total billed charges		694.638	33.3			Percent of total billed charges		694.638	100			Percent of total billed charges		2086	694.638	1877.4	
biomet gpac ii all poly tibia 16 x 90 102729	278	RC	Outpatient			2086	1355.9		90			Percent of total billed charges		1877.4	40			Percent of total billed charges		834.4	80			Percent of total billed charges		1668.8	90			Percent of total billed charges		1877.4	85			Percent of total billed charges		1773.1	85			Percent of total billed charges		1773.1	85			Percent of total billed charges		1773.1	100			Percent of total billed charges		2086	100			Percent of total billed charges		2086	100			Percent of total billed charges		2086	33.3			Percent of total billed charges		694.638	33.3			Percent of total billed charges		694.638	100			Percent of total billed charges		2086	694.638	1877.4	
biomet gpac ii all poly tibia 8 x 70 102705	278	RC	Outpatient			2086	1355.9		90			Percent of total billed charges		1877.4	40			Percent of total billed charges		834.4	80			Percent of total billed charges		1668.8	90			Percent of total billed charges		1877.4	85			Percent of total billed charges		1773.1	85			Percent of total billed charges		1773.1	85			Percent of total billed charges		1773.1	100			Percent of total billed charges		2086	100			Percent of total billed charges		2086	100			Percent of total billed charges		2086	33.3			Percent of total billed charges		694.638	33.3			Percent of total billed charges		694.638	100			Percent of total billed charges		2086	694.638	1877.4	
inflation unit pciu4 boston scient	272	RC	Outpatient			2086	1355.9		90			Percent of total billed charges		1877.4	40			Percent of total billed charges		834.4	80			Percent of total billed charges		1668.8	90			Percent of total billed charges		1877.4	85			Percent of total billed charges		1773.1	85			Percent of total billed charges		1773.1	85			Percent of total billed charges		1773.1	100			Percent of total billed charges		2086	100			Percent of total billed charges		2086	100			Percent of total billed charges		2086	33.3			Percent of total billed charges		694.638	33.3			Percent of total billed charges		694.638	100			Percent of total billed charges		2086	694.638	1877.4	
femur head whole allograft 351-0833 com tissue	278	RC	Outpatient			2086	1355.9		90			Percent of total billed charges		1877.4	40			Percent of total billed charges		834.4	80			Percent of total billed charges		1668.8	90			Percent of total billed charges		1877.4	85			Percent of total billed charges		1773.1	85			Percent of total billed charges		1773.1	85			Percent of total billed charges		1773.1	100			Percent of total billed charges		2086	100			Percent of total billed charges		2086	100			Percent of total billed charges		2086	33.3			Percent of total billed charges		694.638	33.3			Percent of total billed charges		694.638	100			Percent of total billed charges		2086	694.638	1877.4	
med distal humeral locking plate 11h l 71821911 s/n	278	RC	Outpatient			2092	1359.8		90			Percent of total billed charges		1882.8	40			Percent of total billed charges		836.8	80			Percent of total billed charges		1673.6	90			Percent of total billed charges		1882.8	85			Percent of total billed charges		1778.2	85			Percent of total billed charges		1778.2	85			Percent of total billed charges		1778.2	100			Percent of total billed charges		2092	100			Percent of total billed charges		2092	100			Percent of total billed charges		2092	33.3			Percent of total billed charges		696.636	33.3			Percent of total billed charges		696.636	100			Percent of total billed charges		2092	696.636	1882.8	
med distal humeral locking plate 11h r 71821811 s/n	278	RC	Outpatient			2092	1359.8		90			Percent of total billed charges		1882.8	40			Percent of total billed charges		836.8	80			Percent of total billed charges		1673.6	90			Percent of total billed charges		1882.8	85			Percent of total billed charges		1778.2	85			Percent of total billed charges		1778.2	85			Percent of total billed charges		1778.2	100			Percent of total billed charges		2092	100			Percent of total billed charges		2092	100			Percent of total billed charges		2092	33.3			Percent of total billed charges		696.636	33.3			Percent of total billed charges		696.636	100			Percent of total billed charges		2092	696.636	1882.8	
p-l-d humeral locking plate 11h l 71822611 s/n	278	RC	Outpatient			2092	1359.8		90			Percent of total billed charges		1882.8	40			Percent of total billed charges		836.8	80			Percent of total billed charges		1673.6	90			Percent of total billed charges		1882.8	85			Percent of total billed charges		1778.2	85			Percent of total billed charges		1778.2	85			Percent of total billed charges		1778.2	100			Percent of total billed charges		2092	100			Percent of total billed charges		2092	100			Percent of total billed charges		2092	33.3			Percent of total billed charges		696.636	33.3			Percent of total billed charges		696.636	100			Percent of total billed charges		2092	696.636	1882.8	
p-l-d humeral locking plate 11h r 71822711 s/n	278	RC	Outpatient			2092	1359.8		90			Percent of total billed charges		1882.8	40			Percent of total billed charges		836.8	80			Percent of total billed charges		1673.6	90			Percent of total billed charges		1882.8	85			Percent of total billed charges		1778.2	85			Percent of total billed charges		1778.2	85			Percent of total billed charges		1778.2	100			Percent of total billed charges		2092	100			Percent of total billed charges		2092	100			Percent of total billed charges		2092	33.3			Percent of total billed charges		696.636	33.3			Percent of total billed charges		696.636	100			Percent of total billed charges		2092	696.636	1882.8	
pro osteon 500 bone graft b5075 interpol	278	RC	Outpatient			2092	1359.8		90			Percent of total billed charges		1882.8	40			Percent of total billed charges		836.8	80			Percent of total billed charges		1673.6	90			Percent of total billed charges		1882.8	85			Percent of total billed charges		1778.2	85			Percent of total billed charges		1778.2	85			Percent of total billed charges		1778.2	100			Percent of total billed charges		2092	100			Percent of total billed charges		2092	100			Percent of total billed charges		2092	33.3			Percent of total billed charges		696.636	33.3			Percent of total billed charges		696.636	100			Percent of total billed charges		2092	696.636	1882.8	
s/n p-l-d hum lk pl 11h	278	RC	Outpatient			2092	1359.8		90			Percent of total billed charges		1882.8	40			Percent of total billed charges		836.8	80			Percent of total billed charges		1673.6	90			Percent of total billed charges		1882.8	85			Percent of total billed charges		1778.2	85			Percent of total billed charges		1778.2	85			Percent of total billed charges		1778.2	100			Percent of total billed charges		2092	100			Percent of total billed charges		2092	100			Percent of total billed charges		2092	33.3			Percent of total billed charges		696.636	33.3			Percent of total billed charges		696.636	100			Percent of total billed charges		2092	696.636	1882.8	
pro osteon bone 5bo75 interpore biomet	278	RC	Outpatient			2092	1359.8		90			Percent of total billed charges		1882.8	40			Percent of total billed charges		836.8	80			Percent of total billed charges		1673.6	90			Percent of total billed charges		1882.8	85			Percent of total billed charges		1778.2	85			Percent of total billed charges		1778.2	85			Percent of total billed charges		1778.2	100			Percent of total billed charges		2092	100			Percent of total billed charges		2092	100			Percent of total billed charges		2092	33.3			Percent of total billed charges		696.636	33.3			Percent of total billed charges		696.636	100			Percent of total billed charges		2092	696.636	1882.8	
pro osteon implant #5b075	278	RC	Outpatient			2092	1359.8		90			Percent of total billed charges		1882.8	40			Percent of total billed charges		836.8	80			Percent of total billed charges		1673.6	90			Percent of total billed charges		1882.8	85			Percent of total billed charges		1778.2	85			Percent of total billed charges		1778.2	85			Percent of total billed charges		1778.2	100			Percent of total billed charges		2092	100			Percent of total billed charges		2092	100			Percent of total billed charges		2092	33.3			Percent of total billed charges		696.636	33.3			Percent of total billed charges		696.636	100			Percent of total billed charges		2092	696.636	1882.8	
s/n meddist hum lk pl 11h	278	RC	Outpatient			2092	1359.8		90			Percent of total billed charges		1882.8	40			Percent of total billed charges		836.8	80			Percent of total billed charges		1673.6	90			Percent of total billed charges		1882.8	85			Percent of total billed charges		1778.2	85			Percent of total billed charges		1778.2	85			Percent of total billed charges		1778.2	100			Percent of total billed charges		2092	100			Percent of total billed charges		2092	100			Percent of total billed charges		2092	33.3			Percent of total billed charges		696.636	33.3			Percent of total billed charges		696.636	100			Percent of total billed charges		2092	696.636	1882.8	
biomet comp plate ii hole	278	RC	Outpatient			2098	1363.7		90			Percent of total billed charges		1888.2	40			Percent of total billed charges		839.2	80			Percent of total billed charges		1678.4	90			Percent of total billed charges		1888.2	85			Percent of total billed charges		1783.3	85			Percent of total billed charges		1783.3	85			Percent of total billed charges		1783.3	100			Percent of total billed charges		2098	100			Percent of total billed charges		2098	100			Percent of total billed charges		2098	33.3			Percent of total billed charges		698.634	33.3			Percent of total billed charges		698.634	100			Percent of total billed charges		2098	698.634	1888.2	
cosmetic - breast augmentation	983	RC	Outpatient			2100	1365		90			Percent of total billed charges		1890	40			Percent of total billed charges		840	80			Percent of total billed charges		1680	90			Percent of total billed charges		1890	85			Percent of total billed charges		1785	85			Percent of total billed charges		1785	85			Percent of total billed charges		1785	100			Percent of total billed charges		2100	100			Percent of total billed charges		2100	100			Percent of total billed charges		2100	33.3			Percent of total billed charges		699.3	33.3			Percent of total billed charges		699.3	100			Percent of total billed charges		2100	699.3	1890	
cosmetic - breast augmentation with gel	983	RC	Outpatient			2100	1365		90			Percent of total billed charges		1890	40			Percent of total billed charges		840	80			Percent of total billed charges		1680	90			Percent of total billed charges		1890	85			Percent of total billed charges		1785	85			Percent of total billed charges		1785	85			Percent of total billed charges		1785	100			Percent of total billed charges		2100	100			Percent of total billed charges		2100	100			Percent of total billed charges		2100	33.3			Percent of total billed charges		699.3	33.3			Percent of total billed charges		699.3	100			Percent of total billed charges		2100	699.3	1890	
diamond ac pl 1 level	278	RC	Outpatient			2101	1365.65		90			Percent of total billed charges		1890.9	40			Percent of total billed charges		840.4	80			Percent of total billed charges		1680.8	90			Percent of total billed charges		1890.9	85			Percent of total billed charges		1785.85	85			Percent of total billed charges		1785.85	85			Percent of total billed charges		1785.85	100			Percent of total billed charges		2101	100			Percent of total billed charges		2101	100			Percent of total billed charges		2101	33.3			Percent of total billed charges		699.633	33.3			Percent of total billed charges		699.633	100			Percent of total billed charges		2101	699.633	1890.9	
diamond ant cervical plate 1 level 24mm  6-1-24 amendia	278	RC	Outpatient			2101	1365.65		90			Percent of total billed charges		1890.9	40			Percent of total billed charges		840.4	80			Percent of total billed charges		1680.8	90			Percent of total billed charges		1890.9	85			Percent of total billed charges		1785.85	85			Percent of total billed charges		1785.85	85			Percent of total billed charges		1785.85	100			Percent of total billed charges		2101	100			Percent of total billed charges		2101	100			Percent of total billed charges		2101	33.3			Percent of total billed charges		699.633	33.3			Percent of total billed charges		699.633	100			Percent of total billed charges		2101	699.633	1890.9	
bio vanguard ps + bearing	278	RC	Outpatient			2103	1366.95		90			Percent of total billed charges		1892.7	40			Percent of total billed charges		841.2	80			Percent of total billed charges		1682.4	90			Percent of total billed charges		1892.7	85			Percent of total billed charges		1787.55	85			Percent of total billed charges		1787.55	85			Percent of total billed charges		1787.55	100			Percent of total billed charges		2103	100			Percent of total billed charges		2103	100			Percent of total billed charges		2103	33.3			Percent of total billed charges		700.299	33.3			Percent of total billed charges		700.299	100			Percent of total billed charges		2103	700.299	1892.7	
biomet vanguard tibial bearing 12 x 59 183702	278	RC	Outpatient			2103	1366.95		90			Percent of total billed charges		1892.7	40			Percent of total billed charges		841.2	80			Percent of total billed charges		1682.4	90			Percent of total billed charges		1892.7	85			Percent of total billed charges		1787.55	85			Percent of total billed charges		1787.55	85			Percent of total billed charges		1787.55	100			Percent of total billed charges		2103	100			Percent of total billed charges		2103	100			Percent of total billed charges		2103	33.3			Percent of total billed charges		700.299	33.3			Percent of total billed charges		700.299	100			Percent of total billed charges		2103	700.299	1892.7	
biomet vanguard tibial bearing 12 x 79/83 183762	278	RC	Outpatient			2103	1366.95		90			Percent of total billed charges		1892.7	40			Percent of total billed charges		841.2	80			Percent of total billed charges		1682.4	90			Percent of total billed charges		1892.7	85			Percent of total billed charges		1787.55	85			Percent of total billed charges		1787.55	85			Percent of total billed charges		1787.55	100			Percent of total billed charges		2103	100			Percent of total billed charges		2103	100			Percent of total billed charges		2103	33.3			Percent of total billed charges		700.299	33.3			Percent of total billed charges		700.299	100			Percent of total billed charges		2103	700.299	1892.7	
biomet vanguard tibial bearing 14 x 59 183704	278	RC	Outpatient			2103	1366.95		90			Percent of total billed charges		1892.7	40			Percent of total billed charges		841.2	80			Percent of total billed charges		1682.4	90			Percent of total billed charges		1892.7	85			Percent of total billed charges		1787.55	85			Percent of total billed charges		1787.55	85			Percent of total billed charges		1787.55	100			Percent of total billed charges		2103	100			Percent of total billed charges		2103	100			Percent of total billed charges		2103	33.3			Percent of total billed charges		700.299	33.3			Percent of total billed charges		700.299	100			Percent of total billed charges		2103	700.299	1892.7	
biomet vanguard tibial bearing 14 x 71/75 183744	278	RC	Outpatient			2103	1366.95		90			Percent of total billed charges		1892.7	40			Percent of total billed charges		841.2	80			Percent of total billed charges		1682.4	90			Percent of total billed charges		1892.7	85			Percent of total billed charges		1787.55	85			Percent of total billed charges		1787.55	85			Percent of total billed charges		1787.55	100			Percent of total billed charges		2103	100			Percent of total billed charges		2103	100			Percent of total billed charges		2103	33.3			Percent of total billed charges		700.299	33.3			Percent of total billed charges		700.299	100			Percent of total billed charges		2103	700.299	1892.7	
biomet vanguard tibial bearing 14 x 79/83 183764	278	RC	Outpatient			2103	1366.95		90			Percent of total billed charges		1892.7	40			Percent of total billed charges		841.2	80			Percent of total billed charges		1682.4	90			Percent of total billed charges		1892.7	85			Percent of total billed charges		1787.55	85			Percent of total billed charges		1787.55	85			Percent of total billed charges		1787.55	100			Percent of total billed charges		2103	100			Percent of total billed charges		2103	100			Percent of total billed charges		2103	33.3			Percent of total billed charges		700.299	33.3			Percent of total billed charges		700.299	100			Percent of total billed charges		2103	700.299	1892.7	
biomet vanguard tibial bearing 16 x 63/67 183726	278	RC	Outpatient			2103	1366.95		90			Percent of total billed charges		1892.7	40			Percent of total billed charges		841.2	80			Percent of total billed charges		1682.4	90			Percent of total billed charges		1892.7	85			Percent of total billed charges		1787.55	85			Percent of total billed charges		1787.55	85			Percent of total billed charges		1787.55	100			Percent of total billed charges		2103	100			Percent of total billed charges		2103	100			Percent of total billed charges		2103	33.3			Percent of total billed charges		700.299	33.3			Percent of total billed charges		700.299	100			Percent of total billed charges		2103	700.299	1892.7	
biomet vanguard tibial bearing 16 x 71/75 183746	278	RC	Outpatient			2103	1366.95		90			Percent of total billed charges		1892.7	40			Percent of total billed charges		841.2	80			Percent of total billed charges		1682.4	90			Percent of total billed charges		1892.7	85			Percent of total billed charges		1787.55	85			Percent of total billed charges		1787.55	85			Percent of total billed charges		1787.55	100			Percent of total billed charges		2103	100			Percent of total billed charges		2103	100			Percent of total billed charges		2103	33.3			Percent of total billed charges		700.299	33.3			Percent of total billed charges		700.299	100			Percent of total billed charges		2103	700.299	1892.7	
biomet vanguard tibial bearing 16 x 79/83 183766	278	RC	Outpatient			2103	1366.95		90			Percent of total billed charges		1892.7	40			Percent of total billed charges		841.2	80			Percent of total billed charges		1682.4	90			Percent of total billed charges		1892.7	85			Percent of total billed charges		1787.55	85			Percent of total billed charges		1787.55	85			Percent of total billed charges		1787.55	100			Percent of total billed charges		2103	100			Percent of total billed charges		2103	100			Percent of total billed charges		2103	33.3			Percent of total billed charges		700.299	33.3			Percent of total billed charges		700.299	100			Percent of total billed charges		2103	700.299	1892.7	
biomet vanguard tibial bearing 18 x 79/83 183768	278	RC	Outpatient			2103	1366.95		90			Percent of total billed charges		1892.7	40			Percent of total billed charges		841.2	80			Percent of total billed charges		1682.4	90			Percent of total billed charges		1892.7	85			Percent of total billed charges		1787.55	85			Percent of total billed charges		1787.55	85			Percent of total billed charges		1787.55	100			Percent of total billed charges		2103	100			Percent of total billed charges		2103	100			Percent of total billed charges		2103	33.3			Percent of total billed charges		700.299	33.3			Percent of total billed charges		700.299	100			Percent of total billed charges		2103	700.299	1892.7	
biomet vanguard tibial bearing 20 x 63/67 183730	278	RC	Outpatient			2103	1366.95		90			Percent of total billed charges		1892.7	40			Percent of total billed charges		841.2	80			Percent of total billed charges		1682.4	90			Percent of total billed charges		1892.7	85			Percent of total billed charges		1787.55	85			Percent of total billed charges		1787.55	85			Percent of total billed charges		1787.55	100			Percent of total billed charges		2103	100			Percent of total billed charges		2103	100			Percent of total billed charges		2103	33.3			Percent of total billed charges		700.299	33.3			Percent of total billed charges		700.299	100			Percent of total billed charges		2103	700.299	1892.7	
biomet vanguard tibial bearing 20 x 71/75 183750	278	RC	Outpatient			2103	1366.95		90			Percent of total billed charges		1892.7	40			Percent of total billed charges		841.2	80			Percent of total billed charges		1682.4	90			Percent of total billed charges		1892.7	85			Percent of total billed charges		1787.55	85			Percent of total billed charges		1787.55	85			Percent of total billed charges		1787.55	100			Percent of total billed charges		2103	100			Percent of total billed charges		2103	100			Percent of total billed charges		2103	33.3			Percent of total billed charges		700.299	33.3			Percent of total billed charges		700.299	100			Percent of total billed charges		2103	700.299	1892.7	
biomet vanguard tibial bearing 20 x 79/83 183770	278	RC	Outpatient			2103	1366.95		90			Percent of total billed charges		1892.7	40			Percent of total billed charges		841.2	80			Percent of total billed charges		1682.4	90			Percent of total billed charges		1892.7	85			Percent of total billed charges		1787.55	85			Percent of total billed charges		1787.55	85			Percent of total billed charges		1787.55	100			Percent of total billed charges		2103	100			Percent of total billed charges		2103	100			Percent of total billed charges		2103	33.3			Percent of total billed charges		700.299	33.3			Percent of total billed charges		700.299	100			Percent of total billed charges		2103	700.299	1892.7	
biomet vanguard tibial bearing 10 x 59 183700	278	RC	Outpatient			2103	1366.95		90			Percent of total billed charges		1892.7	40			Percent of total billed charges		841.2	80			Percent of total billed charges		1682.4	90			Percent of total billed charges		1892.7	85			Percent of total billed charges		1787.55	85			Percent of total billed charges		1787.55	85			Percent of total billed charges		1787.55	100			Percent of total billed charges		2103	100			Percent of total billed charges		2103	100			Percent of total billed charges		2103	33.3			Percent of total billed charges		700.299	33.3			Percent of total billed charges		700.299	100			Percent of total billed charges		2103	700.299	1892.7	
biomet vanguard tibial bearing 10 x 63/67 183720	278	RC	Outpatient			2103	1366.95		90			Percent of total billed charges		1892.7	40			Percent of total billed charges		841.2	80			Percent of total billed charges		1682.4	90			Percent of total billed charges		1892.7	85			Percent of total billed charges		1787.55	85			Percent of total billed charges		1787.55	85			Percent of total billed charges		1787.55	100			Percent of total billed charges		2103	100			Percent of total billed charges		2103	100			Percent of total billed charges		2103	33.3			Percent of total billed charges		700.299	33.3			Percent of total billed charges		700.299	100			Percent of total billed charges		2103	700.299	1892.7	
biomet vanguard tibial bearing 10 x 71/75 183740	278	RC	Outpatient			2103	1366.95		90			Percent of total billed charges		1892.7	40			Percent of total billed charges		841.2	80			Percent of total billed charges		1682.4	90			Percent of total billed charges		1892.7	85			Percent of total billed charges		1787.55	85			Percent of total billed charges		1787.55	85			Percent of total billed charges		1787.55	100			Percent of total billed charges		2103	100			Percent of total billed charges		2103	100			Percent of total billed charges		2103	33.3			Percent of total billed charges		700.299	33.3			Percent of total billed charges		700.299	100			Percent of total billed charges		2103	700.299	1892.7	
biomet vanguard tibial bearing 10 x 79/83 183760	278	RC	Outpatient			2103	1366.95		90			Percent of total billed charges		1892.7	40			Percent of total billed charges		841.2	80			Percent of total billed charges		1682.4	90			Percent of total billed charges		1892.7	85			Percent of total billed charges		1787.55	85			Percent of total billed charges		1787.55	85			Percent of total billed charges		1787.55	100			Percent of total billed charges		2103	100			Percent of total billed charges		2103	100			Percent of total billed charges		2103	33.3			Percent of total billed charges		700.299	33.3			Percent of total billed charges		700.299	100			Percent of total billed charges		2103	700.299	1892.7	
biomet vanguard tibial bearing 10 x 87/91 183780	278	RC	Outpatient			2103	1366.95		90			Percent of total billed charges		1892.7	40			Percent of total billed charges		841.2	80			Percent of total billed charges		1682.4	90			Percent of total billed charges		1892.7	85			Percent of total billed charges		1787.55	85			Percent of total billed charges		1787.55	85			Percent of total billed charges		1787.55	100			Percent of total billed charges		2103	100			Percent of total billed charges		2103	100			Percent of total billed charges		2103	33.3			Percent of total billed charges		700.299	33.3			Percent of total billed charges		700.299	100			Percent of total billed charges		2103	700.299	1892.7	
biomet vanguard tibial bearing 12 x 63/67 183722	278	RC	Outpatient			2103	1366.95		90			Percent of total billed charges		1892.7	40			Percent of total billed charges		841.2	80			Percent of total billed charges		1682.4	90			Percent of total billed charges		1892.7	85			Percent of total billed charges		1787.55	85			Percent of total billed charges		1787.55	85			Percent of total billed charges		1787.55	100			Percent of total billed charges		2103	100			Percent of total billed charges		2103	100			Percent of total billed charges		2103	33.3			Percent of total billed charges		700.299	33.3			Percent of total billed charges		700.299	100			Percent of total billed charges		2103	700.299	1892.7	
biomet vanguard tibial bearing 12 x 71/75 183742	278	RC	Outpatient			2103	1366.95		90			Percent of total billed charges		1892.7	40			Percent of total billed charges		841.2	80			Percent of total billed charges		1682.4	90			Percent of total billed charges		1892.7	85			Percent of total billed charges		1787.55	85			Percent of total billed charges		1787.55	85			Percent of total billed charges		1787.55	100			Percent of total billed charges		2103	100			Percent of total billed charges		2103	100			Percent of total billed charges		2103	33.3			Percent of total billed charges		700.299	33.3			Percent of total billed charges		700.299	100			Percent of total billed charges		2103	700.299	1892.7	
biomet vanguard tibial bearing 12 x 87/91 183782	278	RC	Outpatient			2103	1366.95		90			Percent of total billed charges		1892.7	40			Percent of total billed charges		841.2	80			Percent of total billed charges		1682.4	90			Percent of total billed charges		1892.7	85			Percent of total billed charges		1787.55	85			Percent of total billed charges		1787.55	85			Percent of total billed charges		1787.55	100			Percent of total billed charges		2103	100			Percent of total billed charges		2103	100			Percent of total billed charges		2103	33.3			Percent of total billed charges		700.299	33.3			Percent of total billed charges		700.299	100			Percent of total billed charges		2103	700.299	1892.7	
biomet vanguard tibial bearing 14 x 63/67 183724	278	RC	Outpatient			2103	1366.95		90			Percent of total billed charges		1892.7	40			Percent of total billed charges		841.2	80			Percent of total billed charges		1682.4	90			Percent of total billed charges		1892.7	85			Percent of total billed charges		1787.55	85			Percent of total billed charges		1787.55	85			Percent of total billed charges		1787.55	100			Percent of total billed charges		2103	100			Percent of total billed charges		2103	100			Percent of total billed charges		2103	33.3			Percent of total billed charges		700.299	33.3			Percent of total billed charges		700.299	100			Percent of total billed charges		2103	700.299	1892.7	
biomet vanguard tibial bearing 14 x 87/91 183784	278	RC	Outpatient			2103	1366.95		90			Percent of total billed charges		1892.7	40			Percent of total billed charges		841.2	80			Percent of total billed charges		1682.4	90			Percent of total billed charges		1892.7	85			Percent of total billed charges		1787.55	85			Percent of total billed charges		1787.55	85			Percent of total billed charges		1787.55	100			Percent of total billed charges		2103	100			Percent of total billed charges		2103	100			Percent of total billed charges		2103	33.3			Percent of total billed charges		700.299	33.3			Percent of total billed charges		700.299	100			Percent of total billed charges		2103	700.299	1892.7	
biomet vanguard tibial bearing 16 x 59 183706	278	RC	Outpatient			2103	1366.95		90			Percent of total billed charges		1892.7	40			Percent of total billed charges		841.2	80			Percent of total billed charges		1682.4	90			Percent of total billed charges		1892.7	85			Percent of total billed charges		1787.55	85			Percent of total billed charges		1787.55	85			Percent of total billed charges		1787.55	100			Percent of total billed charges		2103	100			Percent of total billed charges		2103	100			Percent of total billed charges		2103	33.3			Percent of total billed charges		700.299	33.3			Percent of total billed charges		700.299	100			Percent of total billed charges		2103	700.299	1892.7	
biomet vanguard tibial bearing 16 x 87/91 183786	278	RC	Outpatient			2103	1366.95		90			Percent of total billed charges		1892.7	40			Percent of total billed charges		841.2	80			Percent of total billed charges		1682.4	90			Percent of total billed charges		1892.7	85			Percent of total billed charges		1787.55	85			Percent of total billed charges		1787.55	85			Percent of total billed charges		1787.55	100			Percent of total billed charges		2103	100			Percent of total billed charges		2103	100			Percent of total billed charges		2103	33.3			Percent of total billed charges		700.299	33.3			Percent of total billed charges		700.299	100			Percent of total billed charges		2103	700.299	1892.7	
biomet vanguard tibial bearing 18 x 59 183708	278	RC	Outpatient			2103	1366.95		90			Percent of total billed charges		1892.7	40			Percent of total billed charges		841.2	80			Percent of total billed charges		1682.4	90			Percent of total billed charges		1892.7	85			Percent of total billed charges		1787.55	85			Percent of total billed charges		1787.55	85			Percent of total billed charges		1787.55	100			Percent of total billed charges		2103	100			Percent of total billed charges		2103	100			Percent of total billed charges		2103	33.3			Percent of total billed charges		700.299	33.3			Percent of total billed charges		700.299	100			Percent of total billed charges		2103	700.299	1892.7	
biomet vanguard tibial bearing 18 x 63/67 183728	278	RC	Outpatient			2103	1366.95		90			Percent of total billed charges		1892.7	40			Percent of total billed charges		841.2	80			Percent of total billed charges		1682.4	90			Percent of total billed charges		1892.7	85			Percent of total billed charges		1787.55	85			Percent of total billed charges		1787.55	85			Percent of total billed charges		1787.55	100			Percent of total billed charges		2103	100			Percent of total billed charges		2103	100			Percent of total billed charges		2103	33.3			Percent of total billed charges		700.299	33.3			Percent of total billed charges		700.299	100			Percent of total billed charges		2103	700.299	1892.7	
biomet vanguard tibial bearing 18 x 71/75 183748	278	RC	Outpatient			2103	1366.95		90			Percent of total billed charges		1892.7	40			Percent of total billed charges		841.2	80			Percent of total billed charges		1682.4	90			Percent of total billed charges		1892.7	85			Percent of total billed charges		1787.55	85			Percent of total billed charges		1787.55	85			Percent of total billed charges		1787.55	100			Percent of total billed charges		2103	100			Percent of total billed charges		2103	100			Percent of total billed charges		2103	33.3			Percent of total billed charges		700.299	33.3			Percent of total billed charges		700.299	100			Percent of total billed charges		2103	700.299	1892.7	
biomet vanguard tibial bearing 18 x 87/91 183788	278	RC	Outpatient			2103	1366.95		90			Percent of total billed charges		1892.7	40			Percent of total billed charges		841.2	80			Percent of total billed charges		1682.4	90			Percent of total billed charges		1892.7	85			Percent of total billed charges		1787.55	85			Percent of total billed charges		1787.55	85			Percent of total billed charges		1787.55	100			Percent of total billed charges		2103	100			Percent of total billed charges		2103	100			Percent of total billed charges		2103	33.3			Percent of total billed charges		700.299	33.3			Percent of total billed charges		700.299	100			Percent of total billed charges		2103	700.299	1892.7	
biomet vanguard tibial bearing 20 x 59 183710	278	RC	Outpatient			2103	1366.95		90			Percent of total billed charges		1892.7	40			Percent of total billed charges		841.2	80			Percent of total billed charges		1682.4	90			Percent of total billed charges		1892.7	85			Percent of total billed charges		1787.55	85			Percent of total billed charges		1787.55	85			Percent of total billed charges		1787.55	100			Percent of total billed charges		2103	100			Percent of total billed charges		2103	100			Percent of total billed charges		2103	33.3			Percent of total billed charges		700.299	33.3			Percent of total billed charges		700.299	100			Percent of total billed charges		2103	700.299	1892.7	
biomet vanguard tibial bearing 20 x 87/91 183790	278	RC	Outpatient			2103	1366.95		90			Percent of total billed charges		1892.7	40			Percent of total billed charges		841.2	80			Percent of total billed charges		1682.4	90			Percent of total billed charges		1892.7	85			Percent of total billed charges		1787.55	85			Percent of total billed charges		1787.55	85			Percent of total billed charges		1787.55	100			Percent of total billed charges		2103	100			Percent of total billed charges		2103	100			Percent of total billed charges		2103	33.3			Percent of total billed charges		700.299	33.3			Percent of total billed charges		700.299	100			Percent of total billed charges		2103	700.299	1892.7	
evos 2.7mm flex plate 8 hole s/n 72442760n	278	RC	Outpatient			2104	1367.6		90			Percent of total billed charges		1893.6	40			Percent of total billed charges		841.6	80			Percent of total billed charges		1683.2	90			Percent of total billed charges		1893.6	85			Percent of total billed charges		1788.4	85			Percent of total billed charges		1788.4	85			Percent of total billed charges		1788.4	100			Percent of total billed charges		2104	100			Percent of total billed charges		2104	100			Percent of total billed charges		2104	33.3			Percent of total billed charges		700.632	33.3			Percent of total billed charges		700.632	100			Percent of total billed charges		2104	700.632	1893.6	
s/n evos 2.4 triangle 6 hole plate 72442490n	278	RC	Outpatient			2104	1367.6		90			Percent of total billed charges		1893.6	40			Percent of total billed charges		841.6	80			Percent of total billed charges		1683.2	90			Percent of total billed charges		1893.6	85			Percent of total billed charges		1788.4	85			Percent of total billed charges		1788.4	85			Percent of total billed charges		1788.4	100			Percent of total billed charges		2104	100			Percent of total billed charges		2104	100			Percent of total billed charges		2104	33.3			Percent of total billed charges		700.632	33.3			Percent of total billed charges		700.632	100			Percent of total billed charges		2104	700.632	1893.6	
absolute pro stent 6mm x 100mm x 135cm 1011933-100 abbott vas	272	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
absolute pro stent 6mm x 60mm x 135cm 1011933-060 abbott vas	272	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
absolute pro stent 6mm x 80mm x 135cm 1011933-080 abbott vas	272	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
absolute pro stent 7mm x 100mm x 135cm 1011934-100 abbott vas	272	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
absolute pro stent 7mm x 20mm x 135cm 1011934-020 abbott vas	272	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
absolute pro stent 7mm x 60mm x 135cm 1011934-060 abbott vas	272	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
absolute pro stent 7mm x 80mm x 135cm 1011934-080 abbott vas	272	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
absolute pro stent 8mm x 100mm x 135cm 1011935-100 abbott vas	272	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
absolute pro stent 8mm x 40mm x 135cm 1011935-040 abbott vas	272	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
absolute pro stent 8mm x 60mm x 135cm 1011935-040 abbott vas	272	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
absolute pro stent 8mm x 80mm x 135cm 1011935-080 abbott vas	272	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
absolute stent	272	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
absolute stent 5mm x 20mm x 80cm 1010555-20 abbott vas	272	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
absolute stent 5mm x 30mm x 80cm 1010555-30 abbott vas	272	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
absolute stent 6mm x 60mm x 80cm 1010556-60 abbott vas	272	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
absolute stent 6mm x 80mm x 80cm 1010556-80 abbott vas	272	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
absolute stent 7mm x 20mm x 80cm 1010557-20 abbott vas	272	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
absolute stent 8mm x 100mm x 80cm 1010558-100 abbott vas	272	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
absolute stent 8mm x 20mm x 80cm 1010558-20 abbott vas	272	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
absolute stent 8mm x 80mm x 80cm 1010558-80 abbott vas	272	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
arthex distal bicep repair implant system ar-2260	272	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
absolute pro stent 6mm x 40mm x 135cm 1011933-040 abbott vas	272	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
absolute pro stent 7mm x 40mm x 135cm 1011934-040 abbott vas	272	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
absolute stent 6mm x 100mm x 80cm 1010556-100 abbott vas	272	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
absolute stent 6mm x 40mm x 80cm 1010556-40 abbott vas	272	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
absolute stent 7mm x 100mm x 80cm 1010557-100 abbott vas	272	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
absolute stent 7mm x 40mm x 80cm 1010557-40 abbott vas	272	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
absolute stent 7mm x 60mm x 80cm 1010557-60 abbott vas	272	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
absolute stent 7mm x 80mm x 80cm 1010557-80 abbott vas	272	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
absolute stent 8mm x 40mm x 80cm 1010558-40 abbott vas	272	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
arthrex dist bicep rep	272	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
spine xia ii pa screw 4.0 x 30 038214030 stryker	278	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
spine xia ii pa screw 4.5 x 25 03821425 stryker	278	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
spine xia ii pa screw 4.5 x 30 03821430 stryker	278	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
spine xia ii pa screw 4.5 x 35 03821435 stryker	278	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
spine xia ii pa screw 4.5 x 40 03821440 stryker	278	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
spine xia ii pa screw 4.5 x 45 03821445 stryker	278	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
spine xia ii pa screw 5.0 x 30 038215030 stryker	278	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
spine xia ii pa screw 5.0 x 40 038215040 stryker	278	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
spine xia ii pa screw 5.0 x 45 038215045 stryker	278	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
spine xia ii pa screw 5.5 x 45 03821545 stryker	278	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
spine xia ii pa screw 5.5 x 50 03821550 stryker	278	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
spine xia ii pa screw 6.5 x 30 03821630 stryker	278	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
spine xia ii pa screw 6.5 x 35 03821635 stryker	278	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
spine xia ii pa screw 6.5 x 45 03821645 stryker	278	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
spine xia ii pa screw 6.5 x 55 03821655 stryker	278	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
spine xia ii pa screw 6.5 x 60 03821660 stryker	278	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
spine xia ii pa screw 6.5 x 70 03821670 stryker	278	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
spine xia ii pa screw 6.5 x 90 03821690 stryker	278	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
spine xia ii pa screw 7.5 x 30 03821730 stryker	278	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
spine xia ii pa screw 7.5 x 35 03821735 stryker	278	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
spine xia ii pa screw 7.5 x 40 03821740 stryker	278	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
spine xia ii pa screw 7.5 x 60 03821760 stryker	278	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
spine xia ii pa screw 4.0 x 20 038214020 stryker	278	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
spine xia ii pa screw 4.0 x 25 038214025 stryker	278	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
spine xia ii pa screw 4.0 x 35 038214035 stryker	278	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
spine xia ii pa screw 4.0 x 40 038214040 stryker	278	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
spine xia ii pa screw 5.0 x 25 038215025 stryker	278	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
spine xia ii pa screw 5.0 x 35 038215035 stryker	278	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
spine xia ii pa screw 5.5 x 25 03821525 stryker	278	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
spine xia ii pa screw 5.5 x 35 03821535 stryker	278	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
spine xia ii pa screw 5.5 x 40 03821540 stryker	278	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
spine xia ii pa screw 5.5 x 55 03821555 stryker	278	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
spine xia ii pa screw 6.5 x 40 03821640 stryker	278	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
spine xia ii pa screw 6.5 x 50 03821650 stryker	278	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
spine xia ii pa screw 6.5 x 80 03821680 stryker	278	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
spine xia ii pa screw 7.5 x 100 03821700 stryker	278	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
spine xia ii pa screw 7.5 x 45 03821745 stryker	278	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
spine xia ii pa screw 7.5 x 50 03821750 stryker	278	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
spine xia ii pa screw 7.5 x 55 03821755 stryker	278	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
stryker xia 11 pa screw	278	RC	Outpatient			2106	1368.9		90			Percent of total billed charges		1895.4	40			Percent of total billed charges		842.4	80			Percent of total billed charges		1684.8	90			Percent of total billed charges		1895.4	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	85			Percent of total billed charges		1790.1	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	100			Percent of total billed charges		2106	33.3			Percent of total billed charges		701.298	33.3			Percent of total billed charges		701.298	100			Percent of total billed charges		2106	701.298	1895.4	
aigis patch pm	272	RC	Outpatient			2107	1369.55		90			Percent of total billed charges		1896.3	40			Percent of total billed charges		842.8	80			Percent of total billed charges		1685.6	90			Percent of total billed charges		1896.3	85			Percent of total billed charges		1790.95	85			Percent of total billed charges		1790.95	85			Percent of total billed charges		1790.95	100			Percent of total billed charges		2107	100			Percent of total billed charges		2107	100			Percent of total billed charges		2107	33.3			Percent of total billed charges		701.631	33.3			Percent of total billed charges		701.631	100			Percent of total billed charges		2107	701.631	1896.3	
arthrex cmc mini tightrope 1.1mm ar-8919ds	278	RC	Outpatient			2110	1371.5		90			Percent of total billed charges		1899	40			Percent of total billed charges		844	80			Percent of total billed charges		1688	90			Percent of total billed charges		1899	85			Percent of total billed charges		1793.5	85			Percent of total billed charges		1793.5	85			Percent of total billed charges		1793.5	100			Percent of total billed charges		2110	100			Percent of total billed charges		2110	100			Percent of total billed charges		2110	33.3			Percent of total billed charges		702.63	33.3			Percent of total billed charges		702.63	100			Percent of total billed charges		2110	702.63	1899	
arthrex cmc mini tightrope system	278	RC	Outpatient			2110	1371.5		90			Percent of total billed charges		1899	40			Percent of total billed charges		844	80			Percent of total billed charges		1688	90			Percent of total billed charges		1899	85			Percent of total billed charges		1793.5	85			Percent of total billed charges		1793.5	85			Percent of total billed charges		1793.5	100			Percent of total billed charges		2110	100			Percent of total billed charges		2110	100			Percent of total billed charges		2110	33.3			Percent of total billed charges		702.63	33.3			Percent of total billed charges		702.63	100			Percent of total billed charges		2110	702.63	1899	
gmrs axle 6495-2-115 stryker	278	RC	Outpatient			2117	1376.05		90			Percent of total billed charges		1905.3	40			Percent of total billed charges		846.8	80			Percent of total billed charges		1693.6	90			Percent of total billed charges		1905.3	85			Percent of total billed charges		1799.45	85			Percent of total billed charges		1799.45	85			Percent of total billed charges		1799.45	100			Percent of total billed charges		2117	100			Percent of total billed charges		2117	100			Percent of total billed charges		2117	33.3			Percent of total billed charges		704.961	33.3			Percent of total billed charges		704.961	100			Percent of total billed charges		2117	704.961	1905.3	
gmrs axle	278	RC	Outpatient			2117	1376.05		90			Percent of total billed charges		1905.3	40			Percent of total billed charges		846.8	80			Percent of total billed charges		1693.6	90			Percent of total billed charges		1905.3	85			Percent of total billed charges		1799.45	85			Percent of total billed charges		1799.45	85			Percent of total billed charges		1799.45	100			Percent of total billed charges		2117	100			Percent of total billed charges		2117	100			Percent of total billed charges		2117	33.3			Percent of total billed charges		704.961	33.3			Percent of total billed charges		704.961	100			Percent of total billed charges		2117	704.961	1905.3	
allocraft 10cc	278	RC	Outpatient			2122	1379.3		90			Percent of total billed charges		1909.8	40			Percent of total billed charges		848.8	80			Percent of total billed charges		1697.6	90			Percent of total billed charges		1909.8	85			Percent of total billed charges		1803.7	85			Percent of total billed charges		1803.7	85			Percent of total billed charges		1803.7	100			Percent of total billed charges		2122	100			Percent of total billed charges		2122	100			Percent of total billed charges		2122	33.3			Percent of total billed charges		706.626	33.3			Percent of total billed charges		706.626	100			Percent of total billed charges		2122	706.626	1909.8	
allocraft dbm 10cc 653010 stryker	278	RC	Outpatient			2122	1379.3		90			Percent of total billed charges		1909.8	40			Percent of total billed charges		848.8	80			Percent of total billed charges		1697.6	90			Percent of total billed charges		1909.8	85			Percent of total billed charges		1803.7	85			Percent of total billed charges		1803.7	85			Percent of total billed charges		1803.7	100			Percent of total billed charges		2122	100			Percent of total billed charges		2122	100			Percent of total billed charges		2122	33.3			Percent of total billed charges		706.626	33.3			Percent of total billed charges		706.626	100			Percent of total billed charges		2122	706.626	1909.8	
anesthesia time 7 1/2 hours	270	RC	Outpatient			2124	1380.6		90			Percent of total billed charges		1911.6	40			Percent of total billed charges		849.6	80			Percent of total billed charges		1699.2	90			Percent of total billed charges		1911.6	85			Percent of total billed charges		1805.4	85			Percent of total billed charges		1805.4	85			Percent of total billed charges		1805.4	100			Percent of total billed charges		2124	100			Percent of total billed charges		2124	100			Percent of total billed charges		2124	33.3			Percent of total billed charges		707.292	33.3			Percent of total billed charges		707.292	100			Percent of total billed charges		2124	707.292	1911.6	
discovery elb condyle kit	278	RC	Outpatient			2128	1383.2		90			Percent of total billed charges		1915.2	40			Percent of total billed charges		851.2	80			Percent of total billed charges		1702.4	90			Percent of total billed charges		1915.2	85			Percent of total billed charges		1808.8	85			Percent of total billed charges		1808.8	85			Percent of total billed charges		1808.8	100			Percent of total billed charges		2128	100			Percent of total billed charges		2128	100			Percent of total billed charges		2128	33.3			Percent of total billed charges		708.624	33.3			Percent of total billed charges		708.624	100			Percent of total billed charges		2128	708.624	1915.2	
discovery elbow hum condyle  biomet 114900	278	RC	Outpatient			2128	1383.2		90			Percent of total billed charges		1915.2	40			Percent of total billed charges		851.2	80			Percent of total billed charges		1702.4	90			Percent of total billed charges		1915.2	85			Percent of total billed charges		1808.8	85			Percent of total billed charges		1808.8	85			Percent of total billed charges		1808.8	100			Percent of total billed charges		2128	100			Percent of total billed charges		2128	100			Percent of total billed charges		2128	33.3			Percent of total billed charges		708.624	33.3			Percent of total billed charges		708.624	100			Percent of total billed charges		2128	708.624	1915.2	
lck recon plate 2.7mm 8 hl 7182258 s/n	278	RC	Outpatient			2128	1383.2		90			Percent of total billed charges		1915.2	40			Percent of total billed charges		851.2	80			Percent of total billed charges		1702.4	90			Percent of total billed charges		1915.2	85			Percent of total billed charges		1808.8	85			Percent of total billed charges		1808.8	85			Percent of total billed charges		1808.8	100			Percent of total billed charges		2128	100			Percent of total billed charges		2128	100			Percent of total billed charges		2128	33.3			Percent of total billed charges		708.624	33.3			Percent of total billed charges		708.624	100			Percent of total billed charges		2128	708.624	1915.2	
s/n 2.7 lck recon pl 8hl	278	RC	Outpatient			2128	1383.2		90			Percent of total billed charges		1915.2	40			Percent of total billed charges		851.2	80			Percent of total billed charges		1702.4	90			Percent of total billed charges		1915.2	85			Percent of total billed charges		1808.8	85			Percent of total billed charges		1808.8	85			Percent of total billed charges		1808.8	100			Percent of total billed charges		2128	100			Percent of total billed charges		2128	100			Percent of total billed charges		2128	33.3			Percent of total billed charges		708.624	33.3			Percent of total billed charges		708.624	100			Percent of total billed charges		2128	708.624	1915.2	
full ring 155mm 71070114 s/n	278	RC	Outpatient			2129	1383.85		90			Percent of total billed charges		1916.1	40			Percent of total billed charges		851.6	80			Percent of total billed charges		1703.2	90			Percent of total billed charges		1916.1	85			Percent of total billed charges		1809.65	85			Percent of total billed charges		1809.65	85			Percent of total billed charges		1809.65	100			Percent of total billed charges		2129	100			Percent of total billed charges		2129	100			Percent of total billed charges		2129	33.3			Percent of total billed charges		708.957	33.3			Percent of total billed charges		708.957	100			Percent of total billed charges		2129	708.957	1916.1	
s/n full ring 155	278	RC	Outpatient			2129	1383.85		90			Percent of total billed charges		1916.1	40			Percent of total billed charges		851.6	80			Percent of total billed charges		1703.2	90			Percent of total billed charges		1916.1	85			Percent of total billed charges		1809.65	85			Percent of total billed charges		1809.65	85			Percent of total billed charges		1809.65	100			Percent of total billed charges		2129	100			Percent of total billed charges		2129	100			Percent of total billed charges		2129	33.3			Percent of total billed charges		708.957	33.3			Percent of total billed charges		708.957	100			Percent of total billed charges		2129	708.957	1916.1	
half ring 155mm 71070124 s/n	272	RC	Outpatient			2130	1384.5		90			Percent of total billed charges		1917	40			Percent of total billed charges		852	80			Percent of total billed charges		1704	90			Percent of total billed charges		1917	85			Percent of total billed charges		1810.5	85			Percent of total billed charges		1810.5	85			Percent of total billed charges		1810.5	100			Percent of total billed charges		2130	100			Percent of total billed charges		2130	100			Percent of total billed charges		2130	33.3			Percent of total billed charges		709.29	33.3			Percent of total billed charges		709.29	100			Percent of total billed charges		2130	709.29	1917	
s/n half ring	272	RC	Outpatient			2130	1384.5		90			Percent of total billed charges		1917	40			Percent of total billed charges		852	80			Percent of total billed charges		1704	90			Percent of total billed charges		1917	85			Percent of total billed charges		1810.5	85			Percent of total billed charges		1810.5	85			Percent of total billed charges		1810.5	100			Percent of total billed charges		2130	100			Percent of total billed charges		2130	100			Percent of total billed charges		2130	33.3			Percent of total billed charges		709.29	33.3			Percent of total billed charges		709.29	100			Percent of total billed charges		2130	709.29	1917	
sm fr pl recon 20 hl	278	RC	Outpatient			2131	1385.15		90			Percent of total billed charges		1917.9	40			Percent of total billed charges		852.4	80			Percent of total billed charges		1704.8	90			Percent of total billed charges		1917.9	85			Percent of total billed charges		1811.35	85			Percent of total billed charges		1811.35	85			Percent of total billed charges		1811.35	100			Percent of total billed charges		2131	100			Percent of total billed charges		2131	100			Percent of total billed charges		2131	33.3			Percent of total billed charges		709.623	33.3			Percent of total billed charges		709.623	100			Percent of total billed charges		2131	709.623	1917.9	
s/n 3.5 recon plate 20 hole 7114-0120	278	RC	Outpatient			2131	1385.15		90			Percent of total billed charges		1917.9	40			Percent of total billed charges		852.4	80			Percent of total billed charges		1704.8	90			Percent of total billed charges		1917.9	85			Percent of total billed charges		1811.35	85			Percent of total billed charges		1811.35	85			Percent of total billed charges		1811.35	100			Percent of total billed charges		2131	100			Percent of total billed charges		2131	100			Percent of total billed charges		2131	33.3			Percent of total billed charges		709.623	33.3			Percent of total billed charges		709.623	100			Percent of total billed charges		2131	709.623	1917.9	
10mm x 240mm shoulder stem sh-1024-s polarus	278	RC	Outpatient			2133	1386.45		90			Percent of total billed charges		1919.7	40			Percent of total billed charges		853.2	80			Percent of total billed charges		1706.4	90			Percent of total billed charges		1919.7	85			Percent of total billed charges		1813.05	85			Percent of total billed charges		1813.05	85			Percent of total billed charges		1813.05	100			Percent of total billed charges		2133	100			Percent of total billed charges		2133	100			Percent of total billed charges		2133	33.3			Percent of total billed charges		710.289	33.3			Percent of total billed charges		710.289	100			Percent of total billed charges		2133	710.289	1919.7	
8mm x 180mm shoulder stem sh-0818-s polarus	278	RC	Outpatient			2133	1386.45		90			Percent of total billed charges		1919.7	40			Percent of total billed charges		853.2	80			Percent of total billed charges		1706.4	90			Percent of total billed charges		1919.7	85			Percent of total billed charges		1813.05	85			Percent of total billed charges		1813.05	85			Percent of total billed charges		1813.05	100			Percent of total billed charges		2133	100			Percent of total billed charges		2133	100			Percent of total billed charges		2133	33.3			Percent of total billed charges		710.289	33.3			Percent of total billed charges		710.289	100			Percent of total billed charges		2133	710.289	1919.7	
8mm x 200mm shoulder stem sh-0820-s polarus	278	RC	Outpatient			2133	1386.45		90			Percent of total billed charges		1919.7	40			Percent of total billed charges		853.2	80			Percent of total billed charges		1706.4	90			Percent of total billed charges		1919.7	85			Percent of total billed charges		1813.05	85			Percent of total billed charges		1813.05	85			Percent of total billed charges		1813.05	100			Percent of total billed charges		2133	100			Percent of total billed charges		2133	100			Percent of total billed charges		2133	33.3			Percent of total billed charges		710.289	33.3			Percent of total billed charges		710.289	100			Percent of total billed charges		2133	710.289	1919.7	
8mm x 220mm shoulder stem sh-0822-s polarus	278	RC	Outpatient			2133	1386.45		90			Percent of total billed charges		1919.7	40			Percent of total billed charges		853.2	80			Percent of total billed charges		1706.4	90			Percent of total billed charges		1919.7	85			Percent of total billed charges		1813.05	85			Percent of total billed charges		1813.05	85			Percent of total billed charges		1813.05	100			Percent of total billed charges		2133	100			Percent of total billed charges		2133	100			Percent of total billed charges		2133	33.3			Percent of total billed charges		710.289	33.3			Percent of total billed charges		710.289	100			Percent of total billed charges		2133	710.289	1919.7	
8mm x 240mm shoulder stem sh-0824-s polarus	278	RC	Outpatient			2133	1386.45		90			Percent of total billed charges		1919.7	40			Percent of total billed charges		853.2	80			Percent of total billed charges		1706.4	90			Percent of total billed charges		1919.7	85			Percent of total billed charges		1813.05	85			Percent of total billed charges		1813.05	85			Percent of total billed charges		1813.05	100			Percent of total billed charges		2133	100			Percent of total billed charges		2133	100			Percent of total billed charges		2133	33.3			Percent of total billed charges		710.289	33.3			Percent of total billed charges		710.289	100			Percent of total billed charges		2133	710.289	1919.7	
8mm x 260mm shoulder stem sh-0826-s polarus	278	RC	Outpatient			2133	1386.45		90			Percent of total billed charges		1919.7	40			Percent of total billed charges		853.2	80			Percent of total billed charges		1706.4	90			Percent of total billed charges		1919.7	85			Percent of total billed charges		1813.05	85			Percent of total billed charges		1813.05	85			Percent of total billed charges		1813.05	100			Percent of total billed charges		2133	100			Percent of total billed charges		2133	100			Percent of total billed charges		2133	33.3			Percent of total billed charges		710.289	33.3			Percent of total billed charges		710.289	100			Percent of total billed charges		2133	710.289	1919.7	
8mm x 280mm shoulder stem sh-0828-s polarus	278	RC	Outpatient			2133	1386.45		90			Percent of total billed charges		1919.7	40			Percent of total billed charges		853.2	80			Percent of total billed charges		1706.4	90			Percent of total billed charges		1919.7	85			Percent of total billed charges		1813.05	85			Percent of total billed charges		1813.05	85			Percent of total billed charges		1813.05	100			Percent of total billed charges		2133	100			Percent of total billed charges		2133	100			Percent of total billed charges		2133	33.3			Percent of total billed charges		710.289	33.3			Percent of total billed charges		710.289	100			Percent of total billed charges		2133	710.289	1919.7	
10mm x 180mm  shoulder stem sh-1018-s polarus	278	RC	Outpatient			2133	1386.45		90			Percent of total billed charges		1919.7	40			Percent of total billed charges		853.2	80			Percent of total billed charges		1706.4	90			Percent of total billed charges		1919.7	85			Percent of total billed charges		1813.05	85			Percent of total billed charges		1813.05	85			Percent of total billed charges		1813.05	100			Percent of total billed charges		2133	100			Percent of total billed charges		2133	100			Percent of total billed charges		2133	33.3			Percent of total billed charges		710.289	33.3			Percent of total billed charges		710.289	100			Percent of total billed charges		2133	710.289	1919.7	
10mm x 200mm  shoulder stem sh-1020-s polarus	278	RC	Outpatient			2133	1386.45		90			Percent of total billed charges		1919.7	40			Percent of total billed charges		853.2	80			Percent of total billed charges		1706.4	90			Percent of total billed charges		1919.7	85			Percent of total billed charges		1813.05	85			Percent of total billed charges		1813.05	85			Percent of total billed charges		1813.05	100			Percent of total billed charges		2133	100			Percent of total billed charges		2133	100			Percent of total billed charges		2133	33.3			Percent of total billed charges		710.289	33.3			Percent of total billed charges		710.289	100			Percent of total billed charges		2133	710.289	1919.7	
10mm x 220mm shoulder stem sh-1022-s polarus	278	RC	Outpatient			2133	1386.45		90			Percent of total billed charges		1919.7	40			Percent of total billed charges		853.2	80			Percent of total billed charges		1706.4	90			Percent of total billed charges		1919.7	85			Percent of total billed charges		1813.05	85			Percent of total billed charges		1813.05	85			Percent of total billed charges		1813.05	100			Percent of total billed charges		2133	100			Percent of total billed charges		2133	100			Percent of total billed charges		2133	33.3			Percent of total billed charges		710.289	33.3			Percent of total billed charges		710.289	100			Percent of total billed charges		2133	710.289	1919.7	
10mm x 260mm shoulder stem sh-1026-s polarus	278	RC	Outpatient			2133	1386.45		90			Percent of total billed charges		1919.7	40			Percent of total billed charges		853.2	80			Percent of total billed charges		1706.4	90			Percent of total billed charges		1919.7	85			Percent of total billed charges		1813.05	85			Percent of total billed charges		1813.05	85			Percent of total billed charges		1813.05	100			Percent of total billed charges		2133	100			Percent of total billed charges		2133	100			Percent of total billed charges		2133	33.3			Percent of total billed charges		710.289	33.3			Percent of total billed charges		710.289	100			Percent of total billed charges		2133	710.289	1919.7	
10mm x 280mm shoulder stem sh-1028-s polarus	278	RC	Outpatient			2133	1386.45		90			Percent of total billed charges		1919.7	40			Percent of total billed charges		853.2	80			Percent of total billed charges		1706.4	90			Percent of total billed charges		1919.7	85			Percent of total billed charges		1813.05	85			Percent of total billed charges		1813.05	85			Percent of total billed charges		1813.05	100			Percent of total billed charges		2133	100			Percent of total billed charges		2133	100			Percent of total billed charges		2133	33.3			Percent of total billed charges		710.289	33.3			Percent of total billed charges		710.289	100			Percent of total billed charges		2133	710.289	1919.7	
polarus long stems	278	RC	Outpatient			2133	1386.45		90			Percent of total billed charges		1919.7	40			Percent of total billed charges		853.2	80			Percent of total billed charges		1706.4	90			Percent of total billed charges		1919.7	85			Percent of total billed charges		1813.05	85			Percent of total billed charges		1813.05	85			Percent of total billed charges		1813.05	100			Percent of total billed charges		2133	100			Percent of total billed charges		2133	100			Percent of total billed charges		2133	33.3			Percent of total billed charges		710.289	33.3			Percent of total billed charges		710.289	100			Percent of total billed charges		2133	710.289	1919.7	
"acu-loc vdr plate, x-long right pl-dr65r acumed"	278	RC	Outpatient			2141	1391.65		90			Percent of total billed charges		1926.9	40			Percent of total billed charges		856.4	80			Percent of total billed charges		1712.8	90			Percent of total billed charges		1926.9	85			Percent of total billed charges		1819.85	85			Percent of total billed charges		1819.85	85			Percent of total billed charges		1819.85	100			Percent of total billed charges		2141	100			Percent of total billed charges		2141	100			Percent of total billed charges		2141	33.3			Percent of total billed charges		712.953	33.3			Percent of total billed charges		712.953	100			Percent of total billed charges		2141	712.953	1926.9	
acumed dist rad plt x-lg	278	RC	Outpatient			2141	1391.65		90			Percent of total billed charges		1926.9	40			Percent of total billed charges		856.4	80			Percent of total billed charges		1712.8	90			Percent of total billed charges		1926.9	85			Percent of total billed charges		1819.85	85			Percent of total billed charges		1819.85	85			Percent of total billed charges		1819.85	100			Percent of total billed charges		2141	100			Percent of total billed charges		2141	100			Percent of total billed charges		2141	33.3			Percent of total billed charges		712.953	33.3			Percent of total billed charges		712.953	100			Percent of total billed charges		2141	712.953	1926.9	
gns uni tibial base sm (l) 726101 s/n	278	RC	Outpatient			2162	1405.3		90			Percent of total billed charges		1945.8	40			Percent of total billed charges		864.8	80			Percent of total billed charges		1729.6	90			Percent of total billed charges		1945.8	85			Percent of total billed charges		1837.7	85			Percent of total billed charges		1837.7	85			Percent of total billed charges		1837.7	100			Percent of total billed charges		2162	100			Percent of total billed charges		2162	100			Percent of total billed charges		2162	33.3			Percent of total billed charges		719.946	33.3			Percent of total billed charges		719.946	100			Percent of total billed charges		2162	719.946	1945.8	
gns uni tibial base x-sm (l) 726100 s/n	278	RC	Outpatient			2162	1405.3		90			Percent of total billed charges		1945.8	40			Percent of total billed charges		864.8	80			Percent of total billed charges		1729.6	90			Percent of total billed charges		1945.8	85			Percent of total billed charges		1837.7	85			Percent of total billed charges		1837.7	85			Percent of total billed charges		1837.7	100			Percent of total billed charges		2162	100			Percent of total billed charges		2162	100			Percent of total billed charges		2162	33.3			Percent of total billed charges		719.946	33.3			Percent of total billed charges		719.946	100			Percent of total billed charges		2162	719.946	1945.8	
gns uni tibial base lge (l) 726203 s/n	278	RC	Outpatient			2162	1405.3		90			Percent of total billed charges		1945.8	40			Percent of total billed charges		864.8	80			Percent of total billed charges		1729.6	90			Percent of total billed charges		1945.8	85			Percent of total billed charges		1837.7	85			Percent of total billed charges		1837.7	85			Percent of total billed charges		1837.7	100			Percent of total billed charges		2162	100			Percent of total billed charges		2162	100			Percent of total billed charges		2162	33.3			Percent of total billed charges		719.946	33.3			Percent of total billed charges		719.946	100			Percent of total billed charges		2162	719.946	1945.8	
gns uni tibial base lge (r) 727203 s/n	278	RC	Outpatient			2162	1405.3		90			Percent of total billed charges		1945.8	40			Percent of total billed charges		864.8	80			Percent of total billed charges		1729.6	90			Percent of total billed charges		1945.8	85			Percent of total billed charges		1837.7	85			Percent of total billed charges		1837.7	85			Percent of total billed charges		1837.7	100			Percent of total billed charges		2162	100			Percent of total billed charges		2162	100			Percent of total billed charges		2162	33.3			Percent of total billed charges		719.946	33.3			Percent of total billed charges		719.946	100			Percent of total billed charges		2162	719.946	1945.8	
gns uni tibial base mag (l) 726305 s/n	278	RC	Outpatient			2162	1405.3		90			Percent of total billed charges		1945.8	40			Percent of total billed charges		864.8	80			Percent of total billed charges		1729.6	90			Percent of total billed charges		1945.8	85			Percent of total billed charges		1837.7	85			Percent of total billed charges		1837.7	85			Percent of total billed charges		1837.7	100			Percent of total billed charges		2162	100			Percent of total billed charges		2162	100			Percent of total billed charges		2162	33.3			Percent of total billed charges		719.946	33.3			Percent of total billed charges		719.946	100			Percent of total billed charges		2162	719.946	1945.8	
gns uni tibial base mag (r) 727305 s/n	278	RC	Outpatient			2162	1405.3		90			Percent of total billed charges		1945.8	40			Percent of total billed charges		864.8	80			Percent of total billed charges		1729.6	90			Percent of total billed charges		1945.8	85			Percent of total billed charges		1837.7	85			Percent of total billed charges		1837.7	85			Percent of total billed charges		1837.7	100			Percent of total billed charges		2162	100			Percent of total billed charges		2162	100			Percent of total billed charges		2162	33.3			Percent of total billed charges		719.946	33.3			Percent of total billed charges		719.946	100			Percent of total billed charges		2162	719.946	1945.8	
gns uni tibial base med (l) 726202 s/n	278	RC	Outpatient			2162	1405.3		90			Percent of total billed charges		1945.8	40			Percent of total billed charges		864.8	80			Percent of total billed charges		1729.6	90			Percent of total billed charges		1945.8	85			Percent of total billed charges		1837.7	85			Percent of total billed charges		1837.7	85			Percent of total billed charges		1837.7	100			Percent of total billed charges		2162	100			Percent of total billed charges		2162	100			Percent of total billed charges		2162	33.3			Percent of total billed charges		719.946	33.3			Percent of total billed charges		719.946	100			Percent of total billed charges		2162	719.946	1945.8	
gns uni tibial base med (r) 727202 s/n	278	RC	Outpatient			2162	1405.3		90			Percent of total billed charges		1945.8	40			Percent of total billed charges		864.8	80			Percent of total billed charges		1729.6	90			Percent of total billed charges		1945.8	85			Percent of total billed charges		1837.7	85			Percent of total billed charges		1837.7	85			Percent of total billed charges		1837.7	100			Percent of total billed charges		2162	100			Percent of total billed charges		2162	100			Percent of total billed charges		2162	33.3			Percent of total billed charges		719.946	33.3			Percent of total billed charges		719.946	100			Percent of total billed charges		2162	719.946	1945.8	
gns uni tibial base sm (r) 727101 s/n	278	RC	Outpatient			2162	1405.3		90			Percent of total billed charges		1945.8	40			Percent of total billed charges		864.8	80			Percent of total billed charges		1729.6	90			Percent of total billed charges		1945.8	85			Percent of total billed charges		1837.7	85			Percent of total billed charges		1837.7	85			Percent of total billed charges		1837.7	100			Percent of total billed charges		2162	100			Percent of total billed charges		2162	100			Percent of total billed charges		2162	33.3			Percent of total billed charges		719.946	33.3			Percent of total billed charges		719.946	100			Percent of total billed charges		2162	719.946	1945.8	
gns uni tibial base x-lg (r) 727304 s/n	278	RC	Outpatient			2162	1405.3		90			Percent of total billed charges		1945.8	40			Percent of total billed charges		864.8	80			Percent of total billed charges		1729.6	90			Percent of total billed charges		1945.8	85			Percent of total billed charges		1837.7	85			Percent of total billed charges		1837.7	85			Percent of total billed charges		1837.7	100			Percent of total billed charges		2162	100			Percent of total billed charges		2162	100			Percent of total billed charges		2162	33.3			Percent of total billed charges		719.946	33.3			Percent of total billed charges		719.946	100			Percent of total billed charges		2162	719.946	1945.8	
gns uni tibial base x-lge (l) 726304 s/n	278	RC	Outpatient			2162	1405.3		90			Percent of total billed charges		1945.8	40			Percent of total billed charges		864.8	80			Percent of total billed charges		1729.6	90			Percent of total billed charges		1945.8	85			Percent of total billed charges		1837.7	85			Percent of total billed charges		1837.7	85			Percent of total billed charges		1837.7	100			Percent of total billed charges		2162	100			Percent of total billed charges		2162	100			Percent of total billed charges		2162	33.3			Percent of total billed charges		719.946	33.3			Percent of total billed charges		719.946	100			Percent of total billed charges		2162	719.946	1945.8	
gns uni tibial base x-sm (r) 727100 s/n	278	RC	Outpatient			2162	1405.3		90			Percent of total billed charges		1945.8	40			Percent of total billed charges		864.8	80			Percent of total billed charges		1729.6	90			Percent of total billed charges		1945.8	85			Percent of total billed charges		1837.7	85			Percent of total billed charges		1837.7	85			Percent of total billed charges		1837.7	100			Percent of total billed charges		2162	100			Percent of total billed charges		2162	100			Percent of total billed charges		2162	33.3			Percent of total billed charges		719.946	33.3			Percent of total billed charges		719.946	100			Percent of total billed charges		2162	719.946	1945.8	
p-l-d humeral locking plate 15h l 71822615 s/n	278	RC	Outpatient			2162	1405.3		90			Percent of total billed charges		1945.8	40			Percent of total billed charges		864.8	80			Percent of total billed charges		1729.6	90			Percent of total billed charges		1945.8	85			Percent of total billed charges		1837.7	85			Percent of total billed charges		1837.7	85			Percent of total billed charges		1837.7	100			Percent of total billed charges		2162	100			Percent of total billed charges		2162	100			Percent of total billed charges		2162	33.3			Percent of total billed charges		719.946	33.3			Percent of total billed charges		719.946	100			Percent of total billed charges		2162	719.946	1945.8	
p-l-d humeral locking plate 15h r 71822715 s/n	278	RC	Outpatient			2162	1405.3		90			Percent of total billed charges		1945.8	40			Percent of total billed charges		864.8	80			Percent of total billed charges		1729.6	90			Percent of total billed charges		1945.8	85			Percent of total billed charges		1837.7	85			Percent of total billed charges		1837.7	85			Percent of total billed charges		1837.7	100			Percent of total billed charges		2162	100			Percent of total billed charges		2162	100			Percent of total billed charges		2162	33.3			Percent of total billed charges		719.946	33.3			Percent of total billed charges		719.946	100			Percent of total billed charges		2162	719.946	1945.8	
s/n p-l-d hum lk pl 15h	278	RC	Outpatient			2162	1405.3		90			Percent of total billed charges		1945.8	40			Percent of total billed charges		864.8	80			Percent of total billed charges		1729.6	90			Percent of total billed charges		1945.8	85			Percent of total billed charges		1837.7	85			Percent of total billed charges		1837.7	85			Percent of total billed charges		1837.7	100			Percent of total billed charges		2162	100			Percent of total billed charges		2162	100			Percent of total billed charges		2162	33.3			Percent of total billed charges		719.946	33.3			Percent of total billed charges		719.946	100			Percent of total billed charges		2162	719.946	1945.8	
uni  tibial plate 25 x 40 5790-45-12 zimmer	278	RC	Outpatient			2162	1405.3		90			Percent of total billed charges		1945.8	40			Percent of total billed charges		864.8	80			Percent of total billed charges		1729.6	90			Percent of total billed charges		1945.8	85			Percent of total billed charges		1837.7	85			Percent of total billed charges		1837.7	85			Percent of total billed charges		1837.7	100			Percent of total billed charges		2162	100			Percent of total billed charges		2162	100			Percent of total billed charges		2162	33.3			Percent of total billed charges		719.946	33.3			Percent of total billed charges		719.946	100			Percent of total billed charges		2162	719.946	1945.8	
uni knee tibial plate 10mm zimmer 5788-55-12	278	RC	Outpatient			2162	1405.3		90			Percent of total billed charges		1945.8	40			Percent of total billed charges		864.8	80			Percent of total billed charges		1729.6	90			Percent of total billed charges		1945.8	85			Percent of total billed charges		1837.7	85			Percent of total billed charges		1837.7	85			Percent of total billed charges		1837.7	100			Percent of total billed charges		2162	100			Percent of total billed charges		2162	100			Percent of total billed charges		2162	33.3			Percent of total billed charges		719.946	33.3			Percent of total billed charges		719.946	100			Percent of total billed charges		2162	719.946	1945.8	
zimmer tibial plate 27mm x 44mm  5790-55-11	278	RC	Outpatient			2162	1405.3		90			Percent of total billed charges		1945.8	40			Percent of total billed charges		864.8	80			Percent of total billed charges		1729.6	90			Percent of total billed charges		1945.8	85			Percent of total billed charges		1837.7	85			Percent of total billed charges		1837.7	85			Percent of total billed charges		1837.7	100			Percent of total billed charges		2162	100			Percent of total billed charges		2162	100			Percent of total billed charges		2162	33.3			Percent of total billed charges		719.946	33.3			Percent of total billed charges		719.946	100			Percent of total billed charges		2162	719.946	1945.8	
zimmer tibial plate uncondylar 5790-65-12	278	RC	Outpatient			2162	1405.3		90			Percent of total billed charges		1945.8	40			Percent of total billed charges		864.8	80			Percent of total billed charges		1729.6	90			Percent of total billed charges		1945.8	85			Percent of total billed charges		1837.7	85			Percent of total billed charges		1837.7	85			Percent of total billed charges		1837.7	100			Percent of total billed charges		2162	100			Percent of total billed charges		2162	100			Percent of total billed charges		2162	33.3			Percent of total billed charges		719.946	33.3			Percent of total billed charges		719.946	100			Percent of total billed charges		2162	719.946	1945.8	
zimmer tibial plate uncondylar 5790-75-11	278	RC	Outpatient			2162	1405.3		90			Percent of total billed charges		1945.8	40			Percent of total billed charges		864.8	80			Percent of total billed charges		1729.6	90			Percent of total billed charges		1945.8	85			Percent of total billed charges		1837.7	85			Percent of total billed charges		1837.7	85			Percent of total billed charges		1837.7	100			Percent of total billed charges		2162	100			Percent of total billed charges		2162	100			Percent of total billed charges		2162	33.3			Percent of total billed charges		719.946	33.3			Percent of total billed charges		719.946	100			Percent of total billed charges		2162	719.946	1945.8	
zimmer tibial plate uncondylar 5790-75-12	278	RC	Outpatient			2162	1405.3		90			Percent of total billed charges		1945.8	40			Percent of total billed charges		864.8	80			Percent of total billed charges		1729.6	90			Percent of total billed charges		1945.8	85			Percent of total billed charges		1837.7	85			Percent of total billed charges		1837.7	85			Percent of total billed charges		1837.7	100			Percent of total billed charges		2162	100			Percent of total billed charges		2162	100			Percent of total billed charges		2162	33.3			Percent of total billed charges		719.946	33.3			Percent of total billed charges		719.946	100			Percent of total billed charges		2162	719.946	1945.8	
zimmer tibial plate uncondylar 5790-85-11	278	RC	Outpatient			2162	1405.3		90			Percent of total billed charges		1945.8	40			Percent of total billed charges		864.8	80			Percent of total billed charges		1729.6	90			Percent of total billed charges		1945.8	85			Percent of total billed charges		1837.7	85			Percent of total billed charges		1837.7	85			Percent of total billed charges		1837.7	100			Percent of total billed charges		2162	100			Percent of total billed charges		2162	100			Percent of total billed charges		2162	33.3			Percent of total billed charges		719.946	33.3			Percent of total billed charges		719.946	100			Percent of total billed charges		2162	719.946	1945.8	
zimmer tibial plate unicondylar 5790-45-11	278	RC	Outpatient			2162	1405.3		90			Percent of total billed charges		1945.8	40			Percent of total billed charges		864.8	80			Percent of total billed charges		1729.6	90			Percent of total billed charges		1945.8	85			Percent of total billed charges		1837.7	85			Percent of total billed charges		1837.7	85			Percent of total billed charges		1837.7	100			Percent of total billed charges		2162	100			Percent of total billed charges		2162	100			Percent of total billed charges		2162	33.3			Percent of total billed charges		719.946	33.3			Percent of total billed charges		719.946	100			Percent of total billed charges		2162	719.946	1945.8	
uni tibial plate	278	RC	Outpatient			2162	1405.3		90			Percent of total billed charges		1945.8	40			Percent of total billed charges		864.8	80			Percent of total billed charges		1729.6	90			Percent of total billed charges		1945.8	85			Percent of total billed charges		1837.7	85			Percent of total billed charges		1837.7	85			Percent of total billed charges		1837.7	100			Percent of total billed charges		2162	100			Percent of total billed charges		2162	100			Percent of total billed charges		2162	33.3			Percent of total billed charges		719.946	33.3			Percent of total billed charges		719.946	100			Percent of total billed charges		2162	719.946	1945.8	
zimmer tibial plate uncondylar 5790-65-11	278	RC	Outpatient			2162	1405.3		90			Percent of total billed charges		1945.8	40			Percent of total billed charges		864.8	80			Percent of total billed charges		1729.6	90			Percent of total billed charges		1945.8	85			Percent of total billed charges		1837.7	85			Percent of total billed charges		1837.7	85			Percent of total billed charges		1837.7	100			Percent of total billed charges		2162	100			Percent of total billed charges		2162	100			Percent of total billed charges		2162	33.3			Percent of total billed charges		719.946	33.3			Percent of total billed charges		719.946	100			Percent of total billed charges		2162	719.946	1945.8	
zimmer tibial plate unicondylar 5790-45-12	278	RC	Outpatient			2162	1405.3		90			Percent of total billed charges		1945.8	40			Percent of total billed charges		864.8	80			Percent of total billed charges		1729.6	90			Percent of total billed charges		1945.8	85			Percent of total billed charges		1837.7	85			Percent of total billed charges		1837.7	85			Percent of total billed charges		1837.7	100			Percent of total billed charges		2162	100			Percent of total billed charges		2162	100			Percent of total billed charges		2162	33.3			Percent of total billed charges		719.946	33.3			Percent of total billed charges		719.946	100			Percent of total billed charges		2162	719.946	1945.8	
zimmer tibial plate unicondylar 5790-55-12	278	RC	Outpatient			2162	1405.3		90			Percent of total billed charges		1945.8	40			Percent of total billed charges		864.8	80			Percent of total billed charges		1729.6	90			Percent of total billed charges		1945.8	85			Percent of total billed charges		1837.7	85			Percent of total billed charges		1837.7	85			Percent of total billed charges		1837.7	100			Percent of total billed charges		2162	100			Percent of total billed charges		2162	100			Percent of total billed charges		2162	33.3			Percent of total billed charges		719.946	33.3			Percent of total billed charges		719.946	100			Percent of total billed charges		2162	719.946	1945.8	
s/n 3.5mm compression plate 12 hole 7184-0212	278	RC	Outpatient			2165	1407.25		90			Percent of total billed charges		1948.5	40			Percent of total billed charges		866	80			Percent of total billed charges		1732	90			Percent of total billed charges		1948.5	85			Percent of total billed charges		1840.25	85			Percent of total billed charges		1840.25	85			Percent of total billed charges		1840.25	100			Percent of total billed charges		2165	100			Percent of total billed charges		2165	100			Percent of total billed charges		2165	33.3			Percent of total billed charges		720.945	33.3			Percent of total billed charges		720.945	100			Percent of total billed charges		2165	720.945	1948.5	
sm fr pl comp 12hl	278	RC	Outpatient			2165	1407.25		90			Percent of total billed charges		1948.5	40			Percent of total billed charges		866	80			Percent of total billed charges		1732	90			Percent of total billed charges		1948.5	85			Percent of total billed charges		1840.25	85			Percent of total billed charges		1840.25	85			Percent of total billed charges		1840.25	100			Percent of total billed charges		2165	100			Percent of total billed charges		2165	100			Percent of total billed charges		2165	33.3			Percent of total billed charges		720.945	33.3			Percent of total billed charges		720.945	100			Percent of total billed charges		2165	720.945	1948.5	
allograft femur shaft who	278	RC	Outpatient			2170	1410.5		90			Percent of total billed charges		1953	40			Percent of total billed charges		868	80			Percent of total billed charges		1736	90			Percent of total billed charges		1953	85			Percent of total billed charges		1844.5	85			Percent of total billed charges		1844.5	85			Percent of total billed charges		1844.5	100			Percent of total billed charges		2170	100			Percent of total billed charges		2170	100			Percent of total billed charges		2170	33.3			Percent of total billed charges		722.61	33.3			Percent of total billed charges		722.61	100			Percent of total billed charges		2170	722.61	1953	
allograft femur shaft-whole 11.0 x 22.0cm 092883-002 15-5065 community	278	RC	Outpatient			2170	1410.5		90			Percent of total billed charges		1953	40			Percent of total billed charges		868	80			Percent of total billed charges		1736	90			Percent of total billed charges		1953	85			Percent of total billed charges		1844.5	85			Percent of total billed charges		1844.5	85			Percent of total billed charges		1844.5	100			Percent of total billed charges		2170	100			Percent of total billed charges		2170	100			Percent of total billed charges		2170	33.3			Percent of total billed charges		722.61	33.3			Percent of total billed charges		722.61	100			Percent of total billed charges		2170	722.61	1953	
grafton 5cc dbm crunch a44105 osteotech	278	RC	Outpatient			2170	1410.5		90			Percent of total billed charges		1953	40			Percent of total billed charges		868	80			Percent of total billed charges		1736	90			Percent of total billed charges		1953	85			Percent of total billed charges		1844.5	85			Percent of total billed charges		1844.5	85			Percent of total billed charges		1844.5	100			Percent of total billed charges		2170	100			Percent of total billed charges		2170	100			Percent of total billed charges		2170	33.3			Percent of total billed charges		722.61	33.3			Percent of total billed charges		722.61	100			Percent of total billed charges		2170	722.61	1953	
grafton 5cc dbm crunch p44105 osteotech	278	RC	Outpatient			2170	1410.5		90			Percent of total billed charges		1953	40			Percent of total billed charges		868	80			Percent of total billed charges		1736	90			Percent of total billed charges		1953	85			Percent of total billed charges		1844.5	85			Percent of total billed charges		1844.5	85			Percent of total billed charges		1844.5	100			Percent of total billed charges		2170	100			Percent of total billed charges		2170	100			Percent of total billed charges		2170	33.3			Percent of total billed charges		722.61	33.3			Percent of total billed charges		722.61	100			Percent of total billed charges		2170	722.61	1953	
grafton crunch 5cc	278	RC	Outpatient			2170	1410.5		90			Percent of total billed charges		1953	40			Percent of total billed charges		868	80			Percent of total billed charges		1736	90			Percent of total billed charges		1953	85			Percent of total billed charges		1844.5	85			Percent of total billed charges		1844.5	85			Percent of total billed charges		1844.5	100			Percent of total billed charges		2170	100			Percent of total billed charges		2170	100			Percent of total billed charges		2170	33.3			Percent of total billed charges		722.61	33.3			Percent of total billed charges		722.61	100			Percent of total billed charges		2170	722.61	1953	
whole femur shaft bone graft at444 alamo	278	RC	Outpatient			2170	1410.5		90			Percent of total billed charges		1953	40			Percent of total billed charges		868	80			Percent of total billed charges		1736	90			Percent of total billed charges		1953	85			Percent of total billed charges		1844.5	85			Percent of total billed charges		1844.5	85			Percent of total billed charges		1844.5	100			Percent of total billed charges		2170	100			Percent of total billed charges		2170	100			Percent of total billed charges		2170	33.3			Percent of total billed charges		722.61	33.3			Percent of total billed charges		722.61	100			Percent of total billed charges		2170	722.61	1953	
s/n  3.5mm compression plate 22 hole 7114-0222	278	RC	Outpatient			2171	1411.15		90			Percent of total billed charges		1953.9	40			Percent of total billed charges		868.4	80			Percent of total billed charges		1736.8	90			Percent of total billed charges		1953.9	85			Percent of total billed charges		1845.35	85			Percent of total billed charges		1845.35	85			Percent of total billed charges		1845.35	100			Percent of total billed charges		2171	100			Percent of total billed charges		2171	100			Percent of total billed charges		2171	33.3			Percent of total billed charges		722.943	33.3			Percent of total billed charges		722.943	100			Percent of total billed charges		2171	722.943	1953.9	
sm fr pl comp 22hl	278	RC	Outpatient			2171	1411.15		90			Percent of total billed charges		1953.9	40			Percent of total billed charges		868.4	80			Percent of total billed charges		1736.8	90			Percent of total billed charges		1953.9	85			Percent of total billed charges		1845.35	85			Percent of total billed charges		1845.35	85			Percent of total billed charges		1845.35	100			Percent of total billed charges		2171	100			Percent of total billed charges		2171	100			Percent of total billed charges		2171	33.3			Percent of total billed charges		722.943	33.3			Percent of total billed charges		722.943	100			Percent of total billed charges		2171	722.943	1953.9	
biomet dist volar plate	278	RC	Outpatient			2172	1411.8		90			Percent of total billed charges		1954.8	40			Percent of total billed charges		868.8	80			Percent of total billed charges		1737.6	90			Percent of total billed charges		1954.8	85			Percent of total billed charges		1846.2	85			Percent of total billed charges		1846.2	85			Percent of total billed charges		1846.2	100			Percent of total billed charges		2172	100			Percent of total billed charges		2172	100			Percent of total billed charges		2172	33.3			Percent of total billed charges		723.276	33.3			Percent of total billed charges		723.276	100			Percent of total billed charges		2172	723.276	1954.8	
distal volar plate (r) innovations dvr-r	278	RC	Outpatient			2172	1411.8		90			Percent of total billed charges		1954.8	40			Percent of total billed charges		868.8	80			Percent of total billed charges		1737.6	90			Percent of total billed charges		1954.8	85			Percent of total billed charges		1846.2	85			Percent of total billed charges		1846.2	85			Percent of total billed charges		1846.2	100			Percent of total billed charges		2172	100			Percent of total billed charges		2172	100			Percent of total billed charges		2172	33.3			Percent of total billed charges		723.276	33.3			Percent of total billed charges		723.276	100			Percent of total billed charges		2172	723.276	1954.8	
"dvr wide, lt, dvrawl biomet"	278	RC	Outpatient			2172	1411.8		90			Percent of total billed charges		1954.8	40			Percent of total billed charges		868.8	80			Percent of total billed charges		1737.6	90			Percent of total billed charges		1954.8	85			Percent of total billed charges		1846.2	85			Percent of total billed charges		1846.2	85			Percent of total billed charges		1846.2	100			Percent of total billed charges		2172	100			Percent of total billed charges		2172	100			Percent of total billed charges		2172	33.3			Percent of total billed charges		723.276	33.3			Percent of total billed charges		723.276	100			Percent of total billed charges		2172	723.276	1954.8	
"dvra plate ext, lt dvraxl biomet"	278	RC	Outpatient			2172	1411.8		90			Percent of total billed charges		1954.8	40			Percent of total billed charges		868.8	80			Percent of total billed charges		1737.6	90			Percent of total billed charges		1954.8	85			Percent of total billed charges		1846.2	85			Percent of total billed charges		1846.2	85			Percent of total billed charges		1846.2	100			Percent of total billed charges		2172	100			Percent of total billed charges		2172	100			Percent of total billed charges		2172	33.3			Percent of total billed charges		723.276	33.3			Percent of total billed charges		723.276	100			Percent of total billed charges		2172	723.276	1954.8	
"dvra plate short, rt dvrasr biomet"	278	RC	Outpatient			2172	1411.8		90			Percent of total billed charges		1954.8	40			Percent of total billed charges		868.8	80			Percent of total billed charges		1737.6	90			Percent of total billed charges		1954.8	85			Percent of total billed charges		1846.2	85			Percent of total billed charges		1846.2	85			Percent of total billed charges		1846.2	100			Percent of total billed charges		2172	100			Percent of total billed charges		2172	100			Percent of total billed charges		2172	33.3			Percent of total billed charges		723.276	33.3			Percent of total billed charges		723.276	100			Percent of total billed charges		2172	723.276	1954.8	
"dvra plate std, lt dvral biomet"	278	RC	Outpatient			2172	1411.8		90			Percent of total billed charges		1954.8	40			Percent of total billed charges		868.8	80			Percent of total billed charges		1737.6	90			Percent of total billed charges		1954.8	85			Percent of total billed charges		1846.2	85			Percent of total billed charges		1846.2	85			Percent of total billed charges		1846.2	100			Percent of total billed charges		2172	100			Percent of total billed charges		2172	100			Percent of total billed charges		2172	33.3			Percent of total billed charges		723.276	33.3			Percent of total billed charges		723.276	100			Percent of total billed charges		2172	723.276	1954.8	
"dvra plate wide, rt dvrawr biomet"	278	RC	Outpatient			2172	1411.8		90			Percent of total billed charges		1954.8	40			Percent of total billed charges		868.8	80			Percent of total billed charges		1737.6	90			Percent of total billed charges		1954.8	85			Percent of total billed charges		1846.2	85			Percent of total billed charges		1846.2	85			Percent of total billed charges		1846.2	100			Percent of total billed charges		2172	100			Percent of total billed charges		2172	100			Percent of total billed charges		2172	33.3			Percent of total billed charges		723.276	33.3			Percent of total billed charges		723.276	100			Percent of total billed charges		2172	723.276	1954.8	
distal volar plate (l)  dvras hand innov	278	RC	Outpatient			2172	1411.8		90			Percent of total billed charges		1954.8	40			Percent of total billed charges		868.8	80			Percent of total billed charges		1737.6	90			Percent of total billed charges		1954.8	85			Percent of total billed charges		1846.2	85			Percent of total billed charges		1846.2	85			Percent of total billed charges		1846.2	100			Percent of total billed charges		2172	100			Percent of total billed charges		2172	100			Percent of total billed charges		2172	33.3			Percent of total billed charges		723.276	33.3			Percent of total billed charges		723.276	100			Percent of total billed charges		2172	723.276	1954.8	
distal volar plate (l) innovations dvr-l	278	RC	Outpatient			2172	1411.8		90			Percent of total billed charges		1954.8	40			Percent of total billed charges		868.8	80			Percent of total billed charges		1737.6	90			Percent of total billed charges		1954.8	85			Percent of total billed charges		1846.2	85			Percent of total billed charges		1846.2	85			Percent of total billed charges		1846.2	100			Percent of total billed charges		2172	100			Percent of total billed charges		2172	100			Percent of total billed charges		2172	33.3			Percent of total billed charges		723.276	33.3			Percent of total billed charges		723.276	100			Percent of total billed charges		2172	723.276	1954.8	
"dvra plate ext, rt dvraxr biomet"	278	RC	Outpatient			2172	1411.8		90			Percent of total billed charges		1954.8	40			Percent of total billed charges		868.8	80			Percent of total billed charges		1737.6	90			Percent of total billed charges		1954.8	85			Percent of total billed charges		1846.2	85			Percent of total billed charges		1846.2	85			Percent of total billed charges		1846.2	100			Percent of total billed charges		2172	100			Percent of total billed charges		2172	100			Percent of total billed charges		2172	33.3			Percent of total billed charges		723.276	33.3			Percent of total billed charges		723.276	100			Percent of total billed charges		2172	723.276	1954.8	
"dvra plate narrow short, lt dvransl biomet"	278	RC	Outpatient			2172	1411.8		90			Percent of total billed charges		1954.8	40			Percent of total billed charges		868.8	80			Percent of total billed charges		1737.6	90			Percent of total billed charges		1954.8	85			Percent of total billed charges		1846.2	85			Percent of total billed charges		1846.2	85			Percent of total billed charges		1846.2	100			Percent of total billed charges		2172	100			Percent of total billed charges		2172	100			Percent of total billed charges		2172	33.3			Percent of total billed charges		723.276	33.3			Percent of total billed charges		723.276	100			Percent of total billed charges		2172	723.276	1954.8	
"dvra plate narrow short, rt dvransr biomet"	278	RC	Outpatient			2172	1411.8		90			Percent of total billed charges		1954.8	40			Percent of total billed charges		868.8	80			Percent of total billed charges		1737.6	90			Percent of total billed charges		1954.8	85			Percent of total billed charges		1846.2	85			Percent of total billed charges		1846.2	85			Percent of total billed charges		1846.2	100			Percent of total billed charges		2172	100			Percent of total billed charges		2172	100			Percent of total billed charges		2172	33.3			Percent of total billed charges		723.276	33.3			Percent of total billed charges		723.276	100			Percent of total billed charges		2172	723.276	1954.8	
"dvra plate narrow, lt dvranl biomet"	278	RC	Outpatient			2172	1411.8		90			Percent of total billed charges		1954.8	40			Percent of total billed charges		868.8	80			Percent of total billed charges		1737.6	90			Percent of total billed charges		1954.8	85			Percent of total billed charges		1846.2	85			Percent of total billed charges		1846.2	85			Percent of total billed charges		1846.2	100			Percent of total billed charges		2172	100			Percent of total billed charges		2172	100			Percent of total billed charges		2172	33.3			Percent of total billed charges		723.276	33.3			Percent of total billed charges		723.276	100			Percent of total billed charges		2172	723.276	1954.8	
"dvra plate narrow, rt dvranr biomet"	278	RC	Outpatient			2172	1411.8		90			Percent of total billed charges		1954.8	40			Percent of total billed charges		868.8	80			Percent of total billed charges		1737.6	90			Percent of total billed charges		1954.8	85			Percent of total billed charges		1846.2	85			Percent of total billed charges		1846.2	85			Percent of total billed charges		1846.2	100			Percent of total billed charges		2172	100			Percent of total billed charges		2172	100			Percent of total billed charges		2172	33.3			Percent of total billed charges		723.276	33.3			Percent of total billed charges		723.276	100			Percent of total billed charges		2172	723.276	1954.8	
"dvra plate short, lt dvrasl biomet"	278	RC	Outpatient			2172	1411.8		90			Percent of total billed charges		1954.8	40			Percent of total billed charges		868.8	80			Percent of total billed charges		1737.6	90			Percent of total billed charges		1954.8	85			Percent of total billed charges		1846.2	85			Percent of total billed charges		1846.2	85			Percent of total billed charges		1846.2	100			Percent of total billed charges		2172	100			Percent of total billed charges		2172	100			Percent of total billed charges		2172	33.3			Percent of total billed charges		723.276	33.3			Percent of total billed charges		723.276	100			Percent of total billed charges		2172	723.276	1954.8	
"dvra plate std, rt dvrar biomet"	278	RC	Outpatient			2172	1411.8		90			Percent of total billed charges		1954.8	40			Percent of total billed charges		868.8	80			Percent of total billed charges		1737.6	90			Percent of total billed charges		1954.8	85			Percent of total billed charges		1846.2	85			Percent of total billed charges		1846.2	85			Percent of total billed charges		1846.2	100			Percent of total billed charges		2172	100			Percent of total billed charges		2172	100			Percent of total billed charges		2172	33.3			Percent of total billed charges		723.276	33.3			Percent of total billed charges		723.276	100			Percent of total billed charges		2172	723.276	1954.8	
kyphon introducer system	272	RC	Outpatient			2176	1414.4		90			Percent of total billed charges		1958.4	40			Percent of total billed charges		870.4	80			Percent of total billed charges		1740.8	90			Percent of total billed charges		1958.4	85			Percent of total billed charges		1849.6	85			Percent of total billed charges		1849.6	85			Percent of total billed charges		1849.6	100			Percent of total billed charges		2176	100			Percent of total billed charges		2176	100			Percent of total billed charges		2176	33.3			Percent of total billed charges		724.608	33.3			Percent of total billed charges		724.608	100			Percent of total billed charges		2176	724.608	1958.4	
kyphx advanced osteo introducer system to5e kyphon	272	RC	Outpatient			2176	1414.4		90			Percent of total billed charges		1958.4	40			Percent of total billed charges		870.4	80			Percent of total billed charges		1740.8	90			Percent of total billed charges		1958.4	85			Percent of total billed charges		1849.6	85			Percent of total billed charges		1849.6	85			Percent of total billed charges		1849.6	100			Percent of total billed charges		2176	100			Percent of total billed charges		2176	100			Percent of total billed charges		2176	33.3			Percent of total billed charges		724.608	33.3			Percent of total billed charges		724.608	100			Percent of total billed charges		2176	724.608	1958.4	
implant nail reconst left 12mm x 38cm 12-2073 s/n	278	RC	Outpatient			2180	1417		90			Percent of total billed charges		1962	40			Percent of total billed charges		872	80			Percent of total billed charges		1744	90			Percent of total billed charges		1962	85			Percent of total billed charges		1853	85			Percent of total billed charges		1853	85			Percent of total billed charges		1853	100			Percent of total billed charges		2180	100			Percent of total billed charges		2180	100			Percent of total billed charges		2180	33.3			Percent of total billed charges		725.94	33.3			Percent of total billed charges		725.94	100			Percent of total billed charges		2180	725.94	1962	
implant nail reconst right 12mm x 36cm 12-2072 s/n	278	RC	Outpatient			2180	1417		90			Percent of total billed charges		1962	40			Percent of total billed charges		872	80			Percent of total billed charges		1744	90			Percent of total billed charges		1962	85			Percent of total billed charges		1853	85			Percent of total billed charges		1853	85			Percent of total billed charges		1853	100			Percent of total billed charges		2180	100			Percent of total billed charges		2180	100			Percent of total billed charges		2180	33.3			Percent of total billed charges		725.94	33.3			Percent of total billed charges		725.94	100			Percent of total billed charges		2180	725.94	1962	
implant nail reconst right 12mm x 42cm 12-2078 s/n	278	RC	Outpatient			2180	1417		90			Percent of total billed charges		1962	40			Percent of total billed charges		872	80			Percent of total billed charges		1744	90			Percent of total billed charges		1962	85			Percent of total billed charges		1853	85			Percent of total billed charges		1853	85			Percent of total billed charges		1853	100			Percent of total billed charges		2180	100			Percent of total billed charges		2180	100			Percent of total billed charges		2180	33.3			Percent of total billed charges		725.94	33.3			Percent of total billed charges		725.94	100			Percent of total billed charges		2180	725.94	1962	
implant nail reconst left 12mm x 42cm 12-2077 s/n	278	RC	Outpatient			2180	1417		90			Percent of total billed charges		1962	40			Percent of total billed charges		872	80			Percent of total billed charges		1744	90			Percent of total billed charges		1962	85			Percent of total billed charges		1853	85			Percent of total billed charges		1853	85			Percent of total billed charges		1853	100			Percent of total billed charges		2180	100			Percent of total billed charges		2180	100			Percent of total billed charges		2180	33.3			Percent of total billed charges		725.94	33.3			Percent of total billed charges		725.94	100			Percent of total billed charges		2180	725.94	1962	
implant nail reconst left 12mm x 44cm 12-2079 s/n	278	RC	Outpatient			2180	1417		90			Percent of total billed charges		1962	40			Percent of total billed charges		872	80			Percent of total billed charges		1744	90			Percent of total billed charges		1962	85			Percent of total billed charges		1853	85			Percent of total billed charges		1853	85			Percent of total billed charges		1853	100			Percent of total billed charges		2180	100			Percent of total billed charges		2180	100			Percent of total billed charges		2180	33.3			Percent of total billed charges		725.94	33.3			Percent of total billed charges		725.94	100			Percent of total billed charges		2180	725.94	1962	
implant nail reconst right 12mm x 38cm 12-2074 s/n	278	RC	Outpatient			2180	1417		90			Percent of total billed charges		1962	40			Percent of total billed charges		872	80			Percent of total billed charges		1744	90			Percent of total billed charges		1962	85			Percent of total billed charges		1853	85			Percent of total billed charges		1853	85			Percent of total billed charges		1853	100			Percent of total billed charges		2180	100			Percent of total billed charges		2180	100			Percent of total billed charges		2180	33.3			Percent of total billed charges		725.94	33.3			Percent of total billed charges		725.94	100			Percent of total billed charges		2180	725.94	1962	
implant nail reconst right 12mm x 40cm 12-2076 s/n	278	RC	Outpatient			2180	1417		90			Percent of total billed charges		1962	40			Percent of total billed charges		872	80			Percent of total billed charges		1744	90			Percent of total billed charges		1962	85			Percent of total billed charges		1853	85			Percent of total billed charges		1853	85			Percent of total billed charges		1853	100			Percent of total billed charges		2180	100			Percent of total billed charges		2180	100			Percent of total billed charges		2180	33.3			Percent of total billed charges		725.94	33.3			Percent of total billed charges		725.94	100			Percent of total billed charges		2180	725.94	1962	
r/t femeral recon nail	278	RC	Outpatient			2180	1417		90			Percent of total billed charges		1962	40			Percent of total billed charges		872	80			Percent of total billed charges		1744	90			Percent of total billed charges		1962	85			Percent of total billed charges		1853	85			Percent of total billed charges		1853	85			Percent of total billed charges		1853	100			Percent of total billed charges		2180	100			Percent of total billed charges		2180	100			Percent of total billed charges		2180	33.3			Percent of total billed charges		725.94	33.3			Percent of total billed charges		725.94	100			Percent of total billed charges		2180	725.94	1962	
accord 250mm titan pl	278	RC	Outpatient			2184	1419.6		90			Percent of total billed charges		1965.6	40			Percent of total billed charges		873.6	80			Percent of total billed charges		1747.2	90			Percent of total billed charges		1965.6	85			Percent of total billed charges		1856.4	85			Percent of total billed charges		1856.4	85			Percent of total billed charges		1856.4	100			Percent of total billed charges		2184	100			Percent of total billed charges		2184	100			Percent of total billed charges		2184	33.3			Percent of total billed charges		727.272	33.3			Percent of total billed charges		727.272	100			Percent of total billed charges		2184	727.272	1965.6	
accord 250mm titanium plate 7134-6250 s/n	278	RC	Outpatient			2184	1419.6		90			Percent of total billed charges		1965.6	40			Percent of total billed charges		873.6	80			Percent of total billed charges		1747.2	90			Percent of total billed charges		1965.6	85			Percent of total billed charges		1856.4	85			Percent of total billed charges		1856.4	85			Percent of total billed charges		1856.4	100			Percent of total billed charges		2184	100			Percent of total billed charges		2184	100			Percent of total billed charges		2184	33.3			Percent of total billed charges		727.272	33.3			Percent of total billed charges		727.272	100			Percent of total billed charges		2184	727.272	1965.6	
teno fix tendon repair tray w/ anchors tfh1 ortheon	278	RC	Outpatient			2184	1419.6		90			Percent of total billed charges		1965.6	40			Percent of total billed charges		873.6	80			Percent of total billed charges		1747.2	90			Percent of total billed charges		1965.6	85			Percent of total billed charges		1856.4	85			Percent of total billed charges		1856.4	85			Percent of total billed charges		1856.4	100			Percent of total billed charges		2184	100			Percent of total billed charges		2184	100			Percent of total billed charges		2184	33.3			Percent of total billed charges		727.272	33.3			Percent of total billed charges		727.272	100			Percent of total billed charges		2184	727.272	1965.6	
tendon repair system	278	RC	Outpatient			2184	1419.6		90			Percent of total billed charges		1965.6	40			Percent of total billed charges		873.6	80			Percent of total billed charges		1747.2	90			Percent of total billed charges		1965.6	85			Percent of total billed charges		1856.4	85			Percent of total billed charges		1856.4	85			Percent of total billed charges		1856.4	100			Percent of total billed charges		2184	100			Percent of total billed charges		2184	100			Percent of total billed charges		2184	33.3			Percent of total billed charges		727.272	33.3			Percent of total billed charges		727.272	100			Percent of total billed charges		2184	727.272	1965.6	
bio 38mm head	278	RC	Outpatient			2194	1426.1		90			Percent of total billed charges		1974.6	40			Percent of total billed charges		877.6	80			Percent of total billed charges		1755.2	90			Percent of total billed charges		1974.6	85			Percent of total billed charges		1864.9	85			Percent of total billed charges		1864.9	85			Percent of total billed charges		1864.9	100			Percent of total billed charges		2194	100			Percent of total billed charges		2194	100			Percent of total billed charges		2194	33.3			Percent of total billed charges		730.602	33.3			Percent of total billed charges		730.602	100			Percent of total billed charges		2194	730.602	1974.6	
strucsure cp 5cc	278	RC	Outpatient			2195	1426.75		90			Percent of total billed charges		1975.5	40			Percent of total billed charges		878	80			Percent of total billed charges		1756	90			Percent of total billed charges		1975.5	85			Percent of total billed charges		1865.75	85			Percent of total billed charges		1865.75	85			Percent of total billed charges		1865.75	100			Percent of total billed charges		2195	100			Percent of total billed charges		2195	100			Percent of total billed charges		2195	33.3			Percent of total billed charges		730.935	33.3			Percent of total billed charges		730.935	100			Percent of total billed charges		2195	730.935	1975.5	
strucsure cp kit 5cc 717805 s/n	278	RC	Outpatient			2195	1426.75		90			Percent of total billed charges		1975.5	40			Percent of total billed charges		878	80			Percent of total billed charges		1756	90			Percent of total billed charges		1975.5	85			Percent of total billed charges		1865.75	85			Percent of total billed charges		1865.75	85			Percent of total billed charges		1865.75	100			Percent of total billed charges		2195	100			Percent of total billed charges		2195	100			Percent of total billed charges		2195	33.3			Percent of total billed charges		730.935	33.3			Percent of total billed charges		730.935	100			Percent of total billed charges		2195	730.935	1975.5	
med distal humeral locking plate 13h l 71821913 s/n	278	RC	Outpatient			2197	1428.05		90			Percent of total billed charges		1977.3	40			Percent of total billed charges		878.8	80			Percent of total billed charges		1757.6	90			Percent of total billed charges		1977.3	85			Percent of total billed charges		1867.45	85			Percent of total billed charges		1867.45	85			Percent of total billed charges		1867.45	100			Percent of total billed charges		2197	100			Percent of total billed charges		2197	100			Percent of total billed charges		2197	33.3			Percent of total billed charges		731.601	33.3			Percent of total billed charges		731.601	100			Percent of total billed charges		2197	731.601	1977.3	
med distal humeral locking plate 13h r 71821813 s/n	278	RC	Outpatient			2197	1428.05		90			Percent of total billed charges		1977.3	40			Percent of total billed charges		878.8	80			Percent of total billed charges		1757.6	90			Percent of total billed charges		1977.3	85			Percent of total billed charges		1867.45	85			Percent of total billed charges		1867.45	85			Percent of total billed charges		1867.45	100			Percent of total billed charges		2197	100			Percent of total billed charges		2197	100			Percent of total billed charges		2197	33.3			Percent of total billed charges		731.601	33.3			Percent of total billed charges		731.601	100			Percent of total billed charges		2197	731.601	1977.3	
s/n meddist hum lk pl 13h	278	RC	Outpatient			2197	1428.05		90			Percent of total billed charges		1977.3	40			Percent of total billed charges		878.8	80			Percent of total billed charges		1757.6	90			Percent of total billed charges		1977.3	85			Percent of total billed charges		1867.45	85			Percent of total billed charges		1867.45	85			Percent of total billed charges		1867.45	100			Percent of total billed charges		2197	100			Percent of total billed charges		2197	100			Percent of total billed charges		2197	33.3			Percent of total billed charges		731.601	33.3			Percent of total billed charges		731.601	100			Percent of total billed charges		2197	731.601	1977.3	
narrow plt 4.5mm 10 hl 71829460 s\n	278	RC	Outpatient			2198	1428.7		90			Percent of total billed charges		1978.2	40			Percent of total billed charges		879.2	80			Percent of total billed charges		1758.4	90			Percent of total billed charges		1978.2	85			Percent of total billed charges		1868.3	85			Percent of total billed charges		1868.3	85			Percent of total billed charges		1868.3	100			Percent of total billed charges		2198	100			Percent of total billed charges		2198	100			Percent of total billed charges		2198	33.3			Percent of total billed charges		731.934	33.3			Percent of total billed charges		731.934	100			Percent of total billed charges		2198	731.934	1978.2	
narrow plt 4.5mm 12 hl 71809462 s\n	278	RC	Outpatient			2198	1428.7		90			Percent of total billed charges		1978.2	40			Percent of total billed charges		879.2	80			Percent of total billed charges		1758.4	90			Percent of total billed charges		1978.2	85			Percent of total billed charges		1868.3	85			Percent of total billed charges		1868.3	85			Percent of total billed charges		1868.3	100			Percent of total billed charges		2198	100			Percent of total billed charges		2198	100			Percent of total billed charges		2198	33.3			Percent of total billed charges		731.934	33.3			Percent of total billed charges		731.934	100			Percent of total billed charges		2198	731.934	1978.2	
narrow plt 4.5mm 12 hl 71829462 s\n	278	RC	Outpatient			2198	1428.7		90			Percent of total billed charges		1978.2	40			Percent of total billed charges		879.2	80			Percent of total billed charges		1758.4	90			Percent of total billed charges		1978.2	85			Percent of total billed charges		1868.3	85			Percent of total billed charges		1868.3	85			Percent of total billed charges		1868.3	100			Percent of total billed charges		2198	100			Percent of total billed charges		2198	100			Percent of total billed charges		2198	33.3			Percent of total billed charges		731.934	33.3			Percent of total billed charges		731.934	100			Percent of total billed charges		2198	731.934	1978.2	
narrow plt 4.5mm 10 hl 71809460 s\n	278	RC	Outpatient			2198	1428.7		90			Percent of total billed charges		1978.2	40			Percent of total billed charges		879.2	80			Percent of total billed charges		1758.4	90			Percent of total billed charges		1978.2	85			Percent of total billed charges		1868.3	85			Percent of total billed charges		1868.3	85			Percent of total billed charges		1868.3	100			Percent of total billed charges		2198	100			Percent of total billed charges		2198	100			Percent of total billed charges		2198	33.3			Percent of total billed charges		731.934	33.3			Percent of total billed charges		731.934	100			Percent of total billed charges		2198	731.934	1978.2	
narrow plt 4.5mm 11 hl 71809461 s\n	278	RC	Outpatient			2198	1428.7		90			Percent of total billed charges		1978.2	40			Percent of total billed charges		879.2	80			Percent of total billed charges		1758.4	90			Percent of total billed charges		1978.2	85			Percent of total billed charges		1868.3	85			Percent of total billed charges		1868.3	85			Percent of total billed charges		1868.3	100			Percent of total billed charges		2198	100			Percent of total billed charges		2198	100			Percent of total billed charges		2198	33.3			Percent of total billed charges		731.934	33.3			Percent of total billed charges		731.934	100			Percent of total billed charges		2198	731.934	1978.2	
narrow plt 4.5mm11 hl 71829461 s\n	278	RC	Outpatient			2198	1428.7		90			Percent of total billed charges		1978.2	40			Percent of total billed charges		879.2	80			Percent of total billed charges		1758.4	90			Percent of total billed charges		1978.2	85			Percent of total billed charges		1868.3	85			Percent of total billed charges		1868.3	85			Percent of total billed charges		1868.3	100			Percent of total billed charges		2198	100			Percent of total billed charges		2198	100			Percent of total billed charges		2198	33.3			Percent of total billed charges		731.934	33.3			Percent of total billed charges		731.934	100			Percent of total billed charges		2198	731.934	1978.2	
s/n 4.5 narrow pl 10-12hl	278	RC	Outpatient			2198	1428.7		90			Percent of total billed charges		1978.2	40			Percent of total billed charges		879.2	80			Percent of total billed charges		1758.4	90			Percent of total billed charges		1978.2	85			Percent of total billed charges		1868.3	85			Percent of total billed charges		1868.3	85			Percent of total billed charges		1868.3	100			Percent of total billed charges		2198	100			Percent of total billed charges		2198	100			Percent of total billed charges		2198	33.3			Percent of total billed charges		731.934	33.3			Percent of total billed charges		731.934	100			Percent of total billed charges		2198	731.934	1978.2	
cosmetic - laser hair removal - back (complete) pkg of 5 sessions	983	RC	Outpatient			2200	1430		90			Percent of total billed charges		1980	40			Percent of total billed charges		880	80			Percent of total billed charges		1760	90			Percent of total billed charges		1980	85			Percent of total billed charges		1870	85			Percent of total billed charges		1870	85			Percent of total billed charges		1870	100			Percent of total billed charges		2200	100			Percent of total billed charges		2200	100			Percent of total billed charges		2200	33.3			Percent of total billed charges		732.6	33.3			Percent of total billed charges		732.6	100			Percent of total billed charges		2200	732.6	1980	
triath cem stem 9x100	278	RC	Outpatient			2201	1430.65		90			Percent of total billed charges		1980.9	40			Percent of total billed charges		880.4	80			Percent of total billed charges		1760.8	90			Percent of total billed charges		1980.9	85			Percent of total billed charges		1870.85	85			Percent of total billed charges		1870.85	85			Percent of total billed charges		1870.85	100			Percent of total billed charges		2201	100			Percent of total billed charges		2201	100			Percent of total billed charges		2201	33.3			Percent of total billed charges		732.933	33.3			Percent of total billed charges		732.933	100			Percent of total billed charges		2201	732.933	1980.9	
triathlon cemented stem 12 x 50 5560-s-112 stryker	278	RC	Outpatient			2201	1430.65		90			Percent of total billed charges		1980.9	40			Percent of total billed charges		880.4	80			Percent of total billed charges		1760.8	90			Percent of total billed charges		1980.9	85			Percent of total billed charges		1870.85	85			Percent of total billed charges		1870.85	85			Percent of total billed charges		1870.85	100			Percent of total billed charges		2201	100			Percent of total billed charges		2201	100			Percent of total billed charges		2201	33.3			Percent of total billed charges		732.933	33.3			Percent of total billed charges		732.933	100			Percent of total billed charges		2201	732.933	1980.9	
triathlon cemented stem 9 x 100 5560-s-209 stryker	278	RC	Outpatient			2201	1430.65		90			Percent of total billed charges		1980.9	40			Percent of total billed charges		880.4	80			Percent of total billed charges		1760.8	90			Percent of total billed charges		1980.9	85			Percent of total billed charges		1870.85	85			Percent of total billed charges		1870.85	85			Percent of total billed charges		1870.85	100			Percent of total billed charges		2201	100			Percent of total billed charges		2201	100			Percent of total billed charges		2201	33.3			Percent of total billed charges		732.933	33.3			Percent of total billed charges		732.933	100			Percent of total billed charges		2201	732.933	1980.9	
triathlon stem cemented	278	RC	Outpatient			2201	1430.65		90			Percent of total billed charges		1980.9	40			Percent of total billed charges		880.4	80			Percent of total billed charges		1760.8	90			Percent of total billed charges		1980.9	85			Percent of total billed charges		1870.85	85			Percent of total billed charges		1870.85	85			Percent of total billed charges		1870.85	100			Percent of total billed charges		2201	100			Percent of total billed charges		2201	100			Percent of total billed charges		2201	33.3			Percent of total billed charges		732.933	33.3			Percent of total billed charges		732.933	100			Percent of total billed charges		2201	732.933	1980.9	
triath cem stem 15x50	278	RC	Outpatient			2201	1430.65		90			Percent of total billed charges		1980.9	40			Percent of total billed charges		880.4	80			Percent of total billed charges		1760.8	90			Percent of total billed charges		1980.9	85			Percent of total billed charges		1870.85	85			Percent of total billed charges		1870.85	85			Percent of total billed charges		1870.85	100			Percent of total billed charges		2201	100			Percent of total billed charges		2201	100			Percent of total billed charges		2201	33.3			Percent of total billed charges		732.933	33.3			Percent of total billed charges		732.933	100			Percent of total billed charges		2201	732.933	1980.9	
triathlon cemented stem 15 x 50 5560-s-115 stryker	278	RC	Outpatient			2201	1430.65		90			Percent of total billed charges		1980.9	40			Percent of total billed charges		880.4	80			Percent of total billed charges		1760.8	90			Percent of total billed charges		1980.9	85			Percent of total billed charges		1870.85	85			Percent of total billed charges		1870.85	85			Percent of total billed charges		1870.85	100			Percent of total billed charges		2201	100			Percent of total billed charges		2201	100			Percent of total billed charges		2201	33.3			Percent of total billed charges		732.933	33.3			Percent of total billed charges		732.933	100			Percent of total billed charges		2201	732.933	1980.9	
4.5mm proximal tibial  plate 6 hole s/n 71800206	278	RC	Outpatient			2202	1431.3		90			Percent of total billed charges		1981.8	40			Percent of total billed charges		880.8	80			Percent of total billed charges		1761.6	90			Percent of total billed charges		1981.8	85			Percent of total billed charges		1871.7	85			Percent of total billed charges		1871.7	85			Percent of total billed charges		1871.7	100			Percent of total billed charges		2202	100			Percent of total billed charges		2202	100			Percent of total billed charges		2202	33.3			Percent of total billed charges		733.266	33.3			Percent of total billed charges		733.266	100			Percent of total billed charges		2202	733.266	1981.8	
arthrex locking distal fibula pl lt 8h ar-8943bl-08	278	RC	Outpatient			2203	1431.95		90			Percent of total billed charges		1982.7	40			Percent of total billed charges		881.2	80			Percent of total billed charges		1762.4	90			Percent of total billed charges		1982.7	85			Percent of total billed charges		1872.55	85			Percent of total billed charges		1872.55	85			Percent of total billed charges		1872.55	100			Percent of total billed charges		2203	100			Percent of total billed charges		2203	100			Percent of total billed charges		2203	33.3			Percent of total billed charges		733.599	33.3			Percent of total billed charges		733.599	100			Percent of total billed charges		2203	733.599	1982.7	
arthrex lck dist fib pl8h	278	RC	Outpatient			2203	1431.95		90			Percent of total billed charges		1982.7	40			Percent of total billed charges		881.2	80			Percent of total billed charges		1762.4	90			Percent of total billed charges		1982.7	85			Percent of total billed charges		1872.55	85			Percent of total billed charges		1872.55	85			Percent of total billed charges		1872.55	100			Percent of total billed charges		2203	100			Percent of total billed charges		2203	100			Percent of total billed charges		2203	33.3			Percent of total billed charges		733.599	33.3			Percent of total billed charges		733.599	100			Percent of total billed charges		2203	733.599	1982.7	
arthrex locking distal fibula pl rt 8h ar-8943br-08	278	RC	Outpatient			2203	1431.95		90			Percent of total billed charges		1982.7	40			Percent of total billed charges		881.2	80			Percent of total billed charges		1762.4	90			Percent of total billed charges		1982.7	85			Percent of total billed charges		1872.55	85			Percent of total billed charges		1872.55	85			Percent of total billed charges		1872.55	100			Percent of total billed charges		2203	100			Percent of total billed charges		2203	100			Percent of total billed charges		2203	33.3			Percent of total billed charges		733.599	33.3			Percent of total billed charges		733.599	100			Percent of total billed charges		2203	733.599	1982.7	
curved tibial inser 12.5mm 96-0352 depuy	278	RC	Outpatient			2206	1433.9		90			Percent of total billed charges		1985.4	40			Percent of total billed charges		882.4	80			Percent of total billed charges		1764.8	90			Percent of total billed charges		1985.4	85			Percent of total billed charges		1875.1	85			Percent of total billed charges		1875.1	85			Percent of total billed charges		1875.1	100			Percent of total billed charges		2206	100			Percent of total billed charges		2206	100			Percent of total billed charges		2206	33.3			Percent of total billed charges		734.598	33.3			Percent of total billed charges		734.598	100			Percent of total billed charges		2206	734.598	1985.4	
depuy tibial insert curvd	278	RC	Outpatient			2206	1433.9		90			Percent of total billed charges		1985.4	40			Percent of total billed charges		882.4	80			Percent of total billed charges		1764.8	90			Percent of total billed charges		1985.4	85			Percent of total billed charges		1875.1	85			Percent of total billed charges		1875.1	85			Percent of total billed charges		1875.1	100			Percent of total billed charges		2206	100			Percent of total billed charges		2206	100			Percent of total billed charges		2206	33.3			Percent of total billed charges		734.598	33.3			Percent of total billed charges		734.598	100			Percent of total billed charges		2206	734.598	1985.4	
depuy tibial insert sz 3 15mm 1581-13-115	278	RC	Outpatient			2206	1433.9		90			Percent of total billed charges		1985.4	40			Percent of total billed charges		882.4	80			Percent of total billed charges		1764.8	90			Percent of total billed charges		1985.4	85			Percent of total billed charges		1875.1	85			Percent of total billed charges		1875.1	85			Percent of total billed charges		1875.1	100			Percent of total billed charges		2206	100			Percent of total billed charges		2206	100			Percent of total billed charges		2206	33.3			Percent of total billed charges		734.598	33.3			Percent of total billed charges		734.598	100			Percent of total billed charges		2206	734.598	1985.4	
syn pl va-lcp mtp fusion	278	RC	Outpatient			2206	1433.9		90			Percent of total billed charges		1985.4	40			Percent of total billed charges		882.4	80			Percent of total billed charges		1764.8	90			Percent of total billed charges		1985.4	85			Percent of total billed charges		1875.1	85			Percent of total billed charges		1875.1	85			Percent of total billed charges		1875.1	100			Percent of total billed charges		2206	100			Percent of total billed charges		2206	100			Percent of total billed charges		2206	33.3			Percent of total billed charges		734.598	33.3			Percent of total billed charges		734.598	100			Percent of total billed charges		2206	734.598	1985.4	
va-lcp 1st mtp fusion plate med rt 2.4/2.7mm 02.211.238 synthes	278	RC	Outpatient			2206	1433.9		90			Percent of total billed charges		1985.4	40			Percent of total billed charges		882.4	80			Percent of total billed charges		1764.8	90			Percent of total billed charges		1985.4	85			Percent of total billed charges		1875.1	85			Percent of total billed charges		1875.1	85			Percent of total billed charges		1875.1	100			Percent of total billed charges		2206	100			Percent of total billed charges		2206	100			Percent of total billed charges		2206	33.3			Percent of total billed charges		734.598	33.3			Percent of total billed charges		734.598	100			Percent of total billed charges		2206	734.598	1985.4	
osteostem cervical allograft spacer 10mm 45-5540 biomet	278	RC	Outpatient			2207	1434.55		90			Percent of total billed charges		1986.3	40			Percent of total billed charges		882.8	80			Percent of total billed charges		1765.6	90			Percent of total billed charges		1986.3	85			Percent of total billed charges		1875.95	85			Percent of total billed charges		1875.95	85			Percent of total billed charges		1875.95	100			Percent of total billed charges		2207	100			Percent of total billed charges		2207	100			Percent of total billed charges		2207	33.3			Percent of total billed charges		734.931	33.3			Percent of total billed charges		734.931	100			Percent of total billed charges		2207	734.931	1986.3	
osteostem cervical allograft spacer 6mm 45-5536 biomet	278	RC	Outpatient			2207	1434.55		90			Percent of total billed charges		1986.3	40			Percent of total billed charges		882.8	80			Percent of total billed charges		1765.6	90			Percent of total billed charges		1986.3	85			Percent of total billed charges		1875.95	85			Percent of total billed charges		1875.95	85			Percent of total billed charges		1875.95	100			Percent of total billed charges		2207	100			Percent of total billed charges		2207	100			Percent of total billed charges		2207	33.3			Percent of total billed charges		734.931	33.3			Percent of total billed charges		734.931	100			Percent of total billed charges		2207	734.931	1986.3	
osteostem cervical allograft spacer 8mm 45-5538 biomet	278	RC	Outpatient			2207	1434.55		90			Percent of total billed charges		1986.3	40			Percent of total billed charges		882.8	80			Percent of total billed charges		1765.6	90			Percent of total billed charges		1986.3	85			Percent of total billed charges		1875.95	85			Percent of total billed charges		1875.95	85			Percent of total billed charges		1875.95	100			Percent of total billed charges		2207	100			Percent of total billed charges		2207	100			Percent of total billed charges		2207	33.3			Percent of total billed charges		734.931	33.3			Percent of total billed charges		734.931	100			Percent of total billed charges		2207	734.931	1986.3	
osteostem cervical allograft spacer 9mm 45-5539 biomet	278	RC	Outpatient			2207	1434.55		90			Percent of total billed charges		1986.3	40			Percent of total billed charges		882.8	80			Percent of total billed charges		1765.6	90			Percent of total billed charges		1986.3	85			Percent of total billed charges		1875.95	85			Percent of total billed charges		1875.95	85			Percent of total billed charges		1875.95	100			Percent of total billed charges		2207	100			Percent of total billed charges		2207	100			Percent of total billed charges		2207	33.3			Percent of total billed charges		734.931	33.3			Percent of total billed charges		734.931	100			Percent of total billed charges		2207	734.931	1986.3	
osteostem cervical allograft spacer 7mm 45-5537 biomet	278	RC	Outpatient			2207	1434.55		90			Percent of total billed charges		1986.3	40			Percent of total billed charges		882.8	80			Percent of total billed charges		1765.6	90			Percent of total billed charges		1986.3	85			Percent of total billed charges		1875.95	85			Percent of total billed charges		1875.95	85			Percent of total billed charges		1875.95	100			Percent of total billed charges		2207	100			Percent of total billed charges		2207	100			Percent of total billed charges		2207	33.3			Percent of total billed charges		734.931	33.3			Percent of total billed charges		734.931	100			Percent of total billed charges		2207	734.931	1986.3	
osteostem cervical spacer	278	RC	Outpatient			2207	1434.55		90			Percent of total billed charges		1986.3	40			Percent of total billed charges		882.8	80			Percent of total billed charges		1765.6	90			Percent of total billed charges		1986.3	85			Percent of total billed charges		1875.95	85			Percent of total billed charges		1875.95	85			Percent of total billed charges		1875.95	100			Percent of total billed charges		2207	100			Percent of total billed charges		2207	100			Percent of total billed charges		2207	33.3			Percent of total billed charges		734.931	33.3			Percent of total billed charges		734.931	100			Percent of total billed charges		2207	734.931	1986.3	
bio univ acet comp	278	RC	Outpatient			2208	1435.2		90			Percent of total billed charges		1987.2	40			Percent of total billed charges		883.2	80			Percent of total billed charges		1766.4	90			Percent of total billed charges		1987.2	85			Percent of total billed charges		1876.8	85			Percent of total billed charges		1876.8	85			Percent of total billed charges		1876.8	100			Percent of total billed charges		2208	100			Percent of total billed charges		2208	100			Percent of total billed charges		2208	33.3			Percent of total billed charges		735.264	33.3			Percent of total billed charges		735.264	100			Percent of total billed charges		2208	735.264	1987.2	
biomet  acetabular components 64mm 11-103564	278	RC	Outpatient			2208	1435.2		90			Percent of total billed charges		1987.2	40			Percent of total billed charges		883.2	80			Percent of total billed charges		1766.4	90			Percent of total billed charges		1987.2	85			Percent of total billed charges		1876.8	85			Percent of total billed charges		1876.8	85			Percent of total billed charges		1876.8	100			Percent of total billed charges		2208	100			Percent of total billed charges		2208	100			Percent of total billed charges		2208	33.3			Percent of total billed charges		735.264	33.3			Percent of total billed charges		735.264	100			Percent of total billed charges		2208	735.264	1987.2	
biomet  acetabular components 70mm 11-103570	278	RC	Outpatient			2208	1435.2		90			Percent of total billed charges		1987.2	40			Percent of total billed charges		883.2	80			Percent of total billed charges		1766.4	90			Percent of total billed charges		1987.2	85			Percent of total billed charges		1876.8	85			Percent of total billed charges		1876.8	85			Percent of total billed charges		1876.8	100			Percent of total billed charges		2208	100			Percent of total billed charges		2208	100			Percent of total billed charges		2208	33.3			Percent of total billed charges		735.264	33.3			Percent of total billed charges		735.264	100			Percent of total billed charges		2208	735.264	1987.2	
biomet acetabular components 40mm 11-103540	278	RC	Outpatient			2208	1435.2		90			Percent of total billed charges		1987.2	40			Percent of total billed charges		883.2	80			Percent of total billed charges		1766.4	90			Percent of total billed charges		1987.2	85			Percent of total billed charges		1876.8	85			Percent of total billed charges		1876.8	85			Percent of total billed charges		1876.8	100			Percent of total billed charges		2208	100			Percent of total billed charges		2208	100			Percent of total billed charges		2208	33.3			Percent of total billed charges		735.264	33.3			Percent of total billed charges		735.264	100			Percent of total billed charges		2208	735.264	1987.2	
biomet acetabular components 48mm 11-103548	278	RC	Outpatient			2208	1435.2		90			Percent of total billed charges		1987.2	40			Percent of total billed charges		883.2	80			Percent of total billed charges		1766.4	90			Percent of total billed charges		1987.2	85			Percent of total billed charges		1876.8	85			Percent of total billed charges		1876.8	85			Percent of total billed charges		1876.8	100			Percent of total billed charges		2208	100			Percent of total billed charges		2208	100			Percent of total billed charges		2208	33.3			Percent of total billed charges		735.264	33.3			Percent of total billed charges		735.264	100			Percent of total billed charges		2208	735.264	1987.2	
biomet acetabular components 50mm 11-103550	278	RC	Outpatient			2208	1435.2		90			Percent of total billed charges		1987.2	40			Percent of total billed charges		883.2	80			Percent of total billed charges		1766.4	90			Percent of total billed charges		1987.2	85			Percent of total billed charges		1876.8	85			Percent of total billed charges		1876.8	85			Percent of total billed charges		1876.8	100			Percent of total billed charges		2208	100			Percent of total billed charges		2208	100			Percent of total billed charges		2208	33.3			Percent of total billed charges		735.264	33.3			Percent of total billed charges		735.264	100			Percent of total billed charges		2208	735.264	1987.2	
biomet acetabular components 52mm 11-103552	278	RC	Outpatient			2208	1435.2		90			Percent of total billed charges		1987.2	40			Percent of total billed charges		883.2	80			Percent of total billed charges		1766.4	90			Percent of total billed charges		1987.2	85			Percent of total billed charges		1876.8	85			Percent of total billed charges		1876.8	85			Percent of total billed charges		1876.8	100			Percent of total billed charges		2208	100			Percent of total billed charges		2208	100			Percent of total billed charges		2208	33.3			Percent of total billed charges		735.264	33.3			Percent of total billed charges		735.264	100			Percent of total billed charges		2208	735.264	1987.2	
biomet acetabular components 56mm 11-103556	278	RC	Outpatient			2208	1435.2		90			Percent of total billed charges		1987.2	40			Percent of total billed charges		883.2	80			Percent of total billed charges		1766.4	90			Percent of total billed charges		1987.2	85			Percent of total billed charges		1876.8	85			Percent of total billed charges		1876.8	85			Percent of total billed charges		1876.8	100			Percent of total billed charges		2208	100			Percent of total billed charges		2208	100			Percent of total billed charges		2208	33.3			Percent of total billed charges		735.264	33.3			Percent of total billed charges		735.264	100			Percent of total billed charges		2208	735.264	1987.2	
biomet acetabular components 58mm 11-103558	278	RC	Outpatient			2208	1435.2		90			Percent of total billed charges		1987.2	40			Percent of total billed charges		883.2	80			Percent of total billed charges		1766.4	90			Percent of total billed charges		1987.2	85			Percent of total billed charges		1876.8	85			Percent of total billed charges		1876.8	85			Percent of total billed charges		1876.8	100			Percent of total billed charges		2208	100			Percent of total billed charges		2208	100			Percent of total billed charges		2208	33.3			Percent of total billed charges		735.264	33.3			Percent of total billed charges		735.264	100			Percent of total billed charges		2208	735.264	1987.2	
biomet acetabular components 60mm 11-103560	278	RC	Outpatient			2208	1435.2		90			Percent of total billed charges		1987.2	40			Percent of total billed charges		883.2	80			Percent of total billed charges		1766.4	90			Percent of total billed charges		1987.2	85			Percent of total billed charges		1876.8	85			Percent of total billed charges		1876.8	85			Percent of total billed charges		1876.8	100			Percent of total billed charges		2208	100			Percent of total billed charges		2208	100			Percent of total billed charges		2208	33.3			Percent of total billed charges		735.264	33.3			Percent of total billed charges		735.264	100			Percent of total billed charges		2208	735.264	1987.2	
biomet acetabular components 66mm 11-103566	278	RC	Outpatient			2208	1435.2		90			Percent of total billed charges		1987.2	40			Percent of total billed charges		883.2	80			Percent of total billed charges		1766.4	90			Percent of total billed charges		1987.2	85			Percent of total billed charges		1876.8	85			Percent of total billed charges		1876.8	85			Percent of total billed charges		1876.8	100			Percent of total billed charges		2208	100			Percent of total billed charges		2208	100			Percent of total billed charges		2208	33.3			Percent of total billed charges		735.264	33.3			Percent of total billed charges		735.264	100			Percent of total billed charges		2208	735.264	1987.2	
bio vanguard fem dist aug	278	RC	Outpatient			2208	1435.2		90			Percent of total billed charges		1987.2	40			Percent of total billed charges		883.2	80			Percent of total billed charges		1766.4	90			Percent of total billed charges		1987.2	85			Percent of total billed charges		1876.8	85			Percent of total billed charges		1876.8	85			Percent of total billed charges		1876.8	100			Percent of total billed charges		2208	100			Percent of total billed charges		2208	100			Percent of total billed charges		2208	33.3			Percent of total billed charges		735.264	33.3			Percent of total billed charges		735.264	100			Percent of total billed charges		2208	735.264	1987.2	
bio vanguard fem post aug	278	RC	Outpatient			2208	1435.2		90			Percent of total billed charges		1987.2	40			Percent of total billed charges		883.2	80			Percent of total billed charges		1766.4	90			Percent of total billed charges		1987.2	85			Percent of total billed charges		1876.8	85			Percent of total billed charges		1876.8	85			Percent of total billed charges		1876.8	100			Percent of total billed charges		2208	100			Percent of total billed charges		2208	100			Percent of total billed charges		2208	33.3			Percent of total billed charges		735.264	33.3			Percent of total billed charges		735.264	100			Percent of total billed charges		2208	735.264	1987.2	
biomet  acet components 62mm 11-103562	278	RC	Outpatient			2208	1435.2		90			Percent of total billed charges		1987.2	40			Percent of total billed charges		883.2	80			Percent of total billed charges		1766.4	90			Percent of total billed charges		1987.2	85			Percent of total billed charges		1876.8	85			Percent of total billed charges		1876.8	85			Percent of total billed charges		1876.8	100			Percent of total billed charges		2208	100			Percent of total billed charges		2208	100			Percent of total billed charges		2208	33.3			Percent of total billed charges		735.264	33.3			Percent of total billed charges		735.264	100			Percent of total billed charges		2208	735.264	1987.2	
biomet acetabular components 42mm 11-103542	278	RC	Outpatient			2208	1435.2		90			Percent of total billed charges		1987.2	40			Percent of total billed charges		883.2	80			Percent of total billed charges		1766.4	90			Percent of total billed charges		1987.2	85			Percent of total billed charges		1876.8	85			Percent of total billed charges		1876.8	85			Percent of total billed charges		1876.8	100			Percent of total billed charges		2208	100			Percent of total billed charges		2208	100			Percent of total billed charges		2208	33.3			Percent of total billed charges		735.264	33.3			Percent of total billed charges		735.264	100			Percent of total billed charges		2208	735.264	1987.2	
biomet acetabular components 44mm 11-103544	278	RC	Outpatient			2208	1435.2		90			Percent of total billed charges		1987.2	40			Percent of total billed charges		883.2	80			Percent of total billed charges		1766.4	90			Percent of total billed charges		1987.2	85			Percent of total billed charges		1876.8	85			Percent of total billed charges		1876.8	85			Percent of total billed charges		1876.8	100			Percent of total billed charges		2208	100			Percent of total billed charges		2208	100			Percent of total billed charges		2208	33.3			Percent of total billed charges		735.264	33.3			Percent of total billed charges		735.264	100			Percent of total billed charges		2208	735.264	1987.2	
biomet acetabular components 46mm 11-103546	278	RC	Outpatient			2208	1435.2		90			Percent of total billed charges		1987.2	40			Percent of total billed charges		883.2	80			Percent of total billed charges		1766.4	90			Percent of total billed charges		1987.2	85			Percent of total billed charges		1876.8	85			Percent of total billed charges		1876.8	85			Percent of total billed charges		1876.8	100			Percent of total billed charges		2208	100			Percent of total billed charges		2208	100			Percent of total billed charges		2208	33.3			Percent of total billed charges		735.264	33.3			Percent of total billed charges		735.264	100			Percent of total billed charges		2208	735.264	1987.2	
biomet acetabular components 54mm 11-103554	278	RC	Outpatient			2208	1435.2		90			Percent of total billed charges		1987.2	40			Percent of total billed charges		883.2	80			Percent of total billed charges		1766.4	90			Percent of total billed charges		1987.2	85			Percent of total billed charges		1876.8	85			Percent of total billed charges		1876.8	85			Percent of total billed charges		1876.8	100			Percent of total billed charges		2208	100			Percent of total billed charges		2208	100			Percent of total billed charges		2208	33.3			Percent of total billed charges		735.264	33.3			Percent of total billed charges		735.264	100			Percent of total billed charges		2208	735.264	1987.2	
biomet acetabular components 68mm 11-103568	278	RC	Outpatient			2208	1435.2		90			Percent of total billed charges		1987.2	40			Percent of total billed charges		883.2	80			Percent of total billed charges		1766.4	90			Percent of total billed charges		1987.2	85			Percent of total billed charges		1876.8	85			Percent of total billed charges		1876.8	85			Percent of total billed charges		1876.8	100			Percent of total billed charges		2208	100			Percent of total billed charges		2208	100			Percent of total billed charges		2208	33.3			Percent of total billed charges		735.264	33.3			Percent of total billed charges		735.264	100			Percent of total billed charges		2208	735.264	1987.2	
s/n 3.5 recon pl 8 hl	278	RC	Outpatient			2208	1435.2		90			Percent of total billed charges		1987.2	40			Percent of total billed charges		883.2	80			Percent of total billed charges		1766.4	90			Percent of total billed charges		1987.2	85			Percent of total billed charges		1876.8	85			Percent of total billed charges		1876.8	85			Percent of total billed charges		1876.8	100			Percent of total billed charges		2208	100			Percent of total billed charges		2208	100			Percent of total billed charges		2208	33.3			Percent of total billed charges		735.264	33.3			Percent of total billed charges		735.264	100			Percent of total billed charges		2208	735.264	1987.2	
recon plt 3.5mm 8 hl 71809518 s\n	278	RC	Outpatient			2208	1435.2		90			Percent of total billed charges		1987.2	40			Percent of total billed charges		883.2	80			Percent of total billed charges		1766.4	90			Percent of total billed charges		1987.2	85			Percent of total billed charges		1876.8	85			Percent of total billed charges		1876.8	85			Percent of total billed charges		1876.8	100			Percent of total billed charges		2208	100			Percent of total billed charges		2208	100			Percent of total billed charges		2208	33.3			Percent of total billed charges		735.264	33.3			Percent of total billed charges		735.264	100			Percent of total billed charges		2208	735.264	1987.2	
recon plt 3.5mm 8 hl 71829518 s\n	278	RC	Outpatient			2208	1435.2		90			Percent of total billed charges		1987.2	40			Percent of total billed charges		883.2	80			Percent of total billed charges		1766.4	90			Percent of total billed charges		1987.2	85			Percent of total billed charges		1876.8	85			Percent of total billed charges		1876.8	85			Percent of total billed charges		1876.8	100			Percent of total billed charges		2208	100			Percent of total billed charges		2208	100			Percent of total billed charges		2208	33.3			Percent of total billed charges		735.264	33.3			Percent of total billed charges		735.264	100			Percent of total billed charges		2208	735.264	1987.2	
vanguard femoral distal augment 10 x 60 rl/lm 184182 biomet	278	RC	Outpatient			2208	1435.2		90			Percent of total billed charges		1987.2	40			Percent of total billed charges		883.2	80			Percent of total billed charges		1766.4	90			Percent of total billed charges		1987.2	85			Percent of total billed charges		1876.8	85			Percent of total billed charges		1876.8	85			Percent of total billed charges		1876.8	100			Percent of total billed charges		2208	100			Percent of total billed charges		2208	100			Percent of total billed charges		2208	33.3			Percent of total billed charges		735.264	33.3			Percent of total billed charges		735.264	100			Percent of total billed charges		2208	735.264	1987.2	
vanguard femoral distal augment 5 x 55 ll/rm 184160 biomet	278	RC	Outpatient			2208	1435.2		90			Percent of total billed charges		1987.2	40			Percent of total billed charges		883.2	80			Percent of total billed charges		1766.4	90			Percent of total billed charges		1987.2	85			Percent of total billed charges		1876.8	85			Percent of total billed charges		1876.8	85			Percent of total billed charges		1876.8	100			Percent of total billed charges		2208	100			Percent of total billed charges		2208	100			Percent of total billed charges		2208	33.3			Percent of total billed charges		735.264	33.3			Percent of total billed charges		735.264	100			Percent of total billed charges		2208	735.264	1987.2	
vanguard femoral distal augment 5 x 70 rl/lm 184106 biomet	278	RC	Outpatient			2208	1435.2		90			Percent of total billed charges		1987.2	40			Percent of total billed charges		883.2	80			Percent of total billed charges		1766.4	90			Percent of total billed charges		1987.2	85			Percent of total billed charges		1876.8	85			Percent of total billed charges		1876.8	85			Percent of total billed charges		1876.8	100			Percent of total billed charges		2208	100			Percent of total billed charges		2208	100			Percent of total billed charges		2208	33.3			Percent of total billed charges		735.264	33.3			Percent of total billed charges		735.264	100			Percent of total billed charges		2208	735.264	1987.2	
vanguard femoral distal augment 5 x 60 ll/rm 184122 biomet	278	RC	Outpatient			2208	1435.2		90			Percent of total billed charges		1987.2	40			Percent of total billed charges		883.2	80			Percent of total billed charges		1766.4	90			Percent of total billed charges		1987.2	85			Percent of total billed charges		1876.8	85			Percent of total billed charges		1876.8	85			Percent of total billed charges		1876.8	100			Percent of total billed charges		2208	100			Percent of total billed charges		2208	100			Percent of total billed charges		2208	33.3			Percent of total billed charges		735.264	33.3			Percent of total billed charges		735.264	100			Percent of total billed charges		2208	735.264	1987.2	
vanguard femoral distal augment 5 x 60 rl/lm 184102 biomet	278	RC	Outpatient			2208	1435.2		90			Percent of total billed charges		1987.2	40			Percent of total billed charges		883.2	80			Percent of total billed charges		1766.4	90			Percent of total billed charges		1987.2	85			Percent of total billed charges		1876.8	85			Percent of total billed charges		1876.8	85			Percent of total billed charges		1876.8	100			Percent of total billed charges		2208	100			Percent of total billed charges		2208	100			Percent of total billed charges		2208	33.3			Percent of total billed charges		735.264	33.3			Percent of total billed charges		735.264	100			Percent of total billed charges		2208	735.264	1987.2	
vanguard femoral distal augment 5 x 65 ll 184124 biomet	278	RC	Outpatient			2208	1435.2		90			Percent of total billed charges		1987.2	40			Percent of total billed charges		883.2	80			Percent of total billed charges		1766.4	90			Percent of total billed charges		1987.2	85			Percent of total billed charges		1876.8	85			Percent of total billed charges		1876.8	85			Percent of total billed charges		1876.8	100			Percent of total billed charges		2208	100			Percent of total billed charges		2208	100			Percent of total billed charges		2208	33.3			Percent of total billed charges		735.264	33.3			Percent of total billed charges		735.264	100			Percent of total billed charges		2208	735.264	1987.2	
vanguard femoral distal augment 5 x 65 rl 184104 biomet	278	RC	Outpatient			2208	1435.2		90			Percent of total billed charges		1987.2	40			Percent of total billed charges		883.2	80			Percent of total billed charges		1766.4	90			Percent of total billed charges		1987.2	85			Percent of total billed charges		1876.8	85			Percent of total billed charges		1876.8	85			Percent of total billed charges		1876.8	100			Percent of total billed charges		2208	100			Percent of total billed charges		2208	100			Percent of total billed charges		2208	33.3			Percent of total billed charges		735.264	33.3			Percent of total billed charges		735.264	100			Percent of total billed charges		2208	735.264	1987.2	
vanguard femoral distal augment 5 x 70 ll/rm 184126 biomet	278	RC	Outpatient			2208	1435.2		90			Percent of total billed charges		1987.2	40			Percent of total billed charges		883.2	80			Percent of total billed charges		1766.4	90			Percent of total billed charges		1987.2	85			Percent of total billed charges		1876.8	85			Percent of total billed charges		1876.8	85			Percent of total billed charges		1876.8	100			Percent of total billed charges		2208	100			Percent of total billed charges		2208	100			Percent of total billed charges		2208	33.3			Percent of total billed charges		735.264	33.3			Percent of total billed charges		735.264	100			Percent of total billed charges		2208	735.264	1987.2	
vanguard femoral posterior  augment 5 x 65 rl 184144 biomet	278	RC	Outpatient			2208	1435.2		90			Percent of total billed charges		1987.2	40			Percent of total billed charges		883.2	80			Percent of total billed charges		1766.4	90			Percent of total billed charges		1987.2	85			Percent of total billed charges		1876.8	85			Percent of total billed charges		1876.8	85			Percent of total billed charges		1876.8	100			Percent of total billed charges		2208	100			Percent of total billed charges		2208	100			Percent of total billed charges		2208	33.3			Percent of total billed charges		735.264	33.3			Percent of total billed charges		735.264	100			Percent of total billed charges		2208	735.264	1987.2	
vanguard femoral posterior augment 10 x 60 ll/lm 184242 biomet	278	RC	Outpatient			2208	1435.2		90			Percent of total billed charges		1987.2	40			Percent of total billed charges		883.2	80			Percent of total billed charges		1766.4	90			Percent of total billed charges		1987.2	85			Percent of total billed charges		1876.8	85			Percent of total billed charges		1876.8	85			Percent of total billed charges		1876.8	100			Percent of total billed charges		2208	100			Percent of total billed charges		2208	100			Percent of total billed charges		2208	33.3			Percent of total billed charges		735.264	33.3			Percent of total billed charges		735.264	100			Percent of total billed charges		2208	735.264	1987.2	
vanguard femoral posterior augment 10 x 60 rl/lm 184222 biomet	278	RC	Outpatient			2208	1435.2		90			Percent of total billed charges		1987.2	40			Percent of total billed charges		883.2	80			Percent of total billed charges		1766.4	90			Percent of total billed charges		1987.2	85			Percent of total billed charges		1876.8	85			Percent of total billed charges		1876.8	85			Percent of total billed charges		1876.8	100			Percent of total billed charges		2208	100			Percent of total billed charges		2208	100			Percent of total billed charges		2208	33.3			Percent of total billed charges		735.264	33.3			Percent of total billed charges		735.264	100			Percent of total billed charges		2208	735.264	1987.2	
richards bowed distal slv	278	RC	Outpatient			2210	1436.5		90			Percent of total billed charges		1989	40			Percent of total billed charges		884	80			Percent of total billed charges		1768	90			Percent of total billed charges		1989	85			Percent of total billed charges		1878.5	85			Percent of total billed charges		1878.5	85			Percent of total billed charges		1878.5	100			Percent of total billed charges		2210	100			Percent of total billed charges		2210	100			Percent of total billed charges		2210	33.3			Percent of total billed charges		735.93	33.3			Percent of total billed charges		735.93	100			Percent of total billed charges		2210	735.93	1989	
richards cemented insert	278	RC	Outpatient			2211	1437.15		90			Percent of total billed charges		1989.9	40			Percent of total billed charges		884.4	80			Percent of total billed charges		1768.8	90			Percent of total billed charges		1989.9	85			Percent of total billed charges		1879.35	85			Percent of total billed charges		1879.35	85			Percent of total billed charges		1879.35	100			Percent of total billed charges		2211	100			Percent of total billed charges		2211	100			Percent of total billed charges		2211	33.3			Percent of total billed charges		736.263	33.3			Percent of total billed charges		736.263	100			Percent of total billed charges		2211	736.263	1989.9	
triathlon tib 1/2 bl 10mm	278	RC	Outpatient			2211	1437.15		90			Percent of total billed charges		1989.9	40			Percent of total billed charges		884.4	80			Percent of total billed charges		1768.8	90			Percent of total billed charges		1989.9	85			Percent of total billed charges		1879.35	85			Percent of total billed charges		1879.35	85			Percent of total billed charges		1879.35	100			Percent of total billed charges		2211	100			Percent of total billed charges		2211	100			Percent of total billed charges		2211	33.3			Percent of total billed charges		736.263	33.3			Percent of total billed charges		736.263	100			Percent of total billed charges		2211	736.263	1989.9	
triathlon tibial augment half block  5546-a-301 stryker	278	RC	Outpatient			2211	1437.15		90			Percent of total billed charges		1989.9	40			Percent of total billed charges		884.4	80			Percent of total billed charges		1768.8	90			Percent of total billed charges		1989.9	85			Percent of total billed charges		1879.35	85			Percent of total billed charges		1879.35	85			Percent of total billed charges		1879.35	100			Percent of total billed charges		2211	100			Percent of total billed charges		2211	100			Percent of total billed charges		2211	33.3			Percent of total billed charges		736.263	33.3			Percent of total billed charges		736.263	100			Percent of total billed charges		2211	736.263	1989.9	
triathlon tibial augment half block 10mm 5546-a-401 stryker	278	RC	Outpatient			2211	1437.15		90			Percent of total billed charges		1989.9	40			Percent of total billed charges		884.4	80			Percent of total billed charges		1768.8	90			Percent of total billed charges		1989.9	85			Percent of total billed charges		1879.35	85			Percent of total billed charges		1879.35	85			Percent of total billed charges		1879.35	100			Percent of total billed charges		2211	100			Percent of total billed charges		2211	100			Percent of total billed charges		2211	33.3			Percent of total billed charges		736.263	33.3			Percent of total billed charges		736.263	100			Percent of total billed charges		2211	736.263	1989.9	
triathlon tibial augment half block 10mm 5546-a-402 stryker	278	RC	Outpatient			2211	1437.15		90			Percent of total billed charges		1989.9	40			Percent of total billed charges		884.4	80			Percent of total billed charges		1768.8	90			Percent of total billed charges		1989.9	85			Percent of total billed charges		1879.35	85			Percent of total billed charges		1879.35	85			Percent of total billed charges		1879.35	100			Percent of total billed charges		2211	100			Percent of total billed charges		2211	100			Percent of total billed charges		2211	33.3			Percent of total billed charges		736.263	33.3			Percent of total billed charges		736.263	100			Percent of total billed charges		2211	736.263	1989.9	
imp nail femoral 10mm x 240mm 450.783s	278	RC	Outpatient			2214	1439.1		90			Percent of total billed charges		1992.6	40			Percent of total billed charges		885.6	80			Percent of total billed charges		1771.2	90			Percent of total billed charges		1992.6	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	33.3			Percent of total billed charges		737.262	33.3			Percent of total billed charges		737.262	100			Percent of total billed charges		2214	737.262	1992.6	
imp nails femoral 100mm x 200mm 450.782s	278	RC	Outpatient			2214	1439.1		90			Percent of total billed charges		1992.6	40			Percent of total billed charges		885.6	80			Percent of total billed charges		1771.2	90			Percent of total billed charges		1992.6	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	33.3			Percent of total billed charges		737.262	33.3			Percent of total billed charges		737.262	100			Percent of total billed charges		2214	737.262	1992.6	
titanium cannulated distal femoral nail 10mm x 180mm 450.794 synthes	278	RC	Outpatient			2214	1439.1		90			Percent of total billed charges		1992.6	40			Percent of total billed charges		885.6	80			Percent of total billed charges		1771.2	90			Percent of total billed charges		1992.6	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	33.3			Percent of total billed charges		737.262	33.3			Percent of total billed charges		737.262	100			Percent of total billed charges		2214	737.262	1992.6	
titanium cannulated distal femoral nail 10mm x 200mm 450.782 synthes	278	RC	Outpatient			2214	1439.1		90			Percent of total billed charges		1992.6	40			Percent of total billed charges		885.6	80			Percent of total billed charges		1771.2	90			Percent of total billed charges		1992.6	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	33.3			Percent of total billed charges		737.262	33.3			Percent of total billed charges		737.262	100			Percent of total billed charges		2214	737.262	1992.6	
titanium cannulated distal femoral nail 10mm x 240mm 450.783 synthes	278	RC	Outpatient			2214	1439.1		90			Percent of total billed charges		1992.6	40			Percent of total billed charges		885.6	80			Percent of total billed charges		1771.2	90			Percent of total billed charges		1992.6	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	33.3			Percent of total billed charges		737.262	33.3			Percent of total billed charges		737.262	100			Percent of total billed charges		2214	737.262	1992.6	
titanium cannulated distal femoral nail 10mm x 280mm 450.784 synthes	278	RC	Outpatient			2214	1439.1		90			Percent of total billed charges		1992.6	40			Percent of total billed charges		885.6	80			Percent of total billed charges		1771.2	90			Percent of total billed charges		1992.6	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	33.3			Percent of total billed charges		737.262	33.3			Percent of total billed charges		737.262	100			Percent of total billed charges		2214	737.262	1992.6	
titanium cannulated distal femoral nail 10mm x 300mm 450.785 synthes	278	RC	Outpatient			2214	1439.1		90			Percent of total billed charges		1992.6	40			Percent of total billed charges		885.6	80			Percent of total billed charges		1771.2	90			Percent of total billed charges		1992.6	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	33.3			Percent of total billed charges		737.262	33.3			Percent of total billed charges		737.262	100			Percent of total billed charges		2214	737.262	1992.6	
titanium cannulated distal femoral nail 10mm x 360mm 450.788 synthes	278	RC	Outpatient			2214	1439.1		90			Percent of total billed charges		1992.6	40			Percent of total billed charges		885.6	80			Percent of total billed charges		1771.2	90			Percent of total billed charges		1992.6	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	33.3			Percent of total billed charges		737.262	33.3			Percent of total billed charges		737.262	100			Percent of total billed charges		2214	737.262	1992.6	
titanium cannulated distal femoral nail 10mm x 420mm 450.791 synthes	278	RC	Outpatient			2214	1439.1		90			Percent of total billed charges		1992.6	40			Percent of total billed charges		885.6	80			Percent of total billed charges		1771.2	90			Percent of total billed charges		1992.6	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	33.3			Percent of total billed charges		737.262	33.3			Percent of total billed charges		737.262	100			Percent of total billed charges		2214	737.262	1992.6	
titanium cannulated distal femoral nail 11mm x 200mm 450.802 synthes	278	RC	Outpatient			2214	1439.1		90			Percent of total billed charges		1992.6	40			Percent of total billed charges		885.6	80			Percent of total billed charges		1771.2	90			Percent of total billed charges		1992.6	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	33.3			Percent of total billed charges		737.262	33.3			Percent of total billed charges		737.262	100			Percent of total billed charges		2214	737.262	1992.6	
titanium cannulated distal femoral nail 11mm x 240mm 450.803 synthes	278	RC	Outpatient			2214	1439.1		90			Percent of total billed charges		1992.6	40			Percent of total billed charges		885.6	80			Percent of total billed charges		1771.2	90			Percent of total billed charges		1992.6	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	33.3			Percent of total billed charges		737.262	33.3			Percent of total billed charges		737.262	100			Percent of total billed charges		2214	737.262	1992.6	
titanium cannulated distal femoral nail 11mm x 280mm 450.804 synthes	278	RC	Outpatient			2214	1439.1		90			Percent of total billed charges		1992.6	40			Percent of total billed charges		885.6	80			Percent of total billed charges		1771.2	90			Percent of total billed charges		1992.6	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	33.3			Percent of total billed charges		737.262	33.3			Percent of total billed charges		737.262	100			Percent of total billed charges		2214	737.262	1992.6	
titanium cannulated distal femoral nail 11mm x 300mm 450.805 synthes	278	RC	Outpatient			2214	1439.1		90			Percent of total billed charges		1992.6	40			Percent of total billed charges		885.6	80			Percent of total billed charges		1771.2	90			Percent of total billed charges		1992.6	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	33.3			Percent of total billed charges		737.262	33.3			Percent of total billed charges		737.262	100			Percent of total billed charges		2214	737.262	1992.6	
titanium cannulated distal femoral nail 11mm x 360mm 450.808 synthes	278	RC	Outpatient			2214	1439.1		90			Percent of total billed charges		1992.6	40			Percent of total billed charges		885.6	80			Percent of total billed charges		1771.2	90			Percent of total billed charges		1992.6	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	33.3			Percent of total billed charges		737.262	33.3			Percent of total billed charges		737.262	100			Percent of total billed charges		2214	737.262	1992.6	
titanium cannulated distal femoral nail 11mm x 380mm 450.809 synthes	278	RC	Outpatient			2214	1439.1		90			Percent of total billed charges		1992.6	40			Percent of total billed charges		885.6	80			Percent of total billed charges		1771.2	90			Percent of total billed charges		1992.6	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	33.3			Percent of total billed charges		737.262	33.3			Percent of total billed charges		737.262	100			Percent of total billed charges		2214	737.262	1992.6	
titanium cannulated distal femoral nail 11mm x 400mm 450.810 synthes	278	RC	Outpatient			2214	1439.1		90			Percent of total billed charges		1992.6	40			Percent of total billed charges		885.6	80			Percent of total billed charges		1771.2	90			Percent of total billed charges		1992.6	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	33.3			Percent of total billed charges		737.262	33.3			Percent of total billed charges		737.262	100			Percent of total billed charges		2214	737.262	1992.6	
titanium cannulated distal femoral nail 11mm x 420mm 450.811 synthes	278	RC	Outpatient			2214	1439.1		90			Percent of total billed charges		1992.6	40			Percent of total billed charges		885.6	80			Percent of total billed charges		1771.2	90			Percent of total billed charges		1992.6	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	33.3			Percent of total billed charges		737.262	33.3			Percent of total billed charges		737.262	100			Percent of total billed charges		2214	737.262	1992.6	
titanium cannulated distal femoral nail 11mm x 440mm 450.812 synthes	278	RC	Outpatient			2214	1439.1		90			Percent of total billed charges		1992.6	40			Percent of total billed charges		885.6	80			Percent of total billed charges		1771.2	90			Percent of total billed charges		1992.6	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	33.3			Percent of total billed charges		737.262	33.3			Percent of total billed charges		737.262	100			Percent of total billed charges		2214	737.262	1992.6	
titanium cannulated distal femoral nail 11mm x 460mm 450.813 synthes	278	RC	Outpatient			2214	1439.1		90			Percent of total billed charges		1992.6	40			Percent of total billed charges		885.6	80			Percent of total billed charges		1771.2	90			Percent of total billed charges		1992.6	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	33.3			Percent of total billed charges		737.262	33.3			Percent of total billed charges		737.262	100			Percent of total billed charges		2214	737.262	1992.6	
titanium distal femoral nail aqua 9 x 160mm 450.701 synthes	278	RC	Outpatient			2214	1439.1		90			Percent of total billed charges		1992.6	40			Percent of total billed charges		885.6	80			Percent of total billed charges		1771.2	90			Percent of total billed charges		1992.6	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	33.3			Percent of total billed charges		737.262	33.3			Percent of total billed charges		737.262	100			Percent of total billed charges		2214	737.262	1992.6	
titanium distal femoral nail aqua 9 x 180mm 450.714 synthes	278	RC	Outpatient			2214	1439.1		90			Percent of total billed charges		1992.6	40			Percent of total billed charges		885.6	80			Percent of total billed charges		1771.2	90			Percent of total billed charges		1992.6	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	33.3			Percent of total billed charges		737.262	33.3			Percent of total billed charges		737.262	100			Percent of total billed charges		2214	737.262	1992.6	
titanium distal femoral nail aqua 9 x 200mm 450.702 synthes	278	RC	Outpatient			2214	1439.1		90			Percent of total billed charges		1992.6	40			Percent of total billed charges		885.6	80			Percent of total billed charges		1771.2	90			Percent of total billed charges		1992.6	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	33.3			Percent of total billed charges		737.262	33.3			Percent of total billed charges		737.262	100			Percent of total billed charges		2214	737.262	1992.6	
titanium distal femoral nail aqua 9 x 220mm 450.715 synthes	278	RC	Outpatient			2214	1439.1		90			Percent of total billed charges		1992.6	40			Percent of total billed charges		885.6	80			Percent of total billed charges		1771.2	90			Percent of total billed charges		1992.6	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	33.3			Percent of total billed charges		737.262	33.3			Percent of total billed charges		737.262	100			Percent of total billed charges		2214	737.262	1992.6	
titanium distal femoral nail aqua 9 x 320mm 450.706 synthes	278	RC	Outpatient			2214	1439.1		90			Percent of total billed charges		1992.6	40			Percent of total billed charges		885.6	80			Percent of total billed charges		1771.2	90			Percent of total billed charges		1992.6	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	33.3			Percent of total billed charges		737.262	33.3			Percent of total billed charges		737.262	100			Percent of total billed charges		2214	737.262	1992.6	
titanium distal femoral nail aqua 9 x 400mm 450.710 synthes	278	RC	Outpatient			2214	1439.1		90			Percent of total billed charges		1992.6	40			Percent of total billed charges		885.6	80			Percent of total billed charges		1771.2	90			Percent of total billed charges		1992.6	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	33.3			Percent of total billed charges		737.262	33.3			Percent of total billed charges		737.262	100			Percent of total billed charges		2214	737.262	1992.6	
titanium distal femoral nail aqua 9 x 420mm 450.711 synthes	278	RC	Outpatient			2214	1439.1		90			Percent of total billed charges		1992.6	40			Percent of total billed charges		885.6	80			Percent of total billed charges		1771.2	90			Percent of total billed charges		1992.6	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	33.3			Percent of total billed charges		737.262	33.3			Percent of total billed charges		737.262	100			Percent of total billed charges		2214	737.262	1992.6	
syn titan.can.dist fem nl	278	RC	Outpatient			2214	1439.1		90			Percent of total billed charges		1992.6	40			Percent of total billed charges		885.6	80			Percent of total billed charges		1771.2	90			Percent of total billed charges		1992.6	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	33.3			Percent of total billed charges		737.262	33.3			Percent of total billed charges		737.262	100			Percent of total billed charges		2214	737.262	1992.6	
titanium cannulated distal femoral nail 10mm x 160mm 450.781 synthes	278	RC	Outpatient			2214	1439.1		90			Percent of total billed charges		1992.6	40			Percent of total billed charges		885.6	80			Percent of total billed charges		1771.2	90			Percent of total billed charges		1992.6	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	33.3			Percent of total billed charges		737.262	33.3			Percent of total billed charges		737.262	100			Percent of total billed charges		2214	737.262	1992.6	
titanium cannulated distal femoral nail 10mm x 220mm 450.795 synthes	278	RC	Outpatient			2214	1439.1		90			Percent of total billed charges		1992.6	40			Percent of total billed charges		885.6	80			Percent of total billed charges		1771.2	90			Percent of total billed charges		1992.6	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	33.3			Percent of total billed charges		737.262	33.3			Percent of total billed charges		737.262	100			Percent of total billed charges		2214	737.262	1992.6	
titanium cannulated distal femoral nail 10mm x 260mm 450.796 synthes	278	RC	Outpatient			2214	1439.1		90			Percent of total billed charges		1992.6	40			Percent of total billed charges		885.6	80			Percent of total billed charges		1771.2	90			Percent of total billed charges		1992.6	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	33.3			Percent of total billed charges		737.262	33.3			Percent of total billed charges		737.262	100			Percent of total billed charges		2214	737.262	1992.6	
titanium cannulated distal femoral nail 10mm x 320mm 450.786 synthes	278	RC	Outpatient			2214	1439.1		90			Percent of total billed charges		1992.6	40			Percent of total billed charges		885.6	80			Percent of total billed charges		1771.2	90			Percent of total billed charges		1992.6	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	33.3			Percent of total billed charges		737.262	33.3			Percent of total billed charges		737.262	100			Percent of total billed charges		2214	737.262	1992.6	
titanium cannulated distal femoral nail 10mm x 340mm 450.787 synthes	278	RC	Outpatient			2214	1439.1		90			Percent of total billed charges		1992.6	40			Percent of total billed charges		885.6	80			Percent of total billed charges		1771.2	90			Percent of total billed charges		1992.6	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	33.3			Percent of total billed charges		737.262	33.3			Percent of total billed charges		737.262	100			Percent of total billed charges		2214	737.262	1992.6	
titanium cannulated distal femoral nail 10mm x 380mm 450.789 synthes	278	RC	Outpatient			2214	1439.1		90			Percent of total billed charges		1992.6	40			Percent of total billed charges		885.6	80			Percent of total billed charges		1771.2	90			Percent of total billed charges		1992.6	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	33.3			Percent of total billed charges		737.262	33.3			Percent of total billed charges		737.262	100			Percent of total billed charges		2214	737.262	1992.6	
titanium cannulated distal femoral nail 10mm x 400mm 450.790 synthes	278	RC	Outpatient			2214	1439.1		90			Percent of total billed charges		1992.6	40			Percent of total billed charges		885.6	80			Percent of total billed charges		1771.2	90			Percent of total billed charges		1992.6	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	33.3			Percent of total billed charges		737.262	33.3			Percent of total billed charges		737.262	100			Percent of total billed charges		2214	737.262	1992.6	
titanium cannulated distal femoral nail 10mm x 440mm 450.792 synthes	278	RC	Outpatient			2214	1439.1		90			Percent of total billed charges		1992.6	40			Percent of total billed charges		885.6	80			Percent of total billed charges		1771.2	90			Percent of total billed charges		1992.6	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	33.3			Percent of total billed charges		737.262	33.3			Percent of total billed charges		737.262	100			Percent of total billed charges		2214	737.262	1992.6	
titanium cannulated distal femoral nail 10mm x 460mm 450.793 synthes	278	RC	Outpatient			2214	1439.1		90			Percent of total billed charges		1992.6	40			Percent of total billed charges		885.6	80			Percent of total billed charges		1771.2	90			Percent of total billed charges		1992.6	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	33.3			Percent of total billed charges		737.262	33.3			Percent of total billed charges		737.262	100			Percent of total billed charges		2214	737.262	1992.6	
titanium cannulated distal femoral nail 11mm x 160mm 450.801 synthes	278	RC	Outpatient			2214	1439.1		90			Percent of total billed charges		1992.6	40			Percent of total billed charges		885.6	80			Percent of total billed charges		1771.2	90			Percent of total billed charges		1992.6	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	33.3			Percent of total billed charges		737.262	33.3			Percent of total billed charges		737.262	100			Percent of total billed charges		2214	737.262	1992.6	
titanium cannulated distal femoral nail 11mm x 180mm 450.814 synthes	278	RC	Outpatient			2214	1439.1		90			Percent of total billed charges		1992.6	40			Percent of total billed charges		885.6	80			Percent of total billed charges		1771.2	90			Percent of total billed charges		1992.6	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	33.3			Percent of total billed charges		737.262	33.3			Percent of total billed charges		737.262	100			Percent of total billed charges		2214	737.262	1992.6	
titanium cannulated distal femoral nail 11mm x 220mm 450.815 synthes	278	RC	Outpatient			2214	1439.1		90			Percent of total billed charges		1992.6	40			Percent of total billed charges		885.6	80			Percent of total billed charges		1771.2	90			Percent of total billed charges		1992.6	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	33.3			Percent of total billed charges		737.262	33.3			Percent of total billed charges		737.262	100			Percent of total billed charges		2214	737.262	1992.6	
titanium cannulated distal femoral nail 11mm x 260mm 450.816 synthes	278	RC	Outpatient			2214	1439.1		90			Percent of total billed charges		1992.6	40			Percent of total billed charges		885.6	80			Percent of total billed charges		1771.2	90			Percent of total billed charges		1992.6	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	33.3			Percent of total billed charges		737.262	33.3			Percent of total billed charges		737.262	100			Percent of total billed charges		2214	737.262	1992.6	
titanium cannulated distal femoral nail 11mm x 320mm 450.806 synthes	278	RC	Outpatient			2214	1439.1		90			Percent of total billed charges		1992.6	40			Percent of total billed charges		885.6	80			Percent of total billed charges		1771.2	90			Percent of total billed charges		1992.6	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	33.3			Percent of total billed charges		737.262	33.3			Percent of total billed charges		737.262	100			Percent of total billed charges		2214	737.262	1992.6	
titanium cannulated distal femoral nail 11mm x 340mm 450.807 synthes	278	RC	Outpatient			2214	1439.1		90			Percent of total billed charges		1992.6	40			Percent of total billed charges		885.6	80			Percent of total billed charges		1771.2	90			Percent of total billed charges		1992.6	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	33.3			Percent of total billed charges		737.262	33.3			Percent of total billed charges		737.262	100			Percent of total billed charges		2214	737.262	1992.6	
titanium cannulated distal femoral nail 12mm x 160mm 450.821 synthes	278	RC	Outpatient			2214	1439.1		90			Percent of total billed charges		1992.6	40			Percent of total billed charges		885.6	80			Percent of total billed charges		1771.2	90			Percent of total billed charges		1992.6	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	33.3			Percent of total billed charges		737.262	33.3			Percent of total billed charges		737.262	100			Percent of total billed charges		2214	737.262	1992.6	
titanium cannulated distal femoral nail 12mm x 200mm 450.822 synthes	278	RC	Outpatient			2214	1439.1		90			Percent of total billed charges		1992.6	40			Percent of total billed charges		885.6	80			Percent of total billed charges		1771.2	90			Percent of total billed charges		1992.6	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	33.3			Percent of total billed charges		737.262	33.3			Percent of total billed charges		737.262	100			Percent of total billed charges		2214	737.262	1992.6	
titanium cannulated distal femoral nail 12mm x 240mm 450.823 synthes	278	RC	Outpatient			2214	1439.1		90			Percent of total billed charges		1992.6	40			Percent of total billed charges		885.6	80			Percent of total billed charges		1771.2	90			Percent of total billed charges		1992.6	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	33.3			Percent of total billed charges		737.262	33.3			Percent of total billed charges		737.262	100			Percent of total billed charges		2214	737.262	1992.6	
titanium distal femoral nail aqua 9 x 240mm 450.703 synthes	278	RC	Outpatient			2214	1439.1		90			Percent of total billed charges		1992.6	40			Percent of total billed charges		885.6	80			Percent of total billed charges		1771.2	90			Percent of total billed charges		1992.6	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	33.3			Percent of total billed charges		737.262	33.3			Percent of total billed charges		737.262	100			Percent of total billed charges		2214	737.262	1992.6	
titanium distal femoral nail aqua 9 x 260mm 450.716 synthes	278	RC	Outpatient			2214	1439.1		90			Percent of total billed charges		1992.6	40			Percent of total billed charges		885.6	80			Percent of total billed charges		1771.2	90			Percent of total billed charges		1992.6	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	33.3			Percent of total billed charges		737.262	33.3			Percent of total billed charges		737.262	100			Percent of total billed charges		2214	737.262	1992.6	
titanium distal femoral nail aqua 9 x 280mm 450.704 synthes	278	RC	Outpatient			2214	1439.1		90			Percent of total billed charges		1992.6	40			Percent of total billed charges		885.6	80			Percent of total billed charges		1771.2	90			Percent of total billed charges		1992.6	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	33.3			Percent of total billed charges		737.262	33.3			Percent of total billed charges		737.262	100			Percent of total billed charges		2214	737.262	1992.6	
titanium distal femoral nail aqua 9 x 300mm 450.705 synthes	278	RC	Outpatient			2214	1439.1		90			Percent of total billed charges		1992.6	40			Percent of total billed charges		885.6	80			Percent of total billed charges		1771.2	90			Percent of total billed charges		1992.6	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	33.3			Percent of total billed charges		737.262	33.3			Percent of total billed charges		737.262	100			Percent of total billed charges		2214	737.262	1992.6	
titanium distal femoral nail aqua 9 x 340mm 450.707 synthes	278	RC	Outpatient			2214	1439.1		90			Percent of total billed charges		1992.6	40			Percent of total billed charges		885.6	80			Percent of total billed charges		1771.2	90			Percent of total billed charges		1992.6	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	33.3			Percent of total billed charges		737.262	33.3			Percent of total billed charges		737.262	100			Percent of total billed charges		2214	737.262	1992.6	
titanium distal femoral nail aqua 9 x 360mm 450.708 synthes	278	RC	Outpatient			2214	1439.1		90			Percent of total billed charges		1992.6	40			Percent of total billed charges		885.6	80			Percent of total billed charges		1771.2	90			Percent of total billed charges		1992.6	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	33.3			Percent of total billed charges		737.262	33.3			Percent of total billed charges		737.262	100			Percent of total billed charges		2214	737.262	1992.6	
titanium distal femoral nail aqua 9 x 380mm 450.709 synthes	278	RC	Outpatient			2214	1439.1		90			Percent of total billed charges		1992.6	40			Percent of total billed charges		885.6	80			Percent of total billed charges		1771.2	90			Percent of total billed charges		1992.6	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	33.3			Percent of total billed charges		737.262	33.3			Percent of total billed charges		737.262	100			Percent of total billed charges		2214	737.262	1992.6	
titanium distal femoral nail aqua 9 x 440mm 450.712 synthes	278	RC	Outpatient			2214	1439.1		90			Percent of total billed charges		1992.6	40			Percent of total billed charges		885.6	80			Percent of total billed charges		1771.2	90			Percent of total billed charges		1992.6	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	33.3			Percent of total billed charges		737.262	33.3			Percent of total billed charges		737.262	100			Percent of total billed charges		2214	737.262	1992.6	
titanium distal femoral nail aqua 9 x 460mm 450.713 synthes	278	RC	Outpatient			2214	1439.1		90			Percent of total billed charges		1992.6	40			Percent of total billed charges		885.6	80			Percent of total billed charges		1771.2	90			Percent of total billed charges		1992.6	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	85			Percent of total billed charges		1881.9	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	100			Percent of total billed charges		2214	33.3			Percent of total billed charges		737.262	33.3			Percent of total billed charges		737.262	100			Percent of total billed charges		2214	737.262	1992.6	
implant plate compress 14 sl 135 deg 300mm 12-4161 s/n	278	RC	Outpatient			2215	1439.75		90			Percent of total billed charges		1993.5	40			Percent of total billed charges		886	80			Percent of total billed charges		1772	90			Percent of total billed charges		1993.5	85			Percent of total billed charges		1882.75	85			Percent of total billed charges		1882.75	85			Percent of total billed charges		1882.75	100			Percent of total billed charges		2215	100			Percent of total billed charges		2215	100			Percent of total billed charges		2215	33.3			Percent of total billed charges		737.595	33.3			Percent of total billed charges		737.595	100			Percent of total billed charges		2215	737.595	1993.5	
implant plate compress 14 sl 145 deg 300mm 12-4163 s/n	278	RC	Outpatient			2215	1439.75		90			Percent of total billed charges		1993.5	40			Percent of total billed charges		886	80			Percent of total billed charges		1772	90			Percent of total billed charges		1993.5	85			Percent of total billed charges		1882.75	85			Percent of total billed charges		1882.75	85			Percent of total billed charges		1882.75	100			Percent of total billed charges		2215	100			Percent of total billed charges		2215	100			Percent of total billed charges		2215	33.3			Percent of total billed charges		737.595	33.3			Percent of total billed charges		737.595	100			Percent of total billed charges		2215	737.595	1993.5	
implant plate compress 14 sl 150 deg 300mm 12-4164 s/n	278	RC	Outpatient			2215	1439.75		90			Percent of total billed charges		1993.5	40			Percent of total billed charges		886	80			Percent of total billed charges		1772	90			Percent of total billed charges		1993.5	85			Percent of total billed charges		1882.75	85			Percent of total billed charges		1882.75	85			Percent of total billed charges		1882.75	100			Percent of total billed charges		2215	100			Percent of total billed charges		2215	100			Percent of total billed charges		2215	33.3			Percent of total billed charges		737.595	33.3			Percent of total billed charges		737.595	100			Percent of total billed charges		2215	737.595	1993.5	
implant plate compress 14 sl 140 deg 300mm 12-4162 s/n	278	RC	Outpatient			2215	1439.75		90			Percent of total billed charges		1993.5	40			Percent of total billed charges		886	80			Percent of total billed charges		1772	90			Percent of total billed charges		1993.5	85			Percent of total billed charges		1882.75	85			Percent of total billed charges		1882.75	85			Percent of total billed charges		1882.75	100			Percent of total billed charges		2215	100			Percent of total billed charges		2215	100			Percent of total billed charges		2215	33.3			Percent of total billed charges		737.595	33.3			Percent of total billed charges		737.595	100			Percent of total billed charges		2215	737.595	1993.5	
plate compress 14 sl 130 deg 300mm 12-4160 s/n	278	RC	Outpatient			2215	1439.75		90			Percent of total billed charges		1993.5	40			Percent of total billed charges		886	80			Percent of total billed charges		1772	90			Percent of total billed charges		1993.5	85			Percent of total billed charges		1882.75	85			Percent of total billed charges		1882.75	85			Percent of total billed charges		1882.75	100			Percent of total billed charges		2215	100			Percent of total billed charges		2215	100			Percent of total billed charges		2215	33.3			Percent of total billed charges		737.595	33.3			Percent of total billed charges		737.595	100			Percent of total billed charges		2215	737.595	1993.5	
rich hip scw classic 14hl	278	RC	Outpatient			2215	1439.75		90			Percent of total billed charges		1993.5	40			Percent of total billed charges		886	80			Percent of total billed charges		1772	90			Percent of total billed charges		1993.5	85			Percent of total billed charges		1882.75	85			Percent of total billed charges		1882.75	85			Percent of total billed charges		1882.75	100			Percent of total billed charges		2215	100			Percent of total billed charges		2215	100			Percent of total billed charges		2215	33.3			Percent of total billed charges		737.595	33.3			Percent of total billed charges		737.595	100			Percent of total billed charges		2215	737.595	1993.5	
s/n classic hip screw 14 hole	278	RC	Outpatient			2215	1439.75		90			Percent of total billed charges		1993.5	40			Percent of total billed charges		886	80			Percent of total billed charges		1772	90			Percent of total billed charges		1993.5	85			Percent of total billed charges		1882.75	85			Percent of total billed charges		1882.75	85			Percent of total billed charges		1882.75	100			Percent of total billed charges		2215	100			Percent of total billed charges		2215	100			Percent of total billed charges		2215	33.3			Percent of total billed charges		737.595	33.3			Percent of total billed charges		737.595	100			Percent of total billed charges		2215	737.595	1993.5	
sc-acufix sentry plate 1 seg 22mm 409-1122 abbott	278	RC	Outpatient			2217	1441.05		90			Percent of total billed charges		1995.3	40			Percent of total billed charges		886.8	80			Percent of total billed charges		1773.6	90			Percent of total billed charges		1995.3	85			Percent of total billed charges		1884.45	85			Percent of total billed charges		1884.45	85			Percent of total billed charges		1884.45	100			Percent of total billed charges		2217	100			Percent of total billed charges		2217	100			Percent of total billed charges		2217	33.3			Percent of total billed charges		738.261	33.3			Percent of total billed charges		738.261	100			Percent of total billed charges		2217	738.261	1995.3	
sc-acufix sentry plate 1 seg 28mm 409-1128 abbott	278	RC	Outpatient			2217	1441.05		90			Percent of total billed charges		1995.3	40			Percent of total billed charges		886.8	80			Percent of total billed charges		1773.6	90			Percent of total billed charges		1995.3	85			Percent of total billed charges		1884.45	85			Percent of total billed charges		1884.45	85			Percent of total billed charges		1884.45	100			Percent of total billed charges		2217	100			Percent of total billed charges		2217	100			Percent of total billed charges		2217	33.3			Percent of total billed charges		738.261	33.3			Percent of total billed charges		738.261	100			Percent of total billed charges		2217	738.261	1995.3	
sc-acufix sentry plate 1 seg 32mm 409-1132 abbott	278	RC	Outpatient			2217	1441.05		90			Percent of total billed charges		1995.3	40			Percent of total billed charges		886.8	80			Percent of total billed charges		1773.6	90			Percent of total billed charges		1995.3	85			Percent of total billed charges		1884.45	85			Percent of total billed charges		1884.45	85			Percent of total billed charges		1884.45	100			Percent of total billed charges		2217	100			Percent of total billed charges		2217	100			Percent of total billed charges		2217	33.3			Percent of total billed charges		738.261	33.3			Percent of total billed charges		738.261	100			Percent of total billed charges		2217	738.261	1995.3	
sentry plt 1 seg	278	RC	Outpatient			2217	1441.05		90			Percent of total billed charges		1995.3	40			Percent of total billed charges		886.8	80			Percent of total billed charges		1773.6	90			Percent of total billed charges		1995.3	85			Percent of total billed charges		1884.45	85			Percent of total billed charges		1884.45	85			Percent of total billed charges		1884.45	100			Percent of total billed charges		2217	100			Percent of total billed charges		2217	100			Percent of total billed charges		2217	33.3			Percent of total billed charges		738.261	33.3			Percent of total billed charges		738.261	100			Percent of total billed charges		2217	738.261	1995.3	
sc-acufix sentry plate 1 seg 24mm 409-1124 abbott	278	RC	Outpatient			2217	1441.05		90			Percent of total billed charges		1995.3	40			Percent of total billed charges		886.8	80			Percent of total billed charges		1773.6	90			Percent of total billed charges		1995.3	85			Percent of total billed charges		1884.45	85			Percent of total billed charges		1884.45	85			Percent of total billed charges		1884.45	100			Percent of total billed charges		2217	100			Percent of total billed charges		2217	100			Percent of total billed charges		2217	33.3			Percent of total billed charges		738.261	33.3			Percent of total billed charges		738.261	100			Percent of total billed charges		2217	738.261	1995.3	
sc-acufix sentry plate 1 seg 26mm 409-1126 abbott	278	RC	Outpatient			2217	1441.05		90			Percent of total billed charges		1995.3	40			Percent of total billed charges		886.8	80			Percent of total billed charges		1773.6	90			Percent of total billed charges		1995.3	85			Percent of total billed charges		1884.45	85			Percent of total billed charges		1884.45	85			Percent of total billed charges		1884.45	100			Percent of total billed charges		2217	100			Percent of total billed charges		2217	100			Percent of total billed charges		2217	33.3			Percent of total billed charges		738.261	33.3			Percent of total billed charges		738.261	100			Percent of total billed charges		2217	738.261	1995.3	
sc-acufix sentry plate 1 seg 30mm 409-1130 abbott	278	RC	Outpatient			2217	1441.05		90			Percent of total billed charges		1995.3	40			Percent of total billed charges		886.8	80			Percent of total billed charges		1773.6	90			Percent of total billed charges		1995.3	85			Percent of total billed charges		1884.45	85			Percent of total billed charges		1884.45	85			Percent of total billed charges		1884.45	100			Percent of total billed charges		2217	100			Percent of total billed charges		2217	100			Percent of total billed charges		2217	33.3			Percent of total billed charges		738.261	33.3			Percent of total billed charges		738.261	100			Percent of total billed charges		2217	738.261	1995.3	
sc-acufix sentry plate 1 seg 34mm 409-1134 abbott	278	RC	Outpatient			2217	1441.05		90			Percent of total billed charges		1995.3	40			Percent of total billed charges		886.8	80			Percent of total billed charges		1773.6	90			Percent of total billed charges		1995.3	85			Percent of total billed charges		1884.45	85			Percent of total billed charges		1884.45	85			Percent of total billed charges		1884.45	100			Percent of total billed charges		2217	100			Percent of total billed charges		2217	100			Percent of total billed charges		2217	33.3			Percent of total billed charges		738.261	33.3			Percent of total billed charges		738.261	100			Percent of total billed charges		2217	738.261	1995.3	
genesis ii constrained articular  insert size 5-6  30mm 71420550 s/n	278	RC	Outpatient			2218	1441.7		90			Percent of total billed charges		1996.2	40			Percent of total billed charges		887.2	80			Percent of total billed charges		1774.4	90			Percent of total billed charges		1996.2	85			Percent of total billed charges		1885.3	85			Percent of total billed charges		1885.3	85			Percent of total billed charges		1885.3	100			Percent of total billed charges		2218	100			Percent of total billed charges		2218	100			Percent of total billed charges		2218	33.3			Percent of total billed charges		738.594	33.3			Percent of total billed charges		738.594	100			Percent of total billed charges		2218	738.594	1996.2	
genesis ii constrained articular insert size 7-8 15mm 71420556 s/n	278	RC	Outpatient			2218	1441.7		90			Percent of total billed charges		1996.2	40			Percent of total billed charges		887.2	80			Percent of total billed charges		1774.4	90			Percent of total billed charges		1996.2	85			Percent of total billed charges		1885.3	85			Percent of total billed charges		1885.3	85			Percent of total billed charges		1885.3	100			Percent of total billed charges		2218	100			Percent of total billed charges		2218	100			Percent of total billed charges		2218	33.3			Percent of total billed charges		738.594	33.3			Percent of total billed charges		738.594	100			Percent of total billed charges		2218	738.594	1996.2	
genesis ii constrained art insert size 5-6 21mm 71420546 s/n	278	RC	Outpatient			2218	1441.7		90			Percent of total billed charges		1996.2	40			Percent of total billed charges		887.2	80			Percent of total billed charges		1774.4	90			Percent of total billed charges		1996.2	85			Percent of total billed charges		1885.3	85			Percent of total billed charges		1885.3	85			Percent of total billed charges		1885.3	100			Percent of total billed charges		2218	100			Percent of total billed charges		2218	100			Percent of total billed charges		2218	33.3			Percent of total billed charges		738.594	33.3			Percent of total billed charges		738.594	100			Percent of total billed charges		2218	738.594	1996.2	
genesis ii constrained articular  insert size 3-4 11mm 71420524 s/n	278	RC	Outpatient			2218	1441.7		90			Percent of total billed charges		1996.2	40			Percent of total billed charges		887.2	80			Percent of total billed charges		1774.4	90			Percent of total billed charges		1996.2	85			Percent of total billed charges		1885.3	85			Percent of total billed charges		1885.3	85			Percent of total billed charges		1885.3	100			Percent of total billed charges		2218	100			Percent of total billed charges		2218	100			Percent of total billed charges		2218	33.3			Percent of total billed charges		738.594	33.3			Percent of total billed charges		738.594	100			Percent of total billed charges		2218	738.594	1996.2	
genesis ii constrained articular insert size 5-6 18mm 71420544 s/n	278	RC	Outpatient			2218	1441.7		90			Percent of total billed charges		1996.2	40			Percent of total billed charges		887.2	80			Percent of total billed charges		1774.4	90			Percent of total billed charges		1996.2	85			Percent of total billed charges		1885.3	85			Percent of total billed charges		1885.3	85			Percent of total billed charges		1885.3	100			Percent of total billed charges		2218	100			Percent of total billed charges		2218	100			Percent of total billed charges		2218	33.3			Percent of total billed charges		738.594	33.3			Percent of total billed charges		738.594	100			Percent of total billed charges		2218	738.594	1996.2	
genesis ii constrained articular insert size 7-8 13mm 71420554 s/n	278	RC	Outpatient			2218	1441.7		90			Percent of total billed charges		1996.2	40			Percent of total billed charges		887.2	80			Percent of total billed charges		1774.4	90			Percent of total billed charges		1996.2	85			Percent of total billed charges		1885.3	85			Percent of total billed charges		1885.3	85			Percent of total billed charges		1885.3	100			Percent of total billed charges		2218	100			Percent of total billed charges		2218	100			Percent of total billed charges		2218	33.3			Percent of total billed charges		738.594	33.3			Percent of total billed charges		738.594	100			Percent of total billed charges		2218	738.594	1996.2	
legion constrained articular insert size 1 - 2 9 mm  s/n 71420959	278	RC	Outpatient			2218	1441.7		90			Percent of total billed charges		1996.2	40			Percent of total billed charges		887.2	80			Percent of total billed charges		1774.4	90			Percent of total billed charges		1996.2	85			Percent of total billed charges		1885.3	85			Percent of total billed charges		1885.3	85			Percent of total billed charges		1885.3	100			Percent of total billed charges		2218	100			Percent of total billed charges		2218	100			Percent of total billed charges		2218	33.3			Percent of total billed charges		738.594	33.3			Percent of total billed charges		738.594	100			Percent of total billed charges		2218	738.594	1996.2	
legion constrained articular insert size 5-6  9 mm  s/n 71420537	278	RC	Outpatient			2218	1441.7		90			Percent of total billed charges		1996.2	40			Percent of total billed charges		887.2	80			Percent of total billed charges		1774.4	90			Percent of total billed charges		1996.2	85			Percent of total billed charges		1885.3	85			Percent of total billed charges		1885.3	85			Percent of total billed charges		1885.3	100			Percent of total billed charges		2218	100			Percent of total billed charges		2218	100			Percent of total billed charges		2218	33.3			Percent of total billed charges		738.594	33.3			Percent of total billed charges		738.594	100			Percent of total billed charges		2218	738.594	1996.2	
s/n gns11 con ins	278	RC	Outpatient			2218	1441.7		90			Percent of total billed charges		1996.2	40			Percent of total billed charges		887.2	80			Percent of total billed charges		1774.4	90			Percent of total billed charges		1996.2	85			Percent of total billed charges		1885.3	85			Percent of total billed charges		1885.3	85			Percent of total billed charges		1885.3	100			Percent of total billed charges		2218	100			Percent of total billed charges		2218	100			Percent of total billed charges		2218	33.3			Percent of total billed charges		738.594	33.3			Percent of total billed charges		738.594	100			Percent of total billed charges		2218	738.594	1996.2	
olecranon locking plate 8h l 71822908 s/n	278	RC	Outpatient			2220	1443		90			Percent of total billed charges		1998	40			Percent of total billed charges		888	80			Percent of total billed charges		1776	90			Percent of total billed charges		1998	85			Percent of total billed charges		1887	85			Percent of total billed charges		1887	85			Percent of total billed charges		1887	100			Percent of total billed charges		2220	100			Percent of total billed charges		2220	100			Percent of total billed charges		2220	33.3			Percent of total billed charges		739.26	33.3			Percent of total billed charges		739.26	100			Percent of total billed charges		2220	739.26	1998	
olecranon locking plate 8h r 71823908 s/n	278	RC	Outpatient			2220	1443		90			Percent of total billed charges		1998	40			Percent of total billed charges		888	80			Percent of total billed charges		1776	90			Percent of total billed charges		1998	85			Percent of total billed charges		1887	85			Percent of total billed charges		1887	85			Percent of total billed charges		1887	100			Percent of total billed charges		2220	100			Percent of total billed charges		2220	100			Percent of total billed charges		2220	33.3			Percent of total billed charges		739.26	33.3			Percent of total billed charges		739.26	100			Percent of total billed charges		2220	739.26	1998	
s/n olecranon lk pl 8h	278	RC	Outpatient			2220	1443		90			Percent of total billed charges		1998	40			Percent of total billed charges		888	80			Percent of total billed charges		1776	90			Percent of total billed charges		1998	85			Percent of total billed charges		1887	85			Percent of total billed charges		1887	85			Percent of total billed charges		1887	100			Percent of total billed charges		2220	100			Percent of total billed charges		2220	100			Percent of total billed charges		2220	33.3			Percent of total billed charges		739.26	33.3			Percent of total billed charges		739.26	100			Percent of total billed charges		2220	739.26	1998	
rocker ring 71070365 s/n	272	RC	Outpatient			2225	1446.25		90			Percent of total billed charges		2002.5	40			Percent of total billed charges		890	80			Percent of total billed charges		1780	90			Percent of total billed charges		2002.5	85			Percent of total billed charges		1891.25	85			Percent of total billed charges		1891.25	85			Percent of total billed charges		1891.25	100			Percent of total billed charges		2225	100			Percent of total billed charges		2225	100			Percent of total billed charges		2225	33.3			Percent of total billed charges		740.925	33.3			Percent of total billed charges		740.925	100			Percent of total billed charges		2225	740.925	2002.5	
s/n rocker ring	272	RC	Outpatient			2225	1446.25		90			Percent of total billed charges		2002.5	40			Percent of total billed charges		890	80			Percent of total billed charges		1780	90			Percent of total billed charges		2002.5	85			Percent of total billed charges		1891.25	85			Percent of total billed charges		1891.25	85			Percent of total billed charges		1891.25	100			Percent of total billed charges		2225	100			Percent of total billed charges		2225	100			Percent of total billed charges		2225	33.3			Percent of total billed charges		740.925	33.3			Percent of total billed charges		740.925	100			Percent of total billed charges		2225	740.925	2002.5	
anterior tibialis tendon allograft 430335 23.8 x 7.0 mtf	278	RC	Outpatient			2227.5	1447.88		90			Percent of total billed charges		2004.75	40			Percent of total billed charges		891	80			Percent of total billed charges		1782	90			Percent of total billed charges		2004.75	85			Percent of total billed charges		1893.375	85			Percent of total billed charges		1893.375	85			Percent of total billed charges		1893.375	100			Percent of total billed charges		2227.5	100			Percent of total billed charges		2227.5	100			Percent of total billed charges		2227.5	33.3			Percent of total billed charges		741.7575	33.3			Percent of total billed charges		741.7575	100			Percent of total billed charges		2227.5	741.7575	2004.75	
anterior tibialis tendon allograft 430335 23.9 x 8.5 mtf	278	RC	Outpatient			2227.5	1447.88		90			Percent of total billed charges		2004.75	40			Percent of total billed charges		891	80			Percent of total billed charges		1782	90			Percent of total billed charges		2004.75	85			Percent of total billed charges		1893.375	85			Percent of total billed charges		1893.375	85			Percent of total billed charges		1893.375	100			Percent of total billed charges		2227.5	100			Percent of total billed charges		2227.5	100			Percent of total billed charges		2227.5	33.3			Percent of total billed charges		741.7575	33.3			Percent of total billed charges		741.7575	100			Percent of total billed charges		2227.5	741.7575	2004.75	
anterior tibialis tendon allograft 430335 25.1cm x 7mm mtf	278	RC	Outpatient			2227.5	1447.88		90			Percent of total billed charges		2004.75	40			Percent of total billed charges		891	80			Percent of total billed charges		1782	90			Percent of total billed charges		2004.75	85			Percent of total billed charges		1893.375	85			Percent of total billed charges		1893.375	85			Percent of total billed charges		1893.375	100			Percent of total billed charges		2227.5	100			Percent of total billed charges		2227.5	100			Percent of total billed charges		2227.5	33.3			Percent of total billed charges		741.7575	33.3			Percent of total billed charges		741.7575	100			Percent of total billed charges		2227.5	741.7575	2004.75	
anterior tibialis tendon allograft 430335 27.5 x 7.5 mtf	278	RC	Outpatient			2227.5	1447.88		90			Percent of total billed charges		2004.75	40			Percent of total billed charges		891	80			Percent of total billed charges		1782	90			Percent of total billed charges		2004.75	85			Percent of total billed charges		1893.375	85			Percent of total billed charges		1893.375	85			Percent of total billed charges		1893.375	100			Percent of total billed charges		2227.5	100			Percent of total billed charges		2227.5	100			Percent of total billed charges		2227.5	33.3			Percent of total billed charges		741.7575	33.3			Percent of total billed charges		741.7575	100			Percent of total billed charges		2227.5	741.7575	2004.75	
anterior tibialis tendon allograft 430335 27.9 x 6.0 mtf	278	RC	Outpatient			2227.5	1447.88		90			Percent of total billed charges		2004.75	40			Percent of total billed charges		891	80			Percent of total billed charges		1782	90			Percent of total billed charges		2004.75	85			Percent of total billed charges		1893.375	85			Percent of total billed charges		1893.375	85			Percent of total billed charges		1893.375	100			Percent of total billed charges		2227.5	100			Percent of total billed charges		2227.5	100			Percent of total billed charges		2227.5	33.3			Percent of total billed charges		741.7575	33.3			Percent of total billed charges		741.7575	100			Percent of total billed charges		2227.5	741.7575	2004.75	
anterior tibialis tendon allograft 430335 23.0 x 6.5 mtf	278	RC	Outpatient			2227.5	1447.88		90			Percent of total billed charges		2004.75	40			Percent of total billed charges		891	80			Percent of total billed charges		1782	90			Percent of total billed charges		2004.75	85			Percent of total billed charges		1893.375	85			Percent of total billed charges		1893.375	85			Percent of total billed charges		1893.375	100			Percent of total billed charges		2227.5	100			Percent of total billed charges		2227.5	100			Percent of total billed charges		2227.5	33.3			Percent of total billed charges		741.7575	33.3			Percent of total billed charges		741.7575	100			Percent of total billed charges		2227.5	741.7575	2004.75	
anterior tibialis tendon allograft 430335 23.3 x 7.5 mtf	278	RC	Outpatient			2227.5	1447.88		90			Percent of total billed charges		2004.75	40			Percent of total billed charges		891	80			Percent of total billed charges		1782	90			Percent of total billed charges		2004.75	85			Percent of total billed charges		1893.375	85			Percent of total billed charges		1893.375	85			Percent of total billed charges		1893.375	100			Percent of total billed charges		2227.5	100			Percent of total billed charges		2227.5	100			Percent of total billed charges		2227.5	33.3			Percent of total billed charges		741.7575	33.3			Percent of total billed charges		741.7575	100			Percent of total billed charges		2227.5	741.7575	2004.75	
anterior tibialis tendon allograft 430335 23.6 x 8.0 mtf	278	RC	Outpatient			2227.5	1447.88		90			Percent of total billed charges		2004.75	40			Percent of total billed charges		891	80			Percent of total billed charges		1782	90			Percent of total billed charges		2004.75	85			Percent of total billed charges		1893.375	85			Percent of total billed charges		1893.375	85			Percent of total billed charges		1893.375	100			Percent of total billed charges		2227.5	100			Percent of total billed charges		2227.5	100			Percent of total billed charges		2227.5	33.3			Percent of total billed charges		741.7575	33.3			Percent of total billed charges		741.7575	100			Percent of total billed charges		2227.5	741.7575	2004.75	
anterior tibialis tendon allograft 430335 24.9 x 8.5 mtf	278	RC	Outpatient			2227.5	1447.88		90			Percent of total billed charges		2004.75	40			Percent of total billed charges		891	80			Percent of total billed charges		1782	90			Percent of total billed charges		2004.75	85			Percent of total billed charges		1893.375	85			Percent of total billed charges		1893.375	85			Percent of total billed charges		1893.375	100			Percent of total billed charges		2227.5	100			Percent of total billed charges		2227.5	100			Percent of total billed charges		2227.5	33.3			Percent of total billed charges		741.7575	33.3			Percent of total billed charges		741.7575	100			Percent of total billed charges		2227.5	741.7575	2004.75	
anterior tibialis tendon allograft 430335 25.5  x 8.0 mtf	278	RC	Outpatient			2227.5	1447.88		90			Percent of total billed charges		2004.75	40			Percent of total billed charges		891	80			Percent of total billed charges		1782	90			Percent of total billed charges		2004.75	85			Percent of total billed charges		1893.375	85			Percent of total billed charges		1893.375	85			Percent of total billed charges		1893.375	100			Percent of total billed charges		2227.5	100			Percent of total billed charges		2227.5	100			Percent of total billed charges		2227.5	33.3			Percent of total billed charges		741.7575	33.3			Percent of total billed charges		741.7575	100			Percent of total billed charges		2227.5	741.7575	2004.75	
anterior tibialis tendon allograft 430335 25.5cm x 7mm mtf	278	RC	Outpatient			2227.5	1447.88		90			Percent of total billed charges		2004.75	40			Percent of total billed charges		891	80			Percent of total billed charges		1782	90			Percent of total billed charges		2004.75	85			Percent of total billed charges		1893.375	85			Percent of total billed charges		1893.375	85			Percent of total billed charges		1893.375	100			Percent of total billed charges		2227.5	100			Percent of total billed charges		2227.5	100			Percent of total billed charges		2227.5	33.3			Percent of total billed charges		741.7575	33.3			Percent of total billed charges		741.7575	100			Percent of total billed charges		2227.5	741.7575	2004.75	
anterior tibialis tendon allograft 430335 27.6 x 7.0 mtf	278	RC	Outpatient			2227.5	1447.88		90			Percent of total billed charges		2004.75	40			Percent of total billed charges		891	80			Percent of total billed charges		1782	90			Percent of total billed charges		2004.75	85			Percent of total billed charges		1893.375	85			Percent of total billed charges		1893.375	85			Percent of total billed charges		1893.375	100			Percent of total billed charges		2227.5	100			Percent of total billed charges		2227.5	100			Percent of total billed charges		2227.5	33.3			Percent of total billed charges		741.7575	33.3			Percent of total billed charges		741.7575	100			Percent of total billed charges		2227.5	741.7575	2004.75	
anterior tibialis tendon allograft 430335 31.0 x 7.5 mtf	278	RC	Outpatient			2227.5	1447.88		90			Percent of total billed charges		2004.75	40			Percent of total billed charges		891	80			Percent of total billed charges		1782	90			Percent of total billed charges		2004.75	85			Percent of total billed charges		1893.375	85			Percent of total billed charges		1893.375	85			Percent of total billed charges		1893.375	100			Percent of total billed charges		2227.5	100			Percent of total billed charges		2227.5	100			Percent of total billed charges		2227.5	33.3			Percent of total billed charges		741.7575	33.3			Percent of total billed charges		741.7575	100			Percent of total billed charges		2227.5	741.7575	2004.75	
tibialis tendon at652ff alamo tissue service	278	RC	Outpatient			2227.5	1447.88		90			Percent of total billed charges		2004.75	40			Percent of total billed charges		891	80			Percent of total billed charges		1782	90			Percent of total billed charges		2004.75	85			Percent of total billed charges		1893.375	85			Percent of total billed charges		1893.375	85			Percent of total billed charges		1893.375	100			Percent of total billed charges		2227.5	100			Percent of total billed charges		2227.5	100			Percent of total billed charges		2227.5	33.3			Percent of total billed charges		741.7575	33.3			Percent of total billed charges		741.7575	100			Percent of total billed charges		2227.5	741.7575	2004.75	
tibialis ant allograft  community tissue	278	RC	Outpatient			2227.5	1447.88		90			Percent of total billed charges		2004.75	40			Percent of total billed charges		891	80			Percent of total billed charges		1782	90			Percent of total billed charges		2004.75	85			Percent of total billed charges		1893.375	85			Percent of total billed charges		1893.375	85			Percent of total billed charges		1893.375	100			Percent of total billed charges		2227.5	100			Percent of total billed charges		2227.5	100			Percent of total billed charges		2227.5	33.3			Percent of total billed charges		741.7575	33.3			Percent of total billed charges		741.7575	100			Percent of total billed charges		2227.5	741.7575	2004.75	
tibialis anterior 26cm frozen	278	RC	Outpatient			2227.5	1447.88		90			Percent of total billed charges		2004.75	40			Percent of total billed charges		891	80			Percent of total billed charges		1782	90			Percent of total billed charges		2004.75	85			Percent of total billed charges		1893.375	85			Percent of total billed charges		1893.375	85			Percent of total billed charges		1893.375	100			Percent of total billed charges		2227.5	100			Percent of total billed charges		2227.5	100			Percent of total billed charges		2227.5	33.3			Percent of total billed charges		741.7575	33.3			Percent of total billed charges		741.7575	100			Percent of total billed charges		2227.5	741.7575	2004.75	
arthrex lck del avul pl7h	278	RC	Outpatient			2228	1448.2		90			Percent of total billed charges		2005.2	40			Percent of total billed charges		891.2	80			Percent of total billed charges		1782.4	90			Percent of total billed charges		2005.2	85			Percent of total billed charges		1893.8	85			Percent of total billed charges		1893.8	85			Percent of total billed charges		1893.8	100			Percent of total billed charges		2228	100			Percent of total billed charges		2228	100			Percent of total billed charges		2228	33.3			Percent of total billed charges		741.924	33.3			Percent of total billed charges		741.924	100			Percent of total billed charges		2228	741.924	2005.2	
epifix  2x4 cm	278	RC	Outpatient			2228	1448.2		90			Percent of total billed charges		2005.2	40			Percent of total billed charges		891.2	80			Percent of total billed charges		1782.4	90			Percent of total billed charges		2005.2	85			Percent of total billed charges		1893.8	85			Percent of total billed charges		1893.8	85			Percent of total billed charges		1893.8	100			Percent of total billed charges		2228	100			Percent of total billed charges		2228	100			Percent of total billed charges		2228	33.3			Percent of total billed charges		741.924	33.3			Percent of total billed charges		741.924	100			Percent of total billed charges		2228	741.924	2005.2	
epifix gs-5240 2.0 x 4.0cm mimed	278	RC	Outpatient			2228	1448.2		90			Percent of total billed charges		2005.2	40			Percent of total billed charges		891.2	80			Percent of total billed charges		1782.4	90			Percent of total billed charges		2005.2	85			Percent of total billed charges		1893.8	85			Percent of total billed charges		1893.8	85			Percent of total billed charges		1893.8	100			Percent of total billed charges		2228	100			Percent of total billed charges		2228	100			Percent of total billed charges		2228	33.3			Percent of total billed charges		741.924	33.3			Percent of total billed charges		741.924	100			Percent of total billed charges		2228	741.924	2005.2	
invisiknot ankle fracture repair kit s/n 72204834	278	RC	Outpatient			2228	1448.2		90			Percent of total billed charges		2005.2	40			Percent of total billed charges		891.2	80			Percent of total billed charges		1782.4	90			Percent of total billed charges		2005.2	85			Percent of total billed charges		1893.8	85			Percent of total billed charges		1893.8	85			Percent of total billed charges		1893.8	100			Percent of total billed charges		2228	100			Percent of total billed charges		2228	100			Percent of total billed charges		2228	33.3			Percent of total billed charges		741.924	33.3			Percent of total billed charges		741.924	100			Percent of total billed charges		2228	741.924	2005.2	
cath lab optisense 1699tc/52 a-lead	272	RC	Outpatient			2233	1451.45		90			Percent of total billed charges		2009.7	40			Percent of total billed charges		893.2	80			Percent of total billed charges		1786.4	90			Percent of total billed charges		2009.7	85			Percent of total billed charges		1898.05	85			Percent of total billed charges		1898.05	85			Percent of total billed charges		1898.05	100			Percent of total billed charges		2233	100			Percent of total billed charges		2233	100			Percent of total billed charges		2233	33.3			Percent of total billed charges		743.589	33.3			Percent of total billed charges		743.589	100			Percent of total billed charges		2233	743.589	2009.7	
st jude 1699tc/52 a-lead	272	RC	Outpatient			2233	1451.45		90			Percent of total billed charges		2009.7	40			Percent of total billed charges		893.2	80			Percent of total billed charges		1786.4	90			Percent of total billed charges		2009.7	85			Percent of total billed charges		1898.05	85			Percent of total billed charges		1898.05	85			Percent of total billed charges		1898.05	100			Percent of total billed charges		2233	100			Percent of total billed charges		2233	100			Percent of total billed charges		2233	33.3			Percent of total billed charges		743.589	33.3			Percent of total billed charges		743.589	100			Percent of total billed charges		2233	743.589	2009.7	
st. jude 1882tc/46 atend	272	RC	Outpatient			2233	1451.45		90			Percent of total billed charges		2009.7	40			Percent of total billed charges		893.2	80			Percent of total billed charges		1786.4	90			Percent of total billed charges		2009.7	85			Percent of total billed charges		1898.05	85			Percent of total billed charges		1898.05	85			Percent of total billed charges		1898.05	100			Percent of total billed charges		2233	100			Percent of total billed charges		2233	100			Percent of total billed charges		2233	33.3			Percent of total billed charges		743.589	33.3			Percent of total billed charges		743.589	100			Percent of total billed charges		2233	743.589	2009.7	
recon plt 3.5mm 14 hl 71809524 s\n	278	RC	Outpatient			2235	1452.75		90			Percent of total billed charges		2011.5	40			Percent of total billed charges		894	80			Percent of total billed charges		1788	90			Percent of total billed charges		2011.5	85			Percent of total billed charges		1899.75	85			Percent of total billed charges		1899.75	85			Percent of total billed charges		1899.75	100			Percent of total billed charges		2235	100			Percent of total billed charges		2235	100			Percent of total billed charges		2235	33.3			Percent of total billed charges		744.255	33.3			Percent of total billed charges		744.255	100			Percent of total billed charges		2235	744.255	2011.5	
s/n 3.5 recon pl 14 hl	278	RC	Outpatient			2235	1452.75		90			Percent of total billed charges		2011.5	40			Percent of total billed charges		894	80			Percent of total billed charges		1788	90			Percent of total billed charges		2011.5	85			Percent of total billed charges		1899.75	85			Percent of total billed charges		1899.75	85			Percent of total billed charges		1899.75	100			Percent of total billed charges		2235	100			Percent of total billed charges		2235	100			Percent of total billed charges		2235	33.3			Percent of total billed charges		744.255	33.3			Percent of total billed charges		744.255	100			Percent of total billed charges		2235	744.255	2011.5	
peri-loc 3.5 vlp calcaneus pl med rt 72824040s s/n	278	RC	Outpatient			2235	1452.75		90			Percent of total billed charges		2011.5	40			Percent of total billed charges		894	80			Percent of total billed charges		1788	90			Percent of total billed charges		2011.5	85			Percent of total billed charges		1899.75	85			Percent of total billed charges		1899.75	85			Percent of total billed charges		1899.75	100			Percent of total billed charges		2235	100			Percent of total billed charges		2235	100			Percent of total billed charges		2235	33.3			Percent of total billed charges		744.255	33.3			Percent of total billed charges		744.255	100			Percent of total billed charges		2235	744.255	2011.5	
s/n vlp cal pl 3.5 med	278	RC	Outpatient			2235	1452.75		90			Percent of total billed charges		2011.5	40			Percent of total billed charges		894	80			Percent of total billed charges		1788	90			Percent of total billed charges		2011.5	85			Percent of total billed charges		1899.75	85			Percent of total billed charges		1899.75	85			Percent of total billed charges		1899.75	100			Percent of total billed charges		2235	100			Percent of total billed charges		2235	100			Percent of total billed charges		2235	33.3			Percent of total billed charges		744.255	33.3			Percent of total billed charges		744.255	100			Percent of total billed charges		2235	744.255	2011.5	
anesthesia time 8 hours	270	RC	Outpatient			2236	1453.4		90			Percent of total billed charges		2012.4	40			Percent of total billed charges		894.4	80			Percent of total billed charges		1788.8	90			Percent of total billed charges		2012.4	85			Percent of total billed charges		1900.6	85			Percent of total billed charges		1900.6	85			Percent of total billed charges		1900.6	100			Percent of total billed charges		2236	100			Percent of total billed charges		2236	100			Percent of total billed charges		2236	33.3			Percent of total billed charges		744.588	33.3			Percent of total billed charges		744.588	100			Percent of total billed charges		2236	744.588	2012.4	
hip fracture femoral stem	278	RC	Outpatient			2236	1453.4		90			Percent of total billed charges		2012.4	40			Percent of total billed charges		894.4	80			Percent of total billed charges		1788.8	90			Percent of total billed charges		2012.4	85			Percent of total billed charges		1900.6	85			Percent of total billed charges		1900.6	85			Percent of total billed charges		1900.6	100			Percent of total billed charges		2236	100			Percent of total billed charges		2236	100			Percent of total billed charges		2236	33.3			Percent of total billed charges		744.588	33.3			Percent of total billed charges		744.588	100			Percent of total billed charges		2236	744.588	2012.4	
bio magnum mod head 40 mm	278	RC	Outpatient			2239	1455.35		90			Percent of total billed charges		2015.1	40			Percent of total billed charges		895.6	80			Percent of total billed charges		1791.2	90			Percent of total billed charges		2015.1	85			Percent of total billed charges		1903.15	85			Percent of total billed charges		1903.15	85			Percent of total billed charges		1903.15	100			Percent of total billed charges		2239	100			Percent of total billed charges		2239	100			Percent of total billed charges		2239	33.3			Percent of total billed charges		745.587	33.3			Percent of total billed charges		745.587	100			Percent of total billed charges		2239	745.587	2015.1	
ivas elite single kit 11 gauge 10 mm stryker ref 0808-115-000	272	RC	Outpatient			2240.8	1456.52		90			Percent of total billed charges		2016.72	40			Percent of total billed charges		896.32	80			Percent of total billed charges		1792.64	90			Percent of total billed charges		2016.72	85			Percent of total billed charges		1904.68	85			Percent of total billed charges		1904.68	85			Percent of total billed charges		1904.68	100			Percent of total billed charges		2240.8	100			Percent of total billed charges		2240.8	100			Percent of total billed charges		2240.8	33.3			Percent of total billed charges		746.1864	33.3			Percent of total billed charges		746.1864	100			Percent of total billed charges		2240.8	746.1864	2016.72	
11 g 10 mm ivas elite single kit stryker ref 0808-110-000	272	RC	Outpatient			2240.99	1456.64		90			Percent of total billed charges		2016.891	40			Percent of total billed charges		896.396	80			Percent of total billed charges		1792.792	90			Percent of total billed charges		2016.891	85			Percent of total billed charges		1904.8415	85			Percent of total billed charges		1904.8415	85			Percent of total billed charges		1904.8415	100			Percent of total billed charges		2240.99	100			Percent of total billed charges		2240.99	100			Percent of total billed charges		2240.99	33.3			Percent of total billed charges		746.2497	33.3			Percent of total billed charges		746.2497	100			Percent of total billed charges		2240.99	746.2497	2016.891	
bio maxim lip tibial bear	278	RC	Outpatient			2252	1463.8		90			Percent of total billed charges		2026.8	40			Percent of total billed charges		900.8	80			Percent of total billed charges		1801.6	90			Percent of total billed charges		2026.8	85			Percent of total billed charges		1914.2	85			Percent of total billed charges		1914.2	85			Percent of total billed charges		1914.2	100			Percent of total billed charges		2252	100			Percent of total billed charges		2252	100			Percent of total billed charges		2252	33.3			Percent of total billed charges		749.916	33.3			Percent of total billed charges		749.916	100			Percent of total billed charges		2252	749.916	2026.8	
lg fr pl buttress 7hl	278	RC	Outpatient			2254	1465.1		90			Percent of total billed charges		2028.6	40			Percent of total billed charges		901.6	80			Percent of total billed charges		1803.2	90			Percent of total billed charges		2028.6	85			Percent of total billed charges		1915.9	85			Percent of total billed charges		1915.9	85			Percent of total billed charges		1915.9	100			Percent of total billed charges		2254	100			Percent of total billed charges		2254	100			Percent of total billed charges		2254	33.3			Percent of total billed charges		750.582	33.3			Percent of total billed charges		750.582	100			Percent of total billed charges		2254	750.582	2028.6	
s/n  lg frag   plate 7 hole  7113-1007	278	RC	Outpatient			2254	1465.1		90			Percent of total billed charges		2028.6	40			Percent of total billed charges		901.6	80			Percent of total billed charges		1803.2	90			Percent of total billed charges		2028.6	85			Percent of total billed charges		1915.9	85			Percent of total billed charges		1915.9	85			Percent of total billed charges		1915.9	100			Percent of total billed charges		2254	100			Percent of total billed charges		2254	100			Percent of total billed charges		2254	33.3			Percent of total billed charges		750.582	33.3			Percent of total billed charges		750.582	100			Percent of total billed charges		2254	750.582	2028.6	
s/n  lg frag   plate 7 hole  7113-1107	278	RC	Outpatient			2254	1465.1		90			Percent of total billed charges		2028.6	40			Percent of total billed charges		901.6	80			Percent of total billed charges		1803.2	90			Percent of total billed charges		2028.6	85			Percent of total billed charges		1915.9	85			Percent of total billed charges		1915.9	85			Percent of total billed charges		1915.9	100			Percent of total billed charges		2254	100			Percent of total billed charges		2254	100			Percent of total billed charges		2254	33.3			Percent of total billed charges		750.582	33.3			Percent of total billed charges		750.582	100			Percent of total billed charges		2254	750.582	2028.6	
alpha activation ed charge scnt (trauma reg only)	683	RC	Outpatient			2255	1465.75		90			Percent of total billed charges		2029.5	40			Percent of total billed charges		902	80			Percent of total billed charges		1804	90			Percent of total billed charges		2029.5	85			Percent of total billed charges		1916.75	85			Percent of total billed charges		1916.75	85			Percent of total billed charges		1916.75	100			Percent of total billed charges		2255	100			Percent of total billed charges		2255	100			Percent of total billed charges		2255	33.3			Percent of total billed charges		750.915	33.3			Percent of total billed charges		750.915	100			Percent of total billed charges		2255	750.915	2029.5	
comp plt 3.5mm 11 hl 71809411 s\n	278	RC	Outpatient			2261	1469.65		90			Percent of total billed charges		2034.9	40			Percent of total billed charges		904.4	80			Percent of total billed charges		1808.8	90			Percent of total billed charges		2034.9	85			Percent of total billed charges		1921.85	85			Percent of total billed charges		1921.85	85			Percent of total billed charges		1921.85	100			Percent of total billed charges		2261	100			Percent of total billed charges		2261	100			Percent of total billed charges		2261	33.3			Percent of total billed charges		752.913	33.3			Percent of total billed charges		752.913	100			Percent of total billed charges		2261	752.913	2034.9	
comp plt 3.5mm 12 hl 71809412 s\n	278	RC	Outpatient			2261	1469.65		90			Percent of total billed charges		2034.9	40			Percent of total billed charges		904.4	80			Percent of total billed charges		1808.8	90			Percent of total billed charges		2034.9	85			Percent of total billed charges		1921.85	85			Percent of total billed charges		1921.85	85			Percent of total billed charges		1921.85	100			Percent of total billed charges		2261	100			Percent of total billed charges		2261	100			Percent of total billed charges		2261	33.3			Percent of total billed charges		752.913	33.3			Percent of total billed charges		752.913	100			Percent of total billed charges		2261	752.913	2034.9	
s/n 3.5 comp pl 11-12 hl	278	RC	Outpatient			2261	1469.65		90			Percent of total billed charges		2034.9	40			Percent of total billed charges		904.4	80			Percent of total billed charges		1808.8	90			Percent of total billed charges		2034.9	85			Percent of total billed charges		1921.85	85			Percent of total billed charges		1921.85	85			Percent of total billed charges		1921.85	100			Percent of total billed charges		2261	100			Percent of total billed charges		2261	100			Percent of total billed charges		2261	33.3			Percent of total billed charges		752.913	33.3			Percent of total billed charges		752.913	100			Percent of total billed charges		2261	752.913	2034.9	
neuflex finger implant	278	RC	Outpatient			2263	1470.95		90			Percent of total billed charges		2036.7	40			Percent of total billed charges		905.2	80			Percent of total billed charges		1810.4	90			Percent of total billed charges		2036.7	85			Percent of total billed charges		1923.55	85			Percent of total billed charges		1923.55	85			Percent of total billed charges		1923.55	100			Percent of total billed charges		2263	100			Percent of total billed charges		2263	100			Percent of total billed charges		2263	33.3			Percent of total billed charges		753.579	33.3			Percent of total billed charges		753.579	100			Percent of total billed charges		2263	753.579	2036.7	
neuflex finger-mcp implant sz 30 1234-30-000 depuy	278	RC	Outpatient			2263	1470.95		90			Percent of total billed charges		2036.7	40			Percent of total billed charges		905.2	80			Percent of total billed charges		1810.4	90			Percent of total billed charges		2036.7	85			Percent of total billed charges		1923.55	85			Percent of total billed charges		1923.55	85			Percent of total billed charges		1923.55	100			Percent of total billed charges		2263	100			Percent of total billed charges		2263	100			Percent of total billed charges		2263	33.3			Percent of total billed charges		753.579	33.3			Percent of total billed charges		753.579	100			Percent of total billed charges		2263	753.579	2036.7	
neuflex finger-pip implant sz 2 1233-20-000 depuy	278	RC	Outpatient			2263	1470.95		90			Percent of total billed charges		2036.7	40			Percent of total billed charges		905.2	80			Percent of total billed charges		1810.4	90			Percent of total billed charges		2036.7	85			Percent of total billed charges		1923.55	85			Percent of total billed charges		1923.55	85			Percent of total billed charges		1923.55	100			Percent of total billed charges		2263	100			Percent of total billed charges		2263	100			Percent of total billed charges		2263	33.3			Percent of total billed charges		753.579	33.3			Percent of total billed charges		753.579	100			Percent of total billed charges		2263	753.579	2036.7	
delta recon nail 10 x 34 122337	278	RC	Outpatient			2264	1471.6		90			Percent of total billed charges		2037.6	40			Percent of total billed charges		905.6	80			Percent of total billed charges		1811.2	90			Percent of total billed charges		2037.6	85			Percent of total billed charges		1924.4	85			Percent of total billed charges		1924.4	85			Percent of total billed charges		1924.4	100			Percent of total billed charges		2264	100			Percent of total billed charges		2264	100			Percent of total billed charges		2264	33.3			Percent of total billed charges		753.912	33.3			Percent of total billed charges		753.912	100			Percent of total billed charges		2264	753.912	2037.6	
delta recon nail 10 x 40 122342	278	RC	Outpatient			2264	1471.6		90			Percent of total billed charges		2037.6	40			Percent of total billed charges		905.6	80			Percent of total billed charges		1811.2	90			Percent of total billed charges		2037.6	85			Percent of total billed charges		1924.4	85			Percent of total billed charges		1924.4	85			Percent of total billed charges		1924.4	100			Percent of total billed charges		2264	100			Percent of total billed charges		2264	100			Percent of total billed charges		2264	33.3			Percent of total billed charges		753.912	33.3			Percent of total billed charges		753.912	100			Percent of total billed charges		2264	753.912	2037.6	
imp nail recon left 12mm x 40cm 12-2075	278	RC	Outpatient			2264	1471.6		90			Percent of total billed charges		2037.6	40			Percent of total billed charges		905.6	80			Percent of total billed charges		1811.2	90			Percent of total billed charges		2037.6	85			Percent of total billed charges		1924.4	85			Percent of total billed charges		1924.4	85			Percent of total billed charges		1924.4	100			Percent of total billed charges		2264	100			Percent of total billed charges		2264	100			Percent of total billed charges		2264	33.3			Percent of total billed charges		753.912	33.3			Percent of total billed charges		753.912	100			Percent of total billed charges		2264	753.912	2037.6	
imp nail recon left 12mmx36cm 122071	278	RC	Outpatient			2264	1471.6		90			Percent of total billed charges		2037.6	40			Percent of total billed charges		905.6	80			Percent of total billed charges		1811.2	90			Percent of total billed charges		2037.6	85			Percent of total billed charges		1924.4	85			Percent of total billed charges		1924.4	85			Percent of total billed charges		1924.4	100			Percent of total billed charges		2264	100			Percent of total billed charges		2264	100			Percent of total billed charges		2264	33.3			Percent of total billed charges		753.912	33.3			Percent of total billed charges		753.912	100			Percent of total billed charges		2264	753.912	2037.6	
implant nail delta recon 10mm x 44cm 12-2346 s/n	278	RC	Outpatient			2264	1471.6		90			Percent of total billed charges		2037.6	40			Percent of total billed charges		905.6	80			Percent of total billed charges		1811.2	90			Percent of total billed charges		2037.6	85			Percent of total billed charges		1924.4	85			Percent of total billed charges		1924.4	85			Percent of total billed charges		1924.4	100			Percent of total billed charges		2264	100			Percent of total billed charges		2264	100			Percent of total billed charges		2264	33.3			Percent of total billed charges		753.912	33.3			Percent of total billed charges		753.912	100			Percent of total billed charges		2264	753.912	2037.6	
implant nail reconst delta 10mm x 36cm 12-2338 s/n	278	RC	Outpatient			2264	1471.6		90			Percent of total billed charges		2037.6	40			Percent of total billed charges		905.6	80			Percent of total billed charges		1811.2	90			Percent of total billed charges		2037.6	85			Percent of total billed charges		1924.4	85			Percent of total billed charges		1924.4	85			Percent of total billed charges		1924.4	100			Percent of total billed charges		2264	100			Percent of total billed charges		2264	100			Percent of total billed charges		2264	33.3			Percent of total billed charges		753.912	33.3			Percent of total billed charges		753.912	100			Percent of total billed charges		2264	753.912	2037.6	
implant nail reconst delta left 10mm x 38cm 12-2341 s/n	278	RC	Outpatient			2264	1471.6		90			Percent of total billed charges		2037.6	40			Percent of total billed charges		905.6	80			Percent of total billed charges		1811.2	90			Percent of total billed charges		2037.6	85			Percent of total billed charges		1924.4	85			Percent of total billed charges		1924.4	85			Percent of total billed charges		1924.4	100			Percent of total billed charges		2264	100			Percent of total billed charges		2264	100			Percent of total billed charges		2264	33.3			Percent of total billed charges		753.912	33.3			Percent of total billed charges		753.912	100			Percent of total billed charges		2264	753.912	2037.6	
implant nail reconst delta left 10mm x 46cm 12-2349 s/n	278	RC	Outpatient			2264	1471.6		90			Percent of total billed charges		2037.6	40			Percent of total billed charges		905.6	80			Percent of total billed charges		1811.2	90			Percent of total billed charges		2037.6	85			Percent of total billed charges		1924.4	85			Percent of total billed charges		1924.4	85			Percent of total billed charges		1924.4	100			Percent of total billed charges		2264	100			Percent of total billed charges		2264	100			Percent of total billed charges		2264	33.3			Percent of total billed charges		753.912	33.3			Percent of total billed charges		753.912	100			Percent of total billed charges		2264	753.912	2037.6	
implant nail reconst delta right 10mm x 32cm 12-2354 s/n	278	RC	Outpatient			2264	1471.6		90			Percent of total billed charges		2037.6	40			Percent of total billed charges		905.6	80			Percent of total billed charges		1811.2	90			Percent of total billed charges		2037.6	85			Percent of total billed charges		1924.4	85			Percent of total billed charges		1924.4	85			Percent of total billed charges		1924.4	100			Percent of total billed charges		2264	100			Percent of total billed charges		2264	100			Percent of total billed charges		2264	33.3			Percent of total billed charges		753.912	33.3			Percent of total billed charges		753.912	100			Percent of total billed charges		2264	753.912	2037.6	
implant nail reconst delta right 10mm x 34cm 12-2336 s/n	278	RC	Outpatient			2264	1471.6		90			Percent of total billed charges		2037.6	40			Percent of total billed charges		905.6	80			Percent of total billed charges		1811.2	90			Percent of total billed charges		2037.6	85			Percent of total billed charges		1924.4	85			Percent of total billed charges		1924.4	85			Percent of total billed charges		1924.4	100			Percent of total billed charges		2264	100			Percent of total billed charges		2264	100			Percent of total billed charges		2264	33.3			Percent of total billed charges		753.912	33.3			Percent of total billed charges		753.912	100			Percent of total billed charges		2264	753.912	2037.6	
implant nail reconst delta right 10mm x 38cm 12-2348 s/n	278	RC	Outpatient			2264	1471.6		90			Percent of total billed charges		2037.6	40			Percent of total billed charges		905.6	80			Percent of total billed charges		1811.2	90			Percent of total billed charges		2037.6	85			Percent of total billed charges		1924.4	85			Percent of total billed charges		1924.4	85			Percent of total billed charges		1924.4	100			Percent of total billed charges		2264	100			Percent of total billed charges		2264	100			Percent of total billed charges		2264	33.3			Percent of total billed charges		753.912	33.3			Percent of total billed charges		753.912	100			Percent of total billed charges		2264	753.912	2037.6	
implant nail reconst delta right 10mm x 48cm 12-2350 s/n	278	RC	Outpatient			2264	1471.6		90			Percent of total billed charges		2037.6	40			Percent of total billed charges		905.6	80			Percent of total billed charges		1811.2	90			Percent of total billed charges		2037.6	85			Percent of total billed charges		1924.4	85			Percent of total billed charges		1924.4	85			Percent of total billed charges		1924.4	100			Percent of total billed charges		2264	100			Percent of total billed charges		2264	100			Percent of total billed charges		2264	33.3			Percent of total billed charges		753.912	33.3			Percent of total billed charges		753.912	100			Percent of total billed charges		2264	753.912	2037.6	
implant nail reconst delta right 11mm x 32cm 12-2352 s/n	278	RC	Outpatient			2264	1471.6		90			Percent of total billed charges		2037.6	40			Percent of total billed charges		905.6	80			Percent of total billed charges		1811.2	90			Percent of total billed charges		2037.6	85			Percent of total billed charges		1924.4	85			Percent of total billed charges		1924.4	85			Percent of total billed charges		1924.4	100			Percent of total billed charges		2264	100			Percent of total billed charges		2264	100			Percent of total billed charges		2264	33.3			Percent of total billed charges		753.912	33.3			Percent of total billed charges		753.912	100			Percent of total billed charges		2264	753.912	2037.6	
implant nail reconstruction delta  10mm x 44cm 12-2347 s/n	278	RC	Outpatient			2264	1471.6		90			Percent of total billed charges		2037.6	40			Percent of total billed charges		905.6	80			Percent of total billed charges		1811.2	90			Percent of total billed charges		2037.6	85			Percent of total billed charges		1924.4	85			Percent of total billed charges		1924.4	85			Percent of total billed charges		1924.4	100			Percent of total billed charges		2264	100			Percent of total billed charges		2264	100			Percent of total billed charges		2264	33.3			Percent of total billed charges		753.912	33.3			Percent of total billed charges		753.912	100			Percent of total billed charges		2264	753.912	2037.6	
imp nail recon delta 10mm x 40 122343	278	RC	Outpatient			2264	1471.6		90			Percent of total billed charges		2037.6	40			Percent of total billed charges		905.6	80			Percent of total billed charges		1811.2	90			Percent of total billed charges		2037.6	85			Percent of total billed charges		1924.4	85			Percent of total billed charges		1924.4	85			Percent of total billed charges		1924.4	100			Percent of total billed charges		2264	100			Percent of total billed charges		2264	100			Percent of total billed charges		2264	33.3			Percent of total billed charges		753.912	33.3			Percent of total billed charges		753.912	100			Percent of total billed charges		2264	753.912	2037.6	
imp nail recon delta left 10mm 122345	278	RC	Outpatient			2264	1471.6		90			Percent of total billed charges		2037.6	40			Percent of total billed charges		905.6	80			Percent of total billed charges		1811.2	90			Percent of total billed charges		2037.6	85			Percent of total billed charges		1924.4	85			Percent of total billed charges		1924.4	85			Percent of total billed charges		1924.4	100			Percent of total billed charges		2264	100			Percent of total billed charges		2264	100			Percent of total billed charges		2264	33.3			Percent of total billed charges		753.912	33.3			Percent of total billed charges		753.912	100			Percent of total billed charges		2264	753.912	2037.6	
imp nail recon right 12mmx44cm 122080	278	RC	Outpatient			2264	1471.6		90			Percent of total billed charges		2037.6	40			Percent of total billed charges		905.6	80			Percent of total billed charges		1811.2	90			Percent of total billed charges		2037.6	85			Percent of total billed charges		1924.4	85			Percent of total billed charges		1924.4	85			Percent of total billed charges		1924.4	100			Percent of total billed charges		2264	100			Percent of total billed charges		2264	100			Percent of total billed charges		2264	33.3			Percent of total billed charges		753.912	33.3			Percent of total billed charges		753.912	100			Percent of total billed charges		2264	753.912	2037.6	
implant nail reconst delta 10mm x 36cm 12-2339 s/n	278	RC	Outpatient			2264	1471.6		90			Percent of total billed charges		2037.6	40			Percent of total billed charges		905.6	80			Percent of total billed charges		1811.2	90			Percent of total billed charges		2037.6	85			Percent of total billed charges		1924.4	85			Percent of total billed charges		1924.4	85			Percent of total billed charges		1924.4	100			Percent of total billed charges		2264	100			Percent of total billed charges		2264	100			Percent of total billed charges		2264	33.3			Percent of total billed charges		753.912	33.3			Percent of total billed charges		753.912	100			Percent of total billed charges		2264	753.912	2037.6	
implant nail reconst delta left 10mm x 32cm 12-2335 s/n	278	RC	Outpatient			2264	1471.6		90			Percent of total billed charges		2037.6	40			Percent of total billed charges		905.6	80			Percent of total billed charges		1811.2	90			Percent of total billed charges		2037.6	85			Percent of total billed charges		1924.4	85			Percent of total billed charges		1924.4	85			Percent of total billed charges		1924.4	100			Percent of total billed charges		2264	100			Percent of total billed charges		2264	100			Percent of total billed charges		2264	33.3			Percent of total billed charges		753.912	33.3			Percent of total billed charges		753.912	100			Percent of total billed charges		2264	753.912	2037.6	
implant nail reconst delta left 10mm x 48cm 12-2351 s/n	278	RC	Outpatient			2264	1471.6		90			Percent of total billed charges		2037.6	40			Percent of total billed charges		905.6	80			Percent of total billed charges		1811.2	90			Percent of total billed charges		2037.6	85			Percent of total billed charges		1924.4	85			Percent of total billed charges		1924.4	85			Percent of total billed charges		1924.4	100			Percent of total billed charges		2264	100			Percent of total billed charges		2264	100			Percent of total billed charges		2264	33.3			Percent of total billed charges		753.912	33.3			Percent of total billed charges		753.912	100			Percent of total billed charges		2264	753.912	2037.6	
implant nail reconst delta left 11mm x 32cm 12-2353 s/n	278	RC	Outpatient			2264	1471.6		90			Percent of total billed charges		2037.6	40			Percent of total billed charges		905.6	80			Percent of total billed charges		1811.2	90			Percent of total billed charges		2037.6	85			Percent of total billed charges		1924.4	85			Percent of total billed charges		1924.4	85			Percent of total billed charges		1924.4	100			Percent of total billed charges		2264	100			Percent of total billed charges		2264	100			Percent of total billed charges		2264	33.3			Percent of total billed charges		753.912	33.3			Percent of total billed charges		753.912	100			Percent of total billed charges		2264	753.912	2037.6	
implant nail reconst delta right 10mm x 46cm 12-2348 s/n	278	RC	Outpatient			2264	1471.6		90			Percent of total billed charges		2037.6	40			Percent of total billed charges		905.6	80			Percent of total billed charges		1811.2	90			Percent of total billed charges		2037.6	85			Percent of total billed charges		1924.4	85			Percent of total billed charges		1924.4	85			Percent of total billed charges		1924.4	100			Percent of total billed charges		2264	100			Percent of total billed charges		2264	100			Percent of total billed charges		2264	33.3			Percent of total billed charges		753.912	33.3			Percent of total billed charges		753.912	100			Percent of total billed charges		2264	753.912	2037.6	
r/t delta recon nail	278	RC	Outpatient			2264	1471.6		90			Percent of total billed charges		2037.6	40			Percent of total billed charges		905.6	80			Percent of total billed charges		1811.2	90			Percent of total billed charges		2037.6	85			Percent of total billed charges		1924.4	85			Percent of total billed charges		1924.4	85			Percent of total billed charges		1924.4	100			Percent of total billed charges		2264	100			Percent of total billed charges		2264	100			Percent of total billed charges		2264	33.3			Percent of total billed charges		753.912	33.3			Percent of total billed charges		753.912	100			Percent of total billed charges		2264	753.912	2037.6	
zimm humeral head	278	RC	Outpatient			2264	1471.6		90			Percent of total billed charges		2037.6	40			Percent of total billed charges		905.6	80			Percent of total billed charges		1811.2	90			Percent of total billed charges		2037.6	85			Percent of total billed charges		1924.4	85			Percent of total billed charges		1924.4	85			Percent of total billed charges		1924.4	100			Percent of total billed charges		2264	100			Percent of total billed charges		2264	100			Percent of total billed charges		2264	33.3			Percent of total billed charges		753.912	33.3			Percent of total billed charges		753.912	100			Percent of total billed charges		2264	753.912	2037.6	
zimmer  humeral head 18mm x 52mm 4302-52-18	278	RC	Outpatient			2264	1471.6		90			Percent of total billed charges		2037.6	40			Percent of total billed charges		905.6	80			Percent of total billed charges		1811.2	90			Percent of total billed charges		2037.6	85			Percent of total billed charges		1924.4	85			Percent of total billed charges		1924.4	85			Percent of total billed charges		1924.4	100			Percent of total billed charges		2264	100			Percent of total billed charges		2264	100			Percent of total billed charges		2264	33.3			Percent of total billed charges		753.912	33.3			Percent of total billed charges		753.912	100			Percent of total billed charges		2264	753.912	2037.6	
zimmer humeral head 18 x 40 4300-40-18	278	RC	Outpatient			2264	1471.6		90			Percent of total billed charges		2037.6	40			Percent of total billed charges		905.6	80			Percent of total billed charges		1811.2	90			Percent of total billed charges		2037.6	85			Percent of total billed charges		1924.4	85			Percent of total billed charges		1924.4	85			Percent of total billed charges		1924.4	100			Percent of total billed charges		2264	100			Percent of total billed charges		2264	100			Percent of total billed charges		2264	33.3			Percent of total billed charges		753.912	33.3			Percent of total billed charges		753.912	100			Percent of total billed charges		2264	753.912	2037.6	
mrh knee tibial insert 20mm 6481-3-220 stryker	278	RC	Outpatient			2267	1473.55		90			Percent of total billed charges		2040.3	40			Percent of total billed charges		906.8	80			Percent of total billed charges		1813.6	90			Percent of total billed charges		2040.3	85			Percent of total billed charges		1926.95	85			Percent of total billed charges		1926.95	85			Percent of total billed charges		1926.95	100			Percent of total billed charges		2267	100			Percent of total billed charges		2267	100			Percent of total billed charges		2267	33.3			Percent of total billed charges		754.911	33.3			Percent of total billed charges		754.911	100			Percent of total billed charges		2267	754.911	2040.3	
mrh knee tibial insert 10mm 6481-3-210	278	RC	Outpatient			2267	1473.55		90			Percent of total billed charges		2040.3	40			Percent of total billed charges		906.8	80			Percent of total billed charges		1813.6	90			Percent of total billed charges		2040.3	85			Percent of total billed charges		1926.95	85			Percent of total billed charges		1926.95	85			Percent of total billed charges		1926.95	100			Percent of total billed charges		2267	100			Percent of total billed charges		2267	100			Percent of total billed charges		2267	33.3			Percent of total billed charges		754.911	33.3			Percent of total billed charges		754.911	100			Percent of total billed charges		2267	754.911	2040.3	
mrh knee tibial insert 10mm 6481-3-310	278	RC	Outpatient			2267	1473.55		90			Percent of total billed charges		2040.3	40			Percent of total billed charges		906.8	80			Percent of total billed charges		1813.6	90			Percent of total billed charges		2040.3	85			Percent of total billed charges		1926.95	85			Percent of total billed charges		1926.95	85			Percent of total billed charges		1926.95	100			Percent of total billed charges		2267	100			Percent of total billed charges		2267	100			Percent of total billed charges		2267	33.3			Percent of total billed charges		754.911	33.3			Percent of total billed charges		754.911	100			Percent of total billed charges		2267	754.911	2040.3	
mrh knee tibial insert 16mm 6481-3-316 stryker	278	RC	Outpatient			2267	1473.55		90			Percent of total billed charges		2040.3	40			Percent of total billed charges		906.8	80			Percent of total billed charges		1813.6	90			Percent of total billed charges		2040.3	85			Percent of total billed charges		1926.95	85			Percent of total billed charges		1926.95	85			Percent of total billed charges		1926.95	100			Percent of total billed charges		2267	100			Percent of total billed charges		2267	100			Percent of total billed charges		2267	33.3			Percent of total billed charges		754.911	33.3			Percent of total billed charges		754.911	100			Percent of total billed charges		2267	754.911	2040.3	
scorpio flex tib bearing insert ps 10mm #9 72-25-0910 stryker	278	RC	Outpatient			2269	1474.85		90			Percent of total billed charges		2042.1	40			Percent of total billed charges		907.6	80			Percent of total billed charges		1815.2	90			Percent of total billed charges		2042.1	85			Percent of total billed charges		1928.65	85			Percent of total billed charges		1928.65	85			Percent of total billed charges		1928.65	100			Percent of total billed charges		2269	100			Percent of total billed charges		2269	100			Percent of total billed charges		2269	33.3			Percent of total billed charges		755.577	33.3			Percent of total billed charges		755.577	100			Percent of total billed charges		2269	755.577	2042.1	
biomet  shell 50mm 11-105150	278	RC	Outpatient			2270	1475.5		90			Percent of total billed charges		2043	40			Percent of total billed charges		908	80			Percent of total billed charges		1816	90			Percent of total billed charges		2043	85			Percent of total billed charges		1929.5	85			Percent of total billed charges		1929.5	85			Percent of total billed charges		1929.5	100			Percent of total billed charges		2270	100			Percent of total billed charges		2270	100			Percent of total billed charges		2270	33.3			Percent of total billed charges		755.91	33.3			Percent of total billed charges		755.91	100			Percent of total billed charges		2270	755.91	2043	
biomet  shell 54mm 11-105154	278	RC	Outpatient			2270	1475.5		90			Percent of total billed charges		2043	40			Percent of total billed charges		908	80			Percent of total billed charges		1816	90			Percent of total billed charges		2043	85			Percent of total billed charges		1929.5	85			Percent of total billed charges		1929.5	85			Percent of total billed charges		1929.5	100			Percent of total billed charges		2270	100			Percent of total billed charges		2270	100			Percent of total billed charges		2270	33.3			Percent of total billed charges		755.91	33.3			Percent of total billed charges		755.91	100			Percent of total billed charges		2270	755.91	2043	
biomet  shell 60mm 11-105160	278	RC	Outpatient			2270	1475.5		90			Percent of total billed charges		2043	40			Percent of total billed charges		908	80			Percent of total billed charges		1816	90			Percent of total billed charges		2043	85			Percent of total billed charges		1929.5	85			Percent of total billed charges		1929.5	85			Percent of total billed charges		1929.5	100			Percent of total billed charges		2270	100			Percent of total billed charges		2270	100			Percent of total billed charges		2270	33.3			Percent of total billed charges		755.91	33.3			Percent of total billed charges		755.91	100			Percent of total billed charges		2270	755.91	2043	
biomet  shell 62mm 11-105162	278	RC	Outpatient			2270	1475.5		90			Percent of total billed charges		2043	40			Percent of total billed charges		908	80			Percent of total billed charges		1816	90			Percent of total billed charges		2043	85			Percent of total billed charges		1929.5	85			Percent of total billed charges		1929.5	85			Percent of total billed charges		1929.5	100			Percent of total billed charges		2270	100			Percent of total billed charges		2270	100			Percent of total billed charges		2270	33.3			Percent of total billed charges		755.91	33.3			Percent of total billed charges		755.91	100			Percent of total billed charges		2270	755.91	2043	
biomet  shell 64mm 11-105164	278	RC	Outpatient			2270	1475.5		90			Percent of total billed charges		2043	40			Percent of total billed charges		908	80			Percent of total billed charges		1816	90			Percent of total billed charges		2043	85			Percent of total billed charges		1929.5	85			Percent of total billed charges		1929.5	85			Percent of total billed charges		1929.5	100			Percent of total billed charges		2270	100			Percent of total billed charges		2270	100			Percent of total billed charges		2270	33.3			Percent of total billed charges		755.91	33.3			Percent of total billed charges		755.91	100			Percent of total billed charges		2270	755.91	2043	
biomet shell 44mm 11-105144	278	RC	Outpatient			2270	1475.5		90			Percent of total billed charges		2043	40			Percent of total billed charges		908	80			Percent of total billed charges		1816	90			Percent of total billed charges		2043	85			Percent of total billed charges		1929.5	85			Percent of total billed charges		1929.5	85			Percent of total billed charges		1929.5	100			Percent of total billed charges		2270	100			Percent of total billed charges		2270	100			Percent of total billed charges		2270	33.3			Percent of total billed charges		755.91	33.3			Percent of total billed charges		755.91	100			Percent of total billed charges		2270	755.91	2043	
biomet shell 58mm 11-105158	278	RC	Outpatient			2270	1475.5		90			Percent of total billed charges		2043	40			Percent of total billed charges		908	80			Percent of total billed charges		1816	90			Percent of total billed charges		2043	85			Percent of total billed charges		1929.5	85			Percent of total billed charges		1929.5	85			Percent of total billed charges		1929.5	100			Percent of total billed charges		2270	100			Percent of total billed charges		2270	100			Percent of total billed charges		2270	33.3			Percent of total billed charges		755.91	33.3			Percent of total billed charges		755.91	100			Percent of total billed charges		2270	755.91	2043	
biomet shell 70mm 11-105170	278	RC	Outpatient			2270	1475.5		90			Percent of total billed charges		2043	40			Percent of total billed charges		908	80			Percent of total billed charges		1816	90			Percent of total billed charges		2043	85			Percent of total billed charges		1929.5	85			Percent of total billed charges		1929.5	85			Percent of total billed charges		1929.5	100			Percent of total billed charges		2270	100			Percent of total billed charges		2270	100			Percent of total billed charges		2270	33.3			Percent of total billed charges		755.91	33.3			Percent of total billed charges		755.91	100			Percent of total billed charges		2270	755.91	2043	
bio ringloc shells	278	RC	Outpatient			2270	1475.5		90			Percent of total billed charges		2043	40			Percent of total billed charges		908	80			Percent of total billed charges		1816	90			Percent of total billed charges		2043	85			Percent of total billed charges		1929.5	85			Percent of total billed charges		1929.5	85			Percent of total billed charges		1929.5	100			Percent of total billed charges		2270	100			Percent of total billed charges		2270	100			Percent of total billed charges		2270	33.3			Percent of total billed charges		755.91	33.3			Percent of total billed charges		755.91	100			Percent of total billed charges		2270	755.91	2043	
biomet  shell 46mm 11-105146	278	RC	Outpatient			2270	1475.5		90			Percent of total billed charges		2043	40			Percent of total billed charges		908	80			Percent of total billed charges		1816	90			Percent of total billed charges		2043	85			Percent of total billed charges		1929.5	85			Percent of total billed charges		1929.5	85			Percent of total billed charges		1929.5	100			Percent of total billed charges		2270	100			Percent of total billed charges		2270	100			Percent of total billed charges		2270	33.3			Percent of total billed charges		755.91	33.3			Percent of total billed charges		755.91	100			Percent of total billed charges		2270	755.91	2043	
biomet  shell 48mm 11-105148	278	RC	Outpatient			2270	1475.5		90			Percent of total billed charges		2043	40			Percent of total billed charges		908	80			Percent of total billed charges		1816	90			Percent of total billed charges		2043	85			Percent of total billed charges		1929.5	85			Percent of total billed charges		1929.5	85			Percent of total billed charges		1929.5	100			Percent of total billed charges		2270	100			Percent of total billed charges		2270	100			Percent of total billed charges		2270	33.3			Percent of total billed charges		755.91	33.3			Percent of total billed charges		755.91	100			Percent of total billed charges		2270	755.91	2043	
biomet  shell 52mm 11-105152	278	RC	Outpatient			2270	1475.5		90			Percent of total billed charges		2043	40			Percent of total billed charges		908	80			Percent of total billed charges		1816	90			Percent of total billed charges		2043	85			Percent of total billed charges		1929.5	85			Percent of total billed charges		1929.5	85			Percent of total billed charges		1929.5	100			Percent of total billed charges		2270	100			Percent of total billed charges		2270	100			Percent of total billed charges		2270	33.3			Percent of total billed charges		755.91	33.3			Percent of total billed charges		755.91	100			Percent of total billed charges		2270	755.91	2043	
biomet  shell 56mm 11-105156	278	RC	Outpatient			2270	1475.5		90			Percent of total billed charges		2043	40			Percent of total billed charges		908	80			Percent of total billed charges		1816	90			Percent of total billed charges		2043	85			Percent of total billed charges		1929.5	85			Percent of total billed charges		1929.5	85			Percent of total billed charges		1929.5	100			Percent of total billed charges		2270	100			Percent of total billed charges		2270	100			Percent of total billed charges		2270	33.3			Percent of total billed charges		755.91	33.3			Percent of total billed charges		755.91	100			Percent of total billed charges		2270	755.91	2043	
biomet  shell 66mm 11-105166	278	RC	Outpatient			2270	1475.5		90			Percent of total billed charges		2043	40			Percent of total billed charges		908	80			Percent of total billed charges		1816	90			Percent of total billed charges		2043	85			Percent of total billed charges		1929.5	85			Percent of total billed charges		1929.5	85			Percent of total billed charges		1929.5	100			Percent of total billed charges		2270	100			Percent of total billed charges		2270	100			Percent of total billed charges		2270	33.3			Percent of total billed charges		755.91	33.3			Percent of total billed charges		755.91	100			Percent of total billed charges		2270	755.91	2043	
biomet  shell 68mm 11-105168	278	RC	Outpatient			2270	1475.5		90			Percent of total billed charges		2043	40			Percent of total billed charges		908	80			Percent of total billed charges		1816	90			Percent of total billed charges		2043	85			Percent of total billed charges		1929.5	85			Percent of total billed charges		1929.5	85			Percent of total billed charges		1929.5	100			Percent of total billed charges		2270	100			Percent of total billed charges		2270	100			Percent of total billed charges		2270	33.3			Percent of total billed charges		755.91	33.3			Percent of total billed charges		755.91	100			Percent of total billed charges		2270	755.91	2043	
or time 1 hour	270	RC	Outpatient			2273	1477.45		90			Percent of total billed charges		2045.7	40			Percent of total billed charges		909.2	80			Percent of total billed charges		1818.4	90			Percent of total billed charges		2045.7	85			Percent of total billed charges		1932.05	85			Percent of total billed charges		1932.05	85			Percent of total billed charges		1932.05	100			Percent of total billed charges		2273	100			Percent of total billed charges		2273	100			Percent of total billed charges		2273	33.3			Percent of total billed charges		756.909	33.3			Percent of total billed charges		756.909	100			Percent of total billed charges		2273	756.909	2045.7	
olecranon locking plate 10h l 71822910 s/n	278	RC	Outpatient			2273	1477.45		90			Percent of total billed charges		2045.7	40			Percent of total billed charges		909.2	80			Percent of total billed charges		1818.4	90			Percent of total billed charges		2045.7	85			Percent of total billed charges		1932.05	85			Percent of total billed charges		1932.05	85			Percent of total billed charges		1932.05	100			Percent of total billed charges		2273	100			Percent of total billed charges		2273	100			Percent of total billed charges		2273	33.3			Percent of total billed charges		756.909	33.3			Percent of total billed charges		756.909	100			Percent of total billed charges		2273	756.909	2045.7	
olecranon locking plate 10h r 71823910 s/n	278	RC	Outpatient			2273	1477.45		90			Percent of total billed charges		2045.7	40			Percent of total billed charges		909.2	80			Percent of total billed charges		1818.4	90			Percent of total billed charges		2045.7	85			Percent of total billed charges		1932.05	85			Percent of total billed charges		1932.05	85			Percent of total billed charges		1932.05	100			Percent of total billed charges		2273	100			Percent of total billed charges		2273	100			Percent of total billed charges		2273	33.3			Percent of total billed charges		756.909	33.3			Percent of total billed charges		756.909	100			Percent of total billed charges		2273	756.909	2045.7	
peri-loc  3.5 vlp md tibia lk plate 6 hl rt 7282-0706 s/n	278	RC	Outpatient			2273	1477.45		90			Percent of total billed charges		2045.7	40			Percent of total billed charges		909.2	80			Percent of total billed charges		1818.4	90			Percent of total billed charges		2045.7	85			Percent of total billed charges		1932.05	85			Percent of total billed charges		1932.05	85			Percent of total billed charges		1932.05	100			Percent of total billed charges		2273	100			Percent of total billed charges		2273	100			Percent of total billed charges		2273	33.3			Percent of total billed charges		756.909	33.3			Percent of total billed charges		756.909	100			Percent of total billed charges		2273	756.909	2045.7	
s/n vlp ant dist tib pl3h	278	RC	Outpatient			2273	1477.45		90			Percent of total billed charges		2045.7	40			Percent of total billed charges		909.2	80			Percent of total billed charges		1818.4	90			Percent of total billed charges		2045.7	85			Percent of total billed charges		1932.05	85			Percent of total billed charges		1932.05	85			Percent of total billed charges		1932.05	100			Percent of total billed charges		2273	100			Percent of total billed charges		2273	100			Percent of total billed charges		2273	33.3			Percent of total billed charges		756.909	33.3			Percent of total billed charges		756.909	100			Percent of total billed charges		2273	756.909	2045.7	
peri-loc  3.5 vlp md tibia lk plate 6 hl lt 7282-0606 s/n	278	RC	Outpatient			2273	1477.45		90			Percent of total billed charges		2045.7	40			Percent of total billed charges		909.2	80			Percent of total billed charges		1818.4	90			Percent of total billed charges		2045.7	85			Percent of total billed charges		1932.05	85			Percent of total billed charges		1932.05	85			Percent of total billed charges		1932.05	100			Percent of total billed charges		2273	100			Percent of total billed charges		2273	100			Percent of total billed charges		2273	33.3			Percent of total billed charges		756.909	33.3			Percent of total billed charges		756.909	100			Percent of total billed charges		2273	756.909	2045.7	
peri-loc 3.5 vlp a-d tibia lk pl 3 h  72820503 s/n	278	RC	Outpatient			2273	1477.45		90			Percent of total billed charges		2045.7	40			Percent of total billed charges		909.2	80			Percent of total billed charges		1818.4	90			Percent of total billed charges		2045.7	85			Percent of total billed charges		1932.05	85			Percent of total billed charges		1932.05	85			Percent of total billed charges		1932.05	100			Percent of total billed charges		2273	100			Percent of total billed charges		2273	100			Percent of total billed charges		2273	33.3			Percent of total billed charges		756.909	33.3			Percent of total billed charges		756.909	100			Percent of total billed charges		2273	756.909	2045.7	
s/n olecranon lk pl 10h	278	RC	Outpatient			2273	1477.45		90			Percent of total billed charges		2045.7	40			Percent of total billed charges		909.2	80			Percent of total billed charges		1818.4	90			Percent of total billed charges		2045.7	85			Percent of total billed charges		1932.05	85			Percent of total billed charges		1932.05	85			Percent of total billed charges		1932.05	100			Percent of total billed charges		2273	100			Percent of total billed charges		2273	100			Percent of total billed charges		2273	33.3			Percent of total billed charges		756.909	33.3			Percent of total billed charges		756.909	100			Percent of total billed charges		2273	756.909	2045.7	
bio vanguard as bearing	278	RC	Outpatient			2282	1483.3		90			Percent of total billed charges		2053.8	40			Percent of total billed charges		912.8	80			Percent of total billed charges		1825.6	90			Percent of total billed charges		2053.8	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	33.3			Percent of total billed charges		759.906	33.3			Percent of total billed charges		759.906	100			Percent of total billed charges		2282	759.906	2053.8	
vanguard ant stab tibial bearing 10 x 71mm 189060 biomet	278	RC	Outpatient			2282	1483.3		90			Percent of total billed charges		2053.8	40			Percent of total billed charges		912.8	80			Percent of total billed charges		1825.6	90			Percent of total billed charges		2053.8	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	33.3			Percent of total billed charges		759.906	33.3			Percent of total billed charges		759.906	100			Percent of total billed charges		2282	759.906	2053.8	
vanguard ant stab tibial bearing 10 x 75mm 189080 biomet	278	RC	Outpatient			2282	1483.3		90			Percent of total billed charges		2053.8	40			Percent of total billed charges		912.8	80			Percent of total billed charges		1825.6	90			Percent of total billed charges		2053.8	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	33.3			Percent of total billed charges		759.906	33.3			Percent of total billed charges		759.906	100			Percent of total billed charges		2282	759.906	2053.8	
vanguard ant stab tibial bearing 12 x 83mm 189122 biomet	278	RC	Outpatient			2282	1483.3		90			Percent of total billed charges		2053.8	40			Percent of total billed charges		912.8	80			Percent of total billed charges		1825.6	90			Percent of total billed charges		2053.8	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	33.3			Percent of total billed charges		759.906	33.3			Percent of total billed charges		759.906	100			Percent of total billed charges		2282	759.906	2053.8	
vanguard ant stab tibial bearing 14 x 67mm 189044 biomet	278	RC	Outpatient			2282	1483.3		90			Percent of total billed charges		2053.8	40			Percent of total billed charges		912.8	80			Percent of total billed charges		1825.6	90			Percent of total billed charges		2053.8	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	33.3			Percent of total billed charges		759.906	33.3			Percent of total billed charges		759.906	100			Percent of total billed charges		2282	759.906	2053.8	
vanguard ant stab tibial bearing 14 x 71mm 189064 biomet	278	RC	Outpatient			2282	1483.3		90			Percent of total billed charges		2053.8	40			Percent of total billed charges		912.8	80			Percent of total billed charges		1825.6	90			Percent of total billed charges		2053.8	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	33.3			Percent of total billed charges		759.906	33.3			Percent of total billed charges		759.906	100			Percent of total billed charges		2282	759.906	2053.8	
vanguard ant stab tibial bearing 14 x 75mm 189084 biomet	278	RC	Outpatient			2282	1483.3		90			Percent of total billed charges		2053.8	40			Percent of total billed charges		912.8	80			Percent of total billed charges		1825.6	90			Percent of total billed charges		2053.8	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	33.3			Percent of total billed charges		759.906	33.3			Percent of total billed charges		759.906	100			Percent of total billed charges		2282	759.906	2053.8	
vanguard ant stab tibial bearing 14 x 83mm 189124 biomet	278	RC	Outpatient			2282	1483.3		90			Percent of total billed charges		2053.8	40			Percent of total billed charges		912.8	80			Percent of total billed charges		1825.6	90			Percent of total billed charges		2053.8	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	33.3			Percent of total billed charges		759.906	33.3			Percent of total billed charges		759.906	100			Percent of total billed charges		2282	759.906	2053.8	
vanguard ant stab tibial bearing 16 x 71mm 189066 biomet	278	RC	Outpatient			2282	1483.3		90			Percent of total billed charges		2053.8	40			Percent of total billed charges		912.8	80			Percent of total billed charges		1825.6	90			Percent of total billed charges		2053.8	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	33.3			Percent of total billed charges		759.906	33.3			Percent of total billed charges		759.906	100			Percent of total billed charges		2282	759.906	2053.8	
vanguard ant stab tibial bearing 16 x 75mm 189086 biomet	278	RC	Outpatient			2282	1483.3		90			Percent of total billed charges		2053.8	40			Percent of total billed charges		912.8	80			Percent of total billed charges		1825.6	90			Percent of total billed charges		2053.8	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	33.3			Percent of total billed charges		759.906	33.3			Percent of total billed charges		759.906	100			Percent of total billed charges		2282	759.906	2053.8	
vanguard ant stab tibial bearing 16 x 79mm 189106 biomet	278	RC	Outpatient			2282	1483.3		90			Percent of total billed charges		2053.8	40			Percent of total billed charges		912.8	80			Percent of total billed charges		1825.6	90			Percent of total billed charges		2053.8	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	33.3			Percent of total billed charges		759.906	33.3			Percent of total billed charges		759.906	100			Percent of total billed charges		2282	759.906	2053.8	
vanguard ant stab tibial bearing 18 x 63mm 189028 biomet	278	RC	Outpatient			2282	1483.3		90			Percent of total billed charges		2053.8	40			Percent of total billed charges		912.8	80			Percent of total billed charges		1825.6	90			Percent of total billed charges		2053.8	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	33.3			Percent of total billed charges		759.906	33.3			Percent of total billed charges		759.906	100			Percent of total billed charges		2282	759.906	2053.8	
vanguard ant stab tibial bearing 20 x 63mm 189030 biomet	278	RC	Outpatient			2282	1483.3		90			Percent of total billed charges		2053.8	40			Percent of total billed charges		912.8	80			Percent of total billed charges		1825.6	90			Percent of total billed charges		2053.8	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	33.3			Percent of total billed charges		759.906	33.3			Percent of total billed charges		759.906	100			Percent of total billed charges		2282	759.906	2053.8	
vanguard ant stab tibial bearing 20 x 71mm 189070 biomet	278	RC	Outpatient			2282	1483.3		90			Percent of total billed charges		2053.8	40			Percent of total billed charges		912.8	80			Percent of total billed charges		1825.6	90			Percent of total billed charges		2053.8	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	33.3			Percent of total billed charges		759.906	33.3			Percent of total billed charges		759.906	100			Percent of total billed charges		2282	759.906	2053.8	
vanguard ant stab tibial bearing 20 x 75mm 189090 biomet	278	RC	Outpatient			2282	1483.3		90			Percent of total billed charges		2053.8	40			Percent of total billed charges		912.8	80			Percent of total billed charges		1825.6	90			Percent of total billed charges		2053.8	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	33.3			Percent of total billed charges		759.906	33.3			Percent of total billed charges		759.906	100			Percent of total billed charges		2282	759.906	2053.8	
vanguard ant stab tibial bearing 20 x 79mm 189110 biomet	278	RC	Outpatient			2282	1483.3		90			Percent of total billed charges		2053.8	40			Percent of total billed charges		912.8	80			Percent of total billed charges		1825.6	90			Percent of total billed charges		2053.8	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	33.3			Percent of total billed charges		759.906	33.3			Percent of total billed charges		759.906	100			Percent of total billed charges		2282	759.906	2053.8	
vanguard ant stab tibial bearing 10 x 63mm 189020 biomet	278	RC	Outpatient			2282	1483.3		90			Percent of total billed charges		2053.8	40			Percent of total billed charges		912.8	80			Percent of total billed charges		1825.6	90			Percent of total billed charges		2053.8	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	33.3			Percent of total billed charges		759.906	33.3			Percent of total billed charges		759.906	100			Percent of total billed charges		2282	759.906	2053.8	
vanguard ant stab tibial bearing 10 x 67mm 189040 biomet	278	RC	Outpatient			2282	1483.3		90			Percent of total billed charges		2053.8	40			Percent of total billed charges		912.8	80			Percent of total billed charges		1825.6	90			Percent of total billed charges		2053.8	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	33.3			Percent of total billed charges		759.906	33.3			Percent of total billed charges		759.906	100			Percent of total billed charges		2282	759.906	2053.8	
vanguard ant stab tibial bearing 10 x 79mm 189100 biomet	278	RC	Outpatient			2282	1483.3		90			Percent of total billed charges		2053.8	40			Percent of total billed charges		912.8	80			Percent of total billed charges		1825.6	90			Percent of total billed charges		2053.8	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	33.3			Percent of total billed charges		759.906	33.3			Percent of total billed charges		759.906	100			Percent of total billed charges		2282	759.906	2053.8	
vanguard ant stab tibial bearing 12 x 63mm 189022 biomet	278	RC	Outpatient			2282	1483.3		90			Percent of total billed charges		2053.8	40			Percent of total billed charges		912.8	80			Percent of total billed charges		1825.6	90			Percent of total billed charges		2053.8	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	33.3			Percent of total billed charges		759.906	33.3			Percent of total billed charges		759.906	100			Percent of total billed charges		2282	759.906	2053.8	
vanguard ant stab tibial bearing 12 x 67mm 189042 biomet	278	RC	Outpatient			2282	1483.3		90			Percent of total billed charges		2053.8	40			Percent of total billed charges		912.8	80			Percent of total billed charges		1825.6	90			Percent of total billed charges		2053.8	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	33.3			Percent of total billed charges		759.906	33.3			Percent of total billed charges		759.906	100			Percent of total billed charges		2282	759.906	2053.8	
vanguard ant stab tibial bearing 12 x 71mm 189062 biomet	278	RC	Outpatient			2282	1483.3		90			Percent of total billed charges		2053.8	40			Percent of total billed charges		912.8	80			Percent of total billed charges		1825.6	90			Percent of total billed charges		2053.8	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	33.3			Percent of total billed charges		759.906	33.3			Percent of total billed charges		759.906	100			Percent of total billed charges		2282	759.906	2053.8	
vanguard ant stab tibial bearing 12 x 75mm 189082 biomet	278	RC	Outpatient			2282	1483.3		90			Percent of total billed charges		2053.8	40			Percent of total billed charges		912.8	80			Percent of total billed charges		1825.6	90			Percent of total billed charges		2053.8	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	33.3			Percent of total billed charges		759.906	33.3			Percent of total billed charges		759.906	100			Percent of total billed charges		2282	759.906	2053.8	
vanguard ant stab tibial bearing 12 x 79mm 189102 biomet	278	RC	Outpatient			2282	1483.3		90			Percent of total billed charges		2053.8	40			Percent of total billed charges		912.8	80			Percent of total billed charges		1825.6	90			Percent of total billed charges		2053.8	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	33.3			Percent of total billed charges		759.906	33.3			Percent of total billed charges		759.906	100			Percent of total billed charges		2282	759.906	2053.8	
vanguard ant stab tibial bearing 14 x 63mm 189024 biomet	278	RC	Outpatient			2282	1483.3		90			Percent of total billed charges		2053.8	40			Percent of total billed charges		912.8	80			Percent of total billed charges		1825.6	90			Percent of total billed charges		2053.8	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	33.3			Percent of total billed charges		759.906	33.3			Percent of total billed charges		759.906	100			Percent of total billed charges		2282	759.906	2053.8	
vanguard ant stab tibial bearing 14 x 79mm 189104 biomet	278	RC	Outpatient			2282	1483.3		90			Percent of total billed charges		2053.8	40			Percent of total billed charges		912.8	80			Percent of total billed charges		1825.6	90			Percent of total billed charges		2053.8	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	33.3			Percent of total billed charges		759.906	33.3			Percent of total billed charges		759.906	100			Percent of total billed charges		2282	759.906	2053.8	
vanguard ant stab tibial bearing 16 x 63mm 189026 biomet	278	RC	Outpatient			2282	1483.3		90			Percent of total billed charges		2053.8	40			Percent of total billed charges		912.8	80			Percent of total billed charges		1825.6	90			Percent of total billed charges		2053.8	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	33.3			Percent of total billed charges		759.906	33.3			Percent of total billed charges		759.906	100			Percent of total billed charges		2282	759.906	2053.8	
vanguard ant stab tibial bearing 16 x 67mm 189046 biomet	278	RC	Outpatient			2282	1483.3		90			Percent of total billed charges		2053.8	40			Percent of total billed charges		912.8	80			Percent of total billed charges		1825.6	90			Percent of total billed charges		2053.8	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	33.3			Percent of total billed charges		759.906	33.3			Percent of total billed charges		759.906	100			Percent of total billed charges		2282	759.906	2053.8	
vanguard ant stab tibial bearing 16 x 83mm 189126 biomet	278	RC	Outpatient			2282	1483.3		90			Percent of total billed charges		2053.8	40			Percent of total billed charges		912.8	80			Percent of total billed charges		1825.6	90			Percent of total billed charges		2053.8	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	33.3			Percent of total billed charges		759.906	33.3			Percent of total billed charges		759.906	100			Percent of total billed charges		2282	759.906	2053.8	
vanguard ant stab tibial bearing 16 x 83mm 189128 biomet	278	RC	Outpatient			2282	1483.3		90			Percent of total billed charges		2053.8	40			Percent of total billed charges		912.8	80			Percent of total billed charges		1825.6	90			Percent of total billed charges		2053.8	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	33.3			Percent of total billed charges		759.906	33.3			Percent of total billed charges		759.906	100			Percent of total billed charges		2282	759.906	2053.8	
vanguard ant stab tibial bearing 18 x 67mm 189048 biomet	278	RC	Outpatient			2282	1483.3		90			Percent of total billed charges		2053.8	40			Percent of total billed charges		912.8	80			Percent of total billed charges		1825.6	90			Percent of total billed charges		2053.8	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	33.3			Percent of total billed charges		759.906	33.3			Percent of total billed charges		759.906	100			Percent of total billed charges		2282	759.906	2053.8	
vanguard ant stab tibial bearing 18 x 71mm 189068 biomet	278	RC	Outpatient			2282	1483.3		90			Percent of total billed charges		2053.8	40			Percent of total billed charges		912.8	80			Percent of total billed charges		1825.6	90			Percent of total billed charges		2053.8	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	33.3			Percent of total billed charges		759.906	33.3			Percent of total billed charges		759.906	100			Percent of total billed charges		2282	759.906	2053.8	
vanguard ant stab tibial bearing 18 x 75mm 189088 biomet	278	RC	Outpatient			2282	1483.3		90			Percent of total billed charges		2053.8	40			Percent of total billed charges		912.8	80			Percent of total billed charges		1825.6	90			Percent of total billed charges		2053.8	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	33.3			Percent of total billed charges		759.906	33.3			Percent of total billed charges		759.906	100			Percent of total billed charges		2282	759.906	2053.8	
vanguard ant stab tibial bearing 18 x 79mm 189108 biomet	278	RC	Outpatient			2282	1483.3		90			Percent of total billed charges		2053.8	40			Percent of total billed charges		912.8	80			Percent of total billed charges		1825.6	90			Percent of total billed charges		2053.8	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	33.3			Percent of total billed charges		759.906	33.3			Percent of total billed charges		759.906	100			Percent of total billed charges		2282	759.906	2053.8	
vanguard ant stab tibial bearing 18 x 83mm 189128 biomet	278	RC	Outpatient			2282	1483.3		90			Percent of total billed charges		2053.8	40			Percent of total billed charges		912.8	80			Percent of total billed charges		1825.6	90			Percent of total billed charges		2053.8	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	33.3			Percent of total billed charges		759.906	33.3			Percent of total billed charges		759.906	100			Percent of total billed charges		2282	759.906	2053.8	
vanguard ant stab tibial bearing 20 x 67mm 189050 biomet	278	RC	Outpatient			2282	1483.3		90			Percent of total billed charges		2053.8	40			Percent of total billed charges		912.8	80			Percent of total billed charges		1825.6	90			Percent of total billed charges		2053.8	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	33.3			Percent of total billed charges		759.906	33.3			Percent of total billed charges		759.906	100			Percent of total billed charges		2282	759.906	2053.8	
vanguard ant stab tibial bearing 20 x 83mm 189130 biomet	278	RC	Outpatient			2282	1483.3		90			Percent of total billed charges		2053.8	40			Percent of total billed charges		912.8	80			Percent of total billed charges		1825.6	90			Percent of total billed charges		2053.8	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	85			Percent of total billed charges		1939.7	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	100			Percent of total billed charges		2282	33.3			Percent of total billed charges		759.906	33.3			Percent of total billed charges		759.906	100			Percent of total billed charges		2282	759.906	2053.8	
cosmetic - capsulotomy	983	RC	Outpatient			2283	1483.95		90			Percent of total billed charges		2054.7	40			Percent of total billed charges		913.2	80			Percent of total billed charges		1826.4	90			Percent of total billed charges		2054.7	85			Percent of total billed charges		1940.55	85			Percent of total billed charges		1940.55	85			Percent of total billed charges		1940.55	100			Percent of total billed charges		2283	100			Percent of total billed charges		2283	100			Percent of total billed charges		2283	33.3			Percent of total billed charges		760.239	33.3			Percent of total billed charges		760.239	100			Percent of total billed charges		2283	760.239	2054.7	
femur head allograft 450100 mtf	278	RC	Outpatient			2284	1484.6		90			Percent of total billed charges		2055.6	40			Percent of total billed charges		913.6	80			Percent of total billed charges		1827.2	90			Percent of total billed charges		2055.6	85			Percent of total billed charges		1941.4	85			Percent of total billed charges		1941.4	85			Percent of total billed charges		1941.4	100			Percent of total billed charges		2284	100			Percent of total billed charges		2284	100			Percent of total billed charges		2284	33.3			Percent of total billed charges		760.572	33.3			Percent of total billed charges		760.572	100			Percent of total billed charges		2284	760.572	2055.6	
femur head allograft 44.7mm x 45.0mm  450100 mtf	278	RC	Outpatient			2284	1484.6		90			Percent of total billed charges		2055.6	40			Percent of total billed charges		913.6	80			Percent of total billed charges		1827.2	90			Percent of total billed charges		2055.6	85			Percent of total billed charges		1941.4	85			Percent of total billed charges		1941.4	85			Percent of total billed charges		1941.4	100			Percent of total billed charges		2284	100			Percent of total billed charges		2284	100			Percent of total billed charges		2284	33.3			Percent of total billed charges		760.572	33.3			Percent of total billed charges		760.572	100			Percent of total billed charges		2284	760.572	2055.6	
viagraf paste 10cc	278	RC	Outpatient			2286	1485.9		90			Percent of total billed charges		2057.4	40			Percent of total billed charges		914.4	80			Percent of total billed charges		1828.8	90			Percent of total billed charges		2057.4	85			Percent of total billed charges		1943.1	85			Percent of total billed charges		1943.1	85			Percent of total billed charges		1943.1	100			Percent of total billed charges		2286	100			Percent of total billed charges		2286	100			Percent of total billed charges		2286	33.3			Percent of total billed charges		761.238	33.3			Percent of total billed charges		761.238	100			Percent of total billed charges		2286	761.238	2057.4	
viagraf putty 10cc 717905 s/n	278	RC	Outpatient			2286	1485.9		90			Percent of total billed charges		2057.4	40			Percent of total billed charges		914.4	80			Percent of total billed charges		1828.8	90			Percent of total billed charges		2057.4	85			Percent of total billed charges		1943.1	85			Percent of total billed charges		1943.1	85			Percent of total billed charges		1943.1	100			Percent of total billed charges		2286	100			Percent of total billed charges		2286	100			Percent of total billed charges		2286	33.3			Percent of total billed charges		761.238	33.3			Percent of total billed charges		761.238	100			Percent of total billed charges		2286	761.238	2057.4	
viagraf paste 10cc 717908 s/n	278	RC	Outpatient			2286	1485.9		90			Percent of total billed charges		2057.4	40			Percent of total billed charges		914.4	80			Percent of total billed charges		1828.8	90			Percent of total billed charges		2057.4	85			Percent of total billed charges		1943.1	85			Percent of total billed charges		1943.1	85			Percent of total billed charges		1943.1	100			Percent of total billed charges		2286	100			Percent of total billed charges		2286	100			Percent of total billed charges		2286	33.3			Percent of total billed charges		761.238	33.3			Percent of total billed charges		761.238	100			Percent of total billed charges		2286	761.238	2057.4	
viagraf putty 10cc	278	RC	Outpatient			2286	1485.9		90			Percent of total billed charges		2057.4	40			Percent of total billed charges		914.4	80			Percent of total billed charges		1828.8	90			Percent of total billed charges		2057.4	85			Percent of total billed charges		1943.1	85			Percent of total billed charges		1943.1	85			Percent of total billed charges		1943.1	100			Percent of total billed charges		2286	100			Percent of total billed charges		2286	100			Percent of total billed charges		2286	33.3			Percent of total billed charges		761.238	33.3			Percent of total billed charges		761.238	100			Percent of total billed charges		2286	761.238	2057.4	
biomet mod humeral head	278	RC	Outpatient			2291	1489.15		90			Percent of total billed charges		2061.9	40			Percent of total billed charges		916.4	80			Percent of total billed charges		1832.8	90			Percent of total billed charges		2061.9	85			Percent of total billed charges		1947.35	85			Percent of total billed charges		1947.35	85			Percent of total billed charges		1947.35	100			Percent of total billed charges		2291	100			Percent of total billed charges		2291	100			Percent of total billed charges		2291	33.3			Percent of total billed charges		762.903	33.3			Percent of total billed charges		762.903	100			Percent of total billed charges		2291	762.903	2061.9	
biomet modular ii humeral 6.3 x 125mm	278	RC	Outpatient			2291	1489.15		90			Percent of total billed charges		2061.9	40			Percent of total billed charges		916.4	80			Percent of total billed charges		1832.8	90			Percent of total billed charges		2061.9	85			Percent of total billed charges		1947.35	85			Percent of total billed charges		1947.35	85			Percent of total billed charges		1947.35	100			Percent of total billed charges		2291	100			Percent of total billed charges		2291	100			Percent of total billed charges		2291	33.3			Percent of total billed charges		762.903	33.3			Percent of total billed charges		762.903	100			Percent of total billed charges		2291	762.903	2061.9	
humeral head 48mm x 24mm  113770  biomet	278	RC	Outpatient			2291	1489.15		90			Percent of total billed charges		2061.9	40			Percent of total billed charges		916.4	80			Percent of total billed charges		1832.8	90			Percent of total billed charges		2061.9	85			Percent of total billed charges		1947.35	85			Percent of total billed charges		1947.35	85			Percent of total billed charges		1947.35	100			Percent of total billed charges		2291	100			Percent of total billed charges		2291	100			Percent of total billed charges		2291	33.3			Percent of total billed charges		762.903	33.3			Percent of total billed charges		762.903	100			Percent of total billed charges		2291	762.903	2061.9	
humeral modular head 17mm x 41 45217041 biomet	278	RC	Outpatient			2291	1489.15		90			Percent of total billed charges		2061.9	40			Percent of total billed charges		916.4	80			Percent of total billed charges		1832.8	90			Percent of total billed charges		2061.9	85			Percent of total billed charges		1947.35	85			Percent of total billed charges		1947.35	85			Percent of total billed charges		1947.35	100			Percent of total billed charges		2291	100			Percent of total billed charges		2291	100			Percent of total billed charges		2291	33.3			Percent of total billed charges		762.903	33.3			Percent of total billed charges		762.903	100			Percent of total billed charges		2291	762.903	2061.9	
mod humeral head 28mm 450628049 biomet	278	RC	Outpatient			2291	1489.15		90			Percent of total billed charges		2061.9	40			Percent of total billed charges		916.4	80			Percent of total billed charges		1832.8	90			Percent of total billed charges		2061.9	85			Percent of total billed charges		1947.35	85			Percent of total billed charges		1947.35	85			Percent of total billed charges		1947.35	100			Percent of total billed charges		2291	100			Percent of total billed charges		2291	100			Percent of total billed charges		2291	33.3			Percent of total billed charges		762.903	33.3			Percent of total billed charges		762.903	100			Percent of total billed charges		2291	762.903	2061.9	
modular humeral head 17 x 41 biomet 450217041	278	RC	Outpatient			2291	1489.15		90			Percent of total billed charges		2061.9	40			Percent of total billed charges		916.4	80			Percent of total billed charges		1832.8	90			Percent of total billed charges		2061.9	85			Percent of total billed charges		1947.35	85			Percent of total billed charges		1947.35	85			Percent of total billed charges		1947.35	100			Percent of total billed charges		2291	100			Percent of total billed charges		2291	100			Percent of total billed charges		2291	33.3			Percent of total billed charges		762.903	33.3			Percent of total billed charges		762.903	100			Percent of total billed charges		2291	762.903	2061.9	
modular humeral head 20 x 43 biomet 450320043	278	RC	Outpatient			2291	1489.15		90			Percent of total billed charges		2061.9	40			Percent of total billed charges		916.4	80			Percent of total billed charges		1832.8	90			Percent of total billed charges		2061.9	85			Percent of total billed charges		1947.35	85			Percent of total billed charges		1947.35	85			Percent of total billed charges		1947.35	100			Percent of total billed charges		2291	100			Percent of total billed charges		2291	100			Percent of total billed charges		2291	33.3			Percent of total billed charges		762.903	33.3			Percent of total billed charges		762.903	100			Percent of total billed charges		2291	762.903	2061.9	
mod humeral head 450524047 biomet	278	RC	Outpatient			2291	1489.15		90			Percent of total billed charges		2061.9	40			Percent of total billed charges		916.4	80			Percent of total billed charges		1832.8	90			Percent of total billed charges		2061.9	85			Percent of total billed charges		1947.35	85			Percent of total billed charges		1947.35	85			Percent of total billed charges		1947.35	100			Percent of total billed charges		2291	100			Percent of total billed charges		2291	100			Percent of total billed charges		2291	33.3			Percent of total billed charges		762.903	33.3			Percent of total billed charges		762.903	100			Percent of total billed charges		2291	762.903	2061.9	
modular humeral head 4450115038	278	RC	Outpatient			2291	1489.15		90			Percent of total billed charges		2061.9	40			Percent of total billed charges		916.4	80			Percent of total billed charges		1832.8	90			Percent of total billed charges		2061.9	85			Percent of total billed charges		1947.35	85			Percent of total billed charges		1947.35	85			Percent of total billed charges		1947.35	100			Percent of total billed charges		2291	100			Percent of total billed charges		2291	100			Percent of total billed charges		2291	33.3			Percent of total billed charges		762.903	33.3			Percent of total billed charges		762.903	100			Percent of total billed charges		2291	762.903	2061.9	
modular non coated humeral 7.9 x 125	278	RC	Outpatient			2291	1489.15		90			Percent of total billed charges		2061.9	40			Percent of total billed charges		916.4	80			Percent of total billed charges		1832.8	90			Percent of total billed charges		2061.9	85			Percent of total billed charges		1947.35	85			Percent of total billed charges		1947.35	85			Percent of total billed charges		1947.35	100			Percent of total billed charges		2291	100			Percent of total billed charges		2291	100			Percent of total billed charges		2291	33.3			Percent of total billed charges		762.903	33.3			Percent of total billed charges		762.903	100			Percent of total billed charges		2291	762.903	2061.9	
arthrex mtp plate short rt ti ar-8944cr	278	RC	Outpatient			2292	1489.8		90			Percent of total billed charges		2062.8	40			Percent of total billed charges		916.8	80			Percent of total billed charges		1833.6	90			Percent of total billed charges		2062.8	85			Percent of total billed charges		1948.2	85			Percent of total billed charges		1948.2	85			Percent of total billed charges		1948.2	100			Percent of total billed charges		2292	100			Percent of total billed charges		2292	100			Percent of total billed charges		2292	33.3			Percent of total billed charges		763.236	33.3			Percent of total billed charges		763.236	100			Percent of total billed charges		2292	763.236	2062.8	
arthrex mtp plate	278	RC	Outpatient			2292	1489.8		90			Percent of total billed charges		2062.8	40			Percent of total billed charges		916.8	80			Percent of total billed charges		1833.6	90			Percent of total billed charges		2062.8	85			Percent of total billed charges		1948.2	85			Percent of total billed charges		1948.2	85			Percent of total billed charges		1948.2	100			Percent of total billed charges		2292	100			Percent of total billed charges		2292	100			Percent of total billed charges		2292	33.3			Percent of total billed charges		763.236	33.3			Percent of total billed charges		763.236	100			Percent of total billed charges		2292	763.236	2062.8	
"arthrex mtp plate  contoured, short, lt ti ar-8944cl-p"	278	RC	Outpatient			2292	1489.8		90			Percent of total billed charges		2062.8	40			Percent of total billed charges		916.8	80			Percent of total billed charges		1833.6	90			Percent of total billed charges		2062.8	85			Percent of total billed charges		1948.2	85			Percent of total billed charges		1948.2	85			Percent of total billed charges		1948.2	100			Percent of total billed charges		2292	100			Percent of total billed charges		2292	100			Percent of total billed charges		2292	33.3			Percent of total billed charges		763.236	33.3			Percent of total billed charges		763.236	100			Percent of total billed charges		2292	763.236	2062.8	
arthrex mtp plate std ti ar-8944cl-s	278	RC	Outpatient			2292	1489.8		90			Percent of total billed charges		2062.8	40			Percent of total billed charges		916.8	80			Percent of total billed charges		1833.6	90			Percent of total billed charges		2062.8	85			Percent of total billed charges		1948.2	85			Percent of total billed charges		1948.2	85			Percent of total billed charges		1948.2	100			Percent of total billed charges		2292	100			Percent of total billed charges		2292	100			Percent of total billed charges		2292	33.3			Percent of total billed charges		763.236	33.3			Percent of total billed charges		763.236	100			Percent of total billed charges		2292	763.236	2062.8	
arthrex mtp plate straight ti ar-8944-s	278	RC	Outpatient			2292	1489.8		90			Percent of total billed charges		2062.8	40			Percent of total billed charges		916.8	80			Percent of total billed charges		1833.6	90			Percent of total billed charges		2062.8	85			Percent of total billed charges		1948.2	85			Percent of total billed charges		1948.2	85			Percent of total billed charges		1948.2	100			Percent of total billed charges		2292	100			Percent of total billed charges		2292	100			Percent of total billed charges		2292	33.3			Percent of total billed charges		763.236	33.3			Percent of total billed charges		763.236	100			Percent of total billed charges		2292	763.236	2062.8	
shapematch cutting guide	272	RC	Outpatient			2292	1489.8		90			Percent of total billed charges		2062.8	40			Percent of total billed charges		916.8	80			Percent of total billed charges		1833.6	90			Percent of total billed charges		2062.8	85			Percent of total billed charges		1948.2	85			Percent of total billed charges		1948.2	85			Percent of total billed charges		1948.2	100			Percent of total billed charges		2292	100			Percent of total billed charges		2292	100			Percent of total billed charges		2292	33.3			Percent of total billed charges		763.236	33.3			Percent of total billed charges		763.236	100			Percent of total billed charges		2292	763.236	2062.8	
shapematch cutting guide tr7100-l stryker	272	RC	Outpatient			2292	1489.8		90			Percent of total billed charges		2062.8	40			Percent of total billed charges		916.8	80			Percent of total billed charges		1833.6	90			Percent of total billed charges		2062.8	85			Percent of total billed charges		1948.2	85			Percent of total billed charges		1948.2	85			Percent of total billed charges		1948.2	100			Percent of total billed charges		2292	100			Percent of total billed charges		2292	100			Percent of total billed charges		2292	33.3			Percent of total billed charges		763.236	33.3			Percent of total billed charges		763.236	100			Percent of total billed charges		2292	763.236	2062.8	
shapematch cutting guide tr7100-r stryker	272	RC	Outpatient			2292	1489.8		90			Percent of total billed charges		2062.8	40			Percent of total billed charges		916.8	80			Percent of total billed charges		1833.6	90			Percent of total billed charges		2062.8	85			Percent of total billed charges		1948.2	85			Percent of total billed charges		1948.2	85			Percent of total billed charges		1948.2	100			Percent of total billed charges		2292	100			Percent of total billed charges		2292	100			Percent of total billed charges		2292	33.3			Percent of total billed charges		763.236	33.3			Percent of total billed charges		763.236	100			Percent of total billed charges		2292	763.236	2062.8	
catheter ballon 00687 ethi	272	RC	Outpatient			2294	1491.1		90			Percent of total billed charges		2064.6	40			Percent of total billed charges		917.6	80			Percent of total billed charges		1835.2	90			Percent of total billed charges		2064.6	85			Percent of total billed charges		1949.9	85			Percent of total billed charges		1949.9	85			Percent of total billed charges		1949.9	100			Percent of total billed charges		2294	100			Percent of total billed charges		2294	100			Percent of total billed charges		2294	33.3			Percent of total billed charges		763.902	33.3			Percent of total billed charges		763.902	100			Percent of total billed charges		2294	763.902	2064.6	
thermachoice ablation balloon tc003 ethicon	272	RC	Outpatient			2294	1491.1		90			Percent of total billed charges		2064.6	40			Percent of total billed charges		917.6	80			Percent of total billed charges		1835.2	90			Percent of total billed charges		2064.6	85			Percent of total billed charges		1949.9	85			Percent of total billed charges		1949.9	85			Percent of total billed charges		1949.9	100			Percent of total billed charges		2294	100			Percent of total billed charges		2294	100			Percent of total billed charges		2294	33.3			Percent of total billed charges		763.902	33.3			Percent of total billed charges		763.902	100			Percent of total billed charges		2294	763.902	2064.6	
thermachoice balloon sys	272	RC	Outpatient			2294	1491.1		90			Percent of total billed charges		2064.6	40			Percent of total billed charges		917.6	80			Percent of total billed charges		1835.2	90			Percent of total billed charges		2064.6	85			Percent of total billed charges		1949.9	85			Percent of total billed charges		1949.9	85			Percent of total billed charges		1949.9	100			Percent of total billed charges		2294	100			Percent of total billed charges		2294	100			Percent of total billed charges		2294	33.3			Percent of total billed charges		763.902	33.3			Percent of total billed charges		763.902	100			Percent of total billed charges		2294	763.902	2064.6	
biomet m2a taper liner size 41/28 15-105002	278	RC	Outpatient			2303	1496.95		90			Percent of total billed charges		2072.7	40			Percent of total billed charges		921.2	80			Percent of total billed charges		1842.4	90			Percent of total billed charges		2072.7	85			Percent of total billed charges		1957.55	85			Percent of total billed charges		1957.55	85			Percent of total billed charges		1957.55	100			Percent of total billed charges		2303	100			Percent of total billed charges		2303	100			Percent of total billed charges		2303	33.3			Percent of total billed charges		766.899	33.3			Percent of total billed charges		766.899	100			Percent of total billed charges		2303	766.899	2072.7	
biomet m2a taper liner size 41/32 15-105004	278	RC	Outpatient			2303	1496.95		90			Percent of total billed charges		2072.7	40			Percent of total billed charges		921.2	80			Percent of total billed charges		1842.4	90			Percent of total billed charges		2072.7	85			Percent of total billed charges		1957.55	85			Percent of total billed charges		1957.55	85			Percent of total billed charges		1957.55	100			Percent of total billed charges		2303	100			Percent of total billed charges		2303	100			Percent of total billed charges		2303	33.3			Percent of total billed charges		766.899	33.3			Percent of total billed charges		766.899	100			Percent of total billed charges		2303	766.899	2072.7	
bio m2a taper liner	278	RC	Outpatient			2303	1496.95		90			Percent of total billed charges		2072.7	40			Percent of total billed charges		921.2	80			Percent of total billed charges		1842.4	90			Percent of total billed charges		2072.7	85			Percent of total billed charges		1957.55	85			Percent of total billed charges		1957.55	85			Percent of total billed charges		1957.55	100			Percent of total billed charges		2303	100			Percent of total billed charges		2303	100			Percent of total billed charges		2303	33.3			Percent of total billed charges		766.899	33.3			Percent of total billed charges		766.899	100			Percent of total billed charges		2303	766.899	2072.7	
biomet m2a taper liner size 37/28 15-105000	278	RC	Outpatient			2303	1496.95		90			Percent of total billed charges		2072.7	40			Percent of total billed charges		921.2	80			Percent of total billed charges		1842.4	90			Percent of total billed charges		2072.7	85			Percent of total billed charges		1957.55	85			Percent of total billed charges		1957.55	85			Percent of total billed charges		1957.55	100			Percent of total billed charges		2303	100			Percent of total billed charges		2303	100			Percent of total billed charges		2303	33.3			Percent of total billed charges		766.899	33.3			Percent of total billed charges		766.899	100			Percent of total billed charges		2303	766.899	2072.7	
comp plt 4.5mm 8 hl 71809308 s\n	278	RC	Outpatient			2305	1498.25		90			Percent of total billed charges		2074.5	40			Percent of total billed charges		922	80			Percent of total billed charges		1844	90			Percent of total billed charges		2074.5	85			Percent of total billed charges		1959.25	85			Percent of total billed charges		1959.25	85			Percent of total billed charges		1959.25	100			Percent of total billed charges		2305	100			Percent of total billed charges		2305	100			Percent of total billed charges		2305	33.3			Percent of total billed charges		767.565	33.3			Percent of total billed charges		767.565	100			Percent of total billed charges		2305	767.565	2074.5	
comp plt 4.5mm 8 hl 71829308 s\n	278	RC	Outpatient			2305	1498.25		90			Percent of total billed charges		2074.5	40			Percent of total billed charges		922	80			Percent of total billed charges		1844	90			Percent of total billed charges		2074.5	85			Percent of total billed charges		1959.25	85			Percent of total billed charges		1959.25	85			Percent of total billed charges		1959.25	100			Percent of total billed charges		2305	100			Percent of total billed charges		2305	100			Percent of total billed charges		2305	33.3			Percent of total billed charges		767.565	33.3			Percent of total billed charges		767.565	100			Percent of total billed charges		2305	767.565	2074.5	
s/n 4.5 lck comp pl 8 hl	278	RC	Outpatient			2305	1498.25		90			Percent of total billed charges		2074.5	40			Percent of total billed charges		922	80			Percent of total billed charges		1844	90			Percent of total billed charges		2074.5	85			Percent of total billed charges		1959.25	85			Percent of total billed charges		1959.25	85			Percent of total billed charges		1959.25	100			Percent of total billed charges		2305	100			Percent of total billed charges		2305	100			Percent of total billed charges		2305	33.3			Percent of total billed charges		767.565	33.3			Percent of total billed charges		767.565	100			Percent of total billed charges		2305	767.565	2074.5	
amniofix 4.0 x 4.0cm aps-5440 mimedx	278	RC	Outpatient			2310	1501.5		90			Percent of total billed charges		2079	40			Percent of total billed charges		924	80			Percent of total billed charges		1848	90			Percent of total billed charges		2079	85			Percent of total billed charges		1963.5	85			Percent of total billed charges		1963.5	85			Percent of total billed charges		1963.5	100			Percent of total billed charges		2310	100			Percent of total billed charges		2310	100			Percent of total billed charges		2310	33.3			Percent of total billed charges		769.23	33.3			Percent of total billed charges		769.23	100			Percent of total billed charges		2310	769.23	2079	
ascension humeral body sz 10 std bod-0920-020-10std integra	272	RC	Outpatient			2310	1501.5		90			Percent of total billed charges		2079	40			Percent of total billed charges		924	80			Percent of total billed charges		1848	90			Percent of total billed charges		2079	85			Percent of total billed charges		1963.5	85			Percent of total billed charges		1963.5	85			Percent of total billed charges		1963.5	100			Percent of total billed charges		2310	100			Percent of total billed charges		2310	100			Percent of total billed charges		2310	33.3			Percent of total billed charges		769.23	33.3			Percent of total billed charges		769.23	100			Percent of total billed charges		2310	769.23	2079	
ascension humeral body sz 14 std bod-0920-020-14std integra	272	RC	Outpatient			2310	1501.5		90			Percent of total billed charges		2079	40			Percent of total billed charges		924	80			Percent of total billed charges		1848	90			Percent of total billed charges		2079	85			Percent of total billed charges		1963.5	85			Percent of total billed charges		1963.5	85			Percent of total billed charges		1963.5	100			Percent of total billed charges		2310	100			Percent of total billed charges		2310	100			Percent of total billed charges		2310	33.3			Percent of total billed charges		769.23	33.3			Percent of total billed charges		769.23	100			Percent of total billed charges		2310	769.23	2079	
ascension humeral body sz 10 std bod-0923-020-10std integra	272	RC	Outpatient			2310	1501.5		90			Percent of total billed charges		2079	40			Percent of total billed charges		924	80			Percent of total billed charges		1848	90			Percent of total billed charges		2079	85			Percent of total billed charges		1963.5	85			Percent of total billed charges		1963.5	85			Percent of total billed charges		1963.5	100			Percent of total billed charges		2310	100			Percent of total billed charges		2310	100			Percent of total billed charges		2310	33.3			Percent of total billed charges		769.23	33.3			Percent of total billed charges		769.23	100			Percent of total billed charges		2310	769.23	2079	
"capio suture gore-tex ps-4, thx-26 cv-2 gore"	272	RC	Outpatient			2310	1501.5		90			Percent of total billed charges		2079	40			Percent of total billed charges		924	80			Percent of total billed charges		1848	90			Percent of total billed charges		2079	85			Percent of total billed charges		1963.5	85			Percent of total billed charges		1963.5	85			Percent of total billed charges		1963.5	100			Percent of total billed charges		2310	100			Percent of total billed charges		2310	100			Percent of total billed charges		2310	33.3			Percent of total billed charges		769.23	33.3			Percent of total billed charges		769.23	100			Percent of total billed charges		2310	769.23	2079	
semi-tendinosis allograft 28 cm x 7mm 430350 mtf	278	RC	Outpatient			2314	1504.1		90			Percent of total billed charges		2082.6	40			Percent of total billed charges		925.6	80			Percent of total billed charges		1851.2	90			Percent of total billed charges		2082.6	85			Percent of total billed charges		1966.9	85			Percent of total billed charges		1966.9	85			Percent of total billed charges		1966.9	100			Percent of total billed charges		2314	100			Percent of total billed charges		2314	100			Percent of total billed charges		2314	33.3			Percent of total billed charges		770.562	33.3			Percent of total billed charges		770.562	100			Percent of total billed charges		2314	770.562	2082.6	
semi-tendonosis allograft 26 cm x 3mm 480350 mtf	278	RC	Outpatient			2314	1504.1		90			Percent of total billed charges		2082.6	40			Percent of total billed charges		925.6	80			Percent of total billed charges		1851.2	90			Percent of total billed charges		2082.6	85			Percent of total billed charges		1966.9	85			Percent of total billed charges		1966.9	85			Percent of total billed charges		1966.9	100			Percent of total billed charges		2314	100			Percent of total billed charges		2314	100			Percent of total billed charges		2314	33.3			Percent of total billed charges		770.562	33.3			Percent of total billed charges		770.562	100			Percent of total billed charges		2314	770.562	2082.6	
semi-tendonosis allograft 26 cm x 3mm 430350 mtf	278	RC	Outpatient			2314	1504.1		90			Percent of total billed charges		2082.6	40			Percent of total billed charges		925.6	80			Percent of total billed charges		1851.2	90			Percent of total billed charges		2082.6	85			Percent of total billed charges		1966.9	85			Percent of total billed charges		1966.9	85			Percent of total billed charges		1966.9	100			Percent of total billed charges		2314	100			Percent of total billed charges		2314	100			Percent of total billed charges		2314	33.3			Percent of total billed charges		770.562	33.3			Percent of total billed charges		770.562	100			Percent of total billed charges		2314	770.562	2082.6	
semi-tendonosis allograft 29.5 cm x 5mm 430350 mtf	278	RC	Outpatient			2314	1504.1		90			Percent of total billed charges		2082.6	40			Percent of total billed charges		925.6	80			Percent of total billed charges		1851.2	90			Percent of total billed charges		2082.6	85			Percent of total billed charges		1966.9	85			Percent of total billed charges		1966.9	85			Percent of total billed charges		1966.9	100			Percent of total billed charges		2314	100			Percent of total billed charges		2314	100			Percent of total billed charges		2314	33.3			Percent of total billed charges		770.562	33.3			Percent of total billed charges		770.562	100			Percent of total billed charges		2314	770.562	2082.6	
implant nail 8mm x 30cm 12-2466 s/n	278	RC	Outpatient			2317	1506.05		90			Percent of total billed charges		2085.3	40			Percent of total billed charges		926.8	80			Percent of total billed charges		1853.6	90			Percent of total billed charges		2085.3	85			Percent of total billed charges		1969.45	85			Percent of total billed charges		1969.45	85			Percent of total billed charges		1969.45	100			Percent of total billed charges		2317	100			Percent of total billed charges		2317	100			Percent of total billed charges		2317	33.3			Percent of total billed charges		771.561	33.3			Percent of total billed charges		771.561	100			Percent of total billed charges		2317	771.561	2085.3	
implant nail humeral 8mm x 28cm 12-2465 s/n	278	RC	Outpatient			2317	1506.05		90			Percent of total billed charges		2085.3	40			Percent of total billed charges		926.8	80			Percent of total billed charges		1853.6	90			Percent of total billed charges		2085.3	85			Percent of total billed charges		1969.45	85			Percent of total billed charges		1969.45	85			Percent of total billed charges		1969.45	100			Percent of total billed charges		2317	100			Percent of total billed charges		2317	100			Percent of total billed charges		2317	33.3			Percent of total billed charges		771.561	33.3			Percent of total billed charges		771.561	100			Percent of total billed charges		2317	771.561	2085.3	
implant nail humeral 8mm x20cm 12-2461 s/n	278	RC	Outpatient			2317	1506.05		90			Percent of total billed charges		2085.3	40			Percent of total billed charges		926.8	80			Percent of total billed charges		1853.6	90			Percent of total billed charges		2085.3	85			Percent of total billed charges		1969.45	85			Percent of total billed charges		1969.45	85			Percent of total billed charges		1969.45	100			Percent of total billed charges		2317	100			Percent of total billed charges		2317	100			Percent of total billed charges		2317	33.3			Percent of total billed charges		771.561	33.3			Percent of total billed charges		771.561	100			Percent of total billed charges		2317	771.561	2085.3	
humeral nail 7mm x 24cm 122453 s/n	278	RC	Outpatient			2317	1506.05		90			Percent of total billed charges		2085.3	40			Percent of total billed charges		926.8	80			Percent of total billed charges		1853.6	90			Percent of total billed charges		2085.3	85			Percent of total billed charges		1969.45	85			Percent of total billed charges		1969.45	85			Percent of total billed charges		1969.45	100			Percent of total billed charges		2317	100			Percent of total billed charges		2317	100			Percent of total billed charges		2317	33.3			Percent of total billed charges		771.561	33.3			Percent of total billed charges		771.561	100			Percent of total billed charges		2317	771.561	2085.3	
imp nail humeral 8mmx24cm 122463	278	RC	Outpatient			2317	1506.05		90			Percent of total billed charges		2085.3	40			Percent of total billed charges		926.8	80			Percent of total billed charges		1853.6	90			Percent of total billed charges		2085.3	85			Percent of total billed charges		1969.45	85			Percent of total billed charges		1969.45	85			Percent of total billed charges		1969.45	100			Percent of total billed charges		2317	100			Percent of total billed charges		2317	100			Percent of total billed charges		2317	33.3			Percent of total billed charges		771.561	33.3			Percent of total billed charges		771.561	100			Percent of total billed charges		2317	771.561	2085.3	
implant nail humeral 8mm x22cm 12-2462 s/n	278	RC	Outpatient			2317	1506.05		90			Percent of total billed charges		2085.3	40			Percent of total billed charges		926.8	80			Percent of total billed charges		1853.6	90			Percent of total billed charges		2085.3	85			Percent of total billed charges		1969.45	85			Percent of total billed charges		1969.45	85			Percent of total billed charges		1969.45	100			Percent of total billed charges		2317	100			Percent of total billed charges		2317	100			Percent of total billed charges		2317	33.3			Percent of total billed charges		771.561	33.3			Percent of total billed charges		771.561	100			Percent of total billed charges		2317	771.561	2085.3	
implant nail humeral 8mm x26cm 12-2464 s/n	278	RC	Outpatient			2317	1506.05		90			Percent of total billed charges		2085.3	40			Percent of total billed charges		926.8	80			Percent of total billed charges		1853.6	90			Percent of total billed charges		2085.3	85			Percent of total billed charges		1969.45	85			Percent of total billed charges		1969.45	85			Percent of total billed charges		1969.45	100			Percent of total billed charges		2317	100			Percent of total billed charges		2317	100			Percent of total billed charges		2317	33.3			Percent of total billed charges		771.561	33.3			Percent of total billed charges		771.561	100			Percent of total billed charges		2317	771.561	2085.3	
s/n humeral nail	278	RC	Outpatient			2317	1506.05		90			Percent of total billed charges		2085.3	40			Percent of total billed charges		926.8	80			Percent of total billed charges		1853.6	90			Percent of total billed charges		2085.3	85			Percent of total billed charges		1969.45	85			Percent of total billed charges		1969.45	85			Percent of total billed charges		1969.45	100			Percent of total billed charges		2317	100			Percent of total billed charges		2317	100			Percent of total billed charges		2317	33.3			Percent of total billed charges		771.561	33.3			Percent of total billed charges		771.561	100			Percent of total billed charges		2317	771.561	2085.3	
olecranon locking plate 12h r 71823912 s/n	278	RC	Outpatient			2318	1506.7		90			Percent of total billed charges		2086.2	40			Percent of total billed charges		927.2	80			Percent of total billed charges		1854.4	90			Percent of total billed charges		2086.2	85			Percent of total billed charges		1970.3	85			Percent of total billed charges		1970.3	85			Percent of total billed charges		1970.3	100			Percent of total billed charges		2318	100			Percent of total billed charges		2318	100			Percent of total billed charges		2318	33.3			Percent of total billed charges		771.894	33.3			Percent of total billed charges		771.894	100			Percent of total billed charges		2318	771.894	2086.2	
olecranon locking plate 12h l 71822912 s/n	278	RC	Outpatient			2318	1506.7		90			Percent of total billed charges		2086.2	40			Percent of total billed charges		927.2	80			Percent of total billed charges		1854.4	90			Percent of total billed charges		2086.2	85			Percent of total billed charges		1970.3	85			Percent of total billed charges		1970.3	85			Percent of total billed charges		1970.3	100			Percent of total billed charges		2318	100			Percent of total billed charges		2318	100			Percent of total billed charges		2318	33.3			Percent of total billed charges		771.894	33.3			Percent of total billed charges		771.894	100			Percent of total billed charges		2318	771.894	2086.2	
s/n olecranon lk pl 12h	278	RC	Outpatient			2318	1506.7		90			Percent of total billed charges		2086.2	40			Percent of total billed charges		927.2	80			Percent of total billed charges		1854.4	90			Percent of total billed charges		2086.2	85			Percent of total billed charges		1970.3	85			Percent of total billed charges		1970.3	85			Percent of total billed charges		1970.3	100			Percent of total billed charges		2318	100			Percent of total billed charges		2318	100			Percent of total billed charges		2318	33.3			Percent of total billed charges		771.894	33.3			Percent of total billed charges		771.894	100			Percent of total billed charges		2318	771.894	2086.2	
neer shoulder	274	RC	Outpatient			2322	1509.3		90			Percent of total billed charges		2089.8	40			Percent of total billed charges		928.8	80			Percent of total billed charges		1857.6	90			Percent of total billed charges		2089.8	85			Percent of total billed charges		1973.7	85			Percent of total billed charges		1973.7	85			Percent of total billed charges		1973.7	100			Percent of total billed charges		2322	100			Percent of total billed charges		2322	100			Percent of total billed charges		2322	33.3			Percent of total billed charges		773.226	33.3			Percent of total billed charges		773.226	100			Percent of total billed charges		2322	773.226	2089.8	
prosthesis shoulder neer lg  6946-0-001 howm	274	RC	Outpatient			2322	1509.3		90			Percent of total billed charges		2089.8	40			Percent of total billed charges		928.8	80			Percent of total billed charges		1857.6	90			Percent of total billed charges		2089.8	85			Percent of total billed charges		1973.7	85			Percent of total billed charges		1973.7	85			Percent of total billed charges		1973.7	100			Percent of total billed charges		2322	100			Percent of total billed charges		2322	100			Percent of total billed charges		2322	33.3			Percent of total billed charges		773.226	33.3			Percent of total billed charges		773.226	100			Percent of total billed charges		2322	773.226	2089.8	
prosthesis shoulder neer sm 6 x 140 6946-0-003	274	RC	Outpatient			2322	1509.3		90			Percent of total billed charges		2089.8	40			Percent of total billed charges		928.8	80			Percent of total billed charges		1857.6	90			Percent of total billed charges		2089.8	85			Percent of total billed charges		1973.7	85			Percent of total billed charges		1973.7	85			Percent of total billed charges		1973.7	100			Percent of total billed charges		2322	100			Percent of total billed charges		2322	100			Percent of total billed charges		2322	33.3			Percent of total billed charges		773.226	33.3			Percent of total billed charges		773.226	100			Percent of total billed charges		2322	773.226	2089.8	
prosthesis shoulder neer med 69460002	274	RC	Outpatient			2322	1509.3		90			Percent of total billed charges		2089.8	40			Percent of total billed charges		928.8	80			Percent of total billed charges		1857.6	90			Percent of total billed charges		2089.8	85			Percent of total billed charges		1973.7	85			Percent of total billed charges		1973.7	85			Percent of total billed charges		1973.7	100			Percent of total billed charges		2322	100			Percent of total billed charges		2322	100			Percent of total billed charges		2322	33.3			Percent of total billed charges		773.226	33.3			Percent of total billed charges		773.226	100			Percent of total billed charges		2322	773.226	2089.8	
acu-loc vdu plate long left 70-0047 acumed	278	RC	Outpatient			2325	1511.25		90			Percent of total billed charges		2092.5	40			Percent of total billed charges		930	80			Percent of total billed charges		1860	90			Percent of total billed charges		2092.5	85			Percent of total billed charges		1976.25	85			Percent of total billed charges		1976.25	85			Percent of total billed charges		1976.25	100			Percent of total billed charges		2325	100			Percent of total billed charges		2325	100			Percent of total billed charges		2325	33.3			Percent of total billed charges		774.225	33.3			Percent of total billed charges		774.225	100			Percent of total billed charges		2325	774.225	2092.5	
acu-loc vdu plate long right 70-0048 acumed	278	RC	Outpatient			2325	1511.25		90			Percent of total billed charges		2092.5	40			Percent of total billed charges		930	80			Percent of total billed charges		1860	90			Percent of total billed charges		2092.5	85			Percent of total billed charges		1976.25	85			Percent of total billed charges		1976.25	85			Percent of total billed charges		1976.25	100			Percent of total billed charges		2325	100			Percent of total billed charges		2325	100			Percent of total billed charges		2325	33.3			Percent of total billed charges		774.225	33.3			Percent of total billed charges		774.225	100			Percent of total billed charges		2325	774.225	2092.5	
acu-loc vdu plate standard right 70-0046 acumed	278	RC	Outpatient			2325	1511.25		90			Percent of total billed charges		2092.5	40			Percent of total billed charges		930	80			Percent of total billed charges		1860	90			Percent of total billed charges		2092.5	85			Percent of total billed charges		1976.25	85			Percent of total billed charges		1976.25	85			Percent of total billed charges		1976.25	100			Percent of total billed charges		2325	100			Percent of total billed charges		2325	100			Percent of total billed charges		2325	33.3			Percent of total billed charges		774.225	33.3			Percent of total billed charges		774.225	100			Percent of total billed charges		2325	774.225	2092.5	
acumed vdu s plate	278	RC	Outpatient			2325	1511.25		90			Percent of total billed charges		2092.5	40			Percent of total billed charges		930	80			Percent of total billed charges		1860	90			Percent of total billed charges		2092.5	85			Percent of total billed charges		1976.25	85			Percent of total billed charges		1976.25	85			Percent of total billed charges		1976.25	100			Percent of total billed charges		2325	100			Percent of total billed charges		2325	100			Percent of total billed charges		2325	33.3			Percent of total billed charges		774.225	33.3			Percent of total billed charges		774.225	100			Percent of total billed charges		2325	774.225	2092.5	
acu-loc vdu plate standard left 70-0045 acumed	278	RC	Outpatient			2325	1511.25		90			Percent of total billed charges		2092.5	40			Percent of total billed charges		930	80			Percent of total billed charges		1860	90			Percent of total billed charges		2092.5	85			Percent of total billed charges		1976.25	85			Percent of total billed charges		1976.25	85			Percent of total billed charges		1976.25	100			Percent of total billed charges		2325	100			Percent of total billed charges		2325	100			Percent of total billed charges		2325	33.3			Percent of total billed charges		774.225	33.3			Percent of total billed charges		774.225	100			Percent of total billed charges		2325	774.225	2092.5	
triathlon fem post augment 10mm sz 4 5544-a-400 stryker	278	RC	Outpatient			2325	1511.25		90			Percent of total billed charges		2092.5	40			Percent of total billed charges		930	80			Percent of total billed charges		1860	90			Percent of total billed charges		2092.5	85			Percent of total billed charges		1976.25	85			Percent of total billed charges		1976.25	85			Percent of total billed charges		1976.25	100			Percent of total billed charges		2325	100			Percent of total billed charges		2325	100			Percent of total billed charges		2325	33.3			Percent of total billed charges		774.225	33.3			Percent of total billed charges		774.225	100			Percent of total billed charges		2325	774.225	2092.5	
triathlon fem au post10mm	278	RC	Outpatient			2325	1511.25		90			Percent of total billed charges		2092.5	40			Percent of total billed charges		930	80			Percent of total billed charges		1860	90			Percent of total billed charges		2092.5	85			Percent of total billed charges		1976.25	85			Percent of total billed charges		1976.25	85			Percent of total billed charges		1976.25	100			Percent of total billed charges		2325	100			Percent of total billed charges		2325	100			Percent of total billed charges		2325	33.3			Percent of total billed charges		774.225	33.3			Percent of total billed charges		774.225	100			Percent of total billed charges		2325	774.225	2092.5	
b-t-b hemi	278	RC	Outpatient			2328	1513.2		90			Percent of total billed charges		2095.2	40			Percent of total billed charges		931.2	80			Percent of total billed charges		1862.4	90			Percent of total billed charges		2095.2	85			Percent of total billed charges		1978.8	85			Percent of total billed charges		1978.8	85			Percent of total billed charges		1978.8	100			Percent of total billed charges		2328	100			Percent of total billed charges		2328	100			Percent of total billed charges		2328	33.3			Percent of total billed charges		775.224	33.3			Percent of total billed charges		775.224	100			Percent of total billed charges		2328	775.224	2095.2	
b-t-b hemi patella tendon 130010 mtf	278	RC	Outpatient			2328	1513.2		90			Percent of total billed charges		2095.2	40			Percent of total billed charges		931.2	80			Percent of total billed charges		1862.4	90			Percent of total billed charges		2095.2	85			Percent of total billed charges		1978.8	85			Percent of total billed charges		1978.8	85			Percent of total billed charges		1978.8	100			Percent of total billed charges		2328	100			Percent of total billed charges		2328	100			Percent of total billed charges		2328	33.3			Percent of total billed charges		775.224	33.3			Percent of total billed charges		775.224	100			Percent of total billed charges		2328	775.224	2095.2	
polarcath dilatation cath .014  5.0 x 150 x 135 t5015013501 boston scient	272	RC	Outpatient			2333	1516.45		90			Percent of total billed charges		2099.7	40			Percent of total billed charges		933.2	80			Percent of total billed charges		1866.4	90			Percent of total billed charges		2099.7	85			Percent of total billed charges		1983.05	85			Percent of total billed charges		1983.05	85			Percent of total billed charges		1983.05	100			Percent of total billed charges		2333	100			Percent of total billed charges		2333	100			Percent of total billed charges		2333	33.3			Percent of total billed charges		776.889	33.3			Percent of total billed charges		776.889	100			Percent of total billed charges		2333	776.889	2099.7	
polarcath .014 150mm	272	RC	Outpatient			2333	1516.45		90			Percent of total billed charges		2099.7	40			Percent of total billed charges		933.2	80			Percent of total billed charges		1866.4	90			Percent of total billed charges		2099.7	85			Percent of total billed charges		1983.05	85			Percent of total billed charges		1983.05	85			Percent of total billed charges		1983.05	100			Percent of total billed charges		2333	100			Percent of total billed charges		2333	100			Percent of total billed charges		2333	33.3			Percent of total billed charges		776.889	33.3			Percent of total billed charges		776.889	100			Percent of total billed charges		2333	776.889	2099.7	
polarcath dilatation cath .014  2.0 x 150 x 150 t2015015001 boston scient	272	RC	Outpatient			2333	1516.45		90			Percent of total billed charges		2099.7	40			Percent of total billed charges		933.2	80			Percent of total billed charges		1866.4	90			Percent of total billed charges		2099.7	85			Percent of total billed charges		1983.05	85			Percent of total billed charges		1983.05	85			Percent of total billed charges		1983.05	100			Percent of total billed charges		2333	100			Percent of total billed charges		2333	100			Percent of total billed charges		2333	33.3			Percent of total billed charges		776.889	33.3			Percent of total billed charges		776.889	100			Percent of total billed charges		2333	776.889	2099.7	
polarcath dilatation cath .014  3.0 x 150 x 150 t3015015001 boston scient	272	RC	Outpatient			2333	1516.45		90			Percent of total billed charges		2099.7	40			Percent of total billed charges		933.2	80			Percent of total billed charges		1866.4	90			Percent of total billed charges		2099.7	85			Percent of total billed charges		1983.05	85			Percent of total billed charges		1983.05	85			Percent of total billed charges		1983.05	100			Percent of total billed charges		2333	100			Percent of total billed charges		2333	100			Percent of total billed charges		2333	33.3			Percent of total billed charges		776.889	33.3			Percent of total billed charges		776.889	100			Percent of total billed charges		2333	776.889	2099.7	
polarcath dilatation cath .014  4.0 x 150 x 150 t4015015001 boston scient	272	RC	Outpatient			2333	1516.45		90			Percent of total billed charges		2099.7	40			Percent of total billed charges		933.2	80			Percent of total billed charges		1866.4	90			Percent of total billed charges		2099.7	85			Percent of total billed charges		1983.05	85			Percent of total billed charges		1983.05	85			Percent of total billed charges		1983.05	100			Percent of total billed charges		2333	100			Percent of total billed charges		2333	100			Percent of total billed charges		2333	33.3			Percent of total billed charges		776.889	33.3			Percent of total billed charges		776.889	100			Percent of total billed charges		2333	776.889	2099.7	
polarcath dilatation cath .014  6.0 x 150 x 135 t6015013501 boston scient	272	RC	Outpatient			2333	1516.45		90			Percent of total billed charges		2099.7	40			Percent of total billed charges		933.2	80			Percent of total billed charges		1866.4	90			Percent of total billed charges		2099.7	85			Percent of total billed charges		1983.05	85			Percent of total billed charges		1983.05	85			Percent of total billed charges		1983.05	100			Percent of total billed charges		2333	100			Percent of total billed charges		2333	100			Percent of total billed charges		2333	33.3			Percent of total billed charges		776.889	33.3			Percent of total billed charges		776.889	100			Percent of total billed charges		2333	776.889	2099.7	
biomet cable plate 7 hole	278	RC	Outpatient			2340	1521		90			Percent of total billed charges		2106	40			Percent of total billed charges		936	80			Percent of total billed charges		1872	90			Percent of total billed charges		2106	85			Percent of total billed charges		1989	85			Percent of total billed charges		1989	85			Percent of total billed charges		1989	100			Percent of total billed charges		2340	100			Percent of total billed charges		2340	100			Percent of total billed charges		2340	33.3			Percent of total billed charges		779.22	33.3			Percent of total billed charges		779.22	100			Percent of total billed charges		2340	779.22	2106	
ss cable plate 7 hole 210mm 350817 biomet	278	RC	Outpatient			2340	1521		90			Percent of total billed charges		2106	40			Percent of total billed charges		936	80			Percent of total billed charges		1872	90			Percent of total billed charges		2106	85			Percent of total billed charges		1989	85			Percent of total billed charges		1989	85			Percent of total billed charges		1989	100			Percent of total billed charges		2340	100			Percent of total billed charges		2340	100			Percent of total billed charges		2340	33.3			Percent of total billed charges		779.22	33.3			Percent of total billed charges		779.22	100			Percent of total billed charges		2340	779.22	2106	
gtr w/2 cables 23 x 53mm 2232-002-04 zimmer	278	RC	Outpatient			2341	1521.65		90			Percent of total billed charges		2106.9	40			Percent of total billed charges		936.4	80			Percent of total billed charges		1872.8	90			Percent of total billed charges		2106.9	85			Percent of total billed charges		1989.85	85			Percent of total billed charges		1989.85	85			Percent of total billed charges		1989.85	100			Percent of total billed charges		2341	100			Percent of total billed charges		2341	100			Percent of total billed charges		2341	33.3			Percent of total billed charges		779.553	33.3			Percent of total billed charges		779.553	100			Percent of total billed charges		2341	779.553	2106.9	
zimm gtr w/2 cble 23x53mm	278	RC	Outpatient			2341	1521.65		90			Percent of total billed charges		2106.9	40			Percent of total billed charges		936.4	80			Percent of total billed charges		1872.8	90			Percent of total billed charges		2106.9	85			Percent of total billed charges		1989.85	85			Percent of total billed charges		1989.85	85			Percent of total billed charges		1989.85	100			Percent of total billed charges		2341	100			Percent of total billed charges		2341	100			Percent of total billed charges		2341	33.3			Percent of total billed charges		779.553	33.3			Percent of total billed charges		779.553	100			Percent of total billed charges		2341	779.553	2106.9	
reflection xlpe 32 20 ant +4 54-56 sz f 7133-3435 s/n	278	RC	Outpatient			2344	1523.6		90			Percent of total billed charges		2109.6	40			Percent of total billed charges		937.6	80			Percent of total billed charges		1875.2	90			Percent of total billed charges		2109.6	85			Percent of total billed charges		1992.4	85			Percent of total billed charges		1992.4	85			Percent of total billed charges		1992.4	100			Percent of total billed charges		2344	100			Percent of total billed charges		2344	100			Percent of total billed charges		2344	33.3			Percent of total billed charges		780.552	33.3			Percent of total billed charges		780.552	100			Percent of total billed charges		2344	780.552	2109.6	
richards liner antevert	278	RC	Outpatient			2344	1523.6		90			Percent of total billed charges		2109.6	40			Percent of total billed charges		937.6	80			Percent of total billed charges		1875.2	90			Percent of total billed charges		2109.6	85			Percent of total billed charges		1992.4	85			Percent of total billed charges		1992.4	85			Percent of total billed charges		1992.4	100			Percent of total billed charges		2344	100			Percent of total billed charges		2344	100			Percent of total billed charges		2344	33.3			Percent of total billed charges		780.552	33.3			Percent of total billed charges		780.552	100			Percent of total billed charges		2344	780.552	2109.6	
profix conforming tib insr rt sz4 12mm 71507142 s/n	278	RC	Outpatient			2344	1523.6		90			Percent of total billed charges		2109.6	40			Percent of total billed charges		937.6	80			Percent of total billed charges		1875.2	90			Percent of total billed charges		2109.6	85			Percent of total billed charges		1992.4	85			Percent of total billed charges		1992.4	85			Percent of total billed charges		1992.4	100			Percent of total billed charges		2344	100			Percent of total billed charges		2344	100			Percent of total billed charges		2344	33.3			Percent of total billed charges		780.552	33.3			Percent of total billed charges		780.552	100			Percent of total billed charges		2344	780.552	2109.6	
reflection xlpe acetabular liner 20 deg anteverted size f 71333425 s/n	278	RC	Outpatient			2344	1523.6		90			Percent of total billed charges		2109.6	40			Percent of total billed charges		937.6	80			Percent of total billed charges		1875.2	90			Percent of total billed charges		2109.6	85			Percent of total billed charges		1992.4	85			Percent of total billed charges		1992.4	85			Percent of total billed charges		1992.4	100			Percent of total billed charges		2344	100			Percent of total billed charges		2344	100			Percent of total billed charges		2344	33.3			Percent of total billed charges		780.552	33.3			Percent of total billed charges		780.552	100			Percent of total billed charges		2344	780.552	2109.6	
rich reflect anter liner	278	RC	Outpatient			2344	1523.6		90			Percent of total billed charges		2109.6	40			Percent of total billed charges		937.6	80			Percent of total billed charges		1875.2	90			Percent of total billed charges		2109.6	85			Percent of total billed charges		1992.4	85			Percent of total billed charges		1992.4	85			Percent of total billed charges		1992.4	100			Percent of total billed charges		2344	100			Percent of total billed charges		2344	100			Percent of total billed charges		2344	33.3			Percent of total billed charges		780.552	33.3			Percent of total billed charges		780.552	100			Percent of total billed charges		2344	780.552	2109.6	
s/m profix comf tib insr	278	RC	Outpatient			2344	1523.6		90			Percent of total billed charges		2109.6	40			Percent of total billed charges		937.6	80			Percent of total billed charges		1875.2	90			Percent of total billed charges		2109.6	85			Percent of total billed charges		1992.4	85			Percent of total billed charges		1992.4	85			Percent of total billed charges		1992.4	100			Percent of total billed charges		2344	100			Percent of total billed charges		2344	100			Percent of total billed charges		2344	33.3			Percent of total billed charges		780.552	33.3			Percent of total billed charges		780.552	100			Percent of total billed charges		2344	780.552	2109.6	
stryker xia pa screw	278	RC	Outpatient			2344	1523.6		90			Percent of total billed charges		2109.6	40			Percent of total billed charges		937.6	80			Percent of total billed charges		1875.2	90			Percent of total billed charges		2109.6	85			Percent of total billed charges		1992.4	85			Percent of total billed charges		1992.4	85			Percent of total billed charges		1992.4	100			Percent of total billed charges		2344	100			Percent of total billed charges		2344	100			Percent of total billed charges		2344	33.3			Percent of total billed charges		780.552	33.3			Percent of total billed charges		780.552	100			Percent of total billed charges		2344	780.552	2109.6	
genesis cr articular insert 12mm x-lg 71204537 s/n	278	RC	Outpatient			2345	1524.25		90			Percent of total billed charges		2110.5	40			Percent of total billed charges		938	80			Percent of total billed charges		1876	90			Percent of total billed charges		2110.5	85			Percent of total billed charges		1993.25	85			Percent of total billed charges		1993.25	85			Percent of total billed charges		1993.25	100			Percent of total billed charges		2345	100			Percent of total billed charges		2345	100			Percent of total billed charges		2345	33.3			Percent of total billed charges		780.885	33.3			Percent of total billed charges		780.885	100			Percent of total billed charges		2345	780.885	2110.5	
s/n gen art inst	278	RC	Outpatient			2345	1524.25		90			Percent of total billed charges		2110.5	40			Percent of total billed charges		938	80			Percent of total billed charges		1876	90			Percent of total billed charges		2110.5	85			Percent of total billed charges		1993.25	85			Percent of total billed charges		1993.25	85			Percent of total billed charges		1993.25	100			Percent of total billed charges		2345	100			Percent of total billed charges		2345	100			Percent of total billed charges		2345	33.3			Percent of total billed charges		780.885	33.3			Percent of total billed charges		780.885	100			Percent of total billed charges		2345	780.885	2110.5	
imhs nail 19.5 cm	278	RC	Outpatient			2347	1525.55		90			Percent of total billed charges		2112.3	40			Percent of total billed charges		938.8	80			Percent of total billed charges		1877.6	90			Percent of total billed charges		2112.3	85			Percent of total billed charges		1994.95	85			Percent of total billed charges		1994.95	85			Percent of total billed charges		1994.95	100			Percent of total billed charges		2347	100			Percent of total billed charges		2347	100			Percent of total billed charges		2347	33.3			Percent of total billed charges		781.551	33.3			Percent of total billed charges		781.551	100			Percent of total billed charges		2347	781.551	2112.3	
s/n imhs cp nail 10mm x 19.5cm 71683510l	278	RC	Outpatient			2347	1525.55		90			Percent of total billed charges		2112.3	40			Percent of total billed charges		938.8	80			Percent of total billed charges		1877.6	90			Percent of total billed charges		2112.3	85			Percent of total billed charges		1994.95	85			Percent of total billed charges		1994.95	85			Percent of total billed charges		1994.95	100			Percent of total billed charges		2347	100			Percent of total billed charges		2347	100			Percent of total billed charges		2347	33.3			Percent of total billed charges		781.551	33.3			Percent of total billed charges		781.551	100			Percent of total billed charges		2347	781.551	2112.3	
s/n imhs cp nail 12mm x 19.5cm 71683012l	278	RC	Outpatient			2347	1525.55		90			Percent of total billed charges		2112.3	40			Percent of total billed charges		938.8	80			Percent of total billed charges		1877.6	90			Percent of total billed charges		2112.3	85			Percent of total billed charges		1994.95	85			Percent of total billed charges		1994.95	85			Percent of total billed charges		1994.95	100			Percent of total billed charges		2347	100			Percent of total billed charges		2347	100			Percent of total billed charges		2347	33.3			Percent of total billed charges		781.551	33.3			Percent of total billed charges		781.551	100			Percent of total billed charges		2347	781.551	2112.3	
s/n imhs cp nail 12mm x 19.5cm 71683512l	278	RC	Outpatient			2347	1525.55		90			Percent of total billed charges		2112.3	40			Percent of total billed charges		938.8	80			Percent of total billed charges		1877.6	90			Percent of total billed charges		2112.3	85			Percent of total billed charges		1994.95	85			Percent of total billed charges		1994.95	85			Percent of total billed charges		1994.95	100			Percent of total billed charges		2347	100			Percent of total billed charges		2347	100			Percent of total billed charges		2347	33.3			Percent of total billed charges		781.551	33.3			Percent of total billed charges		781.551	100			Percent of total billed charges		2347	781.551	2112.3	
s/n imhs cp nail 14mm x 19.5cm 71683014l	278	RC	Outpatient			2347	1525.55		90			Percent of total billed charges		2112.3	40			Percent of total billed charges		938.8	80			Percent of total billed charges		1877.6	90			Percent of total billed charges		2112.3	85			Percent of total billed charges		1994.95	85			Percent of total billed charges		1994.95	85			Percent of total billed charges		1994.95	100			Percent of total billed charges		2347	100			Percent of total billed charges		2347	100			Percent of total billed charges		2347	33.3			Percent of total billed charges		781.551	33.3			Percent of total billed charges		781.551	100			Percent of total billed charges		2347	781.551	2112.3	
s/n imhs cp nail 14mm x 19.5cm 71683514l	278	RC	Outpatient			2347	1525.55		90			Percent of total billed charges		2112.3	40			Percent of total billed charges		938.8	80			Percent of total billed charges		1877.6	90			Percent of total billed charges		2112.3	85			Percent of total billed charges		1994.95	85			Percent of total billed charges		1994.95	85			Percent of total billed charges		1994.95	100			Percent of total billed charges		2347	100			Percent of total billed charges		2347	100			Percent of total billed charges		2347	33.3			Percent of total billed charges		781.551	33.3			Percent of total billed charges		781.551	100			Percent of total billed charges		2347	781.551	2112.3	
s/n imhs cp nail 16mm x 19.5cm 71683516l	278	RC	Outpatient			2347	1525.55		90			Percent of total billed charges		2112.3	40			Percent of total billed charges		938.8	80			Percent of total billed charges		1877.6	90			Percent of total billed charges		2112.3	85			Percent of total billed charges		1994.95	85			Percent of total billed charges		1994.95	85			Percent of total billed charges		1994.95	100			Percent of total billed charges		2347	100			Percent of total billed charges		2347	100			Percent of total billed charges		2347	33.3			Percent of total billed charges		781.551	33.3			Percent of total billed charges		781.551	100			Percent of total billed charges		2347	781.551	2112.3	
s/n imhs nail  cp 10 x 19.5 lt 125 degree 7168-2510l	278	RC	Outpatient			2347	1525.55		90			Percent of total billed charges		2112.3	40			Percent of total billed charges		938.8	80			Percent of total billed charges		1877.6	90			Percent of total billed charges		2112.3	85			Percent of total billed charges		1994.95	85			Percent of total billed charges		1994.95	85			Percent of total billed charges		1994.95	100			Percent of total billed charges		2347	100			Percent of total billed charges		2347	100			Percent of total billed charges		2347	33.3			Percent of total billed charges		781.551	33.3			Percent of total billed charges		781.551	100			Percent of total billed charges		2347	781.551	2112.3	
s/n imhs nail  cp 10 x 19.5 rt 125 degree 7168-2510r	278	RC	Outpatient			2347	1525.55		90			Percent of total billed charges		2112.3	40			Percent of total billed charges		938.8	80			Percent of total billed charges		1877.6	90			Percent of total billed charges		2112.3	85			Percent of total billed charges		1994.95	85			Percent of total billed charges		1994.95	85			Percent of total billed charges		1994.95	100			Percent of total billed charges		2347	100			Percent of total billed charges		2347	100			Percent of total billed charges		2347	33.3			Percent of total billed charges		781.551	33.3			Percent of total billed charges		781.551	100			Percent of total billed charges		2347	781.551	2112.3	
s/n imhs nail  cp 12 x 19.5 rt 125 degree 7168-2512r	278	RC	Outpatient			2347	1525.55		90			Percent of total billed charges		2112.3	40			Percent of total billed charges		938.8	80			Percent of total billed charges		1877.6	90			Percent of total billed charges		2112.3	85			Percent of total billed charges		1994.95	85			Percent of total billed charges		1994.95	85			Percent of total billed charges		1994.95	100			Percent of total billed charges		2347	100			Percent of total billed charges		2347	100			Percent of total billed charges		2347	33.3			Percent of total billed charges		781.551	33.3			Percent of total billed charges		781.551	100			Percent of total billed charges		2347	781.551	2112.3	
s/n imhs nail  cp 14 x 19.5 lt 125 degree 7168-2514l	278	RC	Outpatient			2347	1525.55		90			Percent of total billed charges		2112.3	40			Percent of total billed charges		938.8	80			Percent of total billed charges		1877.6	90			Percent of total billed charges		2112.3	85			Percent of total billed charges		1994.95	85			Percent of total billed charges		1994.95	85			Percent of total billed charges		1994.95	100			Percent of total billed charges		2347	100			Percent of total billed charges		2347	100			Percent of total billed charges		2347	33.3			Percent of total billed charges		781.551	33.3			Percent of total billed charges		781.551	100			Percent of total billed charges		2347	781.551	2112.3	
s/n imhs nail  cp 14 x 19.5 rt 125 degree 7168-2514r	278	RC	Outpatient			2347	1525.55		90			Percent of total billed charges		2112.3	40			Percent of total billed charges		938.8	80			Percent of total billed charges		1877.6	90			Percent of total billed charges		2112.3	85			Percent of total billed charges		1994.95	85			Percent of total billed charges		1994.95	85			Percent of total billed charges		1994.95	100			Percent of total billed charges		2347	100			Percent of total billed charges		2347	100			Percent of total billed charges		2347	33.3			Percent of total billed charges		781.551	33.3			Percent of total billed charges		781.551	100			Percent of total billed charges		2347	781.551	2112.3	
s/n imhs nail  cp 16 x 19.5 lt 125 degree 7168-2516l	278	RC	Outpatient			2347	1525.55		90			Percent of total billed charges		2112.3	40			Percent of total billed charges		938.8	80			Percent of total billed charges		1877.6	90			Percent of total billed charges		2112.3	85			Percent of total billed charges		1994.95	85			Percent of total billed charges		1994.95	85			Percent of total billed charges		1994.95	100			Percent of total billed charges		2347	100			Percent of total billed charges		2347	100			Percent of total billed charges		2347	33.3			Percent of total billed charges		781.551	33.3			Percent of total billed charges		781.551	100			Percent of total billed charges		2347	781.551	2112.3	
s/n imhs nail  cp 16 x 19.5 rt 125 degree 7168-2516r	278	RC	Outpatient			2347	1525.55		90			Percent of total billed charges		2112.3	40			Percent of total billed charges		938.8	80			Percent of total billed charges		1877.6	90			Percent of total billed charges		2112.3	85			Percent of total billed charges		1994.95	85			Percent of total billed charges		1994.95	85			Percent of total billed charges		1994.95	100			Percent of total billed charges		2347	100			Percent of total billed charges		2347	100			Percent of total billed charges		2347	33.3			Percent of total billed charges		781.551	33.3			Percent of total billed charges		781.551	100			Percent of total billed charges		2347	781.551	2112.3	
s/n imhs cp nail 10mm x 19.5cm 71683010l	278	RC	Outpatient			2347	1525.55		90			Percent of total billed charges		2112.3	40			Percent of total billed charges		938.8	80			Percent of total billed charges		1877.6	90			Percent of total billed charges		2112.3	85			Percent of total billed charges		1994.95	85			Percent of total billed charges		1994.95	85			Percent of total billed charges		1994.95	100			Percent of total billed charges		2347	100			Percent of total billed charges		2347	100			Percent of total billed charges		2347	33.3			Percent of total billed charges		781.551	33.3			Percent of total billed charges		781.551	100			Percent of total billed charges		2347	781.551	2112.3	
s/n imhs cp nail 10mm x 19.5cm 71683510r	278	RC	Outpatient			2347	1525.55		90			Percent of total billed charges		2112.3	40			Percent of total billed charges		938.8	80			Percent of total billed charges		1877.6	90			Percent of total billed charges		2112.3	85			Percent of total billed charges		1994.95	85			Percent of total billed charges		1994.95	85			Percent of total billed charges		1994.95	100			Percent of total billed charges		2347	100			Percent of total billed charges		2347	100			Percent of total billed charges		2347	33.3			Percent of total billed charges		781.551	33.3			Percent of total billed charges		781.551	100			Percent of total billed charges		2347	781.551	2112.3	
s/n imhs cp nail 12mm x 19.5cm 71683512r	278	RC	Outpatient			2347	1525.55		90			Percent of total billed charges		2112.3	40			Percent of total billed charges		938.8	80			Percent of total billed charges		1877.6	90			Percent of total billed charges		2112.3	85			Percent of total billed charges		1994.95	85			Percent of total billed charges		1994.95	85			Percent of total billed charges		1994.95	100			Percent of total billed charges		2347	100			Percent of total billed charges		2347	100			Percent of total billed charges		2347	33.3			Percent of total billed charges		781.551	33.3			Percent of total billed charges		781.551	100			Percent of total billed charges		2347	781.551	2112.3	
s/n imhs cp nail 14mm x 19.5cm 71683514r	278	RC	Outpatient			2347	1525.55		90			Percent of total billed charges		2112.3	40			Percent of total billed charges		938.8	80			Percent of total billed charges		1877.6	90			Percent of total billed charges		2112.3	85			Percent of total billed charges		1994.95	85			Percent of total billed charges		1994.95	85			Percent of total billed charges		1994.95	100			Percent of total billed charges		2347	100			Percent of total billed charges		2347	100			Percent of total billed charges		2347	33.3			Percent of total billed charges		781.551	33.3			Percent of total billed charges		781.551	100			Percent of total billed charges		2347	781.551	2112.3	
s/n imhs cp nail 16mm x 19.5cm 71683016l	278	RC	Outpatient			2347	1525.55		90			Percent of total billed charges		2112.3	40			Percent of total billed charges		938.8	80			Percent of total billed charges		1877.6	90			Percent of total billed charges		2112.3	85			Percent of total billed charges		1994.95	85			Percent of total billed charges		1994.95	85			Percent of total billed charges		1994.95	100			Percent of total billed charges		2347	100			Percent of total billed charges		2347	100			Percent of total billed charges		2347	33.3			Percent of total billed charges		781.551	33.3			Percent of total billed charges		781.551	100			Percent of total billed charges		2347	781.551	2112.3	
s/n imhs cp nail 16mm x 19.5cm 71683016r	278	RC	Outpatient			2347	1525.55		90			Percent of total billed charges		2112.3	40			Percent of total billed charges		938.8	80			Percent of total billed charges		1877.6	90			Percent of total billed charges		2112.3	85			Percent of total billed charges		1994.95	85			Percent of total billed charges		1994.95	85			Percent of total billed charges		1994.95	100			Percent of total billed charges		2347	100			Percent of total billed charges		2347	100			Percent of total billed charges		2347	33.3			Percent of total billed charges		781.551	33.3			Percent of total billed charges		781.551	100			Percent of total billed charges		2347	781.551	2112.3	
s/n imhs cp nail 16mm x 19.5cm 71683516r	278	RC	Outpatient			2347	1525.55		90			Percent of total billed charges		2112.3	40			Percent of total billed charges		938.8	80			Percent of total billed charges		1877.6	90			Percent of total billed charges		2112.3	85			Percent of total billed charges		1994.95	85			Percent of total billed charges		1994.95	85			Percent of total billed charges		1994.95	100			Percent of total billed charges		2347	100			Percent of total billed charges		2347	100			Percent of total billed charges		2347	33.3			Percent of total billed charges		781.551	33.3			Percent of total billed charges		781.551	100			Percent of total billed charges		2347	781.551	2112.3	
s/n imhs cp nail 19.5mm x 19.5cm 71683010r	278	RC	Outpatient			2347	1525.55		90			Percent of total billed charges		2112.3	40			Percent of total billed charges		938.8	80			Percent of total billed charges		1877.6	90			Percent of total billed charges		2112.3	85			Percent of total billed charges		1994.95	85			Percent of total billed charges		1994.95	85			Percent of total billed charges		1994.95	100			Percent of total billed charges		2347	100			Percent of total billed charges		2347	100			Percent of total billed charges		2347	33.3			Percent of total billed charges		781.551	33.3			Percent of total billed charges		781.551	100			Percent of total billed charges		2347	781.551	2112.3	
s/n imhs nail  cp 12 x 19.5 lt 125 degree 7168-2512l	278	RC	Outpatient			2347	1525.55		90			Percent of total billed charges		2112.3	40			Percent of total billed charges		938.8	80			Percent of total billed charges		1877.6	90			Percent of total billed charges		2112.3	85			Percent of total billed charges		1994.95	85			Percent of total billed charges		1994.95	85			Percent of total billed charges		1994.95	100			Percent of total billed charges		2347	100			Percent of total billed charges		2347	100			Percent of total billed charges		2347	33.3			Percent of total billed charges		781.551	33.3			Percent of total billed charges		781.551	100			Percent of total billed charges		2347	781.551	2112.3	
anesthesia time 8 1/2 hours	270	RC	Outpatient			2348	1526.2		90			Percent of total billed charges		2113.2	40			Percent of total billed charges		939.2	80			Percent of total billed charges		1878.4	90			Percent of total billed charges		2113.2	85			Percent of total billed charges		1995.8	85			Percent of total billed charges		1995.8	85			Percent of total billed charges		1995.8	100			Percent of total billed charges		2348	100			Percent of total billed charges		2348	100			Percent of total billed charges		2348	33.3			Percent of total billed charges		781.884	33.3			Percent of total billed charges		781.884	100			Percent of total billed charges		2348	781.884	2113.2	
synthes liss plate 5 hole	278	RC	Outpatient			2349	1526.85		90			Percent of total billed charges		2114.1	40			Percent of total billed charges		939.6	80			Percent of total billed charges		1879.2	90			Percent of total billed charges		2114.1	85			Percent of total billed charges		1996.65	85			Percent of total billed charges		1996.65	85			Percent of total billed charges		1996.65	100			Percent of total billed charges		2349	100			Percent of total billed charges		2349	100			Percent of total billed charges		2349	33.3			Percent of total billed charges		782.217	33.3			Percent of total billed charges		782.217	100			Percent of total billed charges		2349	782.217	2114.1	
ti prox tibia liss plate 5-hole rt 422.300 synthes	278	RC	Outpatient			2349	1526.85		90			Percent of total billed charges		2114.1	40			Percent of total billed charges		939.6	80			Percent of total billed charges		1879.2	90			Percent of total billed charges		2114.1	85			Percent of total billed charges		1996.65	85			Percent of total billed charges		1996.65	85			Percent of total billed charges		1996.65	100			Percent of total billed charges		2349	100			Percent of total billed charges		2349	100			Percent of total billed charges		2349	33.3			Percent of total billed charges		782.217	33.3			Percent of total billed charges		782.217	100			Percent of total billed charges		2349	782.217	2114.1	
4.5mm broad dcp plate 8 hole 226.08	278	RC	Outpatient			2353	1529.45		90			Percent of total billed charges		2117.7	40			Percent of total billed charges		941.2	80			Percent of total billed charges		1882.4	90			Percent of total billed charges		2117.7	85			Percent of total billed charges		2000.05	85			Percent of total billed charges		2000.05	85			Percent of total billed charges		2000.05	100			Percent of total billed charges		2353	100			Percent of total billed charges		2353	100			Percent of total billed charges		2353	33.3			Percent of total billed charges		783.549	33.3			Percent of total billed charges		783.549	100			Percent of total billed charges		2353	783.549	2117.7	
4.5mm broad dcp plate 9 hole 226.09	278	RC	Outpatient			2353	1529.45		90			Percent of total billed charges		2117.7	40			Percent of total billed charges		941.2	80			Percent of total billed charges		1882.4	90			Percent of total billed charges		2117.7	85			Percent of total billed charges		2000.05	85			Percent of total billed charges		2000.05	85			Percent of total billed charges		2000.05	100			Percent of total billed charges		2353	100			Percent of total billed charges		2353	100			Percent of total billed charges		2353	33.3			Percent of total billed charges		783.549	33.3			Percent of total billed charges		783.549	100			Percent of total billed charges		2353	783.549	2117.7	
imp plate 9 hole x 160mm 224.59	278	RC	Outpatient			2353	1529.45		90			Percent of total billed charges		2117.7	40			Percent of total billed charges		941.2	80			Percent of total billed charges		1882.4	90			Percent of total billed charges		2117.7	85			Percent of total billed charges		2000.05	85			Percent of total billed charges		2000.05	85			Percent of total billed charges		2000.05	100			Percent of total billed charges		2353	100			Percent of total billed charges		2353	100			Percent of total billed charges		2353	33.3			Percent of total billed charges		783.549	33.3			Percent of total billed charges		783.549	100			Percent of total billed charges		2353	783.549	2117.7	
lc-dcp plate broad 4.5mm 8hole 142mm 226.58	278	RC	Outpatient			2353	1529.45		90			Percent of total billed charges		2117.7	40			Percent of total billed charges		941.2	80			Percent of total billed charges		1882.4	90			Percent of total billed charges		2117.7	85			Percent of total billed charges		2000.05	85			Percent of total billed charges		2000.05	85			Percent of total billed charges		2000.05	100			Percent of total billed charges		2353	100			Percent of total billed charges		2353	100			Percent of total billed charges		2353	33.3			Percent of total billed charges		783.549	33.3			Percent of total billed charges		783.549	100			Percent of total billed charges		2353	783.549	2117.7	
lg fr pl cp brd cmp 8-10h	278	RC	Outpatient			2353	1529.45		90			Percent of total billed charges		2117.7	40			Percent of total billed charges		941.2	80			Percent of total billed charges		1882.4	90			Percent of total billed charges		2117.7	85			Percent of total billed charges		2000.05	85			Percent of total billed charges		2000.05	85			Percent of total billed charges		2000.05	100			Percent of total billed charges		2353	100			Percent of total billed charges		2353	100			Percent of total billed charges		2353	33.3			Percent of total billed charges		783.549	33.3			Percent of total billed charges		783.549	100			Percent of total billed charges		2353	783.549	2117.7	
s/n lg frag plate 4.5mm 10 hole 7184-1210	278	RC	Outpatient			2353	1529.45		90			Percent of total billed charges		2117.7	40			Percent of total billed charges		941.2	80			Percent of total billed charges		1882.4	90			Percent of total billed charges		2117.7	85			Percent of total billed charges		2000.05	85			Percent of total billed charges		2000.05	85			Percent of total billed charges		2000.05	100			Percent of total billed charges		2353	100			Percent of total billed charges		2353	100			Percent of total billed charges		2353	33.3			Percent of total billed charges		783.549	33.3			Percent of total billed charges		783.549	100			Percent of total billed charges		2353	783.549	2117.7	
s/n lg frag plate 4.5mm 8 hole 7184-1208	278	RC	Outpatient			2353	1529.45		90			Percent of total billed charges		2117.7	40			Percent of total billed charges		941.2	80			Percent of total billed charges		1882.4	90			Percent of total billed charges		2117.7	85			Percent of total billed charges		2000.05	85			Percent of total billed charges		2000.05	85			Percent of total billed charges		2000.05	100			Percent of total billed charges		2353	100			Percent of total billed charges		2353	100			Percent of total billed charges		2353	33.3			Percent of total billed charges		783.549	33.3			Percent of total billed charges		783.549	100			Percent of total billed charges		2353	783.549	2117.7	
s/n lg frag plate 4.5mm 9 hole 7184-1209	278	RC	Outpatient			2353	1529.45		90			Percent of total billed charges		2117.7	40			Percent of total billed charges		941.2	80			Percent of total billed charges		1882.4	90			Percent of total billed charges		2117.7	85			Percent of total billed charges		2000.05	85			Percent of total billed charges		2000.05	85			Percent of total billed charges		2000.05	100			Percent of total billed charges		2353	100			Percent of total billed charges		2353	100			Percent of total billed charges		2353	33.3			Percent of total billed charges		783.549	33.3			Percent of total billed charges		783.549	100			Percent of total billed charges		2353	783.549	2117.7	
pro osteon implant #5b108	278	RC	Outpatient			2355	1530.75		90			Percent of total billed charges		2119.5	40			Percent of total billed charges		942	80			Percent of total billed charges		1884	90			Percent of total billed charges		2119.5	85			Percent of total billed charges		2001.75	85			Percent of total billed charges		2001.75	85			Percent of total billed charges		2001.75	100			Percent of total billed charges		2355	100			Percent of total billed charges		2355	100			Percent of total billed charges		2355	33.3			Percent of total billed charges		784.215	33.3			Percent of total billed charges		784.215	100			Percent of total billed charges		2355	784.215	2119.5	
ascension humeral body sz 08 std bod-0923-021-08std integra	278	RC	Outpatient			2360	1534		90			Percent of total billed charges		2124	40			Percent of total billed charges		944	80			Percent of total billed charges		1888	90			Percent of total billed charges		2124	85			Percent of total billed charges		2006	85			Percent of total billed charges		2006	85			Percent of total billed charges		2006	100			Percent of total billed charges		2360	100			Percent of total billed charges		2360	100			Percent of total billed charges		2360	33.3			Percent of total billed charges		785.88	33.3			Percent of total billed charges		785.88	100			Percent of total billed charges		2360	785.88	2124	
comp plt 3.5mm 10 hl 71809110 s\n	278	RC	Outpatient			2364	1536.6		90			Percent of total billed charges		2127.6	40			Percent of total billed charges		945.6	80			Percent of total billed charges		1891.2	90			Percent of total billed charges		2127.6	85			Percent of total billed charges		2009.4	85			Percent of total billed charges		2009.4	85			Percent of total billed charges		2009.4	100			Percent of total billed charges		2364	100			Percent of total billed charges		2364	100			Percent of total billed charges		2364	33.3			Percent of total billed charges		787.212	33.3			Percent of total billed charges		787.212	100			Percent of total billed charges		2364	787.212	2127.6	
comp plt 3.5mm 10 hl 71829710 s\n	278	RC	Outpatient			2364	1536.6		90			Percent of total billed charges		2127.6	40			Percent of total billed charges		945.6	80			Percent of total billed charges		1891.2	90			Percent of total billed charges		2127.6	85			Percent of total billed charges		2009.4	85			Percent of total billed charges		2009.4	85			Percent of total billed charges		2009.4	100			Percent of total billed charges		2364	100			Percent of total billed charges		2364	100			Percent of total billed charges		2364	33.3			Percent of total billed charges		787.212	33.3			Percent of total billed charges		787.212	100			Percent of total billed charges		2364	787.212	2127.6	
comp plt 3.5mm 10 hl 71809710 s\n	278	RC	Outpatient			2364	1536.6		90			Percent of total billed charges		2127.6	40			Percent of total billed charges		945.6	80			Percent of total billed charges		1891.2	90			Percent of total billed charges		2127.6	85			Percent of total billed charges		2009.4	85			Percent of total billed charges		2009.4	85			Percent of total billed charges		2009.4	100			Percent of total billed charges		2364	100			Percent of total billed charges		2364	100			Percent of total billed charges		2364	33.3			Percent of total billed charges		787.212	33.3			Percent of total billed charges		787.212	100			Percent of total billed charges		2364	787.212	2127.6	
s/n 3.5 lck comp pl 10hl	278	RC	Outpatient			2364	1536.6		90			Percent of total billed charges		2127.6	40			Percent of total billed charges		945.6	80			Percent of total billed charges		1891.2	90			Percent of total billed charges		2127.6	85			Percent of total billed charges		2009.4	85			Percent of total billed charges		2009.4	85			Percent of total billed charges		2009.4	100			Percent of total billed charges		2364	100			Percent of total billed charges		2364	100			Percent of total billed charges		2364	33.3			Percent of total billed charges		787.212	33.3			Percent of total billed charges		787.212	100			Percent of total billed charges		2364	787.212	2127.6	
constrained liner adaptor 71323154 s/n	278	RC	Outpatient			2369	1539.85		90			Percent of total billed charges		2132.1	40			Percent of total billed charges		947.6	80			Percent of total billed charges		1895.2	90			Percent of total billed charges		2132.1	85			Percent of total billed charges		2013.65	85			Percent of total billed charges		2013.65	85			Percent of total billed charges		2013.65	100			Percent of total billed charges		2369	100			Percent of total billed charges		2369	100			Percent of total billed charges		2369	33.3			Percent of total billed charges		788.877	33.3			Percent of total billed charges		788.877	100			Percent of total billed charges		2369	788.877	2132.1	
richards const line adpt	278	RC	Outpatient			2369	1539.85		90			Percent of total billed charges		2132.1	40			Percent of total billed charges		947.6	80			Percent of total billed charges		1895.2	90			Percent of total billed charges		2132.1	85			Percent of total billed charges		2013.65	85			Percent of total billed charges		2013.65	85			Percent of total billed charges		2013.65	100			Percent of total billed charges		2369	100			Percent of total billed charges		2369	100			Percent of total billed charges		2369	33.3			Percent of total billed charges		788.877	33.3			Percent of total billed charges		788.877	100			Percent of total billed charges		2369	788.877	2132.1	
acetablar liner 35 degree 71921442 s/n	278	RC	Outpatient			2370	1540.5		90			Percent of total billed charges		2133	40			Percent of total billed charges		948	80			Percent of total billed charges		1896	90			Percent of total billed charges		2133	85			Percent of total billed charges		2014.5	85			Percent of total billed charges		2014.5	85			Percent of total billed charges		2014.5	100			Percent of total billed charges		2370	100			Percent of total billed charges		2370	100			Percent of total billed charges		2370	33.3			Percent of total billed charges		789.21	33.3			Percent of total billed charges		789.21	100			Percent of total billed charges		2370	789.21	2133	
richards acetabular liner	278	RC	Outpatient			2370	1540.5		90			Percent of total billed charges		2133	40			Percent of total billed charges		948	80			Percent of total billed charges		1896	90			Percent of total billed charges		2133	85			Percent of total billed charges		2014.5	85			Percent of total billed charges		2014.5	85			Percent of total billed charges		2014.5	100			Percent of total billed charges		2370	100			Percent of total billed charges		2370	100			Percent of total billed charges		2370	33.3			Percent of total billed charges		789.21	33.3			Percent of total billed charges		789.21	100			Percent of total billed charges		2370	789.21	2133	
accell connexus dbm putty 10cc 02-3000-1000 isotis	278	RC	Outpatient			2383	1548.95		90			Percent of total billed charges		2144.7	40			Percent of total billed charges		953.2	80			Percent of total billed charges		1906.4	90			Percent of total billed charges		2144.7	85			Percent of total billed charges		2025.55	85			Percent of total billed charges		2025.55	85			Percent of total billed charges		2025.55	100			Percent of total billed charges		2383	100			Percent of total billed charges		2383	100			Percent of total billed charges		2383	33.3			Percent of total billed charges		793.539	33.3			Percent of total billed charges		793.539	100			Percent of total billed charges		2383	793.539	2144.7	
accell dbm putty 10cc	278	RC	Outpatient			2383	1548.95		90			Percent of total billed charges		2144.7	40			Percent of total billed charges		953.2	80			Percent of total billed charges		1906.4	90			Percent of total billed charges		2144.7	85			Percent of total billed charges		2025.55	85			Percent of total billed charges		2025.55	85			Percent of total billed charges		2025.55	100			Percent of total billed charges		2383	100			Percent of total billed charges		2383	100			Percent of total billed charges		2383	33.3			Percent of total billed charges		793.539	33.3			Percent of total billed charges		793.539	100			Percent of total billed charges		2383	793.539	2144.7	
acell dbm putty 10cc	278	RC	Outpatient			2383	1548.95		90			Percent of total billed charges		2144.7	40			Percent of total billed charges		953.2	80			Percent of total billed charges		1906.4	90			Percent of total billed charges		2144.7	85			Percent of total billed charges		2025.55	85			Percent of total billed charges		2025.55	85			Percent of total billed charges		2025.55	100			Percent of total billed charges		2383	100			Percent of total billed charges		2383	100			Percent of total billed charges		2383	33.3			Percent of total billed charges		793.539	33.3			Percent of total billed charges		793.539	100			Percent of total billed charges		2383	793.539	2144.7	
smart stent 14 x 80 c14080sb cordis	278	RC	Outpatient			2383	1548.95		90			Percent of total billed charges		2144.7	40			Percent of total billed charges		953.2	80			Percent of total billed charges		1906.4	90			Percent of total billed charges		2144.7	85			Percent of total billed charges		2025.55	85			Percent of total billed charges		2025.55	85			Percent of total billed charges		2025.55	100			Percent of total billed charges		2383	100			Percent of total billed charges		2383	100			Percent of total billed charges		2383	33.3			Percent of total billed charges		793.539	33.3			Percent of total billed charges		793.539	100			Percent of total billed charges		2383	793.539	2144.7	
smart stent control 80	278	RC	Outpatient			2383	1548.95		90			Percent of total billed charges		2144.7	40			Percent of total billed charges		953.2	80			Percent of total billed charges		1906.4	90			Percent of total billed charges		2144.7	85			Percent of total billed charges		2025.55	85			Percent of total billed charges		2025.55	85			Percent of total billed charges		2025.55	100			Percent of total billed charges		2383	100			Percent of total billed charges		2383	100			Percent of total billed charges		2383	33.3			Percent of total billed charges		793.539	33.3			Percent of total billed charges		793.539	100			Percent of total billed charges		2383	793.539	2144.7	
triathlon tib insert ps	278	RC	Outpatient			2391	1554.15		90			Percent of total billed charges		2151.9	40			Percent of total billed charges		956.4	80			Percent of total billed charges		1912.8	90			Percent of total billed charges		2151.9	85			Percent of total billed charges		2032.35	85			Percent of total billed charges		2032.35	85			Percent of total billed charges		2032.35	100			Percent of total billed charges		2391	100			Percent of total billed charges		2391	100			Percent of total billed charges		2391	33.3			Percent of total billed charges		796.203	33.3			Percent of total billed charges		796.203	100			Percent of total billed charges		2391	796.203	2151.9	
triathlon total knee system 5532-p-216 #2 16mm how/steo	278	RC	Outpatient			2391	1554.15		90			Percent of total billed charges		2151.9	40			Percent of total billed charges		956.4	80			Percent of total billed charges		1912.8	90			Percent of total billed charges		2151.9	85			Percent of total billed charges		2032.35	85			Percent of total billed charges		2032.35	85			Percent of total billed charges		2032.35	100			Percent of total billed charges		2391	100			Percent of total billed charges		2391	100			Percent of total billed charges		2391	33.3			Percent of total billed charges		796.203	33.3			Percent of total billed charges		796.203	100			Percent of total billed charges		2391	796.203	2151.9	
integra titan rs liner	278	RC	Outpatient			2393	1555.45		90			Percent of total billed charges		2153.7	40			Percent of total billed charges		957.2	80			Percent of total billed charges		1914.4	90			Percent of total billed charges		2153.7	85			Percent of total billed charges		2034.05	85			Percent of total billed charges		2034.05	85			Percent of total billed charges		2034.05	100			Percent of total billed charges		2393	100			Percent of total billed charges		2393	100			Percent of total billed charges		2393	33.3			Percent of total billed charges		796.869	33.3			Percent of total billed charges		796.869	100			Percent of total billed charges		2393	796.869	2153.7	
titan rs liner standard +0 lnr-0960-00s intregra	278	RC	Outpatient			2393	1555.45		90			Percent of total billed charges		2153.7	40			Percent of total billed charges		957.2	80			Percent of total billed charges		1914.4	90			Percent of total billed charges		2153.7	85			Percent of total billed charges		2034.05	85			Percent of total billed charges		2034.05	85			Percent of total billed charges		2034.05	100			Percent of total billed charges		2393	100			Percent of total billed charges		2393	100			Percent of total billed charges		2393	33.3			Percent of total billed charges		796.869	33.3			Percent of total billed charges		796.869	100			Percent of total billed charges		2393	796.869	2153.7	
bead kit  25cc wright 8400-0311	278	RC	Outpatient			2396	1557.4		90			Percent of total billed charges		2156.4	40			Percent of total billed charges		958.4	80			Percent of total billed charges		1916.8	90			Percent of total billed charges		2156.4	85			Percent of total billed charges		2036.6	85			Percent of total billed charges		2036.6	85			Percent of total billed charges		2036.6	100			Percent of total billed charges		2396	100			Percent of total billed charges		2396	100			Percent of total billed charges		2396	33.3			Percent of total billed charges		797.868	33.3			Percent of total billed charges		797.868	100			Percent of total billed charges		2396	797.868	2156.4	
biod factor .25cc	278	RC	Outpatient			2396	1557.4		90			Percent of total billed charges		2156.4	40			Percent of total billed charges		958.4	80			Percent of total billed charges		1916.8	90			Percent of total billed charges		2156.4	85			Percent of total billed charges		2036.6	85			Percent of total billed charges		2036.6	85			Percent of total billed charges		2036.6	100			Percent of total billed charges		2396	100			Percent of total billed charges		2396	100			Percent of total billed charges		2396	33.3			Percent of total billed charges		797.868	33.3			Percent of total billed charges		797.868	100			Percent of total billed charges		2396	797.868	2156.4	
biodfactor 25ml bf-010025 international biologics	278	RC	Outpatient			2396	1557.4		90			Percent of total billed charges		2156.4	40			Percent of total billed charges		958.4	80			Percent of total billed charges		1916.8	90			Percent of total billed charges		2156.4	85			Percent of total billed charges		2036.6	85			Percent of total billed charges		2036.6	85			Percent of total billed charges		2036.6	100			Percent of total billed charges		2396	100			Percent of total billed charges		2396	100			Percent of total billed charges		2396	33.3			Percent of total billed charges		797.868	33.3			Percent of total billed charges		797.868	100			Percent of total billed charges		2396	797.868	2156.4	
osteoset resorbable bead kit 25cc 8400-0211 wright	278	RC	Outpatient			2396	1557.4		90			Percent of total billed charges		2156.4	40			Percent of total billed charges		958.4	80			Percent of total billed charges		1916.8	90			Percent of total billed charges		2156.4	85			Percent of total billed charges		2036.6	85			Percent of total billed charges		2036.6	85			Percent of total billed charges		2036.6	100			Percent of total billed charges		2396	100			Percent of total billed charges		2396	100			Percent of total billed charges		2396	33.3			Percent of total billed charges		797.868	33.3			Percent of total billed charges		797.868	100			Percent of total billed charges		2396	797.868	2156.4	
wright antibio beads 25cc	278	RC	Outpatient			2396	1557.4		90			Percent of total billed charges		2156.4	40			Percent of total billed charges		958.4	80			Percent of total billed charges		1916.8	90			Percent of total billed charges		2156.4	85			Percent of total billed charges		2036.6	85			Percent of total billed charges		2036.6	85			Percent of total billed charges		2036.6	100			Percent of total billed charges		2396	100			Percent of total billed charges		2396	100			Percent of total billed charges		2396	33.3			Percent of total billed charges		797.868	33.3			Percent of total billed charges		797.868	100			Percent of total billed charges		2396	797.868	2156.4	
dbm putty 10cc	278	RC	Outpatient			2397	1558.05		90			Percent of total billed charges		2157.3	40			Percent of total billed charges		958.8	80			Percent of total billed charges		1917.6	90			Percent of total billed charges		2157.3	85			Percent of total billed charges		2037.45	85			Percent of total billed charges		2037.45	85			Percent of total billed charges		2037.45	100			Percent of total billed charges		2397	100			Percent of total billed charges		2397	100			Percent of total billed charges		2397	33.3			Percent of total billed charges		798.201	33.3			Percent of total billed charges		798.201	100			Percent of total billed charges		2397	798.201	2157.3	
dbm putty 10cc 9090 ebi	278	RC	Outpatient			2397	1558.05		90			Percent of total billed charges		2157.3	40			Percent of total billed charges		958.8	80			Percent of total billed charges		1917.6	90			Percent of total billed charges		2157.3	85			Percent of total billed charges		2037.45	85			Percent of total billed charges		2037.45	85			Percent of total billed charges		2037.45	100			Percent of total billed charges		2397	100			Percent of total billed charges		2397	100			Percent of total billed charges		2397	33.3			Percent of total billed charges		798.201	33.3			Percent of total billed charges		798.201	100			Percent of total billed charges		2397	798.201	2157.3	
peri-loc  3.5 vlp md tibia lk plate 3 hl rt 7282-0703 s/n	278	RC	Outpatient			2397	1558.05		90			Percent of total billed charges		2157.3	40			Percent of total billed charges		958.8	80			Percent of total billed charges		1917.6	90			Percent of total billed charges		2157.3	85			Percent of total billed charges		2037.45	85			Percent of total billed charges		2037.45	85			Percent of total billed charges		2037.45	100			Percent of total billed charges		2397	100			Percent of total billed charges		2397	100			Percent of total billed charges		2397	33.3			Percent of total billed charges		798.201	33.3			Percent of total billed charges		798.201	100			Percent of total billed charges		2397	798.201	2157.3	
s/n vlp med dist tib pl3h	278	RC	Outpatient			2397	1558.05		90			Percent of total billed charges		2157.3	40			Percent of total billed charges		958.8	80			Percent of total billed charges		1917.6	90			Percent of total billed charges		2157.3	85			Percent of total billed charges		2037.45	85			Percent of total billed charges		2037.45	85			Percent of total billed charges		2037.45	100			Percent of total billed charges		2397	100			Percent of total billed charges		2397	100			Percent of total billed charges		2397	33.3			Percent of total billed charges		798.201	33.3			Percent of total billed charges		798.201	100			Percent of total billed charges		2397	798.201	2157.3	
s/n vlp prox tib pl 4h	278	RC	Outpatient			2397	1558.05		90			Percent of total billed charges		2157.3	40			Percent of total billed charges		958.8	80			Percent of total billed charges		1917.6	90			Percent of total billed charges		2157.3	85			Percent of total billed charges		2037.45	85			Percent of total billed charges		2037.45	85			Percent of total billed charges		2037.45	100			Percent of total billed charges		2397	100			Percent of total billed charges		2397	100			Percent of total billed charges		2397	33.3			Percent of total billed charges		798.201	33.3			Percent of total billed charges		798.201	100			Percent of total billed charges		2397	798.201	2157.3	
sc-acufix sentry plate 2 seg 38mm 409-2138 abbott	278	RC	Outpatient			2397	1558.05		90			Percent of total billed charges		2157.3	40			Percent of total billed charges		958.8	80			Percent of total billed charges		1917.6	90			Percent of total billed charges		2157.3	85			Percent of total billed charges		2037.45	85			Percent of total billed charges		2037.45	85			Percent of total billed charges		2037.45	100			Percent of total billed charges		2397	100			Percent of total billed charges		2397	100			Percent of total billed charges		2397	33.3			Percent of total billed charges		798.201	33.3			Percent of total billed charges		798.201	100			Percent of total billed charges		2397	798.201	2157.3	
sc-acufix sentry plate 2 seg 48mm 409-2148 abbott	278	RC	Outpatient			2397	1558.05		90			Percent of total billed charges		2157.3	40			Percent of total billed charges		958.8	80			Percent of total billed charges		1917.6	90			Percent of total billed charges		2157.3	85			Percent of total billed charges		2037.45	85			Percent of total billed charges		2037.45	85			Percent of total billed charges		2037.45	100			Percent of total billed charges		2397	100			Percent of total billed charges		2397	100			Percent of total billed charges		2397	33.3			Percent of total billed charges		798.201	33.3			Percent of total billed charges		798.201	100			Percent of total billed charges		2397	798.201	2157.3	
sentry plt 2 seg	278	RC	Outpatient			2397	1558.05		90			Percent of total billed charges		2157.3	40			Percent of total billed charges		958.8	80			Percent of total billed charges		1917.6	90			Percent of total billed charges		2157.3	85			Percent of total billed charges		2037.45	85			Percent of total billed charges		2037.45	85			Percent of total billed charges		2037.45	100			Percent of total billed charges		2397	100			Percent of total billed charges		2397	100			Percent of total billed charges		2397	33.3			Percent of total billed charges		798.201	33.3			Percent of total billed charges		798.201	100			Percent of total billed charges		2397	798.201	2157.3	
peri-loc  3.5 vlp md tibia lk plate 3 hl lt 7282-0603 s/n	278	RC	Outpatient			2397	1558.05		90			Percent of total billed charges		2157.3	40			Percent of total billed charges		958.8	80			Percent of total billed charges		1917.6	90			Percent of total billed charges		2157.3	85			Percent of total billed charges		2037.45	85			Percent of total billed charges		2037.45	85			Percent of total billed charges		2037.45	100			Percent of total billed charges		2397	100			Percent of total billed charges		2397	100			Percent of total billed charges		2397	33.3			Percent of total billed charges		798.201	33.3			Percent of total billed charges		798.201	100			Percent of total billed charges		2397	798.201	2157.3	
proximal radial head plate 49105002 wright	272	RC	Outpatient			2397	1558.05		90			Percent of total billed charges		2157.3	40			Percent of total billed charges		958.8	80			Percent of total billed charges		1917.6	90			Percent of total billed charges		2157.3	85			Percent of total billed charges		2037.45	85			Percent of total billed charges		2037.45	85			Percent of total billed charges		2037.45	100			Percent of total billed charges		2397	100			Percent of total billed charges		2397	100			Percent of total billed charges		2397	33.3			Percent of total billed charges		798.201	33.3			Percent of total billed charges		798.201	100			Percent of total billed charges		2397	798.201	2157.3	
radial head plate 49105002 wright	272	RC	Outpatient			2397	1558.05		90			Percent of total billed charges		2157.3	40			Percent of total billed charges		958.8	80			Percent of total billed charges		1917.6	90			Percent of total billed charges		2157.3	85			Percent of total billed charges		2037.45	85			Percent of total billed charges		2037.45	85			Percent of total billed charges		2037.45	100			Percent of total billed charges		2397	100			Percent of total billed charges		2397	100			Percent of total billed charges		2397	33.3			Percent of total billed charges		798.201	33.3			Percent of total billed charges		798.201	100			Percent of total billed charges		2397	798.201	2157.3	
sc-acufix sentry plate 2 seg 36mm 409-2136 abbott	278	RC	Outpatient			2397	1558.05		90			Percent of total billed charges		2157.3	40			Percent of total billed charges		958.8	80			Percent of total billed charges		1917.6	90			Percent of total billed charges		2157.3	85			Percent of total billed charges		2037.45	85			Percent of total billed charges		2037.45	85			Percent of total billed charges		2037.45	100			Percent of total billed charges		2397	100			Percent of total billed charges		2397	100			Percent of total billed charges		2397	33.3			Percent of total billed charges		798.201	33.3			Percent of total billed charges		798.201	100			Percent of total billed charges		2397	798.201	2157.3	
sc-acufix sentry plate 2 seg 40mm 409-2140 abbott	278	RC	Outpatient			2397	1558.05		90			Percent of total billed charges		2157.3	40			Percent of total billed charges		958.8	80			Percent of total billed charges		1917.6	90			Percent of total billed charges		2157.3	85			Percent of total billed charges		2037.45	85			Percent of total billed charges		2037.45	85			Percent of total billed charges		2037.45	100			Percent of total billed charges		2397	100			Percent of total billed charges		2397	100			Percent of total billed charges		2397	33.3			Percent of total billed charges		798.201	33.3			Percent of total billed charges		798.201	100			Percent of total billed charges		2397	798.201	2157.3	
sc-acufix sentry plate 2 seg 42mm 409-2142 abbott	278	RC	Outpatient			2397	1558.05		90			Percent of total billed charges		2157.3	40			Percent of total billed charges		958.8	80			Percent of total billed charges		1917.6	90			Percent of total billed charges		2157.3	85			Percent of total billed charges		2037.45	85			Percent of total billed charges		2037.45	85			Percent of total billed charges		2037.45	100			Percent of total billed charges		2397	100			Percent of total billed charges		2397	100			Percent of total billed charges		2397	33.3			Percent of total billed charges		798.201	33.3			Percent of total billed charges		798.201	100			Percent of total billed charges		2397	798.201	2157.3	
sc-acufix sentry plate 2 seg 44mm 409-2144 abbott	278	RC	Outpatient			2397	1558.05		90			Percent of total billed charges		2157.3	40			Percent of total billed charges		958.8	80			Percent of total billed charges		1917.6	90			Percent of total billed charges		2157.3	85			Percent of total billed charges		2037.45	85			Percent of total billed charges		2037.45	85			Percent of total billed charges		2037.45	100			Percent of total billed charges		2397	100			Percent of total billed charges		2397	100			Percent of total billed charges		2397	33.3			Percent of total billed charges		798.201	33.3			Percent of total billed charges		798.201	100			Percent of total billed charges		2397	798.201	2157.3	
sc-acufix sentry plate 2 seg 46mm 409-2146 abbott	278	RC	Outpatient			2397	1558.05		90			Percent of total billed charges		2157.3	40			Percent of total billed charges		958.8	80			Percent of total billed charges		1917.6	90			Percent of total billed charges		2157.3	85			Percent of total billed charges		2037.45	85			Percent of total billed charges		2037.45	85			Percent of total billed charges		2037.45	100			Percent of total billed charges		2397	100			Percent of total billed charges		2397	100			Percent of total billed charges		2397	33.3			Percent of total billed charges		798.201	33.3			Percent of total billed charges		798.201	100			Percent of total billed charges		2397	798.201	2157.3	
sc-acufix sentry plate 2 seg 50mm 409-2150 abbott	278	RC	Outpatient			2397	1558.05		90			Percent of total billed charges		2157.3	40			Percent of total billed charges		958.8	80			Percent of total billed charges		1917.6	90			Percent of total billed charges		2157.3	85			Percent of total billed charges		2037.45	85			Percent of total billed charges		2037.45	85			Percent of total billed charges		2037.45	100			Percent of total billed charges		2397	100			Percent of total billed charges		2397	100			Percent of total billed charges		2397	33.3			Percent of total billed charges		798.201	33.3			Percent of total billed charges		798.201	100			Percent of total billed charges		2397	798.201	2157.3	
sc-acufix sentry plate 2 seg 52mm 409-2152 abbott	278	RC	Outpatient			2397	1558.05		90			Percent of total billed charges		2157.3	40			Percent of total billed charges		958.8	80			Percent of total billed charges		1917.6	90			Percent of total billed charges		2157.3	85			Percent of total billed charges		2037.45	85			Percent of total billed charges		2037.45	85			Percent of total billed charges		2037.45	100			Percent of total billed charges		2397	100			Percent of total billed charges		2397	100			Percent of total billed charges		2397	33.3			Percent of total billed charges		798.201	33.3			Percent of total billed charges		798.201	100			Percent of total billed charges		2397	798.201	2157.3	
sc-acufix sentry plate 2 seg 54mm 409-2154 abbott	278	RC	Outpatient			2397	1558.05		90			Percent of total billed charges		2157.3	40			Percent of total billed charges		958.8	80			Percent of total billed charges		1917.6	90			Percent of total billed charges		2157.3	85			Percent of total billed charges		2037.45	85			Percent of total billed charges		2037.45	85			Percent of total billed charges		2037.45	100			Percent of total billed charges		2397	100			Percent of total billed charges		2397	100			Percent of total billed charges		2397	33.3			Percent of total billed charges		798.201	33.3			Percent of total billed charges		798.201	100			Percent of total billed charges		2397	798.201	2157.3	
wright prox head plt	272	RC	Outpatient			2397	1558.05		90			Percent of total billed charges		2157.3	40			Percent of total billed charges		958.8	80			Percent of total billed charges		1917.6	90			Percent of total billed charges		2157.3	85			Percent of total billed charges		2037.45	85			Percent of total billed charges		2037.45	85			Percent of total billed charges		2037.45	100			Percent of total billed charges		2397	100			Percent of total billed charges		2397	100			Percent of total billed charges		2397	33.3			Percent of total billed charges		798.201	33.3			Percent of total billed charges		798.201	100			Percent of total billed charges		2397	798.201	2157.3	
cosmetic - stretch mark treatment - 30 min sessions (6 sessions)	983	RC	Outpatient			2400	1560		90			Percent of total billed charges		2160	40			Percent of total billed charges		960	80			Percent of total billed charges		1920	90			Percent of total billed charges		2160	85			Percent of total billed charges		2040	85			Percent of total billed charges		2040	85			Percent of total billed charges		2040	100			Percent of total billed charges		2400	100			Percent of total billed charges		2400	100			Percent of total billed charges		2400	33.3			Percent of total billed charges		799.2	33.3			Percent of total billed charges		799.2	100			Percent of total billed charges		2400	799.2	2160	
cosmetic - large scar	940	RC	Outpatient			2400	1560		90			Percent of total billed charges		2160	40			Percent of total billed charges		960	80			Percent of total billed charges		1920	90			Percent of total billed charges		2160	85			Percent of total billed charges		2040	85			Percent of total billed charges		2040	85			Percent of total billed charges		2040	100			Percent of total billed charges		2400	100			Percent of total billed charges		2400	100			Percent of total billed charges		2400	33.3			Percent of total billed charges		799.2	33.3			Percent of total billed charges		799.2	100			Percent of total billed charges		2400	799.2	2160	
cosmetic - laser hair removal - legs (complete) pkg of 5 sessions	983	RC	Outpatient			2400	1560		90			Percent of total billed charges		2160	40			Percent of total billed charges		960	80			Percent of total billed charges		1920	90			Percent of total billed charges		2160	85			Percent of total billed charges		2040	85			Percent of total billed charges		2040	85			Percent of total billed charges		2040	100			Percent of total billed charges		2400	100			Percent of total billed charges		2400	100			Percent of total billed charges		2400	33.3			Percent of total billed charges		799.2	33.3			Percent of total billed charges		799.2	100			Percent of total billed charges		2400	799.2	2160	
cosmetic - laser treatment for skin laxity medium area - pkg of 3 sessions	983	RC	Outpatient			2400	1560		90			Percent of total billed charges		2160	40			Percent of total billed charges		960	80			Percent of total billed charges		1920	90			Percent of total billed charges		2160	85			Percent of total billed charges		2040	85			Percent of total billed charges		2040	85			Percent of total billed charges		2040	100			Percent of total billed charges		2400	100			Percent of total billed charges		2400	100			Percent of total billed charges		2400	33.3			Percent of total billed charges		799.2	33.3			Percent of total billed charges		799.2	100			Percent of total billed charges		2400	799.2	2160	
bio-modular  glenoid lrg / 4 mm 113874 biomet	278	RC	Outpatient			2405	1563.25		90			Percent of total billed charges		2164.5	40			Percent of total billed charges		962	80			Percent of total billed charges		1924	90			Percent of total billed charges		2164.5	85			Percent of total billed charges		2044.25	85			Percent of total billed charges		2044.25	85			Percent of total billed charges		2044.25	100			Percent of total billed charges		2405	100			Percent of total billed charges		2405	100			Percent of total billed charges		2405	33.3			Percent of total billed charges		800.865	33.3			Percent of total billed charges		800.865	100			Percent of total billed charges		2405	800.865	2164.5	
bio-modular  glenoid med / 4 mm 113872 biomet	278	RC	Outpatient			2405	1563.25		90			Percent of total billed charges		2164.5	40			Percent of total billed charges		962	80			Percent of total billed charges		1924	90			Percent of total billed charges		2164.5	85			Percent of total billed charges		2044.25	85			Percent of total billed charges		2044.25	85			Percent of total billed charges		2044.25	100			Percent of total billed charges		2405	100			Percent of total billed charges		2405	100			Percent of total billed charges		2405	33.3			Percent of total billed charges		800.865	33.3			Percent of total billed charges		800.865	100			Percent of total billed charges		2405	800.865	2164.5	
biomet glenoid	278	RC	Outpatient			2405	1563.25		90			Percent of total billed charges		2164.5	40			Percent of total billed charges		962	80			Percent of total billed charges		1924	90			Percent of total billed charges		2164.5	85			Percent of total billed charges		2044.25	85			Percent of total billed charges		2044.25	85			Percent of total billed charges		2044.25	100			Percent of total billed charges		2405	100			Percent of total billed charges		2405	100			Percent of total billed charges		2405	33.3			Percent of total billed charges		800.865	33.3			Percent of total billed charges		800.865	100			Percent of total billed charges		2405	800.865	2164.5	
grafton dbm matrix plf 2.5 x 5cm p42210 osteotech	278	RC	Outpatient			2405	1563.25		90			Percent of total billed charges		2164.5	40			Percent of total billed charges		962	80			Percent of total billed charges		1924	90			Percent of total billed charges		2164.5	85			Percent of total billed charges		2044.25	85			Percent of total billed charges		2044.25	85			Percent of total billed charges		2044.25	100			Percent of total billed charges		2405	100			Percent of total billed charges		2405	100			Percent of total billed charges		2405	33.3			Percent of total billed charges		800.865	33.3			Percent of total billed charges		800.865	100			Percent of total billed charges		2405	800.865	2164.5	
grafton plf 2.5 x 5	278	RC	Outpatient			2405	1563.25		90			Percent of total billed charges		2164.5	40			Percent of total billed charges		962	80			Percent of total billed charges		1924	90			Percent of total billed charges		2164.5	85			Percent of total billed charges		2044.25	85			Percent of total billed charges		2044.25	85			Percent of total billed charges		2044.25	100			Percent of total billed charges		2405	100			Percent of total billed charges		2405	100			Percent of total billed charges		2405	33.3			Percent of total billed charges		800.865	33.3			Percent of total billed charges		800.865	100			Percent of total billed charges		2405	800.865	2164.5	
cath lab pacemaker explant	360	RC	Outpatient			2407	1564.55		90			Percent of total billed charges		2166.3	40			Percent of total billed charges		962.8	80			Percent of total billed charges		1925.6	90			Percent of total billed charges		2166.3	85			Percent of total billed charges		2045.95	85			Percent of total billed charges		2045.95	85			Percent of total billed charges		2045.95	100			Percent of total billed charges		2407	100			Percent of total billed charges		2407	100			Percent of total billed charges		2407	33.3			Percent of total billed charges		801.531	33.3			Percent of total billed charges		801.531	100			Percent of total billed charges		2407	801.531	2166.3	
jet-x st clamp	278	RC	Outpatient			2407	1564.55		90			Percent of total billed charges		2166.3	40			Percent of total billed charges		962.8	80			Percent of total billed charges		1925.6	90			Percent of total billed charges		2166.3	85			Percent of total billed charges		2045.95	85			Percent of total billed charges		2045.95	85			Percent of total billed charges		2045.95	100			Percent of total billed charges		2407	100			Percent of total billed charges		2407	100			Percent of total billed charges		2407	33.3			Percent of total billed charges		801.531	33.3			Percent of total billed charges		801.531	100			Percent of total billed charges		2407	801.531	2166.3	
s/n jet-x  straight clamp 7105-1045	278	RC	Outpatient			2407	1564.55		90			Percent of total billed charges		2166.3	40			Percent of total billed charges		962.8	80			Percent of total billed charges		1925.6	90			Percent of total billed charges		2166.3	85			Percent of total billed charges		2045.95	85			Percent of total billed charges		2045.95	85			Percent of total billed charges		2045.95	100			Percent of total billed charges		2407	100			Percent of total billed charges		2407	100			Percent of total billed charges		2407	33.3			Percent of total billed charges		801.531	33.3			Percent of total billed charges		801.531	100			Percent of total billed charges		2407	801.531	2166.3	
stryker trident poly line	278	RC	Outpatient			2407	1564.55		90			Percent of total billed charges		2166.3	40			Percent of total billed charges		962.8	80			Percent of total billed charges		1925.6	90			Percent of total billed charges		2166.3	85			Percent of total billed charges		2045.95	85			Percent of total billed charges		2045.95	85			Percent of total billed charges		2045.95	100			Percent of total billed charges		2407	100			Percent of total billed charges		2407	100			Percent of total billed charges		2407	33.3			Percent of total billed charges		801.531	33.3			Percent of total billed charges		801.531	100			Percent of total billed charges		2407	801.531	2166.3	
trident polyethylene insert 36mm 623-10-36f strker	278	RC	Outpatient			2407	1564.55		90			Percent of total billed charges		2166.3	40			Percent of total billed charges		962.8	80			Percent of total billed charges		1925.6	90			Percent of total billed charges		2166.3	85			Percent of total billed charges		2045.95	85			Percent of total billed charges		2045.95	85			Percent of total billed charges		2045.95	100			Percent of total billed charges		2407	100			Percent of total billed charges		2407	100			Percent of total billed charges		2407	33.3			Percent of total billed charges		801.531	33.3			Percent of total billed charges		801.531	100			Percent of total billed charges		2407	801.531	2166.3	
sentinol  stent 7 x 59mm 38948-7601 boston scient	272	RC	Outpatient			2407	1564.55		90			Percent of total billed charges		2166.3	40			Percent of total billed charges		962.8	80			Percent of total billed charges		1925.6	90			Percent of total billed charges		2166.3	85			Percent of total billed charges		2045.95	85			Percent of total billed charges		2045.95	85			Percent of total billed charges		2045.95	100			Percent of total billed charges		2407	100			Percent of total billed charges		2407	100			Percent of total billed charges		2407	33.3			Percent of total billed charges		801.531	33.3			Percent of total billed charges		801.531	100			Percent of total billed charges		2407	801.531	2166.3	
sentinol stent	272	RC	Outpatient			2407	1564.55		90			Percent of total billed charges		2166.3	40			Percent of total billed charges		962.8	80			Percent of total billed charges		1925.6	90			Percent of total billed charges		2166.3	85			Percent of total billed charges		2045.95	85			Percent of total billed charges		2045.95	85			Percent of total billed charges		2045.95	100			Percent of total billed charges		2407	100			Percent of total billed charges		2407	100			Percent of total billed charges		2407	33.3			Percent of total billed charges		801.531	33.3			Percent of total billed charges		801.531	100			Percent of total billed charges		2407	801.531	2166.3	
styker ceramic head	278	RC	Outpatient			2407	1564.55		90			Percent of total billed charges		2166.3	40			Percent of total billed charges		962.8	80			Percent of total billed charges		1925.6	90			Percent of total billed charges		2166.3	85			Percent of total billed charges		2045.95	85			Percent of total billed charges		2045.95	85			Percent of total billed charges		2045.95	100			Percent of total billed charges		2407	100			Percent of total billed charges		2407	100			Percent of total billed charges		2407	33.3			Percent of total billed charges		801.531	33.3			Percent of total billed charges		801.531	100			Percent of total billed charges		2407	801.531	2166.3	
v-40 alumina ceramic head 28mm/+4 6565-0-228 stryker	278	RC	Outpatient			2407	1564.55		90			Percent of total billed charges		2166.3	40			Percent of total billed charges		962.8	80			Percent of total billed charges		1925.6	90			Percent of total billed charges		2166.3	85			Percent of total billed charges		2045.95	85			Percent of total billed charges		2045.95	85			Percent of total billed charges		2045.95	100			Percent of total billed charges		2407	100			Percent of total billed charges		2407	100			Percent of total billed charges		2407	33.3			Percent of total billed charges		801.531	33.3			Percent of total billed charges		801.531	100			Percent of total billed charges		2407	801.531	2166.3	
v-40 alumina ceramic head 28mm/-2.7 6565-0-028 stryker	278	RC	Outpatient			2407	1564.55		90			Percent of total billed charges		2166.3	40			Percent of total billed charges		962.8	80			Percent of total billed charges		1925.6	90			Percent of total billed charges		2166.3	85			Percent of total billed charges		2045.95	85			Percent of total billed charges		2045.95	85			Percent of total billed charges		2045.95	100			Percent of total billed charges		2407	100			Percent of total billed charges		2407	100			Percent of total billed charges		2407	33.3			Percent of total billed charges		801.531	33.3			Percent of total billed charges		801.531	100			Percent of total billed charges		2407	801.531	2166.3	
v-40 alumina ceramic head 36mm/+0 6565-0-136 stryker	278	RC	Outpatient			2407	1564.55		90			Percent of total billed charges		2166.3	40			Percent of total billed charges		962.8	80			Percent of total billed charges		1925.6	90			Percent of total billed charges		2166.3	85			Percent of total billed charges		2045.95	85			Percent of total billed charges		2045.95	85			Percent of total billed charges		2045.95	100			Percent of total billed charges		2407	100			Percent of total billed charges		2407	100			Percent of total billed charges		2407	33.3			Percent of total billed charges		801.531	33.3			Percent of total billed charges		801.531	100			Percent of total billed charges		2407	801.531	2166.3	
v-40 alumina ceramic head 28mm/+2 6565-0-128 stryker	278	RC	Outpatient			2407	1564.55		90			Percent of total billed charges		2166.3	40			Percent of total billed charges		962.8	80			Percent of total billed charges		1925.6	90			Percent of total billed charges		2166.3	85			Percent of total billed charges		2045.95	85			Percent of total billed charges		2045.95	85			Percent of total billed charges		2045.95	100			Percent of total billed charges		2407	100			Percent of total billed charges		2407	100			Percent of total billed charges		2407	33.3			Percent of total billed charges		801.531	33.3			Percent of total billed charges		801.531	100			Percent of total billed charges		2407	801.531	2166.3	
v-40 alumina ceramic head 32mm/+0 6565-0-132 stryker	278	RC	Outpatient			2407	1564.55		90			Percent of total billed charges		2166.3	40			Percent of total billed charges		962.8	80			Percent of total billed charges		1925.6	90			Percent of total billed charges		2166.3	85			Percent of total billed charges		2045.95	85			Percent of total billed charges		2045.95	85			Percent of total billed charges		2045.95	100			Percent of total billed charges		2407	100			Percent of total billed charges		2407	100			Percent of total billed charges		2407	33.3			Percent of total billed charges		801.531	33.3			Percent of total billed charges		801.531	100			Percent of total billed charges		2407	801.531	2166.3	
v-40 alumina ceramic head 32mm/+4 6565-0-232 stryker	278	RC	Outpatient			2407	1564.55		90			Percent of total billed charges		2166.3	40			Percent of total billed charges		962.8	80			Percent of total billed charges		1925.6	90			Percent of total billed charges		2166.3	85			Percent of total billed charges		2045.95	85			Percent of total billed charges		2045.95	85			Percent of total billed charges		2045.95	100			Percent of total billed charges		2407	100			Percent of total billed charges		2407	100			Percent of total billed charges		2407	33.3			Percent of total billed charges		801.531	33.3			Percent of total billed charges		801.531	100			Percent of total billed charges		2407	801.531	2166.3	
v-40 alumina ceramic head 32mm/-4 6565-0-032 stryker	278	RC	Outpatient			2407	1564.55		90			Percent of total billed charges		2166.3	40			Percent of total billed charges		962.8	80			Percent of total billed charges		1925.6	90			Percent of total billed charges		2166.3	85			Percent of total billed charges		2045.95	85			Percent of total billed charges		2045.95	85			Percent of total billed charges		2045.95	100			Percent of total billed charges		2407	100			Percent of total billed charges		2407	100			Percent of total billed charges		2407	33.3			Percent of total billed charges		801.531	33.3			Percent of total billed charges		801.531	100			Percent of total billed charges		2407	801.531	2166.3	
v-40 alumina ceramic head 36mm/+4 6565-0-236 stryker	278	RC	Outpatient			2407	1564.55		90			Percent of total billed charges		2166.3	40			Percent of total billed charges		962.8	80			Percent of total billed charges		1925.6	90			Percent of total billed charges		2166.3	85			Percent of total billed charges		2045.95	85			Percent of total billed charges		2045.95	85			Percent of total billed charges		2045.95	100			Percent of total billed charges		2407	100			Percent of total billed charges		2407	100			Percent of total billed charges		2407	33.3			Percent of total billed charges		801.531	33.3			Percent of total billed charges		801.531	100			Percent of total billed charges		2407	801.531	2166.3	
v-40 alumina ceramic head 36mm/-4 6565-0-036 stryker	278	RC	Outpatient			2407	1564.55		90			Percent of total billed charges		2166.3	40			Percent of total billed charges		962.8	80			Percent of total billed charges		1925.6	90			Percent of total billed charges		2166.3	85			Percent of total billed charges		2045.95	85			Percent of total billed charges		2045.95	85			Percent of total billed charges		2045.95	100			Percent of total billed charges		2407	100			Percent of total billed charges		2407	100			Percent of total billed charges		2407	33.3			Percent of total billed charges		801.531	33.3			Percent of total billed charges		801.531	100			Percent of total billed charges		2407	801.531	2166.3	
ir transcath ther infusion	360	RC	Outpatient			2412	1567.8		90			Percent of total billed charges		2170.8	40			Percent of total billed charges		964.8	80			Percent of total billed charges		1929.6	90			Percent of total billed charges		2170.8	85			Percent of total billed charges		2050.2	85			Percent of total billed charges		2050.2	85			Percent of total billed charges		2050.2	100			Percent of total billed charges		2412	100			Percent of total billed charges		2412	100			Percent of total billed charges		2412	33.3			Percent of total billed charges		803.196	33.3			Percent of total billed charges		803.196	100			Percent of total billed charges		2412	803.196	2170.8	
peri-loc 3.5 vlp a-d tibia lk pl 6 h  72820506 s/n	278	RC	Outpatient			2416	1570.4		90			Percent of total billed charges		2174.4	40			Percent of total billed charges		966.4	80			Percent of total billed charges		1932.8	90			Percent of total billed charges		2174.4	85			Percent of total billed charges		2053.6	85			Percent of total billed charges		2053.6	85			Percent of total billed charges		2053.6	100			Percent of total billed charges		2416	100			Percent of total billed charges		2416	100			Percent of total billed charges		2416	33.3			Percent of total billed charges		804.528	33.3			Percent of total billed charges		804.528	100			Percent of total billed charges		2416	804.528	2174.4	
s/n vlp ant dist tib pl6h	278	RC	Outpatient			2416	1570.4		90			Percent of total billed charges		2174.4	40			Percent of total billed charges		966.4	80			Percent of total billed charges		1932.8	90			Percent of total billed charges		2174.4	85			Percent of total billed charges		2053.6	85			Percent of total billed charges		2053.6	85			Percent of total billed charges		2053.6	100			Percent of total billed charges		2416	100			Percent of total billed charges		2416	100			Percent of total billed charges		2416	33.3			Percent of total billed charges		804.528	33.3			Percent of total billed charges		804.528	100			Percent of total billed charges		2416	804.528	2174.4	
endo hemospray application procedure	750	RC	Outpatient			2417	1571.05		90			Percent of total billed charges		2175.3	40			Percent of total billed charges		966.8	80			Percent of total billed charges		1933.6	90			Percent of total billed charges		2175.3	85			Percent of total billed charges		2054.45	85			Percent of total billed charges		2054.45	85			Percent of total billed charges		2054.45	100			Percent of total billed charges		2417	100			Percent of total billed charges		2417	100			Percent of total billed charges		2417	33.3			Percent of total billed charges		804.861	33.3			Percent of total billed charges		804.861	100			Percent of total billed charges		2417	804.861	2175.3	
lg fr pl condylar 7hl lt	278	RC	Outpatient			2423	1574.95		90			Percent of total billed charges		2180.7	40			Percent of total billed charges		969.2	80			Percent of total billed charges		1938.4	90			Percent of total billed charges		2180.7	85			Percent of total billed charges		2059.55	85			Percent of total billed charges		2059.55	85			Percent of total billed charges		2059.55	100			Percent of total billed charges		2423	100			Percent of total billed charges		2423	100			Percent of total billed charges		2423	33.3			Percent of total billed charges		806.859	33.3			Percent of total billed charges		806.859	100			Percent of total billed charges		2423	806.859	2180.7	
s/n  lg frag plate 7 hole  7114-2007	278	RC	Outpatient			2423	1574.95		90			Percent of total billed charges		2180.7	40			Percent of total billed charges		969.2	80			Percent of total billed charges		1938.4	90			Percent of total billed charges		2180.7	85			Percent of total billed charges		2059.55	85			Percent of total billed charges		2059.55	85			Percent of total billed charges		2059.55	100			Percent of total billed charges		2423	100			Percent of total billed charges		2423	100			Percent of total billed charges		2423	33.3			Percent of total billed charges		806.859	33.3			Percent of total billed charges		806.859	100			Percent of total billed charges		2423	806.859	2180.7	
biomet m2a 38mm mod head minus 6mm 11-173660	278	RC	Outpatient			2424	1575.6		90			Percent of total billed charges		2181.6	40			Percent of total billed charges		969.6	80			Percent of total billed charges		1939.2	90			Percent of total billed charges		2181.6	85			Percent of total billed charges		2060.4	85			Percent of total billed charges		2060.4	85			Percent of total billed charges		2060.4	100			Percent of total billed charges		2424	100			Percent of total billed charges		2424	100			Percent of total billed charges		2424	33.3			Percent of total billed charges		807.192	33.3			Percent of total billed charges		807.192	100			Percent of total billed charges		2424	807.192	2181.6	
bio magnum mod head	278	RC	Outpatient			2424	1575.6		90			Percent of total billed charges		2181.6	40			Percent of total billed charges		969.6	80			Percent of total billed charges		1939.2	90			Percent of total billed charges		2181.6	85			Percent of total billed charges		2060.4	85			Percent of total billed charges		2060.4	85			Percent of total billed charges		2060.4	100			Percent of total billed charges		2424	100			Percent of total billed charges		2424	100			Percent of total billed charges		2424	33.3			Percent of total billed charges		807.192	33.3			Percent of total billed charges		807.192	100			Percent of total billed charges		2424	807.192	2181.6	
biomet m2a  38mm modular head  11-173665	278	RC	Outpatient			2424	1575.6		90			Percent of total billed charges		2181.6	40			Percent of total billed charges		969.6	80			Percent of total billed charges		1939.2	90			Percent of total billed charges		2181.6	85			Percent of total billed charges		2060.4	85			Percent of total billed charges		2060.4	85			Percent of total billed charges		2060.4	100			Percent of total billed charges		2424	100			Percent of total billed charges		2424	100			Percent of total billed charges		2424	33.3			Percent of total billed charges		807.192	33.3			Percent of total billed charges		807.192	100			Percent of total billed charges		2424	807.192	2181.6	
biomet m2a  38mm modular head 11-173666	278	RC	Outpatient			2424	1575.6		90			Percent of total billed charges		2181.6	40			Percent of total billed charges		969.6	80			Percent of total billed charges		1939.2	90			Percent of total billed charges		2181.6	85			Percent of total billed charges		2060.4	85			Percent of total billed charges		2060.4	85			Percent of total billed charges		2060.4	100			Percent of total billed charges		2424	100			Percent of total billed charges		2424	100			Percent of total billed charges		2424	33.3			Percent of total billed charges		807.192	33.3			Percent of total billed charges		807.192	100			Percent of total billed charges		2424	807.192	2181.6	
biomet m2a 38mm mod head minus 3mm 11-173661	278	RC	Outpatient			2424	1575.6		90			Percent of total billed charges		2181.6	40			Percent of total billed charges		969.6	80			Percent of total billed charges		1939.2	90			Percent of total billed charges		2181.6	85			Percent of total billed charges		2060.4	85			Percent of total billed charges		2060.4	85			Percent of total billed charges		2060.4	100			Percent of total billed charges		2424	100			Percent of total billed charges		2424	100			Percent of total billed charges		2424	33.3			Percent of total billed charges		807.192	33.3			Percent of total billed charges		807.192	100			Percent of total billed charges		2424	807.192	2181.6	
biomet m2a 38mm mod head plus 3mm 11-173663	278	RC	Outpatient			2424	1575.6		90			Percent of total billed charges		2181.6	40			Percent of total billed charges		969.6	80			Percent of total billed charges		1939.2	90			Percent of total billed charges		2181.6	85			Percent of total billed charges		2060.4	85			Percent of total billed charges		2060.4	85			Percent of total billed charges		2060.4	100			Percent of total billed charges		2424	100			Percent of total billed charges		2424	100			Percent of total billed charges		2424	33.3			Percent of total billed charges		807.192	33.3			Percent of total billed charges		807.192	100			Percent of total billed charges		2424	807.192	2181.6	
biomet m2a 38mm mod head standard 11-173662	278	RC	Outpatient			2424	1575.6		90			Percent of total billed charges		2181.6	40			Percent of total billed charges		969.6	80			Percent of total billed charges		1939.2	90			Percent of total billed charges		2181.6	85			Percent of total billed charges		2060.4	85			Percent of total billed charges		2060.4	85			Percent of total billed charges		2060.4	100			Percent of total billed charges		2424	100			Percent of total billed charges		2424	100			Percent of total billed charges		2424	33.3			Percent of total billed charges		807.192	33.3			Percent of total billed charges		807.192	100			Percent of total billed charges		2424	807.192	2181.6	
biomet m2a 38mm modular head  11-173664	278	RC	Outpatient			2424	1575.6		90			Percent of total billed charges		2181.6	40			Percent of total billed charges		969.6	80			Percent of total billed charges		1939.2	90			Percent of total billed charges		2181.6	85			Percent of total billed charges		2060.4	85			Percent of total billed charges		2060.4	85			Percent of total billed charges		2060.4	100			Percent of total billed charges		2424	100			Percent of total billed charges		2424	100			Percent of total billed charges		2424	33.3			Percent of total billed charges		807.192	33.3			Percent of total billed charges		807.192	100			Percent of total billed charges		2424	807.192	2181.6	
magnum mod head 40mm +9neck s991140 biomet	278	RC	Outpatient			2424	1575.6		90			Percent of total billed charges		2181.6	40			Percent of total billed charges		969.6	80			Percent of total billed charges		1939.2	90			Percent of total billed charges		2181.6	85			Percent of total billed charges		2060.4	85			Percent of total billed charges		2060.4	85			Percent of total billed charges		2060.4	100			Percent of total billed charges		2424	100			Percent of total billed charges		2424	100			Percent of total billed charges		2424	33.3			Percent of total billed charges		807.192	33.3			Percent of total billed charges		807.192	100			Percent of total billed charges		2424	807.192	2181.6	
magnum mod head 40mm -3neck s331140 biomet	278	RC	Outpatient			2424	1575.6		90			Percent of total billed charges		2181.6	40			Percent of total billed charges		969.6	80			Percent of total billed charges		1939.2	90			Percent of total billed charges		2181.6	85			Percent of total billed charges		2060.4	85			Percent of total billed charges		2060.4	85			Percent of total billed charges		2060.4	100			Percent of total billed charges		2424	100			Percent of total billed charges		2424	100			Percent of total billed charges		2424	33.3			Percent of total billed charges		807.192	33.3			Percent of total billed charges		807.192	100			Percent of total billed charges		2424	807.192	2181.6	
magnum mod head 44mm 157444 biomet	278	RC	Outpatient			2424	1575.6		90			Percent of total billed charges		2181.6	40			Percent of total billed charges		969.6	80			Percent of total billed charges		1939.2	90			Percent of total billed charges		2181.6	85			Percent of total billed charges		2060.4	85			Percent of total billed charges		2060.4	85			Percent of total billed charges		2060.4	100			Percent of total billed charges		2424	100			Percent of total billed charges		2424	100			Percent of total billed charges		2424	33.3			Percent of total billed charges		807.192	33.3			Percent of total billed charges		807.192	100			Percent of total billed charges		2424	807.192	2181.6	
magnum mod head 46mm 157446 biomet	278	RC	Outpatient			2424	1575.6		90			Percent of total billed charges		2181.6	40			Percent of total billed charges		969.6	80			Percent of total billed charges		1939.2	90			Percent of total billed charges		2181.6	85			Percent of total billed charges		2060.4	85			Percent of total billed charges		2060.4	85			Percent of total billed charges		2060.4	100			Percent of total billed charges		2424	100			Percent of total billed charges		2424	100			Percent of total billed charges		2424	33.3			Percent of total billed charges		807.192	33.3			Percent of total billed charges		807.192	100			Percent of total billed charges		2424	807.192	2181.6	
magnum mod head 50mm 157450 biomet	278	RC	Outpatient			2424	1575.6		90			Percent of total billed charges		2181.6	40			Percent of total billed charges		969.6	80			Percent of total billed charges		1939.2	90			Percent of total billed charges		2181.6	85			Percent of total billed charges		2060.4	85			Percent of total billed charges		2060.4	85			Percent of total billed charges		2060.4	100			Percent of total billed charges		2424	100			Percent of total billed charges		2424	100			Percent of total billed charges		2424	33.3			Percent of total billed charges		807.192	33.3			Percent of total billed charges		807.192	100			Percent of total billed charges		2424	807.192	2181.6	
magnum mod head 52mm 157452 biomet	278	RC	Outpatient			2424	1575.6		90			Percent of total billed charges		2181.6	40			Percent of total billed charges		969.6	80			Percent of total billed charges		1939.2	90			Percent of total billed charges		2181.6	85			Percent of total billed charges		2060.4	85			Percent of total billed charges		2060.4	85			Percent of total billed charges		2060.4	100			Percent of total billed charges		2424	100			Percent of total billed charges		2424	100			Percent of total billed charges		2424	33.3			Percent of total billed charges		807.192	33.3			Percent of total billed charges		807.192	100			Percent of total billed charges		2424	807.192	2181.6	
magnum mod head 54mm 157454 biomet	278	RC	Outpatient			2424	1575.6		90			Percent of total billed charges		2181.6	40			Percent of total billed charges		969.6	80			Percent of total billed charges		1939.2	90			Percent of total billed charges		2181.6	85			Percent of total billed charges		2060.4	85			Percent of total billed charges		2060.4	85			Percent of total billed charges		2060.4	100			Percent of total billed charges		2424	100			Percent of total billed charges		2424	100			Percent of total billed charges		2424	33.3			Percent of total billed charges		807.192	33.3			Percent of total billed charges		807.192	100			Percent of total billed charges		2424	807.192	2181.6	
magnum mod head 40mm +12neck s121140 biomet	278	RC	Outpatient			2424	1575.6		90			Percent of total billed charges		2181.6	40			Percent of total billed charges		969.6	80			Percent of total billed charges		1939.2	90			Percent of total billed charges		2181.6	85			Percent of total billed charges		2060.4	85			Percent of total billed charges		2060.4	85			Percent of total billed charges		2060.4	100			Percent of total billed charges		2424	100			Percent of total billed charges		2424	100			Percent of total billed charges		2424	33.3			Percent of total billed charges		807.192	33.3			Percent of total billed charges		807.192	100			Percent of total billed charges		2424	807.192	2181.6	
magnum mod head 40mm +6neck s661140 biomet	278	RC	Outpatient			2424	1575.6		90			Percent of total billed charges		2181.6	40			Percent of total billed charges		969.6	80			Percent of total billed charges		1939.2	90			Percent of total billed charges		2181.6	85			Percent of total billed charges		2060.4	85			Percent of total billed charges		2060.4	85			Percent of total billed charges		2060.4	100			Percent of total billed charges		2424	100			Percent of total billed charges		2424	100			Percent of total billed charges		2424	33.3			Percent of total billed charges		807.192	33.3			Percent of total billed charges		807.192	100			Percent of total billed charges		2424	807.192	2181.6	
magnum mod head 40mm -3neck s031140 biomet	278	RC	Outpatient			2424	1575.6		90			Percent of total billed charges		2181.6	40			Percent of total billed charges		969.6	80			Percent of total billed charges		1939.2	90			Percent of total billed charges		2181.6	85			Percent of total billed charges		2060.4	85			Percent of total billed charges		2060.4	85			Percent of total billed charges		2060.4	100			Percent of total billed charges		2424	100			Percent of total billed charges		2424	100			Percent of total billed charges		2424	33.3			Percent of total billed charges		807.192	33.3			Percent of total billed charges		807.192	100			Percent of total billed charges		2424	807.192	2181.6	
magnum mod head 40mm stdneck s001140 biomet	278	RC	Outpatient			2424	1575.6		90			Percent of total billed charges		2181.6	40			Percent of total billed charges		969.6	80			Percent of total billed charges		1939.2	90			Percent of total billed charges		2181.6	85			Percent of total billed charges		2060.4	85			Percent of total billed charges		2060.4	85			Percent of total billed charges		2060.4	100			Percent of total billed charges		2424	100			Percent of total billed charges		2424	100			Percent of total billed charges		2424	33.3			Percent of total billed charges		807.192	33.3			Percent of total billed charges		807.192	100			Percent of total billed charges		2424	807.192	2181.6	
magnum mod head 42mm 157442 biomet	278	RC	Outpatient			2424	1575.6		90			Percent of total billed charges		2181.6	40			Percent of total billed charges		969.6	80			Percent of total billed charges		1939.2	90			Percent of total billed charges		2181.6	85			Percent of total billed charges		2060.4	85			Percent of total billed charges		2060.4	85			Percent of total billed charges		2060.4	100			Percent of total billed charges		2424	100			Percent of total billed charges		2424	100			Percent of total billed charges		2424	33.3			Percent of total billed charges		807.192	33.3			Percent of total billed charges		807.192	100			Percent of total billed charges		2424	807.192	2181.6	
magnum mod head 48mm 157448 biomet	278	RC	Outpatient			2424	1575.6		90			Percent of total billed charges		2181.6	40			Percent of total billed charges		969.6	80			Percent of total billed charges		1939.2	90			Percent of total billed charges		2181.6	85			Percent of total billed charges		2060.4	85			Percent of total billed charges		2060.4	85			Percent of total billed charges		2060.4	100			Percent of total billed charges		2424	100			Percent of total billed charges		2424	100			Percent of total billed charges		2424	33.3			Percent of total billed charges		807.192	33.3			Percent of total billed charges		807.192	100			Percent of total billed charges		2424	807.192	2181.6	
magnum mod head 56mm 157456 biomet	278	RC	Outpatient			2424	1575.6		90			Percent of total billed charges		2181.6	40			Percent of total billed charges		969.6	80			Percent of total billed charges		1939.2	90			Percent of total billed charges		2181.6	85			Percent of total billed charges		2060.4	85			Percent of total billed charges		2060.4	85			Percent of total billed charges		2060.4	100			Percent of total billed charges		2424	100			Percent of total billed charges		2424	100			Percent of total billed charges		2424	33.3			Percent of total billed charges		807.192	33.3			Percent of total billed charges		807.192	100			Percent of total billed charges		2424	807.192	2181.6	
magnum mod head 58mm 157458 biomet	278	RC	Outpatient			2424	1575.6		90			Percent of total billed charges		2181.6	40			Percent of total billed charges		969.6	80			Percent of total billed charges		1939.2	90			Percent of total billed charges		2181.6	85			Percent of total billed charges		2060.4	85			Percent of total billed charges		2060.4	85			Percent of total billed charges		2060.4	100			Percent of total billed charges		2424	100			Percent of total billed charges		2424	100			Percent of total billed charges		2424	33.3			Percent of total billed charges		807.192	33.3			Percent of total billed charges		807.192	100			Percent of total billed charges		2424	807.192	2181.6	
magnum mod head 60mm 157460 biomet	278	RC	Outpatient			2424	1575.6		90			Percent of total billed charges		2181.6	40			Percent of total billed charges		969.6	80			Percent of total billed charges		1939.2	90			Percent of total billed charges		2181.6	85			Percent of total billed charges		2060.4	85			Percent of total billed charges		2060.4	85			Percent of total billed charges		2060.4	100			Percent of total billed charges		2424	100			Percent of total billed charges		2424	100			Percent of total billed charges		2424	33.3			Percent of total billed charges		807.192	33.3			Percent of total billed charges		807.192	100			Percent of total billed charges		2424	807.192	2181.6	
depuy srom ps distl post	278	RC	Outpatient			2427	1577.55		90			Percent of total billed charges		2184.3	40			Percent of total billed charges		970.8	80			Percent of total billed charges		1941.6	90			Percent of total billed charges		2184.3	85			Percent of total billed charges		2062.95	85			Percent of total billed charges		2062.95	85			Percent of total billed charges		2062.95	100			Percent of total billed charges		2427	100			Percent of total billed charges		2427	100			Percent of total billed charges		2427	33.3			Percent of total billed charges		808.191	33.3			Percent of total billed charges		808.191	100			Percent of total billed charges		2427	808.191	2184.3	
noiles post stabalized dist fem augment block 10mm xsm/sm 62-3820 depuy	278	RC	Outpatient			2427	1577.55		90			Percent of total billed charges		2184.3	40			Percent of total billed charges		970.8	80			Percent of total billed charges		1941.6	90			Percent of total billed charges		2184.3	85			Percent of total billed charges		2062.95	85			Percent of total billed charges		2062.95	85			Percent of total billed charges		2062.95	100			Percent of total billed charges		2427	100			Percent of total billed charges		2427	100			Percent of total billed charges		2427	33.3			Percent of total billed charges		808.191	33.3			Percent of total billed charges		808.191	100			Percent of total billed charges		2427	808.191	2184.3	
humeral rod 8.0 x 220mm hr-0822-s polarus acumed hr-o822	278	RC	Outpatient			2437	1584.05		90			Percent of total billed charges		2193.3	40			Percent of total billed charges		974.8	80			Percent of total billed charges		1949.6	90			Percent of total billed charges		2193.3	85			Percent of total billed charges		2071.45	85			Percent of total billed charges		2071.45	85			Percent of total billed charges		2071.45	100			Percent of total billed charges		2437	100			Percent of total billed charges		2437	100			Percent of total billed charges		2437	33.3			Percent of total billed charges		811.521	33.3			Percent of total billed charges		811.521	100			Percent of total billed charges		2437	811.521	2193.3	
humeral rod 11.0 x 150mm hr-1115 hr-1115-s polarus acumed	278	RC	Outpatient			2437	1584.05		90			Percent of total billed charges		2193.3	40			Percent of total billed charges		974.8	80			Percent of total billed charges		1949.6	90			Percent of total billed charges		2193.3	85			Percent of total billed charges		2071.45	85			Percent of total billed charges		2071.45	85			Percent of total billed charges		2071.45	100			Percent of total billed charges		2437	100			Percent of total billed charges		2437	100			Percent of total billed charges		2437	33.3			Percent of total billed charges		811.521	33.3			Percent of total billed charges		811.521	100			Percent of total billed charges		2437	811.521	2193.3	
humeral rod 8.0 x 200mm hr-0820 polarus acumed hr-0820-s	278	RC	Outpatient			2437	1584.05		90			Percent of total billed charges		2193.3	40			Percent of total billed charges		974.8	80			Percent of total billed charges		1949.6	90			Percent of total billed charges		2193.3	85			Percent of total billed charges		2071.45	85			Percent of total billed charges		2071.45	85			Percent of total billed charges		2071.45	100			Percent of total billed charges		2437	100			Percent of total billed charges		2437	100			Percent of total billed charges		2437	33.3			Percent of total billed charges		811.521	33.3			Percent of total billed charges		811.521	100			Percent of total billed charges		2437	811.521	2193.3	
humeral rod 8.0 x 240mm hr-0824 polarus acumed hr-0824-s	278	RC	Outpatient			2437	1584.05		90			Percent of total billed charges		2193.3	40			Percent of total billed charges		974.8	80			Percent of total billed charges		1949.6	90			Percent of total billed charges		2193.3	85			Percent of total billed charges		2071.45	85			Percent of total billed charges		2071.45	85			Percent of total billed charges		2071.45	100			Percent of total billed charges		2437	100			Percent of total billed charges		2437	100			Percent of total billed charges		2437	33.3			Percent of total billed charges		811.521	33.3			Percent of total billed charges		811.521	100			Percent of total billed charges		2437	811.521	2193.3	
humeral rod 8.0 x 260mm hr-0826 polarus acumed hr-0826-s	278	RC	Outpatient			2437	1584.05		90			Percent of total billed charges		2193.3	40			Percent of total billed charges		974.8	80			Percent of total billed charges		1949.6	90			Percent of total billed charges		2193.3	85			Percent of total billed charges		2071.45	85			Percent of total billed charges		2071.45	85			Percent of total billed charges		2071.45	100			Percent of total billed charges		2437	100			Percent of total billed charges		2437	100			Percent of total billed charges		2437	33.3			Percent of total billed charges		811.521	33.3			Percent of total billed charges		811.521	100			Percent of total billed charges		2437	811.521	2193.3	
humeral rod 8.0 x 280mm hr-0828 polarus acumed hr-0828-s	278	RC	Outpatient			2437	1584.05		90			Percent of total billed charges		2193.3	40			Percent of total billed charges		974.8	80			Percent of total billed charges		1949.6	90			Percent of total billed charges		2193.3	85			Percent of total billed charges		2071.45	85			Percent of total billed charges		2071.45	85			Percent of total billed charges		2071.45	100			Percent of total billed charges		2437	100			Percent of total billed charges		2437	100			Percent of total billed charges		2437	33.3			Percent of total billed charges		811.521	33.3			Percent of total billed charges		811.521	100			Percent of total billed charges		2437	811.521	2193.3	
polarus humeral rod 7.0mm x 220mm rh-0722-s	278	RC	Outpatient			2437	1584.05		90			Percent of total billed charges		2193.3	40			Percent of total billed charges		974.8	80			Percent of total billed charges		1949.6	90			Percent of total billed charges		2193.3	85			Percent of total billed charges		2071.45	85			Percent of total billed charges		2071.45	85			Percent of total billed charges		2071.45	100			Percent of total billed charges		2437	100			Percent of total billed charges		2437	100			Percent of total billed charges		2437	33.3			Percent of total billed charges		811.521	33.3			Percent of total billed charges		811.521	100			Percent of total billed charges		2437	811.521	2193.3	
polarus humeral rod 7.0mm x 228mm rh-0728-s	278	RC	Outpatient			2437	1584.05		90			Percent of total billed charges		2193.3	40			Percent of total billed charges		974.8	80			Percent of total billed charges		1949.6	90			Percent of total billed charges		2193.3	85			Percent of total billed charges		2071.45	85			Percent of total billed charges		2071.45	85			Percent of total billed charges		2071.45	100			Percent of total billed charges		2437	100			Percent of total billed charges		2437	100			Percent of total billed charges		2437	33.3			Percent of total billed charges		811.521	33.3			Percent of total billed charges		811.521	100			Percent of total billed charges		2437	811.521	2193.3	
polarus humeral rod 7.0mm x 300mm rh-0730-s	278	RC	Outpatient			2437	1584.05		90			Percent of total billed charges		2193.3	40			Percent of total billed charges		974.8	80			Percent of total billed charges		1949.6	90			Percent of total billed charges		2193.3	85			Percent of total billed charges		2071.45	85			Percent of total billed charges		2071.45	85			Percent of total billed charges		2071.45	100			Percent of total billed charges		2437	100			Percent of total billed charges		2437	100			Percent of total billed charges		2437	33.3			Percent of total billed charges		811.521	33.3			Percent of total billed charges		811.521	100			Percent of total billed charges		2437	811.521	2193.3	
polarus humeral rod	278	RC	Outpatient			2437	1584.05		90			Percent of total billed charges		2193.3	40			Percent of total billed charges		974.8	80			Percent of total billed charges		1949.6	90			Percent of total billed charges		2193.3	85			Percent of total billed charges		2071.45	85			Percent of total billed charges		2071.45	85			Percent of total billed charges		2071.45	100			Percent of total billed charges		2437	100			Percent of total billed charges		2437	100			Percent of total billed charges		2437	33.3			Percent of total billed charges		811.521	33.3			Percent of total billed charges		811.521	100			Percent of total billed charges		2437	811.521	2193.3	
polarus humeral rod 7.0mm x 200mm rh-0720-s	278	RC	Outpatient			2437	1584.05		90			Percent of total billed charges		2193.3	40			Percent of total billed charges		974.8	80			Percent of total billed charges		1949.6	90			Percent of total billed charges		2193.3	85			Percent of total billed charges		2071.45	85			Percent of total billed charges		2071.45	85			Percent of total billed charges		2071.45	100			Percent of total billed charges		2437	100			Percent of total billed charges		2437	100			Percent of total billed charges		2437	33.3			Percent of total billed charges		811.521	33.3			Percent of total billed charges		811.521	100			Percent of total billed charges		2437	811.521	2193.3	
polarus humeral rod 7.0mm x 260mm rh-0726-s	278	RC	Outpatient			2437	1584.05		90			Percent of total billed charges		2193.3	40			Percent of total billed charges		974.8	80			Percent of total billed charges		1949.6	90			Percent of total billed charges		2193.3	85			Percent of total billed charges		2071.45	85			Percent of total billed charges		2071.45	85			Percent of total billed charges		2071.45	100			Percent of total billed charges		2437	100			Percent of total billed charges		2437	100			Percent of total billed charges		2437	33.3			Percent of total billed charges		811.521	33.3			Percent of total billed charges		811.521	100			Percent of total billed charges		2437	811.521	2193.3	
polarus retrograde rod 7.0mm x 240mm rh-0724-s	278	RC	Outpatient			2437	1584.05		90			Percent of total billed charges		2193.3	40			Percent of total billed charges		974.8	80			Percent of total billed charges		1949.6	90			Percent of total billed charges		2193.3	85			Percent of total billed charges		2071.45	85			Percent of total billed charges		2071.45	85			Percent of total billed charges		2071.45	100			Percent of total billed charges		2437	100			Percent of total billed charges		2437	100			Percent of total billed charges		2437	33.3			Percent of total billed charges		811.521	33.3			Percent of total billed charges		811.521	100			Percent of total billed charges		2437	811.521	2193.3	
s/n 3.5 lck tub pl 12hl	278	RC	Outpatient			2439	1585.35		90			Percent of total billed charges		2195.1	40			Percent of total billed charges		975.6	80			Percent of total billed charges		1951.2	90			Percent of total billed charges		2195.1	85			Percent of total billed charges		2073.15	85			Percent of total billed charges		2073.15	85			Percent of total billed charges		2073.15	100			Percent of total billed charges		2439	100			Percent of total billed charges		2439	100			Percent of total billed charges		2439	33.3			Percent of total billed charges		812.187	33.3			Percent of total billed charges		812.187	100			Percent of total billed charges		2439	812.187	2195.1	
tubular plt 3.5mm 12hl 71809012 s\n	278	RC	Outpatient			2439	1585.35		90			Percent of total billed charges		2195.1	40			Percent of total billed charges		975.6	80			Percent of total billed charges		1951.2	90			Percent of total billed charges		2195.1	85			Percent of total billed charges		2073.15	85			Percent of total billed charges		2073.15	85			Percent of total billed charges		2073.15	100			Percent of total billed charges		2439	100			Percent of total billed charges		2439	100			Percent of total billed charges		2439	33.3			Percent of total billed charges		812.187	33.3			Percent of total billed charges		812.187	100			Percent of total billed charges		2439	812.187	2195.1	
cath lab intra-aortic balloon kit 34 cc	272	RC	Outpatient			2447	1590.55		90			Percent of total billed charges		2202.3	40			Percent of total billed charges		978.8	80			Percent of total billed charges		1957.6	90			Percent of total billed charges		2202.3	85			Percent of total billed charges		2079.95	85			Percent of total billed charges		2079.95	85			Percent of total billed charges		2079.95	100			Percent of total billed charges		2447	100			Percent of total billed charges		2447	100			Percent of total billed charges		2447	33.3			Percent of total billed charges		814.851	33.3			Percent of total billed charges		814.851	100			Percent of total billed charges		2447	814.851	2202.3	
cath lab intra-aortic balloon kit 40 cc	272	RC	Outpatient			2447	1590.55		90			Percent of total billed charges		2202.3	40			Percent of total billed charges		978.8	80			Percent of total billed charges		1957.6	90			Percent of total billed charges		2202.3	85			Percent of total billed charges		2079.95	85			Percent of total billed charges		2079.95	85			Percent of total billed charges		2079.95	100			Percent of total billed charges		2447	100			Percent of total billed charges		2447	100			Percent of total billed charges		2447	33.3			Percent of total billed charges		814.851	33.3			Percent of total billed charges		814.851	100			Percent of total billed charges		2447	814.851	2202.3	
intra-ao bal kit40cc/34cc	272	RC	Outpatient			2447	1590.55		90			Percent of total billed charges		2202.3	40			Percent of total billed charges		978.8	80			Percent of total billed charges		1957.6	90			Percent of total billed charges		2202.3	85			Percent of total billed charges		2079.95	85			Percent of total billed charges		2079.95	85			Percent of total billed charges		2079.95	100			Percent of total billed charges		2447	100			Percent of total billed charges		2447	100			Percent of total billed charges		2447	33.3			Percent of total billed charges		814.851	33.3			Percent of total billed charges		814.851	100			Percent of total billed charges		2447	814.851	2202.3	
acumed vdr plate long	278	RC	Outpatient			2451	1593.15		90			Percent of total billed charges		2205.9	40			Percent of total billed charges		980.4	80			Percent of total billed charges		1960.8	90			Percent of total billed charges		2205.9	85			Percent of total billed charges		2083.35	85			Percent of total billed charges		2083.35	85			Percent of total billed charges		2083.35	100			Percent of total billed charges		2451	100			Percent of total billed charges		2451	100			Percent of total billed charges		2451	33.3			Percent of total billed charges		816.183	33.3			Percent of total billed charges		816.183	100			Percent of total billed charges		2451	816.183	2205.9	
"acu-loc vdr plate, long left pl-dr60l acumed"	278	RC	Outpatient			2451	1593.15		90			Percent of total billed charges		2205.9	40			Percent of total billed charges		980.4	80			Percent of total billed charges		1960.8	90			Percent of total billed charges		2205.9	85			Percent of total billed charges		2083.35	85			Percent of total billed charges		2083.35	85			Percent of total billed charges		2083.35	100			Percent of total billed charges		2451	100			Percent of total billed charges		2451	100			Percent of total billed charges		2451	33.3			Percent of total billed charges		816.183	33.3			Percent of total billed charges		816.183	100			Percent of total billed charges		2451	816.183	2205.9	
"acu-loc vdr plate, long, right pl-dr60r  acumed"	278	RC	Outpatient			2451	1593.15		90			Percent of total billed charges		2205.9	40			Percent of total billed charges		980.4	80			Percent of total billed charges		1960.8	90			Percent of total billed charges		2205.9	85			Percent of total billed charges		2083.35	85			Percent of total billed charges		2083.35	85			Percent of total billed charges		2083.35	100			Percent of total billed charges		2451	100			Percent of total billed charges		2451	100			Percent of total billed charges		2451	33.3			Percent of total billed charges		816.183	33.3			Percent of total billed charges		816.183	100			Percent of total billed charges		2451	816.183	2205.9	
ascension humeral head ecc sz 50 x 20mm mhh-0923-010-5020e integra	278	RC	Outpatient			2459	1598.35		90			Percent of total billed charges		2213.1	40			Percent of total billed charges		983.6	80			Percent of total billed charges		1967.2	90			Percent of total billed charges		2213.1	85			Percent of total billed charges		2090.15	85			Percent of total billed charges		2090.15	85			Percent of total billed charges		2090.15	100			Percent of total billed charges		2459	100			Percent of total billed charges		2459	100			Percent of total billed charges		2459	33.3			Percent of total billed charges		818.847	33.3			Percent of total billed charges		818.847	100			Percent of total billed charges		2459	818.847	2213.1	
anesthesia time 9 hours	270	RC	Outpatient			2460	1599		90			Percent of total billed charges		2214	40			Percent of total billed charges		984	80			Percent of total billed charges		1968	90			Percent of total billed charges		2214	85			Percent of total billed charges		2091	85			Percent of total billed charges		2091	85			Percent of total billed charges		2091	100			Percent of total billed charges		2460	100			Percent of total billed charges		2460	100			Percent of total billed charges		2460	33.3			Percent of total billed charges		819.18	33.3			Percent of total billed charges		819.18	100			Percent of total billed charges		2460	819.18	2214	
reflex hybrid acp 1 level 12mm 48651112 stryker	278	RC	Outpatient			2460	1599		90			Percent of total billed charges		2214	40			Percent of total billed charges		984	80			Percent of total billed charges		1968	90			Percent of total billed charges		2214	85			Percent of total billed charges		2091	85			Percent of total billed charges		2091	85			Percent of total billed charges		2091	100			Percent of total billed charges		2460	100			Percent of total billed charges		2460	100			Percent of total billed charges		2460	33.3			Percent of total billed charges		819.18	33.3			Percent of total billed charges		819.18	100			Percent of total billed charges		2460	819.18	2214	
reflex hybrid acp 1 level 16mm 48651116 stryker	278	RC	Outpatient			2460	1599		90			Percent of total billed charges		2214	40			Percent of total billed charges		984	80			Percent of total billed charges		1968	90			Percent of total billed charges		2214	85			Percent of total billed charges		2091	85			Percent of total billed charges		2091	85			Percent of total billed charges		2091	100			Percent of total billed charges		2460	100			Percent of total billed charges		2460	100			Percent of total billed charges		2460	33.3			Percent of total billed charges		819.18	33.3			Percent of total billed charges		819.18	100			Percent of total billed charges		2460	819.18	2214	
reflex hybrid acp 1 level 20mm 48651120 stryker	278	RC	Outpatient			2460	1599		90			Percent of total billed charges		2214	40			Percent of total billed charges		984	80			Percent of total billed charges		1968	90			Percent of total billed charges		2214	85			Percent of total billed charges		2091	85			Percent of total billed charges		2091	85			Percent of total billed charges		2091	100			Percent of total billed charges		2460	100			Percent of total billed charges		2460	100			Percent of total billed charges		2460	33.3			Percent of total billed charges		819.18	33.3			Percent of total billed charges		819.18	100			Percent of total billed charges		2460	819.18	2214	
reflex hybrid acp 1 level 14mm 48651114 stryker	278	RC	Outpatient			2460	1599		90			Percent of total billed charges		2214	40			Percent of total billed charges		984	80			Percent of total billed charges		1968	90			Percent of total billed charges		2214	85			Percent of total billed charges		2091	85			Percent of total billed charges		2091	85			Percent of total billed charges		2091	100			Percent of total billed charges		2460	100			Percent of total billed charges		2460	100			Percent of total billed charges		2460	33.3			Percent of total billed charges		819.18	33.3			Percent of total billed charges		819.18	100			Percent of total billed charges		2460	819.18	2214	
reflex hybrid acp 1 level 18mm 48651118 stryker	278	RC	Outpatient			2460	1599		90			Percent of total billed charges		2214	40			Percent of total billed charges		984	80			Percent of total billed charges		1968	90			Percent of total billed charges		2214	85			Percent of total billed charges		2091	85			Percent of total billed charges		2091	85			Percent of total billed charges		2091	100			Percent of total billed charges		2460	100			Percent of total billed charges		2460	100			Percent of total billed charges		2460	33.3			Percent of total billed charges		819.18	33.3			Percent of total billed charges		819.18	100			Percent of total billed charges		2460	819.18	2214	
reflex hybrid acp 1 level 22mm 48651122 stryker	278	RC	Outpatient			2460	1599		90			Percent of total billed charges		2214	40			Percent of total billed charges		984	80			Percent of total billed charges		1968	90			Percent of total billed charges		2214	85			Percent of total billed charges		2091	85			Percent of total billed charges		2091	85			Percent of total billed charges		2091	100			Percent of total billed charges		2460	100			Percent of total billed charges		2460	100			Percent of total billed charges		2460	33.3			Percent of total billed charges		819.18	33.3			Percent of total billed charges		819.18	100			Percent of total billed charges		2460	819.18	2214	
reflex hybrid acp 1-level	278	RC	Outpatient			2460	1599		90			Percent of total billed charges		2214	40			Percent of total billed charges		984	80			Percent of total billed charges		1968	90			Percent of total billed charges		2214	85			Percent of total billed charges		2091	85			Percent of total billed charges		2091	85			Percent of total billed charges		2091	100			Percent of total billed charges		2460	100			Percent of total billed charges		2460	100			Percent of total billed charges		2460	33.3			Percent of total billed charges		819.18	33.3			Percent of total billed charges		819.18	100			Percent of total billed charges		2460	819.18	2214	
3.5mm locking recon pl 8 hl 7182-2608 s/n	278	RC	Outpatient			2462	1600.3		90			Percent of total billed charges		2215.8	40			Percent of total billed charges		984.8	80			Percent of total billed charges		1969.6	90			Percent of total billed charges		2215.8	85			Percent of total billed charges		2092.7	85			Percent of total billed charges		2092.7	85			Percent of total billed charges		2092.7	100			Percent of total billed charges		2462	100			Percent of total billed charges		2462	100			Percent of total billed charges		2462	33.3			Percent of total billed charges		819.846	33.3			Percent of total billed charges		819.846	100			Percent of total billed charges		2462	819.846	2215.8	
recon plt 3.5mm 8 hl 71809208 s\n	278	RC	Outpatient			2462	1600.3		90			Percent of total billed charges		2215.8	40			Percent of total billed charges		984.8	80			Percent of total billed charges		1969.6	90			Percent of total billed charges		2215.8	85			Percent of total billed charges		2092.7	85			Percent of total billed charges		2092.7	85			Percent of total billed charges		2092.7	100			Percent of total billed charges		2462	100			Percent of total billed charges		2462	100			Percent of total billed charges		2462	33.3			Percent of total billed charges		819.846	33.3			Percent of total billed charges		819.846	100			Percent of total billed charges		2462	819.846	2215.8	
recon plt 3.5mm 8hl 71829208 s\n	278	RC	Outpatient			2462	1600.3		90			Percent of total billed charges		2215.8	40			Percent of total billed charges		984.8	80			Percent of total billed charges		1969.6	90			Percent of total billed charges		2215.8	85			Percent of total billed charges		2092.7	85			Percent of total billed charges		2092.7	85			Percent of total billed charges		2092.7	100			Percent of total billed charges		2462	100			Percent of total billed charges		2462	100			Percent of total billed charges		2462	33.3			Percent of total billed charges		819.846	33.3			Percent of total billed charges		819.846	100			Percent of total billed charges		2462	819.846	2215.8	
s/n 3.5 lck recon pl 8hl	278	RC	Outpatient			2462	1600.3		90			Percent of total billed charges		2215.8	40			Percent of total billed charges		984.8	80			Percent of total billed charges		1969.6	90			Percent of total billed charges		2215.8	85			Percent of total billed charges		2092.7	85			Percent of total billed charges		2092.7	85			Percent of total billed charges		2092.7	100			Percent of total billed charges		2462	100			Percent of total billed charges		2462	100			Percent of total billed charges		2462	33.3			Percent of total billed charges		819.846	33.3			Percent of total billed charges		819.846	100			Percent of total billed charges		2462	819.846	2215.8	
syn tit humeral nail	278	RC	Outpatient			2463	1600.95		90			Percent of total billed charges		2216.7	40			Percent of total billed charges		985.2	80			Percent of total billed charges		1970.4	90			Percent of total billed charges		2216.7	85			Percent of total billed charges		2093.55	85			Percent of total billed charges		2093.55	85			Percent of total billed charges		2093.55	100			Percent of total billed charges		2463	100			Percent of total billed charges		2463	100			Percent of total billed charges		2463	33.3			Percent of total billed charges		820.179	33.3			Percent of total billed charges		820.179	100			Percent of total billed charges		2463	820.179	2216.7	
titanium solid humeral nail 7.5mm x 190mm (blue) 462.719 synthes	278	RC	Outpatient			2463	1600.95		90			Percent of total billed charges		2216.7	40			Percent of total billed charges		985.2	80			Percent of total billed charges		1970.4	90			Percent of total billed charges		2216.7	85			Percent of total billed charges		2093.55	85			Percent of total billed charges		2093.55	85			Percent of total billed charges		2093.55	100			Percent of total billed charges		2463	100			Percent of total billed charges		2463	100			Percent of total billed charges		2463	33.3			Percent of total billed charges		820.179	33.3			Percent of total billed charges		820.179	100			Percent of total billed charges		2463	820.179	2216.7	
titanium solid humeral nail 7.5mm x 205mm (blue) 462.720 synthes	278	RC	Outpatient			2463	1600.95		90			Percent of total billed charges		2216.7	40			Percent of total billed charges		985.2	80			Percent of total billed charges		1970.4	90			Percent of total billed charges		2216.7	85			Percent of total billed charges		2093.55	85			Percent of total billed charges		2093.55	85			Percent of total billed charges		2093.55	100			Percent of total billed charges		2463	100			Percent of total billed charges		2463	100			Percent of total billed charges		2463	33.3			Percent of total billed charges		820.179	33.3			Percent of total billed charges		820.179	100			Percent of total billed charges		2463	820.179	2216.7	
titanium solid humeral nail 7.5mm x 240mm (blue) 462.724 synthes	278	RC	Outpatient			2463	1600.95		90			Percent of total billed charges		2216.7	40			Percent of total billed charges		985.2	80			Percent of total billed charges		1970.4	90			Percent of total billed charges		2216.7	85			Percent of total billed charges		2093.55	85			Percent of total billed charges		2093.55	85			Percent of total billed charges		2093.55	100			Percent of total billed charges		2463	100			Percent of total billed charges		2463	100			Percent of total billed charges		2463	33.3			Percent of total billed charges		820.179	33.3			Percent of total billed charges		820.179	100			Percent of total billed charges		2463	820.179	2216.7	
titanium solid humeral nail 7.5mm x 250mm (blue) 462.725 synthes	278	RC	Outpatient			2463	1600.95		90			Percent of total billed charges		2216.7	40			Percent of total billed charges		985.2	80			Percent of total billed charges		1970.4	90			Percent of total billed charges		2216.7	85			Percent of total billed charges		2093.55	85			Percent of total billed charges		2093.55	85			Percent of total billed charges		2093.55	100			Percent of total billed charges		2463	100			Percent of total billed charges		2463	100			Percent of total billed charges		2463	33.3			Percent of total billed charges		820.179	33.3			Percent of total billed charges		820.179	100			Percent of total billed charges		2463	820.179	2216.7	
titanium solid humeral nail 7.5mm x 270mm (blue) 462.727 synthes	278	RC	Outpatient			2463	1600.95		90			Percent of total billed charges		2216.7	40			Percent of total billed charges		985.2	80			Percent of total billed charges		1970.4	90			Percent of total billed charges		2216.7	85			Percent of total billed charges		2093.55	85			Percent of total billed charges		2093.55	85			Percent of total billed charges		2093.55	100			Percent of total billed charges		2463	100			Percent of total billed charges		2463	100			Percent of total billed charges		2463	33.3			Percent of total billed charges		820.179	33.3			Percent of total billed charges		820.179	100			Percent of total billed charges		2463	820.179	2216.7	
titanium solid humeral nail 7.5mm x 280mm (blue) 462.728 synthes	278	RC	Outpatient			2463	1600.95		90			Percent of total billed charges		2216.7	40			Percent of total billed charges		985.2	80			Percent of total billed charges		1970.4	90			Percent of total billed charges		2216.7	85			Percent of total billed charges		2093.55	85			Percent of total billed charges		2093.55	85			Percent of total billed charges		2093.55	100			Percent of total billed charges		2463	100			Percent of total billed charges		2463	100			Percent of total billed charges		2463	33.3			Percent of total billed charges		820.179	33.3			Percent of total billed charges		820.179	100			Percent of total billed charges		2463	820.179	2216.7	
titanium solid humeral nail 7.5mm x 220mm (blue) 462.722 synthes	278	RC	Outpatient			2463	1600.95		90			Percent of total billed charges		2216.7	40			Percent of total billed charges		985.2	80			Percent of total billed charges		1970.4	90			Percent of total billed charges		2216.7	85			Percent of total billed charges		2093.55	85			Percent of total billed charges		2093.55	85			Percent of total billed charges		2093.55	100			Percent of total billed charges		2463	100			Percent of total billed charges		2463	100			Percent of total billed charges		2463	33.3			Percent of total billed charges		820.179	33.3			Percent of total billed charges		820.179	100			Percent of total billed charges		2463	820.179	2216.7	
titanium solid humeral nail 7.5mm x 230mm (blue) 462.723 synthes	278	RC	Outpatient			2463	1600.95		90			Percent of total billed charges		2216.7	40			Percent of total billed charges		985.2	80			Percent of total billed charges		1970.4	90			Percent of total billed charges		2216.7	85			Percent of total billed charges		2093.55	85			Percent of total billed charges		2093.55	85			Percent of total billed charges		2093.55	100			Percent of total billed charges		2463	100			Percent of total billed charges		2463	100			Percent of total billed charges		2463	33.3			Percent of total billed charges		820.179	33.3			Percent of total billed charges		820.179	100			Percent of total billed charges		2463	820.179	2216.7	
titanium solid humeral nail 7.5mm x 260mm (blue) 462.726 synthes	278	RC	Outpatient			2463	1600.95		90			Percent of total billed charges		2216.7	40			Percent of total billed charges		985.2	80			Percent of total billed charges		1970.4	90			Percent of total billed charges		2216.7	85			Percent of total billed charges		2093.55	85			Percent of total billed charges		2093.55	85			Percent of total billed charges		2093.55	100			Percent of total billed charges		2463	100			Percent of total billed charges		2463	100			Percent of total billed charges		2463	33.3			Percent of total billed charges		820.179	33.3			Percent of total billed charges		820.179	100			Percent of total billed charges		2463	820.179	2216.7	
biomet cable plate 9 hole	278	RC	Outpatient			2466	1602.9		90			Percent of total billed charges		2219.4	40			Percent of total billed charges		986.4	80			Percent of total billed charges		1972.8	90			Percent of total billed charges		2219.4	85			Percent of total billed charges		2096.1	85			Percent of total billed charges		2096.1	85			Percent of total billed charges		2096.1	100			Percent of total billed charges		2466	100			Percent of total billed charges		2466	100			Percent of total billed charges		2466	33.3			Percent of total billed charges		821.178	33.3			Percent of total billed charges		821.178	100			Percent of total billed charges		2466	821.178	2219.4	
ss cable plate 9 hole 260mm  350819 biomet	278	RC	Outpatient			2466	1602.9		90			Percent of total billed charges		2219.4	40			Percent of total billed charges		986.4	80			Percent of total billed charges		1972.8	90			Percent of total billed charges		2219.4	85			Percent of total billed charges		2096.1	85			Percent of total billed charges		2096.1	85			Percent of total billed charges		2096.1	100			Percent of total billed charges		2466	100			Percent of total billed charges		2466	100			Percent of total billed charges		2466	33.3			Percent of total billed charges		821.178	33.3			Percent of total billed charges		821.178	100			Percent of total billed charges		2466	821.178	2219.4	
broad plt 4.5mm 11 hl 71829491 s\n	278	RC	Outpatient			2472	1606.8		90			Percent of total billed charges		2224.8	40			Percent of total billed charges		988.8	80			Percent of total billed charges		1977.6	90			Percent of total billed charges		2224.8	85			Percent of total billed charges		2101.2	85			Percent of total billed charges		2101.2	85			Percent of total billed charges		2101.2	100			Percent of total billed charges		2472	100			Percent of total billed charges		2472	100			Percent of total billed charges		2472	33.3			Percent of total billed charges		823.176	33.3			Percent of total billed charges		823.176	100			Percent of total billed charges		2472	823.176	2224.8	
broad plt 4.5mm 12 hl 71809492 s\n	278	RC	Outpatient			2472	1606.8		90			Percent of total billed charges		2224.8	40			Percent of total billed charges		988.8	80			Percent of total billed charges		1977.6	90			Percent of total billed charges		2224.8	85			Percent of total billed charges		2101.2	85			Percent of total billed charges		2101.2	85			Percent of total billed charges		2101.2	100			Percent of total billed charges		2472	100			Percent of total billed charges		2472	100			Percent of total billed charges		2472	33.3			Percent of total billed charges		823.176	33.3			Percent of total billed charges		823.176	100			Percent of total billed charges		2472	823.176	2224.8	
broad plt 4.5mm 12 hl 71829492 s\n	278	RC	Outpatient			2472	1606.8		90			Percent of total billed charges		2224.8	40			Percent of total billed charges		988.8	80			Percent of total billed charges		1977.6	90			Percent of total billed charges		2224.8	85			Percent of total billed charges		2101.2	85			Percent of total billed charges		2101.2	85			Percent of total billed charges		2101.2	100			Percent of total billed charges		2472	100			Percent of total billed charges		2472	100			Percent of total billed charges		2472	33.3			Percent of total billed charges		823.176	33.3			Percent of total billed charges		823.176	100			Percent of total billed charges		2472	823.176	2224.8	
broad plt 4.5mm 14 hl 718294 s\n	278	RC	Outpatient			2472	1606.8		90			Percent of total billed charges		2224.8	40			Percent of total billed charges		988.8	80			Percent of total billed charges		1977.6	90			Percent of total billed charges		2224.8	85			Percent of total billed charges		2101.2	85			Percent of total billed charges		2101.2	85			Percent of total billed charges		2101.2	100			Percent of total billed charges		2472	100			Percent of total billed charges		2472	100			Percent of total billed charges		2472	33.3			Percent of total billed charges		823.176	33.3			Percent of total billed charges		823.176	100			Percent of total billed charges		2472	823.176	2224.8	
s/n 4.5 broad pl 11-14 hl	278	RC	Outpatient			2472	1606.8		90			Percent of total billed charges		2224.8	40			Percent of total billed charges		988.8	80			Percent of total billed charges		1977.6	90			Percent of total billed charges		2224.8	85			Percent of total billed charges		2101.2	85			Percent of total billed charges		2101.2	85			Percent of total billed charges		2101.2	100			Percent of total billed charges		2472	100			Percent of total billed charges		2472	100			Percent of total billed charges		2472	33.3			Percent of total billed charges		823.176	33.3			Percent of total billed charges		823.176	100			Percent of total billed charges		2472	823.176	2224.8	
ascension humeral head cen sz 42 x 16mm mhh-0920-010-4216c integra	278	RC	Outpatient			2475	1608.75		90			Percent of total billed charges		2227.5	40			Percent of total billed charges		990	80			Percent of total billed charges		1980	90			Percent of total billed charges		2227.5	85			Percent of total billed charges		2103.75	85			Percent of total billed charges		2103.75	85			Percent of total billed charges		2103.75	100			Percent of total billed charges		2475	100			Percent of total billed charges		2475	100			Percent of total billed charges		2475	33.3			Percent of total billed charges		824.175	33.3			Percent of total billed charges		824.175	100			Percent of total billed charges		2475	824.175	2227.5	
ascension humeral head cen sz 44 x 19mm mhh-0920-010-4419c integra	278	RC	Outpatient			2475	1608.75		90			Percent of total billed charges		2227.5	40			Percent of total billed charges		990	80			Percent of total billed charges		1980	90			Percent of total billed charges		2227.5	85			Percent of total billed charges		2103.75	85			Percent of total billed charges		2103.75	85			Percent of total billed charges		2103.75	100			Percent of total billed charges		2475	100			Percent of total billed charges		2475	100			Percent of total billed charges		2475	33.3			Percent of total billed charges		824.175	33.3			Percent of total billed charges		824.175	100			Percent of total billed charges		2475	824.175	2227.5	
ascension humeral head cen sz 46 x 14mm mhh-0920-010-4614c integra	278	RC	Outpatient			2475	1608.75		90			Percent of total billed charges		2227.5	40			Percent of total billed charges		990	80			Percent of total billed charges		1980	90			Percent of total billed charges		2227.5	85			Percent of total billed charges		2103.75	85			Percent of total billed charges		2103.75	85			Percent of total billed charges		2103.75	100			Percent of total billed charges		2475	100			Percent of total billed charges		2475	100			Percent of total billed charges		2475	33.3			Percent of total billed charges		824.175	33.3			Percent of total billed charges		824.175	100			Percent of total billed charges		2475	824.175	2227.5	
ascension humeral head cen sz 46 x 17mm mhh-0920-010-4617c integra	278	RC	Outpatient			2475	1608.75		90			Percent of total billed charges		2227.5	40			Percent of total billed charges		990	80			Percent of total billed charges		1980	90			Percent of total billed charges		2227.5	85			Percent of total billed charges		2103.75	85			Percent of total billed charges		2103.75	85			Percent of total billed charges		2103.75	100			Percent of total billed charges		2475	100			Percent of total billed charges		2475	100			Percent of total billed charges		2475	33.3			Percent of total billed charges		824.175	33.3			Percent of total billed charges		824.175	100			Percent of total billed charges		2475	824.175	2227.5	
ascension humeral head cen sz 46 x 20mm mhh-0920-010-4620c integra	278	RC	Outpatient			2475	1608.75		90			Percent of total billed charges		2227.5	40			Percent of total billed charges		990	80			Percent of total billed charges		1980	90			Percent of total billed charges		2227.5	85			Percent of total billed charges		2103.75	85			Percent of total billed charges		2103.75	85			Percent of total billed charges		2103.75	100			Percent of total billed charges		2475	100			Percent of total billed charges		2475	100			Percent of total billed charges		2475	33.3			Percent of total billed charges		824.175	33.3			Percent of total billed charges		824.175	100			Percent of total billed charges		2475	824.175	2227.5	
ascension humeral head cen sz 48 x 15mm mhh-0920-010-4815c integra	278	RC	Outpatient			2475	1608.75		90			Percent of total billed charges		2227.5	40			Percent of total billed charges		990	80			Percent of total billed charges		1980	90			Percent of total billed charges		2227.5	85			Percent of total billed charges		2103.75	85			Percent of total billed charges		2103.75	85			Percent of total billed charges		2103.75	100			Percent of total billed charges		2475	100			Percent of total billed charges		2475	100			Percent of total billed charges		2475	33.3			Percent of total billed charges		824.175	33.3			Percent of total billed charges		824.175	100			Percent of total billed charges		2475	824.175	2227.5	
ascension humeral head ecc sz 48 x 18mm mhh-0920-010-4818c integra	278	RC	Outpatient			2475	1608.75		90			Percent of total billed charges		2227.5	40			Percent of total billed charges		990	80			Percent of total billed charges		1980	90			Percent of total billed charges		2227.5	85			Percent of total billed charges		2103.75	85			Percent of total billed charges		2103.75	85			Percent of total billed charges		2103.75	100			Percent of total billed charges		2475	100			Percent of total billed charges		2475	100			Percent of total billed charges		2475	33.3			Percent of total billed charges		824.175	33.3			Percent of total billed charges		824.175	100			Percent of total billed charges		2475	824.175	2227.5	
ascension humeral head ecc sz 48 x 21mm mhh-0920-010-4821c integra	278	RC	Outpatient			2475	1608.75		90			Percent of total billed charges		2227.5	40			Percent of total billed charges		990	80			Percent of total billed charges		1980	90			Percent of total billed charges		2227.5	85			Percent of total billed charges		2103.75	85			Percent of total billed charges		2103.75	85			Percent of total billed charges		2103.75	100			Percent of total billed charges		2475	100			Percent of total billed charges		2475	100			Percent of total billed charges		2475	33.3			Percent of total billed charges		824.175	33.3			Percent of total billed charges		824.175	100			Percent of total billed charges		2475	824.175	2227.5	
ascension humeral head ecc sz 50  x 19mm mhh-0920-010-5019c integra	278	RC	Outpatient			2475	1608.75		90			Percent of total billed charges		2227.5	40			Percent of total billed charges		990	80			Percent of total billed charges		1980	90			Percent of total billed charges		2227.5	85			Percent of total billed charges		2103.75	85			Percent of total billed charges		2103.75	85			Percent of total billed charges		2103.75	100			Percent of total billed charges		2475	100			Percent of total billed charges		2475	100			Percent of total billed charges		2475	33.3			Percent of total billed charges		824.175	33.3			Percent of total billed charges		824.175	100			Percent of total billed charges		2475	824.175	2227.5	
ascension humeral head ecc sz 50 x 19mm mhh-0920-010-5019e integra	278	RC	Outpatient			2475	1608.75		90			Percent of total billed charges		2227.5	40			Percent of total billed charges		990	80			Percent of total billed charges		1980	90			Percent of total billed charges		2227.5	85			Percent of total billed charges		2103.75	85			Percent of total billed charges		2103.75	85			Percent of total billed charges		2103.75	100			Percent of total billed charges		2475	100			Percent of total billed charges		2475	100			Percent of total billed charges		2475	33.3			Percent of total billed charges		824.175	33.3			Percent of total billed charges		824.175	100			Percent of total billed charges		2475	824.175	2227.5	
ascension humeral head ecc sz 50 x 22mm mhh-0920-010-5022c integra	278	RC	Outpatient			2475	1608.75		90			Percent of total billed charges		2227.5	40			Percent of total billed charges		990	80			Percent of total billed charges		1980	90			Percent of total billed charges		2227.5	85			Percent of total billed charges		2103.75	85			Percent of total billed charges		2103.75	85			Percent of total billed charges		2103.75	100			Percent of total billed charges		2475	100			Percent of total billed charges		2475	100			Percent of total billed charges		2475	33.3			Percent of total billed charges		824.175	33.3			Percent of total billed charges		824.175	100			Percent of total billed charges		2475	824.175	2227.5	
ascension pf humeral stem 10mm stem-0920-025-10 integra	278	RC	Outpatient			2475	1608.75		90			Percent of total billed charges		2227.5	40			Percent of total billed charges		990	80			Percent of total billed charges		1980	90			Percent of total billed charges		2227.5	85			Percent of total billed charges		2103.75	85			Percent of total billed charges		2103.75	85			Percent of total billed charges		2103.75	100			Percent of total billed charges		2475	100			Percent of total billed charges		2475	100			Percent of total billed charges		2475	33.3			Percent of total billed charges		824.175	33.3			Percent of total billed charges		824.175	100			Percent of total billed charges		2475	824.175	2227.5	
ascension pf humeral stem 11mm stem-0920-025-11 integra	278	RC	Outpatient			2475	1608.75		90			Percent of total billed charges		2227.5	40			Percent of total billed charges		990	80			Percent of total billed charges		1980	90			Percent of total billed charges		2227.5	85			Percent of total billed charges		2103.75	85			Percent of total billed charges		2103.75	85			Percent of total billed charges		2103.75	100			Percent of total billed charges		2475	100			Percent of total billed charges		2475	100			Percent of total billed charges		2475	33.3			Percent of total billed charges		824.175	33.3			Percent of total billed charges		824.175	100			Percent of total billed charges		2475	824.175	2227.5	
ascension pf humeral stem 15mm stem-0920-025-15 integra	278	RC	Outpatient			2475	1608.75		90			Percent of total billed charges		2227.5	40			Percent of total billed charges		990	80			Percent of total billed charges		1980	90			Percent of total billed charges		2227.5	85			Percent of total billed charges		2103.75	85			Percent of total billed charges		2103.75	85			Percent of total billed charges		2103.75	100			Percent of total billed charges		2475	100			Percent of total billed charges		2475	100			Percent of total billed charges		2475	33.3			Percent of total billed charges		824.175	33.3			Percent of total billed charges		824.175	100			Percent of total billed charges		2475	824.175	2227.5	
ascension humeral head cen sz 44 x 16mm mhh-0920-010-4416c integra	278	RC	Outpatient			2475	1608.75		90			Percent of total billed charges		2227.5	40			Percent of total billed charges		990	80			Percent of total billed charges		1980	90			Percent of total billed charges		2227.5	85			Percent of total billed charges		2103.75	85			Percent of total billed charges		2103.75	85			Percent of total billed charges		2103.75	100			Percent of total billed charges		2475	100			Percent of total billed charges		2475	100			Percent of total billed charges		2475	33.3			Percent of total billed charges		824.175	33.3			Percent of total billed charges		824.175	100			Percent of total billed charges		2475	824.175	2227.5	
ascension humeral head ecc sz 38 x 14mm mhh-0923-010-3814e integra	278	RC	Outpatient			2475	1608.75		90			Percent of total billed charges		2227.5	40			Percent of total billed charges		990	80			Percent of total billed charges		1980	90			Percent of total billed charges		2227.5	85			Percent of total billed charges		2103.75	85			Percent of total billed charges		2103.75	85			Percent of total billed charges		2103.75	100			Percent of total billed charges		2475	100			Percent of total billed charges		2475	100			Percent of total billed charges		2475	33.3			Percent of total billed charges		824.175	33.3			Percent of total billed charges		824.175	100			Percent of total billed charges		2475	824.175	2227.5	
ascension humeral head ecc sz 52 x 20mm mhh-0920-010-5220c integra	278	RC	Outpatient			2475	1608.75		90			Percent of total billed charges		2227.5	40			Percent of total billed charges		990	80			Percent of total billed charges		1980	90			Percent of total billed charges		2227.5	85			Percent of total billed charges		2103.75	85			Percent of total billed charges		2103.75	85			Percent of total billed charges		2103.75	100			Percent of total billed charges		2475	100			Percent of total billed charges		2475	100			Percent of total billed charges		2475	33.3			Percent of total billed charges		824.175	33.3			Percent of total billed charges		824.175	100			Percent of total billed charges		2475	824.175	2227.5	
ascension pf humeral stem 14mm stem-0920-025-14 integra	278	RC	Outpatient			2475	1608.75		90			Percent of total billed charges		2227.5	40			Percent of total billed charges		990	80			Percent of total billed charges		1980	90			Percent of total billed charges		2227.5	85			Percent of total billed charges		2103.75	85			Percent of total billed charges		2103.75	85			Percent of total billed charges		2103.75	100			Percent of total billed charges		2475	100			Percent of total billed charges		2475	100			Percent of total billed charges		2475	33.3			Percent of total billed charges		824.175	33.3			Percent of total billed charges		824.175	100			Percent of total billed charges		2475	824.175	2227.5	
lfit anatomic v40 fem head 40mm 6260-9-140 stryker	278	RC	Outpatient			2475	1608.75		90			Percent of total billed charges		2227.5	40			Percent of total billed charges		990	80			Percent of total billed charges		1980	90			Percent of total billed charges		2227.5	85			Percent of total billed charges		2103.75	85			Percent of total billed charges		2103.75	85			Percent of total billed charges		2103.75	100			Percent of total billed charges		2475	100			Percent of total billed charges		2475	100			Percent of total billed charges		2475	33.3			Percent of total billed charges		824.175	33.3			Percent of total billed charges		824.175	100			Percent of total billed charges		2475	824.175	2227.5	
integra titan rs bp	278	RC	Outpatient			2475	1608.75		90			Percent of total billed charges		2227.5	40			Percent of total billed charges		990	80			Percent of total billed charges		1980	90			Percent of total billed charges		2227.5	85			Percent of total billed charges		2103.75	85			Percent of total billed charges		2103.75	85			Percent of total billed charges		2103.75	100			Percent of total billed charges		2475	100			Percent of total billed charges		2475	100			Percent of total billed charges		2475	33.3			Percent of total billed charges		824.175	33.3			Percent of total billed charges		824.175	100			Percent of total billed charges		2475	824.175	2227.5	
integra titan rs gs	278	RC	Outpatient			2475	1608.75		90			Percent of total billed charges		2227.5	40			Percent of total billed charges		990	80			Percent of total billed charges		1980	90			Percent of total billed charges		2227.5	85			Percent of total billed charges		2103.75	85			Percent of total billed charges		2103.75	85			Percent of total billed charges		2103.75	100			Percent of total billed charges		2475	100			Percent of total billed charges		2475	100			Percent of total billed charges		2475	33.3			Percent of total billed charges		824.175	33.3			Percent of total billed charges		824.175	100			Percent of total billed charges		2475	824.175	2227.5	
lfit anatomic v40 fem head 36mm 6260-9-136 stryker	278	RC	Outpatient			2475	1608.75		90			Percent of total billed charges		2227.5	40			Percent of total billed charges		990	80			Percent of total billed charges		1980	90			Percent of total billed charges		2227.5	85			Percent of total billed charges		2103.75	85			Percent of total billed charges		2103.75	85			Percent of total billed charges		2103.75	100			Percent of total billed charges		2475	100			Percent of total billed charges		2475	100			Percent of total billed charges		2475	33.3			Percent of total billed charges		824.175	33.3			Percent of total billed charges		824.175	100			Percent of total billed charges		2475	824.175	2227.5	
lfit anatomic v40 fem head 40mm 6260-9-040 stryker	278	RC	Outpatient			2475	1608.75		90			Percent of total billed charges		2227.5	40			Percent of total billed charges		990	80			Percent of total billed charges		1980	90			Percent of total billed charges		2227.5	85			Percent of total billed charges		2103.75	85			Percent of total billed charges		2103.75	85			Percent of total billed charges		2103.75	100			Percent of total billed charges		2475	100			Percent of total billed charges		2475	100			Percent of total billed charges		2475	33.3			Percent of total billed charges		824.175	33.3			Percent of total billed charges		824.175	100			Percent of total billed charges		2475	824.175	2227.5	
lfit anatomic v40 fem head 44mm 6260-9-144 stryker	278	RC	Outpatient			2475	1608.75		90			Percent of total billed charges		2227.5	40			Percent of total billed charges		990	80			Percent of total billed charges		1980	90			Percent of total billed charges		2227.5	85			Percent of total billed charges		2103.75	85			Percent of total billed charges		2103.75	85			Percent of total billed charges		2103.75	100			Percent of total billed charges		2475	100			Percent of total billed charges		2475	100			Percent of total billed charges		2475	33.3			Percent of total billed charges		824.175	33.3			Percent of total billed charges		824.175	100			Percent of total billed charges		2475	824.175	2227.5	
titan rs genosphere 5mm gls-0960-05e intregra	278	RC	Outpatient			2475	1608.75		90			Percent of total billed charges		2227.5	40			Percent of total billed charges		990	80			Percent of total billed charges		1980	90			Percent of total billed charges		2227.5	85			Percent of total billed charges		2103.75	85			Percent of total billed charges		2103.75	85			Percent of total billed charges		2103.75	100			Percent of total billed charges		2475	100			Percent of total billed charges		2475	100			Percent of total billed charges		2475	33.3			Percent of total billed charges		824.175	33.3			Percent of total billed charges		824.175	100			Percent of total billed charges		2475	824.175	2227.5	
titan rs screw 4.5 x 25 ssc-0960-045-25 intregra	278	RC	Outpatient			2475	1608.75		90			Percent of total billed charges		2227.5	40			Percent of total billed charges		990	80			Percent of total billed charges		1980	90			Percent of total billed charges		2227.5	85			Percent of total billed charges		2103.75	85			Percent of total billed charges		2103.75	85			Percent of total billed charges		2103.75	100			Percent of total billed charges		2475	100			Percent of total billed charges		2475	100			Percent of total billed charges		2475	33.3			Percent of total billed charges		824.175	33.3			Percent of total billed charges		824.175	100			Percent of total billed charges		2475	824.175	2227.5	
sjm slip tip lead trial kit  ref mn10350-50a	272	RC	Outpatient			2475	1608.75		90			Percent of total billed charges		2227.5	40			Percent of total billed charges		990	80			Percent of total billed charges		1980	90			Percent of total billed charges		2227.5	85			Percent of total billed charges		2103.75	85			Percent of total billed charges		2103.75	85			Percent of total billed charges		2103.75	100			Percent of total billed charges		2475	100			Percent of total billed charges		2475	100			Percent of total billed charges		2475	33.3			Percent of total billed charges		824.175	33.3			Percent of total billed charges		824.175	100			Percent of total billed charges		2475	824.175	2227.5	
stryker lfit v40 fem hdlg	278	RC	Outpatient			2475	1608.75		90			Percent of total billed charges		2227.5	40			Percent of total billed charges		990	80			Percent of total billed charges		1980	90			Percent of total billed charges		2227.5	85			Percent of total billed charges		2103.75	85			Percent of total billed charges		2103.75	85			Percent of total billed charges		2103.75	100			Percent of total billed charges		2475	100			Percent of total billed charges		2475	100			Percent of total billed charges		2475	33.3			Percent of total billed charges		824.175	33.3			Percent of total billed charges		824.175	100			Percent of total billed charges		2475	824.175	2227.5	
titan rs glenoid baseplate 15mm gbp-0960-030-15 intregra	278	RC	Outpatient			2475	1608.75		90			Percent of total billed charges		2227.5	40			Percent of total billed charges		990	80			Percent of total billed charges		1980	90			Percent of total billed charges		2227.5	85			Percent of total billed charges		2103.75	85			Percent of total billed charges		2103.75	85			Percent of total billed charges		2103.75	100			Percent of total billed charges		2475	100			Percent of total billed charges		2475	100			Percent of total billed charges		2475	33.3			Percent of total billed charges		824.175	33.3			Percent of total billed charges		824.175	100			Percent of total billed charges		2475	824.175	2227.5	
lg fr pl cp nar cmp 13-14	278	RC	Outpatient			2476	1609.4		90			Percent of total billed charges		2228.4	40			Percent of total billed charges		990.4	80			Percent of total billed charges		1980.8	90			Percent of total billed charges		2228.4	85			Percent of total billed charges		2104.6	85			Percent of total billed charges		2104.6	85			Percent of total billed charges		2104.6	100			Percent of total billed charges		2476	100			Percent of total billed charges		2476	100			Percent of total billed charges		2476	33.3			Percent of total billed charges		824.508	33.3			Percent of total billed charges		824.508	100			Percent of total billed charges		2476	824.508	2228.4	
s/n lg frag plate 4.5mm 13 hole 7184-1413	278	RC	Outpatient			2476	1609.4		90			Percent of total billed charges		2228.4	40			Percent of total billed charges		990.4	80			Percent of total billed charges		1980.8	90			Percent of total billed charges		2228.4	85			Percent of total billed charges		2104.6	85			Percent of total billed charges		2104.6	85			Percent of total billed charges		2104.6	100			Percent of total billed charges		2476	100			Percent of total billed charges		2476	100			Percent of total billed charges		2476	33.3			Percent of total billed charges		824.508	33.3			Percent of total billed charges		824.508	100			Percent of total billed charges		2476	824.508	2228.4	
s/n lg frag plate 4.5mm 14 hole 7184-1414	278	RC	Outpatient			2476	1609.4		90			Percent of total billed charges		2228.4	40			Percent of total billed charges		990.4	80			Percent of total billed charges		1980.8	90			Percent of total billed charges		2228.4	85			Percent of total billed charges		2104.6	85			Percent of total billed charges		2104.6	85			Percent of total billed charges		2104.6	100			Percent of total billed charges		2476	100			Percent of total billed charges		2476	100			Percent of total billed charges		2476	33.3			Percent of total billed charges		824.508	33.3			Percent of total billed charges		824.508	100			Percent of total billed charges		2476	824.508	2228.4	
rich reflect acet shell	278	RC	Outpatient			2482	1613.3		90			Percent of total billed charges		2233.8	40			Percent of total billed charges		992.8	80			Percent of total billed charges		1985.6	90			Percent of total billed charges		2233.8	85			Percent of total billed charges		2109.7	85			Percent of total billed charges		2109.7	85			Percent of total billed charges		2109.7	100			Percent of total billed charges		2482	100			Percent of total billed charges		2482	100			Percent of total billed charges		2482	33.3			Percent of total billed charges		826.506	33.3			Percent of total billed charges		826.506	100			Percent of total billed charges		2482	826.506	2233.8	
reflection  fso 5 acetabular shell 46mm 71330046 s/n	278	RC	Outpatient			2482	1613.3		90			Percent of total billed charges		2233.8	40			Percent of total billed charges		992.8	80			Percent of total billed charges		1985.6	90			Percent of total billed charges		2233.8	85			Percent of total billed charges		2109.7	85			Percent of total billed charges		2109.7	85			Percent of total billed charges		2109.7	100			Percent of total billed charges		2482	100			Percent of total billed charges		2482	100			Percent of total billed charges		2482	33.3			Percent of total billed charges		826.506	33.3			Percent of total billed charges		826.506	100			Percent of total billed charges		2482	826.506	2233.8	
tandem cocr shl/liner 59od 28id 71322059 s/n	278	RC	Outpatient			2482	1613.3		90			Percent of total billed charges		2233.8	40			Percent of total billed charges		992.8	80			Percent of total billed charges		1985.6	90			Percent of total billed charges		2233.8	85			Percent of total billed charges		2109.7	85			Percent of total billed charges		2109.7	85			Percent of total billed charges		2109.7	100			Percent of total billed charges		2482	100			Percent of total billed charges		2482	100			Percent of total billed charges		2482	33.3			Percent of total billed charges		826.506	33.3			Percent of total billed charges		826.506	100			Percent of total billed charges		2482	826.506	2233.8	
peri-loc 3.5 vlp l-p tibia lk pl 6 h lt 72820306 s/n	278	RC	Outpatient			2483	1613.95		90			Percent of total billed charges		2234.7	40			Percent of total billed charges		993.2	80			Percent of total billed charges		1986.4	90			Percent of total billed charges		2234.7	85			Percent of total billed charges		2110.55	85			Percent of total billed charges		2110.55	85			Percent of total billed charges		2110.55	100			Percent of total billed charges		2483	100			Percent of total billed charges		2483	100			Percent of total billed charges		2483	33.3			Percent of total billed charges		826.839	33.3			Percent of total billed charges		826.839	100			Percent of total billed charges		2483	826.839	2234.7	
peri-loc 3.5 vlp pm-p tibia lk pl 7 h lt 72820107 s/n	278	RC	Outpatient			2483	1613.95		90			Percent of total billed charges		2234.7	40			Percent of total billed charges		993.2	80			Percent of total billed charges		1986.4	90			Percent of total billed charges		2234.7	85			Percent of total billed charges		2110.55	85			Percent of total billed charges		2110.55	85			Percent of total billed charges		2110.55	100			Percent of total billed charges		2483	100			Percent of total billed charges		2483	100			Percent of total billed charges		2483	33.3			Percent of total billed charges		826.839	33.3			Percent of total billed charges		826.839	100			Percent of total billed charges		2483	826.839	2234.7	
s/n vlp prox tib pl 6h	278	RC	Outpatient			2483	1613.95		90			Percent of total billed charges		2234.7	40			Percent of total billed charges		993.2	80			Percent of total billed charges		1986.4	90			Percent of total billed charges		2234.7	85			Percent of total billed charges		2110.55	85			Percent of total billed charges		2110.55	85			Percent of total billed charges		2110.55	100			Percent of total billed charges		2483	100			Percent of total billed charges		2483	100			Percent of total billed charges		2483	33.3			Percent of total billed charges		826.839	33.3			Percent of total billed charges		826.839	100			Percent of total billed charges		2483	826.839	2234.7	
peri-loc 3.5 vlp l-p tibia lk pl 6 h rt 72820406 s/n	278	RC	Outpatient			2483	1613.95		90			Percent of total billed charges		2234.7	40			Percent of total billed charges		993.2	80			Percent of total billed charges		1986.4	90			Percent of total billed charges		2234.7	85			Percent of total billed charges		2110.55	85			Percent of total billed charges		2110.55	85			Percent of total billed charges		2110.55	100			Percent of total billed charges		2483	100			Percent of total billed charges		2483	100			Percent of total billed charges		2483	33.3			Percent of total billed charges		826.839	33.3			Percent of total billed charges		826.839	100			Percent of total billed charges		2483	826.839	2234.7	
peri-loc 3.5 vlp pm-p tibia lk pl 7 h rt 72820207 s/n	278	RC	Outpatient			2483	1613.95		90			Percent of total billed charges		2234.7	40			Percent of total billed charges		993.2	80			Percent of total billed charges		1986.4	90			Percent of total billed charges		2234.7	85			Percent of total billed charges		2110.55	85			Percent of total billed charges		2110.55	85			Percent of total billed charges		2110.55	100			Percent of total billed charges		2483	100			Percent of total billed charges		2483	100			Percent of total billed charges		2483	33.3			Percent of total billed charges		826.839	33.3			Percent of total billed charges		826.839	100			Percent of total billed charges		2483	826.839	2234.7	
s/n vlp prox tib pl 7h	278	RC	Outpatient			2483	1613.95		90			Percent of total billed charges		2234.7	40			Percent of total billed charges		993.2	80			Percent of total billed charges		1986.4	90			Percent of total billed charges		2234.7	85			Percent of total billed charges		2110.55	85			Percent of total billed charges		2110.55	85			Percent of total billed charges		2110.55	100			Percent of total billed charges		2483	100			Percent of total billed charges		2483	100			Percent of total billed charges		2483	33.3			Percent of total billed charges		826.839	33.3			Percent of total billed charges		826.839	100			Percent of total billed charges		2483	826.839	2234.7	
prox lat. tib plt 4hl	278	RC	Outpatient			2485	1615.25		90			Percent of total billed charges		2236.5	40			Percent of total billed charges		994	80			Percent of total billed charges		1988	90			Percent of total billed charges		2236.5	85			Percent of total billed charges		2112.25	85			Percent of total billed charges		2112.25	85			Percent of total billed charges		2112.25	100			Percent of total billed charges		2485	100			Percent of total billed charges		2485	100			Percent of total billed charges		2485	33.3			Percent of total billed charges		827.505	33.3			Percent of total billed charges		827.505	100			Percent of total billed charges		2485	827.505	2236.5	
proximal lateral tibial locking plate 4hl rt 437324 stryker	278	RC	Outpatient			2485	1615.25		90			Percent of total billed charges		2236.5	40			Percent of total billed charges		994	80			Percent of total billed charges		1988	90			Percent of total billed charges		2236.5	85			Percent of total billed charges		2112.25	85			Percent of total billed charges		2112.25	85			Percent of total billed charges		2112.25	100			Percent of total billed charges		2485	100			Percent of total billed charges		2485	100			Percent of total billed charges		2485	33.3			Percent of total billed charges		827.505	33.3			Percent of total billed charges		827.505	100			Percent of total billed charges		2485	827.505	2236.5	
tether 1 level plate 12mm 03-10-0112  stryker	278	RC	Outpatient			2485	1615.25		90			Percent of total billed charges		2236.5	40			Percent of total billed charges		994	80			Percent of total billed charges		1988	90			Percent of total billed charges		2236.5	85			Percent of total billed charges		2112.25	85			Percent of total billed charges		2112.25	85			Percent of total billed charges		2112.25	100			Percent of total billed charges		2485	100			Percent of total billed charges		2485	100			Percent of total billed charges		2485	33.3			Percent of total billed charges		827.505	33.3			Percent of total billed charges		827.505	100			Percent of total billed charges		2485	827.505	2236.5	
tether 1 level plate 14mm 03-10-0114  stryker	278	RC	Outpatient			2485	1615.25		90			Percent of total billed charges		2236.5	40			Percent of total billed charges		994	80			Percent of total billed charges		1988	90			Percent of total billed charges		2236.5	85			Percent of total billed charges		2112.25	85			Percent of total billed charges		2112.25	85			Percent of total billed charges		2112.25	100			Percent of total billed charges		2485	100			Percent of total billed charges		2485	100			Percent of total billed charges		2485	33.3			Percent of total billed charges		827.505	33.3			Percent of total billed charges		827.505	100			Percent of total billed charges		2485	827.505	2236.5	
tether 1 level plate 16mm 03-10-0116  stryker	278	RC	Outpatient			2485	1615.25		90			Percent of total billed charges		2236.5	40			Percent of total billed charges		994	80			Percent of total billed charges		1988	90			Percent of total billed charges		2236.5	85			Percent of total billed charges		2112.25	85			Percent of total billed charges		2112.25	85			Percent of total billed charges		2112.25	100			Percent of total billed charges		2485	100			Percent of total billed charges		2485	100			Percent of total billed charges		2485	33.3			Percent of total billed charges		827.505	33.3			Percent of total billed charges		827.505	100			Percent of total billed charges		2485	827.505	2236.5	
tether 1 level plate 22mm 03-10-0122  stryker	278	RC	Outpatient			2485	1615.25		90			Percent of total billed charges		2236.5	40			Percent of total billed charges		994	80			Percent of total billed charges		1988	90			Percent of total billed charges		2236.5	85			Percent of total billed charges		2112.25	85			Percent of total billed charges		2112.25	85			Percent of total billed charges		2112.25	100			Percent of total billed charges		2485	100			Percent of total billed charges		2485	100			Percent of total billed charges		2485	33.3			Percent of total billed charges		827.505	33.3			Percent of total billed charges		827.505	100			Percent of total billed charges		2485	827.505	2236.5	
tether 1 level plate 24mm 03-10-0124  stryker	278	RC	Outpatient			2485	1615.25		90			Percent of total billed charges		2236.5	40			Percent of total billed charges		994	80			Percent of total billed charges		1988	90			Percent of total billed charges		2236.5	85			Percent of total billed charges		2112.25	85			Percent of total billed charges		2112.25	85			Percent of total billed charges		2112.25	100			Percent of total billed charges		2485	100			Percent of total billed charges		2485	100			Percent of total billed charges		2485	33.3			Percent of total billed charges		827.505	33.3			Percent of total billed charges		827.505	100			Percent of total billed charges		2485	827.505	2236.5	
stryker tether 1-lev pl	278	RC	Outpatient			2485	1615.25		90			Percent of total billed charges		2236.5	40			Percent of total billed charges		994	80			Percent of total billed charges		1988	90			Percent of total billed charges		2236.5	85			Percent of total billed charges		2112.25	85			Percent of total billed charges		2112.25	85			Percent of total billed charges		2112.25	100			Percent of total billed charges		2485	100			Percent of total billed charges		2485	100			Percent of total billed charges		2485	33.3			Percent of total billed charges		827.505	33.3			Percent of total billed charges		827.505	100			Percent of total billed charges		2485	827.505	2236.5	
tether 1 level plate 10mm 03-10-0110  stryker	278	RC	Outpatient			2485	1615.25		90			Percent of total billed charges		2236.5	40			Percent of total billed charges		994	80			Percent of total billed charges		1988	90			Percent of total billed charges		2236.5	85			Percent of total billed charges		2112.25	85			Percent of total billed charges		2112.25	85			Percent of total billed charges		2112.25	100			Percent of total billed charges		2485	100			Percent of total billed charges		2485	100			Percent of total billed charges		2485	33.3			Percent of total billed charges		827.505	33.3			Percent of total billed charges		827.505	100			Percent of total billed charges		2485	827.505	2236.5	
tether 1 level plate 18mm 03-10-0118  stryker	278	RC	Outpatient			2485	1615.25		90			Percent of total billed charges		2236.5	40			Percent of total billed charges		994	80			Percent of total billed charges		1988	90			Percent of total billed charges		2236.5	85			Percent of total billed charges		2112.25	85			Percent of total billed charges		2112.25	85			Percent of total billed charges		2112.25	100			Percent of total billed charges		2485	100			Percent of total billed charges		2485	100			Percent of total billed charges		2485	33.3			Percent of total billed charges		827.505	33.3			Percent of total billed charges		827.505	100			Percent of total billed charges		2485	827.505	2236.5	
tether 1 level plate 20mm 03-10-0120  stryker	278	RC	Outpatient			2485	1615.25		90			Percent of total billed charges		2236.5	40			Percent of total billed charges		994	80			Percent of total billed charges		1988	90			Percent of total billed charges		2236.5	85			Percent of total billed charges		2112.25	85			Percent of total billed charges		2112.25	85			Percent of total billed charges		2112.25	100			Percent of total billed charges		2485	100			Percent of total billed charges		2485	100			Percent of total billed charges		2485	33.3			Percent of total billed charges		827.505	33.3			Percent of total billed charges		827.505	100			Percent of total billed charges		2485	827.505	2236.5	
tether 1 level plate 26mm 03-10-0126  stryker	278	RC	Outpatient			2485	1615.25		90			Percent of total billed charges		2236.5	40			Percent of total billed charges		994	80			Percent of total billed charges		1988	90			Percent of total billed charges		2236.5	85			Percent of total billed charges		2112.25	85			Percent of total billed charges		2112.25	85			Percent of total billed charges		2112.25	100			Percent of total billed charges		2485	100			Percent of total billed charges		2485	100			Percent of total billed charges		2485	33.3			Percent of total billed charges		827.505	33.3			Percent of total billed charges		827.505	100			Percent of total billed charges		2485	827.505	2236.5	
sc-acufix slimline plate 1 seg 24mm 403-1024 abbott	278	RC	Outpatient			2487	1616.55		90			Percent of total billed charges		2238.3	40			Percent of total billed charges		994.8	80			Percent of total billed charges		1989.6	90			Percent of total billed charges		2238.3	85			Percent of total billed charges		2113.95	85			Percent of total billed charges		2113.95	85			Percent of total billed charges		2113.95	100			Percent of total billed charges		2487	100			Percent of total billed charges		2487	100			Percent of total billed charges		2487	33.3			Percent of total billed charges		828.171	33.3			Percent of total billed charges		828.171	100			Percent of total billed charges		2487	828.171	2238.3	
sc-acufix slimline plate 1 seg 26mm 403-1026 abbott	278	RC	Outpatient			2487	1616.55		90			Percent of total billed charges		2238.3	40			Percent of total billed charges		994.8	80			Percent of total billed charges		1989.6	90			Percent of total billed charges		2238.3	85			Percent of total billed charges		2113.95	85			Percent of total billed charges		2113.95	85			Percent of total billed charges		2113.95	100			Percent of total billed charges		2487	100			Percent of total billed charges		2487	100			Percent of total billed charges		2487	33.3			Percent of total billed charges		828.171	33.3			Percent of total billed charges		828.171	100			Percent of total billed charges		2487	828.171	2238.3	
sc-acufix slimline plate 1 seg 30mm 403-1030 abbott	278	RC	Outpatient			2487	1616.55		90			Percent of total billed charges		2238.3	40			Percent of total billed charges		994.8	80			Percent of total billed charges		1989.6	90			Percent of total billed charges		2238.3	85			Percent of total billed charges		2113.95	85			Percent of total billed charges		2113.95	85			Percent of total billed charges		2113.95	100			Percent of total billed charges		2487	100			Percent of total billed charges		2487	100			Percent of total billed charges		2487	33.3			Percent of total billed charges		828.171	33.3			Percent of total billed charges		828.171	100			Percent of total billed charges		2487	828.171	2238.3	
sc-acufix slimline plate 2 seg 34mm 403-2034 abbott	278	RC	Outpatient			2487	1616.55		90			Percent of total billed charges		2238.3	40			Percent of total billed charges		994.8	80			Percent of total billed charges		1989.6	90			Percent of total billed charges		2238.3	85			Percent of total billed charges		2113.95	85			Percent of total billed charges		2113.95	85			Percent of total billed charges		2113.95	100			Percent of total billed charges		2487	100			Percent of total billed charges		2487	100			Percent of total billed charges		2487	33.3			Percent of total billed charges		828.171	33.3			Percent of total billed charges		828.171	100			Percent of total billed charges		2487	828.171	2238.3	
sc-acufix slimline plate 2 seg 38mm 403-2038 abbott	278	RC	Outpatient			2487	1616.55		90			Percent of total billed charges		2238.3	40			Percent of total billed charges		994.8	80			Percent of total billed charges		1989.6	90			Percent of total billed charges		2238.3	85			Percent of total billed charges		2113.95	85			Percent of total billed charges		2113.95	85			Percent of total billed charges		2113.95	100			Percent of total billed charges		2487	100			Percent of total billed charges		2487	100			Percent of total billed charges		2487	33.3			Percent of total billed charges		828.171	33.3			Percent of total billed charges		828.171	100			Percent of total billed charges		2487	828.171	2238.3	
sc-acufix slimline plate 2 seg 42mm 403-2042 abbott	278	RC	Outpatient			2487	1616.55		90			Percent of total billed charges		2238.3	40			Percent of total billed charges		994.8	80			Percent of total billed charges		1989.6	90			Percent of total billed charges		2238.3	85			Percent of total billed charges		2113.95	85			Percent of total billed charges		2113.95	85			Percent of total billed charges		2113.95	100			Percent of total billed charges		2487	100			Percent of total billed charges		2487	100			Percent of total billed charges		2487	33.3			Percent of total billed charges		828.171	33.3			Percent of total billed charges		828.171	100			Percent of total billed charges		2487	828.171	2238.3	
sc-acufix slimline plate 2 seg 48mm 403-2048 abbott	278	RC	Outpatient			2487	1616.55		90			Percent of total billed charges		2238.3	40			Percent of total billed charges		994.8	80			Percent of total billed charges		1989.6	90			Percent of total billed charges		2238.3	85			Percent of total billed charges		2113.95	85			Percent of total billed charges		2113.95	85			Percent of total billed charges		2113.95	100			Percent of total billed charges		2487	100			Percent of total billed charges		2487	100			Percent of total billed charges		2487	33.3			Percent of total billed charges		828.171	33.3			Percent of total billed charges		828.171	100			Percent of total billed charges		2487	828.171	2238.3	
sc-acufix slimline plate 2 seg 50mm 403-2050 abbott	278	RC	Outpatient			2487	1616.55		90			Percent of total billed charges		2238.3	40			Percent of total billed charges		994.8	80			Percent of total billed charges		1989.6	90			Percent of total billed charges		2238.3	85			Percent of total billed charges		2113.95	85			Percent of total billed charges		2113.95	85			Percent of total billed charges		2113.95	100			Percent of total billed charges		2487	100			Percent of total billed charges		2487	100			Percent of total billed charges		2487	33.3			Percent of total billed charges		828.171	33.3			Percent of total billed charges		828.171	100			Percent of total billed charges		2487	828.171	2238.3	
sc-acufix slimline plate 2 seg 52mm 403-2052 abbott	278	RC	Outpatient			2487	1616.55		90			Percent of total billed charges		2238.3	40			Percent of total billed charges		994.8	80			Percent of total billed charges		1989.6	90			Percent of total billed charges		2238.3	85			Percent of total billed charges		2113.95	85			Percent of total billed charges		2113.95	85			Percent of total billed charges		2113.95	100			Percent of total billed charges		2487	100			Percent of total billed charges		2487	100			Percent of total billed charges		2487	33.3			Percent of total billed charges		828.171	33.3			Percent of total billed charges		828.171	100			Percent of total billed charges		2487	828.171	2238.3	
sc-acufix slimline plate 2 seg 54mm 403-2054 abbott	278	RC	Outpatient			2487	1616.55		90			Percent of total billed charges		2238.3	40			Percent of total billed charges		994.8	80			Percent of total billed charges		1989.6	90			Percent of total billed charges		2238.3	85			Percent of total billed charges		2113.95	85			Percent of total billed charges		2113.95	85			Percent of total billed charges		2113.95	100			Percent of total billed charges		2487	100			Percent of total billed charges		2487	100			Percent of total billed charges		2487	33.3			Percent of total billed charges		828.171	33.3			Percent of total billed charges		828.171	100			Percent of total billed charges		2487	828.171	2238.3	
slimline plt 1 seg	278	RC	Outpatient			2487	1616.55		90			Percent of total billed charges		2238.3	40			Percent of total billed charges		994.8	80			Percent of total billed charges		1989.6	90			Percent of total billed charges		2238.3	85			Percent of total billed charges		2113.95	85			Percent of total billed charges		2113.95	85			Percent of total billed charges		2113.95	100			Percent of total billed charges		2487	100			Percent of total billed charges		2487	100			Percent of total billed charges		2487	33.3			Percent of total billed charges		828.171	33.3			Percent of total billed charges		828.171	100			Percent of total billed charges		2487	828.171	2238.3	
sc-acufix slimline plate 1 seg 20mm 403-1020 abbott	278	RC	Outpatient			2487	1616.55		90			Percent of total billed charges		2238.3	40			Percent of total billed charges		994.8	80			Percent of total billed charges		1989.6	90			Percent of total billed charges		2238.3	85			Percent of total billed charges		2113.95	85			Percent of total billed charges		2113.95	85			Percent of total billed charges		2113.95	100			Percent of total billed charges		2487	100			Percent of total billed charges		2487	100			Percent of total billed charges		2487	33.3			Percent of total billed charges		828.171	33.3			Percent of total billed charges		828.171	100			Percent of total billed charges		2487	828.171	2238.3	
sc-acufix slimline plate 1 seg 22mm 403-1022 abbott	278	RC	Outpatient			2487	1616.55		90			Percent of total billed charges		2238.3	40			Percent of total billed charges		994.8	80			Percent of total billed charges		1989.6	90			Percent of total billed charges		2238.3	85			Percent of total billed charges		2113.95	85			Percent of total billed charges		2113.95	85			Percent of total billed charges		2113.95	100			Percent of total billed charges		2487	100			Percent of total billed charges		2487	100			Percent of total billed charges		2487	33.3			Percent of total billed charges		828.171	33.3			Percent of total billed charges		828.171	100			Percent of total billed charges		2487	828.171	2238.3	
sc-acufix slimline plate 1 seg 28mm 403-1028 abbott	278	RC	Outpatient			2487	1616.55		90			Percent of total billed charges		2238.3	40			Percent of total billed charges		994.8	80			Percent of total billed charges		1989.6	90			Percent of total billed charges		2238.3	85			Percent of total billed charges		2113.95	85			Percent of total billed charges		2113.95	85			Percent of total billed charges		2113.95	100			Percent of total billed charges		2487	100			Percent of total billed charges		2487	100			Percent of total billed charges		2487	33.3			Percent of total billed charges		828.171	33.3			Percent of total billed charges		828.171	100			Percent of total billed charges		2487	828.171	2238.3	
sc-acufix slimline plate 1 seg 32mm 403-1032 abbott	278	RC	Outpatient			2487	1616.55		90			Percent of total billed charges		2238.3	40			Percent of total billed charges		994.8	80			Percent of total billed charges		1989.6	90			Percent of total billed charges		2238.3	85			Percent of total billed charges		2113.95	85			Percent of total billed charges		2113.95	85			Percent of total billed charges		2113.95	100			Percent of total billed charges		2487	100			Percent of total billed charges		2487	100			Percent of total billed charges		2487	33.3			Percent of total billed charges		828.171	33.3			Percent of total billed charges		828.171	100			Percent of total billed charges		2487	828.171	2238.3	
sc-acufix slimline plate 1 seg 34mm 403-1034 abbott	278	RC	Outpatient			2487	1616.55		90			Percent of total billed charges		2238.3	40			Percent of total billed charges		994.8	80			Percent of total billed charges		1989.6	90			Percent of total billed charges		2238.3	85			Percent of total billed charges		2113.95	85			Percent of total billed charges		2113.95	85			Percent of total billed charges		2113.95	100			Percent of total billed charges		2487	100			Percent of total billed charges		2487	100			Percent of total billed charges		2487	33.3			Percent of total billed charges		828.171	33.3			Percent of total billed charges		828.171	100			Percent of total billed charges		2487	828.171	2238.3	
sc-acufix slimline plate 2 seg 36mm 403-2036 abbott	278	RC	Outpatient			2487	1616.55		90			Percent of total billed charges		2238.3	40			Percent of total billed charges		994.8	80			Percent of total billed charges		1989.6	90			Percent of total billed charges		2238.3	85			Percent of total billed charges		2113.95	85			Percent of total billed charges		2113.95	85			Percent of total billed charges		2113.95	100			Percent of total billed charges		2487	100			Percent of total billed charges		2487	100			Percent of total billed charges		2487	33.3			Percent of total billed charges		828.171	33.3			Percent of total billed charges		828.171	100			Percent of total billed charges		2487	828.171	2238.3	
sc-acufix slimline plate 2 seg 40mm 403-2040 abbott	278	RC	Outpatient			2487	1616.55		90			Percent of total billed charges		2238.3	40			Percent of total billed charges		994.8	80			Percent of total billed charges		1989.6	90			Percent of total billed charges		2238.3	85			Percent of total billed charges		2113.95	85			Percent of total billed charges		2113.95	85			Percent of total billed charges		2113.95	100			Percent of total billed charges		2487	100			Percent of total billed charges		2487	100			Percent of total billed charges		2487	33.3			Percent of total billed charges		828.171	33.3			Percent of total billed charges		828.171	100			Percent of total billed charges		2487	828.171	2238.3	
sc-acufix slimline plate 2 seg 44mm 403-2044 abbott	278	RC	Outpatient			2487	1616.55		90			Percent of total billed charges		2238.3	40			Percent of total billed charges		994.8	80			Percent of total billed charges		1989.6	90			Percent of total billed charges		2238.3	85			Percent of total billed charges		2113.95	85			Percent of total billed charges		2113.95	85			Percent of total billed charges		2113.95	100			Percent of total billed charges		2487	100			Percent of total billed charges		2487	100			Percent of total billed charges		2487	33.3			Percent of total billed charges		828.171	33.3			Percent of total billed charges		828.171	100			Percent of total billed charges		2487	828.171	2238.3	
sc-acufix slimline plate 2 seg 46mm 403-2046 abbott	278	RC	Outpatient			2487	1616.55		90			Percent of total billed charges		2238.3	40			Percent of total billed charges		994.8	80			Percent of total billed charges		1989.6	90			Percent of total billed charges		2238.3	85			Percent of total billed charges		2113.95	85			Percent of total billed charges		2113.95	85			Percent of total billed charges		2113.95	100			Percent of total billed charges		2487	100			Percent of total billed charges		2487	100			Percent of total billed charges		2487	33.3			Percent of total billed charges		828.171	33.3			Percent of total billed charges		828.171	100			Percent of total billed charges		2487	828.171	2238.3	
accord 115mm troch grip	278	RC	Outpatient			2489	1617.85		90			Percent of total billed charges		2240.1	40			Percent of total billed charges		995.6	80			Percent of total billed charges		1991.2	90			Percent of total billed charges		2240.1	85			Percent of total billed charges		2115.65	85			Percent of total billed charges		2115.65	85			Percent of total billed charges		2115.65	100			Percent of total billed charges		2489	100			Percent of total billed charges		2489	100			Percent of total billed charges		2489	33.3			Percent of total billed charges		828.837	33.3			Percent of total billed charges		828.837	100			Percent of total billed charges		2489	828.837	2240.1	
accord 125mm troch grip	278	RC	Outpatient			2489	1617.85		90			Percent of total billed charges		2240.1	40			Percent of total billed charges		995.6	80			Percent of total billed charges		1991.2	90			Percent of total billed charges		2240.1	85			Percent of total billed charges		2115.65	85			Percent of total billed charges		2115.65	85			Percent of total billed charges		2115.65	100			Percent of total billed charges		2489	100			Percent of total billed charges		2489	100			Percent of total billed charges		2489	33.3			Percent of total billed charges		828.837	33.3			Percent of total billed charges		828.837	100			Percent of total billed charges		2489	828.837	2240.1	
accord small115mm 5-cable troch grip 7134-0004 s/n	278	RC	Outpatient			2489	1617.85		90			Percent of total billed charges		2240.1	40			Percent of total billed charges		995.6	80			Percent of total billed charges		1991.2	90			Percent of total billed charges		2240.1	85			Percent of total billed charges		2115.65	85			Percent of total billed charges		2115.65	85			Percent of total billed charges		2115.65	100			Percent of total billed charges		2489	100			Percent of total billed charges		2489	100			Percent of total billed charges		2489	33.3			Percent of total billed charges		828.837	33.3			Percent of total billed charges		828.837	100			Percent of total billed charges		2489	828.837	2240.1	
accord std 125mm 5-cable troch grip 7134-0011 s/n	278	RC	Outpatient			2489	1617.85		90			Percent of total billed charges		2240.1	40			Percent of total billed charges		995.6	80			Percent of total billed charges		1991.2	90			Percent of total billed charges		2240.1	85			Percent of total billed charges		2115.65	85			Percent of total billed charges		2115.65	85			Percent of total billed charges		2115.65	100			Percent of total billed charges		2489	100			Percent of total billed charges		2489	100			Percent of total billed charges		2489	33.3			Percent of total billed charges		828.837	33.3			Percent of total billed charges		828.837	100			Percent of total billed charges		2489	828.837	2240.1	
cath lab isoflex 1646t/52cm	272	RC	Outpatient			2491	1619.15		90			Percent of total billed charges		2241.9	40			Percent of total billed charges		996.4	80			Percent of total billed charges		1992.8	90			Percent of total billed charges		2241.9	85			Percent of total billed charges		2117.35	85			Percent of total billed charges		2117.35	85			Percent of total billed charges		2117.35	100			Percent of total billed charges		2491	100			Percent of total billed charges		2491	100			Percent of total billed charges		2491	33.3			Percent of total billed charges		829.503	33.3			Percent of total billed charges		829.503	100			Percent of total billed charges		2491	829.503	2241.9	
1646t/52 v-lead	272	RC	Outpatient			2491	1619.15		90			Percent of total billed charges		2241.9	40			Percent of total billed charges		996.4	80			Percent of total billed charges		1992.8	90			Percent of total billed charges		2241.9	85			Percent of total billed charges		2117.35	85			Percent of total billed charges		2117.35	85			Percent of total billed charges		2117.35	100			Percent of total billed charges		2491	100			Percent of total billed charges		2491	100			Percent of total billed charges		2491	33.3			Percent of total billed charges		829.503	33.3			Percent of total billed charges		829.503	100			Percent of total billed charges		2491	829.503	2241.9	
s/n 3.5 recon plate 22 hole 7114-0122	278	RC	Outpatient			2492	1619.8		90			Percent of total billed charges		2242.8	40			Percent of total billed charges		996.8	80			Percent of total billed charges		1993.6	90			Percent of total billed charges		2242.8	85			Percent of total billed charges		2118.2	85			Percent of total billed charges		2118.2	85			Percent of total billed charges		2118.2	100			Percent of total billed charges		2492	100			Percent of total billed charges		2492	100			Percent of total billed charges		2492	33.3			Percent of total billed charges		829.836	33.3			Percent of total billed charges		829.836	100			Percent of total billed charges		2492	829.836	2242.8	
sm fr pl recon 22 hl	278	RC	Outpatient			2492	1619.8		90			Percent of total billed charges		2242.8	40			Percent of total billed charges		996.8	80			Percent of total billed charges		1993.6	90			Percent of total billed charges		2242.8	85			Percent of total billed charges		2118.2	85			Percent of total billed charges		2118.2	85			Percent of total billed charges		2118.2	100			Percent of total billed charges		2492	100			Percent of total billed charges		2492	100			Percent of total billed charges		2492	33.3			Percent of total billed charges		829.836	33.3			Percent of total billed charges		829.836	100			Percent of total billed charges		2492	829.836	2242.8	
profix conforming tib insr rt sz5 20mm 71507156 s/n	278	RC	Outpatient			2497	1623.05		90			Percent of total billed charges		2247.3	40			Percent of total billed charges		998.8	80			Percent of total billed charges		1997.6	90			Percent of total billed charges		2247.3	85			Percent of total billed charges		2122.45	85			Percent of total billed charges		2122.45	85			Percent of total billed charges		2122.45	100			Percent of total billed charges		2497	100			Percent of total billed charges		2497	100			Percent of total billed charges		2497	33.3			Percent of total billed charges		831.501	33.3			Percent of total billed charges		831.501	100			Percent of total billed charges		2497	831.501	2247.3	
s/n profix conf tib in lg	278	RC	Outpatient			2497	1623.05		90			Percent of total billed charges		2247.3	40			Percent of total billed charges		998.8	80			Percent of total billed charges		1997.6	90			Percent of total billed charges		2247.3	85			Percent of total billed charges		2122.45	85			Percent of total billed charges		2122.45	85			Percent of total billed charges		2122.45	100			Percent of total billed charges		2497	100			Percent of total billed charges		2497	100			Percent of total billed charges		2497	33.3			Percent of total billed charges		831.501	33.3			Percent of total billed charges		831.501	100			Percent of total billed charges		2497	831.501	2247.3	
triathlon tibial augment half block 5mm 5545-a-401 stryker	278	RC	Outpatient			2501	1625.65		90			Percent of total billed charges		2250.9	40			Percent of total billed charges		1000.4	80			Percent of total billed charges		2000.8	90			Percent of total billed charges		2250.9	85			Percent of total billed charges		2125.85	85			Percent of total billed charges		2125.85	85			Percent of total billed charges		2125.85	100			Percent of total billed charges		2501	100			Percent of total billed charges		2501	100			Percent of total billed charges		2501	33.3			Percent of total billed charges		832.833	33.3			Percent of total billed charges		832.833	100			Percent of total billed charges		2501	832.833	2250.9	
triathlon tibial augment half block 5mm 5545-a-405 stryker	278	RC	Outpatient			2501	1625.65		90			Percent of total billed charges		2250.9	40			Percent of total billed charges		1000.4	80			Percent of total billed charges		2000.8	90			Percent of total billed charges		2250.9	85			Percent of total billed charges		2125.85	85			Percent of total billed charges		2125.85	85			Percent of total billed charges		2125.85	100			Percent of total billed charges		2501	100			Percent of total billed charges		2501	100			Percent of total billed charges		2501	33.3			Percent of total billed charges		832.833	33.3			Percent of total billed charges		832.833	100			Percent of total billed charges		2501	832.833	2250.9	
triath tib aug 1/2 bl 5mm	278	RC	Outpatient			2501	1625.65		90			Percent of total billed charges		2250.9	40			Percent of total billed charges		1000.4	80			Percent of total billed charges		2000.8	90			Percent of total billed charges		2250.9	85			Percent of total billed charges		2125.85	85			Percent of total billed charges		2125.85	85			Percent of total billed charges		2125.85	100			Percent of total billed charges		2501	100			Percent of total billed charges		2501	100			Percent of total billed charges		2501	33.3			Percent of total billed charges		832.833	33.3			Percent of total billed charges		832.833	100			Percent of total billed charges		2501	832.833	2250.9	
triathlon tibial augment half block 5mm 5545-a-402 stryker	278	RC	Outpatient			2501	1625.65		90			Percent of total billed charges		2250.9	40			Percent of total billed charges		1000.4	80			Percent of total billed charges		2000.8	90			Percent of total billed charges		2250.9	85			Percent of total billed charges		2125.85	85			Percent of total billed charges		2125.85	85			Percent of total billed charges		2125.85	100			Percent of total billed charges		2501	100			Percent of total billed charges		2501	100			Percent of total billed charges		2501	33.3			Percent of total billed charges		832.833	33.3			Percent of total billed charges		832.833	100			Percent of total billed charges		2501	832.833	2250.9	
metal biliary stent	278	RC	Outpatient			2505	1628.25		90			Percent of total billed charges		2254.5	40			Percent of total billed charges		1002	80			Percent of total billed charges		2004	90			Percent of total billed charges		2254.5	85			Percent of total billed charges		2129.25	85			Percent of total billed charges		2129.25	85			Percent of total billed charges		2129.25	100			Percent of total billed charges		2505	100			Percent of total billed charges		2505	100			Percent of total billed charges		2505	33.3			Percent of total billed charges		834.165	33.3			Percent of total billed charges		834.165	100			Percent of total billed charges		2505	834.165	2254.5	
cath clear way 2 x 50	272	RC	Outpatient			2507	1629.55		90			Percent of total billed charges		2256.3	40			Percent of total billed charges		1002.8	80			Percent of total billed charges		2005.6	90			Percent of total billed charges		2256.3	85			Percent of total billed charges		2130.95	85			Percent of total billed charges		2130.95	85			Percent of total billed charges		2130.95	100			Percent of total billed charges		2507	100			Percent of total billed charges		2507	100			Percent of total billed charges		2507	33.3			Percent of total billed charges		834.831	33.3			Percent of total billed charges		834.831	100			Percent of total billed charges		2507	834.831	2256.3	
clear way rx perfusion cath 2.0 x 50mm 80217 atrium	272	RC	Outpatient			2507	1629.55		90			Percent of total billed charges		2256.3	40			Percent of total billed charges		1002.8	80			Percent of total billed charges		2005.6	90			Percent of total billed charges		2256.3	85			Percent of total billed charges		2130.95	85			Percent of total billed charges		2130.95	85			Percent of total billed charges		2130.95	100			Percent of total billed charges		2507	100			Percent of total billed charges		2507	100			Percent of total billed charges		2507	33.3			Percent of total billed charges		834.831	33.3			Percent of total billed charges		834.831	100			Percent of total billed charges		2507	834.831	2256.3	
her option probe	272	RC	Outpatient			2507	1629.55		90			Percent of total billed charges		2256.3	40			Percent of total billed charges		1002.8	80			Percent of total billed charges		2005.6	90			Percent of total billed charges		2256.3	85			Percent of total billed charges		2130.95	85			Percent of total billed charges		2130.95	85			Percent of total billed charges		2130.95	100			Percent of total billed charges		2507	100			Percent of total billed charges		2507	100			Percent of total billed charges		2507	33.3			Percent of total billed charges		834.831	33.3			Percent of total billed charges		834.831	100			Percent of total billed charges		2507	834.831	2256.3	
depuy lcs rp insert	278	RC	Outpatient			2507	1629.55		90			Percent of total billed charges		2256.3	40			Percent of total billed charges		1002.8	80			Percent of total billed charges		2005.6	90			Percent of total billed charges		2256.3	85			Percent of total billed charges		2130.95	85			Percent of total billed charges		2130.95	85			Percent of total billed charges		2130.95	100			Percent of total billed charges		2507	100			Percent of total billed charges		2507	100			Percent of total billed charges		2507	33.3			Percent of total billed charges		834.831	33.3			Percent of total billed charges		834.831	100			Percent of total billed charges		2507	834.831	2256.3	
her option cryo probe ams	272	RC	Outpatient			2507	1629.55		90			Percent of total billed charges		2256.3	40			Percent of total billed charges		1002.8	80			Percent of total billed charges		2005.6	90			Percent of total billed charges		2256.3	85			Percent of total billed charges		2130.95	85			Percent of total billed charges		2130.95	85			Percent of total billed charges		2130.95	100			Percent of total billed charges		2507	100			Percent of total billed charges		2507	100			Percent of total billed charges		2507	33.3			Percent of total billed charges		834.831	33.3			Percent of total billed charges		834.831	100			Percent of total billed charges		2507	834.831	2256.3	
lcs complete rp insert lg 15mm 1294-35-130 depuy	278	RC	Outpatient			2507	1629.55		90			Percent of total billed charges		2256.3	40			Percent of total billed charges		1002.8	80			Percent of total billed charges		2005.6	90			Percent of total billed charges		2256.3	85			Percent of total billed charges		2130.95	85			Percent of total billed charges		2130.95	85			Percent of total billed charges		2130.95	100			Percent of total billed charges		2507	100			Percent of total billed charges		2507	100			Percent of total billed charges		2507	33.3			Percent of total billed charges		834.831	33.3			Percent of total billed charges		834.831	100			Percent of total billed charges		2507	834.831	2256.3	
signature custom alignment guide 42-422466 biomet	272	RC	Outpatient			2507	1629.55		90			Percent of total billed charges		2256.3	40			Percent of total billed charges		1002.8	80			Percent of total billed charges		2005.6	90			Percent of total billed charges		2256.3	85			Percent of total billed charges		2130.95	85			Percent of total billed charges		2130.95	85			Percent of total billed charges		2130.95	100			Percent of total billed charges		2507	100			Percent of total billed charges		2507	100			Percent of total billed charges		2507	33.3			Percent of total billed charges		834.831	33.3			Percent of total billed charges		834.831	100			Percent of total billed charges		2507	834.831	2256.3	
seaspine pedicle screw	278	RC	Outpatient			2507	1629.55		90			Percent of total billed charges		2256.3	40			Percent of total billed charges		1002.8	80			Percent of total billed charges		2005.6	90			Percent of total billed charges		2256.3	85			Percent of total billed charges		2130.95	85			Percent of total billed charges		2130.95	85			Percent of total billed charges		2130.95	100			Percent of total billed charges		2507	100			Percent of total billed charges		2507	100			Percent of total billed charges		2507	33.3			Percent of total billed charges		834.831	33.3			Percent of total billed charges		834.831	100			Percent of total billed charges		2507	834.831	2256.3	
signature custom alignment guide 42-422461 biomet	272	RC	Outpatient			2507	1629.55		90			Percent of total billed charges		2256.3	40			Percent of total billed charges		1002.8	80			Percent of total billed charges		2005.6	90			Percent of total billed charges		2256.3	85			Percent of total billed charges		2130.95	85			Percent of total billed charges		2130.95	85			Percent of total billed charges		2130.95	100			Percent of total billed charges		2507	100			Percent of total billed charges		2507	100			Percent of total billed charges		2507	33.3			Percent of total billed charges		834.831	33.3			Percent of total billed charges		834.831	100			Percent of total billed charges		2507	834.831	2256.3	
signature custom alignment guide with bone model 42-422566 biomet	272	RC	Outpatient			2507	1629.55		90			Percent of total billed charges		2256.3	40			Percent of total billed charges		1002.8	80			Percent of total billed charges		2005.6	90			Percent of total billed charges		2256.3	85			Percent of total billed charges		2130.95	85			Percent of total billed charges		2130.95	85			Percent of total billed charges		2130.95	100			Percent of total billed charges		2507	100			Percent of total billed charges		2507	100			Percent of total billed charges		2507	33.3			Percent of total billed charges		834.831	33.3			Percent of total billed charges		834.831	100			Percent of total billed charges		2507	834.831	2256.3	
signature custom guide	272	RC	Outpatient			2507	1629.55		90			Percent of total billed charges		2256.3	40			Percent of total billed charges		1002.8	80			Percent of total billed charges		2005.6	90			Percent of total billed charges		2256.3	85			Percent of total billed charges		2130.95	85			Percent of total billed charges		2130.95	85			Percent of total billed charges		2130.95	100			Percent of total billed charges		2507	100			Percent of total billed charges		2507	100			Percent of total billed charges		2507	33.3			Percent of total billed charges		834.831	33.3			Percent of total billed charges		834.831	100			Percent of total billed charges		2507	834.831	2256.3	
xmcp mc imp-med	278	RC	Outpatient			2507	1629.55		90			Percent of total billed charges		2256.3	40			Percent of total billed charges		1002.8	80			Percent of total billed charges		2005.6	90			Percent of total billed charges		2256.3	85			Percent of total billed charges		2130.95	85			Percent of total billed charges		2130.95	85			Percent of total billed charges		2130.95	100			Percent of total billed charges		2507	100			Percent of total billed charges		2507	100			Percent of total billed charges		2507	33.3			Percent of total billed charges		834.831	33.3			Percent of total billed charges		834.831	100			Percent of total billed charges		2507	834.831	2256.3	
xmcp med metacarpal imp 5.0 x 30mm 120-22530 extremity med	278	RC	Outpatient			2507	1629.55		90			Percent of total billed charges		2256.3	40			Percent of total billed charges		1002.8	80			Percent of total billed charges		2005.6	90			Percent of total billed charges		2256.3	85			Percent of total billed charges		2130.95	85			Percent of total billed charges		2130.95	85			Percent of total billed charges		2130.95	100			Percent of total billed charges		2507	100			Percent of total billed charges		2507	100			Percent of total billed charges		2507	33.3			Percent of total billed charges		834.831	33.3			Percent of total billed charges		834.831	100			Percent of total billed charges		2507	834.831	2256.3	
lg fr pl buttress 9hl	278	RC	Outpatient			2509	1630.85		90			Percent of total billed charges		2258.1	40			Percent of total billed charges		1003.6	80			Percent of total billed charges		2007.2	90			Percent of total billed charges		2258.1	85			Percent of total billed charges		2132.65	85			Percent of total billed charges		2132.65	85			Percent of total billed charges		2132.65	100			Percent of total billed charges		2509	100			Percent of total billed charges		2509	100			Percent of total billed charges		2509	33.3			Percent of total billed charges		835.497	33.3			Percent of total billed charges		835.497	100			Percent of total billed charges		2509	835.497	2258.1	
s/n  lg frag  plate 9 hole  7113-1109	278	RC	Outpatient			2509	1630.85		90			Percent of total billed charges		2258.1	40			Percent of total billed charges		1003.6	80			Percent of total billed charges		2007.2	90			Percent of total billed charges		2258.1	85			Percent of total billed charges		2132.65	85			Percent of total billed charges		2132.65	85			Percent of total billed charges		2132.65	100			Percent of total billed charges		2509	100			Percent of total billed charges		2509	100			Percent of total billed charges		2509	33.3			Percent of total billed charges		835.497	33.3			Percent of total billed charges		835.497	100			Percent of total billed charges		2509	835.497	2258.1	
s/n lg frag  plate 9 hole  7113-1009	278	RC	Outpatient			2509	1630.85		90			Percent of total billed charges		2258.1	40			Percent of total billed charges		1003.6	80			Percent of total billed charges		2007.2	90			Percent of total billed charges		2258.1	85			Percent of total billed charges		2132.65	85			Percent of total billed charges		2132.65	85			Percent of total billed charges		2132.65	100			Percent of total billed charges		2509	100			Percent of total billed charges		2509	100			Percent of total billed charges		2509	33.3			Percent of total billed charges		835.497	33.3			Percent of total billed charges		835.497	100			Percent of total billed charges		2509	835.497	2258.1	
foot ring 155mm 71070144 s/n	272	RC	Outpatient			2515	1634.75		90			Percent of total billed charges		2263.5	40			Percent of total billed charges		1006	80			Percent of total billed charges		2012	90			Percent of total billed charges		2263.5	85			Percent of total billed charges		2137.75	85			Percent of total billed charges		2137.75	85			Percent of total billed charges		2137.75	100			Percent of total billed charges		2515	100			Percent of total billed charges		2515	100			Percent of total billed charges		2515	33.3			Percent of total billed charges		837.495	33.3			Percent of total billed charges		837.495	100			Percent of total billed charges		2515	837.495	2263.5	
s/n foot ring	272	RC	Outpatient			2515	1634.75		90			Percent of total billed charges		2263.5	40			Percent of total billed charges		1006	80			Percent of total billed charges		2012	90			Percent of total billed charges		2263.5	85			Percent of total billed charges		2137.75	85			Percent of total billed charges		2137.75	85			Percent of total billed charges		2137.75	100			Percent of total billed charges		2515	100			Percent of total billed charges		2515	100			Percent of total billed charges		2515	33.3			Percent of total billed charges		837.495	33.3			Percent of total billed charges		837.495	100			Percent of total billed charges		2515	837.495	2263.5	
scient'x pedicle screw	278	RC	Outpatient			2519	1637.35		90			Percent of total billed charges		2267.1	40			Percent of total billed charges		1007.6	80			Percent of total billed charges		2015.2	90			Percent of total billed charges		2267.1	85			Percent of total billed charges		2141.15	85			Percent of total billed charges		2141.15	85			Percent of total billed charges		2141.15	100			Percent of total billed charges		2519	100			Percent of total billed charges		2519	100			Percent of total billed charges		2519	33.3			Percent of total billed charges		838.827	33.3			Percent of total billed charges		838.827	100			Percent of total billed charges		2519	838.827	2267.1	
acrom xl liner hi-wall sz23  xl-105923 biomet	278	RC	Outpatient			2523	1639.95		90			Percent of total billed charges		2270.7	40			Percent of total billed charges		1009.2	80			Percent of total billed charges		2018.4	90			Percent of total billed charges		2270.7	85			Percent of total billed charges		2144.55	85			Percent of total billed charges		2144.55	85			Percent of total billed charges		2144.55	100			Percent of total billed charges		2523	100			Percent of total billed charges		2523	100			Percent of total billed charges		2523	33.3			Percent of total billed charges		840.159	33.3			Percent of total billed charges		840.159	100			Percent of total billed charges		2523	840.159	2270.7	
acrom xl liner hi-wall sz28 xl-105918 biomet	278	RC	Outpatient			2523	1639.95		90			Percent of total billed charges		2270.7	40			Percent of total billed charges		1009.2	80			Percent of total billed charges		2018.4	90			Percent of total billed charges		2270.7	85			Percent of total billed charges		2144.55	85			Percent of total billed charges		2144.55	85			Percent of total billed charges		2144.55	100			Percent of total billed charges		2523	100			Percent of total billed charges		2523	100			Percent of total billed charges		2523	33.3			Percent of total billed charges		840.159	33.3			Percent of total billed charges		840.159	100			Percent of total billed charges		2523	840.159	2270.7	
bio hip liner 28mm xl	278	RC	Outpatient			2523	1639.95		90			Percent of total billed charges		2270.7	40			Percent of total billed charges		1009.2	80			Percent of total billed charges		2018.4	90			Percent of total billed charges		2270.7	85			Percent of total billed charges		2144.55	85			Percent of total billed charges		2144.55	85			Percent of total billed charges		2144.55	100			Percent of total billed charges		2523	100			Percent of total billed charges		2523	100			Percent of total billed charges		2523	33.3			Percent of total billed charges		840.159	33.3			Percent of total billed charges		840.159	100			Percent of total billed charges		2523	840.159	2270.7	
bio max-rom acet liner	278	RC	Outpatient			2523	1639.95		90			Percent of total billed charges		2270.7	40			Percent of total billed charges		1009.2	80			Percent of total billed charges		2018.4	90			Percent of total billed charges		2270.7	85			Percent of total billed charges		2144.55	85			Percent of total billed charges		2144.55	85			Percent of total billed charges		2144.55	100			Percent of total billed charges		2523	100			Percent of total billed charges		2523	100			Percent of total billed charges		2523	33.3			Percent of total billed charges		840.159	33.3			Percent of total billed charges		840.159	100			Percent of total billed charges		2523	840.159	2270.7	
max-rom ringloc 28mm acet liner sz 21/stand xl-105811 biomet	278	RC	Outpatient			2523	1639.95		90			Percent of total billed charges		2270.7	40			Percent of total billed charges		1009.2	80			Percent of total billed charges		2018.4	90			Percent of total billed charges		2270.7	85			Percent of total billed charges		2144.55	85			Percent of total billed charges		2144.55	85			Percent of total billed charges		2144.55	100			Percent of total billed charges		2523	100			Percent of total billed charges		2523	100			Percent of total billed charges		2523	33.3			Percent of total billed charges		840.159	33.3			Percent of total billed charges		840.159	100			Percent of total billed charges		2523	840.159	2270.7	
max-rom ringloc 28mm acet liner sz 22/stand xl-105812 biomet	278	RC	Outpatient			2523	1639.95		90			Percent of total billed charges		2270.7	40			Percent of total billed charges		1009.2	80			Percent of total billed charges		2018.4	90			Percent of total billed charges		2270.7	85			Percent of total billed charges		2144.55	85			Percent of total billed charges		2144.55	85			Percent of total billed charges		2144.55	100			Percent of total billed charges		2523	100			Percent of total billed charges		2523	100			Percent of total billed charges		2523	33.3			Percent of total billed charges		840.159	33.3			Percent of total billed charges		840.159	100			Percent of total billed charges		2523	840.159	2270.7	
max-rom ringloc 36mm acet liner sz 23/stand xl-105933 biomet	278	RC	Outpatient			2523	1639.95		90			Percent of total billed charges		2270.7	40			Percent of total billed charges		1009.2	80			Percent of total billed charges		2018.4	90			Percent of total billed charges		2270.7	85			Percent of total billed charges		2144.55	85			Percent of total billed charges		2144.55	85			Percent of total billed charges		2144.55	100			Percent of total billed charges		2523	100			Percent of total billed charges		2523	100			Percent of total billed charges		2523	33.3			Percent of total billed charges		840.159	33.3			Percent of total billed charges		840.159	100			Percent of total billed charges		2523	840.159	2270.7	
max-rom ringloc 36mm acet liner sz 24 xl-105894 biomet	278	RC	Outpatient			2523	1639.95		90			Percent of total billed charges		2270.7	40			Percent of total billed charges		1009.2	80			Percent of total billed charges		2018.4	90			Percent of total billed charges		2270.7	85			Percent of total billed charges		2144.55	85			Percent of total billed charges		2144.55	85			Percent of total billed charges		2144.55	100			Percent of total billed charges		2523	100			Percent of total billed charges		2523	100			Percent of total billed charges		2523	33.3			Percent of total billed charges		840.159	33.3			Percent of total billed charges		840.159	100			Percent of total billed charges		2523	840.159	2270.7	
max-rom ringloc 36mm acet liner sz 25/stand xl-105995 biomet	278	RC	Outpatient			2523	1639.95		90			Percent of total billed charges		2270.7	40			Percent of total billed charges		1009.2	80			Percent of total billed charges		2018.4	90			Percent of total billed charges		2270.7	85			Percent of total billed charges		2144.55	85			Percent of total billed charges		2144.55	85			Percent of total billed charges		2144.55	100			Percent of total billed charges		2523	100			Percent of total billed charges		2523	100			Percent of total billed charges		2523	33.3			Percent of total billed charges		840.159	33.3			Percent of total billed charges		840.159	100			Percent of total billed charges		2523	840.159	2270.7	
max-rom ringloc 36mm acet liner sz 27 xl-105897 biomet	278	RC	Outpatient			2523	1639.95		90			Percent of total billed charges		2270.7	40			Percent of total billed charges		1009.2	80			Percent of total billed charges		2018.4	90			Percent of total billed charges		2270.7	85			Percent of total billed charges		2144.55	85			Percent of total billed charges		2144.55	85			Percent of total billed charges		2144.55	100			Percent of total billed charges		2523	100			Percent of total billed charges		2523	100			Percent of total billed charges		2523	33.3			Percent of total billed charges		840.159	33.3			Percent of total billed charges		840.159	100			Percent of total billed charges		2523	840.159	2270.7	
max-rom ringloc 36mm acet liner sz 28 xl-105898 biomet	278	RC	Outpatient			2523	1639.95		90			Percent of total billed charges		2270.7	40			Percent of total billed charges		1009.2	80			Percent of total billed charges		2018.4	90			Percent of total billed charges		2270.7	85			Percent of total billed charges		2144.55	85			Percent of total billed charges		2144.55	85			Percent of total billed charges		2144.55	100			Percent of total billed charges		2523	100			Percent of total billed charges		2523	100			Percent of total billed charges		2523	33.3			Percent of total billed charges		840.159	33.3			Percent of total billed charges		840.159	100			Percent of total billed charges		2523	840.159	2270.7	
max-rom ringloc 36mm acet liner sz 24/stand xl-105994 biomet	278	RC	Outpatient			2523	1639.95		90			Percent of total billed charges		2270.7	40			Percent of total billed charges		1009.2	80			Percent of total billed charges		2018.4	90			Percent of total billed charges		2270.7	85			Percent of total billed charges		2144.55	85			Percent of total billed charges		2144.55	85			Percent of total billed charges		2144.55	100			Percent of total billed charges		2523	100			Percent of total billed charges		2523	100			Percent of total billed charges		2523	33.3			Percent of total billed charges		840.159	33.3			Percent of total billed charges		840.159	100			Percent of total billed charges		2523	840.159	2270.7	
max-rom ringloc 36mm acet liner sz 25 xl-105895 biomet	278	RC	Outpatient			2523	1639.95		90			Percent of total billed charges		2270.7	40			Percent of total billed charges		1009.2	80			Percent of total billed charges		2018.4	90			Percent of total billed charges		2270.7	85			Percent of total billed charges		2144.55	85			Percent of total billed charges		2144.55	85			Percent of total billed charges		2144.55	100			Percent of total billed charges		2523	100			Percent of total billed charges		2523	100			Percent of total billed charges		2523	33.3			Percent of total billed charges		840.159	33.3			Percent of total billed charges		840.159	100			Percent of total billed charges		2523	840.159	2270.7	
max-rom ringloc 36mm acet liner sz 26 xl-105896 biomet	278	RC	Outpatient			2523	1639.95		90			Percent of total billed charges		2270.7	40			Percent of total billed charges		1009.2	80			Percent of total billed charges		2018.4	90			Percent of total billed charges		2270.7	85			Percent of total billed charges		2144.55	85			Percent of total billed charges		2144.55	85			Percent of total billed charges		2144.55	100			Percent of total billed charges		2523	100			Percent of total billed charges		2523	100			Percent of total billed charges		2523	33.3			Percent of total billed charges		840.159	33.3			Percent of total billed charges		840.159	100			Percent of total billed charges		2523	840.159	2270.7	
max-rom ringloc 36mm acet liner sz 26/stand xl-105996 biomet	278	RC	Outpatient			2523	1639.95		90			Percent of total billed charges		2270.7	40			Percent of total billed charges		1009.2	80			Percent of total billed charges		2018.4	90			Percent of total billed charges		2270.7	85			Percent of total billed charges		2144.55	85			Percent of total billed charges		2144.55	85			Percent of total billed charges		2144.55	100			Percent of total billed charges		2523	100			Percent of total billed charges		2523	100			Percent of total billed charges		2523	33.3			Percent of total billed charges		840.159	33.3			Percent of total billed charges		840.159	100			Percent of total billed charges		2523	840.159	2270.7	
max-rom ringloc 36mm acet liner sz 27/stand xl-105997 biomet	278	RC	Outpatient			2523	1639.95		90			Percent of total billed charges		2270.7	40			Percent of total billed charges		1009.2	80			Percent of total billed charges		2018.4	90			Percent of total billed charges		2270.7	85			Percent of total billed charges		2144.55	85			Percent of total billed charges		2144.55	85			Percent of total billed charges		2144.55	100			Percent of total billed charges		2523	100			Percent of total billed charges		2523	100			Percent of total billed charges		2523	33.3			Percent of total billed charges		840.159	33.3			Percent of total billed charges		840.159	100			Percent of total billed charges		2523	840.159	2270.7	
max-rom ringloc 36mm acet liner sz 28/stand xl-105998 biomet	278	RC	Outpatient			2523	1639.95		90			Percent of total billed charges		2270.7	40			Percent of total billed charges		1009.2	80			Percent of total billed charges		2018.4	90			Percent of total billed charges		2270.7	85			Percent of total billed charges		2144.55	85			Percent of total billed charges		2144.55	85			Percent of total billed charges		2144.55	100			Percent of total billed charges		2523	100			Percent of total billed charges		2523	100			Percent of total billed charges		2523	33.3			Percent of total billed charges		840.159	33.3			Percent of total billed charges		840.159	100			Percent of total billed charges		2523	840.159	2270.7	
ringloc acet lnr 28mm sz 22 xl-105882 biomet	278	RC	Outpatient			2523	1639.95		90			Percent of total billed charges		2270.7	40			Percent of total billed charges		1009.2	80			Percent of total billed charges		2018.4	90			Percent of total billed charges		2270.7	85			Percent of total billed charges		2144.55	85			Percent of total billed charges		2144.55	85			Percent of total billed charges		2144.55	100			Percent of total billed charges		2523	100			Percent of total billed charges		2523	100			Percent of total billed charges		2523	33.3			Percent of total billed charges		840.159	33.3			Percent of total billed charges		840.159	100			Percent of total billed charges		2523	840.159	2270.7	
ringloc acet lnr 32mm sz 23 xl-105833 biomet	278	RC	Outpatient			2523	1639.95		90			Percent of total billed charges		2270.7	40			Percent of total billed charges		1009.2	80			Percent of total billed charges		2018.4	90			Percent of total billed charges		2270.7	85			Percent of total billed charges		2144.55	85			Percent of total billed charges		2144.55	85			Percent of total billed charges		2144.55	100			Percent of total billed charges		2523	100			Percent of total billed charges		2523	100			Percent of total billed charges		2523	33.3			Percent of total billed charges		840.159	33.3			Percent of total billed charges		840.159	100			Percent of total billed charges		2523	840.159	2270.7	
ir nephrostomy dilation bilateral	360	RC	Outpatient			2525	1641.25		90			Percent of total billed charges		2272.5	40			Percent of total billed charges		1010	80			Percent of total billed charges		2020	90			Percent of total billed charges		2272.5	85			Percent of total billed charges		2146.25	85			Percent of total billed charges		2146.25	85			Percent of total billed charges		2146.25	100			Percent of total billed charges		2525	100			Percent of total billed charges		2525	100			Percent of total billed charges		2525	33.3			Percent of total billed charges		840.825	33.3			Percent of total billed charges		840.825	100			Percent of total billed charges		2525	840.825	2272.5	
ir ureteral cath/stent place perc left	360	RC	Outpatient			2525	1641.25		90			Percent of total billed charges		2272.5	40			Percent of total billed charges		1010	80			Percent of total billed charges		2020	90			Percent of total billed charges		2272.5	85			Percent of total billed charges		2146.25	85			Percent of total billed charges		2146.25	85			Percent of total billed charges		2146.25	100			Percent of total billed charges		2525	100			Percent of total billed charges		2525	100			Percent of total billed charges		2525	33.3			Percent of total billed charges		840.825	33.3			Percent of total billed charges		840.825	100			Percent of total billed charges		2525	840.825	2272.5	
ir ureteral cath/stent place perc right	320	RC	Outpatient			2525	1641.25		90			Percent of total billed charges		2272.5	40			Percent of total billed charges		1010	80			Percent of total billed charges		2020	90			Percent of total billed charges		2272.5	85			Percent of total billed charges		2146.25	85			Percent of total billed charges		2146.25	85			Percent of total billed charges		2146.25	100			Percent of total billed charges		2525	100			Percent of total billed charges		2525	100			Percent of total billed charges		2525	33.3			Percent of total billed charges		840.825	33.3			Percent of total billed charges		840.825	100			Percent of total billed charges		2525	840.825	2272.5	
osteonics std tibial tray #3 7115-0011	278	RC	Outpatient			2527	1642.55		90			Percent of total billed charges		2274.3	40			Percent of total billed charges		1010.8	80			Percent of total billed charges		2021.6	90			Percent of total billed charges		2274.3	85			Percent of total billed charges		2147.95	85			Percent of total billed charges		2147.95	85			Percent of total billed charges		2147.95	100			Percent of total billed charges		2527	100			Percent of total billed charges		2527	100			Percent of total billed charges		2527	33.3			Percent of total billed charges		841.491	33.3			Percent of total billed charges		841.491	100			Percent of total billed charges		2527	841.491	2274.3	
osteonics std tibial tray #5 7115-0005	278	RC	Outpatient			2527	1642.55		90			Percent of total billed charges		2274.3	40			Percent of total billed charges		1010.8	80			Percent of total billed charges		2021.6	90			Percent of total billed charges		2274.3	85			Percent of total billed charges		2147.95	85			Percent of total billed charges		2147.95	85			Percent of total billed charges		2147.95	100			Percent of total billed charges		2527	100			Percent of total billed charges		2527	100			Percent of total billed charges		2527	33.3			Percent of total billed charges		841.491	33.3			Percent of total billed charges		841.491	100			Percent of total billed charges		2527	841.491	2274.3	
osteonics std tibial tray #7 7115-007	278	RC	Outpatient			2527	1642.55		90			Percent of total billed charges		2274.3	40			Percent of total billed charges		1010.8	80			Percent of total billed charges		2021.6	90			Percent of total billed charges		2274.3	85			Percent of total billed charges		2147.95	85			Percent of total billed charges		2147.95	85			Percent of total billed charges		2147.95	100			Percent of total billed charges		2527	100			Percent of total billed charges		2527	100			Percent of total billed charges		2527	33.3			Percent of total billed charges		841.491	33.3			Percent of total billed charges		841.491	100			Percent of total billed charges		2527	841.491	2274.3	
osteonics tibial tray std	278	RC	Outpatient			2527	1642.55		90			Percent of total billed charges		2274.3	40			Percent of total billed charges		1010.8	80			Percent of total billed charges		2021.6	90			Percent of total billed charges		2274.3	85			Percent of total billed charges		2147.95	85			Percent of total billed charges		2147.95	85			Percent of total billed charges		2147.95	100			Percent of total billed charges		2527	100			Percent of total billed charges		2527	100			Percent of total billed charges		2527	33.3			Percent of total billed charges		841.491	33.3			Percent of total billed charges		841.491	100			Percent of total billed charges		2527	841.491	2274.3	
sc-acufix sentry plate 3 seg 62mm 409-3162 abbott	278	RC	Outpatient			2527	1642.55		90			Percent of total billed charges		2274.3	40			Percent of total billed charges		1010.8	80			Percent of total billed charges		2021.6	90			Percent of total billed charges		2274.3	85			Percent of total billed charges		2147.95	85			Percent of total billed charges		2147.95	85			Percent of total billed charges		2147.95	100			Percent of total billed charges		2527	100			Percent of total billed charges		2527	100			Percent of total billed charges		2527	33.3			Percent of total billed charges		841.491	33.3			Percent of total billed charges		841.491	100			Percent of total billed charges		2527	841.491	2274.3	
sc-acufix sentry plate 3 seg 71mm 409-3171 abbott	278	RC	Outpatient			2527	1642.55		90			Percent of total billed charges		2274.3	40			Percent of total billed charges		1010.8	80			Percent of total billed charges		2021.6	90			Percent of total billed charges		2274.3	85			Percent of total billed charges		2147.95	85			Percent of total billed charges		2147.95	85			Percent of total billed charges		2147.95	100			Percent of total billed charges		2527	100			Percent of total billed charges		2527	100			Percent of total billed charges		2527	33.3			Percent of total billed charges		841.491	33.3			Percent of total billed charges		841.491	100			Percent of total billed charges		2527	841.491	2274.3	
sc-acufix sentry plate 3 seg 50mm 409-3150 abbott	278	RC	Outpatient			2527	1642.55		90			Percent of total billed charges		2274.3	40			Percent of total billed charges		1010.8	80			Percent of total billed charges		2021.6	90			Percent of total billed charges		2274.3	85			Percent of total billed charges		2147.95	85			Percent of total billed charges		2147.95	85			Percent of total billed charges		2147.95	100			Percent of total billed charges		2527	100			Percent of total billed charges		2527	100			Percent of total billed charges		2527	33.3			Percent of total billed charges		841.491	33.3			Percent of total billed charges		841.491	100			Percent of total billed charges		2527	841.491	2274.3	
sc-acufix sentry plate 3 seg 53mm 409-3153 abbott	278	RC	Outpatient			2527	1642.55		90			Percent of total billed charges		2274.3	40			Percent of total billed charges		1010.8	80			Percent of total billed charges		2021.6	90			Percent of total billed charges		2274.3	85			Percent of total billed charges		2147.95	85			Percent of total billed charges		2147.95	85			Percent of total billed charges		2147.95	100			Percent of total billed charges		2527	100			Percent of total billed charges		2527	100			Percent of total billed charges		2527	33.3			Percent of total billed charges		841.491	33.3			Percent of total billed charges		841.491	100			Percent of total billed charges		2527	841.491	2274.3	
sc-acufix sentry plate 3 seg 56mm 409-3156 abbott	278	RC	Outpatient			2527	1642.55		90			Percent of total billed charges		2274.3	40			Percent of total billed charges		1010.8	80			Percent of total billed charges		2021.6	90			Percent of total billed charges		2274.3	85			Percent of total billed charges		2147.95	85			Percent of total billed charges		2147.95	85			Percent of total billed charges		2147.95	100			Percent of total billed charges		2527	100			Percent of total billed charges		2527	100			Percent of total billed charges		2527	33.3			Percent of total billed charges		841.491	33.3			Percent of total billed charges		841.491	100			Percent of total billed charges		2527	841.491	2274.3	
sc-acufix sentry plate 3 seg 59mm 409-3159 abbott	278	RC	Outpatient			2527	1642.55		90			Percent of total billed charges		2274.3	40			Percent of total billed charges		1010.8	80			Percent of total billed charges		2021.6	90			Percent of total billed charges		2274.3	85			Percent of total billed charges		2147.95	85			Percent of total billed charges		2147.95	85			Percent of total billed charges		2147.95	100			Percent of total billed charges		2527	100			Percent of total billed charges		2527	100			Percent of total billed charges		2527	33.3			Percent of total billed charges		841.491	33.3			Percent of total billed charges		841.491	100			Percent of total billed charges		2527	841.491	2274.3	
sc-acufix sentry plate 3 seg 65mm 409-3165 abbott	278	RC	Outpatient			2527	1642.55		90			Percent of total billed charges		2274.3	40			Percent of total billed charges		1010.8	80			Percent of total billed charges		2021.6	90			Percent of total billed charges		2274.3	85			Percent of total billed charges		2147.95	85			Percent of total billed charges		2147.95	85			Percent of total billed charges		2147.95	100			Percent of total billed charges		2527	100			Percent of total billed charges		2527	100			Percent of total billed charges		2527	33.3			Percent of total billed charges		841.491	33.3			Percent of total billed charges		841.491	100			Percent of total billed charges		2527	841.491	2274.3	
sc-acufix sentry plate 3 seg 68mm 409-3168 abbott	278	RC	Outpatient			2527	1642.55		90			Percent of total billed charges		2274.3	40			Percent of total billed charges		1010.8	80			Percent of total billed charges		2021.6	90			Percent of total billed charges		2274.3	85			Percent of total billed charges		2147.95	85			Percent of total billed charges		2147.95	85			Percent of total billed charges		2147.95	100			Percent of total billed charges		2527	100			Percent of total billed charges		2527	100			Percent of total billed charges		2527	33.3			Percent of total billed charges		841.491	33.3			Percent of total billed charges		841.491	100			Percent of total billed charges		2527	841.491	2274.3	
sentry plt 3 seg	278	RC	Outpatient			2527	1642.55		90			Percent of total billed charges		2274.3	40			Percent of total billed charges		1010.8	80			Percent of total billed charges		2021.6	90			Percent of total billed charges		2274.3	85			Percent of total billed charges		2147.95	85			Percent of total billed charges		2147.95	85			Percent of total billed charges		2147.95	100			Percent of total billed charges		2527	100			Percent of total billed charges		2527	100			Percent of total billed charges		2527	33.3			Percent of total billed charges		841.491	33.3			Percent of total billed charges		841.491	100			Percent of total billed charges		2527	841.491	2274.3	
bio freedom head	278	RC	Outpatient			2529	1643.85		90			Percent of total billed charges		2276.1	40			Percent of total billed charges		1011.6	80			Percent of total billed charges		2023.2	90			Percent of total billed charges		2276.1	85			Percent of total billed charges		2149.65	85			Percent of total billed charges		2149.65	85			Percent of total billed charges		2149.65	100			Percent of total billed charges		2529	100			Percent of total billed charges		2529	100			Percent of total billed charges		2529	33.3			Percent of total billed charges		842.157	33.3			Percent of total billed charges		842.157	100			Percent of total billed charges		2529	842.157	2276.1	
freedom constrained head +3mm 11-107019 biomet	278	RC	Outpatient			2529	1643.85		90			Percent of total billed charges		2276.1	40			Percent of total billed charges		1011.6	80			Percent of total billed charges		2023.2	90			Percent of total billed charges		2276.1	85			Percent of total billed charges		2149.65	85			Percent of total billed charges		2149.65	85			Percent of total billed charges		2149.65	100			Percent of total billed charges		2529	100			Percent of total billed charges		2529	100			Percent of total billed charges		2529	33.3			Percent of total billed charges		842.157	33.3			Percent of total billed charges		842.157	100			Percent of total billed charges		2529	842.157	2276.1	
freedom constrained head +9mm 11-107021 biomet	278	RC	Outpatient			2529	1643.85		90			Percent of total billed charges		2276.1	40			Percent of total billed charges		1011.6	80			Percent of total billed charges		2023.2	90			Percent of total billed charges		2276.1	85			Percent of total billed charges		2149.65	85			Percent of total billed charges		2149.65	85			Percent of total billed charges		2149.65	100			Percent of total billed charges		2529	100			Percent of total billed charges		2529	100			Percent of total billed charges		2529	33.3			Percent of total billed charges		842.157	33.3			Percent of total billed charges		842.157	100			Percent of total billed charges		2529	842.157	2276.1	
freedom constrained head -6mm 11-107016 biomet	278	RC	Outpatient			2529	1643.85		90			Percent of total billed charges		2276.1	40			Percent of total billed charges		1011.6	80			Percent of total billed charges		2023.2	90			Percent of total billed charges		2276.1	85			Percent of total billed charges		2149.65	85			Percent of total billed charges		2149.65	85			Percent of total billed charges		2149.65	100			Percent of total billed charges		2529	100			Percent of total billed charges		2529	100			Percent of total billed charges		2529	33.3			Percent of total billed charges		842.157	33.3			Percent of total billed charges		842.157	100			Percent of total billed charges		2529	842.157	2276.1	
freedom constrained head -std 11-107018 biomet	278	RC	Outpatient			2529	1643.85		90			Percent of total billed charges		2276.1	40			Percent of total billed charges		1011.6	80			Percent of total billed charges		2023.2	90			Percent of total billed charges		2276.1	85			Percent of total billed charges		2149.65	85			Percent of total billed charges		2149.65	85			Percent of total billed charges		2149.65	100			Percent of total billed charges		2529	100			Percent of total billed charges		2529	100			Percent of total billed charges		2529	33.3			Percent of total billed charges		842.157	33.3			Percent of total billed charges		842.157	100			Percent of total billed charges		2529	842.157	2276.1	
freedom constrained head +6mm 11-107020 biomet	278	RC	Outpatient			2529	1643.85		90			Percent of total billed charges		2276.1	40			Percent of total billed charges		1011.6	80			Percent of total billed charges		2023.2	90			Percent of total billed charges		2276.1	85			Percent of total billed charges		2149.65	85			Percent of total billed charges		2149.65	85			Percent of total billed charges		2149.65	100			Percent of total billed charges		2529	100			Percent of total billed charges		2529	100			Percent of total billed charges		2529	33.3			Percent of total billed charges		842.157	33.3			Percent of total billed charges		842.157	100			Percent of total billed charges		2529	842.157	2276.1	
freedom constrained head -3mm 11-107017 biomet	278	RC	Outpatient			2529	1643.85		90			Percent of total billed charges		2276.1	40			Percent of total billed charges		1011.6	80			Percent of total billed charges		2023.2	90			Percent of total billed charges		2276.1	85			Percent of total billed charges		2149.65	85			Percent of total billed charges		2149.65	85			Percent of total billed charges		2149.65	100			Percent of total billed charges		2529	100			Percent of total billed charges		2529	100			Percent of total billed charges		2529	33.3			Percent of total billed charges		842.157	33.3			Percent of total billed charges		842.157	100			Percent of total billed charges		2529	842.157	2276.1	
lg fr pl condylar 13h lt	278	RC	Outpatient			2529	1643.85		90			Percent of total billed charges		2276.1	40			Percent of total billed charges		1011.6	80			Percent of total billed charges		2023.2	90			Percent of total billed charges		2276.1	85			Percent of total billed charges		2149.65	85			Percent of total billed charges		2149.65	85			Percent of total billed charges		2149.65	100			Percent of total billed charges		2529	100			Percent of total billed charges		2529	100			Percent of total billed charges		2529	33.3			Percent of total billed charges		842.157	33.3			Percent of total billed charges		842.157	100			Percent of total billed charges		2529	842.157	2276.1	
cosmetic - removal of bilateral breast implants	983	RC	Outpatient			2530	1644.5		90			Percent of total billed charges		2277	40			Percent of total billed charges		1012	80			Percent of total billed charges		2024	90			Percent of total billed charges		2277	85			Percent of total billed charges		2150.5	85			Percent of total billed charges		2150.5	85			Percent of total billed charges		2150.5	100			Percent of total billed charges		2530	100			Percent of total billed charges		2530	100			Percent of total billed charges		2530	33.3			Percent of total billed charges		842.49	33.3			Percent of total billed charges		842.49	100			Percent of total billed charges		2530	842.49	2277	
reflection xlpe 28 0 deg 54-56 sz f  71333375 s/n	278	RC	Outpatient			2537	1649.05		90			Percent of total billed charges		2283.3	40			Percent of total billed charges		1014.8	80			Percent of total billed charges		2029.6	90			Percent of total billed charges		2283.3	85			Percent of total billed charges		2156.45	85			Percent of total billed charges		2156.45	85			Percent of total billed charges		2156.45	100			Percent of total billed charges		2537	100			Percent of total billed charges		2537	100			Percent of total billed charges		2537	33.3			Percent of total billed charges		844.821	33.3			Percent of total billed charges		844.821	100			Percent of total billed charges		2537	844.821	2283.3	
reflection xlpe 28 0 deg 58-60 sz g  71333376 s/n	278	RC	Outpatient			2537	1649.05		90			Percent of total billed charges		2283.3	40			Percent of total billed charges		1014.8	80			Percent of total billed charges		2029.6	90			Percent of total billed charges		2283.3	85			Percent of total billed charges		2156.45	85			Percent of total billed charges		2156.45	85			Percent of total billed charges		2156.45	100			Percent of total billed charges		2537	100			Percent of total billed charges		2537	100			Percent of total billed charges		2537	33.3			Percent of total billed charges		844.821	33.3			Percent of total billed charges		844.821	100			Percent of total billed charges		2537	844.821	2283.3	
reflection xlpe 28 0 deg 62-64 sz h  71333377 s/n	278	RC	Outpatient			2537	1649.05		90			Percent of total billed charges		2283.3	40			Percent of total billed charges		1014.8	80			Percent of total billed charges		2029.6	90			Percent of total billed charges		2283.3	85			Percent of total billed charges		2156.45	85			Percent of total billed charges		2156.45	85			Percent of total billed charges		2156.45	100			Percent of total billed charges		2537	100			Percent of total billed charges		2537	100			Percent of total billed charges		2537	33.3			Percent of total billed charges		844.821	33.3			Percent of total billed charges		844.821	100			Percent of total billed charges		2537	844.821	2283.3	
reflection xlpe 28 20 deg 50-52mm size e  71333324 s/n	278	RC	Outpatient			2537	1649.05		90			Percent of total billed charges		2283.3	40			Percent of total billed charges		1014.8	80			Percent of total billed charges		2029.6	90			Percent of total billed charges		2283.3	85			Percent of total billed charges		2156.45	85			Percent of total billed charges		2156.45	85			Percent of total billed charges		2156.45	100			Percent of total billed charges		2537	100			Percent of total billed charges		2537	100			Percent of total billed charges		2537	33.3			Percent of total billed charges		844.821	33.3			Percent of total billed charges		844.821	100			Percent of total billed charges		2537	844.821	2283.3	
reflection xlpe 28 20 deg 54-56 sz f  71333325 s/n	278	RC	Outpatient			2537	1649.05		90			Percent of total billed charges		2283.3	40			Percent of total billed charges		1014.8	80			Percent of total billed charges		2029.6	90			Percent of total billed charges		2283.3	85			Percent of total billed charges		2156.45	85			Percent of total billed charges		2156.45	85			Percent of total billed charges		2156.45	100			Percent of total billed charges		2537	100			Percent of total billed charges		2537	100			Percent of total billed charges		2537	33.3			Percent of total billed charges		844.821	33.3			Percent of total billed charges		844.821	100			Percent of total billed charges		2537	844.821	2283.3	
reflection xlpe 28id 20 deg 58-60 sz g 71333326 s/n	278	RC	Outpatient			2537	1649.05		90			Percent of total billed charges		2283.3	40			Percent of total billed charges		1014.8	80			Percent of total billed charges		2029.6	90			Percent of total billed charges		2283.3	85			Percent of total billed charges		2156.45	85			Percent of total billed charges		2156.45	85			Percent of total billed charges		2156.45	100			Percent of total billed charges		2537	100			Percent of total billed charges		2537	100			Percent of total billed charges		2537	33.3			Percent of total billed charges		844.821	33.3			Percent of total billed charges		844.821	100			Percent of total billed charges		2537	844.821	2283.3	
richards reflect xlpe	278	RC	Outpatient			2537	1649.05		90			Percent of total billed charges		2283.3	40			Percent of total billed charges		1014.8	80			Percent of total billed charges		2029.6	90			Percent of total billed charges		2283.3	85			Percent of total billed charges		2156.45	85			Percent of total billed charges		2156.45	85			Percent of total billed charges		2156.45	100			Percent of total billed charges		2537	100			Percent of total billed charges		2537	100			Percent of total billed charges		2537	33.3			Percent of total billed charges		844.821	33.3			Percent of total billed charges		844.821	100			Percent of total billed charges		2537	844.821	2283.3	
reflection  xlpe 28 0 deg 50-52 sz e  71333374 s/n	278	RC	Outpatient			2537	1649.05		90			Percent of total billed charges		2283.3	40			Percent of total billed charges		1014.8	80			Percent of total billed charges		2029.6	90			Percent of total billed charges		2283.3	85			Percent of total billed charges		2156.45	85			Percent of total billed charges		2156.45	85			Percent of total billed charges		2156.45	100			Percent of total billed charges		2537	100			Percent of total billed charges		2537	100			Percent of total billed charges		2537	33.3			Percent of total billed charges		844.821	33.3			Percent of total billed charges		844.821	100			Percent of total billed charges		2537	844.821	2283.3	
reflection  xlpe 28 20 deg 62-64  sz h 71333327 s/n	278	RC	Outpatient			2537	1649.05		90			Percent of total billed charges		2283.3	40			Percent of total billed charges		1014.8	80			Percent of total billed charges		2029.6	90			Percent of total billed charges		2283.3	85			Percent of total billed charges		2156.45	85			Percent of total billed charges		2156.45	85			Percent of total billed charges		2156.45	100			Percent of total billed charges		2537	100			Percent of total billed charges		2537	100			Percent of total billed charges		2537	33.3			Percent of total billed charges		844.821	33.3			Percent of total billed charges		844.821	100			Percent of total billed charges		2537	844.821	2283.3	
reflection xlpe 28 0 deg 46-48 sz d  71333373 s/n	278	RC	Outpatient			2537	1649.05		90			Percent of total billed charges		2283.3	40			Percent of total billed charges		1014.8	80			Percent of total billed charges		2029.6	90			Percent of total billed charges		2283.3	85			Percent of total billed charges		2156.45	85			Percent of total billed charges		2156.45	85			Percent of total billed charges		2156.45	100			Percent of total billed charges		2537	100			Percent of total billed charges		2537	100			Percent of total billed charges		2537	33.3			Percent of total billed charges		844.821	33.3			Percent of total billed charges		844.821	100			Percent of total billed charges		2537	844.821	2283.3	
reflection xlpe 28mm 20 deg 46-48mm size d  71333323 s/n	278	RC	Outpatient			2537	1649.05		90			Percent of total billed charges		2283.3	40			Percent of total billed charges		1014.8	80			Percent of total billed charges		2029.6	90			Percent of total billed charges		2283.3	85			Percent of total billed charges		2156.45	85			Percent of total billed charges		2156.45	85			Percent of total billed charges		2156.45	100			Percent of total billed charges		2537	100			Percent of total billed charges		2537	100			Percent of total billed charges		2537	33.3			Percent of total billed charges		844.821	33.3			Percent of total billed charges		844.821	100			Percent of total billed charges		2537	844.821	2283.3	
s/n titan plt prox tib 4h	278	RC	Outpatient			2541	1651.65		90			Percent of total billed charges		2286.9	40			Percent of total billed charges		1016.4	80			Percent of total billed charges		2032.8	90			Percent of total billed charges		2286.9	85			Percent of total billed charges		2159.85	85			Percent of total billed charges		2159.85	85			Percent of total billed charges		2159.85	100			Percent of total billed charges		2541	100			Percent of total billed charges		2541	100			Percent of total billed charges		2541	33.3			Percent of total billed charges		846.153	33.3			Percent of total billed charges		846.153	100			Percent of total billed charges		2541	846.153	2286.9	
t2 std tibial nail 10 x 330 1822-1033s stryker	278	RC	Outpatient			2541	1651.65		90			Percent of total billed charges		2286.9	40			Percent of total billed charges		1016.4	80			Percent of total billed charges		2032.8	90			Percent of total billed charges		2286.9	85			Percent of total billed charges		2159.85	85			Percent of total billed charges		2159.85	85			Percent of total billed charges		2159.85	100			Percent of total billed charges		2541	100			Percent of total billed charges		2541	100			Percent of total billed charges		2541	33.3			Percent of total billed charges		846.153	33.3			Percent of total billed charges		846.153	100			Percent of total billed charges		2541	846.153	2286.9	
titaniium 4 hole proximal tibia plate 440.037 synthes	278	RC	Outpatient			2541	1651.65		90			Percent of total billed charges		2286.9	40			Percent of total billed charges		1016.4	80			Percent of total billed charges		2032.8	90			Percent of total billed charges		2286.9	85			Percent of total billed charges		2159.85	85			Percent of total billed charges		2159.85	85			Percent of total billed charges		2159.85	100			Percent of total billed charges		2541	100			Percent of total billed charges		2541	100			Percent of total billed charges		2541	33.3			Percent of total billed charges		846.153	33.3			Percent of total billed charges		846.153	100			Percent of total billed charges		2541	846.153	2286.9	
proximal humeral locking plate 3.5 3h r 71821303 s/n	278	RC	Outpatient			2545	1654.25		90			Percent of total billed charges		2290.5	40			Percent of total billed charges		1018	80			Percent of total billed charges		2036	90			Percent of total billed charges		2290.5	85			Percent of total billed charges		2163.25	85			Percent of total billed charges		2163.25	85			Percent of total billed charges		2163.25	100			Percent of total billed charges		2545	100			Percent of total billed charges		2545	100			Percent of total billed charges		2545	33.3			Percent of total billed charges		847.485	33.3			Percent of total billed charges		847.485	100			Percent of total billed charges		2545	847.485	2290.5	
proximal humeral locking plate 4.5 3h l 71801603 s/n	278	RC	Outpatient			2545	1654.25		90			Percent of total billed charges		2290.5	40			Percent of total billed charges		1018	80			Percent of total billed charges		2036	90			Percent of total billed charges		2290.5	85			Percent of total billed charges		2163.25	85			Percent of total billed charges		2163.25	85			Percent of total billed charges		2163.25	100			Percent of total billed charges		2545	100			Percent of total billed charges		2545	100			Percent of total billed charges		2545	33.3			Percent of total billed charges		847.485	33.3			Percent of total billed charges		847.485	100			Percent of total billed charges		2545	847.485	2290.5	
proximal humeral locking plate 4.5 3h r 71801503 s/n	278	RC	Outpatient			2545	1654.25		90			Percent of total billed charges		2290.5	40			Percent of total billed charges		1018	80			Percent of total billed charges		2036	90			Percent of total billed charges		2290.5	85			Percent of total billed charges		2163.25	85			Percent of total billed charges		2163.25	85			Percent of total billed charges		2163.25	100			Percent of total billed charges		2545	100			Percent of total billed charges		2545	100			Percent of total billed charges		2545	33.3			Percent of total billed charges		847.485	33.3			Percent of total billed charges		847.485	100			Percent of total billed charges		2545	847.485	2290.5	
s/n prxhum lk pl 3.5 3h	278	RC	Outpatient			2545	1654.25		90			Percent of total billed charges		2290.5	40			Percent of total billed charges		1018	80			Percent of total billed charges		2036	90			Percent of total billed charges		2290.5	85			Percent of total billed charges		2163.25	85			Percent of total billed charges		2163.25	85			Percent of total billed charges		2163.25	100			Percent of total billed charges		2545	100			Percent of total billed charges		2545	100			Percent of total billed charges		2545	33.3			Percent of total billed charges		847.485	33.3			Percent of total billed charges		847.485	100			Percent of total billed charges		2545	847.485	2290.5	
proximal humeral locking plate 3.5 3h l 71821403 s/n	278	RC	Outpatient			2545	1654.25		90			Percent of total billed charges		2290.5	40			Percent of total billed charges		1018	80			Percent of total billed charges		2036	90			Percent of total billed charges		2290.5	85			Percent of total billed charges		2163.25	85			Percent of total billed charges		2163.25	85			Percent of total billed charges		2163.25	100			Percent of total billed charges		2545	100			Percent of total billed charges		2545	100			Percent of total billed charges		2545	33.3			Percent of total billed charges		847.485	33.3			Percent of total billed charges		847.485	100			Percent of total billed charges		2545	847.485	2290.5	
s/n prxhum lk pl 4.5 3h	278	RC	Outpatient			2545	1654.25		90			Percent of total billed charges		2290.5	40			Percent of total billed charges		1018	80			Percent of total billed charges		2036	90			Percent of total billed charges		2290.5	85			Percent of total billed charges		2163.25	85			Percent of total billed charges		2163.25	85			Percent of total billed charges		2163.25	100			Percent of total billed charges		2545	100			Percent of total billed charges		2545	100			Percent of total billed charges		2545	33.3			Percent of total billed charges		847.485	33.3			Percent of total billed charges		847.485	100			Percent of total billed charges		2545	847.485	2290.5	
"cath lab medtronic 5086 mri lead 59cm, 52cm, 45cm"	278	RC	Outpatient			2547	1655.55		90			Percent of total billed charges		2292.3	40			Percent of total billed charges		1018.8	80			Percent of total billed charges		2037.6	90			Percent of total billed charges		2292.3	85			Percent of total billed charges		2164.95	85			Percent of total billed charges		2164.95	85			Percent of total billed charges		2164.95	100			Percent of total billed charges		2547	100			Percent of total billed charges		2547	100			Percent of total billed charges		2547	33.3			Percent of total billed charges		848.151	33.3			Percent of total billed charges		848.151	100			Percent of total billed charges		2547	848.151	2292.3	
med 5086mri 58cm 52cm45cm	278	RC	Outpatient			2547	1655.55		90			Percent of total billed charges		2292.3	40			Percent of total billed charges		1018.8	80			Percent of total billed charges		2037.6	90			Percent of total billed charges		2292.3	85			Percent of total billed charges		2164.95	85			Percent of total billed charges		2164.95	85			Percent of total billed charges		2164.95	100			Percent of total billed charges		2547	100			Percent of total billed charges		2547	100			Percent of total billed charges		2547	33.3			Percent of total billed charges		848.151	33.3			Percent of total billed charges		848.151	100			Percent of total billed charges		2547	848.151	2292.3	
mt 5086-45cm mri lead	278	RC	Outpatient			2547	1655.55		90			Percent of total billed charges		2292.3	40			Percent of total billed charges		1018.8	80			Percent of total billed charges		2037.6	90			Percent of total billed charges		2292.3	85			Percent of total billed charges		2164.95	85			Percent of total billed charges		2164.95	85			Percent of total billed charges		2164.95	100			Percent of total billed charges		2547	100			Percent of total billed charges		2547	100			Percent of total billed charges		2547	33.3			Percent of total billed charges		848.151	33.3			Percent of total billed charges		848.151	100			Percent of total billed charges		2547	848.151	2292.3	
mt 5086-52cm mri lead	278	RC	Outpatient			2547	1655.55		90			Percent of total billed charges		2292.3	40			Percent of total billed charges		1018.8	80			Percent of total billed charges		2037.6	90			Percent of total billed charges		2292.3	85			Percent of total billed charges		2164.95	85			Percent of total billed charges		2164.95	85			Percent of total billed charges		2164.95	100			Percent of total billed charges		2547	100			Percent of total billed charges		2547	100			Percent of total billed charges		2547	33.3			Percent of total billed charges		848.151	33.3			Percent of total billed charges		848.151	100			Percent of total billed charges		2547	848.151	2292.3	
mt 5086-58cm mri lead	278	RC	Outpatient			2547	1655.55		90			Percent of total billed charges		2292.3	40			Percent of total billed charges		1018.8	80			Percent of total billed charges		2037.6	90			Percent of total billed charges		2292.3	85			Percent of total billed charges		2164.95	85			Percent of total billed charges		2164.95	85			Percent of total billed charges		2164.95	100			Percent of total billed charges		2547	100			Percent of total billed charges		2547	100			Percent of total billed charges		2547	33.3			Percent of total billed charges		848.151	33.3			Percent of total billed charges		848.151	100			Percent of total billed charges		2547	848.151	2292.3	
achilles tendon w/ bone allograft 23.0 cm frozen community tissue	278	RC	Outpatient			2558	1662.7		90			Percent of total billed charges		2302.2	40			Percent of total billed charges		1023.2	80			Percent of total billed charges		2046.4	90			Percent of total billed charges		2302.2	85			Percent of total billed charges		2174.3	85			Percent of total billed charges		2174.3	85			Percent of total billed charges		2174.3	100			Percent of total billed charges		2558	100			Percent of total billed charges		2558	100			Percent of total billed charges		2558	33.3			Percent of total billed charges		851.814	33.3			Percent of total billed charges		851.814	100			Percent of total billed charges		2558	851.814	2302.2	
achilles tendon w/ bone allograft 17.0 cm frozen community tissue	278	RC	Outpatient			2558	1662.7		90			Percent of total billed charges		2302.2	40			Percent of total billed charges		1023.2	80			Percent of total billed charges		2046.4	90			Percent of total billed charges		2302.2	85			Percent of total billed charges		2174.3	85			Percent of total billed charges		2174.3	85			Percent of total billed charges		2174.3	100			Percent of total billed charges		2558	100			Percent of total billed charges		2558	100			Percent of total billed charges		2558	33.3			Percent of total billed charges		851.814	33.3			Percent of total billed charges		851.814	100			Percent of total billed charges		2558	851.814	2302.2	
achilles tendon w/ bone allograft 19.0 cm 133144-022 frozen community tissue	278	RC	Outpatient			2558	1662.7		90			Percent of total billed charges		2302.2	40			Percent of total billed charges		1023.2	80			Percent of total billed charges		2046.4	90			Percent of total billed charges		2302.2	85			Percent of total billed charges		2174.3	85			Percent of total billed charges		2174.3	85			Percent of total billed charges		2174.3	100			Percent of total billed charges		2558	100			Percent of total billed charges		2558	100			Percent of total billed charges		2558	33.3			Percent of total billed charges		851.814	33.3			Percent of total billed charges		851.814	100			Percent of total billed charges		2558	851.814	2302.2	
allograft achilles tendon	278	RC	Outpatient			2558	1662.7		90			Percent of total billed charges		2302.2	40			Percent of total billed charges		1023.2	80			Percent of total billed charges		2046.4	90			Percent of total billed charges		2302.2	85			Percent of total billed charges		2174.3	85			Percent of total billed charges		2174.3	85			Percent of total billed charges		2174.3	100			Percent of total billed charges		2558	100			Percent of total billed charges		2558	100			Percent of total billed charges		2558	33.3			Percent of total billed charges		851.814	33.3			Percent of total billed charges		851.814	100			Percent of total billed charges		2558	851.814	2302.2	
recon plt 3.5mm 10 hl 71809520 s\n	278	RC	Outpatient			2558	1662.7		90			Percent of total billed charges		2302.2	40			Percent of total billed charges		1023.2	80			Percent of total billed charges		2046.4	90			Percent of total billed charges		2302.2	85			Percent of total billed charges		2174.3	85			Percent of total billed charges		2174.3	85			Percent of total billed charges		2174.3	100			Percent of total billed charges		2558	100			Percent of total billed charges		2558	100			Percent of total billed charges		2558	33.3			Percent of total billed charges		851.814	33.3			Percent of total billed charges		851.814	100			Percent of total billed charges		2558	851.814	2302.2	
s/n 3.5 recon pl 10 hl	278	RC	Outpatient			2558	1662.7		90			Percent of total billed charges		2302.2	40			Percent of total billed charges		1023.2	80			Percent of total billed charges		2046.4	90			Percent of total billed charges		2302.2	85			Percent of total billed charges		2174.3	85			Percent of total billed charges		2174.3	85			Percent of total billed charges		2174.3	100			Percent of total billed charges		2558	100			Percent of total billed charges		2558	100			Percent of total billed charges		2558	33.3			Percent of total billed charges		851.814	33.3			Percent of total billed charges		851.814	100			Percent of total billed charges		2558	851.814	2302.2	
recon plt 3.5mm 10 hl 71829520 s\n	278	RC	Outpatient			2558	1662.7		90			Percent of total billed charges		2302.2	40			Percent of total billed charges		1023.2	80			Percent of total billed charges		2046.4	90			Percent of total billed charges		2302.2	85			Percent of total billed charges		2174.3	85			Percent of total billed charges		2174.3	85			Percent of total billed charges		2174.3	100			Percent of total billed charges		2558	100			Percent of total billed charges		2558	100			Percent of total billed charges		2558	33.3			Percent of total billed charges		851.814	33.3			Percent of total billed charges		851.814	100			Percent of total billed charges		2558	851.814	2302.2	
viagraf flex 5 x 5	278	RC	Outpatient			2561	1664.65		90			Percent of total billed charges		2304.9	40			Percent of total billed charges		1024.4	80			Percent of total billed charges		2048.8	90			Percent of total billed charges		2304.9	85			Percent of total billed charges		2176.85	85			Percent of total billed charges		2176.85	85			Percent of total billed charges		2176.85	100			Percent of total billed charges		2561	100			Percent of total billed charges		2561	100			Percent of total billed charges		2561	33.3			Percent of total billed charges		852.813	33.3			Percent of total billed charges		852.813	100			Percent of total billed charges		2561	852.813	2304.9	
viagraf flex 5cm x 5cm 717919 s/n	278	RC	Outpatient			2561	1664.65		90			Percent of total billed charges		2304.9	40			Percent of total billed charges		1024.4	80			Percent of total billed charges		2048.8	90			Percent of total billed charges		2304.9	85			Percent of total billed charges		2176.85	85			Percent of total billed charges		2176.85	85			Percent of total billed charges		2176.85	100			Percent of total billed charges		2561	100			Percent of total billed charges		2561	100			Percent of total billed charges		2561	33.3			Percent of total billed charges		852.813	33.3			Percent of total billed charges		852.813	100			Percent of total billed charges		2561	852.813	2304.9	
viagraf flex 2.5 x 10	278	RC	Outpatient			2561	1664.65		90			Percent of total billed charges		2304.9	40			Percent of total billed charges		1024.4	80			Percent of total billed charges		2048.8	90			Percent of total billed charges		2304.9	85			Percent of total billed charges		2176.85	85			Percent of total billed charges		2176.85	85			Percent of total billed charges		2176.85	100			Percent of total billed charges		2561	100			Percent of total billed charges		2561	100			Percent of total billed charges		2561	33.3			Percent of total billed charges		852.813	33.3			Percent of total billed charges		852.813	100			Percent of total billed charges		2561	852.813	2304.9	
viagraf flex 2.5cm x 10cm 717918 s/n	278	RC	Outpatient			2561	1664.65		90			Percent of total billed charges		2304.9	40			Percent of total billed charges		1024.4	80			Percent of total billed charges		2048.8	90			Percent of total billed charges		2304.9	85			Percent of total billed charges		2176.85	85			Percent of total billed charges		2176.85	85			Percent of total billed charges		2176.85	100			Percent of total billed charges		2561	100			Percent of total billed charges		2561	100			Percent of total billed charges		2561	33.3			Percent of total billed charges		852.813	33.3			Percent of total billed charges		852.813	100			Percent of total billed charges		2561	852.813	2304.9	
narrow plt 4.5mm 13 hl 71809463 s\n	278	RC	Outpatient			2565	1667.25		90			Percent of total billed charges		2308.5	40			Percent of total billed charges		1026	80			Percent of total billed charges		2052	90			Percent of total billed charges		2308.5	85			Percent of total billed charges		2180.25	85			Percent of total billed charges		2180.25	85			Percent of total billed charges		2180.25	100			Percent of total billed charges		2565	100			Percent of total billed charges		2565	100			Percent of total billed charges		2565	33.3			Percent of total billed charges		854.145	33.3			Percent of total billed charges		854.145	100			Percent of total billed charges		2565	854.145	2308.5	
narrow plt 4.5mm 14 hl 71809464 s\n	278	RC	Outpatient			2565	1667.25		90			Percent of total billed charges		2308.5	40			Percent of total billed charges		1026	80			Percent of total billed charges		2052	90			Percent of total billed charges		2308.5	85			Percent of total billed charges		2180.25	85			Percent of total billed charges		2180.25	85			Percent of total billed charges		2180.25	100			Percent of total billed charges		2565	100			Percent of total billed charges		2565	100			Percent of total billed charges		2565	33.3			Percent of total billed charges		854.145	33.3			Percent of total billed charges		854.145	100			Percent of total billed charges		2565	854.145	2308.5	
s/n 4.5 narrow pl 13-14hl	278	RC	Outpatient			2565	1667.25		90			Percent of total billed charges		2308.5	40			Percent of total billed charges		1026	80			Percent of total billed charges		2052	90			Percent of total billed charges		2308.5	85			Percent of total billed charges		2180.25	85			Percent of total billed charges		2180.25	85			Percent of total billed charges		2180.25	100			Percent of total billed charges		2565	100			Percent of total billed charges		2565	100			Percent of total billed charges		2565	33.3			Percent of total billed charges		854.145	33.3			Percent of total billed charges		854.145	100			Percent of total billed charges		2565	854.145	2308.5	
endo ercp with sphincterotomy /stone removal	750	RC	Outpatient			2567	1668.55		90			Percent of total billed charges		2310.3	40			Percent of total billed charges		1026.8	80			Percent of total billed charges		2053.6	90			Percent of total billed charges		2310.3	85			Percent of total billed charges		2181.95	85			Percent of total billed charges		2181.95	85			Percent of total billed charges		2181.95	100			Percent of total billed charges		2567	100			Percent of total billed charges		2567	100			Percent of total billed charges		2567	33.3			Percent of total billed charges		854.811	33.3			Percent of total billed charges		854.811	100			Percent of total billed charges		2567	854.811	2310.3	
anesthesia time 9 1/2 hours	270	RC	Outpatient			2572	1671.8		90			Percent of total billed charges		2314.8	40			Percent of total billed charges		1028.8	80			Percent of total billed charges		2057.6	90			Percent of total billed charges		2314.8	85			Percent of total billed charges		2186.2	85			Percent of total billed charges		2186.2	85			Percent of total billed charges		2186.2	100			Percent of total billed charges		2572	100			Percent of total billed charges		2572	100			Percent of total billed charges		2572	33.3			Percent of total billed charges		856.476	33.3			Percent of total billed charges		856.476	100			Percent of total billed charges		2572	856.476	2314.8	
ascension pf humeral stem 9mm stem-0920-025-09 integra	272	RC	Outpatient			2574	1673.1		90			Percent of total billed charges		2316.6	40			Percent of total billed charges		1029.6	80			Percent of total billed charges		2059.2	90			Percent of total billed charges		2316.6	85			Percent of total billed charges		2187.9	85			Percent of total billed charges		2187.9	85			Percent of total billed charges		2187.9	100			Percent of total billed charges		2574	100			Percent of total billed charges		2574	100			Percent of total billed charges		2574	33.3			Percent of total billed charges		857.142	33.3			Percent of total billed charges		857.142	100			Percent of total billed charges		2574	857.142	2316.6	
ascension humeral primary proximal body sz 14 std bod-0923-020-14std integra	272	RC	Outpatient			2574	1673.1		90			Percent of total billed charges		2316.6	40			Percent of total billed charges		1029.6	80			Percent of total billed charges		2059.2	90			Percent of total billed charges		2316.6	85			Percent of total billed charges		2187.9	85			Percent of total billed charges		2187.9	85			Percent of total billed charges		2187.9	100			Percent of total billed charges		2574	100			Percent of total billed charges		2574	100			Percent of total billed charges		2574	33.3			Percent of total billed charges		857.142	33.3			Percent of total billed charges		857.142	100			Percent of total billed charges		2574	857.142	2316.6	
repicci ii tibia tray lg 215071 biomet	278	RC	Outpatient			2579	1676.35		90			Percent of total billed charges		2321.1	40			Percent of total billed charges		1031.6	80			Percent of total billed charges		2063.2	90			Percent of total billed charges		2321.1	85			Percent of total billed charges		2192.15	85			Percent of total billed charges		2192.15	85			Percent of total billed charges		2192.15	100			Percent of total billed charges		2579	100			Percent of total billed charges		2579	100			Percent of total billed charges		2579	33.3			Percent of total billed charges		858.807	33.3			Percent of total billed charges		858.807	100			Percent of total billed charges		2579	858.807	2321.1	
uni tibial tray	278	RC	Outpatient			2579	1676.35		90			Percent of total billed charges		2321.1	40			Percent of total billed charges		1031.6	80			Percent of total billed charges		2063.2	90			Percent of total billed charges		2321.1	85			Percent of total billed charges		2192.15	85			Percent of total billed charges		2192.15	85			Percent of total billed charges		2192.15	100			Percent of total billed charges		2579	100			Percent of total billed charges		2579	100			Percent of total billed charges		2579	33.3			Percent of total billed charges		858.807	33.3			Percent of total billed charges		858.807	100			Percent of total billed charges		2579	858.807	2321.1	
reflex hybrid acp 2 level 26mm 48651226 stryker	278	RC	Outpatient			2583	1678.95		90			Percent of total billed charges		2324.7	40			Percent of total billed charges		1033.2	80			Percent of total billed charges		2066.4	90			Percent of total billed charges		2324.7	85			Percent of total billed charges		2195.55	85			Percent of total billed charges		2195.55	85			Percent of total billed charges		2195.55	100			Percent of total billed charges		2583	100			Percent of total billed charges		2583	100			Percent of total billed charges		2583	33.3			Percent of total billed charges		860.139	33.3			Percent of total billed charges		860.139	100			Percent of total billed charges		2583	860.139	2324.7	
reflex hybrid acp 2 level 28mm 48651228 stryker	278	RC	Outpatient			2583	1678.95		90			Percent of total billed charges		2324.7	40			Percent of total billed charges		1033.2	80			Percent of total billed charges		2066.4	90			Percent of total billed charges		2324.7	85			Percent of total billed charges		2195.55	85			Percent of total billed charges		2195.55	85			Percent of total billed charges		2195.55	100			Percent of total billed charges		2583	100			Percent of total billed charges		2583	100			Percent of total billed charges		2583	33.3			Percent of total billed charges		860.139	33.3			Percent of total billed charges		860.139	100			Percent of total billed charges		2583	860.139	2324.7	
reflex hybrid acp 2 level 30mm 48651230 stryker	278	RC	Outpatient			2583	1678.95		90			Percent of total billed charges		2324.7	40			Percent of total billed charges		1033.2	80			Percent of total billed charges		2066.4	90			Percent of total billed charges		2324.7	85			Percent of total billed charges		2195.55	85			Percent of total billed charges		2195.55	85			Percent of total billed charges		2195.55	100			Percent of total billed charges		2583	100			Percent of total billed charges		2583	100			Percent of total billed charges		2583	33.3			Percent of total billed charges		860.139	33.3			Percent of total billed charges		860.139	100			Percent of total billed charges		2583	860.139	2324.7	
reflex hybrid acp 2 level 34mm 48651234 stryker	278	RC	Outpatient			2583	1678.95		90			Percent of total billed charges		2324.7	40			Percent of total billed charges		1033.2	80			Percent of total billed charges		2066.4	90			Percent of total billed charges		2324.7	85			Percent of total billed charges		2195.55	85			Percent of total billed charges		2195.55	85			Percent of total billed charges		2195.55	100			Percent of total billed charges		2583	100			Percent of total billed charges		2583	100			Percent of total billed charges		2583	33.3			Percent of total billed charges		860.139	33.3			Percent of total billed charges		860.139	100			Percent of total billed charges		2583	860.139	2324.7	
reflex hybrid acp 2 level 43mm 48651243 stryker	278	RC	Outpatient			2583	1678.95		90			Percent of total billed charges		2324.7	40			Percent of total billed charges		1033.2	80			Percent of total billed charges		2066.4	90			Percent of total billed charges		2324.7	85			Percent of total billed charges		2195.55	85			Percent of total billed charges		2195.55	85			Percent of total billed charges		2195.55	100			Percent of total billed charges		2583	100			Percent of total billed charges		2583	100			Percent of total billed charges		2583	33.3			Percent of total billed charges		860.139	33.3			Percent of total billed charges		860.139	100			Percent of total billed charges		2583	860.139	2324.7	
reflex hybrid acp 2 level 24mm 48651224 stryker	278	RC	Outpatient			2583	1678.95		90			Percent of total billed charges		2324.7	40			Percent of total billed charges		1033.2	80			Percent of total billed charges		2066.4	90			Percent of total billed charges		2324.7	85			Percent of total billed charges		2195.55	85			Percent of total billed charges		2195.55	85			Percent of total billed charges		2195.55	100			Percent of total billed charges		2583	100			Percent of total billed charges		2583	100			Percent of total billed charges		2583	33.3			Percent of total billed charges		860.139	33.3			Percent of total billed charges		860.139	100			Percent of total billed charges		2583	860.139	2324.7	
reflex hybrid acp 2 level 32mm 48651232 stryker	278	RC	Outpatient			2583	1678.95		90			Percent of total billed charges		2324.7	40			Percent of total billed charges		1033.2	80			Percent of total billed charges		2066.4	90			Percent of total billed charges		2324.7	85			Percent of total billed charges		2195.55	85			Percent of total billed charges		2195.55	85			Percent of total billed charges		2195.55	100			Percent of total billed charges		2583	100			Percent of total billed charges		2583	100			Percent of total billed charges		2583	33.3			Percent of total billed charges		860.139	33.3			Percent of total billed charges		860.139	100			Percent of total billed charges		2583	860.139	2324.7	
reflex hybrid acp 2 level 37mm 48651237 stryker	278	RC	Outpatient			2583	1678.95		90			Percent of total billed charges		2324.7	40			Percent of total billed charges		1033.2	80			Percent of total billed charges		2066.4	90			Percent of total billed charges		2324.7	85			Percent of total billed charges		2195.55	85			Percent of total billed charges		2195.55	85			Percent of total billed charges		2195.55	100			Percent of total billed charges		2583	100			Percent of total billed charges		2583	100			Percent of total billed charges		2583	33.3			Percent of total billed charges		860.139	33.3			Percent of total billed charges		860.139	100			Percent of total billed charges		2583	860.139	2324.7	
reflex hybrid acp 2 level 40mm 48651240 stryker	278	RC	Outpatient			2583	1678.95		90			Percent of total billed charges		2324.7	40			Percent of total billed charges		1033.2	80			Percent of total billed charges		2066.4	90			Percent of total billed charges		2324.7	85			Percent of total billed charges		2195.55	85			Percent of total billed charges		2195.55	85			Percent of total billed charges		2195.55	100			Percent of total billed charges		2583	100			Percent of total billed charges		2583	100			Percent of total billed charges		2583	33.3			Percent of total billed charges		860.139	33.3			Percent of total billed charges		860.139	100			Percent of total billed charges		2583	860.139	2324.7	
reflex hybrid acp 2 level 46mm 48651246 stryker	278	RC	Outpatient			2583	1678.95		90			Percent of total billed charges		2324.7	40			Percent of total billed charges		1033.2	80			Percent of total billed charges		2066.4	90			Percent of total billed charges		2324.7	85			Percent of total billed charges		2195.55	85			Percent of total billed charges		2195.55	85			Percent of total billed charges		2195.55	100			Percent of total billed charges		2583	100			Percent of total billed charges		2583	100			Percent of total billed charges		2583	33.3			Percent of total billed charges		860.139	33.3			Percent of total billed charges		860.139	100			Percent of total billed charges		2583	860.139	2324.7	
reflex hybrid acp 2-level	278	RC	Outpatient			2583	1678.95		90			Percent of total billed charges		2324.7	40			Percent of total billed charges		1033.2	80			Percent of total billed charges		2066.4	90			Percent of total billed charges		2324.7	85			Percent of total billed charges		2195.55	85			Percent of total billed charges		2195.55	85			Percent of total billed charges		2195.55	100			Percent of total billed charges		2583	100			Percent of total billed charges		2583	100			Percent of total billed charges		2583	33.3			Percent of total billed charges		860.139	33.3			Percent of total billed charges		860.139	100			Percent of total billed charges		2583	860.139	2324.7	
scient' 1 level cerv plt	278	RC	Outpatient			2584	1679.6		90			Percent of total billed charges		2325.6	40			Percent of total billed charges		1033.6	80			Percent of total billed charges		2067.2	90			Percent of total billed charges		2325.6	85			Percent of total billed charges		2196.4	85			Percent of total billed charges		2196.4	85			Percent of total billed charges		2196.4	100			Percent of total billed charges		2584	100			Percent of total billed charges		2584	100			Percent of total billed charges		2584	33.3			Percent of total billed charges		860.472	33.3			Percent of total billed charges		860.472	100			Percent of total billed charges		2584	860.472	2325.6	
grafton 10cc dbm putty p43110 osteotech	278	RC	Outpatient			2587	1681.55		90			Percent of total billed charges		2328.3	40			Percent of total billed charges		1034.8	80			Percent of total billed charges		2069.6	90			Percent of total billed charges		2328.3	85			Percent of total billed charges		2198.95	85			Percent of total billed charges		2198.95	85			Percent of total billed charges		2198.95	100			Percent of total billed charges		2587	100			Percent of total billed charges		2587	100			Percent of total billed charges		2587	33.3			Percent of total billed charges		861.471	33.3			Percent of total billed charges		861.471	100			Percent of total billed charges		2587	861.471	2328.3	
grafton 5cc dbm paste a45005 osteotech	278	RC	Outpatient			2587	1681.55		90			Percent of total billed charges		2328.3	40			Percent of total billed charges		1034.8	80			Percent of total billed charges		2069.6	90			Percent of total billed charges		2328.3	85			Percent of total billed charges		2198.95	85			Percent of total billed charges		2198.95	85			Percent of total billed charges		2198.95	100			Percent of total billed charges		2587	100			Percent of total billed charges		2587	100			Percent of total billed charges		2587	33.3			Percent of total billed charges		861.471	33.3			Percent of total billed charges		861.471	100			Percent of total billed charges		2587	861.471	2328.3	
grafton 5cc dbm paste p45005 osteotech	278	RC	Outpatient			2587	1681.55		90			Percent of total billed charges		2328.3	40			Percent of total billed charges		1034.8	80			Percent of total billed charges		2069.6	90			Percent of total billed charges		2328.3	85			Percent of total billed charges		2198.95	85			Percent of total billed charges		2198.95	85			Percent of total billed charges		2198.95	100			Percent of total billed charges		2587	100			Percent of total billed charges		2587	100			Percent of total billed charges		2587	33.3			Percent of total billed charges		861.471	33.3			Percent of total billed charges		861.471	100			Percent of total billed charges		2587	861.471	2328.3	
grafton paste 10cc	278	RC	Outpatient			2587	1681.55		90			Percent of total billed charges		2328.3	40			Percent of total billed charges		1034.8	80			Percent of total billed charges		2069.6	90			Percent of total billed charges		2328.3	85			Percent of total billed charges		2198.95	85			Percent of total billed charges		2198.95	85			Percent of total billed charges		2198.95	100			Percent of total billed charges		2587	100			Percent of total billed charges		2587	100			Percent of total billed charges		2587	33.3			Percent of total billed charges		861.471	33.3			Percent of total billed charges		861.471	100			Percent of total billed charges		2587	861.471	2328.3	
grafton paste 5cc	278	RC	Outpatient			2587	1681.55		90			Percent of total billed charges		2328.3	40			Percent of total billed charges		1034.8	80			Percent of total billed charges		2069.6	90			Percent of total billed charges		2328.3	85			Percent of total billed charges		2198.95	85			Percent of total billed charges		2198.95	85			Percent of total billed charges		2198.95	100			Percent of total billed charges		2587	100			Percent of total billed charges		2587	100			Percent of total billed charges		2587	33.3			Percent of total billed charges		861.471	33.3			Percent of total billed charges		861.471	100			Percent of total billed charges		2587	861.471	2328.3	
grafton putty 10cc	278	RC	Outpatient			2587	1681.55		90			Percent of total billed charges		2328.3	40			Percent of total billed charges		1034.8	80			Percent of total billed charges		2069.6	90			Percent of total billed charges		2328.3	85			Percent of total billed charges		2198.95	85			Percent of total billed charges		2198.95	85			Percent of total billed charges		2198.95	100			Percent of total billed charges		2587	100			Percent of total billed charges		2587	100			Percent of total billed charges		2587	33.3			Percent of total billed charges		861.471	33.3			Percent of total billed charges		861.471	100			Percent of total billed charges		2587	861.471	2328.3	
grafton 10cc dbm paste a45010 osteotech	278	RC	Outpatient			2587	1681.55		90			Percent of total billed charges		2328.3	40			Percent of total billed charges		1034.8	80			Percent of total billed charges		2069.6	90			Percent of total billed charges		2328.3	85			Percent of total billed charges		2198.95	85			Percent of total billed charges		2198.95	85			Percent of total billed charges		2198.95	100			Percent of total billed charges		2587	100			Percent of total billed charges		2587	100			Percent of total billed charges		2587	33.3			Percent of total billed charges		861.471	33.3			Percent of total billed charges		861.471	100			Percent of total billed charges		2587	861.471	2328.3	
grafton 10cc dbm paste p45010 osteotech	278	RC	Outpatient			2587	1681.55		90			Percent of total billed charges		2328.3	40			Percent of total billed charges		1034.8	80			Percent of total billed charges		2069.6	90			Percent of total billed charges		2328.3	85			Percent of total billed charges		2198.95	85			Percent of total billed charges		2198.95	85			Percent of total billed charges		2198.95	100			Percent of total billed charges		2587	100			Percent of total billed charges		2587	100			Percent of total billed charges		2587	33.3			Percent of total billed charges		861.471	33.3			Percent of total billed charges		861.471	100			Percent of total billed charges		2587	861.471	2328.3	
grafton 10cc dbm putty a43110 osteotech	278	RC	Outpatient			2587	1681.55		90			Percent of total billed charges		2328.3	40			Percent of total billed charges		1034.8	80			Percent of total billed charges		2069.6	90			Percent of total billed charges		2328.3	85			Percent of total billed charges		2198.95	85			Percent of total billed charges		2198.95	85			Percent of total billed charges		2198.95	100			Percent of total billed charges		2587	100			Percent of total billed charges		2587	100			Percent of total billed charges		2587	33.3			Percent of total billed charges		861.471	33.3			Percent of total billed charges		861.471	100			Percent of total billed charges		2587	861.471	2328.3	
myosure reach 10-401fc hologics	272	RC	Outpatient			2592	1684.8		90			Percent of total billed charges		2332.8	40			Percent of total billed charges		1036.8	80			Percent of total billed charges		2073.6	90			Percent of total billed charges		2332.8	85			Percent of total billed charges		2203.2	85			Percent of total billed charges		2203.2	85			Percent of total billed charges		2203.2	100			Percent of total billed charges		2592	100			Percent of total billed charges		2592	100			Percent of total billed charges		2592	33.3			Percent of total billed charges		863.136	33.3			Percent of total billed charges		863.136	100			Percent of total billed charges		2592	863.136	2332.8	
stage one cement spacer mold hip  head 431181 biomet	272	RC	Outpatient			2595	1686.75		90			Percent of total billed charges		2335.5	40			Percent of total billed charges		1038	80			Percent of total billed charges		2076	90			Percent of total billed charges		2335.5	85			Percent of total billed charges		2205.75	85			Percent of total billed charges		2205.75	85			Percent of total billed charges		2205.75	100			Percent of total billed charges		2595	100			Percent of total billed charges		2595	100			Percent of total billed charges		2595	33.3			Percent of total billed charges		864.135	33.3			Percent of total billed charges		864.135	100			Percent of total billed charges		2595	864.135	2335.5	
stage one cement spacer mold hip  head 431182 biomet	272	RC	Outpatient			2595	1686.75		90			Percent of total billed charges		2335.5	40			Percent of total billed charges		1038	80			Percent of total billed charges		2076	90			Percent of total billed charges		2335.5	85			Percent of total billed charges		2205.75	85			Percent of total billed charges		2205.75	85			Percent of total billed charges		2205.75	100			Percent of total billed charges		2595	100			Percent of total billed charges		2595	100			Percent of total billed charges		2595	33.3			Percent of total billed charges		864.135	33.3			Percent of total billed charges		864.135	100			Percent of total billed charges		2595	864.135	2335.5	
explor implant head biomet 10x20mm 11-210022	278	RC	Outpatient			2598	1688.7		90			Percent of total billed charges		2338.2	40			Percent of total billed charges		1039.2	80			Percent of total billed charges		2078.4	90			Percent of total billed charges		2338.2	85			Percent of total billed charges		2208.3	85			Percent of total billed charges		2208.3	85			Percent of total billed charges		2208.3	100			Percent of total billed charges		2598	100			Percent of total billed charges		2598	100			Percent of total billed charges		2598	33.3			Percent of total billed charges		865.134	33.3			Percent of total billed charges		865.134	100			Percent of total billed charges		2598	865.134	2338.2	
explor implant head biomet 12x22mm 11-210032	278	RC	Outpatient			2598	1688.7		90			Percent of total billed charges		2338.2	40			Percent of total billed charges		1039.2	80			Percent of total billed charges		2078.4	90			Percent of total billed charges		2338.2	85			Percent of total billed charges		2208.3	85			Percent of total billed charges		2208.3	85			Percent of total billed charges		2208.3	100			Percent of total billed charges		2598	100			Percent of total billed charges		2598	100			Percent of total billed charges		2598	33.3			Percent of total billed charges		865.134	33.3			Percent of total billed charges		865.134	100			Percent of total billed charges		2598	865.134	2338.2	
explor implant head biomet 12x24mm 11-210042	278	RC	Outpatient			2598	1688.7		90			Percent of total billed charges		2338.2	40			Percent of total billed charges		1039.2	80			Percent of total billed charges		2078.4	90			Percent of total billed charges		2338.2	85			Percent of total billed charges		2208.3	85			Percent of total billed charges		2208.3	85			Percent of total billed charges		2208.3	100			Percent of total billed charges		2598	100			Percent of total billed charges		2598	100			Percent of total billed charges		2598	33.3			Percent of total billed charges		865.134	33.3			Percent of total billed charges		865.134	100			Percent of total billed charges		2598	865.134	2338.2	
explor implant head biomet 14x22mm 11-210033	278	RC	Outpatient			2598	1688.7		90			Percent of total billed charges		2338.2	40			Percent of total billed charges		1039.2	80			Percent of total billed charges		2078.4	90			Percent of total billed charges		2338.2	85			Percent of total billed charges		2208.3	85			Percent of total billed charges		2208.3	85			Percent of total billed charges		2208.3	100			Percent of total billed charges		2598	100			Percent of total billed charges		2598	100			Percent of total billed charges		2598	33.3			Percent of total billed charges		865.134	33.3			Percent of total billed charges		865.134	100			Percent of total billed charges		2598	865.134	2338.2	
explor implant head biomet 16x22mm 11-210034	278	RC	Outpatient			2598	1688.7		90			Percent of total billed charges		2338.2	40			Percent of total billed charges		1039.2	80			Percent of total billed charges		2078.4	90			Percent of total billed charges		2338.2	85			Percent of total billed charges		2208.3	85			Percent of total billed charges		2208.3	85			Percent of total billed charges		2208.3	100			Percent of total billed charges		2598	100			Percent of total billed charges		2598	100			Percent of total billed charges		2598	33.3			Percent of total billed charges		865.134	33.3			Percent of total billed charges		865.134	100			Percent of total billed charges		2598	865.134	2338.2	
explor implant head biomet 16x24mm 11-210044	278	RC	Outpatient			2598	1688.7		90			Percent of total billed charges		2338.2	40			Percent of total billed charges		1039.2	80			Percent of total billed charges		2078.4	90			Percent of total billed charges		2338.2	85			Percent of total billed charges		2208.3	85			Percent of total billed charges		2208.3	85			Percent of total billed charges		2208.3	100			Percent of total billed charges		2598	100			Percent of total billed charges		2598	100			Percent of total billed charges		2598	33.3			Percent of total billed charges		865.134	33.3			Percent of total billed charges		865.134	100			Percent of total billed charges		2598	865.134	2338.2	
explor implant head biomet 18x20mm 11-210026	278	RC	Outpatient			2598	1688.7		90			Percent of total billed charges		2338.2	40			Percent of total billed charges		1039.2	80			Percent of total billed charges		2078.4	90			Percent of total billed charges		2338.2	85			Percent of total billed charges		2208.3	85			Percent of total billed charges		2208.3	85			Percent of total billed charges		2208.3	100			Percent of total billed charges		2598	100			Percent of total billed charges		2598	100			Percent of total billed charges		2598	33.3			Percent of total billed charges		865.134	33.3			Percent of total billed charges		865.134	100			Percent of total billed charges		2598	865.134	2338.2	
explor implant head biomet 18x22mm 11-210035	278	RC	Outpatient			2598	1688.7		90			Percent of total billed charges		2338.2	40			Percent of total billed charges		1039.2	80			Percent of total billed charges		2078.4	90			Percent of total billed charges		2338.2	85			Percent of total billed charges		2208.3	85			Percent of total billed charges		2208.3	85			Percent of total billed charges		2208.3	100			Percent of total billed charges		2598	100			Percent of total billed charges		2598	100			Percent of total billed charges		2598	33.3			Percent of total billed charges		865.134	33.3			Percent of total billed charges		865.134	100			Percent of total billed charges		2598	865.134	2338.2	
explor implant head biomet 18x24mm 11-210045	278	RC	Outpatient			2598	1688.7		90			Percent of total billed charges		2338.2	40			Percent of total billed charges		1039.2	80			Percent of total billed charges		2078.4	90			Percent of total billed charges		2338.2	85			Percent of total billed charges		2208.3	85			Percent of total billed charges		2208.3	85			Percent of total billed charges		2208.3	100			Percent of total billed charges		2598	100			Percent of total billed charges		2598	100			Percent of total billed charges		2598	33.3			Percent of total billed charges		865.134	33.3			Percent of total billed charges		865.134	100			Percent of total billed charges		2598	865.134	2338.2	
explor head implant	278	RC	Outpatient			2598	1688.7		90			Percent of total billed charges		2338.2	40			Percent of total billed charges		1039.2	80			Percent of total billed charges		2078.4	90			Percent of total billed charges		2338.2	85			Percent of total billed charges		2208.3	85			Percent of total billed charges		2208.3	85			Percent of total billed charges		2208.3	100			Percent of total billed charges		2598	100			Percent of total billed charges		2598	100			Percent of total billed charges		2598	33.3			Percent of total billed charges		865.134	33.3			Percent of total billed charges		865.134	100			Percent of total billed charges		2598	865.134	2338.2	
explor implant head biomet 10x22mm 11-210031	278	RC	Outpatient			2598	1688.7		90			Percent of total billed charges		2338.2	40			Percent of total billed charges		1039.2	80			Percent of total billed charges		2078.4	90			Percent of total billed charges		2338.2	85			Percent of total billed charges		2208.3	85			Percent of total billed charges		2208.3	85			Percent of total billed charges		2208.3	100			Percent of total billed charges		2598	100			Percent of total billed charges		2598	100			Percent of total billed charges		2598	33.3			Percent of total billed charges		865.134	33.3			Percent of total billed charges		865.134	100			Percent of total billed charges		2598	865.134	2338.2	
explor implant head biomet 10x24mm 11-210041	278	RC	Outpatient			2598	1688.7		90			Percent of total billed charges		2338.2	40			Percent of total billed charges		1039.2	80			Percent of total billed charges		2078.4	90			Percent of total billed charges		2338.2	85			Percent of total billed charges		2208.3	85			Percent of total billed charges		2208.3	85			Percent of total billed charges		2208.3	100			Percent of total billed charges		2598	100			Percent of total billed charges		2598	100			Percent of total billed charges		2598	33.3			Percent of total billed charges		865.134	33.3			Percent of total billed charges		865.134	100			Percent of total billed charges		2598	865.134	2338.2	
explor implant head biomet 12x20mm 11-210023	278	RC	Outpatient			2598	1688.7		90			Percent of total billed charges		2338.2	40			Percent of total billed charges		1039.2	80			Percent of total billed charges		2078.4	90			Percent of total billed charges		2338.2	85			Percent of total billed charges		2208.3	85			Percent of total billed charges		2208.3	85			Percent of total billed charges		2208.3	100			Percent of total billed charges		2598	100			Percent of total billed charges		2598	100			Percent of total billed charges		2598	33.3			Percent of total billed charges		865.134	33.3			Percent of total billed charges		865.134	100			Percent of total billed charges		2598	865.134	2338.2	
explor implant head biomet 14x20mm 11-210024	278	RC	Outpatient			2598	1688.7		90			Percent of total billed charges		2338.2	40			Percent of total billed charges		1039.2	80			Percent of total billed charges		2078.4	90			Percent of total billed charges		2338.2	85			Percent of total billed charges		2208.3	85			Percent of total billed charges		2208.3	85			Percent of total billed charges		2208.3	100			Percent of total billed charges		2598	100			Percent of total billed charges		2598	100			Percent of total billed charges		2598	33.3			Percent of total billed charges		865.134	33.3			Percent of total billed charges		865.134	100			Percent of total billed charges		2598	865.134	2338.2	
explor implant head biomet 14x24mm 11-210043	278	RC	Outpatient			2598	1688.7		90			Percent of total billed charges		2338.2	40			Percent of total billed charges		1039.2	80			Percent of total billed charges		2078.4	90			Percent of total billed charges		2338.2	85			Percent of total billed charges		2208.3	85			Percent of total billed charges		2208.3	85			Percent of total billed charges		2208.3	100			Percent of total billed charges		2598	100			Percent of total billed charges		2598	100			Percent of total billed charges		2598	33.3			Percent of total billed charges		865.134	33.3			Percent of total billed charges		865.134	100			Percent of total billed charges		2598	865.134	2338.2	
explor implant head biomet 16x20mm 11-210025	278	RC	Outpatient			2598	1688.7		90			Percent of total billed charges		2338.2	40			Percent of total billed charges		1039.2	80			Percent of total billed charges		2078.4	90			Percent of total billed charges		2338.2	85			Percent of total billed charges		2208.3	85			Percent of total billed charges		2208.3	85			Percent of total billed charges		2208.3	100			Percent of total billed charges		2598	100			Percent of total billed charges		2598	100			Percent of total billed charges		2598	33.3			Percent of total billed charges		865.134	33.3			Percent of total billed charges		865.134	100			Percent of total billed charges		2598	865.134	2338.2	
cosmetic - breast aug: complex with gel	983	RC	Outpatient			2600	1690		90			Percent of total billed charges		2340	40			Percent of total billed charges		1040	80			Percent of total billed charges		2080	90			Percent of total billed charges		2340	85			Percent of total billed charges		2210	85			Percent of total billed charges		2210	85			Percent of total billed charges		2210	100			Percent of total billed charges		2600	100			Percent of total billed charges		2600	100			Percent of total billed charges		2600	33.3			Percent of total billed charges		865.8	33.3			Percent of total billed charges		865.8	100			Percent of total billed charges		2600	865.8	2340	
"cosmetic - brow, upper bleph"	983	RC	Outpatient			2600	1690		90			Percent of total billed charges		2340	40			Percent of total billed charges		1040	80			Percent of total billed charges		2080	90			Percent of total billed charges		2340	85			Percent of total billed charges		2210	85			Percent of total billed charges		2210	85			Percent of total billed charges		2210	100			Percent of total billed charges		2600	100			Percent of total billed charges		2600	100			Percent of total billed charges		2600	33.3			Percent of total billed charges		865.8	33.3			Percent of total billed charges		865.8	100			Percent of total billed charges		2600	865.8	2340	
cosmetic - breast aug: complex	983	RC	Outpatient			2600	1690		90			Percent of total billed charges		2340	40			Percent of total billed charges		1040	80			Percent of total billed charges		2080	90			Percent of total billed charges		2340	85			Percent of total billed charges		2210	85			Percent of total billed charges		2210	85			Percent of total billed charges		2210	100			Percent of total billed charges		2600	100			Percent of total billed charges		2600	100			Percent of total billed charges		2600	33.3			Percent of total billed charges		865.8	33.3			Percent of total billed charges		865.8	100			Percent of total billed charges		2600	865.8	2340	
cosmetic - mini-abdominoplasty	983	RC	Outpatient			2600	1690		90			Percent of total billed charges		2340	40			Percent of total billed charges		1040	80			Percent of total billed charges		2080	90			Percent of total billed charges		2340	85			Percent of total billed charges		2210	85			Percent of total billed charges		2210	85			Percent of total billed charges		2210	100			Percent of total billed charges		2600	100			Percent of total billed charges		2600	100			Percent of total billed charges		2600	33.3			Percent of total billed charges		865.8	33.3			Percent of total billed charges		865.8	100			Percent of total billed charges		2600	865.8	2340	
cosmetic - neck lift	983	RC	Outpatient			2600	1690		90			Percent of total billed charges		2340	40			Percent of total billed charges		1040	80			Percent of total billed charges		2080	90			Percent of total billed charges		2340	85			Percent of total billed charges		2210	85			Percent of total billed charges		2210	85			Percent of total billed charges		2210	100			Percent of total billed charges		2600	100			Percent of total billed charges		2600	100			Percent of total billed charges		2600	33.3			Percent of total billed charges		865.8	33.3			Percent of total billed charges		865.8	100			Percent of total billed charges		2600	865.8	2340	
denver pak system singled valved ascites system 42-2055 denver bio	278	RC	Outpatient			2605	1693.25		90			Percent of total billed charges		2344.5	40			Percent of total billed charges		1042	80			Percent of total billed charges		2084	90			Percent of total billed charges		2344.5	85			Percent of total billed charges		2214.25	85			Percent of total billed charges		2214.25	85			Percent of total billed charges		2214.25	100			Percent of total billed charges		2605	100			Percent of total billed charges		2605	100			Percent of total billed charges		2605	33.3			Percent of total billed charges		867.465	33.3			Percent of total billed charges		867.465	100			Percent of total billed charges		2605	867.465	2344.5	
denver shunt system	278	RC	Outpatient			2605	1693.25		90			Percent of total billed charges		2344.5	40			Percent of total billed charges		1042	80			Percent of total billed charges		2084	90			Percent of total billed charges		2344.5	85			Percent of total billed charges		2214.25	85			Percent of total billed charges		2214.25	85			Percent of total billed charges		2214.25	100			Percent of total billed charges		2605	100			Percent of total billed charges		2605	100			Percent of total billed charges		2605	33.3			Percent of total billed charges		867.465	33.3			Percent of total billed charges		867.465	100			Percent of total billed charges		2605	867.465	2344.5	
spiderfx 3.0mm spd2-us-030-320 ev3	272	RC	Outpatient			2606	1693.9		90			Percent of total billed charges		2345.4	40			Percent of total billed charges		1042.4	80			Percent of total billed charges		2084.8	90			Percent of total billed charges		2345.4	85			Percent of total billed charges		2215.1	85			Percent of total billed charges		2215.1	85			Percent of total billed charges		2215.1	100			Percent of total billed charges		2606	100			Percent of total billed charges		2606	100			Percent of total billed charges		2606	33.3			Percent of total billed charges		867.798	33.3			Percent of total billed charges		867.798	100			Percent of total billed charges		2606	867.798	2345.4	
spiderfx 5.0mm spd2-us-050-320 ev3	272	RC	Outpatient			2606	1693.9		90			Percent of total billed charges		2345.4	40			Percent of total billed charges		1042.4	80			Percent of total billed charges		2084.8	90			Percent of total billed charges		2345.4	85			Percent of total billed charges		2215.1	85			Percent of total billed charges		2215.1	85			Percent of total billed charges		2215.1	100			Percent of total billed charges		2606	100			Percent of total billed charges		2606	100			Percent of total billed charges		2606	33.3			Percent of total billed charges		867.798	33.3			Percent of total billed charges		867.798	100			Percent of total billed charges		2606	867.798	2345.4	
spiderfx 6.0mm spd2-us-060-320 ev3	272	RC	Outpatient			2606	1693.9		90			Percent of total billed charges		2345.4	40			Percent of total billed charges		1042.4	80			Percent of total billed charges		2084.8	90			Percent of total billed charges		2345.4	85			Percent of total billed charges		2215.1	85			Percent of total billed charges		2215.1	85			Percent of total billed charges		2215.1	100			Percent of total billed charges		2606	100			Percent of total billed charges		2606	100			Percent of total billed charges		2606	33.3			Percent of total billed charges		867.798	33.3			Percent of total billed charges		867.798	100			Percent of total billed charges		2606	867.798	2345.4	
spiderfx 7.0mm spd2-us-070-320 ev3	272	RC	Outpatient			2606	1693.9		90			Percent of total billed charges		2345.4	40			Percent of total billed charges		1042.4	80			Percent of total billed charges		2084.8	90			Percent of total billed charges		2345.4	85			Percent of total billed charges		2215.1	85			Percent of total billed charges		2215.1	85			Percent of total billed charges		2215.1	100			Percent of total billed charges		2606	100			Percent of total billed charges		2606	100			Percent of total billed charges		2606	33.3			Percent of total billed charges		867.798	33.3			Percent of total billed charges		867.798	100			Percent of total billed charges		2606	867.798	2345.4	
spider fx	272	RC	Outpatient			2606	1693.9		90			Percent of total billed charges		2345.4	40			Percent of total billed charges		1042.4	80			Percent of total billed charges		2084.8	90			Percent of total billed charges		2345.4	85			Percent of total billed charges		2215.1	85			Percent of total billed charges		2215.1	85			Percent of total billed charges		2215.1	100			Percent of total billed charges		2606	100			Percent of total billed charges		2606	100			Percent of total billed charges		2606	33.3			Percent of total billed charges		867.798	33.3			Percent of total billed charges		867.798	100			Percent of total billed charges		2606	867.798	2345.4	
spiderfx 4.0mm spd2-us-040-320 ev3	272	RC	Outpatient			2606	1693.9		90			Percent of total billed charges		2345.4	40			Percent of total billed charges		1042.4	80			Percent of total billed charges		2084.8	90			Percent of total billed charges		2345.4	85			Percent of total billed charges		2215.1	85			Percent of total billed charges		2215.1	85			Percent of total billed charges		2215.1	100			Percent of total billed charges		2606	100			Percent of total billed charges		2606	100			Percent of total billed charges		2606	33.3			Percent of total billed charges		867.798	33.3			Percent of total billed charges		867.798	100			Percent of total billed charges		2606	867.798	2345.4	
bio echo fx hip fem	278	RC	Outpatient			2608	1695.2		90			Percent of total billed charges		2347.2	40			Percent of total billed charges		1043.2	80			Percent of total billed charges		2086.4	90			Percent of total billed charges		2347.2	85			Percent of total billed charges		2216.8	85			Percent of total billed charges		2216.8	85			Percent of total billed charges		2216.8	100			Percent of total billed charges		2608	100			Percent of total billed charges		2608	100			Percent of total billed charges		2608	33.3			Percent of total billed charges		868.464	33.3			Percent of total billed charges		868.464	100			Percent of total billed charges		2608	868.464	2347.2	
echo fx hip fem 17 x 170 12-151317 biomet	278	RC	Outpatient			2608	1695.2		90			Percent of total billed charges		2347.2	40			Percent of total billed charges		1043.2	80			Percent of total billed charges		2086.4	90			Percent of total billed charges		2347.2	85			Percent of total billed charges		2216.8	85			Percent of total billed charges		2216.8	85			Percent of total billed charges		2216.8	100			Percent of total billed charges		2608	100			Percent of total billed charges		2608	100			Percent of total billed charges		2608	33.3			Percent of total billed charges		868.464	33.3			Percent of total billed charges		868.464	100			Percent of total billed charges		2608	868.464	2347.2	
echo fx hip fem 7 x 128mm  12-151307 biomet	278	RC	Outpatient			2608	1695.2		90			Percent of total billed charges		2347.2	40			Percent of total billed charges		1043.2	80			Percent of total billed charges		2086.4	90			Percent of total billed charges		2347.2	85			Percent of total billed charges		2216.8	85			Percent of total billed charges		2216.8	85			Percent of total billed charges		2216.8	100			Percent of total billed charges		2608	100			Percent of total billed charges		2608	100			Percent of total billed charges		2608	33.3			Percent of total billed charges		868.464	33.3			Percent of total billed charges		868.464	100			Percent of total billed charges		2608	868.464	2347.2	
echo fx hip fem 9mm  12-151309 biomet	278	RC	Outpatient			2608	1695.2		90			Percent of total billed charges		2347.2	40			Percent of total billed charges		1043.2	80			Percent of total billed charges		2086.4	90			Percent of total billed charges		2347.2	85			Percent of total billed charges		2216.8	85			Percent of total billed charges		2216.8	85			Percent of total billed charges		2216.8	100			Percent of total billed charges		2608	100			Percent of total billed charges		2608	100			Percent of total billed charges		2608	33.3			Percent of total billed charges		868.464	33.3			Percent of total billed charges		868.464	100			Percent of total billed charges		2608	868.464	2347.2	
cosmetic - fat injections lips	983	RC	Outpatient			2613	1698.45		90			Percent of total billed charges		2351.7	40			Percent of total billed charges		1045.2	80			Percent of total billed charges		2090.4	90			Percent of total billed charges		2351.7	85			Percent of total billed charges		2221.05	85			Percent of total billed charges		2221.05	85			Percent of total billed charges		2221.05	100			Percent of total billed charges		2613	100			Percent of total billed charges		2613	100			Percent of total billed charges		2613	33.3			Percent of total billed charges		870.129	33.3			Percent of total billed charges		870.129	100			Percent of total billed charges		2613	870.129	2351.7	
cosmetic - fat injections nasolabial folds	983	RC	Outpatient			2613	1698.45		90			Percent of total billed charges		2351.7	40			Percent of total billed charges		1045.2	80			Percent of total billed charges		2090.4	90			Percent of total billed charges		2351.7	85			Percent of total billed charges		2221.05	85			Percent of total billed charges		2221.05	85			Percent of total billed charges		2221.05	100			Percent of total billed charges		2613	100			Percent of total billed charges		2613	100			Percent of total billed charges		2613	33.3			Percent of total billed charges		870.129	33.3			Percent of total billed charges		870.129	100			Percent of total billed charges		2613	870.129	2351.7	
cosmetic - lip advancement or aug	983	RC	Outpatient			2613	1698.45		90			Percent of total billed charges		2351.7	40			Percent of total billed charges		1045.2	80			Percent of total billed charges		2090.4	90			Percent of total billed charges		2351.7	85			Percent of total billed charges		2221.05	85			Percent of total billed charges		2221.05	85			Percent of total billed charges		2221.05	100			Percent of total billed charges		2613	100			Percent of total billed charges		2613	100			Percent of total billed charges		2613	33.3			Percent of total billed charges		870.129	33.3			Percent of total billed charges		870.129	100			Percent of total billed charges		2613	870.129	2351.7	
or time 1 1/2 hours	270	RC	Outpatient			2614	1699.1		90			Percent of total billed charges		2352.6	40			Percent of total billed charges		1045.6	80			Percent of total billed charges		2091.2	90			Percent of total billed charges		2352.6	85			Percent of total billed charges		2221.9	85			Percent of total billed charges		2221.9	85			Percent of total billed charges		2221.9	100			Percent of total billed charges		2614	100			Percent of total billed charges		2614	100			Percent of total billed charges		2614	33.3			Percent of total billed charges		870.462	33.3			Percent of total billed charges		870.462	100			Percent of total billed charges		2614	870.462	2352.6	
tissuemend 3cm x 3cm 6495-9-006 tei	278	RC	Outpatient			2619	1702.35		90			Percent of total billed charges		2357.1	40			Percent of total billed charges		1047.6	80			Percent of total billed charges		2095.2	90			Percent of total billed charges		2357.1	85			Percent of total billed charges		2226.15	85			Percent of total billed charges		2226.15	85			Percent of total billed charges		2226.15	100			Percent of total billed charges		2619	100			Percent of total billed charges		2619	100			Percent of total billed charges		2619	33.3			Percent of total billed charges		872.127	33.3			Percent of total billed charges		872.127	100			Percent of total billed charges		2619	872.127	2357.1	
tissuemend 3x3 cm	278	RC	Outpatient			2619	1702.35		90			Percent of total billed charges		2357.1	40			Percent of total billed charges		1047.6	80			Percent of total billed charges		2095.2	90			Percent of total billed charges		2357.1	85			Percent of total billed charges		2226.15	85			Percent of total billed charges		2226.15	85			Percent of total billed charges		2226.15	100			Percent of total billed charges		2619	100			Percent of total billed charges		2619	100			Percent of total billed charges		2619	33.3			Percent of total billed charges		872.127	33.3			Percent of total billed charges		872.127	100			Percent of total billed charges		2619	872.127	2357.1	
3.5mm locking recon pl 10 hl 7182-2610 s/n	278	RC	Outpatient			2623	1704.95		90			Percent of total billed charges		2360.7	40			Percent of total billed charges		1049.2	80			Percent of total billed charges		2098.4	90			Percent of total billed charges		2360.7	85			Percent of total billed charges		2229.55	85			Percent of total billed charges		2229.55	85			Percent of total billed charges		2229.55	100			Percent of total billed charges		2623	100			Percent of total billed charges		2623	100			Percent of total billed charges		2623	33.3			Percent of total billed charges		873.459	33.3			Percent of total billed charges		873.459	100			Percent of total billed charges		2623	873.459	2360.7	
recon plt 3.5mm 10 hl 71809210 s\n	278	RC	Outpatient			2623	1704.95		90			Percent of total billed charges		2360.7	40			Percent of total billed charges		1049.2	80			Percent of total billed charges		2098.4	90			Percent of total billed charges		2360.7	85			Percent of total billed charges		2229.55	85			Percent of total billed charges		2229.55	85			Percent of total billed charges		2229.55	100			Percent of total billed charges		2623	100			Percent of total billed charges		2623	100			Percent of total billed charges		2623	33.3			Percent of total billed charges		873.459	33.3			Percent of total billed charges		873.459	100			Percent of total billed charges		2623	873.459	2360.7	
recon plt 3.5mm 10hl 71829210 s\n	278	RC	Outpatient			2623	1704.95		90			Percent of total billed charges		2360.7	40			Percent of total billed charges		1049.2	80			Percent of total billed charges		2098.4	90			Percent of total billed charges		2360.7	85			Percent of total billed charges		2229.55	85			Percent of total billed charges		2229.55	85			Percent of total billed charges		2229.55	100			Percent of total billed charges		2623	100			Percent of total billed charges		2623	100			Percent of total billed charges		2623	33.3			Percent of total billed charges		873.459	33.3			Percent of total billed charges		873.459	100			Percent of total billed charges		2623	873.459	2360.7	
s/n 3.5 lck recon pl 10h	278	RC	Outpatient			2623	1704.95		90			Percent of total billed charges		2360.7	40			Percent of total billed charges		1049.2	80			Percent of total billed charges		2098.4	90			Percent of total billed charges		2360.7	85			Percent of total billed charges		2229.55	85			Percent of total billed charges		2229.55	85			Percent of total billed charges		2229.55	100			Percent of total billed charges		2623	100			Percent of total billed charges		2623	100			Percent of total billed charges		2623	33.3			Percent of total billed charges		873.459	33.3			Percent of total billed charges		873.459	100			Percent of total billed charges		2623	873.459	2360.7	
depuy uniplate 2 level	278	RC	Outpatient			2625	1706.25		90			Percent of total billed charges		2362.5	40			Percent of total billed charges		1050	80			Percent of total billed charges		2100	90			Percent of total billed charges		2362.5	85			Percent of total billed charges		2231.25	85			Percent of total billed charges		2231.25	85			Percent of total billed charges		2231.25	100			Percent of total billed charges		2625	100			Percent of total billed charges		2625	100			Percent of total billed charges		2625	33.3			Percent of total billed charges		874.125	33.3			Percent of total billed charges		874.125	100			Percent of total billed charges		2625	874.125	2362.5	
proximal humeral locking plate 3.5 5h l 71821405 s/n	278	RC	Outpatient			2625	1706.25		90			Percent of total billed charges		2362.5	40			Percent of total billed charges		1050	80			Percent of total billed charges		2100	90			Percent of total billed charges		2362.5	85			Percent of total billed charges		2231.25	85			Percent of total billed charges		2231.25	85			Percent of total billed charges		2231.25	100			Percent of total billed charges		2625	100			Percent of total billed charges		2625	100			Percent of total billed charges		2625	33.3			Percent of total billed charges		874.125	33.3			Percent of total billed charges		874.125	100			Percent of total billed charges		2625	874.125	2362.5	
proximal humeral locking plate 4.5 5h r 71801505 s/n	278	RC	Outpatient			2625	1706.25		90			Percent of total billed charges		2362.5	40			Percent of total billed charges		1050	80			Percent of total billed charges		2100	90			Percent of total billed charges		2362.5	85			Percent of total billed charges		2231.25	85			Percent of total billed charges		2231.25	85			Percent of total billed charges		2231.25	100			Percent of total billed charges		2625	100			Percent of total billed charges		2625	100			Percent of total billed charges		2625	33.3			Percent of total billed charges		874.125	33.3			Percent of total billed charges		874.125	100			Percent of total billed charges		2625	874.125	2362.5	
proximal humeral locking plate 3.5 5h r 71821305 s/n	278	RC	Outpatient			2625	1706.25		90			Percent of total billed charges		2362.5	40			Percent of total billed charges		1050	80			Percent of total billed charges		2100	90			Percent of total billed charges		2362.5	85			Percent of total billed charges		2231.25	85			Percent of total billed charges		2231.25	85			Percent of total billed charges		2231.25	100			Percent of total billed charges		2625	100			Percent of total billed charges		2625	100			Percent of total billed charges		2625	33.3			Percent of total billed charges		874.125	33.3			Percent of total billed charges		874.125	100			Percent of total billed charges		2625	874.125	2362.5	
proximal humeral locking plate 4.5 5h l 71801605 s/n	278	RC	Outpatient			2625	1706.25		90			Percent of total billed charges		2362.5	40			Percent of total billed charges		1050	80			Percent of total billed charges		2100	90			Percent of total billed charges		2362.5	85			Percent of total billed charges		2231.25	85			Percent of total billed charges		2231.25	85			Percent of total billed charges		2231.25	100			Percent of total billed charges		2625	100			Percent of total billed charges		2625	100			Percent of total billed charges		2625	33.3			Percent of total billed charges		874.125	33.3			Percent of total billed charges		874.125	100			Percent of total billed charges		2625	874.125	2362.5	
proximal humeral locking plate 4.5 7h l 71801607 s/n	278	RC	Outpatient			2625	1706.25		90			Percent of total billed charges		2362.5	40			Percent of total billed charges		1050	80			Percent of total billed charges		2100	90			Percent of total billed charges		2362.5	85			Percent of total billed charges		2231.25	85			Percent of total billed charges		2231.25	85			Percent of total billed charges		2231.25	100			Percent of total billed charges		2625	100			Percent of total billed charges		2625	100			Percent of total billed charges		2625	33.3			Percent of total billed charges		874.125	33.3			Percent of total billed charges		874.125	100			Percent of total billed charges		2625	874.125	2362.5	
s/n prhum lk pl 3.5 5h	278	RC	Outpatient			2625	1706.25		90			Percent of total billed charges		2362.5	40			Percent of total billed charges		1050	80			Percent of total billed charges		2100	90			Percent of total billed charges		2362.5	85			Percent of total billed charges		2231.25	85			Percent of total billed charges		2231.25	85			Percent of total billed charges		2231.25	100			Percent of total billed charges		2625	100			Percent of total billed charges		2625	100			Percent of total billed charges		2625	33.3			Percent of total billed charges		874.125	33.3			Percent of total billed charges		874.125	100			Percent of total billed charges		2625	874.125	2362.5	
s/n prxhum lk pl 4.5 5h	278	RC	Outpatient			2625	1706.25		90			Percent of total billed charges		2362.5	40			Percent of total billed charges		1050	80			Percent of total billed charges		2100	90			Percent of total billed charges		2362.5	85			Percent of total billed charges		2231.25	85			Percent of total billed charges		2231.25	85			Percent of total billed charges		2231.25	100			Percent of total billed charges		2625	100			Percent of total billed charges		2625	100			Percent of total billed charges		2625	33.3			Percent of total billed charges		874.125	33.3			Percent of total billed charges		874.125	100			Percent of total billed charges		2625	874.125	2362.5	
uniplate one-level 18mm 189721018 depuy	278	RC	Outpatient			2625	1706.25		90			Percent of total billed charges		2362.5	40			Percent of total billed charges		1050	80			Percent of total billed charges		2100	90			Percent of total billed charges		2362.5	85			Percent of total billed charges		2231.25	85			Percent of total billed charges		2231.25	85			Percent of total billed charges		2231.25	100			Percent of total billed charges		2625	100			Percent of total billed charges		2625	100			Percent of total billed charges		2625	33.3			Percent of total billed charges		874.125	33.3			Percent of total billed charges		874.125	100			Percent of total billed charges		2625	874.125	2362.5	
depuy staple-bow ti	278	RC	Outpatient			2627	1707.55		90			Percent of total billed charges		2364.3	40			Percent of total billed charges		1050.8	80			Percent of total billed charges		2101.6	90			Percent of total billed charges		2364.3	85			Percent of total billed charges		2232.95	85			Percent of total billed charges		2232.95	85			Percent of total billed charges		2232.95	100			Percent of total billed charges		2627	100			Percent of total billed charges		2627	100			Percent of total billed charges		2627	33.3			Percent of total billed charges		874.791	33.3			Percent of total billed charges		874.791	100			Percent of total billed charges		2627	874.791	2364.3	
staple bow ti 24mm 1728-02-024 depuy	278	RC	Outpatient			2627	1707.55		90			Percent of total billed charges		2364.3	40			Percent of total billed charges		1050.8	80			Percent of total billed charges		2101.6	90			Percent of total billed charges		2364.3	85			Percent of total billed charges		2232.95	85			Percent of total billed charges		2232.95	85			Percent of total billed charges		2232.95	100			Percent of total billed charges		2627	100			Percent of total billed charges		2627	100			Percent of total billed charges		2627	33.3			Percent of total billed charges		874.791	33.3			Percent of total billed charges		874.791	100			Percent of total billed charges		2627	874.791	2364.3	
natrelle tissue expander w/tabs 250cc  133mv-11-t allergan	278	RC	Outpatient			2631	1710.15		90			Percent of total billed charges		2367.9	40			Percent of total billed charges		1052.4	80			Percent of total billed charges		2104.8	90			Percent of total billed charges		2367.9	85			Percent of total billed charges		2236.35	85			Percent of total billed charges		2236.35	85			Percent of total billed charges		2236.35	100			Percent of total billed charges		2631	100			Percent of total billed charges		2631	100			Percent of total billed charges		2631	33.3			Percent of total billed charges		876.123	33.3			Percent of total billed charges		876.123	100			Percent of total billed charges		2631	876.123	2367.9	
tissue expander 250cc	278	RC	Outpatient			2631	1710.15		90			Percent of total billed charges		2367.9	40			Percent of total billed charges		1052.4	80			Percent of total billed charges		2104.8	90			Percent of total billed charges		2367.9	85			Percent of total billed charges		2236.35	85			Percent of total billed charges		2236.35	85			Percent of total billed charges		2236.35	100			Percent of total billed charges		2631	100			Percent of total billed charges		2631	100			Percent of total billed charges		2631	33.3			Percent of total billed charges		876.123	33.3			Percent of total billed charges		876.123	100			Percent of total billed charges		2631	876.123	2367.9	
natrelle tissue expander w/tabs 300cc  133mv-12-t allergan	278	RC	Outpatient			2632	1710.8		90			Percent of total billed charges		2368.8	40			Percent of total billed charges		1052.8	80			Percent of total billed charges		2105.6	90			Percent of total billed charges		2368.8	85			Percent of total billed charges		2237.2	85			Percent of total billed charges		2237.2	85			Percent of total billed charges		2237.2	100			Percent of total billed charges		2632	100			Percent of total billed charges		2632	100			Percent of total billed charges		2632	33.3			Percent of total billed charges		876.456	33.3			Percent of total billed charges		876.456	100			Percent of total billed charges		2632	876.456	2368.8	
tissue expander 300cc	278	RC	Outpatient			2632	1710.8		90			Percent of total billed charges		2368.8	40			Percent of total billed charges		1052.8	80			Percent of total billed charges		2105.6	90			Percent of total billed charges		2368.8	85			Percent of total billed charges		2237.2	85			Percent of total billed charges		2237.2	85			Percent of total billed charges		2237.2	100			Percent of total billed charges		2632	100			Percent of total billed charges		2632	100			Percent of total billed charges		2632	33.3			Percent of total billed charges		876.456	33.3			Percent of total billed charges		876.456	100			Percent of total billed charges		2632	876.456	2368.8	
dbx putty 10cc	278	RC	Outpatient			2633	1711.45		90			Percent of total billed charges		2369.7	40			Percent of total billed charges		1053.2	80			Percent of total billed charges		2106.4	90			Percent of total billed charges		2369.7	85			Percent of total billed charges		2238.05	85			Percent of total billed charges		2238.05	85			Percent of total billed charges		2238.05	100			Percent of total billed charges		2633	100			Percent of total billed charges		2633	100			Percent of total billed charges		2633	33.3			Percent of total billed charges		876.789	33.3			Percent of total billed charges		876.789	100			Percent of total billed charges		2633	876.789	2369.7	
biomet sportmesh 4x6	278	RC	Outpatient			2633	1711.45		90			Percent of total billed charges		2369.7	40			Percent of total billed charges		1053.2	80			Percent of total billed charges		2106.4	90			Percent of total billed charges		2369.7	85			Percent of total billed charges		2238.05	85			Percent of total billed charges		2238.05	85			Percent of total billed charges		2238.05	100			Percent of total billed charges		2633	100			Percent of total billed charges		2633	100			Percent of total billed charges		2633	33.3			Percent of total billed charges		876.789	33.3			Percent of total billed charges		876.789	100			Percent of total billed charges		2633	876.789	2369.7	
sportmesh 4 x 6 920002 biomet	278	RC	Outpatient			2633	1711.45		90			Percent of total billed charges		2369.7	40			Percent of total billed charges		1053.2	80			Percent of total billed charges		2106.4	90			Percent of total billed charges		2369.7	85			Percent of total billed charges		2238.05	85			Percent of total billed charges		2238.05	85			Percent of total billed charges		2238.05	100			Percent of total billed charges		2633	100			Percent of total billed charges		2633	100			Percent of total billed charges		2633	33.3			Percent of total billed charges		876.789	33.3			Percent of total billed charges		876.789	100			Percent of total billed charges		2633	876.789	2369.7	
putty dbx 10cc 038100	278	RC	Outpatient			2633	1711.45		90			Percent of total billed charges		2369.7	40			Percent of total billed charges		1053.2	80			Percent of total billed charges		2106.4	90			Percent of total billed charges		2369.7	85			Percent of total billed charges		2238.05	85			Percent of total billed charges		2238.05	85			Percent of total billed charges		2238.05	100			Percent of total billed charges		2633	100			Percent of total billed charges		2633	100			Percent of total billed charges		2633	33.3			Percent of total billed charges		876.789	33.3			Percent of total billed charges		876.789	100			Percent of total billed charges		2633	876.789	2369.7	
bio splined knee stem	278	RC	Outpatient			2638	1714.7		90			Percent of total billed charges		2374.2	40			Percent of total billed charges		1055.2	80			Percent of total billed charges		2110.4	90			Percent of total billed charges		2374.2	85			Percent of total billed charges		2242.3	85			Percent of total billed charges		2242.3	85			Percent of total billed charges		2242.3	100			Percent of total billed charges		2638	100			Percent of total billed charges		2638	100			Percent of total billed charges		2638	33.3			Percent of total billed charges		878.454	33.3			Percent of total billed charges		878.454	100			Percent of total billed charges		2638	878.454	2374.2	
maxim revision stem ext 18mm x 80mm 141618 biomet	278	RC	Outpatient			2638	1714.7		90			Percent of total billed charges		2374.2	40			Percent of total billed charges		1055.2	80			Percent of total billed charges		2110.4	90			Percent of total billed charges		2374.2	85			Percent of total billed charges		2242.3	85			Percent of total billed charges		2242.3	85			Percent of total billed charges		2242.3	100			Percent of total billed charges		2638	100			Percent of total billed charges		2638	100			Percent of total billed charges		2638	33.3			Percent of total billed charges		878.454	33.3			Percent of total billed charges		878.454	100			Percent of total billed charges		2638	878.454	2374.2	
maxim revision stem ext 12mm x 80mm 141612 biomet	278	RC	Outpatient			2638	1714.7		90			Percent of total billed charges		2374.2	40			Percent of total billed charges		1055.2	80			Percent of total billed charges		2110.4	90			Percent of total billed charges		2374.2	85			Percent of total billed charges		2242.3	85			Percent of total billed charges		2242.3	85			Percent of total billed charges		2242.3	100			Percent of total billed charges		2638	100			Percent of total billed charges		2638	100			Percent of total billed charges		2638	33.3			Percent of total billed charges		878.454	33.3			Percent of total billed charges		878.454	100			Percent of total billed charges		2638	878.454	2374.2	
maxim revision stem ext 20mm x 80mm 141620 biomet	278	RC	Outpatient			2638	1714.7		90			Percent of total billed charges		2374.2	40			Percent of total billed charges		1055.2	80			Percent of total billed charges		2110.4	90			Percent of total billed charges		2374.2	85			Percent of total billed charges		2242.3	85			Percent of total billed charges		2242.3	85			Percent of total billed charges		2242.3	100			Percent of total billed charges		2638	100			Percent of total billed charges		2638	100			Percent of total billed charges		2638	33.3			Percent of total billed charges		878.454	33.3			Percent of total billed charges		878.454	100			Percent of total billed charges		2638	878.454	2374.2	
splined knee stem 10 x 88mm 141610 biomet	278	RC	Outpatient			2638	1714.7		90			Percent of total billed charges		2374.2	40			Percent of total billed charges		1055.2	80			Percent of total billed charges		2110.4	90			Percent of total billed charges		2374.2	85			Percent of total billed charges		2242.3	85			Percent of total billed charges		2242.3	85			Percent of total billed charges		2242.3	100			Percent of total billed charges		2638	100			Percent of total billed charges		2638	100			Percent of total billed charges		2638	33.3			Percent of total billed charges		878.454	33.3			Percent of total billed charges		878.454	100			Percent of total billed charges		2638	878.454	2374.2	
splined knee stem 14 x 88mm 141614 biomet	278	RC	Outpatient			2638	1714.7		90			Percent of total billed charges		2374.2	40			Percent of total billed charges		1055.2	80			Percent of total billed charges		2110.4	90			Percent of total billed charges		2374.2	85			Percent of total billed charges		2242.3	85			Percent of total billed charges		2242.3	85			Percent of total billed charges		2242.3	100			Percent of total billed charges		2638	100			Percent of total billed charges		2638	100			Percent of total billed charges		2638	33.3			Percent of total billed charges		878.454	33.3			Percent of total billed charges		878.454	100			Percent of total billed charges		2638	878.454	2374.2	
splined knee stem 16 x 120mm 141656 biomet	278	RC	Outpatient			2638	1714.7		90			Percent of total billed charges		2374.2	40			Percent of total billed charges		1055.2	80			Percent of total billed charges		2110.4	90			Percent of total billed charges		2374.2	85			Percent of total billed charges		2242.3	85			Percent of total billed charges		2242.3	85			Percent of total billed charges		2242.3	100			Percent of total billed charges		2638	100			Percent of total billed charges		2638	100			Percent of total billed charges		2638	33.3			Percent of total billed charges		878.454	33.3			Percent of total billed charges		878.454	100			Percent of total billed charges		2638	878.454	2374.2	
splined knee stem 16 x 80mm 141616 biomet	278	RC	Outpatient			2638	1714.7		90			Percent of total billed charges		2374.2	40			Percent of total billed charges		1055.2	80			Percent of total billed charges		2110.4	90			Percent of total billed charges		2374.2	85			Percent of total billed charges		2242.3	85			Percent of total billed charges		2242.3	85			Percent of total billed charges		2242.3	100			Percent of total billed charges		2638	100			Percent of total billed charges		2638	100			Percent of total billed charges		2638	33.3			Percent of total billed charges		878.454	33.3			Percent of total billed charges		878.454	100			Percent of total billed charges		2638	878.454	2374.2	
splined knee stem 22 x 80mm  141622 biomet	278	RC	Outpatient			2638	1714.7		90			Percent of total billed charges		2374.2	40			Percent of total billed charges		1055.2	80			Percent of total billed charges		2110.4	90			Percent of total billed charges		2374.2	85			Percent of total billed charges		2242.3	85			Percent of total billed charges		2242.3	85			Percent of total billed charges		2242.3	100			Percent of total billed charges		2638	100			Percent of total billed charges		2638	100			Percent of total billed charges		2638	33.3			Percent of total billed charges		878.454	33.3			Percent of total billed charges		878.454	100			Percent of total billed charges		2638	878.454	2374.2	
splined knee stem 24mm x 80mm 141624 biomet	278	RC	Outpatient			2638	1714.7		90			Percent of total billed charges		2374.2	40			Percent of total billed charges		1055.2	80			Percent of total billed charges		2110.4	90			Percent of total billed charges		2374.2	85			Percent of total billed charges		2242.3	85			Percent of total billed charges		2242.3	85			Percent of total billed charges		2242.3	100			Percent of total billed charges		2638	100			Percent of total billed charges		2638	100			Percent of total billed charges		2638	33.3			Percent of total billed charges		878.454	33.3			Percent of total billed charges		878.454	100			Percent of total billed charges		2638	878.454	2374.2	
splined knee stem v2 15 x 80mm 148305 biomet	278	RC	Outpatient			2638	1714.7		90			Percent of total billed charges		2374.2	40			Percent of total billed charges		1055.2	80			Percent of total billed charges		2110.4	90			Percent of total billed charges		2374.2	85			Percent of total billed charges		2242.3	85			Percent of total billed charges		2242.3	85			Percent of total billed charges		2242.3	100			Percent of total billed charges		2638	100			Percent of total billed charges		2638	100			Percent of total billed charges		2638	33.3			Percent of total billed charges		878.454	33.3			Percent of total billed charges		878.454	100			Percent of total billed charges		2638	878.454	2374.2	
splined knee stem 14 x 120mm 141654 biomet	278	RC	Outpatient			2638	1714.7		90			Percent of total billed charges		2374.2	40			Percent of total billed charges		1055.2	80			Percent of total billed charges		2110.4	90			Percent of total billed charges		2374.2	85			Percent of total billed charges		2242.3	85			Percent of total billed charges		2242.3	85			Percent of total billed charges		2242.3	100			Percent of total billed charges		2638	100			Percent of total billed charges		2638	100			Percent of total billed charges		2638	33.3			Percent of total billed charges		878.454	33.3			Percent of total billed charges		878.454	100			Percent of total billed charges		2638	878.454	2374.2	
splined knee stem 16 x 120mm  14165 biomet	278	RC	Outpatient			2638	1714.7		90			Percent of total billed charges		2374.2	40			Percent of total billed charges		1055.2	80			Percent of total billed charges		2110.4	90			Percent of total billed charges		2374.2	85			Percent of total billed charges		2242.3	85			Percent of total billed charges		2242.3	85			Percent of total billed charges		2242.3	100			Percent of total billed charges		2638	100			Percent of total billed charges		2638	100			Percent of total billed charges		2638	33.3			Percent of total billed charges		878.454	33.3			Percent of total billed charges		878.454	100			Percent of total billed charges		2638	878.454	2374.2	
splined knee stem 18 x 120mm  141658 biomet	278	RC	Outpatient			2638	1714.7		90			Percent of total billed charges		2374.2	40			Percent of total billed charges		1055.2	80			Percent of total billed charges		2110.4	90			Percent of total billed charges		2374.2	85			Percent of total billed charges		2242.3	85			Percent of total billed charges		2242.3	85			Percent of total billed charges		2242.3	100			Percent of total billed charges		2638	100			Percent of total billed charges		2638	100			Percent of total billed charges		2638	33.3			Percent of total billed charges		878.454	33.3			Percent of total billed charges		878.454	100			Percent of total billed charges		2638	878.454	2374.2	
splined knee stem 20 x 120mm  141660 biomet	278	RC	Outpatient			2638	1714.7		90			Percent of total billed charges		2374.2	40			Percent of total billed charges		1055.2	80			Percent of total billed charges		2110.4	90			Percent of total billed charges		2374.2	85			Percent of total billed charges		2242.3	85			Percent of total billed charges		2242.3	85			Percent of total billed charges		2242.3	100			Percent of total billed charges		2638	100			Percent of total billed charges		2638	100			Percent of total billed charges		2638	33.3			Percent of total billed charges		878.454	33.3			Percent of total billed charges		878.454	100			Percent of total billed charges		2638	878.454	2374.2	
trigen intertan nail 10s 125 10mm x 20cm 7167-5385 s/n	278	RC	Outpatient			2639	1715.35		90			Percent of total billed charges		2375.1	40			Percent of total billed charges		1055.6	80			Percent of total billed charges		2111.2	90			Percent of total billed charges		2375.1	85			Percent of total billed charges		2243.15	85			Percent of total billed charges		2243.15	85			Percent of total billed charges		2243.15	100			Percent of total billed charges		2639	100			Percent of total billed charges		2639	100			Percent of total billed charges		2639	33.3			Percent of total billed charges		878.787	33.3			Percent of total billed charges		878.787	100			Percent of total billed charges		2639	878.787	2375.1	
trigen intertan nail 125 11.5mm x 18cm 7167-5202 s/n	278	RC	Outpatient			2639	1715.35		90			Percent of total billed charges		2375.1	40			Percent of total billed charges		1055.6	80			Percent of total billed charges		2111.2	90			Percent of total billed charges		2375.1	85			Percent of total billed charges		2243.15	85			Percent of total billed charges		2243.15	85			Percent of total billed charges		2243.15	100			Percent of total billed charges		2639	100			Percent of total billed charges		2639	100			Percent of total billed charges		2639	33.3			Percent of total billed charges		878.787	33.3			Percent of total billed charges		878.787	100			Percent of total billed charges		2639	878.787	2375.1	
trigen intertan nail 130 10mm x 18cm 7167-5207 s/n	278	RC	Outpatient			2639	1715.35		90			Percent of total billed charges		2375.1	40			Percent of total billed charges		1055.6	80			Percent of total billed charges		2111.2	90			Percent of total billed charges		2375.1	85			Percent of total billed charges		2243.15	85			Percent of total billed charges		2243.15	85			Percent of total billed charges		2243.15	100			Percent of total billed charges		2639	100			Percent of total billed charges		2639	100			Percent of total billed charges		2639	33.3			Percent of total billed charges		878.787	33.3			Percent of total billed charges		878.787	100			Percent of total billed charges		2639	878.787	2375.1	
trigen intertan nail 10s 125 10mm x 18cm 7167-5383 s/n	278	RC	Outpatient			2639	1715.35		90			Percent of total billed charges		2375.1	40			Percent of total billed charges		1055.6	80			Percent of total billed charges		2111.2	90			Percent of total billed charges		2375.1	85			Percent of total billed charges		2243.15	85			Percent of total billed charges		2243.15	85			Percent of total billed charges		2243.15	100			Percent of total billed charges		2639	100			Percent of total billed charges		2639	100			Percent of total billed charges		2639	33.3			Percent of total billed charges		878.787	33.3			Percent of total billed charges		878.787	100			Percent of total billed charges		2639	878.787	2375.1	
trigen intertan nail 125 10mm x 18cm 7167-5201 s/n	278	RC	Outpatient			2639	1715.35		90			Percent of total billed charges		2375.1	40			Percent of total billed charges		1055.6	80			Percent of total billed charges		2111.2	90			Percent of total billed charges		2375.1	85			Percent of total billed charges		2243.15	85			Percent of total billed charges		2243.15	85			Percent of total billed charges		2243.15	100			Percent of total billed charges		2639	100			Percent of total billed charges		2639	100			Percent of total billed charges		2639	33.3			Percent of total billed charges		878.787	33.3			Percent of total billed charges		878.787	100			Percent of total billed charges		2639	878.787	2375.1	
trigen intertan nail 125 11.5mm x 20cm 7167-5205 s/n	278	RC	Outpatient			2639	1715.35		90			Percent of total billed charges		2375.1	40			Percent of total billed charges		1055.6	80			Percent of total billed charges		2111.2	90			Percent of total billed charges		2375.1	85			Percent of total billed charges		2243.15	85			Percent of total billed charges		2243.15	85			Percent of total billed charges		2243.15	100			Percent of total billed charges		2639	100			Percent of total billed charges		2639	100			Percent of total billed charges		2639	33.3			Percent of total billed charges		878.787	33.3			Percent of total billed charges		878.787	100			Percent of total billed charges		2639	878.787	2375.1	
trigen intertan nail 130 11.5mm x 18cm 7167-5208 s/n	278	RC	Outpatient			2639	1715.35		90			Percent of total billed charges		2375.1	40			Percent of total billed charges		1055.6	80			Percent of total billed charges		2111.2	90			Percent of total billed charges		2375.1	85			Percent of total billed charges		2243.15	85			Percent of total billed charges		2243.15	85			Percent of total billed charges		2243.15	100			Percent of total billed charges		2639	100			Percent of total billed charges		2639	100			Percent of total billed charges		2639	33.3			Percent of total billed charges		878.787	33.3			Percent of total billed charges		878.787	100			Percent of total billed charges		2639	878.787	2375.1	
etex gamma-bsm kit 2.5cc	278	RC	Outpatient			2640	1716		90			Percent of total billed charges		2376	40			Percent of total billed charges		1056	80			Percent of total billed charges		2112	90			Percent of total billed charges		2376	85			Percent of total billed charges		2244	85			Percent of total billed charges		2244	85			Percent of total billed charges		2244	100			Percent of total billed charges		2640	100			Percent of total billed charges		2640	100			Percent of total billed charges		2640	33.3			Percent of total billed charges		879.12	33.3			Percent of total billed charges		879.12	100			Percent of total billed charges		2640	879.12	2376	
gamma-bsm kit 2.5cc 76-6023 etex	278	RC	Outpatient			2640	1716		90			Percent of total billed charges		2376	40			Percent of total billed charges		1056	80			Percent of total billed charges		2112	90			Percent of total billed charges		2376	85			Percent of total billed charges		2244	85			Percent of total billed charges		2244	85			Percent of total billed charges		2244	100			Percent of total billed charges		2640	100			Percent of total billed charges		2640	100			Percent of total billed charges		2640	33.3			Percent of total billed charges		879.12	33.3			Percent of total billed charges		879.12	100			Percent of total billed charges		2640	879.12	2376	
xpress ultra ent dilation system 6x20 ulf-106 entellus	272	RC	Outpatient			2640	1716		90			Percent of total billed charges		2376	40			Percent of total billed charges		1056	80			Percent of total billed charges		2112	90			Percent of total billed charges		2376	85			Percent of total billed charges		2244	85			Percent of total billed charges		2244	85			Percent of total billed charges		2244	100			Percent of total billed charges		2640	100			Percent of total billed charges		2640	100			Percent of total billed charges		2640	33.3			Percent of total billed charges		879.12	33.3			Percent of total billed charges		879.12	100			Percent of total billed charges		2640	879.12	2376	
bio max poly ps tib	278	RC	Outpatient			2641	1716.65		90			Percent of total billed charges		2376.9	40			Percent of total billed charges		1056.4	80			Percent of total billed charges		2112.8	90			Percent of total billed charges		2376.9	85			Percent of total billed charges		2244.85	85			Percent of total billed charges		2244.85	85			Percent of total billed charges		2244.85	100			Percent of total billed charges		2641	100			Percent of total billed charges		2641	100			Percent of total billed charges		2641	33.3			Percent of total billed charges		879.453	33.3			Percent of total billed charges		879.453	100			Percent of total billed charges		2641	879.453	2376.9	
maxim all-poly ps tibia 10 x 75 rd146970 biomet	278	RC	Outpatient			2641	1716.65		90			Percent of total billed charges		2376.9	40			Percent of total billed charges		1056.4	80			Percent of total billed charges		2112.8	90			Percent of total billed charges		2376.9	85			Percent of total billed charges		2244.85	85			Percent of total billed charges		2244.85	85			Percent of total billed charges		2244.85	100			Percent of total billed charges		2641	100			Percent of total billed charges		2641	100			Percent of total billed charges		2641	33.3			Percent of total billed charges		879.453	33.3			Percent of total billed charges		879.453	100			Percent of total billed charges		2641	879.453	2376.9	
lg fr pl condylar bts 9hl	278	RC	Outpatient			2642	1717.3		90			Percent of total billed charges		2377.8	40			Percent of total billed charges		1056.8	80			Percent of total billed charges		2113.6	90			Percent of total billed charges		2377.8	85			Percent of total billed charges		2245.7	85			Percent of total billed charges		2245.7	85			Percent of total billed charges		2245.7	100			Percent of total billed charges		2642	100			Percent of total billed charges		2642	100			Percent of total billed charges		2642	33.3			Percent of total billed charges		879.786	33.3			Percent of total billed charges		879.786	100			Percent of total billed charges		2642	879.786	2377.8	
s/n  lg frag  plate 9 hole  7114-2009	278	RC	Outpatient			2642	1717.3		90			Percent of total billed charges		2377.8	40			Percent of total billed charges		1056.8	80			Percent of total billed charges		2113.6	90			Percent of total billed charges		2377.8	85			Percent of total billed charges		2245.7	85			Percent of total billed charges		2245.7	85			Percent of total billed charges		2245.7	100			Percent of total billed charges		2642	100			Percent of total billed charges		2642	100			Percent of total billed charges		2642	33.3			Percent of total billed charges		879.786	33.3			Percent of total billed charges		879.786	100			Percent of total billed charges		2642	879.786	2377.8	
s/n  lg frag  plate 9 hole 7114-2109	278	RC	Outpatient			2642	1717.3		90			Percent of total billed charges		2377.8	40			Percent of total billed charges		1056.8	80			Percent of total billed charges		2113.6	90			Percent of total billed charges		2377.8	85			Percent of total billed charges		2245.7	85			Percent of total billed charges		2245.7	85			Percent of total billed charges		2245.7	100			Percent of total billed charges		2642	100			Percent of total billed charges		2642	100			Percent of total billed charges		2642	33.3			Percent of total billed charges		879.786	33.3			Percent of total billed charges		879.786	100			Percent of total billed charges		2642	879.786	2377.8	
bio-modular humeral head 44x15 113763 biomet	278	RC	Outpatient			2643	1717.95		90			Percent of total billed charges		2378.7	40			Percent of total billed charges		1057.2	80			Percent of total billed charges		2114.4	90			Percent of total billed charges		2378.7	85			Percent of total billed charges		2246.55	85			Percent of total billed charges		2246.55	85			Percent of total billed charges		2246.55	100			Percent of total billed charges		2643	100			Percent of total billed charges		2643	100			Percent of total billed charges		2643	33.3			Percent of total billed charges		880.119	33.3			Percent of total billed charges		880.119	100			Percent of total billed charges		2643	880.119	2378.7	
bio-modular humeral head 44x17 113764 biomet	278	RC	Outpatient			2643	1717.95		90			Percent of total billed charges		2378.7	40			Percent of total billed charges		1057.2	80			Percent of total billed charges		2114.4	90			Percent of total billed charges		2378.7	85			Percent of total billed charges		2246.55	85			Percent of total billed charges		2246.55	85			Percent of total billed charges		2246.55	100			Percent of total billed charges		2643	100			Percent of total billed charges		2643	100			Percent of total billed charges		2643	33.3			Percent of total billed charges		880.119	33.3			Percent of total billed charges		880.119	100			Percent of total billed charges		2643	880.119	2378.7	
bio-modular humeral head 44x27 113768 biomet	278	RC	Outpatient			2643	1717.95		90			Percent of total billed charges		2378.7	40			Percent of total billed charges		1057.2	80			Percent of total billed charges		2114.4	90			Percent of total billed charges		2378.7	85			Percent of total billed charges		2246.55	85			Percent of total billed charges		2246.55	85			Percent of total billed charges		2246.55	100			Percent of total billed charges		2643	100			Percent of total billed charges		2643	100			Percent of total billed charges		2643	33.3			Percent of total billed charges		880.119	33.3			Percent of total billed charges		880.119	100			Percent of total billed charges		2643	880.119	2378.7	
bio-modular humeral head 44x22 113766 biomet	278	RC	Outpatient			2643	1717.95		90			Percent of total billed charges		2378.7	40			Percent of total billed charges		1057.2	80			Percent of total billed charges		2114.4	90			Percent of total billed charges		2378.7	85			Percent of total billed charges		2246.55	85			Percent of total billed charges		2246.55	85			Percent of total billed charges		2246.55	100			Percent of total billed charges		2643	100			Percent of total billed charges		2643	100			Percent of total billed charges		2643	33.3			Percent of total billed charges		880.119	33.3			Percent of total billed charges		880.119	100			Percent of total billed charges		2643	880.119	2378.7	
bio-modular humeral head 48x22 113757 biomet	278	RC	Outpatient			2643	1717.95		90			Percent of total billed charges		2378.7	40			Percent of total billed charges		1057.2	80			Percent of total billed charges		2114.4	90			Percent of total billed charges		2378.7	85			Percent of total billed charges		2246.55	85			Percent of total billed charges		2246.55	85			Percent of total billed charges		2246.55	100			Percent of total billed charges		2643	100			Percent of total billed charges		2643	100			Percent of total billed charges		2643	33.3			Percent of total billed charges		880.119	33.3			Percent of total billed charges		880.119	100			Percent of total billed charges		2643	880.119	2378.7	
bio-modular humeral head 54x27 113774 biomet	278	RC	Outpatient			2643	1717.95		90			Percent of total billed charges		2378.7	40			Percent of total billed charges		1057.2	80			Percent of total billed charges		2114.4	90			Percent of total billed charges		2378.7	85			Percent of total billed charges		2246.55	85			Percent of total billed charges		2246.55	85			Percent of total billed charges		2246.55	100			Percent of total billed charges		2643	100			Percent of total billed charges		2643	100			Percent of total billed charges		2643	33.3			Percent of total billed charges		880.119	33.3			Percent of total billed charges		880.119	100			Percent of total billed charges		2643	880.119	2378.7	
biomet bio-mod hum head	278	RC	Outpatient			2643	1717.95		90			Percent of total billed charges		2378.7	40			Percent of total billed charges		1057.2	80			Percent of total billed charges		2114.4	90			Percent of total billed charges		2378.7	85			Percent of total billed charges		2246.55	85			Percent of total billed charges		2246.55	85			Percent of total billed charges		2246.55	100			Percent of total billed charges		2643	100			Percent of total billed charges		2643	100			Percent of total billed charges		2643	33.3			Percent of total billed charges		880.119	33.3			Percent of total billed charges		880.119	100			Percent of total billed charges		2643	880.119	2378.7	
biomet tib augment	278	RC	Outpatient			2645	1719.25		90			Percent of total billed charges		2380.5	40			Percent of total billed charges		1058	80			Percent of total billed charges		2116	90			Percent of total billed charges		2380.5	85			Percent of total billed charges		2248.25	85			Percent of total billed charges		2248.25	85			Percent of total billed charges		2248.25	100			Percent of total billed charges		2645	100			Percent of total billed charges		2645	100			Percent of total billed charges		2645	33.3			Percent of total billed charges		880.785	33.3			Percent of total billed charges		880.785	100			Percent of total billed charges		2645	880.785	2380.5	
mod tib aug block w/screws 16 x 63mm 141781 biomet	278	RC	Outpatient			2645	1719.25		90			Percent of total billed charges		2380.5	40			Percent of total billed charges		1058	80			Percent of total billed charges		2116	90			Percent of total billed charges		2380.5	85			Percent of total billed charges		2248.25	85			Percent of total billed charges		2248.25	85			Percent of total billed charges		2248.25	100			Percent of total billed charges		2645	100			Percent of total billed charges		2645	100			Percent of total billed charges		2645	33.3			Percent of total billed charges		880.785	33.3			Percent of total billed charges		880.785	100			Percent of total billed charges		2645	880.785	2380.5	
reflex hybrid acp 3 level 42mm 48651342 stryker	278	RC	Outpatient			2646	1719.9		90			Percent of total billed charges		2381.4	40			Percent of total billed charges		1058.4	80			Percent of total billed charges		2116.8	90			Percent of total billed charges		2381.4	85			Percent of total billed charges		2249.1	85			Percent of total billed charges		2249.1	85			Percent of total billed charges		2249.1	100			Percent of total billed charges		2646	100			Percent of total billed charges		2646	100			Percent of total billed charges		2646	33.3			Percent of total billed charges		881.118	33.3			Percent of total billed charges		881.118	100			Percent of total billed charges		2646	881.118	2381.4	
reflex hybrid acp 3 level 45mm 48651345 stryker	278	RC	Outpatient			2646	1719.9		90			Percent of total billed charges		2381.4	40			Percent of total billed charges		1058.4	80			Percent of total billed charges		2116.8	90			Percent of total billed charges		2381.4	85			Percent of total billed charges		2249.1	85			Percent of total billed charges		2249.1	85			Percent of total billed charges		2249.1	100			Percent of total billed charges		2646	100			Percent of total billed charges		2646	100			Percent of total billed charges		2646	33.3			Percent of total billed charges		881.118	33.3			Percent of total billed charges		881.118	100			Percent of total billed charges		2646	881.118	2381.4	
reflex hybrid acp 3 level 48mm 48651348 stryker	278	RC	Outpatient			2646	1719.9		90			Percent of total billed charges		2381.4	40			Percent of total billed charges		1058.4	80			Percent of total billed charges		2116.8	90			Percent of total billed charges		2381.4	85			Percent of total billed charges		2249.1	85			Percent of total billed charges		2249.1	85			Percent of total billed charges		2249.1	100			Percent of total billed charges		2646	100			Percent of total billed charges		2646	100			Percent of total billed charges		2646	33.3			Percent of total billed charges		881.118	33.3			Percent of total billed charges		881.118	100			Percent of total billed charges		2646	881.118	2381.4	
reflex hybrid acp 3 level 54mm 48651354 stryker	278	RC	Outpatient			2646	1719.9		90			Percent of total billed charges		2381.4	40			Percent of total billed charges		1058.4	80			Percent of total billed charges		2116.8	90			Percent of total billed charges		2381.4	85			Percent of total billed charges		2249.1	85			Percent of total billed charges		2249.1	85			Percent of total billed charges		2249.1	100			Percent of total billed charges		2646	100			Percent of total billed charges		2646	100			Percent of total billed charges		2646	33.3			Percent of total billed charges		881.118	33.3			Percent of total billed charges		881.118	100			Percent of total billed charges		2646	881.118	2381.4	
reflex hybrid acp 3 level 60mm 48651360 stryker	278	RC	Outpatient			2646	1719.9		90			Percent of total billed charges		2381.4	40			Percent of total billed charges		1058.4	80			Percent of total billed charges		2116.8	90			Percent of total billed charges		2381.4	85			Percent of total billed charges		2249.1	85			Percent of total billed charges		2249.1	85			Percent of total billed charges		2249.1	100			Percent of total billed charges		2646	100			Percent of total billed charges		2646	100			Percent of total billed charges		2646	33.3			Percent of total billed charges		881.118	33.3			Percent of total billed charges		881.118	100			Percent of total billed charges		2646	881.118	2381.4	
reflex hybrid acp 3 level 63mm 48651363 stryker	278	RC	Outpatient			2646	1719.9		90			Percent of total billed charges		2381.4	40			Percent of total billed charges		1058.4	80			Percent of total billed charges		2116.8	90			Percent of total billed charges		2381.4	85			Percent of total billed charges		2249.1	85			Percent of total billed charges		2249.1	85			Percent of total billed charges		2249.1	100			Percent of total billed charges		2646	100			Percent of total billed charges		2646	100			Percent of total billed charges		2646	33.3			Percent of total billed charges		881.118	33.3			Percent of total billed charges		881.118	100			Percent of total billed charges		2646	881.118	2381.4	
reflex hybrid acp 3 level 66mm 48651366 stryker	278	RC	Outpatient			2646	1719.9		90			Percent of total billed charges		2381.4	40			Percent of total billed charges		1058.4	80			Percent of total billed charges		2116.8	90			Percent of total billed charges		2381.4	85			Percent of total billed charges		2249.1	85			Percent of total billed charges		2249.1	85			Percent of total billed charges		2249.1	100			Percent of total billed charges		2646	100			Percent of total billed charges		2646	100			Percent of total billed charges		2646	33.3			Percent of total billed charges		881.118	33.3			Percent of total billed charges		881.118	100			Percent of total billed charges		2646	881.118	2381.4	
reflex hybrid acp 3 level 39mm 48651339 stryker	278	RC	Outpatient			2646	1719.9		90			Percent of total billed charges		2381.4	40			Percent of total billed charges		1058.4	80			Percent of total billed charges		2116.8	90			Percent of total billed charges		2381.4	85			Percent of total billed charges		2249.1	85			Percent of total billed charges		2249.1	85			Percent of total billed charges		2249.1	100			Percent of total billed charges		2646	100			Percent of total billed charges		2646	100			Percent of total billed charges		2646	33.3			Percent of total billed charges		881.118	33.3			Percent of total billed charges		881.118	100			Percent of total billed charges		2646	881.118	2381.4	
reflex hybrid acp 3 level 51mm 48651351 stryker	278	RC	Outpatient			2646	1719.9		90			Percent of total billed charges		2381.4	40			Percent of total billed charges		1058.4	80			Percent of total billed charges		2116.8	90			Percent of total billed charges		2381.4	85			Percent of total billed charges		2249.1	85			Percent of total billed charges		2249.1	85			Percent of total billed charges		2249.1	100			Percent of total billed charges		2646	100			Percent of total billed charges		2646	100			Percent of total billed charges		2646	33.3			Percent of total billed charges		881.118	33.3			Percent of total billed charges		881.118	100			Percent of total billed charges		2646	881.118	2381.4	
reflex hybrid acp 3 level 57mm 48651357 stryker	278	RC	Outpatient			2646	1719.9		90			Percent of total billed charges		2381.4	40			Percent of total billed charges		1058.4	80			Percent of total billed charges		2116.8	90			Percent of total billed charges		2381.4	85			Percent of total billed charges		2249.1	85			Percent of total billed charges		2249.1	85			Percent of total billed charges		2249.1	100			Percent of total billed charges		2646	100			Percent of total billed charges		2646	100			Percent of total billed charges		2646	33.3			Percent of total billed charges		881.118	33.3			Percent of total billed charges		881.118	100			Percent of total billed charges		2646	881.118	2381.4	
reflex hybrid acp 3-level	278	RC	Outpatient			2646	1719.9		90			Percent of total billed charges		2381.4	40			Percent of total billed charges		1058.4	80			Percent of total billed charges		2116.8	90			Percent of total billed charges		2381.4	85			Percent of total billed charges		2249.1	85			Percent of total billed charges		2249.1	85			Percent of total billed charges		2249.1	100			Percent of total billed charges		2646	100			Percent of total billed charges		2646	100			Percent of total billed charges		2646	33.3			Percent of total billed charges		881.118	33.3			Percent of total billed charges		881.118	100			Percent of total billed charges		2646	881.118	2381.4	
spinal plate 54mm 3 level 486503511 stryker	278	RC	Outpatient			2646	1719.9		90			Percent of total billed charges		2381.4	40			Percent of total billed charges		1058.4	80			Percent of total billed charges		2116.8	90			Percent of total billed charges		2381.4	85			Percent of total billed charges		2249.1	85			Percent of total billed charges		2249.1	85			Percent of total billed charges		2249.1	100			Percent of total billed charges		2646	100			Percent of total billed charges		2646	100			Percent of total billed charges		2646	33.3			Percent of total billed charges		881.118	33.3			Percent of total billed charges		881.118	100			Percent of total billed charges		2646	881.118	2381.4	
c-taper cocr lfit head 40mm/+0 06-4000 stryker	278	RC	Outpatient			2652	1723.8		90			Percent of total billed charges		2386.8	40			Percent of total billed charges		1060.8	80			Percent of total billed charges		2121.6	90			Percent of total billed charges		2386.8	85			Percent of total billed charges		2254.2	85			Percent of total billed charges		2254.2	85			Percent of total billed charges		2254.2	100			Percent of total billed charges		2652	100			Percent of total billed charges		2652	100			Percent of total billed charges		2652	33.3			Percent of total billed charges		883.116	33.3			Percent of total billed charges		883.116	100			Percent of total billed charges		2652	883.116	2386.8	
c-taper cocr lfit head 40mm/-5 06-4099 stryker	278	RC	Outpatient			2652	1723.8		90			Percent of total billed charges		2386.8	40			Percent of total billed charges		1060.8	80			Percent of total billed charges		2121.6	90			Percent of total billed charges		2386.8	85			Percent of total billed charges		2254.2	85			Percent of total billed charges		2254.2	85			Percent of total billed charges		2254.2	100			Percent of total billed charges		2652	100			Percent of total billed charges		2652	100			Percent of total billed charges		2652	33.3			Percent of total billed charges		883.116	33.3			Percent of total billed charges		883.116	100			Percent of total billed charges		2652	883.116	2386.8	
c-taper cocr lfit head 40mm & 44mm stryker	278	RC	Outpatient			2652	1723.8		90			Percent of total billed charges		2386.8	40			Percent of total billed charges		1060.8	80			Percent of total billed charges		2121.6	90			Percent of total billed charges		2386.8	85			Percent of total billed charges		2254.2	85			Percent of total billed charges		2254.2	85			Percent of total billed charges		2254.2	100			Percent of total billed charges		2652	100			Percent of total billed charges		2652	100			Percent of total billed charges		2652	33.3			Percent of total billed charges		883.116	33.3			Percent of total billed charges		883.116	100			Percent of total billed charges		2652	883.116	2386.8	
lfit c-taper femoral head 40mm +10 stryker	278	RC	Outpatient			2652	1723.8		90			Percent of total billed charges		2386.8	40			Percent of total billed charges		1060.8	80			Percent of total billed charges		2121.6	90			Percent of total billed charges		2386.8	85			Percent of total billed charges		2254.2	85			Percent of total billed charges		2254.2	85			Percent of total billed charges		2254.2	100			Percent of total billed charges		2652	100			Percent of total billed charges		2652	100			Percent of total billed charges		2652	33.3			Percent of total billed charges		883.116	33.3			Percent of total billed charges		883.116	100			Percent of total billed charges		2652	883.116	2386.8	
pangeo poly axial screw	278	RC	Outpatient			2654	1725.1		90			Percent of total billed charges		2388.6	40			Percent of total billed charges		1061.6	80			Percent of total billed charges		2123.2	90			Percent of total billed charges		2388.6	85			Percent of total billed charges		2255.9	85			Percent of total billed charges		2255.9	85			Percent of total billed charges		2255.9	100			Percent of total billed charges		2654	100			Percent of total billed charges		2654	100			Percent of total billed charges		2654	33.3			Percent of total billed charges		883.782	33.3			Percent of total billed charges		883.782	100			Percent of total billed charges		2654	883.782	2388.6	
titanium pangea polyaxial screw 6.0 x 45mm 04.620.645 synthes	278	RC	Outpatient			2654	1725.1		90			Percent of total billed charges		2388.6	40			Percent of total billed charges		1061.6	80			Percent of total billed charges		2123.2	90			Percent of total billed charges		2388.6	85			Percent of total billed charges		2255.9	85			Percent of total billed charges		2255.9	85			Percent of total billed charges		2255.9	100			Percent of total billed charges		2654	100			Percent of total billed charges		2654	100			Percent of total billed charges		2654	33.3			Percent of total billed charges		883.782	33.3			Percent of total billed charges		883.782	100			Percent of total billed charges		2654	883.782	2388.6	
titanium pangea polyaxial screw 7.0 x 35mm 04.620.735 synthes	278	RC	Outpatient			2654	1725.1		90			Percent of total billed charges		2388.6	40			Percent of total billed charges		1061.6	80			Percent of total billed charges		2123.2	90			Percent of total billed charges		2388.6	85			Percent of total billed charges		2255.9	85			Percent of total billed charges		2255.9	85			Percent of total billed charges		2255.9	100			Percent of total billed charges		2654	100			Percent of total billed charges		2654	100			Percent of total billed charges		2654	33.3			Percent of total billed charges		883.782	33.3			Percent of total billed charges		883.782	100			Percent of total billed charges		2654	883.782	2388.6	
lg fr pl condylar 7hl rt	278	RC	Outpatient			2655	1725.75		90			Percent of total billed charges		2389.5	40			Percent of total billed charges		1062	80			Percent of total billed charges		2124	90			Percent of total billed charges		2389.5	85			Percent of total billed charges		2256.75	85			Percent of total billed charges		2256.75	85			Percent of total billed charges		2256.75	100			Percent of total billed charges		2655	100			Percent of total billed charges		2655	100			Percent of total billed charges		2655	33.3			Percent of total billed charges		884.115	33.3			Percent of total billed charges		884.115	100			Percent of total billed charges		2655	884.115	2389.5	
s/n  lg frag  plate 7 hole   7114-2107	278	RC	Outpatient			2655	1725.75		90			Percent of total billed charges		2389.5	40			Percent of total billed charges		1062	80			Percent of total billed charges		2124	90			Percent of total billed charges		2389.5	85			Percent of total billed charges		2256.75	85			Percent of total billed charges		2256.75	85			Percent of total billed charges		2256.75	100			Percent of total billed charges		2655	100			Percent of total billed charges		2655	100			Percent of total billed charges		2655	33.3			Percent of total billed charges		884.115	33.3			Percent of total billed charges		884.115	100			Percent of total billed charges		2655	884.115	2389.5	
siltex breast tissue expander 275cc 354-6211 mentor	278	RC	Outpatient			2657	1727.05		90			Percent of total billed charges		2391.3	40			Percent of total billed charges		1062.8	80			Percent of total billed charges		2125.6	90			Percent of total billed charges		2391.3	85			Percent of total billed charges		2258.45	85			Percent of total billed charges		2258.45	85			Percent of total billed charges		2258.45	100			Percent of total billed charges		2657	100			Percent of total billed charges		2657	100			Percent of total billed charges		2657	33.3			Percent of total billed charges		884.781	33.3			Percent of total billed charges		884.781	100			Percent of total billed charges		2657	884.781	2391.3	
siltex breast tissue expander 350cc 354-6212 mentor	278	RC	Outpatient			2657	1727.05		90			Percent of total billed charges		2391.3	40			Percent of total billed charges		1062.8	80			Percent of total billed charges		2125.6	90			Percent of total billed charges		2391.3	85			Percent of total billed charges		2258.45	85			Percent of total billed charges		2258.45	85			Percent of total billed charges		2258.45	100			Percent of total billed charges		2657	100			Percent of total billed charges		2657	100			Percent of total billed charges		2657	33.3			Percent of total billed charges		884.781	33.3			Percent of total billed charges		884.781	100			Percent of total billed charges		2657	884.781	2391.3	
tissue expander 275cc	278	RC	Outpatient			2657	1727.05		90			Percent of total billed charges		2391.3	40			Percent of total billed charges		1062.8	80			Percent of total billed charges		2125.6	90			Percent of total billed charges		2391.3	85			Percent of total billed charges		2258.45	85			Percent of total billed charges		2258.45	85			Percent of total billed charges		2258.45	100			Percent of total billed charges		2657	100			Percent of total billed charges		2657	100			Percent of total billed charges		2657	33.3			Percent of total billed charges		884.781	33.3			Percent of total billed charges		884.781	100			Percent of total billed charges		2657	884.781	2391.3	
tissue expander 350cc	278	RC	Outpatient			2657	1727.05		90			Percent of total billed charges		2391.3	40			Percent of total billed charges		1062.8	80			Percent of total billed charges		2125.6	90			Percent of total billed charges		2391.3	85			Percent of total billed charges		2258.45	85			Percent of total billed charges		2258.45	85			Percent of total billed charges		2258.45	100			Percent of total billed charges		2657	100			Percent of total billed charges		2657	100			Percent of total billed charges		2657	33.3			Percent of total billed charges		884.781	33.3			Percent of total billed charges		884.781	100			Percent of total billed charges		2657	884.781	2391.3	
angiojet xmi cath	272	RC	Outpatient			2658	1727.7		90			Percent of total billed charges		2392.2	40			Percent of total billed charges		1063.2	80			Percent of total billed charges		2126.4	90			Percent of total billed charges		2392.2	85			Percent of total billed charges		2259.3	85			Percent of total billed charges		2259.3	85			Percent of total billed charges		2259.3	100			Percent of total billed charges		2658	100			Percent of total billed charges		2658	100			Percent of total billed charges		2658	33.3			Percent of total billed charges		885.114	33.3			Percent of total billed charges		885.114	100			Percent of total billed charges		2658	885.114	2392.2	
xmi cath angiojet 104287-001 medrad	272	RC	Outpatient			2658	1727.7		90			Percent of total billed charges		2392.2	40			Percent of total billed charges		1063.2	80			Percent of total billed charges		2126.4	90			Percent of total billed charges		2392.2	85			Percent of total billed charges		2259.3	85			Percent of total billed charges		2259.3	85			Percent of total billed charges		2259.3	100			Percent of total billed charges		2658	100			Percent of total billed charges		2658	100			Percent of total billed charges		2658	33.3			Percent of total billed charges		885.114	33.3			Percent of total billed charges		885.114	100			Percent of total billed charges		2658	885.114	2392.2	
esophageal stent	270	RC	Outpatient			2661	1729.65		90			Percent of total billed charges		2394.9	40			Percent of total billed charges		1064.4	80			Percent of total billed charges		2128.8	90			Percent of total billed charges		2394.9	85			Percent of total billed charges		2261.85	85			Percent of total billed charges		2261.85	85			Percent of total billed charges		2261.85	100			Percent of total billed charges		2661	100			Percent of total billed charges		2661	100			Percent of total billed charges		2661	33.3			Percent of total billed charges		886.113	33.3			Percent of total billed charges		886.113	100			Percent of total billed charges		2661	886.113	2394.9	
ankle arthrodesis nail 11mm x 18cm biomet 345145	278	RC	Outpatient			2663	1730.95		90			Percent of total billed charges		2396.7	40			Percent of total billed charges		1065.2	80			Percent of total billed charges		2130.4	90			Percent of total billed charges		2396.7	85			Percent of total billed charges		2263.55	85			Percent of total billed charges		2263.55	85			Percent of total billed charges		2263.55	100			Percent of total billed charges		2663	100			Percent of total billed charges		2663	100			Percent of total billed charges		2663	33.3			Percent of total billed charges		886.779	33.3			Percent of total billed charges		886.779	100			Percent of total billed charges		2663	886.779	2396.7	
biomet ankle nail	278	RC	Outpatient			2663	1730.95		90			Percent of total billed charges		2396.7	40			Percent of total billed charges		1065.2	80			Percent of total billed charges		2130.4	90			Percent of total billed charges		2396.7	85			Percent of total billed charges		2263.55	85			Percent of total billed charges		2263.55	85			Percent of total billed charges		2263.55	100			Percent of total billed charges		2663	100			Percent of total billed charges		2663	100			Percent of total billed charges		2663	33.3			Percent of total billed charges		886.779	33.3			Percent of total billed charges		886.779	100			Percent of total billed charges		2663	886.779	2396.7	
nail 133790	278	RC	Outpatient			2663	1730.95		90			Percent of total billed charges		2396.7	40			Percent of total billed charges		1065.2	80			Percent of total billed charges		2130.4	90			Percent of total billed charges		2396.7	85			Percent of total billed charges		2263.55	85			Percent of total billed charges		2263.55	85			Percent of total billed charges		2263.55	100			Percent of total billed charges		2663	100			Percent of total billed charges		2663	100			Percent of total billed charges		2663	33.3			Percent of total billed charges		886.779	33.3			Percent of total billed charges		886.779	100			Percent of total billed charges		2663	886.779	2396.7	
jet-x hybrid strut lg	278	RC	Outpatient			2666	1732.9		90			Percent of total billed charges		2399.4	40			Percent of total billed charges		1066.4	80			Percent of total billed charges		2132.8	90			Percent of total billed charges		2399.4	85			Percent of total billed charges		2266.1	85			Percent of total billed charges		2266.1	85			Percent of total billed charges		2266.1	100			Percent of total billed charges		2666	100			Percent of total billed charges		2666	100			Percent of total billed charges		2666	33.3			Percent of total billed charges		887.778	33.3			Percent of total billed charges		887.778	100			Percent of total billed charges		2666	887.778	2399.4	
s/n jet-x  hybrid support strut 7105-1049	278	RC	Outpatient			2666	1732.9		90			Percent of total billed charges		2399.4	40			Percent of total billed charges		1066.4	80			Percent of total billed charges		2132.8	90			Percent of total billed charges		2399.4	85			Percent of total billed charges		2266.1	85			Percent of total billed charges		2266.1	85			Percent of total billed charges		2266.1	100			Percent of total billed charges		2666	100			Percent of total billed charges		2666	100			Percent of total billed charges		2666	33.3			Percent of total billed charges		887.778	33.3			Percent of total billed charges		887.778	100			Percent of total billed charges		2666	887.778	2399.4	
anesthesia time 10 1/2 hours	270	RC	Outpatient			2668	1734.2		90			Percent of total billed charges		2401.2	40			Percent of total billed charges		1067.2	80			Percent of total billed charges		2134.4	90			Percent of total billed charges		2401.2	85			Percent of total billed charges		2267.8	85			Percent of total billed charges		2267.8	85			Percent of total billed charges		2267.8	100			Percent of total billed charges		2668	100			Percent of total billed charges		2668	100			Percent of total billed charges		2668	33.3			Percent of total billed charges		888.444	33.3			Percent of total billed charges		888.444	100			Percent of total billed charges		2668	888.444	2401.2	
cosmetic - submental lipectomy	983	RC	Outpatient			2668	1734.2		90			Percent of total billed charges		2401.2	40			Percent of total billed charges		1067.2	80			Percent of total billed charges		2134.4	90			Percent of total billed charges		2401.2	85			Percent of total billed charges		2267.8	85			Percent of total billed charges		2267.8	85			Percent of total billed charges		2267.8	100			Percent of total billed charges		2668	100			Percent of total billed charges		2668	100			Percent of total billed charges		2668	33.3			Percent of total billed charges		888.444	33.3			Percent of total billed charges		888.444	100			Percent of total billed charges		2668	888.444	2401.2	
sc-acufix sentry plate 4 seg 80mm 409-4180 abbott	272	RC	Outpatient			2668	1734.2		90			Percent of total billed charges		2401.2	40			Percent of total billed charges		1067.2	80			Percent of total billed charges		2134.4	90			Percent of total billed charges		2401.2	85			Percent of total billed charges		2267.8	85			Percent of total billed charges		2267.8	85			Percent of total billed charges		2267.8	100			Percent of total billed charges		2668	100			Percent of total billed charges		2668	100			Percent of total billed charges		2668	33.3			Percent of total billed charges		888.444	33.3			Percent of total billed charges		888.444	100			Percent of total billed charges		2668	888.444	2401.2	
sc-acufix sentry plate 4 seg 88mm 409-4188 abbott	272	RC	Outpatient			2668	1734.2		90			Percent of total billed charges		2401.2	40			Percent of total billed charges		1067.2	80			Percent of total billed charges		2134.4	90			Percent of total billed charges		2401.2	85			Percent of total billed charges		2267.8	85			Percent of total billed charges		2267.8	85			Percent of total billed charges		2267.8	100			Percent of total billed charges		2668	100			Percent of total billed charges		2668	100			Percent of total billed charges		2668	33.3			Percent of total billed charges		888.444	33.3			Percent of total billed charges		888.444	100			Percent of total billed charges		2668	888.444	2401.2	
sc-acufix sentry plate 4 seg 92mm 409-4192 abbott	272	RC	Outpatient			2668	1734.2		90			Percent of total billed charges		2401.2	40			Percent of total billed charges		1067.2	80			Percent of total billed charges		2134.4	90			Percent of total billed charges		2401.2	85			Percent of total billed charges		2267.8	85			Percent of total billed charges		2267.8	85			Percent of total billed charges		2267.8	100			Percent of total billed charges		2668	100			Percent of total billed charges		2668	100			Percent of total billed charges		2668	33.3			Percent of total billed charges		888.444	33.3			Percent of total billed charges		888.444	100			Percent of total billed charges		2668	888.444	2401.2	
slimline plt 2 seg	278	RC	Outpatient			2668	1734.2		90			Percent of total billed charges		2401.2	40			Percent of total billed charges		1067.2	80			Percent of total billed charges		2134.4	90			Percent of total billed charges		2401.2	85			Percent of total billed charges		2267.8	85			Percent of total billed charges		2267.8	85			Percent of total billed charges		2267.8	100			Percent of total billed charges		2668	100			Percent of total billed charges		2668	100			Percent of total billed charges		2668	33.3			Percent of total billed charges		888.444	33.3			Percent of total billed charges		888.444	100			Percent of total billed charges		2668	888.444	2401.2	
sc-acufix sentry plate 4 seg 68mm 409-4168 abbott	272	RC	Outpatient			2668	1734.2		90			Percent of total billed charges		2401.2	40			Percent of total billed charges		1067.2	80			Percent of total billed charges		2134.4	90			Percent of total billed charges		2401.2	85			Percent of total billed charges		2267.8	85			Percent of total billed charges		2267.8	85			Percent of total billed charges		2267.8	100			Percent of total billed charges		2668	100			Percent of total billed charges		2668	100			Percent of total billed charges		2668	33.3			Percent of total billed charges		888.444	33.3			Percent of total billed charges		888.444	100			Percent of total billed charges		2668	888.444	2401.2	
sc-acufix sentry plate 4 seg 72mm 409-4172 abbott	272	RC	Outpatient			2668	1734.2		90			Percent of total billed charges		2401.2	40			Percent of total billed charges		1067.2	80			Percent of total billed charges		2134.4	90			Percent of total billed charges		2401.2	85			Percent of total billed charges		2267.8	85			Percent of total billed charges		2267.8	85			Percent of total billed charges		2267.8	100			Percent of total billed charges		2668	100			Percent of total billed charges		2668	100			Percent of total billed charges		2668	33.3			Percent of total billed charges		888.444	33.3			Percent of total billed charges		888.444	100			Percent of total billed charges		2668	888.444	2401.2	
sc-acufix sentry plate 4 seg 76mm 409-4176 abbott	272	RC	Outpatient			2668	1734.2		90			Percent of total billed charges		2401.2	40			Percent of total billed charges		1067.2	80			Percent of total billed charges		2134.4	90			Percent of total billed charges		2401.2	85			Percent of total billed charges		2267.8	85			Percent of total billed charges		2267.8	85			Percent of total billed charges		2267.8	100			Percent of total billed charges		2668	100			Percent of total billed charges		2668	100			Percent of total billed charges		2668	33.3			Percent of total billed charges		888.444	33.3			Percent of total billed charges		888.444	100			Percent of total billed charges		2668	888.444	2401.2	
sc-acufix sentry plate 4 seg 84mm 409-4184 abbott	272	RC	Outpatient			2668	1734.2		90			Percent of total billed charges		2401.2	40			Percent of total billed charges		1067.2	80			Percent of total billed charges		2134.4	90			Percent of total billed charges		2401.2	85			Percent of total billed charges		2267.8	85			Percent of total billed charges		2267.8	85			Percent of total billed charges		2267.8	100			Percent of total billed charges		2668	100			Percent of total billed charges		2668	100			Percent of total billed charges		2668	33.3			Percent of total billed charges		888.444	33.3			Percent of total billed charges		888.444	100			Percent of total billed charges		2668	888.444	2401.2	
senry plt 4 seg	272	RC	Outpatient			2668	1734.2		90			Percent of total billed charges		2401.2	40			Percent of total billed charges		1067.2	80			Percent of total billed charges		2134.4	90			Percent of total billed charges		2401.2	85			Percent of total billed charges		2267.8	85			Percent of total billed charges		2267.8	85			Percent of total billed charges		2267.8	100			Percent of total billed charges		2668	100			Percent of total billed charges		2668	100			Percent of total billed charges		2668	33.3			Percent of total billed charges		888.444	33.3			Percent of total billed charges		888.444	100			Percent of total billed charges		2668	888.444	2401.2	
reflection interfit acetabular shell  3 hole 50mm 71336050 s/n	278	RC	Outpatient			2672	1736.8		90			Percent of total billed charges		2404.8	40			Percent of total billed charges		1068.8	80			Percent of total billed charges		2137.6	90			Percent of total billed charges		2404.8	85			Percent of total billed charges		2271.2	85			Percent of total billed charges		2271.2	85			Percent of total billed charges		2271.2	100			Percent of total billed charges		2672	100			Percent of total billed charges		2672	100			Percent of total billed charges		2672	33.3			Percent of total billed charges		889.776	33.3			Percent of total billed charges		889.776	100			Percent of total billed charges		2672	889.776	2404.8	
reflection interfit acetabular shell  3 hole 54mm 71336054 s/n	278	RC	Outpatient			2672	1736.8		90			Percent of total billed charges		2404.8	40			Percent of total billed charges		1068.8	80			Percent of total billed charges		2137.6	90			Percent of total billed charges		2404.8	85			Percent of total billed charges		2271.2	85			Percent of total billed charges		2271.2	85			Percent of total billed charges		2271.2	100			Percent of total billed charges		2672	100			Percent of total billed charges		2672	100			Percent of total billed charges		2672	33.3			Percent of total billed charges		889.776	33.3			Percent of total billed charges		889.776	100			Percent of total billed charges		2672	889.776	2404.8	
reflection interfit acetabular shell 3 hole 48mm 71336048 s/n	278	RC	Outpatient			2672	1736.8		90			Percent of total billed charges		2404.8	40			Percent of total billed charges		1068.8	80			Percent of total billed charges		2137.6	90			Percent of total billed charges		2404.8	85			Percent of total billed charges		2271.2	85			Percent of total billed charges		2271.2	85			Percent of total billed charges		2271.2	100			Percent of total billed charges		2672	100			Percent of total billed charges		2672	100			Percent of total billed charges		2672	33.3			Percent of total billed charges		889.776	33.3			Percent of total billed charges		889.776	100			Percent of total billed charges		2672	889.776	2404.8	
reflection interfit acetabular shell 3 hole 52mm 71336052 s/n	278	RC	Outpatient			2672	1736.8		90			Percent of total billed charges		2404.8	40			Percent of total billed charges		1068.8	80			Percent of total billed charges		2137.6	90			Percent of total billed charges		2404.8	85			Percent of total billed charges		2271.2	85			Percent of total billed charges		2271.2	85			Percent of total billed charges		2271.2	100			Percent of total billed charges		2672	100			Percent of total billed charges		2672	100			Percent of total billed charges		2672	33.3			Percent of total billed charges		889.776	33.3			Percent of total billed charges		889.776	100			Percent of total billed charges		2672	889.776	2404.8	
reflection interfit acetabular shell 3 hole 58mm 71336058 s/n	278	RC	Outpatient			2672	1736.8		90			Percent of total billed charges		2404.8	40			Percent of total billed charges		1068.8	80			Percent of total billed charges		2137.6	90			Percent of total billed charges		2404.8	85			Percent of total billed charges		2271.2	85			Percent of total billed charges		2271.2	85			Percent of total billed charges		2271.2	100			Percent of total billed charges		2672	100			Percent of total billed charges		2672	100			Percent of total billed charges		2672	33.3			Percent of total billed charges		889.776	33.3			Percent of total billed charges		889.776	100			Percent of total billed charges		2672	889.776	2404.8	
reflection interfit acetabular shell 3 hole 60mm 71336060 s/n	278	RC	Outpatient			2672	1736.8		90			Percent of total billed charges		2404.8	40			Percent of total billed charges		1068.8	80			Percent of total billed charges		2137.6	90			Percent of total billed charges		2404.8	85			Percent of total billed charges		2271.2	85			Percent of total billed charges		2271.2	85			Percent of total billed charges		2271.2	100			Percent of total billed charges		2672	100			Percent of total billed charges		2672	100			Percent of total billed charges		2672	33.3			Percent of total billed charges		889.776	33.3			Percent of total billed charges		889.776	100			Percent of total billed charges		2672	889.776	2404.8	
reflection interfit acetabular shell 3 hole 62mm 71336062 s/n	278	RC	Outpatient			2672	1736.8		90			Percent of total billed charges		2404.8	40			Percent of total billed charges		1068.8	80			Percent of total billed charges		2137.6	90			Percent of total billed charges		2404.8	85			Percent of total billed charges		2271.2	85			Percent of total billed charges		2271.2	85			Percent of total billed charges		2271.2	100			Percent of total billed charges		2672	100			Percent of total billed charges		2672	100			Percent of total billed charges		2672	33.3			Percent of total billed charges		889.776	33.3			Percent of total billed charges		889.776	100			Percent of total billed charges		2672	889.776	2404.8	
reflection interfit acetabular shell 46mm 71336046 s/n	278	RC	Outpatient			2672	1736.8		90			Percent of total billed charges		2404.8	40			Percent of total billed charges		1068.8	80			Percent of total billed charges		2137.6	90			Percent of total billed charges		2404.8	85			Percent of total billed charges		2271.2	85			Percent of total billed charges		2271.2	85			Percent of total billed charges		2271.2	100			Percent of total billed charges		2672	100			Percent of total billed charges		2672	100			Percent of total billed charges		2672	33.3			Percent of total billed charges		889.776	33.3			Percent of total billed charges		889.776	100			Percent of total billed charges		2672	889.776	2404.8	
reflection interfit acetabular shell  3 hole 56mm 71336056 s/n	278	RC	Outpatient			2672	1736.8		90			Percent of total billed charges		2404.8	40			Percent of total billed charges		1068.8	80			Percent of total billed charges		2137.6	90			Percent of total billed charges		2404.8	85			Percent of total billed charges		2271.2	85			Percent of total billed charges		2271.2	85			Percent of total billed charges		2271.2	100			Percent of total billed charges		2672	100			Percent of total billed charges		2672	100			Percent of total billed charges		2672	33.3			Percent of total billed charges		889.776	33.3			Percent of total billed charges		889.776	100			Percent of total billed charges		2672	889.776	2404.8	
reflection interfit acetabular shell 3 hole 64mm 71336064 s/n	278	RC	Outpatient			2672	1736.8		90			Percent of total billed charges		2404.8	40			Percent of total billed charges		1068.8	80			Percent of total billed charges		2137.6	90			Percent of total billed charges		2404.8	85			Percent of total billed charges		2271.2	85			Percent of total billed charges		2271.2	85			Percent of total billed charges		2271.2	100			Percent of total billed charges		2672	100			Percent of total billed charges		2672	100			Percent of total billed charges		2672	33.3			Percent of total billed charges		889.776	33.3			Percent of total billed charges		889.776	100			Percent of total billed charges		2672	889.776	2404.8	
rich reflct if acet 46-64	278	RC	Outpatient			2672	1736.8		90			Percent of total billed charges		2404.8	40			Percent of total billed charges		1068.8	80			Percent of total billed charges		2137.6	90			Percent of total billed charges		2404.8	85			Percent of total billed charges		2271.2	85			Percent of total billed charges		2271.2	85			Percent of total billed charges		2271.2	100			Percent of total billed charges		2672	100			Percent of total billed charges		2672	100			Percent of total billed charges		2672	33.3			Percent of total billed charges		889.776	33.3			Percent of total billed charges		889.776	100			Percent of total billed charges		2672	889.776	2404.8	
all poly patella sz 0 7mm 6301-07-100 zimmer	278	RC	Outpatient			2678	1740.7		90			Percent of total billed charges		2410.2	40			Percent of total billed charges		1071.2	80			Percent of total billed charges		2142.4	90			Percent of total billed charges		2410.2	85			Percent of total billed charges		2276.3	85			Percent of total billed charges		2276.3	85			Percent of total billed charges		2276.3	100			Percent of total billed charges		2678	100			Percent of total billed charges		2678	100			Percent of total billed charges		2678	33.3			Percent of total billed charges		891.774	33.3			Percent of total billed charges		891.774	100			Percent of total billed charges		2678	891.774	2410.2	
bone-tendon-bone allograf	278	RC	Outpatient			2678	1740.7		90			Percent of total billed charges		2410.2	40			Percent of total billed charges		1071.2	80			Percent of total billed charges		2142.4	90			Percent of total billed charges		2410.2	85			Percent of total billed charges		2276.3	85			Percent of total billed charges		2276.3	85			Percent of total billed charges		2276.3	100			Percent of total billed charges		2678	100			Percent of total billed charges		2678	100			Percent of total billed charges		2678	33.3			Percent of total billed charges		891.774	33.3			Percent of total billed charges		891.774	100			Percent of total billed charges		2678	891.774	2410.2	
patella bone tendon bone allograft	278	RC	Outpatient			2678	1740.7		90			Percent of total billed charges		2410.2	40			Percent of total billed charges		1071.2	80			Percent of total billed charges		2142.4	90			Percent of total billed charges		2410.2	85			Percent of total billed charges		2276.3	85			Percent of total billed charges		2276.3	85			Percent of total billed charges		2276.3	100			Percent of total billed charges		2678	100			Percent of total billed charges		2678	100			Percent of total billed charges		2678	33.3			Percent of total billed charges		891.774	33.3			Percent of total billed charges		891.774	100			Percent of total billed charges		2678	891.774	2410.2	
zimmer ply patella	278	RC	Outpatient			2678	1740.7		90			Percent of total billed charges		2410.2	40			Percent of total billed charges		1071.2	80			Percent of total billed charges		2142.4	90			Percent of total billed charges		2410.2	85			Percent of total billed charges		2276.3	85			Percent of total billed charges		2276.3	85			Percent of total billed charges		2276.3	100			Percent of total billed charges		2678	100			Percent of total billed charges		2678	100			Percent of total billed charges		2678	33.3			Percent of total billed charges		891.774	33.3			Percent of total billed charges		891.774	100			Percent of total billed charges		2678	891.774	2410.2	
j&j femoral comp.p/s cemt	278	RC	Outpatient			2679	1741.35		90			Percent of total billed charges		2411.1	40			Percent of total billed charges		1071.6	80			Percent of total billed charges		2143.2	90			Percent of total billed charges		2411.1	85			Percent of total billed charges		2277.15	85			Percent of total billed charges		2277.15	85			Percent of total billed charges		2277.15	100			Percent of total billed charges		2679	100			Percent of total billed charges		2679	100			Percent of total billed charges		2679	33.3			Percent of total billed charges		892.107	33.3			Percent of total billed charges		892.107	100			Percent of total billed charges		2679	892.107	2411.1	
anesthesia time 10 hours	270	RC	Outpatient			2685	1745.25		90			Percent of total billed charges		2416.5	40			Percent of total billed charges		1074	80			Percent of total billed charges		2148	90			Percent of total billed charges		2416.5	85			Percent of total billed charges		2282.25	85			Percent of total billed charges		2282.25	85			Percent of total billed charges		2282.25	100			Percent of total billed charges		2685	100			Percent of total billed charges		2685	100			Percent of total billed charges		2685	33.3			Percent of total billed charges		894.105	33.3			Percent of total billed charges		894.105	100			Percent of total billed charges		2685	894.105	2416.5	
permacol 1mm thick 10 x 10 cm 101010 lsl	278	RC	Outpatient			2687	1746.55		90			Percent of total billed charges		2418.3	40			Percent of total billed charges		1074.8	80			Percent of total billed charges		2149.6	90			Percent of total billed charges		2418.3	85			Percent of total billed charges		2283.95	85			Percent of total billed charges		2283.95	85			Percent of total billed charges		2283.95	100			Percent of total billed charges		2687	100			Percent of total billed charges		2687	100			Percent of total billed charges		2687	33.3			Percent of total billed charges		894.771	33.3			Percent of total billed charges		894.771	100			Percent of total billed charges		2687	894.771	2418.3	
permacol 1mm 10x10	278	RC	Outpatient			2687	1746.55		90			Percent of total billed charges		2418.3	40			Percent of total billed charges		1074.8	80			Percent of total billed charges		2149.6	90			Percent of total billed charges		2418.3	85			Percent of total billed charges		2283.95	85			Percent of total billed charges		2283.95	85			Percent of total billed charges		2283.95	100			Percent of total billed charges		2687	100			Percent of total billed charges		2687	100			Percent of total billed charges		2687	33.3			Percent of total billed charges		894.771	33.3			Percent of total billed charges		894.771	100			Percent of total billed charges		2687	894.771	2418.3	
tibial bearing 9 e/f 5112-43-09 zimmer	278	RC	Outpatient			2696	1752.4		90			Percent of total billed charges		2426.4	40			Percent of total billed charges		1078.4	80			Percent of total billed charges		2156.8	90			Percent of total billed charges		2426.4	85			Percent of total billed charges		2291.6	85			Percent of total billed charges		2291.6	85			Percent of total billed charges		2291.6	100			Percent of total billed charges		2696	100			Percent of total billed charges		2696	100			Percent of total billed charges		2696	33.3			Percent of total billed charges		897.768	33.3			Percent of total billed charges		897.768	100			Percent of total billed charges		2696	897.768	2426.4	
zimmer tib bearing	278	RC	Outpatient			2696	1752.4		90			Percent of total billed charges		2426.4	40			Percent of total billed charges		1078.4	80			Percent of total billed charges		2156.8	90			Percent of total billed charges		2426.4	85			Percent of total billed charges		2291.6	85			Percent of total billed charges		2291.6	85			Percent of total billed charges		2291.6	100			Percent of total billed charges		2696	100			Percent of total billed charges		2696	100			Percent of total billed charges		2696	33.3			Percent of total billed charges		897.768	33.3			Percent of total billed charges		897.768	100			Percent of total billed charges		2696	897.768	2426.4	
intergro dbm plus 10cc	278	RC	Outpatient			2698	1753.7		90			Percent of total billed charges		2428.2	40			Percent of total billed charges		1079.2	80			Percent of total billed charges		2158.4	90			Percent of total billed charges		2428.2	85			Percent of total billed charges		2293.3	85			Percent of total billed charges		2293.3	85			Percent of total billed charges		2293.3	100			Percent of total billed charges		2698	100			Percent of total billed charges		2698	100			Percent of total billed charges		2698	33.3			Percent of total billed charges		898.434	33.3			Percent of total billed charges		898.434	100			Percent of total billed charges		2698	898.434	2428.2	
intergro dbm plus 10cc dbww10 biomet/ebi	278	RC	Outpatient			2698	1753.7		90			Percent of total billed charges		2428.2	40			Percent of total billed charges		1079.2	80			Percent of total billed charges		2158.4	90			Percent of total billed charges		2428.2	85			Percent of total billed charges		2293.3	85			Percent of total billed charges		2293.3	85			Percent of total billed charges		2293.3	100			Percent of total billed charges		2698	100			Percent of total billed charges		2698	100			Percent of total billed charges		2698	33.3			Percent of total billed charges		898.434	33.3			Percent of total billed charges		898.434	100			Percent of total billed charges		2698	898.434	2428.2	
narrow spacer 12mm 12 degree 1400-1202 biomet/ebi	278	RC	Outpatient			2698	1753.7		90			Percent of total billed charges		2428.2	40			Percent of total billed charges		1079.2	80			Percent of total billed charges		2158.4	90			Percent of total billed charges		2428.2	85			Percent of total billed charges		2293.3	85			Percent of total billed charges		2293.3	85			Percent of total billed charges		2293.3	100			Percent of total billed charges		2698	100			Percent of total billed charges		2698	100			Percent of total billed charges		2698	33.3			Percent of total billed charges		898.434	33.3			Percent of total billed charges		898.434	100			Percent of total billed charges		2698	898.434	2428.2	
magnum mod head 40mm -6neck s061140 biomet	278	RC	Outpatient			2704	1757.6		90			Percent of total billed charges		2433.6	40			Percent of total billed charges		1081.6	80			Percent of total billed charges		2163.2	90			Percent of total billed charges		2433.6	85			Percent of total billed charges		2298.4	85			Percent of total billed charges		2298.4	85			Percent of total billed charges		2298.4	100			Percent of total billed charges		2704	100			Percent of total billed charges		2704	100			Percent of total billed charges		2704	33.3			Percent of total billed charges		900.432	33.3			Percent of total billed charges		900.432	100			Percent of total billed charges		2704	900.432	2433.6	
reflect contrained liner adaptor 54-56 71323145 s/n	278	RC	Outpatient			2704	1757.6		90			Percent of total billed charges		2433.6	40			Percent of total billed charges		1081.6	80			Percent of total billed charges		2163.2	90			Percent of total billed charges		2433.6	85			Percent of total billed charges		2298.4	85			Percent of total billed charges		2298.4	85			Percent of total billed charges		2298.4	100			Percent of total billed charges		2704	100			Percent of total billed charges		2704	100			Percent of total billed charges		2704	33.3			Percent of total billed charges		900.432	33.3			Percent of total billed charges		900.432	100			Percent of total billed charges		2704	900.432	2433.6	
s/n reflect const lnr adt	278	RC	Outpatient			2704	1757.6		90			Percent of total billed charges		2433.6	40			Percent of total billed charges		1081.6	80			Percent of total billed charges		2163.2	90			Percent of total billed charges		2433.6	85			Percent of total billed charges		2298.4	85			Percent of total billed charges		2298.4	85			Percent of total billed charges		2298.4	100			Percent of total billed charges		2704	100			Percent of total billed charges		2704	100			Percent of total billed charges		2704	33.3			Percent of total billed charges		900.432	33.3			Percent of total billed charges		900.432	100			Percent of total billed charges		2704	900.432	2433.6	
tissue expander pmt 850	278	RC	Outpatient			2707	1759.55		90			Percent of total billed charges		2436.3	40			Percent of total billed charges		1082.8	80			Percent of total billed charges		2165.6	90			Percent of total billed charges		2436.3	85			Percent of total billed charges		2300.95	85			Percent of total billed charges		2300.95	85			Percent of total billed charges		2300.95	100			Percent of total billed charges		2707	100			Percent of total billed charges		2707	100			Percent of total billed charges		2707	33.3			Percent of total billed charges		901.431	33.3			Percent of total billed charges		901.431	100			Percent of total billed charges		2707	901.431	2436.3	
pmt tissue expander 850cc 3612es-63-2i	278	RC	Outpatient			2707	1759.55		90			Percent of total billed charges		2436.3	40			Percent of total billed charges		1082.8	80			Percent of total billed charges		2165.6	90			Percent of total billed charges		2436.3	85			Percent of total billed charges		2300.95	85			Percent of total billed charges		2300.95	85			Percent of total billed charges		2300.95	100			Percent of total billed charges		2707	100			Percent of total billed charges		2707	100			Percent of total billed charges		2707	33.3			Percent of total billed charges		901.431	33.3			Percent of total billed charges		901.431	100			Percent of total billed charges		2707	901.431	2436.3	
proximal humeral locking plate 3.5 7h l 71821407 s/n	278	RC	Outpatient			2708	1760.2		90			Percent of total billed charges		2437.2	40			Percent of total billed charges		1083.2	80			Percent of total billed charges		2166.4	90			Percent of total billed charges		2437.2	85			Percent of total billed charges		2301.8	85			Percent of total billed charges		2301.8	85			Percent of total billed charges		2301.8	100			Percent of total billed charges		2708	100			Percent of total billed charges		2708	100			Percent of total billed charges		2708	33.3			Percent of total billed charges		901.764	33.3			Percent of total billed charges		901.764	100			Percent of total billed charges		2708	901.764	2437.2	
s/n prxhum lk pl 3.5 7h	278	RC	Outpatient			2708	1760.2		90			Percent of total billed charges		2437.2	40			Percent of total billed charges		1083.2	80			Percent of total billed charges		2166.4	90			Percent of total billed charges		2437.2	85			Percent of total billed charges		2301.8	85			Percent of total billed charges		2301.8	85			Percent of total billed charges		2301.8	100			Percent of total billed charges		2708	100			Percent of total billed charges		2708	100			Percent of total billed charges		2708	33.3			Percent of total billed charges		901.764	33.3			Percent of total billed charges		901.764	100			Percent of total billed charges		2708	901.764	2437.2	
s/n prxhum lk pl 4.5 7h	278	RC	Outpatient			2708	1760.2		90			Percent of total billed charges		2437.2	40			Percent of total billed charges		1083.2	80			Percent of total billed charges		2166.4	90			Percent of total billed charges		2437.2	85			Percent of total billed charges		2301.8	85			Percent of total billed charges		2301.8	85			Percent of total billed charges		2301.8	100			Percent of total billed charges		2708	100			Percent of total billed charges		2708	100			Percent of total billed charges		2708	33.3			Percent of total billed charges		901.764	33.3			Percent of total billed charges		901.764	100			Percent of total billed charges		2708	901.764	2437.2	
proximal humeral locking plate 3.5 7h r 71821307 s/n	278	RC	Outpatient			2708	1760.2		90			Percent of total billed charges		2437.2	40			Percent of total billed charges		1083.2	80			Percent of total billed charges		2166.4	90			Percent of total billed charges		2437.2	85			Percent of total billed charges		2301.8	85			Percent of total billed charges		2301.8	85			Percent of total billed charges		2301.8	100			Percent of total billed charges		2708	100			Percent of total billed charges		2708	100			Percent of total billed charges		2708	33.3			Percent of total billed charges		901.764	33.3			Percent of total billed charges		901.764	100			Percent of total billed charges		2708	901.764	2437.2	
proximal humeral locking plate 4.5 7h r 71801507 s/n	278	RC	Outpatient			2708	1760.2		90			Percent of total billed charges		2437.2	40			Percent of total billed charges		1083.2	80			Percent of total billed charges		2166.4	90			Percent of total billed charges		2437.2	85			Percent of total billed charges		2301.8	85			Percent of total billed charges		2301.8	85			Percent of total billed charges		2301.8	100			Percent of total billed charges		2708	100			Percent of total billed charges		2708	100			Percent of total billed charges		2708	33.3			Percent of total billed charges		901.764	33.3			Percent of total billed charges		901.764	100			Percent of total billed charges		2708	901.764	2437.2	
lg fr pl cp brd cmp 12-14	278	RC	Outpatient			2710	1761.5		90			Percent of total billed charges		2439	40			Percent of total billed charges		1084	80			Percent of total billed charges		2168	90			Percent of total billed charges		2439	85			Percent of total billed charges		2303.5	85			Percent of total billed charges		2303.5	85			Percent of total billed charges		2303.5	100			Percent of total billed charges		2710	100			Percent of total billed charges		2710	100			Percent of total billed charges		2710	33.3			Percent of total billed charges		902.43	33.3			Percent of total billed charges		902.43	100			Percent of total billed charges		2710	902.43	2439	
s/n lg frag plate 4.5mm 12 hole 7184-1212	278	RC	Outpatient			2710	1761.5		90			Percent of total billed charges		2439	40			Percent of total billed charges		1084	80			Percent of total billed charges		2168	90			Percent of total billed charges		2439	85			Percent of total billed charges		2303.5	85			Percent of total billed charges		2303.5	85			Percent of total billed charges		2303.5	100			Percent of total billed charges		2710	100			Percent of total billed charges		2710	100			Percent of total billed charges		2710	33.3			Percent of total billed charges		902.43	33.3			Percent of total billed charges		902.43	100			Percent of total billed charges		2710	902.43	2439	
siltex cpx4 breast tissue expander with tabs 350cc 354-9212 mentor	278	RC	Outpatient			2714	1764.1		90			Percent of total billed charges		2442.6	40			Percent of total billed charges		1085.6	80			Percent of total billed charges		2171.2	90			Percent of total billed charges		2442.6	85			Percent of total billed charges		2306.9	85			Percent of total billed charges		2306.9	85			Percent of total billed charges		2306.9	100			Percent of total billed charges		2714	100			Percent of total billed charges		2714	100			Percent of total billed charges		2714	33.3			Percent of total billed charges		903.762	33.3			Percent of total billed charges		903.762	100			Percent of total billed charges		2714	903.762	2442.6	
siltex cpx4 breast tissue expander with tabs 450cc 354-9313 mentor	278	RC	Outpatient			2714	1764.1		90			Percent of total billed charges		2442.6	40			Percent of total billed charges		1085.6	80			Percent of total billed charges		2171.2	90			Percent of total billed charges		2442.6	85			Percent of total billed charges		2306.9	85			Percent of total billed charges		2306.9	85			Percent of total billed charges		2306.9	100			Percent of total billed charges		2714	100			Percent of total billed charges		2714	100			Percent of total billed charges		2714	33.3			Percent of total billed charges		903.762	33.3			Percent of total billed charges		903.762	100			Percent of total billed charges		2714	903.762	2442.6	
acucise rp35kit	270	RC	Outpatient			2721	1768.65		90			Percent of total billed charges		2448.9	40			Percent of total billed charges		1088.4	80			Percent of total billed charges		2176.8	90			Percent of total billed charges		2448.9	85			Percent of total billed charges		2312.85	85			Percent of total billed charges		2312.85	85			Percent of total billed charges		2312.85	100			Percent of total billed charges		2721	100			Percent of total billed charges		2721	100			Percent of total billed charges		2721	33.3			Percent of total billed charges		906.093	33.3			Percent of total billed charges		906.093	100			Percent of total billed charges		2721	906.093	2448.9	
pack procedure bk002 applied med acucise	270	RC	Outpatient			2721	1768.65		90			Percent of total billed charges		2448.9	40			Percent of total billed charges		1088.4	80			Percent of total billed charges		2176.8	90			Percent of total billed charges		2448.9	85			Percent of total billed charges		2312.85	85			Percent of total billed charges		2312.85	85			Percent of total billed charges		2312.85	100			Percent of total billed charges		2721	100			Percent of total billed charges		2721	100			Percent of total billed charges		2721	33.3			Percent of total billed charges		906.093	33.3			Percent of total billed charges		906.093	100			Percent of total billed charges		2721	906.093	2448.9	
siltex breast tissue expander w/ suture tab 550cc 354-7314 mentor	278	RC	Outpatient			2721	1768.65		90			Percent of total billed charges		2448.9	40			Percent of total billed charges		1088.4	80			Percent of total billed charges		2176.8	90			Percent of total billed charges		2448.9	85			Percent of total billed charges		2312.85	85			Percent of total billed charges		2312.85	85			Percent of total billed charges		2312.85	100			Percent of total billed charges		2721	100			Percent of total billed charges		2721	100			Percent of total billed charges		2721	33.3			Percent of total billed charges		906.093	33.3			Percent of total billed charges		906.093	100			Percent of total billed charges		2721	906.093	2448.9	
siltex cpx4 breast tissue expander with tabs 550cc 354-9214 mentor	278	RC	Outpatient			2721	1768.65		90			Percent of total billed charges		2448.9	40			Percent of total billed charges		1088.4	80			Percent of total billed charges		2176.8	90			Percent of total billed charges		2448.9	85			Percent of total billed charges		2312.85	85			Percent of total billed charges		2312.85	85			Percent of total billed charges		2312.85	100			Percent of total billed charges		2721	100			Percent of total billed charges		2721	100			Percent of total billed charges		2721	33.3			Percent of total billed charges		906.093	33.3			Percent of total billed charges		906.093	100			Percent of total billed charges		2721	906.093	2448.9	
tissue exp 550cc w/tab	278	RC	Outpatient			2721	1768.65		90			Percent of total billed charges		2448.9	40			Percent of total billed charges		1088.4	80			Percent of total billed charges		2176.8	90			Percent of total billed charges		2448.9	85			Percent of total billed charges		2312.85	85			Percent of total billed charges		2312.85	85			Percent of total billed charges		2312.85	100			Percent of total billed charges		2721	100			Percent of total billed charges		2721	100			Percent of total billed charges		2721	33.3			Percent of total billed charges		906.093	33.3			Percent of total billed charges		906.093	100			Percent of total billed charges		2721	906.093	2448.9	
s/n gns ii cmt tib	278	RC	Outpatient			2724	1770.6		90			Percent of total billed charges		2451.6	40			Percent of total billed charges		1089.6	80			Percent of total billed charges		2179.2	90			Percent of total billed charges		2451.6	85			Percent of total billed charges		2315.4	85			Percent of total billed charges		2315.4	85			Percent of total billed charges		2315.4	100			Percent of total billed charges		2724	100			Percent of total billed charges		2724	100			Percent of total billed charges		2724	33.3			Percent of total billed charges		907.092	33.3			Percent of total billed charges		907.092	100			Percent of total billed charges		2724	907.092	2451.6	
reflection xlpe 28 0 deg 66-68 sz j  71333378 s/n	278	RC	Outpatient			2727	1772.55		90			Percent of total billed charges		2454.3	40			Percent of total billed charges		1090.8	80			Percent of total billed charges		2181.6	90			Percent of total billed charges		2454.3	85			Percent of total billed charges		2317.95	85			Percent of total billed charges		2317.95	85			Percent of total billed charges		2317.95	100			Percent of total billed charges		2727	100			Percent of total billed charges		2727	100			Percent of total billed charges		2727	33.3			Percent of total billed charges		908.091	33.3			Percent of total billed charges		908.091	100			Percent of total billed charges		2727	908.091	2454.3	
reflection xlpe 28 20 deg 66-68 sz j  71333328 s/n	278	RC	Outpatient			2727	1772.55		90			Percent of total billed charges		2454.3	40			Percent of total billed charges		1090.8	80			Percent of total billed charges		2181.6	90			Percent of total billed charges		2454.3	85			Percent of total billed charges		2317.95	85			Percent of total billed charges		2317.95	85			Percent of total billed charges		2317.95	100			Percent of total billed charges		2727	100			Percent of total billed charges		2727	100			Percent of total billed charges		2727	33.3			Percent of total billed charges		908.091	33.3			Percent of total billed charges		908.091	100			Percent of total billed charges		2727	908.091	2454.3	
reflection xlpe 28 20 deg 70-76 sz k  71333329 s/n	278	RC	Outpatient			2727	1772.55		90			Percent of total billed charges		2454.3	40			Percent of total billed charges		1090.8	80			Percent of total billed charges		2181.6	90			Percent of total billed charges		2454.3	85			Percent of total billed charges		2317.95	85			Percent of total billed charges		2317.95	85			Percent of total billed charges		2317.95	100			Percent of total billed charges		2727	100			Percent of total billed charges		2727	100			Percent of total billed charges		2727	33.3			Percent of total billed charges		908.091	33.3			Percent of total billed charges		908.091	100			Percent of total billed charges		2727	908.091	2454.3	
reflectionl xlpe 28 0 deg 70-76 sz k  71333379 s/n	278	RC	Outpatient			2727	1772.55		90			Percent of total billed charges		2454.3	40			Percent of total billed charges		1090.8	80			Percent of total billed charges		2181.6	90			Percent of total billed charges		2454.3	85			Percent of total billed charges		2317.95	85			Percent of total billed charges		2317.95	85			Percent of total billed charges		2317.95	100			Percent of total billed charges		2727	100			Percent of total billed charges		2727	100			Percent of total billed charges		2727	33.3			Percent of total billed charges		908.091	33.3			Percent of total billed charges		908.091	100			Percent of total billed charges		2727	908.091	2454.3	
richards reflect xlpe j/k	278	RC	Outpatient			2727	1772.55		90			Percent of total billed charges		2454.3	40			Percent of total billed charges		1090.8	80			Percent of total billed charges		2181.6	90			Percent of total billed charges		2454.3	85			Percent of total billed charges		2317.95	85			Percent of total billed charges		2317.95	85			Percent of total billed charges		2317.95	100			Percent of total billed charges		2727	100			Percent of total billed charges		2727	100			Percent of total billed charges		2727	33.3			Percent of total billed charges		908.091	33.3			Percent of total billed charges		908.091	100			Percent of total billed charges		2727	908.091	2454.3	
upex nar left distal radius pl ltgvpn1	278	RC	Outpatient			2727	1772.55		90			Percent of total billed charges		2454.3	40			Percent of total billed charges		1090.8	80			Percent of total billed charges		2181.6	90			Percent of total billed charges		2454.3	85			Percent of total billed charges		2317.95	85			Percent of total billed charges		2317.95	85			Percent of total billed charges		2317.95	100			Percent of total billed charges		2727	100			Percent of total billed charges		2727	100			Percent of total billed charges		2727	33.3			Percent of total billed charges		908.091	33.3			Percent of total billed charges		908.091	100			Percent of total billed charges		2727	908.091	2454.3	
upex nar right distal radius pl ltdvpn1	278	RC	Outpatient			2727	1772.55		90			Percent of total billed charges		2454.3	40			Percent of total billed charges		1090.8	80			Percent of total billed charges		2181.6	90			Percent of total billed charges		2454.3	85			Percent of total billed charges		2317.95	85			Percent of total billed charges		2317.95	85			Percent of total billed charges		2317.95	100			Percent of total billed charges		2727	100			Percent of total billed charges		2727	100			Percent of total billed charges		2727	33.3			Percent of total billed charges		908.091	33.3			Percent of total billed charges		908.091	100			Percent of total billed charges		2727	908.091	2454.3	
upex nar ply dist rad pl	278	RC	Outpatient			2727	1772.55		90			Percent of total billed charges		2454.3	40			Percent of total billed charges		1090.8	80			Percent of total billed charges		2181.6	90			Percent of total billed charges		2454.3	85			Percent of total billed charges		2317.95	85			Percent of total billed charges		2317.95	85			Percent of total billed charges		2317.95	100			Percent of total billed charges		2727	100			Percent of total billed charges		2727	100			Percent of total billed charges		2727	33.3			Percent of total billed charges		908.091	33.3			Percent of total billed charges		908.091	100			Percent of total billed charges		2727	908.091	2454.3	
biomet hip fracture femoral stem 16mm 162903	278	RC	Outpatient			2730	1774.5		90			Percent of total billed charges		2457	40			Percent of total billed charges		1092	80			Percent of total billed charges		2184	90			Percent of total billed charges		2457	85			Percent of total billed charges		2320.5	85			Percent of total billed charges		2320.5	85			Percent of total billed charges		2320.5	100			Percent of total billed charges		2730	100			Percent of total billed charges		2730	100			Percent of total billed charges		2730	33.3			Percent of total billed charges		909.09	33.3			Percent of total billed charges		909.09	100			Percent of total billed charges		2730	909.09	2457	
bio hip fx fem stem	278	RC	Outpatient			2730	1774.5		90			Percent of total billed charges		2457	40			Percent of total billed charges		1092	80			Percent of total billed charges		2184	90			Percent of total billed charges		2457	85			Percent of total billed charges		2320.5	85			Percent of total billed charges		2320.5	85			Percent of total billed charges		2320.5	100			Percent of total billed charges		2730	100			Percent of total billed charges		2730	100			Percent of total billed charges		2730	33.3			Percent of total billed charges		909.09	33.3			Percent of total billed charges		909.09	100			Percent of total billed charges		2730	909.09	2457	
biomet hip fracture femoral stem 10mm 162901	278	RC	Outpatient			2730	1774.5		90			Percent of total billed charges		2457	40			Percent of total billed charges		1092	80			Percent of total billed charges		2184	90			Percent of total billed charges		2457	85			Percent of total billed charges		2320.5	85			Percent of total billed charges		2320.5	85			Percent of total billed charges		2320.5	100			Percent of total billed charges		2730	100			Percent of total billed charges		2730	100			Percent of total billed charges		2730	33.3			Percent of total billed charges		909.09	33.3			Percent of total billed charges		909.09	100			Percent of total billed charges		2730	909.09	2457	
hip fracture stem 16mm 162904 biomet	278	RC	Outpatient			2730	1774.5		90			Percent of total billed charges		2457	40			Percent of total billed charges		1092	80			Percent of total billed charges		2184	90			Percent of total billed charges		2457	85			Percent of total billed charges		2320.5	85			Percent of total billed charges		2320.5	85			Percent of total billed charges		2320.5	100			Percent of total billed charges		2730	100			Percent of total billed charges		2730	100			Percent of total billed charges		2730	33.3			Percent of total billed charges		909.09	33.3			Percent of total billed charges		909.09	100			Percent of total billed charges		2730	909.09	2457	
fem comp 235070 162900	278	RC	Outpatient			2730	1774.5		90			Percent of total billed charges		2457	40			Percent of total billed charges		1092	80			Percent of total billed charges		2184	90			Percent of total billed charges		2457	85			Percent of total billed charges		2320.5	85			Percent of total billed charges		2320.5	85			Percent of total billed charges		2320.5	100			Percent of total billed charges		2730	100			Percent of total billed charges		2730	100			Percent of total billed charges		2730	33.3			Percent of total billed charges		909.09	33.3			Percent of total billed charges		909.09	100			Percent of total billed charges		2730	909.09	2457	
hip fx stem 12mm 162902 biomet	278	RC	Outpatient			2730	1774.5		90			Percent of total billed charges		2457	40			Percent of total billed charges		1092	80			Percent of total billed charges		2184	90			Percent of total billed charges		2457	85			Percent of total billed charges		2320.5	85			Percent of total billed charges		2320.5	85			Percent of total billed charges		2320.5	100			Percent of total billed charges		2730	100			Percent of total billed charges		2730	100			Percent of total billed charges		2730	33.3			Percent of total billed charges		909.09	33.3			Percent of total billed charges		909.09	100			Percent of total billed charges		2730	909.09	2457	
jet-x t-clamp	278	RC	Outpatient			2730	1774.5		90			Percent of total billed charges		2457	40			Percent of total billed charges		1092	80			Percent of total billed charges		2184	90			Percent of total billed charges		2457	85			Percent of total billed charges		2320.5	85			Percent of total billed charges		2320.5	85			Percent of total billed charges		2320.5	100			Percent of total billed charges		2730	100			Percent of total billed charges		2730	100			Percent of total billed charges		2730	33.3			Percent of total billed charges		909.09	33.3			Percent of total billed charges		909.09	100			Percent of total billed charges		2730	909.09	2457	
s/n jet-x fixator t-clamp 7105-1046	278	RC	Outpatient			2730	1774.5		90			Percent of total billed charges		2457	40			Percent of total billed charges		1092	80			Percent of total billed charges		2184	90			Percent of total billed charges		2457	85			Percent of total billed charges		2320.5	85			Percent of total billed charges		2320.5	85			Percent of total billed charges		2320.5	100			Percent of total billed charges		2730	100			Percent of total billed charges		2730	100			Percent of total billed charges		2730	33.3			Percent of total billed charges		909.09	33.3			Percent of total billed charges		909.09	100			Percent of total billed charges		2730	909.09	2457	
synthes peek spacer 8mm	278	RC	Outpatient			2734	1777.1		90			Percent of total billed charges		2460.6	40			Percent of total billed charges		1093.6	80			Percent of total billed charges		2187.2	90			Percent of total billed charges		2460.6	85			Percent of total billed charges		2323.9	85			Percent of total billed charges		2323.9	85			Percent of total billed charges		2323.9	100			Percent of total billed charges		2734	100			Percent of total billed charges		2734	100			Percent of total billed charges		2734	33.3			Percent of total billed charges		910.422	33.3			Percent of total billed charges		910.422	100			Percent of total billed charges		2734	910.422	2460.6	
triathlon fem aug post	278	RC	Outpatient			2735	1777.75		90			Percent of total billed charges		2461.5	40			Percent of total billed charges		1094	80			Percent of total billed charges		2188	90			Percent of total billed charges		2461.5	85			Percent of total billed charges		2324.75	85			Percent of total billed charges		2324.75	85			Percent of total billed charges		2324.75	100			Percent of total billed charges		2735	100			Percent of total billed charges		2735	100			Percent of total billed charges		2735	33.3			Percent of total billed charges		910.755	33.3			Percent of total billed charges		910.755	100			Percent of total billed charges		2735	910.755	2461.5	
triathlon fem post augment 5mm 5543-a-300 stryker	278	RC	Outpatient			2735	1777.75		90			Percent of total billed charges		2461.5	40			Percent of total billed charges		1094	80			Percent of total billed charges		2188	90			Percent of total billed charges		2461.5	85			Percent of total billed charges		2324.75	85			Percent of total billed charges		2324.75	85			Percent of total billed charges		2324.75	100			Percent of total billed charges		2735	100			Percent of total billed charges		2735	100			Percent of total billed charges		2735	33.3			Percent of total billed charges		910.755	33.3			Percent of total billed charges		910.755	100			Percent of total billed charges		2735	910.755	2461.5	
triathlon fem post augment 5mm 5543-a-400 stryker	278	RC	Outpatient			2735	1777.75		90			Percent of total billed charges		2461.5	40			Percent of total billed charges		1094	80			Percent of total billed charges		2188	90			Percent of total billed charges		2461.5	85			Percent of total billed charges		2324.75	85			Percent of total billed charges		2324.75	85			Percent of total billed charges		2324.75	100			Percent of total billed charges		2735	100			Percent of total billed charges		2735	100			Percent of total billed charges		2735	33.3			Percent of total billed charges		910.755	33.3			Percent of total billed charges		910.755	100			Percent of total billed charges		2735	910.755	2461.5	
triathlon fem post augment 5mm 5543-a-500 stryker	278	RC	Outpatient			2735	1777.75		90			Percent of total billed charges		2461.5	40			Percent of total billed charges		1094	80			Percent of total billed charges		2188	90			Percent of total billed charges		2461.5	85			Percent of total billed charges		2324.75	85			Percent of total billed charges		2324.75	85			Percent of total billed charges		2324.75	100			Percent of total billed charges		2735	100			Percent of total billed charges		2735	100			Percent of total billed charges		2735	33.3			Percent of total billed charges		910.755	33.3			Percent of total billed charges		910.755	100			Percent of total billed charges		2735	910.755	2461.5	
sc-acufix thinline plate 1 seg 22mm 407-6022 abbott	278	RC	Outpatient			2738	1779.7		90			Percent of total billed charges		2464.2	40			Percent of total billed charges		1095.2	80			Percent of total billed charges		2190.4	90			Percent of total billed charges		2464.2	85			Percent of total billed charges		2327.3	85			Percent of total billed charges		2327.3	85			Percent of total billed charges		2327.3	100			Percent of total billed charges		2738	100			Percent of total billed charges		2738	100			Percent of total billed charges		2738	33.3			Percent of total billed charges		911.754	33.3			Percent of total billed charges		911.754	100			Percent of total billed charges		2738	911.754	2464.2	
sc-acufix thinline plate 1 seg 24mm 407-6024 abbott	278	RC	Outpatient			2738	1779.7		90			Percent of total billed charges		2464.2	40			Percent of total billed charges		1095.2	80			Percent of total billed charges		2190.4	90			Percent of total billed charges		2464.2	85			Percent of total billed charges		2327.3	85			Percent of total billed charges		2327.3	85			Percent of total billed charges		2327.3	100			Percent of total billed charges		2738	100			Percent of total billed charges		2738	100			Percent of total billed charges		2738	33.3			Percent of total billed charges		911.754	33.3			Percent of total billed charges		911.754	100			Percent of total billed charges		2738	911.754	2464.2	
sc-acufix thinline plate 1 seg 26mm 407-6026 abbott	278	RC	Outpatient			2738	1779.7		90			Percent of total billed charges		2464.2	40			Percent of total billed charges		1095.2	80			Percent of total billed charges		2190.4	90			Percent of total billed charges		2464.2	85			Percent of total billed charges		2327.3	85			Percent of total billed charges		2327.3	85			Percent of total billed charges		2327.3	100			Percent of total billed charges		2738	100			Percent of total billed charges		2738	100			Percent of total billed charges		2738	33.3			Percent of total billed charges		911.754	33.3			Percent of total billed charges		911.754	100			Percent of total billed charges		2738	911.754	2464.2	
sc-acufix thinline plate 1 seg 30mm 407-6030 abbott	278	RC	Outpatient			2738	1779.7		90			Percent of total billed charges		2464.2	40			Percent of total billed charges		1095.2	80			Percent of total billed charges		2190.4	90			Percent of total billed charges		2464.2	85			Percent of total billed charges		2327.3	85			Percent of total billed charges		2327.3	85			Percent of total billed charges		2327.3	100			Percent of total billed charges		2738	100			Percent of total billed charges		2738	100			Percent of total billed charges		2738	33.3			Percent of total billed charges		911.754	33.3			Percent of total billed charges		911.754	100			Percent of total billed charges		2738	911.754	2464.2	
sc-acufix thinline plate 1 seg 34mm 407-6034 abbott	278	RC	Outpatient			2738	1779.7		90			Percent of total billed charges		2464.2	40			Percent of total billed charges		1095.2	80			Percent of total billed charges		2190.4	90			Percent of total billed charges		2464.2	85			Percent of total billed charges		2327.3	85			Percent of total billed charges		2327.3	85			Percent of total billed charges		2327.3	100			Percent of total billed charges		2738	100			Percent of total billed charges		2738	100			Percent of total billed charges		2738	33.3			Percent of total billed charges		911.754	33.3			Percent of total billed charges		911.754	100			Percent of total billed charges		2738	911.754	2464.2	
sc-acufix thinline plate 1 seg 20mm 407-6020 abbott	278	RC	Outpatient			2738	1779.7		90			Percent of total billed charges		2464.2	40			Percent of total billed charges		1095.2	80			Percent of total billed charges		2190.4	90			Percent of total billed charges		2464.2	85			Percent of total billed charges		2327.3	85			Percent of total billed charges		2327.3	85			Percent of total billed charges		2327.3	100			Percent of total billed charges		2738	100			Percent of total billed charges		2738	100			Percent of total billed charges		2738	33.3			Percent of total billed charges		911.754	33.3			Percent of total billed charges		911.754	100			Percent of total billed charges		2738	911.754	2464.2	
sc-acufix thinline plate 1 seg 28mm 407-6028 abbott	278	RC	Outpatient			2738	1779.7		90			Percent of total billed charges		2464.2	40			Percent of total billed charges		1095.2	80			Percent of total billed charges		2190.4	90			Percent of total billed charges		2464.2	85			Percent of total billed charges		2327.3	85			Percent of total billed charges		2327.3	85			Percent of total billed charges		2327.3	100			Percent of total billed charges		2738	100			Percent of total billed charges		2738	100			Percent of total billed charges		2738	33.3			Percent of total billed charges		911.754	33.3			Percent of total billed charges		911.754	100			Percent of total billed charges		2738	911.754	2464.2	
sc-acufix thinline plate 1 seg 32mm 407-6032 abbott	278	RC	Outpatient			2738	1779.7		90			Percent of total billed charges		2464.2	40			Percent of total billed charges		1095.2	80			Percent of total billed charges		2190.4	90			Percent of total billed charges		2464.2	85			Percent of total billed charges		2327.3	85			Percent of total billed charges		2327.3	85			Percent of total billed charges		2327.3	100			Percent of total billed charges		2738	100			Percent of total billed charges		2738	100			Percent of total billed charges		2738	33.3			Percent of total billed charges		911.754	33.3			Percent of total billed charges		911.754	100			Percent of total billed charges		2738	911.754	2464.2	
thinline plt 1 seg	278	RC	Outpatient			2738	1779.7		90			Percent of total billed charges		2464.2	40			Percent of total billed charges		1095.2	80			Percent of total billed charges		2190.4	90			Percent of total billed charges		2464.2	85			Percent of total billed charges		2327.3	85			Percent of total billed charges		2327.3	85			Percent of total billed charges		2327.3	100			Percent of total billed charges		2738	100			Percent of total billed charges		2738	100			Percent of total billed charges		2738	33.3			Percent of total billed charges		911.754	33.3			Percent of total billed charges		911.754	100			Percent of total billed charges		2738	911.754	2464.2	
lg fr pl condylar bts 15h	278	RC	Outpatient			2740	1781		90			Percent of total billed charges		2466	40			Percent of total billed charges		1096	80			Percent of total billed charges		2192	90			Percent of total billed charges		2466	85			Percent of total billed charges		2329	85			Percent of total billed charges		2329	85			Percent of total billed charges		2329	100			Percent of total billed charges		2740	100			Percent of total billed charges		2740	100			Percent of total billed charges		2740	33.3			Percent of total billed charges		912.42	33.3			Percent of total billed charges		912.42	100			Percent of total billed charges		2740	912.42	2466	
s/n  lg frag  plate 15 hole  7114-2115	278	RC	Outpatient			2740	1781		90			Percent of total billed charges		2466	40			Percent of total billed charges		1096	80			Percent of total billed charges		2192	90			Percent of total billed charges		2466	85			Percent of total billed charges		2329	85			Percent of total billed charges		2329	85			Percent of total billed charges		2329	100			Percent of total billed charges		2740	100			Percent of total billed charges		2740	100			Percent of total billed charges		2740	33.3			Percent of total billed charges		912.42	33.3			Percent of total billed charges		912.42	100			Percent of total billed charges		2740	912.42	2466	
s/n lg frag  plate 15 hole  7114-2015	278	RC	Outpatient			2740	1781		90			Percent of total billed charges		2466	40			Percent of total billed charges		1096	80			Percent of total billed charges		2192	90			Percent of total billed charges		2466	85			Percent of total billed charges		2329	85			Percent of total billed charges		2329	85			Percent of total billed charges		2329	100			Percent of total billed charges		2740	100			Percent of total billed charges		2740	100			Percent of total billed charges		2740	33.3			Percent of total billed charges		912.42	33.3			Percent of total billed charges		912.42	100			Percent of total billed charges		2740	912.42	2466	
"synthes ext. fix.,small"	278	RC	Outpatient			2748	1786.2		90			Percent of total billed charges		2473.2	40			Percent of total billed charges		1099.2	80			Percent of total billed charges		2198.4	90			Percent of total billed charges		2473.2	85			Percent of total billed charges		2335.8	85			Percent of total billed charges		2335.8	85			Percent of total billed charges		2335.8	100			Percent of total billed charges		2748	100			Percent of total billed charges		2748	100			Percent of total billed charges		2748	33.3			Percent of total billed charges		915.084	33.3			Percent of total billed charges		915.084	100			Percent of total billed charges		2748	915.084	2473.2	
trap ease ivc filter	270	RC	Outpatient			2750	1787.5		90			Percent of total billed charges		2475	40			Percent of total billed charges		1100	80			Percent of total billed charges		2200	90			Percent of total billed charges		2475	85			Percent of total billed charges		2337.5	85			Percent of total billed charges		2337.5	85			Percent of total billed charges		2337.5	100			Percent of total billed charges		2750	100			Percent of total billed charges		2750	100			Percent of total billed charges		2750	33.3			Percent of total billed charges		915.75	33.3			Percent of total billed charges		915.75	100			Percent of total billed charges		2750	915.75	2475	
triathlon adapter offset	278	RC	Outpatient			2754	1790.1		90			Percent of total billed charges		2478.6	40			Percent of total billed charges		1101.6	80			Percent of total billed charges		2203.2	90			Percent of total billed charges		2478.6	85			Percent of total billed charges		2340.9	85			Percent of total billed charges		2340.9	85			Percent of total billed charges		2340.9	100			Percent of total billed charges		2754	100			Percent of total billed charges		2754	100			Percent of total billed charges		2754	33.3			Percent of total billed charges		917.082	33.3			Percent of total billed charges		917.082	100			Percent of total billed charges		2754	917.082	2478.6	
triathlon offset adapter 6mm 5570-s-060 stryker	278	RC	Outpatient			2754	1790.1		90			Percent of total billed charges		2478.6	40			Percent of total billed charges		1101.6	80			Percent of total billed charges		2203.2	90			Percent of total billed charges		2478.6	85			Percent of total billed charges		2340.9	85			Percent of total billed charges		2340.9	85			Percent of total billed charges		2340.9	100			Percent of total billed charges		2754	100			Percent of total billed charges		2754	100			Percent of total billed charges		2754	33.3			Percent of total billed charges		917.082	33.3			Percent of total billed charges		917.082	100			Percent of total billed charges		2754	917.082	2478.6	
triathlon offset adapter 2mm 5570-s-020 stryker	278	RC	Outpatient			2754	1790.1		90			Percent of total billed charges		2478.6	40			Percent of total billed charges		1101.6	80			Percent of total billed charges		2203.2	90			Percent of total billed charges		2478.6	85			Percent of total billed charges		2340.9	85			Percent of total billed charges		2340.9	85			Percent of total billed charges		2340.9	100			Percent of total billed charges		2754	100			Percent of total billed charges		2754	100			Percent of total billed charges		2754	33.3			Percent of total billed charges		917.082	33.3			Percent of total billed charges		917.082	100			Percent of total billed charges		2754	917.082	2478.6	
triathlon offset adapter 4mm 5570-s-040 stryker	278	RC	Outpatient			2754	1790.1		90			Percent of total billed charges		2478.6	40			Percent of total billed charges		1101.6	80			Percent of total billed charges		2203.2	90			Percent of total billed charges		2478.6	85			Percent of total billed charges		2340.9	85			Percent of total billed charges		2340.9	85			Percent of total billed charges		2340.9	100			Percent of total billed charges		2754	100			Percent of total billed charges		2754	100			Percent of total billed charges		2754	33.3			Percent of total billed charges		917.082	33.3			Percent of total billed charges		917.082	100			Percent of total billed charges		2754	917.082	2478.6	
comp plt 4.5mm 10 hl 71809310 s\n	278	RC	Outpatient			2758	1792.7		90			Percent of total billed charges		2482.2	40			Percent of total billed charges		1103.2	80			Percent of total billed charges		2206.4	90			Percent of total billed charges		2482.2	85			Percent of total billed charges		2344.3	85			Percent of total billed charges		2344.3	85			Percent of total billed charges		2344.3	100			Percent of total billed charges		2758	100			Percent of total billed charges		2758	100			Percent of total billed charges		2758	33.3			Percent of total billed charges		918.414	33.3			Percent of total billed charges		918.414	100			Percent of total billed charges		2758	918.414	2482.2	
comp plt 4.5mm 10 hl 71829310 s\n	278	RC	Outpatient			2758	1792.7		90			Percent of total billed charges		2482.2	40			Percent of total billed charges		1103.2	80			Percent of total billed charges		2206.4	90			Percent of total billed charges		2482.2	85			Percent of total billed charges		2344.3	85			Percent of total billed charges		2344.3	85			Percent of total billed charges		2344.3	100			Percent of total billed charges		2758	100			Percent of total billed charges		2758	100			Percent of total billed charges		2758	33.3			Percent of total billed charges		918.414	33.3			Percent of total billed charges		918.414	100			Percent of total billed charges		2758	918.414	2482.2	
radial prostesis-head	278	RC	Outpatient			2758	1792.7		90			Percent of total billed charges		2482.2	40			Percent of total billed charges		1103.2	80			Percent of total billed charges		2206.4	90			Percent of total billed charges		2482.2	85			Percent of total billed charges		2344.3	85			Percent of total billed charges		2344.3	85			Percent of total billed charges		2344.3	100			Percent of total billed charges		2758	100			Percent of total billed charges		2758	100			Percent of total billed charges		2758	33.3			Percent of total billed charges		918.414	33.3			Percent of total billed charges		918.414	100			Percent of total billed charges		2758	918.414	2482.2	
rhs-radial prosthesis head 22mm dtj303 tornier	278	RC	Outpatient			2758	1792.7		90			Percent of total billed charges		2482.2	40			Percent of total billed charges		1103.2	80			Percent of total billed charges		2206.4	90			Percent of total billed charges		2482.2	85			Percent of total billed charges		2344.3	85			Percent of total billed charges		2344.3	85			Percent of total billed charges		2344.3	100			Percent of total billed charges		2758	100			Percent of total billed charges		2758	100			Percent of total billed charges		2758	33.3			Percent of total billed charges		918.414	33.3			Percent of total billed charges		918.414	100			Percent of total billed charges		2758	918.414	2482.2	
siltex breast tissue expander 450cc 354-6213 mentor	272	RC	Outpatient			2758	1792.7		90			Percent of total billed charges		2482.2	40			Percent of total billed charges		1103.2	80			Percent of total billed charges		2206.4	90			Percent of total billed charges		2482.2	85			Percent of total billed charges		2344.3	85			Percent of total billed charges		2344.3	85			Percent of total billed charges		2344.3	100			Percent of total billed charges		2758	100			Percent of total billed charges		2758	100			Percent of total billed charges		2758	33.3			Percent of total billed charges		918.414	33.3			Percent of total billed charges		918.414	100			Percent of total billed charges		2758	918.414	2482.2	
tissue expander 450cc	272	RC	Outpatient			2758	1792.7		90			Percent of total billed charges		2482.2	40			Percent of total billed charges		1103.2	80			Percent of total billed charges		2206.4	90			Percent of total billed charges		2482.2	85			Percent of total billed charges		2344.3	85			Percent of total billed charges		2344.3	85			Percent of total billed charges		2344.3	100			Percent of total billed charges		2758	100			Percent of total billed charges		2758	100			Percent of total billed charges		2758	33.3			Percent of total billed charges		918.414	33.3			Percent of total billed charges		918.414	100			Percent of total billed charges		2758	918.414	2482.2	
s/n 4.5 lck comp pl 10 hl	278	RC	Outpatient			2758	1792.7		90			Percent of total billed charges		2482.2	40			Percent of total billed charges		1103.2	80			Percent of total billed charges		2206.4	90			Percent of total billed charges		2482.2	85			Percent of total billed charges		2344.3	85			Percent of total billed charges		2344.3	85			Percent of total billed charges		2344.3	100			Percent of total billed charges		2758	100			Percent of total billed charges		2758	100			Percent of total billed charges		2758	33.3			Percent of total billed charges		918.414	33.3			Percent of total billed charges		918.414	100			Percent of total billed charges		2758	918.414	2482.2	
siltex breast tissue expander 800cc 354-6216 mentor	278	RC	Outpatient			2758	1792.7		90			Percent of total billed charges		2482.2	40			Percent of total billed charges		1103.2	80			Percent of total billed charges		2206.4	90			Percent of total billed charges		2482.2	85			Percent of total billed charges		2344.3	85			Percent of total billed charges		2344.3	85			Percent of total billed charges		2344.3	100			Percent of total billed charges		2758	100			Percent of total billed charges		2758	100			Percent of total billed charges		2758	33.3			Percent of total billed charges		918.414	33.3			Percent of total billed charges		918.414	100			Percent of total billed charges		2758	918.414	2482.2	
tissue expander 800cc	278	RC	Outpatient			2758	1792.7		90			Percent of total billed charges		2482.2	40			Percent of total billed charges		1103.2	80			Percent of total billed charges		2206.4	90			Percent of total billed charges		2482.2	85			Percent of total billed charges		2344.3	85			Percent of total billed charges		2344.3	85			Percent of total billed charges		2344.3	100			Percent of total billed charges		2758	100			Percent of total billed charges		2758	100			Percent of total billed charges		2758	33.3			Percent of total billed charges		918.414	33.3			Percent of total billed charges		918.414	100			Percent of total billed charges		2758	918.414	2482.2	
tissue expander 650cc	278	RC	Outpatient			2763	1795.95		90			Percent of total billed charges		2486.7	40			Percent of total billed charges		1105.2	80			Percent of total billed charges		2210.4	90			Percent of total billed charges		2486.7	85			Percent of total billed charges		2348.55	85			Percent of total billed charges		2348.55	85			Percent of total billed charges		2348.55	100			Percent of total billed charges		2763	100			Percent of total billed charges		2763	100			Percent of total billed charges		2763	33.3			Percent of total billed charges		920.079	33.3			Percent of total billed charges		920.079	100			Percent of total billed charges		2763	920.079	2486.7	
siltex breast tissue expander 650cc 354-6215 mentor	278	RC	Outpatient			2763	1795.95		90			Percent of total billed charges		2486.7	40			Percent of total billed charges		1105.2	80			Percent of total billed charges		2210.4	90			Percent of total billed charges		2486.7	85			Percent of total billed charges		2348.55	85			Percent of total billed charges		2348.55	85			Percent of total billed charges		2348.55	100			Percent of total billed charges		2763	100			Percent of total billed charges		2763	100			Percent of total billed charges		2763	33.3			Percent of total billed charges		920.079	33.3			Percent of total billed charges		920.079	100			Percent of total billed charges		2763	920.079	2486.7	
depuy tib tray	278	RC	Outpatient			2764	1796.6		90			Percent of total billed charges		2487.6	40			Percent of total billed charges		1105.6	80			Percent of total billed charges		2211.2	90			Percent of total billed charges		2487.6	85			Percent of total billed charges		2349.4	85			Percent of total billed charges		2349.4	85			Percent of total billed charges		2349.4	100			Percent of total billed charges		2764	100			Percent of total billed charges		2764	100			Percent of total billed charges		2764	33.3			Percent of total billed charges		920.412	33.3			Percent of total billed charges		920.412	100			Percent of total billed charges		2764	920.412	2487.6	
eustachian tube balloon system 6 x 16mm eu061655 acclarent	272	RC	Outpatient			2764	1796.6		90			Percent of total billed charges		2487.6	40			Percent of total billed charges		1105.6	80			Percent of total billed charges		2211.2	90			Percent of total billed charges		2487.6	85			Percent of total billed charges		2349.4	85			Percent of total billed charges		2349.4	85			Percent of total billed charges		2349.4	100			Percent of total billed charges		2764	100			Percent of total billed charges		2764	100			Percent of total billed charges		2764	33.3			Percent of total billed charges		920.412	33.3			Percent of total billed charges		920.412	100			Percent of total billed charges		2764	920.412	2487.6	
depuy tibial tray sz 3 1581-30-000	278	RC	Outpatient			2764	1796.6		90			Percent of total billed charges		2487.6	40			Percent of total billed charges		1105.6	80			Percent of total billed charges		2211.2	90			Percent of total billed charges		2487.6	85			Percent of total billed charges		2349.4	85			Percent of total billed charges		2349.4	85			Percent of total billed charges		2349.4	100			Percent of total billed charges		2764	100			Percent of total billed charges		2764	100			Percent of total billed charges		2764	33.3			Percent of total billed charges		920.412	33.3			Percent of total billed charges		920.412	100			Percent of total billed charges		2764	920.412	2487.6	
equivabone 2.5cc	278	RC	Outpatient			2768	1799.2		90			Percent of total billed charges		2491.2	40			Percent of total billed charges		1107.2	80			Percent of total billed charges		2214.4	90			Percent of total billed charges		2491.2	85			Percent of total billed charges		2352.8	85			Percent of total billed charges		2352.8	85			Percent of total billed charges		2352.8	100			Percent of total billed charges		2768	100			Percent of total billed charges		2768	100			Percent of total billed charges		2768	33.3			Percent of total billed charges		921.744	33.3			Percent of total billed charges		921.744	100			Percent of total billed charges		2768	921.744	2491.2	
equivabone kit 2.5cc 76-6027 etex	278	RC	Outpatient			2768	1799.2		90			Percent of total billed charges		2491.2	40			Percent of total billed charges		1107.2	80			Percent of total billed charges		2214.4	90			Percent of total billed charges		2491.2	85			Percent of total billed charges		2352.8	85			Percent of total billed charges		2352.8	85			Percent of total billed charges		2352.8	100			Percent of total billed charges		2768	100			Percent of total billed charges		2768	100			Percent of total billed charges		2768	33.3			Percent of total billed charges		921.744	33.3			Percent of total billed charges		921.744	100			Percent of total billed charges		2768	921.744	2491.2	
j&j tibial insrt post.sta	278	RC	Outpatient			2768	1799.2		90			Percent of total billed charges		2491.2	40			Percent of total billed charges		1107.2	80			Percent of total billed charges		2214.4	90			Percent of total billed charges		2491.2	85			Percent of total billed charges		2352.8	85			Percent of total billed charges		2352.8	85			Percent of total billed charges		2352.8	100			Percent of total billed charges		2768	100			Percent of total billed charges		2768	100			Percent of total billed charges		2768	33.3			Percent of total billed charges		921.744	33.3			Percent of total billed charges		921.744	100			Percent of total billed charges		2768	921.744	2491.2	
lg fr pl buttress 13hl	278	RC	Outpatient			2769	1799.85		90			Percent of total billed charges		2492.1	40			Percent of total billed charges		1107.6	80			Percent of total billed charges		2215.2	90			Percent of total billed charges		2492.1	85			Percent of total billed charges		2353.65	85			Percent of total billed charges		2353.65	85			Percent of total billed charges		2353.65	100			Percent of total billed charges		2769	100			Percent of total billed charges		2769	100			Percent of total billed charges		2769	33.3			Percent of total billed charges		922.077	33.3			Percent of total billed charges		922.077	100			Percent of total billed charges		2769	922.077	2492.1	
s/n lg frag  plate 13 hole  7114-1013	278	RC	Outpatient			2769	1799.85		90			Percent of total billed charges		2492.1	40			Percent of total billed charges		1107.6	80			Percent of total billed charges		2215.2	90			Percent of total billed charges		2492.1	85			Percent of total billed charges		2353.65	85			Percent of total billed charges		2353.65	85			Percent of total billed charges		2353.65	100			Percent of total billed charges		2769	100			Percent of total billed charges		2769	100			Percent of total billed charges		2769	33.3			Percent of total billed charges		922.077	33.3			Percent of total billed charges		922.077	100			Percent of total billed charges		2769	922.077	2492.1	
s/n lg frag  plate 13 hole  7114-1113	278	RC	Outpatient			2769	1799.85		90			Percent of total billed charges		2492.1	40			Percent of total billed charges		1107.6	80			Percent of total billed charges		2215.2	90			Percent of total billed charges		2492.1	85			Percent of total billed charges		2353.65	85			Percent of total billed charges		2353.65	85			Percent of total billed charges		2353.65	100			Percent of total billed charges		2769	100			Percent of total billed charges		2769	100			Percent of total billed charges		2769	33.3			Percent of total billed charges		922.077	33.3			Percent of total billed charges		922.077	100			Percent of total billed charges		2769	922.077	2492.1	
bio e1 art head	278	RC	Outpatient			2772	1801.8		90			Percent of total billed charges		2494.8	40			Percent of total billed charges		1108.8	80			Percent of total billed charges		2217.6	90			Percent of total billed charges		2494.8	85			Percent of total billed charges		2356.2	85			Percent of total billed charges		2356.2	85			Percent of total billed charges		2356.2	100			Percent of total billed charges		2772	100			Percent of total billed charges		2772	100			Percent of total billed charges		2772	33.3			Percent of total billed charges		923.076	33.3			Percent of total billed charges		923.076	100			Percent of total billed charges		2772	923.076	2494.8	
distal anterolateral tibia 6-hole plate left 437406 stryker	278	RC	Outpatient			2772	1801.8		90			Percent of total billed charges		2494.8	40			Percent of total billed charges		1108.8	80			Percent of total billed charges		2217.6	90			Percent of total billed charges		2494.8	85			Percent of total billed charges		2356.2	85			Percent of total billed charges		2356.2	85			Percent of total billed charges		2356.2	100			Percent of total billed charges		2772	100			Percent of total billed charges		2772	100			Percent of total billed charges		2772	33.3			Percent of total billed charges		923.076	33.3			Percent of total billed charges		923.076	100			Percent of total billed charges		2772	923.076	2494.8	
e1 active articulation head 28 x 48mm ep-200154 biomet	278	RC	Outpatient			2772	1801.8		90			Percent of total billed charges		2494.8	40			Percent of total billed charges		1108.8	80			Percent of total billed charges		2217.6	90			Percent of total billed charges		2494.8	85			Percent of total billed charges		2356.2	85			Percent of total billed charges		2356.2	85			Percent of total billed charges		2356.2	100			Percent of total billed charges		2772	100			Percent of total billed charges		2772	100			Percent of total billed charges		2772	33.3			Percent of total billed charges		923.076	33.3			Percent of total billed charges		923.076	100			Percent of total billed charges		2772	923.076	2494.8	
e1 active articulation head 28 x 50mm ep-200156 biomet	278	RC	Outpatient			2772	1801.8		90			Percent of total billed charges		2494.8	40			Percent of total billed charges		1108.8	80			Percent of total billed charges		2217.6	90			Percent of total billed charges		2494.8	85			Percent of total billed charges		2356.2	85			Percent of total billed charges		2356.2	85			Percent of total billed charges		2356.2	100			Percent of total billed charges		2772	100			Percent of total billed charges		2772	100			Percent of total billed charges		2772	33.3			Percent of total billed charges		923.076	33.3			Percent of total billed charges		923.076	100			Percent of total billed charges		2772	923.076	2494.8	
e1 active articulation head 28 x 52mm ep-200158 biomet	278	RC	Outpatient			2772	1801.8		90			Percent of total billed charges		2494.8	40			Percent of total billed charges		1108.8	80			Percent of total billed charges		2217.6	90			Percent of total billed charges		2494.8	85			Percent of total billed charges		2356.2	85			Percent of total billed charges		2356.2	85			Percent of total billed charges		2356.2	100			Percent of total billed charges		2772	100			Percent of total billed charges		2772	100			Percent of total billed charges		2772	33.3			Percent of total billed charges		923.076	33.3			Percent of total billed charges		923.076	100			Percent of total billed charges		2772	923.076	2494.8	
e1 active articulation head 28 x 54mm ep-200160 biomet	278	RC	Outpatient			2772	1801.8		90			Percent of total billed charges		2494.8	40			Percent of total billed charges		1108.8	80			Percent of total billed charges		2217.6	90			Percent of total billed charges		2494.8	85			Percent of total billed charges		2356.2	85			Percent of total billed charges		2356.2	85			Percent of total billed charges		2356.2	100			Percent of total billed charges		2772	100			Percent of total billed charges		2772	100			Percent of total billed charges		2772	33.3			Percent of total billed charges		923.076	33.3			Percent of total billed charges		923.076	100			Percent of total billed charges		2772	923.076	2494.8	
e1 active articulation head 28 x 56mm ep-200162 biomet	278	RC	Outpatient			2772	1801.8		90			Percent of total billed charges		2494.8	40			Percent of total billed charges		1108.8	80			Percent of total billed charges		2217.6	90			Percent of total billed charges		2494.8	85			Percent of total billed charges		2356.2	85			Percent of total billed charges		2356.2	85			Percent of total billed charges		2356.2	100			Percent of total billed charges		2772	100			Percent of total billed charges		2772	100			Percent of total billed charges		2772	33.3			Percent of total billed charges		923.076	33.3			Percent of total billed charges		923.076	100			Percent of total billed charges		2772	923.076	2494.8	
e1 active articulation head 28 x 58mm ep-200164 biomet	278	RC	Outpatient			2772	1801.8		90			Percent of total billed charges		2494.8	40			Percent of total billed charges		1108.8	80			Percent of total billed charges		2217.6	90			Percent of total billed charges		2494.8	85			Percent of total billed charges		2356.2	85			Percent of total billed charges		2356.2	85			Percent of total billed charges		2356.2	100			Percent of total billed charges		2772	100			Percent of total billed charges		2772	100			Percent of total billed charges		2772	33.3			Percent of total billed charges		923.076	33.3			Percent of total billed charges		923.076	100			Percent of total billed charges		2772	923.076	2494.8	
distal anterolateral tibia 6-hole plate right 437426 stryker	278	RC	Outpatient			2772	1801.8		90			Percent of total billed charges		2494.8	40			Percent of total billed charges		1108.8	80			Percent of total billed charges		2217.6	90			Percent of total billed charges		2494.8	85			Percent of total billed charges		2356.2	85			Percent of total billed charges		2356.2	85			Percent of total billed charges		2356.2	100			Percent of total billed charges		2772	100			Percent of total billed charges		2772	100			Percent of total billed charges		2772	33.3			Percent of total billed charges		923.076	33.3			Percent of total billed charges		923.076	100			Percent of total billed charges		2772	923.076	2494.8	
e1 active articulation head 28 x 42mm ep-200148 biomet	278	RC	Outpatient			2772	1801.8		90			Percent of total billed charges		2494.8	40			Percent of total billed charges		1108.8	80			Percent of total billed charges		2217.6	90			Percent of total billed charges		2494.8	85			Percent of total billed charges		2356.2	85			Percent of total billed charges		2356.2	85			Percent of total billed charges		2356.2	100			Percent of total billed charges		2772	100			Percent of total billed charges		2772	100			Percent of total billed charges		2772	33.3			Percent of total billed charges		923.076	33.3			Percent of total billed charges		923.076	100			Percent of total billed charges		2772	923.076	2494.8	
e1 active articulation head 28 x 44mm ep-200150 biomet	278	RC	Outpatient			2772	1801.8		90			Percent of total billed charges		2494.8	40			Percent of total billed charges		1108.8	80			Percent of total billed charges		2217.6	90			Percent of total billed charges		2494.8	85			Percent of total billed charges		2356.2	85			Percent of total billed charges		2356.2	85			Percent of total billed charges		2356.2	100			Percent of total billed charges		2772	100			Percent of total billed charges		2772	100			Percent of total billed charges		2772	33.3			Percent of total billed charges		923.076	33.3			Percent of total billed charges		923.076	100			Percent of total billed charges		2772	923.076	2494.8	
e1 active articulation head 28 x 60mm ep-200166 biomet	278	RC	Outpatient			2772	1801.8		90			Percent of total billed charges		2494.8	40			Percent of total billed charges		1108.8	80			Percent of total billed charges		2217.6	90			Percent of total billed charges		2494.8	85			Percent of total billed charges		2356.2	85			Percent of total billed charges		2356.2	85			Percent of total billed charges		2356.2	100			Percent of total billed charges		2772	100			Percent of total billed charges		2772	100			Percent of total billed charges		2772	33.3			Percent of total billed charges		923.076	33.3			Percent of total billed charges		923.076	100			Percent of total billed charges		2772	923.076	2494.8	
legion revision tibial baseplate sz 4 left 71424004 s/n	278	RC	Outpatient			2772	1801.8		90			Percent of total billed charges		2494.8	40			Percent of total billed charges		1108.8	80			Percent of total billed charges		2217.6	90			Percent of total billed charges		2494.8	85			Percent of total billed charges		2356.2	85			Percent of total billed charges		2356.2	85			Percent of total billed charges		2356.2	100			Percent of total billed charges		2772	100			Percent of total billed charges		2772	100			Percent of total billed charges		2772	33.3			Percent of total billed charges		923.076	33.3			Percent of total billed charges		923.076	100			Percent of total billed charges		2772	923.076	2494.8	
"legion revision tibial baseplate size 2, left s/n 71424002"	278	RC	Outpatient			2772	1801.8		90			Percent of total billed charges		2494.8	40			Percent of total billed charges		1108.8	80			Percent of total billed charges		2217.6	90			Percent of total billed charges		2494.8	85			Percent of total billed charges		2356.2	85			Percent of total billed charges		2356.2	85			Percent of total billed charges		2356.2	100			Percent of total billed charges		2772	100			Percent of total billed charges		2772	100			Percent of total billed charges		2772	33.3			Percent of total billed charges		923.076	33.3			Percent of total billed charges		923.076	100			Percent of total billed charges		2772	923.076	2494.8	
legion revision tibial baseplate sz 7 left 71424007 s/n	278	RC	Outpatient			2772	1801.8		90			Percent of total billed charges		2494.8	40			Percent of total billed charges		1108.8	80			Percent of total billed charges		2217.6	90			Percent of total billed charges		2494.8	85			Percent of total billed charges		2356.2	85			Percent of total billed charges		2356.2	85			Percent of total billed charges		2356.2	100			Percent of total billed charges		2772	100			Percent of total billed charges		2772	100			Percent of total billed charges		2772	33.3			Percent of total billed charges		923.076	33.3			Percent of total billed charges		923.076	100			Percent of total billed charges		2772	923.076	2494.8	
legion revision tibial baseplate sz 8 left 71424008 s/n	278	RC	Outpatient			2772	1801.8		90			Percent of total billed charges		2494.8	40			Percent of total billed charges		1108.8	80			Percent of total billed charges		2217.6	90			Percent of total billed charges		2494.8	85			Percent of total billed charges		2356.2	85			Percent of total billed charges		2356.2	85			Percent of total billed charges		2356.2	100			Percent of total billed charges		2772	100			Percent of total billed charges		2772	100			Percent of total billed charges		2772	33.3			Percent of total billed charges		923.076	33.3			Percent of total billed charges		923.076	100			Percent of total billed charges		2772	923.076	2494.8	
stryker dist al tib pl 6h	278	RC	Outpatient			2772	1801.8		90			Percent of total billed charges		2494.8	40			Percent of total billed charges		1108.8	80			Percent of total billed charges		2217.6	90			Percent of total billed charges		2494.8	85			Percent of total billed charges		2356.2	85			Percent of total billed charges		2356.2	85			Percent of total billed charges		2356.2	100			Percent of total billed charges		2772	100			Percent of total billed charges		2772	100			Percent of total billed charges		2772	33.3			Percent of total billed charges		923.076	33.3			Percent of total billed charges		923.076	100			Percent of total billed charges		2772	923.076	2494.8	
xpress	272	RC	Outpatient			2772	1801.8		90			Percent of total billed charges		2494.8	40			Percent of total billed charges		1108.8	80			Percent of total billed charges		2217.6	90			Percent of total billed charges		2494.8	85			Percent of total billed charges		2356.2	85			Percent of total billed charges		2356.2	85			Percent of total billed charges		2356.2	100			Percent of total billed charges		2772	100			Percent of total billed charges		2772	100			Percent of total billed charges		2772	33.3			Percent of total billed charges		923.076	33.3			Percent of total billed charges		923.076	100			Percent of total billed charges		2772	923.076	2494.8	
anesthesia time 11 hours	270	RC	Outpatient			2774	1803.1		90			Percent of total billed charges		2496.6	40			Percent of total billed charges		1109.6	80			Percent of total billed charges		2219.2	90			Percent of total billed charges		2496.6	85			Percent of total billed charges		2357.9	85			Percent of total billed charges		2357.9	85			Percent of total billed charges		2357.9	100			Percent of total billed charges		2774	100			Percent of total billed charges		2774	100			Percent of total billed charges		2774	33.3			Percent of total billed charges		923.742	33.3			Percent of total billed charges		923.742	100			Percent of total billed charges		2774	923.742	2496.6	
triathlon prim tib baseplate 5520-b-600 stryker	278	RC	Outpatient			2775	1803.75		90			Percent of total billed charges		2497.5	40			Percent of total billed charges		1110	80			Percent of total billed charges		2220	90			Percent of total billed charges		2497.5	85			Percent of total billed charges		2358.75	85			Percent of total billed charges		2358.75	85			Percent of total billed charges		2358.75	100			Percent of total billed charges		2775	100			Percent of total billed charges		2775	100			Percent of total billed charges		2775	33.3			Percent of total billed charges		924.075	33.3			Percent of total billed charges		924.075	100			Percent of total billed charges		2775	924.075	2497.5	
triathlon prim tib baseplate 5520-b-700 stryker	278	RC	Outpatient			2775	1803.75		90			Percent of total billed charges		2497.5	40			Percent of total billed charges		1110	80			Percent of total billed charges		2220	90			Percent of total billed charges		2497.5	85			Percent of total billed charges		2358.75	85			Percent of total billed charges		2358.75	85			Percent of total billed charges		2358.75	100			Percent of total billed charges		2775	100			Percent of total billed charges		2775	100			Percent of total billed charges		2775	33.3			Percent of total billed charges		924.075	33.3			Percent of total billed charges		924.075	100			Percent of total billed charges		2775	924.075	2497.5	
triathlon prim tib baseplate sz 1 5520-b-100 stryker	278	RC	Outpatient			2775	1803.75		90			Percent of total billed charges		2497.5	40			Percent of total billed charges		1110	80			Percent of total billed charges		2220	90			Percent of total billed charges		2497.5	85			Percent of total billed charges		2358.75	85			Percent of total billed charges		2358.75	85			Percent of total billed charges		2358.75	100			Percent of total billed charges		2775	100			Percent of total billed charges		2775	100			Percent of total billed charges		2775	33.3			Percent of total billed charges		924.075	33.3			Percent of total billed charges		924.075	100			Percent of total billed charges		2775	924.075	2497.5	
triathlon prim tib baseplate 5520-b-300 stryker	278	RC	Outpatient			2775	1803.75		90			Percent of total billed charges		2497.5	40			Percent of total billed charges		1110	80			Percent of total billed charges		2220	90			Percent of total billed charges		2497.5	85			Percent of total billed charges		2358.75	85			Percent of total billed charges		2358.75	85			Percent of total billed charges		2358.75	100			Percent of total billed charges		2775	100			Percent of total billed charges		2775	100			Percent of total billed charges		2775	33.3			Percent of total billed charges		924.075	33.3			Percent of total billed charges		924.075	100			Percent of total billed charges		2775	924.075	2497.5	
triathlon prim tib baseplate 5520-b-400 stryker	278	RC	Outpatient			2775	1803.75		90			Percent of total billed charges		2497.5	40			Percent of total billed charges		1110	80			Percent of total billed charges		2220	90			Percent of total billed charges		2497.5	85			Percent of total billed charges		2358.75	85			Percent of total billed charges		2358.75	85			Percent of total billed charges		2358.75	100			Percent of total billed charges		2775	100			Percent of total billed charges		2775	100			Percent of total billed charges		2775	33.3			Percent of total billed charges		924.075	33.3			Percent of total billed charges		924.075	100			Percent of total billed charges		2775	924.075	2497.5	
triathlon prim tib baseplate 5520-b-500 stryker	278	RC	Outpatient			2775	1803.75		90			Percent of total billed charges		2497.5	40			Percent of total billed charges		1110	80			Percent of total billed charges		2220	90			Percent of total billed charges		2497.5	85			Percent of total billed charges		2358.75	85			Percent of total billed charges		2358.75	85			Percent of total billed charges		2358.75	100			Percent of total billed charges		2775	100			Percent of total billed charges		2775	100			Percent of total billed charges		2775	33.3			Percent of total billed charges		924.075	33.3			Percent of total billed charges		924.075	100			Percent of total billed charges		2775	924.075	2497.5	
triathlon prim tib baseplate 5520-b-800 stryker	278	RC	Outpatient			2775	1803.75		90			Percent of total billed charges		2497.5	40			Percent of total billed charges		1110	80			Percent of total billed charges		2220	90			Percent of total billed charges		2497.5	85			Percent of total billed charges		2358.75	85			Percent of total billed charges		2358.75	85			Percent of total billed charges		2358.75	100			Percent of total billed charges		2775	100			Percent of total billed charges		2775	100			Percent of total billed charges		2775	33.3			Percent of total billed charges		924.075	33.3			Percent of total billed charges		924.075	100			Percent of total billed charges		2775	924.075	2497.5	
triathlon tib comp	278	RC	Outpatient			2775	1803.75		90			Percent of total billed charges		2497.5	40			Percent of total billed charges		1110	80			Percent of total billed charges		2220	90			Percent of total billed charges		2497.5	85			Percent of total billed charges		2358.75	85			Percent of total billed charges		2358.75	85			Percent of total billed charges		2358.75	100			Percent of total billed charges		2775	100			Percent of total billed charges		2775	100			Percent of total billed charges		2775	33.3			Percent of total billed charges		924.075	33.3			Percent of total billed charges		924.075	100			Percent of total billed charges		2775	924.075	2497.5	
bio tib pl ibeam	278	RC	Outpatient			2777	1805.05		90			Percent of total billed charges		2499.3	40			Percent of total billed charges		1110.8	80			Percent of total billed charges		2221.6	90			Percent of total billed charges		2499.3	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	33.3			Percent of total billed charges		924.741	33.3			Percent of total billed charges		924.741	100			Percent of total billed charges		2777	924.741	2499.3	
biomet m/h 3 hole shell 40mm 12-104140	278	RC	Outpatient			2777	1805.05		90			Percent of total billed charges		2499.3	40			Percent of total billed charges		1110.8	80			Percent of total billed charges		2221.6	90			Percent of total billed charges		2499.3	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	33.3			Percent of total billed charges		924.741	33.3			Percent of total billed charges		924.741	100			Percent of total billed charges		2777	924.741	2499.3	
biomet m/h 3 hole shell 42mm 12-104142	278	RC	Outpatient			2777	1805.05		90			Percent of total billed charges		2499.3	40			Percent of total billed charges		1110.8	80			Percent of total billed charges		2221.6	90			Percent of total billed charges		2499.3	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	33.3			Percent of total billed charges		924.741	33.3			Percent of total billed charges		924.741	100			Percent of total billed charges		2777	924.741	2499.3	
biomet m/h 3 hole shell 54mm 12-104154	278	RC	Outpatient			2777	1805.05		90			Percent of total billed charges		2499.3	40			Percent of total billed charges		1110.8	80			Percent of total billed charges		2221.6	90			Percent of total billed charges		2499.3	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	33.3			Percent of total billed charges		924.741	33.3			Percent of total billed charges		924.741	100			Percent of total billed charges		2777	924.741	2499.3	
biomet m/h 3 hole shell 56mm 12-104156	278	RC	Outpatient			2777	1805.05		90			Percent of total billed charges		2499.3	40			Percent of total billed charges		1110.8	80			Percent of total billed charges		2221.6	90			Percent of total billed charges		2499.3	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	33.3			Percent of total billed charges		924.741	33.3			Percent of total billed charges		924.741	100			Percent of total billed charges		2777	924.741	2499.3	
biomet m/h 3 hole shell 60mm 12-104160	278	RC	Outpatient			2777	1805.05		90			Percent of total billed charges		2499.3	40			Percent of total billed charges		1110.8	80			Percent of total billed charges		2221.6	90			Percent of total billed charges		2499.3	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	33.3			Percent of total billed charges		924.741	33.3			Percent of total billed charges		924.741	100			Percent of total billed charges		2777	924.741	2499.3	
biomet m/h 3 hole shell 70mm 12-104170	278	RC	Outpatient			2777	1805.05		90			Percent of total billed charges		2499.3	40			Percent of total billed charges		1110.8	80			Percent of total billed charges		2221.6	90			Percent of total billed charges		2499.3	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	33.3			Percent of total billed charges		924.741	33.3			Percent of total billed charges		924.741	100			Percent of total billed charges		2777	924.741	2499.3	
biomet m/h 3 hole shell 74mm 12-104174	278	RC	Outpatient			2777	1805.05		90			Percent of total billed charges		2499.3	40			Percent of total billed charges		1110.8	80			Percent of total billed charges		2221.6	90			Percent of total billed charges		2499.3	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	33.3			Percent of total billed charges		924.741	33.3			Percent of total billed charges		924.741	100			Percent of total billed charges		2777	924.741	2499.3	
biomet m/h 3 hole shell 80mm 12-104180	278	RC	Outpatient			2777	1805.05		90			Percent of total billed charges		2499.3	40			Percent of total billed charges		1110.8	80			Percent of total billed charges		2221.6	90			Percent of total billed charges		2499.3	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	33.3			Percent of total billed charges		924.741	33.3			Percent of total billed charges		924.741	100			Percent of total billed charges		2777	924.741	2499.3	
biomet m/h radial 3 hole cup 56mm 12-104156	278	RC	Outpatient			2777	1805.05		90			Percent of total billed charges		2499.3	40			Percent of total billed charges		1110.8	80			Percent of total billed charges		2221.6	90			Percent of total billed charges		2499.3	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	33.3			Percent of total billed charges		924.741	33.3			Percent of total billed charges		924.741	100			Percent of total billed charges		2777	924.741	2499.3	
biomet m/h radial cup 46mm 12-104146	278	RC	Outpatient			2777	1805.05		90			Percent of total billed charges		2499.3	40			Percent of total billed charges		1110.8	80			Percent of total billed charges		2221.6	90			Percent of total billed charges		2499.3	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	33.3			Percent of total billed charges		924.741	33.3			Percent of total billed charges		924.741	100			Percent of total billed charges		2777	924.741	2499.3	
bio m/h 3hole shell	278	RC	Outpatient			2777	1805.05		90			Percent of total billed charges		2499.3	40			Percent of total billed charges		1110.8	80			Percent of total billed charges		2221.6	90			Percent of total billed charges		2499.3	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	33.3			Percent of total billed charges		924.741	33.3			Percent of total billed charges		924.741	100			Percent of total billed charges		2777	924.741	2499.3	
bio m/h 4 fin shell	278	RC	Outpatient			2777	1805.05		90			Percent of total billed charges		2499.3	40			Percent of total billed charges		1110.8	80			Percent of total billed charges		2221.6	90			Percent of total billed charges		2499.3	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	33.3			Percent of total billed charges		924.741	33.3			Percent of total billed charges		924.741	100			Percent of total billed charges		2777	924.741	2499.3	
biomet m/h 3 hole shell 44mm 12-104144	278	RC	Outpatient			2777	1805.05		90			Percent of total billed charges		2499.3	40			Percent of total billed charges		1110.8	80			Percent of total billed charges		2221.6	90			Percent of total billed charges		2499.3	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	33.3			Percent of total billed charges		924.741	33.3			Percent of total billed charges		924.741	100			Percent of total billed charges		2777	924.741	2499.3	
biomet m/h 3 hole shell 48mm 12-104148	278	RC	Outpatient			2777	1805.05		90			Percent of total billed charges		2499.3	40			Percent of total billed charges		1110.8	80			Percent of total billed charges		2221.6	90			Percent of total billed charges		2499.3	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	33.3			Percent of total billed charges		924.741	33.3			Percent of total billed charges		924.741	100			Percent of total billed charges		2777	924.741	2499.3	
biomet m/h 3 hole shell 58mm 12-104158	278	RC	Outpatient			2777	1805.05		90			Percent of total billed charges		2499.3	40			Percent of total billed charges		1110.8	80			Percent of total billed charges		2221.6	90			Percent of total billed charges		2499.3	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	33.3			Percent of total billed charges		924.741	33.3			Percent of total billed charges		924.741	100			Percent of total billed charges		2777	924.741	2499.3	
biomet m/h 3 hole shell 62mm 12-104162	278	RC	Outpatient			2777	1805.05		90			Percent of total billed charges		2499.3	40			Percent of total billed charges		1110.8	80			Percent of total billed charges		2221.6	90			Percent of total billed charges		2499.3	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	33.3			Percent of total billed charges		924.741	33.3			Percent of total billed charges		924.741	100			Percent of total billed charges		2777	924.741	2499.3	
biomet m/h 3 hole shell 64mm 12-104164	278	RC	Outpatient			2777	1805.05		90			Percent of total billed charges		2499.3	40			Percent of total billed charges		1110.8	80			Percent of total billed charges		2221.6	90			Percent of total billed charges		2499.3	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	33.3			Percent of total billed charges		924.741	33.3			Percent of total billed charges		924.741	100			Percent of total billed charges		2777	924.741	2499.3	
biomet m/h 3 hole shell 66mm 12-104166	278	RC	Outpatient			2777	1805.05		90			Percent of total billed charges		2499.3	40			Percent of total billed charges		1110.8	80			Percent of total billed charges		2221.6	90			Percent of total billed charges		2499.3	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	33.3			Percent of total billed charges		924.741	33.3			Percent of total billed charges		924.741	100			Percent of total billed charges		2777	924.741	2499.3	
biomet m/h 3 hole shell 68mm 12-104168	278	RC	Outpatient			2777	1805.05		90			Percent of total billed charges		2499.3	40			Percent of total billed charges		1110.8	80			Percent of total billed charges		2221.6	90			Percent of total billed charges		2499.3	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	33.3			Percent of total billed charges		924.741	33.3			Percent of total billed charges		924.741	100			Percent of total billed charges		2777	924.741	2499.3	
biomet m/h 3 hole shell 72mm 12-104172	278	RC	Outpatient			2777	1805.05		90			Percent of total billed charges		2499.3	40			Percent of total billed charges		1110.8	80			Percent of total billed charges		2221.6	90			Percent of total billed charges		2499.3	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	33.3			Percent of total billed charges		924.741	33.3			Percent of total billed charges		924.741	100			Percent of total billed charges		2777	924.741	2499.3	
biomet m/h 3 hole shell 76mm 12-104176	278	RC	Outpatient			2777	1805.05		90			Percent of total billed charges		2499.3	40			Percent of total billed charges		1110.8	80			Percent of total billed charges		2221.6	90			Percent of total billed charges		2499.3	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	33.3			Percent of total billed charges		924.741	33.3			Percent of total billed charges		924.741	100			Percent of total billed charges		2777	924.741	2499.3	
biomet m/h 3 hole shell 78mm 12-104178	278	RC	Outpatient			2777	1805.05		90			Percent of total billed charges		2499.3	40			Percent of total billed charges		1110.8	80			Percent of total billed charges		2221.6	90			Percent of total billed charges		2499.3	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	33.3			Percent of total billed charges		924.741	33.3			Percent of total billed charges		924.741	100			Percent of total billed charges		2777	924.741	2499.3	
biomet m/h radial cup 50mm 12-104150	278	RC	Outpatient			2777	1805.05		90			Percent of total billed charges		2499.3	40			Percent of total billed charges		1110.8	80			Percent of total billed charges		2221.6	90			Percent of total billed charges		2499.3	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	33.3			Percent of total billed charges		924.741	33.3			Percent of total billed charges		924.741	100			Percent of total billed charges		2777	924.741	2499.3	
fixed ibeam tibial plate 63mm 141221 biomet	278	RC	Outpatient			2777	1805.05		90			Percent of total billed charges		2499.3	40			Percent of total billed charges		1110.8	80			Percent of total billed charges		2221.6	90			Percent of total billed charges		2499.3	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	33.3			Percent of total billed charges		924.741	33.3			Percent of total billed charges		924.741	100			Percent of total billed charges		2777	924.741	2499.3	
fixed ibeam tibial plate 67mm 141222 biomet	278	RC	Outpatient			2777	1805.05		90			Percent of total billed charges		2499.3	40			Percent of total billed charges		1110.8	80			Percent of total billed charges		2221.6	90			Percent of total billed charges		2499.3	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	33.3			Percent of total billed charges		924.741	33.3			Percent of total billed charges		924.741	100			Percent of total billed charges		2777	924.741	2499.3	
fixed ibeam tibial plate 75mm 141224 biomet	278	RC	Outpatient			2777	1805.05		90			Percent of total billed charges		2499.3	40			Percent of total billed charges		1110.8	80			Percent of total billed charges		2221.6	90			Percent of total billed charges		2499.3	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	33.3			Percent of total billed charges		924.741	33.3			Percent of total billed charges		924.741	100			Percent of total billed charges		2777	924.741	2499.3	
fixed ibeam tibial plate 71mm 141223 biomet	278	RC	Outpatient			2777	1805.05		90			Percent of total billed charges		2499.3	40			Percent of total billed charges		1110.8	80			Percent of total billed charges		2221.6	90			Percent of total billed charges		2499.3	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	33.3			Percent of total billed charges		924.741	33.3			Percent of total billed charges		924.741	100			Percent of total billed charges		2777	924.741	2499.3	
fixed ibeam tibial plate 79mm 141225 biomet	278	RC	Outpatient			2777	1805.05		90			Percent of total billed charges		2499.3	40			Percent of total billed charges		1110.8	80			Percent of total billed charges		2221.6	90			Percent of total billed charges		2499.3	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	33.3			Percent of total billed charges		924.741	33.3			Percent of total billed charges		924.741	100			Percent of total billed charges		2777	924.741	2499.3	
fixed ibeam tibial plate 83mm 141226 biomet	278	RC	Outpatient			2777	1805.05		90			Percent of total billed charges		2499.3	40			Percent of total billed charges		1110.8	80			Percent of total billed charges		2221.6	90			Percent of total billed charges		2499.3	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	33.3			Percent of total billed charges		924.741	33.3			Percent of total billed charges		924.741	100			Percent of total billed charges		2777	924.741	2499.3	
m/h 3hole 4 fin shell 50mm/l23  13-104150 biomet	278	RC	Outpatient			2777	1805.05		90			Percent of total billed charges		2499.3	40			Percent of total billed charges		1110.8	80			Percent of total billed charges		2221.6	90			Percent of total billed charges		2499.3	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	33.3			Percent of total billed charges		924.741	33.3			Percent of total billed charges		924.741	100			Percent of total billed charges		2777	924.741	2499.3	
m/h 3hole 4 fin shell 58mm/l25  13-104158 biomet	278	RC	Outpatient			2777	1805.05		90			Percent of total billed charges		2499.3	40			Percent of total billed charges		1110.8	80			Percent of total billed charges		2221.6	90			Percent of total billed charges		2499.3	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	33.3			Percent of total billed charges		924.741	33.3			Percent of total billed charges		924.741	100			Percent of total billed charges		2777	924.741	2499.3	
mh acetabular shell 52mm 12-104152 biomet	278	RC	Outpatient			2777	1805.05		90			Percent of total billed charges		2499.3	40			Percent of total billed charges		1110.8	80			Percent of total billed charges		2221.6	90			Percent of total billed charges		2499.3	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	33.3			Percent of total billed charges		924.741	33.3			Percent of total billed charges		924.741	100			Percent of total billed charges		2777	924.741	2499.3	
m/h 3hole 4 fin shell 56mm/l24  13-104156 biomet	278	RC	Outpatient			2777	1805.05		90			Percent of total billed charges		2499.3	40			Percent of total billed charges		1110.8	80			Percent of total billed charges		2221.6	90			Percent of total billed charges		2499.3	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	33.3			Percent of total billed charges		924.741	33.3			Percent of total billed charges		924.741	100			Percent of total billed charges		2777	924.741	2499.3	
m/h 3hole rlc shell nrs 52mm/l23 13-104152 biomet	278	RC	Outpatient			2777	1805.05		90			Percent of total billed charges		2499.3	40			Percent of total billed charges		1110.8	80			Percent of total billed charges		2221.6	90			Percent of total billed charges		2499.3	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	33.3			Percent of total billed charges		924.741	33.3			Percent of total billed charges		924.741	100			Percent of total billed charges		2777	924.741	2499.3	
m/h 3hole rlc shell nrs 54mm/l24 13-104154 biomet	278	RC	Outpatient			2777	1805.05		90			Percent of total billed charges		2499.3	40			Percent of total billed charges		1110.8	80			Percent of total billed charges		2221.6	90			Percent of total billed charges		2499.3	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	33.3			Percent of total billed charges		924.741	33.3			Percent of total billed charges		924.741	100			Percent of total billed charges		2777	924.741	2499.3	
m/h 3hole rlc shell nrs 60mm/l25 13-104160 biomet	278	RC	Outpatient			2777	1805.05		90			Percent of total billed charges		2499.3	40			Percent of total billed charges		1110.8	80			Percent of total billed charges		2221.6	90			Percent of total billed charges		2499.3	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	33.3			Percent of total billed charges		924.741	33.3			Percent of total billed charges		924.741	100			Percent of total billed charges		2777	924.741	2499.3	
st jude med-iso hd1944/46	278	RC	Outpatient			2777	1805.05		90			Percent of total billed charges		2499.3	40			Percent of total billed charges		1110.8	80			Percent of total billed charges		2221.6	90			Percent of total billed charges		2499.3	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	85			Percent of total billed charges		2360.45	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	100			Percent of total billed charges		2777	33.3			Percent of total billed charges		924.741	33.3			Percent of total billed charges		924.741	100			Percent of total billed charges		2777	924.741	2499.3	
bio 28mm offset fem head	278	RC	Outpatient			2782	1808.3		90			Percent of total billed charges		2503.8	40			Percent of total billed charges		1112.8	80			Percent of total billed charges		2225.6	90			Percent of total billed charges		2503.8	85			Percent of total billed charges		2364.7	85			Percent of total billed charges		2364.7	85			Percent of total billed charges		2364.7	100			Percent of total billed charges		2782	100			Percent of total billed charges		2782	100			Percent of total billed charges		2782	33.3			Percent of total billed charges		926.406	33.3			Percent of total billed charges		926.406	100			Percent of total billed charges		2782	926.406	2503.8	
biomet 28mm  femoral head plus 3mm 163222	278	RC	Outpatient			2782	1808.3		90			Percent of total billed charges		2503.8	40			Percent of total billed charges		1112.8	80			Percent of total billed charges		2225.6	90			Percent of total billed charges		2503.8	85			Percent of total billed charges		2364.7	85			Percent of total billed charges		2364.7	85			Percent of total billed charges		2364.7	100			Percent of total billed charges		2782	100			Percent of total billed charges		2782	100			Percent of total billed charges		2782	33.3			Percent of total billed charges		926.406	33.3			Percent of total billed charges		926.406	100			Percent of total billed charges		2782	926.406	2503.8	
biomet 28mm  femoral head plus 6mm 163223	278	RC	Outpatient			2782	1808.3		90			Percent of total billed charges		2503.8	40			Percent of total billed charges		1112.8	80			Percent of total billed charges		2225.6	90			Percent of total billed charges		2503.8	85			Percent of total billed charges		2364.7	85			Percent of total billed charges		2364.7	85			Percent of total billed charges		2364.7	100			Percent of total billed charges		2782	100			Percent of total billed charges		2782	100			Percent of total billed charges		2782	33.3			Percent of total billed charges		926.406	33.3			Percent of total billed charges		926.406	100			Percent of total billed charges		2782	926.406	2503.8	
biomet 28mm offset femoral head 163221	278	RC	Outpatient			2782	1808.3		90			Percent of total billed charges		2503.8	40			Percent of total billed charges		1112.8	80			Percent of total billed charges		2225.6	90			Percent of total billed charges		2503.8	85			Percent of total billed charges		2364.7	85			Percent of total billed charges		2364.7	85			Percent of total billed charges		2364.7	100			Percent of total billed charges		2782	100			Percent of total billed charges		2782	100			Percent of total billed charges		2782	33.3			Percent of total billed charges		926.406	33.3			Percent of total billed charges		926.406	100			Percent of total billed charges		2782	926.406	2503.8	
head offset 163220 biomet	278	RC	Outpatient			2782	1808.3		90			Percent of total billed charges		2503.8	40			Percent of total billed charges		1112.8	80			Percent of total billed charges		2225.6	90			Percent of total billed charges		2503.8	85			Percent of total billed charges		2364.7	85			Percent of total billed charges		2364.7	85			Percent of total billed charges		2364.7	100			Percent of total billed charges		2782	100			Percent of total billed charges		2782	100			Percent of total billed charges		2782	33.3			Percent of total billed charges		926.406	33.3			Percent of total billed charges		926.406	100			Percent of total billed charges		2782	926.406	2503.8	
adolescent tan im nail right 8.5 x 36 71646136 s/n	278	RC	Outpatient			2784	1809.6		90			Percent of total billed charges		2505.6	40			Percent of total billed charges		1113.6	80			Percent of total billed charges		2227.2	90			Percent of total billed charges		2505.6	85			Percent of total billed charges		2366.4	85			Percent of total billed charges		2366.4	85			Percent of total billed charges		2366.4	100			Percent of total billed charges		2784	100			Percent of total billed charges		2784	100			Percent of total billed charges		2784	33.3			Percent of total billed charges		927.072	33.3			Percent of total billed charges		927.072	100			Percent of total billed charges		2784	927.072	2505.6	
adolescent tan im nail 8.5 x 40 71646140 s/n	278	RC	Outpatient			2784	1809.6		90			Percent of total billed charges		2505.6	40			Percent of total billed charges		1113.6	80			Percent of total billed charges		2227.2	90			Percent of total billed charges		2505.6	85			Percent of total billed charges		2366.4	85			Percent of total billed charges		2366.4	85			Percent of total billed charges		2366.4	100			Percent of total billed charges		2784	100			Percent of total billed charges		2784	100			Percent of total billed charges		2784	33.3			Percent of total billed charges		927.072	33.3			Percent of total billed charges		927.072	100			Percent of total billed charges		2784	927.072	2505.6	
adolescent tan im nail left 8.5 x 36 71645136 s/n	278	RC	Outpatient			2784	1809.6		90			Percent of total billed charges		2505.6	40			Percent of total billed charges		1113.6	80			Percent of total billed charges		2227.2	90			Percent of total billed charges		2505.6	85			Percent of total billed charges		2366.4	85			Percent of total billed charges		2366.4	85			Percent of total billed charges		2366.4	100			Percent of total billed charges		2784	100			Percent of total billed charges		2784	100			Percent of total billed charges		2784	33.3			Percent of total billed charges		927.072	33.3			Percent of total billed charges		927.072	100			Percent of total billed charges		2784	927.072	2505.6	
adolescent tan im nail left 8.5 x 38 71645138 s/n	278	RC	Outpatient			2784	1809.6		90			Percent of total billed charges		2505.6	40			Percent of total billed charges		1113.6	80			Percent of total billed charges		2227.2	90			Percent of total billed charges		2505.6	85			Percent of total billed charges		2366.4	85			Percent of total billed charges		2366.4	85			Percent of total billed charges		2366.4	100			Percent of total billed charges		2784	100			Percent of total billed charges		2784	100			Percent of total billed charges		2784	33.3			Percent of total billed charges		927.072	33.3			Percent of total billed charges		927.072	100			Percent of total billed charges		2784	927.072	2505.6	
adolescent tan im nail right  8.5 x 32 71646132 s/n	278	RC	Outpatient			2784	1809.6		90			Percent of total billed charges		2505.6	40			Percent of total billed charges		1113.6	80			Percent of total billed charges		2227.2	90			Percent of total billed charges		2505.6	85			Percent of total billed charges		2366.4	85			Percent of total billed charges		2366.4	85			Percent of total billed charges		2366.4	100			Percent of total billed charges		2784	100			Percent of total billed charges		2784	100			Percent of total billed charges		2784	33.3			Percent of total billed charges		927.072	33.3			Percent of total billed charges		927.072	100			Percent of total billed charges		2784	927.072	2505.6	
lg fr pl condylar 13h rt	278	RC	Outpatient			2784	1809.6		90			Percent of total billed charges		2505.6	40			Percent of total billed charges		1113.6	80			Percent of total billed charges		2227.2	90			Percent of total billed charges		2505.6	85			Percent of total billed charges		2366.4	85			Percent of total billed charges		2366.4	85			Percent of total billed charges		2366.4	100			Percent of total billed charges		2784	100			Percent of total billed charges		2784	100			Percent of total billed charges		2784	33.3			Percent of total billed charges		927.072	33.3			Percent of total billed charges		927.072	100			Percent of total billed charges		2784	927.072	2505.6	
s/n lg frag  plate 13 hole  7114-2113	278	RC	Outpatient			2784	1809.6		90			Percent of total billed charges		2505.6	40			Percent of total billed charges		1113.6	80			Percent of total billed charges		2227.2	90			Percent of total billed charges		2505.6	85			Percent of total billed charges		2366.4	85			Percent of total billed charges		2366.4	85			Percent of total billed charges		2366.4	100			Percent of total billed charges		2784	100			Percent of total billed charges		2784	100			Percent of total billed charges		2784	33.3			Percent of total billed charges		927.072	33.3			Percent of total billed charges		927.072	100			Percent of total billed charges		2784	927.072	2505.6	
trigen adolescent tan	278	RC	Outpatient			2784	1809.6		90			Percent of total billed charges		2505.6	40			Percent of total billed charges		1113.6	80			Percent of total billed charges		2227.2	90			Percent of total billed charges		2505.6	85			Percent of total billed charges		2366.4	85			Percent of total billed charges		2366.4	85			Percent of total billed charges		2366.4	100			Percent of total billed charges		2784	100			Percent of total billed charges		2784	100			Percent of total billed charges		2784	33.3			Percent of total billed charges		927.072	33.3			Percent of total billed charges		927.072	100			Percent of total billed charges		2784	927.072	2505.6	
lg fr pl cp nar cmp 15-16	278	RC	Outpatient			2788	1812.2		90			Percent of total billed charges		2509.2	40			Percent of total billed charges		1115.2	80			Percent of total billed charges		2230.4	90			Percent of total billed charges		2509.2	85			Percent of total billed charges		2369.8	85			Percent of total billed charges		2369.8	85			Percent of total billed charges		2369.8	100			Percent of total billed charges		2788	100			Percent of total billed charges		2788	100			Percent of total billed charges		2788	33.3			Percent of total billed charges		928.404	33.3			Percent of total billed charges		928.404	100			Percent of total billed charges		2788	928.404	2509.2	
s/n lg frag plate 4.5mm 15 hole 7184-1415	278	RC	Outpatient			2788	1812.2		90			Percent of total billed charges		2509.2	40			Percent of total billed charges		1115.2	80			Percent of total billed charges		2230.4	90			Percent of total billed charges		2509.2	85			Percent of total billed charges		2369.8	85			Percent of total billed charges		2369.8	85			Percent of total billed charges		2369.8	100			Percent of total billed charges		2788	100			Percent of total billed charges		2788	100			Percent of total billed charges		2788	33.3			Percent of total billed charges		928.404	33.3			Percent of total billed charges		928.404	100			Percent of total billed charges		2788	928.404	2509.2	
s/n lg frag plate 4.5mm 16 hole 7184-1416	278	RC	Outpatient			2788	1812.2		90			Percent of total billed charges		2509.2	40			Percent of total billed charges		1115.2	80			Percent of total billed charges		2230.4	90			Percent of total billed charges		2509.2	85			Percent of total billed charges		2369.8	85			Percent of total billed charges		2369.8	85			Percent of total billed charges		2369.8	100			Percent of total billed charges		2788	100			Percent of total billed charges		2788	100			Percent of total billed charges		2788	33.3			Percent of total billed charges		928.404	33.3			Percent of total billed charges		928.404	100			Percent of total billed charges		2788	928.404	2509.2	
s/n lg frag plate 4.5mm 18 hole 7184-1418	278	RC	Outpatient			2788	1812.2		90			Percent of total billed charges		2509.2	40			Percent of total billed charges		1115.2	80			Percent of total billed charges		2230.4	90			Percent of total billed charges		2509.2	85			Percent of total billed charges		2369.8	85			Percent of total billed charges		2369.8	85			Percent of total billed charges		2369.8	100			Percent of total billed charges		2788	100			Percent of total billed charges		2788	100			Percent of total billed charges		2788	33.3			Percent of total billed charges		928.404	33.3			Percent of total billed charges		928.404	100			Percent of total billed charges		2788	928.404	2509.2	
comp plt 3.5mm 12 hl 71809112 s\n	278	RC	Outpatient			2790	1813.5		90			Percent of total billed charges		2511	40			Percent of total billed charges		1116	80			Percent of total billed charges		2232	90			Percent of total billed charges		2511	85			Percent of total billed charges		2371.5	85			Percent of total billed charges		2371.5	85			Percent of total billed charges		2371.5	100			Percent of total billed charges		2790	100			Percent of total billed charges		2790	100			Percent of total billed charges		2790	33.3			Percent of total billed charges		929.07	33.3			Percent of total billed charges		929.07	100			Percent of total billed charges		2790	929.07	2511	
comp plt 3.5mm 12 hl 71809712 s\n	278	RC	Outpatient			2790	1813.5		90			Percent of total billed charges		2511	40			Percent of total billed charges		1116	80			Percent of total billed charges		2232	90			Percent of total billed charges		2511	85			Percent of total billed charges		2371.5	85			Percent of total billed charges		2371.5	85			Percent of total billed charges		2371.5	100			Percent of total billed charges		2790	100			Percent of total billed charges		2790	100			Percent of total billed charges		2790	33.3			Percent of total billed charges		929.07	33.3			Percent of total billed charges		929.07	100			Percent of total billed charges		2790	929.07	2511	
comp plt 3.5mm 12 hl 71829712 s\n	278	RC	Outpatient			2790	1813.5		90			Percent of total billed charges		2511	40			Percent of total billed charges		1116	80			Percent of total billed charges		2232	90			Percent of total billed charges		2511	85			Percent of total billed charges		2371.5	85			Percent of total billed charges		2371.5	85			Percent of total billed charges		2371.5	100			Percent of total billed charges		2790	100			Percent of total billed charges		2790	100			Percent of total billed charges		2790	33.3			Percent of total billed charges		929.07	33.3			Percent of total billed charges		929.07	100			Percent of total billed charges		2790	929.07	2511	
s/n 3.5 lck comp pl 12hl	278	RC	Outpatient			2790	1813.5		90			Percent of total billed charges		2511	40			Percent of total billed charges		1116	80			Percent of total billed charges		2232	90			Percent of total billed charges		2511	85			Percent of total billed charges		2371.5	85			Percent of total billed charges		2371.5	85			Percent of total billed charges		2371.5	100			Percent of total billed charges		2790	100			Percent of total billed charges		2790	100			Percent of total billed charges		2790	33.3			Percent of total billed charges		929.07	33.3			Percent of total billed charges		929.07	100			Percent of total billed charges		2790	929.07	2511	
accolade hfx hip stem sz1 6077-0130 stryker	278	RC	Outpatient			2794	1816.1		90			Percent of total billed charges		2514.6	40			Percent of total billed charges		1117.6	80			Percent of total billed charges		2235.2	90			Percent of total billed charges		2514.6	85			Percent of total billed charges		2374.9	85			Percent of total billed charges		2374.9	85			Percent of total billed charges		2374.9	100			Percent of total billed charges		2794	100			Percent of total billed charges		2794	100			Percent of total billed charges		2794	33.3			Percent of total billed charges		930.402	33.3			Percent of total billed charges		930.402	100			Percent of total billed charges		2794	930.402	2514.6	
accolade hfx hip stem sz3 6077-0335 stryker	278	RC	Outpatient			2794	1816.1		90			Percent of total billed charges		2514.6	40			Percent of total billed charges		1117.6	80			Percent of total billed charges		2235.2	90			Percent of total billed charges		2514.6	85			Percent of total billed charges		2374.9	85			Percent of total billed charges		2374.9	85			Percent of total billed charges		2374.9	100			Percent of total billed charges		2794	100			Percent of total billed charges		2794	100			Percent of total billed charges		2794	33.3			Percent of total billed charges		930.402	33.3			Percent of total billed charges		930.402	100			Percent of total billed charges		2794	930.402	2514.6	
distal medial tibia 8-hole plate left 437208 stryker	278	RC	Outpatient			2794	1816.1		90			Percent of total billed charges		2514.6	40			Percent of total billed charges		1117.6	80			Percent of total billed charges		2235.2	90			Percent of total billed charges		2514.6	85			Percent of total billed charges		2374.9	85			Percent of total billed charges		2374.9	85			Percent of total billed charges		2374.9	100			Percent of total billed charges		2794	100			Percent of total billed charges		2794	100			Percent of total billed charges		2794	33.3			Percent of total billed charges		930.402	33.3			Percent of total billed charges		930.402	100			Percent of total billed charges		2794	930.402	2514.6	
proximal humeral locking plate 4.5 9h l 71801609 s/n	278	RC	Outpatient			2794	1816.1		90			Percent of total billed charges		2514.6	40			Percent of total billed charges		1117.6	80			Percent of total billed charges		2235.2	90			Percent of total billed charges		2514.6	85			Percent of total billed charges		2374.9	85			Percent of total billed charges		2374.9	85			Percent of total billed charges		2374.9	100			Percent of total billed charges		2794	100			Percent of total billed charges		2794	100			Percent of total billed charges		2794	33.3			Percent of total billed charges		930.402	33.3			Percent of total billed charges		930.402	100			Percent of total billed charges		2794	930.402	2514.6	
s/n prxhum lk pl 3.5 9h	278	RC	Outpatient			2794	1816.1		90			Percent of total billed charges		2514.6	40			Percent of total billed charges		1117.6	80			Percent of total billed charges		2235.2	90			Percent of total billed charges		2514.6	85			Percent of total billed charges		2374.9	85			Percent of total billed charges		2374.9	85			Percent of total billed charges		2374.9	100			Percent of total billed charges		2794	100			Percent of total billed charges		2794	100			Percent of total billed charges		2794	33.3			Percent of total billed charges		930.402	33.3			Percent of total billed charges		930.402	100			Percent of total billed charges		2794	930.402	2514.6	
stryker aclade hfx hip st	278	RC	Outpatient			2794	1816.1		90			Percent of total billed charges		2514.6	40			Percent of total billed charges		1117.6	80			Percent of total billed charges		2235.2	90			Percent of total billed charges		2514.6	85			Percent of total billed charges		2374.9	85			Percent of total billed charges		2374.9	85			Percent of total billed charges		2374.9	100			Percent of total billed charges		2794	100			Percent of total billed charges		2794	100			Percent of total billed charges		2794	33.3			Percent of total billed charges		930.402	33.3			Percent of total billed charges		930.402	100			Percent of total billed charges		2794	930.402	2514.6	
proximal humeral locking plate 3.5 9h l 71821409 s/n	278	RC	Outpatient			2794	1816.1		90			Percent of total billed charges		2514.6	40			Percent of total billed charges		1117.6	80			Percent of total billed charges		2235.2	90			Percent of total billed charges		2514.6	85			Percent of total billed charges		2374.9	85			Percent of total billed charges		2374.9	85			Percent of total billed charges		2374.9	100			Percent of total billed charges		2794	100			Percent of total billed charges		2794	100			Percent of total billed charges		2794	33.3			Percent of total billed charges		930.402	33.3			Percent of total billed charges		930.402	100			Percent of total billed charges		2794	930.402	2514.6	
proximal humeral locking plate 3.5 9h r 71821309 s/n	278	RC	Outpatient			2794	1816.1		90			Percent of total billed charges		2514.6	40			Percent of total billed charges		1117.6	80			Percent of total billed charges		2235.2	90			Percent of total billed charges		2514.6	85			Percent of total billed charges		2374.9	85			Percent of total billed charges		2374.9	85			Percent of total billed charges		2374.9	100			Percent of total billed charges		2794	100			Percent of total billed charges		2794	100			Percent of total billed charges		2794	33.3			Percent of total billed charges		930.402	33.3			Percent of total billed charges		930.402	100			Percent of total billed charges		2794	930.402	2514.6	
proximal humeral locking plate 4.5 9h r 71801509 s/n	278	RC	Outpatient			2794	1816.1		90			Percent of total billed charges		2514.6	40			Percent of total billed charges		1117.6	80			Percent of total billed charges		2235.2	90			Percent of total billed charges		2514.6	85			Percent of total billed charges		2374.9	85			Percent of total billed charges		2374.9	85			Percent of total billed charges		2374.9	100			Percent of total billed charges		2794	100			Percent of total billed charges		2794	100			Percent of total billed charges		2794	33.3			Percent of total billed charges		930.402	33.3			Percent of total billed charges		930.402	100			Percent of total billed charges		2794	930.402	2514.6	
s/n prxhum lk pl 4.5 9h	278	RC	Outpatient			2794	1816.1		90			Percent of total billed charges		2514.6	40			Percent of total billed charges		1117.6	80			Percent of total billed charges		2235.2	90			Percent of total billed charges		2514.6	85			Percent of total billed charges		2374.9	85			Percent of total billed charges		2374.9	85			Percent of total billed charges		2374.9	100			Percent of total billed charges		2794	100			Percent of total billed charges		2794	100			Percent of total billed charges		2794	33.3			Percent of total billed charges		930.402	33.3			Percent of total billed charges		930.402	100			Percent of total billed charges		2794	930.402	2514.6	
stryker med tib pl 8hl	278	RC	Outpatient			2794	1816.1		90			Percent of total billed charges		2514.6	40			Percent of total billed charges		1117.6	80			Percent of total billed charges		2235.2	90			Percent of total billed charges		2514.6	85			Percent of total billed charges		2374.9	85			Percent of total billed charges		2374.9	85			Percent of total billed charges		2374.9	100			Percent of total billed charges		2794	100			Percent of total billed charges		2794	100			Percent of total billed charges		2794	33.3			Percent of total billed charges		930.402	33.3			Percent of total billed charges		930.402	100			Percent of total billed charges		2794	930.402	2514.6	
bio micro tib tray	278	RC	Outpatient			2796	1817.4		90			Percent of total billed charges		2516.4	40			Percent of total billed charges		1118.4	80			Percent of total billed charges		2236.8	90			Percent of total billed charges		2516.4	85			Percent of total billed charges		2376.6	85			Percent of total billed charges		2376.6	85			Percent of total billed charges		2376.6	100			Percent of total billed charges		2796	100			Percent of total billed charges		2796	100			Percent of total billed charges		2796	33.3			Percent of total billed charges		931.068	33.3			Percent of total billed charges		931.068	100			Percent of total billed charges		2796	931.068	2516.4	
microplasty cruciate tib tray w/ locking bar 141561 biomet	278	RC	Outpatient			2796	1817.4		90			Percent of total billed charges		2516.4	40			Percent of total billed charges		1118.4	80			Percent of total billed charges		2236.8	90			Percent of total billed charges		2516.4	85			Percent of total billed charges		2376.6	85			Percent of total billed charges		2376.6	85			Percent of total billed charges		2376.6	100			Percent of total billed charges		2796	100			Percent of total billed charges		2796	100			Percent of total billed charges		2796	33.3			Percent of total billed charges		931.068	33.3			Percent of total billed charges		931.068	100			Percent of total billed charges		2796	931.068	2516.4	
depuy stem univ fluted	278	RC	Outpatient			2797	1818.05		90			Percent of total billed charges		2517.3	40			Percent of total billed charges		1118.8	80			Percent of total billed charges		2237.6	90			Percent of total billed charges		2517.3	85			Percent of total billed charges		2377.45	85			Percent of total billed charges		2377.45	85			Percent of total billed charges		2377.45	100			Percent of total billed charges		2797	100			Percent of total billed charges		2797	100			Percent of total billed charges		2797	33.3			Percent of total billed charges		931.401	33.3			Percent of total billed charges		931.401	100			Percent of total billed charges		2797	931.401	2517.3	
universal fluted stem 75mm x 16mm 86-7416 depuy	278	RC	Outpatient			2797	1818.05		90			Percent of total billed charges		2517.3	40			Percent of total billed charges		1118.8	80			Percent of total billed charges		2237.6	90			Percent of total billed charges		2517.3	85			Percent of total billed charges		2377.45	85			Percent of total billed charges		2377.45	85			Percent of total billed charges		2377.45	100			Percent of total billed charges		2797	100			Percent of total billed charges		2797	100			Percent of total billed charges		2797	33.3			Percent of total billed charges		931.401	33.3			Percent of total billed charges		931.401	100			Percent of total billed charges		2797	931.401	2517.3	
universal rev stem fluted 115mm x 14mm 86-7428 depuy	278	RC	Outpatient			2797	1818.05		90			Percent of total billed charges		2517.3	40			Percent of total billed charges		1118.8	80			Percent of total billed charges		2237.6	90			Percent of total billed charges		2517.3	85			Percent of total billed charges		2377.45	85			Percent of total billed charges		2377.45	85			Percent of total billed charges		2377.45	100			Percent of total billed charges		2797	100			Percent of total billed charges		2797	100			Percent of total billed charges		2797	33.3			Percent of total billed charges		931.401	33.3			Percent of total billed charges		931.401	100			Percent of total billed charges		2797	931.401	2517.3	
universal stem fluted 150mm x 14mm 86-7442 depuy	278	RC	Outpatient			2797	1818.05		90			Percent of total billed charges		2517.3	40			Percent of total billed charges		1118.8	80			Percent of total billed charges		2237.6	90			Percent of total billed charges		2517.3	85			Percent of total billed charges		2377.45	85			Percent of total billed charges		2377.45	85			Percent of total billed charges		2377.45	100			Percent of total billed charges		2797	100			Percent of total billed charges		2797	100			Percent of total billed charges		2797	33.3			Percent of total billed charges		931.401	33.3			Percent of total billed charges		931.401	100			Percent of total billed charges		2797	931.401	2517.3	
emperion primary femoral  component sz13 s/n 71291301	278	RC	Outpatient			2805	1823.25		90			Percent of total billed charges		2524.5	40			Percent of total billed charges		1122	80			Percent of total billed charges		2244	90			Percent of total billed charges		2524.5	85			Percent of total billed charges		2384.25	85			Percent of total billed charges		2384.25	85			Percent of total billed charges		2384.25	100			Percent of total billed charges		2805	100			Percent of total billed charges		2805	100			Percent of total billed charges		2805	33.3			Percent of total billed charges		934.065	33.3			Percent of total billed charges		934.065	100			Percent of total billed charges		2805	934.065	2524.5	
s/n emp stem primary 50	278	RC	Outpatient			2805	1823.25		90			Percent of total billed charges		2524.5	40			Percent of total billed charges		1122	80			Percent of total billed charges		2244	90			Percent of total billed charges		2524.5	85			Percent of total billed charges		2384.25	85			Percent of total billed charges		2384.25	85			Percent of total billed charges		2384.25	100			Percent of total billed charges		2805	100			Percent of total billed charges		2805	100			Percent of total billed charges		2805	33.3			Percent of total billed charges		934.065	33.3			Percent of total billed charges		934.065	100			Percent of total billed charges		2805	934.065	2524.5	
biomet bim hum head offst	278	RC	Outpatient			2807	1824.55		90			Percent of total billed charges		2526.3	40			Percent of total billed charges		1122.8	80			Percent of total billed charges		2245.6	90			Percent of total billed charges		2526.3	85			Percent of total billed charges		2385.95	85			Percent of total billed charges		2385.95	85			Percent of total billed charges		2385.95	100			Percent of total billed charges		2807	100			Percent of total billed charges		2807	100			Percent of total billed charges		2807	33.3			Percent of total billed charges		934.731	33.3			Percent of total billed charges		934.731	100			Percent of total billed charges		2807	934.731	2526.3	
biomodular shoulder 44 x 17 offset head 113921 biomet	278	RC	Outpatient			2807	1824.55		90			Percent of total billed charges		2526.3	40			Percent of total billed charges		1122.8	80			Percent of total billed charges		2245.6	90			Percent of total billed charges		2526.3	85			Percent of total billed charges		2385.95	85			Percent of total billed charges		2385.95	85			Percent of total billed charges		2385.95	100			Percent of total billed charges		2807	100			Percent of total billed charges		2807	100			Percent of total billed charges		2807	33.3			Percent of total billed charges		934.731	33.3			Percent of total billed charges		934.731	100			Percent of total billed charges		2807	934.731	2526.3	
biomodular shoulder 44 x 22 offset head 113922 biomet	278	RC	Outpatient			2807	1824.55		90			Percent of total billed charges		2526.3	40			Percent of total billed charges		1122.8	80			Percent of total billed charges		2245.6	90			Percent of total billed charges		2526.3	85			Percent of total billed charges		2385.95	85			Percent of total billed charges		2385.95	85			Percent of total billed charges		2385.95	100			Percent of total billed charges		2807	100			Percent of total billed charges		2807	100			Percent of total billed charges		2807	33.3			Percent of total billed charges		934.731	33.3			Percent of total billed charges		934.731	100			Percent of total billed charges		2807	934.731	2526.3	
biomodular shoulder 48 x 19 offset head 113924 biomet	278	RC	Outpatient			2807	1824.55		90			Percent of total billed charges		2526.3	40			Percent of total billed charges		1122.8	80			Percent of total billed charges		2245.6	90			Percent of total billed charges		2526.3	85			Percent of total billed charges		2385.95	85			Percent of total billed charges		2385.95	85			Percent of total billed charges		2385.95	100			Percent of total billed charges		2807	100			Percent of total billed charges		2807	100			Percent of total billed charges		2807	33.3			Percent of total billed charges		934.731	33.3			Percent of total billed charges		934.731	100			Percent of total billed charges		2807	934.731	2526.3	
biomodular shoulder 48 x 24 offset head 113925 biomet	278	RC	Outpatient			2807	1824.55		90			Percent of total billed charges		2526.3	40			Percent of total billed charges		1122.8	80			Percent of total billed charges		2245.6	90			Percent of total billed charges		2526.3	85			Percent of total billed charges		2385.95	85			Percent of total billed charges		2385.95	85			Percent of total billed charges		2385.95	100			Percent of total billed charges		2807	100			Percent of total billed charges		2807	100			Percent of total billed charges		2807	33.3			Percent of total billed charges		934.731	33.3			Percent of total billed charges		934.731	100			Percent of total billed charges		2807	934.731	2526.3	
biomet cable plate 11 hol	278	RC	Outpatient			2808	1825.2		90			Percent of total billed charges		2527.2	40			Percent of total billed charges		1123.2	80			Percent of total billed charges		2246.4	90			Percent of total billed charges		2527.2	85			Percent of total billed charges		2386.8	85			Percent of total billed charges		2386.8	85			Percent of total billed charges		2386.8	100			Percent of total billed charges		2808	100			Percent of total billed charges		2808	100			Percent of total billed charges		2808	33.3			Percent of total billed charges		935.064	33.3			Percent of total billed charges		935.064	100			Percent of total billed charges		2808	935.064	2527.2	
ss cable plate 11 hole 310mm 350821 biomet	278	RC	Outpatient			2808	1825.2		90			Percent of total billed charges		2527.2	40			Percent of total billed charges		1123.2	80			Percent of total billed charges		2246.4	90			Percent of total billed charges		2527.2	85			Percent of total billed charges		2386.8	85			Percent of total billed charges		2386.8	85			Percent of total billed charges		2386.8	100			Percent of total billed charges		2808	100			Percent of total billed charges		2808	100			Percent of total billed charges		2808	33.3			Percent of total billed charges		935.064	33.3			Percent of total billed charges		935.064	100			Percent of total billed charges		2808	935.064	2527.2	
allograft tibialis post	278	RC	Outpatient			2815	1829.75		90			Percent of total billed charges		2533.5	40			Percent of total billed charges		1126	80			Percent of total billed charges		2252	90			Percent of total billed charges		2533.5	85			Percent of total billed charges		2392.75	85			Percent of total billed charges		2392.75	85			Percent of total billed charges		2392.75	100			Percent of total billed charges		2815	100			Percent of total billed charges		2815	100			Percent of total billed charges		2815	33.3			Percent of total billed charges		937.395	33.3			Percent of total billed charges		937.395	100			Percent of total billed charges		2815	937.395	2533.5	
tibialis posterior  allograft 1.0 x 27 cm 11-8182 091528-018  community tissue	278	RC	Outpatient			2815	1829.75		90			Percent of total billed charges		2533.5	40			Percent of total billed charges		1126	80			Percent of total billed charges		2252	90			Percent of total billed charges		2533.5	85			Percent of total billed charges		2392.75	85			Percent of total billed charges		2392.75	85			Percent of total billed charges		2392.75	100			Percent of total billed charges		2815	100			Percent of total billed charges		2815	100			Percent of total billed charges		2815	33.3			Percent of total billed charges		937.395	33.3			Percent of total billed charges		937.395	100			Percent of total billed charges		2815	937.395	2533.5	
tibialis posterior  allograft 1.0 x 32.cm 11-7626  community tissue	278	RC	Outpatient			2815	1829.75		90			Percent of total billed charges		2533.5	40			Percent of total billed charges		1126	80			Percent of total billed charges		2252	90			Percent of total billed charges		2533.5	85			Percent of total billed charges		2392.75	85			Percent of total billed charges		2392.75	85			Percent of total billed charges		2392.75	100			Percent of total billed charges		2815	100			Percent of total billed charges		2815	100			Percent of total billed charges		2815	33.3			Percent of total billed charges		937.395	33.3			Percent of total billed charges		937.395	100			Percent of total billed charges		2815	937.395	2533.5	
arthrex internalbrace knee leg aug repair kit ar-5511-cp	278	RC	Outpatient			2818	1831.7		90			Percent of total billed charges		2536.2	40			Percent of total billed charges		1127.2	80			Percent of total billed charges		2254.4	90			Percent of total billed charges		2536.2	85			Percent of total billed charges		2395.3	85			Percent of total billed charges		2395.3	85			Percent of total billed charges		2395.3	100			Percent of total billed charges		2818	100			Percent of total billed charges		2818	100			Percent of total billed charges		2818	33.3			Percent of total billed charges		938.394	33.3			Percent of total billed charges		938.394	100			Percent of total billed charges		2818	938.394	2536.2	
ynigen im nail 26mm	278	RC	Outpatient			2822	1834.3		90			Percent of total billed charges		2539.8	40			Percent of total billed charges		1128.8	80			Percent of total billed charges		2257.6	90			Percent of total billed charges		2539.8	85			Percent of total billed charges		2398.7	85			Percent of total billed charges		2398.7	85			Percent of total billed charges		2398.7	100			Percent of total billed charges		2822	100			Percent of total billed charges		2822	100			Percent of total billed charges		2822	33.3			Percent of total billed charges		939.726	33.3			Percent of total billed charges		939.726	100			Percent of total billed charges		2822	939.726	2539.8	
chronos beta-tcp strip 100mm x 25mm x 3mm 07.801.101.99s synthes	278	RC	Outpatient			2828	1838.2		90			Percent of total billed charges		2545.2	40			Percent of total billed charges		1131.2	80			Percent of total billed charges		2262.4	90			Percent of total billed charges		2545.2	85			Percent of total billed charges		2403.8	85			Percent of total billed charges		2403.8	85			Percent of total billed charges		2403.8	100			Percent of total billed charges		2828	100			Percent of total billed charges		2828	100			Percent of total billed charges		2828	33.3			Percent of total billed charges		941.724	33.3			Percent of total billed charges		941.724	100			Percent of total billed charges		2828	941.724	2545.2	
chronos beta-tcp stp	278	RC	Outpatient			2828	1838.2		90			Percent of total billed charges		2545.2	40			Percent of total billed charges		1131.2	80			Percent of total billed charges		2262.4	90			Percent of total billed charges		2545.2	85			Percent of total billed charges		2403.8	85			Percent of total billed charges		2403.8	85			Percent of total billed charges		2403.8	100			Percent of total billed charges		2828	100			Percent of total billed charges		2828	100			Percent of total billed charges		2828	33.3			Percent of total billed charges		941.724	33.3			Percent of total billed charges		941.724	100			Percent of total billed charges		2828	941.724	2545.2	
angiojet thrombectomy sys	272	RC	Outpatient			2838	1844.7		90			Percent of total billed charges		2554.2	40			Percent of total billed charges		1135.2	80			Percent of total billed charges		2270.4	90			Percent of total billed charges		2554.2	85			Percent of total billed charges		2412.3	85			Percent of total billed charges		2412.3	85			Percent of total billed charges		2412.3	100			Percent of total billed charges		2838	100			Percent of total billed charges		2838	100			Percent of total billed charges		2838	33.3			Percent of total billed charges		945.054	33.3			Percent of total billed charges		945.054	100			Percent of total billed charges		2838	945.054	2554.2	
xpeedior cath 104307-001 medrad	272	RC	Outpatient			2838	1844.7		90			Percent of total billed charges		2554.2	40			Percent of total billed charges		1135.2	80			Percent of total billed charges		2270.4	90			Percent of total billed charges		2554.2	85			Percent of total billed charges		2412.3	85			Percent of total billed charges		2412.3	85			Percent of total billed charges		2412.3	100			Percent of total billed charges		2838	100			Percent of total billed charges		2838	100			Percent of total billed charges		2838	33.3			Percent of total billed charges		945.054	33.3			Percent of total billed charges		945.054	100			Percent of total billed charges		2838	945.054	2554.2	
reflection  xlpe 28 0 lat +4 62-64 sz h  71333477 s/n	278	RC	Outpatient			2839	1845.35		90			Percent of total billed charges		2555.1	40			Percent of total billed charges		1135.6	80			Percent of total billed charges		2271.2	90			Percent of total billed charges		2555.1	85			Percent of total billed charges		2413.15	85			Percent of total billed charges		2413.15	85			Percent of total billed charges		2413.15	100			Percent of total billed charges		2839	100			Percent of total billed charges		2839	100			Percent of total billed charges		2839	33.3			Percent of total billed charges		945.387	33.3			Percent of total billed charges		945.387	100			Percent of total billed charges		2839	945.387	2555.1	
reflection xlpe 28 20 ant +4 46-48 sz d  71333423 s/n	278	RC	Outpatient			2839	1845.35		90			Percent of total billed charges		2555.1	40			Percent of total billed charges		1135.6	80			Percent of total billed charges		2271.2	90			Percent of total billed charges		2555.1	85			Percent of total billed charges		2413.15	85			Percent of total billed charges		2413.15	85			Percent of total billed charges		2413.15	100			Percent of total billed charges		2839	100			Percent of total billed charges		2839	100			Percent of total billed charges		2839	33.3			Percent of total billed charges		945.387	33.3			Percent of total billed charges		945.387	100			Percent of total billed charges		2839	945.387	2555.1	
reflection xlpe 28 20 ant +4 50-52 sz e  71333424 s/n	278	RC	Outpatient			2839	1845.35		90			Percent of total billed charges		2555.1	40			Percent of total billed charges		1135.6	80			Percent of total billed charges		2271.2	90			Percent of total billed charges		2555.1	85			Percent of total billed charges		2413.15	85			Percent of total billed charges		2413.15	85			Percent of total billed charges		2413.15	100			Percent of total billed charges		2839	100			Percent of total billed charges		2839	100			Percent of total billed charges		2839	33.3			Percent of total billed charges		945.387	33.3			Percent of total billed charges		945.387	100			Percent of total billed charges		2839	945.387	2555.1	
reflection xlpe 28id 0 lat +4 50-52 sz e  71333474 s/n	278	RC	Outpatient			2839	1845.35		90			Percent of total billed charges		2555.1	40			Percent of total billed charges		1135.6	80			Percent of total billed charges		2271.2	90			Percent of total billed charges		2555.1	85			Percent of total billed charges		2413.15	85			Percent of total billed charges		2413.15	85			Percent of total billed charges		2413.15	100			Percent of total billed charges		2839	100			Percent of total billed charges		2839	100			Percent of total billed charges		2839	33.3			Percent of total billed charges		945.387	33.3			Percent of total billed charges		945.387	100			Percent of total billed charges		2839	945.387	2555.1	
reflection xlpe 28id 0 lat +4 54-56 sz f  71333475 s/n	278	RC	Outpatient			2839	1845.35		90			Percent of total billed charges		2555.1	40			Percent of total billed charges		1135.6	80			Percent of total billed charges		2271.2	90			Percent of total billed charges		2555.1	85			Percent of total billed charges		2413.15	85			Percent of total billed charges		2413.15	85			Percent of total billed charges		2413.15	100			Percent of total billed charges		2839	100			Percent of total billed charges		2839	100			Percent of total billed charges		2839	33.3			Percent of total billed charges		945.387	33.3			Percent of total billed charges		945.387	100			Percent of total billed charges		2839	945.387	2555.1	
reflection xlpe 28id 20 ant +4 62-64 od sz h  71333427 s/n	278	RC	Outpatient			2839	1845.35		90			Percent of total billed charges		2555.1	40			Percent of total billed charges		1135.6	80			Percent of total billed charges		2271.2	90			Percent of total billed charges		2555.1	85			Percent of total billed charges		2413.15	85			Percent of total billed charges		2413.15	85			Percent of total billed charges		2413.15	100			Percent of total billed charges		2839	100			Percent of total billed charges		2839	100			Percent of total billed charges		2839	33.3			Percent of total billed charges		945.387	33.3			Percent of total billed charges		945.387	100			Percent of total billed charges		2839	945.387	2555.1	
s/n reflect lnr xlpe	278	RC	Outpatient			2839	1845.35		90			Percent of total billed charges		2555.1	40			Percent of total billed charges		1135.6	80			Percent of total billed charges		2271.2	90			Percent of total billed charges		2555.1	85			Percent of total billed charges		2413.15	85			Percent of total billed charges		2413.15	85			Percent of total billed charges		2413.15	100			Percent of total billed charges		2839	100			Percent of total billed charges		2839	100			Percent of total billed charges		2839	33.3			Percent of total billed charges		945.387	33.3			Percent of total billed charges		945.387	100			Percent of total billed charges		2839	945.387	2555.1	
reflection xlpe 28id 0 lat +4 46-48od sz d  71333473 s/n	278	RC	Outpatient			2839	1845.35		90			Percent of total billed charges		2555.1	40			Percent of total billed charges		1135.6	80			Percent of total billed charges		2271.2	90			Percent of total billed charges		2555.1	85			Percent of total billed charges		2413.15	85			Percent of total billed charges		2413.15	85			Percent of total billed charges		2413.15	100			Percent of total billed charges		2839	100			Percent of total billed charges		2839	100			Percent of total billed charges		2839	33.3			Percent of total billed charges		945.387	33.3			Percent of total billed charges		945.387	100			Percent of total billed charges		2839	945.387	2555.1	
reflection xlpe 28id 0 lat +4 58-60 sz g  71333476 s/n	278	RC	Outpatient			2839	1845.35		90			Percent of total billed charges		2555.1	40			Percent of total billed charges		1135.6	80			Percent of total billed charges		2271.2	90			Percent of total billed charges		2555.1	85			Percent of total billed charges		2413.15	85			Percent of total billed charges		2413.15	85			Percent of total billed charges		2413.15	100			Percent of total billed charges		2839	100			Percent of total billed charges		2839	100			Percent of total billed charges		2839	33.3			Percent of total billed charges		945.387	33.3			Percent of total billed charges		945.387	100			Percent of total billed charges		2839	945.387	2555.1	
reflection xlpe 28id 20 ant +4 58-60od sz g  71333426 s/n	278	RC	Outpatient			2839	1845.35		90			Percent of total billed charges		2555.1	40			Percent of total billed charges		1135.6	80			Percent of total billed charges		2271.2	90			Percent of total billed charges		2555.1	85			Percent of total billed charges		2413.15	85			Percent of total billed charges		2413.15	85			Percent of total billed charges		2413.15	100			Percent of total billed charges		2839	100			Percent of total billed charges		2839	100			Percent of total billed charges		2839	33.3			Percent of total billed charges		945.387	33.3			Percent of total billed charges		945.387	100			Percent of total billed charges		2839	945.387	2555.1	
triathlon stem extender	278	RC	Outpatient			2842	1847.3		90			Percent of total billed charges		2557.8	40			Percent of total billed charges		1136.8	80			Percent of total billed charges		2273.6	90			Percent of total billed charges		2557.8	85			Percent of total billed charges		2415.7	85			Percent of total billed charges		2415.7	85			Percent of total billed charges		2415.7	100			Percent of total billed charges		2842	100			Percent of total billed charges		2842	100			Percent of total billed charges		2842	33.3			Percent of total billed charges		946.386	33.3			Percent of total billed charges		946.386	100			Percent of total billed charges		2842	946.386	2557.8	
triathlon stem extender 25mm 5571-s-025 stryker	278	RC	Outpatient			2842	1847.3		90			Percent of total billed charges		2557.8	40			Percent of total billed charges		1136.8	80			Percent of total billed charges		2273.6	90			Percent of total billed charges		2557.8	85			Percent of total billed charges		2415.7	85			Percent of total billed charges		2415.7	85			Percent of total billed charges		2415.7	100			Percent of total billed charges		2842	100			Percent of total billed charges		2842	100			Percent of total billed charges		2842	33.3			Percent of total billed charges		946.386	33.3			Percent of total billed charges		946.386	100			Percent of total billed charges		2842	946.386	2557.8	
humeral locking pl 5hl	278	RC	Outpatient			2845	1849.25		90			Percent of total billed charges		2560.5	40			Percent of total billed charges		1138	80			Percent of total billed charges		2276	90			Percent of total billed charges		2560.5	85			Percent of total billed charges		2418.25	85			Percent of total billed charges		2418.25	85			Percent of total billed charges		2418.25	100			Percent of total billed charges		2845	100			Percent of total billed charges		2845	100			Percent of total billed charges		2845	33.3			Percent of total billed charges		947.385	33.3			Percent of total billed charges		947.385	100			Percent of total billed charges		2845	947.385	2560.5	
prox lat humeral locking plate 5-hole 437105 stryker	278	RC	Outpatient			2845	1849.25		90			Percent of total billed charges		2560.5	40			Percent of total billed charges		1138	80			Percent of total billed charges		2276	90			Percent of total billed charges		2560.5	85			Percent of total billed charges		2418.25	85			Percent of total billed charges		2418.25	85			Percent of total billed charges		2418.25	100			Percent of total billed charges		2845	100			Percent of total billed charges		2845	100			Percent of total billed charges		2845	33.3			Percent of total billed charges		947.385	33.3			Percent of total billed charges		947.385	100			Percent of total billed charges		2845	947.385	2560.5	
prox lat humeral locking plate 5-hole 437125 stryker	278	RC	Outpatient			2845	1849.25		90			Percent of total billed charges		2560.5	40			Percent of total billed charges		1138	80			Percent of total billed charges		2276	90			Percent of total billed charges		2560.5	85			Percent of total billed charges		2418.25	85			Percent of total billed charges		2418.25	85			Percent of total billed charges		2418.25	100			Percent of total billed charges		2845	100			Percent of total billed charges		2845	100			Percent of total billed charges		2845	33.3			Percent of total billed charges		947.385	33.3			Percent of total billed charges		947.385	100			Percent of total billed charges		2845	947.385	2560.5	
gel grafton 25cc 121170	278	RC	Outpatient			2848	1851.2		90			Percent of total billed charges		2563.2	40			Percent of total billed charges		1139.2	80			Percent of total billed charges		2278.4	90			Percent of total billed charges		2563.2	85			Percent of total billed charges		2420.8	85			Percent of total billed charges		2420.8	85			Percent of total billed charges		2420.8	100			Percent of total billed charges		2848	100			Percent of total billed charges		2848	100			Percent of total billed charges		2848	33.3			Percent of total billed charges		948.384	33.3			Percent of total billed charges		948.384	100			Percent of total billed charges		2848	948.384	2563.2	
grafton gel 25cc	278	RC	Outpatient			2848	1851.2		90			Percent of total billed charges		2563.2	40			Percent of total billed charges		1139.2	80			Percent of total billed charges		2278.4	90			Percent of total billed charges		2563.2	85			Percent of total billed charges		2420.8	85			Percent of total billed charges		2420.8	85			Percent of total billed charges		2420.8	100			Percent of total billed charges		2848	100			Percent of total billed charges		2848	100			Percent of total billed charges		2848	33.3			Percent of total billed charges		948.384	33.3			Percent of total billed charges		948.384	100			Percent of total billed charges		2848	948.384	2563.2	
sc-acufix slimline plate 3 seg 47mm 403-3047 abbott	278	RC	Outpatient			2848	1851.2		90			Percent of total billed charges		2563.2	40			Percent of total billed charges		1139.2	80			Percent of total billed charges		2278.4	90			Percent of total billed charges		2563.2	85			Percent of total billed charges		2420.8	85			Percent of total billed charges		2420.8	85			Percent of total billed charges		2420.8	100			Percent of total billed charges		2848	100			Percent of total billed charges		2848	100			Percent of total billed charges		2848	33.3			Percent of total billed charges		948.384	33.3			Percent of total billed charges		948.384	100			Percent of total billed charges		2848	948.384	2563.2	
sc-acufix slimline plate 3 seg 50mm 403-3050 abbott	278	RC	Outpatient			2848	1851.2		90			Percent of total billed charges		2563.2	40			Percent of total billed charges		1139.2	80			Percent of total billed charges		2278.4	90			Percent of total billed charges		2563.2	85			Percent of total billed charges		2420.8	85			Percent of total billed charges		2420.8	85			Percent of total billed charges		2420.8	100			Percent of total billed charges		2848	100			Percent of total billed charges		2848	100			Percent of total billed charges		2848	33.3			Percent of total billed charges		948.384	33.3			Percent of total billed charges		948.384	100			Percent of total billed charges		2848	948.384	2563.2	
sc-acufix slimline plate 3 seg 53mm 403-3053 abbott	278	RC	Outpatient			2848	1851.2		90			Percent of total billed charges		2563.2	40			Percent of total billed charges		1139.2	80			Percent of total billed charges		2278.4	90			Percent of total billed charges		2563.2	85			Percent of total billed charges		2420.8	85			Percent of total billed charges		2420.8	85			Percent of total billed charges		2420.8	100			Percent of total billed charges		2848	100			Percent of total billed charges		2848	100			Percent of total billed charges		2848	33.3			Percent of total billed charges		948.384	33.3			Percent of total billed charges		948.384	100			Percent of total billed charges		2848	948.384	2563.2	
sc-acufix slimline plate 3 seg 59mm 403-3059 abbott	278	RC	Outpatient			2848	1851.2		90			Percent of total billed charges		2563.2	40			Percent of total billed charges		1139.2	80			Percent of total billed charges		2278.4	90			Percent of total billed charges		2563.2	85			Percent of total billed charges		2420.8	85			Percent of total billed charges		2420.8	85			Percent of total billed charges		2420.8	100			Percent of total billed charges		2848	100			Percent of total billed charges		2848	100			Percent of total billed charges		2848	33.3			Percent of total billed charges		948.384	33.3			Percent of total billed charges		948.384	100			Percent of total billed charges		2848	948.384	2563.2	
sc-acufix slimline plate 3 seg56mm 403-3056 abbott	278	RC	Outpatient			2848	1851.2		90			Percent of total billed charges		2563.2	40			Percent of total billed charges		1139.2	80			Percent of total billed charges		2278.4	90			Percent of total billed charges		2563.2	85			Percent of total billed charges		2420.8	85			Percent of total billed charges		2420.8	85			Percent of total billed charges		2420.8	100			Percent of total billed charges		2848	100			Percent of total billed charges		2848	100			Percent of total billed charges		2848	33.3			Percent of total billed charges		948.384	33.3			Percent of total billed charges		948.384	100			Percent of total billed charges		2848	948.384	2563.2	
slimline plt 3 seg	278	RC	Outpatient			2848	1851.2		90			Percent of total billed charges		2563.2	40			Percent of total billed charges		1139.2	80			Percent of total billed charges		2278.4	90			Percent of total billed charges		2563.2	85			Percent of total billed charges		2420.8	85			Percent of total billed charges		2420.8	85			Percent of total billed charges		2420.8	100			Percent of total billed charges		2848	100			Percent of total billed charges		2848	100			Percent of total billed charges		2848	33.3			Percent of total billed charges		948.384	33.3			Percent of total billed charges		948.384	100			Percent of total billed charges		2848	948.384	2563.2	
sc-acufix slimline plate 3 seg 62mm 403-3062 abbott	278	RC	Outpatient			2848	1851.2		90			Percent of total billed charges		2563.2	40			Percent of total billed charges		1139.2	80			Percent of total billed charges		2278.4	90			Percent of total billed charges		2563.2	85			Percent of total billed charges		2420.8	85			Percent of total billed charges		2420.8	85			Percent of total billed charges		2420.8	100			Percent of total billed charges		2848	100			Percent of total billed charges		2848	100			Percent of total billed charges		2848	33.3			Percent of total billed charges		948.384	33.3			Percent of total billed charges		948.384	100			Percent of total billed charges		2848	948.384	2563.2	
sc-acufix slimline plate 3 seg 65mm 403-3065 abbott	278	RC	Outpatient			2848	1851.2		90			Percent of total billed charges		2563.2	40			Percent of total billed charges		1139.2	80			Percent of total billed charges		2278.4	90			Percent of total billed charges		2563.2	85			Percent of total billed charges		2420.8	85			Percent of total billed charges		2420.8	85			Percent of total billed charges		2420.8	100			Percent of total billed charges		2848	100			Percent of total billed charges		2848	100			Percent of total billed charges		2848	33.3			Percent of total billed charges		948.384	33.3			Percent of total billed charges		948.384	100			Percent of total billed charges		2848	948.384	2563.2	
sc-acufix slimline plate 3 seg 68mm 403-3068 abbott	278	RC	Outpatient			2848	1851.2		90			Percent of total billed charges		2563.2	40			Percent of total billed charges		1139.2	80			Percent of total billed charges		2278.4	90			Percent of total billed charges		2563.2	85			Percent of total billed charges		2420.8	85			Percent of total billed charges		2420.8	85			Percent of total billed charges		2420.8	100			Percent of total billed charges		2848	100			Percent of total billed charges		2848	100			Percent of total billed charges		2848	33.3			Percent of total billed charges		948.384	33.3			Percent of total billed charges		948.384	100			Percent of total billed charges		2848	948.384	2563.2	
sc-acufix slimline plate 3 seg 71mm 403-3071 abbott	278	RC	Outpatient			2848	1851.2		90			Percent of total billed charges		2563.2	40			Percent of total billed charges		1139.2	80			Percent of total billed charges		2278.4	90			Percent of total billed charges		2563.2	85			Percent of total billed charges		2420.8	85			Percent of total billed charges		2420.8	85			Percent of total billed charges		2420.8	100			Percent of total billed charges		2848	100			Percent of total billed charges		2848	100			Percent of total billed charges		2848	33.3			Percent of total billed charges		948.384	33.3			Percent of total billed charges		948.384	100			Percent of total billed charges		2848	948.384	2563.2	
triathlon fluted stem 10 x 100 5565-s-010 stryker	278	RC	Outpatient			2851	1853.15		90			Percent of total billed charges		2565.9	40			Percent of total billed charges		1140.4	80			Percent of total billed charges		2280.8	90			Percent of total billed charges		2565.9	85			Percent of total billed charges		2423.35	85			Percent of total billed charges		2423.35	85			Percent of total billed charges		2423.35	100			Percent of total billed charges		2851	100			Percent of total billed charges		2851	100			Percent of total billed charges		2851	33.3			Percent of total billed charges		949.383	33.3			Percent of total billed charges		949.383	100			Percent of total billed charges		2851	949.383	2565.9	
triathlon fluted stem 13 x 100 5565-s-013 stryker	278	RC	Outpatient			2851	1853.15		90			Percent of total billed charges		2565.9	40			Percent of total billed charges		1140.4	80			Percent of total billed charges		2280.8	90			Percent of total billed charges		2565.9	85			Percent of total billed charges		2423.35	85			Percent of total billed charges		2423.35	85			Percent of total billed charges		2423.35	100			Percent of total billed charges		2851	100			Percent of total billed charges		2851	100			Percent of total billed charges		2851	33.3			Percent of total billed charges		949.383	33.3			Percent of total billed charges		949.383	100			Percent of total billed charges		2851	949.383	2565.9	
triathlon fluted stem 17 x 100 5565-s-017 stryker	278	RC	Outpatient			2851	1853.15		90			Percent of total billed charges		2565.9	40			Percent of total billed charges		1140.4	80			Percent of total billed charges		2280.8	90			Percent of total billed charges		2565.9	85			Percent of total billed charges		2423.35	85			Percent of total billed charges		2423.35	85			Percent of total billed charges		2423.35	100			Percent of total billed charges		2851	100			Percent of total billed charges		2851	100			Percent of total billed charges		2851	33.3			Percent of total billed charges		949.383	33.3			Percent of total billed charges		949.383	100			Percent of total billed charges		2851	949.383	2565.9	
triathlon fluted stem 18 x 100 5565-s-018 stryker	278	RC	Outpatient			2851	1853.15		90			Percent of total billed charges		2565.9	40			Percent of total billed charges		1140.4	80			Percent of total billed charges		2280.8	90			Percent of total billed charges		2565.9	85			Percent of total billed charges		2423.35	85			Percent of total billed charges		2423.35	85			Percent of total billed charges		2423.35	100			Percent of total billed charges		2851	100			Percent of total billed charges		2851	100			Percent of total billed charges		2851	33.3			Percent of total billed charges		949.383	33.3			Percent of total billed charges		949.383	100			Percent of total billed charges		2851	949.383	2565.9	
triathlon stem fluted	278	RC	Outpatient			2851	1853.15		90			Percent of total billed charges		2565.9	40			Percent of total billed charges		1140.4	80			Percent of total billed charges		2280.8	90			Percent of total billed charges		2565.9	85			Percent of total billed charges		2423.35	85			Percent of total billed charges		2423.35	85			Percent of total billed charges		2423.35	100			Percent of total billed charges		2851	100			Percent of total billed charges		2851	100			Percent of total billed charges		2851	33.3			Percent of total billed charges		949.383	33.3			Percent of total billed charges		949.383	100			Percent of total billed charges		2851	949.383	2565.9	
bio constrained bearing	278	RC	Outpatient			2858	1857.7		90			Percent of total billed charges		2572.2	40			Percent of total billed charges		1143.2	80			Percent of total billed charges		2286.4	90			Percent of total billed charges		2572.2	85			Percent of total billed charges		2429.3	85			Percent of total billed charges		2429.3	85			Percent of total billed charges		2429.3	100			Percent of total billed charges		2858	100			Percent of total billed charges		2858	100			Percent of total billed charges		2858	33.3			Percent of total billed charges		951.714	33.3			Percent of total billed charges		951.714	100			Percent of total billed charges		2858	951.714	2572.2	
click'x pedicle screw 5.2 x 45mm 499.553 synthes	278	RC	Outpatient			2858	1857.7		90			Percent of total billed charges		2572.2	40			Percent of total billed charges		1143.2	80			Percent of total billed charges		2286.4	90			Percent of total billed charges		2572.2	85			Percent of total billed charges		2429.3	85			Percent of total billed charges		2429.3	85			Percent of total billed charges		2429.3	100			Percent of total billed charges		2858	100			Percent of total billed charges		2858	100			Percent of total billed charges		2858	33.3			Percent of total billed charges		951.714	33.3			Percent of total billed charges		951.714	100			Percent of total billed charges		2858	951.714	2572.2	
click'x pedicle screw 6.2 x 33mm 498.986 synthes	278	RC	Outpatient			2858	1857.7		90			Percent of total billed charges		2572.2	40			Percent of total billed charges		1143.2	80			Percent of total billed charges		2286.4	90			Percent of total billed charges		2572.2	85			Percent of total billed charges		2429.3	85			Percent of total billed charges		2429.3	85			Percent of total billed charges		2429.3	100			Percent of total billed charges		2858	100			Percent of total billed charges		2858	100			Percent of total billed charges		2858	33.3			Percent of total billed charges		951.714	33.3			Percent of total billed charges		951.714	100			Percent of total billed charges		2858	951.714	2572.2	
click'x pedicle screw 6.2 x 45mm 498.989 synthes	278	RC	Outpatient			2858	1857.7		90			Percent of total billed charges		2572.2	40			Percent of total billed charges		1143.2	80			Percent of total billed charges		2286.4	90			Percent of total billed charges		2572.2	85			Percent of total billed charges		2429.3	85			Percent of total billed charges		2429.3	85			Percent of total billed charges		2429.3	100			Percent of total billed charges		2858	100			Percent of total billed charges		2858	100			Percent of total billed charges		2858	33.3			Percent of total billed charges		951.714	33.3			Percent of total billed charges		951.714	100			Percent of total billed charges		2858	951.714	2572.2	
click'x pedicle screw 7.0 x 35mm 498.994 synthes	278	RC	Outpatient			2858	1857.7		90			Percent of total billed charges		2572.2	40			Percent of total billed charges		1143.2	80			Percent of total billed charges		2286.4	90			Percent of total billed charges		2572.2	85			Percent of total billed charges		2429.3	85			Percent of total billed charges		2429.3	85			Percent of total billed charges		2429.3	100			Percent of total billed charges		2858	100			Percent of total billed charges		2858	100			Percent of total billed charges		2858	33.3			Percent of total billed charges		951.714	33.3			Percent of total billed charges		951.714	100			Percent of total billed charges		2858	951.714	2572.2	
click'x pedicle screw 7.0 x 40mm 498.995 synthes	278	RC	Outpatient			2858	1857.7		90			Percent of total billed charges		2572.2	40			Percent of total billed charges		1143.2	80			Percent of total billed charges		2286.4	90			Percent of total billed charges		2572.2	85			Percent of total billed charges		2429.3	85			Percent of total billed charges		2429.3	85			Percent of total billed charges		2429.3	100			Percent of total billed charges		2858	100			Percent of total billed charges		2858	100			Percent of total billed charges		2858	33.3			Percent of total billed charges		951.714	33.3			Percent of total billed charges		951.714	100			Percent of total billed charges		2858	951.714	2572.2	
click'x pedicle screw	278	RC	Outpatient			2858	1857.7		90			Percent of total billed charges		2572.2	40			Percent of total billed charges		1143.2	80			Percent of total billed charges		2286.4	90			Percent of total billed charges		2572.2	85			Percent of total billed charges		2429.3	85			Percent of total billed charges		2429.3	85			Percent of total billed charges		2429.3	100			Percent of total billed charges		2858	100			Percent of total billed charges		2858	100			Percent of total billed charges		2858	33.3			Percent of total billed charges		951.714	33.3			Percent of total billed charges		951.714	100			Percent of total billed charges		2858	951.714	2572.2	
click'x pedicle screw 5.0 x 45mm  synthes	278	RC	Outpatient			2858	1857.7		90			Percent of total billed charges		2572.2	40			Percent of total billed charges		1143.2	80			Percent of total billed charges		2286.4	90			Percent of total billed charges		2572.2	85			Percent of total billed charges		2429.3	85			Percent of total billed charges		2429.3	85			Percent of total billed charges		2429.3	100			Percent of total billed charges		2858	100			Percent of total billed charges		2858	100			Percent of total billed charges		2858	33.3			Percent of total billed charges		951.714	33.3			Percent of total billed charges		951.714	100			Percent of total billed charges		2858	951.714	2572.2	
click'x pedicle screw 5.2 x 40mm 498.552 synthes	278	RC	Outpatient			2858	1857.7		90			Percent of total billed charges		2572.2	40			Percent of total billed charges		1143.2	80			Percent of total billed charges		2286.4	90			Percent of total billed charges		2572.2	85			Percent of total billed charges		2429.3	85			Percent of total billed charges		2429.3	85			Percent of total billed charges		2429.3	100			Percent of total billed charges		2858	100			Percent of total billed charges		2858	100			Percent of total billed charges		2858	33.3			Percent of total billed charges		951.714	33.3			Percent of total billed charges		951.714	100			Percent of total billed charges		2858	951.714	2572.2	
click'x pedicle screw 5.2 x 40mm 499.552 synthes	278	RC	Outpatient			2858	1857.7		90			Percent of total billed charges		2572.2	40			Percent of total billed charges		1143.2	80			Percent of total billed charges		2286.4	90			Percent of total billed charges		2572.2	85			Percent of total billed charges		2429.3	85			Percent of total billed charges		2429.3	85			Percent of total billed charges		2429.3	100			Percent of total billed charges		2858	100			Percent of total billed charges		2858	100			Percent of total billed charges		2858	33.3			Percent of total billed charges		951.714	33.3			Percent of total billed charges		951.714	100			Percent of total billed charges		2858	951.714	2572.2	
click'x pedicle screw 6.2 x 35mm 498.987 synthes	278	RC	Outpatient			2858	1857.7		90			Percent of total billed charges		2572.2	40			Percent of total billed charges		1143.2	80			Percent of total billed charges		2286.4	90			Percent of total billed charges		2572.2	85			Percent of total billed charges		2429.3	85			Percent of total billed charges		2429.3	85			Percent of total billed charges		2429.3	100			Percent of total billed charges		2858	100			Percent of total billed charges		2858	100			Percent of total billed charges		2858	33.3			Percent of total billed charges		951.714	33.3			Percent of total billed charges		951.714	100			Percent of total billed charges		2858	951.714	2572.2	
click'x pedicle screw 6.2 x 40mm 498.988 synthes	278	RC	Outpatient			2858	1857.7		90			Percent of total billed charges		2572.2	40			Percent of total billed charges		1143.2	80			Percent of total billed charges		2286.4	90			Percent of total billed charges		2572.2	85			Percent of total billed charges		2429.3	85			Percent of total billed charges		2429.3	85			Percent of total billed charges		2429.3	100			Percent of total billed charges		2858	100			Percent of total billed charges		2858	100			Percent of total billed charges		2858	33.3			Percent of total billed charges		951.714	33.3			Percent of total billed charges		951.714	100			Percent of total billed charges		2858	951.714	2572.2	
click'x pedicle screw 7.0 x 45mm 498.996 synthes	278	RC	Outpatient			2858	1857.7		90			Percent of total billed charges		2572.2	40			Percent of total billed charges		1143.2	80			Percent of total billed charges		2286.4	90			Percent of total billed charges		2572.2	85			Percent of total billed charges		2429.3	85			Percent of total billed charges		2429.3	85			Percent of total billed charges		2429.3	100			Percent of total billed charges		2858	100			Percent of total billed charges		2858	100			Percent of total billed charges		2858	33.3			Percent of total billed charges		951.714	33.3			Percent of total billed charges		951.714	100			Percent of total billed charges		2858	951.714	2572.2	
click'x pedicle screw 8.0 x 40mm 499.085 synthes	278	RC	Outpatient			2858	1857.7		90			Percent of total billed charges		2572.2	40			Percent of total billed charges		1143.2	80			Percent of total billed charges		2286.4	90			Percent of total billed charges		2572.2	85			Percent of total billed charges		2429.3	85			Percent of total billed charges		2429.3	85			Percent of total billed charges		2429.3	100			Percent of total billed charges		2858	100			Percent of total billed charges		2858	100			Percent of total billed charges		2858	33.3			Percent of total billed charges		951.714	33.3			Percent of total billed charges		951.714	100			Percent of total billed charges		2858	951.714	2572.2	
lordotic peek spacer 6mm 889.922 synthes	278	RC	Outpatient			2858	1857.7		90			Percent of total billed charges		2572.2	40			Percent of total billed charges		1143.2	80			Percent of total billed charges		2286.4	90			Percent of total billed charges		2572.2	85			Percent of total billed charges		2429.3	85			Percent of total billed charges		2429.3	85			Percent of total billed charges		2429.3	100			Percent of total billed charges		2858	100			Percent of total billed charges		2858	100			Percent of total billed charges		2858	33.3			Percent of total billed charges		951.714	33.3			Percent of total billed charges		951.714	100			Percent of total billed charges		2858	951.714	2572.2	
lordotic peek spacer 7mm 889.923 synthes	278	RC	Outpatient			2858	1857.7		90			Percent of total billed charges		2572.2	40			Percent of total billed charges		1143.2	80			Percent of total billed charges		2286.4	90			Percent of total billed charges		2572.2	85			Percent of total billed charges		2429.3	85			Percent of total billed charges		2429.3	85			Percent of total billed charges		2429.3	100			Percent of total billed charges		2858	100			Percent of total billed charges		2858	100			Percent of total billed charges		2858	33.3			Percent of total billed charges		951.714	33.3			Percent of total billed charges		951.714	100			Percent of total billed charges		2858	951.714	2572.2	
lordotic peek spacer 8mm 889.924 synthes	278	RC	Outpatient			2858	1857.7		90			Percent of total billed charges		2572.2	40			Percent of total billed charges		1143.2	80			Percent of total billed charges		2286.4	90			Percent of total billed charges		2572.2	85			Percent of total billed charges		2429.3	85			Percent of total billed charges		2429.3	85			Percent of total billed charges		2429.3	100			Percent of total billed charges		2858	100			Percent of total billed charges		2858	100			Percent of total billed charges		2858	33.3			Percent of total billed charges		951.714	33.3			Percent of total billed charges		951.714	100			Percent of total billed charges		2858	951.714	2572.2	
max dcm constrain tib brg 24x63/67 11-146744 biomet	278	RC	Outpatient			2858	1857.7		90			Percent of total billed charges		2572.2	40			Percent of total billed charges		1143.2	80			Percent of total billed charges		2286.4	90			Percent of total billed charges		2572.2	85			Percent of total billed charges		2429.3	85			Percent of total billed charges		2429.3	85			Percent of total billed charges		2429.3	100			Percent of total billed charges		2858	100			Percent of total billed charges		2858	100			Percent of total billed charges		2858	33.3			Percent of total billed charges		951.714	33.3			Percent of total billed charges		951.714	100			Percent of total billed charges		2858	951.714	2572.2	
max dcm constrain tib brg 24x79/83 11-146784 biomet	278	RC	Outpatient			2858	1857.7		90			Percent of total billed charges		2572.2	40			Percent of total billed charges		1143.2	80			Percent of total billed charges		2286.4	90			Percent of total billed charges		2572.2	85			Percent of total billed charges		2429.3	85			Percent of total billed charges		2429.3	85			Percent of total billed charges		2429.3	100			Percent of total billed charges		2858	100			Percent of total billed charges		2858	100			Percent of total billed charges		2858	33.3			Percent of total billed charges		951.714	33.3			Percent of total billed charges		951.714	100			Percent of total billed charges		2858	951.714	2572.2	
lordotic peek spacer 9mm 889.925 synthes	278	RC	Outpatient			2858	1857.7		90			Percent of total billed charges		2572.2	40			Percent of total billed charges		1143.2	80			Percent of total billed charges		2286.4	90			Percent of total billed charges		2572.2	85			Percent of total billed charges		2429.3	85			Percent of total billed charges		2429.3	85			Percent of total billed charges		2429.3	100			Percent of total billed charges		2858	100			Percent of total billed charges		2858	100			Percent of total billed charges		2858	33.3			Percent of total billed charges		951.714	33.3			Percent of total billed charges		951.714	100			Percent of total billed charges		2858	951.714	2572.2	
max dcm constrain tib brg 20x79/83 11-146780 biomet	278	RC	Outpatient			2858	1857.7		90			Percent of total billed charges		2572.2	40			Percent of total billed charges		1143.2	80			Percent of total billed charges		2286.4	90			Percent of total billed charges		2572.2	85			Percent of total billed charges		2429.3	85			Percent of total billed charges		2429.3	85			Percent of total billed charges		2429.3	100			Percent of total billed charges		2858	100			Percent of total billed charges		2858	100			Percent of total billed charges		2858	33.3			Percent of total billed charges		951.714	33.3			Percent of total billed charges		951.714	100			Percent of total billed charges		2858	951.714	2572.2	
synthes lordotic peek	278	RC	Outpatient			2858	1857.7		90			Percent of total billed charges		2572.2	40			Percent of total billed charges		1143.2	80			Percent of total billed charges		2286.4	90			Percent of total billed charges		2572.2	85			Percent of total billed charges		2429.3	85			Percent of total billed charges		2429.3	85			Percent of total billed charges		2429.3	100			Percent of total billed charges		2858	100			Percent of total billed charges		2858	100			Percent of total billed charges		2858	33.3			Percent of total billed charges		951.714	33.3			Percent of total billed charges		951.714	100			Percent of total billed charges		2858	951.714	2572.2	
triathlon trit tibia	278	RC	Outpatient			2859	1858.35		90			Percent of total billed charges		2573.1	40			Percent of total billed charges		1143.6	80			Percent of total billed charges		2287.2	90			Percent of total billed charges		2573.1	85			Percent of total billed charges		2430.15	85			Percent of total billed charges		2430.15	85			Percent of total billed charges		2430.15	100			Percent of total billed charges		2859	100			Percent of total billed charges		2859	100			Percent of total billed charges		2859	33.3			Percent of total billed charges		952.047	33.3			Percent of total billed charges		952.047	100			Percent of total billed charges		2859	952.047	2573.1	
triathlon tritanium tibial comp #6 5536-b-600 stryker	278	RC	Outpatient			2859	1858.35		90			Percent of total billed charges		2573.1	40			Percent of total billed charges		1143.6	80			Percent of total billed charges		2287.2	90			Percent of total billed charges		2573.1	85			Percent of total billed charges		2430.15	85			Percent of total billed charges		2430.15	85			Percent of total billed charges		2430.15	100			Percent of total billed charges		2859	100			Percent of total billed charges		2859	100			Percent of total billed charges		2859	33.3			Percent of total billed charges		952.047	33.3			Percent of total billed charges		952.047	100			Percent of total billed charges		2859	952.047	2573.1	
triathlon tritanium tibial comp #5 5536-b-500 stryker	278	RC	Outpatient			2859	1858.35		90			Percent of total billed charges		2573.1	40			Percent of total billed charges		1143.6	80			Percent of total billed charges		2287.2	90			Percent of total billed charges		2573.1	85			Percent of total billed charges		2430.15	85			Percent of total billed charges		2430.15	85			Percent of total billed charges		2430.15	100			Percent of total billed charges		2859	100			Percent of total billed charges		2859	100			Percent of total billed charges		2859	33.3			Percent of total billed charges		952.047	33.3			Percent of total billed charges		952.047	100			Percent of total billed charges		2859	952.047	2573.1	
triathlon tritanium tibial comp #7 5536-b-700 stryker	278	RC	Outpatient			2859	1858.35		90			Percent of total billed charges		2573.1	40			Percent of total billed charges		1143.6	80			Percent of total billed charges		2287.2	90			Percent of total billed charges		2573.1	85			Percent of total billed charges		2430.15	85			Percent of total billed charges		2430.15	85			Percent of total billed charges		2430.15	100			Percent of total billed charges		2859	100			Percent of total billed charges		2859	100			Percent of total billed charges		2859	33.3			Percent of total billed charges		952.047	33.3			Percent of total billed charges		952.047	100			Percent of total billed charges		2859	952.047	2573.1	
stryker trident psl ac cp	278	RC	Outpatient			2860	1859		90			Percent of total billed charges		2574	40			Percent of total billed charges		1144	80			Percent of total billed charges		2288	90			Percent of total billed charges		2574	85			Percent of total billed charges		2431	85			Percent of total billed charges		2431	85			Percent of total billed charges		2431	100			Percent of total billed charges		2860	100			Percent of total billed charges		2860	100			Percent of total billed charges		2860	33.3			Percent of total billed charges		952.38	33.3			Percent of total billed charges		952.38	100			Percent of total billed charges		2860	952.38	2574	
trident psl acetabular cup 46mm 540-11-46d stryker	278	RC	Outpatient			2860	1859		90			Percent of total billed charges		2574	40			Percent of total billed charges		1144	80			Percent of total billed charges		2288	90			Percent of total billed charges		2574	85			Percent of total billed charges		2431	85			Percent of total billed charges		2431	85			Percent of total billed charges		2431	100			Percent of total billed charges		2860	100			Percent of total billed charges		2860	100			Percent of total billed charges		2860	33.3			Percent of total billed charges		952.38	33.3			Percent of total billed charges		952.38	100			Percent of total billed charges		2860	952.38	2574	
trident psl acetabular cup 46mm cluster 542-11-46d stryker	278	RC	Outpatient			2860	1859		90			Percent of total billed charges		2574	40			Percent of total billed charges		1144	80			Percent of total billed charges		2288	90			Percent of total billed charges		2574	85			Percent of total billed charges		2431	85			Percent of total billed charges		2431	85			Percent of total billed charges		2431	100			Percent of total billed charges		2860	100			Percent of total billed charges		2860	100			Percent of total billed charges		2860	33.3			Percent of total billed charges		952.38	33.3			Percent of total billed charges		952.38	100			Percent of total billed charges		2860	952.38	2574	
trident psl acetabular cup 50mm cluster 542-11-50e stryker	278	RC	Outpatient			2860	1859		90			Percent of total billed charges		2574	40			Percent of total billed charges		1144	80			Percent of total billed charges		2288	90			Percent of total billed charges		2574	85			Percent of total billed charges		2431	85			Percent of total billed charges		2431	85			Percent of total billed charges		2431	100			Percent of total billed charges		2860	100			Percent of total billed charges		2860	100			Percent of total billed charges		2860	33.3			Percent of total billed charges		952.38	33.3			Percent of total billed charges		952.38	100			Percent of total billed charges		2860	952.38	2574	
trident psl acetabular cup 52mm 540-11-52e stryker	278	RC	Outpatient			2860	1859		90			Percent of total billed charges		2574	40			Percent of total billed charges		1144	80			Percent of total billed charges		2288	90			Percent of total billed charges		2574	85			Percent of total billed charges		2431	85			Percent of total billed charges		2431	85			Percent of total billed charges		2431	100			Percent of total billed charges		2860	100			Percent of total billed charges		2860	100			Percent of total billed charges		2860	33.3			Percent of total billed charges		952.38	33.3			Percent of total billed charges		952.38	100			Percent of total billed charges		2860	952.38	2574	
trident psl acetabular cup 52mm cluster 542-11-52e stryker	278	RC	Outpatient			2860	1859		90			Percent of total billed charges		2574	40			Percent of total billed charges		1144	80			Percent of total billed charges		2288	90			Percent of total billed charges		2574	85			Percent of total billed charges		2431	85			Percent of total billed charges		2431	85			Percent of total billed charges		2431	100			Percent of total billed charges		2860	100			Percent of total billed charges		2860	100			Percent of total billed charges		2860	33.3			Percent of total billed charges		952.38	33.3			Percent of total billed charges		952.38	100			Percent of total billed charges		2860	952.38	2574	
trident psl acetabular cup 54mm cluster 542-11-54f stryker	278	RC	Outpatient			2860	1859		90			Percent of total billed charges		2574	40			Percent of total billed charges		1144	80			Percent of total billed charges		2288	90			Percent of total billed charges		2574	85			Percent of total billed charges		2431	85			Percent of total billed charges		2431	85			Percent of total billed charges		2431	100			Percent of total billed charges		2860	100			Percent of total billed charges		2860	100			Percent of total billed charges		2860	33.3			Percent of total billed charges		952.38	33.3			Percent of total billed charges		952.38	100			Percent of total billed charges		2860	952.38	2574	
trident psl acetabular cup 58mm 540-11-58g stryker	278	RC	Outpatient			2860	1859		90			Percent of total billed charges		2574	40			Percent of total billed charges		1144	80			Percent of total billed charges		2288	90			Percent of total billed charges		2574	85			Percent of total billed charges		2431	85			Percent of total billed charges		2431	85			Percent of total billed charges		2431	100			Percent of total billed charges		2860	100			Percent of total billed charges		2860	100			Percent of total billed charges		2860	33.3			Percent of total billed charges		952.38	33.3			Percent of total billed charges		952.38	100			Percent of total billed charges		2860	952.38	2574	
trident psl acetabular cup 60mm cluster 542-11-60g stryker	278	RC	Outpatient			2860	1859		90			Percent of total billed charges		2574	40			Percent of total billed charges		1144	80			Percent of total billed charges		2288	90			Percent of total billed charges		2574	85			Percent of total billed charges		2431	85			Percent of total billed charges		2431	85			Percent of total billed charges		2431	100			Percent of total billed charges		2860	100			Percent of total billed charges		2860	100			Percent of total billed charges		2860	33.3			Percent of total billed charges		952.38	33.3			Percent of total billed charges		952.38	100			Percent of total billed charges		2860	952.38	2574	
trident psl acetabular cup 62mm 540-11-62h stryker	278	RC	Outpatient			2860	1859		90			Percent of total billed charges		2574	40			Percent of total billed charges		1144	80			Percent of total billed charges		2288	90			Percent of total billed charges		2574	85			Percent of total billed charges		2431	85			Percent of total billed charges		2431	85			Percent of total billed charges		2431	100			Percent of total billed charges		2860	100			Percent of total billed charges		2860	100			Percent of total billed charges		2860	33.3			Percent of total billed charges		952.38	33.3			Percent of total billed charges		952.38	100			Percent of total billed charges		2860	952.38	2574	
trident psl acetabular cup 62mm cluster 542-11-62h stryker	278	RC	Outpatient			2860	1859		90			Percent of total billed charges		2574	40			Percent of total billed charges		1144	80			Percent of total billed charges		2288	90			Percent of total billed charges		2574	85			Percent of total billed charges		2431	85			Percent of total billed charges		2431	85			Percent of total billed charges		2431	100			Percent of total billed charges		2860	100			Percent of total billed charges		2860	100			Percent of total billed charges		2860	33.3			Percent of total billed charges		952.38	33.3			Percent of total billed charges		952.38	100			Percent of total billed charges		2860	952.38	2574	
trident psl acetabular cup 64mm cluster 542-11-64h stryker	278	RC	Outpatient			2860	1859		90			Percent of total billed charges		2574	40			Percent of total billed charges		1144	80			Percent of total billed charges		2288	90			Percent of total billed charges		2574	85			Percent of total billed charges		2431	85			Percent of total billed charges		2431	85			Percent of total billed charges		2431	100			Percent of total billed charges		2860	100			Percent of total billed charges		2860	100			Percent of total billed charges		2860	33.3			Percent of total billed charges		952.38	33.3			Percent of total billed charges		952.38	100			Percent of total billed charges		2860	952.38	2574	
trident psl acetabular cup 68mm 540-11-68i stryker	278	RC	Outpatient			2860	1859		90			Percent of total billed charges		2574	40			Percent of total billed charges		1144	80			Percent of total billed charges		2288	90			Percent of total billed charges		2574	85			Percent of total billed charges		2431	85			Percent of total billed charges		2431	85			Percent of total billed charges		2431	100			Percent of total billed charges		2860	100			Percent of total billed charges		2860	100			Percent of total billed charges		2860	33.3			Percent of total billed charges		952.38	33.3			Percent of total billed charges		952.38	100			Percent of total billed charges		2860	952.38	2574	
trident psl acetabular cup 68mm cluster 542-11-68i stryker	278	RC	Outpatient			2860	1859		90			Percent of total billed charges		2574	40			Percent of total billed charges		1144	80			Percent of total billed charges		2288	90			Percent of total billed charges		2574	85			Percent of total billed charges		2431	85			Percent of total billed charges		2431	85			Percent of total billed charges		2431	100			Percent of total billed charges		2860	100			Percent of total billed charges		2860	100			Percent of total billed charges		2860	33.3			Percent of total billed charges		952.38	33.3			Percent of total billed charges		952.38	100			Percent of total billed charges		2860	952.38	2574	
trident psl acetabular shell  542-11-50e how/osteo	278	RC	Outpatient			2860	1859		90			Percent of total billed charges		2574	40			Percent of total billed charges		1144	80			Percent of total billed charges		2288	90			Percent of total billed charges		2574	85			Percent of total billed charges		2431	85			Percent of total billed charges		2431	85			Percent of total billed charges		2431	100			Percent of total billed charges		2860	100			Percent of total billed charges		2860	100			Percent of total billed charges		2860	33.3			Percent of total billed charges		952.38	33.3			Percent of total billed charges		952.38	100			Percent of total billed charges		2860	952.38	2574	
trident psl acetabular cup 48mm 540-11-48d stryker	278	RC	Outpatient			2860	1859		90			Percent of total billed charges		2574	40			Percent of total billed charges		1144	80			Percent of total billed charges		2288	90			Percent of total billed charges		2574	85			Percent of total billed charges		2431	85			Percent of total billed charges		2431	85			Percent of total billed charges		2431	100			Percent of total billed charges		2860	100			Percent of total billed charges		2860	100			Percent of total billed charges		2860	33.3			Percent of total billed charges		952.38	33.3			Percent of total billed charges		952.38	100			Percent of total billed charges		2860	952.38	2574	
trident psl acetabular cup 48mm cluster 542-11-48d stryker	278	RC	Outpatient			2860	1859		90			Percent of total billed charges		2574	40			Percent of total billed charges		1144	80			Percent of total billed charges		2288	90			Percent of total billed charges		2574	85			Percent of total billed charges		2431	85			Percent of total billed charges		2431	85			Percent of total billed charges		2431	100			Percent of total billed charges		2860	100			Percent of total billed charges		2860	100			Percent of total billed charges		2860	33.3			Percent of total billed charges		952.38	33.3			Percent of total billed charges		952.38	100			Percent of total billed charges		2860	952.38	2574	
trident psl acetabular cup 50mm 540-11-50e stryker	278	RC	Outpatient			2860	1859		90			Percent of total billed charges		2574	40			Percent of total billed charges		1144	80			Percent of total billed charges		2288	90			Percent of total billed charges		2574	85			Percent of total billed charges		2431	85			Percent of total billed charges		2431	85			Percent of total billed charges		2431	100			Percent of total billed charges		2860	100			Percent of total billed charges		2860	100			Percent of total billed charges		2860	33.3			Percent of total billed charges		952.38	33.3			Percent of total billed charges		952.38	100			Percent of total billed charges		2860	952.38	2574	
trident psl acetabular cup 54mm 540-11-54f stryker	278	RC	Outpatient			2860	1859		90			Percent of total billed charges		2574	40			Percent of total billed charges		1144	80			Percent of total billed charges		2288	90			Percent of total billed charges		2574	85			Percent of total billed charges		2431	85			Percent of total billed charges		2431	85			Percent of total billed charges		2431	100			Percent of total billed charges		2860	100			Percent of total billed charges		2860	100			Percent of total billed charges		2860	33.3			Percent of total billed charges		952.38	33.3			Percent of total billed charges		952.38	100			Percent of total billed charges		2860	952.38	2574	
trident psl acetabular cup 56mm 540-11-56f stryker	278	RC	Outpatient			2860	1859		90			Percent of total billed charges		2574	40			Percent of total billed charges		1144	80			Percent of total billed charges		2288	90			Percent of total billed charges		2574	85			Percent of total billed charges		2431	85			Percent of total billed charges		2431	85			Percent of total billed charges		2431	100			Percent of total billed charges		2860	100			Percent of total billed charges		2860	100			Percent of total billed charges		2860	33.3			Percent of total billed charges		952.38	33.3			Percent of total billed charges		952.38	100			Percent of total billed charges		2860	952.38	2574	
trident psl acetabular cup 56mm cluster 542-11-56f stryker	278	RC	Outpatient			2860	1859		90			Percent of total billed charges		2574	40			Percent of total billed charges		1144	80			Percent of total billed charges		2288	90			Percent of total billed charges		2574	85			Percent of total billed charges		2431	85			Percent of total billed charges		2431	85			Percent of total billed charges		2431	100			Percent of total billed charges		2860	100			Percent of total billed charges		2860	100			Percent of total billed charges		2860	33.3			Percent of total billed charges		952.38	33.3			Percent of total billed charges		952.38	100			Percent of total billed charges		2860	952.38	2574	
trident psl acetabular cup 58mm cluster 542-11-58g stryker	278	RC	Outpatient			2860	1859		90			Percent of total billed charges		2574	40			Percent of total billed charges		1144	80			Percent of total billed charges		2288	90			Percent of total billed charges		2574	85			Percent of total billed charges		2431	85			Percent of total billed charges		2431	85			Percent of total billed charges		2431	100			Percent of total billed charges		2860	100			Percent of total billed charges		2860	100			Percent of total billed charges		2860	33.3			Percent of total billed charges		952.38	33.3			Percent of total billed charges		952.38	100			Percent of total billed charges		2860	952.38	2574	
trident psl acetabular cup 60mm 540-11-60g stryker	278	RC	Outpatient			2860	1859		90			Percent of total billed charges		2574	40			Percent of total billed charges		1144	80			Percent of total billed charges		2288	90			Percent of total billed charges		2574	85			Percent of total billed charges		2431	85			Percent of total billed charges		2431	85			Percent of total billed charges		2431	100			Percent of total billed charges		2860	100			Percent of total billed charges		2860	100			Percent of total billed charges		2860	33.3			Percent of total billed charges		952.38	33.3			Percent of total billed charges		952.38	100			Percent of total billed charges		2860	952.38	2574	
trident psl acetabular cup 64mm 640-11-64h stryker	278	RC	Outpatient			2860	1859		90			Percent of total billed charges		2574	40			Percent of total billed charges		1144	80			Percent of total billed charges		2288	90			Percent of total billed charges		2574	85			Percent of total billed charges		2431	85			Percent of total billed charges		2431	85			Percent of total billed charges		2431	100			Percent of total billed charges		2860	100			Percent of total billed charges		2860	100			Percent of total billed charges		2860	33.3			Percent of total billed charges		952.38	33.3			Percent of total billed charges		952.38	100			Percent of total billed charges		2860	952.38	2574	
trident psl acetabular cup 66mm 540-11-66i stryker	278	RC	Outpatient			2860	1859		90			Percent of total billed charges		2574	40			Percent of total billed charges		1144	80			Percent of total billed charges		2288	90			Percent of total billed charges		2574	85			Percent of total billed charges		2431	85			Percent of total billed charges		2431	85			Percent of total billed charges		2431	100			Percent of total billed charges		2860	100			Percent of total billed charges		2860	100			Percent of total billed charges		2860	33.3			Percent of total billed charges		952.38	33.3			Percent of total billed charges		952.38	100			Percent of total billed charges		2860	952.38	2574	
trident psl acetabular cup 66mm cluster 542-11-66i stryker	278	RC	Outpatient			2860	1859		90			Percent of total billed charges		2574	40			Percent of total billed charges		1144	80			Percent of total billed charges		2288	90			Percent of total billed charges		2574	85			Percent of total billed charges		2431	85			Percent of total billed charges		2431	85			Percent of total billed charges		2431	100			Percent of total billed charges		2860	100			Percent of total billed charges		2860	100			Percent of total billed charges		2860	33.3			Percent of total billed charges		952.38	33.3			Percent of total billed charges		952.38	100			Percent of total billed charges		2860	952.38	2574	
richards gii np tib bp	278	RC	Outpatient			2861	1859.65		90			Percent of total billed charges		2574.9	40			Percent of total billed charges		1144.4	80			Percent of total billed charges		2288.8	90			Percent of total billed charges		2574.9	85			Percent of total billed charges		2431.85	85			Percent of total billed charges		2431.85	85			Percent of total billed charges		2431.85	100			Percent of total billed charges		2861	100			Percent of total billed charges		2861	100			Percent of total billed charges		2861	33.3			Percent of total billed charges		952.713	33.3			Percent of total billed charges		952.713	100			Percent of total billed charges		2861	952.713	2574.9	
aptus endo guide	272	RC	Outpatient			2864	1861.6		90			Percent of total billed charges		2577.6	40			Percent of total billed charges		1145.6	80			Percent of total billed charges		2291.2	90			Percent of total billed charges		2577.6	85			Percent of total billed charges		2434.4	85			Percent of total billed charges		2434.4	85			Percent of total billed charges		2434.4	100			Percent of total billed charges		2864	100			Percent of total billed charges		2864	100			Percent of total billed charges		2864	33.3			Percent of total billed charges		953.712	33.3			Percent of total billed charges		953.712	100			Percent of total billed charges		2864	953.712	2577.6	
steerable endoguide w/ obturator sg-64 aptus	272	RC	Outpatient			2864	1861.6		90			Percent of total billed charges		2577.6	40			Percent of total billed charges		1145.6	80			Percent of total billed charges		2291.2	90			Percent of total billed charges		2577.6	85			Percent of total billed charges		2434.4	85			Percent of total billed charges		2434.4	85			Percent of total billed charges		2434.4	100			Percent of total billed charges		2864	100			Percent of total billed charges		2864	100			Percent of total billed charges		2864	33.3			Percent of total billed charges		953.712	33.3			Percent of total billed charges		953.712	100			Percent of total billed charges		2864	953.712	2577.6	
natrelle saline-filled implant 240cc 68hp-240 allergan	278	RC	Outpatient			2865	1862.25		90			Percent of total billed charges		2578.5	40			Percent of total billed charges		1146	80			Percent of total billed charges		2292	90			Percent of total billed charges		2578.5	85			Percent of total billed charges		2435.25	85			Percent of total billed charges		2435.25	85			Percent of total billed charges		2435.25	100			Percent of total billed charges		2865	100			Percent of total billed charges		2865	100			Percent of total billed charges		2865	33.3			Percent of total billed charges		954.045	33.3			Percent of total billed charges		954.045	100			Percent of total billed charges		2865	954.045	2578.5	
peroneus longus 0.80 x 27.0 cm frozen cts  15-5910	278	RC	Outpatient			2865	1862.25		90			Percent of total billed charges		2578.5	40			Percent of total billed charges		1146	80			Percent of total billed charges		2292	90			Percent of total billed charges		2578.5	85			Percent of total billed charges		2435.25	85			Percent of total billed charges		2435.25	85			Percent of total billed charges		2435.25	100			Percent of total billed charges		2865	100			Percent of total billed charges		2865	100			Percent of total billed charges		2865	33.3			Percent of total billed charges		954.045	33.3			Percent of total billed charges		954.045	100			Percent of total billed charges		2865	954.045	2578.5	
peroneus longus 0.80 x 30.0 cm frozen cts  093147-005    1170-14	278	RC	Outpatient			2865	1862.25		90			Percent of total billed charges		2578.5	40			Percent of total billed charges		1146	80			Percent of total billed charges		2292	90			Percent of total billed charges		2578.5	85			Percent of total billed charges		2435.25	85			Percent of total billed charges		2435.25	85			Percent of total billed charges		2435.25	100			Percent of total billed charges		2865	100			Percent of total billed charges		2865	100			Percent of total billed charges		2865	33.3			Percent of total billed charges		954.045	33.3			Percent of total billed charges		954.045	100			Percent of total billed charges		2865	954.045	2578.5	
peroneus longus 0.80 x 30.0 cm frozen cts  102050-018    23-5844	278	RC	Outpatient			2865	1862.25		90			Percent of total billed charges		2578.5	40			Percent of total billed charges		1146	80			Percent of total billed charges		2292	90			Percent of total billed charges		2578.5	85			Percent of total billed charges		2435.25	85			Percent of total billed charges		2435.25	85			Percent of total billed charges		2435.25	100			Percent of total billed charges		2865	100			Percent of total billed charges		2865	100			Percent of total billed charges		2865	33.3			Percent of total billed charges		954.045	33.3			Percent of total billed charges		954.045	100			Percent of total billed charges		2865	954.045	2578.5	
peroneus longus 0.80 x 30.0 cm frozen cts  15-6384	278	RC	Outpatient			2865	1862.25		90			Percent of total billed charges		2578.5	40			Percent of total billed charges		1146	80			Percent of total billed charges		2292	90			Percent of total billed charges		2578.5	85			Percent of total billed charges		2435.25	85			Percent of total billed charges		2435.25	85			Percent of total billed charges		2435.25	100			Percent of total billed charges		2865	100			Percent of total billed charges		2865	100			Percent of total billed charges		2865	33.3			Percent of total billed charges		954.045	33.3			Percent of total billed charges		954.045	100			Percent of total billed charges		2865	954.045	2578.5	
peroneus longus 0.80 x 300 mm 430345 mtf	278	RC	Outpatient			2865	1862.25		90			Percent of total billed charges		2578.5	40			Percent of total billed charges		1146	80			Percent of total billed charges		2292	90			Percent of total billed charges		2578.5	85			Percent of total billed charges		2435.25	85			Percent of total billed charges		2435.25	85			Percent of total billed charges		2435.25	100			Percent of total billed charges		2865	100			Percent of total billed charges		2865	100			Percent of total billed charges		2865	33.3			Percent of total billed charges		954.045	33.3			Percent of total billed charges		954.045	100			Percent of total billed charges		2865	954.045	2578.5	
peroneus longus 0.85 x 30.0 cm frozen cts  20-8889 112562-023	278	RC	Outpatient			2865	1862.25		90			Percent of total billed charges		2578.5	40			Percent of total billed charges		1146	80			Percent of total billed charges		2292	90			Percent of total billed charges		2578.5	85			Percent of total billed charges		2435.25	85			Percent of total billed charges		2435.25	85			Percent of total billed charges		2435.25	100			Percent of total billed charges		2865	100			Percent of total billed charges		2865	100			Percent of total billed charges		2865	33.3			Percent of total billed charges		954.045	33.3			Percent of total billed charges		954.045	100			Percent of total billed charges		2865	954.045	2578.5	
peroneus longus 0.85 x 30.0 cm frozen cts 101729-025   21-0710	278	RC	Outpatient			2865	1862.25		90			Percent of total billed charges		2578.5	40			Percent of total billed charges		1146	80			Percent of total billed charges		2292	90			Percent of total billed charges		2578.5	85			Percent of total billed charges		2435.25	85			Percent of total billed charges		2435.25	85			Percent of total billed charges		2435.25	100			Percent of total billed charges		2865	100			Percent of total billed charges		2865	100			Percent of total billed charges		2865	33.3			Percent of total billed charges		954.045	33.3			Percent of total billed charges		954.045	100			Percent of total billed charges		2865	954.045	2578.5	
peroneus longus 0.85 x 32.0 cm frozen cts  22-8234 102087-028	278	RC	Outpatient			2865	1862.25		90			Percent of total billed charges		2578.5	40			Percent of total billed charges		1146	80			Percent of total billed charges		2292	90			Percent of total billed charges		2578.5	85			Percent of total billed charges		2435.25	85			Percent of total billed charges		2435.25	85			Percent of total billed charges		2435.25	100			Percent of total billed charges		2865	100			Percent of total billed charges		2865	100			Percent of total billed charges		2865	33.3			Percent of total billed charges		954.045	33.3			Percent of total billed charges		954.045	100			Percent of total billed charges		2865	954.045	2578.5	
peroneus longus 0.85 x 32.0 cm frozen cts  721496 110512-019	278	RC	Outpatient			2865	1862.25		90			Percent of total billed charges		2578.5	40			Percent of total billed charges		1146	80			Percent of total billed charges		2292	90			Percent of total billed charges		2578.5	85			Percent of total billed charges		2435.25	85			Percent of total billed charges		2435.25	85			Percent of total billed charges		2435.25	100			Percent of total billed charges		2865	100			Percent of total billed charges		2865	100			Percent of total billed charges		2865	33.3			Percent of total billed charges		954.045	33.3			Percent of total billed charges		954.045	100			Percent of total billed charges		2865	954.045	2578.5	
peroneus longus 0.90 x 30.0 cm frozen cts  112276-028  17-3589	278	RC	Outpatient			2865	1862.25		90			Percent of total billed charges		2578.5	40			Percent of total billed charges		1146	80			Percent of total billed charges		2292	90			Percent of total billed charges		2578.5	85			Percent of total billed charges		2435.25	85			Percent of total billed charges		2435.25	85			Percent of total billed charges		2435.25	100			Percent of total billed charges		2865	100			Percent of total billed charges		2865	100			Percent of total billed charges		2865	33.3			Percent of total billed charges		954.045	33.3			Percent of total billed charges		954.045	100			Percent of total billed charges		2865	954.045	2578.5	
peroneus longus 0.90 x 30.0 cm frozen cts  112794-007  21-7156	278	RC	Outpatient			2865	1862.25		90			Percent of total billed charges		2578.5	40			Percent of total billed charges		1146	80			Percent of total billed charges		2292	90			Percent of total billed charges		2578.5	85			Percent of total billed charges		2435.25	85			Percent of total billed charges		2435.25	85			Percent of total billed charges		2435.25	100			Percent of total billed charges		2865	100			Percent of total billed charges		2865	100			Percent of total billed charges		2865	33.3			Percent of total billed charges		954.045	33.3			Percent of total billed charges		954.045	100			Percent of total billed charges		2865	954.045	2578.5	
siltex breast tissue expander 550cc 354-6214 mentor	278	RC	Outpatient			2865	1862.25		90			Percent of total billed charges		2578.5	40			Percent of total billed charges		1146	80			Percent of total billed charges		2292	90			Percent of total billed charges		2578.5	85			Percent of total billed charges		2435.25	85			Percent of total billed charges		2435.25	85			Percent of total billed charges		2435.25	100			Percent of total billed charges		2865	100			Percent of total billed charges		2865	100			Percent of total billed charges		2865	33.3			Percent of total billed charges		954.045	33.3			Percent of total billed charges		954.045	100			Percent of total billed charges		2865	954.045	2578.5	
tissue expander 550cc	278	RC	Outpatient			2865	1862.25		90			Percent of total billed charges		2578.5	40			Percent of total billed charges		1146	80			Percent of total billed charges		2292	90			Percent of total billed charges		2578.5	85			Percent of total billed charges		2435.25	85			Percent of total billed charges		2435.25	85			Percent of total billed charges		2435.25	100			Percent of total billed charges		2865	100			Percent of total billed charges		2865	100			Percent of total billed charges		2865	33.3			Percent of total billed charges		954.045	33.3			Percent of total billed charges		954.045	100			Percent of total billed charges		2865	954.045	2578.5	
peroneus longus 0.80 x 30.0 cm frozen cts  112724-020    23-1397	278	RC	Outpatient			2865	1862.25		90			Percent of total billed charges		2578.5	40			Percent of total billed charges		1146	80			Percent of total billed charges		2292	90			Percent of total billed charges		2578.5	85			Percent of total billed charges		2435.25	85			Percent of total billed charges		2435.25	85			Percent of total billed charges		2435.25	100			Percent of total billed charges		2865	100			Percent of total billed charges		2865	100			Percent of total billed charges		2865	33.3			Percent of total billed charges		954.045	33.3			Percent of total billed charges		954.045	100			Percent of total billed charges		2865	954.045	2578.5	
peroneus longus 0.80 x 30.0 cm frozen cts  21-2156  111544-021	278	RC	Outpatient			2865	1862.25		90			Percent of total billed charges		2578.5	40			Percent of total billed charges		1146	80			Percent of total billed charges		2292	90			Percent of total billed charges		2578.5	85			Percent of total billed charges		2435.25	85			Percent of total billed charges		2435.25	85			Percent of total billed charges		2435.25	100			Percent of total billed charges		2865	100			Percent of total billed charges		2865	100			Percent of total billed charges		2865	33.3			Percent of total billed charges		954.045	33.3			Percent of total billed charges		954.045	100			Percent of total billed charges		2865	954.045	2578.5	
peroneus longus 0.80 x 30.0 cm frozen cts  21-2156  111544-022	278	RC	Outpatient			2865	1862.25		90			Percent of total billed charges		2578.5	40			Percent of total billed charges		1146	80			Percent of total billed charges		2292	90			Percent of total billed charges		2578.5	85			Percent of total billed charges		2435.25	85			Percent of total billed charges		2435.25	85			Percent of total billed charges		2435.25	100			Percent of total billed charges		2865	100			Percent of total billed charges		2865	100			Percent of total billed charges		2865	33.3			Percent of total billed charges		954.045	33.3			Percent of total billed charges		954.045	100			Percent of total billed charges		2865	954.045	2578.5	
peroneus longus 0.80 x 30.0 cm frozen stryker 2101a1	278	RC	Outpatient			2865	1862.25		90			Percent of total billed charges		2578.5	40			Percent of total billed charges		1146	80			Percent of total billed charges		2292	90			Percent of total billed charges		2578.5	85			Percent of total billed charges		2435.25	85			Percent of total billed charges		2435.25	85			Percent of total billed charges		2435.25	100			Percent of total billed charges		2865	100			Percent of total billed charges		2865	100			Percent of total billed charges		2865	33.3			Percent of total billed charges		954.045	33.3			Percent of total billed charges		954.045	100			Percent of total billed charges		2865	954.045	2578.5	
peroneus longus 0.80 x 31.0 cm frozen cts  100273-016	278	RC	Outpatient			2865	1862.25		90			Percent of total billed charges		2578.5	40			Percent of total billed charges		1146	80			Percent of total billed charges		2292	90			Percent of total billed charges		2578.5	85			Percent of total billed charges		2435.25	85			Percent of total billed charges		2435.25	85			Percent of total billed charges		2435.25	100			Percent of total billed charges		2865	100			Percent of total billed charges		2865	100			Percent of total billed charges		2865	33.3			Percent of total billed charges		954.045	33.3			Percent of total billed charges		954.045	100			Percent of total billed charges		2865	954.045	2578.5	
peroneus longus 0.85 x 32.0 cm frozen cts  22-6181 114079-024	278	RC	Outpatient			2865	1862.25		90			Percent of total billed charges		2578.5	40			Percent of total billed charges		1146	80			Percent of total billed charges		2292	90			Percent of total billed charges		2578.5	85			Percent of total billed charges		2435.25	85			Percent of total billed charges		2435.25	85			Percent of total billed charges		2435.25	100			Percent of total billed charges		2865	100			Percent of total billed charges		2865	100			Percent of total billed charges		2865	33.3			Percent of total billed charges		954.045	33.3			Percent of total billed charges		954.045	100			Percent of total billed charges		2865	954.045	2578.5	
peroneus longus 0.90 x 30.0 cm frozen cts  112540-024 18-3059	278	RC	Outpatient			2865	1862.25		90			Percent of total billed charges		2578.5	40			Percent of total billed charges		1146	80			Percent of total billed charges		2292	90			Percent of total billed charges		2578.5	85			Percent of total billed charges		2435.25	85			Percent of total billed charges		2435.25	85			Percent of total billed charges		2435.25	100			Percent of total billed charges		2865	100			Percent of total billed charges		2865	100			Percent of total billed charges		2865	33.3			Percent of total billed charges		954.045	33.3			Percent of total billed charges		954.045	100			Percent of total billed charges		2865	954.045	2578.5	
peroneus longus 0.90 x 30.0 cm frozen cts  120570-021 21-9506	278	RC	Outpatient			2865	1862.25		90			Percent of total billed charges		2578.5	40			Percent of total billed charges		1146	80			Percent of total billed charges		2292	90			Percent of total billed charges		2578.5	85			Percent of total billed charges		2435.25	85			Percent of total billed charges		2435.25	85			Percent of total billed charges		2435.25	100			Percent of total billed charges		2865	100			Percent of total billed charges		2865	100			Percent of total billed charges		2865	33.3			Percent of total billed charges		954.045	33.3			Percent of total billed charges		954.045	100			Percent of total billed charges		2865	954.045	2578.5	
peroneus longus 0.90 x 31.0 cm frozen cts  120014-014  21-3412	278	RC	Outpatient			2865	1862.25		90			Percent of total billed charges		2578.5	40			Percent of total billed charges		1146	80			Percent of total billed charges		2292	90			Percent of total billed charges		2578.5	85			Percent of total billed charges		2435.25	85			Percent of total billed charges		2435.25	85			Percent of total billed charges		2435.25	100			Percent of total billed charges		2865	100			Percent of total billed charges		2865	100			Percent of total billed charges		2865	33.3			Percent of total billed charges		954.045	33.3			Percent of total billed charges		954.045	100			Percent of total billed charges		2865	954.045	2578.5	
peroneus longus 0.90 x 33.0 cm frozen cts  102118-007	278	RC	Outpatient			2865	1862.25		90			Percent of total billed charges		2578.5	40			Percent of total billed charges		1146	80			Percent of total billed charges		2292	90			Percent of total billed charges		2578.5	85			Percent of total billed charges		2435.25	85			Percent of total billed charges		2435.25	85			Percent of total billed charges		2435.25	100			Percent of total billed charges		2865	100			Percent of total billed charges		2865	100			Percent of total billed charges		2865	33.3			Percent of total billed charges		954.045	33.3			Percent of total billed charges		954.045	100			Percent of total billed charges		2865	954.045	2578.5	
peroneus longus 0.90 x 33.0 cm frozen cts  111131-006	278	RC	Outpatient			2865	1862.25		90			Percent of total billed charges		2578.5	40			Percent of total billed charges		1146	80			Percent of total billed charges		2292	90			Percent of total billed charges		2578.5	85			Percent of total billed charges		2435.25	85			Percent of total billed charges		2435.25	85			Percent of total billed charges		2435.25	100			Percent of total billed charges		2865	100			Percent of total billed charges		2865	100			Percent of total billed charges		2865	33.3			Percent of total billed charges		954.045	33.3			Percent of total billed charges		954.045	100			Percent of total billed charges		2865	954.045	2578.5	
peroneus longus 0.90 x 33.0 cm frozen cts  112670-022 1170-14	278	RC	Outpatient			2865	1862.25		90			Percent of total billed charges		2578.5	40			Percent of total billed charges		1146	80			Percent of total billed charges		2292	90			Percent of total billed charges		2578.5	85			Percent of total billed charges		2435.25	85			Percent of total billed charges		2435.25	85			Percent of total billed charges		2435.25	100			Percent of total billed charges		2865	100			Percent of total billed charges		2865	100			Percent of total billed charges		2865	33.3			Percent of total billed charges		954.045	33.3			Percent of total billed charges		954.045	100			Percent of total billed charges		2865	954.045	2578.5	
peroneus longus 0.90 x 33.0 cm frozen cts  112670-023  21-3412	278	RC	Outpatient			2865	1862.25		90			Percent of total billed charges		2578.5	40			Percent of total billed charges		1146	80			Percent of total billed charges		2292	90			Percent of total billed charges		2578.5	85			Percent of total billed charges		2435.25	85			Percent of total billed charges		2435.25	85			Percent of total billed charges		2435.25	100			Percent of total billed charges		2865	100			Percent of total billed charges		2865	100			Percent of total billed charges		2865	33.3			Percent of total billed charges		954.045	33.3			Percent of total billed charges		954.045	100			Percent of total billed charges		2865	954.045	2578.5	
peroneus longus 0.90 x 34.0 cm frozen cts  110661-037 1170-14	278	RC	Outpatient			2865	1862.25		90			Percent of total billed charges		2578.5	40			Percent of total billed charges		1146	80			Percent of total billed charges		2292	90			Percent of total billed charges		2578.5	85			Percent of total billed charges		2435.25	85			Percent of total billed charges		2435.25	85			Percent of total billed charges		2435.25	100			Percent of total billed charges		2865	100			Percent of total billed charges		2865	100			Percent of total billed charges		2865	33.3			Percent of total billed charges		954.045	33.3			Percent of total billed charges		954.045	100			Percent of total billed charges		2865	954.045	2578.5	
peroneus longus 0.95 x 32.0 cm frozen cts  112543-026 18-3044	278	RC	Outpatient			2865	1862.25		90			Percent of total billed charges		2578.5	40			Percent of total billed charges		1146	80			Percent of total billed charges		2292	90			Percent of total billed charges		2578.5	85			Percent of total billed charges		2435.25	85			Percent of total billed charges		2435.25	85			Percent of total billed charges		2435.25	100			Percent of total billed charges		2865	100			Percent of total billed charges		2865	100			Percent of total billed charges		2865	33.3			Percent of total billed charges		954.045	33.3			Percent of total billed charges		954.045	100			Percent of total billed charges		2865	954.045	2578.5	
trigen distal tibia nail 10 x 32 71633632 s/n	278	RC	Outpatient			2869	1864.85		90			Percent of total billed charges		2582.1	40			Percent of total billed charges		1147.6	80			Percent of total billed charges		2295.2	90			Percent of total billed charges		2582.1	85			Percent of total billed charges		2438.65	85			Percent of total billed charges		2438.65	85			Percent of total billed charges		2438.65	100			Percent of total billed charges		2869	100			Percent of total billed charges		2869	100			Percent of total billed charges		2869	33.3			Percent of total billed charges		955.377	33.3			Percent of total billed charges		955.377	100			Percent of total billed charges		2869	955.377	2582.1	
trigen nail dist tib	278	RC	Outpatient			2869	1864.85		90			Percent of total billed charges		2582.1	40			Percent of total billed charges		1147.6	80			Percent of total billed charges		2295.2	90			Percent of total billed charges		2582.1	85			Percent of total billed charges		2438.65	85			Percent of total billed charges		2438.65	85			Percent of total billed charges		2438.65	100			Percent of total billed charges		2869	100			Percent of total billed charges		2869	100			Percent of total billed charges		2869	33.3			Percent of total billed charges		955.377	33.3			Percent of total billed charges		955.377	100			Percent of total billed charges		2869	955.377	2582.1	
proximal humeral locking plate 3.5 11h l 71821411 s/n	278	RC	Outpatient			2880	1872		90			Percent of total billed charges		2592	40			Percent of total billed charges		1152	80			Percent of total billed charges		2304	90			Percent of total billed charges		2592	85			Percent of total billed charges		2448	85			Percent of total billed charges		2448	85			Percent of total billed charges		2448	100			Percent of total billed charges		2880	100			Percent of total billed charges		2880	100			Percent of total billed charges		2880	33.3			Percent of total billed charges		959.04	33.3			Percent of total billed charges		959.04	100			Percent of total billed charges		2880	959.04	2592	
proximal humeral locking plate 4.5 11h l 71801611 s/n	278	RC	Outpatient			2880	1872		90			Percent of total billed charges		2592	40			Percent of total billed charges		1152	80			Percent of total billed charges		2304	90			Percent of total billed charges		2592	85			Percent of total billed charges		2448	85			Percent of total billed charges		2448	85			Percent of total billed charges		2448	100			Percent of total billed charges		2880	100			Percent of total billed charges		2880	100			Percent of total billed charges		2880	33.3			Percent of total billed charges		959.04	33.3			Percent of total billed charges		959.04	100			Percent of total billed charges		2880	959.04	2592	
proximal humeral locking plate 4.5 11h r 71801511 s/n	278	RC	Outpatient			2880	1872		90			Percent of total billed charges		2592	40			Percent of total billed charges		1152	80			Percent of total billed charges		2304	90			Percent of total billed charges		2592	85			Percent of total billed charges		2448	85			Percent of total billed charges		2448	85			Percent of total billed charges		2448	100			Percent of total billed charges		2880	100			Percent of total billed charges		2880	100			Percent of total billed charges		2880	33.3			Percent of total billed charges		959.04	33.3			Percent of total billed charges		959.04	100			Percent of total billed charges		2880	959.04	2592	
s/n prxhum lk pl 4.5 11h	278	RC	Outpatient			2880	1872		90			Percent of total billed charges		2592	40			Percent of total billed charges		1152	80			Percent of total billed charges		2304	90			Percent of total billed charges		2592	85			Percent of total billed charges		2448	85			Percent of total billed charges		2448	85			Percent of total billed charges		2448	100			Percent of total billed charges		2880	100			Percent of total billed charges		2880	100			Percent of total billed charges		2880	33.3			Percent of total billed charges		959.04	33.3			Percent of total billed charges		959.04	100			Percent of total billed charges		2880	959.04	2592	
proximal humeral locking plate 3.5 11h r 71821311 s/n	278	RC	Outpatient			2880	1872		90			Percent of total billed charges		2592	40			Percent of total billed charges		1152	80			Percent of total billed charges		2304	90			Percent of total billed charges		2592	85			Percent of total billed charges		2448	85			Percent of total billed charges		2448	85			Percent of total billed charges		2448	100			Percent of total billed charges		2880	100			Percent of total billed charges		2880	100			Percent of total billed charges		2880	33.3			Percent of total billed charges		959.04	33.3			Percent of total billed charges		959.04	100			Percent of total billed charges		2880	959.04	2592	
s/n prxhum lk pl 3.5 11h	278	RC	Outpatient			2880	1872		90			Percent of total billed charges		2592	40			Percent of total billed charges		1152	80			Percent of total billed charges		2304	90			Percent of total billed charges		2592	85			Percent of total billed charges		2448	85			Percent of total billed charges		2448	85			Percent of total billed charges		2448	100			Percent of total billed charges		2880	100			Percent of total billed charges		2880	100			Percent of total billed charges		2880	33.3			Percent of total billed charges		959.04	33.3			Percent of total billed charges		959.04	100			Percent of total billed charges		2880	959.04	2592	
anesthesia time 11 1/2 hours	270	RC	Outpatient			2881	1872.65		90			Percent of total billed charges		2592.9	40			Percent of total billed charges		1152.4	80			Percent of total billed charges		2304.8	90			Percent of total billed charges		2592.9	85			Percent of total billed charges		2448.85	85			Percent of total billed charges		2448.85	85			Percent of total billed charges		2448.85	100			Percent of total billed charges		2881	100			Percent of total billed charges		2881	100			Percent of total billed charges		2881	33.3			Percent of total billed charges		959.373	33.3			Percent of total billed charges		959.373	100			Percent of total billed charges		2881	959.373	2592.9	
l-d fem lk plate4.5mm 10-hole 230mm 71800110 s/n	278	RC	Outpatient			2886	1875.9		90			Percent of total billed charges		2597.4	40			Percent of total billed charges		1154.4	80			Percent of total billed charges		2308.8	90			Percent of total billed charges		2597.4	85			Percent of total billed charges		2453.1	85			Percent of total billed charges		2453.1	85			Percent of total billed charges		2453.1	100			Percent of total billed charges		2886	100			Percent of total billed charges		2886	100			Percent of total billed charges		2886	33.3			Percent of total billed charges		961.038	33.3			Percent of total billed charges		961.038	100			Percent of total billed charges		2886	961.038	2597.4	
l-d fem lk plate4.5mm 8-hole 193mm 71800008 s/n	278	RC	Outpatient			2886	1875.9		90			Percent of total billed charges		2597.4	40			Percent of total billed charges		1154.4	80			Percent of total billed charges		2308.8	90			Percent of total billed charges		2597.4	85			Percent of total billed charges		2453.1	85			Percent of total billed charges		2453.1	85			Percent of total billed charges		2453.1	100			Percent of total billed charges		2886	100			Percent of total billed charges		2886	100			Percent of total billed charges		2886	33.3			Percent of total billed charges		961.038	33.3			Percent of total billed charges		961.038	100			Percent of total billed charges		2886	961.038	2597.4	
l-d fem plt 4.5mm 10 hl 71820010 s\n	278	RC	Outpatient			2886	1875.9		90			Percent of total billed charges		2597.4	40			Percent of total billed charges		1154.4	80			Percent of total billed charges		2308.8	90			Percent of total billed charges		2597.4	85			Percent of total billed charges		2453.1	85			Percent of total billed charges		2453.1	85			Percent of total billed charges		2453.1	100			Percent of total billed charges		2886	100			Percent of total billed charges		2886	100			Percent of total billed charges		2886	33.3			Percent of total billed charges		961.038	33.3			Percent of total billed charges		961.038	100			Percent of total billed charges		2886	961.038	2597.4	
l-d fem plt 4.5mm 8 hl 71820008 s\n	278	RC	Outpatient			2886	1875.9		90			Percent of total billed charges		2597.4	40			Percent of total billed charges		1154.4	80			Percent of total billed charges		2308.8	90			Percent of total billed charges		2597.4	85			Percent of total billed charges		2453.1	85			Percent of total billed charges		2453.1	85			Percent of total billed charges		2453.1	100			Percent of total billed charges		2886	100			Percent of total billed charges		2886	100			Percent of total billed charges		2886	33.3			Percent of total billed charges		961.038	33.3			Percent of total billed charges		961.038	100			Percent of total billed charges		2886	961.038	2597.4	
l-d fem lk plate4.5mm 10-hole 230mm 71800010 s/n	278	RC	Outpatient			2886	1875.9		90			Percent of total billed charges		2597.4	40			Percent of total billed charges		1154.4	80			Percent of total billed charges		2308.8	90			Percent of total billed charges		2597.4	85			Percent of total billed charges		2453.1	85			Percent of total billed charges		2453.1	85			Percent of total billed charges		2453.1	100			Percent of total billed charges		2886	100			Percent of total billed charges		2886	100			Percent of total billed charges		2886	33.3			Percent of total billed charges		961.038	33.3			Percent of total billed charges		961.038	100			Percent of total billed charges		2886	961.038	2597.4	
l-d fem lk plate4.5mm 8-hole 193mm 71800108 s/n	278	RC	Outpatient			2886	1875.9		90			Percent of total billed charges		2597.4	40			Percent of total billed charges		1154.4	80			Percent of total billed charges		2308.8	90			Percent of total billed charges		2597.4	85			Percent of total billed charges		2453.1	85			Percent of total billed charges		2453.1	85			Percent of total billed charges		2453.1	100			Percent of total billed charges		2886	100			Percent of total billed charges		2886	100			Percent of total billed charges		2886	33.3			Percent of total billed charges		961.038	33.3			Percent of total billed charges		961.038	100			Percent of total billed charges		2886	961.038	2597.4	
l-d fem plt 4.5mm 10 hr 71820110 s\n	278	RC	Outpatient			2886	1875.9		90			Percent of total billed charges		2597.4	40			Percent of total billed charges		1154.4	80			Percent of total billed charges		2308.8	90			Percent of total billed charges		2597.4	85			Percent of total billed charges		2453.1	85			Percent of total billed charges		2453.1	85			Percent of total billed charges		2453.1	100			Percent of total billed charges		2886	100			Percent of total billed charges		2886	100			Percent of total billed charges		2886	33.3			Percent of total billed charges		961.038	33.3			Percent of total billed charges		961.038	100			Percent of total billed charges		2886	961.038	2597.4	
l-d fem plt 4.5mm 8 hr 71820108 s\n	278	RC	Outpatient			2886	1875.9		90			Percent of total billed charges		2597.4	40			Percent of total billed charges		1154.4	80			Percent of total billed charges		2308.8	90			Percent of total billed charges		2597.4	85			Percent of total billed charges		2453.1	85			Percent of total billed charges		2453.1	85			Percent of total billed charges		2453.1	100			Percent of total billed charges		2886	100			Percent of total billed charges		2886	100			Percent of total billed charges		2886	33.3			Percent of total billed charges		961.038	33.3			Percent of total billed charges		961.038	100			Percent of total billed charges		2886	961.038	2597.4	
s/n 4.5 l-d fe lk pl 8-10	278	RC	Outpatient			2886	1875.9		90			Percent of total billed charges		2597.4	40			Percent of total billed charges		1154.4	80			Percent of total billed charges		2308.8	90			Percent of total billed charges		2597.4	85			Percent of total billed charges		2453.1	85			Percent of total billed charges		2453.1	85			Percent of total billed charges		2453.1	100			Percent of total billed charges		2886	100			Percent of total billed charges		2886	100			Percent of total billed charges		2886	33.3			Percent of total billed charges		961.038	33.3			Percent of total billed charges		961.038	100			Percent of total billed charges		2886	961.038	2597.4	
hemospray cook ref # g56572	270	RC	Outpatient			2887.5	1876.88		90			Percent of total billed charges		2598.75	40			Percent of total billed charges		1155	80			Percent of total billed charges		2310	90			Percent of total billed charges		2598.75	85			Percent of total billed charges		2454.375	85			Percent of total billed charges		2454.375	85			Percent of total billed charges		2454.375	100			Percent of total billed charges		2887.5	100			Percent of total billed charges		2887.5	100			Percent of total billed charges		2887.5	33.3			Percent of total billed charges		961.5375	33.3			Percent of total billed charges		961.5375	100			Percent of total billed charges		2887.5	961.5375	2598.75	
articul/eze m-o-m fem hd	278	RC	Outpatient			2888	1877.2		90			Percent of total billed charges		2599.2	40			Percent of total billed charges		1155.2	80			Percent of total billed charges		2310.4	90			Percent of total billed charges		2599.2	85			Percent of total billed charges		2454.8	85			Percent of total billed charges		2454.8	85			Percent of total billed charges		2454.8	100			Percent of total billed charges		2888	100			Percent of total billed charges		2888	100			Percent of total billed charges		2888	33.3			Percent of total billed charges		961.704	33.3			Percent of total billed charges		961.704	100			Percent of total billed charges		2888	961.704	2599.2	
articul/eze m-o-m fem head 36mm + 5 1365-52-000 depuy	278	RC	Outpatient			2888	1877.2		90			Percent of total billed charges		2599.2	40			Percent of total billed charges		1155.2	80			Percent of total billed charges		2310.4	90			Percent of total billed charges		2599.2	85			Percent of total billed charges		2454.8	85			Percent of total billed charges		2454.8	85			Percent of total billed charges		2454.8	100			Percent of total billed charges		2888	100			Percent of total billed charges		2888	100			Percent of total billed charges		2888	33.3			Percent of total billed charges		961.704	33.3			Percent of total billed charges		961.704	100			Percent of total billed charges		2888	961.704	2599.2	
strucsure cp kit 8cc 717808 s/n	278	RC	Outpatient			2893	1880.45		90			Percent of total billed charges		2603.7	40			Percent of total billed charges		1157.2	80			Percent of total billed charges		2314.4	90			Percent of total billed charges		2603.7	85			Percent of total billed charges		2459.05	85			Percent of total billed charges		2459.05	85			Percent of total billed charges		2459.05	100			Percent of total billed charges		2893	100			Percent of total billed charges		2893	100			Percent of total billed charges		2893	33.3			Percent of total billed charges		963.369	33.3			Percent of total billed charges		963.369	100			Percent of total billed charges		2893	963.369	2603.7	
stucture cp 8cc	278	RC	Outpatient			2893	1880.45		90			Percent of total billed charges		2603.7	40			Percent of total billed charges		1157.2	80			Percent of total billed charges		2314.4	90			Percent of total billed charges		2603.7	85			Percent of total billed charges		2459.05	85			Percent of total billed charges		2459.05	85			Percent of total billed charges		2459.05	100			Percent of total billed charges		2893	100			Percent of total billed charges		2893	100			Percent of total billed charges		2893	33.3			Percent of total billed charges		963.369	33.3			Percent of total billed charges		963.369	100			Percent of total billed charges		2893	963.369	2603.7	
narrow plt 4.5mm 15 hl 71809465 s\n	278	RC	Outpatient			2894	1881.1		90			Percent of total billed charges		2604.6	40			Percent of total billed charges		1157.6	80			Percent of total billed charges		2315.2	90			Percent of total billed charges		2604.6	85			Percent of total billed charges		2459.9	85			Percent of total billed charges		2459.9	85			Percent of total billed charges		2459.9	100			Percent of total billed charges		2894	100			Percent of total billed charges		2894	100			Percent of total billed charges		2894	33.3			Percent of total billed charges		963.702	33.3			Percent of total billed charges		963.702	100			Percent of total billed charges		2894	963.702	2604.6	
narrow plt 4.5mm 16 hl 71809466 s\n	278	RC	Outpatient			2894	1881.1		90			Percent of total billed charges		2604.6	40			Percent of total billed charges		1157.6	80			Percent of total billed charges		2315.2	90			Percent of total billed charges		2604.6	85			Percent of total billed charges		2459.9	85			Percent of total billed charges		2459.9	85			Percent of total billed charges		2459.9	100			Percent of total billed charges		2894	100			Percent of total billed charges		2894	100			Percent of total billed charges		2894	33.3			Percent of total billed charges		963.702	33.3			Percent of total billed charges		963.702	100			Percent of total billed charges		2894	963.702	2604.6	
s/n 4.5 narrow pl 15-16hl	278	RC	Outpatient			2894	1881.1		90			Percent of total billed charges		2604.6	40			Percent of total billed charges		1157.6	80			Percent of total billed charges		2315.2	90			Percent of total billed charges		2604.6	85			Percent of total billed charges		2459.9	85			Percent of total billed charges		2459.9	85			Percent of total billed charges		2459.9	100			Percent of total billed charges		2894	100			Percent of total billed charges		2894	100			Percent of total billed charges		2894	33.3			Percent of total billed charges		963.702	33.3			Percent of total billed charges		963.702	100			Percent of total billed charges		2894	963.702	2604.6	
depuy srom fem stem ext	278	RC	Outpatient			2897	1883.05		90			Percent of total billed charges		2607.3	40			Percent of total billed charges		1158.8	80			Percent of total billed charges		2317.6	90			Percent of total billed charges		2607.3	85			Percent of total billed charges		2462.45	85			Percent of total billed charges		2462.45	85			Percent of total billed charges		2462.45	100			Percent of total billed charges		2897	100			Percent of total billed charges		2897	100			Percent of total billed charges		2897	33.3			Percent of total billed charges		964.701	33.3			Percent of total billed charges		964.701	100			Percent of total billed charges		2897	964.701	2607.3	
noiles mod fem stem ext w/screw 15 x 100mm 62-8150 depuy	278	RC	Outpatient			2897	1883.05		90			Percent of total billed charges		2607.3	40			Percent of total billed charges		1158.8	80			Percent of total billed charges		2317.6	90			Percent of total billed charges		2607.3	85			Percent of total billed charges		2462.45	85			Percent of total billed charges		2462.45	85			Percent of total billed charges		2462.45	100			Percent of total billed charges		2897	100			Percent of total billed charges		2897	100			Percent of total billed charges		2897	33.3			Percent of total billed charges		964.701	33.3			Percent of total billed charges		964.701	100			Percent of total billed charges		2897	964.701	2607.3	
s-rom noiles fem stem ext 13 x 100 62-8130 depuy	278	RC	Outpatient			2897	1883.05		90			Percent of total billed charges		2607.3	40			Percent of total billed charges		1158.8	80			Percent of total billed charges		2317.6	90			Percent of total billed charges		2607.3	85			Percent of total billed charges		2462.45	85			Percent of total billed charges		2462.45	85			Percent of total billed charges		2462.45	100			Percent of total billed charges		2897	100			Percent of total billed charges		2897	100			Percent of total billed charges		2897	33.3			Percent of total billed charges		964.701	33.3			Percent of total billed charges		964.701	100			Percent of total billed charges		2897	964.701	2607.3	
srom fem stem  17mm x 10mm depuy 62-8170	278	RC	Outpatient			2897	1883.05		90			Percent of total billed charges		2607.3	40			Percent of total billed charges		1158.8	80			Percent of total billed charges		2317.6	90			Percent of total billed charges		2607.3	85			Percent of total billed charges		2462.45	85			Percent of total billed charges		2462.45	85			Percent of total billed charges		2462.45	100			Percent of total billed charges		2897	100			Percent of total billed charges		2897	100			Percent of total billed charges		2897	33.3			Percent of total billed charges		964.701	33.3			Percent of total billed charges		964.701	100			Percent of total billed charges		2897	964.701	2607.3	
reflect constrained liner 28mm 54-56 71323125 s/n	278	RC	Outpatient			2899	1884.35		90			Percent of total billed charges		2609.1	40			Percent of total billed charges		1159.6	80			Percent of total billed charges		2319.2	90			Percent of total billed charges		2609.1	85			Percent of total billed charges		2464.15	85			Percent of total billed charges		2464.15	85			Percent of total billed charges		2464.15	100			Percent of total billed charges		2899	100			Percent of total billed charges		2899	100			Percent of total billed charges		2899	33.3			Percent of total billed charges		965.367	33.3			Percent of total billed charges		965.367	100			Percent of total billed charges		2899	965.367	2609.1	
s/n reflect const lnr	278	RC	Outpatient			2899	1884.35		90			Percent of total billed charges		2609.1	40			Percent of total billed charges		1159.6	80			Percent of total billed charges		2319.2	90			Percent of total billed charges		2609.1	85			Percent of total billed charges		2464.15	85			Percent of total billed charges		2464.15	85			Percent of total billed charges		2464.15	100			Percent of total billed charges		2899	100			Percent of total billed charges		2899	100			Percent of total billed charges		2899	33.3			Percent of total billed charges		965.367	33.3			Percent of total billed charges		965.367	100			Percent of total billed charges		2899	965.367	2609.1	
bio oss im stem	278	RC	Outpatient			2903	1886.95		90			Percent of total billed charges		2612.7	40			Percent of total billed charges		1161.2	80			Percent of total billed charges		2322.4	90			Percent of total billed charges		2612.7	85			Percent of total billed charges		2467.55	85			Percent of total billed charges		2467.55	85			Percent of total billed charges		2467.55	100			Percent of total billed charges		2903	100			Percent of total billed charges		2903	100			Percent of total billed charges		2903	33.3			Percent of total billed charges		966.699	33.3			Percent of total billed charges		966.699	100			Percent of total billed charges		2903	966.699	2612.7	
oss porous coated bowed im stem 15.5mm x 150mm biomet	278	RC	Outpatient			2903	1886.95		90			Percent of total billed charges		2612.7	40			Percent of total billed charges		1161.2	80			Percent of total billed charges		2322.4	90			Percent of total billed charges		2612.7	85			Percent of total billed charges		2467.55	85			Percent of total billed charges		2467.55	85			Percent of total billed charges		2467.55	100			Percent of total billed charges		2903	100			Percent of total billed charges		2903	100			Percent of total billed charges		2903	33.3			Percent of total billed charges		966.699	33.3			Percent of total billed charges		966.699	100			Percent of total billed charges		2903	966.699	2612.7	
oss stem w/ screw 14.5 x 150mm 150393 biomet	278	RC	Outpatient			2903	1886.95		90			Percent of total billed charges		2612.7	40			Percent of total billed charges		1161.2	80			Percent of total billed charges		2322.4	90			Percent of total billed charges		2612.7	85			Percent of total billed charges		2467.55	85			Percent of total billed charges		2467.55	85			Percent of total billed charges		2467.55	100			Percent of total billed charges		2903	100			Percent of total billed charges		2903	100			Percent of total billed charges		2903	33.3			Percent of total billed charges		966.699	33.3			Percent of total billed charges		966.699	100			Percent of total billed charges		2903	966.699	2612.7	
lg fr pl buttress 11hl	278	RC	Outpatient			2904	1887.6		90			Percent of total billed charges		2613.6	40			Percent of total billed charges		1161.6	80			Percent of total billed charges		2323.2	90			Percent of total billed charges		2613.6	85			Percent of total billed charges		2468.4	85			Percent of total billed charges		2468.4	85			Percent of total billed charges		2468.4	100			Percent of total billed charges		2904	100			Percent of total billed charges		2904	100			Percent of total billed charges		2904	33.3			Percent of total billed charges		967.032	33.3			Percent of total billed charges		967.032	100			Percent of total billed charges		2904	967.032	2613.6	
s/n  lg frag  plate 11 hole  7114-1011	278	RC	Outpatient			2904	1887.6		90			Percent of total billed charges		2613.6	40			Percent of total billed charges		1161.6	80			Percent of total billed charges		2323.2	90			Percent of total billed charges		2613.6	85			Percent of total billed charges		2468.4	85			Percent of total billed charges		2468.4	85			Percent of total billed charges		2468.4	100			Percent of total billed charges		2904	100			Percent of total billed charges		2904	100			Percent of total billed charges		2904	33.3			Percent of total billed charges		967.032	33.3			Percent of total billed charges		967.032	100			Percent of total billed charges		2904	967.032	2613.6	
s/n lg frag  plate 11 hole  7114-1111	278	RC	Outpatient			2904	1887.6		90			Percent of total billed charges		2613.6	40			Percent of total billed charges		1161.6	80			Percent of total billed charges		2323.2	90			Percent of total billed charges		2613.6	85			Percent of total billed charges		2468.4	85			Percent of total billed charges		2468.4	85			Percent of total billed charges		2468.4	100			Percent of total billed charges		2904	100			Percent of total billed charges		2904	100			Percent of total billed charges		2904	33.3			Percent of total billed charges		967.032	33.3			Percent of total billed charges		967.032	100			Percent of total billed charges		2904	967.032	2613.6	
broad plt 4.5mm 22 hl 71809502 s\n	278	RC	Outpatient			2912	1892.8		90			Percent of total billed charges		2620.8	40			Percent of total billed charges		1164.8	80			Percent of total billed charges		2329.6	90			Percent of total billed charges		2620.8	85			Percent of total billed charges		2475.2	85			Percent of total billed charges		2475.2	85			Percent of total billed charges		2475.2	100			Percent of total billed charges		2912	100			Percent of total billed charges		2912	100			Percent of total billed charges		2912	33.3			Percent of total billed charges		969.696	33.3			Percent of total billed charges		969.696	100			Percent of total billed charges		2912	969.696	2620.8	
s/n 4.5 broad pl 22 hl	278	RC	Outpatient			2912	1892.8		90			Percent of total billed charges		2620.8	40			Percent of total billed charges		1164.8	80			Percent of total billed charges		2329.6	90			Percent of total billed charges		2620.8	85			Percent of total billed charges		2475.2	85			Percent of total billed charges		2475.2	85			Percent of total billed charges		2475.2	100			Percent of total billed charges		2912	100			Percent of total billed charges		2912	100			Percent of total billed charges		2912	33.3			Percent of total billed charges		969.696	33.3			Percent of total billed charges		969.696	100			Percent of total billed charges		2912	969.696	2620.8	
intertan nail 1.5	278	RC	Outpatient			2913.75	1893.94		90			Percent of total billed charges		2622.375	40			Percent of total billed charges		1165.5	80			Percent of total billed charges		2331	90			Percent of total billed charges		2622.375	85			Percent of total billed charges		2476.6875	85			Percent of total billed charges		2476.6875	85			Percent of total billed charges		2476.6875	100			Percent of total billed charges		2913.75	100			Percent of total billed charges		2913.75	100			Percent of total billed charges		2913.75	33.3			Percent of total billed charges		970.2788	33.3			Percent of total billed charges		970.2788	100			Percent of total billed charges		2913.75	970.2788	2622.375	
cosmetic - capsulotomy with implant	983	RC	Outpatient			2914	1894.1		90			Percent of total billed charges		2622.6	40			Percent of total billed charges		1165.6	80			Percent of total billed charges		2331.2	90			Percent of total billed charges		2622.6	85			Percent of total billed charges		2476.9	85			Percent of total billed charges		2476.9	85			Percent of total billed charges		2476.9	100			Percent of total billed charges		2914	100			Percent of total billed charges		2914	100			Percent of total billed charges		2914	33.3			Percent of total billed charges		970.362	33.3			Percent of total billed charges		970.362	100			Percent of total billed charges		2914	970.362	2622.6	
bio cocr tibial tray	278	RC	Outpatient			2916	1895.4		90			Percent of total billed charges		2624.4	40			Percent of total billed charges		1166.4	80			Percent of total billed charges		2332.8	90			Percent of total billed charges		2624.4	85			Percent of total billed charges		2478.6	85			Percent of total billed charges		2478.6	85			Percent of total billed charges		2478.6	100			Percent of total billed charges		2916	100			Percent of total billed charges		2916	100			Percent of total billed charges		2916	33.3			Percent of total billed charges		971.028	33.3			Percent of total billed charges		971.028	100			Percent of total billed charges		2916	971.028	2624.4	
biomet maxim tibia 67mm 141232	278	RC	Outpatient			2916	1895.4		90			Percent of total billed charges		2624.4	40			Percent of total billed charges		1166.4	80			Percent of total billed charges		2332.8	90			Percent of total billed charges		2624.4	85			Percent of total billed charges		2478.6	85			Percent of total billed charges		2478.6	85			Percent of total billed charges		2478.6	100			Percent of total billed charges		2916	100			Percent of total billed charges		2916	100			Percent of total billed charges		2916	33.3			Percent of total billed charges		971.028	33.3			Percent of total billed charges		971.028	100			Percent of total billed charges		2916	971.028	2624.4	
interlok  fixed cruciate tibial plate with locking bar 141233 biomet	278	RC	Outpatient			2916	1895.4		90			Percent of total billed charges		2624.4	40			Percent of total billed charges		1166.4	80			Percent of total billed charges		2332.8	90			Percent of total billed charges		2624.4	85			Percent of total billed charges		2478.6	85			Percent of total billed charges		2478.6	85			Percent of total billed charges		2478.6	100			Percent of total billed charges		2916	100			Percent of total billed charges		2916	100			Percent of total billed charges		2916	33.3			Percent of total billed charges		971.028	33.3			Percent of total billed charges		971.028	100			Percent of total billed charges		2916	971.028	2624.4	
interlok 63mm fixed cruciate tibial plate with locking bar 141231 biomet	278	RC	Outpatient			2916	1895.4		90			Percent of total billed charges		2624.4	40			Percent of total billed charges		1166.4	80			Percent of total billed charges		2332.8	90			Percent of total billed charges		2624.4	85			Percent of total billed charges		2478.6	85			Percent of total billed charges		2478.6	85			Percent of total billed charges		2478.6	100			Percent of total billed charges		2916	100			Percent of total billed charges		2916	100			Percent of total billed charges		2916	33.3			Percent of total billed charges		971.028	33.3			Percent of total billed charges		971.028	100			Percent of total billed charges		2916	971.028	2624.4	
interlok 75mm fixed cruciate tibial plate with locking bar 141236 biomet	278	RC	Outpatient			2916	1895.4		90			Percent of total billed charges		2624.4	40			Percent of total billed charges		1166.4	80			Percent of total billed charges		2332.8	90			Percent of total billed charges		2624.4	85			Percent of total billed charges		2478.6	85			Percent of total billed charges		2478.6	85			Percent of total billed charges		2478.6	100			Percent of total billed charges		2916	100			Percent of total billed charges		2916	100			Percent of total billed charges		2916	33.3			Percent of total billed charges		971.028	33.3			Percent of total billed charges		971.028	100			Percent of total billed charges		2916	971.028	2624.4	
interlok 79mm fixed cruciate tibial plate with locking bar 141235 biomet	278	RC	Outpatient			2916	1895.4		90			Percent of total billed charges		2624.4	40			Percent of total billed charges		1166.4	80			Percent of total billed charges		2332.8	90			Percent of total billed charges		2624.4	85			Percent of total billed charges		2478.6	85			Percent of total billed charges		2478.6	85			Percent of total billed charges		2478.6	100			Percent of total billed charges		2916	100			Percent of total billed charges		2916	100			Percent of total billed charges		2916	33.3			Percent of total billed charges		971.028	33.3			Percent of total billed charges		971.028	100			Percent of total billed charges		2916	971.028	2624.4	
interlok 75mm fixed cruciate tibial plate with locking bar 141234 biomet	278	RC	Outpatient			2916	1895.4		90			Percent of total billed charges		2624.4	40			Percent of total billed charges		1166.4	80			Percent of total billed charges		2332.8	90			Percent of total billed charges		2624.4	85			Percent of total billed charges		2478.6	85			Percent of total billed charges		2478.6	85			Percent of total billed charges		2478.6	100			Percent of total billed charges		2916	100			Percent of total billed charges		2916	100			Percent of total billed charges		2916	33.3			Percent of total billed charges		971.028	33.3			Percent of total billed charges		971.028	100			Percent of total billed charges		2916	971.028	2624.4	
interlok 87mm fixed cruciate tibial plate with locking bar 141237 biomet	278	RC	Outpatient			2916	1895.4		90			Percent of total billed charges		2624.4	40			Percent of total billed charges		1166.4	80			Percent of total billed charges		2332.8	90			Percent of total billed charges		2624.4	85			Percent of total billed charges		2478.6	85			Percent of total billed charges		2478.6	85			Percent of total billed charges		2478.6	100			Percent of total billed charges		2916	100			Percent of total billed charges		2916	100			Percent of total billed charges		2916	33.3			Percent of total billed charges		971.028	33.3			Percent of total billed charges		971.028	100			Percent of total billed charges		2916	971.028	2624.4	
4.5 proximal femur plate 4-hole rt 74820100 s/n	272	RC	Outpatient			2918	1896.7		90			Percent of total billed charges		2626.2	40			Percent of total billed charges		1167.2	80			Percent of total billed charges		2334.4	90			Percent of total billed charges		2626.2	85			Percent of total billed charges		2480.3	85			Percent of total billed charges		2480.3	85			Percent of total billed charges		2480.3	100			Percent of total billed charges		2918	100			Percent of total billed charges		2918	100			Percent of total billed charges		2918	33.3			Percent of total billed charges		971.694	33.3			Percent of total billed charges		971.694	100			Percent of total billed charges		2918	971.694	2626.2	
s/n 4.5 pox fem pl 4-hl	272	RC	Outpatient			2918	1896.7		90			Percent of total billed charges		2626.2	40			Percent of total billed charges		1167.2	80			Percent of total billed charges		2334.4	90			Percent of total billed charges		2626.2	85			Percent of total billed charges		2480.3	85			Percent of total billed charges		2480.3	85			Percent of total billed charges		2480.3	100			Percent of total billed charges		2918	100			Percent of total billed charges		2918	100			Percent of total billed charges		2918	33.3			Percent of total billed charges		971.694	33.3			Percent of total billed charges		971.694	100			Percent of total billed charges		2918	971.694	2626.2	
titanium transconnector 35-41 497.797 synthes	278	RC	Outpatient			2927	1902.55		90			Percent of total billed charges		2634.3	40			Percent of total billed charges		1170.8	80			Percent of total billed charges		2341.6	90			Percent of total billed charges		2634.3	85			Percent of total billed charges		2487.95	85			Percent of total billed charges		2487.95	85			Percent of total billed charges		2487.95	100			Percent of total billed charges		2927	100			Percent of total billed charges		2927	100			Percent of total billed charges		2927	33.3			Percent of total billed charges		974.691	33.3			Percent of total billed charges		974.691	100			Percent of total billed charges		2927	974.691	2634.3	
titanium transconnector 42-55 497.798 synthes	278	RC	Outpatient			2927	1902.55		90			Percent of total billed charges		2634.3	40			Percent of total billed charges		1170.8	80			Percent of total billed charges		2341.6	90			Percent of total billed charges		2634.3	85			Percent of total billed charges		2487.95	85			Percent of total billed charges		2487.95	85			Percent of total billed charges		2487.95	100			Percent of total billed charges		2927	100			Percent of total billed charges		2927	100			Percent of total billed charges		2927	33.3			Percent of total billed charges		974.691	33.3			Percent of total billed charges		974.691	100			Percent of total billed charges		2927	974.691	2634.3	
synthes transconnector	278	RC	Outpatient			2927	1902.55		90			Percent of total billed charges		2634.3	40			Percent of total billed charges		1170.8	80			Percent of total billed charges		2341.6	90			Percent of total billed charges		2634.3	85			Percent of total billed charges		2487.95	85			Percent of total billed charges		2487.95	85			Percent of total billed charges		2487.95	100			Percent of total billed charges		2927	100			Percent of total billed charges		2927	100			Percent of total billed charges		2927	33.3			Percent of total billed charges		974.691	33.3			Percent of total billed charges		974.691	100			Percent of total billed charges		2927	974.691	2634.3	
titanium transconnector 56-83 497.799 synthes	278	RC	Outpatient			2927	1902.55		90			Percent of total billed charges		2634.3	40			Percent of total billed charges		1170.8	80			Percent of total billed charges		2341.6	90			Percent of total billed charges		2634.3	85			Percent of total billed charges		2487.95	85			Percent of total billed charges		2487.95	85			Percent of total billed charges		2487.95	100			Percent of total billed charges		2927	100			Percent of total billed charges		2927	100			Percent of total billed charges		2927	33.3			Percent of total billed charges		974.691	33.3			Percent of total billed charges		974.691	100			Percent of total billed charges		2927	974.691	2634.3	
triathlon cement tibia ba	278	RC	Outpatient			2939	1910.35		90			Percent of total billed charges		2645.1	40			Percent of total billed charges		1175.6	80			Percent of total billed charges		2351.2	90			Percent of total billed charges		2645.1	85			Percent of total billed charges		2498.15	85			Percent of total billed charges		2498.15	85			Percent of total billed charges		2498.15	100			Percent of total billed charges		2939	100			Percent of total billed charges		2939	100			Percent of total billed charges		2939	33.3			Percent of total billed charges		978.687	33.3			Percent of total billed charges		978.687	100			Percent of total billed charges		2939	978.687	2645.1	
triathlon tibial baseplate sz 4 5520-b-400 howmedica	278	RC	Outpatient			2939	1910.35		90			Percent of total billed charges		2645.1	40			Percent of total billed charges		1175.6	80			Percent of total billed charges		2351.2	90			Percent of total billed charges		2645.1	85			Percent of total billed charges		2498.15	85			Percent of total billed charges		2498.15	85			Percent of total billed charges		2498.15	100			Percent of total billed charges		2939	100			Percent of total billed charges		2939	100			Percent of total billed charges		2939	33.3			Percent of total billed charges		978.687	33.3			Percent of total billed charges		978.687	100			Percent of total billed charges		2939	978.687	2645.1	
triathlon tibial baseplate sz 2 5520-b-200 howmedica	278	RC	Outpatient			2939	1910.35		90			Percent of total billed charges		2645.1	40			Percent of total billed charges		1175.6	80			Percent of total billed charges		2351.2	90			Percent of total billed charges		2645.1	85			Percent of total billed charges		2498.15	85			Percent of total billed charges		2498.15	85			Percent of total billed charges		2498.15	100			Percent of total billed charges		2939	100			Percent of total billed charges		2939	100			Percent of total billed charges		2939	33.3			Percent of total billed charges		978.687	33.3			Percent of total billed charges		978.687	100			Percent of total billed charges		2939	978.687	2645.1	
repicci ii  tibial compt 32mm x 9.5mm 102146 biomet	278	RC	Outpatient			2944	1913.6		90			Percent of total billed charges		2649.6	40			Percent of total billed charges		1177.6	80			Percent of total billed charges		2355.2	90			Percent of total billed charges		2649.6	85			Percent of total billed charges		2502.4	85			Percent of total billed charges		2502.4	85			Percent of total billed charges		2502.4	100			Percent of total billed charges		2944	100			Percent of total billed charges		2944	100			Percent of total billed charges		2944	33.3			Percent of total billed charges		980.352	33.3			Percent of total billed charges		980.352	100			Percent of total billed charges		2944	980.352	2649.6	
repicci ii  tibial compt 32mm x7.5mm 102142 biomet	278	RC	Outpatient			2944	1913.6		90			Percent of total billed charges		2649.6	40			Percent of total billed charges		1177.6	80			Percent of total billed charges		2355.2	90			Percent of total billed charges		2649.6	85			Percent of total billed charges		2502.4	85			Percent of total billed charges		2502.4	85			Percent of total billed charges		2502.4	100			Percent of total billed charges		2944	100			Percent of total billed charges		2944	100			Percent of total billed charges		2944	33.3			Percent of total billed charges		980.352	33.3			Percent of total billed charges		980.352	100			Percent of total billed charges		2944	980.352	2649.6	
repicci ii  tibial compt 37mm x 7.5mm 102152 biomet	278	RC	Outpatient			2944	1913.6		90			Percent of total billed charges		2649.6	40			Percent of total billed charges		1177.6	80			Percent of total billed charges		2355.2	90			Percent of total billed charges		2649.6	85			Percent of total billed charges		2502.4	85			Percent of total billed charges		2502.4	85			Percent of total billed charges		2502.4	100			Percent of total billed charges		2944	100			Percent of total billed charges		2944	100			Percent of total billed charges		2944	33.3			Percent of total billed charges		980.352	33.3			Percent of total billed charges		980.352	100			Percent of total billed charges		2944	980.352	2649.6	
repicci ii  tibial compt 37mm x 8.5mm 102154 biomet	278	RC	Outpatient			2944	1913.6		90			Percent of total billed charges		2649.6	40			Percent of total billed charges		1177.6	80			Percent of total billed charges		2355.2	90			Percent of total billed charges		2649.6	85			Percent of total billed charges		2502.4	85			Percent of total billed charges		2502.4	85			Percent of total billed charges		2502.4	100			Percent of total billed charges		2944	100			Percent of total billed charges		2944	100			Percent of total billed charges		2944	33.3			Percent of total billed charges		980.352	33.3			Percent of total billed charges		980.352	100			Percent of total billed charges		2944	980.352	2649.6	
repicci ii  tibial compt 37mm x 9.5mm 102156 biomet	278	RC	Outpatient			2944	1913.6		90			Percent of total billed charges		2649.6	40			Percent of total billed charges		1177.6	80			Percent of total billed charges		2355.2	90			Percent of total billed charges		2649.6	85			Percent of total billed charges		2502.4	85			Percent of total billed charges		2502.4	85			Percent of total billed charges		2502.4	100			Percent of total billed charges		2944	100			Percent of total billed charges		2944	100			Percent of total billed charges		2944	33.3			Percent of total billed charges		980.352	33.3			Percent of total billed charges		980.352	100			Percent of total billed charges		2944	980.352	2649.6	
repicci ii  tibial compt 42mm x 7.5mm 102162 biomet	278	RC	Outpatient			2944	1913.6		90			Percent of total billed charges		2649.6	40			Percent of total billed charges		1177.6	80			Percent of total billed charges		2355.2	90			Percent of total billed charges		2649.6	85			Percent of total billed charges		2502.4	85			Percent of total billed charges		2502.4	85			Percent of total billed charges		2502.4	100			Percent of total billed charges		2944	100			Percent of total billed charges		2944	100			Percent of total billed charges		2944	33.3			Percent of total billed charges		980.352	33.3			Percent of total billed charges		980.352	100			Percent of total billed charges		2944	980.352	2649.6	
repicci ii  tibial compt 42mm x 8.5mm 102164 biomet	278	RC	Outpatient			2944	1913.6		90			Percent of total billed charges		2649.6	40			Percent of total billed charges		1177.6	80			Percent of total billed charges		2355.2	90			Percent of total billed charges		2649.6	85			Percent of total billed charges		2502.4	85			Percent of total billed charges		2502.4	85			Percent of total billed charges		2502.4	100			Percent of total billed charges		2944	100			Percent of total billed charges		2944	100			Percent of total billed charges		2944	33.3			Percent of total billed charges		980.352	33.3			Percent of total billed charges		980.352	100			Percent of total billed charges		2944	980.352	2649.6	
repicci ii  tibial compt 42mm x 9.5mm 102166 biomet	278	RC	Outpatient			2944	1913.6		90			Percent of total billed charges		2649.6	40			Percent of total billed charges		1177.6	80			Percent of total billed charges		2355.2	90			Percent of total billed charges		2649.6	85			Percent of total billed charges		2502.4	85			Percent of total billed charges		2502.4	85			Percent of total billed charges		2502.4	100			Percent of total billed charges		2944	100			Percent of total billed charges		2944	100			Percent of total billed charges		2944	33.3			Percent of total billed charges		980.352	33.3			Percent of total billed charges		980.352	100			Percent of total billed charges		2944	980.352	2649.6	
repicci ii knee tibial  34.5 x 8.5 cp112154 biomet	278	RC	Outpatient			2944	1913.6		90			Percent of total billed charges		2649.6	40			Percent of total billed charges		1177.6	80			Percent of total billed charges		2355.2	90			Percent of total billed charges		2649.6	85			Percent of total billed charges		2502.4	85			Percent of total billed charges		2502.4	85			Percent of total billed charges		2502.4	100			Percent of total billed charges		2944	100			Percent of total billed charges		2944	100			Percent of total billed charges		2944	33.3			Percent of total billed charges		980.352	33.3			Percent of total billed charges		980.352	100			Percent of total billed charges		2944	980.352	2649.6	
repicci ii knee tibial  34.5 x 9.5 cp112156 biomet	278	RC	Outpatient			2944	1913.6		90			Percent of total billed charges		2649.6	40			Percent of total billed charges		1177.6	80			Percent of total billed charges		2355.2	90			Percent of total billed charges		2649.6	85			Percent of total billed charges		2502.4	85			Percent of total billed charges		2502.4	85			Percent of total billed charges		2502.4	100			Percent of total billed charges		2944	100			Percent of total billed charges		2944	100			Percent of total billed charges		2944	33.3			Percent of total billed charges		980.352	33.3			Percent of total billed charges		980.352	100			Percent of total billed charges		2944	980.352	2649.6	
repicci ii knee tibial 37mm x 6.5mm 102150 biomet	278	RC	Outpatient			2944	1913.6		90			Percent of total billed charges		2649.6	40			Percent of total billed charges		1177.6	80			Percent of total billed charges		2355.2	90			Percent of total billed charges		2649.6	85			Percent of total billed charges		2502.4	85			Percent of total billed charges		2502.4	85			Percent of total billed charges		2502.4	100			Percent of total billed charges		2944	100			Percent of total billed charges		2944	100			Percent of total billed charges		2944	33.3			Percent of total billed charges		980.352	33.3			Percent of total billed charges		980.352	100			Percent of total billed charges		2944	980.352	2649.6	
repicci tibia comp 29.5 mmx 6.5mm cp112140 biomet	278	RC	Outpatient			2944	1913.6		90			Percent of total billed charges		2649.6	40			Percent of total billed charges		1177.6	80			Percent of total billed charges		2355.2	90			Percent of total billed charges		2649.6	85			Percent of total billed charges		2502.4	85			Percent of total billed charges		2502.4	85			Percent of total billed charges		2502.4	100			Percent of total billed charges		2944	100			Percent of total billed charges		2944	100			Percent of total billed charges		2944	33.3			Percent of total billed charges		980.352	33.3			Percent of total billed charges		980.352	100			Percent of total billed charges		2944	980.352	2649.6	
repicci tibia comp 29.5 mmx 8.5mm cp112144 biomet	278	RC	Outpatient			2944	1913.6		90			Percent of total billed charges		2649.6	40			Percent of total billed charges		1177.6	80			Percent of total billed charges		2355.2	90			Percent of total billed charges		2649.6	85			Percent of total billed charges		2502.4	85			Percent of total billed charges		2502.4	85			Percent of total billed charges		2502.4	100			Percent of total billed charges		2944	100			Percent of total billed charges		2944	100			Percent of total billed charges		2944	33.3			Percent of total billed charges		980.352	33.3			Percent of total billed charges		980.352	100			Percent of total billed charges		2944	980.352	2649.6	
repicci ii  tibial compt 32mm x 6.5mm 102140 biomet	278	RC	Outpatient			2944	1913.6		90			Percent of total billed charges		2649.6	40			Percent of total billed charges		1177.6	80			Percent of total billed charges		2355.2	90			Percent of total billed charges		2649.6	85			Percent of total billed charges		2502.4	85			Percent of total billed charges		2502.4	85			Percent of total billed charges		2502.4	100			Percent of total billed charges		2944	100			Percent of total billed charges		2944	100			Percent of total billed charges		2944	33.3			Percent of total billed charges		980.352	33.3			Percent of total billed charges		980.352	100			Percent of total billed charges		2944	980.352	2649.6	
repicci ii  tibial compt 34.5mm x 9.5mm 102182 biomet	278	RC	Outpatient			2944	1913.6		90			Percent of total billed charges		2649.6	40			Percent of total billed charges		1177.6	80			Percent of total billed charges		2355.2	90			Percent of total billed charges		2649.6	85			Percent of total billed charges		2502.4	85			Percent of total billed charges		2502.4	85			Percent of total billed charges		2502.4	100			Percent of total billed charges		2944	100			Percent of total billed charges		2944	100			Percent of total billed charges		2944	33.3			Percent of total billed charges		980.352	33.3			Percent of total billed charges		980.352	100			Percent of total billed charges		2944	980.352	2649.6	
repicci ii  tibial compt 42mm x 6.5mm 102160 biomet	278	RC	Outpatient			2944	1913.6		90			Percent of total billed charges		2649.6	40			Percent of total billed charges		1177.6	80			Percent of total billed charges		2355.2	90			Percent of total billed charges		2649.6	85			Percent of total billed charges		2502.4	85			Percent of total billed charges		2502.4	85			Percent of total billed charges		2502.4	100			Percent of total billed charges		2944	100			Percent of total billed charges		2944	100			Percent of total billed charges		2944	33.3			Percent of total billed charges		980.352	33.3			Percent of total billed charges		980.352	100			Percent of total billed charges		2944	980.352	2649.6	
repicci ii knee tibial  32mm x 8.5mm 102144 biomet	278	RC	Outpatient			2944	1913.6		90			Percent of total billed charges		2649.6	40			Percent of total billed charges		1177.6	80			Percent of total billed charges		2355.2	90			Percent of total billed charges		2649.6	85			Percent of total billed charges		2502.4	85			Percent of total billed charges		2502.4	85			Percent of total billed charges		2502.4	100			Percent of total billed charges		2944	100			Percent of total billed charges		2944	100			Percent of total billed charges		2944	33.3			Percent of total billed charges		980.352	33.3			Percent of total billed charges		980.352	100			Percent of total billed charges		2944	980.352	2649.6	
repicci ii knee tibial  34.5 x 6.5 cp112150 biomet	278	RC	Outpatient			2944	1913.6		90			Percent of total billed charges		2649.6	40			Percent of total billed charges		1177.6	80			Percent of total billed charges		2355.2	90			Percent of total billed charges		2649.6	85			Percent of total billed charges		2502.4	85			Percent of total billed charges		2502.4	85			Percent of total billed charges		2502.4	100			Percent of total billed charges		2944	100			Percent of total billed charges		2944	100			Percent of total billed charges		2944	33.3			Percent of total billed charges		980.352	33.3			Percent of total billed charges		980.352	100			Percent of total billed charges		2944	980.352	2649.6	
repicci ii knee tibial  34.5 x 7.5 cp112152 biomet	278	RC	Outpatient			2944	1913.6		90			Percent of total billed charges		2649.6	40			Percent of total billed charges		1177.6	80			Percent of total billed charges		2355.2	90			Percent of total billed charges		2649.6	85			Percent of total billed charges		2502.4	85			Percent of total billed charges		2502.4	85			Percent of total billed charges		2502.4	100			Percent of total billed charges		2944	100			Percent of total billed charges		2944	100			Percent of total billed charges		2944	33.3			Percent of total billed charges		980.352	33.3			Percent of total billed charges		980.352	100			Percent of total billed charges		2944	980.352	2649.6	
repicci tibia comp 29.5 mmx 7.5mm cp112142 biomet	278	RC	Outpatient			2944	1913.6		90			Percent of total billed charges		2649.6	40			Percent of total billed charges		1177.6	80			Percent of total billed charges		2355.2	90			Percent of total billed charges		2649.6	85			Percent of total billed charges		2502.4	85			Percent of total billed charges		2502.4	85			Percent of total billed charges		2502.4	100			Percent of total billed charges		2944	100			Percent of total billed charges		2944	100			Percent of total billed charges		2944	33.3			Percent of total billed charges		980.352	33.3			Percent of total billed charges		980.352	100			Percent of total billed charges		2944	980.352	2649.6	
repicci tibia comp 29.5 mmx 9.5mm cp112146 biomet	278	RC	Outpatient			2944	1913.6		90			Percent of total billed charges		2649.6	40			Percent of total billed charges		1177.6	80			Percent of total billed charges		2355.2	90			Percent of total billed charges		2649.6	85			Percent of total billed charges		2502.4	85			Percent of total billed charges		2502.4	85			Percent of total billed charges		2502.4	100			Percent of total billed charges		2944	100			Percent of total billed charges		2944	100			Percent of total billed charges		2944	33.3			Percent of total billed charges		980.352	33.3			Percent of total billed charges		980.352	100			Percent of total billed charges		2944	980.352	2649.6	
uni repicci tibial comp	278	RC	Outpatient			2944	1913.6		90			Percent of total billed charges		2649.6	40			Percent of total billed charges		1177.6	80			Percent of total billed charges		2355.2	90			Percent of total billed charges		2649.6	85			Percent of total billed charges		2502.4	85			Percent of total billed charges		2502.4	85			Percent of total billed charges		2502.4	100			Percent of total billed charges		2944	100			Percent of total billed charges		2944	100			Percent of total billed charges		2944	33.3			Percent of total billed charges		980.352	33.3			Percent of total billed charges		980.352	100			Percent of total billed charges		2944	980.352	2649.6	
actifuse-abx putty 5ml	278	RC	Outpatient			2948	1916.2		90			Percent of total billed charges		2653.2	40			Percent of total billed charges		1179.2	80			Percent of total billed charges		2358.4	90			Percent of total billed charges		2653.2	85			Percent of total billed charges		2505.8	85			Percent of total billed charges		2505.8	85			Percent of total billed charges		2505.8	100			Percent of total billed charges		2948	100			Percent of total billed charges		2948	100			Percent of total billed charges		2948	33.3			Percent of total billed charges		981.684	33.3			Percent of total billed charges		981.684	100			Percent of total billed charges		2948	981.684	2653.2	
actifuse abs e-z-fil putyy 5ml 5 060050 78051 fuse tec	278	RC	Outpatient			2948	1916.2		90			Percent of total billed charges		2653.2	40			Percent of total billed charges		1179.2	80			Percent of total billed charges		2358.4	90			Percent of total billed charges		2653.2	85			Percent of total billed charges		2505.8	85			Percent of total billed charges		2505.8	85			Percent of total billed charges		2505.8	100			Percent of total billed charges		2948	100			Percent of total billed charges		2948	100			Percent of total billed charges		2948	33.3			Percent of total billed charges		981.684	33.3			Percent of total billed charges		981.684	100			Percent of total billed charges		2948	981.684	2653.2	
spine xia pa screw 8.5 x 40 03801840 stryker	278	RC	Outpatient			2948	1916.2		90			Percent of total billed charges		2653.2	40			Percent of total billed charges		1179.2	80			Percent of total billed charges		2358.4	90			Percent of total billed charges		2653.2	85			Percent of total billed charges		2505.8	85			Percent of total billed charges		2505.8	85			Percent of total billed charges		2505.8	100			Percent of total billed charges		2948	100			Percent of total billed charges		2948	100			Percent of total billed charges		2948	33.3			Percent of total billed charges		981.684	33.3			Percent of total billed charges		981.684	100			Percent of total billed charges		2948	981.684	2653.2	
proximal lateral tibial locking plate 2hl rt 437322 stryker	278	RC	Outpatient			2951	1918.15		90			Percent of total billed charges		2655.9	40			Percent of total billed charges		1180.4	80			Percent of total billed charges		2360.8	90			Percent of total billed charges		2655.9	85			Percent of total billed charges		2508.35	85			Percent of total billed charges		2508.35	85			Percent of total billed charges		2508.35	100			Percent of total billed charges		2951	100			Percent of total billed charges		2951	100			Percent of total billed charges		2951	33.3			Percent of total billed charges		982.683	33.3			Percent of total billed charges		982.683	100			Percent of total billed charges		2951	982.683	2655.9	
prox lat tib plt 2hl	278	RC	Outpatient			2951	1918.15		90			Percent of total billed charges		2655.9	40			Percent of total billed charges		1180.4	80			Percent of total billed charges		2360.8	90			Percent of total billed charges		2655.9	85			Percent of total billed charges		2508.35	85			Percent of total billed charges		2508.35	85			Percent of total billed charges		2508.35	100			Percent of total billed charges		2951	100			Percent of total billed charges		2951	100			Percent of total billed charges		2951	33.3			Percent of total billed charges		982.683	33.3			Percent of total billed charges		982.683	100			Percent of total billed charges		2951	982.683	2655.9	
tibia locking plate 2 hole 4370302 stryker	278	RC	Outpatient			2951	1918.15		90			Percent of total billed charges		2655.9	40			Percent of total billed charges		1180.4	80			Percent of total billed charges		2360.8	90			Percent of total billed charges		2655.9	85			Percent of total billed charges		2508.35	85			Percent of total billed charges		2508.35	85			Percent of total billed charges		2508.35	100			Percent of total billed charges		2951	100			Percent of total billed charges		2951	100			Percent of total billed charges		2951	33.3			Percent of total billed charges		982.683	33.3			Percent of total billed charges		982.683	100			Percent of total billed charges		2951	982.683	2655.9	
recon plt 3.5mm 12 hl 71809522 s\n	278	RC	Outpatient			2954	1920.1		90			Percent of total billed charges		2658.6	40			Percent of total billed charges		1181.6	80			Percent of total billed charges		2363.2	90			Percent of total billed charges		2658.6	85			Percent of total billed charges		2510.9	85			Percent of total billed charges		2510.9	85			Percent of total billed charges		2510.9	100			Percent of total billed charges		2954	100			Percent of total billed charges		2954	100			Percent of total billed charges		2954	33.3			Percent of total billed charges		983.682	33.3			Percent of total billed charges		983.682	100			Percent of total billed charges		2954	983.682	2658.6	
recon plt 3.5mm 12 hl 71829522 s\n	278	RC	Outpatient			2954	1920.1		90			Percent of total billed charges		2658.6	40			Percent of total billed charges		1181.6	80			Percent of total billed charges		2363.2	90			Percent of total billed charges		2658.6	85			Percent of total billed charges		2510.9	85			Percent of total billed charges		2510.9	85			Percent of total billed charges		2510.9	100			Percent of total billed charges		2954	100			Percent of total billed charges		2954	100			Percent of total billed charges		2954	33.3			Percent of total billed charges		983.682	33.3			Percent of total billed charges		983.682	100			Percent of total billed charges		2954	983.682	2658.6	
s/n 3.5 recon pl 12 hl	278	RC	Outpatient			2954	1920.1		90			Percent of total billed charges		2658.6	40			Percent of total billed charges		1181.6	80			Percent of total billed charges		2363.2	90			Percent of total billed charges		2658.6	85			Percent of total billed charges		2510.9	85			Percent of total billed charges		2510.9	85			Percent of total billed charges		2510.9	100			Percent of total billed charges		2954	100			Percent of total billed charges		2954	100			Percent of total billed charges		2954	33.3			Percent of total billed charges		983.682	33.3			Percent of total billed charges		983.682	100			Percent of total billed charges		2954	983.682	2658.6	
graft pericardium 4 x 7	278	RC	Outpatient			2958	1922.7		90			Percent of total billed charges		2662.2	40			Percent of total billed charges		1183.2	80			Percent of total billed charges		2366.4	90			Percent of total billed charges		2662.2	85			Percent of total billed charges		2514.3	85			Percent of total billed charges		2514.3	85			Percent of total billed charges		2514.3	100			Percent of total billed charges		2958	100			Percent of total billed charges		2958	100			Percent of total billed charges		2958	33.3			Percent of total billed charges		985.014	33.3			Percent of total billed charges		985.014	100			Percent of total billed charges		2958	985.014	2662.2	
pericardium graft 4 x 7 cm 93-8247 colcplast	278	RC	Outpatient			2958	1922.7		90			Percent of total billed charges		2662.2	40			Percent of total billed charges		1183.2	80			Percent of total billed charges		2366.4	90			Percent of total billed charges		2662.2	85			Percent of total billed charges		2514.3	85			Percent of total billed charges		2514.3	85			Percent of total billed charges		2514.3	100			Percent of total billed charges		2958	100			Percent of total billed charges		2958	100			Percent of total billed charges		2958	33.3			Percent of total billed charges		985.014	33.3			Percent of total billed charges		985.014	100			Percent of total billed charges		2958	985.014	2662.2	
reservoir 60cc 90-9060k-loc coloplast	278	RC	Outpatient			2958	1922.7		90			Percent of total billed charges		2662.2	40			Percent of total billed charges		1183.2	80			Percent of total billed charges		2366.4	90			Percent of total billed charges		2662.2	85			Percent of total billed charges		2514.3	85			Percent of total billed charges		2514.3	85			Percent of total billed charges		2514.3	100			Percent of total billed charges		2958	100			Percent of total billed charges		2958	100			Percent of total billed charges		2958	33.3			Percent of total billed charges		985.014	33.3			Percent of total billed charges		985.014	100			Percent of total billed charges		2958	985.014	2662.2	
titan bioflex reservoir	278	RC	Outpatient			2958	1922.7		90			Percent of total billed charges		2662.2	40			Percent of total billed charges		1183.2	80			Percent of total billed charges		2366.4	90			Percent of total billed charges		2662.2	85			Percent of total billed charges		2514.3	85			Percent of total billed charges		2514.3	85			Percent of total billed charges		2514.3	100			Percent of total billed charges		2958	100			Percent of total billed charges		2958	100			Percent of total billed charges		2958	33.3			Percent of total billed charges		985.014	33.3			Percent of total billed charges		985.014	100			Percent of total billed charges		2958	985.014	2662.2	
sigma rp tc3 insert sz 2.5 25.0mm 96-2337 depuy	278	RC	Outpatient			2960	1924		90			Percent of total billed charges		2664	40			Percent of total billed charges		1184	80			Percent of total billed charges		2368	90			Percent of total billed charges		2664	85			Percent of total billed charges		2516	85			Percent of total billed charges		2516	85			Percent of total billed charges		2516	100			Percent of total billed charges		2960	100			Percent of total billed charges		2960	100			Percent of total billed charges		2960	33.3			Percent of total billed charges		985.68	33.3			Percent of total billed charges		985.68	100			Percent of total billed charges		2960	985.68	2664	
siltex breast tissue expander w/ suture tab 350cc 354-7212 mentor	278	RC	Outpatient			2960	1924		90			Percent of total billed charges		2664	40			Percent of total billed charges		1184	80			Percent of total billed charges		2368	90			Percent of total billed charges		2664	85			Percent of total billed charges		2516	85			Percent of total billed charges		2516	85			Percent of total billed charges		2516	100			Percent of total billed charges		2960	100			Percent of total billed charges		2960	100			Percent of total billed charges		2960	33.3			Percent of total billed charges		985.68	33.3			Percent of total billed charges		985.68	100			Percent of total billed charges		2960	985.68	2664	
tissue expander 350cc men	278	RC	Outpatient			2960	1924		90			Percent of total billed charges		2664	40			Percent of total billed charges		1184	80			Percent of total billed charges		2368	90			Percent of total billed charges		2664	85			Percent of total billed charges		2516	85			Percent of total billed charges		2516	85			Percent of total billed charges		2516	100			Percent of total billed charges		2960	100			Percent of total billed charges		2960	100			Percent of total billed charges		2960	33.3			Percent of total billed charges		985.68	33.3			Percent of total billed charges		985.68	100			Percent of total billed charges		2960	985.68	2664	
siltex breast tissue expander w/ suture tab tall 350cc 354-7312 mentor	278	RC	Outpatient			2960	1924		90			Percent of total billed charges		2664	40			Percent of total billed charges		1184	80			Percent of total billed charges		2368	90			Percent of total billed charges		2664	85			Percent of total billed charges		2516	85			Percent of total billed charges		2516	85			Percent of total billed charges		2516	100			Percent of total billed charges		2960	100			Percent of total billed charges		2960	100			Percent of total billed charges		2960	33.3			Percent of total billed charges		985.68	33.3			Percent of total billed charges		985.68	100			Percent of total billed charges		2960	985.68	2664	
siltex cpx3 breast tissue expander 450cc 354-7213 mentor	278	RC	Outpatient			2960	1924		90			Percent of total billed charges		2664	40			Percent of total billed charges		1184	80			Percent of total billed charges		2368	90			Percent of total billed charges		2664	85			Percent of total billed charges		2516	85			Percent of total billed charges		2516	85			Percent of total billed charges		2516	100			Percent of total billed charges		2960	100			Percent of total billed charges		2960	100			Percent of total billed charges		2960	33.3			Percent of total billed charges		985.68	33.3			Percent of total billed charges		985.68	100			Percent of total billed charges		2960	985.68	2664	
siltex cpx3 breast tissue expander 550cc 354-7214 mentor	278	RC	Outpatient			2960	1924		90			Percent of total billed charges		2664	40			Percent of total billed charges		1184	80			Percent of total billed charges		2368	90			Percent of total billed charges		2664	85			Percent of total billed charges		2516	85			Percent of total billed charges		2516	85			Percent of total billed charges		2516	100			Percent of total billed charges		2960	100			Percent of total billed charges		2960	100			Percent of total billed charges		2960	33.3			Percent of total billed charges		985.68	33.3			Percent of total billed charges		985.68	100			Percent of total billed charges		2960	985.68	2664	
tissue expandr cpx3 450cc	278	RC	Outpatient			2960	1924		90			Percent of total billed charges		2664	40			Percent of total billed charges		1184	80			Percent of total billed charges		2368	90			Percent of total billed charges		2664	85			Percent of total billed charges		2516	85			Percent of total billed charges		2516	85			Percent of total billed charges		2516	100			Percent of total billed charges		2960	100			Percent of total billed charges		2960	100			Percent of total billed charges		2960	33.3			Percent of total billed charges		985.68	33.3			Percent of total billed charges		985.68	100			Percent of total billed charges		2960	985.68	2664	
tissue expandr cpx3 550cc	278	RC	Outpatient			2960	1924		90			Percent of total billed charges		2664	40			Percent of total billed charges		1184	80			Percent of total billed charges		2368	90			Percent of total billed charges		2664	85			Percent of total billed charges		2516	85			Percent of total billed charges		2516	85			Percent of total billed charges		2516	100			Percent of total billed charges		2960	100			Percent of total billed charges		2960	100			Percent of total billed charges		2960	33.3			Percent of total billed charges		985.68	33.3			Percent of total billed charges		985.68	100			Percent of total billed charges		2960	985.68	2664	
comp reverse shoulder glenosphere 36mm/+3 115313 biomet	278	RC	Outpatient			2962	1925.3		90			Percent of total billed charges		2665.8	40			Percent of total billed charges		1184.8	80			Percent of total billed charges		2369.6	90			Percent of total billed charges		2665.8	85			Percent of total billed charges		2517.7	85			Percent of total billed charges		2517.7	85			Percent of total billed charges		2517.7	100			Percent of total billed charges		2962	100			Percent of total billed charges		2962	100			Percent of total billed charges		2962	33.3			Percent of total billed charges		986.346	33.3			Percent of total billed charges		986.346	100			Percent of total billed charges		2962	986.346	2665.8	
comp reverse shoulder glenosphere 41mm 115320 biomet	278	RC	Outpatient			2962	1925.3		90			Percent of total billed charges		2665.8	40			Percent of total billed charges		1184.8	80			Percent of total billed charges		2369.6	90			Percent of total billed charges		2665.8	85			Percent of total billed charges		2517.7	85			Percent of total billed charges		2517.7	85			Percent of total billed charges		2517.7	100			Percent of total billed charges		2962	100			Percent of total billed charges		2962	100			Percent of total billed charges		2962	33.3			Percent of total billed charges		986.346	33.3			Percent of total billed charges		986.346	100			Percent of total billed charges		2962	986.346	2665.8	
bio rsp glenosphere	278	RC	Outpatient			2962	1925.3		90			Percent of total billed charges		2665.8	40			Percent of total billed charges		1184.8	80			Percent of total billed charges		2369.6	90			Percent of total billed charges		2665.8	85			Percent of total billed charges		2517.7	85			Percent of total billed charges		2517.7	85			Percent of total billed charges		2517.7	100			Percent of total billed charges		2962	100			Percent of total billed charges		2962	100			Percent of total billed charges		2962	33.3			Percent of total billed charges		986.346	33.3			Percent of total billed charges		986.346	100			Percent of total billed charges		2962	986.346	2665.8	
comp reverse shoulder glenosphere 36mm/std 115310 biomet	278	RC	Outpatient			2962	1925.3		90			Percent of total billed charges		2665.8	40			Percent of total billed charges		1184.8	80			Percent of total billed charges		2369.6	90			Percent of total billed charges		2665.8	85			Percent of total billed charges		2517.7	85			Percent of total billed charges		2517.7	85			Percent of total billed charges		2517.7	100			Percent of total billed charges		2962	100			Percent of total billed charges		2962	100			Percent of total billed charges		2962	33.3			Percent of total billed charges		986.346	33.3			Percent of total billed charges		986.346	100			Percent of total billed charges		2962	986.346	2665.8	
depuy asr uni fem	278	RC	Outpatient			2969	1929.85		90			Percent of total billed charges		2672.1	40			Percent of total billed charges		1187.6	80			Percent of total billed charges		2375.2	90			Percent of total billed charges		2672.1	85			Percent of total billed charges		2523.65	85			Percent of total billed charges		2523.65	85			Percent of total billed charges		2523.65	100			Percent of total billed charges		2969	100			Percent of total billed charges		2969	100			Percent of total billed charges		2969	33.3			Percent of total billed charges		988.677	33.3			Percent of total billed charges		988.677	100			Percent of total billed charges		2969	988.677	2672.1	
depuy asr uni femoral implant sz 47  9998-90-247	278	RC	Outpatient			2969	1929.85		90			Percent of total billed charges		2672.1	40			Percent of total billed charges		1187.6	80			Percent of total billed charges		2375.2	90			Percent of total billed charges		2672.1	85			Percent of total billed charges		2523.65	85			Percent of total billed charges		2523.65	85			Percent of total billed charges		2523.65	100			Percent of total billed charges		2969	100			Percent of total billed charges		2969	100			Percent of total billed charges		2969	33.3			Percent of total billed charges		988.677	33.3			Percent of total billed charges		988.677	100			Percent of total billed charges		2969	988.677	2672.1	
j&j fermoral comp p/s cem	278	RC	Outpatient			2969	1929.85		90			Percent of total billed charges		2672.1	40			Percent of total billed charges		1187.6	80			Percent of total billed charges		2375.2	90			Percent of total billed charges		2672.1	85			Percent of total billed charges		2523.65	85			Percent of total billed charges		2523.65	85			Percent of total billed charges		2523.65	100			Percent of total billed charges		2969	100			Percent of total billed charges		2969	100			Percent of total billed charges		2969	33.3			Percent of total billed charges		988.677	33.3			Percent of total billed charges		988.677	100			Percent of total billed charges		2969	988.677	2672.1	
proximal humeral locking plate 3.5 13h r 71821313 s/n	278	RC	Outpatient			2970	1930.5		90			Percent of total billed charges		2673	40			Percent of total billed charges		1188	80			Percent of total billed charges		2376	90			Percent of total billed charges		2673	85			Percent of total billed charges		2524.5	85			Percent of total billed charges		2524.5	85			Percent of total billed charges		2524.5	100			Percent of total billed charges		2970	100			Percent of total billed charges		2970	100			Percent of total billed charges		2970	33.3			Percent of total billed charges		989.01	33.3			Percent of total billed charges		989.01	100			Percent of total billed charges		2970	989.01	2673	
proximal humeral locking plate 4.5 13h l 71801613 s/n	278	RC	Outpatient			2970	1930.5		90			Percent of total billed charges		2673	40			Percent of total billed charges		1188	80			Percent of total billed charges		2376	90			Percent of total billed charges		2673	85			Percent of total billed charges		2524.5	85			Percent of total billed charges		2524.5	85			Percent of total billed charges		2524.5	100			Percent of total billed charges		2970	100			Percent of total billed charges		2970	100			Percent of total billed charges		2970	33.3			Percent of total billed charges		989.01	33.3			Percent of total billed charges		989.01	100			Percent of total billed charges		2970	989.01	2673	
proximal humeral locking plate 3.5 13h l 71821413 s/n	278	RC	Outpatient			2970	1930.5		90			Percent of total billed charges		2673	40			Percent of total billed charges		1188	80			Percent of total billed charges		2376	90			Percent of total billed charges		2673	85			Percent of total billed charges		2524.5	85			Percent of total billed charges		2524.5	85			Percent of total billed charges		2524.5	100			Percent of total billed charges		2970	100			Percent of total billed charges		2970	100			Percent of total billed charges		2970	33.3			Percent of total billed charges		989.01	33.3			Percent of total billed charges		989.01	100			Percent of total billed charges		2970	989.01	2673	
proximal humeral locking plate 4.5 13h r 71801513 s/n	278	RC	Outpatient			2970	1930.5		90			Percent of total billed charges		2673	40			Percent of total billed charges		1188	80			Percent of total billed charges		2376	90			Percent of total billed charges		2673	85			Percent of total billed charges		2524.5	85			Percent of total billed charges		2524.5	85			Percent of total billed charges		2524.5	100			Percent of total billed charges		2970	100			Percent of total billed charges		2970	100			Percent of total billed charges		2970	33.3			Percent of total billed charges		989.01	33.3			Percent of total billed charges		989.01	100			Percent of total billed charges		2970	989.01	2673	
s/n prxhum lk pl 3.5 13h	278	RC	Outpatient			2970	1930.5		90			Percent of total billed charges		2673	40			Percent of total billed charges		1188	80			Percent of total billed charges		2376	90			Percent of total billed charges		2673	85			Percent of total billed charges		2524.5	85			Percent of total billed charges		2524.5	85			Percent of total billed charges		2524.5	100			Percent of total billed charges		2970	100			Percent of total billed charges		2970	100			Percent of total billed charges		2970	33.3			Percent of total billed charges		989.01	33.3			Percent of total billed charges		989.01	100			Percent of total billed charges		2970	989.01	2673	
s/n prxhum lk pl 4.5 13h	278	RC	Outpatient			2970	1930.5		90			Percent of total billed charges		2673	40			Percent of total billed charges		1188	80			Percent of total billed charges		2376	90			Percent of total billed charges		2673	85			Percent of total billed charges		2524.5	85			Percent of total billed charges		2524.5	85			Percent of total billed charges		2524.5	100			Percent of total billed charges		2970	100			Percent of total billed charges		2970	100			Percent of total billed charges		2970	33.3			Percent of total billed charges		989.01	33.3			Percent of total billed charges		989.01	100			Percent of total billed charges		2970	989.01	2673	
3.5mm locking recon pl 12 hl 7182-2612 s/n	278	RC	Outpatient			2982	1938.3		90			Percent of total billed charges		2683.8	40			Percent of total billed charges		1192.8	80			Percent of total billed charges		2385.6	90			Percent of total billed charges		2683.8	85			Percent of total billed charges		2534.7	85			Percent of total billed charges		2534.7	85			Percent of total billed charges		2534.7	100			Percent of total billed charges		2982	100			Percent of total billed charges		2982	100			Percent of total billed charges		2982	33.3			Percent of total billed charges		993.006	33.3			Percent of total billed charges		993.006	100			Percent of total billed charges		2982	993.006	2683.8	
s/n 3.5 lck recon pl 12	278	RC	Outpatient			2982	1938.3		90			Percent of total billed charges		2683.8	40			Percent of total billed charges		1192.8	80			Percent of total billed charges		2385.6	90			Percent of total billed charges		2683.8	85			Percent of total billed charges		2534.7	85			Percent of total billed charges		2534.7	85			Percent of total billed charges		2534.7	100			Percent of total billed charges		2982	100			Percent of total billed charges		2982	100			Percent of total billed charges		2982	33.3			Percent of total billed charges		993.006	33.3			Percent of total billed charges		993.006	100			Percent of total billed charges		2982	993.006	2683.8	
recon plt 3.5mm 12 hl 71809212 s\n	278	RC	Outpatient			2982	1938.3		90			Percent of total billed charges		2683.8	40			Percent of total billed charges		1192.8	80			Percent of total billed charges		2385.6	90			Percent of total billed charges		2683.8	85			Percent of total billed charges		2534.7	85			Percent of total billed charges		2534.7	85			Percent of total billed charges		2534.7	100			Percent of total billed charges		2982	100			Percent of total billed charges		2982	100			Percent of total billed charges		2982	33.3			Percent of total billed charges		993.006	33.3			Percent of total billed charges		993.006	100			Percent of total billed charges		2982	993.006	2683.8	
recon plt 3.5mm 12hl 71829212 s\n	278	RC	Outpatient			2982	1938.3		90			Percent of total billed charges		2683.8	40			Percent of total billed charges		1192.8	80			Percent of total billed charges		2385.6	90			Percent of total billed charges		2683.8	85			Percent of total billed charges		2534.7	85			Percent of total billed charges		2534.7	85			Percent of total billed charges		2534.7	100			Percent of total billed charges		2982	100			Percent of total billed charges		2982	100			Percent of total billed charges		2982	33.3			Percent of total billed charges		993.006	33.3			Percent of total billed charges		993.006	100			Percent of total billed charges		2982	993.006	2683.8	
triathlon poly cr tibial insert 4x9mmx3 5530-g-409 howmedica	278	RC	Outpatient			2985	1940.25		90			Percent of total billed charges		2686.5	40			Percent of total billed charges		1194	80			Percent of total billed charges		2388	90			Percent of total billed charges		2686.5	85			Percent of total billed charges		2537.25	85			Percent of total billed charges		2537.25	85			Percent of total billed charges		2537.25	100			Percent of total billed charges		2985	100			Percent of total billed charges		2985	100			Percent of total billed charges		2985	33.3			Percent of total billed charges		994.005	33.3			Percent of total billed charges		994.005	100			Percent of total billed charges		2985	994.005	2686.5	
triathlon poly ps tibial insert  #4 13mm  5532-g-413 howmedica	278	RC	Outpatient			2985	1940.25		90			Percent of total billed charges		2686.5	40			Percent of total billed charges		1194	80			Percent of total billed charges		2388	90			Percent of total billed charges		2686.5	85			Percent of total billed charges		2537.25	85			Percent of total billed charges		2537.25	85			Percent of total billed charges		2537.25	100			Percent of total billed charges		2985	100			Percent of total billed charges		2985	100			Percent of total billed charges		2985	33.3			Percent of total billed charges		994.005	33.3			Percent of total billed charges		994.005	100			Percent of total billed charges		2985	994.005	2686.5	
triathlon poly ps tibial insert  #4 9mm  5532-g-409 howmedica	278	RC	Outpatient			2985	1940.25		90			Percent of total billed charges		2686.5	40			Percent of total billed charges		1194	80			Percent of total billed charges		2388	90			Percent of total billed charges		2686.5	85			Percent of total billed charges		2537.25	85			Percent of total billed charges		2537.25	85			Percent of total billed charges		2537.25	100			Percent of total billed charges		2985	100			Percent of total billed charges		2985	100			Percent of total billed charges		2985	33.3			Percent of total billed charges		994.005	33.3			Percent of total billed charges		994.005	100			Percent of total billed charges		2985	994.005	2686.5	
triathlon ps x3 tibial insert #6 9mm 5532-g-609 stryker	278	RC	Outpatient			2985	1940.25		90			Percent of total billed charges		2686.5	40			Percent of total billed charges		1194	80			Percent of total billed charges		2388	90			Percent of total billed charges		2686.5	85			Percent of total billed charges		2537.25	85			Percent of total billed charges		2537.25	85			Percent of total billed charges		2537.25	100			Percent of total billed charges		2985	100			Percent of total billed charges		2985	100			Percent of total billed charges		2985	33.3			Percent of total billed charges		994.005	33.3			Percent of total billed charges		994.005	100			Percent of total billed charges		2985	994.005	2686.5	
triathlon ps x3 tibial insert #7 9mm 5532-g-709 stryker	278	RC	Outpatient			2985	1940.25		90			Percent of total billed charges		2686.5	40			Percent of total billed charges		1194	80			Percent of total billed charges		2388	90			Percent of total billed charges		2686.5	85			Percent of total billed charges		2537.25	85			Percent of total billed charges		2537.25	85			Percent of total billed charges		2537.25	100			Percent of total billed charges		2985	100			Percent of total billed charges		2985	100			Percent of total billed charges		2985	33.3			Percent of total billed charges		994.005	33.3			Percent of total billed charges		994.005	100			Percent of total billed charges		2985	994.005	2686.5	
triathlon poly cr tib ins	278	RC	Outpatient			2985	1940.25		90			Percent of total billed charges		2686.5	40			Percent of total billed charges		1194	80			Percent of total billed charges		2388	90			Percent of total billed charges		2686.5	85			Percent of total billed charges		2537.25	85			Percent of total billed charges		2537.25	85			Percent of total billed charges		2537.25	100			Percent of total billed charges		2985	100			Percent of total billed charges		2985	100			Percent of total billed charges		2985	33.3			Percent of total billed charges		994.005	33.3			Percent of total billed charges		994.005	100			Percent of total billed charges		2985	994.005	2686.5	
anesthesia time 12 hours	270	RC	Outpatient			2988	1942.2		90			Percent of total billed charges		2689.2	40			Percent of total billed charges		1195.2	80			Percent of total billed charges		2390.4	90			Percent of total billed charges		2689.2	85			Percent of total billed charges		2539.8	85			Percent of total billed charges		2539.8	85			Percent of total billed charges		2539.8	100			Percent of total billed charges		2988	100			Percent of total billed charges		2988	100			Percent of total billed charges		2988	33.3			Percent of total billed charges		995.004	33.3			Percent of total billed charges		995.004	100			Percent of total billed charges		2988	995.004	2689.2	
sc-acufix thinline plate 2 seg 36mm 407-7036 abbott	278	RC	Outpatient			2988	1942.2		90			Percent of total billed charges		2689.2	40			Percent of total billed charges		1195.2	80			Percent of total billed charges		2390.4	90			Percent of total billed charges		2689.2	85			Percent of total billed charges		2539.8	85			Percent of total billed charges		2539.8	85			Percent of total billed charges		2539.8	100			Percent of total billed charges		2988	100			Percent of total billed charges		2988	100			Percent of total billed charges		2988	33.3			Percent of total billed charges		995.004	33.3			Percent of total billed charges		995.004	100			Percent of total billed charges		2988	995.004	2689.2	
sc-acufix thinline plate 2 seg 38mm 407-7038 abbott	278	RC	Outpatient			2988	1942.2		90			Percent of total billed charges		2689.2	40			Percent of total billed charges		1195.2	80			Percent of total billed charges		2390.4	90			Percent of total billed charges		2689.2	85			Percent of total billed charges		2539.8	85			Percent of total billed charges		2539.8	85			Percent of total billed charges		2539.8	100			Percent of total billed charges		2988	100			Percent of total billed charges		2988	100			Percent of total billed charges		2988	33.3			Percent of total billed charges		995.004	33.3			Percent of total billed charges		995.004	100			Percent of total billed charges		2988	995.004	2689.2	
sc-acufix thinline plate 2 seg 42mm 407-7042 abbott	278	RC	Outpatient			2988	1942.2		90			Percent of total billed charges		2689.2	40			Percent of total billed charges		1195.2	80			Percent of total billed charges		2390.4	90			Percent of total billed charges		2689.2	85			Percent of total billed charges		2539.8	85			Percent of total billed charges		2539.8	85			Percent of total billed charges		2539.8	100			Percent of total billed charges		2988	100			Percent of total billed charges		2988	100			Percent of total billed charges		2988	33.3			Percent of total billed charges		995.004	33.3			Percent of total billed charges		995.004	100			Percent of total billed charges		2988	995.004	2689.2	
sc-acufix thinline plate 2 seg 44mm 407-7044 abbott	278	RC	Outpatient			2988	1942.2		90			Percent of total billed charges		2689.2	40			Percent of total billed charges		1195.2	80			Percent of total billed charges		2390.4	90			Percent of total billed charges		2689.2	85			Percent of total billed charges		2539.8	85			Percent of total billed charges		2539.8	85			Percent of total billed charges		2539.8	100			Percent of total billed charges		2988	100			Percent of total billed charges		2988	100			Percent of total billed charges		2988	33.3			Percent of total billed charges		995.004	33.3			Percent of total billed charges		995.004	100			Percent of total billed charges		2988	995.004	2689.2	
sc-acufix thinline plate 2 seg 52mm 407-7052 abbott	278	RC	Outpatient			2988	1942.2		90			Percent of total billed charges		2689.2	40			Percent of total billed charges		1195.2	80			Percent of total billed charges		2390.4	90			Percent of total billed charges		2689.2	85			Percent of total billed charges		2539.8	85			Percent of total billed charges		2539.8	85			Percent of total billed charges		2539.8	100			Percent of total billed charges		2988	100			Percent of total billed charges		2988	100			Percent of total billed charges		2988	33.3			Percent of total billed charges		995.004	33.3			Percent of total billed charges		995.004	100			Percent of total billed charges		2988	995.004	2689.2	
sc-acufix thinline plate 2 seg 40mm 407-7040 abbott	278	RC	Outpatient			2988	1942.2		90			Percent of total billed charges		2689.2	40			Percent of total billed charges		1195.2	80			Percent of total billed charges		2390.4	90			Percent of total billed charges		2689.2	85			Percent of total billed charges		2539.8	85			Percent of total billed charges		2539.8	85			Percent of total billed charges		2539.8	100			Percent of total billed charges		2988	100			Percent of total billed charges		2988	100			Percent of total billed charges		2988	33.3			Percent of total billed charges		995.004	33.3			Percent of total billed charges		995.004	100			Percent of total billed charges		2988	995.004	2689.2	
sc-acufix thinline plate 2 seg 46mm 407-7046 abbott	278	RC	Outpatient			2988	1942.2		90			Percent of total billed charges		2689.2	40			Percent of total billed charges		1195.2	80			Percent of total billed charges		2390.4	90			Percent of total billed charges		2689.2	85			Percent of total billed charges		2539.8	85			Percent of total billed charges		2539.8	85			Percent of total billed charges		2539.8	100			Percent of total billed charges		2988	100			Percent of total billed charges		2988	100			Percent of total billed charges		2988	33.3			Percent of total billed charges		995.004	33.3			Percent of total billed charges		995.004	100			Percent of total billed charges		2988	995.004	2689.2	
sc-acufix thinline plate 2 seg 48mm 407-7048 abbott	278	RC	Outpatient			2988	1942.2		90			Percent of total billed charges		2689.2	40			Percent of total billed charges		1195.2	80			Percent of total billed charges		2390.4	90			Percent of total billed charges		2689.2	85			Percent of total billed charges		2539.8	85			Percent of total billed charges		2539.8	85			Percent of total billed charges		2539.8	100			Percent of total billed charges		2988	100			Percent of total billed charges		2988	100			Percent of total billed charges		2988	33.3			Percent of total billed charges		995.004	33.3			Percent of total billed charges		995.004	100			Percent of total billed charges		2988	995.004	2689.2	
sc-acufix thinline plate 2 seg 50mm 407-7050 abbott	278	RC	Outpatient			2988	1942.2		90			Percent of total billed charges		2689.2	40			Percent of total billed charges		1195.2	80			Percent of total billed charges		2390.4	90			Percent of total billed charges		2689.2	85			Percent of total billed charges		2539.8	85			Percent of total billed charges		2539.8	85			Percent of total billed charges		2539.8	100			Percent of total billed charges		2988	100			Percent of total billed charges		2988	100			Percent of total billed charges		2988	33.3			Percent of total billed charges		995.004	33.3			Percent of total billed charges		995.004	100			Percent of total billed charges		2988	995.004	2689.2	
sc-acufix thinline plate 2 seg 54mm 407-7054 abbott	278	RC	Outpatient			2988	1942.2		90			Percent of total billed charges		2689.2	40			Percent of total billed charges		1195.2	80			Percent of total billed charges		2390.4	90			Percent of total billed charges		2689.2	85			Percent of total billed charges		2539.8	85			Percent of total billed charges		2539.8	85			Percent of total billed charges		2539.8	100			Percent of total billed charges		2988	100			Percent of total billed charges		2988	100			Percent of total billed charges		2988	33.3			Percent of total billed charges		995.004	33.3			Percent of total billed charges		995.004	100			Percent of total billed charges		2988	995.004	2689.2	
thinline plt 2 seg	278	RC	Outpatient			2988	1942.2		90			Percent of total billed charges		2689.2	40			Percent of total billed charges		1195.2	80			Percent of total billed charges		2390.4	90			Percent of total billed charges		2689.2	85			Percent of total billed charges		2539.8	85			Percent of total billed charges		2539.8	85			Percent of total billed charges		2539.8	100			Percent of total billed charges		2988	100			Percent of total billed charges		2988	100			Percent of total billed charges		2988	33.3			Percent of total billed charges		995.004	33.3			Percent of total billed charges		995.004	100			Percent of total billed charges		2988	995.004	2689.2	
humeral locking pl 3hl	278	RC	Outpatient			2989	1942.85		90			Percent of total billed charges		2690.1	40			Percent of total billed charges		1195.6	80			Percent of total billed charges		2391.2	90			Percent of total billed charges		2690.1	85			Percent of total billed charges		2540.65	85			Percent of total billed charges		2540.65	85			Percent of total billed charges		2540.65	100			Percent of total billed charges		2989	100			Percent of total billed charges		2989	100			Percent of total billed charges		2989	33.3			Percent of total billed charges		995.337	33.3			Percent of total billed charges		995.337	100			Percent of total billed charges		2989	995.337	2690.1	
prox lat humeral locking plate 3-hole 437103 stryker	278	RC	Outpatient			2989	1942.85		90			Percent of total billed charges		2690.1	40			Percent of total billed charges		1195.6	80			Percent of total billed charges		2391.2	90			Percent of total billed charges		2690.1	85			Percent of total billed charges		2540.65	85			Percent of total billed charges		2540.65	85			Percent of total billed charges		2540.65	100			Percent of total billed charges		2989	100			Percent of total billed charges		2989	100			Percent of total billed charges		2989	33.3			Percent of total billed charges		995.337	33.3			Percent of total billed charges		995.337	100			Percent of total billed charges		2989	995.337	2690.1	
prox lat humeral locking plate 3-hole 437123 stryker	278	RC	Outpatient			2989	1942.85		90			Percent of total billed charges		2690.1	40			Percent of total billed charges		1195.6	80			Percent of total billed charges		2391.2	90			Percent of total billed charges		2690.1	85			Percent of total billed charges		2540.65	85			Percent of total billed charges		2540.65	85			Percent of total billed charges		2540.65	100			Percent of total billed charges		2989	100			Percent of total billed charges		2989	100			Percent of total billed charges		2989	33.3			Percent of total billed charges		995.337	33.3			Percent of total billed charges		995.337	100			Percent of total billed charges		2989	995.337	2690.1	
bio dbm boat short	278	RC	Outpatient			2990	1943.5		90			Percent of total billed charges		2691	40			Percent of total billed charges		1196	80			Percent of total billed charges		2392	90			Percent of total billed charges		2691	85			Percent of total billed charges		2541.5	85			Percent of total billed charges		2541.5	85			Percent of total billed charges		2541.5	100			Percent of total billed charges		2990	100			Percent of total billed charges		2990	100			Percent of total billed charges		2990	33.3			Percent of total billed charges		995.67	33.3			Percent of total billed charges		995.67	100			Percent of total billed charges		2990	995.67	2691	
bio dbm boat short 653050 rti biologics	278	RC	Outpatient			2990	1943.5		90			Percent of total billed charges		2691	40			Percent of total billed charges		1196	80			Percent of total billed charges		2392	90			Percent of total billed charges		2691	85			Percent of total billed charges		2541.5	85			Percent of total billed charges		2541.5	85			Percent of total billed charges		2541.5	100			Percent of total billed charges		2990	100			Percent of total billed charges		2990	100			Percent of total billed charges		2990	33.3			Percent of total billed charges		995.67	33.3			Percent of total billed charges		995.67	100			Percent of total billed charges		2990	995.67	2691	
stryker trident x3 poly i	278	RC	Outpatient			2993	1945.45		90			Percent of total billed charges		2693.7	40			Percent of total billed charges		1197.2	80			Percent of total billed charges		2394.4	90			Percent of total billed charges		2693.7	85			Percent of total billed charges		2544.05	85			Percent of total billed charges		2544.05	85			Percent of total billed charges		2544.05	100			Percent of total billed charges		2993	100			Percent of total billed charges		2993	100			Percent of total billed charges		2993	33.3			Percent of total billed charges		996.669	33.3			Percent of total billed charges		996.669	100			Percent of total billed charges		2993	996.669	2693.7	
trident 0 deg x3 insert 44mm 623-00-44g stryker	278	RC	Outpatient			2993	1945.45		90			Percent of total billed charges		2693.7	40			Percent of total billed charges		1197.2	80			Percent of total billed charges		2394.4	90			Percent of total billed charges		2693.7	85			Percent of total billed charges		2544.05	85			Percent of total billed charges		2544.05	85			Percent of total billed charges		2544.05	100			Percent of total billed charges		2993	100			Percent of total billed charges		2993	100			Percent of total billed charges		2993	33.3			Percent of total billed charges		996.669	33.3			Percent of total billed charges		996.669	100			Percent of total billed charges		2993	996.669	2693.7	
trident 0 deg x3 insert 40mm 623-00-40e stryker	278	RC	Outpatient			2993	1945.45		90			Percent of total billed charges		2693.7	40			Percent of total billed charges		1197.2	80			Percent of total billed charges		2394.4	90			Percent of total billed charges		2693.7	85			Percent of total billed charges		2544.05	85			Percent of total billed charges		2544.05	85			Percent of total billed charges		2544.05	100			Percent of total billed charges		2993	100			Percent of total billed charges		2993	100			Percent of total billed charges		2993	33.3			Percent of total billed charges		996.669	33.3			Percent of total billed charges		996.669	100			Percent of total billed charges		2993	996.669	2693.7	
trident 0 deg x3 insert 40mm 623-00-40f stryker	278	RC	Outpatient			2993	1945.45		90			Percent of total billed charges		2693.7	40			Percent of total billed charges		1197.2	80			Percent of total billed charges		2394.4	90			Percent of total billed charges		2693.7	85			Percent of total billed charges		2544.05	85			Percent of total billed charges		2544.05	85			Percent of total billed charges		2544.05	100			Percent of total billed charges		2993	100			Percent of total billed charges		2993	100			Percent of total billed charges		2993	33.3			Percent of total billed charges		996.669	33.3			Percent of total billed charges		996.669	100			Percent of total billed charges		2993	996.669	2693.7	
trident 0 deg x3 insert 40mm 623-00-40g stryker	278	RC	Outpatient			2993	1945.45		90			Percent of total billed charges		2693.7	40			Percent of total billed charges		1197.2	80			Percent of total billed charges		2394.4	90			Percent of total billed charges		2693.7	85			Percent of total billed charges		2544.05	85			Percent of total billed charges		2544.05	85			Percent of total billed charges		2544.05	100			Percent of total billed charges		2993	100			Percent of total billed charges		2993	100			Percent of total billed charges		2993	33.3			Percent of total billed charges		996.669	33.3			Percent of total billed charges		996.669	100			Percent of total billed charges		2993	996.669	2693.7	
r3 constrained liner 56mm 71339156 s/n	278	RC	Outpatient			2994	1946.1		90			Percent of total billed charges		2694.6	40			Percent of total billed charges		1197.6	80			Percent of total billed charges		2395.2	90			Percent of total billed charges		2694.6	85			Percent of total billed charges		2544.9	85			Percent of total billed charges		2544.9	85			Percent of total billed charges		2544.9	100			Percent of total billed charges		2994	100			Percent of total billed charges		2994	100			Percent of total billed charges		2994	33.3			Percent of total billed charges		997.002	33.3			Percent of total billed charges		997.002	100			Percent of total billed charges		2994	997.002	2694.6	
cosmetic - outer thighs	983	RC	Outpatient			2998	1948.7		90			Percent of total billed charges		2698.2	40			Percent of total billed charges		1199.2	80			Percent of total billed charges		2398.4	90			Percent of total billed charges		2698.2	85			Percent of total billed charges		2548.3	85			Percent of total billed charges		2548.3	85			Percent of total billed charges		2548.3	100			Percent of total billed charges		2998	100			Percent of total billed charges		2998	100			Percent of total billed charges		2998	33.3			Percent of total billed charges		998.334	33.3			Percent of total billed charges		998.334	100			Percent of total billed charges		2998	998.334	2698.2	
evolve radial head 22mm 496-ho22 wright	278	RC	Outpatient			2999	1949.35		90			Percent of total billed charges		2699.1	40			Percent of total billed charges		1199.6	80			Percent of total billed charges		2399.2	90			Percent of total billed charges		2699.1	85			Percent of total billed charges		2549.15	85			Percent of total billed charges		2549.15	85			Percent of total billed charges		2549.15	100			Percent of total billed charges		2999	100			Percent of total billed charges		2999	100			Percent of total billed charges		2999	33.3			Percent of total billed charges		998.667	33.3			Percent of total billed charges		998.667	100			Percent of total billed charges		2999	998.667	2699.1	
evolve radial head 26mm 496-h026 wright	278	RC	Outpatient			2999	1949.35		90			Percent of total billed charges		2699.1	40			Percent of total billed charges		1199.6	80			Percent of total billed charges		2399.2	90			Percent of total billed charges		2699.1	85			Percent of total billed charges		2549.15	85			Percent of total billed charges		2549.15	85			Percent of total billed charges		2549.15	100			Percent of total billed charges		2999	100			Percent of total billed charges		2999	100			Percent of total billed charges		2999	33.3			Percent of total billed charges		998.667	33.3			Percent of total billed charges		998.667	100			Percent of total billed charges		2999	998.667	2699.1	
lpt angled great toe implant size 2 487a002 wright med	278	RC	Outpatient			2999	1949.35		90			Percent of total billed charges		2699.1	40			Percent of total billed charges		1199.6	80			Percent of total billed charges		2399.2	90			Percent of total billed charges		2699.1	85			Percent of total billed charges		2549.15	85			Percent of total billed charges		2549.15	85			Percent of total billed charges		2549.15	100			Percent of total billed charges		2999	100			Percent of total billed charges		2999	100			Percent of total billed charges		2999	33.3			Percent of total billed charges		998.667	33.3			Percent of total billed charges		998.667	100			Percent of total billed charges		2999	998.667	2699.1	
lpt regular great toe implant size 0 487s000 wright med	278	RC	Outpatient			2999	1949.35		90			Percent of total billed charges		2699.1	40			Percent of total billed charges		1199.6	80			Percent of total billed charges		2399.2	90			Percent of total billed charges		2699.1	85			Percent of total billed charges		2549.15	85			Percent of total billed charges		2549.15	85			Percent of total billed charges		2549.15	100			Percent of total billed charges		2999	100			Percent of total billed charges		2999	100			Percent of total billed charges		2999	33.3			Percent of total billed charges		998.667	33.3			Percent of total billed charges		998.667	100			Percent of total billed charges		2999	998.667	2699.1	
lpt great toe implant	278	RC	Outpatient			2999	1949.35		90			Percent of total billed charges		2699.1	40			Percent of total billed charges		1199.6	80			Percent of total billed charges		2399.2	90			Percent of total billed charges		2699.1	85			Percent of total billed charges		2549.15	85			Percent of total billed charges		2549.15	85			Percent of total billed charges		2549.15	100			Percent of total billed charges		2999	100			Percent of total billed charges		2999	100			Percent of total billed charges		2999	33.3			Percent of total billed charges		998.667	33.3			Percent of total billed charges		998.667	100			Percent of total billed charges		2999	998.667	2699.1	
lpt regular great toe implant size 1 487s001 wright med	278	RC	Outpatient			2999	1949.35		90			Percent of total billed charges		2699.1	40			Percent of total billed charges		1199.6	80			Percent of total billed charges		2399.2	90			Percent of total billed charges		2699.1	85			Percent of total billed charges		2549.15	85			Percent of total billed charges		2549.15	85			Percent of total billed charges		2549.15	100			Percent of total billed charges		2999	100			Percent of total billed charges		2999	100			Percent of total billed charges		2999	33.3			Percent of total billed charges		998.667	33.3			Percent of total billed charges		998.667	100			Percent of total billed charges		2999	998.667	2699.1	
lpt regular great toe implant size 2 487s002 wright med	278	RC	Outpatient			2999	1949.35		90			Percent of total billed charges		2699.1	40			Percent of total billed charges		1199.6	80			Percent of total billed charges		2399.2	90			Percent of total billed charges		2699.1	85			Percent of total billed charges		2549.15	85			Percent of total billed charges		2549.15	85			Percent of total billed charges		2549.15	100			Percent of total billed charges		2999	100			Percent of total billed charges		2999	100			Percent of total billed charges		2999	33.3			Percent of total billed charges		998.667	33.3			Percent of total billed charges		998.667	100			Percent of total billed charges		2999	998.667	2699.1	
lpt regular great toe implant size 3 487s003 wright med	278	RC	Outpatient			2999	1949.35		90			Percent of total billed charges		2699.1	40			Percent of total billed charges		1199.6	80			Percent of total billed charges		2399.2	90			Percent of total billed charges		2699.1	85			Percent of total billed charges		2549.15	85			Percent of total billed charges		2549.15	85			Percent of total billed charges		2549.15	100			Percent of total billed charges		2999	100			Percent of total billed charges		2999	100			Percent of total billed charges		2999	33.3			Percent of total billed charges		998.667	33.3			Percent of total billed charges		998.667	100			Percent of total billed charges		2999	998.667	2699.1	
radial head	278	RC	Outpatient			2999	1949.35		90			Percent of total billed charges		2699.1	40			Percent of total billed charges		1199.6	80			Percent of total billed charges		2399.2	90			Percent of total billed charges		2699.1	85			Percent of total billed charges		2549.15	85			Percent of total billed charges		2549.15	85			Percent of total billed charges		2549.15	100			Percent of total billed charges		2999	100			Percent of total billed charges		2999	100			Percent of total billed charges		2999	33.3			Percent of total billed charges		998.667	33.3			Percent of total billed charges		998.667	100			Percent of total billed charges		2999	998.667	2699.1	
sacral colpopexy system	278	RC	Outpatient			2999	1949.35		90			Percent of total billed charges		2699.1	40			Percent of total billed charges		1199.6	80			Percent of total billed charges		2399.2	90			Percent of total billed charges		2699.1	85			Percent of total billed charges		2549.15	85			Percent of total billed charges		2549.15	85			Percent of total billed charges		2549.15	100			Percent of total billed charges		2999	100			Percent of total billed charges		2999	100			Percent of total billed charges		2999	33.3			Percent of total billed charges		998.667	33.3			Percent of total billed charges		998.667	100			Percent of total billed charges		2999	998.667	2699.1	
scient'x 2 level cerv plt	278	RC	Outpatient			2999	1949.35		90			Percent of total billed charges		2699.1	40			Percent of total billed charges		1199.6	80			Percent of total billed charges		2399.2	90			Percent of total billed charges		2699.1	85			Percent of total billed charges		2549.15	85			Percent of total billed charges		2549.15	85			Percent of total billed charges		2549.15	100			Percent of total billed charges		2999	100			Percent of total billed charges		2999	100			Percent of total billed charges		2999	33.3			Percent of total billed charges		998.667	33.3			Percent of total billed charges		998.667	100			Percent of total billed charges		2999	998.667	2699.1	
scient'x 3 level cerv plt	278	RC	Outpatient			2999	1949.35		90			Percent of total billed charges		2699.1	40			Percent of total billed charges		1199.6	80			Percent of total billed charges		2399.2	90			Percent of total billed charges		2699.1	85			Percent of total billed charges		2549.15	85			Percent of total billed charges		2549.15	85			Percent of total billed charges		2549.15	100			Percent of total billed charges		2999	100			Percent of total billed charges		2999	100			Percent of total billed charges		2999	33.3			Percent of total billed charges		998.667	33.3			Percent of total billed charges		998.667	100			Percent of total billed charges		2999	998.667	2699.1	
sacral colpoplexy system  72403600 ams	278	RC	Outpatient			2999	1949.35		90			Percent of total billed charges		2699.1	40			Percent of total billed charges		1199.6	80			Percent of total billed charges		2399.2	90			Percent of total billed charges		2699.1	85			Percent of total billed charges		2549.15	85			Percent of total billed charges		2549.15	85			Percent of total billed charges		2549.15	100			Percent of total billed charges		2999	100			Percent of total billed charges		2999	100			Percent of total billed charges		2999	33.3			Percent of total billed charges		998.667	33.3			Percent of total billed charges		998.667	100			Percent of total billed charges		2999	998.667	2699.1	
acumed fibula rod 3.0mm x 110mm ref: 40-0026-s	278	RC	Outpatient			3006	1953.9		90			Percent of total billed charges		2705.4	40			Percent of total billed charges		1202.4	80			Percent of total billed charges		2404.8	90			Percent of total billed charges		2705.4	85			Percent of total billed charges		2555.1	85			Percent of total billed charges		2555.1	85			Percent of total billed charges		2555.1	100			Percent of total billed charges		3006	100			Percent of total billed charges		3006	100			Percent of total billed charges		3006	33.3			Percent of total billed charges		1000.998	33.3			Percent of total billed charges		1000.998	100			Percent of total billed charges		3006	1000.998	2705.4	
trigen nail tan 130 degrees	278	RC	Outpatient			3006	1953.9		90			Percent of total billed charges		2705.4	40			Percent of total billed charges		1202.4	80			Percent of total billed charges		2404.8	90			Percent of total billed charges		2705.4	85			Percent of total billed charges		2555.1	85			Percent of total billed charges		2555.1	85			Percent of total billed charges		2555.1	100			Percent of total billed charges		3006	100			Percent of total billed charges		3006	100			Percent of total billed charges		3006	33.3			Percent of total billed charges		1000.998	33.3			Percent of total billed charges		1000.998	100			Percent of total billed charges		3006	1000.998	2705.4	
bio ringloc + shell	278	RC	Outpatient			3009	1955.85		90			Percent of total billed charges		2708.1	40			Percent of total billed charges		1203.6	80			Percent of total billed charges		2407.2	90			Percent of total billed charges		2708.1	85			Percent of total billed charges		2557.65	85			Percent of total billed charges		2557.65	85			Percent of total billed charges		2557.65	100			Percent of total billed charges		3009	100			Percent of total billed charges		3009	100			Percent of total billed charges		3009	33.3			Percent of total billed charges		1001.997	33.3			Percent of total billed charges		1001.997	100			Percent of total billed charges		3009	1001.997	2708.1	
boost 10 cc	278	RC	Outpatient			3009	1955.85		90			Percent of total billed charges		2708.1	40			Percent of total billed charges		1203.6	80			Percent of total billed charges		2407.2	90			Percent of total billed charges		2708.1	85			Percent of total billed charges		2557.65	85			Percent of total billed charges		2557.65	85			Percent of total billed charges		2557.65	100			Percent of total billed charges		3009	100			Percent of total billed charges		3009	100			Percent of total billed charges		3009	33.3			Percent of total billed charges		1001.997	33.3			Percent of total billed charges		1001.997	100			Percent of total billed charges		3009	1001.997	2708.1	
medtronic prostiva hand piece 8929	272	RC	Outpatient			3009	1955.85		90			Percent of total billed charges		2708.1	40			Percent of total billed charges		1203.6	80			Percent of total billed charges		2407.2	90			Percent of total billed charges		2708.1	85			Percent of total billed charges		2557.65	85			Percent of total billed charges		2557.65	85			Percent of total billed charges		2557.65	100			Percent of total billed charges		3009	100			Percent of total billed charges		3009	100			Percent of total billed charges		3009	33.3			Percent of total billed charges		1001.997	33.3			Percent of total billed charges		1001.997	100			Percent of total billed charges		3009	1001.997	2708.1	
otis custom knee guide	272	RC	Outpatient			3009	1955.85		90			Percent of total billed charges		2708.1	40			Percent of total billed charges		1203.6	80			Percent of total billed charges		2407.2	90			Percent of total billed charges		2708.1	85			Percent of total billed charges		2557.65	85			Percent of total billed charges		2557.65	85			Percent of total billed charges		2557.65	100			Percent of total billed charges		3009	100			Percent of total billed charges		3009	100			Percent of total billed charges		3009	33.3			Percent of total billed charges		1001.997	33.3			Percent of total billed charges		1001.997	100			Percent of total billed charges		3009	1001.997	2708.1	
otis custom knee guide left tr3000l	272	RC	Outpatient			3009	1955.85		90			Percent of total billed charges		2708.1	40			Percent of total billed charges		1203.6	80			Percent of total billed charges		2407.2	90			Percent of total billed charges		2708.1	85			Percent of total billed charges		2557.65	85			Percent of total billed charges		2557.65	85			Percent of total billed charges		2557.65	100			Percent of total billed charges		3009	100			Percent of total billed charges		3009	100			Percent of total billed charges		3009	33.3			Percent of total billed charges		1001.997	33.3			Percent of total billed charges		1001.997	100			Percent of total billed charges		3009	1001.997	2708.1	
otis knee cutting guide tr3100-l	272	RC	Outpatient			3009	1955.85		90			Percent of total billed charges		2708.1	40			Percent of total billed charges		1203.6	80			Percent of total billed charges		2407.2	90			Percent of total billed charges		2708.1	85			Percent of total billed charges		2557.65	85			Percent of total billed charges		2557.65	85			Percent of total billed charges		2557.65	100			Percent of total billed charges		3009	100			Percent of total billed charges		3009	100			Percent of total billed charges		3009	33.3			Percent of total billed charges		1001.997	33.3			Percent of total billed charges		1001.997	100			Percent of total billed charges		3009	1001.997	2708.1	
otis knee cutting guide tr3100-r	272	RC	Outpatient			3009	1955.85		90			Percent of total billed charges		2708.1	40			Percent of total billed charges		1203.6	80			Percent of total billed charges		2407.2	90			Percent of total billed charges		2708.1	85			Percent of total billed charges		2557.65	85			Percent of total billed charges		2557.65	85			Percent of total billed charges		2557.65	100			Percent of total billed charges		3009	100			Percent of total billed charges		3009	100			Percent of total billed charges		3009	33.3			Percent of total billed charges		1001.997	33.3			Percent of total billed charges		1001.997	100			Percent of total billed charges		3009	1001.997	2708.1	
otis custom knee guide right tr3000r	272	RC	Outpatient			3009	1955.85		90			Percent of total billed charges		2708.1	40			Percent of total billed charges		1203.6	80			Percent of total billed charges		2407.2	90			Percent of total billed charges		2708.1	85			Percent of total billed charges		2557.65	85			Percent of total billed charges		2557.65	85			Percent of total billed charges		2557.65	100			Percent of total billed charges		3009	100			Percent of total billed charges		3009	100			Percent of total billed charges		3009	33.3			Percent of total billed charges		1001.997	33.3			Percent of total billed charges		1001.997	100			Percent of total billed charges		3009	1001.997	2708.1	
prostiva hand piece	272	RC	Outpatient			3009	1955.85		90			Percent of total billed charges		2708.1	40			Percent of total billed charges		1203.6	80			Percent of total billed charges		2407.2	90			Percent of total billed charges		2708.1	85			Percent of total billed charges		2557.65	85			Percent of total billed charges		2557.65	85			Percent of total billed charges		2557.65	100			Percent of total billed charges		3009	100			Percent of total billed charges		3009	100			Percent of total billed charges		3009	33.3			Percent of total billed charges		1001.997	33.3			Percent of total billed charges		1001.997	100			Percent of total billed charges		3009	1001.997	2708.1	
ringloc + acetabular shell 50mm sz 23 16-104150 biomet	278	RC	Outpatient			3009	1955.85		90			Percent of total billed charges		2708.1	40			Percent of total billed charges		1203.6	80			Percent of total billed charges		2407.2	90			Percent of total billed charges		2708.1	85			Percent of total billed charges		2557.65	85			Percent of total billed charges		2557.65	85			Percent of total billed charges		2557.65	100			Percent of total billed charges		3009	100			Percent of total billed charges		3009	100			Percent of total billed charges		3009	33.3			Percent of total billed charges		1001.997	33.3			Percent of total billed charges		1001.997	100			Percent of total billed charges		3009	1001.997	2708.1	
ringloc + acetabular shell 58mm sz 26 16-104158 biomet	278	RC	Outpatient			3009	1955.85		90			Percent of total billed charges		2708.1	40			Percent of total billed charges		1203.6	80			Percent of total billed charges		2407.2	90			Percent of total billed charges		2708.1	85			Percent of total billed charges		2557.65	85			Percent of total billed charges		2557.65	85			Percent of total billed charges		2557.65	100			Percent of total billed charges		3009	100			Percent of total billed charges		3009	100			Percent of total billed charges		3009	33.3			Percent of total billed charges		1001.997	33.3			Percent of total billed charges		1001.997	100			Percent of total billed charges		3009	1001.997	2708.1	
ringloc + acetabular shell 62mm sz 26 16-104162 biomet	278	RC	Outpatient			3009	1955.85		90			Percent of total billed charges		2708.1	40			Percent of total billed charges		1203.6	80			Percent of total billed charges		2407.2	90			Percent of total billed charges		2708.1	85			Percent of total billed charges		2557.65	85			Percent of total billed charges		2557.65	85			Percent of total billed charges		2557.65	100			Percent of total billed charges		3009	100			Percent of total billed charges		3009	100			Percent of total billed charges		3009	33.3			Percent of total billed charges		1001.997	33.3			Percent of total billed charges		1001.997	100			Percent of total billed charges		3009	1001.997	2708.1	
siltex breast tissue expander w/ suture tab 450cc 354-7213 mentor	278	RC	Outpatient			3009	1955.85		90			Percent of total billed charges		2708.1	40			Percent of total billed charges		1203.6	80			Percent of total billed charges		2407.2	90			Percent of total billed charges		2708.1	85			Percent of total billed charges		2557.65	85			Percent of total billed charges		2557.65	85			Percent of total billed charges		2557.65	100			Percent of total billed charges		3009	100			Percent of total billed charges		3009	100			Percent of total billed charges		3009	33.3			Percent of total billed charges		1001.997	33.3			Percent of total billed charges		1001.997	100			Percent of total billed charges		3009	1001.997	2708.1	
siltex breast tissue expander w/ suture tab tall 450cc 354-7313 mentor	278	RC	Outpatient			3009	1955.85		90			Percent of total billed charges		2708.1	40			Percent of total billed charges		1203.6	80			Percent of total billed charges		2407.2	90			Percent of total billed charges		2708.1	85			Percent of total billed charges		2557.65	85			Percent of total billed charges		2557.65	85			Percent of total billed charges		2557.65	100			Percent of total billed charges		3009	100			Percent of total billed charges		3009	100			Percent of total billed charges		3009	33.3			Percent of total billed charges		1001.997	33.3			Percent of total billed charges		1001.997	100			Percent of total billed charges		3009	1001.997	2708.1	
tissue exp 275cc mentor	278	RC	Outpatient			3009	1955.85		90			Percent of total billed charges		2708.1	40			Percent of total billed charges		1203.6	80			Percent of total billed charges		2407.2	90			Percent of total billed charges		2708.1	85			Percent of total billed charges		2557.65	85			Percent of total billed charges		2557.65	85			Percent of total billed charges		2557.65	100			Percent of total billed charges		3009	100			Percent of total billed charges		3009	100			Percent of total billed charges		3009	33.3			Percent of total billed charges		1001.997	33.3			Percent of total billed charges		1001.997	100			Percent of total billed charges		3009	1001.997	2708.1	
tissue exp 450cc w/tab	278	RC	Outpatient			3009	1955.85		90			Percent of total billed charges		2708.1	40			Percent of total billed charges		1203.6	80			Percent of total billed charges		2407.2	90			Percent of total billed charges		2708.1	85			Percent of total billed charges		2557.65	85			Percent of total billed charges		2557.65	85			Percent of total billed charges		2557.65	100			Percent of total billed charges		3009	100			Percent of total billed charges		3009	100			Percent of total billed charges		3009	33.3			Percent of total billed charges		1001.997	33.3			Percent of total billed charges		1001.997	100			Percent of total billed charges		3009	1001.997	2708.1	
ringloc + acetabular shell 48mm sz 22 16-104148 biomet	278	RC	Outpatient			3009	1955.85		90			Percent of total billed charges		2708.1	40			Percent of total billed charges		1203.6	80			Percent of total billed charges		2407.2	90			Percent of total billed charges		2708.1	85			Percent of total billed charges		2557.65	85			Percent of total billed charges		2557.65	85			Percent of total billed charges		2557.65	100			Percent of total billed charges		3009	100			Percent of total billed charges		3009	100			Percent of total billed charges		3009	33.3			Percent of total billed charges		1001.997	33.3			Percent of total billed charges		1001.997	100			Percent of total billed charges		3009	1001.997	2708.1	
ringloc + acetabular shell 50mm sz 24 16-104154 biomet	278	RC	Outpatient			3009	1955.85		90			Percent of total billed charges		2708.1	40			Percent of total billed charges		1203.6	80			Percent of total billed charges		2407.2	90			Percent of total billed charges		2708.1	85			Percent of total billed charges		2557.65	85			Percent of total billed charges		2557.65	85			Percent of total billed charges		2557.65	100			Percent of total billed charges		3009	100			Percent of total billed charges		3009	100			Percent of total billed charges		3009	33.3			Percent of total billed charges		1001.997	33.3			Percent of total billed charges		1001.997	100			Percent of total billed charges		3009	1001.997	2708.1	
siltex breast tissue expander w/ suture tab 275cc 354-7211 mentor	278	RC	Outpatient			3009	1955.85		90			Percent of total billed charges		2708.1	40			Percent of total billed charges		1203.6	80			Percent of total billed charges		2407.2	90			Percent of total billed charges		2708.1	85			Percent of total billed charges		2557.65	85			Percent of total billed charges		2557.65	85			Percent of total billed charges		2557.65	100			Percent of total billed charges		3009	100			Percent of total billed charges		3009	100			Percent of total billed charges		3009	33.3			Percent of total billed charges		1001.997	33.3			Percent of total billed charges		1001.997	100			Percent of total billed charges		3009	1001.997	2708.1	
vcare x-lg cervical cup 60-6085-203 conmed	272	RC	Outpatient			3009	1955.85		90			Percent of total billed charges		2708.1	40			Percent of total billed charges		1203.6	80			Percent of total billed charges		2407.2	90			Percent of total billed charges		2708.1	85			Percent of total billed charges		2557.65	85			Percent of total billed charges		2557.65	85			Percent of total billed charges		2557.65	100			Percent of total billed charges		3009	100			Percent of total billed charges		3009	100			Percent of total billed charges		3009	33.3			Percent of total billed charges		1001.997	33.3			Percent of total billed charges		1001.997	100			Percent of total billed charges		3009	1001.997	2708.1	
triathlon fem au dist15mm	278	RC	Outpatient			3015	1959.75		90			Percent of total billed charges		2713.5	40			Percent of total billed charges		1206	80			Percent of total billed charges		2412	90			Percent of total billed charges		2713.5	85			Percent of total billed charges		2562.75	85			Percent of total billed charges		2562.75	85			Percent of total billed charges		2562.75	100			Percent of total billed charges		3015	100			Percent of total billed charges		3015	100			Percent of total billed charges		3015	33.3			Percent of total billed charges		1003.995	33.3			Percent of total billed charges		1003.995	100			Percent of total billed charges		3015	1003.995	2713.5	
triathlon fem dist augment 15mm sz 3 5542-a-301 stryker	278	RC	Outpatient			3015	1959.75		90			Percent of total billed charges		2713.5	40			Percent of total billed charges		1206	80			Percent of total billed charges		2412	90			Percent of total billed charges		2713.5	85			Percent of total billed charges		2562.75	85			Percent of total billed charges		2562.75	85			Percent of total billed charges		2562.75	100			Percent of total billed charges		3015	100			Percent of total billed charges		3015	100			Percent of total billed charges		3015	33.3			Percent of total billed charges		1003.995	33.3			Percent of total billed charges		1003.995	100			Percent of total billed charges		3015	1003.995	2713.5	
triathlon fem dist augment 15mm sz 4 5542-a-402 stryker	278	RC	Outpatient			3015	1959.75		90			Percent of total billed charges		2713.5	40			Percent of total billed charges		1206	80			Percent of total billed charges		2412	90			Percent of total billed charges		2713.5	85			Percent of total billed charges		2562.75	85			Percent of total billed charges		2562.75	85			Percent of total billed charges		2562.75	100			Percent of total billed charges		3015	100			Percent of total billed charges		3015	100			Percent of total billed charges		3015	33.3			Percent of total billed charges		1003.995	33.3			Percent of total billed charges		1003.995	100			Percent of total billed charges		3015	1003.995	2713.5	
comp plt 3.5mm 14 hl 71809414 s\n	278	RC	Outpatient			3020	1963		90			Percent of total billed charges		2718	40			Percent of total billed charges		1208	80			Percent of total billed charges		2416	90			Percent of total billed charges		2718	85			Percent of total billed charges		2567	85			Percent of total billed charges		2567	85			Percent of total billed charges		2567	100			Percent of total billed charges		3020	100			Percent of total billed charges		3020	100			Percent of total billed charges		3020	33.3			Percent of total billed charges		1005.66	33.3			Percent of total billed charges		1005.66	100			Percent of total billed charges		3020	1005.66	2718	
s/n 3.5 comp pl 14 hl	278	RC	Outpatient			3020	1963		90			Percent of total billed charges		2718	40			Percent of total billed charges		1208	80			Percent of total billed charges		2416	90			Percent of total billed charges		2718	85			Percent of total billed charges		2567	85			Percent of total billed charges		2567	85			Percent of total billed charges		2567	100			Percent of total billed charges		3020	100			Percent of total billed charges		3020	100			Percent of total billed charges		3020	33.3			Percent of total billed charges		1005.66	33.3			Percent of total billed charges		1005.66	100			Percent of total billed charges		3020	1005.66	2718	
biomet btb implant kit	272	RC	Outpatient			3022	1964.3		90			Percent of total billed charges		2719.8	40			Percent of total billed charges		1208.8	80			Percent of total billed charges		2417.6	90			Percent of total billed charges		2719.8	85			Percent of total billed charges		2568.7	85			Percent of total billed charges		2568.7	85			Percent of total billed charges		2568.7	100			Percent of total billed charges		3022	100			Percent of total billed charges		3022	100			Percent of total billed charges		3022	33.3			Percent of total billed charges		1006.326	33.3			Percent of total billed charges		1006.326	100			Percent of total billed charges		3022	1006.326	2719.8	
toggleloc b-t-b implant set 909849 biomet	272	RC	Outpatient			3022	1964.3		90			Percent of total billed charges		2719.8	40			Percent of total billed charges		1208.8	80			Percent of total billed charges		2417.6	90			Percent of total billed charges		2719.8	85			Percent of total billed charges		2568.7	85			Percent of total billed charges		2568.7	85			Percent of total billed charges		2568.7	100			Percent of total billed charges		3022	100			Percent of total billed charges		3022	100			Percent of total billed charges		3022	33.3			Percent of total billed charges		1006.326	33.3			Percent of total billed charges		1006.326	100			Percent of total billed charges		3022	1006.326	2719.8	
sc-acufix slimline plate 4 seg 72mm 10403-4072 abbott	278	RC	Outpatient			3028	1968.2		90			Percent of total billed charges		2725.2	40			Percent of total billed charges		1211.2	80			Percent of total billed charges		2422.4	90			Percent of total billed charges		2725.2	85			Percent of total billed charges		2573.8	85			Percent of total billed charges		2573.8	85			Percent of total billed charges		2573.8	100			Percent of total billed charges		3028	100			Percent of total billed charges		3028	100			Percent of total billed charges		3028	33.3			Percent of total billed charges		1008.324	33.3			Percent of total billed charges		1008.324	100			Percent of total billed charges		3028	1008.324	2725.2	
sc-acufix slimline plate 4 seg 80mm 10403-4080 abbott	278	RC	Outpatient			3028	1968.2		90			Percent of total billed charges		2725.2	40			Percent of total billed charges		1211.2	80			Percent of total billed charges		2422.4	90			Percent of total billed charges		2725.2	85			Percent of total billed charges		2573.8	85			Percent of total billed charges		2573.8	85			Percent of total billed charges		2573.8	100			Percent of total billed charges		3028	100			Percent of total billed charges		3028	100			Percent of total billed charges		3028	33.3			Percent of total billed charges		1008.324	33.3			Percent of total billed charges		1008.324	100			Percent of total billed charges		3028	1008.324	2725.2	
sc-acufix slimline plate 4 seg 84mm 10403-4084 abbott	278	RC	Outpatient			3028	1968.2		90			Percent of total billed charges		2725.2	40			Percent of total billed charges		1211.2	80			Percent of total billed charges		2422.4	90			Percent of total billed charges		2725.2	85			Percent of total billed charges		2573.8	85			Percent of total billed charges		2573.8	85			Percent of total billed charges		2573.8	100			Percent of total billed charges		3028	100			Percent of total billed charges		3028	100			Percent of total billed charges		3028	33.3			Percent of total billed charges		1008.324	33.3			Percent of total billed charges		1008.324	100			Percent of total billed charges		3028	1008.324	2725.2	
slimline plt 4 seg	278	RC	Outpatient			3028	1968.2		90			Percent of total billed charges		2725.2	40			Percent of total billed charges		1211.2	80			Percent of total billed charges		2422.4	90			Percent of total billed charges		2725.2	85			Percent of total billed charges		2573.8	85			Percent of total billed charges		2573.8	85			Percent of total billed charges		2573.8	100			Percent of total billed charges		3028	100			Percent of total billed charges		3028	100			Percent of total billed charges		3028	33.3			Percent of total billed charges		1008.324	33.3			Percent of total billed charges		1008.324	100			Percent of total billed charges		3028	1008.324	2725.2	
sc-acufix slimline plate 4 seg 68mm 10403-4068 abbott	278	RC	Outpatient			3028	1968.2		90			Percent of total billed charges		2725.2	40			Percent of total billed charges		1211.2	80			Percent of total billed charges		2422.4	90			Percent of total billed charges		2725.2	85			Percent of total billed charges		2573.8	85			Percent of total billed charges		2573.8	85			Percent of total billed charges		2573.8	100			Percent of total billed charges		3028	100			Percent of total billed charges		3028	100			Percent of total billed charges		3028	33.3			Percent of total billed charges		1008.324	33.3			Percent of total billed charges		1008.324	100			Percent of total billed charges		3028	1008.324	2725.2	
sc-acufix slimline plate 4 seg 76mm 10403-4076 abbott	278	RC	Outpatient			3028	1968.2		90			Percent of total billed charges		2725.2	40			Percent of total billed charges		1211.2	80			Percent of total billed charges		2422.4	90			Percent of total billed charges		2725.2	85			Percent of total billed charges		2573.8	85			Percent of total billed charges		2573.8	85			Percent of total billed charges		2573.8	100			Percent of total billed charges		3028	100			Percent of total billed charges		3028	100			Percent of total billed charges		3028	33.3			Percent of total billed charges		1008.324	33.3			Percent of total billed charges		1008.324	100			Percent of total billed charges		3028	1008.324	2725.2	
sc-acufix slimline plate 4 seg 88mm 10403-4088 abbott	278	RC	Outpatient			3028	1968.2		90			Percent of total billed charges		2725.2	40			Percent of total billed charges		1211.2	80			Percent of total billed charges		2422.4	90			Percent of total billed charges		2725.2	85			Percent of total billed charges		2573.8	85			Percent of total billed charges		2573.8	85			Percent of total billed charges		2573.8	100			Percent of total billed charges		3028	100			Percent of total billed charges		3028	100			Percent of total billed charges		3028	33.3			Percent of total billed charges		1008.324	33.3			Percent of total billed charges		1008.324	100			Percent of total billed charges		3028	1008.324	2725.2	
sc-acufix slimline plate 4 seg 92mm 10403-4092 abbott	278	RC	Outpatient			3028	1968.2		90			Percent of total billed charges		2725.2	40			Percent of total billed charges		1211.2	80			Percent of total billed charges		2422.4	90			Percent of total billed charges		2725.2	85			Percent of total billed charges		2573.8	85			Percent of total billed charges		2573.8	85			Percent of total billed charges		2573.8	100			Percent of total billed charges		3028	100			Percent of total billed charges		3028	100			Percent of total billed charges		3028	33.3			Percent of total billed charges		1008.324	33.3			Percent of total billed charges		1008.324	100			Percent of total billed charges		3028	1008.324	2725.2	
nexgen  art surf 10mm 00-5970-050-10 zimmer	278	RC	Outpatient			3032	1970.8		90			Percent of total billed charges		2728.8	40			Percent of total billed charges		1212.8	80			Percent of total billed charges		2425.6	90			Percent of total billed charges		2728.8	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	33.3			Percent of total billed charges		1009.656	33.3			Percent of total billed charges		1009.656	100			Percent of total billed charges		3032	1009.656	2728.8	
nexgen  art surf 14mm 00-5970-050-14 zimmer	278	RC	Outpatient			3032	1970.8		90			Percent of total billed charges		2728.8	40			Percent of total billed charges		1212.8	80			Percent of total billed charges		2425.6	90			Percent of total billed charges		2728.8	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	33.3			Percent of total billed charges		1009.656	33.3			Percent of total billed charges		1009.656	100			Percent of total billed charges		3032	1009.656	2728.8	
nexgen  art surf 17mm 00-5970-030-17 zimmer	278	RC	Outpatient			3032	1970.8		90			Percent of total billed charges		2728.8	40			Percent of total billed charges		1212.8	80			Percent of total billed charges		2425.6	90			Percent of total billed charges		2728.8	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	33.3			Percent of total billed charges		1009.656	33.3			Percent of total billed charges		1009.656	100			Percent of total billed charges		3032	1009.656	2728.8	
nexgen  art surf 17mm 00-5970-040-17 zimmer	278	RC	Outpatient			3032	1970.8		90			Percent of total billed charges		2728.8	40			Percent of total billed charges		1212.8	80			Percent of total billed charges		2425.6	90			Percent of total billed charges		2728.8	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	33.3			Percent of total billed charges		1009.656	33.3			Percent of total billed charges		1009.656	100			Percent of total billed charges		3032	1009.656	2728.8	
nexgen art surf 14mm 00-5970-040-14 zimmer	278	RC	Outpatient			3032	1970.8		90			Percent of total billed charges		2728.8	40			Percent of total billed charges		1212.8	80			Percent of total billed charges		2425.6	90			Percent of total billed charges		2728.8	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	33.3			Percent of total billed charges		1009.656	33.3			Percent of total billed charges		1009.656	100			Percent of total billed charges		3032	1009.656	2728.8	
nexgen art surf 17mm 00-5970-050-17 zimmer	278	RC	Outpatient			3032	1970.8		90			Percent of total billed charges		2728.8	40			Percent of total billed charges		1212.8	80			Percent of total billed charges		2425.6	90			Percent of total billed charges		2728.8	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	33.3			Percent of total billed charges		1009.656	33.3			Percent of total billed charges		1009.656	100			Percent of total billed charges		3032	1009.656	2728.8	
nexgen art surf 20mm 00-5970-030-20 zimmer	278	RC	Outpatient			3032	1970.8		90			Percent of total billed charges		2728.8	40			Percent of total billed charges		1212.8	80			Percent of total billed charges		2425.6	90			Percent of total billed charges		2728.8	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	33.3			Percent of total billed charges		1009.656	33.3			Percent of total billed charges		1009.656	100			Percent of total billed charges		3032	1009.656	2728.8	
nexgen lps art surf  10mm 00-5996-041-10 zimmer	278	RC	Outpatient			3032	1970.8		90			Percent of total billed charges		2728.8	40			Percent of total billed charges		1212.8	80			Percent of total billed charges		2425.6	90			Percent of total billed charges		2728.8	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	33.3			Percent of total billed charges		1009.656	33.3			Percent of total billed charges		1009.656	100			Percent of total billed charges		3032	1009.656	2728.8	
nexgen lps art surf  17mm 00-5996-030-17 zimmer	278	RC	Outpatient			3032	1970.8		90			Percent of total billed charges		2728.8	40			Percent of total billed charges		1212.8	80			Percent of total billed charges		2425.6	90			Percent of total billed charges		2728.8	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	33.3			Percent of total billed charges		1009.656	33.3			Percent of total billed charges		1009.656	100			Percent of total billed charges		3032	1009.656	2728.8	
nexgen lps art surf  17mm 00-5996-032-17 zimmer	278	RC	Outpatient			3032	1970.8		90			Percent of total billed charges		2728.8	40			Percent of total billed charges		1212.8	80			Percent of total billed charges		2425.6	90			Percent of total billed charges		2728.8	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	33.3			Percent of total billed charges		1009.656	33.3			Percent of total billed charges		1009.656	100			Percent of total billed charges		3032	1009.656	2728.8	
nexgen lps art surf  20mm 00-5996-032-20 zimmer	278	RC	Outpatient			3032	1970.8		90			Percent of total billed charges		2728.8	40			Percent of total billed charges		1212.8	80			Percent of total billed charges		2425.6	90			Percent of total billed charges		2728.8	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	33.3			Percent of total billed charges		1009.656	33.3			Percent of total billed charges		1009.656	100			Percent of total billed charges		3032	1009.656	2728.8	
nexgen lps art surf  20mm 00-5996-041-20 zimmer	278	RC	Outpatient			3032	1970.8		90			Percent of total billed charges		2728.8	40			Percent of total billed charges		1212.8	80			Percent of total billed charges		2425.6	90			Percent of total billed charges		2728.8	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	33.3			Percent of total billed charges		1009.656	33.3			Percent of total billed charges		1009.656	100			Percent of total billed charges		3032	1009.656	2728.8	
nexgen lps art surf  23mm 00-5996-032-23 zimmer	278	RC	Outpatient			3032	1970.8		90			Percent of total billed charges		2728.8	40			Percent of total billed charges		1212.8	80			Percent of total billed charges		2425.6	90			Percent of total billed charges		2728.8	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	33.3			Percent of total billed charges		1009.656	33.3			Percent of total billed charges		1009.656	100			Percent of total billed charges		3032	1009.656	2728.8	
nexgen lps art surf  23mm 00-5996-050-23 zimmer	278	RC	Outpatient			3032	1970.8		90			Percent of total billed charges		2728.8	40			Percent of total billed charges		1212.8	80			Percent of total billed charges		2425.6	90			Percent of total billed charges		2728.8	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	33.3			Percent of total billed charges		1009.656	33.3			Percent of total billed charges		1009.656	100			Percent of total billed charges		3032	1009.656	2728.8	
nexgen lps art surf 10mm 00-5996-050-10 zimmer	278	RC	Outpatient			3032	1970.8		90			Percent of total billed charges		2728.8	40			Percent of total billed charges		1212.8	80			Percent of total billed charges		2425.6	90			Percent of total billed charges		2728.8	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	33.3			Percent of total billed charges		1009.656	33.3			Percent of total billed charges		1009.656	100			Percent of total billed charges		3032	1009.656	2728.8	
nexgen lps art surf 10mm 00-5996-051-10 zimmer	278	RC	Outpatient			3032	1970.8		90			Percent of total billed charges		2728.8	40			Percent of total billed charges		1212.8	80			Percent of total billed charges		2425.6	90			Percent of total billed charges		2728.8	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	33.3			Percent of total billed charges		1009.656	33.3			Percent of total billed charges		1009.656	100			Percent of total billed charges		3032	1009.656	2728.8	
nexgen lps art surf 12mm 00-5996-030-12 zimmer	278	RC	Outpatient			3032	1970.8		90			Percent of total billed charges		2728.8	40			Percent of total billed charges		1212.8	80			Percent of total billed charges		2425.6	90			Percent of total billed charges		2728.8	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	33.3			Percent of total billed charges		1009.656	33.3			Percent of total billed charges		1009.656	100			Percent of total billed charges		3032	1009.656	2728.8	
nexgen lps art surf 12mm 00-5996-032-12 zimmer	278	RC	Outpatient			3032	1970.8		90			Percent of total billed charges		2728.8	40			Percent of total billed charges		1212.8	80			Percent of total billed charges		2425.6	90			Percent of total billed charges		2728.8	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	33.3			Percent of total billed charges		1009.656	33.3			Percent of total billed charges		1009.656	100			Percent of total billed charges		3032	1009.656	2728.8	
nexgen lps art surf 12mm 00-5996-041-12 zimmer	278	RC	Outpatient			3032	1970.8		90			Percent of total billed charges		2728.8	40			Percent of total billed charges		1212.8	80			Percent of total billed charges		2425.6	90			Percent of total billed charges		2728.8	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	33.3			Percent of total billed charges		1009.656	33.3			Percent of total billed charges		1009.656	100			Percent of total billed charges		3032	1009.656	2728.8	
nexgen lps art surf 14mm 00-5996-032-14 zimmer	278	RC	Outpatient			3032	1970.8		90			Percent of total billed charges		2728.8	40			Percent of total billed charges		1212.8	80			Percent of total billed charges		2425.6	90			Percent of total billed charges		2728.8	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	33.3			Percent of total billed charges		1009.656	33.3			Percent of total billed charges		1009.656	100			Percent of total billed charges		3032	1009.656	2728.8	
nexgen lps art surf 14mm 00-5996-050-14 zimmer	278	RC	Outpatient			3032	1970.8		90			Percent of total billed charges		2728.8	40			Percent of total billed charges		1212.8	80			Percent of total billed charges		2425.6	90			Percent of total billed charges		2728.8	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	33.3			Percent of total billed charges		1009.656	33.3			Percent of total billed charges		1009.656	100			Percent of total billed charges		3032	1009.656	2728.8	
nexgen lps art surf 17mm 00-5996-050-17 zimmer	278	RC	Outpatient			3032	1970.8		90			Percent of total billed charges		2728.8	40			Percent of total billed charges		1212.8	80			Percent of total billed charges		2425.6	90			Percent of total billed charges		2728.8	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	33.3			Percent of total billed charges		1009.656	33.3			Percent of total billed charges		1009.656	100			Percent of total billed charges		3032	1009.656	2728.8	
nexgen lps art surf 20mm 00-5996-050-20 zimmer	278	RC	Outpatient			3032	1970.8		90			Percent of total billed charges		2728.8	40			Percent of total billed charges		1212.8	80			Percent of total billed charges		2425.6	90			Percent of total billed charges		2728.8	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	33.3			Percent of total billed charges		1009.656	33.3			Percent of total billed charges		1009.656	100			Percent of total billed charges		3032	1009.656	2728.8	
nexgen lps art surf 23mm 00-5996-040-23 zimmer	278	RC	Outpatient			3032	1970.8		90			Percent of total billed charges		2728.8	40			Percent of total billed charges		1212.8	80			Percent of total billed charges		2425.6	90			Percent of total billed charges		2728.8	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	33.3			Percent of total billed charges		1009.656	33.3			Percent of total billed charges		1009.656	100			Percent of total billed charges		3032	1009.656	2728.8	
nexgen lps art surf 23mm 00-5996-051-23 zimmer	278	RC	Outpatient			3032	1970.8		90			Percent of total billed charges		2728.8	40			Percent of total billed charges		1212.8	80			Percent of total billed charges		2425.6	90			Percent of total billed charges		2728.8	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	33.3			Percent of total billed charges		1009.656	33.3			Percent of total billed charges		1009.656	100			Percent of total billed charges		3032	1009.656	2728.8	
nexgen  art surf 10mm 00-5970-040-10 zimmer	278	RC	Outpatient			3032	1970.8		90			Percent of total billed charges		2728.8	40			Percent of total billed charges		1212.8	80			Percent of total billed charges		2425.6	90			Percent of total billed charges		2728.8	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	33.3			Percent of total billed charges		1009.656	33.3			Percent of total billed charges		1009.656	100			Percent of total billed charges		3032	1009.656	2728.8	
nexgen  art surf 12mm 00-5970-030-12 zimmer	278	RC	Outpatient			3032	1970.8		90			Percent of total billed charges		2728.8	40			Percent of total billed charges		1212.8	80			Percent of total billed charges		2425.6	90			Percent of total billed charges		2728.8	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	33.3			Percent of total billed charges		1009.656	33.3			Percent of total billed charges		1009.656	100			Percent of total billed charges		3032	1009.656	2728.8	
nexgen  art surf 12mm 00-5970-050-12 zimmer	278	RC	Outpatient			3032	1970.8		90			Percent of total billed charges		2728.8	40			Percent of total billed charges		1212.8	80			Percent of total billed charges		2425.6	90			Percent of total billed charges		2728.8	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	33.3			Percent of total billed charges		1009.656	33.3			Percent of total billed charges		1009.656	100			Percent of total billed charges		3032	1009.656	2728.8	
nexgen  art surf 20mm 00-5970-040-20 zimmer	278	RC	Outpatient			3032	1970.8		90			Percent of total billed charges		2728.8	40			Percent of total billed charges		1212.8	80			Percent of total billed charges		2425.6	90			Percent of total billed charges		2728.8	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	33.3			Percent of total billed charges		1009.656	33.3			Percent of total billed charges		1009.656	100			Percent of total billed charges		3032	1009.656	2728.8	
nexgen  art surf 20mm 00-5970-050-20 zimmer	278	RC	Outpatient			3032	1970.8		90			Percent of total billed charges		2728.8	40			Percent of total billed charges		1212.8	80			Percent of total billed charges		2425.6	90			Percent of total billed charges		2728.8	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	33.3			Percent of total billed charges		1009.656	33.3			Percent of total billed charges		1009.656	100			Percent of total billed charges		3032	1009.656	2728.8	
nexgen art surf 12mm 00-5970-040-12 zimmer	278	RC	Outpatient			3032	1970.8		90			Percent of total billed charges		2728.8	40			Percent of total billed charges		1212.8	80			Percent of total billed charges		2425.6	90			Percent of total billed charges		2728.8	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	33.3			Percent of total billed charges		1009.656	33.3			Percent of total billed charges		1009.656	100			Percent of total billed charges		3032	1009.656	2728.8	
nexgen art surf 14mm 00-5970-030-14 zimmer	278	RC	Outpatient			3032	1970.8		90			Percent of total billed charges		2728.8	40			Percent of total billed charges		1212.8	80			Percent of total billed charges		2425.6	90			Percent of total billed charges		2728.8	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	33.3			Percent of total billed charges		1009.656	33.3			Percent of total billed charges		1009.656	100			Percent of total billed charges		3032	1009.656	2728.8	
"nexgen art surf,10mm 00-5970-030-10 zimmer"	278	RC	Outpatient			3032	1970.8		90			Percent of total billed charges		2728.8	40			Percent of total billed charges		1212.8	80			Percent of total billed charges		2425.6	90			Percent of total billed charges		2728.8	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	33.3			Percent of total billed charges		1009.656	33.3			Percent of total billed charges		1009.656	100			Percent of total billed charges		3032	1009.656	2728.8	
nexgen lps art surf  14mm 00-5996-041-14 zimmer	278	RC	Outpatient			3032	1970.8		90			Percent of total billed charges		2728.8	40			Percent of total billed charges		1212.8	80			Percent of total billed charges		2425.6	90			Percent of total billed charges		2728.8	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	33.3			Percent of total billed charges		1009.656	33.3			Percent of total billed charges		1009.656	100			Percent of total billed charges		3032	1009.656	2728.8	
nexgen lps art surf 10mm 00-5996-032-10 zimmer	278	RC	Outpatient			3032	1970.8		90			Percent of total billed charges		2728.8	40			Percent of total billed charges		1212.8	80			Percent of total billed charges		2425.6	90			Percent of total billed charges		2728.8	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	33.3			Percent of total billed charges		1009.656	33.3			Percent of total billed charges		1009.656	100			Percent of total billed charges		3032	1009.656	2728.8	
nexgen lps art surf 12mm 00-5996-040-12 zimmer	278	RC	Outpatient			3032	1970.8		90			Percent of total billed charges		2728.8	40			Percent of total billed charges		1212.8	80			Percent of total billed charges		2425.6	90			Percent of total billed charges		2728.8	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	33.3			Percent of total billed charges		1009.656	33.3			Percent of total billed charges		1009.656	100			Percent of total billed charges		3032	1009.656	2728.8	
nexgen lps art surf 12mm 00-5996-050-12 zimmer	278	RC	Outpatient			3032	1970.8		90			Percent of total billed charges		2728.8	40			Percent of total billed charges		1212.8	80			Percent of total billed charges		2425.6	90			Percent of total billed charges		2728.8	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	33.3			Percent of total billed charges		1009.656	33.3			Percent of total billed charges		1009.656	100			Percent of total billed charges		3032	1009.656	2728.8	
nexgen lps art surf 12mm 00-5996-051-12 zimmer	278	RC	Outpatient			3032	1970.8		90			Percent of total billed charges		2728.8	40			Percent of total billed charges		1212.8	80			Percent of total billed charges		2425.6	90			Percent of total billed charges		2728.8	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	33.3			Percent of total billed charges		1009.656	33.3			Percent of total billed charges		1009.656	100			Percent of total billed charges		3032	1009.656	2728.8	
nexgen lps art surf 14mm 00-5996-030-14 zimmer	278	RC	Outpatient			3032	1970.8		90			Percent of total billed charges		2728.8	40			Percent of total billed charges		1212.8	80			Percent of total billed charges		2425.6	90			Percent of total billed charges		2728.8	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	33.3			Percent of total billed charges		1009.656	33.3			Percent of total billed charges		1009.656	100			Percent of total billed charges		3032	1009.656	2728.8	
nexgen lps art surf 14mm 00-5996-040-14 zimmer	278	RC	Outpatient			3032	1970.8		90			Percent of total billed charges		2728.8	40			Percent of total billed charges		1212.8	80			Percent of total billed charges		2425.6	90			Percent of total billed charges		2728.8	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	33.3			Percent of total billed charges		1009.656	33.3			Percent of total billed charges		1009.656	100			Percent of total billed charges		3032	1009.656	2728.8	
nexgen lps art surf 14mm 00-5996-051-14 zimmer	278	RC	Outpatient			3032	1970.8		90			Percent of total billed charges		2728.8	40			Percent of total billed charges		1212.8	80			Percent of total billed charges		2425.6	90			Percent of total billed charges		2728.8	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	33.3			Percent of total billed charges		1009.656	33.3			Percent of total billed charges		1009.656	100			Percent of total billed charges		3032	1009.656	2728.8	
nexgen lps art surf 17mm 00-5996-040-17 zimmer	278	RC	Outpatient			3032	1970.8		90			Percent of total billed charges		2728.8	40			Percent of total billed charges		1212.8	80			Percent of total billed charges		2425.6	90			Percent of total billed charges		2728.8	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	33.3			Percent of total billed charges		1009.656	33.3			Percent of total billed charges		1009.656	100			Percent of total billed charges		3032	1009.656	2728.8	
nexgen lps art surf 17mm 00-5996-041-17 zimmer	278	RC	Outpatient			3032	1970.8		90			Percent of total billed charges		2728.8	40			Percent of total billed charges		1212.8	80			Percent of total billed charges		2425.6	90			Percent of total billed charges		2728.8	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	33.3			Percent of total billed charges		1009.656	33.3			Percent of total billed charges		1009.656	100			Percent of total billed charges		3032	1009.656	2728.8	
nexgen lps art surf 17mm 00-5996-051-17 zimmer	278	RC	Outpatient			3032	1970.8		90			Percent of total billed charges		2728.8	40			Percent of total billed charges		1212.8	80			Percent of total billed charges		2425.6	90			Percent of total billed charges		2728.8	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	33.3			Percent of total billed charges		1009.656	33.3			Percent of total billed charges		1009.656	100			Percent of total billed charges		3032	1009.656	2728.8	
nexgen lps art surf 20mm 00-5996-030-20 zimmer	278	RC	Outpatient			3032	1970.8		90			Percent of total billed charges		2728.8	40			Percent of total billed charges		1212.8	80			Percent of total billed charges		2425.6	90			Percent of total billed charges		2728.8	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	33.3			Percent of total billed charges		1009.656	33.3			Percent of total billed charges		1009.656	100			Percent of total billed charges		3032	1009.656	2728.8	
nexgen lps art surf 20mm 00-5996-040-20 zimmer	278	RC	Outpatient			3032	1970.8		90			Percent of total billed charges		2728.8	40			Percent of total billed charges		1212.8	80			Percent of total billed charges		2425.6	90			Percent of total billed charges		2728.8	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	33.3			Percent of total billed charges		1009.656	33.3			Percent of total billed charges		1009.656	100			Percent of total billed charges		3032	1009.656	2728.8	
nexgen lps art surf 20mm 00-5996-051-20 zimmer	278	RC	Outpatient			3032	1970.8		90			Percent of total billed charges		2728.8	40			Percent of total billed charges		1212.8	80			Percent of total billed charges		2425.6	90			Percent of total billed charges		2728.8	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	33.3			Percent of total billed charges		1009.656	33.3			Percent of total billed charges		1009.656	100			Percent of total billed charges		3032	1009.656	2728.8	
nexgen lps art surf 23mm 00-5996-030-23 zimmer	278	RC	Outpatient			3032	1970.8		90			Percent of total billed charges		2728.8	40			Percent of total billed charges		1212.8	80			Percent of total billed charges		2425.6	90			Percent of total billed charges		2728.8	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	33.3			Percent of total billed charges		1009.656	33.3			Percent of total billed charges		1009.656	100			Percent of total billed charges		3032	1009.656	2728.8	
nexgen lps art surf 23mm 00-5996-041-23 zimmer	278	RC	Outpatient			3032	1970.8		90			Percent of total billed charges		2728.8	40			Percent of total billed charges		1212.8	80			Percent of total billed charges		2425.6	90			Percent of total billed charges		2728.8	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	33.3			Percent of total billed charges		1009.656	33.3			Percent of total billed charges		1009.656	100			Percent of total billed charges		3032	1009.656	2728.8	
tibial articular surface 8.5mm zimmer 5782-42-08	278	RC	Outpatient			3032	1970.8		90			Percent of total billed charges		2728.8	40			Percent of total billed charges		1212.8	80			Percent of total billed charges		2425.6	90			Percent of total billed charges		2728.8	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	33.3			Percent of total billed charges		1009.656	33.3			Percent of total billed charges		1009.656	100			Percent of total billed charges		3032	1009.656	2728.8	
tibial art surface lg 8.5 5782-52-08 zimmer	278	RC	Outpatient			3032	1970.8		90			Percent of total billed charges		2728.8	40			Percent of total billed charges		1212.8	80			Percent of total billed charges		2425.6	90			Percent of total billed charges		2728.8	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	33.3			Percent of total billed charges		1009.656	33.3			Percent of total billed charges		1009.656	100			Percent of total billed charges		3032	1009.656	2728.8	
zimm articular surface	278	RC	Outpatient			3032	1970.8		90			Percent of total billed charges		2728.8	40			Percent of total billed charges		1212.8	80			Percent of total billed charges		2425.6	90			Percent of total billed charges		2728.8	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	33.3			Percent of total billed charges		1009.656	33.3			Percent of total billed charges		1009.656	100			Percent of total billed charges		3032	1009.656	2728.8	
zimmer nexgen  art surface  10mm 5996-4010	278	RC	Outpatient			3032	1970.8		90			Percent of total billed charges		2728.8	40			Percent of total billed charges		1212.8	80			Percent of total billed charges		2425.6	90			Percent of total billed charges		2728.8	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	85			Percent of total billed charges		2577.2	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	100			Percent of total billed charges		3032	33.3			Percent of total billed charges		1009.656	33.3			Percent of total billed charges		1009.656	100			Percent of total billed charges		3032	1009.656	2728.8	
ir biliary drain external	360	RC	Outpatient			3042	1977.3		90			Percent of total billed charges		2737.8	40			Percent of total billed charges		1216.8	80			Percent of total billed charges		2433.6	90			Percent of total billed charges		2737.8	85			Percent of total billed charges		2585.7	85			Percent of total billed charges		2585.7	85			Percent of total billed charges		2585.7	100			Percent of total billed charges		3042	100			Percent of total billed charges		3042	100			Percent of total billed charges		3042	33.3			Percent of total billed charges		1012.986	33.3			Percent of total billed charges		1012.986	100			Percent of total billed charges		3042	1012.986	2737.8	
relieva balloon sinuplasty system maxillary rs0516m acclarent rsp0516mfs	272	RC	Outpatient			3047	1980.55		90			Percent of total billed charges		2742.3	40			Percent of total billed charges		1218.8	80			Percent of total billed charges		2437.6	90			Percent of total billed charges		2742.3	85			Percent of total billed charges		2589.95	85			Percent of total billed charges		2589.95	85			Percent of total billed charges		2589.95	100			Percent of total billed charges		3047	100			Percent of total billed charges		3047	100			Percent of total billed charges		3047	33.3			Percent of total billed charges		1014.651	33.3			Percent of total billed charges		1014.651	100			Percent of total billed charges		3047	1014.651	2742.3	
relieva spin balloon	272	RC	Outpatient			3047	1980.55		90			Percent of total billed charges		2742.3	40			Percent of total billed charges		1218.8	80			Percent of total billed charges		2437.6	90			Percent of total billed charges		2742.3	85			Percent of total billed charges		2589.95	85			Percent of total billed charges		2589.95	85			Percent of total billed charges		2589.95	100			Percent of total billed charges		3047	100			Percent of total billed charges		3047	100			Percent of total billed charges		3047	33.3			Percent of total billed charges		1014.651	33.3			Percent of total billed charges		1014.651	100			Percent of total billed charges		3047	1014.651	2742.3	
relieva balloon sinuplasty system frontal rso616f acclarent	272	RC	Outpatient			3047	1980.55		90			Percent of total billed charges		2742.3	40			Percent of total billed charges		1218.8	80			Percent of total billed charges		2437.6	90			Percent of total billed charges		2742.3	85			Percent of total billed charges		2589.95	85			Percent of total billed charges		2589.95	85			Percent of total billed charges		2589.95	100			Percent of total billed charges		3047	100			Percent of total billed charges		3047	100			Percent of total billed charges		3047	33.3			Percent of total billed charges		1014.651	33.3			Percent of total billed charges		1014.651	100			Percent of total billed charges		3047	1014.651	2742.3	
relieva balloon sinuplasty system maxillary rso616m acclarent	272	RC	Outpatient			3047	1980.55		90			Percent of total billed charges		2742.3	40			Percent of total billed charges		1218.8	80			Percent of total billed charges		2437.6	90			Percent of total billed charges		2742.3	85			Percent of total billed charges		2589.95	85			Percent of total billed charges		2589.95	85			Percent of total billed charges		2589.95	100			Percent of total billed charges		3047	100			Percent of total billed charges		3047	100			Percent of total billed charges		3047	33.3			Percent of total billed charges		1014.651	33.3			Percent of total billed charges		1014.651	100			Percent of total billed charges		3047	1014.651	2742.3	
endo ercp with sphincterotomy/stent placement	750	RC	Outpatient			3049	1981.85		90			Percent of total billed charges		2744.1	40			Percent of total billed charges		1219.6	80			Percent of total billed charges		2439.2	90			Percent of total billed charges		2744.1	85			Percent of total billed charges		2591.65	85			Percent of total billed charges		2591.65	85			Percent of total billed charges		2591.65	100			Percent of total billed charges		3049	100			Percent of total billed charges		3049	100			Percent of total billed charges		3049	33.3			Percent of total billed charges		1015.317	33.3			Percent of total billed charges		1015.317	100			Percent of total billed charges		3049	1015.317	2744.1	
humeral stem sz 6 520-01-006 djo	278	RC	Outpatient			3053	1984.45		90			Percent of total billed charges		2747.7	40			Percent of total billed charges		1221.2	80			Percent of total billed charges		2442.4	90			Percent of total billed charges		2747.7	85			Percent of total billed charges		2595.05	85			Percent of total billed charges		2595.05	85			Percent of total billed charges		2595.05	100			Percent of total billed charges		3053	100			Percent of total billed charges		3053	100			Percent of total billed charges		3053	33.3			Percent of total billed charges		1016.649	33.3			Percent of total billed charges		1016.649	100			Percent of total billed charges		3053	1016.649	2747.7	
humeral stem sz 8 520-01-008 djo	278	RC	Outpatient			3053	1984.45		90			Percent of total billed charges		2747.7	40			Percent of total billed charges		1221.2	80			Percent of total billed charges		2442.4	90			Percent of total billed charges		2747.7	85			Percent of total billed charges		2595.05	85			Percent of total billed charges		2595.05	85			Percent of total billed charges		2595.05	100			Percent of total billed charges		3053	100			Percent of total billed charges		3053	100			Percent of total billed charges		3053	33.3			Percent of total billed charges		1016.649	33.3			Percent of total billed charges		1016.649	100			Percent of total billed charges		3053	1016.649	2747.7	
drill bit 2.5 drl096006101 intregra	278	RC	Outpatient			3058	1987.7		90			Percent of total billed charges		2752.2	40			Percent of total billed charges		1223.2	80			Percent of total billed charges		2446.4	90			Percent of total billed charges		2752.2	85			Percent of total billed charges		2599.3	85			Percent of total billed charges		2599.3	85			Percent of total billed charges		2599.3	100			Percent of total billed charges		3058	100			Percent of total billed charges		3058	100			Percent of total billed charges		3058	33.3			Percent of total billed charges		1018.314	33.3			Percent of total billed charges		1018.314	100			Percent of total billed charges		3058	1018.314	2752.2	
oxinium fem head 12/14 tpr 26mm +0 71342600 s/n	278	RC	Outpatient			3058	1987.7		90			Percent of total billed charges		2752.2	40			Percent of total billed charges		1223.2	80			Percent of total billed charges		2446.4	90			Percent of total billed charges		2752.2	85			Percent of total billed charges		2599.3	85			Percent of total billed charges		2599.3	85			Percent of total billed charges		2599.3	100			Percent of total billed charges		3058	100			Percent of total billed charges		3058	100			Percent of total billed charges		3058	33.3			Percent of total billed charges		1018.314	33.3			Percent of total billed charges		1018.314	100			Percent of total billed charges		3058	1018.314	2752.2	
oxinium fem head 12/14 tpr 26mm +4 71342604 s/n	278	RC	Outpatient			3058	1987.7		90			Percent of total billed charges		2752.2	40			Percent of total billed charges		1223.2	80			Percent of total billed charges		2446.4	90			Percent of total billed charges		2752.2	85			Percent of total billed charges		2599.3	85			Percent of total billed charges		2599.3	85			Percent of total billed charges		2599.3	100			Percent of total billed charges		3058	100			Percent of total billed charges		3058	100			Percent of total billed charges		3058	33.3			Percent of total billed charges		1018.314	33.3			Percent of total billed charges		1018.314	100			Percent of total billed charges		3058	1018.314	2752.2	
oxinium fem head 12/14 tpr 26mm +8 71342608 s/n	278	RC	Outpatient			3058	1987.7		90			Percent of total billed charges		2752.2	40			Percent of total billed charges		1223.2	80			Percent of total billed charges		2446.4	90			Percent of total billed charges		2752.2	85			Percent of total billed charges		2599.3	85			Percent of total billed charges		2599.3	85			Percent of total billed charges		2599.3	100			Percent of total billed charges		3058	100			Percent of total billed charges		3058	100			Percent of total billed charges		3058	33.3			Percent of total billed charges		1018.314	33.3			Percent of total billed charges		1018.314	100			Percent of total billed charges		3058	1018.314	2752.2	
oxinium fem head 12/14 tpr 28mm +0 71342800 s/n	278	RC	Outpatient			3058	1987.7		90			Percent of total billed charges		2752.2	40			Percent of total billed charges		1223.2	80			Percent of total billed charges		2446.4	90			Percent of total billed charges		2752.2	85			Percent of total billed charges		2599.3	85			Percent of total billed charges		2599.3	85			Percent of total billed charges		2599.3	100			Percent of total billed charges		3058	100			Percent of total billed charges		3058	100			Percent of total billed charges		3058	33.3			Percent of total billed charges		1018.314	33.3			Percent of total billed charges		1018.314	100			Percent of total billed charges		3058	1018.314	2752.2	
oxinium fem head 12/14 tpr 28mm +8 71342808 s/n	278	RC	Outpatient			3058	1987.7		90			Percent of total billed charges		2752.2	40			Percent of total billed charges		1223.2	80			Percent of total billed charges		2446.4	90			Percent of total billed charges		2752.2	85			Percent of total billed charges		2599.3	85			Percent of total billed charges		2599.3	85			Percent of total billed charges		2599.3	100			Percent of total billed charges		3058	100			Percent of total billed charges		3058	100			Percent of total billed charges		3058	33.3			Percent of total billed charges		1018.314	33.3			Percent of total billed charges		1018.314	100			Percent of total billed charges		3058	1018.314	2752.2	
oxinium fem head 12/14 tpr 36mm -3 71343603 s/n	278	RC	Outpatient			3058	1987.7		90			Percent of total billed charges		2752.2	40			Percent of total billed charges		1223.2	80			Percent of total billed charges		2446.4	90			Percent of total billed charges		2752.2	85			Percent of total billed charges		2599.3	85			Percent of total billed charges		2599.3	85			Percent of total billed charges		2599.3	100			Percent of total billed charges		3058	100			Percent of total billed charges		3058	100			Percent of total billed charges		3058	33.3			Percent of total billed charges		1018.314	33.3			Percent of total billed charges		1018.314	100			Percent of total billed charges		3058	1018.314	2752.2	
oxinium fem head 12/14 tpr 28mm +4 71342804 s/n	278	RC	Outpatient			3058	1987.7		90			Percent of total billed charges		2752.2	40			Percent of total billed charges		1223.2	80			Percent of total billed charges		2446.4	90			Percent of total billed charges		2752.2	85			Percent of total billed charges		2599.3	85			Percent of total billed charges		2599.3	85			Percent of total billed charges		2599.3	100			Percent of total billed charges		3058	100			Percent of total billed charges		3058	100			Percent of total billed charges		3058	33.3			Percent of total billed charges		1018.314	33.3			Percent of total billed charges		1018.314	100			Percent of total billed charges		3058	1018.314	2752.2	
oxinium fem head 12/14 tpr 28mm -3 71342803 s/n	278	RC	Outpatient			3058	1987.7		90			Percent of total billed charges		2752.2	40			Percent of total billed charges		1223.2	80			Percent of total billed charges		2446.4	90			Percent of total billed charges		2752.2	85			Percent of total billed charges		2599.3	85			Percent of total billed charges		2599.3	85			Percent of total billed charges		2599.3	100			Percent of total billed charges		3058	100			Percent of total billed charges		3058	100			Percent of total billed charges		3058	33.3			Percent of total billed charges		1018.314	33.3			Percent of total billed charges		1018.314	100			Percent of total billed charges		3058	1018.314	2752.2	
oxinium fem head 12/14 tpr 32mm +8 71343208 s/n	278	RC	Outpatient			3058	1987.7		90			Percent of total billed charges		2752.2	40			Percent of total billed charges		1223.2	80			Percent of total billed charges		2446.4	90			Percent of total billed charges		2752.2	85			Percent of total billed charges		2599.3	85			Percent of total billed charges		2599.3	85			Percent of total billed charges		2599.3	100			Percent of total billed charges		3058	100			Percent of total billed charges		3058	100			Percent of total billed charges		3058	33.3			Percent of total billed charges		1018.314	33.3			Percent of total billed charges		1018.314	100			Percent of total billed charges		3058	1018.314	2752.2	
oxinium fem head 12/14 tpr 32mm -3 71343203 s/n	278	RC	Outpatient			3058	1987.7		90			Percent of total billed charges		2752.2	40			Percent of total billed charges		1223.2	80			Percent of total billed charges		2446.4	90			Percent of total billed charges		2752.2	85			Percent of total billed charges		2599.3	85			Percent of total billed charges		2599.3	85			Percent of total billed charges		2599.3	100			Percent of total billed charges		3058	100			Percent of total billed charges		3058	100			Percent of total billed charges		3058	33.3			Percent of total billed charges		1018.314	33.3			Percent of total billed charges		1018.314	100			Percent of total billed charges		3058	1018.314	2752.2	
oxinium fem head 12/14 tpr 36mm m/+4 71343604 s/n	278	RC	Outpatient			3058	1987.7		90			Percent of total billed charges		2752.2	40			Percent of total billed charges		1223.2	80			Percent of total billed charges		2446.4	90			Percent of total billed charges		2752.2	85			Percent of total billed charges		2599.3	85			Percent of total billed charges		2599.3	85			Percent of total billed charges		2599.3	100			Percent of total billed charges		3058	100			Percent of total billed charges		3058	100			Percent of total billed charges		3058	33.3			Percent of total billed charges		1018.314	33.3			Percent of total billed charges		1018.314	100			Percent of total billed charges		3058	1018.314	2752.2	
oxinium fem mod head 40mm  71342340 s/n	278	RC	Outpatient			3058	1987.7		90			Percent of total billed charges		2752.2	40			Percent of total billed charges		1223.2	80			Percent of total billed charges		2446.4	90			Percent of total billed charges		2752.2	85			Percent of total billed charges		2599.3	85			Percent of total billed charges		2599.3	85			Percent of total billed charges		2599.3	100			Percent of total billed charges		3058	100			Percent of total billed charges		3058	100			Percent of total billed charges		3058	33.3			Percent of total billed charges		1018.314	33.3			Percent of total billed charges		1018.314	100			Percent of total billed charges		3058	1018.314	2752.2	
oxinium fem mod head 44mm  71342344 s/n	278	RC	Outpatient			3058	1987.7		90			Percent of total billed charges		2752.2	40			Percent of total billed charges		1223.2	80			Percent of total billed charges		2446.4	90			Percent of total billed charges		2752.2	85			Percent of total billed charges		2599.3	85			Percent of total billed charges		2599.3	85			Percent of total billed charges		2599.3	100			Percent of total billed charges		3058	100			Percent of total billed charges		3058	100			Percent of total billed charges		3058	33.3			Percent of total billed charges		1018.314	33.3			Percent of total billed charges		1018.314	100			Percent of total billed charges		3058	1018.314	2752.2	
s/n oxinium fem head	278	RC	Outpatient			3058	1987.7		90			Percent of total billed charges		2752.2	40			Percent of total billed charges		1223.2	80			Percent of total billed charges		2446.4	90			Percent of total billed charges		2752.2	85			Percent of total billed charges		2599.3	85			Percent of total billed charges		2599.3	85			Percent of total billed charges		2599.3	100			Percent of total billed charges		3058	100			Percent of total billed charges		3058	100			Percent of total billed charges		3058	33.3			Percent of total billed charges		1018.314	33.3			Percent of total billed charges		1018.314	100			Percent of total billed charges		3058	1018.314	2752.2	
s/n oxinium fem head 40mm	278	RC	Outpatient			3058	1987.7		90			Percent of total billed charges		2752.2	40			Percent of total billed charges		1223.2	80			Percent of total billed charges		2446.4	90			Percent of total billed charges		2752.2	85			Percent of total billed charges		2599.3	85			Percent of total billed charges		2599.3	85			Percent of total billed charges		2599.3	100			Percent of total billed charges		3058	100			Percent of total billed charges		3058	100			Percent of total billed charges		3058	33.3			Percent of total billed charges		1018.314	33.3			Percent of total billed charges		1018.314	100			Percent of total billed charges		3058	1018.314	2752.2	
e1 active articulation head ep-200152 biomet	278	RC	Outpatient			3059	1988.35		90			Percent of total billed charges		2753.1	40			Percent of total billed charges		1223.6	80			Percent of total billed charges		2447.2	90			Percent of total billed charges		2753.1	85			Percent of total billed charges		2600.15	85			Percent of total billed charges		2600.15	85			Percent of total billed charges		2600.15	100			Percent of total billed charges		3059	100			Percent of total billed charges		3059	100			Percent of total billed charges		3059	33.3			Percent of total billed charges		1018.647	33.3			Percent of total billed charges		1018.647	100			Percent of total billed charges		3059	1018.647	2753.1	
syn transconnector	278	RC	Outpatient			3059	1988.35		90			Percent of total billed charges		2753.1	40			Percent of total billed charges		1223.6	80			Percent of total billed charges		2447.2	90			Percent of total billed charges		2753.1	85			Percent of total billed charges		2600.15	85			Percent of total billed charges		2600.15	85			Percent of total billed charges		2600.15	100			Percent of total billed charges		3059	100			Percent of total billed charges		3059	100			Percent of total billed charges		3059	33.3			Percent of total billed charges		1018.647	33.3			Percent of total billed charges		1018.647	100			Percent of total billed charges		3059	1018.647	2753.1	
ti snap-on transconnector 47-62mm 04.633.347 synthes	278	RC	Outpatient			3059	1988.35		90			Percent of total billed charges		2753.1	40			Percent of total billed charges		1223.6	80			Percent of total billed charges		2447.2	90			Percent of total billed charges		2753.1	85			Percent of total billed charges		2600.15	85			Percent of total billed charges		2600.15	85			Percent of total billed charges		2600.15	100			Percent of total billed charges		3059	100			Percent of total billed charges		3059	100			Percent of total billed charges		3059	33.3			Percent of total billed charges		1018.647	33.3			Percent of total billed charges		1018.647	100			Percent of total billed charges		3059	1018.647	2753.1	
tissue expander pmt 650	272	RC	Outpatient			3059	1988.35		90			Percent of total billed charges		2753.1	40			Percent of total billed charges		1223.6	80			Percent of total billed charges		2447.2	90			Percent of total billed charges		2753.1	85			Percent of total billed charges		2600.15	85			Percent of total billed charges		2600.15	85			Percent of total billed charges		2600.15	100			Percent of total billed charges		3059	100			Percent of total billed charges		3059	100			Percent of total billed charges		3059	33.3			Percent of total billed charges		1018.647	33.3			Percent of total billed charges		1018.647	100			Percent of total billed charges		3059	1018.647	2753.1	
jet-x hybrid strut short	278	RC	Outpatient			3062	1990.3		90			Percent of total billed charges		2755.8	40			Percent of total billed charges		1224.8	80			Percent of total billed charges		2449.6	90			Percent of total billed charges		2755.8	85			Percent of total billed charges		2602.7	85			Percent of total billed charges		2602.7	85			Percent of total billed charges		2602.7	100			Percent of total billed charges		3062	100			Percent of total billed charges		3062	100			Percent of total billed charges		3062	33.3			Percent of total billed charges		1019.646	33.3			Percent of total billed charges		1019.646	100			Percent of total billed charges		3062	1019.646	2755.8	
s/n jet-x hybrid support strut 7105-1048	278	RC	Outpatient			3062	1990.3		90			Percent of total billed charges		2755.8	40			Percent of total billed charges		1224.8	80			Percent of total billed charges		2449.6	90			Percent of total billed charges		2755.8	85			Percent of total billed charges		2602.7	85			Percent of total billed charges		2602.7	85			Percent of total billed charges		2602.7	100			Percent of total billed charges		3062	100			Percent of total billed charges		3062	100			Percent of total billed charges		3062	33.3			Percent of total billed charges		1019.646	33.3			Percent of total billed charges		1019.646	100			Percent of total billed charges		3062	1019.646	2755.8	
or time 2 hours	270	RC	Outpatient			3064	1991.6		90			Percent of total billed charges		2757.6	40			Percent of total billed charges		1225.6	80			Percent of total billed charges		2451.2	90			Percent of total billed charges		2757.6	85			Percent of total billed charges		2604.4	85			Percent of total billed charges		2604.4	85			Percent of total billed charges		2604.4	100			Percent of total billed charges		3064	100			Percent of total billed charges		3064	100			Percent of total billed charges		3064	33.3			Percent of total billed charges		1020.312	33.3			Percent of total billed charges		1020.312	100			Percent of total billed charges		3064	1020.312	2757.6	
proximal humeral locking plate 4.5 15h l 71801615 s/n	278	RC	Outpatient			3064	1991.6		90			Percent of total billed charges		2757.6	40			Percent of total billed charges		1225.6	80			Percent of total billed charges		2451.2	90			Percent of total billed charges		2757.6	85			Percent of total billed charges		2604.4	85			Percent of total billed charges		2604.4	85			Percent of total billed charges		2604.4	100			Percent of total billed charges		3064	100			Percent of total billed charges		3064	100			Percent of total billed charges		3064	33.3			Percent of total billed charges		1020.312	33.3			Percent of total billed charges		1020.312	100			Percent of total billed charges		3064	1020.312	2757.6	
proximal humeral locking plate 4.5 15h r 71801515 s/n	278	RC	Outpatient			3064	1991.6		90			Percent of total billed charges		2757.6	40			Percent of total billed charges		1225.6	80			Percent of total billed charges		2451.2	90			Percent of total billed charges		2757.6	85			Percent of total billed charges		2604.4	85			Percent of total billed charges		2604.4	85			Percent of total billed charges		2604.4	100			Percent of total billed charges		3064	100			Percent of total billed charges		3064	100			Percent of total billed charges		3064	33.3			Percent of total billed charges		1020.312	33.3			Percent of total billed charges		1020.312	100			Percent of total billed charges		3064	1020.312	2757.6	
s/n prxhum lk pl 4.5 15h	278	RC	Outpatient			3064	1991.6		90			Percent of total billed charges		2757.6	40			Percent of total billed charges		1225.6	80			Percent of total billed charges		2451.2	90			Percent of total billed charges		2757.6	85			Percent of total billed charges		2604.4	85			Percent of total billed charges		2604.4	85			Percent of total billed charges		2604.4	100			Percent of total billed charges		3064	100			Percent of total billed charges		3064	100			Percent of total billed charges		3064	33.3			Percent of total billed charges		1020.312	33.3			Percent of total billed charges		1020.312	100			Percent of total billed charges		3064	1020.312	2757.6	
reflection interfit acetabular shell 3 hole 42mm 71336042 s/n	278	RC	Outpatient			3068	1994.2		90			Percent of total billed charges		2761.2	40			Percent of total billed charges		1227.2	80			Percent of total billed charges		2454.4	90			Percent of total billed charges		2761.2	85			Percent of total billed charges		2607.8	85			Percent of total billed charges		2607.8	85			Percent of total billed charges		2607.8	100			Percent of total billed charges		3068	100			Percent of total billed charges		3068	100			Percent of total billed charges		3068	33.3			Percent of total billed charges		1021.644	33.3			Percent of total billed charges		1021.644	100			Percent of total billed charges		3068	1021.644	2761.2	
reflection interfit acetabular shell 3 hole 44mm 71336044 s/n	278	RC	Outpatient			3068	1994.2		90			Percent of total billed charges		2761.2	40			Percent of total billed charges		1227.2	80			Percent of total billed charges		2454.4	90			Percent of total billed charges		2761.2	85			Percent of total billed charges		2607.8	85			Percent of total billed charges		2607.8	85			Percent of total billed charges		2607.8	100			Percent of total billed charges		3068	100			Percent of total billed charges		3068	100			Percent of total billed charges		3068	33.3			Percent of total billed charges		1021.644	33.3			Percent of total billed charges		1021.644	100			Percent of total billed charges		3068	1021.644	2761.2	
reflection interfit acetabular shell 3 hole 68mm 71336068 s/n	278	RC	Outpatient			3068	1994.2		90			Percent of total billed charges		2761.2	40			Percent of total billed charges		1227.2	80			Percent of total billed charges		2454.4	90			Percent of total billed charges		2761.2	85			Percent of total billed charges		2607.8	85			Percent of total billed charges		2607.8	85			Percent of total billed charges		2607.8	100			Percent of total billed charges		3068	100			Percent of total billed charges		3068	100			Percent of total billed charges		3068	33.3			Percent of total billed charges		1021.644	33.3			Percent of total billed charges		1021.644	100			Percent of total billed charges		3068	1021.644	2761.2	
reflection interfit acetabular shell 3 hole 66mm 71336066 s/n	278	RC	Outpatient			3068	1994.2		90			Percent of total billed charges		2761.2	40			Percent of total billed charges		1227.2	80			Percent of total billed charges		2454.4	90			Percent of total billed charges		2761.2	85			Percent of total billed charges		2607.8	85			Percent of total billed charges		2607.8	85			Percent of total billed charges		2607.8	100			Percent of total billed charges		3068	100			Percent of total billed charges		3068	100			Percent of total billed charges		3068	33.3			Percent of total billed charges		1021.644	33.3			Percent of total billed charges		1021.644	100			Percent of total billed charges		3068	1021.644	2761.2	
richards reflect if acet	278	RC	Outpatient			3068	1994.2		90			Percent of total billed charges		2761.2	40			Percent of total billed charges		1227.2	80			Percent of total billed charges		2454.4	90			Percent of total billed charges		2761.2	85			Percent of total billed charges		2607.8	85			Percent of total billed charges		2607.8	85			Percent of total billed charges		2607.8	100			Percent of total billed charges		3068	100			Percent of total billed charges		3068	100			Percent of total billed charges		3068	33.3			Percent of total billed charges		1021.644	33.3			Percent of total billed charges		1021.644	100			Percent of total billed charges		3068	1021.644	2761.2	
stryker prox lat tibpl14h	278	RC	Outpatient			3069	1994.85		90			Percent of total billed charges		2762.1	40			Percent of total billed charges		1227.6	80			Percent of total billed charges		2455.2	90			Percent of total billed charges		2762.1	85			Percent of total billed charges		2608.65	85			Percent of total billed charges		2608.65	85			Percent of total billed charges		2608.65	100			Percent of total billed charges		3069	100			Percent of total billed charges		3069	100			Percent of total billed charges		3069	33.3			Percent of total billed charges		1021.977	33.3			Percent of total billed charges		1021.977	100			Percent of total billed charges		3069	1021.977	2762.1	
proximal lat tib plate ts 14hl lt 437314 stryker	278	RC	Outpatient			3069	1994.85		90			Percent of total billed charges		2762.1	40			Percent of total billed charges		1227.6	80			Percent of total billed charges		2455.2	90			Percent of total billed charges		2762.1	85			Percent of total billed charges		2608.65	85			Percent of total billed charges		2608.65	85			Percent of total billed charges		2608.65	100			Percent of total billed charges		3069	100			Percent of total billed charges		3069	100			Percent of total billed charges		3069	33.3			Percent of total billed charges		1021.977	33.3			Percent of total billed charges		1021.977	100			Percent of total billed charges		3069	1021.977	2762.1	
zimm femoral comp	278	RC	Outpatient			3073	1997.45		90			Percent of total billed charges		2765.7	40			Percent of total billed charges		1229.2	80			Percent of total billed charges		2458.4	90			Percent of total billed charges		2765.7	85			Percent of total billed charges		2612.05	85			Percent of total billed charges		2612.05	85			Percent of total billed charges		2612.05	100			Percent of total billed charges		3073	100			Percent of total billed charges		3073	100			Percent of total billed charges		3073	33.3			Percent of total billed charges		1023.309	33.3			Percent of total billed charges		1023.309	100			Percent of total billed charges		3073	1023.309	2765.7	
explor implant stem biomet 10x32mm 11-210065	278	RC	Outpatient			3079	2001.35		90			Percent of total billed charges		2771.1	40			Percent of total billed charges		1231.6	80			Percent of total billed charges		2463.2	90			Percent of total billed charges		2771.1	85			Percent of total billed charges		2617.15	85			Percent of total billed charges		2617.15	85			Percent of total billed charges		2617.15	100			Percent of total billed charges		3079	100			Percent of total billed charges		3079	100			Percent of total billed charges		3079	33.3			Percent of total billed charges		1025.307	33.3			Percent of total billed charges		1025.307	100			Percent of total billed charges		3079	1025.307	2771.1	
explor implant stem biomet 5x22mm 11-210060	278	RC	Outpatient			3079	2001.35		90			Percent of total billed charges		2771.1	40			Percent of total billed charges		1231.6	80			Percent of total billed charges		2463.2	90			Percent of total billed charges		2771.1	85			Percent of total billed charges		2617.15	85			Percent of total billed charges		2617.15	85			Percent of total billed charges		2617.15	100			Percent of total billed charges		3079	100			Percent of total billed charges		3079	100			Percent of total billed charges		3079	33.3			Percent of total billed charges		1025.307	33.3			Percent of total billed charges		1025.307	100			Percent of total billed charges		3079	1025.307	2771.1	
explor implant stem biomet 7x26mm 11-210062	278	RC	Outpatient			3079	2001.35		90			Percent of total billed charges		2771.1	40			Percent of total billed charges		1231.6	80			Percent of total billed charges		2463.2	90			Percent of total billed charges		2771.1	85			Percent of total billed charges		2617.15	85			Percent of total billed charges		2617.15	85			Percent of total billed charges		2617.15	100			Percent of total billed charges		3079	100			Percent of total billed charges		3079	100			Percent of total billed charges		3079	33.3			Percent of total billed charges		1025.307	33.3			Percent of total billed charges		1025.307	100			Percent of total billed charges		3079	1025.307	2771.1	
explor implant stem biomet 6x24mm 11-210061	278	RC	Outpatient			3079	2001.35		90			Percent of total billed charges		2771.1	40			Percent of total billed charges		1231.6	80			Percent of total billed charges		2463.2	90			Percent of total billed charges		2771.1	85			Percent of total billed charges		2617.15	85			Percent of total billed charges		2617.15	85			Percent of total billed charges		2617.15	100			Percent of total billed charges		3079	100			Percent of total billed charges		3079	100			Percent of total billed charges		3079	33.3			Percent of total billed charges		1025.307	33.3			Percent of total billed charges		1025.307	100			Percent of total billed charges		3079	1025.307	2771.1	
explor implant stem biomet 8x28mm 11-210063	278	RC	Outpatient			3079	2001.35		90			Percent of total billed charges		2771.1	40			Percent of total billed charges		1231.6	80			Percent of total billed charges		2463.2	90			Percent of total billed charges		2771.1	85			Percent of total billed charges		2617.15	85			Percent of total billed charges		2617.15	85			Percent of total billed charges		2617.15	100			Percent of total billed charges		3079	100			Percent of total billed charges		3079	100			Percent of total billed charges		3079	33.3			Percent of total billed charges		1025.307	33.3			Percent of total billed charges		1025.307	100			Percent of total billed charges		3079	1025.307	2771.1	
explor implant stem biomet 9x30mm 11-210064	278	RC	Outpatient			3079	2001.35		90			Percent of total billed charges		2771.1	40			Percent of total billed charges		1231.6	80			Percent of total billed charges		2463.2	90			Percent of total billed charges		2771.1	85			Percent of total billed charges		2617.15	85			Percent of total billed charges		2617.15	85			Percent of total billed charges		2617.15	100			Percent of total billed charges		3079	100			Percent of total billed charges		3079	100			Percent of total billed charges		3079	33.3			Percent of total billed charges		1025.307	33.3			Percent of total billed charges		1025.307	100			Percent of total billed charges		3079	1025.307	2771.1	
explor stem implant	278	RC	Outpatient			3079	2001.35		90			Percent of total billed charges		2771.1	40			Percent of total billed charges		1231.6	80			Percent of total billed charges		2463.2	90			Percent of total billed charges		2771.1	85			Percent of total billed charges		2617.15	85			Percent of total billed charges		2617.15	85			Percent of total billed charges		2617.15	100			Percent of total billed charges		3079	100			Percent of total billed charges		3079	100			Percent of total billed charges		3079	33.3			Percent of total billed charges		1025.307	33.3			Percent of total billed charges		1025.307	100			Percent of total billed charges		3079	1025.307	2771.1	
s/n v-d-r lk pl 9h rt 71803128	278	RC	Outpatient			3083	2003.95		90			Percent of total billed charges		2774.7	40			Percent of total billed charges		1233.2	80			Percent of total billed charges		2466.4	90			Percent of total billed charges		2774.7	85			Percent of total billed charges		2620.55	85			Percent of total billed charges		2620.55	85			Percent of total billed charges		2620.55	100			Percent of total billed charges		3083	100			Percent of total billed charges		3083	100			Percent of total billed charges		3083	33.3			Percent of total billed charges		1026.639	33.3			Percent of total billed charges		1026.639	100			Percent of total billed charges		3083	1026.639	2774.7	
anesthesia time 12 1/2 hours	270	RC	Outpatient			3095	2011.75		90			Percent of total billed charges		2785.5	40			Percent of total billed charges		1238	80			Percent of total billed charges		2476	90			Percent of total billed charges		2785.5	85			Percent of total billed charges		2630.75	85			Percent of total billed charges		2630.75	85			Percent of total billed charges		2630.75	100			Percent of total billed charges		3095	100			Percent of total billed charges		3095	100			Percent of total billed charges		3095	33.3			Percent of total billed charges		1030.635	33.3			Percent of total billed charges		1030.635	100			Percent of total billed charges		3095	1030.635	2785.5	
trinica select plate 2 lv	278	RC	Outpatient			3096	2012.4		90			Percent of total billed charges		2786.4	40			Percent of total billed charges		1238.4	80			Percent of total billed charges		2476.8	90			Percent of total billed charges		2786.4	85			Percent of total billed charges		2631.6	85			Percent of total billed charges		2631.6	85			Percent of total billed charges		2631.6	100			Percent of total billed charges		3096	100			Percent of total billed charges		3096	100			Percent of total billed charges		3096	33.3			Percent of total billed charges		1030.968	33.3			Percent of total billed charges		1030.968	100			Percent of total billed charges		3096	1030.968	2786.4	
trinica select plate 38mm 2 level 07.00341.001 zimmer	278	RC	Outpatient			3096	2012.4		90			Percent of total billed charges		2786.4	40			Percent of total billed charges		1238.4	80			Percent of total billed charges		2476.8	90			Percent of total billed charges		2786.4	85			Percent of total billed charges		2631.6	85			Percent of total billed charges		2631.6	85			Percent of total billed charges		2631.6	100			Percent of total billed charges		3096	100			Percent of total billed charges		3096	100			Percent of total billed charges		3096	33.3			Percent of total billed charges		1030.968	33.3			Percent of total billed charges		1030.968	100			Percent of total billed charges		3096	1030.968	2786.4	
bio rsp glenosphere bp ha	278	RC	Outpatient			3098	2013.7		90			Percent of total billed charges		2788.2	40			Percent of total billed charges		1239.2	80			Percent of total billed charges		2478.4	90			Percent of total billed charges		2788.2	85			Percent of total billed charges		2633.3	85			Percent of total billed charges		2633.3	85			Percent of total billed charges		2633.3	100			Percent of total billed charges		3098	100			Percent of total billed charges		3098	100			Percent of total billed charges		3098	33.3			Percent of total billed charges		1031.634	33.3			Percent of total billed charges		1031.634	100			Percent of total billed charges		3098	1031.634	2788.2	
comp reverse shoulder glenospere baseplate ha 115330 biomet	278	RC	Outpatient			3098	2013.7		90			Percent of total billed charges		2788.2	40			Percent of total billed charges		1239.2	80			Percent of total billed charges		2478.4	90			Percent of total billed charges		2788.2	85			Percent of total billed charges		2633.3	85			Percent of total billed charges		2633.3	85			Percent of total billed charges		2633.3	100			Percent of total billed charges		3098	100			Percent of total billed charges		3098	100			Percent of total billed charges		3098	33.3			Percent of total billed charges		1031.634	33.3			Percent of total billed charges		1031.634	100			Percent of total billed charges		3098	1031.634	2788.2	
cosmetic - breast reduction	983	RC	Outpatient			3100	2015		90			Percent of total billed charges		2790	40			Percent of total billed charges		1240	80			Percent of total billed charges		2480	90			Percent of total billed charges		2790	85			Percent of total billed charges		2635	85			Percent of total billed charges		2635	85			Percent of total billed charges		2635	100			Percent of total billed charges		3100	100			Percent of total billed charges		3100	100			Percent of total billed charges		3100	33.3			Percent of total billed charges		1032.3	33.3			Percent of total billed charges		1032.3	100			Percent of total billed charges		3100	1032.3	2790	
cosmetic - mastopexy	983	RC	Outpatient			3100	2015		90			Percent of total billed charges		2790	40			Percent of total billed charges		1240	80			Percent of total billed charges		2480	90			Percent of total billed charges		2790	85			Percent of total billed charges		2635	85			Percent of total billed charges		2635	85			Percent of total billed charges		2635	100			Percent of total billed charges		3100	100			Percent of total billed charges		3100	100			Percent of total billed charges		3100	33.3			Percent of total billed charges		1032.3	33.3			Percent of total billed charges		1032.3	100			Percent of total billed charges		3100	1032.3	2790	
fusion cup 10 hole fc10 trimed	278	RC	Outpatient			3104	2017.6		90			Percent of total billed charges		2793.6	40			Percent of total billed charges		1241.6	80			Percent of total billed charges		2483.2	90			Percent of total billed charges		2793.6	85			Percent of total billed charges		2638.4	85			Percent of total billed charges		2638.4	85			Percent of total billed charges		2638.4	100			Percent of total billed charges		3104	100			Percent of total billed charges		3104	100			Percent of total billed charges		3104	33.3			Percent of total billed charges		1033.632	33.3			Percent of total billed charges		1033.632	100			Percent of total billed charges		3104	1033.632	2793.6	
fusion cup 7 hole fc07 trimed	278	RC	Outpatient			3104	2017.6		90			Percent of total billed charges		2793.6	40			Percent of total billed charges		1241.6	80			Percent of total billed charges		2483.2	90			Percent of total billed charges		2793.6	85			Percent of total billed charges		2638.4	85			Percent of total billed charges		2638.4	85			Percent of total billed charges		2638.4	100			Percent of total billed charges		3104	100			Percent of total billed charges		3104	100			Percent of total billed charges		3104	33.3			Percent of total billed charges		1033.632	33.3			Percent of total billed charges		1033.632	100			Percent of total billed charges		3104	1033.632	2793.6	
scorpio tibial bearing insert ps #5 18mm stryker	278	RC	Outpatient			3107	2019.55		90			Percent of total billed charges		2796.3	40			Percent of total billed charges		1242.8	80			Percent of total billed charges		2485.6	90			Percent of total billed charges		2796.3	85			Percent of total billed charges		2640.95	85			Percent of total billed charges		2640.95	85			Percent of total billed charges		2640.95	100			Percent of total billed charges		3107	100			Percent of total billed charges		3107	100			Percent of total billed charges		3107	33.3			Percent of total billed charges		1034.631	33.3			Percent of total billed charges		1034.631	100			Percent of total billed charges		3107	1034.631	2796.3	
stryker scorpio ps tib be	278	RC	Outpatient			3107	2019.55		90			Percent of total billed charges		2796.3	40			Percent of total billed charges		1242.8	80			Percent of total billed charges		2485.6	90			Percent of total billed charges		2796.3	85			Percent of total billed charges		2640.95	85			Percent of total billed charges		2640.95	85			Percent of total billed charges		2640.95	100			Percent of total billed charges		3107	100			Percent of total billed charges		3107	100			Percent of total billed charges		3107	33.3			Percent of total billed charges		1034.631	33.3			Percent of total billed charges		1034.631	100			Percent of total billed charges		3107	1034.631	2796.3	
broad plt 4.5mm 16 hl 71809496 s\n	278	RC	Outpatient			3113	2023.45		90			Percent of total billed charges		2801.7	40			Percent of total billed charges		1245.2	80			Percent of total billed charges		2490.4	90			Percent of total billed charges		2801.7	85			Percent of total billed charges		2646.05	85			Percent of total billed charges		2646.05	85			Percent of total billed charges		2646.05	100			Percent of total billed charges		3113	100			Percent of total billed charges		3113	100			Percent of total billed charges		3113	33.3			Percent of total billed charges		1036.629	33.3			Percent of total billed charges		1036.629	100			Percent of total billed charges		3113	1036.629	2801.7	
lg fr pl condylar bts 11h	278	RC	Outpatient			3113	2023.45		90			Percent of total billed charges		2801.7	40			Percent of total billed charges		1245.2	80			Percent of total billed charges		2490.4	90			Percent of total billed charges		2801.7	85			Percent of total billed charges		2646.05	85			Percent of total billed charges		2646.05	85			Percent of total billed charges		2646.05	100			Percent of total billed charges		3113	100			Percent of total billed charges		3113	100			Percent of total billed charges		3113	33.3			Percent of total billed charges		1036.629	33.3			Percent of total billed charges		1036.629	100			Percent of total billed charges		3113	1036.629	2801.7	
s/n  lg frag  plate 11 hole  7114-2111	278	RC	Outpatient			3113	2023.45		90			Percent of total billed charges		2801.7	40			Percent of total billed charges		1245.2	80			Percent of total billed charges		2490.4	90			Percent of total billed charges		2801.7	85			Percent of total billed charges		2646.05	85			Percent of total billed charges		2646.05	85			Percent of total billed charges		2646.05	100			Percent of total billed charges		3113	100			Percent of total billed charges		3113	100			Percent of total billed charges		3113	33.3			Percent of total billed charges		1036.629	33.3			Percent of total billed charges		1036.629	100			Percent of total billed charges		3113	1036.629	2801.7	
s/n 4.5 broad pl 16 hl	278	RC	Outpatient			3113	2023.45		90			Percent of total billed charges		2801.7	40			Percent of total billed charges		1245.2	80			Percent of total billed charges		2490.4	90			Percent of total billed charges		2801.7	85			Percent of total billed charges		2646.05	85			Percent of total billed charges		2646.05	85			Percent of total billed charges		2646.05	100			Percent of total billed charges		3113	100			Percent of total billed charges		3113	100			Percent of total billed charges		3113	33.3			Percent of total billed charges		1036.629	33.3			Percent of total billed charges		1036.629	100			Percent of total billed charges		3113	1036.629	2801.7	
s/n  lg frag   plate 11 hole  7114-2011	278	RC	Outpatient			3113	2023.45		90			Percent of total billed charges		2801.7	40			Percent of total billed charges		1245.2	80			Percent of total billed charges		2490.4	90			Percent of total billed charges		2801.7	85			Percent of total billed charges		2646.05	85			Percent of total billed charges		2646.05	85			Percent of total billed charges		2646.05	100			Percent of total billed charges		3113	100			Percent of total billed charges		3113	100			Percent of total billed charges		3113	33.3			Percent of total billed charges		1036.629	33.3			Percent of total billed charges		1036.629	100			Percent of total billed charges		3113	1036.629	2801.7	
s/n lg frag  plate 13 hole  7114-2013	278	RC	Outpatient			3113	2023.45		90			Percent of total billed charges		2801.7	40			Percent of total billed charges		1245.2	80			Percent of total billed charges		2490.4	90			Percent of total billed charges		2801.7	85			Percent of total billed charges		2646.05	85			Percent of total billed charges		2646.05	85			Percent of total billed charges		2646.05	100			Percent of total billed charges		3113	100			Percent of total billed charges		3113	100			Percent of total billed charges		3113	33.3			Percent of total billed charges		1036.629	33.3			Percent of total billed charges		1036.629	100			Percent of total billed charges		3113	1036.629	2801.7	
bio glenoid base	278	RC	Outpatient			3115	2024.75		90			Percent of total billed charges		2803.5	40			Percent of total billed charges		1246	80			Percent of total billed charges		2492	90			Percent of total billed charges		2803.5	85			Percent of total billed charges		2647.75	85			Percent of total billed charges		2647.75	85			Percent of total billed charges		2647.75	100			Percent of total billed charges		3115	100			Percent of total billed charges		3115	100			Percent of total billed charges		3115	33.3			Percent of total billed charges		1037.295	33.3			Percent of total billed charges		1037.295	100			Percent of total billed charges		3115	1037.295	2803.5	
bio humeral head	278	RC	Outpatient			3115	2024.75		90			Percent of total billed charges		2803.5	40			Percent of total billed charges		1246	80			Percent of total billed charges		2492	90			Percent of total billed charges		2803.5	85			Percent of total billed charges		2647.75	85			Percent of total billed charges		2647.75	85			Percent of total billed charges		2647.75	100			Percent of total billed charges		3115	100			Percent of total billed charges		3115	100			Percent of total billed charges		3115	33.3			Percent of total billed charges		1037.295	33.3			Percent of total billed charges		1037.295	100			Percent of total billed charges		3115	1037.295	2803.5	
modular hybrid glenoid post-regenerex pt-113950 biomet	278	RC	Outpatient			3115	2024.75		90			Percent of total billed charges		2803.5	40			Percent of total billed charges		1246	80			Percent of total billed charges		2492	90			Percent of total billed charges		2803.5	85			Percent of total billed charges		2647.75	85			Percent of total billed charges		2647.75	85			Percent of total billed charges		2647.75	100			Percent of total billed charges		3115	100			Percent of total billed charges		3115	100			Percent of total billed charges		3115	33.3			Percent of total billed charges		1037.295	33.3			Percent of total billed charges		1037.295	100			Percent of total billed charges		3115	1037.295	2803.5	
lg modular hybrid glenoid base 4mm 113956 biomet	278	RC	Outpatient			3115	2024.75		90			Percent of total billed charges		2803.5	40			Percent of total billed charges		1246	80			Percent of total billed charges		2492	90			Percent of total billed charges		2803.5	85			Percent of total billed charges		2647.75	85			Percent of total billed charges		2647.75	85			Percent of total billed charges		2647.75	100			Percent of total billed charges		3115	100			Percent of total billed charges		3115	100			Percent of total billed charges		3115	33.3			Percent of total billed charges		1037.295	33.3			Percent of total billed charges		1037.295	100			Percent of total billed charges		3115	1037.295	2803.5	
md modular hybrid glenoid base 4mm 113954 biomet	278	RC	Outpatient			3115	2024.75		90			Percent of total billed charges		2803.5	40			Percent of total billed charges		1246	80			Percent of total billed charges		2492	90			Percent of total billed charges		2803.5	85			Percent of total billed charges		2647.75	85			Percent of total billed charges		2647.75	85			Percent of total billed charges		2647.75	100			Percent of total billed charges		3115	100			Percent of total billed charges		3115	100			Percent of total billed charges		3115	33.3			Percent of total billed charges		1037.295	33.3			Percent of total billed charges		1037.295	100			Percent of total billed charges		3115	1037.295	2803.5	
sm modular hybrid glenoid base 4mm 113952 biomet	278	RC	Outpatient			3115	2024.75		90			Percent of total billed charges		2803.5	40			Percent of total billed charges		1246	80			Percent of total billed charges		2492	90			Percent of total billed charges		2803.5	85			Percent of total billed charges		2647.75	85			Percent of total billed charges		2647.75	85			Percent of total billed charges		2647.75	100			Percent of total billed charges		3115	100			Percent of total billed charges		3115	100			Percent of total billed charges		3115	33.3			Percent of total billed charges		1037.295	33.3			Percent of total billed charges		1037.295	100			Percent of total billed charges		3115	1037.295	2803.5	
versa-dial humeral head 38x19x39 113022 biomet	278	RC	Outpatient			3115	2024.75		90			Percent of total billed charges		2803.5	40			Percent of total billed charges		1246	80			Percent of total billed charges		2492	90			Percent of total billed charges		2803.5	85			Percent of total billed charges		2647.75	85			Percent of total billed charges		2647.75	85			Percent of total billed charges		2647.75	100			Percent of total billed charges		3115	100			Percent of total billed charges		3115	100			Percent of total billed charges		3115	33.3			Percent of total billed charges		1037.295	33.3			Percent of total billed charges		1037.295	100			Percent of total billed charges		3115	1037.295	2803.5	
versa-dial humeral head 38x21x38 113024 biomet	278	RC	Outpatient			3115	2024.75		90			Percent of total billed charges		2803.5	40			Percent of total billed charges		1246	80			Percent of total billed charges		2492	90			Percent of total billed charges		2803.5	85			Percent of total billed charges		2647.75	85			Percent of total billed charges		2647.75	85			Percent of total billed charges		2647.75	100			Percent of total billed charges		3115	100			Percent of total billed charges		3115	100			Percent of total billed charges		3115	33.3			Percent of total billed charges		1037.295	33.3			Percent of total billed charges		1037.295	100			Percent of total billed charges		3115	1037.295	2803.5	
versa-dial humeral head 42x18x46 113032 biomet	278	RC	Outpatient			3115	2024.75		90			Percent of total billed charges		2803.5	40			Percent of total billed charges		1246	80			Percent of total billed charges		2492	90			Percent of total billed charges		2803.5	85			Percent of total billed charges		2647.75	85			Percent of total billed charges		2647.75	85			Percent of total billed charges		2647.75	100			Percent of total billed charges		3115	100			Percent of total billed charges		3115	100			Percent of total billed charges		3115	33.3			Percent of total billed charges		1037.295	33.3			Percent of total billed charges		1037.295	100			Percent of total billed charges		3115	1037.295	2803.5	
versa-dial humeral head 42x21x43 113034 biomet	278	RC	Outpatient			3115	2024.75		90			Percent of total billed charges		2803.5	40			Percent of total billed charges		1246	80			Percent of total billed charges		2492	90			Percent of total billed charges		2803.5	85			Percent of total billed charges		2647.75	85			Percent of total billed charges		2647.75	85			Percent of total billed charges		2647.75	100			Percent of total billed charges		3115	100			Percent of total billed charges		3115	100			Percent of total billed charges		3115	33.3			Percent of total billed charges		1037.295	33.3			Percent of total billed charges		1037.295	100			Percent of total billed charges		3115	1037.295	2803.5	
versa-dial humeral head 42x24x42 113036 biomet	278	RC	Outpatient			3115	2024.75		90			Percent of total billed charges		2803.5	40			Percent of total billed charges		1246	80			Percent of total billed charges		2492	90			Percent of total billed charges		2803.5	85			Percent of total billed charges		2647.75	85			Percent of total billed charges		2647.75	85			Percent of total billed charges		2647.75	100			Percent of total billed charges		3115	100			Percent of total billed charges		3115	100			Percent of total billed charges		3115	33.3			Percent of total billed charges		1037.295	33.3			Percent of total billed charges		1037.295	100			Percent of total billed charges		3115	1037.295	2803.5	
versa-dial humeral head 46x18x53 113042 biomet	278	RC	Outpatient			3115	2024.75		90			Percent of total billed charges		2803.5	40			Percent of total billed charges		1246	80			Percent of total billed charges		2492	90			Percent of total billed charges		2803.5	85			Percent of total billed charges		2647.75	85			Percent of total billed charges		2647.75	85			Percent of total billed charges		2647.75	100			Percent of total billed charges		3115	100			Percent of total billed charges		3115	100			Percent of total billed charges		3115	33.3			Percent of total billed charges		1037.295	33.3			Percent of total billed charges		1037.295	100			Percent of total billed charges		3115	1037.295	2803.5	
versa-dial humeral head 48x27x46 113048 biomet	278	RC	Outpatient			3115	2024.75		90			Percent of total billed charges		2803.5	40			Percent of total billed charges		1246	80			Percent of total billed charges		2492	90			Percent of total billed charges		2803.5	85			Percent of total billed charges		2647.75	85			Percent of total billed charges		2647.75	85			Percent of total billed charges		2647.75	100			Percent of total billed charges		3115	100			Percent of total billed charges		3115	100			Percent of total billed charges		3115	33.3			Percent of total billed charges		1037.295	33.3			Percent of total billed charges		1037.295	100			Percent of total billed charges		3115	1037.295	2803.5	
versa-dial humeral head 50x21x57 113053 biomet	278	RC	Outpatient			3115	2024.75		90			Percent of total billed charges		2803.5	40			Percent of total billed charges		1246	80			Percent of total billed charges		2492	90			Percent of total billed charges		2803.5	85			Percent of total billed charges		2647.75	85			Percent of total billed charges		2647.75	85			Percent of total billed charges		2647.75	100			Percent of total billed charges		3115	100			Percent of total billed charges		3115	100			Percent of total billed charges		3115	33.3			Percent of total billed charges		1037.295	33.3			Percent of total billed charges		1037.295	100			Percent of total billed charges		3115	1037.295	2803.5	
versa-dial humeral head 54x24x58 113065 biomet	278	RC	Outpatient			3115	2024.75		90			Percent of total billed charges		2803.5	40			Percent of total billed charges		1246	80			Percent of total billed charges		2492	90			Percent of total billed charges		2803.5	85			Percent of total billed charges		2647.75	85			Percent of total billed charges		2647.75	85			Percent of total billed charges		2647.75	100			Percent of total billed charges		3115	100			Percent of total billed charges		3115	100			Percent of total billed charges		3115	33.3			Percent of total billed charges		1037.295	33.3			Percent of total billed charges		1037.295	100			Percent of total billed charges		3115	1037.295	2803.5	
versa-dial humeral head 54x27x55 113067 biomet	278	RC	Outpatient			3115	2024.75		90			Percent of total billed charges		2803.5	40			Percent of total billed charges		1246	80			Percent of total billed charges		2492	90			Percent of total billed charges		2803.5	85			Percent of total billed charges		2647.75	85			Percent of total billed charges		2647.75	85			Percent of total billed charges		2647.75	100			Percent of total billed charges		3115	100			Percent of total billed charges		3115	100			Percent of total billed charges		3115	33.3			Percent of total billed charges		1037.295	33.3			Percent of total billed charges		1037.295	100			Percent of total billed charges		3115	1037.295	2803.5	
versa-dial humeral head 46x21x50 113044 biomet	278	RC	Outpatient			3115	2024.75		90			Percent of total billed charges		2803.5	40			Percent of total billed charges		1246	80			Percent of total billed charges		2492	90			Percent of total billed charges		2803.5	85			Percent of total billed charges		2647.75	85			Percent of total billed charges		2647.75	85			Percent of total billed charges		2647.75	100			Percent of total billed charges		3115	100			Percent of total billed charges		3115	100			Percent of total billed charges		3115	33.3			Percent of total billed charges		1037.295	33.3			Percent of total billed charges		1037.295	100			Percent of total billed charges		3115	1037.295	2803.5	
versa-dial humeral head 46x24x47 113046 biomet	278	RC	Outpatient			3115	2024.75		90			Percent of total billed charges		2803.5	40			Percent of total billed charges		1246	80			Percent of total billed charges		2492	90			Percent of total billed charges		2803.5	85			Percent of total billed charges		2647.75	85			Percent of total billed charges		2647.75	85			Percent of total billed charges		2647.75	100			Percent of total billed charges		3115	100			Percent of total billed charges		3115	100			Percent of total billed charges		3115	33.3			Percent of total billed charges		1037.295	33.3			Percent of total billed charges		1037.295	100			Percent of total billed charges		3115	1037.295	2803.5	
versa-dial humeral head 50x24x52 113055 biomet	278	RC	Outpatient			3115	2024.75		90			Percent of total billed charges		2803.5	40			Percent of total billed charges		1246	80			Percent of total billed charges		2492	90			Percent of total billed charges		2803.5	85			Percent of total billed charges		2647.75	85			Percent of total billed charges		2647.75	85			Percent of total billed charges		2647.75	100			Percent of total billed charges		3115	100			Percent of total billed charges		3115	100			Percent of total billed charges		3115	33.3			Percent of total billed charges		1037.295	33.3			Percent of total billed charges		1037.295	100			Percent of total billed charges		3115	1037.295	2803.5	
versa-dial humeral head 50x27x50 113057 biomet	278	RC	Outpatient			3115	2024.75		90			Percent of total billed charges		2803.5	40			Percent of total billed charges		1246	80			Percent of total billed charges		2492	90			Percent of total billed charges		2803.5	85			Percent of total billed charges		2647.75	85			Percent of total billed charges		2647.75	85			Percent of total billed charges		2647.75	100			Percent of total billed charges		3115	100			Percent of total billed charges		3115	100			Percent of total billed charges		3115	33.3			Percent of total billed charges		1037.295	33.3			Percent of total billed charges		1037.295	100			Percent of total billed charges		3115	1037.295	2803.5	
versa-dial humeral head 54x21x64 113063 biomet	278	RC	Outpatient			3115	2024.75		90			Percent of total billed charges		2803.5	40			Percent of total billed charges		1246	80			Percent of total billed charges		2492	90			Percent of total billed charges		2803.5	85			Percent of total billed charges		2647.75	85			Percent of total billed charges		2647.75	85			Percent of total billed charges		2647.75	100			Percent of total billed charges		3115	100			Percent of total billed charges		3115	100			Percent of total billed charges		3115	33.3			Percent of total billed charges		1037.295	33.3			Percent of total billed charges		1037.295	100			Percent of total billed charges		3115	1037.295	2803.5	
versa-dial humeral head 58x24x64 113075 biomet	278	RC	Outpatient			3115	2024.75		90			Percent of total billed charges		2803.5	40			Percent of total billed charges		1246	80			Percent of total billed charges		2492	90			Percent of total billed charges		2803.5	85			Percent of total billed charges		2647.75	85			Percent of total billed charges		2647.75	85			Percent of total billed charges		2647.75	100			Percent of total billed charges		3115	100			Percent of total billed charges		3115	100			Percent of total billed charges		3115	33.3			Percent of total billed charges		1037.295	33.3			Percent of total billed charges		1037.295	100			Percent of total billed charges		3115	1037.295	2803.5	
versa-dial humeral head 58x37x61 113077 biomet	278	RC	Outpatient			3115	2024.75		90			Percent of total billed charges		2803.5	40			Percent of total billed charges		1246	80			Percent of total billed charges		2492	90			Percent of total billed charges		2803.5	85			Percent of total billed charges		2647.75	85			Percent of total billed charges		2647.75	85			Percent of total billed charges		2647.75	100			Percent of total billed charges		3115	100			Percent of total billed charges		3115	100			Percent of total billed charges		3115	33.3			Percent of total billed charges		1037.295	33.3			Percent of total billed charges		1037.295	100			Percent of total billed charges		3115	1037.295	2803.5	
13mm shoulder body sh-1340r-s polarus	278	RC	Outpatient			3117	2026.05		90			Percent of total billed charges		2805.3	40			Percent of total billed charges		1246.8	80			Percent of total billed charges		2493.6	90			Percent of total billed charges		2805.3	85			Percent of total billed charges		2649.45	85			Percent of total billed charges		2649.45	85			Percent of total billed charges		2649.45	100			Percent of total billed charges		3117	100			Percent of total billed charges		3117	100			Percent of total billed charges		3117	33.3			Percent of total billed charges		1037.961	33.3			Percent of total billed charges		1037.961	100			Percent of total billed charges		3117	1037.961	2805.3	
15mm shoulder body sh-1540l-s polarus	278	RC	Outpatient			3117	2026.05		90			Percent of total billed charges		2805.3	40			Percent of total billed charges		1246.8	80			Percent of total billed charges		2493.6	90			Percent of total billed charges		2805.3	85			Percent of total billed charges		2649.45	85			Percent of total billed charges		2649.45	85			Percent of total billed charges		2649.45	100			Percent of total billed charges		3117	100			Percent of total billed charges		3117	100			Percent of total billed charges		3117	33.3			Percent of total billed charges		1037.961	33.3			Percent of total billed charges		1037.961	100			Percent of total billed charges		3117	1037.961	2805.3	
13mm shoulder body sh-1340l-s polarus	278	RC	Outpatient			3117	2026.05		90			Percent of total billed charges		2805.3	40			Percent of total billed charges		1246.8	80			Percent of total billed charges		2493.6	90			Percent of total billed charges		2805.3	85			Percent of total billed charges		2649.45	85			Percent of total billed charges		2649.45	85			Percent of total billed charges		2649.45	100			Percent of total billed charges		3117	100			Percent of total billed charges		3117	100			Percent of total billed charges		3117	33.3			Percent of total billed charges		1037.961	33.3			Percent of total billed charges		1037.961	100			Percent of total billed charges		3117	1037.961	2805.3	
15mm shoulder body sh-1540r-s polarus	278	RC	Outpatient			3117	2026.05		90			Percent of total billed charges		2805.3	40			Percent of total billed charges		1246.8	80			Percent of total billed charges		2493.6	90			Percent of total billed charges		2805.3	85			Percent of total billed charges		2649.45	85			Percent of total billed charges		2649.45	85			Percent of total billed charges		2649.45	100			Percent of total billed charges		3117	100			Percent of total billed charges		3117	100			Percent of total billed charges		3117	33.3			Percent of total billed charges		1037.961	33.3			Percent of total billed charges		1037.961	100			Percent of total billed charges		3117	1037.961	2805.3	
polarus mod body	278	RC	Outpatient			3117	2026.05		90			Percent of total billed charges		2805.3	40			Percent of total billed charges		1246.8	80			Percent of total billed charges		2493.6	90			Percent of total billed charges		2805.3	85			Percent of total billed charges		2649.45	85			Percent of total billed charges		2649.45	85			Percent of total billed charges		2649.45	100			Percent of total billed charges		3117	100			Percent of total billed charges		3117	100			Percent of total billed charges		3117	33.3			Percent of total billed charges		1037.961	33.3			Percent of total billed charges		1037.961	100			Percent of total billed charges		3117	1037.961	2805.3	
cath lab tendril st 1782tc/52cm	272	RC	Outpatient			3135	2037.75		90			Percent of total billed charges		2821.5	40			Percent of total billed charges		1254	80			Percent of total billed charges		2508	90			Percent of total billed charges		2821.5	85			Percent of total billed charges		2664.75	85			Percent of total billed charges		2664.75	85			Percent of total billed charges		2664.75	100			Percent of total billed charges		3135	100			Percent of total billed charges		3135	100			Percent of total billed charges		3135	33.3			Percent of total billed charges		1043.955	33.3			Percent of total billed charges		1043.955	100			Percent of total billed charges		3135	1043.955	2821.5	
"cosmetic - brow, upper and lower bleph"	983	RC	Outpatient			3135	2037.75		90			Percent of total billed charges		2821.5	40			Percent of total billed charges		1254	80			Percent of total billed charges		2508	90			Percent of total billed charges		2821.5	85			Percent of total billed charges		2664.75	85			Percent of total billed charges		2664.75	85			Percent of total billed charges		2664.75	100			Percent of total billed charges		3135	100			Percent of total billed charges		3135	100			Percent of total billed charges		3135	33.3			Percent of total billed charges		1043.955	33.3			Percent of total billed charges		1043.955	100			Percent of total billed charges		3135	1043.955	2821.5	
cosmetic - fat inject nl folds and lips	983	RC	Outpatient			3135	2037.75		90			Percent of total billed charges		2821.5	40			Percent of total billed charges		1254	80			Percent of total billed charges		2508	90			Percent of total billed charges		2821.5	85			Percent of total billed charges		2664.75	85			Percent of total billed charges		2664.75	85			Percent of total billed charges		2664.75	100			Percent of total billed charges		3135	100			Percent of total billed charges		3135	100			Percent of total billed charges		3135	33.3			Percent of total billed charges		1043.955	33.3			Percent of total billed charges		1043.955	100			Percent of total billed charges		3135	1043.955	2821.5	
st. jude 1782tc/52 lead	272	RC	Outpatient			3135	2037.75		90			Percent of total billed charges		2821.5	40			Percent of total billed charges		1254	80			Percent of total billed charges		2508	90			Percent of total billed charges		2821.5	85			Percent of total billed charges		2664.75	85			Percent of total billed charges		2664.75	85			Percent of total billed charges		2664.75	100			Percent of total billed charges		3135	100			Percent of total billed charges		3135	100			Percent of total billed charges		3135	33.3			Percent of total billed charges		1043.955	33.3			Percent of total billed charges		1043.955	100			Percent of total billed charges		3135	1043.955	2821.5	
scorpio total stabilizer tibial insert #7 10mm 72-4-0710 stryker	278	RC	Outpatient			3135	2037.75		90			Percent of total billed charges		2821.5	40			Percent of total billed charges		1254	80			Percent of total billed charges		2508	90			Percent of total billed charges		2821.5	85			Percent of total billed charges		2664.75	85			Percent of total billed charges		2664.75	85			Percent of total billed charges		2664.75	100			Percent of total billed charges		3135	100			Percent of total billed charges		3135	100			Percent of total billed charges		3135	33.3			Percent of total billed charges		1043.955	33.3			Percent of total billed charges		1043.955	100			Percent of total billed charges		3135	1043.955	2821.5	
stryker scorpio tib inst	278	RC	Outpatient			3135	2037.75		90			Percent of total billed charges		2821.5	40			Percent of total billed charges		1254	80			Percent of total billed charges		2508	90			Percent of total billed charges		2821.5	85			Percent of total billed charges		2664.75	85			Percent of total billed charges		2664.75	85			Percent of total billed charges		2664.75	100			Percent of total billed charges		3135	100			Percent of total billed charges		3135	100			Percent of total billed charges		3135	33.3			Percent of total billed charges		1043.955	33.3			Percent of total billed charges		1043.955	100			Percent of total billed charges		3135	1043.955	2821.5	
anthology high offset fem component size 5 s/n 71357105	278	RC	Outpatient			3142	2042.3		90			Percent of total billed charges		2827.8	40			Percent of total billed charges		1256.8	80			Percent of total billed charges		2513.6	90			Percent of total billed charges		2827.8	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	33.3			Percent of total billed charges		1046.286	33.3			Percent of total billed charges		1046.286	100			Percent of total billed charges		3142	1046.286	2827.8	
anthology high offset fem component size 6 s/n 71357106	278	RC	Outpatient			3142	2042.3		90			Percent of total billed charges		2827.8	40			Percent of total billed charges		1256.8	80			Percent of total billed charges		2513.6	90			Percent of total billed charges		2827.8	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	33.3			Percent of total billed charges		1046.286	33.3			Percent of total billed charges		1046.286	100			Percent of total billed charges		3142	1046.286	2827.8	
anthology porous plus ha femoral stem sz 1 71357001 s/n	278	RC	Outpatient			3142	2042.3		90			Percent of total billed charges		2827.8	40			Percent of total billed charges		1256.8	80			Percent of total billed charges		2513.6	90			Percent of total billed charges		2827.8	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	33.3			Percent of total billed charges		1046.286	33.3			Percent of total billed charges		1046.286	100			Percent of total billed charges		3142	1046.286	2827.8	
anthology porous plus ha femoral stem sz 10 71357110 s/n	278	RC	Outpatient			3142	2042.3		90			Percent of total billed charges		2827.8	40			Percent of total billed charges		1256.8	80			Percent of total billed charges		2513.6	90			Percent of total billed charges		2827.8	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	33.3			Percent of total billed charges		1046.286	33.3			Percent of total billed charges		1046.286	100			Percent of total billed charges		3142	1046.286	2827.8	
anthology porous plus ha femoral stem sz 3 71357103 s/n	278	RC	Outpatient			3142	2042.3		90			Percent of total billed charges		2827.8	40			Percent of total billed charges		1256.8	80			Percent of total billed charges		2513.6	90			Percent of total billed charges		2827.8	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	33.3			Percent of total billed charges		1046.286	33.3			Percent of total billed charges		1046.286	100			Percent of total billed charges		3142	1046.286	2827.8	
anthology porous plus ha femoral stem sz 9 71357009 s/n	278	RC	Outpatient			3142	2042.3		90			Percent of total billed charges		2827.8	40			Percent of total billed charges		1256.8	80			Percent of total billed charges		2513.6	90			Percent of total billed charges		2827.8	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	33.3			Percent of total billed charges		1046.286	33.3			Percent of total billed charges		1046.286	100			Percent of total billed charges		3142	1046.286	2827.8	
anthology so porous plus ha femoral stem sz 2 71357002 s/n	278	RC	Outpatient			3142	2042.3		90			Percent of total billed charges		2827.8	40			Percent of total billed charges		1256.8	80			Percent of total billed charges		2513.6	90			Percent of total billed charges		2827.8	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	33.3			Percent of total billed charges		1046.286	33.3			Percent of total billed charges		1046.286	100			Percent of total billed charges		3142	1046.286	2827.8	
anthology so porous plus ha stem sz 10 71357010 s/n	278	RC	Outpatient			3142	2042.3		90			Percent of total billed charges		2827.8	40			Percent of total billed charges		1256.8	80			Percent of total billed charges		2513.6	90			Percent of total billed charges		2827.8	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	33.3			Percent of total billed charges		1046.286	33.3			Percent of total billed charges		1046.286	100			Percent of total billed charges		3142	1046.286	2827.8	
anthology standard offset porous stem sz 5 71356005 s/n	278	RC	Outpatient			3142	2042.3		90			Percent of total billed charges		2827.8	40			Percent of total billed charges		1256.8	80			Percent of total billed charges		2513.6	90			Percent of total billed charges		2827.8	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	33.3			Percent of total billed charges		1046.286	33.3			Percent of total billed charges		1046.286	100			Percent of total billed charges		3142	1046.286	2827.8	
anthology  standard offset porous plus ha size 3  71357003 s/n	278	RC	Outpatient			3142	2042.3		90			Percent of total billed charges		2827.8	40			Percent of total billed charges		1256.8	80			Percent of total billed charges		2513.6	90			Percent of total billed charges		2827.8	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	33.3			Percent of total billed charges		1046.286	33.3			Percent of total billed charges		1046.286	100			Percent of total billed charges		3142	1046.286	2827.8	
anthology porous plus ha femoral stem size 11 71357011 s/n	278	RC	Outpatient			3142	2042.3		90			Percent of total billed charges		2827.8	40			Percent of total billed charges		1256.8	80			Percent of total billed charges		2513.6	90			Percent of total billed charges		2827.8	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	33.3			Percent of total billed charges		1046.286	33.3			Percent of total billed charges		1046.286	100			Percent of total billed charges		3142	1046.286	2827.8	
anthology porous plus ha femoral stem sz 12 71357012 s/n	278	RC	Outpatient			3142	2042.3		90			Percent of total billed charges		2827.8	40			Percent of total billed charges		1256.8	80			Percent of total billed charges		2513.6	90			Percent of total billed charges		2827.8	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	33.3			Percent of total billed charges		1046.286	33.3			Percent of total billed charges		1046.286	100			Percent of total billed charges		3142	1046.286	2827.8	
anthology porous plus ha femoral stem sz 12 71357112 s/n	278	RC	Outpatient			3142	2042.3		90			Percent of total billed charges		2827.8	40			Percent of total billed charges		1256.8	80			Percent of total billed charges		2513.6	90			Percent of total billed charges		2827.8	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	33.3			Percent of total billed charges		1046.286	33.3			Percent of total billed charges		1046.286	100			Percent of total billed charges		3142	1046.286	2827.8	
anthology porous plus ha femoral stem sz 5 71357005 s/n	278	RC	Outpatient			3142	2042.3		90			Percent of total billed charges		2827.8	40			Percent of total billed charges		1256.8	80			Percent of total billed charges		2513.6	90			Percent of total billed charges		2827.8	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	33.3			Percent of total billed charges		1046.286	33.3			Percent of total billed charges		1046.286	100			Percent of total billed charges		3142	1046.286	2827.8	
anthology porous plus ha femoral stem sz 7 71357107 s/n	278	RC	Outpatient			3142	2042.3		90			Percent of total billed charges		2827.8	40			Percent of total billed charges		1256.8	80			Percent of total billed charges		2513.6	90			Percent of total billed charges		2827.8	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	33.3			Percent of total billed charges		1046.286	33.3			Percent of total billed charges		1046.286	100			Percent of total billed charges		3142	1046.286	2827.8	
anthology porous plus ha femoral stem sz 8 71357008 s/n	278	RC	Outpatient			3142	2042.3		90			Percent of total billed charges		2827.8	40			Percent of total billed charges		1256.8	80			Percent of total billed charges		2513.6	90			Percent of total billed charges		2827.8	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	33.3			Percent of total billed charges		1046.286	33.3			Percent of total billed charges		1046.286	100			Percent of total billed charges		3142	1046.286	2827.8	
anthology porous plus ha femoral stem sz 8 71357108 s/n	278	RC	Outpatient			3142	2042.3		90			Percent of total billed charges		2827.8	40			Percent of total billed charges		1256.8	80			Percent of total billed charges		2513.6	90			Percent of total billed charges		2827.8	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	33.3			Percent of total billed charges		1046.286	33.3			Percent of total billed charges		1046.286	100			Percent of total billed charges		3142	1046.286	2827.8	
anthology porous plus ha femoral stem sz 9 71357109 s/n	278	RC	Outpatient			3142	2042.3		90			Percent of total billed charges		2827.8	40			Percent of total billed charges		1256.8	80			Percent of total billed charges		2513.6	90			Percent of total billed charges		2827.8	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	33.3			Percent of total billed charges		1046.286	33.3			Percent of total billed charges		1046.286	100			Percent of total billed charges		3142	1046.286	2827.8	
anthology standard offset porous plus ha size 4 71357004 s/n	278	RC	Outpatient			3142	2042.3		90			Percent of total billed charges		2827.8	40			Percent of total billed charges		1256.8	80			Percent of total billed charges		2513.6	90			Percent of total billed charges		2827.8	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	33.3			Percent of total billed charges		1046.286	33.3			Percent of total billed charges		1046.286	100			Percent of total billed charges		3142	1046.286	2827.8	
integra panta nail	278	RC	Outpatient			3142	2042.3		90			Percent of total billed charges		2827.8	40			Percent of total billed charges		1256.8	80			Percent of total billed charges		2513.6	90			Percent of total billed charges		2827.8	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	33.3			Percent of total billed charges		1046.286	33.3			Percent of total billed charges		1046.286	100			Percent of total billed charges		3142	1046.286	2827.8	
panta nail 500-050nd 10 x 150mm integra lifescience	278	RC	Outpatient			3142	2042.3		90			Percent of total billed charges		2827.8	40			Percent of total billed charges		1256.8	80			Percent of total billed charges		2513.6	90			Percent of total billed charges		2827.8	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	33.3			Percent of total billed charges		1046.286	33.3			Percent of total billed charges		1046.286	100			Percent of total billed charges		3142	1046.286	2827.8	
s/n synergy fem	278	RC	Outpatient			3142	2042.3		90			Percent of total billed charges		2827.8	40			Percent of total billed charges		1256.8	80			Percent of total billed charges		2513.6	90			Percent of total billed charges		2827.8	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	33.3			Percent of total billed charges		1046.286	33.3			Percent of total billed charges		1046.286	100			Percent of total billed charges		3142	1046.286	2827.8	
synergy fem comp sz 10 71306610 s/n	278	RC	Outpatient			3142	2042.3		90			Percent of total billed charges		2827.8	40			Percent of total billed charges		1256.8	80			Percent of total billed charges		2513.6	90			Percent of total billed charges		2827.8	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	33.3			Percent of total billed charges		1046.286	33.3			Percent of total billed charges		1046.286	100			Percent of total billed charges		3142	1046.286	2827.8	
synergy fem comp sz 11 71306111 s/n	278	RC	Outpatient			3142	2042.3		90			Percent of total billed charges		2827.8	40			Percent of total billed charges		1256.8	80			Percent of total billed charges		2513.6	90			Percent of total billed charges		2827.8	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	33.3			Percent of total billed charges		1046.286	33.3			Percent of total billed charges		1046.286	100			Percent of total billed charges		3142	1046.286	2827.8	
synergy fem comp sz 11 71306611 s/n	278	RC	Outpatient			3142	2042.3		90			Percent of total billed charges		2827.8	40			Percent of total billed charges		1256.8	80			Percent of total billed charges		2513.6	90			Percent of total billed charges		2827.8	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	33.3			Percent of total billed charges		1046.286	33.3			Percent of total billed charges		1046.286	100			Percent of total billed charges		3142	1046.286	2827.8	
synergy fem comp sz 16 71306116 s/n	278	RC	Outpatient			3142	2042.3		90			Percent of total billed charges		2827.8	40			Percent of total billed charges		1256.8	80			Percent of total billed charges		2513.6	90			Percent of total billed charges		2827.8	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	33.3			Percent of total billed charges		1046.286	33.3			Percent of total billed charges		1046.286	100			Percent of total billed charges		3142	1046.286	2827.8	
synergy fem comp sz 18 71306118 s/n	278	RC	Outpatient			3142	2042.3		90			Percent of total billed charges		2827.8	40			Percent of total billed charges		1256.8	80			Percent of total billed charges		2513.6	90			Percent of total billed charges		2827.8	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	33.3			Percent of total billed charges		1046.286	33.3			Percent of total billed charges		1046.286	100			Percent of total billed charges		3142	1046.286	2827.8	
synergy fem comp sz 9 71306109 s/n	278	RC	Outpatient			3142	2042.3		90			Percent of total billed charges		2827.8	40			Percent of total billed charges		1256.8	80			Percent of total billed charges		2513.6	90			Percent of total billed charges		2827.8	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	33.3			Percent of total billed charges		1046.286	33.3			Percent of total billed charges		1046.286	100			Percent of total billed charges		3142	1046.286	2827.8	
synergy porous plus ha ho stem sz 10 71309110 s/n	278	RC	Outpatient			3142	2042.3		90			Percent of total billed charges		2827.8	40			Percent of total billed charges		1256.8	80			Percent of total billed charges		2513.6	90			Percent of total billed charges		2827.8	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	33.3			Percent of total billed charges		1046.286	33.3			Percent of total billed charges		1046.286	100			Percent of total billed charges		3142	1046.286	2827.8	
synergy porous plus ha so stem sz 10 71309010 s/n	278	RC	Outpatient			3142	2042.3		90			Percent of total billed charges		2827.8	40			Percent of total billed charges		1256.8	80			Percent of total billed charges		2513.6	90			Percent of total billed charges		2827.8	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	33.3			Percent of total billed charges		1046.286	33.3			Percent of total billed charges		1046.286	100			Percent of total billed charges		3142	1046.286	2827.8	
synergy porous plus ha so stem sz 11 71309011 s/n	278	RC	Outpatient			3142	2042.3		90			Percent of total billed charges		2827.8	40			Percent of total billed charges		1256.8	80			Percent of total billed charges		2513.6	90			Percent of total billed charges		2827.8	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	33.3			Percent of total billed charges		1046.286	33.3			Percent of total billed charges		1046.286	100			Percent of total billed charges		3142	1046.286	2827.8	
synergy porous plus ha so stem sz 13 71309013 s/n	278	RC	Outpatient			3142	2042.3		90			Percent of total billed charges		2827.8	40			Percent of total billed charges		1256.8	80			Percent of total billed charges		2513.6	90			Percent of total billed charges		2827.8	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	33.3			Percent of total billed charges		1046.286	33.3			Percent of total billed charges		1046.286	100			Percent of total billed charges		3142	1046.286	2827.8	
synergy porous plus ha so stem sz 9 7130-9009 s/n	278	RC	Outpatient			3142	2042.3		90			Percent of total billed charges		2827.8	40			Percent of total billed charges		1256.8	80			Percent of total billed charges		2513.6	90			Percent of total billed charges		2827.8	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	33.3			Percent of total billed charges		1046.286	33.3			Percent of total billed charges		1046.286	100			Percent of total billed charges		3142	1046.286	2827.8	
synergy porous plus ha so stem sz12 71309112 s/n	278	RC	Outpatient			3142	2042.3		90			Percent of total billed charges		2827.8	40			Percent of total billed charges		1256.8	80			Percent of total billed charges		2513.6	90			Percent of total billed charges		2827.8	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	33.3			Percent of total billed charges		1046.286	33.3			Percent of total billed charges		1046.286	100			Percent of total billed charges		3142	1046.286	2827.8	
synergy fem comp sz 10 71306110 s/n	278	RC	Outpatient			3142	2042.3		90			Percent of total billed charges		2827.8	40			Percent of total billed charges		1256.8	80			Percent of total billed charges		2513.6	90			Percent of total billed charges		2827.8	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	33.3			Percent of total billed charges		1046.286	33.3			Percent of total billed charges		1046.286	100			Percent of total billed charges		3142	1046.286	2827.8	
synergy fem comp sz 12 71306112 s/n	278	RC	Outpatient			3142	2042.3		90			Percent of total billed charges		2827.8	40			Percent of total billed charges		1256.8	80			Percent of total billed charges		2513.6	90			Percent of total billed charges		2827.8	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	33.3			Percent of total billed charges		1046.286	33.3			Percent of total billed charges		1046.286	100			Percent of total billed charges		3142	1046.286	2827.8	
synergy fem comp sz 12 71306612 s/n	278	RC	Outpatient			3142	2042.3		90			Percent of total billed charges		2827.8	40			Percent of total billed charges		1256.8	80			Percent of total billed charges		2513.6	90			Percent of total billed charges		2827.8	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	33.3			Percent of total billed charges		1046.286	33.3			Percent of total billed charges		1046.286	100			Percent of total billed charges		3142	1046.286	2827.8	
synergy fem comp sz 13 71306113 s/n	278	RC	Outpatient			3142	2042.3		90			Percent of total billed charges		2827.8	40			Percent of total billed charges		1256.8	80			Percent of total billed charges		2513.6	90			Percent of total billed charges		2827.8	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	33.3			Percent of total billed charges		1046.286	33.3			Percent of total billed charges		1046.286	100			Percent of total billed charges		3142	1046.286	2827.8	
synergy fem comp sz 13 71306613 s/n	278	RC	Outpatient			3142	2042.3		90			Percent of total billed charges		2827.8	40			Percent of total billed charges		1256.8	80			Percent of total billed charges		2513.6	90			Percent of total billed charges		2827.8	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	33.3			Percent of total billed charges		1046.286	33.3			Percent of total billed charges		1046.286	100			Percent of total billed charges		3142	1046.286	2827.8	
synergy fem comp sz 14 71306114 s/n	278	RC	Outpatient			3142	2042.3		90			Percent of total billed charges		2827.8	40			Percent of total billed charges		1256.8	80			Percent of total billed charges		2513.6	90			Percent of total billed charges		2827.8	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	33.3			Percent of total billed charges		1046.286	33.3			Percent of total billed charges		1046.286	100			Percent of total billed charges		3142	1046.286	2827.8	
synergy fem comp sz 14 71306614 s/n	278	RC	Outpatient			3142	2042.3		90			Percent of total billed charges		2827.8	40			Percent of total billed charges		1256.8	80			Percent of total billed charges		2513.6	90			Percent of total billed charges		2827.8	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	33.3			Percent of total billed charges		1046.286	33.3			Percent of total billed charges		1046.286	100			Percent of total billed charges		3142	1046.286	2827.8	
synergy fem comp sz 15 71306115 s/n	278	RC	Outpatient			3142	2042.3		90			Percent of total billed charges		2827.8	40			Percent of total billed charges		1256.8	80			Percent of total billed charges		2513.6	90			Percent of total billed charges		2827.8	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	33.3			Percent of total billed charges		1046.286	33.3			Percent of total billed charges		1046.286	100			Percent of total billed charges		3142	1046.286	2827.8	
synergy fem comp sz 15 71306615 s/n	278	RC	Outpatient			3142	2042.3		90			Percent of total billed charges		2827.8	40			Percent of total billed charges		1256.8	80			Percent of total billed charges		2513.6	90			Percent of total billed charges		2827.8	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	33.3			Percent of total billed charges		1046.286	33.3			Percent of total billed charges		1046.286	100			Percent of total billed charges		3142	1046.286	2827.8	
synergy fem comp sz 16 71306616 s/n	278	RC	Outpatient			3142	2042.3		90			Percent of total billed charges		2827.8	40			Percent of total billed charges		1256.8	80			Percent of total billed charges		2513.6	90			Percent of total billed charges		2827.8	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	33.3			Percent of total billed charges		1046.286	33.3			Percent of total billed charges		1046.286	100			Percent of total billed charges		3142	1046.286	2827.8	
synergy fem comp sz 17 71306117 s/n	278	RC	Outpatient			3142	2042.3		90			Percent of total billed charges		2827.8	40			Percent of total billed charges		1256.8	80			Percent of total billed charges		2513.6	90			Percent of total billed charges		2827.8	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	33.3			Percent of total billed charges		1046.286	33.3			Percent of total billed charges		1046.286	100			Percent of total billed charges		3142	1046.286	2827.8	
synergy fem comp sz 17 71306617 s/n	278	RC	Outpatient			3142	2042.3		90			Percent of total billed charges		2827.8	40			Percent of total billed charges		1256.8	80			Percent of total billed charges		2513.6	90			Percent of total billed charges		2827.8	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	33.3			Percent of total billed charges		1046.286	33.3			Percent of total billed charges		1046.286	100			Percent of total billed charges		3142	1046.286	2827.8	
synergy fem comp sz 18 71306618 s/n	278	RC	Outpatient			3142	2042.3		90			Percent of total billed charges		2827.8	40			Percent of total billed charges		1256.8	80			Percent of total billed charges		2513.6	90			Percent of total billed charges		2827.8	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	33.3			Percent of total billed charges		1046.286	33.3			Percent of total billed charges		1046.286	100			Percent of total billed charges		3142	1046.286	2827.8	
synergy fem comp sz 9 71306609 s/n	278	RC	Outpatient			3142	2042.3		90			Percent of total billed charges		2827.8	40			Percent of total billed charges		1256.8	80			Percent of total billed charges		2513.6	90			Percent of total billed charges		2827.8	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	33.3			Percent of total billed charges		1046.286	33.3			Percent of total billed charges		1046.286	100			Percent of total billed charges		3142	1046.286	2827.8	
synergy femoral  component sz 8 71306608 s/n	278	RC	Outpatient			3142	2042.3		90			Percent of total billed charges		2827.8	40			Percent of total billed charges		1256.8	80			Percent of total billed charges		2513.6	90			Percent of total billed charges		2827.8	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	33.3			Percent of total billed charges		1046.286	33.3			Percent of total billed charges		1046.286	100			Percent of total billed charges		3142	1046.286	2827.8	
synergy porous plus ha ho stem sz 14 71309114 s/n	278	RC	Outpatient			3142	2042.3		90			Percent of total billed charges		2827.8	40			Percent of total billed charges		1256.8	80			Percent of total billed charges		2513.6	90			Percent of total billed charges		2827.8	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	33.3			Percent of total billed charges		1046.286	33.3			Percent of total billed charges		1046.286	100			Percent of total billed charges		3142	1046.286	2827.8	
synergy porous plus ha ho stem sz 16 71309016 s/n	278	RC	Outpatient			3142	2042.3		90			Percent of total billed charges		2827.8	40			Percent of total billed charges		1256.8	80			Percent of total billed charges		2513.6	90			Percent of total billed charges		2827.8	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	33.3			Percent of total billed charges		1046.286	33.3			Percent of total billed charges		1046.286	100			Percent of total billed charges		3142	1046.286	2827.8	
synergy porous plus ha ho stem sz11 71309111 s/n	278	RC	Outpatient			3142	2042.3		90			Percent of total billed charges		2827.8	40			Percent of total billed charges		1256.8	80			Percent of total billed charges		2513.6	90			Percent of total billed charges		2827.8	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	33.3			Percent of total billed charges		1046.286	33.3			Percent of total billed charges		1046.286	100			Percent of total billed charges		3142	1046.286	2827.8	
synergy porous plus ha so stem sz 12 71309012 s/n	278	RC	Outpatient			3142	2042.3		90			Percent of total billed charges		2827.8	40			Percent of total billed charges		1256.8	80			Percent of total billed charges		2513.6	90			Percent of total billed charges		2827.8	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	33.3			Percent of total billed charges		1046.286	33.3			Percent of total billed charges		1046.286	100			Percent of total billed charges		3142	1046.286	2827.8	
synergy porous plus ha so stem sz 14 71309014 s/n	278	RC	Outpatient			3142	2042.3		90			Percent of total billed charges		2827.8	40			Percent of total billed charges		1256.8	80			Percent of total billed charges		2513.6	90			Percent of total billed charges		2827.8	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	33.3			Percent of total billed charges		1046.286	33.3			Percent of total billed charges		1046.286	100			Percent of total billed charges		3142	1046.286	2827.8	
synergy porous plus ha so stem sz 18 71309018 s/n	278	RC	Outpatient			3142	2042.3		90			Percent of total billed charges		2827.8	40			Percent of total billed charges		1256.8	80			Percent of total billed charges		2513.6	90			Percent of total billed charges		2827.8	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	33.3			Percent of total billed charges		1046.286	33.3			Percent of total billed charges		1046.286	100			Percent of total billed charges		3142	1046.286	2827.8	
synergy porous plus ha so stem sz13 71309113 s/n	278	RC	Outpatient			3142	2042.3		90			Percent of total billed charges		2827.8	40			Percent of total billed charges		1256.8	80			Percent of total billed charges		2513.6	90			Percent of total billed charges		2827.8	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	85			Percent of total billed charges		2670.7	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	100			Percent of total billed charges		3142	33.3			Percent of total billed charges		1046.286	33.3			Percent of total billed charges		1046.286	100			Percent of total billed charges		3142	1046.286	2827.8	
"mrh bushings, sleeve, neutral bumper  6481-2-150 stryker"	278	RC	Outpatient			3147	2045.55		90			Percent of total billed charges		2832.3	40			Percent of total billed charges		1258.8	80			Percent of total billed charges		2517.6	90			Percent of total billed charges		2832.3	85			Percent of total billed charges		2674.95	85			Percent of total billed charges		2674.95	85			Percent of total billed charges		2674.95	100			Percent of total billed charges		3147	100			Percent of total billed charges		3147	100			Percent of total billed charges		3147	33.3			Percent of total billed charges		1047.951	33.3			Percent of total billed charges		1047.951	100			Percent of total billed charges		3147	1047.951	2832.3	
stryker mrh bushing sleev	278	RC	Outpatient			3147	2045.55		90			Percent of total billed charges		2832.3	40			Percent of total billed charges		1258.8	80			Percent of total billed charges		2517.6	90			Percent of total billed charges		2832.3	85			Percent of total billed charges		2674.95	85			Percent of total billed charges		2674.95	85			Percent of total billed charges		2674.95	100			Percent of total billed charges		3147	100			Percent of total billed charges		3147	100			Percent of total billed charges		3147	33.3			Percent of total billed charges		1047.951	33.3			Percent of total billed charges		1047.951	100			Percent of total billed charges		3147	1047.951	2832.3	
legacy pedicle screw	278	RC	Outpatient			3149	2046.85		90			Percent of total billed charges		2834.1	40			Percent of total billed charges		1259.6	80			Percent of total billed charges		2519.2	90			Percent of total billed charges		2834.1	85			Percent of total billed charges		2676.65	85			Percent of total billed charges		2676.65	85			Percent of total billed charges		2676.65	100			Percent of total billed charges		3149	100			Percent of total billed charges		3149	100			Percent of total billed charges		3149	33.3			Percent of total billed charges		1048.617	33.3			Percent of total billed charges		1048.617	100			Percent of total billed charges		3149	1048.617	2834.1	
triathlon fluted stem 14 x 150 5566-s-014 stryker	278	RC	Outpatient			3154	2050.1		90			Percent of total billed charges		2838.6	40			Percent of total billed charges		1261.6	80			Percent of total billed charges		2523.2	90			Percent of total billed charges		2838.6	85			Percent of total billed charges		2680.9	85			Percent of total billed charges		2680.9	85			Percent of total billed charges		2680.9	100			Percent of total billed charges		3154	100			Percent of total billed charges		3154	100			Percent of total billed charges		3154	33.3			Percent of total billed charges		1050.282	33.3			Percent of total billed charges		1050.282	100			Percent of total billed charges		3154	1050.282	2838.6	
triathlon fluted stem 16 x 150 5566-s-016 stryker	278	RC	Outpatient			3154	2050.1		90			Percent of total billed charges		2838.6	40			Percent of total billed charges		1261.6	80			Percent of total billed charges		2523.2	90			Percent of total billed charges		2838.6	85			Percent of total billed charges		2680.9	85			Percent of total billed charges		2680.9	85			Percent of total billed charges		2680.9	100			Percent of total billed charges		3154	100			Percent of total billed charges		3154	100			Percent of total billed charges		3154	33.3			Percent of total billed charges		1050.282	33.3			Percent of total billed charges		1050.282	100			Percent of total billed charges		3154	1050.282	2838.6	
triathlon stem fluted 150	278	RC	Outpatient			3154	2050.1		90			Percent of total billed charges		2838.6	40			Percent of total billed charges		1261.6	80			Percent of total billed charges		2523.2	90			Percent of total billed charges		2838.6	85			Percent of total billed charges		2680.9	85			Percent of total billed charges		2680.9	85			Percent of total billed charges		2680.9	100			Percent of total billed charges		3154	100			Percent of total billed charges		3154	100			Percent of total billed charges		3154	33.3			Percent of total billed charges		1050.282	33.3			Percent of total billed charges		1050.282	100			Percent of total billed charges		3154	1050.282	2838.6	
bio agc univ fem	278	RC	Outpatient			3171	2061.15		90			Percent of total billed charges		2853.9	40			Percent of total billed charges		1268.4	80			Percent of total billed charges		2536.8	90			Percent of total billed charges		2853.9	85			Percent of total billed charges		2695.35	85			Percent of total billed charges		2695.35	85			Percent of total billed charges		2695.35	100			Percent of total billed charges		3171	100			Percent of total billed charges		3171	100			Percent of total billed charges		3171	33.3			Percent of total billed charges		1055.943	33.3			Percent of total billed charges		1055.943	100			Percent of total billed charges		3171	1055.943	2853.9	
biomet  interlok femoral 70mm 155424	278	RC	Outpatient			3171	2061.15		90			Percent of total billed charges		2853.9	40			Percent of total billed charges		1268.4	80			Percent of total billed charges		2536.8	90			Percent of total billed charges		2853.9	85			Percent of total billed charges		2695.35	85			Percent of total billed charges		2695.35	85			Percent of total billed charges		2695.35	100			Percent of total billed charges		3171	100			Percent of total billed charges		3171	100			Percent of total billed charges		3171	33.3			Percent of total billed charges		1055.943	33.3			Percent of total billed charges		1055.943	100			Percent of total billed charges		3171	1055.943	2853.9	
biomet  interlok femoral 80mm 155426	278	RC	Outpatient			3171	2061.15		90			Percent of total billed charges		2853.9	40			Percent of total billed charges		1268.4	80			Percent of total billed charges		2536.8	90			Percent of total billed charges		2853.9	85			Percent of total billed charges		2695.35	85			Percent of total billed charges		2695.35	85			Percent of total billed charges		2695.35	100			Percent of total billed charges		3171	100			Percent of total billed charges		3171	100			Percent of total billed charges		3171	33.3			Percent of total billed charges		1055.943	33.3			Percent of total billed charges		1055.943	100			Percent of total billed charges		3171	1055.943	2853.9	
biomet interlok femoral 55mm 155421	278	RC	Outpatient			3171	2061.15		90			Percent of total billed charges		2853.9	40			Percent of total billed charges		1268.4	80			Percent of total billed charges		2536.8	90			Percent of total billed charges		2853.9	85			Percent of total billed charges		2695.35	85			Percent of total billed charges		2695.35	85			Percent of total billed charges		2695.35	100			Percent of total billed charges		3171	100			Percent of total billed charges		3171	100			Percent of total billed charges		3171	33.3			Percent of total billed charges		1055.943	33.3			Percent of total billed charges		1055.943	100			Percent of total billed charges		3171	1055.943	2853.9	
biomet  interlok femoral 60mm 155422	278	RC	Outpatient			3171	2061.15		90			Percent of total billed charges		2853.9	40			Percent of total billed charges		1268.4	80			Percent of total billed charges		2536.8	90			Percent of total billed charges		2853.9	85			Percent of total billed charges		2695.35	85			Percent of total billed charges		2695.35	85			Percent of total billed charges		2695.35	100			Percent of total billed charges		3171	100			Percent of total billed charges		3171	100			Percent of total billed charges		3171	33.3			Percent of total billed charges		1055.943	33.3			Percent of total billed charges		1055.943	100			Percent of total billed charges		3171	1055.943	2853.9	
biomet  interlok femoral 65mm 155423	278	RC	Outpatient			3171	2061.15		90			Percent of total billed charges		2853.9	40			Percent of total billed charges		1268.4	80			Percent of total billed charges		2536.8	90			Percent of total billed charges		2853.9	85			Percent of total billed charges		2695.35	85			Percent of total billed charges		2695.35	85			Percent of total billed charges		2695.35	100			Percent of total billed charges		3171	100			Percent of total billed charges		3171	100			Percent of total billed charges		3171	33.3			Percent of total billed charges		1055.943	33.3			Percent of total billed charges		1055.943	100			Percent of total billed charges		3171	1055.943	2853.9	
biomet  interlok femoral 75mm 155425	278	RC	Outpatient			3171	2061.15		90			Percent of total billed charges		2853.9	40			Percent of total billed charges		1268.4	80			Percent of total billed charges		2536.8	90			Percent of total billed charges		2853.9	85			Percent of total billed charges		2695.35	85			Percent of total billed charges		2695.35	85			Percent of total billed charges		2695.35	100			Percent of total billed charges		3171	100			Percent of total billed charges		3171	100			Percent of total billed charges		3171	33.3			Percent of total billed charges		1055.943	33.3			Percent of total billed charges		1055.943	100			Percent of total billed charges		3171	1055.943	2853.9	
bio el acct liner	278	RC	Outpatient			3185	2070.25		90			Percent of total billed charges		2866.5	40			Percent of total billed charges		1274	80			Percent of total billed charges		2548	90			Percent of total billed charges		2866.5	85			Percent of total billed charges		2707.25	85			Percent of total billed charges		2707.25	85			Percent of total billed charges		2707.25	100			Percent of total billed charges		3185	100			Percent of total billed charges		3185	100			Percent of total billed charges		3185	33.3			Percent of total billed charges		1060.605	33.3			Percent of total billed charges		1060.605	100			Percent of total billed charges		3185	1060.605	2866.5	
bio e-poly liner	278	RC	Outpatient			3185	2070.25		90			Percent of total billed charges		2866.5	40			Percent of total billed charges		1274	80			Percent of total billed charges		2548	90			Percent of total billed charges		2866.5	85			Percent of total billed charges		2707.25	85			Percent of total billed charges		2707.25	85			Percent of total billed charges		2707.25	100			Percent of total billed charges		3185	100			Percent of total billed charges		3185	100			Percent of total billed charges		3185	33.3			Percent of total billed charges		1060.605	33.3			Percent of total billed charges		1060.605	100			Percent of total billed charges		3185	1060.605	2866.5	
e1  40mm ringloc acet liner +3 hi-wall sz 22 ep-108322 biomet	278	RC	Outpatient			3185	2070.25		90			Percent of total billed charges		2866.5	40			Percent of total billed charges		1274	80			Percent of total billed charges		2548	90			Percent of total billed charges		2866.5	85			Percent of total billed charges		2707.25	85			Percent of total billed charges		2707.25	85			Percent of total billed charges		2707.25	100			Percent of total billed charges		3185	100			Percent of total billed charges		3185	100			Percent of total billed charges		3185	33.3			Percent of total billed charges		1060.605	33.3			Percent of total billed charges		1060.605	100			Percent of total billed charges		3185	1060.605	2866.5	
e1  40mm ringloc acet liner +3 hi-wall sz 24 ep-108524 biomet	278	RC	Outpatient			3185	2070.25		90			Percent of total billed charges		2866.5	40			Percent of total billed charges		1274	80			Percent of total billed charges		2548	90			Percent of total billed charges		2866.5	85			Percent of total billed charges		2707.25	85			Percent of total billed charges		2707.25	85			Percent of total billed charges		2707.25	100			Percent of total billed charges		3185	100			Percent of total billed charges		3185	100			Percent of total billed charges		3185	33.3			Percent of total billed charges		1060.605	33.3			Percent of total billed charges		1060.605	100			Percent of total billed charges		3185	1060.605	2866.5	
e1  40mm ringloc acet liner +3 hi-wall sz 25 ep-108525 biomet	278	RC	Outpatient			3185	2070.25		90			Percent of total billed charges		2866.5	40			Percent of total billed charges		1274	80			Percent of total billed charges		2548	90			Percent of total billed charges		2866.5	85			Percent of total billed charges		2707.25	85			Percent of total billed charges		2707.25	85			Percent of total billed charges		2707.25	100			Percent of total billed charges		3185	100			Percent of total billed charges		3185	100			Percent of total billed charges		3185	33.3			Percent of total billed charges		1060.605	33.3			Percent of total billed charges		1060.605	100			Percent of total billed charges		3185	1060.605	2866.5	
e1 ringloc acet liner 36mm ep-108223 biomet	278	RC	Outpatient			3185	2070.25		90			Percent of total billed charges		2866.5	40			Percent of total billed charges		1274	80			Percent of total billed charges		2548	90			Percent of total billed charges		2866.5	85			Percent of total billed charges		2707.25	85			Percent of total billed charges		2707.25	85			Percent of total billed charges		2707.25	100			Percent of total billed charges		3185	100			Percent of total billed charges		3185	100			Percent of total billed charges		3185	33.3			Percent of total billed charges		1060.605	33.3			Percent of total billed charges		1060.605	100			Percent of total billed charges		3185	1060.605	2866.5	
e-poly 36mm ringloc acet liner +3 hi-wall sz 23 ep-108323 biomet	278	RC	Outpatient			3185	2070.25		90			Percent of total billed charges		2866.5	40			Percent of total billed charges		1274	80			Percent of total billed charges		2548	90			Percent of total billed charges		2866.5	85			Percent of total billed charges		2707.25	85			Percent of total billed charges		2707.25	85			Percent of total billed charges		2707.25	100			Percent of total billed charges		3185	100			Percent of total billed charges		3185	100			Percent of total billed charges		3185	33.3			Percent of total billed charges		1060.605	33.3			Percent of total billed charges		1060.605	100			Percent of total billed charges		3185	1060.605	2866.5	
e1 40mm ringloc acet liner +3 hi-wall sz 26 ep-108526 biomet	278	RC	Outpatient			3185	2070.25		90			Percent of total billed charges		2866.5	40			Percent of total billed charges		1274	80			Percent of total billed charges		2548	90			Percent of total billed charges		2866.5	85			Percent of total billed charges		2707.25	85			Percent of total billed charges		2707.25	85			Percent of total billed charges		2707.25	100			Percent of total billed charges		3185	100			Percent of total billed charges		3185	100			Percent of total billed charges		3185	33.3			Percent of total billed charges		1060.605	33.3			Percent of total billed charges		1060.605	100			Percent of total billed charges		3185	1060.605	2866.5	
e1 ringloc acet liner 48mm ep-108426 biomet	278	RC	Outpatient			3185	2070.25		90			Percent of total billed charges		2866.5	40			Percent of total billed charges		1274	80			Percent of total billed charges		2548	90			Percent of total billed charges		2866.5	85			Percent of total billed charges		2707.25	85			Percent of total billed charges		2707.25	85			Percent of total billed charges		2707.25	100			Percent of total billed charges		3185	100			Percent of total billed charges		3185	100			Percent of total billed charges		3185	33.3			Percent of total billed charges		1060.605	33.3			Percent of total billed charges		1060.605	100			Percent of total billed charges		3185	1060.605	2866.5	
biomet maclaughlin cup	278	RC	Outpatient			3187	2071.55		90			Percent of total billed charges		2868.3	40			Percent of total billed charges		1274.8	80			Percent of total billed charges		2549.6	90			Percent of total billed charges		2868.3	85			Percent of total billed charges		2708.95	85			Percent of total billed charges		2708.95	85			Percent of total billed charges		2708.95	100			Percent of total billed charges		3187	100			Percent of total billed charges		3187	100			Percent of total billed charges		3187	33.3			Percent of total billed charges		1061.271	33.3			Percent of total billed charges		1061.271	100			Percent of total billed charges		3187	1061.271	2868.3	
mclaughlin shell 54 mm  103905 biomet	278	RC	Outpatient			3187	2071.55		90			Percent of total billed charges		2868.3	40			Percent of total billed charges		1274.8	80			Percent of total billed charges		2549.6	90			Percent of total billed charges		2868.3	85			Percent of total billed charges		2708.95	85			Percent of total billed charges		2708.95	85			Percent of total billed charges		2708.95	100			Percent of total billed charges		3187	100			Percent of total billed charges		3187	100			Percent of total billed charges		3187	33.3			Percent of total billed charges		1061.271	33.3			Percent of total billed charges		1061.271	100			Percent of total billed charges		3187	1061.271	2868.3	
natrelle tissue expander w/tabs 450cc  133fx-12-t allergan	278	RC	Outpatient			3199	2079.35		90			Percent of total billed charges		2879.1	40			Percent of total billed charges		1279.6	80			Percent of total billed charges		2559.2	90			Percent of total billed charges		2879.1	85			Percent of total billed charges		2719.15	85			Percent of total billed charges		2719.15	85			Percent of total billed charges		2719.15	100			Percent of total billed charges		3199	100			Percent of total billed charges		3199	100			Percent of total billed charges		3199	33.3			Percent of total billed charges		1065.267	33.3			Percent of total billed charges		1065.267	100			Percent of total billed charges		3199	1065.267	2879.1	
natrelle tissue expander w/tabs 400cc  133mv-13-t allergan	278	RC	Outpatient			3199	2079.35		90			Percent of total billed charges		2879.1	40			Percent of total billed charges		1279.6	80			Percent of total billed charges		2559.2	90			Percent of total billed charges		2879.1	85			Percent of total billed charges		2719.15	85			Percent of total billed charges		2719.15	85			Percent of total billed charges		2719.15	100			Percent of total billed charges		3199	100			Percent of total billed charges		3199	100			Percent of total billed charges		3199	33.3			Percent of total billed charges		1065.267	33.3			Percent of total billed charges		1065.267	100			Percent of total billed charges		3199	1065.267	2879.1	
seaspine 1 level cerv plt	278	RC	Outpatient			3199	2079.35		90			Percent of total billed charges		2879.1	40			Percent of total billed charges		1279.6	80			Percent of total billed charges		2559.2	90			Percent of total billed charges		2879.1	85			Percent of total billed charges		2719.15	85			Percent of total billed charges		2719.15	85			Percent of total billed charges		2719.15	100			Percent of total billed charges		3199	100			Percent of total billed charges		3199	100			Percent of total billed charges		3199	33.3			Percent of total billed charges		1065.267	33.3			Percent of total billed charges		1065.267	100			Percent of total billed charges		3199	1065.267	2879.1	
tissue exapander 450cc al	278	RC	Outpatient			3199	2079.35		90			Percent of total billed charges		2879.1	40			Percent of total billed charges		1279.6	80			Percent of total billed charges		2559.2	90			Percent of total billed charges		2879.1	85			Percent of total billed charges		2719.15	85			Percent of total billed charges		2719.15	85			Percent of total billed charges		2719.15	100			Percent of total billed charges		3199	100			Percent of total billed charges		3199	100			Percent of total billed charges		3199	33.3			Percent of total billed charges		1065.267	33.3			Percent of total billed charges		1065.267	100			Percent of total billed charges		3199	1065.267	2879.1	
wallstnt bil 10 x 80	278	RC	Outpatient			3199	2079.35		90			Percent of total billed charges		2879.1	40			Percent of total billed charges		1279.6	80			Percent of total billed charges		2559.2	90			Percent of total billed charges		2879.1	85			Percent of total billed charges		2719.15	85			Percent of total billed charges		2719.15	85			Percent of total billed charges		2719.15	100			Percent of total billed charges		3199	100			Percent of total billed charges		3199	100			Percent of total billed charges		3199	33.3			Percent of total billed charges		1065.267	33.3			Percent of total billed charges		1065.267	100			Percent of total billed charges		3199	1065.267	2879.1	
anesthesia time 13 hours	270	RC	Outpatient			3202	2081.3		90			Percent of total billed charges		2881.8	40			Percent of total billed charges		1280.8	80			Percent of total billed charges		2561.6	90			Percent of total billed charges		2881.8	85			Percent of total billed charges		2721.7	85			Percent of total billed charges		2721.7	85			Percent of total billed charges		2721.7	100			Percent of total billed charges		3202	100			Percent of total billed charges		3202	100			Percent of total billed charges		3202	33.3			Percent of total billed charges		1066.266	33.3			Percent of total billed charges		1066.266	100			Percent of total billed charges		3202	1066.266	2881.8	
s/n  3.5mm compression plate 16 hole 7184-0216	278	RC	Outpatient			3203	2081.95		90			Percent of total billed charges		2882.7	40			Percent of total billed charges		1281.2	80			Percent of total billed charges		2562.4	90			Percent of total billed charges		2882.7	85			Percent of total billed charges		2722.55	85			Percent of total billed charges		2722.55	85			Percent of total billed charges		2722.55	100			Percent of total billed charges		3203	100			Percent of total billed charges		3203	100			Percent of total billed charges		3203	33.3			Percent of total billed charges		1066.599	33.3			Percent of total billed charges		1066.599	100			Percent of total billed charges		3203	1066.599	2882.7	
sm fr pl comp 16 hl	278	RC	Outpatient			3203	2081.95		90			Percent of total billed charges		2882.7	40			Percent of total billed charges		1281.2	80			Percent of total billed charges		2562.4	90			Percent of total billed charges		2882.7	85			Percent of total billed charges		2722.55	85			Percent of total billed charges		2722.55	85			Percent of total billed charges		2722.55	100			Percent of total billed charges		3203	100			Percent of total billed charges		3203	100			Percent of total billed charges		3203	33.3			Percent of total billed charges		1066.599	33.3			Percent of total billed charges		1066.599	100			Percent of total billed charges		3203	1066.599	2882.7	
comp plt 4.5mm 12 hl 71829312 s\n	278	RC	Outpatient			3205	2083.25		90			Percent of total billed charges		2884.5	40			Percent of total billed charges		1282	80			Percent of total billed charges		2564	90			Percent of total billed charges		2884.5	85			Percent of total billed charges		2724.25	85			Percent of total billed charges		2724.25	85			Percent of total billed charges		2724.25	100			Percent of total billed charges		3205	100			Percent of total billed charges		3205	100			Percent of total billed charges		3205	33.3			Percent of total billed charges		1067.265	33.3			Percent of total billed charges		1067.265	100			Percent of total billed charges		3205	1067.265	2884.5	
comp plt 4.5mm12 hl 71809312 s\n	278	RC	Outpatient			3205	2083.25		90			Percent of total billed charges		2884.5	40			Percent of total billed charges		1282	80			Percent of total billed charges		2564	90			Percent of total billed charges		2884.5	85			Percent of total billed charges		2724.25	85			Percent of total billed charges		2724.25	85			Percent of total billed charges		2724.25	100			Percent of total billed charges		3205	100			Percent of total billed charges		3205	100			Percent of total billed charges		3205	33.3			Percent of total billed charges		1067.265	33.3			Percent of total billed charges		1067.265	100			Percent of total billed charges		3205	1067.265	2884.5	
distal radius fixator 390.053 synthes	278	RC	Outpatient			3205	2083.25		90			Percent of total billed charges		2884.5	40			Percent of total billed charges		1282	80			Percent of total billed charges		2564	90			Percent of total billed charges		2884.5	85			Percent of total billed charges		2724.25	85			Percent of total billed charges		2724.25	85			Percent of total billed charges		2724.25	100			Percent of total billed charges		3205	100			Percent of total billed charges		3205	100			Percent of total billed charges		3205	33.3			Percent of total billed charges		1067.265	33.3			Percent of total billed charges		1067.265	100			Percent of total billed charges		3205	1067.265	2884.5	
distal radius fixator 395.822(s)	278	RC	Outpatient			3205	2083.25		90			Percent of total billed charges		2884.5	40			Percent of total billed charges		1282	80			Percent of total billed charges		2564	90			Percent of total billed charges		2884.5	85			Percent of total billed charges		2724.25	85			Percent of total billed charges		2724.25	85			Percent of total billed charges		2724.25	100			Percent of total billed charges		3205	100			Percent of total billed charges		3205	100			Percent of total billed charges		3205	33.3			Percent of total billed charges		1067.265	33.3			Percent of total billed charges		1067.265	100			Percent of total billed charges		3205	1067.265	2884.5	
distal radius fixation	278	RC	Outpatient			3205	2083.25		90			Percent of total billed charges		2884.5	40			Percent of total billed charges		1282	80			Percent of total billed charges		2564	90			Percent of total billed charges		2884.5	85			Percent of total billed charges		2724.25	85			Percent of total billed charges		2724.25	85			Percent of total billed charges		2724.25	100			Percent of total billed charges		3205	100			Percent of total billed charges		3205	100			Percent of total billed charges		3205	33.3			Percent of total billed charges		1067.265	33.3			Percent of total billed charges		1067.265	100			Percent of total billed charges		3205	1067.265	2884.5	
journey art insert 3-4 sz 3 74023244 s/n	278	RC	Outpatient			3205	2083.25		90			Percent of total billed charges		2884.5	40			Percent of total billed charges		1282	80			Percent of total billed charges		2564	90			Percent of total billed charges		2884.5	85			Percent of total billed charges		2724.25	85			Percent of total billed charges		2724.25	85			Percent of total billed charges		2724.25	100			Percent of total billed charges		3205	100			Percent of total billed charges		3205	100			Percent of total billed charges		3205	33.3			Percent of total billed charges		1067.265	33.3			Percent of total billed charges		1067.265	100			Percent of total billed charges		3205	1067.265	2884.5	
orthofix system radiolucent wrist fixat 9936500	278	RC	Outpatient			3205	2083.25		90			Percent of total billed charges		2884.5	40			Percent of total billed charges		1282	80			Percent of total billed charges		2564	90			Percent of total billed charges		2884.5	85			Percent of total billed charges		2724.25	85			Percent of total billed charges		2724.25	85			Percent of total billed charges		2724.25	100			Percent of total billed charges		3205	100			Percent of total billed charges		3205	100			Percent of total billed charges		3205	33.3			Percent of total billed charges		1067.265	33.3			Percent of total billed charges		1067.265	100			Percent of total billed charges		3205	1067.265	2884.5	
s/n 4.5 lck comp pl 12hl	278	RC	Outpatient			3205	2083.25		90			Percent of total billed charges		2884.5	40			Percent of total billed charges		1282	80			Percent of total billed charges		2564	90			Percent of total billed charges		2884.5	85			Percent of total billed charges		2724.25	85			Percent of total billed charges		2724.25	85			Percent of total billed charges		2724.25	100			Percent of total billed charges		3205	100			Percent of total billed charges		3205	100			Percent of total billed charges		3205	33.3			Percent of total billed charges		1067.265	33.3			Percent of total billed charges		1067.265	100			Percent of total billed charges		3205	1067.265	2884.5	
s/n journey insert	278	RC	Outpatient			3205	2083.25		90			Percent of total billed charges		2884.5	40			Percent of total billed charges		1282	80			Percent of total billed charges		2564	90			Percent of total billed charges		2884.5	85			Percent of total billed charges		2724.25	85			Percent of total billed charges		2724.25	85			Percent of total billed charges		2724.25	100			Percent of total billed charges		3205	100			Percent of total billed charges		3205	100			Percent of total billed charges		3205	33.3			Percent of total billed charges		1067.265	33.3			Percent of total billed charges		1067.265	100			Percent of total billed charges		3205	1067.265	2884.5	
trigen intertan 1.5 nail 125 10mm x 34cm lt 7167-6509 s/n	278	RC	Outpatient			3205	2083.25		90			Percent of total billed charges		2884.5	40			Percent of total billed charges		1282	80			Percent of total billed charges		2564	90			Percent of total billed charges		2884.5	85			Percent of total billed charges		2724.25	85			Percent of total billed charges		2724.25	85			Percent of total billed charges		2724.25	100			Percent of total billed charges		3205	100			Percent of total billed charges		3205	100			Percent of total billed charges		3205	33.3			Percent of total billed charges		1067.265	33.3			Percent of total billed charges		1067.265	100			Percent of total billed charges		3205	1067.265	2884.5	
trigen intertan 1.5 nail 125 10mm x 36cm lt 7167-6511 s/n	278	RC	Outpatient			3205	2083.25		90			Percent of total billed charges		2884.5	40			Percent of total billed charges		1282	80			Percent of total billed charges		2564	90			Percent of total billed charges		2884.5	85			Percent of total billed charges		2724.25	85			Percent of total billed charges		2724.25	85			Percent of total billed charges		2724.25	100			Percent of total billed charges		3205	100			Percent of total billed charges		3205	100			Percent of total billed charges		3205	33.3			Percent of total billed charges		1067.265	33.3			Percent of total billed charges		1067.265	100			Percent of total billed charges		3205	1067.265	2884.5	
trigen intertan 1.5 nail 125 10mm x 36cm rt 7167-6512 s/n	278	RC	Outpatient			3205	2083.25		90			Percent of total billed charges		2884.5	40			Percent of total billed charges		1282	80			Percent of total billed charges		2564	90			Percent of total billed charges		2884.5	85			Percent of total billed charges		2724.25	85			Percent of total billed charges		2724.25	85			Percent of total billed charges		2724.25	100			Percent of total billed charges		3205	100			Percent of total billed charges		3205	100			Percent of total billed charges		3205	33.3			Percent of total billed charges		1067.265	33.3			Percent of total billed charges		1067.265	100			Percent of total billed charges		3205	1067.265	2884.5	
trigen intertan 1.5 nail 125 10mm x 40cm lt 7167-6515 s/n	278	RC	Outpatient			3205	2083.25		90			Percent of total billed charges		2884.5	40			Percent of total billed charges		1282	80			Percent of total billed charges		2564	90			Percent of total billed charges		2884.5	85			Percent of total billed charges		2724.25	85			Percent of total billed charges		2724.25	85			Percent of total billed charges		2724.25	100			Percent of total billed charges		3205	100			Percent of total billed charges		3205	100			Percent of total billed charges		3205	33.3			Percent of total billed charges		1067.265	33.3			Percent of total billed charges		1067.265	100			Percent of total billed charges		3205	1067.265	2884.5	
trigen intertan 1.5 nail 125 10mm x 42cm rt 7167-6518 s/n	278	RC	Outpatient			3205	2083.25		90			Percent of total billed charges		2884.5	40			Percent of total billed charges		1282	80			Percent of total billed charges		2564	90			Percent of total billed charges		2884.5	85			Percent of total billed charges		2724.25	85			Percent of total billed charges		2724.25	85			Percent of total billed charges		2724.25	100			Percent of total billed charges		3205	100			Percent of total billed charges		3205	100			Percent of total billed charges		3205	33.3			Percent of total billed charges		1067.265	33.3			Percent of total billed charges		1067.265	100			Percent of total billed charges		3205	1067.265	2884.5	
trigen intertan 1.5 nail 125 11.5mm x 34cm right 7167-6554 s/n	278	RC	Outpatient			3205	2083.25		90			Percent of total billed charges		2884.5	40			Percent of total billed charges		1282	80			Percent of total billed charges		2564	90			Percent of total billed charges		2884.5	85			Percent of total billed charges		2724.25	85			Percent of total billed charges		2724.25	85			Percent of total billed charges		2724.25	100			Percent of total billed charges		3205	100			Percent of total billed charges		3205	100			Percent of total billed charges		3205	33.3			Percent of total billed charges		1067.265	33.3			Percent of total billed charges		1067.265	100			Percent of total billed charges		3205	1067.265	2884.5	
trigen intertan 1.5 nail 125 11.5mm x 36cm left 7167-6555 s/n	278	RC	Outpatient			3205	2083.25		90			Percent of total billed charges		2884.5	40			Percent of total billed charges		1282	80			Percent of total billed charges		2564	90			Percent of total billed charges		2884.5	85			Percent of total billed charges		2724.25	85			Percent of total billed charges		2724.25	85			Percent of total billed charges		2724.25	100			Percent of total billed charges		3205	100			Percent of total billed charges		3205	100			Percent of total billed charges		3205	33.3			Percent of total billed charges		1067.265	33.3			Percent of total billed charges		1067.265	100			Percent of total billed charges		3205	1067.265	2884.5	
trigen intertan 1.5 nail 125 11.5mm x 38cm right 7167-6558 s/n	278	RC	Outpatient			3205	2083.25		90			Percent of total billed charges		2884.5	40			Percent of total billed charges		1282	80			Percent of total billed charges		2564	90			Percent of total billed charges		2884.5	85			Percent of total billed charges		2724.25	85			Percent of total billed charges		2724.25	85			Percent of total billed charges		2724.25	100			Percent of total billed charges		3205	100			Percent of total billed charges		3205	100			Percent of total billed charges		3205	33.3			Percent of total billed charges		1067.265	33.3			Percent of total billed charges		1067.265	100			Percent of total billed charges		3205	1067.265	2884.5	
trigen intertan 1.5 nail 125 10mm x 32cm lt 7167-6507 s/n	278	RC	Outpatient			3205	2083.25		90			Percent of total billed charges		2884.5	40			Percent of total billed charges		1282	80			Percent of total billed charges		2564	90			Percent of total billed charges		2884.5	85			Percent of total billed charges		2724.25	85			Percent of total billed charges		2724.25	85			Percent of total billed charges		2724.25	100			Percent of total billed charges		3205	100			Percent of total billed charges		3205	100			Percent of total billed charges		3205	33.3			Percent of total billed charges		1067.265	33.3			Percent of total billed charges		1067.265	100			Percent of total billed charges		3205	1067.265	2884.5	
trigen intertan 1.5 nail 125 10mm x 38cm rt 7167-6514 s/n	278	RC	Outpatient			3205	2083.25		90			Percent of total billed charges		2884.5	40			Percent of total billed charges		1282	80			Percent of total billed charges		2564	90			Percent of total billed charges		2884.5	85			Percent of total billed charges		2724.25	85			Percent of total billed charges		2724.25	85			Percent of total billed charges		2724.25	100			Percent of total billed charges		3205	100			Percent of total billed charges		3205	100			Percent of total billed charges		3205	33.3			Percent of total billed charges		1067.265	33.3			Percent of total billed charges		1067.265	100			Percent of total billed charges		3205	1067.265	2884.5	
trigen intertan 1.5 nail 125 10mm x 40cm rt 7167-6516 s/n	278	RC	Outpatient			3205	2083.25		90			Percent of total billed charges		2884.5	40			Percent of total billed charges		1282	80			Percent of total billed charges		2564	90			Percent of total billed charges		2884.5	85			Percent of total billed charges		2724.25	85			Percent of total billed charges		2724.25	85			Percent of total billed charges		2724.25	100			Percent of total billed charges		3205	100			Percent of total billed charges		3205	100			Percent of total billed charges		3205	33.3			Percent of total billed charges		1067.265	33.3			Percent of total billed charges		1067.265	100			Percent of total billed charges		3205	1067.265	2884.5	
trigen intertan 1.5 nail 125 10mm x 42cm lt 7167-6513 s/n	278	RC	Outpatient			3205	2083.25		90			Percent of total billed charges		2884.5	40			Percent of total billed charges		1282	80			Percent of total billed charges		2564	90			Percent of total billed charges		2884.5	85			Percent of total billed charges		2724.25	85			Percent of total billed charges		2724.25	85			Percent of total billed charges		2724.25	100			Percent of total billed charges		3205	100			Percent of total billed charges		3205	100			Percent of total billed charges		3205	33.3			Percent of total billed charges		1067.265	33.3			Percent of total billed charges		1067.265	100			Percent of total billed charges		3205	1067.265	2884.5	
trigen intertan 1.5 nail 125 10mm x 46cm left 71676521 s/n	278	RC	Outpatient			3205	2083.25		90			Percent of total billed charges		2884.5	40			Percent of total billed charges		1282	80			Percent of total billed charges		2564	90			Percent of total billed charges		2884.5	85			Percent of total billed charges		2724.25	85			Percent of total billed charges		2724.25	85			Percent of total billed charges		2724.25	100			Percent of total billed charges		3205	100			Percent of total billed charges		3205	100			Percent of total billed charges		3205	33.3			Percent of total billed charges		1067.265	33.3			Percent of total billed charges		1067.265	100			Percent of total billed charges		3205	1067.265	2884.5	
trigen intertan 1.5 nail 125 11.5mm x 32cm left 7167-6551 s/n	278	RC	Outpatient			3205	2083.25		90			Percent of total billed charges		2884.5	40			Percent of total billed charges		1282	80			Percent of total billed charges		2564	90			Percent of total billed charges		2884.5	85			Percent of total billed charges		2724.25	85			Percent of total billed charges		2724.25	85			Percent of total billed charges		2724.25	100			Percent of total billed charges		3205	100			Percent of total billed charges		3205	100			Percent of total billed charges		3205	33.3			Percent of total billed charges		1067.265	33.3			Percent of total billed charges		1067.265	100			Percent of total billed charges		3205	1067.265	2884.5	
trigen intertan 1.5 nail 125 11.5mm x 34cm left 7167-6553 s/n	278	RC	Outpatient			3205	2083.25		90			Percent of total billed charges		2884.5	40			Percent of total billed charges		1282	80			Percent of total billed charges		2564	90			Percent of total billed charges		2884.5	85			Percent of total billed charges		2724.25	85			Percent of total billed charges		2724.25	85			Percent of total billed charges		2724.25	100			Percent of total billed charges		3205	100			Percent of total billed charges		3205	100			Percent of total billed charges		3205	33.3			Percent of total billed charges		1067.265	33.3			Percent of total billed charges		1067.265	100			Percent of total billed charges		3205	1067.265	2884.5	
trigen intertan 1.5 nail 125 11.5mm x 36cm right 7167-6556 s/n	278	RC	Outpatient			3205	2083.25		90			Percent of total billed charges		2884.5	40			Percent of total billed charges		1282	80			Percent of total billed charges		2564	90			Percent of total billed charges		2884.5	85			Percent of total billed charges		2724.25	85			Percent of total billed charges		2724.25	85			Percent of total billed charges		2724.25	100			Percent of total billed charges		3205	100			Percent of total billed charges		3205	100			Percent of total billed charges		3205	33.3			Percent of total billed charges		1067.265	33.3			Percent of total billed charges		1067.265	100			Percent of total billed charges		3205	1067.265	2884.5	
trigen intertan 1.5 nail 125 11.5mm x 40cm left 7167-6559 s/n	278	RC	Outpatient			3205	2083.25		90			Percent of total billed charges		2884.5	40			Percent of total billed charges		1282	80			Percent of total billed charges		2564	90			Percent of total billed charges		2884.5	85			Percent of total billed charges		2724.25	85			Percent of total billed charges		2724.25	85			Percent of total billed charges		2724.25	100			Percent of total billed charges		3205	100			Percent of total billed charges		3205	100			Percent of total billed charges		3205	33.3			Percent of total billed charges		1067.265	33.3			Percent of total billed charges		1067.265	100			Percent of total billed charges		3205	1067.265	2884.5	
trigen intertan 1.5 nail 125 11.5mm x 40cm right 7167-6560 s/n	278	RC	Outpatient			3205	2083.25		90			Percent of total billed charges		2884.5	40			Percent of total billed charges		1282	80			Percent of total billed charges		2564	90			Percent of total billed charges		2884.5	85			Percent of total billed charges		2724.25	85			Percent of total billed charges		2724.25	85			Percent of total billed charges		2724.25	100			Percent of total billed charges		3205	100			Percent of total billed charges		3205	100			Percent of total billed charges		3205	33.3			Percent of total billed charges		1067.265	33.3			Percent of total billed charges		1067.265	100			Percent of total billed charges		3205	1067.265	2884.5	
trigen intertan 1.5 nail 125 11.5mm x 42cm left 7167-6561 s/n	278	RC	Outpatient			3205	2083.25		90			Percent of total billed charges		2884.5	40			Percent of total billed charges		1282	80			Percent of total billed charges		2564	90			Percent of total billed charges		2884.5	85			Percent of total billed charges		2724.25	85			Percent of total billed charges		2724.25	85			Percent of total billed charges		2724.25	100			Percent of total billed charges		3205	100			Percent of total billed charges		3205	100			Percent of total billed charges		3205	33.3			Percent of total billed charges		1067.265	33.3			Percent of total billed charges		1067.265	100			Percent of total billed charges		3205	1067.265	2884.5	
trigen intertan 1.5 nail 125 11.5mm x 42cm right 7167-6562 s/n	278	RC	Outpatient			3205	2083.25		90			Percent of total billed charges		2884.5	40			Percent of total billed charges		1282	80			Percent of total billed charges		2564	90			Percent of total billed charges		2884.5	85			Percent of total billed charges		2724.25	85			Percent of total billed charges		2724.25	85			Percent of total billed charges		2724.25	100			Percent of total billed charges		3205	100			Percent of total billed charges		3205	100			Percent of total billed charges		3205	33.3			Percent of total billed charges		1067.265	33.3			Percent of total billed charges		1067.265	100			Percent of total billed charges		3205	1067.265	2884.5	
trigen intertan 1.5 nail 125 right 10mm x 44cm 71676520 s/n	278	RC	Outpatient			3205	2083.25		90			Percent of total billed charges		2884.5	40			Percent of total billed charges		1282	80			Percent of total billed charges		2564	90			Percent of total billed charges		2884.5	85			Percent of total billed charges		2724.25	85			Percent of total billed charges		2724.25	85			Percent of total billed charges		2724.25	100			Percent of total billed charges		3205	100			Percent of total billed charges		3205	100			Percent of total billed charges		3205	33.3			Percent of total billed charges		1067.265	33.3			Percent of total billed charges		1067.265	100			Percent of total billed charges		3205	1067.265	2884.5	
cervical plate 1 level 23mm 1100-0123t biomet	278	RC	Outpatient			3207	2084.55		90			Percent of total billed charges		2886.3	40			Percent of total billed charges		1282.8	80			Percent of total billed charges		2565.6	90			Percent of total billed charges		2886.3	85			Percent of total billed charges		2725.95	85			Percent of total billed charges		2725.95	85			Percent of total billed charges		2725.95	100			Percent of total billed charges		3207	100			Percent of total billed charges		3207	100			Percent of total billed charges		3207	33.3			Percent of total billed charges		1067.931	33.3			Percent of total billed charges		1067.931	100			Percent of total billed charges		3207	1067.931	2886.3	
cervical plate 1 level 29mm 1100-0129t biomet	278	RC	Outpatient			3207	2084.55		90			Percent of total billed charges		2886.3	40			Percent of total billed charges		1282.8	80			Percent of total billed charges		2565.6	90			Percent of total billed charges		2886.3	85			Percent of total billed charges		2725.95	85			Percent of total billed charges		2725.95	85			Percent of total billed charges		2725.95	100			Percent of total billed charges		3207	100			Percent of total billed charges		3207	100			Percent of total billed charges		3207	33.3			Percent of total billed charges		1067.931	33.3			Percent of total billed charges		1067.931	100			Percent of total billed charges		3207	1067.931	2886.3	
cervical plate 1 level 31mm 1100-0131t biomet	278	RC	Outpatient			3207	2084.55		90			Percent of total billed charges		2886.3	40			Percent of total billed charges		1282.8	80			Percent of total billed charges		2565.6	90			Percent of total billed charges		2886.3	85			Percent of total billed charges		2725.95	85			Percent of total billed charges		2725.95	85			Percent of total billed charges		2725.95	100			Percent of total billed charges		3207	100			Percent of total billed charges		3207	100			Percent of total billed charges		3207	33.3			Percent of total billed charges		1067.931	33.3			Percent of total billed charges		1067.931	100			Percent of total billed charges		3207	1067.931	2886.3	
cervical plate 1 level 33mm 1100-0133t biomet	278	RC	Outpatient			3207	2084.55		90			Percent of total billed charges		2886.3	40			Percent of total billed charges		1282.8	80			Percent of total billed charges		2565.6	90			Percent of total billed charges		2886.3	85			Percent of total billed charges		2725.95	85			Percent of total billed charges		2725.95	85			Percent of total billed charges		2725.95	100			Percent of total billed charges		3207	100			Percent of total billed charges		3207	100			Percent of total billed charges		3207	33.3			Percent of total billed charges		1067.931	33.3			Percent of total billed charges		1067.931	100			Percent of total billed charges		3207	1067.931	2886.3	
cervical plate 1 level 35mm 1100-0135t biomet	278	RC	Outpatient			3207	2084.55		90			Percent of total billed charges		2886.3	40			Percent of total billed charges		1282.8	80			Percent of total billed charges		2565.6	90			Percent of total billed charges		2886.3	85			Percent of total billed charges		2725.95	85			Percent of total billed charges		2725.95	85			Percent of total billed charges		2725.95	100			Percent of total billed charges		3207	100			Percent of total billed charges		3207	100			Percent of total billed charges		3207	33.3			Percent of total billed charges		1067.931	33.3			Percent of total billed charges		1067.931	100			Percent of total billed charges		3207	1067.931	2886.3	
c-tek cervical plt 1 leve	278	RC	Outpatient			3207	2084.55		90			Percent of total billed charges		2886.3	40			Percent of total billed charges		1282.8	80			Percent of total billed charges		2565.6	90			Percent of total billed charges		2886.3	85			Percent of total billed charges		2725.95	85			Percent of total billed charges		2725.95	85			Percent of total billed charges		2725.95	100			Percent of total billed charges		3207	100			Percent of total billed charges		3207	100			Percent of total billed charges		3207	33.3			Percent of total billed charges		1067.931	33.3			Percent of total billed charges		1067.931	100			Percent of total billed charges		3207	1067.931	2886.3	
cervical plate 1 level 19mm 1100-0119t biomet	278	RC	Outpatient			3207	2084.55		90			Percent of total billed charges		2886.3	40			Percent of total billed charges		1282.8	80			Percent of total billed charges		2565.6	90			Percent of total billed charges		2886.3	85			Percent of total billed charges		2725.95	85			Percent of total billed charges		2725.95	85			Percent of total billed charges		2725.95	100			Percent of total billed charges		3207	100			Percent of total billed charges		3207	100			Percent of total billed charges		3207	33.3			Percent of total billed charges		1067.931	33.3			Percent of total billed charges		1067.931	100			Percent of total billed charges		3207	1067.931	2886.3	
cervical plate 1 level 21mm 1100-0121t biomet	278	RC	Outpatient			3207	2084.55		90			Percent of total billed charges		2886.3	40			Percent of total billed charges		1282.8	80			Percent of total billed charges		2565.6	90			Percent of total billed charges		2886.3	85			Percent of total billed charges		2725.95	85			Percent of total billed charges		2725.95	85			Percent of total billed charges		2725.95	100			Percent of total billed charges		3207	100			Percent of total billed charges		3207	100			Percent of total billed charges		3207	33.3			Percent of total billed charges		1067.931	33.3			Percent of total billed charges		1067.931	100			Percent of total billed charges		3207	1067.931	2886.3	
cervical plate 1 level 25mm 1100-0125t biomet	278	RC	Outpatient			3207	2084.55		90			Percent of total billed charges		2886.3	40			Percent of total billed charges		1282.8	80			Percent of total billed charges		2565.6	90			Percent of total billed charges		2886.3	85			Percent of total billed charges		2725.95	85			Percent of total billed charges		2725.95	85			Percent of total billed charges		2725.95	100			Percent of total billed charges		3207	100			Percent of total billed charges		3207	100			Percent of total billed charges		3207	33.3			Percent of total billed charges		1067.931	33.3			Percent of total billed charges		1067.931	100			Percent of total billed charges		3207	1067.931	2886.3	
cervical plate 1 level 27mm 1100-0127t biomet	278	RC	Outpatient			3207	2084.55		90			Percent of total billed charges		2886.3	40			Percent of total billed charges		1282.8	80			Percent of total billed charges		2565.6	90			Percent of total billed charges		2886.3	85			Percent of total billed charges		2725.95	85			Percent of total billed charges		2725.95	85			Percent of total billed charges		2725.95	100			Percent of total billed charges		3207	100			Percent of total billed charges		3207	100			Percent of total billed charges		3207	33.3			Percent of total billed charges		1067.931	33.3			Percent of total billed charges		1067.931	100			Percent of total billed charges		3207	1067.931	2886.3	
m-d tib lk plate3.5mm 4-hole 120mm 71801004 s/n	278	RC	Outpatient			3207	2084.55		90			Percent of total billed charges		2886.3	40			Percent of total billed charges		1282.8	80			Percent of total billed charges		2565.6	90			Percent of total billed charges		2886.3	85			Percent of total billed charges		2725.95	85			Percent of total billed charges		2725.95	85			Percent of total billed charges		2725.95	100			Percent of total billed charges		3207	100			Percent of total billed charges		3207	100			Percent of total billed charges		3207	33.3			Percent of total billed charges		1067.931	33.3			Percent of total billed charges		1067.931	100			Percent of total billed charges		3207	1067.931	2886.3	
m-d tib lk plate3.5mm 4-hole 120mm 71801104 s/n	278	RC	Outpatient			3207	2084.55		90			Percent of total billed charges		2886.3	40			Percent of total billed charges		1282.8	80			Percent of total billed charges		2565.6	90			Percent of total billed charges		2886.3	85			Percent of total billed charges		2725.95	85			Percent of total billed charges		2725.95	85			Percent of total billed charges		2725.95	100			Percent of total billed charges		3207	100			Percent of total billed charges		3207	100			Percent of total billed charges		3207	33.3			Percent of total billed charges		1067.931	33.3			Percent of total billed charges		1067.931	100			Percent of total billed charges		3207	1067.931	2886.3	
s/n 3.5 m-d tib lk pl 4hl	278	RC	Outpatient			3207	2084.55		90			Percent of total billed charges		2886.3	40			Percent of total billed charges		1282.8	80			Percent of total billed charges		2565.6	90			Percent of total billed charges		2886.3	85			Percent of total billed charges		2725.95	85			Percent of total billed charges		2725.95	85			Percent of total billed charges		2725.95	100			Percent of total billed charges		3207	100			Percent of total billed charges		3207	100			Percent of total billed charges		3207	33.3			Percent of total billed charges		1067.931	33.3			Percent of total billed charges		1067.931	100			Percent of total billed charges		3207	1067.931	2886.3	
biolite laser fiber twister 600um 101175	272	RC	Outpatient			3209	2085.85		90			Percent of total billed charges		2888.1	40			Percent of total billed charges		1283.6	80			Percent of total billed charges		2567.2	90			Percent of total billed charges		2888.1	85			Percent of total billed charges		2727.65	85			Percent of total billed charges		2727.65	85			Percent of total billed charges		2727.65	100			Percent of total billed charges		3209	100			Percent of total billed charges		3209	100			Percent of total billed charges		3209	33.3			Percent of total billed charges		1068.597	33.3			Percent of total billed charges		1068.597	100			Percent of total billed charges		3209	1068.597	2888.1	
biolite laser fiber	272	RC	Outpatient			3209	2085.85		90			Percent of total billed charges		2888.1	40			Percent of total billed charges		1283.6	80			Percent of total billed charges		2567.2	90			Percent of total billed charges		2888.1	85			Percent of total billed charges		2727.65	85			Percent of total billed charges		2727.65	85			Percent of total billed charges		2727.65	100			Percent of total billed charges		3209	100			Percent of total billed charges		3209	100			Percent of total billed charges		3209	33.3			Percent of total billed charges		1068.597	33.3			Percent of total billed charges		1068.597	100			Percent of total billed charges		3209	1068.597	2888.1	
biolite laser fiber sidefire 101020	272	RC	Outpatient			3209	2085.85		90			Percent of total billed charges		2888.1	40			Percent of total billed charges		1283.6	80			Percent of total billed charges		2567.2	90			Percent of total billed charges		2888.1	85			Percent of total billed charges		2727.65	85			Percent of total billed charges		2727.65	85			Percent of total billed charges		2727.65	100			Percent of total billed charges		3209	100			Percent of total billed charges		3209	100			Percent of total billed charges		3209	33.3			Percent of total billed charges		1068.597	33.3			Percent of total billed charges		1068.597	100			Percent of total billed charges		3209	1068.597	2888.1	
trident alumina insert stryker 625-ot-28d	278	RC	Outpatient			3209	2085.85		90			Percent of total billed charges		2888.1	40			Percent of total billed charges		1283.6	80			Percent of total billed charges		2567.2	90			Percent of total billed charges		2888.1	85			Percent of total billed charges		2727.65	85			Percent of total billed charges		2727.65	85			Percent of total billed charges		2727.65	100			Percent of total billed charges		3209	100			Percent of total billed charges		3209	100			Percent of total billed charges		3209	33.3			Percent of total billed charges		1068.597	33.3			Percent of total billed charges		1068.597	100			Percent of total billed charges		3209	1068.597	2888.1	
trident alumina insert stryker 625-ot-32e	278	RC	Outpatient			3209	2085.85		90			Percent of total billed charges		2888.1	40			Percent of total billed charges		1283.6	80			Percent of total billed charges		2567.2	90			Percent of total billed charges		2888.1	85			Percent of total billed charges		2727.65	85			Percent of total billed charges		2727.65	85			Percent of total billed charges		2727.65	100			Percent of total billed charges		3209	100			Percent of total billed charges		3209	100			Percent of total billed charges		3209	33.3			Percent of total billed charges		1068.597	33.3			Percent of total billed charges		1068.597	100			Percent of total billed charges		3209	1068.597	2888.1	
trident alumina insert stryker 625-ot-32f	278	RC	Outpatient			3209	2085.85		90			Percent of total billed charges		2888.1	40			Percent of total billed charges		1283.6	80			Percent of total billed charges		2567.2	90			Percent of total billed charges		2888.1	85			Percent of total billed charges		2727.65	85			Percent of total billed charges		2727.65	85			Percent of total billed charges		2727.65	100			Percent of total billed charges		3209	100			Percent of total billed charges		3209	100			Percent of total billed charges		3209	33.3			Percent of total billed charges		1068.597	33.3			Percent of total billed charges		1068.597	100			Percent of total billed charges		3209	1068.597	2888.1	
trident alumina insert stryker 625-ot-36h	278	RC	Outpatient			3209	2085.85		90			Percent of total billed charges		2888.1	40			Percent of total billed charges		1283.6	80			Percent of total billed charges		2567.2	90			Percent of total billed charges		2888.1	85			Percent of total billed charges		2727.65	85			Percent of total billed charges		2727.65	85			Percent of total billed charges		2727.65	100			Percent of total billed charges		3209	100			Percent of total billed charges		3209	100			Percent of total billed charges		3209	33.3			Percent of total billed charges		1068.597	33.3			Percent of total billed charges		1068.597	100			Percent of total billed charges		3209	1068.597	2888.1	
trident alumina insert stryker 625-ot-36i	278	RC	Outpatient			3209	2085.85		90			Percent of total billed charges		2888.1	40			Percent of total billed charges		1283.6	80			Percent of total billed charges		2567.2	90			Percent of total billed charges		2888.1	85			Percent of total billed charges		2727.65	85			Percent of total billed charges		2727.65	85			Percent of total billed charges		2727.65	100			Percent of total billed charges		3209	100			Percent of total billed charges		3209	100			Percent of total billed charges		3209	33.3			Percent of total billed charges		1068.597	33.3			Percent of total billed charges		1068.597	100			Percent of total billed charges		3209	1068.597	2888.1	
richards cem.femoral comp	278	RC	Outpatient			3209	2085.85		90			Percent of total billed charges		2888.1	40			Percent of total billed charges		1283.6	80			Percent of total billed charges		2567.2	90			Percent of total billed charges		2888.1	85			Percent of total billed charges		2727.65	85			Percent of total billed charges		2727.65	85			Percent of total billed charges		2727.65	100			Percent of total billed charges		3209	100			Percent of total billed charges		3209	100			Percent of total billed charges		3209	33.3			Percent of total billed charges		1068.597	33.3			Percent of total billed charges		1068.597	100			Percent of total billed charges		3209	1068.597	2888.1	
stryker trident alum inst	278	RC	Outpatient			3209	2085.85		90			Percent of total billed charges		2888.1	40			Percent of total billed charges		1283.6	80			Percent of total billed charges		2567.2	90			Percent of total billed charges		2888.1	85			Percent of total billed charges		2727.65	85			Percent of total billed charges		2727.65	85			Percent of total billed charges		2727.65	100			Percent of total billed charges		3209	100			Percent of total billed charges		3209	100			Percent of total billed charges		3209	33.3			Percent of total billed charges		1068.597	33.3			Percent of total billed charges		1068.597	100			Percent of total billed charges		3209	1068.597	2888.1	
ultra tibial inser 1/2 13mm rt zimmer 6276-01-713	278	RC	Outpatient			3209	2085.85		90			Percent of total billed charges		2888.1	40			Percent of total billed charges		1283.6	80			Percent of total billed charges		2567.2	90			Percent of total billed charges		2888.1	85			Percent of total billed charges		2727.65	85			Percent of total billed charges		2727.65	85			Percent of total billed charges		2727.65	100			Percent of total billed charges		3209	100			Percent of total billed charges		3209	100			Percent of total billed charges		3209	33.3			Percent of total billed charges		1068.597	33.3			Percent of total billed charges		1068.597	100			Percent of total billed charges		3209	1068.597	2888.1	
zimmer ultra tibial insrt	278	RC	Outpatient			3209	2085.85		90			Percent of total billed charges		2888.1	40			Percent of total billed charges		1283.6	80			Percent of total billed charges		2567.2	90			Percent of total billed charges		2888.1	85			Percent of total billed charges		2727.65	85			Percent of total billed charges		2727.65	85			Percent of total billed charges		2727.65	100			Percent of total billed charges		3209	100			Percent of total billed charges		3209	100			Percent of total billed charges		3209	33.3			Percent of total billed charges		1068.597	33.3			Percent of total billed charges		1068.597	100			Percent of total billed charges		3209	1068.597	2888.1	
trident alumina insert stryker 625-ot-36g	278	RC	Outpatient			3209	2085.85		90			Percent of total billed charges		2888.1	40			Percent of total billed charges		1283.6	80			Percent of total billed charges		2567.2	90			Percent of total billed charges		2888.1	85			Percent of total billed charges		2727.65	85			Percent of total billed charges		2727.65	85			Percent of total billed charges		2727.65	100			Percent of total billed charges		3209	100			Percent of total billed charges		3209	100			Percent of total billed charges		3209	33.3			Percent of total billed charges		1068.597	33.3			Percent of total billed charges		1068.597	100			Percent of total billed charges		3209	1068.597	2888.1	
lck recon plate 2.7mm 14 hl 7182264 s/n	278	RC	Outpatient			3213	2088.45		90			Percent of total billed charges		2891.7	40			Percent of total billed charges		1285.2	80			Percent of total billed charges		2570.4	90			Percent of total billed charges		2891.7	85			Percent of total billed charges		2731.05	85			Percent of total billed charges		2731.05	85			Percent of total billed charges		2731.05	100			Percent of total billed charges		3213	100			Percent of total billed charges		3213	100			Percent of total billed charges		3213	33.3			Percent of total billed charges		1069.929	33.3			Percent of total billed charges		1069.929	100			Percent of total billed charges		3213	1069.929	2891.7	
s/n 2.7 lck recon pl 14	278	RC	Outpatient			3213	2088.45		90			Percent of total billed charges		2891.7	40			Percent of total billed charges		1285.2	80			Percent of total billed charges		2570.4	90			Percent of total billed charges		2891.7	85			Percent of total billed charges		2731.05	85			Percent of total billed charges		2731.05	85			Percent of total billed charges		2731.05	100			Percent of total billed charges		3213	100			Percent of total billed charges		3213	100			Percent of total billed charges		3213	33.3			Percent of total billed charges		1069.929	33.3			Percent of total billed charges		1069.929	100			Percent of total billed charges		3213	1069.929	2891.7	
s/n 3.5 sm lk calc pl	278	RC	Outpatient			3217	2091.05		90			Percent of total billed charges		2895.3	40			Percent of total billed charges		1286.8	80			Percent of total billed charges		2573.6	90			Percent of total billed charges		2895.3	85			Percent of total billed charges		2734.45	85			Percent of total billed charges		2734.45	85			Percent of total billed charges		2734.45	100			Percent of total billed charges		3217	100			Percent of total billed charges		3217	100			Percent of total billed charges		3217	33.3			Percent of total billed charges		1071.261	33.3			Percent of total billed charges		1071.261	100			Percent of total billed charges		3217	1071.261	2895.3	
sm calc plt 3.5mm 71821203 s\n	278	RC	Outpatient			3217	2091.05		90			Percent of total billed charges		2895.3	40			Percent of total billed charges		1286.8	80			Percent of total billed charges		2573.6	90			Percent of total billed charges		2895.3	85			Percent of total billed charges		2734.45	85			Percent of total billed charges		2734.45	85			Percent of total billed charges		2734.45	100			Percent of total billed charges		3217	100			Percent of total billed charges		3217	100			Percent of total billed charges		3217	33.3			Percent of total billed charges		1071.261	33.3			Percent of total billed charges		1071.261	100			Percent of total billed charges		3217	1071.261	2895.3	
sm lck calc 3.5mm plate 60mm 71801202 s/n	278	RC	Outpatient			3217	2091.05		90			Percent of total billed charges		2895.3	40			Percent of total billed charges		1286.8	80			Percent of total billed charges		2573.6	90			Percent of total billed charges		2895.3	85			Percent of total billed charges		2734.45	85			Percent of total billed charges		2734.45	85			Percent of total billed charges		2734.45	100			Percent of total billed charges		3217	100			Percent of total billed charges		3217	100			Percent of total billed charges		3217	33.3			Percent of total billed charges		1071.261	33.3			Percent of total billed charges		1071.261	100			Percent of total billed charges		3217	1071.261	2895.3	
sm lck calc 3.5mm plate 60mm 71801203 s/n	278	RC	Outpatient			3217	2091.05		90			Percent of total billed charges		2895.3	40			Percent of total billed charges		1286.8	80			Percent of total billed charges		2573.6	90			Percent of total billed charges		2895.3	85			Percent of total billed charges		2734.45	85			Percent of total billed charges		2734.45	85			Percent of total billed charges		2734.45	100			Percent of total billed charges		3217	100			Percent of total billed charges		3217	100			Percent of total billed charges		3217	33.3			Percent of total billed charges		1071.261	33.3			Percent of total billed charges		1071.261	100			Percent of total billed charges		3217	1071.261	2895.3	
sm calc plt 3.5mm 71821202 s\n	278	RC	Outpatient			3217	2091.05		90			Percent of total billed charges		2895.3	40			Percent of total billed charges		1286.8	80			Percent of total billed charges		2573.6	90			Percent of total billed charges		2895.3	85			Percent of total billed charges		2734.45	85			Percent of total billed charges		2734.45	85			Percent of total billed charges		2734.45	100			Percent of total billed charges		3217	100			Percent of total billed charges		3217	100			Percent of total billed charges		3217	33.3			Percent of total billed charges		1071.261	33.3			Percent of total billed charges		1071.261	100			Percent of total billed charges		3217	1071.261	2895.3	
avaulta ant kit	272	RC	Outpatient			3218	2091.7		90			Percent of total billed charges		2896.2	40			Percent of total billed charges		1287.2	80			Percent of total billed charges		2574.4	90			Percent of total billed charges		2896.2	85			Percent of total billed charges		2735.3	85			Percent of total billed charges		2735.3	85			Percent of total billed charges		2735.3	100			Percent of total billed charges		3218	100			Percent of total billed charges		3218	100			Percent of total billed charges		3218	33.3			Percent of total billed charges		1071.594	33.3			Percent of total billed charges		1071.594	100			Percent of total billed charges		3218	1071.594	2896.2	
avaulta solo anterior kit 486100 bard	272	RC	Outpatient			3218	2091.7		90			Percent of total billed charges		2896.2	40			Percent of total billed charges		1287.2	80			Percent of total billed charges		2574.4	90			Percent of total billed charges		2896.2	85			Percent of total billed charges		2735.3	85			Percent of total billed charges		2735.3	85			Percent of total billed charges		2735.3	100			Percent of total billed charges		3218	100			Percent of total billed charges		3218	100			Percent of total billed charges		3218	33.3			Percent of total billed charges		1071.594	33.3			Percent of total billed charges		1071.594	100			Percent of total billed charges		3218	1071.594	2896.2	
arthrex  achilles suturebridge kit  ar-8927bnf-cp	278	RC	Outpatient			3221	2093.65		90			Percent of total billed charges		2898.9	40			Percent of total billed charges		1288.4	80			Percent of total billed charges		2576.8	90			Percent of total billed charges		2898.9	85			Percent of total billed charges		2737.85	85			Percent of total billed charges		2737.85	85			Percent of total billed charges		2737.85	100			Percent of total billed charges		3221	100			Percent of total billed charges		3221	100			Percent of total billed charges		3221	33.3			Percent of total billed charges		1072.593	33.3			Percent of total billed charges		1072.593	100			Percent of total billed charges		3221	1072.593	2898.9	
arthrex achilles sutbr ki	278	RC	Outpatient			3221	2093.65		90			Percent of total billed charges		2898.9	40			Percent of total billed charges		1288.4	80			Percent of total billed charges		2576.8	90			Percent of total billed charges		2898.9	85			Percent of total billed charges		2737.85	85			Percent of total billed charges		2737.85	85			Percent of total billed charges		2737.85	100			Percent of total billed charges		3221	100			Percent of total billed charges		3221	100			Percent of total billed charges		3221	33.3			Percent of total billed charges		1072.593	33.3			Percent of total billed charges		1072.593	100			Percent of total billed charges		3221	1072.593	2898.9	
l-p tib lk plate4.5mm 4-hole 94mm 71800304 s/n	278	RC	Outpatient			3221	2093.65		90			Percent of total billed charges		2898.9	40			Percent of total billed charges		1288.4	80			Percent of total billed charges		2576.8	90			Percent of total billed charges		2898.9	85			Percent of total billed charges		2737.85	85			Percent of total billed charges		2737.85	85			Percent of total billed charges		2737.85	100			Percent of total billed charges		3221	100			Percent of total billed charges		3221	100			Percent of total billed charges		3221	33.3			Percent of total billed charges		1072.593	33.3			Percent of total billed charges		1072.593	100			Percent of total billed charges		3221	1072.593	2898.9	
l-p tib plt 4.5mm 4 hl 71820204 s\n	278	RC	Outpatient			3221	2093.65		90			Percent of total billed charges		2898.9	40			Percent of total billed charges		1288.4	80			Percent of total billed charges		2576.8	90			Percent of total billed charges		2898.9	85			Percent of total billed charges		2737.85	85			Percent of total billed charges		2737.85	85			Percent of total billed charges		2737.85	100			Percent of total billed charges		3221	100			Percent of total billed charges		3221	100			Percent of total billed charges		3221	33.3			Percent of total billed charges		1072.593	33.3			Percent of total billed charges		1072.593	100			Percent of total billed charges		3221	1072.593	2898.9	
l-p tib lk plate4.5mm 4-hole 94mm 71800204 s/n	278	RC	Outpatient			3221	2093.65		90			Percent of total billed charges		2898.9	40			Percent of total billed charges		1288.4	80			Percent of total billed charges		2576.8	90			Percent of total billed charges		2898.9	85			Percent of total billed charges		2737.85	85			Percent of total billed charges		2737.85	85			Percent of total billed charges		2737.85	100			Percent of total billed charges		3221	100			Percent of total billed charges		3221	100			Percent of total billed charges		3221	33.3			Percent of total billed charges		1072.593	33.3			Percent of total billed charges		1072.593	100			Percent of total billed charges		3221	1072.593	2898.9	
l-p tib plt 4.5mm 4 hr 71820304 s\n	278	RC	Outpatient			3221	2093.65		90			Percent of total billed charges		2898.9	40			Percent of total billed charges		1288.4	80			Percent of total billed charges		2576.8	90			Percent of total billed charges		2898.9	85			Percent of total billed charges		2737.85	85			Percent of total billed charges		2737.85	85			Percent of total billed charges		2737.85	100			Percent of total billed charges		3221	100			Percent of total billed charges		3221	100			Percent of total billed charges		3221	33.3			Percent of total billed charges		1072.593	33.3			Percent of total billed charges		1072.593	100			Percent of total billed charges		3221	1072.593	2898.9	
s/n 4.5 l-p tib lk pl 4hl	278	RC	Outpatient			3221	2093.65		90			Percent of total billed charges		2898.9	40			Percent of total billed charges		1288.4	80			Percent of total billed charges		2576.8	90			Percent of total billed charges		2898.9	85			Percent of total billed charges		2737.85	85			Percent of total billed charges		2737.85	85			Percent of total billed charges		2737.85	100			Percent of total billed charges		3221	100			Percent of total billed charges		3221	100			Percent of total billed charges		3221	33.3			Percent of total billed charges		1072.593	33.3			Percent of total billed charges		1072.593	100			Percent of total billed charges		3221	1072.593	2898.9	
distal lat fem plate ts 12 hl rt 437532 stryker	278	RC	Outpatient			3243	2107.95		90			Percent of total billed charges		2918.7	40			Percent of total billed charges		1297.2	80			Percent of total billed charges		2594.4	90			Percent of total billed charges		2918.7	85			Percent of total billed charges		2756.55	85			Percent of total billed charges		2756.55	85			Percent of total billed charges		2756.55	100			Percent of total billed charges		3243	100			Percent of total billed charges		3243	100			Percent of total billed charges		3243	33.3			Percent of total billed charges		1079.919	33.3			Percent of total billed charges		1079.919	100			Percent of total billed charges		3243	1079.919	2918.7	
distal lat fem plate ts 8 hl lt 437508 stryker	278	RC	Outpatient			3243	2107.95		90			Percent of total billed charges		2918.7	40			Percent of total billed charges		1297.2	80			Percent of total billed charges		2594.4	90			Percent of total billed charges		2918.7	85			Percent of total billed charges		2756.55	85			Percent of total billed charges		2756.55	85			Percent of total billed charges		2756.55	100			Percent of total billed charges		3243	100			Percent of total billed charges		3243	100			Percent of total billed charges		3243	33.3			Percent of total billed charges		1079.919	33.3			Percent of total billed charges		1079.919	100			Percent of total billed charges		3243	1079.919	2918.7	
stryker dist la f pl 12hl	278	RC	Outpatient			3243	2107.95		90			Percent of total billed charges		2918.7	40			Percent of total billed charges		1297.2	80			Percent of total billed charges		2594.4	90			Percent of total billed charges		2918.7	85			Percent of total billed charges		2756.55	85			Percent of total billed charges		2756.55	85			Percent of total billed charges		2756.55	100			Percent of total billed charges		3243	100			Percent of total billed charges		3243	100			Percent of total billed charges		3243	33.3			Percent of total billed charges		1079.919	33.3			Percent of total billed charges		1079.919	100			Percent of total billed charges		3243	1079.919	2918.7	
stryker dist la f pl 8 hl	278	RC	Outpatient			3243	2107.95		90			Percent of total billed charges		2918.7	40			Percent of total billed charges		1297.2	80			Percent of total billed charges		2594.4	90			Percent of total billed charges		2918.7	85			Percent of total billed charges		2756.55	85			Percent of total billed charges		2756.55	85			Percent of total billed charges		2756.55	100			Percent of total billed charges		3243	100			Percent of total billed charges		3243	100			Percent of total billed charges		3243	33.3			Percent of total billed charges		1079.919	33.3			Percent of total billed charges		1079.919	100			Percent of total billed charges		3243	1079.919	2918.7	
cement spacer-stem	272	RC	Outpatient			3245	2109.25		90			Percent of total billed charges		2920.5	40			Percent of total billed charges		1298	80			Percent of total billed charges		2596	90			Percent of total billed charges		2920.5	85			Percent of total billed charges		2758.25	85			Percent of total billed charges		2758.25	85			Percent of total billed charges		2758.25	100			Percent of total billed charges		3245	100			Percent of total billed charges		3245	100			Percent of total billed charges		3245	33.3			Percent of total billed charges		1080.585	33.3			Percent of total billed charges		1080.585	100			Percent of total billed charges		3245	1080.585	2920.5	
stage one cement spacer mold hip  neck 431188 biomet	272	RC	Outpatient			3245	2109.25		90			Percent of total billed charges		2920.5	40			Percent of total billed charges		1298	80			Percent of total billed charges		2596	90			Percent of total billed charges		2920.5	85			Percent of total billed charges		2758.25	85			Percent of total billed charges		2758.25	85			Percent of total billed charges		2758.25	100			Percent of total billed charges		3245	100			Percent of total billed charges		3245	100			Percent of total billed charges		3245	33.3			Percent of total billed charges		1080.585	33.3			Percent of total billed charges		1080.585	100			Percent of total billed charges		3245	1080.585	2920.5	
stage one cement spacer mold hip  stem 431191 biomet	272	RC	Outpatient			3245	2109.25		90			Percent of total billed charges		2920.5	40			Percent of total billed charges		1298	80			Percent of total billed charges		2596	90			Percent of total billed charges		2920.5	85			Percent of total billed charges		2758.25	85			Percent of total billed charges		2758.25	85			Percent of total billed charges		2758.25	100			Percent of total billed charges		3245	100			Percent of total billed charges		3245	100			Percent of total billed charges		3245	33.3			Percent of total billed charges		1080.585	33.3			Percent of total billed charges		1080.585	100			Percent of total billed charges		3245	1080.585	2920.5	
a-l-d tib lk plate3.5mm 4-hole 72mm 71800604 s/n	278	RC	Outpatient			3247	2110.55		90			Percent of total billed charges		2922.3	40			Percent of total billed charges		1298.8	80			Percent of total billed charges		2597.6	90			Percent of total billed charges		2922.3	85			Percent of total billed charges		2759.95	85			Percent of total billed charges		2759.95	85			Percent of total billed charges		2759.95	100			Percent of total billed charges		3247	100			Percent of total billed charges		3247	100			Percent of total billed charges		3247	33.3			Percent of total billed charges		1081.251	33.3			Percent of total billed charges		1081.251	100			Percent of total billed charges		3247	1081.251	2922.3	
a-l-d tib lk plate3.5mm 4-hole 72mm 71800704 s/n	278	RC	Outpatient			3247	2110.55		90			Percent of total billed charges		2922.3	40			Percent of total billed charges		1298.8	80			Percent of total billed charges		2597.6	90			Percent of total billed charges		2922.3	85			Percent of total billed charges		2759.95	85			Percent of total billed charges		2759.95	85			Percent of total billed charges		2759.95	100			Percent of total billed charges		3247	100			Percent of total billed charges		3247	100			Percent of total billed charges		3247	33.3			Percent of total billed charges		1081.251	33.3			Percent of total billed charges		1081.251	100			Percent of total billed charges		3247	1081.251	2922.3	
s/n 3.5 adl tib lk pl 4hl	278	RC	Outpatient			3247	2110.55		90			Percent of total billed charges		2922.3	40			Percent of total billed charges		1298.8	80			Percent of total billed charges		2597.6	90			Percent of total billed charges		2922.3	85			Percent of total billed charges		2759.95	85			Percent of total billed charges		2759.95	85			Percent of total billed charges		2759.95	100			Percent of total billed charges		3247	100			Percent of total billed charges		3247	100			Percent of total billed charges		3247	33.3			Percent of total billed charges		1081.251	33.3			Percent of total billed charges		1081.251	100			Percent of total billed charges		3247	1081.251	2922.3	
depuy srom tib stem ext	278	RC	Outpatient			3249	2111.85		90			Percent of total billed charges		2924.1	40			Percent of total billed charges		1299.6	80			Percent of total billed charges		2599.2	90			Percent of total billed charges		2924.1	85			Percent of total billed charges		2761.65	85			Percent of total billed charges		2761.65	85			Percent of total billed charges		2761.65	100			Percent of total billed charges		3249	100			Percent of total billed charges		3249	100			Percent of total billed charges		3249	33.3			Percent of total billed charges		1081.917	33.3			Percent of total billed charges		1081.917	100			Percent of total billed charges		3249	1081.917	2924.1	
noiles mod tib stem ext w/ screw 13 x 150mm 62-7135 depuy	278	RC	Outpatient			3249	2111.85		90			Percent of total billed charges		2924.1	40			Percent of total billed charges		1299.6	80			Percent of total billed charges		2599.2	90			Percent of total billed charges		2924.1	85			Percent of total billed charges		2761.65	85			Percent of total billed charges		2761.65	85			Percent of total billed charges		2761.65	100			Percent of total billed charges		3249	100			Percent of total billed charges		3249	100			Percent of total billed charges		3249	33.3			Percent of total billed charges		1081.917	33.3			Percent of total billed charges		1081.917	100			Percent of total billed charges		3249	1081.917	2924.1	
s-rom noiles tibial stem ext 9 x 100 62-7090 depuy	278	RC	Outpatient			3249	2111.85		90			Percent of total billed charges		2924.1	40			Percent of total billed charges		1299.6	80			Percent of total billed charges		2599.2	90			Percent of total billed charges		2924.1	85			Percent of total billed charges		2761.65	85			Percent of total billed charges		2761.65	85			Percent of total billed charges		2761.65	100			Percent of total billed charges		3249	100			Percent of total billed charges		3249	100			Percent of total billed charges		3249	33.3			Percent of total billed charges		1081.917	33.3			Percent of total billed charges		1081.917	100			Percent of total billed charges		3249	1081.917	2924.1	
srom tibial stem  15mm x 10mm depuy 62-7150	278	RC	Outpatient			3249	2111.85		90			Percent of total billed charges		2924.1	40			Percent of total billed charges		1299.6	80			Percent of total billed charges		2599.2	90			Percent of total billed charges		2924.1	85			Percent of total billed charges		2761.65	85			Percent of total billed charges		2761.65	85			Percent of total billed charges		2761.65	100			Percent of total billed charges		3249	100			Percent of total billed charges		3249	100			Percent of total billed charges		3249	33.3			Percent of total billed charges		1081.917	33.3			Percent of total billed charges		1081.917	100			Percent of total billed charges		3249	1081.917	2924.1	
srom tibial stem ext 11mm x 100mm depuy 62-7110	278	RC	Outpatient			3249	2111.85		90			Percent of total billed charges		2924.1	40			Percent of total billed charges		1299.6	80			Percent of total billed charges		2599.2	90			Percent of total billed charges		2924.1	85			Percent of total billed charges		2761.65	85			Percent of total billed charges		2761.65	85			Percent of total billed charges		2761.65	100			Percent of total billed charges		3249	100			Percent of total billed charges		3249	100			Percent of total billed charges		3249	33.3			Percent of total billed charges		1081.917	33.3			Percent of total billed charges		1081.917	100			Percent of total billed charges		3249	1081.917	2924.1	
srom tibial stem ext 13mm x 100mm 62-7130 depuy	278	RC	Outpatient			3249	2111.85		90			Percent of total billed charges		2924.1	40			Percent of total billed charges		1299.6	80			Percent of total billed charges		2599.2	90			Percent of total billed charges		2924.1	85			Percent of total billed charges		2761.65	85			Percent of total billed charges		2761.65	85			Percent of total billed charges		2761.65	100			Percent of total billed charges		3249	100			Percent of total billed charges		3249	100			Percent of total billed charges		3249	33.3			Percent of total billed charges		1081.917	33.3			Percent of total billed charges		1081.917	100			Percent of total billed charges		3249	1081.917	2924.1	
dbx mix 058100 10cc mtf	278	RC	Outpatient			3250	2112.5		90			Percent of total billed charges		2925	40			Percent of total billed charges		1300	80			Percent of total billed charges		2600	90			Percent of total billed charges		2925	85			Percent of total billed charges		2762.5	85			Percent of total billed charges		2762.5	85			Percent of total billed charges		2762.5	100			Percent of total billed charges		3250	100			Percent of total billed charges		3250	100			Percent of total billed charges		3250	33.3			Percent of total billed charges		1082.25	33.3			Percent of total billed charges		1082.25	100			Percent of total billed charges		3250	1082.25	2925	
dbx mix 10cc	278	RC	Outpatient			3250	2112.5		90			Percent of total billed charges		2925	40			Percent of total billed charges		1300	80			Percent of total billed charges		2600	90			Percent of total billed charges		2925	85			Percent of total billed charges		2762.5	85			Percent of total billed charges		2762.5	85			Percent of total billed charges		2762.5	100			Percent of total billed charges		3250	100			Percent of total billed charges		3250	100			Percent of total billed charges		3250	33.3			Percent of total billed charges		1082.25	33.3			Percent of total billed charges		1082.25	100			Percent of total billed charges		3250	1082.25	2925	
richards hybrid femur	278	RC	Outpatient			3252	2113.8		90			Percent of total billed charges		2926.8	40			Percent of total billed charges		1300.8	80			Percent of total billed charges		2601.6	90			Percent of total billed charges		2926.8	85			Percent of total billed charges		2764.2	85			Percent of total billed charges		2764.2	85			Percent of total billed charges		2764.2	100			Percent of total billed charges		3252	100			Percent of total billed charges		3252	100			Percent of total billed charges		3252	33.3			Percent of total billed charges		1082.916	33.3			Percent of total billed charges		1082.916	100			Percent of total billed charges		3252	1082.916	2926.8	
richards cemented femur	278	RC	Outpatient			3252	2113.8		90			Percent of total billed charges		2926.8	40			Percent of total billed charges		1300.8	80			Percent of total billed charges		2601.6	90			Percent of total billed charges		2926.8	85			Percent of total billed charges		2764.2	85			Percent of total billed charges		2764.2	85			Percent of total billed charges		2764.2	100			Percent of total billed charges		3252	100			Percent of total billed charges		3252	100			Percent of total billed charges		3252	33.3			Percent of total billed charges		1082.916	33.3			Percent of total billed charges		1082.916	100			Percent of total billed charges		3252	1082.916	2926.8	
stryker troc grip pl	278	RC	Outpatient			3254	2115.1		90			Percent of total billed charges		2928.6	40			Percent of total billed charges		1301.6	80			Percent of total billed charges		2603.2	90			Percent of total billed charges		2928.6	85			Percent of total billed charges		2765.9	85			Percent of total billed charges		2765.9	85			Percent of total billed charges		2765.9	100			Percent of total billed charges		3254	100			Percent of total billed charges		3254	100			Percent of total billed charges		3254	33.3			Percent of total billed charges		1083.582	33.3			Percent of total billed charges		1083.582	100			Percent of total billed charges		3254	1083.582	2928.6	
trocanteric grip plate w/ 2 cables 6704-3-082 stryker	278	RC	Outpatient			3254	2115.1		90			Percent of total billed charges		2928.6	40			Percent of total billed charges		1301.6	80			Percent of total billed charges		2603.2	90			Percent of total billed charges		2928.6	85			Percent of total billed charges		2765.9	85			Percent of total billed charges		2765.9	85			Percent of total billed charges		2765.9	100			Percent of total billed charges		3254	100			Percent of total billed charges		3254	100			Percent of total billed charges		3254	33.3			Percent of total billed charges		1083.582	33.3			Percent of total billed charges		1083.582	100			Percent of total billed charges		3254	1083.582	2928.6	
cancellous crunch 15cc 717915 s/n	278	RC	Outpatient			3259	2118.35		90			Percent of total billed charges		2933.1	40			Percent of total billed charges		1303.6	80			Percent of total billed charges		2607.2	90			Percent of total billed charges		2933.1	85			Percent of total billed charges		2770.15	85			Percent of total billed charges		2770.15	85			Percent of total billed charges		2770.15	100			Percent of total billed charges		3259	100			Percent of total billed charges		3259	100			Percent of total billed charges		3259	33.3			Percent of total billed charges		1085.247	33.3			Percent of total billed charges		1085.247	100			Percent of total billed charges		3259	1085.247	2933.1	
cancellous crunch 15ccs/n	278	RC	Outpatient			3259	2118.35		90			Percent of total billed charges		2933.1	40			Percent of total billed charges		1303.6	80			Percent of total billed charges		2607.2	90			Percent of total billed charges		2933.1	85			Percent of total billed charges		2770.15	85			Percent of total billed charges		2770.15	85			Percent of total billed charges		2770.15	100			Percent of total billed charges		3259	100			Percent of total billed charges		3259	100			Percent of total billed charges		3259	33.3			Percent of total billed charges		1085.247	33.3			Percent of total billed charges		1085.247	100			Percent of total billed charges		3259	1085.247	2933.1	
viagraf flex 2.5 x 5	278	RC	Outpatient			3259	2118.35		90			Percent of total billed charges		2933.1	40			Percent of total billed charges		1303.6	80			Percent of total billed charges		2607.2	90			Percent of total billed charges		2933.1	85			Percent of total billed charges		2770.15	85			Percent of total billed charges		2770.15	85			Percent of total billed charges		2770.15	100			Percent of total billed charges		3259	100			Percent of total billed charges		3259	100			Percent of total billed charges		3259	33.3			Percent of total billed charges		1085.247	33.3			Percent of total billed charges		1085.247	100			Percent of total billed charges		3259	1085.247	2933.1	
viagraf flex 2.5cm x 5cm 717917 s/n	278	RC	Outpatient			3259	2118.35		90			Percent of total billed charges		2933.1	40			Percent of total billed charges		1303.6	80			Percent of total billed charges		2607.2	90			Percent of total billed charges		2933.1	85			Percent of total billed charges		2770.15	85			Percent of total billed charges		2770.15	85			Percent of total billed charges		2770.15	100			Percent of total billed charges		3259	100			Percent of total billed charges		3259	100			Percent of total billed charges		3259	33.3			Percent of total billed charges		1085.247	33.3			Percent of total billed charges		1085.247	100			Percent of total billed charges		3259	1085.247	2933.1	
stryker scoprio-flex br	278	RC	Outpatient			3261	2119.65		90			Percent of total billed charges		2934.9	40			Percent of total billed charges		1304.4	80			Percent of total billed charges		2608.8	90			Percent of total billed charges		2934.9	85			Percent of total billed charges		2771.85	85			Percent of total billed charges		2771.85	85			Percent of total billed charges		2771.85	100			Percent of total billed charges		3261	100			Percent of total billed charges		3261	100			Percent of total billed charges		3261	33.3			Percent of total billed charges		1085.913	33.3			Percent of total billed charges		1085.913	100			Percent of total billed charges		3261	1085.913	2934.9	
scorpio flex x3 tib bearing insert 10mm #5 72-26-0510 stryker	278	RC	Outpatient			3261	2119.65		90			Percent of total billed charges		2934.9	40			Percent of total billed charges		1304.4	80			Percent of total billed charges		2608.8	90			Percent of total billed charges		2934.9	85			Percent of total billed charges		2771.85	85			Percent of total billed charges		2771.85	85			Percent of total billed charges		2771.85	100			Percent of total billed charges		3261	100			Percent of total billed charges		3261	100			Percent of total billed charges		3261	33.3			Percent of total billed charges		1085.913	33.3			Percent of total billed charges		1085.913	100			Percent of total billed charges		3261	1085.913	2934.9	
scorpio flex x3 tib bearing insert 12mm #5 72-26-0512 stryker	278	RC	Outpatient			3261	2119.65		90			Percent of total billed charges		2934.9	40			Percent of total billed charges		1304.4	80			Percent of total billed charges		2608.8	90			Percent of total billed charges		2934.9	85			Percent of total billed charges		2771.85	85			Percent of total billed charges		2771.85	85			Percent of total billed charges		2771.85	100			Percent of total billed charges		3261	100			Percent of total billed charges		3261	100			Percent of total billed charges		3261	33.3			Percent of total billed charges		1085.913	33.3			Percent of total billed charges		1085.913	100			Percent of total billed charges		3261	1085.913	2934.9	
scorpio flex x3 tib bearing insert 8mm #5 72-26-0508 stryker	278	RC	Outpatient			3261	2119.65		90			Percent of total billed charges		2934.9	40			Percent of total billed charges		1304.4	80			Percent of total billed charges		2608.8	90			Percent of total billed charges		2934.9	85			Percent of total billed charges		2771.85	85			Percent of total billed charges		2771.85	85			Percent of total billed charges		2771.85	100			Percent of total billed charges		3261	100			Percent of total billed charges		3261	100			Percent of total billed charges		3261	33.3			Percent of total billed charges		1085.913	33.3			Percent of total billed charges		1085.913	100			Percent of total billed charges		3261	1085.913	2934.9	
scorpio flex x3 tib bearing insert 8mm #9 72-26-0908 stryker	278	RC	Outpatient			3261	2119.65		90			Percent of total billed charges		2934.9	40			Percent of total billed charges		1304.4	80			Percent of total billed charges		2608.8	90			Percent of total billed charges		2934.9	85			Percent of total billed charges		2771.85	85			Percent of total billed charges		2771.85	85			Percent of total billed charges		2771.85	100			Percent of total billed charges		3261	100			Percent of total billed charges		3261	100			Percent of total billed charges		3261	33.3			Percent of total billed charges		1085.913	33.3			Percent of total billed charges		1085.913	100			Percent of total billed charges		3261	1085.913	2934.9	
embo shield nav 7.2mm 22438-19 abbott	272	RC	Outpatient			3269	2124.85		90			Percent of total billed charges		2942.1	40			Percent of total billed charges		1307.6	80			Percent of total billed charges		2615.2	90			Percent of total billed charges		2942.1	85			Percent of total billed charges		2778.65	85			Percent of total billed charges		2778.65	85			Percent of total billed charges		2778.65	100			Percent of total billed charges		3269	100			Percent of total billed charges		3269	100			Percent of total billed charges		3269	33.3			Percent of total billed charges		1088.577	33.3			Percent of total billed charges		1088.577	100			Percent of total billed charges		3269	1088.577	2942.1	
embo shield nav	272	RC	Outpatient			3269	2124.85		90			Percent of total billed charges		2942.1	40			Percent of total billed charges		1307.6	80			Percent of total billed charges		2615.2	90			Percent of total billed charges		2942.1	85			Percent of total billed charges		2778.65	85			Percent of total billed charges		2778.65	85			Percent of total billed charges		2778.65	100			Percent of total billed charges		3269	100			Percent of total billed charges		3269	100			Percent of total billed charges		3269	33.3			Percent of total billed charges		1088.577	33.3			Percent of total billed charges		1088.577	100			Percent of total billed charges		3269	1088.577	2942.1	
vectra plate 1 level	278	RC	Outpatient			3287	2136.55		90			Percent of total billed charges		2958.3	40			Percent of total billed charges		1314.8	80			Percent of total billed charges		2629.6	90			Percent of total billed charges		2958.3	85			Percent of total billed charges		2793.95	85			Percent of total billed charges		2793.95	85			Percent of total billed charges		2793.95	100			Percent of total billed charges		3287	100			Percent of total billed charges		3287	100			Percent of total billed charges		3287	33.3			Percent of total billed charges		1094.571	33.3			Percent of total billed charges		1094.571	100			Percent of total billed charges		3287	1094.571	2958.3	
vectra plate 1 level 18mm  04.613.058 synthes	278	RC	Outpatient			3287	2136.55		90			Percent of total billed charges		2958.3	40			Percent of total billed charges		1314.8	80			Percent of total billed charges		2629.6	90			Percent of total billed charges		2958.3	85			Percent of total billed charges		2793.95	85			Percent of total billed charges		2793.95	85			Percent of total billed charges		2793.95	100			Percent of total billed charges		3287	100			Percent of total billed charges		3287	100			Percent of total billed charges		3287	33.3			Percent of total billed charges		1094.571	33.3			Percent of total billed charges		1094.571	100			Percent of total billed charges		3287	1094.571	2958.3	
genesis articular insert small left 8mm 71204503 s/n	278	RC	Outpatient			3289	2137.85		90			Percent of total billed charges		2960.1	40			Percent of total billed charges		1315.6	80			Percent of total billed charges		2631.2	90			Percent of total billed charges		2960.1	85			Percent of total billed charges		2795.65	85			Percent of total billed charges		2795.65	85			Percent of total billed charges		2795.65	100			Percent of total billed charges		3289	100			Percent of total billed charges		3289	100			Percent of total billed charges		3289	33.3			Percent of total billed charges		1095.237	33.3			Percent of total billed charges		1095.237	100			Percent of total billed charges		3289	1095.237	2960.1	
genesis cr articular insert 15mm lg 71204528 s/n	278	RC	Outpatient			3289	2137.85		90			Percent of total billed charges		2960.1	40			Percent of total billed charges		1315.6	80			Percent of total billed charges		2631.2	90			Percent of total billed charges		2960.1	85			Percent of total billed charges		2795.65	85			Percent of total billed charges		2795.65	85			Percent of total billed charges		2795.65	100			Percent of total billed charges		3289	100			Percent of total billed charges		3289	100			Percent of total billed charges		3289	33.3			Percent of total billed charges		1095.237	33.3			Percent of total billed charges		1095.237	100			Percent of total billed charges		3289	1095.237	2960.1	
s/n cr art insert	278	RC	Outpatient			3289	2137.85		90			Percent of total billed charges		2960.1	40			Percent of total billed charges		1315.6	80			Percent of total billed charges		2631.2	90			Percent of total billed charges		2960.1	85			Percent of total billed charges		2795.65	85			Percent of total billed charges		2795.65	85			Percent of total billed charges		2795.65	100			Percent of total billed charges		3289	100			Percent of total billed charges		3289	100			Percent of total billed charges		3289	33.3			Percent of total billed charges		1095.237	33.3			Percent of total billed charges		1095.237	100			Percent of total billed charges		3289	1095.237	2960.1	
amniofex 160mg	278	RC	Outpatient			3292	2139.8		90			Percent of total billed charges		2962.8	40			Percent of total billed charges		1316.8	80			Percent of total billed charges		2633.6	90			Percent of total billed charges		2962.8	85			Percent of total billed charges		2798.2	85			Percent of total billed charges		2798.2	85			Percent of total billed charges		2798.2	100			Percent of total billed charges		3292	100			Percent of total billed charges		3292	100			Percent of total billed charges		3292	33.3			Percent of total billed charges		1096.236	33.3			Percent of total billed charges		1096.236	100			Percent of total billed charges		3292	1096.236	2962.8	
amniofix injectable 160.0mg al-5200 mimed	278	RC	Outpatient			3292	2139.8		90			Percent of total billed charges		2962.8	40			Percent of total billed charges		1316.8	80			Percent of total billed charges		2633.6	90			Percent of total billed charges		2962.8	85			Percent of total billed charges		2798.2	85			Percent of total billed charges		2798.2	85			Percent of total billed charges		2798.2	100			Percent of total billed charges		3292	100			Percent of total billed charges		3292	100			Percent of total billed charges		3292	33.3			Percent of total billed charges		1096.236	33.3			Percent of total billed charges		1096.236	100			Percent of total billed charges		3292	1096.236	2962.8	
ti radial head sizing set 486100n wright	278	RC	Outpatient			3299	2144.35		90			Percent of total billed charges		2969.1	40			Percent of total billed charges		1319.6	80			Percent of total billed charges		2639.2	90			Percent of total billed charges		2969.1	85			Percent of total billed charges		2804.15	85			Percent of total billed charges		2804.15	85			Percent of total billed charges		2804.15	100			Percent of total billed charges		3299	100			Percent of total billed charges		3299	100			Percent of total billed charges		3299	33.3			Percent of total billed charges		1098.567	33.3			Percent of total billed charges		1098.567	100			Percent of total billed charges		3299	1098.567	2969.1	
radial head impl.kit titn	278	RC	Outpatient			3299	2144.35		90			Percent of total billed charges		2969.1	40			Percent of total billed charges		1319.6	80			Percent of total billed charges		2639.2	90			Percent of total billed charges		2969.1	85			Percent of total billed charges		2804.15	85			Percent of total billed charges		2804.15	85			Percent of total billed charges		2804.15	100			Percent of total billed charges		3299	100			Percent of total billed charges		3299	100			Percent of total billed charges		3299	33.3			Percent of total billed charges		1098.567	33.3			Percent of total billed charges		1098.567	100			Percent of total billed charges		3299	1098.567	2969.1	
integra titan rs stem	278	RC	Outpatient			3300	2145		90			Percent of total billed charges		2970	40			Percent of total billed charges		1320	80			Percent of total billed charges		2640	90			Percent of total billed charges		2970	85			Percent of total billed charges		2805	85			Percent of total billed charges		2805	85			Percent of total billed charges		2805	100			Percent of total billed charges		3300	100			Percent of total billed charges		3300	100			Percent of total billed charges		3300	33.3			Percent of total billed charges		1098.9	33.3			Percent of total billed charges		1098.9	100			Percent of total billed charges		3300	1098.9	2970	
integra titan rb	278	RC	Outpatient			3300	2145		90			Percent of total billed charges		2970	40			Percent of total billed charges		1320	80			Percent of total billed charges		2640	90			Percent of total billed charges		2970	85			Percent of total billed charges		2805	85			Percent of total billed charges		2805	85			Percent of total billed charges		2805	100			Percent of total billed charges		3300	100			Percent of total billed charges		3300	100			Percent of total billed charges		3300	33.3			Percent of total billed charges		1098.9	33.3			Percent of total billed charges		1098.9	100			Percent of total billed charges		3300	1098.9	2970	
rsp humeral socket insert 32mm 508-00-432 djo	278	RC	Outpatient			3300	2145		90			Percent of total billed charges		2970	40			Percent of total billed charges		1320	80			Percent of total billed charges		2640	90			Percent of total billed charges		2970	85			Percent of total billed charges		2805	85			Percent of total billed charges		2805	85			Percent of total billed charges		2805	100			Percent of total billed charges		3300	100			Percent of total billed charges		3300	100			Percent of total billed charges		3300	33.3			Percent of total billed charges		1098.9	33.3			Percent of total billed charges		1098.9	100			Percent of total billed charges		3300	1098.9	2970	
rsp standard humeral socket insert 32mm 508-00-032 encore	278	RC	Outpatient			3300	2145		90			Percent of total billed charges		2970	40			Percent of total billed charges		1320	80			Percent of total billed charges		2640	90			Percent of total billed charges		2970	85			Percent of total billed charges		2805	85			Percent of total billed charges		2805	85			Percent of total billed charges		2805	100			Percent of total billed charges		3300	100			Percent of total billed charges		3300	100			Percent of total billed charges		3300	33.3			Percent of total billed charges		1098.9	33.3			Percent of total billed charges		1098.9	100			Percent of total billed charges		3300	1098.9	2970	
rsp insert	278	RC	Outpatient			3300	2145		90			Percent of total billed charges		2970	40			Percent of total billed charges		1320	80			Percent of total billed charges		2640	90			Percent of total billed charges		2970	85			Percent of total billed charges		2805	85			Percent of total billed charges		2805	85			Percent of total billed charges		2805	100			Percent of total billed charges		3300	100			Percent of total billed charges		3300	100			Percent of total billed charges		3300	33.3			Percent of total billed charges		1098.9	33.3			Percent of total billed charges		1098.9	100			Percent of total billed charges		3300	1098.9	2970	
rsp semiconstrained humeral socket insert 32mm 508-01-032 encore	278	RC	Outpatient			3300	2145		90			Percent of total billed charges		2970	40			Percent of total billed charges		1320	80			Percent of total billed charges		2640	90			Percent of total billed charges		2970	85			Percent of total billed charges		2805	85			Percent of total billed charges		2805	85			Percent of total billed charges		2805	100			Percent of total billed charges		3300	100			Percent of total billed charges		3300	100			Percent of total billed charges		3300	33.3			Percent of total billed charges		1098.9	33.3			Percent of total billed charges		1098.9	100			Percent of total billed charges		3300	1098.9	2970	
rsp semiconstrained humeral socket insert 36mm 508-01-036 encore	278	RC	Outpatient			3300	2145		90			Percent of total billed charges		2970	40			Percent of total billed charges		1320	80			Percent of total billed charges		2640	90			Percent of total billed charges		2970	85			Percent of total billed charges		2805	85			Percent of total billed charges		2805	85			Percent of total billed charges		2805	100			Percent of total billed charges		3300	100			Percent of total billed charges		3300	100			Percent of total billed charges		3300	33.3			Percent of total billed charges		1098.9	33.3			Percent of total billed charges		1098.9	100			Percent of total billed charges		3300	1098.9	2970	
rsp semiconstrained humeral socket insert 40mm 508-01-040 encore	278	RC	Outpatient			3300	2145		90			Percent of total billed charges		2970	40			Percent of total billed charges		1320	80			Percent of total billed charges		2640	90			Percent of total billed charges		2970	85			Percent of total billed charges		2805	85			Percent of total billed charges		2805	85			Percent of total billed charges		2805	100			Percent of total billed charges		3300	100			Percent of total billed charges		3300	100			Percent of total billed charges		3300	33.3			Percent of total billed charges		1098.9	33.3			Percent of total billed charges		1098.9	100			Percent of total billed charges		3300	1098.9	2970	
rsp standard humeral socket insert 36mm 508-00-036 djo	278	RC	Outpatient			3300	2145		90			Percent of total billed charges		2970	40			Percent of total billed charges		1320	80			Percent of total billed charges		2640	90			Percent of total billed charges		2970	85			Percent of total billed charges		2805	85			Percent of total billed charges		2805	85			Percent of total billed charges		2805	100			Percent of total billed charges		3300	100			Percent of total billed charges		3300	100			Percent of total billed charges		3300	33.3			Percent of total billed charges		1098.9	33.3			Percent of total billed charges		1098.9	100			Percent of total billed charges		3300	1098.9	2970	
titan rs humeral stem 11 stem-0960-025-11 intregra	278	RC	Outpatient			3300	2145		90			Percent of total billed charges		2970	40			Percent of total billed charges		1320	80			Percent of total billed charges		2640	90			Percent of total billed charges		2970	85			Percent of total billed charges		2805	85			Percent of total billed charges		2805	85			Percent of total billed charges		2805	100			Percent of total billed charges		3300	100			Percent of total billed charges		3300	100			Percent of total billed charges		3300	33.3			Percent of total billed charges		1098.9	33.3			Percent of total billed charges		1098.9	100			Percent of total billed charges		3300	1098.9	2970	
titan rs reverse body bbs-0960-021sml intregra	278	RC	Outpatient			3300	2145		90			Percent of total billed charges		2970	40			Percent of total billed charges		1320	80			Percent of total billed charges		2640	90			Percent of total billed charges		2970	85			Percent of total billed charges		2805	85			Percent of total billed charges		2805	85			Percent of total billed charges		2805	100			Percent of total billed charges		3300	100			Percent of total billed charges		3300	100			Percent of total billed charges		3300	33.3			Percent of total billed charges		1098.9	33.3			Percent of total billed charges		1098.9	100			Percent of total billed charges		3300	1098.9	2970	
conquest fracture stem 71316513 s/n	278	RC	Outpatient			3303	2146.95		90			Percent of total billed charges		2972.7	40			Percent of total billed charges		1321.2	80			Percent of total billed charges		2642.4	90			Percent of total billed charges		2972.7	85			Percent of total billed charges		2807.55	85			Percent of total billed charges		2807.55	85			Percent of total billed charges		2807.55	100			Percent of total billed charges		3303	100			Percent of total billed charges		3303	100			Percent of total billed charges		3303	33.3			Percent of total billed charges		1099.899	33.3			Percent of total billed charges		1099.899	100			Percent of total billed charges		3303	1099.899	2972.7	
conquest fx fem comp 71316509 s/n	278	RC	Outpatient			3303	2146.95		90			Percent of total billed charges		2972.7	40			Percent of total billed charges		1321.2	80			Percent of total billed charges		2642.4	90			Percent of total billed charges		2972.7	85			Percent of total billed charges		2807.55	85			Percent of total billed charges		2807.55	85			Percent of total billed charges		2807.55	100			Percent of total billed charges		3303	100			Percent of total billed charges		3303	100			Percent of total billed charges		3303	33.3			Percent of total billed charges		1099.899	33.3			Percent of total billed charges		1099.899	100			Percent of total billed charges		3303	1099.899	2972.7	
lrg lck calc 3.5mm plate 76mm 71801200 s/n	278	RC	Outpatient			3303	2146.95		90			Percent of total billed charges		2972.7	40			Percent of total billed charges		1321.2	80			Percent of total billed charges		2642.4	90			Percent of total billed charges		2972.7	85			Percent of total billed charges		2807.55	85			Percent of total billed charges		2807.55	85			Percent of total billed charges		2807.55	100			Percent of total billed charges		3303	100			Percent of total billed charges		3303	100			Percent of total billed charges		3303	33.3			Percent of total billed charges		1099.899	33.3			Percent of total billed charges		1099.899	100			Percent of total billed charges		3303	1099.899	2972.7	
lg calc plt 3.5mm 71821200	278	RC	Outpatient			3303	2146.95		90			Percent of total billed charges		2972.7	40			Percent of total billed charges		1321.2	80			Percent of total billed charges		2642.4	90			Percent of total billed charges		2972.7	85			Percent of total billed charges		2807.55	85			Percent of total billed charges		2807.55	85			Percent of total billed charges		2807.55	100			Percent of total billed charges		3303	100			Percent of total billed charges		3303	100			Percent of total billed charges		3303	33.3			Percent of total billed charges		1099.899	33.3			Percent of total billed charges		1099.899	100			Percent of total billed charges		3303	1099.899	2972.7	
lg calc plt 3.5mm 71821201	278	RC	Outpatient			3303	2146.95		90			Percent of total billed charges		2972.7	40			Percent of total billed charges		1321.2	80			Percent of total billed charges		2642.4	90			Percent of total billed charges		2972.7	85			Percent of total billed charges		2807.55	85			Percent of total billed charges		2807.55	85			Percent of total billed charges		2807.55	100			Percent of total billed charges		3303	100			Percent of total billed charges		3303	100			Percent of total billed charges		3303	33.3			Percent of total billed charges		1099.899	33.3			Percent of total billed charges		1099.899	100			Percent of total billed charges		3303	1099.899	2972.7	
lrg lck calc 3.5mm plate 76mm 71801201 s/n	278	RC	Outpatient			3303	2146.95		90			Percent of total billed charges		2972.7	40			Percent of total billed charges		1321.2	80			Percent of total billed charges		2642.4	90			Percent of total billed charges		2972.7	85			Percent of total billed charges		2807.55	85			Percent of total billed charges		2807.55	85			Percent of total billed charges		2807.55	100			Percent of total billed charges		3303	100			Percent of total billed charges		3303	100			Percent of total billed charges		3303	33.3			Percent of total billed charges		1099.899	33.3			Percent of total billed charges		1099.899	100			Percent of total billed charges		3303	1099.899	2972.7	
richard conquest fx femor	278	RC	Outpatient			3303	2146.95		90			Percent of total billed charges		2972.7	40			Percent of total billed charges		1321.2	80			Percent of total billed charges		2642.4	90			Percent of total billed charges		2972.7	85			Percent of total billed charges		2807.55	85			Percent of total billed charges		2807.55	85			Percent of total billed charges		2807.55	100			Percent of total billed charges		3303	100			Percent of total billed charges		3303	100			Percent of total billed charges		3303	33.3			Percent of total billed charges		1099.899	33.3			Percent of total billed charges		1099.899	100			Percent of total billed charges		3303	1099.899	2972.7	
s/n 3.5 lg lk calc pl	278	RC	Outpatient			3303	2146.95		90			Percent of total billed charges		2972.7	40			Percent of total billed charges		1321.2	80			Percent of total billed charges		2642.4	90			Percent of total billed charges		2972.7	85			Percent of total billed charges		2807.55	85			Percent of total billed charges		2807.55	85			Percent of total billed charges		2807.55	100			Percent of total billed charges		3303	100			Percent of total billed charges		3303	100			Percent of total billed charges		3303	33.3			Percent of total billed charges		1099.899	33.3			Percent of total billed charges		1099.899	100			Percent of total billed charges		3303	1099.899	2972.7	
bio 28mm ceramic head	278	RC	Outpatient			3309	2150.85		90			Percent of total billed charges		2978.1	40			Percent of total billed charges		1323.6	80			Percent of total billed charges		2647.2	90			Percent of total billed charges		2978.1	85			Percent of total billed charges		2812.65	85			Percent of total billed charges		2812.65	85			Percent of total billed charges		2812.65	100			Percent of total billed charges		3309	100			Percent of total billed charges		3309	100			Percent of total billed charges		3309	33.3			Percent of total billed charges		1101.897	33.3			Percent of total billed charges		1101.897	100			Percent of total billed charges		3309	1101.897	2978.1	
anesthesia time 13 1/2 hours	270	RC	Outpatient			3309	2150.85		90			Percent of total billed charges		2978.1	40			Percent of total billed charges		1323.6	80			Percent of total billed charges		2647.2	90			Percent of total billed charges		2978.1	85			Percent of total billed charges		2812.65	85			Percent of total billed charges		2812.65	85			Percent of total billed charges		2812.65	100			Percent of total billed charges		3309	100			Percent of total billed charges		3309	100			Percent of total billed charges		3309	33.3			Percent of total billed charges		1101.897	33.3			Percent of total billed charges		1101.897	100			Percent of total billed charges		3309	1101.897	2978.1	
modular ceramic head 28mm 163131 biomet	278	RC	Outpatient			3309	2150.85		90			Percent of total billed charges		2978.1	40			Percent of total billed charges		1323.6	80			Percent of total billed charges		2647.2	90			Percent of total billed charges		2978.1	85			Percent of total billed charges		2812.65	85			Percent of total billed charges		2812.65	85			Percent of total billed charges		2812.65	100			Percent of total billed charges		3309	100			Percent of total billed charges		3309	100			Percent of total billed charges		3309	33.3			Percent of total billed charges		1101.897	33.3			Percent of total billed charges		1101.897	100			Percent of total billed charges		3309	1101.897	2978.1	
cath lab ra/rv lead revision	360	RC	Outpatient			3317	2156.05		90			Percent of total billed charges		2985.3	40			Percent of total billed charges		1326.8	80			Percent of total billed charges		2653.6	90			Percent of total billed charges		2985.3	85			Percent of total billed charges		2819.45	85			Percent of total billed charges		2819.45	85			Percent of total billed charges		2819.45	100			Percent of total billed charges		3317	100			Percent of total billed charges		3317	100			Percent of total billed charges		3317	33.3			Percent of total billed charges		1104.561	33.3			Percent of total billed charges		1104.561	100			Percent of total billed charges		3317	1104.561	2985.3	
radial head stem	278	RC	Outpatient			3331	2165.15		90			Percent of total billed charges		2997.9	40			Percent of total billed charges		1332.4	80			Percent of total billed charges		2664.8	90			Percent of total billed charges		2997.9	85			Percent of total billed charges		2831.35	85			Percent of total billed charges		2831.35	85			Percent of total billed charges		2831.35	100			Percent of total billed charges		3331	100			Percent of total billed charges		3331	100			Percent of total billed charges		3331	33.3			Percent of total billed charges		1109.223	33.3			Percent of total billed charges		1109.223	100			Percent of total billed charges		3331	1109.223	2997.9	
radial head stem 7.5mm 496-s075 wright	278	RC	Outpatient			3331	2165.15		90			Percent of total billed charges		2997.9	40			Percent of total billed charges		1332.4	80			Percent of total billed charges		2664.8	90			Percent of total billed charges		2997.9	85			Percent of total billed charges		2831.35	85			Percent of total billed charges		2831.35	85			Percent of total billed charges		2831.35	100			Percent of total billed charges		3331	100			Percent of total billed charges		3331	100			Percent of total billed charges		3331	33.3			Percent of total billed charges		1109.223	33.3			Percent of total billed charges		1109.223	100			Percent of total billed charges		3331	1109.223	2997.9	
radial head stem 6.5mm 496-so65 wright	278	RC	Outpatient			3331	2165.15		90			Percent of total billed charges		2997.9	40			Percent of total billed charges		1332.4	80			Percent of total billed charges		2664.8	90			Percent of total billed charges		2997.9	85			Percent of total billed charges		2831.35	85			Percent of total billed charges		2831.35	85			Percent of total billed charges		2831.35	100			Percent of total billed charges		3331	100			Percent of total billed charges		3331	100			Percent of total billed charges		3331	33.3			Percent of total billed charges		1109.223	33.3			Percent of total billed charges		1109.223	100			Percent of total billed charges		3331	1109.223	2997.9	
pmt tissue expander 650cc 3611es-200-2i-st	278	RC	Outpatient			3342	2172.3		90			Percent of total billed charges		3007.8	40			Percent of total billed charges		1336.8	80			Percent of total billed charges		2673.6	90			Percent of total billed charges		3007.8	85			Percent of total billed charges		2840.7	85			Percent of total billed charges		2840.7	85			Percent of total billed charges		2840.7	100			Percent of total billed charges		3342	100			Percent of total billed charges		3342	100			Percent of total billed charges		3342	33.3			Percent of total billed charges		1112.886	33.3			Percent of total billed charges		1112.886	100			Percent of total billed charges		3342	1112.886	3007.8	
tissue expander 650ccw/st	278	RC	Outpatient			3342	2172.3		90			Percent of total billed charges		3007.8	40			Percent of total billed charges		1336.8	80			Percent of total billed charges		2673.6	90			Percent of total billed charges		3007.8	85			Percent of total billed charges		2840.7	85			Percent of total billed charges		2840.7	85			Percent of total billed charges		2840.7	100			Percent of total billed charges		3342	100			Percent of total billed charges		3342	100			Percent of total billed charges		3342	33.3			Percent of total billed charges		1112.886	33.3			Percent of total billed charges		1112.886	100			Percent of total billed charges		3342	1112.886	3007.8	
torosa saline-filled testicular prosth lg 20cc 450-1329 coloplast	278	RC	Outpatient			3342	2172.3		90			Percent of total billed charges		3007.8	40			Percent of total billed charges		1336.8	80			Percent of total billed charges		2673.6	90			Percent of total billed charges		3007.8	85			Percent of total billed charges		2840.7	85			Percent of total billed charges		2840.7	85			Percent of total billed charges		2840.7	100			Percent of total billed charges		3342	100			Percent of total billed charges		3342	100			Percent of total billed charges		3342	33.3			Percent of total billed charges		1112.886	33.3			Percent of total billed charges		1112.886	100			Percent of total billed charges		3342	1112.886	3007.8	
torosa saline-filled testicular prosth med 16cc 450-1327 coloplast	278	RC	Outpatient			3342	2172.3		90			Percent of total billed charges		3007.8	40			Percent of total billed charges		1336.8	80			Percent of total billed charges		2673.6	90			Percent of total billed charges		3007.8	85			Percent of total billed charges		2840.7	85			Percent of total billed charges		2840.7	85			Percent of total billed charges		2840.7	100			Percent of total billed charges		3342	100			Percent of total billed charges		3342	100			Percent of total billed charges		3342	33.3			Percent of total billed charges		1112.886	33.3			Percent of total billed charges		1112.886	100			Percent of total billed charges		3342	1112.886	3007.8	
torosa saline-filled testicular prosth sm 11cc 450-1325 coloplast	278	RC	Outpatient			3342	2172.3		90			Percent of total billed charges		3007.8	40			Percent of total billed charges		1336.8	80			Percent of total billed charges		2673.6	90			Percent of total billed charges		3007.8	85			Percent of total billed charges		2840.7	85			Percent of total billed charges		2840.7	85			Percent of total billed charges		2840.7	100			Percent of total billed charges		3342	100			Percent of total billed charges		3342	100			Percent of total billed charges		3342	33.3			Percent of total billed charges		1112.886	33.3			Percent of total billed charges		1112.886	100			Percent of total billed charges		3342	1112.886	3007.8	
torosa test prosth	278	RC	Outpatient			3342	2172.3		90			Percent of total billed charges		3007.8	40			Percent of total billed charges		1336.8	80			Percent of total billed charges		2673.6	90			Percent of total billed charges		3007.8	85			Percent of total billed charges		2840.7	85			Percent of total billed charges		2840.7	85			Percent of total billed charges		2840.7	100			Percent of total billed charges		3342	100			Percent of total billed charges		3342	100			Percent of total billed charges		3342	33.3			Percent of total billed charges		1112.886	33.3			Percent of total billed charges		1112.886	100			Percent of total billed charges		3342	1112.886	3007.8	
4.5mm broad dcp plate 14hole 226.14	278	RC	Outpatient			3343	2172.95		90			Percent of total billed charges		3008.7	40			Percent of total billed charges		1337.2	80			Percent of total billed charges		2674.4	90			Percent of total billed charges		3008.7	85			Percent of total billed charges		2841.55	85			Percent of total billed charges		2841.55	85			Percent of total billed charges		2841.55	100			Percent of total billed charges		3343	100			Percent of total billed charges		3343	100			Percent of total billed charges		3343	33.3			Percent of total billed charges		1113.219	33.3			Percent of total billed charges		1113.219	100			Percent of total billed charges		3343	1113.219	3008.7	
lg fr pl cp brd cmp 16hl	278	RC	Outpatient			3343	2172.95		90			Percent of total billed charges		3008.7	40			Percent of total billed charges		1337.2	80			Percent of total billed charges		2674.4	90			Percent of total billed charges		3008.7	85			Percent of total billed charges		2841.55	85			Percent of total billed charges		2841.55	85			Percent of total billed charges		2841.55	100			Percent of total billed charges		3343	100			Percent of total billed charges		3343	100			Percent of total billed charges		3343	33.3			Percent of total billed charges		1113.219	33.3			Percent of total billed charges		1113.219	100			Percent of total billed charges		3343	1113.219	3008.7	
s/n lg frag plate 4.5mm 14 hole 7184-1214	278	RC	Outpatient			3343	2172.95		90			Percent of total billed charges		3008.7	40			Percent of total billed charges		1337.2	80			Percent of total billed charges		2674.4	90			Percent of total billed charges		3008.7	85			Percent of total billed charges		2841.55	85			Percent of total billed charges		2841.55	85			Percent of total billed charges		2841.55	100			Percent of total billed charges		3343	100			Percent of total billed charges		3343	100			Percent of total billed charges		3343	33.3			Percent of total billed charges		1113.219	33.3			Percent of total billed charges		1113.219	100			Percent of total billed charges		3343	1113.219	3008.7	
s/n lg frag plate 4.5mm 16 hole 7184-1216	278	RC	Outpatient			3343	2172.95		90			Percent of total billed charges		3008.7	40			Percent of total billed charges		1337.2	80			Percent of total billed charges		2674.4	90			Percent of total billed charges		3008.7	85			Percent of total billed charges		2841.55	85			Percent of total billed charges		2841.55	85			Percent of total billed charges		2841.55	100			Percent of total billed charges		3343	100			Percent of total billed charges		3343	100			Percent of total billed charges		3343	33.3			Percent of total billed charges		1113.219	33.3			Percent of total billed charges		1113.219	100			Percent of total billed charges		3343	1113.219	3008.7	
longevity liner 32mm sz h 32-6732-01 zimmer	278	RC	Outpatient			3349	2176.85		90			Percent of total billed charges		3014.1	40			Percent of total billed charges		1339.6	80			Percent of total billed charges		2679.2	90			Percent of total billed charges		3014.1	85			Percent of total billed charges		2846.65	85			Percent of total billed charges		2846.65	85			Percent of total billed charges		2846.65	100			Percent of total billed charges		3349	100			Percent of total billed charges		3349	100			Percent of total billed charges		3349	33.3			Percent of total billed charges		1115.217	33.3			Percent of total billed charges		1115.217	100			Percent of total billed charges		3349	1115.217	3014.1	
zimmer longevity liner	278	RC	Outpatient			3349	2176.85		90			Percent of total billed charges		3014.1	40			Percent of total billed charges		1339.6	80			Percent of total billed charges		2679.2	90			Percent of total billed charges		3014.1	85			Percent of total billed charges		2846.65	85			Percent of total billed charges		2846.65	85			Percent of total billed charges		2846.65	100			Percent of total billed charges		3349	100			Percent of total billed charges		3349	100			Percent of total billed charges		3349	33.3			Percent of total billed charges		1115.217	33.3			Percent of total billed charges		1115.217	100			Percent of total billed charges		3349	1115.217	3014.1	
cosmetic - brazilian butt lift (fat injection)	983	RC	Outpatient			3355	2180.75		90			Percent of total billed charges		3019.5	40			Percent of total billed charges		1342	80			Percent of total billed charges		2684	90			Percent of total billed charges		3019.5	85			Percent of total billed charges		2851.75	85			Percent of total billed charges		2851.75	85			Percent of total billed charges		2851.75	100			Percent of total billed charges		3355	100			Percent of total billed charges		3355	100			Percent of total billed charges		3355	33.3			Percent of total billed charges		1117.215	33.3			Percent of total billed charges		1117.215	100			Percent of total billed charges		3355	1117.215	3019.5	
femoral component sz 4 rt med/lt lat s/n 71422354	278	RC	Outpatient			3357	2182.05		90			Percent of total billed charges		3021.3	40			Percent of total billed charges		1342.8	80			Percent of total billed charges		2685.6	90			Percent of total billed charges		3021.3	85			Percent of total billed charges		2853.45	85			Percent of total billed charges		2853.45	85			Percent of total billed charges		2853.45	100			Percent of total billed charges		3357	100			Percent of total billed charges		3357	100			Percent of total billed charges		3357	33.3			Percent of total billed charges		1117.881	33.3			Percent of total billed charges		1117.881	100			Percent of total billed charges		3357	1117.881	3021.3	
kryptonite bone cement5cc	278	RC	Outpatient			3359	2183.35		90			Percent of total billed charges		3023.1	40			Percent of total billed charges		1343.6	80			Percent of total billed charges		2687.2	90			Percent of total billed charges		3023.1	85			Percent of total billed charges		2855.15	85			Percent of total billed charges		2855.15	85			Percent of total billed charges		2855.15	100			Percent of total billed charges		3359	100			Percent of total billed charges		3359	100			Percent of total billed charges		3359	33.3			Percent of total billed charges		1118.547	33.3			Percent of total billed charges		1118.547	100			Percent of total billed charges		3359	1118.547	3023.1	
kryptonite bone cement 5ml kit kryp-us-z-5ml doctors reaseach group	278	RC	Outpatient			3359	2183.35		90			Percent of total billed charges		3023.1	40			Percent of total billed charges		1343.6	80			Percent of total billed charges		2687.2	90			Percent of total billed charges		3023.1	85			Percent of total billed charges		2855.15	85			Percent of total billed charges		2855.15	85			Percent of total billed charges		2855.15	100			Percent of total billed charges		3359	100			Percent of total billed charges		3359	100			Percent of total billed charges		3359	33.3			Percent of total billed charges		1118.547	33.3			Percent of total billed charges		1118.547	100			Percent of total billed charges		3359	1118.547	3023.1	
lg fr pl cp brd cmp 18hl	278	RC	Outpatient			3368	2189.2		90			Percent of total billed charges		3031.2	40			Percent of total billed charges		1347.2	80			Percent of total billed charges		2694.4	90			Percent of total billed charges		3031.2	85			Percent of total billed charges		2862.8	85			Percent of total billed charges		2862.8	85			Percent of total billed charges		2862.8	100			Percent of total billed charges		3368	100			Percent of total billed charges		3368	100			Percent of total billed charges		3368	33.3			Percent of total billed charges		1121.544	33.3			Percent of total billed charges		1121.544	100			Percent of total billed charges		3368	1121.544	3031.2	
s/n lg frag plate 4.5mm 18 hole 7184-1218	278	RC	Outpatient			3368	2189.2		90			Percent of total billed charges		3031.2	40			Percent of total billed charges		1347.2	80			Percent of total billed charges		2694.4	90			Percent of total billed charges		3031.2	85			Percent of total billed charges		2862.8	85			Percent of total billed charges		2862.8	85			Percent of total billed charges		2862.8	100			Percent of total billed charges		3368	100			Percent of total billed charges		3368	100			Percent of total billed charges		3368	33.3			Percent of total billed charges		1121.544	33.3			Percent of total billed charges		1121.544	100			Percent of total billed charges		3368	1121.544	3031.2	
zimm futal rod	278	RC	Outpatient			3384	2199.6		90			Percent of total billed charges		3045.6	40			Percent of total billed charges		1353.6	80			Percent of total billed charges		2707.2	90			Percent of total billed charges		3045.6	85			Percent of total billed charges		2876.4	85			Percent of total billed charges		2876.4	85			Percent of total billed charges		2876.4	100			Percent of total billed charges		3384	100			Percent of total billed charges		3384	100			Percent of total billed charges		3384	33.3			Percent of total billed charges		1126.872	33.3			Percent of total billed charges		1126.872	100			Percent of total billed charges		3384	1126.872	3045.6	
miig 5cc	278	RC	Outpatient			3389	2202.85		90			Percent of total billed charges		3050.1	40			Percent of total billed charges		1355.6	80			Percent of total billed charges		2711.2	90			Percent of total billed charges		3050.1	85			Percent of total billed charges		2880.65	85			Percent of total billed charges		2880.65	85			Percent of total billed charges		2880.65	100			Percent of total billed charges		3389	100			Percent of total billed charges		3389	100			Percent of total billed charges		3389	33.3			Percent of total billed charges		1128.537	33.3			Percent of total billed charges		1128.537	100			Percent of total billed charges		3389	1128.537	3050.1	
miig x3 mini 5cc 84xs-0405 wright	278	RC	Outpatient			3389	2202.85		90			Percent of total billed charges		3050.1	40			Percent of total billed charges		1355.6	80			Percent of total billed charges		2711.2	90			Percent of total billed charges		3050.1	85			Percent of total billed charges		2880.65	85			Percent of total billed charges		2880.65	85			Percent of total billed charges		2880.65	100			Percent of total billed charges		3389	100			Percent of total billed charges		3389	100			Percent of total billed charges		3389	33.3			Percent of total billed charges		1128.537	33.3			Percent of total billed charges		1128.537	100			Percent of total billed charges		3389	1128.537	3050.1	
acumed rad head stem	278	RC	Outpatient			3400	2210		90			Percent of total billed charges		3060	40			Percent of total billed charges		1360	80			Percent of total billed charges		2720	90			Percent of total billed charges		3060	85			Percent of total billed charges		2890	85			Percent of total billed charges		2890	85			Percent of total billed charges		2890	100			Percent of total billed charges		3400	100			Percent of total billed charges		3400	100			Percent of total billed charges		3400	33.3			Percent of total billed charges		1132.2	33.3			Percent of total billed charges		1132.2	100			Percent of total billed charges		3400	1132.2	3060	
esophageal wallstent 10cm	270	RC	Outpatient			3400	2210		90			Percent of total billed charges		3060	40			Percent of total billed charges		1360	80			Percent of total billed charges		2720	90			Percent of total billed charges		3060	85			Percent of total billed charges		2890	85			Percent of total billed charges		2890	85			Percent of total billed charges		2890	100			Percent of total billed charges		3400	100			Percent of total billed charges		3400	100			Percent of total billed charges		3400	33.3			Percent of total billed charges		1132.2	33.3			Percent of total billed charges		1132.2	100			Percent of total billed charges		3400	1132.2	3060	
seaspine 2 level cerv plt	278	RC	Outpatient			3400	2210		90			Percent of total billed charges		3060	40			Percent of total billed charges		1360	80			Percent of total billed charges		2720	90			Percent of total billed charges		3060	85			Percent of total billed charges		2890	85			Percent of total billed charges		2890	85			Percent of total billed charges		2890	100			Percent of total billed charges		3400	100			Percent of total billed charges		3400	100			Percent of total billed charges		3400	33.3			Percent of total billed charges		1132.2	33.3			Percent of total billed charges		1132.2	100			Percent of total billed charges		3400	1132.2	3060	
zimmer femoral component  5790-33	278	RC	Outpatient			3400	2210		90			Percent of total billed charges		3060	40			Percent of total billed charges		1360	80			Percent of total billed charges		2720	90			Percent of total billed charges		3060	85			Percent of total billed charges		2890	85			Percent of total billed charges		2890	85			Percent of total billed charges		2890	100			Percent of total billed charges		3400	100			Percent of total billed charges		3400	100			Percent of total billed charges		3400	33.3			Percent of total billed charges		1132.2	33.3			Percent of total billed charges		1132.2	100			Percent of total billed charges		3400	1132.2	3060	
zimmer femoral component 5790-24	278	RC	Outpatient			3400	2210		90			Percent of total billed charges		3060	40			Percent of total billed charges		1360	80			Percent of total billed charges		2720	90			Percent of total billed charges		3060	85			Percent of total billed charges		2890	85			Percent of total billed charges		2890	85			Percent of total billed charges		2890	100			Percent of total billed charges		3400	100			Percent of total billed charges		3400	100			Percent of total billed charges		3400	33.3			Percent of total billed charges		1132.2	33.3			Percent of total billed charges		1132.2	100			Percent of total billed charges		3400	1132.2	3060	
uni fem component	278	RC	Outpatient			3400	2210		90			Percent of total billed charges		3060	40			Percent of total billed charges		1360	80			Percent of total billed charges		2720	90			Percent of total billed charges		3060	85			Percent of total billed charges		2890	85			Percent of total billed charges		2890	85			Percent of total billed charges		2890	100			Percent of total billed charges		3400	100			Percent of total billed charges		3400	100			Percent of total billed charges		3400	33.3			Percent of total billed charges		1132.2	33.3			Percent of total billed charges		1132.2	100			Percent of total billed charges		3400	1132.2	3060	
zimmer fem component uni 47mm 5790-25	278	RC	Outpatient			3400	2210		90			Percent of total billed charges		3060	40			Percent of total billed charges		1360	80			Percent of total billed charges		2720	90			Percent of total billed charges		3060	85			Percent of total billed charges		2890	85			Percent of total billed charges		2890	85			Percent of total billed charges		2890	100			Percent of total billed charges		3400	100			Percent of total billed charges		3400	100			Percent of total billed charges		3400	33.3			Percent of total billed charges		1132.2	33.3			Percent of total billed charges		1132.2	100			Percent of total billed charges		3400	1132.2	3060	
zimmer femoral component  5790-21	278	RC	Outpatient			3400	2210		90			Percent of total billed charges		3060	40			Percent of total billed charges		1360	80			Percent of total billed charges		2720	90			Percent of total billed charges		3060	85			Percent of total billed charges		2890	85			Percent of total billed charges		2890	85			Percent of total billed charges		2890	100			Percent of total billed charges		3400	100			Percent of total billed charges		3400	100			Percent of total billed charges		3400	33.3			Percent of total billed charges		1132.2	33.3			Percent of total billed charges		1132.2	100			Percent of total billed charges		3400	1132.2	3060	
zimmer femoral component  5790-26	278	RC	Outpatient			3400	2210		90			Percent of total billed charges		3060	40			Percent of total billed charges		1360	80			Percent of total billed charges		2720	90			Percent of total billed charges		3060	85			Percent of total billed charges		2890	85			Percent of total billed charges		2890	85			Percent of total billed charges		2890	100			Percent of total billed charges		3400	100			Percent of total billed charges		3400	100			Percent of total billed charges		3400	33.3			Percent of total billed charges		1132.2	33.3			Percent of total billed charges		1132.2	100			Percent of total billed charges		3400	1132.2	3060	
zimmer femoral component  5790-28	278	RC	Outpatient			3400	2210		90			Percent of total billed charges		3060	40			Percent of total billed charges		1360	80			Percent of total billed charges		2720	90			Percent of total billed charges		3060	85			Percent of total billed charges		2890	85			Percent of total billed charges		2890	85			Percent of total billed charges		2890	100			Percent of total billed charges		3400	100			Percent of total billed charges		3400	100			Percent of total billed charges		3400	33.3			Percent of total billed charges		1132.2	33.3			Percent of total billed charges		1132.2	100			Percent of total billed charges		3400	1132.2	3060	
zimmer femoral component  5790-29	278	RC	Outpatient			3400	2210		90			Percent of total billed charges		3060	40			Percent of total billed charges		1360	80			Percent of total billed charges		2720	90			Percent of total billed charges		3060	85			Percent of total billed charges		2890	85			Percent of total billed charges		2890	85			Percent of total billed charges		2890	100			Percent of total billed charges		3400	100			Percent of total billed charges		3400	100			Percent of total billed charges		3400	33.3			Percent of total billed charges		1132.2	33.3			Percent of total billed charges		1132.2	100			Percent of total billed charges		3400	1132.2	3060	
zimmer femoral component  5790-30	278	RC	Outpatient			3400	2210		90			Percent of total billed charges		3060	40			Percent of total billed charges		1360	80			Percent of total billed charges		2720	90			Percent of total billed charges		3060	85			Percent of total billed charges		2890	85			Percent of total billed charges		2890	85			Percent of total billed charges		2890	100			Percent of total billed charges		3400	100			Percent of total billed charges		3400	100			Percent of total billed charges		3400	33.3			Percent of total billed charges		1132.2	33.3			Percent of total billed charges		1132.2	100			Percent of total billed charges		3400	1132.2	3060	
zimmer femoral component  5790-31	278	RC	Outpatient			3400	2210		90			Percent of total billed charges		3060	40			Percent of total billed charges		1360	80			Percent of total billed charges		2720	90			Percent of total billed charges		3060	85			Percent of total billed charges		2890	85			Percent of total billed charges		2890	85			Percent of total billed charges		2890	100			Percent of total billed charges		3400	100			Percent of total billed charges		3400	100			Percent of total billed charges		3400	33.3			Percent of total billed charges		1132.2	33.3			Percent of total billed charges		1132.2	100			Percent of total billed charges		3400	1132.2	3060	
zimmer femoral component  5790-32	278	RC	Outpatient			3400	2210		90			Percent of total billed charges		3060	40			Percent of total billed charges		1360	80			Percent of total billed charges		2720	90			Percent of total billed charges		3060	85			Percent of total billed charges		2890	85			Percent of total billed charges		2890	85			Percent of total billed charges		2890	100			Percent of total billed charges		3400	100			Percent of total billed charges		3400	100			Percent of total billed charges		3400	33.3			Percent of total billed charges		1132.2	33.3			Percent of total billed charges		1132.2	100			Percent of total billed charges		3400	1132.2	3060	
zimmer femoral component 5790-27	278	RC	Outpatient			3400	2210		90			Percent of total billed charges		3060	40			Percent of total billed charges		1360	80			Percent of total billed charges		2720	90			Percent of total billed charges		3060	85			Percent of total billed charges		2890	85			Percent of total billed charges		2890	85			Percent of total billed charges		2890	100			Percent of total billed charges		3400	100			Percent of total billed charges		3400	100			Percent of total billed charges		3400	33.3			Percent of total billed charges		1132.2	33.3			Percent of total billed charges		1132.2	100			Percent of total billed charges		3400	1132.2	3060	
zimmer femoral component uni 5790-20	278	RC	Outpatient			3400	2210		90			Percent of total billed charges		3060	40			Percent of total billed charges		1360	80			Percent of total billed charges		2720	90			Percent of total billed charges		3060	85			Percent of total billed charges		2890	85			Percent of total billed charges		2890	85			Percent of total billed charges		2890	100			Percent of total billed charges		3400	100			Percent of total billed charges		3400	100			Percent of total billed charges		3400	33.3			Percent of total billed charges		1132.2	33.3			Percent of total billed charges		1132.2	100			Percent of total billed charges		3400	1132.2	3060	
zimmer femoral component uni 5790-22	278	RC	Outpatient			3400	2210		90			Percent of total billed charges		3060	40			Percent of total billed charges		1360	80			Percent of total billed charges		2720	90			Percent of total billed charges		3060	85			Percent of total billed charges		2890	85			Percent of total billed charges		2890	85			Percent of total billed charges		2890	100			Percent of total billed charges		3400	100			Percent of total billed charges		3400	100			Percent of total billed charges		3400	33.3			Percent of total billed charges		1132.2	33.3			Percent of total billed charges		1132.2	100			Percent of total billed charges		3400	1132.2	3060	
zimmer femoral component uni 5790-23	278	RC	Outpatient			3400	2210		90			Percent of total billed charges		3060	40			Percent of total billed charges		1360	80			Percent of total billed charges		2720	90			Percent of total billed charges		3060	85			Percent of total billed charges		2890	85			Percent of total billed charges		2890	85			Percent of total billed charges		2890	100			Percent of total billed charges		3400	100			Percent of total billed charges		3400	100			Percent of total billed charges		3400	33.3			Percent of total billed charges		1132.2	33.3			Percent of total billed charges		1132.2	100			Percent of total billed charges		3400	1132.2	3060	
stryker acct hem shell	278	RC	Outpatient			3407	2214.55		90			Percent of total billed charges		3066.3	40			Percent of total billed charges		1362.8	80			Percent of total billed charges		2725.6	90			Percent of total billed charges		3066.3	85			Percent of total billed charges		2895.95	85			Percent of total billed charges		2895.95	85			Percent of total billed charges		2895.95	100			Percent of total billed charges		3407	100			Percent of total billed charges		3407	100			Percent of total billed charges		3407	33.3			Percent of total billed charges		1134.531	33.3			Percent of total billed charges		1134.531	100			Percent of total billed charges		3407	1134.531	3066.3	
trident hemispherical acetabular shell 508-11-54e how/osteo	278	RC	Outpatient			3407	2214.55		90			Percent of total billed charges		3066.3	40			Percent of total billed charges		1362.8	80			Percent of total billed charges		2725.6	90			Percent of total billed charges		3066.3	85			Percent of total billed charges		2895.95	85			Percent of total billed charges		2895.95	85			Percent of total billed charges		2895.95	100			Percent of total billed charges		3407	100			Percent of total billed charges		3407	100			Percent of total billed charges		3407	33.3			Percent of total billed charges		1134.531	33.3			Percent of total billed charges		1134.531	100			Percent of total billed charges		3407	1134.531	3066.3	
synthes vectra1 pl26-40mm	278	RC	Outpatient			3409	2215.85		90			Percent of total billed charges		3068.1	40			Percent of total billed charges		1363.6	80			Percent of total billed charges		2727.2	90			Percent of total billed charges		3068.1	85			Percent of total billed charges		2897.65	85			Percent of total billed charges		2897.65	85			Percent of total billed charges		2897.65	100			Percent of total billed charges		3409	100			Percent of total billed charges		3409	100			Percent of total billed charges		3409	33.3			Percent of total billed charges		1135.197	33.3			Percent of total billed charges		1135.197	100			Percent of total billed charges		3409	1135.197	3068.1	
cosmetic - cheek implant	983	RC	Outpatient			3410	2216.5		90			Percent of total billed charges		3069	40			Percent of total billed charges		1364	80			Percent of total billed charges		2728	90			Percent of total billed charges		3069	85			Percent of total billed charges		2898.5	85			Percent of total billed charges		2898.5	85			Percent of total billed charges		2898.5	100			Percent of total billed charges		3410	100			Percent of total billed charges		3410	100			Percent of total billed charges		3410	33.3			Percent of total billed charges		1135.53	33.3			Percent of total billed charges		1135.53	100			Percent of total billed charges		3410	1135.53	3069	
cosmetic - chin implant	983	RC	Outpatient			3410	2216.5		90			Percent of total billed charges		3069	40			Percent of total billed charges		1364	80			Percent of total billed charges		2728	90			Percent of total billed charges		3069	85			Percent of total billed charges		2898.5	85			Percent of total billed charges		2898.5	85			Percent of total billed charges		2898.5	100			Percent of total billed charges		3410	100			Percent of total billed charges		3410	100			Percent of total billed charges		3410	33.3			Percent of total billed charges		1135.53	33.3			Percent of total billed charges		1135.53	100			Percent of total billed charges		3410	1135.53	3069	
broad plt 4.5mm 18 hl 71809498 s\n	278	RC	Outpatient			3412	2217.8		90			Percent of total billed charges		3070.8	40			Percent of total billed charges		1364.8	80			Percent of total billed charges		2729.6	90			Percent of total billed charges		3070.8	85			Percent of total billed charges		2900.2	85			Percent of total billed charges		2900.2	85			Percent of total billed charges		2900.2	100			Percent of total billed charges		3412	100			Percent of total billed charges		3412	100			Percent of total billed charges		3412	33.3			Percent of total billed charges		1136.196	33.3			Percent of total billed charges		1136.196	100			Percent of total billed charges		3412	1136.196	3070.8	
gns uni femoral comp lg 725004 s/n	278	RC	Outpatient			3412	2217.8		90			Percent of total billed charges		3070.8	40			Percent of total billed charges		1364.8	80			Percent of total billed charges		2729.6	90			Percent of total billed charges		3070.8	85			Percent of total billed charges		2900.2	85			Percent of total billed charges		2900.2	85			Percent of total billed charges		2900.2	100			Percent of total billed charges		3412	100			Percent of total billed charges		3412	100			Percent of total billed charges		3412	33.3			Percent of total billed charges		1136.196	33.3			Percent of total billed charges		1136.196	100			Percent of total billed charges		3412	1136.196	3070.8	
gns uni femoral comp med 725003 s/n	278	RC	Outpatient			3412	2217.8		90			Percent of total billed charges		3070.8	40			Percent of total billed charges		1364.8	80			Percent of total billed charges		2729.6	90			Percent of total billed charges		3070.8	85			Percent of total billed charges		2900.2	85			Percent of total billed charges		2900.2	85			Percent of total billed charges		2900.2	100			Percent of total billed charges		3412	100			Percent of total billed charges		3412	100			Percent of total billed charges		3412	33.3			Percent of total billed charges		1136.196	33.3			Percent of total billed charges		1136.196	100			Percent of total billed charges		3412	1136.196	3070.8	
gns uni femoral magnum plus 71245007 s/n	278	RC	Outpatient			3412	2217.8		90			Percent of total billed charges		3070.8	40			Percent of total billed charges		1364.8	80			Percent of total billed charges		2729.6	90			Percent of total billed charges		3070.8	85			Percent of total billed charges		2900.2	85			Percent of total billed charges		2900.2	85			Percent of total billed charges		2900.2	100			Percent of total billed charges		3412	100			Percent of total billed charges		3412	100			Percent of total billed charges		3412	33.3			Percent of total billed charges		1136.196	33.3			Percent of total billed charges		1136.196	100			Percent of total billed charges		3412	1136.196	3070.8	
gns uni femoral comp magnum 725006 s/n	278	RC	Outpatient			3412	2217.8		90			Percent of total billed charges		3070.8	40			Percent of total billed charges		1364.8	80			Percent of total billed charges		2729.6	90			Percent of total billed charges		3070.8	85			Percent of total billed charges		2900.2	85			Percent of total billed charges		2900.2	85			Percent of total billed charges		2900.2	100			Percent of total billed charges		3412	100			Percent of total billed charges		3412	100			Percent of total billed charges		3412	33.3			Percent of total billed charges		1136.196	33.3			Percent of total billed charges		1136.196	100			Percent of total billed charges		3412	1136.196	3070.8	
gns uni femoral comp xl 725005 s/n	278	RC	Outpatient			3412	2217.8		90			Percent of total billed charges		3070.8	40			Percent of total billed charges		1364.8	80			Percent of total billed charges		2729.6	90			Percent of total billed charges		3070.8	85			Percent of total billed charges		2900.2	85			Percent of total billed charges		2900.2	85			Percent of total billed charges		2900.2	100			Percent of total billed charges		3412	100			Percent of total billed charges		3412	100			Percent of total billed charges		3412	33.3			Percent of total billed charges		1136.196	33.3			Percent of total billed charges		1136.196	100			Percent of total billed charges		3412	1136.196	3070.8	
s/n 4.5 broad pl 18 hl	278	RC	Outpatient			3412	2217.8		90			Percent of total billed charges		3070.8	40			Percent of total billed charges		1364.8	80			Percent of total billed charges		2729.6	90			Percent of total billed charges		3070.8	85			Percent of total billed charges		2900.2	85			Percent of total billed charges		2900.2	85			Percent of total billed charges		2900.2	100			Percent of total billed charges		3412	100			Percent of total billed charges		3412	100			Percent of total billed charges		3412	33.3			Percent of total billed charges		1136.196	33.3			Percent of total billed charges		1136.196	100			Percent of total billed charges		3412	1136.196	3070.8	
trigen nail meta retro	278	RC	Outpatient			3412	2217.8		90			Percent of total billed charges		3070.8	40			Percent of total billed charges		1364.8	80			Percent of total billed charges		2729.6	90			Percent of total billed charges		3070.8	85			Percent of total billed charges		2900.2	85			Percent of total billed charges		2900.2	85			Percent of total billed charges		2900.2	100			Percent of total billed charges		3412	100			Percent of total billed charges		3412	100			Percent of total billed charges		3412	33.3			Percent of total billed charges		1136.196	33.3			Percent of total billed charges		1136.196	100			Percent of total billed charges		3412	1136.196	3070.8	
uni fem comp s/n	278	RC	Outpatient			3412	2217.8		90			Percent of total billed charges		3070.8	40			Percent of total billed charges		1364.8	80			Percent of total billed charges		2729.6	90			Percent of total billed charges		3070.8	85			Percent of total billed charges		2900.2	85			Percent of total billed charges		2900.2	85			Percent of total billed charges		2900.2	100			Percent of total billed charges		3412	100			Percent of total billed charges		3412	100			Percent of total billed charges		3412	33.3			Percent of total billed charges		1136.196	33.3			Percent of total billed charges		1136.196	100			Percent of total billed charges		3412	1136.196	3070.8	
uni fem magnum plus	278	RC	Outpatient			3412	2217.8		90			Percent of total billed charges		3070.8	40			Percent of total billed charges		1364.8	80			Percent of total billed charges		2729.6	90			Percent of total billed charges		3070.8	85			Percent of total billed charges		2900.2	85			Percent of total billed charges		2900.2	85			Percent of total billed charges		2900.2	100			Percent of total billed charges		3412	100			Percent of total billed charges		3412	100			Percent of total billed charges		3412	33.3			Percent of total billed charges		1136.196	33.3			Percent of total billed charges		1136.196	100			Percent of total billed charges		3412	1136.196	3070.8	
depuy ti matrix-rib plate 17 hole left ribs 6&7 04-501-005	278	RC	Outpatient			3419	2222.35		90			Percent of total billed charges		3077.1	40			Percent of total billed charges		1367.6	80			Percent of total billed charges		2735.2	90			Percent of total billed charges		3077.1	85			Percent of total billed charges		2906.15	85			Percent of total billed charges		2906.15	85			Percent of total billed charges		2906.15	100			Percent of total billed charges		3419	100			Percent of total billed charges		3419	100			Percent of total billed charges		3419	33.3			Percent of total billed charges		1138.527	33.3			Percent of total billed charges		1138.527	100			Percent of total billed charges		3419	1138.527	3077.1	
depuy ti matrix-rib plate 18 hole left ribs 8&9 04-501-007	278	RC	Outpatient			3419	2222.35		90			Percent of total billed charges		3077.1	40			Percent of total billed charges		1367.6	80			Percent of total billed charges		2735.2	90			Percent of total billed charges		3077.1	85			Percent of total billed charges		2906.15	85			Percent of total billed charges		2906.15	85			Percent of total billed charges		2906.15	100			Percent of total billed charges		3419	100			Percent of total billed charges		3419	100			Percent of total billed charges		3419	33.3			Percent of total billed charges		1138.527	33.3			Percent of total billed charges		1138.527	100			Percent of total billed charges		3419	1138.527	3077.1	
vectra-one plate 2 level 40mm  04.613.190 synthes	278	RC	Outpatient			3419	2222.35		90			Percent of total billed charges		3077.1	40			Percent of total billed charges		1367.6	80			Percent of total billed charges		2735.2	90			Percent of total billed charges		3077.1	85			Percent of total billed charges		2906.15	85			Percent of total billed charges		2906.15	85			Percent of total billed charges		2906.15	100			Percent of total billed charges		3419	100			Percent of total billed charges		3419	100			Percent of total billed charges		3419	33.3			Percent of total billed charges		1138.527	33.3			Percent of total billed charges		1138.527	100			Percent of total billed charges		3419	1138.527	3077.1	
vectra-1 pl 2 level	278	RC	Outpatient			3419	2222.35		90			Percent of total billed charges		3077.1	40			Percent of total billed charges		1367.6	80			Percent of total billed charges		2735.2	90			Percent of total billed charges		3077.1	85			Percent of total billed charges		2906.15	85			Percent of total billed charges		2906.15	85			Percent of total billed charges		2906.15	100			Percent of total billed charges		3419	100			Percent of total billed charges		3419	100			Percent of total billed charges		3419	33.3			Percent of total billed charges		1138.527	33.3			Percent of total billed charges		1138.527	100			Percent of total billed charges		3419	1138.527	3077.1	
vectra-one plate 2 level 34mm 04.613.184 synthes	278	RC	Outpatient			3419	2222.35		90			Percent of total billed charges		3077.1	40			Percent of total billed charges		1367.6	80			Percent of total billed charges		2735.2	90			Percent of total billed charges		3077.1	85			Percent of total billed charges		2906.15	85			Percent of total billed charges		2906.15	85			Percent of total billed charges		2906.15	100			Percent of total billed charges		3419	100			Percent of total billed charges		3419	100			Percent of total billed charges		3419	33.3			Percent of total billed charges		1138.527	33.3			Percent of total billed charges		1138.527	100			Percent of total billed charges		3419	1138.527	3077.1	
vectra-one plate 2 level 36mm 04.613.186 synthes	278	RC	Outpatient			3419	2222.35		90			Percent of total billed charges		3077.1	40			Percent of total billed charges		1367.6	80			Percent of total billed charges		2735.2	90			Percent of total billed charges		3077.1	85			Percent of total billed charges		2906.15	85			Percent of total billed charges		2906.15	85			Percent of total billed charges		2906.15	100			Percent of total billed charges		3419	100			Percent of total billed charges		3419	100			Percent of total billed charges		3419	33.3			Percent of total billed charges		1138.527	33.3			Percent of total billed charges		1138.527	100			Percent of total billed charges		3419	1138.527	3077.1	
vectra-one plate 2 level 38mm 04.613.188 synthes	278	RC	Outpatient			3419	2222.35		90			Percent of total billed charges		3077.1	40			Percent of total billed charges		1367.6	80			Percent of total billed charges		2735.2	90			Percent of total billed charges		3077.1	85			Percent of total billed charges		2906.15	85			Percent of total billed charges		2906.15	85			Percent of total billed charges		2906.15	100			Percent of total billed charges		3419	100			Percent of total billed charges		3419	100			Percent of total billed charges		3419	33.3			Percent of total billed charges		1138.527	33.3			Percent of total billed charges		1138.527	100			Percent of total billed charges		3419	1138.527	3077.1	
mesh phasix 4 x 6	278	RC	Outpatient			3424	2225.6		90			Percent of total billed charges		3081.6	40			Percent of total billed charges		1369.6	80			Percent of total billed charges		2739.2	90			Percent of total billed charges		3081.6	85			Percent of total billed charges		2910.4	85			Percent of total billed charges		2910.4	85			Percent of total billed charges		2910.4	100			Percent of total billed charges		3424	100			Percent of total billed charges		3424	100			Percent of total billed charges		3424	33.3			Percent of total billed charges		1140.192	33.3			Percent of total billed charges		1140.192	100			Percent of total billed charges		3424	1140.192	3081.6	
phasix mesh rectangel 4 x 6(10.2  x 15.2cm) 1190200 bard	278	RC	Outpatient			3424	2225.6		90			Percent of total billed charges		3081.6	40			Percent of total billed charges		1369.6	80			Percent of total billed charges		2739.2	90			Percent of total billed charges		3081.6	85			Percent of total billed charges		2910.4	85			Percent of total billed charges		2910.4	85			Percent of total billed charges		2910.4	100			Percent of total billed charges		3424	100			Percent of total billed charges		3424	100			Percent of total billed charges		3424	33.3			Percent of total billed charges		1140.192	33.3			Percent of total billed charges		1140.192	100			Percent of total billed charges		3424	1140.192	3081.6	
scorpio flex tib bearing insert cr 8mm #11 72-26-1108 how/osteo	278	RC	Outpatient			3424	2225.6		90			Percent of total billed charges		3081.6	40			Percent of total billed charges		1369.6	80			Percent of total billed charges		2739.2	90			Percent of total billed charges		3081.6	85			Percent of total billed charges		2910.4	85			Percent of total billed charges		2910.4	85			Percent of total billed charges		2910.4	100			Percent of total billed charges		3424	100			Percent of total billed charges		3424	100			Percent of total billed charges		3424	33.3			Percent of total billed charges		1140.192	33.3			Percent of total billed charges		1140.192	100			Percent of total billed charges		3424	1140.192	3081.6	
stryker scorpio-flex tib	278	RC	Outpatient			3424	2225.6		90			Percent of total billed charges		3081.6	40			Percent of total billed charges		1369.6	80			Percent of total billed charges		2739.2	90			Percent of total billed charges		3081.6	85			Percent of total billed charges		2910.4	85			Percent of total billed charges		2910.4	85			Percent of total billed charges		2910.4	100			Percent of total billed charges		3424	100			Percent of total billed charges		3424	100			Percent of total billed charges		3424	33.3			Percent of total billed charges		1140.192	33.3			Percent of total billed charges		1140.192	100			Percent of total billed charges		3424	1140.192	3081.6	
comp plt 3.5mm 16 hl 71809416 s\n	278	RC	Outpatient			3430	2229.5		90			Percent of total billed charges		3087	40			Percent of total billed charges		1372	80			Percent of total billed charges		2744	90			Percent of total billed charges		3087	85			Percent of total billed charges		2915.5	85			Percent of total billed charges		2915.5	85			Percent of total billed charges		2915.5	100			Percent of total billed charges		3430	100			Percent of total billed charges		3430	100			Percent of total billed charges		3430	33.3			Percent of total billed charges		1142.19	33.3			Percent of total billed charges		1142.19	100			Percent of total billed charges		3430	1142.19	3087	
s/n 3.5 comp pl 16 hl	278	RC	Outpatient			3430	2229.5		90			Percent of total billed charges		3087	40			Percent of total billed charges		1372	80			Percent of total billed charges		2744	90			Percent of total billed charges		3087	85			Percent of total billed charges		2915.5	85			Percent of total billed charges		2915.5	85			Percent of total billed charges		2915.5	100			Percent of total billed charges		3430	100			Percent of total billed charges		3430	100			Percent of total billed charges		3430	33.3			Percent of total billed charges		1142.19	33.3			Percent of total billed charges		1142.19	100			Percent of total billed charges		3430	1142.19	3087	
lg fr pl cp nar cmp 18hl	278	RC	Outpatient			3438	2234.7		90			Percent of total billed charges		3094.2	40			Percent of total billed charges		1375.2	80			Percent of total billed charges		2750.4	90			Percent of total billed charges		3094.2	85			Percent of total billed charges		2922.3	85			Percent of total billed charges		2922.3	85			Percent of total billed charges		2922.3	100			Percent of total billed charges		3438	100			Percent of total billed charges		3438	100			Percent of total billed charges		3438	33.3			Percent of total billed charges		1144.854	33.3			Percent of total billed charges		1144.854	100			Percent of total billed charges		3438	1144.854	3094.2	
vectra-one plate 1 level 14mm  04.613.154 synthes	278	RC	Outpatient			3438	2234.7		90			Percent of total billed charges		3094.2	40			Percent of total billed charges		1375.2	80			Percent of total billed charges		2750.4	90			Percent of total billed charges		3094.2	85			Percent of total billed charges		2922.3	85			Percent of total billed charges		2922.3	85			Percent of total billed charges		2922.3	100			Percent of total billed charges		3438	100			Percent of total billed charges		3438	100			Percent of total billed charges		3438	33.3			Percent of total billed charges		1144.854	33.3			Percent of total billed charges		1144.854	100			Percent of total billed charges		3438	1144.854	3094.2	
vectra-one plate 1 level 16mm  04.613.156 synthes	278	RC	Outpatient			3438	2234.7		90			Percent of total billed charges		3094.2	40			Percent of total billed charges		1375.2	80			Percent of total billed charges		2750.4	90			Percent of total billed charges		3094.2	85			Percent of total billed charges		2922.3	85			Percent of total billed charges		2922.3	85			Percent of total billed charges		2922.3	100			Percent of total billed charges		3438	100			Percent of total billed charges		3438	100			Percent of total billed charges		3438	33.3			Percent of total billed charges		1144.854	33.3			Percent of total billed charges		1144.854	100			Percent of total billed charges		3438	1144.854	3094.2	
vectra-one plate 1 level 18mm  04.613.158 synthes	278	RC	Outpatient			3438	2234.7		90			Percent of total billed charges		3094.2	40			Percent of total billed charges		1375.2	80			Percent of total billed charges		2750.4	90			Percent of total billed charges		3094.2	85			Percent of total billed charges		2922.3	85			Percent of total billed charges		2922.3	85			Percent of total billed charges		2922.3	100			Percent of total billed charges		3438	100			Percent of total billed charges		3438	100			Percent of total billed charges		3438	33.3			Percent of total billed charges		1144.854	33.3			Percent of total billed charges		1144.854	100			Percent of total billed charges		3438	1144.854	3094.2	
vectra-one plate 1 level 20mm  04.613.162 synthes	278	RC	Outpatient			3438	2234.7		90			Percent of total billed charges		3094.2	40			Percent of total billed charges		1375.2	80			Percent of total billed charges		2750.4	90			Percent of total billed charges		3094.2	85			Percent of total billed charges		2922.3	85			Percent of total billed charges		2922.3	85			Percent of total billed charges		2922.3	100			Percent of total billed charges		3438	100			Percent of total billed charges		3438	100			Percent of total billed charges		3438	33.3			Percent of total billed charges		1144.854	33.3			Percent of total billed charges		1144.854	100			Percent of total billed charges		3438	1144.854	3094.2	
vectra-1 pl 1 level	278	RC	Outpatient			3438	2234.7		90			Percent of total billed charges		3094.2	40			Percent of total billed charges		1375.2	80			Percent of total billed charges		2750.4	90			Percent of total billed charges		3094.2	85			Percent of total billed charges		2922.3	85			Percent of total billed charges		2922.3	85			Percent of total billed charges		2922.3	100			Percent of total billed charges		3438	100			Percent of total billed charges		3438	100			Percent of total billed charges		3438	33.3			Percent of total billed charges		1144.854	33.3			Percent of total billed charges		1144.854	100			Percent of total billed charges		3438	1144.854	3094.2	
vectra-one plate 1 level 20mm  04.613.160 synthes	278	RC	Outpatient			3438	2234.7		90			Percent of total billed charges		3094.2	40			Percent of total billed charges		1375.2	80			Percent of total billed charges		2750.4	90			Percent of total billed charges		3094.2	85			Percent of total billed charges		2922.3	85			Percent of total billed charges		2922.3	85			Percent of total billed charges		2922.3	100			Percent of total billed charges		3438	100			Percent of total billed charges		3438	100			Percent of total billed charges		3438	33.3			Percent of total billed charges		1144.854	33.3			Percent of total billed charges		1144.854	100			Percent of total billed charges		3438	1144.854	3094.2	
comp plt 3.5mm 14 hl 71809714 s\n	278	RC	Outpatient			3447	2240.55		90			Percent of total billed charges		3102.3	40			Percent of total billed charges		1378.8	80			Percent of total billed charges		2757.6	90			Percent of total billed charges		3102.3	85			Percent of total billed charges		2929.95	85			Percent of total billed charges		2929.95	85			Percent of total billed charges		2929.95	100			Percent of total billed charges		3447	100			Percent of total billed charges		3447	100			Percent of total billed charges		3447	33.3			Percent of total billed charges		1147.851	33.3			Percent of total billed charges		1147.851	100			Percent of total billed charges		3447	1147.851	3102.3	
comp plt 3.5mm 14 hl 71809114 s\n	278	RC	Outpatient			3447	2240.55		90			Percent of total billed charges		3102.3	40			Percent of total billed charges		1378.8	80			Percent of total billed charges		2757.6	90			Percent of total billed charges		3102.3	85			Percent of total billed charges		2929.95	85			Percent of total billed charges		2929.95	85			Percent of total billed charges		2929.95	100			Percent of total billed charges		3447	100			Percent of total billed charges		3447	100			Percent of total billed charges		3447	33.3			Percent of total billed charges		1147.851	33.3			Percent of total billed charges		1147.851	100			Percent of total billed charges		3447	1147.851	3102.3	
seaspine 3 level cerv plt	278	RC	Outpatient			3447	2240.55		90			Percent of total billed charges		3102.3	40			Percent of total billed charges		1378.8	80			Percent of total billed charges		2757.6	90			Percent of total billed charges		3102.3	85			Percent of total billed charges		2929.95	85			Percent of total billed charges		2929.95	85			Percent of total billed charges		2929.95	100			Percent of total billed charges		3447	100			Percent of total billed charges		3447	100			Percent of total billed charges		3447	33.3			Percent of total billed charges		1147.851	33.3			Percent of total billed charges		1147.851	100			Percent of total billed charges		3447	1147.851	3102.3	
s/n 3.5 lck comp pl 14 hl	278	RC	Outpatient			3447	2240.55		90			Percent of total billed charges		3102.3	40			Percent of total billed charges		1378.8	80			Percent of total billed charges		2757.6	90			Percent of total billed charges		3102.3	85			Percent of total billed charges		2929.95	85			Percent of total billed charges		2929.95	85			Percent of total billed charges		2929.95	100			Percent of total billed charges		3447	100			Percent of total billed charges		3447	100			Percent of total billed charges		3447	33.3			Percent of total billed charges		1147.851	33.3			Percent of total billed charges		1147.851	100			Percent of total billed charges		3447	1147.851	3102.3	
biomet maxim  tibia tray 59mm 141260	278	RC	Outpatient			3450	2242.5		90			Percent of total billed charges		3105	40			Percent of total billed charges		1380	80			Percent of total billed charges		2760	90			Percent of total billed charges		3105	85			Percent of total billed charges		2932.5	85			Percent of total billed charges		2932.5	85			Percent of total billed charges		2932.5	100			Percent of total billed charges		3450	100			Percent of total billed charges		3450	100			Percent of total billed charges		3450	33.3			Percent of total billed charges		1148.85	33.3			Percent of total billed charges		1148.85	100			Percent of total billed charges		3450	1148.85	3105	
biomet maxim  tibia tray 63mm 141261	278	RC	Outpatient			3450	2242.5		90			Percent of total billed charges		3105	40			Percent of total billed charges		1380	80			Percent of total billed charges		2760	90			Percent of total billed charges		3105	85			Percent of total billed charges		2932.5	85			Percent of total billed charges		2932.5	85			Percent of total billed charges		2932.5	100			Percent of total billed charges		3450	100			Percent of total billed charges		3450	100			Percent of total billed charges		3450	33.3			Percent of total billed charges		1148.85	33.3			Percent of total billed charges		1148.85	100			Percent of total billed charges		3450	1148.85	3105	
biomet maxim  tibia tray 67mm 141262	278	RC	Outpatient			3450	2242.5		90			Percent of total billed charges		3105	40			Percent of total billed charges		1380	80			Percent of total billed charges		2760	90			Percent of total billed charges		3105	85			Percent of total billed charges		2932.5	85			Percent of total billed charges		2932.5	85			Percent of total billed charges		2932.5	100			Percent of total billed charges		3450	100			Percent of total billed charges		3450	100			Percent of total billed charges		3450	33.3			Percent of total billed charges		1148.85	33.3			Percent of total billed charges		1148.85	100			Percent of total billed charges		3450	1148.85	3105	
biomet maxim  tibia tray 71mm 141263	278	RC	Outpatient			3450	2242.5		90			Percent of total billed charges		3105	40			Percent of total billed charges		1380	80			Percent of total billed charges		2760	90			Percent of total billed charges		3105	85			Percent of total billed charges		2932.5	85			Percent of total billed charges		2932.5	85			Percent of total billed charges		2932.5	100			Percent of total billed charges		3450	100			Percent of total billed charges		3450	100			Percent of total billed charges		3450	33.3			Percent of total billed charges		1148.85	33.3			Percent of total billed charges		1148.85	100			Percent of total billed charges		3450	1148.85	3105	
biomet maxim  tibia tray 79mm 141265	278	RC	Outpatient			3450	2242.5		90			Percent of total billed charges		3105	40			Percent of total billed charges		1380	80			Percent of total billed charges		2760	90			Percent of total billed charges		3105	85			Percent of total billed charges		2932.5	85			Percent of total billed charges		2932.5	85			Percent of total billed charges		2932.5	100			Percent of total billed charges		3450	100			Percent of total billed charges		3450	100			Percent of total billed charges		3450	33.3			Percent of total billed charges		1148.85	33.3			Percent of total billed charges		1148.85	100			Percent of total billed charges		3450	1148.85	3105	
biomet maxim  tibia tray 91mm 141268	278	RC	Outpatient			3450	2242.5		90			Percent of total billed charges		3105	40			Percent of total billed charges		1380	80			Percent of total billed charges		2760	90			Percent of total billed charges		3105	85			Percent of total billed charges		2932.5	85			Percent of total billed charges		2932.5	85			Percent of total billed charges		2932.5	100			Percent of total billed charges		3450	100			Percent of total billed charges		3450	100			Percent of total billed charges		3450	33.3			Percent of total billed charges		1148.85	33.3			Percent of total billed charges		1148.85	100			Percent of total billed charges		3450	1148.85	3105	
angiojet solent omni	272	RC	Outpatient			3450	2242.5		90			Percent of total billed charges		3105	40			Percent of total billed charges		1380	80			Percent of total billed charges		2760	90			Percent of total billed charges		3105	85			Percent of total billed charges		2932.5	85			Percent of total billed charges		2932.5	85			Percent of total billed charges		2932.5	100			Percent of total billed charges		3450	100			Percent of total billed charges		3450	100			Percent of total billed charges		3450	33.3			Percent of total billed charges		1148.85	33.3			Percent of total billed charges		1148.85	100			Percent of total billed charges		3450	1148.85	3105	
bio maxim pourous tibia	278	RC	Outpatient			3450	2242.5		90			Percent of total billed charges		3105	40			Percent of total billed charges		1380	80			Percent of total billed charges		2760	90			Percent of total billed charges		3105	85			Percent of total billed charges		2932.5	85			Percent of total billed charges		2932.5	85			Percent of total billed charges		2932.5	100			Percent of total billed charges		3450	100			Percent of total billed charges		3450	100			Percent of total billed charges		3450	33.3			Percent of total billed charges		1148.85	33.3			Percent of total billed charges		1148.85	100			Percent of total billed charges		3450	1148.85	3105	
biomet maxim  tibia tray 75mm 141264	278	RC	Outpatient			3450	2242.5		90			Percent of total billed charges		3105	40			Percent of total billed charges		1380	80			Percent of total billed charges		2760	90			Percent of total billed charges		3105	85			Percent of total billed charges		2932.5	85			Percent of total billed charges		2932.5	85			Percent of total billed charges		2932.5	100			Percent of total billed charges		3450	100			Percent of total billed charges		3450	100			Percent of total billed charges		3450	33.3			Percent of total billed charges		1148.85	33.3			Percent of total billed charges		1148.85	100			Percent of total billed charges		3450	1148.85	3105	
biomet maxim tibia tray 83mm 141266	278	RC	Outpatient			3450	2242.5		90			Percent of total billed charges		3105	40			Percent of total billed charges		1380	80			Percent of total billed charges		2760	90			Percent of total billed charges		3105	85			Percent of total billed charges		2932.5	85			Percent of total billed charges		2932.5	85			Percent of total billed charges		2932.5	100			Percent of total billed charges		3450	100			Percent of total billed charges		3450	100			Percent of total billed charges		3450	33.3			Percent of total billed charges		1148.85	33.3			Percent of total billed charges		1148.85	100			Percent of total billed charges		3450	1148.85	3105	
biomet maxim tibia tray 87mm 141267	278	RC	Outpatient			3450	2242.5		90			Percent of total billed charges		3105	40			Percent of total billed charges		1380	80			Percent of total billed charges		2760	90			Percent of total billed charges		3105	85			Percent of total billed charges		2932.5	85			Percent of total billed charges		2932.5	85			Percent of total billed charges		2932.5	100			Percent of total billed charges		3450	100			Percent of total billed charges		3450	100			Percent of total billed charges		3450	33.3			Percent of total billed charges		1148.85	33.3			Percent of total billed charges		1148.85	100			Percent of total billed charges		3450	1148.85	3105	
esophageal stent system	270	RC	Outpatient			3463	2250.95		90			Percent of total billed charges		3116.7	40			Percent of total billed charges		1385.2	80			Percent of total billed charges		2770.4	90			Percent of total billed charges		3116.7	85			Percent of total billed charges		2943.55	85			Percent of total billed charges		2943.55	85			Percent of total billed charges		2943.55	100			Percent of total billed charges		3463	100			Percent of total billed charges		3463	100			Percent of total billed charges		3463	33.3			Percent of total billed charges		1153.179	33.3			Percent of total billed charges		1153.179	100			Percent of total billed charges		3463	1153.179	3116.7	
nexgen knee cr option femoral size c lt 00-5966-013-01 zimmer	278	RC	Outpatient			3468	2254.2		90			Percent of total billed charges		3121.2	40			Percent of total billed charges		1387.2	80			Percent of total billed charges		2774.4	90			Percent of total billed charges		3121.2	85			Percent of total billed charges		2947.8	85			Percent of total billed charges		2947.8	85			Percent of total billed charges		2947.8	100			Percent of total billed charges		3468	100			Percent of total billed charges		3468	100			Percent of total billed charges		3468	33.3			Percent of total billed charges		1154.844	33.3			Percent of total billed charges		1154.844	100			Percent of total billed charges		3468	1154.844	3121.2	
nexgen knee cr option femoral size c rt 00-5966-013-02 zimmer	278	RC	Outpatient			3468	2254.2		90			Percent of total billed charges		3121.2	40			Percent of total billed charges		1387.2	80			Percent of total billed charges		2774.4	90			Percent of total billed charges		3121.2	85			Percent of total billed charges		2947.8	85			Percent of total billed charges		2947.8	85			Percent of total billed charges		2947.8	100			Percent of total billed charges		3468	100			Percent of total billed charges		3468	100			Percent of total billed charges		3468	33.3			Percent of total billed charges		1154.844	33.3			Percent of total billed charges		1154.844	100			Percent of total billed charges		3468	1154.844	3121.2	
nexgen knee cr option femoral size d lt 00-5966-014-01 zimmer	278	RC	Outpatient			3468	2254.2		90			Percent of total billed charges		3121.2	40			Percent of total billed charges		1387.2	80			Percent of total billed charges		2774.4	90			Percent of total billed charges		3121.2	85			Percent of total billed charges		2947.8	85			Percent of total billed charges		2947.8	85			Percent of total billed charges		2947.8	100			Percent of total billed charges		3468	100			Percent of total billed charges		3468	100			Percent of total billed charges		3468	33.3			Percent of total billed charges		1154.844	33.3			Percent of total billed charges		1154.844	100			Percent of total billed charges		3468	1154.844	3121.2	
nexgen knee cr option femoral size d rt 00-5966-014-02 zimmer	278	RC	Outpatient			3468	2254.2		90			Percent of total billed charges		3121.2	40			Percent of total billed charges		1387.2	80			Percent of total billed charges		2774.4	90			Percent of total billed charges		3121.2	85			Percent of total billed charges		2947.8	85			Percent of total billed charges		2947.8	85			Percent of total billed charges		2947.8	100			Percent of total billed charges		3468	100			Percent of total billed charges		3468	100			Percent of total billed charges		3468	33.3			Percent of total billed charges		1154.844	33.3			Percent of total billed charges		1154.844	100			Percent of total billed charges		3468	1154.844	3121.2	
nexgen knee cr option femoral size e lt 00-5966-015-01 zimmer	278	RC	Outpatient			3468	2254.2		90			Percent of total billed charges		3121.2	40			Percent of total billed charges		1387.2	80			Percent of total billed charges		2774.4	90			Percent of total billed charges		3121.2	85			Percent of total billed charges		2947.8	85			Percent of total billed charges		2947.8	85			Percent of total billed charges		2947.8	100			Percent of total billed charges		3468	100			Percent of total billed charges		3468	100			Percent of total billed charges		3468	33.3			Percent of total billed charges		1154.844	33.3			Percent of total billed charges		1154.844	100			Percent of total billed charges		3468	1154.844	3121.2	
nexgen knee cr option femoral size e rt 00-5966-015-02 zimmer	278	RC	Outpatient			3468	2254.2		90			Percent of total billed charges		3121.2	40			Percent of total billed charges		1387.2	80			Percent of total billed charges		2774.4	90			Percent of total billed charges		3121.2	85			Percent of total billed charges		2947.8	85			Percent of total billed charges		2947.8	85			Percent of total billed charges		2947.8	100			Percent of total billed charges		3468	100			Percent of total billed charges		3468	100			Percent of total billed charges		3468	33.3			Percent of total billed charges		1154.844	33.3			Percent of total billed charges		1154.844	100			Percent of total billed charges		3468	1154.844	3121.2	
nexgen knee cr option femoral size f lt 00-5966-016-01 zimmer	278	RC	Outpatient			3468	2254.2		90			Percent of total billed charges		3121.2	40			Percent of total billed charges		1387.2	80			Percent of total billed charges		2774.4	90			Percent of total billed charges		3121.2	85			Percent of total billed charges		2947.8	85			Percent of total billed charges		2947.8	85			Percent of total billed charges		2947.8	100			Percent of total billed charges		3468	100			Percent of total billed charges		3468	100			Percent of total billed charges		3468	33.3			Percent of total billed charges		1154.844	33.3			Percent of total billed charges		1154.844	100			Percent of total billed charges		3468	1154.844	3121.2	
nexgen knee cr option femoral size f rt 00-5966-016-02 zimmer	278	RC	Outpatient			3468	2254.2		90			Percent of total billed charges		3121.2	40			Percent of total billed charges		1387.2	80			Percent of total billed charges		2774.4	90			Percent of total billed charges		3121.2	85			Percent of total billed charges		2947.8	85			Percent of total billed charges		2947.8	85			Percent of total billed charges		2947.8	100			Percent of total billed charges		3468	100			Percent of total billed charges		3468	100			Percent of total billed charges		3468	33.3			Percent of total billed charges		1154.844	33.3			Percent of total billed charges		1154.844	100			Percent of total billed charges		3468	1154.844	3121.2	
nexgen knee cr option femoral size g lt 00-5966-017-01 zimmer	278	RC	Outpatient			3468	2254.2		90			Percent of total billed charges		3121.2	40			Percent of total billed charges		1387.2	80			Percent of total billed charges		2774.4	90			Percent of total billed charges		3121.2	85			Percent of total billed charges		2947.8	85			Percent of total billed charges		2947.8	85			Percent of total billed charges		2947.8	100			Percent of total billed charges		3468	100			Percent of total billed charges		3468	100			Percent of total billed charges		3468	33.3			Percent of total billed charges		1154.844	33.3			Percent of total billed charges		1154.844	100			Percent of total billed charges		3468	1154.844	3121.2	
nexgen knee cr option femoral size g rt 00-5966-017-02 zimmer	278	RC	Outpatient			3468	2254.2		90			Percent of total billed charges		3121.2	40			Percent of total billed charges		1387.2	80			Percent of total billed charges		2774.4	90			Percent of total billed charges		3121.2	85			Percent of total billed charges		2947.8	85			Percent of total billed charges		2947.8	85			Percent of total billed charges		2947.8	100			Percent of total billed charges		3468	100			Percent of total billed charges		3468	100			Percent of total billed charges		3468	33.3			Percent of total billed charges		1154.844	33.3			Percent of total billed charges		1154.844	100			Percent of total billed charges		3468	1154.844	3121.2	
zimmer nexgen femoral  left 5886-65-01	278	RC	Outpatient			3468	2254.2		90			Percent of total billed charges		3121.2	40			Percent of total billed charges		1387.2	80			Percent of total billed charges		2774.4	90			Percent of total billed charges		3121.2	85			Percent of total billed charges		2947.8	85			Percent of total billed charges		2947.8	85			Percent of total billed charges		2947.8	100			Percent of total billed charges		3468	100			Percent of total billed charges		3468	100			Percent of total billed charges		3468	33.3			Percent of total billed charges		1154.844	33.3			Percent of total billed charges		1154.844	100			Percent of total billed charges		3468	1154.844	3121.2	
zimm nexgen femor	278	RC	Outpatient			3468	2254.2		90			Percent of total billed charges		3121.2	40			Percent of total billed charges		1387.2	80			Percent of total billed charges		2774.4	90			Percent of total billed charges		3121.2	85			Percent of total billed charges		2947.8	85			Percent of total billed charges		2947.8	85			Percent of total billed charges		2947.8	100			Percent of total billed charges		3468	100			Percent of total billed charges		3468	100			Percent of total billed charges		3468	33.3			Percent of total billed charges		1154.844	33.3			Percent of total billed charges		1154.844	100			Percent of total billed charges		3468	1154.844	3121.2	
j&j fmoral stm pfc cem/np	278	RC	Outpatient			3503	2276.95		90			Percent of total billed charges		3152.7	40			Percent of total billed charges		1401.2	80			Percent of total billed charges		2802.4	90			Percent of total billed charges		3152.7	85			Percent of total billed charges		2977.55	85			Percent of total billed charges		2977.55	85			Percent of total billed charges		2977.55	100			Percent of total billed charges		3503	100			Percent of total billed charges		3503	100			Percent of total billed charges		3503	33.3			Percent of total billed charges		1166.499	33.3			Percent of total billed charges		1166.499	100			Percent of total billed charges		3503	1166.499	3152.7	
trigen knee nail  11.5 mm x 25 cm 71633325 s/n	278	RC	Outpatient			3503	2276.95		90			Percent of total billed charges		3152.7	40			Percent of total billed charges		1401.2	80			Percent of total billed charges		2802.4	90			Percent of total billed charges		3152.7	85			Percent of total billed charges		2977.55	85			Percent of total billed charges		2977.55	85			Percent of total billed charges		2977.55	100			Percent of total billed charges		3503	100			Percent of total billed charges		3503	100			Percent of total billed charges		3503	33.3			Percent of total billed charges		1166.499	33.3			Percent of total billed charges		1166.499	100			Percent of total billed charges		3503	1166.499	3152.7	
trigen knee nail  13 mm x 25 cm 71633425 s/n	278	RC	Outpatient			3503	2276.95		90			Percent of total billed charges		3152.7	40			Percent of total billed charges		1401.2	80			Percent of total billed charges		2802.4	90			Percent of total billed charges		3152.7	85			Percent of total billed charges		2977.55	85			Percent of total billed charges		2977.55	85			Percent of total billed charges		2977.55	100			Percent of total billed charges		3503	100			Percent of total billed charges		3503	100			Percent of total billed charges		3503	33.3			Percent of total billed charges		1166.499	33.3			Percent of total billed charges		1166.499	100			Percent of total billed charges		3503	1166.499	3152.7	
trigen knee nail 11.5 mm x 20 cm 7163-3320 s/n	278	RC	Outpatient			3503	2276.95		90			Percent of total billed charges		3152.7	40			Percent of total billed charges		1401.2	80			Percent of total billed charges		2802.4	90			Percent of total billed charges		3152.7	85			Percent of total billed charges		2977.55	85			Percent of total billed charges		2977.55	85			Percent of total billed charges		2977.55	100			Percent of total billed charges		3503	100			Percent of total billed charges		3503	100			Percent of total billed charges		3503	33.3			Percent of total billed charges		1166.499	33.3			Percent of total billed charges		1166.499	100			Percent of total billed charges		3503	1166.499	3152.7	
trigen im nail 10-25cm	278	RC	Outpatient			3503	2276.95		90			Percent of total billed charges		3152.7	40			Percent of total billed charges		1401.2	80			Percent of total billed charges		2802.4	90			Percent of total billed charges		3152.7	85			Percent of total billed charges		2977.55	85			Percent of total billed charges		2977.55	85			Percent of total billed charges		2977.55	100			Percent of total billed charges		3503	100			Percent of total billed charges		3503	100			Percent of total billed charges		3503	33.3			Percent of total billed charges		1166.499	33.3			Percent of total billed charges		1166.499	100			Percent of total billed charges		3503	1166.499	3152.7	
trigen knee nail  13 mm x 20 cm 7163-3420 s/n	278	RC	Outpatient			3503	2276.95		90			Percent of total billed charges		3152.7	40			Percent of total billed charges		1401.2	80			Percent of total billed charges		2802.4	90			Percent of total billed charges		3152.7	85			Percent of total billed charges		2977.55	85			Percent of total billed charges		2977.55	85			Percent of total billed charges		2977.55	100			Percent of total billed charges		3503	100			Percent of total billed charges		3503	100			Percent of total billed charges		3503	33.3			Percent of total billed charges		1166.499	33.3			Percent of total billed charges		1166.499	100			Percent of total billed charges		3503	1166.499	3152.7	
trigen knee nail 11.5 mm x 15 cm 7163-3315 s/n	278	RC	Outpatient			3503	2276.95		90			Percent of total billed charges		3152.7	40			Percent of total billed charges		1401.2	80			Percent of total billed charges		2802.4	90			Percent of total billed charges		3152.7	85			Percent of total billed charges		2977.55	85			Percent of total billed charges		2977.55	85			Percent of total billed charges		2977.55	100			Percent of total billed charges		3503	100			Percent of total billed charges		3503	100			Percent of total billed charges		3503	33.3			Percent of total billed charges		1166.499	33.3			Percent of total billed charges		1166.499	100			Percent of total billed charges		3503	1166.499	3152.7	
trigen knee nail 13 mm x 15 cm 7163-3415 s/n	278	RC	Outpatient			3503	2276.95		90			Percent of total billed charges		3152.7	40			Percent of total billed charges		1401.2	80			Percent of total billed charges		2802.4	90			Percent of total billed charges		3152.7	85			Percent of total billed charges		2977.55	85			Percent of total billed charges		2977.55	85			Percent of total billed charges		2977.55	100			Percent of total billed charges		3503	100			Percent of total billed charges		3503	100			Percent of total billed charges		3503	33.3			Percent of total billed charges		1166.499	33.3			Percent of total billed charges		1166.499	100			Percent of total billed charges		3503	1166.499	3152.7	
4.5 proximal femur locking  plate 6-hole rt 74820506 s/n	278	RC	Outpatient			3508	2280.2		90			Percent of total billed charges		3157.2	40			Percent of total billed charges		1403.2	80			Percent of total billed charges		2806.4	90			Percent of total billed charges		3157.2	85			Percent of total billed charges		2981.8	85			Percent of total billed charges		2981.8	85			Percent of total billed charges		2981.8	100			Percent of total billed charges		3508	100			Percent of total billed charges		3508	100			Percent of total billed charges		3508	33.3			Percent of total billed charges		1168.164	33.3			Percent of total billed charges		1168.164	100			Percent of total billed charges		3508	1168.164	3157.2	
s/n 4.5 prox fen pl 6h	278	RC	Outpatient			3508	2280.2		90			Percent of total billed charges		3157.2	40			Percent of total billed charges		1403.2	80			Percent of total billed charges		2806.4	90			Percent of total billed charges		3157.2	85			Percent of total billed charges		2981.8	85			Percent of total billed charges		2981.8	85			Percent of total billed charges		2981.8	100			Percent of total billed charges		3508	100			Percent of total billed charges		3508	100			Percent of total billed charges		3508	33.3			Percent of total billed charges		1168.164	33.3			Percent of total billed charges		1168.164	100			Percent of total billed charges		3508	1168.164	3157.2	
agioguard (mc)	272	RC	Outpatient			3510	2281.5		90			Percent of total billed charges		3159	40			Percent of total billed charges		1404	80			Percent of total billed charges		2808	90			Percent of total billed charges		3159	85			Percent of total billed charges		2983.5	85			Percent of total billed charges		2983.5	85			Percent of total billed charges		2983.5	100			Percent of total billed charges		3510	100			Percent of total billed charges		3510	100			Percent of total billed charges		3510	33.3			Percent of total billed charges		1168.83	33.3			Percent of total billed charges		1168.83	100			Percent of total billed charges		3510	1168.83	3159	
angioguard xp 603014mc cordis	272	RC	Outpatient			3510	2281.5		90			Percent of total billed charges		3159	40			Percent of total billed charges		1404	80			Percent of total billed charges		2808	90			Percent of total billed charges		3159	85			Percent of total billed charges		2983.5	85			Percent of total billed charges		2983.5	85			Percent of total billed charges		2983.5	100			Percent of total billed charges		3510	100			Percent of total billed charges		3510	100			Percent of total billed charges		3510	33.3			Percent of total billed charges		1168.83	33.3			Percent of total billed charges		1168.83	100			Percent of total billed charges		3510	1168.83	3159	
endo ercp with stone removal /stent placement	750	RC	Outpatient			3510	2281.5		90			Percent of total billed charges		3159	40			Percent of total billed charges		1404	80			Percent of total billed charges		2808	90			Percent of total billed charges		3159	85			Percent of total billed charges		2983.5	85			Percent of total billed charges		2983.5	85			Percent of total billed charges		2983.5	100			Percent of total billed charges		3510	100			Percent of total billed charges		3510	100			Percent of total billed charges		3510	33.3			Percent of total billed charges		1168.83	33.3			Percent of total billed charges		1168.83	100			Percent of total billed charges		3510	1168.83	3159	
zenith flex aaa graft iliac plug 24 x 30mm g43056 cook	278	RC	Outpatient			3512	2282.8		90			Percent of total billed charges		3160.8	40			Percent of total billed charges		1404.8	80			Percent of total billed charges		2809.6	90			Percent of total billed charges		3160.8	85			Percent of total billed charges		2985.2	85			Percent of total billed charges		2985.2	85			Percent of total billed charges		2985.2	100			Percent of total billed charges		3512	100			Percent of total billed charges		3512	100			Percent of total billed charges		3512	33.3			Percent of total billed charges		1169.496	33.3			Percent of total billed charges		1169.496	100			Percent of total billed charges		3512	1169.496	3160.8	
zenith flex iliac plug	278	RC	Outpatient			3512	2282.8		90			Percent of total billed charges		3160.8	40			Percent of total billed charges		1404.8	80			Percent of total billed charges		2809.6	90			Percent of total billed charges		3160.8	85			Percent of total billed charges		2985.2	85			Percent of total billed charges		2985.2	85			Percent of total billed charges		2985.2	100			Percent of total billed charges		3512	100			Percent of total billed charges		3512	100			Percent of total billed charges		3512	33.3			Percent of total billed charges		1169.496	33.3			Percent of total billed charges		1169.496	100			Percent of total billed charges		3512	1169.496	3160.8	
or time 2 1/2 hours	270	RC	Outpatient			3513	2283.45		90			Percent of total billed charges		3161.7	40			Percent of total billed charges		1405.2	80			Percent of total billed charges		2810.4	90			Percent of total billed charges		3161.7	85			Percent of total billed charges		2986.05	85			Percent of total billed charges		2986.05	85			Percent of total billed charges		2986.05	100			Percent of total billed charges		3513	100			Percent of total billed charges		3513	100			Percent of total billed charges		3513	33.3			Percent of total billed charges		1169.829	33.3			Percent of total billed charges		1169.829	100			Percent of total billed charges		3513	1169.829	3161.7	
cofield 2 all-poly glenoid large pegged 71259603 s/n	278	RC	Outpatient			3515	2284.75		90			Percent of total billed charges		3163.5	40			Percent of total billed charges		1406	80			Percent of total billed charges		2812	90			Percent of total billed charges		3163.5	85			Percent of total billed charges		2987.75	85			Percent of total billed charges		2987.75	85			Percent of total billed charges		2987.75	100			Percent of total billed charges		3515	100			Percent of total billed charges		3515	100			Percent of total billed charges		3515	33.3			Percent of total billed charges		1170.495	33.3			Percent of total billed charges		1170.495	100			Percent of total billed charges		3515	1170.495	3163.5	
cofield 2 all-poly glenoid small pegged 71259601 s/n	278	RC	Outpatient			3515	2284.75		90			Percent of total billed charges		3163.5	40			Percent of total billed charges		1406	80			Percent of total billed charges		2812	90			Percent of total billed charges		3163.5	85			Percent of total billed charges		2987.75	85			Percent of total billed charges		2987.75	85			Percent of total billed charges		2987.75	100			Percent of total billed charges		3515	100			Percent of total billed charges		3515	100			Percent of total billed charges		3515	33.3			Percent of total billed charges		1170.495	33.3			Percent of total billed charges		1170.495	100			Percent of total billed charges		3515	1170.495	3163.5	
s/n cofld glenoid	278	RC	Outpatient			3515	2284.75		90			Percent of total billed charges		3163.5	40			Percent of total billed charges		1406	80			Percent of total billed charges		2812	90			Percent of total billed charges		3163.5	85			Percent of total billed charges		2987.75	85			Percent of total billed charges		2987.75	85			Percent of total billed charges		2987.75	100			Percent of total billed charges		3515	100			Percent of total billed charges		3515	100			Percent of total billed charges		3515	33.3			Percent of total billed charges		1170.495	33.3			Percent of total billed charges		1170.495	100			Percent of total billed charges		3515	1170.495	3163.5	
biomet  primary/ps tibia 14 x 75 155348	278	RC	Outpatient			3526	2291.9		90			Percent of total billed charges		3173.4	40			Percent of total billed charges		1410.4	80			Percent of total billed charges		2820.8	90			Percent of total billed charges		3173.4	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	33.3			Percent of total billed charges		1174.158	33.3			Percent of total billed charges		1174.158	100			Percent of total billed charges		3526	1174.158	3173.4	
biomet  tibia 12 x 65 155310	278	RC	Outpatient			3526	2291.9		90			Percent of total billed charges		3173.4	40			Percent of total billed charges		1410.4	80			Percent of total billed charges		2820.8	90			Percent of total billed charges		3173.4	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	33.3			Percent of total billed charges		1174.158	33.3			Percent of total billed charges		1174.158	100			Percent of total billed charges		3526	1174.158	3173.4	
biomet  tibia 12x 80 155364	278	RC	Outpatient			3526	2291.9		90			Percent of total billed charges		3173.4	40			Percent of total billed charges		1410.4	80			Percent of total billed charges		2820.8	90			Percent of total billed charges		3173.4	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	33.3			Percent of total billed charges		1174.158	33.3			Percent of total billed charges		1174.158	100			Percent of total billed charges		3526	1174.158	3173.4	
biomet  tibia 14 x 70 155330	278	RC	Outpatient			3526	2291.9		90			Percent of total billed charges		3173.4	40			Percent of total billed charges		1410.4	80			Percent of total billed charges		2820.8	90			Percent of total billed charges		3173.4	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	33.3			Percent of total billed charges		1174.158	33.3			Percent of total billed charges		1174.158	100			Percent of total billed charges		3526	1174.158	3173.4	
biomet  tibia 14 x 85 155384	278	RC	Outpatient			3526	2291.9		90			Percent of total billed charges		3173.4	40			Percent of total billed charges		1410.4	80			Percent of total billed charges		2820.8	90			Percent of total billed charges		3173.4	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	33.3			Percent of total billed charges		1174.158	33.3			Percent of total billed charges		1174.158	100			Percent of total billed charges		3526	1174.158	3173.4	
biomet  tibia 16 x 70 155332	278	RC	Outpatient			3526	2291.9		90			Percent of total billed charges		3173.4	40			Percent of total billed charges		1410.4	80			Percent of total billed charges		2820.8	90			Percent of total billed charges		3173.4	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	33.3			Percent of total billed charges		1174.158	33.3			Percent of total billed charges		1174.158	100			Percent of total billed charges		3526	1174.158	3173.4	
biomet  tibia 16 x 75 155350	278	RC	Outpatient			3526	2291.9		90			Percent of total billed charges		3173.4	40			Percent of total billed charges		1410.4	80			Percent of total billed charges		2820.8	90			Percent of total billed charges		3173.4	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	33.3			Percent of total billed charges		1174.158	33.3			Percent of total billed charges		1174.158	100			Percent of total billed charges		3526	1174.158	3173.4	
biomet  tibia 16x 80 155368	278	RC	Outpatient			3526	2291.9		90			Percent of total billed charges		3173.4	40			Percent of total billed charges		1410.4	80			Percent of total billed charges		2820.8	90			Percent of total billed charges		3173.4	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	33.3			Percent of total billed charges		1174.158	33.3			Percent of total billed charges		1174.158	100			Percent of total billed charges		3526	1174.158	3173.4	
biomet  tibia 20 x 70 155336	278	RC	Outpatient			3526	2291.9		90			Percent of total billed charges		3173.4	40			Percent of total billed charges		1410.4	80			Percent of total billed charges		2820.8	90			Percent of total billed charges		3173.4	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	33.3			Percent of total billed charges		1174.158	33.3			Percent of total billed charges		1174.158	100			Percent of total billed charges		3526	1174.158	3173.4	
biomet  tibia 20 x 80 155372	278	RC	Outpatient			3526	2291.9		90			Percent of total billed charges		3173.4	40			Percent of total billed charges		1410.4	80			Percent of total billed charges		2820.8	90			Percent of total billed charges		3173.4	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	33.3			Percent of total billed charges		1174.158	33.3			Percent of total billed charges		1174.158	100			Percent of total billed charges		3526	1174.158	3173.4	
biomet  tibia 20 x 85 155390	278	RC	Outpatient			3526	2291.9		90			Percent of total billed charges		3173.4	40			Percent of total billed charges		1410.4	80			Percent of total billed charges		2820.8	90			Percent of total billed charges		3173.4	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	33.3			Percent of total billed charges		1174.158	33.3			Percent of total billed charges		1174.158	100			Percent of total billed charges		3526	1174.158	3173.4	
biomet  tibia 8 x 70 155324	278	RC	Outpatient			3526	2291.9		90			Percent of total billed charges		3173.4	40			Percent of total billed charges		1410.4	80			Percent of total billed charges		2820.8	90			Percent of total billed charges		3173.4	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	33.3			Percent of total billed charges		1174.158	33.3			Percent of total billed charges		1174.158	100			Percent of total billed charges		3526	1174.158	3173.4	
biomet  tibia 8 x 80 155360	278	RC	Outpatient			3526	2291.9		90			Percent of total billed charges		3173.4	40			Percent of total billed charges		1410.4	80			Percent of total billed charges		2820.8	90			Percent of total billed charges		3173.4	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	33.3			Percent of total billed charges		1174.158	33.3			Percent of total billed charges		1174.158	100			Percent of total billed charges		3526	1174.158	3173.4	
biomet  tibia 8 x 85 155378	278	RC	Outpatient			3526	2291.9		90			Percent of total billed charges		3173.4	40			Percent of total billed charges		1410.4	80			Percent of total billed charges		2820.8	90			Percent of total billed charges		3173.4	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	33.3			Percent of total billed charges		1174.158	33.3			Percent of total billed charges		1174.158	100			Percent of total billed charges		3526	1174.158	3173.4	
biomet  tibia 8x 75 155342	278	RC	Outpatient			3526	2291.9		90			Percent of total billed charges		3173.4	40			Percent of total billed charges		1410.4	80			Percent of total billed charges		2820.8	90			Percent of total billed charges		3173.4	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	33.3			Percent of total billed charges		1174.158	33.3			Percent of total billed charges		1174.158	100			Percent of total billed charges		3526	1174.158	3173.4	
biomet tibia 16 x 85 155386	278	RC	Outpatient			3526	2291.9		90			Percent of total billed charges		3173.4	40			Percent of total billed charges		1410.4	80			Percent of total billed charges		2820.8	90			Percent of total billed charges		3173.4	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	33.3			Percent of total billed charges		1174.158	33.3			Percent of total billed charges		1174.158	100			Percent of total billed charges		3526	1174.158	3173.4	
biomet tibia 18 x 75 155352	278	RC	Outpatient			3526	2291.9		90			Percent of total billed charges		3173.4	40			Percent of total billed charges		1410.4	80			Percent of total billed charges		2820.8	90			Percent of total billed charges		3173.4	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	33.3			Percent of total billed charges		1174.158	33.3			Percent of total billed charges		1174.158	100			Percent of total billed charges		3526	1174.158	3173.4	
biomet tibia 18 x 85 155388	278	RC	Outpatient			3526	2291.9		90			Percent of total billed charges		3173.4	40			Percent of total billed charges		1410.4	80			Percent of total billed charges		2820.8	90			Percent of total billed charges		3173.4	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	33.3			Percent of total billed charges		1174.158	33.3			Percent of total billed charges		1174.158	100			Percent of total billed charges		3526	1174.158	3173.4	
bio agc primary/ps tibia	278	RC	Outpatient			3526	2291.9		90			Percent of total billed charges		3173.4	40			Percent of total billed charges		1410.4	80			Percent of total billed charges		2820.8	90			Percent of total billed charges		3173.4	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	33.3			Percent of total billed charges		1174.158	33.3			Percent of total billed charges		1174.158	100			Percent of total billed charges		3526	1174.158	3173.4	
biomet  tibia 10 x 65 155308	278	RC	Outpatient			3526	2291.9		90			Percent of total billed charges		3173.4	40			Percent of total billed charges		1410.4	80			Percent of total billed charges		2820.8	90			Percent of total billed charges		3173.4	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	33.3			Percent of total billed charges		1174.158	33.3			Percent of total billed charges		1174.158	100			Percent of total billed charges		3526	1174.158	3173.4	
biomet  tibia 10 x 70 155326	278	RC	Outpatient			3526	2291.9		90			Percent of total billed charges		3173.4	40			Percent of total billed charges		1410.4	80			Percent of total billed charges		2820.8	90			Percent of total billed charges		3173.4	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	33.3			Percent of total billed charges		1174.158	33.3			Percent of total billed charges		1174.158	100			Percent of total billed charges		3526	1174.158	3173.4	
biomet  tibia 10 x 75 155344	278	RC	Outpatient			3526	2291.9		90			Percent of total billed charges		3173.4	40			Percent of total billed charges		1410.4	80			Percent of total billed charges		2820.8	90			Percent of total billed charges		3173.4	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	33.3			Percent of total billed charges		1174.158	33.3			Percent of total billed charges		1174.158	100			Percent of total billed charges		3526	1174.158	3173.4	
biomet  tibia 10 x 80 155362	278	RC	Outpatient			3526	2291.9		90			Percent of total billed charges		3173.4	40			Percent of total billed charges		1410.4	80			Percent of total billed charges		2820.8	90			Percent of total billed charges		3173.4	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	33.3			Percent of total billed charges		1174.158	33.3			Percent of total billed charges		1174.158	100			Percent of total billed charges		3526	1174.158	3173.4	
biomet  tibia 10 x 85 155380	278	RC	Outpatient			3526	2291.9		90			Percent of total billed charges		3173.4	40			Percent of total billed charges		1410.4	80			Percent of total billed charges		2820.8	90			Percent of total billed charges		3173.4	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	33.3			Percent of total billed charges		1174.158	33.3			Percent of total billed charges		1174.158	100			Percent of total billed charges		3526	1174.158	3173.4	
biomet  tibia 12 x 70 155328	278	RC	Outpatient			3526	2291.9		90			Percent of total billed charges		3173.4	40			Percent of total billed charges		1410.4	80			Percent of total billed charges		2820.8	90			Percent of total billed charges		3173.4	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	33.3			Percent of total billed charges		1174.158	33.3			Percent of total billed charges		1174.158	100			Percent of total billed charges		3526	1174.158	3173.4	
biomet  tibia 12 x 85 155382	278	RC	Outpatient			3526	2291.9		90			Percent of total billed charges		3173.4	40			Percent of total billed charges		1410.4	80			Percent of total billed charges		2820.8	90			Percent of total billed charges		3173.4	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	33.3			Percent of total billed charges		1174.158	33.3			Percent of total billed charges		1174.158	100			Percent of total billed charges		3526	1174.158	3173.4	
biomet  tibia 14 x 65 155312	278	RC	Outpatient			3526	2291.9		90			Percent of total billed charges		3173.4	40			Percent of total billed charges		1410.4	80			Percent of total billed charges		2820.8	90			Percent of total billed charges		3173.4	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	33.3			Percent of total billed charges		1174.158	33.3			Percent of total billed charges		1174.158	100			Percent of total billed charges		3526	1174.158	3173.4	
biomet  tibia 16 x 65 155314	278	RC	Outpatient			3526	2291.9		90			Percent of total billed charges		3173.4	40			Percent of total billed charges		1410.4	80			Percent of total billed charges		2820.8	90			Percent of total billed charges		3173.4	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	33.3			Percent of total billed charges		1174.158	33.3			Percent of total billed charges		1174.158	100			Percent of total billed charges		3526	1174.158	3173.4	
biomet  tibia 18 x 65 155316	278	RC	Outpatient			3526	2291.9		90			Percent of total billed charges		3173.4	40			Percent of total billed charges		1410.4	80			Percent of total billed charges		2820.8	90			Percent of total billed charges		3173.4	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	33.3			Percent of total billed charges		1174.158	33.3			Percent of total billed charges		1174.158	100			Percent of total billed charges		3526	1174.158	3173.4	
biomet  tibia 18 x 70 155334	278	RC	Outpatient			3526	2291.9		90			Percent of total billed charges		3173.4	40			Percent of total billed charges		1410.4	80			Percent of total billed charges		2820.8	90			Percent of total billed charges		3173.4	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	33.3			Percent of total billed charges		1174.158	33.3			Percent of total billed charges		1174.158	100			Percent of total billed charges		3526	1174.158	3173.4	
biomet  tibia 18x 80 155370	278	RC	Outpatient			3526	2291.9		90			Percent of total billed charges		3173.4	40			Percent of total billed charges		1410.4	80			Percent of total billed charges		2820.8	90			Percent of total billed charges		3173.4	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	33.3			Percent of total billed charges		1174.158	33.3			Percent of total billed charges		1174.158	100			Percent of total billed charges		3526	1174.158	3173.4	
biomet  tibia 20 x 65 155318	278	RC	Outpatient			3526	2291.9		90			Percent of total billed charges		3173.4	40			Percent of total billed charges		1410.4	80			Percent of total billed charges		2820.8	90			Percent of total billed charges		3173.4	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	33.3			Percent of total billed charges		1174.158	33.3			Percent of total billed charges		1174.158	100			Percent of total billed charges		3526	1174.158	3173.4	
biomet  tibia 20 x 75 155354	278	RC	Outpatient			3526	2291.9		90			Percent of total billed charges		3173.4	40			Percent of total billed charges		1410.4	80			Percent of total billed charges		2820.8	90			Percent of total billed charges		3173.4	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	33.3			Percent of total billed charges		1174.158	33.3			Percent of total billed charges		1174.158	100			Percent of total billed charges		3526	1174.158	3173.4	
biomet  tibia 8 x 65 155306	278	RC	Outpatient			3526	2291.9		90			Percent of total billed charges		3173.4	40			Percent of total billed charges		1410.4	80			Percent of total billed charges		2820.8	90			Percent of total billed charges		3173.4	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	33.3			Percent of total billed charges		1174.158	33.3			Percent of total billed charges		1174.158	100			Percent of total billed charges		3526	1174.158	3173.4	
biomet tibia 12 x 75 155346	278	RC	Outpatient			3526	2291.9		90			Percent of total billed charges		3173.4	40			Percent of total billed charges		1410.4	80			Percent of total billed charges		2820.8	90			Percent of total billed charges		3173.4	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	33.3			Percent of total billed charges		1174.158	33.3			Percent of total billed charges		1174.158	100			Percent of total billed charges		3526	1174.158	3173.4	
biomet tibia 14x 80 155366	278	RC	Outpatient			3526	2291.9		90			Percent of total billed charges		3173.4	40			Percent of total billed charges		1410.4	80			Percent of total billed charges		2820.8	90			Percent of total billed charges		3173.4	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	85			Percent of total billed charges		2997.1	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	100			Percent of total billed charges		3526	33.3			Percent of total billed charges		1174.158	33.3			Percent of total billed charges		1174.158	100			Percent of total billed charges		3526	1174.158	3173.4	
accord std 195mm 8-cable troch grip 7134-0012 s/n	278	RC	Outpatient			3527	2292.55		90			Percent of total billed charges		3174.3	40			Percent of total billed charges		1410.8	80			Percent of total billed charges		2821.6	90			Percent of total billed charges		3174.3	85			Percent of total billed charges		2997.95	85			Percent of total billed charges		2997.95	85			Percent of total billed charges		2997.95	100			Percent of total billed charges		3527	100			Percent of total billed charges		3527	100			Percent of total billed charges		3527	33.3			Percent of total billed charges		1174.491	33.3			Percent of total billed charges		1174.491	100			Percent of total billed charges		3527	1174.491	3174.3	
intertan nail long	278	RC	Outpatient			3529	2293.85		90			Percent of total billed charges		3176.1	40			Percent of total billed charges		1411.6	80			Percent of total billed charges		2823.2	90			Percent of total billed charges		3176.1	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	33.3			Percent of total billed charges		1175.157	33.3			Percent of total billed charges		1175.157	100			Percent of total billed charges		3529	1175.157	3176.1	
intertan nail 10s	278	RC	Outpatient			3529	2293.85		90			Percent of total billed charges		3176.1	40			Percent of total billed charges		1411.6	80			Percent of total billed charges		2823.2	90			Percent of total billed charges		3176.1	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	33.3			Percent of total billed charges		1175.157	33.3			Percent of total billed charges		1175.157	100			Percent of total billed charges		3529	1175.157	3176.1	
trigen intertan nail 10s 125 10mm x 32cm lt 7167-5507 s/n	278	RC	Outpatient			3529	2293.85		90			Percent of total billed charges		3176.1	40			Percent of total billed charges		1411.6	80			Percent of total billed charges		2823.2	90			Percent of total billed charges		3176.1	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	33.3			Percent of total billed charges		1175.157	33.3			Percent of total billed charges		1175.157	100			Percent of total billed charges		3529	1175.157	3176.1	
trigen intertan nail 10s 125 10mm x 36cm left 7167-5511 s/n	278	RC	Outpatient			3529	2293.85		90			Percent of total billed charges		3176.1	40			Percent of total billed charges		1411.6	80			Percent of total billed charges		2823.2	90			Percent of total billed charges		3176.1	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	33.3			Percent of total billed charges		1175.157	33.3			Percent of total billed charges		1175.157	100			Percent of total billed charges		3529	1175.157	3176.1	
trigen intertan nail 10s 125 10mm x 38cm left 7167-5513 s/n	278	RC	Outpatient			3529	2293.85		90			Percent of total billed charges		3176.1	40			Percent of total billed charges		1411.6	80			Percent of total billed charges		2823.2	90			Percent of total billed charges		3176.1	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	33.3			Percent of total billed charges		1175.157	33.3			Percent of total billed charges		1175.157	100			Percent of total billed charges		3529	1175.157	3176.1	
trigen intertan nail 10s 125 10mm x 40cm left 7167-5515 s/n	278	RC	Outpatient			3529	2293.85		90			Percent of total billed charges		3176.1	40			Percent of total billed charges		1411.6	80			Percent of total billed charges		2823.2	90			Percent of total billed charges		3176.1	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	33.3			Percent of total billed charges		1175.157	33.3			Percent of total billed charges		1175.157	100			Percent of total billed charges		3529	1175.157	3176.1	
trigen intertan nail 10s 125 10mm x 42cm left 7167-5517 s/n	278	RC	Outpatient			3529	2293.85		90			Percent of total billed charges		3176.1	40			Percent of total billed charges		1411.6	80			Percent of total billed charges		2823.2	90			Percent of total billed charges		3176.1	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	33.3			Percent of total billed charges		1175.157	33.3			Percent of total billed charges		1175.157	100			Percent of total billed charges		3529	1175.157	3176.1	
trigen intertan nail 125 10mm x 34cm 7167-5221 s/n	278	RC	Outpatient			3529	2293.85		90			Percent of total billed charges		3176.1	40			Percent of total billed charges		1411.6	80			Percent of total billed charges		2823.2	90			Percent of total billed charges		3176.1	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	33.3			Percent of total billed charges		1175.157	33.3			Percent of total billed charges		1175.157	100			Percent of total billed charges		3529	1175.157	3176.1	
trigen intertan nail 125 10mm x 38cm 7167-5226 s/n	278	RC	Outpatient			3529	2293.85		90			Percent of total billed charges		3176.1	40			Percent of total billed charges		1411.6	80			Percent of total billed charges		2823.2	90			Percent of total billed charges		3176.1	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	33.3			Percent of total billed charges		1175.157	33.3			Percent of total billed charges		1175.157	100			Percent of total billed charges		3529	1175.157	3176.1	
trigen intertan nail 125 11.5mm x 34cm 7167-5244 s/n	278	RC	Outpatient			3529	2293.85		90			Percent of total billed charges		3176.1	40			Percent of total billed charges		1411.6	80			Percent of total billed charges		2823.2	90			Percent of total billed charges		3176.1	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	33.3			Percent of total billed charges		1175.157	33.3			Percent of total billed charges		1175.157	100			Percent of total billed charges		3529	1175.157	3176.1	
trigen intertan nail 125 11.5mm x 36cm 7167-5246 s/n	278	RC	Outpatient			3529	2293.85		90			Percent of total billed charges		3176.1	40			Percent of total billed charges		1411.6	80			Percent of total billed charges		2823.2	90			Percent of total billed charges		3176.1	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	33.3			Percent of total billed charges		1175.157	33.3			Percent of total billed charges		1175.157	100			Percent of total billed charges		3529	1175.157	3176.1	
trigen intertan nail 125 11.5mm x 38cm 7167-5247 s/n	278	RC	Outpatient			3529	2293.85		90			Percent of total billed charges		3176.1	40			Percent of total billed charges		1411.6	80			Percent of total billed charges		2823.2	90			Percent of total billed charges		3176.1	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	33.3			Percent of total billed charges		1175.157	33.3			Percent of total billed charges		1175.157	100			Percent of total billed charges		3529	1175.157	3176.1	
trigen intertan nail 125 11.5mm x 38cm 7167-5248 s/n	278	RC	Outpatient			3529	2293.85		90			Percent of total billed charges		3176.1	40			Percent of total billed charges		1411.6	80			Percent of total billed charges		2823.2	90			Percent of total billed charges		3176.1	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	33.3			Percent of total billed charges		1175.157	33.3			Percent of total billed charges		1175.157	100			Percent of total billed charges		3529	1175.157	3176.1	
trigen intertan nail 125 11.5mm x 40cm 7167-5250 s/n	278	RC	Outpatient			3529	2293.85		90			Percent of total billed charges		3176.1	40			Percent of total billed charges		1411.6	80			Percent of total billed charges		2823.2	90			Percent of total billed charges		3176.1	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	33.3			Percent of total billed charges		1175.157	33.3			Percent of total billed charges		1175.157	100			Percent of total billed charges		3529	1175.157	3176.1	
trigen intertan nail 125 degree 10mm x 42cm 7167-5230 s/n	278	RC	Outpatient			3529	2293.85		90			Percent of total billed charges		3176.1	40			Percent of total billed charges		1411.6	80			Percent of total billed charges		2823.2	90			Percent of total billed charges		3176.1	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	33.3			Percent of total billed charges		1175.157	33.3			Percent of total billed charges		1175.157	100			Percent of total billed charges		3529	1175.157	3176.1	
trigen intertan nail 130 10mm x 36cm 7167-5268 s/n	278	RC	Outpatient			3529	2293.85		90			Percent of total billed charges		3176.1	40			Percent of total billed charges		1411.6	80			Percent of total billed charges		2823.2	90			Percent of total billed charges		3176.1	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	33.3			Percent of total billed charges		1175.157	33.3			Percent of total billed charges		1175.157	100			Percent of total billed charges		3529	1175.157	3176.1	
trigen intertan nail 130 10mm x 38cm 7167-5270 s/n	278	RC	Outpatient			3529	2293.85		90			Percent of total billed charges		3176.1	40			Percent of total billed charges		1411.6	80			Percent of total billed charges		2823.2	90			Percent of total billed charges		3176.1	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	33.3			Percent of total billed charges		1175.157	33.3			Percent of total billed charges		1175.157	100			Percent of total billed charges		3529	1175.157	3176.1	
trigen intertan nail 130 10mm x 40cm 7167-5271 s/n	278	RC	Outpatient			3529	2293.85		90			Percent of total billed charges		3176.1	40			Percent of total billed charges		1411.6	80			Percent of total billed charges		2823.2	90			Percent of total billed charges		3176.1	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	33.3			Percent of total billed charges		1175.157	33.3			Percent of total billed charges		1175.157	100			Percent of total billed charges		3529	1175.157	3176.1	
trigen intertan nail 130 10mm x 40cm 7167-5272 s/n	278	RC	Outpatient			3529	2293.85		90			Percent of total billed charges		3176.1	40			Percent of total billed charges		1411.6	80			Percent of total billed charges		2823.2	90			Percent of total billed charges		3176.1	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	33.3			Percent of total billed charges		1175.157	33.3			Percent of total billed charges		1175.157	100			Percent of total billed charges		3529	1175.157	3176.1	
trigen intertan nail 130 11.5mm x 34cm 7167-5287 s/n	278	RC	Outpatient			3529	2293.85		90			Percent of total billed charges		3176.1	40			Percent of total billed charges		1411.6	80			Percent of total billed charges		2823.2	90			Percent of total billed charges		3176.1	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	33.3			Percent of total billed charges		1175.157	33.3			Percent of total billed charges		1175.157	100			Percent of total billed charges		3529	1175.157	3176.1	
trigen intertan nail 130 11.5mm x 36cm 7167-5290 s/n	278	RC	Outpatient			3529	2293.85		90			Percent of total billed charges		3176.1	40			Percent of total billed charges		1411.6	80			Percent of total billed charges		2823.2	90			Percent of total billed charges		3176.1	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	33.3			Percent of total billed charges		1175.157	33.3			Percent of total billed charges		1175.157	100			Percent of total billed charges		3529	1175.157	3176.1	
trigen intertan nail 130 11.5mm x 38cm 7167-5291 s/n	278	RC	Outpatient			3529	2293.85		90			Percent of total billed charges		3176.1	40			Percent of total billed charges		1411.6	80			Percent of total billed charges		2823.2	90			Percent of total billed charges		3176.1	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	33.3			Percent of total billed charges		1175.157	33.3			Percent of total billed charges		1175.157	100			Percent of total billed charges		3529	1175.157	3176.1	
trigen intertan nail 130 11.5mm x 38cm 7167-5292 s/n	278	RC	Outpatient			3529	2293.85		90			Percent of total billed charges		3176.1	40			Percent of total billed charges		1411.6	80			Percent of total billed charges		2823.2	90			Percent of total billed charges		3176.1	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	33.3			Percent of total billed charges		1175.157	33.3			Percent of total billed charges		1175.157	100			Percent of total billed charges		3529	1175.157	3176.1	
trigen intertan nail 130 degree 11.5mm x 40cm 7167-5294 s/n	278	RC	Outpatient			3529	2293.85		90			Percent of total billed charges		3176.1	40			Percent of total billed charges		1411.6	80			Percent of total billed charges		2823.2	90			Percent of total billed charges		3176.1	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	33.3			Percent of total billed charges		1175.157	33.3			Percent of total billed charges		1175.157	100			Percent of total billed charges		3529	1175.157	3176.1	
trigen intertan nail 10s 125 10mm x 32cm right 71675529 s/n	278	RC	Outpatient			3529	2293.85		90			Percent of total billed charges		3176.1	40			Percent of total billed charges		1411.6	80			Percent of total billed charges		2823.2	90			Percent of total billed charges		3176.1	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	33.3			Percent of total billed charges		1175.157	33.3			Percent of total billed charges		1175.157	100			Percent of total billed charges		3529	1175.157	3176.1	
trigen intertan nail 10s 125 10mm x 34cm right 7167-5531 s/n	278	RC	Outpatient			3529	2293.85		90			Percent of total billed charges		3176.1	40			Percent of total billed charges		1411.6	80			Percent of total billed charges		2823.2	90			Percent of total billed charges		3176.1	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	33.3			Percent of total billed charges		1175.157	33.3			Percent of total billed charges		1175.157	100			Percent of total billed charges		3529	1175.157	3176.1	
trigen intertan nail 10s 125 10mm x 36cm right 7167-5533 s/n	278	RC	Outpatient			3529	2293.85		90			Percent of total billed charges		3176.1	40			Percent of total billed charges		1411.6	80			Percent of total billed charges		2823.2	90			Percent of total billed charges		3176.1	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	33.3			Percent of total billed charges		1175.157	33.3			Percent of total billed charges		1175.157	100			Percent of total billed charges		3529	1175.157	3176.1	
trigen intertan nail 10s 125 10mm x 38cm right 7167-5535 s/n	278	RC	Outpatient			3529	2293.85		90			Percent of total billed charges		3176.1	40			Percent of total billed charges		1411.6	80			Percent of total billed charges		2823.2	90			Percent of total billed charges		3176.1	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	33.3			Percent of total billed charges		1175.157	33.3			Percent of total billed charges		1175.157	100			Percent of total billed charges		3529	1175.157	3176.1	
trigen intertan nail 10s 125 10mm x 40cm right 7167-5537 s/n	278	RC	Outpatient			3529	2293.85		90			Percent of total billed charges		3176.1	40			Percent of total billed charges		1411.6	80			Percent of total billed charges		2823.2	90			Percent of total billed charges		3176.1	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	33.3			Percent of total billed charges		1175.157	33.3			Percent of total billed charges		1175.157	100			Percent of total billed charges		3529	1175.157	3176.1	
trigen intertan nail 10s 125 10mm x 42cm right 7167-5539 s/n	278	RC	Outpatient			3529	2293.85		90			Percent of total billed charges		3176.1	40			Percent of total billed charges		1411.6	80			Percent of total billed charges		2823.2	90			Percent of total billed charges		3176.1	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	33.3			Percent of total billed charges		1175.157	33.3			Percent of total billed charges		1175.157	100			Percent of total billed charges		3529	1175.157	3176.1	
trigen intertan nail 125 10mm x 34cm 7167-5222 s/n	278	RC	Outpatient			3529	2293.85		90			Percent of total billed charges		3176.1	40			Percent of total billed charges		1411.6	80			Percent of total billed charges		2823.2	90			Percent of total billed charges		3176.1	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	33.3			Percent of total billed charges		1175.157	33.3			Percent of total billed charges		1175.157	100			Percent of total billed charges		3529	1175.157	3176.1	
trigen intertan nail 125 10mm x 36cm 7167-5223 s/n	278	RC	Outpatient			3529	2293.85		90			Percent of total billed charges		3176.1	40			Percent of total billed charges		1411.6	80			Percent of total billed charges		2823.2	90			Percent of total billed charges		3176.1	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	33.3			Percent of total billed charges		1175.157	33.3			Percent of total billed charges		1175.157	100			Percent of total billed charges		3529	1175.157	3176.1	
trigen intertan nail 125 10mm x 36cm 7167-5224 s/n	278	RC	Outpatient			3529	2293.85		90			Percent of total billed charges		3176.1	40			Percent of total billed charges		1411.6	80			Percent of total billed charges		2823.2	90			Percent of total billed charges		3176.1	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	33.3			Percent of total billed charges		1175.157	33.3			Percent of total billed charges		1175.157	100			Percent of total billed charges		3529	1175.157	3176.1	
trigen intertan nail 125 10mm x 38cm 7167-5225 s/n	278	RC	Outpatient			3529	2293.85		90			Percent of total billed charges		3176.1	40			Percent of total billed charges		1411.6	80			Percent of total billed charges		2823.2	90			Percent of total billed charges		3176.1	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	33.3			Percent of total billed charges		1175.157	33.3			Percent of total billed charges		1175.157	100			Percent of total billed charges		3529	1175.157	3176.1	
trigen intertan nail 125 10mm x 40cm 7167-5227 s/n	278	RC	Outpatient			3529	2293.85		90			Percent of total billed charges		3176.1	40			Percent of total billed charges		1411.6	80			Percent of total billed charges		2823.2	90			Percent of total billed charges		3176.1	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	33.3			Percent of total billed charges		1175.157	33.3			Percent of total billed charges		1175.157	100			Percent of total billed charges		3529	1175.157	3176.1	
trigen intertan nail 125 10mm x 40cm 7167-5228 s/n	278	RC	Outpatient			3529	2293.85		90			Percent of total billed charges		3176.1	40			Percent of total billed charges		1411.6	80			Percent of total billed charges		2823.2	90			Percent of total billed charges		3176.1	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	33.3			Percent of total billed charges		1175.157	33.3			Percent of total billed charges		1175.157	100			Percent of total billed charges		3529	1175.157	3176.1	
trigen intertan nail 125 11.5mm x 34cm 7167-5243 s/n	278	RC	Outpatient			3529	2293.85		90			Percent of total billed charges		3176.1	40			Percent of total billed charges		1411.6	80			Percent of total billed charges		2823.2	90			Percent of total billed charges		3176.1	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	33.3			Percent of total billed charges		1175.157	33.3			Percent of total billed charges		1175.157	100			Percent of total billed charges		3529	1175.157	3176.1	
trigen intertan nail 125 11.5mm x 36cm 7167-5245 s/n	278	RC	Outpatient			3529	2293.85		90			Percent of total billed charges		3176.1	40			Percent of total billed charges		1411.6	80			Percent of total billed charges		2823.2	90			Percent of total billed charges		3176.1	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	33.3			Percent of total billed charges		1175.157	33.3			Percent of total billed charges		1175.157	100			Percent of total billed charges		3529	1175.157	3176.1	
trigen intertan nail 125 11.5mm x 40cm 7167-5249 s/n	278	RC	Outpatient			3529	2293.85		90			Percent of total billed charges		3176.1	40			Percent of total billed charges		1411.6	80			Percent of total billed charges		2823.2	90			Percent of total billed charges		3176.1	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	33.3			Percent of total billed charges		1175.157	33.3			Percent of total billed charges		1175.157	100			Percent of total billed charges		3529	1175.157	3176.1	
trigen intertan nail 125 degree 11.5mm x 42cm 7167-5252 s/n	278	RC	Outpatient			3529	2293.85		90			Percent of total billed charges		3176.1	40			Percent of total billed charges		1411.6	80			Percent of total billed charges		2823.2	90			Percent of total billed charges		3176.1	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	33.3			Percent of total billed charges		1175.157	33.3			Percent of total billed charges		1175.157	100			Percent of total billed charges		3529	1175.157	3176.1	
trigen intertan nail 130 10mm x 34cm 7167-5265 s/n	278	RC	Outpatient			3529	2293.85		90			Percent of total billed charges		3176.1	40			Percent of total billed charges		1411.6	80			Percent of total billed charges		2823.2	90			Percent of total billed charges		3176.1	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	33.3			Percent of total billed charges		1175.157	33.3			Percent of total billed charges		1175.157	100			Percent of total billed charges		3529	1175.157	3176.1	
trigen intertan nail 130 10mm x 34cm 7167-5266 s/n	278	RC	Outpatient			3529	2293.85		90			Percent of total billed charges		3176.1	40			Percent of total billed charges		1411.6	80			Percent of total billed charges		2823.2	90			Percent of total billed charges		3176.1	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	33.3			Percent of total billed charges		1175.157	33.3			Percent of total billed charges		1175.157	100			Percent of total billed charges		3529	1175.157	3176.1	
trigen intertan nail 130 10mm x 36cm 7167-5267 s/n	278	RC	Outpatient			3529	2293.85		90			Percent of total billed charges		3176.1	40			Percent of total billed charges		1411.6	80			Percent of total billed charges		2823.2	90			Percent of total billed charges		3176.1	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	33.3			Percent of total billed charges		1175.157	33.3			Percent of total billed charges		1175.157	100			Percent of total billed charges		3529	1175.157	3176.1	
trigen intertan nail 130 10mm x 38cm 7167-5269 s/n	278	RC	Outpatient			3529	2293.85		90			Percent of total billed charges		3176.1	40			Percent of total billed charges		1411.6	80			Percent of total billed charges		2823.2	90			Percent of total billed charges		3176.1	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	33.3			Percent of total billed charges		1175.157	33.3			Percent of total billed charges		1175.157	100			Percent of total billed charges		3529	1175.157	3176.1	
trigen intertan nail 130 11.5mm x 34cm 7167-5288 s/n	278	RC	Outpatient			3529	2293.85		90			Percent of total billed charges		3176.1	40			Percent of total billed charges		1411.6	80			Percent of total billed charges		2823.2	90			Percent of total billed charges		3176.1	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	33.3			Percent of total billed charges		1175.157	33.3			Percent of total billed charges		1175.157	100			Percent of total billed charges		3529	1175.157	3176.1	
trigen intertan nail 130 11.5mm x 36cm 7167-5289 s/n	278	RC	Outpatient			3529	2293.85		90			Percent of total billed charges		3176.1	40			Percent of total billed charges		1411.6	80			Percent of total billed charges		2823.2	90			Percent of total billed charges		3176.1	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	33.3			Percent of total billed charges		1175.157	33.3			Percent of total billed charges		1175.157	100			Percent of total billed charges		3529	1175.157	3176.1	
trigen intertan nail 130 11.5mm x 40cm 7167-5293 s/n	278	RC	Outpatient			3529	2293.85		90			Percent of total billed charges		3176.1	40			Percent of total billed charges		1411.6	80			Percent of total billed charges		2823.2	90			Percent of total billed charges		3176.1	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	33.3			Percent of total billed charges		1175.157	33.3			Percent of total billed charges		1175.157	100			Percent of total billed charges		3529	1175.157	3176.1	
trigen intertan nail 130 degree 10mm x 42cm 7167-5274 s/n	278	RC	Outpatient			3529	2293.85		90			Percent of total billed charges		3176.1	40			Percent of total billed charges		1411.6	80			Percent of total billed charges		2823.2	90			Percent of total billed charges		3176.1	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	85			Percent of total billed charges		2999.65	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	100			Percent of total billed charges		3529	33.3			Percent of total billed charges		1175.157	33.3			Percent of total billed charges		1175.157	100			Percent of total billed charges		3529	1175.157	3176.1	
bio fem interlok	278	RC	Outpatient			3534	2297.1		90			Percent of total billed charges		3180.6	40			Percent of total billed charges		1413.6	80			Percent of total billed charges		2827.2	90			Percent of total billed charges		3180.6	85			Percent of total billed charges		3003.9	85			Percent of total billed charges		3003.9	85			Percent of total billed charges		3003.9	100			Percent of total billed charges		3534	100			Percent of total billed charges		3534	100			Percent of total billed charges		3534	33.3			Percent of total billed charges		1176.822	33.3			Percent of total billed charges		1176.822	100			Percent of total billed charges		3534	1176.822	3180.6	
biomet  femoral 60 (r) 152832	278	RC	Outpatient			3534	2297.1		90			Percent of total billed charges		3180.6	40			Percent of total billed charges		1413.6	80			Percent of total billed charges		2827.2	90			Percent of total billed charges		3180.6	85			Percent of total billed charges		3003.9	85			Percent of total billed charges		3003.9	85			Percent of total billed charges		3003.9	100			Percent of total billed charges		3534	100			Percent of total billed charges		3534	100			Percent of total billed charges		3534	33.3			Percent of total billed charges		1176.822	33.3			Percent of total billed charges		1176.822	100			Percent of total billed charges		3534	1176.822	3180.6	
biomet  femoral 70 (r) 152836	278	RC	Outpatient			3534	2297.1		90			Percent of total billed charges		3180.6	40			Percent of total billed charges		1413.6	80			Percent of total billed charges		2827.2	90			Percent of total billed charges		3180.6	85			Percent of total billed charges		3003.9	85			Percent of total billed charges		3003.9	85			Percent of total billed charges		3003.9	100			Percent of total billed charges		3534	100			Percent of total billed charges		3534	100			Percent of total billed charges		3534	33.3			Percent of total billed charges		1176.822	33.3			Percent of total billed charges		1176.822	100			Percent of total billed charges		3534	1176.822	3180.6	
biomet femoral 65 (r) 152834	278	RC	Outpatient			3534	2297.1		90			Percent of total billed charges		3180.6	40			Percent of total billed charges		1413.6	80			Percent of total billed charges		2827.2	90			Percent of total billed charges		3180.6	85			Percent of total billed charges		3003.9	85			Percent of total billed charges		3003.9	85			Percent of total billed charges		3003.9	100			Percent of total billed charges		3534	100			Percent of total billed charges		3534	100			Percent of total billed charges		3534	33.3			Percent of total billed charges		1176.822	33.3			Percent of total billed charges		1176.822	100			Percent of total billed charges		3534	1176.822	3180.6	
biomet  femoral 70 (l) 152846	278	RC	Outpatient			3534	2297.1		90			Percent of total billed charges		3180.6	40			Percent of total billed charges		1413.6	80			Percent of total billed charges		2827.2	90			Percent of total billed charges		3180.6	85			Percent of total billed charges		3003.9	85			Percent of total billed charges		3003.9	85			Percent of total billed charges		3003.9	100			Percent of total billed charges		3534	100			Percent of total billed charges		3534	100			Percent of total billed charges		3534	33.3			Percent of total billed charges		1176.822	33.3			Percent of total billed charges		1176.822	100			Percent of total billed charges		3534	1176.822	3180.6	
biomet  femoral 75 (l) 152848	278	RC	Outpatient			3534	2297.1		90			Percent of total billed charges		3180.6	40			Percent of total billed charges		1413.6	80			Percent of total billed charges		2827.2	90			Percent of total billed charges		3180.6	85			Percent of total billed charges		3003.9	85			Percent of total billed charges		3003.9	85			Percent of total billed charges		3003.9	100			Percent of total billed charges		3534	100			Percent of total billed charges		3534	100			Percent of total billed charges		3534	33.3			Percent of total billed charges		1176.822	33.3			Percent of total billed charges		1176.822	100			Percent of total billed charges		3534	1176.822	3180.6	
biomet  femoral 80 (l) 152849	278	RC	Outpatient			3534	2297.1		90			Percent of total billed charges		3180.6	40			Percent of total billed charges		1413.6	80			Percent of total billed charges		2827.2	90			Percent of total billed charges		3180.6	85			Percent of total billed charges		3003.9	85			Percent of total billed charges		3003.9	85			Percent of total billed charges		3003.9	100			Percent of total billed charges		3534	100			Percent of total billed charges		3534	100			Percent of total billed charges		3534	33.3			Percent of total billed charges		1176.822	33.3			Percent of total billed charges		1176.822	100			Percent of total billed charges		3534	1176.822	3180.6	
biomet femoral  55  (r) 152830	278	RC	Outpatient			3534	2297.1		90			Percent of total billed charges		3180.6	40			Percent of total billed charges		1413.6	80			Percent of total billed charges		2827.2	90			Percent of total billed charges		3180.6	85			Percent of total billed charges		3003.9	85			Percent of total billed charges		3003.9	85			Percent of total billed charges		3003.9	100			Percent of total billed charges		3534	100			Percent of total billed charges		3534	100			Percent of total billed charges		3534	33.3			Percent of total billed charges		1176.822	33.3			Percent of total billed charges		1176.822	100			Percent of total billed charges		3534	1176.822	3180.6	
biomet femoral 55 (l) 152840	278	RC	Outpatient			3534	2297.1		90			Percent of total billed charges		3180.6	40			Percent of total billed charges		1413.6	80			Percent of total billed charges		2827.2	90			Percent of total billed charges		3180.6	85			Percent of total billed charges		3003.9	85			Percent of total billed charges		3003.9	85			Percent of total billed charges		3003.9	100			Percent of total billed charges		3534	100			Percent of total billed charges		3534	100			Percent of total billed charges		3534	33.3			Percent of total billed charges		1176.822	33.3			Percent of total billed charges		1176.822	100			Percent of total billed charges		3534	1176.822	3180.6	
biomet femoral 60 (l) 152842	278	RC	Outpatient			3534	2297.1		90			Percent of total billed charges		3180.6	40			Percent of total billed charges		1413.6	80			Percent of total billed charges		2827.2	90			Percent of total billed charges		3180.6	85			Percent of total billed charges		3003.9	85			Percent of total billed charges		3003.9	85			Percent of total billed charges		3003.9	100			Percent of total billed charges		3534	100			Percent of total billed charges		3534	100			Percent of total billed charges		3534	33.3			Percent of total billed charges		1176.822	33.3			Percent of total billed charges		1176.822	100			Percent of total billed charges		3534	1176.822	3180.6	
biomet femoral 65 (l) 152844	278	RC	Outpatient			3534	2297.1		90			Percent of total billed charges		3180.6	40			Percent of total billed charges		1413.6	80			Percent of total billed charges		2827.2	90			Percent of total billed charges		3180.6	85			Percent of total billed charges		3003.9	85			Percent of total billed charges		3003.9	85			Percent of total billed charges		3003.9	100			Percent of total billed charges		3534	100			Percent of total billed charges		3534	100			Percent of total billed charges		3534	33.3			Percent of total billed charges		1176.822	33.3			Percent of total billed charges		1176.822	100			Percent of total billed charges		3534	1176.822	3180.6	
biomet femoral 75 (r) 152838	278	RC	Outpatient			3534	2297.1		90			Percent of total billed charges		3180.6	40			Percent of total billed charges		1413.6	80			Percent of total billed charges		2827.2	90			Percent of total billed charges		3180.6	85			Percent of total billed charges		3003.9	85			Percent of total billed charges		3003.9	85			Percent of total billed charges		3003.9	100			Percent of total billed charges		3534	100			Percent of total billed charges		3534	100			Percent of total billed charges		3534	33.3			Percent of total billed charges		1176.822	33.3			Percent of total billed charges		1176.822	100			Percent of total billed charges		3534	1176.822	3180.6	
biomet femoral 80 (r) 152839	278	RC	Outpatient			3534	2297.1		90			Percent of total billed charges		3180.6	40			Percent of total billed charges		1413.6	80			Percent of total billed charges		2827.2	90			Percent of total billed charges		3180.6	85			Percent of total billed charges		3003.9	85			Percent of total billed charges		3003.9	85			Percent of total billed charges		3003.9	100			Percent of total billed charges		3534	100			Percent of total billed charges		3534	100			Percent of total billed charges		3534	33.3			Percent of total billed charges		1176.822	33.3			Percent of total billed charges		1176.822	100			Percent of total billed charges		3534	1176.822	3180.6	
bio rsp hum tray	278	RC	Outpatient			3539	2300.35		90			Percent of total billed charges		3185.1	40			Percent of total billed charges		1415.6	80			Percent of total billed charges		2831.2	90			Percent of total billed charges		3185.1	85			Percent of total billed charges		3008.15	85			Percent of total billed charges		3008.15	85			Percent of total billed charges		3008.15	100			Percent of total billed charges		3539	100			Percent of total billed charges		3539	100			Percent of total billed charges		3539	33.3			Percent of total billed charges		1178.487	33.3			Percent of total billed charges		1178.487	100			Percent of total billed charges		3539	1178.487	3185.1	
comp reverse shoulder humeral tray 44 std 115340 biomet	278	RC	Outpatient			3539	2300.35		90			Percent of total billed charges		3185.1	40			Percent of total billed charges		1415.6	80			Percent of total billed charges		2831.2	90			Percent of total billed charges		3185.1	85			Percent of total billed charges		3008.15	85			Percent of total billed charges		3008.15	85			Percent of total billed charges		3008.15	100			Percent of total billed charges		3539	100			Percent of total billed charges		3539	100			Percent of total billed charges		3539	33.3			Percent of total billed charges		1178.487	33.3			Percent of total billed charges		1178.487	100			Percent of total billed charges		3539	1178.487	3185.1	
comp reverse shoulder humeral tray 44 std 115370 biomet	278	RC	Outpatient			3539	2300.35		90			Percent of total billed charges		3185.1	40			Percent of total billed charges		1415.6	80			Percent of total billed charges		2831.2	90			Percent of total billed charges		3185.1	85			Percent of total billed charges		3008.15	85			Percent of total billed charges		3008.15	85			Percent of total billed charges		3008.15	100			Percent of total billed charges		3539	100			Percent of total billed charges		3539	100			Percent of total billed charges		3539	33.3			Percent of total billed charges		1178.487	33.3			Percent of total billed charges		1178.487	100			Percent of total billed charges		3539	1178.487	3185.1	
bio integral centralizer	278	RC	Outpatient			3540	2301		90			Percent of total billed charges		3186	40			Percent of total billed charges		1416	80			Percent of total billed charges		2832	90			Percent of total billed charges		3186	85			Percent of total billed charges		3009	85			Percent of total billed charges		3009	85			Percent of total billed charges		3009	100			Percent of total billed charges		3540	100			Percent of total billed charges		3540	100			Percent of total billed charges		3540	33.3			Percent of total billed charges		1178.82	33.3			Percent of total billed charges		1178.82	100			Percent of total billed charges		3540	1178.82	3186	
biomet integral centralzer 11mm 12-162611	278	RC	Outpatient			3540	2301		90			Percent of total billed charges		3186	40			Percent of total billed charges		1416	80			Percent of total billed charges		2832	90			Percent of total billed charges		3186	85			Percent of total billed charges		3009	85			Percent of total billed charges		3009	85			Percent of total billed charges		3009	100			Percent of total billed charges		3540	100			Percent of total billed charges		3540	100			Percent of total billed charges		3540	33.3			Percent of total billed charges		1178.82	33.3			Percent of total billed charges		1178.82	100			Percent of total billed charges		3540	1178.82	3186	
biomet integral centralzer 17mm 12-162617	278	RC	Outpatient			3540	2301		90			Percent of total billed charges		3186	40			Percent of total billed charges		1416	80			Percent of total billed charges		2832	90			Percent of total billed charges		3186	85			Percent of total billed charges		3009	85			Percent of total billed charges		3009	85			Percent of total billed charges		3009	100			Percent of total billed charges		3540	100			Percent of total billed charges		3540	100			Percent of total billed charges		3540	33.3			Percent of total billed charges		1178.82	33.3			Percent of total billed charges		1178.82	100			Percent of total billed charges		3540	1178.82	3186	
biomet integral centralzer 13mm 12-162613	278	RC	Outpatient			3540	2301		90			Percent of total billed charges		3186	40			Percent of total billed charges		1416	80			Percent of total billed charges		2832	90			Percent of total billed charges		3186	85			Percent of total billed charges		3009	85			Percent of total billed charges		3009	85			Percent of total billed charges		3009	100			Percent of total billed charges		3540	100			Percent of total billed charges		3540	100			Percent of total billed charges		3540	33.3			Percent of total billed charges		1178.82	33.3			Percent of total billed charges		1178.82	100			Percent of total billed charges		3540	1178.82	3186	
biomet integral centralzer 15mm 12-162615	278	RC	Outpatient			3540	2301		90			Percent of total billed charges		3186	40			Percent of total billed charges		1416	80			Percent of total billed charges		2832	90			Percent of total billed charges		3186	85			Percent of total billed charges		3009	85			Percent of total billed charges		3009	85			Percent of total billed charges		3009	100			Percent of total billed charges		3540	100			Percent of total billed charges		3540	100			Percent of total billed charges		3540	33.3			Percent of total billed charges		1178.82	33.3			Percent of total billed charges		1178.82	100			Percent of total billed charges		3540	1178.82	3186	
biomet integral centralzer 9mm 12-162609	278	RC	Outpatient			3540	2301		90			Percent of total billed charges		3186	40			Percent of total billed charges		1416	80			Percent of total billed charges		2832	90			Percent of total billed charges		3186	85			Percent of total billed charges		3009	85			Percent of total billed charges		3009	85			Percent of total billed charges		3009	100			Percent of total billed charges		3540	100			Percent of total billed charges		3540	100			Percent of total billed charges		3540	33.3			Percent of total billed charges		1178.82	33.3			Percent of total billed charges		1178.82	100			Percent of total billed charges		3540	1178.82	3186	
integral centraliz	278	RC	Outpatient			3542	2302.3		90			Percent of total billed charges		3187.8	40			Percent of total billed charges		1416.8	80			Percent of total billed charges		2833.6	90			Percent of total billed charges		3187.8	85			Percent of total billed charges		3010.7	85			Percent of total billed charges		3010.7	85			Percent of total billed charges		3010.7	100			Percent of total billed charges		3542	100			Percent of total billed charges		3542	100			Percent of total billed charges		3542	33.3			Percent of total billed charges		1179.486	33.3			Percent of total billed charges		1179.486	100			Percent of total billed charges		3542	1179.486	3187.8	
narrow plt 4.5mm 18 hl 7180948 s\n	278	RC	Outpatient			3542	2302.3		90			Percent of total billed charges		3187.8	40			Percent of total billed charges		1416.8	80			Percent of total billed charges		2833.6	90			Percent of total billed charges		3187.8	85			Percent of total billed charges		3010.7	85			Percent of total billed charges		3010.7	85			Percent of total billed charges		3010.7	100			Percent of total billed charges		3542	100			Percent of total billed charges		3542	100			Percent of total billed charges		3542	33.3			Percent of total billed charges		1179.486	33.3			Percent of total billed charges		1179.486	100			Percent of total billed charges		3542	1179.486	3187.8	
s/n 4.5 narrow pl 18 hl	278	RC	Outpatient			3542	2302.3		90			Percent of total billed charges		3187.8	40			Percent of total billed charges		1416.8	80			Percent of total billed charges		2833.6	90			Percent of total billed charges		3187.8	85			Percent of total billed charges		3010.7	85			Percent of total billed charges		3010.7	85			Percent of total billed charges		3010.7	100			Percent of total billed charges		3542	100			Percent of total billed charges		3542	100			Percent of total billed charges		3542	33.3			Percent of total billed charges		1179.486	33.3			Percent of total billed charges		1179.486	100			Percent of total billed charges		3542	1179.486	3187.8	
trigen knee nail 8.5 mm x 26 cm 7163-3126 s/n	278	RC	Outpatient			3569	2319.85		90			Percent of total billed charges		3212.1	40			Percent of total billed charges		1427.6	80			Percent of total billed charges		2855.2	90			Percent of total billed charges		3212.1	85			Percent of total billed charges		3033.65	85			Percent of total billed charges		3033.65	85			Percent of total billed charges		3033.65	100			Percent of total billed charges		3569	100			Percent of total billed charges		3569	100			Percent of total billed charges		3569	33.3			Percent of total billed charges		1188.477	33.3			Percent of total billed charges		1188.477	100			Percent of total billed charges		3569	1188.477	3212.1	
trigen knee nail 10 mm x 26 cm 7163-3226 s/n	278	RC	Outpatient			3569	2319.85		90			Percent of total billed charges		3212.1	40			Percent of total billed charges		1427.6	80			Percent of total billed charges		2855.2	90			Percent of total billed charges		3212.1	85			Percent of total billed charges		3033.65	85			Percent of total billed charges		3033.65	85			Percent of total billed charges		3033.65	100			Percent of total billed charges		3569	100			Percent of total billed charges		3569	100			Percent of total billed charges		3569	33.3			Percent of total billed charges		1188.477	33.3			Percent of total billed charges		1188.477	100			Percent of total billed charges		3569	1188.477	3212.1	
trigen knee nail 13 mm x 26 cm 7163-3426 s/n	278	RC	Outpatient			3569	2319.85		90			Percent of total billed charges		3212.1	40			Percent of total billed charges		1427.6	80			Percent of total billed charges		2855.2	90			Percent of total billed charges		3212.1	85			Percent of total billed charges		3033.65	85			Percent of total billed charges		3033.65	85			Percent of total billed charges		3033.65	100			Percent of total billed charges		3569	100			Percent of total billed charges		3569	100			Percent of total billed charges		3569	33.3			Percent of total billed charges		1188.477	33.3			Percent of total billed charges		1188.477	100			Percent of total billed charges		3569	1188.477	3212.1	
trigen nail 26 cm	278	RC	Outpatient			3569	2319.85		90			Percent of total billed charges		3212.1	40			Percent of total billed charges		1427.6	80			Percent of total billed charges		2855.2	90			Percent of total billed charges		3212.1	85			Percent of total billed charges		3033.65	85			Percent of total billed charges		3033.65	85			Percent of total billed charges		3033.65	100			Percent of total billed charges		3569	100			Percent of total billed charges		3569	100			Percent of total billed charges		3569	33.3			Percent of total billed charges		1188.477	33.3			Percent of total billed charges		1188.477	100			Percent of total billed charges		3569	1188.477	3212.1	
trigon nail meta ante fem	278	RC	Outpatient			3571	2321.15		90			Percent of total billed charges		3213.9	40			Percent of total billed charges		1428.4	80			Percent of total billed charges		2856.8	90			Percent of total billed charges		3213.9	85			Percent of total billed charges		3035.35	85			Percent of total billed charges		3035.35	85			Percent of total billed charges		3035.35	100			Percent of total billed charges		3571	100			Percent of total billed charges		3571	100			Percent of total billed charges		3571	33.3			Percent of total billed charges		1189.143	33.3			Percent of total billed charges		1189.143	100			Percent of total billed charges		3571	1189.143	3213.9	
s/n g 3.5mm compression plate 18 hole 7184-0218	278	RC	Outpatient			3578	2325.7		90			Percent of total billed charges		3220.2	40			Percent of total billed charges		1431.2	80			Percent of total billed charges		2862.4	90			Percent of total billed charges		3220.2	85			Percent of total billed charges		3041.3	85			Percent of total billed charges		3041.3	85			Percent of total billed charges		3041.3	100			Percent of total billed charges		3578	100			Percent of total billed charges		3578	100			Percent of total billed charges		3578	33.3			Percent of total billed charges		1191.474	33.3			Percent of total billed charges		1191.474	100			Percent of total billed charges		3578	1191.474	3220.2	
sm fr pl comp 18hl	278	RC	Outpatient			3578	2325.7		90			Percent of total billed charges		3220.2	40			Percent of total billed charges		1431.2	80			Percent of total billed charges		2862.4	90			Percent of total billed charges		3220.2	85			Percent of total billed charges		3041.3	85			Percent of total billed charges		3041.3	85			Percent of total billed charges		3041.3	100			Percent of total billed charges		3578	100			Percent of total billed charges		3578	100			Percent of total billed charges		3578	33.3			Percent of total billed charges		1191.474	33.3			Percent of total billed charges		1191.474	100			Percent of total billed charges		3578	1191.474	3220.2	
triathlon cs tib bearing insert sz #3 13mm 5531-g-313 stryker	278	RC	Outpatient			3583	2328.95		90			Percent of total billed charges		3224.7	40			Percent of total billed charges		1433.2	80			Percent of total billed charges		2866.4	90			Percent of total billed charges		3224.7	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	33.3			Percent of total billed charges		1193.139	33.3			Percent of total billed charges		1193.139	100			Percent of total billed charges		3583	1193.139	3224.7	
triathlon cs tib bearing insert sz1  19mm 5531-g-119 stryker	278	RC	Outpatient			3583	2328.95		90			Percent of total billed charges		3224.7	40			Percent of total billed charges		1433.2	80			Percent of total billed charges		2866.4	90			Percent of total billed charges		3224.7	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	33.3			Percent of total billed charges		1193.139	33.3			Percent of total billed charges		1193.139	100			Percent of total billed charges		3583	1193.139	3224.7	
triathlon cs tib bearing insert sz1  22mm 5531-g-122 stryker	278	RC	Outpatient			3583	2328.95		90			Percent of total billed charges		3224.7	40			Percent of total billed charges		1433.2	80			Percent of total billed charges		2866.4	90			Percent of total billed charges		3224.7	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	33.3			Percent of total billed charges		1193.139	33.3			Percent of total billed charges		1193.139	100			Percent of total billed charges		3583	1193.139	3224.7	
triathlon cs tib bearing insert sz1  9mm 5531-g-109 stryker	278	RC	Outpatient			3583	2328.95		90			Percent of total billed charges		3224.7	40			Percent of total billed charges		1433.2	80			Percent of total billed charges		2866.4	90			Percent of total billed charges		3224.7	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	33.3			Percent of total billed charges		1193.139	33.3			Percent of total billed charges		1193.139	100			Percent of total billed charges		3583	1193.139	3224.7	
triathlon cs tib bearing insert sz2  22mm 5531-g-222 stryker	278	RC	Outpatient			3583	2328.95		90			Percent of total billed charges		3224.7	40			Percent of total billed charges		1433.2	80			Percent of total billed charges		2866.4	90			Percent of total billed charges		3224.7	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	33.3			Percent of total billed charges		1193.139	33.3			Percent of total billed charges		1193.139	100			Percent of total billed charges		3583	1193.139	3224.7	
triathlon cs tib bearing insert sz3  25mm 5531-g-325 stryker	278	RC	Outpatient			3583	2328.95		90			Percent of total billed charges		3224.7	40			Percent of total billed charges		1433.2	80			Percent of total billed charges		2866.4	90			Percent of total billed charges		3224.7	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	33.3			Percent of total billed charges		1193.139	33.3			Percent of total billed charges		1193.139	100			Percent of total billed charges		3583	1193.139	3224.7	
triathlon cs tib bearing insert sz3 9mm 5531-g-309 stryker	278	RC	Outpatient			3583	2328.95		90			Percent of total billed charges		3224.7	40			Percent of total billed charges		1433.2	80			Percent of total billed charges		2866.4	90			Percent of total billed charges		3224.7	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	33.3			Percent of total billed charges		1193.139	33.3			Percent of total billed charges		1193.139	100			Percent of total billed charges		3583	1193.139	3224.7	
triathlon cs tib bearing insert sz4  11mm 5531-g-411 stryker	278	RC	Outpatient			3583	2328.95		90			Percent of total billed charges		3224.7	40			Percent of total billed charges		1433.2	80			Percent of total billed charges		2866.4	90			Percent of total billed charges		3224.7	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	33.3			Percent of total billed charges		1193.139	33.3			Percent of total billed charges		1193.139	100			Percent of total billed charges		3583	1193.139	3224.7	
triathlon cs tib bearing insert sz4  13mm 5531-g-413 stryker	278	RC	Outpatient			3583	2328.95		90			Percent of total billed charges		3224.7	40			Percent of total billed charges		1433.2	80			Percent of total billed charges		2866.4	90			Percent of total billed charges		3224.7	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	33.3			Percent of total billed charges		1193.139	33.3			Percent of total billed charges		1193.139	100			Percent of total billed charges		3583	1193.139	3224.7	
triathlon cs tib bearing insert sz4  16mm 5531-g-416 stryker	278	RC	Outpatient			3583	2328.95		90			Percent of total billed charges		3224.7	40			Percent of total billed charges		1433.2	80			Percent of total billed charges		2866.4	90			Percent of total billed charges		3224.7	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	33.3			Percent of total billed charges		1193.139	33.3			Percent of total billed charges		1193.139	100			Percent of total billed charges		3583	1193.139	3224.7	
triathlon cs tib bearing insert sz4  22mm 5531-g-422 stryker	278	RC	Outpatient			3583	2328.95		90			Percent of total billed charges		3224.7	40			Percent of total billed charges		1433.2	80			Percent of total billed charges		2866.4	90			Percent of total billed charges		3224.7	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	33.3			Percent of total billed charges		1193.139	33.3			Percent of total billed charges		1193.139	100			Percent of total billed charges		3583	1193.139	3224.7	
triathlon cs tib bearing insert sz4  9mm 5531-g-409 stryker	278	RC	Outpatient			3583	2328.95		90			Percent of total billed charges		3224.7	40			Percent of total billed charges		1433.2	80			Percent of total billed charges		2866.4	90			Percent of total billed charges		3224.7	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	33.3			Percent of total billed charges		1193.139	33.3			Percent of total billed charges		1193.139	100			Percent of total billed charges		3583	1193.139	3224.7	
triathlon cs tib bearing insert sz5  16mm 5531-g-516 stryker	278	RC	Outpatient			3583	2328.95		90			Percent of total billed charges		3224.7	40			Percent of total billed charges		1433.2	80			Percent of total billed charges		2866.4	90			Percent of total billed charges		3224.7	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	33.3			Percent of total billed charges		1193.139	33.3			Percent of total billed charges		1193.139	100			Percent of total billed charges		3583	1193.139	3224.7	
triathlon cs tib bearing insert sz5  19mm 5531-g-519 stryker	278	RC	Outpatient			3583	2328.95		90			Percent of total billed charges		3224.7	40			Percent of total billed charges		1433.2	80			Percent of total billed charges		2866.4	90			Percent of total billed charges		3224.7	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	33.3			Percent of total billed charges		1193.139	33.3			Percent of total billed charges		1193.139	100			Percent of total billed charges		3583	1193.139	3224.7	
triathlon cs tib bearing insert sz5  25mm 5531-g-525 stryker	278	RC	Outpatient			3583	2328.95		90			Percent of total billed charges		3224.7	40			Percent of total billed charges		1433.2	80			Percent of total billed charges		2866.4	90			Percent of total billed charges		3224.7	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	33.3			Percent of total billed charges		1193.139	33.3			Percent of total billed charges		1193.139	100			Percent of total billed charges		3583	1193.139	3224.7	
triathlon cs tib bearing insert sz5  9mm 5531-g-509 stryker	278	RC	Outpatient			3583	2328.95		90			Percent of total billed charges		3224.7	40			Percent of total billed charges		1433.2	80			Percent of total billed charges		2866.4	90			Percent of total billed charges		3224.7	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	33.3			Percent of total billed charges		1193.139	33.3			Percent of total billed charges		1193.139	100			Percent of total billed charges		3583	1193.139	3224.7	
triathlon cs tib bearing insert sz5 11mm 5531-g-511 stryker	278	RC	Outpatient			3583	2328.95		90			Percent of total billed charges		3224.7	40			Percent of total billed charges		1433.2	80			Percent of total billed charges		2866.4	90			Percent of total billed charges		3224.7	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	33.3			Percent of total billed charges		1193.139	33.3			Percent of total billed charges		1193.139	100			Percent of total billed charges		3583	1193.139	3224.7	
triathlon cs tib bearing insert sz5 13mm 5531-g-509 stryker	278	RC	Outpatient			3583	2328.95		90			Percent of total billed charges		3224.7	40			Percent of total billed charges		1433.2	80			Percent of total billed charges		2866.4	90			Percent of total billed charges		3224.7	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	33.3			Percent of total billed charges		1193.139	33.3			Percent of total billed charges		1193.139	100			Percent of total billed charges		3583	1193.139	3224.7	
triathlon cs tib bearing insert sz6  16mm 5531-g-616 stryker	278	RC	Outpatient			3583	2328.95		90			Percent of total billed charges		3224.7	40			Percent of total billed charges		1433.2	80			Percent of total billed charges		2866.4	90			Percent of total billed charges		3224.7	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	33.3			Percent of total billed charges		1193.139	33.3			Percent of total billed charges		1193.139	100			Percent of total billed charges		3583	1193.139	3224.7	
triathlon cs tib bearing insert sz6  9mm 5531-g-309 stryker	278	RC	Outpatient			3583	2328.95		90			Percent of total billed charges		3224.7	40			Percent of total billed charges		1433.2	80			Percent of total billed charges		2866.4	90			Percent of total billed charges		3224.7	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	33.3			Percent of total billed charges		1193.139	33.3			Percent of total billed charges		1193.139	100			Percent of total billed charges		3583	1193.139	3224.7	
triathlon cs tib bearing insert sz7  11mm 5531-g-711 stryker	278	RC	Outpatient			3583	2328.95		90			Percent of total billed charges		3224.7	40			Percent of total billed charges		1433.2	80			Percent of total billed charges		2866.4	90			Percent of total billed charges		3224.7	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	33.3			Percent of total billed charges		1193.139	33.3			Percent of total billed charges		1193.139	100			Percent of total billed charges		3583	1193.139	3224.7	
triathlon cs tib bearing insert sz7  16mm 5531-g-716 stryker	278	RC	Outpatient			3583	2328.95		90			Percent of total billed charges		3224.7	40			Percent of total billed charges		1433.2	80			Percent of total billed charges		2866.4	90			Percent of total billed charges		3224.7	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	33.3			Percent of total billed charges		1193.139	33.3			Percent of total billed charges		1193.139	100			Percent of total billed charges		3583	1193.139	3224.7	
triathlon cs tib bearing insert sz7  19mm 5531-g-719 stryker	278	RC	Outpatient			3583	2328.95		90			Percent of total billed charges		3224.7	40			Percent of total billed charges		1433.2	80			Percent of total billed charges		2866.4	90			Percent of total billed charges		3224.7	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	33.3			Percent of total billed charges		1193.139	33.3			Percent of total billed charges		1193.139	100			Percent of total billed charges		3583	1193.139	3224.7	
triathlon cs tib bearing insert sz7  22mm 5531-g-722 stryker	278	RC	Outpatient			3583	2328.95		90			Percent of total billed charges		3224.7	40			Percent of total billed charges		1433.2	80			Percent of total billed charges		2866.4	90			Percent of total billed charges		3224.7	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	33.3			Percent of total billed charges		1193.139	33.3			Percent of total billed charges		1193.139	100			Percent of total billed charges		3583	1193.139	3224.7	
triathlon cs tib bearing insert sz7  25mm 5531-g-725 stryker	278	RC	Outpatient			3583	2328.95		90			Percent of total billed charges		3224.7	40			Percent of total billed charges		1433.2	80			Percent of total billed charges		2866.4	90			Percent of total billed charges		3224.7	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	33.3			Percent of total billed charges		1193.139	33.3			Percent of total billed charges		1193.139	100			Percent of total billed charges		3583	1193.139	3224.7	
triathlon cs tib bearing insert sz8  11mm 5531-g-811 stryker	278	RC	Outpatient			3583	2328.95		90			Percent of total billed charges		3224.7	40			Percent of total billed charges		1433.2	80			Percent of total billed charges		2866.4	90			Percent of total billed charges		3224.7	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	33.3			Percent of total billed charges		1193.139	33.3			Percent of total billed charges		1193.139	100			Percent of total billed charges		3583	1193.139	3224.7	
triathlon cs tib bearing insert sz8  16mm 5531-g-816 stryker	278	RC	Outpatient			3583	2328.95		90			Percent of total billed charges		3224.7	40			Percent of total billed charges		1433.2	80			Percent of total billed charges		2866.4	90			Percent of total billed charges		3224.7	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	33.3			Percent of total billed charges		1193.139	33.3			Percent of total billed charges		1193.139	100			Percent of total billed charges		3583	1193.139	3224.7	
triathlon cs tib bearing insert sz8  22mm 5531-g-822 stryker	278	RC	Outpatient			3583	2328.95		90			Percent of total billed charges		3224.7	40			Percent of total billed charges		1433.2	80			Percent of total billed charges		2866.4	90			Percent of total billed charges		3224.7	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	33.3			Percent of total billed charges		1193.139	33.3			Percent of total billed charges		1193.139	100			Percent of total billed charges		3583	1193.139	3224.7	
triathlon x3 cs tibial bearing insert sz 2 13mm 5531-g-213 how/osteo	278	RC	Outpatient			3583	2328.95		90			Percent of total billed charges		3224.7	40			Percent of total billed charges		1433.2	80			Percent of total billed charges		2866.4	90			Percent of total billed charges		3224.7	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	33.3			Percent of total billed charges		1193.139	33.3			Percent of total billed charges		1193.139	100			Percent of total billed charges		3583	1193.139	3224.7	
triathlon cs tib bearing insert sz1  11mm 5531-g-111stryker	278	RC	Outpatient			3583	2328.95		90			Percent of total billed charges		3224.7	40			Percent of total billed charges		1433.2	80			Percent of total billed charges		2866.4	90			Percent of total billed charges		3224.7	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	33.3			Percent of total billed charges		1193.139	33.3			Percent of total billed charges		1193.139	100			Percent of total billed charges		3583	1193.139	3224.7	
triathlon cs tib bearing insert sz1  13mm 5531-g-113 stryker	278	RC	Outpatient			3583	2328.95		90			Percent of total billed charges		3224.7	40			Percent of total billed charges		1433.2	80			Percent of total billed charges		2866.4	90			Percent of total billed charges		3224.7	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	33.3			Percent of total billed charges		1193.139	33.3			Percent of total billed charges		1193.139	100			Percent of total billed charges		3583	1193.139	3224.7	
triathlon cs tib bearing insert sz1  16mm 5531-g-116 stryker	278	RC	Outpatient			3583	2328.95		90			Percent of total billed charges		3224.7	40			Percent of total billed charges		1433.2	80			Percent of total billed charges		2866.4	90			Percent of total billed charges		3224.7	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	33.3			Percent of total billed charges		1193.139	33.3			Percent of total billed charges		1193.139	100			Percent of total billed charges		3583	1193.139	3224.7	
triathlon cs tib bearing insert sz1  25mm 5531-g-125 stryker	278	RC	Outpatient			3583	2328.95		90			Percent of total billed charges		3224.7	40			Percent of total billed charges		1433.2	80			Percent of total billed charges		2866.4	90			Percent of total billed charges		3224.7	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	33.3			Percent of total billed charges		1193.139	33.3			Percent of total billed charges		1193.139	100			Percent of total billed charges		3583	1193.139	3224.7	
triathlon cs tib bearing insert sz2  11mm 5531-g-125 stryker	278	RC	Outpatient			3583	2328.95		90			Percent of total billed charges		3224.7	40			Percent of total billed charges		1433.2	80			Percent of total billed charges		2866.4	90			Percent of total billed charges		3224.7	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	33.3			Percent of total billed charges		1193.139	33.3			Percent of total billed charges		1193.139	100			Percent of total billed charges		3583	1193.139	3224.7	
triathlon cs tib bearing insert sz2  16mm 5531-g-126 stryker	278	RC	Outpatient			3583	2328.95		90			Percent of total billed charges		3224.7	40			Percent of total billed charges		1433.2	80			Percent of total billed charges		2866.4	90			Percent of total billed charges		3224.7	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	33.3			Percent of total billed charges		1193.139	33.3			Percent of total billed charges		1193.139	100			Percent of total billed charges		3583	1193.139	3224.7	
triathlon cs tib bearing insert sz2  16mm 5531-g-216 stryker	278	RC	Outpatient			3583	2328.95		90			Percent of total billed charges		3224.7	40			Percent of total billed charges		1433.2	80			Percent of total billed charges		2866.4	90			Percent of total billed charges		3224.7	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	33.3			Percent of total billed charges		1193.139	33.3			Percent of total billed charges		1193.139	100			Percent of total billed charges		3583	1193.139	3224.7	
triathlon cs tib bearing insert sz2  19mm 5531-g-129 stryker	278	RC	Outpatient			3583	2328.95		90			Percent of total billed charges		3224.7	40			Percent of total billed charges		1433.2	80			Percent of total billed charges		2866.4	90			Percent of total billed charges		3224.7	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	33.3			Percent of total billed charges		1193.139	33.3			Percent of total billed charges		1193.139	100			Percent of total billed charges		3583	1193.139	3224.7	
triathlon cs tib bearing insert sz2  25mm 5531-g-225 stryker	278	RC	Outpatient			3583	2328.95		90			Percent of total billed charges		3224.7	40			Percent of total billed charges		1433.2	80			Percent of total billed charges		2866.4	90			Percent of total billed charges		3224.7	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	33.3			Percent of total billed charges		1193.139	33.3			Percent of total billed charges		1193.139	100			Percent of total billed charges		3583	1193.139	3224.7	
triathlon cs tib bearing insert sz2  9mm 5531-g-209 stryker	278	RC	Outpatient			3583	2328.95		90			Percent of total billed charges		3224.7	40			Percent of total billed charges		1433.2	80			Percent of total billed charges		2866.4	90			Percent of total billed charges		3224.7	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	33.3			Percent of total billed charges		1193.139	33.3			Percent of total billed charges		1193.139	100			Percent of total billed charges		3583	1193.139	3224.7	
triathlon cs tib bearing insert sz3  16mm 5531-g-316 stryker	278	RC	Outpatient			3583	2328.95		90			Percent of total billed charges		3224.7	40			Percent of total billed charges		1433.2	80			Percent of total billed charges		2866.4	90			Percent of total billed charges		3224.7	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	33.3			Percent of total billed charges		1193.139	33.3			Percent of total billed charges		1193.139	100			Percent of total billed charges		3583	1193.139	3224.7	
triathlon cs tib bearing insert sz3  19mm 5531-g-319 stryker	278	RC	Outpatient			3583	2328.95		90			Percent of total billed charges		3224.7	40			Percent of total billed charges		1433.2	80			Percent of total billed charges		2866.4	90			Percent of total billed charges		3224.7	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	33.3			Percent of total billed charges		1193.139	33.3			Percent of total billed charges		1193.139	100			Percent of total billed charges		3583	1193.139	3224.7	
triathlon cs tib bearing insert sz3  22mm 5531-g-322 stryker	278	RC	Outpatient			3583	2328.95		90			Percent of total billed charges		3224.7	40			Percent of total billed charges		1433.2	80			Percent of total billed charges		2866.4	90			Percent of total billed charges		3224.7	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	33.3			Percent of total billed charges		1193.139	33.3			Percent of total billed charges		1193.139	100			Percent of total billed charges		3583	1193.139	3224.7	
triathlon cs tib bearing insert sz3 11mm 5531-g-311 stryker	278	RC	Outpatient			3583	2328.95		90			Percent of total billed charges		3224.7	40			Percent of total billed charges		1433.2	80			Percent of total billed charges		2866.4	90			Percent of total billed charges		3224.7	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	33.3			Percent of total billed charges		1193.139	33.3			Percent of total billed charges		1193.139	100			Percent of total billed charges		3583	1193.139	3224.7	
triathlon cs tib bearing insert sz4  19mm 5531-g-419  stryker	278	RC	Outpatient			3583	2328.95		90			Percent of total billed charges		3224.7	40			Percent of total billed charges		1433.2	80			Percent of total billed charges		2866.4	90			Percent of total billed charges		3224.7	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	33.3			Percent of total billed charges		1193.139	33.3			Percent of total billed charges		1193.139	100			Percent of total billed charges		3583	1193.139	3224.7	
triathlon cs tib bearing insert sz4  25mm 5531-g-425 stryker	278	RC	Outpatient			3583	2328.95		90			Percent of total billed charges		3224.7	40			Percent of total billed charges		1433.2	80			Percent of total billed charges		2866.4	90			Percent of total billed charges		3224.7	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	33.3			Percent of total billed charges		1193.139	33.3			Percent of total billed charges		1193.139	100			Percent of total billed charges		3583	1193.139	3224.7	
triathlon cs tib bearing insert sz5  22mm 5531-g-522 stryker	278	RC	Outpatient			3583	2328.95		90			Percent of total billed charges		3224.7	40			Percent of total billed charges		1433.2	80			Percent of total billed charges		2866.4	90			Percent of total billed charges		3224.7	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	33.3			Percent of total billed charges		1193.139	33.3			Percent of total billed charges		1193.139	100			Percent of total billed charges		3583	1193.139	3224.7	
triathlon cs tib bearing insert sz6  11mm 5531-g-611 stryker	278	RC	Outpatient			3583	2328.95		90			Percent of total billed charges		3224.7	40			Percent of total billed charges		1433.2	80			Percent of total billed charges		2866.4	90			Percent of total billed charges		3224.7	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	33.3			Percent of total billed charges		1193.139	33.3			Percent of total billed charges		1193.139	100			Percent of total billed charges		3583	1193.139	3224.7	
triathlon cs tib bearing insert sz6  13mm 5531-g-613 stryker	278	RC	Outpatient			3583	2328.95		90			Percent of total billed charges		3224.7	40			Percent of total billed charges		1433.2	80			Percent of total billed charges		2866.4	90			Percent of total billed charges		3224.7	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	33.3			Percent of total billed charges		1193.139	33.3			Percent of total billed charges		1193.139	100			Percent of total billed charges		3583	1193.139	3224.7	
triathlon cs tib bearing insert sz6  19mm 5531-g-619 stryker	278	RC	Outpatient			3583	2328.95		90			Percent of total billed charges		3224.7	40			Percent of total billed charges		1433.2	80			Percent of total billed charges		2866.4	90			Percent of total billed charges		3224.7	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	33.3			Percent of total billed charges		1193.139	33.3			Percent of total billed charges		1193.139	100			Percent of total billed charges		3583	1193.139	3224.7	
triathlon cs tib bearing insert sz6  22mm 5531-g-622 stryker	278	RC	Outpatient			3583	2328.95		90			Percent of total billed charges		3224.7	40			Percent of total billed charges		1433.2	80			Percent of total billed charges		2866.4	90			Percent of total billed charges		3224.7	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	33.3			Percent of total billed charges		1193.139	33.3			Percent of total billed charges		1193.139	100			Percent of total billed charges		3583	1193.139	3224.7	
triathlon cs tib bearing insert sz6  25mm 5531-g-625 stryker	278	RC	Outpatient			3583	2328.95		90			Percent of total billed charges		3224.7	40			Percent of total billed charges		1433.2	80			Percent of total billed charges		2866.4	90			Percent of total billed charges		3224.7	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	33.3			Percent of total billed charges		1193.139	33.3			Percent of total billed charges		1193.139	100			Percent of total billed charges		3583	1193.139	3224.7	
triathlon cs tib bearing insert sz6  9mm 5531-g-609 stryker	278	RC	Outpatient			3583	2328.95		90			Percent of total billed charges		3224.7	40			Percent of total billed charges		1433.2	80			Percent of total billed charges		2866.4	90			Percent of total billed charges		3224.7	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	33.3			Percent of total billed charges		1193.139	33.3			Percent of total billed charges		1193.139	100			Percent of total billed charges		3583	1193.139	3224.7	
triathlon cs tib bearing insert sz7  13mm 5531-g-713 stryker	278	RC	Outpatient			3583	2328.95		90			Percent of total billed charges		3224.7	40			Percent of total billed charges		1433.2	80			Percent of total billed charges		2866.4	90			Percent of total billed charges		3224.7	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	33.3			Percent of total billed charges		1193.139	33.3			Percent of total billed charges		1193.139	100			Percent of total billed charges		3583	1193.139	3224.7	
triathlon cs tib bearing insert sz7  9mm 5531-g-709 stryker	278	RC	Outpatient			3583	2328.95		90			Percent of total billed charges		3224.7	40			Percent of total billed charges		1433.2	80			Percent of total billed charges		2866.4	90			Percent of total billed charges		3224.7	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	33.3			Percent of total billed charges		1193.139	33.3			Percent of total billed charges		1193.139	100			Percent of total billed charges		3583	1193.139	3224.7	
triathlon cs tib bearing insert sz8  13mm 5531-g-813 stryker	278	RC	Outpatient			3583	2328.95		90			Percent of total billed charges		3224.7	40			Percent of total billed charges		1433.2	80			Percent of total billed charges		2866.4	90			Percent of total billed charges		3224.7	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	33.3			Percent of total billed charges		1193.139	33.3			Percent of total billed charges		1193.139	100			Percent of total billed charges		3583	1193.139	3224.7	
triathlon cs tib bearing insert sz8  19mm 5531-g-819 stryker	278	RC	Outpatient			3583	2328.95		90			Percent of total billed charges		3224.7	40			Percent of total billed charges		1433.2	80			Percent of total billed charges		2866.4	90			Percent of total billed charges		3224.7	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	33.3			Percent of total billed charges		1193.139	33.3			Percent of total billed charges		1193.139	100			Percent of total billed charges		3583	1193.139	3224.7	
triathlon cs tib bearing insert sz8  25mm 5531-g-825 stryker	278	RC	Outpatient			3583	2328.95		90			Percent of total billed charges		3224.7	40			Percent of total billed charges		1433.2	80			Percent of total billed charges		2866.4	90			Percent of total billed charges		3224.7	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	33.3			Percent of total billed charges		1193.139	33.3			Percent of total billed charges		1193.139	100			Percent of total billed charges		3583	1193.139	3224.7	
triathlon cs tib bearing insert sz8  9mm 5531-g-809 stryker	278	RC	Outpatient			3583	2328.95		90			Percent of total billed charges		3224.7	40			Percent of total billed charges		1433.2	80			Percent of total billed charges		2866.4	90			Percent of total billed charges		3224.7	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	33.3			Percent of total billed charges		1193.139	33.3			Percent of total billed charges		1193.139	100			Percent of total billed charges		3583	1193.139	3224.7	
triathlon tib insert	278	RC	Outpatient			3583	2328.95		90			Percent of total billed charges		3224.7	40			Percent of total billed charges		1433.2	80			Percent of total billed charges		2866.4	90			Percent of total billed charges		3224.7	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	85			Percent of total billed charges		3045.55	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	100			Percent of total billed charges		3583	33.3			Percent of total billed charges		1193.139	33.3			Percent of total billed charges		1193.139	100			Percent of total billed charges		3583	1193.139	3224.7	
acucise custom kit	270	RC	Outpatient			3584	2329.6		90			Percent of total billed charges		3225.6	40			Percent of total billed charges		1433.6	80			Percent of total billed charges		2867.2	90			Percent of total billed charges		3225.6	85			Percent of total billed charges		3046.4	85			Percent of total billed charges		3046.4	85			Percent of total billed charges		3046.4	100			Percent of total billed charges		3584	100			Percent of total billed charges		3584	100			Percent of total billed charges		3584	33.3			Percent of total billed charges		1193.472	33.3			Percent of total billed charges		1193.472	100			Percent of total billed charges		3584	1193.472	3225.6	
acucise custom kit applied med	270	RC	Outpatient			3584	2329.6		90			Percent of total billed charges		3225.6	40			Percent of total billed charges		1433.6	80			Percent of total billed charges		2867.2	90			Percent of total billed charges		3225.6	85			Percent of total billed charges		3046.4	85			Percent of total billed charges		3046.4	85			Percent of total billed charges		3046.4	100			Percent of total billed charges		3584	100			Percent of total billed charges		3584	100			Percent of total billed charges		3584	33.3			Percent of total billed charges		1193.472	33.3			Percent of total billed charges		1193.472	100			Percent of total billed charges		3584	1193.472	3225.6	
bio vanguard tib bearing	278	RC	Outpatient			3585	2330.25		90			Percent of total billed charges		3226.5	40			Percent of total billed charges		1434	80			Percent of total billed charges		2868	90			Percent of total billed charges		3226.5	85			Percent of total billed charges		3047.25	85			Percent of total billed charges		3047.25	85			Percent of total billed charges		3047.25	100			Percent of total billed charges		3585	100			Percent of total billed charges		3585	100			Percent of total billed charges		3585	33.3			Percent of total billed charges		1193.805	33.3			Percent of total billed charges		1193.805	100			Percent of total billed charges		3585	1193.805	3226.5	
"cosmetic - brow, lower bleph"	983	RC	Outpatient			3600	2340		90			Percent of total billed charges		3240	40			Percent of total billed charges		1440	80			Percent of total billed charges		2880	90			Percent of total billed charges		3240	85			Percent of total billed charges		3060	85			Percent of total billed charges		3060	85			Percent of total billed charges		3060	100			Percent of total billed charges		3600	100			Percent of total billed charges		3600	100			Percent of total billed charges		3600	33.3			Percent of total billed charges		1198.8	33.3			Percent of total billed charges		1198.8	100			Percent of total billed charges		3600	1198.8	3240	
cosmetic - laser treatment for skin laxity large area - pkg of 3 sessions	983	RC	Outpatient			3600	2340		90			Percent of total billed charges		3240	40			Percent of total billed charges		1440	80			Percent of total billed charges		2880	90			Percent of total billed charges		3240	85			Percent of total billed charges		3060	85			Percent of total billed charges		3060	85			Percent of total billed charges		3060	100			Percent of total billed charges		3600	100			Percent of total billed charges		3600	100			Percent of total billed charges		3600	33.3			Percent of total billed charges		1198.8	33.3			Percent of total billed charges		1198.8	100			Percent of total billed charges		3600	1198.8	3240	
graft jacket express 2cc	278	RC	Outpatient			3600	2340		90			Percent of total billed charges		3240	40			Percent of total billed charges		1440	80			Percent of total billed charges		2880	90			Percent of total billed charges		3240	85			Percent of total billed charges		3060	85			Percent of total billed charges		3060	85			Percent of total billed charges		3060	100			Percent of total billed charges		3600	100			Percent of total billed charges		3600	100			Percent of total billed charges		3600	33.3			Percent of total billed charges		1198.8	33.3			Percent of total billed charges		1198.8	100			Percent of total billed charges		3600	1198.8	3240	
express graftjacket 2cc 86gi-0200 wright	278	RC	Outpatient			3600	2340		90			Percent of total billed charges		3240	40			Percent of total billed charges		1440	80			Percent of total billed charges		2880	90			Percent of total billed charges		3240	85			Percent of total billed charges		3060	85			Percent of total billed charges		3060	85			Percent of total billed charges		3060	100			Percent of total billed charges		3600	100			Percent of total billed charges		3600	100			Percent of total billed charges		3600	33.3			Percent of total billed charges		1198.8	33.3			Percent of total billed charges		1198.8	100			Percent of total billed charges		3600	1198.8	3240	
cosmetic - gynecomastia (simple)	983	RC	Outpatient			3603	2341.95		90			Percent of total billed charges		3242.7	40			Percent of total billed charges		1441.2	80			Percent of total billed charges		2882.4	90			Percent of total billed charges		3242.7	85			Percent of total billed charges		3062.55	85			Percent of total billed charges		3062.55	85			Percent of total billed charges		3062.55	100			Percent of total billed charges		3603	100			Percent of total billed charges		3603	100			Percent of total billed charges		3603	33.3			Percent of total billed charges		1199.799	33.3			Percent of total billed charges		1199.799	100			Percent of total billed charges		3603	1199.799	3242.7	
zenith flex main bdy ext	278	RC	Outpatient			3618	2351.7		90			Percent of total billed charges		3256.2	40			Percent of total billed charges		1447.2	80			Percent of total billed charges		2894.4	90			Percent of total billed charges		3256.2	85			Percent of total billed charges		3075.3	85			Percent of total billed charges		3075.3	85			Percent of total billed charges		3075.3	100			Percent of total billed charges		3618	100			Percent of total billed charges		3618	100			Percent of total billed charges		3618	33.3			Percent of total billed charges		1204.794	33.3			Percent of total billed charges		1204.794	100			Percent of total billed charges		3618	1204.794	3256.2	
zenth flex aaa graft main body extension 32 x39 g36140 cook	278	RC	Outpatient			3618	2351.7		90			Percent of total billed charges		3256.2	40			Percent of total billed charges		1447.2	80			Percent of total billed charges		2894.4	90			Percent of total billed charges		3256.2	85			Percent of total billed charges		3075.3	85			Percent of total billed charges		3075.3	85			Percent of total billed charges		3075.3	100			Percent of total billed charges		3618	100			Percent of total billed charges		3618	100			Percent of total billed charges		3618	33.3			Percent of total billed charges		1204.794	33.3			Percent of total billed charges		1204.794	100			Percent of total billed charges		3618	1204.794	3256.2	
bio reg cup	278	RC	Outpatient			3624	2355.6		90			Percent of total billed charges		3261.6	40			Percent of total billed charges		1449.6	80			Percent of total billed charges		2899.2	90			Percent of total billed charges		3261.6	85			Percent of total billed charges		3080.4	85			Percent of total billed charges		3080.4	85			Percent of total billed charges		3080.4	100			Percent of total billed charges		3624	100			Percent of total billed charges		3624	100			Percent of total billed charges		3624	33.3			Percent of total billed charges		1206.792	33.3			Percent of total billed charges		1206.792	100			Percent of total billed charges		3624	1206.792	3261.6	
regenerex ringloc acet cup 62mm pt-116062 biomet	278	RC	Outpatient			3624	2355.6		90			Percent of total billed charges		3261.6	40			Percent of total billed charges		1449.6	80			Percent of total billed charges		2899.2	90			Percent of total billed charges		3261.6	85			Percent of total billed charges		3080.4	85			Percent of total billed charges		3080.4	85			Percent of total billed charges		3080.4	100			Percent of total billed charges		3624	100			Percent of total billed charges		3624	100			Percent of total billed charges		3624	33.3			Percent of total billed charges		1206.792	33.3			Percent of total billed charges		1206.792	100			Percent of total billed charges		3624	1206.792	3261.6	
"legion rk/hk  full stepped  tibial wedge sz 5-6, 15mm 71423079 s/n"	278	RC	Outpatient			3628	2358.2		90			Percent of total billed charges		3265.2	40			Percent of total billed charges		1451.2	80			Percent of total billed charges		2902.4	90			Percent of total billed charges		3265.2	85			Percent of total billed charges		3083.8	85			Percent of total billed charges		3083.8	85			Percent of total billed charges		3083.8	100			Percent of total billed charges		3628	100			Percent of total billed charges		3628	100			Percent of total billed charges		3628	33.3			Percent of total billed charges		1208.124	33.3			Percent of total billed charges		1208.124	100			Percent of total billed charges		3628	1208.124	3265.2	
"legion rk/hk full stepped  tibial wedge sz 7,  10mm 71423076 s/n"	278	RC	Outpatient			3628	2358.2		90			Percent of total billed charges		3265.2	40			Percent of total billed charges		1451.2	80			Percent of total billed charges		2902.4	90			Percent of total billed charges		3265.2	85			Percent of total billed charges		3083.8	85			Percent of total billed charges		3083.8	85			Percent of total billed charges		3083.8	100			Percent of total billed charges		3628	100			Percent of total billed charges		3628	100			Percent of total billed charges		3628	33.3			Percent of total billed charges		1208.124	33.3			Percent of total billed charges		1208.124	100			Percent of total billed charges		3628	1208.124	3265.2	
legion rk/hk full stepped  tibial wedge	278	RC	Outpatient			3628	2358.2		90			Percent of total billed charges		3265.2	40			Percent of total billed charges		1451.2	80			Percent of total billed charges		2902.4	90			Percent of total billed charges		3265.2	85			Percent of total billed charges		3083.8	85			Percent of total billed charges		3083.8	85			Percent of total billed charges		3083.8	100			Percent of total billed charges		3628	100			Percent of total billed charges		3628	100			Percent of total billed charges		3628	33.3			Percent of total billed charges		1208.124	33.3			Percent of total billed charges		1208.124	100			Percent of total billed charges		3628	1208.124	3265.2	
trigen knee nail 10 mm x 48 cm 7163-3248 s/n	278	RC	Outpatient			3634	2362.1		90			Percent of total billed charges		3270.6	40			Percent of total billed charges		1453.6	80			Percent of total billed charges		2907.2	90			Percent of total billed charges		3270.6	85			Percent of total billed charges		3088.9	85			Percent of total billed charges		3088.9	85			Percent of total billed charges		3088.9	100			Percent of total billed charges		3634	100			Percent of total billed charges		3634	100			Percent of total billed charges		3634	33.3			Percent of total billed charges		1210.122	33.3			Percent of total billed charges		1210.122	100			Percent of total billed charges		3634	1210.122	3270.6	
trigen knee nail 11.5 mm x 44 cm 7163-3344 s/n	278	RC	Outpatient			3634	2362.1		90			Percent of total billed charges		3270.6	40			Percent of total billed charges		1453.6	80			Percent of total billed charges		2907.2	90			Percent of total billed charges		3270.6	85			Percent of total billed charges		3088.9	85			Percent of total billed charges		3088.9	85			Percent of total billed charges		3088.9	100			Percent of total billed charges		3634	100			Percent of total billed charges		3634	100			Percent of total billed charges		3634	33.3			Percent of total billed charges		1210.122	33.3			Percent of total billed charges		1210.122	100			Percent of total billed charges		3634	1210.122	3270.6	
trigen knee nail 11.5 mm x 46 cm 7163-3346 s/n	278	RC	Outpatient			3634	2362.1		90			Percent of total billed charges		3270.6	40			Percent of total billed charges		1453.6	80			Percent of total billed charges		2907.2	90			Percent of total billed charges		3270.6	85			Percent of total billed charges		3088.9	85			Percent of total billed charges		3088.9	85			Percent of total billed charges		3088.9	100			Percent of total billed charges		3634	100			Percent of total billed charges		3634	100			Percent of total billed charges		3634	33.3			Percent of total billed charges		1210.122	33.3			Percent of total billed charges		1210.122	100			Percent of total billed charges		3634	1210.122	3270.6	
trigen knee nail 11.5 mm x 48 cm 7163-3348 s/n	278	RC	Outpatient			3634	2362.1		90			Percent of total billed charges		3270.6	40			Percent of total billed charges		1453.6	80			Percent of total billed charges		2907.2	90			Percent of total billed charges		3270.6	85			Percent of total billed charges		3088.9	85			Percent of total billed charges		3088.9	85			Percent of total billed charges		3088.9	100			Percent of total billed charges		3634	100			Percent of total billed charges		3634	100			Percent of total billed charges		3634	33.3			Percent of total billed charges		1210.122	33.3			Percent of total billed charges		1210.122	100			Percent of total billed charges		3634	1210.122	3270.6	
trigen knee nail 13 mm x 44 cm 7163-3444 s/n	278	RC	Outpatient			3634	2362.1		90			Percent of total billed charges		3270.6	40			Percent of total billed charges		1453.6	80			Percent of total billed charges		2907.2	90			Percent of total billed charges		3270.6	85			Percent of total billed charges		3088.9	85			Percent of total billed charges		3088.9	85			Percent of total billed charges		3088.9	100			Percent of total billed charges		3634	100			Percent of total billed charges		3634	100			Percent of total billed charges		3634	33.3			Percent of total billed charges		1210.122	33.3			Percent of total billed charges		1210.122	100			Percent of total billed charges		3634	1210.122	3270.6	
trigen im nail 44-50mm	278	RC	Outpatient			3634	2362.1		90			Percent of total billed charges		3270.6	40			Percent of total billed charges		1453.6	80			Percent of total billed charges		2907.2	90			Percent of total billed charges		3270.6	85			Percent of total billed charges		3088.9	85			Percent of total billed charges		3088.9	85			Percent of total billed charges		3088.9	100			Percent of total billed charges		3634	100			Percent of total billed charges		3634	100			Percent of total billed charges		3634	33.3			Percent of total billed charges		1210.122	33.3			Percent of total billed charges		1210.122	100			Percent of total billed charges		3634	1210.122	3270.6	
trigen knee nail  11.5 mm x 50 cm 7163-3350 s/n	278	RC	Outpatient			3634	2362.1		90			Percent of total billed charges		3270.6	40			Percent of total billed charges		1453.6	80			Percent of total billed charges		2907.2	90			Percent of total billed charges		3270.6	85			Percent of total billed charges		3088.9	85			Percent of total billed charges		3088.9	85			Percent of total billed charges		3088.9	100			Percent of total billed charges		3634	100			Percent of total billed charges		3634	100			Percent of total billed charges		3634	33.3			Percent of total billed charges		1210.122	33.3			Percent of total billed charges		1210.122	100			Percent of total billed charges		3634	1210.122	3270.6	
trigen knee nail 10 mm x 44 cm 7163-3244 s/n	278	RC	Outpatient			3634	2362.1		90			Percent of total billed charges		3270.6	40			Percent of total billed charges		1453.6	80			Percent of total billed charges		2907.2	90			Percent of total billed charges		3270.6	85			Percent of total billed charges		3088.9	85			Percent of total billed charges		3088.9	85			Percent of total billed charges		3088.9	100			Percent of total billed charges		3634	100			Percent of total billed charges		3634	100			Percent of total billed charges		3634	33.3			Percent of total billed charges		1210.122	33.3			Percent of total billed charges		1210.122	100			Percent of total billed charges		3634	1210.122	3270.6	
trigen knee nail 10 mm x 46 cm 7163-3246 s/n	278	RC	Outpatient			3634	2362.1		90			Percent of total billed charges		3270.6	40			Percent of total billed charges		1453.6	80			Percent of total billed charges		2907.2	90			Percent of total billed charges		3270.6	85			Percent of total billed charges		3088.9	85			Percent of total billed charges		3088.9	85			Percent of total billed charges		3088.9	100			Percent of total billed charges		3634	100			Percent of total billed charges		3634	100			Percent of total billed charges		3634	33.3			Percent of total billed charges		1210.122	33.3			Percent of total billed charges		1210.122	100			Percent of total billed charges		3634	1210.122	3270.6	
trigen knee nail 10 mm x 50 cm 7163-3250 s/n	278	RC	Outpatient			3634	2362.1		90			Percent of total billed charges		3270.6	40			Percent of total billed charges		1453.6	80			Percent of total billed charges		2907.2	90			Percent of total billed charges		3270.6	85			Percent of total billed charges		3088.9	85			Percent of total billed charges		3088.9	85			Percent of total billed charges		3088.9	100			Percent of total billed charges		3634	100			Percent of total billed charges		3634	100			Percent of total billed charges		3634	33.3			Percent of total billed charges		1210.122	33.3			Percent of total billed charges		1210.122	100			Percent of total billed charges		3634	1210.122	3270.6	
trigen knee nail 13 mm x 46 cm 7163-3446 s/n	278	RC	Outpatient			3634	2362.1		90			Percent of total billed charges		3270.6	40			Percent of total billed charges		1453.6	80			Percent of total billed charges		2907.2	90			Percent of total billed charges		3270.6	85			Percent of total billed charges		3088.9	85			Percent of total billed charges		3088.9	85			Percent of total billed charges		3088.9	100			Percent of total billed charges		3634	100			Percent of total billed charges		3634	100			Percent of total billed charges		3634	33.3			Percent of total billed charges		1210.122	33.3			Percent of total billed charges		1210.122	100			Percent of total billed charges		3634	1210.122	3270.6	
trigen knee nail 13 mm x 48 cm 7163-3448 s/n	278	RC	Outpatient			3634	2362.1		90			Percent of total billed charges		3270.6	40			Percent of total billed charges		1453.6	80			Percent of total billed charges		2907.2	90			Percent of total billed charges		3270.6	85			Percent of total billed charges		3088.9	85			Percent of total billed charges		3088.9	85			Percent of total billed charges		3088.9	100			Percent of total billed charges		3634	100			Percent of total billed charges		3634	100			Percent of total billed charges		3634	33.3			Percent of total billed charges		1210.122	33.3			Percent of total billed charges		1210.122	100			Percent of total billed charges		3634	1210.122	3270.6	
trigen knee nail 13 mm x 50 cm 7163-3450 s/n	278	RC	Outpatient			3634	2362.1		90			Percent of total billed charges		3270.6	40			Percent of total billed charges		1453.6	80			Percent of total billed charges		2907.2	90			Percent of total billed charges		3270.6	85			Percent of total billed charges		3088.9	85			Percent of total billed charges		3088.9	85			Percent of total billed charges		3088.9	100			Percent of total billed charges		3634	100			Percent of total billed charges		3634	100			Percent of total billed charges		3634	33.3			Percent of total billed charges		1210.122	33.3			Percent of total billed charges		1210.122	100			Percent of total billed charges		3634	1210.122	3270.6	
l-p tib plt 3.5mm 4 hl 71820404 s\n	278	RC	Outpatient			3642	2367.3		90			Percent of total billed charges		3277.8	40			Percent of total billed charges		1456.8	80			Percent of total billed charges		2913.6	90			Percent of total billed charges		3277.8	85			Percent of total billed charges		3095.7	85			Percent of total billed charges		3095.7	85			Percent of total billed charges		3095.7	100			Percent of total billed charges		3642	100			Percent of total billed charges		3642	100			Percent of total billed charges		3642	33.3			Percent of total billed charges		1212.786	33.3			Percent of total billed charges		1212.786	100			Percent of total billed charges		3642	1212.786	3277.8	
l-p tib lk plate3.5mm 4-hole 73mm 71800404 s/n	278	RC	Outpatient			3642	2367.3		90			Percent of total billed charges		3277.8	40			Percent of total billed charges		1456.8	80			Percent of total billed charges		2913.6	90			Percent of total billed charges		3277.8	85			Percent of total billed charges		3095.7	85			Percent of total billed charges		3095.7	85			Percent of total billed charges		3095.7	100			Percent of total billed charges		3642	100			Percent of total billed charges		3642	100			Percent of total billed charges		3642	33.3			Percent of total billed charges		1212.786	33.3			Percent of total billed charges		1212.786	100			Percent of total billed charges		3642	1212.786	3277.8	
l-p tib lk plate3.5mm 4-hole 73mm 71800504 s/n	278	RC	Outpatient			3642	2367.3		90			Percent of total billed charges		3277.8	40			Percent of total billed charges		1456.8	80			Percent of total billed charges		2913.6	90			Percent of total billed charges		3277.8	85			Percent of total billed charges		3095.7	85			Percent of total billed charges		3095.7	85			Percent of total billed charges		3095.7	100			Percent of total billed charges		3642	100			Percent of total billed charges		3642	100			Percent of total billed charges		3642	33.3			Percent of total billed charges		1212.786	33.3			Percent of total billed charges		1212.786	100			Percent of total billed charges		3642	1212.786	3277.8	
l-p tib plt 3.5mm 4 hl 71820504 s\n	278	RC	Outpatient			3642	2367.3		90			Percent of total billed charges		3277.8	40			Percent of total billed charges		1456.8	80			Percent of total billed charges		2913.6	90			Percent of total billed charges		3277.8	85			Percent of total billed charges		3095.7	85			Percent of total billed charges		3095.7	85			Percent of total billed charges		3095.7	100			Percent of total billed charges		3642	100			Percent of total billed charges		3642	100			Percent of total billed charges		3642	33.3			Percent of total billed charges		1212.786	33.3			Percent of total billed charges		1212.786	100			Percent of total billed charges		3642	1212.786	3277.8	
s/n 3.5 l-p tib lk pl 4hl	278	RC	Outpatient			3642	2367.3		90			Percent of total billed charges		3277.8	40			Percent of total billed charges		1456.8	80			Percent of total billed charges		2913.6	90			Percent of total billed charges		3277.8	85			Percent of total billed charges		3095.7	85			Percent of total billed charges		3095.7	85			Percent of total billed charges		3095.7	100			Percent of total billed charges		3642	100			Percent of total billed charges		3642	100			Percent of total billed charges		3642	33.3			Percent of total billed charges		1212.786	33.3			Percent of total billed charges		1212.786	100			Percent of total billed charges		3642	1212.786	3277.8	
cofield 2 humeral head 22 x 44mm 71259322 s/n	278	RC	Outpatient			3647	2370.55		90			Percent of total billed charges		3282.3	40			Percent of total billed charges		1458.8	80			Percent of total billed charges		2917.6	90			Percent of total billed charges		3282.3	85			Percent of total billed charges		3099.95	85			Percent of total billed charges		3099.95	85			Percent of total billed charges		3099.95	100			Percent of total billed charges		3647	100			Percent of total billed charges		3647	100			Percent of total billed charges		3647	33.3			Percent of total billed charges		1214.451	33.3			Percent of total billed charges		1214.451	100			Percent of total billed charges		3647	1214.451	3282.3	
s/n cofld humeral hd	278	RC	Outpatient			3647	2370.55		90			Percent of total billed charges		3282.3	40			Percent of total billed charges		1458.8	80			Percent of total billed charges		2917.6	90			Percent of total billed charges		3282.3	85			Percent of total billed charges		3099.95	85			Percent of total billed charges		3099.95	85			Percent of total billed charges		3099.95	100			Percent of total billed charges		3647	100			Percent of total billed charges		3647	100			Percent of total billed charges		3647	33.3			Percent of total billed charges		1214.451	33.3			Percent of total billed charges		1214.451	100			Percent of total billed charges		3647	1214.451	3282.3	
pip fixation kit	278	RC	Outpatient			3656	2376.4		90			Percent of total billed charges		3290.4	40			Percent of total billed charges		1462.4	80			Percent of total billed charges		2924.8	90			Percent of total billed charges		3290.4	85			Percent of total billed charges		3107.6	85			Percent of total billed charges		3107.6	85			Percent of total billed charges		3107.6	100			Percent of total billed charges		3656	100			Percent of total billed charges		3656	100			Percent of total billed charges		3656	33.3			Percent of total billed charges		1217.448	33.3			Percent of total billed charges		1217.448	100			Percent of total billed charges		3656	1217.448	3290.4	
pip fixation kit 10-1638 s/n	278	RC	Outpatient			3656	2376.4		90			Percent of total billed charges		3290.4	40			Percent of total billed charges		1462.4	80			Percent of total billed charges		2924.8	90			Percent of total billed charges		3290.4	85			Percent of total billed charges		3107.6	85			Percent of total billed charges		3107.6	85			Percent of total billed charges		3107.6	100			Percent of total billed charges		3656	100			Percent of total billed charges		3656	100			Percent of total billed charges		3656	33.3			Percent of total billed charges		1217.448	33.3			Percent of total billed charges		1217.448	100			Percent of total billed charges		3656	1217.448	3290.4	
comp plt 4.5mm 14 hl 71809314 s\n	278	RC	Outpatient			3661	2379.65		90			Percent of total billed charges		3294.9	40			Percent of total billed charges		1464.4	80			Percent of total billed charges		2928.8	90			Percent of total billed charges		3294.9	85			Percent of total billed charges		3111.85	85			Percent of total billed charges		3111.85	85			Percent of total billed charges		3111.85	100			Percent of total billed charges		3661	100			Percent of total billed charges		3661	100			Percent of total billed charges		3661	33.3			Percent of total billed charges		1219.113	33.3			Percent of total billed charges		1219.113	100			Percent of total billed charges		3661	1219.113	3294.9	
comp plt 4.5mm 14 hl 71829314 s\n	278	RC	Outpatient			3661	2379.65		90			Percent of total billed charges		3294.9	40			Percent of total billed charges		1464.4	80			Percent of total billed charges		2928.8	90			Percent of total billed charges		3294.9	85			Percent of total billed charges		3111.85	85			Percent of total billed charges		3111.85	85			Percent of total billed charges		3111.85	100			Percent of total billed charges		3661	100			Percent of total billed charges		3661	100			Percent of total billed charges		3661	33.3			Percent of total billed charges		1219.113	33.3			Percent of total billed charges		1219.113	100			Percent of total billed charges		3661	1219.113	3294.9	
s/n 4.5 lck comp pl 14hl	278	RC	Outpatient			3661	2379.65		90			Percent of total billed charges		3294.9	40			Percent of total billed charges		1464.4	80			Percent of total billed charges		2928.8	90			Percent of total billed charges		3294.9	85			Percent of total billed charges		3111.85	85			Percent of total billed charges		3111.85	85			Percent of total billed charges		3111.85	100			Percent of total billed charges		3661	100			Percent of total billed charges		3661	100			Percent of total billed charges		3661	33.3			Percent of total billed charges		1219.113	33.3			Percent of total billed charges		1219.113	100			Percent of total billed charges		3661	1219.113	3294.9	
grafton 15cc dbm crunch a44115 osteotech	278	RC	Outpatient			3670	2385.5		90			Percent of total billed charges		3303	40			Percent of total billed charges		1468	80			Percent of total billed charges		2936	90			Percent of total billed charges		3303	85			Percent of total billed charges		3119.5	85			Percent of total billed charges		3119.5	85			Percent of total billed charges		3119.5	100			Percent of total billed charges		3670	100			Percent of total billed charges		3670	100			Percent of total billed charges		3670	33.3			Percent of total billed charges		1222.11	33.3			Percent of total billed charges		1222.11	100			Percent of total billed charges		3670	1222.11	3303	
grafton 15cc dbm crunch p44115 osteotech	278	RC	Outpatient			3670	2385.5		90			Percent of total billed charges		3303	40			Percent of total billed charges		1468	80			Percent of total billed charges		2936	90			Percent of total billed charges		3303	85			Percent of total billed charges		3119.5	85			Percent of total billed charges		3119.5	85			Percent of total billed charges		3119.5	100			Percent of total billed charges		3670	100			Percent of total billed charges		3670	100			Percent of total billed charges		3670	33.3			Percent of total billed charges		1222.11	33.3			Percent of total billed charges		1222.11	100			Percent of total billed charges		3670	1222.11	3303	
grafton crunch 15cc	278	RC	Outpatient			3670	2385.5		90			Percent of total billed charges		3303	40			Percent of total billed charges		1468	80			Percent of total billed charges		2936	90			Percent of total billed charges		3303	85			Percent of total billed charges		3119.5	85			Percent of total billed charges		3119.5	85			Percent of total billed charges		3119.5	100			Percent of total billed charges		3670	100			Percent of total billed charges		3670	100			Percent of total billed charges		3670	33.3			Percent of total billed charges		1222.11	33.3			Percent of total billed charges		1222.11	100			Percent of total billed charges		3670	1222.11	3303	
wallstnt esop ultraflx 10	272	RC	Outpatient			3670	2385.5		90			Percent of total billed charges		3303	40			Percent of total billed charges		1468	80			Percent of total billed charges		2936	90			Percent of total billed charges		3303	85			Percent of total billed charges		3119.5	85			Percent of total billed charges		3119.5	85			Percent of total billed charges		3119.5	100			Percent of total billed charges		3670	100			Percent of total billed charges		3670	100			Percent of total billed charges		3670	33.3			Percent of total billed charges		1222.11	33.3			Percent of total billed charges		1222.11	100			Percent of total billed charges		3670	1222.11	3303	
depuy tib insert rot	278	RC	Outpatient			3674	2388.1		90			Percent of total billed charges		3306.6	40			Percent of total billed charges		1469.6	80			Percent of total billed charges		2939.2	90			Percent of total billed charges		3306.6	85			Percent of total billed charges		3122.9	85			Percent of total billed charges		3122.9	85			Percent of total billed charges		3122.9	100			Percent of total billed charges		3674	100			Percent of total billed charges		3674	100			Percent of total billed charges		3674	33.3			Percent of total billed charges		1223.442	33.3			Percent of total billed charges		1223.442	100			Percent of total billed charges		3674	1223.442	3306.6	
sigma tib inser  tc3  sz 2.5 15mm 96-2333 depuy	278	RC	Outpatient			3674	2388.1		90			Percent of total billed charges		3306.6	40			Percent of total billed charges		1469.6	80			Percent of total billed charges		2939.2	90			Percent of total billed charges		3306.6	85			Percent of total billed charges		3122.9	85			Percent of total billed charges		3122.9	85			Percent of total billed charges		3122.9	100			Percent of total billed charges		3674	100			Percent of total billed charges		3674	100			Percent of total billed charges		3674	33.3			Percent of total billed charges		1223.442	33.3			Percent of total billed charges		1223.442	100			Percent of total billed charges		3674	1223.442	3306.6	
lcp wrist fusion plate short bend 02.110.151 synthes	278	RC	Outpatient			3693	2400.45		90			Percent of total billed charges		3323.7	40			Percent of total billed charges		1477.2	80			Percent of total billed charges		2954.4	90			Percent of total billed charges		3323.7	85			Percent of total billed charges		3139.05	85			Percent of total billed charges		3139.05	85			Percent of total billed charges		3139.05	100			Percent of total billed charges		3693	100			Percent of total billed charges		3693	100			Percent of total billed charges		3693	33.3			Percent of total billed charges		1229.769	33.3			Percent of total billed charges		1229.769	100			Percent of total billed charges		3693	1229.769	3323.7	
syn lcp pl st bend	278	RC	Outpatient			3693	2400.45		90			Percent of total billed charges		3323.7	40			Percent of total billed charges		1477.2	80			Percent of total billed charges		2954.4	90			Percent of total billed charges		3323.7	85			Percent of total billed charges		3139.05	85			Percent of total billed charges		3139.05	85			Percent of total billed charges		3139.05	100			Percent of total billed charges		3693	100			Percent of total billed charges		3693	100			Percent of total billed charges		3693	33.3			Percent of total billed charges		1229.769	33.3			Percent of total billed charges		1229.769	100			Percent of total billed charges		3693	1229.769	3323.7	
scorpio total stabilizer tibial tray sz 5 77-4005 stryker	278	RC	Outpatient			3695	2401.75		90			Percent of total billed charges		3325.5	40			Percent of total billed charges		1478	80			Percent of total billed charges		2956	90			Percent of total billed charges		3325.5	85			Percent of total billed charges		3140.75	85			Percent of total billed charges		3140.75	85			Percent of total billed charges		3140.75	100			Percent of total billed charges		3695	100			Percent of total billed charges		3695	100			Percent of total billed charges		3695	33.3			Percent of total billed charges		1230.435	33.3			Percent of total billed charges		1230.435	100			Percent of total billed charges		3695	1230.435	3325.5	
stryker scorpio tib tray	278	RC	Outpatient			3695	2401.75		90			Percent of total billed charges		3325.5	40			Percent of total billed charges		1478	80			Percent of total billed charges		2956	90			Percent of total billed charges		3325.5	85			Percent of total billed charges		3140.75	85			Percent of total billed charges		3140.75	85			Percent of total billed charges		3140.75	100			Percent of total billed charges		3695	100			Percent of total billed charges		3695	100			Percent of total billed charges		3695	33.3			Percent of total billed charges		1230.435	33.3			Percent of total billed charges		1230.435	100			Percent of total billed charges		3695	1230.435	3325.5	
tissuemend 6 x 6 cm	278	RC	Outpatient			3711	2412.15		90			Percent of total billed charges		3339.9	40			Percent of total billed charges		1484.4	80			Percent of total billed charges		2968.8	90			Percent of total billed charges		3339.9	85			Percent of total billed charges		3154.35	85			Percent of total billed charges		3154.35	85			Percent of total billed charges		3154.35	100			Percent of total billed charges		3711	100			Percent of total billed charges		3711	100			Percent of total billed charges		3711	33.3			Percent of total billed charges		1235.763	33.3			Percent of total billed charges		1235.763	100			Percent of total billed charges		3711	1235.763	3339.9	
tissuemend 6cm x 6cm  6495-9-106 tei	278	RC	Outpatient			3711	2412.15		90			Percent of total billed charges		3339.9	40			Percent of total billed charges		1484.4	80			Percent of total billed charges		2968.8	90			Percent of total billed charges		3339.9	85			Percent of total billed charges		3154.35	85			Percent of total billed charges		3154.35	85			Percent of total billed charges		3154.35	100			Percent of total billed charges		3711	100			Percent of total billed charges		3711	100			Percent of total billed charges		3711	33.3			Percent of total billed charges		1235.763	33.3			Percent of total billed charges		1235.763	100			Percent of total billed charges		3711	1235.763	3339.9	
tissuemend 6cm x 6cm fenestrated 6495-9-116 tei	278	RC	Outpatient			3711	2412.15		90			Percent of total billed charges		3339.9	40			Percent of total billed charges		1484.4	80			Percent of total billed charges		2968.8	90			Percent of total billed charges		3339.9	85			Percent of total billed charges		3154.35	85			Percent of total billed charges		3154.35	85			Percent of total billed charges		3154.35	100			Percent of total billed charges		3711	100			Percent of total billed charges		3711	100			Percent of total billed charges		3711	33.3			Percent of total billed charges		1235.763	33.3			Percent of total billed charges		1235.763	100			Percent of total billed charges		3711	1235.763	3339.9	
vectra-one plate 3 level 51mm  04.613.251 synthes	278	RC	Outpatient			3718	2416.7		90			Percent of total billed charges		3346.2	40			Percent of total billed charges		1487.2	80			Percent of total billed charges		2974.4	90			Percent of total billed charges		3346.2	85			Percent of total billed charges		3160.3	85			Percent of total billed charges		3160.3	85			Percent of total billed charges		3160.3	100			Percent of total billed charges		3718	100			Percent of total billed charges		3718	100			Percent of total billed charges		3718	33.3			Percent of total billed charges		1238.094	33.3			Percent of total billed charges		1238.094	100			Percent of total billed charges		3718	1238.094	3346.2	
vectra-one plate 3 level 60mm  04.613.260 synthes	278	RC	Outpatient			3718	2416.7		90			Percent of total billed charges		3346.2	40			Percent of total billed charges		1487.2	80			Percent of total billed charges		2974.4	90			Percent of total billed charges		3346.2	85			Percent of total billed charges		3160.3	85			Percent of total billed charges		3160.3	85			Percent of total billed charges		3160.3	100			Percent of total billed charges		3718	100			Percent of total billed charges		3718	100			Percent of total billed charges		3718	33.3			Percent of total billed charges		1238.094	33.3			Percent of total billed charges		1238.094	100			Percent of total billed charges		3718	1238.094	3346.2	
vectra plate 3 level	278	RC	Outpatient			3718	2416.7		90			Percent of total billed charges		3346.2	40			Percent of total billed charges		1487.2	80			Percent of total billed charges		2974.4	90			Percent of total billed charges		3346.2	85			Percent of total billed charges		3160.3	85			Percent of total billed charges		3160.3	85			Percent of total billed charges		3160.3	100			Percent of total billed charges		3718	100			Percent of total billed charges		3718	100			Percent of total billed charges		3718	33.3			Percent of total billed charges		1238.094	33.3			Percent of total billed charges		1238.094	100			Percent of total billed charges		3718	1238.094	3346.2	
vectra-one plate 3 level 54mm  04.613.254 synthes	278	RC	Outpatient			3718	2416.7		90			Percent of total billed charges		3346.2	40			Percent of total billed charges		1487.2	80			Percent of total billed charges		2974.4	90			Percent of total billed charges		3346.2	85			Percent of total billed charges		3160.3	85			Percent of total billed charges		3160.3	85			Percent of total billed charges		3160.3	100			Percent of total billed charges		3718	100			Percent of total billed charges		3718	100			Percent of total billed charges		3718	33.3			Percent of total billed charges		1238.094	33.3			Percent of total billed charges		1238.094	100			Percent of total billed charges		3718	1238.094	3346.2	
reflection  3 hole shell 44mm 71336444 s/n	278	RC	Outpatient			3720	2418		90			Percent of total billed charges		3348	40			Percent of total billed charges		1488	80			Percent of total billed charges		2976	90			Percent of total billed charges		3348	85			Percent of total billed charges		3162	85			Percent of total billed charges		3162	85			Percent of total billed charges		3162	100			Percent of total billed charges		3720	100			Percent of total billed charges		3720	100			Percent of total billed charges		3720	33.3			Percent of total billed charges		1238.76	33.3			Percent of total billed charges		1238.76	100			Percent of total billed charges		3720	1238.76	3348	
reflection  3 hole shell 60mm 71336460 s/n	278	RC	Outpatient			3720	2418		90			Percent of total billed charges		3348	40			Percent of total billed charges		1488	80			Percent of total billed charges		2976	90			Percent of total billed charges		3348	85			Percent of total billed charges		3162	85			Percent of total billed charges		3162	85			Percent of total billed charges		3162	100			Percent of total billed charges		3720	100			Percent of total billed charges		3720	100			Percent of total billed charges		3720	33.3			Percent of total billed charges		1238.76	33.3			Percent of total billed charges		1238.76	100			Percent of total billed charges		3720	1238.76	3348	
reflection  3 hole shell 68mm 71336468 s/n	278	RC	Outpatient			3720	2418		90			Percent of total billed charges		3348	40			Percent of total billed charges		1488	80			Percent of total billed charges		2976	90			Percent of total billed charges		3348	85			Percent of total billed charges		3162	85			Percent of total billed charges		3162	85			Percent of total billed charges		3162	100			Percent of total billed charges		3720	100			Percent of total billed charges		3720	100			Percent of total billed charges		3720	33.3			Percent of total billed charges		1238.76	33.3			Percent of total billed charges		1238.76	100			Percent of total billed charges		3720	1238.76	3348	
reflection 3 hole shell 46mm 71336446 s/n	278	RC	Outpatient			3720	2418		90			Percent of total billed charges		3348	40			Percent of total billed charges		1488	80			Percent of total billed charges		2976	90			Percent of total billed charges		3348	85			Percent of total billed charges		3162	85			Percent of total billed charges		3162	85			Percent of total billed charges		3162	100			Percent of total billed charges		3720	100			Percent of total billed charges		3720	100			Percent of total billed charges		3720	33.3			Percent of total billed charges		1238.76	33.3			Percent of total billed charges		1238.76	100			Percent of total billed charges		3720	1238.76	3348	
reflection 3 hole shell 54mm 71336454 s/n	278	RC	Outpatient			3720	2418		90			Percent of total billed charges		3348	40			Percent of total billed charges		1488	80			Percent of total billed charges		2976	90			Percent of total billed charges		3348	85			Percent of total billed charges		3162	85			Percent of total billed charges		3162	85			Percent of total billed charges		3162	100			Percent of total billed charges		3720	100			Percent of total billed charges		3720	100			Percent of total billed charges		3720	33.3			Percent of total billed charges		1238.76	33.3			Percent of total billed charges		1238.76	100			Percent of total billed charges		3720	1238.76	3348	
reflection 3 hole shell 58mm 71336458 s/n	278	RC	Outpatient			3720	2418		90			Percent of total billed charges		3348	40			Percent of total billed charges		1488	80			Percent of total billed charges		2976	90			Percent of total billed charges		3348	85			Percent of total billed charges		3162	85			Percent of total billed charges		3162	85			Percent of total billed charges		3162	100			Percent of total billed charges		3720	100			Percent of total billed charges		3720	100			Percent of total billed charges		3720	33.3			Percent of total billed charges		1238.76	33.3			Percent of total billed charges		1238.76	100			Percent of total billed charges		3720	1238.76	3348	
reflection sp3 3 hole shell 42mm 71336442 s/n	278	RC	Outpatient			3720	2418		90			Percent of total billed charges		3348	40			Percent of total billed charges		1488	80			Percent of total billed charges		2976	90			Percent of total billed charges		3348	85			Percent of total billed charges		3162	85			Percent of total billed charges		3162	85			Percent of total billed charges		3162	100			Percent of total billed charges		3720	100			Percent of total billed charges		3720	100			Percent of total billed charges		3720	33.3			Percent of total billed charges		1238.76	33.3			Percent of total billed charges		1238.76	100			Percent of total billed charges		3720	1238.76	3348	
reflection  3 hole shell 64mm 71336464 s/n	278	RC	Outpatient			3720	2418		90			Percent of total billed charges		3348	40			Percent of total billed charges		1488	80			Percent of total billed charges		2976	90			Percent of total billed charges		3348	85			Percent of total billed charges		3162	85			Percent of total billed charges		3162	85			Percent of total billed charges		3162	100			Percent of total billed charges		3720	100			Percent of total billed charges		3720	100			Percent of total billed charges		3720	33.3			Percent of total billed charges		1238.76	33.3			Percent of total billed charges		1238.76	100			Percent of total billed charges		3720	1238.76	3348	
reflection  3 hole shell 66mm 71336466 s/n	278	RC	Outpatient			3720	2418		90			Percent of total billed charges		3348	40			Percent of total billed charges		1488	80			Percent of total billed charges		2976	90			Percent of total billed charges		3348	85			Percent of total billed charges		3162	85			Percent of total billed charges		3162	85			Percent of total billed charges		3162	100			Percent of total billed charges		3720	100			Percent of total billed charges		3720	100			Percent of total billed charges		3720	33.3			Percent of total billed charges		1238.76	33.3			Percent of total billed charges		1238.76	100			Percent of total billed charges		3720	1238.76	3348	
reflection 3 hole shell 48mm 71336448 s/n	278	RC	Outpatient			3720	2418		90			Percent of total billed charges		3348	40			Percent of total billed charges		1488	80			Percent of total billed charges		2976	90			Percent of total billed charges		3348	85			Percent of total billed charges		3162	85			Percent of total billed charges		3162	85			Percent of total billed charges		3162	100			Percent of total billed charges		3720	100			Percent of total billed charges		3720	100			Percent of total billed charges		3720	33.3			Percent of total billed charges		1238.76	33.3			Percent of total billed charges		1238.76	100			Percent of total billed charges		3720	1238.76	3348	
reflection 3 hole shell 50mm 71336450 s/n	278	RC	Outpatient			3720	2418		90			Percent of total billed charges		3348	40			Percent of total billed charges		1488	80			Percent of total billed charges		2976	90			Percent of total billed charges		3348	85			Percent of total billed charges		3162	85			Percent of total billed charges		3162	85			Percent of total billed charges		3162	100			Percent of total billed charges		3720	100			Percent of total billed charges		3720	100			Percent of total billed charges		3720	33.3			Percent of total billed charges		1238.76	33.3			Percent of total billed charges		1238.76	100			Percent of total billed charges		3720	1238.76	3348	
reflection 3 hole shell 52mm 71336452 s/n	278	RC	Outpatient			3720	2418		90			Percent of total billed charges		3348	40			Percent of total billed charges		1488	80			Percent of total billed charges		2976	90			Percent of total billed charges		3348	85			Percent of total billed charges		3162	85			Percent of total billed charges		3162	85			Percent of total billed charges		3162	100			Percent of total billed charges		3720	100			Percent of total billed charges		3720	100			Percent of total billed charges		3720	33.3			Percent of total billed charges		1238.76	33.3			Percent of total billed charges		1238.76	100			Percent of total billed charges		3720	1238.76	3348	
reflection 3 hole shell 56mm 71336456 s/n	278	RC	Outpatient			3720	2418		90			Percent of total billed charges		3348	40			Percent of total billed charges		1488	80			Percent of total billed charges		2976	90			Percent of total billed charges		3348	85			Percent of total billed charges		3162	85			Percent of total billed charges		3162	85			Percent of total billed charges		3162	100			Percent of total billed charges		3720	100			Percent of total billed charges		3720	100			Percent of total billed charges		3720	33.3			Percent of total billed charges		1238.76	33.3			Percent of total billed charges		1238.76	100			Percent of total billed charges		3720	1238.76	3348	
reflection 3 hole shell 62mm 71336462 s/n	278	RC	Outpatient			3720	2418		90			Percent of total billed charges		3348	40			Percent of total billed charges		1488	80			Percent of total billed charges		2976	90			Percent of total billed charges		3348	85			Percent of total billed charges		3162	85			Percent of total billed charges		3162	85			Percent of total billed charges		3162	100			Percent of total billed charges		3720	100			Percent of total billed charges		3720	100			Percent of total billed charges		3720	33.3			Percent of total billed charges		1238.76	33.3			Percent of total billed charges		1238.76	100			Percent of total billed charges		3720	1238.76	3348	
richards reflection cup	278	RC	Outpatient			3720	2418		90			Percent of total billed charges		3348	40			Percent of total billed charges		1488	80			Percent of total billed charges		2976	90			Percent of total billed charges		3348	85			Percent of total billed charges		3162	85			Percent of total billed charges		3162	85			Percent of total billed charges		3162	100			Percent of total billed charges		3720	100			Percent of total billed charges		3720	100			Percent of total billed charges		3720	33.3			Percent of total billed charges		1238.76	33.3			Percent of total billed charges		1238.76	100			Percent of total billed charges		3720	1238.76	3348	
bio constrained liner	278	RC	Outpatient			3723	2419.95		90			Percent of total billed charges		3350.7	40			Percent of total billed charges		1489.2	80			Percent of total billed charges		2978.4	90			Percent of total billed charges		3350.7	85			Percent of total billed charges		3164.55	85			Percent of total billed charges		3164.55	85			Percent of total billed charges		3164.55	100			Percent of total billed charges		3723	100			Percent of total billed charges		3723	100			Percent of total billed charges		3723	33.3			Percent of total billed charges		1239.759	33.3			Percent of total billed charges		1239.759	100			Percent of total billed charges		3723	1239.759	3350.7	
l-p tib lk plate4.5mm 10-hole 201mm 71800210 s/n	278	RC	Outpatient			3724	2420.6		90			Percent of total billed charges		3351.6	40			Percent of total billed charges		1489.6	80			Percent of total billed charges		2979.2	90			Percent of total billed charges		3351.6	85			Percent of total billed charges		3165.4	85			Percent of total billed charges		3165.4	85			Percent of total billed charges		3165.4	100			Percent of total billed charges		3724	100			Percent of total billed charges		3724	100			Percent of total billed charges		3724	33.3			Percent of total billed charges		1240.092	33.3			Percent of total billed charges		1240.092	100			Percent of total billed charges		3724	1240.092	3351.6	
l-p tib lk plate4.5mm 10-hole 201mm 71800310 s/n	278	RC	Outpatient			3724	2420.6		90			Percent of total billed charges		3351.6	40			Percent of total billed charges		1489.6	80			Percent of total billed charges		2979.2	90			Percent of total billed charges		3351.6	85			Percent of total billed charges		3165.4	85			Percent of total billed charges		3165.4	85			Percent of total billed charges		3165.4	100			Percent of total billed charges		3724	100			Percent of total billed charges		3724	100			Percent of total billed charges		3724	33.3			Percent of total billed charges		1240.092	33.3			Percent of total billed charges		1240.092	100			Percent of total billed charges		3724	1240.092	3351.6	
l-p tib plt 4.5mm 10 hl 71820210 s\n	278	RC	Outpatient			3724	2420.6		90			Percent of total billed charges		3351.6	40			Percent of total billed charges		1489.6	80			Percent of total billed charges		2979.2	90			Percent of total billed charges		3351.6	85			Percent of total billed charges		3165.4	85			Percent of total billed charges		3165.4	85			Percent of total billed charges		3165.4	100			Percent of total billed charges		3724	100			Percent of total billed charges		3724	100			Percent of total billed charges		3724	33.3			Percent of total billed charges		1240.092	33.3			Percent of total billed charges		1240.092	100			Percent of total billed charges		3724	1240.092	3351.6	
l-p tib plt 4.5mm 10 hr 71820310 s\n	278	RC	Outpatient			3724	2420.6		90			Percent of total billed charges		3351.6	40			Percent of total billed charges		1489.6	80			Percent of total billed charges		2979.2	90			Percent of total billed charges		3351.6	85			Percent of total billed charges		3165.4	85			Percent of total billed charges		3165.4	85			Percent of total billed charges		3165.4	100			Percent of total billed charges		3724	100			Percent of total billed charges		3724	100			Percent of total billed charges		3724	33.3			Percent of total billed charges		1240.092	33.3			Percent of total billed charges		1240.092	100			Percent of total billed charges		3724	1240.092	3351.6	
s/n 4.5 l-p tib lk pl10hl	278	RC	Outpatient			3724	2420.6		90			Percent of total billed charges		3351.6	40			Percent of total billed charges		1489.6	80			Percent of total billed charges		2979.2	90			Percent of total billed charges		3351.6	85			Percent of total billed charges		3165.4	85			Percent of total billed charges		3165.4	85			Percent of total billed charges		3165.4	100			Percent of total billed charges		3724	100			Percent of total billed charges		3724	100			Percent of total billed charges		3724	33.3			Percent of total billed charges		1240.092	33.3			Percent of total billed charges		1240.092	100			Percent of total billed charges		3724	1240.092	3351.6	
trigen  nail 13 mm x 40 cm 7163-5440 s/n	278	RC	Outpatient			3749	2436.85		90			Percent of total billed charges		3374.1	40			Percent of total billed charges		1499.6	80			Percent of total billed charges		2999.2	90			Percent of total billed charges		3374.1	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	33.3			Percent of total billed charges		1248.417	33.3			Percent of total billed charges		1248.417	100			Percent of total billed charges		3749	1248.417	3374.1	
trigen femoral  nail 10 mm x 30 cm 7163-5230 s/n	278	RC	Outpatient			3749	2436.85		90			Percent of total billed charges		3374.1	40			Percent of total billed charges		1499.6	80			Percent of total billed charges		2999.2	90			Percent of total billed charges		3374.1	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	33.3			Percent of total billed charges		1248.417	33.3			Percent of total billed charges		1248.417	100			Percent of total billed charges		3749	1248.417	3374.1	
trigen femoral  nail 10 mm x 32 cm 7163-4232 s/n	278	RC	Outpatient			3749	2436.85		90			Percent of total billed charges		3374.1	40			Percent of total billed charges		1499.6	80			Percent of total billed charges		2999.2	90			Percent of total billed charges		3374.1	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	33.3			Percent of total billed charges		1248.417	33.3			Percent of total billed charges		1248.417	100			Percent of total billed charges		3749	1248.417	3374.1	
trigen femoral  nail 10 mm x 32 cm 7163-5232 s/n	278	RC	Outpatient			3749	2436.85		90			Percent of total billed charges		3374.1	40			Percent of total billed charges		1499.6	80			Percent of total billed charges		2999.2	90			Percent of total billed charges		3374.1	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	33.3			Percent of total billed charges		1248.417	33.3			Percent of total billed charges		1248.417	100			Percent of total billed charges		3749	1248.417	3374.1	
trigen femoral  nail 10 mm x 36 cm 7163-4236 s/n	278	RC	Outpatient			3749	2436.85		90			Percent of total billed charges		3374.1	40			Percent of total billed charges		1499.6	80			Percent of total billed charges		2999.2	90			Percent of total billed charges		3374.1	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	33.3			Percent of total billed charges		1248.417	33.3			Percent of total billed charges		1248.417	100			Percent of total billed charges		3749	1248.417	3374.1	
trigen femoral  nail 10 mm x 36 cm 7163-5236 s/n	278	RC	Outpatient			3749	2436.85		90			Percent of total billed charges		3374.1	40			Percent of total billed charges		1499.6	80			Percent of total billed charges		2999.2	90			Percent of total billed charges		3374.1	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	33.3			Percent of total billed charges		1248.417	33.3			Percent of total billed charges		1248.417	100			Percent of total billed charges		3749	1248.417	3374.1	
trigen femoral  nail 10 mm x 40 cm 7163-5240 s/n	278	RC	Outpatient			3749	2436.85		90			Percent of total billed charges		3374.1	40			Percent of total billed charges		1499.6	80			Percent of total billed charges		2999.2	90			Percent of total billed charges		3374.1	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	33.3			Percent of total billed charges		1248.417	33.3			Percent of total billed charges		1248.417	100			Percent of total billed charges		3749	1248.417	3374.1	
trigen femoral  nail 10 mm x 42 cm 7163-4242 s/n	278	RC	Outpatient			3749	2436.85		90			Percent of total billed charges		3374.1	40			Percent of total billed charges		1499.6	80			Percent of total billed charges		2999.2	90			Percent of total billed charges		3374.1	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	33.3			Percent of total billed charges		1248.417	33.3			Percent of total billed charges		1248.417	100			Percent of total billed charges		3749	1248.417	3374.1	
trigen femoral  nail 10 mm x 44 cm 7163-5244 s/n	278	RC	Outpatient			3749	2436.85		90			Percent of total billed charges		3374.1	40			Percent of total billed charges		1499.6	80			Percent of total billed charges		2999.2	90			Percent of total billed charges		3374.1	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	33.3			Percent of total billed charges		1248.417	33.3			Percent of total billed charges		1248.417	100			Percent of total billed charges		3749	1248.417	3374.1	
trigen femoral  nail 10 mm x 46 cm 7163-4246 s/n	278	RC	Outpatient			3749	2436.85		90			Percent of total billed charges		3374.1	40			Percent of total billed charges		1499.6	80			Percent of total billed charges		2999.2	90			Percent of total billed charges		3374.1	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	33.3			Percent of total billed charges		1248.417	33.3			Percent of total billed charges		1248.417	100			Percent of total billed charges		3749	1248.417	3374.1	
trigen femoral  nail 10 mm x 46 cm 7163-5246 s/n	278	RC	Outpatient			3749	2436.85		90			Percent of total billed charges		3374.1	40			Percent of total billed charges		1499.6	80			Percent of total billed charges		2999.2	90			Percent of total billed charges		3374.1	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	33.3			Percent of total billed charges		1248.417	33.3			Percent of total billed charges		1248.417	100			Percent of total billed charges		3749	1248.417	3374.1	
trigen femoral  nail 10 mm x 48 cm 7163-4248 s/n	278	RC	Outpatient			3749	2436.85		90			Percent of total billed charges		3374.1	40			Percent of total billed charges		1499.6	80			Percent of total billed charges		2999.2	90			Percent of total billed charges		3374.1	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	33.3			Percent of total billed charges		1248.417	33.3			Percent of total billed charges		1248.417	100			Percent of total billed charges		3749	1248.417	3374.1	
trigen femoral  nail 11.5 mm x 32 cm 7163-5332 s/n	278	RC	Outpatient			3749	2436.85		90			Percent of total billed charges		3374.1	40			Percent of total billed charges		1499.6	80			Percent of total billed charges		2999.2	90			Percent of total billed charges		3374.1	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	33.3			Percent of total billed charges		1248.417	33.3			Percent of total billed charges		1248.417	100			Percent of total billed charges		3749	1248.417	3374.1	
trigen femoral  nail 11.5 mm x 34 cm 7163-4334 s/n	278	RC	Outpatient			3749	2436.85		90			Percent of total billed charges		3374.1	40			Percent of total billed charges		1499.6	80			Percent of total billed charges		2999.2	90			Percent of total billed charges		3374.1	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	33.3			Percent of total billed charges		1248.417	33.3			Percent of total billed charges		1248.417	100			Percent of total billed charges		3749	1248.417	3374.1	
trigen femoral  nail 11.5 mm x 36 cm 7163-4336 s/n	278	RC	Outpatient			3749	2436.85		90			Percent of total billed charges		3374.1	40			Percent of total billed charges		1499.6	80			Percent of total billed charges		2999.2	90			Percent of total billed charges		3374.1	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	33.3			Percent of total billed charges		1248.417	33.3			Percent of total billed charges		1248.417	100			Percent of total billed charges		3749	1248.417	3374.1	
trigen femoral  nail 11.5 mm x 36 cm 7163-5336 s/n	278	RC	Outpatient			3749	2436.85		90			Percent of total billed charges		3374.1	40			Percent of total billed charges		1499.6	80			Percent of total billed charges		2999.2	90			Percent of total billed charges		3374.1	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	33.3			Percent of total billed charges		1248.417	33.3			Percent of total billed charges		1248.417	100			Percent of total billed charges		3749	1248.417	3374.1	
trigen femoral  nail 11.5 mm x 38 cm 7163-5338 s/n	278	RC	Outpatient			3749	2436.85		90			Percent of total billed charges		3374.1	40			Percent of total billed charges		1499.6	80			Percent of total billed charges		2999.2	90			Percent of total billed charges		3374.1	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	33.3			Percent of total billed charges		1248.417	33.3			Percent of total billed charges		1248.417	100			Percent of total billed charges		3749	1248.417	3374.1	
trigen femoral  nail 11.5 mm x 40 cm 7163-4340 s/n	278	RC	Outpatient			3749	2436.85		90			Percent of total billed charges		3374.1	40			Percent of total billed charges		1499.6	80			Percent of total billed charges		2999.2	90			Percent of total billed charges		3374.1	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	33.3			Percent of total billed charges		1248.417	33.3			Percent of total billed charges		1248.417	100			Percent of total billed charges		3749	1248.417	3374.1	
trigen femoral  nail 11.5 mm x 40 cm 7163-5340 s/n	278	RC	Outpatient			3749	2436.85		90			Percent of total billed charges		3374.1	40			Percent of total billed charges		1499.6	80			Percent of total billed charges		2999.2	90			Percent of total billed charges		3374.1	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	33.3			Percent of total billed charges		1248.417	33.3			Percent of total billed charges		1248.417	100			Percent of total billed charges		3749	1248.417	3374.1	
trigen femoral  nail 11.5 mm x 42 cm 7163-5342 s/n	278	RC	Outpatient			3749	2436.85		90			Percent of total billed charges		3374.1	40			Percent of total billed charges		1499.6	80			Percent of total billed charges		2999.2	90			Percent of total billed charges		3374.1	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	33.3			Percent of total billed charges		1248.417	33.3			Percent of total billed charges		1248.417	100			Percent of total billed charges		3749	1248.417	3374.1	
trigen femoral  nail 11.5 mm x 44 cm 7163-4344 s/n	278	RC	Outpatient			3749	2436.85		90			Percent of total billed charges		3374.1	40			Percent of total billed charges		1499.6	80			Percent of total billed charges		2999.2	90			Percent of total billed charges		3374.1	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	33.3			Percent of total billed charges		1248.417	33.3			Percent of total billed charges		1248.417	100			Percent of total billed charges		3749	1248.417	3374.1	
trigen femoral  nail 11.5 mm x 46 cm 7163-4346  s/n	278	RC	Outpatient			3749	2436.85		90			Percent of total billed charges		3374.1	40			Percent of total billed charges		1499.6	80			Percent of total billed charges		2999.2	90			Percent of total billed charges		3374.1	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	33.3			Percent of total billed charges		1248.417	33.3			Percent of total billed charges		1248.417	100			Percent of total billed charges		3749	1248.417	3374.1	
trigen femoral  nail 11.5 mm x 48 cm 7163-4348  s/n	278	RC	Outpatient			3749	2436.85		90			Percent of total billed charges		3374.1	40			Percent of total billed charges		1499.6	80			Percent of total billed charges		2999.2	90			Percent of total billed charges		3374.1	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	33.3			Percent of total billed charges		1248.417	33.3			Percent of total billed charges		1248.417	100			Percent of total billed charges		3749	1248.417	3374.1	
trigen femoral  nail 11.5 mm x 50 cm 7163-4350 s/n	278	RC	Outpatient			3749	2436.85		90			Percent of total billed charges		3374.1	40			Percent of total billed charges		1499.6	80			Percent of total billed charges		2999.2	90			Percent of total billed charges		3374.1	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	33.3			Percent of total billed charges		1248.417	33.3			Percent of total billed charges		1248.417	100			Percent of total billed charges		3749	1248.417	3374.1	
trigen femoral  nail 13 mm x 30 cm 7163-4430 s/n	278	RC	Outpatient			3749	2436.85		90			Percent of total billed charges		3374.1	40			Percent of total billed charges		1499.6	80			Percent of total billed charges		2999.2	90			Percent of total billed charges		3374.1	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	33.3			Percent of total billed charges		1248.417	33.3			Percent of total billed charges		1248.417	100			Percent of total billed charges		3749	1248.417	3374.1	
trigen femoral  nail 13 mm x 32 cm 7163-4432 s/n	278	RC	Outpatient			3749	2436.85		90			Percent of total billed charges		3374.1	40			Percent of total billed charges		1499.6	80			Percent of total billed charges		2999.2	90			Percent of total billed charges		3374.1	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	33.3			Percent of total billed charges		1248.417	33.3			Percent of total billed charges		1248.417	100			Percent of total billed charges		3749	1248.417	3374.1	
trigen femoral  nail 13 mm x 36 cm 7163-4436 s/n	278	RC	Outpatient			3749	2436.85		90			Percent of total billed charges		3374.1	40			Percent of total billed charges		1499.6	80			Percent of total billed charges		2999.2	90			Percent of total billed charges		3374.1	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	33.3			Percent of total billed charges		1248.417	33.3			Percent of total billed charges		1248.417	100			Percent of total billed charges		3749	1248.417	3374.1	
trigen femoral  nail 13 mm x 38 cm 7163-4438 s/n	278	RC	Outpatient			3749	2436.85		90			Percent of total billed charges		3374.1	40			Percent of total billed charges		1499.6	80			Percent of total billed charges		2999.2	90			Percent of total billed charges		3374.1	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	33.3			Percent of total billed charges		1248.417	33.3			Percent of total billed charges		1248.417	100			Percent of total billed charges		3749	1248.417	3374.1	
trigen femoral  nail 13 mm x 42 cm 7163-4442 s/n	278	RC	Outpatient			3749	2436.85		90			Percent of total billed charges		3374.1	40			Percent of total billed charges		1499.6	80			Percent of total billed charges		2999.2	90			Percent of total billed charges		3374.1	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	33.3			Percent of total billed charges		1248.417	33.3			Percent of total billed charges		1248.417	100			Percent of total billed charges		3749	1248.417	3374.1	
trigen femoral  nail 13 mm x 44 cm 7163-4444 s/n	278	RC	Outpatient			3749	2436.85		90			Percent of total billed charges		3374.1	40			Percent of total billed charges		1499.6	80			Percent of total billed charges		2999.2	90			Percent of total billed charges		3374.1	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	33.3			Percent of total billed charges		1248.417	33.3			Percent of total billed charges		1248.417	100			Percent of total billed charges		3749	1248.417	3374.1	
trigen femoral  nail 13 mm x 48 cm 7163-5448 s/n	278	RC	Outpatient			3749	2436.85		90			Percent of total billed charges		3374.1	40			Percent of total billed charges		1499.6	80			Percent of total billed charges		2999.2	90			Percent of total billed charges		3374.1	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	33.3			Percent of total billed charges		1248.417	33.3			Percent of total billed charges		1248.417	100			Percent of total billed charges		3749	1248.417	3374.1	
trigen femoral  nail 13 mm x 50 cm 7163-4450 s/n	278	RC	Outpatient			3749	2436.85		90			Percent of total billed charges		3374.1	40			Percent of total billed charges		1499.6	80			Percent of total billed charges		2999.2	90			Percent of total billed charges		3374.1	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	33.3			Percent of total billed charges		1248.417	33.3			Percent of total billed charges		1248.417	100			Percent of total billed charges		3749	1248.417	3374.1	
trigen femoral  nail 13 mm x 50 cm 7163-5450 s/n	278	RC	Outpatient			3749	2436.85		90			Percent of total billed charges		3374.1	40			Percent of total billed charges		1499.6	80			Percent of total billed charges		2999.2	90			Percent of total billed charges		3374.1	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	33.3			Percent of total billed charges		1248.417	33.3			Percent of total billed charges		1248.417	100			Percent of total billed charges		3749	1248.417	3374.1	
trigen femoral nail 10 mm x 38 cm 7163-4238 s/n	278	RC	Outpatient			3749	2436.85		90			Percent of total billed charges		3374.1	40			Percent of total billed charges		1499.6	80			Percent of total billed charges		2999.2	90			Percent of total billed charges		3374.1	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	33.3			Percent of total billed charges		1248.417	33.3			Percent of total billed charges		1248.417	100			Percent of total billed charges		3749	1248.417	3374.1	
trigen femoral nail 10 mm x 50 cm 7163-4250 s/n	278	RC	Outpatient			3749	2436.85		90			Percent of total billed charges		3374.1	40			Percent of total billed charges		1499.6	80			Percent of total billed charges		2999.2	90			Percent of total billed charges		3374.1	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	33.3			Percent of total billed charges		1248.417	33.3			Percent of total billed charges		1248.417	100			Percent of total billed charges		3749	1248.417	3374.1	
trigen femoral nail 11.5 mm x 32 cm 7163-4230 s/n	278	RC	Outpatient			3749	2436.85		90			Percent of total billed charges		3374.1	40			Percent of total billed charges		1499.6	80			Percent of total billed charges		2999.2	90			Percent of total billed charges		3374.1	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	33.3			Percent of total billed charges		1248.417	33.3			Percent of total billed charges		1248.417	100			Percent of total billed charges		3749	1248.417	3374.1	
trigen femoral nail 11.5 mm x 46 cm 7163-5346 s/n	278	RC	Outpatient			3749	2436.85		90			Percent of total billed charges		3374.1	40			Percent of total billed charges		1499.6	80			Percent of total billed charges		2999.2	90			Percent of total billed charges		3374.1	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	33.3			Percent of total billed charges		1248.417	33.3			Percent of total billed charges		1248.417	100			Percent of total billed charges		3749	1248.417	3374.1	
trigen femoral nail 11.5 mm x 50 cm 7163-5350 s/n	278	RC	Outpatient			3749	2436.85		90			Percent of total billed charges		3374.1	40			Percent of total billed charges		1499.6	80			Percent of total billed charges		2999.2	90			Percent of total billed charges		3374.1	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	33.3			Percent of total billed charges		1248.417	33.3			Percent of total billed charges		1248.417	100			Percent of total billed charges		3749	1248.417	3374.1	
trigen femoral nail 13 mm x 38 cm 7163-5438 s/n	278	RC	Outpatient			3749	2436.85		90			Percent of total billed charges		3374.1	40			Percent of total billed charges		1499.6	80			Percent of total billed charges		2999.2	90			Percent of total billed charges		3374.1	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	33.3			Percent of total billed charges		1248.417	33.3			Percent of total billed charges		1248.417	100			Percent of total billed charges		3749	1248.417	3374.1	
trigen femoral nail 13 mm x 46 cm 7163-4446 s/n	278	RC	Outpatient			3749	2436.85		90			Percent of total billed charges		3374.1	40			Percent of total billed charges		1499.6	80			Percent of total billed charges		2999.2	90			Percent of total billed charges		3374.1	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	33.3			Percent of total billed charges		1248.417	33.3			Percent of total billed charges		1248.417	100			Percent of total billed charges		3749	1248.417	3374.1	
trigen femoral nail 13 mm x 46 cm 7163-5446 s/n	278	RC	Outpatient			3749	2436.85		90			Percent of total billed charges		3374.1	40			Percent of total billed charges		1499.6	80			Percent of total billed charges		2999.2	90			Percent of total billed charges		3374.1	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	33.3			Percent of total billed charges		1248.417	33.3			Percent of total billed charges		1248.417	100			Percent of total billed charges		3749	1248.417	3374.1	
trigen  im nail 10 mm x 42 cm 7163-5242 s/n	278	RC	Outpatient			3749	2436.85		90			Percent of total billed charges		3374.1	40			Percent of total billed charges		1499.6	80			Percent of total billed charges		2999.2	90			Percent of total billed charges		3374.1	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	33.3			Percent of total billed charges		1248.417	33.3			Percent of total billed charges		1248.417	100			Percent of total billed charges		3749	1248.417	3374.1	
trigen fan nail	278	RC	Outpatient			3749	2436.85		90			Percent of total billed charges		3374.1	40			Percent of total billed charges		1499.6	80			Percent of total billed charges		2999.2	90			Percent of total billed charges		3374.1	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	33.3			Percent of total billed charges		1248.417	33.3			Percent of total billed charges		1248.417	100			Percent of total billed charges		3749	1248.417	3374.1	
trigen femoral  nail 10 mm x 34 cm 7163-4234 s/n	278	RC	Outpatient			3749	2436.85		90			Percent of total billed charges		3374.1	40			Percent of total billed charges		1499.6	80			Percent of total billed charges		2999.2	90			Percent of total billed charges		3374.1	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	33.3			Percent of total billed charges		1248.417	33.3			Percent of total billed charges		1248.417	100			Percent of total billed charges		3749	1248.417	3374.1	
trigen femoral  nail 10 mm x 34 cm 7163-5234 s/n	278	RC	Outpatient			3749	2436.85		90			Percent of total billed charges		3374.1	40			Percent of total billed charges		1499.6	80			Percent of total billed charges		2999.2	90			Percent of total billed charges		3374.1	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	33.3			Percent of total billed charges		1248.417	33.3			Percent of total billed charges		1248.417	100			Percent of total billed charges		3749	1248.417	3374.1	
trigen femoral  nail 10 mm x 40 cm 7163-4240 s/n	278	RC	Outpatient			3749	2436.85		90			Percent of total billed charges		3374.1	40			Percent of total billed charges		1499.6	80			Percent of total billed charges		2999.2	90			Percent of total billed charges		3374.1	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	33.3			Percent of total billed charges		1248.417	33.3			Percent of total billed charges		1248.417	100			Percent of total billed charges		3749	1248.417	3374.1	
trigen femoral  nail 10 mm x 44 cm 7163-4244 s/n	278	RC	Outpatient			3749	2436.85		90			Percent of total billed charges		3374.1	40			Percent of total billed charges		1499.6	80			Percent of total billed charges		2999.2	90			Percent of total billed charges		3374.1	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	33.3			Percent of total billed charges		1248.417	33.3			Percent of total billed charges		1248.417	100			Percent of total billed charges		3749	1248.417	3374.1	
trigen femoral  nail 10 mm x 50 cm 7163-5250 s/n	278	RC	Outpatient			3749	2436.85		90			Percent of total billed charges		3374.1	40			Percent of total billed charges		1499.6	80			Percent of total billed charges		2999.2	90			Percent of total billed charges		3374.1	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	33.3			Percent of total billed charges		1248.417	33.3			Percent of total billed charges		1248.417	100			Percent of total billed charges		3749	1248.417	3374.1	
trigen femoral  nail 11.5 mm x 38 cm 7163-4338 s/n	278	RC	Outpatient			3749	2436.85		90			Percent of total billed charges		3374.1	40			Percent of total billed charges		1499.6	80			Percent of total billed charges		2999.2	90			Percent of total billed charges		3374.1	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	33.3			Percent of total billed charges		1248.417	33.3			Percent of total billed charges		1248.417	100			Percent of total billed charges		3749	1248.417	3374.1	
trigen femoral  nail 11.5 mm x 42 cm 7163-4342 s/n	278	RC	Outpatient			3749	2436.85		90			Percent of total billed charges		3374.1	40			Percent of total billed charges		1499.6	80			Percent of total billed charges		2999.2	90			Percent of total billed charges		3374.1	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	33.3			Percent of total billed charges		1248.417	33.3			Percent of total billed charges		1248.417	100			Percent of total billed charges		3749	1248.417	3374.1	
trigen femoral  nail 11.5 mm x 44 cm 7163-5344 s/n	278	RC	Outpatient			3749	2436.85		90			Percent of total billed charges		3374.1	40			Percent of total billed charges		1499.6	80			Percent of total billed charges		2999.2	90			Percent of total billed charges		3374.1	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	33.3			Percent of total billed charges		1248.417	33.3			Percent of total billed charges		1248.417	100			Percent of total billed charges		3749	1248.417	3374.1	
trigen femoral  nail 13 mm x 30 cm 7163-5430 s/n	278	RC	Outpatient			3749	2436.85		90			Percent of total billed charges		3374.1	40			Percent of total billed charges		1499.6	80			Percent of total billed charges		2999.2	90			Percent of total billed charges		3374.1	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	33.3			Percent of total billed charges		1248.417	33.3			Percent of total billed charges		1248.417	100			Percent of total billed charges		3749	1248.417	3374.1	
trigen femoral  nail 13 mm x 32 cm 7163-5432 s/n	278	RC	Outpatient			3749	2436.85		90			Percent of total billed charges		3374.1	40			Percent of total billed charges		1499.6	80			Percent of total billed charges		2999.2	90			Percent of total billed charges		3374.1	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	33.3			Percent of total billed charges		1248.417	33.3			Percent of total billed charges		1248.417	100			Percent of total billed charges		3749	1248.417	3374.1	
trigen femoral  nail 13 mm x 34 cm 7163-4434 s/n	278	RC	Outpatient			3749	2436.85		90			Percent of total billed charges		3374.1	40			Percent of total billed charges		1499.6	80			Percent of total billed charges		2999.2	90			Percent of total billed charges		3374.1	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	33.3			Percent of total billed charges		1248.417	33.3			Percent of total billed charges		1248.417	100			Percent of total billed charges		3749	1248.417	3374.1	
trigen femoral  nail 13 mm x 34 cm 7163-5434 s/n	278	RC	Outpatient			3749	2436.85		90			Percent of total billed charges		3374.1	40			Percent of total billed charges		1499.6	80			Percent of total billed charges		2999.2	90			Percent of total billed charges		3374.1	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	33.3			Percent of total billed charges		1248.417	33.3			Percent of total billed charges		1248.417	100			Percent of total billed charges		3749	1248.417	3374.1	
trigen femoral  nail 13 mm x 36 cm 7163-5436 s/n	278	RC	Outpatient			3749	2436.85		90			Percent of total billed charges		3374.1	40			Percent of total billed charges		1499.6	80			Percent of total billed charges		2999.2	90			Percent of total billed charges		3374.1	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	33.3			Percent of total billed charges		1248.417	33.3			Percent of total billed charges		1248.417	100			Percent of total billed charges		3749	1248.417	3374.1	
trigen femoral  nail 13 mm x 40 cm 7163-4440 s/n	278	RC	Outpatient			3749	2436.85		90			Percent of total billed charges		3374.1	40			Percent of total billed charges		1499.6	80			Percent of total billed charges		2999.2	90			Percent of total billed charges		3374.1	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	33.3			Percent of total billed charges		1248.417	33.3			Percent of total billed charges		1248.417	100			Percent of total billed charges		3749	1248.417	3374.1	
trigen femoral  nail 13 mm x 44 cm 7163-5444 s/n	278	RC	Outpatient			3749	2436.85		90			Percent of total billed charges		3374.1	40			Percent of total billed charges		1499.6	80			Percent of total billed charges		2999.2	90			Percent of total billed charges		3374.1	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	33.3			Percent of total billed charges		1248.417	33.3			Percent of total billed charges		1248.417	100			Percent of total billed charges		3749	1248.417	3374.1	
trigen femoral  nails 10 mm x 48 cm 7163-5248 s/n	278	RC	Outpatient			3749	2436.85		90			Percent of total billed charges		3374.1	40			Percent of total billed charges		1499.6	80			Percent of total billed charges		2999.2	90			Percent of total billed charges		3374.1	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	33.3			Percent of total billed charges		1248.417	33.3			Percent of total billed charges		1248.417	100			Percent of total billed charges		3749	1248.417	3374.1	
trigen femoral  nails 11.5 mm x 30 cm 7163-4330 s/n	278	RC	Outpatient			3749	2436.85		90			Percent of total billed charges		3374.1	40			Percent of total billed charges		1499.6	80			Percent of total billed charges		2999.2	90			Percent of total billed charges		3374.1	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	33.3			Percent of total billed charges		1248.417	33.3			Percent of total billed charges		1248.417	100			Percent of total billed charges		3749	1248.417	3374.1	
trigen femoral  nails 11.5 mm x 34 cm 7163-5334 s/n	278	RC	Outpatient			3749	2436.85		90			Percent of total billed charges		3374.1	40			Percent of total billed charges		1499.6	80			Percent of total billed charges		2999.2	90			Percent of total billed charges		3374.1	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	33.3			Percent of total billed charges		1248.417	33.3			Percent of total billed charges		1248.417	100			Percent of total billed charges		3749	1248.417	3374.1	
trigen femoral nail 10 mm x 30 cm 7163-4230 s/n	278	RC	Outpatient			3749	2436.85		90			Percent of total billed charges		3374.1	40			Percent of total billed charges		1499.6	80			Percent of total billed charges		2999.2	90			Percent of total billed charges		3374.1	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	33.3			Percent of total billed charges		1248.417	33.3			Percent of total billed charges		1248.417	100			Percent of total billed charges		3749	1248.417	3374.1	
trigen femoral nail 10 mm x 38 cm 7163-5238 s/n	278	RC	Outpatient			3749	2436.85		90			Percent of total billed charges		3374.1	40			Percent of total billed charges		1499.6	80			Percent of total billed charges		2999.2	90			Percent of total billed charges		3374.1	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	33.3			Percent of total billed charges		1248.417	33.3			Percent of total billed charges		1248.417	100			Percent of total billed charges		3749	1248.417	3374.1	
trigen femoral nail 11.5 mm x 30 cm 7163-5330 s/n	278	RC	Outpatient			3749	2436.85		90			Percent of total billed charges		3374.1	40			Percent of total billed charges		1499.6	80			Percent of total billed charges		2999.2	90			Percent of total billed charges		3374.1	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	33.3			Percent of total billed charges		1248.417	33.3			Percent of total billed charges		1248.417	100			Percent of total billed charges		3749	1248.417	3374.1	
trigen femoral nail 11.5 mm x 48 cm 7163-5348 s/n	278	RC	Outpatient			3749	2436.85		90			Percent of total billed charges		3374.1	40			Percent of total billed charges		1499.6	80			Percent of total billed charges		2999.2	90			Percent of total billed charges		3374.1	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	33.3			Percent of total billed charges		1248.417	33.3			Percent of total billed charges		1248.417	100			Percent of total billed charges		3749	1248.417	3374.1	
trigen femoral nail 13 mm x 42 cm 7163-5442 s/n	278	RC	Outpatient			3749	2436.85		90			Percent of total billed charges		3374.1	40			Percent of total billed charges		1499.6	80			Percent of total billed charges		2999.2	90			Percent of total billed charges		3374.1	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	33.3			Percent of total billed charges		1248.417	33.3			Percent of total billed charges		1248.417	100			Percent of total billed charges		3749	1248.417	3374.1	
trigen femoral nail 13 mm x 48 cm 7163-4448 s/n	278	RC	Outpatient			3749	2436.85		90			Percent of total billed charges		3374.1	40			Percent of total billed charges		1499.6	80			Percent of total billed charges		2999.2	90			Percent of total billed charges		3374.1	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	33.3			Percent of total billed charges		1248.417	33.3			Percent of total billed charges		1248.417	100			Percent of total billed charges		3749	1248.417	3374.1	
trigen nail 11.5 x 22 71634332 s/n	278	RC	Outpatient			3749	2436.85		90			Percent of total billed charges		3374.1	40			Percent of total billed charges		1499.6	80			Percent of total billed charges		2999.2	90			Percent of total billed charges		3374.1	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	85			Percent of total billed charges		3186.65	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	100			Percent of total billed charges		3749	33.3			Percent of total billed charges		1248.417	33.3			Percent of total billed charges		1248.417	100			Percent of total billed charges		3749	1248.417	3374.1	
accord 185mm troch grip	278	RC	Outpatient			3750	2437.5		90			Percent of total billed charges		3375	40			Percent of total billed charges		1500	80			Percent of total billed charges		3000	90			Percent of total billed charges		3375	85			Percent of total billed charges		3187.5	85			Percent of total billed charges		3187.5	85			Percent of total billed charges		3187.5	100			Percent of total billed charges		3750	100			Percent of total billed charges		3750	100			Percent of total billed charges		3750	33.3			Percent of total billed charges		1248.75	33.3			Percent of total billed charges		1248.75	100			Percent of total billed charges		3750	1248.75	3375	
accord small 185mm 8-cable troch grip 7134-0005 s/n	278	RC	Outpatient			3750	2437.5		90			Percent of total billed charges		3375	40			Percent of total billed charges		1500	80			Percent of total billed charges		3000	90			Percent of total billed charges		3375	85			Percent of total billed charges		3187.5	85			Percent of total billed charges		3187.5	85			Percent of total billed charges		3187.5	100			Percent of total billed charges		3750	100			Percent of total billed charges		3750	100			Percent of total billed charges		3750	33.3			Percent of total billed charges		1248.75	33.3			Percent of total billed charges		1248.75	100			Percent of total billed charges		3750	1248.75	3375	
accord 195mm troch grip	278	RC	Outpatient			3750	2437.5		90			Percent of total billed charges		3375	40			Percent of total billed charges		1500	80			Percent of total billed charges		3000	90			Percent of total billed charges		3375	85			Percent of total billed charges		3187.5	85			Percent of total billed charges		3187.5	85			Percent of total billed charges		3187.5	100			Percent of total billed charges		3750	100			Percent of total billed charges		3750	100			Percent of total billed charges		3750	33.3			Percent of total billed charges		1248.75	33.3			Percent of total billed charges		1248.75	100			Percent of total billed charges		3750	1248.75	3375	
gtr w/4 cables 23 x 121mm 2232-002-05 zimmer	278	RC	Outpatient			3755	2440.75		90			Percent of total billed charges		3379.5	40			Percent of total billed charges		1502	80			Percent of total billed charges		3004	90			Percent of total billed charges		3379.5	85			Percent of total billed charges		3191.75	85			Percent of total billed charges		3191.75	85			Percent of total billed charges		3191.75	100			Percent of total billed charges		3755	100			Percent of total billed charges		3755	100			Percent of total billed charges		3755	33.3			Percent of total billed charges		1250.415	33.3			Percent of total billed charges		1250.415	100			Percent of total billed charges		3755	1250.415	3379.5	
zimm gtr w/4 cbl 23x121mm	278	RC	Outpatient			3755	2440.75		90			Percent of total billed charges		3379.5	40			Percent of total billed charges		1502	80			Percent of total billed charges		3004	90			Percent of total billed charges		3379.5	85			Percent of total billed charges		3191.75	85			Percent of total billed charges		3191.75	85			Percent of total billed charges		3191.75	100			Percent of total billed charges		3755	100			Percent of total billed charges		3755	100			Percent of total billed charges		3755	33.3			Percent of total billed charges		1250.415	33.3			Percent of total billed charges		1250.415	100			Percent of total billed charges		3755	1250.415	3379.5	
legion oxinium ps fem comp  sz8 left 71421218 s/n	278	RC	Outpatient			3761	2444.65		90			Percent of total billed charges		3384.9	40			Percent of total billed charges		1504.4	80			Percent of total billed charges		3008.8	90			Percent of total billed charges		3384.9	85			Percent of total billed charges		3196.85	85			Percent of total billed charges		3196.85	85			Percent of total billed charges		3196.85	100			Percent of total billed charges		3761	100			Percent of total billed charges		3761	100			Percent of total billed charges		3761	33.3			Percent of total billed charges		1252.413	33.3			Percent of total billed charges		1252.413	100			Percent of total billed charges		3761	1252.413	3384.9	
legion oxinium ps fem comp sz 3 left 71421213 s/n	278	RC	Outpatient			3761	2444.65		90			Percent of total billed charges		3384.9	40			Percent of total billed charges		1504.4	80			Percent of total billed charges		3008.8	90			Percent of total billed charges		3384.9	85			Percent of total billed charges		3196.85	85			Percent of total billed charges		3196.85	85			Percent of total billed charges		3196.85	100			Percent of total billed charges		3761	100			Percent of total billed charges		3761	100			Percent of total billed charges		3761	33.3			Percent of total billed charges		1252.413	33.3			Percent of total billed charges		1252.413	100			Percent of total billed charges		3761	1252.413	3384.9	
legion oxinium ps fem comp sz 3 right 71421203 s/n	278	RC	Outpatient			3761	2444.65		90			Percent of total billed charges		3384.9	40			Percent of total billed charges		1504.4	80			Percent of total billed charges		3008.8	90			Percent of total billed charges		3384.9	85			Percent of total billed charges		3196.85	85			Percent of total billed charges		3196.85	85			Percent of total billed charges		3196.85	100			Percent of total billed charges		3761	100			Percent of total billed charges		3761	100			Percent of total billed charges		3761	33.3			Percent of total billed charges		1252.413	33.3			Percent of total billed charges		1252.413	100			Percent of total billed charges		3761	1252.413	3384.9	
legion oxinium ps fem comp sz 4 lt 71421214 s/n	278	RC	Outpatient			3761	2444.65		90			Percent of total billed charges		3384.9	40			Percent of total billed charges		1504.4	80			Percent of total billed charges		3008.8	90			Percent of total billed charges		3384.9	85			Percent of total billed charges		3196.85	85			Percent of total billed charges		3196.85	85			Percent of total billed charges		3196.85	100			Percent of total billed charges		3761	100			Percent of total billed charges		3761	100			Percent of total billed charges		3761	33.3			Percent of total billed charges		1252.413	33.3			Percent of total billed charges		1252.413	100			Percent of total billed charges		3761	1252.413	3384.9	
legion oxinium ps fem comp sz 5 lt 71421215 s/n	278	RC	Outpatient			3761	2444.65		90			Percent of total billed charges		3384.9	40			Percent of total billed charges		1504.4	80			Percent of total billed charges		3008.8	90			Percent of total billed charges		3384.9	85			Percent of total billed charges		3196.85	85			Percent of total billed charges		3196.85	85			Percent of total billed charges		3196.85	100			Percent of total billed charges		3761	100			Percent of total billed charges		3761	100			Percent of total billed charges		3761	33.3			Percent of total billed charges		1252.413	33.3			Percent of total billed charges		1252.413	100			Percent of total billed charges		3761	1252.413	3384.9	
legion oxinium ps fem comp sz 5 rt 71421205 s/n	278	RC	Outpatient			3761	2444.65		90			Percent of total billed charges		3384.9	40			Percent of total billed charges		1504.4	80			Percent of total billed charges		3008.8	90			Percent of total billed charges		3384.9	85			Percent of total billed charges		3196.85	85			Percent of total billed charges		3196.85	85			Percent of total billed charges		3196.85	100			Percent of total billed charges		3761	100			Percent of total billed charges		3761	100			Percent of total billed charges		3761	33.3			Percent of total billed charges		1252.413	33.3			Percent of total billed charges		1252.413	100			Percent of total billed charges		3761	1252.413	3384.9	
legion oxinium ps fem comp sz 7 lt 71421217 s/n	278	RC	Outpatient			3761	2444.65		90			Percent of total billed charges		3384.9	40			Percent of total billed charges		1504.4	80			Percent of total billed charges		3008.8	90			Percent of total billed charges		3384.9	85			Percent of total billed charges		3196.85	85			Percent of total billed charges		3196.85	85			Percent of total billed charges		3196.85	100			Percent of total billed charges		3761	100			Percent of total billed charges		3761	100			Percent of total billed charges		3761	33.3			Percent of total billed charges		1252.413	33.3			Percent of total billed charges		1252.413	100			Percent of total billed charges		3761	1252.413	3384.9	
legion oxinium ps fem comp sz 7 rt 71421207 s/n	278	RC	Outpatient			3761	2444.65		90			Percent of total billed charges		3384.9	40			Percent of total billed charges		1504.4	80			Percent of total billed charges		3008.8	90			Percent of total billed charges		3384.9	85			Percent of total billed charges		3196.85	85			Percent of total billed charges		3196.85	85			Percent of total billed charges		3196.85	100			Percent of total billed charges		3761	100			Percent of total billed charges		3761	100			Percent of total billed charges		3761	33.3			Percent of total billed charges		1252.413	33.3			Percent of total billed charges		1252.413	100			Percent of total billed charges		3761	1252.413	3384.9	
legion oxinium ps fem comp sz 6 lt 71421216 s/n	278	RC	Outpatient			3761	2444.65		90			Percent of total billed charges		3384.9	40			Percent of total billed charges		1504.4	80			Percent of total billed charges		3008.8	90			Percent of total billed charges		3384.9	85			Percent of total billed charges		3196.85	85			Percent of total billed charges		3196.85	85			Percent of total billed charges		3196.85	100			Percent of total billed charges		3761	100			Percent of total billed charges		3761	100			Percent of total billed charges		3761	33.3			Percent of total billed charges		1252.413	33.3			Percent of total billed charges		1252.413	100			Percent of total billed charges		3761	1252.413	3384.9	
legion oxinium ps fem comp sz 6 right 71421206 s/n	278	RC	Outpatient			3761	2444.65		90			Percent of total billed charges		3384.9	40			Percent of total billed charges		1504.4	80			Percent of total billed charges		3008.8	90			Percent of total billed charges		3384.9	85			Percent of total billed charges		3196.85	85			Percent of total billed charges		3196.85	85			Percent of total billed charges		3196.85	100			Percent of total billed charges		3761	100			Percent of total billed charges		3761	100			Percent of total billed charges		3761	33.3			Percent of total billed charges		1252.413	33.3			Percent of total billed charges		1252.413	100			Percent of total billed charges		3761	1252.413	3384.9	
legion oxinium ps fem comp sz 8 right 71421208 s/n	278	RC	Outpatient			3761	2444.65		90			Percent of total billed charges		3384.9	40			Percent of total billed charges		1504.4	80			Percent of total billed charges		3008.8	90			Percent of total billed charges		3384.9	85			Percent of total billed charges		3196.85	85			Percent of total billed charges		3196.85	85			Percent of total billed charges		3196.85	100			Percent of total billed charges		3761	100			Percent of total billed charges		3761	100			Percent of total billed charges		3761	33.3			Percent of total billed charges		1252.413	33.3			Percent of total billed charges		1252.413	100			Percent of total billed charges		3761	1252.413	3384.9	
essure kit	278	RC	Outpatient			3762	2445.3		90			Percent of total billed charges		3385.8	40			Percent of total billed charges		1504.8	80			Percent of total billed charges		3009.6	90			Percent of total billed charges		3385.8	85			Percent of total billed charges		3197.7	85			Percent of total billed charges		3197.7	85			Percent of total billed charges		3197.7	100			Percent of total billed charges		3762	100			Percent of total billed charges		3762	100			Percent of total billed charges		3762	33.3			Percent of total billed charges		1252.746	33.3			Percent of total billed charges		1252.746	100			Percent of total billed charges		3762	1252.746	3385.8	
essure kit ess305 bayer	278	RC	Outpatient			3762	2445.3		90			Percent of total billed charges		3385.8	40			Percent of total billed charges		1504.8	80			Percent of total billed charges		3009.6	90			Percent of total billed charges		3385.8	85			Percent of total billed charges		3197.7	85			Percent of total billed charges		3197.7	85			Percent of total billed charges		3197.7	100			Percent of total billed charges		3762	100			Percent of total billed charges		3762	100			Percent of total billed charges		3762	33.3			Percent of total billed charges		1252.746	33.3			Percent of total billed charges		1252.746	100			Percent of total billed charges		3762	1252.746	3385.8	
biomet dist volar pl long	278	RC	Outpatient			3791	2464.15		90			Percent of total billed charges		3411.9	40			Percent of total billed charges		1516.4	80			Percent of total billed charges		3032.8	90			Percent of total billed charges		3411.9	85			Percent of total billed charges		3222.35	85			Percent of total billed charges		3222.35	85			Percent of total billed charges		3222.35	100			Percent of total billed charges		3791	100			Percent of total billed charges		3791	100			Percent of total billed charges		3791	33.3			Percent of total billed charges		1262.403	33.3			Percent of total billed charges		1262.403	100			Percent of total billed charges		3791	1262.403	3411.9	
"dvra plate extra ext, rt dvraxxr biomet"	278	RC	Outpatient			3791	2464.15		90			Percent of total billed charges		3411.9	40			Percent of total billed charges		1516.4	80			Percent of total billed charges		3032.8	90			Percent of total billed charges		3411.9	85			Percent of total billed charges		3222.35	85			Percent of total billed charges		3222.35	85			Percent of total billed charges		3222.35	100			Percent of total billed charges		3791	100			Percent of total billed charges		3791	100			Percent of total billed charges		3791	33.3			Percent of total billed charges		1262.403	33.3			Percent of total billed charges		1262.403	100			Percent of total billed charges		3791	1262.403	3411.9	
"dvra plate extra ext, lt dvraxxl biomet"	278	RC	Outpatient			3791	2464.15		90			Percent of total billed charges		3411.9	40			Percent of total billed charges		1516.4	80			Percent of total billed charges		3032.8	90			Percent of total billed charges		3411.9	85			Percent of total billed charges		3222.35	85			Percent of total billed charges		3222.35	85			Percent of total billed charges		3222.35	100			Percent of total billed charges		3791	100			Percent of total billed charges		3791	100			Percent of total billed charges		3791	33.3			Percent of total billed charges		1262.403	33.3			Percent of total billed charges		1262.403	100			Percent of total billed charges		3791	1262.403	3411.9	
ext distal volar plate (l)  dvrx-r	278	RC	Outpatient			3791	2464.15		90			Percent of total billed charges		3411.9	40			Percent of total billed charges		1516.4	80			Percent of total billed charges		3032.8	90			Percent of total billed charges		3411.9	85			Percent of total billed charges		3222.35	85			Percent of total billed charges		3222.35	85			Percent of total billed charges		3222.35	100			Percent of total billed charges		3791	100			Percent of total billed charges		3791	100			Percent of total billed charges		3791	33.3			Percent of total billed charges		1262.403	33.3			Percent of total billed charges		1262.403	100			Percent of total billed charges		3791	1262.403	3411.9	
ext distal volar plate (r)  dvrx-r	278	RC	Outpatient			3791	2464.15		90			Percent of total billed charges		3411.9	40			Percent of total billed charges		1516.4	80			Percent of total billed charges		3032.8	90			Percent of total billed charges		3411.9	85			Percent of total billed charges		3222.35	85			Percent of total billed charges		3222.35	85			Percent of total billed charges		3222.35	100			Percent of total billed charges		3791	100			Percent of total billed charges		3791	100			Percent of total billed charges		3791	33.3			Percent of total billed charges		1262.403	33.3			Percent of total billed charges		1262.403	100			Percent of total billed charges		3791	1262.403	3411.9	
lg fr pl cp nar cmp 20hl	278	RC	Outpatient			3793	2465.45		90			Percent of total billed charges		3413.7	40			Percent of total billed charges		1517.2	80			Percent of total billed charges		3034.4	90			Percent of total billed charges		3413.7	85			Percent of total billed charges		3224.05	85			Percent of total billed charges		3224.05	85			Percent of total billed charges		3224.05	100			Percent of total billed charges		3793	100			Percent of total billed charges		3793	100			Percent of total billed charges		3793	33.3			Percent of total billed charges		1263.069	33.3			Percent of total billed charges		1263.069	100			Percent of total billed charges		3793	1263.069	3413.7	
s/n lg frag plate 4.5mm 20 hole 7184-1420	278	RC	Outpatient			3793	2465.45		90			Percent of total billed charges		3413.7	40			Percent of total billed charges		1517.2	80			Percent of total billed charges		3034.4	90			Percent of total billed charges		3413.7	85			Percent of total billed charges		3224.05	85			Percent of total billed charges		3224.05	85			Percent of total billed charges		3224.05	100			Percent of total billed charges		3793	100			Percent of total billed charges		3793	100			Percent of total billed charges		3793	33.3			Percent of total billed charges		1263.069	33.3			Percent of total billed charges		1263.069	100			Percent of total billed charges		3793	1263.069	3413.7	
mt  atsr01 attesta gen	278	RC	Outpatient			3795	2466.75		90			Percent of total billed charges		3415.5	40			Percent of total billed charges		1518	80			Percent of total billed charges		3036	90			Percent of total billed charges		3415.5	85			Percent of total billed charges		3225.75	85			Percent of total billed charges		3225.75	85			Percent of total billed charges		3225.75	100			Percent of total billed charges		3795	100			Percent of total billed charges		3795	100			Percent of total billed charges		3795	33.3			Percent of total billed charges		1263.735	33.3			Percent of total billed charges		1263.735	100			Percent of total billed charges		3795	1263.735	3415.5	
esophageal wallstent 15cm	270	RC	Outpatient			3801	2470.65		90			Percent of total billed charges		3420.9	40			Percent of total billed charges		1520.4	80			Percent of total billed charges		3040.8	90			Percent of total billed charges		3420.9	85			Percent of total billed charges		3230.85	85			Percent of total billed charges		3230.85	85			Percent of total billed charges		3230.85	100			Percent of total billed charges		3801	100			Percent of total billed charges		3801	100			Percent of total billed charges		3801	33.3			Percent of total billed charges		1265.733	33.3			Percent of total billed charges		1265.733	100			Percent of total billed charges		3801	1265.733	3420.9	
l-fit v 40 fem head -4/28 6260-9-028 how/osteo	278	RC	Outpatient			3808	2475.2		90			Percent of total billed charges		3427.2	40			Percent of total billed charges		1523.2	80			Percent of total billed charges		3046.4	90			Percent of total billed charges		3427.2	85			Percent of total billed charges		3236.8	85			Percent of total billed charges		3236.8	85			Percent of total billed charges		3236.8	100			Percent of total billed charges		3808	100			Percent of total billed charges		3808	100			Percent of total billed charges		3808	33.3			Percent of total billed charges		1268.064	33.3			Percent of total billed charges		1268.064	100			Percent of total billed charges		3808	1268.064	3427.2	
l-fit v 40 fem head 32mm 6260-9-132 how/osteo	278	RC	Outpatient			3808	2475.2		90			Percent of total billed charges		3427.2	40			Percent of total billed charges		1523.2	80			Percent of total billed charges		3046.4	90			Percent of total billed charges		3427.2	85			Percent of total billed charges		3236.8	85			Percent of total billed charges		3236.8	85			Percent of total billed charges		3236.8	100			Percent of total billed charges		3808	100			Percent of total billed charges		3808	100			Percent of total billed charges		3808	33.3			Percent of total billed charges		1268.064	33.3			Percent of total billed charges		1268.064	100			Percent of total billed charges		3808	1268.064	3427.2	
lfit anatomic v40 fem head 26mm 6260-9-026 stryker	278	RC	Outpatient			3808	2475.2		90			Percent of total billed charges		3427.2	40			Percent of total billed charges		1523.2	80			Percent of total billed charges		3046.4	90			Percent of total billed charges		3427.2	85			Percent of total billed charges		3236.8	85			Percent of total billed charges		3236.8	85			Percent of total billed charges		3236.8	100			Percent of total billed charges		3808	100			Percent of total billed charges		3808	100			Percent of total billed charges		3808	33.3			Percent of total billed charges		1268.064	33.3			Percent of total billed charges		1268.064	100			Percent of total billed charges		3808	1268.064	3427.2	
lfit anatomic v40 fem head 28mm 6260-9-228 stryker	278	RC	Outpatient			3808	2475.2		90			Percent of total billed charges		3427.2	40			Percent of total billed charges		1523.2	80			Percent of total billed charges		3046.4	90			Percent of total billed charges		3427.2	85			Percent of total billed charges		3236.8	85			Percent of total billed charges		3236.8	85			Percent of total billed charges		3236.8	100			Percent of total billed charges		3808	100			Percent of total billed charges		3808	100			Percent of total billed charges		3808	33.3			Percent of total billed charges		1268.064	33.3			Percent of total billed charges		1268.064	100			Percent of total billed charges		3808	1268.064	3427.2	
lfit anatomic v40 fem head 28mm 6260-9-328 stryker	278	RC	Outpatient			3808	2475.2		90			Percent of total billed charges		3427.2	40			Percent of total billed charges		1523.2	80			Percent of total billed charges		3046.4	90			Percent of total billed charges		3427.2	85			Percent of total billed charges		3236.8	85			Percent of total billed charges		3236.8	85			Percent of total billed charges		3236.8	100			Percent of total billed charges		3808	100			Percent of total billed charges		3808	100			Percent of total billed charges		3808	33.3			Percent of total billed charges		1268.064	33.3			Percent of total billed charges		1268.064	100			Percent of total billed charges		3808	1268.064	3427.2	
lfit anatomic v40 fem head 36mm 6260-9-036 stryker	278	RC	Outpatient			3808	2475.2		90			Percent of total billed charges		3427.2	40			Percent of total billed charges		1523.2	80			Percent of total billed charges		3046.4	90			Percent of total billed charges		3427.2	85			Percent of total billed charges		3236.8	85			Percent of total billed charges		3236.8	85			Percent of total billed charges		3236.8	100			Percent of total billed charges		3808	100			Percent of total billed charges		3808	100			Percent of total billed charges		3808	33.3			Percent of total billed charges		1268.064	33.3			Percent of total billed charges		1268.064	100			Percent of total billed charges		3808	1268.064	3427.2	
l-fit v 40 fem head +0/28 6260-9-128 how/osteo	278	RC	Outpatient			3808	2475.2		90			Percent of total billed charges		3427.2	40			Percent of total billed charges		1523.2	80			Percent of total billed charges		3046.4	90			Percent of total billed charges		3427.2	85			Percent of total billed charges		3236.8	85			Percent of total billed charges		3236.8	85			Percent of total billed charges		3236.8	100			Percent of total billed charges		3808	100			Percent of total billed charges		3808	100			Percent of total billed charges		3808	33.3			Percent of total billed charges		1268.064	33.3			Percent of total billed charges		1268.064	100			Percent of total billed charges		3808	1268.064	3427.2	
l-fit v 40 fem head +12/28 6260-9-428 how/osteo	278	RC	Outpatient			3808	2475.2		90			Percent of total billed charges		3427.2	40			Percent of total billed charges		1523.2	80			Percent of total billed charges		3046.4	90			Percent of total billed charges		3427.2	85			Percent of total billed charges		3236.8	85			Percent of total billed charges		3236.8	85			Percent of total billed charges		3236.8	100			Percent of total billed charges		3808	100			Percent of total billed charges		3808	100			Percent of total billed charges		3808	33.3			Percent of total billed charges		1268.064	33.3			Percent of total billed charges		1268.064	100			Percent of total billed charges		3808	1268.064	3427.2	
l-fit v 40 fem head 22.2mm 6260-9-122 how/osteo	278	RC	Outpatient			3808	2475.2		90			Percent of total billed charges		3427.2	40			Percent of total billed charges		1523.2	80			Percent of total billed charges		3046.4	90			Percent of total billed charges		3427.2	85			Percent of total billed charges		3236.8	85			Percent of total billed charges		3236.8	85			Percent of total billed charges		3236.8	100			Percent of total billed charges		3808	100			Percent of total billed charges		3808	100			Percent of total billed charges		3808	33.3			Percent of total billed charges		1268.064	33.3			Percent of total billed charges		1268.064	100			Percent of total billed charges		3808	1268.064	3427.2	
lfit anatomic v40 fem head 32mm 6260-9-032 stryker	278	RC	Outpatient			3808	2475.2		90			Percent of total billed charges		3427.2	40			Percent of total billed charges		1523.2	80			Percent of total billed charges		3046.4	90			Percent of total billed charges		3427.2	85			Percent of total billed charges		3236.8	85			Percent of total billed charges		3236.8	85			Percent of total billed charges		3236.8	100			Percent of total billed charges		3808	100			Percent of total billed charges		3808	100			Percent of total billed charges		3808	33.3			Percent of total billed charges		1268.064	33.3			Percent of total billed charges		1268.064	100			Percent of total billed charges		3808	1268.064	3427.2	
lfit anatomic v40 fem head 36mm 6260-9-236 stryker	278	RC	Outpatient			3808	2475.2		90			Percent of total billed charges		3427.2	40			Percent of total billed charges		1523.2	80			Percent of total billed charges		3046.4	90			Percent of total billed charges		3427.2	85			Percent of total billed charges		3236.8	85			Percent of total billed charges		3236.8	85			Percent of total billed charges		3236.8	100			Percent of total billed charges		3808	100			Percent of total billed charges		3808	100			Percent of total billed charges		3808	33.3			Percent of total billed charges		1268.064	33.3			Percent of total billed charges		1268.064	100			Percent of total billed charges		3808	1268.064	3427.2	
lfit anatomic v40 fem head 36mm 6260-9-336 stryker	278	RC	Outpatient			3808	2475.2		90			Percent of total billed charges		3427.2	40			Percent of total billed charges		1523.2	80			Percent of total billed charges		3046.4	90			Percent of total billed charges		3427.2	85			Percent of total billed charges		3236.8	85			Percent of total billed charges		3236.8	85			Percent of total billed charges		3236.8	100			Percent of total billed charges		3808	100			Percent of total billed charges		3808	100			Percent of total billed charges		3808	33.3			Percent of total billed charges		1268.064	33.3			Percent of total billed charges		1268.064	100			Percent of total billed charges		3808	1268.064	3427.2	
stryker lfit v40 fem hd	278	RC	Outpatient			3808	2475.2		90			Percent of total billed charges		3427.2	40			Percent of total billed charges		1523.2	80			Percent of total billed charges		3046.4	90			Percent of total billed charges		3427.2	85			Percent of total billed charges		3236.8	85			Percent of total billed charges		3236.8	85			Percent of total billed charges		3236.8	100			Percent of total billed charges		3808	100			Percent of total billed charges		3808	100			Percent of total billed charges		3808	33.3			Percent of total billed charges		1268.064	33.3			Percent of total billed charges		1268.064	100			Percent of total billed charges		3808	1268.064	3427.2	
profix tib base rt sz 5 71524150 s/n	278	RC	Outpatient			3826	2486.9		90			Percent of total billed charges		3443.4	40			Percent of total billed charges		1530.4	80			Percent of total billed charges		3060.8	90			Percent of total billed charges		3443.4	85			Percent of total billed charges		3252.1	85			Percent of total billed charges		3252.1	85			Percent of total billed charges		3252.1	100			Percent of total billed charges		3826	100			Percent of total billed charges		3826	100			Percent of total billed charges		3826	33.3			Percent of total billed charges		1274.058	33.3			Percent of total billed charges		1274.058	100			Percent of total billed charges		3826	1274.058	3443.4	
profix non-por tib base sz7 71524140 s/n	278	RC	Outpatient			3826	2486.9		90			Percent of total billed charges		3443.4	40			Percent of total billed charges		1530.4	80			Percent of total billed charges		3060.8	90			Percent of total billed charges		3443.4	85			Percent of total billed charges		3252.1	85			Percent of total billed charges		3252.1	85			Percent of total billed charges		3252.1	100			Percent of total billed charges		3826	100			Percent of total billed charges		3826	100			Percent of total billed charges		3826	33.3			Percent of total billed charges		1274.058	33.3			Percent of total billed charges		1274.058	100			Percent of total billed charges		3826	1274.058	3443.4	
s/n profix tib base	278	RC	Outpatient			3826	2486.9		90			Percent of total billed charges		3443.4	40			Percent of total billed charges		1530.4	80			Percent of total billed charges		3060.8	90			Percent of total billed charges		3443.4	85			Percent of total billed charges		3252.1	85			Percent of total billed charges		3252.1	85			Percent of total billed charges		3252.1	100			Percent of total billed charges		3826	100			Percent of total billed charges		3826	100			Percent of total billed charges		3826	33.3			Percent of total billed charges		1274.058	33.3			Percent of total billed charges		1274.058	100			Percent of total billed charges		3826	1274.058	3443.4	
comp plt 3.5mm 18 hl 71809418 s\n	278	RC	Outpatient			3827	2487.55		90			Percent of total billed charges		3444.3	40			Percent of total billed charges		1530.8	80			Percent of total billed charges		3061.6	90			Percent of total billed charges		3444.3	85			Percent of total billed charges		3252.95	85			Percent of total billed charges		3252.95	85			Percent of total billed charges		3252.95	100			Percent of total billed charges		3827	100			Percent of total billed charges		3827	100			Percent of total billed charges		3827	33.3			Percent of total billed charges		1274.391	33.3			Percent of total billed charges		1274.391	100			Percent of total billed charges		3827	1274.391	3444.3	
s/n 3.5 comp pl 18 hl	278	RC	Outpatient			3827	2487.55		90			Percent of total billed charges		3444.3	40			Percent of total billed charges		1530.8	80			Percent of total billed charges		3061.6	90			Percent of total billed charges		3444.3	85			Percent of total billed charges		3252.95	85			Percent of total billed charges		3252.95	85			Percent of total billed charges		3252.95	100			Percent of total billed charges		3827	100			Percent of total billed charges		3827	100			Percent of total billed charges		3827	33.3			Percent of total billed charges		1274.391	33.3			Percent of total billed charges		1274.391	100			Percent of total billed charges		3827	1274.391	3444.3	
biomet humeral modular ii	278	RC	Outpatient			3833	2491.45		90			Percent of total billed charges		3449.7	40			Percent of total billed charges		1533.2	80			Percent of total billed charges		3066.4	90			Percent of total billed charges		3449.7	85			Percent of total billed charges		3258.05	85			Percent of total billed charges		3258.05	85			Percent of total billed charges		3258.05	100			Percent of total billed charges		3833	100			Percent of total billed charges		3833	100			Percent of total billed charges		3833	33.3			Percent of total billed charges		1276.389	33.3			Percent of total billed charges		1276.389	100			Percent of total billed charges		3833	1276.389	3449.7	
humeral stem 9.5 x 125 biomet cp550502	278	RC	Outpatient			3833	2491.45		90			Percent of total billed charges		3449.7	40			Percent of total billed charges		1533.2	80			Percent of total billed charges		3066.4	90			Percent of total billed charges		3449.7	85			Percent of total billed charges		3258.05	85			Percent of total billed charges		3258.05	85			Percent of total billed charges		3258.05	100			Percent of total billed charges		3833	100			Percent of total billed charges		3833	100			Percent of total billed charges		3833	33.3			Percent of total billed charges		1276.389	33.3			Percent of total billed charges		1276.389	100			Percent of total billed charges		3833	1276.389	3449.7	
mod ii humeral 11.1 x 125mm cp550503 biomet	278	RC	Outpatient			3833	2491.45		90			Percent of total billed charges		3449.7	40			Percent of total billed charges		1533.2	80			Percent of total billed charges		3066.4	90			Percent of total billed charges		3449.7	85			Percent of total billed charges		3258.05	85			Percent of total billed charges		3258.05	85			Percent of total billed charges		3258.05	100			Percent of total billed charges		3833	100			Percent of total billed charges		3833	100			Percent of total billed charges		3833	33.3			Percent of total billed charges		1276.389	33.3			Percent of total billed charges		1276.389	100			Percent of total billed charges		3833	1276.389	3449.7	
modular ii  humeral 12.7 x 125 cp550504 biomet	278	RC	Outpatient			3833	2491.45		90			Percent of total billed charges		3449.7	40			Percent of total billed charges		1533.2	80			Percent of total billed charges		3066.4	90			Percent of total billed charges		3449.7	85			Percent of total billed charges		3258.05	85			Percent of total billed charges		3258.05	85			Percent of total billed charges		3258.05	100			Percent of total billed charges		3833	100			Percent of total billed charges		3833	100			Percent of total billed charges		3833	33.3			Percent of total billed charges		1276.389	33.3			Percent of total billed charges		1276.389	100			Percent of total billed charges		3833	1276.389	3449.7	
modular ii  humeral 12.7 x 125 cp550501 biomet	278	RC	Outpatient			3833	2491.45		90			Percent of total billed charges		3449.7	40			Percent of total billed charges		1533.2	80			Percent of total billed charges		3066.4	90			Percent of total billed charges		3449.7	85			Percent of total billed charges		3258.05	85			Percent of total billed charges		3258.05	85			Percent of total billed charges		3258.05	100			Percent of total billed charges		3833	100			Percent of total billed charges		3833	100			Percent of total billed charges		3833	33.3			Percent of total billed charges		1276.389	33.3			Percent of total billed charges		1276.389	100			Percent of total billed charges		3833	1276.389	3449.7	
arthrex humeral head	278	RC	Outpatient			3843	2497.95		90			Percent of total billed charges		3458.7	40			Percent of total billed charges		1537.2	80			Percent of total billed charges		3074.4	90			Percent of total billed charges		3458.7	85			Percent of total billed charges		3266.55	85			Percent of total billed charges		3266.55	85			Percent of total billed charges		3266.55	100			Percent of total billed charges		3843	100			Percent of total billed charges		3843	100			Percent of total billed charges		3843	33.3			Percent of total billed charges		1279.719	33.3			Percent of total billed charges		1279.719	100			Percent of total billed charges		3843	1279.719	3458.7	
arthrex humeral head 44mm ar-9144-19p	278	RC	Outpatient			3843	2497.95		90			Percent of total billed charges		3458.7	40			Percent of total billed charges		1537.2	80			Percent of total billed charges		3074.4	90			Percent of total billed charges		3458.7	85			Percent of total billed charges		3266.55	85			Percent of total billed charges		3266.55	85			Percent of total billed charges		3266.55	100			Percent of total billed charges		3843	100			Percent of total billed charges		3843	100			Percent of total billed charges		3843	33.3			Percent of total billed charges		1279.719	33.3			Percent of total billed charges		1279.719	100			Percent of total billed charges		3843	1279.719	3458.7	
grafton dbm matrix plf 2.5 x 10cm p42200 osteotech	278	RC	Outpatient			3845	2499.25		90			Percent of total billed charges		3460.5	40			Percent of total billed charges		1538	80			Percent of total billed charges		3076	90			Percent of total billed charges		3460.5	85			Percent of total billed charges		3268.25	85			Percent of total billed charges		3268.25	85			Percent of total billed charges		3268.25	100			Percent of total billed charges		3845	100			Percent of total billed charges		3845	100			Percent of total billed charges		3845	33.3			Percent of total billed charges		1280.385	33.3			Percent of total billed charges		1280.385	100			Percent of total billed charges		3845	1280.385	3460.5	
grafton plf 2.5 x 10	278	RC	Outpatient			3845	2499.25		90			Percent of total billed charges		3460.5	40			Percent of total billed charges		1538	80			Percent of total billed charges		3076	90			Percent of total billed charges		3460.5	85			Percent of total billed charges		3268.25	85			Percent of total billed charges		3268.25	85			Percent of total billed charges		3268.25	100			Percent of total billed charges		3845	100			Percent of total billed charges		3845	100			Percent of total billed charges		3845	33.3			Percent of total billed charges		1280.385	33.3			Percent of total billed charges		1280.385	100			Percent of total billed charges		3845	1280.385	3460.5	
biolox delta ceramix c-taper head 36mm 18-3600 how/osteo	278	RC	Outpatient			3851	2503.15		90			Percent of total billed charges		3465.9	40			Percent of total billed charges		1540.4	80			Percent of total billed charges		3080.8	90			Percent of total billed charges		3465.9	85			Percent of total billed charges		3273.35	85			Percent of total billed charges		3273.35	85			Percent of total billed charges		3273.35	100			Percent of total billed charges		3851	100			Percent of total billed charges		3851	100			Percent of total billed charges		3851	33.3			Percent of total billed charges		1282.383	33.3			Percent of total billed charges		1282.383	100			Percent of total billed charges		3851	1282.383	3465.9	
biolox delta ceramix v40 fem head 36mm 6570-0-436 stryker	278	RC	Outpatient			3851	2503.15		90			Percent of total billed charges		3465.9	40			Percent of total billed charges		1540.4	80			Percent of total billed charges		3080.8	90			Percent of total billed charges		3465.9	85			Percent of total billed charges		3273.35	85			Percent of total billed charges		3273.35	85			Percent of total billed charges		3273.35	100			Percent of total billed charges		3851	100			Percent of total billed charges		3851	100			Percent of total billed charges		3851	33.3			Percent of total billed charges		1282.383	33.3			Percent of total billed charges		1282.383	100			Percent of total billed charges		3851	1282.383	3465.9	
biolox delta ceramix v40 fem head 36mm 6570-0-736 stryker	278	RC	Outpatient			3851	2503.15		90			Percent of total billed charges		3465.9	40			Percent of total billed charges		1540.4	80			Percent of total billed charges		3080.8	90			Percent of total billed charges		3465.9	85			Percent of total billed charges		3273.35	85			Percent of total billed charges		3273.35	85			Percent of total billed charges		3273.35	100			Percent of total billed charges		3851	100			Percent of total billed charges		3851	100			Percent of total billed charges		3851	33.3			Percent of total billed charges		1282.383	33.3			Percent of total billed charges		1282.383	100			Percent of total billed charges		3851	1282.383	3465.9	
biolox ceramic hd	278	RC	Outpatient			3851	2503.15		90			Percent of total billed charges		3465.9	40			Percent of total billed charges		1540.4	80			Percent of total billed charges		3080.8	90			Percent of total billed charges		3465.9	85			Percent of total billed charges		3273.35	85			Percent of total billed charges		3273.35	85			Percent of total billed charges		3273.35	100			Percent of total billed charges		3851	100			Percent of total billed charges		3851	100			Percent of total billed charges		3851	33.3			Percent of total billed charges		1282.383	33.3			Percent of total billed charges		1282.383	100			Percent of total billed charges		3851	1282.383	3465.9	
biolox delta ceramix v40 fem head 36mm 6570-0-036 stryker	278	RC	Outpatient			3851	2503.15		90			Percent of total billed charges		3465.9	40			Percent of total billed charges		1540.4	80			Percent of total billed charges		3080.8	90			Percent of total billed charges		3465.9	85			Percent of total billed charges		3273.35	85			Percent of total billed charges		3273.35	85			Percent of total billed charges		3273.35	100			Percent of total billed charges		3851	100			Percent of total billed charges		3851	100			Percent of total billed charges		3851	33.3			Percent of total billed charges		1282.383	33.3			Percent of total billed charges		1282.383	100			Percent of total billed charges		3851	1282.383	3465.9	
biolox delta ceramix v40 fem head 36mm 6570-0-236 stryker	278	RC	Outpatient			3851	2503.15		90			Percent of total billed charges		3465.9	40			Percent of total billed charges		1540.4	80			Percent of total billed charges		3080.8	90			Percent of total billed charges		3465.9	85			Percent of total billed charges		3273.35	85			Percent of total billed charges		3273.35	85			Percent of total billed charges		3273.35	100			Percent of total billed charges		3851	100			Percent of total billed charges		3851	100			Percent of total billed charges		3851	33.3			Percent of total billed charges		1282.383	33.3			Percent of total billed charges		1282.383	100			Percent of total billed charges		3851	1282.383	3465.9	
biolox delta ceramix v40 fem head 36mm 6570-0-536 stryker	278	RC	Outpatient			3851	2503.15		90			Percent of total billed charges		3465.9	40			Percent of total billed charges		1540.4	80			Percent of total billed charges		3080.8	90			Percent of total billed charges		3465.9	85			Percent of total billed charges		3273.35	85			Percent of total billed charges		3273.35	85			Percent of total billed charges		3273.35	100			Percent of total billed charges		3851	100			Percent of total billed charges		3851	100			Percent of total billed charges		3851	33.3			Percent of total billed charges		1282.383	33.3			Percent of total billed charges		1282.383	100			Percent of total billed charges		3851	1282.383	3465.9	
oxford tibial component	278	RC	Outpatient			3858	2507.7		90			Percent of total billed charges		3472.2	40			Percent of total billed charges		1543.2	80			Percent of total billed charges		3086.4	90			Percent of total billed charges		3472.2	85			Percent of total billed charges		3279.3	85			Percent of total billed charges		3279.3	85			Percent of total billed charges		3279.3	100			Percent of total billed charges		3858	100			Percent of total billed charges		3858	100			Percent of total billed charges		3858	33.3			Percent of total billed charges		1284.714	33.3			Percent of total billed charges		1284.714	100			Percent of total billed charges		3858	1284.714	3472.2	
oxford tibial component 38 x 26mm 154605 biomet	278	RC	Outpatient			3858	2507.7		90			Percent of total billed charges		3472.2	40			Percent of total billed charges		1543.2	80			Percent of total billed charges		3086.4	90			Percent of total billed charges		3472.2	85			Percent of total billed charges		3279.3	85			Percent of total billed charges		3279.3	85			Percent of total billed charges		3279.3	100			Percent of total billed charges		3858	100			Percent of total billed charges		3858	100			Percent of total billed charges		3858	33.3			Percent of total billed charges		1284.714	33.3			Percent of total billed charges		1284.714	100			Percent of total billed charges		3858	1284.714	3472.2	
oxford tibial component 41 x 26mm 154608 biomet	278	RC	Outpatient			3858	2507.7		90			Percent of total billed charges		3472.2	40			Percent of total billed charges		1543.2	80			Percent of total billed charges		3086.4	90			Percent of total billed charges		3472.2	85			Percent of total billed charges		3279.3	85			Percent of total billed charges		3279.3	85			Percent of total billed charges		3279.3	100			Percent of total billed charges		3858	100			Percent of total billed charges		3858	100			Percent of total billed charges		3858	33.3			Percent of total billed charges		1284.714	33.3			Percent of total billed charges		1284.714	100			Percent of total billed charges		3858	1284.714	3472.2	
oxford tibial component 47 x 30mm 154611 biomet	278	RC	Outpatient			3858	2507.7		90			Percent of total billed charges		3472.2	40			Percent of total billed charges		1543.2	80			Percent of total billed charges		3086.4	90			Percent of total billed charges		3472.2	85			Percent of total billed charges		3279.3	85			Percent of total billed charges		3279.3	85			Percent of total billed charges		3279.3	100			Percent of total billed charges		3858	100			Percent of total billed charges		3858	100			Percent of total billed charges		3858	33.3			Percent of total billed charges		1284.714	33.3			Percent of total billed charges		1284.714	100			Percent of total billed charges		3858	1284.714	3472.2	
oxford tibial component 50 x 32mm 154613 biomet	278	RC	Outpatient			3858	2507.7		90			Percent of total billed charges		3472.2	40			Percent of total billed charges		1543.2	80			Percent of total billed charges		3086.4	90			Percent of total billed charges		3472.2	85			Percent of total billed charges		3279.3	85			Percent of total billed charges		3279.3	85			Percent of total billed charges		3279.3	100			Percent of total billed charges		3858	100			Percent of total billed charges		3858	100			Percent of total billed charges		3858	33.3			Percent of total billed charges		1284.714	33.3			Percent of total billed charges		1284.714	100			Percent of total billed charges		3858	1284.714	3472.2	
oxford tibial component 50 x 32mm 154614 biomet	278	RC	Outpatient			3858	2507.7		90			Percent of total billed charges		3472.2	40			Percent of total billed charges		1543.2	80			Percent of total billed charges		3086.4	90			Percent of total billed charges		3472.2	85			Percent of total billed charges		3279.3	85			Percent of total billed charges		3279.3	85			Percent of total billed charges		3279.3	100			Percent of total billed charges		3858	100			Percent of total billed charges		3858	100			Percent of total billed charges		3858	33.3			Percent of total billed charges		1284.714	33.3			Percent of total billed charges		1284.714	100			Percent of total billed charges		3858	1284.714	3472.2	
oxford tibial component 53 x 34mm 154616 biomet	278	RC	Outpatient			3858	2507.7		90			Percent of total billed charges		3472.2	40			Percent of total billed charges		1543.2	80			Percent of total billed charges		3086.4	90			Percent of total billed charges		3472.2	85			Percent of total billed charges		3279.3	85			Percent of total billed charges		3279.3	85			Percent of total billed charges		3279.3	100			Percent of total billed charges		3858	100			Percent of total billed charges		3858	100			Percent of total billed charges		3858	33.3			Percent of total billed charges		1284.714	33.3			Percent of total billed charges		1284.714	100			Percent of total billed charges		3858	1284.714	3472.2	
oxford tibial tray standard size a 154718 biomet	278	RC	Outpatient			3858	2507.7		90			Percent of total billed charges		3472.2	40			Percent of total billed charges		1543.2	80			Percent of total billed charges		3086.4	90			Percent of total billed charges		3472.2	85			Percent of total billed charges		3279.3	85			Percent of total billed charges		3279.3	85			Percent of total billed charges		3279.3	100			Percent of total billed charges		3858	100			Percent of total billed charges		3858	100			Percent of total billed charges		3858	33.3			Percent of total billed charges		1284.714	33.3			Percent of total billed charges		1284.714	100			Percent of total billed charges		3858	1284.714	3472.2	
oxford tibial tray standard size b 154720 biomet	278	RC	Outpatient			3858	2507.7		90			Percent of total billed charges		3472.2	40			Percent of total billed charges		1543.2	80			Percent of total billed charges		3086.4	90			Percent of total billed charges		3472.2	85			Percent of total billed charges		3279.3	85			Percent of total billed charges		3279.3	85			Percent of total billed charges		3279.3	100			Percent of total billed charges		3858	100			Percent of total billed charges		3858	100			Percent of total billed charges		3858	33.3			Percent of total billed charges		1284.714	33.3			Percent of total billed charges		1284.714	100			Percent of total billed charges		3858	1284.714	3472.2	
oxford tibial tray standard size c 154723 biomet	278	RC	Outpatient			3858	2507.7		90			Percent of total billed charges		3472.2	40			Percent of total billed charges		1543.2	80			Percent of total billed charges		3086.4	90			Percent of total billed charges		3472.2	85			Percent of total billed charges		3279.3	85			Percent of total billed charges		3279.3	85			Percent of total billed charges		3279.3	100			Percent of total billed charges		3858	100			Percent of total billed charges		3858	100			Percent of total billed charges		3858	33.3			Percent of total billed charges		1284.714	33.3			Percent of total billed charges		1284.714	100			Percent of total billed charges		3858	1284.714	3472.2	
oxford tibial tray standard size e 154727 biomet	278	RC	Outpatient			3858	2507.7		90			Percent of total billed charges		3472.2	40			Percent of total billed charges		1543.2	80			Percent of total billed charges		3086.4	90			Percent of total billed charges		3472.2	85			Percent of total billed charges		3279.3	85			Percent of total billed charges		3279.3	85			Percent of total billed charges		3279.3	100			Percent of total billed charges		3858	100			Percent of total billed charges		3858	100			Percent of total billed charges		3858	33.3			Percent of total billed charges		1284.714	33.3			Percent of total billed charges		1284.714	100			Percent of total billed charges		3858	1284.714	3472.2	
oxford tibial component 38 x 26mm 154606 biomet	278	RC	Outpatient			3858	2507.7		90			Percent of total billed charges		3472.2	40			Percent of total billed charges		1543.2	80			Percent of total billed charges		3086.4	90			Percent of total billed charges		3472.2	85			Percent of total billed charges		3279.3	85			Percent of total billed charges		3279.3	85			Percent of total billed charges		3279.3	100			Percent of total billed charges		3858	100			Percent of total billed charges		3858	100			Percent of total billed charges		3858	33.3			Percent of total billed charges		1284.714	33.3			Percent of total billed charges		1284.714	100			Percent of total billed charges		3858	1284.714	3472.2	
oxford tibial component 41 x 26mm 154607 biomet	278	RC	Outpatient			3858	2507.7		90			Percent of total billed charges		3472.2	40			Percent of total billed charges		1543.2	80			Percent of total billed charges		3086.4	90			Percent of total billed charges		3472.2	85			Percent of total billed charges		3279.3	85			Percent of total billed charges		3279.3	85			Percent of total billed charges		3279.3	100			Percent of total billed charges		3858	100			Percent of total billed charges		3858	100			Percent of total billed charges		3858	33.3			Percent of total billed charges		1284.714	33.3			Percent of total billed charges		1284.714	100			Percent of total billed charges		3858	1284.714	3472.2	
oxford tibial component 44 x 28mm 154609 biomet	278	RC	Outpatient			3858	2507.7		90			Percent of total billed charges		3472.2	40			Percent of total billed charges		1543.2	80			Percent of total billed charges		3086.4	90			Percent of total billed charges		3472.2	85			Percent of total billed charges		3279.3	85			Percent of total billed charges		3279.3	85			Percent of total billed charges		3279.3	100			Percent of total billed charges		3858	100			Percent of total billed charges		3858	100			Percent of total billed charges		3858	33.3			Percent of total billed charges		1284.714	33.3			Percent of total billed charges		1284.714	100			Percent of total billed charges		3858	1284.714	3472.2	
oxford tibial component 44 x 28mm 154610 biomet	278	RC	Outpatient			3858	2507.7		90			Percent of total billed charges		3472.2	40			Percent of total billed charges		1543.2	80			Percent of total billed charges		3086.4	90			Percent of total billed charges		3472.2	85			Percent of total billed charges		3279.3	85			Percent of total billed charges		3279.3	85			Percent of total billed charges		3279.3	100			Percent of total billed charges		3858	100			Percent of total billed charges		3858	100			Percent of total billed charges		3858	33.3			Percent of total billed charges		1284.714	33.3			Percent of total billed charges		1284.714	100			Percent of total billed charges		3858	1284.714	3472.2	
oxford tibial component 47 x 30mm 154612 biomet	278	RC	Outpatient			3858	2507.7		90			Percent of total billed charges		3472.2	40			Percent of total billed charges		1543.2	80			Percent of total billed charges		3086.4	90			Percent of total billed charges		3472.2	85			Percent of total billed charges		3279.3	85			Percent of total billed charges		3279.3	85			Percent of total billed charges		3279.3	100			Percent of total billed charges		3858	100			Percent of total billed charges		3858	100			Percent of total billed charges		3858	33.3			Percent of total billed charges		1284.714	33.3			Percent of total billed charges		1284.714	100			Percent of total billed charges		3858	1284.714	3472.2	
oxford tibial component 53 x 34mm 154615 biomet	278	RC	Outpatient			3858	2507.7		90			Percent of total billed charges		3472.2	40			Percent of total billed charges		1543.2	80			Percent of total billed charges		3086.4	90			Percent of total billed charges		3472.2	85			Percent of total billed charges		3279.3	85			Percent of total billed charges		3279.3	85			Percent of total billed charges		3279.3	100			Percent of total billed charges		3858	100			Percent of total billed charges		3858	100			Percent of total billed charges		3858	33.3			Percent of total billed charges		1284.714	33.3			Percent of total billed charges		1284.714	100			Percent of total billed charges		3858	1284.714	3472.2	
oxford tibial tray standard size a 154719 biomet	278	RC	Outpatient			3858	2507.7		90			Percent of total billed charges		3472.2	40			Percent of total billed charges		1543.2	80			Percent of total billed charges		3086.4	90			Percent of total billed charges		3472.2	85			Percent of total billed charges		3279.3	85			Percent of total billed charges		3279.3	85			Percent of total billed charges		3279.3	100			Percent of total billed charges		3858	100			Percent of total billed charges		3858	100			Percent of total billed charges		3858	33.3			Percent of total billed charges		1284.714	33.3			Percent of total billed charges		1284.714	100			Percent of total billed charges		3858	1284.714	3472.2	
oxford tibial tray standard size b 154721 biomet	278	RC	Outpatient			3858	2507.7		90			Percent of total billed charges		3472.2	40			Percent of total billed charges		1543.2	80			Percent of total billed charges		3086.4	90			Percent of total billed charges		3472.2	85			Percent of total billed charges		3279.3	85			Percent of total billed charges		3279.3	85			Percent of total billed charges		3279.3	100			Percent of total billed charges		3858	100			Percent of total billed charges		3858	100			Percent of total billed charges		3858	33.3			Percent of total billed charges		1284.714	33.3			Percent of total billed charges		1284.714	100			Percent of total billed charges		3858	1284.714	3472.2	
oxford tibial tray standard size c 154722 biomet	278	RC	Outpatient			3858	2507.7		90			Percent of total billed charges		3472.2	40			Percent of total billed charges		1543.2	80			Percent of total billed charges		3086.4	90			Percent of total billed charges		3472.2	85			Percent of total billed charges		3279.3	85			Percent of total billed charges		3279.3	85			Percent of total billed charges		3279.3	100			Percent of total billed charges		3858	100			Percent of total billed charges		3858	100			Percent of total billed charges		3858	33.3			Percent of total billed charges		1284.714	33.3			Percent of total billed charges		1284.714	100			Percent of total billed charges		3858	1284.714	3472.2	
oxford tibial tray standard size d 154724 biomet	278	RC	Outpatient			3858	2507.7		90			Percent of total billed charges		3472.2	40			Percent of total billed charges		1543.2	80			Percent of total billed charges		3086.4	90			Percent of total billed charges		3472.2	85			Percent of total billed charges		3279.3	85			Percent of total billed charges		3279.3	85			Percent of total billed charges		3279.3	100			Percent of total billed charges		3858	100			Percent of total billed charges		3858	100			Percent of total billed charges		3858	33.3			Percent of total billed charges		1284.714	33.3			Percent of total billed charges		1284.714	100			Percent of total billed charges		3858	1284.714	3472.2	
oxford tibial tray standard size d 154725 biomet	278	RC	Outpatient			3858	2507.7		90			Percent of total billed charges		3472.2	40			Percent of total billed charges		1543.2	80			Percent of total billed charges		3086.4	90			Percent of total billed charges		3472.2	85			Percent of total billed charges		3279.3	85			Percent of total billed charges		3279.3	85			Percent of total billed charges		3279.3	100			Percent of total billed charges		3858	100			Percent of total billed charges		3858	100			Percent of total billed charges		3858	33.3			Percent of total billed charges		1284.714	33.3			Percent of total billed charges		1284.714	100			Percent of total billed charges		3858	1284.714	3472.2	
oxford tibial tray standard size e 154726 biomet	278	RC	Outpatient			3858	2507.7		90			Percent of total billed charges		3472.2	40			Percent of total billed charges		1543.2	80			Percent of total billed charges		3086.4	90			Percent of total billed charges		3472.2	85			Percent of total billed charges		3279.3	85			Percent of total billed charges		3279.3	85			Percent of total billed charges		3279.3	100			Percent of total billed charges		3858	100			Percent of total billed charges		3858	100			Percent of total billed charges		3858	33.3			Percent of total billed charges		1284.714	33.3			Percent of total billed charges		1284.714	100			Percent of total billed charges		3858	1284.714	3472.2	
oxford tibial tray standard size f 154775 biomet	278	RC	Outpatient			3858	2507.7		90			Percent of total billed charges		3472.2	40			Percent of total billed charges		1543.2	80			Percent of total billed charges		3086.4	90			Percent of total billed charges		3472.2	85			Percent of total billed charges		3279.3	85			Percent of total billed charges		3279.3	85			Percent of total billed charges		3279.3	100			Percent of total billed charges		3858	100			Percent of total billed charges		3858	100			Percent of total billed charges		3858	33.3			Percent of total billed charges		1284.714	33.3			Percent of total billed charges		1284.714	100			Percent of total billed charges		3858	1284.714	3472.2	
oxford tibial tray standard size f 154776 biomet	278	RC	Outpatient			3858	2507.7		90			Percent of total billed charges		3472.2	40			Percent of total billed charges		1543.2	80			Percent of total billed charges		3086.4	90			Percent of total billed charges		3472.2	85			Percent of total billed charges		3279.3	85			Percent of total billed charges		3279.3	85			Percent of total billed charges		3279.3	100			Percent of total billed charges		3858	100			Percent of total billed charges		3858	100			Percent of total billed charges		3858	33.3			Percent of total billed charges		1284.714	33.3			Percent of total billed charges		1284.714	100			Percent of total billed charges		3858	1284.714	3472.2	
vectra plate 2 level	278	RC	Outpatient			3869	2514.85		90			Percent of total billed charges		3482.1	40			Percent of total billed charges		1547.6	80			Percent of total billed charges		3095.2	90			Percent of total billed charges		3482.1	85			Percent of total billed charges		3288.65	85			Percent of total billed charges		3288.65	85			Percent of total billed charges		3288.65	100			Percent of total billed charges		3869	100			Percent of total billed charges		3869	100			Percent of total billed charges		3869	33.3			Percent of total billed charges		1288.377	33.3			Percent of total billed charges		1288.377	100			Percent of total billed charges		3869	1288.377	3482.1	
vectra plate 2 level 46mm  04.613.146 synthes	278	RC	Outpatient			3869	2514.85		90			Percent of total billed charges		3482.1	40			Percent of total billed charges		1547.6	80			Percent of total billed charges		3095.2	90			Percent of total billed charges		3482.1	85			Percent of total billed charges		3288.65	85			Percent of total billed charges		3288.65	85			Percent of total billed charges		3288.65	100			Percent of total billed charges		3869	100			Percent of total billed charges		3869	100			Percent of total billed charges		3869	33.3			Percent of total billed charges		1288.377	33.3			Percent of total billed charges		1288.377	100			Percent of total billed charges		3869	1288.377	3482.1	
vectra plate 2 level 40mm  04.613.140 synthes	278	RC	Outpatient			3869	2514.85		90			Percent of total billed charges		3482.1	40			Percent of total billed charges		1547.6	80			Percent of total billed charges		3095.2	90			Percent of total billed charges		3482.1	85			Percent of total billed charges		3288.65	85			Percent of total billed charges		3288.65	85			Percent of total billed charges		3288.65	100			Percent of total billed charges		3869	100			Percent of total billed charges		3869	100			Percent of total billed charges		3869	33.3			Percent of total billed charges		1288.377	33.3			Percent of total billed charges		1288.377	100			Percent of total billed charges		3869	1288.377	3482.1	
vectra plate 2 level 44mm  04.613.144 synthes	278	RC	Outpatient			3869	2514.85		90			Percent of total billed charges		3482.1	40			Percent of total billed charges		1547.6	80			Percent of total billed charges		3095.2	90			Percent of total billed charges		3482.1	85			Percent of total billed charges		3288.65	85			Percent of total billed charges		3288.65	85			Percent of total billed charges		3288.65	100			Percent of total billed charges		3869	100			Percent of total billed charges		3869	100			Percent of total billed charges		3869	33.3			Percent of total billed charges		1288.377	33.3			Percent of total billed charges		1288.377	100			Percent of total billed charges		3869	1288.377	3482.1	
bio vanguard nc tib bear	278	RC	Outpatient			3871	2516.15		90			Percent of total billed charges		3483.9	40			Percent of total billed charges		1548.4	80			Percent of total billed charges		3096.8	90			Percent of total billed charges		3483.9	85			Percent of total billed charges		3290.35	85			Percent of total billed charges		3290.35	85			Percent of total billed charges		3290.35	100			Percent of total billed charges		3871	100			Percent of total billed charges		3871	100			Percent of total billed charges		3871	33.3			Percent of total billed charges		1289.043	33.3			Percent of total billed charges		1289.043	100			Percent of total billed charges		3871	1289.043	3483.9	
vanguard tibial bearing 16 x 63/67mm 185028 biomet	278	RC	Outpatient			3871	2516.15		90			Percent of total billed charges		3483.9	40			Percent of total billed charges		1548.4	80			Percent of total billed charges		3096.8	90			Percent of total billed charges		3483.9	85			Percent of total billed charges		3290.35	85			Percent of total billed charges		3290.35	85			Percent of total billed charges		3290.35	100			Percent of total billed charges		3871	100			Percent of total billed charges		3871	100			Percent of total billed charges		3871	33.3			Percent of total billed charges		1289.043	33.3			Percent of total billed charges		1289.043	100			Percent of total billed charges		3871	1289.043	3483.9	
vanguard tibial bearing 20 x 63/37mm 185070 biomet	278	RC	Outpatient			3871	2516.15		90			Percent of total billed charges		3483.9	40			Percent of total billed charges		1548.4	80			Percent of total billed charges		3096.8	90			Percent of total billed charges		3483.9	85			Percent of total billed charges		3290.35	85			Percent of total billed charges		3290.35	85			Percent of total billed charges		3290.35	100			Percent of total billed charges		3871	100			Percent of total billed charges		3871	100			Percent of total billed charges		3871	33.3			Percent of total billed charges		1289.043	33.3			Percent of total billed charges		1289.043	100			Percent of total billed charges		3871	1289.043	3483.9	
vanguard tibial bearing 20 x 71/75mm 185090 biomet	278	RC	Outpatient			3871	2516.15		90			Percent of total billed charges		3483.9	40			Percent of total billed charges		1548.4	80			Percent of total billed charges		3096.8	90			Percent of total billed charges		3483.9	85			Percent of total billed charges		3290.35	85			Percent of total billed charges		3290.35	85			Percent of total billed charges		3290.35	100			Percent of total billed charges		3871	100			Percent of total billed charges		3871	100			Percent of total billed charges		3871	33.3			Percent of total billed charges		1289.043	33.3			Percent of total billed charges		1289.043	100			Percent of total billed charges		3871	1289.043	3483.9	
vanguard tibial bearing 22 x 63/67mm 185032 biomet	278	RC	Outpatient			3871	2516.15		90			Percent of total billed charges		3483.9	40			Percent of total billed charges		1548.4	80			Percent of total billed charges		3096.8	90			Percent of total billed charges		3483.9	85			Percent of total billed charges		3290.35	85			Percent of total billed charges		3290.35	85			Percent of total billed charges		3290.35	100			Percent of total billed charges		3871	100			Percent of total billed charges		3871	100			Percent of total billed charges		3871	33.3			Percent of total billed charges		1289.043	33.3			Percent of total billed charges		1289.043	100			Percent of total billed charges		3871	1289.043	3483.9	
vanguard tibial bearing 12 x 71/75mm 185042 biomet	278	RC	Outpatient			3871	2516.15		90			Percent of total billed charges		3483.9	40			Percent of total billed charges		1548.4	80			Percent of total billed charges		3096.8	90			Percent of total billed charges		3483.9	85			Percent of total billed charges		3290.35	85			Percent of total billed charges		3290.35	85			Percent of total billed charges		3290.35	100			Percent of total billed charges		3871	100			Percent of total billed charges		3871	100			Percent of total billed charges		3871	33.3			Percent of total billed charges		1289.043	33.3			Percent of total billed charges		1289.043	100			Percent of total billed charges		3871	1289.043	3483.9	
vanguard tibial bearing 18 x 71/75mm 185088 biomet	278	RC	Outpatient			3871	2516.15		90			Percent of total billed charges		3483.9	40			Percent of total billed charges		1548.4	80			Percent of total billed charges		3096.8	90			Percent of total billed charges		3483.9	85			Percent of total billed charges		3290.35	85			Percent of total billed charges		3290.35	85			Percent of total billed charges		3290.35	100			Percent of total billed charges		3871	100			Percent of total billed charges		3871	100			Percent of total billed charges		3871	33.3			Percent of total billed charges		1289.043	33.3			Percent of total billed charges		1289.043	100			Percent of total billed charges		3871	1289.043	3483.9	
durasul congruent tibial insert sz 1/2 16mm lt 6201-08-816 zimmer	278	RC	Outpatient			3891	2529.15		90			Percent of total billed charges		3501.9	40			Percent of total billed charges		1556.4	80			Percent of total billed charges		3112.8	90			Percent of total billed charges		3501.9	85			Percent of total billed charges		3307.35	85			Percent of total billed charges		3307.35	85			Percent of total billed charges		3307.35	100			Percent of total billed charges		3891	100			Percent of total billed charges		3891	100			Percent of total billed charges		3891	33.3			Percent of total billed charges		1295.703	33.3			Percent of total billed charges		1295.703	100			Percent of total billed charges		3891	1295.703	3501.9	
zim durasul tib inst	278	RC	Outpatient			3891	2529.15		90			Percent of total billed charges		3501.9	40			Percent of total billed charges		1556.4	80			Percent of total billed charges		3112.8	90			Percent of total billed charges		3501.9	85			Percent of total billed charges		3307.35	85			Percent of total billed charges		3307.35	85			Percent of total billed charges		3307.35	100			Percent of total billed charges		3891	100			Percent of total billed charges		3891	100			Percent of total billed charges		3891	33.3			Percent of total billed charges		1295.703	33.3			Percent of total billed charges		1295.703	100			Percent of total billed charges		3891	1295.703	3501.9	
lg fr pl cp brd cmp 20hl	278	RC	Outpatient			3898	2533.7		90			Percent of total billed charges		3508.2	40			Percent of total billed charges		1559.2	80			Percent of total billed charges		3118.4	90			Percent of total billed charges		3508.2	85			Percent of total billed charges		3313.3	85			Percent of total billed charges		3313.3	85			Percent of total billed charges		3313.3	100			Percent of total billed charges		3898	100			Percent of total billed charges		3898	100			Percent of total billed charges		3898	33.3			Percent of total billed charges		1298.034	33.3			Percent of total billed charges		1298.034	100			Percent of total billed charges		3898	1298.034	3508.2	
s/n lg frag plate 4.5mm 20 hole 7184-1220	278	RC	Outpatient			3898	2533.7		90			Percent of total billed charges		3508.2	40			Percent of total billed charges		1559.2	80			Percent of total billed charges		3118.4	90			Percent of total billed charges		3508.2	85			Percent of total billed charges		3313.3	85			Percent of total billed charges		3313.3	85			Percent of total billed charges		3313.3	100			Percent of total billed charges		3898	100			Percent of total billed charges		3898	100			Percent of total billed charges		3898	33.3			Percent of total billed charges		1298.034	33.3			Percent of total billed charges		1298.034	100			Percent of total billed charges		3898	1298.034	3508.2	
cathlab plexa rv lead 436909	278	RC	Outpatient			3900	2535		90			Percent of total billed charges		3510	40			Percent of total billed charges		1560	80			Percent of total billed charges		3120	90			Percent of total billed charges		3510	85			Percent of total billed charges		3315	85			Percent of total billed charges		3315	85			Percent of total billed charges		3315	100			Percent of total billed charges		3900	100			Percent of total billed charges		3900	100			Percent of total billed charges		3900	33.3			Percent of total billed charges		1298.7	33.3			Percent of total billed charges		1298.7	100			Percent of total billed charges		3900	1298.7	3510	
trigen meta nail tibial nail 8.5mm x 34cm 71655034 s/n	278	RC	Outpatient			3901	2535.65		90			Percent of total billed charges		3510.9	40			Percent of total billed charges		1560.4	80			Percent of total billed charges		3120.8	90			Percent of total billed charges		3510.9	85			Percent of total billed charges		3315.85	85			Percent of total billed charges		3315.85	85			Percent of total billed charges		3315.85	100			Percent of total billed charges		3901	100			Percent of total billed charges		3901	100			Percent of total billed charges		3901	33.3			Percent of total billed charges		1299.033	33.3			Percent of total billed charges		1299.033	100			Percent of total billed charges		3901	1299.033	3510.9	
narrow plt 4.5mm 20 hl 71809470 s\n	278	RC	Outpatient			3905	2538.25		90			Percent of total billed charges		3514.5	40			Percent of total billed charges		1562	80			Percent of total billed charges		3124	90			Percent of total billed charges		3514.5	85			Percent of total billed charges		3319.25	85			Percent of total billed charges		3319.25	85			Percent of total billed charges		3319.25	100			Percent of total billed charges		3905	100			Percent of total billed charges		3905	100			Percent of total billed charges		3905	33.3			Percent of total billed charges		1300.365	33.3			Percent of total billed charges		1300.365	100			Percent of total billed charges		3905	1300.365	3514.5	
s/n 4.5 narrow pl 20 hl	278	RC	Outpatient			3905	2538.25		90			Percent of total billed charges		3514.5	40			Percent of total billed charges		1562	80			Percent of total billed charges		3124	90			Percent of total billed charges		3514.5	85			Percent of total billed charges		3319.25	85			Percent of total billed charges		3319.25	85			Percent of total billed charges		3319.25	100			Percent of total billed charges		3905	100			Percent of total billed charges		3905	100			Percent of total billed charges		3905	33.3			Percent of total billed charges		1300.365	33.3			Percent of total billed charges		1300.365	100			Percent of total billed charges		3905	1300.365	3514.5	
acet shell 44mm liner sz c 740044 s/n	278	RC	Outpatient			3911	2542.15		90			Percent of total billed charges		3519.9	40			Percent of total billed charges		1564.4	80			Percent of total billed charges		3128.8	90			Percent of total billed charges		3519.9	85			Percent of total billed charges		3324.35	85			Percent of total billed charges		3324.35	85			Percent of total billed charges		3324.35	100			Percent of total billed charges		3911	100			Percent of total billed charges		3911	100			Percent of total billed charges		3911	33.3			Percent of total billed charges		1302.363	33.3			Percent of total billed charges		1302.363	100			Percent of total billed charges		3911	1302.363	3519.9	
acet shell 46mm liner sz d 740046 s/n	278	RC	Outpatient			3911	2542.15		90			Percent of total billed charges		3519.9	40			Percent of total billed charges		1564.4	80			Percent of total billed charges		3128.8	90			Percent of total billed charges		3519.9	85			Percent of total billed charges		3324.35	85			Percent of total billed charges		3324.35	85			Percent of total billed charges		3324.35	100			Percent of total billed charges		3911	100			Percent of total billed charges		3911	100			Percent of total billed charges		3911	33.3			Percent of total billed charges		1302.363	33.3			Percent of total billed charges		1302.363	100			Percent of total billed charges		3911	1302.363	3519.9	
acet shell 50mm liner sz e 740050 s/n	278	RC	Outpatient			3911	2542.15		90			Percent of total billed charges		3519.9	40			Percent of total billed charges		1564.4	80			Percent of total billed charges		3128.8	90			Percent of total billed charges		3519.9	85			Percent of total billed charges		3324.35	85			Percent of total billed charges		3324.35	85			Percent of total billed charges		3324.35	100			Percent of total billed charges		3911	100			Percent of total billed charges		3911	100			Percent of total billed charges		3911	33.3			Percent of total billed charges		1302.363	33.3			Percent of total billed charges		1302.363	100			Percent of total billed charges		3911	1302.363	3519.9	
acet shell 52mm liner sz e 740052 s/n	278	RC	Outpatient			3911	2542.15		90			Percent of total billed charges		3519.9	40			Percent of total billed charges		1564.4	80			Percent of total billed charges		3128.8	90			Percent of total billed charges		3519.9	85			Percent of total billed charges		3324.35	85			Percent of total billed charges		3324.35	85			Percent of total billed charges		3324.35	100			Percent of total billed charges		3911	100			Percent of total billed charges		3911	100			Percent of total billed charges		3911	33.3			Percent of total billed charges		1302.363	33.3			Percent of total billed charges		1302.363	100			Percent of total billed charges		3911	1302.363	3519.9	
acet shell 54mm liner sz f 740054 s/n	278	RC	Outpatient			3911	2542.15		90			Percent of total billed charges		3519.9	40			Percent of total billed charges		1564.4	80			Percent of total billed charges		3128.8	90			Percent of total billed charges		3519.9	85			Percent of total billed charges		3324.35	85			Percent of total billed charges		3324.35	85			Percent of total billed charges		3324.35	100			Percent of total billed charges		3911	100			Percent of total billed charges		3911	100			Percent of total billed charges		3911	33.3			Percent of total billed charges		1302.363	33.3			Percent of total billed charges		1302.363	100			Percent of total billed charges		3911	1302.363	3519.9	
acet shell 64mm liner sz h 740064 s/n	278	RC	Outpatient			3911	2542.15		90			Percent of total billed charges		3519.9	40			Percent of total billed charges		1564.4	80			Percent of total billed charges		3128.8	90			Percent of total billed charges		3519.9	85			Percent of total billed charges		3324.35	85			Percent of total billed charges		3324.35	85			Percent of total billed charges		3324.35	100			Percent of total billed charges		3911	100			Percent of total billed charges		3911	100			Percent of total billed charges		3911	33.3			Percent of total billed charges		1302.363	33.3			Percent of total billed charges		1302.363	100			Percent of total billed charges		3911	1302.363	3519.9	
acet shell 66mm liner sz j 740066 s/n	278	RC	Outpatient			3911	2542.15		90			Percent of total billed charges		3519.9	40			Percent of total billed charges		1564.4	80			Percent of total billed charges		3128.8	90			Percent of total billed charges		3519.9	85			Percent of total billed charges		3324.35	85			Percent of total billed charges		3324.35	85			Percent of total billed charges		3324.35	100			Percent of total billed charges		3911	100			Percent of total billed charges		3911	100			Percent of total billed charges		3911	33.3			Percent of total billed charges		1302.363	33.3			Percent of total billed charges		1302.363	100			Percent of total billed charges		3911	1302.363	3519.9	
acet shell 70mm liner sz k 740070 s/n	278	RC	Outpatient			3911	2542.15		90			Percent of total billed charges		3519.9	40			Percent of total billed charges		1564.4	80			Percent of total billed charges		3128.8	90			Percent of total billed charges		3519.9	85			Percent of total billed charges		3324.35	85			Percent of total billed charges		3324.35	85			Percent of total billed charges		3324.35	100			Percent of total billed charges		3911	100			Percent of total billed charges		3911	100			Percent of total billed charges		3911	33.3			Percent of total billed charges		1302.363	33.3			Percent of total billed charges		1302.363	100			Percent of total billed charges		3911	1302.363	3519.9	
acet shell 48mm liner sz d 740048 s/n	278	RC	Outpatient			3911	2542.15		90			Percent of total billed charges		3519.9	40			Percent of total billed charges		1564.4	80			Percent of total billed charges		3128.8	90			Percent of total billed charges		3519.9	85			Percent of total billed charges		3324.35	85			Percent of total billed charges		3324.35	85			Percent of total billed charges		3324.35	100			Percent of total billed charges		3911	100			Percent of total billed charges		3911	100			Percent of total billed charges		3911	33.3			Percent of total billed charges		1302.363	33.3			Percent of total billed charges		1302.363	100			Percent of total billed charges		3911	1302.363	3519.9	
acet shell 56mm liner sz f 740056 s/n	278	RC	Outpatient			3911	2542.15		90			Percent of total billed charges		3519.9	40			Percent of total billed charges		1564.4	80			Percent of total billed charges		3128.8	90			Percent of total billed charges		3519.9	85			Percent of total billed charges		3324.35	85			Percent of total billed charges		3324.35	85			Percent of total billed charges		3324.35	100			Percent of total billed charges		3911	100			Percent of total billed charges		3911	100			Percent of total billed charges		3911	33.3			Percent of total billed charges		1302.363	33.3			Percent of total billed charges		1302.363	100			Percent of total billed charges		3911	1302.363	3519.9	
acet shell 58mm liner sz g 740058 s/n	278	RC	Outpatient			3911	2542.15		90			Percent of total billed charges		3519.9	40			Percent of total billed charges		1564.4	80			Percent of total billed charges		3128.8	90			Percent of total billed charges		3519.9	85			Percent of total billed charges		3324.35	85			Percent of total billed charges		3324.35	85			Percent of total billed charges		3324.35	100			Percent of total billed charges		3911	100			Percent of total billed charges		3911	100			Percent of total billed charges		3911	33.3			Percent of total billed charges		1302.363	33.3			Percent of total billed charges		1302.363	100			Percent of total billed charges		3911	1302.363	3519.9	
acet shell 60mm liner sz g 740060 s/n	278	RC	Outpatient			3911	2542.15		90			Percent of total billed charges		3519.9	40			Percent of total billed charges		1564.4	80			Percent of total billed charges		3128.8	90			Percent of total billed charges		3519.9	85			Percent of total billed charges		3324.35	85			Percent of total billed charges		3324.35	85			Percent of total billed charges		3324.35	100			Percent of total billed charges		3911	100			Percent of total billed charges		3911	100			Percent of total billed charges		3911	33.3			Percent of total billed charges		1302.363	33.3			Percent of total billed charges		1302.363	100			Percent of total billed charges		3911	1302.363	3519.9	
acet shell 62mm liner sz h 740062 s/n	278	RC	Outpatient			3911	2542.15		90			Percent of total billed charges		3519.9	40			Percent of total billed charges		1564.4	80			Percent of total billed charges		3128.8	90			Percent of total billed charges		3519.9	85			Percent of total billed charges		3324.35	85			Percent of total billed charges		3324.35	85			Percent of total billed charges		3324.35	100			Percent of total billed charges		3911	100			Percent of total billed charges		3911	100			Percent of total billed charges		3911	33.3			Percent of total billed charges		1302.363	33.3			Percent of total billed charges		1302.363	100			Percent of total billed charges		3911	1302.363	3519.9	
acet shell 68mm liner sz j 740068 s/n	278	RC	Outpatient			3911	2542.15		90			Percent of total billed charges		3519.9	40			Percent of total billed charges		1564.4	80			Percent of total billed charges		3128.8	90			Percent of total billed charges		3519.9	85			Percent of total billed charges		3324.35	85			Percent of total billed charges		3324.35	85			Percent of total billed charges		3324.35	100			Percent of total billed charges		3911	100			Percent of total billed charges		3911	100			Percent of total billed charges		3911	33.3			Percent of total billed charges		1302.363	33.3			Percent of total billed charges		1302.363	100			Percent of total billed charges		3911	1302.363	3519.9	
depuy porous tray sleeve	278	RC	Outpatient			3911	2542.15		90			Percent of total billed charges		3519.9	40			Percent of total billed charges		1564.4	80			Percent of total billed charges		3128.8	90			Percent of total billed charges		3519.9	85			Percent of total billed charges		3324.35	85			Percent of total billed charges		3324.35	85			Percent of total billed charges		3324.35	100			Percent of total billed charges		3911	100			Percent of total billed charges		3911	100			Percent of total billed charges		3911	33.3			Percent of total billed charges		1302.363	33.3			Percent of total billed charges		1302.363	100			Percent of total billed charges		3911	1302.363	3519.9	
m.b.t. pourous tray sleeve  37mm 1294-54-100 depuy	278	RC	Outpatient			3911	2542.15		90			Percent of total billed charges		3519.9	40			Percent of total billed charges		1564.4	80			Percent of total billed charges		3128.8	90			Percent of total billed charges		3519.9	85			Percent of total billed charges		3324.35	85			Percent of total billed charges		3324.35	85			Percent of total billed charges		3324.35	100			Percent of total billed charges		3911	100			Percent of total billed charges		3911	100			Percent of total billed charges		3911	33.3			Percent of total billed charges		1302.363	33.3			Percent of total billed charges		1302.363	100			Percent of total billed charges		3911	1302.363	3519.9	
richards acetabular shell	278	RC	Outpatient			3911	2542.15		90			Percent of total billed charges		3519.9	40			Percent of total billed charges		1564.4	80			Percent of total billed charges		3128.8	90			Percent of total billed charges		3519.9	85			Percent of total billed charges		3324.35	85			Percent of total billed charges		3324.35	85			Percent of total billed charges		3324.35	100			Percent of total billed charges		3911	100			Percent of total billed charges		3911	100			Percent of total billed charges		3911	33.3			Percent of total billed charges		1302.363	33.3			Percent of total billed charges		1302.363	100			Percent of total billed charges		3911	1302.363	3519.9	
gamma 3 troch nail 11 x 180mm 125 degree 3125-1180s stryker	278	RC	Outpatient			3915	2544.75		90			Percent of total billed charges		3523.5	40			Percent of total billed charges		1566	80			Percent of total billed charges		3132	90			Percent of total billed charges		3523.5	85			Percent of total billed charges		3327.75	85			Percent of total billed charges		3327.75	85			Percent of total billed charges		3327.75	100			Percent of total billed charges		3915	100			Percent of total billed charges		3915	100			Percent of total billed charges		3915	33.3			Percent of total billed charges		1303.695	33.3			Percent of total billed charges		1303.695	100			Percent of total billed charges		3915	1303.695	3523.5	
gamma 3 troch nail 11 x 180mm 120 degree 3120-1180s stryker	278	RC	Outpatient			3915	2544.75		90			Percent of total billed charges		3523.5	40			Percent of total billed charges		1566	80			Percent of total billed charges		3132	90			Percent of total billed charges		3523.5	85			Percent of total billed charges		3327.75	85			Percent of total billed charges		3327.75	85			Percent of total billed charges		3327.75	100			Percent of total billed charges		3915	100			Percent of total billed charges		3915	100			Percent of total billed charges		3915	33.3			Percent of total billed charges		1303.695	33.3			Percent of total billed charges		1303.695	100			Percent of total billed charges		3915	1303.695	3523.5	
gamma 3 troch nail 11 x 180mm 130 degree 3130-1180s stryker	278	RC	Outpatient			3915	2544.75		90			Percent of total billed charges		3523.5	40			Percent of total billed charges		1566	80			Percent of total billed charges		3132	90			Percent of total billed charges		3523.5	85			Percent of total billed charges		3327.75	85			Percent of total billed charges		3327.75	85			Percent of total billed charges		3327.75	100			Percent of total billed charges		3915	100			Percent of total billed charges		3915	100			Percent of total billed charges		3915	33.3			Percent of total billed charges		1303.695	33.3			Percent of total billed charges		1303.695	100			Percent of total billed charges		3915	1303.695	3523.5	
gamma troch nail kit	278	RC	Outpatient			3915	2544.75		90			Percent of total billed charges		3523.5	40			Percent of total billed charges		1566	80			Percent of total billed charges		3132	90			Percent of total billed charges		3523.5	85			Percent of total billed charges		3327.75	85			Percent of total billed charges		3327.75	85			Percent of total billed charges		3327.75	100			Percent of total billed charges		3915	100			Percent of total billed charges		3915	100			Percent of total billed charges		3915	33.3			Percent of total billed charges		1303.695	33.3			Percent of total billed charges		1303.695	100			Percent of total billed charges		3915	1303.695	3523.5	
gns uni femoral comp sm 725002 s/n	278	RC	Outpatient			3917	2546.05		90			Percent of total billed charges		3525.3	40			Percent of total billed charges		1566.8	80			Percent of total billed charges		3133.6	90			Percent of total billed charges		3525.3	85			Percent of total billed charges		3329.45	85			Percent of total billed charges		3329.45	85			Percent of total billed charges		3329.45	100			Percent of total billed charges		3917	100			Percent of total billed charges		3917	100			Percent of total billed charges		3917	33.3			Percent of total billed charges		1304.361	33.3			Percent of total billed charges		1304.361	100			Percent of total billed charges		3917	1304.361	3525.3	
gns uni femoral comp x-sm 725001 s/n	278	RC	Outpatient			3917	2546.05		90			Percent of total billed charges		3525.3	40			Percent of total billed charges		1566.8	80			Percent of total billed charges		3133.6	90			Percent of total billed charges		3525.3	85			Percent of total billed charges		3329.45	85			Percent of total billed charges		3329.45	85			Percent of total billed charges		3329.45	100			Percent of total billed charges		3917	100			Percent of total billed charges		3917	100			Percent of total billed charges		3917	33.3			Percent of total billed charges		1304.361	33.3			Percent of total billed charges		1304.361	100			Percent of total billed charges		3917	1304.361	3525.3	
uni fem comp s/n 5mx5m	278	RC	Outpatient			3917	2546.05		90			Percent of total billed charges		3525.3	40			Percent of total billed charges		1566.8	80			Percent of total billed charges		3133.6	90			Percent of total billed charges		3525.3	85			Percent of total billed charges		3329.45	85			Percent of total billed charges		3329.45	85			Percent of total billed charges		3329.45	100			Percent of total billed charges		3917	100			Percent of total billed charges		3917	100			Percent of total billed charges		3917	33.3			Percent of total billed charges		1304.361	33.3			Percent of total billed charges		1304.361	100			Percent of total billed charges		3917	1304.361	3525.3	
genesis cruciate retaining articular insert 71924994 s/n	278	RC	Outpatient			3919	2547.35		90			Percent of total billed charges		3527.1	40			Percent of total billed charges		1567.6	80			Percent of total billed charges		3135.2	90			Percent of total billed charges		3527.1	85			Percent of total billed charges		3331.15	85			Percent of total billed charges		3331.15	85			Percent of total billed charges		3331.15	100			Percent of total billed charges		3919	100			Percent of total billed charges		3919	100			Percent of total billed charges		3919	33.3			Percent of total billed charges		1305.027	33.3			Percent of total billed charges		1305.027	100			Percent of total billed charges		3919	1305.027	3527.1	
s/n gen cr art inst	278	RC	Outpatient			3919	2547.35		90			Percent of total billed charges		3527.1	40			Percent of total billed charges		1567.6	80			Percent of total billed charges		3135.2	90			Percent of total billed charges		3527.1	85			Percent of total billed charges		3331.15	85			Percent of total billed charges		3331.15	85			Percent of total billed charges		3331.15	100			Percent of total billed charges		3919	100			Percent of total billed charges		3919	100			Percent of total billed charges		3919	33.3			Percent of total billed charges		1305.027	33.3			Percent of total billed charges		1305.027	100			Percent of total billed charges		3919	1305.027	3527.1	
versys  fem stem 140mm zimmer 7850-15	278	RC	Outpatient			3919	2547.35		90			Percent of total billed charges		3527.1	40			Percent of total billed charges		1567.6	80			Percent of total billed charges		3135.2	90			Percent of total billed charges		3527.1	85			Percent of total billed charges		3331.15	85			Percent of total billed charges		3331.15	85			Percent of total billed charges		3331.15	100			Percent of total billed charges		3919	100			Percent of total billed charges		3919	100			Percent of total billed charges		3919	33.3			Percent of total billed charges		1305.027	33.3			Percent of total billed charges		1305.027	100			Percent of total billed charges		3919	1305.027	3527.1	
versys cemented stem	278	RC	Outpatient			3919	2547.35		90			Percent of total billed charges		3527.1	40			Percent of total billed charges		1567.6	80			Percent of total billed charges		3135.2	90			Percent of total billed charges		3527.1	85			Percent of total billed charges		3331.15	85			Percent of total billed charges		3331.15	85			Percent of total billed charges		3331.15	100			Percent of total billed charges		3919	100			Percent of total billed charges		3919	100			Percent of total billed charges		3919	33.3			Percent of total billed charges		1305.027	33.3			Percent of total billed charges		1305.027	100			Percent of total billed charges		3919	1305.027	3527.1	
versys fem stem size 14 135mm zimmer 7850-14-20	278	RC	Outpatient			3919	2547.35		90			Percent of total billed charges		3527.1	40			Percent of total billed charges		1567.6	80			Percent of total billed charges		3135.2	90			Percent of total billed charges		3527.1	85			Percent of total billed charges		3331.15	85			Percent of total billed charges		3331.15	85			Percent of total billed charges		3331.15	100			Percent of total billed charges		3919	100			Percent of total billed charges		3919	100			Percent of total billed charges		3919	33.3			Percent of total billed charges		1305.027	33.3			Percent of total billed charges		1305.027	100			Percent of total billed charges		3919	1305.027	3527.1	
zimmer versys cemented stem 7853-11-01	278	RC	Outpatient			3919	2547.35		90			Percent of total billed charges		3527.1	40			Percent of total billed charges		1567.6	80			Percent of total billed charges		3135.2	90			Percent of total billed charges		3527.1	85			Percent of total billed charges		3331.15	85			Percent of total billed charges		3331.15	85			Percent of total billed charges		3331.15	100			Percent of total billed charges		3919	100			Percent of total billed charges		3919	100			Percent of total billed charges		3919	33.3			Percent of total billed charges		1305.027	33.3			Percent of total billed charges		1305.027	100			Percent of total billed charges		3919	1305.027	3527.1	
zimmer versys cemented stem 7853-13-21	278	RC	Outpatient			3919	2547.35		90			Percent of total billed charges		3527.1	40			Percent of total billed charges		1567.6	80			Percent of total billed charges		3135.2	90			Percent of total billed charges		3527.1	85			Percent of total billed charges		3331.15	85			Percent of total billed charges		3331.15	85			Percent of total billed charges		3331.15	100			Percent of total billed charges		3919	100			Percent of total billed charges		3919	100			Percent of total billed charges		3919	33.3			Percent of total billed charges		1305.027	33.3			Percent of total billed charges		1305.027	100			Percent of total billed charges		3919	1305.027	3527.1	
zimmer versys cemented stem 7853-14-01	278	RC	Outpatient			3919	2547.35		90			Percent of total billed charges		3527.1	40			Percent of total billed charges		1567.6	80			Percent of total billed charges		3135.2	90			Percent of total billed charges		3527.1	85			Percent of total billed charges		3331.15	85			Percent of total billed charges		3331.15	85			Percent of total billed charges		3331.15	100			Percent of total billed charges		3919	100			Percent of total billed charges		3919	100			Percent of total billed charges		3919	33.3			Percent of total billed charges		1305.027	33.3			Percent of total billed charges		1305.027	100			Percent of total billed charges		3919	1305.027	3527.1	
zimmer versys cemented stem 7853-16-01	278	RC	Outpatient			3919	2547.35		90			Percent of total billed charges		3527.1	40			Percent of total billed charges		1567.6	80			Percent of total billed charges		3135.2	90			Percent of total billed charges		3527.1	85			Percent of total billed charges		3331.15	85			Percent of total billed charges		3331.15	85			Percent of total billed charges		3331.15	100			Percent of total billed charges		3919	100			Percent of total billed charges		3919	100			Percent of total billed charges		3919	33.3			Percent of total billed charges		1305.027	33.3			Percent of total billed charges		1305.027	100			Percent of total billed charges		3919	1305.027	3527.1	
versys advocate hip prosthesis femoral stem size 13 mm stem zimmer 7850-13-20	278	RC	Outpatient			3919	2547.35		90			Percent of total billed charges		3527.1	40			Percent of total billed charges		1567.6	80			Percent of total billed charges		3135.2	90			Percent of total billed charges		3527.1	85			Percent of total billed charges		3331.15	85			Percent of total billed charges		3331.15	85			Percent of total billed charges		3331.15	100			Percent of total billed charges		3919	100			Percent of total billed charges		3919	100			Percent of total billed charges		3919	33.3			Percent of total billed charges		1305.027	33.3			Percent of total billed charges		1305.027	100			Percent of total billed charges		3919	1305.027	3527.1	
zimmer versys cemented stem 7853-12-01	278	RC	Outpatient			3919	2547.35		90			Percent of total billed charges		3527.1	40			Percent of total billed charges		1567.6	80			Percent of total billed charges		3135.2	90			Percent of total billed charges		3527.1	85			Percent of total billed charges		3331.15	85			Percent of total billed charges		3331.15	85			Percent of total billed charges		3331.15	100			Percent of total billed charges		3919	100			Percent of total billed charges		3919	100			Percent of total billed charges		3919	33.3			Percent of total billed charges		1305.027	33.3			Percent of total billed charges		1305.027	100			Percent of total billed charges		3919	1305.027	3527.1	
zimmer versys cemented stem 7853-13-01	278	RC	Outpatient			3919	2547.35		90			Percent of total billed charges		3527.1	40			Percent of total billed charges		1567.6	80			Percent of total billed charges		3135.2	90			Percent of total billed charges		3527.1	85			Percent of total billed charges		3331.15	85			Percent of total billed charges		3331.15	85			Percent of total billed charges		3331.15	100			Percent of total billed charges		3919	100			Percent of total billed charges		3919	100			Percent of total billed charges		3919	33.3			Percent of total billed charges		1305.027	33.3			Percent of total billed charges		1305.027	100			Percent of total billed charges		3919	1305.027	3527.1	
zimmer versys cemented stem 7853-14-21	278	RC	Outpatient			3919	2547.35		90			Percent of total billed charges		3527.1	40			Percent of total billed charges		1567.6	80			Percent of total billed charges		3135.2	90			Percent of total billed charges		3527.1	85			Percent of total billed charges		3331.15	85			Percent of total billed charges		3331.15	85			Percent of total billed charges		3331.15	100			Percent of total billed charges		3919	100			Percent of total billed charges		3919	100			Percent of total billed charges		3919	33.3			Percent of total billed charges		1305.027	33.3			Percent of total billed charges		1305.027	100			Percent of total billed charges		3919	1305.027	3527.1	
zimmer versys cemented stem 7853-15-01	278	RC	Outpatient			3919	2547.35		90			Percent of total billed charges		3527.1	40			Percent of total billed charges		1567.6	80			Percent of total billed charges		3135.2	90			Percent of total billed charges		3527.1	85			Percent of total billed charges		3331.15	85			Percent of total billed charges		3331.15	85			Percent of total billed charges		3331.15	100			Percent of total billed charges		3919	100			Percent of total billed charges		3919	100			Percent of total billed charges		3919	33.3			Percent of total billed charges		1305.027	33.3			Percent of total billed charges		1305.027	100			Percent of total billed charges		3919	1305.027	3527.1	
zimmer versys cemented stem 7853-15-21	278	RC	Outpatient			3919	2547.35		90			Percent of total billed charges		3527.1	40			Percent of total billed charges		1567.6	80			Percent of total billed charges		3135.2	90			Percent of total billed charges		3527.1	85			Percent of total billed charges		3331.15	85			Percent of total billed charges		3331.15	85			Percent of total billed charges		3331.15	100			Percent of total billed charges		3919	100			Percent of total billed charges		3919	100			Percent of total billed charges		3919	33.3			Percent of total billed charges		1305.027	33.3			Percent of total billed charges		1305.027	100			Percent of total billed charges		3919	1305.027	3527.1	
zimmer versys cemented stem 7853-16-21	278	RC	Outpatient			3919	2547.35		90			Percent of total billed charges		3527.1	40			Percent of total billed charges		1567.6	80			Percent of total billed charges		3135.2	90			Percent of total billed charges		3527.1	85			Percent of total billed charges		3331.15	85			Percent of total billed charges		3331.15	85			Percent of total billed charges		3331.15	100			Percent of total billed charges		3919	100			Percent of total billed charges		3919	100			Percent of total billed charges		3919	33.3			Percent of total billed charges		1305.027	33.3			Percent of total billed charges		1305.027	100			Percent of total billed charges		3919	1305.027	3527.1	
zimmer versys cemented stem 7853-17-01	278	RC	Outpatient			3919	2547.35		90			Percent of total billed charges		3527.1	40			Percent of total billed charges		1567.6	80			Percent of total billed charges		3135.2	90			Percent of total billed charges		3527.1	85			Percent of total billed charges		3331.15	85			Percent of total billed charges		3331.15	85			Percent of total billed charges		3331.15	100			Percent of total billed charges		3919	100			Percent of total billed charges		3919	100			Percent of total billed charges		3919	33.3			Percent of total billed charges		1305.027	33.3			Percent of total billed charges		1305.027	100			Percent of total billed charges		3919	1305.027	3527.1	
l-p tib lk plate3.5mm 13-hole 187mm 71800413 s/n	278	RC	Outpatient			3927	2552.55		90			Percent of total billed charges		3534.3	40			Percent of total billed charges		1570.8	80			Percent of total billed charges		3141.6	90			Percent of total billed charges		3534.3	85			Percent of total billed charges		3337.95	85			Percent of total billed charges		3337.95	85			Percent of total billed charges		3337.95	100			Percent of total billed charges		3927	100			Percent of total billed charges		3927	100			Percent of total billed charges		3927	33.3			Percent of total billed charges		1307.691	33.3			Percent of total billed charges		1307.691	100			Percent of total billed charges		3927	1307.691	3534.3	
l-p tib lk plate3.5mm 13-hole 187mm 71800513 s/n	278	RC	Outpatient			3927	2552.55		90			Percent of total billed charges		3534.3	40			Percent of total billed charges		1570.8	80			Percent of total billed charges		3141.6	90			Percent of total billed charges		3534.3	85			Percent of total billed charges		3337.95	85			Percent of total billed charges		3337.95	85			Percent of total billed charges		3337.95	100			Percent of total billed charges		3927	100			Percent of total billed charges		3927	100			Percent of total billed charges		3927	33.3			Percent of total billed charges		1307.691	33.3			Percent of total billed charges		1307.691	100			Percent of total billed charges		3927	1307.691	3534.3	
s/n 3.5 l-p tib lk pl 13h	278	RC	Outpatient			3927	2552.55		90			Percent of total billed charges		3534.3	40			Percent of total billed charges		1570.8	80			Percent of total billed charges		3141.6	90			Percent of total billed charges		3534.3	85			Percent of total billed charges		3337.95	85			Percent of total billed charges		3337.95	85			Percent of total billed charges		3337.95	100			Percent of total billed charges		3927	100			Percent of total billed charges		3927	100			Percent of total billed charges		3927	33.3			Percent of total billed charges		1307.691	33.3			Percent of total billed charges		1307.691	100			Percent of total billed charges		3927	1307.691	3534.3	
biomet vhs supracondylar plate 152mm 200321	278	RC	Outpatient			3931	2555.15		90			Percent of total billed charges		3537.9	40			Percent of total billed charges		1572.4	80			Percent of total billed charges		3144.8	90			Percent of total billed charges		3537.9	85			Percent of total billed charges		3341.35	85			Percent of total billed charges		3341.35	85			Percent of total billed charges		3341.35	100			Percent of total billed charges		3931	100			Percent of total billed charges		3931	100			Percent of total billed charges		3931	33.3			Percent of total billed charges		1309.023	33.3			Percent of total billed charges		1309.023	100			Percent of total billed charges		3931	1309.023	3537.9	
vhs supracondylar plate	278	RC	Outpatient			3931	2555.15		90			Percent of total billed charges		3537.9	40			Percent of total billed charges		1572.4	80			Percent of total billed charges		3144.8	90			Percent of total billed charges		3537.9	85			Percent of total billed charges		3341.35	85			Percent of total billed charges		3341.35	85			Percent of total billed charges		3341.35	100			Percent of total billed charges		3931	100			Percent of total billed charges		3931	100			Percent of total billed charges		3931	33.3			Percent of total billed charges		1309.023	33.3			Percent of total billed charges		1309.023	100			Percent of total billed charges		3931	1309.023	3537.9	
cosmetic - outer & inner thighs	983	RC	Outpatient			3933	2556.45		90			Percent of total billed charges		3539.7	40			Percent of total billed charges		1573.2	80			Percent of total billed charges		3146.4	90			Percent of total billed charges		3539.7	85			Percent of total billed charges		3343.05	85			Percent of total billed charges		3343.05	85			Percent of total billed charges		3343.05	100			Percent of total billed charges		3933	100			Percent of total billed charges		3933	100			Percent of total billed charges		3933	33.3			Percent of total billed charges		1309.689	33.3			Percent of total billed charges		1309.689	100			Percent of total billed charges		3933	1309.689	3539.7	
nexgen tibial component  5886-47-10 zimmer	278	RC	Outpatient			3937	2559.05		90			Percent of total billed charges		3543.3	40			Percent of total billed charges		1574.8	80			Percent of total billed charges		3149.6	90			Percent of total billed charges		3543.3	85			Percent of total billed charges		3346.45	85			Percent of total billed charges		3346.45	85			Percent of total billed charges		3346.45	100			Percent of total billed charges		3937	100			Percent of total billed charges		3937	100			Percent of total billed charges		3937	33.3			Percent of total billed charges		1311.021	33.3			Percent of total billed charges		1311.021	100			Percent of total billed charges		3937	1311.021	3543.3	
zimmer nexgen  tibial comp  5886-65-10	278	RC	Outpatient			3937	2559.05		90			Percent of total billed charges		3543.3	40			Percent of total billed charges		1574.8	80			Percent of total billed charges		3149.6	90			Percent of total billed charges		3543.3	85			Percent of total billed charges		3346.45	85			Percent of total billed charges		3346.45	85			Percent of total billed charges		3346.45	100			Percent of total billed charges		3937	100			Percent of total billed charges		3937	100			Percent of total billed charges		3937	33.3			Percent of total billed charges		1311.021	33.3			Percent of total billed charges		1311.021	100			Percent of total billed charges		3937	1311.021	3543.3	
zimm nex trabecular tibia	278	RC	Outpatient			3937	2559.05		90			Percent of total billed charges		3543.3	40			Percent of total billed charges		1574.8	80			Percent of total billed charges		3149.6	90			Percent of total billed charges		3543.3	85			Percent of total billed charges		3346.45	85			Percent of total billed charges		3346.45	85			Percent of total billed charges		3346.45	100			Percent of total billed charges		3937	100			Percent of total billed charges		3937	100			Percent of total billed charges		3937	33.3			Percent of total billed charges		1311.021	33.3			Percent of total billed charges		1311.021	100			Percent of total billed charges		3937	1311.021	3543.3	
biomet m2a 2 hole shell 37/48 10-104048	274	RC	Outpatient			3945	2564.25		90			Percent of total billed charges		3550.5	40			Percent of total billed charges		1578	80			Percent of total billed charges		3156	90			Percent of total billed charges		3550.5	85			Percent of total billed charges		3353.25	85			Percent of total billed charges		3353.25	85			Percent of total billed charges		3353.25	100			Percent of total billed charges		3945	100			Percent of total billed charges		3945	100			Percent of total billed charges		3945	33.3			Percent of total billed charges		1313.685	33.3			Percent of total billed charges		1313.685	100			Percent of total billed charges		3945	1313.685	3550.5	
biomet m2a 2 hole shell 41/52 10-104052	274	RC	Outpatient			3945	2564.25		90			Percent of total billed charges		3550.5	40			Percent of total billed charges		1578	80			Percent of total billed charges		3156	90			Percent of total billed charges		3550.5	85			Percent of total billed charges		3353.25	85			Percent of total billed charges		3353.25	85			Percent of total billed charges		3353.25	100			Percent of total billed charges		3945	100			Percent of total billed charges		3945	100			Percent of total billed charges		3945	33.3			Percent of total billed charges		1313.685	33.3			Percent of total billed charges		1313.685	100			Percent of total billed charges		3945	1313.685	3550.5	
biomet m2a 2 hole shell 41/54 10-104054	274	RC	Outpatient			3945	2564.25		90			Percent of total billed charges		3550.5	40			Percent of total billed charges		1578	80			Percent of total billed charges		3156	90			Percent of total billed charges		3550.5	85			Percent of total billed charges		3353.25	85			Percent of total billed charges		3353.25	85			Percent of total billed charges		3353.25	100			Percent of total billed charges		3945	100			Percent of total billed charges		3945	100			Percent of total billed charges		3945	33.3			Percent of total billed charges		1313.685	33.3			Percent of total billed charges		1313.685	100			Percent of total billed charges		3945	1313.685	3550.5	
biomet m2a 2 hole shell 41/56 10-104056	274	RC	Outpatient			3945	2564.25		90			Percent of total billed charges		3550.5	40			Percent of total billed charges		1578	80			Percent of total billed charges		3156	90			Percent of total billed charges		3550.5	85			Percent of total billed charges		3353.25	85			Percent of total billed charges		3353.25	85			Percent of total billed charges		3353.25	100			Percent of total billed charges		3945	100			Percent of total billed charges		3945	100			Percent of total billed charges		3945	33.3			Percent of total billed charges		1313.685	33.3			Percent of total billed charges		1313.685	100			Percent of total billed charges		3945	1313.685	3550.5	
biomet m2a 2 hole shell 41/58 10-104058	274	RC	Outpatient			3945	2564.25		90			Percent of total billed charges		3550.5	40			Percent of total billed charges		1578	80			Percent of total billed charges		3156	90			Percent of total billed charges		3550.5	85			Percent of total billed charges		3353.25	85			Percent of total billed charges		3353.25	85			Percent of total billed charges		3353.25	100			Percent of total billed charges		3945	100			Percent of total billed charges		3945	100			Percent of total billed charges		3945	33.3			Percent of total billed charges		1313.685	33.3			Percent of total billed charges		1313.685	100			Percent of total billed charges		3945	1313.685	3550.5	
biomet m2a 2 hole shell 41/60 10-104060	274	RC	Outpatient			3945	2564.25		90			Percent of total billed charges		3550.5	40			Percent of total billed charges		1578	80			Percent of total billed charges		3156	90			Percent of total billed charges		3550.5	85			Percent of total billed charges		3353.25	85			Percent of total billed charges		3353.25	85			Percent of total billed charges		3353.25	100			Percent of total billed charges		3945	100			Percent of total billed charges		3945	100			Percent of total billed charges		3945	33.3			Percent of total billed charges		1313.685	33.3			Percent of total billed charges		1313.685	100			Percent of total billed charges		3945	1313.685	3550.5	
biomet m2a 2 hole shell 41/62 10-104062	274	RC	Outpatient			3945	2564.25		90			Percent of total billed charges		3550.5	40			Percent of total billed charges		1578	80			Percent of total billed charges		3156	90			Percent of total billed charges		3550.5	85			Percent of total billed charges		3353.25	85			Percent of total billed charges		3353.25	85			Percent of total billed charges		3353.25	100			Percent of total billed charges		3945	100			Percent of total billed charges		3945	100			Percent of total billed charges		3945	33.3			Percent of total billed charges		1313.685	33.3			Percent of total billed charges		1313.685	100			Percent of total billed charges		3945	1313.685	3550.5	
biomet m2a 2 hole shell 41/64 10-104064	274	RC	Outpatient			3945	2564.25		90			Percent of total billed charges		3550.5	40			Percent of total billed charges		1578	80			Percent of total billed charges		3156	90			Percent of total billed charges		3550.5	85			Percent of total billed charges		3353.25	85			Percent of total billed charges		3353.25	85			Percent of total billed charges		3353.25	100			Percent of total billed charges		3945	100			Percent of total billed charges		3945	100			Percent of total billed charges		3945	33.3			Percent of total billed charges		1313.685	33.3			Percent of total billed charges		1313.685	100			Percent of total billed charges		3945	1313.685	3550.5	
biomet ma2 taper  2 hole shell 41/52 15-103682	278	RC	Outpatient			3945	2564.25		90			Percent of total billed charges		3550.5	40			Percent of total billed charges		1578	80			Percent of total billed charges		3156	90			Percent of total billed charges		3550.5	85			Percent of total billed charges		3353.25	85			Percent of total billed charges		3353.25	85			Percent of total billed charges		3353.25	100			Percent of total billed charges		3945	100			Percent of total billed charges		3945	100			Percent of total billed charges		3945	33.3			Percent of total billed charges		1313.685	33.3			Percent of total billed charges		1313.685	100			Percent of total billed charges		3945	1313.685	3550.5	
biomet ma2 taper  2 hole shell 41/54 15-103684	278	RC	Outpatient			3945	2564.25		90			Percent of total billed charges		3550.5	40			Percent of total billed charges		1578	80			Percent of total billed charges		3156	90			Percent of total billed charges		3550.5	85			Percent of total billed charges		3353.25	85			Percent of total billed charges		3353.25	85			Percent of total billed charges		3353.25	100			Percent of total billed charges		3945	100			Percent of total billed charges		3945	100			Percent of total billed charges		3945	33.3			Percent of total billed charges		1313.685	33.3			Percent of total billed charges		1313.685	100			Percent of total billed charges		3945	1313.685	3550.5	
biomet ma2 taper  2 hole shell 41/60 15-103690	278	RC	Outpatient			3945	2564.25		90			Percent of total billed charges		3550.5	40			Percent of total billed charges		1578	80			Percent of total billed charges		3156	90			Percent of total billed charges		3550.5	85			Percent of total billed charges		3353.25	85			Percent of total billed charges		3353.25	85			Percent of total billed charges		3353.25	100			Percent of total billed charges		3945	100			Percent of total billed charges		3945	100			Percent of total billed charges		3945	33.3			Percent of total billed charges		1313.685	33.3			Percent of total billed charges		1313.685	100			Percent of total billed charges		3945	1313.685	3550.5	
biomet ma2 taper  2 hole shell 41/62 15-103692	278	RC	Outpatient			3945	2564.25		90			Percent of total billed charges		3550.5	40			Percent of total billed charges		1578	80			Percent of total billed charges		3156	90			Percent of total billed charges		3550.5	85			Percent of total billed charges		3353.25	85			Percent of total billed charges		3353.25	85			Percent of total billed charges		3353.25	100			Percent of total billed charges		3945	100			Percent of total billed charges		3945	100			Percent of total billed charges		3945	33.3			Percent of total billed charges		1313.685	33.3			Percent of total billed charges		1313.685	100			Percent of total billed charges		3945	1313.685	3550.5	
biomet ma2 taper 2 hole shell 41/64 15-103694	278	RC	Outpatient			3945	2564.25		90			Percent of total billed charges		3550.5	40			Percent of total billed charges		1578	80			Percent of total billed charges		3156	90			Percent of total billed charges		3550.5	85			Percent of total billed charges		3353.25	85			Percent of total billed charges		3353.25	85			Percent of total billed charges		3353.25	100			Percent of total billed charges		3945	100			Percent of total billed charges		3945	100			Percent of total billed charges		3945	33.3			Percent of total billed charges		1313.685	33.3			Percent of total billed charges		1313.685	100			Percent of total billed charges		3945	1313.685	3550.5	
biomet mallory head	274	RC	Outpatient			3945	2564.25		90			Percent of total billed charges		3550.5	40			Percent of total billed charges		1578	80			Percent of total billed charges		3156	90			Percent of total billed charges		3550.5	85			Percent of total billed charges		3353.25	85			Percent of total billed charges		3353.25	85			Percent of total billed charges		3353.25	100			Percent of total billed charges		3945	100			Percent of total billed charges		3945	100			Percent of total billed charges		3945	33.3			Percent of total billed charges		1313.685	33.3			Percent of total billed charges		1313.685	100			Percent of total billed charges		3945	1313.685	3550.5	
bio m2a mal head	278	RC	Outpatient			3945	2564.25		90			Percent of total billed charges		3550.5	40			Percent of total billed charges		1578	80			Percent of total billed charges		3156	90			Percent of total billed charges		3550.5	85			Percent of total billed charges		3353.25	85			Percent of total billed charges		3353.25	85			Percent of total billed charges		3353.25	100			Percent of total billed charges		3945	100			Percent of total billed charges		3945	100			Percent of total billed charges		3945	33.3			Percent of total billed charges		1313.685	33.3			Percent of total billed charges		1313.685	100			Percent of total billed charges		3945	1313.685	3550.5	
biomet m2a 2 hole shell 37/50 10-104050	274	RC	Outpatient			3945	2564.25		90			Percent of total billed charges		3550.5	40			Percent of total billed charges		1578	80			Percent of total billed charges		3156	90			Percent of total billed charges		3550.5	85			Percent of total billed charges		3353.25	85			Percent of total billed charges		3353.25	85			Percent of total billed charges		3353.25	100			Percent of total billed charges		3945	100			Percent of total billed charges		3945	100			Percent of total billed charges		3945	33.3			Percent of total billed charges		1313.685	33.3			Percent of total billed charges		1313.685	100			Percent of total billed charges		3945	1313.685	3550.5	
biomet m2a 2 hole shell 41/66 10-104066	274	RC	Outpatient			3945	2564.25		90			Percent of total billed charges		3550.5	40			Percent of total billed charges		1578	80			Percent of total billed charges		3156	90			Percent of total billed charges		3550.5	85			Percent of total billed charges		3353.25	85			Percent of total billed charges		3353.25	85			Percent of total billed charges		3353.25	100			Percent of total billed charges		3945	100			Percent of total billed charges		3945	100			Percent of total billed charges		3945	33.3			Percent of total billed charges		1313.685	33.3			Percent of total billed charges		1313.685	100			Percent of total billed charges		3945	1313.685	3550.5	
biomet m2a 2 hole shell 41/678 10-104068	274	RC	Outpatient			3945	2564.25		90			Percent of total billed charges		3550.5	40			Percent of total billed charges		1578	80			Percent of total billed charges		3156	90			Percent of total billed charges		3550.5	85			Percent of total billed charges		3353.25	85			Percent of total billed charges		3353.25	85			Percent of total billed charges		3353.25	100			Percent of total billed charges		3945	100			Percent of total billed charges		3945	100			Percent of total billed charges		3945	33.3			Percent of total billed charges		1313.685	33.3			Percent of total billed charges		1313.685	100			Percent of total billed charges		3945	1313.685	3550.5	
biomet m2a 2 hole shell 41/70 10-104070	274	RC	Outpatient			3945	2564.25		90			Percent of total billed charges		3550.5	40			Percent of total billed charges		1578	80			Percent of total billed charges		3156	90			Percent of total billed charges		3550.5	85			Percent of total billed charges		3353.25	85			Percent of total billed charges		3353.25	85			Percent of total billed charges		3353.25	100			Percent of total billed charges		3945	100			Percent of total billed charges		3945	100			Percent of total billed charges		3945	33.3			Percent of total billed charges		1313.685	33.3			Percent of total billed charges		1313.685	100			Percent of total billed charges		3945	1313.685	3550.5	
biomet ma2 taper  2 hole shell 37/48 15-103648	278	RC	Outpatient			3945	2564.25		90			Percent of total billed charges		3550.5	40			Percent of total billed charges		1578	80			Percent of total billed charges		3156	90			Percent of total billed charges		3550.5	85			Percent of total billed charges		3353.25	85			Percent of total billed charges		3353.25	85			Percent of total billed charges		3353.25	100			Percent of total billed charges		3945	100			Percent of total billed charges		3945	100			Percent of total billed charges		3945	33.3			Percent of total billed charges		1313.685	33.3			Percent of total billed charges		1313.685	100			Percent of total billed charges		3945	1313.685	3550.5	
biomet ma2 taper  2 hole shell 37/50 15-103650	278	RC	Outpatient			3945	2564.25		90			Percent of total billed charges		3550.5	40			Percent of total billed charges		1578	80			Percent of total billed charges		3156	90			Percent of total billed charges		3550.5	85			Percent of total billed charges		3353.25	85			Percent of total billed charges		3353.25	85			Percent of total billed charges		3353.25	100			Percent of total billed charges		3945	100			Percent of total billed charges		3945	100			Percent of total billed charges		3945	33.3			Percent of total billed charges		1313.685	33.3			Percent of total billed charges		1313.685	100			Percent of total billed charges		3945	1313.685	3550.5	
biomet ma2 taper  2 hole shell 41/58 15-103688	278	RC	Outpatient			3945	2564.25		90			Percent of total billed charges		3550.5	40			Percent of total billed charges		1578	80			Percent of total billed charges		3156	90			Percent of total billed charges		3550.5	85			Percent of total billed charges		3353.25	85			Percent of total billed charges		3353.25	85			Percent of total billed charges		3353.25	100			Percent of total billed charges		3945	100			Percent of total billed charges		3945	100			Percent of total billed charges		3945	33.3			Percent of total billed charges		1313.685	33.3			Percent of total billed charges		1313.685	100			Percent of total billed charges		3945	1313.685	3550.5	
biomet ma2 taper  2 hole shell 41/66 15-103696	278	RC	Outpatient			3945	2564.25		90			Percent of total billed charges		3550.5	40			Percent of total billed charges		1578	80			Percent of total billed charges		3156	90			Percent of total billed charges		3550.5	85			Percent of total billed charges		3353.25	85			Percent of total billed charges		3353.25	85			Percent of total billed charges		3353.25	100			Percent of total billed charges		3945	100			Percent of total billed charges		3945	100			Percent of total billed charges		3945	33.3			Percent of total billed charges		1313.685	33.3			Percent of total billed charges		1313.685	100			Percent of total billed charges		3945	1313.685	3550.5	
biomet ma2 taper  2 hole shell 41/68 15-103698	278	RC	Outpatient			3945	2564.25		90			Percent of total billed charges		3550.5	40			Percent of total billed charges		1578	80			Percent of total billed charges		3156	90			Percent of total billed charges		3550.5	85			Percent of total billed charges		3353.25	85			Percent of total billed charges		3353.25	85			Percent of total billed charges		3353.25	100			Percent of total billed charges		3945	100			Percent of total billed charges		3945	100			Percent of total billed charges		3945	33.3			Percent of total billed charges		1313.685	33.3			Percent of total billed charges		1313.685	100			Percent of total billed charges		3945	1313.685	3550.5	
biomet ma2 taper  2 hole shell 41/70 15-103700	278	RC	Outpatient			3945	2564.25		90			Percent of total billed charges		3550.5	40			Percent of total billed charges		1578	80			Percent of total billed charges		3156	90			Percent of total billed charges		3550.5	85			Percent of total billed charges		3353.25	85			Percent of total billed charges		3353.25	85			Percent of total billed charges		3353.25	100			Percent of total billed charges		3945	100			Percent of total billed charges		3945	100			Percent of total billed charges		3945	33.3			Percent of total billed charges		1313.685	33.3			Percent of total billed charges		1313.685	100			Percent of total billed charges		3945	1313.685	3550.5	
cement spacer-fem	272	RC	Outpatient			3945	2564.25		90			Percent of total billed charges		3550.5	40			Percent of total billed charges		1578	80			Percent of total billed charges		3156	90			Percent of total billed charges		3550.5	85			Percent of total billed charges		3353.25	85			Percent of total billed charges		3353.25	85			Percent of total billed charges		3353.25	100			Percent of total billed charges		3945	100			Percent of total billed charges		3945	100			Percent of total billed charges		3945	33.3			Percent of total billed charges		1313.685	33.3			Percent of total billed charges		1313.685	100			Percent of total billed charges		3945	1313.685	3550.5	
stage one cement spacer mold knee fem 65mm 432165 biomet	272	RC	Outpatient			3945	2564.25		90			Percent of total billed charges		3550.5	40			Percent of total billed charges		1578	80			Percent of total billed charges		3156	90			Percent of total billed charges		3550.5	85			Percent of total billed charges		3353.25	85			Percent of total billed charges		3353.25	85			Percent of total billed charges		3353.25	100			Percent of total billed charges		3945	100			Percent of total billed charges		3945	100			Percent of total billed charges		3945	33.3			Percent of total billed charges		1313.685	33.3			Percent of total billed charges		1313.685	100			Percent of total billed charges		3945	1313.685	3550.5	
stage one cement spacer mold knee fem 70mm 432170 biomet	272	RC	Outpatient			3945	2564.25		90			Percent of total billed charges		3550.5	40			Percent of total billed charges		1578	80			Percent of total billed charges		3156	90			Percent of total billed charges		3550.5	85			Percent of total billed charges		3353.25	85			Percent of total billed charges		3353.25	85			Percent of total billed charges		3353.25	100			Percent of total billed charges		3945	100			Percent of total billed charges		3945	100			Percent of total billed charges		3945	33.3			Percent of total billed charges		1313.685	33.3			Percent of total billed charges		1313.685	100			Percent of total billed charges		3945	1313.685	3550.5	
stage one cement spacer mold knee fem 75mm 432175 biomet	272	RC	Outpatient			3945	2564.25		90			Percent of total billed charges		3550.5	40			Percent of total billed charges		1578	80			Percent of total billed charges		3156	90			Percent of total billed charges		3550.5	85			Percent of total billed charges		3353.25	85			Percent of total billed charges		3353.25	85			Percent of total billed charges		3353.25	100			Percent of total billed charges		3945	100			Percent of total billed charges		3945	100			Percent of total billed charges		3945	33.3			Percent of total billed charges		1313.685	33.3			Percent of total billed charges		1313.685	100			Percent of total billed charges		3945	1313.685	3550.5	
stage one cement spacer mold knee fem 60mm 432160 biomet	272	RC	Outpatient			3945	2564.25		90			Percent of total billed charges		3550.5	40			Percent of total billed charges		1578	80			Percent of total billed charges		3156	90			Percent of total billed charges		3550.5	85			Percent of total billed charges		3353.25	85			Percent of total billed charges		3353.25	85			Percent of total billed charges		3353.25	100			Percent of total billed charges		3945	100			Percent of total billed charges		3945	100			Percent of total billed charges		3945	33.3			Percent of total billed charges		1313.685	33.3			Percent of total billed charges		1313.685	100			Percent of total billed charges		3945	1313.685	3550.5	
arthrex mpfl convience pack ar-1360b-cp	278	RC	Outpatient			3951	2568.15		90			Percent of total billed charges		3555.9	40			Percent of total billed charges		1580.4	80			Percent of total billed charges		3160.8	90			Percent of total billed charges		3555.9	85			Percent of total billed charges		3358.35	85			Percent of total billed charges		3358.35	85			Percent of total billed charges		3358.35	100			Percent of total billed charges		3951	100			Percent of total billed charges		3951	100			Percent of total billed charges		3951	33.3			Percent of total billed charges		1315.683	33.3			Percent of total billed charges		1315.683	100			Percent of total billed charges		3951	1315.683	3555.9	
arthrex mpfl pck	278	RC	Outpatient			3951	2568.15		90			Percent of total billed charges		3555.9	40			Percent of total billed charges		1580.4	80			Percent of total billed charges		3160.8	90			Percent of total billed charges		3555.9	85			Percent of total billed charges		3358.35	85			Percent of total billed charges		3358.35	85			Percent of total billed charges		3358.35	100			Percent of total billed charges		3951	100			Percent of total billed charges		3951	100			Percent of total billed charges		3951	33.3			Percent of total billed charges		1315.683	33.3			Percent of total billed charges		1315.683	100			Percent of total billed charges		3951	1315.683	3555.9	
beta-bsm kit 5cc 76-6016 etex	278	RC	Outpatient			3955	2570.75		90			Percent of total billed charges		3559.5	40			Percent of total billed charges		1582	80			Percent of total billed charges		3164	90			Percent of total billed charges		3559.5	85			Percent of total billed charges		3361.75	85			Percent of total billed charges		3361.75	85			Percent of total billed charges		3361.75	100			Percent of total billed charges		3955	100			Percent of total billed charges		3955	100			Percent of total billed charges		3955	33.3			Percent of total billed charges		1317.015	33.3			Percent of total billed charges		1317.015	100			Percent of total billed charges		3955	1317.015	3559.5	
etex beta-bsm 5cc	278	RC	Outpatient			3955	2570.75		90			Percent of total billed charges		3559.5	40			Percent of total billed charges		1582	80			Percent of total billed charges		3164	90			Percent of total billed charges		3559.5	85			Percent of total billed charges		3361.75	85			Percent of total billed charges		3361.75	85			Percent of total billed charges		3361.75	100			Percent of total billed charges		3955	100			Percent of total billed charges		3955	100			Percent of total billed charges		3955	33.3			Percent of total billed charges		1317.015	33.3			Percent of total billed charges		1317.015	100			Percent of total billed charges		3955	1317.015	3559.5	
etex gamma-bsm 5cc	278	RC	Outpatient			3955	2570.75		90			Percent of total billed charges		3559.5	40			Percent of total billed charges		1582	80			Percent of total billed charges		3164	90			Percent of total billed charges		3559.5	85			Percent of total billed charges		3361.75	85			Percent of total billed charges		3361.75	85			Percent of total billed charges		3361.75	100			Percent of total billed charges		3955	100			Percent of total billed charges		3955	100			Percent of total billed charges		3955	33.3			Percent of total billed charges		1317.015	33.3			Percent of total billed charges		1317.015	100			Percent of total billed charges		3955	1317.015	3559.5	
gamma-bsm kit 5cc 76-6005 etex	278	RC	Outpatient			3955	2570.75		90			Percent of total billed charges		3559.5	40			Percent of total billed charges		1582	80			Percent of total billed charges		3164	90			Percent of total billed charges		3559.5	85			Percent of total billed charges		3361.75	85			Percent of total billed charges		3361.75	85			Percent of total billed charges		3361.75	100			Percent of total billed charges		3955	100			Percent of total billed charges		3955	100			Percent of total billed charges		3955	33.3			Percent of total billed charges		1317.015	33.3			Percent of total billed charges		1317.015	100			Percent of total billed charges		3955	1317.015	3559.5	
remedy tibial component m rktbmd	278	RC	Outpatient			3960	2574		90			Percent of total billed charges		3564	40			Percent of total billed charges		1584	80			Percent of total billed charges		3168	90			Percent of total billed charges		3564	85			Percent of total billed charges		3366	85			Percent of total billed charges		3366	85			Percent of total billed charges		3366	100			Percent of total billed charges		3960	100			Percent of total billed charges		3960	100			Percent of total billed charges		3960	33.3			Percent of total billed charges		1318.68	33.3			Percent of total billed charges		1318.68	100			Percent of total billed charges		3960	1318.68	3564	
remedy femoral component m rkfmmd	278	RC	Outpatient			3960	2574		90			Percent of total billed charges		3564	40			Percent of total billed charges		1584	80			Percent of total billed charges		3168	90			Percent of total billed charges		3564	85			Percent of total billed charges		3366	85			Percent of total billed charges		3366	85			Percent of total billed charges		3366	100			Percent of total billed charges		3960	100			Percent of total billed charges		3960	100			Percent of total billed charges		3960	33.3			Percent of total billed charges		1318.68	33.3			Percent of total billed charges		1318.68	100			Percent of total billed charges		3960	1318.68	3564	
or time 3 hours	270	RC	Outpatient			3963	2575.95		90			Percent of total billed charges		3566.7	40			Percent of total billed charges		1585.2	80			Percent of total billed charges		3170.4	90			Percent of total billed charges		3566.7	85			Percent of total billed charges		3368.55	85			Percent of total billed charges		3368.55	85			Percent of total billed charges		3368.55	100			Percent of total billed charges		3963	100			Percent of total billed charges		3963	100			Percent of total billed charges		3963	33.3			Percent of total billed charges		1319.679	33.3			Percent of total billed charges		1319.679	100			Percent of total billed charges		3963	1319.679	3566.7	
cryotherapy of prostate	360	RC	Outpatient			3964	2576.6		90			Percent of total billed charges		3567.6	40			Percent of total billed charges		1585.6	80			Percent of total billed charges		3171.2	90			Percent of total billed charges		3567.6	85			Percent of total billed charges		3369.4	85			Percent of total billed charges		3369.4	85			Percent of total billed charges		3369.4	100			Percent of total billed charges		3964	100			Percent of total billed charges		3964	100			Percent of total billed charges		3964	33.3			Percent of total billed charges		1320.012	33.3			Percent of total billed charges		1320.012	100			Percent of total billed charges		3964	1320.012	3567.6	
s/n 3.5mm compression plate 20 hole 7184-0220	278	RC	Outpatient			3965	2577.25		90			Percent of total billed charges		3568.5	40			Percent of total billed charges		1586	80			Percent of total billed charges		3172	90			Percent of total billed charges		3568.5	85			Percent of total billed charges		3370.25	85			Percent of total billed charges		3370.25	85			Percent of total billed charges		3370.25	100			Percent of total billed charges		3965	100			Percent of total billed charges		3965	100			Percent of total billed charges		3965	33.3			Percent of total billed charges		1320.345	33.3			Percent of total billed charges		1320.345	100			Percent of total billed charges		3965	1320.345	3568.5	
sm fr pl comp 20hl	278	RC	Outpatient			3965	2577.25		90			Percent of total billed charges		3568.5	40			Percent of total billed charges		1586	80			Percent of total billed charges		3172	90			Percent of total billed charges		3568.5	85			Percent of total billed charges		3370.25	85			Percent of total billed charges		3370.25	85			Percent of total billed charges		3370.25	100			Percent of total billed charges		3965	100			Percent of total billed charges		3965	100			Percent of total billed charges		3965	33.3			Percent of total billed charges		1320.345	33.3			Percent of total billed charges		1320.345	100			Percent of total billed charges		3965	1320.345	3568.5	
bio m/h stem dist	278	RC	Outpatient			3973	2582.45		90			Percent of total billed charges		3575.7	40			Percent of total billed charges		1589.2	80			Percent of total billed charges		3178.4	90			Percent of total billed charges		3575.7	85			Percent of total billed charges		3377.05	85			Percent of total billed charges		3377.05	85			Percent of total billed charges		3377.05	100			Percent of total billed charges		3973	100			Percent of total billed charges		3973	100			Percent of total billed charges		3973	33.3			Percent of total billed charges		1323.009	33.3			Percent of total billed charges		1323.009	100			Percent of total billed charges		3973	1323.009	3575.7	
distal stem 13 x 165 biomet 11-135164	278	RC	Outpatient			3973	2582.45		90			Percent of total billed charges		3575.7	40			Percent of total billed charges		1589.2	80			Percent of total billed charges		3178.4	90			Percent of total billed charges		3575.7	85			Percent of total billed charges		3377.05	85			Percent of total billed charges		3377.05	85			Percent of total billed charges		3377.05	100			Percent of total billed charges		3973	100			Percent of total billed charges		3973	100			Percent of total billed charges		3973	33.3			Percent of total billed charges		1323.009	33.3			Percent of total billed charges		1323.009	100			Percent of total billed charges		3973	1323.009	3575.7	
distal stem 15.0 x 220 biomet 11-108255	278	RC	Outpatient			3973	2582.45		90			Percent of total billed charges		3575.7	40			Percent of total billed charges		1589.2	80			Percent of total billed charges		3178.4	90			Percent of total billed charges		3575.7	85			Percent of total billed charges		3377.05	85			Percent of total billed charges		3377.05	85			Percent of total billed charges		3377.05	100			Percent of total billed charges		3973	100			Percent of total billed charges		3973	100			Percent of total billed charges		3973	33.3			Percent of total billed charges		1323.009	33.3			Percent of total billed charges		1323.009	100			Percent of total billed charges		3973	1323.009	3575.7	
depuy fem adaptor	278	RC	Outpatient			3973	2582.45		90			Percent of total billed charges		3575.7	40			Percent of total billed charges		1589.2	80			Percent of total billed charges		3178.4	90			Percent of total billed charges		3575.7	85			Percent of total billed charges		3377.05	85			Percent of total billed charges		3377.05	85			Percent of total billed charges		3377.05	100			Percent of total billed charges		3973	100			Percent of total billed charges		3973	100			Percent of total billed charges		3973	33.3			Percent of total billed charges		1323.009	33.3			Percent of total billed charges		1323.009	100			Percent of total billed charges		3973	1323.009	3575.7	
pfc sigma fem adaptor 5 degree 96-0781 depuy	278	RC	Outpatient			3973	2582.45		90			Percent of total billed charges		3575.7	40			Percent of total billed charges		1589.2	80			Percent of total billed charges		3178.4	90			Percent of total billed charges		3575.7	85			Percent of total billed charges		3377.05	85			Percent of total billed charges		3377.05	85			Percent of total billed charges		3377.05	100			Percent of total billed charges		3973	100			Percent of total billed charges		3973	100			Percent of total billed charges		3973	33.3			Percent of total billed charges		1323.009	33.3			Percent of total billed charges		1323.009	100			Percent of total billed charges		3973	1323.009	3575.7	
cosmetic - capsulotomy with gel implant	983	RC	Outpatient			3977	2585.05		90			Percent of total billed charges		3579.3	40			Percent of total billed charges		1590.8	80			Percent of total billed charges		3181.6	90			Percent of total billed charges		3579.3	85			Percent of total billed charges		3380.45	85			Percent of total billed charges		3380.45	85			Percent of total billed charges		3380.45	100			Percent of total billed charges		3977	100			Percent of total billed charges		3977	100			Percent of total billed charges		3977	33.3			Percent of total billed charges		1324.341	33.3			Percent of total billed charges		1324.341	100			Percent of total billed charges		3977	1324.341	3579.3	
l-p tib lk plate3.5mm 6-hole 98mm 71800406 s/n	278	RC	Outpatient			3977	2585.05		90			Percent of total billed charges		3579.3	40			Percent of total billed charges		1590.8	80			Percent of total billed charges		3181.6	90			Percent of total billed charges		3579.3	85			Percent of total billed charges		3380.45	85			Percent of total billed charges		3380.45	85			Percent of total billed charges		3380.45	100			Percent of total billed charges		3977	100			Percent of total billed charges		3977	100			Percent of total billed charges		3977	33.3			Percent of total billed charges		1324.341	33.3			Percent of total billed charges		1324.341	100			Percent of total billed charges		3977	1324.341	3579.3	
l-p tib lk plate4.5mm 6-hole 130mm 71800204 s/n	278	RC	Outpatient			3977	2585.05		90			Percent of total billed charges		3579.3	40			Percent of total billed charges		1590.8	80			Percent of total billed charges		3181.6	90			Percent of total billed charges		3579.3	85			Percent of total billed charges		3380.45	85			Percent of total billed charges		3380.45	85			Percent of total billed charges		3380.45	100			Percent of total billed charges		3977	100			Percent of total billed charges		3977	100			Percent of total billed charges		3977	33.3			Percent of total billed charges		1324.341	33.3			Percent of total billed charges		1324.341	100			Percent of total billed charges		3977	1324.341	3579.3	
l-p tib lk plate4.5mm 6-hole 130mm 71800306 s/n	278	RC	Outpatient			3977	2585.05		90			Percent of total billed charges		3579.3	40			Percent of total billed charges		1590.8	80			Percent of total billed charges		3181.6	90			Percent of total billed charges		3579.3	85			Percent of total billed charges		3380.45	85			Percent of total billed charges		3380.45	85			Percent of total billed charges		3380.45	100			Percent of total billed charges		3977	100			Percent of total billed charges		3977	100			Percent of total billed charges		3977	33.3			Percent of total billed charges		1324.341	33.3			Percent of total billed charges		1324.341	100			Percent of total billed charges		3977	1324.341	3579.3	
l-p tib plt 3.5mm  hr 71820506 s\n	278	RC	Outpatient			3977	2585.05		90			Percent of total billed charges		3579.3	40			Percent of total billed charges		1590.8	80			Percent of total billed charges		3181.6	90			Percent of total billed charges		3579.3	85			Percent of total billed charges		3380.45	85			Percent of total billed charges		3380.45	85			Percent of total billed charges		3380.45	100			Percent of total billed charges		3977	100			Percent of total billed charges		3977	100			Percent of total billed charges		3977	33.3			Percent of total billed charges		1324.341	33.3			Percent of total billed charges		1324.341	100			Percent of total billed charges		3977	1324.341	3579.3	
l-p tib lk plate3.5mm 6-hole 98mm 71800506 s/n	278	RC	Outpatient			3977	2585.05		90			Percent of total billed charges		3579.3	40			Percent of total billed charges		1590.8	80			Percent of total billed charges		3181.6	90			Percent of total billed charges		3579.3	85			Percent of total billed charges		3380.45	85			Percent of total billed charges		3380.45	85			Percent of total billed charges		3380.45	100			Percent of total billed charges		3977	100			Percent of total billed charges		3977	100			Percent of total billed charges		3977	33.3			Percent of total billed charges		1324.341	33.3			Percent of total billed charges		1324.341	100			Percent of total billed charges		3977	1324.341	3579.3	
l-p tib plt 3.5mm 6 hl 71820406 s\n	278	RC	Outpatient			3977	2585.05		90			Percent of total billed charges		3579.3	40			Percent of total billed charges		1590.8	80			Percent of total billed charges		3181.6	90			Percent of total billed charges		3579.3	85			Percent of total billed charges		3380.45	85			Percent of total billed charges		3380.45	85			Percent of total billed charges		3380.45	100			Percent of total billed charges		3977	100			Percent of total billed charges		3977	100			Percent of total billed charges		3977	33.3			Percent of total billed charges		1324.341	33.3			Percent of total billed charges		1324.341	100			Percent of total billed charges		3977	1324.341	3579.3	
l-p tib plt 4.5mm 6 hl 71820206 s\n	278	RC	Outpatient			3977	2585.05		90			Percent of total billed charges		3579.3	40			Percent of total billed charges		1590.8	80			Percent of total billed charges		3181.6	90			Percent of total billed charges		3579.3	85			Percent of total billed charges		3380.45	85			Percent of total billed charges		3380.45	85			Percent of total billed charges		3380.45	100			Percent of total billed charges		3977	100			Percent of total billed charges		3977	100			Percent of total billed charges		3977	33.3			Percent of total billed charges		1324.341	33.3			Percent of total billed charges		1324.341	100			Percent of total billed charges		3977	1324.341	3579.3	
l-p tib plt 4.5mm 6 hr 71820306 s\n	278	RC	Outpatient			3977	2585.05		90			Percent of total billed charges		3579.3	40			Percent of total billed charges		1590.8	80			Percent of total billed charges		3181.6	90			Percent of total billed charges		3579.3	85			Percent of total billed charges		3380.45	85			Percent of total billed charges		3380.45	85			Percent of total billed charges		3380.45	100			Percent of total billed charges		3977	100			Percent of total billed charges		3977	100			Percent of total billed charges		3977	33.3			Percent of total billed charges		1324.341	33.3			Percent of total billed charges		1324.341	100			Percent of total billed charges		3977	1324.341	3579.3	
s/n 4.5 l-p tib lk pl 6hl	278	RC	Outpatient			3977	2585.05		90			Percent of total billed charges		3579.3	40			Percent of total billed charges		1590.8	80			Percent of total billed charges		3181.6	90			Percent of total billed charges		3579.3	85			Percent of total billed charges		3380.45	85			Percent of total billed charges		3380.45	85			Percent of total billed charges		3380.45	100			Percent of total billed charges		3977	100			Percent of total billed charges		3977	100			Percent of total billed charges		3977	33.3			Percent of total billed charges		1324.341	33.3			Percent of total billed charges		1324.341	100			Percent of total billed charges		3977	1324.341	3579.3	
s/n 3.5 l-p tib lk pl 6h	278	RC	Outpatient			3977	2585.05		90			Percent of total billed charges		3579.3	40			Percent of total billed charges		1590.8	80			Percent of total billed charges		3181.6	90			Percent of total billed charges		3579.3	85			Percent of total billed charges		3380.45	85			Percent of total billed charges		3380.45	85			Percent of total billed charges		3380.45	100			Percent of total billed charges		3977	100			Percent of total billed charges		3977	100			Percent of total billed charges		3977	33.3			Percent of total billed charges		1324.341	33.3			Percent of total billed charges		1324.341	100			Percent of total billed charges		3977	1324.341	3579.3	
talent endograft	278	RC	Outpatient			3981	2587.65		90			Percent of total billed charges		3582.9	40			Percent of total billed charges		1592.4	80			Percent of total billed charges		3184.8	90			Percent of total billed charges		3582.9	85			Percent of total billed charges		3383.85	85			Percent of total billed charges		3383.85	85			Percent of total billed charges		3383.85	100			Percent of total billed charges		3981	100			Percent of total billed charges		3981	100			Percent of total billed charges		3981	33.3			Percent of total billed charges		1325.673	33.3			Percent of total billed charges		1325.673	100			Percent of total billed charges		3981	1325.673	3582.9	
talent lps endograft 34mm 12284 medtronic ave	278	RC	Outpatient			3981	2587.65		90			Percent of total billed charges		3582.9	40			Percent of total billed charges		1592.4	80			Percent of total billed charges		3184.8	90			Percent of total billed charges		3582.9	85			Percent of total billed charges		3383.85	85			Percent of total billed charges		3383.85	85			Percent of total billed charges		3383.85	100			Percent of total billed charges		3981	100			Percent of total billed charges		3981	100			Percent of total billed charges		3981	33.3			Percent of total billed charges		1325.673	33.3			Percent of total billed charges		1325.673	100			Percent of total billed charges		3981	1325.673	3582.9	
bioarch lift recon st1111 wright	278	RC	Outpatient			4001	2600.65		90			Percent of total billed charges		3600.9	40			Percent of total billed charges		1600.4	80			Percent of total billed charges		3200.8	90			Percent of total billed charges		3600.9	85			Percent of total billed charges		3400.85	85			Percent of total billed charges		3400.85	85			Percent of total billed charges		3400.85	100			Percent of total billed charges		4001	100			Percent of total billed charges		4001	100			Percent of total billed charges		4001	33.3			Percent of total billed charges		1332.333	33.3			Percent of total billed charges		1332.333	100			Percent of total billed charges		4001	1332.333	3600.9	
biod factor.5cc	278	RC	Outpatient			4001	2600.65		90			Percent of total billed charges		3600.9	40			Percent of total billed charges		1600.4	80			Percent of total billed charges		3200.8	90			Percent of total billed charges		3600.9	85			Percent of total billed charges		3400.85	85			Percent of total billed charges		3400.85	85			Percent of total billed charges		3400.85	100			Percent of total billed charges		4001	100			Percent of total billed charges		4001	100			Percent of total billed charges		4001	33.3			Percent of total billed charges		1332.333	33.3			Percent of total billed charges		1332.333	100			Percent of total billed charges		4001	1332.333	3600.9	
bio arch lift reon	278	RC	Outpatient			4001	2600.65		90			Percent of total billed charges		3600.9	40			Percent of total billed charges		1600.4	80			Percent of total billed charges		3200.8	90			Percent of total billed charges		3600.9	85			Percent of total billed charges		3400.85	85			Percent of total billed charges		3400.85	85			Percent of total billed charges		3400.85	100			Percent of total billed charges		4001	100			Percent of total billed charges		4001	100			Percent of total billed charges		4001	33.3			Percent of total billed charges		1332.333	33.3			Percent of total billed charges		1332.333	100			Percent of total billed charges		4001	1332.333	3600.9	
biodfactor 0.50ml bf-010050 international biologics	278	RC	Outpatient			4001	2600.65		90			Percent of total billed charges		3600.9	40			Percent of total billed charges		1600.4	80			Percent of total billed charges		3200.8	90			Percent of total billed charges		3600.9	85			Percent of total billed charges		3400.85	85			Percent of total billed charges		3400.85	85			Percent of total billed charges		3400.85	100			Percent of total billed charges		4001	100			Percent of total billed charges		4001	100			Percent of total billed charges		4001	33.3			Percent of total billed charges		1332.333	33.3			Percent of total billed charges		1332.333	100			Percent of total billed charges		4001	1332.333	3600.9	
p3 7 x 10 420-7000l cordis	270	RC	Outpatient			4001	2600.65		90			Percent of total billed charges		3600.9	40			Percent of total billed charges		1600.4	80			Percent of total billed charges		3200.8	90			Percent of total billed charges		3600.9	85			Percent of total billed charges		3400.85	85			Percent of total billed charges		3400.85	85			Percent of total billed charges		3400.85	100			Percent of total billed charges		4001	100			Percent of total billed charges		4001	100			Percent of total billed charges		4001	33.3			Percent of total billed charges		1332.333	33.3			Percent of total billed charges		1332.333	100			Percent of total billed charges		4001	1332.333	3600.9	
trelis-8 perifeal system pd01502 bacchus vas	270	RC	Outpatient			4001	2600.65		90			Percent of total billed charges		3600.9	40			Percent of total billed charges		1600.4	80			Percent of total billed charges		3200.8	90			Percent of total billed charges		3600.9	85			Percent of total billed charges		3400.85	85			Percent of total billed charges		3400.85	85			Percent of total billed charges		3400.85	100			Percent of total billed charges		4001	100			Percent of total billed charges		4001	100			Percent of total billed charges		4001	33.3			Percent of total billed charges		1332.333	33.3			Percent of total billed charges		1332.333	100			Percent of total billed charges		4001	1332.333	3600.9	
trellis-8 peripheral infusion cath 8fr bvt8-080-30 bacchus vascular	270	RC	Outpatient			4001	2600.65		90			Percent of total billed charges		3600.9	40			Percent of total billed charges		1600.4	80			Percent of total billed charges		3200.8	90			Percent of total billed charges		3600.9	85			Percent of total billed charges		3400.85	85			Percent of total billed charges		3400.85	85			Percent of total billed charges		3400.85	100			Percent of total billed charges		4001	100			Percent of total billed charges		4001	100			Percent of total billed charges		4001	33.3			Percent of total billed charges		1332.333	33.3			Percent of total billed charges		1332.333	100			Percent of total billed charges		4001	1332.333	3600.9	
trellis 8	270	RC	Outpatient			4001	2600.65		90			Percent of total billed charges		3600.9	40			Percent of total billed charges		1600.4	80			Percent of total billed charges		3200.8	90			Percent of total billed charges		3600.9	85			Percent of total billed charges		3400.85	85			Percent of total billed charges		3400.85	85			Percent of total billed charges		3400.85	100			Percent of total billed charges		4001	100			Percent of total billed charges		4001	100			Percent of total billed charges		4001	33.3			Percent of total billed charges		1332.333	33.3			Percent of total billed charges		1332.333	100			Percent of total billed charges		4001	1332.333	3600.9	
trellis reserve peripheral infusion system 6fr 10 cm bac trr oop 140 10 bacchus vascular	270	RC	Outpatient			4001	2600.65		90			Percent of total billed charges		3600.9	40			Percent of total billed charges		1600.4	80			Percent of total billed charges		3200.8	90			Percent of total billed charges		3600.9	85			Percent of total billed charges		3400.85	85			Percent of total billed charges		3400.85	85			Percent of total billed charges		3400.85	100			Percent of total billed charges		4001	100			Percent of total billed charges		4001	100			Percent of total billed charges		4001	33.3			Percent of total billed charges		1332.333	33.3			Percent of total billed charges		1332.333	100			Percent of total billed charges		4001	1332.333	3600.9	
trellis reserve peripheral infusion system 6fr 20 cm bac trr oop 140 20 bacchus vascular	270	RC	Outpatient			4001	2600.65		90			Percent of total billed charges		3600.9	40			Percent of total billed charges		1600.4	80			Percent of total billed charges		3200.8	90			Percent of total billed charges		3600.9	85			Percent of total billed charges		3400.85	85			Percent of total billed charges		3400.85	85			Percent of total billed charges		3400.85	100			Percent of total billed charges		4001	100			Percent of total billed charges		4001	100			Percent of total billed charges		4001	33.3			Percent of total billed charges		1332.333	33.3			Percent of total billed charges		1332.333	100			Percent of total billed charges		4001	1332.333	3600.9	
hemicap 12mm articular component 1.0 x 1.5mm offset  9122-1015-w arthrosurface	278	RC	Outpatient			4011	2607.15		90			Percent of total billed charges		3609.9	40			Percent of total billed charges		1604.4	80			Percent of total billed charges		3208.8	90			Percent of total billed charges		3609.9	85			Percent of total billed charges		3409.35	85			Percent of total billed charges		3409.35	85			Percent of total billed charges		3409.35	100			Percent of total billed charges		4011	100			Percent of total billed charges		4011	100			Percent of total billed charges		4011	33.3			Percent of total billed charges		1335.663	33.3			Percent of total billed charges		1335.663	100			Percent of total billed charges		4011	1335.663	3609.9	
hemicap 12mm articular component 1.5 x 2.0mm offset  9122-1520-w arthrosurface	278	RC	Outpatient			4011	2607.15		90			Percent of total billed charges		3609.9	40			Percent of total billed charges		1604.4	80			Percent of total billed charges		3208.8	90			Percent of total billed charges		3609.9	85			Percent of total billed charges		3409.35	85			Percent of total billed charges		3409.35	85			Percent of total billed charges		3409.35	100			Percent of total billed charges		4011	100			Percent of total billed charges		4011	100			Percent of total billed charges		4011	33.3			Percent of total billed charges		1335.663	33.3			Percent of total billed charges		1335.663	100			Percent of total billed charges		4011	1335.663	3609.9	
hemicap articular comp	278	RC	Outpatient			4011	2607.15		90			Percent of total billed charges		3609.9	40			Percent of total billed charges		1604.4	80			Percent of total billed charges		3208.8	90			Percent of total billed charges		3609.9	85			Percent of total billed charges		3409.35	85			Percent of total billed charges		3409.35	85			Percent of total billed charges		3409.35	100			Percent of total billed charges		4011	100			Percent of total billed charges		4011	100			Percent of total billed charges		4011	33.3			Percent of total billed charges		1335.663	33.3			Percent of total billed charges		1335.663	100			Percent of total billed charges		4011	1335.663	3609.9	
hemicap resurfacing system 9.5 taper post 9095-0018-w arthrosurface	278	RC	Outpatient			4011	2607.15		90			Percent of total billed charges		3609.9	40			Percent of total billed charges		1604.4	80			Percent of total billed charges		3208.8	90			Percent of total billed charges		3609.9	85			Percent of total billed charges		3409.35	85			Percent of total billed charges		3409.35	85			Percent of total billed charges		3409.35	100			Percent of total billed charges		4011	100			Percent of total billed charges		4011	100			Percent of total billed charges		4011	33.3			Percent of total billed charges		1335.663	33.3			Percent of total billed charges		1335.663	100			Percent of total billed charges		4011	1335.663	3609.9	
hemicap 15mm articular component 2.5 x 4.5mm offset  9125-2545-w arthrosurface	278	RC	Outpatient			4011	2607.15		90			Percent of total billed charges		3609.9	40			Percent of total billed charges		1604.4	80			Percent of total billed charges		3208.8	90			Percent of total billed charges		3609.9	85			Percent of total billed charges		3409.35	85			Percent of total billed charges		3409.35	85			Percent of total billed charges		3409.35	100			Percent of total billed charges		4011	100			Percent of total billed charges		4011	100			Percent of total billed charges		4011	33.3			Percent of total billed charges		1335.663	33.3			Percent of total billed charges		1335.663	100			Percent of total billed charges		4011	1335.663	3609.9	
osteonics fem comp #7 (l) 70-4107l	278	RC	Outpatient			4011	2607.15		90			Percent of total billed charges		3609.9	40			Percent of total billed charges		1604.4	80			Percent of total billed charges		3208.8	90			Percent of total billed charges		3609.9	85			Percent of total billed charges		3409.35	85			Percent of total billed charges		3409.35	85			Percent of total billed charges		3409.35	100			Percent of total billed charges		4011	100			Percent of total billed charges		4011	100			Percent of total billed charges		4011	33.3			Percent of total billed charges		1335.663	33.3			Percent of total billed charges		1335.663	100			Percent of total billed charges		4011	1335.663	3609.9	
osteonics fem comp #9 (r) 70-4109r	278	RC	Outpatient			4011	2607.15		90			Percent of total billed charges		3609.9	40			Percent of total billed charges		1604.4	80			Percent of total billed charges		3208.8	90			Percent of total billed charges		3609.9	85			Percent of total billed charges		3409.35	85			Percent of total billed charges		3409.35	85			Percent of total billed charges		3409.35	100			Percent of total billed charges		4011	100			Percent of total billed charges		4011	100			Percent of total billed charges		4011	33.3			Percent of total billed charges		1335.663	33.3			Percent of total billed charges		1335.663	100			Percent of total billed charges		4011	1335.663	3609.9	
osteonics scorpio cr fem comp #9 70-4109r	278	RC	Outpatient			4011	2607.15		90			Percent of total billed charges		3609.9	40			Percent of total billed charges		1604.4	80			Percent of total billed charges		3208.8	90			Percent of total billed charges		3609.9	85			Percent of total billed charges		3409.35	85			Percent of total billed charges		3409.35	85			Percent of total billed charges		3409.35	100			Percent of total billed charges		4011	100			Percent of total billed charges		4011	100			Percent of total billed charges		4011	33.3			Percent of total billed charges		1335.663	33.3			Percent of total billed charges		1335.663	100			Percent of total billed charges		4011	1335.663	3609.9	
osteonics cr fem comp	278	RC	Outpatient			4011	2607.15		90			Percent of total billed charges		3609.9	40			Percent of total billed charges		1604.4	80			Percent of total billed charges		3208.8	90			Percent of total billed charges		3609.9	85			Percent of total billed charges		3409.35	85			Percent of total billed charges		3409.35	85			Percent of total billed charges		3409.35	100			Percent of total billed charges		4011	100			Percent of total billed charges		4011	100			Percent of total billed charges		4011	33.3			Percent of total billed charges		1335.663	33.3			Percent of total billed charges		1335.663	100			Percent of total billed charges		4011	1335.663	3609.9	
zenith convertor esc-32-12-80 cook	278	RC	Outpatient			4011	2607.15		90			Percent of total billed charges		3609.9	40			Percent of total billed charges		1604.4	80			Percent of total billed charges		3208.8	90			Percent of total billed charges		3609.9	85			Percent of total billed charges		3409.35	85			Percent of total billed charges		3409.35	85			Percent of total billed charges		3409.35	100			Percent of total billed charges		4011	100			Percent of total billed charges		4011	100			Percent of total billed charges		4011	33.3			Percent of total billed charges		1335.663	33.3			Percent of total billed charges		1335.663	100			Percent of total billed charges		4011	1335.663	3609.9	
zenith convertor	278	RC	Outpatient			4011	2607.15		90			Percent of total billed charges		3609.9	40			Percent of total billed charges		1604.4	80			Percent of total billed charges		3208.8	90			Percent of total billed charges		3609.9	85			Percent of total billed charges		3409.35	85			Percent of total billed charges		3409.35	85			Percent of total billed charges		3409.35	100			Percent of total billed charges		4011	100			Percent of total billed charges		4011	100			Percent of total billed charges		4011	33.3			Percent of total billed charges		1335.663	33.3			Percent of total billed charges		1335.663	100			Percent of total billed charges		4011	1335.663	3609.9	
zenith convertor esc-24-12-80 cook	278	RC	Outpatient			4011	2607.15		90			Percent of total billed charges		3609.9	40			Percent of total billed charges		1604.4	80			Percent of total billed charges		3208.8	90			Percent of total billed charges		3609.9	85			Percent of total billed charges		3409.35	85			Percent of total billed charges		3409.35	85			Percent of total billed charges		3409.35	100			Percent of total billed charges		4011	100			Percent of total billed charges		4011	100			Percent of total billed charges		4011	33.3			Percent of total billed charges		1335.663	33.3			Percent of total billed charges		1335.663	100			Percent of total billed charges		4011	1335.663	3609.9	
zenith convertor esc-28-12-80 cook	278	RC	Outpatient			4011	2607.15		90			Percent of total billed charges		3609.9	40			Percent of total billed charges		1604.4	80			Percent of total billed charges		3208.8	90			Percent of total billed charges		3609.9	85			Percent of total billed charges		3409.35	85			Percent of total billed charges		3409.35	85			Percent of total billed charges		3409.35	100			Percent of total billed charges		4011	100			Percent of total billed charges		4011	100			Percent of total billed charges		4011	33.3			Percent of total billed charges		1335.663	33.3			Percent of total billed charges		1335.663	100			Percent of total billed charges		4011	1335.663	3609.9	
broad plt 4.5mm 20 hl 71809500 s\n	278	RC	Outpatient			4015	2609.75		90			Percent of total billed charges		3613.5	40			Percent of total billed charges		1606	80			Percent of total billed charges		3212	90			Percent of total billed charges		3613.5	85			Percent of total billed charges		3412.75	85			Percent of total billed charges		3412.75	85			Percent of total billed charges		3412.75	100			Percent of total billed charges		4015	100			Percent of total billed charges		4015	100			Percent of total billed charges		4015	33.3			Percent of total billed charges		1336.995	33.3			Percent of total billed charges		1336.995	100			Percent of total billed charges		4015	1336.995	3613.5	
s/n 4.5 broad pl 20 hl	278	RC	Outpatient			4015	2609.75		90			Percent of total billed charges		3613.5	40			Percent of total billed charges		1606	80			Percent of total billed charges		3212	90			Percent of total billed charges		3613.5	85			Percent of total billed charges		3412.75	85			Percent of total billed charges		3412.75	85			Percent of total billed charges		3412.75	100			Percent of total billed charges		4015	100			Percent of total billed charges		4015	100			Percent of total billed charges		4015	33.3			Percent of total billed charges		1336.995	33.3			Percent of total billed charges		1336.995	100			Percent of total billed charges		4015	1336.995	3613.5	
permacol 1mm 10x15	278	RC	Outpatient			4031	2620.15		90			Percent of total billed charges		3627.9	40			Percent of total billed charges		1612.4	80			Percent of total billed charges		3224.8	90			Percent of total billed charges		3627.9	85			Percent of total billed charges		3426.35	85			Percent of total billed charges		3426.35	85			Percent of total billed charges		3426.35	100			Percent of total billed charges		4031	100			Percent of total billed charges		4031	100			Percent of total billed charges		4031	33.3			Percent of total billed charges		1342.323	33.3			Percent of total billed charges		1342.323	100			Percent of total billed charges		4031	1342.323	3627.9	
permacol 1mm thick 10 x 15 cm 101015 lsl	278	RC	Outpatient			4031	2620.15		90			Percent of total billed charges		3627.9	40			Percent of total billed charges		1612.4	80			Percent of total billed charges		3224.8	90			Percent of total billed charges		3627.9	85			Percent of total billed charges		3426.35	85			Percent of total billed charges		3426.35	85			Percent of total billed charges		3426.35	100			Percent of total billed charges		4031	100			Percent of total billed charges		4031	100			Percent of total billed charges		4031	33.3			Percent of total billed charges		1342.323	33.3			Percent of total billed charges		1342.323	100			Percent of total billed charges		4031	1342.323	3627.9	
bio mclaughlin +5 acet	278	RC	Outpatient			4033	2621.45		90			Percent of total billed charges		3629.7	40			Percent of total billed charges		1613.2	80			Percent of total billed charges		3226.4	90			Percent of total billed charges		3629.7	85			Percent of total billed charges		3428.05	85			Percent of total billed charges		3428.05	85			Percent of total billed charges		3428.05	100			Percent of total billed charges		4033	100			Percent of total billed charges		4033	100			Percent of total billed charges		4033	33.3			Percent of total billed charges		1342.989	33.3			Percent of total billed charges		1342.989	100			Percent of total billed charges		4033	1342.989	3629.7	
mclaughlin +5mm shell 62mm 103909 biomet	278	RC	Outpatient			4033	2621.45		90			Percent of total billed charges		3629.7	40			Percent of total billed charges		1613.2	80			Percent of total billed charges		3226.4	90			Percent of total billed charges		3629.7	85			Percent of total billed charges		3428.05	85			Percent of total billed charges		3428.05	85			Percent of total billed charges		3428.05	100			Percent of total billed charges		4033	100			Percent of total billed charges		4033	100			Percent of total billed charges		4033	33.3			Percent of total billed charges		1342.989	33.3			Percent of total billed charges		1342.989	100			Percent of total billed charges		4033	1342.989	3629.7	
biomet sportmesh 6x9	278	RC	Outpatient			4036	2623.4		90			Percent of total billed charges		3632.4	40			Percent of total billed charges		1614.4	80			Percent of total billed charges		3228.8	90			Percent of total billed charges		3632.4	85			Percent of total billed charges		3430.6	85			Percent of total billed charges		3430.6	85			Percent of total billed charges		3430.6	100			Percent of total billed charges		4036	100			Percent of total billed charges		4036	100			Percent of total billed charges		4036	33.3			Percent of total billed charges		1343.988	33.3			Percent of total billed charges		1343.988	100			Percent of total billed charges		4036	1343.988	3632.4	
sportmesh 6 x 9 920004 biomet	278	RC	Outpatient			4036	2623.4		90			Percent of total billed charges		3632.4	40			Percent of total billed charges		1614.4	80			Percent of total billed charges		3228.8	90			Percent of total billed charges		3632.4	85			Percent of total billed charges		3430.6	85			Percent of total billed charges		3430.6	85			Percent of total billed charges		3430.6	100			Percent of total billed charges		4036	100			Percent of total billed charges		4036	100			Percent of total billed charges		4036	33.3			Percent of total billed charges		1343.988	33.3			Percent of total billed charges		1343.988	100			Percent of total billed charges		4036	1343.988	3632.4	
arthrex speed bridge	278	RC	Outpatient			4042	2627.3		90			Percent of total billed charges		3637.8	40			Percent of total billed charges		1616.8	80			Percent of total billed charges		3233.6	90			Percent of total billed charges		3637.8	85			Percent of total billed charges		3435.7	85			Percent of total billed charges		3435.7	85			Percent of total billed charges		3435.7	100			Percent of total billed charges		4042	100			Percent of total billed charges		4042	100			Percent of total billed charges		4042	33.3			Percent of total billed charges		1345.986	33.3			Percent of total billed charges		1345.986	100			Percent of total billed charges		4042	1345.986	3637.8	
arthrex speedbridge implant w/ biol-swivelock ar-2600sbs-3	278	RC	Outpatient			4042	2627.3		90			Percent of total billed charges		3637.8	40			Percent of total billed charges		1616.8	80			Percent of total billed charges		3233.6	90			Percent of total billed charges		3637.8	85			Percent of total billed charges		3435.7	85			Percent of total billed charges		3435.7	85			Percent of total billed charges		3435.7	100			Percent of total billed charges		4042	100			Percent of total billed charges		4042	100			Percent of total billed charges		4042	33.3			Percent of total billed charges		1345.986	33.3			Percent of total billed charges		1345.986	100			Percent of total billed charges		4042	1345.986	3637.8	
surgimend 6 x 16	278	RC	Outpatient			4043	2627.95		90			Percent of total billed charges		3638.7	40			Percent of total billed charges		1617.2	80			Percent of total billed charges		3234.4	90			Percent of total billed charges		3638.7	85			Percent of total billed charges		3436.55	85			Percent of total billed charges		3436.55	85			Percent of total billed charges		3436.55	100			Percent of total billed charges		4043	100			Percent of total billed charges		4043	100			Percent of total billed charges		4043	33.3			Percent of total billed charges		1346.319	33.3			Percent of total billed charges		1346.319	100			Percent of total billed charges		4043	1346.319	3638.7	
surgimend 6 x 16cm 606-001-015 collagen matrix	278	RC	Outpatient			4043	2627.95		90			Percent of total billed charges		3638.7	40			Percent of total billed charges		1617.2	80			Percent of total billed charges		3234.4	90			Percent of total billed charges		3638.7	85			Percent of total billed charges		3436.55	85			Percent of total billed charges		3436.55	85			Percent of total billed charges		3436.55	100			Percent of total billed charges		4043	100			Percent of total billed charges		4043	100			Percent of total billed charges		4043	33.3			Percent of total billed charges		1346.319	33.3			Percent of total billed charges		1346.319	100			Percent of total billed charges		4043	1346.319	3638.7	
cath lab lv lead revision	481	RC	Outpatient			4050	2632.5		90			Percent of total billed charges		3645	40			Percent of total billed charges		1620	80			Percent of total billed charges		3240	90			Percent of total billed charges		3645	85			Percent of total billed charges		3442.5	85			Percent of total billed charges		3442.5	85			Percent of total billed charges		3442.5	100			Percent of total billed charges		4050	100			Percent of total billed charges		4050	100			Percent of total billed charges		4050	33.3			Percent of total billed charges		1348.65	33.3			Percent of total billed charges		1348.65	100			Percent of total billed charges		4050	1348.65	3645	
cath lab pocket revision	360	RC	Outpatient			4050	2632.5		90			Percent of total billed charges		3645	40			Percent of total billed charges		1620	80			Percent of total billed charges		3240	90			Percent of total billed charges		3645	85			Percent of total billed charges		3442.5	85			Percent of total billed charges		3442.5	85			Percent of total billed charges		3442.5	100			Percent of total billed charges		4050	100			Percent of total billed charges		4050	100			Percent of total billed charges		4050	33.3			Percent of total billed charges		1348.65	33.3			Percent of total billed charges		1348.65	100			Percent of total billed charges		4050	1348.65	3645	
comp plt 3.5mm 16 hl 71809116 s\n	278	RC	Outpatient			4061	2639.65		90			Percent of total billed charges		3654.9	40			Percent of total billed charges		1624.4	80			Percent of total billed charges		3248.8	90			Percent of total billed charges		3654.9	85			Percent of total billed charges		3451.85	85			Percent of total billed charges		3451.85	85			Percent of total billed charges		3451.85	100			Percent of total billed charges		4061	100			Percent of total billed charges		4061	100			Percent of total billed charges		4061	33.3			Percent of total billed charges		1352.313	33.3			Percent of total billed charges		1352.313	100			Percent of total billed charges		4061	1352.313	3654.9	
comp plt 3.5mm 16 hl 71809716 s\n	278	RC	Outpatient			4061	2639.65		90			Percent of total billed charges		3654.9	40			Percent of total billed charges		1624.4	80			Percent of total billed charges		3248.8	90			Percent of total billed charges		3654.9	85			Percent of total billed charges		3451.85	85			Percent of total billed charges		3451.85	85			Percent of total billed charges		3451.85	100			Percent of total billed charges		4061	100			Percent of total billed charges		4061	100			Percent of total billed charges		4061	33.3			Percent of total billed charges		1352.313	33.3			Percent of total billed charges		1352.313	100			Percent of total billed charges		4061	1352.313	3654.9	
s/n 3.5 lck comp pl 16 hl	278	RC	Outpatient			4061	2639.65		90			Percent of total billed charges		3654.9	40			Percent of total billed charges		1624.4	80			Percent of total billed charges		3248.8	90			Percent of total billed charges		3654.9	85			Percent of total billed charges		3451.85	85			Percent of total billed charges		3451.85	85			Percent of total billed charges		3451.85	100			Percent of total billed charges		4061	100			Percent of total billed charges		4061	100			Percent of total billed charges		4061	33.3			Percent of total billed charges		1352.313	33.3			Percent of total billed charges		1352.313	100			Percent of total billed charges		4061	1352.313	3654.9	
alloderm 4 x 16	278	RC	Outpatient			4066	2642.9		90			Percent of total billed charges		3659.4	40			Percent of total billed charges		1626.4	80			Percent of total billed charges		3252.8	90			Percent of total billed charges		3659.4	85			Percent of total billed charges		3456.1	85			Percent of total billed charges		3456.1	85			Percent of total billed charges		3456.1	100			Percent of total billed charges		4066	100			Percent of total billed charges		4066	100			Percent of total billed charges		4066	33.3			Percent of total billed charges		1353.978	33.3			Percent of total billed charges		1353.978	100			Percent of total billed charges		4066	1353.978	3659.4	
alloderm 4 x 16cm thick 102082 lifecell	278	RC	Outpatient			4066	2642.9		90			Percent of total billed charges		3659.4	40			Percent of total billed charges		1626.4	80			Percent of total billed charges		3252.8	90			Percent of total billed charges		3659.4	85			Percent of total billed charges		3456.1	85			Percent of total billed charges		3456.1	85			Percent of total billed charges		3456.1	100			Percent of total billed charges		4066	100			Percent of total billed charges		4066	100			Percent of total billed charges		4066	33.3			Percent of total billed charges		1353.978	33.3			Percent of total billed charges		1353.978	100			Percent of total billed charges		4066	1353.978	3659.4	
alloderm 4 x 16cm x-thick 982080 lifecell	278	RC	Outpatient			4066	2642.9		90			Percent of total billed charges		3659.4	40			Percent of total billed charges		1626.4	80			Percent of total billed charges		3252.8	90			Percent of total billed charges		3659.4	85			Percent of total billed charges		3456.1	85			Percent of total billed charges		3456.1	85			Percent of total billed charges		3456.1	100			Percent of total billed charges		4066	100			Percent of total billed charges		4066	100			Percent of total billed charges		4066	33.3			Percent of total billed charges		1353.978	33.3			Percent of total billed charges		1353.978	100			Percent of total billed charges		4066	1353.978	3659.4	
outback ltd re-entry catheter otb-42120 lumend	272	RC	Outpatient			4071	2646.15		90			Percent of total billed charges		3663.9	40			Percent of total billed charges		1628.4	80			Percent of total billed charges		3256.8	90			Percent of total billed charges		3663.9	85			Percent of total billed charges		3460.35	85			Percent of total billed charges		3460.35	85			Percent of total billed charges		3460.35	100			Percent of total billed charges		4071	100			Percent of total billed charges		4071	100			Percent of total billed charges		4071	33.3			Percent of total billed charges		1355.643	33.3			Percent of total billed charges		1355.643	100			Percent of total billed charges		4071	1355.643	3663.9	
outback re-entry cath	272	RC	Outpatient			4071	2646.15		90			Percent of total billed charges		3663.9	40			Percent of total billed charges		1628.4	80			Percent of total billed charges		3256.8	90			Percent of total billed charges		3663.9	85			Percent of total billed charges		3460.35	85			Percent of total billed charges		3460.35	85			Percent of total billed charges		3460.35	100			Percent of total billed charges		4071	100			Percent of total billed charges		4071	100			Percent of total billed charges		4071	33.3			Percent of total billed charges		1355.643	33.3			Percent of total billed charges		1355.643	100			Percent of total billed charges		4071	1355.643	3663.9	
wallstnt esop ultraflx 15	272	RC	Outpatient			4092	2659.8		90			Percent of total billed charges		3682.8	40			Percent of total billed charges		1636.8	80			Percent of total billed charges		3273.6	90			Percent of total billed charges		3682.8	85			Percent of total billed charges		3478.2	85			Percent of total billed charges		3478.2	85			Percent of total billed charges		3478.2	100			Percent of total billed charges		4092	100			Percent of total billed charges		4092	100			Percent of total billed charges		4092	33.3			Percent of total billed charges		1362.636	33.3			Percent of total billed charges		1362.636	100			Percent of total billed charges		4092	1362.636	3682.8	
stryker mdm x3 insert	278	RC	Outpatient			4095	2661.75		90			Percent of total billed charges		3685.5	40			Percent of total billed charges		1638	80			Percent of total billed charges		3276	90			Percent of total billed charges		3685.5	85			Percent of total billed charges		3480.75	85			Percent of total billed charges		3480.75	85			Percent of total billed charges		3480.75	100			Percent of total billed charges		4095	100			Percent of total billed charges		4095	100			Percent of total billed charges		4095	33.3			Percent of total billed charges		1363.635	33.3			Percent of total billed charges		1363.635	100			Percent of total billed charges		4095	1363.635	3685.5	
triathlon cr fem comp sz 4 5510-f-401 howmedica	278	RC	Outpatient			4101	2665.65		90			Percent of total billed charges		3690.9	40			Percent of total billed charges		1640.4	80			Percent of total billed charges		3280.8	90			Percent of total billed charges		3690.9	85			Percent of total billed charges		3485.85	85			Percent of total billed charges		3485.85	85			Percent of total billed charges		3485.85	100			Percent of total billed charges		4101	100			Percent of total billed charges		4101	100			Percent of total billed charges		4101	33.3			Percent of total billed charges		1365.633	33.3			Percent of total billed charges		1365.633	100			Percent of total billed charges		4101	1365.633	3690.9	
triathlon cement cr fem	278	RC	Outpatient			4101	2665.65		90			Percent of total billed charges		3690.9	40			Percent of total billed charges		1640.4	80			Percent of total billed charges		3280.8	90			Percent of total billed charges		3690.9	85			Percent of total billed charges		3485.85	85			Percent of total billed charges		3485.85	85			Percent of total billed charges		3485.85	100			Percent of total billed charges		4101	100			Percent of total billed charges		4101	100			Percent of total billed charges		4101	33.3			Percent of total billed charges		1365.633	33.3			Percent of total billed charges		1365.633	100			Percent of total billed charges		4101	1365.633	3690.9	
triathlon cr fem comp sz 3 5510-f-302 howmedical	278	RC	Outpatient			4101	2665.65		90			Percent of total billed charges		3690.9	40			Percent of total billed charges		1640.4	80			Percent of total billed charges		3280.8	90			Percent of total billed charges		3690.9	85			Percent of total billed charges		3485.85	85			Percent of total billed charges		3485.85	85			Percent of total billed charges		3485.85	100			Percent of total billed charges		4101	100			Percent of total billed charges		4101	100			Percent of total billed charges		4101	33.3			Percent of total billed charges		1365.633	33.3			Percent of total billed charges		1365.633	100			Percent of total billed charges		4101	1365.633	3690.9	
biomet vanguard tibial bearing constrained 20 x 63/67 183886	278	RC	Outpatient			4105	2668.25		90			Percent of total billed charges		3694.5	40			Percent of total billed charges		1642	80			Percent of total billed charges		3284	90			Percent of total billed charges		3694.5	85			Percent of total billed charges		3489.25	85			Percent of total billed charges		3489.25	85			Percent of total billed charges		3489.25	100			Percent of total billed charges		4105	100			Percent of total billed charges		4105	100			Percent of total billed charges		4105	33.3			Percent of total billed charges		1366.965	33.3			Percent of total billed charges		1366.965	100			Percent of total billed charges		4105	1366.965	3694.5	
bio vanguard ssk bearing	278	RC	Outpatient			4105	2668.25		90			Percent of total billed charges		3694.5	40			Percent of total billed charges		1642	80			Percent of total billed charges		3284	90			Percent of total billed charges		3694.5	85			Percent of total billed charges		3489.25	85			Percent of total billed charges		3489.25	85			Percent of total billed charges		3489.25	100			Percent of total billed charges		4105	100			Percent of total billed charges		4105	100			Percent of total billed charges		4105	33.3			Percent of total billed charges		1366.965	33.3			Percent of total billed charges		1366.965	100			Percent of total billed charges		4105	1366.965	3694.5	
biomet vanguard tibial bearing constrained 16 x 71/75 183886	278	RC	Outpatient			4105	2668.25		90			Percent of total billed charges		3694.5	40			Percent of total billed charges		1642	80			Percent of total billed charges		3284	90			Percent of total billed charges		3694.5	85			Percent of total billed charges		3489.25	85			Percent of total billed charges		3489.25	85			Percent of total billed charges		3489.25	100			Percent of total billed charges		4105	100			Percent of total billed charges		4105	100			Percent of total billed charges		4105	33.3			Percent of total billed charges		1366.965	33.3			Percent of total billed charges		1366.965	100			Percent of total billed charges		4105	1366.965	3694.5	
vanguard tibial bearing 12 x 71/75mm 185082 biomet	278	RC	Outpatient			4105	2668.25		90			Percent of total billed charges		3694.5	40			Percent of total billed charges		1642	80			Percent of total billed charges		3284	90			Percent of total billed charges		3694.5	85			Percent of total billed charges		3489.25	85			Percent of total billed charges		3489.25	85			Percent of total billed charges		3489.25	100			Percent of total billed charges		4105	100			Percent of total billed charges		4105	100			Percent of total billed charges		4105	33.3			Percent of total billed charges		1366.965	33.3			Percent of total billed charges		1366.965	100			Percent of total billed charges		4105	1366.965	3694.5	
axogen avance nerve graft 4-5mm x 15mm ref: 411215	278	RC	Outpatient			4108.5	2670.53		90			Percent of total billed charges		3697.65	40			Percent of total billed charges		1643.4	80			Percent of total billed charges		3286.8	90			Percent of total billed charges		3697.65	85			Percent of total billed charges		3492.225	85			Percent of total billed charges		3492.225	85			Percent of total billed charges		3492.225	100			Percent of total billed charges		4108.5	100			Percent of total billed charges		4108.5	100			Percent of total billed charges		4108.5	33.3			Percent of total billed charges		1368.1305	33.3			Percent of total billed charges		1368.1305	100			Percent of total billed charges		4108.5	1368.1305	3697.65	
axogen avance nerve graft 1-2mm x 15mm ref: 111215	278	RC	Outpatient			4108.5	2670.53		90			Percent of total billed charges		3697.65	40			Percent of total billed charges		1643.4	80			Percent of total billed charges		3286.8	90			Percent of total billed charges		3697.65	85			Percent of total billed charges		3492.225	85			Percent of total billed charges		3492.225	85			Percent of total billed charges		3492.225	100			Percent of total billed charges		4108.5	100			Percent of total billed charges		4108.5	100			Percent of total billed charges		4108.5	33.3			Percent of total billed charges		1368.1305	33.3			Percent of total billed charges		1368.1305	100			Percent of total billed charges		4108.5	1368.1305	3697.65	
arthrex speedbridge implant sys w/ biocomp swivelock 4.75 x 19.1 ar-2600sbs-4	278	RC	Outpatient			4110	2671.5		90			Percent of total billed charges		3699	40			Percent of total billed charges		1644	80			Percent of total billed charges		3288	90			Percent of total billed charges		3699	85			Percent of total billed charges		3493.5	85			Percent of total billed charges		3493.5	85			Percent of total billed charges		3493.5	100			Percent of total billed charges		4110	100			Percent of total billed charges		4110	100			Percent of total billed charges		4110	33.3			Percent of total billed charges		1368.63	33.3			Percent of total billed charges		1368.63	100			Percent of total billed charges		4110	1368.63	3699	
arthrex sppedbridge sys	278	RC	Outpatient			4110	2671.5		90			Percent of total billed charges		3699	40			Percent of total billed charges		1644	80			Percent of total billed charges		3288	90			Percent of total billed charges		3699	85			Percent of total billed charges		3493.5	85			Percent of total billed charges		3493.5	85			Percent of total billed charges		3493.5	100			Percent of total billed charges		4110	100			Percent of total billed charges		4110	100			Percent of total billed charges		4110	33.3			Percent of total billed charges		1368.63	33.3			Percent of total billed charges		1368.63	100			Percent of total billed charges		4110	1368.63	3699	
swanson trapezium implant sz 2 4520002 wright	278	RC	Outpatient			4112	2672.8		90			Percent of total billed charges		3700.8	40			Percent of total billed charges		1644.8	80			Percent of total billed charges		3289.6	90			Percent of total billed charges		3700.8	85			Percent of total billed charges		3495.2	85			Percent of total billed charges		3495.2	85			Percent of total billed charges		3495.2	100			Percent of total billed charges		4112	100			Percent of total billed charges		4112	100			Percent of total billed charges		4112	33.3			Percent of total billed charges		1369.296	33.3			Percent of total billed charges		1369.296	100			Percent of total billed charges		4112	1369.296	3700.8	
swanson trapezium implant sz 3 4520003 wright	278	RC	Outpatient			4112	2672.8		90			Percent of total billed charges		3700.8	40			Percent of total billed charges		1644.8	80			Percent of total billed charges		3289.6	90			Percent of total billed charges		3700.8	85			Percent of total billed charges		3495.2	85			Percent of total billed charges		3495.2	85			Percent of total billed charges		3495.2	100			Percent of total billed charges		4112	100			Percent of total billed charges		4112	100			Percent of total billed charges		4112	33.3			Percent of total billed charges		1369.296	33.3			Percent of total billed charges		1369.296	100			Percent of total billed charges		4112	1369.296	3700.8	
swanson trap implant kit	278	RC	Outpatient			4112	2672.8		90			Percent of total billed charges		3700.8	40			Percent of total billed charges		1644.8	80			Percent of total billed charges		3289.6	90			Percent of total billed charges		3700.8	85			Percent of total billed charges		3495.2	85			Percent of total billed charges		3495.2	85			Percent of total billed charges		3495.2	100			Percent of total billed charges		4112	100			Percent of total billed charges		4112	100			Percent of total billed charges		4112	33.3			Percent of total billed charges		1369.296	33.3			Percent of total billed charges		1369.296	100			Percent of total billed charges		4112	1369.296	3700.8	
swanson trapezium implant sz 1 4520001 wright	278	RC	Outpatient			4112	2672.8		90			Percent of total billed charges		3700.8	40			Percent of total billed charges		1644.8	80			Percent of total billed charges		3289.6	90			Percent of total billed charges		3700.8	85			Percent of total billed charges		3495.2	85			Percent of total billed charges		3495.2	85			Percent of total billed charges		3495.2	100			Percent of total billed charges		4112	100			Percent of total billed charges		4112	100			Percent of total billed charges		4112	33.3			Percent of total billed charges		1369.296	33.3			Percent of total billed charges		1369.296	100			Percent of total billed charges		4112	1369.296	3700.8	
swanson trapezium implant sz 4 4520004 wright	278	RC	Outpatient			4112	2672.8		90			Percent of total billed charges		3700.8	40			Percent of total billed charges		1644.8	80			Percent of total billed charges		3289.6	90			Percent of total billed charges		3700.8	85			Percent of total billed charges		3495.2	85			Percent of total billed charges		3495.2	85			Percent of total billed charges		3495.2	100			Percent of total billed charges		4112	100			Percent of total billed charges		4112	100			Percent of total billed charges		4112	33.3			Percent of total billed charges		1369.296	33.3			Percent of total billed charges		1369.296	100			Percent of total billed charges		4112	1369.296	3700.8	
swanson trapezium implant sz 5 4520005 wright	278	RC	Outpatient			4112	2672.8		90			Percent of total billed charges		3700.8	40			Percent of total billed charges		1644.8	80			Percent of total billed charges		3289.6	90			Percent of total billed charges		3700.8	85			Percent of total billed charges		3495.2	85			Percent of total billed charges		3495.2	85			Percent of total billed charges		3495.2	100			Percent of total billed charges		4112	100			Percent of total billed charges		4112	100			Percent of total billed charges		4112	33.3			Percent of total billed charges		1369.296	33.3			Percent of total billed charges		1369.296	100			Percent of total billed charges		4112	1369.296	3700.8	
cosmetic - gynecomastia (simple/lipo)	983	RC	Outpatient			4125	2681.25		90			Percent of total billed charges		3712.5	40			Percent of total billed charges		1650	80			Percent of total billed charges		3300	90			Percent of total billed charges		3712.5	85			Percent of total billed charges		3506.25	85			Percent of total billed charges		3506.25	85			Percent of total billed charges		3506.25	100			Percent of total billed charges		4125	100			Percent of total billed charges		4125	100			Percent of total billed charges		4125	33.3			Percent of total billed charges		1373.625	33.3			Percent of total billed charges		1373.625	100			Percent of total billed charges		4125	1373.625	3712.5	
cosmetic - mini-abdominoplasty with lipo	983	RC	Outpatient			4125	2681.25		90			Percent of total billed charges		3712.5	40			Percent of total billed charges		1650	80			Percent of total billed charges		3300	90			Percent of total billed charges		3712.5	85			Percent of total billed charges		3506.25	85			Percent of total billed charges		3506.25	85			Percent of total billed charges		3506.25	100			Percent of total billed charges		4125	100			Percent of total billed charges		4125	100			Percent of total billed charges		4125	33.3			Percent of total billed charges		1373.625	33.3			Percent of total billed charges		1373.625	100			Percent of total billed charges		4125	1373.625	3712.5	
emperion primary femoral component s/n 71291102	278	RC	Outpatient			4125	2681.25		90			Percent of total billed charges		3712.5	40			Percent of total billed charges		1650	80			Percent of total billed charges		3300	90			Percent of total billed charges		3712.5	85			Percent of total billed charges		3506.25	85			Percent of total billed charges		3506.25	85			Percent of total billed charges		3506.25	100			Percent of total billed charges		4125	100			Percent of total billed charges		4125	100			Percent of total billed charges		4125	33.3			Percent of total billed charges		1373.625	33.3			Percent of total billed charges		1373.625	100			Percent of total billed charges		4125	1373.625	3712.5	
mt 4598-88	270	RC	Outpatient			4125	2681.25		90			Percent of total billed charges		3712.5	40			Percent of total billed charges		1650	80			Percent of total billed charges		3300	90			Percent of total billed charges		3712.5	85			Percent of total billed charges		3506.25	85			Percent of total billed charges		3506.25	85			Percent of total billed charges		3506.25	100			Percent of total billed charges		4125	100			Percent of total billed charges		4125	100			Percent of total billed charges		4125	33.3			Percent of total billed charges		1373.625	33.3			Percent of total billed charges		1373.625	100			Percent of total billed charges		4125	1373.625	3712.5	
rsp glenoid baseplate 6.5 x 30mm 508-32-104 djo	278	RC	Outpatient			4125	2681.25		90			Percent of total billed charges		3712.5	40			Percent of total billed charges		1650	80			Percent of total billed charges		3300	90			Percent of total billed charges		3712.5	85			Percent of total billed charges		3506.25	85			Percent of total billed charges		3506.25	85			Percent of total billed charges		3506.25	100			Percent of total billed charges		4125	100			Percent of total billed charges		4125	100			Percent of total billed charges		4125	33.3			Percent of total billed charges		1373.625	33.3			Percent of total billed charges		1373.625	100			Percent of total billed charges		4125	1373.625	3712.5	
rsp glenoid bp	278	RC	Outpatient			4125	2681.25		90			Percent of total billed charges		3712.5	40			Percent of total billed charges		1650	80			Percent of total billed charges		3300	90			Percent of total billed charges		3712.5	85			Percent of total billed charges		3506.25	85			Percent of total billed charges		3506.25	85			Percent of total billed charges		3506.25	100			Percent of total billed charges		4125	100			Percent of total billed charges		4125	100			Percent of total billed charges		4125	33.3			Percent of total billed charges		1373.625	33.3			Percent of total billed charges		1373.625	100			Percent of total billed charges		4125	1373.625	3712.5	
rsp glenoid head 36mm/-4mm offset 508-36-103 djo	278	RC	Outpatient			4125	2681.25		90			Percent of total billed charges		3712.5	40			Percent of total billed charges		1650	80			Percent of total billed charges		3300	90			Percent of total billed charges		3712.5	85			Percent of total billed charges		3506.25	85			Percent of total billed charges		3506.25	85			Percent of total billed charges		3506.25	100			Percent of total billed charges		4125	100			Percent of total billed charges		4125	100			Percent of total billed charges		4125	33.3			Percent of total billed charges		1373.625	33.3			Percent of total billed charges		1373.625	100			Percent of total billed charges		4125	1373.625	3712.5	
rsp glenoid head 40mm/-4mm offset 508-40-103 encore	278	RC	Outpatient			4125	2681.25		90			Percent of total billed charges		3712.5	40			Percent of total billed charges		1650	80			Percent of total billed charges		3300	90			Percent of total billed charges		3712.5	85			Percent of total billed charges		3506.25	85			Percent of total billed charges		3506.25	85			Percent of total billed charges		3506.25	100			Percent of total billed charges		4125	100			Percent of total billed charges		4125	100			Percent of total billed charges		4125	33.3			Percent of total billed charges		1373.625	33.3			Percent of total billed charges		1373.625	100			Percent of total billed charges		4125	1373.625	3712.5	
rsp glenoid head 40mm/neutral 508-40-101 encore	278	RC	Outpatient			4125	2681.25		90			Percent of total billed charges		3712.5	40			Percent of total billed charges		1650	80			Percent of total billed charges		3300	90			Percent of total billed charges		3712.5	85			Percent of total billed charges		3506.25	85			Percent of total billed charges		3506.25	85			Percent of total billed charges		3506.25	100			Percent of total billed charges		4125	100			Percent of total billed charges		4125	100			Percent of total billed charges		4125	33.3			Percent of total billed charges		1373.625	33.3			Percent of total billed charges		1373.625	100			Percent of total billed charges		4125	1373.625	3712.5	
s-t cortex  locking screw 2.7mm x 14mm 71822314 s/n	278	RC	Outpatient			4125	2681.25		90			Percent of total billed charges		3712.5	40			Percent of total billed charges		1650	80			Percent of total billed charges		3300	90			Percent of total billed charges		3712.5	85			Percent of total billed charges		3506.25	85			Percent of total billed charges		3506.25	85			Percent of total billed charges		3506.25	100			Percent of total billed charges		4125	100			Percent of total billed charges		4125	100			Percent of total billed charges		4125	33.3			Percent of total billed charges		1373.625	33.3			Percent of total billed charges		1373.625	100			Percent of total billed charges		4125	1373.625	3712.5	
st jude lda210q/65 optisure lead	278	RC	Outpatient			4125	2681.25		90			Percent of total billed charges		3712.5	40			Percent of total billed charges		1650	80			Percent of total billed charges		3300	90			Percent of total billed charges		3712.5	85			Percent of total billed charges		3506.25	85			Percent of total billed charges		3506.25	85			Percent of total billed charges		3506.25	100			Percent of total billed charges		4125	100			Percent of total billed charges		4125	100			Percent of total billed charges		4125	33.3			Percent of total billed charges		1373.625	33.3			Percent of total billed charges		1373.625	100			Percent of total billed charges		4125	1373.625	3712.5	
st.jude lda210q/58  optisurelead	278	RC	Outpatient			4125	2681.25		90			Percent of total billed charges		3712.5	40			Percent of total billed charges		1650	80			Percent of total billed charges		3300	90			Percent of total billed charges		3712.5	85			Percent of total billed charges		3506.25	85			Percent of total billed charges		3506.25	85			Percent of total billed charges		3506.25	100			Percent of total billed charges		4125	100			Percent of total billed charges		4125	100			Percent of total billed charges		4125	33.3			Percent of total billed charges		1373.625	33.3			Percent of total billed charges		1373.625	100			Percent of total billed charges		4125	1373.625	3712.5	
rsp glenoid head	278	RC	Outpatient			4125	2681.25		90			Percent of total billed charges		3712.5	40			Percent of total billed charges		1650	80			Percent of total billed charges		3300	90			Percent of total billed charges		3712.5	85			Percent of total billed charges		3506.25	85			Percent of total billed charges		3506.25	85			Percent of total billed charges		3506.25	100			Percent of total billed charges		4125	100			Percent of total billed charges		4125	100			Percent of total billed charges		4125	33.3			Percent of total billed charges		1373.625	33.3			Percent of total billed charges		1373.625	100			Percent of total billed charges		4125	1373.625	3712.5	
rsp glenoid head 32mm/-4mm offset 508-32-103 encore	278	RC	Outpatient			4125	2681.25		90			Percent of total billed charges		3712.5	40			Percent of total billed charges		1650	80			Percent of total billed charges		3300	90			Percent of total billed charges		3712.5	85			Percent of total billed charges		3506.25	85			Percent of total billed charges		3506.25	85			Percent of total billed charges		3506.25	100			Percent of total billed charges		4125	100			Percent of total billed charges		4125	100			Percent of total billed charges		4125	33.3			Percent of total billed charges		1373.625	33.3			Percent of total billed charges		1373.625	100			Percent of total billed charges		4125	1373.625	3712.5	
rsp glenoid head 32mm/neutral 508-32-101 encore	278	RC	Outpatient			4125	2681.25		90			Percent of total billed charges		3712.5	40			Percent of total billed charges		1650	80			Percent of total billed charges		3300	90			Percent of total billed charges		3712.5	85			Percent of total billed charges		3506.25	85			Percent of total billed charges		3506.25	85			Percent of total billed charges		3506.25	100			Percent of total billed charges		4125	100			Percent of total billed charges		4125	100			Percent of total billed charges		4125	33.3			Percent of total billed charges		1373.625	33.3			Percent of total billed charges		1373.625	100			Percent of total billed charges		4125	1373.625	3712.5	
rsp glenoid head 36mm/neutral 508-36-101 encore	278	RC	Outpatient			4125	2681.25		90			Percent of total billed charges		3712.5	40			Percent of total billed charges		1650	80			Percent of total billed charges		3300	90			Percent of total billed charges		3712.5	85			Percent of total billed charges		3506.25	85			Percent of total billed charges		3506.25	85			Percent of total billed charges		3506.25	100			Percent of total billed charges		4125	100			Percent of total billed charges		4125	100			Percent of total billed charges		4125	33.3			Percent of total billed charges		1373.625	33.3			Percent of total billed charges		1373.625	100			Percent of total billed charges		4125	1373.625	3712.5	
s/n emp ii stem prim ho	278	RC	Outpatient			4125	2681.25		90			Percent of total billed charges		3712.5	40			Percent of total billed charges		1650	80			Percent of total billed charges		3300	90			Percent of total billed charges		3712.5	85			Percent of total billed charges		3506.25	85			Percent of total billed charges		3506.25	85			Percent of total billed charges		3506.25	100			Percent of total billed charges		4125	100			Percent of total billed charges		4125	100			Percent of total billed charges		4125	33.3			Percent of total billed charges		1373.625	33.3			Percent of total billed charges		1373.625	100			Percent of total billed charges		4125	1373.625	3712.5	
bio freedom liner	278	RC	Outpatient			4131	2685.15		90			Percent of total billed charges		3717.9	40			Percent of total billed charges		1652.4	80			Percent of total billed charges		3304.8	90			Percent of total billed charges		3717.9	85			Percent of total billed charges		3511.35	85			Percent of total billed charges		3511.35	85			Percent of total billed charges		3511.35	100			Percent of total billed charges		4131	100			Percent of total billed charges		4131	100			Percent of total billed charges		4131	33.3			Percent of total billed charges		1375.623	33.3			Percent of total billed charges		1375.623	100			Percent of total billed charges		4131	1375.623	3717.9	
freedom constrained liner 36mm sz25 11-107324 biomet	278	RC	Outpatient			4131	2685.15		90			Percent of total billed charges		3717.9	40			Percent of total billed charges		1652.4	80			Percent of total billed charges		3304.8	90			Percent of total billed charges		3717.9	85			Percent of total billed charges		3511.35	85			Percent of total billed charges		3511.35	85			Percent of total billed charges		3511.35	100			Percent of total billed charges		4131	100			Percent of total billed charges		4131	100			Percent of total billed charges		4131	33.3			Percent of total billed charges		1375.623	33.3			Percent of total billed charges		1375.623	100			Percent of total billed charges		4131	1375.623	3717.9	
freedom constrained liner 86mm sz24 11-107323 biomet	278	RC	Outpatient			4131	2685.15		90			Percent of total billed charges		3717.9	40			Percent of total billed charges		1652.4	80			Percent of total billed charges		3304.8	90			Percent of total billed charges		3717.9	85			Percent of total billed charges		3511.35	85			Percent of total billed charges		3511.35	85			Percent of total billed charges		3511.35	100			Percent of total billed charges		4131	100			Percent of total billed charges		4131	100			Percent of total billed charges		4131	33.3			Percent of total billed charges		1375.623	33.3			Percent of total billed charges		1375.623	100			Percent of total billed charges		4131	1375.623	3717.9	
freedom constrained liner sz 24 biomet 11-107023	278	RC	Outpatient			4131	2685.15		90			Percent of total billed charges		3717.9	40			Percent of total billed charges		1652.4	80			Percent of total billed charges		3304.8	90			Percent of total billed charges		3717.9	85			Percent of total billed charges		3511.35	85			Percent of total billed charges		3511.35	85			Percent of total billed charges		3511.35	100			Percent of total billed charges		4131	100			Percent of total billed charges		4131	100			Percent of total billed charges		4131	33.3			Percent of total billed charges		1375.623	33.3			Percent of total billed charges		1375.623	100			Percent of total billed charges		4131	1375.623	3717.9	
freedom constrained liner sz 26 11-107425 biomet	278	RC	Outpatient			4131	2685.15		90			Percent of total billed charges		3717.9	40			Percent of total billed charges		1652.4	80			Percent of total billed charges		3304.8	90			Percent of total billed charges		3717.9	85			Percent of total billed charges		3511.35	85			Percent of total billed charges		3511.35	85			Percent of total billed charges		3511.35	100			Percent of total billed charges		4131	100			Percent of total billed charges		4131	100			Percent of total billed charges		4131	33.3			Percent of total billed charges		1375.623	33.3			Percent of total billed charges		1375.623	100			Percent of total billed charges		4131	1375.623	3717.9	
freedom constrained liner sz 26 biomet 11-107025	278	RC	Outpatient			4131	2685.15		90			Percent of total billed charges		3717.9	40			Percent of total billed charges		1652.4	80			Percent of total billed charges		3304.8	90			Percent of total billed charges		3717.9	85			Percent of total billed charges		3511.35	85			Percent of total billed charges		3511.35	85			Percent of total billed charges		3511.35	100			Percent of total billed charges		4131	100			Percent of total billed charges		4131	100			Percent of total billed charges		4131	33.3			Percent of total billed charges		1375.623	33.3			Percent of total billed charges		1375.623	100			Percent of total billed charges		4131	1375.623	3717.9	
freedom constrained liner sz 28 biomet 11-107027	278	RC	Outpatient			4131	2685.15		90			Percent of total billed charges		3717.9	40			Percent of total billed charges		1652.4	80			Percent of total billed charges		3304.8	90			Percent of total billed charges		3717.9	85			Percent of total billed charges		3511.35	85			Percent of total billed charges		3511.35	85			Percent of total billed charges		3511.35	100			Percent of total billed charges		4131	100			Percent of total billed charges		4131	100			Percent of total billed charges		4131	33.3			Percent of total billed charges		1375.623	33.3			Percent of total billed charges		1375.623	100			Percent of total billed charges		4131	1375.623	3717.9	
freedom constrained liner sz 23 biomet 11-107022	278	RC	Outpatient			4131	2685.15		90			Percent of total billed charges		3717.9	40			Percent of total billed charges		1652.4	80			Percent of total billed charges		3304.8	90			Percent of total billed charges		3717.9	85			Percent of total billed charges		3511.35	85			Percent of total billed charges		3511.35	85			Percent of total billed charges		3511.35	100			Percent of total billed charges		4131	100			Percent of total billed charges		4131	100			Percent of total billed charges		4131	33.3			Percent of total billed charges		1375.623	33.3			Percent of total billed charges		1375.623	100			Percent of total billed charges		4131	1375.623	3717.9	
freedom constrained liner sz 24 11-107423 biomet	278	RC	Outpatient			4131	2685.15		90			Percent of total billed charges		3717.9	40			Percent of total billed charges		1652.4	80			Percent of total billed charges		3304.8	90			Percent of total billed charges		3717.9	85			Percent of total billed charges		3511.35	85			Percent of total billed charges		3511.35	85			Percent of total billed charges		3511.35	100			Percent of total billed charges		4131	100			Percent of total billed charges		4131	100			Percent of total billed charges		4131	33.3			Percent of total billed charges		1375.623	33.3			Percent of total billed charges		1375.623	100			Percent of total billed charges		4131	1375.623	3717.9	
freedom constrained liner sz 25 biomet 11-107024	278	RC	Outpatient			4131	2685.15		90			Percent of total billed charges		3717.9	40			Percent of total billed charges		1652.4	80			Percent of total billed charges		3304.8	90			Percent of total billed charges		3717.9	85			Percent of total billed charges		3511.35	85			Percent of total billed charges		3511.35	85			Percent of total billed charges		3511.35	100			Percent of total billed charges		4131	100			Percent of total billed charges		4131	100			Percent of total billed charges		4131	33.3			Percent of total billed charges		1375.623	33.3			Percent of total billed charges		1375.623	100			Percent of total billed charges		4131	1375.623	3717.9	
freedom constrained liner sz 27 biomet 11-107026	278	RC	Outpatient			4131	2685.15		90			Percent of total billed charges		3717.9	40			Percent of total billed charges		1652.4	80			Percent of total billed charges		3304.8	90			Percent of total billed charges		3717.9	85			Percent of total billed charges		3511.35	85			Percent of total billed charges		3511.35	85			Percent of total billed charges		3511.35	100			Percent of total billed charges		4131	100			Percent of total billed charges		4131	100			Percent of total billed charges		4131	33.3			Percent of total billed charges		1375.623	33.3			Percent of total billed charges		1375.623	100			Percent of total billed charges		4131	1375.623	3717.9	
freedom constrained liner sz25 11-107424 biomet	278	RC	Outpatient			4131	2685.15		90			Percent of total billed charges		3717.9	40			Percent of total billed charges		1652.4	80			Percent of total billed charges		3304.8	90			Percent of total billed charges		3717.9	85			Percent of total billed charges		3511.35	85			Percent of total billed charges		3511.35	85			Percent of total billed charges		3511.35	100			Percent of total billed charges		4131	100			Percent of total billed charges		4131	100			Percent of total billed charges		4131	33.3			Percent of total billed charges		1375.623	33.3			Percent of total billed charges		1375.623	100			Percent of total billed charges		4131	1375.623	3717.9	
biomet maxim femoral comp 60mm (l) 140031	278	RC	Outpatient			4134	2687.1		90			Percent of total billed charges		3720.6	40			Percent of total billed charges		1653.6	80			Percent of total billed charges		3307.2	90			Percent of total billed charges		3720.6	85			Percent of total billed charges		3513.9	85			Percent of total billed charges		3513.9	85			Percent of total billed charges		3513.9	100			Percent of total billed charges		4134	100			Percent of total billed charges		4134	100			Percent of total billed charges		4134	33.3			Percent of total billed charges		1376.622	33.3			Percent of total billed charges		1376.622	100			Percent of total billed charges		4134	1376.622	3720.6	
bio maxim il prim fem	278	RC	Outpatient			4134	2687.1		90			Percent of total billed charges		3720.6	40			Percent of total billed charges		1653.6	80			Percent of total billed charges		3307.2	90			Percent of total billed charges		3720.6	85			Percent of total billed charges		3513.9	85			Percent of total billed charges		3513.9	85			Percent of total billed charges		3513.9	100			Percent of total billed charges		4134	100			Percent of total billed charges		4134	100			Percent of total billed charges		4134	33.3			Percent of total billed charges		1376.622	33.3			Percent of total billed charges		1376.622	100			Percent of total billed charges		4134	1376.622	3720.6	
biomet maxim femoral comp 55mm (l) 140030	278	RC	Outpatient			4134	2687.1		90			Percent of total billed charges		3720.6	40			Percent of total billed charges		1653.6	80			Percent of total billed charges		3307.2	90			Percent of total billed charges		3720.6	85			Percent of total billed charges		3513.9	85			Percent of total billed charges		3513.9	85			Percent of total billed charges		3513.9	100			Percent of total billed charges		4134	100			Percent of total billed charges		4134	100			Percent of total billed charges		4134	33.3			Percent of total billed charges		1376.622	33.3			Percent of total billed charges		1376.622	100			Percent of total billed charges		4134	1376.622	3720.6	
biomet maxim femoral comp 55mm (r) 140010	278	RC	Outpatient			4134	2687.1		90			Percent of total billed charges		3720.6	40			Percent of total billed charges		1653.6	80			Percent of total billed charges		3307.2	90			Percent of total billed charges		3720.6	85			Percent of total billed charges		3513.9	85			Percent of total billed charges		3513.9	85			Percent of total billed charges		3513.9	100			Percent of total billed charges		4134	100			Percent of total billed charges		4134	100			Percent of total billed charges		4134	33.3			Percent of total billed charges		1376.622	33.3			Percent of total billed charges		1376.622	100			Percent of total billed charges		4134	1376.622	3720.6	
biomet maxim femoral comp 60mm (r) 140011	278	RC	Outpatient			4134	2687.1		90			Percent of total billed charges		3720.6	40			Percent of total billed charges		1653.6	80			Percent of total billed charges		3307.2	90			Percent of total billed charges		3720.6	85			Percent of total billed charges		3513.9	85			Percent of total billed charges		3513.9	85			Percent of total billed charges		3513.9	100			Percent of total billed charges		4134	100			Percent of total billed charges		4134	100			Percent of total billed charges		4134	33.3			Percent of total billed charges		1376.622	33.3			Percent of total billed charges		1376.622	100			Percent of total billed charges		4134	1376.622	3720.6	
biomet maxim femoral comp 80mm (l) 140035	278	RC	Outpatient			4134	2687.1		90			Percent of total billed charges		3720.6	40			Percent of total billed charges		1653.6	80			Percent of total billed charges		3307.2	90			Percent of total billed charges		3720.6	85			Percent of total billed charges		3513.9	85			Percent of total billed charges		3513.9	85			Percent of total billed charges		3513.9	100			Percent of total billed charges		4134	100			Percent of total billed charges		4134	100			Percent of total billed charges		4134	33.3			Percent of total billed charges		1376.622	33.3			Percent of total billed charges		1376.622	100			Percent of total billed charges		4134	1376.622	3720.6	
biomet maxim femoral comp 80mm (r) 140015	278	RC	Outpatient			4134	2687.1		90			Percent of total billed charges		3720.6	40			Percent of total billed charges		1653.6	80			Percent of total billed charges		3307.2	90			Percent of total billed charges		3720.6	85			Percent of total billed charges		3513.9	85			Percent of total billed charges		3513.9	85			Percent of total billed charges		3513.9	100			Percent of total billed charges		4134	100			Percent of total billed charges		4134	100			Percent of total billed charges		4134	33.3			Percent of total billed charges		1376.622	33.3			Percent of total billed charges		1376.622	100			Percent of total billed charges		4134	1376.622	3720.6	
maxim femur 65 mm lt 140032	278	RC	Outpatient			4134	2687.1		90			Percent of total billed charges		3720.6	40			Percent of total billed charges		1653.6	80			Percent of total billed charges		3307.2	90			Percent of total billed charges		3720.6	85			Percent of total billed charges		3513.9	85			Percent of total billed charges		3513.9	85			Percent of total billed charges		3513.9	100			Percent of total billed charges		4134	100			Percent of total billed charges		4134	100			Percent of total billed charges		4134	33.3			Percent of total billed charges		1376.622	33.3			Percent of total billed charges		1376.622	100			Percent of total billed charges		4134	1376.622	3720.6	
maxim femur 65mm (r) 140012	278	RC	Outpatient			4134	2687.1		90			Percent of total billed charges		3720.6	40			Percent of total billed charges		1653.6	80			Percent of total billed charges		3307.2	90			Percent of total billed charges		3720.6	85			Percent of total billed charges		3513.9	85			Percent of total billed charges		3513.9	85			Percent of total billed charges		3513.9	100			Percent of total billed charges		4134	100			Percent of total billed charges		4134	100			Percent of total billed charges		4134	33.3			Percent of total billed charges		1376.622	33.3			Percent of total billed charges		1376.622	100			Percent of total billed charges		4134	1376.622	3720.6	
maxim femur 70mm lt 140033	278	RC	Outpatient			4134	2687.1		90			Percent of total billed charges		3720.6	40			Percent of total billed charges		1653.6	80			Percent of total billed charges		3307.2	90			Percent of total billed charges		3720.6	85			Percent of total billed charges		3513.9	85			Percent of total billed charges		3513.9	85			Percent of total billed charges		3513.9	100			Percent of total billed charges		4134	100			Percent of total billed charges		4134	100			Percent of total billed charges		4134	33.3			Percent of total billed charges		1376.622	33.3			Percent of total billed charges		1376.622	100			Percent of total billed charges		4134	1376.622	3720.6	
maxim femur 70mm rt 140013	278	RC	Outpatient			4134	2687.1		90			Percent of total billed charges		3720.6	40			Percent of total billed charges		1653.6	80			Percent of total billed charges		3307.2	90			Percent of total billed charges		3720.6	85			Percent of total billed charges		3513.9	85			Percent of total billed charges		3513.9	85			Percent of total billed charges		3513.9	100			Percent of total billed charges		4134	100			Percent of total billed charges		4134	100			Percent of total billed charges		4134	33.3			Percent of total billed charges		1376.622	33.3			Percent of total billed charges		1376.622	100			Percent of total billed charges		4134	1376.622	3720.6	
maxim femur 75mm (l) 140034	278	RC	Outpatient			4134	2687.1		90			Percent of total billed charges		3720.6	40			Percent of total billed charges		1653.6	80			Percent of total billed charges		3307.2	90			Percent of total billed charges		3720.6	85			Percent of total billed charges		3513.9	85			Percent of total billed charges		3513.9	85			Percent of total billed charges		3513.9	100			Percent of total billed charges		4134	100			Percent of total billed charges		4134	100			Percent of total billed charges		4134	33.3			Percent of total billed charges		1376.622	33.3			Percent of total billed charges		1376.622	100			Percent of total billed charges		4134	1376.622	3720.6	
maxim femur 75mm rt 140014	278	RC	Outpatient			4134	2687.1		90			Percent of total billed charges		3720.6	40			Percent of total billed charges		1653.6	80			Percent of total billed charges		3307.2	90			Percent of total billed charges		3720.6	85			Percent of total billed charges		3513.9	85			Percent of total billed charges		3513.9	85			Percent of total billed charges		3513.9	100			Percent of total billed charges		4134	100			Percent of total billed charges		4134	100			Percent of total billed charges		4134	33.3			Percent of total billed charges		1376.622	33.3			Percent of total billed charges		1376.622	100			Percent of total billed charges		4134	1376.622	3720.6	
humeral nail 10/8.5 x 20 7177-1020 s/n	278	RC	Outpatient			4141	2691.65		90			Percent of total billed charges		3726.9	40			Percent of total billed charges		1656.4	80			Percent of total billed charges		3312.8	90			Percent of total billed charges		3726.9	85			Percent of total billed charges		3519.85	85			Percent of total billed charges		3519.85	85			Percent of total billed charges		3519.85	100			Percent of total billed charges		4141	100			Percent of total billed charges		4141	100			Percent of total billed charges		4141	33.3			Percent of total billed charges		1378.953	33.3			Percent of total billed charges		1378.953	100			Percent of total billed charges		4141	1378.953	3726.9	
humeral nail 10/8.5 x 24 7177-1024 s/n	278	RC	Outpatient			4141	2691.65		90			Percent of total billed charges		3726.9	40			Percent of total billed charges		1656.4	80			Percent of total billed charges		3312.8	90			Percent of total billed charges		3726.9	85			Percent of total billed charges		3519.85	85			Percent of total billed charges		3519.85	85			Percent of total billed charges		3519.85	100			Percent of total billed charges		4141	100			Percent of total billed charges		4141	100			Percent of total billed charges		4141	33.3			Percent of total billed charges		1378.953	33.3			Percent of total billed charges		1378.953	100			Percent of total billed charges		4141	1378.953	3726.9	
humeral nail 8/7 x 16 7177-0816 s/n	278	RC	Outpatient			4141	2691.65		90			Percent of total billed charges		3726.9	40			Percent of total billed charges		1656.4	80			Percent of total billed charges		3312.8	90			Percent of total billed charges		3726.9	85			Percent of total billed charges		3519.85	85			Percent of total billed charges		3519.85	85			Percent of total billed charges		3519.85	100			Percent of total billed charges		4141	100			Percent of total billed charges		4141	100			Percent of total billed charges		4141	33.3			Percent of total billed charges		1378.953	33.3			Percent of total billed charges		1378.953	100			Percent of total billed charges		4141	1378.953	3726.9	
humeral nail 8/7 x 18 7177-0818 s/n	278	RC	Outpatient			4141	2691.65		90			Percent of total billed charges		3726.9	40			Percent of total billed charges		1656.4	80			Percent of total billed charges		3312.8	90			Percent of total billed charges		3726.9	85			Percent of total billed charges		3519.85	85			Percent of total billed charges		3519.85	85			Percent of total billed charges		3519.85	100			Percent of total billed charges		4141	100			Percent of total billed charges		4141	100			Percent of total billed charges		4141	33.3			Percent of total billed charges		1378.953	33.3			Percent of total billed charges		1378.953	100			Percent of total billed charges		4141	1378.953	3726.9	
humeral nail 8/7 x 20 7177-0820 s/n	278	RC	Outpatient			4141	2691.65		90			Percent of total billed charges		3726.9	40			Percent of total billed charges		1656.4	80			Percent of total billed charges		3312.8	90			Percent of total billed charges		3726.9	85			Percent of total billed charges		3519.85	85			Percent of total billed charges		3519.85	85			Percent of total billed charges		3519.85	100			Percent of total billed charges		4141	100			Percent of total billed charges		4141	100			Percent of total billed charges		4141	33.3			Percent of total billed charges		1378.953	33.3			Percent of total billed charges		1378.953	100			Percent of total billed charges		4141	1378.953	3726.9	
humeral nail 8/7 x 22 7177-0822 s/n	278	RC	Outpatient			4141	2691.65		90			Percent of total billed charges		3726.9	40			Percent of total billed charges		1656.4	80			Percent of total billed charges		3312.8	90			Percent of total billed charges		3726.9	85			Percent of total billed charges		3519.85	85			Percent of total billed charges		3519.85	85			Percent of total billed charges		3519.85	100			Percent of total billed charges		4141	100			Percent of total billed charges		4141	100			Percent of total billed charges		4141	33.3			Percent of total billed charges		1378.953	33.3			Percent of total billed charges		1378.953	100			Percent of total billed charges		4141	1378.953	3726.9	
humeral nail 8/7 x 24 7177-0824 s/n	278	RC	Outpatient			4141	2691.65		90			Percent of total billed charges		3726.9	40			Percent of total billed charges		1656.4	80			Percent of total billed charges		3312.8	90			Percent of total billed charges		3726.9	85			Percent of total billed charges		3519.85	85			Percent of total billed charges		3519.85	85			Percent of total billed charges		3519.85	100			Percent of total billed charges		4141	100			Percent of total billed charges		4141	100			Percent of total billed charges		4141	33.3			Percent of total billed charges		1378.953	33.3			Percent of total billed charges		1378.953	100			Percent of total billed charges		4141	1378.953	3726.9	
humeral nail 9/7.5 x 18 7177-0918 s/n	278	RC	Outpatient			4141	2691.65		90			Percent of total billed charges		3726.9	40			Percent of total billed charges		1656.4	80			Percent of total billed charges		3312.8	90			Percent of total billed charges		3726.9	85			Percent of total billed charges		3519.85	85			Percent of total billed charges		3519.85	85			Percent of total billed charges		3519.85	100			Percent of total billed charges		4141	100			Percent of total billed charges		4141	100			Percent of total billed charges		4141	33.3			Percent of total billed charges		1378.953	33.3			Percent of total billed charges		1378.953	100			Percent of total billed charges		4141	1378.953	3726.9	
humeral nail 9/7.5 x 26 7177-0926 s/n	278	RC	Outpatient			4141	2691.65		90			Percent of total billed charges		3726.9	40			Percent of total billed charges		1656.4	80			Percent of total billed charges		3312.8	90			Percent of total billed charges		3726.9	85			Percent of total billed charges		3519.85	85			Percent of total billed charges		3519.85	85			Percent of total billed charges		3519.85	100			Percent of total billed charges		4141	100			Percent of total billed charges		4141	100			Percent of total billed charges		4141	33.3			Percent of total billed charges		1378.953	33.3			Percent of total billed charges		1378.953	100			Percent of total billed charges		4141	1378.953	3726.9	
humeral nail 9/7.5 x 28 7177-0928 s/n	278	RC	Outpatient			4141	2691.65		90			Percent of total billed charges		3726.9	40			Percent of total billed charges		1656.4	80			Percent of total billed charges		3312.8	90			Percent of total billed charges		3726.9	85			Percent of total billed charges		3519.85	85			Percent of total billed charges		3519.85	85			Percent of total billed charges		3519.85	100			Percent of total billed charges		4141	100			Percent of total billed charges		4141	100			Percent of total billed charges		4141	33.3			Percent of total billed charges		1378.953	33.3			Percent of total billed charges		1378.953	100			Percent of total billed charges		4141	1378.953	3726.9	
humeral nail 10/8.5 x 18 7177-1018 s/n	278	RC	Outpatient			4141	2691.65		90			Percent of total billed charges		3726.9	40			Percent of total billed charges		1656.4	80			Percent of total billed charges		3312.8	90			Percent of total billed charges		3726.9	85			Percent of total billed charges		3519.85	85			Percent of total billed charges		3519.85	85			Percent of total billed charges		3519.85	100			Percent of total billed charges		4141	100			Percent of total billed charges		4141	100			Percent of total billed charges		4141	33.3			Percent of total billed charges		1378.953	33.3			Percent of total billed charges		1378.953	100			Percent of total billed charges		4141	1378.953	3726.9	
humeral nail 10/8.5 x 22 7177-1022 s/n	278	RC	Outpatient			4141	2691.65		90			Percent of total billed charges		3726.9	40			Percent of total billed charges		1656.4	80			Percent of total billed charges		3312.8	90			Percent of total billed charges		3726.9	85			Percent of total billed charges		3519.85	85			Percent of total billed charges		3519.85	85			Percent of total billed charges		3519.85	100			Percent of total billed charges		4141	100			Percent of total billed charges		4141	100			Percent of total billed charges		4141	33.3			Percent of total billed charges		1378.953	33.3			Percent of total billed charges		1378.953	100			Percent of total billed charges		4141	1378.953	3726.9	
humeral nail 10/8.5 x 26 7177-1026 s/n	278	RC	Outpatient			4141	2691.65		90			Percent of total billed charges		3726.9	40			Percent of total billed charges		1656.4	80			Percent of total billed charges		3312.8	90			Percent of total billed charges		3726.9	85			Percent of total billed charges		3519.85	85			Percent of total billed charges		3519.85	85			Percent of total billed charges		3519.85	100			Percent of total billed charges		4141	100			Percent of total billed charges		4141	100			Percent of total billed charges		4141	33.3			Percent of total billed charges		1378.953	33.3			Percent of total billed charges		1378.953	100			Percent of total billed charges		4141	1378.953	3726.9	
humeral nail 10/8.5 x 28 7177-1028 s/n	278	RC	Outpatient			4141	2691.65		90			Percent of total billed charges		3726.9	40			Percent of total billed charges		1656.4	80			Percent of total billed charges		3312.8	90			Percent of total billed charges		3726.9	85			Percent of total billed charges		3519.85	85			Percent of total billed charges		3519.85	85			Percent of total billed charges		3519.85	100			Percent of total billed charges		4141	100			Percent of total billed charges		4141	100			Percent of total billed charges		4141	33.3			Percent of total billed charges		1378.953	33.3			Percent of total billed charges		1378.953	100			Percent of total billed charges		4141	1378.953	3726.9	
humeral nail 10/8.5 x 30 7177-1030 s/n	278	RC	Outpatient			4141	2691.65		90			Percent of total billed charges		3726.9	40			Percent of total billed charges		1656.4	80			Percent of total billed charges		3312.8	90			Percent of total billed charges		3726.9	85			Percent of total billed charges		3519.85	85			Percent of total billed charges		3519.85	85			Percent of total billed charges		3519.85	100			Percent of total billed charges		4141	100			Percent of total billed charges		4141	100			Percent of total billed charges		4141	33.3			Percent of total billed charges		1378.953	33.3			Percent of total billed charges		1378.953	100			Percent of total billed charges		4141	1378.953	3726.9	
humeral nail 8/7 x 26 71770826 s/n	278	RC	Outpatient			4141	2691.65		90			Percent of total billed charges		3726.9	40			Percent of total billed charges		1656.4	80			Percent of total billed charges		3312.8	90			Percent of total billed charges		3726.9	85			Percent of total billed charges		3519.85	85			Percent of total billed charges		3519.85	85			Percent of total billed charges		3519.85	100			Percent of total billed charges		4141	100			Percent of total billed charges		4141	100			Percent of total billed charges		4141	33.3			Percent of total billed charges		1378.953	33.3			Percent of total billed charges		1378.953	100			Percent of total billed charges		4141	1378.953	3726.9	
humeral nail 8/7 x 28 7177-0828 s/n	278	RC	Outpatient			4141	2691.65		90			Percent of total billed charges		3726.9	40			Percent of total billed charges		1656.4	80			Percent of total billed charges		3312.8	90			Percent of total billed charges		3726.9	85			Percent of total billed charges		3519.85	85			Percent of total billed charges		3519.85	85			Percent of total billed charges		3519.85	100			Percent of total billed charges		4141	100			Percent of total billed charges		4141	100			Percent of total billed charges		4141	33.3			Percent of total billed charges		1378.953	33.3			Percent of total billed charges		1378.953	100			Percent of total billed charges		4141	1378.953	3726.9	
humeral nail 8/7 x 30 7177-0830 s/n	278	RC	Outpatient			4141	2691.65		90			Percent of total billed charges		3726.9	40			Percent of total billed charges		1656.4	80			Percent of total billed charges		3312.8	90			Percent of total billed charges		3726.9	85			Percent of total billed charges		3519.85	85			Percent of total billed charges		3519.85	85			Percent of total billed charges		3519.85	100			Percent of total billed charges		4141	100			Percent of total billed charges		4141	100			Percent of total billed charges		4141	33.3			Percent of total billed charges		1378.953	33.3			Percent of total billed charges		1378.953	100			Percent of total billed charges		4141	1378.953	3726.9	
humeral nail 9/7.5 x 20 7177-0920 s/n	278	RC	Outpatient			4141	2691.65		90			Percent of total billed charges		3726.9	40			Percent of total billed charges		1656.4	80			Percent of total billed charges		3312.8	90			Percent of total billed charges		3726.9	85			Percent of total billed charges		3519.85	85			Percent of total billed charges		3519.85	85			Percent of total billed charges		3519.85	100			Percent of total billed charges		4141	100			Percent of total billed charges		4141	100			Percent of total billed charges		4141	33.3			Percent of total billed charges		1378.953	33.3			Percent of total billed charges		1378.953	100			Percent of total billed charges		4141	1378.953	3726.9	
humeral nail 9/7.5 x 22 7177-0922 s/n	278	RC	Outpatient			4141	2691.65		90			Percent of total billed charges		3726.9	40			Percent of total billed charges		1656.4	80			Percent of total billed charges		3312.8	90			Percent of total billed charges		3726.9	85			Percent of total billed charges		3519.85	85			Percent of total billed charges		3519.85	85			Percent of total billed charges		3519.85	100			Percent of total billed charges		4141	100			Percent of total billed charges		4141	100			Percent of total billed charges		4141	33.3			Percent of total billed charges		1378.953	33.3			Percent of total billed charges		1378.953	100			Percent of total billed charges		4141	1378.953	3726.9	
humeral nail 9/7.5 x 24 7177-0924 s/n	278	RC	Outpatient			4141	2691.65		90			Percent of total billed charges		3726.9	40			Percent of total billed charges		1656.4	80			Percent of total billed charges		3312.8	90			Percent of total billed charges		3726.9	85			Percent of total billed charges		3519.85	85			Percent of total billed charges		3519.85	85			Percent of total billed charges		3519.85	100			Percent of total billed charges		4141	100			Percent of total billed charges		4141	100			Percent of total billed charges		4141	33.3			Percent of total billed charges		1378.953	33.3			Percent of total billed charges		1378.953	100			Percent of total billed charges		4141	1378.953	3726.9	
humeral nail 9/7.5 x 30 7177-0930 s/n	278	RC	Outpatient			4141	2691.65		90			Percent of total billed charges		3726.9	40			Percent of total billed charges		1656.4	80			Percent of total billed charges		3312.8	90			Percent of total billed charges		3726.9	85			Percent of total billed charges		3519.85	85			Percent of total billed charges		3519.85	85			Percent of total billed charges		3519.85	100			Percent of total billed charges		4141	100			Percent of total billed charges		4141	100			Percent of total billed charges		4141	33.3			Percent of total billed charges		1378.953	33.3			Percent of total billed charges		1378.953	100			Percent of total billed charges		4141	1378.953	3726.9	
trigen humeral nail	278	RC	Outpatient			4141	2691.65		90			Percent of total billed charges		3726.9	40			Percent of total billed charges		1656.4	80			Percent of total billed charges		3312.8	90			Percent of total billed charges		3726.9	85			Percent of total billed charges		3519.85	85			Percent of total billed charges		3519.85	85			Percent of total billed charges		3519.85	100			Percent of total billed charges		4141	100			Percent of total billed charges		4141	100			Percent of total billed charges		4141	33.3			Percent of total billed charges		1378.953	33.3			Percent of total billed charges		1378.953	100			Percent of total billed charges		4141	1378.953	3726.9	
trigen humeral nail 8/7 x 6 71760816 s/n	278	RC	Outpatient			4141	2691.65		90			Percent of total billed charges		3726.9	40			Percent of total billed charges		1656.4	80			Percent of total billed charges		3312.8	90			Percent of total billed charges		3726.9	85			Percent of total billed charges		3519.85	85			Percent of total billed charges		3519.85	85			Percent of total billed charges		3519.85	100			Percent of total billed charges		4141	100			Percent of total billed charges		4141	100			Percent of total billed charges		4141	33.3			Percent of total billed charges		1378.953	33.3			Percent of total billed charges		1378.953	100			Percent of total billed charges		4141	1378.953	3726.9	
restoration adm insert	278	RC	Outpatient			4166	2707.9		90			Percent of total billed charges		3749.4	40			Percent of total billed charges		1666.4	80			Percent of total billed charges		3332.8	90			Percent of total billed charges		3749.4	85			Percent of total billed charges		3541.1	85			Percent of total billed charges		3541.1	85			Percent of total billed charges		3541.1	100			Percent of total billed charges		4166	100			Percent of total billed charges		4166	100			Percent of total billed charges		4166	33.3			Percent of total billed charges		1387.278	33.3			Percent of total billed charges		1387.278	100			Percent of total billed charges		4166	1387.278	3749.4	
restoration adm  x3 insert 1236-2-854 stryker	278	RC	Outpatient			4166	2707.9		90			Percent of total billed charges		3749.4	40			Percent of total billed charges		1666.4	80			Percent of total billed charges		3332.8	90			Percent of total billed charges		3749.4	85			Percent of total billed charges		3541.1	85			Percent of total billed charges		3541.1	85			Percent of total billed charges		3541.1	100			Percent of total billed charges		4166	100			Percent of total billed charges		4166	100			Percent of total billed charges		4166	33.3			Percent of total billed charges		1387.278	33.3			Percent of total billed charges		1387.278	100			Percent of total billed charges		4166	1387.278	3749.4	
lg fr pl cp nar cmp 22hl	278	RC	Outpatient			4174	2713.1		90			Percent of total billed charges		3756.6	40			Percent of total billed charges		1669.6	80			Percent of total billed charges		3339.2	90			Percent of total billed charges		3756.6	85			Percent of total billed charges		3547.9	85			Percent of total billed charges		3547.9	85			Percent of total billed charges		3547.9	100			Percent of total billed charges		4174	100			Percent of total billed charges		4174	100			Percent of total billed charges		4174	33.3			Percent of total billed charges		1389.942	33.3			Percent of total billed charges		1389.942	100			Percent of total billed charges		4174	1389.942	3756.6	
s/n lg frag plate 4.5mm 22 hole 7184-1422	278	RC	Outpatient			4174	2713.1		90			Percent of total billed charges		3756.6	40			Percent of total billed charges		1669.6	80			Percent of total billed charges		3339.2	90			Percent of total billed charges		3756.6	85			Percent of total billed charges		3547.9	85			Percent of total billed charges		3547.9	85			Percent of total billed charges		3547.9	100			Percent of total billed charges		4174	100			Percent of total billed charges		4174	100			Percent of total billed charges		4174	33.3			Percent of total billed charges		1389.942	33.3			Percent of total billed charges		1389.942	100			Percent of total billed charges		4174	1389.942	3756.6	
longevity liner crosslined 32mm sz g 32-6732-07-01 zimmer	278	RC	Outpatient			4196	2727.4		90			Percent of total billed charges		3776.4	40			Percent of total billed charges		1678.4	80			Percent of total billed charges		3356.8	90			Percent of total billed charges		3776.4	85			Percent of total billed charges		3566.6	85			Percent of total billed charges		3566.6	85			Percent of total billed charges		3566.6	100			Percent of total billed charges		4196	100			Percent of total billed charges		4196	100			Percent of total billed charges		4196	33.3			Percent of total billed charges		1397.268	33.3			Percent of total billed charges		1397.268	100			Percent of total billed charges		4196	1397.268	3776.4	
zimmer longevity lnr cl	278	RC	Outpatient			4196	2727.4		90			Percent of total billed charges		3776.4	40			Percent of total billed charges		1678.4	80			Percent of total billed charges		3356.8	90			Percent of total billed charges		3776.4	85			Percent of total billed charges		3566.6	85			Percent of total billed charges		3566.6	85			Percent of total billed charges		3566.6	100			Percent of total billed charges		4196	100			Percent of total billed charges		4196	100			Percent of total billed charges		4196	33.3			Percent of total billed charges		1397.268	33.3			Percent of total billed charges		1397.268	100			Percent of total billed charges		4196	1397.268	3776.4	
"proximal humeral nail long, rt 8 x 220mm 1832-3822s stryker"	278	RC	Outpatient			4197	2728.05		90			Percent of total billed charges		3777.3	40			Percent of total billed charges		1678.8	80			Percent of total billed charges		3357.6	90			Percent of total billed charges		3777.3	85			Percent of total billed charges		3567.45	85			Percent of total billed charges		3567.45	85			Percent of total billed charges		3567.45	100			Percent of total billed charges		4197	100			Percent of total billed charges		4197	100			Percent of total billed charges		4197	33.3			Percent of total billed charges		1397.601	33.3			Percent of total billed charges		1397.601	100			Percent of total billed charges		4197	1397.601	3777.3	
stryker prox hu nail lgti	278	RC	Outpatient			4197	2728.05		90			Percent of total billed charges		3777.3	40			Percent of total billed charges		1678.8	80			Percent of total billed charges		3357.6	90			Percent of total billed charges		3777.3	85			Percent of total billed charges		3567.45	85			Percent of total billed charges		3567.45	85			Percent of total billed charges		3567.45	100			Percent of total billed charges		4197	100			Percent of total billed charges		4197	100			Percent of total billed charges		4197	33.3			Percent of total billed charges		1397.601	33.3			Percent of total billed charges		1397.601	100			Percent of total billed charges		4197	1397.601	3777.3	
"proximal humeral nail long, rt 8 x 260mm 1832-3826s stryker"	278	RC	Outpatient			4197	2728.05		90			Percent of total billed charges		3777.3	40			Percent of total billed charges		1678.8	80			Percent of total billed charges		3357.6	90			Percent of total billed charges		3777.3	85			Percent of total billed charges		3567.45	85			Percent of total billed charges		3567.45	85			Percent of total billed charges		3567.45	100			Percent of total billed charges		4197	100			Percent of total billed charges		4197	100			Percent of total billed charges		4197	33.3			Percent of total billed charges		1397.601	33.3			Percent of total billed charges		1397.601	100			Percent of total billed charges		4197	1397.601	3777.3	
triathlon tibial baseplate  5521-b-300 stryker	278	RC	Outpatient			4200	2730		90			Percent of total billed charges		3780	40			Percent of total billed charges		1680	80			Percent of total billed charges		3360	90			Percent of total billed charges		3780	85			Percent of total billed charges		3570	85			Percent of total billed charges		3570	85			Percent of total billed charges		3570	100			Percent of total billed charges		4200	100			Percent of total billed charges		4200	100			Percent of total billed charges		4200	33.3			Percent of total billed charges		1398.6	33.3			Percent of total billed charges		1398.6	100			Percent of total billed charges		4200	1398.6	3780	
triathlon tibial baseplate  5521-b-400 stryker	278	RC	Outpatient			4200	2730		90			Percent of total billed charges		3780	40			Percent of total billed charges		1680	80			Percent of total billed charges		3360	90			Percent of total billed charges		3780	85			Percent of total billed charges		3570	85			Percent of total billed charges		3570	85			Percent of total billed charges		3570	100			Percent of total billed charges		4200	100			Percent of total billed charges		4200	100			Percent of total billed charges		4200	33.3			Percent of total billed charges		1398.6	33.3			Percent of total billed charges		1398.6	100			Percent of total billed charges		4200	1398.6	3780	
triathlon tib base univ	278	RC	Outpatient			4200	2730		90			Percent of total billed charges		3780	40			Percent of total billed charges		1680	80			Percent of total billed charges		3360	90			Percent of total billed charges		3780	85			Percent of total billed charges		3570	85			Percent of total billed charges		3570	85			Percent of total billed charges		3570	100			Percent of total billed charges		4200	100			Percent of total billed charges		4200	100			Percent of total billed charges		4200	33.3			Percent of total billed charges		1398.6	33.3			Percent of total billed charges		1398.6	100			Percent of total billed charges		4200	1398.6	3780	
helical blade/screw extractor depuy ref 03.037.030	272	RC	Outpatient			4205.85	2733.8		90			Percent of total billed charges		3785.265	40			Percent of total billed charges		1682.34	80			Percent of total billed charges		3364.68	90			Percent of total billed charges		3785.265	85			Percent of total billed charges		3574.9725	85			Percent of total billed charges		3574.9725	85			Percent of total billed charges		3574.9725	100			Percent of total billed charges		4205.85	100			Percent of total billed charges		4205.85	100			Percent of total billed charges		4205.85	33.3			Percent of total billed charges		1400.5481	33.3			Percent of total billed charges		1400.5481	100			Percent of total billed charges		4205.85	1400.5481	3785.265	
surgimend 10 x 10cm 606-001-005 collagen matrix	278	RC	Outpatient			4212	2737.8		90			Percent of total billed charges		3790.8	40			Percent of total billed charges		1684.8	80			Percent of total billed charges		3369.6	90			Percent of total billed charges		3790.8	85			Percent of total billed charges		3580.2	85			Percent of total billed charges		3580.2	85			Percent of total billed charges		3580.2	100			Percent of total billed charges		4212	100			Percent of total billed charges		4212	100			Percent of total billed charges		4212	33.3			Percent of total billed charges		1402.596	33.3			Percent of total billed charges		1402.596	100			Percent of total billed charges		4212	1402.596	3790.8	
surgemend 10 x 10	278	RC	Outpatient			4212	2737.8		90			Percent of total billed charges		3790.8	40			Percent of total billed charges		1684.8	80			Percent of total billed charges		3369.6	90			Percent of total billed charges		3790.8	85			Percent of total billed charges		3580.2	85			Percent of total billed charges		3580.2	85			Percent of total billed charges		3580.2	100			Percent of total billed charges		4212	100			Percent of total billed charges		4212	100			Percent of total billed charges		4212	33.3			Percent of total billed charges		1402.596	33.3			Percent of total billed charges		1402.596	100			Percent of total billed charges		4212	1402.596	3790.8	
imhs nail long	278	RC	Outpatient			4214	2739.1		90			Percent of total billed charges		3792.6	40			Percent of total billed charges		1685.6	80			Percent of total billed charges		3371.2	90			Percent of total billed charges		3792.6	85			Percent of total billed charges		3581.9	85			Percent of total billed charges		3581.9	85			Percent of total billed charges		3581.9	100			Percent of total billed charges		4214	100			Percent of total billed charges		4214	100			Percent of total billed charges		4214	33.3			Percent of total billed charges		1403.262	33.3			Percent of total billed charges		1403.262	100			Percent of total billed charges		4214	1403.262	3792.6	
s/n imhs nail  10 x 34 right 135 degree 7116-3534r	278	RC	Outpatient			4214	2739.1		90			Percent of total billed charges		3792.6	40			Percent of total billed charges		1685.6	80			Percent of total billed charges		3371.2	90			Percent of total billed charges		3792.6	85			Percent of total billed charges		3581.9	85			Percent of total billed charges		3581.9	85			Percent of total billed charges		3581.9	100			Percent of total billed charges		4214	100			Percent of total billed charges		4214	100			Percent of total billed charges		4214	33.3			Percent of total billed charges		1403.262	33.3			Percent of total billed charges		1403.262	100			Percent of total billed charges		4214	1403.262	3792.6	
s/n imhs nail  10 x 38 right 135 degree 7116-3538r	278	RC	Outpatient			4214	2739.1		90			Percent of total billed charges		3792.6	40			Percent of total billed charges		1685.6	80			Percent of total billed charges		3371.2	90			Percent of total billed charges		3792.6	85			Percent of total billed charges		3581.9	85			Percent of total billed charges		3581.9	85			Percent of total billed charges		3581.9	100			Percent of total billed charges		4214	100			Percent of total billed charges		4214	100			Percent of total billed charges		4214	33.3			Percent of total billed charges		1403.262	33.3			Percent of total billed charges		1403.262	100			Percent of total billed charges		4214	1403.262	3792.6	
s/n imhs nail 10 x 34 left 130 degree 7116-3034l	278	RC	Outpatient			4214	2739.1		90			Percent of total billed charges		3792.6	40			Percent of total billed charges		1685.6	80			Percent of total billed charges		3371.2	90			Percent of total billed charges		3792.6	85			Percent of total billed charges		3581.9	85			Percent of total billed charges		3581.9	85			Percent of total billed charges		3581.9	100			Percent of total billed charges		4214	100			Percent of total billed charges		4214	100			Percent of total billed charges		4214	33.3			Percent of total billed charges		1403.262	33.3			Percent of total billed charges		1403.262	100			Percent of total billed charges		4214	1403.262	3792.6	
s/n imhs nail 10 x 38 left 135 degree 7116-3538l	278	RC	Outpatient			4214	2739.1		90			Percent of total billed charges		3792.6	40			Percent of total billed charges		1685.6	80			Percent of total billed charges		3371.2	90			Percent of total billed charges		3792.6	85			Percent of total billed charges		3581.9	85			Percent of total billed charges		3581.9	85			Percent of total billed charges		3581.9	100			Percent of total billed charges		4214	100			Percent of total billed charges		4214	100			Percent of total billed charges		4214	33.3			Percent of total billed charges		1403.262	33.3			Percent of total billed charges		1403.262	100			Percent of total billed charges		4214	1403.262	3792.6	
s/n imhs nail 10 x 42 left 130 degree 7116-3042l	278	RC	Outpatient			4214	2739.1		90			Percent of total billed charges		3792.6	40			Percent of total billed charges		1685.6	80			Percent of total billed charges		3371.2	90			Percent of total billed charges		3792.6	85			Percent of total billed charges		3581.9	85			Percent of total billed charges		3581.9	85			Percent of total billed charges		3581.9	100			Percent of total billed charges		4214	100			Percent of total billed charges		4214	100			Percent of total billed charges		4214	33.3			Percent of total billed charges		1403.262	33.3			Percent of total billed charges		1403.262	100			Percent of total billed charges		4214	1403.262	3792.6	
s/n imhs cp nail 10mm x 40cm 71683040r	278	RC	Outpatient			4214	2739.1		90			Percent of total billed charges		3792.6	40			Percent of total billed charges		1685.6	80			Percent of total billed charges		3371.2	90			Percent of total billed charges		3792.6	85			Percent of total billed charges		3581.9	85			Percent of total billed charges		3581.9	85			Percent of total billed charges		3581.9	100			Percent of total billed charges		4214	100			Percent of total billed charges		4214	100			Percent of total billed charges		4214	33.3			Percent of total billed charges		1403.262	33.3			Percent of total billed charges		1403.262	100			Percent of total billed charges		4214	1403.262	3792.6	
s/n imhs nail  10 x 34 right 130 degree 7116-3034r	278	RC	Outpatient			4214	2739.1		90			Percent of total billed charges		3792.6	40			Percent of total billed charges		1685.6	80			Percent of total billed charges		3371.2	90			Percent of total billed charges		3792.6	85			Percent of total billed charges		3581.9	85			Percent of total billed charges		3581.9	85			Percent of total billed charges		3581.9	100			Percent of total billed charges		4214	100			Percent of total billed charges		4214	100			Percent of total billed charges		4214	33.3			Percent of total billed charges		1403.262	33.3			Percent of total billed charges		1403.262	100			Percent of total billed charges		4214	1403.262	3792.6	
s/n imhs nail 10 x 34 left 135 degree 7116-3534l	278	RC	Outpatient			4214	2739.1		90			Percent of total billed charges		3792.6	40			Percent of total billed charges		1685.6	80			Percent of total billed charges		3371.2	90			Percent of total billed charges		3792.6	85			Percent of total billed charges		3581.9	85			Percent of total billed charges		3581.9	85			Percent of total billed charges		3581.9	100			Percent of total billed charges		4214	100			Percent of total billed charges		4214	100			Percent of total billed charges		4214	33.3			Percent of total billed charges		1403.262	33.3			Percent of total billed charges		1403.262	100			Percent of total billed charges		4214	1403.262	3792.6	
s/n imhs nail 10 x 38 left 130 degree 7116-3038l	278	RC	Outpatient			4214	2739.1		90			Percent of total billed charges		3792.6	40			Percent of total billed charges		1685.6	80			Percent of total billed charges		3371.2	90			Percent of total billed charges		3792.6	85			Percent of total billed charges		3581.9	85			Percent of total billed charges		3581.9	85			Percent of total billed charges		3581.9	100			Percent of total billed charges		4214	100			Percent of total billed charges		4214	100			Percent of total billed charges		4214	33.3			Percent of total billed charges		1403.262	33.3			Percent of total billed charges		1403.262	100			Percent of total billed charges		4214	1403.262	3792.6	
s/n imhs nail 10 x 38 right 130 degree 7116-3038r	278	RC	Outpatient			4214	2739.1		90			Percent of total billed charges		3792.6	40			Percent of total billed charges		1685.6	80			Percent of total billed charges		3371.2	90			Percent of total billed charges		3792.6	85			Percent of total billed charges		3581.9	85			Percent of total billed charges		3581.9	85			Percent of total billed charges		3581.9	100			Percent of total billed charges		4214	100			Percent of total billed charges		4214	100			Percent of total billed charges		4214	33.3			Percent of total billed charges		1403.262	33.3			Percent of total billed charges		1403.262	100			Percent of total billed charges		4214	1403.262	3792.6	
s/n imhs nail 10 x 42 left 135 degree 7116-3542l	278	RC	Outpatient			4214	2739.1		90			Percent of total billed charges		3792.6	40			Percent of total billed charges		1685.6	80			Percent of total billed charges		3371.2	90			Percent of total billed charges		3792.6	85			Percent of total billed charges		3581.9	85			Percent of total billed charges		3581.9	85			Percent of total billed charges		3581.9	100			Percent of total billed charges		4214	100			Percent of total billed charges		4214	100			Percent of total billed charges		4214	33.3			Percent of total billed charges		1403.262	33.3			Percent of total billed charges		1403.262	100			Percent of total billed charges		4214	1403.262	3792.6	
s/n imhs nail 10 x 42 right 130 degree 7116-3042r	278	RC	Outpatient			4214	2739.1		90			Percent of total billed charges		3792.6	40			Percent of total billed charges		1685.6	80			Percent of total billed charges		3371.2	90			Percent of total billed charges		3792.6	85			Percent of total billed charges		3581.9	85			Percent of total billed charges		3581.9	85			Percent of total billed charges		3581.9	100			Percent of total billed charges		4214	100			Percent of total billed charges		4214	100			Percent of total billed charges		4214	33.3			Percent of total billed charges		1403.262	33.3			Percent of total billed charges		1403.262	100			Percent of total billed charges		4214	1403.262	3792.6	
s/n imhs nail 10 x 42 right 135 degree 7116-3542r	278	RC	Outpatient			4214	2739.1		90			Percent of total billed charges		3792.6	40			Percent of total billed charges		1685.6	80			Percent of total billed charges		3371.2	90			Percent of total billed charges		3792.6	85			Percent of total billed charges		3581.9	85			Percent of total billed charges		3581.9	85			Percent of total billed charges		3581.9	100			Percent of total billed charges		4214	100			Percent of total billed charges		4214	100			Percent of total billed charges		4214	33.3			Percent of total billed charges		1403.262	33.3			Percent of total billed charges		1403.262	100			Percent of total billed charges		4214	1403.262	3792.6	
equivabone kit 5cc 76-6021 etex	278	RC	Outpatient			4220	2743		90			Percent of total billed charges		3798	40			Percent of total billed charges		1688	80			Percent of total billed charges		3376	90			Percent of total billed charges		3798	85			Percent of total billed charges		3587	85			Percent of total billed charges		3587	85			Percent of total billed charges		3587	100			Percent of total billed charges		4220	100			Percent of total billed charges		4220	100			Percent of total billed charges		4220	33.3			Percent of total billed charges		1405.26	33.3			Percent of total billed charges		1405.26	100			Percent of total billed charges		4220	1405.26	3798	
equivabone 5cc	278	RC	Outpatient			4220	2743		90			Percent of total billed charges		3798	40			Percent of total billed charges		1688	80			Percent of total billed charges		3376	90			Percent of total billed charges		3798	85			Percent of total billed charges		3587	85			Percent of total billed charges		3587	85			Percent of total billed charges		3587	100			Percent of total billed charges		4220	100			Percent of total billed charges		4220	100			Percent of total billed charges		4220	33.3			Percent of total billed charges		1405.26	33.3			Percent of total billed charges		1405.26	100			Percent of total billed charges		4220	1405.26	3798	
zimmer acetabular cup 10 degree 44mm 7210-44-22	278	RC	Outpatient			4229	2748.85		90			Percent of total billed charges		3806.1	40			Percent of total billed charges		1691.6	80			Percent of total billed charges		3383.2	90			Percent of total billed charges		3806.1	85			Percent of total billed charges		3594.65	85			Percent of total billed charges		3594.65	85			Percent of total billed charges		3594.65	100			Percent of total billed charges		4229	100			Percent of total billed charges		4229	100			Percent of total billed charges		4229	33.3			Percent of total billed charges		1408.257	33.3			Percent of total billed charges		1408.257	100			Percent of total billed charges		4229	1408.257	3806.1	
zimmer acetabular cup 10 degree 46mm 7260-46-22	278	RC	Outpatient			4229	2748.85		90			Percent of total billed charges		3806.1	40			Percent of total billed charges		1691.6	80			Percent of total billed charges		3383.2	90			Percent of total billed charges		3806.1	85			Percent of total billed charges		3594.65	85			Percent of total billed charges		3594.65	85			Percent of total billed charges		3594.65	100			Percent of total billed charges		4229	100			Percent of total billed charges		4229	100			Percent of total billed charges		4229	33.3			Percent of total billed charges		1408.257	33.3			Percent of total billed charges		1408.257	100			Percent of total billed charges		4229	1408.257	3806.1	
zimmer acetabular cup 10 degree 50mm 7260-50-22	278	RC	Outpatient			4229	2748.85		90			Percent of total billed charges		3806.1	40			Percent of total billed charges		1691.6	80			Percent of total billed charges		3383.2	90			Percent of total billed charges		3806.1	85			Percent of total billed charges		3594.65	85			Percent of total billed charges		3594.65	85			Percent of total billed charges		3594.65	100			Percent of total billed charges		4229	100			Percent of total billed charges		4229	100			Percent of total billed charges		4229	33.3			Percent of total billed charges		1408.257	33.3			Percent of total billed charges		1408.257	100			Percent of total billed charges		4229	1408.257	3806.1	
zimmer acetabular cup 10 degree 52mm 7260-52-22	278	RC	Outpatient			4229	2748.85		90			Percent of total billed charges		3806.1	40			Percent of total billed charges		1691.6	80			Percent of total billed charges		3383.2	90			Percent of total billed charges		3806.1	85			Percent of total billed charges		3594.65	85			Percent of total billed charges		3594.65	85			Percent of total billed charges		3594.65	100			Percent of total billed charges		4229	100			Percent of total billed charges		4229	100			Percent of total billed charges		4229	33.3			Percent of total billed charges		1408.257	33.3			Percent of total billed charges		1408.257	100			Percent of total billed charges		4229	1408.257	3806.1	
zimmer acetabular cup 10 degree 54mm 7210-54-22	278	RC	Outpatient			4229	2748.85		90			Percent of total billed charges		3806.1	40			Percent of total billed charges		1691.6	80			Percent of total billed charges		3383.2	90			Percent of total billed charges		3806.1	85			Percent of total billed charges		3594.65	85			Percent of total billed charges		3594.65	85			Percent of total billed charges		3594.65	100			Percent of total billed charges		4229	100			Percent of total billed charges		4229	100			Percent of total billed charges		4229	33.3			Percent of total billed charges		1408.257	33.3			Percent of total billed charges		1408.257	100			Percent of total billed charges		4229	1408.257	3806.1	
zimmer acetabular cup 10 degree 56mm 7210-56-22	278	RC	Outpatient			4229	2748.85		90			Percent of total billed charges		3806.1	40			Percent of total billed charges		1691.6	80			Percent of total billed charges		3383.2	90			Percent of total billed charges		3806.1	85			Percent of total billed charges		3594.65	85			Percent of total billed charges		3594.65	85			Percent of total billed charges		3594.65	100			Percent of total billed charges		4229	100			Percent of total billed charges		4229	100			Percent of total billed charges		4229	33.3			Percent of total billed charges		1408.257	33.3			Percent of total billed charges		1408.257	100			Percent of total billed charges		4229	1408.257	3806.1	
zimmer acetabular cup 10 degree 56mm 7260-56-22	278	RC	Outpatient			4229	2748.85		90			Percent of total billed charges		3806.1	40			Percent of total billed charges		1691.6	80			Percent of total billed charges		3383.2	90			Percent of total billed charges		3806.1	85			Percent of total billed charges		3594.65	85			Percent of total billed charges		3594.65	85			Percent of total billed charges		3594.65	100			Percent of total billed charges		4229	100			Percent of total billed charges		4229	100			Percent of total billed charges		4229	33.3			Percent of total billed charges		1408.257	33.3			Percent of total billed charges		1408.257	100			Percent of total billed charges		4229	1408.257	3806.1	
zimmer acetabular cup 10 degree 58mm 7210-58-22	278	RC	Outpatient			4229	2748.85		90			Percent of total billed charges		3806.1	40			Percent of total billed charges		1691.6	80			Percent of total billed charges		3383.2	90			Percent of total billed charges		3806.1	85			Percent of total billed charges		3594.65	85			Percent of total billed charges		3594.65	85			Percent of total billed charges		3594.65	100			Percent of total billed charges		4229	100			Percent of total billed charges		4229	100			Percent of total billed charges		4229	33.3			Percent of total billed charges		1408.257	33.3			Percent of total billed charges		1408.257	100			Percent of total billed charges		4229	1408.257	3806.1	
zimmer acetabular cup 10 degree 58mm 7260-58-22	278	RC	Outpatient			4229	2748.85		90			Percent of total billed charges		3806.1	40			Percent of total billed charges		1691.6	80			Percent of total billed charges		3383.2	90			Percent of total billed charges		3806.1	85			Percent of total billed charges		3594.65	85			Percent of total billed charges		3594.65	85			Percent of total billed charges		3594.65	100			Percent of total billed charges		4229	100			Percent of total billed charges		4229	100			Percent of total billed charges		4229	33.3			Percent of total billed charges		1408.257	33.3			Percent of total billed charges		1408.257	100			Percent of total billed charges		4229	1408.257	3806.1	
zimmer acetabular cup 10 degree 60mm 7210-60-22	278	RC	Outpatient			4229	2748.85		90			Percent of total billed charges		3806.1	40			Percent of total billed charges		1691.6	80			Percent of total billed charges		3383.2	90			Percent of total billed charges		3806.1	85			Percent of total billed charges		3594.65	85			Percent of total billed charges		3594.65	85			Percent of total billed charges		3594.65	100			Percent of total billed charges		4229	100			Percent of total billed charges		4229	100			Percent of total billed charges		4229	33.3			Percent of total billed charges		1408.257	33.3			Percent of total billed charges		1408.257	100			Percent of total billed charges		4229	1408.257	3806.1	
zimmer acetabular cup 10 degree 60mm 7260-60-22	278	RC	Outpatient			4229	2748.85		90			Percent of total billed charges		3806.1	40			Percent of total billed charges		1691.6	80			Percent of total billed charges		3383.2	90			Percent of total billed charges		3806.1	85			Percent of total billed charges		3594.65	85			Percent of total billed charges		3594.65	85			Percent of total billed charges		3594.65	100			Percent of total billed charges		4229	100			Percent of total billed charges		4229	100			Percent of total billed charges		4229	33.3			Percent of total billed charges		1408.257	33.3			Percent of total billed charges		1408.257	100			Percent of total billed charges		4229	1408.257	3806.1	
zimmer acetabular cup 10 degree 66mm 7210-66-22	278	RC	Outpatient			4229	2748.85		90			Percent of total billed charges		3806.1	40			Percent of total billed charges		1691.6	80			Percent of total billed charges		3383.2	90			Percent of total billed charges		3806.1	85			Percent of total billed charges		3594.65	85			Percent of total billed charges		3594.65	85			Percent of total billed charges		3594.65	100			Percent of total billed charges		4229	100			Percent of total billed charges		4229	100			Percent of total billed charges		4229	33.3			Percent of total billed charges		1408.257	33.3			Percent of total billed charges		1408.257	100			Percent of total billed charges		4229	1408.257	3806.1	
zimmer acetabular cup 10 degree 70mm 7210-70-22	278	RC	Outpatient			4229	2748.85		90			Percent of total billed charges		3806.1	40			Percent of total billed charges		1691.6	80			Percent of total billed charges		3383.2	90			Percent of total billed charges		3806.1	85			Percent of total billed charges		3594.65	85			Percent of total billed charges		3594.65	85			Percent of total billed charges		3594.65	100			Percent of total billed charges		4229	100			Percent of total billed charges		4229	100			Percent of total billed charges		4229	33.3			Percent of total billed charges		1408.257	33.3			Percent of total billed charges		1408.257	100			Percent of total billed charges		4229	1408.257	3806.1	
zimmer acet. cup 5 hole	278	RC	Outpatient			4229	2748.85		90			Percent of total billed charges		3806.1	40			Percent of total billed charges		1691.6	80			Percent of total billed charges		3383.2	90			Percent of total billed charges		3806.1	85			Percent of total billed charges		3594.65	85			Percent of total billed charges		3594.65	85			Percent of total billed charges		3594.65	100			Percent of total billed charges		4229	100			Percent of total billed charges		4229	100			Percent of total billed charges		4229	33.3			Percent of total billed charges		1408.257	33.3			Percent of total billed charges		1408.257	100			Percent of total billed charges		4229	1408.257	3806.1	
zimmer acetabular cup 10 degree 40mm 7210-40-22	278	RC	Outpatient			4229	2748.85		90			Percent of total billed charges		3806.1	40			Percent of total billed charges		1691.6	80			Percent of total billed charges		3383.2	90			Percent of total billed charges		3806.1	85			Percent of total billed charges		3594.65	85			Percent of total billed charges		3594.65	85			Percent of total billed charges		3594.65	100			Percent of total billed charges		4229	100			Percent of total billed charges		4229	100			Percent of total billed charges		4229	33.3			Percent of total billed charges		1408.257	33.3			Percent of total billed charges		1408.257	100			Percent of total billed charges		4229	1408.257	3806.1	
zimmer acetabular cup 10 degree 40mm 7260-40-22	278	RC	Outpatient			4229	2748.85		90			Percent of total billed charges		3806.1	40			Percent of total billed charges		1691.6	80			Percent of total billed charges		3383.2	90			Percent of total billed charges		3806.1	85			Percent of total billed charges		3594.65	85			Percent of total billed charges		3594.65	85			Percent of total billed charges		3594.65	100			Percent of total billed charges		4229	100			Percent of total billed charges		4229	100			Percent of total billed charges		4229	33.3			Percent of total billed charges		1408.257	33.3			Percent of total billed charges		1408.257	100			Percent of total billed charges		4229	1408.257	3806.1	
zimmer acetabular cup 10 degree 42mm 7210-42-22	278	RC	Outpatient			4229	2748.85		90			Percent of total billed charges		3806.1	40			Percent of total billed charges		1691.6	80			Percent of total billed charges		3383.2	90			Percent of total billed charges		3806.1	85			Percent of total billed charges		3594.65	85			Percent of total billed charges		3594.65	85			Percent of total billed charges		3594.65	100			Percent of total billed charges		4229	100			Percent of total billed charges		4229	100			Percent of total billed charges		4229	33.3			Percent of total billed charges		1408.257	33.3			Percent of total billed charges		1408.257	100			Percent of total billed charges		4229	1408.257	3806.1	
zimmer acetabular cup 10 degree 42mm 7260-42-22	278	RC	Outpatient			4229	2748.85		90			Percent of total billed charges		3806.1	40			Percent of total billed charges		1691.6	80			Percent of total billed charges		3383.2	90			Percent of total billed charges		3806.1	85			Percent of total billed charges		3594.65	85			Percent of total billed charges		3594.65	85			Percent of total billed charges		3594.65	100			Percent of total billed charges		4229	100			Percent of total billed charges		4229	100			Percent of total billed charges		4229	33.3			Percent of total billed charges		1408.257	33.3			Percent of total billed charges		1408.257	100			Percent of total billed charges		4229	1408.257	3806.1	
zimmer acetabular cup 10 degree 44mm 7260-44-22	278	RC	Outpatient			4229	2748.85		90			Percent of total billed charges		3806.1	40			Percent of total billed charges		1691.6	80			Percent of total billed charges		3383.2	90			Percent of total billed charges		3806.1	85			Percent of total billed charges		3594.65	85			Percent of total billed charges		3594.65	85			Percent of total billed charges		3594.65	100			Percent of total billed charges		4229	100			Percent of total billed charges		4229	100			Percent of total billed charges		4229	33.3			Percent of total billed charges		1408.257	33.3			Percent of total billed charges		1408.257	100			Percent of total billed charges		4229	1408.257	3806.1	
zimmer acetabular cup 10 degree 46mm 7210-46-22	278	RC	Outpatient			4229	2748.85		90			Percent of total billed charges		3806.1	40			Percent of total billed charges		1691.6	80			Percent of total billed charges		3383.2	90			Percent of total billed charges		3806.1	85			Percent of total billed charges		3594.65	85			Percent of total billed charges		3594.65	85			Percent of total billed charges		3594.65	100			Percent of total billed charges		4229	100			Percent of total billed charges		4229	100			Percent of total billed charges		4229	33.3			Percent of total billed charges		1408.257	33.3			Percent of total billed charges		1408.257	100			Percent of total billed charges		4229	1408.257	3806.1	
zimmer acetabular cup 10 degree 48mm 7210-48-22	278	RC	Outpatient			4229	2748.85		90			Percent of total billed charges		3806.1	40			Percent of total billed charges		1691.6	80			Percent of total billed charges		3383.2	90			Percent of total billed charges		3806.1	85			Percent of total billed charges		3594.65	85			Percent of total billed charges		3594.65	85			Percent of total billed charges		3594.65	100			Percent of total billed charges		4229	100			Percent of total billed charges		4229	100			Percent of total billed charges		4229	33.3			Percent of total billed charges		1408.257	33.3			Percent of total billed charges		1408.257	100			Percent of total billed charges		4229	1408.257	3806.1	
zimmer acetabular cup 10 degree 48mm 7260-48-22	278	RC	Outpatient			4229	2748.85		90			Percent of total billed charges		3806.1	40			Percent of total billed charges		1691.6	80			Percent of total billed charges		3383.2	90			Percent of total billed charges		3806.1	85			Percent of total billed charges		3594.65	85			Percent of total billed charges		3594.65	85			Percent of total billed charges		3594.65	100			Percent of total billed charges		4229	100			Percent of total billed charges		4229	100			Percent of total billed charges		4229	33.3			Percent of total billed charges		1408.257	33.3			Percent of total billed charges		1408.257	100			Percent of total billed charges		4229	1408.257	3806.1	
zimmer acetabular cup 10 degree 52mm 7210-52-22	278	RC	Outpatient			4229	2748.85		90			Percent of total billed charges		3806.1	40			Percent of total billed charges		1691.6	80			Percent of total billed charges		3383.2	90			Percent of total billed charges		3806.1	85			Percent of total billed charges		3594.65	85			Percent of total billed charges		3594.65	85			Percent of total billed charges		3594.65	100			Percent of total billed charges		4229	100			Percent of total billed charges		4229	100			Percent of total billed charges		4229	33.3			Percent of total billed charges		1408.257	33.3			Percent of total billed charges		1408.257	100			Percent of total billed charges		4229	1408.257	3806.1	
zimmer acetabular cup 10 degree 54mm 7260-54-22	278	RC	Outpatient			4229	2748.85		90			Percent of total billed charges		3806.1	40			Percent of total billed charges		1691.6	80			Percent of total billed charges		3383.2	90			Percent of total billed charges		3806.1	85			Percent of total billed charges		3594.65	85			Percent of total billed charges		3594.65	85			Percent of total billed charges		3594.65	100			Percent of total billed charges		4229	100			Percent of total billed charges		4229	100			Percent of total billed charges		4229	33.3			Percent of total billed charges		1408.257	33.3			Percent of total billed charges		1408.257	100			Percent of total billed charges		4229	1408.257	3806.1	
zimmer acetabular cup 10 degree 62mm 7210-62-22	278	RC	Outpatient			4229	2748.85		90			Percent of total billed charges		3806.1	40			Percent of total billed charges		1691.6	80			Percent of total billed charges		3383.2	90			Percent of total billed charges		3806.1	85			Percent of total billed charges		3594.65	85			Percent of total billed charges		3594.65	85			Percent of total billed charges		3594.65	100			Percent of total billed charges		4229	100			Percent of total billed charges		4229	100			Percent of total billed charges		4229	33.3			Percent of total billed charges		1408.257	33.3			Percent of total billed charges		1408.257	100			Percent of total billed charges		4229	1408.257	3806.1	
zimmer acetabular cup 10 degree 62mm 7260-62-22	278	RC	Outpatient			4229	2748.85		90			Percent of total billed charges		3806.1	40			Percent of total billed charges		1691.6	80			Percent of total billed charges		3383.2	90			Percent of total billed charges		3806.1	85			Percent of total billed charges		3594.65	85			Percent of total billed charges		3594.65	85			Percent of total billed charges		3594.65	100			Percent of total billed charges		4229	100			Percent of total billed charges		4229	100			Percent of total billed charges		4229	33.3			Percent of total billed charges		1408.257	33.3			Percent of total billed charges		1408.257	100			Percent of total billed charges		4229	1408.257	3806.1	
zimmer acetabular cup 10 degree 64mm 7210-64-22	278	RC	Outpatient			4229	2748.85		90			Percent of total billed charges		3806.1	40			Percent of total billed charges		1691.6	80			Percent of total billed charges		3383.2	90			Percent of total billed charges		3806.1	85			Percent of total billed charges		3594.65	85			Percent of total billed charges		3594.65	85			Percent of total billed charges		3594.65	100			Percent of total billed charges		4229	100			Percent of total billed charges		4229	100			Percent of total billed charges		4229	33.3			Percent of total billed charges		1408.257	33.3			Percent of total billed charges		1408.257	100			Percent of total billed charges		4229	1408.257	3806.1	
zimmer acetabular cup 10 degree 64mm 7260-64-22	278	RC	Outpatient			4229	2748.85		90			Percent of total billed charges		3806.1	40			Percent of total billed charges		1691.6	80			Percent of total billed charges		3383.2	90			Percent of total billed charges		3806.1	85			Percent of total billed charges		3594.65	85			Percent of total billed charges		3594.65	85			Percent of total billed charges		3594.65	100			Percent of total billed charges		4229	100			Percent of total billed charges		4229	100			Percent of total billed charges		4229	33.3			Percent of total billed charges		1408.257	33.3			Percent of total billed charges		1408.257	100			Percent of total billed charges		4229	1408.257	3806.1	
zimmer acetabular cup 10 degree 66mm 7260-66-22	278	RC	Outpatient			4229	2748.85		90			Percent of total billed charges		3806.1	40			Percent of total billed charges		1691.6	80			Percent of total billed charges		3383.2	90			Percent of total billed charges		3806.1	85			Percent of total billed charges		3594.65	85			Percent of total billed charges		3594.65	85			Percent of total billed charges		3594.65	100			Percent of total billed charges		4229	100			Percent of total billed charges		4229	100			Percent of total billed charges		4229	33.3			Percent of total billed charges		1408.257	33.3			Percent of total billed charges		1408.257	100			Percent of total billed charges		4229	1408.257	3806.1	
zimmer acetabular cup 10 degree 68mm 7210-68-22	278	RC	Outpatient			4229	2748.85		90			Percent of total billed charges		3806.1	40			Percent of total billed charges		1691.6	80			Percent of total billed charges		3383.2	90			Percent of total billed charges		3806.1	85			Percent of total billed charges		3594.65	85			Percent of total billed charges		3594.65	85			Percent of total billed charges		3594.65	100			Percent of total billed charges		4229	100			Percent of total billed charges		4229	100			Percent of total billed charges		4229	33.3			Percent of total billed charges		1408.257	33.3			Percent of total billed charges		1408.257	100			Percent of total billed charges		4229	1408.257	3806.1	
zimmer acetabular cup 10 degree 68mm 7260-68-22	278	RC	Outpatient			4229	2748.85		90			Percent of total billed charges		3806.1	40			Percent of total billed charges		1691.6	80			Percent of total billed charges		3383.2	90			Percent of total billed charges		3806.1	85			Percent of total billed charges		3594.65	85			Percent of total billed charges		3594.65	85			Percent of total billed charges		3594.65	100			Percent of total billed charges		4229	100			Percent of total billed charges		4229	100			Percent of total billed charges		4229	33.3			Percent of total billed charges		1408.257	33.3			Percent of total billed charges		1408.257	100			Percent of total billed charges		4229	1408.257	3806.1	
zimmer acetabular cup 10 degree70mm 7260-70-22	278	RC	Outpatient			4229	2748.85		90			Percent of total billed charges		3806.1	40			Percent of total billed charges		1691.6	80			Percent of total billed charges		3383.2	90			Percent of total billed charges		3806.1	85			Percent of total billed charges		3594.65	85			Percent of total billed charges		3594.65	85			Percent of total billed charges		3594.65	100			Percent of total billed charges		4229	100			Percent of total billed charges		4229	100			Percent of total billed charges		4229	33.3			Percent of total billed charges		1408.257	33.3			Percent of total billed charges		1408.257	100			Percent of total billed charges		4229	1408.257	3806.1	
zimmer acetabular cup 50mm 7210-50-22	278	RC	Outpatient			4229	2748.85		90			Percent of total billed charges		3806.1	40			Percent of total billed charges		1691.6	80			Percent of total billed charges		3383.2	90			Percent of total billed charges		3806.1	85			Percent of total billed charges		3594.65	85			Percent of total billed charges		3594.65	85			Percent of total billed charges		3594.65	100			Percent of total billed charges		4229	100			Percent of total billed charges		4229	100			Percent of total billed charges		4229	33.3			Percent of total billed charges		1408.257	33.3			Percent of total billed charges		1408.257	100			Percent of total billed charges		4229	1408.257	3806.1	
monoblock acetabular cup 2760-52-28 zimmer	278	RC	Outpatient			4230	2749.5		90			Percent of total billed charges		3807	40			Percent of total billed charges		1692	80			Percent of total billed charges		3384	90			Percent of total billed charges		3807	85			Percent of total billed charges		3595.5	85			Percent of total billed charges		3595.5	85			Percent of total billed charges		3595.5	100			Percent of total billed charges		4230	100			Percent of total billed charges		4230	100			Percent of total billed charges		4230	33.3			Percent of total billed charges		1408.59	33.3			Percent of total billed charges		1408.59	100			Percent of total billed charges		4230	1408.59	3807	
zimm monoblock acetab cup	278	RC	Outpatient			4230	2749.5		90			Percent of total billed charges		3807	40			Percent of total billed charges		1692	80			Percent of total billed charges		3384	90			Percent of total billed charges		3807	85			Percent of total billed charges		3595.5	85			Percent of total billed charges		3595.5	85			Percent of total billed charges		3595.5	100			Percent of total billed charges		4230	100			Percent of total billed charges		4230	100			Percent of total billed charges		4230	33.3			Percent of total billed charges		1408.59	33.3			Percent of total billed charges		1408.59	100			Percent of total billed charges		4230	1408.59	3807	
scorpio ps fem comp #5 lt 71-45051 stryker	278	RC	Outpatient			4232	2750.8		90			Percent of total billed charges		3808.8	40			Percent of total billed charges		1692.8	80			Percent of total billed charges		3385.6	90			Percent of total billed charges		3808.8	85			Percent of total billed charges		3597.2	85			Percent of total billed charges		3597.2	85			Percent of total billed charges		3597.2	100			Percent of total billed charges		4232	100			Percent of total billed charges		4232	100			Percent of total billed charges		4232	33.3			Percent of total billed charges		1409.256	33.3			Percent of total billed charges		1409.256	100			Percent of total billed charges		4232	1409.256	3808.8	
stryker scorpio ps fem co	278	RC	Outpatient			4232	2750.8		90			Percent of total billed charges		3808.8	40			Percent of total billed charges		1692.8	80			Percent of total billed charges		3385.6	90			Percent of total billed charges		3808.8	85			Percent of total billed charges		3597.2	85			Percent of total billed charges		3597.2	85			Percent of total billed charges		3597.2	100			Percent of total billed charges		4232	100			Percent of total billed charges		4232	100			Percent of total billed charges		4232	33.3			Percent of total billed charges		1409.256	33.3			Percent of total billed charges		1409.256	100			Percent of total billed charges		4232	1409.256	3808.8	
comp plt 3.5mm 20 hl 71809420 s\n	278	RC	Outpatient			4234	2752.1		90			Percent of total billed charges		3810.6	40			Percent of total billed charges		1693.6	80			Percent of total billed charges		3387.2	90			Percent of total billed charges		3810.6	85			Percent of total billed charges		3598.9	85			Percent of total billed charges		3598.9	85			Percent of total billed charges		3598.9	100			Percent of total billed charges		4234	100			Percent of total billed charges		4234	100			Percent of total billed charges		4234	33.3			Percent of total billed charges		1409.922	33.3			Percent of total billed charges		1409.922	100			Percent of total billed charges		4234	1409.922	3810.6	
l-p tib lk plate4.5mm 16-hole 309mm 71800216 s/n	278	RC	Outpatient			4234	2752.1		90			Percent of total billed charges		3810.6	40			Percent of total billed charges		1693.6	80			Percent of total billed charges		3387.2	90			Percent of total billed charges		3810.6	85			Percent of total billed charges		3598.9	85			Percent of total billed charges		3598.9	85			Percent of total billed charges		3598.9	100			Percent of total billed charges		4234	100			Percent of total billed charges		4234	100			Percent of total billed charges		4234	33.3			Percent of total billed charges		1409.922	33.3			Percent of total billed charges		1409.922	100			Percent of total billed charges		4234	1409.922	3810.6	
l-p tib lk plate4.5mm 16-hole 309mm 71800316 s/n	278	RC	Outpatient			4234	2752.1		90			Percent of total billed charges		3810.6	40			Percent of total billed charges		1693.6	80			Percent of total billed charges		3387.2	90			Percent of total billed charges		3810.6	85			Percent of total billed charges		3598.9	85			Percent of total billed charges		3598.9	85			Percent of total billed charges		3598.9	100			Percent of total billed charges		4234	100			Percent of total billed charges		4234	100			Percent of total billed charges		4234	33.3			Percent of total billed charges		1409.922	33.3			Percent of total billed charges		1409.922	100			Percent of total billed charges		4234	1409.922	3810.6	
s/n 3.5 comp pl 20 hl	278	RC	Outpatient			4234	2752.1		90			Percent of total billed charges		3810.6	40			Percent of total billed charges		1693.6	80			Percent of total billed charges		3387.2	90			Percent of total billed charges		3810.6	85			Percent of total billed charges		3598.9	85			Percent of total billed charges		3598.9	85			Percent of total billed charges		3598.9	100			Percent of total billed charges		4234	100			Percent of total billed charges		4234	100			Percent of total billed charges		4234	33.3			Percent of total billed charges		1409.922	33.3			Percent of total billed charges		1409.922	100			Percent of total billed charges		4234	1409.922	3810.6	
s/n 4.5 l-p tib lk pl 16h	278	RC	Outpatient			4234	2752.1		90			Percent of total billed charges		3810.6	40			Percent of total billed charges		1693.6	80			Percent of total billed charges		3387.2	90			Percent of total billed charges		3810.6	85			Percent of total billed charges		3598.9	85			Percent of total billed charges		3598.9	85			Percent of total billed charges		3598.9	100			Percent of total billed charges		4234	100			Percent of total billed charges		4234	100			Percent of total billed charges		4234	33.3			Percent of total billed charges		1409.922	33.3			Percent of total billed charges		1409.922	100			Percent of total billed charges		4234	1409.922	3810.6	
cosmetic - upper and lower bleph	983	RC	Outpatient			4235	2752.75		90			Percent of total billed charges		3811.5	40			Percent of total billed charges		1694	80			Percent of total billed charges		3388	90			Percent of total billed charges		3811.5	85			Percent of total billed charges		3599.75	85			Percent of total billed charges		3599.75	85			Percent of total billed charges		3599.75	100			Percent of total billed charges		4235	100			Percent of total billed charges		4235	100			Percent of total billed charges		4235	33.3			Percent of total billed charges		1410.255	33.3			Percent of total billed charges		1410.255	100			Percent of total billed charges		4235	1410.255	3811.5	
cosmetic - submental lip and neck lift	983	RC	Outpatient			4235	2752.75		90			Percent of total billed charges		3811.5	40			Percent of total billed charges		1694	80			Percent of total billed charges		3388	90			Percent of total billed charges		3811.5	85			Percent of total billed charges		3599.75	85			Percent of total billed charges		3599.75	85			Percent of total billed charges		3599.75	100			Percent of total billed charges		4235	100			Percent of total billed charges		4235	100			Percent of total billed charges		4235	33.3			Percent of total billed charges		1410.255	33.3			Percent of total billed charges		1410.255	100			Percent of total billed charges		4235	1410.255	3811.5	
comp plt 4.5mm 16 hl 71809316 s\n	278	RC	Outpatient			4248	2761.2		90			Percent of total billed charges		3823.2	40			Percent of total billed charges		1699.2	80			Percent of total billed charges		3398.4	90			Percent of total billed charges		3823.2	85			Percent of total billed charges		3610.8	85			Percent of total billed charges		3610.8	85			Percent of total billed charges		3610.8	100			Percent of total billed charges		4248	100			Percent of total billed charges		4248	100			Percent of total billed charges		4248	33.3			Percent of total billed charges		1414.584	33.3			Percent of total billed charges		1414.584	100			Percent of total billed charges		4248	1414.584	3823.2	
s/n 4.5 lck comp pl 16 hl	278	RC	Outpatient			4248	2761.2		90			Percent of total billed charges		3823.2	40			Percent of total billed charges		1699.2	80			Percent of total billed charges		3398.4	90			Percent of total billed charges		3823.2	85			Percent of total billed charges		3610.8	85			Percent of total billed charges		3610.8	85			Percent of total billed charges		3610.8	100			Percent of total billed charges		4248	100			Percent of total billed charges		4248	100			Percent of total billed charges		4248	33.3			Percent of total billed charges		1414.584	33.3			Percent of total billed charges		1414.584	100			Percent of total billed charges		4248	1414.584	3823.2	
stryker avaflex 11g/15mm ref 103115000	272	RC	Outpatient			4249.58	2762.23		90			Percent of total billed charges		3824.622	40			Percent of total billed charges		1699.832	80			Percent of total billed charges		3399.664	90			Percent of total billed charges		3824.622	85			Percent of total billed charges		3612.143	85			Percent of total billed charges		3612.143	85			Percent of total billed charges		3612.143	100			Percent of total billed charges		4249.58	100			Percent of total billed charges		4249.58	100			Percent of total billed charges		4249.58	33.3			Percent of total billed charges		1415.1101	33.3			Percent of total billed charges		1415.1101	100			Percent of total billed charges		4249.58	1415.1101	3824.622	
narrow plt 4.5mm 22 hl 71809472 s\n	278	RC	Outpatient			4276	2779.4		90			Percent of total billed charges		3848.4	40			Percent of total billed charges		1710.4	80			Percent of total billed charges		3420.8	90			Percent of total billed charges		3848.4	85			Percent of total billed charges		3634.6	85			Percent of total billed charges		3634.6	85			Percent of total billed charges		3634.6	100			Percent of total billed charges		4276	100			Percent of total billed charges		4276	100			Percent of total billed charges		4276	33.3			Percent of total billed charges		1423.908	33.3			Percent of total billed charges		1423.908	100			Percent of total billed charges		4276	1423.908	3848.4	
s/n 4.5 narrow pl 22 hl	278	RC	Outpatient			4276	2779.4		90			Percent of total billed charges		3848.4	40			Percent of total billed charges		1710.4	80			Percent of total billed charges		3420.8	90			Percent of total billed charges		3848.4	85			Percent of total billed charges		3634.6	85			Percent of total billed charges		3634.6	85			Percent of total billed charges		3634.6	100			Percent of total billed charges		4276	100			Percent of total billed charges		4276	100			Percent of total billed charges		4276	33.3			Percent of total billed charges		1423.908	33.3			Percent of total billed charges		1423.908	100			Percent of total billed charges		4276	1423.908	3848.4	
versanail troch 11mm	278	RC	Outpatient			4286	2785.9		90			Percent of total billed charges		3857.4	40			Percent of total billed charges		1714.4	80			Percent of total billed charges		3428.8	90			Percent of total billed charges		3857.4	85			Percent of total billed charges		3643.1	85			Percent of total billed charges		3643.1	85			Percent of total billed charges		3643.1	100			Percent of total billed charges		4286	100			Percent of total billed charges		4286	100			Percent of total billed charges		4286	33.3			Percent of total billed charges		1427.238	33.3			Percent of total billed charges		1427.238	100			Percent of total billed charges		4286	1427.238	3857.4	
versanail troch entry nail left 11mm x 18cm 181511480 depuy	278	RC	Outpatient			4286	2785.9		90			Percent of total billed charges		3857.4	40			Percent of total billed charges		1714.4	80			Percent of total billed charges		3428.8	90			Percent of total billed charges		3857.4	85			Percent of total billed charges		3643.1	85			Percent of total billed charges		3643.1	85			Percent of total billed charges		3643.1	100			Percent of total billed charges		4286	100			Percent of total billed charges		4286	100			Percent of total billed charges		4286	33.3			Percent of total billed charges		1427.238	33.3			Percent of total billed charges		1427.238	100			Percent of total billed charges		4286	1427.238	3857.4	
bioinductive implant with arthroscopic delivery system medium 4565 s/n	278	RC	Outpatient			4290	2788.5		90			Percent of total billed charges		3861	40			Percent of total billed charges		1716	80			Percent of total billed charges		3432	90			Percent of total billed charges		3861	85			Percent of total billed charges		3646.5	85			Percent of total billed charges		3646.5	85			Percent of total billed charges		3646.5	100			Percent of total billed charges		4290	100			Percent of total billed charges		4290	100			Percent of total billed charges		4290	33.3			Percent of total billed charges		1428.57	33.3			Percent of total billed charges		1428.57	100			Percent of total billed charges		4290	1428.57	3861	
bio vanguard const tib br	278	RC	Outpatient			4310	2801.5		90			Percent of total billed charges		3879	40			Percent of total billed charges		1724	80			Percent of total billed charges		3448	90			Percent of total billed charges		3879	85			Percent of total billed charges		3663.5	85			Percent of total billed charges		3663.5	85			Percent of total billed charges		3663.5	100			Percent of total billed charges		4310	100			Percent of total billed charges		4310	100			Percent of total billed charges		4310	33.3			Percent of total billed charges		1435.23	33.3			Percent of total billed charges		1435.23	100			Percent of total billed charges		4310	1435.23	3879	
vanguard constrained tibial bearing 10 x 63/67 183820 biomet	278	RC	Outpatient			4310	2801.5		90			Percent of total billed charges		3879	40			Percent of total billed charges		1724	80			Percent of total billed charges		3448	90			Percent of total billed charges		3879	85			Percent of total billed charges		3663.5	85			Percent of total billed charges		3663.5	85			Percent of total billed charges		3663.5	100			Percent of total billed charges		4310	100			Percent of total billed charges		4310	100			Percent of total billed charges		4310	33.3			Percent of total billed charges		1435.23	33.3			Percent of total billed charges		1435.23	100			Percent of total billed charges		4310	1435.23	3879	
vanguard constrained tibial bearing 16 x 71/75 183886 biomet	278	RC	Outpatient			4310	2801.5		90			Percent of total billed charges		3879	40			Percent of total billed charges		1724	80			Percent of total billed charges		3448	90			Percent of total billed charges		3879	85			Percent of total billed charges		3663.5	85			Percent of total billed charges		3663.5	85			Percent of total billed charges		3663.5	100			Percent of total billed charges		4310	100			Percent of total billed charges		4310	100			Percent of total billed charges		4310	33.3			Percent of total billed charges		1435.23	33.3			Percent of total billed charges		1435.23	100			Percent of total billed charges		4310	1435.23	3879	
vanguard constrained tibial bearing 20 x 63/67 183870 biomet	278	RC	Outpatient			4310	2801.5		90			Percent of total billed charges		3879	40			Percent of total billed charges		1724	80			Percent of total billed charges		3448	90			Percent of total billed charges		3879	85			Percent of total billed charges		3663.5	85			Percent of total billed charges		3663.5	85			Percent of total billed charges		3663.5	100			Percent of total billed charges		4310	100			Percent of total billed charges		4310	100			Percent of total billed charges		4310	33.3			Percent of total billed charges		1435.23	33.3			Percent of total billed charges		1435.23	100			Percent of total billed charges		4310	1435.23	3879	
vanguard constrained tibial bearing 22 x 63/67 183832 biomet	278	RC	Outpatient			4310	2801.5		90			Percent of total billed charges		3879	40			Percent of total billed charges		1724	80			Percent of total billed charges		3448	90			Percent of total billed charges		3879	85			Percent of total billed charges		3663.5	85			Percent of total billed charges		3663.5	85			Percent of total billed charges		3663.5	100			Percent of total billed charges		4310	100			Percent of total billed charges		4310	100			Percent of total billed charges		4310	33.3			Percent of total billed charges		1435.23	33.3			Percent of total billed charges		1435.23	100			Percent of total billed charges		4310	1435.23	3879	
l-p tib lk plate3.5mm 8-hole 123mm 71800408 s/n	278	RC	Outpatient			4312	2802.8		90			Percent of total billed charges		3880.8	40			Percent of total billed charges		1724.8	80			Percent of total billed charges		3449.6	90			Percent of total billed charges		3880.8	85			Percent of total billed charges		3665.2	85			Percent of total billed charges		3665.2	85			Percent of total billed charges		3665.2	100			Percent of total billed charges		4312	100			Percent of total billed charges		4312	100			Percent of total billed charges		4312	33.3			Percent of total billed charges		1435.896	33.3			Percent of total billed charges		1435.896	100			Percent of total billed charges		4312	1435.896	3880.8	
l-p tib plt 3.5mm 8 hl 71820408 s\n	278	RC	Outpatient			4312	2802.8		90			Percent of total billed charges		3880.8	40			Percent of total billed charges		1724.8	80			Percent of total billed charges		3449.6	90			Percent of total billed charges		3880.8	85			Percent of total billed charges		3665.2	85			Percent of total billed charges		3665.2	85			Percent of total billed charges		3665.2	100			Percent of total billed charges		4312	100			Percent of total billed charges		4312	100			Percent of total billed charges		4312	33.3			Percent of total billed charges		1435.896	33.3			Percent of total billed charges		1435.896	100			Percent of total billed charges		4312	1435.896	3880.8	
l-p tib plt 3.5mm 8 hr 71820508 s\n	278	RC	Outpatient			4312	2802.8		90			Percent of total billed charges		3880.8	40			Percent of total billed charges		1724.8	80			Percent of total billed charges		3449.6	90			Percent of total billed charges		3880.8	85			Percent of total billed charges		3665.2	85			Percent of total billed charges		3665.2	85			Percent of total billed charges		3665.2	100			Percent of total billed charges		4312	100			Percent of total billed charges		4312	100			Percent of total billed charges		4312	33.3			Percent of total billed charges		1435.896	33.3			Percent of total billed charges		1435.896	100			Percent of total billed charges		4312	1435.896	3880.8	
l-p tib plt 4.5mm 8 hl 71820208 s\n	278	RC	Outpatient			4312	2802.8		90			Percent of total billed charges		3880.8	40			Percent of total billed charges		1724.8	80			Percent of total billed charges		3449.6	90			Percent of total billed charges		3880.8	85			Percent of total billed charges		3665.2	85			Percent of total billed charges		3665.2	85			Percent of total billed charges		3665.2	100			Percent of total billed charges		4312	100			Percent of total billed charges		4312	100			Percent of total billed charges		4312	33.3			Percent of total billed charges		1435.896	33.3			Percent of total billed charges		1435.896	100			Percent of total billed charges		4312	1435.896	3880.8	
l-p tib lk plate3.5mm 8-hole 123mm 71800508 s/n	278	RC	Outpatient			4312	2802.8		90			Percent of total billed charges		3880.8	40			Percent of total billed charges		1724.8	80			Percent of total billed charges		3449.6	90			Percent of total billed charges		3880.8	85			Percent of total billed charges		3665.2	85			Percent of total billed charges		3665.2	85			Percent of total billed charges		3665.2	100			Percent of total billed charges		4312	100			Percent of total billed charges		4312	100			Percent of total billed charges		4312	33.3			Percent of total billed charges		1435.896	33.3			Percent of total billed charges		1435.896	100			Percent of total billed charges		4312	1435.896	3880.8	
l-p tib lk plate4.5mm 8-hole 165mm 71800208 s/n	278	RC	Outpatient			4312	2802.8		90			Percent of total billed charges		3880.8	40			Percent of total billed charges		1724.8	80			Percent of total billed charges		3449.6	90			Percent of total billed charges		3880.8	85			Percent of total billed charges		3665.2	85			Percent of total billed charges		3665.2	85			Percent of total billed charges		3665.2	100			Percent of total billed charges		4312	100			Percent of total billed charges		4312	100			Percent of total billed charges		4312	33.3			Percent of total billed charges		1435.896	33.3			Percent of total billed charges		1435.896	100			Percent of total billed charges		4312	1435.896	3880.8	
l-p tib lk plate4.5mm 8-hole 165mm 71800308 s/n	278	RC	Outpatient			4312	2802.8		90			Percent of total billed charges		3880.8	40			Percent of total billed charges		1724.8	80			Percent of total billed charges		3449.6	90			Percent of total billed charges		3880.8	85			Percent of total billed charges		3665.2	85			Percent of total billed charges		3665.2	85			Percent of total billed charges		3665.2	100			Percent of total billed charges		4312	100			Percent of total billed charges		4312	100			Percent of total billed charges		4312	33.3			Percent of total billed charges		1435.896	33.3			Percent of total billed charges		1435.896	100			Percent of total billed charges		4312	1435.896	3880.8	
l-p tib plt 4.5mm 8 hr 71820308 s\n	278	RC	Outpatient			4312	2802.8		90			Percent of total billed charges		3880.8	40			Percent of total billed charges		1724.8	80			Percent of total billed charges		3449.6	90			Percent of total billed charges		3880.8	85			Percent of total billed charges		3665.2	85			Percent of total billed charges		3665.2	85			Percent of total billed charges		3665.2	100			Percent of total billed charges		4312	100			Percent of total billed charges		4312	100			Percent of total billed charges		4312	33.3			Percent of total billed charges		1435.896	33.3			Percent of total billed charges		1435.896	100			Percent of total billed charges		4312	1435.896	3880.8	
s/n 3.5 l-p tib lk pl 8hl	278	RC	Outpatient			4312	2802.8		90			Percent of total billed charges		3880.8	40			Percent of total billed charges		1724.8	80			Percent of total billed charges		3449.6	90			Percent of total billed charges		3880.8	85			Percent of total billed charges		3665.2	85			Percent of total billed charges		3665.2	85			Percent of total billed charges		3665.2	100			Percent of total billed charges		4312	100			Percent of total billed charges		4312	100			Percent of total billed charges		4312	33.3			Percent of total billed charges		1435.896	33.3			Percent of total billed charges		1435.896	100			Percent of total billed charges		4312	1435.896	3880.8	
s/n 4.5 l-p tib lk pl8 hl	278	RC	Outpatient			4312	2802.8		90			Percent of total billed charges		3880.8	40			Percent of total billed charges		1724.8	80			Percent of total billed charges		3449.6	90			Percent of total billed charges		3880.8	85			Percent of total billed charges		3665.2	85			Percent of total billed charges		3665.2	85			Percent of total billed charges		3665.2	100			Percent of total billed charges		4312	100			Percent of total billed charges		4312	100			Percent of total billed charges		4312	33.3			Percent of total billed charges		1435.896	33.3			Percent of total billed charges		1435.896	100			Percent of total billed charges		4312	1435.896	3880.8	
bio offset tib tray	278	RC	Outpatient			4318	2806.7		90			Percent of total billed charges		3886.2	40			Percent of total billed charges		1727.2	80			Percent of total billed charges		3454.4	90			Percent of total billed charges		3886.2	85			Percent of total billed charges		3670.3	85			Percent of total billed charges		3670.3	85			Percent of total billed charges		3670.3	100			Percent of total billed charges		4318	100			Percent of total billed charges		4318	100			Percent of total billed charges		4318	33.3			Percent of total billed charges		1437.894	33.3			Percent of total billed charges		1437.894	100			Percent of total billed charges		4318	1437.894	3886.2	
comp plt 3.5mm 18 hl 71809118 s\n	278	RC	Outpatient			4318	2806.7		90			Percent of total billed charges		3886.2	40			Percent of total billed charges		1727.2	80			Percent of total billed charges		3454.4	90			Percent of total billed charges		3886.2	85			Percent of total billed charges		3670.3	85			Percent of total billed charges		3670.3	85			Percent of total billed charges		3670.3	100			Percent of total billed charges		4318	100			Percent of total billed charges		4318	100			Percent of total billed charges		4318	33.3			Percent of total billed charges		1437.894	33.3			Percent of total billed charges		1437.894	100			Percent of total billed charges		4318	1437.894	3886.2	
comp plt 3.5mm 18 hl 71809718 s\n	278	RC	Outpatient			4318	2806.7		90			Percent of total billed charges		3886.2	40			Percent of total billed charges		1727.2	80			Percent of total billed charges		3454.4	90			Percent of total billed charges		3886.2	85			Percent of total billed charges		3670.3	85			Percent of total billed charges		3670.3	85			Percent of total billed charges		3670.3	100			Percent of total billed charges		4318	100			Percent of total billed charges		4318	100			Percent of total billed charges		4318	33.3			Percent of total billed charges		1437.894	33.3			Percent of total billed charges		1437.894	100			Percent of total billed charges		4318	1437.894	3886.2	
offset tibial tray 63mm 141481 biomet	278	RC	Outpatient			4318	2806.7		90			Percent of total billed charges		3886.2	40			Percent of total billed charges		1727.2	80			Percent of total billed charges		3454.4	90			Percent of total billed charges		3886.2	85			Percent of total billed charges		3670.3	85			Percent of total billed charges		3670.3	85			Percent of total billed charges		3670.3	100			Percent of total billed charges		4318	100			Percent of total billed charges		4318	100			Percent of total billed charges		4318	33.3			Percent of total billed charges		1437.894	33.3			Percent of total billed charges		1437.894	100			Percent of total billed charges		4318	1437.894	3886.2	
offset tibial tray 67mm 141482 biomet	278	RC	Outpatient			4318	2806.7		90			Percent of total billed charges		3886.2	40			Percent of total billed charges		1727.2	80			Percent of total billed charges		3454.4	90			Percent of total billed charges		3886.2	85			Percent of total billed charges		3670.3	85			Percent of total billed charges		3670.3	85			Percent of total billed charges		3670.3	100			Percent of total billed charges		4318	100			Percent of total billed charges		4318	100			Percent of total billed charges		4318	33.3			Percent of total billed charges		1437.894	33.3			Percent of total billed charges		1437.894	100			Percent of total billed charges		4318	1437.894	3886.2	
offset tibial tray 71mm 141483 biomet	278	RC	Outpatient			4318	2806.7		90			Percent of total billed charges		3886.2	40			Percent of total billed charges		1727.2	80			Percent of total billed charges		3454.4	90			Percent of total billed charges		3886.2	85			Percent of total billed charges		3670.3	85			Percent of total billed charges		3670.3	85			Percent of total billed charges		3670.3	100			Percent of total billed charges		4318	100			Percent of total billed charges		4318	100			Percent of total billed charges		4318	33.3			Percent of total billed charges		1437.894	33.3			Percent of total billed charges		1437.894	100			Percent of total billed charges		4318	1437.894	3886.2	
offset tibial tray 75mm 141484 biomet	278	RC	Outpatient			4318	2806.7		90			Percent of total billed charges		3886.2	40			Percent of total billed charges		1727.2	80			Percent of total billed charges		3454.4	90			Percent of total billed charges		3886.2	85			Percent of total billed charges		3670.3	85			Percent of total billed charges		3670.3	85			Percent of total billed charges		3670.3	100			Percent of total billed charges		4318	100			Percent of total billed charges		4318	100			Percent of total billed charges		4318	33.3			Percent of total billed charges		1437.894	33.3			Percent of total billed charges		1437.894	100			Percent of total billed charges		4318	1437.894	3886.2	
s/n 3.5 lck comp pl 18 hl	278	RC	Outpatient			4318	2806.7		90			Percent of total billed charges		3886.2	40			Percent of total billed charges		1727.2	80			Percent of total billed charges		3454.4	90			Percent of total billed charges		3886.2	85			Percent of total billed charges		3670.3	85			Percent of total billed charges		3670.3	85			Percent of total billed charges		3670.3	100			Percent of total billed charges		4318	100			Percent of total billed charges		4318	100			Percent of total billed charges		4318	33.3			Percent of total billed charges		1437.894	33.3			Percent of total billed charges		1437.894	100			Percent of total billed charges		4318	1437.894	3886.2	
octrode lead kit	278	RC	Outpatient			4331	2815.15		90			Percent of total billed charges		3897.9	40			Percent of total billed charges		1732.4	80			Percent of total billed charges		3464.8	90			Percent of total billed charges		3897.9	85			Percent of total billed charges		3681.35	85			Percent of total billed charges		3681.35	85			Percent of total billed charges		3681.35	100			Percent of total billed charges		4331	100			Percent of total billed charges		4331	100			Percent of total billed charges		4331	33.3			Percent of total billed charges		1442.223	33.3			Percent of total billed charges		1442.223	100			Percent of total billed charges		4331	1442.223	3897.9	
genesis ii non por c/r fem size 4 left 71420006	278	RC	Outpatient			4332	2815.8		90			Percent of total billed charges		3898.8	40			Percent of total billed charges		1732.8	80			Percent of total billed charges		3465.6	90			Percent of total billed charges		3898.8	85			Percent of total billed charges		3682.2	85			Percent of total billed charges		3682.2	85			Percent of total billed charges		3682.2	100			Percent of total billed charges		4332	100			Percent of total billed charges		4332	100			Percent of total billed charges		4332	33.3			Percent of total billed charges		1442.556	33.3			Percent of total billed charges		1442.556	100			Percent of total billed charges		4332	1442.556	3898.8	
genesis ii non por c/r fem size 4 right 71420022	278	RC	Outpatient			4332	2815.8		90			Percent of total billed charges		3898.8	40			Percent of total billed charges		1732.8	80			Percent of total billed charges		3465.6	90			Percent of total billed charges		3898.8	85			Percent of total billed charges		3682.2	85			Percent of total billed charges		3682.2	85			Percent of total billed charges		3682.2	100			Percent of total billed charges		4332	100			Percent of total billed charges		4332	100			Percent of total billed charges		4332	33.3			Percent of total billed charges		1442.556	33.3			Percent of total billed charges		1442.556	100			Percent of total billed charges		4332	1442.556	3898.8	
genesis ii non por c/r fem size 5 right 71420024	278	RC	Outpatient			4332	2815.8		90			Percent of total billed charges		3898.8	40			Percent of total billed charges		1732.8	80			Percent of total billed charges		3465.6	90			Percent of total billed charges		3898.8	85			Percent of total billed charges		3682.2	85			Percent of total billed charges		3682.2	85			Percent of total billed charges		3682.2	100			Percent of total billed charges		4332	100			Percent of total billed charges		4332	100			Percent of total billed charges		4332	33.3			Percent of total billed charges		1442.556	33.3			Percent of total billed charges		1442.556	100			Percent of total billed charges		4332	1442.556	3898.8	
genesis ii non por c/r fem size 7 left 71420012	278	RC	Outpatient			4332	2815.8		90			Percent of total billed charges		3898.8	40			Percent of total billed charges		1732.8	80			Percent of total billed charges		3465.6	90			Percent of total billed charges		3898.8	85			Percent of total billed charges		3682.2	85			Percent of total billed charges		3682.2	85			Percent of total billed charges		3682.2	100			Percent of total billed charges		4332	100			Percent of total billed charges		4332	100			Percent of total billed charges		4332	33.3			Percent of total billed charges		1442.556	33.3			Percent of total billed charges		1442.556	100			Percent of total billed charges		4332	1442.556	3898.8	
genesis ii non por c/r fem size 3  left 71420004	278	RC	Outpatient			4332	2815.8		90			Percent of total billed charges		3898.8	40			Percent of total billed charges		1732.8	80			Percent of total billed charges		3465.6	90			Percent of total billed charges		3898.8	85			Percent of total billed charges		3682.2	85			Percent of total billed charges		3682.2	85			Percent of total billed charges		3682.2	100			Percent of total billed charges		4332	100			Percent of total billed charges		4332	100			Percent of total billed charges		4332	33.3			Percent of total billed charges		1442.556	33.3			Percent of total billed charges		1442.556	100			Percent of total billed charges		4332	1442.556	3898.8	
genesis ii non por c/r fem size 3 right 71420020	278	RC	Outpatient			4332	2815.8		90			Percent of total billed charges		3898.8	40			Percent of total billed charges		1732.8	80			Percent of total billed charges		3465.6	90			Percent of total billed charges		3898.8	85			Percent of total billed charges		3682.2	85			Percent of total billed charges		3682.2	85			Percent of total billed charges		3682.2	100			Percent of total billed charges		4332	100			Percent of total billed charges		4332	100			Percent of total billed charges		4332	33.3			Percent of total billed charges		1442.556	33.3			Percent of total billed charges		1442.556	100			Percent of total billed charges		4332	1442.556	3898.8	
genesis ii non por c/r fem size 5 left 71420008	278	RC	Outpatient			4332	2815.8		90			Percent of total billed charges		3898.8	40			Percent of total billed charges		1732.8	80			Percent of total billed charges		3465.6	90			Percent of total billed charges		3898.8	85			Percent of total billed charges		3682.2	85			Percent of total billed charges		3682.2	85			Percent of total billed charges		3682.2	100			Percent of total billed charges		4332	100			Percent of total billed charges		4332	100			Percent of total billed charges		4332	33.3			Percent of total billed charges		1442.556	33.3			Percent of total billed charges		1442.556	100			Percent of total billed charges		4332	1442.556	3898.8	
genesis ii non por c/r fem size 6 left 71420010	278	RC	Outpatient			4332	2815.8		90			Percent of total billed charges		3898.8	40			Percent of total billed charges		1732.8	80			Percent of total billed charges		3465.6	90			Percent of total billed charges		3898.8	85			Percent of total billed charges		3682.2	85			Percent of total billed charges		3682.2	85			Percent of total billed charges		3682.2	100			Percent of total billed charges		4332	100			Percent of total billed charges		4332	100			Percent of total billed charges		4332	33.3			Percent of total billed charges		1442.556	33.3			Percent of total billed charges		1442.556	100			Percent of total billed charges		4332	1442.556	3898.8	
genesis ii non por c/r fem size 7 right 71420028	278	RC	Outpatient			4332	2815.8		90			Percent of total billed charges		3898.8	40			Percent of total billed charges		1732.8	80			Percent of total billed charges		3465.6	90			Percent of total billed charges		3898.8	85			Percent of total billed charges		3682.2	85			Percent of total billed charges		3682.2	85			Percent of total billed charges		3682.2	100			Percent of total billed charges		4332	100			Percent of total billed charges		4332	100			Percent of total billed charges		4332	33.3			Percent of total billed charges		1442.556	33.3			Percent of total billed charges		1442.556	100			Percent of total billed charges		4332	1442.556	3898.8	
genesis ii non por c/r fem size 8 left 71420014	278	RC	Outpatient			4332	2815.8		90			Percent of total billed charges		3898.8	40			Percent of total billed charges		1732.8	80			Percent of total billed charges		3465.6	90			Percent of total billed charges		3898.8	85			Percent of total billed charges		3682.2	85			Percent of total billed charges		3682.2	85			Percent of total billed charges		3682.2	100			Percent of total billed charges		4332	100			Percent of total billed charges		4332	100			Percent of total billed charges		4332	33.3			Percent of total billed charges		1442.556	33.3			Percent of total billed charges		1442.556	100			Percent of total billed charges		4332	1442.556	3898.8	
genesis ii non por c/r fem size 8 right 71420030	278	RC	Outpatient			4332	2815.8		90			Percent of total billed charges		3898.8	40			Percent of total billed charges		1732.8	80			Percent of total billed charges		3465.6	90			Percent of total billed charges		3898.8	85			Percent of total billed charges		3682.2	85			Percent of total billed charges		3682.2	85			Percent of total billed charges		3682.2	100			Percent of total billed charges		4332	100			Percent of total billed charges		4332	100			Percent of total billed charges		4332	33.3			Percent of total billed charges		1442.556	33.3			Percent of total billed charges		1442.556	100			Percent of total billed charges		4332	1442.556	3898.8	
richars gii np c/r fem	278	RC	Outpatient			4332	2815.8		90			Percent of total billed charges		3898.8	40			Percent of total billed charges		1732.8	80			Percent of total billed charges		3465.6	90			Percent of total billed charges		3898.8	85			Percent of total billed charges		3682.2	85			Percent of total billed charges		3682.2	85			Percent of total billed charges		3682.2	100			Percent of total billed charges		4332	100			Percent of total billed charges		4332	100			Percent of total billed charges		4332	33.3			Percent of total billed charges		1442.556	33.3			Percent of total billed charges		1442.556	100			Percent of total billed charges		4332	1442.556	3898.8	
repicci ii knee femoral comp 60mm 102130 biomet	278	RC	Outpatient			4350	2827.5		90			Percent of total billed charges		3915	40			Percent of total billed charges		1740	80			Percent of total billed charges		3480	90			Percent of total billed charges		3915	85			Percent of total billed charges		3697.5	85			Percent of total billed charges		3697.5	85			Percent of total billed charges		3697.5	100			Percent of total billed charges		4350	100			Percent of total billed charges		4350	100			Percent of total billed charges		4350	33.3			Percent of total billed charges		1448.55	33.3			Percent of total billed charges		1448.55	100			Percent of total billed charges		4350	1448.55	3915	
repicci ii knee  femoral comp 54mm 102120 biomet	278	RC	Outpatient			4350	2827.5		90			Percent of total billed charges		3915	40			Percent of total billed charges		1740	80			Percent of total billed charges		3480	90			Percent of total billed charges		3915	85			Percent of total billed charges		3697.5	85			Percent of total billed charges		3697.5	85			Percent of total billed charges		3697.5	100			Percent of total billed charges		4350	100			Percent of total billed charges		4350	100			Percent of total billed charges		4350	33.3			Percent of total billed charges		1448.55	33.3			Percent of total billed charges		1448.55	100			Percent of total billed charges		4350	1448.55	3915	
repicci ii knee 48 mm  102111 biomet	278	RC	Outpatient			4350	2827.5		90			Percent of total billed charges		3915	40			Percent of total billed charges		1740	80			Percent of total billed charges		3480	90			Percent of total billed charges		3915	85			Percent of total billed charges		3697.5	85			Percent of total billed charges		3697.5	85			Percent of total billed charges		3697.5	100			Percent of total billed charges		4350	100			Percent of total billed charges		4350	100			Percent of total billed charges		4350	33.3			Percent of total billed charges		1448.55	33.3			Percent of total billed charges		1448.55	100			Percent of total billed charges		4350	1448.55	3915	
repicci ii knee fem comp 48 mm 102110 biomet	278	RC	Outpatient			4350	2827.5		90			Percent of total billed charges		3915	40			Percent of total billed charges		1740	80			Percent of total billed charges		3480	90			Percent of total billed charges		3915	85			Percent of total billed charges		3697.5	85			Percent of total billed charges		3697.5	85			Percent of total billed charges		3697.5	100			Percent of total billed charges		4350	100			Percent of total billed charges		4350	100			Percent of total billed charges		4350	33.3			Percent of total billed charges		1448.55	33.3			Percent of total billed charges		1448.55	100			Percent of total billed charges		4350	1448.55	3915	
repicci ii knee femoral comp 45mm  102101 biomet	278	RC	Outpatient			4350	2827.5		90			Percent of total billed charges		3915	40			Percent of total billed charges		1740	80			Percent of total billed charges		3480	90			Percent of total billed charges		3915	85			Percent of total billed charges		3697.5	85			Percent of total billed charges		3697.5	85			Percent of total billed charges		3697.5	100			Percent of total billed charges		4350	100			Percent of total billed charges		4350	100			Percent of total billed charges		4350	33.3			Percent of total billed charges		1448.55	33.3			Percent of total billed charges		1448.55	100			Percent of total billed charges		4350	1448.55	3915	
repicci ii knee femoral comp 48mm  102100 biomet	278	RC	Outpatient			4350	2827.5		90			Percent of total billed charges		3915	40			Percent of total billed charges		1740	80			Percent of total billed charges		3480	90			Percent of total billed charges		3915	85			Percent of total billed charges		3697.5	85			Percent of total billed charges		3697.5	85			Percent of total billed charges		3697.5	100			Percent of total billed charges		4350	100			Percent of total billed charges		4350	100			Percent of total billed charges		4350	33.3			Percent of total billed charges		1448.55	33.3			Percent of total billed charges		1448.55	100			Percent of total billed charges		4350	1448.55	3915	
repicci ii knee femoral comp 54mm 102121 biomet	278	RC	Outpatient			4350	2827.5		90			Percent of total billed charges		3915	40			Percent of total billed charges		1740	80			Percent of total billed charges		3480	90			Percent of total billed charges		3915	85			Percent of total billed charges		3697.5	85			Percent of total billed charges		3697.5	85			Percent of total billed charges		3697.5	100			Percent of total billed charges		4350	100			Percent of total billed charges		4350	100			Percent of total billed charges		4350	33.3			Percent of total billed charges		1448.55	33.3			Percent of total billed charges		1448.55	100			Percent of total billed charges		4350	1448.55	3915	
repicci ii knee femoral comp 60mm  102131 biomet	278	RC	Outpatient			4350	2827.5		90			Percent of total billed charges		3915	40			Percent of total billed charges		1740	80			Percent of total billed charges		3480	90			Percent of total billed charges		3915	85			Percent of total billed charges		3697.5	85			Percent of total billed charges		3697.5	85			Percent of total billed charges		3697.5	100			Percent of total billed charges		4350	100			Percent of total billed charges		4350	100			Percent of total billed charges		4350	33.3			Percent of total billed charges		1448.55	33.3			Percent of total billed charges		1448.55	100			Percent of total billed charges		4350	1448.55	3915	
uni repicci fem component	278	RC	Outpatient			4350	2827.5		90			Percent of total billed charges		3915	40			Percent of total billed charges		1740	80			Percent of total billed charges		3480	90			Percent of total billed charges		3915	85			Percent of total billed charges		3697.5	85			Percent of total billed charges		3697.5	85			Percent of total billed charges		3697.5	100			Percent of total billed charges		4350	100			Percent of total billed charges		4350	100			Percent of total billed charges		4350	33.3			Percent of total billed charges		1448.55	33.3			Percent of total billed charges		1448.55	100			Percent of total billed charges		4350	1448.55	3915	
st jude pm 1272 assurity gen	278	RC	Outpatient			4366	2837.9		90			Percent of total billed charges		3929.4	40			Percent of total billed charges		1746.4	80			Percent of total billed charges		3492.8	90			Percent of total billed charges		3929.4	85			Percent of total billed charges		3711.1	85			Percent of total billed charges		3711.1	85			Percent of total billed charges		3711.1	100			Percent of total billed charges		4366	100			Percent of total billed charges		4366	100			Percent of total billed charges		4366	33.3			Percent of total billed charges		1453.878	33.3			Percent of total billed charges		1453.878	100			Percent of total billed charges		4366	1453.878	3929.4	
omnicurve 11g 20mm fracture kit ref 1032-120-000	272	RC	Outpatient			4377	2845.05		90			Percent of total billed charges		3939.3	40			Percent of total billed charges		1750.8	80			Percent of total billed charges		3501.6	90			Percent of total billed charges		3939.3	85			Percent of total billed charges		3720.45	85			Percent of total billed charges		3720.45	85			Percent of total billed charges		3720.45	100			Percent of total billed charges		4377	100			Percent of total billed charges		4377	100			Percent of total billed charges		4377	33.3			Percent of total billed charges		1457.541	33.3			Percent of total billed charges		1457.541	100			Percent of total billed charges		4377	1457.541	3939.3	
scient'x lorotic peek	278	RC	Outpatient			4382	2848.3		90			Percent of total billed charges		3943.8	40			Percent of total billed charges		1752.8	80			Percent of total billed charges		3505.6	90			Percent of total billed charges		3943.8	85			Percent of total billed charges		3724.7	85			Percent of total billed charges		3724.7	85			Percent of total billed charges		3724.7	100			Percent of total billed charges		4382	100			Percent of total billed charges		4382	100			Percent of total billed charges		4382	33.3			Percent of total billed charges		1459.206	33.3			Percent of total billed charges		1459.206	100			Percent of total billed charges		4382	1459.206	3943.8	
zim acet cup w/hole 0 deg	278	RC	Outpatient			4383	2848.95		90			Percent of total billed charges		3944.7	40			Percent of total billed charges		1753.2	80			Percent of total billed charges		3506.4	90			Percent of total billed charges		3944.7	85			Percent of total billed charges		3725.55	85			Percent of total billed charges		3725.55	85			Percent of total billed charges		3725.55	100			Percent of total billed charges		4383	100			Percent of total billed charges		4383	100			Percent of total billed charges		4383	33.3			Percent of total billed charges		1459.539	33.3			Percent of total billed charges		1459.539	100			Percent of total billed charges		4383	1459.539	3944.7	
zimmer acetabular cup 0 degree 42mm 7255-42-22	278	RC	Outpatient			4383	2848.95		90			Percent of total billed charges		3944.7	40			Percent of total billed charges		1753.2	80			Percent of total billed charges		3506.4	90			Percent of total billed charges		3944.7	85			Percent of total billed charges		3725.55	85			Percent of total billed charges		3725.55	85			Percent of total billed charges		3725.55	100			Percent of total billed charges		4383	100			Percent of total billed charges		4383	100			Percent of total billed charges		4383	33.3			Percent of total billed charges		1459.539	33.3			Percent of total billed charges		1459.539	100			Percent of total billed charges		4383	1459.539	3944.7	
zimmer acetabular cup 0 degree 44mm 7255-44-22	278	RC	Outpatient			4383	2848.95		90			Percent of total billed charges		3944.7	40			Percent of total billed charges		1753.2	80			Percent of total billed charges		3506.4	90			Percent of total billed charges		3944.7	85			Percent of total billed charges		3725.55	85			Percent of total billed charges		3725.55	85			Percent of total billed charges		3725.55	100			Percent of total billed charges		4383	100			Percent of total billed charges		4383	100			Percent of total billed charges		4383	33.3			Percent of total billed charges		1459.539	33.3			Percent of total billed charges		1459.539	100			Percent of total billed charges		4383	1459.539	3944.7	
zimmer acetabular cup 0 degree 46mm 7205-46-22	278	RC	Outpatient			4383	2848.95		90			Percent of total billed charges		3944.7	40			Percent of total billed charges		1753.2	80			Percent of total billed charges		3506.4	90			Percent of total billed charges		3944.7	85			Percent of total billed charges		3725.55	85			Percent of total billed charges		3725.55	85			Percent of total billed charges		3725.55	100			Percent of total billed charges		4383	100			Percent of total billed charges		4383	100			Percent of total billed charges		4383	33.3			Percent of total billed charges		1459.539	33.3			Percent of total billed charges		1459.539	100			Percent of total billed charges		4383	1459.539	3944.7	
zimmer acetabular cup 0 degree 46mm 7255-46-22	278	RC	Outpatient			4383	2848.95		90			Percent of total billed charges		3944.7	40			Percent of total billed charges		1753.2	80			Percent of total billed charges		3506.4	90			Percent of total billed charges		3944.7	85			Percent of total billed charges		3725.55	85			Percent of total billed charges		3725.55	85			Percent of total billed charges		3725.55	100			Percent of total billed charges		4383	100			Percent of total billed charges		4383	100			Percent of total billed charges		4383	33.3			Percent of total billed charges		1459.539	33.3			Percent of total billed charges		1459.539	100			Percent of total billed charges		4383	1459.539	3944.7	
zimmer acetabular cup 0 degree 48mm 7255-48-22	278	RC	Outpatient			4383	2848.95		90			Percent of total billed charges		3944.7	40			Percent of total billed charges		1753.2	80			Percent of total billed charges		3506.4	90			Percent of total billed charges		3944.7	85			Percent of total billed charges		3725.55	85			Percent of total billed charges		3725.55	85			Percent of total billed charges		3725.55	100			Percent of total billed charges		4383	100			Percent of total billed charges		4383	100			Percent of total billed charges		4383	33.3			Percent of total billed charges		1459.539	33.3			Percent of total billed charges		1459.539	100			Percent of total billed charges		4383	1459.539	3944.7	
zimmer acetabular cup 0 degree 50mm 7255-50-22	278	RC	Outpatient			4383	2848.95		90			Percent of total billed charges		3944.7	40			Percent of total billed charges		1753.2	80			Percent of total billed charges		3506.4	90			Percent of total billed charges		3944.7	85			Percent of total billed charges		3725.55	85			Percent of total billed charges		3725.55	85			Percent of total billed charges		3725.55	100			Percent of total billed charges		4383	100			Percent of total billed charges		4383	100			Percent of total billed charges		4383	33.3			Percent of total billed charges		1459.539	33.3			Percent of total billed charges		1459.539	100			Percent of total billed charges		4383	1459.539	3944.7	
zimmer acetabular cup 0 degree 56mm 7255-56-22	278	RC	Outpatient			4383	2848.95		90			Percent of total billed charges		3944.7	40			Percent of total billed charges		1753.2	80			Percent of total billed charges		3506.4	90			Percent of total billed charges		3944.7	85			Percent of total billed charges		3725.55	85			Percent of total billed charges		3725.55	85			Percent of total billed charges		3725.55	100			Percent of total billed charges		4383	100			Percent of total billed charges		4383	100			Percent of total billed charges		4383	33.3			Percent of total billed charges		1459.539	33.3			Percent of total billed charges		1459.539	100			Percent of total billed charges		4383	1459.539	3944.7	
zimmer acetabular cup 0 degree 60mm 7205-60-22	278	RC	Outpatient			4383	2848.95		90			Percent of total billed charges		3944.7	40			Percent of total billed charges		1753.2	80			Percent of total billed charges		3506.4	90			Percent of total billed charges		3944.7	85			Percent of total billed charges		3725.55	85			Percent of total billed charges		3725.55	85			Percent of total billed charges		3725.55	100			Percent of total billed charges		4383	100			Percent of total billed charges		4383	100			Percent of total billed charges		4383	33.3			Percent of total billed charges		1459.539	33.3			Percent of total billed charges		1459.539	100			Percent of total billed charges		4383	1459.539	3944.7	
zimmer acetabular cup 0 degree 62mm 7205-62-22	278	RC	Outpatient			4383	2848.95		90			Percent of total billed charges		3944.7	40			Percent of total billed charges		1753.2	80			Percent of total billed charges		3506.4	90			Percent of total billed charges		3944.7	85			Percent of total billed charges		3725.55	85			Percent of total billed charges		3725.55	85			Percent of total billed charges		3725.55	100			Percent of total billed charges		4383	100			Percent of total billed charges		4383	100			Percent of total billed charges		4383	33.3			Percent of total billed charges		1459.539	33.3			Percent of total billed charges		1459.539	100			Percent of total billed charges		4383	1459.539	3944.7	
zimmer acetabular cup 0 degree 62mm 7255-62-22	278	RC	Outpatient			4383	2848.95		90			Percent of total billed charges		3944.7	40			Percent of total billed charges		1753.2	80			Percent of total billed charges		3506.4	90			Percent of total billed charges		3944.7	85			Percent of total billed charges		3725.55	85			Percent of total billed charges		3725.55	85			Percent of total billed charges		3725.55	100			Percent of total billed charges		4383	100			Percent of total billed charges		4383	100			Percent of total billed charges		4383	33.3			Percent of total billed charges		1459.539	33.3			Percent of total billed charges		1459.539	100			Percent of total billed charges		4383	1459.539	3944.7	
zimmer acetabular cup 0 degree 64mm 7255-64-22	278	RC	Outpatient			4383	2848.95		90			Percent of total billed charges		3944.7	40			Percent of total billed charges		1753.2	80			Percent of total billed charges		3506.4	90			Percent of total billed charges		3944.7	85			Percent of total billed charges		3725.55	85			Percent of total billed charges		3725.55	85			Percent of total billed charges		3725.55	100			Percent of total billed charges		4383	100			Percent of total billed charges		4383	100			Percent of total billed charges		4383	33.3			Percent of total billed charges		1459.539	33.3			Percent of total billed charges		1459.539	100			Percent of total billed charges		4383	1459.539	3944.7	
zimmer acetabular cup 0 degree 66mm 7255-66-22	278	RC	Outpatient			4383	2848.95		90			Percent of total billed charges		3944.7	40			Percent of total billed charges		1753.2	80			Percent of total billed charges		3506.4	90			Percent of total billed charges		3944.7	85			Percent of total billed charges		3725.55	85			Percent of total billed charges		3725.55	85			Percent of total billed charges		3725.55	100			Percent of total billed charges		4383	100			Percent of total billed charges		4383	100			Percent of total billed charges		4383	33.3			Percent of total billed charges		1459.539	33.3			Percent of total billed charges		1459.539	100			Percent of total billed charges		4383	1459.539	3944.7	
zimmer acetabular cup 0 degree 68mm 7205-68-22	278	RC	Outpatient			4383	2848.95		90			Percent of total billed charges		3944.7	40			Percent of total billed charges		1753.2	80			Percent of total billed charges		3506.4	90			Percent of total billed charges		3944.7	85			Percent of total billed charges		3725.55	85			Percent of total billed charges		3725.55	85			Percent of total billed charges		3725.55	100			Percent of total billed charges		4383	100			Percent of total billed charges		4383	100			Percent of total billed charges		4383	33.3			Percent of total billed charges		1459.539	33.3			Percent of total billed charges		1459.539	100			Percent of total billed charges		4383	1459.539	3944.7	
zimmer acetabular cup 0 degree mm 7205-48-22	278	RC	Outpatient			4383	2848.95		90			Percent of total billed charges		3944.7	40			Percent of total billed charges		1753.2	80			Percent of total billed charges		3506.4	90			Percent of total billed charges		3944.7	85			Percent of total billed charges		3725.55	85			Percent of total billed charges		3725.55	85			Percent of total billed charges		3725.55	100			Percent of total billed charges		4383	100			Percent of total billed charges		4383	100			Percent of total billed charges		4383	33.3			Percent of total billed charges		1459.539	33.3			Percent of total billed charges		1459.539	100			Percent of total billed charges		4383	1459.539	3944.7	
zimmer acetabular cup 0 degree 40mm 7205-40-22	278	RC	Outpatient			4383	2848.95		90			Percent of total billed charges		3944.7	40			Percent of total billed charges		1753.2	80			Percent of total billed charges		3506.4	90			Percent of total billed charges		3944.7	85			Percent of total billed charges		3725.55	85			Percent of total billed charges		3725.55	85			Percent of total billed charges		3725.55	100			Percent of total billed charges		4383	100			Percent of total billed charges		4383	100			Percent of total billed charges		4383	33.3			Percent of total billed charges		1459.539	33.3			Percent of total billed charges		1459.539	100			Percent of total billed charges		4383	1459.539	3944.7	
zimmer acetabular cup 0 degree 40mm 7255-40-22	278	RC	Outpatient			4383	2848.95		90			Percent of total billed charges		3944.7	40			Percent of total billed charges		1753.2	80			Percent of total billed charges		3506.4	90			Percent of total billed charges		3944.7	85			Percent of total billed charges		3725.55	85			Percent of total billed charges		3725.55	85			Percent of total billed charges		3725.55	100			Percent of total billed charges		4383	100			Percent of total billed charges		4383	100			Percent of total billed charges		4383	33.3			Percent of total billed charges		1459.539	33.3			Percent of total billed charges		1459.539	100			Percent of total billed charges		4383	1459.539	3944.7	
zimmer acetabular cup 0 degree 42mm 7205-42-22	278	RC	Outpatient			4383	2848.95		90			Percent of total billed charges		3944.7	40			Percent of total billed charges		1753.2	80			Percent of total billed charges		3506.4	90			Percent of total billed charges		3944.7	85			Percent of total billed charges		3725.55	85			Percent of total billed charges		3725.55	85			Percent of total billed charges		3725.55	100			Percent of total billed charges		4383	100			Percent of total billed charges		4383	100			Percent of total billed charges		4383	33.3			Percent of total billed charges		1459.539	33.3			Percent of total billed charges		1459.539	100			Percent of total billed charges		4383	1459.539	3944.7	
zimmer acetabular cup 0 degree 44mm 7205-44-22	278	RC	Outpatient			4383	2848.95		90			Percent of total billed charges		3944.7	40			Percent of total billed charges		1753.2	80			Percent of total billed charges		3506.4	90			Percent of total billed charges		3944.7	85			Percent of total billed charges		3725.55	85			Percent of total billed charges		3725.55	85			Percent of total billed charges		3725.55	100			Percent of total billed charges		4383	100			Percent of total billed charges		4383	100			Percent of total billed charges		4383	33.3			Percent of total billed charges		1459.539	33.3			Percent of total billed charges		1459.539	100			Percent of total billed charges		4383	1459.539	3944.7	
zimmer acetabular cup 0 degree 50mm 7205-50-22	278	RC	Outpatient			4383	2848.95		90			Percent of total billed charges		3944.7	40			Percent of total billed charges		1753.2	80			Percent of total billed charges		3506.4	90			Percent of total billed charges		3944.7	85			Percent of total billed charges		3725.55	85			Percent of total billed charges		3725.55	85			Percent of total billed charges		3725.55	100			Percent of total billed charges		4383	100			Percent of total billed charges		4383	100			Percent of total billed charges		4383	33.3			Percent of total billed charges		1459.539	33.3			Percent of total billed charges		1459.539	100			Percent of total billed charges		4383	1459.539	3944.7	
zimmer acetabular cup 0 degree 52mm 7205-52-22	278	RC	Outpatient			4383	2848.95		90			Percent of total billed charges		3944.7	40			Percent of total billed charges		1753.2	80			Percent of total billed charges		3506.4	90			Percent of total billed charges		3944.7	85			Percent of total billed charges		3725.55	85			Percent of total billed charges		3725.55	85			Percent of total billed charges		3725.55	100			Percent of total billed charges		4383	100			Percent of total billed charges		4383	100			Percent of total billed charges		4383	33.3			Percent of total billed charges		1459.539	33.3			Percent of total billed charges		1459.539	100			Percent of total billed charges		4383	1459.539	3944.7	
zimmer acetabular cup 0 degree 52mm 7255-52-22	278	RC	Outpatient			4383	2848.95		90			Percent of total billed charges		3944.7	40			Percent of total billed charges		1753.2	80			Percent of total billed charges		3506.4	90			Percent of total billed charges		3944.7	85			Percent of total billed charges		3725.55	85			Percent of total billed charges		3725.55	85			Percent of total billed charges		3725.55	100			Percent of total billed charges		4383	100			Percent of total billed charges		4383	100			Percent of total billed charges		4383	33.3			Percent of total billed charges		1459.539	33.3			Percent of total billed charges		1459.539	100			Percent of total billed charges		4383	1459.539	3944.7	
zimmer acetabular cup 0 degree 54mm 7205-54-22	278	RC	Outpatient			4383	2848.95		90			Percent of total billed charges		3944.7	40			Percent of total billed charges		1753.2	80			Percent of total billed charges		3506.4	90			Percent of total billed charges		3944.7	85			Percent of total billed charges		3725.55	85			Percent of total billed charges		3725.55	85			Percent of total billed charges		3725.55	100			Percent of total billed charges		4383	100			Percent of total billed charges		4383	100			Percent of total billed charges		4383	33.3			Percent of total billed charges		1459.539	33.3			Percent of total billed charges		1459.539	100			Percent of total billed charges		4383	1459.539	3944.7	
zimmer acetabular cup 0 degree 54mm 7255-54-22	278	RC	Outpatient			4383	2848.95		90			Percent of total billed charges		3944.7	40			Percent of total billed charges		1753.2	80			Percent of total billed charges		3506.4	90			Percent of total billed charges		3944.7	85			Percent of total billed charges		3725.55	85			Percent of total billed charges		3725.55	85			Percent of total billed charges		3725.55	100			Percent of total billed charges		4383	100			Percent of total billed charges		4383	100			Percent of total billed charges		4383	33.3			Percent of total billed charges		1459.539	33.3			Percent of total billed charges		1459.539	100			Percent of total billed charges		4383	1459.539	3944.7	
zimmer acetabular cup 0 degree 56mm 7205-56-22	278	RC	Outpatient			4383	2848.95		90			Percent of total billed charges		3944.7	40			Percent of total billed charges		1753.2	80			Percent of total billed charges		3506.4	90			Percent of total billed charges		3944.7	85			Percent of total billed charges		3725.55	85			Percent of total billed charges		3725.55	85			Percent of total billed charges		3725.55	100			Percent of total billed charges		4383	100			Percent of total billed charges		4383	100			Percent of total billed charges		4383	33.3			Percent of total billed charges		1459.539	33.3			Percent of total billed charges		1459.539	100			Percent of total billed charges		4383	1459.539	3944.7	
zimmer acetabular cup 0 degree 58mm 7205-58-22	278	RC	Outpatient			4383	2848.95		90			Percent of total billed charges		3944.7	40			Percent of total billed charges		1753.2	80			Percent of total billed charges		3506.4	90			Percent of total billed charges		3944.7	85			Percent of total billed charges		3725.55	85			Percent of total billed charges		3725.55	85			Percent of total billed charges		3725.55	100			Percent of total billed charges		4383	100			Percent of total billed charges		4383	100			Percent of total billed charges		4383	33.3			Percent of total billed charges		1459.539	33.3			Percent of total billed charges		1459.539	100			Percent of total billed charges		4383	1459.539	3944.7	
zimmer acetabular cup 0 degree 58mm 7255-58-22	278	RC	Outpatient			4383	2848.95		90			Percent of total billed charges		3944.7	40			Percent of total billed charges		1753.2	80			Percent of total billed charges		3506.4	90			Percent of total billed charges		3944.7	85			Percent of total billed charges		3725.55	85			Percent of total billed charges		3725.55	85			Percent of total billed charges		3725.55	100			Percent of total billed charges		4383	100			Percent of total billed charges		4383	100			Percent of total billed charges		4383	33.3			Percent of total billed charges		1459.539	33.3			Percent of total billed charges		1459.539	100			Percent of total billed charges		4383	1459.539	3944.7	
zimmer acetabular cup 0 degree 60mm 7255-60-22	278	RC	Outpatient			4383	2848.95		90			Percent of total billed charges		3944.7	40			Percent of total billed charges		1753.2	80			Percent of total billed charges		3506.4	90			Percent of total billed charges		3944.7	85			Percent of total billed charges		3725.55	85			Percent of total billed charges		3725.55	85			Percent of total billed charges		3725.55	100			Percent of total billed charges		4383	100			Percent of total billed charges		4383	100			Percent of total billed charges		4383	33.3			Percent of total billed charges		1459.539	33.3			Percent of total billed charges		1459.539	100			Percent of total billed charges		4383	1459.539	3944.7	
zimmer acetabular cup 0 degree 64mm 7205-64-22	278	RC	Outpatient			4383	2848.95		90			Percent of total billed charges		3944.7	40			Percent of total billed charges		1753.2	80			Percent of total billed charges		3506.4	90			Percent of total billed charges		3944.7	85			Percent of total billed charges		3725.55	85			Percent of total billed charges		3725.55	85			Percent of total billed charges		3725.55	100			Percent of total billed charges		4383	100			Percent of total billed charges		4383	100			Percent of total billed charges		4383	33.3			Percent of total billed charges		1459.539	33.3			Percent of total billed charges		1459.539	100			Percent of total billed charges		4383	1459.539	3944.7	
zimmer acetabular cup 0 degree 66mm 7205-66-22	278	RC	Outpatient			4383	2848.95		90			Percent of total billed charges		3944.7	40			Percent of total billed charges		1753.2	80			Percent of total billed charges		3506.4	90			Percent of total billed charges		3944.7	85			Percent of total billed charges		3725.55	85			Percent of total billed charges		3725.55	85			Percent of total billed charges		3725.55	100			Percent of total billed charges		4383	100			Percent of total billed charges		4383	100			Percent of total billed charges		4383	33.3			Percent of total billed charges		1459.539	33.3			Percent of total billed charges		1459.539	100			Percent of total billed charges		4383	1459.539	3944.7	
zimmer acetabular cup 0 degree 68mm 7255-68-22	278	RC	Outpatient			4383	2848.95		90			Percent of total billed charges		3944.7	40			Percent of total billed charges		1753.2	80			Percent of total billed charges		3506.4	90			Percent of total billed charges		3944.7	85			Percent of total billed charges		3725.55	85			Percent of total billed charges		3725.55	85			Percent of total billed charges		3725.55	100			Percent of total billed charges		4383	100			Percent of total billed charges		4383	100			Percent of total billed charges		4383	33.3			Percent of total billed charges		1459.539	33.3			Percent of total billed charges		1459.539	100			Percent of total billed charges		4383	1459.539	3944.7	
zimmer acetabular cup 0 degree 70mm 7205-70-22	278	RC	Outpatient			4383	2848.95		90			Percent of total billed charges		3944.7	40			Percent of total billed charges		1753.2	80			Percent of total billed charges		3506.4	90			Percent of total billed charges		3944.7	85			Percent of total billed charges		3725.55	85			Percent of total billed charges		3725.55	85			Percent of total billed charges		3725.55	100			Percent of total billed charges		4383	100			Percent of total billed charges		4383	100			Percent of total billed charges		4383	33.3			Percent of total billed charges		1459.539	33.3			Percent of total billed charges		1459.539	100			Percent of total billed charges		4383	1459.539	3944.7	
zimmer acetabular cup 0 degree 70mm 7255-70-22	278	RC	Outpatient			4383	2848.95		90			Percent of total billed charges		3944.7	40			Percent of total billed charges		1753.2	80			Percent of total billed charges		3506.4	90			Percent of total billed charges		3944.7	85			Percent of total billed charges		3725.55	85			Percent of total billed charges		3725.55	85			Percent of total billed charges		3725.55	100			Percent of total billed charges		4383	100			Percent of total billed charges		4383	100			Percent of total billed charges		4383	33.3			Percent of total billed charges		1459.539	33.3			Percent of total billed charges		1459.539	100			Percent of total billed charges		4383	1459.539	3944.7	
lg fr pl cp brd cmp 22-24	278	RC	Outpatient			4396	2857.4		90			Percent of total billed charges		3956.4	40			Percent of total billed charges		1758.4	80			Percent of total billed charges		3516.8	90			Percent of total billed charges		3956.4	85			Percent of total billed charges		3736.6	85			Percent of total billed charges		3736.6	85			Percent of total billed charges		3736.6	100			Percent of total billed charges		4396	100			Percent of total billed charges		4396	100			Percent of total billed charges		4396	33.3			Percent of total billed charges		1463.868	33.3			Percent of total billed charges		1463.868	100			Percent of total billed charges		4396	1463.868	3956.4	
s/n lg frag plate 4.5mm 22 hole 7184-1222	278	RC	Outpatient			4396	2857.4		90			Percent of total billed charges		3956.4	40			Percent of total billed charges		1758.4	80			Percent of total billed charges		3516.8	90			Percent of total billed charges		3956.4	85			Percent of total billed charges		3736.6	85			Percent of total billed charges		3736.6	85			Percent of total billed charges		3736.6	100			Percent of total billed charges		4396	100			Percent of total billed charges		4396	100			Percent of total billed charges		4396	33.3			Percent of total billed charges		1463.868	33.3			Percent of total billed charges		1463.868	100			Percent of total billed charges		4396	1463.868	3956.4	
s/n lg frag plate 4.5mm 24 hole 7184-1224	278	RC	Outpatient			4396	2857.4		90			Percent of total billed charges		3956.4	40			Percent of total billed charges		1758.4	80			Percent of total billed charges		3516.8	90			Percent of total billed charges		3956.4	85			Percent of total billed charges		3736.6	85			Percent of total billed charges		3736.6	85			Percent of total billed charges		3736.6	100			Percent of total billed charges		4396	100			Percent of total billed charges		4396	100			Percent of total billed charges		4396	33.3			Percent of total billed charges		1463.868	33.3			Percent of total billed charges		1463.868	100			Percent of total billed charges		4396	1463.868	3956.4	
sonoma wrx im distal radius nail wxr-5470	278	RC	Outpatient			4397	2858.05		90			Percent of total billed charges		3957.3	40			Percent of total billed charges		1758.8	80			Percent of total billed charges		3517.6	90			Percent of total billed charges		3957.3	85			Percent of total billed charges		3737.45	85			Percent of total billed charges		3737.45	85			Percent of total billed charges		3737.45	100			Percent of total billed charges		4397	100			Percent of total billed charges		4397	100			Percent of total billed charges		4397	33.3			Percent of total billed charges		1464.201	33.3			Percent of total billed charges		1464.201	100			Percent of total billed charges		4397	1464.201	3957.3	
wrx dist radius im nail	278	RC	Outpatient			4397	2858.05		90			Percent of total billed charges		3957.3	40			Percent of total billed charges		1758.8	80			Percent of total billed charges		3517.6	90			Percent of total billed charges		3957.3	85			Percent of total billed charges		3737.45	85			Percent of total billed charges		3737.45	85			Percent of total billed charges		3737.45	100			Percent of total billed charges		4397	100			Percent of total billed charges		4397	100			Percent of total billed charges		4397	33.3			Percent of total billed charges		1464.201	33.3			Percent of total billed charges		1464.201	100			Percent of total billed charges		4397	1464.201	3957.3	
"allograft b-t-b  w/ quad, hemi  mtf"	278	RC	Outpatient			4400	2860		90			Percent of total billed charges		3960	40			Percent of total billed charges		1760	80			Percent of total billed charges		3520	90			Percent of total billed charges		3960	85			Percent of total billed charges		3740	85			Percent of total billed charges		3740	85			Percent of total billed charges		3740	100			Percent of total billed charges		4400	100			Percent of total billed charges		4400	100			Percent of total billed charges		4400	33.3			Percent of total billed charges		1465.2	33.3			Percent of total billed charges		1465.2	100			Percent of total billed charges		4400	1465.2	3960	
allograft btb w/quad hemi	278	RC	Outpatient			4400	2860		90			Percent of total billed charges		3960	40			Percent of total billed charges		1760	80			Percent of total billed charges		3520	90			Percent of total billed charges		3960	85			Percent of total billed charges		3740	85			Percent of total billed charges		3740	85			Percent of total billed charges		3740	100			Percent of total billed charges		4400	100			Percent of total billed charges		4400	100			Percent of total billed charges		4400	33.3			Percent of total billed charges		1465.2	33.3			Percent of total billed charges		1465.2	100			Percent of total billed charges		4400	1465.2	3960	
hemi bone-tendon-bone mtf 430010 12mm x 14.5mm	278	RC	Outpatient			4400	2860		90			Percent of total billed charges		3960	40			Percent of total billed charges		1760	80			Percent of total billed charges		3520	90			Percent of total billed charges		3960	85			Percent of total billed charges		3740	85			Percent of total billed charges		3740	85			Percent of total billed charges		3740	100			Percent of total billed charges		4400	100			Percent of total billed charges		4400	100			Percent of total billed charges		4400	33.3			Percent of total billed charges		1465.2	33.3			Percent of total billed charges		1465.2	100			Percent of total billed charges		4400	1465.2	3960	
hemi bone-tendon-bone mtf 430010 16mm x 12.7mm	278	RC	Outpatient			4400	2860		90			Percent of total billed charges		3960	40			Percent of total billed charges		1760	80			Percent of total billed charges		3520	90			Percent of total billed charges		3960	85			Percent of total billed charges		3740	85			Percent of total billed charges		3740	85			Percent of total billed charges		3740	100			Percent of total billed charges		4400	100			Percent of total billed charges		4400	100			Percent of total billed charges		4400	33.3			Percent of total billed charges		1465.2	33.3			Percent of total billed charges		1465.2	100			Percent of total billed charges		4400	1465.2	3960	
hemi bone-tendon-bone mtf 430010 13mm x 12.5mm	278	RC	Outpatient			4400	2860		90			Percent of total billed charges		3960	40			Percent of total billed charges		1760	80			Percent of total billed charges		3520	90			Percent of total billed charges		3960	85			Percent of total billed charges		3740	85			Percent of total billed charges		3740	85			Percent of total billed charges		3740	100			Percent of total billed charges		4400	100			Percent of total billed charges		4400	100			Percent of total billed charges		4400	33.3			Percent of total billed charges		1465.2	33.3			Percent of total billed charges		1465.2	100			Percent of total billed charges		4400	1465.2	3960	
hemi bone-tendon-bone mtf 430010 13mm x 12.7mm	278	RC	Outpatient			4400	2860		90			Percent of total billed charges		3960	40			Percent of total billed charges		1760	80			Percent of total billed charges		3520	90			Percent of total billed charges		3960	85			Percent of total billed charges		3740	85			Percent of total billed charges		3740	85			Percent of total billed charges		3740	100			Percent of total billed charges		4400	100			Percent of total billed charges		4400	100			Percent of total billed charges		4400	33.3			Percent of total billed charges		1465.2	33.3			Percent of total billed charges		1465.2	100			Percent of total billed charges		4400	1465.2	3960	
patella btb hemi quad 430010 mtf allograft	278	RC	Outpatient			4400	2860		90			Percent of total billed charges		3960	40			Percent of total billed charges		1760	80			Percent of total billed charges		3520	90			Percent of total billed charges		3960	85			Percent of total billed charges		3740	85			Percent of total billed charges		3740	85			Percent of total billed charges		3740	100			Percent of total billed charges		4400	100			Percent of total billed charges		4400	100			Percent of total billed charges		4400	33.3			Percent of total billed charges		1465.2	33.3			Percent of total billed charges		1465.2	100			Percent of total billed charges		4400	1465.2	3960	
bio vanguard e-poly tib b	278	RC	Outpatient			4402	2861.3		90			Percent of total billed charges		3961.8	40			Percent of total billed charges		1760.8	80			Percent of total billed charges		3521.6	90			Percent of total billed charges		3961.8	85			Percent of total billed charges		3741.7	85			Percent of total billed charges		3741.7	85			Percent of total billed charges		3741.7	100			Percent of total billed charges		4402	100			Percent of total billed charges		4402	100			Percent of total billed charges		4402	33.3			Percent of total billed charges		1465.866	33.3			Percent of total billed charges		1465.866	100			Percent of total billed charges		4402	1465.866	3961.8	
flowcardia corsser cto recannalization cath cru014s bard	272	RC	Outpatient			4402	2861.3		90			Percent of total billed charges		3961.8	40			Percent of total billed charges		1760.8	80			Percent of total billed charges		3521.6	90			Percent of total billed charges		3961.8	85			Percent of total billed charges		3741.7	85			Percent of total billed charges		3741.7	85			Percent of total billed charges		3741.7	100			Percent of total billed charges		4402	100			Percent of total billed charges		4402	100			Percent of total billed charges		4402	33.3			Percent of total billed charges		1465.866	33.3			Percent of total billed charges		1465.866	100			Percent of total billed charges		4402	1465.866	3961.8	
flowcardia crosser cath	272	RC	Outpatient			4402	2861.3		90			Percent of total billed charges		3961.8	40			Percent of total billed charges		1760.8	80			Percent of total billed charges		3521.6	90			Percent of total billed charges		3961.8	85			Percent of total billed charges		3741.7	85			Percent of total billed charges		3741.7	85			Percent of total billed charges		3741.7	100			Percent of total billed charges		4402	100			Percent of total billed charges		4402	100			Percent of total billed charges		4402	33.3			Percent of total billed charges		1465.866	33.3			Percent of total billed charges		1465.866	100			Percent of total billed charges		4402	1465.866	3961.8	
seaspine lordotic peek	278	RC	Outpatient			4402	2861.3		90			Percent of total billed charges		3961.8	40			Percent of total billed charges		1760.8	80			Percent of total billed charges		3521.6	90			Percent of total billed charges		3961.8	85			Percent of total billed charges		3741.7	85			Percent of total billed charges		3741.7	85			Percent of total billed charges		3741.7	100			Percent of total billed charges		4402	100			Percent of total billed charges		4402	100			Percent of total billed charges		4402	33.3			Percent of total billed charges		1465.866	33.3			Percent of total billed charges		1465.866	100			Percent of total billed charges		4402	1465.866	3961.8	
vanguard e-poly cr lipped tib bearing 10 x 79/83 ep-183560 biomet	278	RC	Outpatient			4402	2861.3		90			Percent of total billed charges		3961.8	40			Percent of total billed charges		1760.8	80			Percent of total billed charges		3521.6	90			Percent of total billed charges		3961.8	85			Percent of total billed charges		3741.7	85			Percent of total billed charges		3741.7	85			Percent of total billed charges		3741.7	100			Percent of total billed charges		4402	100			Percent of total billed charges		4402	100			Percent of total billed charges		4402	33.3			Percent of total billed charges		1465.866	33.3			Percent of total billed charges		1465.866	100			Percent of total billed charges		4402	1465.866	3961.8	
vanguard e-poly cr lipped tib bearing 12 x 71/75 ep-183542 biomet	278	RC	Outpatient			4402	2861.3		90			Percent of total billed charges		3961.8	40			Percent of total billed charges		1760.8	80			Percent of total billed charges		3521.6	90			Percent of total billed charges		3961.8	85			Percent of total billed charges		3741.7	85			Percent of total billed charges		3741.7	85			Percent of total billed charges		3741.7	100			Percent of total billed charges		4402	100			Percent of total billed charges		4402	100			Percent of total billed charges		4402	33.3			Percent of total billed charges		1465.866	33.3			Percent of total billed charges		1465.866	100			Percent of total billed charges		4402	1465.866	3961.8	
vanguard e-poly cr lipped tib bearing 14 x 79/83 ep-183564 biomet	278	RC	Outpatient			4402	2861.3		90			Percent of total billed charges		3961.8	40			Percent of total billed charges		1760.8	80			Percent of total billed charges		3521.6	90			Percent of total billed charges		3961.8	85			Percent of total billed charges		3741.7	85			Percent of total billed charges		3741.7	85			Percent of total billed charges		3741.7	100			Percent of total billed charges		4402	100			Percent of total billed charges		4402	100			Percent of total billed charges		4402	33.3			Percent of total billed charges		1465.866	33.3			Percent of total billed charges		1465.866	100			Percent of total billed charges		4402	1465.866	3961.8	
vanguard e-poly cr lipped tib bearing 16 x 63/67 ep-183526 biomet	278	RC	Outpatient			4402	2861.3		90			Percent of total billed charges		3961.8	40			Percent of total billed charges		1760.8	80			Percent of total billed charges		3521.6	90			Percent of total billed charges		3961.8	85			Percent of total billed charges		3741.7	85			Percent of total billed charges		3741.7	85			Percent of total billed charges		3741.7	100			Percent of total billed charges		4402	100			Percent of total billed charges		4402	100			Percent of total billed charges		4402	33.3			Percent of total billed charges		1465.866	33.3			Percent of total billed charges		1465.866	100			Percent of total billed charges		4402	1465.866	3961.8	
vanguard e-poly cr lipped tib bearing 16 x 71/75 ep-183546 biomet	278	RC	Outpatient			4402	2861.3		90			Percent of total billed charges		3961.8	40			Percent of total billed charges		1760.8	80			Percent of total billed charges		3521.6	90			Percent of total billed charges		3961.8	85			Percent of total billed charges		3741.7	85			Percent of total billed charges		3741.7	85			Percent of total billed charges		3741.7	100			Percent of total billed charges		4402	100			Percent of total billed charges		4402	100			Percent of total billed charges		4402	33.3			Percent of total billed charges		1465.866	33.3			Percent of total billed charges		1465.866	100			Percent of total billed charges		4402	1465.866	3961.8	
vanguard e-poly cr lipped tib bearing 16 x 79/83 ep-183566 biomet	278	RC	Outpatient			4402	2861.3		90			Percent of total billed charges		3961.8	40			Percent of total billed charges		1760.8	80			Percent of total billed charges		3521.6	90			Percent of total billed charges		3961.8	85			Percent of total billed charges		3741.7	85			Percent of total billed charges		3741.7	85			Percent of total billed charges		3741.7	100			Percent of total billed charges		4402	100			Percent of total billed charges		4402	100			Percent of total billed charges		4402	33.3			Percent of total billed charges		1465.866	33.3			Percent of total billed charges		1465.866	100			Percent of total billed charges		4402	1465.866	3961.8	
vanguard e-poly cr lipped tib bearing 18 x 63/67 ep-183528 biomet	278	RC	Outpatient			4402	2861.3		90			Percent of total billed charges		3961.8	40			Percent of total billed charges		1760.8	80			Percent of total billed charges		3521.6	90			Percent of total billed charges		3961.8	85			Percent of total billed charges		3741.7	85			Percent of total billed charges		3741.7	85			Percent of total billed charges		3741.7	100			Percent of total billed charges		4402	100			Percent of total billed charges		4402	100			Percent of total billed charges		4402	33.3			Percent of total billed charges		1465.866	33.3			Percent of total billed charges		1465.866	100			Percent of total billed charges		4402	1465.866	3961.8	
vanguard e-poly cr lipped tib bearing 18 x 79/83 ep-183568 biomet	278	RC	Outpatient			4402	2861.3		90			Percent of total billed charges		3961.8	40			Percent of total billed charges		1760.8	80			Percent of total billed charges		3521.6	90			Percent of total billed charges		3961.8	85			Percent of total billed charges		3741.7	85			Percent of total billed charges		3741.7	85			Percent of total billed charges		3741.7	100			Percent of total billed charges		4402	100			Percent of total billed charges		4402	100			Percent of total billed charges		4402	33.3			Percent of total billed charges		1465.866	33.3			Percent of total billed charges		1465.866	100			Percent of total billed charges		4402	1465.866	3961.8	
vanguard e-poly cr lipped tib bearing 10 x 63/67 ep-183520 biomet	278	RC	Outpatient			4402	2861.3		90			Percent of total billed charges		3961.8	40			Percent of total billed charges		1760.8	80			Percent of total billed charges		3521.6	90			Percent of total billed charges		3961.8	85			Percent of total billed charges		3741.7	85			Percent of total billed charges		3741.7	85			Percent of total billed charges		3741.7	100			Percent of total billed charges		4402	100			Percent of total billed charges		4402	100			Percent of total billed charges		4402	33.3			Percent of total billed charges		1465.866	33.3			Percent of total billed charges		1465.866	100			Percent of total billed charges		4402	1465.866	3961.8	
vanguard e-poly cr lipped tib bearing 10 x 71/75 ep-183540 biomet	278	RC	Outpatient			4402	2861.3		90			Percent of total billed charges		3961.8	40			Percent of total billed charges		1760.8	80			Percent of total billed charges		3521.6	90			Percent of total billed charges		3961.8	85			Percent of total billed charges		3741.7	85			Percent of total billed charges		3741.7	85			Percent of total billed charges		3741.7	100			Percent of total billed charges		4402	100			Percent of total billed charges		4402	100			Percent of total billed charges		4402	33.3			Percent of total billed charges		1465.866	33.3			Percent of total billed charges		1465.866	100			Percent of total billed charges		4402	1465.866	3961.8	
vanguard e-poly cr lipped tib bearing 12 x 63/67 ep-183522 biomet	278	RC	Outpatient			4402	2861.3		90			Percent of total billed charges		3961.8	40			Percent of total billed charges		1760.8	80			Percent of total billed charges		3521.6	90			Percent of total billed charges		3961.8	85			Percent of total billed charges		3741.7	85			Percent of total billed charges		3741.7	85			Percent of total billed charges		3741.7	100			Percent of total billed charges		4402	100			Percent of total billed charges		4402	100			Percent of total billed charges		4402	33.3			Percent of total billed charges		1465.866	33.3			Percent of total billed charges		1465.866	100			Percent of total billed charges		4402	1465.866	3961.8	
vanguard e-poly cr lipped tib bearing 12 x 79/83 ep-183562 biomet	278	RC	Outpatient			4402	2861.3		90			Percent of total billed charges		3961.8	40			Percent of total billed charges		1760.8	80			Percent of total billed charges		3521.6	90			Percent of total billed charges		3961.8	85			Percent of total billed charges		3741.7	85			Percent of total billed charges		3741.7	85			Percent of total billed charges		3741.7	100			Percent of total billed charges		4402	100			Percent of total billed charges		4402	100			Percent of total billed charges		4402	33.3			Percent of total billed charges		1465.866	33.3			Percent of total billed charges		1465.866	100			Percent of total billed charges		4402	1465.866	3961.8	
vanguard e-poly cr lipped tib bearing 14 x 63/67 ep-183524 biomet	278	RC	Outpatient			4402	2861.3		90			Percent of total billed charges		3961.8	40			Percent of total billed charges		1760.8	80			Percent of total billed charges		3521.6	90			Percent of total billed charges		3961.8	85			Percent of total billed charges		3741.7	85			Percent of total billed charges		3741.7	85			Percent of total billed charges		3741.7	100			Percent of total billed charges		4402	100			Percent of total billed charges		4402	100			Percent of total billed charges		4402	33.3			Percent of total billed charges		1465.866	33.3			Percent of total billed charges		1465.866	100			Percent of total billed charges		4402	1465.866	3961.8	
vanguard e-poly cr lipped tib bearing 14 x 71/75 ep-183544 biomet	278	RC	Outpatient			4402	2861.3		90			Percent of total billed charges		3961.8	40			Percent of total billed charges		1760.8	80			Percent of total billed charges		3521.6	90			Percent of total billed charges		3961.8	85			Percent of total billed charges		3741.7	85			Percent of total billed charges		3741.7	85			Percent of total billed charges		3741.7	100			Percent of total billed charges		4402	100			Percent of total billed charges		4402	100			Percent of total billed charges		4402	33.3			Percent of total billed charges		1465.866	33.3			Percent of total billed charges		1465.866	100			Percent of total billed charges		4402	1465.866	3961.8	
vanguard e-poly cr lipped tib bearing 18 x 71/75 ep-183548 biomet	278	RC	Outpatient			4402	2861.3		90			Percent of total billed charges		3961.8	40			Percent of total billed charges		1760.8	80			Percent of total billed charges		3521.6	90			Percent of total billed charges		3961.8	85			Percent of total billed charges		3741.7	85			Percent of total billed charges		3741.7	85			Percent of total billed charges		3741.7	100			Percent of total billed charges		4402	100			Percent of total billed charges		4402	100			Percent of total billed charges		4402	33.3			Percent of total billed charges		1465.866	33.3			Percent of total billed charges		1465.866	100			Percent of total billed charges		4402	1465.866	3961.8	
zimm humeral stem	278	RC	Outpatient			4408	2865.2		90			Percent of total billed charges		3967.2	40			Percent of total billed charges		1763.2	80			Percent of total billed charges		3526.4	90			Percent of total billed charges		3967.2	85			Percent of total billed charges		3746.8	85			Percent of total billed charges		3746.8	85			Percent of total billed charges		3746.8	100			Percent of total billed charges		4408	100			Percent of total billed charges		4408	100			Percent of total billed charges		4408	33.3			Percent of total billed charges		1467.864	33.3			Percent of total billed charges		1467.864	100			Percent of total billed charges		4408	1467.864	3967.2	
zimmer humeral stem 14 x 130 4300-14-13	278	RC	Outpatient			4408	2865.2		90			Percent of total billed charges		3967.2	40			Percent of total billed charges		1763.2	80			Percent of total billed charges		3526.4	90			Percent of total billed charges		3967.2	85			Percent of total billed charges		3746.8	85			Percent of total billed charges		3746.8	85			Percent of total billed charges		3746.8	100			Percent of total billed charges		4408	100			Percent of total billed charges		4408	100			Percent of total billed charges		4408	33.3			Percent of total billed charges		1467.864	33.3			Percent of total billed charges		1467.864	100			Percent of total billed charges		4408	1467.864	3967.2	
a-l-d tib lk plate3.5mm 6-hole 98mm 71800606 s/n	278	RC	Outpatient			4410	2866.5		90			Percent of total billed charges		3969	40			Percent of total billed charges		1764	80			Percent of total billed charges		3528	90			Percent of total billed charges		3969	85			Percent of total billed charges		3748.5	85			Percent of total billed charges		3748.5	85			Percent of total billed charges		3748.5	100			Percent of total billed charges		4410	100			Percent of total billed charges		4410	100			Percent of total billed charges		4410	33.3			Percent of total billed charges		1468.53	33.3			Percent of total billed charges		1468.53	100			Percent of total billed charges		4410	1468.53	3969	
a-l-d tib plt 3.5mm 6 hl 71820606 s\n	278	RC	Outpatient			4410	2866.5		90			Percent of total billed charges		3969	40			Percent of total billed charges		1764	80			Percent of total billed charges		3528	90			Percent of total billed charges		3969	85			Percent of total billed charges		3748.5	85			Percent of total billed charges		3748.5	85			Percent of total billed charges		3748.5	100			Percent of total billed charges		4410	100			Percent of total billed charges		4410	100			Percent of total billed charges		4410	33.3			Percent of total billed charges		1468.53	33.3			Percent of total billed charges		1468.53	100			Percent of total billed charges		4410	1468.53	3969	
a-l-d tib lk plate3.5mm 6-hole 98mm 71800708 s/n	278	RC	Outpatient			4410	2866.5		90			Percent of total billed charges		3969	40			Percent of total billed charges		1764	80			Percent of total billed charges		3528	90			Percent of total billed charges		3969	85			Percent of total billed charges		3748.5	85			Percent of total billed charges		3748.5	85			Percent of total billed charges		3748.5	100			Percent of total billed charges		4410	100			Percent of total billed charges		4410	100			Percent of total billed charges		4410	33.3			Percent of total billed charges		1468.53	33.3			Percent of total billed charges		1468.53	100			Percent of total billed charges		4410	1468.53	3969	
a-l-d tib lk plate3.5mm 8-hole 123mm 71800608 s/n	278	RC	Outpatient			4410	2866.5		90			Percent of total billed charges		3969	40			Percent of total billed charges		1764	80			Percent of total billed charges		3528	90			Percent of total billed charges		3969	85			Percent of total billed charges		3748.5	85			Percent of total billed charges		3748.5	85			Percent of total billed charges		3748.5	100			Percent of total billed charges		4410	100			Percent of total billed charges		4410	100			Percent of total billed charges		4410	33.3			Percent of total billed charges		1468.53	33.3			Percent of total billed charges		1468.53	100			Percent of total billed charges		4410	1468.53	3969	
a-l-d tib lk plate3.5mm 8-hole 123mm 71800708 s/n	278	RC	Outpatient			4410	2866.5		90			Percent of total billed charges		3969	40			Percent of total billed charges		1764	80			Percent of total billed charges		3528	90			Percent of total billed charges		3969	85			Percent of total billed charges		3748.5	85			Percent of total billed charges		3748.5	85			Percent of total billed charges		3748.5	100			Percent of total billed charges		4410	100			Percent of total billed charges		4410	100			Percent of total billed charges		4410	33.3			Percent of total billed charges		1468.53	33.3			Percent of total billed charges		1468.53	100			Percent of total billed charges		4410	1468.53	3969	
a-l-d tib plt 3.5mm 6 hr 71820706 s\n	278	RC	Outpatient			4410	2866.5		90			Percent of total billed charges		3969	40			Percent of total billed charges		1764	80			Percent of total billed charges		3528	90			Percent of total billed charges		3969	85			Percent of total billed charges		3748.5	85			Percent of total billed charges		3748.5	85			Percent of total billed charges		3748.5	100			Percent of total billed charges		4410	100			Percent of total billed charges		4410	100			Percent of total billed charges		4410	33.3			Percent of total billed charges		1468.53	33.3			Percent of total billed charges		1468.53	100			Percent of total billed charges		4410	1468.53	3969	
a-l-d tib plt 3.5mm 8 hl 71820608 s\n	278	RC	Outpatient			4410	2866.5		90			Percent of total billed charges		3969	40			Percent of total billed charges		1764	80			Percent of total billed charges		3528	90			Percent of total billed charges		3969	85			Percent of total billed charges		3748.5	85			Percent of total billed charges		3748.5	85			Percent of total billed charges		3748.5	100			Percent of total billed charges		4410	100			Percent of total billed charges		4410	100			Percent of total billed charges		4410	33.3			Percent of total billed charges		1468.53	33.3			Percent of total billed charges		1468.53	100			Percent of total billed charges		4410	1468.53	3969	
a-l-d tib plt 3.5mm 8 hr 71820708 s\n	278	RC	Outpatient			4410	2866.5		90			Percent of total billed charges		3969	40			Percent of total billed charges		1764	80			Percent of total billed charges		3528	90			Percent of total billed charges		3969	85			Percent of total billed charges		3748.5	85			Percent of total billed charges		3748.5	85			Percent of total billed charges		3748.5	100			Percent of total billed charges		4410	100			Percent of total billed charges		4410	100			Percent of total billed charges		4410	33.3			Percent of total billed charges		1468.53	33.3			Percent of total billed charges		1468.53	100			Percent of total billed charges		4410	1468.53	3969	
s/n 3.5 adl tib lk pl 6-8	278	RC	Outpatient			4410	2866.5		90			Percent of total billed charges		3969	40			Percent of total billed charges		1764	80			Percent of total billed charges		3528	90			Percent of total billed charges		3969	85			Percent of total billed charges		3748.5	85			Percent of total billed charges		3748.5	85			Percent of total billed charges		3748.5	100			Percent of total billed charges		4410	100			Percent of total billed charges		4410	100			Percent of total billed charges		4410	33.3			Percent of total billed charges		1468.53	33.3			Percent of total billed charges		1468.53	100			Percent of total billed charges		4410	1468.53	3969	
cath lab medtronic spring quattro 4196 cs lead	278	RC	Outpatient			4412	2867.8		90			Percent of total billed charges		3970.8	40			Percent of total billed charges		1764.8	80			Percent of total billed charges		3529.6	90			Percent of total billed charges		3970.8	85			Percent of total billed charges		3750.2	85			Percent of total billed charges		3750.2	85			Percent of total billed charges		3750.2	100			Percent of total billed charges		4412	100			Percent of total billed charges		4412	100			Percent of total billed charges		4412	33.3			Percent of total billed charges		1469.196	33.3			Percent of total billed charges		1469.196	100			Percent of total billed charges		4412	1469.196	3970.8	
ability lv lead	275	RC	Outpatient			4412	2867.8		90			Percent of total billed charges		3970.8	40			Percent of total billed charges		1764.8	80			Percent of total billed charges		3529.6	90			Percent of total billed charges		3970.8	85			Percent of total billed charges		3750.2	85			Percent of total billed charges		3750.2	85			Percent of total billed charges		3750.2	100			Percent of total billed charges		4412	100			Percent of total billed charges		4412	100			Percent of total billed charges		4412	33.3			Percent of total billed charges		1469.196	33.3			Percent of total billed charges		1469.196	100			Percent of total billed charges		4412	1469.196	3970.8	
cath lab ability lv lead	275	RC	Outpatient			4412	2867.8		90			Percent of total billed charges		3970.8	40			Percent of total billed charges		1764.8	80			Percent of total billed charges		3529.6	90			Percent of total billed charges		3970.8	85			Percent of total billed charges		3750.2	85			Percent of total billed charges		3750.2	85			Percent of total billed charges		3750.2	100			Percent of total billed charges		4412	100			Percent of total billed charges		4412	100			Percent of total billed charges		4412	33.3			Percent of total billed charges		1469.196	33.3			Percent of total billed charges		1469.196	100			Percent of total billed charges		4412	1469.196	3970.8	
mt 4196-78cm lv lead	278	RC	Outpatient			4412	2867.8		90			Percent of total billed charges		3970.8	40			Percent of total billed charges		1764.8	80			Percent of total billed charges		3529.6	90			Percent of total billed charges		3970.8	85			Percent of total billed charges		3750.2	85			Percent of total billed charges		3750.2	85			Percent of total billed charges		3750.2	100			Percent of total billed charges		4412	100			Percent of total billed charges		4412	100			Percent of total billed charges		4412	33.3			Percent of total billed charges		1469.196	33.3			Percent of total billed charges		1469.196	100			Percent of total billed charges		4412	1469.196	3970.8	
omet taper neck head 3611-2802 wright med	278	RC	Outpatient			4412	2867.8		90			Percent of total billed charges		3970.8	40			Percent of total billed charges		1764.8	80			Percent of total billed charges		3529.6	90			Percent of total billed charges		3970.8	85			Percent of total billed charges		3750.2	85			Percent of total billed charges		3750.2	85			Percent of total billed charges		3750.2	100			Percent of total billed charges		4412	100			Percent of total billed charges		4412	100			Percent of total billed charges		4412	33.3			Percent of total billed charges		1469.196	33.3			Percent of total billed charges		1469.196	100			Percent of total billed charges		4412	1469.196	3970.8	
or time 3 1/2 hours	270	RC	Outpatient			4412	2867.8		90			Percent of total billed charges		3970.8	40			Percent of total billed charges		1764.8	80			Percent of total billed charges		3529.6	90			Percent of total billed charges		3970.8	85			Percent of total billed charges		3750.2	85			Percent of total billed charges		3750.2	85			Percent of total billed charges		3750.2	100			Percent of total billed charges		4412	100			Percent of total billed charges		4412	100			Percent of total billed charges		4412	33.3			Percent of total billed charges		1469.196	33.3			Percent of total billed charges		1469.196	100			Percent of total billed charges		4412	1469.196	3970.8	
medtronic sp qu 4196csled	278	RC	Outpatient			4412	2867.8		90			Percent of total billed charges		3970.8	40			Percent of total billed charges		1764.8	80			Percent of total billed charges		3529.6	90			Percent of total billed charges		3970.8	85			Percent of total billed charges		3750.2	85			Percent of total billed charges		3750.2	85			Percent of total billed charges		3750.2	100			Percent of total billed charges		4412	100			Percent of total billed charges		4412	100			Percent of total billed charges		4412	33.3			Percent of total billed charges		1469.196	33.3			Percent of total billed charges		1469.196	100			Percent of total billed charges		4412	1469.196	3970.8	
mt 4196-88cm lv lead	278	RC	Outpatient			4412	2867.8		90			Percent of total billed charges		3970.8	40			Percent of total billed charges		1764.8	80			Percent of total billed charges		3529.6	90			Percent of total billed charges		3970.8	85			Percent of total billed charges		3750.2	85			Percent of total billed charges		3750.2	85			Percent of total billed charges		3750.2	100			Percent of total billed charges		4412	100			Percent of total billed charges		4412	100			Percent of total billed charges		4412	33.3			Percent of total billed charges		1469.196	33.3			Percent of total billed charges		1469.196	100			Percent of total billed charges		4412	1469.196	3970.8	
wright omgt head	278	RC	Outpatient			4412	2867.8		90			Percent of total billed charges		3970.8	40			Percent of total billed charges		1764.8	80			Percent of total billed charges		3529.6	90			Percent of total billed charges		3970.8	85			Percent of total billed charges		3750.2	85			Percent of total billed charges		3750.2	85			Percent of total billed charges		3750.2	100			Percent of total billed charges		4412	100			Percent of total billed charges		4412	100			Percent of total billed charges		4412	33.3			Percent of total billed charges		1469.196	33.3			Percent of total billed charges		1469.196	100			Percent of total billed charges		4412	1469.196	3970.8	
journey tibia base plate lt sz 3 74022223 s/n	278	RC	Outpatient			4415	2869.75		90			Percent of total billed charges		3973.5	40			Percent of total billed charges		1766	80			Percent of total billed charges		3532	90			Percent of total billed charges		3973.5	85			Percent of total billed charges		3752.75	85			Percent of total billed charges		3752.75	85			Percent of total billed charges		3752.75	100			Percent of total billed charges		4415	100			Percent of total billed charges		4415	100			Percent of total billed charges		4415	33.3			Percent of total billed charges		1470.195	33.3			Percent of total billed charges		1470.195	100			Percent of total billed charges		4415	1470.195	3973.5	
s/n journey tib bp	278	RC	Outpatient			4415	2869.75		90			Percent of total billed charges		3973.5	40			Percent of total billed charges		1766	80			Percent of total billed charges		3532	90			Percent of total billed charges		3973.5	85			Percent of total billed charges		3752.75	85			Percent of total billed charges		3752.75	85			Percent of total billed charges		3752.75	100			Percent of total billed charges		4415	100			Percent of total billed charges		4415	100			Percent of total billed charges		4415	33.3			Percent of total billed charges		1470.195	33.3			Percent of total billed charges		1470.195	100			Percent of total billed charges		4415	1470.195	3973.5	
bio tib tray 360	278	RC	Outpatient			4437	2884.05		90			Percent of total billed charges		3993.3	40			Percent of total billed charges		1774.8	80			Percent of total billed charges		3549.6	90			Percent of total billed charges		3993.3	85			Percent of total billed charges		3771.45	85			Percent of total billed charges		3771.45	85			Percent of total billed charges		3771.45	100			Percent of total billed charges		4437	100			Percent of total billed charges		4437	100			Percent of total billed charges		4437	33.3			Percent of total billed charges		1477.521	33.3			Percent of total billed charges		1477.521	100			Percent of total billed charges		4437	1477.521	3993.3	
biomet 360 tibial augment 63 x 5mm 185221	278	RC	Outpatient			4437	2884.05		90			Percent of total billed charges		3993.3	40			Percent of total billed charges		1774.8	80			Percent of total billed charges		3549.6	90			Percent of total billed charges		3993.3	85			Percent of total billed charges		3771.45	85			Percent of total billed charges		3771.45	85			Percent of total billed charges		3771.45	100			Percent of total billed charges		4437	100			Percent of total billed charges		4437	100			Percent of total billed charges		4437	33.3			Percent of total billed charges		1477.521	33.3			Percent of total billed charges		1477.521	100			Percent of total billed charges		4437	1477.521	3993.3	
biomet 360 tibial tray 71mm 185203	278	RC	Outpatient			4437	2884.05		90			Percent of total billed charges		3993.3	40			Percent of total billed charges		1774.8	80			Percent of total billed charges		3549.6	90			Percent of total billed charges		3993.3	85			Percent of total billed charges		3771.45	85			Percent of total billed charges		3771.45	85			Percent of total billed charges		3771.45	100			Percent of total billed charges		4437	100			Percent of total billed charges		4437	100			Percent of total billed charges		4437	33.3			Percent of total billed charges		1477.521	33.3			Percent of total billed charges		1477.521	100			Percent of total billed charges		4437	1477.521	3993.3	
biomet 360 tibial tray 63mm 185201	278	RC	Outpatient			4437	2884.05		90			Percent of total billed charges		3993.3	40			Percent of total billed charges		1774.8	80			Percent of total billed charges		3549.6	90			Percent of total billed charges		3993.3	85			Percent of total billed charges		3771.45	85			Percent of total billed charges		3771.45	85			Percent of total billed charges		3771.45	100			Percent of total billed charges		4437	100			Percent of total billed charges		4437	100			Percent of total billed charges		4437	33.3			Percent of total billed charges		1477.521	33.3			Percent of total billed charges		1477.521	100			Percent of total billed charges		4437	1477.521	3993.3	
biomet 360 tibial tray 67mm 185202	278	RC	Outpatient			4437	2884.05		90			Percent of total billed charges		3993.3	40			Percent of total billed charges		1774.8	80			Percent of total billed charges		3549.6	90			Percent of total billed charges		3993.3	85			Percent of total billed charges		3771.45	85			Percent of total billed charges		3771.45	85			Percent of total billed charges		3771.45	100			Percent of total billed charges		4437	100			Percent of total billed charges		4437	100			Percent of total billed charges		4437	33.3			Percent of total billed charges		1477.521	33.3			Percent of total billed charges		1477.521	100			Percent of total billed charges		4437	1477.521	3993.3	
"monoblock cup 10% 28,55mm 7260-58-28"	278	RC	Outpatient			4437	2884.05		90			Percent of total billed charges		3993.3	40			Percent of total billed charges		1774.8	80			Percent of total billed charges		3549.6	90			Percent of total billed charges		3993.3	85			Percent of total billed charges		3771.45	85			Percent of total billed charges		3771.45	85			Percent of total billed charges		3771.45	100			Percent of total billed charges		4437	100			Percent of total billed charges		4437	100			Percent of total billed charges		4437	33.3			Percent of total billed charges		1477.521	33.3			Percent of total billed charges		1477.521	100			Percent of total billed charges		4437	1477.521	3993.3	
zim acet cup 10 deg w/hol	278	RC	Outpatient			4437	2884.05		90			Percent of total billed charges		3993.3	40			Percent of total billed charges		1774.8	80			Percent of total billed charges		3549.6	90			Percent of total billed charges		3993.3	85			Percent of total billed charges		3771.45	85			Percent of total billed charges		3771.45	85			Percent of total billed charges		3771.45	100			Percent of total billed charges		4437	100			Percent of total billed charges		4437	100			Percent of total billed charges		4437	33.3			Percent of total billed charges		1477.521	33.3			Percent of total billed charges		1477.521	100			Percent of total billed charges		4437	1477.521	3993.3	
st jude pm1240 assurity ppm gen	278	RC	Outpatient			4455	2895.75		90			Percent of total billed charges		4009.5	40			Percent of total billed charges		1782	80			Percent of total billed charges		3564	90			Percent of total billed charges		4009.5	85			Percent of total billed charges		3786.75	85			Percent of total billed charges		3786.75	85			Percent of total billed charges		3786.75	100			Percent of total billed charges		4455	100			Percent of total billed charges		4455	100			Percent of total billed charges		4455	33.3			Percent of total billed charges		1483.515	33.3			Percent of total billed charges		1483.515	100			Percent of total billed charges		4455	1483.515	4009.5	
cath lab loop recorder insertion	360	RC	Outpatient			4457	2897.05		90			Percent of total billed charges		4011.3	40			Percent of total billed charges		1782.8	80			Percent of total billed charges		3565.6	90			Percent of total billed charges		4011.3	85			Percent of total billed charges		3788.45	85			Percent of total billed charges		3788.45	85			Percent of total billed charges		3788.45	100			Percent of total billed charges		4457	100			Percent of total billed charges		4457	100			Percent of total billed charges		4457	33.3			Percent of total billed charges		1484.181	33.3			Percent of total billed charges		1484.181	100			Percent of total billed charges		4457	1484.181	4011.3	
medtronic iliac limb 12 x 8.5 yrirx1285	278	RC	Outpatient			4463	2900.95		90			Percent of total billed charges		4016.7	40			Percent of total billed charges		1785.2	80			Percent of total billed charges		3570.4	90			Percent of total billed charges		4016.7	85			Percent of total billed charges		3793.55	85			Percent of total billed charges		3793.55	85			Percent of total billed charges		3793.55	100			Percent of total billed charges		4463	100			Percent of total billed charges		4463	100			Percent of total billed charges		4463	33.3			Percent of total billed charges		1486.179	33.3			Percent of total billed charges		1486.179	100			Percent of total billed charges		4463	1486.179	4016.7	
medtronic iliac limb 13 mm x 8.5 cm yrirhxc1385	278	RC	Outpatient			4463	2900.95		90			Percent of total billed charges		4016.7	40			Percent of total billed charges		1785.2	80			Percent of total billed charges		3570.4	90			Percent of total billed charges		4016.7	85			Percent of total billed charges		3793.55	85			Percent of total billed charges		3793.55	85			Percent of total billed charges		3793.55	100			Percent of total billed charges		4463	100			Percent of total billed charges		4463	100			Percent of total billed charges		4463	33.3			Percent of total billed charges		1486.179	33.3			Percent of total billed charges		1486.179	100			Percent of total billed charges		4463	1486.179	4016.7	
medtronic iliac limb 14 x 8.5 yrirx1485	278	RC	Outpatient			4463	2900.95		90			Percent of total billed charges		4016.7	40			Percent of total billed charges		1785.2	80			Percent of total billed charges		3570.4	90			Percent of total billed charges		4016.7	85			Percent of total billed charges		3793.55	85			Percent of total billed charges		3793.55	85			Percent of total billed charges		3793.55	100			Percent of total billed charges		4463	100			Percent of total billed charges		4463	100			Percent of total billed charges		4463	33.3			Percent of total billed charges		1486.179	33.3			Percent of total billed charges		1486.179	100			Percent of total billed charges		4463	1486.179	4016.7	
medtronic iliac limb 14mm x 8.5cm yrirhxc1485	278	RC	Outpatient			4463	2900.95		90			Percent of total billed charges		4016.7	40			Percent of total billed charges		1785.2	80			Percent of total billed charges		3570.4	90			Percent of total billed charges		4016.7	85			Percent of total billed charges		3793.55	85			Percent of total billed charges		3793.55	85			Percent of total billed charges		3793.55	100			Percent of total billed charges		4463	100			Percent of total billed charges		4463	100			Percent of total billed charges		4463	33.3			Percent of total billed charges		1486.179	33.3			Percent of total billed charges		1486.179	100			Percent of total billed charges		4463	1486.179	4016.7	
medtronic iliac limb 15 x 8.5 yrirx1585	278	RC	Outpatient			4463	2900.95		90			Percent of total billed charges		4016.7	40			Percent of total billed charges		1785.2	80			Percent of total billed charges		3570.4	90			Percent of total billed charges		4016.7	85			Percent of total billed charges		3793.55	85			Percent of total billed charges		3793.55	85			Percent of total billed charges		3793.55	100			Percent of total billed charges		4463	100			Percent of total billed charges		4463	100			Percent of total billed charges		4463	33.3			Percent of total billed charges		1486.179	33.3			Percent of total billed charges		1486.179	100			Percent of total billed charges		4463	1486.179	4016.7	
medtronic iliac limb 16 x 8.5 yrirhx1685	278	RC	Outpatient			4463	2900.95		90			Percent of total billed charges		4016.7	40			Percent of total billed charges		1785.2	80			Percent of total billed charges		3570.4	90			Percent of total billed charges		4016.7	85			Percent of total billed charges		3793.55	85			Percent of total billed charges		3793.55	85			Percent of total billed charges		3793.55	100			Percent of total billed charges		4463	100			Percent of total billed charges		4463	100			Percent of total billed charges		4463	33.3			Percent of total billed charges		1486.179	33.3			Percent of total billed charges		1486.179	100			Percent of total billed charges		4463	1486.179	4016.7	
medtronic iliac limb 8.5	278	RC	Outpatient			4463	2900.95		90			Percent of total billed charges		4016.7	40			Percent of total billed charges		1785.2	80			Percent of total billed charges		3570.4	90			Percent of total billed charges		4016.7	85			Percent of total billed charges		3793.55	85			Percent of total billed charges		3793.55	85			Percent of total billed charges		3793.55	100			Percent of total billed charges		4463	100			Percent of total billed charges		4463	100			Percent of total billed charges		4463	33.3			Percent of total billed charges		1486.179	33.3			Percent of total billed charges		1486.179	100			Percent of total billed charges		4463	1486.179	4016.7	
medtronic  iliac limb 14 x 8.5cm yrir1485	278	RC	Outpatient			4463	2900.95		90			Percent of total billed charges		4016.7	40			Percent of total billed charges		1785.2	80			Percent of total billed charges		3570.4	90			Percent of total billed charges		4016.7	85			Percent of total billed charges		3793.55	85			Percent of total billed charges		3793.55	85			Percent of total billed charges		3793.55	100			Percent of total billed charges		4463	100			Percent of total billed charges		4463	100			Percent of total billed charges		4463	33.3			Percent of total billed charges		1486.179	33.3			Percent of total billed charges		1486.179	100			Percent of total billed charges		4463	1486.179	4016.7	
medtronic iliac limb  15 x 8.5cm yrir1585	278	RC	Outpatient			4463	2900.95		90			Percent of total billed charges		4016.7	40			Percent of total billed charges		1785.2	80			Percent of total billed charges		3570.4	90			Percent of total billed charges		4016.7	85			Percent of total billed charges		3793.55	85			Percent of total billed charges		3793.55	85			Percent of total billed charges		3793.55	100			Percent of total billed charges		4463	100			Percent of total billed charges		4463	100			Percent of total billed charges		4463	33.3			Percent of total billed charges		1486.179	33.3			Percent of total billed charges		1486.179	100			Percent of total billed charges		4463	1486.179	4016.7	
medtronic iliac limb 12 mm x 8.5 cm yrirhxc1285	278	RC	Outpatient			4463	2900.95		90			Percent of total billed charges		4016.7	40			Percent of total billed charges		1785.2	80			Percent of total billed charges		3570.4	90			Percent of total billed charges		4016.7	85			Percent of total billed charges		3793.55	85			Percent of total billed charges		3793.55	85			Percent of total billed charges		3793.55	100			Percent of total billed charges		4463	100			Percent of total billed charges		4463	100			Percent of total billed charges		4463	33.3			Percent of total billed charges		1486.179	33.3			Percent of total billed charges		1486.179	100			Percent of total billed charges		4463	1486.179	4016.7	
medtronic iliac limb 13 x 8.5 yrirx1385	278	RC	Outpatient			4463	2900.95		90			Percent of total billed charges		4016.7	40			Percent of total billed charges		1785.2	80			Percent of total billed charges		3570.4	90			Percent of total billed charges		4016.7	85			Percent of total billed charges		3793.55	85			Percent of total billed charges		3793.55	85			Percent of total billed charges		3793.55	100			Percent of total billed charges		4463	100			Percent of total billed charges		4463	100			Percent of total billed charges		4463	33.3			Percent of total billed charges		1486.179	33.3			Percent of total billed charges		1486.179	100			Percent of total billed charges		4463	1486.179	4016.7	
medtronic iliac limb 13 x 8.5cm yrir1385	278	RC	Outpatient			4463	2900.95		90			Percent of total billed charges		4016.7	40			Percent of total billed charges		1785.2	80			Percent of total billed charges		3570.4	90			Percent of total billed charges		4016.7	85			Percent of total billed charges		3793.55	85			Percent of total billed charges		3793.55	85			Percent of total billed charges		3793.55	100			Percent of total billed charges		4463	100			Percent of total billed charges		4463	100			Percent of total billed charges		4463	33.3			Percent of total billed charges		1486.179	33.3			Percent of total billed charges		1486.179	100			Percent of total billed charges		4463	1486.179	4016.7	
medtronic iliac limb 15 mm x 8.5 cm yrirhxc1585	278	RC	Outpatient			4463	2900.95		90			Percent of total billed charges		4016.7	40			Percent of total billed charges		1785.2	80			Percent of total billed charges		3570.4	90			Percent of total billed charges		4016.7	85			Percent of total billed charges		3793.55	85			Percent of total billed charges		3793.55	85			Percent of total billed charges		3793.55	100			Percent of total billed charges		4463	100			Percent of total billed charges		4463	100			Percent of total billed charges		4463	33.3			Percent of total billed charges		1486.179	33.3			Percent of total billed charges		1486.179	100			Percent of total billed charges		4463	1486.179	4016.7	
medtronic iliac limb 16 mm x 8.5 cm yrirhxc1685	278	RC	Outpatient			4463	2900.95		90			Percent of total billed charges		4016.7	40			Percent of total billed charges		1785.2	80			Percent of total billed charges		3570.4	90			Percent of total billed charges		4016.7	85			Percent of total billed charges		3793.55	85			Percent of total billed charges		3793.55	85			Percent of total billed charges		3793.55	100			Percent of total billed charges		4463	100			Percent of total billed charges		4463	100			Percent of total billed charges		4463	33.3			Percent of total billed charges		1486.179	33.3			Percent of total billed charges		1486.179	100			Percent of total billed charges		4463	1486.179	4016.7	
medtronic iliac limb 16 x 8.5cm yrir1685	278	RC	Outpatient			4463	2900.95		90			Percent of total billed charges		4016.7	40			Percent of total billed charges		1785.2	80			Percent of total billed charges		3570.4	90			Percent of total billed charges		4016.7	85			Percent of total billed charges		3793.55	85			Percent of total billed charges		3793.55	85			Percent of total billed charges		3793.55	100			Percent of total billed charges		4463	100			Percent of total billed charges		4463	100			Percent of total billed charges		4463	33.3			Percent of total billed charges		1486.179	33.3			Percent of total billed charges		1486.179	100			Percent of total billed charges		4463	1486.179	4016.7	
stryker trident poly inst	278	RC	Outpatient			4463	2900.95		90			Percent of total billed charges		4016.7	40			Percent of total billed charges		1785.2	80			Percent of total billed charges		3570.4	90			Percent of total billed charges		4016.7	85			Percent of total billed charges		3793.55	85			Percent of total billed charges		3793.55	85			Percent of total billed charges		3793.55	100			Percent of total billed charges		4463	100			Percent of total billed charges		4463	100			Percent of total billed charges		4463	33.3			Percent of total billed charges		1486.179	33.3			Percent of total billed charges		1486.179	100			Percent of total billed charges		4463	1486.179	4016.7	
trident 0 deg x3 insert 36mm 623-00-36d stryker	278	RC	Outpatient			4463	2900.95		90			Percent of total billed charges		4016.7	40			Percent of total billed charges		1785.2	80			Percent of total billed charges		3570.4	90			Percent of total billed charges		4016.7	85			Percent of total billed charges		3793.55	85			Percent of total billed charges		3793.55	85			Percent of total billed charges		3793.55	100			Percent of total billed charges		4463	100			Percent of total billed charges		4463	100			Percent of total billed charges		4463	33.3			Percent of total billed charges		1486.179	33.3			Percent of total billed charges		1486.179	100			Percent of total billed charges		4463	1486.179	4016.7	
trident 0 deg x3 insert 36mm 623-00-36f stryker	278	RC	Outpatient			4463	2900.95		90			Percent of total billed charges		4016.7	40			Percent of total billed charges		1785.2	80			Percent of total billed charges		3570.4	90			Percent of total billed charges		4016.7	85			Percent of total billed charges		3793.55	85			Percent of total billed charges		3793.55	85			Percent of total billed charges		3793.55	100			Percent of total billed charges		4463	100			Percent of total billed charges		4463	100			Percent of total billed charges		4463	33.3			Percent of total billed charges		1486.179	33.3			Percent of total billed charges		1486.179	100			Percent of total billed charges		4463	1486.179	4016.7	
trident 0 deg x3 insert 36mm 623-00-36h stryker	278	RC	Outpatient			4463	2900.95		90			Percent of total billed charges		4016.7	40			Percent of total billed charges		1785.2	80			Percent of total billed charges		3570.4	90			Percent of total billed charges		4016.7	85			Percent of total billed charges		3793.55	85			Percent of total billed charges		3793.55	85			Percent of total billed charges		3793.55	100			Percent of total billed charges		4463	100			Percent of total billed charges		4463	100			Percent of total billed charges		4463	33.3			Percent of total billed charges		1486.179	33.3			Percent of total billed charges		1486.179	100			Percent of total billed charges		4463	1486.179	4016.7	
trident x 3 poly insert 36mm 623-10-36g how/osteo	278	RC	Outpatient			4463	2900.95		90			Percent of total billed charges		4016.7	40			Percent of total billed charges		1785.2	80			Percent of total billed charges		3570.4	90			Percent of total billed charges		4016.7	85			Percent of total billed charges		3793.55	85			Percent of total billed charges		3793.55	85			Percent of total billed charges		3793.55	100			Percent of total billed charges		4463	100			Percent of total billed charges		4463	100			Percent of total billed charges		4463	33.3			Percent of total billed charges		1486.179	33.3			Percent of total billed charges		1486.179	100			Percent of total billed charges		4463	1486.179	4016.7	
trident 0 deg x3 insert 32mm 623-00-32c stryker	278	RC	Outpatient			4463	2900.95		90			Percent of total billed charges		4016.7	40			Percent of total billed charges		1785.2	80			Percent of total billed charges		3570.4	90			Percent of total billed charges		4016.7	85			Percent of total billed charges		3793.55	85			Percent of total billed charges		3793.55	85			Percent of total billed charges		3793.55	100			Percent of total billed charges		4463	100			Percent of total billed charges		4463	100			Percent of total billed charges		4463	33.3			Percent of total billed charges		1486.179	33.3			Percent of total billed charges		1486.179	100			Percent of total billed charges		4463	1486.179	4016.7	
trident 0 deg x3 insert 36mm 623-00-36e stryker	278	RC	Outpatient			4463	2900.95		90			Percent of total billed charges		4016.7	40			Percent of total billed charges		1785.2	80			Percent of total billed charges		3570.4	90			Percent of total billed charges		4016.7	85			Percent of total billed charges		3793.55	85			Percent of total billed charges		3793.55	85			Percent of total billed charges		3793.55	100			Percent of total billed charges		4463	100			Percent of total billed charges		4463	100			Percent of total billed charges		4463	33.3			Percent of total billed charges		1486.179	33.3			Percent of total billed charges		1486.179	100			Percent of total billed charges		4463	1486.179	4016.7	
trident 0 deg x3 insert 36mm 623-00-36g stryker	278	RC	Outpatient			4463	2900.95		90			Percent of total billed charges		4016.7	40			Percent of total billed charges		1785.2	80			Percent of total billed charges		3570.4	90			Percent of total billed charges		4016.7	85			Percent of total billed charges		3793.55	85			Percent of total billed charges		3793.55	85			Percent of total billed charges		3793.55	100			Percent of total billed charges		4463	100			Percent of total billed charges		4463	100			Percent of total billed charges		4463	33.3			Percent of total billed charges		1486.179	33.3			Percent of total billed charges		1486.179	100			Percent of total billed charges		4463	1486.179	4016.7	
trident 0 deg x3 insert 36mm 623-00-36i stryker	278	RC	Outpatient			4463	2900.95		90			Percent of total billed charges		4016.7	40			Percent of total billed charges		1785.2	80			Percent of total billed charges		3570.4	90			Percent of total billed charges		4016.7	85			Percent of total billed charges		3793.55	85			Percent of total billed charges		3793.55	85			Percent of total billed charges		3793.55	100			Percent of total billed charges		4463	100			Percent of total billed charges		4463	100			Percent of total billed charges		4463	33.3			Percent of total billed charges		1486.179	33.3			Percent of total billed charges		1486.179	100			Percent of total billed charges		4463	1486.179	4016.7	
trident 0 deg x3 insert 36mm 623-00-36j stryker	278	RC	Outpatient			4463	2900.95		90			Percent of total billed charges		4016.7	40			Percent of total billed charges		1785.2	80			Percent of total billed charges		3570.4	90			Percent of total billed charges		4016.7	85			Percent of total billed charges		3793.55	85			Percent of total billed charges		3793.55	85			Percent of total billed charges		3793.55	100			Percent of total billed charges		4463	100			Percent of total billed charges		4463	100			Percent of total billed charges		4463	33.3			Percent of total billed charges		1486.179	33.3			Percent of total billed charges		1486.179	100			Percent of total billed charges		4463	1486.179	4016.7	
m-d tib lk plate3.5mm 16-hole 272mm 71801016 s/n	278	RC	Outpatient			4464	2901.6		90			Percent of total billed charges		4017.6	40			Percent of total billed charges		1785.6	80			Percent of total billed charges		3571.2	90			Percent of total billed charges		4017.6	85			Percent of total billed charges		3794.4	85			Percent of total billed charges		3794.4	85			Percent of total billed charges		3794.4	100			Percent of total billed charges		4464	100			Percent of total billed charges		4464	100			Percent of total billed charges		4464	33.3			Percent of total billed charges		1486.512	33.3			Percent of total billed charges		1486.512	100			Percent of total billed charges		4464	1486.512	4017.6	
m-d tib lk plate3.5mm 16-hole 272mm 71801116 s/n	278	RC	Outpatient			4464	2901.6		90			Percent of total billed charges		4017.6	40			Percent of total billed charges		1785.6	80			Percent of total billed charges		3571.2	90			Percent of total billed charges		4017.6	85			Percent of total billed charges		3794.4	85			Percent of total billed charges		3794.4	85			Percent of total billed charges		3794.4	100			Percent of total billed charges		4464	100			Percent of total billed charges		4464	100			Percent of total billed charges		4464	33.3			Percent of total billed charges		1486.512	33.3			Percent of total billed charges		1486.512	100			Percent of total billed charges		4464	1486.512	4017.6	
s/n 3.5 m-d tib lk pl 16h	278	RC	Outpatient			4464	2901.6		90			Percent of total billed charges		4017.6	40			Percent of total billed charges		1785.6	80			Percent of total billed charges		3571.2	90			Percent of total billed charges		4017.6	85			Percent of total billed charges		3794.4	85			Percent of total billed charges		3794.4	85			Percent of total billed charges		3794.4	100			Percent of total billed charges		4464	100			Percent of total billed charges		4464	100			Percent of total billed charges		4464	33.3			Percent of total billed charges		1486.512	33.3			Percent of total billed charges		1486.512	100			Percent of total billed charges		4464	1486.512	4017.6	
rsp humeral socket +8mm offset 508-00-008 encore	278	RC	Outpatient			4467	2903.55		90			Percent of total billed charges		4020.3	40			Percent of total billed charges		1786.8	80			Percent of total billed charges		3573.6	90			Percent of total billed charges		4020.3	85			Percent of total billed charges		3796.95	85			Percent of total billed charges		3796.95	85			Percent of total billed charges		3796.95	100			Percent of total billed charges		4467	100			Percent of total billed charges		4467	100			Percent of total billed charges		4467	33.3			Percent of total billed charges		1487.511	33.3			Percent of total billed charges		1487.511	100			Percent of total billed charges		4467	1487.511	4020.3	
rsp humeral socket neutral 508-00-000 djo	278	RC	Outpatient			4467	2903.55		90			Percent of total billed charges		4020.3	40			Percent of total billed charges		1786.8	80			Percent of total billed charges		3573.6	90			Percent of total billed charges		4020.3	85			Percent of total billed charges		3796.95	85			Percent of total billed charges		3796.95	85			Percent of total billed charges		3796.95	100			Percent of total billed charges		4467	100			Percent of total billed charges		4467	100			Percent of total billed charges		4467	33.3			Percent of total billed charges		1487.511	33.3			Percent of total billed charges		1487.511	100			Percent of total billed charges		4467	1487.511	4020.3	
rsp humeral socket +4mm offset 508-00-004 encore	278	RC	Outpatient			4467	2903.55		90			Percent of total billed charges		4020.3	40			Percent of total billed charges		1786.8	80			Percent of total billed charges		3573.6	90			Percent of total billed charges		4020.3	85			Percent of total billed charges		3796.95	85			Percent of total billed charges		3796.95	85			Percent of total billed charges		3796.95	100			Percent of total billed charges		4467	100			Percent of total billed charges		4467	100			Percent of total billed charges		4467	33.3			Percent of total billed charges		1487.511	33.3			Percent of total billed charges		1487.511	100			Percent of total billed charges		4467	1487.511	4020.3	
rsp shell	278	RC	Outpatient			4467	2903.55		90			Percent of total billed charges		4020.3	40			Percent of total billed charges		1786.8	80			Percent of total billed charges		3573.6	90			Percent of total billed charges		4020.3	85			Percent of total billed charges		3796.95	85			Percent of total billed charges		3796.95	85			Percent of total billed charges		3796.95	100			Percent of total billed charges		4467	100			Percent of total billed charges		4467	100			Percent of total billed charges		4467	33.3			Percent of total billed charges		1487.511	33.3			Percent of total billed charges		1487.511	100			Percent of total billed charges		4467	1487.511	4020.3	
l-d fem lk plate4.5mm 6-hole 155mm 71800006 s/n	278	RC	Outpatient			4485	2915.25		90			Percent of total billed charges		4036.5	40			Percent of total billed charges		1794	80			Percent of total billed charges		3588	90			Percent of total billed charges		4036.5	85			Percent of total billed charges		3812.25	85			Percent of total billed charges		3812.25	85			Percent of total billed charges		3812.25	100			Percent of total billed charges		4485	100			Percent of total billed charges		4485	100			Percent of total billed charges		4485	33.3			Percent of total billed charges		1493.505	33.3			Percent of total billed charges		1493.505	100			Percent of total billed charges		4485	1493.505	4036.5	
l-d fem plt 4.5mm 6 hl 71820006 s\n	278	RC	Outpatient			4485	2915.25		90			Percent of total billed charges		4036.5	40			Percent of total billed charges		1794	80			Percent of total billed charges		3588	90			Percent of total billed charges		4036.5	85			Percent of total billed charges		3812.25	85			Percent of total billed charges		3812.25	85			Percent of total billed charges		3812.25	100			Percent of total billed charges		4485	100			Percent of total billed charges		4485	100			Percent of total billed charges		4485	33.3			Percent of total billed charges		1493.505	33.3			Percent of total billed charges		1493.505	100			Percent of total billed charges		4485	1493.505	4036.5	
l-d fem plt 4.5mm 6 hr 71820106 s\n	278	RC	Outpatient			4485	2915.25		90			Percent of total billed charges		4036.5	40			Percent of total billed charges		1794	80			Percent of total billed charges		3588	90			Percent of total billed charges		4036.5	85			Percent of total billed charges		3812.25	85			Percent of total billed charges		3812.25	85			Percent of total billed charges		3812.25	100			Percent of total billed charges		4485	100			Percent of total billed charges		4485	100			Percent of total billed charges		4485	33.3			Percent of total billed charges		1493.505	33.3			Percent of total billed charges		1493.505	100			Percent of total billed charges		4485	1493.505	4036.5	
liverpool radial head 18 x 22mm 11-200011 biomet	278	RC	Outpatient			4485	2915.25		90			Percent of total billed charges		4036.5	40			Percent of total billed charges		1794	80			Percent of total billed charges		3588	90			Percent of total billed charges		4036.5	85			Percent of total billed charges		3812.25	85			Percent of total billed charges		3812.25	85			Percent of total billed charges		3812.25	100			Percent of total billed charges		4485	100			Percent of total billed charges		4485	100			Percent of total billed charges		4485	33.3			Percent of total billed charges		1493.505	33.3			Percent of total billed charges		1493.505	100			Percent of total billed charges		4485	1493.505	4036.5	
l-d fem lk plate4.5mm 6-hole 155mm 71800106 s/n	278	RC	Outpatient			4485	2915.25		90			Percent of total billed charges		4036.5	40			Percent of total billed charges		1794	80			Percent of total billed charges		3588	90			Percent of total billed charges		4036.5	85			Percent of total billed charges		3812.25	85			Percent of total billed charges		3812.25	85			Percent of total billed charges		3812.25	100			Percent of total billed charges		4485	100			Percent of total billed charges		4485	100			Percent of total billed charges		4485	33.3			Percent of total billed charges		1493.505	33.3			Percent of total billed charges		1493.505	100			Percent of total billed charges		4485	1493.505	4036.5	
liverpool radial head	278	RC	Outpatient			4485	2915.25		90			Percent of total billed charges		4036.5	40			Percent of total billed charges		1794	80			Percent of total billed charges		3588	90			Percent of total billed charges		4036.5	85			Percent of total billed charges		3812.25	85			Percent of total billed charges		3812.25	85			Percent of total billed charges		3812.25	100			Percent of total billed charges		4485	100			Percent of total billed charges		4485	100			Percent of total billed charges		4485	33.3			Percent of total billed charges		1493.505	33.3			Percent of total billed charges		1493.505	100			Percent of total billed charges		4485	1493.505	4036.5	
s/n 4.5 l-d fe lk pl 6hl	278	RC	Outpatient			4485	2915.25		90			Percent of total billed charges		4036.5	40			Percent of total billed charges		1794	80			Percent of total billed charges		3588	90			Percent of total billed charges		4036.5	85			Percent of total billed charges		3812.25	85			Percent of total billed charges		3812.25	85			Percent of total billed charges		3812.25	100			Percent of total billed charges		4485	100			Percent of total billed charges		4485	100			Percent of total billed charges		4485	33.3			Percent of total billed charges		1493.505	33.3			Percent of total billed charges		1493.505	100			Percent of total billed charges		4485	1493.505	4036.5	
stryker trit cup solid	278	RC	Outpatient			4485	2915.25		90			Percent of total billed charges		4036.5	40			Percent of total billed charges		1794	80			Percent of total billed charges		3588	90			Percent of total billed charges		4036.5	85			Percent of total billed charges		3812.25	85			Percent of total billed charges		3812.25	85			Percent of total billed charges		3812.25	100			Percent of total billed charges		4485	100			Percent of total billed charges		4485	100			Percent of total billed charges		4485	33.3			Percent of total billed charges		1493.505	33.3			Percent of total billed charges		1493.505	100			Percent of total billed charges		4485	1493.505	4036.5	
tritanium hemispherical solid back shell 54mm 500-03-54e stryker	278	RC	Outpatient			4485	2915.25		90			Percent of total billed charges		4036.5	40			Percent of total billed charges		1794	80			Percent of total billed charges		3588	90			Percent of total billed charges		4036.5	85			Percent of total billed charges		3812.25	85			Percent of total billed charges		3812.25	85			Percent of total billed charges		3812.25	100			Percent of total billed charges		4485	100			Percent of total billed charges		4485	100			Percent of total billed charges		4485	33.3			Percent of total billed charges		1493.505	33.3			Percent of total billed charges		1493.505	100			Percent of total billed charges		4485	1493.505	4036.5	
tritanium hemispherical solid back shell 58mm 500-03-58f stryker	278	RC	Outpatient			4485	2915.25		90			Percent of total billed charges		4036.5	40			Percent of total billed charges		1794	80			Percent of total billed charges		3588	90			Percent of total billed charges		4036.5	85			Percent of total billed charges		3812.25	85			Percent of total billed charges		3812.25	85			Percent of total billed charges		3812.25	100			Percent of total billed charges		4485	100			Percent of total billed charges		4485	100			Percent of total billed charges		4485	33.3			Percent of total billed charges		1493.505	33.3			Percent of total billed charges		1493.505	100			Percent of total billed charges		4485	1493.505	4036.5	
depuy acct. liner	278	RC	Outpatient			4493	2920.45		90			Percent of total billed charges		4043.7	40			Percent of total billed charges		1797.2	80			Percent of total billed charges		3594.4	90			Percent of total billed charges		4043.7	85			Percent of total billed charges		3819.05	85			Percent of total billed charges		3819.05	85			Percent of total billed charges		3819.05	100			Percent of total billed charges		4493	100			Percent of total billed charges		4493	100			Percent of total billed charges		4493	33.3			Percent of total billed charges		1496.169	33.3			Percent of total billed charges		1496.169	100			Percent of total billed charges		4493	1496.169	4043.7	
duraloc marathon acet. liner 1220-36-460 depuy	278	RC	Outpatient			4493	2920.45		90			Percent of total billed charges		4043.7	40			Percent of total billed charges		1797.2	80			Percent of total billed charges		3594.4	90			Percent of total billed charges		4043.7	85			Percent of total billed charges		3819.05	85			Percent of total billed charges		3819.05	85			Percent of total billed charges		3819.05	100			Percent of total billed charges		4493	100			Percent of total billed charges		4493	100			Percent of total billed charges		4493	33.3			Percent of total billed charges		1496.169	33.3			Percent of total billed charges		1496.169	100			Percent of total billed charges		4493	1496.169	4043.7	
lordotic peek interbody spacer 6 x 12 x 14 48322064 stryker	278	RC	Outpatient			4510	2931.5		90			Percent of total billed charges		4059	40			Percent of total billed charges		1804	80			Percent of total billed charges		3608	90			Percent of total billed charges		4059	85			Percent of total billed charges		3833.5	85			Percent of total billed charges		3833.5	85			Percent of total billed charges		3833.5	100			Percent of total billed charges		4510	100			Percent of total billed charges		4510	100			Percent of total billed charges		4510	33.3			Percent of total billed charges		1501.83	33.3			Percent of total billed charges		1501.83	100			Percent of total billed charges		4510	1501.83	4059	
lordotic peek interbody spacer 7 x 12 x 14 48322074 stryker	278	RC	Outpatient			4510	2931.5		90			Percent of total billed charges		4059	40			Percent of total billed charges		1804	80			Percent of total billed charges		3608	90			Percent of total billed charges		4059	85			Percent of total billed charges		3833.5	85			Percent of total billed charges		3833.5	85			Percent of total billed charges		3833.5	100			Percent of total billed charges		4510	100			Percent of total billed charges		4510	100			Percent of total billed charges		4510	33.3			Percent of total billed charges		1501.83	33.3			Percent of total billed charges		1501.83	100			Percent of total billed charges		4510	1501.83	4059	
lordotic peek spacer	278	RC	Outpatient			4510	2931.5		90			Percent of total billed charges		4059	40			Percent of total billed charges		1804	80			Percent of total billed charges		3608	90			Percent of total billed charges		4059	85			Percent of total billed charges		3833.5	85			Percent of total billed charges		3833.5	85			Percent of total billed charges		3833.5	100			Percent of total billed charges		4510	100			Percent of total billed charges		4510	100			Percent of total billed charges		4510	33.3			Percent of total billed charges		1501.83	33.3			Percent of total billed charges		1501.83	100			Percent of total billed charges		4510	1501.83	4059	
fem splined stem 9980-180-22 18 x 168mm zimmer	278	RC	Outpatient			4512	2932.8		90			Percent of total billed charges		4060.8	40			Percent of total billed charges		1804.8	80			Percent of total billed charges		3609.6	90			Percent of total billed charges		4060.8	85			Percent of total billed charges		3835.2	85			Percent of total billed charges		3835.2	85			Percent of total billed charges		3835.2	100			Percent of total billed charges		4512	100			Percent of total billed charges		4512	100			Percent of total billed charges		4512	33.3			Percent of total billed charges		1502.496	33.3			Percent of total billed charges		1502.496	100			Percent of total billed charges		4512	1502.496	4060.8	
femoral stem revision 12.0mm x 115mm zimmer 9980-120-21	278	RC	Outpatient			4512	2932.8		90			Percent of total billed charges		4060.8	40			Percent of total billed charges		1804.8	80			Percent of total billed charges		3609.6	90			Percent of total billed charges		4060.8	85			Percent of total billed charges		3835.2	85			Percent of total billed charges		3835.2	85			Percent of total billed charges		3835.2	100			Percent of total billed charges		4512	100			Percent of total billed charges		4512	100			Percent of total billed charges		4512	33.3			Percent of total billed charges		1502.496	33.3			Percent of total billed charges		1502.496	100			Percent of total billed charges		4512	1502.496	4060.8	
zimmer splined stem	278	RC	Outpatient			4512	2932.8		90			Percent of total billed charges		4060.8	40			Percent of total billed charges		1804.8	80			Percent of total billed charges		3609.6	90			Percent of total billed charges		4060.8	85			Percent of total billed charges		3835.2	85			Percent of total billed charges		3835.2	85			Percent of total billed charges		3835.2	100			Percent of total billed charges		4512	100			Percent of total billed charges		4512	100			Percent of total billed charges		4512	33.3			Percent of total billed charges		1502.496	33.3			Percent of total billed charges		1502.496	100			Percent of total billed charges		4512	1502.496	4060.8	
zmr fem stem 16.5 9980-165-21	278	RC	Outpatient			4512	2932.8		90			Percent of total billed charges		4060.8	40			Percent of total billed charges		1804.8	80			Percent of total billed charges		3609.6	90			Percent of total billed charges		4060.8	85			Percent of total billed charges		3835.2	85			Percent of total billed charges		3835.2	85			Percent of total billed charges		3835.2	100			Percent of total billed charges		4512	100			Percent of total billed charges		4512	100			Percent of total billed charges		4512	33.3			Percent of total billed charges		1502.496	33.3			Percent of total billed charges		1502.496	100			Percent of total billed charges		4512	1502.496	4060.8	
actifuse abs e-z-fil putyy 10ml 5 060050 78052 fuse tec	278	RC	Outpatient			4513	2933.45		90			Percent of total billed charges		4061.7	40			Percent of total billed charges		1805.2	80			Percent of total billed charges		3610.4	90			Percent of total billed charges		4061.7	85			Percent of total billed charges		3836.05	85			Percent of total billed charges		3836.05	85			Percent of total billed charges		3836.05	100			Percent of total billed charges		4513	100			Percent of total billed charges		4513	100			Percent of total billed charges		4513	33.3			Percent of total billed charges		1502.829	33.3			Percent of total billed charges		1502.829	100			Percent of total billed charges		4513	1502.829	4061.7	
actifuse-abx putty 10ml	278	RC	Outpatient			4513	2933.45		90			Percent of total billed charges		4061.7	40			Percent of total billed charges		1805.2	80			Percent of total billed charges		3610.4	90			Percent of total billed charges		4061.7	85			Percent of total billed charges		3836.05	85			Percent of total billed charges		3836.05	85			Percent of total billed charges		3836.05	100			Percent of total billed charges		4513	100			Percent of total billed charges		4513	100			Percent of total billed charges		4513	33.3			Percent of total billed charges		1502.829	33.3			Percent of total billed charges		1502.829	100			Percent of total billed charges		4513	1502.829	4061.7	
arthrex bio-composite achilles speedbridge 4.75 x 19.1mm ar-8928bc-cp	278	RC	Outpatient			4531	2945.15		90			Percent of total billed charges		4077.9	40			Percent of total billed charges		1812.4	80			Percent of total billed charges		3624.8	90			Percent of total billed charges		4077.9	85			Percent of total billed charges		3851.35	85			Percent of total billed charges		3851.35	85			Percent of total billed charges		3851.35	100			Percent of total billed charges		4531	100			Percent of total billed charges		4531	100			Percent of total billed charges		4531	33.3			Percent of total billed charges		1508.823	33.3			Percent of total billed charges		1508.823	100			Percent of total billed charges		4531	1508.823	4077.9	
arthrex bio-comp achil sb	278	RC	Outpatient			4531	2945.15		90			Percent of total billed charges		4077.9	40			Percent of total billed charges		1812.4	80			Percent of total billed charges		3624.8	90			Percent of total billed charges		4077.9	85			Percent of total billed charges		3851.35	85			Percent of total billed charges		3851.35	85			Percent of total billed charges		3851.35	100			Percent of total billed charges		4531	100			Percent of total billed charges		4531	100			Percent of total billed charges		4531	33.3			Percent of total billed charges		1508.823	33.3			Percent of total billed charges		1508.823	100			Percent of total billed charges		4531	1508.823	4077.9	
acet augment pt-210152 biomet	278	RC	Outpatient			4534	2947.1		90			Percent of total billed charges		4080.6	40			Percent of total billed charges		1813.6	80			Percent of total billed charges		3627.2	90			Percent of total billed charges		4080.6	85			Percent of total billed charges		3853.9	85			Percent of total billed charges		3853.9	85			Percent of total billed charges		3853.9	100			Percent of total billed charges		4534	100			Percent of total billed charges		4534	100			Percent of total billed charges		4534	33.3			Percent of total billed charges		1509.822	33.3			Percent of total billed charges		1509.822	100			Percent of total billed charges		4534	1509.822	4080.6	
bio reg acct aug	278	RC	Outpatient			4534	2947.1		90			Percent of total billed charges		4080.6	40			Percent of total billed charges		1813.6	80			Percent of total billed charges		3627.2	90			Percent of total billed charges		4080.6	85			Percent of total billed charges		3853.9	85			Percent of total billed charges		3853.9	85			Percent of total billed charges		3853.9	100			Percent of total billed charges		4534	100			Percent of total billed charges		4534	100			Percent of total billed charges		4534	33.3			Percent of total billed charges		1509.822	33.3			Percent of total billed charges		1509.822	100			Percent of total billed charges		4534	1509.822	4080.6	
trigen hf nail	278	RC	Outpatient			4534	2947.1		90			Percent of total billed charges		4080.6	40			Percent of total billed charges		1813.6	80			Percent of total billed charges		3627.2	90			Percent of total billed charges		4080.6	85			Percent of total billed charges		3853.9	85			Percent of total billed charges		3853.9	85			Percent of total billed charges		3853.9	100			Percent of total billed charges		4534	100			Percent of total billed charges		4534	100			Percent of total billed charges		4534	33.3			Percent of total billed charges		1509.822	33.3			Percent of total billed charges		1509.822	100			Percent of total billed charges		4534	1509.822	4080.6	
ir angio carotid cerebral bilateral	320	RC	Outpatient			4538	2949.7		90			Percent of total billed charges		4084.2	40			Percent of total billed charges		1815.2	80			Percent of total billed charges		3630.4	90			Percent of total billed charges		4084.2	85			Percent of total billed charges		3857.3	85			Percent of total billed charges		3857.3	85			Percent of total billed charges		3857.3	100			Percent of total billed charges		4538	100			Percent of total billed charges		4538	100			Percent of total billed charges		4538	33.3			Percent of total billed charges		1511.154	33.3			Percent of total billed charges		1511.154	100			Percent of total billed charges		4538	1511.154	4084.2	
bio vanguard tib bear	278	RC	Outpatient			4541	2951.65		90			Percent of total billed charges		4086.9	40			Percent of total billed charges		1816.4	80			Percent of total billed charges		3632.8	90			Percent of total billed charges		4086.9	85			Percent of total billed charges		3859.85	85			Percent of total billed charges		3859.85	85			Percent of total billed charges		3859.85	100			Percent of total billed charges		4541	100			Percent of total billed charges		4541	100			Percent of total billed charges		4541	33.3			Percent of total billed charges		1512.153	33.3			Percent of total billed charges		1512.153	100			Percent of total billed charges		4541	1512.153	4086.9	
bio maxim ps fem comp	278	RC	Outpatient			4551	2958.15		90			Percent of total billed charges		4095.9	40			Percent of total billed charges		1820.4	80			Percent of total billed charges		3640.8	90			Percent of total billed charges		4095.9	85			Percent of total billed charges		3868.35	85			Percent of total billed charges		3868.35	85			Percent of total billed charges		3868.35	100			Percent of total billed charges		4551	100			Percent of total billed charges		4551	100			Percent of total billed charges		4551	33.3			Percent of total billed charges		1515.483	33.3			Percent of total billed charges		1515.483	100			Percent of total billed charges		4551	1515.483	4095.9	
max ilk ana rf ps fem 65rt vii 145112 biomet	278	RC	Outpatient			4551	2958.15		90			Percent of total billed charges		4095.9	40			Percent of total billed charges		1820.4	80			Percent of total billed charges		3640.8	90			Percent of total billed charges		4095.9	85			Percent of total billed charges		3868.35	85			Percent of total billed charges		3868.35	85			Percent of total billed charges		3868.35	100			Percent of total billed charges		4551	100			Percent of total billed charges		4551	100			Percent of total billed charges		4551	33.3			Percent of total billed charges		1515.483	33.3			Percent of total billed charges		1515.483	100			Percent of total billed charges		4551	1515.483	4095.9	
max ilk ana rf ps fem 70lt vii 145133 biomet	278	RC	Outpatient			4551	2958.15		90			Percent of total billed charges		4095.9	40			Percent of total billed charges		1820.4	80			Percent of total billed charges		3640.8	90			Percent of total billed charges		4095.9	85			Percent of total billed charges		3868.35	85			Percent of total billed charges		3868.35	85			Percent of total billed charges		3868.35	100			Percent of total billed charges		4551	100			Percent of total billed charges		4551	100			Percent of total billed charges		4551	33.3			Percent of total billed charges		1515.483	33.3			Percent of total billed charges		1515.483	100			Percent of total billed charges		4551	1515.483	4095.9	
maxim p.s. fem comp 60mm 145131 biomet	278	RC	Outpatient			4551	2958.15		90			Percent of total billed charges		4095.9	40			Percent of total billed charges		1820.4	80			Percent of total billed charges		3640.8	90			Percent of total billed charges		4095.9	85			Percent of total billed charges		3868.35	85			Percent of total billed charges		3868.35	85			Percent of total billed charges		3868.35	100			Percent of total billed charges		4551	100			Percent of total billed charges		4551	100			Percent of total billed charges		4551	33.3			Percent of total billed charges		1515.483	33.3			Percent of total billed charges		1515.483	100			Percent of total billed charges		4551	1515.483	4095.9	
jet-x trauma ankle clamp	278	RC	Outpatient			4558	2962.7		90			Percent of total billed charges		4102.2	40			Percent of total billed charges		1823.2	80			Percent of total billed charges		3646.4	90			Percent of total billed charges		4102.2	85			Percent of total billed charges		3874.3	85			Percent of total billed charges		3874.3	85			Percent of total billed charges		3874.3	100			Percent of total billed charges		4558	100			Percent of total billed charges		4558	100			Percent of total billed charges		4558	33.3			Percent of total billed charges		1517.814	33.3			Percent of total billed charges		1517.814	100			Percent of total billed charges		4558	1517.814	4102.2	
s/n jet-x fixator  clamp 7105-1044	278	RC	Outpatient			4558	2962.7		90			Percent of total billed charges		4102.2	40			Percent of total billed charges		1823.2	80			Percent of total billed charges		3646.4	90			Percent of total billed charges		4102.2	85			Percent of total billed charges		3874.3	85			Percent of total billed charges		3874.3	85			Percent of total billed charges		3874.3	100			Percent of total billed charges		4558	100			Percent of total billed charges		4558	100			Percent of total billed charges		4558	33.3			Percent of total billed charges		1517.814	33.3			Percent of total billed charges		1517.814	100			Percent of total billed charges		4558	1517.814	4102.2	
oxford peg femur	278	RC	Outpatient			4574	2973.1		90			Percent of total billed charges		4116.6	40			Percent of total billed charges		1829.6	80			Percent of total billed charges		3659.2	90			Percent of total billed charges		4116.6	85			Percent of total billed charges		3887.9	85			Percent of total billed charges		3887.9	85			Percent of total billed charges		3887.9	100			Percent of total billed charges		4574	100			Percent of total billed charges		4574	100			Percent of total billed charges		4574	33.3			Percent of total billed charges		1523.142	33.3			Percent of total billed charges		1523.142	100			Percent of total billed charges		4574	1523.142	4116.6	
oxford twin pegged femur small 161468 biomet	278	RC	Outpatient			4574	2973.1		90			Percent of total billed charges		4116.6	40			Percent of total billed charges		1829.6	80			Percent of total billed charges		3659.2	90			Percent of total billed charges		4116.6	85			Percent of total billed charges		3887.9	85			Percent of total billed charges		3887.9	85			Percent of total billed charges		3887.9	100			Percent of total billed charges		4574	100			Percent of total billed charges		4574	100			Percent of total billed charges		4574	33.3			Percent of total billed charges		1523.142	33.3			Percent of total billed charges		1523.142	100			Percent of total billed charges		4574	1523.142	4116.6	
oxford twin pegged femur medium 161469 biomet	278	RC	Outpatient			4574	2973.1		90			Percent of total billed charges		4116.6	40			Percent of total billed charges		1829.6	80			Percent of total billed charges		3659.2	90			Percent of total billed charges		4116.6	85			Percent of total billed charges		3887.9	85			Percent of total billed charges		3887.9	85			Percent of total billed charges		3887.9	100			Percent of total billed charges		4574	100			Percent of total billed charges		4574	100			Percent of total billed charges		4574	33.3			Percent of total billed charges		1523.142	33.3			Percent of total billed charges		1523.142	100			Percent of total billed charges		4574	1523.142	4116.6	
synthes ext fix complex	278	RC	Outpatient			4579	2976.35		90			Percent of total billed charges		4121.1	40			Percent of total billed charges		1831.6	80			Percent of total billed charges		3663.2	90			Percent of total billed charges		4121.1	85			Percent of total billed charges		3892.15	85			Percent of total billed charges		3892.15	85			Percent of total billed charges		3892.15	100			Percent of total billed charges		4579	100			Percent of total billed charges		4579	100			Percent of total billed charges		4579	33.3			Percent of total billed charges		1524.807	33.3			Percent of total billed charges		1524.807	100			Percent of total billed charges		4579	1524.807	4121.1	
radial prosthesis-stem	278	RC	Outpatient			4593	2985.45		90			Percent of total billed charges		4133.7	40			Percent of total billed charges		1837.2	80			Percent of total billed charges		3674.4	90			Percent of total billed charges		4133.7	85			Percent of total billed charges		3904.05	85			Percent of total billed charges		3904.05	85			Percent of total billed charges		3904.05	100			Percent of total billed charges		4593	100			Percent of total billed charges		4593	100			Percent of total billed charges		4593	33.3			Percent of total billed charges		1529.469	33.3			Percent of total billed charges		1529.469	100			Percent of total billed charges		4593	1529.469	4133.7	
rhs-radial prosthesis stem 22mm dtj101 tornier	278	RC	Outpatient			4593	2985.45		90			Percent of total billed charges		4133.7	40			Percent of total billed charges		1837.2	80			Percent of total billed charges		3674.4	90			Percent of total billed charges		4133.7	85			Percent of total billed charges		3904.05	85			Percent of total billed charges		3904.05	85			Percent of total billed charges		3904.05	100			Percent of total billed charges		4593	100			Percent of total billed charges		4593	100			Percent of total billed charges		4593	33.3			Percent of total billed charges		1529.469	33.3			Percent of total billed charges		1529.469	100			Percent of total billed charges		4593	1529.469	4133.7	
tibial articular surface 17mm 5110-43-17 zimmer	275	RC	Outpatient			4593	2985.45		90			Percent of total billed charges		4133.7	40			Percent of total billed charges		1837.2	80			Percent of total billed charges		3674.4	90			Percent of total billed charges		4133.7	85			Percent of total billed charges		3904.05	85			Percent of total billed charges		3904.05	85			Percent of total billed charges		3904.05	100			Percent of total billed charges		4593	100			Percent of total billed charges		4593	100			Percent of total billed charges		4593	33.3			Percent of total billed charges		1529.469	33.3			Percent of total billed charges		1529.469	100			Percent of total billed charges		4593	1529.469	4133.7	
zimm tib surface	275	RC	Outpatient			4593	2985.45		90			Percent of total billed charges		4133.7	40			Percent of total billed charges		1837.2	80			Percent of total billed charges		3674.4	90			Percent of total billed charges		4133.7	85			Percent of total billed charges		3904.05	85			Percent of total billed charges		3904.05	85			Percent of total billed charges		3904.05	100			Percent of total billed charges		4593	100			Percent of total billed charges		4593	100			Percent of total billed charges		4593	33.3			Percent of total billed charges		1529.469	33.3			Percent of total billed charges		1529.469	100			Percent of total billed charges		4593	1529.469	4133.7	
zimmer post stabilzied tib art surface sz 59 5220-32-05	275	RC	Outpatient			4593	2985.45		90			Percent of total billed charges		4133.7	40			Percent of total billed charges		1837.2	80			Percent of total billed charges		3674.4	90			Percent of total billed charges		4133.7	85			Percent of total billed charges		3904.05	85			Percent of total billed charges		3904.05	85			Percent of total billed charges		3904.05	100			Percent of total billed charges		4593	100			Percent of total billed charges		4593	100			Percent of total billed charges		4593	33.3			Percent of total billed charges		1529.469	33.3			Percent of total billed charges		1529.469	100			Percent of total billed charges		4593	1529.469	4133.7	
genesis ii  nonporous posterior stabilized fem sz 3 left 71420100 s/n	278	RC	Outpatient			4603	2991.95		90			Percent of total billed charges		4142.7	40			Percent of total billed charges		1841.2	80			Percent of total billed charges		3682.4	90			Percent of total billed charges		4142.7	85			Percent of total billed charges		3912.55	85			Percent of total billed charges		3912.55	85			Percent of total billed charges		3912.55	100			Percent of total billed charges		4603	100			Percent of total billed charges		4603	100			Percent of total billed charges		4603	33.3			Percent of total billed charges		1532.799	33.3			Percent of total billed charges		1532.799	100			Percent of total billed charges		4603	1532.799	4142.7	
genesis ii  nonporous posterior stabilized femoral sz 6 left 71420106 s/n	278	RC	Outpatient			4603	2991.95		90			Percent of total billed charges		4142.7	40			Percent of total billed charges		1841.2	80			Percent of total billed charges		3682.4	90			Percent of total billed charges		4142.7	85			Percent of total billed charges		3912.55	85			Percent of total billed charges		3912.55	85			Percent of total billed charges		3912.55	100			Percent of total billed charges		4603	100			Percent of total billed charges		4603	100			Percent of total billed charges		4603	33.3			Percent of total billed charges		1532.799	33.3			Percent of total billed charges		1532.799	100			Percent of total billed charges		4603	1532.799	4142.7	
genesis ii nonporous posterior stabilized femoral size 4 left 71420102 s/n	278	RC	Outpatient			4603	2991.95		90			Percent of total billed charges		4142.7	40			Percent of total billed charges		1841.2	80			Percent of total billed charges		3682.4	90			Percent of total billed charges		4142.7	85			Percent of total billed charges		3912.55	85			Percent of total billed charges		3912.55	85			Percent of total billed charges		3912.55	100			Percent of total billed charges		4603	100			Percent of total billed charges		4603	100			Percent of total billed charges		4603	33.3			Percent of total billed charges		1532.799	33.3			Percent of total billed charges		1532.799	100			Percent of total billed charges		4603	1532.799	4142.7	
genesis ii nonporous posterior stabilized femoral size 7 left 71420108 s/n	278	RC	Outpatient			4603	2991.95		90			Percent of total billed charges		4142.7	40			Percent of total billed charges		1841.2	80			Percent of total billed charges		3682.4	90			Percent of total billed charges		4142.7	85			Percent of total billed charges		3912.55	85			Percent of total billed charges		3912.55	85			Percent of total billed charges		3912.55	100			Percent of total billed charges		4603	100			Percent of total billed charges		4603	100			Percent of total billed charges		4603	33.3			Percent of total billed charges		1532.799	33.3			Percent of total billed charges		1532.799	100			Percent of total billed charges		4603	1532.799	4142.7	
genesis ii nonporous posterior stabilized femoral size 8 left  71420110 s/n	278	RC	Outpatient			4603	2991.95		90			Percent of total billed charges		4142.7	40			Percent of total billed charges		1841.2	80			Percent of total billed charges		3682.4	90			Percent of total billed charges		4142.7	85			Percent of total billed charges		3912.55	85			Percent of total billed charges		3912.55	85			Percent of total billed charges		3912.55	100			Percent of total billed charges		4603	100			Percent of total billed charges		4603	100			Percent of total billed charges		4603	33.3			Percent of total billed charges		1532.799	33.3			Percent of total billed charges		1532.799	100			Percent of total billed charges		4603	1532.799	4142.7	
genesis ii nonporous posterior stabilized femoral size1 left 71420096 s/n	278	RC	Outpatient			4603	2991.95		90			Percent of total billed charges		4142.7	40			Percent of total billed charges		1841.2	80			Percent of total billed charges		3682.4	90			Percent of total billed charges		4142.7	85			Percent of total billed charges		3912.55	85			Percent of total billed charges		3912.55	85			Percent of total billed charges		3912.55	100			Percent of total billed charges		4603	100			Percent of total billed charges		4603	100			Percent of total billed charges		4603	33.3			Percent of total billed charges		1532.799	33.3			Percent of total billed charges		1532.799	100			Percent of total billed charges		4603	1532.799	4142.7	
genesis ii nonporous posterior stabilized femoral sz 3 right 71420116 s/n	278	RC	Outpatient			4603	2991.95		90			Percent of total billed charges		4142.7	40			Percent of total billed charges		1841.2	80			Percent of total billed charges		3682.4	90			Percent of total billed charges		4142.7	85			Percent of total billed charges		3912.55	85			Percent of total billed charges		3912.55	85			Percent of total billed charges		3912.55	100			Percent of total billed charges		4603	100			Percent of total billed charges		4603	100			Percent of total billed charges		4603	33.3			Percent of total billed charges		1532.799	33.3			Percent of total billed charges		1532.799	100			Percent of total billed charges		4603	1532.799	4142.7	
genesis ii nonporous posterior stabilized femoral sz 4 rt 71420118 s/n	278	RC	Outpatient			4603	2991.95		90			Percent of total billed charges		4142.7	40			Percent of total billed charges		1841.2	80			Percent of total billed charges		3682.4	90			Percent of total billed charges		4142.7	85			Percent of total billed charges		3912.55	85			Percent of total billed charges		3912.55	85			Percent of total billed charges		3912.55	100			Percent of total billed charges		4603	100			Percent of total billed charges		4603	100			Percent of total billed charges		4603	33.3			Percent of total billed charges		1532.799	33.3			Percent of total billed charges		1532.799	100			Percent of total billed charges		4603	1532.799	4142.7	
genesis ii nonporous posterior stabilized femoral sz 6 rt 71420122 s/n	278	RC	Outpatient			4603	2991.95		90			Percent of total billed charges		4142.7	40			Percent of total billed charges		1841.2	80			Percent of total billed charges		3682.4	90			Percent of total billed charges		4142.7	85			Percent of total billed charges		3912.55	85			Percent of total billed charges		3912.55	85			Percent of total billed charges		3912.55	100			Percent of total billed charges		4603	100			Percent of total billed charges		4603	100			Percent of total billed charges		4603	33.3			Percent of total billed charges		1532.799	33.3			Percent of total billed charges		1532.799	100			Percent of total billed charges		4603	1532.799	4142.7	
genesis ii nonporous posterior stabilized femoral sz 8 rt  71420126 s/n	278	RC	Outpatient			4603	2991.95		90			Percent of total billed charges		4142.7	40			Percent of total billed charges		1841.2	80			Percent of total billed charges		3682.4	90			Percent of total billed charges		4142.7	85			Percent of total billed charges		3912.55	85			Percent of total billed charges		3912.55	85			Percent of total billed charges		3912.55	100			Percent of total billed charges		4603	100			Percent of total billed charges		4603	100			Percent of total billed charges		4603	33.3			Percent of total billed charges		1532.799	33.3			Percent of total billed charges		1532.799	100			Percent of total billed charges		4603	1532.799	4142.7	
genesis ii nonporous posterior stabilized fem sz2 left 71420098 s/n	278	RC	Outpatient			4603	2991.95		90			Percent of total billed charges		4142.7	40			Percent of total billed charges		1841.2	80			Percent of total billed charges		3682.4	90			Percent of total billed charges		4142.7	85			Percent of total billed charges		3912.55	85			Percent of total billed charges		3912.55	85			Percent of total billed charges		3912.55	100			Percent of total billed charges		4603	100			Percent of total billed charges		4603	100			Percent of total billed charges		4603	33.3			Percent of total billed charges		1532.799	33.3			Percent of total billed charges		1532.799	100			Percent of total billed charges		4603	1532.799	4142.7	
genesis ii nonporous posterior stabilized femoral size 5 left 71420104 s/n	278	RC	Outpatient			4603	2991.95		90			Percent of total billed charges		4142.7	40			Percent of total billed charges		1841.2	80			Percent of total billed charges		3682.4	90			Percent of total billed charges		4142.7	85			Percent of total billed charges		3912.55	85			Percent of total billed charges		3912.55	85			Percent of total billed charges		3912.55	100			Percent of total billed charges		4603	100			Percent of total billed charges		4603	100			Percent of total billed charges		4603	33.3			Percent of total billed charges		1532.799	33.3			Percent of total billed charges		1532.799	100			Percent of total billed charges		4603	1532.799	4142.7	
genesis ii nonporous posterior stabilized femoral sz 1 right  71420112 s/n	278	RC	Outpatient			4603	2991.95		90			Percent of total billed charges		4142.7	40			Percent of total billed charges		1841.2	80			Percent of total billed charges		3682.4	90			Percent of total billed charges		4142.7	85			Percent of total billed charges		3912.55	85			Percent of total billed charges		3912.55	85			Percent of total billed charges		3912.55	100			Percent of total billed charges		4603	100			Percent of total billed charges		4603	100			Percent of total billed charges		4603	33.3			Percent of total billed charges		1532.799	33.3			Percent of total billed charges		1532.799	100			Percent of total billed charges		4603	1532.799	4142.7	
genesis ii nonporous posterior stabilized femoral sz 5 rt 71420120 s/n	278	RC	Outpatient			4603	2991.95		90			Percent of total billed charges		4142.7	40			Percent of total billed charges		1841.2	80			Percent of total billed charges		3682.4	90			Percent of total billed charges		4142.7	85			Percent of total billed charges		3912.55	85			Percent of total billed charges		3912.55	85			Percent of total billed charges		3912.55	100			Percent of total billed charges		4603	100			Percent of total billed charges		4603	100			Percent of total billed charges		4603	33.3			Percent of total billed charges		1532.799	33.3			Percent of total billed charges		1532.799	100			Percent of total billed charges		4603	1532.799	4142.7	
genesis ii nonporous posterior stabilized femoral sz 7 rt 71420124 s/n	278	RC	Outpatient			4603	2991.95		90			Percent of total billed charges		4142.7	40			Percent of total billed charges		1841.2	80			Percent of total billed charges		3682.4	90			Percent of total billed charges		4142.7	85			Percent of total billed charges		3912.55	85			Percent of total billed charges		3912.55	85			Percent of total billed charges		3912.55	100			Percent of total billed charges		4603	100			Percent of total billed charges		4603	100			Percent of total billed charges		4603	33.3			Percent of total billed charges		1532.799	33.3			Percent of total billed charges		1532.799	100			Percent of total billed charges		4603	1532.799	4142.7	
richards gii por fem	278	RC	Outpatient			4603	2991.95		90			Percent of total billed charges		4142.7	40			Percent of total billed charges		1841.2	80			Percent of total billed charges		3682.4	90			Percent of total billed charges		4142.7	85			Percent of total billed charges		3912.55	85			Percent of total billed charges		3912.55	85			Percent of total billed charges		3912.55	100			Percent of total billed charges		4603	100			Percent of total billed charges		4603	100			Percent of total billed charges		4603	33.3			Percent of total billed charges		1532.799	33.3			Percent of total billed charges		1532.799	100			Percent of total billed charges		4603	1532.799	4142.7	
ir thrombectomy perc	360	RC	Outpatient			4619	3002.35		90			Percent of total billed charges		4157.1	40			Percent of total billed charges		1847.6	80			Percent of total billed charges		3695.2	90			Percent of total billed charges		4157.1	85			Percent of total billed charges		3926.15	85			Percent of total billed charges		3926.15	85			Percent of total billed charges		3926.15	100			Percent of total billed charges		4619	100			Percent of total billed charges		4619	100			Percent of total billed charges		4619	33.3			Percent of total billed charges		1538.127	33.3			Percent of total billed charges		1538.127	100			Percent of total billed charges		4619	1538.127	4157.1	
strucsure cp kit 16cc 717816 s/n	278	RC	Outpatient			4629	3008.85		90			Percent of total billed charges		4166.1	40			Percent of total billed charges		1851.6	80			Percent of total billed charges		3703.2	90			Percent of total billed charges		4166.1	85			Percent of total billed charges		3934.65	85			Percent of total billed charges		3934.65	85			Percent of total billed charges		3934.65	100			Percent of total billed charges		4629	100			Percent of total billed charges		4629	100			Percent of total billed charges		4629	33.3			Percent of total billed charges		1541.457	33.3			Percent of total billed charges		1541.457	100			Percent of total billed charges		4629	1541.457	4166.1	
l-p tib plt 3.5mm 10 hr 71820510 s\n	278	RC	Outpatient			4647	3020.55		90			Percent of total billed charges		4182.3	40			Percent of total billed charges		1858.8	80			Percent of total billed charges		3717.6	90			Percent of total billed charges		4182.3	85			Percent of total billed charges		3949.95	85			Percent of total billed charges		3949.95	85			Percent of total billed charges		3949.95	100			Percent of total billed charges		4647	100			Percent of total billed charges		4647	100			Percent of total billed charges		4647	33.3			Percent of total billed charges		1547.451	33.3			Percent of total billed charges		1547.451	100			Percent of total billed charges		4647	1547.451	4182.3	
l-p tib lk plate3.5mm 10-hole 149mm 71800410 s/n	278	RC	Outpatient			4647	3020.55		90			Percent of total billed charges		4182.3	40			Percent of total billed charges		1858.8	80			Percent of total billed charges		3717.6	90			Percent of total billed charges		4182.3	85			Percent of total billed charges		3949.95	85			Percent of total billed charges		3949.95	85			Percent of total billed charges		3949.95	100			Percent of total billed charges		4647	100			Percent of total billed charges		4647	100			Percent of total billed charges		4647	33.3			Percent of total billed charges		1547.451	33.3			Percent of total billed charges		1547.451	100			Percent of total billed charges		4647	1547.451	4182.3	
l-p tib lk plate3.5mm 10-hole 149mm 71800510 s/n	278	RC	Outpatient			4647	3020.55		90			Percent of total billed charges		4182.3	40			Percent of total billed charges		1858.8	80			Percent of total billed charges		3717.6	90			Percent of total billed charges		4182.3	85			Percent of total billed charges		3949.95	85			Percent of total billed charges		3949.95	85			Percent of total billed charges		3949.95	100			Percent of total billed charges		4647	100			Percent of total billed charges		4647	100			Percent of total billed charges		4647	33.3			Percent of total billed charges		1547.451	33.3			Percent of total billed charges		1547.451	100			Percent of total billed charges		4647	1547.451	4182.3	
l-p tib plt 3.5mm 10 hl 71820410 s\n	278	RC	Outpatient			4647	3020.55		90			Percent of total billed charges		4182.3	40			Percent of total billed charges		1858.8	80			Percent of total billed charges		3717.6	90			Percent of total billed charges		4182.3	85			Percent of total billed charges		3949.95	85			Percent of total billed charges		3949.95	85			Percent of total billed charges		3949.95	100			Percent of total billed charges		4647	100			Percent of total billed charges		4647	100			Percent of total billed charges		4647	33.3			Percent of total billed charges		1547.451	33.3			Percent of total billed charges		1547.451	100			Percent of total billed charges		4647	1547.451	4182.3	
s/n 3.5 l-p tib lk pl 10h	278	RC	Outpatient			4647	3020.55		90			Percent of total billed charges		4182.3	40			Percent of total billed charges		1858.8	80			Percent of total billed charges		3717.6	90			Percent of total billed charges		4182.3	85			Percent of total billed charges		3949.95	85			Percent of total billed charges		3949.95	85			Percent of total billed charges		3949.95	100			Percent of total billed charges		4647	100			Percent of total billed charges		4647	100			Percent of total billed charges		4647	33.3			Percent of total billed charges		1547.451	33.3			Percent of total billed charges		1547.451	100			Percent of total billed charges		4647	1547.451	4182.3	
triathlon cr fem component 5510-f-202 stryker	278	RC	Outpatient			4649	3021.85		90			Percent of total billed charges		4184.1	40			Percent of total billed charges		1859.6	80			Percent of total billed charges		3719.2	90			Percent of total billed charges		4184.1	85			Percent of total billed charges		3951.65	85			Percent of total billed charges		3951.65	85			Percent of total billed charges		3951.65	100			Percent of total billed charges		4649	100			Percent of total billed charges		4649	100			Percent of total billed charges		4649	33.3			Percent of total billed charges		1548.117	33.3			Percent of total billed charges		1548.117	100			Percent of total billed charges		4649	1548.117	4184.1	
triathlon cr fem component 5510-f-401 stryker	278	RC	Outpatient			4649	3021.85		90			Percent of total billed charges		4184.1	40			Percent of total billed charges		1859.6	80			Percent of total billed charges		3719.2	90			Percent of total billed charges		4184.1	85			Percent of total billed charges		3951.65	85			Percent of total billed charges		3951.65	85			Percent of total billed charges		3951.65	100			Percent of total billed charges		4649	100			Percent of total billed charges		4649	100			Percent of total billed charges		4649	33.3			Percent of total billed charges		1548.117	33.3			Percent of total billed charges		1548.117	100			Percent of total billed charges		4649	1548.117	4184.1	
triathlon cr fem component 5510-f-502 stryker	278	RC	Outpatient			4649	3021.85		90			Percent of total billed charges		4184.1	40			Percent of total billed charges		1859.6	80			Percent of total billed charges		3719.2	90			Percent of total billed charges		4184.1	85			Percent of total billed charges		3951.65	85			Percent of total billed charges		3951.65	85			Percent of total billed charges		3951.65	100			Percent of total billed charges		4649	100			Percent of total billed charges		4649	100			Percent of total billed charges		4649	33.3			Percent of total billed charges		1548.117	33.3			Percent of total billed charges		1548.117	100			Percent of total billed charges		4649	1548.117	4184.1	
triathlon cr fem component 5510-f-601 stryker	278	RC	Outpatient			4649	3021.85		90			Percent of total billed charges		4184.1	40			Percent of total billed charges		1859.6	80			Percent of total billed charges		3719.2	90			Percent of total billed charges		4184.1	85			Percent of total billed charges		3951.65	85			Percent of total billed charges		3951.65	85			Percent of total billed charges		3951.65	100			Percent of total billed charges		4649	100			Percent of total billed charges		4649	100			Percent of total billed charges		4649	33.3			Percent of total billed charges		1548.117	33.3			Percent of total billed charges		1548.117	100			Percent of total billed charges		4649	1548.117	4184.1	
triathlon cr fem component 5510-f-701 stryker	278	RC	Outpatient			4649	3021.85		90			Percent of total billed charges		4184.1	40			Percent of total billed charges		1859.6	80			Percent of total billed charges		3719.2	90			Percent of total billed charges		4184.1	85			Percent of total billed charges		3951.65	85			Percent of total billed charges		3951.65	85			Percent of total billed charges		3951.65	100			Percent of total billed charges		4649	100			Percent of total billed charges		4649	100			Percent of total billed charges		4649	33.3			Percent of total billed charges		1548.117	33.3			Percent of total billed charges		1548.117	100			Percent of total billed charges		4649	1548.117	4184.1	
triathlon cr fem component 5510-f-801 stryker	278	RC	Outpatient			4649	3021.85		90			Percent of total billed charges		4184.1	40			Percent of total billed charges		1859.6	80			Percent of total billed charges		3719.2	90			Percent of total billed charges		4184.1	85			Percent of total billed charges		3951.65	85			Percent of total billed charges		3951.65	85			Percent of total billed charges		3951.65	100			Percent of total billed charges		4649	100			Percent of total billed charges		4649	100			Percent of total billed charges		4649	33.3			Percent of total billed charges		1548.117	33.3			Percent of total billed charges		1548.117	100			Percent of total billed charges		4649	1548.117	4184.1	
triathlon fem comp	278	RC	Outpatient			4649	3021.85		90			Percent of total billed charges		4184.1	40			Percent of total billed charges		1859.6	80			Percent of total billed charges		3719.2	90			Percent of total billed charges		4184.1	85			Percent of total billed charges		3951.65	85			Percent of total billed charges		3951.65	85			Percent of total billed charges		3951.65	100			Percent of total billed charges		4649	100			Percent of total billed charges		4649	100			Percent of total billed charges		4649	33.3			Percent of total billed charges		1548.117	33.3			Percent of total billed charges		1548.117	100			Percent of total billed charges		4649	1548.117	4184.1	
triathlon cr fem component 5510-f-201 stryker	278	RC	Outpatient			4649	3021.85		90			Percent of total billed charges		4184.1	40			Percent of total billed charges		1859.6	80			Percent of total billed charges		3719.2	90			Percent of total billed charges		4184.1	85			Percent of total billed charges		3951.65	85			Percent of total billed charges		3951.65	85			Percent of total billed charges		3951.65	100			Percent of total billed charges		4649	100			Percent of total billed charges		4649	100			Percent of total billed charges		4649	33.3			Percent of total billed charges		1548.117	33.3			Percent of total billed charges		1548.117	100			Percent of total billed charges		4649	1548.117	4184.1	
triathlon cr fem component 5510-f-301 stryker	278	RC	Outpatient			4649	3021.85		90			Percent of total billed charges		4184.1	40			Percent of total billed charges		1859.6	80			Percent of total billed charges		3719.2	90			Percent of total billed charges		4184.1	85			Percent of total billed charges		3951.65	85			Percent of total billed charges		3951.65	85			Percent of total billed charges		3951.65	100			Percent of total billed charges		4649	100			Percent of total billed charges		4649	100			Percent of total billed charges		4649	33.3			Percent of total billed charges		1548.117	33.3			Percent of total billed charges		1548.117	100			Percent of total billed charges		4649	1548.117	4184.1	
triathlon cr fem component 5510-f-302 stryker	278	RC	Outpatient			4649	3021.85		90			Percent of total billed charges		4184.1	40			Percent of total billed charges		1859.6	80			Percent of total billed charges		3719.2	90			Percent of total billed charges		4184.1	85			Percent of total billed charges		3951.65	85			Percent of total billed charges		3951.65	85			Percent of total billed charges		3951.65	100			Percent of total billed charges		4649	100			Percent of total billed charges		4649	100			Percent of total billed charges		4649	33.3			Percent of total billed charges		1548.117	33.3			Percent of total billed charges		1548.117	100			Percent of total billed charges		4649	1548.117	4184.1	
triathlon cr fem component 5510-f-402 stryker	278	RC	Outpatient			4649	3021.85		90			Percent of total billed charges		4184.1	40			Percent of total billed charges		1859.6	80			Percent of total billed charges		3719.2	90			Percent of total billed charges		4184.1	85			Percent of total billed charges		3951.65	85			Percent of total billed charges		3951.65	85			Percent of total billed charges		3951.65	100			Percent of total billed charges		4649	100			Percent of total billed charges		4649	100			Percent of total billed charges		4649	33.3			Percent of total billed charges		1548.117	33.3			Percent of total billed charges		1548.117	100			Percent of total billed charges		4649	1548.117	4184.1	
triathlon cr fem component 5510-f-501 stryker	278	RC	Outpatient			4649	3021.85		90			Percent of total billed charges		4184.1	40			Percent of total billed charges		1859.6	80			Percent of total billed charges		3719.2	90			Percent of total billed charges		4184.1	85			Percent of total billed charges		3951.65	85			Percent of total billed charges		3951.65	85			Percent of total billed charges		3951.65	100			Percent of total billed charges		4649	100			Percent of total billed charges		4649	100			Percent of total billed charges		4649	33.3			Percent of total billed charges		1548.117	33.3			Percent of total billed charges		1548.117	100			Percent of total billed charges		4649	1548.117	4184.1	
triathlon cr fem component 5510-f-602 stryker	278	RC	Outpatient			4649	3021.85		90			Percent of total billed charges		4184.1	40			Percent of total billed charges		1859.6	80			Percent of total billed charges		3719.2	90			Percent of total billed charges		4184.1	85			Percent of total billed charges		3951.65	85			Percent of total billed charges		3951.65	85			Percent of total billed charges		3951.65	100			Percent of total billed charges		4649	100			Percent of total billed charges		4649	100			Percent of total billed charges		4649	33.3			Percent of total billed charges		1548.117	33.3			Percent of total billed charges		1548.117	100			Percent of total billed charges		4649	1548.117	4184.1	
triathlon cr fem component 5510-f-702 stryker	278	RC	Outpatient			4649	3021.85		90			Percent of total billed charges		4184.1	40			Percent of total billed charges		1859.6	80			Percent of total billed charges		3719.2	90			Percent of total billed charges		4184.1	85			Percent of total billed charges		3951.65	85			Percent of total billed charges		3951.65	85			Percent of total billed charges		3951.65	100			Percent of total billed charges		4649	100			Percent of total billed charges		4649	100			Percent of total billed charges		4649	33.3			Percent of total billed charges		1548.117	33.3			Percent of total billed charges		1548.117	100			Percent of total billed charges		4649	1548.117	4184.1	
triathlon cr fem component sz 1 5510-f-102 stryker	278	RC	Outpatient			4649	3021.85		90			Percent of total billed charges		4184.1	40			Percent of total billed charges		1859.6	80			Percent of total billed charges		3719.2	90			Percent of total billed charges		4184.1	85			Percent of total billed charges		3951.65	85			Percent of total billed charges		3951.65	85			Percent of total billed charges		3951.65	100			Percent of total billed charges		4649	100			Percent of total billed charges		4649	100			Percent of total billed charges		4649	33.3			Percent of total billed charges		1548.117	33.3			Percent of total billed charges		1548.117	100			Percent of total billed charges		4649	1548.117	4184.1	
bio max stem tib plt	278	RC	Outpatient			4661	3029.65		90			Percent of total billed charges		4194.9	40			Percent of total billed charges		1864.4	80			Percent of total billed charges		3728.8	90			Percent of total billed charges		4194.9	85			Percent of total billed charges		3961.85	85			Percent of total billed charges		3961.85	85			Percent of total billed charges		3961.85	100			Percent of total billed charges		4661	100			Percent of total billed charges		4661	100			Percent of total billed charges		4661	33.3			Percent of total billed charges		1552.113	33.3			Percent of total billed charges		1552.113	100			Percent of total billed charges		4661	1552.113	4194.9	
maxim stemmed tibial plate 67mm 141512 biomet	278	RC	Outpatient			4661	3029.65		90			Percent of total billed charges		4194.9	40			Percent of total billed charges		1864.4	80			Percent of total billed charges		3728.8	90			Percent of total billed charges		4194.9	85			Percent of total billed charges		3961.85	85			Percent of total billed charges		3961.85	85			Percent of total billed charges		3961.85	100			Percent of total billed charges		4661	100			Percent of total billed charges		4661	100			Percent of total billed charges		4661	33.3			Percent of total billed charges		1552.113	33.3			Percent of total billed charges		1552.113	100			Percent of total billed charges		4661	1552.113	4194.9	
maxim stemmed tibial plate 79mm 141515 biomet	278	RC	Outpatient			4661	3029.65		90			Percent of total billed charges		4194.9	40			Percent of total billed charges		1864.4	80			Percent of total billed charges		3728.8	90			Percent of total billed charges		4194.9	85			Percent of total billed charges		3961.85	85			Percent of total billed charges		3961.85	85			Percent of total billed charges		3961.85	100			Percent of total billed charges		4661	100			Percent of total billed charges		4661	100			Percent of total billed charges		4661	33.3			Percent of total billed charges		1552.113	33.3			Percent of total billed charges		1552.113	100			Percent of total billed charges		4661	1552.113	4194.9	
maxim stemmed tibial plate 63mm 141511 biomet	278	RC	Outpatient			4661	3029.65		90			Percent of total billed charges		4194.9	40			Percent of total billed charges		1864.4	80			Percent of total billed charges		3728.8	90			Percent of total billed charges		4194.9	85			Percent of total billed charges		3961.85	85			Percent of total billed charges		3961.85	85			Percent of total billed charges		3961.85	100			Percent of total billed charges		4661	100			Percent of total billed charges		4661	100			Percent of total billed charges		4661	33.3			Percent of total billed charges		1552.113	33.3			Percent of total billed charges		1552.113	100			Percent of total billed charges		4661	1552.113	4194.9	
maxim stemmed tibial plate 75mm 141514 biomet	278	RC	Outpatient			4661	3029.65		90			Percent of total billed charges		4194.9	40			Percent of total billed charges		1864.4	80			Percent of total billed charges		3728.8	90			Percent of total billed charges		4194.9	85			Percent of total billed charges		3961.85	85			Percent of total billed charges		3961.85	85			Percent of total billed charges		3961.85	100			Percent of total billed charges		4661	100			Percent of total billed charges		4661	100			Percent of total billed charges		4661	33.3			Percent of total billed charges		1552.113	33.3			Percent of total billed charges		1552.113	100			Percent of total billed charges		4661	1552.113	4194.9	
bio maxim open fem	278	RC	Outpatient			4665	3032.25		90			Percent of total billed charges		4198.5	40			Percent of total billed charges		1866	80			Percent of total billed charges		3732	90			Percent of total billed charges		4198.5	85			Percent of total billed charges		3965.25	85			Percent of total billed charges		3965.25	85			Percent of total billed charges		3965.25	100			Percent of total billed charges		4665	100			Percent of total billed charges		4665	100			Percent of total billed charges		4665	33.3			Percent of total billed charges		1553.445	33.3			Percent of total billed charges		1553.445	100			Percent of total billed charges		4665	1553.445	4198.5	
biomet maxim open ps femoral 70 rt 145153	278	RC	Outpatient			4665	3032.25		90			Percent of total billed charges		4198.5	40			Percent of total billed charges		1866	80			Percent of total billed charges		3732	90			Percent of total billed charges		4198.5	85			Percent of total billed charges		3965.25	85			Percent of total billed charges		3965.25	85			Percent of total billed charges		3965.25	100			Percent of total billed charges		4665	100			Percent of total billed charges		4665	100			Percent of total billed charges		4665	33.3			Percent of total billed charges		1553.445	33.3			Percent of total billed charges		1553.445	100			Percent of total billed charges		4665	1553.445	4198.5	
biomet maxim open ps femoral 75 lt 145174	278	RC	Outpatient			4665	3032.25		90			Percent of total billed charges		4198.5	40			Percent of total billed charges		1866	80			Percent of total billed charges		3732	90			Percent of total billed charges		4198.5	85			Percent of total billed charges		3965.25	85			Percent of total billed charges		3965.25	85			Percent of total billed charges		3965.25	100			Percent of total billed charges		4665	100			Percent of total billed charges		4665	100			Percent of total billed charges		4665	33.3			Percent of total billed charges		1553.445	33.3			Percent of total billed charges		1553.445	100			Percent of total billed charges		4665	1553.445	4198.5	
biomet maxim open ps femoral 75 rt 145154	278	RC	Outpatient			4665	3032.25		90			Percent of total billed charges		4198.5	40			Percent of total billed charges		1866	80			Percent of total billed charges		3732	90			Percent of total billed charges		4198.5	85			Percent of total billed charges		3965.25	85			Percent of total billed charges		3965.25	85			Percent of total billed charges		3965.25	100			Percent of total billed charges		4665	100			Percent of total billed charges		4665	100			Percent of total billed charges		4665	33.3			Percent of total billed charges		1553.445	33.3			Percent of total billed charges		1553.445	100			Percent of total billed charges		4665	1553.445	4198.5	
biomet maxim  fem comp 60mm (l) 145171	278	RC	Outpatient			4665	3032.25		90			Percent of total billed charges		4198.5	40			Percent of total billed charges		1866	80			Percent of total billed charges		3732	90			Percent of total billed charges		4198.5	85			Percent of total billed charges		3965.25	85			Percent of total billed charges		3965.25	85			Percent of total billed charges		3965.25	100			Percent of total billed charges		4665	100			Percent of total billed charges		4665	100			Percent of total billed charges		4665	33.3			Percent of total billed charges		1553.445	33.3			Percent of total billed charges		1553.445	100			Percent of total billed charges		4665	1553.445	4198.5	
biomet maxim open ps femoral 55 lt 145170	278	RC	Outpatient			4665	3032.25		90			Percent of total billed charges		4198.5	40			Percent of total billed charges		1866	80			Percent of total billed charges		3732	90			Percent of total billed charges		4198.5	85			Percent of total billed charges		3965.25	85			Percent of total billed charges		3965.25	85			Percent of total billed charges		3965.25	100			Percent of total billed charges		4665	100			Percent of total billed charges		4665	100			Percent of total billed charges		4665	33.3			Percent of total billed charges		1553.445	33.3			Percent of total billed charges		1553.445	100			Percent of total billed charges		4665	1553.445	4198.5	
biomet maxim open ps femoral 55 rt 145150	278	RC	Outpatient			4665	3032.25		90			Percent of total billed charges		4198.5	40			Percent of total billed charges		1866	80			Percent of total billed charges		3732	90			Percent of total billed charges		4198.5	85			Percent of total billed charges		3965.25	85			Percent of total billed charges		3965.25	85			Percent of total billed charges		3965.25	100			Percent of total billed charges		4665	100			Percent of total billed charges		4665	100			Percent of total billed charges		4665	33.3			Percent of total billed charges		1553.445	33.3			Percent of total billed charges		1553.445	100			Percent of total billed charges		4665	1553.445	4198.5	
biomet maxim open ps femoral 65 rt 145152	278	RC	Outpatient			4665	3032.25		90			Percent of total billed charges		4198.5	40			Percent of total billed charges		1866	80			Percent of total billed charges		3732	90			Percent of total billed charges		4198.5	85			Percent of total billed charges		3965.25	85			Percent of total billed charges		3965.25	85			Percent of total billed charges		3965.25	100			Percent of total billed charges		4665	100			Percent of total billed charges		4665	100			Percent of total billed charges		4665	33.3			Percent of total billed charges		1553.445	33.3			Percent of total billed charges		1553.445	100			Percent of total billed charges		4665	1553.445	4198.5	
biomet maxim open ps femoral 70 lt 145173	278	RC	Outpatient			4665	3032.25		90			Percent of total billed charges		4198.5	40			Percent of total billed charges		1866	80			Percent of total billed charges		3732	90			Percent of total billed charges		4198.5	85			Percent of total billed charges		3965.25	85			Percent of total billed charges		3965.25	85			Percent of total billed charges		3965.25	100			Percent of total billed charges		4665	100			Percent of total billed charges		4665	100			Percent of total billed charges		4665	33.3			Percent of total billed charges		1553.445	33.3			Percent of total billed charges		1553.445	100			Percent of total billed charges		4665	1553.445	4198.5	
biomet maxim open ps femoral 80 lt 145175	278	RC	Outpatient			4665	3032.25		90			Percent of total billed charges		4198.5	40			Percent of total billed charges		1866	80			Percent of total billed charges		3732	90			Percent of total billed charges		4198.5	85			Percent of total billed charges		3965.25	85			Percent of total billed charges		3965.25	85			Percent of total billed charges		3965.25	100			Percent of total billed charges		4665	100			Percent of total billed charges		4665	100			Percent of total billed charges		4665	33.3			Percent of total billed charges		1553.445	33.3			Percent of total billed charges		1553.445	100			Percent of total billed charges		4665	1553.445	4198.5	
biomet maxim open ps femoral 80 rt 145155	278	RC	Outpatient			4665	3032.25		90			Percent of total billed charges		4198.5	40			Percent of total billed charges		1866	80			Percent of total billed charges		3732	90			Percent of total billed charges		4198.5	85			Percent of total billed charges		3965.25	85			Percent of total billed charges		3965.25	85			Percent of total billed charges		3965.25	100			Percent of total billed charges		4665	100			Percent of total billed charges		4665	100			Percent of total billed charges		4665	33.3			Percent of total billed charges		1553.445	33.3			Percent of total billed charges		1553.445	100			Percent of total billed charges		4665	1553.445	4198.5	
maxim ps femur 60mm rt 145151	278	RC	Outpatient			4665	3032.25		90			Percent of total billed charges		4198.5	40			Percent of total billed charges		1866	80			Percent of total billed charges		3732	90			Percent of total billed charges		4198.5	85			Percent of total billed charges		3965.25	85			Percent of total billed charges		3965.25	85			Percent of total billed charges		3965.25	100			Percent of total billed charges		4665	100			Percent of total billed charges		4665	100			Percent of total billed charges		4665	33.3			Percent of total billed charges		1553.445	33.3			Percent of total billed charges		1553.445	100			Percent of total billed charges		4665	1553.445	4198.5	
maxim ps femur 65mm lt 145172	278	RC	Outpatient			4665	3032.25		90			Percent of total billed charges		4198.5	40			Percent of total billed charges		1866	80			Percent of total billed charges		3732	90			Percent of total billed charges		4198.5	85			Percent of total billed charges		3965.25	85			Percent of total billed charges		3965.25	85			Percent of total billed charges		3965.25	100			Percent of total billed charges		4665	100			Percent of total billed charges		4665	100			Percent of total billed charges		4665	33.3			Percent of total billed charges		1553.445	33.3			Percent of total billed charges		1553.445	100			Percent of total billed charges		4665	1553.445	4198.5	
"nexgen knee  femoral,  00-5972--013-04 zimmer"	278	RC	Outpatient			4681	3042.65		90			Percent of total billed charges		4212.9	40			Percent of total billed charges		1872.4	80			Percent of total billed charges		3744.8	90			Percent of total billed charges		4212.9	85			Percent of total billed charges		3978.85	85			Percent of total billed charges		3978.85	85			Percent of total billed charges		3978.85	100			Percent of total billed charges		4681	100			Percent of total billed charges		4681	100			Percent of total billed charges		4681	33.3			Percent of total billed charges		1558.773	33.3			Percent of total billed charges		1558.773	100			Percent of total billed charges		4681	1558.773	4212.9	
"nexgen knee  femoral,  00-5972--014-02 zimmer"	278	RC	Outpatient			4681	3042.65		90			Percent of total billed charges		4212.9	40			Percent of total billed charges		1872.4	80			Percent of total billed charges		3744.8	90			Percent of total billed charges		4212.9	85			Percent of total billed charges		3978.85	85			Percent of total billed charges		3978.85	85			Percent of total billed charges		3978.85	100			Percent of total billed charges		4681	100			Percent of total billed charges		4681	100			Percent of total billed charges		4681	33.3			Percent of total billed charges		1558.773	33.3			Percent of total billed charges		1558.773	100			Percent of total billed charges		4681	1558.773	4212.9	
"nexgen knee  femoral,  00-5972--015-02 zimmer"	278	RC	Outpatient			4681	3042.65		90			Percent of total billed charges		4212.9	40			Percent of total billed charges		1872.4	80			Percent of total billed charges		3744.8	90			Percent of total billed charges		4212.9	85			Percent of total billed charges		3978.85	85			Percent of total billed charges		3978.85	85			Percent of total billed charges		3978.85	100			Percent of total billed charges		4681	100			Percent of total billed charges		4681	100			Percent of total billed charges		4681	33.3			Percent of total billed charges		1558.773	33.3			Percent of total billed charges		1558.773	100			Percent of total billed charges		4681	1558.773	4212.9	
"nexgen knee  femoral,  00-5972--015-04 zimmer"	278	RC	Outpatient			4681	3042.65		90			Percent of total billed charges		4212.9	40			Percent of total billed charges		1872.4	80			Percent of total billed charges		3744.8	90			Percent of total billed charges		4212.9	85			Percent of total billed charges		3978.85	85			Percent of total billed charges		3978.85	85			Percent of total billed charges		3978.85	100			Percent of total billed charges		4681	100			Percent of total billed charges		4681	100			Percent of total billed charges		4681	33.3			Percent of total billed charges		1558.773	33.3			Percent of total billed charges		1558.773	100			Percent of total billed charges		4681	1558.773	4212.9	
"nexgen knee  femoral,  00-5972--016-02 zimmer"	278	RC	Outpatient			4681	3042.65		90			Percent of total billed charges		4212.9	40			Percent of total billed charges		1872.4	80			Percent of total billed charges		3744.8	90			Percent of total billed charges		4212.9	85			Percent of total billed charges		3978.85	85			Percent of total billed charges		3978.85	85			Percent of total billed charges		3978.85	100			Percent of total billed charges		4681	100			Percent of total billed charges		4681	100			Percent of total billed charges		4681	33.3			Percent of total billed charges		1558.773	33.3			Percent of total billed charges		1558.773	100			Percent of total billed charges		4681	1558.773	4212.9	
"nexgen knee  femoral,  00-5972--017-02 zimmer"	278	RC	Outpatient			4681	3042.65		90			Percent of total billed charges		4212.9	40			Percent of total billed charges		1872.4	80			Percent of total billed charges		3744.8	90			Percent of total billed charges		4212.9	85			Percent of total billed charges		3978.85	85			Percent of total billed charges		3978.85	85			Percent of total billed charges		3978.85	100			Percent of total billed charges		4681	100			Percent of total billed charges		4681	100			Percent of total billed charges		4681	33.3			Percent of total billed charges		1558.773	33.3			Percent of total billed charges		1558.773	100			Percent of total billed charges		4681	1558.773	4212.9	
"nexgen knee  femoral,  00-5972--018-02 zimmer"	278	RC	Outpatient			4681	3042.65		90			Percent of total billed charges		4212.9	40			Percent of total billed charges		1872.4	80			Percent of total billed charges		3744.8	90			Percent of total billed charges		4212.9	85			Percent of total billed charges		3978.85	85			Percent of total billed charges		3978.85	85			Percent of total billed charges		3978.85	100			Percent of total billed charges		4681	100			Percent of total billed charges		4681	100			Percent of total billed charges		4681	33.3			Percent of total billed charges		1558.773	33.3			Percent of total billed charges		1558.773	100			Percent of total billed charges		4681	1558.773	4212.9	
nexgen knee femoral 00-5972--013-02 zimmer	278	RC	Outpatient			4681	3042.65		90			Percent of total billed charges		4212.9	40			Percent of total billed charges		1872.4	80			Percent of total billed charges		3744.8	90			Percent of total billed charges		4212.9	85			Percent of total billed charges		3978.85	85			Percent of total billed charges		3978.85	85			Percent of total billed charges		3978.85	100			Percent of total billed charges		4681	100			Percent of total billed charges		4681	100			Percent of total billed charges		4681	33.3			Percent of total billed charges		1558.773	33.3			Percent of total billed charges		1558.773	100			Percent of total billed charges		4681	1558.773	4212.9	
"nexgen knee femoral,  00-5972--015-03 zimmer"	278	RC	Outpatient			4681	3042.65		90			Percent of total billed charges		4212.9	40			Percent of total billed charges		1872.4	80			Percent of total billed charges		3744.8	90			Percent of total billed charges		4212.9	85			Percent of total billed charges		3978.85	85			Percent of total billed charges		3978.85	85			Percent of total billed charges		3978.85	100			Percent of total billed charges		4681	100			Percent of total billed charges		4681	100			Percent of total billed charges		4681	33.3			Percent of total billed charges		1558.773	33.3			Percent of total billed charges		1558.773	100			Percent of total billed charges		4681	1558.773	4212.9	
"nexgen knee s femoral,  00-5972--013-03 zimmer"	278	RC	Outpatient			4681	3042.65		90			Percent of total billed charges		4212.9	40			Percent of total billed charges		1872.4	80			Percent of total billed charges		3744.8	90			Percent of total billed charges		4212.9	85			Percent of total billed charges		3978.85	85			Percent of total billed charges		3978.85	85			Percent of total billed charges		3978.85	100			Percent of total billed charges		4681	100			Percent of total billed charges		4681	100			Percent of total billed charges		4681	33.3			Percent of total billed charges		1558.773	33.3			Percent of total billed charges		1558.773	100			Percent of total billed charges		4681	1558.773	4212.9	
nexgen knee  femoral  00-5972--013-01 zimmer	278	RC	Outpatient			4681	3042.65		90			Percent of total billed charges		4212.9	40			Percent of total billed charges		1872.4	80			Percent of total billed charges		3744.8	90			Percent of total billed charges		4212.9	85			Percent of total billed charges		3978.85	85			Percent of total billed charges		3978.85	85			Percent of total billed charges		3978.85	100			Percent of total billed charges		4681	100			Percent of total billed charges		4681	100			Percent of total billed charges		4681	33.3			Percent of total billed charges		1558.773	33.3			Percent of total billed charges		1558.773	100			Percent of total billed charges		4681	1558.773	4212.9	
"nexgen knee  femoral,  00-5972--014-03 zimmer"	278	RC	Outpatient			4681	3042.65		90			Percent of total billed charges		4212.9	40			Percent of total billed charges		1872.4	80			Percent of total billed charges		3744.8	90			Percent of total billed charges		4212.9	85			Percent of total billed charges		3978.85	85			Percent of total billed charges		3978.85	85			Percent of total billed charges		3978.85	100			Percent of total billed charges		4681	100			Percent of total billed charges		4681	100			Percent of total billed charges		4681	33.3			Percent of total billed charges		1558.773	33.3			Percent of total billed charges		1558.773	100			Percent of total billed charges		4681	1558.773	4212.9	
"nexgen knee  femoral,  00-5972--014-04 zimmer"	278	RC	Outpatient			4681	3042.65		90			Percent of total billed charges		4212.9	40			Percent of total billed charges		1872.4	80			Percent of total billed charges		3744.8	90			Percent of total billed charges		4212.9	85			Percent of total billed charges		3978.85	85			Percent of total billed charges		3978.85	85			Percent of total billed charges		3978.85	100			Percent of total billed charges		4681	100			Percent of total billed charges		4681	100			Percent of total billed charges		4681	33.3			Percent of total billed charges		1558.773	33.3			Percent of total billed charges		1558.773	100			Percent of total billed charges		4681	1558.773	4212.9	
"nexgen knee  femoral,  00-5972--015-01 zimmer"	278	RC	Outpatient			4681	3042.65		90			Percent of total billed charges		4212.9	40			Percent of total billed charges		1872.4	80			Percent of total billed charges		3744.8	90			Percent of total billed charges		4212.9	85			Percent of total billed charges		3978.85	85			Percent of total billed charges		3978.85	85			Percent of total billed charges		3978.85	100			Percent of total billed charges		4681	100			Percent of total billed charges		4681	100			Percent of total billed charges		4681	33.3			Percent of total billed charges		1558.773	33.3			Percent of total billed charges		1558.773	100			Percent of total billed charges		4681	1558.773	4212.9	
"nexgen knee  femoral,  00-5972--016-01 zimmer"	278	RC	Outpatient			4681	3042.65		90			Percent of total billed charges		4212.9	40			Percent of total billed charges		1872.4	80			Percent of total billed charges		3744.8	90			Percent of total billed charges		4212.9	85			Percent of total billed charges		3978.85	85			Percent of total billed charges		3978.85	85			Percent of total billed charges		3978.85	100			Percent of total billed charges		4681	100			Percent of total billed charges		4681	100			Percent of total billed charges		4681	33.3			Percent of total billed charges		1558.773	33.3			Percent of total billed charges		1558.773	100			Percent of total billed charges		4681	1558.773	4212.9	
"nexgen knee  femoral,  00-5972--017-01 zimmer"	278	RC	Outpatient			4681	3042.65		90			Percent of total billed charges		4212.9	40			Percent of total billed charges		1872.4	80			Percent of total billed charges		3744.8	90			Percent of total billed charges		4212.9	85			Percent of total billed charges		3978.85	85			Percent of total billed charges		3978.85	85			Percent of total billed charges		3978.85	100			Percent of total billed charges		4681	100			Percent of total billed charges		4681	100			Percent of total billed charges		4681	33.3			Percent of total billed charges		1558.773	33.3			Percent of total billed charges		1558.773	100			Percent of total billed charges		4681	1558.773	4212.9	
"nexgen knee s femoral,  00-5972--014-01 zimmer"	278	RC	Outpatient			4681	3042.65		90			Percent of total billed charges		4212.9	40			Percent of total billed charges		1872.4	80			Percent of total billed charges		3744.8	90			Percent of total billed charges		4212.9	85			Percent of total billed charges		3978.85	85			Percent of total billed charges		3978.85	85			Percent of total billed charges		3978.85	100			Percent of total billed charges		4681	100			Percent of total billed charges		4681	100			Percent of total billed charges		4681	33.3			Percent of total billed charges		1558.773	33.3			Percent of total billed charges		1558.773	100			Percent of total billed charges		4681	1558.773	4212.9	
"nexgen knee s femoral,  00-5972--018-01 zimmer"	278	RC	Outpatient			4681	3042.65		90			Percent of total billed charges		4212.9	40			Percent of total billed charges		1872.4	80			Percent of total billed charges		3744.8	90			Percent of total billed charges		4212.9	85			Percent of total billed charges		3978.85	85			Percent of total billed charges		3978.85	85			Percent of total billed charges		3978.85	100			Percent of total billed charges		4681	100			Percent of total billed charges		4681	100			Percent of total billed charges		4681	33.3			Percent of total billed charges		1558.773	33.3			Percent of total billed charges		1558.773	100			Percent of total billed charges		4681	1558.773	4212.9	
zimmer cr pourous stem	278	RC	Outpatient			4681	3042.65		90			Percent of total billed charges		4212.9	40			Percent of total billed charges		1872.4	80			Percent of total billed charges		3744.8	90			Percent of total billed charges		4212.9	85			Percent of total billed charges		3978.85	85			Percent of total billed charges		3978.85	85			Percent of total billed charges		3978.85	100			Percent of total billed charges		4681	100			Percent of total billed charges		4681	100			Percent of total billed charges		4681	33.3			Percent of total billed charges		1558.773	33.3			Percent of total billed charges		1558.773	100			Percent of total billed charges		4681	1558.773	4212.9	
bio echo pf fem	278	RC	Outpatient			4687	3046.55		90			Percent of total billed charges		4218.3	40			Percent of total billed charges		1874.8	80			Percent of total billed charges		3749.6	90			Percent of total billed charges		4218.3	85			Percent of total billed charges		3983.95	85			Percent of total billed charges		3983.95	85			Percent of total billed charges		3983.95	100			Percent of total billed charges		4687	100			Percent of total billed charges		4687	100			Percent of total billed charges		4687	33.3			Percent of total billed charges		1560.771	33.3			Percent of total billed charges		1560.771	100			Percent of total billed charges		4687	1560.771	4218.3	
echo pr press-fit femoral 10mm 12-150310 biomet	278	RC	Outpatient			4687	3046.55		90			Percent of total billed charges		4218.3	40			Percent of total billed charges		1874.8	80			Percent of total billed charges		3749.6	90			Percent of total billed charges		4218.3	85			Percent of total billed charges		3983.95	85			Percent of total billed charges		3983.95	85			Percent of total billed charges		3983.95	100			Percent of total billed charges		4687	100			Percent of total billed charges		4687	100			Percent of total billed charges		4687	33.3			Percent of total billed charges		1560.771	33.3			Percent of total billed charges		1560.771	100			Percent of total billed charges		4687	1560.771	4218.3	
echo pr press-fit femoral 12mm 12-150312 biomet	278	RC	Outpatient			4687	3046.55		90			Percent of total billed charges		4218.3	40			Percent of total billed charges		1874.8	80			Percent of total billed charges		3749.6	90			Percent of total billed charges		4218.3	85			Percent of total billed charges		3983.95	85			Percent of total billed charges		3983.95	85			Percent of total billed charges		3983.95	100			Percent of total billed charges		4687	100			Percent of total billed charges		4687	100			Percent of total billed charges		4687	33.3			Percent of total billed charges		1560.771	33.3			Percent of total billed charges		1560.771	100			Percent of total billed charges		4687	1560.771	4218.3	
echo pr press-fit femoral 16mm 12-150316 biomet	278	RC	Outpatient			4687	3046.55		90			Percent of total billed charges		4218.3	40			Percent of total billed charges		1874.8	80			Percent of total billed charges		3749.6	90			Percent of total billed charges		4218.3	85			Percent of total billed charges		3983.95	85			Percent of total billed charges		3983.95	85			Percent of total billed charges		3983.95	100			Percent of total billed charges		4687	100			Percent of total billed charges		4687	100			Percent of total billed charges		4687	33.3			Percent of total billed charges		1560.771	33.3			Percent of total billed charges		1560.771	100			Percent of total billed charges		4687	1560.771	4218.3	
echo pr press-fit femoral 17mm 12-150317 biomet	278	RC	Outpatient			4687	3046.55		90			Percent of total billed charges		4218.3	40			Percent of total billed charges		1874.8	80			Percent of total billed charges		3749.6	90			Percent of total billed charges		4218.3	85			Percent of total billed charges		3983.95	85			Percent of total billed charges		3983.95	85			Percent of total billed charges		3983.95	100			Percent of total billed charges		4687	100			Percent of total billed charges		4687	100			Percent of total billed charges		4687	33.3			Percent of total billed charges		1560.771	33.3			Percent of total billed charges		1560.771	100			Percent of total billed charges		4687	1560.771	4218.3	
echo pr press-fit femoral 7mm 12-150307 biomet	278	RC	Outpatient			4687	3046.55		90			Percent of total billed charges		4218.3	40			Percent of total billed charges		1874.8	80			Percent of total billed charges		3749.6	90			Percent of total billed charges		4218.3	85			Percent of total billed charges		3983.95	85			Percent of total billed charges		3983.95	85			Percent of total billed charges		3983.95	100			Percent of total billed charges		4687	100			Percent of total billed charges		4687	100			Percent of total billed charges		4687	33.3			Percent of total billed charges		1560.771	33.3			Percent of total billed charges		1560.771	100			Percent of total billed charges		4687	1560.771	4218.3	
echo pr press-fit femoral 8mm 12-150308 biomet	278	RC	Outpatient			4687	3046.55		90			Percent of total billed charges		4218.3	40			Percent of total billed charges		1874.8	80			Percent of total billed charges		3749.6	90			Percent of total billed charges		4218.3	85			Percent of total billed charges		3983.95	85			Percent of total billed charges		3983.95	85			Percent of total billed charges		3983.95	100			Percent of total billed charges		4687	100			Percent of total billed charges		4687	100			Percent of total billed charges		4687	33.3			Percent of total billed charges		1560.771	33.3			Percent of total billed charges		1560.771	100			Percent of total billed charges		4687	1560.771	4218.3	
echo pr press-fit femoral 9mm 12-150309 biomet	278	RC	Outpatient			4687	3046.55		90			Percent of total billed charges		4218.3	40			Percent of total billed charges		1874.8	80			Percent of total billed charges		3749.6	90			Percent of total billed charges		4218.3	85			Percent of total billed charges		3983.95	85			Percent of total billed charges		3983.95	85			Percent of total billed charges		3983.95	100			Percent of total billed charges		4687	100			Percent of total billed charges		4687	100			Percent of total billed charges		4687	33.3			Percent of total billed charges		1560.771	33.3			Percent of total billed charges		1560.771	100			Percent of total billed charges		4687	1560.771	4218.3	
echo pr press-fit femoral 11mm 12-150311 biomet	278	RC	Outpatient			4687	3046.55		90			Percent of total billed charges		4218.3	40			Percent of total billed charges		1874.8	80			Percent of total billed charges		3749.6	90			Percent of total billed charges		4218.3	85			Percent of total billed charges		3983.95	85			Percent of total billed charges		3983.95	85			Percent of total billed charges		3983.95	100			Percent of total billed charges		4687	100			Percent of total billed charges		4687	100			Percent of total billed charges		4687	33.3			Percent of total billed charges		1560.771	33.3			Percent of total billed charges		1560.771	100			Percent of total billed charges		4687	1560.771	4218.3	
echo pr press-fit femoral 13mm 12-150313 biomet	278	RC	Outpatient			4687	3046.55		90			Percent of total billed charges		4218.3	40			Percent of total billed charges		1874.8	80			Percent of total billed charges		3749.6	90			Percent of total billed charges		4218.3	85			Percent of total billed charges		3983.95	85			Percent of total billed charges		3983.95	85			Percent of total billed charges		3983.95	100			Percent of total billed charges		4687	100			Percent of total billed charges		4687	100			Percent of total billed charges		4687	33.3			Percent of total billed charges		1560.771	33.3			Percent of total billed charges		1560.771	100			Percent of total billed charges		4687	1560.771	4218.3	
echo pr press-fit femoral 14mm 12-150314 biomet	278	RC	Outpatient			4687	3046.55		90			Percent of total billed charges		4218.3	40			Percent of total billed charges		1874.8	80			Percent of total billed charges		3749.6	90			Percent of total billed charges		4218.3	85			Percent of total billed charges		3983.95	85			Percent of total billed charges		3983.95	85			Percent of total billed charges		3983.95	100			Percent of total billed charges		4687	100			Percent of total billed charges		4687	100			Percent of total billed charges		4687	33.3			Percent of total billed charges		1560.771	33.3			Percent of total billed charges		1560.771	100			Percent of total billed charges		4687	1560.771	4218.3	
echo pr press-fit femoral 15mm 12-150315 biomet	278	RC	Outpatient			4687	3046.55		90			Percent of total billed charges		4218.3	40			Percent of total billed charges		1874.8	80			Percent of total billed charges		3749.6	90			Percent of total billed charges		4218.3	85			Percent of total billed charges		3983.95	85			Percent of total billed charges		3983.95	85			Percent of total billed charges		3983.95	100			Percent of total billed charges		4687	100			Percent of total billed charges		4687	100			Percent of total billed charges		4687	33.3			Percent of total billed charges		1560.771	33.3			Percent of total billed charges		1560.771	100			Percent of total billed charges		4687	1560.771	4218.3	
accord std 265mm 11-cable troch grip 71340013 s/n	278	RC	Outpatient			4688	3047.2		90			Percent of total billed charges		4219.2	40			Percent of total billed charges		1875.2	80			Percent of total billed charges		3750.4	90			Percent of total billed charges		4219.2	85			Percent of total billed charges		3984.8	85			Percent of total billed charges		3984.8	85			Percent of total billed charges		3984.8	100			Percent of total billed charges		4688	100			Percent of total billed charges		4688	100			Percent of total billed charges		4688	33.3			Percent of total billed charges		1561.104	33.3			Percent of total billed charges		1561.104	100			Percent of total billed charges		4688	1561.104	4219.2	
accord 225 troch grip	278	RC	Outpatient			4688	3047.2		90			Percent of total billed charges		4219.2	40			Percent of total billed charges		1875.2	80			Percent of total billed charges		3750.4	90			Percent of total billed charges		4219.2	85			Percent of total billed charges		3984.8	85			Percent of total billed charges		3984.8	85			Percent of total billed charges		3984.8	100			Percent of total billed charges		4688	100			Percent of total billed charges		4688	100			Percent of total billed charges		4688	33.3			Percent of total billed charges		1561.104	33.3			Percent of total billed charges		1561.104	100			Percent of total billed charges		4688	1561.104	4219.2	
accord 265 mm cable grip	278	RC	Outpatient			4688	3047.2		90			Percent of total billed charges		4219.2	40			Percent of total billed charges		1875.2	80			Percent of total billed charges		3750.4	90			Percent of total billed charges		4219.2	85			Percent of total billed charges		3984.8	85			Percent of total billed charges		3984.8	85			Percent of total billed charges		3984.8	100			Percent of total billed charges		4688	100			Percent of total billed charges		4688	100			Percent of total billed charges		4688	33.3			Percent of total billed charges		1561.104	33.3			Percent of total billed charges		1561.104	100			Percent of total billed charges		4688	1561.104	4219.2	
accord small 255mm 11-cable troch grip 71340006 s/n	278	RC	Outpatient			4688	3047.2		90			Percent of total billed charges		4219.2	40			Percent of total billed charges		1875.2	80			Percent of total billed charges		3750.4	90			Percent of total billed charges		4219.2	85			Percent of total billed charges		3984.8	85			Percent of total billed charges		3984.8	85			Percent of total billed charges		3984.8	100			Percent of total billed charges		4688	100			Percent of total billed charges		4688	100			Percent of total billed charges		4688	33.3			Percent of total billed charges		1561.104	33.3			Percent of total billed charges		1561.104	100			Percent of total billed charges		4688	1561.104	4219.2	
m.i.l.d. procedure kit vertos medical ref mdk-0001	272	RC	Outpatient			4702.5	3056.63		90			Percent of total billed charges		4232.25	40			Percent of total billed charges		1881	80			Percent of total billed charges		3762	90			Percent of total billed charges		4232.25	85			Percent of total billed charges		3997.125	85			Percent of total billed charges		3997.125	85			Percent of total billed charges		3997.125	100			Percent of total billed charges		4702.5	100			Percent of total billed charges		4702.5	100			Percent of total billed charges		4702.5	33.3			Percent of total billed charges		1565.9325	33.3			Percent of total billed charges		1565.9325	100			Percent of total billed charges		4702.5	1565.9325	4232.25	
t2 femoral nail	278	RC	Outpatient			4708	3060.2		90			Percent of total billed charges		4237.2	40			Percent of total billed charges		1883.2	80			Percent of total billed charges		3766.4	90			Percent of total billed charges		4237.2	85			Percent of total billed charges		4001.8	85			Percent of total billed charges		4001.8	85			Percent of total billed charges		4001.8	100			Percent of total billed charges		4708	100			Percent of total billed charges		4708	100			Percent of total billed charges		4708	33.3			Percent of total billed charges		1567.764	33.3			Percent of total billed charges		1567.764	100			Percent of total billed charges		4708	1567.764	4237.2	
t2 femoral nail 9 x 400mm 1851-0940s styker	278	RC	Outpatient			4708	3060.2		90			Percent of total billed charges		4237.2	40			Percent of total billed charges		1883.2	80			Percent of total billed charges		3766.4	90			Percent of total billed charges		4237.2	85			Percent of total billed charges		4001.8	85			Percent of total billed charges		4001.8	85			Percent of total billed charges		4001.8	100			Percent of total billed charges		4708	100			Percent of total billed charges		4708	100			Percent of total billed charges		4708	33.3			Percent of total billed charges		1567.764	33.3			Percent of total billed charges		1567.764	100			Percent of total billed charges		4708	1567.764	4237.2	
talent abdominal occluder	278	RC	Outpatient			4728	3073.2		90			Percent of total billed charges		4255.2	40			Percent of total billed charges		1891.2	80			Percent of total billed charges		3782.4	90			Percent of total billed charges		4255.2	85			Percent of total billed charges		4018.8	85			Percent of total billed charges		4018.8	85			Percent of total billed charges		4018.8	100			Percent of total billed charges		4728	100			Percent of total billed charges		4728	100			Percent of total billed charges		4728	33.3			Percent of total billed charges		1574.424	33.3			Percent of total billed charges		1574.424	100			Percent of total billed charges		4728	1574.424	4255.2	
talent abdominal occluder ocl12us medtronic	278	RC	Outpatient			4728	3073.2		90			Percent of total billed charges		4255.2	40			Percent of total billed charges		1891.2	80			Percent of total billed charges		3782.4	90			Percent of total billed charges		4255.2	85			Percent of total billed charges		4018.8	85			Percent of total billed charges		4018.8	85			Percent of total billed charges		4018.8	100			Percent of total billed charges		4728	100			Percent of total billed charges		4728	100			Percent of total billed charges		4728	33.3			Percent of total billed charges		1574.424	33.3			Percent of total billed charges		1574.424	100			Percent of total billed charges		4728	1574.424	4255.2	
cosmetic - breast aug: circumareolar	983	RC	Outpatient			4758	3092.7		90			Percent of total billed charges		4282.2	40			Percent of total billed charges		1903.2	80			Percent of total billed charges		3806.4	90			Percent of total billed charges		4282.2	85			Percent of total billed charges		4044.3	85			Percent of total billed charges		4044.3	85			Percent of total billed charges		4044.3	100			Percent of total billed charges		4758	100			Percent of total billed charges		4758	100			Percent of total billed charges		4758	33.3			Percent of total billed charges		1584.414	33.3			Percent of total billed charges		1584.414	100			Percent of total billed charges		4758	1584.414	4282.2	
"depuy fem sleeve,univ"	278	RC	Outpatient			4760	3094		90			Percent of total billed charges		4284	40			Percent of total billed charges		1904	80			Percent of total billed charges		3808	90			Percent of total billed charges		4284	85			Percent of total billed charges		4046	85			Percent of total billed charges		4046	85			Percent of total billed charges		4046	100			Percent of total billed charges		4760	100			Percent of total billed charges		4760	100			Percent of total billed charges		4760	33.3			Percent of total billed charges		1585.08	33.3			Percent of total billed charges		1585.08	100			Percent of total billed charges		4760	1585.08	4284	
universal fem sleeve sz 20mm 1294-53-205 depuy	278	RC	Outpatient			4760	3094		90			Percent of total billed charges		4284	40			Percent of total billed charges		1904	80			Percent of total billed charges		3808	90			Percent of total billed charges		4284	85			Percent of total billed charges		4046	85			Percent of total billed charges		4046	85			Percent of total billed charges		4046	100			Percent of total billed charges		4760	100			Percent of total billed charges		4760	100			Percent of total billed charges		4760	33.3			Percent of total billed charges		1585.08	33.3			Percent of total billed charges		1585.08	100			Percent of total billed charges		4760	1585.08	4284	
universal femoral sleeve porous 34mm 1294-53-226 depuy	278	RC	Outpatient			4760	3094		90			Percent of total billed charges		4284	40			Percent of total billed charges		1904	80			Percent of total billed charges		3808	90			Percent of total billed charges		4284	85			Percent of total billed charges		4046	85			Percent of total billed charges		4046	85			Percent of total billed charges		4046	100			Percent of total billed charges		4760	100			Percent of total billed charges		4760	100			Percent of total billed charges		4760	33.3			Percent of total billed charges		1585.08	33.3			Percent of total billed charges		1585.08	100			Percent of total billed charges		4760	1585.08	4284	
bio m/h mod calcar stem	278	RC	Outpatient			4769	3099.85		90			Percent of total billed charges		4292.1	40			Percent of total billed charges		1907.6	80			Percent of total billed charges		3815.2	90			Percent of total billed charges		4292.1	85			Percent of total billed charges		4053.65	85			Percent of total billed charges		4053.65	85			Percent of total billed charges		4053.65	100			Percent of total billed charges		4769	100			Percent of total billed charges		4769	100			Percent of total billed charges		4769	33.3			Percent of total billed charges		1588.077	33.3			Percent of total billed charges		1588.077	100			Percent of total billed charges		4769	1588.077	4292.1	
r/h mallory head mod cacar distal bowed stem 11 x 220 11-108251 biomet	278	RC	Outpatient			4769	3099.85		90			Percent of total billed charges		4292.1	40			Percent of total billed charges		1907.6	80			Percent of total billed charges		3815.2	90			Percent of total billed charges		4292.1	85			Percent of total billed charges		4053.65	85			Percent of total billed charges		4053.65	85			Percent of total billed charges		4053.65	100			Percent of total billed charges		4769	100			Percent of total billed charges		4769	100			Percent of total billed charges		4769	33.3			Percent of total billed charges		1588.077	33.3			Percent of total billed charges		1588.077	100			Percent of total billed charges		4769	1588.077	4292.1	
r/h mallory head mod cacar distal bowed stem 19 x 220 11-108259 biomet	278	RC	Outpatient			4769	3099.85		90			Percent of total billed charges		4292.1	40			Percent of total billed charges		1907.6	80			Percent of total billed charges		3815.2	90			Percent of total billed charges		4292.1	85			Percent of total billed charges		4053.65	85			Percent of total billed charges		4053.65	85			Percent of total billed charges		4053.65	100			Percent of total billed charges		4769	100			Percent of total billed charges		4769	100			Percent of total billed charges		4769	33.3			Percent of total billed charges		1588.077	33.3			Percent of total billed charges		1588.077	100			Percent of total billed charges		4769	1588.077	4292.1	
arthroflex	272	RC	Outpatient			4775	3103.75		90			Percent of total billed charges		4297.5	40			Percent of total billed charges		1910	80			Percent of total billed charges		3820	90			Percent of total billed charges		4297.5	85			Percent of total billed charges		4058.75	85			Percent of total billed charges		4058.75	85			Percent of total billed charges		4058.75	100			Percent of total billed charges		4775	100			Percent of total billed charges		4775	100			Percent of total billed charges		4775	33.3			Percent of total billed charges		1590.075	33.3			Percent of total billed charges		1590.075	100			Percent of total billed charges		4775	1590.075	4297.5	
arthroflex decellurized dermis aflex101 lifenet	272	RC	Outpatient			4775	3103.75		90			Percent of total billed charges		4297.5	40			Percent of total billed charges		1910	80			Percent of total billed charges		3820	90			Percent of total billed charges		4297.5	85			Percent of total billed charges		4058.75	85			Percent of total billed charges		4058.75	85			Percent of total billed charges		4058.75	100			Percent of total billed charges		4775	100			Percent of total billed charges		4775	100			Percent of total billed charges		4775	33.3			Percent of total billed charges		1590.075	33.3			Percent of total billed charges		1590.075	100			Percent of total billed charges		4775	1590.075	4297.5	
depuy tc3 insert	278	RC	Outpatient			4776	3104.4		90			Percent of total billed charges		4298.4	40			Percent of total billed charges		1910.4	80			Percent of total billed charges		3820.8	90			Percent of total billed charges		4298.4	85			Percent of total billed charges		4059.6	85			Percent of total billed charges		4059.6	85			Percent of total billed charges		4059.6	100			Percent of total billed charges		4776	100			Percent of total billed charges		4776	100			Percent of total billed charges		4776	33.3			Percent of total billed charges		1590.408	33.3			Percent of total billed charges		1590.408	100			Percent of total billed charges		4776	1590.408	4298.4	
solar humeral head	278	RC	Outpatient			4776	3104.4		90			Percent of total billed charges		4298.4	40			Percent of total billed charges		1910.4	80			Percent of total billed charges		3820.8	90			Percent of total billed charges		4298.4	85			Percent of total billed charges		4059.6	85			Percent of total billed charges		4059.6	85			Percent of total billed charges		4059.6	100			Percent of total billed charges		4776	100			Percent of total billed charges		4776	100			Percent of total billed charges		4776	33.3			Percent of total billed charges		1590.408	33.3			Percent of total billed charges		1590.408	100			Percent of total billed charges		4776	1590.408	4298.4	
solar humeral head 40mm 5350-4018 stryker	278	RC	Outpatient			4776	3104.4		90			Percent of total billed charges		4298.4	40			Percent of total billed charges		1910.4	80			Percent of total billed charges		3820.8	90			Percent of total billed charges		4298.4	85			Percent of total billed charges		4059.6	85			Percent of total billed charges		4059.6	85			Percent of total billed charges		4059.6	100			Percent of total billed charges		4776	100			Percent of total billed charges		4776	100			Percent of total billed charges		4776	33.3			Percent of total billed charges		1590.408	33.3			Percent of total billed charges		1590.408	100			Percent of total billed charges		4776	1590.408	4298.4	
solar humeral head 5350-4012 stryker	278	RC	Outpatient			4776	3104.4		90			Percent of total billed charges		4298.4	40			Percent of total billed charges		1910.4	80			Percent of total billed charges		3820.8	90			Percent of total billed charges		4298.4	85			Percent of total billed charges		4059.6	85			Percent of total billed charges		4059.6	85			Percent of total billed charges		4059.6	100			Percent of total billed charges		4776	100			Percent of total billed charges		4776	100			Percent of total billed charges		4776	33.3			Percent of total billed charges		1590.408	33.3			Percent of total billed charges		1590.408	100			Percent of total billed charges		4776	1590.408	4298.4	
bio pop-top co cr tibia	278	RC	Outpatient			4780	3107		90			Percent of total billed charges		4302	40			Percent of total billed charges		1912	80			Percent of total billed charges		3824	90			Percent of total billed charges		4302	85			Percent of total billed charges		4063	85			Percent of total billed charges		4063	85			Percent of total billed charges		4063	100			Percent of total billed charges		4780	100			Percent of total billed charges		4780	100			Percent of total billed charges		4780	33.3			Percent of total billed charges		1591.74	33.3			Percent of total billed charges		1591.74	100			Percent of total billed charges		4780	1591.74	4302	
biomet maxim  tibial  10 x 67mm rd145820	278	RC	Outpatient			4780	3107		90			Percent of total billed charges		4302	40			Percent of total billed charges		1912	80			Percent of total billed charges		3824	90			Percent of total billed charges		4302	85			Percent of total billed charges		4063	85			Percent of total billed charges		4063	85			Percent of total billed charges		4063	100			Percent of total billed charges		4780	100			Percent of total billed charges		4780	100			Percent of total billed charges		4780	33.3			Percent of total billed charges		1591.74	33.3			Percent of total billed charges		1591.74	100			Percent of total billed charges		4780	1591.74	4302	
biomet maxim  tibial  12 x 79mm rd145852	278	RC	Outpatient			4780	3107		90			Percent of total billed charges		4302	40			Percent of total billed charges		1912	80			Percent of total billed charges		3824	90			Percent of total billed charges		4302	85			Percent of total billed charges		4063	85			Percent of total billed charges		4063	85			Percent of total billed charges		4063	100			Percent of total billed charges		4780	100			Percent of total billed charges		4780	100			Percent of total billed charges		4780	33.3			Percent of total billed charges		1591.74	33.3			Percent of total billed charges		1591.74	100			Percent of total billed charges		4780	1591.74	4302	
biomet maxim  tibial  12 x 83mm rd145862	278	RC	Outpatient			4780	3107		90			Percent of total billed charges		4302	40			Percent of total billed charges		1912	80			Percent of total billed charges		3824	90			Percent of total billed charges		4302	85			Percent of total billed charges		4063	85			Percent of total billed charges		4063	85			Percent of total billed charges		4063	100			Percent of total billed charges		4780	100			Percent of total billed charges		4780	100			Percent of total billed charges		4780	33.3			Percent of total billed charges		1591.74	33.3			Percent of total billed charges		1591.74	100			Percent of total billed charges		4780	1591.74	4302	
biomet maxim  tibial  14 x 63mm rd145814	278	RC	Outpatient			4780	3107		90			Percent of total billed charges		4302	40			Percent of total billed charges		1912	80			Percent of total billed charges		3824	90			Percent of total billed charges		4302	85			Percent of total billed charges		4063	85			Percent of total billed charges		4063	85			Percent of total billed charges		4063	100			Percent of total billed charges		4780	100			Percent of total billed charges		4780	100			Percent of total billed charges		4780	33.3			Percent of total billed charges		1591.74	33.3			Percent of total billed charges		1591.74	100			Percent of total billed charges		4780	1591.74	4302	
biomet maxim  tibial  14 x 67mm rd145824	278	RC	Outpatient			4780	3107		90			Percent of total billed charges		4302	40			Percent of total billed charges		1912	80			Percent of total billed charges		3824	90			Percent of total billed charges		4302	85			Percent of total billed charges		4063	85			Percent of total billed charges		4063	85			Percent of total billed charges		4063	100			Percent of total billed charges		4780	100			Percent of total billed charges		4780	100			Percent of total billed charges		4780	33.3			Percent of total billed charges		1591.74	33.3			Percent of total billed charges		1591.74	100			Percent of total billed charges		4780	1591.74	4302	
biomet maxim  tibial  14 x 79mm rd145854	278	RC	Outpatient			4780	3107		90			Percent of total billed charges		4302	40			Percent of total billed charges		1912	80			Percent of total billed charges		3824	90			Percent of total billed charges		4302	85			Percent of total billed charges		4063	85			Percent of total billed charges		4063	85			Percent of total billed charges		4063	100			Percent of total billed charges		4780	100			Percent of total billed charges		4780	100			Percent of total billed charges		4780	33.3			Percent of total billed charges		1591.74	33.3			Percent of total billed charges		1591.74	100			Percent of total billed charges		4780	1591.74	4302	
biomet maxim  tibial 14 x 83mm rd145864	278	RC	Outpatient			4780	3107		90			Percent of total billed charges		4302	40			Percent of total billed charges		1912	80			Percent of total billed charges		3824	90			Percent of total billed charges		4302	85			Percent of total billed charges		4063	85			Percent of total billed charges		4063	85			Percent of total billed charges		4063	100			Percent of total billed charges		4780	100			Percent of total billed charges		4780	100			Percent of total billed charges		4780	33.3			Percent of total billed charges		1591.74	33.3			Percent of total billed charges		1591.74	100			Percent of total billed charges		4780	1591.74	4302	
biomet maxim tibial  10 x 79mm rd145850	278	RC	Outpatient			4780	3107		90			Percent of total billed charges		4302	40			Percent of total billed charges		1912	80			Percent of total billed charges		3824	90			Percent of total billed charges		4302	85			Percent of total billed charges		4063	85			Percent of total billed charges		4063	85			Percent of total billed charges		4063	100			Percent of total billed charges		4780	100			Percent of total billed charges		4780	100			Percent of total billed charges		4780	33.3			Percent of total billed charges		1591.74	33.3			Percent of total billed charges		1591.74	100			Percent of total billed charges		4780	1591.74	4302	
biomet maxim tibial 10 x 71mm rd145830	278	RC	Outpatient			4780	3107		90			Percent of total billed charges		4302	40			Percent of total billed charges		1912	80			Percent of total billed charges		3824	90			Percent of total billed charges		4302	85			Percent of total billed charges		4063	85			Percent of total billed charges		4063	85			Percent of total billed charges		4063	100			Percent of total billed charges		4780	100			Percent of total billed charges		4780	100			Percent of total billed charges		4780	33.3			Percent of total billed charges		1591.74	33.3			Percent of total billed charges		1591.74	100			Percent of total billed charges		4780	1591.74	4302	
biomet maxim  tibial  10 x 63mm rd145810	278	RC	Outpatient			4780	3107		90			Percent of total billed charges		4302	40			Percent of total billed charges		1912	80			Percent of total billed charges		3824	90			Percent of total billed charges		4302	85			Percent of total billed charges		4063	85			Percent of total billed charges		4063	85			Percent of total billed charges		4063	100			Percent of total billed charges		4780	100			Percent of total billed charges		4780	100			Percent of total billed charges		4780	33.3			Percent of total billed charges		1591.74	33.3			Percent of total billed charges		1591.74	100			Percent of total billed charges		4780	1591.74	4302	
biomet maxim  tibial  10 x 75mm rd145840	278	RC	Outpatient			4780	3107		90			Percent of total billed charges		4302	40			Percent of total billed charges		1912	80			Percent of total billed charges		3824	90			Percent of total billed charges		4302	85			Percent of total billed charges		4063	85			Percent of total billed charges		4063	85			Percent of total billed charges		4063	100			Percent of total billed charges		4780	100			Percent of total billed charges		4780	100			Percent of total billed charges		4780	33.3			Percent of total billed charges		1591.74	33.3			Percent of total billed charges		1591.74	100			Percent of total billed charges		4780	1591.74	4302	
biomet maxim  tibial  12 x 71mm rd145832	278	RC	Outpatient			4780	3107		90			Percent of total billed charges		4302	40			Percent of total billed charges		1912	80			Percent of total billed charges		3824	90			Percent of total billed charges		4302	85			Percent of total billed charges		4063	85			Percent of total billed charges		4063	85			Percent of total billed charges		4063	100			Percent of total billed charges		4780	100			Percent of total billed charges		4780	100			Percent of total billed charges		4780	33.3			Percent of total billed charges		1591.74	33.3			Percent of total billed charges		1591.74	100			Percent of total billed charges		4780	1591.74	4302	
biomet maxim  tibial  14 x 71mm rd145834	278	RC	Outpatient			4780	3107		90			Percent of total billed charges		4302	40			Percent of total billed charges		1912	80			Percent of total billed charges		3824	90			Percent of total billed charges		4302	85			Percent of total billed charges		4063	85			Percent of total billed charges		4063	85			Percent of total billed charges		4063	100			Percent of total billed charges		4780	100			Percent of total billed charges		4780	100			Percent of total billed charges		4780	33.3			Percent of total billed charges		1591.74	33.3			Percent of total billed charges		1591.74	100			Percent of total billed charges		4780	1591.74	4302	
biomet maxim  tibial 12 x 67mm rd145822	278	RC	Outpatient			4780	3107		90			Percent of total billed charges		4302	40			Percent of total billed charges		1912	80			Percent of total billed charges		3824	90			Percent of total billed charges		4302	85			Percent of total billed charges		4063	85			Percent of total billed charges		4063	85			Percent of total billed charges		4063	100			Percent of total billed charges		4780	100			Percent of total billed charges		4780	100			Percent of total billed charges		4780	33.3			Percent of total billed charges		1591.74	33.3			Percent of total billed charges		1591.74	100			Percent of total billed charges		4780	1591.74	4302	
biomet maxim tibial  10 x 83mm rd145860	278	RC	Outpatient			4780	3107		90			Percent of total billed charges		4302	40			Percent of total billed charges		1912	80			Percent of total billed charges		3824	90			Percent of total billed charges		4302	85			Percent of total billed charges		4063	85			Percent of total billed charges		4063	85			Percent of total billed charges		4063	100			Percent of total billed charges		4780	100			Percent of total billed charges		4780	100			Percent of total billed charges		4780	33.3			Percent of total billed charges		1591.74	33.3			Percent of total billed charges		1591.74	100			Percent of total billed charges		4780	1591.74	4302	
biomet maxim tibial  12 x 63mm rd145812	278	RC	Outpatient			4780	3107		90			Percent of total billed charges		4302	40			Percent of total billed charges		1912	80			Percent of total billed charges		3824	90			Percent of total billed charges		4302	85			Percent of total billed charges		4063	85			Percent of total billed charges		4063	85			Percent of total billed charges		4063	100			Percent of total billed charges		4780	100			Percent of total billed charges		4780	100			Percent of total billed charges		4780	33.3			Percent of total billed charges		1591.74	33.3			Percent of total billed charges		1591.74	100			Percent of total billed charges		4780	1591.74	4302	
biomet maxim tibial  12 x 75mm rd145842	278	RC	Outpatient			4780	3107		90			Percent of total billed charges		4302	40			Percent of total billed charges		1912	80			Percent of total billed charges		3824	90			Percent of total billed charges		4302	85			Percent of total billed charges		4063	85			Percent of total billed charges		4063	85			Percent of total billed charges		4063	100			Percent of total billed charges		4780	100			Percent of total billed charges		4780	100			Percent of total billed charges		4780	33.3			Percent of total billed charges		1591.74	33.3			Percent of total billed charges		1591.74	100			Percent of total billed charges		4780	1591.74	4302	
biomet maxim tibial 14 x 75mm rd145844	278	RC	Outpatient			4780	3107		90			Percent of total billed charges		4302	40			Percent of total billed charges		1912	80			Percent of total billed charges		3824	90			Percent of total billed charges		4302	85			Percent of total billed charges		4063	85			Percent of total billed charges		4063	85			Percent of total billed charges		4063	100			Percent of total billed charges		4780	100			Percent of total billed charges		4780	100			Percent of total billed charges		4780	33.3			Percent of total billed charges		1591.74	33.3			Percent of total billed charges		1591.74	100			Percent of total billed charges		4780	1591.74	4302	
comp plt 4.5mm 18 hl 71809318 s\n	278	RC	Outpatient			4780	3107		90			Percent of total billed charges		4302	40			Percent of total billed charges		1912	80			Percent of total billed charges		3824	90			Percent of total billed charges		4302	85			Percent of total billed charges		4063	85			Percent of total billed charges		4063	85			Percent of total billed charges		4063	100			Percent of total billed charges		4780	100			Percent of total billed charges		4780	100			Percent of total billed charges		4780	33.3			Percent of total billed charges		1591.74	33.3			Percent of total billed charges		1591.74	100			Percent of total billed charges		4780	1591.74	4302	
s/n 4.5 lck comp pl 18 hl	278	RC	Outpatient			4780	3107		90			Percent of total billed charges		4302	40			Percent of total billed charges		1912	80			Percent of total billed charges		3824	90			Percent of total billed charges		4302	85			Percent of total billed charges		4063	85			Percent of total billed charges		4063	85			Percent of total billed charges		4063	100			Percent of total billed charges		4780	100			Percent of total billed charges		4780	100			Percent of total billed charges		4780	33.3			Percent of total billed charges		1591.74	33.3			Percent of total billed charges		1591.74	100			Percent of total billed charges		4780	1591.74	4302	
biomet mod 11-c hum stem	278	RC	Outpatient			4789	3112.85		90			Percent of total billed charges		4310.1	40			Percent of total billed charges		1915.6	80			Percent of total billed charges		3831.2	90			Percent of total billed charges		4310.1	85			Percent of total billed charges		4070.65	85			Percent of total billed charges		4070.65	85			Percent of total billed charges		4070.65	100			Percent of total billed charges		4789	100			Percent of total billed charges		4789	100			Percent of total billed charges		4789	33.3			Percent of total billed charges		1594.737	33.3			Percent of total billed charges		1594.737	100			Percent of total billed charges		4789	1594.737	4310.1	
modular ii - c humeral stem 480512125 biomet	278	RC	Outpatient			4789	3112.85		90			Percent of total billed charges		4310.1	40			Percent of total billed charges		1915.6	80			Percent of total billed charges		3831.2	90			Percent of total billed charges		4310.1	85			Percent of total billed charges		4070.65	85			Percent of total billed charges		4070.65	85			Percent of total billed charges		4070.65	100			Percent of total billed charges		4789	100			Percent of total billed charges		4789	100			Percent of total billed charges		4789	33.3			Percent of total billed charges		1594.737	33.3			Percent of total billed charges		1594.737	100			Percent of total billed charges		4789	1594.737	4310.1	
kyphon add fx 1513	272	RC	Outpatient			4803	3121.95		90			Percent of total billed charges		4322.7	40			Percent of total billed charges		1921.2	80			Percent of total billed charges		3842.4	90			Percent of total billed charges		4322.7	85			Percent of total billed charges		4082.55	85			Percent of total billed charges		4082.55	85			Percent of total billed charges		4082.55	100			Percent of total billed charges		4803	100			Percent of total billed charges		4803	100			Percent of total billed charges		4803	33.3			Percent of total billed charges		1599.399	33.3			Percent of total billed charges		1599.399	100			Percent of total billed charges		4803	1599.399	4322.7	
kyphopak additional fracture tray 15/3 kpt 1504 kyphon	272	RC	Outpatient			4803	3121.95		90			Percent of total billed charges		4322.7	40			Percent of total billed charges		1921.2	80			Percent of total billed charges		3842.4	90			Percent of total billed charges		4322.7	85			Percent of total billed charges		4082.55	85			Percent of total billed charges		4082.55	85			Percent of total billed charges		4082.55	100			Percent of total billed charges		4803	100			Percent of total billed charges		4803	100			Percent of total billed charges		4803	33.3			Percent of total billed charges		1599.399	33.3			Percent of total billed charges		1599.399	100			Percent of total billed charges		4803	1599.399	4322.7	
aaadvantage aortic ext	278	RC	Outpatient			4814	3129.1		90			Percent of total billed charges		4332.6	40			Percent of total billed charges		1925.6	80			Percent of total billed charges		3851.2	90			Percent of total billed charges		4332.6	85			Percent of total billed charges		4091.9	85			Percent of total billed charges		4091.9	85			Percent of total billed charges		4091.9	100			Percent of total billed charges		4814	100			Percent of total billed charges		4814	100			Percent of total billed charges		4814	33.3			Percent of total billed charges		1603.062	33.3			Percent of total billed charges		1603.062	100			Percent of total billed charges		4814	1603.062	4332.6	
aaadvantage aortic extender aexc202040 20mx4.0mm medtronic	278	RC	Outpatient			4814	3129.1		90			Percent of total billed charges		4332.6	40			Percent of total billed charges		1925.6	80			Percent of total billed charges		3851.2	90			Percent of total billed charges		4332.6	85			Percent of total billed charges		4091.9	85			Percent of total billed charges		4091.9	85			Percent of total billed charges		4091.9	100			Percent of total billed charges		4814	100			Percent of total billed charges		4814	100			Percent of total billed charges		4814	33.3			Percent of total billed charges		1603.062	33.3			Percent of total billed charges		1603.062	100			Percent of total billed charges		4814	1603.062	4332.6	
aaadvantage aortic extender aexc242440 24mx4.0mm medtronic	278	RC	Outpatient			4814	3129.1		90			Percent of total billed charges		4332.6	40			Percent of total billed charges		1925.6	80			Percent of total billed charges		3851.2	90			Percent of total billed charges		4332.6	85			Percent of total billed charges		4091.9	85			Percent of total billed charges		4091.9	85			Percent of total billed charges		4091.9	100			Percent of total billed charges		4814	100			Percent of total billed charges		4814	100			Percent of total billed charges		4814	33.3			Percent of total billed charges		1603.062	33.3			Percent of total billed charges		1603.062	100			Percent of total billed charges		4814	1603.062	4332.6	
aaadvantage aortic extender aexc282840 28mx4.0mm medtronic	278	RC	Outpatient			4814	3129.1		90			Percent of total billed charges		4332.6	40			Percent of total billed charges		1925.6	80			Percent of total billed charges		3851.2	90			Percent of total billed charges		4332.6	85			Percent of total billed charges		4091.9	85			Percent of total billed charges		4091.9	85			Percent of total billed charges		4091.9	100			Percent of total billed charges		4814	100			Percent of total billed charges		4814	100			Percent of total billed charges		4814	33.3			Percent of total billed charges		1603.062	33.3			Percent of total billed charges		1603.062	100			Percent of total billed charges		4814	1603.062	4332.6	
aaadvantage aortic extender aexc222240 22mx4.0mm medtronic	278	RC	Outpatient			4814	3129.1		90			Percent of total billed charges		4332.6	40			Percent of total billed charges		1925.6	80			Percent of total billed charges		3851.2	90			Percent of total billed charges		4332.6	85			Percent of total billed charges		4091.9	85			Percent of total billed charges		4091.9	85			Percent of total billed charges		4091.9	100			Percent of total billed charges		4814	100			Percent of total billed charges		4814	100			Percent of total billed charges		4814	33.3			Percent of total billed charges		1603.062	33.3			Percent of total billed charges		1603.062	100			Percent of total billed charges		4814	1603.062	4332.6	
aaadvantage aortic extender aexc262640 26mx4.0mm medtronic	278	RC	Outpatient			4814	3129.1		90			Percent of total billed charges		4332.6	40			Percent of total billed charges		1925.6	80			Percent of total billed charges		3851.2	90			Percent of total billed charges		4332.6	85			Percent of total billed charges		4091.9	85			Percent of total billed charges		4091.9	85			Percent of total billed charges		4091.9	100			Percent of total billed charges		4814	100			Percent of total billed charges		4814	100			Percent of total billed charges		4814	33.3			Percent of total billed charges		1603.062	33.3			Percent of total billed charges		1603.062	100			Percent of total billed charges		4814	1603.062	4332.6	
aaadvantage aortic extender aexch282840 28mx4.0mm medtronic	278	RC	Outpatient			4814	3129.1		90			Percent of total billed charges		4332.6	40			Percent of total billed charges		1925.6	80			Percent of total billed charges		3851.2	90			Percent of total billed charges		4332.6	85			Percent of total billed charges		4091.9	85			Percent of total billed charges		4091.9	85			Percent of total billed charges		4091.9	100			Percent of total billed charges		4814	100			Percent of total billed charges		4814	100			Percent of total billed charges		4814	33.3			Percent of total billed charges		1603.062	33.3			Percent of total billed charges		1603.062	100			Percent of total billed charges		4814	1603.062	4332.6	
lv lead attain 4194	278	RC	Outpatient			4814	3129.1		90			Percent of total billed charges		4332.6	40			Percent of total billed charges		1925.6	80			Percent of total billed charges		3851.2	90			Percent of total billed charges		4332.6	85			Percent of total billed charges		4091.9	85			Percent of total billed charges		4091.9	85			Percent of total billed charges		4091.9	100			Percent of total billed charges		4814	100			Percent of total billed charges		4814	100			Percent of total billed charges		4814	33.3			Percent of total billed charges		1603.062	33.3			Percent of total billed charges		1603.062	100			Percent of total billed charges		4814	1603.062	4332.6	
mt 4194-78cm lv lead	278	RC	Outpatient			4814	3129.1		90			Percent of total billed charges		4332.6	40			Percent of total billed charges		1925.6	80			Percent of total billed charges		3851.2	90			Percent of total billed charges		4332.6	85			Percent of total billed charges		4091.9	85			Percent of total billed charges		4091.9	85			Percent of total billed charges		4091.9	100			Percent of total billed charges		4814	100			Percent of total billed charges		4814	100			Percent of total billed charges		4814	33.3			Percent of total billed charges		1603.062	33.3			Percent of total billed charges		1603.062	100			Percent of total billed charges		4814	1603.062	4332.6	
mt 4194-88cm lv lead	278	RC	Outpatient			4814	3129.1		90			Percent of total billed charges		4332.6	40			Percent of total billed charges		1925.6	80			Percent of total billed charges		3851.2	90			Percent of total billed charges		4332.6	85			Percent of total billed charges		4091.9	85			Percent of total billed charges		4091.9	85			Percent of total billed charges		4091.9	100			Percent of total billed charges		4814	100			Percent of total billed charges		4814	100			Percent of total billed charges		4814	33.3			Percent of total billed charges		1603.062	33.3			Percent of total billed charges		1603.062	100			Percent of total billed charges		4814	1603.062	4332.6	
bio dbm boat long 10cm 653100 rti biologics	278	RC	Outpatient			4822	3134.3		90			Percent of total billed charges		4339.8	40			Percent of total billed charges		1928.8	80			Percent of total billed charges		3857.6	90			Percent of total billed charges		4339.8	85			Percent of total billed charges		4098.7	85			Percent of total billed charges		4098.7	85			Percent of total billed charges		4098.7	100			Percent of total billed charges		4822	100			Percent of total billed charges		4822	100			Percent of total billed charges		4822	33.3			Percent of total billed charges		1605.726	33.3			Percent of total billed charges		1605.726	100			Percent of total billed charges		4822	1605.726	4339.8	
bio dbm boat long	278	RC	Outpatient			4822	3134.3		90			Percent of total billed charges		4339.8	40			Percent of total billed charges		1928.8	80			Percent of total billed charges		3857.6	90			Percent of total billed charges		4339.8	85			Percent of total billed charges		4098.7	85			Percent of total billed charges		4098.7	85			Percent of total billed charges		4098.7	100			Percent of total billed charges		4822	100			Percent of total billed charges		4822	100			Percent of total billed charges		4822	33.3			Percent of total billed charges		1605.726	33.3			Percent of total billed charges		1605.726	100			Percent of total billed charges		4822	1605.726	4339.8	
triathlon cement ps fem	278	RC	Outpatient			4832	3140.8		90			Percent of total billed charges		4348.8	40			Percent of total billed charges		1932.8	80			Percent of total billed charges		3865.6	90			Percent of total billed charges		4348.8	85			Percent of total billed charges		4107.2	85			Percent of total billed charges		4107.2	85			Percent of total billed charges		4107.2	100			Percent of total billed charges		4832	100			Percent of total billed charges		4832	100			Percent of total billed charges		4832	33.3			Percent of total billed charges		1609.056	33.3			Percent of total billed charges		1609.056	100			Percent of total billed charges		4832	1609.056	4348.8	
triathlon ps fem comp  5515-f-201 howmedica	278	RC	Outpatient			4832	3140.8		90			Percent of total billed charges		4348.8	40			Percent of total billed charges		1932.8	80			Percent of total billed charges		3865.6	90			Percent of total billed charges		4348.8	85			Percent of total billed charges		4107.2	85			Percent of total billed charges		4107.2	85			Percent of total billed charges		4107.2	100			Percent of total billed charges		4832	100			Percent of total billed charges		4832	100			Percent of total billed charges		4832	33.3			Percent of total billed charges		1609.056	33.3			Percent of total billed charges		1609.056	100			Percent of total billed charges		4832	1609.056	4348.8	
triathlon ps fem comp 5515-f-202 howmedica	278	RC	Outpatient			4832	3140.8		90			Percent of total billed charges		4348.8	40			Percent of total billed charges		1932.8	80			Percent of total billed charges		3865.6	90			Percent of total billed charges		4348.8	85			Percent of total billed charges		4107.2	85			Percent of total billed charges		4107.2	85			Percent of total billed charges		4107.2	100			Percent of total billed charges		4832	100			Percent of total billed charges		4832	100			Percent of total billed charges		4832	33.3			Percent of total billed charges		1609.056	33.3			Percent of total billed charges		1609.056	100			Percent of total billed charges		4832	1609.056	4348.8	
triathlon ps fem comp 5515-f-301 howmedica	278	RC	Outpatient			4832	3140.8		90			Percent of total billed charges		4348.8	40			Percent of total billed charges		1932.8	80			Percent of total billed charges		3865.6	90			Percent of total billed charges		4348.8	85			Percent of total billed charges		4107.2	85			Percent of total billed charges		4107.2	85			Percent of total billed charges		4107.2	100			Percent of total billed charges		4832	100			Percent of total billed charges		4832	100			Percent of total billed charges		4832	33.3			Percent of total billed charges		1609.056	33.3			Percent of total billed charges		1609.056	100			Percent of total billed charges		4832	1609.056	4348.8	
triathlon ps fem comp 5515-f-302 howmedica	278	RC	Outpatient			4832	3140.8		90			Percent of total billed charges		4348.8	40			Percent of total billed charges		1932.8	80			Percent of total billed charges		3865.6	90			Percent of total billed charges		4348.8	85			Percent of total billed charges		4107.2	85			Percent of total billed charges		4107.2	85			Percent of total billed charges		4107.2	100			Percent of total billed charges		4832	100			Percent of total billed charges		4832	100			Percent of total billed charges		4832	33.3			Percent of total billed charges		1609.056	33.3			Percent of total billed charges		1609.056	100			Percent of total billed charges		4832	1609.056	4348.8	
triathlon ps fem comp 5515-f-602 howmedica	278	RC	Outpatient			4832	3140.8		90			Percent of total billed charges		4348.8	40			Percent of total billed charges		1932.8	80			Percent of total billed charges		3865.6	90			Percent of total billed charges		4348.8	85			Percent of total billed charges		4107.2	85			Percent of total billed charges		4107.2	85			Percent of total billed charges		4107.2	100			Percent of total billed charges		4832	100			Percent of total billed charges		4832	100			Percent of total billed charges		4832	33.3			Percent of total billed charges		1609.056	33.3			Percent of total billed charges		1609.056	100			Percent of total billed charges		4832	1609.056	4348.8	
triathlon ps fem comp 5515-f-701 howmedica	278	RC	Outpatient			4832	3140.8		90			Percent of total billed charges		4348.8	40			Percent of total billed charges		1932.8	80			Percent of total billed charges		3865.6	90			Percent of total billed charges		4348.8	85			Percent of total billed charges		4107.2	85			Percent of total billed charges		4107.2	85			Percent of total billed charges		4107.2	100			Percent of total billed charges		4832	100			Percent of total billed charges		4832	100			Percent of total billed charges		4832	33.3			Percent of total billed charges		1609.056	33.3			Percent of total billed charges		1609.056	100			Percent of total billed charges		4832	1609.056	4348.8	
triathlon ps fem comp 5515-f-402 howmedica	278	RC	Outpatient			4832	3140.8		90			Percent of total billed charges		4348.8	40			Percent of total billed charges		1932.8	80			Percent of total billed charges		3865.6	90			Percent of total billed charges		4348.8	85			Percent of total billed charges		4107.2	85			Percent of total billed charges		4107.2	85			Percent of total billed charges		4107.2	100			Percent of total billed charges		4832	100			Percent of total billed charges		4832	100			Percent of total billed charges		4832	33.3			Percent of total billed charges		1609.056	33.3			Percent of total billed charges		1609.056	100			Percent of total billed charges		4832	1609.056	4348.8	
triathlon ps fem comp 5515-f-501 howmedica	278	RC	Outpatient			4832	3140.8		90			Percent of total billed charges		4348.8	40			Percent of total billed charges		1932.8	80			Percent of total billed charges		3865.6	90			Percent of total billed charges		4348.8	85			Percent of total billed charges		4107.2	85			Percent of total billed charges		4107.2	85			Percent of total billed charges		4107.2	100			Percent of total billed charges		4832	100			Percent of total billed charges		4832	100			Percent of total billed charges		4832	33.3			Percent of total billed charges		1609.056	33.3			Percent of total billed charges		1609.056	100			Percent of total billed charges		4832	1609.056	4348.8	
triathlon ps fem comp 5515-f-502 howmedica	278	RC	Outpatient			4832	3140.8		90			Percent of total billed charges		4348.8	40			Percent of total billed charges		1932.8	80			Percent of total billed charges		3865.6	90			Percent of total billed charges		4348.8	85			Percent of total billed charges		4107.2	85			Percent of total billed charges		4107.2	85			Percent of total billed charges		4107.2	100			Percent of total billed charges		4832	100			Percent of total billed charges		4832	100			Percent of total billed charges		4832	33.3			Percent of total billed charges		1609.056	33.3			Percent of total billed charges		1609.056	100			Percent of total billed charges		4832	1609.056	4348.8	
triathlon ps fem comp 5515-f-601 howmedica	278	RC	Outpatient			4832	3140.8		90			Percent of total billed charges		4348.8	40			Percent of total billed charges		1932.8	80			Percent of total billed charges		3865.6	90			Percent of total billed charges		4348.8	85			Percent of total billed charges		4107.2	85			Percent of total billed charges		4107.2	85			Percent of total billed charges		4107.2	100			Percent of total billed charges		4832	100			Percent of total billed charges		4832	100			Percent of total billed charges		4832	33.3			Percent of total billed charges		1609.056	33.3			Percent of total billed charges		1609.056	100			Percent of total billed charges		4832	1609.056	4348.8	
triathlon ps fem comp 5515-f-702 howmedica	278	RC	Outpatient			4832	3140.8		90			Percent of total billed charges		4348.8	40			Percent of total billed charges		1932.8	80			Percent of total billed charges		3865.6	90			Percent of total billed charges		4348.8	85			Percent of total billed charges		4107.2	85			Percent of total billed charges		4107.2	85			Percent of total billed charges		4107.2	100			Percent of total billed charges		4832	100			Percent of total billed charges		4832	100			Percent of total billed charges		4832	33.3			Percent of total billed charges		1609.056	33.3			Percent of total billed charges		1609.056	100			Percent of total billed charges		4832	1609.056	4348.8	
triathlon ps fem comp sz 4 5515-f-401 howmedica	278	RC	Outpatient			4832	3140.8		90			Percent of total billed charges		4348.8	40			Percent of total billed charges		1932.8	80			Percent of total billed charges		3865.6	90			Percent of total billed charges		4348.8	85			Percent of total billed charges		4107.2	85			Percent of total billed charges		4107.2	85			Percent of total billed charges		4107.2	100			Percent of total billed charges		4832	100			Percent of total billed charges		4832	100			Percent of total billed charges		4832	33.3			Percent of total billed charges		1609.056	33.3			Percent of total billed charges		1609.056	100			Percent of total billed charges		4832	1609.056	4348.8	
gamma3 t1 long nail	278	RC	Outpatient			4858	3157.7		90			Percent of total billed charges		4372.2	40			Percent of total billed charges		1943.2	80			Percent of total billed charges		3886.4	90			Percent of total billed charges		4372.2	85			Percent of total billed charges		4129.3	85			Percent of total billed charges		4129.3	85			Percent of total billed charges		4129.3	100			Percent of total billed charges		4858	100			Percent of total billed charges		4858	100			Percent of total billed charges		4858	33.3			Percent of total billed charges		1617.714	33.3			Percent of total billed charges		1617.714	100			Percent of total billed charges		4858	1617.714	4372.2	
gamma3 ti long nail 15 x 460mm 125 degree 3325-5460s stryker	278	RC	Outpatient			4858	3157.7		90			Percent of total billed charges		4372.2	40			Percent of total billed charges		1943.2	80			Percent of total billed charges		3886.4	90			Percent of total billed charges		4372.2	85			Percent of total billed charges		4129.3	85			Percent of total billed charges		4129.3	85			Percent of total billed charges		4129.3	100			Percent of total billed charges		4858	100			Percent of total billed charges		4858	100			Percent of total billed charges		4858	33.3			Percent of total billed charges		1617.714	33.3			Percent of total billed charges		1617.714	100			Percent of total billed charges		4858	1617.714	4372.2	
or time 4 hours	270	RC	Outpatient			4862	3160.3		90			Percent of total billed charges		4375.8	40			Percent of total billed charges		1944.8	80			Percent of total billed charges		3889.6	90			Percent of total billed charges		4375.8	85			Percent of total billed charges		4132.7	85			Percent of total billed charges		4132.7	85			Percent of total billed charges		4132.7	100			Percent of total billed charges		4862	100			Percent of total billed charges		4862	100			Percent of total billed charges		4862	33.3			Percent of total billed charges		1619.046	33.3			Percent of total billed charges		1619.046	100			Percent of total billed charges		4862	1619.046	4375.8	
cornea tissue graft	278	RC	Outpatient			4864	3161.6		90			Percent of total billed charges		4377.6	40			Percent of total billed charges		1945.6	80			Percent of total billed charges		3891.2	90			Percent of total billed charges		4377.6	85			Percent of total billed charges		4134.4	85			Percent of total billed charges		4134.4	85			Percent of total billed charges		4134.4	100			Percent of total billed charges		4864	100			Percent of total billed charges		4864	100			Percent of total billed charges		4864	33.3			Percent of total billed charges		1619.712	33.3			Percent of total billed charges		1619.712	100			Percent of total billed charges		4864	1619.712	4377.6	
cornea tissue graft ms lions eye bank	278	RC	Outpatient			4864	3161.6		90			Percent of total billed charges		4377.6	40			Percent of total billed charges		1945.6	80			Percent of total billed charges		3891.2	90			Percent of total billed charges		4377.6	85			Percent of total billed charges		4134.4	85			Percent of total billed charges		4134.4	85			Percent of total billed charges		4134.4	100			Percent of total billed charges		4864	100			Percent of total billed charges		4864	100			Percent of total billed charges		4864	33.3			Percent of total billed charges		1619.712	33.3			Percent of total billed charges		1619.712	100			Percent of total billed charges		4864	1619.712	4377.6	
medtronic iliac limb 12 mm x 11.5 cm yrirhxc12115	278	RC	Outpatient			4864	3161.6		90			Percent of total billed charges		4377.6	40			Percent of total billed charges		1945.6	80			Percent of total billed charges		3891.2	90			Percent of total billed charges		4377.6	85			Percent of total billed charges		4134.4	85			Percent of total billed charges		4134.4	85			Percent of total billed charges		4134.4	100			Percent of total billed charges		4864	100			Percent of total billed charges		4864	100			Percent of total billed charges		4864	33.3			Percent of total billed charges		1619.712	33.3			Percent of total billed charges		1619.712	100			Percent of total billed charges		4864	1619.712	4377.6	
medtronic iliac limb 13 mm x 11.5 cm yrirhxc13115	278	RC	Outpatient			4864	3161.6		90			Percent of total billed charges		4377.6	40			Percent of total billed charges		1945.6	80			Percent of total billed charges		3891.2	90			Percent of total billed charges		4377.6	85			Percent of total billed charges		4134.4	85			Percent of total billed charges		4134.4	85			Percent of total billed charges		4134.4	100			Percent of total billed charges		4864	100			Percent of total billed charges		4864	100			Percent of total billed charges		4864	33.3			Percent of total billed charges		1619.712	33.3			Percent of total billed charges		1619.712	100			Percent of total billed charges		4864	1619.712	4377.6	
medtronic iliac limb 14mm x 11.5cm yrirhxc14115	278	RC	Outpatient			4864	3161.6		90			Percent of total billed charges		4377.6	40			Percent of total billed charges		1945.6	80			Percent of total billed charges		3891.2	90			Percent of total billed charges		4377.6	85			Percent of total billed charges		4134.4	85			Percent of total billed charges		4134.4	85			Percent of total billed charges		4134.4	100			Percent of total billed charges		4864	100			Percent of total billed charges		4864	100			Percent of total billed charges		4864	33.3			Percent of total billed charges		1619.712	33.3			Percent of total billed charges		1619.712	100			Percent of total billed charges		4864	1619.712	4377.6	
medtronic iliac limb 15 mm x 11.5 cm yrirhxc15115	278	RC	Outpatient			4864	3161.6		90			Percent of total billed charges		4377.6	40			Percent of total billed charges		1945.6	80			Percent of total billed charges		3891.2	90			Percent of total billed charges		4377.6	85			Percent of total billed charges		4134.4	85			Percent of total billed charges		4134.4	85			Percent of total billed charges		4134.4	100			Percent of total billed charges		4864	100			Percent of total billed charges		4864	100			Percent of total billed charges		4864	33.3			Percent of total billed charges		1619.712	33.3			Percent of total billed charges		1619.712	100			Percent of total billed charges		4864	1619.712	4377.6	
medtronic iliac limb 16 x 11.5 yrirx16115	278	RC	Outpatient			4864	3161.6		90			Percent of total billed charges		4377.6	40			Percent of total billed charges		1945.6	80			Percent of total billed charges		3891.2	90			Percent of total billed charges		4377.6	85			Percent of total billed charges		4134.4	85			Percent of total billed charges		4134.4	85			Percent of total billed charges		4134.4	100			Percent of total billed charges		4864	100			Percent of total billed charges		4864	100			Percent of total billed charges		4864	33.3			Percent of total billed charges		1619.712	33.3			Percent of total billed charges		1619.712	100			Percent of total billed charges		4864	1619.712	4377.6	
medtronic iliac limb 16 x 11.5cm yrir16115	278	RC	Outpatient			4864	3161.6		90			Percent of total billed charges		4377.6	40			Percent of total billed charges		1945.6	80			Percent of total billed charges		3891.2	90			Percent of total billed charges		4377.6	85			Percent of total billed charges		4134.4	85			Percent of total billed charges		4134.4	85			Percent of total billed charges		4134.4	100			Percent of total billed charges		4864	100			Percent of total billed charges		4864	100			Percent of total billed charges		4864	33.3			Percent of total billed charges		1619.712	33.3			Percent of total billed charges		1619.712	100			Percent of total billed charges		4864	1619.712	4377.6	
medtronic iliac limb 11.5	278	RC	Outpatient			4864	3161.6		90			Percent of total billed charges		4377.6	40			Percent of total billed charges		1945.6	80			Percent of total billed charges		3891.2	90			Percent of total billed charges		4377.6	85			Percent of total billed charges		4134.4	85			Percent of total billed charges		4134.4	85			Percent of total billed charges		4134.4	100			Percent of total billed charges		4864	100			Percent of total billed charges		4864	100			Percent of total billed charges		4864	33.3			Percent of total billed charges		1619.712	33.3			Percent of total billed charges		1619.712	100			Percent of total billed charges		4864	1619.712	4377.6	
medtronic iliac limb 12 x 11.5 yrirx12115	278	RC	Outpatient			4864	3161.6		90			Percent of total billed charges		4377.6	40			Percent of total billed charges		1945.6	80			Percent of total billed charges		3891.2	90			Percent of total billed charges		4377.6	85			Percent of total billed charges		4134.4	85			Percent of total billed charges		4134.4	85			Percent of total billed charges		4134.4	100			Percent of total billed charges		4864	100			Percent of total billed charges		4864	100			Percent of total billed charges		4864	33.3			Percent of total billed charges		1619.712	33.3			Percent of total billed charges		1619.712	100			Percent of total billed charges		4864	1619.712	4377.6	
medtronic iliac limb 12 x 11.5cm yrir12115	278	RC	Outpatient			4864	3161.6		90			Percent of total billed charges		4377.6	40			Percent of total billed charges		1945.6	80			Percent of total billed charges		3891.2	90			Percent of total billed charges		4377.6	85			Percent of total billed charges		4134.4	85			Percent of total billed charges		4134.4	85			Percent of total billed charges		4134.4	100			Percent of total billed charges		4864	100			Percent of total billed charges		4864	100			Percent of total billed charges		4864	33.3			Percent of total billed charges		1619.712	33.3			Percent of total billed charges		1619.712	100			Percent of total billed charges		4864	1619.712	4377.6	
medtronic iliac limb 13 x 11.5 yrirx13115	278	RC	Outpatient			4864	3161.6		90			Percent of total billed charges		4377.6	40			Percent of total billed charges		1945.6	80			Percent of total billed charges		3891.2	90			Percent of total billed charges		4377.6	85			Percent of total billed charges		4134.4	85			Percent of total billed charges		4134.4	85			Percent of total billed charges		4134.4	100			Percent of total billed charges		4864	100			Percent of total billed charges		4864	100			Percent of total billed charges		4864	33.3			Percent of total billed charges		1619.712	33.3			Percent of total billed charges		1619.712	100			Percent of total billed charges		4864	1619.712	4377.6	
medtronic iliac limb 13 x 11.5cm yrir13115	278	RC	Outpatient			4864	3161.6		90			Percent of total billed charges		4377.6	40			Percent of total billed charges		1945.6	80			Percent of total billed charges		3891.2	90			Percent of total billed charges		4377.6	85			Percent of total billed charges		4134.4	85			Percent of total billed charges		4134.4	85			Percent of total billed charges		4134.4	100			Percent of total billed charges		4864	100			Percent of total billed charges		4864	100			Percent of total billed charges		4864	33.3			Percent of total billed charges		1619.712	33.3			Percent of total billed charges		1619.712	100			Percent of total billed charges		4864	1619.712	4377.6	
medtronic iliac limb 14 x 11.5 yrirx14115	278	RC	Outpatient			4864	3161.6		90			Percent of total billed charges		4377.6	40			Percent of total billed charges		1945.6	80			Percent of total billed charges		3891.2	90			Percent of total billed charges		4377.6	85			Percent of total billed charges		4134.4	85			Percent of total billed charges		4134.4	85			Percent of total billed charges		4134.4	100			Percent of total billed charges		4864	100			Percent of total billed charges		4864	100			Percent of total billed charges		4864	33.3			Percent of total billed charges		1619.712	33.3			Percent of total billed charges		1619.712	100			Percent of total billed charges		4864	1619.712	4377.6	
medtronic iliac limb 15 x 11.5 yrirx15115	278	RC	Outpatient			4864	3161.6		90			Percent of total billed charges		4377.6	40			Percent of total billed charges		1945.6	80			Percent of total billed charges		3891.2	90			Percent of total billed charges		4377.6	85			Percent of total billed charges		4134.4	85			Percent of total billed charges		4134.4	85			Percent of total billed charges		4134.4	100			Percent of total billed charges		4864	100			Percent of total billed charges		4864	100			Percent of total billed charges		4864	33.3			Percent of total billed charges		1619.712	33.3			Percent of total billed charges		1619.712	100			Percent of total billed charges		4864	1619.712	4377.6	
medtronic iliac limb 15 x 11.5cm yrir15115	278	RC	Outpatient			4864	3161.6		90			Percent of total billed charges		4377.6	40			Percent of total billed charges		1945.6	80			Percent of total billed charges		3891.2	90			Percent of total billed charges		4377.6	85			Percent of total billed charges		4134.4	85			Percent of total billed charges		4134.4	85			Percent of total billed charges		4134.4	100			Percent of total billed charges		4864	100			Percent of total billed charges		4864	100			Percent of total billed charges		4864	33.3			Percent of total billed charges		1619.712	33.3			Percent of total billed charges		1619.712	100			Percent of total billed charges		4864	1619.712	4377.6	
medtronic iliac limb 16 mm x 11.5 cm yrirhxc16115	278	RC	Outpatient			4864	3161.6		90			Percent of total billed charges		4377.6	40			Percent of total billed charges		1945.6	80			Percent of total billed charges		3891.2	90			Percent of total billed charges		4377.6	85			Percent of total billed charges		4134.4	85			Percent of total billed charges		4134.4	85			Percent of total billed charges		4134.4	100			Percent of total billed charges		4864	100			Percent of total billed charges		4864	100			Percent of total billed charges		4864	33.3			Percent of total billed charges		1619.712	33.3			Percent of total billed charges		1619.712	100			Percent of total billed charges		4864	1619.712	4377.6	
medtronic iliiac limb 14 x 11.5cm yrir14115	278	RC	Outpatient			4864	3161.6		90			Percent of total billed charges		4377.6	40			Percent of total billed charges		1945.6	80			Percent of total billed charges		3891.2	90			Percent of total billed charges		4377.6	85			Percent of total billed charges		4134.4	85			Percent of total billed charges		4134.4	85			Percent of total billed charges		4134.4	100			Percent of total billed charges		4864	100			Percent of total billed charges		4864	100			Percent of total billed charges		4864	33.3			Percent of total billed charges		1619.712	33.3			Percent of total billed charges		1619.712	100			Percent of total billed charges		4864	1619.712	4377.6	
t2 recon nail  right 9 x 360 1847-0936s stryker	278	RC	Outpatient			4867	3163.55		90			Percent of total billed charges		4380.3	40			Percent of total billed charges		1946.8	80			Percent of total billed charges		3893.6	90			Percent of total billed charges		4380.3	85			Percent of total billed charges		4136.95	85			Percent of total billed charges		4136.95	85			Percent of total billed charges		4136.95	100			Percent of total billed charges		4867	100			Percent of total billed charges		4867	100			Percent of total billed charges		4867	33.3			Percent of total billed charges		1620.711	33.3			Percent of total billed charges		1620.711	100			Percent of total billed charges		4867	1620.711	4380.3	
t2 recon nail r2.0	278	RC	Outpatient			4867	3163.55		90			Percent of total billed charges		4380.3	40			Percent of total billed charges		1946.8	80			Percent of total billed charges		3893.6	90			Percent of total billed charges		4380.3	85			Percent of total billed charges		4136.95	85			Percent of total billed charges		4136.95	85			Percent of total billed charges		4136.95	100			Percent of total billed charges		4867	100			Percent of total billed charges		4867	100			Percent of total billed charges		4867	33.3			Percent of total billed charges		1620.711	33.3			Percent of total billed charges		1620.711	100			Percent of total billed charges		4867	1620.711	4380.3	
t2 recon nail r2.0 ti right 13 x 420 1847-1342s stryker	278	RC	Outpatient			4867	3163.55		90			Percent of total billed charges		4380.3	40			Percent of total billed charges		1946.8	80			Percent of total billed charges		3893.6	90			Percent of total billed charges		4380.3	85			Percent of total billed charges		4136.95	85			Percent of total billed charges		4136.95	85			Percent of total billed charges		4136.95	100			Percent of total billed charges		4867	100			Percent of total billed charges		4867	100			Percent of total billed charges		4867	33.3			Percent of total billed charges		1620.711	33.3			Percent of total billed charges		1620.711	100			Percent of total billed charges		4867	1620.711	4380.3	
cosmetic - endowbrowlift	983	RC	Outpatient			4868	3164.2		90			Percent of total billed charges		4381.2	40			Percent of total billed charges		1947.2	80			Percent of total billed charges		3894.4	90			Percent of total billed charges		4381.2	85			Percent of total billed charges		4137.8	85			Percent of total billed charges		4137.8	85			Percent of total billed charges		4137.8	100			Percent of total billed charges		4868	100			Percent of total billed charges		4868	100			Percent of total billed charges		4868	33.3			Percent of total billed charges		1621.044	33.3			Percent of total billed charges		1621.044	100			Percent of total billed charges		4868	1621.044	4381.2	
collagen repair patch zcr 00-4100-001-00 zimmer	278	RC	Outpatient			4876	3169.4		90			Percent of total billed charges		4388.4	40			Percent of total billed charges		1950.4	80			Percent of total billed charges		3900.8	90			Percent of total billed charges		4388.4	85			Percent of total billed charges		4144.6	85			Percent of total billed charges		4144.6	85			Percent of total billed charges		4144.6	100			Percent of total billed charges		4876	100			Percent of total billed charges		4876	100			Percent of total billed charges		4876	33.3			Percent of total billed charges		1623.708	33.3			Percent of total billed charges		1623.708	100			Percent of total billed charges		4876	1623.708	4388.4	
zcr collagen patch	278	RC	Outpatient			4876	3169.4		90			Percent of total billed charges		4388.4	40			Percent of total billed charges		1950.4	80			Percent of total billed charges		3900.8	90			Percent of total billed charges		4388.4	85			Percent of total billed charges		4144.6	85			Percent of total billed charges		4144.6	85			Percent of total billed charges		4144.6	100			Percent of total billed charges		4876	100			Percent of total billed charges		4876	100			Percent of total billed charges		4876	33.3			Percent of total billed charges		1623.708	33.3			Percent of total billed charges		1623.708	100			Percent of total billed charges		4876	1623.708	4388.4	
depuy rev metaphyseal sl	278	RC	Outpatient			4890	3178.5		90			Percent of total billed charges		4401	40			Percent of total billed charges		1956	80			Percent of total billed charges		3912	90			Percent of total billed charges		4401	85			Percent of total billed charges		4156.5	85			Percent of total billed charges		4156.5	85			Percent of total billed charges		4156.5	100			Percent of total billed charges		4890	100			Percent of total billed charges		4890	100			Percent of total billed charges		4890	33.3			Percent of total billed charges		1628.37	33.3			Percent of total billed charges		1628.37	100			Percent of total billed charges		4890	1628.37	4401	
hybrid vascular graft 6 x 55cm 0650hyb0605a gore	278	RC	Outpatient			4914	3194.1		90			Percent of total billed charges		4422.6	40			Percent of total billed charges		1965.6	80			Percent of total billed charges		3931.2	90			Percent of total billed charges		4422.6	85			Percent of total billed charges		4176.9	85			Percent of total billed charges		4176.9	85			Percent of total billed charges		4176.9	100			Percent of total billed charges		4914	100			Percent of total billed charges		4914	100			Percent of total billed charges		4914	33.3			Percent of total billed charges		1636.362	33.3			Percent of total billed charges		1636.362	100			Percent of total billed charges		4914	1636.362	4422.6	
gore hybrid graft 6x55	278	RC	Outpatient			4914	3194.1		90			Percent of total billed charges		4422.6	40			Percent of total billed charges		1965.6	80			Percent of total billed charges		3931.2	90			Percent of total billed charges		4422.6	85			Percent of total billed charges		4176.9	85			Percent of total billed charges		4176.9	85			Percent of total billed charges		4176.9	100			Percent of total billed charges		4914	100			Percent of total billed charges		4914	100			Percent of total billed charges		4914	33.3			Percent of total billed charges		1636.362	33.3			Percent of total billed charges		1636.362	100			Percent of total billed charges		4914	1636.362	4422.6	
imbs nail cp	278	RC	Outpatient			4918	3196.7		90			Percent of total billed charges		4426.2	40			Percent of total billed charges		1967.2	80			Percent of total billed charges		3934.4	90			Percent of total billed charges		4426.2	85			Percent of total billed charges		4180.3	85			Percent of total billed charges		4180.3	85			Percent of total billed charges		4180.3	100			Percent of total billed charges		4918	100			Percent of total billed charges		4918	100			Percent of total billed charges		4918	33.3			Percent of total billed charges		1637.694	33.3			Percent of total billed charges		1637.694	100			Percent of total billed charges		4918	1637.694	4426.2	
cosmetic - gynecomastia (complex)	983	RC	Outpatient			4923	3199.95		90			Percent of total billed charges		4430.7	40			Percent of total billed charges		1969.2	80			Percent of total billed charges		3938.4	90			Percent of total billed charges		4430.7	85			Percent of total billed charges		4184.55	85			Percent of total billed charges		4184.55	85			Percent of total billed charges		4184.55	100			Percent of total billed charges		4923	100			Percent of total billed charges		4923	100			Percent of total billed charges		4923	33.3			Percent of total billed charges		1639.359	33.3			Percent of total billed charges		1639.359	100			Percent of total billed charges		4923	1639.359	4430.7	
dbx mix 20cc	278	RC	Outpatient			4932	3205.8		90			Percent of total billed charges		4438.8	40			Percent of total billed charges		1972.8	80			Percent of total billed charges		3945.6	90			Percent of total billed charges		4438.8	85			Percent of total billed charges		4192.2	85			Percent of total billed charges		4192.2	85			Percent of total billed charges		4192.2	100			Percent of total billed charges		4932	100			Percent of total billed charges		4932	100			Percent of total billed charges		4932	33.3			Percent of total billed charges		1642.356	33.3			Percent of total billed charges		1642.356	100			Percent of total billed charges		4932	1642.356	4438.8	
dbx mix 20cc 058200 mtf	278	RC	Outpatient			4932	3205.8		90			Percent of total billed charges		4438.8	40			Percent of total billed charges		1972.8	80			Percent of total billed charges		3945.6	90			Percent of total billed charges		4438.8	85			Percent of total billed charges		4192.2	85			Percent of total billed charges		4192.2	85			Percent of total billed charges		4192.2	100			Percent of total billed charges		4932	100			Percent of total billed charges		4932	100			Percent of total billed charges		4932	33.3			Percent of total billed charges		1642.356	33.3			Percent of total billed charges		1642.356	100			Percent of total billed charges		4932	1642.356	4438.8	
comp plt 3.5mm 20 hl 71809120 s\n	278	RC	Outpatient			4942	3212.3		90			Percent of total billed charges		4447.8	40			Percent of total billed charges		1976.8	80			Percent of total billed charges		3953.6	90			Percent of total billed charges		4447.8	85			Percent of total billed charges		4200.7	85			Percent of total billed charges		4200.7	85			Percent of total billed charges		4200.7	100			Percent of total billed charges		4942	100			Percent of total billed charges		4942	100			Percent of total billed charges		4942	33.3			Percent of total billed charges		1645.686	33.3			Percent of total billed charges		1645.686	100			Percent of total billed charges		4942	1645.686	4447.8	
comp plt 3.5mm 22 hl 71809122 s\n	278	RC	Outpatient			4942	3212.3		90			Percent of total billed charges		4447.8	40			Percent of total billed charges		1976.8	80			Percent of total billed charges		3953.6	90			Percent of total billed charges		4447.8	85			Percent of total billed charges		4200.7	85			Percent of total billed charges		4200.7	85			Percent of total billed charges		4200.7	100			Percent of total billed charges		4942	100			Percent of total billed charges		4942	100			Percent of total billed charges		4942	33.3			Percent of total billed charges		1645.686	33.3			Percent of total billed charges		1645.686	100			Percent of total billed charges		4942	1645.686	4447.8	
comp plt 3.5mm 22 hl 71809722 s\n	278	RC	Outpatient			4942	3212.3		90			Percent of total billed charges		4447.8	40			Percent of total billed charges		1976.8	80			Percent of total billed charges		3953.6	90			Percent of total billed charges		4447.8	85			Percent of total billed charges		4200.7	85			Percent of total billed charges		4200.7	85			Percent of total billed charges		4200.7	100			Percent of total billed charges		4942	100			Percent of total billed charges		4942	100			Percent of total billed charges		4942	33.3			Percent of total billed charges		1645.686	33.3			Percent of total billed charges		1645.686	100			Percent of total billed charges		4942	1645.686	4447.8	
s/n 3.5 lck comp pl 20-22	278	RC	Outpatient			4942	3212.3		90			Percent of total billed charges		4447.8	40			Percent of total billed charges		1976.8	80			Percent of total billed charges		3953.6	90			Percent of total billed charges		4447.8	85			Percent of total billed charges		4200.7	85			Percent of total billed charges		4200.7	85			Percent of total billed charges		4200.7	100			Percent of total billed charges		4942	100			Percent of total billed charges		4942	100			Percent of total billed charges		4942	33.3			Percent of total billed charges		1645.686	33.3			Percent of total billed charges		1645.686	100			Percent of total billed charges		4942	1645.686	4447.8	
bio pop-top ps tibia	278	RC	Outpatient			4949	3216.85		90			Percent of total billed charges		4454.1	40			Percent of total billed charges		1979.6	80			Percent of total billed charges		3959.2	90			Percent of total billed charges		4454.1	85			Percent of total billed charges		4206.65	85			Percent of total billed charges		4206.65	85			Percent of total billed charges		4206.65	100			Percent of total billed charges		4949	100			Percent of total billed charges		4949	100			Percent of total billed charges		4949	33.3			Percent of total billed charges		1648.017	33.3			Percent of total billed charges		1648.017	100			Percent of total billed charges		4949	1648.017	4454.1	
biomet maxim  tibial  10 x 63mm rd145710	278	RC	Outpatient			4949	3216.85		90			Percent of total billed charges		4454.1	40			Percent of total billed charges		1979.6	80			Percent of total billed charges		3959.2	90			Percent of total billed charges		4454.1	85			Percent of total billed charges		4206.65	85			Percent of total billed charges		4206.65	85			Percent of total billed charges		4206.65	100			Percent of total billed charges		4949	100			Percent of total billed charges		4949	100			Percent of total billed charges		4949	33.3			Percent of total billed charges		1648.017	33.3			Percent of total billed charges		1648.017	100			Percent of total billed charges		4949	1648.017	4454.1	
biomet maxim  tibial  10 x 67mm rd145720	278	RC	Outpatient			4949	3216.85		90			Percent of total billed charges		4454.1	40			Percent of total billed charges		1979.6	80			Percent of total billed charges		3959.2	90			Percent of total billed charges		4454.1	85			Percent of total billed charges		4206.65	85			Percent of total billed charges		4206.65	85			Percent of total billed charges		4206.65	100			Percent of total billed charges		4949	100			Percent of total billed charges		4949	100			Percent of total billed charges		4949	33.3			Percent of total billed charges		1648.017	33.3			Percent of total billed charges		1648.017	100			Percent of total billed charges		4949	1648.017	4454.1	
biomet maxim  tibial  10 x 75mm rd145740	278	RC	Outpatient			4949	3216.85		90			Percent of total billed charges		4454.1	40			Percent of total billed charges		1979.6	80			Percent of total billed charges		3959.2	90			Percent of total billed charges		4454.1	85			Percent of total billed charges		4206.65	85			Percent of total billed charges		4206.65	85			Percent of total billed charges		4206.65	100			Percent of total billed charges		4949	100			Percent of total billed charges		4949	100			Percent of total billed charges		4949	33.3			Percent of total billed charges		1648.017	33.3			Percent of total billed charges		1648.017	100			Percent of total billed charges		4949	1648.017	4454.1	
biomet maxim  tibial  10 x 83mm rd145760	278	RC	Outpatient			4949	3216.85		90			Percent of total billed charges		4454.1	40			Percent of total billed charges		1979.6	80			Percent of total billed charges		3959.2	90			Percent of total billed charges		4454.1	85			Percent of total billed charges		4206.65	85			Percent of total billed charges		4206.65	85			Percent of total billed charges		4206.65	100			Percent of total billed charges		4949	100			Percent of total billed charges		4949	100			Percent of total billed charges		4949	33.3			Percent of total billed charges		1648.017	33.3			Percent of total billed charges		1648.017	100			Percent of total billed charges		4949	1648.017	4454.1	
biomet maxim  tibial  14 x 63mm rd145714	278	RC	Outpatient			4949	3216.85		90			Percent of total billed charges		4454.1	40			Percent of total billed charges		1979.6	80			Percent of total billed charges		3959.2	90			Percent of total billed charges		4454.1	85			Percent of total billed charges		4206.65	85			Percent of total billed charges		4206.65	85			Percent of total billed charges		4206.65	100			Percent of total billed charges		4949	100			Percent of total billed charges		4949	100			Percent of total billed charges		4949	33.3			Percent of total billed charges		1648.017	33.3			Percent of total billed charges		1648.017	100			Percent of total billed charges		4949	1648.017	4454.1	
biomet maxim  tibial  14 x 67mm rd145724	278	RC	Outpatient			4949	3216.85		90			Percent of total billed charges		4454.1	40			Percent of total billed charges		1979.6	80			Percent of total billed charges		3959.2	90			Percent of total billed charges		4454.1	85			Percent of total billed charges		4206.65	85			Percent of total billed charges		4206.65	85			Percent of total billed charges		4206.65	100			Percent of total billed charges		4949	100			Percent of total billed charges		4949	100			Percent of total billed charges		4949	33.3			Percent of total billed charges		1648.017	33.3			Percent of total billed charges		1648.017	100			Percent of total billed charges		4949	1648.017	4454.1	
biomet maxim  tibial  18 x 67mm rd145728	278	RC	Outpatient			4949	3216.85		90			Percent of total billed charges		4454.1	40			Percent of total billed charges		1979.6	80			Percent of total billed charges		3959.2	90			Percent of total billed charges		4454.1	85			Percent of total billed charges		4206.65	85			Percent of total billed charges		4206.65	85			Percent of total billed charges		4206.65	100			Percent of total billed charges		4949	100			Percent of total billed charges		4949	100			Percent of total billed charges		4949	33.3			Percent of total billed charges		1648.017	33.3			Percent of total billed charges		1648.017	100			Percent of total billed charges		4949	1648.017	4454.1	
biomet maxim  tibial  18 x 71mm rd145738	278	RC	Outpatient			4949	3216.85		90			Percent of total billed charges		4454.1	40			Percent of total billed charges		1979.6	80			Percent of total billed charges		3959.2	90			Percent of total billed charges		4454.1	85			Percent of total billed charges		4206.65	85			Percent of total billed charges		4206.65	85			Percent of total billed charges		4206.65	100			Percent of total billed charges		4949	100			Percent of total billed charges		4949	100			Percent of total billed charges		4949	33.3			Percent of total billed charges		1648.017	33.3			Percent of total billed charges		1648.017	100			Percent of total billed charges		4949	1648.017	4454.1	
biomet maxim  tibial 16 x 63mm rd145716	278	RC	Outpatient			4949	3216.85		90			Percent of total billed charges		4454.1	40			Percent of total billed charges		1979.6	80			Percent of total billed charges		3959.2	90			Percent of total billed charges		4454.1	85			Percent of total billed charges		4206.65	85			Percent of total billed charges		4206.65	85			Percent of total billed charges		4206.65	100			Percent of total billed charges		4949	100			Percent of total billed charges		4949	100			Percent of total billed charges		4949	33.3			Percent of total billed charges		1648.017	33.3			Percent of total billed charges		1648.017	100			Percent of total billed charges		4949	1648.017	4454.1	
biomet maxim  tibial 16 x 67mm rd145726	278	RC	Outpatient			4949	3216.85		90			Percent of total billed charges		4454.1	40			Percent of total billed charges		1979.6	80			Percent of total billed charges		3959.2	90			Percent of total billed charges		4454.1	85			Percent of total billed charges		4206.65	85			Percent of total billed charges		4206.65	85			Percent of total billed charges		4206.65	100			Percent of total billed charges		4949	100			Percent of total billed charges		4949	100			Percent of total billed charges		4949	33.3			Percent of total billed charges		1648.017	33.3			Percent of total billed charges		1648.017	100			Percent of total billed charges		4949	1648.017	4454.1	
biomet maxim tibial  12 x 75mm rd145742	278	RC	Outpatient			4949	3216.85		90			Percent of total billed charges		4454.1	40			Percent of total billed charges		1979.6	80			Percent of total billed charges		3959.2	90			Percent of total billed charges		4454.1	85			Percent of total billed charges		4206.65	85			Percent of total billed charges		4206.65	85			Percent of total billed charges		4206.65	100			Percent of total billed charges		4949	100			Percent of total billed charges		4949	100			Percent of total billed charges		4949	33.3			Percent of total billed charges		1648.017	33.3			Percent of total billed charges		1648.017	100			Percent of total billed charges		4949	1648.017	4454.1	
biomet maxim tibial 14 x 83mm rd145768	278	RC	Outpatient			4949	3216.85		90			Percent of total billed charges		4454.1	40			Percent of total billed charges		1979.6	80			Percent of total billed charges		3959.2	90			Percent of total billed charges		4454.1	85			Percent of total billed charges		4206.65	85			Percent of total billed charges		4206.65	85			Percent of total billed charges		4206.65	100			Percent of total billed charges		4949	100			Percent of total billed charges		4949	100			Percent of total billed charges		4949	33.3			Percent of total billed charges		1648.017	33.3			Percent of total billed charges		1648.017	100			Percent of total billed charges		4949	1648.017	4454.1	
biomet maxim  tibial  10 x 71mm rd145730	278	RC	Outpatient			4949	3216.85		90			Percent of total billed charges		4454.1	40			Percent of total billed charges		1979.6	80			Percent of total billed charges		3959.2	90			Percent of total billed charges		4454.1	85			Percent of total billed charges		4206.65	85			Percent of total billed charges		4206.65	85			Percent of total billed charges		4206.65	100			Percent of total billed charges		4949	100			Percent of total billed charges		4949	100			Percent of total billed charges		4949	33.3			Percent of total billed charges		1648.017	33.3			Percent of total billed charges		1648.017	100			Percent of total billed charges		4949	1648.017	4454.1	
biomet maxim  tibial  12 x 67mm rd145722	278	RC	Outpatient			4949	3216.85		90			Percent of total billed charges		4454.1	40			Percent of total billed charges		1979.6	80			Percent of total billed charges		3959.2	90			Percent of total billed charges		4454.1	85			Percent of total billed charges		4206.65	85			Percent of total billed charges		4206.65	85			Percent of total billed charges		4206.65	100			Percent of total billed charges		4949	100			Percent of total billed charges		4949	100			Percent of total billed charges		4949	33.3			Percent of total billed charges		1648.017	33.3			Percent of total billed charges		1648.017	100			Percent of total billed charges		4949	1648.017	4454.1	
biomet maxim  tibial  12 x 71mm rd145732	278	RC	Outpatient			4949	3216.85		90			Percent of total billed charges		4454.1	40			Percent of total billed charges		1979.6	80			Percent of total billed charges		3959.2	90			Percent of total billed charges		4454.1	85			Percent of total billed charges		4206.65	85			Percent of total billed charges		4206.65	85			Percent of total billed charges		4206.65	100			Percent of total billed charges		4949	100			Percent of total billed charges		4949	100			Percent of total billed charges		4949	33.3			Percent of total billed charges		1648.017	33.3			Percent of total billed charges		1648.017	100			Percent of total billed charges		4949	1648.017	4454.1	
biomet maxim  tibial  12 x 79mm rd145752	278	RC	Outpatient			4949	3216.85		90			Percent of total billed charges		4454.1	40			Percent of total billed charges		1979.6	80			Percent of total billed charges		3959.2	90			Percent of total billed charges		4454.1	85			Percent of total billed charges		4206.65	85			Percent of total billed charges		4206.65	85			Percent of total billed charges		4206.65	100			Percent of total billed charges		4949	100			Percent of total billed charges		4949	100			Percent of total billed charges		4949	33.3			Percent of total billed charges		1648.017	33.3			Percent of total billed charges		1648.017	100			Percent of total billed charges		4949	1648.017	4454.1	
biomet maxim  tibial  12 x 83mm rd145762	278	RC	Outpatient			4949	3216.85		90			Percent of total billed charges		4454.1	40			Percent of total billed charges		1979.6	80			Percent of total billed charges		3959.2	90			Percent of total billed charges		4454.1	85			Percent of total billed charges		4206.65	85			Percent of total billed charges		4206.65	85			Percent of total billed charges		4206.65	100			Percent of total billed charges		4949	100			Percent of total billed charges		4949	100			Percent of total billed charges		4949	33.3			Percent of total billed charges		1648.017	33.3			Percent of total billed charges		1648.017	100			Percent of total billed charges		4949	1648.017	4454.1	
biomet maxim  tibial  14 x 75mm rd145744	278	RC	Outpatient			4949	3216.85		90			Percent of total billed charges		4454.1	40			Percent of total billed charges		1979.6	80			Percent of total billed charges		3959.2	90			Percent of total billed charges		4454.1	85			Percent of total billed charges		4206.65	85			Percent of total billed charges		4206.65	85			Percent of total billed charges		4206.65	100			Percent of total billed charges		4949	100			Percent of total billed charges		4949	100			Percent of total billed charges		4949	33.3			Percent of total billed charges		1648.017	33.3			Percent of total billed charges		1648.017	100			Percent of total billed charges		4949	1648.017	4454.1	
biomet maxim  tibial  16 x 75mm rd145746	278	RC	Outpatient			4949	3216.85		90			Percent of total billed charges		4454.1	40			Percent of total billed charges		1979.6	80			Percent of total billed charges		3959.2	90			Percent of total billed charges		4454.1	85			Percent of total billed charges		4206.65	85			Percent of total billed charges		4206.65	85			Percent of total billed charges		4206.65	100			Percent of total billed charges		4949	100			Percent of total billed charges		4949	100			Percent of total billed charges		4949	33.3			Percent of total billed charges		1648.017	33.3			Percent of total billed charges		1648.017	100			Percent of total billed charges		4949	1648.017	4454.1	
biomet maxim  tibial  16 x 79mm rd145756	278	RC	Outpatient			4949	3216.85		90			Percent of total billed charges		4454.1	40			Percent of total billed charges		1979.6	80			Percent of total billed charges		3959.2	90			Percent of total billed charges		4454.1	85			Percent of total billed charges		4206.65	85			Percent of total billed charges		4206.65	85			Percent of total billed charges		4206.65	100			Percent of total billed charges		4949	100			Percent of total billed charges		4949	100			Percent of total billed charges		4949	33.3			Percent of total billed charges		1648.017	33.3			Percent of total billed charges		1648.017	100			Percent of total billed charges		4949	1648.017	4454.1	
biomet maxim  tibial  18 x 63mm rd145718	278	RC	Outpatient			4949	3216.85		90			Percent of total billed charges		4454.1	40			Percent of total billed charges		1979.6	80			Percent of total billed charges		3959.2	90			Percent of total billed charges		4454.1	85			Percent of total billed charges		4206.65	85			Percent of total billed charges		4206.65	85			Percent of total billed charges		4206.65	100			Percent of total billed charges		4949	100			Percent of total billed charges		4949	100			Percent of total billed charges		4949	33.3			Percent of total billed charges		1648.017	33.3			Percent of total billed charges		1648.017	100			Percent of total billed charges		4949	1648.017	4454.1	
biomet maxim  tibial  18 x 79mm rd145758	278	RC	Outpatient			4949	3216.85		90			Percent of total billed charges		4454.1	40			Percent of total billed charges		1979.6	80			Percent of total billed charges		3959.2	90			Percent of total billed charges		4454.1	85			Percent of total billed charges		4206.65	85			Percent of total billed charges		4206.65	85			Percent of total billed charges		4206.65	100			Percent of total billed charges		4949	100			Percent of total billed charges		4949	100			Percent of total billed charges		4949	33.3			Percent of total billed charges		1648.017	33.3			Percent of total billed charges		1648.017	100			Percent of total billed charges		4949	1648.017	4454.1	
biomet maxim tibial  10 x 79mm rd145750	278	RC	Outpatient			4949	3216.85		90			Percent of total billed charges		4454.1	40			Percent of total billed charges		1979.6	80			Percent of total billed charges		3959.2	90			Percent of total billed charges		4454.1	85			Percent of total billed charges		4206.65	85			Percent of total billed charges		4206.65	85			Percent of total billed charges		4206.65	100			Percent of total billed charges		4949	100			Percent of total billed charges		4949	100			Percent of total billed charges		4949	33.3			Percent of total billed charges		1648.017	33.3			Percent of total billed charges		1648.017	100			Percent of total billed charges		4949	1648.017	4454.1	
biomet maxim tibial  12 x 63mm rd145712	278	RC	Outpatient			4949	3216.85		90			Percent of total billed charges		4454.1	40			Percent of total billed charges		1979.6	80			Percent of total billed charges		3959.2	90			Percent of total billed charges		4454.1	85			Percent of total billed charges		4206.65	85			Percent of total billed charges		4206.65	85			Percent of total billed charges		4206.65	100			Percent of total billed charges		4949	100			Percent of total billed charges		4949	100			Percent of total billed charges		4949	33.3			Percent of total billed charges		1648.017	33.3			Percent of total billed charges		1648.017	100			Percent of total billed charges		4949	1648.017	4454.1	
biomet maxim tibial  14 x 71mm rd145734	278	RC	Outpatient			4949	3216.85		90			Percent of total billed charges		4454.1	40			Percent of total billed charges		1979.6	80			Percent of total billed charges		3959.2	90			Percent of total billed charges		4454.1	85			Percent of total billed charges		4206.65	85			Percent of total billed charges		4206.65	85			Percent of total billed charges		4206.65	100			Percent of total billed charges		4949	100			Percent of total billed charges		4949	100			Percent of total billed charges		4949	33.3			Percent of total billed charges		1648.017	33.3			Percent of total billed charges		1648.017	100			Percent of total billed charges		4949	1648.017	4454.1	
biomet maxim tibial  14 x 79mm rd145754	278	RC	Outpatient			4949	3216.85		90			Percent of total billed charges		4454.1	40			Percent of total billed charges		1979.6	80			Percent of total billed charges		3959.2	90			Percent of total billed charges		4454.1	85			Percent of total billed charges		4206.65	85			Percent of total billed charges		4206.65	85			Percent of total billed charges		4206.65	100			Percent of total billed charges		4949	100			Percent of total billed charges		4949	100			Percent of total billed charges		4949	33.3			Percent of total billed charges		1648.017	33.3			Percent of total billed charges		1648.017	100			Percent of total billed charges		4949	1648.017	4454.1	
biomet maxim tibial  16 x 71mm rd145736	278	RC	Outpatient			4949	3216.85		90			Percent of total billed charges		4454.1	40			Percent of total billed charges		1979.6	80			Percent of total billed charges		3959.2	90			Percent of total billed charges		4454.1	85			Percent of total billed charges		4206.65	85			Percent of total billed charges		4206.65	85			Percent of total billed charges		4206.65	100			Percent of total billed charges		4949	100			Percent of total billed charges		4949	100			Percent of total billed charges		4949	33.3			Percent of total billed charges		1648.017	33.3			Percent of total billed charges		1648.017	100			Percent of total billed charges		4949	1648.017	4454.1	
biomet maxim tibial  18 x 75mm rd145748	278	RC	Outpatient			4949	3216.85		90			Percent of total billed charges		4454.1	40			Percent of total billed charges		1979.6	80			Percent of total billed charges		3959.2	90			Percent of total billed charges		4454.1	85			Percent of total billed charges		4206.65	85			Percent of total billed charges		4206.65	85			Percent of total billed charges		4206.65	100			Percent of total billed charges		4949	100			Percent of total billed charges		4949	100			Percent of total billed charges		4949	33.3			Percent of total billed charges		1648.017	33.3			Percent of total billed charges		1648.017	100			Percent of total billed charges		4949	1648.017	4454.1	
biomet maxim tibial 14 x 83mm rd145764	278	RC	Outpatient			4949	3216.85		90			Percent of total billed charges		4454.1	40			Percent of total billed charges		1979.6	80			Percent of total billed charges		3959.2	90			Percent of total billed charges		4454.1	85			Percent of total billed charges		4206.65	85			Percent of total billed charges		4206.65	85			Percent of total billed charges		4206.65	100			Percent of total billed charges		4949	100			Percent of total billed charges		4949	100			Percent of total billed charges		4949	33.3			Percent of total billed charges		1648.017	33.3			Percent of total billed charges		1648.017	100			Percent of total billed charges		4949	1648.017	4454.1	
biomet maxim tibial 16 x 83mm rd145766	278	RC	Outpatient			4949	3216.85		90			Percent of total billed charges		4454.1	40			Percent of total billed charges		1979.6	80			Percent of total billed charges		3959.2	90			Percent of total billed charges		4454.1	85			Percent of total billed charges		4206.65	85			Percent of total billed charges		4206.65	85			Percent of total billed charges		4206.65	100			Percent of total billed charges		4949	100			Percent of total billed charges		4949	100			Percent of total billed charges		4949	33.3			Percent of total billed charges		1648.017	33.3			Percent of total billed charges		1648.017	100			Percent of total billed charges		4949	1648.017	4454.1	
bio 365501 65/17 icd lead	270	RC	Outpatient			4950	3217.5		90			Percent of total billed charges		4455	40			Percent of total billed charges		1980	80			Percent of total billed charges		3960	90			Percent of total billed charges		4455	85			Percent of total billed charges		4207.5	85			Percent of total billed charges		4207.5	85			Percent of total billed charges		4207.5	100			Percent of total billed charges		4950	100			Percent of total billed charges		4950	100			Percent of total billed charges		4950	33.3			Percent of total billed charges		1648.35	33.3			Percent of total billed charges		1648.35	100			Percent of total billed charges		4950	1648.35	4455	
bio 379969	278	RC	Outpatient			4950	3217.5		90			Percent of total billed charges		4455	40			Percent of total billed charges		1980	80			Percent of total billed charges		3960	90			Percent of total billed charges		4455	85			Percent of total billed charges		4207.5	85			Percent of total billed charges		4207.5	85			Percent of total billed charges		4207.5	100			Percent of total billed charges		4950	100			Percent of total billed charges		4950	100			Percent of total billed charges		4950	33.3			Percent of total billed charges		1648.35	33.3			Percent of total billed charges		1648.35	100			Percent of total billed charges		4950	1648.35	4455	
bio 365500 65/15 icd lead	270	RC	Outpatient			4950	3217.5		90			Percent of total billed charges		4455	40			Percent of total billed charges		1980	80			Percent of total billed charges		3960	90			Percent of total billed charges		4455	85			Percent of total billed charges		4207.5	85			Percent of total billed charges		4207.5	85			Percent of total billed charges		4207.5	100			Percent of total billed charges		4950	100			Percent of total billed charges		4950	100			Percent of total billed charges		4950	33.3			Percent of total billed charges		1648.35	33.3			Percent of total billed charges		1648.35	100			Percent of total billed charges		4950	1648.35	4455	
lithoclast	272	RC	Outpatient			4950	3217.5		90			Percent of total billed charges		4455	40			Percent of total billed charges		1980	80			Percent of total billed charges		3960	90			Percent of total billed charges		4455	85			Percent of total billed charges		4207.5	85			Percent of total billed charges		4207.5	85			Percent of total billed charges		4207.5	100			Percent of total billed charges		4950	100			Percent of total billed charges		4950	100			Percent of total billed charges		4950	33.3			Percent of total billed charges		1648.35	33.3			Percent of total billed charges		1648.35	100			Percent of total billed charges		4950	1648.35	4455	
depuy srom m-spec fem hd	278	RC	Outpatient			4951	3218.15		90			Percent of total billed charges		4455.9	40			Percent of total billed charges		1980.4	80			Percent of total billed charges		3960.8	90			Percent of total billed charges		4455.9	85			Percent of total billed charges		4208.35	85			Percent of total billed charges		4208.35	85			Percent of total billed charges		4208.35	100			Percent of total billed charges		4951	100			Percent of total billed charges		4951	100			Percent of total billed charges		4951	33.3			Percent of total billed charges		1648.683	33.3			Percent of total billed charges		1648.683	100			Percent of total billed charges		4951	1648.683	4455.9	
srom m-spec femoral head 40mm +3 1365-43-500 depuy	278	RC	Outpatient			4951	3218.15		90			Percent of total billed charges		4455.9	40			Percent of total billed charges		1980.4	80			Percent of total billed charges		3960.8	90			Percent of total billed charges		4455.9	85			Percent of total billed charges		4208.35	85			Percent of total billed charges		4208.35	85			Percent of total billed charges		4208.35	100			Percent of total billed charges		4951	100			Percent of total billed charges		4951	100			Percent of total billed charges		4951	33.3			Percent of total billed charges		1648.683	33.3			Percent of total billed charges		1648.683	100			Percent of total billed charges		4951	1648.683	4455.9	
j&j tibial comp nonporous	278	RC	Outpatient			4954	3220.1		90			Percent of total billed charges		4458.6	40			Percent of total billed charges		1981.6	80			Percent of total billed charges		3963.2	90			Percent of total billed charges		4458.6	85			Percent of total billed charges		4210.9	85			Percent of total billed charges		4210.9	85			Percent of total billed charges		4210.9	100			Percent of total billed charges		4954	100			Percent of total billed charges		4954	100			Percent of total billed charges		4954	33.3			Percent of total billed charges		1649.682	33.3			Percent of total billed charges		1649.682	100			Percent of total billed charges		4954	1649.682	4458.6	
trigen knee nail  10 mm x 42 cm 7163-3242 s/n	278	RC	Outpatient			4964	3226.6		90			Percent of total billed charges		4467.6	40			Percent of total billed charges		1985.6	80			Percent of total billed charges		3971.2	90			Percent of total billed charges		4467.6	85			Percent of total billed charges		4219.4	85			Percent of total billed charges		4219.4	85			Percent of total billed charges		4219.4	100			Percent of total billed charges		4964	100			Percent of total billed charges		4964	100			Percent of total billed charges		4964	33.3			Percent of total billed charges		1653.012	33.3			Percent of total billed charges		1653.012	100			Percent of total billed charges		4964	1653.012	4467.6	
trigen knee nail 10 mm x 30 cm 7163-3230 s/n	278	RC	Outpatient			4964	3226.6		90			Percent of total billed charges		4467.6	40			Percent of total billed charges		1985.6	80			Percent of total billed charges		3971.2	90			Percent of total billed charges		4467.6	85			Percent of total billed charges		4219.4	85			Percent of total billed charges		4219.4	85			Percent of total billed charges		4219.4	100			Percent of total billed charges		4964	100			Percent of total billed charges		4964	100			Percent of total billed charges		4964	33.3			Percent of total billed charges		1653.012	33.3			Percent of total billed charges		1653.012	100			Percent of total billed charges		4964	1653.012	4467.6	
trigen knee nail 10 mm x 38 cm 7163-3238 s/n	278	RC	Outpatient			4964	3226.6		90			Percent of total billed charges		4467.6	40			Percent of total billed charges		1985.6	80			Percent of total billed charges		3971.2	90			Percent of total billed charges		4467.6	85			Percent of total billed charges		4219.4	85			Percent of total billed charges		4219.4	85			Percent of total billed charges		4219.4	100			Percent of total billed charges		4964	100			Percent of total billed charges		4964	100			Percent of total billed charges		4964	33.3			Percent of total billed charges		1653.012	33.3			Percent of total billed charges		1653.012	100			Percent of total billed charges		4964	1653.012	4467.6	
trigen knee nail 11.5 mm x 28 cm 7163-3328 s/n	278	RC	Outpatient			4964	3226.6		90			Percent of total billed charges		4467.6	40			Percent of total billed charges		1985.6	80			Percent of total billed charges		3971.2	90			Percent of total billed charges		4467.6	85			Percent of total billed charges		4219.4	85			Percent of total billed charges		4219.4	85			Percent of total billed charges		4219.4	100			Percent of total billed charges		4964	100			Percent of total billed charges		4964	100			Percent of total billed charges		4964	33.3			Percent of total billed charges		1653.012	33.3			Percent of total billed charges		1653.012	100			Percent of total billed charges		4964	1653.012	4467.6	
trigen knee nail 11.5 mm x 30 cm 7163-3330 s/n	278	RC	Outpatient			4964	3226.6		90			Percent of total billed charges		4467.6	40			Percent of total billed charges		1985.6	80			Percent of total billed charges		3971.2	90			Percent of total billed charges		4467.6	85			Percent of total billed charges		4219.4	85			Percent of total billed charges		4219.4	85			Percent of total billed charges		4219.4	100			Percent of total billed charges		4964	100			Percent of total billed charges		4964	100			Percent of total billed charges		4964	33.3			Percent of total billed charges		1653.012	33.3			Percent of total billed charges		1653.012	100			Percent of total billed charges		4964	1653.012	4467.6	
trigen knee nail 11.5 mm x 38 cm 7163-3338 s/n	278	RC	Outpatient			4964	3226.6		90			Percent of total billed charges		4467.6	40			Percent of total billed charges		1985.6	80			Percent of total billed charges		3971.2	90			Percent of total billed charges		4467.6	85			Percent of total billed charges		4219.4	85			Percent of total billed charges		4219.4	85			Percent of total billed charges		4219.4	100			Percent of total billed charges		4964	100			Percent of total billed charges		4964	100			Percent of total billed charges		4964	33.3			Percent of total billed charges		1653.012	33.3			Percent of total billed charges		1653.012	100			Percent of total billed charges		4964	1653.012	4467.6	
trigen knee nail 13 mm x 28 cm 7163-3428 s/n	278	RC	Outpatient			4964	3226.6		90			Percent of total billed charges		4467.6	40			Percent of total billed charges		1985.6	80			Percent of total billed charges		3971.2	90			Percent of total billed charges		4467.6	85			Percent of total billed charges		4219.4	85			Percent of total billed charges		4219.4	85			Percent of total billed charges		4219.4	100			Percent of total billed charges		4964	100			Percent of total billed charges		4964	100			Percent of total billed charges		4964	33.3			Percent of total billed charges		1653.012	33.3			Percent of total billed charges		1653.012	100			Percent of total billed charges		4964	1653.012	4467.6	
trigen knee nail 13 mm x 32 cm 7163-3432 s/n	278	RC	Outpatient			4964	3226.6		90			Percent of total billed charges		4467.6	40			Percent of total billed charges		1985.6	80			Percent of total billed charges		3971.2	90			Percent of total billed charges		4467.6	85			Percent of total billed charges		4219.4	85			Percent of total billed charges		4219.4	85			Percent of total billed charges		4219.4	100			Percent of total billed charges		4964	100			Percent of total billed charges		4964	100			Percent of total billed charges		4964	33.3			Percent of total billed charges		1653.012	33.3			Percent of total billed charges		1653.012	100			Percent of total billed charges		4964	1653.012	4467.6	
trigen knee nail 8.5 mm x 28 cm 7163-3128 s/n	278	RC	Outpatient			4964	3226.6		90			Percent of total billed charges		4467.6	40			Percent of total billed charges		1985.6	80			Percent of total billed charges		3971.2	90			Percent of total billed charges		4467.6	85			Percent of total billed charges		4219.4	85			Percent of total billed charges		4219.4	85			Percent of total billed charges		4219.4	100			Percent of total billed charges		4964	100			Percent of total billed charges		4964	100			Percent of total billed charges		4964	33.3			Percent of total billed charges		1653.012	33.3			Percent of total billed charges		1653.012	100			Percent of total billed charges		4964	1653.012	4467.6	
trigen knee nail 8.5 mm x 32 cm 7163-3132 s/n	278	RC	Outpatient			4964	3226.6		90			Percent of total billed charges		4467.6	40			Percent of total billed charges		1985.6	80			Percent of total billed charges		3971.2	90			Percent of total billed charges		4467.6	85			Percent of total billed charges		4219.4	85			Percent of total billed charges		4219.4	85			Percent of total billed charges		4219.4	100			Percent of total billed charges		4964	100			Percent of total billed charges		4964	100			Percent of total billed charges		4964	33.3			Percent of total billed charges		1653.012	33.3			Percent of total billed charges		1653.012	100			Percent of total billed charges		4964	1653.012	4467.6	
trigen knee nail 8.5 mm x 36 cm 7163-3136 s/n	278	RC	Outpatient			4964	3226.6		90			Percent of total billed charges		4467.6	40			Percent of total billed charges		1985.6	80			Percent of total billed charges		3971.2	90			Percent of total billed charges		4467.6	85			Percent of total billed charges		4219.4	85			Percent of total billed charges		4219.4	85			Percent of total billed charges		4219.4	100			Percent of total billed charges		4964	100			Percent of total billed charges		4964	100			Percent of total billed charges		4964	33.3			Percent of total billed charges		1653.012	33.3			Percent of total billed charges		1653.012	100			Percent of total billed charges		4964	1653.012	4467.6	
trigen knee nail 8.5 mm x 40 cm 7163-3140 s/n	278	RC	Outpatient			4964	3226.6		90			Percent of total billed charges		4467.6	40			Percent of total billed charges		1985.6	80			Percent of total billed charges		3971.2	90			Percent of total billed charges		4467.6	85			Percent of total billed charges		4219.4	85			Percent of total billed charges		4219.4	85			Percent of total billed charges		4219.4	100			Percent of total billed charges		4964	100			Percent of total billed charges		4964	100			Percent of total billed charges		4964	33.3			Percent of total billed charges		1653.012	33.3			Percent of total billed charges		1653.012	100			Percent of total billed charges		4964	1653.012	4467.6	
trigen im nail- 13 mm x 38 cm 7163-3438 s/n	278	RC	Outpatient			4964	3226.6		90			Percent of total billed charges		4467.6	40			Percent of total billed charges		1985.6	80			Percent of total billed charges		3971.2	90			Percent of total billed charges		4467.6	85			Percent of total billed charges		4219.4	85			Percent of total billed charges		4219.4	85			Percent of total billed charges		4219.4	100			Percent of total billed charges		4964	100			Percent of total billed charges		4964	100			Percent of total billed charges		4964	33.3			Percent of total billed charges		1653.012	33.3			Percent of total billed charges		1653.012	100			Percent of total billed charges		4964	1653.012	4467.6	
trigen knee nail  11.5 mm x 32 cm 7163-3332 s/n	278	RC	Outpatient			4964	3226.6		90			Percent of total billed charges		4467.6	40			Percent of total billed charges		1985.6	80			Percent of total billed charges		3971.2	90			Percent of total billed charges		4467.6	85			Percent of total billed charges		4219.4	85			Percent of total billed charges		4219.4	85			Percent of total billed charges		4219.4	100			Percent of total billed charges		4964	100			Percent of total billed charges		4964	100			Percent of total billed charges		4964	33.3			Percent of total billed charges		1653.012	33.3			Percent of total billed charges		1653.012	100			Percent of total billed charges		4964	1653.012	4467.6	
trigen knee nail 10 mm x 28 cm 7163-3228 s/n	278	RC	Outpatient			4964	3226.6		90			Percent of total billed charges		4467.6	40			Percent of total billed charges		1985.6	80			Percent of total billed charges		3971.2	90			Percent of total billed charges		4467.6	85			Percent of total billed charges		4219.4	85			Percent of total billed charges		4219.4	85			Percent of total billed charges		4219.4	100			Percent of total billed charges		4964	100			Percent of total billed charges		4964	100			Percent of total billed charges		4964	33.3			Percent of total billed charges		1653.012	33.3			Percent of total billed charges		1653.012	100			Percent of total billed charges		4964	1653.012	4467.6	
trigen knee nail 10 mm x 32 cm 7163-3232 s/n	278	RC	Outpatient			4964	3226.6		90			Percent of total billed charges		4467.6	40			Percent of total billed charges		1985.6	80			Percent of total billed charges		3971.2	90			Percent of total billed charges		4467.6	85			Percent of total billed charges		4219.4	85			Percent of total billed charges		4219.4	85			Percent of total billed charges		4219.4	100			Percent of total billed charges		4964	100			Percent of total billed charges		4964	100			Percent of total billed charges		4964	33.3			Percent of total billed charges		1653.012	33.3			Percent of total billed charges		1653.012	100			Percent of total billed charges		4964	1653.012	4467.6	
trigen knee nail 10 mm x 34 cm 7163-3234 s/n	278	RC	Outpatient			4964	3226.6		90			Percent of total billed charges		4467.6	40			Percent of total billed charges		1985.6	80			Percent of total billed charges		3971.2	90			Percent of total billed charges		4467.6	85			Percent of total billed charges		4219.4	85			Percent of total billed charges		4219.4	85			Percent of total billed charges		4219.4	100			Percent of total billed charges		4964	100			Percent of total billed charges		4964	100			Percent of total billed charges		4964	33.3			Percent of total billed charges		1653.012	33.3			Percent of total billed charges		1653.012	100			Percent of total billed charges		4964	1653.012	4467.6	
trigen knee nail 10 mm x 36 cm 7163-3236 s/n	278	RC	Outpatient			4964	3226.6		90			Percent of total billed charges		4467.6	40			Percent of total billed charges		1985.6	80			Percent of total billed charges		3971.2	90			Percent of total billed charges		4467.6	85			Percent of total billed charges		4219.4	85			Percent of total billed charges		4219.4	85			Percent of total billed charges		4219.4	100			Percent of total billed charges		4964	100			Percent of total billed charges		4964	100			Percent of total billed charges		4964	33.3			Percent of total billed charges		1653.012	33.3			Percent of total billed charges		1653.012	100			Percent of total billed charges		4964	1653.012	4467.6	
trigen knee nail 10 mm x 40 cm 7163-3240 s/n	278	RC	Outpatient			4964	3226.6		90			Percent of total billed charges		4467.6	40			Percent of total billed charges		1985.6	80			Percent of total billed charges		3971.2	90			Percent of total billed charges		4467.6	85			Percent of total billed charges		4219.4	85			Percent of total billed charges		4219.4	85			Percent of total billed charges		4219.4	100			Percent of total billed charges		4964	100			Percent of total billed charges		4964	100			Percent of total billed charges		4964	33.3			Percent of total billed charges		1653.012	33.3			Percent of total billed charges		1653.012	100			Percent of total billed charges		4964	1653.012	4467.6	
trigen knee nail 11.5 mm x 26 cm 7163-3326 s/n	278	RC	Outpatient			4964	3226.6		90			Percent of total billed charges		4467.6	40			Percent of total billed charges		1985.6	80			Percent of total billed charges		3971.2	90			Percent of total billed charges		4467.6	85			Percent of total billed charges		4219.4	85			Percent of total billed charges		4219.4	85			Percent of total billed charges		4219.4	100			Percent of total billed charges		4964	100			Percent of total billed charges		4964	100			Percent of total billed charges		4964	33.3			Percent of total billed charges		1653.012	33.3			Percent of total billed charges		1653.012	100			Percent of total billed charges		4964	1653.012	4467.6	
trigen knee nail 11.5 mm x 34 cm 7163-3334 s/n	278	RC	Outpatient			4964	3226.6		90			Percent of total billed charges		4467.6	40			Percent of total billed charges		1985.6	80			Percent of total billed charges		3971.2	90			Percent of total billed charges		4467.6	85			Percent of total billed charges		4219.4	85			Percent of total billed charges		4219.4	85			Percent of total billed charges		4219.4	100			Percent of total billed charges		4964	100			Percent of total billed charges		4964	100			Percent of total billed charges		4964	33.3			Percent of total billed charges		1653.012	33.3			Percent of total billed charges		1653.012	100			Percent of total billed charges		4964	1653.012	4467.6	
trigen knee nail 11.5 mm x 36 cm 7163-3336 s/n	278	RC	Outpatient			4964	3226.6		90			Percent of total billed charges		4467.6	40			Percent of total billed charges		1985.6	80			Percent of total billed charges		3971.2	90			Percent of total billed charges		4467.6	85			Percent of total billed charges		4219.4	85			Percent of total billed charges		4219.4	85			Percent of total billed charges		4219.4	100			Percent of total billed charges		4964	100			Percent of total billed charges		4964	100			Percent of total billed charges		4964	33.3			Percent of total billed charges		1653.012	33.3			Percent of total billed charges		1653.012	100			Percent of total billed charges		4964	1653.012	4467.6	
trigen knee nail 11.5 mm x 40 cm 7163-3340 s/n	278	RC	Outpatient			4964	3226.6		90			Percent of total billed charges		4467.6	40			Percent of total billed charges		1985.6	80			Percent of total billed charges		3971.2	90			Percent of total billed charges		4467.6	85			Percent of total billed charges		4219.4	85			Percent of total billed charges		4219.4	85			Percent of total billed charges		4219.4	100			Percent of total billed charges		4964	100			Percent of total billed charges		4964	100			Percent of total billed charges		4964	33.3			Percent of total billed charges		1653.012	33.3			Percent of total billed charges		1653.012	100			Percent of total billed charges		4964	1653.012	4467.6	
trigen knee nail 11.5 mm x 42 cm 7163-3342 s/n	278	RC	Outpatient			4964	3226.6		90			Percent of total billed charges		4467.6	40			Percent of total billed charges		1985.6	80			Percent of total billed charges		3971.2	90			Percent of total billed charges		4467.6	85			Percent of total billed charges		4219.4	85			Percent of total billed charges		4219.4	85			Percent of total billed charges		4219.4	100			Percent of total billed charges		4964	100			Percent of total billed charges		4964	100			Percent of total billed charges		4964	33.3			Percent of total billed charges		1653.012	33.3			Percent of total billed charges		1653.012	100			Percent of total billed charges		4964	1653.012	4467.6	
trigen knee nail 13 mm x 30 cm 7163-3430 s/n	278	RC	Outpatient			4964	3226.6		90			Percent of total billed charges		4467.6	40			Percent of total billed charges		1985.6	80			Percent of total billed charges		3971.2	90			Percent of total billed charges		4467.6	85			Percent of total billed charges		4219.4	85			Percent of total billed charges		4219.4	85			Percent of total billed charges		4219.4	100			Percent of total billed charges		4964	100			Percent of total billed charges		4964	100			Percent of total billed charges		4964	33.3			Percent of total billed charges		1653.012	33.3			Percent of total billed charges		1653.012	100			Percent of total billed charges		4964	1653.012	4467.6	
trigen knee nail 13 mm x 36 cm 7163-3436 s/n	278	RC	Outpatient			4964	3226.6		90			Percent of total billed charges		4467.6	40			Percent of total billed charges		1985.6	80			Percent of total billed charges		3971.2	90			Percent of total billed charges		4467.6	85			Percent of total billed charges		4219.4	85			Percent of total billed charges		4219.4	85			Percent of total billed charges		4219.4	100			Percent of total billed charges		4964	100			Percent of total billed charges		4964	100			Percent of total billed charges		4964	33.3			Percent of total billed charges		1653.012	33.3			Percent of total billed charges		1653.012	100			Percent of total billed charges		4964	1653.012	4467.6	
trigen knee nail 13 mm x 40 cm 7163-3440 s/n	278	RC	Outpatient			4964	3226.6		90			Percent of total billed charges		4467.6	40			Percent of total billed charges		1985.6	80			Percent of total billed charges		3971.2	90			Percent of total billed charges		4467.6	85			Percent of total billed charges		4219.4	85			Percent of total billed charges		4219.4	85			Percent of total billed charges		4219.4	100			Percent of total billed charges		4964	100			Percent of total billed charges		4964	100			Percent of total billed charges		4964	33.3			Percent of total billed charges		1653.012	33.3			Percent of total billed charges		1653.012	100			Percent of total billed charges		4964	1653.012	4467.6	
trigen knee nail 13 mm x 42 cm 7163-3442 s/n	278	RC	Outpatient			4964	3226.6		90			Percent of total billed charges		4467.6	40			Percent of total billed charges		1985.6	80			Percent of total billed charges		3971.2	90			Percent of total billed charges		4467.6	85			Percent of total billed charges		4219.4	85			Percent of total billed charges		4219.4	85			Percent of total billed charges		4219.4	100			Percent of total billed charges		4964	100			Percent of total billed charges		4964	100			Percent of total billed charges		4964	33.3			Percent of total billed charges		1653.012	33.3			Percent of total billed charges		1653.012	100			Percent of total billed charges		4964	1653.012	4467.6	
trigen knee nail 13m x 34 cm 7163-3434 s/n	278	RC	Outpatient			4964	3226.6		90			Percent of total billed charges		4467.6	40			Percent of total billed charges		1985.6	80			Percent of total billed charges		3971.2	90			Percent of total billed charges		4467.6	85			Percent of total billed charges		4219.4	85			Percent of total billed charges		4219.4	85			Percent of total billed charges		4219.4	100			Percent of total billed charges		4964	100			Percent of total billed charges		4964	100			Percent of total billed charges		4964	33.3			Percent of total billed charges		1653.012	33.3			Percent of total billed charges		1653.012	100			Percent of total billed charges		4964	1653.012	4467.6	
trigen knee nail 8.5 mm x 30 cm 7163-3130 s/n	278	RC	Outpatient			4964	3226.6		90			Percent of total billed charges		4467.6	40			Percent of total billed charges		1985.6	80			Percent of total billed charges		3971.2	90			Percent of total billed charges		4467.6	85			Percent of total billed charges		4219.4	85			Percent of total billed charges		4219.4	85			Percent of total billed charges		4219.4	100			Percent of total billed charges		4964	100			Percent of total billed charges		4964	100			Percent of total billed charges		4964	33.3			Percent of total billed charges		1653.012	33.3			Percent of total billed charges		1653.012	100			Percent of total billed charges		4964	1653.012	4467.6	
trigen knee nail 8.5 mm x 34 cm 7163-3134 s/n	278	RC	Outpatient			4964	3226.6		90			Percent of total billed charges		4467.6	40			Percent of total billed charges		1985.6	80			Percent of total billed charges		3971.2	90			Percent of total billed charges		4467.6	85			Percent of total billed charges		4219.4	85			Percent of total billed charges		4219.4	85			Percent of total billed charges		4219.4	100			Percent of total billed charges		4964	100			Percent of total billed charges		4964	100			Percent of total billed charges		4964	33.3			Percent of total billed charges		1653.012	33.3			Percent of total billed charges		1653.012	100			Percent of total billed charges		4964	1653.012	4467.6	
trigen knee nail 8.5 mm x 38 cm 7163-3138 s/n	278	RC	Outpatient			4964	3226.6		90			Percent of total billed charges		4467.6	40			Percent of total billed charges		1985.6	80			Percent of total billed charges		3971.2	90			Percent of total billed charges		4467.6	85			Percent of total billed charges		4219.4	85			Percent of total billed charges		4219.4	85			Percent of total billed charges		4219.4	100			Percent of total billed charges		4964	100			Percent of total billed charges		4964	100			Percent of total billed charges		4964	33.3			Percent of total billed charges		1653.012	33.3			Percent of total billed charges		1653.012	100			Percent of total billed charges		4964	1653.012	4467.6	
trigen nail 28-42 cm	278	RC	Outpatient			4964	3226.6		90			Percent of total billed charges		4467.6	40			Percent of total billed charges		1985.6	80			Percent of total billed charges		3971.2	90			Percent of total billed charges		4467.6	85			Percent of total billed charges		4219.4	85			Percent of total billed charges		4219.4	85			Percent of total billed charges		4219.4	100			Percent of total billed charges		4964	100			Percent of total billed charges		4964	100			Percent of total billed charges		4964	33.3			Percent of total billed charges		1653.012	33.3			Percent of total billed charges		1653.012	100			Percent of total billed charges		4964	1653.012	4467.6	
m-d tib lk plate3.5mm 6-hole 146mm 71801106 s/n	278	RC	Outpatient			4970	3230.5		90			Percent of total billed charges		4473	40			Percent of total billed charges		1988	80			Percent of total billed charges		3976	90			Percent of total billed charges		4473	85			Percent of total billed charges		4224.5	85			Percent of total billed charges		4224.5	85			Percent of total billed charges		4224.5	100			Percent of total billed charges		4970	100			Percent of total billed charges		4970	100			Percent of total billed charges		4970	33.3			Percent of total billed charges		1655.01	33.3			Percent of total billed charges		1655.01	100			Percent of total billed charges		4970	1655.01	4473	
m-d tib lk plate3.5mm 6-hole 146mm 71801006 s/n	278	RC	Outpatient			4970	3230.5		90			Percent of total billed charges		4473	40			Percent of total billed charges		1988	80			Percent of total billed charges		3976	90			Percent of total billed charges		4473	85			Percent of total billed charges		4224.5	85			Percent of total billed charges		4224.5	85			Percent of total billed charges		4224.5	100			Percent of total billed charges		4970	100			Percent of total billed charges		4970	100			Percent of total billed charges		4970	33.3			Percent of total billed charges		1655.01	33.3			Percent of total billed charges		1655.01	100			Percent of total billed charges		4970	1655.01	4473	
m-d tib plt 3.5mm 6 hl 71821006 71933022 s\n	278	RC	Outpatient			4970	3230.5		90			Percent of total billed charges		4473	40			Percent of total billed charges		1988	80			Percent of total billed charges		3976	90			Percent of total billed charges		4473	85			Percent of total billed charges		4224.5	85			Percent of total billed charges		4224.5	85			Percent of total billed charges		4224.5	100			Percent of total billed charges		4970	100			Percent of total billed charges		4970	100			Percent of total billed charges		4970	33.3			Percent of total billed charges		1655.01	33.3			Percent of total billed charges		1655.01	100			Percent of total billed charges		4970	1655.01	4473	
m-d tib plt 3.5mm 6 hr 71821106 s\n	278	RC	Outpatient			4970	3230.5		90			Percent of total billed charges		4473	40			Percent of total billed charges		1988	80			Percent of total billed charges		3976	90			Percent of total billed charges		4473	85			Percent of total billed charges		4224.5	85			Percent of total billed charges		4224.5	85			Percent of total billed charges		4224.5	100			Percent of total billed charges		4970	100			Percent of total billed charges		4970	100			Percent of total billed charges		4970	33.3			Percent of total billed charges		1655.01	33.3			Percent of total billed charges		1655.01	100			Percent of total billed charges		4970	1655.01	4473	
s/n 3.5 m-d tib lk pl 6hl	278	RC	Outpatient			4970	3230.5		90			Percent of total billed charges		4473	40			Percent of total billed charges		1988	80			Percent of total billed charges		3976	90			Percent of total billed charges		4473	85			Percent of total billed charges		4224.5	85			Percent of total billed charges		4224.5	85			Percent of total billed charges		4224.5	100			Percent of total billed charges		4970	100			Percent of total billed charges		4970	100			Percent of total billed charges		4970	33.3			Percent of total billed charges		1655.01	33.3			Percent of total billed charges		1655.01	100			Percent of total billed charges		4970	1655.01	4473	
rest mod conical distal stem 18 x 195mm 6276-7-118 stryker	278	RC	Outpatient			4979	3236.35		90			Percent of total billed charges		4481.1	40			Percent of total billed charges		1991.6	80			Percent of total billed charges		3983.2	90			Percent of total billed charges		4481.1	85			Percent of total billed charges		4232.15	85			Percent of total billed charges		4232.15	85			Percent of total billed charges		4232.15	100			Percent of total billed charges		4979	100			Percent of total billed charges		4979	100			Percent of total billed charges		4979	33.3			Percent of total billed charges		1658.007	33.3			Percent of total billed charges		1658.007	100			Percent of total billed charges		4979	1658.007	4481.1	
rest mod conical distal stem 16 x 155mm 6276-7-016 stryker	278	RC	Outpatient			4979	3236.35		90			Percent of total billed charges		4481.1	40			Percent of total billed charges		1991.6	80			Percent of total billed charges		3983.2	90			Percent of total billed charges		4481.1	85			Percent of total billed charges		4232.15	85			Percent of total billed charges		4232.15	85			Percent of total billed charges		4232.15	100			Percent of total billed charges		4979	100			Percent of total billed charges		4979	100			Percent of total billed charges		4979	33.3			Percent of total billed charges		1658.007	33.3			Percent of total billed charges		1658.007	100			Percent of total billed charges		4979	1658.007	4481.1	
genesis ii non por c/r fem size 1 left 71420000	278	RC	Outpatient			4982	3238.3		90			Percent of total billed charges		4483.8	40			Percent of total billed charges		1992.8	80			Percent of total billed charges		3985.6	90			Percent of total billed charges		4483.8	85			Percent of total billed charges		4234.7	85			Percent of total billed charges		4234.7	85			Percent of total billed charges		4234.7	100			Percent of total billed charges		4982	100			Percent of total billed charges		4982	100			Percent of total billed charges		4982	33.3			Percent of total billed charges		1659.006	33.3			Percent of total billed charges		1659.006	100			Percent of total billed charges		4982	1659.006	4483.8	
genesis ii non por c/r fem size 2 left 71420002	278	RC	Outpatient			4982	3238.3		90			Percent of total billed charges		4483.8	40			Percent of total billed charges		1992.8	80			Percent of total billed charges		3985.6	90			Percent of total billed charges		4483.8	85			Percent of total billed charges		4234.7	85			Percent of total billed charges		4234.7	85			Percent of total billed charges		4234.7	100			Percent of total billed charges		4982	100			Percent of total billed charges		4982	100			Percent of total billed charges		4982	33.3			Percent of total billed charges		1659.006	33.3			Percent of total billed charges		1659.006	100			Percent of total billed charges		4982	1659.006	4483.8	
genesis ii non por c/r fem size 1 right 71420016	278	RC	Outpatient			4982	3238.3		90			Percent of total billed charges		4483.8	40			Percent of total billed charges		1992.8	80			Percent of total billed charges		3985.6	90			Percent of total billed charges		4483.8	85			Percent of total billed charges		4234.7	85			Percent of total billed charges		4234.7	85			Percent of total billed charges		4234.7	100			Percent of total billed charges		4982	100			Percent of total billed charges		4982	100			Percent of total billed charges		4982	33.3			Percent of total billed charges		1659.006	33.3			Percent of total billed charges		1659.006	100			Percent of total billed charges		4982	1659.006	4483.8	
genesis ii non por c/r fem size 2 right 71420018	278	RC	Outpatient			4982	3238.3		90			Percent of total billed charges		4483.8	40			Percent of total billed charges		1992.8	80			Percent of total billed charges		3985.6	90			Percent of total billed charges		4483.8	85			Percent of total billed charges		4234.7	85			Percent of total billed charges		4234.7	85			Percent of total billed charges		4234.7	100			Percent of total billed charges		4982	100			Percent of total billed charges		4982	100			Percent of total billed charges		4982	33.3			Percent of total billed charges		1659.006	33.3			Percent of total billed charges		1659.006	100			Percent of total billed charges		4982	1659.006	4483.8	
rich gii np cr fem sz 1&2	278	RC	Outpatient			4982	3238.3		90			Percent of total billed charges		4483.8	40			Percent of total billed charges		1992.8	80			Percent of total billed charges		3985.6	90			Percent of total billed charges		4483.8	85			Percent of total billed charges		4234.7	85			Percent of total billed charges		4234.7	85			Percent of total billed charges		4234.7	100			Percent of total billed charges		4982	100			Percent of total billed charges		4982	100			Percent of total billed charges		4982	33.3			Percent of total billed charges		1659.006	33.3			Percent of total billed charges		1659.006	100			Percent of total billed charges		4982	1659.006	4483.8	
bio calcar dist stem	278	RC	Outpatient			4990	3243.5		90			Percent of total billed charges		4491	40			Percent of total billed charges		1996	80			Percent of total billed charges		3992	90			Percent of total billed charges		4491	85			Percent of total billed charges		4241.5	85			Percent of total billed charges		4241.5	85			Percent of total billed charges		4241.5	100			Percent of total billed charges		4990	100			Percent of total billed charges		4990	100			Percent of total billed charges		4990	33.3			Percent of total billed charges		1661.67	33.3			Percent of total billed charges		1661.67	100			Percent of total billed charges		4990	1661.67	4491	
calcar dist stem 13 x 250 11-108273 biomet	278	RC	Outpatient			4990	3243.5		90			Percent of total billed charges		4491	40			Percent of total billed charges		1996	80			Percent of total billed charges		3992	90			Percent of total billed charges		4491	85			Percent of total billed charges		4241.5	85			Percent of total billed charges		4241.5	85			Percent of total billed charges		4241.5	100			Percent of total billed charges		4990	100			Percent of total billed charges		4990	100			Percent of total billed charges		4990	33.3			Percent of total billed charges		1661.67	33.3			Percent of total billed charges		1661.67	100			Percent of total billed charges		4990	1661.67	4491	
calcar dist stem 11 x 250 11-108271 biomet	278	RC	Outpatient			4990	3243.5		90			Percent of total billed charges		4491	40			Percent of total billed charges		1996	80			Percent of total billed charges		3992	90			Percent of total billed charges		4491	85			Percent of total billed charges		4241.5	85			Percent of total billed charges		4241.5	85			Percent of total billed charges		4241.5	100			Percent of total billed charges		4990	100			Percent of total billed charges		4990	100			Percent of total billed charges		4990	33.3			Percent of total billed charges		1661.67	33.3			Percent of total billed charges		1661.67	100			Percent of total billed charges		4990	1661.67	4491	
m/h  clacar stem dist 17.0 x 250 11-108277 biomet	278	RC	Outpatient			4990	3243.5		90			Percent of total billed charges		4491	40			Percent of total billed charges		1996	80			Percent of total billed charges		3992	90			Percent of total billed charges		4491	85			Percent of total billed charges		4241.5	85			Percent of total billed charges		4241.5	85			Percent of total billed charges		4241.5	100			Percent of total billed charges		4990	100			Percent of total billed charges		4990	100			Percent of total billed charges		4990	33.3			Percent of total billed charges		1661.67	33.3			Percent of total billed charges		1661.67	100			Percent of total billed charges		4990	1661.67	4491	
miig 15cc	278	RC	Outpatient			5004	3252.6		90			Percent of total billed charges		4503.6	40			Percent of total billed charges		2001.6	80			Percent of total billed charges		4003.2	90			Percent of total billed charges		4503.6	85			Percent of total billed charges		4253.4	85			Percent of total billed charges		4253.4	85			Percent of total billed charges		4253.4	100			Percent of total billed charges		5004	100			Percent of total billed charges		5004	100			Percent of total billed charges		5004	33.3			Percent of total billed charges		1666.332	33.3			Percent of total billed charges		1666.332	100			Percent of total billed charges		5004	1666.332	4503.6	
miig x3  15cc 84xs-0414 wright	278	RC	Outpatient			5004	3252.6		90			Percent of total billed charges		4503.6	40			Percent of total billed charges		2001.6	80			Percent of total billed charges		4003.2	90			Percent of total billed charges		4503.6	85			Percent of total billed charges		4253.4	85			Percent of total billed charges		4253.4	85			Percent of total billed charges		4253.4	100			Percent of total billed charges		5004	100			Percent of total billed charges		5004	100			Percent of total billed charges		5004	33.3			Percent of total billed charges		1666.332	33.3			Percent of total billed charges		1666.332	100			Percent of total billed charges		5004	1666.332	4503.6	
miig x3 hivisc 84ss-0415 wright	278	RC	Outpatient			5004	3252.6		90			Percent of total billed charges		4503.6	40			Percent of total billed charges		2001.6	80			Percent of total billed charges		4003.2	90			Percent of total billed charges		4503.6	85			Percent of total billed charges		4253.4	85			Percent of total billed charges		4253.4	85			Percent of total billed charges		4253.4	100			Percent of total billed charges		5004	100			Percent of total billed charges		5004	100			Percent of total billed charges		5004	33.3			Percent of total billed charges		1666.332	33.3			Percent of total billed charges		1666.332	100			Percent of total billed charges		5004	1666.332	4503.6	
tibial baseplate +4mm sz1 zimmer 6324-00-201	278	RC	Outpatient			5004	3252.6		90			Percent of total billed charges		4503.6	40			Percent of total billed charges		2001.6	80			Percent of total billed charges		4003.2	90			Percent of total billed charges		4503.6	85			Percent of total billed charges		4253.4	85			Percent of total billed charges		4253.4	85			Percent of total billed charges		4253.4	100			Percent of total billed charges		5004	100			Percent of total billed charges		5004	100			Percent of total billed charges		5004	33.3			Percent of total billed charges		1666.332	33.3			Percent of total billed charges		1666.332	100			Percent of total billed charges		5004	1666.332	4503.6	
zimmer tibial baseplate	278	RC	Outpatient			5004	3252.6		90			Percent of total billed charges		4503.6	40			Percent of total billed charges		2001.6	80			Percent of total billed charges		4003.2	90			Percent of total billed charges		4503.6	85			Percent of total billed charges		4253.4	85			Percent of total billed charges		4253.4	85			Percent of total billed charges		4253.4	100			Percent of total billed charges		5004	100			Percent of total billed charges		5004	100			Percent of total billed charges		5004	33.3			Percent of total billed charges		1666.332	33.3			Percent of total billed charges		1666.332	100			Percent of total billed charges		5004	1666.332	4503.6	
richards rmhs cm rev fem	278	RC	Outpatient			5014	3259.1		90			Percent of total billed charges		4512.6	40			Percent of total billed charges		2005.6	80			Percent of total billed charges		4011.2	90			Percent of total billed charges		4512.6	85			Percent of total billed charges		4261.9	85			Percent of total billed charges		4261.9	85			Percent of total billed charges		4261.9	100			Percent of total billed charges		5014	100			Percent of total billed charges		5014	100			Percent of total billed charges		5014	33.3			Percent of total billed charges		1669.662	33.3			Percent of total billed charges		1669.662	100			Percent of total billed charges		5014	1669.662	4512.6	
ir angio balloon visceral artery	360	RC	Outpatient			5023	3264.95		90			Percent of total billed charges		4520.7	40			Percent of total billed charges		2009.2	80			Percent of total billed charges		4018.4	90			Percent of total billed charges		4520.7	85			Percent of total billed charges		4269.55	85			Percent of total billed charges		4269.55	85			Percent of total billed charges		4269.55	100			Percent of total billed charges		5023	100			Percent of total billed charges		5023	100			Percent of total billed charges		5023	33.3			Percent of total billed charges		1672.659	33.3			Percent of total billed charges		1672.659	100			Percent of total billed charges		5023	1672.659	4520.7	
ir pta aortic	360	RC	Outpatient			5023	3264.95		90			Percent of total billed charges		4520.7	40			Percent of total billed charges		2009.2	80			Percent of total billed charges		4018.4	90			Percent of total billed charges		4520.7	85			Percent of total billed charges		4269.55	85			Percent of total billed charges		4269.55	85			Percent of total billed charges		4269.55	100			Percent of total billed charges		5023	100			Percent of total billed charges		5023	100			Percent of total billed charges		5023	33.3			Percent of total billed charges		1672.659	33.3			Percent of total billed charges		1672.659	100			Percent of total billed charges		5023	1672.659	4520.7	
ir pta brachiocephalic	360	RC	Outpatient			5023	3264.95		90			Percent of total billed charges		4520.7	40			Percent of total billed charges		2009.2	80			Percent of total billed charges		4018.4	90			Percent of total billed charges		4520.7	85			Percent of total billed charges		4269.55	85			Percent of total billed charges		4269.55	85			Percent of total billed charges		4269.55	100			Percent of total billed charges		5023	100			Percent of total billed charges		5023	100			Percent of total billed charges		5023	33.3			Percent of total billed charges		1672.659	33.3			Percent of total billed charges		1672.659	100			Percent of total billed charges		5023	1672.659	4520.7	
ir transluminal balloon angio venous	360	RC	Outpatient			5023	3264.95		90			Percent of total billed charges		4520.7	40			Percent of total billed charges		2009.2	80			Percent of total billed charges		4018.4	90			Percent of total billed charges		4520.7	85			Percent of total billed charges		4269.55	85			Percent of total billed charges		4269.55	85			Percent of total billed charges		4269.55	100			Percent of total billed charges		5023	100			Percent of total billed charges		5023	100			Percent of total billed charges		5023	33.3			Percent of total billed charges		1672.659	33.3			Percent of total billed charges		1672.659	100			Percent of total billed charges		5023	1672.659	4520.7	
"scrmc pta, ea. add visceral art"	320	RC	Outpatient			5023	3264.95		90			Percent of total billed charges		4520.7	40			Percent of total billed charges		2009.2	80			Percent of total billed charges		4018.4	90			Percent of total billed charges		4520.7	85			Percent of total billed charges		4269.55	85			Percent of total billed charges		4269.55	85			Percent of total billed charges		4269.55	100			Percent of total billed charges		5023	100			Percent of total billed charges		5023	100			Percent of total billed charges		5023	33.3			Percent of total billed charges		1672.659	33.3			Percent of total billed charges		1672.659	100			Percent of total billed charges		5023	1672.659	4520.7	
"zzscrmc pta, ea. add visc 75966"	320	RC	Outpatient			5023	3264.95		90			Percent of total billed charges		4520.7	40			Percent of total billed charges		2009.2	80			Percent of total billed charges		4018.4	90			Percent of total billed charges		4520.7	85			Percent of total billed charges		4269.55	85			Percent of total billed charges		4269.55	85			Percent of total billed charges		4269.55	100			Percent of total billed charges		5023	100			Percent of total billed charges		5023	100			Percent of total billed charges		5023	33.3			Percent of total billed charges		1672.659	33.3			Percent of total billed charges		1672.659	100			Percent of total billed charges		5023	1672.659	4520.7	
allograft patellar quad b	278	RC	Outpatient			5024	3265.6		90			Percent of total billed charges		4521.6	40			Percent of total billed charges		2009.6	80			Percent of total billed charges		4019.2	90			Percent of total billed charges		4521.6	85			Percent of total billed charges		4270.4	85			Percent of total billed charges		4270.4	85			Percent of total billed charges		4270.4	100			Percent of total billed charges		5024	100			Percent of total billed charges		5024	100			Percent of total billed charges		5024	33.3			Percent of total billed charges		1672.992	33.3			Percent of total billed charges		1672.992	100			Percent of total billed charges		5024	1672.992	4521.6	
patellar lig w/ quad bisc 061130-005 community tissue	278	RC	Outpatient			5024	3265.6		90			Percent of total billed charges		4521.6	40			Percent of total billed charges		2009.6	80			Percent of total billed charges		4019.2	90			Percent of total billed charges		4521.6	85			Percent of total billed charges		4270.4	85			Percent of total billed charges		4270.4	85			Percent of total billed charges		4270.4	100			Percent of total billed charges		5024	100			Percent of total billed charges		5024	100			Percent of total billed charges		5024	33.3			Percent of total billed charges		1672.992	33.3			Percent of total billed charges		1672.992	100			Percent of total billed charges		5024	1672.992	4521.6	
patellar lig w/ quad bisc 1.5 x 5.0cm 13-5422 091462-030 community tissue	278	RC	Outpatient			5024	3265.6		90			Percent of total billed charges		4521.6	40			Percent of total billed charges		2009.6	80			Percent of total billed charges		4019.2	90			Percent of total billed charges		4521.6	85			Percent of total billed charges		4270.4	85			Percent of total billed charges		4270.4	85			Percent of total billed charges		4270.4	100			Percent of total billed charges		5024	100			Percent of total billed charges		5024	100			Percent of total billed charges		5024	33.3			Percent of total billed charges		1672.992	33.3			Percent of total billed charges		1672.992	100			Percent of total billed charges		5024	1672.992	4521.6	
patellar lig w/ quad bisc 1.5 x 6.0cm  083364-022 community tissue	278	RC	Outpatient			5024	3265.6		90			Percent of total billed charges		4521.6	40			Percent of total billed charges		2009.6	80			Percent of total billed charges		4019.2	90			Percent of total billed charges		4521.6	85			Percent of total billed charges		4270.4	85			Percent of total billed charges		4270.4	85			Percent of total billed charges		4270.4	100			Percent of total billed charges		5024	100			Percent of total billed charges		5024	100			Percent of total billed charges		5024	33.3			Percent of total billed charges		1672.992	33.3			Percent of total billed charges		1672.992	100			Percent of total billed charges		5024	1672.992	4521.6	
patellar lig w/ quad bisc 2.2 x 6.0cm  091570-009  23-6207 community tissue	278	RC	Outpatient			5024	3265.6		90			Percent of total billed charges		4521.6	40			Percent of total billed charges		2009.6	80			Percent of total billed charges		4019.2	90			Percent of total billed charges		4521.6	85			Percent of total billed charges		4270.4	85			Percent of total billed charges		4270.4	85			Percent of total billed charges		4270.4	100			Percent of total billed charges		5024	100			Percent of total billed charges		5024	100			Percent of total billed charges		5024	33.3			Percent of total billed charges		1672.992	33.3			Percent of total billed charges		1672.992	100			Percent of total billed charges		5024	1672.992	4521.6	
patellar lig w/ quad bisc 2.5 x 6.0cm  090285-028  24-6113 community tissue	278	RC	Outpatient			5024	3265.6		90			Percent of total billed charges		4521.6	40			Percent of total billed charges		2009.6	80			Percent of total billed charges		4019.2	90			Percent of total billed charges		4521.6	85			Percent of total billed charges		4270.4	85			Percent of total billed charges		4270.4	85			Percent of total billed charges		4270.4	100			Percent of total billed charges		5024	100			Percent of total billed charges		5024	100			Percent of total billed charges		5024	33.3			Percent of total billed charges		1672.992	33.3			Percent of total billed charges		1672.992	100			Percent of total billed charges		5024	1672.992	4521.6	
patellar lig w/ quad bisc 1.3 x 5.6cm 083253-040 community tissue	278	RC	Outpatient			5024	3265.6		90			Percent of total billed charges		4521.6	40			Percent of total billed charges		2009.6	80			Percent of total billed charges		4019.2	90			Percent of total billed charges		4521.6	85			Percent of total billed charges		4270.4	85			Percent of total billed charges		4270.4	85			Percent of total billed charges		4270.4	100			Percent of total billed charges		5024	100			Percent of total billed charges		5024	100			Percent of total billed charges		5024	33.3			Percent of total billed charges		1672.992	33.3			Percent of total billed charges		1672.992	100			Percent of total billed charges		5024	1672.992	4521.6	
patellar lig w/ quad bisc 1.4 x 5.0cm 11-7679 community tissue	278	RC	Outpatient			5024	3265.6		90			Percent of total billed charges		4521.6	40			Percent of total billed charges		2009.6	80			Percent of total billed charges		4019.2	90			Percent of total billed charges		4521.6	85			Percent of total billed charges		4270.4	85			Percent of total billed charges		4270.4	85			Percent of total billed charges		4270.4	100			Percent of total billed charges		5024	100			Percent of total billed charges		5024	100			Percent of total billed charges		5024	33.3			Percent of total billed charges		1672.992	33.3			Percent of total billed charges		1672.992	100			Percent of total billed charges		5024	1672.992	4521.6	
patellar lig w/ quad bisc 1.4 x 5.6cm 081177-018 community tissue	278	RC	Outpatient			5024	3265.6		90			Percent of total billed charges		4521.6	40			Percent of total billed charges		2009.6	80			Percent of total billed charges		4019.2	90			Percent of total billed charges		4521.6	85			Percent of total billed charges		4270.4	85			Percent of total billed charges		4270.4	85			Percent of total billed charges		4270.4	100			Percent of total billed charges		5024	100			Percent of total billed charges		5024	100			Percent of total billed charges		5024	33.3			Percent of total billed charges		1672.992	33.3			Percent of total billed charges		1672.992	100			Percent of total billed charges		5024	1672.992	4521.6	
patellar lig w/ quad bisc 1.4 x 5.6cm 18-9112 community tissue	278	RC	Outpatient			5024	3265.6		90			Percent of total billed charges		4521.6	40			Percent of total billed charges		2009.6	80			Percent of total billed charges		4019.2	90			Percent of total billed charges		4521.6	85			Percent of total billed charges		4270.4	85			Percent of total billed charges		4270.4	85			Percent of total billed charges		4270.4	100			Percent of total billed charges		5024	100			Percent of total billed charges		5024	100			Percent of total billed charges		5024	33.3			Percent of total billed charges		1672.992	33.3			Percent of total billed charges		1672.992	100			Percent of total billed charges		5024	1672.992	4521.6	
patellar lig w/ quad bisc 1.5 x 5.0cm 13-6594 090429-026 community tissue	278	RC	Outpatient			5024	3265.6		90			Percent of total billed charges		4521.6	40			Percent of total billed charges		2009.6	80			Percent of total billed charges		4019.2	90			Percent of total billed charges		4521.6	85			Percent of total billed charges		4270.4	85			Percent of total billed charges		4270.4	85			Percent of total billed charges		4270.4	100			Percent of total billed charges		5024	100			Percent of total billed charges		5024	100			Percent of total billed charges		5024	33.3			Percent of total billed charges		1672.992	33.3			Percent of total billed charges		1672.992	100			Percent of total billed charges		5024	1672.992	4521.6	
patellar lig w/ quad bisc 1.5 x 5.7cm  090808019 community tissue	278	RC	Outpatient			5024	3265.6		90			Percent of total billed charges		4521.6	40			Percent of total billed charges		2009.6	80			Percent of total billed charges		4019.2	90			Percent of total billed charges		4521.6	85			Percent of total billed charges		4270.4	85			Percent of total billed charges		4270.4	85			Percent of total billed charges		4270.4	100			Percent of total billed charges		5024	100			Percent of total billed charges		5024	100			Percent of total billed charges		5024	33.3			Percent of total billed charges		1672.992	33.3			Percent of total billed charges		1672.992	100			Percent of total billed charges		5024	1672.992	4521.6	
patellar lig w/ quad bisc 1.6 x 5.8cm  093239-007  22-3684 community tissue	278	RC	Outpatient			5024	3265.6		90			Percent of total billed charges		4521.6	40			Percent of total billed charges		2009.6	80			Percent of total billed charges		4019.2	90			Percent of total billed charges		4521.6	85			Percent of total billed charges		4270.4	85			Percent of total billed charges		4270.4	85			Percent of total billed charges		4270.4	100			Percent of total billed charges		5024	100			Percent of total billed charges		5024	100			Percent of total billed charges		5024	33.3			Percent of total billed charges		1672.992	33.3			Percent of total billed charges		1672.992	100			Percent of total billed charges		5024	1672.992	4521.6	
epifix 4x4 cm	278	RC	Outpatient			5034	3272.1		90			Percent of total billed charges		4530.6	40			Percent of total billed charges		2013.6	80			Percent of total billed charges		4027.2	90			Percent of total billed charges		4530.6	85			Percent of total billed charges		4278.9	85			Percent of total billed charges		4278.9	85			Percent of total billed charges		4278.9	100			Percent of total billed charges		5034	100			Percent of total billed charges		5034	100			Percent of total billed charges		5034	33.3			Percent of total billed charges		1676.322	33.3			Percent of total billed charges		1676.322	100			Percent of total billed charges		5034	1676.322	4530.6	
epifix gs-5440 4.0 x 4.0cm mimed	278	RC	Outpatient			5034	3272.1		90			Percent of total billed charges		4530.6	40			Percent of total billed charges		2013.6	80			Percent of total billed charges		4027.2	90			Percent of total billed charges		4530.6	85			Percent of total billed charges		4278.9	85			Percent of total billed charges		4278.9	85			Percent of total billed charges		4278.9	100			Percent of total billed charges		5034	100			Percent of total billed charges		5034	100			Percent of total billed charges		5034	33.3			Percent of total billed charges		1676.322	33.3			Percent of total billed charges		1676.322	100			Percent of total billed charges		5034	1676.322	4530.6	
imhs nail cp	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 10mm x 32cm 71682532r	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 10mm x 32cm 71683032r	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 10mm x 32cm 71683532l	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 10mm x 34cm 71683034l	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 10mm x 34cm 71683534l	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 10mm x 34cm 71683534r	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 10mm x 36cm 71683036l	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 10mm x 38cm 71682538l	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 10mm x 38cm 71683038r	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 10mm x 38cm 71683538r	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 10mm x 40cm 71682540r	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 10mm x 40cm 71683040l	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 10mm x 40cm 71683540l	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 10mm x 40cm 71683540r	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 10mm x 42cm 71682542l	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 10mm x 42cm 71682542r	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 10mm x 42cm 71683042l	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 10mm x 42cm 71683042r	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 10mm x 44cm 71682544r	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 10mm x 44cm 71683544l	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 12mm x 19.5cm 71683012r	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 12mm x 32cm 71682632l	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 12mm x 32cm 71683132l	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 12mm x 34cm 71682634l	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 12mm x 34cm 71682634r	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 12mm x 34cm 71683134l	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 12mm x 36cm 71682636l	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 12mm x 36cm 71683136l	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 12mm x 36cm 71683636l	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 12mm x 36cm 71683636r	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 12mm x 38cm 71682638r	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 12mm x 38cm 71683138r	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 12mm x 38cm 71683638l	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 12mm x 40cm 71683140r	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 12mm x 40cm 71683640r	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 12mm x 42cm 71682642l	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 12mm x 42cm 71683142l	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 12mm x 42cm 71683642r	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 12mm x 44cm 71683144l	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 12mm x 44cm 71683644l	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 12mm x 44cm 71683644r	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 14mm x 32cm 71682732l	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 14mm x 32cm 71683232l	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 14mm x 32cm 71683732r	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 14mm x 34cm 71682734r	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 14mm x 34cm 71683734r	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 14mm x 36cm 71683236r	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 14mm x 36cm 71683736r	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 14mm x 38cm 71682738r	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 14mm x 38cm 71683238l	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 14mm x 38cm 71683738l	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 14mm x 40cm 71682740l	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 14mm x 40cm 71682740r	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 14mm x 42cm 71682742l	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 14mm x 42cm 71682742r	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 14mm x 42cm 71683242l	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 14mm x 42cm 71683742r	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 14mm x 44cm 71682744l	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 14mm x 44cm 71682744r	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 14mm x 44cm 71683244l	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 14mm x 44cm 71683244r	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 10mm x 32cm 71682532l	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 10mm x 32cm 71683032l	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 10mm x 32cm 71683532r	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 10mm x 34cm 71682534l	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 10mm x 34cm 71682534r	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 10mm x 34cm 71683034r	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 10mm x 36cm 71682536l	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 10mm x 36cm 71682536r	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 10mm x 36cm 71683036r	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 10mm x 36cm 71683536l	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 10mm x 36cm 71683536r	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 10mm x 38cm 71682538r	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 10mm x 38cm 71683038l	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 10mm x 38cm 71683538l	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 10mm x 40cm 71682540l	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 10mm x 40cm 71683030r	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 10mm x 42cm 71683542l	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 10mm x 42cm 71683542r	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 10mm x 44cm 71682544l	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 10mm x 44cm 71683044l	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 10mm x 44cm 71683044r	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 10mm x 44cm 71683544r	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 12mm x 32cm 71682632r	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 12mm x 32cm 71683132r	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 12mm x 32cm 71683632l	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 12mm x 32cm 71683632r	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 12mm x 34cm 71683134r	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 12mm x 34cm 71683634l	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 12mm x 34cm 71683634r	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 12mm x 36cm 71682636r	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 12mm x 36cm 71683136r	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 12mm x 38cm 71682638l	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 12mm x 38cm 71683138l	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 12mm x 38cm 71683638r	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 12mm x 40cm 71682640l	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 12mm x 40cm 71682640r	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 12mm x 40cm 71683140l	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 12mm x 40cm 71683640l	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 12mm x 42cm 71682642r	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 12mm x 42cm 71683142r	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 12mm x 42cm 71683642l	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 12mm x 44cm 71683144r	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 14mm x 32cm 71682732r	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 14mm x 32cm 71683232r	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 14mm x 32cm 71683732l	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 14mm x 34cm 71682734l	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 14mm x 34cm 71683234l	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 14mm x 34cm 71683234r	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 14mm x 36cm 71682736l	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 14mm x 36cm 71682736r	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 14mm x 36cm 71683236l	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 14mm x 36cm 71683736l	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 14mm x 38cm 71682738l	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 14mm x 38cm 71683238r	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 14mm x 38cm 71683738r	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 14mm x 40cm 71683240l	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 14mm x 40cm 71683240r	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 14mm x 40cm 71683740l	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 14mm x 40cm 71683740r	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 14mm x 42cm 71683242r	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 14mm x 42cm 71683742l	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 14mm x 44cm 71683744l	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
s/n imhs cp nail 14mm x 44cm 71683744r	278	RC	Outpatient			5043	3277.95		90			Percent of total billed charges		4538.7	40			Percent of total billed charges		2017.2	80			Percent of total billed charges		4034.4	90			Percent of total billed charges		4538.7	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	85			Percent of total billed charges		4286.55	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	100			Percent of total billed charges		5043	33.3			Percent of total billed charges		1679.319	33.3			Percent of total billed charges		1679.319	100			Percent of total billed charges		5043	1679.319	4538.7	
jet-x mini distal radius kit 71064701 s/n	278	RC	Outpatient			5055	3285.75		90			Percent of total billed charges		4549.5	40			Percent of total billed charges		2022	80			Percent of total billed charges		4044	90			Percent of total billed charges		4549.5	85			Percent of total billed charges		4296.75	85			Percent of total billed charges		4296.75	85			Percent of total billed charges		4296.75	100			Percent of total billed charges		5055	100			Percent of total billed charges		5055	100			Percent of total billed charges		5055	33.3			Percent of total billed charges		1683.315	33.3			Percent of total billed charges		1683.315	100			Percent of total billed charges		5055	1683.315	4549.5	
jet-x mini dist. rad	278	RC	Outpatient			5055	3285.75		90			Percent of total billed charges		4549.5	40			Percent of total billed charges		2022	80			Percent of total billed charges		4044	90			Percent of total billed charges		4549.5	85			Percent of total billed charges		4296.75	85			Percent of total billed charges		4296.75	85			Percent of total billed charges		4296.75	100			Percent of total billed charges		5055	100			Percent of total billed charges		5055	100			Percent of total billed charges		5055	33.3			Percent of total billed charges		1683.315	33.3			Percent of total billed charges		1683.315	100			Percent of total billed charges		5055	1683.315	4549.5	
a-l-d tib lk plate 3.5mm x 148mm 71820610 s/n	278	RC	Outpatient			5060	3289		90			Percent of total billed charges		4554	40			Percent of total billed charges		2024	80			Percent of total billed charges		4048	90			Percent of total billed charges		4554	85			Percent of total billed charges		4301	85			Percent of total billed charges		4301	85			Percent of total billed charges		4301	100			Percent of total billed charges		5060	100			Percent of total billed charges		5060	100			Percent of total billed charges		5060	33.3			Percent of total billed charges		1684.98	33.3			Percent of total billed charges		1684.98	100			Percent of total billed charges		5060	1684.98	4554	
a-l-d tib lk plate3.5mm 10-hole 148mm 71800610 s/n	278	RC	Outpatient			5060	3289		90			Percent of total billed charges		4554	40			Percent of total billed charges		2024	80			Percent of total billed charges		4048	90			Percent of total billed charges		4554	85			Percent of total billed charges		4301	85			Percent of total billed charges		4301	85			Percent of total billed charges		4301	100			Percent of total billed charges		5060	100			Percent of total billed charges		5060	100			Percent of total billed charges		5060	33.3			Percent of total billed charges		1684.98	33.3			Percent of total billed charges		1684.98	100			Percent of total billed charges		5060	1684.98	4554	
a-l-d tib plt 3.5mm 10 hl 71820610 s\n	278	RC	Outpatient			5060	3289		90			Percent of total billed charges		4554	40			Percent of total billed charges		2024	80			Percent of total billed charges		4048	90			Percent of total billed charges		4554	85			Percent of total billed charges		4301	85			Percent of total billed charges		4301	85			Percent of total billed charges		4301	100			Percent of total billed charges		5060	100			Percent of total billed charges		5060	100			Percent of total billed charges		5060	33.3			Percent of total billed charges		1684.98	33.3			Percent of total billed charges		1684.98	100			Percent of total billed charges		5060	1684.98	4554	
a-l-d tib plt 3.5mm 10 hr 71820710 s\n	278	RC	Outpatient			5060	3289		90			Percent of total billed charges		4554	40			Percent of total billed charges		2024	80			Percent of total billed charges		4048	90			Percent of total billed charges		4554	85			Percent of total billed charges		4301	85			Percent of total billed charges		4301	85			Percent of total billed charges		4301	100			Percent of total billed charges		5060	100			Percent of total billed charges		5060	100			Percent of total billed charges		5060	33.3			Percent of total billed charges		1684.98	33.3			Percent of total billed charges		1684.98	100			Percent of total billed charges		5060	1684.98	4554	
a-l-d tib lk plate3.5mm 10-hole 148mm 71800710 s/n	278	RC	Outpatient			5060	3289		90			Percent of total billed charges		4554	40			Percent of total billed charges		2024	80			Percent of total billed charges		4048	90			Percent of total billed charges		4554	85			Percent of total billed charges		4301	85			Percent of total billed charges		4301	85			Percent of total billed charges		4301	100			Percent of total billed charges		5060	100			Percent of total billed charges		5060	100			Percent of total billed charges		5060	33.3			Percent of total billed charges		1684.98	33.3			Percent of total billed charges		1684.98	100			Percent of total billed charges		5060	1684.98	4554	
s/n 3.5 adl tib lk pl 10h	278	RC	Outpatient			5060	3289		90			Percent of total billed charges		4554	40			Percent of total billed charges		2024	80			Percent of total billed charges		4048	90			Percent of total billed charges		4554	85			Percent of total billed charges		4301	85			Percent of total billed charges		4301	85			Percent of total billed charges		4301	100			Percent of total billed charges		5060	100			Percent of total billed charges		5060	100			Percent of total billed charges		5060	33.3			Percent of total billed charges		1684.98	33.3			Percent of total billed charges		1684.98	100			Percent of total billed charges		5060	1684.98	4554	
s/n 3.5 adl tib lk pl10hl	278	RC	Outpatient			5060	3289		90			Percent of total billed charges		4554	40			Percent of total billed charges		2024	80			Percent of total billed charges		4048	90			Percent of total billed charges		4554	85			Percent of total billed charges		4301	85			Percent of total billed charges		4301	85			Percent of total billed charges		4301	100			Percent of total billed charges		5060	100			Percent of total billed charges		5060	100			Percent of total billed charges		5060	33.3			Percent of total billed charges		1684.98	33.3			Percent of total billed charges		1684.98	100			Percent of total billed charges		5060	1684.98	4554	
osteonics hum comp	278	RC	Outpatient			5073	3297.45		90			Percent of total billed charges		4565.7	40			Percent of total billed charges		2029.2	80			Percent of total billed charges		4058.4	90			Percent of total billed charges		4565.7	85			Percent of total billed charges		4312.05	85			Percent of total billed charges		4312.05	85			Percent of total billed charges		4312.05	100			Percent of total billed charges		5073	100			Percent of total billed charges		5073	100			Percent of total billed charges		5073	33.3			Percent of total billed charges		1689.309	33.3			Percent of total billed charges		1689.309	100			Percent of total billed charges		5073	1689.309	4565.7	
osteonics humeral comp 8mm 5351-4104	278	RC	Outpatient			5073	3297.45		90			Percent of total billed charges		4565.7	40			Percent of total billed charges		2029.2	80			Percent of total billed charges		4058.4	90			Percent of total billed charges		4565.7	85			Percent of total billed charges		4312.05	85			Percent of total billed charges		4312.05	85			Percent of total billed charges		4312.05	100			Percent of total billed charges		5073	100			Percent of total billed charges		5073	100			Percent of total billed charges		5073	33.3			Percent of total billed charges		1689.309	33.3			Percent of total billed charges		1689.309	100			Percent of total billed charges		5073	1689.309	4565.7	
hindfoot fusion nail 10mm x 16cm 71701016r s/n	278	RC	Outpatient			5074	3298.1		90			Percent of total billed charges		4566.6	40			Percent of total billed charges		2029.6	80			Percent of total billed charges		4059.2	90			Percent of total billed charges		4566.6	85			Percent of total billed charges		4312.9	85			Percent of total billed charges		4312.9	85			Percent of total billed charges		4312.9	100			Percent of total billed charges		5074	100			Percent of total billed charges		5074	100			Percent of total billed charges		5074	33.3			Percent of total billed charges		1689.642	33.3			Percent of total billed charges		1689.642	100			Percent of total billed charges		5074	1689.642	4566.6	
hindfoot fusion nail 10mm x 20cm 71701020l s/n	278	RC	Outpatient			5074	3298.1		90			Percent of total billed charges		4566.6	40			Percent of total billed charges		2029.6	80			Percent of total billed charges		4059.2	90			Percent of total billed charges		4566.6	85			Percent of total billed charges		4312.9	85			Percent of total billed charges		4312.9	85			Percent of total billed charges		4312.9	100			Percent of total billed charges		5074	100			Percent of total billed charges		5074	100			Percent of total billed charges		5074	33.3			Percent of total billed charges		1689.642	33.3			Percent of total billed charges		1689.642	100			Percent of total billed charges		5074	1689.642	4566.6	
hindfoot fusion nail 10mm x 20cm 71701020r s/n	278	RC	Outpatient			5074	3298.1		90			Percent of total billed charges		4566.6	40			Percent of total billed charges		2029.6	80			Percent of total billed charges		4059.2	90			Percent of total billed charges		4566.6	85			Percent of total billed charges		4312.9	85			Percent of total billed charges		4312.9	85			Percent of total billed charges		4312.9	100			Percent of total billed charges		5074	100			Percent of total billed charges		5074	100			Percent of total billed charges		5074	33.3			Percent of total billed charges		1689.642	33.3			Percent of total billed charges		1689.642	100			Percent of total billed charges		5074	1689.642	4566.6	
s/n hindfoot fusion nail	278	RC	Outpatient			5074	3298.1		90			Percent of total billed charges		4566.6	40			Percent of total billed charges		2029.6	80			Percent of total billed charges		4059.2	90			Percent of total billed charges		4566.6	85			Percent of total billed charges		4312.9	85			Percent of total billed charges		4312.9	85			Percent of total billed charges		4312.9	100			Percent of total billed charges		5074	100			Percent of total billed charges		5074	100			Percent of total billed charges		5074	33.3			Percent of total billed charges		1689.642	33.3			Percent of total billed charges		1689.642	100			Percent of total billed charges		5074	1689.642	4566.6	
biolox delta anatomic univ taper fem head 40mm 6519-1-040 stryker	278	RC	Outpatient			5106	3318.9		90			Percent of total billed charges		4595.4	40			Percent of total billed charges		2042.4	80			Percent of total billed charges		4084.8	90			Percent of total billed charges		4595.4	85			Percent of total billed charges		4340.1	85			Percent of total billed charges		4340.1	85			Percent of total billed charges		4340.1	100			Percent of total billed charges		5106	100			Percent of total billed charges		5106	100			Percent of total billed charges		5106	33.3			Percent of total billed charges		1700.298	33.3			Percent of total billed charges		1700.298	100			Percent of total billed charges		5106	1700.298	4595.4	
biolox univ fem head	278	RC	Outpatient			5106	3318.9		90			Percent of total billed charges		4595.4	40			Percent of total billed charges		2042.4	80			Percent of total billed charges		4084.8	90			Percent of total billed charges		4595.4	85			Percent of total billed charges		4340.1	85			Percent of total billed charges		4340.1	85			Percent of total billed charges		4340.1	100			Percent of total billed charges		5106	100			Percent of total billed charges		5106	100			Percent of total billed charges		5106	33.3			Percent of total billed charges		1700.298	33.3			Percent of total billed charges		1700.298	100			Percent of total billed charges		5106	1700.298	4595.4	
l-p tib lk plate4.5mm 13-hole 255mm 71800213 s/n	278	RC	Outpatient			5134	3337.1		90			Percent of total billed charges		4620.6	40			Percent of total billed charges		2053.6	80			Percent of total billed charges		4107.2	90			Percent of total billed charges		4620.6	85			Percent of total billed charges		4363.9	85			Percent of total billed charges		4363.9	85			Percent of total billed charges		4363.9	100			Percent of total billed charges		5134	100			Percent of total billed charges		5134	100			Percent of total billed charges		5134	33.3			Percent of total billed charges		1709.622	33.3			Percent of total billed charges		1709.622	100			Percent of total billed charges		5134	1709.622	4620.6	
l-p tib lk plate4.5mm 13-hole 255mm 71800313 s/n	278	RC	Outpatient			5134	3337.1		90			Percent of total billed charges		4620.6	40			Percent of total billed charges		2053.6	80			Percent of total billed charges		4107.2	90			Percent of total billed charges		4620.6	85			Percent of total billed charges		4363.9	85			Percent of total billed charges		4363.9	85			Percent of total billed charges		4363.9	100			Percent of total billed charges		5134	100			Percent of total billed charges		5134	100			Percent of total billed charges		5134	33.3			Percent of total billed charges		1709.622	33.3			Percent of total billed charges		1709.622	100			Percent of total billed charges		5134	1709.622	4620.6	
l-p tib plt 4.5mm 13 hl 71820213 s\n	278	RC	Outpatient			5134	3337.1		90			Percent of total billed charges		4620.6	40			Percent of total billed charges		2053.6	80			Percent of total billed charges		4107.2	90			Percent of total billed charges		4620.6	85			Percent of total billed charges		4363.9	85			Percent of total billed charges		4363.9	85			Percent of total billed charges		4363.9	100			Percent of total billed charges		5134	100			Percent of total billed charges		5134	100			Percent of total billed charges		5134	33.3			Percent of total billed charges		1709.622	33.3			Percent of total billed charges		1709.622	100			Percent of total billed charges		5134	1709.622	4620.6	
l-p tib plt 4.5mm 13 hr 71820313 s\n	278	RC	Outpatient			5134	3337.1		90			Percent of total billed charges		4620.6	40			Percent of total billed charges		2053.6	80			Percent of total billed charges		4107.2	90			Percent of total billed charges		4620.6	85			Percent of total billed charges		4363.9	85			Percent of total billed charges		4363.9	85			Percent of total billed charges		4363.9	100			Percent of total billed charges		5134	100			Percent of total billed charges		5134	100			Percent of total billed charges		5134	33.3			Percent of total billed charges		1709.622	33.3			Percent of total billed charges		1709.622	100			Percent of total billed charges		5134	1709.622	4620.6	
s/n 4.5 l-p tib lk pl 13h	278	RC	Outpatient			5134	3337.1		90			Percent of total billed charges		4620.6	40			Percent of total billed charges		2053.6	80			Percent of total billed charges		4107.2	90			Percent of total billed charges		4620.6	85			Percent of total billed charges		4363.9	85			Percent of total billed charges		4363.9	85			Percent of total billed charges		4363.9	100			Percent of total billed charges		5134	100			Percent of total billed charges		5134	100			Percent of total billed charges		5134	33.3			Percent of total billed charges		1709.622	33.3			Percent of total billed charges		1709.622	100			Percent of total billed charges		5134	1709.622	4620.6	
viabahn  8mm x 50cm vbh080502  gore	278	RC	Outpatient			5144	3343.6		90			Percent of total billed charges		4629.6	40			Percent of total billed charges		2057.6	80			Percent of total billed charges		4115.2	90			Percent of total billed charges		4629.6	85			Percent of total billed charges		4372.4	85			Percent of total billed charges		4372.4	85			Percent of total billed charges		4372.4	100			Percent of total billed charges		5144	100			Percent of total billed charges		5144	100			Percent of total billed charges		5144	33.3			Percent of total billed charges		1712.952	33.3			Percent of total billed charges		1712.952	100			Percent of total billed charges		5144	1712.952	4629.6	
viabahn 8 x 50	278	RC	Outpatient			5144	3343.6		90			Percent of total billed charges		4629.6	40			Percent of total billed charges		2057.6	80			Percent of total billed charges		4115.2	90			Percent of total billed charges		4629.6	85			Percent of total billed charges		4372.4	85			Percent of total billed charges		4372.4	85			Percent of total billed charges		4372.4	100			Percent of total billed charges		5144	100			Percent of total billed charges		5144	100			Percent of total billed charges		5144	33.3			Percent of total billed charges		1712.952	33.3			Percent of total billed charges		1712.952	100			Percent of total billed charges		5144	1712.952	4629.6	
omnifix eon plus cemented hip stem #7 6097-0735 stryker	278	RC	Outpatient			5160	3354		90			Percent of total billed charges		4644	40			Percent of total billed charges		2064	80			Percent of total billed charges		4128	90			Percent of total billed charges		4644	85			Percent of total billed charges		4386	85			Percent of total billed charges		4386	85			Percent of total billed charges		4386	100			Percent of total billed charges		5160	100			Percent of total billed charges		5160	100			Percent of total billed charges		5160	33.3			Percent of total billed charges		1718.28	33.3			Percent of total billed charges		1718.28	100			Percent of total billed charges		5160	1718.28	4644	
omnifix eon plus cemented hip stem  6097-0630 stryker	278	RC	Outpatient			5160	3354		90			Percent of total billed charges		4644	40			Percent of total billed charges		2064	80			Percent of total billed charges		4128	90			Percent of total billed charges		4644	85			Percent of total billed charges		4386	85			Percent of total billed charges		4386	85			Percent of total billed charges		4386	100			Percent of total billed charges		5160	100			Percent of total billed charges		5160	100			Percent of total billed charges		5160	33.3			Percent of total billed charges		1718.28	33.3			Percent of total billed charges		1718.28	100			Percent of total billed charges		5160	1718.28	4644	
stryker omnifit stem-ceme	278	RC	Outpatient			5160	3354		90			Percent of total billed charges		4644	40			Percent of total billed charges		2064	80			Percent of total billed charges		4128	90			Percent of total billed charges		4644	85			Percent of total billed charges		4386	85			Percent of total billed charges		4386	85			Percent of total billed charges		4386	100			Percent of total billed charges		5160	100			Percent of total billed charges		5160	100			Percent of total billed charges		5160	33.3			Percent of total billed charges		1718.28	33.3			Percent of total billed charges		1718.28	100			Percent of total billed charges		5160	1718.28	4644	
kryptonite bone cem 10cc	278	RC	Outpatient			5165	3357.25		90			Percent of total billed charges		4648.5	40			Percent of total billed charges		2066	80			Percent of total billed charges		4132	90			Percent of total billed charges		4648.5	85			Percent of total billed charges		4390.25	85			Percent of total billed charges		4390.25	85			Percent of total billed charges		4390.25	100			Percent of total billed charges		5165	100			Percent of total billed charges		5165	100			Percent of total billed charges		5165	33.3			Percent of total billed charges		1719.945	33.3			Percent of total billed charges		1719.945	100			Percent of total billed charges		5165	1719.945	4648.5	
kryptonite bone cement 10ml kit kryp-us-z-10ml doctors reaseach group	278	RC	Outpatient			5165	3357.25		90			Percent of total billed charges		4648.5	40			Percent of total billed charges		2066	80			Percent of total billed charges		4132	90			Percent of total billed charges		4648.5	85			Percent of total billed charges		4390.25	85			Percent of total billed charges		4390.25	85			Percent of total billed charges		4390.25	100			Percent of total billed charges		5165	100			Percent of total billed charges		5165	100			Percent of total billed charges		5165	33.3			Percent of total billed charges		1719.945	33.3			Percent of total billed charges		1719.945	100			Percent of total billed charges		5165	1719.945	4648.5	
biomet distal stem	278	RC	Outpatient			5170	3360.5		90			Percent of total billed charges		4653	40			Percent of total billed charges		2068	80			Percent of total billed charges		4136	90			Percent of total billed charges		4653	85			Percent of total billed charges		4394.5	85			Percent of total billed charges		4394.5	85			Percent of total billed charges		4394.5	100			Percent of total billed charges		5170	100			Percent of total billed charges		5170	100			Percent of total billed charges		5170	33.3			Percent of total billed charges		1721.61	33.3			Percent of total billed charges		1721.61	100			Percent of total billed charges		5170	1721.61	4653	
aaadvantage iliac 13.5	278	RC	Outpatient			5198	3378.7		90			Percent of total billed charges		4678.2	40			Percent of total billed charges		2079.2	80			Percent of total billed charges		4158.4	90			Percent of total billed charges		4678.2	85			Percent of total billed charges		4418.3	85			Percent of total billed charges		4418.3	85			Percent of total billed charges		4418.3	100			Percent of total billed charges		5198	100			Percent of total billed charges		5198	100			Percent of total billed charges		5198	33.3			Percent of total billed charges		1730.934	33.3			Percent of total billed charges		1730.934	100			Percent of total billed charges		5198	1730.934	4678.2	
aaadvantage iliac limb-straight ilxc1313135 13mmx13mmx13.5mm medtronic	278	RC	Outpatient			5198	3378.7		90			Percent of total billed charges		4678.2	40			Percent of total billed charges		2079.2	80			Percent of total billed charges		4158.4	90			Percent of total billed charges		4678.2	85			Percent of total billed charges		4418.3	85			Percent of total billed charges		4418.3	85			Percent of total billed charges		4418.3	100			Percent of total billed charges		5198	100			Percent of total billed charges		5198	100			Percent of total billed charges		5198	33.3			Percent of total billed charges		1730.934	33.3			Percent of total billed charges		1730.934	100			Percent of total billed charges		5198	1730.934	4678.2	
aaadvantage iliac limb-straight ilxc1414135 14mmx14mmx13.5mm medtronic	278	RC	Outpatient			5198	3378.7		90			Percent of total billed charges		4678.2	40			Percent of total billed charges		2079.2	80			Percent of total billed charges		4158.4	90			Percent of total billed charges		4678.2	85			Percent of total billed charges		4418.3	85			Percent of total billed charges		4418.3	85			Percent of total billed charges		4418.3	100			Percent of total billed charges		5198	100			Percent of total billed charges		5198	100			Percent of total billed charges		5198	33.3			Percent of total billed charges		1730.934	33.3			Percent of total billed charges		1730.934	100			Percent of total billed charges		5198	1730.934	4678.2	
aaadvantage iliac limb-straight ilxc1616135 16mmx16mmx13.5mm medtronic	278	RC	Outpatient			5198	3378.7		90			Percent of total billed charges		4678.2	40			Percent of total billed charges		2079.2	80			Percent of total billed charges		4158.4	90			Percent of total billed charges		4678.2	85			Percent of total billed charges		4418.3	85			Percent of total billed charges		4418.3	85			Percent of total billed charges		4418.3	100			Percent of total billed charges		5198	100			Percent of total billed charges		5198	100			Percent of total billed charges		5198	33.3			Percent of total billed charges		1730.934	33.3			Percent of total billed charges		1730.934	100			Percent of total billed charges		5198	1730.934	4678.2	
aaadvantage iliac limb-straight ilxch1616135 16mmx13.5mm medtronic	278	RC	Outpatient			5198	3378.7		90			Percent of total billed charges		4678.2	40			Percent of total billed charges		2079.2	80			Percent of total billed charges		4158.4	90			Percent of total billed charges		4678.2	85			Percent of total billed charges		4418.3	85			Percent of total billed charges		4418.3	85			Percent of total billed charges		4418.3	100			Percent of total billed charges		5198	100			Percent of total billed charges		5198	100			Percent of total billed charges		5198	33.3			Percent of total billed charges		1730.934	33.3			Percent of total billed charges		1730.934	100			Percent of total billed charges		5198	1730.934	4678.2	
aaadvantage iliac limb-straight ilxc1212135 12mmx12mmx13.5mm medtronic	278	RC	Outpatient			5198	3378.7		90			Percent of total billed charges		4678.2	40			Percent of total billed charges		2079.2	80			Percent of total billed charges		4158.4	90			Percent of total billed charges		4678.2	85			Percent of total billed charges		4418.3	85			Percent of total billed charges		4418.3	85			Percent of total billed charges		4418.3	100			Percent of total billed charges		5198	100			Percent of total billed charges		5198	100			Percent of total billed charges		5198	33.3			Percent of total billed charges		1730.934	33.3			Percent of total billed charges		1730.934	100			Percent of total billed charges		5198	1730.934	4678.2	
aaadvantage iliac limb-straight ilxc1515135 15mmx15mmx13.5mm medtronic	278	RC	Outpatient			5198	3378.7		90			Percent of total billed charges		4678.2	40			Percent of total billed charges		2079.2	80			Percent of total billed charges		4158.4	90			Percent of total billed charges		4678.2	85			Percent of total billed charges		4418.3	85			Percent of total billed charges		4418.3	85			Percent of total billed charges		4418.3	100			Percent of total billed charges		5198	100			Percent of total billed charges		5198	100			Percent of total billed charges		5198	33.3			Percent of total billed charges		1730.934	33.3			Percent of total billed charges		1730.934	100			Percent of total billed charges		5198	1730.934	4678.2	
graftjacket regenerative tissue matrix 4 x 8cm 86tm-4x08 wright	278	RC	Outpatient			5204	3382.6		90			Percent of total billed charges		4683.6	40			Percent of total billed charges		2081.6	80			Percent of total billed charges		4163.2	90			Percent of total billed charges		4683.6	85			Percent of total billed charges		4423.4	85			Percent of total billed charges		4423.4	85			Percent of total billed charges		4423.4	100			Percent of total billed charges		5204	100			Percent of total billed charges		5204	100			Percent of total billed charges		5204	33.3			Percent of total billed charges		1732.932	33.3			Percent of total billed charges		1732.932	100			Percent of total billed charges		5204	1732.932	4683.6	
kyphopak additional fracture tray 20/3 kpt 2004 kyphon	278	RC	Outpatient			5204	3382.6		90			Percent of total billed charges		4683.6	40			Percent of total billed charges		2081.6	80			Percent of total billed charges		4163.2	90			Percent of total billed charges		4683.6	85			Percent of total billed charges		4423.4	85			Percent of total billed charges		4423.4	85			Percent of total billed charges		4423.4	100			Percent of total billed charges		5204	100			Percent of total billed charges		5204	100			Percent of total billed charges		5204	33.3			Percent of total billed charges		1732.932	33.3			Percent of total billed charges		1732.932	100			Percent of total billed charges		5204	1732.932	4683.6	
graft jacket 4x8	278	RC	Outpatient			5204	3382.6		90			Percent of total billed charges		4683.6	40			Percent of total billed charges		2081.6	80			Percent of total billed charges		4163.2	90			Percent of total billed charges		4683.6	85			Percent of total billed charges		4423.4	85			Percent of total billed charges		4423.4	85			Percent of total billed charges		4423.4	100			Percent of total billed charges		5204	100			Percent of total billed charges		5204	100			Percent of total billed charges		5204	33.3			Percent of total billed charges		1732.932	33.3			Percent of total billed charges		1732.932	100			Percent of total billed charges		5204	1732.932	4683.6	
kyphon add fx 2013	278	RC	Outpatient			5204	3382.6		90			Percent of total billed charges		4683.6	40			Percent of total billed charges		2081.6	80			Percent of total billed charges		4163.2	90			Percent of total billed charges		4683.6	85			Percent of total billed charges		4423.4	85			Percent of total billed charges		4423.4	85			Percent of total billed charges		4423.4	100			Percent of total billed charges		5204	100			Percent of total billed charges		5204	100			Percent of total billed charges		5204	33.3			Percent of total billed charges		1732.932	33.3			Percent of total billed charges		1732.932	100			Percent of total billed charges		5204	1732.932	4683.6	
biomet mod ii hum stem	278	RC	Outpatient			5222	3394.3		90			Percent of total billed charges		4699.8	40			Percent of total billed charges		2088.8	80			Percent of total billed charges		4177.6	90			Percent of total billed charges		4699.8	85			Percent of total billed charges		4438.7	85			Percent of total billed charges		4438.7	85			Percent of total billed charges		4438.7	100			Percent of total billed charges		5222	100			Percent of total billed charges		5222	100			Percent of total billed charges		5222	33.3			Percent of total billed charges		1738.926	33.3			Percent of total billed charges		1738.926	100			Percent of total billed charges		5222	1738.926	4699.8	
mod ii plus-c hum stem 490715125 biomet	278	RC	Outpatient			5222	3394.3		90			Percent of total billed charges		4699.8	40			Percent of total billed charges		2088.8	80			Percent of total billed charges		4177.6	90			Percent of total billed charges		4699.8	85			Percent of total billed charges		4438.7	85			Percent of total billed charges		4438.7	85			Percent of total billed charges		4438.7	100			Percent of total billed charges		5222	100			Percent of total billed charges		5222	100			Percent of total billed charges		5222	33.3			Percent of total billed charges		1738.926	33.3			Percent of total billed charges		1738.926	100			Percent of total billed charges		5222	1738.926	4699.8	
anterior ring spacer 15mm allograft	278	RC	Outpatient			5245	3409.25		90			Percent of total billed charges		4720.5	40			Percent of total billed charges		2098	80			Percent of total billed charges		4196	90			Percent of total billed charges		4720.5	85			Percent of total billed charges		4458.25	85			Percent of total billed charges		4458.25	85			Percent of total billed charges		4458.25	100			Percent of total billed charges		5245	100			Percent of total billed charges		5245	100			Percent of total billed charges		5245	33.3			Percent of total billed charges		1746.585	33.3			Percent of total billed charges		1746.585	100			Percent of total billed charges		5245	1746.585	4720.5	
anterior ring spacer 17mm allograft	278	RC	Outpatient			5245	3409.25		90			Percent of total billed charges		4720.5	40			Percent of total billed charges		2098	80			Percent of total billed charges		4196	90			Percent of total billed charges		4720.5	85			Percent of total billed charges		4458.25	85			Percent of total billed charges		4458.25	85			Percent of total billed charges		4458.25	100			Percent of total billed charges		5245	100			Percent of total billed charges		5245	100			Percent of total billed charges		5245	33.3			Percent of total billed charges		1746.585	33.3			Percent of total billed charges		1746.585	100			Percent of total billed charges		5245	1746.585	4720.5	
"allograft ring, narrow"	278	RC	Outpatient			5245	3409.25		90			Percent of total billed charges		4720.5	40			Percent of total billed charges		2098	80			Percent of total billed charges		4196	90			Percent of total billed charges		4720.5	85			Percent of total billed charges		4458.25	85			Percent of total billed charges		4458.25	85			Percent of total billed charges		4458.25	100			Percent of total billed charges		5245	100			Percent of total billed charges		5245	100			Percent of total billed charges		5245	33.3			Percent of total billed charges		1746.585	33.3			Percent of total billed charges		1746.585	100			Percent of total billed charges		5245	1746.585	4720.5	
bio oss tib bp mod	278	RC	Outpatient			5248	3411.2		90			Percent of total billed charges		4723.2	40			Percent of total billed charges		2099.2	80			Percent of total billed charges		4198.4	90			Percent of total billed charges		4723.2	85			Percent of total billed charges		4460.8	85			Percent of total billed charges		4460.8	85			Percent of total billed charges		4460.8	100			Percent of total billed charges		5248	100			Percent of total billed charges		5248	100			Percent of total billed charges		5248	33.3			Percent of total billed charges		1747.584	33.3			Percent of total billed charges		1747.584	100			Percent of total billed charges		5248	1747.584	4723.2	
oss 75mm mod tibial base 150423 biomet	278	RC	Outpatient			5248	3411.2		90			Percent of total billed charges		4723.2	40			Percent of total billed charges		2099.2	80			Percent of total billed charges		4198.4	90			Percent of total billed charges		4723.2	85			Percent of total billed charges		4460.8	85			Percent of total billed charges		4460.8	85			Percent of total billed charges		4460.8	100			Percent of total billed charges		5248	100			Percent of total billed charges		5248	100			Percent of total billed charges		5248	33.3			Percent of total billed charges		1747.584	33.3			Percent of total billed charges		1747.584	100			Percent of total billed charges		5248	1747.584	4723.2	
miig x 3 15cc	278	RC	Outpatient			5255	3415.75		90			Percent of total billed charges		4729.5	40			Percent of total billed charges		2102	80			Percent of total billed charges		4204	90			Percent of total billed charges		4729.5	85			Percent of total billed charges		4466.75	85			Percent of total billed charges		4466.75	85			Percent of total billed charges		4466.75	100			Percent of total billed charges		5255	100			Percent of total billed charges		5255	100			Percent of total billed charges		5255	33.3			Percent of total billed charges		1749.915	33.3			Percent of total billed charges		1749.915	100			Percent of total billed charges		5255	1749.915	4729.5	
miig x3  15cc 84xs-0415 wright	278	RC	Outpatient			5255	3415.75		90			Percent of total billed charges		4729.5	40			Percent of total billed charges		2102	80			Percent of total billed charges		4204	90			Percent of total billed charges		4729.5	85			Percent of total billed charges		4466.75	85			Percent of total billed charges		4466.75	85			Percent of total billed charges		4466.75	100			Percent of total billed charges		5255	100			Percent of total billed charges		5255	100			Percent of total billed charges		5255	33.3			Percent of total billed charges		1749.915	33.3			Percent of total billed charges		1749.915	100			Percent of total billed charges		5255	1749.915	4729.5	
accolade c fem stem 127 degrees sz 5 6057-0537d stryker	278	RC	Outpatient			5263	3420.95		90			Percent of total billed charges		4736.7	40			Percent of total billed charges		2105.2	80			Percent of total billed charges		4210.4	90			Percent of total billed charges		4736.7	85			Percent of total billed charges		4473.55	85			Percent of total billed charges		4473.55	85			Percent of total billed charges		4473.55	100			Percent of total billed charges		5263	100			Percent of total billed charges		5263	100			Percent of total billed charges		5263	33.3			Percent of total billed charges		1752.579	33.3			Percent of total billed charges		1752.579	100			Percent of total billed charges		5263	1752.579	4736.7	
t2 std tibial nail 10 x 300 1822-1030s stryker	278	RC	Outpatient			5263	3420.95		90			Percent of total billed charges		4736.7	40			Percent of total billed charges		2105.2	80			Percent of total billed charges		4210.4	90			Percent of total billed charges		4736.7	85			Percent of total billed charges		4473.55	85			Percent of total billed charges		4473.55	85			Percent of total billed charges		4473.55	100			Percent of total billed charges		5263	100			Percent of total billed charges		5263	100			Percent of total billed charges		5263	33.3			Percent of total billed charges		1752.579	33.3			Percent of total billed charges		1752.579	100			Percent of total billed charges		5263	1752.579	4736.7	
t2 std tibial nail 10 x 345 1822-1034s stryker	278	RC	Outpatient			5263	3420.95		90			Percent of total billed charges		4736.7	40			Percent of total billed charges		2105.2	80			Percent of total billed charges		4210.4	90			Percent of total billed charges		4736.7	85			Percent of total billed charges		4473.55	85			Percent of total billed charges		4473.55	85			Percent of total billed charges		4473.55	100			Percent of total billed charges		5263	100			Percent of total billed charges		5263	100			Percent of total billed charges		5263	33.3			Percent of total billed charges		1752.579	33.3			Percent of total billed charges		1752.579	100			Percent of total billed charges		5263	1752.579	4736.7	
t2 std tibial nail 12 x 375 1822-1275s stryker	278	RC	Outpatient			5263	3420.95		90			Percent of total billed charges		4736.7	40			Percent of total billed charges		2105.2	80			Percent of total billed charges		4210.4	90			Percent of total billed charges		4736.7	85			Percent of total billed charges		4473.55	85			Percent of total billed charges		4473.55	85			Percent of total billed charges		4473.55	100			Percent of total billed charges		5263	100			Percent of total billed charges		5263	100			Percent of total billed charges		5263	33.3			Percent of total billed charges		1752.579	33.3			Percent of total billed charges		1752.579	100			Percent of total billed charges		5263	1752.579	4736.7	
tissuemend 8cm x 8cm fenestrated 6495-9-118 tei	278	RC	Outpatient			5263	3420.95		90			Percent of total billed charges		4736.7	40			Percent of total billed charges		2105.2	80			Percent of total billed charges		4210.4	90			Percent of total billed charges		4736.7	85			Percent of total billed charges		4473.55	85			Percent of total billed charges		4473.55	85			Percent of total billed charges		4473.55	100			Percent of total billed charges		5263	100			Percent of total billed charges		5263	100			Percent of total billed charges		5263	33.3			Percent of total billed charges		1752.579	33.3			Percent of total billed charges		1752.579	100			Percent of total billed charges		5263	1752.579	4736.7	
stryker accolade c stem	278	RC	Outpatient			5263	3420.95		90			Percent of total billed charges		4736.7	40			Percent of total billed charges		2105.2	80			Percent of total billed charges		4210.4	90			Percent of total billed charges		4736.7	85			Percent of total billed charges		4473.55	85			Percent of total billed charges		4473.55	85			Percent of total billed charges		4473.55	100			Percent of total billed charges		5263	100			Percent of total billed charges		5263	100			Percent of total billed charges		5263	33.3			Percent of total billed charges		1752.579	33.3			Percent of total billed charges		1752.579	100			Percent of total billed charges		5263	1752.579	4736.7	
t2 std tibial nail	278	RC	Outpatient			5263	3420.95		90			Percent of total billed charges		4736.7	40			Percent of total billed charges		2105.2	80			Percent of total billed charges		4210.4	90			Percent of total billed charges		4736.7	85			Percent of total billed charges		4473.55	85			Percent of total billed charges		4473.55	85			Percent of total billed charges		4473.55	100			Percent of total billed charges		5263	100			Percent of total billed charges		5263	100			Percent of total billed charges		5263	33.3			Percent of total billed charges		1752.579	33.3			Percent of total billed charges		1752.579	100			Percent of total billed charges		5263	1752.579	4736.7	
t2 std tibial nail 10 x 390 1822-1039s stryker	278	RC	Outpatient			5263	3420.95		90			Percent of total billed charges		4736.7	40			Percent of total billed charges		2105.2	80			Percent of total billed charges		4210.4	90			Percent of total billed charges		4736.7	85			Percent of total billed charges		4473.55	85			Percent of total billed charges		4473.55	85			Percent of total billed charges		4473.55	100			Percent of total billed charges		5263	100			Percent of total billed charges		5263	100			Percent of total billed charges		5263	33.3			Percent of total billed charges		1752.579	33.3			Percent of total billed charges		1752.579	100			Percent of total billed charges		5263	1752.579	4736.7	
t2 std tibial nail 9 x 285 1822-0928s stryker	278	RC	Outpatient			5263	3420.95		90			Percent of total billed charges		4736.7	40			Percent of total billed charges		2105.2	80			Percent of total billed charges		4210.4	90			Percent of total billed charges		4736.7	85			Percent of total billed charges		4473.55	85			Percent of total billed charges		4473.55	85			Percent of total billed charges		4473.55	100			Percent of total billed charges		5263	100			Percent of total billed charges		5263	100			Percent of total billed charges		5263	33.3			Percent of total billed charges		1752.579	33.3			Percent of total billed charges		1752.579	100			Percent of total billed charges		5263	1752.579	4736.7	
tissuemend 8 x 8 cm	278	RC	Outpatient			5263	3420.95		90			Percent of total billed charges		4736.7	40			Percent of total billed charges		2105.2	80			Percent of total billed charges		4210.4	90			Percent of total billed charges		4736.7	85			Percent of total billed charges		4473.55	85			Percent of total billed charges		4473.55	85			Percent of total billed charges		4473.55	100			Percent of total billed charges		5263	100			Percent of total billed charges		5263	100			Percent of total billed charges		5263	33.3			Percent of total billed charges		1752.579	33.3			Percent of total billed charges		1752.579	100			Percent of total billed charges		5263	1752.579	4736.7	
tissuemend 8cm x 8cm  6495-9-108 tei	278	RC	Outpatient			5263	3420.95		90			Percent of total billed charges		4736.7	40			Percent of total billed charges		2105.2	80			Percent of total billed charges		4210.4	90			Percent of total billed charges		4736.7	85			Percent of total billed charges		4473.55	85			Percent of total billed charges		4473.55	85			Percent of total billed charges		4473.55	100			Percent of total billed charges		5263	100			Percent of total billed charges		5263	100			Percent of total billed charges		5263	33.3			Percent of total billed charges		1752.579	33.3			Percent of total billed charges		1752.579	100			Percent of total billed charges		5263	1752.579	4736.7	
cath lab mt 6947-65 sprint quad	278	RC	Outpatient			5270	3425.5		90			Percent of total billed charges		4743	40			Percent of total billed charges		2108	80			Percent of total billed charges		4216	90			Percent of total billed charges		4743	85			Percent of total billed charges		4479.5	85			Percent of total billed charges		4479.5	85			Percent of total billed charges		4479.5	100			Percent of total billed charges		5270	100			Percent of total billed charges		5270	100			Percent of total billed charges		5270	33.3			Percent of total billed charges		1754.91	33.3			Percent of total billed charges		1754.91	100			Percent of total billed charges		5270	1754.91	4743	
crx clavicle nail	278	RC	Outpatient			5277	3430.05		90			Percent of total billed charges		4749.3	40			Percent of total billed charges		2110.8	80			Percent of total billed charges		4221.6	90			Percent of total billed charges		4749.3	85			Percent of total billed charges		4485.45	85			Percent of total billed charges		4485.45	85			Percent of total billed charges		4485.45	100			Percent of total billed charges		5277	100			Percent of total billed charges		5277	100			Percent of total billed charges		5277	33.3			Percent of total billed charges		1757.241	33.3			Percent of total billed charges		1757.241	100			Percent of total billed charges		5277	1757.241	4749.3	
sonoma crx nail 4.0 x 100mm crx-wg2-40100	278	RC	Outpatient			5277	3430.05		90			Percent of total billed charges		4749.3	40			Percent of total billed charges		2110.8	80			Percent of total billed charges		4221.6	90			Percent of total billed charges		4749.3	85			Percent of total billed charges		4485.45	85			Percent of total billed charges		4485.45	85			Percent of total billed charges		4485.45	100			Percent of total billed charges		5277	100			Percent of total billed charges		5277	100			Percent of total billed charges		5277	33.3			Percent of total billed charges		1757.241	33.3			Percent of total billed charges		1757.241	100			Percent of total billed charges		5277	1757.241	4749.3	
sonoma crx nail 4.0 x 110mm crx-wg2-40110	278	RC	Outpatient			5277	3430.05		90			Percent of total billed charges		4749.3	40			Percent of total billed charges		2110.8	80			Percent of total billed charges		4221.6	90			Percent of total billed charges		4749.3	85			Percent of total billed charges		4485.45	85			Percent of total billed charges		4485.45	85			Percent of total billed charges		4485.45	100			Percent of total billed charges		5277	100			Percent of total billed charges		5277	100			Percent of total billed charges		5277	33.3			Percent of total billed charges		1757.241	33.3			Percent of total billed charges		1757.241	100			Percent of total billed charges		5277	1757.241	4749.3	
mt w3sr01 s-sr azure gen	278	RC	Outpatient			5280	3432		90			Percent of total billed charges		4752	40			Percent of total billed charges		2112	80			Percent of total billed charges		4224	90			Percent of total billed charges		4752	85			Percent of total billed charges		4488	85			Percent of total billed charges		4488	85			Percent of total billed charges		4488	100			Percent of total billed charges		5280	100			Percent of total billed charges		5280	100			Percent of total billed charges		5280	33.3			Percent of total billed charges		1758.24	33.3			Percent of total billed charges		1758.24	100			Percent of total billed charges		5280	1758.24	4752	
mdm cementless liner 626-00-42e stryker	278	RC	Outpatient			5288	3437.2		90			Percent of total billed charges		4759.2	40			Percent of total billed charges		2115.2	80			Percent of total billed charges		4230.4	90			Percent of total billed charges		4759.2	85			Percent of total billed charges		4494.8	85			Percent of total billed charges		4494.8	85			Percent of total billed charges		4494.8	100			Percent of total billed charges		5288	100			Percent of total billed charges		5288	100			Percent of total billed charges		5288	33.3			Percent of total billed charges		1760.904	33.3			Percent of total billed charges		1760.904	100			Percent of total billed charges		5288	1760.904	4759.2	
mdm cementless liner 626-00-46f stryker	278	RC	Outpatient			5288	3437.2		90			Percent of total billed charges		4759.2	40			Percent of total billed charges		2115.2	80			Percent of total billed charges		4230.4	90			Percent of total billed charges		4759.2	85			Percent of total billed charges		4494.8	85			Percent of total billed charges		4494.8	85			Percent of total billed charges		4494.8	100			Percent of total billed charges		5288	100			Percent of total billed charges		5288	100			Percent of total billed charges		5288	33.3			Percent of total billed charges		1760.904	33.3			Percent of total billed charges		1760.904	100			Percent of total billed charges		5288	1760.904	4759.2	
mdm cementless liner 626-00-48g stryker	278	RC	Outpatient			5288	3437.2		90			Percent of total billed charges		4759.2	40			Percent of total billed charges		2115.2	80			Percent of total billed charges		4230.4	90			Percent of total billed charges		4759.2	85			Percent of total billed charges		4494.8	85			Percent of total billed charges		4494.8	85			Percent of total billed charges		4494.8	100			Percent of total billed charges		5288	100			Percent of total billed charges		5288	100			Percent of total billed charges		5288	33.3			Percent of total billed charges		1760.904	33.3			Percent of total billed charges		1760.904	100			Percent of total billed charges		5288	1760.904	4759.2	
mdm ceramic liner 626-00-38d stryker	278	RC	Outpatient			5288	3437.2		90			Percent of total billed charges		4759.2	40			Percent of total billed charges		2115.2	80			Percent of total billed charges		4230.4	90			Percent of total billed charges		4759.2	85			Percent of total billed charges		4494.8	85			Percent of total billed charges		4494.8	85			Percent of total billed charges		4494.8	100			Percent of total billed charges		5288	100			Percent of total billed charges		5288	100			Percent of total billed charges		5288	33.3			Percent of total billed charges		1760.904	33.3			Percent of total billed charges		1760.904	100			Percent of total billed charges		5288	1760.904	4759.2	
stryker mdm liner	278	RC	Outpatient			5288	3437.2		90			Percent of total billed charges		4759.2	40			Percent of total billed charges		2115.2	80			Percent of total billed charges		4230.4	90			Percent of total billed charges		4759.2	85			Percent of total billed charges		4494.8	85			Percent of total billed charges		4494.8	85			Percent of total billed charges		4494.8	100			Percent of total billed charges		5288	100			Percent of total billed charges		5288	100			Percent of total billed charges		5288	33.3			Percent of total billed charges		1760.904	33.3			Percent of total billed charges		1760.904	100			Percent of total billed charges		5288	1760.904	4759.2	
bio m/h stem dist sts	278	RC	Outpatient			5291	3439.15		90			Percent of total billed charges		4761.9	40			Percent of total billed charges		2116.4	80			Percent of total billed charges		4232.8	90			Percent of total billed charges		4761.9	85			Percent of total billed charges		4497.35	85			Percent of total billed charges		4497.35	85			Percent of total billed charges		4497.35	100			Percent of total billed charges		5291	100			Percent of total billed charges		5291	100			Percent of total billed charges		5291	33.3			Percent of total billed charges		1761.903	33.3			Percent of total billed charges		1761.903	100			Percent of total billed charges		5291	1761.903	4761.9	
biomet m/h  14 x 200mm 11-108740	278	RC	Outpatient			5291	3439.15		90			Percent of total billed charges		4761.9	40			Percent of total billed charges		2116.4	80			Percent of total billed charges		4232.8	90			Percent of total billed charges		4761.9	85			Percent of total billed charges		4497.35	85			Percent of total billed charges		4497.35	85			Percent of total billed charges		4497.35	100			Percent of total billed charges		5291	100			Percent of total billed charges		5291	100			Percent of total billed charges		5291	33.3			Percent of total billed charges		1761.903	33.3			Percent of total billed charges		1761.903	100			Percent of total billed charges		5291	1761.903	4761.9	
biomet m/h sts distals 15 x 200mm 11-108741	278	RC	Outpatient			5291	3439.15		90			Percent of total billed charges		4761.9	40			Percent of total billed charges		2116.4	80			Percent of total billed charges		4232.8	90			Percent of total billed charges		4761.9	85			Percent of total billed charges		4497.35	85			Percent of total billed charges		4497.35	85			Percent of total billed charges		4497.35	100			Percent of total billed charges		5291	100			Percent of total billed charges		5291	100			Percent of total billed charges		5291	33.3			Percent of total billed charges		1761.903	33.3			Percent of total billed charges		1761.903	100			Percent of total billed charges		5291	1761.903	4761.9	
biomet m/h sts distals 16 x 200mm 11-108742	278	RC	Outpatient			5291	3439.15		90			Percent of total billed charges		4761.9	40			Percent of total billed charges		2116.4	80			Percent of total billed charges		4232.8	90			Percent of total billed charges		4761.9	85			Percent of total billed charges		4497.35	85			Percent of total billed charges		4497.35	85			Percent of total billed charges		4497.35	100			Percent of total billed charges		5291	100			Percent of total billed charges		5291	100			Percent of total billed charges		5291	33.3			Percent of total billed charges		1761.903	33.3			Percent of total billed charges		1761.903	100			Percent of total billed charges		5291	1761.903	4761.9	
biomet m/h sts distals 17 x 200mm 11-108743	278	RC	Outpatient			5291	3439.15		90			Percent of total billed charges		4761.9	40			Percent of total billed charges		2116.4	80			Percent of total billed charges		4232.8	90			Percent of total billed charges		4761.9	85			Percent of total billed charges		4497.35	85			Percent of total billed charges		4497.35	85			Percent of total billed charges		4497.35	100			Percent of total billed charges		5291	100			Percent of total billed charges		5291	100			Percent of total billed charges		5291	33.3			Percent of total billed charges		1761.903	33.3			Percent of total billed charges		1761.903	100			Percent of total billed charges		5291	1761.903	4761.9	
biomet m/h sts distals 18 x 200mm 11-108744	278	RC	Outpatient			5291	3439.15		90			Percent of total billed charges		4761.9	40			Percent of total billed charges		2116.4	80			Percent of total billed charges		4232.8	90			Percent of total billed charges		4761.9	85			Percent of total billed charges		4497.35	85			Percent of total billed charges		4497.35	85			Percent of total billed charges		4497.35	100			Percent of total billed charges		5291	100			Percent of total billed charges		5291	100			Percent of total billed charges		5291	33.3			Percent of total billed charges		1761.903	33.3			Percent of total billed charges		1761.903	100			Percent of total billed charges		5291	1761.903	4761.9	
biomet m/h sts distals 19 x 200mm 11-108745	278	RC	Outpatient			5291	3439.15		90			Percent of total billed charges		4761.9	40			Percent of total billed charges		2116.4	80			Percent of total billed charges		4232.8	90			Percent of total billed charges		4761.9	85			Percent of total billed charges		4497.35	85			Percent of total billed charges		4497.35	85			Percent of total billed charges		4497.35	100			Percent of total billed charges		5291	100			Percent of total billed charges		5291	100			Percent of total billed charges		5291	33.3			Percent of total billed charges		1761.903	33.3			Percent of total billed charges		1761.903	100			Percent of total billed charges		5291	1761.903	4761.9	
biomet m/h sts distals 20 x 200mm 11-108746	278	RC	Outpatient			5291	3439.15		90			Percent of total billed charges		4761.9	40			Percent of total billed charges		2116.4	80			Percent of total billed charges		4232.8	90			Percent of total billed charges		4761.9	85			Percent of total billed charges		4497.35	85			Percent of total billed charges		4497.35	85			Percent of total billed charges		4497.35	100			Percent of total billed charges		5291	100			Percent of total billed charges		5291	100			Percent of total billed charges		5291	33.3			Percent of total billed charges		1761.903	33.3			Percent of total billed charges		1761.903	100			Percent of total billed charges		5291	1761.903	4761.9	
gmrs extension piece 30mm 6495-6-030 stryker	278	RC	Outpatient			5305	3448.25		90			Percent of total billed charges		4774.5	40			Percent of total billed charges		2122	80			Percent of total billed charges		4244	90			Percent of total billed charges		4774.5	85			Percent of total billed charges		4509.25	85			Percent of total billed charges		4509.25	85			Percent of total billed charges		4509.25	100			Percent of total billed charges		5305	100			Percent of total billed charges		5305	100			Percent of total billed charges		5305	33.3			Percent of total billed charges		1766.565	33.3			Percent of total billed charges		1766.565	100			Percent of total billed charges		5305	1766.565	4774.5	
m-d tib lk plate3.5mm 8-hole 171mm 71801108 s/n	278	RC	Outpatient			5305	3448.25		90			Percent of total billed charges		4774.5	40			Percent of total billed charges		2122	80			Percent of total billed charges		4244	90			Percent of total billed charges		4774.5	85			Percent of total billed charges		4509.25	85			Percent of total billed charges		4509.25	85			Percent of total billed charges		4509.25	100			Percent of total billed charges		5305	100			Percent of total billed charges		5305	100			Percent of total billed charges		5305	33.3			Percent of total billed charges		1766.565	33.3			Percent of total billed charges		1766.565	100			Percent of total billed charges		5305	1766.565	4774.5	
m-d tib plt 3.5mm 8 hl 71821008 s\n	278	RC	Outpatient			5305	3448.25		90			Percent of total billed charges		4774.5	40			Percent of total billed charges		2122	80			Percent of total billed charges		4244	90			Percent of total billed charges		4774.5	85			Percent of total billed charges		4509.25	85			Percent of total billed charges		4509.25	85			Percent of total billed charges		4509.25	100			Percent of total billed charges		5305	100			Percent of total billed charges		5305	100			Percent of total billed charges		5305	33.3			Percent of total billed charges		1766.565	33.3			Percent of total billed charges		1766.565	100			Percent of total billed charges		5305	1766.565	4774.5	
m-d tib plt 3.5mm 8 hr 71821108 s\n	278	RC	Outpatient			5305	3448.25		90			Percent of total billed charges		4774.5	40			Percent of total billed charges		2122	80			Percent of total billed charges		4244	90			Percent of total billed charges		4774.5	85			Percent of total billed charges		4509.25	85			Percent of total billed charges		4509.25	85			Percent of total billed charges		4509.25	100			Percent of total billed charges		5305	100			Percent of total billed charges		5305	100			Percent of total billed charges		5305	33.3			Percent of total billed charges		1766.565	33.3			Percent of total billed charges		1766.565	100			Percent of total billed charges		5305	1766.565	4774.5	
s/n 3.5 m-d tib lk pl 8hl	278	RC	Outpatient			5305	3448.25		90			Percent of total billed charges		4774.5	40			Percent of total billed charges		2122	80			Percent of total billed charges		4244	90			Percent of total billed charges		4774.5	85			Percent of total billed charges		4509.25	85			Percent of total billed charges		4509.25	85			Percent of total billed charges		4509.25	100			Percent of total billed charges		5305	100			Percent of total billed charges		5305	100			Percent of total billed charges		5305	33.3			Percent of total billed charges		1766.565	33.3			Percent of total billed charges		1766.565	100			Percent of total billed charges		5305	1766.565	4774.5	
v-d tib lk plate3.5mm 8-hole 171mm 71801008 s/n	278	RC	Outpatient			5305	3448.25		90			Percent of total billed charges		4774.5	40			Percent of total billed charges		2122	80			Percent of total billed charges		4244	90			Percent of total billed charges		4774.5	85			Percent of total billed charges		4509.25	85			Percent of total billed charges		4509.25	85			Percent of total billed charges		4509.25	100			Percent of total billed charges		5305	100			Percent of total billed charges		5305	100			Percent of total billed charges		5305	33.3			Percent of total billed charges		1766.565	33.3			Percent of total billed charges		1766.565	100			Percent of total billed charges		5305	1766.565	4774.5	
or time 4 1/2 hours	270	RC	Outpatient			5311	3452.15		90			Percent of total billed charges		4779.9	40			Percent of total billed charges		2124.4	80			Percent of total billed charges		4248.8	90			Percent of total billed charges		4779.9	85			Percent of total billed charges		4514.35	85			Percent of total billed charges		4514.35	85			Percent of total billed charges		4514.35	100			Percent of total billed charges		5311	100			Percent of total billed charges		5311	100			Percent of total billed charges		5311	33.3			Percent of total billed charges		1768.563	33.3			Percent of total billed charges		1768.563	100			Percent of total billed charges		5311	1768.563	4779.9	
comp plt 4.5mm20 hl 71809320 s\n	278	RC	Outpatient			5313	3453.45		90			Percent of total billed charges		4781.7	40			Percent of total billed charges		2125.2	80			Percent of total billed charges		4250.4	90			Percent of total billed charges		4781.7	85			Percent of total billed charges		4516.05	85			Percent of total billed charges		4516.05	85			Percent of total billed charges		4516.05	100			Percent of total billed charges		5313	100			Percent of total billed charges		5313	100			Percent of total billed charges		5313	33.3			Percent of total billed charges		1769.229	33.3			Percent of total billed charges		1769.229	100			Percent of total billed charges		5313	1769.229	4781.7	
s/n 4.5 lck comp pl 20 hl	278	RC	Outpatient			5313	3453.45		90			Percent of total billed charges		4781.7	40			Percent of total billed charges		2125.2	80			Percent of total billed charges		4250.4	90			Percent of total billed charges		4781.7	85			Percent of total billed charges		4516.05	85			Percent of total billed charges		4516.05	85			Percent of total billed charges		4516.05	100			Percent of total billed charges		5313	100			Percent of total billed charges		5313	100			Percent of total billed charges		5313	33.3			Percent of total billed charges		1769.229	33.3			Percent of total billed charges		1769.229	100			Percent of total billed charges		5313	1769.229	4781.7	
ray fusion cage	278	RC	Outpatient			5315	3454.75		90			Percent of total billed charges		4783.5	40			Percent of total billed charges		2126	80			Percent of total billed charges		4252	90			Percent of total billed charges		4783.5	85			Percent of total billed charges		4517.75	85			Percent of total billed charges		4517.75	85			Percent of total billed charges		4517.75	100			Percent of total billed charges		5315	100			Percent of total billed charges		5315	100			Percent of total billed charges		5315	33.3			Percent of total billed charges		1769.895	33.3			Percent of total billed charges		1769.895	100			Percent of total billed charges		5315	1769.895	4783.5	
ray tfc 12 x 26mm 71226 stryker	278	RC	Outpatient			5315	3454.75		90			Percent of total billed charges		4783.5	40			Percent of total billed charges		2126	80			Percent of total billed charges		4252	90			Percent of total billed charges		4783.5	85			Percent of total billed charges		4517.75	85			Percent of total billed charges		4517.75	85			Percent of total billed charges		4517.75	100			Percent of total billed charges		5315	100			Percent of total billed charges		5315	100			Percent of total billed charges		5315	33.3			Percent of total billed charges		1769.895	33.3			Percent of total billed charges		1769.895	100			Percent of total billed charges		5315	1769.895	4783.5	
ray tfc 14 x 21mm 71421 stryker	278	RC	Outpatient			5315	3454.75		90			Percent of total billed charges		4783.5	40			Percent of total billed charges		2126	80			Percent of total billed charges		4252	90			Percent of total billed charges		4783.5	85			Percent of total billed charges		4517.75	85			Percent of total billed charges		4517.75	85			Percent of total billed charges		4517.75	100			Percent of total billed charges		5315	100			Percent of total billed charges		5315	100			Percent of total billed charges		5315	33.3			Percent of total billed charges		1769.895	33.3			Percent of total billed charges		1769.895	100			Percent of total billed charges		5315	1769.895	4783.5	
ray tfc 16 x 21mm 71621 stryker	278	RC	Outpatient			5315	3454.75		90			Percent of total billed charges		4783.5	40			Percent of total billed charges		2126	80			Percent of total billed charges		4252	90			Percent of total billed charges		4783.5	85			Percent of total billed charges		4517.75	85			Percent of total billed charges		4517.75	85			Percent of total billed charges		4517.75	100			Percent of total billed charges		5315	100			Percent of total billed charges		5315	100			Percent of total billed charges		5315	33.3			Percent of total billed charges		1769.895	33.3			Percent of total billed charges		1769.895	100			Percent of total billed charges		5315	1769.895	4783.5	
ray tfc 16 x 26mm 71626 stryker	278	RC	Outpatient			5315	3454.75		90			Percent of total billed charges		4783.5	40			Percent of total billed charges		2126	80			Percent of total billed charges		4252	90			Percent of total billed charges		4783.5	85			Percent of total billed charges		4517.75	85			Percent of total billed charges		4517.75	85			Percent of total billed charges		4517.75	100			Percent of total billed charges		5315	100			Percent of total billed charges		5315	100			Percent of total billed charges		5315	33.3			Percent of total billed charges		1769.895	33.3			Percent of total billed charges		1769.895	100			Percent of total billed charges		5315	1769.895	4783.5	
ray tfc 20 x 26mm 72026 stryker	278	RC	Outpatient			5315	3454.75		90			Percent of total billed charges		4783.5	40			Percent of total billed charges		2126	80			Percent of total billed charges		4252	90			Percent of total billed charges		4783.5	85			Percent of total billed charges		4517.75	85			Percent of total billed charges		4517.75	85			Percent of total billed charges		4517.75	100			Percent of total billed charges		5315	100			Percent of total billed charges		5315	100			Percent of total billed charges		5315	33.3			Percent of total billed charges		1769.895	33.3			Percent of total billed charges		1769.895	100			Percent of total billed charges		5315	1769.895	4783.5	
ray tfc std 14 x 21mm sin 7-1421 stryker	278	RC	Outpatient			5315	3454.75		90			Percent of total billed charges		4783.5	40			Percent of total billed charges		2126	80			Percent of total billed charges		4252	90			Percent of total billed charges		4783.5	85			Percent of total billed charges		4517.75	85			Percent of total billed charges		4517.75	85			Percent of total billed charges		4517.75	100			Percent of total billed charges		5315	100			Percent of total billed charges		5315	100			Percent of total billed charges		5315	33.3			Percent of total billed charges		1769.895	33.3			Percent of total billed charges		1769.895	100			Percent of total billed charges		5315	1769.895	4783.5	
ray tfc std 14 x 26mm sin 7-1426 stryker	278	RC	Outpatient			5315	3454.75		90			Percent of total billed charges		4783.5	40			Percent of total billed charges		2126	80			Percent of total billed charges		4252	90			Percent of total billed charges		4783.5	85			Percent of total billed charges		4517.75	85			Percent of total billed charges		4517.75	85			Percent of total billed charges		4517.75	100			Percent of total billed charges		5315	100			Percent of total billed charges		5315	100			Percent of total billed charges		5315	33.3			Percent of total billed charges		1769.895	33.3			Percent of total billed charges		1769.895	100			Percent of total billed charges		5315	1769.895	4783.5	
ray tfc std 20 x 26mm sin 46204  stryker	278	RC	Outpatient			5315	3454.75		90			Percent of total billed charges		4783.5	40			Percent of total billed charges		2126	80			Percent of total billed charges		4252	90			Percent of total billed charges		4783.5	85			Percent of total billed charges		4517.75	85			Percent of total billed charges		4517.75	85			Percent of total billed charges		4517.75	100			Percent of total billed charges		5315	100			Percent of total billed charges		5315	100			Percent of total billed charges		5315	33.3			Percent of total billed charges		1769.895	33.3			Percent of total billed charges		1769.895	100			Percent of total billed charges		5315	1769.895	4783.5	
ray tfc 12 x 21mm 71221 stryker	278	RC	Outpatient			5315	3454.75		90			Percent of total billed charges		4783.5	40			Percent of total billed charges		2126	80			Percent of total billed charges		4252	90			Percent of total billed charges		4783.5	85			Percent of total billed charges		4517.75	85			Percent of total billed charges		4517.75	85			Percent of total billed charges		4517.75	100			Percent of total billed charges		5315	100			Percent of total billed charges		5315	100			Percent of total billed charges		5315	33.3			Percent of total billed charges		1769.895	33.3			Percent of total billed charges		1769.895	100			Percent of total billed charges		5315	1769.895	4783.5	
ray tfc 14 x 26mm 71426 stryker	278	RC	Outpatient			5315	3454.75		90			Percent of total billed charges		4783.5	40			Percent of total billed charges		2126	80			Percent of total billed charges		4252	90			Percent of total billed charges		4783.5	85			Percent of total billed charges		4517.75	85			Percent of total billed charges		4517.75	85			Percent of total billed charges		4517.75	100			Percent of total billed charges		5315	100			Percent of total billed charges		5315	100			Percent of total billed charges		5315	33.3			Percent of total billed charges		1769.895	33.3			Percent of total billed charges		1769.895	100			Percent of total billed charges		5315	1769.895	4783.5	
ray tfc 18 x 21mm 71821 stryker	278	RC	Outpatient			5315	3454.75		90			Percent of total billed charges		4783.5	40			Percent of total billed charges		2126	80			Percent of total billed charges		4252	90			Percent of total billed charges		4783.5	85			Percent of total billed charges		4517.75	85			Percent of total billed charges		4517.75	85			Percent of total billed charges		4517.75	100			Percent of total billed charges		5315	100			Percent of total billed charges		5315	100			Percent of total billed charges		5315	33.3			Percent of total billed charges		1769.895	33.3			Percent of total billed charges		1769.895	100			Percent of total billed charges		5315	1769.895	4783.5	
ray tfc 18 x 26mm 71826 stryker	278	RC	Outpatient			5315	3454.75		90			Percent of total billed charges		4783.5	40			Percent of total billed charges		2126	80			Percent of total billed charges		4252	90			Percent of total billed charges		4783.5	85			Percent of total billed charges		4517.75	85			Percent of total billed charges		4517.75	85			Percent of total billed charges		4517.75	100			Percent of total billed charges		5315	100			Percent of total billed charges		5315	100			Percent of total billed charges		5315	33.3			Percent of total billed charges		1769.895	33.3			Percent of total billed charges		1769.895	100			Percent of total billed charges		5315	1769.895	4783.5	
ray tfc std 12 x 21mm sin 7-1221 stryker	278	RC	Outpatient			5315	3454.75		90			Percent of total billed charges		4783.5	40			Percent of total billed charges		2126	80			Percent of total billed charges		4252	90			Percent of total billed charges		4783.5	85			Percent of total billed charges		4517.75	85			Percent of total billed charges		4517.75	85			Percent of total billed charges		4517.75	100			Percent of total billed charges		5315	100			Percent of total billed charges		5315	100			Percent of total billed charges		5315	33.3			Percent of total billed charges		1769.895	33.3			Percent of total billed charges		1769.895	100			Percent of total billed charges		5315	1769.895	4783.5	
ray tfc std 12 x 26mm sin 7-1226 stryker	278	RC	Outpatient			5315	3454.75		90			Percent of total billed charges		4783.5	40			Percent of total billed charges		2126	80			Percent of total billed charges		4252	90			Percent of total billed charges		4783.5	85			Percent of total billed charges		4517.75	85			Percent of total billed charges		4517.75	85			Percent of total billed charges		4517.75	100			Percent of total billed charges		5315	100			Percent of total billed charges		5315	100			Percent of total billed charges		5315	33.3			Percent of total billed charges		1769.895	33.3			Percent of total billed charges		1769.895	100			Percent of total billed charges		5315	1769.895	4783.5	
ray tfc std 16 x 21mm sin 7-1621 stryker	278	RC	Outpatient			5315	3454.75		90			Percent of total billed charges		4783.5	40			Percent of total billed charges		2126	80			Percent of total billed charges		4252	90			Percent of total billed charges		4783.5	85			Percent of total billed charges		4517.75	85			Percent of total billed charges		4517.75	85			Percent of total billed charges		4517.75	100			Percent of total billed charges		5315	100			Percent of total billed charges		5315	100			Percent of total billed charges		5315	33.3			Percent of total billed charges		1769.895	33.3			Percent of total billed charges		1769.895	100			Percent of total billed charges		5315	1769.895	4783.5	
ray tfc std 16 x 26mm sin 7-1626 stryker	278	RC	Outpatient			5315	3454.75		90			Percent of total billed charges		4783.5	40			Percent of total billed charges		2126	80			Percent of total billed charges		4252	90			Percent of total billed charges		4783.5	85			Percent of total billed charges		4517.75	85			Percent of total billed charges		4517.75	85			Percent of total billed charges		4517.75	100			Percent of total billed charges		5315	100			Percent of total billed charges		5315	100			Percent of total billed charges		5315	33.3			Percent of total billed charges		1769.895	33.3			Percent of total billed charges		1769.895	100			Percent of total billed charges		5315	1769.895	4783.5	
ray tfc std 18 x 21mm sin 7-1821 stryker	278	RC	Outpatient			5315	3454.75		90			Percent of total billed charges		4783.5	40			Percent of total billed charges		2126	80			Percent of total billed charges		4252	90			Percent of total billed charges		4783.5	85			Percent of total billed charges		4517.75	85			Percent of total billed charges		4517.75	85			Percent of total billed charges		4517.75	100			Percent of total billed charges		5315	100			Percent of total billed charges		5315	100			Percent of total billed charges		5315	33.3			Percent of total billed charges		1769.895	33.3			Percent of total billed charges		1769.895	100			Percent of total billed charges		5315	1769.895	4783.5	
ray tfc std 20 x 21mm sin 44378  stryker	278	RC	Outpatient			5315	3454.75		90			Percent of total billed charges		4783.5	40			Percent of total billed charges		2126	80			Percent of total billed charges		4252	90			Percent of total billed charges		4783.5	85			Percent of total billed charges		4517.75	85			Percent of total billed charges		4517.75	85			Percent of total billed charges		4517.75	100			Percent of total billed charges		5315	100			Percent of total billed charges		5315	100			Percent of total billed charges		5315	33.3			Percent of total billed charges		1769.895	33.3			Percent of total billed charges		1769.895	100			Percent of total billed charges		5315	1769.895	4783.5	
bio maxim femur	278	RC	Outpatient			5337	3469.05		90			Percent of total billed charges		4803.3	40			Percent of total billed charges		2134.8	80			Percent of total billed charges		4269.6	90			Percent of total billed charges		4803.3	85			Percent of total billed charges		4536.45	85			Percent of total billed charges		4536.45	85			Percent of total billed charges		4536.45	100			Percent of total billed charges		5337	100			Percent of total billed charges		5337	100			Percent of total billed charges		5337	33.3			Percent of total billed charges		1777.221	33.3			Percent of total billed charges		1777.221	100			Percent of total billed charges		5337	1777.221	4803.3	
biomet femoral 65 right 140052	278	RC	Outpatient			5337	3469.05		90			Percent of total billed charges		4803.3	40			Percent of total billed charges		2134.8	80			Percent of total billed charges		4269.6	90			Percent of total billed charges		4803.3	85			Percent of total billed charges		4536.45	85			Percent of total billed charges		4536.45	85			Percent of total billed charges		4536.45	100			Percent of total billed charges		5337	100			Percent of total billed charges		5337	100			Percent of total billed charges		5337	33.3			Percent of total billed charges		1777.221	33.3			Percent of total billed charges		1777.221	100			Percent of total billed charges		5337	1777.221	4803.3	
biomet maxim  femoral 55 left 140070	278	RC	Outpatient			5337	3469.05		90			Percent of total billed charges		4803.3	40			Percent of total billed charges		2134.8	80			Percent of total billed charges		4269.6	90			Percent of total billed charges		4803.3	85			Percent of total billed charges		4536.45	85			Percent of total billed charges		4536.45	85			Percent of total billed charges		4536.45	100			Percent of total billed charges		5337	100			Percent of total billed charges		5337	100			Percent of total billed charges		5337	33.3			Percent of total billed charges		1777.221	33.3			Percent of total billed charges		1777.221	100			Percent of total billed charges		5337	1777.221	4803.3	
biomet maxim  femoral 65 left 140072	278	RC	Outpatient			5337	3469.05		90			Percent of total billed charges		4803.3	40			Percent of total billed charges		2134.8	80			Percent of total billed charges		4269.6	90			Percent of total billed charges		4803.3	85			Percent of total billed charges		4536.45	85			Percent of total billed charges		4536.45	85			Percent of total billed charges		4536.45	100			Percent of total billed charges		5337	100			Percent of total billed charges		5337	100			Percent of total billed charges		5337	33.3			Percent of total billed charges		1777.221	33.3			Percent of total billed charges		1777.221	100			Percent of total billed charges		5337	1777.221	4803.3	
biomet maxim  femoral 70 left 140073	278	RC	Outpatient			5337	3469.05		90			Percent of total billed charges		4803.3	40			Percent of total billed charges		2134.8	80			Percent of total billed charges		4269.6	90			Percent of total billed charges		4803.3	85			Percent of total billed charges		4536.45	85			Percent of total billed charges		4536.45	85			Percent of total billed charges		4536.45	100			Percent of total billed charges		5337	100			Percent of total billed charges		5337	100			Percent of total billed charges		5337	33.3			Percent of total billed charges		1777.221	33.3			Percent of total billed charges		1777.221	100			Percent of total billed charges		5337	1777.221	4803.3	
biomet maxim  femoral 75 left 140074	278	RC	Outpatient			5337	3469.05		90			Percent of total billed charges		4803.3	40			Percent of total billed charges		2134.8	80			Percent of total billed charges		4269.6	90			Percent of total billed charges		4803.3	85			Percent of total billed charges		4536.45	85			Percent of total billed charges		4536.45	85			Percent of total billed charges		4536.45	100			Percent of total billed charges		5337	100			Percent of total billed charges		5337	100			Percent of total billed charges		5337	33.3			Percent of total billed charges		1777.221	33.3			Percent of total billed charges		1777.221	100			Percent of total billed charges		5337	1777.221	4803.3	
biomet maxim  femoral 75 right 140054	278	RC	Outpatient			5337	3469.05		90			Percent of total billed charges		4803.3	40			Percent of total billed charges		2134.8	80			Percent of total billed charges		4269.6	90			Percent of total billed charges		4803.3	85			Percent of total billed charges		4536.45	85			Percent of total billed charges		4536.45	85			Percent of total billed charges		4536.45	100			Percent of total billed charges		5337	100			Percent of total billed charges		5337	100			Percent of total billed charges		5337	33.3			Percent of total billed charges		1777.221	33.3			Percent of total billed charges		1777.221	100			Percent of total billed charges		5337	1777.221	4803.3	
biomet maxim  femoral 80 left 140075	278	RC	Outpatient			5337	3469.05		90			Percent of total billed charges		4803.3	40			Percent of total billed charges		2134.8	80			Percent of total billed charges		4269.6	90			Percent of total billed charges		4803.3	85			Percent of total billed charges		4536.45	85			Percent of total billed charges		4536.45	85			Percent of total billed charges		4536.45	100			Percent of total billed charges		5337	100			Percent of total billed charges		5337	100			Percent of total billed charges		5337	33.3			Percent of total billed charges		1777.221	33.3			Percent of total billed charges		1777.221	100			Percent of total billed charges		5337	1777.221	4803.3	
biomet maxim  femoral 80 right 140055	278	RC	Outpatient			5337	3469.05		90			Percent of total billed charges		4803.3	40			Percent of total billed charges		2134.8	80			Percent of total billed charges		4269.6	90			Percent of total billed charges		4803.3	85			Percent of total billed charges		4536.45	85			Percent of total billed charges		4536.45	85			Percent of total billed charges		4536.45	100			Percent of total billed charges		5337	100			Percent of total billed charges		5337	100			Percent of total billed charges		5337	33.3			Percent of total billed charges		1777.221	33.3			Percent of total billed charges		1777.221	100			Percent of total billed charges		5337	1777.221	4803.3	
biomet maxim  femoral 55 right 140050	278	RC	Outpatient			5337	3469.05		90			Percent of total billed charges		4803.3	40			Percent of total billed charges		2134.8	80			Percent of total billed charges		4269.6	90			Percent of total billed charges		4803.3	85			Percent of total billed charges		4536.45	85			Percent of total billed charges		4536.45	85			Percent of total billed charges		4536.45	100			Percent of total billed charges		5337	100			Percent of total billed charges		5337	100			Percent of total billed charges		5337	33.3			Percent of total billed charges		1777.221	33.3			Percent of total billed charges		1777.221	100			Percent of total billed charges		5337	1777.221	4803.3	
biomet maxim  femoral 60 left 140071	278	RC	Outpatient			5337	3469.05		90			Percent of total billed charges		4803.3	40			Percent of total billed charges		2134.8	80			Percent of total billed charges		4269.6	90			Percent of total billed charges		4803.3	85			Percent of total billed charges		4536.45	85			Percent of total billed charges		4536.45	85			Percent of total billed charges		4536.45	100			Percent of total billed charges		5337	100			Percent of total billed charges		5337	100			Percent of total billed charges		5337	33.3			Percent of total billed charges		1777.221	33.3			Percent of total billed charges		1777.221	100			Percent of total billed charges		5337	1777.221	4803.3	
biomet maxim  femoral 60 right 140051	278	RC	Outpatient			5337	3469.05		90			Percent of total billed charges		4803.3	40			Percent of total billed charges		2134.8	80			Percent of total billed charges		4269.6	90			Percent of total billed charges		4803.3	85			Percent of total billed charges		4536.45	85			Percent of total billed charges		4536.45	85			Percent of total billed charges		4536.45	100			Percent of total billed charges		5337	100			Percent of total billed charges		5337	100			Percent of total billed charges		5337	33.3			Percent of total billed charges		1777.221	33.3			Percent of total billed charges		1777.221	100			Percent of total billed charges		5337	1777.221	4803.3	
biomet maxim porous femur 70 (r) 140053	278	RC	Outpatient			5337	3469.05		90			Percent of total billed charges		4803.3	40			Percent of total billed charges		2134.8	80			Percent of total billed charges		4269.6	90			Percent of total billed charges		4803.3	85			Percent of total billed charges		4536.45	85			Percent of total billed charges		4536.45	85			Percent of total billed charges		4536.45	100			Percent of total billed charges		5337	100			Percent of total billed charges		5337	100			Percent of total billed charges		5337	33.3			Percent of total billed charges		1777.221	33.3			Percent of total billed charges		1777.221	100			Percent of total billed charges		5337	1777.221	4803.3	
gamma nail long 11 x 340mm x 125 degree 3325-0340s stryker	278	RC	Outpatient			5357	3482.05		90			Percent of total billed charges		4821.3	40			Percent of total billed charges		2142.8	80			Percent of total billed charges		4285.6	90			Percent of total billed charges		4821.3	85			Percent of total billed charges		4553.45	85			Percent of total billed charges		4553.45	85			Percent of total billed charges		4553.45	100			Percent of total billed charges		5357	100			Percent of total billed charges		5357	100			Percent of total billed charges		5357	33.3			Percent of total billed charges		1783.881	33.3			Percent of total billed charges		1783.881	100			Percent of total billed charges		5357	1783.881	4821.3	
gamma nail-long	278	RC	Outpatient			5357	3482.05		90			Percent of total billed charges		4821.3	40			Percent of total billed charges		2142.8	80			Percent of total billed charges		4285.6	90			Percent of total billed charges		4821.3	85			Percent of total billed charges		4553.45	85			Percent of total billed charges		4553.45	85			Percent of total billed charges		4553.45	100			Percent of total billed charges		5357	100			Percent of total billed charges		5357	100			Percent of total billed charges		5357	33.3			Percent of total billed charges		1783.881	33.3			Percent of total billed charges		1783.881	100			Percent of total billed charges		5357	1783.881	4821.3	
long gamma3 nail 10 x 400mm 125 degree 3525-0400s stryker	278	RC	Outpatient			5357	3482.05		90			Percent of total billed charges		4821.3	40			Percent of total billed charges		2142.8	80			Percent of total billed charges		4285.6	90			Percent of total billed charges		4821.3	85			Percent of total billed charges		4553.45	85			Percent of total billed charges		4553.45	85			Percent of total billed charges		4553.45	100			Percent of total billed charges		5357	100			Percent of total billed charges		5357	100			Percent of total billed charges		5357	33.3			Percent of total billed charges		1783.881	33.3			Percent of total billed charges		1783.881	100			Percent of total billed charges		5357	1783.881	4821.3	
long gamma3 nail 11 x 300mm 125 degree 3225-0300s stryker	278	RC	Outpatient			5357	3482.05		90			Percent of total billed charges		4821.3	40			Percent of total billed charges		2142.8	80			Percent of total billed charges		4285.6	90			Percent of total billed charges		4821.3	85			Percent of total billed charges		4553.45	85			Percent of total billed charges		4553.45	85			Percent of total billed charges		4553.45	100			Percent of total billed charges		5357	100			Percent of total billed charges		5357	100			Percent of total billed charges		5357	33.3			Percent of total billed charges		1783.881	33.3			Percent of total billed charges		1783.881	100			Percent of total billed charges		5357	1783.881	4821.3	
long gamma3 nail 11 x 300mm 125 degree 3325-0300s stryker	278	RC	Outpatient			5357	3482.05		90			Percent of total billed charges		4821.3	40			Percent of total billed charges		2142.8	80			Percent of total billed charges		4285.6	90			Percent of total billed charges		4821.3	85			Percent of total billed charges		4553.45	85			Percent of total billed charges		4553.45	85			Percent of total billed charges		4553.45	100			Percent of total billed charges		5357	100			Percent of total billed charges		5357	100			Percent of total billed charges		5357	33.3			Percent of total billed charges		1783.881	33.3			Percent of total billed charges		1783.881	100			Percent of total billed charges		5357	1783.881	4821.3	
long gamma3 nail 11 x 320mm 125 degree 3225-0320s stryker	278	RC	Outpatient			5357	3482.05		90			Percent of total billed charges		4821.3	40			Percent of total billed charges		2142.8	80			Percent of total billed charges		4285.6	90			Percent of total billed charges		4821.3	85			Percent of total billed charges		4553.45	85			Percent of total billed charges		4553.45	85			Percent of total billed charges		4553.45	100			Percent of total billed charges		5357	100			Percent of total billed charges		5357	100			Percent of total billed charges		5357	33.3			Percent of total billed charges		1783.881	33.3			Percent of total billed charges		1783.881	100			Percent of total billed charges		5357	1783.881	4821.3	
long gamma3 nail 11 x 340mm 125 degree 3325-0340s stryker	278	RC	Outpatient			5357	3482.05		90			Percent of total billed charges		4821.3	40			Percent of total billed charges		2142.8	80			Percent of total billed charges		4285.6	90			Percent of total billed charges		4821.3	85			Percent of total billed charges		4553.45	85			Percent of total billed charges		4553.45	85			Percent of total billed charges		4553.45	100			Percent of total billed charges		5357	100			Percent of total billed charges		5357	100			Percent of total billed charges		5357	33.3			Percent of total billed charges		1783.881	33.3			Percent of total billed charges		1783.881	100			Percent of total billed charges		5357	1783.881	4821.3	
long gamma3 nail 11 x 360mm 125 degree 3325-0360s stryker	278	RC	Outpatient			5357	3482.05		90			Percent of total billed charges		4821.3	40			Percent of total billed charges		2142.8	80			Percent of total billed charges		4285.6	90			Percent of total billed charges		4821.3	85			Percent of total billed charges		4553.45	85			Percent of total billed charges		4553.45	85			Percent of total billed charges		4553.45	100			Percent of total billed charges		5357	100			Percent of total billed charges		5357	100			Percent of total billed charges		5357	33.3			Percent of total billed charges		1783.881	33.3			Percent of total billed charges		1783.881	100			Percent of total billed charges		5357	1783.881	4821.3	
long gamma3 nail 11 x 380mm 125 degree 3225-0380s stryker	278	RC	Outpatient			5357	3482.05		90			Percent of total billed charges		4821.3	40			Percent of total billed charges		2142.8	80			Percent of total billed charges		4285.6	90			Percent of total billed charges		4821.3	85			Percent of total billed charges		4553.45	85			Percent of total billed charges		4553.45	85			Percent of total billed charges		4553.45	100			Percent of total billed charges		5357	100			Percent of total billed charges		5357	100			Percent of total billed charges		5357	33.3			Percent of total billed charges		1783.881	33.3			Percent of total billed charges		1783.881	100			Percent of total billed charges		5357	1783.881	4821.3	
long gamma3 nail 11 x 400mm 125 degree 3225-0400s stryker	278	RC	Outpatient			5357	3482.05		90			Percent of total billed charges		4821.3	40			Percent of total billed charges		2142.8	80			Percent of total billed charges		4285.6	90			Percent of total billed charges		4821.3	85			Percent of total billed charges		4553.45	85			Percent of total billed charges		4553.45	85			Percent of total billed charges		4553.45	100			Percent of total billed charges		5357	100			Percent of total billed charges		5357	100			Percent of total billed charges		5357	33.3			Percent of total billed charges		1783.881	33.3			Percent of total billed charges		1783.881	100			Percent of total billed charges		5357	1783.881	4821.3	
long gamma3 nail 11 x 420mm 125 degree 3225-0420s stryker	278	RC	Outpatient			5357	3482.05		90			Percent of total billed charges		4821.3	40			Percent of total billed charges		2142.8	80			Percent of total billed charges		4285.6	90			Percent of total billed charges		4821.3	85			Percent of total billed charges		4553.45	85			Percent of total billed charges		4553.45	85			Percent of total billed charges		4553.45	100			Percent of total billed charges		5357	100			Percent of total billed charges		5357	100			Percent of total billed charges		5357	33.3			Percent of total billed charges		1783.881	33.3			Percent of total billed charges		1783.881	100			Percent of total billed charges		5357	1783.881	4821.3	
long gamma3 nail 11 x 420mm 125 degree 3325-0420s stryker	278	RC	Outpatient			5357	3482.05		90			Percent of total billed charges		4821.3	40			Percent of total billed charges		2142.8	80			Percent of total billed charges		4285.6	90			Percent of total billed charges		4821.3	85			Percent of total billed charges		4553.45	85			Percent of total billed charges		4553.45	85			Percent of total billed charges		4553.45	100			Percent of total billed charges		5357	100			Percent of total billed charges		5357	100			Percent of total billed charges		5357	33.3			Percent of total billed charges		1783.881	33.3			Percent of total billed charges		1783.881	100			Percent of total billed charges		5357	1783.881	4821.3	
long gamma3 nail 11 x 320mm 125 degree 3325-0320s stryker	278	RC	Outpatient			5357	3482.05		90			Percent of total billed charges		4821.3	40			Percent of total billed charges		2142.8	80			Percent of total billed charges		4285.6	90			Percent of total billed charges		4821.3	85			Percent of total billed charges		4553.45	85			Percent of total billed charges		4553.45	85			Percent of total billed charges		4553.45	100			Percent of total billed charges		5357	100			Percent of total billed charges		5357	100			Percent of total billed charges		5357	33.3			Percent of total billed charges		1783.881	33.3			Percent of total billed charges		1783.881	100			Percent of total billed charges		5357	1783.881	4821.3	
long gamma3 nail 11 x 340mm 125 degree 3225-0340s stryker	278	RC	Outpatient			5357	3482.05		90			Percent of total billed charges		4821.3	40			Percent of total billed charges		2142.8	80			Percent of total billed charges		4285.6	90			Percent of total billed charges		4821.3	85			Percent of total billed charges		4553.45	85			Percent of total billed charges		4553.45	85			Percent of total billed charges		4553.45	100			Percent of total billed charges		5357	100			Percent of total billed charges		5357	100			Percent of total billed charges		5357	33.3			Percent of total billed charges		1783.881	33.3			Percent of total billed charges		1783.881	100			Percent of total billed charges		5357	1783.881	4821.3	
long gamma3 nail 11 x 360mm 125 degree 3225-0360s stryker	278	RC	Outpatient			5357	3482.05		90			Percent of total billed charges		4821.3	40			Percent of total billed charges		2142.8	80			Percent of total billed charges		4285.6	90			Percent of total billed charges		4821.3	85			Percent of total billed charges		4553.45	85			Percent of total billed charges		4553.45	85			Percent of total billed charges		4553.45	100			Percent of total billed charges		5357	100			Percent of total billed charges		5357	100			Percent of total billed charges		5357	33.3			Percent of total billed charges		1783.881	33.3			Percent of total billed charges		1783.881	100			Percent of total billed charges		5357	1783.881	4821.3	
long gamma3 nail 11 x 380mm 125 degree 3325-0380s stryker	278	RC	Outpatient			5357	3482.05		90			Percent of total billed charges		4821.3	40			Percent of total billed charges		2142.8	80			Percent of total billed charges		4285.6	90			Percent of total billed charges		4821.3	85			Percent of total billed charges		4553.45	85			Percent of total billed charges		4553.45	85			Percent of total billed charges		4553.45	100			Percent of total billed charges		5357	100			Percent of total billed charges		5357	100			Percent of total billed charges		5357	33.3			Percent of total billed charges		1783.881	33.3			Percent of total billed charges		1783.881	100			Percent of total billed charges		5357	1783.881	4821.3	
long gamma3 nail 11 x 400mm 125 degree 3325-0400s stryker	278	RC	Outpatient			5357	3482.05		90			Percent of total billed charges		4821.3	40			Percent of total billed charges		2142.8	80			Percent of total billed charges		4285.6	90			Percent of total billed charges		4821.3	85			Percent of total billed charges		4553.45	85			Percent of total billed charges		4553.45	85			Percent of total billed charges		4553.45	100			Percent of total billed charges		5357	100			Percent of total billed charges		5357	100			Percent of total billed charges		5357	33.3			Percent of total billed charges		1783.881	33.3			Percent of total billed charges		1783.881	100			Percent of total billed charges		5357	1783.881	4821.3	
lap band	278	RC	Outpatient			5382	3498.3		90			Percent of total billed charges		4843.8	40			Percent of total billed charges		2152.8	80			Percent of total billed charges		4305.6	90			Percent of total billed charges		4843.8	85			Percent of total billed charges		4574.7	85			Percent of total billed charges		4574.7	85			Percent of total billed charges		4574.7	100			Percent of total billed charges		5382	100			Percent of total billed charges		5382	100			Percent of total billed charges		5382	33.3			Percent of total billed charges		1792.206	33.3			Percent of total billed charges		1792.206	100			Percent of total billed charges		5382	1792.206	4843.8	
lap band lg b-2245 allergan	278	RC	Outpatient			5382	3498.3		90			Percent of total billed charges		4843.8	40			Percent of total billed charges		2152.8	80			Percent of total billed charges		4305.6	90			Percent of total billed charges		4843.8	85			Percent of total billed charges		4574.7	85			Percent of total billed charges		4574.7	85			Percent of total billed charges		4574.7	100			Percent of total billed charges		5382	100			Percent of total billed charges		5382	100			Percent of total billed charges		5382	33.3			Percent of total billed charges		1792.206	33.3			Percent of total billed charges		1792.206	100			Percent of total billed charges		5382	1792.206	4843.8	
lap band std b-2240 allergan	278	RC	Outpatient			5382	3498.3		90			Percent of total billed charges		4843.8	40			Percent of total billed charges		2152.8	80			Percent of total billed charges		4305.6	90			Percent of total billed charges		4843.8	85			Percent of total billed charges		4574.7	85			Percent of total billed charges		4574.7	85			Percent of total billed charges		4574.7	100			Percent of total billed charges		5382	100			Percent of total billed charges		5382	100			Percent of total billed charges		5382	33.3			Percent of total billed charges		1792.206	33.3			Percent of total billed charges		1792.206	100			Percent of total billed charges		5382	1792.206	4843.8	
cosmetic - macs facelift	983	RC	Outpatient			5390	3503.5		90			Percent of total billed charges		4851	40			Percent of total billed charges		2156	80			Percent of total billed charges		4312	90			Percent of total billed charges		4851	85			Percent of total billed charges		4581.5	85			Percent of total billed charges		4581.5	85			Percent of total billed charges		4581.5	100			Percent of total billed charges		5390	100			Percent of total billed charges		5390	100			Percent of total billed charges		5390	33.3			Percent of total billed charges		1794.87	33.3			Percent of total billed charges		1794.87	100			Percent of total billed charges		5390	1794.87	4851	
allomax graft retangular 2.4 x 6.3 6 x16cm 1180616 bard	278	RC	Outpatient			5405	3513.25		90			Percent of total billed charges		4864.5	40			Percent of total billed charges		2162	80			Percent of total billed charges		4324	90			Percent of total billed charges		4864.5	85			Percent of total billed charges		4594.25	85			Percent of total billed charges		4594.25	85			Percent of total billed charges		4594.25	100			Percent of total billed charges		5405	100			Percent of total billed charges		5405	100			Percent of total billed charges		5405	33.3			Percent of total billed charges		1799.865	33.3			Percent of total billed charges		1799.865	100			Percent of total billed charges		5405	1799.865	4864.5	
allomax 6 x 16	278	RC	Outpatient			5405	3513.25		90			Percent of total billed charges		4864.5	40			Percent of total billed charges		2162	80			Percent of total billed charges		4324	90			Percent of total billed charges		4864.5	85			Percent of total billed charges		4594.25	85			Percent of total billed charges		4594.25	85			Percent of total billed charges		4594.25	100			Percent of total billed charges		5405	100			Percent of total billed charges		5405	100			Percent of total billed charges		5405	33.3			Percent of total billed charges		1799.865	33.3			Percent of total billed charges		1799.865	100			Percent of total billed charges		5405	1799.865	4864.5	
cosmetic - capsulectomy and aug	983	RC	Outpatient			5418	3521.7		90			Percent of total billed charges		4876.2	40			Percent of total billed charges		2167.2	80			Percent of total billed charges		4334.4	90			Percent of total billed charges		4876.2	85			Percent of total billed charges		4605.3	85			Percent of total billed charges		4605.3	85			Percent of total billed charges		4605.3	100			Percent of total billed charges		5418	100			Percent of total billed charges		5418	100			Percent of total billed charges		5418	33.3			Percent of total billed charges		1804.194	33.3			Percent of total billed charges		1804.194	100			Percent of total billed charges		5418	1804.194	4876.2	
biomet vhs supracondylar cable plate 200325	278	RC	Outpatient			5421	3523.65		90			Percent of total billed charges		4878.9	40			Percent of total billed charges		2168.4	80			Percent of total billed charges		4336.8	90			Percent of total billed charges		4878.9	85			Percent of total billed charges		4607.85	85			Percent of total billed charges		4607.85	85			Percent of total billed charges		4607.85	100			Percent of total billed charges		5421	100			Percent of total billed charges		5421	100			Percent of total billed charges		5421	33.3			Percent of total billed charges		1805.193	33.3			Percent of total billed charges		1805.193	100			Percent of total billed charges		5421	1805.193	4878.9	
vhs supracondylar cbl plt	278	RC	Outpatient			5421	3523.65		90			Percent of total billed charges		4878.9	40			Percent of total billed charges		2168.4	80			Percent of total billed charges		4336.8	90			Percent of total billed charges		4878.9	85			Percent of total billed charges		4607.85	85			Percent of total billed charges		4607.85	85			Percent of total billed charges		4607.85	100			Percent of total billed charges		5421	100			Percent of total billed charges		5421	100			Percent of total billed charges		5421	33.3			Percent of total billed charges		1805.193	33.3			Percent of total billed charges		1805.193	100			Percent of total billed charges		5421	1805.193	4878.9	
tissuemend 6cm x 10cm 6495-9-004 stryker/tei	278	RC	Outpatient			5508	3580.2		90			Percent of total billed charges		4957.2	40			Percent of total billed charges		2203.2	80			Percent of total billed charges		4406.4	90			Percent of total billed charges		4957.2	85			Percent of total billed charges		4681.8	85			Percent of total billed charges		4681.8	85			Percent of total billed charges		4681.8	100			Percent of total billed charges		5508	100			Percent of total billed charges		5508	100			Percent of total billed charges		5508	33.3			Percent of total billed charges		1834.164	33.3			Percent of total billed charges		1834.164	100			Percent of total billed charges		5508	1834.164	4957.2	
tissuemend 6x10cm	278	RC	Outpatient			5508	3580.2		90			Percent of total billed charges		4957.2	40			Percent of total billed charges		2203.2	80			Percent of total billed charges		4406.4	90			Percent of total billed charges		4957.2	85			Percent of total billed charges		4681.8	85			Percent of total billed charges		4681.8	85			Percent of total billed charges		4681.8	100			Percent of total billed charges		5508	100			Percent of total billed charges		5508	100			Percent of total billed charges		5508	33.3			Percent of total billed charges		1834.164	33.3			Percent of total billed charges		1834.164	100			Percent of total billed charges		5508	1834.164	4957.2	
zimmer scp cmpl f&a kit ref 514.302	272	RC	Outpatient			5515	3584.75		90			Percent of total billed charges		4963.5	40			Percent of total billed charges		2206	80			Percent of total billed charges		4412	90			Percent of total billed charges		4963.5	85			Percent of total billed charges		4687.75	85			Percent of total billed charges		4687.75	85			Percent of total billed charges		4687.75	100			Percent of total billed charges		5515	100			Percent of total billed charges		5515	100			Percent of total billed charges		5515	33.3			Percent of total billed charges		1836.495	33.3			Percent of total billed charges		1836.495	100			Percent of total billed charges		5515	1836.495	4963.5	
t2 recon nail 11 x 340mm 1846-1134s stryker	278	RC	Outpatient			5528	3593.2		90			Percent of total billed charges		4975.2	40			Percent of total billed charges		2211.2	80			Percent of total billed charges		4422.4	90			Percent of total billed charges		4975.2	85			Percent of total billed charges		4698.8	85			Percent of total billed charges		4698.8	85			Percent of total billed charges		4698.8	100			Percent of total billed charges		5528	100			Percent of total billed charges		5528	100			Percent of total billed charges		5528	33.3			Percent of total billed charges		1840.824	33.3			Percent of total billed charges		1840.824	100			Percent of total billed charges		5528	1840.824	4975.2	
t2 recon nail 11 x 380mm 1846-1138s stryker	278	RC	Outpatient			5528	3593.2		90			Percent of total billed charges		4975.2	40			Percent of total billed charges		2211.2	80			Percent of total billed charges		4422.4	90			Percent of total billed charges		4975.2	85			Percent of total billed charges		4698.8	85			Percent of total billed charges		4698.8	85			Percent of total billed charges		4698.8	100			Percent of total billed charges		5528	100			Percent of total billed charges		5528	100			Percent of total billed charges		5528	33.3			Percent of total billed charges		1840.824	33.3			Percent of total billed charges		1840.824	100			Percent of total billed charges		5528	1840.824	4975.2	
t2 recon nail 11 x 400mm 1846-1140s stryker	278	RC	Outpatient			5528	3593.2		90			Percent of total billed charges		4975.2	40			Percent of total billed charges		2211.2	80			Percent of total billed charges		4422.4	90			Percent of total billed charges		4975.2	85			Percent of total billed charges		4698.8	85			Percent of total billed charges		4698.8	85			Percent of total billed charges		4698.8	100			Percent of total billed charges		5528	100			Percent of total billed charges		5528	100			Percent of total billed charges		5528	33.3			Percent of total billed charges		1840.824	33.3			Percent of total billed charges		1840.824	100			Percent of total billed charges		5528	1840.824	4975.2	
t2 recon nail 11 x 420mm 1846-1142s stryker	278	RC	Outpatient			5528	3593.2		90			Percent of total billed charges		4975.2	40			Percent of total billed charges		2211.2	80			Percent of total billed charges		4422.4	90			Percent of total billed charges		4975.2	85			Percent of total billed charges		4698.8	85			Percent of total billed charges		4698.8	85			Percent of total billed charges		4698.8	100			Percent of total billed charges		5528	100			Percent of total billed charges		5528	100			Percent of total billed charges		5528	33.3			Percent of total billed charges		1840.824	33.3			Percent of total billed charges		1840.824	100			Percent of total billed charges		5528	1840.824	4975.2	
t2 recon nail 13 x 400mm 1846-1340s stryker	278	RC	Outpatient			5528	3593.2		90			Percent of total billed charges		4975.2	40			Percent of total billed charges		2211.2	80			Percent of total billed charges		4422.4	90			Percent of total billed charges		4975.2	85			Percent of total billed charges		4698.8	85			Percent of total billed charges		4698.8	85			Percent of total billed charges		4698.8	100			Percent of total billed charges		5528	100			Percent of total billed charges		5528	100			Percent of total billed charges		5528	33.3			Percent of total billed charges		1840.824	33.3			Percent of total billed charges		1840.824	100			Percent of total billed charges		5528	1840.824	4975.2	
t2 recon nail	278	RC	Outpatient			5528	3593.2		90			Percent of total billed charges		4975.2	40			Percent of total billed charges		2211.2	80			Percent of total billed charges		4422.4	90			Percent of total billed charges		4975.2	85			Percent of total billed charges		4698.8	85			Percent of total billed charges		4698.8	85			Percent of total billed charges		4698.8	100			Percent of total billed charges		5528	100			Percent of total billed charges		5528	100			Percent of total billed charges		5528	33.3			Percent of total billed charges		1840.824	33.3			Percent of total billed charges		1840.824	100			Percent of total billed charges		5528	1840.824	4975.2	
journey pfj implant x-sm right 71461011 s/n	278	RC	Outpatient			5544	3603.6		90			Percent of total billed charges		4989.6	40			Percent of total billed charges		2217.6	80			Percent of total billed charges		4435.2	90			Percent of total billed charges		4989.6	85			Percent of total billed charges		4712.4	85			Percent of total billed charges		4712.4	85			Percent of total billed charges		4712.4	100			Percent of total billed charges		5544	100			Percent of total billed charges		5544	100			Percent of total billed charges		5544	33.3			Percent of total billed charges		1846.152	33.3			Percent of total billed charges		1846.152	100			Percent of total billed charges		5544	1846.152	4989.6	
a-l-d tib plt 3.5mm 13 hl 71820613 s\n	278	RC	Outpatient			5548	3606.2		90			Percent of total billed charges		4993.2	40			Percent of total billed charges		2219.2	80			Percent of total billed charges		4438.4	90			Percent of total billed charges		4993.2	85			Percent of total billed charges		4715.8	85			Percent of total billed charges		4715.8	85			Percent of total billed charges		4715.8	100			Percent of total billed charges		5548	100			Percent of total billed charges		5548	100			Percent of total billed charges		5548	33.3			Percent of total billed charges		1847.484	33.3			Percent of total billed charges		1847.484	100			Percent of total billed charges		5548	1847.484	4993.2	
a-l-d tib lk plate3.5mm 13-hole 186mm 71800613 s/n	278	RC	Outpatient			5548	3606.2		90			Percent of total billed charges		4993.2	40			Percent of total billed charges		2219.2	80			Percent of total billed charges		4438.4	90			Percent of total billed charges		4993.2	85			Percent of total billed charges		4715.8	85			Percent of total billed charges		4715.8	85			Percent of total billed charges		4715.8	100			Percent of total billed charges		5548	100			Percent of total billed charges		5548	100			Percent of total billed charges		5548	33.3			Percent of total billed charges		1847.484	33.3			Percent of total billed charges		1847.484	100			Percent of total billed charges		5548	1847.484	4993.2	
a-l-d tib lk plate3.5mm 13-hole 186mm 71800713 s/n	278	RC	Outpatient			5548	3606.2		90			Percent of total billed charges		4993.2	40			Percent of total billed charges		2219.2	80			Percent of total billed charges		4438.4	90			Percent of total billed charges		4993.2	85			Percent of total billed charges		4715.8	85			Percent of total billed charges		4715.8	85			Percent of total billed charges		4715.8	100			Percent of total billed charges		5548	100			Percent of total billed charges		5548	100			Percent of total billed charges		5548	33.3			Percent of total billed charges		1847.484	33.3			Percent of total billed charges		1847.484	100			Percent of total billed charges		5548	1847.484	4993.2	
a-l-d tib plt 3.5mm 13 hr 71820713 s\n	278	RC	Outpatient			5548	3606.2		90			Percent of total billed charges		4993.2	40			Percent of total billed charges		2219.2	80			Percent of total billed charges		4438.4	90			Percent of total billed charges		4993.2	85			Percent of total billed charges		4715.8	85			Percent of total billed charges		4715.8	85			Percent of total billed charges		4715.8	100			Percent of total billed charges		5548	100			Percent of total billed charges		5548	100			Percent of total billed charges		5548	33.3			Percent of total billed charges		1847.484	33.3			Percent of total billed charges		1847.484	100			Percent of total billed charges		5548	1847.484	4993.2	
s/n 3.5 adl tib lk pl 13h	278	RC	Outpatient			5548	3606.2		90			Percent of total billed charges		4993.2	40			Percent of total billed charges		2219.2	80			Percent of total billed charges		4438.4	90			Percent of total billed charges		4993.2	85			Percent of total billed charges		4715.8	85			Percent of total billed charges		4715.8	85			Percent of total billed charges		4715.8	100			Percent of total billed charges		5548	100			Percent of total billed charges		5548	100			Percent of total billed charges		5548	33.3			Percent of total billed charges		1847.484	33.3			Percent of total billed charges		1847.484	100			Percent of total billed charges		5548	1847.484	4993.2	
biomet m2a taper 38mm  shell 50mm rd118850	278	RC	Outpatient			5551	3608.15		90			Percent of total billed charges		4995.9	40			Percent of total billed charges		2220.4	80			Percent of total billed charges		4440.8	90			Percent of total billed charges		4995.9	85			Percent of total billed charges		4718.35	85			Percent of total billed charges		4718.35	85			Percent of total billed charges		4718.35	100			Percent of total billed charges		5551	100			Percent of total billed charges		5551	100			Percent of total billed charges		5551	33.3			Percent of total billed charges		1848.483	33.3			Percent of total billed charges		1848.483	100			Percent of total billed charges		5551	1848.483	4995.9	
biomet m2a taper 38mm shell 48mm rd118848	278	RC	Outpatient			5551	3608.15		90			Percent of total billed charges		4995.9	40			Percent of total billed charges		2220.4	80			Percent of total billed charges		4440.8	90			Percent of total billed charges		4995.9	85			Percent of total billed charges		4718.35	85			Percent of total billed charges		4718.35	85			Percent of total billed charges		4718.35	100			Percent of total billed charges		5551	100			Percent of total billed charges		5551	100			Percent of total billed charges		5551	33.3			Percent of total billed charges		1848.483	33.3			Percent of total billed charges		1848.483	100			Percent of total billed charges		5551	1848.483	4995.9	
biomet m2a taper 38mm shell 52mm rd118852	278	RC	Outpatient			5551	3608.15		90			Percent of total billed charges		4995.9	40			Percent of total billed charges		2220.4	80			Percent of total billed charges		4440.8	90			Percent of total billed charges		4995.9	85			Percent of total billed charges		4718.35	85			Percent of total billed charges		4718.35	85			Percent of total billed charges		4718.35	100			Percent of total billed charges		5551	100			Percent of total billed charges		5551	100			Percent of total billed charges		5551	33.3			Percent of total billed charges		1848.483	33.3			Percent of total billed charges		1848.483	100			Percent of total billed charges		5551	1848.483	4995.9	
bio m2a 38mm cup	278	RC	Outpatient			5551	3608.15		90			Percent of total billed charges		4995.9	40			Percent of total billed charges		2220.4	80			Percent of total billed charges		4440.8	90			Percent of total billed charges		4995.9	85			Percent of total billed charges		4718.35	85			Percent of total billed charges		4718.35	85			Percent of total billed charges		4718.35	100			Percent of total billed charges		5551	100			Percent of total billed charges		5551	100			Percent of total billed charges		5551	33.3			Percent of total billed charges		1848.483	33.3			Percent of total billed charges		1848.483	100			Percent of total billed charges		5551	1848.483	4995.9	
biomet m2a 38mm shell 54mm 15-105054	278	RC	Outpatient			5551	3608.15		90			Percent of total billed charges		4995.9	40			Percent of total billed charges		2220.4	80			Percent of total billed charges		4440.8	90			Percent of total billed charges		4995.9	85			Percent of total billed charges		4718.35	85			Percent of total billed charges		4718.35	85			Percent of total billed charges		4718.35	100			Percent of total billed charges		5551	100			Percent of total billed charges		5551	100			Percent of total billed charges		5551	33.3			Percent of total billed charges		1848.483	33.3			Percent of total billed charges		1848.483	100			Percent of total billed charges		5551	1848.483	4995.9	
biomet m2a taper 38mm shell 54mm rd118854	278	RC	Outpatient			5551	3608.15		90			Percent of total billed charges		4995.9	40			Percent of total billed charges		2220.4	80			Percent of total billed charges		4440.8	90			Percent of total billed charges		4995.9	85			Percent of total billed charges		4718.35	85			Percent of total billed charges		4718.35	85			Percent of total billed charges		4718.35	100			Percent of total billed charges		5551	100			Percent of total billed charges		5551	100			Percent of total billed charges		5551	33.3			Percent of total billed charges		1848.483	33.3			Percent of total billed charges		1848.483	100			Percent of total billed charges		5551	1848.483	4995.9	
biomet m2a taper 38mm shell 58mm rd118858	278	RC	Outpatient			5551	3608.15		90			Percent of total billed charges		4995.9	40			Percent of total billed charges		2220.4	80			Percent of total billed charges		4440.8	90			Percent of total billed charges		4995.9	85			Percent of total billed charges		4718.35	85			Percent of total billed charges		4718.35	85			Percent of total billed charges		4718.35	100			Percent of total billed charges		5551	100			Percent of total billed charges		5551	100			Percent of total billed charges		5551	33.3			Percent of total billed charges		1848.483	33.3			Percent of total billed charges		1848.483	100			Percent of total billed charges		5551	1848.483	4995.9	
biomet m2a taper 38mm shell 60mm rd118860	278	RC	Outpatient			5551	3608.15		90			Percent of total billed charges		4995.9	40			Percent of total billed charges		2220.4	80			Percent of total billed charges		4440.8	90			Percent of total billed charges		4995.9	85			Percent of total billed charges		4718.35	85			Percent of total billed charges		4718.35	85			Percent of total billed charges		4718.35	100			Percent of total billed charges		5551	100			Percent of total billed charges		5551	100			Percent of total billed charges		5551	33.3			Percent of total billed charges		1848.483	33.3			Percent of total billed charges		1848.483	100			Percent of total billed charges		5551	1848.483	4995.9	
biomet m2a taper 38mm shell 62mm rd118862	278	RC	Outpatient			5551	3608.15		90			Percent of total billed charges		4995.9	40			Percent of total billed charges		2220.4	80			Percent of total billed charges		4440.8	90			Percent of total billed charges		4995.9	85			Percent of total billed charges		4718.35	85			Percent of total billed charges		4718.35	85			Percent of total billed charges		4718.35	100			Percent of total billed charges		5551	100			Percent of total billed charges		5551	100			Percent of total billed charges		5551	33.3			Percent of total billed charges		1848.483	33.3			Percent of total billed charges		1848.483	100			Percent of total billed charges		5551	1848.483	4995.9	
biomet vanguard pfr comp lt med  11-150912	278	RC	Outpatient			5605	3643.25		90			Percent of total billed charges		5044.5	40			Percent of total billed charges		2242	80			Percent of total billed charges		4484	90			Percent of total billed charges		5044.5	85			Percent of total billed charges		4764.25	85			Percent of total billed charges		4764.25	85			Percent of total billed charges		4764.25	100			Percent of total billed charges		5605	100			Percent of total billed charges		5605	100			Percent of total billed charges		5605	33.3			Percent of total billed charges		1866.465	33.3			Percent of total billed charges		1866.465	100			Percent of total billed charges		5605	1866.465	5044.5	
biomet vanguard pfr comp rt xsm  11-150902	278	RC	Outpatient			5605	3643.25		90			Percent of total billed charges		5044.5	40			Percent of total billed charges		2242	80			Percent of total billed charges		4484	90			Percent of total billed charges		5044.5	85			Percent of total billed charges		4764.25	85			Percent of total billed charges		4764.25	85			Percent of total billed charges		4764.25	100			Percent of total billed charges		5605	100			Percent of total billed charges		5605	100			Percent of total billed charges		5605	33.3			Percent of total billed charges		1866.465	33.3			Percent of total billed charges		1866.465	100			Percent of total billed charges		5605	1866.465	5044.5	
biomet vanguard pfr comp sml lt  11-150908	278	RC	Outpatient			5605	3643.25		90			Percent of total billed charges		5044.5	40			Percent of total billed charges		2242	80			Percent of total billed charges		4484	90			Percent of total billed charges		5044.5	85			Percent of total billed charges		4764.25	85			Percent of total billed charges		4764.25	85			Percent of total billed charges		4764.25	100			Percent of total billed charges		5605	100			Percent of total billed charges		5605	100			Percent of total billed charges		5605	33.3			Percent of total billed charges		1866.465	33.3			Percent of total billed charges		1866.465	100			Percent of total billed charges		5605	1866.465	5044.5	
biomet vanguard pfr comp sml rt  11-150906	278	RC	Outpatient			5605	3643.25		90			Percent of total billed charges		5044.5	40			Percent of total billed charges		2242	80			Percent of total billed charges		4484	90			Percent of total billed charges		5044.5	85			Percent of total billed charges		4764.25	85			Percent of total billed charges		4764.25	85			Percent of total billed charges		4764.25	100			Percent of total billed charges		5605	100			Percent of total billed charges		5605	100			Percent of total billed charges		5605	33.3			Percent of total billed charges		1866.465	33.3			Percent of total billed charges		1866.465	100			Percent of total billed charges		5605	1866.465	5044.5	
bio vanguard pfr	278	RC	Outpatient			5605	3643.25		90			Percent of total billed charges		5044.5	40			Percent of total billed charges		2242	80			Percent of total billed charges		4484	90			Percent of total billed charges		5044.5	85			Percent of total billed charges		4764.25	85			Percent of total billed charges		4764.25	85			Percent of total billed charges		4764.25	100			Percent of total billed charges		5605	100			Percent of total billed charges		5605	100			Percent of total billed charges		5605	33.3			Percent of total billed charges		1866.465	33.3			Percent of total billed charges		1866.465	100			Percent of total billed charges		5605	1866.465	5044.5	
accell bone matrix 7cm	278	RC	Outpatient			5616	3650.4		90			Percent of total billed charges		5054.4	40			Percent of total billed charges		2246.4	80			Percent of total billed charges		4492.8	90			Percent of total billed charges		5054.4	85			Percent of total billed charges		4773.6	85			Percent of total billed charges		4773.6	85			Percent of total billed charges		4773.6	100			Percent of total billed charges		5616	100			Percent of total billed charges		5616	100			Percent of total billed charges		5616	33.3			Percent of total billed charges		1870.128	33.3			Percent of total billed charges		1870.128	100			Percent of total billed charges		5616	1870.128	5054.4	
accell total bone matrix 7cm round 02-4000-760 isotis	278	RC	Outpatient			5616	3650.4		90			Percent of total billed charges		5054.4	40			Percent of total billed charges		2246.4	80			Percent of total billed charges		4492.8	90			Percent of total billed charges		5054.4	85			Percent of total billed charges		4773.6	85			Percent of total billed charges		4773.6	85			Percent of total billed charges		4773.6	100			Percent of total billed charges		5616	100			Percent of total billed charges		5616	100			Percent of total billed charges		5616	33.3			Percent of total billed charges		1870.128	33.3			Percent of total billed charges		1870.128	100			Percent of total billed charges		5616	1870.128	5054.4	
cement spacer-hip	272	RC	Outpatient			5616	3650.4		90			Percent of total billed charges		5054.4	40			Percent of total billed charges		2246.4	80			Percent of total billed charges		4492.8	90			Percent of total billed charges		5054.4	85			Percent of total billed charges		4773.6	85			Percent of total billed charges		4773.6	85			Percent of total billed charges		4773.6	100			Percent of total billed charges		5616	100			Percent of total billed charges		5616	100			Percent of total billed charges		5616	33.3			Percent of total billed charges		1870.128	33.3			Percent of total billed charges		1870.128	100			Percent of total billed charges		5616	1870.128	5054.4	
ossatron	360	RC	Outpatient			5616	3650.4		90			Percent of total billed charges		5054.4	40			Percent of total billed charges		2246.4	80			Percent of total billed charges		4492.8	90			Percent of total billed charges		5054.4	85			Percent of total billed charges		4773.6	85			Percent of total billed charges		4773.6	85			Percent of total billed charges		4773.6	100			Percent of total billed charges		5616	100			Percent of total billed charges		5616	100			Percent of total billed charges		5616	33.3			Percent of total billed charges		1870.128	33.3			Percent of total billed charges		1870.128	100			Percent of total billed charges		5616	1870.128	5054.4	
stage one cement spacer mold hip 431209 biomet	272	RC	Outpatient			5616	3650.4		90			Percent of total billed charges		5054.4	40			Percent of total billed charges		2246.4	80			Percent of total billed charges		4492.8	90			Percent of total billed charges		5054.4	85			Percent of total billed charges		4773.6	85			Percent of total billed charges		4773.6	85			Percent of total billed charges		4773.6	100			Percent of total billed charges		5616	100			Percent of total billed charges		5616	100			Percent of total billed charges		5616	33.3			Percent of total billed charges		1870.128	33.3			Percent of total billed charges		1870.128	100			Percent of total billed charges		5616	1870.128	5054.4	
stage one cement spacer mold hip 431213 biomet	272	RC	Outpatient			5616	3650.4		90			Percent of total billed charges		5054.4	40			Percent of total billed charges		2246.4	80			Percent of total billed charges		4492.8	90			Percent of total billed charges		5054.4	85			Percent of total billed charges		4773.6	85			Percent of total billed charges		4773.6	85			Percent of total billed charges		4773.6	100			Percent of total billed charges		5616	100			Percent of total billed charges		5616	100			Percent of total billed charges		5616	33.3			Percent of total billed charges		1870.128	33.3			Percent of total billed charges		1870.128	100			Percent of total billed charges		5616	1870.128	5054.4	
stage one cement spacer mold hip 431207 biomet	272	RC	Outpatient			5616	3650.4		90			Percent of total billed charges		5054.4	40			Percent of total billed charges		2246.4	80			Percent of total billed charges		4492.8	90			Percent of total billed charges		5054.4	85			Percent of total billed charges		4773.6	85			Percent of total billed charges		4773.6	85			Percent of total billed charges		4773.6	100			Percent of total billed charges		5616	100			Percent of total billed charges		5616	100			Percent of total billed charges		5616	33.3			Percent of total billed charges		1870.128	33.3			Percent of total billed charges		1870.128	100			Percent of total billed charges		5616	1870.128	5054.4	
stage one cement spacer mold hip 431217 biomet	272	RC	Outpatient			5616	3650.4		90			Percent of total billed charges		5054.4	40			Percent of total billed charges		2246.4	80			Percent of total billed charges		4492.8	90			Percent of total billed charges		5054.4	85			Percent of total billed charges		4773.6	85			Percent of total billed charges		4773.6	85			Percent of total billed charges		4773.6	100			Percent of total billed charges		5616	100			Percent of total billed charges		5616	100			Percent of total billed charges		5616	33.3			Percent of total billed charges		1870.128	33.3			Percent of total billed charges		1870.128	100			Percent of total billed charges		5616	1870.128	5054.4	
stryker secur-fit stem	278	RC	Outpatient			5616	3650.4		90			Percent of total billed charges		5054.4	40			Percent of total billed charges		2246.4	80			Percent of total billed charges		4492.8	90			Percent of total billed charges		5054.4	85			Percent of total billed charges		4773.6	85			Percent of total billed charges		4773.6	85			Percent of total billed charges		4773.6	100			Percent of total billed charges		5616	100			Percent of total billed charges		5616	100			Percent of total billed charges		5616	33.3			Percent of total billed charges		1870.128	33.3			Percent of total billed charges		1870.128	100			Percent of total billed charges		5616	1870.128	5054.4	
plif peek spacer	278	RC	Outpatient			5634	3662.1		90			Percent of total billed charges		5070.6	40			Percent of total billed charges		2253.6	80			Percent of total billed charges		4507.2	90			Percent of total billed charges		5070.6	85			Percent of total billed charges		4788.9	85			Percent of total billed charges		4788.9	85			Percent of total billed charges		4788.9	100			Percent of total billed charges		5634	100			Percent of total billed charges		5634	100			Percent of total billed charges		5634	33.3			Percent of total billed charges		1876.122	33.3			Percent of total billed charges		1876.122	100			Percent of total billed charges		5634	1876.122	5070.6	
spacer 0 deg 12 x 25 48355120 stryker	278	RC	Outpatient			5634	3662.1		90			Percent of total billed charges		5070.6	40			Percent of total billed charges		2253.6	80			Percent of total billed charges		4507.2	90			Percent of total billed charges		5070.6	85			Percent of total billed charges		4788.9	85			Percent of total billed charges		4788.9	85			Percent of total billed charges		4788.9	100			Percent of total billed charges		5634	100			Percent of total billed charges		5634	100			Percent of total billed charges		5634	33.3			Percent of total billed charges		1876.122	33.3			Percent of total billed charges		1876.122	100			Percent of total billed charges		5634	1876.122	5070.6	
spacer 0 deg 16 x 25 48355160 stryker	278	RC	Outpatient			5634	3662.1		90			Percent of total billed charges		5070.6	40			Percent of total billed charges		2253.6	80			Percent of total billed charges		4507.2	90			Percent of total billed charges		5070.6	85			Percent of total billed charges		4788.9	85			Percent of total billed charges		4788.9	85			Percent of total billed charges		4788.9	100			Percent of total billed charges		5634	100			Percent of total billed charges		5634	100			Percent of total billed charges		5634	33.3			Percent of total billed charges		1876.122	33.3			Percent of total billed charges		1876.122	100			Percent of total billed charges		5634	1876.122	5070.6	
spacer 4 deg 16 x 25 48355164 stryker	278	RC	Outpatient			5634	3662.1		90			Percent of total billed charges		5070.6	40			Percent of total billed charges		2253.6	80			Percent of total billed charges		4507.2	90			Percent of total billed charges		5070.6	85			Percent of total billed charges		4788.9	85			Percent of total billed charges		4788.9	85			Percent of total billed charges		4788.9	100			Percent of total billed charges		5634	100			Percent of total billed charges		5634	100			Percent of total billed charges		5634	33.3			Percent of total billed charges		1876.122	33.3			Percent of total billed charges		1876.122	100			Percent of total billed charges		5634	1876.122	5070.6	
spacer 4 deg 18 x 25 48355184 stryker	278	RC	Outpatient			5634	3662.1		90			Percent of total billed charges		5070.6	40			Percent of total billed charges		2253.6	80			Percent of total billed charges		4507.2	90			Percent of total billed charges		5070.6	85			Percent of total billed charges		4788.9	85			Percent of total billed charges		4788.9	85			Percent of total billed charges		4788.9	100			Percent of total billed charges		5634	100			Percent of total billed charges		5634	100			Percent of total billed charges		5634	33.3			Percent of total billed charges		1876.122	33.3			Percent of total billed charges		1876.122	100			Percent of total billed charges		5634	1876.122	5070.6	
stryker large offset connector 48902030	278	RC	Outpatient			5634	3662.1		90			Percent of total billed charges		5070.6	40			Percent of total billed charges		2253.6	80			Percent of total billed charges		4507.2	90			Percent of total billed charges		5070.6	85			Percent of total billed charges		4788.9	85			Percent of total billed charges		4788.9	85			Percent of total billed charges		4788.9	100			Percent of total billed charges		5634	100			Percent of total billed charges		5634	100			Percent of total billed charges		5634	33.3			Percent of total billed charges		1876.122	33.3			Percent of total billed charges		1876.122	100			Percent of total billed charges		5634	1876.122	5070.6	
spacer 0 deg 11 x 25 48355110 stryker	278	RC	Outpatient			5634	3662.1		90			Percent of total billed charges		5070.6	40			Percent of total billed charges		2253.6	80			Percent of total billed charges		4507.2	90			Percent of total billed charges		5070.6	85			Percent of total billed charges		4788.9	85			Percent of total billed charges		4788.9	85			Percent of total billed charges		4788.9	100			Percent of total billed charges		5634	100			Percent of total billed charges		5634	100			Percent of total billed charges		5634	33.3			Percent of total billed charges		1876.122	33.3			Percent of total billed charges		1876.122	100			Percent of total billed charges		5634	1876.122	5070.6	
spacer 0 deg 13 x 25 48355130 stryker	278	RC	Outpatient			5634	3662.1		90			Percent of total billed charges		5070.6	40			Percent of total billed charges		2253.6	80			Percent of total billed charges		4507.2	90			Percent of total billed charges		5070.6	85			Percent of total billed charges		4788.9	85			Percent of total billed charges		4788.9	85			Percent of total billed charges		4788.9	100			Percent of total billed charges		5634	100			Percent of total billed charges		5634	100			Percent of total billed charges		5634	33.3			Percent of total billed charges		1876.122	33.3			Percent of total billed charges		1876.122	100			Percent of total billed charges		5634	1876.122	5070.6	
spacer 0 deg 18 x 25 48355180 stryker	278	RC	Outpatient			5634	3662.1		90			Percent of total billed charges		5070.6	40			Percent of total billed charges		2253.6	80			Percent of total billed charges		4507.2	90			Percent of total billed charges		5070.6	85			Percent of total billed charges		4788.9	85			Percent of total billed charges		4788.9	85			Percent of total billed charges		4788.9	100			Percent of total billed charges		5634	100			Percent of total billed charges		5634	100			Percent of total billed charges		5634	33.3			Percent of total billed charges		1876.122	33.3			Percent of total billed charges		1876.122	100			Percent of total billed charges		5634	1876.122	5070.6	
spacer 4 deg 11 x 25 48355114 stryker	278	RC	Outpatient			5634	3662.1		90			Percent of total billed charges		5070.6	40			Percent of total billed charges		2253.6	80			Percent of total billed charges		4507.2	90			Percent of total billed charges		5070.6	85			Percent of total billed charges		4788.9	85			Percent of total billed charges		4788.9	85			Percent of total billed charges		4788.9	100			Percent of total billed charges		5634	100			Percent of total billed charges		5634	100			Percent of total billed charges		5634	33.3			Percent of total billed charges		1876.122	33.3			Percent of total billed charges		1876.122	100			Percent of total billed charges		5634	1876.122	5070.6	
spacer 4 deg 12 x 25 48355124 stryker	278	RC	Outpatient			5634	3662.1		90			Percent of total billed charges		5070.6	40			Percent of total billed charges		2253.6	80			Percent of total billed charges		4507.2	90			Percent of total billed charges		5070.6	85			Percent of total billed charges		4788.9	85			Percent of total billed charges		4788.9	85			Percent of total billed charges		4788.9	100			Percent of total billed charges		5634	100			Percent of total billed charges		5634	100			Percent of total billed charges		5634	33.3			Percent of total billed charges		1876.122	33.3			Percent of total billed charges		1876.122	100			Percent of total billed charges		5634	1876.122	5070.6	
spacer 4 deg 13 x 25 48355134 stryker	278	RC	Outpatient			5634	3662.1		90			Percent of total billed charges		5070.6	40			Percent of total billed charges		2253.6	80			Percent of total billed charges		4507.2	90			Percent of total billed charges		5070.6	85			Percent of total billed charges		4788.9	85			Percent of total billed charges		4788.9	85			Percent of total billed charges		4788.9	100			Percent of total billed charges		5634	100			Percent of total billed charges		5634	100			Percent of total billed charges		5634	33.3			Percent of total billed charges		1876.122	33.3			Percent of total billed charges		1876.122	100			Percent of total billed charges		5634	1876.122	5070.6	
m-d tib plt 3.5mm 10 hl 71821010 s\n	278	RC	Outpatient			5640	3666		90			Percent of total billed charges		5076	40			Percent of total billed charges		2256	80			Percent of total billed charges		4512	90			Percent of total billed charges		5076	85			Percent of total billed charges		4794	85			Percent of total billed charges		4794	85			Percent of total billed charges		4794	100			Percent of total billed charges		5640	100			Percent of total billed charges		5640	100			Percent of total billed charges		5640	33.3			Percent of total billed charges		1878.12	33.3			Percent of total billed charges		1878.12	100			Percent of total billed charges		5640	1878.12	5076	
m-d tib lk plate3.5mm 10-hole 196mm 71801010 s/n	278	RC	Outpatient			5640	3666		90			Percent of total billed charges		5076	40			Percent of total billed charges		2256	80			Percent of total billed charges		4512	90			Percent of total billed charges		5076	85			Percent of total billed charges		4794	85			Percent of total billed charges		4794	85			Percent of total billed charges		4794	100			Percent of total billed charges		5640	100			Percent of total billed charges		5640	100			Percent of total billed charges		5640	33.3			Percent of total billed charges		1878.12	33.3			Percent of total billed charges		1878.12	100			Percent of total billed charges		5640	1878.12	5076	
m-d tib lk plate3.5mm 10-hole 196mm 71801110 s/n	278	RC	Outpatient			5640	3666		90			Percent of total billed charges		5076	40			Percent of total billed charges		2256	80			Percent of total billed charges		4512	90			Percent of total billed charges		5076	85			Percent of total billed charges		4794	85			Percent of total billed charges		4794	85			Percent of total billed charges		4794	100			Percent of total billed charges		5640	100			Percent of total billed charges		5640	100			Percent of total billed charges		5640	33.3			Percent of total billed charges		1878.12	33.3			Percent of total billed charges		1878.12	100			Percent of total billed charges		5640	1878.12	5076	
m-d tib plt 3.5mm 10 hr 71821110 s\n	278	RC	Outpatient			5640	3666		90			Percent of total billed charges		5076	40			Percent of total billed charges		2256	80			Percent of total billed charges		4512	90			Percent of total billed charges		5076	85			Percent of total billed charges		4794	85			Percent of total billed charges		4794	85			Percent of total billed charges		4794	100			Percent of total billed charges		5640	100			Percent of total billed charges		5640	100			Percent of total billed charges		5640	33.3			Percent of total billed charges		1878.12	33.3			Percent of total billed charges		1878.12	100			Percent of total billed charges		5640	1878.12	5076	
s/n 3.5 m-d tib lk pl 10h	278	RC	Outpatient			5640	3666		90			Percent of total billed charges		5076	40			Percent of total billed charges		2256	80			Percent of total billed charges		4512	90			Percent of total billed charges		5076	85			Percent of total billed charges		4794	85			Percent of total billed charges		4794	85			Percent of total billed charges		4794	100			Percent of total billed charges		5640	100			Percent of total billed charges		5640	100			Percent of total billed charges		5640	33.3			Percent of total billed charges		1878.12	33.3			Percent of total billed charges		1878.12	100			Percent of total billed charges		5640	1878.12	5076	
cath lab  st jude 2240 gen	278	RC	Outpatient			5643	3667.95		90			Percent of total billed charges		5078.7	40			Percent of total billed charges		2257.2	80			Percent of total billed charges		4514.4	90			Percent of total billed charges		5078.7	85			Percent of total billed charges		4796.55	85			Percent of total billed charges		4796.55	85			Percent of total billed charges		4796.55	100			Percent of total billed charges		5643	100			Percent of total billed charges		5643	100			Percent of total billed charges		5643	33.3			Percent of total billed charges		1879.119	33.3			Percent of total billed charges		1879.119	100			Percent of total billed charges		5643	1879.119	5078.7	
bio m2a 38mm i pc shell	278	RC	Outpatient			5660	3679		90			Percent of total billed charges		5094	40			Percent of total billed charges		2264	80			Percent of total billed charges		4528	90			Percent of total billed charges		5094	85			Percent of total billed charges		4811	85			Percent of total billed charges		4811	85			Percent of total billed charges		4811	100			Percent of total billed charges		5660	100			Percent of total billed charges		5660	100			Percent of total billed charges		5660	33.3			Percent of total billed charges		1884.78	33.3			Percent of total billed charges		1884.78	100			Percent of total billed charges		5660	1884.78	5094	
biomet m2a 38mm one piece shell 48mm 15-105048	278	RC	Outpatient			5660	3679		90			Percent of total billed charges		5094	40			Percent of total billed charges		2264	80			Percent of total billed charges		4528	90			Percent of total billed charges		5094	85			Percent of total billed charges		4811	85			Percent of total billed charges		4811	85			Percent of total billed charges		4811	100			Percent of total billed charges		5660	100			Percent of total billed charges		5660	100			Percent of total billed charges		5660	33.3			Percent of total billed charges		1884.78	33.3			Percent of total billed charges		1884.78	100			Percent of total billed charges		5660	1884.78	5094	
biomet m2a 38mm one piece shell 52mm 15-105052	278	RC	Outpatient			5660	3679		90			Percent of total billed charges		5094	40			Percent of total billed charges		2264	80			Percent of total billed charges		4528	90			Percent of total billed charges		5094	85			Percent of total billed charges		4811	85			Percent of total billed charges		4811	85			Percent of total billed charges		4811	100			Percent of total billed charges		5660	100			Percent of total billed charges		5660	100			Percent of total billed charges		5660	33.3			Percent of total billed charges		1884.78	33.3			Percent of total billed charges		1884.78	100			Percent of total billed charges		5660	1884.78	5094	
biomet m2a 38mm one piece shell 56mm 15-105056	278	RC	Outpatient			5660	3679		90			Percent of total billed charges		5094	40			Percent of total billed charges		2264	80			Percent of total billed charges		4528	90			Percent of total billed charges		5094	85			Percent of total billed charges		4811	85			Percent of total billed charges		4811	85			Percent of total billed charges		4811	100			Percent of total billed charges		5660	100			Percent of total billed charges		5660	100			Percent of total billed charges		5660	33.3			Percent of total billed charges		1884.78	33.3			Percent of total billed charges		1884.78	100			Percent of total billed charges		5660	1884.78	5094	
biomet m2a 38mm one piece shell 62mm 15-105062	278	RC	Outpatient			5660	3679		90			Percent of total billed charges		5094	40			Percent of total billed charges		2264	80			Percent of total billed charges		4528	90			Percent of total billed charges		5094	85			Percent of total billed charges		4811	85			Percent of total billed charges		4811	85			Percent of total billed charges		4811	100			Percent of total billed charges		5660	100			Percent of total billed charges		5660	100			Percent of total billed charges		5660	33.3			Percent of total billed charges		1884.78	33.3			Percent of total billed charges		1884.78	100			Percent of total billed charges		5660	1884.78	5094	
biomet m2a 38mm one piece shell 64mm 15-105064	278	RC	Outpatient			5660	3679		90			Percent of total billed charges		5094	40			Percent of total billed charges		2264	80			Percent of total billed charges		4528	90			Percent of total billed charges		5094	85			Percent of total billed charges		4811	85			Percent of total billed charges		4811	85			Percent of total billed charges		4811	100			Percent of total billed charges		5660	100			Percent of total billed charges		5660	100			Percent of total billed charges		5660	33.3			Percent of total billed charges		1884.78	33.3			Percent of total billed charges		1884.78	100			Percent of total billed charges		5660	1884.78	5094	
biomet m2a 38mm one piece shell 68mm 15-105068	278	RC	Outpatient			5660	3679		90			Percent of total billed charges		5094	40			Percent of total billed charges		2264	80			Percent of total billed charges		4528	90			Percent of total billed charges		5094	85			Percent of total billed charges		4811	85			Percent of total billed charges		4811	85			Percent of total billed charges		4811	100			Percent of total billed charges		5660	100			Percent of total billed charges		5660	100			Percent of total billed charges		5660	33.3			Percent of total billed charges		1884.78	33.3			Percent of total billed charges		1884.78	100			Percent of total billed charges		5660	1884.78	5094	
biomet m2a 38mm one piece shell 50mm 15-105050	278	RC	Outpatient			5660	3679		90			Percent of total billed charges		5094	40			Percent of total billed charges		2264	80			Percent of total billed charges		4528	90			Percent of total billed charges		5094	85			Percent of total billed charges		4811	85			Percent of total billed charges		4811	85			Percent of total billed charges		4811	100			Percent of total billed charges		5660	100			Percent of total billed charges		5660	100			Percent of total billed charges		5660	33.3			Percent of total billed charges		1884.78	33.3			Percent of total billed charges		1884.78	100			Percent of total billed charges		5660	1884.78	5094	
biomet m2a 38mm one piece shell 58mm 15-105058	278	RC	Outpatient			5660	3679		90			Percent of total billed charges		5094	40			Percent of total billed charges		2264	80			Percent of total billed charges		4528	90			Percent of total billed charges		5094	85			Percent of total billed charges		4811	85			Percent of total billed charges		4811	85			Percent of total billed charges		4811	100			Percent of total billed charges		5660	100			Percent of total billed charges		5660	100			Percent of total billed charges		5660	33.3			Percent of total billed charges		1884.78	33.3			Percent of total billed charges		1884.78	100			Percent of total billed charges		5660	1884.78	5094	
biomet m2a 38mm one piece shell 60mm 15-105060	278	RC	Outpatient			5660	3679		90			Percent of total billed charges		5094	40			Percent of total billed charges		2264	80			Percent of total billed charges		4528	90			Percent of total billed charges		5094	85			Percent of total billed charges		4811	85			Percent of total billed charges		4811	85			Percent of total billed charges		4811	100			Percent of total billed charges		5660	100			Percent of total billed charges		5660	100			Percent of total billed charges		5660	33.3			Percent of total billed charges		1884.78	33.3			Percent of total billed charges		1884.78	100			Percent of total billed charges		5660	1884.78	5094	
biomet m2a 38mm one piece shell 66mm 15-105066	278	RC	Outpatient			5660	3679		90			Percent of total billed charges		5094	40			Percent of total billed charges		2264	80			Percent of total billed charges		4528	90			Percent of total billed charges		5094	85			Percent of total billed charges		4811	85			Percent of total billed charges		4811	85			Percent of total billed charges		4811	100			Percent of total billed charges		5660	100			Percent of total billed charges		5660	100			Percent of total billed charges		5660	33.3			Percent of total billed charges		1884.78	33.3			Percent of total billed charges		1884.78	100			Percent of total billed charges		5660	1884.78	5094	
biomet m2a 38mm one piece shell 70mm 15-105070	278	RC	Outpatient			5660	3679		90			Percent of total billed charges		5094	40			Percent of total billed charges		2264	80			Percent of total billed charges		4528	90			Percent of total billed charges		5094	85			Percent of total billed charges		4811	85			Percent of total billed charges		4811	85			Percent of total billed charges		4811	100			Percent of total billed charges		5660	100			Percent of total billed charges		5660	100			Percent of total billed charges		5660	33.3			Percent of total billed charges		1884.78	33.3			Percent of total billed charges		1884.78	100			Percent of total billed charges		5660	1884.78	5094	
tissuemend 5cm x 6cm 6495-9-001 tei	278	RC	Outpatient			5661	3679.65		90			Percent of total billed charges		5094.9	40			Percent of total billed charges		2264.4	80			Percent of total billed charges		4528.8	90			Percent of total billed charges		5094.9	85			Percent of total billed charges		4811.85	85			Percent of total billed charges		4811.85	85			Percent of total billed charges		4811.85	100			Percent of total billed charges		5661	100			Percent of total billed charges		5661	100			Percent of total billed charges		5661	33.3			Percent of total billed charges		1885.113	33.3			Percent of total billed charges		1885.113	100			Percent of total billed charges		5661	1885.113	5094.9	
tissuemend 5x6 cm	278	RC	Outpatient			5661	3679.65		90			Percent of total billed charges		5094.9	40			Percent of total billed charges		2264.4	80			Percent of total billed charges		4528.8	90			Percent of total billed charges		5094.9	85			Percent of total billed charges		4811.85	85			Percent of total billed charges		4811.85	85			Percent of total billed charges		4811.85	100			Percent of total billed charges		5661	100			Percent of total billed charges		5661	100			Percent of total billed charges		5661	33.3			Percent of total billed charges		1885.113	33.3			Percent of total billed charges		1885.113	100			Percent of total billed charges		5661	1885.113	5094.9	
"gamma 3 long nail kit r1.5, rt 10 x 320mm x 125 degrees 3425-0320s stryker"	278	RC	Outpatient			5665	3682.25		90			Percent of total billed charges		5098.5	40			Percent of total billed charges		2266	80			Percent of total billed charges		4532	90			Percent of total billed charges		5098.5	85			Percent of total billed charges		4815.25	85			Percent of total billed charges		4815.25	85			Percent of total billed charges		4815.25	100			Percent of total billed charges		5665	100			Percent of total billed charges		5665	100			Percent of total billed charges		5665	33.3			Percent of total billed charges		1886.445	33.3			Percent of total billed charges		1886.445	100			Percent of total billed charges		5665	1886.445	5098.5	
"gamma 3 long nail kit r1.5, rt 10 x 340mm x 125 degrees 3425-0340s stryker"	278	RC	Outpatient			5665	3682.25		90			Percent of total billed charges		5098.5	40			Percent of total billed charges		2266	80			Percent of total billed charges		4532	90			Percent of total billed charges		5098.5	85			Percent of total billed charges		4815.25	85			Percent of total billed charges		4815.25	85			Percent of total billed charges		4815.25	100			Percent of total billed charges		5665	100			Percent of total billed charges		5665	100			Percent of total billed charges		5665	33.3			Percent of total billed charges		1886.445	33.3			Percent of total billed charges		1886.445	100			Percent of total billed charges		5665	1886.445	5098.5	
"gamma 3 long nail kit r1.5, rt 10 x 380mm x 125 degrees 3425-0380s stryker"	278	RC	Outpatient			5665	3682.25		90			Percent of total billed charges		5098.5	40			Percent of total billed charges		2266	80			Percent of total billed charges		4532	90			Percent of total billed charges		5098.5	85			Percent of total billed charges		4815.25	85			Percent of total billed charges		4815.25	85			Percent of total billed charges		4815.25	100			Percent of total billed charges		5665	100			Percent of total billed charges		5665	100			Percent of total billed charges		5665	33.3			Percent of total billed charges		1886.445	33.3			Percent of total billed charges		1886.445	100			Percent of total billed charges		5665	1886.445	5098.5	
gamma nail	278	RC	Outpatient			5665	3682.25		90			Percent of total billed charges		5098.5	40			Percent of total billed charges		2266	80			Percent of total billed charges		4532	90			Percent of total billed charges		5098.5	85			Percent of total billed charges		4815.25	85			Percent of total billed charges		4815.25	85			Percent of total billed charges		4815.25	100			Percent of total billed charges		5665	100			Percent of total billed charges		5665	100			Percent of total billed charges		5665	33.3			Percent of total billed charges		1886.445	33.3			Percent of total billed charges		1886.445	100			Percent of total billed charges		5665	1886.445	5098.5	
"gamma 3 long nail kit r1.5, lt 10 x 360mm  3525-0360s stryker"	278	RC	Outpatient			5665	3682.25		90			Percent of total billed charges		5098.5	40			Percent of total billed charges		2266	80			Percent of total billed charges		4532	90			Percent of total billed charges		5098.5	85			Percent of total billed charges		4815.25	85			Percent of total billed charges		4815.25	85			Percent of total billed charges		4815.25	100			Percent of total billed charges		5665	100			Percent of total billed charges		5665	100			Percent of total billed charges		5665	33.3			Percent of total billed charges		1886.445	33.3			Percent of total billed charges		1886.445	100			Percent of total billed charges		5665	1886.445	5098.5	
"gamma 3 long nail kit r1.5, lt 10 x 380mm  3525-0380s stryker"	278	RC	Outpatient			5665	3682.25		90			Percent of total billed charges		5098.5	40			Percent of total billed charges		2266	80			Percent of total billed charges		4532	90			Percent of total billed charges		5098.5	85			Percent of total billed charges		4815.25	85			Percent of total billed charges		4815.25	85			Percent of total billed charges		4815.25	100			Percent of total billed charges		5665	100			Percent of total billed charges		5665	100			Percent of total billed charges		5665	33.3			Percent of total billed charges		1886.445	33.3			Percent of total billed charges		1886.445	100			Percent of total billed charges		5665	1886.445	5098.5	
omni 970010pc gyrus	278	RC	Outpatient			5665	3682.25		90			Percent of total billed charges		5098.5	40			Percent of total billed charges		2266	80			Percent of total billed charges		4532	90			Percent of total billed charges		5098.5	85			Percent of total billed charges		4815.25	85			Percent of total billed charges		4815.25	85			Percent of total billed charges		4815.25	100			Percent of total billed charges		5665	100			Percent of total billed charges		5665	100			Percent of total billed charges		5665	33.3			Percent of total billed charges		1886.445	33.3			Percent of total billed charges		1886.445	100			Percent of total billed charges		5665	1886.445	5098.5	
acumed rad head	278	RC	Outpatient			5684	3694.6		90			Percent of total billed charges		5115.6	40			Percent of total billed charges		2273.6	80			Percent of total billed charges		4547.2	90			Percent of total billed charges		5115.6	85			Percent of total billed charges		4831.4	85			Percent of total billed charges		4831.4	85			Percent of total billed charges		4831.4	100			Percent of total billed charges		5684	100			Percent of total billed charges		5684	100			Percent of total billed charges		5684	33.3			Percent of total billed charges		1892.772	33.3			Percent of total billed charges		1892.772	100			Percent of total billed charges		5684	1892.772	5115.6	
radial head 22.0mm left tr-h220l-s acumed	278	RC	Outpatient			5684	3694.6		90			Percent of total billed charges		5115.6	40			Percent of total billed charges		2273.6	80			Percent of total billed charges		4547.2	90			Percent of total billed charges		5115.6	85			Percent of total billed charges		4831.4	85			Percent of total billed charges		4831.4	85			Percent of total billed charges		4831.4	100			Percent of total billed charges		5684	100			Percent of total billed charges		5684	100			Percent of total billed charges		5684	33.3			Percent of total billed charges		1892.772	33.3			Percent of total billed charges		1892.772	100			Percent of total billed charges		5684	1892.772	5115.6	
radial head system stem 8.0 x 2.0mm tr-s0802-s acumed	278	RC	Outpatient			5684	3694.6		90			Percent of total billed charges		5115.6	40			Percent of total billed charges		2273.6	80			Percent of total billed charges		4547.2	90			Percent of total billed charges		5115.6	85			Percent of total billed charges		4831.4	85			Percent of total billed charges		4831.4	85			Percent of total billed charges		4831.4	100			Percent of total billed charges		5684	100			Percent of total billed charges		5684	100			Percent of total billed charges		5684	33.3			Percent of total billed charges		1892.772	33.3			Percent of total billed charges		1892.772	100			Percent of total billed charges		5684	1892.772	5115.6	
alloderm 8 x 12	278	RC	Outpatient			5696	3702.4		90			Percent of total billed charges		5126.4	40			Percent of total billed charges		2278.4	80			Percent of total billed charges		4556.8	90			Percent of total billed charges		5126.4	85			Percent of total billed charges		4841.6	85			Percent of total billed charges		4841.6	85			Percent of total billed charges		4841.6	100			Percent of total billed charges		5696	100			Percent of total billed charges		5696	100			Percent of total billed charges		5696	33.3			Percent of total billed charges		1896.768	33.3			Percent of total billed charges		1896.768	100			Percent of total billed charges		5696	1896.768	5126.4	
alloderm regenerative tissue matrix 8 x 12 102096 life cell	278	RC	Outpatient			5696	3702.4		90			Percent of total billed charges		5126.4	40			Percent of total billed charges		2278.4	80			Percent of total billed charges		4556.8	90			Percent of total billed charges		5126.4	85			Percent of total billed charges		4841.6	85			Percent of total billed charges		4841.6	85			Percent of total billed charges		4841.6	100			Percent of total billed charges		5696	100			Percent of total billed charges		5696	100			Percent of total billed charges		5696	33.3			Percent of total billed charges		1896.768	33.3			Percent of total billed charges		1896.768	100			Percent of total billed charges		5696	1896.768	5126.4	
oxford femoral component small 154600 biomet	278	RC	Outpatient			5712	3712.8		90			Percent of total billed charges		5140.8	40			Percent of total billed charges		2284.8	80			Percent of total billed charges		4569.6	90			Percent of total billed charges		5140.8	85			Percent of total billed charges		4855.2	85			Percent of total billed charges		4855.2	85			Percent of total billed charges		4855.2	100			Percent of total billed charges		5712	100			Percent of total billed charges		5712	100			Percent of total billed charges		5712	33.3			Percent of total billed charges		1902.096	33.3			Percent of total billed charges		1902.096	100			Percent of total billed charges		5712	1902.096	5140.8	
oxford fem comp	278	RC	Outpatient			5712	3712.8		90			Percent of total billed charges		5140.8	40			Percent of total billed charges		2284.8	80			Percent of total billed charges		4569.6	90			Percent of total billed charges		5140.8	85			Percent of total billed charges		4855.2	85			Percent of total billed charges		4855.2	85			Percent of total billed charges		4855.2	100			Percent of total billed charges		5712	100			Percent of total billed charges		5712	100			Percent of total billed charges		5712	33.3			Percent of total billed charges		1902.096	33.3			Percent of total billed charges		1902.096	100			Percent of total billed charges		5712	1902.096	5140.8	
oxford femoral component large 154602  biomet	278	RC	Outpatient			5712	3712.8		90			Percent of total billed charges		5140.8	40			Percent of total billed charges		2284.8	80			Percent of total billed charges		4569.6	90			Percent of total billed charges		5140.8	85			Percent of total billed charges		4855.2	85			Percent of total billed charges		4855.2	85			Percent of total billed charges		4855.2	100			Percent of total billed charges		5712	100			Percent of total billed charges		5712	100			Percent of total billed charges		5712	33.3			Percent of total billed charges		1902.096	33.3			Percent of total billed charges		1902.096	100			Percent of total billed charges		5712	1902.096	5140.8	
oxford femoral component med 154601 biomet	278	RC	Outpatient			5712	3712.8		90			Percent of total billed charges		5140.8	40			Percent of total billed charges		2284.8	80			Percent of total billed charges		4569.6	90			Percent of total billed charges		5140.8	85			Percent of total billed charges		4855.2	85			Percent of total billed charges		4855.2	85			Percent of total billed charges		4855.2	100			Percent of total billed charges		5712	100			Percent of total billed charges		5712	100			Percent of total billed charges		5712	33.3			Percent of total billed charges		1902.096	33.3			Percent of total billed charges		1902.096	100			Percent of total billed charges		5712	1902.096	5140.8	
oxford femoral component x-lg 154603 biomet	278	RC	Outpatient			5712	3712.8		90			Percent of total billed charges		5140.8	40			Percent of total billed charges		2284.8	80			Percent of total billed charges		4569.6	90			Percent of total billed charges		5140.8	85			Percent of total billed charges		4855.2	85			Percent of total billed charges		4855.2	85			Percent of total billed charges		4855.2	100			Percent of total billed charges		5712	100			Percent of total billed charges		5712	100			Percent of total billed charges		5712	33.3			Percent of total billed charges		1902.096	33.3			Percent of total billed charges		1902.096	100			Percent of total billed charges		5712	1902.096	5140.8	
cath lab bi-v ppm insertion	360	RC	Outpatient			5718	3716.7		90			Percent of total billed charges		5146.2	40			Percent of total billed charges		2287.2	80			Percent of total billed charges		4574.4	90			Percent of total billed charges		5146.2	85			Percent of total billed charges		4860.3	85			Percent of total billed charges		4860.3	85			Percent of total billed charges		4860.3	100			Percent of total billed charges		5718	100			Percent of total billed charges		5718	100			Percent of total billed charges		5718	33.3			Percent of total billed charges		1904.094	33.3			Percent of total billed charges		1904.094	100			Percent of total billed charges		5718	1904.094	5146.2	
triathlon cr fem	278	RC	Outpatient			5730	3724.5		90			Percent of total billed charges		5157	40			Percent of total billed charges		2292	80			Percent of total billed charges		4584	90			Percent of total billed charges		5157	85			Percent of total billed charges		4870.5	85			Percent of total billed charges		4870.5	85			Percent of total billed charges		4870.5	100			Percent of total billed charges		5730	100			Percent of total billed charges		5730	100			Percent of total billed charges		5730	33.3			Percent of total billed charges		1908.09	33.3			Percent of total billed charges		1908.09	100			Percent of total billed charges		5730	1908.09	5157	
zenith flex aaa graft contrlateral/ipsilateral iliac leg 18mm g12460 cook	278	RC	Outpatient			5744	3733.6		90			Percent of total billed charges		5169.6	40			Percent of total billed charges		2297.6	80			Percent of total billed charges		4595.2	90			Percent of total billed charges		5169.6	85			Percent of total billed charges		4882.4	85			Percent of total billed charges		4882.4	85			Percent of total billed charges		4882.4	100			Percent of total billed charges		5744	100			Percent of total billed charges		5744	100			Percent of total billed charges		5744	33.3			Percent of total billed charges		1912.752	33.3			Percent of total billed charges		1912.752	100			Percent of total billed charges		5744	1912.752	5169.6	
zenith flex c/i iliac leg	278	RC	Outpatient			5744	3733.6		90			Percent of total billed charges		5169.6	40			Percent of total billed charges		2297.6	80			Percent of total billed charges		4595.2	90			Percent of total billed charges		5169.6	85			Percent of total billed charges		4882.4	85			Percent of total billed charges		4882.4	85			Percent of total billed charges		4882.4	100			Percent of total billed charges		5744	100			Percent of total billed charges		5744	100			Percent of total billed charges		5744	33.3			Percent of total billed charges		1912.752	33.3			Percent of total billed charges		1912.752	100			Percent of total billed charges		5744	1912.752	5169.6	
mrs stra cem stem 15x127	278	RC	Outpatient			5760	3744		90			Percent of total billed charges		5184	40			Percent of total billed charges		2304	80			Percent of total billed charges		4608	90			Percent of total billed charges		5184	85			Percent of total billed charges		4896	85			Percent of total billed charges		4896	85			Percent of total billed charges		4896	100			Percent of total billed charges		5760	100			Percent of total billed charges		5760	100			Percent of total billed charges		5760	33.3			Percent of total billed charges		1918.08	33.3			Percent of total billed charges		1918.08	100			Percent of total billed charges		5760	1918.08	5184	
mrs straight cemented stem 15 x 127 6485-3-115 stryker	278	RC	Outpatient			5760	3744		90			Percent of total billed charges		5184	40			Percent of total billed charges		2304	80			Percent of total billed charges		4608	90			Percent of total billed charges		5184	85			Percent of total billed charges		4896	85			Percent of total billed charges		4896	85			Percent of total billed charges		4896	100			Percent of total billed charges		5760	100			Percent of total billed charges		5760	100			Percent of total billed charges		5760	33.3			Percent of total billed charges		1918.08	33.3			Percent of total billed charges		1918.08	100			Percent of total billed charges		5760	1918.08	5184	
mrs st cemented stem	278	RC	Outpatient			5760	3744		90			Percent of total billed charges		5184	40			Percent of total billed charges		2304	80			Percent of total billed charges		4608	90			Percent of total billed charges		5184	85			Percent of total billed charges		4896	85			Percent of total billed charges		4896	85			Percent of total billed charges		4896	100			Percent of total billed charges		5760	100			Percent of total billed charges		5760	100			Percent of total billed charges		5760	33.3			Percent of total billed charges		1918.08	33.3			Percent of total billed charges		1918.08	100			Percent of total billed charges		5760	1918.08	5184	
mrs straight cemented stem 13 x 127 6485-3-113 stryker	278	RC	Outpatient			5760	3744		90			Percent of total billed charges		5184	40			Percent of total billed charges		2304	80			Percent of total billed charges		4608	90			Percent of total billed charges		5184	85			Percent of total billed charges		4896	85			Percent of total billed charges		4896	85			Percent of total billed charges		4896	100			Percent of total billed charges		5760	100			Percent of total billed charges		5760	100			Percent of total billed charges		5760	33.3			Percent of total billed charges		1918.08	33.3			Percent of total billed charges		1918.08	100			Percent of total billed charges		5760	1918.08	5184	
or time 5 hours	270	RC	Outpatient			5761	3744.65		90			Percent of total billed charges		5184.9	40			Percent of total billed charges		2304.4	80			Percent of total billed charges		4608.8	90			Percent of total billed charges		5184.9	85			Percent of total billed charges		4896.85	85			Percent of total billed charges		4896.85	85			Percent of total billed charges		4896.85	100			Percent of total billed charges		5761	100			Percent of total billed charges		5761	100			Percent of total billed charges		5761	33.3			Percent of total billed charges		1918.413	33.3			Percent of total billed charges		1918.413	100			Percent of total billed charges		5761	1918.413	5184.9	
talent aaa stent graft aortic extension axf2828w29xh medtronic	278	RC	Outpatient			5766	3747.9		90			Percent of total billed charges		5189.4	40			Percent of total billed charges		2306.4	80			Percent of total billed charges		4612.8	90			Percent of total billed charges		5189.4	85			Percent of total billed charges		4901.1	85			Percent of total billed charges		4901.1	85			Percent of total billed charges		4901.1	100			Percent of total billed charges		5766	100			Percent of total billed charges		5766	100			Percent of total billed charges		5766	33.3			Percent of total billed charges		1920.078	33.3			Percent of total billed charges		1920.078	100			Percent of total billed charges		5766	1920.078	5189.4	
talent gfaft axf2828w29xh	278	RC	Outpatient			5766	3747.9		90			Percent of total billed charges		5189.4	40			Percent of total billed charges		2306.4	80			Percent of total billed charges		4612.8	90			Percent of total billed charges		5189.4	85			Percent of total billed charges		4901.1	85			Percent of total billed charges		4901.1	85			Percent of total billed charges		4901.1	100			Percent of total billed charges		5766	100			Percent of total billed charges		5766	100			Percent of total billed charges		5766	33.3			Percent of total billed charges		1920.078	33.3			Percent of total billed charges		1920.078	100			Percent of total billed charges		5766	1920.078	5189.4	
triathlon tib insert ts	278	RC	Outpatient			5776	3754.4		90			Percent of total billed charges		5198.4	40			Percent of total billed charges		2310.4	80			Percent of total billed charges		4620.8	90			Percent of total billed charges		5198.4	85			Percent of total billed charges		4909.6	85			Percent of total billed charges		4909.6	85			Percent of total billed charges		4909.6	100			Percent of total billed charges		5776	100			Percent of total billed charges		5776	100			Percent of total billed charges		5776	33.3			Percent of total billed charges		1923.408	33.3			Percent of total billed charges		1923.408	100			Percent of total billed charges		5776	1923.408	5198.4	
triathlon tibial insert 16mm 5537-g-413 stryker	278	RC	Outpatient			5776	3754.4		90			Percent of total billed charges		5198.4	40			Percent of total billed charges		2310.4	80			Percent of total billed charges		4620.8	90			Percent of total billed charges		5198.4	85			Percent of total billed charges		4909.6	85			Percent of total billed charges		4909.6	85			Percent of total billed charges		4909.6	100			Percent of total billed charges		5776	100			Percent of total billed charges		5776	100			Percent of total billed charges		5776	33.3			Percent of total billed charges		1923.408	33.3			Percent of total billed charges		1923.408	100			Percent of total billed charges		5776	1923.408	5198.4	
triathlon tibial insert 16mm 5537-g-416 stryker	278	RC	Outpatient			5776	3754.4		90			Percent of total billed charges		5198.4	40			Percent of total billed charges		2310.4	80			Percent of total billed charges		4620.8	90			Percent of total billed charges		5198.4	85			Percent of total billed charges		4909.6	85			Percent of total billed charges		4909.6	85			Percent of total billed charges		4909.6	100			Percent of total billed charges		5776	100			Percent of total billed charges		5776	100			Percent of total billed charges		5776	33.3			Percent of total billed charges		1923.408	33.3			Percent of total billed charges		1923.408	100			Percent of total billed charges		5776	1923.408	5198.4	
depuy srom fem sleeve	278	RC	Outpatient			5784	3759.6		90			Percent of total billed charges		5205.6	40			Percent of total billed charges		2313.6	80			Percent of total billed charges		4627.2	90			Percent of total billed charges		5205.6	85			Percent of total billed charges		4916.4	85			Percent of total billed charges		4916.4	85			Percent of total billed charges		4916.4	100			Percent of total billed charges		5784	100			Percent of total billed charges		5784	100			Percent of total billed charges		5784	33.3			Percent of total billed charges		1926.072	33.3			Percent of total billed charges		1926.072	100			Percent of total billed charges		5784	1926.072	5205.6	
s-rom noiles fem sleeve 31mm m/l 62-4131p depuy	278	RC	Outpatient			5784	3759.6		90			Percent of total billed charges		5205.6	40			Percent of total billed charges		2313.6	80			Percent of total billed charges		4627.2	90			Percent of total billed charges		5205.6	85			Percent of total billed charges		4916.4	85			Percent of total billed charges		4916.4	85			Percent of total billed charges		4916.4	100			Percent of total billed charges		5784	100			Percent of total billed charges		5784	100			Percent of total billed charges		5784	33.3			Percent of total billed charges		1926.072	33.3			Percent of total billed charges		1926.072	100			Percent of total billed charges		5784	1926.072	5205.6	
srom  knee fem sleeve 40mm depuy 62-4140p	278	RC	Outpatient			5784	3759.6		90			Percent of total billed charges		5205.6	40			Percent of total billed charges		2313.6	80			Percent of total billed charges		4627.2	90			Percent of total billed charges		5205.6	85			Percent of total billed charges		4916.4	85			Percent of total billed charges		4916.4	85			Percent of total billed charges		4916.4	100			Percent of total billed charges		5784	100			Percent of total billed charges		5784	100			Percent of total billed charges		5784	33.3			Percent of total billed charges		1926.072	33.3			Percent of total billed charges		1926.072	100			Percent of total billed charges		5784	1926.072	5205.6	
bio reg m/h cup	278	RC	Outpatient			5786	3760.9		90			Percent of total billed charges		5207.4	40			Percent of total billed charges		2314.4	80			Percent of total billed charges		4628.8	90			Percent of total billed charges		5207.4	85			Percent of total billed charges		4918.1	85			Percent of total billed charges		4918.1	85			Percent of total billed charges		4918.1	100			Percent of total billed charges		5786	100			Percent of total billed charges		5786	100			Percent of total billed charges		5786	33.3			Percent of total billed charges		1926.738	33.3			Percent of total billed charges		1926.738	100			Percent of total billed charges		5786	1926.738	5207.4	
regenerex ringloc acet cup 54mm pt-106054 biomet	278	RC	Outpatient			5786	3760.9		90			Percent of total billed charges		5207.4	40			Percent of total billed charges		2314.4	80			Percent of total billed charges		4628.8	90			Percent of total billed charges		5207.4	85			Percent of total billed charges		4918.1	85			Percent of total billed charges		4918.1	85			Percent of total billed charges		4918.1	100			Percent of total billed charges		5786	100			Percent of total billed charges		5786	100			Percent of total billed charges		5786	33.3			Percent of total billed charges		1926.738	33.3			Percent of total billed charges		1926.738	100			Percent of total billed charges		5786	1926.738	5207.4	
regenerex ringloc acet cup 64mm pt-106064 biomet	278	RC	Outpatient			5786	3760.9		90			Percent of total billed charges		5207.4	40			Percent of total billed charges		2314.4	80			Percent of total billed charges		4628.8	90			Percent of total billed charges		5207.4	85			Percent of total billed charges		4918.1	85			Percent of total billed charges		4918.1	85			Percent of total billed charges		4918.1	100			Percent of total billed charges		5786	100			Percent of total billed charges		5786	100			Percent of total billed charges		5786	33.3			Percent of total billed charges		1926.738	33.3			Percent of total billed charges		1926.738	100			Percent of total billed charges		5786	1926.738	5207.4	
regenerex ringloc acet cup 56mm pt-106056 biomet	278	RC	Outpatient			5786	3760.9		90			Percent of total billed charges		5207.4	40			Percent of total billed charges		2314.4	80			Percent of total billed charges		4628.8	90			Percent of total billed charges		5207.4	85			Percent of total billed charges		4918.1	85			Percent of total billed charges		4918.1	85			Percent of total billed charges		4918.1	100			Percent of total billed charges		5786	100			Percent of total billed charges		5786	100			Percent of total billed charges		5786	33.3			Percent of total billed charges		1926.738	33.3			Percent of total billed charges		1926.738	100			Percent of total billed charges		5786	1926.738	5207.4	
bio-mod 10.0 x 115mm humeral  11-113706 biomet	278	RC	Outpatient			5794	3766.1		90			Percent of total billed charges		5214.6	40			Percent of total billed charges		2317.6	80			Percent of total billed charges		4635.2	90			Percent of total billed charges		5214.6	85			Percent of total billed charges		4924.9	85			Percent of total billed charges		4924.9	85			Percent of total billed charges		4924.9	100			Percent of total billed charges		5794	100			Percent of total billed charges		5794	100			Percent of total billed charges		5794	33.3			Percent of total billed charges		1929.402	33.3			Percent of total billed charges		1929.402	100			Percent of total billed charges		5794	1929.402	5214.6	
bio-mod 6.0 x 115mm humeral  11-113700 biomet	278	RC	Outpatient			5794	3766.1		90			Percent of total billed charges		5214.6	40			Percent of total billed charges		2317.6	80			Percent of total billed charges		4635.2	90			Percent of total billed charges		5214.6	85			Percent of total billed charges		4924.9	85			Percent of total billed charges		4924.9	85			Percent of total billed charges		4924.9	100			Percent of total billed charges		5794	100			Percent of total billed charges		5794	100			Percent of total billed charges		5794	33.3			Percent of total billed charges		1929.402	33.3			Percent of total billed charges		1929.402	100			Percent of total billed charges		5794	1929.402	5214.6	
biomet mod shoulder stem	278	RC	Outpatient			5794	3766.1		90			Percent of total billed charges		5214.6	40			Percent of total billed charges		2317.6	80			Percent of total billed charges		4635.2	90			Percent of total billed charges		5214.6	85			Percent of total billed charges		4924.9	85			Percent of total billed charges		4924.9	85			Percent of total billed charges		4924.9	100			Percent of total billed charges		5794	100			Percent of total billed charges		5794	100			Percent of total billed charges		5794	33.3			Percent of total billed charges		1929.402	33.3			Percent of total billed charges		1929.402	100			Percent of total billed charges		5794	1929.402	5214.6	
bio-mod 12.0 x 115mm humeral  11-113708 biomet	278	RC	Outpatient			5794	3766.1		90			Percent of total billed charges		5214.6	40			Percent of total billed charges		2317.6	80			Percent of total billed charges		4635.2	90			Percent of total billed charges		5214.6	85			Percent of total billed charges		4924.9	85			Percent of total billed charges		4924.9	85			Percent of total billed charges		4924.9	100			Percent of total billed charges		5794	100			Percent of total billed charges		5794	100			Percent of total billed charges		5794	33.3			Percent of total billed charges		1929.402	33.3			Percent of total billed charges		1929.402	100			Percent of total billed charges		5794	1929.402	5214.6	
beta-bsm kit 10cc 76-6017 etex	278	RC	Outpatient			5800	3770		90			Percent of total billed charges		5220	40			Percent of total billed charges		2320	80			Percent of total billed charges		4640	90			Percent of total billed charges		5220	85			Percent of total billed charges		4930	85			Percent of total billed charges		4930	85			Percent of total billed charges		4930	100			Percent of total billed charges		5800	100			Percent of total billed charges		5800	100			Percent of total billed charges		5800	33.3			Percent of total billed charges		1931.4	33.3			Percent of total billed charges		1931.4	100			Percent of total billed charges		5800	1931.4	5220	
etex gamma-bsm 10cc	278	RC	Outpatient			5800	3770		90			Percent of total billed charges		5220	40			Percent of total billed charges		2320	80			Percent of total billed charges		4640	90			Percent of total billed charges		5220	85			Percent of total billed charges		4930	85			Percent of total billed charges		4930	85			Percent of total billed charges		4930	100			Percent of total billed charges		5800	100			Percent of total billed charges		5800	100			Percent of total billed charges		5800	33.3			Percent of total billed charges		1931.4	33.3			Percent of total billed charges		1931.4	100			Percent of total billed charges		5800	1931.4	5220	
gamma-bsm kit 10cc 76-6010 etex	278	RC	Outpatient			5800	3770		90			Percent of total billed charges		5220	40			Percent of total billed charges		2320	80			Percent of total billed charges		4640	90			Percent of total billed charges		5220	85			Percent of total billed charges		4930	85			Percent of total billed charges		4930	85			Percent of total billed charges		4930	100			Percent of total billed charges		5800	100			Percent of total billed charges		5800	100			Percent of total billed charges		5800	33.3			Percent of total billed charges		1931.4	33.3			Percent of total billed charges		1931.4	100			Percent of total billed charges		5800	1931.4	5220	
ls-silverhawk peripheral cath p4012 foxhollow	272	RC	Outpatient			5806	3773.9		90			Percent of total billed charges		5225.4	40			Percent of total billed charges		2322.4	80			Percent of total billed charges		4644.8	90			Percent of total billed charges		5225.4	85			Percent of total billed charges		4935.1	85			Percent of total billed charges		4935.1	85			Percent of total billed charges		4935.1	100			Percent of total billed charges		5806	100			Percent of total billed charges		5806	100			Percent of total billed charges		5806	33.3			Percent of total billed charges		1933.398	33.3			Percent of total billed charges		1933.398	100			Percent of total billed charges		5806	1933.398	5225.4	
silver hawk periph cath	272	RC	Outpatient			5806	3773.9		90			Percent of total billed charges		5225.4	40			Percent of total billed charges		2322.4	80			Percent of total billed charges		4644.8	90			Percent of total billed charges		5225.4	85			Percent of total billed charges		4935.1	85			Percent of total billed charges		4935.1	85			Percent of total billed charges		4935.1	100			Percent of total billed charges		5806	100			Percent of total billed charges		5806	100			Percent of total billed charges		5806	33.3			Percent of total billed charges		1933.398	33.3			Percent of total billed charges		1933.398	100			Percent of total billed charges		5806	1933.398	5225.4	
ss silverhawk peripheral cath p4020 foxhollow	272	RC	Outpatient			5806	3773.9		90			Percent of total billed charges		5225.4	40			Percent of total billed charges		2322.4	80			Percent of total billed charges		4644.8	90			Percent of total billed charges		5225.4	85			Percent of total billed charges		4935.1	85			Percent of total billed charges		4935.1	85			Percent of total billed charges		4935.1	100			Percent of total billed charges		5806	100			Percent of total billed charges		5806	100			Percent of total billed charges		5806	33.3			Percent of total billed charges		1933.398	33.3			Percent of total billed charges		1933.398	100			Percent of total billed charges		5806	1933.398	5225.4	
comp plt 4.5mm 22 hl 71809322 s\n	278	RC	Outpatient			5818	3781.7		90			Percent of total billed charges		5236.2	40			Percent of total billed charges		2327.2	80			Percent of total billed charges		4654.4	90			Percent of total billed charges		5236.2	85			Percent of total billed charges		4945.3	85			Percent of total billed charges		4945.3	85			Percent of total billed charges		4945.3	100			Percent of total billed charges		5818	100			Percent of total billed charges		5818	100			Percent of total billed charges		5818	33.3			Percent of total billed charges		1937.394	33.3			Percent of total billed charges		1937.394	100			Percent of total billed charges		5818	1937.394	5236.2	
s/n 4.5 lck comp pl 22 hl	278	RC	Outpatient			5818	3781.7		90			Percent of total billed charges		5236.2	40			Percent of total billed charges		2327.2	80			Percent of total billed charges		4654.4	90			Percent of total billed charges		5236.2	85			Percent of total billed charges		4945.3	85			Percent of total billed charges		4945.3	85			Percent of total billed charges		4945.3	100			Percent of total billed charges		5818	100			Percent of total billed charges		5818	100			Percent of total billed charges		5818	33.3			Percent of total billed charges		1937.394	33.3			Percent of total billed charges		1937.394	100			Percent of total billed charges		5818	1937.394	5236.2	
t2 humeral nail	278	RC	Outpatient			5829	3788.85		90			Percent of total billed charges		5246.1	40			Percent of total billed charges		2331.6	80			Percent of total billed charges		4663.2	90			Percent of total billed charges		5246.1	85			Percent of total billed charges		4954.65	85			Percent of total billed charges		4954.65	85			Percent of total billed charges		4954.65	100			Percent of total billed charges		5829	100			Percent of total billed charges		5829	100			Percent of total billed charges		5829	33.3			Percent of total billed charges		1941.057	33.3			Percent of total billed charges		1941.057	100			Percent of total billed charges		5829	1941.057	5246.1	
t2 humeral nail 8 x 240mm 1830-0824s styker	278	RC	Outpatient			5829	3788.85		90			Percent of total billed charges		5246.1	40			Percent of total billed charges		2331.6	80			Percent of total billed charges		4663.2	90			Percent of total billed charges		5246.1	85			Percent of total billed charges		4954.65	85			Percent of total billed charges		4954.65	85			Percent of total billed charges		4954.65	100			Percent of total billed charges		5829	100			Percent of total billed charges		5829	100			Percent of total billed charges		5829	33.3			Percent of total billed charges		1941.057	33.3			Percent of total billed charges		1941.057	100			Percent of total billed charges		5829	1941.057	5246.1	
t2 humeral nail 9 x 250mm 1830-0925s styker	278	RC	Outpatient			5829	3788.85		90			Percent of total billed charges		5246.1	40			Percent of total billed charges		2331.6	80			Percent of total billed charges		4663.2	90			Percent of total billed charges		5246.1	85			Percent of total billed charges		4954.65	85			Percent of total billed charges		4954.65	85			Percent of total billed charges		4954.65	100			Percent of total billed charges		5829	100			Percent of total billed charges		5829	100			Percent of total billed charges		5829	33.3			Percent of total billed charges		1941.057	33.3			Percent of total billed charges		1941.057	100			Percent of total billed charges		5829	1941.057	5246.1	
t2 humeral nail 7 x 230mm 1830-0723s styker	278	RC	Outpatient			5829	3788.85		90			Percent of total billed charges		5246.1	40			Percent of total billed charges		2331.6	80			Percent of total billed charges		4663.2	90			Percent of total billed charges		5246.1	85			Percent of total billed charges		4954.65	85			Percent of total billed charges		4954.65	85			Percent of total billed charges		4954.65	100			Percent of total billed charges		5829	100			Percent of total billed charges		5829	100			Percent of total billed charges		5829	33.3			Percent of total billed charges		1941.057	33.3			Percent of total billed charges		1941.057	100			Percent of total billed charges		5829	1941.057	5246.1	
t2 humeral nail 8 x 230mm 1830-0823s styker	278	RC	Outpatient			5829	3788.85		90			Percent of total billed charges		5246.1	40			Percent of total billed charges		2331.6	80			Percent of total billed charges		4663.2	90			Percent of total billed charges		5246.1	85			Percent of total billed charges		4954.65	85			Percent of total billed charges		4954.65	85			Percent of total billed charges		4954.65	100			Percent of total billed charges		5829	100			Percent of total billed charges		5829	100			Percent of total billed charges		5829	33.3			Percent of total billed charges		1941.057	33.3			Percent of total billed charges		1941.057	100			Percent of total billed charges		5829	1941.057	5246.1	
t2 humeral nail 9 x 260mm 1830-0926s styker	278	RC	Outpatient			5829	3788.85		90			Percent of total billed charges		5246.1	40			Percent of total billed charges		2331.6	80			Percent of total billed charges		4663.2	90			Percent of total billed charges		5246.1	85			Percent of total billed charges		4954.65	85			Percent of total billed charges		4954.65	85			Percent of total billed charges		4954.65	100			Percent of total billed charges		5829	100			Percent of total billed charges		5829	100			Percent of total billed charges		5829	33.3			Percent of total billed charges		1941.057	33.3			Percent of total billed charges		1941.057	100			Percent of total billed charges		5829	1941.057	5246.1	
restoration cone dist ste	278	RC	Outpatient			5831	3790.15		90			Percent of total billed charges		5247.9	40			Percent of total billed charges		2332.4	80			Percent of total billed charges		4664.8	90			Percent of total billed charges		5247.9	85			Percent of total billed charges		4956.35	85			Percent of total billed charges		4956.35	85			Percent of total billed charges		4956.35	100			Percent of total billed charges		5831	100			Percent of total billed charges		5831	100			Percent of total billed charges		5831	33.3			Percent of total billed charges		1941.723	33.3			Percent of total billed charges		1941.723	100			Percent of total billed charges		5831	1941.723	5247.9	
restoration mod conical distal stem 155mm x 15mm 6276-7-015 stryker	278	RC	Outpatient			5831	3790.15		90			Percent of total billed charges		5247.9	40			Percent of total billed charges		2332.4	80			Percent of total billed charges		4664.8	90			Percent of total billed charges		5247.9	85			Percent of total billed charges		4956.35	85			Percent of total billed charges		4956.35	85			Percent of total billed charges		4956.35	100			Percent of total billed charges		5831	100			Percent of total billed charges		5831	100			Percent of total billed charges		5831	33.3			Percent of total billed charges		1941.723	33.3			Percent of total billed charges		1941.723	100			Percent of total billed charges		5831	1941.723	5247.9	
allomax 6 x 16 1mm	278	RC	Outpatient			5839	3795.35		90			Percent of total billed charges		5255.1	40			Percent of total billed charges		2335.6	80			Percent of total billed charges		4671.2	90			Percent of total billed charges		5255.1	85			Percent of total billed charges		4963.15	85			Percent of total billed charges		4963.15	85			Percent of total billed charges		4963.15	100			Percent of total billed charges		5839	100			Percent of total billed charges		5839	100			Percent of total billed charges		5839	33.3			Percent of total billed charges		1944.387	33.3			Percent of total billed charges		1944.387	100			Percent of total billed charges		5839	1944.387	5255.1	
allomax1 graft retangular 2.4 x 6.3 6 x16cm 1180616m bard	278	RC	Outpatient			5839	3795.35		90			Percent of total billed charges		5255.1	40			Percent of total billed charges		2335.6	80			Percent of total billed charges		4671.2	90			Percent of total billed charges		5255.1	85			Percent of total billed charges		4963.15	85			Percent of total billed charges		4963.15	85			Percent of total billed charges		4963.15	100			Percent of total billed charges		5839	100			Percent of total billed charges		5839	100			Percent of total billed charges		5839	33.3			Percent of total billed charges		1944.387	33.3			Percent of total billed charges		1944.387	100			Percent of total billed charges		5839	1944.387	5255.1	
bio magnum tri-spike cup	278	RC	Outpatient			5849	3801.85		90			Percent of total billed charges		5264.1	40			Percent of total billed charges		2339.6	80			Percent of total billed charges		4679.2	90			Percent of total billed charges		5264.1	85			Percent of total billed charges		4971.65	85			Percent of total billed charges		4971.65	85			Percent of total billed charges		4971.65	100			Percent of total billed charges		5849	100			Percent of total billed charges		5849	100			Percent of total billed charges		5849	33.3			Percent of total billed charges		1947.717	33.3			Percent of total billed charges		1947.717	100			Percent of total billed charges		5849	1947.717	5264.1	
m2a magnum tri-spike cup 46 x 40mm us257846 biomet	278	RC	Outpatient			5849	3801.85		90			Percent of total billed charges		5264.1	40			Percent of total billed charges		2339.6	80			Percent of total billed charges		4679.2	90			Percent of total billed charges		5264.1	85			Percent of total billed charges		4971.65	85			Percent of total billed charges		4971.65	85			Percent of total billed charges		4971.65	100			Percent of total billed charges		5849	100			Percent of total billed charges		5849	100			Percent of total billed charges		5849	33.3			Percent of total billed charges		1947.717	33.3			Percent of total billed charges		1947.717	100			Percent of total billed charges		5849	1947.717	5264.1	
m2a magnum tri-spike cup 48 x 42mm us257848 biomet	278	RC	Outpatient			5849	3801.85		90			Percent of total billed charges		5264.1	40			Percent of total billed charges		2339.6	80			Percent of total billed charges		4679.2	90			Percent of total billed charges		5264.1	85			Percent of total billed charges		4971.65	85			Percent of total billed charges		4971.65	85			Percent of total billed charges		4971.65	100			Percent of total billed charges		5849	100			Percent of total billed charges		5849	100			Percent of total billed charges		5849	33.3			Percent of total billed charges		1947.717	33.3			Percent of total billed charges		1947.717	100			Percent of total billed charges		5849	1947.717	5264.1	
m2a magnum tri-spike cup 56mm us257856 biomet	278	RC	Outpatient			5849	3801.85		90			Percent of total billed charges		5264.1	40			Percent of total billed charges		2339.6	80			Percent of total billed charges		4679.2	90			Percent of total billed charges		5264.1	85			Percent of total billed charges		4971.65	85			Percent of total billed charges		4971.65	85			Percent of total billed charges		4971.65	100			Percent of total billed charges		5849	100			Percent of total billed charges		5849	100			Percent of total billed charges		5849	33.3			Percent of total billed charges		1947.717	33.3			Percent of total billed charges		1947.717	100			Percent of total billed charges		5849	1947.717	5264.1	
m2a magnum tri-spike cup 58 x 52mm us257858 biomet	278	RC	Outpatient			5849	3801.85		90			Percent of total billed charges		5264.1	40			Percent of total billed charges		2339.6	80			Percent of total billed charges		4679.2	90			Percent of total billed charges		5264.1	85			Percent of total billed charges		4971.65	85			Percent of total billed charges		4971.65	85			Percent of total billed charges		4971.65	100			Percent of total billed charges		5849	100			Percent of total billed charges		5849	100			Percent of total billed charges		5849	33.3			Percent of total billed charges		1947.717	33.3			Percent of total billed charges		1947.717	100			Percent of total billed charges		5849	1947.717	5264.1	
m2a magnum tri-spike cup 60 x 54mm us257860 biomet	278	RC	Outpatient			5849	3801.85		90			Percent of total billed charges		5264.1	40			Percent of total billed charges		2339.6	80			Percent of total billed charges		4679.2	90			Percent of total billed charges		5264.1	85			Percent of total billed charges		4971.65	85			Percent of total billed charges		4971.65	85			Percent of total billed charges		4971.65	100			Percent of total billed charges		5849	100			Percent of total billed charges		5849	100			Percent of total billed charges		5849	33.3			Percent of total billed charges		1947.717	33.3			Percent of total billed charges		1947.717	100			Percent of total billed charges		5849	1947.717	5264.1	
m2a magnum tri-spike cup 64 x 58mm us257864 biomet	278	RC	Outpatient			5849	3801.85		90			Percent of total billed charges		5264.1	40			Percent of total billed charges		2339.6	80			Percent of total billed charges		4679.2	90			Percent of total billed charges		5264.1	85			Percent of total billed charges		4971.65	85			Percent of total billed charges		4971.65	85			Percent of total billed charges		4971.65	100			Percent of total billed charges		5849	100			Percent of total billed charges		5849	100			Percent of total billed charges		5849	33.3			Percent of total billed charges		1947.717	33.3			Percent of total billed charges		1947.717	100			Percent of total billed charges		5849	1947.717	5264.1	
m2a magnum tri-spike cup 66 x 60mm us257866 biomet	278	RC	Outpatient			5849	3801.85		90			Percent of total billed charges		5264.1	40			Percent of total billed charges		2339.6	80			Percent of total billed charges		4679.2	90			Percent of total billed charges		5264.1	85			Percent of total billed charges		4971.65	85			Percent of total billed charges		4971.65	85			Percent of total billed charges		4971.65	100			Percent of total billed charges		5849	100			Percent of total billed charges		5849	100			Percent of total billed charges		5849	33.3			Percent of total billed charges		1947.717	33.3			Percent of total billed charges		1947.717	100			Percent of total billed charges		5849	1947.717	5264.1	
m2a magnum tri-spike cup 44 x 38mm us257844 biomet	278	RC	Outpatient			5849	3801.85		90			Percent of total billed charges		5264.1	40			Percent of total billed charges		2339.6	80			Percent of total billed charges		4679.2	90			Percent of total billed charges		5264.1	85			Percent of total billed charges		4971.65	85			Percent of total billed charges		4971.65	85			Percent of total billed charges		4971.65	100			Percent of total billed charges		5849	100			Percent of total billed charges		5849	100			Percent of total billed charges		5849	33.3			Percent of total billed charges		1947.717	33.3			Percent of total billed charges		1947.717	100			Percent of total billed charges		5849	1947.717	5264.1	
m2a magnum tri-spike cup 50 x 44mm us257850 biomet	278	RC	Outpatient			5849	3801.85		90			Percent of total billed charges		5264.1	40			Percent of total billed charges		2339.6	80			Percent of total billed charges		4679.2	90			Percent of total billed charges		5264.1	85			Percent of total billed charges		4971.65	85			Percent of total billed charges		4971.65	85			Percent of total billed charges		4971.65	100			Percent of total billed charges		5849	100			Percent of total billed charges		5849	100			Percent of total billed charges		5849	33.3			Percent of total billed charges		1947.717	33.3			Percent of total billed charges		1947.717	100			Percent of total billed charges		5849	1947.717	5264.1	
m2a magnum tri-spike cup 54 x 48mm us257854 biomet	278	RC	Outpatient			5849	3801.85		90			Percent of total billed charges		5264.1	40			Percent of total billed charges		2339.6	80			Percent of total billed charges		4679.2	90			Percent of total billed charges		5264.1	85			Percent of total billed charges		4971.65	85			Percent of total billed charges		4971.65	85			Percent of total billed charges		4971.65	100			Percent of total billed charges		5849	100			Percent of total billed charges		5849	100			Percent of total billed charges		5849	33.3			Percent of total billed charges		1947.717	33.3			Percent of total billed charges		1947.717	100			Percent of total billed charges		5849	1947.717	5264.1	
m2a magnum tri-spike cup 62 x 56mm us257862 biomet	278	RC	Outpatient			5849	3801.85		90			Percent of total billed charges		5264.1	40			Percent of total billed charges		2339.6	80			Percent of total billed charges		4679.2	90			Percent of total billed charges		5264.1	85			Percent of total billed charges		4971.65	85			Percent of total billed charges		4971.65	85			Percent of total billed charges		4971.65	100			Percent of total billed charges		5849	100			Percent of total billed charges		5849	100			Percent of total billed charges		5849	33.3			Percent of total billed charges		1947.717	33.3			Percent of total billed charges		1947.717	100			Percent of total billed charges		5849	1947.717	5264.1	
m2a magnum tri-spike cup 62mm us257852 biomet	278	RC	Outpatient			5849	3801.85		90			Percent of total billed charges		5264.1	40			Percent of total billed charges		2339.6	80			Percent of total billed charges		4679.2	90			Percent of total billed charges		5264.1	85			Percent of total billed charges		4971.65	85			Percent of total billed charges		4971.65	85			Percent of total billed charges		4971.65	100			Percent of total billed charges		5849	100			Percent of total billed charges		5849	100			Percent of total billed charges		5849	33.3			Percent of total billed charges		1947.717	33.3			Percent of total billed charges		1947.717	100			Percent of total billed charges		5849	1947.717	5264.1	
l-d fem lk plate4.5mm 13-hole 286mm 71800113 s/n	278	RC	Outpatient			5870	3815.5		90			Percent of total billed charges		5283	40			Percent of total billed charges		2348	80			Percent of total billed charges		4696	90			Percent of total billed charges		5283	85			Percent of total billed charges		4989.5	85			Percent of total billed charges		4989.5	85			Percent of total billed charges		4989.5	100			Percent of total billed charges		5870	100			Percent of total billed charges		5870	100			Percent of total billed charges		5870	33.3			Percent of total billed charges		1954.71	33.3			Percent of total billed charges		1954.71	100			Percent of total billed charges		5870	1954.71	5283	
l-d fem lk plate4.5mm 16-hole 342mm 71800116 s/n	278	RC	Outpatient			5870	3815.5		90			Percent of total billed charges		5283	40			Percent of total billed charges		2348	80			Percent of total billed charges		4696	90			Percent of total billed charges		5283	85			Percent of total billed charges		4989.5	85			Percent of total billed charges		4989.5	85			Percent of total billed charges		4989.5	100			Percent of total billed charges		5870	100			Percent of total billed charges		5870	100			Percent of total billed charges		5870	33.3			Percent of total billed charges		1954.71	33.3			Percent of total billed charges		1954.71	100			Percent of total billed charges		5870	1954.71	5283	
l-d fem plt 4.5mm 13 hl 71820013 s\n	278	RC	Outpatient			5870	3815.5		90			Percent of total billed charges		5283	40			Percent of total billed charges		2348	80			Percent of total billed charges		4696	90			Percent of total billed charges		5283	85			Percent of total billed charges		4989.5	85			Percent of total billed charges		4989.5	85			Percent of total billed charges		4989.5	100			Percent of total billed charges		5870	100			Percent of total billed charges		5870	100			Percent of total billed charges		5870	33.3			Percent of total billed charges		1954.71	33.3			Percent of total billed charges		1954.71	100			Percent of total billed charges		5870	1954.71	5283	
l-d fem plt 4.5mm 13 hr 71820113 s\n	278	RC	Outpatient			5870	3815.5		90			Percent of total billed charges		5283	40			Percent of total billed charges		2348	80			Percent of total billed charges		4696	90			Percent of total billed charges		5283	85			Percent of total billed charges		4989.5	85			Percent of total billed charges		4989.5	85			Percent of total billed charges		4989.5	100			Percent of total billed charges		5870	100			Percent of total billed charges		5870	100			Percent of total billed charges		5870	33.3			Percent of total billed charges		1954.71	33.3			Percent of total billed charges		1954.71	100			Percent of total billed charges		5870	1954.71	5283	
l-d fem plt 4.5mm 16 hr 71820116 s\n	278	RC	Outpatient			5870	3815.5		90			Percent of total billed charges		5283	40			Percent of total billed charges		2348	80			Percent of total billed charges		4696	90			Percent of total billed charges		5283	85			Percent of total billed charges		4989.5	85			Percent of total billed charges		4989.5	85			Percent of total billed charges		4989.5	100			Percent of total billed charges		5870	100			Percent of total billed charges		5870	100			Percent of total billed charges		5870	33.3			Percent of total billed charges		1954.71	33.3			Percent of total billed charges		1954.71	100			Percent of total billed charges		5870	1954.71	5283	
l-d fem lk plate4.5mm 13-hole 286mm 71800013 s/n	278	RC	Outpatient			5870	3815.5		90			Percent of total billed charges		5283	40			Percent of total billed charges		2348	80			Percent of total billed charges		4696	90			Percent of total billed charges		5283	85			Percent of total billed charges		4989.5	85			Percent of total billed charges		4989.5	85			Percent of total billed charges		4989.5	100			Percent of total billed charges		5870	100			Percent of total billed charges		5870	100			Percent of total billed charges		5870	33.3			Percent of total billed charges		1954.71	33.3			Percent of total billed charges		1954.71	100			Percent of total billed charges		5870	1954.71	5283	
l-d fem lk plate4.5mm 15-hole 342mm 71800016 s/n	278	RC	Outpatient			5870	3815.5		90			Percent of total billed charges		5283	40			Percent of total billed charges		2348	80			Percent of total billed charges		4696	90			Percent of total billed charges		5283	85			Percent of total billed charges		4989.5	85			Percent of total billed charges		4989.5	85			Percent of total billed charges		4989.5	100			Percent of total billed charges		5870	100			Percent of total billed charges		5870	100			Percent of total billed charges		5870	33.3			Percent of total billed charges		1954.71	33.3			Percent of total billed charges		1954.71	100			Percent of total billed charges		5870	1954.71	5283	
l-d fem lk plate4.5mm 19-hole 399mm 71800019 s/n	278	RC	Outpatient			5870	3815.5		90			Percent of total billed charges		5283	40			Percent of total billed charges		2348	80			Percent of total billed charges		4696	90			Percent of total billed charges		5283	85			Percent of total billed charges		4989.5	85			Percent of total billed charges		4989.5	85			Percent of total billed charges		4989.5	100			Percent of total billed charges		5870	100			Percent of total billed charges		5870	100			Percent of total billed charges		5870	33.3			Percent of total billed charges		1954.71	33.3			Percent of total billed charges		1954.71	100			Percent of total billed charges		5870	1954.71	5283	
l-d fem lk plate4.5mm 19-hole 399mm 71800119 s/n	278	RC	Outpatient			5870	3815.5		90			Percent of total billed charges		5283	40			Percent of total billed charges		2348	80			Percent of total billed charges		4696	90			Percent of total billed charges		5283	85			Percent of total billed charges		4989.5	85			Percent of total billed charges		4989.5	85			Percent of total billed charges		4989.5	100			Percent of total billed charges		5870	100			Percent of total billed charges		5870	100			Percent of total billed charges		5870	33.3			Percent of total billed charges		1954.71	33.3			Percent of total billed charges		1954.71	100			Percent of total billed charges		5870	1954.71	5283	
l-d fem plt 4.5mm 16 hl 71820016 s\n	278	RC	Outpatient			5870	3815.5		90			Percent of total billed charges		5283	40			Percent of total billed charges		2348	80			Percent of total billed charges		4696	90			Percent of total billed charges		5283	85			Percent of total billed charges		4989.5	85			Percent of total billed charges		4989.5	85			Percent of total billed charges		4989.5	100			Percent of total billed charges		5870	100			Percent of total billed charges		5870	100			Percent of total billed charges		5870	33.3			Percent of total billed charges		1954.71	33.3			Percent of total billed charges		1954.71	100			Percent of total billed charges		5870	1954.71	5283	
s/n 4.5 l-d fe lk pl13-19	278	RC	Outpatient			5870	3815.5		90			Percent of total billed charges		5283	40			Percent of total billed charges		2348	80			Percent of total billed charges		4696	90			Percent of total billed charges		5283	85			Percent of total billed charges		4989.5	85			Percent of total billed charges		4989.5	85			Percent of total billed charges		4989.5	100			Percent of total billed charges		5870	100			Percent of total billed charges		5870	100			Percent of total billed charges		5870	33.3			Percent of total billed charges		1954.71	33.3			Percent of total billed charges		1954.71	100			Percent of total billed charges		5870	1954.71	5283	
cosmetic - aug: circumareolar with gel	983	RC	Outpatient			5885	3825.25		90			Percent of total billed charges		5296.5	40			Percent of total billed charges		2354	80			Percent of total billed charges		4708	90			Percent of total billed charges		5296.5	85			Percent of total billed charges		5002.25	85			Percent of total billed charges		5002.25	85			Percent of total billed charges		5002.25	100			Percent of total billed charges		5885	100			Percent of total billed charges		5885	100			Percent of total billed charges		5885	33.3			Percent of total billed charges		1959.705	33.3			Percent of total billed charges		1959.705	100			Percent of total billed charges		5885	1959.705	5296.5	
stryker cone dist stem	278	RC	Outpatient			5887	3826.55		90			Percent of total billed charges		5298.3	40			Percent of total billed charges		2354.8	80			Percent of total billed charges		4709.6	90			Percent of total billed charges		5298.3	85			Percent of total billed charges		5003.95	85			Percent of total billed charges		5003.95	85			Percent of total billed charges		5003.95	100			Percent of total billed charges		5887	100			Percent of total billed charges		5887	100			Percent of total billed charges		5887	33.3			Percent of total billed charges		1960.371	33.3			Percent of total billed charges		1960.371	100			Percent of total billed charges		5887	1960.371	5298.3	
genesis ii cruciate retaining porous femoral size 1 right 71420048	278	RC	Outpatient			5892	3829.8		90			Percent of total billed charges		5302.8	40			Percent of total billed charges		2356.8	80			Percent of total billed charges		4713.6	90			Percent of total billed charges		5302.8	85			Percent of total billed charges		5008.2	85			Percent of total billed charges		5008.2	85			Percent of total billed charges		5008.2	100			Percent of total billed charges		5892	100			Percent of total billed charges		5892	100			Percent of total billed charges		5892	33.3			Percent of total billed charges		1962.036	33.3			Percent of total billed charges		1962.036	100			Percent of total billed charges		5892	1962.036	5302.8	
genesis ii cruciate retaining porous femoral size 2 left 71420034	278	RC	Outpatient			5892	3829.8		90			Percent of total billed charges		5302.8	40			Percent of total billed charges		2356.8	80			Percent of total billed charges		4713.6	90			Percent of total billed charges		5302.8	85			Percent of total billed charges		5008.2	85			Percent of total billed charges		5008.2	85			Percent of total billed charges		5008.2	100			Percent of total billed charges		5892	100			Percent of total billed charges		5892	100			Percent of total billed charges		5892	33.3			Percent of total billed charges		1962.036	33.3			Percent of total billed charges		1962.036	100			Percent of total billed charges		5892	1962.036	5302.8	
genesis ii cruciate retaining porous femoral size 3 left 71420036	278	RC	Outpatient			5892	3829.8		90			Percent of total billed charges		5302.8	40			Percent of total billed charges		2356.8	80			Percent of total billed charges		4713.6	90			Percent of total billed charges		5302.8	85			Percent of total billed charges		5008.2	85			Percent of total billed charges		5008.2	85			Percent of total billed charges		5008.2	100			Percent of total billed charges		5892	100			Percent of total billed charges		5892	100			Percent of total billed charges		5892	33.3			Percent of total billed charges		1962.036	33.3			Percent of total billed charges		1962.036	100			Percent of total billed charges		5892	1962.036	5302.8	
genesis ii cruciate retaining porous femoral size 4 left 71420038	278	RC	Outpatient			5892	3829.8		90			Percent of total billed charges		5302.8	40			Percent of total billed charges		2356.8	80			Percent of total billed charges		4713.6	90			Percent of total billed charges		5302.8	85			Percent of total billed charges		5008.2	85			Percent of total billed charges		5008.2	85			Percent of total billed charges		5008.2	100			Percent of total billed charges		5892	100			Percent of total billed charges		5892	100			Percent of total billed charges		5892	33.3			Percent of total billed charges		1962.036	33.3			Percent of total billed charges		1962.036	100			Percent of total billed charges		5892	1962.036	5302.8	
genesis ii cruciate retaining porous femoral size 4 right 71420054	278	RC	Outpatient			5892	3829.8		90			Percent of total billed charges		5302.8	40			Percent of total billed charges		2356.8	80			Percent of total billed charges		4713.6	90			Percent of total billed charges		5302.8	85			Percent of total billed charges		5008.2	85			Percent of total billed charges		5008.2	85			Percent of total billed charges		5008.2	100			Percent of total billed charges		5892	100			Percent of total billed charges		5892	100			Percent of total billed charges		5892	33.3			Percent of total billed charges		1962.036	33.3			Percent of total billed charges		1962.036	100			Percent of total billed charges		5892	1962.036	5302.8	
genesis ii cruciate retaining porous femoral size 5 left 71420040	278	RC	Outpatient			5892	3829.8		90			Percent of total billed charges		5302.8	40			Percent of total billed charges		2356.8	80			Percent of total billed charges		4713.6	90			Percent of total billed charges		5302.8	85			Percent of total billed charges		5008.2	85			Percent of total billed charges		5008.2	85			Percent of total billed charges		5008.2	100			Percent of total billed charges		5892	100			Percent of total billed charges		5892	100			Percent of total billed charges		5892	33.3			Percent of total billed charges		1962.036	33.3			Percent of total billed charges		1962.036	100			Percent of total billed charges		5892	1962.036	5302.8	
genesis ii cruciate retaining porous femoral size 5 right 71420056	278	RC	Outpatient			5892	3829.8		90			Percent of total billed charges		5302.8	40			Percent of total billed charges		2356.8	80			Percent of total billed charges		4713.6	90			Percent of total billed charges		5302.8	85			Percent of total billed charges		5008.2	85			Percent of total billed charges		5008.2	85			Percent of total billed charges		5008.2	100			Percent of total billed charges		5892	100			Percent of total billed charges		5892	100			Percent of total billed charges		5892	33.3			Percent of total billed charges		1962.036	33.3			Percent of total billed charges		1962.036	100			Percent of total billed charges		5892	1962.036	5302.8	
genesis ii cruciate retaining porous femoral size 6 left 71420042	278	RC	Outpatient			5892	3829.8		90			Percent of total billed charges		5302.8	40			Percent of total billed charges		2356.8	80			Percent of total billed charges		4713.6	90			Percent of total billed charges		5302.8	85			Percent of total billed charges		5008.2	85			Percent of total billed charges		5008.2	85			Percent of total billed charges		5008.2	100			Percent of total billed charges		5892	100			Percent of total billed charges		5892	100			Percent of total billed charges		5892	33.3			Percent of total billed charges		1962.036	33.3			Percent of total billed charges		1962.036	100			Percent of total billed charges		5892	1962.036	5302.8	
genesis ii cruciate retaining porous femoral size 6 right 71420058	278	RC	Outpatient			5892	3829.8		90			Percent of total billed charges		5302.8	40			Percent of total billed charges		2356.8	80			Percent of total billed charges		4713.6	90			Percent of total billed charges		5302.8	85			Percent of total billed charges		5008.2	85			Percent of total billed charges		5008.2	85			Percent of total billed charges		5008.2	100			Percent of total billed charges		5892	100			Percent of total billed charges		5892	100			Percent of total billed charges		5892	33.3			Percent of total billed charges		1962.036	33.3			Percent of total billed charges		1962.036	100			Percent of total billed charges		5892	1962.036	5302.8	
genesis ii cruciate retaining porous femoral size 7 left 71420044	278	RC	Outpatient			5892	3829.8		90			Percent of total billed charges		5302.8	40			Percent of total billed charges		2356.8	80			Percent of total billed charges		4713.6	90			Percent of total billed charges		5302.8	85			Percent of total billed charges		5008.2	85			Percent of total billed charges		5008.2	85			Percent of total billed charges		5008.2	100			Percent of total billed charges		5892	100			Percent of total billed charges		5892	100			Percent of total billed charges		5892	33.3			Percent of total billed charges		1962.036	33.3			Percent of total billed charges		1962.036	100			Percent of total billed charges		5892	1962.036	5302.8	
genesis ii cruciate retaining porous femoral size 7 right 71420060	278	RC	Outpatient			5892	3829.8		90			Percent of total billed charges		5302.8	40			Percent of total billed charges		2356.8	80			Percent of total billed charges		4713.6	90			Percent of total billed charges		5302.8	85			Percent of total billed charges		5008.2	85			Percent of total billed charges		5008.2	85			Percent of total billed charges		5008.2	100			Percent of total billed charges		5892	100			Percent of total billed charges		5892	100			Percent of total billed charges		5892	33.3			Percent of total billed charges		1962.036	33.3			Percent of total billed charges		1962.036	100			Percent of total billed charges		5892	1962.036	5302.8	
genesis ii cruciate retaining porous femoral size 1 left 71420032	278	RC	Outpatient			5892	3829.8		90			Percent of total billed charges		5302.8	40			Percent of total billed charges		2356.8	80			Percent of total billed charges		4713.6	90			Percent of total billed charges		5302.8	85			Percent of total billed charges		5008.2	85			Percent of total billed charges		5008.2	85			Percent of total billed charges		5008.2	100			Percent of total billed charges		5892	100			Percent of total billed charges		5892	100			Percent of total billed charges		5892	33.3			Percent of total billed charges		1962.036	33.3			Percent of total billed charges		1962.036	100			Percent of total billed charges		5892	1962.036	5302.8	
genesis ii cruciate retaining porous femoral size 2 right 71420050	278	RC	Outpatient			5892	3829.8		90			Percent of total billed charges		5302.8	40			Percent of total billed charges		2356.8	80			Percent of total billed charges		4713.6	90			Percent of total billed charges		5302.8	85			Percent of total billed charges		5008.2	85			Percent of total billed charges		5008.2	85			Percent of total billed charges		5008.2	100			Percent of total billed charges		5892	100			Percent of total billed charges		5892	100			Percent of total billed charges		5892	33.3			Percent of total billed charges		1962.036	33.3			Percent of total billed charges		1962.036	100			Percent of total billed charges		5892	1962.036	5302.8	
genesis ii cruciate retaining porous femoral size 3 right  71420052	278	RC	Outpatient			5892	3829.8		90			Percent of total billed charges		5302.8	40			Percent of total billed charges		2356.8	80			Percent of total billed charges		4713.6	90			Percent of total billed charges		5302.8	85			Percent of total billed charges		5008.2	85			Percent of total billed charges		5008.2	85			Percent of total billed charges		5008.2	100			Percent of total billed charges		5892	100			Percent of total billed charges		5892	100			Percent of total billed charges		5892	33.3			Percent of total billed charges		1962.036	33.3			Percent of total billed charges		1962.036	100			Percent of total billed charges		5892	1962.036	5302.8	
genesis ii cruciate retaining porous femoral size 8 left 71420046	278	RC	Outpatient			5892	3829.8		90			Percent of total billed charges		5302.8	40			Percent of total billed charges		2356.8	80			Percent of total billed charges		4713.6	90			Percent of total billed charges		5302.8	85			Percent of total billed charges		5008.2	85			Percent of total billed charges		5008.2	85			Percent of total billed charges		5008.2	100			Percent of total billed charges		5892	100			Percent of total billed charges		5892	100			Percent of total billed charges		5892	33.3			Percent of total billed charges		1962.036	33.3			Percent of total billed charges		1962.036	100			Percent of total billed charges		5892	1962.036	5302.8	
richards gii por c/r fem	278	RC	Outpatient			5892	3829.8		90			Percent of total billed charges		5302.8	40			Percent of total billed charges		2356.8	80			Percent of total billed charges		4713.6	90			Percent of total billed charges		5302.8	85			Percent of total billed charges		5008.2	85			Percent of total billed charges		5008.2	85			Percent of total billed charges		5008.2	100			Percent of total billed charges		5892	100			Percent of total billed charges		5892	100			Percent of total billed charges		5892	33.3			Percent of total billed charges		1962.036	33.3			Percent of total billed charges		1962.036	100			Percent of total billed charges		5892	1962.036	5302.8	
j&j femoral comp cem n.p.	278	RC	Outpatient			5917	3846.05		90			Percent of total billed charges		5325.3	40			Percent of total billed charges		2366.8	80			Percent of total billed charges		4733.6	90			Percent of total billed charges		5325.3	85			Percent of total billed charges		5029.45	85			Percent of total billed charges		5029.45	85			Percent of total billed charges		5029.45	100			Percent of total billed charges		5917	100			Percent of total billed charges		5917	100			Percent of total billed charges		5917	33.3			Percent of total billed charges		1970.361	33.3			Percent of total billed charges		1970.361	100			Percent of total billed charges		5917	1970.361	5325.3	
biomet dual mobility acet liner 44mm 110024464	278	RC	Outpatient			5924	3850.6		90			Percent of total billed charges		5331.6	40			Percent of total billed charges		2369.6	80			Percent of total billed charges		4739.2	90			Percent of total billed charges		5331.6	85			Percent of total billed charges		5035.4	85			Percent of total billed charges		5035.4	85			Percent of total billed charges		5035.4	100			Percent of total billed charges		5924	100			Percent of total billed charges		5924	100			Percent of total billed charges		5924	33.3			Percent of total billed charges		1972.692	33.3			Percent of total billed charges		1972.692	100			Percent of total billed charges		5924	1972.692	5331.6	
bio 394931 generator	270	RC	Outpatient			5940	3861		90			Percent of total billed charges		5346	40			Percent of total billed charges		2376	80			Percent of total billed charges		4752	90			Percent of total billed charges		5346	85			Percent of total billed charges		5049	85			Percent of total billed charges		5049	85			Percent of total billed charges		5049	100			Percent of total billed charges		5940	100			Percent of total billed charges		5940	100			Percent of total billed charges		5940	33.3			Percent of total billed charges		1978.02	33.3			Percent of total billed charges		1978.02	100			Percent of total billed charges		5940	1978.02	5346	
duramer dome shell liner 60mm 3821-2860 wright med	278	RC	Outpatient			5967	3878.55		90			Percent of total billed charges		5370.3	40			Percent of total billed charges		2386.8	80			Percent of total billed charges		4773.6	90			Percent of total billed charges		5370.3	85			Percent of total billed charges		5071.95	85			Percent of total billed charges		5071.95	85			Percent of total billed charges		5071.95	100			Percent of total billed charges		5967	100			Percent of total billed charges		5967	100			Percent of total billed charges		5967	33.3			Percent of total billed charges		1987.011	33.3			Percent of total billed charges		1987.011	100			Percent of total billed charges		5967	1987.011	5370.3	
wright duramer liner	278	RC	Outpatient			5967	3878.55		90			Percent of total billed charges		5370.3	40			Percent of total billed charges		2386.8	80			Percent of total billed charges		4773.6	90			Percent of total billed charges		5370.3	85			Percent of total billed charges		5071.95	85			Percent of total billed charges		5071.95	85			Percent of total billed charges		5071.95	100			Percent of total billed charges		5967	100			Percent of total billed charges		5967	100			Percent of total billed charges		5967	33.3			Percent of total billed charges		1987.011	33.3			Percent of total billed charges		1987.011	100			Percent of total billed charges		5967	1987.011	5370.3	
cosmetic - circumareolar pexy/aug	983	RC	Outpatient			5995	3896.75		90			Percent of total billed charges		5395.5	40			Percent of total billed charges		2398	80			Percent of total billed charges		4796	90			Percent of total billed charges		5395.5	85			Percent of total billed charges		5095.75	85			Percent of total billed charges		5095.75	85			Percent of total billed charges		5095.75	100			Percent of total billed charges		5995	100			Percent of total billed charges		5995	100			Percent of total billed charges		5995	33.3			Percent of total billed charges		1996.335	33.3			Percent of total billed charges		1996.335	100			Percent of total billed charges		5995	1996.335	5395.5	
discovery elbow 5 x 100  humeral biomet 114907	278	RC	Outpatient			5995	3896.75		90			Percent of total billed charges		5395.5	40			Percent of total billed charges		2398	80			Percent of total billed charges		4796	90			Percent of total billed charges		5395.5	85			Percent of total billed charges		5095.75	85			Percent of total billed charges		5095.75	85			Percent of total billed charges		5095.75	100			Percent of total billed charges		5995	100			Percent of total billed charges		5995	100			Percent of total billed charges		5995	33.3			Percent of total billed charges		1996.335	33.3			Percent of total billed charges		1996.335	100			Percent of total billed charges		5995	1996.335	5395.5	
discovery elbow humerus	278	RC	Outpatient			5995	3896.75		90			Percent of total billed charges		5395.5	40			Percent of total billed charges		2398	80			Percent of total billed charges		4796	90			Percent of total billed charges		5395.5	85			Percent of total billed charges		5095.75	85			Percent of total billed charges		5095.75	85			Percent of total billed charges		5095.75	100			Percent of total billed charges		5995	100			Percent of total billed charges		5995	100			Percent of total billed charges		5995	33.3			Percent of total billed charges		1996.335	33.3			Percent of total billed charges		1996.335	100			Percent of total billed charges		5995	1996.335	5395.5	
hydroset 397010 stryker	278	RC	Outpatient			5998	3898.7		90			Percent of total billed charges		5398.2	40			Percent of total billed charges		2399.2	80			Percent of total billed charges		4798.4	90			Percent of total billed charges		5398.2	85			Percent of total billed charges		5098.3	85			Percent of total billed charges		5098.3	85			Percent of total billed charges		5098.3	100			Percent of total billed charges		5998	100			Percent of total billed charges		5998	100			Percent of total billed charges		5998	33.3			Percent of total billed charges		1997.334	33.3			Percent of total billed charges		1997.334	100			Percent of total billed charges		5998	1997.334	5398.2	
stryker hydroset	278	RC	Outpatient			5998	3898.7		90			Percent of total billed charges		5398.2	40			Percent of total billed charges		2399.2	80			Percent of total billed charges		4798.4	90			Percent of total billed charges		5398.2	85			Percent of total billed charges		5098.3	85			Percent of total billed charges		5098.3	85			Percent of total billed charges		5098.3	100			Percent of total billed charges		5998	100			Percent of total billed charges		5998	100			Percent of total billed charges		5998	33.3			Percent of total billed charges		1997.334	33.3			Percent of total billed charges		1997.334	100			Percent of total billed charges		5998	1997.334	5398.2	
stryker trit cup cluster	278	RC	Outpatient			6003	3901.95		90			Percent of total billed charges		5402.7	40			Percent of total billed charges		2401.2	80			Percent of total billed charges		4802.4	90			Percent of total billed charges		5402.7	85			Percent of total billed charges		5102.55	85			Percent of total billed charges		5102.55	85			Percent of total billed charges		5102.55	100			Percent of total billed charges		6003	100			Percent of total billed charges		6003	100			Percent of total billed charges		6003	33.3			Percent of total billed charges		1998.999	33.3			Percent of total billed charges		1998.999	100			Percent of total billed charges		6003	1998.999	5402.7	
tritanium hemispherical cluster hole shell  502-03-50d stryker	278	RC	Outpatient			6003	3901.95		90			Percent of total billed charges		5402.7	40			Percent of total billed charges		2401.2	80			Percent of total billed charges		4802.4	90			Percent of total billed charges		5402.7	85			Percent of total billed charges		5102.55	85			Percent of total billed charges		5102.55	85			Percent of total billed charges		5102.55	100			Percent of total billed charges		6003	100			Percent of total billed charges		6003	100			Percent of total billed charges		6003	33.3			Percent of total billed charges		1998.999	33.3			Percent of total billed charges		1998.999	100			Percent of total billed charges		6003	1998.999	5402.7	
tritanium hemispherical cluster hole shell  502-03-52d stryker	278	RC	Outpatient			6003	3901.95		90			Percent of total billed charges		5402.7	40			Percent of total billed charges		2401.2	80			Percent of total billed charges		4802.4	90			Percent of total billed charges		5402.7	85			Percent of total billed charges		5102.55	85			Percent of total billed charges		5102.55	85			Percent of total billed charges		5102.55	100			Percent of total billed charges		6003	100			Percent of total billed charges		6003	100			Percent of total billed charges		6003	33.3			Percent of total billed charges		1998.999	33.3			Percent of total billed charges		1998.999	100			Percent of total billed charges		6003	1998.999	5402.7	
tritanium hemispherical cluster hole shell  54 mm 502-03-54e stryker	278	RC	Outpatient			6003	3901.95		90			Percent of total billed charges		5402.7	40			Percent of total billed charges		2401.2	80			Percent of total billed charges		4802.4	90			Percent of total billed charges		5402.7	85			Percent of total billed charges		5102.55	85			Percent of total billed charges		5102.55	85			Percent of total billed charges		5102.55	100			Percent of total billed charges		6003	100			Percent of total billed charges		6003	100			Percent of total billed charges		6003	33.3			Percent of total billed charges		1998.999	33.3			Percent of total billed charges		1998.999	100			Percent of total billed charges		6003	1998.999	5402.7	
tritanium hemispherical cluster hole shell  58 mm 502-03-58f stryker	278	RC	Outpatient			6003	3901.95		90			Percent of total billed charges		5402.7	40			Percent of total billed charges		2401.2	80			Percent of total billed charges		4802.4	90			Percent of total billed charges		5402.7	85			Percent of total billed charges		5102.55	85			Percent of total billed charges		5102.55	85			Percent of total billed charges		5102.55	100			Percent of total billed charges		6003	100			Percent of total billed charges		6003	100			Percent of total billed charges		6003	33.3			Percent of total billed charges		1998.999	33.3			Percent of total billed charges		1998.999	100			Percent of total billed charges		6003	1998.999	5402.7	
tritanium hemispherical cluster hole shell  60 mm 502-03-60f stryker	278	RC	Outpatient			6003	3901.95		90			Percent of total billed charges		5402.7	40			Percent of total billed charges		2401.2	80			Percent of total billed charges		4802.4	90			Percent of total billed charges		5402.7	85			Percent of total billed charges		5102.55	85			Percent of total billed charges		5102.55	85			Percent of total billed charges		5102.55	100			Percent of total billed charges		6003	100			Percent of total billed charges		6003	100			Percent of total billed charges		6003	33.3			Percent of total billed charges		1998.999	33.3			Percent of total billed charges		1998.999	100			Percent of total billed charges		6003	1998.999	5402.7	
tritanium hemispherical cluster hole shell  62 mm 502-03-62g stryker	278	RC	Outpatient			6003	3901.95		90			Percent of total billed charges		5402.7	40			Percent of total billed charges		2401.2	80			Percent of total billed charges		4802.4	90			Percent of total billed charges		5402.7	85			Percent of total billed charges		5102.55	85			Percent of total billed charges		5102.55	85			Percent of total billed charges		5102.55	100			Percent of total billed charges		6003	100			Percent of total billed charges		6003	100			Percent of total billed charges		6003	33.3			Percent of total billed charges		1998.999	33.3			Percent of total billed charges		1998.999	100			Percent of total billed charges		6003	1998.999	5402.7	
tritanium hemispherical cluster hole shell  48mm 502-03-48c stryker	278	RC	Outpatient			6003	3901.95		90			Percent of total billed charges		5402.7	40			Percent of total billed charges		2401.2	80			Percent of total billed charges		4802.4	90			Percent of total billed charges		5402.7	85			Percent of total billed charges		5102.55	85			Percent of total billed charges		5102.55	85			Percent of total billed charges		5102.55	100			Percent of total billed charges		6003	100			Percent of total billed charges		6003	100			Percent of total billed charges		6003	33.3			Percent of total billed charges		1998.999	33.3			Percent of total billed charges		1998.999	100			Percent of total billed charges		6003	1998.999	5402.7	
tritanium hemispherical cluster hole shell  56 mm 502-03-56e stryker	278	RC	Outpatient			6003	3901.95		90			Percent of total billed charges		5402.7	40			Percent of total billed charges		2401.2	80			Percent of total billed charges		4802.4	90			Percent of total billed charges		5402.7	85			Percent of total billed charges		5102.55	85			Percent of total billed charges		5102.55	85			Percent of total billed charges		5102.55	100			Percent of total billed charges		6003	100			Percent of total billed charges		6003	100			Percent of total billed charges		6003	33.3			Percent of total billed charges		1998.999	33.3			Percent of total billed charges		1998.999	100			Percent of total billed charges		6003	1998.999	5402.7	
cath lab icd/aicd  insertion	360	RC	Outpatient			6004	3902.6		90			Percent of total billed charges		5403.6	40			Percent of total billed charges		2401.6	80			Percent of total billed charges		4803.2	90			Percent of total billed charges		5403.6	85			Percent of total billed charges		5103.4	85			Percent of total billed charges		5103.4	85			Percent of total billed charges		5103.4	100			Percent of total billed charges		6004	100			Percent of total billed charges		6004	100			Percent of total billed charges		6004	33.3			Percent of total billed charges		1999.332	33.3			Percent of total billed charges		1999.332	100			Percent of total billed charges		6004	1999.332	5403.6	
cath lab icd/aicd bi-v insertion	360	RC	Outpatient			6004	3902.6		90			Percent of total billed charges		5403.6	40			Percent of total billed charges		2401.6	80			Percent of total billed charges		4803.2	90			Percent of total billed charges		5403.6	85			Percent of total billed charges		5103.4	85			Percent of total billed charges		5103.4	85			Percent of total billed charges		5103.4	100			Percent of total billed charges		6004	100			Percent of total billed charges		6004	100			Percent of total billed charges		6004	33.3			Percent of total billed charges		1999.332	33.3			Percent of total billed charges		1999.332	100			Percent of total billed charges		6004	1999.332	5403.6	
oxinium uni femoral implant lge 71245033 s/n	278	RC	Outpatient			6007	3904.55		90			Percent of total billed charges		5406.3	40			Percent of total billed charges		2402.8	80			Percent of total billed charges		4805.6	90			Percent of total billed charges		5406.3	85			Percent of total billed charges		5105.95	85			Percent of total billed charges		5105.95	85			Percent of total billed charges		5105.95	100			Percent of total billed charges		6007	100			Percent of total billed charges		6007	100			Percent of total billed charges		6007	33.3			Percent of total billed charges		2000.331	33.3			Percent of total billed charges		2000.331	100			Percent of total billed charges		6007	2000.331	5406.3	
oxinium uni fem implant mag  plus 71245036 s/n	278	RC	Outpatient			6007	3904.55		90			Percent of total billed charges		5406.3	40			Percent of total billed charges		2402.8	80			Percent of total billed charges		4805.6	90			Percent of total billed charges		5406.3	85			Percent of total billed charges		5105.95	85			Percent of total billed charges		5105.95	85			Percent of total billed charges		5105.95	100			Percent of total billed charges		6007	100			Percent of total billed charges		6007	100			Percent of total billed charges		6007	33.3			Percent of total billed charges		2000.331	33.3			Percent of total billed charges		2000.331	100			Percent of total billed charges		6007	2000.331	5406.3	
oxinium uni femoral implant mag 71245035 s/n	278	RC	Outpatient			6007	3904.55		90			Percent of total billed charges		5406.3	40			Percent of total billed charges		2402.8	80			Percent of total billed charges		4805.6	90			Percent of total billed charges		5406.3	85			Percent of total billed charges		5105.95	85			Percent of total billed charges		5105.95	85			Percent of total billed charges		5105.95	100			Percent of total billed charges		6007	100			Percent of total billed charges		6007	100			Percent of total billed charges		6007	33.3			Percent of total billed charges		2000.331	33.3			Percent of total billed charges		2000.331	100			Percent of total billed charges		6007	2000.331	5406.3	
oxinium uni femoral implant med 71245032 s/n	278	RC	Outpatient			6007	3904.55		90			Percent of total billed charges		5406.3	40			Percent of total billed charges		2402.8	80			Percent of total billed charges		4805.6	90			Percent of total billed charges		5406.3	85			Percent of total billed charges		5105.95	85			Percent of total billed charges		5105.95	85			Percent of total billed charges		5105.95	100			Percent of total billed charges		6007	100			Percent of total billed charges		6007	100			Percent of total billed charges		6007	33.3			Percent of total billed charges		2000.331	33.3			Percent of total billed charges		2000.331	100			Percent of total billed charges		6007	2000.331	5406.3	
oxinium uni femoral implant sm 71245031 s/n	278	RC	Outpatient			6007	3904.55		90			Percent of total billed charges		5406.3	40			Percent of total billed charges		2402.8	80			Percent of total billed charges		4805.6	90			Percent of total billed charges		5406.3	85			Percent of total billed charges		5105.95	85			Percent of total billed charges		5105.95	85			Percent of total billed charges		5105.95	100			Percent of total billed charges		6007	100			Percent of total billed charges		6007	100			Percent of total billed charges		6007	33.3			Percent of total billed charges		2000.331	33.3			Percent of total billed charges		2000.331	100			Percent of total billed charges		6007	2000.331	5406.3	
oxinium uni femoral implant x-lg 71245034 s/n	278	RC	Outpatient			6007	3904.55		90			Percent of total billed charges		5406.3	40			Percent of total billed charges		2402.8	80			Percent of total billed charges		4805.6	90			Percent of total billed charges		5406.3	85			Percent of total billed charges		5105.95	85			Percent of total billed charges		5105.95	85			Percent of total billed charges		5105.95	100			Percent of total billed charges		6007	100			Percent of total billed charges		6007	100			Percent of total billed charges		6007	33.3			Percent of total billed charges		2000.331	33.3			Percent of total billed charges		2000.331	100			Percent of total billed charges		6007	2000.331	5406.3	
oxinium uni femoral implant x-sm 71245030 s/n	278	RC	Outpatient			6007	3904.55		90			Percent of total billed charges		5406.3	40			Percent of total billed charges		2402.8	80			Percent of total billed charges		4805.6	90			Percent of total billed charges		5406.3	85			Percent of total billed charges		5105.95	85			Percent of total billed charges		5105.95	85			Percent of total billed charges		5105.95	100			Percent of total billed charges		6007	100			Percent of total billed charges		6007	100			Percent of total billed charges		6007	33.3			Percent of total billed charges		2000.331	33.3			Percent of total billed charges		2000.331	100			Percent of total billed charges		6007	2000.331	5406.3	
uni fem comp oxinium	278	RC	Outpatient			6007	3904.55		90			Percent of total billed charges		5406.3	40			Percent of total billed charges		2402.8	80			Percent of total billed charges		4805.6	90			Percent of total billed charges		5406.3	85			Percent of total billed charges		5105.95	85			Percent of total billed charges		5105.95	85			Percent of total billed charges		5105.95	100			Percent of total billed charges		6007	100			Percent of total billed charges		6007	100			Percent of total billed charges		6007	33.3			Percent of total billed charges		2000.331	33.3			Percent of total billed charges		2000.331	100			Percent of total billed charges		6007	2000.331	5406.3	
biomet vanguard fem comp lt 57.5 183122	278	RC	Outpatient			6014	3909.1		90			Percent of total billed charges		5412.6	40			Percent of total billed charges		2405.6	80			Percent of total billed charges		4811.2	90			Percent of total billed charges		5412.6	85			Percent of total billed charges		5111.9	85			Percent of total billed charges		5111.9	85			Percent of total billed charges		5111.9	100			Percent of total billed charges		6014	100			Percent of total billed charges		6014	100			Percent of total billed charges		6014	33.3			Percent of total billed charges		2002.662	33.3			Percent of total billed charges		2002.662	100			Percent of total billed charges		6014	2002.662	5412.6	
biomet vanguard fem comp lt 60 183124	278	RC	Outpatient			6014	3909.1		90			Percent of total billed charges		5412.6	40			Percent of total billed charges		2405.6	80			Percent of total billed charges		4811.2	90			Percent of total billed charges		5412.6	85			Percent of total billed charges		5111.9	85			Percent of total billed charges		5111.9	85			Percent of total billed charges		5111.9	100			Percent of total billed charges		6014	100			Percent of total billed charges		6014	100			Percent of total billed charges		6014	33.3			Percent of total billed charges		2002.662	33.3			Percent of total billed charges		2002.662	100			Percent of total billed charges		6014	2002.662	5412.6	
biomet vanguard fem comp lt 62.5 183126	278	RC	Outpatient			6014	3909.1		90			Percent of total billed charges		5412.6	40			Percent of total billed charges		2405.6	80			Percent of total billed charges		4811.2	90			Percent of total billed charges		5412.6	85			Percent of total billed charges		5111.9	85			Percent of total billed charges		5111.9	85			Percent of total billed charges		5111.9	100			Percent of total billed charges		6014	100			Percent of total billed charges		6014	100			Percent of total billed charges		6014	33.3			Percent of total billed charges		2002.662	33.3			Percent of total billed charges		2002.662	100			Percent of total billed charges		6014	2002.662	5412.6	
biomet vanguard fem comp lt 75 183134	278	RC	Outpatient			6014	3909.1		90			Percent of total billed charges		5412.6	40			Percent of total billed charges		2405.6	80			Percent of total billed charges		4811.2	90			Percent of total billed charges		5412.6	85			Percent of total billed charges		5111.9	85			Percent of total billed charges		5111.9	85			Percent of total billed charges		5111.9	100			Percent of total billed charges		6014	100			Percent of total billed charges		6014	100			Percent of total billed charges		6014	33.3			Percent of total billed charges		2002.662	33.3			Percent of total billed charges		2002.662	100			Percent of total billed charges		6014	2002.662	5412.6	
biomet vanguard fem comp rt 57.5 183102	278	RC	Outpatient			6014	3909.1		90			Percent of total billed charges		5412.6	40			Percent of total billed charges		2405.6	80			Percent of total billed charges		4811.2	90			Percent of total billed charges		5412.6	85			Percent of total billed charges		5111.9	85			Percent of total billed charges		5111.9	85			Percent of total billed charges		5111.9	100			Percent of total billed charges		6014	100			Percent of total billed charges		6014	100			Percent of total billed charges		6014	33.3			Percent of total billed charges		2002.662	33.3			Percent of total billed charges		2002.662	100			Percent of total billed charges		6014	2002.662	5412.6	
biomet vanguard fem comp rt 60 183104	278	RC	Outpatient			6014	3909.1		90			Percent of total billed charges		5412.6	40			Percent of total billed charges		2405.6	80			Percent of total billed charges		4811.2	90			Percent of total billed charges		5412.6	85			Percent of total billed charges		5111.9	85			Percent of total billed charges		5111.9	85			Percent of total billed charges		5111.9	100			Percent of total billed charges		6014	100			Percent of total billed charges		6014	100			Percent of total billed charges		6014	33.3			Percent of total billed charges		2002.662	33.3			Percent of total billed charges		2002.662	100			Percent of total billed charges		6014	2002.662	5412.6	
biomet vanguard fem comp rt 62.5 183106	278	RC	Outpatient			6014	3909.1		90			Percent of total billed charges		5412.6	40			Percent of total billed charges		2405.6	80			Percent of total billed charges		4811.2	90			Percent of total billed charges		5412.6	85			Percent of total billed charges		5111.9	85			Percent of total billed charges		5111.9	85			Percent of total billed charges		5111.9	100			Percent of total billed charges		6014	100			Percent of total billed charges		6014	100			Percent of total billed charges		6014	33.3			Percent of total billed charges		2002.662	33.3			Percent of total billed charges		2002.662	100			Percent of total billed charges		6014	2002.662	5412.6	
biomet vanguard fem comp rt 67.5 183110	278	RC	Outpatient			6014	3909.1		90			Percent of total billed charges		5412.6	40			Percent of total billed charges		2405.6	80			Percent of total billed charges		4811.2	90			Percent of total billed charges		5412.6	85			Percent of total billed charges		5111.9	85			Percent of total billed charges		5111.9	85			Percent of total billed charges		5111.9	100			Percent of total billed charges		6014	100			Percent of total billed charges		6014	100			Percent of total billed charges		6014	33.3			Percent of total billed charges		2002.662	33.3			Percent of total billed charges		2002.662	100			Percent of total billed charges		6014	2002.662	5412.6	
biomet vanguard fem comp rt 80 183116	278	RC	Outpatient			6014	3909.1		90			Percent of total billed charges		5412.6	40			Percent of total billed charges		2405.6	80			Percent of total billed charges		4811.2	90			Percent of total billed charges		5412.6	85			Percent of total billed charges		5111.9	85			Percent of total billed charges		5111.9	85			Percent of total billed charges		5111.9	100			Percent of total billed charges		6014	100			Percent of total billed charges		6014	100			Percent of total billed charges		6014	33.3			Percent of total billed charges		2002.662	33.3			Percent of total billed charges		2002.662	100			Percent of total billed charges		6014	2002.662	5412.6	
biomet vanguard fem comp lt 55 183120	278	RC	Outpatient			6014	3909.1		90			Percent of total billed charges		5412.6	40			Percent of total billed charges		2405.6	80			Percent of total billed charges		4811.2	90			Percent of total billed charges		5412.6	85			Percent of total billed charges		5111.9	85			Percent of total billed charges		5111.9	85			Percent of total billed charges		5111.9	100			Percent of total billed charges		6014	100			Percent of total billed charges		6014	100			Percent of total billed charges		6014	33.3			Percent of total billed charges		2002.662	33.3			Percent of total billed charges		2002.662	100			Percent of total billed charges		6014	2002.662	5412.6	
biomet vanguard fem comp lt 65 183128	278	RC	Outpatient			6014	3909.1		90			Percent of total billed charges		5412.6	40			Percent of total billed charges		2405.6	80			Percent of total billed charges		4811.2	90			Percent of total billed charges		5412.6	85			Percent of total billed charges		5111.9	85			Percent of total billed charges		5111.9	85			Percent of total billed charges		5111.9	100			Percent of total billed charges		6014	100			Percent of total billed charges		6014	100			Percent of total billed charges		6014	33.3			Percent of total billed charges		2002.662	33.3			Percent of total billed charges		2002.662	100			Percent of total billed charges		6014	2002.662	5412.6	
biomet vanguard fem comp lt 67.5 183130	278	RC	Outpatient			6014	3909.1		90			Percent of total billed charges		5412.6	40			Percent of total billed charges		2405.6	80			Percent of total billed charges		4811.2	90			Percent of total billed charges		5412.6	85			Percent of total billed charges		5111.9	85			Percent of total billed charges		5111.9	85			Percent of total billed charges		5111.9	100			Percent of total billed charges		6014	100			Percent of total billed charges		6014	100			Percent of total billed charges		6014	33.3			Percent of total billed charges		2002.662	33.3			Percent of total billed charges		2002.662	100			Percent of total billed charges		6014	2002.662	5412.6	
biomet vanguard fem comp lt 70 183132	278	RC	Outpatient			6014	3909.1		90			Percent of total billed charges		5412.6	40			Percent of total billed charges		2405.6	80			Percent of total billed charges		4811.2	90			Percent of total billed charges		5412.6	85			Percent of total billed charges		5111.9	85			Percent of total billed charges		5111.9	85			Percent of total billed charges		5111.9	100			Percent of total billed charges		6014	100			Percent of total billed charges		6014	100			Percent of total billed charges		6014	33.3			Percent of total billed charges		2002.662	33.3			Percent of total billed charges		2002.662	100			Percent of total billed charges		6014	2002.662	5412.6	
biomet vanguard fem comp lt 72.5 183133	278	RC	Outpatient			6014	3909.1		90			Percent of total billed charges		5412.6	40			Percent of total billed charges		2405.6	80			Percent of total billed charges		4811.2	90			Percent of total billed charges		5412.6	85			Percent of total billed charges		5111.9	85			Percent of total billed charges		5111.9	85			Percent of total billed charges		5111.9	100			Percent of total billed charges		6014	100			Percent of total billed charges		6014	100			Percent of total billed charges		6014	33.3			Percent of total billed charges		2002.662	33.3			Percent of total billed charges		2002.662	100			Percent of total billed charges		6014	2002.662	5412.6	
biomet vanguard fem comp rt 55 183100	278	RC	Outpatient			6014	3909.1		90			Percent of total billed charges		5412.6	40			Percent of total billed charges		2405.6	80			Percent of total billed charges		4811.2	90			Percent of total billed charges		5412.6	85			Percent of total billed charges		5111.9	85			Percent of total billed charges		5111.9	85			Percent of total billed charges		5111.9	100			Percent of total billed charges		6014	100			Percent of total billed charges		6014	100			Percent of total billed charges		6014	33.3			Percent of total billed charges		2002.662	33.3			Percent of total billed charges		2002.662	100			Percent of total billed charges		6014	2002.662	5412.6	
biomet vanguard fem comp rt 65 183108	278	RC	Outpatient			6014	3909.1		90			Percent of total billed charges		5412.6	40			Percent of total billed charges		2405.6	80			Percent of total billed charges		4811.2	90			Percent of total billed charges		5412.6	85			Percent of total billed charges		5111.9	85			Percent of total billed charges		5111.9	85			Percent of total billed charges		5111.9	100			Percent of total billed charges		6014	100			Percent of total billed charges		6014	100			Percent of total billed charges		6014	33.3			Percent of total billed charges		2002.662	33.3			Percent of total billed charges		2002.662	100			Percent of total billed charges		6014	2002.662	5412.6	
biomet vanguard fem comp rt 75 183114	278	RC	Outpatient			6014	3909.1		90			Percent of total billed charges		5412.6	40			Percent of total billed charges		2405.6	80			Percent of total billed charges		4811.2	90			Percent of total billed charges		5412.6	85			Percent of total billed charges		5111.9	85			Percent of total billed charges		5111.9	85			Percent of total billed charges		5111.9	100			Percent of total billed charges		6014	100			Percent of total billed charges		6014	100			Percent of total billed charges		6014	33.3			Percent of total billed charges		2002.662	33.3			Percent of total billed charges		2002.662	100			Percent of total billed charges		6014	2002.662	5412.6	
vanguard fem comp rt 70 183112 biomet	278	RC	Outpatient			6014	3909.1		90			Percent of total billed charges		5412.6	40			Percent of total billed charges		2405.6	80			Percent of total billed charges		4811.2	90			Percent of total billed charges		5412.6	85			Percent of total billed charges		5111.9	85			Percent of total billed charges		5111.9	85			Percent of total billed charges		5111.9	100			Percent of total billed charges		6014	100			Percent of total billed charges		6014	100			Percent of total billed charges		6014	33.3			Percent of total billed charges		2002.662	33.3			Percent of total billed charges		2002.662	100			Percent of total billed charges		6014	2002.662	5412.6	
cath lab icd generator change	360	RC	Outpatient			6017	3911.05		90			Percent of total billed charges		5415.3	40			Percent of total billed charges		2406.8	80			Percent of total billed charges		4813.6	90			Percent of total billed charges		5415.3	85			Percent of total billed charges		5114.45	85			Percent of total billed charges		5114.45	85			Percent of total billed charges		5114.45	100			Percent of total billed charges		6017	100			Percent of total billed charges		6017	100			Percent of total billed charges		6017	33.3			Percent of total billed charges		2003.661	33.3			Percent of total billed charges		2003.661	100			Percent of total billed charges		6017	2003.661	5415.3	
cath lab bi-v generator change	360	RC	Outpatient			6017	3911.05		90			Percent of total billed charges		5415.3	40			Percent of total billed charges		2406.8	80			Percent of total billed charges		4813.6	90			Percent of total billed charges		5415.3	85			Percent of total billed charges		5114.45	85			Percent of total billed charges		5114.45	85			Percent of total billed charges		5114.45	100			Percent of total billed charges		6017	100			Percent of total billed charges		6017	100			Percent of total billed charges		6017	33.3			Percent of total billed charges		2003.661	33.3			Percent of total billed charges		2003.661	100			Percent of total billed charges		6017	2003.661	5415.3	
"cath lab pacemaker gen. change only ppm, icd, bi-v"	360	RC	Outpatient			6017	3911.05		90			Percent of total billed charges		5415.3	40			Percent of total billed charges		2406.8	80			Percent of total billed charges		4813.6	90			Percent of total billed charges		5415.3	85			Percent of total billed charges		5114.45	85			Percent of total billed charges		5114.45	85			Percent of total billed charges		5114.45	100			Percent of total billed charges		6017	100			Percent of total billed charges		6017	100			Percent of total billed charges		6017	33.3			Percent of total billed charges		2003.661	33.3			Percent of total billed charges		2003.661	100			Percent of total billed charges		6017	2003.661	5415.3	
t2 imsupracond nail	278	RC	Outpatient			6029	3918.85		90			Percent of total billed charges		5426.1	40			Percent of total billed charges		2411.6	80			Percent of total billed charges		4823.2	90			Percent of total billed charges		5426.1	85			Percent of total billed charges		5124.65	85			Percent of total billed charges		5124.65	85			Percent of total billed charges		5124.65	100			Percent of total billed charges		6029	100			Percent of total billed charges		6029	100			Percent of total billed charges		6029	33.3			Percent of total billed charges		2007.657	33.3			Percent of total billed charges		2007.657	100			Percent of total billed charges		6029	2007.657	5426.1	
t2 scn supracondylar nail 10 x 280mm 1826-1028s stryker	278	RC	Outpatient			6029	3918.85		90			Percent of total billed charges		5426.1	40			Percent of total billed charges		2411.6	80			Percent of total billed charges		4823.2	90			Percent of total billed charges		5426.1	85			Percent of total billed charges		5124.65	85			Percent of total billed charges		5124.65	85			Percent of total billed charges		5124.65	100			Percent of total billed charges		6029	100			Percent of total billed charges		6029	100			Percent of total billed charges		6029	33.3			Percent of total billed charges		2007.657	33.3			Percent of total billed charges		2007.657	100			Percent of total billed charges		6029	2007.657	5426.1	
t2 scn supracondylar nail 11 x 200mm 1826-1120s stryker	278	RC	Outpatient			6029	3918.85		90			Percent of total billed charges		5426.1	40			Percent of total billed charges		2411.6	80			Percent of total billed charges		4823.2	90			Percent of total billed charges		5426.1	85			Percent of total billed charges		5124.65	85			Percent of total billed charges		5124.65	85			Percent of total billed charges		5124.65	100			Percent of total billed charges		6029	100			Percent of total billed charges		6029	100			Percent of total billed charges		6029	33.3			Percent of total billed charges		2007.657	33.3			Percent of total billed charges		2007.657	100			Percent of total billed charges		6029	2007.657	5426.1	
t2 scn supracondylar nail 12 x 200mm 1826-1220s stryker	278	RC	Outpatient			6029	3918.85		90			Percent of total billed charges		5426.1	40			Percent of total billed charges		2411.6	80			Percent of total billed charges		4823.2	90			Percent of total billed charges		5426.1	85			Percent of total billed charges		5124.65	85			Percent of total billed charges		5124.65	85			Percent of total billed charges		5124.65	100			Percent of total billed charges		6029	100			Percent of total billed charges		6029	100			Percent of total billed charges		6029	33.3			Percent of total billed charges		2007.657	33.3			Percent of total billed charges		2007.657	100			Percent of total billed charges		6029	2007.657	5426.1	
t2 scn supracondylar nail 12 x 340mm 1826-1234s stryker	278	RC	Outpatient			6029	3918.85		90			Percent of total billed charges		5426.1	40			Percent of total billed charges		2411.6	80			Percent of total billed charges		4823.2	90			Percent of total billed charges		5426.1	85			Percent of total billed charges		5124.65	85			Percent of total billed charges		5124.65	85			Percent of total billed charges		5124.65	100			Percent of total billed charges		6029	100			Percent of total billed charges		6029	100			Percent of total billed charges		6029	33.3			Percent of total billed charges		2007.657	33.3			Percent of total billed charges		2007.657	100			Percent of total billed charges		6029	2007.657	5426.1	
t2 scn supracondylar nail 12 x 380mm 1826-1238s stryker	278	RC	Outpatient			6029	3918.85		90			Percent of total billed charges		5426.1	40			Percent of total billed charges		2411.6	80			Percent of total billed charges		4823.2	90			Percent of total billed charges		5426.1	85			Percent of total billed charges		5124.65	85			Percent of total billed charges		5124.65	85			Percent of total billed charges		5124.65	100			Percent of total billed charges		6029	100			Percent of total billed charges		6029	100			Percent of total billed charges		6029	33.3			Percent of total billed charges		2007.657	33.3			Percent of total billed charges		2007.657	100			Percent of total billed charges		6029	2007.657	5426.1	
t2 scn supracondylar nail 13 x 200mm 1826-1320s stryker	278	RC	Outpatient			6029	3918.85		90			Percent of total billed charges		5426.1	40			Percent of total billed charges		2411.6	80			Percent of total billed charges		4823.2	90			Percent of total billed charges		5426.1	85			Percent of total billed charges		5124.65	85			Percent of total billed charges		5124.65	85			Percent of total billed charges		5124.65	100			Percent of total billed charges		6029	100			Percent of total billed charges		6029	100			Percent of total billed charges		6029	33.3			Percent of total billed charges		2007.657	33.3			Percent of total billed charges		2007.657	100			Percent of total billed charges		6029	2007.657	5426.1	
t2 scn supracondylar nail 14 x 360mm 1826-1436s stryker	278	RC	Outpatient			6029	3918.85		90			Percent of total billed charges		5426.1	40			Percent of total billed charges		2411.6	80			Percent of total billed charges		4823.2	90			Percent of total billed charges		5426.1	85			Percent of total billed charges		5124.65	85			Percent of total billed charges		5124.65	85			Percent of total billed charges		5124.65	100			Percent of total billed charges		6029	100			Percent of total billed charges		6029	100			Percent of total billed charges		6029	33.3			Percent of total billed charges		2007.657	33.3			Percent of total billed charges		2007.657	100			Percent of total billed charges		6029	2007.657	5426.1	
t2 scn supracondylar nail 14 x 380mm 1826-1338s stryker	278	RC	Outpatient			6029	3918.85		90			Percent of total billed charges		5426.1	40			Percent of total billed charges		2411.6	80			Percent of total billed charges		4823.2	90			Percent of total billed charges		5426.1	85			Percent of total billed charges		5124.65	85			Percent of total billed charges		5124.65	85			Percent of total billed charges		5124.65	100			Percent of total billed charges		6029	100			Percent of total billed charges		6029	100			Percent of total billed charges		6029	33.3			Percent of total billed charges		2007.657	33.3			Percent of total billed charges		2007.657	100			Percent of total billed charges		6029	2007.657	5426.1	
t2 scn supracondylar nail 14 x 420mm 1826-1442s stryker	278	RC	Outpatient			6029	3918.85		90			Percent of total billed charges		5426.1	40			Percent of total billed charges		2411.6	80			Percent of total billed charges		4823.2	90			Percent of total billed charges		5426.1	85			Percent of total billed charges		5124.65	85			Percent of total billed charges		5124.65	85			Percent of total billed charges		5124.65	100			Percent of total billed charges		6029	100			Percent of total billed charges		6029	100			Percent of total billed charges		6029	33.3			Percent of total billed charges		2007.657	33.3			Percent of total billed charges		2007.657	100			Percent of total billed charges		6029	2007.657	5426.1	
t2 scn supracondylar nail 10 x 380mm 1826-1038s stryker	278	RC	Outpatient			6029	3918.85		90			Percent of total billed charges		5426.1	40			Percent of total billed charges		2411.6	80			Percent of total billed charges		4823.2	90			Percent of total billed charges		5426.1	85			Percent of total billed charges		5124.65	85			Percent of total billed charges		5124.65	85			Percent of total billed charges		5124.65	100			Percent of total billed charges		6029	100			Percent of total billed charges		6029	100			Percent of total billed charges		6029	33.3			Percent of total billed charges		2007.657	33.3			Percent of total billed charges		2007.657	100			Percent of total billed charges		6029	2007.657	5426.1	
t2 scn supracondylar nail 14 x 200mm 1826-1420s stryker	278	RC	Outpatient			6029	3918.85		90			Percent of total billed charges		5426.1	40			Percent of total billed charges		2411.6	80			Percent of total billed charges		4823.2	90			Percent of total billed charges		5426.1	85			Percent of total billed charges		5124.65	85			Percent of total billed charges		5124.65	85			Percent of total billed charges		5124.65	100			Percent of total billed charges		6029	100			Percent of total billed charges		6029	100			Percent of total billed charges		6029	33.3			Percent of total billed charges		2007.657	33.3			Percent of total billed charges		2007.657	100			Percent of total billed charges		6029	2007.657	5426.1	
t2 scn supracondylar nail 14 x 300mm 1826-1430s stryker	278	RC	Outpatient			6029	3918.85		90			Percent of total billed charges		5426.1	40			Percent of total billed charges		2411.6	80			Percent of total billed charges		4823.2	90			Percent of total billed charges		5426.1	85			Percent of total billed charges		5124.65	85			Percent of total billed charges		5124.65	85			Percent of total billed charges		5124.65	100			Percent of total billed charges		6029	100			Percent of total billed charges		6029	100			Percent of total billed charges		6029	33.3			Percent of total billed charges		2007.657	33.3			Percent of total billed charges		2007.657	100			Percent of total billed charges		6029	2007.657	5426.1	
t2 scn supracondylar nail 14 x 320mm 1826-1432s stryker	278	RC	Outpatient			6029	3918.85		90			Percent of total billed charges		5426.1	40			Percent of total billed charges		2411.6	80			Percent of total billed charges		4823.2	90			Percent of total billed charges		5426.1	85			Percent of total billed charges		5124.65	85			Percent of total billed charges		5124.65	85			Percent of total billed charges		5124.65	100			Percent of total billed charges		6029	100			Percent of total billed charges		6029	100			Percent of total billed charges		6029	33.3			Percent of total billed charges		2007.657	33.3			Percent of total billed charges		2007.657	100			Percent of total billed charges		6029	2007.657	5426.1	
t2 scn supracondylar nail 14 x 380mm 1826-1438s stryker	278	RC	Outpatient			6029	3918.85		90			Percent of total billed charges		5426.1	40			Percent of total billed charges		2411.6	80			Percent of total billed charges		4823.2	90			Percent of total billed charges		5426.1	85			Percent of total billed charges		5124.65	85			Percent of total billed charges		5124.65	85			Percent of total billed charges		5124.65	100			Percent of total billed charges		6029	100			Percent of total billed charges		6029	100			Percent of total billed charges		6029	33.3			Percent of total billed charges		2007.657	33.3			Percent of total billed charges		2007.657	100			Percent of total billed charges		6029	2007.657	5426.1	
t2 std tibial nail 9 x 345 1822-0934s stryker	278	RC	Outpatient			6029	3918.85		90			Percent of total billed charges		5426.1	40			Percent of total billed charges		2411.6	80			Percent of total billed charges		4823.2	90			Percent of total billed charges		5426.1	85			Percent of total billed charges		5124.65	85			Percent of total billed charges		5124.65	85			Percent of total billed charges		5124.65	100			Percent of total billed charges		6029	100			Percent of total billed charges		6029	100			Percent of total billed charges		6029	33.3			Percent of total billed charges		2007.657	33.3			Percent of total billed charges		2007.657	100			Percent of total billed charges		6029	2007.657	5426.1	
mrh tibial rotating comp 6481-2-100 stryker	278	RC	Outpatient			6054	3935.1		90			Percent of total billed charges		5448.6	40			Percent of total billed charges		2421.6	80			Percent of total billed charges		4843.2	90			Percent of total billed charges		5448.6	85			Percent of total billed charges		5145.9	85			Percent of total billed charges		5145.9	85			Percent of total billed charges		5145.9	100			Percent of total billed charges		6054	100			Percent of total billed charges		6054	100			Percent of total billed charges		6054	33.3			Percent of total billed charges		2015.982	33.3			Percent of total billed charges		2015.982	100			Percent of total billed charges		6054	2015.982	5448.6	
stryker tib comp rot	278	RC	Outpatient			6054	3935.1		90			Percent of total billed charges		5448.6	40			Percent of total billed charges		2421.6	80			Percent of total billed charges		4843.2	90			Percent of total billed charges		5448.6	85			Percent of total billed charges		5145.9	85			Percent of total billed charges		5145.9	85			Percent of total billed charges		5145.9	100			Percent of total billed charges		6054	100			Percent of total billed charges		6054	100			Percent of total billed charges		6054	33.3			Percent of total billed charges		2015.982	33.3			Percent of total billed charges		2015.982	100			Percent of total billed charges		6054	2015.982	5448.6	
rest mod hip system 155 x 14mm 6276-7-014 stryker	278	RC	Outpatient			6064	3941.6		90			Percent of total billed charges		5457.6	40			Percent of total billed charges		2425.6	80			Percent of total billed charges		4851.2	90			Percent of total billed charges		5457.6	85			Percent of total billed charges		5154.4	85			Percent of total billed charges		5154.4	85			Percent of total billed charges		5154.4	100			Percent of total billed charges		6064	100			Percent of total billed charges		6064	100			Percent of total billed charges		6064	33.3			Percent of total billed charges		2019.312	33.3			Percent of total billed charges		2019.312	100			Percent of total billed charges		6064	2019.312	5457.6	
rest mod hip system 155 x 17mm 6276-7-017 stryker	278	RC	Outpatient			6064	3941.6		90			Percent of total billed charges		5457.6	40			Percent of total billed charges		2425.6	80			Percent of total billed charges		4851.2	90			Percent of total billed charges		5457.6	85			Percent of total billed charges		5154.4	85			Percent of total billed charges		5154.4	85			Percent of total billed charges		5154.4	100			Percent of total billed charges		6064	100			Percent of total billed charges		6064	100			Percent of total billed charges		6064	33.3			Percent of total billed charges		2019.312	33.3			Percent of total billed charges		2019.312	100			Percent of total billed charges		6064	2019.312	5457.6	
restoration mod hip	278	RC	Outpatient			6064	3941.6		90			Percent of total billed charges		5457.6	40			Percent of total billed charges		2425.6	80			Percent of total billed charges		4851.2	90			Percent of total billed charges		5457.6	85			Percent of total billed charges		5154.4	85			Percent of total billed charges		5154.4	85			Percent of total billed charges		5154.4	100			Percent of total billed charges		6064	100			Percent of total billed charges		6064	100			Percent of total billed charges		6064	33.3			Percent of total billed charges		2019.312	33.3			Percent of total billed charges		2019.312	100			Percent of total billed charges		6064	2019.312	5457.6	
subchodroplasty knee kit 402.201 knee creations	278	RC	Outpatient			6065	3942.25		90			Percent of total billed charges		5458.5	40			Percent of total billed charges		2426	80			Percent of total billed charges		4852	90			Percent of total billed charges		5458.5	85			Percent of total billed charges		5155.25	85			Percent of total billed charges		5155.25	85			Percent of total billed charges		5155.25	100			Percent of total billed charges		6065	100			Percent of total billed charges		6065	100			Percent of total billed charges		6065	33.3			Percent of total billed charges		2019.645	33.3			Percent of total billed charges		2019.645	100			Percent of total billed charges		6065	2019.645	5458.5	
scp knee kit	278	RC	Outpatient			6065	3942.25		90			Percent of total billed charges		5458.5	40			Percent of total billed charges		2426	80			Percent of total billed charges		4852	90			Percent of total billed charges		5458.5	85			Percent of total billed charges		5155.25	85			Percent of total billed charges		5155.25	85			Percent of total billed charges		5155.25	100			Percent of total billed charges		6065	100			Percent of total billed charges		6065	100			Percent of total billed charges		6065	33.3			Percent of total billed charges		2019.645	33.3			Percent of total billed charges		2019.645	100			Percent of total billed charges		6065	2019.645	5458.5	
jet-x short cent bdy	278	RC	Outpatient			6070	3945.5		90			Percent of total billed charges		5463	40			Percent of total billed charges		2428	80			Percent of total billed charges		4856	90			Percent of total billed charges		5463	85			Percent of total billed charges		5159.5	85			Percent of total billed charges		5159.5	85			Percent of total billed charges		5159.5	100			Percent of total billed charges		6070	100			Percent of total billed charges		6070	100			Percent of total billed charges		6070	33.3			Percent of total billed charges		2021.31	33.3			Percent of total billed charges		2021.31	100			Percent of total billed charges		6070	2021.31	5463	
s/n jet-x  central body 7105-1041	278	RC	Outpatient			6070	3945.5		90			Percent of total billed charges		5463	40			Percent of total billed charges		2428	80			Percent of total billed charges		4856	90			Percent of total billed charges		5463	85			Percent of total billed charges		5159.5	85			Percent of total billed charges		5159.5	85			Percent of total billed charges		5159.5	100			Percent of total billed charges		6070	100			Percent of total billed charges		6070	100			Percent of total billed charges		6070	33.3			Percent of total billed charges		2021.31	33.3			Percent of total billed charges		2021.31	100			Percent of total billed charges		6070	2021.31	5463	
anatomic clrlss primary porous st 10mm lt 00-6600-010-21 zimmer	278	RC	Outpatient			6075	3948.75		90			Percent of total billed charges		5467.5	40			Percent of total billed charges		2430	80			Percent of total billed charges		4860	90			Percent of total billed charges		5467.5	85			Percent of total billed charges		5163.75	85			Percent of total billed charges		5163.75	85			Percent of total billed charges		5163.75	100			Percent of total billed charges		6075	100			Percent of total billed charges		6075	100			Percent of total billed charges		6075	33.3			Percent of total billed charges		2022.975	33.3			Percent of total billed charges		2022.975	100			Percent of total billed charges		6075	2022.975	5467.5	
anatomic clrlss primary porous st 10mm rt 00-6600-010-22 zimmer	278	RC	Outpatient			6075	3948.75		90			Percent of total billed charges		5467.5	40			Percent of total billed charges		2430	80			Percent of total billed charges		4860	90			Percent of total billed charges		5467.5	85			Percent of total billed charges		5163.75	85			Percent of total billed charges		5163.75	85			Percent of total billed charges		5163.75	100			Percent of total billed charges		6075	100			Percent of total billed charges		6075	100			Percent of total billed charges		6075	33.3			Percent of total billed charges		2022.975	33.3			Percent of total billed charges		2022.975	100			Percent of total billed charges		6075	2022.975	5467.5	
anatomic clrlss primary porous st 12mm rt 00-6600-012-22 zimmer	278	RC	Outpatient			6075	3948.75		90			Percent of total billed charges		5467.5	40			Percent of total billed charges		2430	80			Percent of total billed charges		4860	90			Percent of total billed charges		5467.5	85			Percent of total billed charges		5163.75	85			Percent of total billed charges		5163.75	85			Percent of total billed charges		5163.75	100			Percent of total billed charges		6075	100			Percent of total billed charges		6075	100			Percent of total billed charges		6075	33.3			Percent of total billed charges		2022.975	33.3			Percent of total billed charges		2022.975	100			Percent of total billed charges		6075	2022.975	5467.5	
anatomic clrlss primary porous st 13mm lt 00-6600-013-21 zimmer	278	RC	Outpatient			6075	3948.75		90			Percent of total billed charges		5467.5	40			Percent of total billed charges		2430	80			Percent of total billed charges		4860	90			Percent of total billed charges		5467.5	85			Percent of total billed charges		5163.75	85			Percent of total billed charges		5163.75	85			Percent of total billed charges		5163.75	100			Percent of total billed charges		6075	100			Percent of total billed charges		6075	100			Percent of total billed charges		6075	33.3			Percent of total billed charges		2022.975	33.3			Percent of total billed charges		2022.975	100			Percent of total billed charges		6075	2022.975	5467.5	
anatomic clrlss primary porous st 15mm rt 00-6600-015-22 zimmer	278	RC	Outpatient			6075	3948.75		90			Percent of total billed charges		5467.5	40			Percent of total billed charges		2430	80			Percent of total billed charges		4860	90			Percent of total billed charges		5467.5	85			Percent of total billed charges		5163.75	85			Percent of total billed charges		5163.75	85			Percent of total billed charges		5163.75	100			Percent of total billed charges		6075	100			Percent of total billed charges		6075	100			Percent of total billed charges		6075	33.3			Percent of total billed charges		2022.975	33.3			Percent of total billed charges		2022.975	100			Percent of total billed charges		6075	2022.975	5467.5	
anatomic clrlss primary porous st 17mm rt 00-6600-017-22 zimmer	278	RC	Outpatient			6075	3948.75		90			Percent of total billed charges		5467.5	40			Percent of total billed charges		2430	80			Percent of total billed charges		4860	90			Percent of total billed charges		5467.5	85			Percent of total billed charges		5163.75	85			Percent of total billed charges		5163.75	85			Percent of total billed charges		5163.75	100			Percent of total billed charges		6075	100			Percent of total billed charges		6075	100			Percent of total billed charges		6075	33.3			Percent of total billed charges		2022.975	33.3			Percent of total billed charges		2022.975	100			Percent of total billed charges		6075	2022.975	5467.5	
anatomic clrlss primary porous st 11mm lt 00-6600-011-21 zimmer	278	RC	Outpatient			6075	3948.75		90			Percent of total billed charges		5467.5	40			Percent of total billed charges		2430	80			Percent of total billed charges		4860	90			Percent of total billed charges		5467.5	85			Percent of total billed charges		5163.75	85			Percent of total billed charges		5163.75	85			Percent of total billed charges		5163.75	100			Percent of total billed charges		6075	100			Percent of total billed charges		6075	100			Percent of total billed charges		6075	33.3			Percent of total billed charges		2022.975	33.3			Percent of total billed charges		2022.975	100			Percent of total billed charges		6075	2022.975	5467.5	
anatomic clrlss primary porous st 11mm rt 00-6600-011-22 zimmer	278	RC	Outpatient			6075	3948.75		90			Percent of total billed charges		5467.5	40			Percent of total billed charges		2430	80			Percent of total billed charges		4860	90			Percent of total billed charges		5467.5	85			Percent of total billed charges		5163.75	85			Percent of total billed charges		5163.75	85			Percent of total billed charges		5163.75	100			Percent of total billed charges		6075	100			Percent of total billed charges		6075	100			Percent of total billed charges		6075	33.3			Percent of total billed charges		2022.975	33.3			Percent of total billed charges		2022.975	100			Percent of total billed charges		6075	2022.975	5467.5	
anatomic clrlss primary porous st 12mm lt 00-6600-012-21 zimmer	278	RC	Outpatient			6075	3948.75		90			Percent of total billed charges		5467.5	40			Percent of total billed charges		2430	80			Percent of total billed charges		4860	90			Percent of total billed charges		5467.5	85			Percent of total billed charges		5163.75	85			Percent of total billed charges		5163.75	85			Percent of total billed charges		5163.75	100			Percent of total billed charges		6075	100			Percent of total billed charges		6075	100			Percent of total billed charges		6075	33.3			Percent of total billed charges		2022.975	33.3			Percent of total billed charges		2022.975	100			Percent of total billed charges		6075	2022.975	5467.5	
anatomic clrlss primary porous st 13mm rt 00-6600-013-22 zimmer	278	RC	Outpatient			6075	3948.75		90			Percent of total billed charges		5467.5	40			Percent of total billed charges		2430	80			Percent of total billed charges		4860	90			Percent of total billed charges		5467.5	85			Percent of total billed charges		5163.75	85			Percent of total billed charges		5163.75	85			Percent of total billed charges		5163.75	100			Percent of total billed charges		6075	100			Percent of total billed charges		6075	100			Percent of total billed charges		6075	33.3			Percent of total billed charges		2022.975	33.3			Percent of total billed charges		2022.975	100			Percent of total billed charges		6075	2022.975	5467.5	
anatomic clrlss primary porous st 14mm lt 00-6600-014-21 zimmer	278	RC	Outpatient			6075	3948.75		90			Percent of total billed charges		5467.5	40			Percent of total billed charges		2430	80			Percent of total billed charges		4860	90			Percent of total billed charges		5467.5	85			Percent of total billed charges		5163.75	85			Percent of total billed charges		5163.75	85			Percent of total billed charges		5163.75	100			Percent of total billed charges		6075	100			Percent of total billed charges		6075	100			Percent of total billed charges		6075	33.3			Percent of total billed charges		2022.975	33.3			Percent of total billed charges		2022.975	100			Percent of total billed charges		6075	2022.975	5467.5	
anatomic clrlss primary porous st 14mm rt 00-6600-014-22 zimmer	278	RC	Outpatient			6075	3948.75		90			Percent of total billed charges		5467.5	40			Percent of total billed charges		2430	80			Percent of total billed charges		4860	90			Percent of total billed charges		5467.5	85			Percent of total billed charges		5163.75	85			Percent of total billed charges		5163.75	85			Percent of total billed charges		5163.75	100			Percent of total billed charges		6075	100			Percent of total billed charges		6075	100			Percent of total billed charges		6075	33.3			Percent of total billed charges		2022.975	33.3			Percent of total billed charges		2022.975	100			Percent of total billed charges		6075	2022.975	5467.5	
anatomic clrlss primary porous st 15mm lt 00-6600-015-21 zimmer	278	RC	Outpatient			6075	3948.75		90			Percent of total billed charges		5467.5	40			Percent of total billed charges		2430	80			Percent of total billed charges		4860	90			Percent of total billed charges		5467.5	85			Percent of total billed charges		5163.75	85			Percent of total billed charges		5163.75	85			Percent of total billed charges		5163.75	100			Percent of total billed charges		6075	100			Percent of total billed charges		6075	100			Percent of total billed charges		6075	33.3			Percent of total billed charges		2022.975	33.3			Percent of total billed charges		2022.975	100			Percent of total billed charges		6075	2022.975	5467.5	
anatomic clrlss primary porous st 16mm lt 00-6600-016-21 zimmer	278	RC	Outpatient			6075	3948.75		90			Percent of total billed charges		5467.5	40			Percent of total billed charges		2430	80			Percent of total billed charges		4860	90			Percent of total billed charges		5467.5	85			Percent of total billed charges		5163.75	85			Percent of total billed charges		5163.75	85			Percent of total billed charges		5163.75	100			Percent of total billed charges		6075	100			Percent of total billed charges		6075	100			Percent of total billed charges		6075	33.3			Percent of total billed charges		2022.975	33.3			Percent of total billed charges		2022.975	100			Percent of total billed charges		6075	2022.975	5467.5	
anatomic clrlss primary porous st 16mm rt 00-6600-016-22 zimmer	278	RC	Outpatient			6075	3948.75		90			Percent of total billed charges		5467.5	40			Percent of total billed charges		2430	80			Percent of total billed charges		4860	90			Percent of total billed charges		5467.5	85			Percent of total billed charges		5163.75	85			Percent of total billed charges		5163.75	85			Percent of total billed charges		5163.75	100			Percent of total billed charges		6075	100			Percent of total billed charges		6075	100			Percent of total billed charges		6075	33.3			Percent of total billed charges		2022.975	33.3			Percent of total billed charges		2022.975	100			Percent of total billed charges		6075	2022.975	5467.5	
anatomic clrlss primary porous st 17mm lt 00-6600-017-21 zimmer	278	RC	Outpatient			6075	3948.75		90			Percent of total billed charges		5467.5	40			Percent of total billed charges		2430	80			Percent of total billed charges		4860	90			Percent of total billed charges		5467.5	85			Percent of total billed charges		5163.75	85			Percent of total billed charges		5163.75	85			Percent of total billed charges		5163.75	100			Percent of total billed charges		6075	100			Percent of total billed charges		6075	100			Percent of total billed charges		6075	33.3			Percent of total billed charges		2022.975	33.3			Percent of total billed charges		2022.975	100			Percent of total billed charges		6075	2022.975	5467.5	
anatomic clrlss primary porous st 18mm lt 00-6600-018-21 zimmer	278	RC	Outpatient			6075	3948.75		90			Percent of total billed charges		5467.5	40			Percent of total billed charges		2430	80			Percent of total billed charges		4860	90			Percent of total billed charges		5467.5	85			Percent of total billed charges		5163.75	85			Percent of total billed charges		5163.75	85			Percent of total billed charges		5163.75	100			Percent of total billed charges		6075	100			Percent of total billed charges		6075	100			Percent of total billed charges		6075	33.3			Percent of total billed charges		2022.975	33.3			Percent of total billed charges		2022.975	100			Percent of total billed charges		6075	2022.975	5467.5	
anatomic clrlss primary porous st 18mm rt 00-6600-018-22 zimmer	278	RC	Outpatient			6075	3948.75		90			Percent of total billed charges		5467.5	40			Percent of total billed charges		2430	80			Percent of total billed charges		4860	90			Percent of total billed charges		5467.5	85			Percent of total billed charges		5163.75	85			Percent of total billed charges		5163.75	85			Percent of total billed charges		5163.75	100			Percent of total billed charges		6075	100			Percent of total billed charges		6075	100			Percent of total billed charges		6075	33.3			Percent of total billed charges		2022.975	33.3			Percent of total billed charges		2022.975	100			Percent of total billed charges		6075	2022.975	5467.5	
anatomic hip prosthesis fem stem porous (l) 14 x 144 6600-14-21 zimmer	278	RC	Outpatient			6075	3948.75		90			Percent of total billed charges		5467.5	40			Percent of total billed charges		2430	80			Percent of total billed charges		4860	90			Percent of total billed charges		5467.5	85			Percent of total billed charges		5163.75	85			Percent of total billed charges		5163.75	85			Percent of total billed charges		5163.75	100			Percent of total billed charges		6075	100			Percent of total billed charges		6075	100			Percent of total billed charges		6075	33.3			Percent of total billed charges		2022.975	33.3			Percent of total billed charges		2022.975	100			Percent of total billed charges		6075	2022.975	5467.5	
zimm femoral stem	278	RC	Outpatient			6075	3948.75		90			Percent of total billed charges		5467.5	40			Percent of total billed charges		2430	80			Percent of total billed charges		4860	90			Percent of total billed charges		5467.5	85			Percent of total billed charges		5163.75	85			Percent of total billed charges		5163.75	85			Percent of total billed charges		5163.75	100			Percent of total billed charges		6075	100			Percent of total billed charges		6075	100			Percent of total billed charges		6075	33.3			Percent of total billed charges		2022.975	33.3			Percent of total billed charges		2022.975	100			Percent of total billed charges		6075	2022.975	5467.5	
zimmer clrlss pourous stm	278	RC	Outpatient			6075	3948.75		90			Percent of total billed charges		5467.5	40			Percent of total billed charges		2430	80			Percent of total billed charges		4860	90			Percent of total billed charges		5467.5	85			Percent of total billed charges		5163.75	85			Percent of total billed charges		5163.75	85			Percent of total billed charges		5163.75	100			Percent of total billed charges		6075	100			Percent of total billed charges		6075	100			Percent of total billed charges		6075	33.3			Percent of total billed charges		2022.975	33.3			Percent of total billed charges		2022.975	100			Percent of total billed charges		6075	2022.975	5467.5	
synthesis vert-pr peek	272	RC	Outpatient			6081	3952.65		90			Percent of total billed charges		5472.9	40			Percent of total billed charges		2432.4	80			Percent of total billed charges		4864.8	90			Percent of total billed charges		5472.9	85			Percent of total billed charges		5168.85	85			Percent of total billed charges		5168.85	85			Percent of total billed charges		5168.85	100			Percent of total billed charges		6081	100			Percent of total billed charges		6081	100			Percent of total billed charges		6081	33.3			Percent of total billed charges		2024.973	33.3			Percent of total billed charges		2024.973	100			Percent of total billed charges		6081	2024.973	5472.9	
vertebral spacer-pr 8 x 22 x 11mm 889.846 synthes	272	RC	Outpatient			6081	3952.65		90			Percent of total billed charges		5472.9	40			Percent of total billed charges		2432.4	80			Percent of total billed charges		4864.8	90			Percent of total billed charges		5472.9	85			Percent of total billed charges		5168.85	85			Percent of total billed charges		5168.85	85			Percent of total billed charges		5168.85	100			Percent of total billed charges		6081	100			Percent of total billed charges		6081	100			Percent of total billed charges		6081	33.3			Percent of total billed charges		2024.973	33.3			Percent of total billed charges		2024.973	100			Percent of total billed charges		6081	2024.973	5472.9	
vertebral spacer-pr 8 x 22 x 13mm 889.847 synthes	272	RC	Outpatient			6081	3952.65		90			Percent of total billed charges		5472.9	40			Percent of total billed charges		2432.4	80			Percent of total billed charges		4864.8	90			Percent of total billed charges		5472.9	85			Percent of total billed charges		5168.85	85			Percent of total billed charges		5168.85	85			Percent of total billed charges		5168.85	100			Percent of total billed charges		6081	100			Percent of total billed charges		6081	100			Percent of total billed charges		6081	33.3			Percent of total billed charges		2024.973	33.3			Percent of total billed charges		2024.973	100			Percent of total billed charges		6081	2024.973	5472.9	
x-stop interspinous implant 10mm 1-2210 st francis med	272	RC	Outpatient			6081	3952.65		90			Percent of total billed charges		5472.9	40			Percent of total billed charges		2432.4	80			Percent of total billed charges		4864.8	90			Percent of total billed charges		5472.9	85			Percent of total billed charges		5168.85	85			Percent of total billed charges		5168.85	85			Percent of total billed charges		5168.85	100			Percent of total billed charges		6081	100			Percent of total billed charges		6081	100			Percent of total billed charges		6081	33.3			Percent of total billed charges		2024.973	33.3			Percent of total billed charges		2024.973	100			Percent of total billed charges		6081	2024.973	5472.9	
bio magnum pf cup	278	RC	Outpatient			6083	3953.95		90			Percent of total billed charges		5474.7	40			Percent of total billed charges		2433.2	80			Percent of total billed charges		4866.4	90			Percent of total billed charges		5474.7	85			Percent of total billed charges		5170.55	85			Percent of total billed charges		5170.55	85			Percent of total billed charges		5170.55	100			Percent of total billed charges		6083	100			Percent of total billed charges		6083	100			Percent of total billed charges		6083	33.3			Percent of total billed charges		2025.639	33.3			Percent of total billed charges		2025.639	100			Percent of total billed charges		6083	2025.639	5474.7	
magnum press-fit cup 44 x 38 us157844 biomet	278	RC	Outpatient			6083	3953.95		90			Percent of total billed charges		5474.7	40			Percent of total billed charges		2433.2	80			Percent of total billed charges		4866.4	90			Percent of total billed charges		5474.7	85			Percent of total billed charges		5170.55	85			Percent of total billed charges		5170.55	85			Percent of total billed charges		5170.55	100			Percent of total billed charges		6083	100			Percent of total billed charges		6083	100			Percent of total billed charges		6083	33.3			Percent of total billed charges		2025.639	33.3			Percent of total billed charges		2025.639	100			Percent of total billed charges		6083	2025.639	5474.7	
magnum press-fit cup 46 x 40 us157846 biomet	278	RC	Outpatient			6083	3953.95		90			Percent of total billed charges		5474.7	40			Percent of total billed charges		2433.2	80			Percent of total billed charges		4866.4	90			Percent of total billed charges		5474.7	85			Percent of total billed charges		5170.55	85			Percent of total billed charges		5170.55	85			Percent of total billed charges		5170.55	100			Percent of total billed charges		6083	100			Percent of total billed charges		6083	100			Percent of total billed charges		6083	33.3			Percent of total billed charges		2025.639	33.3			Percent of total billed charges		2025.639	100			Percent of total billed charges		6083	2025.639	5474.7	
magnum press-fit cup 48 x 42 us157848 biomet	278	RC	Outpatient			6083	3953.95		90			Percent of total billed charges		5474.7	40			Percent of total billed charges		2433.2	80			Percent of total billed charges		4866.4	90			Percent of total billed charges		5474.7	85			Percent of total billed charges		5170.55	85			Percent of total billed charges		5170.55	85			Percent of total billed charges		5170.55	100			Percent of total billed charges		6083	100			Percent of total billed charges		6083	100			Percent of total billed charges		6083	33.3			Percent of total billed charges		2025.639	33.3			Percent of total billed charges		2025.639	100			Percent of total billed charges		6083	2025.639	5474.7	
magnum press-fit cup 50 x 44 us157850 biomet	278	RC	Outpatient			6083	3953.95		90			Percent of total billed charges		5474.7	40			Percent of total billed charges		2433.2	80			Percent of total billed charges		4866.4	90			Percent of total billed charges		5474.7	85			Percent of total billed charges		5170.55	85			Percent of total billed charges		5170.55	85			Percent of total billed charges		5170.55	100			Percent of total billed charges		6083	100			Percent of total billed charges		6083	100			Percent of total billed charges		6083	33.3			Percent of total billed charges		2025.639	33.3			Percent of total billed charges		2025.639	100			Percent of total billed charges		6083	2025.639	5474.7	
magnum press-fit cup 52 x 46 us157852 biomet	278	RC	Outpatient			6083	3953.95		90			Percent of total billed charges		5474.7	40			Percent of total billed charges		2433.2	80			Percent of total billed charges		4866.4	90			Percent of total billed charges		5474.7	85			Percent of total billed charges		5170.55	85			Percent of total billed charges		5170.55	85			Percent of total billed charges		5170.55	100			Percent of total billed charges		6083	100			Percent of total billed charges		6083	100			Percent of total billed charges		6083	33.3			Percent of total billed charges		2025.639	33.3			Percent of total billed charges		2025.639	100			Percent of total billed charges		6083	2025.639	5474.7	
magnum press-fit cup 54 x 48 us157854 biomet	278	RC	Outpatient			6083	3953.95		90			Percent of total billed charges		5474.7	40			Percent of total billed charges		2433.2	80			Percent of total billed charges		4866.4	90			Percent of total billed charges		5474.7	85			Percent of total billed charges		5170.55	85			Percent of total billed charges		5170.55	85			Percent of total billed charges		5170.55	100			Percent of total billed charges		6083	100			Percent of total billed charges		6083	100			Percent of total billed charges		6083	33.3			Percent of total billed charges		2025.639	33.3			Percent of total billed charges		2025.639	100			Percent of total billed charges		6083	2025.639	5474.7	
magnum press-fit cup 60 x 54 us157860 biomet	278	RC	Outpatient			6083	3953.95		90			Percent of total billed charges		5474.7	40			Percent of total billed charges		2433.2	80			Percent of total billed charges		4866.4	90			Percent of total billed charges		5474.7	85			Percent of total billed charges		5170.55	85			Percent of total billed charges		5170.55	85			Percent of total billed charges		5170.55	100			Percent of total billed charges		6083	100			Percent of total billed charges		6083	100			Percent of total billed charges		6083	33.3			Percent of total billed charges		2025.639	33.3			Percent of total billed charges		2025.639	100			Percent of total billed charges		6083	2025.639	5474.7	
magnum press-fit cup 62 x 56 us157862 biomet	278	RC	Outpatient			6083	3953.95		90			Percent of total billed charges		5474.7	40			Percent of total billed charges		2433.2	80			Percent of total billed charges		4866.4	90			Percent of total billed charges		5474.7	85			Percent of total billed charges		5170.55	85			Percent of total billed charges		5170.55	85			Percent of total billed charges		5170.55	100			Percent of total billed charges		6083	100			Percent of total billed charges		6083	100			Percent of total billed charges		6083	33.3			Percent of total billed charges		2025.639	33.3			Percent of total billed charges		2025.639	100			Percent of total billed charges		6083	2025.639	5474.7	
magnum press-fit cup 66 x 60 us157866 biomet	278	RC	Outpatient			6083	3953.95		90			Percent of total billed charges		5474.7	40			Percent of total billed charges		2433.2	80			Percent of total billed charges		4866.4	90			Percent of total billed charges		5474.7	85			Percent of total billed charges		5170.55	85			Percent of total billed charges		5170.55	85			Percent of total billed charges		5170.55	100			Percent of total billed charges		6083	100			Percent of total billed charges		6083	100			Percent of total billed charges		6083	33.3			Percent of total billed charges		2025.639	33.3			Percent of total billed charges		2025.639	100			Percent of total billed charges		6083	2025.639	5474.7	
magnum press-fit cup 56 x 50 us157856 biomet	278	RC	Outpatient			6083	3953.95		90			Percent of total billed charges		5474.7	40			Percent of total billed charges		2433.2	80			Percent of total billed charges		4866.4	90			Percent of total billed charges		5474.7	85			Percent of total billed charges		5170.55	85			Percent of total billed charges		5170.55	85			Percent of total billed charges		5170.55	100			Percent of total billed charges		6083	100			Percent of total billed charges		6083	100			Percent of total billed charges		6083	33.3			Percent of total billed charges		2025.639	33.3			Percent of total billed charges		2025.639	100			Percent of total billed charges		6083	2025.639	5474.7	
magnum press-fit cup 58 x 52 us157858 biomet	278	RC	Outpatient			6083	3953.95		90			Percent of total billed charges		5474.7	40			Percent of total billed charges		2433.2	80			Percent of total billed charges		4866.4	90			Percent of total billed charges		5474.7	85			Percent of total billed charges		5170.55	85			Percent of total billed charges		5170.55	85			Percent of total billed charges		5170.55	100			Percent of total billed charges		6083	100			Percent of total billed charges		6083	100			Percent of total billed charges		6083	33.3			Percent of total billed charges		2025.639	33.3			Percent of total billed charges		2025.639	100			Percent of total billed charges		6083	2025.639	5474.7	
magnum press-fit cup 64 x 58 us157864 biomet	278	RC	Outpatient			6083	3953.95		90			Percent of total billed charges		5474.7	40			Percent of total billed charges		2433.2	80			Percent of total billed charges		4866.4	90			Percent of total billed charges		5474.7	85			Percent of total billed charges		5170.55	85			Percent of total billed charges		5170.55	85			Percent of total billed charges		5170.55	100			Percent of total billed charges		6083	100			Percent of total billed charges		6083	100			Percent of total billed charges		6083	33.3			Percent of total billed charges		2025.639	33.3			Percent of total billed charges		2025.639	100			Percent of total billed charges		6083	2025.639	5474.7	
hmrx humeral nail	278	RC	Outpatient			6088	3957.2		90			Percent of total billed charges		5479.2	40			Percent of total billed charges		2435.2	80			Percent of total billed charges		4870.4	90			Percent of total billed charges		5479.2	85			Percent of total billed charges		5174.8	85			Percent of total billed charges		5174.8	85			Percent of total billed charges		5174.8	100			Percent of total billed charges		6088	100			Percent of total billed charges		6088	100			Percent of total billed charges		6088	33.3			Percent of total billed charges		2027.304	33.3			Percent of total billed charges		2027.304	100			Percent of total billed charges		6088	2027.304	5479.2	
sonoma hmrx nail kit 10 x 258mm 100110258	278	RC	Outpatient			6088	3957.2		90			Percent of total billed charges		5479.2	40			Percent of total billed charges		2435.2	80			Percent of total billed charges		4870.4	90			Percent of total billed charges		5479.2	85			Percent of total billed charges		5174.8	85			Percent of total billed charges		5174.8	85			Percent of total billed charges		5174.8	100			Percent of total billed charges		6088	100			Percent of total billed charges		6088	100			Percent of total billed charges		6088	33.3			Percent of total billed charges		2027.304	33.3			Percent of total billed charges		2027.304	100			Percent of total billed charges		6088	2027.304	5479.2	
cosmetic - abdominoplasty with lipo	983	RC	Outpatient			6100	3965		90			Percent of total billed charges		5490	40			Percent of total billed charges		2440	80			Percent of total billed charges		4880	90			Percent of total billed charges		5490	85			Percent of total billed charges		5185	85			Percent of total billed charges		5185	85			Percent of total billed charges		5185	100			Percent of total billed charges		6100	100			Percent of total billed charges		6100	100			Percent of total billed charges		6100	33.3			Percent of total billed charges		2031.3	33.3			Percent of total billed charges		2031.3	100			Percent of total billed charges		6100	2031.3	5490	
m-d tib lk plate3.5mm 13-hole 235mm 71801113 s/n	278	RC	Outpatient			6127	3982.55		90			Percent of total billed charges		5514.3	40			Percent of total billed charges		2450.8	80			Percent of total billed charges		4901.6	90			Percent of total billed charges		5514.3	85			Percent of total billed charges		5207.95	85			Percent of total billed charges		5207.95	85			Percent of total billed charges		5207.95	100			Percent of total billed charges		6127	100			Percent of total billed charges		6127	100			Percent of total billed charges		6127	33.3			Percent of total billed charges		2040.291	33.3			Percent of total billed charges		2040.291	100			Percent of total billed charges		6127	2040.291	5514.3	
m-d tib plt 3.5mm 13 hlr 71821113 s\n	278	RC	Outpatient			6127	3982.55		90			Percent of total billed charges		5514.3	40			Percent of total billed charges		2450.8	80			Percent of total billed charges		4901.6	90			Percent of total billed charges		5514.3	85			Percent of total billed charges		5207.95	85			Percent of total billed charges		5207.95	85			Percent of total billed charges		5207.95	100			Percent of total billed charges		6127	100			Percent of total billed charges		6127	100			Percent of total billed charges		6127	33.3			Percent of total billed charges		2040.291	33.3			Percent of total billed charges		2040.291	100			Percent of total billed charges		6127	2040.291	5514.3	
m-d tib lk plate3.5mm 13-hole 235mm 71801013 s/n	278	RC	Outpatient			6127	3982.55		90			Percent of total billed charges		5514.3	40			Percent of total billed charges		2450.8	80			Percent of total billed charges		4901.6	90			Percent of total billed charges		5514.3	85			Percent of total billed charges		5207.95	85			Percent of total billed charges		5207.95	85			Percent of total billed charges		5207.95	100			Percent of total billed charges		6127	100			Percent of total billed charges		6127	100			Percent of total billed charges		6127	33.3			Percent of total billed charges		2040.291	33.3			Percent of total billed charges		2040.291	100			Percent of total billed charges		6127	2040.291	5514.3	
m-d tib plt 3.5mm 13 hl 71821013 s\n	278	RC	Outpatient			6127	3982.55		90			Percent of total billed charges		5514.3	40			Percent of total billed charges		2450.8	80			Percent of total billed charges		4901.6	90			Percent of total billed charges		5514.3	85			Percent of total billed charges		5207.95	85			Percent of total billed charges		5207.95	85			Percent of total billed charges		5207.95	100			Percent of total billed charges		6127	100			Percent of total billed charges		6127	100			Percent of total billed charges		6127	33.3			Percent of total billed charges		2040.291	33.3			Percent of total billed charges		2040.291	100			Percent of total billed charges		6127	2040.291	5514.3	
s/n 3.5 m-d tib lk pl 13h	278	RC	Outpatient			6127	3982.55		90			Percent of total billed charges		5514.3	40			Percent of total billed charges		2450.8	80			Percent of total billed charges		4901.6	90			Percent of total billed charges		5514.3	85			Percent of total billed charges		5207.95	85			Percent of total billed charges		5207.95	85			Percent of total billed charges		5207.95	100			Percent of total billed charges		6127	100			Percent of total billed charges		6127	100			Percent of total billed charges		6127	33.3			Percent of total billed charges		2040.291	33.3			Percent of total billed charges		2040.291	100			Percent of total billed charges		6127	2040.291	5514.3	
biomet  femoral stem 17 x 165 lt 166331	278	RC	Outpatient			6135	3987.75		90			Percent of total billed charges		5521.5	40			Percent of total billed charges		2454	80			Percent of total billed charges		4908	90			Percent of total billed charges		5521.5	85			Percent of total billed charges		5214.75	85			Percent of total billed charges		5214.75	85			Percent of total billed charges		5214.75	100			Percent of total billed charges		6135	100			Percent of total billed charges		6135	100			Percent of total billed charges		6135	33.3			Percent of total billed charges		2042.955	33.3			Percent of total billed charges		2042.955	100			Percent of total billed charges		6135	2042.955	5521.5	
biomet prog fem stem	278	RC	Outpatient			6135	3987.75		90			Percent of total billed charges		5521.5	40			Percent of total billed charges		2454	80			Percent of total billed charges		4908	90			Percent of total billed charges		5521.5	85			Percent of total billed charges		5214.75	85			Percent of total billed charges		5214.75	85			Percent of total billed charges		5214.75	100			Percent of total billed charges		6135	100			Percent of total billed charges		6135	100			Percent of total billed charges		6135	33.3			Percent of total billed charges		2042.955	33.3			Percent of total billed charges		2042.955	100			Percent of total billed charges		6135	2042.955	5521.5	
biomet progressive  feml stem 9 x 125 166314	278	RC	Outpatient			6135	3987.75		90			Percent of total billed charges		5521.5	40			Percent of total billed charges		2454	80			Percent of total billed charges		4908	90			Percent of total billed charges		5521.5	85			Percent of total billed charges		5214.75	85			Percent of total billed charges		5214.75	85			Percent of total billed charges		5214.75	100			Percent of total billed charges		6135	100			Percent of total billed charges		6135	100			Percent of total billed charges		6135	33.3			Percent of total billed charges		2042.955	33.3			Percent of total billed charges		2042.955	100			Percent of total billed charges		6135	2042.955	5521.5	
biomet progressive fem stem 10 x 130 166316	278	RC	Outpatient			6135	3987.75		90			Percent of total billed charges		5521.5	40			Percent of total billed charges		2454	80			Percent of total billed charges		4908	90			Percent of total billed charges		5521.5	85			Percent of total billed charges		5214.75	85			Percent of total billed charges		5214.75	85			Percent of total billed charges		5214.75	100			Percent of total billed charges		6135	100			Percent of total billed charges		6135	100			Percent of total billed charges		6135	33.3			Percent of total billed charges		2042.955	33.3			Percent of total billed charges		2042.955	100			Percent of total billed charges		6135	2042.955	5521.5	
biomet progressive fem stem 12 x 140 166320	278	RC	Outpatient			6135	3987.75		90			Percent of total billed charges		5521.5	40			Percent of total billed charges		2454	80			Percent of total billed charges		4908	90			Percent of total billed charges		5521.5	85			Percent of total billed charges		5214.75	85			Percent of total billed charges		5214.75	85			Percent of total billed charges		5214.75	100			Percent of total billed charges		6135	100			Percent of total billed charges		6135	100			Percent of total billed charges		6135	33.3			Percent of total billed charges		2042.955	33.3			Percent of total billed charges		2042.955	100			Percent of total billed charges		6135	2042.955	5521.5	
biomet progressive fem stem 12 x 140 166321	278	RC	Outpatient			6135	3987.75		90			Percent of total billed charges		5521.5	40			Percent of total billed charges		2454	80			Percent of total billed charges		4908	90			Percent of total billed charges		5521.5	85			Percent of total billed charges		5214.75	85			Percent of total billed charges		5214.75	85			Percent of total billed charges		5214.75	100			Percent of total billed charges		6135	100			Percent of total billed charges		6135	100			Percent of total billed charges		6135	33.3			Percent of total billed charges		2042.955	33.3			Percent of total billed charges		2042.955	100			Percent of total billed charges		6135	2042.955	5521.5	
biomet progressive fem stem 13 x 145 166322	278	RC	Outpatient			6135	3987.75		90			Percent of total billed charges		5521.5	40			Percent of total billed charges		2454	80			Percent of total billed charges		4908	90			Percent of total billed charges		5521.5	85			Percent of total billed charges		5214.75	85			Percent of total billed charges		5214.75	85			Percent of total billed charges		5214.75	100			Percent of total billed charges		6135	100			Percent of total billed charges		6135	100			Percent of total billed charges		6135	33.3			Percent of total billed charges		2042.955	33.3			Percent of total billed charges		2042.955	100			Percent of total billed charges		6135	2042.955	5521.5	
biomet progressive fem stem 13 x 145 166323	278	RC	Outpatient			6135	3987.75		90			Percent of total billed charges		5521.5	40			Percent of total billed charges		2454	80			Percent of total billed charges		4908	90			Percent of total billed charges		5521.5	85			Percent of total billed charges		5214.75	85			Percent of total billed charges		5214.75	85			Percent of total billed charges		5214.75	100			Percent of total billed charges		6135	100			Percent of total billed charges		6135	100			Percent of total billed charges		6135	33.3			Percent of total billed charges		2042.955	33.3			Percent of total billed charges		2042.955	100			Percent of total billed charges		6135	2042.955	5521.5	
biomet progressive fem stem 14 x 150 166324	278	RC	Outpatient			6135	3987.75		90			Percent of total billed charges		5521.5	40			Percent of total billed charges		2454	80			Percent of total billed charges		4908	90			Percent of total billed charges		5521.5	85			Percent of total billed charges		5214.75	85			Percent of total billed charges		5214.75	85			Percent of total billed charges		5214.75	100			Percent of total billed charges		6135	100			Percent of total billed charges		6135	100			Percent of total billed charges		6135	33.3			Percent of total billed charges		2042.955	33.3			Percent of total billed charges		2042.955	100			Percent of total billed charges		6135	2042.955	5521.5	
biomet progressive fem stem 15 x 155 166327	278	RC	Outpatient			6135	3987.75		90			Percent of total billed charges		5521.5	40			Percent of total billed charges		2454	80			Percent of total billed charges		4908	90			Percent of total billed charges		5521.5	85			Percent of total billed charges		5214.75	85			Percent of total billed charges		5214.75	85			Percent of total billed charges		5214.75	100			Percent of total billed charges		6135	100			Percent of total billed charges		6135	100			Percent of total billed charges		6135	33.3			Percent of total billed charges		2042.955	33.3			Percent of total billed charges		2042.955	100			Percent of total billed charges		6135	2042.955	5521.5	
biomet progressive fem stem 16 x 160 166328	278	RC	Outpatient			6135	3987.75		90			Percent of total billed charges		5521.5	40			Percent of total billed charges		2454	80			Percent of total billed charges		4908	90			Percent of total billed charges		5521.5	85			Percent of total billed charges		5214.75	85			Percent of total billed charges		5214.75	85			Percent of total billed charges		5214.75	100			Percent of total billed charges		6135	100			Percent of total billed charges		6135	100			Percent of total billed charges		6135	33.3			Percent of total billed charges		2042.955	33.3			Percent of total billed charges		2042.955	100			Percent of total billed charges		6135	2042.955	5521.5	
biomet  femoral stem 16 x 160 lt 166329	278	RC	Outpatient			6135	3987.75		90			Percent of total billed charges		5521.5	40			Percent of total billed charges		2454	80			Percent of total billed charges		4908	90			Percent of total billed charges		5521.5	85			Percent of total billed charges		5214.75	85			Percent of total billed charges		5214.75	85			Percent of total billed charges		5214.75	100			Percent of total billed charges		6135	100			Percent of total billed charges		6135	100			Percent of total billed charges		6135	33.3			Percent of total billed charges		2042.955	33.3			Percent of total billed charges		2042.955	100			Percent of total billed charges		6135	2042.955	5521.5	
biomet  femoral stem 17 x 165 rt 166330	278	RC	Outpatient			6135	3987.75		90			Percent of total billed charges		5521.5	40			Percent of total billed charges		2454	80			Percent of total billed charges		4908	90			Percent of total billed charges		5521.5	85			Percent of total billed charges		5214.75	85			Percent of total billed charges		5214.75	85			Percent of total billed charges		5214.75	100			Percent of total billed charges		6135	100			Percent of total billed charges		6135	100			Percent of total billed charges		6135	33.3			Percent of total billed charges		2042.955	33.3			Percent of total billed charges		2042.955	100			Percent of total billed charges		6135	2042.955	5521.5	
biomet progressive fem stem 10 x 130 166317	278	RC	Outpatient			6135	3987.75		90			Percent of total billed charges		5521.5	40			Percent of total billed charges		2454	80			Percent of total billed charges		4908	90			Percent of total billed charges		5521.5	85			Percent of total billed charges		5214.75	85			Percent of total billed charges		5214.75	85			Percent of total billed charges		5214.75	100			Percent of total billed charges		6135	100			Percent of total billed charges		6135	100			Percent of total billed charges		6135	33.3			Percent of total billed charges		2042.955	33.3			Percent of total billed charges		2042.955	100			Percent of total billed charges		6135	2042.955	5521.5	
biomet progressive fem stem 11 x 135 166318	278	RC	Outpatient			6135	3987.75		90			Percent of total billed charges		5521.5	40			Percent of total billed charges		2454	80			Percent of total billed charges		4908	90			Percent of total billed charges		5521.5	85			Percent of total billed charges		5214.75	85			Percent of total billed charges		5214.75	85			Percent of total billed charges		5214.75	100			Percent of total billed charges		6135	100			Percent of total billed charges		6135	100			Percent of total billed charges		6135	33.3			Percent of total billed charges		2042.955	33.3			Percent of total billed charges		2042.955	100			Percent of total billed charges		6135	2042.955	5521.5	
biomet progressive fem stem 11 x 135 166319	278	RC	Outpatient			6135	3987.75		90			Percent of total billed charges		5521.5	40			Percent of total billed charges		2454	80			Percent of total billed charges		4908	90			Percent of total billed charges		5521.5	85			Percent of total billed charges		5214.75	85			Percent of total billed charges		5214.75	85			Percent of total billed charges		5214.75	100			Percent of total billed charges		6135	100			Percent of total billed charges		6135	100			Percent of total billed charges		6135	33.3			Percent of total billed charges		2042.955	33.3			Percent of total billed charges		2042.955	100			Percent of total billed charges		6135	2042.955	5521.5	
biomet progressive fem stem 14 x 150 166325	278	RC	Outpatient			6135	3987.75		90			Percent of total billed charges		5521.5	40			Percent of total billed charges		2454	80			Percent of total billed charges		4908	90			Percent of total billed charges		5521.5	85			Percent of total billed charges		5214.75	85			Percent of total billed charges		5214.75	85			Percent of total billed charges		5214.75	100			Percent of total billed charges		6135	100			Percent of total billed charges		6135	100			Percent of total billed charges		6135	33.3			Percent of total billed charges		2042.955	33.3			Percent of total billed charges		2042.955	100			Percent of total billed charges		6135	2042.955	5521.5	
biomet progressive fem stem 15 x 155  166326	278	RC	Outpatient			6135	3987.75		90			Percent of total billed charges		5521.5	40			Percent of total billed charges		2454	80			Percent of total billed charges		4908	90			Percent of total billed charges		5521.5	85			Percent of total billed charges		5214.75	85			Percent of total billed charges		5214.75	85			Percent of total billed charges		5214.75	100			Percent of total billed charges		6135	100			Percent of total billed charges		6135	100			Percent of total billed charges		6135	33.3			Percent of total billed charges		2042.955	33.3			Percent of total billed charges		2042.955	100			Percent of total billed charges		6135	2042.955	5521.5	
biomet progressive fem stem 9 x 125  166315	278	RC	Outpatient			6135	3987.75		90			Percent of total billed charges		5521.5	40			Percent of total billed charges		2454	80			Percent of total billed charges		4908	90			Percent of total billed charges		5521.5	85			Percent of total billed charges		5214.75	85			Percent of total billed charges		5214.75	85			Percent of total billed charges		5214.75	100			Percent of total billed charges		6135	100			Percent of total billed charges		6135	100			Percent of total billed charges		6135	33.3			Percent of total billed charges		2042.955	33.3			Percent of total billed charges		2042.955	100			Percent of total billed charges		6135	2042.955	5521.5	
versys fiber metal stem	278	RC	Outpatient			6148	3996.2		90			Percent of total billed charges		5533.2	40			Percent of total billed charges		2459.2	80			Percent of total billed charges		4918.4	90			Percent of total billed charges		5533.2	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	33.3			Percent of total billed charges		2047.284	33.3			Percent of total billed charges		2047.284	100			Percent of total billed charges		6148	2047.284	5533.2	
versys fm taper stem 10 x 115 std body std neck 00-7862-010-00 zimmer	278	RC	Outpatient			6148	3996.2		90			Percent of total billed charges		5533.2	40			Percent of total billed charges		2459.2	80			Percent of total billed charges		4918.4	90			Percent of total billed charges		5533.2	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	33.3			Percent of total billed charges		2047.284	33.3			Percent of total billed charges		2047.284	100			Percent of total billed charges		6148	2047.284	5533.2	
versys fm taper stem 11 x 120 lm body std neck 00-7862-011-30 zimmer	278	RC	Outpatient			6148	3996.2		90			Percent of total billed charges		5533.2	40			Percent of total billed charges		2459.2	80			Percent of total billed charges		4918.4	90			Percent of total billed charges		5533.2	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	33.3			Percent of total billed charges		2047.284	33.3			Percent of total billed charges		2047.284	100			Percent of total billed charges		6148	2047.284	5533.2	
versys fm taper stem 12 x 125 lm body ext neck 00-7862-012-50 zimmer	278	RC	Outpatient			6148	3996.2		90			Percent of total billed charges		5533.2	40			Percent of total billed charges		2459.2	80			Percent of total billed charges		4918.4	90			Percent of total billed charges		5533.2	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	33.3			Percent of total billed charges		2047.284	33.3			Percent of total billed charges		2047.284	100			Percent of total billed charges		6148	2047.284	5533.2	
versys fm taper stem 12 x 125 std body ext neck 00-7862-012-20 zimmer	278	RC	Outpatient			6148	3996.2		90			Percent of total billed charges		5533.2	40			Percent of total billed charges		2459.2	80			Percent of total billed charges		4918.4	90			Percent of total billed charges		5533.2	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	33.3			Percent of total billed charges		2047.284	33.3			Percent of total billed charges		2047.284	100			Percent of total billed charges		6148	2047.284	5533.2	
versys fm taper stem 12 x 125 std body lm neck 00-7862-012-30 zimmer	278	RC	Outpatient			6148	3996.2		90			Percent of total billed charges		5533.2	40			Percent of total billed charges		2459.2	80			Percent of total billed charges		4918.4	90			Percent of total billed charges		5533.2	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	33.3			Percent of total billed charges		2047.284	33.3			Percent of total billed charges		2047.284	100			Percent of total billed charges		6148	2047.284	5533.2	
versys fm taper stem 12 x 125 std body std neck 00-7862-012-00 zimmer	278	RC	Outpatient			6148	3996.2		90			Percent of total billed charges		5533.2	40			Percent of total billed charges		2459.2	80			Percent of total billed charges		4918.4	90			Percent of total billed charges		5533.2	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	33.3			Percent of total billed charges		2047.284	33.3			Percent of total billed charges		2047.284	100			Percent of total billed charges		6148	2047.284	5533.2	
versys fm taper stem 13 x 130 lm body ext neck 00-7862-013-50 zimmer	278	RC	Outpatient			6148	3996.2		90			Percent of total billed charges		5533.2	40			Percent of total billed charges		2459.2	80			Percent of total billed charges		4918.4	90			Percent of total billed charges		5533.2	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	33.3			Percent of total billed charges		2047.284	33.3			Percent of total billed charges		2047.284	100			Percent of total billed charges		6148	2047.284	5533.2	
versys fm taper stem 13 x 130 lm body std neck 00-7862-013-30 zimmer	278	RC	Outpatient			6148	3996.2		90			Percent of total billed charges		5533.2	40			Percent of total billed charges		2459.2	80			Percent of total billed charges		4918.4	90			Percent of total billed charges		5533.2	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	33.3			Percent of total billed charges		2047.284	33.3			Percent of total billed charges		2047.284	100			Percent of total billed charges		6148	2047.284	5533.2	
versys fm taper stem 13 x 130 std body std neck 00-7862-013-00 zimmer	278	RC	Outpatient			6148	3996.2		90			Percent of total billed charges		5533.2	40			Percent of total billed charges		2459.2	80			Percent of total billed charges		4918.4	90			Percent of total billed charges		5533.2	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	33.3			Percent of total billed charges		2047.284	33.3			Percent of total billed charges		2047.284	100			Percent of total billed charges		6148	2047.284	5533.2	
versys fm taper stem 14 x 135 lm body ext neck 00-7862-014-50 zimmer	278	RC	Outpatient			6148	3996.2		90			Percent of total billed charges		5533.2	40			Percent of total billed charges		2459.2	80			Percent of total billed charges		4918.4	90			Percent of total billed charges		5533.2	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	33.3			Percent of total billed charges		2047.284	33.3			Percent of total billed charges		2047.284	100			Percent of total billed charges		6148	2047.284	5533.2	
versys fm taper stem 14 x 135 lm body std neck 00-7862-014-30 zimmer	278	RC	Outpatient			6148	3996.2		90			Percent of total billed charges		5533.2	40			Percent of total billed charges		2459.2	80			Percent of total billed charges		4918.4	90			Percent of total billed charges		5533.2	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	33.3			Percent of total billed charges		2047.284	33.3			Percent of total billed charges		2047.284	100			Percent of total billed charges		6148	2047.284	5533.2	
versys fm taper stem 15 x 140 lm body ext neck 00-7862-015-50 zimmer	278	RC	Outpatient			6148	3996.2		90			Percent of total billed charges		5533.2	40			Percent of total billed charges		2459.2	80			Percent of total billed charges		4918.4	90			Percent of total billed charges		5533.2	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	33.3			Percent of total billed charges		2047.284	33.3			Percent of total billed charges		2047.284	100			Percent of total billed charges		6148	2047.284	5533.2	
versys fm taper stem 15 x 140 std body ext neck 00-7862-015-20 zimmer	278	RC	Outpatient			6148	3996.2		90			Percent of total billed charges		5533.2	40			Percent of total billed charges		2459.2	80			Percent of total billed charges		4918.4	90			Percent of total billed charges		5533.2	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	33.3			Percent of total billed charges		2047.284	33.3			Percent of total billed charges		2047.284	100			Percent of total billed charges		6148	2047.284	5533.2	
versys fm taper stem 16 x 145 lm body ext neck 00-7862-016-50 zimmer	278	RC	Outpatient			6148	3996.2		90			Percent of total billed charges		5533.2	40			Percent of total billed charges		2459.2	80			Percent of total billed charges		4918.4	90			Percent of total billed charges		5533.2	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	33.3			Percent of total billed charges		2047.284	33.3			Percent of total billed charges		2047.284	100			Percent of total billed charges		6148	2047.284	5533.2	
versys fm taper stem 16 x 145 std body ext neck 00-7862-016-20 zimmer	278	RC	Outpatient			6148	3996.2		90			Percent of total billed charges		5533.2	40			Percent of total billed charges		2459.2	80			Percent of total billed charges		4918.4	90			Percent of total billed charges		5533.2	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	33.3			Percent of total billed charges		2047.284	33.3			Percent of total billed charges		2047.284	100			Percent of total billed charges		6148	2047.284	5533.2	
versys fm taper stem 17 x 150 std body ext neck 00-7862-017-20 zimmer	278	RC	Outpatient			6148	3996.2		90			Percent of total billed charges		5533.2	40			Percent of total billed charges		2459.2	80			Percent of total billed charges		4918.4	90			Percent of total billed charges		5533.2	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	33.3			Percent of total billed charges		2047.284	33.3			Percent of total billed charges		2047.284	100			Percent of total billed charges		6148	2047.284	5533.2	
versys fm taper stem 19 x 155 lm body ext neck 00-7862-019-20 zimmer	278	RC	Outpatient			6148	3996.2		90			Percent of total billed charges		5533.2	40			Percent of total billed charges		2459.2	80			Percent of total billed charges		4918.4	90			Percent of total billed charges		5533.2	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	33.3			Percent of total billed charges		2047.284	33.3			Percent of total billed charges		2047.284	100			Percent of total billed charges		6148	2047.284	5533.2	
versys fm taper stem 19 x 155 lm body ext neck 00-7862-019-50 zimmer	278	RC	Outpatient			6148	3996.2		90			Percent of total billed charges		5533.2	40			Percent of total billed charges		2459.2	80			Percent of total billed charges		4918.4	90			Percent of total billed charges		5533.2	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	33.3			Percent of total billed charges		2047.284	33.3			Percent of total billed charges		2047.284	100			Percent of total billed charges		6148	2047.284	5533.2	
versys fm taper stem 20 x 155 lm body ext neck 00-7862-020-20 zimmer	278	RC	Outpatient			6148	3996.2		90			Percent of total billed charges		5533.2	40			Percent of total billed charges		2459.2	80			Percent of total billed charges		4918.4	90			Percent of total billed charges		5533.2	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	33.3			Percent of total billed charges		2047.284	33.3			Percent of total billed charges		2047.284	100			Percent of total billed charges		6148	2047.284	5533.2	
versys fm taper stem 20 x 155 lm body ext neck 00-7862-020-50 zimmer	278	RC	Outpatient			6148	3996.2		90			Percent of total billed charges		5533.2	40			Percent of total billed charges		2459.2	80			Percent of total billed charges		4918.4	90			Percent of total billed charges		5533.2	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	33.3			Percent of total billed charges		2047.284	33.3			Percent of total billed charges		2047.284	100			Percent of total billed charges		6148	2047.284	5533.2	
versys fm taper stem 20 x 155 lm body std neck 00-7862-020-00 zimmer	278	RC	Outpatient			6148	3996.2		90			Percent of total billed charges		5533.2	40			Percent of total billed charges		2459.2	80			Percent of total billed charges		4918.4	90			Percent of total billed charges		5533.2	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	33.3			Percent of total billed charges		2047.284	33.3			Percent of total billed charges		2047.284	100			Percent of total billed charges		6148	2047.284	5533.2	
versys stem 9 x 110  00-7862-009-00 zimmer	278	RC	Outpatient			6148	3996.2		90			Percent of total billed charges		5533.2	40			Percent of total billed charges		2459.2	80			Percent of total billed charges		4918.4	90			Percent of total billed charges		5533.2	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	33.3			Percent of total billed charges		2047.284	33.3			Percent of total billed charges		2047.284	100			Percent of total billed charges		6148	2047.284	5533.2	
zimmer versys  stem 7841-10	278	RC	Outpatient			6148	3996.2		90			Percent of total billed charges		5533.2	40			Percent of total billed charges		2459.2	80			Percent of total billed charges		4918.4	90			Percent of total billed charges		5533.2	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	33.3			Percent of total billed charges		2047.284	33.3			Percent of total billed charges		2047.284	100			Percent of total billed charges		6148	2047.284	5533.2	
zimmer versys  stem 7841-11	278	RC	Outpatient			6148	3996.2		90			Percent of total billed charges		5533.2	40			Percent of total billed charges		2459.2	80			Percent of total billed charges		4918.4	90			Percent of total billed charges		5533.2	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	33.3			Percent of total billed charges		2047.284	33.3			Percent of total billed charges		2047.284	100			Percent of total billed charges		6148	2047.284	5533.2	
zimmer versys  stem 7841-12	278	RC	Outpatient			6148	3996.2		90			Percent of total billed charges		5533.2	40			Percent of total billed charges		2459.2	80			Percent of total billed charges		4918.4	90			Percent of total billed charges		5533.2	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	33.3			Percent of total billed charges		2047.284	33.3			Percent of total billed charges		2047.284	100			Percent of total billed charges		6148	2047.284	5533.2	
zimmer versys fiber metal midcoat lm stem 7841-12-30	278	RC	Outpatient			6148	3996.2		90			Percent of total billed charges		5533.2	40			Percent of total billed charges		2459.2	80			Percent of total billed charges		4918.4	90			Percent of total billed charges		5533.2	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	33.3			Percent of total billed charges		2047.284	33.3			Percent of total billed charges		2047.284	100			Percent of total billed charges		6148	2047.284	5533.2	
zimmer versys fiber metal midcoat lm stem 7841-13-30	278	RC	Outpatient			6148	3996.2		90			Percent of total billed charges		5533.2	40			Percent of total billed charges		2459.2	80			Percent of total billed charges		4918.4	90			Percent of total billed charges		5533.2	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	33.3			Percent of total billed charges		2047.284	33.3			Percent of total billed charges		2047.284	100			Percent of total billed charges		6148	2047.284	5533.2	
zimmer versys fiber metal midcoat lm stem 7841-15-30	278	RC	Outpatient			6148	3996.2		90			Percent of total billed charges		5533.2	40			Percent of total billed charges		2459.2	80			Percent of total billed charges		4918.4	90			Percent of total billed charges		5533.2	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	33.3			Percent of total billed charges		2047.284	33.3			Percent of total billed charges		2047.284	100			Percent of total billed charges		6148	2047.284	5533.2	
zimmer versys fiber metal midcoat stem 7841-15	278	RC	Outpatient			6148	3996.2		90			Percent of total billed charges		5533.2	40			Percent of total billed charges		2459.2	80			Percent of total billed charges		4918.4	90			Percent of total billed charges		5533.2	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	33.3			Percent of total billed charges		2047.284	33.3			Percent of total billed charges		2047.284	100			Percent of total billed charges		6148	2047.284	5533.2	
zimmer versys fiber metal midcoat stem 7841-17	278	RC	Outpatient			6148	3996.2		90			Percent of total billed charges		5533.2	40			Percent of total billed charges		2459.2	80			Percent of total billed charges		4918.4	90			Percent of total billed charges		5533.2	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	33.3			Percent of total billed charges		2047.284	33.3			Percent of total billed charges		2047.284	100			Percent of total billed charges		6148	2047.284	5533.2	
zimmer versys fm mc clrl5s ha stem 14 x 140 7845-14i	278	RC	Outpatient			6148	3996.2		90			Percent of total billed charges		5533.2	40			Percent of total billed charges		2459.2	80			Percent of total billed charges		4918.4	90			Percent of total billed charges		5533.2	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	33.3			Percent of total billed charges		2047.284	33.3			Percent of total billed charges		2047.284	100			Percent of total billed charges		6148	2047.284	5533.2	
versys fm taper stem 11 x 120 lm body ext neck 00-7862-011-50 zimmer	278	RC	Outpatient			6148	3996.2		90			Percent of total billed charges		5533.2	40			Percent of total billed charges		2459.2	80			Percent of total billed charges		4918.4	90			Percent of total billed charges		5533.2	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	33.3			Percent of total billed charges		2047.284	33.3			Percent of total billed charges		2047.284	100			Percent of total billed charges		6148	2047.284	5533.2	
versys fm taper stem 11 x 120 std body ext neck 00-7862-011-20 zimmer	278	RC	Outpatient			6148	3996.2		90			Percent of total billed charges		5533.2	40			Percent of total billed charges		2459.2	80			Percent of total billed charges		4918.4	90			Percent of total billed charges		5533.2	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	33.3			Percent of total billed charges		2047.284	33.3			Percent of total billed charges		2047.284	100			Percent of total billed charges		6148	2047.284	5533.2	
versys fm taper stem 11 x 120 std body std neck 00-7862-011-00 zimmer	278	RC	Outpatient			6148	3996.2		90			Percent of total billed charges		5533.2	40			Percent of total billed charges		2459.2	80			Percent of total billed charges		4918.4	90			Percent of total billed charges		5533.2	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	33.3			Percent of total billed charges		2047.284	33.3			Percent of total billed charges		2047.284	100			Percent of total billed charges		6148	2047.284	5533.2	
versys fm taper stem 13 x 130 std body ext neck 00-7862-013-20 zimmer	278	RC	Outpatient			6148	3996.2		90			Percent of total billed charges		5533.2	40			Percent of total billed charges		2459.2	80			Percent of total billed charges		4918.4	90			Percent of total billed charges		5533.2	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	33.3			Percent of total billed charges		2047.284	33.3			Percent of total billed charges		2047.284	100			Percent of total billed charges		6148	2047.284	5533.2	
versys fm taper stem 14 x 135 std body ext neck 00-7862-014-20 zimmer	278	RC	Outpatient			6148	3996.2		90			Percent of total billed charges		5533.2	40			Percent of total billed charges		2459.2	80			Percent of total billed charges		4918.4	90			Percent of total billed charges		5533.2	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	33.3			Percent of total billed charges		2047.284	33.3			Percent of total billed charges		2047.284	100			Percent of total billed charges		6148	2047.284	5533.2	
versys fm taper stem 14 x 135 std body std neck 00-7862-014-00 zimmer	278	RC	Outpatient			6148	3996.2		90			Percent of total billed charges		5533.2	40			Percent of total billed charges		2459.2	80			Percent of total billed charges		4918.4	90			Percent of total billed charges		5533.2	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	33.3			Percent of total billed charges		2047.284	33.3			Percent of total billed charges		2047.284	100			Percent of total billed charges		6148	2047.284	5533.2	
versys fm taper stem 15 x 140 lm body std neck 00-7862-015-30 zimmer	278	RC	Outpatient			6148	3996.2		90			Percent of total billed charges		5533.2	40			Percent of total billed charges		2459.2	80			Percent of total billed charges		4918.4	90			Percent of total billed charges		5533.2	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	33.3			Percent of total billed charges		2047.284	33.3			Percent of total billed charges		2047.284	100			Percent of total billed charges		6148	2047.284	5533.2	
versys fm taper stem 15 x 140 std body std neck 00-7862-015-00 zimmer	278	RC	Outpatient			6148	3996.2		90			Percent of total billed charges		5533.2	40			Percent of total billed charges		2459.2	80			Percent of total billed charges		4918.4	90			Percent of total billed charges		5533.2	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	33.3			Percent of total billed charges		2047.284	33.3			Percent of total billed charges		2047.284	100			Percent of total billed charges		6148	2047.284	5533.2	
versys fm taper stem 16 x 145 lm body std neck 00-7862-01630 zimmer	278	RC	Outpatient			6148	3996.2		90			Percent of total billed charges		5533.2	40			Percent of total billed charges		2459.2	80			Percent of total billed charges		4918.4	90			Percent of total billed charges		5533.2	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	33.3			Percent of total billed charges		2047.284	33.3			Percent of total billed charges		2047.284	100			Percent of total billed charges		6148	2047.284	5533.2	
versys fm taper stem 16 x 145 std body std neck 00-7862-016-00 zimmer	278	RC	Outpatient			6148	3996.2		90			Percent of total billed charges		5533.2	40			Percent of total billed charges		2459.2	80			Percent of total billed charges		4918.4	90			Percent of total billed charges		5533.2	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	33.3			Percent of total billed charges		2047.284	33.3			Percent of total billed charges		2047.284	100			Percent of total billed charges		6148	2047.284	5533.2	
versys fm taper stem 17 x 150 lm body ext neck 00-7862-017-50 zimmer	278	RC	Outpatient			6148	3996.2		90			Percent of total billed charges		5533.2	40			Percent of total billed charges		2459.2	80			Percent of total billed charges		4918.4	90			Percent of total billed charges		5533.2	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	33.3			Percent of total billed charges		2047.284	33.3			Percent of total billed charges		2047.284	100			Percent of total billed charges		6148	2047.284	5533.2	
versys fm taper stem 17 x 150 lm body std neck 00-7862-017-30 zimmer	278	RC	Outpatient			6148	3996.2		90			Percent of total billed charges		5533.2	40			Percent of total billed charges		2459.2	80			Percent of total billed charges		4918.4	90			Percent of total billed charges		5533.2	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	33.3			Percent of total billed charges		2047.284	33.3			Percent of total billed charges		2047.284	100			Percent of total billed charges		6148	2047.284	5533.2	
versys fm taper stem 17 x 150 std body std neck 00-7862-017-00 zimmer	278	RC	Outpatient			6148	3996.2		90			Percent of total billed charges		5533.2	40			Percent of total billed charges		2459.2	80			Percent of total billed charges		4918.4	90			Percent of total billed charges		5533.2	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	33.3			Percent of total billed charges		2047.284	33.3			Percent of total billed charges		2047.284	100			Percent of total billed charges		6148	2047.284	5533.2	
versys fm taper stem 18 x 155 lm body ext neck 00-7862-018-50 zimmer	278	RC	Outpatient			6148	3996.2		90			Percent of total billed charges		5533.2	40			Percent of total billed charges		2459.2	80			Percent of total billed charges		4918.4	90			Percent of total billed charges		5533.2	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	33.3			Percent of total billed charges		2047.284	33.3			Percent of total billed charges		2047.284	100			Percent of total billed charges		6148	2047.284	5533.2	
versys fm taper stem 18 x 155 lm body std neck 00-7862-018-30 zimmer	278	RC	Outpatient			6148	3996.2		90			Percent of total billed charges		5533.2	40			Percent of total billed charges		2459.2	80			Percent of total billed charges		4918.4	90			Percent of total billed charges		5533.2	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	33.3			Percent of total billed charges		2047.284	33.3			Percent of total billed charges		2047.284	100			Percent of total billed charges		6148	2047.284	5533.2	
versys fm taper stem 18 x 155 std body ext neck 00-7862-018-20 zimmer	278	RC	Outpatient			6148	3996.2		90			Percent of total billed charges		5533.2	40			Percent of total billed charges		2459.2	80			Percent of total billed charges		4918.4	90			Percent of total billed charges		5533.2	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	33.3			Percent of total billed charges		2047.284	33.3			Percent of total billed charges		2047.284	100			Percent of total billed charges		6148	2047.284	5533.2	
versys fm taper stem 18 x 155 std body std neck 00-7862-018-00 zimmer	278	RC	Outpatient			6148	3996.2		90			Percent of total billed charges		5533.2	40			Percent of total billed charges		2459.2	80			Percent of total billed charges		4918.4	90			Percent of total billed charges		5533.2	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	33.3			Percent of total billed charges		2047.284	33.3			Percent of total billed charges		2047.284	100			Percent of total billed charges		6148	2047.284	5533.2	
versys fm taper stem 19 x 155 lm body std neck 00-7862-019-00 zimmer	278	RC	Outpatient			6148	3996.2		90			Percent of total billed charges		5533.2	40			Percent of total billed charges		2459.2	80			Percent of total billed charges		4918.4	90			Percent of total billed charges		5533.2	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	33.3			Percent of total billed charges		2047.284	33.3			Percent of total billed charges		2047.284	100			Percent of total billed charges		6148	2047.284	5533.2	
versys fm taper stem 19 x 155 lm body std neck 00-7862-019-30 zimmer	278	RC	Outpatient			6148	3996.2		90			Percent of total billed charges		5533.2	40			Percent of total billed charges		2459.2	80			Percent of total billed charges		4918.4	90			Percent of total billed charges		5533.2	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	33.3			Percent of total billed charges		2047.284	33.3			Percent of total billed charges		2047.284	100			Percent of total billed charges		6148	2047.284	5533.2	
versys fm taper stem 20 x 155 lm body std neck 00-7862-020-30 zimmer	278	RC	Outpatient			6148	3996.2		90			Percent of total billed charges		5533.2	40			Percent of total billed charges		2459.2	80			Percent of total billed charges		4918.4	90			Percent of total billed charges		5533.2	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	33.3			Percent of total billed charges		2047.284	33.3			Percent of total billed charges		2047.284	100			Percent of total billed charges		6148	2047.284	5533.2	
zimmer versys  stem 7841-13	278	RC	Outpatient			6148	3996.2		90			Percent of total billed charges		5533.2	40			Percent of total billed charges		2459.2	80			Percent of total billed charges		4918.4	90			Percent of total billed charges		5533.2	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	33.3			Percent of total billed charges		2047.284	33.3			Percent of total billed charges		2047.284	100			Percent of total billed charges		6148	2047.284	5533.2	
zimmer versys  stem 7841-14	278	RC	Outpatient			6148	3996.2		90			Percent of total billed charges		5533.2	40			Percent of total billed charges		2459.2	80			Percent of total billed charges		4918.4	90			Percent of total billed charges		5533.2	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	33.3			Percent of total billed charges		2047.284	33.3			Percent of total billed charges		2047.284	100			Percent of total billed charges		6148	2047.284	5533.2	
zimmer versys fiber metal midcoat lm stem 7841-14-30	278	RC	Outpatient			6148	3996.2		90			Percent of total billed charges		5533.2	40			Percent of total billed charges		2459.2	80			Percent of total billed charges		4918.4	90			Percent of total billed charges		5533.2	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	33.3			Percent of total billed charges		2047.284	33.3			Percent of total billed charges		2047.284	100			Percent of total billed charges		6148	2047.284	5533.2	
zimmer versys fiber metal midcoat lm stem 7841-16-30	278	RC	Outpatient			6148	3996.2		90			Percent of total billed charges		5533.2	40			Percent of total billed charges		2459.2	80			Percent of total billed charges		4918.4	90			Percent of total billed charges		5533.2	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	33.3			Percent of total billed charges		2047.284	33.3			Percent of total billed charges		2047.284	100			Percent of total billed charges		6148	2047.284	5533.2	
zimmer versys fiber metal midcoat stem 7841-16	278	RC	Outpatient			6148	3996.2		90			Percent of total billed charges		5533.2	40			Percent of total billed charges		2459.2	80			Percent of total billed charges		4918.4	90			Percent of total billed charges		5533.2	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	33.3			Percent of total billed charges		2047.284	33.3			Percent of total billed charges		2047.284	100			Percent of total billed charges		6148	2047.284	5533.2	
zimmer versys fiber metal midcoat stem 7841-18	278	RC	Outpatient			6148	3996.2		90			Percent of total billed charges		5533.2	40			Percent of total billed charges		2459.2	80			Percent of total billed charges		4918.4	90			Percent of total billed charges		5533.2	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	85			Percent of total billed charges		5225.8	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	100			Percent of total billed charges		6148	33.3			Percent of total billed charges		2047.284	33.3			Percent of total billed charges		2047.284	100			Percent of total billed charges		6148	2047.284	5533.2	
bs accolade sr gen	278	RC	Outpatient			6150	3997.5		90			Percent of total billed charges		5535	40			Percent of total billed charges		2460	80			Percent of total billed charges		4920	90			Percent of total billed charges		5535	85			Percent of total billed charges		5227.5	85			Percent of total billed charges		5227.5	85			Percent of total billed charges		5227.5	100			Percent of total billed charges		6150	100			Percent of total billed charges		6150	100			Percent of total billed charges		6150	33.3			Percent of total billed charges		2047.95	33.3			Percent of total billed charges		2047.95	100			Percent of total billed charges		6150	2047.95	5535	
mesh seri 10 x 25	278	RC	Outpatient			6179	4016.35		90			Percent of total billed charges		5561.1	40			Percent of total billed charges		2471.6	80			Percent of total billed charges		4943.2	90			Percent of total billed charges		5561.1	85			Percent of total billed charges		5252.15	85			Percent of total billed charges		5252.15	85			Percent of total billed charges		5252.15	100			Percent of total billed charges		6179	100			Percent of total billed charges		6179	100			Percent of total billed charges		6179	33.3			Percent of total billed charges		2057.607	33.3			Percent of total billed charges		2057.607	100			Percent of total billed charges		6179	2057.607	5561.1	
steri mesh 10 x 25 94675 allergan	278	RC	Outpatient			6179	4016.35		90			Percent of total billed charges		5561.1	40			Percent of total billed charges		2471.6	80			Percent of total billed charges		4943.2	90			Percent of total billed charges		5561.1	85			Percent of total billed charges		5252.15	85			Percent of total billed charges		5252.15	85			Percent of total billed charges		5252.15	100			Percent of total billed charges		6179	100			Percent of total billed charges		6179	100			Percent of total billed charges		6179	33.3			Percent of total billed charges		2057.607	33.3			Percent of total billed charges		2057.607	100			Percent of total billed charges		6179	2057.607	5561.1	
bs l110 gen	278	RC	Outpatient			6188	4022.2		90			Percent of total billed charges		5569.2	40			Percent of total billed charges		2475.2	80			Percent of total billed charges		4950.4	90			Percent of total billed charges		5569.2	85			Percent of total billed charges		5259.8	85			Percent of total billed charges		5259.8	85			Percent of total billed charges		5259.8	100			Percent of total billed charges		6188	100			Percent of total billed charges		6188	100			Percent of total billed charges		6188	33.3			Percent of total billed charges		2060.604	33.3			Percent of total billed charges		2060.604	100			Percent of total billed charges		6188	2060.604	5569.2	
bi-metric porous stem 14mm 162254	278	RC	Outpatient			6189	4022.85		90			Percent of total billed charges		5570.1	40			Percent of total billed charges		2475.6	80			Percent of total billed charges		4951.2	90			Percent of total billed charges		5570.1	85			Percent of total billed charges		5260.65	85			Percent of total billed charges		5260.65	85			Percent of total billed charges		5260.65	100			Percent of total billed charges		6189	100			Percent of total billed charges		6189	100			Percent of total billed charges		6189	33.3			Percent of total billed charges		2060.937	33.3			Percent of total billed charges		2060.937	100			Percent of total billed charges		6189	2060.937	5570.1	
bimetric porous stem 16mm 162255 biomet	278	RC	Outpatient			6189	4022.85		90			Percent of total billed charges		5570.1	40			Percent of total billed charges		2475.6	80			Percent of total billed charges		4951.2	90			Percent of total billed charges		5570.1	85			Percent of total billed charges		5260.65	85			Percent of total billed charges		5260.65	85			Percent of total billed charges		5260.65	100			Percent of total billed charges		6189	100			Percent of total billed charges		6189	100			Percent of total billed charges		6189	33.3			Percent of total billed charges		2060.937	33.3			Percent of total billed charges		2060.937	100			Percent of total billed charges		6189	2060.937	5570.1	
biomet bi-metric  femoral 11mm x 135mm 162312	278	RC	Outpatient			6189	4022.85		90			Percent of total billed charges		5570.1	40			Percent of total billed charges		2475.6	80			Percent of total billed charges		4951.2	90			Percent of total billed charges		5570.1	85			Percent of total billed charges		5260.65	85			Percent of total billed charges		5260.65	85			Percent of total billed charges		5260.65	100			Percent of total billed charges		6189	100			Percent of total billed charges		6189	100			Percent of total billed charges		6189	33.3			Percent of total billed charges		2060.937	33.3			Percent of total billed charges		2060.937	100			Percent of total billed charges		6189	2060.937	5570.1	
biomet bi-metric  femoral 12mm x 140mm 162253	278	RC	Outpatient			6189	4022.85		90			Percent of total billed charges		5570.1	40			Percent of total billed charges		2475.6	80			Percent of total billed charges		4951.2	90			Percent of total billed charges		5570.1	85			Percent of total billed charges		5260.65	85			Percent of total billed charges		5260.65	85			Percent of total billed charges		5260.65	100			Percent of total billed charges		6189	100			Percent of total billed charges		6189	100			Percent of total billed charges		6189	33.3			Percent of total billed charges		2060.937	33.3			Percent of total billed charges		2060.937	100			Percent of total billed charges		6189	2060.937	5570.1	
biomet bi-metric  femoral 7mm x 115mm 162310	278	RC	Outpatient			6189	4022.85		90			Percent of total billed charges		5570.1	40			Percent of total billed charges		2475.6	80			Percent of total billed charges		4951.2	90			Percent of total billed charges		5570.1	85			Percent of total billed charges		5260.65	85			Percent of total billed charges		5260.65	85			Percent of total billed charges		5260.65	100			Percent of total billed charges		6189	100			Percent of total billed charges		6189	100			Percent of total billed charges		6189	33.3			Percent of total billed charges		2060.937	33.3			Percent of total billed charges		2060.937	100			Percent of total billed charges		6189	2060.937	5570.1	
biomet bi-metric  femoral 15mm x 155mm 162314	278	RC	Outpatient			6189	4022.85		90			Percent of total billed charges		5570.1	40			Percent of total billed charges		2475.6	80			Percent of total billed charges		4951.2	90			Percent of total billed charges		5570.1	85			Percent of total billed charges		5260.65	85			Percent of total billed charges		5260.65	85			Percent of total billed charges		5260.65	100			Percent of total billed charges		6189	100			Percent of total billed charges		6189	100			Percent of total billed charges		6189	33.3			Percent of total billed charges		2060.937	33.3			Percent of total billed charges		2060.937	100			Percent of total billed charges		6189	2060.937	5570.1	
biomet bi-metric  femoral 8mm x 120mm 162251	278	RC	Outpatient			6189	4022.85		90			Percent of total billed charges		5570.1	40			Percent of total billed charges		2475.6	80			Percent of total billed charges		4951.2	90			Percent of total billed charges		5570.1	85			Percent of total billed charges		5260.65	85			Percent of total billed charges		5260.65	85			Percent of total billed charges		5260.65	100			Percent of total billed charges		6189	100			Percent of total billed charges		6189	100			Percent of total billed charges		6189	33.3			Percent of total billed charges		2060.937	33.3			Percent of total billed charges		2060.937	100			Percent of total billed charges		6189	2060.937	5570.1	
biomet bi-metric  femoral 9mm x 125mm 162311	278	RC	Outpatient			6189	4022.85		90			Percent of total billed charges		5570.1	40			Percent of total billed charges		2475.6	80			Percent of total billed charges		4951.2	90			Percent of total billed charges		5570.1	85			Percent of total billed charges		5260.65	85			Percent of total billed charges		5260.65	85			Percent of total billed charges		5260.65	100			Percent of total billed charges		6189	100			Percent of total billed charges		6189	100			Percent of total billed charges		6189	33.3			Percent of total billed charges		2060.937	33.3			Percent of total billed charges		2060.937	100			Percent of total billed charges		6189	2060.937	5570.1	
biomet bi-metric femoral 10mm x 130mm 162252	278	RC	Outpatient			6189	4022.85		90			Percent of total billed charges		5570.1	40			Percent of total billed charges		2475.6	80			Percent of total billed charges		4951.2	90			Percent of total billed charges		5570.1	85			Percent of total billed charges		5260.65	85			Percent of total billed charges		5260.65	85			Percent of total billed charges		5260.65	100			Percent of total billed charges		6189	100			Percent of total billed charges		6189	100			Percent of total billed charges		6189	33.3			Percent of total billed charges		2060.937	33.3			Percent of total billed charges		2060.937	100			Percent of total billed charges		6189	2060.937	5570.1	
biomet bi-metric femoral 13mm x 145mm 162313	278	RC	Outpatient			6189	4022.85		90			Percent of total billed charges		5570.1	40			Percent of total billed charges		2475.6	80			Percent of total billed charges		4951.2	90			Percent of total billed charges		5570.1	85			Percent of total billed charges		5260.65	85			Percent of total billed charges		5260.65	85			Percent of total billed charges		5260.65	100			Percent of total billed charges		6189	100			Percent of total billed charges		6189	100			Percent of total billed charges		6189	33.3			Percent of total billed charges		2060.937	33.3			Percent of total billed charges		2060.937	100			Percent of total billed charges		6189	2060.937	5570.1	
or time 5 1/2 hours	270	RC	Outpatient			6210	4036.5		90			Percent of total billed charges		5589	40			Percent of total billed charges		2484	80			Percent of total billed charges		4968	90			Percent of total billed charges		5589	85			Percent of total billed charges		5278.5	85			Percent of total billed charges		5278.5	85			Percent of total billed charges		5278.5	100			Percent of total billed charges		6210	100			Percent of total billed charges		6210	100			Percent of total billed charges		6210	33.3			Percent of total billed charges		2067.93	33.3			Percent of total billed charges		2067.93	100			Percent of total billed charges		6210	2067.93	5589	
mrh knee bump ins styker	278	RC	Outpatient			6238	4054.7		90			Percent of total billed charges		5614.2	40			Percent of total billed charges		2495.2	80			Percent of total billed charges		4990.4	90			Percent of total billed charges		5614.2	85			Percent of total billed charges		5302.3	85			Percent of total billed charges		5302.3	85			Percent of total billed charges		5302.3	100			Percent of total billed charges		6238	100			Percent of total billed charges		6238	100			Percent of total billed charges		6238	33.3			Percent of total billed charges		2077.254	33.3			Percent of total billed charges		2077.254	100			Percent of total billed charges		6238	2077.254	5614.2	
mrh knee tibial baseplate sm-2 6481-3-111 stryker	278	RC	Outpatient			6238	4054.7		90			Percent of total billed charges		5614.2	40			Percent of total billed charges		2495.2	80			Percent of total billed charges		4990.4	90			Percent of total billed charges		5614.2	85			Percent of total billed charges		5302.3	85			Percent of total billed charges		5302.3	85			Percent of total billed charges		5302.3	100			Percent of total billed charges		6238	100			Percent of total billed charges		6238	100			Percent of total billed charges		6238	33.3			Percent of total billed charges		2077.254	33.3			Percent of total billed charges		2077.254	100			Percent of total billed charges		6238	2077.254	5614.2	
mrh knee tib basepl sm	278	RC	Outpatient			6238	4054.7		90			Percent of total billed charges		5614.2	40			Percent of total billed charges		2495.2	80			Percent of total billed charges		4990.4	90			Percent of total billed charges		5614.2	85			Percent of total billed charges		5302.3	85			Percent of total billed charges		5302.3	85			Percent of total billed charges		5302.3	100			Percent of total billed charges		6238	100			Percent of total billed charges		6238	100			Percent of total billed charges		6238	33.3			Percent of total billed charges		2077.254	33.3			Percent of total billed charges		2077.254	100			Percent of total billed charges		6238	2077.254	5614.2	
mrh knee tibial baseplate med-2 6481-3-112 stryker	278	RC	Outpatient			6238	4054.7		90			Percent of total billed charges		5614.2	40			Percent of total billed charges		2495.2	80			Percent of total billed charges		4990.4	90			Percent of total billed charges		5614.2	85			Percent of total billed charges		5302.3	85			Percent of total billed charges		5302.3	85			Percent of total billed charges		5302.3	100			Percent of total billed charges		6238	100			Percent of total billed charges		6238	100			Percent of total billed charges		6238	33.3			Percent of total billed charges		2077.254	33.3			Percent of total billed charges		2077.254	100			Percent of total billed charges		6238	2077.254	5614.2	
mrh knee tibial baseplate sm-1 6481-3-110 stryker	278	RC	Outpatient			6238	4054.7		90			Percent of total billed charges		5614.2	40			Percent of total billed charges		2495.2	80			Percent of total billed charges		4990.4	90			Percent of total billed charges		5614.2	85			Percent of total billed charges		5302.3	85			Percent of total billed charges		5302.3	85			Percent of total billed charges		5302.3	100			Percent of total billed charges		6238	100			Percent of total billed charges		6238	100			Percent of total billed charges		6238	33.3			Percent of total billed charges		2077.254	33.3			Percent of total billed charges		2077.254	100			Percent of total billed charges		6238	2077.254	5614.2	
styker tib bp	278	RC	Outpatient			6238	4054.7		90			Percent of total billed charges		5614.2	40			Percent of total billed charges		2495.2	80			Percent of total billed charges		4990.4	90			Percent of total billed charges		5614.2	85			Percent of total billed charges		5302.3	85			Percent of total billed charges		5302.3	85			Percent of total billed charges		5302.3	100			Percent of total billed charges		6238	100			Percent of total billed charges		6238	100			Percent of total billed charges		6238	33.3			Percent of total billed charges		2077.254	33.3			Percent of total billed charges		2077.254	100			Percent of total billed charges		6238	2077.254	5614.2	
ir angio balloon peripheral artery	320	RC	Outpatient			6239	4055.35		90			Percent of total billed charges		5615.1	40			Percent of total billed charges		2495.6	80			Percent of total billed charges		4991.2	90			Percent of total billed charges		5615.1	85			Percent of total billed charges		5303.15	85			Percent of total billed charges		5303.15	85			Percent of total billed charges		5303.15	100			Percent of total billed charges		6239	100			Percent of total billed charges		6239	100			Percent of total billed charges		6239	33.3			Percent of total billed charges		2077.587	33.3			Percent of total billed charges		2077.587	100			Percent of total billed charges		6239	2077.587	5615.1	
ir angio balloon renal bilateral	320	RC	Outpatient			6239	4055.35		90			Percent of total billed charges		5615.1	40			Percent of total billed charges		2495.6	80			Percent of total billed charges		4991.2	90			Percent of total billed charges		5615.1	85			Percent of total billed charges		5303.15	85			Percent of total billed charges		5303.15	85			Percent of total billed charges		5303.15	100			Percent of total billed charges		6239	100			Percent of total billed charges		6239	100			Percent of total billed charges		6239	33.3			Percent of total billed charges		2077.587	33.3			Percent of total billed charges		2077.587	100			Percent of total billed charges		6239	2077.587	5615.1	
cath lab radial right/left heart cath	481	RC	Outpatient			6255	4065.75		90			Percent of total billed charges		5629.5	40			Percent of total billed charges		2502	80			Percent of total billed charges		5004	90			Percent of total billed charges		5629.5	85			Percent of total billed charges		5316.75	85			Percent of total billed charges		5316.75	85			Percent of total billed charges		5316.75	100			Percent of total billed charges		6255	100			Percent of total billed charges		6255	100			Percent of total billed charges		6255	33.3			Percent of total billed charges		2082.915	33.3			Percent of total billed charges		2082.915	100			Percent of total billed charges		6255	2082.915	5629.5	
femoral bdy  size a zimmer 9980-17-40	278	RC	Outpatient			6282	4083.3		90			Percent of total billed charges		5653.8	40			Percent of total billed charges		2512.8	80			Percent of total billed charges		5025.6	90			Percent of total billed charges		5653.8	85			Percent of total billed charges		5339.7	85			Percent of total billed charges		5339.7	85			Percent of total billed charges		5339.7	100			Percent of total billed charges		6282	100			Percent of total billed charges		6282	100			Percent of total billed charges		6282	33.3			Percent of total billed charges		2091.906	33.3			Percent of total billed charges		2091.906	100			Percent of total billed charges		6282	2091.906	5653.8	
zimm fem bdy long	278	RC	Outpatient			6282	4083.3		90			Percent of total billed charges		5653.8	40			Percent of total billed charges		2512.8	80			Percent of total billed charges		5025.6	90			Percent of total billed charges		5653.8	85			Percent of total billed charges		5339.7	85			Percent of total billed charges		5339.7	85			Percent of total billed charges		5339.7	100			Percent of total billed charges		6282	100			Percent of total billed charges		6282	100			Percent of total billed charges		6282	33.3			Percent of total billed charges		2091.906	33.3			Percent of total billed charges		2091.906	100			Percent of total billed charges		6282	2091.906	5653.8	
zmr fem vody sz b.46mm 9991-18-45	278	RC	Outpatient			6282	4083.3		90			Percent of total billed charges		5653.8	40			Percent of total billed charges		2512.8	80			Percent of total billed charges		5025.6	90			Percent of total billed charges		5653.8	85			Percent of total billed charges		5339.7	85			Percent of total billed charges		5339.7	85			Percent of total billed charges		5339.7	100			Percent of total billed charges		6282	100			Percent of total billed charges		6282	100			Percent of total billed charges		6282	33.3			Percent of total billed charges		2091.906	33.3			Percent of total billed charges		2091.906	100			Percent of total billed charges		6282	2091.906	5653.8	
echelon porous standard sz 13 190mm  7134-0113 s/n	278	RC	Outpatient			6283	4083.95		90			Percent of total billed charges		5654.7	40			Percent of total billed charges		2513.2	80			Percent of total billed charges		5026.4	90			Percent of total billed charges		5654.7	85			Percent of total billed charges		5340.55	85			Percent of total billed charges		5340.55	85			Percent of total billed charges		5340.55	100			Percent of total billed charges		6283	100			Percent of total billed charges		6283	100			Percent of total billed charges		6283	33.3			Percent of total billed charges		2092.239	33.3			Percent of total billed charges		2092.239	100			Percent of total billed charges		6283	2092.239	5654.7	
echelon porous straight stem 190mm sz14 7134-0114 s/n	278	RC	Outpatient			6283	4083.95		90			Percent of total billed charges		5654.7	40			Percent of total billed charges		2513.2	80			Percent of total billed charges		5026.4	90			Percent of total billed charges		5654.7	85			Percent of total billed charges		5340.55	85			Percent of total billed charges		5340.55	85			Percent of total billed charges		5340.55	100			Percent of total billed charges		6283	100			Percent of total billed charges		6283	100			Percent of total billed charges		6283	33.3			Percent of total billed charges		2092.239	33.3			Percent of total billed charges		2092.239	100			Percent of total billed charges		6283	2092.239	5654.7	
"legion oxinium constrained femoral component sz 3, left s/n 71421163"	278	RC	Outpatient			6283	4083.95		90			Percent of total billed charges		5654.7	40			Percent of total billed charges		2513.2	80			Percent of total billed charges		5026.4	90			Percent of total billed charges		5654.7	85			Percent of total billed charges		5340.55	85			Percent of total billed charges		5340.55	85			Percent of total billed charges		5340.55	100			Percent of total billed charges		6283	100			Percent of total billed charges		6283	100			Percent of total billed charges		6283	33.3			Percent of total billed charges		2092.239	33.3			Percent of total billed charges		2092.239	100			Percent of total billed charges		6283	2092.239	5654.7	
"legion oxinium constrained femoral component sz 6, left s/n 71421166"	278	RC	Outpatient			6283	4083.95		90			Percent of total billed charges		5654.7	40			Percent of total billed charges		2513.2	80			Percent of total billed charges		5026.4	90			Percent of total billed charges		5654.7	85			Percent of total billed charges		5340.55	85			Percent of total billed charges		5340.55	85			Percent of total billed charges		5340.55	100			Percent of total billed charges		6283	100			Percent of total billed charges		6283	100			Percent of total billed charges		6283	33.3			Percent of total billed charges		2092.239	33.3			Percent of total billed charges		2092.239	100			Percent of total billed charges		6283	2092.239	5654.7	
"legion oxinium constrained femoral component sz 7, left s/n 71421167"	278	RC	Outpatient			6283	4083.95		90			Percent of total billed charges		5654.7	40			Percent of total billed charges		2513.2	80			Percent of total billed charges		5026.4	90			Percent of total billed charges		5654.7	85			Percent of total billed charges		5340.55	85			Percent of total billed charges		5340.55	85			Percent of total billed charges		5340.55	100			Percent of total billed charges		6283	100			Percent of total billed charges		6283	100			Percent of total billed charges		6283	33.3			Percent of total billed charges		2092.239	33.3			Percent of total billed charges		2092.239	100			Percent of total billed charges		6283	2092.239	5654.7	
s/n calcar stem	278	RC	Outpatient			6283	4083.95		90			Percent of total billed charges		5654.7	40			Percent of total billed charges		2513.2	80			Percent of total billed charges		5026.4	90			Percent of total billed charges		5654.7	85			Percent of total billed charges		5340.55	85			Percent of total billed charges		5340.55	85			Percent of total billed charges		5340.55	100			Percent of total billed charges		6283	100			Percent of total billed charges		6283	100			Percent of total billed charges		6283	33.3			Percent of total billed charges		2092.239	33.3			Percent of total billed charges		2092.239	100			Percent of total billed charges		6283	2092.239	5654.7	
stryker tritanium rev she	278	RC	Outpatient			6287	4086.55		90			Percent of total billed charges		5658.3	40			Percent of total billed charges		2514.8	80			Percent of total billed charges		5029.6	90			Percent of total billed charges		5658.3	85			Percent of total billed charges		5343.95	85			Percent of total billed charges		5343.95	85			Percent of total billed charges		5343.95	100			Percent of total billed charges		6287	100			Percent of total billed charges		6287	100			Percent of total billed charges		6287	33.3			Percent of total billed charges		2093.571	33.3			Percent of total billed charges		2093.571	100			Percent of total billed charges		6287	2093.571	5658.3	
tritanium revision acetabular 509-02-56e osteonics	278	RC	Outpatient			6287	4086.55		90			Percent of total billed charges		5658.3	40			Percent of total billed charges		2514.8	80			Percent of total billed charges		5029.6	90			Percent of total billed charges		5658.3	85			Percent of total billed charges		5343.95	85			Percent of total billed charges		5343.95	85			Percent of total billed charges		5343.95	100			Percent of total billed charges		6287	100			Percent of total billed charges		6287	100			Percent of total billed charges		6287	33.3			Percent of total billed charges		2093.571	33.3			Percent of total billed charges		2093.571	100			Percent of total billed charges		6287	2093.571	5658.3	
tritanium revision acetabular 509-02-62g osteonics	278	RC	Outpatient			6287	4086.55		90			Percent of total billed charges		5658.3	40			Percent of total billed charges		2514.8	80			Percent of total billed charges		5029.6	90			Percent of total billed charges		5658.3	85			Percent of total billed charges		5343.95	85			Percent of total billed charges		5343.95	85			Percent of total billed charges		5343.95	100			Percent of total billed charges		6287	100			Percent of total billed charges		6287	100			Percent of total billed charges		6287	33.3			Percent of total billed charges		2093.571	33.3			Percent of total billed charges		2093.571	100			Percent of total billed charges		6287	2093.571	5658.3	
tritanium revision acetabular 509-02-64g osteonics	278	RC	Outpatient			6287	4086.55		90			Percent of total billed charges		5658.3	40			Percent of total billed charges		2514.8	80			Percent of total billed charges		5029.6	90			Percent of total billed charges		5658.3	85			Percent of total billed charges		5343.95	85			Percent of total billed charges		5343.95	85			Percent of total billed charges		5343.95	100			Percent of total billed charges		6287	100			Percent of total billed charges		6287	100			Percent of total billed charges		6287	33.3			Percent of total billed charges		2093.571	33.3			Percent of total billed charges		2093.571	100			Percent of total billed charges		6287	2093.571	5658.3	
restoration plasma distal stem 13 x 217mm 6276-5-413 howmedica	278	RC	Outpatient			6290	4088.5		90			Percent of total billed charges		5661	40			Percent of total billed charges		2516	80			Percent of total billed charges		5032	90			Percent of total billed charges		5661	85			Percent of total billed charges		5346.5	85			Percent of total billed charges		5346.5	85			Percent of total billed charges		5346.5	100			Percent of total billed charges		6290	100			Percent of total billed charges		6290	100			Percent of total billed charges		6290	33.3			Percent of total billed charges		2094.57	33.3			Percent of total billed charges		2094.57	100			Percent of total billed charges		6290	2094.57	5661	
restoration plasma dis st	278	RC	Outpatient			6290	4088.5		90			Percent of total billed charges		5661	40			Percent of total billed charges		2516	80			Percent of total billed charges		5032	90			Percent of total billed charges		5661	85			Percent of total billed charges		5346.5	85			Percent of total billed charges		5346.5	85			Percent of total billed charges		5346.5	100			Percent of total billed charges		6290	100			Percent of total billed charges		6290	100			Percent of total billed charges		6290	33.3			Percent of total billed charges		2094.57	33.3			Percent of total billed charges		2094.57	100			Percent of total billed charges		6290	2094.57	5661	
restoration plasma distal stem 15 x 217mm 6276-5-415 howmedica	278	RC	Outpatient			6290	4088.5		90			Percent of total billed charges		5661	40			Percent of total billed charges		2516	80			Percent of total billed charges		5032	90			Percent of total billed charges		5661	85			Percent of total billed charges		5346.5	85			Percent of total billed charges		5346.5	85			Percent of total billed charges		5346.5	100			Percent of total billed charges		6290	100			Percent of total billed charges		6290	100			Percent of total billed charges		6290	33.3			Percent of total billed charges		2094.57	33.3			Percent of total billed charges		2094.57	100			Percent of total billed charges		6290	2094.57	5661	
aaadvantage iliac 8.5	278	RC	Outpatient			6317	4106.05		90			Percent of total billed charges		5685.3	40			Percent of total billed charges		2526.8	80			Percent of total billed charges		5053.6	90			Percent of total billed charges		5685.3	85			Percent of total billed charges		5369.45	85			Percent of total billed charges		5369.45	85			Percent of total billed charges		5369.45	100			Percent of total billed charges		6317	100			Percent of total billed charges		6317	100			Percent of total billed charges		6317	33.3			Percent of total billed charges		2103.561	33.3			Percent of total billed charges		2103.561	100			Percent of total billed charges		6317	2103.561	5685.3	
aaadvantage iliac limb-straight ilxc121285 12mmx12mmx8.5mm medtronic	278	RC	Outpatient			6317	4106.05		90			Percent of total billed charges		5685.3	40			Percent of total billed charges		2526.8	80			Percent of total billed charges		5053.6	90			Percent of total billed charges		5685.3	85			Percent of total billed charges		5369.45	85			Percent of total billed charges		5369.45	85			Percent of total billed charges		5369.45	100			Percent of total billed charges		6317	100			Percent of total billed charges		6317	100			Percent of total billed charges		6317	33.3			Percent of total billed charges		2103.561	33.3			Percent of total billed charges		2103.561	100			Percent of total billed charges		6317	2103.561	5685.3	
aaadvantage iliac limb-straight ilxc151585 15mmx15mmx8.5mm medtronic	278	RC	Outpatient			6317	4106.05		90			Percent of total billed charges		5685.3	40			Percent of total billed charges		2526.8	80			Percent of total billed charges		5053.6	90			Percent of total billed charges		5685.3	85			Percent of total billed charges		5369.45	85			Percent of total billed charges		5369.45	85			Percent of total billed charges		5369.45	100			Percent of total billed charges		6317	100			Percent of total billed charges		6317	100			Percent of total billed charges		6317	33.3			Percent of total billed charges		2103.561	33.3			Percent of total billed charges		2103.561	100			Percent of total billed charges		6317	2103.561	5685.3	
aaadvantage iliac limb-straight ilxc181885 18mmx18mmx8.5mm medtronic	278	RC	Outpatient			6317	4106.05		90			Percent of total billed charges		5685.3	40			Percent of total billed charges		2526.8	80			Percent of total billed charges		5053.6	90			Percent of total billed charges		5685.3	85			Percent of total billed charges		5369.45	85			Percent of total billed charges		5369.45	85			Percent of total billed charges		5369.45	100			Percent of total billed charges		6317	100			Percent of total billed charges		6317	100			Percent of total billed charges		6317	33.3			Percent of total billed charges		2103.561	33.3			Percent of total billed charges		2103.561	100			Percent of total billed charges		6317	2103.561	5685.3	
aaadvantage iliac limb-straight ilxc202085 20mmx20mmx8.5mm medtronic	278	RC	Outpatient			6317	4106.05		90			Percent of total billed charges		5685.3	40			Percent of total billed charges		2526.8	80			Percent of total billed charges		5053.6	90			Percent of total billed charges		5685.3	85			Percent of total billed charges		5369.45	85			Percent of total billed charges		5369.45	85			Percent of total billed charges		5369.45	100			Percent of total billed charges		6317	100			Percent of total billed charges		6317	100			Percent of total billed charges		6317	33.3			Percent of total billed charges		2103.561	33.3			Percent of total billed charges		2103.561	100			Percent of total billed charges		6317	2103.561	5685.3	
aaadvantage iliac limb-straight ilxch131385  13mmx8.5mm medtronic	278	RC	Outpatient			6317	4106.05		90			Percent of total billed charges		5685.3	40			Percent of total billed charges		2526.8	80			Percent of total billed charges		5053.6	90			Percent of total billed charges		5685.3	85			Percent of total billed charges		5369.45	85			Percent of total billed charges		5369.45	85			Percent of total billed charges		5369.45	100			Percent of total billed charges		6317	100			Percent of total billed charges		6317	100			Percent of total billed charges		6317	33.3			Percent of total billed charges		2103.561	33.3			Percent of total billed charges		2103.561	100			Percent of total billed charges		6317	2103.561	5685.3	
aaadvantage iliac limb-straight ilxch151585 15mmx8.5mm medtronic	278	RC	Outpatient			6317	4106.05		90			Percent of total billed charges		5685.3	40			Percent of total billed charges		2526.8	80			Percent of total billed charges		5053.6	90			Percent of total billed charges		5685.3	85			Percent of total billed charges		5369.45	85			Percent of total billed charges		5369.45	85			Percent of total billed charges		5369.45	100			Percent of total billed charges		6317	100			Percent of total billed charges		6317	100			Percent of total billed charges		6317	33.3			Percent of total billed charges		2103.561	33.3			Percent of total billed charges		2103.561	100			Percent of total billed charges		6317	2103.561	5685.3	
aaadvantage iliac limb-straight ilxc131385 13mmx13mmx8.5mm medtronic	278	RC	Outpatient			6317	4106.05		90			Percent of total billed charges		5685.3	40			Percent of total billed charges		2526.8	80			Percent of total billed charges		5053.6	90			Percent of total billed charges		5685.3	85			Percent of total billed charges		5369.45	85			Percent of total billed charges		5369.45	85			Percent of total billed charges		5369.45	100			Percent of total billed charges		6317	100			Percent of total billed charges		6317	100			Percent of total billed charges		6317	33.3			Percent of total billed charges		2103.561	33.3			Percent of total billed charges		2103.561	100			Percent of total billed charges		6317	2103.561	5685.3	
aaadvantage iliac limb-straight ilxc141485 14mmx14mmx8.5mm medtronic	278	RC	Outpatient			6317	4106.05		90			Percent of total billed charges		5685.3	40			Percent of total billed charges		2526.8	80			Percent of total billed charges		5053.6	90			Percent of total billed charges		5685.3	85			Percent of total billed charges		5369.45	85			Percent of total billed charges		5369.45	85			Percent of total billed charges		5369.45	100			Percent of total billed charges		6317	100			Percent of total billed charges		6317	100			Percent of total billed charges		6317	33.3			Percent of total billed charges		2103.561	33.3			Percent of total billed charges		2103.561	100			Percent of total billed charges		6317	2103.561	5685.3	
aaadvantage iliac limb-straight ilxc161685 16mmx16mmx8.5mm medtronic	278	RC	Outpatient			6317	4106.05		90			Percent of total billed charges		5685.3	40			Percent of total billed charges		2526.8	80			Percent of total billed charges		5053.6	90			Percent of total billed charges		5685.3	85			Percent of total billed charges		5369.45	85			Percent of total billed charges		5369.45	85			Percent of total billed charges		5369.45	100			Percent of total billed charges		6317	100			Percent of total billed charges		6317	100			Percent of total billed charges		6317	33.3			Percent of total billed charges		2103.561	33.3			Percent of total billed charges		2103.561	100			Percent of total billed charges		6317	2103.561	5685.3	
aaadvantage iliac limb-straight ilxch141485 14mmx8.5mm medtronic	278	RC	Outpatient			6317	4106.05		90			Percent of total billed charges		5685.3	40			Percent of total billed charges		2526.8	80			Percent of total billed charges		5053.6	90			Percent of total billed charges		5685.3	85			Percent of total billed charges		5369.45	85			Percent of total billed charges		5369.45	85			Percent of total billed charges		5369.45	100			Percent of total billed charges		6317	100			Percent of total billed charges		6317	100			Percent of total billed charges		6317	33.3			Percent of total billed charges		2103.561	33.3			Percent of total billed charges		2103.561	100			Percent of total billed charges		6317	2103.561	5685.3	
aaadvantage iliac limb-straight ilxch161685 16mmx16mmx8.5mm medtronic	278	RC	Outpatient			6317	4106.05		90			Percent of total billed charges		5685.3	40			Percent of total billed charges		2526.8	80			Percent of total billed charges		5053.6	90			Percent of total billed charges		5685.3	85			Percent of total billed charges		5369.45	85			Percent of total billed charges		5369.45	85			Percent of total billed charges		5369.45	100			Percent of total billed charges		6317	100			Percent of total billed charges		6317	100			Percent of total billed charges		6317	33.3			Percent of total billed charges		2103.561	33.3			Percent of total billed charges		2103.561	100			Percent of total billed charges		6317	2103.561	5685.3	
surgimend 10 x 15	278	RC	Outpatient			6317	4106.05		90			Percent of total billed charges		5685.3	40			Percent of total billed charges		2526.8	80			Percent of total billed charges		5053.6	90			Percent of total billed charges		5685.3	85			Percent of total billed charges		5369.45	85			Percent of total billed charges		5369.45	85			Percent of total billed charges		5369.45	100			Percent of total billed charges		6317	100			Percent of total billed charges		6317	100			Percent of total billed charges		6317	33.3			Percent of total billed charges		2103.561	33.3			Percent of total billed charges		2103.561	100			Percent of total billed charges		6317	2103.561	5685.3	
surgimend 10 x 15cm 606-001-006 collagen matrix	278	RC	Outpatient			6317	4106.05		90			Percent of total billed charges		5685.3	40			Percent of total billed charges		2526.8	80			Percent of total billed charges		5053.6	90			Percent of total billed charges		5685.3	85			Percent of total billed charges		5369.45	85			Percent of total billed charges		5369.45	85			Percent of total billed charges		5369.45	100			Percent of total billed charges		6317	100			Percent of total billed charges		6317	100			Percent of total billed charges		6317	33.3			Percent of total billed charges		2103.561	33.3			Percent of total billed charges		2103.561	100			Percent of total billed charges		6317	2103.561	5685.3	
equivabone 10cc	278	RC	Outpatient			6330	4114.5		90			Percent of total billed charges		5697	40			Percent of total billed charges		2532	80			Percent of total billed charges		5064	90			Percent of total billed charges		5697	85			Percent of total billed charges		5380.5	85			Percent of total billed charges		5380.5	85			Percent of total billed charges		5380.5	100			Percent of total billed charges		6330	100			Percent of total billed charges		6330	100			Percent of total billed charges		6330	33.3			Percent of total billed charges		2107.89	33.3			Percent of total billed charges		2107.89	100			Percent of total billed charges		6330	2107.89	5697	
equivabone kit 10cc 76-6022 etex	278	RC	Outpatient			6330	4114.5		90			Percent of total billed charges		5697	40			Percent of total billed charges		2532	80			Percent of total billed charges		5064	90			Percent of total billed charges		5697	85			Percent of total billed charges		5380.5	85			Percent of total billed charges		5380.5	85			Percent of total billed charges		5380.5	100			Percent of total billed charges		6330	100			Percent of total billed charges		6330	100			Percent of total billed charges		6330	33.3			Percent of total billed charges		2107.89	33.3			Percent of total billed charges		2107.89	100			Percent of total billed charges		6330	2107.89	5697	
comp plt 4.5mm 24 hl 71809324 s\n	278	RC	Outpatient			6334	4117.1		90			Percent of total billed charges		5700.6	40			Percent of total billed charges		2533.6	80			Percent of total billed charges		5067.2	90			Percent of total billed charges		5700.6	85			Percent of total billed charges		5383.9	85			Percent of total billed charges		5383.9	85			Percent of total billed charges		5383.9	100			Percent of total billed charges		6334	100			Percent of total billed charges		6334	100			Percent of total billed charges		6334	33.3			Percent of total billed charges		2109.222	33.3			Percent of total billed charges		2109.222	100			Percent of total billed charges		6334	2109.222	5700.6	
s/n 4.5 lck comp pl 24 hl	278	RC	Outpatient			6334	4117.1		90			Percent of total billed charges		5700.6	40			Percent of total billed charges		2533.6	80			Percent of total billed charges		5067.2	90			Percent of total billed charges		5700.6	85			Percent of total billed charges		5383.9	85			Percent of total billed charges		5383.9	85			Percent of total billed charges		5383.9	100			Percent of total billed charges		6334	100			Percent of total billed charges		6334	100			Percent of total billed charges		6334	33.3			Percent of total billed charges		2109.222	33.3			Percent of total billed charges		2109.222	100			Percent of total billed charges		6334	2109.222	5700.6	
s/n lgn rev tibia base	278	RC	Outpatient			6358	4132.7		90			Percent of total billed charges		5722.2	40			Percent of total billed charges		2543.2	80			Percent of total billed charges		5086.4	90			Percent of total billed charges		5722.2	85			Percent of total billed charges		5404.3	85			Percent of total billed charges		5404.3	85			Percent of total billed charges		5404.3	100			Percent of total billed charges		6358	100			Percent of total billed charges		6358	100			Percent of total billed charges		6358	33.3			Percent of total billed charges		2117.214	33.3			Percent of total billed charges		2117.214	100			Percent of total billed charges		6358	2117.214	5722.2	
bio vanguard ps femur	278	RC	Outpatient			6359	4133.35		90			Percent of total billed charges		5723.1	40			Percent of total billed charges		2543.6	80			Percent of total billed charges		5087.2	90			Percent of total billed charges		5723.1	85			Percent of total billed charges		5405.15	85			Percent of total billed charges		5405.15	85			Percent of total billed charges		5405.15	100			Percent of total billed charges		6359	100			Percent of total billed charges		6359	100			Percent of total billed charges		6359	33.3			Percent of total billed charges		2117.547	33.3			Percent of total billed charges		2117.547	100			Percent of total billed charges		6359	2117.547	5723.1	
vanguard ps pourous open box fem comp 184536 biomet	278	RC	Outpatient			6359	4133.35		90			Percent of total billed charges		5723.1	40			Percent of total billed charges		2543.6	80			Percent of total billed charges		5087.2	90			Percent of total billed charges		5723.1	85			Percent of total billed charges		5405.15	85			Percent of total billed charges		5405.15	85			Percent of total billed charges		5405.15	100			Percent of total billed charges		6359	100			Percent of total billed charges		6359	100			Percent of total billed charges		6359	33.3			Percent of total billed charges		2117.547	33.3			Percent of total billed charges		2117.547	100			Percent of total billed charges		6359	2117.547	5723.1	
turbo hawk	272	RC	Outpatient			6367	4138.55		90			Percent of total billed charges		5730.3	40			Percent of total billed charges		2546.8	80			Percent of total billed charges		5093.6	90			Percent of total billed charges		5730.3	85			Percent of total billed charges		5411.95	85			Percent of total billed charges		5411.95	85			Percent of total billed charges		5411.95	100			Percent of total billed charges		6367	100			Percent of total billed charges		6367	100			Percent of total billed charges		6367	33.3			Percent of total billed charges		2120.211	33.3			Percent of total billed charges		2120.211	100			Percent of total billed charges		6367	2120.211	5730.3	
turbohawk ls-c ths-ls-c ev3	272	RC	Outpatient			6367	4138.55		90			Percent of total billed charges		5730.3	40			Percent of total billed charges		2546.8	80			Percent of total billed charges		5093.6	90			Percent of total billed charges		5730.3	85			Percent of total billed charges		5411.95	85			Percent of total billed charges		5411.95	85			Percent of total billed charges		5411.95	100			Percent of total billed charges		6367	100			Percent of total billed charges		6367	100			Percent of total billed charges		6367	33.3			Percent of total billed charges		2120.211	33.3			Percent of total billed charges		2120.211	100			Percent of total billed charges		6367	2120.211	5730.3	
turbohawk lx-c ths-lx-c ev3	272	RC	Outpatient			6367	4138.55		90			Percent of total billed charges		5730.3	40			Percent of total billed charges		2546.8	80			Percent of total billed charges		5093.6	90			Percent of total billed charges		5730.3	85			Percent of total billed charges		5411.95	85			Percent of total billed charges		5411.95	85			Percent of total billed charges		5411.95	100			Percent of total billed charges		6367	100			Percent of total billed charges		6367	100			Percent of total billed charges		6367	33.3			Percent of total billed charges		2120.211	33.3			Percent of total billed charges		2120.211	100			Percent of total billed charges		6367	2120.211	5730.3	
turbohawk lx-m th-lx-m ev3	272	RC	Outpatient			6367	4138.55		90			Percent of total billed charges		5730.3	40			Percent of total billed charges		2546.8	80			Percent of total billed charges		5093.6	90			Percent of total billed charges		5730.3	85			Percent of total billed charges		5411.95	85			Percent of total billed charges		5411.95	85			Percent of total billed charges		5411.95	100			Percent of total billed charges		6367	100			Percent of total billed charges		6367	100			Percent of total billed charges		6367	33.3			Percent of total billed charges		2120.211	33.3			Percent of total billed charges		2120.211	100			Percent of total billed charges		6367	2120.211	5730.3	
turbohawk ls-m th-ls-m ev3	272	RC	Outpatient			6367	4138.55		90			Percent of total billed charges		5730.3	40			Percent of total billed charges		2546.8	80			Percent of total billed charges		5093.6	90			Percent of total billed charges		5730.3	85			Percent of total billed charges		5411.95	85			Percent of total billed charges		5411.95	85			Percent of total billed charges		5411.95	100			Percent of total billed charges		6367	100			Percent of total billed charges		6367	100			Percent of total billed charges		6367	33.3			Percent of total billed charges		2120.211	33.3			Percent of total billed charges		2120.211	100			Percent of total billed charges		6367	2120.211	5730.3	
turbohawk sx-c ths-sx-c ev3	272	RC	Outpatient			6367	4138.55		90			Percent of total billed charges		5730.3	40			Percent of total billed charges		2546.8	80			Percent of total billed charges		5093.6	90			Percent of total billed charges		5730.3	85			Percent of total billed charges		5411.95	85			Percent of total billed charges		5411.95	85			Percent of total billed charges		5411.95	100			Percent of total billed charges		6367	100			Percent of total billed charges		6367	100			Percent of total billed charges		6367	33.3			Percent of total billed charges		2120.211	33.3			Percent of total billed charges		2120.211	100			Percent of total billed charges		6367	2120.211	5730.3	
cosmetic - male breast reduction after mwl	983	RC	Outpatient			6380	4147		90			Percent of total billed charges		5742	40			Percent of total billed charges		2552	80			Percent of total billed charges		5104	90			Percent of total billed charges		5742	85			Percent of total billed charges		5423	85			Percent of total billed charges		5423	85			Percent of total billed charges		5423	100			Percent of total billed charges		6380	100			Percent of total billed charges		6380	100			Percent of total billed charges		6380	33.3			Percent of total billed charges		2124.54	33.3			Percent of total billed charges		2124.54	100			Percent of total billed charges		6380	2124.54	5742	
jet-x stand cent bdy	278	RC	Outpatient			6393	4155.45		90			Percent of total billed charges		5753.7	40			Percent of total billed charges		2557.2	80			Percent of total billed charges		5114.4	90			Percent of total billed charges		5753.7	85			Percent of total billed charges		5434.05	85			Percent of total billed charges		5434.05	85			Percent of total billed charges		5434.05	100			Percent of total billed charges		6393	100			Percent of total billed charges		6393	100			Percent of total billed charges		6393	33.3			Percent of total billed charges		2128.869	33.3			Percent of total billed charges		2128.869	100			Percent of total billed charges		6393	2128.869	5753.7	
s/n jet-x  central body 7105-1042	278	RC	Outpatient			6393	4155.45		90			Percent of total billed charges		5753.7	40			Percent of total billed charges		2557.2	80			Percent of total billed charges		5114.4	90			Percent of total billed charges		5753.7	85			Percent of total billed charges		5434.05	85			Percent of total billed charges		5434.05	85			Percent of total billed charges		5434.05	100			Percent of total billed charges		6393	100			Percent of total billed charges		6393	100			Percent of total billed charges		6393	33.3			Percent of total billed charges		2128.869	33.3			Percent of total billed charges		2128.869	100			Percent of total billed charges		6393	2128.869	5753.7	
depuy prostalac hip stem	278	RC	Outpatient			6398	4158.7		90			Percent of total billed charges		5758.2	40			Percent of total billed charges		2559.2	80			Percent of total billed charges		5118.4	90			Percent of total billed charges		5758.2	85			Percent of total billed charges		5438.3	85			Percent of total billed charges		5438.3	85			Percent of total billed charges		5438.3	100			Percent of total billed charges		6398	100			Percent of total billed charges		6398	100			Percent of total billed charges		6398	33.3			Percent of total billed charges		2130.534	33.3			Percent of total billed charges		2130.534	100			Percent of total billed charges		6398	2130.534	5758.2	
prostalac hip stem 1 sz 1541-01-000 depuy	278	RC	Outpatient			6398	4158.7		90			Percent of total billed charges		5758.2	40			Percent of total billed charges		2559.2	80			Percent of total billed charges		5118.4	90			Percent of total billed charges		5758.2	85			Percent of total billed charges		5438.3	85			Percent of total billed charges		5438.3	85			Percent of total billed charges		5438.3	100			Percent of total billed charges		6398	100			Percent of total billed charges		6398	100			Percent of total billed charges		6398	33.3			Percent of total billed charges		2130.534	33.3			Percent of total billed charges		2130.534	100			Percent of total billed charges		6398	2130.534	5758.2	
cath lab attain star fix lv lead 4195	275	RC	Outpatient			6418	4171.7		90			Percent of total billed charges		5776.2	40			Percent of total billed charges		2567.2	80			Percent of total billed charges		5134.4	90			Percent of total billed charges		5776.2	85			Percent of total billed charges		5455.3	85			Percent of total billed charges		5455.3	85			Percent of total billed charges		5455.3	100			Percent of total billed charges		6418	100			Percent of total billed charges		6418	100			Percent of total billed charges		6418	33.3			Percent of total billed charges		2137.194	33.3			Percent of total billed charges		2137.194	100			Percent of total billed charges		6418	2137.194	5776.2	
attain starfix lv ld4195	275	RC	Outpatient			6418	4171.7		90			Percent of total billed charges		5776.2	40			Percent of total billed charges		2567.2	80			Percent of total billed charges		5134.4	90			Percent of total billed charges		5776.2	85			Percent of total billed charges		5455.3	85			Percent of total billed charges		5455.3	85			Percent of total billed charges		5455.3	100			Percent of total billed charges		6418	100			Percent of total billed charges		6418	100			Percent of total billed charges		6418	33.3			Percent of total billed charges		2137.194	33.3			Percent of total billed charges		2137.194	100			Percent of total billed charges		6418	2137.194	5776.2	
bio 394971 generator	270	RC	Outpatient			6435	4182.75		90			Percent of total billed charges		5791.5	40			Percent of total billed charges		2574	80			Percent of total billed charges		5148	90			Percent of total billed charges		5791.5	85			Percent of total billed charges		5469.75	85			Percent of total billed charges		5469.75	85			Percent of total billed charges		5469.75	100			Percent of total billed charges		6435	100			Percent of total billed charges		6435	100			Percent of total billed charges		6435	33.3			Percent of total billed charges		2142.855	33.3			Percent of total billed charges		2142.855	100			Percent of total billed charges		6435	2142.855	5791.5	
alloderm 6 x 16	278	RC	Outpatient			6446	4189.9		90			Percent of total billed charges		5801.4	40			Percent of total billed charges		2578.4	80			Percent of total billed charges		5156.8	90			Percent of total billed charges		5801.4	85			Percent of total billed charges		5479.1	85			Percent of total billed charges		5479.1	85			Percent of total billed charges		5479.1	100			Percent of total billed charges		6446	100			Percent of total billed charges		6446	100			Percent of total billed charges		6446	33.3			Percent of total billed charges		2146.518	33.3			Percent of total billed charges		2146.518	100			Percent of total billed charges		6446	2146.518	5801.4	
alloderm 6 x 16cm x-thick 982196 lifecell	278	RC	Outpatient			6446	4189.9		90			Percent of total billed charges		5801.4	40			Percent of total billed charges		2578.4	80			Percent of total billed charges		5156.8	90			Percent of total billed charges		5801.4	85			Percent of total billed charges		5479.1	85			Percent of total billed charges		5479.1	85			Percent of total billed charges		5479.1	100			Percent of total billed charges		6446	100			Percent of total billed charges		6446	100			Percent of total billed charges		6446	33.3			Percent of total billed charges		2146.518	33.3			Percent of total billed charges		2146.518	100			Percent of total billed charges		6446	2146.518	5801.4	
alloderm 6 x 16cm thick 102196 lifecell	278	RC	Outpatient			6446	4189.9		90			Percent of total billed charges		5801.4	40			Percent of total billed charges		2578.4	80			Percent of total billed charges		5156.8	90			Percent of total billed charges		5801.4	85			Percent of total billed charges		5479.1	85			Percent of total billed charges		5479.1	85			Percent of total billed charges		5479.1	100			Percent of total billed charges		6446	100			Percent of total billed charges		6446	100			Percent of total billed charges		6446	33.3			Percent of total billed charges		2146.518	33.3			Percent of total billed charges		2146.518	100			Percent of total billed charges		6446	2146.518	5801.4	
talent aaa stent graft aortic extension axf3030w28xh medtronic	278	RC	Outpatient			6447	4190.55		90			Percent of total billed charges		5802.3	40			Percent of total billed charges		2578.8	80			Percent of total billed charges		5157.6	90			Percent of total billed charges		5802.3	85			Percent of total billed charges		5479.95	85			Percent of total billed charges		5479.95	85			Percent of total billed charges		5479.95	100			Percent of total billed charges		6447	100			Percent of total billed charges		6447	100			Percent of total billed charges		6447	33.3			Percent of total billed charges		2146.851	33.3			Percent of total billed charges		2146.851	100			Percent of total billed charges		6447	2146.851	5802.3	
talent graft axf3030w28xh	278	RC	Outpatient			6447	4190.55		90			Percent of total billed charges		5802.3	40			Percent of total billed charges		2578.8	80			Percent of total billed charges		5157.6	90			Percent of total billed charges		5802.3	85			Percent of total billed charges		5479.95	85			Percent of total billed charges		5479.95	85			Percent of total billed charges		5479.95	100			Percent of total billed charges		6447	100			Percent of total billed charges		6447	100			Percent of total billed charges		6447	33.3			Percent of total billed charges		2146.851	33.3			Percent of total billed charges		2146.851	100			Percent of total billed charges		6447	2146.851	5802.3	
t2 ankle arthrodesis nail 10 x 200mm lt 1818-1020s stryker	278	RC	Outpatient			6469	4204.85		90			Percent of total billed charges		5822.1	40			Percent of total billed charges		2587.6	80			Percent of total billed charges		5175.2	90			Percent of total billed charges		5822.1	85			Percent of total billed charges		5498.65	85			Percent of total billed charges		5498.65	85			Percent of total billed charges		5498.65	100			Percent of total billed charges		6469	100			Percent of total billed charges		6469	100			Percent of total billed charges		6469	33.3			Percent of total billed charges		2154.177	33.3			Percent of total billed charges		2154.177	100			Percent of total billed charges		6469	2154.177	5822.1	
t2 ankle arthrodesis nail 12 x 200mm lt 1818-1220s stryker	278	RC	Outpatient			6469	4204.85		90			Percent of total billed charges		5822.1	40			Percent of total billed charges		2587.6	80			Percent of total billed charges		5175.2	90			Percent of total billed charges		5822.1	85			Percent of total billed charges		5498.65	85			Percent of total billed charges		5498.65	85			Percent of total billed charges		5498.65	100			Percent of total billed charges		6469	100			Percent of total billed charges		6469	100			Percent of total billed charges		6469	33.3			Percent of total billed charges		2154.177	33.3			Percent of total billed charges		2154.177	100			Percent of total billed charges		6469	2154.177	5822.1	
stryker ankle nail	278	RC	Outpatient			6469	4204.85		90			Percent of total billed charges		5822.1	40			Percent of total billed charges		2587.6	80			Percent of total billed charges		5175.2	90			Percent of total billed charges		5822.1	85			Percent of total billed charges		5498.65	85			Percent of total billed charges		5498.65	85			Percent of total billed charges		5498.65	100			Percent of total billed charges		6469	100			Percent of total billed charges		6469	100			Percent of total billed charges		6469	33.3			Percent of total billed charges		2154.177	33.3			Percent of total billed charges		2154.177	100			Percent of total billed charges		6469	2154.177	5822.1	
t2 ankle arthrodesis nail 10 x 150mm rt 1819-1015s stryker	278	RC	Outpatient			6469	4204.85		90			Percent of total billed charges		5822.1	40			Percent of total billed charges		2587.6	80			Percent of total billed charges		5175.2	90			Percent of total billed charges		5822.1	85			Percent of total billed charges		5498.65	85			Percent of total billed charges		5498.65	85			Percent of total billed charges		5498.65	100			Percent of total billed charges		6469	100			Percent of total billed charges		6469	100			Percent of total billed charges		6469	33.3			Percent of total billed charges		2154.177	33.3			Percent of total billed charges		2154.177	100			Percent of total billed charges		6469	2154.177	5822.1	
t2 ankle arthrodesis nail 12 x 200mm rt 1819-1220s stryker	278	RC	Outpatient			6469	4204.85		90			Percent of total billed charges		5822.1	40			Percent of total billed charges		2587.6	80			Percent of total billed charges		5175.2	90			Percent of total billed charges		5822.1	85			Percent of total billed charges		5498.65	85			Percent of total billed charges		5498.65	85			Percent of total billed charges		5498.65	100			Percent of total billed charges		6469	100			Percent of total billed charges		6469	100			Percent of total billed charges		6469	33.3			Percent of total billed charges		2154.177	33.3			Percent of total billed charges		2154.177	100			Percent of total billed charges		6469	2154.177	5822.1	
cosmetic - brachioplasty/pexy	983	RC	Outpatient			6490	4218.5		90			Percent of total billed charges		5841	40			Percent of total billed charges		2596	80			Percent of total billed charges		5192	90			Percent of total billed charges		5841	85			Percent of total billed charges		5516.5	85			Percent of total billed charges		5516.5	85			Percent of total billed charges		5516.5	100			Percent of total billed charges		6490	100			Percent of total billed charges		6490	100			Percent of total billed charges		6490	33.3			Percent of total billed charges		2161.17	33.3			Percent of total billed charges		2161.17	100			Percent of total billed charges		6490	2161.17	5841	
depuy srom tibial sleeve	278	RC	Outpatient			6498	4223.7		90			Percent of total billed charges		5848.2	40			Percent of total billed charges		2599.2	80			Percent of total billed charges		5198.4	90			Percent of total billed charges		5848.2	85			Percent of total billed charges		5523.3	85			Percent of total billed charges		5523.3	85			Percent of total billed charges		5523.3	100			Percent of total billed charges		6498	100			Percent of total billed charges		6498	100			Percent of total billed charges		6498	33.3			Percent of total billed charges		2163.834	33.3			Percent of total billed charges		2163.834	100			Percent of total billed charges		6498	2163.834	5848.2	
s-rom tibial sleeve 62-1445p depuy	278	RC	Outpatient			6498	4223.7		90			Percent of total billed charges		5848.2	40			Percent of total billed charges		2599.2	80			Percent of total billed charges		5198.4	90			Percent of total billed charges		5848.2	85			Percent of total billed charges		5523.3	85			Percent of total billed charges		5523.3	85			Percent of total billed charges		5523.3	100			Percent of total billed charges		6498	100			Percent of total billed charges		6498	100			Percent of total billed charges		6498	33.3			Percent of total billed charges		2163.834	33.3			Percent of total billed charges		2163.834	100			Percent of total billed charges		6498	2163.834	5848.2	
srom tibial sleeve 37mm depuy 62-1437p	278	RC	Outpatient			6498	4223.7		90			Percent of total billed charges		5848.2	40			Percent of total billed charges		2599.2	80			Percent of total billed charges		5198.4	90			Percent of total billed charges		5848.2	85			Percent of total billed charges		5523.3	85			Percent of total billed charges		5523.3	85			Percent of total billed charges		5523.3	100			Percent of total billed charges		6498	100			Percent of total billed charges		6498	100			Percent of total billed charges		6498	33.3			Percent of total billed charges		2163.834	33.3			Percent of total billed charges		2163.834	100			Percent of total billed charges		6498	2163.834	5848.2	
srom tibial sleeve depuy 62-1453p	278	RC	Outpatient			6498	4223.7		90			Percent of total billed charges		5848.2	40			Percent of total billed charges		2599.2	80			Percent of total billed charges		5198.4	90			Percent of total billed charges		5848.2	85			Percent of total billed charges		5523.3	85			Percent of total billed charges		5523.3	85			Percent of total billed charges		5523.3	100			Percent of total billed charges		6498	100			Percent of total billed charges		6498	100			Percent of total billed charges		6498	33.3			Percent of total billed charges		2163.834	33.3			Percent of total billed charges		2163.834	100			Percent of total billed charges		6498	2163.834	5848.2	
epixl	278	RC	Outpatient			6514	4234.1		90			Percent of total billed charges		5862.6	40			Percent of total billed charges		2605.6	80			Percent of total billed charges		5211.2	90			Percent of total billed charges		5862.6	85			Percent of total billed charges		5536.9	85			Percent of total billed charges		5536.9	85			Percent of total billed charges		5536.9	100			Percent of total billed charges		6514	100			Percent of total billed charges		6514	100			Percent of total billed charges		6514	33.3			Percent of total billed charges		2169.162	33.3			Percent of total billed charges		2169.162	100			Percent of total billed charges		6514	2169.162	5862.6	
epixl 7.0 x 7.0 xl-5770 mimedex	278	RC	Outpatient			6514	4234.1		90			Percent of total billed charges		5862.6	40			Percent of total billed charges		2605.6	80			Percent of total billed charges		5211.2	90			Percent of total billed charges		5862.6	85			Percent of total billed charges		5536.9	85			Percent of total billed charges		5536.9	85			Percent of total billed charges		5536.9	100			Percent of total billed charges		6514	100			Percent of total billed charges		6514	100			Percent of total billed charges		6514	33.3			Percent of total billed charges		2169.162	33.3			Percent of total billed charges		2169.162	100			Percent of total billed charges		6514	2169.162	5862.6	
aaadvantage iliac cuff	278	RC	Outpatient			6518	4236.7		90			Percent of total billed charges		5866.2	40			Percent of total billed charges		2607.2	80			Percent of total billed charges		5214.4	90			Percent of total billed charges		5866.2	85			Percent of total billed charges		5540.3	85			Percent of total billed charges		5540.3	85			Percent of total billed charges		5540.3	100			Percent of total billed charges		6518	100			Percent of total billed charges		6518	100			Percent of total billed charges		6518	33.3			Percent of total billed charges		2170.494	33.3			Percent of total billed charges		2170.494	100			Percent of total billed charges		6518	2170.494	5866.2	
aaadvantage iliac cuff-flared iexc162085 16mmx20mx8.5mm medtronic	278	RC	Outpatient			6518	4236.7		90			Percent of total billed charges		5866.2	40			Percent of total billed charges		2607.2	80			Percent of total billed charges		5214.4	90			Percent of total billed charges		5866.2	85			Percent of total billed charges		5540.3	85			Percent of total billed charges		5540.3	85			Percent of total billed charges		5540.3	100			Percent of total billed charges		6518	100			Percent of total billed charges		6518	100			Percent of total billed charges		6518	33.3			Percent of total billed charges		2170.494	33.3			Percent of total billed charges		2170.494	100			Percent of total billed charges		6518	2170.494	5866.2	
aaadvantage iliac cuff-flared iexc182485 18mmx24mx8.5mm medtronic	278	RC	Outpatient			6518	4236.7		90			Percent of total billed charges		5866.2	40			Percent of total billed charges		2607.2	80			Percent of total billed charges		5214.4	90			Percent of total billed charges		5866.2	85			Percent of total billed charges		5540.3	85			Percent of total billed charges		5540.3	85			Percent of total billed charges		5540.3	100			Percent of total billed charges		6518	100			Percent of total billed charges		6518	100			Percent of total billed charges		6518	33.3			Percent of total billed charges		2170.494	33.3			Percent of total billed charges		2170.494	100			Percent of total billed charges		6518	2170.494	5866.2	
aaadvantage iliac cuff-flared iexc182285 18mmx22mx8.5mm medtronic	278	RC	Outpatient			6518	4236.7		90			Percent of total billed charges		5866.2	40			Percent of total billed charges		2607.2	80			Percent of total billed charges		5214.4	90			Percent of total billed charges		5866.2	85			Percent of total billed charges		5540.3	85			Percent of total billed charges		5540.3	85			Percent of total billed charges		5540.3	100			Percent of total billed charges		6518	100			Percent of total billed charges		6518	100			Percent of total billed charges		6518	33.3			Percent of total billed charges		2170.494	33.3			Percent of total billed charges		2170.494	100			Percent of total billed charges		6518	2170.494	5866.2	
cosmetic - capsulectomy and aug gel	983	RC	Outpatient			6518	4236.7		90			Percent of total billed charges		5866.2	40			Percent of total billed charges		2607.2	80			Percent of total billed charges		5214.4	90			Percent of total billed charges		5866.2	85			Percent of total billed charges		5540.3	85			Percent of total billed charges		5540.3	85			Percent of total billed charges		5540.3	100			Percent of total billed charges		6518	100			Percent of total billed charges		6518	100			Percent of total billed charges		6518	33.3			Percent of total billed charges		2170.494	33.3			Percent of total billed charges		2170.494	100			Percent of total billed charges		6518	2170.494	5866.2	
aaadvantage iliac limb-straight ilxch181885 18mmx8.5mm medtronic	278	RC	Outpatient			6519	4237.35		90			Percent of total billed charges		5867.1	40			Percent of total billed charges		2607.6	80			Percent of total billed charges		5215.2	90			Percent of total billed charges		5867.1	85			Percent of total billed charges		5541.15	85			Percent of total billed charges		5541.15	85			Percent of total billed charges		5541.15	100			Percent of total billed charges		6519	100			Percent of total billed charges		6519	100			Percent of total billed charges		6519	33.3			Percent of total billed charges		2170.827	33.3			Percent of total billed charges		2170.827	100			Percent of total billed charges		6519	2170.827	5867.1	
aaadvantage iliac 8.5 st	278	RC	Outpatient			6519	4237.35		90			Percent of total billed charges		5867.1	40			Percent of total billed charges		2607.6	80			Percent of total billed charges		5215.2	90			Percent of total billed charges		5867.1	85			Percent of total billed charges		5541.15	85			Percent of total billed charges		5541.15	85			Percent of total billed charges		5541.15	100			Percent of total billed charges		6519	100			Percent of total billed charges		6519	100			Percent of total billed charges		6519	33.3			Percent of total billed charges		2170.827	33.3			Percent of total billed charges		2170.827	100			Percent of total billed charges		6519	2170.827	5867.1	
cosmetic - macs - facelift with upper bleph	983	RC	Outpatient			6545	4254.25		90			Percent of total billed charges		5890.5	40			Percent of total billed charges		2618	80			Percent of total billed charges		5236	90			Percent of total billed charges		5890.5	85			Percent of total billed charges		5563.25	85			Percent of total billed charges		5563.25	85			Percent of total billed charges		5563.25	100			Percent of total billed charges		6545	100			Percent of total billed charges		6545	100			Percent of total billed charges		6545	33.3			Percent of total billed charges		2179.485	33.3			Percent of total billed charges		2179.485	100			Percent of total billed charges		6545	2179.485	5890.5	
cosmetic - macs - facelift with lower bleph	983	RC	Outpatient			6545	4254.25		90			Percent of total billed charges		5890.5	40			Percent of total billed charges		2618	80			Percent of total billed charges		5236	90			Percent of total billed charges		5890.5	85			Percent of total billed charges		5563.25	85			Percent of total billed charges		5563.25	85			Percent of total billed charges		5563.25	100			Percent of total billed charges		6545	100			Percent of total billed charges		6545	100			Percent of total billed charges		6545	33.3			Percent of total billed charges		2179.485	33.3			Percent of total billed charges		2179.485	100			Percent of total billed charges		6545	2179.485	5890.5	
bio m/h primary fem	278	RC	Outpatient			6562	4265.3		90			Percent of total billed charges		5905.8	40			Percent of total billed charges		2624.8	80			Percent of total billed charges		5249.6	90			Percent of total billed charges		5905.8	85			Percent of total billed charges		5577.7	85			Percent of total billed charges		5577.7	85			Percent of total billed charges		5577.7	100			Percent of total billed charges		6562	100			Percent of total billed charges		6562	100			Percent of total billed charges		6562	33.3			Percent of total billed charges		2185.146	33.3			Percent of total billed charges		2185.146	100			Percent of total billed charges		6562	2185.146	5905.8	
biomet  primary femorals 8 x 145mm 11-104108	278	RC	Outpatient			6562	4265.3		90			Percent of total billed charges		5905.8	40			Percent of total billed charges		2624.8	80			Percent of total billed charges		5249.6	90			Percent of total billed charges		5905.8	85			Percent of total billed charges		5577.7	85			Percent of total billed charges		5577.7	85			Percent of total billed charges		5577.7	100			Percent of total billed charges		6562	100			Percent of total billed charges		6562	100			Percent of total billed charges		6562	33.3			Percent of total billed charges		2185.146	33.3			Percent of total billed charges		2185.146	100			Percent of total billed charges		6562	2185.146	5905.8	
biomet  primary femorals 9 x 150mm 11-104109	278	RC	Outpatient			6562	4265.3		90			Percent of total billed charges		5905.8	40			Percent of total billed charges		2624.8	80			Percent of total billed charges		5249.6	90			Percent of total billed charges		5905.8	85			Percent of total billed charges		5577.7	85			Percent of total billed charges		5577.7	85			Percent of total billed charges		5577.7	100			Percent of total billed charges		6562	100			Percent of total billed charges		6562	100			Percent of total billed charges		6562	33.3			Percent of total billed charges		2185.146	33.3			Percent of total billed charges		2185.146	100			Percent of total billed charges		6562	2185.146	5905.8	
biomet primary femorals 16 x 180mm 11-104116	278	RC	Outpatient			6562	4265.3		90			Percent of total billed charges		5905.8	40			Percent of total billed charges		2624.8	80			Percent of total billed charges		5249.6	90			Percent of total billed charges		5905.8	85			Percent of total billed charges		5577.7	85			Percent of total billed charges		5577.7	85			Percent of total billed charges		5577.7	100			Percent of total billed charges		6562	100			Percent of total billed charges		6562	100			Percent of total billed charges		6562	33.3			Percent of total billed charges		2185.146	33.3			Percent of total billed charges		2185.146	100			Percent of total billed charges		6562	2185.146	5905.8	
biomet primary femorals 17 x 180mm 11-104117	278	RC	Outpatient			6562	4265.3		90			Percent of total billed charges		5905.8	40			Percent of total billed charges		2624.8	80			Percent of total billed charges		5249.6	90			Percent of total billed charges		5905.8	85			Percent of total billed charges		5577.7	85			Percent of total billed charges		5577.7	85			Percent of total billed charges		5577.7	100			Percent of total billed charges		6562	100			Percent of total billed charges		6562	100			Percent of total billed charges		6562	33.3			Percent of total billed charges		2185.146	33.3			Percent of total billed charges		2185.146	100			Percent of total billed charges		6562	2185.146	5905.8	
biomet primary femorals 18 x 180mm 11-104118	278	RC	Outpatient			6562	4265.3		90			Percent of total billed charges		5905.8	40			Percent of total billed charges		2624.8	80			Percent of total billed charges		5249.6	90			Percent of total billed charges		5905.8	85			Percent of total billed charges		5577.7	85			Percent of total billed charges		5577.7	85			Percent of total billed charges		5577.7	100			Percent of total billed charges		6562	100			Percent of total billed charges		6562	100			Percent of total billed charges		6562	33.3			Percent of total billed charges		2185.146	33.3			Percent of total billed charges		2185.146	100			Percent of total billed charges		6562	2185.146	5905.8	
biomet primary femorals 7 x 140mm 11-104107	278	RC	Outpatient			6562	4265.3		90			Percent of total billed charges		5905.8	40			Percent of total billed charges		2624.8	80			Percent of total billed charges		5249.6	90			Percent of total billed charges		5905.8	85			Percent of total billed charges		5577.7	85			Percent of total billed charges		5577.7	85			Percent of total billed charges		5577.7	100			Percent of total billed charges		6562	100			Percent of total billed charges		6562	100			Percent of total billed charges		6562	33.3			Percent of total billed charges		2185.146	33.3			Percent of total billed charges		2185.146	100			Percent of total billed charges		6562	2185.146	5905.8	
biomet  primary femorals 6 x 135mm 11-104106	278	RC	Outpatient			6562	4265.3		90			Percent of total billed charges		5905.8	40			Percent of total billed charges		2624.8	80			Percent of total billed charges		5249.6	90			Percent of total billed charges		5905.8	85			Percent of total billed charges		5577.7	85			Percent of total billed charges		5577.7	85			Percent of total billed charges		5577.7	100			Percent of total billed charges		6562	100			Percent of total billed charges		6562	100			Percent of total billed charges		6562	33.3			Percent of total billed charges		2185.146	33.3			Percent of total billed charges		2185.146	100			Percent of total billed charges		6562	2185.146	5905.8	
biomet primary femorals 10 x 155mm 11-104110	278	RC	Outpatient			6562	4265.3		90			Percent of total billed charges		5905.8	40			Percent of total billed charges		2624.8	80			Percent of total billed charges		5249.6	90			Percent of total billed charges		5905.8	85			Percent of total billed charges		5577.7	85			Percent of total billed charges		5577.7	85			Percent of total billed charges		5577.7	100			Percent of total billed charges		6562	100			Percent of total billed charges		6562	100			Percent of total billed charges		6562	33.3			Percent of total billed charges		2185.146	33.3			Percent of total billed charges		2185.146	100			Percent of total billed charges		6562	2185.146	5905.8	
biomet primary femorals 11 x 160mm 11-104111	278	RC	Outpatient			6562	4265.3		90			Percent of total billed charges		5905.8	40			Percent of total billed charges		2624.8	80			Percent of total billed charges		5249.6	90			Percent of total billed charges		5905.8	85			Percent of total billed charges		5577.7	85			Percent of total billed charges		5577.7	85			Percent of total billed charges		5577.7	100			Percent of total billed charges		6562	100			Percent of total billed charges		6562	100			Percent of total billed charges		6562	33.3			Percent of total billed charges		2185.146	33.3			Percent of total billed charges		2185.146	100			Percent of total billed charges		6562	2185.146	5905.8	
biomet primary femorals 12 x 165mm 11-104112	278	RC	Outpatient			6562	4265.3		90			Percent of total billed charges		5905.8	40			Percent of total billed charges		2624.8	80			Percent of total billed charges		5249.6	90			Percent of total billed charges		5905.8	85			Percent of total billed charges		5577.7	85			Percent of total billed charges		5577.7	85			Percent of total billed charges		5577.7	100			Percent of total billed charges		6562	100			Percent of total billed charges		6562	100			Percent of total billed charges		6562	33.3			Percent of total billed charges		2185.146	33.3			Percent of total billed charges		2185.146	100			Percent of total billed charges		6562	2185.146	5905.8	
biomet primary femorals 14 x 175mm 11-104114	278	RC	Outpatient			6562	4265.3		90			Percent of total billed charges		5905.8	40			Percent of total billed charges		2624.8	80			Percent of total billed charges		5249.6	90			Percent of total billed charges		5905.8	85			Percent of total billed charges		5577.7	85			Percent of total billed charges		5577.7	85			Percent of total billed charges		5577.7	100			Percent of total billed charges		6562	100			Percent of total billed charges		6562	100			Percent of total billed charges		6562	33.3			Percent of total billed charges		2185.146	33.3			Percent of total billed charges		2185.146	100			Percent of total billed charges		6562	2185.146	5905.8	
biomet primary femorals 15 x 180mm 11-104115	278	RC	Outpatient			6562	4265.3		90			Percent of total billed charges		5905.8	40			Percent of total billed charges		2624.8	80			Percent of total billed charges		5249.6	90			Percent of total billed charges		5905.8	85			Percent of total billed charges		5577.7	85			Percent of total billed charges		5577.7	85			Percent of total billed charges		5577.7	100			Percent of total billed charges		6562	100			Percent of total billed charges		6562	100			Percent of total billed charges		6562	33.3			Percent of total billed charges		2185.146	33.3			Percent of total billed charges		2185.146	100			Percent of total billed charges		6562	2185.146	5905.8	
biomet primary femorals 19 x 180mm 11-104119	278	RC	Outpatient			6562	4265.3		90			Percent of total billed charges		5905.8	40			Percent of total billed charges		2624.8	80			Percent of total billed charges		5249.6	90			Percent of total billed charges		5905.8	85			Percent of total billed charges		5577.7	85			Percent of total billed charges		5577.7	85			Percent of total billed charges		5577.7	100			Percent of total billed charges		6562	100			Percent of total billed charges		6562	100			Percent of total billed charges		6562	33.3			Percent of total billed charges		2185.146	33.3			Percent of total billed charges		2185.146	100			Percent of total billed charges		6562	2185.146	5905.8	
m/h porous stem 13mm 11-104113 biomet	278	RC	Outpatient			6562	4265.3		90			Percent of total billed charges		5905.8	40			Percent of total billed charges		2624.8	80			Percent of total billed charges		5249.6	90			Percent of total billed charges		5905.8	85			Percent of total billed charges		5577.7	85			Percent of total billed charges		5577.7	85			Percent of total billed charges		5577.7	100			Percent of total billed charges		6562	100			Percent of total billed charges		6562	100			Percent of total billed charges		6562	33.3			Percent of total billed charges		2185.146	33.3			Percent of total billed charges		2185.146	100			Percent of total billed charges		6562	2185.146	5905.8	
biomet vanguard fem comp lt 60 183024	278	RC	Outpatient			6582	4278.3		90			Percent of total billed charges		5923.8	40			Percent of total billed charges		2632.8	80			Percent of total billed charges		5265.6	90			Percent of total billed charges		5923.8	85			Percent of total billed charges		5594.7	85			Percent of total billed charges		5594.7	85			Percent of total billed charges		5594.7	100			Percent of total billed charges		6582	100			Percent of total billed charges		6582	100			Percent of total billed charges		6582	33.3			Percent of total billed charges		2191.806	33.3			Percent of total billed charges		2191.806	100			Percent of total billed charges		6582	2191.806	5923.8	
biomet vanguard fem comp lt 70 183032	278	RC	Outpatient			6582	4278.3		90			Percent of total billed charges		5923.8	40			Percent of total billed charges		2632.8	80			Percent of total billed charges		5265.6	90			Percent of total billed charges		5923.8	85			Percent of total billed charges		5594.7	85			Percent of total billed charges		5594.7	85			Percent of total billed charges		5594.7	100			Percent of total billed charges		6582	100			Percent of total billed charges		6582	100			Percent of total billed charges		6582	33.3			Percent of total billed charges		2191.806	33.3			Percent of total billed charges		2191.806	100			Percent of total billed charges		6582	2191.806	5923.8	
biomet vanguard fem comp lt 72.5 183033	278	RC	Outpatient			6582	4278.3		90			Percent of total billed charges		5923.8	40			Percent of total billed charges		2632.8	80			Percent of total billed charges		5265.6	90			Percent of total billed charges		5923.8	85			Percent of total billed charges		5594.7	85			Percent of total billed charges		5594.7	85			Percent of total billed charges		5594.7	100			Percent of total billed charges		6582	100			Percent of total billed charges		6582	100			Percent of total billed charges		6582	33.3			Percent of total billed charges		2191.806	33.3			Percent of total billed charges		2191.806	100			Percent of total billed charges		6582	2191.806	5923.8	
biomet vanguard fem comp lt 75 183034	278	RC	Outpatient			6582	4278.3		90			Percent of total billed charges		5923.8	40			Percent of total billed charges		2632.8	80			Percent of total billed charges		5265.6	90			Percent of total billed charges		5923.8	85			Percent of total billed charges		5594.7	85			Percent of total billed charges		5594.7	85			Percent of total billed charges		5594.7	100			Percent of total billed charges		6582	100			Percent of total billed charges		6582	100			Percent of total billed charges		6582	33.3			Percent of total billed charges		2191.806	33.3			Percent of total billed charges		2191.806	100			Percent of total billed charges		6582	2191.806	5923.8	
biomet vanguard fem comp lt 80 183036	278	RC	Outpatient			6582	4278.3		90			Percent of total billed charges		5923.8	40			Percent of total billed charges		2632.8	80			Percent of total billed charges		5265.6	90			Percent of total billed charges		5923.8	85			Percent of total billed charges		5594.7	85			Percent of total billed charges		5594.7	85			Percent of total billed charges		5594.7	100			Percent of total billed charges		6582	100			Percent of total billed charges		6582	100			Percent of total billed charges		6582	33.3			Percent of total billed charges		2191.806	33.3			Percent of total billed charges		2191.806	100			Percent of total billed charges		6582	2191.806	5923.8	
biomet vanguard fem comp rt 57.5 183002	278	RC	Outpatient			6582	4278.3		90			Percent of total billed charges		5923.8	40			Percent of total billed charges		2632.8	80			Percent of total billed charges		5265.6	90			Percent of total billed charges		5923.8	85			Percent of total billed charges		5594.7	85			Percent of total billed charges		5594.7	85			Percent of total billed charges		5594.7	100			Percent of total billed charges		6582	100			Percent of total billed charges		6582	100			Percent of total billed charges		6582	33.3			Percent of total billed charges		2191.806	33.3			Percent of total billed charges		2191.806	100			Percent of total billed charges		6582	2191.806	5923.8	
biomet vanguard fem comp rt 60 183004	278	RC	Outpatient			6582	4278.3		90			Percent of total billed charges		5923.8	40			Percent of total billed charges		2632.8	80			Percent of total billed charges		5265.6	90			Percent of total billed charges		5923.8	85			Percent of total billed charges		5594.7	85			Percent of total billed charges		5594.7	85			Percent of total billed charges		5594.7	100			Percent of total billed charges		6582	100			Percent of total billed charges		6582	100			Percent of total billed charges		6582	33.3			Percent of total billed charges		2191.806	33.3			Percent of total billed charges		2191.806	100			Percent of total billed charges		6582	2191.806	5923.8	
biomet vanguard fem comp rt 75 183014	278	RC	Outpatient			6582	4278.3		90			Percent of total billed charges		5923.8	40			Percent of total billed charges		2632.8	80			Percent of total billed charges		5265.6	90			Percent of total billed charges		5923.8	85			Percent of total billed charges		5594.7	85			Percent of total billed charges		5594.7	85			Percent of total billed charges		5594.7	100			Percent of total billed charges		6582	100			Percent of total billed charges		6582	100			Percent of total billed charges		6582	33.3			Percent of total billed charges		2191.806	33.3			Percent of total billed charges		2191.806	100			Percent of total billed charges		6582	2191.806	5923.8	
biomet vanguard fem comp rt 80 183016	278	RC	Outpatient			6582	4278.3		90			Percent of total billed charges		5923.8	40			Percent of total billed charges		2632.8	80			Percent of total billed charges		5265.6	90			Percent of total billed charges		5923.8	85			Percent of total billed charges		5594.7	85			Percent of total billed charges		5594.7	85			Percent of total billed charges		5594.7	100			Percent of total billed charges		6582	100			Percent of total billed charges		6582	100			Percent of total billed charges		6582	33.3			Percent of total billed charges		2191.806	33.3			Percent of total billed charges		2191.806	100			Percent of total billed charges		6582	2191.806	5923.8	
comprehensive shoulder system humeral fx stem sz10 11-113560 biomet	278	RC	Outpatient			6582	4278.3		90			Percent of total billed charges		5923.8	40			Percent of total billed charges		2632.8	80			Percent of total billed charges		5265.6	90			Percent of total billed charges		5923.8	85			Percent of total billed charges		5594.7	85			Percent of total billed charges		5594.7	85			Percent of total billed charges		5594.7	100			Percent of total billed charges		6582	100			Percent of total billed charges		6582	100			Percent of total billed charges		6582	33.3			Percent of total billed charges		2191.806	33.3			Percent of total billed charges		2191.806	100			Percent of total billed charges		6582	2191.806	5923.8	
comprehensive shoulder system humeral fx stem sz12 11-113562 biomet	278	RC	Outpatient			6582	4278.3		90			Percent of total billed charges		5923.8	40			Percent of total billed charges		2632.8	80			Percent of total billed charges		5265.6	90			Percent of total billed charges		5923.8	85			Percent of total billed charges		5594.7	85			Percent of total billed charges		5594.7	85			Percent of total billed charges		5594.7	100			Percent of total billed charges		6582	100			Percent of total billed charges		6582	100			Percent of total billed charges		6582	33.3			Percent of total billed charges		2191.806	33.3			Percent of total billed charges		2191.806	100			Percent of total billed charges		6582	2191.806	5923.8	
comprehensive shoulder system humeral fx stem sz14 11-113564 biomet	278	RC	Outpatient			6582	4278.3		90			Percent of total billed charges		5923.8	40			Percent of total billed charges		2632.8	80			Percent of total billed charges		5265.6	90			Percent of total billed charges		5923.8	85			Percent of total billed charges		5594.7	85			Percent of total billed charges		5594.7	85			Percent of total billed charges		5594.7	100			Percent of total billed charges		6582	100			Percent of total billed charges		6582	100			Percent of total billed charges		6582	33.3			Percent of total billed charges		2191.806	33.3			Percent of total billed charges		2191.806	100			Percent of total billed charges		6582	2191.806	5923.8	
bio comp hum fx stem	278	RC	Outpatient			6582	4278.3		90			Percent of total billed charges		5923.8	40			Percent of total billed charges		2632.8	80			Percent of total billed charges		5265.6	90			Percent of total billed charges		5923.8	85			Percent of total billed charges		5594.7	85			Percent of total billed charges		5594.7	85			Percent of total billed charges		5594.7	100			Percent of total billed charges		6582	100			Percent of total billed charges		6582	100			Percent of total billed charges		6582	33.3			Percent of total billed charges		2191.806	33.3			Percent of total billed charges		2191.806	100			Percent of total billed charges		6582	2191.806	5923.8	
bio vanguard cr femur	278	RC	Outpatient			6582	4278.3		90			Percent of total billed charges		5923.8	40			Percent of total billed charges		2632.8	80			Percent of total billed charges		5265.6	90			Percent of total billed charges		5923.8	85			Percent of total billed charges		5594.7	85			Percent of total billed charges		5594.7	85			Percent of total billed charges		5594.7	100			Percent of total billed charges		6582	100			Percent of total billed charges		6582	100			Percent of total billed charges		6582	33.3			Percent of total billed charges		2191.806	33.3			Percent of total billed charges		2191.806	100			Percent of total billed charges		6582	2191.806	5923.8	
biomet vanguard fem comp lt 55 183020	278	RC	Outpatient			6582	4278.3		90			Percent of total billed charges		5923.8	40			Percent of total billed charges		2632.8	80			Percent of total billed charges		5265.6	90			Percent of total billed charges		5923.8	85			Percent of total billed charges		5594.7	85			Percent of total billed charges		5594.7	85			Percent of total billed charges		5594.7	100			Percent of total billed charges		6582	100			Percent of total billed charges		6582	100			Percent of total billed charges		6582	33.3			Percent of total billed charges		2191.806	33.3			Percent of total billed charges		2191.806	100			Percent of total billed charges		6582	2191.806	5923.8	
biomet vanguard fem comp lt 57.5 183022	278	RC	Outpatient			6582	4278.3		90			Percent of total billed charges		5923.8	40			Percent of total billed charges		2632.8	80			Percent of total billed charges		5265.6	90			Percent of total billed charges		5923.8	85			Percent of total billed charges		5594.7	85			Percent of total billed charges		5594.7	85			Percent of total billed charges		5594.7	100			Percent of total billed charges		6582	100			Percent of total billed charges		6582	100			Percent of total billed charges		6582	33.3			Percent of total billed charges		2191.806	33.3			Percent of total billed charges		2191.806	100			Percent of total billed charges		6582	2191.806	5923.8	
biomet vanguard fem comp lt 62.5 183026	278	RC	Outpatient			6582	4278.3		90			Percent of total billed charges		5923.8	40			Percent of total billed charges		2632.8	80			Percent of total billed charges		5265.6	90			Percent of total billed charges		5923.8	85			Percent of total billed charges		5594.7	85			Percent of total billed charges		5594.7	85			Percent of total billed charges		5594.7	100			Percent of total billed charges		6582	100			Percent of total billed charges		6582	100			Percent of total billed charges		6582	33.3			Percent of total billed charges		2191.806	33.3			Percent of total billed charges		2191.806	100			Percent of total billed charges		6582	2191.806	5923.8	
biomet vanguard fem comp lt 65 183028	278	RC	Outpatient			6582	4278.3		90			Percent of total billed charges		5923.8	40			Percent of total billed charges		2632.8	80			Percent of total billed charges		5265.6	90			Percent of total billed charges		5923.8	85			Percent of total billed charges		5594.7	85			Percent of total billed charges		5594.7	85			Percent of total billed charges		5594.7	100			Percent of total billed charges		6582	100			Percent of total billed charges		6582	100			Percent of total billed charges		6582	33.3			Percent of total billed charges		2191.806	33.3			Percent of total billed charges		2191.806	100			Percent of total billed charges		6582	2191.806	5923.8	
biomet vanguard fem comp lt 67.5 183030	278	RC	Outpatient			6582	4278.3		90			Percent of total billed charges		5923.8	40			Percent of total billed charges		2632.8	80			Percent of total billed charges		5265.6	90			Percent of total billed charges		5923.8	85			Percent of total billed charges		5594.7	85			Percent of total billed charges		5594.7	85			Percent of total billed charges		5594.7	100			Percent of total billed charges		6582	100			Percent of total billed charges		6582	100			Percent of total billed charges		6582	33.3			Percent of total billed charges		2191.806	33.3			Percent of total billed charges		2191.806	100			Percent of total billed charges		6582	2191.806	5923.8	
biomet vanguard fem comp lt 72.5 183073	278	RC	Outpatient			6582	4278.3		90			Percent of total billed charges		5923.8	40			Percent of total billed charges		2632.8	80			Percent of total billed charges		5265.6	90			Percent of total billed charges		5923.8	85			Percent of total billed charges		5594.7	85			Percent of total billed charges		5594.7	85			Percent of total billed charges		5594.7	100			Percent of total billed charges		6582	100			Percent of total billed charges		6582	100			Percent of total billed charges		6582	33.3			Percent of total billed charges		2191.806	33.3			Percent of total billed charges		2191.806	100			Percent of total billed charges		6582	2191.806	5923.8	
biomet vanguard fem comp rt 55 183000	278	RC	Outpatient			6582	4278.3		90			Percent of total billed charges		5923.8	40			Percent of total billed charges		2632.8	80			Percent of total billed charges		5265.6	90			Percent of total billed charges		5923.8	85			Percent of total billed charges		5594.7	85			Percent of total billed charges		5594.7	85			Percent of total billed charges		5594.7	100			Percent of total billed charges		6582	100			Percent of total billed charges		6582	100			Percent of total billed charges		6582	33.3			Percent of total billed charges		2191.806	33.3			Percent of total billed charges		2191.806	100			Percent of total billed charges		6582	2191.806	5923.8	
biomet vanguard fem comp rt 62.5 183004	278	RC	Outpatient			6582	4278.3		90			Percent of total billed charges		5923.8	40			Percent of total billed charges		2632.8	80			Percent of total billed charges		5265.6	90			Percent of total billed charges		5923.8	85			Percent of total billed charges		5594.7	85			Percent of total billed charges		5594.7	85			Percent of total billed charges		5594.7	100			Percent of total billed charges		6582	100			Percent of total billed charges		6582	100			Percent of total billed charges		6582	33.3			Percent of total billed charges		2191.806	33.3			Percent of total billed charges		2191.806	100			Percent of total billed charges		6582	2191.806	5923.8	
biomet vanguard fem comp rt 65 183008	278	RC	Outpatient			6582	4278.3		90			Percent of total billed charges		5923.8	40			Percent of total billed charges		2632.8	80			Percent of total billed charges		5265.6	90			Percent of total billed charges		5923.8	85			Percent of total billed charges		5594.7	85			Percent of total billed charges		5594.7	85			Percent of total billed charges		5594.7	100			Percent of total billed charges		6582	100			Percent of total billed charges		6582	100			Percent of total billed charges		6582	33.3			Percent of total billed charges		2191.806	33.3			Percent of total billed charges		2191.806	100			Percent of total billed charges		6582	2191.806	5923.8	
biomet vanguard fem comp rt 67.5 183010	278	RC	Outpatient			6582	4278.3		90			Percent of total billed charges		5923.8	40			Percent of total billed charges		2632.8	80			Percent of total billed charges		5265.6	90			Percent of total billed charges		5923.8	85			Percent of total billed charges		5594.7	85			Percent of total billed charges		5594.7	85			Percent of total billed charges		5594.7	100			Percent of total billed charges		6582	100			Percent of total billed charges		6582	100			Percent of total billed charges		6582	33.3			Percent of total billed charges		2191.806	33.3			Percent of total billed charges		2191.806	100			Percent of total billed charges		6582	2191.806	5923.8	
biomet vanguard fem comp rt 70 183012	278	RC	Outpatient			6582	4278.3		90			Percent of total billed charges		5923.8	40			Percent of total billed charges		2632.8	80			Percent of total billed charges		5265.6	90			Percent of total billed charges		5923.8	85			Percent of total billed charges		5594.7	85			Percent of total billed charges		5594.7	85			Percent of total billed charges		5594.7	100			Percent of total billed charges		6582	100			Percent of total billed charges		6582	100			Percent of total billed charges		6582	33.3			Percent of total billed charges		2191.806	33.3			Percent of total billed charges		2191.806	100			Percent of total billed charges		6582	2191.806	5923.8	
comprehensive shoulder system humeral fx stem sz6 11-113556 biomet	278	RC	Outpatient			6582	4278.3		90			Percent of total billed charges		5923.8	40			Percent of total billed charges		2632.8	80			Percent of total billed charges		5265.6	90			Percent of total billed charges		5923.8	85			Percent of total billed charges		5594.7	85			Percent of total billed charges		5594.7	85			Percent of total billed charges		5594.7	100			Percent of total billed charges		6582	100			Percent of total billed charges		6582	100			Percent of total billed charges		6582	33.3			Percent of total billed charges		2191.806	33.3			Percent of total billed charges		2191.806	100			Percent of total billed charges		6582	2191.806	5923.8	
comprehensive shoulder system humeral fx stem sz8 11-113558 biomet	278	RC	Outpatient			6582	4278.3		90			Percent of total billed charges		5923.8	40			Percent of total billed charges		2632.8	80			Percent of total billed charges		5265.6	90			Percent of total billed charges		5923.8	85			Percent of total billed charges		5594.7	85			Percent of total billed charges		5594.7	85			Percent of total billed charges		5594.7	100			Percent of total billed charges		6582	100			Percent of total billed charges		6582	100			Percent of total billed charges		6582	33.3			Percent of total billed charges		2191.806	33.3			Percent of total billed charges		2191.806	100			Percent of total billed charges		6582	2191.806	5923.8	
vanguard cr femoral 62.5 mm rt 183006 biomet	278	RC	Outpatient			6582	4278.3		90			Percent of total billed charges		5923.8	40			Percent of total billed charges		2632.8	80			Percent of total billed charges		5265.6	90			Percent of total billed charges		5923.8	85			Percent of total billed charges		5594.7	85			Percent of total billed charges		5594.7	85			Percent of total billed charges		5594.7	100			Percent of total billed charges		6582	100			Percent of total billed charges		6582	100			Percent of total billed charges		6582	33.3			Percent of total billed charges		2191.806	33.3			Percent of total billed charges		2191.806	100			Percent of total billed charges		6582	2191.806	5923.8	
vanguard fem comp rt 72.5 183013 biomet	278	RC	Outpatient			6582	4278.3		90			Percent of total billed charges		5923.8	40			Percent of total billed charges		2632.8	80			Percent of total billed charges		5265.6	90			Percent of total billed charges		5923.8	85			Percent of total billed charges		5594.7	85			Percent of total billed charges		5594.7	85			Percent of total billed charges		5594.7	100			Percent of total billed charges		6582	100			Percent of total billed charges		6582	100			Percent of total billed charges		6582	33.3			Percent of total billed charges		2191.806	33.3			Percent of total billed charges		2191.806	100			Percent of total billed charges		6582	2191.806	5923.8	
cath jet stream	272	RC	Outpatient			6598	4288.7		90			Percent of total billed charges		5938.2	40			Percent of total billed charges		2639.2	80			Percent of total billed charges		5278.4	90			Percent of total billed charges		5938.2	85			Percent of total billed charges		5608.3	85			Percent of total billed charges		5608.3	85			Percent of total billed charges		5608.3	100			Percent of total billed charges		6598	100			Percent of total billed charges		6598	100			Percent of total billed charges		6598	33.3			Percent of total billed charges		2197.134	33.3			Percent of total billed charges		2197.134	100			Percent of total billed charges		6598	2197.134	5938.2	
jet stream g2 cath pv20300 pathway med	272	RC	Outpatient			6598	4288.7		90			Percent of total billed charges		5938.2	40			Percent of total billed charges		2639.2	80			Percent of total billed charges		5278.4	90			Percent of total billed charges		5938.2	85			Percent of total billed charges		5608.3	85			Percent of total billed charges		5608.3	85			Percent of total billed charges		5608.3	100			Percent of total billed charges		6598	100			Percent of total billed charges		6598	100			Percent of total billed charges		6598	33.3			Percent of total billed charges		2197.134	33.3			Percent of total billed charges		2197.134	100			Percent of total billed charges		6598	2197.134	5938.2	
jet stream g2 cath pv3118f pathway med	272	RC	Outpatient			6598	4288.7		90			Percent of total billed charges		5938.2	40			Percent of total billed charges		2639.2	80			Percent of total billed charges		5278.4	90			Percent of total billed charges		5938.2	85			Percent of total billed charges		5608.3	85			Percent of total billed charges		5608.3	85			Percent of total billed charges		5608.3	100			Percent of total billed charges		6598	100			Percent of total billed charges		6598	100			Percent of total billed charges		6598	33.3			Percent of total billed charges		2197.134	33.3			Percent of total billed charges		2197.134	100			Percent of total billed charges		6598	2197.134	5938.2	
jet stream g2 cath pv31300 pathway med	272	RC	Outpatient			6598	4288.7		90			Percent of total billed charges		5938.2	40			Percent of total billed charges		2639.2	80			Percent of total billed charges		5278.4	90			Percent of total billed charges		5938.2	85			Percent of total billed charges		5608.3	85			Percent of total billed charges		5608.3	85			Percent of total billed charges		5608.3	100			Percent of total billed charges		6598	100			Percent of total billed charges		6598	100			Percent of total billed charges		6598	33.3			Percent of total billed charges		2197.134	33.3			Percent of total billed charges		2197.134	100			Percent of total billed charges		6598	2197.134	5938.2	
jet stream navitus l 2.4/3.4 cath pv41340 medrad	272	RC	Outpatient			6598	4288.7		90			Percent of total billed charges		5938.2	40			Percent of total billed charges		2639.2	80			Percent of total billed charges		5278.4	90			Percent of total billed charges		5938.2	85			Percent of total billed charges		5608.3	85			Percent of total billed charges		5608.3	85			Percent of total billed charges		5608.3	100			Percent of total billed charges		6598	100			Percent of total billed charges		6598	100			Percent of total billed charges		6598	33.3			Percent of total billed charges		2197.134	33.3			Percent of total billed charges		2197.134	100			Percent of total billed charges		6598	2197.134	5938.2	
3400 lead	278	RC	Outpatient			6600	4290		90			Percent of total billed charges		5940	40			Percent of total billed charges		2640	80			Percent of total billed charges		5280	90			Percent of total billed charges		5940	85			Percent of total billed charges		5610	85			Percent of total billed charges		5610	85			Percent of total billed charges		5610	100			Percent of total billed charges		6600	100			Percent of total billed charges		6600	100			Percent of total billed charges		6600	33.3			Percent of total billed charges		2197.8	33.3			Percent of total billed charges		2197.8	100			Percent of total billed charges		6600	2197.8	5940	
bs 1010 s-icd	278	RC	Outpatient			6600	4290		90			Percent of total billed charges		5940	40			Percent of total billed charges		2640	80			Percent of total billed charges		5280	90			Percent of total billed charges		5940	85			Percent of total billed charges		5610	85			Percent of total billed charges		5610	85			Percent of total billed charges		5610	100			Percent of total billed charges		6600	100			Percent of total billed charges		6600	100			Percent of total billed charges		6600	33.3			Percent of total billed charges		2197.8	33.3			Percent of total billed charges		2197.8	100			Percent of total billed charges		6600	2197.8	5940	
discovery elbow ulna	278	RC	Outpatient			6609	4295.85		90			Percent of total billed charges		5948.1	40			Percent of total billed charges		2643.6	80			Percent of total billed charges		5287.2	90			Percent of total billed charges		5948.1	85			Percent of total billed charges		5617.65	85			Percent of total billed charges		5617.65	85			Percent of total billed charges		5617.65	100			Percent of total billed charges		6609	100			Percent of total billed charges		6609	100			Percent of total billed charges		6609	33.3			Percent of total billed charges		2200.797	33.3			Percent of total billed charges		2200.797	100			Percent of total billed charges		6609	2200.797	5948.1	
discovery elbow 4 x 75  biomet 114823	278	RC	Outpatient			6609	4295.85		90			Percent of total billed charges		5948.1	40			Percent of total billed charges		2643.6	80			Percent of total billed charges		5287.2	90			Percent of total billed charges		5948.1	85			Percent of total billed charges		5617.65	85			Percent of total billed charges		5617.65	85			Percent of total billed charges		5617.65	100			Percent of total billed charges		6609	100			Percent of total billed charges		6609	100			Percent of total billed charges		6609	33.3			Percent of total billed charges		2200.797	33.3			Percent of total billed charges		2200.797	100			Percent of total billed charges		6609	2200.797	5948.1	
aaadvantage iliac 11.5 st	278	RC	Outpatient			6619	4302.35		90			Percent of total billed charges		5957.1	40			Percent of total billed charges		2647.6	80			Percent of total billed charges		5295.2	90			Percent of total billed charges		5957.1	85			Percent of total billed charges		5626.15	85			Percent of total billed charges		5626.15	85			Percent of total billed charges		5626.15	100			Percent of total billed charges		6619	100			Percent of total billed charges		6619	100			Percent of total billed charges		6619	33.3			Percent of total billed charges		2204.127	33.3			Percent of total billed charges		2204.127	100			Percent of total billed charges		6619	2204.127	5957.1	
aaadvantage iliac limb-straight ilxc1212115 12mmx12mmx11.5mm medtronic	278	RC	Outpatient			6619	4302.35		90			Percent of total billed charges		5957.1	40			Percent of total billed charges		2647.6	80			Percent of total billed charges		5295.2	90			Percent of total billed charges		5957.1	85			Percent of total billed charges		5626.15	85			Percent of total billed charges		5626.15	85			Percent of total billed charges		5626.15	100			Percent of total billed charges		6619	100			Percent of total billed charges		6619	100			Percent of total billed charges		6619	33.3			Percent of total billed charges		2204.127	33.3			Percent of total billed charges		2204.127	100			Percent of total billed charges		6619	2204.127	5957.1	
aaadvantage iliac limb-straight ilxc1313115 13mmx13mmx11.5mm medtronic	278	RC	Outpatient			6619	4302.35		90			Percent of total billed charges		5957.1	40			Percent of total billed charges		2647.6	80			Percent of total billed charges		5295.2	90			Percent of total billed charges		5957.1	85			Percent of total billed charges		5626.15	85			Percent of total billed charges		5626.15	85			Percent of total billed charges		5626.15	100			Percent of total billed charges		6619	100			Percent of total billed charges		6619	100			Percent of total billed charges		6619	33.3			Percent of total billed charges		2204.127	33.3			Percent of total billed charges		2204.127	100			Percent of total billed charges		6619	2204.127	5957.1	
aaadvantage iliac limb-straight ilxc1414115 14mmx14mmx11.5mm medtronic	278	RC	Outpatient			6619	4302.35		90			Percent of total billed charges		5957.1	40			Percent of total billed charges		2647.6	80			Percent of total billed charges		5295.2	90			Percent of total billed charges		5957.1	85			Percent of total billed charges		5626.15	85			Percent of total billed charges		5626.15	85			Percent of total billed charges		5626.15	100			Percent of total billed charges		6619	100			Percent of total billed charges		6619	100			Percent of total billed charges		6619	33.3			Percent of total billed charges		2204.127	33.3			Percent of total billed charges		2204.127	100			Percent of total billed charges		6619	2204.127	5957.1	
aaadvantage iliac limb-straight ilxch1414115 14mmx11.5mm medtronic	278	RC	Outpatient			6619	4302.35		90			Percent of total billed charges		5957.1	40			Percent of total billed charges		2647.6	80			Percent of total billed charges		5295.2	90			Percent of total billed charges		5957.1	85			Percent of total billed charges		5626.15	85			Percent of total billed charges		5626.15	85			Percent of total billed charges		5626.15	100			Percent of total billed charges		6619	100			Percent of total billed charges		6619	100			Percent of total billed charges		6619	33.3			Percent of total billed charges		2204.127	33.3			Percent of total billed charges		2204.127	100			Percent of total billed charges		6619	2204.127	5957.1	
aaadvantage iliac limb-straight ilxc1515115 15mmx15mmx11.5mm medtronic	278	RC	Outpatient			6619	4302.35		90			Percent of total billed charges		5957.1	40			Percent of total billed charges		2647.6	80			Percent of total billed charges		5295.2	90			Percent of total billed charges		5957.1	85			Percent of total billed charges		5626.15	85			Percent of total billed charges		5626.15	85			Percent of total billed charges		5626.15	100			Percent of total billed charges		6619	100			Percent of total billed charges		6619	100			Percent of total billed charges		6619	33.3			Percent of total billed charges		2204.127	33.3			Percent of total billed charges		2204.127	100			Percent of total billed charges		6619	2204.127	5957.1	
aaadvantage iliac limb-straight ilxc1616115 16mmx16mmx11.5mm medtronic	278	RC	Outpatient			6619	4302.35		90			Percent of total billed charges		5957.1	40			Percent of total billed charges		2647.6	80			Percent of total billed charges		5295.2	90			Percent of total billed charges		5957.1	85			Percent of total billed charges		5626.15	85			Percent of total billed charges		5626.15	85			Percent of total billed charges		5626.15	100			Percent of total billed charges		6619	100			Percent of total billed charges		6619	100			Percent of total billed charges		6619	33.3			Percent of total billed charges		2204.127	33.3			Percent of total billed charges		2204.127	100			Percent of total billed charges		6619	2204.127	5957.1	
aaadvantage iliac limb-straight ilxc1818115 18mmx18mmx11.5mm medtronic	278	RC	Outpatient			6619	4302.35		90			Percent of total billed charges		5957.1	40			Percent of total billed charges		2647.6	80			Percent of total billed charges		5295.2	90			Percent of total billed charges		5957.1	85			Percent of total billed charges		5626.15	85			Percent of total billed charges		5626.15	85			Percent of total billed charges		5626.15	100			Percent of total billed charges		6619	100			Percent of total billed charges		6619	100			Percent of total billed charges		6619	33.3			Percent of total billed charges		2204.127	33.3			Percent of total billed charges		2204.127	100			Percent of total billed charges		6619	2204.127	5957.1	
aaadvantage iliac limb-straight ilxch1616115 16mmx11.5mm medtronic	278	RC	Outpatient			6619	4302.35		90			Percent of total billed charges		5957.1	40			Percent of total billed charges		2647.6	80			Percent of total billed charges		5295.2	90			Percent of total billed charges		5957.1	85			Percent of total billed charges		5626.15	85			Percent of total billed charges		5626.15	85			Percent of total billed charges		5626.15	100			Percent of total billed charges		6619	100			Percent of total billed charges		6619	100			Percent of total billed charges		6619	33.3			Percent of total billed charges		2204.127	33.3			Percent of total billed charges		2204.127	100			Percent of total billed charges		6619	2204.127	5957.1	
surgimend 2.0 10 x 15cm 606-200-006 collagen matrix	278	RC	Outpatient			6619	4302.35		90			Percent of total billed charges		5957.1	40			Percent of total billed charges		2647.6	80			Percent of total billed charges		5295.2	90			Percent of total billed charges		5957.1	85			Percent of total billed charges		5626.15	85			Percent of total billed charges		5626.15	85			Percent of total billed charges		5626.15	100			Percent of total billed charges		6619	100			Percent of total billed charges		6619	100			Percent of total billed charges		6619	33.3			Percent of total billed charges		2204.127	33.3			Percent of total billed charges		2204.127	100			Percent of total billed charges		6619	2204.127	5957.1	
surgimed 2.0 10x 15	278	RC	Outpatient			6619	4302.35		90			Percent of total billed charges		5957.1	40			Percent of total billed charges		2647.6	80			Percent of total billed charges		5295.2	90			Percent of total billed charges		5957.1	85			Percent of total billed charges		5626.15	85			Percent of total billed charges		5626.15	85			Percent of total billed charges		5626.15	100			Percent of total billed charges		6619	100			Percent of total billed charges		6619	100			Percent of total billed charges		6619	33.3			Percent of total billed charges		2204.127	33.3			Percent of total billed charges		2204.127	100			Percent of total billed charges		6619	2204.127	5957.1	
biomet mod pourous femor	278	RC	Outpatient			6640	4316		90			Percent of total billed charges		5976	40			Percent of total billed charges		2656	80			Percent of total billed charges		5312	90			Percent of total billed charges		5976	85			Percent of total billed charges		5644	85			Percent of total billed charges		5644	85			Percent of total billed charges		5644	100			Percent of total billed charges		6640	100			Percent of total billed charges		6640	100			Percent of total billed charges		6640	33.3			Percent of total billed charges		2211.12	33.3			Percent of total billed charges		2211.12	100			Percent of total billed charges		6640	2211.12	5976	
biomet taperloc stem	278	RC	Outpatient			6640	4316		90			Percent of total billed charges		5976	40			Percent of total billed charges		2656	80			Percent of total billed charges		5312	90			Percent of total billed charges		5976	85			Percent of total billed charges		5644	85			Percent of total billed charges		5644	85			Percent of total billed charges		5644	100			Percent of total billed charges		6640	100			Percent of total billed charges		6640	100			Percent of total billed charges		6640	33.3			Percent of total billed charges		2211.12	33.3			Percent of total billed charges		2211.12	100			Percent of total billed charges		6640	2211.12	5976	
or time 6 hours	270	RC	Outpatient			6660	4329		90			Percent of total billed charges		5994	40			Percent of total billed charges		2664	80			Percent of total billed charges		5328	90			Percent of total billed charges		5994	85			Percent of total billed charges		5661	85			Percent of total billed charges		5661	85			Percent of total billed charges		5661	100			Percent of total billed charges		6660	100			Percent of total billed charges		6660	100			Percent of total billed charges		6660	33.3			Percent of total billed charges		2217.78	33.3			Percent of total billed charges		2217.78	100			Percent of total billed charges		6660	2217.78	5994	
biomet e1 vanguard tibial bearing 10 x 75 ep-189080	278	RC	Outpatient			6683	4343.95		90			Percent of total billed charges		6014.7	40			Percent of total billed charges		2673.2	80			Percent of total billed charges		5346.4	90			Percent of total billed charges		6014.7	85			Percent of total billed charges		5680.55	85			Percent of total billed charges		5680.55	85			Percent of total billed charges		5680.55	100			Percent of total billed charges		6683	100			Percent of total billed charges		6683	100			Percent of total billed charges		6683	33.3			Percent of total billed charges		2225.439	33.3			Percent of total billed charges		2225.439	100			Percent of total billed charges		6683	2225.439	6014.7	
biomet e1 vanguard tibial bearing 10 x 79 ep-189100	278	RC	Outpatient			6683	4343.95		90			Percent of total billed charges		6014.7	40			Percent of total billed charges		2673.2	80			Percent of total billed charges		5346.4	90			Percent of total billed charges		6014.7	85			Percent of total billed charges		5680.55	85			Percent of total billed charges		5680.55	85			Percent of total billed charges		5680.55	100			Percent of total billed charges		6683	100			Percent of total billed charges		6683	100			Percent of total billed charges		6683	33.3			Percent of total billed charges		2225.439	33.3			Percent of total billed charges		2225.439	100			Percent of total billed charges		6683	2225.439	6014.7	
biomet e1 vanguard tibial bearing 12 x 83 ep-189122	278	RC	Outpatient			6683	4343.95		90			Percent of total billed charges		6014.7	40			Percent of total billed charges		2673.2	80			Percent of total billed charges		5346.4	90			Percent of total billed charges		6014.7	85			Percent of total billed charges		5680.55	85			Percent of total billed charges		5680.55	85			Percent of total billed charges		5680.55	100			Percent of total billed charges		6683	100			Percent of total billed charges		6683	100			Percent of total billed charges		6683	33.3			Percent of total billed charges		2225.439	33.3			Percent of total billed charges		2225.439	100			Percent of total billed charges		6683	2225.439	6014.7	
biomet e1 vanguard tibial bearing 14 x 71 ep-189064	278	RC	Outpatient			6683	4343.95		90			Percent of total billed charges		6014.7	40			Percent of total billed charges		2673.2	80			Percent of total billed charges		5346.4	90			Percent of total billed charges		6014.7	85			Percent of total billed charges		5680.55	85			Percent of total billed charges		5680.55	85			Percent of total billed charges		5680.55	100			Percent of total billed charges		6683	100			Percent of total billed charges		6683	100			Percent of total billed charges		6683	33.3			Percent of total billed charges		2225.439	33.3			Percent of total billed charges		2225.439	100			Percent of total billed charges		6683	2225.439	6014.7	
biomet e1 vanguard tibial bearing 16 x 83 ep-189126	278	RC	Outpatient			6683	4343.95		90			Percent of total billed charges		6014.7	40			Percent of total billed charges		2673.2	80			Percent of total billed charges		5346.4	90			Percent of total billed charges		6014.7	85			Percent of total billed charges		5680.55	85			Percent of total billed charges		5680.55	85			Percent of total billed charges		5680.55	100			Percent of total billed charges		6683	100			Percent of total billed charges		6683	100			Percent of total billed charges		6683	33.3			Percent of total billed charges		2225.439	33.3			Percent of total billed charges		2225.439	100			Percent of total billed charges		6683	2225.439	6014.7	
biomet e1 vanguard tibial bearing 10 x 71 ep-189060	278	RC	Outpatient			6683	4343.95		90			Percent of total billed charges		6014.7	40			Percent of total billed charges		2673.2	80			Percent of total billed charges		5346.4	90			Percent of total billed charges		6014.7	85			Percent of total billed charges		5680.55	85			Percent of total billed charges		5680.55	85			Percent of total billed charges		5680.55	100			Percent of total billed charges		6683	100			Percent of total billed charges		6683	100			Percent of total billed charges		6683	33.3			Percent of total billed charges		2225.439	33.3			Percent of total billed charges		2225.439	100			Percent of total billed charges		6683	2225.439	6014.7	
biomet e1 vanguard tibial bearing 12 x 67 ep-189042	278	RC	Outpatient			6683	4343.95		90			Percent of total billed charges		6014.7	40			Percent of total billed charges		2673.2	80			Percent of total billed charges		5346.4	90			Percent of total billed charges		6014.7	85			Percent of total billed charges		5680.55	85			Percent of total billed charges		5680.55	85			Percent of total billed charges		5680.55	100			Percent of total billed charges		6683	100			Percent of total billed charges		6683	100			Percent of total billed charges		6683	33.3			Percent of total billed charges		2225.439	33.3			Percent of total billed charges		2225.439	100			Percent of total billed charges		6683	2225.439	6014.7	
biomet e1 vanguard tibial bearing 12 x 71 ep-189062	278	RC	Outpatient			6683	4343.95		90			Percent of total billed charges		6014.7	40			Percent of total billed charges		2673.2	80			Percent of total billed charges		5346.4	90			Percent of total billed charges		6014.7	85			Percent of total billed charges		5680.55	85			Percent of total billed charges		5680.55	85			Percent of total billed charges		5680.55	100			Percent of total billed charges		6683	100			Percent of total billed charges		6683	100			Percent of total billed charges		6683	33.3			Percent of total billed charges		2225.439	33.3			Percent of total billed charges		2225.439	100			Percent of total billed charges		6683	2225.439	6014.7	
biomet e1 vanguard tibial bearing 12 x 79 ep-189102	278	RC	Outpatient			6683	4343.95		90			Percent of total billed charges		6014.7	40			Percent of total billed charges		2673.2	80			Percent of total billed charges		5346.4	90			Percent of total billed charges		6014.7	85			Percent of total billed charges		5680.55	85			Percent of total billed charges		5680.55	85			Percent of total billed charges		5680.55	100			Percent of total billed charges		6683	100			Percent of total billed charges		6683	100			Percent of total billed charges		6683	33.3			Percent of total billed charges		2225.439	33.3			Percent of total billed charges		2225.439	100			Percent of total billed charges		6683	2225.439	6014.7	
biomet e1 vanguard tibial bearing 14 x 67 ep-189044	278	RC	Outpatient			6683	4343.95		90			Percent of total billed charges		6014.7	40			Percent of total billed charges		2673.2	80			Percent of total billed charges		5346.4	90			Percent of total billed charges		6014.7	85			Percent of total billed charges		5680.55	85			Percent of total billed charges		5680.55	85			Percent of total billed charges		5680.55	100			Percent of total billed charges		6683	100			Percent of total billed charges		6683	100			Percent of total billed charges		6683	33.3			Percent of total billed charges		2225.439	33.3			Percent of total billed charges		2225.439	100			Percent of total billed charges		6683	2225.439	6014.7	
biomet e1 vanguard tibial bearing ep-189086	278	RC	Outpatient			6683	4343.95		90			Percent of total billed charges		6014.7	40			Percent of total billed charges		2673.2	80			Percent of total billed charges		5346.4	90			Percent of total billed charges		6014.7	85			Percent of total billed charges		5680.55	85			Percent of total billed charges		5680.55	85			Percent of total billed charges		5680.55	100			Percent of total billed charges		6683	100			Percent of total billed charges		6683	100			Percent of total billed charges		6683	33.3			Percent of total billed charges		2225.439	33.3			Percent of total billed charges		2225.439	100			Percent of total billed charges		6683	2225.439	6014.7	
secur-fit ha 127 hip stem #12 6052-1240a stryker	278	RC	Outpatient			6710	4361.5		90			Percent of total billed charges		6039	40			Percent of total billed charges		2684	80			Percent of total billed charges		5368	90			Percent of total billed charges		6039	85			Percent of total billed charges		5703.5	85			Percent of total billed charges		5703.5	85			Percent of total billed charges		5703.5	100			Percent of total billed charges		6710	100			Percent of total billed charges		6710	100			Percent of total billed charges		6710	33.3			Percent of total billed charges		2234.43	33.3			Percent of total billed charges		2234.43	100			Percent of total billed charges		6710	2234.43	6039	
secur-fit ha 127 hip stem #6 6052-0625a stryker	278	RC	Outpatient			6710	4361.5		90			Percent of total billed charges		6039	40			Percent of total billed charges		2684	80			Percent of total billed charges		5368	90			Percent of total billed charges		6039	85			Percent of total billed charges		5703.5	85			Percent of total billed charges		5703.5	85			Percent of total billed charges		5703.5	100			Percent of total billed charges		6710	100			Percent of total billed charges		6710	100			Percent of total billed charges		6710	33.3			Percent of total billed charges		2234.43	33.3			Percent of total billed charges		2234.43	100			Percent of total billed charges		6710	2234.43	6039	
secur-fit ha 127 hip stem #7 6052-0730a stryker	278	RC	Outpatient			6710	4361.5		90			Percent of total billed charges		6039	40			Percent of total billed charges		2684	80			Percent of total billed charges		5368	90			Percent of total billed charges		6039	85			Percent of total billed charges		5703.5	85			Percent of total billed charges		5703.5	85			Percent of total billed charges		5703.5	100			Percent of total billed charges		6710	100			Percent of total billed charges		6710	100			Percent of total billed charges		6710	33.3			Percent of total billed charges		2234.43	33.3			Percent of total billed charges		2234.43	100			Percent of total billed charges		6710	2234.43	6039	
secur-fit ha 127 hip stem #8 6052-0830a stryker	278	RC	Outpatient			6710	4361.5		90			Percent of total billed charges		6039	40			Percent of total billed charges		2684	80			Percent of total billed charges		5368	90			Percent of total billed charges		6039	85			Percent of total billed charges		5703.5	85			Percent of total billed charges		5703.5	85			Percent of total billed charges		5703.5	100			Percent of total billed charges		6710	100			Percent of total billed charges		6710	100			Percent of total billed charges		6710	33.3			Percent of total billed charges		2234.43	33.3			Percent of total billed charges		2234.43	100			Percent of total billed charges		6710	2234.43	6039	
secur-fit hip stem #10 6051-1035a stryker	278	RC	Outpatient			6710	4361.5		90			Percent of total billed charges		6039	40			Percent of total billed charges		2684	80			Percent of total billed charges		5368	90			Percent of total billed charges		6039	85			Percent of total billed charges		5703.5	85			Percent of total billed charges		5703.5	85			Percent of total billed charges		5703.5	100			Percent of total billed charges		6710	100			Percent of total billed charges		6710	100			Percent of total billed charges		6710	33.3			Percent of total billed charges		2234.43	33.3			Percent of total billed charges		2234.43	100			Percent of total billed charges		6710	2234.43	6039	
secur-fit hip stem #11 6051-1040a stryker	278	RC	Outpatient			6710	4361.5		90			Percent of total billed charges		6039	40			Percent of total billed charges		2684	80			Percent of total billed charges		5368	90			Percent of total billed charges		6039	85			Percent of total billed charges		5703.5	85			Percent of total billed charges		5703.5	85			Percent of total billed charges		5703.5	100			Percent of total billed charges		6710	100			Percent of total billed charges		6710	100			Percent of total billed charges		6710	33.3			Percent of total billed charges		2234.43	33.3			Percent of total billed charges		2234.43	100			Percent of total billed charges		6710	2234.43	6039	
secur-fit max 127 hip stem #11 6052-1140s stryker	278	RC	Outpatient			6710	4361.5		90			Percent of total billed charges		6039	40			Percent of total billed charges		2684	80			Percent of total billed charges		5368	90			Percent of total billed charges		6039	85			Percent of total billed charges		5703.5	85			Percent of total billed charges		5703.5	85			Percent of total billed charges		5703.5	100			Percent of total billed charges		6710	100			Percent of total billed charges		6710	100			Percent of total billed charges		6710	33.3			Percent of total billed charges		2234.43	33.3			Percent of total billed charges		2234.43	100			Percent of total billed charges		6710	2234.43	6039	
secur-fit max 127 hip stem #6 6052-0625s stryker	278	RC	Outpatient			6710	4361.5		90			Percent of total billed charges		6039	40			Percent of total billed charges		2684	80			Percent of total billed charges		5368	90			Percent of total billed charges		6039	85			Percent of total billed charges		5703.5	85			Percent of total billed charges		5703.5	85			Percent of total billed charges		5703.5	100			Percent of total billed charges		6710	100			Percent of total billed charges		6710	100			Percent of total billed charges		6710	33.3			Percent of total billed charges		2234.43	33.3			Percent of total billed charges		2234.43	100			Percent of total billed charges		6710	2234.43	6039	
secur-fit max 127 hip stem #7 6052-0730s stryker	278	RC	Outpatient			6710	4361.5		90			Percent of total billed charges		6039	40			Percent of total billed charges		2684	80			Percent of total billed charges		5368	90			Percent of total billed charges		6039	85			Percent of total billed charges		5703.5	85			Percent of total billed charges		5703.5	85			Percent of total billed charges		5703.5	100			Percent of total billed charges		6710	100			Percent of total billed charges		6710	100			Percent of total billed charges		6710	33.3			Percent of total billed charges		2234.43	33.3			Percent of total billed charges		2234.43	100			Percent of total billed charges		6710	2234.43	6039	
secur-fit max 127 hip stem #8 6052-0830s stryker	278	RC	Outpatient			6710	4361.5		90			Percent of total billed charges		6039	40			Percent of total billed charges		2684	80			Percent of total billed charges		5368	90			Percent of total billed charges		6039	85			Percent of total billed charges		5703.5	85			Percent of total billed charges		5703.5	85			Percent of total billed charges		5703.5	100			Percent of total billed charges		6710	100			Percent of total billed charges		6710	100			Percent of total billed charges		6710	33.3			Percent of total billed charges		2234.43	33.3			Percent of total billed charges		2234.43	100			Percent of total billed charges		6710	2234.43	6039	
secur-fit max 127 hip stem #9 6052-0935s stryker	278	RC	Outpatient			6710	4361.5		90			Percent of total billed charges		6039	40			Percent of total billed charges		2684	80			Percent of total billed charges		5368	90			Percent of total billed charges		6039	85			Percent of total billed charges		5703.5	85			Percent of total billed charges		5703.5	85			Percent of total billed charges		5703.5	100			Percent of total billed charges		6710	100			Percent of total billed charges		6710	100			Percent of total billed charges		6710	33.3			Percent of total billed charges		2234.43	33.3			Percent of total billed charges		2234.43	100			Percent of total billed charges		6710	2234.43	6039	
secur-fit max angled hip stem #10 6051-1035s how/osteo	278	RC	Outpatient			6710	4361.5		90			Percent of total billed charges		6039	40			Percent of total billed charges		2684	80			Percent of total billed charges		5368	90			Percent of total billed charges		6039	85			Percent of total billed charges		5703.5	85			Percent of total billed charges		5703.5	85			Percent of total billed charges		5703.5	100			Percent of total billed charges		6710	100			Percent of total billed charges		6710	100			Percent of total billed charges		6710	33.3			Percent of total billed charges		2234.43	33.3			Percent of total billed charges		2234.43	100			Percent of total billed charges		6710	2234.43	6039	
secur-fit max angled hip stem #9 6051-0935s how/osteo	278	RC	Outpatient			6710	4361.5		90			Percent of total billed charges		6039	40			Percent of total billed charges		2684	80			Percent of total billed charges		5368	90			Percent of total billed charges		6039	85			Percent of total billed charges		5703.5	85			Percent of total billed charges		5703.5	85			Percent of total billed charges		5703.5	100			Percent of total billed charges		6710	100			Percent of total billed charges		6710	100			Percent of total billed charges		6710	33.3			Percent of total billed charges		2234.43	33.3			Percent of total billed charges		2234.43	100			Percent of total billed charges		6710	2234.43	6039	
secur-fit max neck angle hip stem #11 40mm 6051-1140s stryker	278	RC	Outpatient			6710	4361.5		90			Percent of total billed charges		6039	40			Percent of total billed charges		2684	80			Percent of total billed charges		5368	90			Percent of total billed charges		6039	85			Percent of total billed charges		5703.5	85			Percent of total billed charges		5703.5	85			Percent of total billed charges		5703.5	100			Percent of total billed charges		6710	100			Percent of total billed charges		6710	100			Percent of total billed charges		6710	33.3			Percent of total billed charges		2234.43	33.3			Percent of total billed charges		2234.43	100			Percent of total billed charges		6710	2234.43	6039	
secur-fit plus max hip stem #8 30mm 6054-0821s stryker	278	RC	Outpatient			6710	4361.5		90			Percent of total billed charges		6039	40			Percent of total billed charges		2684	80			Percent of total billed charges		5368	90			Percent of total billed charges		6039	85			Percent of total billed charges		5703.5	85			Percent of total billed charges		5703.5	85			Percent of total billed charges		5703.5	100			Percent of total billed charges		6710	100			Percent of total billed charges		6710	100			Percent of total billed charges		6710	33.3			Percent of total billed charges		2234.43	33.3			Percent of total billed charges		2234.43	100			Percent of total billed charges		6710	2234.43	6039	
secure fit hip stem #7 6051-0730s stryker	278	RC	Outpatient			6710	4361.5		90			Percent of total billed charges		6039	40			Percent of total billed charges		2684	80			Percent of total billed charges		5368	90			Percent of total billed charges		6039	85			Percent of total billed charges		5703.5	85			Percent of total billed charges		5703.5	85			Percent of total billed charges		5703.5	100			Percent of total billed charges		6710	100			Percent of total billed charges		6710	100			Percent of total billed charges		6710	33.3			Percent of total billed charges		2234.43	33.3			Percent of total billed charges		2234.43	100			Percent of total billed charges		6710	2234.43	6039	
secure-fit ha hip stem #7 6051-0730a osteonics	278	RC	Outpatient			6710	4361.5		90			Percent of total billed charges		6039	40			Percent of total billed charges		2684	80			Percent of total billed charges		5368	90			Percent of total billed charges		6039	85			Percent of total billed charges		5703.5	85			Percent of total billed charges		5703.5	85			Percent of total billed charges		5703.5	100			Percent of total billed charges		6710	100			Percent of total billed charges		6710	100			Percent of total billed charges		6710	33.3			Percent of total billed charges		2234.43	33.3			Percent of total billed charges		2234.43	100			Percent of total billed charges		6710	2234.43	6039	
secur-fit ha 127 hip stem #10 6052-1035a stryker	278	RC	Outpatient			6710	4361.5		90			Percent of total billed charges		6039	40			Percent of total billed charges		2684	80			Percent of total billed charges		5368	90			Percent of total billed charges		6039	85			Percent of total billed charges		5703.5	85			Percent of total billed charges		5703.5	85			Percent of total billed charges		5703.5	100			Percent of total billed charges		6710	100			Percent of total billed charges		6710	100			Percent of total billed charges		6710	33.3			Percent of total billed charges		2234.43	33.3			Percent of total billed charges		2234.43	100			Percent of total billed charges		6710	2234.43	6039	
secur-fit ha 127 hip stem #11 6052-1140a stryker	278	RC	Outpatient			6710	4361.5		90			Percent of total billed charges		6039	40			Percent of total billed charges		2684	80			Percent of total billed charges		5368	90			Percent of total billed charges		6039	85			Percent of total billed charges		5703.5	85			Percent of total billed charges		5703.5	85			Percent of total billed charges		5703.5	100			Percent of total billed charges		6710	100			Percent of total billed charges		6710	100			Percent of total billed charges		6710	33.3			Percent of total billed charges		2234.43	33.3			Percent of total billed charges		2234.43	100			Percent of total billed charges		6710	2234.43	6039	
secur-fit ha 127 hip stem #9 6052-0935a stryker	278	RC	Outpatient			6710	4361.5		90			Percent of total billed charges		6039	40			Percent of total billed charges		2684	80			Percent of total billed charges		5368	90			Percent of total billed charges		6039	85			Percent of total billed charges		5703.5	85			Percent of total billed charges		5703.5	85			Percent of total billed charges		5703.5	100			Percent of total billed charges		6710	100			Percent of total billed charges		6710	100			Percent of total billed charges		6710	33.3			Percent of total billed charges		2234.43	33.3			Percent of total billed charges		2234.43	100			Percent of total billed charges		6710	2234.43	6039	
secur-fit max 127 hip stem #10 6052-1035s stryker	278	RC	Outpatient			6710	4361.5		90			Percent of total billed charges		6039	40			Percent of total billed charges		2684	80			Percent of total billed charges		5368	90			Percent of total billed charges		6039	85			Percent of total billed charges		5703.5	85			Percent of total billed charges		5703.5	85			Percent of total billed charges		5703.5	100			Percent of total billed charges		6710	100			Percent of total billed charges		6710	100			Percent of total billed charges		6710	33.3			Percent of total billed charges		2234.43	33.3			Percent of total billed charges		2234.43	100			Percent of total billed charges		6710	2234.43	6039	
secur-fit max 127 hip stem #12 6052-1240s stryker	278	RC	Outpatient			6710	4361.5		90			Percent of total billed charges		6039	40			Percent of total billed charges		2684	80			Percent of total billed charges		5368	90			Percent of total billed charges		6039	85			Percent of total billed charges		5703.5	85			Percent of total billed charges		5703.5	85			Percent of total billed charges		5703.5	100			Percent of total billed charges		6710	100			Percent of total billed charges		6710	100			Percent of total billed charges		6710	33.3			Percent of total billed charges		2234.43	33.3			Percent of total billed charges		2234.43	100			Percent of total billed charges		6710	2234.43	6039	
secur-fit max angled hip stem #12 6051-1240s how/osteo	278	RC	Outpatient			6710	4361.5		90			Percent of total billed charges		6039	40			Percent of total billed charges		2684	80			Percent of total billed charges		5368	90			Percent of total billed charges		6039	85			Percent of total billed charges		5703.5	85			Percent of total billed charges		5703.5	85			Percent of total billed charges		5703.5	100			Percent of total billed charges		6710	100			Percent of total billed charges		6710	100			Percent of total billed charges		6710	33.3			Percent of total billed charges		2234.43	33.3			Percent of total billed charges		2234.43	100			Percent of total billed charges		6710	2234.43	6039	
secur-fit max angled hip stem #8 6051-0830s how/osteo	278	RC	Outpatient			6710	4361.5		90			Percent of total billed charges		6039	40			Percent of total billed charges		2684	80			Percent of total billed charges		5368	90			Percent of total billed charges		6039	85			Percent of total billed charges		5703.5	85			Percent of total billed charges		5703.5	85			Percent of total billed charges		5703.5	100			Percent of total billed charges		6710	100			Percent of total billed charges		6710	100			Percent of total billed charges		6710	33.3			Percent of total billed charges		2234.43	33.3			Percent of total billed charges		2234.43	100			Percent of total billed charges		6710	2234.43	6039	
stryker secur-fit	278	RC	Outpatient			6710	4361.5		90			Percent of total billed charges		6039	40			Percent of total billed charges		2684	80			Percent of total billed charges		5368	90			Percent of total billed charges		6039	85			Percent of total billed charges		5703.5	85			Percent of total billed charges		5703.5	85			Percent of total billed charges		5703.5	100			Percent of total billed charges		6710	100			Percent of total billed charges		6710	100			Percent of total billed charges		6710	33.3			Percent of total billed charges		2234.43	33.3			Percent of total billed charges		2234.43	100			Percent of total billed charges		6710	2234.43	6039	
aaadvantage iliac ext	278	RC	Outpatient			6718	4366.7		90			Percent of total billed charges		6046.2	40			Percent of total billed charges		2687.2	80			Percent of total billed charges		5374.4	90			Percent of total billed charges		6046.2	85			Percent of total billed charges		5710.3	85			Percent of total billed charges		5710.3	85			Percent of total billed charges		5710.3	100			Percent of total billed charges		6718	100			Percent of total billed charges		6718	100			Percent of total billed charges		6718	33.3			Percent of total billed charges		2237.094	33.3			Percent of total billed charges		2237.094	100			Percent of total billed charges		6718	2237.094	6046.2	
aaadvantage iliac extender cuff iexc131355 13mmx13mx5.5mm medtronic	278	RC	Outpatient			6718	4366.7		90			Percent of total billed charges		6046.2	40			Percent of total billed charges		2687.2	80			Percent of total billed charges		5374.4	90			Percent of total billed charges		6046.2	85			Percent of total billed charges		5710.3	85			Percent of total billed charges		5710.3	85			Percent of total billed charges		5710.3	100			Percent of total billed charges		6718	100			Percent of total billed charges		6718	100			Percent of total billed charges		6718	33.3			Percent of total billed charges		2237.094	33.3			Percent of total billed charges		2237.094	100			Percent of total billed charges		6718	2237.094	6046.2	
aaadvantage iliac extender cuff iexc161655 16mmx16mx5.5mm medtronic	278	RC	Outpatient			6718	4366.7		90			Percent of total billed charges		6046.2	40			Percent of total billed charges		2687.2	80			Percent of total billed charges		5374.4	90			Percent of total billed charges		6046.2	85			Percent of total billed charges		5710.3	85			Percent of total billed charges		5710.3	85			Percent of total billed charges		5710.3	100			Percent of total billed charges		6718	100			Percent of total billed charges		6718	100			Percent of total billed charges		6718	33.3			Percent of total billed charges		2237.094	33.3			Percent of total billed charges		2237.094	100			Percent of total billed charges		6718	2237.094	6046.2	
aaadvantage iliac extender cuff iexc121255 12mmx12mx5.5mm medtronic	278	RC	Outpatient			6718	4366.7		90			Percent of total billed charges		6046.2	40			Percent of total billed charges		2687.2	80			Percent of total billed charges		5374.4	90			Percent of total billed charges		6046.2	85			Percent of total billed charges		5710.3	85			Percent of total billed charges		5710.3	85			Percent of total billed charges		5710.3	100			Percent of total billed charges		6718	100			Percent of total billed charges		6718	100			Percent of total billed charges		6718	33.3			Percent of total billed charges		2237.094	33.3			Percent of total billed charges		2237.094	100			Percent of total billed charges		6718	2237.094	6046.2	
aaadvantage iliac extender cuff iexc141455 14mmx14mx5.5mm medtronic	278	RC	Outpatient			6718	4366.7		90			Percent of total billed charges		6046.2	40			Percent of total billed charges		2687.2	80			Percent of total billed charges		5374.4	90			Percent of total billed charges		6046.2	85			Percent of total billed charges		5710.3	85			Percent of total billed charges		5710.3	85			Percent of total billed charges		5710.3	100			Percent of total billed charges		6718	100			Percent of total billed charges		6718	100			Percent of total billed charges		6718	33.3			Percent of total billed charges		2237.094	33.3			Percent of total billed charges		2237.094	100			Percent of total billed charges		6718	2237.094	6046.2	
aaadvantage iliac extender cuff iexc151555 15mmx15mx5.5mm medtronic	278	RC	Outpatient			6718	4366.7		90			Percent of total billed charges		6046.2	40			Percent of total billed charges		2687.2	80			Percent of total billed charges		5374.4	90			Percent of total billed charges		6046.2	85			Percent of total billed charges		5710.3	85			Percent of total billed charges		5710.3	85			Percent of total billed charges		5710.3	100			Percent of total billed charges		6718	100			Percent of total billed charges		6718	100			Percent of total billed charges		6718	33.3			Percent of total billed charges		2237.094	33.3			Percent of total billed charges		2237.094	100			Percent of total billed charges		6718	2237.094	6046.2	
aaadvantage iliac extender cuff iexc181855 18mmx18mx5.5mm medtronic	278	RC	Outpatient			6718	4366.7		90			Percent of total billed charges		6046.2	40			Percent of total billed charges		2687.2	80			Percent of total billed charges		5374.4	90			Percent of total billed charges		6046.2	85			Percent of total billed charges		5710.3	85			Percent of total billed charges		5710.3	85			Percent of total billed charges		5710.3	100			Percent of total billed charges		6718	100			Percent of total billed charges		6718	100			Percent of total billed charges		6718	33.3			Percent of total billed charges		2237.094	33.3			Percent of total billed charges		2237.094	100			Percent of total billed charges		6718	2237.094	6046.2	
aaadvantage iliac extender cuff iexc202055 20mmx20mx5.5mm medtronic	278	RC	Outpatient			6718	4366.7		90			Percent of total billed charges		6046.2	40			Percent of total billed charges		2687.2	80			Percent of total billed charges		5374.4	90			Percent of total billed charges		6046.2	85			Percent of total billed charges		5710.3	85			Percent of total billed charges		5710.3	85			Percent of total billed charges		5710.3	100			Percent of total billed charges		6718	100			Percent of total billed charges		6718	100			Percent of total billed charges		6718	33.3			Percent of total billed charges		2237.094	33.3			Percent of total billed charges		2237.094	100			Percent of total billed charges		6718	2237.094	6046.2	
jet-x lg cent bdy	278	RC	Outpatient			6725	4371.25		90			Percent of total billed charges		6052.5	40			Percent of total billed charges		2690	80			Percent of total billed charges		5380	90			Percent of total billed charges		6052.5	85			Percent of total billed charges		5716.25	85			Percent of total billed charges		5716.25	85			Percent of total billed charges		5716.25	100			Percent of total billed charges		6725	100			Percent of total billed charges		6725	100			Percent of total billed charges		6725	33.3			Percent of total billed charges		2239.425	33.3			Percent of total billed charges		2239.425	100			Percent of total billed charges		6725	2239.425	6052.5	
s/n jet-x  central body 7105-1043	278	RC	Outpatient			6725	4371.25		90			Percent of total billed charges		6052.5	40			Percent of total billed charges		2690	80			Percent of total billed charges		5380	90			Percent of total billed charges		6052.5	85			Percent of total billed charges		5716.25	85			Percent of total billed charges		5716.25	85			Percent of total billed charges		5716.25	100			Percent of total billed charges		6725	100			Percent of total billed charges		6725	100			Percent of total billed charges		6725	33.3			Percent of total billed charges		2239.425	33.3			Percent of total billed charges		2239.425	100			Percent of total billed charges		6725	2239.425	6052.5	
zimm tibial tray	278	RC	Outpatient			6741	4381.65		90			Percent of total billed charges		6066.9	40			Percent of total billed charges		2696.4	80			Percent of total billed charges		5392.8	90			Percent of total billed charges		6066.9	85			Percent of total billed charges		5729.85	85			Percent of total billed charges		5729.85	85			Percent of total billed charges		5729.85	100			Percent of total billed charges		6741	100			Percent of total billed charges		6741	100			Percent of total billed charges		6741	33.3			Percent of total billed charges		2244.753	33.3			Percent of total billed charges		2244.753	100			Percent of total billed charges		6741	2244.753	6066.9	
zimmer tibial tray sz 59 5220-22	278	RC	Outpatient			6741	4381.65		90			Percent of total billed charges		6066.9	40			Percent of total billed charges		2696.4	80			Percent of total billed charges		5392.8	90			Percent of total billed charges		6066.9	85			Percent of total billed charges		5729.85	85			Percent of total billed charges		5729.85	85			Percent of total billed charges		5729.85	100			Percent of total billed charges		6741	100			Percent of total billed charges		6741	100			Percent of total billed charges		6741	33.3			Percent of total billed charges		2244.753	33.3			Percent of total billed charges		2244.753	100			Percent of total billed charges		6741	2244.753	6066.9	
im osteonecrosis imp	278	RC	Outpatient			6743	4382.95		90			Percent of total billed charges		6068.7	40			Percent of total billed charges		2697.2	80			Percent of total billed charges		5394.4	90			Percent of total billed charges		6068.7	85			Percent of total billed charges		5731.55	85			Percent of total billed charges		5731.55	85			Percent of total billed charges		5731.55	100			Percent of total billed charges		6743	100			Percent of total billed charges		6743	100			Percent of total billed charges		6743	33.3			Percent of total billed charges		2245.419	33.3			Percent of total billed charges		2245.419	100			Percent of total billed charges		6743	2245.419	6068.7	
trabecular metal osteonecrosis intervention implant 10 x 185mm 1197-85-10 zimmer	278	RC	Outpatient			6743	4382.95		90			Percent of total billed charges		6068.7	40			Percent of total billed charges		2697.2	80			Percent of total billed charges		5394.4	90			Percent of total billed charges		6068.7	85			Percent of total billed charges		5731.55	85			Percent of total billed charges		5731.55	85			Percent of total billed charges		5731.55	100			Percent of total billed charges		6743	100			Percent of total billed charges		6743	100			Percent of total billed charges		6743	33.3			Percent of total billed charges		2245.419	33.3			Percent of total billed charges		2245.419	100			Percent of total billed charges		6743	2245.419	6068.7	
trabecular metal osteonecrosis intervention implant 10 x 70mm 1197-70-10 zimmer	278	RC	Outpatient			6743	4382.95		90			Percent of total billed charges		6068.7	40			Percent of total billed charges		2697.2	80			Percent of total billed charges		5394.4	90			Percent of total billed charges		6068.7	85			Percent of total billed charges		5731.55	85			Percent of total billed charges		5731.55	85			Percent of total billed charges		5731.55	100			Percent of total billed charges		6743	100			Percent of total billed charges		6743	100			Percent of total billed charges		6743	33.3			Percent of total billed charges		2245.419	33.3			Percent of total billed charges		2245.419	100			Percent of total billed charges		6743	2245.419	6068.7	
trabecular metal osteonecrosis intervention implant 10 x 100mm 1197-100-10 zimmer	278	RC	Outpatient			6743	4382.95		90			Percent of total billed charges		6068.7	40			Percent of total billed charges		2697.2	80			Percent of total billed charges		5394.4	90			Percent of total billed charges		6068.7	85			Percent of total billed charges		5731.55	85			Percent of total billed charges		5731.55	85			Percent of total billed charges		5731.55	100			Percent of total billed charges		6743	100			Percent of total billed charges		6743	100			Percent of total billed charges		6743	33.3			Percent of total billed charges		2245.419	33.3			Percent of total billed charges		2245.419	100			Percent of total billed charges		6743	2245.419	6068.7	
trabecular metal osteonecrosis intervention implant 10 x 130mm 1197-130-10 zimmer	278	RC	Outpatient			6743	4382.95		90			Percent of total billed charges		6068.7	40			Percent of total billed charges		2697.2	80			Percent of total billed charges		5394.4	90			Percent of total billed charges		6068.7	85			Percent of total billed charges		5731.55	85			Percent of total billed charges		5731.55	85			Percent of total billed charges		5731.55	100			Percent of total billed charges		6743	100			Percent of total billed charges		6743	100			Percent of total billed charges		6743	33.3			Percent of total billed charges		2245.419	33.3			Percent of total billed charges		2245.419	100			Percent of total billed charges		6743	2245.419	6068.7	
trabecular metal osteonecrosis intervention implant 10 x 95mm 1197-95-10 zimmer	278	RC	Outpatient			6743	4382.95		90			Percent of total billed charges		6068.7	40			Percent of total billed charges		2697.2	80			Percent of total billed charges		5394.4	90			Percent of total billed charges		6068.7	85			Percent of total billed charges		5731.55	85			Percent of total billed charges		5731.55	85			Percent of total billed charges		5731.55	100			Percent of total billed charges		6743	100			Percent of total billed charges		6743	100			Percent of total billed charges		6743	33.3			Percent of total billed charges		2245.419	33.3			Percent of total billed charges		2245.419	100			Percent of total billed charges		6743	2245.419	6068.7	
bio taperloc prim stem	278	RC	Outpatient			6757	4392.05		90			Percent of total billed charges		6081.3	40			Percent of total billed charges		2702.8	80			Percent of total billed charges		5405.6	90			Percent of total billed charges		6081.3	85			Percent of total billed charges		5743.45	85			Percent of total billed charges		5743.45	85			Percent of total billed charges		5743.45	100			Percent of total billed charges		6757	100			Percent of total billed charges		6757	100			Percent of total billed charges		6757	33.3			Percent of total billed charges		2250.081	33.3			Percent of total billed charges		2250.081	100			Percent of total billed charges		6757	2250.081	6081.3	
taperloc complete micro primary fem stem 11 x 107 51-106110 biomet	278	RC	Outpatient			6757	4392.05		90			Percent of total billed charges		6081.3	40			Percent of total billed charges		2702.8	80			Percent of total billed charges		5405.6	90			Percent of total billed charges		6081.3	85			Percent of total billed charges		5743.45	85			Percent of total billed charges		5743.45	85			Percent of total billed charges		5743.45	100			Percent of total billed charges		6757	100			Percent of total billed charges		6757	100			Percent of total billed charges		6757	33.3			Percent of total billed charges		2250.081	33.3			Percent of total billed charges		2250.081	100			Percent of total billed charges		6757	2250.081	6081.3	
taperloc micro primary fem stem 10 x 140mm 51-103100 biomet	278	RC	Outpatient			6757	4392.05		90			Percent of total billed charges		6081.3	40			Percent of total billed charges		2702.8	80			Percent of total billed charges		5405.6	90			Percent of total billed charges		6081.3	85			Percent of total billed charges		5743.45	85			Percent of total billed charges		5743.45	85			Percent of total billed charges		5743.45	100			Percent of total billed charges		6757	100			Percent of total billed charges		6757	100			Percent of total billed charges		6757	33.3			Percent of total billed charges		2250.081	33.3			Percent of total billed charges		2250.081	100			Percent of total billed charges		6757	2250.081	6081.3	
taperloc micro primary fem stem 9 x 102.5mm 51-106090 biomet	278	RC	Outpatient			6757	4392.05		90			Percent of total billed charges		6081.3	40			Percent of total billed charges		2702.8	80			Percent of total billed charges		5405.6	90			Percent of total billed charges		6081.3	85			Percent of total billed charges		5743.45	85			Percent of total billed charges		5743.45	85			Percent of total billed charges		5743.45	100			Percent of total billed charges		6757	100			Percent of total billed charges		6757	100			Percent of total billed charges		6757	33.3			Percent of total billed charges		2250.081	33.3			Percent of total billed charges		2250.081	100			Percent of total billed charges		6757	2250.081	6081.3	
taperloc complete micro primary fem stem 13 x 111 51-106130 biomet	278	RC	Outpatient			6757	4392.05		90			Percent of total billed charges		6081.3	40			Percent of total billed charges		2702.8	80			Percent of total billed charges		5405.6	90			Percent of total billed charges		6081.3	85			Percent of total billed charges		5743.45	85			Percent of total billed charges		5743.45	85			Percent of total billed charges		5743.45	100			Percent of total billed charges		6757	100			Percent of total billed charges		6757	100			Percent of total billed charges		6757	33.3			Percent of total billed charges		2250.081	33.3			Percent of total billed charges		2250.081	100			Percent of total billed charges		6757	2250.081	6081.3	
taperloc complete micro primary fem stem 18 x 121 51-106180 biomet	278	RC	Outpatient			6757	4392.05		90			Percent of total billed charges		6081.3	40			Percent of total billed charges		2702.8	80			Percent of total billed charges		5405.6	90			Percent of total billed charges		6081.3	85			Percent of total billed charges		5743.45	85			Percent of total billed charges		5743.45	85			Percent of total billed charges		5743.45	100			Percent of total billed charges		6757	100			Percent of total billed charges		6757	100			Percent of total billed charges		6757	33.3			Percent of total billed charges		2250.081	33.3			Percent of total billed charges		2250.081	100			Percent of total billed charges		6757	2250.081	6081.3	
"cosmetic - macs - facelift, brow"	983	RC	Outpatient			6765	4397.25		90			Percent of total billed charges		6088.5	40			Percent of total billed charges		2706	80			Percent of total billed charges		5412	90			Percent of total billed charges		6088.5	85			Percent of total billed charges		5750.25	85			Percent of total billed charges		5750.25	85			Percent of total billed charges		5750.25	100			Percent of total billed charges		6765	100			Percent of total billed charges		6765	100			Percent of total billed charges		6765	33.3			Percent of total billed charges		2252.745	33.3			Percent of total billed charges		2252.745	100			Percent of total billed charges		6765	2252.745	6088.5	
mesh phasix 6x8	278	RC	Outpatient			6765	4397.25		90			Percent of total billed charges		6088.5	40			Percent of total billed charges		2706	80			Percent of total billed charges		5412	90			Percent of total billed charges		6088.5	85			Percent of total billed charges		5750.25	85			Percent of total billed charges		5750.25	85			Percent of total billed charges		5750.25	100			Percent of total billed charges		6765	100			Percent of total billed charges		6765	100			Percent of total billed charges		6765	33.3			Percent of total billed charges		2252.745	33.3			Percent of total billed charges		2252.745	100			Percent of total billed charges		6765	2252.745	6088.5	
phasix mesh rectangel 6 x 8 (15.2 x 20.3cm) 1190300 bard	278	RC	Outpatient			6765	4397.25		90			Percent of total billed charges		6088.5	40			Percent of total billed charges		2706	80			Percent of total billed charges		5412	90			Percent of total billed charges		6088.5	85			Percent of total billed charges		5750.25	85			Percent of total billed charges		5750.25	85			Percent of total billed charges		5750.25	100			Percent of total billed charges		6765	100			Percent of total billed charges		6765	100			Percent of total billed charges		6765	33.3			Percent of total billed charges		2252.745	33.3			Percent of total billed charges		2252.745	100			Percent of total billed charges		6765	2252.745	6088.5	
biomet x-series stem	278	RC	Outpatient			6769	4399.85		90			Percent of total billed charges		6092.1	40			Percent of total billed charges		2707.6	80			Percent of total billed charges		5415.2	90			Percent of total billed charges		6092.1	85			Percent of total billed charges		5753.65	85			Percent of total billed charges		5753.65	85			Percent of total billed charges		5753.65	100			Percent of total billed charges		6769	100			Percent of total billed charges		6769	100			Percent of total billed charges		6769	33.3			Percent of total billed charges		2254.077	33.3			Percent of total billed charges		2254.077	100			Percent of total billed charges		6769	2254.077	6092.1	
stryker trident const.lin	278	RC	Outpatient			6769	4399.85		90			Percent of total billed charges		6092.1	40			Percent of total billed charges		2707.6	80			Percent of total billed charges		5415.2	90			Percent of total billed charges		6092.1	85			Percent of total billed charges		5753.65	85			Percent of total billed charges		5753.65	85			Percent of total billed charges		5753.65	100			Percent of total billed charges		6769	100			Percent of total billed charges		6769	100			Percent of total billed charges		6769	33.3			Percent of total billed charges		2254.077	33.3			Percent of total billed charges		2254.077	100			Percent of total billed charges		6769	2254.077	6092.1	
trident constrained acetabular insert 22-f 690-10-22f stryker	278	RC	Outpatient			6769	4399.85		90			Percent of total billed charges		6092.1	40			Percent of total billed charges		2707.6	80			Percent of total billed charges		5415.2	90			Percent of total billed charges		6092.1	85			Percent of total billed charges		5753.65	85			Percent of total billed charges		5753.65	85			Percent of total billed charges		5753.65	100			Percent of total billed charges		6769	100			Percent of total billed charges		6769	100			Percent of total billed charges		6769	33.3			Percent of total billed charges		2254.077	33.3			Percent of total billed charges		2254.077	100			Percent of total billed charges		6769	2254.077	6092.1	
solar elbow ulna comp std rt 5005-102r stryker	278	RC	Outpatient			6802	4421.3		90			Percent of total billed charges		6121.8	40			Percent of total billed charges		2720.8	80			Percent of total billed charges		5441.6	90			Percent of total billed charges		6121.8	85			Percent of total billed charges		5781.7	85			Percent of total billed charges		5781.7	85			Percent of total billed charges		5781.7	100			Percent of total billed charges		6802	100			Percent of total billed charges		6802	100			Percent of total billed charges		6802	33.3			Percent of total billed charges		2265.066	33.3			Percent of total billed charges		2265.066	100			Percent of total billed charges		6802	2265.066	6121.8	
solar ulna comp	278	RC	Outpatient			6802	4421.3		90			Percent of total billed charges		6121.8	40			Percent of total billed charges		2720.8	80			Percent of total billed charges		5441.6	90			Percent of total billed charges		6121.8	85			Percent of total billed charges		5781.7	85			Percent of total billed charges		5781.7	85			Percent of total billed charges		5781.7	100			Percent of total billed charges		6802	100			Percent of total billed charges		6802	100			Percent of total billed charges		6802	33.3			Percent of total billed charges		2265.066	33.3			Percent of total billed charges		2265.066	100			Percent of total billed charges		6802	2265.066	6121.8	
bs l301 accolade dr gen	278	RC	Outpatient			6848	4451.2		90			Percent of total billed charges		6163.2	40			Percent of total billed charges		2739.2	80			Percent of total billed charges		5478.4	90			Percent of total billed charges		6163.2	85			Percent of total billed charges		5820.8	85			Percent of total billed charges		5820.8	85			Percent of total billed charges		5820.8	100			Percent of total billed charges		6848	100			Percent of total billed charges		6848	100			Percent of total billed charges		6848	33.3			Percent of total billed charges		2280.384	33.3			Percent of total billed charges		2280.384	100			Percent of total billed charges		6848	2280.384	6163.2	
vhs supracondylar cable plate  200328 biomet	278	RC	Outpatient			6870	4465.5		90			Percent of total billed charges		6183	40			Percent of total billed charges		2748	80			Percent of total billed charges		5496	90			Percent of total billed charges		6183	85			Percent of total billed charges		5839.5	85			Percent of total billed charges		5839.5	85			Percent of total billed charges		5839.5	100			Percent of total billed charges		6870	100			Percent of total billed charges		6870	100			Percent of total billed charges		6870	33.3			Percent of total billed charges		2287.71	33.3			Percent of total billed charges		2287.71	100			Percent of total billed charges		6870	2287.71	6183	
vhs supracond cable plate	278	RC	Outpatient			6870	4465.5		90			Percent of total billed charges		6183	40			Percent of total billed charges		2748	80			Percent of total billed charges		5496	90			Percent of total billed charges		6183	85			Percent of total billed charges		5839.5	85			Percent of total billed charges		5839.5	85			Percent of total billed charges		5839.5	100			Percent of total billed charges		6870	100			Percent of total billed charges		6870	100			Percent of total billed charges		6870	33.3			Percent of total billed charges		2287.71	33.3			Percent of total billed charges		2287.71	100			Percent of total billed charges		6870	2287.71	6183	
syn zero-p va	278	RC	Outpatient			6901	4485.65		90			Percent of total billed charges		6210.9	40			Percent of total billed charges		2760.4	80			Percent of total billed charges		5520.8	90			Percent of total billed charges		6210.9	85			Percent of total billed charges		5865.85	85			Percent of total billed charges		5865.85	85			Percent of total billed charges		5865.85	100			Percent of total billed charges		6901	100			Percent of total billed charges		6901	100			Percent of total billed charges		6901	33.3			Percent of total billed charges		2298.033	33.3			Percent of total billed charges		2298.033	100			Percent of total billed charges		6901	2298.033	6210.9	
zero-p va implant 7mm lordotic 04.647.127s synthes	278	RC	Outpatient			6901	4485.65		90			Percent of total billed charges		6210.9	40			Percent of total billed charges		2760.4	80			Percent of total billed charges		5520.8	90			Percent of total billed charges		6210.9	85			Percent of total billed charges		5865.85	85			Percent of total billed charges		5865.85	85			Percent of total billed charges		5865.85	100			Percent of total billed charges		6901	100			Percent of total billed charges		6901	100			Percent of total billed charges		6901	33.3			Percent of total billed charges		2298.033	33.3			Percent of total billed charges		2298.033	100			Percent of total billed charges		6901	2298.033	6210.9	
biomet vanguard cr fem comp rt 72.5 183053	278	RC	Outpatient			6911	4492.15		90			Percent of total billed charges		6219.9	40			Percent of total billed charges		2764.4	80			Percent of total billed charges		5528.8	90			Percent of total billed charges		6219.9	85			Percent of total billed charges		5874.35	85			Percent of total billed charges		5874.35	85			Percent of total billed charges		5874.35	100			Percent of total billed charges		6911	100			Percent of total billed charges		6911	100			Percent of total billed charges		6911	33.3			Percent of total billed charges		2301.363	33.3			Percent of total billed charges		2301.363	100			Percent of total billed charges		6911	2301.363	6219.9	
biomet vanguard fem comp lt 55 183060	278	RC	Outpatient			6911	4492.15		90			Percent of total billed charges		6219.9	40			Percent of total billed charges		2764.4	80			Percent of total billed charges		5528.8	90			Percent of total billed charges		6219.9	85			Percent of total billed charges		5874.35	85			Percent of total billed charges		5874.35	85			Percent of total billed charges		5874.35	100			Percent of total billed charges		6911	100			Percent of total billed charges		6911	100			Percent of total billed charges		6911	33.3			Percent of total billed charges		2301.363	33.3			Percent of total billed charges		2301.363	100			Percent of total billed charges		6911	2301.363	6219.9	
biomet vanguard fem comp lt 57.5 183062	278	RC	Outpatient			6911	4492.15		90			Percent of total billed charges		6219.9	40			Percent of total billed charges		2764.4	80			Percent of total billed charges		5528.8	90			Percent of total billed charges		6219.9	85			Percent of total billed charges		5874.35	85			Percent of total billed charges		5874.35	85			Percent of total billed charges		5874.35	100			Percent of total billed charges		6911	100			Percent of total billed charges		6911	100			Percent of total billed charges		6911	33.3			Percent of total billed charges		2301.363	33.3			Percent of total billed charges		2301.363	100			Percent of total billed charges		6911	2301.363	6219.9	
biomet vanguard fem comp lt 62.5 183066	278	RC	Outpatient			6911	4492.15		90			Percent of total billed charges		6219.9	40			Percent of total billed charges		2764.4	80			Percent of total billed charges		5528.8	90			Percent of total billed charges		6219.9	85			Percent of total billed charges		5874.35	85			Percent of total billed charges		5874.35	85			Percent of total billed charges		5874.35	100			Percent of total billed charges		6911	100			Percent of total billed charges		6911	100			Percent of total billed charges		6911	33.3			Percent of total billed charges		2301.363	33.3			Percent of total billed charges		2301.363	100			Percent of total billed charges		6911	2301.363	6219.9	
biomet vanguard fem comp lt 70 183072	278	RC	Outpatient			6911	4492.15		90			Percent of total billed charges		6219.9	40			Percent of total billed charges		2764.4	80			Percent of total billed charges		5528.8	90			Percent of total billed charges		6219.9	85			Percent of total billed charges		5874.35	85			Percent of total billed charges		5874.35	85			Percent of total billed charges		5874.35	100			Percent of total billed charges		6911	100			Percent of total billed charges		6911	100			Percent of total billed charges		6911	33.3			Percent of total billed charges		2301.363	33.3			Percent of total billed charges		2301.363	100			Percent of total billed charges		6911	2301.363	6219.9	
biomet vanguard fem comp lt 80 183076	278	RC	Outpatient			6911	4492.15		90			Percent of total billed charges		6219.9	40			Percent of total billed charges		2764.4	80			Percent of total billed charges		5528.8	90			Percent of total billed charges		6219.9	85			Percent of total billed charges		5874.35	85			Percent of total billed charges		5874.35	85			Percent of total billed charges		5874.35	100			Percent of total billed charges		6911	100			Percent of total billed charges		6911	100			Percent of total billed charges		6911	33.3			Percent of total billed charges		2301.363	33.3			Percent of total billed charges		2301.363	100			Percent of total billed charges		6911	2301.363	6219.9	
biomet vanguard fem comp rt 60 183044	278	RC	Outpatient			6911	4492.15		90			Percent of total billed charges		6219.9	40			Percent of total billed charges		2764.4	80			Percent of total billed charges		5528.8	90			Percent of total billed charges		6219.9	85			Percent of total billed charges		5874.35	85			Percent of total billed charges		5874.35	85			Percent of total billed charges		5874.35	100			Percent of total billed charges		6911	100			Percent of total billed charges		6911	100			Percent of total billed charges		6911	33.3			Percent of total billed charges		2301.363	33.3			Percent of total billed charges		2301.363	100			Percent of total billed charges		6911	2301.363	6219.9	
biomet vanguard fem comp rt 62.5 183046	278	RC	Outpatient			6911	4492.15		90			Percent of total billed charges		6219.9	40			Percent of total billed charges		2764.4	80			Percent of total billed charges		5528.8	90			Percent of total billed charges		6219.9	85			Percent of total billed charges		5874.35	85			Percent of total billed charges		5874.35	85			Percent of total billed charges		5874.35	100			Percent of total billed charges		6911	100			Percent of total billed charges		6911	100			Percent of total billed charges		6911	33.3			Percent of total billed charges		2301.363	33.3			Percent of total billed charges		2301.363	100			Percent of total billed charges		6911	2301.363	6219.9	
biomet vanguard fem comp rt 65 183048	278	RC	Outpatient			6911	4492.15		90			Percent of total billed charges		6219.9	40			Percent of total billed charges		2764.4	80			Percent of total billed charges		5528.8	90			Percent of total billed charges		6219.9	85			Percent of total billed charges		5874.35	85			Percent of total billed charges		5874.35	85			Percent of total billed charges		5874.35	100			Percent of total billed charges		6911	100			Percent of total billed charges		6911	100			Percent of total billed charges		6911	33.3			Percent of total billed charges		2301.363	33.3			Percent of total billed charges		2301.363	100			Percent of total billed charges		6911	2301.363	6219.9	
biomet vanguard fem comp rt 67.5 183050	278	RC	Outpatient			6911	4492.15		90			Percent of total billed charges		6219.9	40			Percent of total billed charges		2764.4	80			Percent of total billed charges		5528.8	90			Percent of total billed charges		6219.9	85			Percent of total billed charges		5874.35	85			Percent of total billed charges		5874.35	85			Percent of total billed charges		5874.35	100			Percent of total billed charges		6911	100			Percent of total billed charges		6911	100			Percent of total billed charges		6911	33.3			Percent of total billed charges		2301.363	33.3			Percent of total billed charges		2301.363	100			Percent of total billed charges		6911	2301.363	6219.9	
biomet vanguard fem comp rt 70 183052	278	RC	Outpatient			6911	4492.15		90			Percent of total billed charges		6219.9	40			Percent of total billed charges		2764.4	80			Percent of total billed charges		5528.8	90			Percent of total billed charges		6219.9	85			Percent of total billed charges		5874.35	85			Percent of total billed charges		5874.35	85			Percent of total billed charges		5874.35	100			Percent of total billed charges		6911	100			Percent of total billed charges		6911	100			Percent of total billed charges		6911	33.3			Percent of total billed charges		2301.363	33.3			Percent of total billed charges		2301.363	100			Percent of total billed charges		6911	2301.363	6219.9	
biomet vanguard fem comp rt 75 183054	278	RC	Outpatient			6911	4492.15		90			Percent of total billed charges		6219.9	40			Percent of total billed charges		2764.4	80			Percent of total billed charges		5528.8	90			Percent of total billed charges		6219.9	85			Percent of total billed charges		5874.35	85			Percent of total billed charges		5874.35	85			Percent of total billed charges		5874.35	100			Percent of total billed charges		6911	100			Percent of total billed charges		6911	100			Percent of total billed charges		6911	33.3			Percent of total billed charges		2301.363	33.3			Percent of total billed charges		2301.363	100			Percent of total billed charges		6911	2301.363	6219.9	
biomet vanguard fem comp rt 80 183056	278	RC	Outpatient			6911	4492.15		90			Percent of total billed charges		6219.9	40			Percent of total billed charges		2764.4	80			Percent of total billed charges		5528.8	90			Percent of total billed charges		6219.9	85			Percent of total billed charges		5874.35	85			Percent of total billed charges		5874.35	85			Percent of total billed charges		5874.35	100			Percent of total billed charges		6911	100			Percent of total billed charges		6911	100			Percent of total billed charges		6911	33.3			Percent of total billed charges		2301.363	33.3			Percent of total billed charges		2301.363	100			Percent of total billed charges		6911	2301.363	6219.9	
bio vanguard pourous fem	278	RC	Outpatient			6911	4492.15		90			Percent of total billed charges		6219.9	40			Percent of total billed charges		2764.4	80			Percent of total billed charges		5528.8	90			Percent of total billed charges		6219.9	85			Percent of total billed charges		5874.35	85			Percent of total billed charges		5874.35	85			Percent of total billed charges		5874.35	100			Percent of total billed charges		6911	100			Percent of total billed charges		6911	100			Percent of total billed charges		6911	33.3			Percent of total billed charges		2301.363	33.3			Percent of total billed charges		2301.363	100			Percent of total billed charges		6911	2301.363	6219.9	
biomet vanguard fem comp lt 60 183064	278	RC	Outpatient			6911	4492.15		90			Percent of total billed charges		6219.9	40			Percent of total billed charges		2764.4	80			Percent of total billed charges		5528.8	90			Percent of total billed charges		6219.9	85			Percent of total billed charges		5874.35	85			Percent of total billed charges		5874.35	85			Percent of total billed charges		5874.35	100			Percent of total billed charges		6911	100			Percent of total billed charges		6911	100			Percent of total billed charges		6911	33.3			Percent of total billed charges		2301.363	33.3			Percent of total billed charges		2301.363	100			Percent of total billed charges		6911	2301.363	6219.9	
biomet vanguard fem comp lt 65 183068	278	RC	Outpatient			6911	4492.15		90			Percent of total billed charges		6219.9	40			Percent of total billed charges		2764.4	80			Percent of total billed charges		5528.8	90			Percent of total billed charges		6219.9	85			Percent of total billed charges		5874.35	85			Percent of total billed charges		5874.35	85			Percent of total billed charges		5874.35	100			Percent of total billed charges		6911	100			Percent of total billed charges		6911	100			Percent of total billed charges		6911	33.3			Percent of total billed charges		2301.363	33.3			Percent of total billed charges		2301.363	100			Percent of total billed charges		6911	2301.363	6219.9	
biomet vanguard fem comp lt 67.5 183070	278	RC	Outpatient			6911	4492.15		90			Percent of total billed charges		6219.9	40			Percent of total billed charges		2764.4	80			Percent of total billed charges		5528.8	90			Percent of total billed charges		6219.9	85			Percent of total billed charges		5874.35	85			Percent of total billed charges		5874.35	85			Percent of total billed charges		5874.35	100			Percent of total billed charges		6911	100			Percent of total billed charges		6911	100			Percent of total billed charges		6911	33.3			Percent of total billed charges		2301.363	33.3			Percent of total billed charges		2301.363	100			Percent of total billed charges		6911	2301.363	6219.9	
biomet vanguard fem comp lt 75 183074	278	RC	Outpatient			6911	4492.15		90			Percent of total billed charges		6219.9	40			Percent of total billed charges		2764.4	80			Percent of total billed charges		5528.8	90			Percent of total billed charges		6219.9	85			Percent of total billed charges		5874.35	85			Percent of total billed charges		5874.35	85			Percent of total billed charges		5874.35	100			Percent of total billed charges		6911	100			Percent of total billed charges		6911	100			Percent of total billed charges		6911	33.3			Percent of total billed charges		2301.363	33.3			Percent of total billed charges		2301.363	100			Percent of total billed charges		6911	2301.363	6219.9	
biomet vanguard fem comp rt 55 183040	278	RC	Outpatient			6911	4492.15		90			Percent of total billed charges		6219.9	40			Percent of total billed charges		2764.4	80			Percent of total billed charges		5528.8	90			Percent of total billed charges		6219.9	85			Percent of total billed charges		5874.35	85			Percent of total billed charges		5874.35	85			Percent of total billed charges		5874.35	100			Percent of total billed charges		6911	100			Percent of total billed charges		6911	100			Percent of total billed charges		6911	33.3			Percent of total billed charges		2301.363	33.3			Percent of total billed charges		2301.363	100			Percent of total billed charges		6911	2301.363	6219.9	
biomet vanguard fem comp rt 57.5 183042	278	RC	Outpatient			6911	4492.15		90			Percent of total billed charges		6219.9	40			Percent of total billed charges		2764.4	80			Percent of total billed charges		5528.8	90			Percent of total billed charges		6219.9	85			Percent of total billed charges		5874.35	85			Percent of total billed charges		5874.35	85			Percent of total billed charges		5874.35	100			Percent of total billed charges		6911	100			Percent of total billed charges		6911	100			Percent of total billed charges		6911	33.3			Percent of total billed charges		2301.363	33.3			Percent of total billed charges		2301.363	100			Percent of total billed charges		6911	2301.363	6219.9	
mt w3dr01 azure s-dr gen	278	RC	Outpatient			6922	4499.3		90			Percent of total billed charges		6229.8	40			Percent of total billed charges		2768.8	80			Percent of total billed charges		5537.6	90			Percent of total billed charges		6229.8	85			Percent of total billed charges		5883.7	85			Percent of total billed charges		5883.7	85			Percent of total billed charges		5883.7	100			Percent of total billed charges		6922	100			Percent of total billed charges		6922	100			Percent of total billed charges		6922	33.3			Percent of total billed charges		2305.026	33.3			Percent of total billed charges		2305.026	100			Percent of total billed charges		6922	2305.026	6229.8	
diamondback	272	RC	Outpatient			6927	4502.55		90			Percent of total billed charges		6234.3	40			Percent of total billed charges		2770.8	80			Percent of total billed charges		5541.6	90			Percent of total billed charges		6234.3	85			Percent of total billed charges		5887.95	85			Percent of total billed charges		5887.95	85			Percent of total billed charges		5887.95	100			Percent of total billed charges		6927	100			Percent of total billed charges		6927	100			Percent of total billed charges		6927	33.3			Percent of total billed charges		2306.691	33.3			Percent of total billed charges		2306.691	100			Percent of total billed charges		6927	2306.691	6234.3	
diamondback  2.25 x 145 db-sc-225l csi	272	RC	Outpatient			6927	4502.55		90			Percent of total billed charges		6234.3	40			Percent of total billed charges		2770.8	80			Percent of total billed charges		5541.6	90			Percent of total billed charges		6234.3	85			Percent of total billed charges		5887.95	85			Percent of total billed charges		5887.95	85			Percent of total billed charges		5887.95	100			Percent of total billed charges		6927	100			Percent of total billed charges		6927	100			Percent of total billed charges		6927	33.3			Percent of total billed charges		2306.691	33.3			Percent of total billed charges		2306.691	100			Percent of total billed charges		6927	2306.691	6234.3	
diamondback .014 1.75 x 95 db-175s csi	272	RC	Outpatient			6927	4502.55		90			Percent of total billed charges		6234.3	40			Percent of total billed charges		2770.8	80			Percent of total billed charges		5541.6	90			Percent of total billed charges		6234.3	85			Percent of total billed charges		5887.95	85			Percent of total billed charges		5887.95	85			Percent of total billed charges		5887.95	100			Percent of total billed charges		6927	100			Percent of total billed charges		6927	100			Percent of total billed charges		6927	33.3			Percent of total billed charges		2306.691	33.3			Percent of total billed charges		2306.691	100			Percent of total billed charges		6927	2306.691	6234.3	
diamondback .014 2.00 x 95 db-200 csi	272	RC	Outpatient			6927	4502.55		90			Percent of total billed charges		6234.3	40			Percent of total billed charges		2770.8	80			Percent of total billed charges		5541.6	90			Percent of total billed charges		6234.3	85			Percent of total billed charges		5887.95	85			Percent of total billed charges		5887.95	85			Percent of total billed charges		5887.95	100			Percent of total billed charges		6927	100			Percent of total billed charges		6927	100			Percent of total billed charges		6927	33.3			Percent of total billed charges		2306.691	33.3			Percent of total billed charges		2306.691	100			Percent of total billed charges		6927	2306.691	6234.3	
diamondback .014 2.25 x 135 db-225l csi	272	RC	Outpatient			6927	4502.55		90			Percent of total billed charges		6234.3	40			Percent of total billed charges		2770.8	80			Percent of total billed charges		5541.6	90			Percent of total billed charges		6234.3	85			Percent of total billed charges		5887.95	85			Percent of total billed charges		5887.95	85			Percent of total billed charges		5887.95	100			Percent of total billed charges		6927	100			Percent of total billed charges		6927	100			Percent of total billed charges		6927	33.3			Percent of total billed charges		2306.691	33.3			Percent of total billed charges		2306.691	100			Percent of total billed charges		6927	2306.691	6234.3	
diamondback .014 2.25 x 95 db-225s csi	272	RC	Outpatient			6927	4502.55		90			Percent of total billed charges		6234.3	40			Percent of total billed charges		2770.8	80			Percent of total billed charges		5541.6	90			Percent of total billed charges		6234.3	85			Percent of total billed charges		5887.95	85			Percent of total billed charges		5887.95	85			Percent of total billed charges		5887.95	100			Percent of total billed charges		6927	100			Percent of total billed charges		6927	100			Percent of total billed charges		6927	33.3			Percent of total billed charges		2306.691	33.3			Percent of total billed charges		2306.691	100			Percent of total billed charges		6927	2306.691	6234.3	
diamondback .014 1.25 x 135 db-125l csi	272	RC	Outpatient			6927	4502.55		90			Percent of total billed charges		6234.3	40			Percent of total billed charges		2770.8	80			Percent of total billed charges		5541.6	90			Percent of total billed charges		6234.3	85			Percent of total billed charges		5887.95	85			Percent of total billed charges		5887.95	85			Percent of total billed charges		5887.95	100			Percent of total billed charges		6927	100			Percent of total billed charges		6927	100			Percent of total billed charges		6927	33.3			Percent of total billed charges		2306.691	33.3			Percent of total billed charges		2306.691	100			Percent of total billed charges		6927	2306.691	6234.3	
diamondback .014 1.25 x 95 db-125s csi	272	RC	Outpatient			6927	4502.55		90			Percent of total billed charges		6234.3	40			Percent of total billed charges		2770.8	80			Percent of total billed charges		5541.6	90			Percent of total billed charges		6234.3	85			Percent of total billed charges		5887.95	85			Percent of total billed charges		5887.95	85			Percent of total billed charges		5887.95	100			Percent of total billed charges		6927	100			Percent of total billed charges		6927	100			Percent of total billed charges		6927	33.3			Percent of total billed charges		2306.691	33.3			Percent of total billed charges		2306.691	100			Percent of total billed charges		6927	2306.691	6234.3	
diamondback .014 1.50 x 135 db-150l csi	272	RC	Outpatient			6927	4502.55		90			Percent of total billed charges		6234.3	40			Percent of total billed charges		2770.8	80			Percent of total billed charges		5541.6	90			Percent of total billed charges		6234.3	85			Percent of total billed charges		5887.95	85			Percent of total billed charges		5887.95	85			Percent of total billed charges		5887.95	100			Percent of total billed charges		6927	100			Percent of total billed charges		6927	100			Percent of total billed charges		6927	33.3			Percent of total billed charges		2306.691	33.3			Percent of total billed charges		2306.691	100			Percent of total billed charges		6927	2306.691	6234.3	
diamondback .014 1.50 x 95 db-150s csi	272	RC	Outpatient			6927	4502.55		90			Percent of total billed charges		6234.3	40			Percent of total billed charges		2770.8	80			Percent of total billed charges		5541.6	90			Percent of total billed charges		6234.3	85			Percent of total billed charges		5887.95	85			Percent of total billed charges		5887.95	85			Percent of total billed charges		5887.95	100			Percent of total billed charges		6927	100			Percent of total billed charges		6927	100			Percent of total billed charges		6927	33.3			Percent of total billed charges		2306.691	33.3			Percent of total billed charges		2306.691	100			Percent of total billed charges		6927	2306.691	6234.3	
diamondback .014 1.75 x 135 db-175l csi	272	RC	Outpatient			6927	4502.55		90			Percent of total billed charges		6234.3	40			Percent of total billed charges		2770.8	80			Percent of total billed charges		5541.6	90			Percent of total billed charges		6234.3	85			Percent of total billed charges		5887.95	85			Percent of total billed charges		5887.95	85			Percent of total billed charges		5887.95	100			Percent of total billed charges		6927	100			Percent of total billed charges		6927	100			Percent of total billed charges		6927	33.3			Percent of total billed charges		2306.691	33.3			Percent of total billed charges		2306.691	100			Percent of total billed charges		6927	2306.691	6234.3	
diamondback .014 2.00 x 135 db-200l csi	272	RC	Outpatient			6927	4502.55		90			Percent of total billed charges		6234.3	40			Percent of total billed charges		2770.8	80			Percent of total billed charges		5541.6	90			Percent of total billed charges		6234.3	85			Percent of total billed charges		5887.95	85			Percent of total billed charges		5887.95	85			Percent of total billed charges		5887.95	100			Percent of total billed charges		6927	100			Percent of total billed charges		6927	100			Percent of total billed charges		6927	33.3			Percent of total billed charges		2306.691	33.3			Percent of total billed charges		2306.691	100			Percent of total billed charges		6927	2306.691	6234.3	
cathlab bio t inj loop recorder	278	RC	Outpatient			6930	4504.5		90			Percent of total billed charges		6237	40			Percent of total billed charges		2772	80			Percent of total billed charges		5544	90			Percent of total billed charges		6237	85			Percent of total billed charges		5890.5	85			Percent of total billed charges		5890.5	85			Percent of total billed charges		5890.5	100			Percent of total billed charges		6930	100			Percent of total billed charges		6930	100			Percent of total billed charges		6930	33.3			Percent of total billed charges		2307.69	33.3			Percent of total billed charges		2307.69	100			Percent of total billed charges		6930	2307.69	6237	
richards cemented mod.hip	278	RC	Outpatient			6943	4512.95		90			Percent of total billed charges		6248.7	40			Percent of total billed charges		2777.2	80			Percent of total billed charges		5554.4	90			Percent of total billed charges		6248.7	85			Percent of total billed charges		5901.55	85			Percent of total billed charges		5901.55	85			Percent of total billed charges		5901.55	100			Percent of total billed charges		6943	100			Percent of total billed charges		6943	100			Percent of total billed charges		6943	33.3			Percent of total billed charges		2312.019	33.3			Percent of total billed charges		2312.019	100			Percent of total billed charges		6943	2312.019	6248.7	
mod hip syst cone body  6276-1-021 how/osteo	278	RC	Outpatient			6949	4516.85		90			Percent of total billed charges		6254.1	40			Percent of total billed charges		2779.6	80			Percent of total billed charges		5559.2	90			Percent of total billed charges		6254.1	85			Percent of total billed charges		5906.65	85			Percent of total billed charges		5906.65	85			Percent of total billed charges		5906.65	100			Percent of total billed charges		6949	100			Percent of total billed charges		6949	100			Percent of total billed charges		6949	33.3			Percent of total billed charges		2314.017	33.3			Percent of total billed charges		2314.017	100			Percent of total billed charges		6949	2314.017	6254.1	
mod hip syst cone body  6276-1-121 how/osteo	278	RC	Outpatient			6949	4516.85		90			Percent of total billed charges		6254.1	40			Percent of total billed charges		2779.6	80			Percent of total billed charges		5559.2	90			Percent of total billed charges		6254.1	85			Percent of total billed charges		5906.65	85			Percent of total billed charges		5906.65	85			Percent of total billed charges		5906.65	100			Percent of total billed charges		6949	100			Percent of total billed charges		6949	100			Percent of total billed charges		6949	33.3			Percent of total billed charges		2314.017	33.3			Percent of total billed charges		2314.017	100			Percent of total billed charges		6949	2314.017	6254.1	
mod hip syst cone body 23/40 6276-1-023 how/osteo	278	RC	Outpatient			6949	4516.85		90			Percent of total billed charges		6254.1	40			Percent of total billed charges		2779.6	80			Percent of total billed charges		5559.2	90			Percent of total billed charges		6254.1	85			Percent of total billed charges		5906.65	85			Percent of total billed charges		5906.65	85			Percent of total billed charges		5906.65	100			Percent of total billed charges		6949	100			Percent of total billed charges		6949	100			Percent of total billed charges		6949	33.3			Percent of total billed charges		2314.017	33.3			Percent of total billed charges		2314.017	100			Percent of total billed charges		6949	2314.017	6254.1	
cosmetic - lower body lift	983	RC	Outpatient			7013	4558.45		90			Percent of total billed charges		6311.7	40			Percent of total billed charges		2805.2	80			Percent of total billed charges		5610.4	90			Percent of total billed charges		6311.7	85			Percent of total billed charges		5961.05	85			Percent of total billed charges		5961.05	85			Percent of total billed charges		5961.05	100			Percent of total billed charges		7013	100			Percent of total billed charges		7013	100			Percent of total billed charges		7013	33.3			Percent of total billed charges		2335.329	33.3			Percent of total billed charges		2335.329	100			Percent of total billed charges		7013	2335.329	6311.7	
s/n synergy stem	278	RC	Outpatient			7015	4559.75		90			Percent of total billed charges		6313.5	40			Percent of total billed charges		2806	80			Percent of total billed charges		5612	90			Percent of total billed charges		6313.5	85			Percent of total billed charges		5962.75	85			Percent of total billed charges		5962.75	85			Percent of total billed charges		5962.75	100			Percent of total billed charges		7015	100			Percent of total billed charges		7015	100			Percent of total billed charges		7015	33.3			Percent of total billed charges		2335.995	33.3			Percent of total billed charges		2335.995	100			Percent of total billed charges		7015	2335.995	6313.5	
synergy cemented fem comp sz 12 71316012 s/n	278	RC	Outpatient			7015	4559.75		90			Percent of total billed charges		6313.5	40			Percent of total billed charges		2806	80			Percent of total billed charges		5612	90			Percent of total billed charges		6313.5	85			Percent of total billed charges		5962.75	85			Percent of total billed charges		5962.75	85			Percent of total billed charges		5962.75	100			Percent of total billed charges		7015	100			Percent of total billed charges		7015	100			Percent of total billed charges		7015	33.3			Percent of total billed charges		2335.995	33.3			Percent of total billed charges		2335.995	100			Percent of total billed charges		7015	2335.995	6313.5	
synergy femoral component sz 11 71316011 s/n	278	RC	Outpatient			7015	4559.75		90			Percent of total billed charges		6313.5	40			Percent of total billed charges		2806	80			Percent of total billed charges		5612	90			Percent of total billed charges		6313.5	85			Percent of total billed charges		5962.75	85			Percent of total billed charges		5962.75	85			Percent of total billed charges		5962.75	100			Percent of total billed charges		7015	100			Percent of total billed charges		7015	100			Percent of total billed charges		7015	33.3			Percent of total billed charges		2335.995	33.3			Percent of total billed charges		2335.995	100			Percent of total billed charges		7015	2335.995	6313.5	
synergy femoral component sz 11 71316211 s/n	278	RC	Outpatient			7015	4559.75		90			Percent of total billed charges		6313.5	40			Percent of total billed charges		2806	80			Percent of total billed charges		5612	90			Percent of total billed charges		6313.5	85			Percent of total billed charges		5962.75	85			Percent of total billed charges		5962.75	85			Percent of total billed charges		5962.75	100			Percent of total billed charges		7015	100			Percent of total billed charges		7015	100			Percent of total billed charges		7015	33.3			Percent of total billed charges		2335.995	33.3			Percent of total billed charges		2335.995	100			Percent of total billed charges		7015	2335.995	6313.5	
synergy femoral component sz 15 71316015 s/n	278	RC	Outpatient			7015	4559.75		90			Percent of total billed charges		6313.5	40			Percent of total billed charges		2806	80			Percent of total billed charges		5612	90			Percent of total billed charges		6313.5	85			Percent of total billed charges		5962.75	85			Percent of total billed charges		5962.75	85			Percent of total billed charges		5962.75	100			Percent of total billed charges		7015	100			Percent of total billed charges		7015	100			Percent of total billed charges		7015	33.3			Percent of total billed charges		2335.995	33.3			Percent of total billed charges		2335.995	100			Percent of total billed charges		7015	2335.995	6313.5	
synergy femoral component sz 10 71316210 s/n	278	RC	Outpatient			7015	4559.75		90			Percent of total billed charges		6313.5	40			Percent of total billed charges		2806	80			Percent of total billed charges		5612	90			Percent of total billed charges		6313.5	85			Percent of total billed charges		5962.75	85			Percent of total billed charges		5962.75	85			Percent of total billed charges		5962.75	100			Percent of total billed charges		7015	100			Percent of total billed charges		7015	100			Percent of total billed charges		7015	33.3			Percent of total billed charges		2335.995	33.3			Percent of total billed charges		2335.995	100			Percent of total billed charges		7015	2335.995	6313.5	
synergy femoral component sz 12 71316212 s/n	278	RC	Outpatient			7015	4559.75		90			Percent of total billed charges		6313.5	40			Percent of total billed charges		2806	80			Percent of total billed charges		5612	90			Percent of total billed charges		6313.5	85			Percent of total billed charges		5962.75	85			Percent of total billed charges		5962.75	85			Percent of total billed charges		5962.75	100			Percent of total billed charges		7015	100			Percent of total billed charges		7015	100			Percent of total billed charges		7015	33.3			Percent of total billed charges		2335.995	33.3			Percent of total billed charges		2335.995	100			Percent of total billed charges		7015	2335.995	6313.5	
synergy femoral component sz 13 71316013 s/n	278	RC	Outpatient			7015	4559.75		90			Percent of total billed charges		6313.5	40			Percent of total billed charges		2806	80			Percent of total billed charges		5612	90			Percent of total billed charges		6313.5	85			Percent of total billed charges		5962.75	85			Percent of total billed charges		5962.75	85			Percent of total billed charges		5962.75	100			Percent of total billed charges		7015	100			Percent of total billed charges		7015	100			Percent of total billed charges		7015	33.3			Percent of total billed charges		2335.995	33.3			Percent of total billed charges		2335.995	100			Percent of total billed charges		7015	2335.995	6313.5	
synergy femoral component sz 13 71316213 s/n	278	RC	Outpatient			7015	4559.75		90			Percent of total billed charges		6313.5	40			Percent of total billed charges		2806	80			Percent of total billed charges		5612	90			Percent of total billed charges		6313.5	85			Percent of total billed charges		5962.75	85			Percent of total billed charges		5962.75	85			Percent of total billed charges		5962.75	100			Percent of total billed charges		7015	100			Percent of total billed charges		7015	100			Percent of total billed charges		7015	33.3			Percent of total billed charges		2335.995	33.3			Percent of total billed charges		2335.995	100			Percent of total billed charges		7015	2335.995	6313.5	
synergy femoral component sz 14 71316014 s/n	278	RC	Outpatient			7015	4559.75		90			Percent of total billed charges		6313.5	40			Percent of total billed charges		2806	80			Percent of total billed charges		5612	90			Percent of total billed charges		6313.5	85			Percent of total billed charges		5962.75	85			Percent of total billed charges		5962.75	85			Percent of total billed charges		5962.75	100			Percent of total billed charges		7015	100			Percent of total billed charges		7015	100			Percent of total billed charges		7015	33.3			Percent of total billed charges		2335.995	33.3			Percent of total billed charges		2335.995	100			Percent of total billed charges		7015	2335.995	6313.5	
synergy femoral component sz 14 71316214 s/n	278	RC	Outpatient			7015	4559.75		90			Percent of total billed charges		6313.5	40			Percent of total billed charges		2806	80			Percent of total billed charges		5612	90			Percent of total billed charges		6313.5	85			Percent of total billed charges		5962.75	85			Percent of total billed charges		5962.75	85			Percent of total billed charges		5962.75	100			Percent of total billed charges		7015	100			Percent of total billed charges		7015	100			Percent of total billed charges		7015	33.3			Percent of total billed charges		2335.995	33.3			Percent of total billed charges		2335.995	100			Percent of total billed charges		7015	2335.995	6313.5	
synergy femoral component sz 15 71316215 s/n	278	RC	Outpatient			7015	4559.75		90			Percent of total billed charges		6313.5	40			Percent of total billed charges		2806	80			Percent of total billed charges		5612	90			Percent of total billed charges		6313.5	85			Percent of total billed charges		5962.75	85			Percent of total billed charges		5962.75	85			Percent of total billed charges		5962.75	100			Percent of total billed charges		7015	100			Percent of total billed charges		7015	100			Percent of total billed charges		7015	33.3			Percent of total billed charges		2335.995	33.3			Percent of total billed charges		2335.995	100			Percent of total billed charges		7015	2335.995	6313.5	
synergy femoral component sz 16 71316016 s/n	278	RC	Outpatient			7015	4559.75		90			Percent of total billed charges		6313.5	40			Percent of total billed charges		2806	80			Percent of total billed charges		5612	90			Percent of total billed charges		6313.5	85			Percent of total billed charges		5962.75	85			Percent of total billed charges		5962.75	85			Percent of total billed charges		5962.75	100			Percent of total billed charges		7015	100			Percent of total billed charges		7015	100			Percent of total billed charges		7015	33.3			Percent of total billed charges		2335.995	33.3			Percent of total billed charges		2335.995	100			Percent of total billed charges		7015	2335.995	6313.5	
synergy femoral component sz 16 71316216 s/n	278	RC	Outpatient			7015	4559.75		90			Percent of total billed charges		6313.5	40			Percent of total billed charges		2806	80			Percent of total billed charges		5612	90			Percent of total billed charges		6313.5	85			Percent of total billed charges		5962.75	85			Percent of total billed charges		5962.75	85			Percent of total billed charges		5962.75	100			Percent of total billed charges		7015	100			Percent of total billed charges		7015	100			Percent of total billed charges		7015	33.3			Percent of total billed charges		2335.995	33.3			Percent of total billed charges		2335.995	100			Percent of total billed charges		7015	2335.995	6313.5	
synergy femoral component sz 17 71316017 s/n	278	RC	Outpatient			7015	4559.75		90			Percent of total billed charges		6313.5	40			Percent of total billed charges		2806	80			Percent of total billed charges		5612	90			Percent of total billed charges		6313.5	85			Percent of total billed charges		5962.75	85			Percent of total billed charges		5962.75	85			Percent of total billed charges		5962.75	100			Percent of total billed charges		7015	100			Percent of total billed charges		7015	100			Percent of total billed charges		7015	33.3			Percent of total billed charges		2335.995	33.3			Percent of total billed charges		2335.995	100			Percent of total billed charges		7015	2335.995	6313.5	
synergy femoral component sz 17 71316217 s/n	278	RC	Outpatient			7015	4559.75		90			Percent of total billed charges		6313.5	40			Percent of total billed charges		2806	80			Percent of total billed charges		5612	90			Percent of total billed charges		6313.5	85			Percent of total billed charges		5962.75	85			Percent of total billed charges		5962.75	85			Percent of total billed charges		5962.75	100			Percent of total billed charges		7015	100			Percent of total billed charges		7015	100			Percent of total billed charges		7015	33.3			Percent of total billed charges		2335.995	33.3			Percent of total billed charges		2335.995	100			Percent of total billed charges		7015	2335.995	6313.5	
synergy femoral component sz 9 71316009 s/n	278	RC	Outpatient			7015	4559.75		90			Percent of total billed charges		6313.5	40			Percent of total billed charges		2806	80			Percent of total billed charges		5612	90			Percent of total billed charges		6313.5	85			Percent of total billed charges		5962.75	85			Percent of total billed charges		5962.75	85			Percent of total billed charges		5962.75	100			Percent of total billed charges		7015	100			Percent of total billed charges		7015	100			Percent of total billed charges		7015	33.3			Percent of total billed charges		2335.995	33.3			Percent of total billed charges		2335.995	100			Percent of total billed charges		7015	2335.995	6313.5	
synergy femoral component sz 9 71316209 s/n	278	RC	Outpatient			7015	4559.75		90			Percent of total billed charges		6313.5	40			Percent of total billed charges		2806	80			Percent of total billed charges		5612	90			Percent of total billed charges		6313.5	85			Percent of total billed charges		5962.75	85			Percent of total billed charges		5962.75	85			Percent of total billed charges		5962.75	100			Percent of total billed charges		7015	100			Percent of total billed charges		7015	100			Percent of total billed charges		7015	33.3			Percent of total billed charges		2335.995	33.3			Percent of total billed charges		2335.995	100			Percent of total billed charges		7015	2335.995	6313.5	
synergy femoral stem 10mm 7131 6010 s/n	278	RC	Outpatient			7015	4559.75		90			Percent of total billed charges		6313.5	40			Percent of total billed charges		2806	80			Percent of total billed charges		5612	90			Percent of total billed charges		6313.5	85			Percent of total billed charges		5962.75	85			Percent of total billed charges		5962.75	85			Percent of total billed charges		5962.75	100			Percent of total billed charges		7015	100			Percent of total billed charges		7015	100			Percent of total billed charges		7015	33.3			Percent of total billed charges		2335.995	33.3			Percent of total billed charges		2335.995	100			Percent of total billed charges		7015	2335.995	6313.5	
arthrex humeral stem	278	RC	Outpatient			7020	4563		90			Percent of total billed charges		6318	40			Percent of total billed charges		2808	80			Percent of total billed charges		5616	90			Percent of total billed charges		6318	85			Percent of total billed charges		5967	85			Percent of total billed charges		5967	85			Percent of total billed charges		5967	100			Percent of total billed charges		7020	100			Percent of total billed charges		7020	100			Percent of total billed charges		7020	33.3			Percent of total billed charges		2337.66	33.3			Percent of total billed charges		2337.66	100			Percent of total billed charges		7020	2337.66	6318	
arthrex humeral stem 6mm ar-9100-069	278	RC	Outpatient			7020	4563		90			Percent of total billed charges		6318	40			Percent of total billed charges		2808	80			Percent of total billed charges		5616	90			Percent of total billed charges		6318	85			Percent of total billed charges		5967	85			Percent of total billed charges		5967	85			Percent of total billed charges		5967	100			Percent of total billed charges		7020	100			Percent of total billed charges		7020	100			Percent of total billed charges		7020	33.3			Percent of total billed charges		2337.66	33.3			Percent of total billed charges		2337.66	100			Percent of total billed charges		7020	2337.66	6318	
depuy rev cement tray	278	RC	Outpatient			7020	4563		90			Percent of total billed charges		6318	40			Percent of total billed charges		2808	80			Percent of total billed charges		5616	90			Percent of total billed charges		6318	85			Percent of total billed charges		5967	85			Percent of total billed charges		5967	85			Percent of total billed charges		5967	100			Percent of total billed charges		7020	100			Percent of total billed charges		7020	100			Percent of total billed charges		7020	33.3			Percent of total billed charges		2337.66	33.3			Percent of total billed charges		2337.66	100			Percent of total billed charges		7020	2337.66	6318	
lead v aicd biotronik	278	RC	Outpatient			7020	4563		90			Percent of total billed charges		6318	40			Percent of total billed charges		2808	80			Percent of total billed charges		5616	90			Percent of total billed charges		6318	85			Percent of total billed charges		5967	85			Percent of total billed charges		5967	85			Percent of total billed charges		5967	100			Percent of total billed charges		7020	100			Percent of total billed charges		7020	100			Percent of total billed charges		7020	33.3			Percent of total billed charges		2337.66	33.3			Percent of total billed charges		2337.66	100			Percent of total billed charges		7020	2337.66	6318	
m.b.t. revision cement tray sz 3 1294-33-130 depuy	278	RC	Outpatient			7020	4563		90			Percent of total billed charges		6318	40			Percent of total billed charges		2808	80			Percent of total billed charges		5616	90			Percent of total billed charges		6318	85			Percent of total billed charges		5967	85			Percent of total billed charges		5967	85			Percent of total billed charges		5967	100			Percent of total billed charges		7020	100			Percent of total billed charges		7020	100			Percent of total billed charges		7020	33.3			Percent of total billed charges		2337.66	33.3			Percent of total billed charges		2337.66	100			Percent of total billed charges		7020	2337.66	6318	
sensea sr pacemaker ses rol medtronic	278	RC	Outpatient			7020	4563		90			Percent of total billed charges		6318	40			Percent of total billed charges		2808	80			Percent of total billed charges		5616	90			Percent of total billed charges		6318	85			Percent of total billed charges		5967	85			Percent of total billed charges		5967	85			Percent of total billed charges		5967	100			Percent of total billed charges		7020	100			Percent of total billed charges		7020	100			Percent of total billed charges		7020	33.3			Percent of total billed charges		2337.66	33.3			Percent of total billed charges		2337.66	100			Percent of total billed charges		7020	2337.66	6318	
sensia sr pacemaker	278	RC	Outpatient			7020	4563		90			Percent of total billed charges		6318	40			Percent of total billed charges		2808	80			Percent of total billed charges		5616	90			Percent of total billed charges		6318	85			Percent of total billed charges		5967	85			Percent of total billed charges		5967	85			Percent of total billed charges		5967	100			Percent of total billed charges		7020	100			Percent of total billed charges		7020	100			Percent of total billed charges		7020	33.3			Percent of total billed charges		2337.66	33.3			Percent of total billed charges		2337.66	100			Percent of total billed charges		7020	2337.66	6318	
accolade tmzf plus hip stem #2.5 6021-2530 how/ost	278	RC	Outpatient			7051	4583.15		90			Percent of total billed charges		6345.9	40			Percent of total billed charges		2820.4	80			Percent of total billed charges		5640.8	90			Percent of total billed charges		6345.9	85			Percent of total billed charges		5993.35	85			Percent of total billed charges		5993.35	85			Percent of total billed charges		5993.35	100			Percent of total billed charges		7051	100			Percent of total billed charges		7051	100			Percent of total billed charges		7051	33.3			Percent of total billed charges		2347.983	33.3			Percent of total billed charges		2347.983	100			Percent of total billed charges		7051	2347.983	6345.9	
accolade tmzf plus hip stem #4.5 6021-4535 stryker	278	RC	Outpatient			7051	4583.15		90			Percent of total billed charges		6345.9	40			Percent of total billed charges		2820.4	80			Percent of total billed charges		5640.8	90			Percent of total billed charges		6345.9	85			Percent of total billed charges		5993.35	85			Percent of total billed charges		5993.35	85			Percent of total billed charges		5993.35	100			Percent of total billed charges		7051	100			Percent of total billed charges		7051	100			Percent of total billed charges		7051	33.3			Percent of total billed charges		2347.983	33.3			Percent of total billed charges		2347.983	100			Percent of total billed charges		7051	2347.983	6345.9	
accolade tmzf plus hip stem #3.5 6021-3535 stryker	278	RC	Outpatient			7051	4583.15		90			Percent of total billed charges		6345.9	40			Percent of total billed charges		2820.4	80			Percent of total billed charges		5640.8	90			Percent of total billed charges		6345.9	85			Percent of total billed charges		5993.35	85			Percent of total billed charges		5993.35	85			Percent of total billed charges		5993.35	100			Percent of total billed charges		7051	100			Percent of total billed charges		7051	100			Percent of total billed charges		7051	33.3			Percent of total billed charges		2347.983	33.3			Percent of total billed charges		2347.983	100			Percent of total billed charges		7051	2347.983	6345.9	
accolade tmzf plus hip stem #5.5 6021-5537 stryker	278	RC	Outpatient			7051	4583.15		90			Percent of total billed charges		6345.9	40			Percent of total billed charges		2820.4	80			Percent of total billed charges		5640.8	90			Percent of total billed charges		6345.9	85			Percent of total billed charges		5993.35	85			Percent of total billed charges		5993.35	85			Percent of total billed charges		5993.35	100			Percent of total billed charges		7051	100			Percent of total billed charges		7051	100			Percent of total billed charges		7051	33.3			Percent of total billed charges		2347.983	33.3			Percent of total billed charges		2347.983	100			Percent of total billed charges		7051	2347.983	6345.9	
stryker accolade + hip st	278	RC	Outpatient			7051	4583.15		90			Percent of total billed charges		6345.9	40			Percent of total billed charges		2820.4	80			Percent of total billed charges		5640.8	90			Percent of total billed charges		6345.9	85			Percent of total billed charges		5993.35	85			Percent of total billed charges		5993.35	85			Percent of total billed charges		5993.35	100			Percent of total billed charges		7051	100			Percent of total billed charges		7051	100			Percent of total billed charges		7051	33.3			Percent of total billed charges		2347.983	33.3			Percent of total billed charges		2347.983	100			Percent of total billed charges		7051	2347.983	6345.9	
biomet 38mm cup	278	RC	Outpatient			7106	4618.9		90			Percent of total billed charges		6395.4	40			Percent of total billed charges		2842.4	80			Percent of total billed charges		5684.8	90			Percent of total billed charges		6395.4	85			Percent of total billed charges		6040.1	85			Percent of total billed charges		6040.1	85			Percent of total billed charges		6040.1	100			Percent of total billed charges		7106	100			Percent of total billed charges		7106	100			Percent of total billed charges		7106	33.3			Percent of total billed charges		2366.298	33.3			Percent of total billed charges		2366.298	100			Percent of total billed charges		7106	2366.298	6395.4	
stryker secur-fit ha stem	278	RC	Outpatient			7107	4619.55		90			Percent of total billed charges		6396.3	40			Percent of total billed charges		2842.8	80			Percent of total billed charges		5685.6	90			Percent of total billed charges		6396.3	85			Percent of total billed charges		6040.95	85			Percent of total billed charges		6040.95	85			Percent of total billed charges		6040.95	100			Percent of total billed charges		7107	100			Percent of total billed charges		7107	100			Percent of total billed charges		7107	33.3			Percent of total billed charges		2366.631	33.3			Percent of total billed charges		2366.631	100			Percent of total billed charges		7107	2366.631	6396.3	
or time 6 1/2 hours	270	RC	Outpatient			7109	4620.85		90			Percent of total billed charges		6398.1	40			Percent of total billed charges		2843.6	80			Percent of total billed charges		5687.2	90			Percent of total billed charges		6398.1	85			Percent of total billed charges		6042.65	85			Percent of total billed charges		6042.65	85			Percent of total billed charges		6042.65	100			Percent of total billed charges		7109	100			Percent of total billed charges		7109	100			Percent of total billed charges		7109	33.3			Percent of total billed charges		2367.297	33.3			Percent of total billed charges		2367.297	100			Percent of total billed charges		7109	2367.297	6398.1	
cosmetic - circumareolar pexy/aug gel	983	RC	Outpatient			7123	4629.95		90			Percent of total billed charges		6410.7	40			Percent of total billed charges		2849.2	80			Percent of total billed charges		5698.4	90			Percent of total billed charges		6410.7	85			Percent of total billed charges		6054.55	85			Percent of total billed charges		6054.55	85			Percent of total billed charges		6054.55	100			Percent of total billed charges		7123	100			Percent of total billed charges		7123	100			Percent of total billed charges		7123	33.3			Percent of total billed charges		2371.959	33.3			Percent of total billed charges		2371.959	100			Percent of total billed charges		7123	2371.959	6410.7	
jet-x trans trauma ank cl	278	RC	Outpatient			7196	4677.4		90			Percent of total billed charges		6476.4	40			Percent of total billed charges		2878.4	80			Percent of total billed charges		5756.8	90			Percent of total billed charges		6476.4	85			Percent of total billed charges		6116.6	85			Percent of total billed charges		6116.6	85			Percent of total billed charges		6116.6	100			Percent of total billed charges		7196	100			Percent of total billed charges		7196	100			Percent of total billed charges		7196	33.3			Percent of total billed charges		2396.268	33.3			Percent of total billed charges		2396.268	100			Percent of total billed charges		7196	2396.268	6476.4	
jet-x trauma ankle clamp 7105-1054 s/n	278	RC	Outpatient			7196	4677.4		90			Percent of total billed charges		6476.4	40			Percent of total billed charges		2878.4	80			Percent of total billed charges		5756.8	90			Percent of total billed charges		6476.4	85			Percent of total billed charges		6116.6	85			Percent of total billed charges		6116.6	85			Percent of total billed charges		6116.6	100			Percent of total billed charges		7196	100			Percent of total billed charges		7196	100			Percent of total billed charges		7196	33.3			Percent of total billed charges		2396.268	33.3			Percent of total billed charges		2396.268	100			Percent of total billed charges		7196	2396.268	6476.4	
depuy srom std fem stem	278	RC	Outpatient			7197	4678.05		90			Percent of total billed charges		6477.3	40			Percent of total billed charges		2878.8	80			Percent of total billed charges		5757.6	90			Percent of total billed charges		6477.3	85			Percent of total billed charges		6117.45	85			Percent of total billed charges		6117.45	85			Percent of total billed charges		6117.45	100			Percent of total billed charges		7197	100			Percent of total billed charges		7197	100			Percent of total billed charges		7197	33.3			Percent of total billed charges		2396.601	33.3			Percent of total billed charges		2396.601	100			Percent of total billed charges		7197	2396.601	6477.3	
srom femoral stem 24 x 19 x 175 56-3624 depuy	278	RC	Outpatient			7197	4678.05		90			Percent of total billed charges		6477.3	40			Percent of total billed charges		2878.8	80			Percent of total billed charges		5757.6	90			Percent of total billed charges		6477.3	85			Percent of total billed charges		6117.45	85			Percent of total billed charges		6117.45	85			Percent of total billed charges		6117.45	100			Percent of total billed charges		7197	100			Percent of total billed charges		7197	100			Percent of total billed charges		7197	33.3			Percent of total billed charges		2396.601	33.3			Percent of total billed charges		2396.601	100			Percent of total billed charges		7197	2396.601	6477.3	
cosmetic - mastopexy/aug	983	RC	Outpatient			7205	4683.25		90			Percent of total billed charges		6484.5	40			Percent of total billed charges		2882	80			Percent of total billed charges		5764	90			Percent of total billed charges		6484.5	85			Percent of total billed charges		6124.25	85			Percent of total billed charges		6124.25	85			Percent of total billed charges		6124.25	100			Percent of total billed charges		7205	100			Percent of total billed charges		7205	100			Percent of total billed charges		7205	33.3			Percent of total billed charges		2399.265	33.3			Percent of total billed charges		2399.265	100			Percent of total billed charges		7205	2399.265	6484.5	
hydroset 6184-1-015 15cc stryker	278	RC	Outpatient			7220	4693		90			Percent of total billed charges		6498	40			Percent of total billed charges		2888	80			Percent of total billed charges		5776	90			Percent of total billed charges		6498	85			Percent of total billed charges		6137	85			Percent of total billed charges		6137	85			Percent of total billed charges		6137	100			Percent of total billed charges		7220	100			Percent of total billed charges		7220	100			Percent of total billed charges		7220	33.3			Percent of total billed charges		2404.26	33.3			Percent of total billed charges		2404.26	100			Percent of total billed charges		7220	2404.26	6498	
infuse bone graft-small	278	RC	Outpatient			7220	4693		90			Percent of total billed charges		6498	40			Percent of total billed charges		2888	80			Percent of total billed charges		5776	90			Percent of total billed charges		6498	85			Percent of total billed charges		6137	85			Percent of total billed charges		6137	85			Percent of total billed charges		6137	100			Percent of total billed charges		7220	100			Percent of total billed charges		7220	100			Percent of total billed charges		7220	33.3			Percent of total billed charges		2404.26	33.3			Percent of total billed charges		2404.26	100			Percent of total billed charges		7220	2404.26	6498	
hydraset 15cc	278	RC	Outpatient			7220	4693		90			Percent of total billed charges		6498	40			Percent of total billed charges		2888	80			Percent of total billed charges		5776	90			Percent of total billed charges		6498	85			Percent of total billed charges		6137	85			Percent of total billed charges		6137	85			Percent of total billed charges		6137	100			Percent of total billed charges		7220	100			Percent of total billed charges		7220	100			Percent of total billed charges		7220	33.3			Percent of total billed charges		2404.26	33.3			Percent of total billed charges		2404.26	100			Percent of total billed charges		7220	2404.26	6498	
infuse bone graft sm kit 7510200 medtronic/sofamor danik	278	RC	Outpatient			7220	4693		90			Percent of total billed charges		6498	40			Percent of total billed charges		2888	80			Percent of total billed charges		5776	90			Percent of total billed charges		6498	85			Percent of total billed charges		6137	85			Percent of total billed charges		6137	85			Percent of total billed charges		6137	100			Percent of total billed charges		7220	100			Percent of total billed charges		7220	100			Percent of total billed charges		7220	33.3			Percent of total billed charges		2404.26	33.3			Percent of total billed charges		2404.26	100			Percent of total billed charges		7220	2404.26	6498	
scorpio cr fem peri-apatite micro #11 left 70-5211l how/ost	278	RC	Outpatient			7232	4700.8		90			Percent of total billed charges		6508.8	40			Percent of total billed charges		2892.8	80			Percent of total billed charges		5785.6	90			Percent of total billed charges		6508.8	85			Percent of total billed charges		6147.2	85			Percent of total billed charges		6147.2	85			Percent of total billed charges		6147.2	100			Percent of total billed charges		7232	100			Percent of total billed charges		7232	100			Percent of total billed charges		7232	33.3			Percent of total billed charges		2408.256	33.3			Percent of total billed charges		2408.256	100			Percent of total billed charges		7232	2408.256	6508.8	
stryker scorpio peri-apat	278	RC	Outpatient			7232	4700.8		90			Percent of total billed charges		6508.8	40			Percent of total billed charges		2892.8	80			Percent of total billed charges		5785.6	90			Percent of total billed charges		6508.8	85			Percent of total billed charges		6147.2	85			Percent of total billed charges		6147.2	85			Percent of total billed charges		6147.2	100			Percent of total billed charges		7232	100			Percent of total billed charges		7232	100			Percent of total billed charges		7232	33.3			Percent of total billed charges		2408.256	33.3			Percent of total billed charges		2408.256	100			Percent of total billed charges		7232	2408.256	6508.8	
scorpio cr femoral #5 lt 70-5205l how/osteo	278	RC	Outpatient			7233	4701.45		90			Percent of total billed charges		6509.7	40			Percent of total billed charges		2893.2	80			Percent of total billed charges		5786.4	90			Percent of total billed charges		6509.7	85			Percent of total billed charges		6148.05	85			Percent of total billed charges		6148.05	85			Percent of total billed charges		6148.05	100			Percent of total billed charges		7233	100			Percent of total billed charges		7233	100			Percent of total billed charges		7233	33.3			Percent of total billed charges		2408.589	33.3			Percent of total billed charges		2408.589	100			Percent of total billed charges		7233	2408.589	6509.7	
scorpio cr femoral #7 rt 70-5207r how/osteo	278	RC	Outpatient			7233	4701.45		90			Percent of total billed charges		6509.7	40			Percent of total billed charges		2893.2	80			Percent of total billed charges		5786.4	90			Percent of total billed charges		6509.7	85			Percent of total billed charges		6148.05	85			Percent of total billed charges		6148.05	85			Percent of total billed charges		6148.05	100			Percent of total billed charges		7233	100			Percent of total billed charges		7233	100			Percent of total billed charges		7233	33.3			Percent of total billed charges		2408.589	33.3			Percent of total billed charges		2408.589	100			Percent of total billed charges		7233	2408.589	6509.7	
stryker scorpio fem	278	RC	Outpatient			7233	4701.45		90			Percent of total billed charges		6509.7	40			Percent of total billed charges		2893.2	80			Percent of total billed charges		5786.4	90			Percent of total billed charges		6509.7	85			Percent of total billed charges		6148.05	85			Percent of total billed charges		6148.05	85			Percent of total billed charges		6148.05	100			Percent of total billed charges		7233	100			Percent of total billed charges		7233	100			Percent of total billed charges		7233	33.3			Percent of total billed charges		2408.589	33.3			Percent of total billed charges		2408.589	100			Percent of total billed charges		7233	2408.589	6509.7	
triathlon cr femur beaded	278	RC	Outpatient			7353	4779.45		90			Percent of total billed charges		6617.7	40			Percent of total billed charges		2941.2	80			Percent of total billed charges		5882.4	90			Percent of total billed charges		6617.7	85			Percent of total billed charges		6250.05	85			Percent of total billed charges		6250.05	85			Percent of total billed charges		6250.05	100			Percent of total billed charges		7353	100			Percent of total billed charges		7353	100			Percent of total billed charges		7353	33.3			Percent of total billed charges		2448.549	33.3			Percent of total billed charges		2448.549	100			Percent of total billed charges		7353	2448.549	6617.7	
triathlon pa cr femur l sz 4 5517-f-401 stryker	278	RC	Outpatient			7353	4779.45		90			Percent of total billed charges		6617.7	40			Percent of total billed charges		2941.2	80			Percent of total billed charges		5882.4	90			Percent of total billed charges		6617.7	85			Percent of total billed charges		6250.05	85			Percent of total billed charges		6250.05	85			Percent of total billed charges		6250.05	100			Percent of total billed charges		7353	100			Percent of total billed charges		7353	100			Percent of total billed charges		7353	33.3			Percent of total billed charges		2448.549	33.3			Percent of total billed charges		2448.549	100			Percent of total billed charges		7353	2448.549	6617.7	
triathlon pa cr femur r sz 4 5517-f-402 stryker	278	RC	Outpatient			7353	4779.45		90			Percent of total billed charges		6617.7	40			Percent of total billed charges		2941.2	80			Percent of total billed charges		5882.4	90			Percent of total billed charges		6617.7	85			Percent of total billed charges		6250.05	85			Percent of total billed charges		6250.05	85			Percent of total billed charges		6250.05	100			Percent of total billed charges		7353	100			Percent of total billed charges		7353	100			Percent of total billed charges		7353	33.3			Percent of total billed charges		2448.549	33.3			Percent of total billed charges		2448.549	100			Percent of total billed charges		7353	2448.549	6617.7	
triathlon pa cr femur r sz 5 5517-f-602 stryker	278	RC	Outpatient			7353	4779.45		90			Percent of total billed charges		6617.7	40			Percent of total billed charges		2941.2	80			Percent of total billed charges		5882.4	90			Percent of total billed charges		6617.7	85			Percent of total billed charges		6250.05	85			Percent of total billed charges		6250.05	85			Percent of total billed charges		6250.05	100			Percent of total billed charges		7353	100			Percent of total billed charges		7353	100			Percent of total billed charges		7353	33.3			Percent of total billed charges		2448.549	33.3			Percent of total billed charges		2448.549	100			Percent of total billed charges		7353	2448.549	6617.7	
cosmetic - macs - facelift upper and lower bleph	983	RC	Outpatient			7370	4790.5		90			Percent of total billed charges		6633	40			Percent of total billed charges		2948	80			Percent of total billed charges		5896	90			Percent of total billed charges		6633	85			Percent of total billed charges		6264.5	85			Percent of total billed charges		6264.5	85			Percent of total billed charges		6264.5	100			Percent of total billed charges		7370	100			Percent of total billed charges		7370	100			Percent of total billed charges		7370	33.3			Percent of total billed charges		2454.21	33.3			Percent of total billed charges		2454.21	100			Percent of total billed charges		7370	2454.21	6633	
reveal dx 9528 recorder	275	RC	Outpatient			7421	4823.65		90			Percent of total billed charges		6678.9	40			Percent of total billed charges		2968.4	80			Percent of total billed charges		5936.8	90			Percent of total billed charges		6678.9	85			Percent of total billed charges		6307.85	85			Percent of total billed charges		6307.85	85			Percent of total billed charges		6307.85	100			Percent of total billed charges		7421	100			Percent of total billed charges		7421	100			Percent of total billed charges		7421	33.3			Percent of total billed charges		2471.193	33.3			Percent of total billed charges		2471.193	100			Percent of total billed charges		7421	2471.193	6678.9	
bs  generator l111	278	RC	Outpatient			7425	4826.25		90			Percent of total billed charges		6682.5	40			Percent of total billed charges		2970	80			Percent of total billed charges		5940	90			Percent of total billed charges		6682.5	85			Percent of total billed charges		6311.25	85			Percent of total billed charges		6311.25	85			Percent of total billed charges		6311.25	100			Percent of total billed charges		7425	100			Percent of total billed charges		7425	100			Percent of total billed charges		7425	33.3			Percent of total billed charges		2472.525	33.3			Percent of total billed charges		2472.525	100			Percent of total billed charges		7425	2472.525	6682.5	
rsp monoblock spacer w/screw 8mm 510-08-000 djo	278	RC	Outpatient			7425	4826.25		90			Percent of total billed charges		6682.5	40			Percent of total billed charges		2970	80			Percent of total billed charges		5940	90			Percent of total billed charges		6682.5	85			Percent of total billed charges		6311.25	85			Percent of total billed charges		6311.25	85			Percent of total billed charges		6311.25	100			Percent of total billed charges		7425	100			Percent of total billed charges		7425	100			Percent of total billed charges		7425	33.3			Percent of total billed charges		2472.525	33.3			Percent of total billed charges		2472.525	100			Percent of total billed charges		7425	2472.525	6682.5	
rsp monoblock spacer	278	RC	Outpatient			7425	4826.25		90			Percent of total billed charges		6682.5	40			Percent of total billed charges		2970	80			Percent of total billed charges		5940	90			Percent of total billed charges		6682.5	85			Percent of total billed charges		6311.25	85			Percent of total billed charges		6311.25	85			Percent of total billed charges		6311.25	100			Percent of total billed charges		7425	100			Percent of total billed charges		7425	100			Percent of total billed charges		7425	33.3			Percent of total billed charges		2472.525	33.3			Percent of total billed charges		2472.525	100			Percent of total billed charges		7425	2472.525	6682.5	
allomax 8x16	278	RC	Outpatient			7437	4834.05		90			Percent of total billed charges		6693.3	40			Percent of total billed charges		2974.8	80			Percent of total billed charges		5949.6	90			Percent of total billed charges		6693.3	85			Percent of total billed charges		6321.45	85			Percent of total billed charges		6321.45	85			Percent of total billed charges		6321.45	100			Percent of total billed charges		7437	100			Percent of total billed charges		7437	100			Percent of total billed charges		7437	33.3			Percent of total billed charges		2476.521	33.3			Percent of total billed charges		2476.521	100			Percent of total billed charges		7437	2476.521	6693.3	
allomax graft retangular 3.1 x 6.3 8 x 16 1180816 bard	278	RC	Outpatient			7437	4834.05		90			Percent of total billed charges		6693.3	40			Percent of total billed charges		2974.8	80			Percent of total billed charges		5949.6	90			Percent of total billed charges		6693.3	85			Percent of total billed charges		6321.45	85			Percent of total billed charges		6321.45	85			Percent of total billed charges		6321.45	100			Percent of total billed charges		7437	100			Percent of total billed charges		7437	100			Percent of total billed charges		7437	33.3			Percent of total billed charges		2476.521	33.3			Percent of total billed charges		2476.521	100			Percent of total billed charges		7437	2476.521	6693.3	
depuy asr acet cup	278	RC	Outpatient			7446	4839.9		90			Percent of total billed charges		6701.4	40			Percent of total billed charges		2978.4	80			Percent of total billed charges		5956.8	90			Percent of total billed charges		6701.4	85			Percent of total billed charges		6329.1	85			Percent of total billed charges		6329.1	85			Percent of total billed charges		6329.1	100			Percent of total billed charges		7446	100			Percent of total billed charges		7446	100			Percent of total billed charges		7446	33.3			Percent of total billed charges		2479.518	33.3			Percent of total billed charges		2479.518	100			Percent of total billed charges		7446	2479.518	6701.4	
depuy ast acetabular cup sz 54 9998-00-754	278	RC	Outpatient			7446	4839.9		90			Percent of total billed charges		6701.4	40			Percent of total billed charges		2978.4	80			Percent of total billed charges		5956.8	90			Percent of total billed charges		6701.4	85			Percent of total billed charges		6329.1	85			Percent of total billed charges		6329.1	85			Percent of total billed charges		6329.1	100			Percent of total billed charges		7446	100			Percent of total billed charges		7446	100			Percent of total billed charges		7446	33.3			Percent of total billed charges		2479.518	33.3			Percent of total billed charges		2479.518	100			Percent of total billed charges		7446	2479.518	6701.4	
aaadvantage iliac 11.5	278	RC	Outpatient			7471	4856.15		90			Percent of total billed charges		6723.9	40			Percent of total billed charges		2988.4	80			Percent of total billed charges		5976.8	90			Percent of total billed charges		6723.9	85			Percent of total billed charges		6350.35	85			Percent of total billed charges		6350.35	85			Percent of total billed charges		6350.35	100			Percent of total billed charges		7471	100			Percent of total billed charges		7471	100			Percent of total billed charges		7471	33.3			Percent of total billed charges		2487.843	33.3			Percent of total billed charges		2487.843	100			Percent of total billed charges		7471	2487.843	6723.9	
aaadvantage iliac limb-flaired ilxc1822115 18mmx22mmx11.5mm medtronic	278	RC	Outpatient			7471	4856.15		90			Percent of total billed charges		6723.9	40			Percent of total billed charges		2988.4	80			Percent of total billed charges		5976.8	90			Percent of total billed charges		6723.9	85			Percent of total billed charges		6350.35	85			Percent of total billed charges		6350.35	85			Percent of total billed charges		6350.35	100			Percent of total billed charges		7471	100			Percent of total billed charges		7471	100			Percent of total billed charges		7471	33.3			Percent of total billed charges		2487.843	33.3			Percent of total billed charges		2487.843	100			Percent of total billed charges		7471	2487.843	6723.9	
aaadvantage iliac limb-flaired ilxc1824115 18mmx24mmx11.5mm medtronic	278	RC	Outpatient			7471	4856.15		90			Percent of total billed charges		6723.9	40			Percent of total billed charges		2988.4	80			Percent of total billed charges		5976.8	90			Percent of total billed charges		6723.9	85			Percent of total billed charges		6350.35	85			Percent of total billed charges		6350.35	85			Percent of total billed charges		6350.35	100			Percent of total billed charges		7471	100			Percent of total billed charges		7471	100			Percent of total billed charges		7471	33.3			Percent of total billed charges		2487.843	33.3			Percent of total billed charges		2487.843	100			Percent of total billed charges		7471	2487.843	6723.9	
aaadvantage iliac limb-flaired ilxch1620115 16mmx20mmx11.5mm medtronic	278	RC	Outpatient			7471	4856.15		90			Percent of total billed charges		6723.9	40			Percent of total billed charges		2988.4	80			Percent of total billed charges		5976.8	90			Percent of total billed charges		6723.9	85			Percent of total billed charges		6350.35	85			Percent of total billed charges		6350.35	85			Percent of total billed charges		6350.35	100			Percent of total billed charges		7471	100			Percent of total billed charges		7471	100			Percent of total billed charges		7471	33.3			Percent of total billed charges		2487.843	33.3			Percent of total billed charges		2487.843	100			Percent of total billed charges		7471	2487.843	6723.9	
aaadvantage iliac limb-flaired ilxc1620115 16mmx20mmx11.5mm medtronic	278	RC	Outpatient			7471	4856.15		90			Percent of total billed charges		6723.9	40			Percent of total billed charges		2988.4	80			Percent of total billed charges		5976.8	90			Percent of total billed charges		6723.9	85			Percent of total billed charges		6350.35	85			Percent of total billed charges		6350.35	85			Percent of total billed charges		6350.35	100			Percent of total billed charges		7471	100			Percent of total billed charges		7471	100			Percent of total billed charges		7471	33.3			Percent of total billed charges		2487.843	33.3			Percent of total billed charges		2487.843	100			Percent of total billed charges		7471	2487.843	6723.9	
stryker stem cementless	278	RC	Outpatient			7487	4866.55		90			Percent of total billed charges		6738.3	40			Percent of total billed charges		2994.8	80			Percent of total billed charges		5989.6	90			Percent of total billed charges		6738.3	85			Percent of total billed charges		6363.95	85			Percent of total billed charges		6363.95	85			Percent of total billed charges		6363.95	100			Percent of total billed charges		7487	100			Percent of total billed charges		7487	100			Percent of total billed charges		7487	33.3			Percent of total billed charges		2493.171	33.3			Percent of total billed charges		2493.171	100			Percent of total billed charges		7487	2493.171	6738.3	
cath lab quickflex xl 1158t/86lv	278	RC	Outpatient			7491	4869.15		90			Percent of total billed charges		6741.9	40			Percent of total billed charges		2996.4	80			Percent of total billed charges		5992.8	90			Percent of total billed charges		6741.9	85			Percent of total billed charges		6367.35	85			Percent of total billed charges		6367.35	85			Percent of total billed charges		6367.35	100			Percent of total billed charges		7491	100			Percent of total billed charges		7491	100			Percent of total billed charges		7491	33.3			Percent of total billed charges		2494.503	33.3			Percent of total billed charges		2494.503	100			Percent of total billed charges		7491	2494.503	6741.9	
genesis ii oxinium fem sz4 right 71420150 s/n	278	RC	Outpatient			7491	4869.15		90			Percent of total billed charges		6741.9	40			Percent of total billed charges		2996.4	80			Percent of total billed charges		5992.8	90			Percent of total billed charges		6741.9	85			Percent of total billed charges		6367.35	85			Percent of total billed charges		6367.35	85			Percent of total billed charges		6367.35	100			Percent of total billed charges		7491	100			Percent of total billed charges		7491	100			Percent of total billed charges		7491	33.3			Percent of total billed charges		2494.503	33.3			Percent of total billed charges		2494.503	100			Percent of total billed charges		7491	2494.503	6741.9	
genesis ii oxinium fem sz5 left 71420136 s/n	278	RC	Outpatient			7491	4869.15		90			Percent of total billed charges		6741.9	40			Percent of total billed charges		2996.4	80			Percent of total billed charges		5992.8	90			Percent of total billed charges		6741.9	85			Percent of total billed charges		6367.35	85			Percent of total billed charges		6367.35	85			Percent of total billed charges		6367.35	100			Percent of total billed charges		7491	100			Percent of total billed charges		7491	100			Percent of total billed charges		7491	33.3			Percent of total billed charges		2494.503	33.3			Percent of total billed charges		2494.503	100			Percent of total billed charges		7491	2494.503	6741.9	
genesis ii oxinium fem sz6 left 71420138 s/n	278	RC	Outpatient			7491	4869.15		90			Percent of total billed charges		6741.9	40			Percent of total billed charges		2996.4	80			Percent of total billed charges		5992.8	90			Percent of total billed charges		6741.9	85			Percent of total billed charges		6367.35	85			Percent of total billed charges		6367.35	85			Percent of total billed charges		6367.35	100			Percent of total billed charges		7491	100			Percent of total billed charges		7491	100			Percent of total billed charges		7491	33.3			Percent of total billed charges		2494.503	33.3			Percent of total billed charges		2494.503	100			Percent of total billed charges		7491	2494.503	6741.9	
genesis ii oxinium fem sz6 right 71420154 s/n	278	RC	Outpatient			7491	4869.15		90			Percent of total billed charges		6741.9	40			Percent of total billed charges		2996.4	80			Percent of total billed charges		5992.8	90			Percent of total billed charges		6741.9	85			Percent of total billed charges		6367.35	85			Percent of total billed charges		6367.35	85			Percent of total billed charges		6367.35	100			Percent of total billed charges		7491	100			Percent of total billed charges		7491	100			Percent of total billed charges		7491	33.3			Percent of total billed charges		2494.503	33.3			Percent of total billed charges		2494.503	100			Percent of total billed charges		7491	2494.503	6741.9	
genesis ii oxinium fem sz8 left 71420142 s/n	278	RC	Outpatient			7491	4869.15		90			Percent of total billed charges		6741.9	40			Percent of total billed charges		2996.4	80			Percent of total billed charges		5992.8	90			Percent of total billed charges		6741.9	85			Percent of total billed charges		6367.35	85			Percent of total billed charges		6367.35	85			Percent of total billed charges		6367.35	100			Percent of total billed charges		7491	100			Percent of total billed charges		7491	100			Percent of total billed charges		7491	33.3			Percent of total billed charges		2494.503	33.3			Percent of total billed charges		2494.503	100			Percent of total billed charges		7491	2494.503	6741.9	
genesis ii oxinium femoral size 2 left 71420130 s/n	278	RC	Outpatient			7491	4869.15		90			Percent of total billed charges		6741.9	40			Percent of total billed charges		2996.4	80			Percent of total billed charges		5992.8	90			Percent of total billed charges		6741.9	85			Percent of total billed charges		6367.35	85			Percent of total billed charges		6367.35	85			Percent of total billed charges		6367.35	100			Percent of total billed charges		7491	100			Percent of total billed charges		7491	100			Percent of total billed charges		7491	33.3			Percent of total billed charges		2494.503	33.3			Percent of total billed charges		2494.503	100			Percent of total billed charges		7491	2494.503	6741.9	
genesis ii oxinium femoral size 7 right 71420156 s/n	278	RC	Outpatient			7491	4869.15		90			Percent of total billed charges		6741.9	40			Percent of total billed charges		2996.4	80			Percent of total billed charges		5992.8	90			Percent of total billed charges		6741.9	85			Percent of total billed charges		6367.35	85			Percent of total billed charges		6367.35	85			Percent of total billed charges		6367.35	100			Percent of total billed charges		7491	100			Percent of total billed charges		7491	100			Percent of total billed charges		7491	33.3			Percent of total billed charges		2494.503	33.3			Percent of total billed charges		2494.503	100			Percent of total billed charges		7491	2494.503	6741.9	
genesis ii oxinium fem sz2 right 71420146 s/n	278	RC	Outpatient			7491	4869.15		90			Percent of total billed charges		6741.9	40			Percent of total billed charges		2996.4	80			Percent of total billed charges		5992.8	90			Percent of total billed charges		6741.9	85			Percent of total billed charges		6367.35	85			Percent of total billed charges		6367.35	85			Percent of total billed charges		6367.35	100			Percent of total billed charges		7491	100			Percent of total billed charges		7491	100			Percent of total billed charges		7491	33.3			Percent of total billed charges		2494.503	33.3			Percent of total billed charges		2494.503	100			Percent of total billed charges		7491	2494.503	6741.9	
genesis ii oxinium fem sz3 left 71420132 s/n	278	RC	Outpatient			7491	4869.15		90			Percent of total billed charges		6741.9	40			Percent of total billed charges		2996.4	80			Percent of total billed charges		5992.8	90			Percent of total billed charges		6741.9	85			Percent of total billed charges		6367.35	85			Percent of total billed charges		6367.35	85			Percent of total billed charges		6367.35	100			Percent of total billed charges		7491	100			Percent of total billed charges		7491	100			Percent of total billed charges		7491	33.3			Percent of total billed charges		2494.503	33.3			Percent of total billed charges		2494.503	100			Percent of total billed charges		7491	2494.503	6741.9	
genesis ii oxinium fem sz3 right 71420148 s/n	278	RC	Outpatient			7491	4869.15		90			Percent of total billed charges		6741.9	40			Percent of total billed charges		2996.4	80			Percent of total billed charges		5992.8	90			Percent of total billed charges		6741.9	85			Percent of total billed charges		6367.35	85			Percent of total billed charges		6367.35	85			Percent of total billed charges		6367.35	100			Percent of total billed charges		7491	100			Percent of total billed charges		7491	100			Percent of total billed charges		7491	33.3			Percent of total billed charges		2494.503	33.3			Percent of total billed charges		2494.503	100			Percent of total billed charges		7491	2494.503	6741.9	
genesis ii oxinium fem sz4 left 71420134 s/n	278	RC	Outpatient			7491	4869.15		90			Percent of total billed charges		6741.9	40			Percent of total billed charges		2996.4	80			Percent of total billed charges		5992.8	90			Percent of total billed charges		6741.9	85			Percent of total billed charges		6367.35	85			Percent of total billed charges		6367.35	85			Percent of total billed charges		6367.35	100			Percent of total billed charges		7491	100			Percent of total billed charges		7491	100			Percent of total billed charges		7491	33.3			Percent of total billed charges		2494.503	33.3			Percent of total billed charges		2494.503	100			Percent of total billed charges		7491	2494.503	6741.9	
genesis ii oxinium fem sz5 right 71420152 s/n	278	RC	Outpatient			7491	4869.15		90			Percent of total billed charges		6741.9	40			Percent of total billed charges		2996.4	80			Percent of total billed charges		5992.8	90			Percent of total billed charges		6741.9	85			Percent of total billed charges		6367.35	85			Percent of total billed charges		6367.35	85			Percent of total billed charges		6367.35	100			Percent of total billed charges		7491	100			Percent of total billed charges		7491	100			Percent of total billed charges		7491	33.3			Percent of total billed charges		2494.503	33.3			Percent of total billed charges		2494.503	100			Percent of total billed charges		7491	2494.503	6741.9	
genesis ii oxinium fem sz7 left 71420140 s/n	278	RC	Outpatient			7491	4869.15		90			Percent of total billed charges		6741.9	40			Percent of total billed charges		2996.4	80			Percent of total billed charges		5992.8	90			Percent of total billed charges		6741.9	85			Percent of total billed charges		6367.35	85			Percent of total billed charges		6367.35	85			Percent of total billed charges		6367.35	100			Percent of total billed charges		7491	100			Percent of total billed charges		7491	100			Percent of total billed charges		7491	33.3			Percent of total billed charges		2494.503	33.3			Percent of total billed charges		2494.503	100			Percent of total billed charges		7491	2494.503	6741.9	
genesis ii oxinium fem sz8 rt 71420158 s/n	278	RC	Outpatient			7491	4869.15		90			Percent of total billed charges		6741.9	40			Percent of total billed charges		2996.4	80			Percent of total billed charges		5992.8	90			Percent of total billed charges		6741.9	85			Percent of total billed charges		6367.35	85			Percent of total billed charges		6367.35	85			Percent of total billed charges		6367.35	100			Percent of total billed charges		7491	100			Percent of total billed charges		7491	100			Percent of total billed charges		7491	33.3			Percent of total billed charges		2494.503	33.3			Percent of total billed charges		2494.503	100			Percent of total billed charges		7491	2494.503	6741.9	
quick flex xl 1158t/86	278	RC	Outpatient			7491	4869.15		90			Percent of total billed charges		6741.9	40			Percent of total billed charges		2996.4	80			Percent of total billed charges		5992.8	90			Percent of total billed charges		6741.9	85			Percent of total billed charges		6367.35	85			Percent of total billed charges		6367.35	85			Percent of total billed charges		6367.35	100			Percent of total billed charges		7491	100			Percent of total billed charges		7491	100			Percent of total billed charges		7491	33.3			Percent of total billed charges		2494.503	33.3			Percent of total billed charges		2494.503	100			Percent of total billed charges		7491	2494.503	6741.9	
s/n mini frag tc-100 taps 2.7mm 7117-0021	278	RC	Outpatient			7491	4869.15		90			Percent of total billed charges		6741.9	40			Percent of total billed charges		2996.4	80			Percent of total billed charges		5992.8	90			Percent of total billed charges		6741.9	85			Percent of total billed charges		6367.35	85			Percent of total billed charges		6367.35	85			Percent of total billed charges		6367.35	100			Percent of total billed charges		7491	100			Percent of total billed charges		7491	100			Percent of total billed charges		7491	33.3			Percent of total billed charges		2494.503	33.3			Percent of total billed charges		2494.503	100			Percent of total billed charges		7491	2494.503	6741.9	
richards oxinium fem gil	278	RC	Outpatient			7491	4869.15		90			Percent of total billed charges		6741.9	40			Percent of total billed charges		2996.4	80			Percent of total billed charges		5992.8	90			Percent of total billed charges		6741.9	85			Percent of total billed charges		6367.35	85			Percent of total billed charges		6367.35	85			Percent of total billed charges		6367.35	100			Percent of total billed charges		7491	100			Percent of total billed charges		7491	100			Percent of total billed charges		7491	33.3			Percent of total billed charges		2494.503	33.3			Percent of total billed charges		2494.503	100			Percent of total billed charges		7491	2494.503	6741.9	
bi-metric pourous stem 11 x 135mm x11-180311 biomet	278	RC	Outpatient			7517	4886.05		90			Percent of total billed charges		6765.3	40			Percent of total billed charges		3006.8	80			Percent of total billed charges		6013.6	90			Percent of total billed charges		6765.3	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	33.3			Percent of total billed charges		2503.161	33.3			Percent of total billed charges		2503.161	100			Percent of total billed charges		7517	2503.161	6765.3	
bi-metric pourous stem 11 x 135mm x180311 biomet	278	RC	Outpatient			7517	4886.05		90			Percent of total billed charges		6765.3	40			Percent of total billed charges		3006.8	80			Percent of total billed charges		6013.6	90			Percent of total billed charges		6765.3	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	33.3			Percent of total billed charges		2503.161	33.3			Percent of total billed charges		2503.161	100			Percent of total billed charges		7517	2503.161	6765.3	
bi-metric pourous stem 12 x 140mm x11-180312 biomet	278	RC	Outpatient			7517	4886.05		90			Percent of total billed charges		6765.3	40			Percent of total billed charges		3006.8	80			Percent of total billed charges		6013.6	90			Percent of total billed charges		6765.3	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	33.3			Percent of total billed charges		2503.161	33.3			Percent of total billed charges		2503.161	100			Percent of total billed charges		7517	2503.161	6765.3	
bi-metric pourous stem 12 x 140mm x180312 biomet	278	RC	Outpatient			7517	4886.05		90			Percent of total billed charges		6765.3	40			Percent of total billed charges		3006.8	80			Percent of total billed charges		6013.6	90			Percent of total billed charges		6765.3	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	33.3			Percent of total billed charges		2503.161	33.3			Percent of total billed charges		2503.161	100			Percent of total billed charges		7517	2503.161	6765.3	
bi-metric pourous stem 13 x 145mm x11-180313 biomet	278	RC	Outpatient			7517	4886.05		90			Percent of total billed charges		6765.3	40			Percent of total billed charges		3006.8	80			Percent of total billed charges		6013.6	90			Percent of total billed charges		6765.3	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	33.3			Percent of total billed charges		2503.161	33.3			Percent of total billed charges		2503.161	100			Percent of total billed charges		7517	2503.161	6765.3	
bi-metric pourous stem 14 x 150mm x11-180314 biomet	278	RC	Outpatient			7517	4886.05		90			Percent of total billed charges		6765.3	40			Percent of total billed charges		3006.8	80			Percent of total billed charges		6013.6	90			Percent of total billed charges		6765.3	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	33.3			Percent of total billed charges		2503.161	33.3			Percent of total billed charges		2503.161	100			Percent of total billed charges		7517	2503.161	6765.3	
bi-metric pourous stem 14 x 150mm x180314 biomet	278	RC	Outpatient			7517	4886.05		90			Percent of total billed charges		6765.3	40			Percent of total billed charges		3006.8	80			Percent of total billed charges		6013.6	90			Percent of total billed charges		6765.3	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	33.3			Percent of total billed charges		2503.161	33.3			Percent of total billed charges		2503.161	100			Percent of total billed charges		7517	2503.161	6765.3	
bi-metric pourous stem 17 x 165mm x11-180317 biomet	278	RC	Outpatient			7517	4886.05		90			Percent of total billed charges		6765.3	40			Percent of total billed charges		3006.8	80			Percent of total billed charges		6013.6	90			Percent of total billed charges		6765.3	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	33.3			Percent of total billed charges		2503.161	33.3			Percent of total billed charges		2503.161	100			Percent of total billed charges		7517	2503.161	6765.3	
bi-metric pourous stem 18 x 170mm x11-180318 biomet	278	RC	Outpatient			7517	4886.05		90			Percent of total billed charges		6765.3	40			Percent of total billed charges		3006.8	80			Percent of total billed charges		6013.6	90			Percent of total billed charges		6765.3	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	33.3			Percent of total billed charges		2503.161	33.3			Percent of total billed charges		2503.161	100			Percent of total billed charges		7517	2503.161	6765.3	
bi-metric pourous stem 18 x 170mm x180318 biomet	278	RC	Outpatient			7517	4886.05		90			Percent of total billed charges		6765.3	40			Percent of total billed charges		3006.8	80			Percent of total billed charges		6013.6	90			Percent of total billed charges		6765.3	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	33.3			Percent of total billed charges		2503.161	33.3			Percent of total billed charges		2503.161	100			Percent of total billed charges		7517	2503.161	6765.3	
bi-metric pourous stem 19 x 175mm x11-180319 biomet	278	RC	Outpatient			7517	4886.05		90			Percent of total billed charges		6765.3	40			Percent of total billed charges		3006.8	80			Percent of total billed charges		6013.6	90			Percent of total billed charges		6765.3	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	33.3			Percent of total billed charges		2503.161	33.3			Percent of total billed charges		2503.161	100			Percent of total billed charges		7517	2503.161	6765.3	
bi-metric pourous stem 20 x 180mm x180320 biomet	278	RC	Outpatient			7517	4886.05		90			Percent of total billed charges		6765.3	40			Percent of total billed charges		3006.8	80			Percent of total billed charges		6013.6	90			Percent of total billed charges		6765.3	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	33.3			Percent of total billed charges		2503.161	33.3			Percent of total billed charges		2503.161	100			Percent of total billed charges		7517	2503.161	6765.3	
bi-metric pourous stem 9 x 125mm x11-180309 biomet	278	RC	Outpatient			7517	4886.05		90			Percent of total billed charges		6765.3	40			Percent of total billed charges		3006.8	80			Percent of total billed charges		6013.6	90			Percent of total billed charges		6765.3	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	33.3			Percent of total billed charges		2503.161	33.3			Percent of total billed charges		2503.161	100			Percent of total billed charges		7517	2503.161	6765.3	
bio taperloc mod stem	278	RC	Outpatient			7517	4886.05		90			Percent of total billed charges		6765.3	40			Percent of total billed charges		3006.8	80			Percent of total billed charges		6013.6	90			Percent of total billed charges		6765.3	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	33.3			Percent of total billed charges		2503.161	33.3			Percent of total billed charges		2503.161	100			Percent of total billed charges		7517	2503.161	6765.3	
bi-metric pourous stem 10 x 130mm x11-180310 biomet	278	RC	Outpatient			7517	4886.05		90			Percent of total billed charges		6765.3	40			Percent of total billed charges		3006.8	80			Percent of total billed charges		6013.6	90			Percent of total billed charges		6765.3	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	33.3			Percent of total billed charges		2503.161	33.3			Percent of total billed charges		2503.161	100			Percent of total billed charges		7517	2503.161	6765.3	
bi-metric pourous stem 10 x 130mm x180310 biomet	278	RC	Outpatient			7517	4886.05		90			Percent of total billed charges		6765.3	40			Percent of total billed charges		3006.8	80			Percent of total billed charges		6013.6	90			Percent of total billed charges		6765.3	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	33.3			Percent of total billed charges		2503.161	33.3			Percent of total billed charges		2503.161	100			Percent of total billed charges		7517	2503.161	6765.3	
bi-metric pourous stem 13 x 145mm  x180313 biomet	278	RC	Outpatient			7517	4886.05		90			Percent of total billed charges		6765.3	40			Percent of total billed charges		3006.8	80			Percent of total billed charges		6013.6	90			Percent of total billed charges		6765.3	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	33.3			Percent of total billed charges		2503.161	33.3			Percent of total billed charges		2503.161	100			Percent of total billed charges		7517	2503.161	6765.3	
bi-metric pourous stem 15 x 155mm x11-180315 biomet	278	RC	Outpatient			7517	4886.05		90			Percent of total billed charges		6765.3	40			Percent of total billed charges		3006.8	80			Percent of total billed charges		6013.6	90			Percent of total billed charges		6765.3	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	33.3			Percent of total billed charges		2503.161	33.3			Percent of total billed charges		2503.161	100			Percent of total billed charges		7517	2503.161	6765.3	
bi-metric pourous stem 15 x 155mm x180315 biomet	278	RC	Outpatient			7517	4886.05		90			Percent of total billed charges		6765.3	40			Percent of total billed charges		3006.8	80			Percent of total billed charges		6013.6	90			Percent of total billed charges		6765.3	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	33.3			Percent of total billed charges		2503.161	33.3			Percent of total billed charges		2503.161	100			Percent of total billed charges		7517	2503.161	6765.3	
bi-metric pourous stem 16 x 160mm x11-180316 biomet	278	RC	Outpatient			7517	4886.05		90			Percent of total billed charges		6765.3	40			Percent of total billed charges		3006.8	80			Percent of total billed charges		6013.6	90			Percent of total billed charges		6765.3	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	33.3			Percent of total billed charges		2503.161	33.3			Percent of total billed charges		2503.161	100			Percent of total billed charges		7517	2503.161	6765.3	
bi-metric pourous stem 16 x 160mm x180316 biomet	278	RC	Outpatient			7517	4886.05		90			Percent of total billed charges		6765.3	40			Percent of total billed charges		3006.8	80			Percent of total billed charges		6013.6	90			Percent of total billed charges		6765.3	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	33.3			Percent of total billed charges		2503.161	33.3			Percent of total billed charges		2503.161	100			Percent of total billed charges		7517	2503.161	6765.3	
bi-metric pourous stem 17 x 165mm x180317 biomet	278	RC	Outpatient			7517	4886.05		90			Percent of total billed charges		6765.3	40			Percent of total billed charges		3006.8	80			Percent of total billed charges		6013.6	90			Percent of total billed charges		6765.3	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	33.3			Percent of total billed charges		2503.161	33.3			Percent of total billed charges		2503.161	100			Percent of total billed charges		7517	2503.161	6765.3	
bi-metric pourous stem 19 x 175mm x180319 biomet	278	RC	Outpatient			7517	4886.05		90			Percent of total billed charges		6765.3	40			Percent of total billed charges		3006.8	80			Percent of total billed charges		6013.6	90			Percent of total billed charges		6765.3	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	33.3			Percent of total billed charges		2503.161	33.3			Percent of total billed charges		2503.161	100			Percent of total billed charges		7517	2503.161	6765.3	
bi-metric pourous stem 20 x 180mm x11-180320 biomet	278	RC	Outpatient			7517	4886.05		90			Percent of total billed charges		6765.3	40			Percent of total billed charges		3006.8	80			Percent of total billed charges		6013.6	90			Percent of total billed charges		6765.3	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	33.3			Percent of total billed charges		2503.161	33.3			Percent of total billed charges		2503.161	100			Percent of total billed charges		7517	2503.161	6765.3	
bi-metric pourous stem 7 x 115mm x180307 biomet	278	RC	Outpatient			7517	4886.05		90			Percent of total billed charges		6765.3	40			Percent of total billed charges		3006.8	80			Percent of total billed charges		6013.6	90			Percent of total billed charges		6765.3	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	33.3			Percent of total billed charges		2503.161	33.3			Percent of total billed charges		2503.161	100			Percent of total billed charges		7517	2503.161	6765.3	
bi-metric pourous stem 8 x 120mm x11-180308 biomet	278	RC	Outpatient			7517	4886.05		90			Percent of total billed charges		6765.3	40			Percent of total billed charges		3006.8	80			Percent of total billed charges		6013.6	90			Percent of total billed charges		6765.3	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	33.3			Percent of total billed charges		2503.161	33.3			Percent of total billed charges		2503.161	100			Percent of total billed charges		7517	2503.161	6765.3	
bi-metric pourous stem 8 x 120mm x180308 biomet	278	RC	Outpatient			7517	4886.05		90			Percent of total billed charges		6765.3	40			Percent of total billed charges		3006.8	80			Percent of total billed charges		6013.6	90			Percent of total billed charges		6765.3	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	33.3			Percent of total billed charges		2503.161	33.3			Percent of total billed charges		2503.161	100			Percent of total billed charges		7517	2503.161	6765.3	
bi-metric pourous stem 9 x 125mm x180309 biomet	278	RC	Outpatient			7517	4886.05		90			Percent of total billed charges		6765.3	40			Percent of total billed charges		3006.8	80			Percent of total billed charges		6013.6	90			Percent of total billed charges		6765.3	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	33.3			Percent of total billed charges		2503.161	33.3			Percent of total billed charges		2503.161	100			Percent of total billed charges		7517	2503.161	6765.3	
biomet bimetric femoral	278	RC	Outpatient			7517	4886.05		90			Percent of total billed charges		6765.3	40			Percent of total billed charges		3006.8	80			Percent of total billed charges		6013.6	90			Percent of total billed charges		6765.3	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	33.3			Percent of total billed charges		2503.161	33.3			Percent of total billed charges		2503.161	100			Percent of total billed charges		7517	2503.161	6765.3	
mod taperloc  femoral 15 x 150 103208 biomet	278	RC	Outpatient			7517	4886.05		90			Percent of total billed charges		6765.3	40			Percent of total billed charges		3006.8	80			Percent of total billed charges		6013.6	90			Percent of total billed charges		6765.3	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	33.3			Percent of total billed charges		2503.161	33.3			Percent of total billed charges		2503.161	100			Percent of total billed charges		7517	2503.161	6765.3	
taperloc  femoral 11 x 142  103205 biomet	278	RC	Outpatient			7517	4886.05		90			Percent of total billed charges		6765.3	40			Percent of total billed charges		3006.8	80			Percent of total billed charges		6013.6	90			Percent of total billed charges		6765.3	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	33.3			Percent of total billed charges		2503.161	33.3			Percent of total billed charges		2503.161	100			Percent of total billed charges		7517	2503.161	6765.3	
taperloc femoral 10.0 x 140 mm  biomet 103204	278	RC	Outpatient			7517	4886.05		90			Percent of total billed charges		6765.3	40			Percent of total billed charges		3006.8	80			Percent of total billed charges		6013.6	90			Percent of total billed charges		6765.3	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	33.3			Percent of total billed charges		2503.161	33.3			Percent of total billed charges		2503.161	100			Percent of total billed charges		7517	2503.161	6765.3	
taperloc femoral 11 x 142 11-103205 biomet	278	RC	Outpatient			7517	4886.05		90			Percent of total billed charges		6765.3	40			Percent of total billed charges		3006.8	80			Percent of total billed charges		6013.6	90			Percent of total billed charges		6765.3	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	33.3			Percent of total billed charges		2503.161	33.3			Percent of total billed charges		2503.161	100			Percent of total billed charges		7517	2503.161	6765.3	
taperloc femoral 12.5 x 145 11-103206 biomet	278	RC	Outpatient			7517	4886.05		90			Percent of total billed charges		6765.3	40			Percent of total billed charges		3006.8	80			Percent of total billed charges		6013.6	90			Percent of total billed charges		6765.3	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	33.3			Percent of total billed charges		2503.161	33.3			Percent of total billed charges		2503.161	100			Percent of total billed charges		7517	2503.161	6765.3	
taperloc femoral 17.5 x 155 11-103209 biomet	278	RC	Outpatient			7517	4886.05		90			Percent of total billed charges		6765.3	40			Percent of total billed charges		3006.8	80			Percent of total billed charges		6013.6	90			Percent of total billed charges		6765.3	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	33.3			Percent of total billed charges		2503.161	33.3			Percent of total billed charges		2503.161	100			Percent of total billed charges		7517	2503.161	6765.3	
taperloc femoral 20 x 160 103210 biomet	278	RC	Outpatient			7517	4886.05		90			Percent of total billed charges		6765.3	40			Percent of total billed charges		3006.8	80			Percent of total billed charges		6013.6	90			Percent of total billed charges		6765.3	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	33.3			Percent of total billed charges		2503.161	33.3			Percent of total billed charges		2503.161	100			Percent of total billed charges		7517	2503.161	6765.3	
taperloc femoral 22.5 x 165 103211 biomet	278	RC	Outpatient			7517	4886.05		90			Percent of total billed charges		6765.3	40			Percent of total billed charges		3006.8	80			Percent of total billed charges		6013.6	90			Percent of total billed charges		6765.3	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	33.3			Percent of total billed charges		2503.161	33.3			Percent of total billed charges		2503.161	100			Percent of total billed charges		7517	2503.161	6765.3	
taperloc femoral 5.0 x 130 11-103200 biomet	278	RC	Outpatient			7517	4886.05		90			Percent of total billed charges		6765.3	40			Percent of total billed charges		3006.8	80			Percent of total billed charges		6013.6	90			Percent of total billed charges		6765.3	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	33.3			Percent of total billed charges		2503.161	33.3			Percent of total billed charges		2503.161	100			Percent of total billed charges		7517	2503.161	6765.3	
taperloc femoral 7.5 x 135 11-103202 biomet	278	RC	Outpatient			7517	4886.05		90			Percent of total billed charges		6765.3	40			Percent of total billed charges		3006.8	80			Percent of total billed charges		6013.6	90			Percent of total billed charges		6765.3	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	33.3			Percent of total billed charges		2503.161	33.3			Percent of total billed charges		2503.161	100			Percent of total billed charges		7517	2503.161	6765.3	
taperloc femoral 9.0  x 137 11-103203 biomet	278	RC	Outpatient			7517	4886.05		90			Percent of total billed charges		6765.3	40			Percent of total billed charges		3006.8	80			Percent of total billed charges		6013.6	90			Percent of total billed charges		6765.3	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	33.3			Percent of total billed charges		2503.161	33.3			Percent of total billed charges		2503.161	100			Percent of total billed charges		7517	2503.161	6765.3	
taperloc  femoral  6.0 x 132mm  103201 biomet	278	RC	Outpatient			7517	4886.05		90			Percent of total billed charges		6765.3	40			Percent of total billed charges		3006.8	80			Percent of total billed charges		6013.6	90			Percent of total billed charges		6765.3	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	33.3			Percent of total billed charges		2503.161	33.3			Percent of total billed charges		2503.161	100			Percent of total billed charges		7517	2503.161	6765.3	
taperloc  femoral 9.0 x 137mm 103203 biomet	278	RC	Outpatient			7517	4886.05		90			Percent of total billed charges		6765.3	40			Percent of total billed charges		3006.8	80			Percent of total billed charges		6013.6	90			Percent of total billed charges		6765.3	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	33.3			Percent of total billed charges		2503.161	33.3			Percent of total billed charges		2503.161	100			Percent of total billed charges		7517	2503.161	6765.3	
taperloc fem  12.5 x 145mm  stem 103206 biomet	278	RC	Outpatient			7517	4886.05		90			Percent of total billed charges		6765.3	40			Percent of total billed charges		3006.8	80			Percent of total billed charges		6013.6	90			Percent of total billed charges		6765.3	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	33.3			Percent of total billed charges		2503.161	33.3			Percent of total billed charges		2503.161	100			Percent of total billed charges		7517	2503.161	6765.3	
taperloc femoral 10 x 140 11-103204 biomet	278	RC	Outpatient			7517	4886.05		90			Percent of total billed charges		6765.3	40			Percent of total billed charges		3006.8	80			Percent of total billed charges		6013.6	90			Percent of total billed charges		6765.3	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	33.3			Percent of total billed charges		2503.161	33.3			Percent of total billed charges		2503.161	100			Percent of total billed charges		7517	2503.161	6765.3	
taperloc femoral 11 x 150 11-103208 biomet	278	RC	Outpatient			7517	4886.05		90			Percent of total billed charges		6765.3	40			Percent of total billed charges		3006.8	80			Percent of total billed charges		6013.6	90			Percent of total billed charges		6765.3	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	33.3			Percent of total billed charges		2503.161	33.3			Percent of total billed charges		2503.161	100			Percent of total billed charges		7517	2503.161	6765.3	
taperloc femoral 13.5 x 147  103207 biomet	278	RC	Outpatient			7517	4886.05		90			Percent of total billed charges		6765.3	40			Percent of total billed charges		3006.8	80			Percent of total billed charges		6013.6	90			Percent of total billed charges		6765.3	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	33.3			Percent of total billed charges		2503.161	33.3			Percent of total billed charges		2503.161	100			Percent of total billed charges		7517	2503.161	6765.3	
taperloc femoral 13.5 x 147 11-103207 biomet	278	RC	Outpatient			7517	4886.05		90			Percent of total billed charges		6765.3	40			Percent of total billed charges		3006.8	80			Percent of total billed charges		6013.6	90			Percent of total billed charges		6765.3	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	33.3			Percent of total billed charges		2503.161	33.3			Percent of total billed charges		2503.161	100			Percent of total billed charges		7517	2503.161	6765.3	
taperloc femoral 17.5 x 155 103209 biomet	278	RC	Outpatient			7517	4886.05		90			Percent of total billed charges		6765.3	40			Percent of total billed charges		3006.8	80			Percent of total billed charges		6013.6	90			Percent of total billed charges		6765.3	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	33.3			Percent of total billed charges		2503.161	33.3			Percent of total billed charges		2503.161	100			Percent of total billed charges		7517	2503.161	6765.3	
taperloc femoral 20 x 160 11-103210 biomet	278	RC	Outpatient			7517	4886.05		90			Percent of total billed charges		6765.3	40			Percent of total billed charges		3006.8	80			Percent of total billed charges		6013.6	90			Percent of total billed charges		6765.3	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	33.3			Percent of total billed charges		2503.161	33.3			Percent of total billed charges		2503.161	100			Percent of total billed charges		7517	2503.161	6765.3	
taperloc femoral 22.5 x 165 11-103211 biomet	278	RC	Outpatient			7517	4886.05		90			Percent of total billed charges		6765.3	40			Percent of total billed charges		3006.8	80			Percent of total billed charges		6013.6	90			Percent of total billed charges		6765.3	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	33.3			Percent of total billed charges		2503.161	33.3			Percent of total billed charges		2503.161	100			Percent of total billed charges		7517	2503.161	6765.3	
taperloc femoral 25.0 x 170 103212 biomet	278	RC	Outpatient			7517	4886.05		90			Percent of total billed charges		6765.3	40			Percent of total billed charges		3006.8	80			Percent of total billed charges		6013.6	90			Percent of total billed charges		6765.3	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	33.3			Percent of total billed charges		2503.161	33.3			Percent of total billed charges		2503.161	100			Percent of total billed charges		7517	2503.161	6765.3	
taperloc femoral 25.0 x 170 11-103212 biomet	278	RC	Outpatient			7517	4886.05		90			Percent of total billed charges		6765.3	40			Percent of total billed charges		3006.8	80			Percent of total billed charges		6013.6	90			Percent of total billed charges		6765.3	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	33.3			Percent of total billed charges		2503.161	33.3			Percent of total billed charges		2503.161	100			Percent of total billed charges		7517	2503.161	6765.3	
taperloc femoral 5.0 x 130 103200 biomet	278	RC	Outpatient			7517	4886.05		90			Percent of total billed charges		6765.3	40			Percent of total billed charges		3006.8	80			Percent of total billed charges		6013.6	90			Percent of total billed charges		6765.3	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	33.3			Percent of total billed charges		2503.161	33.3			Percent of total billed charges		2503.161	100			Percent of total billed charges		7517	2503.161	6765.3	
taperloc femoral 6.0 x 132 11-103201 biomet	278	RC	Outpatient			7517	4886.05		90			Percent of total billed charges		6765.3	40			Percent of total billed charges		3006.8	80			Percent of total billed charges		6013.6	90			Percent of total billed charges		6765.3	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	33.3			Percent of total billed charges		2503.161	33.3			Percent of total billed charges		2503.161	100			Percent of total billed charges		7517	2503.161	6765.3	
taperloc femoral 7.5 x 135 103202 biomet	278	RC	Outpatient			7517	4886.05		90			Percent of total billed charges		6765.3	40			Percent of total billed charges		3006.8	80			Percent of total billed charges		6013.6	90			Percent of total billed charges		6765.3	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	85			Percent of total billed charges		6389.45	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	100			Percent of total billed charges		7517	33.3			Percent of total billed charges		2503.161	33.3			Percent of total billed charges		2503.161	100			Percent of total billed charges		7517	2503.161	6765.3	
aaadvantage iliac ext fl	278	RC	Outpatient			7520	4888		90			Percent of total billed charges		6768	40			Percent of total billed charges		3008	80			Percent of total billed charges		6016	90			Percent of total billed charges		6768	85			Percent of total billed charges		6392	85			Percent of total billed charges		6392	85			Percent of total billed charges		6392	100			Percent of total billed charges		7520	100			Percent of total billed charges		7520	100			Percent of total billed charges		7520	33.3			Percent of total billed charges		2504.16	33.3			Percent of total billed charges		2504.16	100			Percent of total billed charges		7520	2504.16	6768	
kyphopak 15/3 first fracture kit kpt1503 kyphon	272	RC	Outpatient			7521	4888.65		90			Percent of total billed charges		6768.9	40			Percent of total billed charges		3008.4	80			Percent of total billed charges		6016.8	90			Percent of total billed charges		6768.9	85			Percent of total billed charges		6392.85	85			Percent of total billed charges		6392.85	85			Percent of total billed charges		6392.85	100			Percent of total billed charges		7521	100			Percent of total billed charges		7521	100			Percent of total billed charges		7521	33.3			Percent of total billed charges		2504.493	33.3			Percent of total billed charges		2504.493	100			Percent of total billed charges		7521	2504.493	6768.9	
kyphopak exp 10/2	272	RC	Outpatient			7521	4888.65		90			Percent of total billed charges		6768.9	40			Percent of total billed charges		3008.4	80			Percent of total billed charges		6016.8	90			Percent of total billed charges		6768.9	85			Percent of total billed charges		6392.85	85			Percent of total billed charges		6392.85	85			Percent of total billed charges		6392.85	100			Percent of total billed charges		7521	100			Percent of total billed charges		7521	100			Percent of total billed charges		7521	33.3			Percent of total billed charges		2504.493	33.3			Percent of total billed charges		2504.493	100			Percent of total billed charges		7521	2504.493	6768.9	
kyphopak express 10/2 1st fracture with introducer kpe1001 kex102eb kyphon	272	RC	Outpatient			7521	4888.65		90			Percent of total billed charges		6768.9	40			Percent of total billed charges		3008.4	80			Percent of total billed charges		6016.8	90			Percent of total billed charges		6768.9	85			Percent of total billed charges		6392.85	85			Percent of total billed charges		6392.85	85			Percent of total billed charges		6392.85	100			Percent of total billed charges		7521	100			Percent of total billed charges		7521	100			Percent of total billed charges		7521	33.3			Percent of total billed charges		2504.493	33.3			Percent of total billed charges		2504.493	100			Percent of total billed charges		7521	2504.493	6768.9	
kyphopak 15/3 w/int	272	RC	Outpatient			7521	4888.65		90			Percent of total billed charges		6768.9	40			Percent of total billed charges		3008.4	80			Percent of total billed charges		6016.8	90			Percent of total billed charges		6768.9	85			Percent of total billed charges		6392.85	85			Percent of total billed charges		6392.85	85			Percent of total billed charges		6392.85	100			Percent of total billed charges		7521	100			Percent of total billed charges		7521	100			Percent of total billed charges		7521	33.3			Percent of total billed charges		2504.493	33.3			Percent of total billed charges		2504.493	100			Percent of total billed charges		7521	2504.493	6768.9	
or time 7 hours	270	RC	Outpatient			7559	4913.35		90			Percent of total billed charges		6803.1	40			Percent of total billed charges		3023.6	80			Percent of total billed charges		6047.2	90			Percent of total billed charges		6803.1	85			Percent of total billed charges		6425.15	85			Percent of total billed charges		6425.15	85			Percent of total billed charges		6425.15	100			Percent of total billed charges		7559	100			Percent of total billed charges		7559	100			Percent of total billed charges		7559	33.3			Percent of total billed charges		2517.147	33.3			Percent of total billed charges		2517.147	100			Percent of total billed charges		7559	2517.147	6803.1	
talent aaa stent graft iliac extension ixw1616c80xh medtronic	272	RC	Outpatient			7572	4921.8		90			Percent of total billed charges		6814.8	40			Percent of total billed charges		3028.8	80			Percent of total billed charges		6057.6	90			Percent of total billed charges		6814.8	85			Percent of total billed charges		6436.2	85			Percent of total billed charges		6436.2	85			Percent of total billed charges		6436.2	100			Percent of total billed charges		7572	100			Percent of total billed charges		7572	100			Percent of total billed charges		7572	33.3			Percent of total billed charges		2521.476	33.3			Percent of total billed charges		2521.476	100			Percent of total billed charges		7572	2521.476	6814.8	
talent abd contralateral limb iw1412c75xh medtronic	278	RC	Outpatient			7572	4921.8		90			Percent of total billed charges		6814.8	40			Percent of total billed charges		3028.8	80			Percent of total billed charges		6057.6	90			Percent of total billed charges		6814.8	85			Percent of total billed charges		6436.2	85			Percent of total billed charges		6436.2	85			Percent of total billed charges		6436.2	100			Percent of total billed charges		7572	100			Percent of total billed charges		7572	100			Percent of total billed charges		7572	33.3			Percent of total billed charges		2521.476	33.3			Percent of total billed charges		2521.476	100			Percent of total billed charges		7572	2521.476	6814.8	
talent graft iw1414c75xh	278	RC	Outpatient			7572	4921.8		90			Percent of total billed charges		6814.8	40			Percent of total billed charges		3028.8	80			Percent of total billed charges		6057.6	90			Percent of total billed charges		6814.8	85			Percent of total billed charges		6436.2	85			Percent of total billed charges		6436.2	85			Percent of total billed charges		6436.2	100			Percent of total billed charges		7572	100			Percent of total billed charges		7572	100			Percent of total billed charges		7572	33.3			Percent of total billed charges		2521.476	33.3			Percent of total billed charges		2521.476	100			Percent of total billed charges		7572	2521.476	6814.8	
talent graft ixw1616c80xh	272	RC	Outpatient			7572	4921.8		90			Percent of total billed charges		6814.8	40			Percent of total billed charges		3028.8	80			Percent of total billed charges		6057.6	90			Percent of total billed charges		6814.8	85			Percent of total billed charges		6436.2	85			Percent of total billed charges		6436.2	85			Percent of total billed charges		6436.2	100			Percent of total billed charges		7572	100			Percent of total billed charges		7572	100			Percent of total billed charges		7572	33.3			Percent of total billed charges		2521.476	33.3			Percent of total billed charges		2521.476	100			Percent of total billed charges		7572	2521.476	6814.8	
cath lab accent sr pm 1110	275	RC	Outpatient			7621	4953.65		90			Percent of total billed charges		6858.9	40			Percent of total billed charges		3048.4	80			Percent of total billed charges		6096.8	90			Percent of total billed charges		6858.9	85			Percent of total billed charges		6477.85	85			Percent of total billed charges		6477.85	85			Percent of total billed charges		6477.85	100			Percent of total billed charges		7621	100			Percent of total billed charges		7621	100			Percent of total billed charges		7621	33.3			Percent of total billed charges		2537.793	33.3			Percent of total billed charges		2537.793	100			Percent of total billed charges		7621	2537.793	6858.9	
cath lab zephyr 5620	275	RC	Outpatient			7621	4953.65		90			Percent of total billed charges		6858.9	40			Percent of total billed charges		3048.4	80			Percent of total billed charges		6096.8	90			Percent of total billed charges		6858.9	85			Percent of total billed charges		6477.85	85			Percent of total billed charges		6477.85	85			Percent of total billed charges		6477.85	100			Percent of total billed charges		7621	100			Percent of total billed charges		7621	100			Percent of total billed charges		7621	33.3			Percent of total billed charges		2537.793	33.3			Percent of total billed charges		2537.793	100			Percent of total billed charges		7621	2537.793	6858.9	
accent sr pm 1110	275	RC	Outpatient			7621	4953.65		90			Percent of total billed charges		6858.9	40			Percent of total billed charges		3048.4	80			Percent of total billed charges		6096.8	90			Percent of total billed charges		6858.9	85			Percent of total billed charges		6477.85	85			Percent of total billed charges		6477.85	85			Percent of total billed charges		6477.85	100			Percent of total billed charges		7621	100			Percent of total billed charges		7621	100			Percent of total billed charges		7621	33.3			Percent of total billed charges		2537.793	33.3			Percent of total billed charges		2537.793	100			Percent of total billed charges		7621	2537.793	6858.9	
sensia med ddm single	275	RC	Outpatient			7621	4953.65		90			Percent of total billed charges		6858.9	40			Percent of total billed charges		3048.4	80			Percent of total billed charges		6096.8	90			Percent of total billed charges		6858.9	85			Percent of total billed charges		6477.85	85			Percent of total billed charges		6477.85	85			Percent of total billed charges		6477.85	100			Percent of total billed charges		7621	100			Percent of total billed charges		7621	100			Percent of total billed charges		7621	33.3			Percent of total billed charges		2537.793	33.3			Percent of total billed charges		2537.793	100			Percent of total billed charges		7621	2537.793	6858.9	
zephyr 5620 generator	275	RC	Outpatient			7621	4953.65		90			Percent of total billed charges		6858.9	40			Percent of total billed charges		3048.4	80			Percent of total billed charges		6096.8	90			Percent of total billed charges		6858.9	85			Percent of total billed charges		6477.85	85			Percent of total billed charges		6477.85	85			Percent of total billed charges		6477.85	100			Percent of total billed charges		7621	100			Percent of total billed charges		7621	100			Percent of total billed charges		7621	33.3			Percent of total billed charges		2537.793	33.3			Percent of total billed charges		2537.793	100			Percent of total billed charges		7621	2537.793	6858.9	
velocity rx stent	278	RC	Outpatient			7621	4953.65		90			Percent of total billed charges		6858.9	40			Percent of total billed charges		3048.4	80			Percent of total billed charges		6096.8	90			Percent of total billed charges		6858.9	85			Percent of total billed charges		6477.85	85			Percent of total billed charges		6477.85	85			Percent of total billed charges		6477.85	100			Percent of total billed charges		7621	100			Percent of total billed charges		7621	100			Percent of total billed charges		7621	33.3			Percent of total billed charges		2537.793	33.3			Percent of total billed charges		2537.793	100			Percent of total billed charges		7621	2537.793	6858.9	
velocity rx stent 4.0 x 28 vxh28400 cordis	278	RC	Outpatient			7621	4953.65		90			Percent of total billed charges		6858.9	40			Percent of total billed charges		3048.4	80			Percent of total billed charges		6096.8	90			Percent of total billed charges		6858.9	85			Percent of total billed charges		6477.85	85			Percent of total billed charges		6477.85	85			Percent of total billed charges		6477.85	100			Percent of total billed charges		7621	100			Percent of total billed charges		7621	100			Percent of total billed charges		7621	33.3			Percent of total billed charges		2537.793	33.3			Percent of total billed charges		2537.793	100			Percent of total billed charges		7621	2537.793	6858.9	
xenmatrix ab graft rectangle 3.9 x 5.9 10 x 15cm 1151015 bard	278	RC	Outpatient			7641	4966.65		90			Percent of total billed charges		6876.9	40			Percent of total billed charges		3056.4	80			Percent of total billed charges		6112.8	90			Percent of total billed charges		6876.9	85			Percent of total billed charges		6494.85	85			Percent of total billed charges		6494.85	85			Percent of total billed charges		6494.85	100			Percent of total billed charges		7641	100			Percent of total billed charges		7641	100			Percent of total billed charges		7641	33.3			Percent of total billed charges		2544.453	33.3			Percent of total billed charges		2544.453	100			Percent of total billed charges		7641	2544.453	6876.9	
depuy ast taper sleeve adaptor 12/14 9998-00-315	278	RC	Outpatient			7665	4982.25		90			Percent of total billed charges		6898.5	40			Percent of total billed charges		3066	80			Percent of total billed charges		6132	90			Percent of total billed charges		6898.5	85			Percent of total billed charges		6515.25	85			Percent of total billed charges		6515.25	85			Percent of total billed charges		6515.25	100			Percent of total billed charges		7665	100			Percent of total billed charges		7665	100			Percent of total billed charges		7665	33.3			Percent of total billed charges		2552.445	33.3			Percent of total billed charges		2552.445	100			Percent of total billed charges		7665	2552.445	6898.5	
depuy summit hip stem	278	RC	Outpatient			7665	4982.25		90			Percent of total billed charges		6898.5	40			Percent of total billed charges		3066	80			Percent of total billed charges		6132	90			Percent of total billed charges		6898.5	85			Percent of total billed charges		6515.25	85			Percent of total billed charges		6515.25	85			Percent of total billed charges		6515.25	100			Percent of total billed charges		7665	100			Percent of total billed charges		7665	100			Percent of total billed charges		7665	33.3			Percent of total billed charges		2552.445	33.3			Percent of total billed charges		2552.445	100			Percent of total billed charges		7665	2552.445	6898.5	
depuy summit tapered hip stem 1570-11-110 sz 5	278	RC	Outpatient			7665	4982.25		90			Percent of total billed charges		6898.5	40			Percent of total billed charges		3066	80			Percent of total billed charges		6132	90			Percent of total billed charges		6898.5	85			Percent of total billed charges		6515.25	85			Percent of total billed charges		6515.25	85			Percent of total billed charges		6515.25	100			Percent of total billed charges		7665	100			Percent of total billed charges		7665	100			Percent of total billed charges		7665	33.3			Percent of total billed charges		2552.445	33.3			Percent of total billed charges		2552.445	100			Percent of total billed charges		7665	2552.445	6898.5	
st jude confirm icm	278	RC	Outpatient			7673	4987.45		90			Percent of total billed charges		6905.7	40			Percent of total billed charges		3069.2	80			Percent of total billed charges		6138.4	90			Percent of total billed charges		6905.7	85			Percent of total billed charges		6522.05	85			Percent of total billed charges		6522.05	85			Percent of total billed charges		6522.05	100			Percent of total billed charges		7673	100			Percent of total billed charges		7673	100			Percent of total billed charges		7673	33.3			Percent of total billed charges		2555.109	33.3			Percent of total billed charges		2555.109	100			Percent of total billed charges		7673	2555.109	6905.7	
st jude confirm icm	360	RC	Outpatient			7673	4987.45		90			Percent of total billed charges		6905.7	40			Percent of total billed charges		3069.2	80			Percent of total billed charges		6138.4	90			Percent of total billed charges		6905.7	85			Percent of total billed charges		6522.05	85			Percent of total billed charges		6522.05	85			Percent of total billed charges		6522.05	100			Percent of total billed charges		7673	100			Percent of total billed charges		7673	100			Percent of total billed charges		7673	33.3			Percent of total billed charges		2555.109	33.3			Percent of total billed charges		2555.109	100			Percent of total billed charges		7673	2555.109	6905.7	
copeland eas m8/ha resurfacing head sz 5 11-114665 biomet	278	RC	Outpatient			7746	5034.9		90			Percent of total billed charges		6971.4	40			Percent of total billed charges		3098.4	80			Percent of total billed charges		6196.8	90			Percent of total billed charges		6971.4	85			Percent of total billed charges		6584.1	85			Percent of total billed charges		6584.1	85			Percent of total billed charges		6584.1	100			Percent of total billed charges		7746	100			Percent of total billed charges		7746	100			Percent of total billed charges		7746	33.3			Percent of total billed charges		2579.418	33.3			Percent of total billed charges		2579.418	100			Percent of total billed charges		7746	2579.418	6971.4	
biomed copeland resuf hd	278	RC	Outpatient			7746	5034.9		90			Percent of total billed charges		6971.4	40			Percent of total billed charges		3098.4	80			Percent of total billed charges		6196.8	90			Percent of total billed charges		6971.4	85			Percent of total billed charges		6584.1	85			Percent of total billed charges		6584.1	85			Percent of total billed charges		6584.1	100			Percent of total billed charges		7746	100			Percent of total billed charges		7746	100			Percent of total billed charges		7746	33.3			Percent of total billed charges		2579.418	33.3			Percent of total billed charges		2579.418	100			Percent of total billed charges		7746	2579.418	6971.4	
copeland eas m8/ha resurfacing head sz 2 11-114662 biomet	278	RC	Outpatient			7746	5034.9		90			Percent of total billed charges		6971.4	40			Percent of total billed charges		3098.4	80			Percent of total billed charges		6196.8	90			Percent of total billed charges		6971.4	85			Percent of total billed charges		6584.1	85			Percent of total billed charges		6584.1	85			Percent of total billed charges		6584.1	100			Percent of total billed charges		7746	100			Percent of total billed charges		7746	100			Percent of total billed charges		7746	33.3			Percent of total billed charges		2579.418	33.3			Percent of total billed charges		2579.418	100			Percent of total billed charges		7746	2579.418	6971.4	
copeland eas m8/ha resurfacing head sz 3 11-114663 biomet	278	RC	Outpatient			7746	5034.9		90			Percent of total billed charges		6971.4	40			Percent of total billed charges		3098.4	80			Percent of total billed charges		6196.8	90			Percent of total billed charges		6971.4	85			Percent of total billed charges		6584.1	85			Percent of total billed charges		6584.1	85			Percent of total billed charges		6584.1	100			Percent of total billed charges		7746	100			Percent of total billed charges		7746	100			Percent of total billed charges		7746	33.3			Percent of total billed charges		2579.418	33.3			Percent of total billed charges		2579.418	100			Percent of total billed charges		7746	2579.418	6971.4	
cath lab quickflex 1158t/86cm lv lead	272	RC	Outpatient			7750	5037.5		90			Percent of total billed charges		6975	40			Percent of total billed charges		3100	80			Percent of total billed charges		6200	90			Percent of total billed charges		6975	85			Percent of total billed charges		6587.5	85			Percent of total billed charges		6587.5	85			Percent of total billed charges		6587.5	100			Percent of total billed charges		7750	100			Percent of total billed charges		7750	100			Percent of total billed charges		7750	33.3			Percent of total billed charges		2580.75	33.3			Percent of total billed charges		2580.75	100			Percent of total billed charges		7750	2580.75	6975	
st jude 1158t/86 lv lead	272	RC	Outpatient			7750	5037.5		90			Percent of total billed charges		6975	40			Percent of total billed charges		3100	80			Percent of total billed charges		6200	90			Percent of total billed charges		6975	85			Percent of total billed charges		6587.5	85			Percent of total billed charges		6587.5	85			Percent of total billed charges		6587.5	100			Percent of total billed charges		7750	100			Percent of total billed charges		7750	100			Percent of total billed charges		7750	33.3			Percent of total billed charges		2580.75	33.3			Percent of total billed charges		2580.75	100			Percent of total billed charges		7750	2580.75	6975	
allomax 8 x 16 1mm	278	RC	Outpatient			7790	5063.5		90			Percent of total billed charges		7011	40			Percent of total billed charges		3116	80			Percent of total billed charges		6232	90			Percent of total billed charges		7011	85			Percent of total billed charges		6621.5	85			Percent of total billed charges		6621.5	85			Percent of total billed charges		6621.5	100			Percent of total billed charges		7790	100			Percent of total billed charges		7790	100			Percent of total billed charges		7790	33.3			Percent of total billed charges		2594.07	33.3			Percent of total billed charges		2594.07	100			Percent of total billed charges		7790	2594.07	7011	
allomax graft retangular   8 x16cm 1180816m bard	278	RC	Outpatient			7790	5063.5		90			Percent of total billed charges		7011	40			Percent of total billed charges		3116	80			Percent of total billed charges		6232	90			Percent of total billed charges		7011	85			Percent of total billed charges		6621.5	85			Percent of total billed charges		6621.5	85			Percent of total billed charges		6621.5	100			Percent of total billed charges		7790	100			Percent of total billed charges		7790	100			Percent of total billed charges		7790	33.3			Percent of total billed charges		2594.07	33.3			Percent of total billed charges		2594.07	100			Percent of total billed charges		7790	2594.07	7011	
boston sci rel icd rv ld	278	RC	Outpatient			7796	5067.4		90			Percent of total billed charges		7016.4	40			Percent of total billed charges		3118.4	80			Percent of total billed charges		6236.8	90			Percent of total billed charges		7016.4	85			Percent of total billed charges		6626.6	85			Percent of total billed charges		6626.6	85			Percent of total billed charges		6626.6	100			Percent of total billed charges		7796	100			Percent of total billed charges		7796	100			Percent of total billed charges		7796	33.3			Percent of total billed charges		2596.068	33.3			Percent of total billed charges		2596.068	100			Percent of total billed charges		7796	2596.068	7016.4	
penta lead	278	RC	Outpatient			7796	5067.4		90			Percent of total billed charges		7016.4	40			Percent of total billed charges		3118.4	80			Percent of total billed charges		6236.8	90			Percent of total billed charges		7016.4	85			Percent of total billed charges		6626.6	85			Percent of total billed charges		6626.6	85			Percent of total billed charges		6626.6	100			Percent of total billed charges		7796	100			Percent of total billed charges		7796	100			Percent of total billed charges		7796	33.3			Percent of total billed charges		2596.068	33.3			Percent of total billed charges		2596.068	100			Percent of total billed charges		7796	2596.068	7016.4	
profix zircon ox np fem sz 5 rt 71522157 s/n	278	RC	Outpatient			7825	5086.25		90			Percent of total billed charges		7042.5	40			Percent of total billed charges		3130	80			Percent of total billed charges		6260	90			Percent of total billed charges		7042.5	85			Percent of total billed charges		6651.25	85			Percent of total billed charges		6651.25	85			Percent of total billed charges		6651.25	100			Percent of total billed charges		7825	100			Percent of total billed charges		7825	100			Percent of total billed charges		7825	33.3			Percent of total billed charges		2605.725	33.3			Percent of total billed charges		2605.725	100			Percent of total billed charges		7825	2605.725	7042.5	
s/n profix zzircon ox fem	278	RC	Outpatient			7825	5086.25		90			Percent of total billed charges		7042.5	40			Percent of total billed charges		3130	80			Percent of total billed charges		6260	90			Percent of total billed charges		7042.5	85			Percent of total billed charges		6651.25	85			Percent of total billed charges		6651.25	85			Percent of total billed charges		6651.25	100			Percent of total billed charges		7825	100			Percent of total billed charges		7825	100			Percent of total billed charges		7825	33.3			Percent of total billed charges		2605.725	33.3			Percent of total billed charges		2605.725	100			Percent of total billed charges		7825	2605.725	7042.5	
cath lab quickflex lv 1258t/86cm	278	RC	Outpatient			7831	5090.15		90			Percent of total billed charges		7047.9	40			Percent of total billed charges		3132.4	80			Percent of total billed charges		6264.8	90			Percent of total billed charges		7047.9	85			Percent of total billed charges		6656.35	85			Percent of total billed charges		6656.35	85			Percent of total billed charges		6656.35	100			Percent of total billed charges		7831	100			Percent of total billed charges		7831	100			Percent of total billed charges		7831	33.3			Percent of total billed charges		2607.723	33.3			Percent of total billed charges		2607.723	100			Percent of total billed charges		7831	2607.723	7047.9	
st jude qflx lv ld1258t86	278	RC	Outpatient			7831	5090.15		90			Percent of total billed charges		7047.9	40			Percent of total billed charges		3132.4	80			Percent of total billed charges		6264.8	90			Percent of total billed charges		7047.9	85			Percent of total billed charges		6656.35	85			Percent of total billed charges		6656.35	85			Percent of total billed charges		6656.35	100			Percent of total billed charges		7831	100			Percent of total billed charges		7831	100			Percent of total billed charges		7831	33.3			Percent of total billed charges		2607.723	33.3			Percent of total billed charges		2607.723	100			Percent of total billed charges		7831	2607.723	7047.9	
vvi w/cable	275	RC	Outpatient			7849	5101.85		90			Percent of total billed charges		7064.1	40			Percent of total billed charges		3139.6	80			Percent of total billed charges		6279.2	90			Percent of total billed charges		7064.1	85			Percent of total billed charges		6671.65	85			Percent of total billed charges		6671.65	85			Percent of total billed charges		6671.65	100			Percent of total billed charges		7849	100			Percent of total billed charges		7849	100			Percent of total billed charges		7849	33.3			Percent of total billed charges		2613.717	33.3			Percent of total billed charges		2613.717	100			Percent of total billed charges		7849	2613.717	7064.1	
cofield 2 humeral stem 12 x 145mm 71259012 s/n	278	RC	Outpatient			7854	5105.1		90			Percent of total billed charges		7068.6	40			Percent of total billed charges		3141.6	80			Percent of total billed charges		6283.2	90			Percent of total billed charges		7068.6	85			Percent of total billed charges		6675.9	85			Percent of total billed charges		6675.9	85			Percent of total billed charges		6675.9	100			Percent of total billed charges		7854	100			Percent of total billed charges		7854	100			Percent of total billed charges		7854	33.3			Percent of total billed charges		2615.382	33.3			Percent of total billed charges		2615.382	100			Percent of total billed charges		7854	2615.382	7068.6	
cofield 2 humeral head 26 x 48mm 71259326 s/n	278	RC	Outpatient			7854	5105.1		90			Percent of total billed charges		7068.6	40			Percent of total billed charges		3141.6	80			Percent of total billed charges		6283.2	90			Percent of total billed charges		7068.6	85			Percent of total billed charges		6675.9	85			Percent of total billed charges		6675.9	85			Percent of total billed charges		6675.9	100			Percent of total billed charges		7854	100			Percent of total billed charges		7854	100			Percent of total billed charges		7854	33.3			Percent of total billed charges		2615.382	33.3			Percent of total billed charges		2615.382	100			Percent of total billed charges		7854	2615.382	7068.6	
cofield 2 humeral stem 8 x 145mm 71259008 s/n	278	RC	Outpatient			7854	5105.1		90			Percent of total billed charges		7068.6	40			Percent of total billed charges		3141.6	80			Percent of total billed charges		6283.2	90			Percent of total billed charges		7068.6	85			Percent of total billed charges		6675.9	85			Percent of total billed charges		6675.9	85			Percent of total billed charges		6675.9	100			Percent of total billed charges		7854	100			Percent of total billed charges		7854	100			Percent of total billed charges		7854	33.3			Percent of total billed charges		2615.382	33.3			Percent of total billed charges		2615.382	100			Percent of total billed charges		7854	2615.382	7068.6	
s/n cofld humeral stem	278	RC	Outpatient			7854	5105.1		90			Percent of total billed charges		7068.6	40			Percent of total billed charges		3141.6	80			Percent of total billed charges		6283.2	90			Percent of total billed charges		7068.6	85			Percent of total billed charges		6675.9	85			Percent of total billed charges		6675.9	85			Percent of total billed charges		6675.9	100			Percent of total billed charges		7854	100			Percent of total billed charges		7854	100			Percent of total billed charges		7854	33.3			Percent of total billed charges		2615.382	33.3			Percent of total billed charges		2615.382	100			Percent of total billed charges		7854	2615.382	7068.6	
secur-fit max 127 hip stem #13 6052-1340s stryker	278	RC	Outpatient			7866	5112.9		90			Percent of total billed charges		7079.4	40			Percent of total billed charges		3146.4	80			Percent of total billed charges		6292.8	90			Percent of total billed charges		7079.4	85			Percent of total billed charges		6686.1	85			Percent of total billed charges		6686.1	85			Percent of total billed charges		6686.1	100			Percent of total billed charges		7866	100			Percent of total billed charges		7866	100			Percent of total billed charges		7866	33.3			Percent of total billed charges		2619.378	33.3			Percent of total billed charges		2619.378	100			Percent of total billed charges		7866	2619.378	7079.4	
secur-fit plus max hip stem #8 6054-0812s stryker	278	RC	Outpatient			7866	5112.9		90			Percent of total billed charges		7079.4	40			Percent of total billed charges		3146.4	80			Percent of total billed charges		6292.8	90			Percent of total billed charges		7079.4	85			Percent of total billed charges		6686.1	85			Percent of total billed charges		6686.1	85			Percent of total billed charges		6686.1	100			Percent of total billed charges		7866	100			Percent of total billed charges		7866	100			Percent of total billed charges		7866	33.3			Percent of total billed charges		2619.378	33.3			Percent of total billed charges		2619.378	100			Percent of total billed charges		7866	2619.378	7079.4	
secur-fit ha 127 hip stem #13 6052-1340a stryker	278	RC	Outpatient			7866	5112.9		90			Percent of total billed charges		7079.4	40			Percent of total billed charges		3146.4	80			Percent of total billed charges		6292.8	90			Percent of total billed charges		7079.4	85			Percent of total billed charges		6686.1	85			Percent of total billed charges		6686.1	85			Percent of total billed charges		6686.1	100			Percent of total billed charges		7866	100			Percent of total billed charges		7866	100			Percent of total billed charges		7866	33.3			Percent of total billed charges		2619.378	33.3			Percent of total billed charges		2619.378	100			Percent of total billed charges		7866	2619.378	7079.4	
stryker secur-fit stem ma	278	RC	Outpatient			7866	5112.9		90			Percent of total billed charges		7079.4	40			Percent of total billed charges		3146.4	80			Percent of total billed charges		6292.8	90			Percent of total billed charges		7079.4	85			Percent of total billed charges		6686.1	85			Percent of total billed charges		6686.1	85			Percent of total billed charges		6686.1	100			Percent of total billed charges		7866	100			Percent of total billed charges		7866	100			Percent of total billed charges		7866	33.3			Percent of total billed charges		2619.378	33.3			Percent of total billed charges		2619.378	100			Percent of total billed charges		7866	2619.378	7079.4	
kyphopak 15/3	272	RC	Outpatient			7872	5116.8		90			Percent of total billed charges		7084.8	40			Percent of total billed charges		3148.8	80			Percent of total billed charges		6297.6	90			Percent of total billed charges		7084.8	85			Percent of total billed charges		6691.2	85			Percent of total billed charges		6691.2	85			Percent of total billed charges		6691.2	100			Percent of total billed charges		7872	100			Percent of total billed charges		7872	100			Percent of total billed charges		7872	33.3			Percent of total billed charges		2621.376	33.3			Percent of total billed charges		2621.376	100			Percent of total billed charges		7872	2621.376	7084.8	
kyphopak 20/3	272	RC	Outpatient			7872	5116.8		90			Percent of total billed charges		7084.8	40			Percent of total billed charges		3148.8	80			Percent of total billed charges		6297.6	90			Percent of total billed charges		7084.8	85			Percent of total billed charges		6691.2	85			Percent of total billed charges		6691.2	85			Percent of total billed charges		6691.2	100			Percent of total billed charges		7872	100			Percent of total billed charges		7872	100			Percent of total billed charges		7872	33.3			Percent of total billed charges		2621.376	33.3			Percent of total billed charges		2621.376	100			Percent of total billed charges		7872	2621.376	7084.8	
kyphopak 20/3 first fracture kit kpt2003 kyphon	272	RC	Outpatient			7872	5116.8		90			Percent of total billed charges		7084.8	40			Percent of total billed charges		3148.8	80			Percent of total billed charges		6297.6	90			Percent of total billed charges		7084.8	85			Percent of total billed charges		6691.2	85			Percent of total billed charges		6691.2	85			Percent of total billed charges		6691.2	100			Percent of total billed charges		7872	100			Percent of total billed charges		7872	100			Percent of total billed charges		7872	33.3			Percent of total billed charges		2621.376	33.3			Percent of total billed charges		2621.376	100			Percent of total billed charges		7872	2621.376	7084.8	
"kyphopak, xpander 20/3 1st fracture with introducer kpt2005 kyphon"	272	RC	Outpatient			7872	5116.8		90			Percent of total billed charges		7084.8	40			Percent of total billed charges		3148.8	80			Percent of total billed charges		6297.6	90			Percent of total billed charges		7084.8	85			Percent of total billed charges		6691.2	85			Percent of total billed charges		6691.2	85			Percent of total billed charges		6691.2	100			Percent of total billed charges		7872	100			Percent of total billed charges		7872	100			Percent of total billed charges		7872	33.3			Percent of total billed charges		2621.376	33.3			Percent of total billed charges		2621.376	100			Percent of total billed charges		7872	2621.376	7084.8	
"kyphopak, xpander ii 20/3 1st fracture kit  kpx203pb kyphon"	272	RC	Outpatient			7872	5116.8		90			Percent of total billed charges		7084.8	40			Percent of total billed charges		3148.8	80			Percent of total billed charges		6297.6	90			Percent of total billed charges		7084.8	85			Percent of total billed charges		6691.2	85			Percent of total billed charges		6691.2	85			Percent of total billed charges		6691.2	100			Percent of total billed charges		7872	100			Percent of total billed charges		7872	100			Percent of total billed charges		7872	33.3			Percent of total billed charges		2621.376	33.3			Percent of total billed charges		2621.376	100			Percent of total billed charges		7872	2621.376	7084.8	
"kyphopak, xpander 15/3 1st fracture with introducer kpt1505 kyphon"	272	RC	Outpatient			7872	5116.8		90			Percent of total billed charges		7084.8	40			Percent of total billed charges		3148.8	80			Percent of total billed charges		6297.6	90			Percent of total billed charges		7084.8	85			Percent of total billed charges		6691.2	85			Percent of total billed charges		6691.2	85			Percent of total billed charges		6691.2	100			Percent of total billed charges		7872	100			Percent of total billed charges		7872	100			Percent of total billed charges		7872	33.3			Percent of total billed charges		2621.376	33.3			Percent of total billed charges		2621.376	100			Percent of total billed charges		7872	2621.376	7084.8	
"kyphopak, xpander 15/3, 1st fx with introducer  ktp1502 kyphon"	272	RC	Outpatient			7872	5116.8		90			Percent of total billed charges		7084.8	40			Percent of total billed charges		3148.8	80			Percent of total billed charges		6297.6	90			Percent of total billed charges		7084.8	85			Percent of total billed charges		6691.2	85			Percent of total billed charges		6691.2	85			Percent of total billed charges		6691.2	100			Percent of total billed charges		7872	100			Percent of total billed charges		7872	100			Percent of total billed charges		7872	33.3			Percent of total billed charges		2621.376	33.3			Percent of total billed charges		2621.376	100			Percent of total billed charges		7872	2621.376	7084.8	
"kyphopak, xpander ii 15/3 1st fracture kit  kpx153pb kyphon"	272	RC	Outpatient			7872	5116.8		90			Percent of total billed charges		7084.8	40			Percent of total billed charges		3148.8	80			Percent of total billed charges		6297.6	90			Percent of total billed charges		7084.8	85			Percent of total billed charges		6691.2	85			Percent of total billed charges		6691.2	85			Percent of total billed charges		6691.2	100			Percent of total billed charges		7872	100			Percent of total billed charges		7872	100			Percent of total billed charges		7872	33.3			Percent of total billed charges		2621.376	33.3			Percent of total billed charges		2621.376	100			Percent of total billed charges		7872	2621.376	7084.8	
depuy ps fem component	278	RC	Outpatient			7896	5132.4		90			Percent of total billed charges		7106.4	40			Percent of total billed charges		3158.4	80			Percent of total billed charges		6316.8	90			Percent of total billed charges		7106.4	85			Percent of total billed charges		6711.6	85			Percent of total billed charges		6711.6	85			Percent of total billed charges		6711.6	100			Percent of total billed charges		7896	100			Percent of total billed charges		7896	100			Percent of total billed charges		7896	33.3			Percent of total billed charges		2629.368	33.3			Percent of total billed charges		2629.368	100			Percent of total billed charges		7896	2629.368	7106.4	
srom ps  fem compt depuy 62-3221r	278	RC	Outpatient			7896	5132.4		90			Percent of total billed charges		7106.4	40			Percent of total billed charges		3158.4	80			Percent of total billed charges		6316.8	90			Percent of total billed charges		7106.4	85			Percent of total billed charges		6711.6	85			Percent of total billed charges		6711.6	85			Percent of total billed charges		6711.6	100			Percent of total billed charges		7896	100			Percent of total billed charges		7896	100			Percent of total billed charges		7896	33.3			Percent of total billed charges		2629.368	33.3			Percent of total billed charges		2629.368	100			Percent of total billed charges		7896	2629.368	7106.4	
srom ps  fem compt small depuy 62-3211r	278	RC	Outpatient			7896	5132.4		90			Percent of total billed charges		7106.4	40			Percent of total billed charges		3158.4	80			Percent of total billed charges		6316.8	90			Percent of total billed charges		7106.4	85			Percent of total billed charges		6711.6	85			Percent of total billed charges		6711.6	85			Percent of total billed charges		6711.6	100			Percent of total billed charges		7896	100			Percent of total billed charges		7896	100			Percent of total billed charges		7896	33.3			Percent of total billed charges		2629.368	33.3			Percent of total billed charges		2629.368	100			Percent of total billed charges		7896	2629.368	7106.4	
s-rom noiles ps fem comp 62-3231r	278	RC	Outpatient			7896	5132.4		90			Percent of total billed charges		7106.4	40			Percent of total billed charges		3158.4	80			Percent of total billed charges		6316.8	90			Percent of total billed charges		7106.4	85			Percent of total billed charges		6711.6	85			Percent of total billed charges		6711.6	85			Percent of total billed charges		6711.6	100			Percent of total billed charges		7896	100			Percent of total billed charges		7896	100			Percent of total billed charges		7896	33.3			Percent of total billed charges		2629.368	33.3			Percent of total billed charges		2629.368	100			Percent of total billed charges		7896	2629.368	7106.4	
bio humeral stem mini	278	RC	Outpatient			7912	5142.8		90			Percent of total billed charges		7120.8	40			Percent of total billed charges		3164.8	80			Percent of total billed charges		6329.6	90			Percent of total billed charges		7120.8	85			Percent of total billed charges		6725.2	85			Percent of total billed charges		6725.2	85			Percent of total billed charges		6725.2	100			Percent of total billed charges		7912	100			Percent of total billed charges		7912	100			Percent of total billed charges		7912	33.3			Percent of total billed charges		2634.696	33.3			Percent of total billed charges		2634.696	100			Percent of total billed charges		7912	2634.696	7120.8	
mini length humeral stem 10mm 113630 biomet	278	RC	Outpatient			7912	5142.8		90			Percent of total billed charges		7120.8	40			Percent of total billed charges		3164.8	80			Percent of total billed charges		6329.6	90			Percent of total billed charges		7120.8	85			Percent of total billed charges		6725.2	85			Percent of total billed charges		6725.2	85			Percent of total billed charges		6725.2	100			Percent of total billed charges		7912	100			Percent of total billed charges		7912	100			Percent of total billed charges		7912	33.3			Percent of total billed charges		2634.696	33.3			Percent of total billed charges		2634.696	100			Percent of total billed charges		7912	2634.696	7120.8	
mini length humeral stem 11mm 113631 biomet	278	RC	Outpatient			7912	5142.8		90			Percent of total billed charges		7120.8	40			Percent of total billed charges		3164.8	80			Percent of total billed charges		6329.6	90			Percent of total billed charges		7120.8	85			Percent of total billed charges		6725.2	85			Percent of total billed charges		6725.2	85			Percent of total billed charges		6725.2	100			Percent of total billed charges		7912	100			Percent of total billed charges		7912	100			Percent of total billed charges		7912	33.3			Percent of total billed charges		2634.696	33.3			Percent of total billed charges		2634.696	100			Percent of total billed charges		7912	2634.696	7120.8	
mini length humeral stem 13mm 113633 biomet	278	RC	Outpatient			7912	5142.8		90			Percent of total billed charges		7120.8	40			Percent of total billed charges		3164.8	80			Percent of total billed charges		6329.6	90			Percent of total billed charges		7120.8	85			Percent of total billed charges		6725.2	85			Percent of total billed charges		6725.2	85			Percent of total billed charges		6725.2	100			Percent of total billed charges		7912	100			Percent of total billed charges		7912	100			Percent of total billed charges		7912	33.3			Percent of total billed charges		2634.696	33.3			Percent of total billed charges		2634.696	100			Percent of total billed charges		7912	2634.696	7120.8	
mini length humeral stem 14mm 113634 biomet	278	RC	Outpatient			7912	5142.8		90			Percent of total billed charges		7120.8	40			Percent of total billed charges		3164.8	80			Percent of total billed charges		6329.6	90			Percent of total billed charges		7120.8	85			Percent of total billed charges		6725.2	85			Percent of total billed charges		6725.2	85			Percent of total billed charges		6725.2	100			Percent of total billed charges		7912	100			Percent of total billed charges		7912	100			Percent of total billed charges		7912	33.3			Percent of total billed charges		2634.696	33.3			Percent of total billed charges		2634.696	100			Percent of total billed charges		7912	2634.696	7120.8	
mini length humeral stem 15mm 113635 biomet	278	RC	Outpatient			7912	5142.8		90			Percent of total billed charges		7120.8	40			Percent of total billed charges		3164.8	80			Percent of total billed charges		6329.6	90			Percent of total billed charges		7120.8	85			Percent of total billed charges		6725.2	85			Percent of total billed charges		6725.2	85			Percent of total billed charges		6725.2	100			Percent of total billed charges		7912	100			Percent of total billed charges		7912	100			Percent of total billed charges		7912	33.3			Percent of total billed charges		2634.696	33.3			Percent of total billed charges		2634.696	100			Percent of total billed charges		7912	2634.696	7120.8	
mini length humeral stem 16mm 113636 biomet	278	RC	Outpatient			7912	5142.8		90			Percent of total billed charges		7120.8	40			Percent of total billed charges		3164.8	80			Percent of total billed charges		6329.6	90			Percent of total billed charges		7120.8	85			Percent of total billed charges		6725.2	85			Percent of total billed charges		6725.2	85			Percent of total billed charges		6725.2	100			Percent of total billed charges		7912	100			Percent of total billed charges		7912	100			Percent of total billed charges		7912	33.3			Percent of total billed charges		2634.696	33.3			Percent of total billed charges		2634.696	100			Percent of total billed charges		7912	2634.696	7120.8	
mini length humeral stem 17mm 113637 biomet	278	RC	Outpatient			7912	5142.8		90			Percent of total billed charges		7120.8	40			Percent of total billed charges		3164.8	80			Percent of total billed charges		6329.6	90			Percent of total billed charges		7120.8	85			Percent of total billed charges		6725.2	85			Percent of total billed charges		6725.2	85			Percent of total billed charges		6725.2	100			Percent of total billed charges		7912	100			Percent of total billed charges		7912	100			Percent of total billed charges		7912	33.3			Percent of total billed charges		2634.696	33.3			Percent of total billed charges		2634.696	100			Percent of total billed charges		7912	2634.696	7120.8	
mini length humeral stem 19mm 113639 biomet	278	RC	Outpatient			7912	5142.8		90			Percent of total billed charges		7120.8	40			Percent of total billed charges		3164.8	80			Percent of total billed charges		6329.6	90			Percent of total billed charges		7120.8	85			Percent of total billed charges		6725.2	85			Percent of total billed charges		6725.2	85			Percent of total billed charges		6725.2	100			Percent of total billed charges		7912	100			Percent of total billed charges		7912	100			Percent of total billed charges		7912	33.3			Percent of total billed charges		2634.696	33.3			Percent of total billed charges		2634.696	100			Percent of total billed charges		7912	2634.696	7120.8	
mini length humeral stem 5mm 113625 biomet	278	RC	Outpatient			7912	5142.8		90			Percent of total billed charges		7120.8	40			Percent of total billed charges		3164.8	80			Percent of total billed charges		6329.6	90			Percent of total billed charges		7120.8	85			Percent of total billed charges		6725.2	85			Percent of total billed charges		6725.2	85			Percent of total billed charges		6725.2	100			Percent of total billed charges		7912	100			Percent of total billed charges		7912	100			Percent of total billed charges		7912	33.3			Percent of total billed charges		2634.696	33.3			Percent of total billed charges		2634.696	100			Percent of total billed charges		7912	2634.696	7120.8	
mini length humeral stem 6mm 113626 biomet	278	RC	Outpatient			7912	5142.8		90			Percent of total billed charges		7120.8	40			Percent of total billed charges		3164.8	80			Percent of total billed charges		6329.6	90			Percent of total billed charges		7120.8	85			Percent of total billed charges		6725.2	85			Percent of total billed charges		6725.2	85			Percent of total billed charges		6725.2	100			Percent of total billed charges		7912	100			Percent of total billed charges		7912	100			Percent of total billed charges		7912	33.3			Percent of total billed charges		2634.696	33.3			Percent of total billed charges		2634.696	100			Percent of total billed charges		7912	2634.696	7120.8	
mini length humeral stem 7mm 113627 biomet	278	RC	Outpatient			7912	5142.8		90			Percent of total billed charges		7120.8	40			Percent of total billed charges		3164.8	80			Percent of total billed charges		6329.6	90			Percent of total billed charges		7120.8	85			Percent of total billed charges		6725.2	85			Percent of total billed charges		6725.2	85			Percent of total billed charges		6725.2	100			Percent of total billed charges		7912	100			Percent of total billed charges		7912	100			Percent of total billed charges		7912	33.3			Percent of total billed charges		2634.696	33.3			Percent of total billed charges		2634.696	100			Percent of total billed charges		7912	2634.696	7120.8	
mini length humeral stem 12mm 113632 biomet	278	RC	Outpatient			7912	5142.8		90			Percent of total billed charges		7120.8	40			Percent of total billed charges		3164.8	80			Percent of total billed charges		6329.6	90			Percent of total billed charges		7120.8	85			Percent of total billed charges		6725.2	85			Percent of total billed charges		6725.2	85			Percent of total billed charges		6725.2	100			Percent of total billed charges		7912	100			Percent of total billed charges		7912	100			Percent of total billed charges		7912	33.3			Percent of total billed charges		2634.696	33.3			Percent of total billed charges		2634.696	100			Percent of total billed charges		7912	2634.696	7120.8	
mini length humeral stem 18mm 113638 biomet	278	RC	Outpatient			7912	5142.8		90			Percent of total billed charges		7120.8	40			Percent of total billed charges		3164.8	80			Percent of total billed charges		6329.6	90			Percent of total billed charges		7120.8	85			Percent of total billed charges		6725.2	85			Percent of total billed charges		6725.2	85			Percent of total billed charges		6725.2	100			Percent of total billed charges		7912	100			Percent of total billed charges		7912	100			Percent of total billed charges		7912	33.3			Percent of total billed charges		2634.696	33.3			Percent of total billed charges		2634.696	100			Percent of total billed charges		7912	2634.696	7120.8	
mini length humeral stem 20mm 113640 biomet	278	RC	Outpatient			7912	5142.8		90			Percent of total billed charges		7120.8	40			Percent of total billed charges		3164.8	80			Percent of total billed charges		6329.6	90			Percent of total billed charges		7120.8	85			Percent of total billed charges		6725.2	85			Percent of total billed charges		6725.2	85			Percent of total billed charges		6725.2	100			Percent of total billed charges		7912	100			Percent of total billed charges		7912	100			Percent of total billed charges		7912	33.3			Percent of total billed charges		2634.696	33.3			Percent of total billed charges		2634.696	100			Percent of total billed charges		7912	2634.696	7120.8	
mini length humeral stem 4mm 113624 biomet	278	RC	Outpatient			7912	5142.8		90			Percent of total billed charges		7120.8	40			Percent of total billed charges		3164.8	80			Percent of total billed charges		6329.6	90			Percent of total billed charges		7120.8	85			Percent of total billed charges		6725.2	85			Percent of total billed charges		6725.2	85			Percent of total billed charges		6725.2	100			Percent of total billed charges		7912	100			Percent of total billed charges		7912	100			Percent of total billed charges		7912	33.3			Percent of total billed charges		2634.696	33.3			Percent of total billed charges		2634.696	100			Percent of total billed charges		7912	2634.696	7120.8	
mini length humeral stem 8mm 113628 biomet	278	RC	Outpatient			7912	5142.8		90			Percent of total billed charges		7120.8	40			Percent of total billed charges		3164.8	80			Percent of total billed charges		6329.6	90			Percent of total billed charges		7120.8	85			Percent of total billed charges		6725.2	85			Percent of total billed charges		6725.2	85			Percent of total billed charges		6725.2	100			Percent of total billed charges		7912	100			Percent of total billed charges		7912	100			Percent of total billed charges		7912	33.3			Percent of total billed charges		2634.696	33.3			Percent of total billed charges		2634.696	100			Percent of total billed charges		7912	2634.696	7120.8	
mini length humeral stem 9mm 113629 biomet	278	RC	Outpatient			7912	5142.8		90			Percent of total billed charges		7120.8	40			Percent of total billed charges		3164.8	80			Percent of total billed charges		6329.6	90			Percent of total billed charges		7120.8	85			Percent of total billed charges		6725.2	85			Percent of total billed charges		6725.2	85			Percent of total billed charges		6725.2	100			Percent of total billed charges		7912	100			Percent of total billed charges		7912	100			Percent of total billed charges		7912	33.3			Percent of total billed charges		2634.696	33.3			Percent of total billed charges		2634.696	100			Percent of total billed charges		7912	2634.696	7120.8	
advantio k063 dual ppm	278	RC	Outpatient			7920	5148		90			Percent of total billed charges		7128	40			Percent of total billed charges		3168	80			Percent of total billed charges		6336	90			Percent of total billed charges		7128	85			Percent of total billed charges		6732	85			Percent of total billed charges		6732	85			Percent of total billed charges		6732	100			Percent of total billed charges		7920	100			Percent of total billed charges		7920	100			Percent of total billed charges		7920	33.3			Percent of total billed charges		2637.36	33.3			Percent of total billed charges		2637.36	100			Percent of total billed charges		7920	2637.36	7128	
bio 371992 generator	278	RC	Outpatient			7920	5148		90			Percent of total billed charges		7128	40			Percent of total billed charges		3168	80			Percent of total billed charges		6336	90			Percent of total billed charges		7128	85			Percent of total billed charges		6732	85			Percent of total billed charges		6732	85			Percent of total billed charges		6732	100			Percent of total billed charges		7920	100			Percent of total billed charges		7920	100			Percent of total billed charges		7920	33.3			Percent of total billed charges		2637.36	33.3			Percent of total billed charges		2637.36	100			Percent of total billed charges		7920	2637.36	7128	
bio 394969 mri generator	270	RC	Outpatient			7920	5148		90			Percent of total billed charges		7128	40			Percent of total billed charges		3168	80			Percent of total billed charges		6336	90			Percent of total billed charges		7128	85			Percent of total billed charges		6732	85			Percent of total billed charges		6732	85			Percent of total billed charges		6732	100			Percent of total billed charges		7920	100			Percent of total billed charges		7920	100			Percent of total billed charges		7920	33.3			Percent of total billed charges		2637.36	33.3			Percent of total billed charges		2637.36	100			Percent of total billed charges		7920	2637.36	7128	
bs k063 advantio/4457-58cm/4135-45cm	278	RC	Outpatient			7920	5148		90			Percent of total billed charges		7128	40			Percent of total billed charges		3168	80			Percent of total billed charges		6336	90			Percent of total billed charges		7128	85			Percent of total billed charges		6732	85			Percent of total billed charges		6732	85			Percent of total billed charges		6732	100			Percent of total billed charges		7920	100			Percent of total billed charges		7920	100			Percent of total billed charges		7920	33.3			Percent of total billed charges		2637.36	33.3			Percent of total billed charges		2637.36	100			Percent of total billed charges		7920	2637.36	7128	
aaadvantage iliac fl 13.5	278	RC	Outpatient			7922	5149.3		90			Percent of total billed charges		7129.8	40			Percent of total billed charges		3168.8	80			Percent of total billed charges		6337.6	90			Percent of total billed charges		7129.8	85			Percent of total billed charges		6733.7	85			Percent of total billed charges		6733.7	85			Percent of total billed charges		6733.7	100			Percent of total billed charges		7922	100			Percent of total billed charges		7922	100			Percent of total billed charges		7922	33.3			Percent of total billed charges		2638.026	33.3			Percent of total billed charges		2638.026	100			Percent of total billed charges		7922	2638.026	7129.8	
aaadvantage iliac limb-flaired ilxc1620135 16mmx20mmx13.5mm medtronic	278	RC	Outpatient			7922	5149.3		90			Percent of total billed charges		7129.8	40			Percent of total billed charges		3168.8	80			Percent of total billed charges		6337.6	90			Percent of total billed charges		7129.8	85			Percent of total billed charges		6733.7	85			Percent of total billed charges		6733.7	85			Percent of total billed charges		6733.7	100			Percent of total billed charges		7922	100			Percent of total billed charges		7922	100			Percent of total billed charges		7922	33.3			Percent of total billed charges		2638.026	33.3			Percent of total billed charges		2638.026	100			Percent of total billed charges		7922	2638.026	7129.8	
aaadvantage iliac limb-flaired ilxc1824135 18mmx24mmx13.5mm medtronic	278	RC	Outpatient			7922	5149.3		90			Percent of total billed charges		7129.8	40			Percent of total billed charges		3168.8	80			Percent of total billed charges		6337.6	90			Percent of total billed charges		7129.8	85			Percent of total billed charges		6733.7	85			Percent of total billed charges		6733.7	85			Percent of total billed charges		6733.7	100			Percent of total billed charges		7922	100			Percent of total billed charges		7922	100			Percent of total billed charges		7922	33.3			Percent of total billed charges		2638.026	33.3			Percent of total billed charges		2638.026	100			Percent of total billed charges		7922	2638.026	7129.8	
aaadvantage iliac limb-flaired ilxch1620135 16mmx20mmx13.5mm medtronic	278	RC	Outpatient			7922	5149.3		90			Percent of total billed charges		7129.8	40			Percent of total billed charges		3168.8	80			Percent of total billed charges		6337.6	90			Percent of total billed charges		7129.8	85			Percent of total billed charges		6733.7	85			Percent of total billed charges		6733.7	85			Percent of total billed charges		6733.7	100			Percent of total billed charges		7922	100			Percent of total billed charges		7922	100			Percent of total billed charges		7922	33.3			Percent of total billed charges		2638.026	33.3			Percent of total billed charges		2638.026	100			Percent of total billed charges		7922	2638.026	7129.8	
aaadvantage iliac limb-flaired ilxc1822135 18mmx22mmx13.5mm medtronic	278	RC	Outpatient			7922	5149.3		90			Percent of total billed charges		7129.8	40			Percent of total billed charges		3168.8	80			Percent of total billed charges		6337.6	90			Percent of total billed charges		7129.8	85			Percent of total billed charges		6733.7	85			Percent of total billed charges		6733.7	85			Percent of total billed charges		6733.7	100			Percent of total billed charges		7922	100			Percent of total billed charges		7922	100			Percent of total billed charges		7922	33.3			Percent of total billed charges		2638.026	33.3			Percent of total billed charges		2638.026	100			Percent of total billed charges		7922	2638.026	7129.8	
ilizarov extrnl fixation	278	RC	Outpatient			7942	5162.3		90			Percent of total billed charges		7147.8	40			Percent of total billed charges		3176.8	80			Percent of total billed charges		6353.6	90			Percent of total billed charges		7147.8	85			Percent of total billed charges		6750.7	85			Percent of total billed charges		6750.7	85			Percent of total billed charges		6750.7	100			Percent of total billed charges		7942	100			Percent of total billed charges		7942	100			Percent of total billed charges		7942	33.3			Percent of total billed charges		2644.686	33.3			Percent of total billed charges		2644.686	100			Percent of total billed charges		7942	2644.686	7147.8	
bio humeral stem std	278	RC	Outpatient			7956	5171.4		90			Percent of total billed charges		7160.4	40			Percent of total billed charges		3182.4	80			Percent of total billed charges		6364.8	90			Percent of total billed charges		7160.4	85			Percent of total billed charges		6762.6	85			Percent of total billed charges		6762.6	85			Percent of total billed charges		6762.6	100			Percent of total billed charges		7956	100			Percent of total billed charges		7956	100			Percent of total billed charges		7956	33.3			Percent of total billed charges		2649.348	33.3			Percent of total billed charges		2649.348	100			Percent of total billed charges		7956	2649.348	7160.4	
standard length humeral stem 10mm 113650 biomet	278	RC	Outpatient			7956	5171.4		90			Percent of total billed charges		7160.4	40			Percent of total billed charges		3182.4	80			Percent of total billed charges		6364.8	90			Percent of total billed charges		7160.4	85			Percent of total billed charges		6762.6	85			Percent of total billed charges		6762.6	85			Percent of total billed charges		6762.6	100			Percent of total billed charges		7956	100			Percent of total billed charges		7956	100			Percent of total billed charges		7956	33.3			Percent of total billed charges		2649.348	33.3			Percent of total billed charges		2649.348	100			Percent of total billed charges		7956	2649.348	7160.4	
standard length humeral stem 17mm 113657 biomet	278	RC	Outpatient			7956	5171.4		90			Percent of total billed charges		7160.4	40			Percent of total billed charges		3182.4	80			Percent of total billed charges		6364.8	90			Percent of total billed charges		7160.4	85			Percent of total billed charges		6762.6	85			Percent of total billed charges		6762.6	85			Percent of total billed charges		6762.6	100			Percent of total billed charges		7956	100			Percent of total billed charges		7956	100			Percent of total billed charges		7956	33.3			Percent of total billed charges		2649.348	33.3			Percent of total billed charges		2649.348	100			Percent of total billed charges		7956	2649.348	7160.4	
standard length humeral stem 18mm 113658 biomet	278	RC	Outpatient			7956	5171.4		90			Percent of total billed charges		7160.4	40			Percent of total billed charges		3182.4	80			Percent of total billed charges		6364.8	90			Percent of total billed charges		7160.4	85			Percent of total billed charges		6762.6	85			Percent of total billed charges		6762.6	85			Percent of total billed charges		6762.6	100			Percent of total billed charges		7956	100			Percent of total billed charges		7956	100			Percent of total billed charges		7956	33.3			Percent of total billed charges		2649.348	33.3			Percent of total billed charges		2649.348	100			Percent of total billed charges		7956	2649.348	7160.4	
standard length humeral stem 19mm 113659 biomet	278	RC	Outpatient			7956	5171.4		90			Percent of total billed charges		7160.4	40			Percent of total billed charges		3182.4	80			Percent of total billed charges		6364.8	90			Percent of total billed charges		7160.4	85			Percent of total billed charges		6762.6	85			Percent of total billed charges		6762.6	85			Percent of total billed charges		6762.6	100			Percent of total billed charges		7956	100			Percent of total billed charges		7956	100			Percent of total billed charges		7956	33.3			Percent of total billed charges		2649.348	33.3			Percent of total billed charges		2649.348	100			Percent of total billed charges		7956	2649.348	7160.4	
standard length humeral stem 20mm 113660 biomet	278	RC	Outpatient			7956	5171.4		90			Percent of total billed charges		7160.4	40			Percent of total billed charges		3182.4	80			Percent of total billed charges		6364.8	90			Percent of total billed charges		7160.4	85			Percent of total billed charges		6762.6	85			Percent of total billed charges		6762.6	85			Percent of total billed charges		6762.6	100			Percent of total billed charges		7956	100			Percent of total billed charges		7956	100			Percent of total billed charges		7956	33.3			Percent of total billed charges		2649.348	33.3			Percent of total billed charges		2649.348	100			Percent of total billed charges		7956	2649.348	7160.4	
standard length humeral stem 5mm 113645 biomet	278	RC	Outpatient			7956	5171.4		90			Percent of total billed charges		7160.4	40			Percent of total billed charges		3182.4	80			Percent of total billed charges		6364.8	90			Percent of total billed charges		7160.4	85			Percent of total billed charges		6762.6	85			Percent of total billed charges		6762.6	85			Percent of total billed charges		6762.6	100			Percent of total billed charges		7956	100			Percent of total billed charges		7956	100			Percent of total billed charges		7956	33.3			Percent of total billed charges		2649.348	33.3			Percent of total billed charges		2649.348	100			Percent of total billed charges		7956	2649.348	7160.4	
standard length humeral stem 11mm 113651 biomet	278	RC	Outpatient			7956	5171.4		90			Percent of total billed charges		7160.4	40			Percent of total billed charges		3182.4	80			Percent of total billed charges		6364.8	90			Percent of total billed charges		7160.4	85			Percent of total billed charges		6762.6	85			Percent of total billed charges		6762.6	85			Percent of total billed charges		6762.6	100			Percent of total billed charges		7956	100			Percent of total billed charges		7956	100			Percent of total billed charges		7956	33.3			Percent of total billed charges		2649.348	33.3			Percent of total billed charges		2649.348	100			Percent of total billed charges		7956	2649.348	7160.4	
standard length humeral stem 12mm 113652 biomet	278	RC	Outpatient			7956	5171.4		90			Percent of total billed charges		7160.4	40			Percent of total billed charges		3182.4	80			Percent of total billed charges		6364.8	90			Percent of total billed charges		7160.4	85			Percent of total billed charges		6762.6	85			Percent of total billed charges		6762.6	85			Percent of total billed charges		6762.6	100			Percent of total billed charges		7956	100			Percent of total billed charges		7956	100			Percent of total billed charges		7956	33.3			Percent of total billed charges		2649.348	33.3			Percent of total billed charges		2649.348	100			Percent of total billed charges		7956	2649.348	7160.4	
standard length humeral stem 13mm 113653 biomet	278	RC	Outpatient			7956	5171.4		90			Percent of total billed charges		7160.4	40			Percent of total billed charges		3182.4	80			Percent of total billed charges		6364.8	90			Percent of total billed charges		7160.4	85			Percent of total billed charges		6762.6	85			Percent of total billed charges		6762.6	85			Percent of total billed charges		6762.6	100			Percent of total billed charges		7956	100			Percent of total billed charges		7956	100			Percent of total billed charges		7956	33.3			Percent of total billed charges		2649.348	33.3			Percent of total billed charges		2649.348	100			Percent of total billed charges		7956	2649.348	7160.4	
standard length humeral stem 14mm 113654 biomet	278	RC	Outpatient			7956	5171.4		90			Percent of total billed charges		7160.4	40			Percent of total billed charges		3182.4	80			Percent of total billed charges		6364.8	90			Percent of total billed charges		7160.4	85			Percent of total billed charges		6762.6	85			Percent of total billed charges		6762.6	85			Percent of total billed charges		6762.6	100			Percent of total billed charges		7956	100			Percent of total billed charges		7956	100			Percent of total billed charges		7956	33.3			Percent of total billed charges		2649.348	33.3			Percent of total billed charges		2649.348	100			Percent of total billed charges		7956	2649.348	7160.4	
standard length humeral stem 15mm 113655 biomet	278	RC	Outpatient			7956	5171.4		90			Percent of total billed charges		7160.4	40			Percent of total billed charges		3182.4	80			Percent of total billed charges		6364.8	90			Percent of total billed charges		7160.4	85			Percent of total billed charges		6762.6	85			Percent of total billed charges		6762.6	85			Percent of total billed charges		6762.6	100			Percent of total billed charges		7956	100			Percent of total billed charges		7956	100			Percent of total billed charges		7956	33.3			Percent of total billed charges		2649.348	33.3			Percent of total billed charges		2649.348	100			Percent of total billed charges		7956	2649.348	7160.4	
standard length humeral stem 16mm 113656 biomet	278	RC	Outpatient			7956	5171.4		90			Percent of total billed charges		7160.4	40			Percent of total billed charges		3182.4	80			Percent of total billed charges		6364.8	90			Percent of total billed charges		7160.4	85			Percent of total billed charges		6762.6	85			Percent of total billed charges		6762.6	85			Percent of total billed charges		6762.6	100			Percent of total billed charges		7956	100			Percent of total billed charges		7956	100			Percent of total billed charges		7956	33.3			Percent of total billed charges		2649.348	33.3			Percent of total billed charges		2649.348	100			Percent of total billed charges		7956	2649.348	7160.4	
standard length humeral stem 4mm 113644 biomet	278	RC	Outpatient			7956	5171.4		90			Percent of total billed charges		7160.4	40			Percent of total billed charges		3182.4	80			Percent of total billed charges		6364.8	90			Percent of total billed charges		7160.4	85			Percent of total billed charges		6762.6	85			Percent of total billed charges		6762.6	85			Percent of total billed charges		6762.6	100			Percent of total billed charges		7956	100			Percent of total billed charges		7956	100			Percent of total billed charges		7956	33.3			Percent of total billed charges		2649.348	33.3			Percent of total billed charges		2649.348	100			Percent of total billed charges		7956	2649.348	7160.4	
standard length humeral stem 6mm 113646 biomet	278	RC	Outpatient			7956	5171.4		90			Percent of total billed charges		7160.4	40			Percent of total billed charges		3182.4	80			Percent of total billed charges		6364.8	90			Percent of total billed charges		7160.4	85			Percent of total billed charges		6762.6	85			Percent of total billed charges		6762.6	85			Percent of total billed charges		6762.6	100			Percent of total billed charges		7956	100			Percent of total billed charges		7956	100			Percent of total billed charges		7956	33.3			Percent of total billed charges		2649.348	33.3			Percent of total billed charges		2649.348	100			Percent of total billed charges		7956	2649.348	7160.4	
standard length humeral stem 7mm 113647 biomet	278	RC	Outpatient			7956	5171.4		90			Percent of total billed charges		7160.4	40			Percent of total billed charges		3182.4	80			Percent of total billed charges		6364.8	90			Percent of total billed charges		7160.4	85			Percent of total billed charges		6762.6	85			Percent of total billed charges		6762.6	85			Percent of total billed charges		6762.6	100			Percent of total billed charges		7956	100			Percent of total billed charges		7956	100			Percent of total billed charges		7956	33.3			Percent of total billed charges		2649.348	33.3			Percent of total billed charges		2649.348	100			Percent of total billed charges		7956	2649.348	7160.4	
standard length humeral stem 8mm 113648 biomet	278	RC	Outpatient			7956	5171.4		90			Percent of total billed charges		7160.4	40			Percent of total billed charges		3182.4	80			Percent of total billed charges		6364.8	90			Percent of total billed charges		7160.4	85			Percent of total billed charges		6762.6	85			Percent of total billed charges		6762.6	85			Percent of total billed charges		6762.6	100			Percent of total billed charges		7956	100			Percent of total billed charges		7956	100			Percent of total billed charges		7956	33.3			Percent of total billed charges		2649.348	33.3			Percent of total billed charges		2649.348	100			Percent of total billed charges		7956	2649.348	7160.4	
standard length humeral stem 9mm 113649 biomet	278	RC	Outpatient			7956	5171.4		90			Percent of total billed charges		7160.4	40			Percent of total billed charges		3182.4	80			Percent of total billed charges		6364.8	90			Percent of total billed charges		7160.4	85			Percent of total billed charges		6762.6	85			Percent of total billed charges		6762.6	85			Percent of total billed charges		6762.6	100			Percent of total billed charges		7956	100			Percent of total billed charges		7956	100			Percent of total billed charges		7956	33.3			Percent of total billed charges		2649.348	33.3			Percent of total billed charges		2649.348	100			Percent of total billed charges		7956	2649.348	7160.4	
optablade 15 mm probe dual kit stryker ref 9700-015-200	278	RC	Outpatient			8002.5	5201.63		90			Percent of total billed charges		7202.25	40			Percent of total billed charges		3201	80			Percent of total billed charges		6402	90			Percent of total billed charges		7202.25	85			Percent of total billed charges		6802.125	85			Percent of total billed charges		6802.125	85			Percent of total billed charges		6802.125	100			Percent of total billed charges		8002.5	100			Percent of total billed charges		8002.5	100			Percent of total billed charges		8002.5	33.3			Percent of total billed charges		2664.8325	33.3			Percent of total billed charges		2664.8325	100			Percent of total billed charges		8002.5	2664.8325	7202.25	
"cosmetic - macs - facelift and low blephs, brow"	983	RC	Outpatient			8003	5201.95		90			Percent of total billed charges		7202.7	40			Percent of total billed charges		3201.2	80			Percent of total billed charges		6402.4	90			Percent of total billed charges		7202.7	85			Percent of total billed charges		6802.55	85			Percent of total billed charges		6802.55	85			Percent of total billed charges		6802.55	100			Percent of total billed charges		8003	100			Percent of total billed charges		8003	100			Percent of total billed charges		8003	33.3			Percent of total billed charges		2664.999	33.3			Percent of total billed charges		2664.999	100			Percent of total billed charges		8003	2664.999	7202.7	
"cosmetic - macs - facelift and upper blephs, brow"	983	RC	Outpatient			8003	5201.95		90			Percent of total billed charges		7202.7	40			Percent of total billed charges		3201.2	80			Percent of total billed charges		6402.4	90			Percent of total billed charges		7202.7	85			Percent of total billed charges		6802.55	85			Percent of total billed charges		6802.55	85			Percent of total billed charges		6802.55	100			Percent of total billed charges		8003	100			Percent of total billed charges		8003	100			Percent of total billed charges		8003	33.3			Percent of total billed charges		2664.999	33.3			Percent of total billed charges		2664.999	100			Percent of total billed charges		8003	2664.999	7202.7	
or time 7 1/2 hours	270	RC	Outpatient			8009	5205.85		90			Percent of total billed charges		7208.1	40			Percent of total billed charges		3203.6	80			Percent of total billed charges		6407.2	90			Percent of total billed charges		7208.1	85			Percent of total billed charges		6807.65	85			Percent of total billed charges		6807.65	85			Percent of total billed charges		6807.65	100			Percent of total billed charges		8009	100			Percent of total billed charges		8009	100			Percent of total billed charges		8009	33.3			Percent of total billed charges		2666.997	33.3			Percent of total billed charges		2666.997	100			Percent of total billed charges		8009	2666.997	7208.1	
amendia cerv interbody6mm	278	RC	Outpatient			8012	5207.8		90			Percent of total billed charges		7210.8	40			Percent of total billed charges		3204.8	80			Percent of total billed charges		6409.6	90			Percent of total billed charges		7210.8	85			Percent of total billed charges		6810.2	85			Percent of total billed charges		6810.2	85			Percent of total billed charges		6810.2	100			Percent of total billed charges		8012	100			Percent of total billed charges		8012	100			Percent of total billed charges		8012	33.3			Percent of total billed charges		2667.996	33.3			Percent of total billed charges		2667.996	100			Percent of total billed charges		8012	2667.996	7210.8	
cervical interbody 6 x 14 x12mm 1001106ls amendia	278	RC	Outpatient			8012	5207.8		90			Percent of total billed charges		7210.8	40			Percent of total billed charges		3204.8	80			Percent of total billed charges		6409.6	90			Percent of total billed charges		7210.8	85			Percent of total billed charges		6810.2	85			Percent of total billed charges		6810.2	85			Percent of total billed charges		6810.2	100			Percent of total billed charges		8012	100			Percent of total billed charges		8012	100			Percent of total billed charges		8012	33.3			Percent of total billed charges		2667.996	33.3			Percent of total billed charges		2667.996	100			Percent of total billed charges		8012	2667.996	7210.8	
cath lab sensia ses ro1 medtronic	275	RC	Outpatient			8022	5214.3		90			Percent of total billed charges		7219.8	40			Percent of total billed charges		3208.8	80			Percent of total billed charges		6417.6	90			Percent of total billed charges		7219.8	85			Percent of total billed charges		6818.7	85			Percent of total billed charges		6818.7	85			Percent of total billed charges		6818.7	100			Percent of total billed charges		8022	100			Percent of total billed charges		8022	100			Percent of total billed charges		8022	33.3			Percent of total billed charges		2671.326	33.3			Percent of total billed charges		2671.326	100			Percent of total billed charges		8022	2671.326	7219.8	
mt sesr01 sensia generator/5076-58/5833sl cable	275	RC	Outpatient			8022	5214.3		90			Percent of total billed charges		7219.8	40			Percent of total billed charges		3208.8	80			Percent of total billed charges		6417.6	90			Percent of total billed charges		7219.8	85			Percent of total billed charges		6818.7	85			Percent of total billed charges		6818.7	85			Percent of total billed charges		6818.7	100			Percent of total billed charges		8022	100			Percent of total billed charges		8022	100			Percent of total billed charges		8022	33.3			Percent of total billed charges		2671.326	33.3			Percent of total billed charges		2671.326	100			Percent of total billed charges		8022	2671.326	7219.8	
osteocell 10cc	278	RC	Outpatient			8022	5214.3		90			Percent of total billed charges		7219.8	40			Percent of total billed charges		3208.8	80			Percent of total billed charges		6417.6	90			Percent of total billed charges		7219.8	85			Percent of total billed charges		6818.7	85			Percent of total billed charges		6818.7	85			Percent of total billed charges		6818.7	100			Percent of total billed charges		8022	100			Percent of total billed charges		8022	100			Percent of total billed charges		8022	33.3			Percent of total billed charges		2671.326	33.3			Percent of total billed charges		2671.326	100			Percent of total billed charges		8022	2671.326	7219.8	
osteocell 10cc 90080 nutech med	278	RC	Outpatient			8022	5214.3		90			Percent of total billed charges		7219.8	40			Percent of total billed charges		3208.8	80			Percent of total billed charges		6417.6	90			Percent of total billed charges		7219.8	85			Percent of total billed charges		6818.7	85			Percent of total billed charges		6818.7	85			Percent of total billed charges		6818.7	100			Percent of total billed charges		8022	100			Percent of total billed charges		8022	100			Percent of total billed charges		8022	33.3			Percent of total billed charges		2671.326	33.3			Percent of total billed charges		2671.326	100			Percent of total billed charges		8022	2671.326	7219.8	
mt sesr01 generator	275	RC	Outpatient			8022	5214.3		90			Percent of total billed charges		7219.8	40			Percent of total billed charges		3208.8	80			Percent of total billed charges		6417.6	90			Percent of total billed charges		7219.8	85			Percent of total billed charges		6818.7	85			Percent of total billed charges		6818.7	85			Percent of total billed charges		6818.7	100			Percent of total billed charges		8022	100			Percent of total billed charges		8022	100			Percent of total billed charges		8022	33.3			Percent of total billed charges		2671.326	33.3			Percent of total billed charges		2671.326	100			Percent of total billed charges		8022	2671.326	7219.8	
sensia sesrol	275	RC	Outpatient			8022	5214.3		90			Percent of total billed charges		7219.8	40			Percent of total billed charges		3208.8	80			Percent of total billed charges		6417.6	90			Percent of total billed charges		7219.8	85			Percent of total billed charges		6818.7	85			Percent of total billed charges		6818.7	85			Percent of total billed charges		6818.7	100			Percent of total billed charges		8022	100			Percent of total billed charges		8022	100			Percent of total billed charges		8022	33.3			Percent of total billed charges		2671.326	33.3			Percent of total billed charges		2671.326	100			Percent of total billed charges		8022	2671.326	7219.8	
synthes zero-p imp	278	RC	Outpatient			8022	5214.3		90			Percent of total billed charges		7219.8	40			Percent of total billed charges		3208.8	80			Percent of total billed charges		6417.6	90			Percent of total billed charges		7219.8	85			Percent of total billed charges		6818.7	85			Percent of total billed charges		6818.7	85			Percent of total billed charges		6818.7	100			Percent of total billed charges		8022	100			Percent of total billed charges		8022	100			Percent of total billed charges		8022	33.3			Percent of total billed charges		2671.326	33.3			Percent of total billed charges		2671.326	100			Percent of total billed charges		8022	2671.326	7219.8	
zero-p implant 8mm lordotic 04.617.128s synthes	278	RC	Outpatient			8022	5214.3		90			Percent of total billed charges		7219.8	40			Percent of total billed charges		3208.8	80			Percent of total billed charges		6417.6	90			Percent of total billed charges		7219.8	85			Percent of total billed charges		6818.7	85			Percent of total billed charges		6818.7	85			Percent of total billed charges		6818.7	100			Percent of total billed charges		8022	100			Percent of total billed charges		8022	100			Percent of total billed charges		8022	33.3			Percent of total billed charges		2671.326	33.3			Percent of total billed charges		2671.326	100			Percent of total billed charges		8022	2671.326	7219.8	
zero-p implant 6mm lordotic 04.617.126s synthes	278	RC	Outpatient			8022	5214.3		90			Percent of total billed charges		7219.8	40			Percent of total billed charges		3208.8	80			Percent of total billed charges		6417.6	90			Percent of total billed charges		7219.8	85			Percent of total billed charges		6818.7	85			Percent of total billed charges		6818.7	85			Percent of total billed charges		6818.7	100			Percent of total billed charges		8022	100			Percent of total billed charges		8022	100			Percent of total billed charges		8022	33.3			Percent of total billed charges		2671.326	33.3			Percent of total billed charges		2671.326	100			Percent of total billed charges		8022	2671.326	7219.8	
zero-p implant 7mm lordotic 04.617.127s synthes	278	RC	Outpatient			8022	5214.3		90			Percent of total billed charges		7219.8	40			Percent of total billed charges		3208.8	80			Percent of total billed charges		6417.6	90			Percent of total billed charges		7219.8	85			Percent of total billed charges		6818.7	85			Percent of total billed charges		6818.7	85			Percent of total billed charges		6818.7	100			Percent of total billed charges		8022	100			Percent of total billed charges		8022	100			Percent of total billed charges		8022	33.3			Percent of total billed charges		2671.326	33.3			Percent of total billed charges		2671.326	100			Percent of total billed charges		8022	2671.326	7219.8	
bio porous fem stem	278	RC	Outpatient			8101	5265.65		90			Percent of total billed charges		7290.9	40			Percent of total billed charges		3240.4	80			Percent of total billed charges		6480.8	90			Percent of total billed charges		7290.9	85			Percent of total billed charges		6885.85	85			Percent of total billed charges		6885.85	85			Percent of total billed charges		6885.85	100			Percent of total billed charges		8101	100			Percent of total billed charges		8101	100			Percent of total billed charges		8101	33.3			Percent of total billed charges		2697.633	33.3			Percent of total billed charges		2697.633	100			Percent of total billed charges		8101	2697.633	7290.9	
rx 90  13 x 200mm (l) stem biomet 129114	278	RC	Outpatient			8101	5265.65		90			Percent of total billed charges		7290.9	40			Percent of total billed charges		3240.4	80			Percent of total billed charges		6480.8	90			Percent of total billed charges		7290.9	85			Percent of total billed charges		6885.85	85			Percent of total billed charges		6885.85	85			Percent of total billed charges		6885.85	100			Percent of total billed charges		8101	100			Percent of total billed charges		8101	100			Percent of total billed charges		8101	33.3			Percent of total billed charges		2697.633	33.3			Percent of total billed charges		2697.633	100			Percent of total billed charges		8101	2697.633	7290.9	
profix por femoral rt sz6 71502160 s/n	278	RC	Outpatient			8123	5279.95		90			Percent of total billed charges		7310.7	40			Percent of total billed charges		3249.2	80			Percent of total billed charges		6498.4	90			Percent of total billed charges		7310.7	85			Percent of total billed charges		6904.55	85			Percent of total billed charges		6904.55	85			Percent of total billed charges		6904.55	100			Percent of total billed charges		8123	100			Percent of total billed charges		8123	100			Percent of total billed charges		8123	33.3			Percent of total billed charges		2704.959	33.3			Percent of total billed charges		2704.959	100			Percent of total billed charges		8123	2704.959	7310.7	
s/n profix pdr fem	278	RC	Outpatient			8123	5279.95		90			Percent of total billed charges		7310.7	40			Percent of total billed charges		3249.2	80			Percent of total billed charges		6498.4	90			Percent of total billed charges		7310.7	85			Percent of total billed charges		6904.55	85			Percent of total billed charges		6904.55	85			Percent of total billed charges		6904.55	100			Percent of total billed charges		8123	100			Percent of total billed charges		8123	100			Percent of total billed charges		8123	33.3			Percent of total billed charges		2704.959	33.3			Percent of total billed charges		2704.959	100			Percent of total billed charges		8123	2704.959	7310.7	
reunion humeral comp	278	RC	Outpatient			8136	5288.4		90			Percent of total billed charges		7322.4	40			Percent of total billed charges		3254.4	80			Percent of total billed charges		6508.8	90			Percent of total billed charges		7322.4	85			Percent of total billed charges		6915.6	85			Percent of total billed charges		6915.6	85			Percent of total billed charges		6915.6	100			Percent of total billed charges		8136	100			Percent of total billed charges		8136	100			Percent of total billed charges		8136	33.3			Percent of total billed charges		2709.288	33.3			Percent of total billed charges		2709.288	100			Percent of total billed charges		8136	2709.288	7322.4	
reunion ha fx stem humeral comp 9mm r5351-4509 stryker	278	RC	Outpatient			8136	5288.4		90			Percent of total billed charges		7322.4	40			Percent of total billed charges		3254.4	80			Percent of total billed charges		6508.8	90			Percent of total billed charges		7322.4	85			Percent of total billed charges		6915.6	85			Percent of total billed charges		6915.6	85			Percent of total billed charges		6915.6	100			Percent of total billed charges		8136	100			Percent of total billed charges		8136	100			Percent of total billed charges		8136	33.3			Percent of total billed charges		2709.288	33.3			Percent of total billed charges		2709.288	100			Percent of total billed charges		8136	2709.288	7322.4	
bi-metric collarless echo stem 12 x 140mm 192010 biomet	278	RC	Outpatient			8157	5302.05		90			Percent of total billed charges		7341.3	40			Percent of total billed charges		3262.8	80			Percent of total billed charges		6525.6	90			Percent of total billed charges		7341.3	85			Percent of total billed charges		6933.45	85			Percent of total billed charges		6933.45	85			Percent of total billed charges		6933.45	100			Percent of total billed charges		8157	100			Percent of total billed charges		8157	100			Percent of total billed charges		8157	33.3			Percent of total billed charges		2716.281	33.3			Percent of total billed charges		2716.281	100			Percent of total billed charges		8157	2716.281	7341.3	
bi-metric collarless echo stem 12 x 140mm 192012 biomet	278	RC	Outpatient			8157	5302.05		90			Percent of total billed charges		7341.3	40			Percent of total billed charges		3262.8	80			Percent of total billed charges		6525.6	90			Percent of total billed charges		7341.3	85			Percent of total billed charges		6933.45	85			Percent of total billed charges		6933.45	85			Percent of total billed charges		6933.45	100			Percent of total billed charges		8157	100			Percent of total billed charges		8157	100			Percent of total billed charges		8157	33.3			Percent of total billed charges		2716.281	33.3			Percent of total billed charges		2716.281	100			Percent of total billed charges		8157	2716.281	7341.3	
bio echo bi-metric stem	278	RC	Outpatient			8157	5302.05		90			Percent of total billed charges		7341.3	40			Percent of total billed charges		3262.8	80			Percent of total billed charges		6525.6	90			Percent of total billed charges		7341.3	85			Percent of total billed charges		6933.45	85			Percent of total billed charges		6933.45	85			Percent of total billed charges		6933.45	100			Percent of total billed charges		8157	100			Percent of total billed charges		8157	100			Percent of total billed charges		8157	33.3			Percent of total billed charges		2716.281	33.3			Percent of total billed charges		2716.281	100			Percent of total billed charges		8157	2716.281	7341.3	
depuy srom ps tib plateau	278	RC	Outpatient			8162	5305.3		90			Percent of total billed charges		7345.8	40			Percent of total billed charges		3264.8	80			Percent of total billed charges		6529.6	90			Percent of total billed charges		7345.8	85			Percent of total billed charges		6937.7	85			Percent of total billed charges		6937.7	85			Percent of total billed charges		6937.7	100			Percent of total billed charges		8162	100			Percent of total billed charges		8162	100			Percent of total billed charges		8162	33.3			Percent of total billed charges		2717.946	33.3			Percent of total billed charges		2717.946	100			Percent of total billed charges		8162	2717.946	7345.8	
s-rom noiles ps tibial 62mm x-sm  62-2156 depuy	278	RC	Outpatient			8162	5305.3		90			Percent of total billed charges		7345.8	40			Percent of total billed charges		3264.8	80			Percent of total billed charges		6529.6	90			Percent of total billed charges		7345.8	85			Percent of total billed charges		6937.7	85			Percent of total billed charges		6937.7	85			Percent of total billed charges		6937.7	100			Percent of total billed charges		8162	100			Percent of total billed charges		8162	100			Percent of total billed charges		8162	33.3			Percent of total billed charges		2717.946	33.3			Percent of total billed charges		2717.946	100			Percent of total billed charges		8162	2717.946	7345.8	
s-rom noiles ps tibial plateau sm  62-2163 depuy	278	RC	Outpatient			8162	5305.3		90			Percent of total billed charges		7345.8	40			Percent of total billed charges		3264.8	80			Percent of total billed charges		6529.6	90			Percent of total billed charges		7345.8	85			Percent of total billed charges		6937.7	85			Percent of total billed charges		6937.7	85			Percent of total billed charges		6937.7	100			Percent of total billed charges		8162	100			Percent of total billed charges		8162	100			Percent of total billed charges		8162	33.3			Percent of total billed charges		2717.946	33.3			Percent of total billed charges		2717.946	100			Percent of total billed charges		8162	2717.946	7345.8	
s-rom ps tibial plateau 10mm thick lg 62-2183 depuy	278	RC	Outpatient			8162	5305.3		90			Percent of total billed charges		7345.8	40			Percent of total billed charges		3264.8	80			Percent of total billed charges		6529.6	90			Percent of total billed charges		7345.8	85			Percent of total billed charges		6937.7	85			Percent of total billed charges		6937.7	85			Percent of total billed charges		6937.7	100			Percent of total billed charges		8162	100			Percent of total billed charges		8162	100			Percent of total billed charges		8162	33.3			Percent of total billed charges		2717.946	33.3			Percent of total billed charges		2717.946	100			Percent of total billed charges		8162	2717.946	7345.8	
srom tibial plateau lg 15mm thick depuy 62-2185	278	RC	Outpatient			8162	5305.3		90			Percent of total billed charges		7345.8	40			Percent of total billed charges		3264.8	80			Percent of total billed charges		6529.6	90			Percent of total billed charges		7345.8	85			Percent of total billed charges		6937.7	85			Percent of total billed charges		6937.7	85			Percent of total billed charges		6937.7	100			Percent of total billed charges		8162	100			Percent of total billed charges		8162	100			Percent of total billed charges		8162	33.3			Percent of total billed charges		2717.946	33.3			Percent of total billed charges		2717.946	100			Percent of total billed charges		8162	2717.946	7345.8	
bio 407145 edora 8-dr t gen	278	RC	Outpatient			8168	5309.2		90			Percent of total billed charges		7351.2	40			Percent of total billed charges		3267.2	80			Percent of total billed charges		6534.4	90			Percent of total billed charges		7351.2	85			Percent of total billed charges		6942.8	85			Percent of total billed charges		6942.8	85			Percent of total billed charges		6942.8	100			Percent of total billed charges		8168	100			Percent of total billed charges		8168	100			Percent of total billed charges		8168	33.3			Percent of total billed charges		2719.944	33.3			Percent of total billed charges		2719.944	100			Percent of total billed charges		8168	2719.944	7351.2	
cosmetic - abdominoplasty/thigh lift	983	RC	Outpatient			8168	5309.2		90			Percent of total billed charges		7351.2	40			Percent of total billed charges		3267.2	80			Percent of total billed charges		6534.4	90			Percent of total billed charges		7351.2	85			Percent of total billed charges		6942.8	85			Percent of total billed charges		6942.8	85			Percent of total billed charges		6942.8	100			Percent of total billed charges		8168	100			Percent of total billed charges		8168	100			Percent of total billed charges		8168	33.3			Percent of total billed charges		2719.944	33.3			Percent of total billed charges		2719.944	100			Percent of total billed charges		8168	2719.944	7351.2	
copeland ha humeral rsrf head size 2 11-114642 biomet	278	RC	Outpatient			8221	5343.65		90			Percent of total billed charges		7398.9	40			Percent of total billed charges		3288.4	80			Percent of total billed charges		6576.8	90			Percent of total billed charges		7398.9	85			Percent of total billed charges		6987.85	85			Percent of total billed charges		6987.85	85			Percent of total billed charges		6987.85	100			Percent of total billed charges		8221	100			Percent of total billed charges		8221	100			Percent of total billed charges		8221	33.3			Percent of total billed charges		2737.593	33.3			Percent of total billed charges		2737.593	100			Percent of total billed charges		8221	2737.593	7398.9	
copeland ha humeral rsrf head size 3 11-114643 biomet	278	RC	Outpatient			8221	5343.65		90			Percent of total billed charges		7398.9	40			Percent of total billed charges		3288.4	80			Percent of total billed charges		6576.8	90			Percent of total billed charges		7398.9	85			Percent of total billed charges		6987.85	85			Percent of total billed charges		6987.85	85			Percent of total billed charges		6987.85	100			Percent of total billed charges		8221	100			Percent of total billed charges		8221	100			Percent of total billed charges		8221	33.3			Percent of total billed charges		2737.593	33.3			Percent of total billed charges		2737.593	100			Percent of total billed charges		8221	2737.593	7398.9	
copeland ha humeral rsrf head size 6 11-114646 biomet	278	RC	Outpatient			8221	5343.65		90			Percent of total billed charges		7398.9	40			Percent of total billed charges		3288.4	80			Percent of total billed charges		6576.8	90			Percent of total billed charges		7398.9	85			Percent of total billed charges		6987.85	85			Percent of total billed charges		6987.85	85			Percent of total billed charges		6987.85	100			Percent of total billed charges		8221	100			Percent of total billed charges		8221	100			Percent of total billed charges		8221	33.3			Percent of total billed charges		2737.593	33.3			Percent of total billed charges		2737.593	100			Percent of total billed charges		8221	2737.593	7398.9	
copeland humeral head lg 114643 biomet	278	RC	Outpatient			8221	5343.65		90			Percent of total billed charges		7398.9	40			Percent of total billed charges		3288.4	80			Percent of total billed charges		6576.8	90			Percent of total billed charges		7398.9	85			Percent of total billed charges		6987.85	85			Percent of total billed charges		6987.85	85			Percent of total billed charges		6987.85	100			Percent of total billed charges		8221	100			Percent of total billed charges		8221	100			Percent of total billed charges		8221	33.3			Percent of total billed charges		2737.593	33.3			Percent of total billed charges		2737.593	100			Percent of total billed charges		8221	2737.593	7398.9	
biomet copeland shoulder	278	RC	Outpatient			8221	5343.65		90			Percent of total billed charges		7398.9	40			Percent of total billed charges		3288.4	80			Percent of total billed charges		6576.8	90			Percent of total billed charges		7398.9	85			Percent of total billed charges		6987.85	85			Percent of total billed charges		6987.85	85			Percent of total billed charges		6987.85	100			Percent of total billed charges		8221	100			Percent of total billed charges		8221	100			Percent of total billed charges		8221	33.3			Percent of total billed charges		2737.593	33.3			Percent of total billed charges		2737.593	100			Percent of total billed charges		8221	2737.593	7398.9	
copeland  humeral head med plus 114647 biomet	278	RC	Outpatient			8221	5343.65		90			Percent of total billed charges		7398.9	40			Percent of total billed charges		3288.4	80			Percent of total billed charges		6576.8	90			Percent of total billed charges		7398.9	85			Percent of total billed charges		6987.85	85			Percent of total billed charges		6987.85	85			Percent of total billed charges		6987.85	100			Percent of total billed charges		8221	100			Percent of total billed charges		8221	100			Percent of total billed charges		8221	33.3			Percent of total billed charges		2737.593	33.3			Percent of total billed charges		2737.593	100			Percent of total billed charges		8221	2737.593	7398.9	
copeland ha humeral head med 114642 biomet	278	RC	Outpatient			8221	5343.65		90			Percent of total billed charges		7398.9	40			Percent of total billed charges		3288.4	80			Percent of total billed charges		6576.8	90			Percent of total billed charges		7398.9	85			Percent of total billed charges		6987.85	85			Percent of total billed charges		6987.85	85			Percent of total billed charges		6987.85	100			Percent of total billed charges		8221	100			Percent of total billed charges		8221	100			Percent of total billed charges		8221	33.3			Percent of total billed charges		2737.593	33.3			Percent of total billed charges		2737.593	100			Percent of total billed charges		8221	2737.593	7398.9	
copeland ha humeral head xlg 114644 biomet	278	RC	Outpatient			8221	5343.65		90			Percent of total billed charges		7398.9	40			Percent of total billed charges		3288.4	80			Percent of total billed charges		6576.8	90			Percent of total billed charges		7398.9	85			Percent of total billed charges		6987.85	85			Percent of total billed charges		6987.85	85			Percent of total billed charges		6987.85	100			Percent of total billed charges		8221	100			Percent of total billed charges		8221	100			Percent of total billed charges		8221	33.3			Percent of total billed charges		2737.593	33.3			Percent of total billed charges		2737.593	100			Percent of total billed charges		8221	2737.593	7398.9	
copeland ha humeral rsrf head size 1 11-114641 biomet	278	RC	Outpatient			8221	5343.65		90			Percent of total billed charges		7398.9	40			Percent of total billed charges		3288.4	80			Percent of total billed charges		6576.8	90			Percent of total billed charges		7398.9	85			Percent of total billed charges		6987.85	85			Percent of total billed charges		6987.85	85			Percent of total billed charges		6987.85	100			Percent of total billed charges		8221	100			Percent of total billed charges		8221	100			Percent of total billed charges		8221	33.3			Percent of total billed charges		2737.593	33.3			Percent of total billed charges		2737.593	100			Percent of total billed charges		8221	2737.593	7398.9	
copeland ha humeral rsrf head size 4 11-114644 biomet	278	RC	Outpatient			8221	5343.65		90			Percent of total billed charges		7398.9	40			Percent of total billed charges		3288.4	80			Percent of total billed charges		6576.8	90			Percent of total billed charges		7398.9	85			Percent of total billed charges		6987.85	85			Percent of total billed charges		6987.85	85			Percent of total billed charges		6987.85	100			Percent of total billed charges		8221	100			Percent of total billed charges		8221	100			Percent of total billed charges		8221	33.3			Percent of total billed charges		2737.593	33.3			Percent of total billed charges		2737.593	100			Percent of total billed charges		8221	2737.593	7398.9	
copeland ha humeral rsrf head size 5 11-114645 biomet	278	RC	Outpatient			8221	5343.65		90			Percent of total billed charges		7398.9	40			Percent of total billed charges		3288.4	80			Percent of total billed charges		6576.8	90			Percent of total billed charges		7398.9	85			Percent of total billed charges		6987.85	85			Percent of total billed charges		6987.85	85			Percent of total billed charges		6987.85	100			Percent of total billed charges		8221	100			Percent of total billed charges		8221	100			Percent of total billed charges		8221	33.3			Percent of total billed charges		2737.593	33.3			Percent of total billed charges		2737.593	100			Percent of total billed charges		8221	2737.593	7398.9	
copeland ha humeral rsrf head size 7 11-114647 biomet	278	RC	Outpatient			8221	5343.65		90			Percent of total billed charges		7398.9	40			Percent of total billed charges		3288.4	80			Percent of total billed charges		6576.8	90			Percent of total billed charges		7398.9	85			Percent of total billed charges		6987.85	85			Percent of total billed charges		6987.85	85			Percent of total billed charges		6987.85	100			Percent of total billed charges		8221	100			Percent of total billed charges		8221	100			Percent of total billed charges		8221	33.3			Percent of total billed charges		2737.593	33.3			Percent of total billed charges		2737.593	100			Percent of total billed charges		8221	2737.593	7398.9	
copeland ha humeral rsrf head size 8 11-114648 biomet	278	RC	Outpatient			8221	5343.65		90			Percent of total billed charges		7398.9	40			Percent of total billed charges		3288.4	80			Percent of total billed charges		6576.8	90			Percent of total billed charges		7398.9	85			Percent of total billed charges		6987.85	85			Percent of total billed charges		6987.85	85			Percent of total billed charges		6987.85	100			Percent of total billed charges		8221	100			Percent of total billed charges		8221	100			Percent of total billed charges		8221	33.3			Percent of total billed charges		2737.593	33.3			Percent of total billed charges		2737.593	100			Percent of total billed charges		8221	2737.593	7398.9	
6947-65cm	278	RC	Outpatient			8250	5362.5		90			Percent of total billed charges		7425	40			Percent of total billed charges		3300	80			Percent of total billed charges		6600	90			Percent of total billed charges		7425	85			Percent of total billed charges		7012.5	85			Percent of total billed charges		7012.5	85			Percent of total billed charges		7012.5	100			Percent of total billed charges		8250	100			Percent of total billed charges		8250	100			Percent of total billed charges		8250	33.3			Percent of total billed charges		2747.25	33.3			Percent of total billed charges		2747.25	100			Percent of total billed charges		8250	2747.25	7425	
mt 6947m-55cm icd lead	278	RC	Outpatient			8250	5362.5		90			Percent of total billed charges		7425	40			Percent of total billed charges		3300	80			Percent of total billed charges		6600	90			Percent of total billed charges		7425	85			Percent of total billed charges		7012.5	85			Percent of total billed charges		7012.5	85			Percent of total billed charges		7012.5	100			Percent of total billed charges		8250	100			Percent of total billed charges		8250	100			Percent of total billed charges		8250	33.3			Percent of total billed charges		2747.25	33.3			Percent of total billed charges		2747.25	100			Percent of total billed charges		8250	2747.25	7425	
triathlon cr fem w/pa	278	RC	Outpatient			8275	5378.75		90			Percent of total billed charges		7447.5	40			Percent of total billed charges		3310	80			Percent of total billed charges		6620	90			Percent of total billed charges		7447.5	85			Percent of total billed charges		7033.75	85			Percent of total billed charges		7033.75	85			Percent of total billed charges		7033.75	100			Percent of total billed charges		8275	100			Percent of total billed charges		8275	100			Percent of total billed charges		8275	33.3			Percent of total billed charges		2755.575	33.3			Percent of total billed charges		2755.575	100			Percent of total billed charges		8275	2755.575	7447.5	
triathlon pa cr femur r sz 2 5517-f-202 stryker	278	RC	Outpatient			8275	5378.75		90			Percent of total billed charges		7447.5	40			Percent of total billed charges		3310	80			Percent of total billed charges		6620	90			Percent of total billed charges		7447.5	85			Percent of total billed charges		7033.75	85			Percent of total billed charges		7033.75	85			Percent of total billed charges		7033.75	100			Percent of total billed charges		8275	100			Percent of total billed charges		8275	100			Percent of total billed charges		8275	33.3			Percent of total billed charges		2755.575	33.3			Percent of total billed charges		2755.575	100			Percent of total billed charges		8275	2755.575	7447.5	
cosmetic - mastopexy/aug with gel	983	RC	Outpatient			8305	5398.25		90			Percent of total billed charges		7474.5	40			Percent of total billed charges		3322	80			Percent of total billed charges		6644	90			Percent of total billed charges		7474.5	85			Percent of total billed charges		7059.25	85			Percent of total billed charges		7059.25	85			Percent of total billed charges		7059.25	100			Percent of total billed charges		8305	100			Percent of total billed charges		8305	100			Percent of total billed charges		8305	33.3			Percent of total billed charges		2765.565	33.3			Percent of total billed charges		2765.565	100			Percent of total billed charges		8305	2765.565	7474.5	
guidant generator adv dr	275	RC	Outpatient			8316	5405.4		90			Percent of total billed charges		7484.4	40			Percent of total billed charges		3326.4	80			Percent of total billed charges		6652.8	90			Percent of total billed charges		7484.4	85			Percent of total billed charges		7068.6	85			Percent of total billed charges		7068.6	85			Percent of total billed charges		7068.6	100			Percent of total billed charges		8316	100			Percent of total billed charges		8316	100			Percent of total billed charges		8316	33.3			Percent of total billed charges		2769.228	33.3			Percent of total billed charges		2769.228	100			Percent of total billed charges		8316	2769.228	7484.4	
rest plasma dis st 267mm	278	RC	Outpatient			8320	5408		90			Percent of total billed charges		7488	40			Percent of total billed charges		3328	80			Percent of total billed charges		6656	90			Percent of total billed charges		7488	85			Percent of total billed charges		7072	85			Percent of total billed charges		7072	85			Percent of total billed charges		7072	100			Percent of total billed charges		8320	100			Percent of total billed charges		8320	100			Percent of total billed charges		8320	33.3			Percent of total billed charges		2770.56	33.3			Percent of total billed charges		2770.56	100			Percent of total billed charges		8320	2770.56	7488	
restoration plasma distal stem 6276-5-515 howmedica	278	RC	Outpatient			8320	5408		90			Percent of total billed charges		7488	40			Percent of total billed charges		3328	80			Percent of total billed charges		6656	90			Percent of total billed charges		7488	85			Percent of total billed charges		7072	85			Percent of total billed charges		7072	85			Percent of total billed charges		7072	100			Percent of total billed charges		8320	100			Percent of total billed charges		8320	100			Percent of total billed charges		8320	33.3			Percent of total billed charges		2770.56	33.3			Percent of total billed charges		2770.56	100			Percent of total billed charges		8320	2770.56	7488	
richards synergy fem comp	278	RC	Outpatient			8361	5434.65		90			Percent of total billed charges		7524.9	40			Percent of total billed charges		3344.4	80			Percent of total billed charges		6688.8	90			Percent of total billed charges		7524.9	85			Percent of total billed charges		7106.85	85			Percent of total billed charges		7106.85	85			Percent of total billed charges		7106.85	100			Percent of total billed charges		8361	100			Percent of total billed charges		8361	100			Percent of total billed charges		8361	33.3			Percent of total billed charges		2784.213	33.3			Percent of total billed charges		2784.213	100			Percent of total billed charges		8361	2784.213	7524.9	
synergy femoral comp sz 20 71926108 s/n	278	RC	Outpatient			8361	5434.65		90			Percent of total billed charges		7524.9	40			Percent of total billed charges		3344.4	80			Percent of total billed charges		6688.8	90			Percent of total billed charges		7524.9	85			Percent of total billed charges		7106.85	85			Percent of total billed charges		7106.85	85			Percent of total billed charges		7106.85	100			Percent of total billed charges		8361	100			Percent of total billed charges		8361	100			Percent of total billed charges		8361	33.3			Percent of total billed charges		2784.213	33.3			Percent of total billed charges		2784.213	100			Percent of total billed charges		8361	2784.213	7524.9	
synergy femoral comp sz 19 71926107 s/n	278	RC	Outpatient			8361	5434.65		90			Percent of total billed charges		7524.9	40			Percent of total billed charges		3344.4	80			Percent of total billed charges		6688.8	90			Percent of total billed charges		7524.9	85			Percent of total billed charges		7106.85	85			Percent of total billed charges		7106.85	85			Percent of total billed charges		7106.85	100			Percent of total billed charges		8361	100			Percent of total billed charges		8361	100			Percent of total billed charges		8361	33.3			Percent of total billed charges		2784.213	33.3			Percent of total billed charges		2784.213	100			Percent of total billed charges		8361	2784.213	7524.9	
biotron lumax st65/17lead	275	RC	Outpatient			8368	5439.2		90			Percent of total billed charges		7531.2	40			Percent of total billed charges		3347.2	80			Percent of total billed charges		6694.4	90			Percent of total billed charges		7531.2	85			Percent of total billed charges		7112.8	85			Percent of total billed charges		7112.8	85			Percent of total billed charges		7112.8	100			Percent of total billed charges		8368	100			Percent of total billed charges		8368	100			Percent of total billed charges		8368	33.3			Percent of total billed charges		2786.544	33.3			Percent of total billed charges		2786.544	100			Percent of total billed charges		8368	2786.544	7531.2	
endurant aort ext23&25x49	278	RC	Outpatient			8374	5443.1		90			Percent of total billed charges		7536.6	40			Percent of total billed charges		3349.6	80			Percent of total billed charges		6699.2	90			Percent of total billed charges		7536.6	85			Percent of total billed charges		7117.9	85			Percent of total billed charges		7117.9	85			Percent of total billed charges		7117.9	100			Percent of total billed charges		8374	100			Percent of total billed charges		8374	100			Percent of total billed charges		8374	33.3			Percent of total billed charges		2788.542	33.3			Percent of total billed charges		2788.542	100			Percent of total billed charges		8374	2788.542	7536.6	
endurant stent graft aortic extension 23 x 23 x 49mm encf2323c49e medtronic	278	RC	Outpatient			8374	5443.1		90			Percent of total billed charges		7536.6	40			Percent of total billed charges		3349.6	80			Percent of total billed charges		6699.2	90			Percent of total billed charges		7536.6	85			Percent of total billed charges		7117.9	85			Percent of total billed charges		7117.9	85			Percent of total billed charges		7117.9	100			Percent of total billed charges		8374	100			Percent of total billed charges		8374	100			Percent of total billed charges		8374	33.3			Percent of total billed charges		2788.542	33.3			Percent of total billed charges		2788.542	100			Percent of total billed charges		8374	2788.542	7536.6	
endurant stent graft aortic extension 25 x 25 x 49mm encf2525c49e medtronic	278	RC	Outpatient			8374	5443.1		90			Percent of total billed charges		7536.6	40			Percent of total billed charges		3349.6	80			Percent of total billed charges		6699.2	90			Percent of total billed charges		7536.6	85			Percent of total billed charges		7117.9	85			Percent of total billed charges		7117.9	85			Percent of total billed charges		7117.9	100			Percent of total billed charges		8374	100			Percent of total billed charges		8374	100			Percent of total billed charges		8374	33.3			Percent of total billed charges		2788.542	33.3			Percent of total billed charges		2788.542	100			Percent of total billed charges		8374	2788.542	7536.6	
accent sr/rf gen pm1210	275	RC	Outpatient			8384	5449.6		90			Percent of total billed charges		7545.6	40			Percent of total billed charges		3353.6	80			Percent of total billed charges		6707.2	90			Percent of total billed charges		7545.6	85			Percent of total billed charges		7126.4	85			Percent of total billed charges		7126.4	85			Percent of total billed charges		7126.4	100			Percent of total billed charges		8384	100			Percent of total billed charges		8384	100			Percent of total billed charges		8384	33.3			Percent of total billed charges		2791.872	33.3			Percent of total billed charges		2791.872	100			Percent of total billed charges		8384	2791.872	7545.6	
cath lab accent sr rf 1210	275	RC	Outpatient			8384	5449.6		90			Percent of total billed charges		7545.6	40			Percent of total billed charges		3353.6	80			Percent of total billed charges		6707.2	90			Percent of total billed charges		7545.6	85			Percent of total billed charges		7126.4	85			Percent of total billed charges		7126.4	85			Percent of total billed charges		7126.4	100			Percent of total billed charges		8384	100			Percent of total billed charges		8384	100			Percent of total billed charges		8384	33.3			Percent of total billed charges		2791.872	33.3			Percent of total billed charges		2791.872	100			Percent of total billed charges		8384	2791.872	7545.6	
aptus endo staples	278	RC	Outpatient			8404	5462.6		90			Percent of total billed charges		7563.6	40			Percent of total billed charges		3361.6	80			Percent of total billed charges		6723.2	90			Percent of total billed charges		7563.6	85			Percent of total billed charges		7143.4	85			Percent of total billed charges		7143.4	85			Percent of total billed charges		7143.4	100			Percent of total billed charges		8404	100			Percent of total billed charges		8404	100			Percent of total billed charges		8404	33.3			Percent of total billed charges		2798.532	33.3			Percent of total billed charges		2798.532	100			Percent of total billed charges		8404	2798.532	7563.6	
endostapler applier w/ endostaple cassette sa-85 aptus	278	RC	Outpatient			8404	5462.6		90			Percent of total billed charges		7563.6	40			Percent of total billed charges		3361.6	80			Percent of total billed charges		6723.2	90			Percent of total billed charges		7563.6	85			Percent of total billed charges		7143.4	85			Percent of total billed charges		7143.4	85			Percent of total billed charges		7143.4	100			Percent of total billed charges		8404	100			Percent of total billed charges		8404	100			Percent of total billed charges		8404	33.3			Percent of total billed charges		2798.532	33.3			Percent of total billed charges		2798.532	100			Percent of total billed charges		8404	2798.532	7563.6	
zimmer fluted rod 10mm 5220-69	278	RC	Outpatient			8404	5462.6		90			Percent of total billed charges		7563.6	40			Percent of total billed charges		3361.6	80			Percent of total billed charges		6723.2	90			Percent of total billed charges		7563.6	85			Percent of total billed charges		7143.4	85			Percent of total billed charges		7143.4	85			Percent of total billed charges		7143.4	100			Percent of total billed charges		8404	100			Percent of total billed charges		8404	100			Percent of total billed charges		8404	33.3			Percent of total billed charges		2798.532	33.3			Percent of total billed charges		2798.532	100			Percent of total billed charges		8404	2798.532	7563.6	
surgimend 10 x 20cm 606-001-007 collagen matrix	278	RC	Outpatient			8424	5475.6		90			Percent of total billed charges		7581.6	40			Percent of total billed charges		3369.6	80			Percent of total billed charges		6739.2	90			Percent of total billed charges		7581.6	85			Percent of total billed charges		7160.4	85			Percent of total billed charges		7160.4	85			Percent of total billed charges		7160.4	100			Percent of total billed charges		8424	100			Percent of total billed charges		8424	100			Percent of total billed charges		8424	33.3			Percent of total billed charges		2805.192	33.3			Percent of total billed charges		2805.192	100			Percent of total billed charges		8424	2805.192	7581.6	
surgemend 10 x 20	278	RC	Outpatient			8424	5475.6		90			Percent of total billed charges		7581.6	40			Percent of total billed charges		3369.6	80			Percent of total billed charges		6739.2	90			Percent of total billed charges		7581.6	85			Percent of total billed charges		7160.4	85			Percent of total billed charges		7160.4	85			Percent of total billed charges		7160.4	100			Percent of total billed charges		8424	100			Percent of total billed charges		8424	100			Percent of total billed charges		8424	33.3			Percent of total billed charges		2805.192	33.3			Percent of total billed charges		2805.192	100			Percent of total billed charges		8424	2805.192	7581.6	
or time 8 hours	270	RC	Outpatient			8458	5497.7		90			Percent of total billed charges		7612.2	40			Percent of total billed charges		3383.2	80			Percent of total billed charges		6766.4	90			Percent of total billed charges		7612.2	85			Percent of total billed charges		7189.3	85			Percent of total billed charges		7189.3	85			Percent of total billed charges		7189.3	100			Percent of total billed charges		8458	100			Percent of total billed charges		8458	100			Percent of total billed charges		8458	33.3			Percent of total billed charges		2816.514	33.3			Percent of total billed charges		2816.514	100			Percent of total billed charges		8458	2816.514	7612.2	
mod prox cone body 23mm+ 6276-1-123 stryker	278	RC	Outpatient			8461	5499.65		90			Percent of total billed charges		7614.9	40			Percent of total billed charges		3384.4	80			Percent of total billed charges		6768.8	90			Percent of total billed charges		7614.9	85			Percent of total billed charges		7191.85	85			Percent of total billed charges		7191.85	85			Percent of total billed charges		7191.85	100			Percent of total billed charges		8461	100			Percent of total billed charges		8461	100			Percent of total billed charges		8461	33.3			Percent of total billed charges		2817.513	33.3			Percent of total billed charges		2817.513	100			Percent of total billed charges		8461	2817.513	7614.9	
stryker mod prox cone bdy	278	RC	Outpatient			8461	5499.65		90			Percent of total billed charges		7614.9	40			Percent of total billed charges		3384.4	80			Percent of total billed charges		6768.8	90			Percent of total billed charges		7614.9	85			Percent of total billed charges		7191.85	85			Percent of total billed charges		7191.85	85			Percent of total billed charges		7191.85	100			Percent of total billed charges		8461	100			Percent of total billed charges		8461	100			Percent of total billed charges		8461	33.3			Percent of total billed charges		2817.513	33.3			Percent of total billed charges		2817.513	100			Percent of total billed charges		8461	2817.513	7614.9	
biotronik linx sm sd65/18	272	RC	Outpatient			8525	5541.25		90			Percent of total billed charges		7672.5	40			Percent of total billed charges		3410	80			Percent of total billed charges		6820	90			Percent of total billed charges		7672.5	85			Percent of total billed charges		7246.25	85			Percent of total billed charges		7246.25	85			Percent of total billed charges		7246.25	100			Percent of total billed charges		8525	100			Percent of total billed charges		8525	100			Percent of total billed charges		8525	33.3			Percent of total billed charges		2838.825	33.3			Percent of total billed charges		2838.825	100			Percent of total billed charges		8525	2838.825	7672.5	
cathlab biotronic linox smart sd 65/18 lead 359067	272	RC	Outpatient			8525	5541.25		90			Percent of total billed charges		7672.5	40			Percent of total billed charges		3410	80			Percent of total billed charges		6820	90			Percent of total billed charges		7672.5	85			Percent of total billed charges		7246.25	85			Percent of total billed charges		7246.25	85			Percent of total billed charges		7246.25	100			Percent of total billed charges		8525	100			Percent of total billed charges		8525	100			Percent of total billed charges		8525	33.3			Percent of total billed charges		2838.825	33.3			Percent of total billed charges		2838.825	100			Percent of total billed charges		8525	2838.825	7672.5	
cosmetic - cap/aug/pexy	983	RC	Outpatient			8553	5559.45		90			Percent of total billed charges		7697.7	40			Percent of total billed charges		3421.2	80			Percent of total billed charges		6842.4	90			Percent of total billed charges		7697.7	85			Percent of total billed charges		7270.05	85			Percent of total billed charges		7270.05	85			Percent of total billed charges		7270.05	100			Percent of total billed charges		8553	100			Percent of total billed charges		8553	100			Percent of total billed charges		8553	33.3			Percent of total billed charges		2848.149	33.3			Percent of total billed charges		2848.149	100			Percent of total billed charges		8553	2848.149	7697.7	
endurant aortic ext 28x49	278	RC	Outpatient			8574	5573.1		90			Percent of total billed charges		7716.6	40			Percent of total billed charges		3429.6	80			Percent of total billed charges		6859.2	90			Percent of total billed charges		7716.6	85			Percent of total billed charges		7287.9	85			Percent of total billed charges		7287.9	85			Percent of total billed charges		7287.9	100			Percent of total billed charges		8574	100			Percent of total billed charges		8574	100			Percent of total billed charges		8574	33.3			Percent of total billed charges		2855.142	33.3			Percent of total billed charges		2855.142	100			Percent of total billed charges		8574	2855.142	7716.6	
endurant stent graft aortic extension 28 x 28 x 49mm encf2828c49e medtronic	278	RC	Outpatient			8574	5573.1		90			Percent of total billed charges		7716.6	40			Percent of total billed charges		3429.6	80			Percent of total billed charges		6859.2	90			Percent of total billed charges		7716.6	85			Percent of total billed charges		7287.9	85			Percent of total billed charges		7287.9	85			Percent of total billed charges		7287.9	100			Percent of total billed charges		8574	100			Percent of total billed charges		8574	100			Percent of total billed charges		8574	33.3			Percent of total billed charges		2855.142	33.3			Percent of total billed charges		2855.142	100			Percent of total billed charges		8574	2855.142	7716.6	
talent aaa contralateral limb iw1412c75xh medtronic	278	RC	Outpatient			8574	5573.1		90			Percent of total billed charges		7716.6	40			Percent of total billed charges		3429.6	80			Percent of total billed charges		6859.2	90			Percent of total billed charges		7716.6	85			Percent of total billed charges		7287.9	85			Percent of total billed charges		7287.9	85			Percent of total billed charges		7287.9	100			Percent of total billed charges		8574	100			Percent of total billed charges		8574	100			Percent of total billed charges		8574	33.3			Percent of total billed charges		2855.142	33.3			Percent of total billed charges		2855.142	100			Percent of total billed charges		8574	2855.142	7716.6	
talent graft iw1412c75xh	278	RC	Outpatient			8574	5573.1		90			Percent of total billed charges		7716.6	40			Percent of total billed charges		3429.6	80			Percent of total billed charges		6859.2	90			Percent of total billed charges		7716.6	85			Percent of total billed charges		7287.9	85			Percent of total billed charges		7287.9	85			Percent of total billed charges		7287.9	100			Percent of total billed charges		8574	100			Percent of total billed charges		8574	100			Percent of total billed charges		8574	33.3			Percent of total billed charges		2855.142	33.3			Percent of total billed charges		2855.142	100			Percent of total billed charges		8574	2855.142	7716.6	
boston sci altrua 20	275	RC	Outpatient			8595	5586.75		90			Percent of total billed charges		7735.5	40			Percent of total billed charges		3438	80			Percent of total billed charges		6876	90			Percent of total billed charges		7735.5	85			Percent of total billed charges		7305.75	85			Percent of total billed charges		7305.75	85			Percent of total billed charges		7305.75	100			Percent of total billed charges		8595	100			Percent of total billed charges		8595	100			Percent of total billed charges		8595	33.3			Percent of total billed charges		2862.135	33.3			Percent of total billed charges		2862.135	100			Percent of total billed charges		8595	2862.135	7735.5	
cath lab boston sci altrua 20 sz01	275	RC	Outpatient			8595	5586.75		90			Percent of total billed charges		7735.5	40			Percent of total billed charges		3438	80			Percent of total billed charges		6876	90			Percent of total billed charges		7735.5	85			Percent of total billed charges		7305.75	85			Percent of total billed charges		7305.75	85			Percent of total billed charges		7305.75	100			Percent of total billed charges		8595	100			Percent of total billed charges		8595	100			Percent of total billed charges		8595	33.3			Percent of total billed charges		2862.135	33.3			Percent of total billed charges		2862.135	100			Percent of total billed charges		8595	2862.135	7735.5	
al peek spacer 12 x 22 x 28 x 8 48326128 stryker	278	RC	Outpatient			8668	5634.2		90			Percent of total billed charges		7801.2	40			Percent of total billed charges		3467.2	80			Percent of total billed charges		6934.4	90			Percent of total billed charges		7801.2	85			Percent of total billed charges		7367.8	85			Percent of total billed charges		7367.8	85			Percent of total billed charges		7367.8	100			Percent of total billed charges		8668	100			Percent of total billed charges		8668	100			Percent of total billed charges		8668	33.3			Percent of total billed charges		2886.444	33.3			Percent of total billed charges		2886.444	100			Percent of total billed charges		8668	2886.444	7801.2	
stryker al spacer	278	RC	Outpatient			8668	5634.2		90			Percent of total billed charges		7801.2	40			Percent of total billed charges		3467.2	80			Percent of total billed charges		6934.4	90			Percent of total billed charges		7801.2	85			Percent of total billed charges		7367.8	85			Percent of total billed charges		7367.8	85			Percent of total billed charges		7367.8	100			Percent of total billed charges		8668	100			Percent of total billed charges		8668	100			Percent of total billed charges		8668	33.3			Percent of total billed charges		2886.444	33.3			Percent of total billed charges		2886.444	100			Percent of total billed charges		8668	2886.444	7801.2	
talent graft iw7478c90xh	278	RC	Outpatient			8674	5638.1		90			Percent of total billed charges		7806.6	40			Percent of total billed charges		3469.6	80			Percent of total billed charges		6939.2	90			Percent of total billed charges		7806.6	85			Percent of total billed charges		7372.9	85			Percent of total billed charges		7372.9	85			Percent of total billed charges		7372.9	100			Percent of total billed charges		8674	100			Percent of total billed charges		8674	100			Percent of total billed charges		8674	33.3			Percent of total billed charges		2888.442	33.3			Percent of total billed charges		2888.442	100			Percent of total billed charges		8674	2888.442	7806.6	
talent abd contralateral limb iw1418c90xh medtronic	278	RC	Outpatient			8674	5638.1		90			Percent of total billed charges		7806.6	40			Percent of total billed charges		3469.6	80			Percent of total billed charges		6939.2	90			Percent of total billed charges		7806.6	85			Percent of total billed charges		7372.9	85			Percent of total billed charges		7372.9	85			Percent of total billed charges		7372.9	100			Percent of total billed charges		8674	100			Percent of total billed charges		8674	100			Percent of total billed charges		8674	33.3			Percent of total billed charges		2888.442	33.3			Percent of total billed charges		2888.442	100			Percent of total billed charges		8674	2888.442	7806.6	
biod factor 1.25cc	278	RC	Outpatient			8724	5670.6		90			Percent of total billed charges		7851.6	40			Percent of total billed charges		3489.6	80			Percent of total billed charges		6979.2	90			Percent of total billed charges		7851.6	85			Percent of total billed charges		7415.4	85			Percent of total billed charges		7415.4	85			Percent of total billed charges		7415.4	100			Percent of total billed charges		8724	100			Percent of total billed charges		8724	100			Percent of total billed charges		8724	33.3			Percent of total billed charges		2905.092	33.3			Percent of total billed charges		2905.092	100			Percent of total billed charges		8724	2905.092	7851.6	
biodfactor 1.25ml bf-010125 international biologics	278	RC	Outpatient			8724	5670.6		90			Percent of total billed charges		7851.6	40			Percent of total billed charges		3489.6	80			Percent of total billed charges		6979.2	90			Percent of total billed charges		7851.6	85			Percent of total billed charges		7415.4	85			Percent of total billed charges		7415.4	85			Percent of total billed charges		7415.4	100			Percent of total billed charges		8724	100			Percent of total billed charges		8724	100			Percent of total billed charges		8724	33.3			Percent of total billed charges		2905.092	33.3			Percent of total billed charges		2905.092	100			Percent of total billed charges		8724	2905.092	7851.6	
"cosmetic - macs - facelift, up/low bleph, brow"	983	RC	Outpatient			8745	5684.25		90			Percent of total billed charges		7870.5	40			Percent of total billed charges		3498	80			Percent of total billed charges		6996	90			Percent of total billed charges		7870.5	85			Percent of total billed charges		7433.25	85			Percent of total billed charges		7433.25	85			Percent of total billed charges		7433.25	100			Percent of total billed charges		8745	100			Percent of total billed charges		8745	100			Percent of total billed charges		8745	33.3			Percent of total billed charges		2912.085	33.3			Percent of total billed charges		2912.085	100			Percent of total billed charges		8745	2912.085	7870.5	
allomax 1mm graft retangular 3.1 x 4.7 8 x20cm 1180820m bard	278	RC	Outpatient			8758	5692.7		90			Percent of total billed charges		7882.2	40			Percent of total billed charges		3503.2	80			Percent of total billed charges		7006.4	90			Percent of total billed charges		7882.2	85			Percent of total billed charges		7444.3	85			Percent of total billed charges		7444.3	85			Percent of total billed charges		7444.3	100			Percent of total billed charges		8758	100			Percent of total billed charges		8758	100			Percent of total billed charges		8758	33.3			Percent of total billed charges		2916.414	33.3			Percent of total billed charges		2916.414	100			Percent of total billed charges		8758	2916.414	7882.2	
allomax 8 x 20	278	RC	Outpatient			8758	5692.7		90			Percent of total billed charges		7882.2	40			Percent of total billed charges		3503.2	80			Percent of total billed charges		7006.4	90			Percent of total billed charges		7882.2	85			Percent of total billed charges		7444.3	85			Percent of total billed charges		7444.3	85			Percent of total billed charges		7444.3	100			Percent of total billed charges		8758	100			Percent of total billed charges		8758	100			Percent of total billed charges		8758	33.3			Percent of total billed charges		2916.414	33.3			Percent of total billed charges		2916.414	100			Percent of total billed charges		8758	2916.414	7882.2	
bio maxim constrain fem	278	RC	Outpatient			8791	5714.15		90			Percent of total billed charges		7911.9	40			Percent of total billed charges		3516.4	80			Percent of total billed charges		7032.8	90			Percent of total billed charges		7911.9	85			Percent of total billed charges		7472.35	85			Percent of total billed charges		7472.35	85			Percent of total billed charges		7472.35	100			Percent of total billed charges		8791	100			Percent of total billed charges		8791	100			Percent of total billed charges		8791	33.3			Percent of total billed charges		2927.403	33.3			Percent of total billed charges		2927.403	100			Percent of total billed charges		8791	2927.403	7911.9	
max ilk ana con fem 60r rfvii 145211 biomet	278	RC	Outpatient			8791	5714.15		90			Percent of total billed charges		7911.9	40			Percent of total billed charges		3516.4	80			Percent of total billed charges		7032.8	90			Percent of total billed charges		7911.9	85			Percent of total billed charges		7472.35	85			Percent of total billed charges		7472.35	85			Percent of total billed charges		7472.35	100			Percent of total billed charges		8791	100			Percent of total billed charges		8791	100			Percent of total billed charges		8791	33.3			Percent of total billed charges		2927.403	33.3			Percent of total billed charges		2927.403	100			Percent of total billed charges		8791	2927.403	7911.9	
max ilk ana rf ps fem 65lt vii 145232 biomet	278	RC	Outpatient			8791	5714.15		90			Percent of total billed charges		7911.9	40			Percent of total billed charges		3516.4	80			Percent of total billed charges		7032.8	90			Percent of total billed charges		7911.9	85			Percent of total billed charges		7472.35	85			Percent of total billed charges		7472.35	85			Percent of total billed charges		7472.35	100			Percent of total billed charges		8791	100			Percent of total billed charges		8791	100			Percent of total billed charges		8791	33.3			Percent of total billed charges		2927.403	33.3			Percent of total billed charges		2927.403	100			Percent of total billed charges		8791	2927.403	7911.9	
max ilk ana rf ps fem 75lt vii 145234 biomet	278	RC	Outpatient			8791	5714.15		90			Percent of total billed charges		7911.9	40			Percent of total billed charges		3516.4	80			Percent of total billed charges		7032.8	90			Percent of total billed charges		7911.9	85			Percent of total billed charges		7472.35	85			Percent of total billed charges		7472.35	85			Percent of total billed charges		7472.35	100			Percent of total billed charges		8791	100			Percent of total billed charges		8791	100			Percent of total billed charges		8791	33.3			Percent of total billed charges		2927.403	33.3			Percent of total billed charges		2927.403	100			Percent of total billed charges		8791	2927.403	7911.9	
max ilk ana rf ps fem 70lt vii 145233 biomet	278	RC	Outpatient			8791	5714.15		90			Percent of total billed charges		7911.9	40			Percent of total billed charges		3516.4	80			Percent of total billed charges		7032.8	90			Percent of total billed charges		7911.9	85			Percent of total billed charges		7472.35	85			Percent of total billed charges		7472.35	85			Percent of total billed charges		7472.35	100			Percent of total billed charges		8791	100			Percent of total billed charges		8791	100			Percent of total billed charges		8791	33.3			Percent of total billed charges		2927.403	33.3			Percent of total billed charges		2927.403	100			Percent of total billed charges		8791	2927.403	7911.9	
maxim constrained fem compt 60mm left 145231 biomet	278	RC	Outpatient			8791	5714.15		90			Percent of total billed charges		7911.9	40			Percent of total billed charges		3516.4	80			Percent of total billed charges		7032.8	90			Percent of total billed charges		7911.9	85			Percent of total billed charges		7472.35	85			Percent of total billed charges		7472.35	85			Percent of total billed charges		7472.35	100			Percent of total billed charges		8791	100			Percent of total billed charges		8791	100			Percent of total billed charges		8791	33.3			Percent of total billed charges		2927.403	33.3			Percent of total billed charges		2927.403	100			Percent of total billed charges		8791	2927.403	7911.9	
bio tl micro fem	278	RC	Outpatient			8803	5721.95		90			Percent of total billed charges		7922.7	40			Percent of total billed charges		3521.2	80			Percent of total billed charges		7042.4	90			Percent of total billed charges		7922.7	85			Percent of total billed charges		7482.55	85			Percent of total billed charges		7482.55	85			Percent of total billed charges		7482.55	100			Percent of total billed charges		8803	100			Percent of total billed charges		8803	100			Percent of total billed charges		8803	33.3			Percent of total billed charges		2931.399	33.3			Percent of total billed charges		2931.399	100			Percent of total billed charges		8803	2931.399	7922.7	
bio tl micro fem lat	278	RC	Outpatient			8803	5721.95		90			Percent of total billed charges		7922.7	40			Percent of total billed charges		3521.2	80			Percent of total billed charges		7042.4	90			Percent of total billed charges		7922.7	85			Percent of total billed charges		7482.55	85			Percent of total billed charges		7482.55	85			Percent of total billed charges		7482.55	100			Percent of total billed charges		8803	100			Percent of total billed charges		8803	100			Percent of total billed charges		8803	33.3			Percent of total billed charges		2931.399	33.3			Percent of total billed charges		2931.399	100			Percent of total billed charges		8803	2931.399	7922.7	
taperloc microplasty femoral 14-103201 biomet	278	RC	Outpatient			8803	5721.95		90			Percent of total billed charges		7922.7	40			Percent of total billed charges		3521.2	80			Percent of total billed charges		7042.4	90			Percent of total billed charges		7922.7	85			Percent of total billed charges		7482.55	85			Percent of total billed charges		7482.55	85			Percent of total billed charges		7482.55	100			Percent of total billed charges		8803	100			Percent of total billed charges		8803	100			Percent of total billed charges		8803	33.3			Percent of total billed charges		2931.399	33.3			Percent of total billed charges		2931.399	100			Percent of total billed charges		8803	2931.399	7922.7	
taperloc microplasty femoral 14-103203 biomet	278	RC	Outpatient			8803	5721.95		90			Percent of total billed charges		7922.7	40			Percent of total billed charges		3521.2	80			Percent of total billed charges		7042.4	90			Percent of total billed charges		7922.7	85			Percent of total billed charges		7482.55	85			Percent of total billed charges		7482.55	85			Percent of total billed charges		7482.55	100			Percent of total billed charges		8803	100			Percent of total billed charges		8803	100			Percent of total billed charges		8803	33.3			Percent of total billed charges		2931.399	33.3			Percent of total billed charges		2931.399	100			Percent of total billed charges		8803	2931.399	7922.7	
taperloc microplasty femoral 14-103204 biomet	278	RC	Outpatient			8803	5721.95		90			Percent of total billed charges		7922.7	40			Percent of total billed charges		3521.2	80			Percent of total billed charges		7042.4	90			Percent of total billed charges		7922.7	85			Percent of total billed charges		7482.55	85			Percent of total billed charges		7482.55	85			Percent of total billed charges		7482.55	100			Percent of total billed charges		8803	100			Percent of total billed charges		8803	100			Percent of total billed charges		8803	33.3			Percent of total billed charges		2931.399	33.3			Percent of total billed charges		2931.399	100			Percent of total billed charges		8803	2931.399	7922.7	
taperloc microplasty femoral lateralized 12.5 x 110mm 15-103206 biomet	278	RC	Outpatient			8803	5721.95		90			Percent of total billed charges		7922.7	40			Percent of total billed charges		3521.2	80			Percent of total billed charges		7042.4	90			Percent of total billed charges		7922.7	85			Percent of total billed charges		7482.55	85			Percent of total billed charges		7482.55	85			Percent of total billed charges		7482.55	100			Percent of total billed charges		8803	100			Percent of total billed charges		8803	100			Percent of total billed charges		8803	33.3			Percent of total billed charges		2931.399	33.3			Percent of total billed charges		2931.399	100			Percent of total billed charges		8803	2931.399	7922.7	
taperloc microplasty femoral 14-103200 biomet	278	RC	Outpatient			8803	5721.95		90			Percent of total billed charges		7922.7	40			Percent of total billed charges		3521.2	80			Percent of total billed charges		7042.4	90			Percent of total billed charges		7922.7	85			Percent of total billed charges		7482.55	85			Percent of total billed charges		7482.55	85			Percent of total billed charges		7482.55	100			Percent of total billed charges		8803	100			Percent of total billed charges		8803	100			Percent of total billed charges		8803	33.3			Percent of total billed charges		2931.399	33.3			Percent of total billed charges		2931.399	100			Percent of total billed charges		8803	2931.399	7922.7	
taperloc microplasty femoral 14-103202 biomet	278	RC	Outpatient			8803	5721.95		90			Percent of total billed charges		7922.7	40			Percent of total billed charges		3521.2	80			Percent of total billed charges		7042.4	90			Percent of total billed charges		7922.7	85			Percent of total billed charges		7482.55	85			Percent of total billed charges		7482.55	85			Percent of total billed charges		7482.55	100			Percent of total billed charges		8803	100			Percent of total billed charges		8803	100			Percent of total billed charges		8803	33.3			Percent of total billed charges		2931.399	33.3			Percent of total billed charges		2931.399	100			Percent of total billed charges		8803	2931.399	7922.7	
taperloc microplasty femoral 14-103205 biomet	278	RC	Outpatient			8803	5721.95		90			Percent of total billed charges		7922.7	40			Percent of total billed charges		3521.2	80			Percent of total billed charges		7042.4	90			Percent of total billed charges		7922.7	85			Percent of total billed charges		7482.55	85			Percent of total billed charges		7482.55	85			Percent of total billed charges		7482.55	100			Percent of total billed charges		8803	100			Percent of total billed charges		8803	100			Percent of total billed charges		8803	33.3			Percent of total billed charges		2931.399	33.3			Percent of total billed charges		2931.399	100			Percent of total billed charges		8803	2931.399	7922.7	
taperloc microplasty femoral 14-103206 biomet	278	RC	Outpatient			8803	5721.95		90			Percent of total billed charges		7922.7	40			Percent of total billed charges		3521.2	80			Percent of total billed charges		7042.4	90			Percent of total billed charges		7922.7	85			Percent of total billed charges		7482.55	85			Percent of total billed charges		7482.55	85			Percent of total billed charges		7482.55	100			Percent of total billed charges		8803	100			Percent of total billed charges		8803	100			Percent of total billed charges		8803	33.3			Percent of total billed charges		2931.399	33.3			Percent of total billed charges		2931.399	100			Percent of total billed charges		8803	2931.399	7922.7	
taperloc microplasty femoral 14-103207 biomet	278	RC	Outpatient			8803	5721.95		90			Percent of total billed charges		7922.7	40			Percent of total billed charges		3521.2	80			Percent of total billed charges		7042.4	90			Percent of total billed charges		7922.7	85			Percent of total billed charges		7482.55	85			Percent of total billed charges		7482.55	85			Percent of total billed charges		7482.55	100			Percent of total billed charges		8803	100			Percent of total billed charges		8803	100			Percent of total billed charges		8803	33.3			Percent of total billed charges		2931.399	33.3			Percent of total billed charges		2931.399	100			Percent of total billed charges		8803	2931.399	7922.7	
taperloc microplasty femoral 14-103208 biomet	278	RC	Outpatient			8803	5721.95		90			Percent of total billed charges		7922.7	40			Percent of total billed charges		3521.2	80			Percent of total billed charges		7042.4	90			Percent of total billed charges		7922.7	85			Percent of total billed charges		7482.55	85			Percent of total billed charges		7482.55	85			Percent of total billed charges		7482.55	100			Percent of total billed charges		8803	100			Percent of total billed charges		8803	100			Percent of total billed charges		8803	33.3			Percent of total billed charges		2931.399	33.3			Percent of total billed charges		2931.399	100			Percent of total billed charges		8803	2931.399	7922.7	
taperloc microplasty femoral 14-103209 biomet	278	RC	Outpatient			8803	5721.95		90			Percent of total billed charges		7922.7	40			Percent of total billed charges		3521.2	80			Percent of total billed charges		7042.4	90			Percent of total billed charges		7922.7	85			Percent of total billed charges		7482.55	85			Percent of total billed charges		7482.55	85			Percent of total billed charges		7482.55	100			Percent of total billed charges		8803	100			Percent of total billed charges		8803	100			Percent of total billed charges		8803	33.3			Percent of total billed charges		2931.399	33.3			Percent of total billed charges		2931.399	100			Percent of total billed charges		8803	2931.399	7922.7	
taperloc microplasty femoral 14-103211 biomet	278	RC	Outpatient			8803	5721.95		90			Percent of total billed charges		7922.7	40			Percent of total billed charges		3521.2	80			Percent of total billed charges		7042.4	90			Percent of total billed charges		7922.7	85			Percent of total billed charges		7482.55	85			Percent of total billed charges		7482.55	85			Percent of total billed charges		7482.55	100			Percent of total billed charges		8803	100			Percent of total billed charges		8803	100			Percent of total billed charges		8803	33.3			Percent of total billed charges		2931.399	33.3			Percent of total billed charges		2931.399	100			Percent of total billed charges		8803	2931.399	7922.7	
cosmetic - abdominoplasty/aug	983	RC	Outpatient			8828	5738.2		90			Percent of total billed charges		7945.2	40			Percent of total billed charges		3531.2	80			Percent of total billed charges		7062.4	90			Percent of total billed charges		7945.2	85			Percent of total billed charges		7503.8	85			Percent of total billed charges		7503.8	85			Percent of total billed charges		7503.8	100			Percent of total billed charges		8828	100			Percent of total billed charges		8828	100			Percent of total billed charges		8828	33.3			Percent of total billed charges		2939.724	33.3			Percent of total billed charges		2939.724	100			Percent of total billed charges		8828	2939.724	7945.2	
cosmetic - abdominoplasty/pexy	983	RC	Outpatient			8855	5755.75		90			Percent of total billed charges		7969.5	40			Percent of total billed charges		3542	80			Percent of total billed charges		7084	90			Percent of total billed charges		7969.5	85			Percent of total billed charges		7526.75	85			Percent of total billed charges		7526.75	85			Percent of total billed charges		7526.75	100			Percent of total billed charges		8855	100			Percent of total billed charges		8855	100			Percent of total billed charges		8855	33.3			Percent of total billed charges		2948.715	33.3			Percent of total billed charges		2948.715	100			Percent of total billed charges		8855	2948.715	7969.5	
cosmetic - brachioplasty/abdominoplasty	983	RC	Outpatient			8855	5755.75		90			Percent of total billed charges		7969.5	40			Percent of total billed charges		3542	80			Percent of total billed charges		7084	90			Percent of total billed charges		7969.5	85			Percent of total billed charges		7526.75	85			Percent of total billed charges		7526.75	85			Percent of total billed charges		7526.75	100			Percent of total billed charges		8855	100			Percent of total billed charges		8855	100			Percent of total billed charges		8855	33.3			Percent of total billed charges		2948.715	33.3			Percent of total billed charges		2948.715	100			Percent of total billed charges		8855	2948.715	7969.5	
stryker mod hip cone bdy	278	RC	Outpatient			8884	5774.6		90			Percent of total billed charges		7995.6	40			Percent of total billed charges		3553.6	80			Percent of total billed charges		7107.2	90			Percent of total billed charges		7995.6	85			Percent of total billed charges		7551.4	85			Percent of total billed charges		7551.4	85			Percent of total billed charges		7551.4	100			Percent of total billed charges		8884	100			Percent of total billed charges		8884	100			Percent of total billed charges		8884	33.3			Percent of total billed charges		2958.372	33.3			Percent of total billed charges		2958.372	100			Percent of total billed charges		8884	2958.372	7995.6	
rsp primary humeral stem 10 x 116mm 506-00-010 encore	278	RC	Outpatient			8886	5775.9		90			Percent of total billed charges		7997.4	40			Percent of total billed charges		3554.4	80			Percent of total billed charges		7108.8	90			Percent of total billed charges		7997.4	85			Percent of total billed charges		7553.1	85			Percent of total billed charges		7553.1	85			Percent of total billed charges		7553.1	100			Percent of total billed charges		8886	100			Percent of total billed charges		8886	100			Percent of total billed charges		8886	33.3			Percent of total billed charges		2959.038	33.3			Percent of total billed charges		2959.038	100			Percent of total billed charges		8886	2959.038	7997.4	
rsp primary humeral stem 7 x 105mm 506-00-007 djo	278	RC	Outpatient			8886	5775.9		90			Percent of total billed charges		7997.4	40			Percent of total billed charges		3554.4	80			Percent of total billed charges		7108.8	90			Percent of total billed charges		7997.4	85			Percent of total billed charges		7553.1	85			Percent of total billed charges		7553.1	85			Percent of total billed charges		7553.1	100			Percent of total billed charges		8886	100			Percent of total billed charges		8886	100			Percent of total billed charges		8886	33.3			Percent of total billed charges		2959.038	33.3			Percent of total billed charges		2959.038	100			Percent of total billed charges		8886	2959.038	7997.4	
rsp humeral stem	278	RC	Outpatient			8886	5775.9		90			Percent of total billed charges		7997.4	40			Percent of total billed charges		3554.4	80			Percent of total billed charges		7108.8	90			Percent of total billed charges		7997.4	85			Percent of total billed charges		7553.1	85			Percent of total billed charges		7553.1	85			Percent of total billed charges		7553.1	100			Percent of total billed charges		8886	100			Percent of total billed charges		8886	100			Percent of total billed charges		8886	33.3			Percent of total billed charges		2959.038	33.3			Percent of total billed charges		2959.038	100			Percent of total billed charges		8886	2959.038	7997.4	
rsp primary humeral stem 12 x 124mm 506-00-012 encore	278	RC	Outpatient			8886	5775.9		90			Percent of total billed charges		7997.4	40			Percent of total billed charges		3554.4	80			Percent of total billed charges		7108.8	90			Percent of total billed charges		7997.4	85			Percent of total billed charges		7553.1	85			Percent of total billed charges		7553.1	85			Percent of total billed charges		7553.1	100			Percent of total billed charges		8886	100			Percent of total billed charges		8886	100			Percent of total billed charges		8886	33.3			Percent of total billed charges		2959.038	33.3			Percent of total billed charges		2959.038	100			Percent of total billed charges		8886	2959.038	7997.4	
rsp primary humeral stem 6 x 101mm 506-00-006 encore	278	RC	Outpatient			8886	5775.9		90			Percent of total billed charges		7997.4	40			Percent of total billed charges		3554.4	80			Percent of total billed charges		7108.8	90			Percent of total billed charges		7997.4	85			Percent of total billed charges		7553.1	85			Percent of total billed charges		7553.1	85			Percent of total billed charges		7553.1	100			Percent of total billed charges		8886	100			Percent of total billed charges		8886	100			Percent of total billed charges		8886	33.3			Percent of total billed charges		2959.038	33.3			Percent of total billed charges		2959.038	100			Percent of total billed charges		8886	2959.038	7997.4	
rsp primary humeral stem 8 x 109mm 506-00-008 encore	278	RC	Outpatient			8886	5775.9		90			Percent of total billed charges		7997.4	40			Percent of total billed charges		3554.4	80			Percent of total billed charges		7108.8	90			Percent of total billed charges		7997.4	85			Percent of total billed charges		7553.1	85			Percent of total billed charges		7553.1	85			Percent of total billed charges		7553.1	100			Percent of total billed charges		8886	100			Percent of total billed charges		8886	100			Percent of total billed charges		8886	33.3			Percent of total billed charges		2959.038	33.3			Percent of total billed charges		2959.038	100			Percent of total billed charges		8886	2959.038	7997.4	
or time 8 1/2 hours.	270	RC	Outpatient			8907	5789.55		90			Percent of total billed charges		8016.3	40			Percent of total billed charges		3562.8	80			Percent of total billed charges		7125.6	90			Percent of total billed charges		8016.3	85			Percent of total billed charges		7570.95	85			Percent of total billed charges		7570.95	85			Percent of total billed charges		7570.95	100			Percent of total billed charges		8907	100			Percent of total billed charges		8907	100			Percent of total billed charges		8907	33.3			Percent of total billed charges		2966.031	33.3			Percent of total billed charges		2966.031	100			Percent of total billed charges		8907	2966.031	8016.3	
restoration - ha hip stem 40mm s-2651-1117 stryker	278	RC	Outpatient			8921	5798.65		90			Percent of total billed charges		8028.9	40			Percent of total billed charges		3568.4	80			Percent of total billed charges		7136.8	90			Percent of total billed charges		8028.9	85			Percent of total billed charges		7582.85	85			Percent of total billed charges		7582.85	85			Percent of total billed charges		7582.85	100			Percent of total billed charges		8921	100			Percent of total billed charges		8921	100			Percent of total billed charges		8921	33.3			Percent of total billed charges		2970.693	33.3			Percent of total billed charges		2970.693	100			Percent of total billed charges		8921	2970.693	8028.9	
restoration ha hip stem	278	RC	Outpatient			8921	5798.65		90			Percent of total billed charges		8028.9	40			Percent of total billed charges		3568.4	80			Percent of total billed charges		7136.8	90			Percent of total billed charges		8028.9	85			Percent of total billed charges		7582.85	85			Percent of total billed charges		7582.85	85			Percent of total billed charges		7582.85	100			Percent of total billed charges		8921	100			Percent of total billed charges		8921	100			Percent of total billed charges		8921	33.3			Percent of total billed charges		2970.693	33.3			Percent of total billed charges		2970.693	100			Percent of total billed charges		8921	2970.693	8028.9	
stryker secur-fit hip ste	278	RC	Outpatient			8921	5798.65		90			Percent of total billed charges		8028.9	40			Percent of total billed charges		3568.4	80			Percent of total billed charges		7136.8	90			Percent of total billed charges		8028.9	85			Percent of total billed charges		7582.85	85			Percent of total billed charges		7582.85	85			Percent of total billed charges		7582.85	100			Percent of total billed charges		8921	100			Percent of total billed charges		8921	100			Percent of total billed charges		8921	33.3			Percent of total billed charges		2970.693	33.3			Percent of total billed charges		2970.693	100			Percent of total billed charges		8921	2970.693	8028.9	
cosmetic - facelift with lower bleph	983	RC	Outpatient			8938	5809.7		90			Percent of total billed charges		8044.2	40			Percent of total billed charges		3575.2	80			Percent of total billed charges		7150.4	90			Percent of total billed charges		8044.2	85			Percent of total billed charges		7597.3	85			Percent of total billed charges		7597.3	85			Percent of total billed charges		7597.3	100			Percent of total billed charges		8938	100			Percent of total billed charges		8938	100			Percent of total billed charges		8938	33.3			Percent of total billed charges		2976.354	33.3			Percent of total billed charges		2976.354	100			Percent of total billed charges		8938	2976.354	8044.2	
cosmetic - facelift with upper bleph	983	RC	Outpatient			8938	5809.7		90			Percent of total billed charges		8044.2	40			Percent of total billed charges		3575.2	80			Percent of total billed charges		7150.4	90			Percent of total billed charges		8044.2	85			Percent of total billed charges		7597.3	85			Percent of total billed charges		7597.3	85			Percent of total billed charges		7597.3	100			Percent of total billed charges		8938	100			Percent of total billed charges		8938	100			Percent of total billed charges		8938	33.3			Percent of total billed charges		2976.354	33.3			Percent of total billed charges		2976.354	100			Percent of total billed charges		8938	2976.354	8044.2	
endurant cont.limb1616c82	278	RC	Outpatient			8975	5833.75		90			Percent of total billed charges		8077.5	40			Percent of total billed charges		3590	80			Percent of total billed charges		7180	90			Percent of total billed charges		8077.5	85			Percent of total billed charges		7628.75	85			Percent of total billed charges		7628.75	85			Percent of total billed charges		7628.75	100			Percent of total billed charges		8975	100			Percent of total billed charges		8975	100			Percent of total billed charges		8975	33.3			Percent of total billed charges		2988.675	33.3			Percent of total billed charges		2988.675	100			Percent of total billed charges		8975	2988.675	8077.5	
endurant cont.limb1620c82	278	RC	Outpatient			8975	5833.75		90			Percent of total billed charges		8077.5	40			Percent of total billed charges		3590	80			Percent of total billed charges		7180	90			Percent of total billed charges		8077.5	85			Percent of total billed charges		7628.75	85			Percent of total billed charges		7628.75	85			Percent of total billed charges		7628.75	100			Percent of total billed charges		8975	100			Percent of total billed charges		8975	100			Percent of total billed charges		8975	33.3			Percent of total billed charges		2988.675	33.3			Percent of total billed charges		2988.675	100			Percent of total billed charges		8975	2988.675	8077.5	
endurant stent graft contralateral limb 16 x 16 x 82mm enlw1616c82e medtronic	278	RC	Outpatient			8975	5833.75		90			Percent of total billed charges		8077.5	40			Percent of total billed charges		3590	80			Percent of total billed charges		7180	90			Percent of total billed charges		8077.5	85			Percent of total billed charges		7628.75	85			Percent of total billed charges		7628.75	85			Percent of total billed charges		7628.75	100			Percent of total billed charges		8975	100			Percent of total billed charges		8975	100			Percent of total billed charges		8975	33.3			Percent of total billed charges		2988.675	33.3			Percent of total billed charges		2988.675	100			Percent of total billed charges		8975	2988.675	8077.5	
endurant stent graft contralateral limb 16 x 20 x 82mm enlw1620c82e medtronic	278	RC	Outpatient			8975	5833.75		90			Percent of total billed charges		8077.5	40			Percent of total billed charges		3590	80			Percent of total billed charges		7180	90			Percent of total billed charges		8077.5	85			Percent of total billed charges		7628.75	85			Percent of total billed charges		7628.75	85			Percent of total billed charges		7628.75	100			Percent of total billed charges		8975	100			Percent of total billed charges		8975	100			Percent of total billed charges		8975	33.3			Percent of total billed charges		2988.675	33.3			Percent of total billed charges		2988.675	100			Percent of total billed charges		8975	2988.675	8077.5	
gii oxinium p/s fem lt sz 3 s/n 71421013	278	RC	Outpatient			8997	5848.05		90			Percent of total billed charges		8097.3	40			Percent of total billed charges		3598.8	80			Percent of total billed charges		7197.6	90			Percent of total billed charges		8097.3	85			Percent of total billed charges		7647.45	85			Percent of total billed charges		7647.45	85			Percent of total billed charges		7647.45	100			Percent of total billed charges		8997	100			Percent of total billed charges		8997	100			Percent of total billed charges		8997	33.3			Percent of total billed charges		2996.001	33.3			Percent of total billed charges		2996.001	100			Percent of total billed charges		8997	2996.001	8097.3	
gii oxinium p/s fem lt sz 5 s/n 71421015	278	RC	Outpatient			8997	5848.05		90			Percent of total billed charges		8097.3	40			Percent of total billed charges		3598.8	80			Percent of total billed charges		7197.6	90			Percent of total billed charges		8097.3	85			Percent of total billed charges		7647.45	85			Percent of total billed charges		7647.45	85			Percent of total billed charges		7647.45	100			Percent of total billed charges		8997	100			Percent of total billed charges		8997	100			Percent of total billed charges		8997	33.3			Percent of total billed charges		2996.001	33.3			Percent of total billed charges		2996.001	100			Percent of total billed charges		8997	2996.001	8097.3	
gii oxinium p/s fem rt sz 2 s/n 71421112	278	RC	Outpatient			8997	5848.05		90			Percent of total billed charges		8097.3	40			Percent of total billed charges		3598.8	80			Percent of total billed charges		7197.6	90			Percent of total billed charges		8097.3	85			Percent of total billed charges		7647.45	85			Percent of total billed charges		7647.45	85			Percent of total billed charges		7647.45	100			Percent of total billed charges		8997	100			Percent of total billed charges		8997	100			Percent of total billed charges		8997	33.3			Percent of total billed charges		2996.001	33.3			Percent of total billed charges		2996.001	100			Percent of total billed charges		8997	2996.001	8097.3	
gii oxinium p/s fem rt sz 3 s/n 71421113	278	RC	Outpatient			8997	5848.05		90			Percent of total billed charges		8097.3	40			Percent of total billed charges		3598.8	80			Percent of total billed charges		7197.6	90			Percent of total billed charges		8097.3	85			Percent of total billed charges		7647.45	85			Percent of total billed charges		7647.45	85			Percent of total billed charges		7647.45	100			Percent of total billed charges		8997	100			Percent of total billed charges		8997	100			Percent of total billed charges		8997	33.3			Percent of total billed charges		2996.001	33.3			Percent of total billed charges		2996.001	100			Percent of total billed charges		8997	2996.001	8097.3	
gii oxinium p/s fem rt sz 5 s/n 71421115	278	RC	Outpatient			8997	5848.05		90			Percent of total billed charges		8097.3	40			Percent of total billed charges		3598.8	80			Percent of total billed charges		7197.6	90			Percent of total billed charges		8097.3	85			Percent of total billed charges		7647.45	85			Percent of total billed charges		7647.45	85			Percent of total billed charges		7647.45	100			Percent of total billed charges		8997	100			Percent of total billed charges		8997	100			Percent of total billed charges		8997	33.3			Percent of total billed charges		2996.001	33.3			Percent of total billed charges		2996.001	100			Percent of total billed charges		8997	2996.001	8097.3	
gii oxinium p/s fem rt sz 6 s/n 71421116	278	RC	Outpatient			8997	5848.05		90			Percent of total billed charges		8097.3	40			Percent of total billed charges		3598.8	80			Percent of total billed charges		7197.6	90			Percent of total billed charges		8097.3	85			Percent of total billed charges		7647.45	85			Percent of total billed charges		7647.45	85			Percent of total billed charges		7647.45	100			Percent of total billed charges		8997	100			Percent of total billed charges		8997	100			Percent of total billed charges		8997	33.3			Percent of total billed charges		2996.001	33.3			Percent of total billed charges		2996.001	100			Percent of total billed charges		8997	2996.001	8097.3	
gii oxinium p/s fem rt sz 7 s/n 71421117	278	RC	Outpatient			8997	5848.05		90			Percent of total billed charges		8097.3	40			Percent of total billed charges		3598.8	80			Percent of total billed charges		7197.6	90			Percent of total billed charges		8097.3	85			Percent of total billed charges		7647.45	85			Percent of total billed charges		7647.45	85			Percent of total billed charges		7647.45	100			Percent of total billed charges		8997	100			Percent of total billed charges		8997	100			Percent of total billed charges		8997	33.3			Percent of total billed charges		2996.001	33.3			Percent of total billed charges		2996.001	100			Percent of total billed charges		8997	2996.001	8097.3	
gii oxinium p/s fem rt sz 8 s/n 71421118	278	RC	Outpatient			8997	5848.05		90			Percent of total billed charges		8097.3	40			Percent of total billed charges		3598.8	80			Percent of total billed charges		7197.6	90			Percent of total billed charges		8097.3	85			Percent of total billed charges		7647.45	85			Percent of total billed charges		7647.45	85			Percent of total billed charges		7647.45	100			Percent of total billed charges		8997	100			Percent of total billed charges		8997	100			Percent of total billed charges		8997	33.3			Percent of total billed charges		2996.001	33.3			Percent of total billed charges		2996.001	100			Percent of total billed charges		8997	2996.001	8097.3	
gii oxinium p/s fem lt sz 1 s/n 71421011	278	RC	Outpatient			8997	5848.05		90			Percent of total billed charges		8097.3	40			Percent of total billed charges		3598.8	80			Percent of total billed charges		7197.6	90			Percent of total billed charges		8097.3	85			Percent of total billed charges		7647.45	85			Percent of total billed charges		7647.45	85			Percent of total billed charges		7647.45	100			Percent of total billed charges		8997	100			Percent of total billed charges		8997	100			Percent of total billed charges		8997	33.3			Percent of total billed charges		2996.001	33.3			Percent of total billed charges		2996.001	100			Percent of total billed charges		8997	2996.001	8097.3	
gii oxinium p/s fem lt sz 4 s/n 71421014	278	RC	Outpatient			8997	5848.05		90			Percent of total billed charges		8097.3	40			Percent of total billed charges		3598.8	80			Percent of total billed charges		7197.6	90			Percent of total billed charges		8097.3	85			Percent of total billed charges		7647.45	85			Percent of total billed charges		7647.45	85			Percent of total billed charges		7647.45	100			Percent of total billed charges		8997	100			Percent of total billed charges		8997	100			Percent of total billed charges		8997	33.3			Percent of total billed charges		2996.001	33.3			Percent of total billed charges		2996.001	100			Percent of total billed charges		8997	2996.001	8097.3	
gii oxinium p/s fem lt sz 6 s/n 71421016	278	RC	Outpatient			8997	5848.05		90			Percent of total billed charges		8097.3	40			Percent of total billed charges		3598.8	80			Percent of total billed charges		7197.6	90			Percent of total billed charges		8097.3	85			Percent of total billed charges		7647.45	85			Percent of total billed charges		7647.45	85			Percent of total billed charges		7647.45	100			Percent of total billed charges		8997	100			Percent of total billed charges		8997	100			Percent of total billed charges		8997	33.3			Percent of total billed charges		2996.001	33.3			Percent of total billed charges		2996.001	100			Percent of total billed charges		8997	2996.001	8097.3	
gii oxinium p/s fem lt sz 7 s/n 71421017	278	RC	Outpatient			8997	5848.05		90			Percent of total billed charges		8097.3	40			Percent of total billed charges		3598.8	80			Percent of total billed charges		7197.6	90			Percent of total billed charges		8097.3	85			Percent of total billed charges		7647.45	85			Percent of total billed charges		7647.45	85			Percent of total billed charges		7647.45	100			Percent of total billed charges		8997	100			Percent of total billed charges		8997	100			Percent of total billed charges		8997	33.3			Percent of total billed charges		2996.001	33.3			Percent of total billed charges		2996.001	100			Percent of total billed charges		8997	2996.001	8097.3	
gii oxinium p/s fem lt sz 8 s/n 71421018	278	RC	Outpatient			8997	5848.05		90			Percent of total billed charges		8097.3	40			Percent of total billed charges		3598.8	80			Percent of total billed charges		7197.6	90			Percent of total billed charges		8097.3	85			Percent of total billed charges		7647.45	85			Percent of total billed charges		7647.45	85			Percent of total billed charges		7647.45	100			Percent of total billed charges		8997	100			Percent of total billed charges		8997	100			Percent of total billed charges		8997	33.3			Percent of total billed charges		2996.001	33.3			Percent of total billed charges		2996.001	100			Percent of total billed charges		8997	2996.001	8097.3	
gii oxinium p/s fem rt sz 1 s/n 71421111	278	RC	Outpatient			8997	5848.05		90			Percent of total billed charges		8097.3	40			Percent of total billed charges		3598.8	80			Percent of total billed charges		7197.6	90			Percent of total billed charges		8097.3	85			Percent of total billed charges		7647.45	85			Percent of total billed charges		7647.45	85			Percent of total billed charges		7647.45	100			Percent of total billed charges		8997	100			Percent of total billed charges		8997	100			Percent of total billed charges		8997	33.3			Percent of total billed charges		2996.001	33.3			Percent of total billed charges		2996.001	100			Percent of total billed charges		8997	2996.001	8097.3	
gii oxinium p/s fem rt sz 4 s/n 71421114	278	RC	Outpatient			8997	5848.05		90			Percent of total billed charges		8097.3	40			Percent of total billed charges		3598.8	80			Percent of total billed charges		7197.6	90			Percent of total billed charges		8097.3	85			Percent of total billed charges		7647.45	85			Percent of total billed charges		7647.45	85			Percent of total billed charges		7647.45	100			Percent of total billed charges		8997	100			Percent of total billed charges		8997	100			Percent of total billed charges		8997	33.3			Percent of total billed charges		2996.001	33.3			Percent of total billed charges		2996.001	100			Percent of total billed charges		8997	2996.001	8097.3	
gii oxinium p/s fem rt sz 4 s/n 71421204	278	RC	Outpatient			8997	5848.05		90			Percent of total billed charges		8097.3	40			Percent of total billed charges		3598.8	80			Percent of total billed charges		7197.6	90			Percent of total billed charges		8097.3	85			Percent of total billed charges		7647.45	85			Percent of total billed charges		7647.45	85			Percent of total billed charges		7647.45	100			Percent of total billed charges		8997	100			Percent of total billed charges		8997	100			Percent of total billed charges		8997	33.3			Percent of total billed charges		2996.001	33.3			Percent of total billed charges		2996.001	100			Percent of total billed charges		8997	2996.001	8097.3	
cath lab confirm icm loop recorder	278	RC	Outpatient			9025	5866.25		90			Percent of total billed charges		8122.5	40			Percent of total billed charges		3610	80			Percent of total billed charges		7220	90			Percent of total billed charges		8122.5	85			Percent of total billed charges		7671.25	85			Percent of total billed charges		7671.25	85			Percent of total billed charges		7671.25	100			Percent of total billed charges		9025	100			Percent of total billed charges		9025	100			Percent of total billed charges		9025	33.3			Percent of total billed charges		3005.325	33.3			Percent of total billed charges		3005.325	100			Percent of total billed charges		9025	3005.325	8122.5	
rsp revision humeral stem 10 x 175mm 507-10-175 encore	278	RC	Outpatient			9025	5866.25		90			Percent of total billed charges		8122.5	40			Percent of total billed charges		3610	80			Percent of total billed charges		7220	90			Percent of total billed charges		8122.5	85			Percent of total billed charges		7671.25	85			Percent of total billed charges		7671.25	85			Percent of total billed charges		7671.25	100			Percent of total billed charges		9025	100			Percent of total billed charges		9025	100			Percent of total billed charges		9025	33.3			Percent of total billed charges		3005.325	33.3			Percent of total billed charges		3005.325	100			Percent of total billed charges		9025	3005.325	8122.5	
rsp humeral stem rev	278	RC	Outpatient			9025	5866.25		90			Percent of total billed charges		8122.5	40			Percent of total billed charges		3610	80			Percent of total billed charges		7220	90			Percent of total billed charges		8122.5	85			Percent of total billed charges		7671.25	85			Percent of total billed charges		7671.25	85			Percent of total billed charges		7671.25	100			Percent of total billed charges		9025	100			Percent of total billed charges		9025	100			Percent of total billed charges		9025	33.3			Percent of total billed charges		3005.325	33.3			Percent of total billed charges		3005.325	100			Percent of total billed charges		9025	3005.325	8122.5	
rsp revision humeral stem 12 x 175mm 507-12-175 encore	278	RC	Outpatient			9025	5866.25		90			Percent of total billed charges		8122.5	40			Percent of total billed charges		3610	80			Percent of total billed charges		7220	90			Percent of total billed charges		8122.5	85			Percent of total billed charges		7671.25	85			Percent of total billed charges		7671.25	85			Percent of total billed charges		7671.25	100			Percent of total billed charges		9025	100			Percent of total billed charges		9025	100			Percent of total billed charges		9025	33.3			Percent of total billed charges		3005.325	33.3			Percent of total billed charges		3005.325	100			Percent of total billed charges		9025	3005.325	8122.5	
rsp revision humeral stem 6 x 175mm 507-06-175 encore	278	RC	Outpatient			9025	5866.25		90			Percent of total billed charges		8122.5	40			Percent of total billed charges		3610	80			Percent of total billed charges		7220	90			Percent of total billed charges		8122.5	85			Percent of total billed charges		7671.25	85			Percent of total billed charges		7671.25	85			Percent of total billed charges		7671.25	100			Percent of total billed charges		9025	100			Percent of total billed charges		9025	100			Percent of total billed charges		9025	33.3			Percent of total billed charges		3005.325	33.3			Percent of total billed charges		3005.325	100			Percent of total billed charges		9025	3005.325	8122.5	
rsp revision humeral stem 8 x 175mm 507-08-175 encore	278	RC	Outpatient			9025	5866.25		90			Percent of total billed charges		8122.5	40			Percent of total billed charges		3610	80			Percent of total billed charges		7220	90			Percent of total billed charges		8122.5	85			Percent of total billed charges		7671.25	85			Percent of total billed charges		7671.25	85			Percent of total billed charges		7671.25	100			Percent of total billed charges		9025	100			Percent of total billed charges		9025	100			Percent of total billed charges		9025	33.3			Percent of total billed charges		3005.325	33.3			Percent of total billed charges		3005.325	100			Percent of total billed charges		9025	3005.325	8122.5	
talent aaa contralateral limb iw1420c105xh medtronic	278	RC	Outpatient			9076	5899.4		90			Percent of total billed charges		8168.4	40			Percent of total billed charges		3630.4	80			Percent of total billed charges		7260.8	90			Percent of total billed charges		8168.4	85			Percent of total billed charges		7714.6	85			Percent of total billed charges		7714.6	85			Percent of total billed charges		7714.6	100			Percent of total billed charges		9076	100			Percent of total billed charges		9076	100			Percent of total billed charges		9076	33.3			Percent of total billed charges		3022.308	33.3			Percent of total billed charges		3022.308	100			Percent of total billed charges		9076	3022.308	8168.4	
talent graft iluz420c105x	278	RC	Outpatient			9076	5899.4		90			Percent of total billed charges		8168.4	40			Percent of total billed charges		3630.4	80			Percent of total billed charges		7260.8	90			Percent of total billed charges		8168.4	85			Percent of total billed charges		7714.6	85			Percent of total billed charges		7714.6	85			Percent of total billed charges		7714.6	100			Percent of total billed charges		9076	100			Percent of total billed charges		9076	100			Percent of total billed charges		9076	33.3			Percent of total billed charges		3022.308	33.3			Percent of total billed charges		3022.308	100			Percent of total billed charges		9076	3022.308	8168.4	
medtron lv lead 4296-88cm	278	RC	Outpatient			9096	5912.4		90			Percent of total billed charges		8186.4	40			Percent of total billed charges		3638.4	80			Percent of total billed charges		7276.8	90			Percent of total billed charges		8186.4	85			Percent of total billed charges		7731.6	85			Percent of total billed charges		7731.6	85			Percent of total billed charges		7731.6	100			Percent of total billed charges		9096	100			Percent of total billed charges		9096	100			Percent of total billed charges		9096	33.3			Percent of total billed charges		3028.968	33.3			Percent of total billed charges		3028.968	100			Percent of total billed charges		9096	3028.968	8186.4	
mt 4296-88cm lv lead	278	RC	Outpatient			9096	5912.4		90			Percent of total billed charges		8186.4	40			Percent of total billed charges		3638.4	80			Percent of total billed charges		7276.8	90			Percent of total billed charges		8186.4	85			Percent of total billed charges		7731.6	85			Percent of total billed charges		7731.6	85			Percent of total billed charges		7731.6	100			Percent of total billed charges		9096	100			Percent of total billed charges		9096	100			Percent of total billed charges		9096	33.3			Percent of total billed charges		3028.968	33.3			Percent of total billed charges		3028.968	100			Percent of total billed charges		9096	3028.968	8186.4	
depuy rot hinge tib plat	278	RC	Outpatient			9143	5942.95		90			Percent of total billed charges		8228.7	40			Percent of total billed charges		3657.2	80			Percent of total billed charges		7314.4	90			Percent of total billed charges		8228.7	85			Percent of total billed charges		7771.55	85			Percent of total billed charges		7771.55	85			Percent of total billed charges		7771.55	100			Percent of total billed charges		9143	100			Percent of total billed charges		9143	100			Percent of total billed charges		9143	33.3			Percent of total billed charges		3044.619	33.3			Percent of total billed charges		3044.619	100			Percent of total billed charges		9143	3044.619	8228.7	
srom rotating hinged tibial bearing 21mm 62-1613` depuy	278	RC	Outpatient			9143	5942.95		90			Percent of total billed charges		8228.7	40			Percent of total billed charges		3657.2	80			Percent of total billed charges		7314.4	90			Percent of total billed charges		8228.7	85			Percent of total billed charges		7771.55	85			Percent of total billed charges		7771.55	85			Percent of total billed charges		7771.55	100			Percent of total billed charges		9143	100			Percent of total billed charges		9143	100			Percent of total billed charges		9143	33.3			Percent of total billed charges		3044.619	33.3			Percent of total billed charges		3044.619	100			Percent of total billed charges		9143	3044.619	8228.7	
srom rotating hinged tibial plateau 71mm 62-1601 depuy	278	RC	Outpatient			9143	5942.95		90			Percent of total billed charges		8228.7	40			Percent of total billed charges		3657.2	80			Percent of total billed charges		7314.4	90			Percent of total billed charges		8228.7	85			Percent of total billed charges		7771.55	85			Percent of total billed charges		7771.55	85			Percent of total billed charges		7771.55	100			Percent of total billed charges		9143	100			Percent of total billed charges		9143	100			Percent of total billed charges		9143	33.3			Percent of total billed charges		3044.619	33.3			Percent of total billed charges		3044.619	100			Percent of total billed charges		9143	3044.619	8228.7	
endurant aortic ext 32x49	278	RC	Outpatient			9176	5964.4		90			Percent of total billed charges		8258.4	40			Percent of total billed charges		3670.4	80			Percent of total billed charges		7340.8	90			Percent of total billed charges		8258.4	85			Percent of total billed charges		7799.6	85			Percent of total billed charges		7799.6	85			Percent of total billed charges		7799.6	100			Percent of total billed charges		9176	100			Percent of total billed charges		9176	100			Percent of total billed charges		9176	33.3			Percent of total billed charges		3055.608	33.3			Percent of total billed charges		3055.608	100			Percent of total billed charges		9176	3055.608	8258.4	
endurant stent graft aortic extension 32 x 32 x 49mm encf3232c49e medtronic	278	RC	Outpatient			9176	5964.4		90			Percent of total billed charges		8258.4	40			Percent of total billed charges		3670.4	80			Percent of total billed charges		7340.8	90			Percent of total billed charges		8258.4	85			Percent of total billed charges		7799.6	85			Percent of total billed charges		7799.6	85			Percent of total billed charges		7799.6	100			Percent of total billed charges		9176	100			Percent of total billed charges		9176	100			Percent of total billed charges		9176	33.3			Percent of total billed charges		3055.608	33.3			Percent of total billed charges		3055.608	100			Percent of total billed charges		9176	3055.608	8258.4	
depuy srom mod tib base	278	RC	Outpatient			9244	6008.6		90			Percent of total billed charges		8319.6	40			Percent of total billed charges		3697.6	80			Percent of total billed charges		7395.2	90			Percent of total billed charges		8319.6	85			Percent of total billed charges		7857.4	85			Percent of total billed charges		7857.4	85			Percent of total billed charges		7857.4	100			Percent of total billed charges		9244	100			Percent of total billed charges		9244	100			Percent of total billed charges		9244	33.3			Percent of total billed charges		3078.252	33.3			Percent of total billed charges		3078.252	100			Percent of total billed charges		9244	3078.252	8319.6	
s-rom tibial base 66mm 62-1320 depuy	278	RC	Outpatient			9244	6008.6		90			Percent of total billed charges		8319.6	40			Percent of total billed charges		3697.6	80			Percent of total billed charges		7395.2	90			Percent of total billed charges		8319.6	85			Percent of total billed charges		7857.4	85			Percent of total billed charges		7857.4	85			Percent of total billed charges		7857.4	100			Percent of total billed charges		9244	100			Percent of total billed charges		9244	100			Percent of total billed charges		9244	33.3			Percent of total billed charges		3078.252	33.3			Percent of total billed charges		3078.252	100			Percent of total billed charges		9244	3078.252	8319.6	
srom tibial base med 76mm depuy 62-1322	278	RC	Outpatient			9244	6008.6		90			Percent of total billed charges		8319.6	40			Percent of total billed charges		3697.6	80			Percent of total billed charges		7395.2	90			Percent of total billed charges		8319.6	85			Percent of total billed charges		7857.4	85			Percent of total billed charges		7857.4	85			Percent of total billed charges		7857.4	100			Percent of total billed charges		9244	100			Percent of total billed charges		9244	100			Percent of total billed charges		9244	33.3			Percent of total billed charges		3078.252	33.3			Percent of total billed charges		3078.252	100			Percent of total billed charges		9244	3078.252	8319.6	
srom mod tibia base 62-1323 lg 81mm depuy	278	RC	Outpatient			9244	6008.6		90			Percent of total billed charges		8319.6	40			Percent of total billed charges		3697.6	80			Percent of total billed charges		7395.2	90			Percent of total billed charges		8319.6	85			Percent of total billed charges		7857.4	85			Percent of total billed charges		7857.4	85			Percent of total billed charges		7857.4	100			Percent of total billed charges		9244	100			Percent of total billed charges		9244	100			Percent of total billed charges		9244	33.3			Percent of total billed charges		3078.252	33.3			Percent of total billed charges		3078.252	100			Percent of total billed charges		9244	3078.252	8319.6	
"cosmetic - facelift, brow"	983	RC	Outpatient			9268	6024.2		90			Percent of total billed charges		8341.2	40			Percent of total billed charges		3707.2	80			Percent of total billed charges		7414.4	90			Percent of total billed charges		8341.2	85			Percent of total billed charges		7877.8	85			Percent of total billed charges		7877.8	85			Percent of total billed charges		7877.8	100			Percent of total billed charges		9268	100			Percent of total billed charges		9268	100			Percent of total billed charges		9268	33.3			Percent of total billed charges		3086.244	33.3			Percent of total billed charges		3086.244	100			Percent of total billed charges		9268	3086.244	8341.2	
interspinous implant tk	278	RC	Outpatient			9275	6028.75		90			Percent of total billed charges		8347.5	40			Percent of total billed charges		3710	80			Percent of total billed charges		7420	90			Percent of total billed charges		8347.5	85			Percent of total billed charges		7883.75	85			Percent of total billed charges		7883.75	85			Percent of total billed charges		7883.75	100			Percent of total billed charges		9275	100			Percent of total billed charges		9275	100			Percent of total billed charges		9275	33.3			Percent of total billed charges		3088.575	33.3			Percent of total billed charges		3088.575	100			Percent of total billed charges		9275	3088.575	8347.5	
x-stop interspinous implant 14mm 1-2214 st francis med	278	RC	Outpatient			9275	6028.75		90			Percent of total billed charges		8347.5	40			Percent of total billed charges		3710	80			Percent of total billed charges		7420	90			Percent of total billed charges		8347.5	85			Percent of total billed charges		7883.75	85			Percent of total billed charges		7883.75	85			Percent of total billed charges		7883.75	100			Percent of total billed charges		9275	100			Percent of total billed charges		9275	100			Percent of total billed charges		9275	33.3			Percent of total billed charges		3088.575	33.3			Percent of total billed charges		3088.575	100			Percent of total billed charges		9275	3088.575	8347.5	
x-stop interspinous implant 6mm 1-2206 st francis med	278	RC	Outpatient			9275	6028.75		90			Percent of total billed charges		8347.5	40			Percent of total billed charges		3710	80			Percent of total billed charges		7420	90			Percent of total billed charges		8347.5	85			Percent of total billed charges		7883.75	85			Percent of total billed charges		7883.75	85			Percent of total billed charges		7883.75	100			Percent of total billed charges		9275	100			Percent of total billed charges		9275	100			Percent of total billed charges		9275	33.3			Percent of total billed charges		3088.575	33.3			Percent of total billed charges		3088.575	100			Percent of total billed charges		9275	3088.575	8347.5	
x-stop interspinous implant 12mm 1-2212 st francis med	278	RC	Outpatient			9275	6028.75		90			Percent of total billed charges		8347.5	40			Percent of total billed charges		3710	80			Percent of total billed charges		7420	90			Percent of total billed charges		8347.5	85			Percent of total billed charges		7883.75	85			Percent of total billed charges		7883.75	85			Percent of total billed charges		7883.75	100			Percent of total billed charges		9275	100			Percent of total billed charges		9275	100			Percent of total billed charges		9275	33.3			Percent of total billed charges		3088.575	33.3			Percent of total billed charges		3088.575	100			Percent of total billed charges		9275	3088.575	8347.5	
x-stop interspinous implant 8mm 1-2208 st francis med	278	RC	Outpatient			9275	6028.75		90			Percent of total billed charges		8347.5	40			Percent of total billed charges		3710	80			Percent of total billed charges		7420	90			Percent of total billed charges		8347.5	85			Percent of total billed charges		7883.75	85			Percent of total billed charges		7883.75	85			Percent of total billed charges		7883.75	100			Percent of total billed charges		9275	100			Percent of total billed charges		9275	100			Percent of total billed charges		9275	33.3			Percent of total billed charges		3088.575	33.3			Percent of total billed charges		3088.575	100			Percent of total billed charges		9275	3088.575	8347.5	
endurant iliac ext 10&13	278	RC	Outpatient			9326	6061.9		90			Percent of total billed charges		8393.4	40			Percent of total billed charges		3730.4	80			Percent of total billed charges		7460.8	90			Percent of total billed charges		8393.4	85			Percent of total billed charges		7927.1	85			Percent of total billed charges		7927.1	85			Percent of total billed charges		7927.1	100			Percent of total billed charges		9326	100			Percent of total billed charges		9326	100			Percent of total billed charges		9326	33.3			Percent of total billed charges		3105.558	33.3			Percent of total billed charges		3105.558	100			Percent of total billed charges		9326	3105.558	8393.4	
endurant stent graft iliac extension 13 x 13 x 82mm enew1313c82e medtronic	278	RC	Outpatient			9326	6061.9		90			Percent of total billed charges		8393.4	40			Percent of total billed charges		3730.4	80			Percent of total billed charges		7460.8	90			Percent of total billed charges		8393.4	85			Percent of total billed charges		7927.1	85			Percent of total billed charges		7927.1	85			Percent of total billed charges		7927.1	100			Percent of total billed charges		9326	100			Percent of total billed charges		9326	100			Percent of total billed charges		9326	33.3			Percent of total billed charges		3105.558	33.3			Percent of total billed charges		3105.558	100			Percent of total billed charges		9326	3105.558	8393.4	
endurant cont.limb1616c93	278	RC	Outpatient			9326	6061.9		90			Percent of total billed charges		8393.4	40			Percent of total billed charges		3730.4	80			Percent of total billed charges		7460.8	90			Percent of total billed charges		8393.4	85			Percent of total billed charges		7927.1	85			Percent of total billed charges		7927.1	85			Percent of total billed charges		7927.1	100			Percent of total billed charges		9326	100			Percent of total billed charges		9326	100			Percent of total billed charges		9326	33.3			Percent of total billed charges		3105.558	33.3			Percent of total billed charges		3105.558	100			Percent of total billed charges		9326	3105.558	8393.4	
endurant stent graft contralateral limb 16 x 13 x 93mm enlw1613c93e medtronic	278	RC	Outpatient			9326	6061.9		90			Percent of total billed charges		8393.4	40			Percent of total billed charges		3730.4	80			Percent of total billed charges		7460.8	90			Percent of total billed charges		8393.4	85			Percent of total billed charges		7927.1	85			Percent of total billed charges		7927.1	85			Percent of total billed charges		7927.1	100			Percent of total billed charges		9326	100			Percent of total billed charges		9326	100			Percent of total billed charges		9326	33.3			Percent of total billed charges		3105.558	33.3			Percent of total billed charges		3105.558	100			Percent of total billed charges		9326	3105.558	8393.4	
endurant stent graft contralateral limb 16 x 16 x 93mm enlw1616c93e medtronic	278	RC	Outpatient			9326	6061.9		90			Percent of total billed charges		8393.4	40			Percent of total billed charges		3730.4	80			Percent of total billed charges		7460.8	90			Percent of total billed charges		8393.4	85			Percent of total billed charges		7927.1	85			Percent of total billed charges		7927.1	85			Percent of total billed charges		7927.1	100			Percent of total billed charges		9326	100			Percent of total billed charges		9326	100			Percent of total billed charges		9326	33.3			Percent of total billed charges		3105.558	33.3			Percent of total billed charges		3105.558	100			Percent of total billed charges		9326	3105.558	8393.4	
endurant stent graft iliac extension 10 x 10 x 82mm enew1010c82e medtronic	278	RC	Outpatient			9326	6061.9		90			Percent of total billed charges		8393.4	40			Percent of total billed charges		3730.4	80			Percent of total billed charges		7460.8	90			Percent of total billed charges		8393.4	85			Percent of total billed charges		7927.1	85			Percent of total billed charges		7927.1	85			Percent of total billed charges		7927.1	100			Percent of total billed charges		9326	100			Percent of total billed charges		9326	100			Percent of total billed charges		9326	33.3			Percent of total billed charges		3105.558	33.3			Percent of total billed charges		3105.558	100			Percent of total billed charges		9326	3105.558	8393.4	
or time 9 hours	270	RC	Outpatient			9357	6082.05		90			Percent of total billed charges		8421.3	40			Percent of total billed charges		3742.8	80			Percent of total billed charges		7485.6	90			Percent of total billed charges		8421.3	85			Percent of total billed charges		7953.45	85			Percent of total billed charges		7953.45	85			Percent of total billed charges		7953.45	100			Percent of total billed charges		9357	100			Percent of total billed charges		9357	100			Percent of total billed charges		9357	33.3			Percent of total billed charges		3115.881	33.3			Percent of total billed charges		3115.881	100			Percent of total billed charges		9357	3115.881	8421.3	
endurant stent graft aortic extension 36 x 36 x 49mm encf3636c49e medtronic	278	RC	Outpatient			9376	6094.4		90			Percent of total billed charges		8438.4	40			Percent of total billed charges		3750.4	80			Percent of total billed charges		7500.8	90			Percent of total billed charges		8438.4	85			Percent of total billed charges		7969.6	85			Percent of total billed charges		7969.6	85			Percent of total billed charges		7969.6	100			Percent of total billed charges		9376	100			Percent of total billed charges		9376	100			Percent of total billed charges		9376	33.3			Percent of total billed charges		3122.208	33.3			Percent of total billed charges		3122.208	100			Percent of total billed charges		9376	3122.208	8438.4	
endurant aortic ext 36x49	278	RC	Outpatient			9376	6094.4		90			Percent of total billed charges		8438.4	40			Percent of total billed charges		3750.4	80			Percent of total billed charges		7500.8	90			Percent of total billed charges		8438.4	85			Percent of total billed charges		7969.6	85			Percent of total billed charges		7969.6	85			Percent of total billed charges		7969.6	100			Percent of total billed charges		9376	100			Percent of total billed charges		9376	100			Percent of total billed charges		9376	33.3			Percent of total billed charges		3122.208	33.3			Percent of total billed charges		3122.208	100			Percent of total billed charges		9376	3122.208	8438.4	
talent abd contralateral limb iw1412c105xh medtronic	278	RC	Outpatient			9376	6094.4		90			Percent of total billed charges		8438.4	40			Percent of total billed charges		3750.4	80			Percent of total billed charges		7500.8	90			Percent of total billed charges		8438.4	85			Percent of total billed charges		7969.6	85			Percent of total billed charges		7969.6	85			Percent of total billed charges		7969.6	100			Percent of total billed charges		9376	100			Percent of total billed charges		9376	100			Percent of total billed charges		9376	33.3			Percent of total billed charges		3122.208	33.3			Percent of total billed charges		3122.208	100			Percent of total billed charges		9376	3122.208	8438.4	
talent graft iw1412c105xh	278	RC	Outpatient			9376	6094.4		90			Percent of total billed charges		8438.4	40			Percent of total billed charges		3750.4	80			Percent of total billed charges		7500.8	90			Percent of total billed charges		8438.4	85			Percent of total billed charges		7969.6	85			Percent of total billed charges		7969.6	85			Percent of total billed charges		7969.6	100			Percent of total billed charges		9376	100			Percent of total billed charges		9376	100			Percent of total billed charges		9376	33.3			Percent of total billed charges		3122.208	33.3			Percent of total billed charges		3122.208	100			Percent of total billed charges		9376	3122.208	8438.4	
rejuvenate mod stem	278	RC	Outpatient			9382	6098.3		90			Percent of total billed charges		8443.8	40			Percent of total billed charges		3752.8	80			Percent of total billed charges		7505.6	90			Percent of total billed charges		8443.8	85			Percent of total billed charges		7974.7	85			Percent of total billed charges		7974.7	85			Percent of total billed charges		7974.7	100			Percent of total billed charges		9382	100			Percent of total billed charges		9382	100			Percent of total billed charges		9382	33.3			Percent of total billed charges		3124.206	33.3			Percent of total billed charges		3124.206	100			Percent of total billed charges		9382	3124.206	8443.8	
rejuvenate spt modular stem spt-100000s stryker	278	RC	Outpatient			9382	6098.3		90			Percent of total billed charges		8443.8	40			Percent of total billed charges		3752.8	80			Percent of total billed charges		7505.6	90			Percent of total billed charges		8443.8	85			Percent of total billed charges		7974.7	85			Percent of total billed charges		7974.7	85			Percent of total billed charges		7974.7	100			Percent of total billed charges		9382	100			Percent of total billed charges		9382	100			Percent of total billed charges		9382	33.3			Percent of total billed charges		3124.206	33.3			Percent of total billed charges		3124.206	100			Percent of total billed charges		9382	3124.206	8443.8	
rejuvenate spt modular stem #9 spt-090000s stryker	278	RC	Outpatient			9382	6098.3		90			Percent of total billed charges		8443.8	40			Percent of total billed charges		3752.8	80			Percent of total billed charges		7505.6	90			Percent of total billed charges		8443.8	85			Percent of total billed charges		7974.7	85			Percent of total billed charges		7974.7	85			Percent of total billed charges		7974.7	100			Percent of total billed charges		9382	100			Percent of total billed charges		9382	100			Percent of total billed charges		9382	33.3			Percent of total billed charges		3124.206	33.3			Percent of total billed charges		3124.206	100			Percent of total billed charges		9382	3124.206	8443.8	
cath lab sorin reply dr icv 1011	275	RC	Outpatient			9427	6127.55		90			Percent of total billed charges		8484.3	40			Percent of total billed charges		3770.8	80			Percent of total billed charges		7541.6	90			Percent of total billed charges		8484.3	85			Percent of total billed charges		8012.95	85			Percent of total billed charges		8012.95	85			Percent of total billed charges		8012.95	100			Percent of total billed charges		9427	100			Percent of total billed charges		9427	100			Percent of total billed charges		9427	33.3			Percent of total billed charges		3139.191	33.3			Percent of total billed charges		3139.191	100			Percent of total billed charges		9427	3139.191	8484.3	
sorin reply dr icv1011	275	RC	Outpatient			9427	6127.55		90			Percent of total billed charges		8484.3	40			Percent of total billed charges		3770.8	80			Percent of total billed charges		7541.6	90			Percent of total billed charges		8484.3	85			Percent of total billed charges		8012.95	85			Percent of total billed charges		8012.95	85			Percent of total billed charges		8012.95	100			Percent of total billed charges		9427	100			Percent of total billed charges		9427	100			Percent of total billed charges		9427	33.3			Percent of total billed charges		3139.191	33.3			Percent of total billed charges		3139.191	100			Percent of total billed charges		9427	3139.191	8484.3	
journey fem lt sz 3 74021125 s/n	278	RC	Outpatient			9470	6155.5		90			Percent of total billed charges		8523	40			Percent of total billed charges		3788	80			Percent of total billed charges		7576	90			Percent of total billed charges		8523	85			Percent of total billed charges		8049.5	85			Percent of total billed charges		8049.5	85			Percent of total billed charges		8049.5	100			Percent of total billed charges		9470	100			Percent of total billed charges		9470	100			Percent of total billed charges		9470	33.3			Percent of total billed charges		3153.51	33.3			Percent of total billed charges		3153.51	100			Percent of total billed charges		9470	3153.51	8523	
s/n journey fem	278	RC	Outpatient			9470	6155.5		90			Percent of total billed charges		8523	40			Percent of total billed charges		3788	80			Percent of total billed charges		7576	90			Percent of total billed charges		8523	85			Percent of total billed charges		8049.5	85			Percent of total billed charges		8049.5	85			Percent of total billed charges		8049.5	100			Percent of total billed charges		9470	100			Percent of total billed charges		9470	100			Percent of total billed charges		9470	33.3			Percent of total billed charges		3153.51	33.3			Percent of total billed charges		3153.51	100			Percent of total billed charges		9470	3153.51	8523	
talent aaa contralateral limb iw1416c105xh medtronic	278	RC	Outpatient			9577	6225.05		90			Percent of total billed charges		8619.3	40			Percent of total billed charges		3830.8	80			Percent of total billed charges		7661.6	90			Percent of total billed charges		8619.3	85			Percent of total billed charges		8140.45	85			Percent of total billed charges		8140.45	85			Percent of total billed charges		8140.45	100			Percent of total billed charges		9577	100			Percent of total billed charges		9577	100			Percent of total billed charges		9577	33.3			Percent of total billed charges		3189.141	33.3			Percent of total billed charges		3189.141	100			Percent of total billed charges		9577	3189.141	8619.3	
talent graft iw1416c105xh	278	RC	Outpatient			9577	6225.05		90			Percent of total billed charges		8619.3	40			Percent of total billed charges		3830.8	80			Percent of total billed charges		7661.6	90			Percent of total billed charges		8619.3	85			Percent of total billed charges		8140.45	85			Percent of total billed charges		8140.45	85			Percent of total billed charges		8140.45	100			Percent of total billed charges		9577	100			Percent of total billed charges		9577	100			Percent of total billed charges		9577	33.3			Percent of total billed charges		3189.141	33.3			Percent of total billed charges		3189.141	100			Percent of total billed charges		9577	3189.141	8619.3	
accent dr generator	275	RC	Outpatient			9646	6269.9		90			Percent of total billed charges		8681.4	40			Percent of total billed charges		3858.4	80			Percent of total billed charges		7716.8	90			Percent of total billed charges		8681.4	85			Percent of total billed charges		8199.1	85			Percent of total billed charges		8199.1	85			Percent of total billed charges		8199.1	100			Percent of total billed charges		9646	100			Percent of total billed charges		9646	100			Percent of total billed charges		9646	33.3			Percent of total billed charges		3212.118	33.3			Percent of total billed charges		3212.118	100			Percent of total billed charges		9646	3212.118	8681.4	
cath lab accent dr	275	RC	Outpatient			9646	6269.9		90			Percent of total billed charges		8681.4	40			Percent of total billed charges		3858.4	80			Percent of total billed charges		7716.8	90			Percent of total billed charges		8681.4	85			Percent of total billed charges		8199.1	85			Percent of total billed charges		8199.1	85			Percent of total billed charges		8199.1	100			Percent of total billed charges		9646	100			Percent of total billed charges		9646	100			Percent of total billed charges		9646	33.3			Percent of total billed charges		3212.118	33.3			Percent of total billed charges		3212.118	100			Percent of total billed charges		9646	3212.118	8681.4	
cathlab st jude accent dr pm2110 generator	275	RC	Outpatient			9646	6269.9		90			Percent of total billed charges		8681.4	40			Percent of total billed charges		3858.4	80			Percent of total billed charges		7716.8	90			Percent of total billed charges		8681.4	85			Percent of total billed charges		8199.1	85			Percent of total billed charges		8199.1	85			Percent of total billed charges		8199.1	100			Percent of total billed charges		9646	100			Percent of total billed charges		9646	100			Percent of total billed charges		9646	33.3			Percent of total billed charges		3212.118	33.3			Percent of total billed charges		3212.118	100			Percent of total billed charges		9646	3212.118	8681.4	
cosmetic - cap/aug/pexy with gel	983	RC	Outpatient			9680	6292		90			Percent of total billed charges		8712	40			Percent of total billed charges		3872	80			Percent of total billed charges		7744	90			Percent of total billed charges		8712	85			Percent of total billed charges		8228	85			Percent of total billed charges		8228	85			Percent of total billed charges		8228	100			Percent of total billed charges		9680	100			Percent of total billed charges		9680	100			Percent of total billed charges		9680	33.3			Percent of total billed charges		3223.44	33.3			Percent of total billed charges		3223.44	100			Percent of total billed charges		9680	3223.44	8712	
cath lab boston sci s203 dr generator altrua 20	278	RC	Outpatient			9727	6322.55		90			Percent of total billed charges		8754.3	40			Percent of total billed charges		3890.8	80			Percent of total billed charges		7781.6	90			Percent of total billed charges		8754.3	85			Percent of total billed charges		8267.95	85			Percent of total billed charges		8267.95	85			Percent of total billed charges		8267.95	100			Percent of total billed charges		9727	100			Percent of total billed charges		9727	100			Percent of total billed charges		9727	33.3			Percent of total billed charges		3239.091	33.3			Percent of total billed charges		3239.091	100			Percent of total billed charges		9727	3239.091	8754.3	
bstn sci 5203 dr gen al20	278	RC	Outpatient			9727	6322.55		90			Percent of total billed charges		8754.3	40			Percent of total billed charges		3890.8	80			Percent of total billed charges		7781.6	90			Percent of total billed charges		8754.3	85			Percent of total billed charges		8267.95	85			Percent of total billed charges		8267.95	85			Percent of total billed charges		8267.95	100			Percent of total billed charges		9727	100			Percent of total billed charges		9727	100			Percent of total billed charges		9727	33.3			Percent of total billed charges		3239.091	33.3			Percent of total billed charges		3239.091	100			Percent of total billed charges		9727	3239.091	8754.3	
endurant iliac ext 20mm	278	RC	Outpatient			9727	6322.55		90			Percent of total billed charges		8754.3	40			Percent of total billed charges		3890.8	80			Percent of total billed charges		7781.6	90			Percent of total billed charges		8754.3	85			Percent of total billed charges		8267.95	85			Percent of total billed charges		8267.95	85			Percent of total billed charges		8267.95	100			Percent of total billed charges		9727	100			Percent of total billed charges		9727	100			Percent of total billed charges		9727	33.3			Percent of total billed charges		3239.091	33.3			Percent of total billed charges		3239.091	100			Percent of total billed charges		9727	3239.091	8754.3	
endurant stent graft contralateral limb 16 x 10 x 82mm enlw1610c82e medtronic	278	RC	Outpatient			9727	6322.55		90			Percent of total billed charges		8754.3	40			Percent of total billed charges		3890.8	80			Percent of total billed charges		7781.6	90			Percent of total billed charges		8754.3	85			Percent of total billed charges		8267.95	85			Percent of total billed charges		8267.95	85			Percent of total billed charges		8267.95	100			Percent of total billed charges		9727	100			Percent of total billed charges		9727	100			Percent of total billed charges		9727	33.3			Percent of total billed charges		3239.091	33.3			Percent of total billed charges		3239.091	100			Percent of total billed charges		9727	3239.091	8754.3	
endurant stent graft contralateral limb 16 x 13 x 82mm enlw1613c82e medtronic	278	RC	Outpatient			9727	6322.55		90			Percent of total billed charges		8754.3	40			Percent of total billed charges		3890.8	80			Percent of total billed charges		7781.6	90			Percent of total billed charges		8754.3	85			Percent of total billed charges		8267.95	85			Percent of total billed charges		8267.95	85			Percent of total billed charges		8267.95	100			Percent of total billed charges		9727	100			Percent of total billed charges		9727	100			Percent of total billed charges		9727	33.3			Percent of total billed charges		3239.091	33.3			Percent of total billed charges		3239.091	100			Percent of total billed charges		9727	3239.091	8754.3	
endurant stent graft contralateral limb 16 x 24 x 82mm enlw1624c82e medtronic	278	RC	Outpatient			9727	6322.55		90			Percent of total billed charges		8754.3	40			Percent of total billed charges		3890.8	80			Percent of total billed charges		7781.6	90			Percent of total billed charges		8754.3	85			Percent of total billed charges		8267.95	85			Percent of total billed charges		8267.95	85			Percent of total billed charges		8267.95	100			Percent of total billed charges		9727	100			Percent of total billed charges		9727	100			Percent of total billed charges		9727	33.3			Percent of total billed charges		3239.091	33.3			Percent of total billed charges		3239.091	100			Percent of total billed charges		9727	3239.091	8754.3	
endurant stent graft iliac extension 20 x 20 x 82mm enew2020c82e medtronic	278	RC	Outpatient			9727	6322.55		90			Percent of total billed charges		8754.3	40			Percent of total billed charges		3890.8	80			Percent of total billed charges		7781.6	90			Percent of total billed charges		8754.3	85			Percent of total billed charges		8267.95	85			Percent of total billed charges		8267.95	85			Percent of total billed charges		8267.95	100			Percent of total billed charges		9727	100			Percent of total billed charges		9727	100			Percent of total billed charges		9727	33.3			Percent of total billed charges		3239.091	33.3			Percent of total billed charges		3239.091	100			Percent of total billed charges		9727	3239.091	8754.3	
endurant cont. limb 16x82	278	RC	Outpatient			9727	6322.55		90			Percent of total billed charges		8754.3	40			Percent of total billed charges		3890.8	80			Percent of total billed charges		7781.6	90			Percent of total billed charges		8754.3	85			Percent of total billed charges		8267.95	85			Percent of total billed charges		8267.95	85			Percent of total billed charges		8267.95	100			Percent of total billed charges		9727	100			Percent of total billed charges		9727	100			Percent of total billed charges		9727	33.3			Percent of total billed charges		3239.091	33.3			Percent of total billed charges		3239.091	100			Percent of total billed charges		9727	3239.091	8754.3	
endurant stent graft contralateral limb 16 x 28 x 82mm enlw1628c82e medtronic	278	RC	Outpatient			9727	6322.55		90			Percent of total billed charges		8754.3	40			Percent of total billed charges		3890.8	80			Percent of total billed charges		7781.6	90			Percent of total billed charges		8754.3	85			Percent of total billed charges		8267.95	85			Percent of total billed charges		8267.95	85			Percent of total billed charges		8267.95	100			Percent of total billed charges		9727	100			Percent of total billed charges		9727	100			Percent of total billed charges		9727	33.3			Percent of total billed charges		3239.091	33.3			Percent of total billed charges		3239.091	100			Percent of total billed charges		9727	3239.091	8754.3	
pmt halo prosthesis	272	RC	Outpatient			9787	6361.55		90			Percent of total billed charges		8808.3	40			Percent of total billed charges		3914.8	80			Percent of total billed charges		7829.6	90			Percent of total billed charges		8808.3	85			Percent of total billed charges		8318.95	85			Percent of total billed charges		8318.95	85			Percent of total billed charges		8318.95	100			Percent of total billed charges		9787	100			Percent of total billed charges		9787	100			Percent of total billed charges		9787	33.3			Percent of total billed charges		3259.071	33.3			Percent of total billed charges		3259.071	100			Percent of total billed charges		9787	3259.071	8808.3	
pmt halo hanger prosthesis	22	RC	Outpatient			9787	6361.55		90			Percent of total billed charges		8808.3	40			Percent of total billed charges		3914.8	80			Percent of total billed charges		7829.6	90			Percent of total billed charges		8808.3	85			Percent of total billed charges		8318.95	85			Percent of total billed charges		8318.95	85			Percent of total billed charges		8318.95	100			Percent of total billed charges		9787	100			Percent of total billed charges		9787	100			Percent of total billed charges		9787	33.3			Percent of total billed charges		3259.071	33.3			Percent of total billed charges		3259.071	100			Percent of total billed charges		9787	3259.071	8808.3	
cosmetic - facelift upper and lower bleph	983	RC	Outpatient			9790	6363.5		90			Percent of total billed charges		8811	40			Percent of total billed charges		3916	80			Percent of total billed charges		7832	90			Percent of total billed charges		8811	85			Percent of total billed charges		8321.5	85			Percent of total billed charges		8321.5	85			Percent of total billed charges		8321.5	100			Percent of total billed charges		9790	100			Percent of total billed charges		9790	100			Percent of total billed charges		9790	33.3			Percent of total billed charges		3260.07	33.3			Percent of total billed charges		3260.07	100			Percent of total billed charges		9790	3260.07	8811	
or time 9 1/2 hours	270	RC	Outpatient			9806	6373.9		90			Percent of total billed charges		8825.4	40			Percent of total billed charges		3922.4	80			Percent of total billed charges		7844.8	90			Percent of total billed charges		8825.4	85			Percent of total billed charges		8335.1	85			Percent of total billed charges		8335.1	85			Percent of total billed charges		8335.1	100			Percent of total billed charges		9806	100			Percent of total billed charges		9806	100			Percent of total billed charges		9806	33.3			Percent of total billed charges		3265.398	33.3			Percent of total billed charges		3265.398	100			Percent of total billed charges		9806	3265.398	8825.4	
hemicap femoral	278	RC	Outpatient			9818	6381.7		90			Percent of total billed charges		8836.2	40			Percent of total billed charges		3927.2	80			Percent of total billed charges		7854.4	90			Percent of total billed charges		8836.2	85			Percent of total billed charges		8345.3	85			Percent of total billed charges		8345.3	85			Percent of total billed charges		8345.3	100			Percent of total billed charges		9818	100			Percent of total billed charges		9818	100			Percent of total billed charges		9818	33.3			Percent of total billed charges		3269.394	33.3			Percent of total billed charges		3269.394	100			Percent of total billed charges		9818	3269.394	8836.2	
"hemicap femoral, trochlea 20mm +3.0 x -2.0mm offset p202-3020-w arthrosurface"	278	RC	Outpatient			9818	6381.7		90			Percent of total billed charges		8836.2	40			Percent of total billed charges		3927.2	80			Percent of total billed charges		7854.4	90			Percent of total billed charges		8836.2	85			Percent of total billed charges		8345.3	85			Percent of total billed charges		8345.3	85			Percent of total billed charges		8345.3	100			Percent of total billed charges		9818	100			Percent of total billed charges		9818	100			Percent of total billed charges		9818	33.3			Percent of total billed charges		3269.394	33.3			Percent of total billed charges		3269.394	100			Percent of total billed charges		9818	3269.394	8836.2	
"hemicap femoral, trochlea 20mm +2.0 x -2.0mm offset p202-2020-w arthrosurface"	278	RC	Outpatient			9818	6381.7		90			Percent of total billed charges		8836.2	40			Percent of total billed charges		3927.2	80			Percent of total billed charges		7854.4	90			Percent of total billed charges		8836.2	85			Percent of total billed charges		8345.3	85			Percent of total billed charges		8345.3	85			Percent of total billed charges		8345.3	100			Percent of total billed charges		9818	100			Percent of total billed charges		9818	100			Percent of total billed charges		9818	33.3			Percent of total billed charges		3269.394	33.3			Percent of total billed charges		3269.394	100			Percent of total billed charges		9818	3269.394	8836.2	
cath lab quickflex xl lv lead 1156t	278	RC	Outpatient			9841	6396.65		90			Percent of total billed charges		8856.9	40			Percent of total billed charges		3936.4	80			Percent of total billed charges		7872.8	90			Percent of total billed charges		8856.9	85			Percent of total billed charges		8364.85	85			Percent of total billed charges		8364.85	85			Percent of total billed charges		8364.85	100			Percent of total billed charges		9841	100			Percent of total billed charges		9841	100			Percent of total billed charges		9841	33.3			Percent of total billed charges		3277.053	33.3			Percent of total billed charges		3277.053	100			Percent of total billed charges		9841	3277.053	8856.9	
quick flex lv lead	278	RC	Outpatient			9841	6396.65		90			Percent of total billed charges		8856.9	40			Percent of total billed charges		3936.4	80			Percent of total billed charges		7872.8	90			Percent of total billed charges		8856.9	85			Percent of total billed charges		8364.85	85			Percent of total billed charges		8364.85	85			Percent of total billed charges		8364.85	100			Percent of total billed charges		9841	100			Percent of total billed charges		9841	100			Percent of total billed charges		9841	33.3			Percent of total billed charges		3277.053	33.3			Percent of total billed charges		3277.053	100			Percent of total billed charges		9841	3277.053	8856.9	
s/n ech pri fem comp	278	RC	Outpatient			9844	6398.6		90			Percent of total billed charges		8859.6	40			Percent of total billed charges		3937.6	80			Percent of total billed charges		7875.2	90			Percent of total billed charges		8859.6	85			Percent of total billed charges		8367.4	85			Percent of total billed charges		8367.4	85			Percent of total billed charges		8367.4	100			Percent of total billed charges		9844	100			Percent of total billed charges		9844	100			Percent of total billed charges		9844	33.3			Percent of total billed charges		3278.052	33.3			Percent of total billed charges		3278.052	100			Percent of total billed charges		9844	3278.052	8859.6	
or time 10 1/2 hours	270	RC	Outpatient			9868	6414.2		90			Percent of total billed charges		8881.2	40			Percent of total billed charges		3947.2	80			Percent of total billed charges		7894.4	90			Percent of total billed charges		8881.2	85			Percent of total billed charges		8387.8	85			Percent of total billed charges		8387.8	85			Percent of total billed charges		8387.8	100			Percent of total billed charges		9868	100			Percent of total billed charges		9868	100			Percent of total billed charges		9868	33.3			Percent of total billed charges		3286.044	33.3			Percent of total billed charges		3286.044	100			Percent of total billed charges		9868	3286.044	8881.2	
endurant stent graft aortic extension 25 x 25 x 70mm entf2525c70e medtronic	278	RC	Outpatient			9877	6420.05		90			Percent of total billed charges		8889.3	40			Percent of total billed charges		3950.8	80			Percent of total billed charges		7901.6	90			Percent of total billed charges		8889.3	85			Percent of total billed charges		8395.45	85			Percent of total billed charges		8395.45	85			Percent of total billed charges		8395.45	100			Percent of total billed charges		9877	100			Percent of total billed charges		9877	100			Percent of total billed charges		9877	33.3			Percent of total billed charges		3289.041	33.3			Percent of total billed charges		3289.041	100			Percent of total billed charges		9877	3289.041	8889.3	
endurant stent graft contralateral limb 16 x 20 x 93mm enlw1620c93e medtronic	278	RC	Outpatient			9877	6420.05		90			Percent of total billed charges		8889.3	40			Percent of total billed charges		3950.8	80			Percent of total billed charges		7901.6	90			Percent of total billed charges		8889.3	85			Percent of total billed charges		8395.45	85			Percent of total billed charges		8395.45	85			Percent of total billed charges		8395.45	100			Percent of total billed charges		9877	100			Percent of total billed charges		9877	100			Percent of total billed charges		9877	33.3			Percent of total billed charges		3289.041	33.3			Percent of total billed charges		3289.041	100			Percent of total billed charges		9877	3289.041	8889.3	
endurant stent graft contralateral limb 16 x 24 x 93mm enlw1624c93e medtronic	278	RC	Outpatient			9877	6420.05		90			Percent of total billed charges		8889.3	40			Percent of total billed charges		3950.8	80			Percent of total billed charges		7901.6	90			Percent of total billed charges		8889.3	85			Percent of total billed charges		8395.45	85			Percent of total billed charges		8395.45	85			Percent of total billed charges		8395.45	100			Percent of total billed charges		9877	100			Percent of total billed charges		9877	100			Percent of total billed charges		9877	33.3			Percent of total billed charges		3289.041	33.3			Percent of total billed charges		3289.041	100			Percent of total billed charges		9877	3289.041	8889.3	
endurant stent graft contralateral limb 16 x 28 x 93mm enlw1628c93e medtronic	278	RC	Outpatient			9877	6420.05		90			Percent of total billed charges		8889.3	40			Percent of total billed charges		3950.8	80			Percent of total billed charges		7901.6	90			Percent of total billed charges		8889.3	85			Percent of total billed charges		8395.45	85			Percent of total billed charges		8395.45	85			Percent of total billed charges		8395.45	100			Percent of total billed charges		9877	100			Percent of total billed charges		9877	100			Percent of total billed charges		9877	33.3			Percent of total billed charges		3289.041	33.3			Percent of total billed charges		3289.041	100			Percent of total billed charges		9877	3289.041	8889.3	
endurant cont. limb 16x93	278	RC	Outpatient			9877	6420.05		90			Percent of total billed charges		8889.3	40			Percent of total billed charges		3950.8	80			Percent of total billed charges		7901.6	90			Percent of total billed charges		8889.3	85			Percent of total billed charges		8395.45	85			Percent of total billed charges		8395.45	85			Percent of total billed charges		8395.45	100			Percent of total billed charges		9877	100			Percent of total billed charges		9877	100			Percent of total billed charges		9877	33.3			Percent of total billed charges		3289.041	33.3			Percent of total billed charges		3289.041	100			Percent of total billed charges		9877	3289.041	8889.3	
endurant iliac ext 24mm	278	RC	Outpatient			9877	6420.05		90			Percent of total billed charges		8889.3	40			Percent of total billed charges		3950.8	80			Percent of total billed charges		7901.6	90			Percent of total billed charges		8889.3	85			Percent of total billed charges		8395.45	85			Percent of total billed charges		8395.45	85			Percent of total billed charges		8395.45	100			Percent of total billed charges		9877	100			Percent of total billed charges		9877	100			Percent of total billed charges		9877	33.3			Percent of total billed charges		3289.041	33.3			Percent of total billed charges		3289.041	100			Percent of total billed charges		9877	3289.041	8889.3	
endurant stent graft aortic extension 23 x 23 x 70mm entf2323c70e medtronic	278	RC	Outpatient			9877	6420.05		90			Percent of total billed charges		8889.3	40			Percent of total billed charges		3950.8	80			Percent of total billed charges		7901.6	90			Percent of total billed charges		8889.3	85			Percent of total billed charges		8395.45	85			Percent of total billed charges		8395.45	85			Percent of total billed charges		8395.45	100			Percent of total billed charges		9877	100			Percent of total billed charges		9877	100			Percent of total billed charges		9877	33.3			Percent of total billed charges		3289.041	33.3			Percent of total billed charges		3289.041	100			Percent of total billed charges		9877	3289.041	8889.3	
endurant stent graft contralateral limb 16 x 10 x 93mm enlw1610c93e medtronic	278	RC	Outpatient			9877	6420.05		90			Percent of total billed charges		8889.3	40			Percent of total billed charges		3950.8	80			Percent of total billed charges		7901.6	90			Percent of total billed charges		8889.3	85			Percent of total billed charges		8395.45	85			Percent of total billed charges		8395.45	85			Percent of total billed charges		8395.45	100			Percent of total billed charges		9877	100			Percent of total billed charges		9877	100			Percent of total billed charges		9877	33.3			Percent of total billed charges		3289.041	33.3			Percent of total billed charges		3289.041	100			Percent of total billed charges		9877	3289.041	8889.3	
endurant stent graft iliac extension 24 x 24 x 82mm enew2424c82e medtronic	278	RC	Outpatient			9877	6420.05		90			Percent of total billed charges		8889.3	40			Percent of total billed charges		3950.8	80			Percent of total billed charges		7901.6	90			Percent of total billed charges		8889.3	85			Percent of total billed charges		8395.45	85			Percent of total billed charges		8395.45	85			Percent of total billed charges		8395.45	100			Percent of total billed charges		9877	100			Percent of total billed charges		9877	100			Percent of total billed charges		9877	33.3			Percent of total billed charges		3289.041	33.3			Percent of total billed charges		3289.041	100			Percent of total billed charges		9877	3289.041	8889.3	
med addro1 adapta generator	278	RC	Outpatient			9900	6435		90			Percent of total billed charges		8910	40			Percent of total billed charges		3960	80			Percent of total billed charges		7920	90			Percent of total billed charges		8910	85			Percent of total billed charges		8415	85			Percent of total billed charges		8415	85			Percent of total billed charges		8415	100			Percent of total billed charges		9900	100			Percent of total billed charges		9900	100			Percent of total billed charges		9900	33.3			Percent of total billed charges		3296.7	33.3			Percent of total billed charges		3296.7	100			Percent of total billed charges		9900	3296.7	8910	
endurant iliac ext 28mm	278	RC	Outpatient			9978	6485.7		90			Percent of total billed charges		8980.2	40			Percent of total billed charges		3991.2	80			Percent of total billed charges		7982.4	90			Percent of total billed charges		8980.2	85			Percent of total billed charges		8481.3	85			Percent of total billed charges		8481.3	85			Percent of total billed charges		8481.3	100			Percent of total billed charges		9978	100			Percent of total billed charges		9978	100			Percent of total billed charges		9978	33.3			Percent of total billed charges		3322.674	33.3			Percent of total billed charges		3322.674	100			Percent of total billed charges		9978	3322.674	8980.2	
endurant stent graft contralateral limb 16 x 10 x 124mm enlw1610c124e medtronic	278	RC	Outpatient			9978	6485.7		90			Percent of total billed charges		8980.2	40			Percent of total billed charges		3991.2	80			Percent of total billed charges		7982.4	90			Percent of total billed charges		8980.2	85			Percent of total billed charges		8481.3	85			Percent of total billed charges		8481.3	85			Percent of total billed charges		8481.3	100			Percent of total billed charges		9978	100			Percent of total billed charges		9978	100			Percent of total billed charges		9978	33.3			Percent of total billed charges		3322.674	33.3			Percent of total billed charges		3322.674	100			Percent of total billed charges		9978	3322.674	8980.2	
endurant stent graft contralateral limb 16 x 13 x 124mm enlw1613c124e medtronic	278	RC	Outpatient			9978	6485.7		90			Percent of total billed charges		8980.2	40			Percent of total billed charges		3991.2	80			Percent of total billed charges		7982.4	90			Percent of total billed charges		8980.2	85			Percent of total billed charges		8481.3	85			Percent of total billed charges		8481.3	85			Percent of total billed charges		8481.3	100			Percent of total billed charges		9978	100			Percent of total billed charges		9978	100			Percent of total billed charges		9978	33.3			Percent of total billed charges		3322.674	33.3			Percent of total billed charges		3322.674	100			Percent of total billed charges		9978	3322.674	8980.2	
endurant stent graft contralateral limb 16 x 28 x 124mm enlw1628c124e medtronic	278	RC	Outpatient			9978	6485.7		90			Percent of total billed charges		8980.2	40			Percent of total billed charges		3991.2	80			Percent of total billed charges		7982.4	90			Percent of total billed charges		8980.2	85			Percent of total billed charges		8481.3	85			Percent of total billed charges		8481.3	85			Percent of total billed charges		8481.3	100			Percent of total billed charges		9978	100			Percent of total billed charges		9978	100			Percent of total billed charges		9978	33.3			Percent of total billed charges		3322.674	33.3			Percent of total billed charges		3322.674	100			Percent of total billed charges		9978	3322.674	8980.2	
endurant cont. limb16x124	278	RC	Outpatient			9978	6485.7		90			Percent of total billed charges		8980.2	40			Percent of total billed charges		3991.2	80			Percent of total billed charges		7982.4	90			Percent of total billed charges		8980.2	85			Percent of total billed charges		8481.3	85			Percent of total billed charges		8481.3	85			Percent of total billed charges		8481.3	100			Percent of total billed charges		9978	100			Percent of total billed charges		9978	100			Percent of total billed charges		9978	33.3			Percent of total billed charges		3322.674	33.3			Percent of total billed charges		3322.674	100			Percent of total billed charges		9978	3322.674	8980.2	
endurant stent graft contralateral limb 16 x 16 x 124mm enlw1616c124e medtronic	278	RC	Outpatient			9978	6485.7		90			Percent of total billed charges		8980.2	40			Percent of total billed charges		3991.2	80			Percent of total billed charges		7982.4	90			Percent of total billed charges		8980.2	85			Percent of total billed charges		8481.3	85			Percent of total billed charges		8481.3	85			Percent of total billed charges		8481.3	100			Percent of total billed charges		9978	100			Percent of total billed charges		9978	100			Percent of total billed charges		9978	33.3			Percent of total billed charges		3322.674	33.3			Percent of total billed charges		3322.674	100			Percent of total billed charges		9978	3322.674	8980.2	
endurant stent graft contralateral limb 16 x 20 x 124mm enlw1620c124e medtronic	278	RC	Outpatient			9978	6485.7		90			Percent of total billed charges		8980.2	40			Percent of total billed charges		3991.2	80			Percent of total billed charges		7982.4	90			Percent of total billed charges		8980.2	85			Percent of total billed charges		8481.3	85			Percent of total billed charges		8481.3	85			Percent of total billed charges		8481.3	100			Percent of total billed charges		9978	100			Percent of total billed charges		9978	100			Percent of total billed charges		9978	33.3			Percent of total billed charges		3322.674	33.3			Percent of total billed charges		3322.674	100			Percent of total billed charges		9978	3322.674	8980.2	
endurant stent graft contralateral limb 16 x 24 x 124mm enlw1624c124e medtronic	278	RC	Outpatient			9978	6485.7		90			Percent of total billed charges		8980.2	40			Percent of total billed charges		3991.2	80			Percent of total billed charges		7982.4	90			Percent of total billed charges		8980.2	85			Percent of total billed charges		8481.3	85			Percent of total billed charges		8481.3	85			Percent of total billed charges		8481.3	100			Percent of total billed charges		9978	100			Percent of total billed charges		9978	100			Percent of total billed charges		9978	33.3			Percent of total billed charges		3322.674	33.3			Percent of total billed charges		3322.674	100			Percent of total billed charges		9978	3322.674	8980.2	
endurant stent graft iliac extension 28 x 28 x 82mm enew2828c82e medtronic	278	RC	Outpatient			9978	6485.7		90			Percent of total billed charges		8980.2	40			Percent of total billed charges		3991.2	80			Percent of total billed charges		7982.4	90			Percent of total billed charges		8980.2	85			Percent of total billed charges		8481.3	85			Percent of total billed charges		8481.3	85			Percent of total billed charges		8481.3	100			Percent of total billed charges		9978	100			Percent of total billed charges		9978	100			Percent of total billed charges		9978	33.3			Percent of total billed charges		3322.674	33.3			Percent of total billed charges		3322.674	100			Percent of total billed charges		9978	3322.674	8980.2	
zenith renu main bdy ext	278	RC	Outpatient			10000	6500		90			Percent of total billed charges		9000	40			Percent of total billed charges		4000	80			Percent of total billed charges		8000	90			Percent of total billed charges		9000	85			Percent of total billed charges		8500	85			Percent of total billed charges		8500	85			Percent of total billed charges		8500	100			Percent of total billed charges		10000	100			Percent of total billed charges		10000	100			Percent of total billed charges		10000	33.3			Percent of total billed charges		3330	33.3			Percent of total billed charges		3330	100			Percent of total billed charges		10000	3330	9000	
zenith renu aaa graft main body extension 30mm g36140 cook	278	RC	Outpatient			10000	6500		90			Percent of total billed charges		9000	40			Percent of total billed charges		4000	80			Percent of total billed charges		8000	90			Percent of total billed charges		9000	85			Percent of total billed charges		8500	85			Percent of total billed charges		8500	85			Percent of total billed charges		8500	100			Percent of total billed charges		10000	100			Percent of total billed charges		10000	100			Percent of total billed charges		10000	33.3			Percent of total billed charges		3330	33.3			Percent of total billed charges		3330	100			Percent of total billed charges		10000	3330	9000	
op 1 implant	278	RC	Outpatient			10028	6518.2		90			Percent of total billed charges		9025.2	40			Percent of total billed charges		4011.2	80			Percent of total billed charges		8022.4	90			Percent of total billed charges		9025.2	85			Percent of total billed charges		8523.8	85			Percent of total billed charges		8523.8	85			Percent of total billed charges		8523.8	100			Percent of total billed charges		10028	100			Percent of total billed charges		10028	100			Percent of total billed charges		10028	33.3			Percent of total billed charges		3339.324	33.3			Percent of total billed charges		3339.324	100			Percent of total billed charges		10028	3339.324	9025.2	
op-1 implant 100-25  styker	278	RC	Outpatient			10028	6518.2		90			Percent of total billed charges		9025.2	40			Percent of total billed charges		4011.2	80			Percent of total billed charges		8022.4	90			Percent of total billed charges		9025.2	85			Percent of total billed charges		8523.8	85			Percent of total billed charges		8523.8	85			Percent of total billed charges		8523.8	100			Percent of total billed charges		10028	100			Percent of total billed charges		10028	100			Percent of total billed charges		10028	33.3			Percent of total billed charges		3339.324	33.3			Percent of total billed charges		3339.324	100			Percent of total billed charges		10028	3339.324	9025.2	
bio mod reach metaphyseal	278	RC	Outpatient			10038	6524.7		90			Percent of total billed charges		9034.2	40			Percent of total billed charges		4015.2	80			Percent of total billed charges		8030.4	90			Percent of total billed charges		9034.2	85			Percent of total billed charges		8532.3	85			Percent of total billed charges		8532.3	85			Percent of total billed charges		8532.3	100			Percent of total billed charges		10038	100			Percent of total billed charges		10038	100			Percent of total billed charges		10038	33.3			Percent of total billed charges		3342.654	33.3			Percent of total billed charges		3342.654	100			Percent of total billed charges		10038	3342.654	9034.2	
modular reach metaphyseal sz 5 108299 biomet	278	RC	Outpatient			10038	6524.7		90			Percent of total billed charges		9034.2	40			Percent of total billed charges		4015.2	80			Percent of total billed charges		8030.4	90			Percent of total billed charges		9034.2	85			Percent of total billed charges		8532.3	85			Percent of total billed charges		8532.3	85			Percent of total billed charges		8532.3	100			Percent of total billed charges		10038	100			Percent of total billed charges		10038	100			Percent of total billed charges		10038	33.3			Percent of total billed charges		3342.654	33.3			Percent of total billed charges		3342.654	100			Percent of total billed charges		10038	3342.654	9034.2	
modular reach metaphyseal sz 1 108291 biomet	278	RC	Outpatient			10038	6524.7		90			Percent of total billed charges		9034.2	40			Percent of total billed charges		4015.2	80			Percent of total billed charges		8030.4	90			Percent of total billed charges		9034.2	85			Percent of total billed charges		8532.3	85			Percent of total billed charges		8532.3	85			Percent of total billed charges		8532.3	100			Percent of total billed charges		10038	100			Percent of total billed charges		10038	100			Percent of total billed charges		10038	33.3			Percent of total billed charges		3342.654	33.3			Percent of total billed charges		3342.654	100			Percent of total billed charges		10038	3342.654	9034.2	
biomet  180mm rev fem comp 17mm 166017	278	RC	Outpatient			10046	6529.9		90			Percent of total billed charges		9041.4	40			Percent of total billed charges		4018.4	80			Percent of total billed charges		8036.8	90			Percent of total billed charges		9041.4	85			Percent of total billed charges		8539.1	85			Percent of total billed charges		8539.1	85			Percent of total billed charges		8539.1	100			Percent of total billed charges		10046	100			Percent of total billed charges		10046	100			Percent of total billed charges		10046	33.3			Percent of total billed charges		3345.318	33.3			Percent of total billed charges		3345.318	100			Percent of total billed charges		10046	3345.318	9041.4	
biomet 180mm re fem comp 14mm 166014	278	RC	Outpatient			10046	6529.9		90			Percent of total billed charges		9041.4	40			Percent of total billed charges		4018.4	80			Percent of total billed charges		8036.8	90			Percent of total billed charges		9041.4	85			Percent of total billed charges		8539.1	85			Percent of total billed charges		8539.1	85			Percent of total billed charges		8539.1	100			Percent of total billed charges		10046	100			Percent of total billed charges		10046	100			Percent of total billed charges		10046	33.3			Percent of total billed charges		3345.318	33.3			Percent of total billed charges		3345.318	100			Percent of total billed charges		10046	3345.318	9041.4	
biomet 180mm rev fem comp 13mm 166013	278	RC	Outpatient			10046	6529.9		90			Percent of total billed charges		9041.4	40			Percent of total billed charges		4018.4	80			Percent of total billed charges		8036.8	90			Percent of total billed charges		9041.4	85			Percent of total billed charges		8539.1	85			Percent of total billed charges		8539.1	85			Percent of total billed charges		8539.1	100			Percent of total billed charges		10046	100			Percent of total billed charges		10046	100			Percent of total billed charges		10046	33.3			Percent of total billed charges		3345.318	33.3			Percent of total billed charges		3345.318	100			Percent of total billed charges		10046	3345.318	9041.4	
biomet 180mm rev fem comp 18mm 166018	278	RC	Outpatient			10046	6529.9		90			Percent of total billed charges		9041.4	40			Percent of total billed charges		4018.4	80			Percent of total billed charges		8036.8	90			Percent of total billed charges		9041.4	85			Percent of total billed charges		8539.1	85			Percent of total billed charges		8539.1	85			Percent of total billed charges		8539.1	100			Percent of total billed charges		10046	100			Percent of total billed charges		10046	100			Percent of total billed charges		10046	33.3			Percent of total billed charges		3345.318	33.3			Percent of total billed charges		3345.318	100			Percent of total billed charges		10046	3345.318	9041.4	
biomet 180mm rev femoral comp 19mm 166019	278	RC	Outpatient			10046	6529.9		90			Percent of total billed charges		9041.4	40			Percent of total billed charges		4018.4	80			Percent of total billed charges		8036.8	90			Percent of total billed charges		9041.4	85			Percent of total billed charges		8539.1	85			Percent of total billed charges		8539.1	85			Percent of total billed charges		8539.1	100			Percent of total billed charges		10046	100			Percent of total billed charges		10046	100			Percent of total billed charges		10046	33.3			Percent of total billed charges		3345.318	33.3			Percent of total billed charges		3345.318	100			Percent of total billed charges		10046	3345.318	9041.4	
biomet i180mm rev fem comp 11mm 166011	278	RC	Outpatient			10046	6529.9		90			Percent of total billed charges		9041.4	40			Percent of total billed charges		4018.4	80			Percent of total billed charges		8036.8	90			Percent of total billed charges		9041.4	85			Percent of total billed charges		8539.1	85			Percent of total billed charges		8539.1	85			Percent of total billed charges		8539.1	100			Percent of total billed charges		10046	100			Percent of total billed charges		10046	100			Percent of total billed charges		10046	33.3			Percent of total billed charges		3345.318	33.3			Percent of total billed charges		3345.318	100			Percent of total billed charges		10046	3345.318	9041.4	
bio 180 rev fem comp	278	RC	Outpatient			10046	6529.9		90			Percent of total billed charges		9041.4	40			Percent of total billed charges		4018.4	80			Percent of total billed charges		8036.8	90			Percent of total billed charges		9041.4	85			Percent of total billed charges		8539.1	85			Percent of total billed charges		8539.1	85			Percent of total billed charges		8539.1	100			Percent of total billed charges		10046	100			Percent of total billed charges		10046	100			Percent of total billed charges		10046	33.3			Percent of total billed charges		3345.318	33.3			Percent of total billed charges		3345.318	100			Percent of total billed charges		10046	3345.318	9041.4	
biomet  180mm rev fem comp 15mm 166015	278	RC	Outpatient			10046	6529.9		90			Percent of total billed charges		9041.4	40			Percent of total billed charges		4018.4	80			Percent of total billed charges		8036.8	90			Percent of total billed charges		9041.4	85			Percent of total billed charges		8539.1	85			Percent of total billed charges		8539.1	85			Percent of total billed charges		8539.1	100			Percent of total billed charges		10046	100			Percent of total billed charges		10046	100			Percent of total billed charges		10046	33.3			Percent of total billed charges		3345.318	33.3			Percent of total billed charges		3345.318	100			Percent of total billed charges		10046	3345.318	9041.4	
biomet 180mm  femoral comp 10mm 166010	278	RC	Outpatient			10046	6529.9		90			Percent of total billed charges		9041.4	40			Percent of total billed charges		4018.4	80			Percent of total billed charges		8036.8	90			Percent of total billed charges		9041.4	85			Percent of total billed charges		8539.1	85			Percent of total billed charges		8539.1	85			Percent of total billed charges		8539.1	100			Percent of total billed charges		10046	100			Percent of total billed charges		10046	100			Percent of total billed charges		10046	33.3			Percent of total billed charges		3345.318	33.3			Percent of total billed charges		3345.318	100			Percent of total billed charges		10046	3345.318	9041.4	
biomet 180mm rev fem comp 12mm 166012	278	RC	Outpatient			10046	6529.9		90			Percent of total billed charges		9041.4	40			Percent of total billed charges		4018.4	80			Percent of total billed charges		8036.8	90			Percent of total billed charges		9041.4	85			Percent of total billed charges		8539.1	85			Percent of total billed charges		8539.1	85			Percent of total billed charges		8539.1	100			Percent of total billed charges		10046	100			Percent of total billed charges		10046	100			Percent of total billed charges		10046	33.3			Percent of total billed charges		3345.318	33.3			Percent of total billed charges		3345.318	100			Percent of total billed charges		10046	3345.318	9041.4	
biomet 180mm rev fem comp 16mm 166016	278	RC	Outpatient			10046	6529.9		90			Percent of total billed charges		9041.4	40			Percent of total billed charges		4018.4	80			Percent of total billed charges		8036.8	90			Percent of total billed charges		9041.4	85			Percent of total billed charges		8539.1	85			Percent of total billed charges		8539.1	85			Percent of total billed charges		8539.1	100			Percent of total billed charges		10046	100			Percent of total billed charges		10046	100			Percent of total billed charges		10046	33.3			Percent of total billed charges		3345.318	33.3			Percent of total billed charges		3345.318	100			Percent of total billed charges		10046	3345.318	9041.4	
interspious imp pk	278	RC	Outpatient			10219	6642.35		90			Percent of total billed charges		9197.1	40			Percent of total billed charges		4087.6	80			Percent of total billed charges		8175.2	90			Percent of total billed charges		9197.1	85			Percent of total billed charges		8686.15	85			Percent of total billed charges		8686.15	85			Percent of total billed charges		8686.15	100			Percent of total billed charges		10219	100			Percent of total billed charges		10219	100			Percent of total billed charges		10219	33.3			Percent of total billed charges		3402.927	33.3			Percent of total billed charges		3402.927	100			Percent of total billed charges		10219	3402.927	9197.1	
x-stop interspinous implant peek 16mm 1-3216 st francis med	278	RC	Outpatient			10219	6642.35		90			Percent of total billed charges		9197.1	40			Percent of total billed charges		4087.6	80			Percent of total billed charges		8175.2	90			Percent of total billed charges		9197.1	85			Percent of total billed charges		8686.15	85			Percent of total billed charges		8686.15	85			Percent of total billed charges		8686.15	100			Percent of total billed charges		10219	100			Percent of total billed charges		10219	100			Percent of total billed charges		10219	33.3			Percent of total billed charges		3402.927	33.3			Percent of total billed charges		3402.927	100			Percent of total billed charges		10219	3402.927	9197.1	
solar total elbow humeral comp std rt 5005-002r stryker	278	RC	Outpatient			10220	6643		90			Percent of total billed charges		9198	40			Percent of total billed charges		4088	80			Percent of total billed charges		8176	90			Percent of total billed charges		9198	85			Percent of total billed charges		8687	85			Percent of total billed charges		8687	85			Percent of total billed charges		8687	100			Percent of total billed charges		10220	100			Percent of total billed charges		10220	100			Percent of total billed charges		10220	33.3			Percent of total billed charges		3403.26	33.3			Percent of total billed charges		3403.26	100			Percent of total billed charges		10220	3403.26	9198	
solar humeral comp	278	RC	Outpatient			10220	6643		90			Percent of total billed charges		9198	40			Percent of total billed charges		4088	80			Percent of total billed charges		8176	90			Percent of total billed charges		9198	85			Percent of total billed charges		8687	85			Percent of total billed charges		8687	85			Percent of total billed charges		8687	100			Percent of total billed charges		10220	100			Percent of total billed charges		10220	100			Percent of total billed charges		10220	33.3			Percent of total billed charges		3403.26	33.3			Percent of total billed charges		3403.26	100			Percent of total billed charges		10220	3403.26	9198	
bhr fem head	278	RC	Outpatient			10229	6648.85		90			Percent of total billed charges		9206.1	40			Percent of total billed charges		4091.6	80			Percent of total billed charges		8183.2	90			Percent of total billed charges		9206.1	85			Percent of total billed charges		8694.65	85			Percent of total billed charges		8694.65	85			Percent of total billed charges		8694.65	100			Percent of total billed charges		10229	100			Percent of total billed charges		10229	100			Percent of total billed charges		10229	33.3			Percent of total billed charges		3406.257	33.3			Percent of total billed charges		3406.257	100			Percent of total billed charges		10229	3406.257	9206.1	
bhr fem head 42mm 74121142 s/n	278	RC	Outpatient			10229	6648.85		90			Percent of total billed charges		9206.1	40			Percent of total billed charges		4091.6	80			Percent of total billed charges		8183.2	90			Percent of total billed charges		9206.1	85			Percent of total billed charges		8694.65	85			Percent of total billed charges		8694.65	85			Percent of total billed charges		8694.65	100			Percent of total billed charges		10229	100			Percent of total billed charges		10229	100			Percent of total billed charges		10229	33.3			Percent of total billed charges		3406.257	33.3			Percent of total billed charges		3406.257	100			Percent of total billed charges		10229	3406.257	9206.1	
infuse bone graft lg kit 7510600 medtronic/sofamor danik	278	RC	Outpatient			10229	6648.85		90			Percent of total billed charges		9206.1	40			Percent of total billed charges		4091.6	80			Percent of total billed charges		8183.2	90			Percent of total billed charges		9206.1	85			Percent of total billed charges		8694.65	85			Percent of total billed charges		8694.65	85			Percent of total billed charges		8694.65	100			Percent of total billed charges		10229	100			Percent of total billed charges		10229	100			Percent of total billed charges		10229	33.3			Percent of total billed charges		3406.257	33.3			Percent of total billed charges		3406.257	100			Percent of total billed charges		10229	3406.257	9206.1	
infuse bone graft	278	RC	Outpatient			10229	6648.85		90			Percent of total billed charges		9206.1	40			Percent of total billed charges		4091.6	80			Percent of total billed charges		8183.2	90			Percent of total billed charges		9206.1	85			Percent of total billed charges		8694.65	85			Percent of total billed charges		8694.65	85			Percent of total billed charges		8694.65	100			Percent of total billed charges		10229	100			Percent of total billed charges		10229	100			Percent of total billed charges		10229	33.3			Percent of total billed charges		3406.257	33.3			Percent of total billed charges		3406.257	100			Percent of total billed charges		10229	3406.257	9206.1	
or time 10 hours	270	RC	Outpatient			10256	6666.4		90			Percent of total billed charges		9230.4	40			Percent of total billed charges		4102.4	80			Percent of total billed charges		8204.8	90			Percent of total billed charges		9230.4	85			Percent of total billed charges		8717.6	85			Percent of total billed charges		8717.6	85			Percent of total billed charges		8717.6	100			Percent of total billed charges		10256	100			Percent of total billed charges		10256	100			Percent of total billed charges		10256	33.3			Percent of total billed charges		3415.248	33.3			Percent of total billed charges		3415.248	100			Percent of total billed charges		10256	3415.248	9230.4	
or time 11 hours	270	RC	Outpatient			10295	6691.75		90			Percent of total billed charges		9265.5	40			Percent of total billed charges		4118	80			Percent of total billed charges		8236	90			Percent of total billed charges		9265.5	85			Percent of total billed charges		8750.75	85			Percent of total billed charges		8750.75	85			Percent of total billed charges		8750.75	100			Percent of total billed charges		10295	100			Percent of total billed charges		10295	100			Percent of total billed charges		10295	33.3			Percent of total billed charges		3428.235	33.3			Percent of total billed charges		3428.235	100			Percent of total billed charges		10295	3428.235	9265.5	
biotro evia dr-t sg ld ge	275	RC	Outpatient			10395	6756.75		90			Percent of total billed charges		9355.5	40			Percent of total billed charges		4158	80			Percent of total billed charges		8316	90			Percent of total billed charges		9355.5	85			Percent of total billed charges		8835.75	85			Percent of total billed charges		8835.75	85			Percent of total billed charges		8835.75	100			Percent of total billed charges		10395	100			Percent of total billed charges		10395	100			Percent of total billed charges		10395	33.3			Percent of total billed charges		3461.535	33.3			Percent of total billed charges		3461.535	100			Percent of total billed charges		10395	3461.535	9355.5	
"cosmetic - facelift and low blephs, brow"	983	RC	Outpatient			10395	6756.75		90			Percent of total billed charges		9355.5	40			Percent of total billed charges		4158	80			Percent of total billed charges		8316	90			Percent of total billed charges		9355.5	85			Percent of total billed charges		8835.75	85			Percent of total billed charges		8835.75	85			Percent of total billed charges		8835.75	100			Percent of total billed charges		10395	100			Percent of total billed charges		10395	100			Percent of total billed charges		10395	33.3			Percent of total billed charges		3461.535	33.3			Percent of total billed charges		3461.535	100			Percent of total billed charges		10395	3461.535	9355.5	
"cosmetic - facelift and upper blephs, brow"	983	RC	Outpatient			10395	6756.75		90			Percent of total billed charges		9355.5	40			Percent of total billed charges		4158	80			Percent of total billed charges		8316	90			Percent of total billed charges		9355.5	85			Percent of total billed charges		8835.75	85			Percent of total billed charges		8835.75	85			Percent of total billed charges		8835.75	100			Percent of total billed charges		10395	100			Percent of total billed charges		10395	100			Percent of total billed charges		10395	33.3			Percent of total billed charges		3461.535	33.3			Percent of total billed charges		3461.535	100			Percent of total billed charges		10395	3461.535	9355.5	
biotronik cylos-or genera	272	RC	Outpatient			10429	6778.85		90			Percent of total billed charges		9386.1	40			Percent of total billed charges		4171.6	80			Percent of total billed charges		8343.2	90			Percent of total billed charges		9386.1	85			Percent of total billed charges		8864.65	85			Percent of total billed charges		8864.65	85			Percent of total billed charges		8864.65	100			Percent of total billed charges		10429	100			Percent of total billed charges		10429	100			Percent of total billed charges		10429	33.3			Percent of total billed charges		3472.857	33.3			Percent of total billed charges		3472.857	100			Percent of total billed charges		10429	3472.857	9386.1	
cath lab biotronik cyclos dr generator	272	RC	Outpatient			10429	6778.85		90			Percent of total billed charges		9386.1	40			Percent of total billed charges		4171.6	80			Percent of total billed charges		8343.2	90			Percent of total billed charges		9386.1	85			Percent of total billed charges		8864.65	85			Percent of total billed charges		8864.65	85			Percent of total billed charges		8864.65	100			Percent of total billed charges		10429	100			Percent of total billed charges		10429	100			Percent of total billed charges		10429	33.3			Percent of total billed charges		3472.857	33.3			Percent of total billed charges		3472.857	100			Percent of total billed charges		10429	3472.857	9386.1	
cath lab sensia ppm dual medtronic	275	RC	Outpatient			10442	6787.3		90			Percent of total billed charges		9397.8	40			Percent of total billed charges		4176.8	80			Percent of total billed charges		8353.6	90			Percent of total billed charges		9397.8	85			Percent of total billed charges		8875.7	85			Percent of total billed charges		8875.7	85			Percent of total billed charges		8875.7	100			Percent of total billed charges		10442	100			Percent of total billed charges		10442	100			Percent of total billed charges		10442	33.3			Percent of total billed charges		3477.186	33.3			Percent of total billed charges		3477.186	100			Percent of total billed charges		10442	3477.186	9397.8	
sensia ppm dual med	275	RC	Outpatient			10442	6787.3		90			Percent of total billed charges		9397.8	40			Percent of total billed charges		4176.8	80			Percent of total billed charges		8353.6	90			Percent of total billed charges		9397.8	85			Percent of total billed charges		8875.7	85			Percent of total billed charges		8875.7	85			Percent of total billed charges		8875.7	100			Percent of total billed charges		10442	100			Percent of total billed charges		10442	100			Percent of total billed charges		10442	33.3			Percent of total billed charges		3477.186	33.3			Percent of total billed charges		3477.186	100			Percent of total billed charges		10442	3477.186	9397.8	
cosmetic - abdominoplasty and lbl	983	RC	Outpatient			10450	6792.5		90			Percent of total billed charges		9405	40			Percent of total billed charges		4180	80			Percent of total billed charges		8360	90			Percent of total billed charges		9405	85			Percent of total billed charges		8882.5	85			Percent of total billed charges		8882.5	85			Percent of total billed charges		8882.5	100			Percent of total billed charges		10450	100			Percent of total billed charges		10450	100			Percent of total billed charges		10450	33.3			Percent of total billed charges		3479.85	33.3			Percent of total billed charges		3479.85	100			Percent of total billed charges		10450	3479.85	9405	
cath lab durata 7120 icd lead	278	RC	Outpatient			10467	6803.55		90			Percent of total billed charges		9420.3	40			Percent of total billed charges		4186.8	80			Percent of total billed charges		8373.6	90			Percent of total billed charges		9420.3	85			Percent of total billed charges		8896.95	85			Percent of total billed charges		8896.95	85			Percent of total billed charges		8896.95	100			Percent of total billed charges		10467	100			Percent of total billed charges		10467	100			Percent of total billed charges		10467	33.3			Percent of total billed charges		3485.511	33.3			Percent of total billed charges		3485.511	100			Percent of total billed charges		10467	3485.511	9420.3	
durata 7120q icd lead	278	RC	Outpatient			10467	6803.55		90			Percent of total billed charges		9420.3	40			Percent of total billed charges		4186.8	80			Percent of total billed charges		8373.6	90			Percent of total billed charges		9420.3	85			Percent of total billed charges		8896.95	85			Percent of total billed charges		8896.95	85			Percent of total billed charges		8896.95	100			Percent of total billed charges		10467	100			Percent of total billed charges		10467	100			Percent of total billed charges		10467	33.3			Percent of total billed charges		3485.511	33.3			Percent of total billed charges		3485.511	100			Percent of total billed charges		10467	3485.511	9420.3	
opal spacer 10 x 24 x 11mm 08.803.051 synthes	278	RC	Outpatient			10530	6844.5		90			Percent of total billed charges		9477	40			Percent of total billed charges		4212	80			Percent of total billed charges		8424	90			Percent of total billed charges		9477	85			Percent of total billed charges		8950.5	85			Percent of total billed charges		8950.5	85			Percent of total billed charges		8950.5	100			Percent of total billed charges		10530	100			Percent of total billed charges		10530	100			Percent of total billed charges		10530	33.3			Percent of total billed charges		3506.49	33.3			Percent of total billed charges		3506.49	100			Percent of total billed charges		10530	3506.49	9477	
opal spacer 10 x 24 x 15mm 08.803.055 synthes	278	RC	Outpatient			10530	6844.5		90			Percent of total billed charges		9477	40			Percent of total billed charges		4212	80			Percent of total billed charges		8424	90			Percent of total billed charges		9477	85			Percent of total billed charges		8950.5	85			Percent of total billed charges		8950.5	85			Percent of total billed charges		8950.5	100			Percent of total billed charges		10530	100			Percent of total billed charges		10530	100			Percent of total billed charges		10530	33.3			Percent of total billed charges		3506.49	33.3			Percent of total billed charges		3506.49	100			Percent of total billed charges		10530	3506.49	9477	
opal spacer 10 x 28 x 12mm 08.803.132 synthes	278	RC	Outpatient			10530	6844.5		90			Percent of total billed charges		9477	40			Percent of total billed charges		4212	80			Percent of total billed charges		8424	90			Percent of total billed charges		9477	85			Percent of total billed charges		8950.5	85			Percent of total billed charges		8950.5	85			Percent of total billed charges		8950.5	100			Percent of total billed charges		10530	100			Percent of total billed charges		10530	100			Percent of total billed charges		10530	33.3			Percent of total billed charges		3506.49	33.3			Percent of total billed charges		3506.49	100			Percent of total billed charges		10530	3506.49	9477	
opal spacer 9 x 24 x 10mm 08.803.050 synthes	278	RC	Outpatient			10530	6844.5		90			Percent of total billed charges		9477	40			Percent of total billed charges		4212	80			Percent of total billed charges		8424	90			Percent of total billed charges		9477	85			Percent of total billed charges		8950.5	85			Percent of total billed charges		8950.5	85			Percent of total billed charges		8950.5	100			Percent of total billed charges		10530	100			Percent of total billed charges		10530	100			Percent of total billed charges		10530	33.3			Percent of total billed charges		3506.49	33.3			Percent of total billed charges		3506.49	100			Percent of total billed charges		10530	3506.49	9477	
opal spacer 9 x 28  08.803.130 synthes	278	RC	Outpatient			10530	6844.5		90			Percent of total billed charges		9477	40			Percent of total billed charges		4212	80			Percent of total billed charges		8424	90			Percent of total billed charges		9477	85			Percent of total billed charges		8950.5	85			Percent of total billed charges		8950.5	85			Percent of total billed charges		8950.5	100			Percent of total billed charges		10530	100			Percent of total billed charges		10530	100			Percent of total billed charges		10530	33.3			Percent of total billed charges		3506.49	33.3			Percent of total billed charges		3506.49	100			Percent of total billed charges		10530	3506.49	9477	
opal spacer 10 x 24 x 13mm 08.803.053 synthes	278	RC	Outpatient			10530	6844.5		90			Percent of total billed charges		9477	40			Percent of total billed charges		4212	80			Percent of total billed charges		8424	90			Percent of total billed charges		9477	85			Percent of total billed charges		8950.5	85			Percent of total billed charges		8950.5	85			Percent of total billed charges		8950.5	100			Percent of total billed charges		10530	100			Percent of total billed charges		10530	100			Percent of total billed charges		10530	33.3			Percent of total billed charges		3506.49	33.3			Percent of total billed charges		3506.49	100			Percent of total billed charges		10530	3506.49	9477	
opal spacer 10 x 28 x 11mm 08.803.131 synthes	278	RC	Outpatient			10530	6844.5		90			Percent of total billed charges		9477	40			Percent of total billed charges		4212	80			Percent of total billed charges		8424	90			Percent of total billed charges		9477	85			Percent of total billed charges		8950.5	85			Percent of total billed charges		8950.5	85			Percent of total billed charges		8950.5	100			Percent of total billed charges		10530	100			Percent of total billed charges		10530	100			Percent of total billed charges		10530	33.3			Percent of total billed charges		3506.49	33.3			Percent of total billed charges		3506.49	100			Percent of total billed charges		10530	3506.49	9477	
opal spacer 10 x 28 x 13mm 08.803.133 synthes	278	RC	Outpatient			10530	6844.5		90			Percent of total billed charges		9477	40			Percent of total billed charges		4212	80			Percent of total billed charges		8424	90			Percent of total billed charges		9477	85			Percent of total billed charges		8950.5	85			Percent of total billed charges		8950.5	85			Percent of total billed charges		8950.5	100			Percent of total billed charges		10530	100			Percent of total billed charges		10530	100			Percent of total billed charges		10530	33.3			Percent of total billed charges		3506.49	33.3			Percent of total billed charges		3506.49	100			Percent of total billed charges		10530	3506.49	9477	
opal spacer 10 x 28 x 9mm 08.803.109 synthes	278	RC	Outpatient			10530	6844.5		90			Percent of total billed charges		9477	40			Percent of total billed charges		4212	80			Percent of total billed charges		8424	90			Percent of total billed charges		9477	85			Percent of total billed charges		8950.5	85			Percent of total billed charges		8950.5	85			Percent of total billed charges		8950.5	100			Percent of total billed charges		10530	100			Percent of total billed charges		10530	100			Percent of total billed charges		10530	33.3			Percent of total billed charges		3506.49	33.3			Percent of total billed charges		3506.49	100			Percent of total billed charges		10530	3506.49	9477	
synthes opal spacer	278	RC	Outpatient			10530	6844.5		90			Percent of total billed charges		9477	40			Percent of total billed charges		4212	80			Percent of total billed charges		8424	90			Percent of total billed charges		9477	85			Percent of total billed charges		8950.5	85			Percent of total billed charges		8950.5	85			Percent of total billed charges		8950.5	100			Percent of total billed charges		10530	100			Percent of total billed charges		10530	100			Percent of total billed charges		10530	33.3			Percent of total billed charges		3506.49	33.3			Percent of total billed charges		3506.49	100			Percent of total billed charges		10530	3506.49	9477	
cosmetic - abdominoplasty/aug/pexy	983	RC	Outpatient			10533	6846.45		90			Percent of total billed charges		9479.7	40			Percent of total billed charges		4213.2	80			Percent of total billed charges		8426.4	90			Percent of total billed charges		9479.7	85			Percent of total billed charges		8953.05	85			Percent of total billed charges		8953.05	85			Percent of total billed charges		8953.05	100			Percent of total billed charges		10533	100			Percent of total billed charges		10533	100			Percent of total billed charges		10533	33.3			Percent of total billed charges		3507.489	33.3			Percent of total billed charges		3507.489	100			Percent of total billed charges		10533	3507.489	9479.7	
cath lab lead defib medtronic 6947	278	RC	Outpatient			10560	6864		90			Percent of total billed charges		9504	40			Percent of total billed charges		4224	80			Percent of total billed charges		8448	90			Percent of total billed charges		9504	85			Percent of total billed charges		8976	85			Percent of total billed charges		8976	85			Percent of total billed charges		8976	100			Percent of total billed charges		10560	100			Percent of total billed charges		10560	100			Percent of total billed charges		10560	33.3			Percent of total billed charges		3516.48	33.3			Percent of total billed charges		3516.48	100			Percent of total billed charges		10560	3516.48	9504	
lead defib medtronic 6947	278	RC	Outpatient			10560	6864		90			Percent of total billed charges		9504	40			Percent of total billed charges		4224	80			Percent of total billed charges		8448	90			Percent of total billed charges		9504	85			Percent of total billed charges		8976	85			Percent of total billed charges		8976	85			Percent of total billed charges		8976	100			Percent of total billed charges		10560	100			Percent of total billed charges		10560	100			Percent of total billed charges		10560	33.3			Percent of total billed charges		3516.48	33.3			Percent of total billed charges		3516.48	100			Percent of total billed charges		10560	3516.48	9504	
or time 11 1/2 hours	270	RC	Outpatient			10723	6969.95		90			Percent of total billed charges		9650.7	40			Percent of total billed charges		4289.2	80			Percent of total billed charges		8578.4	90			Percent of total billed charges		9650.7	85			Percent of total billed charges		9114.55	85			Percent of total billed charges		9114.55	85			Percent of total billed charges		9114.55	100			Percent of total billed charges		10723	100			Percent of total billed charges		10723	100			Percent of total billed charges		10723	33.3			Percent of total billed charges		3570.759	33.3			Percent of total billed charges		3570.759	100			Percent of total billed charges		10723	3570.759	9650.7	
vvir w/cable	275	RC	Outpatient			10737	6979.05		90			Percent of total billed charges		9663.3	40			Percent of total billed charges		4294.8	80			Percent of total billed charges		8589.6	90			Percent of total billed charges		9663.3	85			Percent of total billed charges		9126.45	85			Percent of total billed charges		9126.45	85			Percent of total billed charges		9126.45	100			Percent of total billed charges		10737	100			Percent of total billed charges		10737	100			Percent of total billed charges		10737	33.3			Percent of total billed charges		3575.421	33.3			Percent of total billed charges		3575.421	100			Percent of total billed charges		10737	3575.421	9663.3	
allomax graft retangular 5.1 x 5.9 1180090 bard	278	RC	Outpatient			10761	6994.65		90			Percent of total billed charges		9684.9	40			Percent of total billed charges		4304.4	80			Percent of total billed charges		8608.8	90			Percent of total billed charges		9684.9	85			Percent of total billed charges		9146.85	85			Percent of total billed charges		9146.85	85			Percent of total billed charges		9146.85	100			Percent of total billed charges		10761	100			Percent of total billed charges		10761	100			Percent of total billed charges		10761	33.3			Percent of total billed charges		3583.413	33.3			Percent of total billed charges		3583.413	100			Percent of total billed charges		10761	3583.413	9684.9	
allomax 5.1 x 5.9	278	RC	Outpatient			10761	6994.65		90			Percent of total billed charges		9684.9	40			Percent of total billed charges		4304.4	80			Percent of total billed charges		8608.8	90			Percent of total billed charges		9684.9	85			Percent of total billed charges		9146.85	85			Percent of total billed charges		9146.85	85			Percent of total billed charges		9146.85	100			Percent of total billed charges		10761	100			Percent of total billed charges		10761	100			Percent of total billed charges		10761	33.3			Percent of total billed charges		3583.413	33.3			Percent of total billed charges		3583.413	100			Percent of total billed charges		10761	3583.413	9684.9	
cath lab 7120 lead	278	RC	Outpatient			10830	7039.5		90			Percent of total billed charges		9747	40			Percent of total billed charges		4332	80			Percent of total billed charges		8664	90			Percent of total billed charges		9747	85			Percent of total billed charges		9205.5	85			Percent of total billed charges		9205.5	85			Percent of total billed charges		9205.5	100			Percent of total billed charges		10830	100			Percent of total billed charges		10830	100			Percent of total billed charges		10830	33.3			Percent of total billed charges		3606.39	33.3			Percent of total billed charges		3606.39	100			Percent of total billed charges		10830	3606.39	9747	
st jude 7120 lead	278	RC	Outpatient			10830	7039.5		90			Percent of total billed charges		9747	40			Percent of total billed charges		4332	80			Percent of total billed charges		8664	90			Percent of total billed charges		9747	85			Percent of total billed charges		9205.5	85			Percent of total billed charges		9205.5	85			Percent of total billed charges		9205.5	100			Percent of total billed charges		10830	100			Percent of total billed charges		10830	100			Percent of total billed charges		10830	33.3			Percent of total billed charges		3606.39	33.3			Percent of total billed charges		3606.39	100			Percent of total billed charges		10830	3606.39	9747	
scorpio total stabilizer fem #7 lt 76-41072 stryker	278	RC	Outpatient			10885	7075.25		90			Percent of total billed charges		9796.5	40			Percent of total billed charges		4354	80			Percent of total billed charges		8708	90			Percent of total billed charges		9796.5	85			Percent of total billed charges		9252.25	85			Percent of total billed charges		9252.25	85			Percent of total billed charges		9252.25	100			Percent of total billed charges		10885	100			Percent of total billed charges		10885	100			Percent of total billed charges		10885	33.3			Percent of total billed charges		3624.705	33.3			Percent of total billed charges		3624.705	100			Percent of total billed charges		10885	3624.705	9796.5	
stryker scorpio fem ts	278	RC	Outpatient			10885	7075.25		90			Percent of total billed charges		9796.5	40			Percent of total billed charges		4354	80			Percent of total billed charges		8708	90			Percent of total billed charges		9796.5	85			Percent of total billed charges		9252.25	85			Percent of total billed charges		9252.25	85			Percent of total billed charges		9252.25	100			Percent of total billed charges		10885	100			Percent of total billed charges		10885	100			Percent of total billed charges		10885	33.3			Percent of total billed charges		3624.705	33.3			Percent of total billed charges		3624.705	100			Percent of total billed charges		10885	3624.705	9796.5	
o-gen bone stimulator	278	RC	Outpatient			11001	7150.65		90			Percent of total billed charges		9900.9	40			Percent of total billed charges		4400.4	80			Percent of total billed charges		8800.8	90			Percent of total billed charges		9900.9	85			Percent of total billed charges		9350.85	85			Percent of total billed charges		9350.85	85			Percent of total billed charges		9350.85	100			Percent of total billed charges		11001	100			Percent of total billed charges		11001	100			Percent of total billed charges		11001	33.3			Percent of total billed charges		3663.333	33.3			Percent of total billed charges		3663.333	100			Percent of total billed charges		11001	3663.333	9900.9	
osteogen bone growth  stimulator 20/s 10-1320 ebi	278	RC	Outpatient			11001	7150.65		90			Percent of total billed charges		9900.9	40			Percent of total billed charges		4400.4	80			Percent of total billed charges		8800.8	90			Percent of total billed charges		9900.9	85			Percent of total billed charges		9350.85	85			Percent of total billed charges		9350.85	85			Percent of total billed charges		9350.85	100			Percent of total billed charges		11001	100			Percent of total billed charges		11001	100			Percent of total billed charges		11001	33.3			Percent of total billed charges		3663.333	33.3			Percent of total billed charges		3663.333	100			Percent of total billed charges		11001	3663.333	9900.9	
osteogen bone growth stimulator 10-1325m ebi	278	RC	Outpatient			11001	7150.65		90			Percent of total billed charges		9900.9	40			Percent of total billed charges		4400.4	80			Percent of total billed charges		8800.8	90			Percent of total billed charges		9900.9	85			Percent of total billed charges		9350.85	85			Percent of total billed charges		9350.85	85			Percent of total billed charges		9350.85	100			Percent of total billed charges		11001	100			Percent of total billed charges		11001	100			Percent of total billed charges		11001	33.3			Percent of total billed charges		3663.333	33.3			Percent of total billed charges		3663.333	100			Percent of total billed charges		11001	3663.333	9900.9	
osteogen bone growth stimulator 20/m 10-1320m ebi	278	RC	Outpatient			11001	7150.65		90			Percent of total billed charges		9900.9	40			Percent of total billed charges		4400.4	80			Percent of total billed charges		8800.8	90			Percent of total billed charges		9900.9	85			Percent of total billed charges		9350.85	85			Percent of total billed charges		9350.85	85			Percent of total billed charges		9350.85	100			Percent of total billed charges		11001	100			Percent of total billed charges		11001	100			Percent of total billed charges		11001	33.3			Percent of total billed charges		3663.333	33.3			Percent of total billed charges		3663.333	100			Percent of total billed charges		11001	3663.333	9900.9	
depuy srom tib base	278	RC	Outpatient			11031	7170.15		90			Percent of total billed charges		9927.9	40			Percent of total billed charges		4412.4	80			Percent of total billed charges		8824.8	90			Percent of total billed charges		9927.9	85			Percent of total billed charges		9376.35	85			Percent of total billed charges		9376.35	85			Percent of total billed charges		9376.35	100			Percent of total billed charges		11031	100			Percent of total billed charges		11031	100			Percent of total billed charges		11031	33.3			Percent of total billed charges		3673.323	33.3			Percent of total billed charges		3673.323	100			Percent of total billed charges		11031	3673.323	9927.9	
srom mod tibia base 14mm 62-1340 depuy	278	RC	Outpatient			11031	7170.15		90			Percent of total billed charges		9927.9	40			Percent of total billed charges		4412.4	80			Percent of total billed charges		8824.8	90			Percent of total billed charges		9927.9	85			Percent of total billed charges		9376.35	85			Percent of total billed charges		9376.35	85			Percent of total billed charges		9376.35	100			Percent of total billed charges		11031	100			Percent of total billed charges		11031	100			Percent of total billed charges		11031	33.3			Percent of total billed charges		3673.323	33.3			Percent of total billed charges		3673.323	100			Percent of total billed charges		11031	3673.323	9927.9	
talent thoracic dist ext.	278	RC	Outpatient			11031	7170.15		90			Percent of total billed charges		9927.9	40			Percent of total billed charges		4412.4	80			Percent of total billed charges		8824.8	90			Percent of total billed charges		9927.9	85			Percent of total billed charges		9376.35	85			Percent of total billed charges		9376.35	85			Percent of total billed charges		9376.35	100			Percent of total billed charges		11031	100			Percent of total billed charges		11031	100			Percent of total billed charges		11031	33.3			Percent of total billed charges		3673.323	33.3			Percent of total billed charges		3673.323	100			Percent of total billed charges		11031	3673.323	9927.9	
talent thoracic stent graft distal extension taxw4444b54x  medtronic	278	RC	Outpatient			11031	7170.15		90			Percent of total billed charges		9927.9	40			Percent of total billed charges		4412.4	80			Percent of total billed charges		8824.8	90			Percent of total billed charges		9927.9	85			Percent of total billed charges		9376.35	85			Percent of total billed charges		9376.35	85			Percent of total billed charges		9376.35	100			Percent of total billed charges		11031	100			Percent of total billed charges		11031	100			Percent of total billed charges		11031	33.3			Percent of total billed charges		3673.323	33.3			Percent of total billed charges		3673.323	100			Percent of total billed charges		11031	3673.323	9927.9	
biomet reach modular proximals size 4 108397	278	RC	Outpatient			11043	7177.95		90			Percent of total billed charges		9938.7	40			Percent of total billed charges		4417.2	80			Percent of total billed charges		8834.4	90			Percent of total billed charges		9938.7	85			Percent of total billed charges		9386.55	85			Percent of total billed charges		9386.55	85			Percent of total billed charges		9386.55	100			Percent of total billed charges		11043	100			Percent of total billed charges		11043	100			Percent of total billed charges		11043	33.3			Percent of total billed charges		3677.319	33.3			Percent of total billed charges		3677.319	100			Percent of total billed charges		11043	3677.319	9938.7	
bio mod reach prox imp	278	RC	Outpatient			11043	7177.95		90			Percent of total billed charges		9938.7	40			Percent of total billed charges		4417.2	80			Percent of total billed charges		8834.4	90			Percent of total billed charges		9938.7	85			Percent of total billed charges		9386.55	85			Percent of total billed charges		9386.55	85			Percent of total billed charges		9386.55	100			Percent of total billed charges		11043	100			Percent of total billed charges		11043	100			Percent of total billed charges		11043	33.3			Percent of total billed charges		3677.319	33.3			Percent of total billed charges		3677.319	100			Percent of total billed charges		11043	3677.319	9938.7	
biomet reach modular proximals size 1 108391	278	RC	Outpatient			11043	7177.95		90			Percent of total billed charges		9938.7	40			Percent of total billed charges		4417.2	80			Percent of total billed charges		8834.4	90			Percent of total billed charges		9938.7	85			Percent of total billed charges		9386.55	85			Percent of total billed charges		9386.55	85			Percent of total billed charges		9386.55	100			Percent of total billed charges		11043	100			Percent of total billed charges		11043	100			Percent of total billed charges		11043	33.3			Percent of total billed charges		3677.319	33.3			Percent of total billed charges		3677.319	100			Percent of total billed charges		11043	3677.319	9938.7	
biomet reach modular proximals size 2 108393	278	RC	Outpatient			11043	7177.95		90			Percent of total billed charges		9938.7	40			Percent of total billed charges		4417.2	80			Percent of total billed charges		8834.4	90			Percent of total billed charges		9938.7	85			Percent of total billed charges		9386.55	85			Percent of total billed charges		9386.55	85			Percent of total billed charges		9386.55	100			Percent of total billed charges		11043	100			Percent of total billed charges		11043	100			Percent of total billed charges		11043	33.3			Percent of total billed charges		3677.319	33.3			Percent of total billed charges		3677.319	100			Percent of total billed charges		11043	3677.319	9938.7	
biomet reach modular proximals size 3 108395	278	RC	Outpatient			11043	7177.95		90			Percent of total billed charges		9938.7	40			Percent of total billed charges		4417.2	80			Percent of total billed charges		8834.4	90			Percent of total billed charges		9938.7	85			Percent of total billed charges		9386.55	85			Percent of total billed charges		9386.55	85			Percent of total billed charges		9386.55	100			Percent of total billed charges		11043	100			Percent of total billed charges		11043	100			Percent of total billed charges		11043	33.3			Percent of total billed charges		3677.319	33.3			Percent of total billed charges		3677.319	100			Percent of total billed charges		11043	3677.319	9938.7	
biomet reach modular proximals size 5 108399	278	RC	Outpatient			11043	7177.95		90			Percent of total billed charges		9938.7	40			Percent of total billed charges		4417.2	80			Percent of total billed charges		8834.4	90			Percent of total billed charges		9938.7	85			Percent of total billed charges		9386.55	85			Percent of total billed charges		9386.55	85			Percent of total billed charges		9386.55	100			Percent of total billed charges		11043	100			Percent of total billed charges		11043	100			Percent of total billed charges		11043	33.3			Percent of total billed charges		3677.319	33.3			Percent of total billed charges		3677.319	100			Percent of total billed charges		11043	3677.319	9938.7	
depuy fem tc3	278	RC	Outpatient			11051	7183.15		90			Percent of total billed charges		9945.9	40			Percent of total billed charges		4420.4	80			Percent of total billed charges		8840.8	90			Percent of total billed charges		9945.9	85			Percent of total billed charges		9393.35	85			Percent of total billed charges		9393.35	85			Percent of total billed charges		9393.35	100			Percent of total billed charges		11051	100			Percent of total billed charges		11051	100			Percent of total billed charges		11051	33.3			Percent of total billed charges		3679.983	33.3			Percent of total billed charges		3679.983	100			Percent of total billed charges		11051	3679.983	9945.9	
sigma fem tc3  lt sz 2.5  96-0086 depuy	278	RC	Outpatient			11051	7183.15		90			Percent of total billed charges		9945.9	40			Percent of total billed charges		4420.4	80			Percent of total billed charges		8840.8	90			Percent of total billed charges		9945.9	85			Percent of total billed charges		9393.35	85			Percent of total billed charges		9393.35	85			Percent of total billed charges		9393.35	100			Percent of total billed charges		11051	100			Percent of total billed charges		11051	100			Percent of total billed charges		11051	33.3			Percent of total billed charges		3679.983	33.3			Percent of total billed charges		3679.983	100			Percent of total billed charges		11051	3679.983	9945.9	
"cosmetic - facelift, up/low bleph, brow"	983	RC	Outpatient			11138	7239.7		90			Percent of total billed charges		10024.2	40			Percent of total billed charges		4455.2	80			Percent of total billed charges		8910.4	90			Percent of total billed charges		10024.2	85			Percent of total billed charges		9467.3	85			Percent of total billed charges		9467.3	85			Percent of total billed charges		9467.3	100			Percent of total billed charges		11138	100			Percent of total billed charges		11138	100			Percent of total billed charges		11138	33.3			Percent of total billed charges		3708.954	33.3			Percent of total billed charges		3708.954	100			Percent of total billed charges		11138	3708.954	10024.2	
or time 12 hours	270	RC	Outpatient			11151	7248.15		90			Percent of total billed charges		10035.9	40			Percent of total billed charges		4460.4	80			Percent of total billed charges		8920.8	90			Percent of total billed charges		10035.9	85			Percent of total billed charges		9478.35	85			Percent of total billed charges		9478.35	85			Percent of total billed charges		9478.35	100			Percent of total billed charges		11151	100			Percent of total billed charges		11151	100			Percent of total billed charges		11151	33.3			Percent of total billed charges		3713.283	33.3			Percent of total billed charges		3713.283	100			Percent of total billed charges		11151	3713.283	10035.9	
mesh phasix 8x10	278	RC	Outpatient			11179	7266.35		90			Percent of total billed charges		10061.1	40			Percent of total billed charges		4471.6	80			Percent of total billed charges		8943.2	90			Percent of total billed charges		10061.1	85			Percent of total billed charges		9502.15	85			Percent of total billed charges		9502.15	85			Percent of total billed charges		9502.15	100			Percent of total billed charges		11179	100			Percent of total billed charges		11179	100			Percent of total billed charges		11179	33.3			Percent of total billed charges		3722.607	33.3			Percent of total billed charges		3722.607	100			Percent of total billed charges		11179	3722.607	10061.1	
phasix mesh rectangel 8 x 10 (20.3 x 25.4cm) 1190400 bard	278	RC	Outpatient			11179	7266.35		90			Percent of total billed charges		10061.1	40			Percent of total billed charges		4471.6	80			Percent of total billed charges		8943.2	90			Percent of total billed charges		10061.1	85			Percent of total billed charges		9502.15	85			Percent of total billed charges		9502.15	85			Percent of total billed charges		9502.15	100			Percent of total billed charges		11179	100			Percent of total billed charges		11179	100			Percent of total billed charges		11179	33.3			Percent of total billed charges		3722.607	33.3			Percent of total billed charges		3722.607	100			Percent of total billed charges		11179	3722.607	10061.1	
mt w1tr01 percepta  crt-p  gen	278	RC	Outpatient			11194	7276.1		90			Percent of total billed charges		10074.6	40			Percent of total billed charges		4477.6	80			Percent of total billed charges		8955.2	90			Percent of total billed charges		10074.6	85			Percent of total billed charges		9514.9	85			Percent of total billed charges		9514.9	85			Percent of total billed charges		9514.9	100			Percent of total billed charges		11194	100			Percent of total billed charges		11194	100			Percent of total billed charges		11194	33.3			Percent of total billed charges		3727.602	33.3			Percent of total billed charges		3727.602	100			Percent of total billed charges		11194	3727.602	10074.6	
mt w4tr01    bi-v gen	278	RC	Outpatient			11194	7276.1		90			Percent of total billed charges		10074.6	40			Percent of total billed charges		4477.6	80			Percent of total billed charges		8955.2	90			Percent of total billed charges		10074.6	85			Percent of total billed charges		9514.9	85			Percent of total billed charges		9514.9	85			Percent of total billed charges		9514.9	100			Percent of total billed charges		11194	100			Percent of total billed charges		11194	100			Percent of total billed charges		11194	33.3			Percent of total billed charges		3727.602	33.3			Percent of total billed charges		3727.602	100			Percent of total billed charges		11194	3727.602	10074.6	
vvir w/1 lead	275	RC	Outpatient			11244	7308.6		90			Percent of total billed charges		10119.6	40			Percent of total billed charges		4497.6	80			Percent of total billed charges		8995.2	90			Percent of total billed charges		10119.6	85			Percent of total billed charges		9557.4	85			Percent of total billed charges		9557.4	85			Percent of total billed charges		9557.4	100			Percent of total billed charges		11244	100			Percent of total billed charges		11244	100			Percent of total billed charges		11244	33.3			Percent of total billed charges		3744.252	33.3			Percent of total billed charges		3744.252	100			Percent of total billed charges		11244	3744.252	10119.6	
bio vanguard ssk fem rev	278	RC	Outpatient			11298	7343.7		90			Percent of total billed charges		10168.2	40			Percent of total billed charges		4519.2	80			Percent of total billed charges		9038.4	90			Percent of total billed charges		10168.2	85			Percent of total billed charges		9603.3	85			Percent of total billed charges		9603.3	85			Percent of total billed charges		9603.3	100			Percent of total billed charges		11298	100			Percent of total billed charges		11298	100			Percent of total billed charges		11298	33.3			Percent of total billed charges		3762.234	33.3			Percent of total billed charges		3762.234	100			Percent of total billed charges		11298	3762.234	10168.2	
biomet vanguard ssk 360 fem comp w/ screw rt 65 185264	278	RC	Outpatient			11298	7343.7		90			Percent of total billed charges		10168.2	40			Percent of total billed charges		4519.2	80			Percent of total billed charges		9038.4	90			Percent of total billed charges		10168.2	85			Percent of total billed charges		9603.3	85			Percent of total billed charges		9603.3	85			Percent of total billed charges		9603.3	100			Percent of total billed charges		11298	100			Percent of total billed charges		11298	100			Percent of total billed charges		11298	33.3			Percent of total billed charges		3762.234	33.3			Percent of total billed charges		3762.234	100			Percent of total billed charges		11298	3762.234	10168.2	
biomet vanguard ssk 360 fem comp w/ screw rt 70 185266	278	RC	Outpatient			11298	7343.7		90			Percent of total billed charges		10168.2	40			Percent of total billed charges		4519.2	80			Percent of total billed charges		9038.4	90			Percent of total billed charges		10168.2	85			Percent of total billed charges		9603.3	85			Percent of total billed charges		9603.3	85			Percent of total billed charges		9603.3	100			Percent of total billed charges		11298	100			Percent of total billed charges		11298	100			Percent of total billed charges		11298	33.3			Percent of total billed charges		3762.234	33.3			Percent of total billed charges		3762.234	100			Percent of total billed charges		11298	3762.234	10168.2	
biomet vanguard ssk 360 fem comp w/ screw rt 55 185260	278	RC	Outpatient			11298	7343.7		90			Percent of total billed charges		10168.2	40			Percent of total billed charges		4519.2	80			Percent of total billed charges		9038.4	90			Percent of total billed charges		10168.2	85			Percent of total billed charges		9603.3	85			Percent of total billed charges		9603.3	85			Percent of total billed charges		9603.3	100			Percent of total billed charges		11298	100			Percent of total billed charges		11298	100			Percent of total billed charges		11298	33.3			Percent of total billed charges		3762.234	33.3			Percent of total billed charges		3762.234	100			Percent of total billed charges		11298	3762.234	10168.2	
biomet vanguard ssk 360 fem comp w/ screw rt 62.5 185263	278	RC	Outpatient			11298	7343.7		90			Percent of total billed charges		10168.2	40			Percent of total billed charges		4519.2	80			Percent of total billed charges		9038.4	90			Percent of total billed charges		10168.2	85			Percent of total billed charges		9603.3	85			Percent of total billed charges		9603.3	85			Percent of total billed charges		9603.3	100			Percent of total billed charges		11298	100			Percent of total billed charges		11298	100			Percent of total billed charges		11298	33.3			Percent of total billed charges		3762.234	33.3			Percent of total billed charges		3762.234	100			Percent of total billed charges		11298	3762.234	10168.2	
biomet vanguard ssk 360 fem comp w/ screw rt 67.5 185265	278	RC	Outpatient			11298	7343.7		90			Percent of total billed charges		10168.2	40			Percent of total billed charges		4519.2	80			Percent of total billed charges		9038.4	90			Percent of total billed charges		10168.2	85			Percent of total billed charges		9603.3	85			Percent of total billed charges		9603.3	85			Percent of total billed charges		9603.3	100			Percent of total billed charges		11298	100			Percent of total billed charges		11298	100			Percent of total billed charges		11298	33.3			Percent of total billed charges		3762.234	33.3			Percent of total billed charges		3762.234	100			Percent of total billed charges		11298	3762.234	10168.2	
mt c6tr01 viva crt gen	278	RC	Outpatient			11517	7486.05		90			Percent of total billed charges		10365.3	40			Percent of total billed charges		4606.8	80			Percent of total billed charges		9213.6	90			Percent of total billed charges		10365.3	85			Percent of total billed charges		9789.45	85			Percent of total billed charges		9789.45	85			Percent of total billed charges		9789.45	100			Percent of total billed charges		11517	100			Percent of total billed charges		11517	100			Percent of total billed charges		11517	33.3			Percent of total billed charges		3835.161	33.3			Percent of total billed charges		3835.161	100			Percent of total billed charges		11517	3835.161	10365.3	
cosmetic - abdom/lbl/inner thigh lift	983	RC	Outpatient			11550	7507.5		90			Percent of total billed charges		10395	40			Percent of total billed charges		4620	80			Percent of total billed charges		9240	90			Percent of total billed charges		10395	85			Percent of total billed charges		9817.5	85			Percent of total billed charges		9817.5	85			Percent of total billed charges		9817.5	100			Percent of total billed charges		11550	100			Percent of total billed charges		11550	100			Percent of total billed charges		11550	33.3			Percent of total billed charges		3846.15	33.3			Percent of total billed charges		3846.15	100			Percent of total billed charges		11550	3846.15	10395	
or time 12 1/2 hours	270	RC	Outpatient			11579	7526.35		90			Percent of total billed charges		10421.1	40			Percent of total billed charges		4631.6	80			Percent of total billed charges		9263.2	90			Percent of total billed charges		10421.1	85			Percent of total billed charges		9842.15	85			Percent of total billed charges		9842.15	85			Percent of total billed charges		9842.15	100			Percent of total billed charges		11579	100			Percent of total billed charges		11579	100			Percent of total billed charges		11579	33.3			Percent of total billed charges		3855.807	33.3			Percent of total billed charges		3855.807	100			Percent of total billed charges		11579	3855.807	10421.1	
bio oss seg ellipt fem	278	RC	Outpatient			11671	7586.15		90			Percent of total billed charges		10503.9	40			Percent of total billed charges		4668.4	80			Percent of total billed charges		9336.8	90			Percent of total billed charges		10503.9	85			Percent of total billed charges		9920.35	85			Percent of total billed charges		9920.35	85			Percent of total billed charges		9920.35	100			Percent of total billed charges		11671	100			Percent of total billed charges		11671	100			Percent of total billed charges		11671	33.3			Percent of total billed charges		3886.443	33.3			Percent of total billed charges		3886.443	100			Percent of total billed charges		11671	3886.443	10503.9	
oss segmental ellip fem 7cm rt 150356 biomet	278	RC	Outpatient			11671	7586.15		90			Percent of total billed charges		10503.9	40			Percent of total billed charges		4668.4	80			Percent of total billed charges		9336.8	90			Percent of total billed charges		10503.9	85			Percent of total billed charges		9920.35	85			Percent of total billed charges		9920.35	85			Percent of total billed charges		9920.35	100			Percent of total billed charges		11671	100			Percent of total billed charges		11671	100			Percent of total billed charges		11671	33.3			Percent of total billed charges		3886.443	33.3			Percent of total billed charges		3886.443	100			Percent of total billed charges		11671	3886.443	10503.9	
bio calcar prox femur	278	RC	Outpatient			11701	7605.65		90			Percent of total billed charges		10530.9	40			Percent of total billed charges		4680.4	80			Percent of total billed charges		9360.8	90			Percent of total billed charges		10530.9	85			Percent of total billed charges		9945.85	85			Percent of total billed charges		9945.85	85			Percent of total billed charges		9945.85	100			Percent of total billed charges		11701	100			Percent of total billed charges		11701	100			Percent of total billed charges		11701	33.3			Percent of total billed charges		3896.433	33.3			Percent of total billed charges		3896.433	100			Percent of total billed charges		11701	3896.433	10530.9	
calcar prox fem replacement 108139 biomet	278	RC	Outpatient			11701	7605.65		90			Percent of total billed charges		10530.9	40			Percent of total billed charges		4680.4	80			Percent of total billed charges		9360.8	90			Percent of total billed charges		10530.9	85			Percent of total billed charges		9945.85	85			Percent of total billed charges		9945.85	85			Percent of total billed charges		9945.85	100			Percent of total billed charges		11701	100			Percent of total billed charges		11701	100			Percent of total billed charges		11701	33.3			Percent of total billed charges		3896.433	33.3			Percent of total billed charges		3896.433	100			Percent of total billed charges		11701	3896.433	10530.9	
calcar prox fem replacement 108115 biomet	278	RC	Outpatient			11701	7605.65		90			Percent of total billed charges		10530.9	40			Percent of total billed charges		4680.4	80			Percent of total billed charges		9360.8	90			Percent of total billed charges		10530.9	85			Percent of total billed charges		9945.85	85			Percent of total billed charges		9945.85	85			Percent of total billed charges		9945.85	100			Percent of total billed charges		11701	100			Percent of total billed charges		11701	100			Percent of total billed charges		11701	33.3			Percent of total billed charges		3896.433	33.3			Percent of total billed charges		3896.433	100			Percent of total billed charges		11701	3896.433	10530.9	
calcar prox fem replacement 108119 biomet	278	RC	Outpatient			11701	7605.65		90			Percent of total billed charges		10530.9	40			Percent of total billed charges		4680.4	80			Percent of total billed charges		9360.8	90			Percent of total billed charges		10530.9	85			Percent of total billed charges		9945.85	85			Percent of total billed charges		9945.85	85			Percent of total billed charges		9945.85	100			Percent of total billed charges		11701	100			Percent of total billed charges		11701	100			Percent of total billed charges		11701	33.3			Percent of total billed charges		3896.433	33.3			Percent of total billed charges		3896.433	100			Percent of total billed charges		11701	3896.433	10530.9	
calcar prox fem replacement 108130 biomet	278	RC	Outpatient			11701	7605.65		90			Percent of total billed charges		10530.9	40			Percent of total billed charges		4680.4	80			Percent of total billed charges		9360.8	90			Percent of total billed charges		10530.9	85			Percent of total billed charges		9945.85	85			Percent of total billed charges		9945.85	85			Percent of total billed charges		9945.85	100			Percent of total billed charges		11701	100			Percent of total billed charges		11701	100			Percent of total billed charges		11701	33.3			Percent of total billed charges		3896.433	33.3			Percent of total billed charges		3896.433	100			Percent of total billed charges		11701	3896.433	10530.9	
m/h calcar prox femur replac 108152 biomet	278	RC	Outpatient			11701	7605.65		90			Percent of total billed charges		10530.9	40			Percent of total billed charges		4680.4	80			Percent of total billed charges		9360.8	90			Percent of total billed charges		10530.9	85			Percent of total billed charges		9945.85	85			Percent of total billed charges		9945.85	85			Percent of total billed charges		9945.85	100			Percent of total billed charges		11701	100			Percent of total billed charges		11701	100			Percent of total billed charges		11701	33.3			Percent of total billed charges		3896.433	33.3			Percent of total billed charges		3896.433	100			Percent of total billed charges		11701	3896.433	10530.9	
m/h calcar prox femur replac 108132 biomet	278	RC	Outpatient			11701	7605.65		90			Percent of total billed charges		10530.9	40			Percent of total billed charges		4680.4	80			Percent of total billed charges		9360.8	90			Percent of total billed charges		10530.9	85			Percent of total billed charges		9945.85	85			Percent of total billed charges		9945.85	85			Percent of total billed charges		9945.85	100			Percent of total billed charges		11701	100			Percent of total billed charges		11701	100			Percent of total billed charges		11701	33.3			Percent of total billed charges		3896.433	33.3			Percent of total billed charges		3896.433	100			Percent of total billed charges		11701	3896.433	10530.9	
m/h calcar prox femur replac 108137 biomet	278	RC	Outpatient			11701	7605.65		90			Percent of total billed charges		10530.9	40			Percent of total billed charges		4680.4	80			Percent of total billed charges		9360.8	90			Percent of total billed charges		10530.9	85			Percent of total billed charges		9945.85	85			Percent of total billed charges		9945.85	85			Percent of total billed charges		9945.85	100			Percent of total billed charges		11701	100			Percent of total billed charges		11701	100			Percent of total billed charges		11701	33.3			Percent of total billed charges		3896.433	33.3			Percent of total billed charges		3896.433	100			Percent of total billed charges		11701	3896.433	10530.9	
permacol 1.5mm 15x20	278	RC	Outpatient			11751	7638.15		90			Percent of total billed charges		10575.9	40			Percent of total billed charges		4700.4	80			Percent of total billed charges		9400.8	90			Percent of total billed charges		10575.9	85			Percent of total billed charges		9988.35	85			Percent of total billed charges		9988.35	85			Percent of total billed charges		9988.35	100			Percent of total billed charges		11751	100			Percent of total billed charges		11751	100			Percent of total billed charges		11751	33.3			Percent of total billed charges		3913.083	33.3			Percent of total billed charges		3913.083	100			Percent of total billed charges		11751	3913.083	10575.9	
permacol 1.5mm thick 15 x 20 cm p151520 covidien	278	RC	Outpatient			11751	7638.15		90			Percent of total billed charges		10575.9	40			Percent of total billed charges		4700.4	80			Percent of total billed charges		9400.8	90			Percent of total billed charges		10575.9	85			Percent of total billed charges		9988.35	85			Percent of total billed charges		9988.35	85			Percent of total billed charges		9988.35	100			Percent of total billed charges		11751	100			Percent of total billed charges		11751	100			Percent of total billed charges		11751	33.3			Percent of total billed charges		3913.083	33.3			Percent of total billed charges		3913.083	100			Percent of total billed charges		11751	3913.083	10575.9	
gen bio philos	275	RC	Outpatient			11833	7691.45		90			Percent of total billed charges		10649.7	40			Percent of total billed charges		4733.2	80			Percent of total billed charges		9466.4	90			Percent of total billed charges		10649.7	85			Percent of total billed charges		10058.05	85			Percent of total billed charges		10058.05	85			Percent of total billed charges		10058.05	100			Percent of total billed charges		11833	100			Percent of total billed charges		11833	100			Percent of total billed charges		11833	33.3			Percent of total billed charges		3940.389	33.3			Percent of total billed charges		3940.389	100			Percent of total billed charges		11833	3940.389	10649.7	
bio oss resurf rem	278	RC	Outpatient			11970	7780.5		90			Percent of total billed charges		10773	40			Percent of total billed charges		4788	80			Percent of total billed charges		9576	90			Percent of total billed charges		10773	85			Percent of total billed charges		10174.5	85			Percent of total billed charges		10174.5	85			Percent of total billed charges		10174.5	100			Percent of total billed charges		11970	100			Percent of total billed charges		11970	100			Percent of total billed charges		11970	33.3			Percent of total billed charges		3986.01	33.3			Percent of total billed charges		3986.01	100			Percent of total billed charges		11970	3986.01	10773	
oss resurfacing femoral 5cm right 150352 biomet	278	RC	Outpatient			11970	7780.5		90			Percent of total billed charges		10773	40			Percent of total billed charges		4788	80			Percent of total billed charges		9576	90			Percent of total billed charges		10773	85			Percent of total billed charges		10174.5	85			Percent of total billed charges		10174.5	85			Percent of total billed charges		10174.5	100			Percent of total billed charges		11970	100			Percent of total billed charges		11970	100			Percent of total billed charges		11970	33.3			Percent of total billed charges		3986.01	33.3			Percent of total billed charges		3986.01	100			Percent of total billed charges		11970	3986.01	10773	
6.0 17g percutaneous discectomy probe w/ curved canula ref 0407-251-000 stryker	272	RC	Outpatient			11980	7787		90			Percent of total billed charges		10782	40			Percent of total billed charges		4792	80			Percent of total billed charges		9584	90			Percent of total billed charges		10782	85			Percent of total billed charges		10183	85			Percent of total billed charges		10183	85			Percent of total billed charges		10183	100			Percent of total billed charges		11980	100			Percent of total billed charges		11980	100			Percent of total billed charges		11980	33.3			Percent of total billed charges		3989.34	33.3			Percent of total billed charges		3989.34	100			Percent of total billed charges		11980	3989.34	10782	
or time 13 hours	270	RC	Outpatient			12007	7804.55		90			Percent of total billed charges		10806.3	40			Percent of total billed charges		4802.8	80			Percent of total billed charges		9605.6	90			Percent of total billed charges		10806.3	85			Percent of total billed charges		10205.95	85			Percent of total billed charges		10205.95	85			Percent of total billed charges		10205.95	100			Percent of total billed charges		12007	100			Percent of total billed charges		12007	100			Percent of total billed charges		12007	33.3			Percent of total billed charges		3998.331	33.3			Percent of total billed charges		3998.331	100			Percent of total billed charges		12007	3998.331	10806.3	
med sprnt qua rv ld 6944	278	RC	Outpatient			12100	7865		90			Percent of total billed charges		10890	40			Percent of total billed charges		4840	80			Percent of total billed charges		9680	90			Percent of total billed charges		10890	85			Percent of total billed charges		10285	85			Percent of total billed charges		10285	85			Percent of total billed charges		10285	100			Percent of total billed charges		12100	100			Percent of total billed charges		12100	100			Percent of total billed charges		12100	33.3			Percent of total billed charges		4029.3	33.3			Percent of total billed charges		4029.3	100			Percent of total billed charges		12100	4029.3	10890	
dddr w/cable	275	RC	Outpatient			12101	7865.65		90			Percent of total billed charges		10890.9	40			Percent of total billed charges		4840.4	80			Percent of total billed charges		9680.8	90			Percent of total billed charges		10890.9	85			Percent of total billed charges		10285.85	85			Percent of total billed charges		10285.85	85			Percent of total billed charges		10285.85	100			Percent of total billed charges		12101	100			Percent of total billed charges		12101	100			Percent of total billed charges		12101	33.3			Percent of total billed charges		4029.633	33.3			Percent of total billed charges		4029.633	100			Percent of total billed charges		12101	4029.633	10890.9	
zenith renu convertor	278	RC	Outpatient			12128	7883.2		90			Percent of total billed charges		10915.2	40			Percent of total billed charges		4851.2	80			Percent of total billed charges		9702.4	90			Percent of total billed charges		10915.2	85			Percent of total billed charges		10308.8	85			Percent of total billed charges		10308.8	85			Percent of total billed charges		10308.8	100			Percent of total billed charges		12128	100			Percent of total billed charges		12128	100			Percent of total billed charges		12128	33.3			Percent of total billed charges		4038.624	33.3			Percent of total billed charges		4038.624	100			Percent of total billed charges		12128	4038.624	10915.2	
zenith renu aaa graft converter 32mm g36178 cook	278	RC	Outpatient			12128	7883.2		90			Percent of total billed charges		10915.2	40			Percent of total billed charges		4851.2	80			Percent of total billed charges		9702.4	90			Percent of total billed charges		10915.2	85			Percent of total billed charges		10308.8	85			Percent of total billed charges		10308.8	85			Percent of total billed charges		10308.8	100			Percent of total billed charges		12128	100			Percent of total billed charges		12128	100			Percent of total billed charges		12128	33.3			Percent of total billed charges		4038.624	33.3			Percent of total billed charges		4038.624	100			Percent of total billed charges		12128	4038.624	10915.2	
5330 ps generator	278	RC	Outpatient			12134	7887.1		90			Percent of total billed charges		10920.6	40			Percent of total billed charges		4853.6	80			Percent of total billed charges		9707.2	90			Percent of total billed charges		10920.6	85			Percent of total billed charges		10313.9	85			Percent of total billed charges		10313.9	85			Percent of total billed charges		10313.9	100			Percent of total billed charges		12134	100			Percent of total billed charges		12134	100			Percent of total billed charges		12134	33.3			Percent of total billed charges		4040.622	33.3			Percent of total billed charges		4040.622	100			Percent of total billed charges		12134	4040.622	10920.6	
pro-dense core decompression kit 15xx 87sr-ck15 wright med	278	RC	Outpatient			12144	7893.6		90			Percent of total billed charges		10929.6	40			Percent of total billed charges		4857.6	80			Percent of total billed charges		9715.2	90			Percent of total billed charges		10929.6	85			Percent of total billed charges		10322.4	85			Percent of total billed charges		10322.4	85			Percent of total billed charges		10322.4	100			Percent of total billed charges		12144	100			Percent of total billed charges		12144	100			Percent of total billed charges		12144	33.3			Percent of total billed charges		4043.952	33.3			Percent of total billed charges		4043.952	100			Percent of total billed charges		12144	4043.952	10929.6	
pro-dense 15cc	278	RC	Outpatient			12144	7893.6		90			Percent of total billed charges		10929.6	40			Percent of total billed charges		4857.6	80			Percent of total billed charges		9715.2	90			Percent of total billed charges		10929.6	85			Percent of total billed charges		10322.4	85			Percent of total billed charges		10322.4	85			Percent of total billed charges		10322.4	100			Percent of total billed charges		12144	100			Percent of total billed charges		12144	100			Percent of total billed charges		12144	33.3			Percent of total billed charges		4043.952	33.3			Percent of total billed charges		4043.952	100			Percent of total billed charges		12144	4043.952	10929.6	
med rvdr01 mr1 generator	275	RC	Outpatient			12235	7952.75		90			Percent of total billed charges		11011.5	40			Percent of total billed charges		4894	80			Percent of total billed charges		9788	90			Percent of total billed charges		11011.5	85			Percent of total billed charges		10399.75	85			Percent of total billed charges		10399.75	85			Percent of total billed charges		10399.75	100			Percent of total billed charges		12235	100			Percent of total billed charges		12235	100			Percent of total billed charges		12235	33.3			Percent of total billed charges		4074.255	33.3			Percent of total billed charges		4074.255	100			Percent of total billed charges		12235	4074.255	11011.5	
mt rvdr01 mri generator	275	RC	Outpatient			12235	7952.75		90			Percent of total billed charges		11011.5	40			Percent of total billed charges		4894	80			Percent of total billed charges		9788	90			Percent of total billed charges		11011.5	85			Percent of total billed charges		10399.75	85			Percent of total billed charges		10399.75	85			Percent of total billed charges		10399.75	100			Percent of total billed charges		12235	100			Percent of total billed charges		12235	100			Percent of total billed charges		12235	33.3			Percent of total billed charges		4074.255	33.3			Percent of total billed charges		4074.255	100			Percent of total billed charges		12235	4074.255	11011.5	
bio cervical spacer-narro	278	RC	Outpatient			12425	8076.25		90			Percent of total billed charges		11182.5	40			Percent of total billed charges		4970	80			Percent of total billed charges		9940	90			Percent of total billed charges		11182.5	85			Percent of total billed charges		10561.25	85			Percent of total billed charges		10561.25	85			Percent of total billed charges		10561.25	100			Percent of total billed charges		12425	100			Percent of total billed charges		12425	100			Percent of total billed charges		12425	33.3			Percent of total billed charges		4137.525	33.3			Percent of total billed charges		4137.525	100			Percent of total billed charges		12425	4137.525	11182.5	
or time 13 1/2 hours	270	RC	Outpatient			12435	8082.75		90			Percent of total billed charges		11191.5	40			Percent of total billed charges		4974	80			Percent of total billed charges		9948	90			Percent of total billed charges		11191.5	85			Percent of total billed charges		10569.75	85			Percent of total billed charges		10569.75	85			Percent of total billed charges		10569.75	100			Percent of total billed charges		12435	100			Percent of total billed charges		12435	100			Percent of total billed charges		12435	33.3			Percent of total billed charges		4140.855	33.3			Percent of total billed charges		4140.855	100			Percent of total billed charges		12435	4140.855	11191.5	
accolade ii hip stem sz3  6721-0330 stryker	278	RC	Outpatient			12552	8158.8		90			Percent of total billed charges		11296.8	40			Percent of total billed charges		5020.8	80			Percent of total billed charges		10041.6	90			Percent of total billed charges		11296.8	85			Percent of total billed charges		10669.2	85			Percent of total billed charges		10669.2	85			Percent of total billed charges		10669.2	100			Percent of total billed charges		12552	100			Percent of total billed charges		12552	100			Percent of total billed charges		12552	33.3			Percent of total billed charges		4179.816	33.3			Percent of total billed charges		4179.816	100			Percent of total billed charges		12552	4179.816	11296.8	
accolade ii hip stem sz9  6721-0937 stryker	278	RC	Outpatient			12552	8158.8		90			Percent of total billed charges		11296.8	40			Percent of total billed charges		5020.8	80			Percent of total billed charges		10041.6	90			Percent of total billed charges		11296.8	85			Percent of total billed charges		10669.2	85			Percent of total billed charges		10669.2	85			Percent of total billed charges		10669.2	100			Percent of total billed charges		12552	100			Percent of total billed charges		12552	100			Percent of total billed charges		12552	33.3			Percent of total billed charges		4179.816	33.3			Percent of total billed charges		4179.816	100			Percent of total billed charges		12552	4179.816	11296.8	
accolade ii hip stem  6721-0837 stryker	278	RC	Outpatient			12552	8158.8		90			Percent of total billed charges		11296.8	40			Percent of total billed charges		5020.8	80			Percent of total billed charges		10041.6	90			Percent of total billed charges		11296.8	85			Percent of total billed charges		10669.2	85			Percent of total billed charges		10669.2	85			Percent of total billed charges		10669.2	100			Percent of total billed charges		12552	100			Percent of total billed charges		12552	100			Percent of total billed charges		12552	33.3			Percent of total billed charges		4179.816	33.3			Percent of total billed charges		4179.816	100			Percent of total billed charges		12552	4179.816	11296.8	
accolade ii hip stem sz4 35 x 105mm 6721-0435 stryker	278	RC	Outpatient			12552	8158.8		90			Percent of total billed charges		11296.8	40			Percent of total billed charges		5020.8	80			Percent of total billed charges		10041.6	90			Percent of total billed charges		11296.8	85			Percent of total billed charges		10669.2	85			Percent of total billed charges		10669.2	85			Percent of total billed charges		10669.2	100			Percent of total billed charges		12552	100			Percent of total billed charges		12552	100			Percent of total billed charges		12552	33.3			Percent of total billed charges		4179.816	33.3			Percent of total billed charges		4179.816	100			Percent of total billed charges		12552	4179.816	11296.8	
accolade ii hip stem sz5 6721-0535 stryker	278	RC	Outpatient			12552	8158.8		90			Percent of total billed charges		11296.8	40			Percent of total billed charges		5020.8	80			Percent of total billed charges		10041.6	90			Percent of total billed charges		11296.8	85			Percent of total billed charges		10669.2	85			Percent of total billed charges		10669.2	85			Percent of total billed charges		10669.2	100			Percent of total billed charges		12552	100			Percent of total billed charges		12552	100			Percent of total billed charges		12552	33.3			Percent of total billed charges		4179.816	33.3			Percent of total billed charges		4179.816	100			Percent of total billed charges		12552	4179.816	11296.8	
accolade ii hip stem sz6  6721-0635 stryker	278	RC	Outpatient			12552	8158.8		90			Percent of total billed charges		11296.8	40			Percent of total billed charges		5020.8	80			Percent of total billed charges		10041.6	90			Percent of total billed charges		11296.8	85			Percent of total billed charges		10669.2	85			Percent of total billed charges		10669.2	85			Percent of total billed charges		10669.2	100			Percent of total billed charges		12552	100			Percent of total billed charges		12552	100			Percent of total billed charges		12552	33.3			Percent of total billed charges		4179.816	33.3			Percent of total billed charges		4179.816	100			Percent of total billed charges		12552	4179.816	11296.8	
accolade ii hip stem sz7 37 x 114mm 6721-0737 stryker	278	RC	Outpatient			12552	8158.8		90			Percent of total billed charges		11296.8	40			Percent of total billed charges		5020.8	80			Percent of total billed charges		10041.6	90			Percent of total billed charges		11296.8	85			Percent of total billed charges		10669.2	85			Percent of total billed charges		10669.2	85			Percent of total billed charges		10669.2	100			Percent of total billed charges		12552	100			Percent of total billed charges		12552	100			Percent of total billed charges		12552	33.3			Percent of total billed charges		4179.816	33.3			Percent of total billed charges		4179.816	100			Percent of total billed charges		12552	4179.816	11296.8	
accolade ii hip stem sz9  6720-0937 stryker	278	RC	Outpatient			12552	8158.8		90			Percent of total billed charges		11296.8	40			Percent of total billed charges		5020.8	80			Percent of total billed charges		10041.6	90			Percent of total billed charges		11296.8	85			Percent of total billed charges		10669.2	85			Percent of total billed charges		10669.2	85			Percent of total billed charges		10669.2	100			Percent of total billed charges		12552	100			Percent of total billed charges		12552	100			Percent of total billed charges		12552	33.3			Percent of total billed charges		4179.816	33.3			Percent of total billed charges		4179.816	100			Percent of total billed charges		12552	4179.816	11296.8	
stryker accolade 11 stem	278	RC	Outpatient			12552	8158.8		90			Percent of total billed charges		11296.8	40			Percent of total billed charges		5020.8	80			Percent of total billed charges		10041.6	90			Percent of total billed charges		11296.8	85			Percent of total billed charges		10669.2	85			Percent of total billed charges		10669.2	85			Percent of total billed charges		10669.2	100			Percent of total billed charges		12552	100			Percent of total billed charges		12552	100			Percent of total billed charges		12552	33.3			Percent of total billed charges		4179.816	33.3			Percent of total billed charges		4179.816	100			Percent of total billed charges		12552	4179.816	11296.8	
rsp mono stem	278	RC	Outpatient			12553	8159.45		90			Percent of total billed charges		11297.7	40			Percent of total billed charges		5021.2	80			Percent of total billed charges		10042.4	90			Percent of total billed charges		11297.7	85			Percent of total billed charges		10670.05	85			Percent of total billed charges		10670.05	85			Percent of total billed charges		10670.05	100			Percent of total billed charges		12553	100			Percent of total billed charges		12553	100			Percent of total billed charges		12553	33.3			Percent of total billed charges		4180.149	33.3			Percent of total billed charges		4180.149	100			Percent of total billed charges		12553	4180.149	11297.7	
rsp monoblock stem  sz7 510-00-007 djo	278	RC	Outpatient			12553	8159.45		90			Percent of total billed charges		11297.7	40			Percent of total billed charges		5021.2	80			Percent of total billed charges		10042.4	90			Percent of total billed charges		11297.7	85			Percent of total billed charges		10670.05	85			Percent of total billed charges		10670.05	85			Percent of total billed charges		10670.05	100			Percent of total billed charges		12553	100			Percent of total billed charges		12553	100			Percent of total billed charges		12553	33.3			Percent of total billed charges		4180.149	33.3			Percent of total billed charges		4180.149	100			Percent of total billed charges		12553	4180.149	11297.7	
rsp monoblock stem sz 10 510-00-010 djo	278	RC	Outpatient			12553	8159.45		90			Percent of total billed charges		11297.7	40			Percent of total billed charges		5021.2	80			Percent of total billed charges		10042.4	90			Percent of total billed charges		11297.7	85			Percent of total billed charges		10670.05	85			Percent of total billed charges		10670.05	85			Percent of total billed charges		10670.05	100			Percent of total billed charges		12553	100			Percent of total billed charges		12553	100			Percent of total billed charges		12553	33.3			Percent of total billed charges		4180.149	33.3			Percent of total billed charges		4180.149	100			Percent of total billed charges		12553	4180.149	11297.7	
accent dr rf gen pm2210	275	RC	Outpatient			12609	8195.85		90			Percent of total billed charges		11348.1	40			Percent of total billed charges		5043.6	80			Percent of total billed charges		10087.2	90			Percent of total billed charges		11348.1	85			Percent of total billed charges		10717.65	85			Percent of total billed charges		10717.65	85			Percent of total billed charges		10717.65	100			Percent of total billed charges		12609	100			Percent of total billed charges		12609	100			Percent of total billed charges		12609	33.3			Percent of total billed charges		4198.797	33.3			Percent of total billed charges		4198.797	100			Percent of total billed charges		12609	4198.797	11348.1	
cath lab accent dr rf pm 2210	275	RC	Outpatient			12609	8195.85		90			Percent of total billed charges		11348.1	40			Percent of total billed charges		5043.6	80			Percent of total billed charges		10087.2	90			Percent of total billed charges		11348.1	85			Percent of total billed charges		10717.65	85			Percent of total billed charges		10717.65	85			Percent of total billed charges		10717.65	100			Percent of total billed charges		12609	100			Percent of total billed charges		12609	100			Percent of total billed charges		12609	33.3			Percent of total billed charges		4198.797	33.3			Percent of total billed charges		4198.797	100			Percent of total billed charges		12609	4198.797	11348.1	
cath lab durata 7121 icd lead	272	RC	Outpatient			12688	8247.2		90			Percent of total billed charges		11419.2	40			Percent of total billed charges		5075.2	80			Percent of total billed charges		10150.4	90			Percent of total billed charges		11419.2	85			Percent of total billed charges		10784.8	85			Percent of total billed charges		10784.8	85			Percent of total billed charges		10784.8	100			Percent of total billed charges		12688	100			Percent of total billed charges		12688	100			Percent of total billed charges		12688	33.3			Percent of total billed charges		4225.104	33.3			Percent of total billed charges		4225.104	100			Percent of total billed charges		12688	4225.104	11419.2	
durator 7121 icd lead	272	RC	Outpatient			12688	8247.2		90			Percent of total billed charges		11419.2	40			Percent of total billed charges		5075.2	80			Percent of total billed charges		10150.4	90			Percent of total billed charges		11419.2	85			Percent of total billed charges		10784.8	85			Percent of total billed charges		10784.8	85			Percent of total billed charges		10784.8	100			Percent of total billed charges		12688	100			Percent of total billed charges		12688	100			Percent of total billed charges		12688	33.3			Percent of total billed charges		4225.104	33.3			Percent of total billed charges		4225.104	100			Percent of total billed charges		12688	4225.104	11419.2	
allomax 12 x 20	278	RC	Outpatient			13019	8462.35		90			Percent of total billed charges		11717.1	40			Percent of total billed charges		5207.6	80			Percent of total billed charges		10415.2	90			Percent of total billed charges		11717.1	85			Percent of total billed charges		11066.15	85			Percent of total billed charges		11066.15	85			Percent of total billed charges		11066.15	100			Percent of total billed charges		13019	100			Percent of total billed charges		13019	100			Percent of total billed charges		13019	33.3			Percent of total billed charges		4335.327	33.3			Percent of total billed charges		4335.327	100			Percent of total billed charges		13019	4335.327	11717.1	
allomax graft retangular 12 x 20 1181220 bard	278	RC	Outpatient			13019	8462.35		90			Percent of total billed charges		11717.1	40			Percent of total billed charges		5207.6	80			Percent of total billed charges		10415.2	90			Percent of total billed charges		11717.1	85			Percent of total billed charges		11066.15	85			Percent of total billed charges		11066.15	85			Percent of total billed charges		11066.15	100			Percent of total billed charges		13019	100			Percent of total billed charges		13019	100			Percent of total billed charges		13019	33.3			Percent of total billed charges		4335.327	33.3			Percent of total billed charges		4335.327	100			Percent of total billed charges		13019	4335.327	11717.1	
bio vanguard ssk femoral	278	RC	Outpatient			13187	8571.55		90			Percent of total billed charges		11868.3	40			Percent of total billed charges		5274.8	80			Percent of total billed charges		10549.6	90			Percent of total billed charges		11868.3	85			Percent of total billed charges		11208.95	85			Percent of total billed charges		11208.95	85			Percent of total billed charges		11208.95	100			Percent of total billed charges		13187	100			Percent of total billed charges		13187	100			Percent of total billed charges		13187	33.3			Percent of total billed charges		4391.271	33.3			Percent of total billed charges		4391.271	100			Percent of total billed charges		13187	4391.271	11868.3	
vanguard ssk femoral 65mm lt 183324 biomet	278	RC	Outpatient			13187	8571.55		90			Percent of total billed charges		11868.3	40			Percent of total billed charges		5274.8	80			Percent of total billed charges		10549.6	90			Percent of total billed charges		11868.3	85			Percent of total billed charges		11208.95	85			Percent of total billed charges		11208.95	85			Percent of total billed charges		11208.95	100			Percent of total billed charges		13187	100			Percent of total billed charges		13187	100			Percent of total billed charges		13187	33.3			Percent of total billed charges		4391.271	33.3			Percent of total billed charges		4391.271	100			Percent of total billed charges		13187	4391.271	11868.3	
vanguard ssk femoral 70mm lt 183326 biomet	278	RC	Outpatient			13187	8571.55		90			Percent of total billed charges		11868.3	40			Percent of total billed charges		5274.8	80			Percent of total billed charges		10549.6	90			Percent of total billed charges		11868.3	85			Percent of total billed charges		11208.95	85			Percent of total billed charges		11208.95	85			Percent of total billed charges		11208.95	100			Percent of total billed charges		13187	100			Percent of total billed charges		13187	100			Percent of total billed charges		13187	33.3			Percent of total billed charges		4391.271	33.3			Percent of total billed charges		4391.271	100			Percent of total billed charges		13187	4391.271	11868.3	
vanguard ssk femoral 55mm rt 183300 biomet	278	RC	Outpatient			13187	8571.55		90			Percent of total billed charges		11868.3	40			Percent of total billed charges		5274.8	80			Percent of total billed charges		10549.6	90			Percent of total billed charges		11868.3	85			Percent of total billed charges		11208.95	85			Percent of total billed charges		11208.95	85			Percent of total billed charges		11208.95	100			Percent of total billed charges		13187	100			Percent of total billed charges		13187	100			Percent of total billed charges		13187	33.3			Percent of total billed charges		4391.271	33.3			Percent of total billed charges		4391.271	100			Percent of total billed charges		13187	4391.271	11868.3	
vanguard ssk femoral 60mm lt 183322 biomet	278	RC	Outpatient			13187	8571.55		90			Percent of total billed charges		11868.3	40			Percent of total billed charges		5274.8	80			Percent of total billed charges		10549.6	90			Percent of total billed charges		11868.3	85			Percent of total billed charges		11208.95	85			Percent of total billed charges		11208.95	85			Percent of total billed charges		11208.95	100			Percent of total billed charges		13187	100			Percent of total billed charges		13187	100			Percent of total billed charges		13187	33.3			Percent of total billed charges		4391.271	33.3			Percent of total billed charges		4391.271	100			Percent of total billed charges		13187	4391.271	11868.3	
vanguard ssk femoral 60mm rt 183302 biomet	278	RC	Outpatient			13187	8571.55		90			Percent of total billed charges		11868.3	40			Percent of total billed charges		5274.8	80			Percent of total billed charges		10549.6	90			Percent of total billed charges		11868.3	85			Percent of total billed charges		11208.95	85			Percent of total billed charges		11208.95	85			Percent of total billed charges		11208.95	100			Percent of total billed charges		13187	100			Percent of total billed charges		13187	100			Percent of total billed charges		13187	33.3			Percent of total billed charges		4391.271	33.3			Percent of total billed charges		4391.271	100			Percent of total billed charges		13187	4391.271	11868.3	
rejuvenate mono stem	278	RC	Outpatient			13371	8691.15		90			Percent of total billed charges		12033.9	40			Percent of total billed charges		5348.4	80			Percent of total billed charges		10696.8	90			Percent of total billed charges		12033.9	85			Percent of total billed charges		11365.35	85			Percent of total billed charges		11365.35	85			Percent of total billed charges		11365.35	100			Percent of total billed charges		13371	100			Percent of total billed charges		13371	100			Percent of total billed charges		13371	33.3			Percent of total billed charges		4452.543	33.3			Percent of total billed charges		4452.543	100			Percent of total billed charges		13371	4452.543	12033.9	
rejuvenate spt monolithic stem #6 spt-0638000s stryker	278	RC	Outpatient			13371	8691.15		90			Percent of total billed charges		12033.9	40			Percent of total billed charges		5348.4	80			Percent of total billed charges		10696.8	90			Percent of total billed charges		12033.9	85			Percent of total billed charges		11365.35	85			Percent of total billed charges		11365.35	85			Percent of total billed charges		11365.35	100			Percent of total billed charges		13371	100			Percent of total billed charges		13371	100			Percent of total billed charges		13371	33.3			Percent of total billed charges		4452.543	33.3			Percent of total billed charges		4452.543	100			Percent of total billed charges		13371	4452.543	12033.9	
permacol 1.5mm 18x28	278	RC	Outpatient			13538	8799.7		90			Percent of total billed charges		12184.2	40			Percent of total billed charges		5415.2	80			Percent of total billed charges		10830.4	90			Percent of total billed charges		12184.2	85			Percent of total billed charges		11507.3	85			Percent of total billed charges		11507.3	85			Percent of total billed charges		11507.3	100			Percent of total billed charges		13538	100			Percent of total billed charges		13538	100			Percent of total billed charges		13538	33.3			Percent of total billed charges		4508.154	33.3			Percent of total billed charges		4508.154	100			Percent of total billed charges		13538	4508.154	12184.2	
permacol 1.5mm thick 18 x 28 cm 151828 lsl	278	RC	Outpatient			13538	8799.7		90			Percent of total billed charges		12184.2	40			Percent of total billed charges		5415.2	80			Percent of total billed charges		10830.4	90			Percent of total billed charges		12184.2	85			Percent of total billed charges		11507.3	85			Percent of total billed charges		11507.3	85			Percent of total billed charges		11507.3	100			Percent of total billed charges		13538	100			Percent of total billed charges		13538	100			Percent of total billed charges		13538	33.3			Percent of total billed charges		4508.154	33.3			Percent of total billed charges		4508.154	100			Percent of total billed charges		13538	4508.154	12184.2	
accolade fem stem 127 degrees sz 1 6021-0130 stryker	278	RC	Outpatient			13604	8842.6		90			Percent of total billed charges		12243.6	40			Percent of total billed charges		5441.6	80			Percent of total billed charges		10883.2	90			Percent of total billed charges		12243.6	85			Percent of total billed charges		11563.4	85			Percent of total billed charges		11563.4	85			Percent of total billed charges		11563.4	100			Percent of total billed charges		13604	100			Percent of total billed charges		13604	100			Percent of total billed charges		13604	33.3			Percent of total billed charges		4530.132	33.3			Percent of total billed charges		4530.132	100			Percent of total billed charges		13604	4530.132	12243.6	
accolade fem stem 127 degrees sz 3 6021-0335 stryker	278	RC	Outpatient			13604	8842.6		90			Percent of total billed charges		12243.6	40			Percent of total billed charges		5441.6	80			Percent of total billed charges		10883.2	90			Percent of total billed charges		12243.6	85			Percent of total billed charges		11563.4	85			Percent of total billed charges		11563.4	85			Percent of total billed charges		11563.4	100			Percent of total billed charges		13604	100			Percent of total billed charges		13604	100			Percent of total billed charges		13604	33.3			Percent of total billed charges		4530.132	33.3			Percent of total billed charges		4530.132	100			Percent of total billed charges		13604	4530.132	12243.6	
accolade fem stem 127 degrees sz 7 6021-0740 stryker	278	RC	Outpatient			13604	8842.6		90			Percent of total billed charges		12243.6	40			Percent of total billed charges		5441.6	80			Percent of total billed charges		10883.2	90			Percent of total billed charges		12243.6	85			Percent of total billed charges		11563.4	85			Percent of total billed charges		11563.4	85			Percent of total billed charges		11563.4	100			Percent of total billed charges		13604	100			Percent of total billed charges		13604	100			Percent of total billed charges		13604	33.3			Percent of total billed charges		4530.132	33.3			Percent of total billed charges		4530.132	100			Percent of total billed charges		13604	4530.132	12243.6	
accolade fem stem 132 degrees sz 1 6020-0130 stryker	278	RC	Outpatient			13604	8842.6		90			Percent of total billed charges		12243.6	40			Percent of total billed charges		5441.6	80			Percent of total billed charges		10883.2	90			Percent of total billed charges		12243.6	85			Percent of total billed charges		11563.4	85			Percent of total billed charges		11563.4	85			Percent of total billed charges		11563.4	100			Percent of total billed charges		13604	100			Percent of total billed charges		13604	100			Percent of total billed charges		13604	33.3			Percent of total billed charges		4530.132	33.3			Percent of total billed charges		4530.132	100			Percent of total billed charges		13604	4530.132	12243.6	
accolade fem stem 132 degrees sz 2 6020-0230 stryker	278	RC	Outpatient			13604	8842.6		90			Percent of total billed charges		12243.6	40			Percent of total billed charges		5441.6	80			Percent of total billed charges		10883.2	90			Percent of total billed charges		12243.6	85			Percent of total billed charges		11563.4	85			Percent of total billed charges		11563.4	85			Percent of total billed charges		11563.4	100			Percent of total billed charges		13604	100			Percent of total billed charges		13604	100			Percent of total billed charges		13604	33.3			Percent of total billed charges		4530.132	33.3			Percent of total billed charges		4530.132	100			Percent of total billed charges		13604	4530.132	12243.6	
accolade fem stem 132 degrees sz 4 6020-0435 stryker	278	RC	Outpatient			13604	8842.6		90			Percent of total billed charges		12243.6	40			Percent of total billed charges		5441.6	80			Percent of total billed charges		10883.2	90			Percent of total billed charges		12243.6	85			Percent of total billed charges		11563.4	85			Percent of total billed charges		11563.4	85			Percent of total billed charges		11563.4	100			Percent of total billed charges		13604	100			Percent of total billed charges		13604	100			Percent of total billed charges		13604	33.3			Percent of total billed charges		4530.132	33.3			Percent of total billed charges		4530.132	100			Percent of total billed charges		13604	4530.132	12243.6	
accolade fem stem 132 degrees sz 6 6020-0637 stryker	278	RC	Outpatient			13604	8842.6		90			Percent of total billed charges		12243.6	40			Percent of total billed charges		5441.6	80			Percent of total billed charges		10883.2	90			Percent of total billed charges		12243.6	85			Percent of total billed charges		11563.4	85			Percent of total billed charges		11563.4	85			Percent of total billed charges		11563.4	100			Percent of total billed charges		13604	100			Percent of total billed charges		13604	100			Percent of total billed charges		13604	33.3			Percent of total billed charges		4530.132	33.3			Percent of total billed charges		4530.132	100			Percent of total billed charges		13604	4530.132	12243.6	
accolade fem stem 132 degrees sz 7 6020-0740 stryker	278	RC	Outpatient			13604	8842.6		90			Percent of total billed charges		12243.6	40			Percent of total billed charges		5441.6	80			Percent of total billed charges		10883.2	90			Percent of total billed charges		12243.6	85			Percent of total billed charges		11563.4	85			Percent of total billed charges		11563.4	85			Percent of total billed charges		11563.4	100			Percent of total billed charges		13604	100			Percent of total billed charges		13604	100			Percent of total billed charges		13604	33.3			Percent of total billed charges		4530.132	33.3			Percent of total billed charges		4530.132	100			Percent of total billed charges		13604	4530.132	12243.6	
accolade fem stem 132 degrees sz 8 6020-0840 stryker	278	RC	Outpatient			13604	8842.6		90			Percent of total billed charges		12243.6	40			Percent of total billed charges		5441.6	80			Percent of total billed charges		10883.2	90			Percent of total billed charges		12243.6	85			Percent of total billed charges		11563.4	85			Percent of total billed charges		11563.4	85			Percent of total billed charges		11563.4	100			Percent of total billed charges		13604	100			Percent of total billed charges		13604	100			Percent of total billed charges		13604	33.3			Percent of total billed charges		4530.132	33.3			Percent of total billed charges		4530.132	100			Percent of total billed charges		13604	4530.132	12243.6	
accolade fem stem 127 degrees sz 2 6021-0230 stryker	278	RC	Outpatient			13604	8842.6		90			Percent of total billed charges		12243.6	40			Percent of total billed charges		5441.6	80			Percent of total billed charges		10883.2	90			Percent of total billed charges		12243.6	85			Percent of total billed charges		11563.4	85			Percent of total billed charges		11563.4	85			Percent of total billed charges		11563.4	100			Percent of total billed charges		13604	100			Percent of total billed charges		13604	100			Percent of total billed charges		13604	33.3			Percent of total billed charges		4530.132	33.3			Percent of total billed charges		4530.132	100			Percent of total billed charges		13604	4530.132	12243.6	
accolade fem stem 127 degrees sz 4 6021-0435 stryker	278	RC	Outpatient			13604	8842.6		90			Percent of total billed charges		12243.6	40			Percent of total billed charges		5441.6	80			Percent of total billed charges		10883.2	90			Percent of total billed charges		12243.6	85			Percent of total billed charges		11563.4	85			Percent of total billed charges		11563.4	85			Percent of total billed charges		11563.4	100			Percent of total billed charges		13604	100			Percent of total billed charges		13604	100			Percent of total billed charges		13604	33.3			Percent of total billed charges		4530.132	33.3			Percent of total billed charges		4530.132	100			Percent of total billed charges		13604	4530.132	12243.6	
accolade fem stem 127 degrees sz 5 6021-0537 stryker	278	RC	Outpatient			13604	8842.6		90			Percent of total billed charges		12243.6	40			Percent of total billed charges		5441.6	80			Percent of total billed charges		10883.2	90			Percent of total billed charges		12243.6	85			Percent of total billed charges		11563.4	85			Percent of total billed charges		11563.4	85			Percent of total billed charges		11563.4	100			Percent of total billed charges		13604	100			Percent of total billed charges		13604	100			Percent of total billed charges		13604	33.3			Percent of total billed charges		4530.132	33.3			Percent of total billed charges		4530.132	100			Percent of total billed charges		13604	4530.132	12243.6	
accolade fem stem 127 degrees sz 6 6021-0637 stryker	278	RC	Outpatient			13604	8842.6		90			Percent of total billed charges		12243.6	40			Percent of total billed charges		5441.6	80			Percent of total billed charges		10883.2	90			Percent of total billed charges		12243.6	85			Percent of total billed charges		11563.4	85			Percent of total billed charges		11563.4	85			Percent of total billed charges		11563.4	100			Percent of total billed charges		13604	100			Percent of total billed charges		13604	100			Percent of total billed charges		13604	33.3			Percent of total billed charges		4530.132	33.3			Percent of total billed charges		4530.132	100			Percent of total billed charges		13604	4530.132	12243.6	
accolade fem stem 127 degrees sz 8 6021-0840 stryker	278	RC	Outpatient			13604	8842.6		90			Percent of total billed charges		12243.6	40			Percent of total billed charges		5441.6	80			Percent of total billed charges		10883.2	90			Percent of total billed charges		12243.6	85			Percent of total billed charges		11563.4	85			Percent of total billed charges		11563.4	85			Percent of total billed charges		11563.4	100			Percent of total billed charges		13604	100			Percent of total billed charges		13604	100			Percent of total billed charges		13604	33.3			Percent of total billed charges		4530.132	33.3			Percent of total billed charges		4530.132	100			Percent of total billed charges		13604	4530.132	12243.6	
accolade fem stem 132 degrees sz 3 6020-0335 stryker	278	RC	Outpatient			13604	8842.6		90			Percent of total billed charges		12243.6	40			Percent of total billed charges		5441.6	80			Percent of total billed charges		10883.2	90			Percent of total billed charges		12243.6	85			Percent of total billed charges		11563.4	85			Percent of total billed charges		11563.4	85			Percent of total billed charges		11563.4	100			Percent of total billed charges		13604	100			Percent of total billed charges		13604	100			Percent of total billed charges		13604	33.3			Percent of total billed charges		4530.132	33.3			Percent of total billed charges		4530.132	100			Percent of total billed charges		13604	4530.132	12243.6	
accolade fem stem 132 degrees sz 5 6020-0537 stryker	278	RC	Outpatient			13604	8842.6		90			Percent of total billed charges		12243.6	40			Percent of total billed charges		5441.6	80			Percent of total billed charges		10883.2	90			Percent of total billed charges		12243.6	85			Percent of total billed charges		11563.4	85			Percent of total billed charges		11563.4	85			Percent of total billed charges		11563.4	100			Percent of total billed charges		13604	100			Percent of total billed charges		13604	100			Percent of total billed charges		13604	33.3			Percent of total billed charges		4530.132	33.3			Percent of total billed charges		4530.132	100			Percent of total billed charges		13604	4530.132	12243.6	
stryker accolade fem stem	278	RC	Outpatient			13604	8842.6		90			Percent of total billed charges		12243.6	40			Percent of total billed charges		5441.6	80			Percent of total billed charges		10883.2	90			Percent of total billed charges		12243.6	85			Percent of total billed charges		11563.4	85			Percent of total billed charges		11563.4	85			Percent of total billed charges		11563.4	100			Percent of total billed charges		13604	100			Percent of total billed charges		13604	100			Percent of total billed charges		13604	33.3			Percent of total billed charges		4530.132	33.3			Percent of total billed charges		4530.132	100			Percent of total billed charges		13604	4530.132	12243.6	
syncra bi-v ppm generator	275	RC	Outpatient			13669	8884.85		90			Percent of total billed charges		12302.1	40			Percent of total billed charges		5467.6	80			Percent of total billed charges		10935.2	90			Percent of total billed charges		12302.1	85			Percent of total billed charges		11618.65	85			Percent of total billed charges		11618.65	85			Percent of total billed charges		11618.65	100			Percent of total billed charges		13669	100			Percent of total billed charges		13669	100			Percent of total billed charges		13669	33.3			Percent of total billed charges		4551.777	33.3			Percent of total billed charges		4551.777	100			Percent of total billed charges		13669	4551.777	12302.1	
depuy rot hinge fem	278	RC	Outpatient			14420	9373		90			Percent of total billed charges		12978	40			Percent of total billed charges		5768	80			Percent of total billed charges		11536	90			Percent of total billed charges		12978	85			Percent of total billed charges		12257	85			Percent of total billed charges		12257	85			Percent of total billed charges		12257	100			Percent of total billed charges		14420	100			Percent of total billed charges		14420	100			Percent of total billed charges		14420	33.3			Percent of total billed charges		4801.86	33.3			Percent of total billed charges		4801.86	100			Percent of total billed charges		14420	4801.86	12978	
srom rotating hinged fem left 62-3411r depuy	278	RC	Outpatient			14420	9373		90			Percent of total billed charges		12978	40			Percent of total billed charges		5768	80			Percent of total billed charges		11536	90			Percent of total billed charges		12978	85			Percent of total billed charges		12257	85			Percent of total billed charges		12257	85			Percent of total billed charges		12257	100			Percent of total billed charges		14420	100			Percent of total billed charges		14420	100			Percent of total billed charges		14420	33.3			Percent of total billed charges		4801.86	33.3			Percent of total billed charges		4801.86	100			Percent of total billed charges		14420	4801.86	12978	
srom rotating hinged fem right 62-3421r depuy	278	RC	Outpatient			14420	9373		90			Percent of total billed charges		12978	40			Percent of total billed charges		5768	80			Percent of total billed charges		11536	90			Percent of total billed charges		12978	85			Percent of total billed charges		12257	85			Percent of total billed charges		12257	85			Percent of total billed charges		12257	100			Percent of total billed charges		14420	100			Percent of total billed charges		14420	100			Percent of total billed charges		14420	33.3			Percent of total billed charges		4801.86	33.3			Percent of total billed charges		4801.86	100			Percent of total billed charges		14420	4801.86	12978	
srom rotating hinged fem left 62-3411l depuy	278	RC	Outpatient			14420	9373		90			Percent of total billed charges		12978	40			Percent of total billed charges		5768	80			Percent of total billed charges		11536	90			Percent of total billed charges		12978	85			Percent of total billed charges		12257	85			Percent of total billed charges		12257	85			Percent of total billed charges		12257	100			Percent of total billed charges		14420	100			Percent of total billed charges		14420	100			Percent of total billed charges		14420	33.3			Percent of total billed charges		4801.86	33.3			Percent of total billed charges		4801.86	100			Percent of total billed charges		14420	4801.86	12978	
triathlon fem total stab	278	RC	Outpatient			14471	9406.15		90			Percent of total billed charges		13023.9	40			Percent of total billed charges		5788.4	80			Percent of total billed charges		11576.8	90			Percent of total billed charges		13023.9	85			Percent of total billed charges		12300.35	85			Percent of total billed charges		12300.35	85			Percent of total billed charges		12300.35	100			Percent of total billed charges		14471	100			Percent of total billed charges		14471	100			Percent of total billed charges		14471	33.3			Percent of total billed charges		4818.843	33.3			Percent of total billed charges		4818.843	100			Percent of total billed charges		14471	4818.843	13023.9	
triathlon femoral component 5512-f-301 stryker	278	RC	Outpatient			14471	9406.15		90			Percent of total billed charges		13023.9	40			Percent of total billed charges		5788.4	80			Percent of total billed charges		11576.8	90			Percent of total billed charges		13023.9	85			Percent of total billed charges		12300.35	85			Percent of total billed charges		12300.35	85			Percent of total billed charges		12300.35	100			Percent of total billed charges		14471	100			Percent of total billed charges		14471	100			Percent of total billed charges		14471	33.3			Percent of total billed charges		4818.843	33.3			Percent of total billed charges		4818.843	100			Percent of total billed charges		14471	4818.843	13023.9	
triathlon femoral component 5512-f-401 stryker	278	RC	Outpatient			14471	9406.15		90			Percent of total billed charges		13023.9	40			Percent of total billed charges		5788.4	80			Percent of total billed charges		11576.8	90			Percent of total billed charges		13023.9	85			Percent of total billed charges		12300.35	85			Percent of total billed charges		12300.35	85			Percent of total billed charges		12300.35	100			Percent of total billed charges		14471	100			Percent of total billed charges		14471	100			Percent of total billed charges		14471	33.3			Percent of total billed charges		4818.843	33.3			Percent of total billed charges		4818.843	100			Percent of total billed charges		14471	4818.843	13023.9	
triathlon femoral component 5512-f-402 stryker	278	RC	Outpatient			14471	9406.15		90			Percent of total billed charges		13023.9	40			Percent of total billed charges		5788.4	80			Percent of total billed charges		11576.8	90			Percent of total billed charges		13023.9	85			Percent of total billed charges		12300.35	85			Percent of total billed charges		12300.35	85			Percent of total billed charges		12300.35	100			Percent of total billed charges		14471	100			Percent of total billed charges		14471	100			Percent of total billed charges		14471	33.3			Percent of total billed charges		4818.843	33.3			Percent of total billed charges		4818.843	100			Percent of total billed charges		14471	4818.843	13023.9	
triathlon femoral component 5512-f-501 stryker	278	RC	Outpatient			14471	9406.15		90			Percent of total billed charges		13023.9	40			Percent of total billed charges		5788.4	80			Percent of total billed charges		11576.8	90			Percent of total billed charges		13023.9	85			Percent of total billed charges		12300.35	85			Percent of total billed charges		12300.35	85			Percent of total billed charges		12300.35	100			Percent of total billed charges		14471	100			Percent of total billed charges		14471	100			Percent of total billed charges		14471	33.3			Percent of total billed charges		4818.843	33.3			Percent of total billed charges		4818.843	100			Percent of total billed charges		14471	4818.843	13023.9	
bhr acet cup 48mm 74120148 s/n	278	RC	Outpatient			14841	9646.65		90			Percent of total billed charges		13356.9	40			Percent of total billed charges		5936.4	80			Percent of total billed charges		11872.8	90			Percent of total billed charges		13356.9	85			Percent of total billed charges		12614.85	85			Percent of total billed charges		12614.85	85			Percent of total billed charges		12614.85	100			Percent of total billed charges		14841	100			Percent of total billed charges		14841	100			Percent of total billed charges		14841	33.3			Percent of total billed charges		4942.053	33.3			Percent of total billed charges		4942.053	100			Percent of total billed charges		14841	4942.053	13356.9	
bhr acet cup	278	RC	Outpatient			14841	9646.65		90			Percent of total billed charges		13356.9	40			Percent of total billed charges		5936.4	80			Percent of total billed charges		11872.8	90			Percent of total billed charges		13356.9	85			Percent of total billed charges		12614.85	85			Percent of total billed charges		12614.85	85			Percent of total billed charges		12614.85	100			Percent of total billed charges		14841	100			Percent of total billed charges		14841	100			Percent of total billed charges		14841	33.3			Percent of total billed charges		4942.053	33.3			Percent of total billed charges		4942.053	100			Percent of total billed charges		14841	4942.053	13356.9	
gmrs distal femoral comp std 6495-2-030 stryker	278	RC	Outpatient			14874	9668.1		90			Percent of total billed charges		13386.6	40			Percent of total billed charges		5949.6	80			Percent of total billed charges		11899.2	90			Percent of total billed charges		13386.6	85			Percent of total billed charges		12642.9	85			Percent of total billed charges		12642.9	85			Percent of total billed charges		12642.9	100			Percent of total billed charges		14874	100			Percent of total billed charges		14874	100			Percent of total billed charges		14874	33.3			Percent of total billed charges		4953.042	33.3			Percent of total billed charges		4953.042	100			Percent of total billed charges		14874	4953.042	13386.6	
gmrs dist fem comp std	278	RC	Outpatient			14874	9668.1		90			Percent of total billed charges		13386.6	40			Percent of total billed charges		5949.6	80			Percent of total billed charges		11899.2	90			Percent of total billed charges		13386.6	85			Percent of total billed charges		12642.9	85			Percent of total billed charges		12642.9	85			Percent of total billed charges		12642.9	100			Percent of total billed charges		14874	100			Percent of total billed charges		14874	100			Percent of total billed charges		14874	33.3			Percent of total billed charges		4953.042	33.3			Percent of total billed charges		4953.042	100			Percent of total billed charges		14874	4953.042	13386.6	
gmrs distal femoral comp sm 6495-2-020 stryker	278	RC	Outpatient			14874	9668.1		90			Percent of total billed charges		13386.6	40			Percent of total billed charges		5949.6	80			Percent of total billed charges		11899.2	90			Percent of total billed charges		13386.6	85			Percent of total billed charges		12642.9	85			Percent of total billed charges		12642.9	85			Percent of total billed charges		12642.9	100			Percent of total billed charges		14874	100			Percent of total billed charges		14874	100			Percent of total billed charges		14874	33.3			Percent of total billed charges		4953.042	33.3			Percent of total billed charges		4953.042	100			Percent of total billed charges		14874	4953.042	13386.6	
gmrs distal femoral comp std 6495-2-040 stryker	278	RC	Outpatient			14874	9668.1		90			Percent of total billed charges		13386.6	40			Percent of total billed charges		5949.6	80			Percent of total billed charges		11899.2	90			Percent of total billed charges		13386.6	85			Percent of total billed charges		12642.9	85			Percent of total billed charges		12642.9	85			Percent of total billed charges		12642.9	100			Percent of total billed charges		14874	100			Percent of total billed charges		14874	100			Percent of total billed charges		14874	33.3			Percent of total billed charges		4953.042	33.3			Percent of total billed charges		4953.042	100			Percent of total billed charges		14874	4953.042	13386.6	
endurant aort ext23&25x70	278	RC	Outpatient			14992	9744.8		90			Percent of total billed charges		13492.8	40			Percent of total billed charges		5996.8	80			Percent of total billed charges		11993.6	90			Percent of total billed charges		13492.8	85			Percent of total billed charges		12743.2	85			Percent of total billed charges		12743.2	85			Percent of total billed charges		12743.2	100			Percent of total billed charges		14992	100			Percent of total billed charges		14992	100			Percent of total billed charges		14992	33.3			Percent of total billed charges		4992.336	33.3			Percent of total billed charges		4992.336	100			Percent of total billed charges		14992	4992.336	13492.8	
mt dvfb1d1 gen	278	RC	Outpatient			15169	9859.85		90			Percent of total billed charges		13652.1	40			Percent of total billed charges		6067.6	80			Percent of total billed charges		12135.2	90			Percent of total billed charges		13652.1	85			Percent of total billed charges		12893.65	85			Percent of total billed charges		12893.65	85			Percent of total billed charges		12893.65	100			Percent of total billed charges		15169	100			Percent of total billed charges		15169	100			Percent of total billed charges		15169	33.3			Percent of total billed charges		5051.277	33.3			Percent of total billed charges		5051.277	100			Percent of total billed charges		15169	5051.277	13652.1	
endurant aort ext28&32x70	278	RC	Outpatient			15193	9875.45		90			Percent of total billed charges		13673.7	40			Percent of total billed charges		6077.2	80			Percent of total billed charges		12154.4	90			Percent of total billed charges		13673.7	85			Percent of total billed charges		12914.05	85			Percent of total billed charges		12914.05	85			Percent of total billed charges		12914.05	100			Percent of total billed charges		15193	100			Percent of total billed charges		15193	100			Percent of total billed charges		15193	33.3			Percent of total billed charges		5059.269	33.3			Percent of total billed charges		5059.269	100			Percent of total billed charges		15193	5059.269	13673.7	
endurant stent graft aortic extension 28 x 28 x 70mm entf2828c70e medtronic	278	RC	Outpatient			15193	9875.45		90			Percent of total billed charges		13673.7	40			Percent of total billed charges		6077.2	80			Percent of total billed charges		12154.4	90			Percent of total billed charges		13673.7	85			Percent of total billed charges		12914.05	85			Percent of total billed charges		12914.05	85			Percent of total billed charges		12914.05	100			Percent of total billed charges		15193	100			Percent of total billed charges		15193	100			Percent of total billed charges		15193	33.3			Percent of total billed charges		5059.269	33.3			Percent of total billed charges		5059.269	100			Percent of total billed charges		15193	5059.269	13673.7	
endurant stent graft aortic extension 32 x 32 x 70mm entf3232c70e medtronic	278	RC	Outpatient			15193	9875.45		90			Percent of total billed charges		13673.7	40			Percent of total billed charges		6077.2	80			Percent of total billed charges		12154.4	90			Percent of total billed charges		13673.7	85			Percent of total billed charges		12914.05	85			Percent of total billed charges		12914.05	85			Percent of total billed charges		12914.05	100			Percent of total billed charges		15193	100			Percent of total billed charges		15193	100			Percent of total billed charges		15193	33.3			Percent of total billed charges		5059.269	33.3			Percent of total billed charges		5059.269	100			Percent of total billed charges		15193	5059.269	13673.7	
xenmatrix ab graft 15x20 cm 1151520 bard	278	RC	Outpatient			15281	9932.65		90			Percent of total billed charges		13752.9	40			Percent of total billed charges		6112.4	80			Percent of total billed charges		12224.8	90			Percent of total billed charges		13752.9	85			Percent of total billed charges		12988.85	85			Percent of total billed charges		12988.85	85			Percent of total billed charges		12988.85	100			Percent of total billed charges		15281	100			Percent of total billed charges		15281	100			Percent of total billed charges		15281	33.3			Percent of total billed charges		5088.573	33.3			Percent of total billed charges		5088.573	100			Percent of total billed charges		15281	5088.573	13752.9	
aaadvantage bif graft  bfxc2012135 20mmx12mmx135mm medtronic	278	RC	Outpatient			15594	10136.1		90			Percent of total billed charges		14034.6	40			Percent of total billed charges		6237.6	80			Percent of total billed charges		12475.2	90			Percent of total billed charges		14034.6	85			Percent of total billed charges		13254.9	85			Percent of total billed charges		13254.9	85			Percent of total billed charges		13254.9	100			Percent of total billed charges		15594	100			Percent of total billed charges		15594	100			Percent of total billed charges		15594	33.3			Percent of total billed charges		5192.802	33.3			Percent of total billed charges		5192.802	100			Percent of total billed charges		15594	5192.802	14034.6	
aaadvantage bif graft  bfxc2615135 26mmx15mmx135mm medtronic	278	RC	Outpatient			15594	10136.1		90			Percent of total billed charges		14034.6	40			Percent of total billed charges		6237.6	80			Percent of total billed charges		12475.2	90			Percent of total billed charges		14034.6	85			Percent of total billed charges		13254.9	85			Percent of total billed charges		13254.9	85			Percent of total billed charges		13254.9	100			Percent of total billed charges		15594	100			Percent of total billed charges		15594	100			Percent of total billed charges		15594	33.3			Percent of total billed charges		5192.802	33.3			Percent of total billed charges		5192.802	100			Percent of total billed charges		15594	5192.802	14034.6	
aaadvantage bif graft  bfxc2816135 28mmx16mmx135mm medtronic	278	RC	Outpatient			15594	10136.1		90			Percent of total billed charges		14034.6	40			Percent of total billed charges		6237.6	80			Percent of total billed charges		12475.2	90			Percent of total billed charges		14034.6	85			Percent of total billed charges		13254.9	85			Percent of total billed charges		13254.9	85			Percent of total billed charges		13254.9	100			Percent of total billed charges		15594	100			Percent of total billed charges		15594	100			Percent of total billed charges		15594	33.3			Percent of total billed charges		5192.802	33.3			Percent of total billed charges		5192.802	100			Percent of total billed charges		15594	5192.802	14034.6	
aaadvantage bif graft  bfxch2816135 28mmx16mm medtronic	278	RC	Outpatient			15594	10136.1		90			Percent of total billed charges		14034.6	40			Percent of total billed charges		6237.6	80			Percent of total billed charges		12475.2	90			Percent of total billed charges		14034.6	85			Percent of total billed charges		13254.9	85			Percent of total billed charges		13254.9	85			Percent of total billed charges		13254.9	100			Percent of total billed charges		15594	100			Percent of total billed charges		15594	100			Percent of total billed charges		15594	33.3			Percent of total billed charges		5192.802	33.3			Percent of total billed charges		5192.802	100			Percent of total billed charges		15594	5192.802	14034.6	
aneurx advantage bif graft  bfxch2414135 24mmx14mm medtronic	278	RC	Outpatient			15594	10136.1		90			Percent of total billed charges		14034.6	40			Percent of total billed charges		6237.6	80			Percent of total billed charges		12475.2	90			Percent of total billed charges		14034.6	85			Percent of total billed charges		13254.9	85			Percent of total billed charges		13254.9	85			Percent of total billed charges		13254.9	100			Percent of total billed charges		15594	100			Percent of total billed charges		15594	100			Percent of total billed charges		15594	33.3			Percent of total billed charges		5192.802	33.3			Percent of total billed charges		5192.802	100			Percent of total billed charges		15594	5192.802	14034.6	
aaadvantage bif graft  bfxc2213135 22mmx13mmx135mm medtronic	278	RC	Outpatient			15594	10136.1		90			Percent of total billed charges		14034.6	40			Percent of total billed charges		6237.6	80			Percent of total billed charges		12475.2	90			Percent of total billed charges		14034.6	85			Percent of total billed charges		13254.9	85			Percent of total billed charges		13254.9	85			Percent of total billed charges		13254.9	100			Percent of total billed charges		15594	100			Percent of total billed charges		15594	100			Percent of total billed charges		15594	33.3			Percent of total billed charges		5192.802	33.3			Percent of total billed charges		5192.802	100			Percent of total billed charges		15594	5192.802	14034.6	
aaadvantage bifur 135	278	RC	Outpatient			15594	10136.1		90			Percent of total billed charges		14034.6	40			Percent of total billed charges		6237.6	80			Percent of total billed charges		12475.2	90			Percent of total billed charges		14034.6	85			Percent of total billed charges		13254.9	85			Percent of total billed charges		13254.9	85			Percent of total billed charges		13254.9	100			Percent of total billed charges		15594	100			Percent of total billed charges		15594	100			Percent of total billed charges		15594	33.3			Percent of total billed charges		5192.802	33.3			Percent of total billed charges		5192.802	100			Percent of total billed charges		15594	5192.802	14034.6	
aneurx advantage bif graft  bfxch2213135 22mmx13mm medtronic	278	RC	Outpatient			15594	10136.1		90			Percent of total billed charges		14034.6	40			Percent of total billed charges		6237.6	80			Percent of total billed charges		12475.2	90			Percent of total billed charges		14034.6	85			Percent of total billed charges		13254.9	85			Percent of total billed charges		13254.9	85			Percent of total billed charges		13254.9	100			Percent of total billed charges		15594	100			Percent of total billed charges		15594	100			Percent of total billed charges		15594	33.3			Percent of total billed charges		5192.802	33.3			Percent of total billed charges		5192.802	100			Percent of total billed charges		15594	5192.802	14034.6	
aneurx advantage bif graft  bfxch2615135 26mmx15mm medtronic	278	RC	Outpatient			15594	10136.1		90			Percent of total billed charges		14034.6	40			Percent of total billed charges		6237.6	80			Percent of total billed charges		12475.2	90			Percent of total billed charges		14034.6	85			Percent of total billed charges		13254.9	85			Percent of total billed charges		13254.9	85			Percent of total billed charges		13254.9	100			Percent of total billed charges		15594	100			Percent of total billed charges		15594	100			Percent of total billed charges		15594	33.3			Percent of total billed charges		5192.802	33.3			Percent of total billed charges		5192.802	100			Percent of total billed charges		15594	5192.802	14034.6	
bio mlr4-hd calc comp	278	RC	Outpatient			15866	10312.9		90			Percent of total billed charges		14279.4	40			Percent of total billed charges		6346.4	80			Percent of total billed charges		12692.8	90			Percent of total billed charges		14279.4	85			Percent of total billed charges		13486.1	85			Percent of total billed charges		13486.1	85			Percent of total billed charges		13486.1	100			Percent of total billed charges		15866	100			Percent of total billed charges		15866	100			Percent of total billed charges		15866	33.3			Percent of total billed charges		5283.378	33.3			Percent of total billed charges		5283.378	100			Percent of total billed charges		15866	5283.378	14279.4	
biomet mh calcar fem  9 x 220 (r) stem 11-104957	278	RC	Outpatient			15866	10312.9		90			Percent of total billed charges		14279.4	40			Percent of total billed charges		6346.4	80			Percent of total billed charges		12692.8	90			Percent of total billed charges		14279.4	85			Percent of total billed charges		13486.1	85			Percent of total billed charges		13486.1	85			Percent of total billed charges		13486.1	100			Percent of total billed charges		15866	100			Percent of total billed charges		15866	100			Percent of total billed charges		15866	33.3			Percent of total billed charges		5283.378	33.3			Percent of total billed charges		5283.378	100			Percent of total billed charges		15866	5283.378	14279.4	
mallory head calcar femoral stem 11.0mm x 170mm 11 - 104903 biomet	278	RC	Outpatient			15866	10312.9		90			Percent of total billed charges		14279.4	40			Percent of total billed charges		6346.4	80			Percent of total billed charges		12692.8	90			Percent of total billed charges		14279.4	85			Percent of total billed charges		13486.1	85			Percent of total billed charges		13486.1	85			Percent of total billed charges		13486.1	100			Percent of total billed charges		15866	100			Percent of total billed charges		15866	100			Percent of total billed charges		15866	33.3			Percent of total billed charges		5283.378	33.3			Percent of total billed charges		5283.378	100			Percent of total billed charges		15866	5283.378	14279.4	
mallory head calcar femoral stem 9.0mm x 170mm 11 - 104902 biomet	278	RC	Outpatient			15866	10312.9		90			Percent of total billed charges		14279.4	40			Percent of total billed charges		6346.4	80			Percent of total billed charges		12692.8	90			Percent of total billed charges		14279.4	85			Percent of total billed charges		13486.1	85			Percent of total billed charges		13486.1	85			Percent of total billed charges		13486.1	100			Percent of total billed charges		15866	100			Percent of total billed charges		15866	100			Percent of total billed charges		15866	33.3			Percent of total billed charges		5283.378	33.3			Percent of total billed charges		5283.378	100			Percent of total billed charges		15866	5283.378	14279.4	
mallory head calcar femoral stem 13.0mm x 170mm 11 - 104904 biomet	278	RC	Outpatient			15866	10312.9		90			Percent of total billed charges		14279.4	40			Percent of total billed charges		6346.4	80			Percent of total billed charges		12692.8	90			Percent of total billed charges		14279.4	85			Percent of total billed charges		13486.1	85			Percent of total billed charges		13486.1	85			Percent of total billed charges		13486.1	100			Percent of total billed charges		15866	100			Percent of total billed charges		15866	100			Percent of total billed charges		15866	33.3			Percent of total billed charges		5283.378	33.3			Percent of total billed charges		5283.378	100			Percent of total billed charges		15866	5283.378	14279.4	
depuy tib insert rev tray	278	RC	Outpatient			15912	10342.8		90			Percent of total billed charges		14320.8	40			Percent of total billed charges		6364.8	80			Percent of total billed charges		12729.6	90			Percent of total billed charges		14320.8	85			Percent of total billed charges		13525.2	85			Percent of total billed charges		13525.2	85			Percent of total billed charges		13525.2	100			Percent of total billed charges		15912	100			Percent of total billed charges		15912	100			Percent of total billed charges		15912	33.3			Percent of total billed charges		5298.696	33.3			Percent of total billed charges		5298.696	100			Percent of total billed charges		15912	5298.696	14320.8	
tibial tray mbt revision sz 2 15mm 1294-35-215 depuy	278	RC	Outpatient			15912	10342.8		90			Percent of total billed charges		14320.8	40			Percent of total billed charges		6364.8	80			Percent of total billed charges		12729.6	90			Percent of total billed charges		14320.8	85			Percent of total billed charges		13525.2	85			Percent of total billed charges		13525.2	85			Percent of total billed charges		13525.2	100			Percent of total billed charges		15912	100			Percent of total billed charges		15912	100			Percent of total billed charges		15912	33.3			Percent of total billed charges		5298.696	33.3			Percent of total billed charges		5298.696	100			Percent of total billed charges		15912	5298.696	14320.8	
permacol 1.5mm 20x30	278	RC	Outpatient			16115	10474.75		90			Percent of total billed charges		14503.5	40			Percent of total billed charges		6446	80			Percent of total billed charges		12892	90			Percent of total billed charges		14503.5	85			Percent of total billed charges		13697.75	85			Percent of total billed charges		13697.75	85			Percent of total billed charges		13697.75	100			Percent of total billed charges		16115	100			Percent of total billed charges		16115	100			Percent of total billed charges		16115	33.3			Percent of total billed charges		5366.295	33.3			Percent of total billed charges		5366.295	100			Percent of total billed charges		16115	5366.295	14503.5	
permacol 1.5mm thick 20 x 30 cm 152030 lsl	278	RC	Outpatient			16115	10474.75		90			Percent of total billed charges		14503.5	40			Percent of total billed charges		6446	80			Percent of total billed charges		12892	90			Percent of total billed charges		14503.5	85			Percent of total billed charges		13697.75	85			Percent of total billed charges		13697.75	85			Percent of total billed charges		13697.75	100			Percent of total billed charges		16115	100			Percent of total billed charges		16115	100			Percent of total billed charges		16115	33.3			Percent of total billed charges		5366.295	33.3			Percent of total billed charges		5366.295	100			Percent of total billed charges		16115	5366.295	14503.5	
cath lab zephyr sr lx 5626	275	RC	Outpatient			16327	10612.55		90			Percent of total billed charges		14694.3	40			Percent of total billed charges		6530.8	80			Percent of total billed charges		13061.6	90			Percent of total billed charges		14694.3	85			Percent of total billed charges		13877.95	85			Percent of total billed charges		13877.95	85			Percent of total billed charges		13877.95	100			Percent of total billed charges		16327	100			Percent of total billed charges		16327	100			Percent of total billed charges		16327	33.3			Percent of total billed charges		5436.891	33.3			Percent of total billed charges		5436.891	100			Percent of total billed charges		16327	5436.891	14694.3	
zephyr srxl5626 generator	275	RC	Outpatient			16327	10612.55		90			Percent of total billed charges		14694.3	40			Percent of total billed charges		6530.8	80			Percent of total billed charges		13061.6	90			Percent of total billed charges		14694.3	85			Percent of total billed charges		13877.95	85			Percent of total billed charges		13877.95	85			Percent of total billed charges		13877.95	100			Percent of total billed charges		16327	100			Percent of total billed charges		16327	100			Percent of total billed charges		16327	33.3			Percent of total billed charges		5436.891	33.3			Percent of total billed charges		5436.891	100			Percent of total billed charges		16327	5436.891	14694.3	
cath lab anthem rf bi-v pm 3210	275	RC	Outpatient			16546	10754.9		90			Percent of total billed charges		14891.4	40			Percent of total billed charges		6618.4	80			Percent of total billed charges		13236.8	90			Percent of total billed charges		14891.4	85			Percent of total billed charges		14064.1	85			Percent of total billed charges		14064.1	85			Percent of total billed charges		14064.1	100			Percent of total billed charges		16546	100			Percent of total billed charges		16546	100			Percent of total billed charges		16546	33.3			Percent of total billed charges		5509.818	33.3			Percent of total billed charges		5509.818	100			Percent of total billed charges		16546	5509.818	14891.4	
cath lab anthem rf bi-v	275	RC	Outpatient			16546	10754.9		90			Percent of total billed charges		14891.4	40			Percent of total billed charges		6618.4	80			Percent of total billed charges		13236.8	90			Percent of total billed charges		14891.4	85			Percent of total billed charges		14064.1	85			Percent of total billed charges		14064.1	85			Percent of total billed charges		14064.1	100			Percent of total billed charges		16546	100			Percent of total billed charges		16546	100			Percent of total billed charges		16546	33.3			Percent of total billed charges		5509.818	33.3			Percent of total billed charges		5509.818	100			Percent of total billed charges		16546	5509.818	14891.4	
st jude anthem rf bpm3210	275	RC	Outpatient			16546	10754.9		90			Percent of total billed charges		14891.4	40			Percent of total billed charges		6618.4	80			Percent of total billed charges		13236.8	90			Percent of total billed charges		14891.4	85			Percent of total billed charges		14064.1	85			Percent of total billed charges		14064.1	85			Percent of total billed charges		14064.1	100			Percent of total billed charges		16546	100			Percent of total billed charges		16546	100			Percent of total billed charges		16546	33.3			Percent of total billed charges		5509.818	33.3			Percent of total billed charges		5509.818	100			Percent of total billed charges		16546	5509.818	14891.4	
mesh phasix 10x12	278	RC	Outpatient			16748	10886.2		90			Percent of total billed charges		15073.2	40			Percent of total billed charges		6699.2	80			Percent of total billed charges		13398.4	90			Percent of total billed charges		15073.2	85			Percent of total billed charges		14235.8	85			Percent of total billed charges		14235.8	85			Percent of total billed charges		14235.8	100			Percent of total billed charges		16748	100			Percent of total billed charges		16748	100			Percent of total billed charges		16748	33.3			Percent of total billed charges		5577.084	33.3			Percent of total billed charges		5577.084	100			Percent of total billed charges		16748	5577.084	15073.2	
phasix mesh rectangel 10 x 12 (25.4 x 30.5cm) 1190500 bard	278	RC	Outpatient			16748	10886.2		90			Percent of total billed charges		15073.2	40			Percent of total billed charges		6699.2	80			Percent of total billed charges		13398.4	90			Percent of total billed charges		15073.2	85			Percent of total billed charges		14235.8	85			Percent of total billed charges		14235.8	85			Percent of total billed charges		14235.8	100			Percent of total billed charges		16748	100			Percent of total billed charges		16748	100			Percent of total billed charges		16748	33.3			Percent of total billed charges		5577.084	33.3			Percent of total billed charges		5577.084	100			Percent of total billed charges		16748	5577.084	15073.2	
dddr w/2 leads	275	RC	Outpatient			16949	11016.85		90			Percent of total billed charges		15254.1	40			Percent of total billed charges		6779.6	80			Percent of total billed charges		13559.2	90			Percent of total billed charges		15254.1	85			Percent of total billed charges		14406.65	85			Percent of total billed charges		14406.65	85			Percent of total billed charges		14406.65	100			Percent of total billed charges		16949	100			Percent of total billed charges		16949	100			Percent of total billed charges		16949	33.3			Percent of total billed charges		5644.017	33.3			Percent of total billed charges		5644.017	100			Percent of total billed charges		16949	5644.017	15254.1	
talent graf cvb2216c126xh	278	RC	Outpatient			16997	11048.05		90			Percent of total billed charges		15297.3	40			Percent of total billed charges		6798.8	80			Percent of total billed charges		13597.6	90			Percent of total billed charges		15297.3	85			Percent of total billed charges		14447.45	85			Percent of total billed charges		14447.45	85			Percent of total billed charges		14447.45	100			Percent of total billed charges		16997	100			Percent of total billed charges		16997	100			Percent of total billed charges		16997	33.3			Percent of total billed charges		5660.001	33.3			Percent of total billed charges		5660.001	100			Percent of total billed charges		16997	5660.001	15297.3	
talent abd stent graft cvb2216c126xh medtronic	278	RC	Outpatient			16997	11048.05		90			Percent of total billed charges		15297.3	40			Percent of total billed charges		6798.8	80			Percent of total billed charges		13597.6	90			Percent of total billed charges		15297.3	85			Percent of total billed charges		14447.45	85			Percent of total billed charges		14447.45	85			Percent of total billed charges		14447.45	100			Percent of total billed charges		16997	100			Percent of total billed charges		16997	100			Percent of total billed charges		16997	33.3			Percent of total billed charges		5660.001	33.3			Percent of total billed charges		5660.001	100			Percent of total billed charges		16997	5660.001	15297.3	
talent aaa stent graft bif ar3016c140xh medtronic	278	RC	Outpatient			17499	11374.35		90			Percent of total billed charges		15749.1	40			Percent of total billed charges		6999.6	80			Percent of total billed charges		13999.2	90			Percent of total billed charges		15749.1	85			Percent of total billed charges		14874.15	85			Percent of total billed charges		14874.15	85			Percent of total billed charges		14874.15	100			Percent of total billed charges		17499	100			Percent of total billed charges		17499	100			Percent of total billed charges		17499	33.3			Percent of total billed charges		5827.167	33.3			Percent of total billed charges		5827.167	100			Percent of total billed charges		17499	5827.167	15749.1	
talent graft af3016140xh	278	RC	Outpatient			17499	11374.35		90			Percent of total billed charges		15749.1	40			Percent of total billed charges		6999.6	80			Percent of total billed charges		13999.2	90			Percent of total billed charges		15749.1	85			Percent of total billed charges		14874.15	85			Percent of total billed charges		14874.15	85			Percent of total billed charges		14874.15	100			Percent of total billed charges		17499	100			Percent of total billed charges		17499	100			Percent of total billed charges		17499	33.3			Percent of total billed charges		5827.167	33.3			Percent of total billed charges		5827.167	100			Percent of total billed charges		17499	5827.167	15749.1	
talent aaa stent graft bif af2816c140xh medtronic	278	RC	Outpatient			17549	11406.85		90			Percent of total billed charges		15794.1	40			Percent of total billed charges		7019.6	80			Percent of total billed charges		14039.2	90			Percent of total billed charges		15794.1	85			Percent of total billed charges		14916.65	85			Percent of total billed charges		14916.65	85			Percent of total billed charges		14916.65	100			Percent of total billed charges		17549	100			Percent of total billed charges		17549	100			Percent of total billed charges		17549	33.3			Percent of total billed charges		5843.817	33.3			Percent of total billed charges		5843.817	100			Percent of total billed charges		17549	5843.817	15794.1	
talent graft af2816c140xh	278	RC	Outpatient			17549	11406.85		90			Percent of total billed charges		15794.1	40			Percent of total billed charges		7019.6	80			Percent of total billed charges		14039.2	90			Percent of total billed charges		15794.1	85			Percent of total billed charges		14916.65	85			Percent of total billed charges		14916.65	85			Percent of total billed charges		14916.65	100			Percent of total billed charges		17549	100			Percent of total billed charges		17549	100			Percent of total billed charges		17549	33.3			Percent of total billed charges		5843.817	33.3			Percent of total billed charges		5843.817	100			Percent of total billed charges		17549	5843.817	15794.1	
lck recon plate 2.7mm 6 hl 7182256 s/n	278	RC	Outpatient			17560	11414		90			Percent of total billed charges		15804	40			Percent of total billed charges		7024	80			Percent of total billed charges		14048	90			Percent of total billed charges		15804	85			Percent of total billed charges		14926	85			Percent of total billed charges		14926	85			Percent of total billed charges		14926	100			Percent of total billed charges		17560	100			Percent of total billed charges		17560	100			Percent of total billed charges		17560	33.3			Percent of total billed charges		5847.48	33.3			Percent of total billed charges		5847.48	100			Percent of total billed charges		17560	5847.48	15804	
s/n 2.7 lck recon pl 6hl	278	RC	Outpatient			17560	11414		90			Percent of total billed charges		15804	40			Percent of total billed charges		7024	80			Percent of total billed charges		14048	90			Percent of total billed charges		15804	85			Percent of total billed charges		14926	85			Percent of total billed charges		14926	85			Percent of total billed charges		14926	100			Percent of total billed charges		17560	100			Percent of total billed charges		17560	100			Percent of total billed charges		17560	33.3			Percent of total billed charges		5847.48	33.3			Percent of total billed charges		5847.48	100			Percent of total billed charges		17560	5847.48	15804	
mesh xenmatrix 15 x 25	278	RC	Outpatient			18163	11805.95		90			Percent of total billed charges		16346.7	40			Percent of total billed charges		7265.2	80			Percent of total billed charges		14530.4	90			Percent of total billed charges		16346.7	85			Percent of total billed charges		15438.55	85			Percent of total billed charges		15438.55	85			Percent of total billed charges		15438.55	100			Percent of total billed charges		18163	100			Percent of total billed charges		18163	100			Percent of total billed charges		18163	33.3			Percent of total billed charges		6048.279	33.3			Percent of total billed charges		6048.279	100			Percent of total billed charges		18163	6048.279	16346.7	
xenmatrix graft rectangle 5.9 x 9.8 15 x 25cm 1161525 bard	278	RC	Outpatient			18163	11805.95		90			Percent of total billed charges		16346.7	40			Percent of total billed charges		7265.2	80			Percent of total billed charges		14530.4	90			Percent of total billed charges		16346.7	85			Percent of total billed charges		15438.55	85			Percent of total billed charges		15438.55	85			Percent of total billed charges		15438.55	100			Percent of total billed charges		18163	100			Percent of total billed charges		18163	100			Percent of total billed charges		18163	33.3			Percent of total billed charges		6048.279	33.3			Percent of total billed charges		6048.279	100			Percent of total billed charges		18163	6048.279	16346.7	
talent graft af2818c140xh	278	RC	Outpatient			18251	11863.15		90			Percent of total billed charges		16425.9	40			Percent of total billed charges		7300.4	80			Percent of total billed charges		14600.8	90			Percent of total billed charges		16425.9	85			Percent of total billed charges		15513.35	85			Percent of total billed charges		15513.35	85			Percent of total billed charges		15513.35	100			Percent of total billed charges		18251	100			Percent of total billed charges		18251	100			Percent of total billed charges		18251	33.3			Percent of total billed charges		6077.583	33.3			Percent of total billed charges		6077.583	100			Percent of total billed charges		18251	6077.583	16425.9	
talent aaa stent graft bif af2818c140xh medtronic	278	RC	Outpatient			18251	11863.15		90			Percent of total billed charges		16425.9	40			Percent of total billed charges		7300.4	80			Percent of total billed charges		14600.8	90			Percent of total billed charges		16425.9	85			Percent of total billed charges		15513.35	85			Percent of total billed charges		15513.35	85			Percent of total billed charges		15513.35	100			Percent of total billed charges		18251	100			Percent of total billed charges		18251	100			Percent of total billed charges		18251	33.3			Percent of total billed charges		6077.583	33.3			Percent of total billed charges		6077.583	100			Percent of total billed charges		18251	6077.583	16425.9	
mesh xenmatrix 20 x 20	278	RC	Outpatient			18373	11942.45		90			Percent of total billed charges		16535.7	40			Percent of total billed charges		7349.2	80			Percent of total billed charges		14698.4	90			Percent of total billed charges		16535.7	85			Percent of total billed charges		15617.05	85			Percent of total billed charges		15617.05	85			Percent of total billed charges		15617.05	100			Percent of total billed charges		18373	100			Percent of total billed charges		18373	100			Percent of total billed charges		18373	33.3			Percent of total billed charges		6118.209	33.3			Percent of total billed charges		6118.209	100			Percent of total billed charges		18373	6118.209	16535.7	
xenmatrix graft rectangle 20 x 20cm 1162020 bard	278	RC	Outpatient			18373	11942.45		90			Percent of total billed charges		16535.7	40			Percent of total billed charges		7349.2	80			Percent of total billed charges		14698.4	90			Percent of total billed charges		16535.7	85			Percent of total billed charges		15617.05	85			Percent of total billed charges		15617.05	85			Percent of total billed charges		15617.05	100			Percent of total billed charges		18373	100			Percent of total billed charges		18373	100			Percent of total billed charges		18373	33.3			Percent of total billed charges		6118.209	33.3			Percent of total billed charges		6118.209	100			Percent of total billed charges		18373	6118.209	16535.7	
syn synfix-lr	278	RC	Outpatient			19003	12351.95		90			Percent of total billed charges		17102.7	40			Percent of total billed charges		7601.2	80			Percent of total billed charges		15202.4	90			Percent of total billed charges		17102.7	85			Percent of total billed charges		16152.55	85			Percent of total billed charges		16152.55	85			Percent of total billed charges		16152.55	100			Percent of total billed charges		19003	100			Percent of total billed charges		19003	100			Percent of total billed charges		19003	33.3			Percent of total billed charges		6327.999	33.3			Percent of total billed charges		6327.999	100			Percent of total billed charges		19003	6327.999	17102.7	
synfix-lr 26mm/32mm/13.5mm 08.802.004s synthes	278	RC	Outpatient			19003	12351.95		90			Percent of total billed charges		17102.7	40			Percent of total billed charges		7601.2	80			Percent of total billed charges		15202.4	90			Percent of total billed charges		17102.7	85			Percent of total billed charges		16152.55	85			Percent of total billed charges		16152.55	85			Percent of total billed charges		16152.55	100			Percent of total billed charges		19003	100			Percent of total billed charges		19003	100			Percent of total billed charges		19003	33.3			Percent of total billed charges		6327.999	33.3			Percent of total billed charges		6327.999	100			Percent of total billed charges		19003	6327.999	17102.7	
talent aaa stent graft bif af3014c170xh medtronic	278	RC	Outpatient			19554	12710.1		90			Percent of total billed charges		17598.6	40			Percent of total billed charges		7821.6	80			Percent of total billed charges		15643.2	90			Percent of total billed charges		17598.6	85			Percent of total billed charges		16620.9	85			Percent of total billed charges		16620.9	85			Percent of total billed charges		16620.9	100			Percent of total billed charges		19554	100			Percent of total billed charges		19554	100			Percent of total billed charges		19554	33.3			Percent of total billed charges		6511.482	33.3			Percent of total billed charges		6511.482	100			Percent of total billed charges		19554	6511.482	17598.6	
talent graft af3014c170xh	278	RC	Outpatient			19554	12710.1		90			Percent of total billed charges		17598.6	40			Percent of total billed charges		7821.6	80			Percent of total billed charges		15643.2	90			Percent of total billed charges		17598.6	85			Percent of total billed charges		16620.9	85			Percent of total billed charges		16620.9	85			Percent of total billed charges		16620.9	100			Percent of total billed charges		19554	100			Percent of total billed charges		19554	100			Percent of total billed charges		19554	33.3			Percent of total billed charges		6511.482	33.3			Percent of total billed charges		6511.482	100			Percent of total billed charges		19554	6511.482	17598.6	
bs generator  d020	278	RC	Outpatient			19800	12870		90			Percent of total billed charges		17820	40			Percent of total billed charges		7920	80			Percent of total billed charges		15840	90			Percent of total billed charges		17820	85			Percent of total billed charges		16830	85			Percent of total billed charges		16830	85			Percent of total billed charges		16830	100			Percent of total billed charges		19800	100			Percent of total billed charges		19800	100			Percent of total billed charges		19800	33.3			Percent of total billed charges		6593.4	33.3			Percent of total billed charges		6593.4	100			Percent of total billed charges		19800	6593.4	17820	
7120 icd lead durata	272	RC	Outpatient			19915	12944.75		90			Percent of total billed charges		17923.5	40			Percent of total billed charges		7966	80			Percent of total billed charges		15932	90			Percent of total billed charges		17923.5	85			Percent of total billed charges		16927.75	85			Percent of total billed charges		16927.75	85			Percent of total billed charges		16927.75	100			Percent of total billed charges		19915	100			Percent of total billed charges		19915	100			Percent of total billed charges		19915	33.3			Percent of total billed charges		6631.695	33.3			Percent of total billed charges		6631.695	100			Percent of total billed charges		19915	6631.695	17923.5	
endurant bif graft	278	RC	Outpatient			20006	13003.9		90			Percent of total billed charges		18005.4	40			Percent of total billed charges		8002.4	80			Percent of total billed charges		16004.8	90			Percent of total billed charges		18005.4	85			Percent of total billed charges		17005.1	85			Percent of total billed charges		17005.1	85			Percent of total billed charges		17005.1	100			Percent of total billed charges		20006	100			Percent of total billed charges		20006	100			Percent of total billed charges		20006	33.3			Percent of total billed charges		6661.998	33.3			Percent of total billed charges		6661.998	100			Percent of total billed charges		20006	6661.998	18005.4	
endurant stent graft bifurcated 23 x 13 x 145mm enbf2313c145e medtronic	278	RC	Outpatient			20006	13003.9		90			Percent of total billed charges		18005.4	40			Percent of total billed charges		8002.4	80			Percent of total billed charges		16004.8	90			Percent of total billed charges		18005.4	85			Percent of total billed charges		17005.1	85			Percent of total billed charges		17005.1	85			Percent of total billed charges		17005.1	100			Percent of total billed charges		20006	100			Percent of total billed charges		20006	100			Percent of total billed charges		20006	33.3			Percent of total billed charges		6661.998	33.3			Percent of total billed charges		6661.998	100			Percent of total billed charges		20006	6661.998	18005.4	
endurant stent graft bifurcated 23 x 16 x 124mm enbf2316c124e medtronic	278	RC	Outpatient			20006	13003.9		90			Percent of total billed charges		18005.4	40			Percent of total billed charges		8002.4	80			Percent of total billed charges		16004.8	90			Percent of total billed charges		18005.4	85			Percent of total billed charges		17005.1	85			Percent of total billed charges		17005.1	85			Percent of total billed charges		17005.1	100			Percent of total billed charges		20006	100			Percent of total billed charges		20006	100			Percent of total billed charges		20006	33.3			Percent of total billed charges		6661.998	33.3			Percent of total billed charges		6661.998	100			Percent of total billed charges		20006	6661.998	18005.4	
endurant stent graft bifurcated 23 x 16 x 166mm enbf2316c166e medtronic	278	RC	Outpatient			20006	13003.9		90			Percent of total billed charges		18005.4	40			Percent of total billed charges		8002.4	80			Percent of total billed charges		16004.8	90			Percent of total billed charges		18005.4	85			Percent of total billed charges		17005.1	85			Percent of total billed charges		17005.1	85			Percent of total billed charges		17005.1	100			Percent of total billed charges		20006	100			Percent of total billed charges		20006	100			Percent of total billed charges		20006	33.3			Percent of total billed charges		6661.998	33.3			Percent of total billed charges		6661.998	100			Percent of total billed charges		20006	6661.998	18005.4	
endurant stent graft bifurcated 25 x 13 x 166mm enbf2513c166e medtronic	278	RC	Outpatient			20006	13003.9		90			Percent of total billed charges		18005.4	40			Percent of total billed charges		8002.4	80			Percent of total billed charges		16004.8	90			Percent of total billed charges		18005.4	85			Percent of total billed charges		17005.1	85			Percent of total billed charges		17005.1	85			Percent of total billed charges		17005.1	100			Percent of total billed charges		20006	100			Percent of total billed charges		20006	100			Percent of total billed charges		20006	33.3			Percent of total billed charges		6661.998	33.3			Percent of total billed charges		6661.998	100			Percent of total billed charges		20006	6661.998	18005.4	
endurant stent graft bifurcated 28 x 13 x 166mm enbf2813c166e medtronic	278	RC	Outpatient			20006	13003.9		90			Percent of total billed charges		18005.4	40			Percent of total billed charges		8002.4	80			Percent of total billed charges		16004.8	90			Percent of total billed charges		18005.4	85			Percent of total billed charges		17005.1	85			Percent of total billed charges		17005.1	85			Percent of total billed charges		17005.1	100			Percent of total billed charges		20006	100			Percent of total billed charges		20006	100			Percent of total billed charges		20006	33.3			Percent of total billed charges		6661.998	33.3			Percent of total billed charges		6661.998	100			Percent of total billed charges		20006	6661.998	18005.4	
endurant stent graft bifurcated 28 x 16 x 145mm enbf2816c145e medtronic	278	RC	Outpatient			20006	13003.9		90			Percent of total billed charges		18005.4	40			Percent of total billed charges		8002.4	80			Percent of total billed charges		16004.8	90			Percent of total billed charges		18005.4	85			Percent of total billed charges		17005.1	85			Percent of total billed charges		17005.1	85			Percent of total billed charges		17005.1	100			Percent of total billed charges		20006	100			Percent of total billed charges		20006	100			Percent of total billed charges		20006	33.3			Percent of total billed charges		6661.998	33.3			Percent of total billed charges		6661.998	100			Percent of total billed charges		20006	6661.998	18005.4	
endurant stent graft bifurcated 28 x 16 x 166mm enbf2816c14e medtronic	278	RC	Outpatient			20006	13003.9		90			Percent of total billed charges		18005.4	40			Percent of total billed charges		8002.4	80			Percent of total billed charges		16004.8	90			Percent of total billed charges		18005.4	85			Percent of total billed charges		17005.1	85			Percent of total billed charges		17005.1	85			Percent of total billed charges		17005.1	100			Percent of total billed charges		20006	100			Percent of total billed charges		20006	100			Percent of total billed charges		20006	33.3			Percent of total billed charges		6661.998	33.3			Percent of total billed charges		6661.998	100			Percent of total billed charges		20006	6661.998	18005.4	
endurant stent graft bifurcated 28 x 20 x 166mm enbf2820c166e medtronic	278	RC	Outpatient			20006	13003.9		90			Percent of total billed charges		18005.4	40			Percent of total billed charges		8002.4	80			Percent of total billed charges		16004.8	90			Percent of total billed charges		18005.4	85			Percent of total billed charges		17005.1	85			Percent of total billed charges		17005.1	85			Percent of total billed charges		17005.1	100			Percent of total billed charges		20006	100			Percent of total billed charges		20006	100			Percent of total billed charges		20006	33.3			Percent of total billed charges		6661.998	33.3			Percent of total billed charges		6661.998	100			Percent of total billed charges		20006	6661.998	18005.4	
endurant stent graft bifurcated 36 x 16 x 145mm enbf3616c145e medtronic	278	RC	Outpatient			20006	13003.9		90			Percent of total billed charges		18005.4	40			Percent of total billed charges		8002.4	80			Percent of total billed charges		16004.8	90			Percent of total billed charges		18005.4	85			Percent of total billed charges		17005.1	85			Percent of total billed charges		17005.1	85			Percent of total billed charges		17005.1	100			Percent of total billed charges		20006	100			Percent of total billed charges		20006	100			Percent of total billed charges		20006	33.3			Percent of total billed charges		6661.998	33.3			Percent of total billed charges		6661.998	100			Percent of total billed charges		20006	6661.998	18005.4	
endurant stent graft bifurcated 36 x 16 x 166mm enbf3616c166e medtronic	278	RC	Outpatient			20006	13003.9		90			Percent of total billed charges		18005.4	40			Percent of total billed charges		8002.4	80			Percent of total billed charges		16004.8	90			Percent of total billed charges		18005.4	85			Percent of total billed charges		17005.1	85			Percent of total billed charges		17005.1	85			Percent of total billed charges		17005.1	100			Percent of total billed charges		20006	100			Percent of total billed charges		20006	100			Percent of total billed charges		20006	33.3			Percent of total billed charges		6661.998	33.3			Percent of total billed charges		6661.998	100			Percent of total billed charges		20006	6661.998	18005.4	
endurant stent graft bifurcated 36 x 20 x 145mm enbf3620c145e medtronic	278	RC	Outpatient			20006	13003.9		90			Percent of total billed charges		18005.4	40			Percent of total billed charges		8002.4	80			Percent of total billed charges		16004.8	90			Percent of total billed charges		18005.4	85			Percent of total billed charges		17005.1	85			Percent of total billed charges		17005.1	85			Percent of total billed charges		17005.1	100			Percent of total billed charges		20006	100			Percent of total billed charges		20006	100			Percent of total billed charges		20006	33.3			Percent of total billed charges		6661.998	33.3			Percent of total billed charges		6661.998	100			Percent of total billed charges		20006	6661.998	18005.4	
endurant stent graft bifurcated 36 x 20 x 166mm enbf3620c166e medtronic	278	RC	Outpatient			20006	13003.9		90			Percent of total billed charges		18005.4	40			Percent of total billed charges		8002.4	80			Percent of total billed charges		16004.8	90			Percent of total billed charges		18005.4	85			Percent of total billed charges		17005.1	85			Percent of total billed charges		17005.1	85			Percent of total billed charges		17005.1	100			Percent of total billed charges		20006	100			Percent of total billed charges		20006	100			Percent of total billed charges		20006	33.3			Percent of total billed charges		6661.998	33.3			Percent of total billed charges		6661.998	100			Percent of total billed charges		20006	6661.998	18005.4	
endurant stent graft bifurcated 23 x 13 x 124mm enbf2313c124e medtronic	278	RC	Outpatient			20006	13003.9		90			Percent of total billed charges		18005.4	40			Percent of total billed charges		8002.4	80			Percent of total billed charges		16004.8	90			Percent of total billed charges		18005.4	85			Percent of total billed charges		17005.1	85			Percent of total billed charges		17005.1	85			Percent of total billed charges		17005.1	100			Percent of total billed charges		20006	100			Percent of total billed charges		20006	100			Percent of total billed charges		20006	33.3			Percent of total billed charges		6661.998	33.3			Percent of total billed charges		6661.998	100			Percent of total billed charges		20006	6661.998	18005.4	
endurant stent graft bifurcated 23 x 13 x 166mm enbf2313c166e medtronic	278	RC	Outpatient			20006	13003.9		90			Percent of total billed charges		18005.4	40			Percent of total billed charges		8002.4	80			Percent of total billed charges		16004.8	90			Percent of total billed charges		18005.4	85			Percent of total billed charges		17005.1	85			Percent of total billed charges		17005.1	85			Percent of total billed charges		17005.1	100			Percent of total billed charges		20006	100			Percent of total billed charges		20006	100			Percent of total billed charges		20006	33.3			Percent of total billed charges		6661.998	33.3			Percent of total billed charges		6661.998	100			Percent of total billed charges		20006	6661.998	18005.4	
endurant stent graft bifurcated 23 x 16 x 145mm enbf23136145e medtronic	278	RC	Outpatient			20006	13003.9		90			Percent of total billed charges		18005.4	40			Percent of total billed charges		8002.4	80			Percent of total billed charges		16004.8	90			Percent of total billed charges		18005.4	85			Percent of total billed charges		17005.1	85			Percent of total billed charges		17005.1	85			Percent of total billed charges		17005.1	100			Percent of total billed charges		20006	100			Percent of total billed charges		20006	100			Percent of total billed charges		20006	33.3			Percent of total billed charges		6661.998	33.3			Percent of total billed charges		6661.998	100			Percent of total billed charges		20006	6661.998	18005.4	
endurant stent graft bifurcated 25 x 13 x 124mm enbf2513c124e medtronic	278	RC	Outpatient			20006	13003.9		90			Percent of total billed charges		18005.4	40			Percent of total billed charges		8002.4	80			Percent of total billed charges		16004.8	90			Percent of total billed charges		18005.4	85			Percent of total billed charges		17005.1	85			Percent of total billed charges		17005.1	85			Percent of total billed charges		17005.1	100			Percent of total billed charges		20006	100			Percent of total billed charges		20006	100			Percent of total billed charges		20006	33.3			Percent of total billed charges		6661.998	33.3			Percent of total billed charges		6661.998	100			Percent of total billed charges		20006	6661.998	18005.4	
endurant stent graft bifurcated 25 x 13 x 145mm enbf2513c145e medtronic	278	RC	Outpatient			20006	13003.9		90			Percent of total billed charges		18005.4	40			Percent of total billed charges		8002.4	80			Percent of total billed charges		16004.8	90			Percent of total billed charges		18005.4	85			Percent of total billed charges		17005.1	85			Percent of total billed charges		17005.1	85			Percent of total billed charges		17005.1	100			Percent of total billed charges		20006	100			Percent of total billed charges		20006	100			Percent of total billed charges		20006	33.3			Percent of total billed charges		6661.998	33.3			Percent of total billed charges		6661.998	100			Percent of total billed charges		20006	6661.998	18005.4	
endurant stent graft bifurcated 25 x 16 x 145mm enbf2516c145e medtronic	278	RC	Outpatient			20006	13003.9		90			Percent of total billed charges		18005.4	40			Percent of total billed charges		8002.4	80			Percent of total billed charges		16004.8	90			Percent of total billed charges		18005.4	85			Percent of total billed charges		17005.1	85			Percent of total billed charges		17005.1	85			Percent of total billed charges		17005.1	100			Percent of total billed charges		20006	100			Percent of total billed charges		20006	100			Percent of total billed charges		20006	33.3			Percent of total billed charges		6661.998	33.3			Percent of total billed charges		6661.998	100			Percent of total billed charges		20006	6661.998	18005.4	
endurant stent graft bifurcated 25 x 16 x 166mm enbf2516c166e medtronic	278	RC	Outpatient			20006	13003.9		90			Percent of total billed charges		18005.4	40			Percent of total billed charges		8002.4	80			Percent of total billed charges		16004.8	90			Percent of total billed charges		18005.4	85			Percent of total billed charges		17005.1	85			Percent of total billed charges		17005.1	85			Percent of total billed charges		17005.1	100			Percent of total billed charges		20006	100			Percent of total billed charges		20006	100			Percent of total billed charges		20006	33.3			Percent of total billed charges		6661.998	33.3			Percent of total billed charges		6661.998	100			Percent of total billed charges		20006	6661.998	18005.4	
endurant stent graft bifurcated 28 x 13 x 124mm enbf2813c124e medtronic	278	RC	Outpatient			20006	13003.9		90			Percent of total billed charges		18005.4	40			Percent of total billed charges		8002.4	80			Percent of total billed charges		16004.8	90			Percent of total billed charges		18005.4	85			Percent of total billed charges		17005.1	85			Percent of total billed charges		17005.1	85			Percent of total billed charges		17005.1	100			Percent of total billed charges		20006	100			Percent of total billed charges		20006	100			Percent of total billed charges		20006	33.3			Percent of total billed charges		6661.998	33.3			Percent of total billed charges		6661.998	100			Percent of total billed charges		20006	6661.998	18005.4	
endurant stent graft bifurcated 28 x 13 x 145mm enbf2813c145e medtronic	278	RC	Outpatient			20006	13003.9		90			Percent of total billed charges		18005.4	40			Percent of total billed charges		8002.4	80			Percent of total billed charges		16004.8	90			Percent of total billed charges		18005.4	85			Percent of total billed charges		17005.1	85			Percent of total billed charges		17005.1	85			Percent of total billed charges		17005.1	100			Percent of total billed charges		20006	100			Percent of total billed charges		20006	100			Percent of total billed charges		20006	33.3			Percent of total billed charges		6661.998	33.3			Percent of total billed charges		6661.998	100			Percent of total billed charges		20006	6661.998	18005.4	
endurant stent graft bifurcated 28 x 16 x 124mm enbf2816c124e medtronic	278	RC	Outpatient			20006	13003.9		90			Percent of total billed charges		18005.4	40			Percent of total billed charges		8002.4	80			Percent of total billed charges		16004.8	90			Percent of total billed charges		18005.4	85			Percent of total billed charges		17005.1	85			Percent of total billed charges		17005.1	85			Percent of total billed charges		17005.1	100			Percent of total billed charges		20006	100			Percent of total billed charges		20006	100			Percent of total billed charges		20006	33.3			Percent of total billed charges		6661.998	33.3			Percent of total billed charges		6661.998	100			Percent of total billed charges		20006	6661.998	18005.4	
endurant stent graft bifurcated 28 x 20 x 145mm enbf2820c145e medtronic	278	RC	Outpatient			20006	13003.9		90			Percent of total billed charges		18005.4	40			Percent of total billed charges		8002.4	80			Percent of total billed charges		16004.8	90			Percent of total billed charges		18005.4	85			Percent of total billed charges		17005.1	85			Percent of total billed charges		17005.1	85			Percent of total billed charges		17005.1	100			Percent of total billed charges		20006	100			Percent of total billed charges		20006	100			Percent of total billed charges		20006	33.3			Percent of total billed charges		6661.998	33.3			Percent of total billed charges		6661.998	100			Percent of total billed charges		20006	6661.998	18005.4	
endurant stent graft bifurcated 32 x 16 x 124mm enbf3216c124e medtronic	278	RC	Outpatient			20006	13003.9		90			Percent of total billed charges		18005.4	40			Percent of total billed charges		8002.4	80			Percent of total billed charges		16004.8	90			Percent of total billed charges		18005.4	85			Percent of total billed charges		17005.1	85			Percent of total billed charges		17005.1	85			Percent of total billed charges		17005.1	100			Percent of total billed charges		20006	100			Percent of total billed charges		20006	100			Percent of total billed charges		20006	33.3			Percent of total billed charges		6661.998	33.3			Percent of total billed charges		6661.998	100			Percent of total billed charges		20006	6661.998	18005.4	
endurant stent graft bifurcated 32 x 16 x 145mm enbf3216c145e medtronic	278	RC	Outpatient			20006	13003.9		90			Percent of total billed charges		18005.4	40			Percent of total billed charges		8002.4	80			Percent of total billed charges		16004.8	90			Percent of total billed charges		18005.4	85			Percent of total billed charges		17005.1	85			Percent of total billed charges		17005.1	85			Percent of total billed charges		17005.1	100			Percent of total billed charges		20006	100			Percent of total billed charges		20006	100			Percent of total billed charges		20006	33.3			Percent of total billed charges		6661.998	33.3			Percent of total billed charges		6661.998	100			Percent of total billed charges		20006	6661.998	18005.4	
endurant stent graft bifurcated 32 x 16 x 166mm enbf3216c166e medtronic	278	RC	Outpatient			20006	13003.9		90			Percent of total billed charges		18005.4	40			Percent of total billed charges		8002.4	80			Percent of total billed charges		16004.8	90			Percent of total billed charges		18005.4	85			Percent of total billed charges		17005.1	85			Percent of total billed charges		17005.1	85			Percent of total billed charges		17005.1	100			Percent of total billed charges		20006	100			Percent of total billed charges		20006	100			Percent of total billed charges		20006	33.3			Percent of total billed charges		6661.998	33.3			Percent of total billed charges		6661.998	100			Percent of total billed charges		20006	6661.998	18005.4	
endurant stent graft bifurcated 32 x 20 x 124mm enbf3220c124e medtronic	278	RC	Outpatient			20006	13003.9		90			Percent of total billed charges		18005.4	40			Percent of total billed charges		8002.4	80			Percent of total billed charges		16004.8	90			Percent of total billed charges		18005.4	85			Percent of total billed charges		17005.1	85			Percent of total billed charges		17005.1	85			Percent of total billed charges		17005.1	100			Percent of total billed charges		20006	100			Percent of total billed charges		20006	100			Percent of total billed charges		20006	33.3			Percent of total billed charges		6661.998	33.3			Percent of total billed charges		6661.998	100			Percent of total billed charges		20006	6661.998	18005.4	
endurant stent graft bifurcated 32 x 20 x 145mm enbf3220c145e medtronic	278	RC	Outpatient			20006	13003.9		90			Percent of total billed charges		18005.4	40			Percent of total billed charges		8002.4	80			Percent of total billed charges		16004.8	90			Percent of total billed charges		18005.4	85			Percent of total billed charges		17005.1	85			Percent of total billed charges		17005.1	85			Percent of total billed charges		17005.1	100			Percent of total billed charges		20006	100			Percent of total billed charges		20006	100			Percent of total billed charges		20006	33.3			Percent of total billed charges		6661.998	33.3			Percent of total billed charges		6661.998	100			Percent of total billed charges		20006	6661.998	18005.4	
endurant stent graft bifurcated 32 x 20 x 166mm enbf3220c166e medtronic	278	RC	Outpatient			20006	13003.9		90			Percent of total billed charges		18005.4	40			Percent of total billed charges		8002.4	80			Percent of total billed charges		16004.8	90			Percent of total billed charges		18005.4	85			Percent of total billed charges		17005.1	85			Percent of total billed charges		17005.1	85			Percent of total billed charges		17005.1	100			Percent of total billed charges		20006	100			Percent of total billed charges		20006	100			Percent of total billed charges		20006	33.3			Percent of total billed charges		6661.998	33.3			Percent of total billed charges		6661.998	100			Percent of total billed charges		20006	6661.998	18005.4	
cathlab bio acticor gen 429525	278	RC	Outpatient			20250	13162.5		90			Percent of total billed charges		18225	40			Percent of total billed charges		8100	80			Percent of total billed charges		16200	90			Percent of total billed charges		18225	85			Percent of total billed charges		17212.5	85			Percent of total billed charges		17212.5	85			Percent of total billed charges		17212.5	100			Percent of total billed charges		20250	100			Percent of total billed charges		20250	100			Percent of total billed charges		20250	33.3			Percent of total billed charges		6743.25	33.3			Percent of total billed charges		6743.25	100			Percent of total billed charges		20250	6743.25	18225	
st jude cd1411-36q	275	RC	Outpatient			20378	13245.7		90			Percent of total billed charges		18340.2	40			Percent of total billed charges		8151.2	80			Percent of total billed charges		16302.4	90			Percent of total billed charges		18340.2	85			Percent of total billed charges		17321.3	85			Percent of total billed charges		17321.3	85			Percent of total billed charges		17321.3	100			Percent of total billed charges		20378	100			Percent of total billed charges		20378	100			Percent of total billed charges		20378	33.3			Percent of total billed charges		6785.874	33.3			Percent of total billed charges		6785.874	100			Percent of total billed charges		20378	6785.874	18340.2	
mt dvab1d1 icd	278	RC	Outpatient			20939	13610.35		90			Percent of total billed charges		18845.1	40			Percent of total billed charges		8375.6	80			Percent of total billed charges		16751.2	90			Percent of total billed charges		18845.1	85			Percent of total billed charges		17798.15	85			Percent of total billed charges		17798.15	85			Percent of total billed charges		17798.15	100			Percent of total billed charges		20939	100			Percent of total billed charges		20939	100			Percent of total billed charges		20939	33.3			Percent of total billed charges		6972.687	33.3			Percent of total billed charges		6972.687	100			Percent of total billed charges		20939	6972.687	18845.1	
mt dvbb1d1 icd gen	270	RC	Outpatient			20939	13610.35		90			Percent of total billed charges		18845.1	40			Percent of total billed charges		8375.6	80			Percent of total billed charges		16751.2	90			Percent of total billed charges		18845.1	85			Percent of total billed charges		17798.15	85			Percent of total billed charges		17798.15	85			Percent of total billed charges		17798.15	100			Percent of total billed charges		20939	100			Percent of total billed charges		20939	100			Percent of total billed charges		20939	33.3			Percent of total billed charges		6972.687	33.3			Percent of total billed charges		6972.687	100			Percent of total billed charges		20939	6972.687	18845.1	
ancure  24 x 180cm 13436 endovascular sol	278	RC	Outpatient			20958	13622.7		90			Percent of total billed charges		18862.2	40			Percent of total billed charges		8383.2	80			Percent of total billed charges		16766.4	90			Percent of total billed charges		18862.2	85			Percent of total billed charges		17814.3	85			Percent of total billed charges		17814.3	85			Percent of total billed charges		17814.3	100			Percent of total billed charges		20958	100			Percent of total billed charges		20958	100			Percent of total billed charges		20958	33.3			Percent of total billed charges		6979.014	33.3			Percent of total billed charges		6979.014	100			Percent of total billed charges		20958	6979.014	18862.2	
ancure bif endograft system 26 x 18cm 13444 endovascular sol	278	RC	Outpatient			20958	13622.7		90			Percent of total billed charges		18862.2	40			Percent of total billed charges		8383.2	80			Percent of total billed charges		16766.4	90			Percent of total billed charges		18862.2	85			Percent of total billed charges		17814.3	85			Percent of total billed charges		17814.3	85			Percent of total billed charges		17814.3	100			Percent of total billed charges		20958	100			Percent of total billed charges		20958	100			Percent of total billed charges		20958	33.3			Percent of total billed charges		6979.014	33.3			Percent of total billed charges		6979.014	100			Percent of total billed charges		20958	6979.014	18862.2	
ancure bif endograft system 26 x 17cm 13443 endovascular sol	278	RC	Outpatient			20958	13622.7		90			Percent of total billed charges		18862.2	40			Percent of total billed charges		8383.2	80			Percent of total billed charges		16766.4	90			Percent of total billed charges		18862.2	85			Percent of total billed charges		17814.3	85			Percent of total billed charges		17814.3	85			Percent of total billed charges		17814.3	100			Percent of total billed charges		20958	100			Percent of total billed charges		20958	100			Percent of total billed charges		20958	33.3			Percent of total billed charges		6979.014	33.3			Percent of total billed charges		6979.014	100			Percent of total billed charges		20958	6979.014	18862.2	
ancure bifurcated	278	RC	Outpatient			20958	13622.7		90			Percent of total billed charges		18862.2	40			Percent of total billed charges		8383.2	80			Percent of total billed charges		16766.4	90			Percent of total billed charges		18862.2	85			Percent of total billed charges		17814.3	85			Percent of total billed charges		17814.3	85			Percent of total billed charges		17814.3	100			Percent of total billed charges		20958	100			Percent of total billed charges		20958	100			Percent of total billed charges		20958	33.3			Percent of total billed charges		6979.014	33.3			Percent of total billed charges		6979.014	100			Percent of total billed charges		20958	6979.014	18862.2	
bif graft 24 x 16cm  13434 endovascular sol	278	RC	Outpatient			20958	13622.7		90			Percent of total billed charges		18862.2	40			Percent of total billed charges		8383.2	80			Percent of total billed charges		16766.4	90			Percent of total billed charges		18862.2	85			Percent of total billed charges		17814.3	85			Percent of total billed charges		17814.3	85			Percent of total billed charges		17814.3	100			Percent of total billed charges		20958	100			Percent of total billed charges		20958	100			Percent of total billed charges		20958	33.3			Percent of total billed charges		6979.014	33.3			Percent of total billed charges		6979.014	100			Percent of total billed charges		20958	6979.014	18862.2	
bif graft 24 x 17cm 13435 endovascular sol	278	RC	Outpatient			20958	13622.7		90			Percent of total billed charges		18862.2	40			Percent of total billed charges		8383.2	80			Percent of total billed charges		16766.4	90			Percent of total billed charges		18862.2	85			Percent of total billed charges		17814.3	85			Percent of total billed charges		17814.3	85			Percent of total billed charges		17814.3	100			Percent of total billed charges		20958	100			Percent of total billed charges		20958	100			Percent of total billed charges		20958	33.3			Percent of total billed charges		6979.014	33.3			Percent of total billed charges		6979.014	100			Percent of total billed charges		20958	6979.014	18862.2	
cathlab st jude cd2357 40q  gen	278	RC	Outpatient			21285	13835.25		90			Percent of total billed charges		19156.5	40			Percent of total billed charges		8514	80			Percent of total billed charges		17028	90			Percent of total billed charges		19156.5	85			Percent of total billed charges		18092.25	85			Percent of total billed charges		18092.25	85			Percent of total billed charges		18092.25	100			Percent of total billed charges		21285	100			Percent of total billed charges		21285	100			Percent of total billed charges		21285	33.3			Percent of total billed charges		7087.905	33.3			Percent of total billed charges		7087.905	100			Percent of total billed charges		21285	7087.905	19156.5	
bio 393041 icd gen	278	RC	Outpatient			21610	14046.5		90			Percent of total billed charges		19449	40			Percent of total billed charges		8644	80			Percent of total billed charges		17288	90			Percent of total billed charges		19449	85			Percent of total billed charges		18368.5	85			Percent of total billed charges		18368.5	85			Percent of total billed charges		18368.5	100			Percent of total billed charges		21610	100			Percent of total billed charges		21610	100			Percent of total billed charges		21610	33.3			Percent of total billed charges		7196.13	33.3			Percent of total billed charges		7196.13	100			Percent of total billed charges		21610	7196.13	19449	
mesh xenmatrix 20 x 25	278	RC	Outpatient			21966	14277.9		90			Percent of total billed charges		19769.4	40			Percent of total billed charges		8786.4	80			Percent of total billed charges		17572.8	90			Percent of total billed charges		19769.4	85			Percent of total billed charges		18671.1	85			Percent of total billed charges		18671.1	85			Percent of total billed charges		18671.1	100			Percent of total billed charges		21966	100			Percent of total billed charges		21966	100			Percent of total billed charges		21966	33.3			Percent of total billed charges		7314.678	33.3			Percent of total billed charges		7314.678	100			Percent of total billed charges		21966	7314.678	19769.4	
xenmatrix graft rectangle 7.9 x 9.8 20 x 25cm 1162025 bard	278	RC	Outpatient			21966	14277.9		90			Percent of total billed charges		19769.4	40			Percent of total billed charges		8786.4	80			Percent of total billed charges		17572.8	90			Percent of total billed charges		19769.4	85			Percent of total billed charges		18671.1	85			Percent of total billed charges		18671.1	85			Percent of total billed charges		18671.1	100			Percent of total billed charges		21966	100			Percent of total billed charges		21966	100			Percent of total billed charges		21966	33.3			Percent of total billed charges		7314.678	33.3			Percent of total billed charges		7314.678	100			Percent of total billed charges		21966	7314.678	19769.4	
bs d012	278	RC	Outpatient			22275	14478.75		90			Percent of total billed charges		20047.5	40			Percent of total billed charges		8910	80			Percent of total billed charges		17820	90			Percent of total billed charges		20047.5	85			Percent of total billed charges		18933.75	85			Percent of total billed charges		18933.75	85			Percent of total billed charges		18933.75	100			Percent of total billed charges		22275	100			Percent of total billed charges		22275	100			Percent of total billed charges		22275	33.3			Percent of total billed charges		7417.575	33.3			Percent of total billed charges		7417.575	100			Percent of total billed charges		22275	7417.575	20047.5	
bs d412 percivia vr icd gen	278	RC	Outpatient			22500	14625		90			Percent of total billed charges		20250	40			Percent of total billed charges		9000	80			Percent of total billed charges		18000	90			Percent of total billed charges		20250	85			Percent of total billed charges		19125	85			Percent of total billed charges		19125	85			Percent of total billed charges		19125	100			Percent of total billed charges		22500	100			Percent of total billed charges		22500	100			Percent of total billed charges		22500	33.3			Percent of total billed charges		7492.5	33.3			Percent of total billed charges		7492.5	100			Percent of total billed charges		22500	7492.5	20250	
bs 0292	275	RC	Outpatient			22523	14639.95		90			Percent of total billed charges		20270.7	40			Percent of total billed charges		9009.2	80			Percent of total billed charges		18018.4	90			Percent of total billed charges		20270.7	85			Percent of total billed charges		19144.55	85			Percent of total billed charges		19144.55	85			Percent of total billed charges		19144.55	100			Percent of total billed charges		22523	100			Percent of total billed charges		22523	100			Percent of total billed charges		22523	33.3			Percent of total billed charges		7500.159	33.3			Percent of total billed charges		7500.159	100			Percent of total billed charges		22523	7500.159	20270.7	
bs e140 energan icd generator	278	RC	Outpatient			22523	14639.95		90			Percent of total billed charges		20270.7	40			Percent of total billed charges		9009.2	80			Percent of total billed charges		18018.4	90			Percent of total billed charges		20270.7	85			Percent of total billed charges		19144.55	85			Percent of total billed charges		19144.55	85			Percent of total billed charges		19144.55	100			Percent of total billed charges		22523	100			Percent of total billed charges		22523	100			Percent of total billed charges		22523	33.3			Percent of total billed charges		7500.159	33.3			Percent of total billed charges		7500.159	100			Percent of total billed charges		22523	7500.159	20270.7	
boston sci entergen icd g	275	RC	Outpatient			22523	14639.95		90			Percent of total billed charges		20270.7	40			Percent of total billed charges		9009.2	80			Percent of total billed charges		18018.4	90			Percent of total billed charges		20270.7	85			Percent of total billed charges		19144.55	85			Percent of total billed charges		19144.55	85			Percent of total billed charges		19144.55	100			Percent of total billed charges		22523	100			Percent of total billed charges		22523	100			Percent of total billed charges		22523	33.3			Percent of total billed charges		7500.159	33.3			Percent of total billed charges		7500.159	100			Percent of total billed charges		22523	7500.159	20270.7	
bs 0276 endotak reliance icd lead	275	RC	Outpatient			22523	14639.95		90			Percent of total billed charges		20270.7	40			Percent of total billed charges		9009.2	80			Percent of total billed charges		18018.4	90			Percent of total billed charges		20270.7	85			Percent of total billed charges		19144.55	85			Percent of total billed charges		19144.55	85			Percent of total billed charges		19144.55	100			Percent of total billed charges		22523	100			Percent of total billed charges		22523	100			Percent of total billed charges		22523	33.3			Percent of total billed charges		7500.159	33.3			Percent of total billed charges		7500.159	100			Percent of total billed charges		22523	7500.159	20270.7	
bio 393037 icd generator	270	RC	Outpatient			22605	14693.25		90			Percent of total billed charges		20344.5	40			Percent of total billed charges		9042	80			Percent of total billed charges		18084	90			Percent of total billed charges		20344.5	85			Percent of total billed charges		19214.25	85			Percent of total billed charges		19214.25	85			Percent of total billed charges		19214.25	100			Percent of total billed charges		22605	100			Percent of total billed charges		22605	100			Percent of total billed charges		22605	33.3			Percent of total billed charges		7527.465	33.3			Percent of total billed charges		7527.465	100			Percent of total billed charges		22605	7527.465	20344.5	
st jude ellipse cd2411-36q	278	RC	Outpatient			22729	14773.85		90			Percent of total billed charges		20456.1	40			Percent of total billed charges		9091.6	80			Percent of total billed charges		18183.2	90			Percent of total billed charges		20456.1	85			Percent of total billed charges		19319.65	85			Percent of total billed charges		19319.65	85			Percent of total billed charges		19319.65	100			Percent of total billed charges		22729	100			Percent of total billed charges		22729	100			Percent of total billed charges		22729	33.3			Percent of total billed charges		7568.757	33.3			Percent of total billed charges		7568.757	100			Percent of total billed charges		22729	7568.757	20456.1	
mt dvfb1d4 generator mri	270	RC	Outpatient			22754	14790.1		90			Percent of total billed charges		20478.6	40			Percent of total billed charges		9101.6	80			Percent of total billed charges		18203.2	90			Percent of total billed charges		20478.6	85			Percent of total billed charges		19340.9	85			Percent of total billed charges		19340.9	85			Percent of total billed charges		19340.9	100			Percent of total billed charges		22754	100			Percent of total billed charges		22754	100			Percent of total billed charges		22754	33.3			Percent of total billed charges		7577.082	33.3			Percent of total billed charges		7577.082	100			Percent of total billed charges		22754	7577.082	20478.6	
mt dvmb1d4  mri generator	278	RC	Outpatient			22754	14790.1		90			Percent of total billed charges		20478.6	40			Percent of total billed charges		9101.6	80			Percent of total billed charges		18203.2	90			Percent of total billed charges		20478.6	85			Percent of total billed charges		19340.9	85			Percent of total billed charges		19340.9	85			Percent of total billed charges		19340.9	100			Percent of total billed charges		22754	100			Percent of total billed charges		22754	100			Percent of total billed charges		22754	33.3			Percent of total billed charges		7577.082	33.3			Percent of total billed charges		7577.082	100			Percent of total billed charges		22754	7577.082	20478.6	
cath lab generator itrevia 7dr-tdf-1 biotronik 392412	278	RC	Outpatient			22770	14800.5		90			Percent of total billed charges		20493	40			Percent of total billed charges		9108	80			Percent of total billed charges		18216	90			Percent of total billed charges		20493	85			Percent of total billed charges		19354.5	85			Percent of total billed charges		19354.5	85			Percent of total billed charges		19354.5	100			Percent of total billed charges		22770	100			Percent of total billed charges		22770	100			Percent of total billed charges		22770	33.3			Percent of total billed charges		7582.41	33.3			Percent of total billed charges		7582.41	100			Percent of total billed charges		22770	7582.41	20493	
cath lab bs d232 vigilant single icd gen	278	RC	Outpatient			23250	15112.5		90			Percent of total billed charges		20925	40			Percent of total billed charges		9300	80			Percent of total billed charges		18600	90			Percent of total billed charges		20925	85			Percent of total billed charges		19762.5	85			Percent of total billed charges		19762.5	85			Percent of total billed charges		19762.5	100			Percent of total billed charges		23250	100			Percent of total billed charges		23250	100			Percent of total billed charges		23250	33.3			Percent of total billed charges		7742.25	33.3			Percent of total billed charges		7742.25	100			Percent of total billed charges		23250	7742.25	20925	
eon min ipg 3788 st. jude med	278	RC	Outpatient			23389	15202.85		90			Percent of total billed charges		21050.1	40			Percent of total billed charges		9355.6	80			Percent of total billed charges		18711.2	90			Percent of total billed charges		21050.1	85			Percent of total billed charges		19880.65	85			Percent of total billed charges		19880.65	85			Percent of total billed charges		19880.65	100			Percent of total billed charges		23389	100			Percent of total billed charges		23389	100			Percent of total billed charges		23389	33.3			Percent of total billed charges		7788.537	33.3			Percent of total billed charges		7788.537	100			Percent of total billed charges		23389	7788.537	21050.1	
eon mini ipg	278	RC	Outpatient			23389	15202.85		90			Percent of total billed charges		21050.1	40			Percent of total billed charges		9355.6	80			Percent of total billed charges		18711.2	90			Percent of total billed charges		21050.1	85			Percent of total billed charges		19880.65	85			Percent of total billed charges		19880.65	85			Percent of total billed charges		19880.65	100			Percent of total billed charges		23389	100			Percent of total billed charges		23389	100			Percent of total billed charges		23389	33.3			Percent of total billed charges		7788.537	33.3			Percent of total billed charges		7788.537	100			Percent of total billed charges		23389	7788.537	21050.1	
bio 393032 iperia gen	278	RC	Outpatient			23843	15497.95		90			Percent of total billed charges		21458.7	40			Percent of total billed charges		9537.2	80			Percent of total billed charges		19074.4	90			Percent of total billed charges		21458.7	85			Percent of total billed charges		20266.55	85			Percent of total billed charges		20266.55	85			Percent of total billed charges		20266.55	100			Percent of total billed charges		23843	100			Percent of total billed charges		23843	100			Percent of total billed charges		23843	33.3			Percent of total billed charges		7939.719	33.3			Percent of total billed charges		7939.719	100			Percent of total billed charges		23843	7939.719	21458.7	
cath lab cz tro1mt bi-v syscra crt-p	275	RC	Outpatient			24067	15643.55		90			Percent of total billed charges		21660.3	40			Percent of total billed charges		9626.8	80			Percent of total billed charges		19253.6	90			Percent of total billed charges		21660.3	85			Percent of total billed charges		20456.95	85			Percent of total billed charges		20456.95	85			Percent of total billed charges		20456.95	100			Percent of total billed charges		24067	100			Percent of total billed charges		24067	100			Percent of total billed charges		24067	33.3			Percent of total billed charges		8014.311	33.3			Percent of total billed charges		8014.311	100			Percent of total billed charges		24067	8014.311	21660.3	
c2trol.mt.biv	275	RC	Outpatient			24067	15643.55		90			Percent of total billed charges		21660.3	40			Percent of total billed charges		9626.8	80			Percent of total billed charges		19253.6	90			Percent of total billed charges		21660.3	85			Percent of total billed charges		20456.95	85			Percent of total billed charges		20456.95	85			Percent of total billed charges		20456.95	100			Percent of total billed charges		24067	100			Percent of total billed charges		24067	100			Percent of total billed charges		24067	33.3			Percent of total billed charges		8014.311	33.3			Percent of total billed charges		8014.311	100			Percent of total billed charges		24067	8014.311	21660.3	
mt ddmc3d1 gen	278	RC	Outpatient			24305	15798.25		90			Percent of total billed charges		21874.5	40			Percent of total billed charges		9722	80			Percent of total billed charges		19444	90			Percent of total billed charges		21874.5	85			Percent of total billed charges		20659.25	85			Percent of total billed charges		20659.25	85			Percent of total billed charges		20659.25	100			Percent of total billed charges		24305	100			Percent of total billed charges		24305	100			Percent of total billed charges		24305	33.3			Percent of total billed charges		8093.565	33.3			Percent of total billed charges		8093.565	100			Percent of total billed charges		24305	8093.565	21874.5	
bs d413  percivia dr icd gen	278	RC	Outpatient			24750	16087.5		90			Percent of total billed charges		22275	40			Percent of total billed charges		9900	80			Percent of total billed charges		19800	90			Percent of total billed charges		22275	85			Percent of total billed charges		21037.5	85			Percent of total billed charges		21037.5	85			Percent of total billed charges		21037.5	100			Percent of total billed charges		24750	100			Percent of total billed charges		24750	100			Percent of total billed charges		24750	33.3			Percent of total billed charges		8241.75	33.3			Percent of total billed charges		8241.75	100			Percent of total billed charges		24750	8241.75	22275	
current vrrfico gen.	275	RC	Outpatient			25270	16425.5		90			Percent of total billed charges		22743	40			Percent of total billed charges		10108	80			Percent of total billed charges		20216	90			Percent of total billed charges		22743	85			Percent of total billed charges		21479.5	85			Percent of total billed charges		21479.5	85			Percent of total billed charges		21479.5	100			Percent of total billed charges		25270	100			Percent of total billed charges		25270	100			Percent of total billed charges		25270	33.3			Percent of total billed charges		8414.91	33.3			Percent of total billed charges		8414.91	100			Percent of total billed charges		25270	8414.91	22743	
st jude  cd3357-40c gen	278	RC	Outpatient			25575	16623.75		90			Percent of total billed charges		23017.5	40			Percent of total billed charges		10230	80			Percent of total billed charges		20460	90			Percent of total billed charges		23017.5	85			Percent of total billed charges		21738.75	85			Percent of total billed charges		21738.75	85			Percent of total billed charges		21738.75	100			Percent of total billed charges		25575	100			Percent of total billed charges		25575	100			Percent of total billed charges		25575	33.3			Percent of total billed charges		8516.475	33.3			Percent of total billed charges		8516.475	100			Percent of total billed charges		25575	8516.475	23017.5	
st jude cd3357-40q	278	RC	Outpatient			25575	16623.75		90			Percent of total billed charges		23017.5	40			Percent of total billed charges		10230	80			Percent of total billed charges		20460	90			Percent of total billed charges		23017.5	85			Percent of total billed charges		21738.75	85			Percent of total billed charges		21738.75	85			Percent of total billed charges		21738.75	100			Percent of total billed charges		25575	100			Percent of total billed charges		25575	100			Percent of total billed charges		25575	33.3			Percent of total billed charges		8516.475	33.3			Percent of total billed charges		8516.475	100			Percent of total billed charges		25575	8516.475	23017.5	
mt ddmb1d4 icd gen	270	RC	Outpatient			25856	16806.4		90			Percent of total billed charges		23270.4	40			Percent of total billed charges		10342.4	80			Percent of total billed charges		20684.8	90			Percent of total billed charges		23270.4	85			Percent of total billed charges		21977.6	85			Percent of total billed charges		21977.6	85			Percent of total billed charges		21977.6	100			Percent of total billed charges		25856	100			Percent of total billed charges		25856	100			Percent of total billed charges		25856	33.3			Percent of total billed charges		8610.048	33.3			Percent of total billed charges		8610.048	100			Percent of total billed charges		25856	8610.048	23270.4	
mt ddmb1d1 gen	278	RC	Outpatient			25856	16806.4		90			Percent of total billed charges		23270.4	40			Percent of total billed charges		10342.4	80			Percent of total billed charges		20684.8	90			Percent of total billed charges		23270.4	85			Percent of total billed charges		21977.6	85			Percent of total billed charges		21977.6	85			Percent of total billed charges		21977.6	100			Percent of total billed charges		25856	100			Percent of total billed charges		25856	100			Percent of total billed charges		25856	33.3			Percent of total billed charges		8610.048	33.3			Percent of total billed charges		8610.048	100			Percent of total billed charges		25856	8610.048	23270.4	
st jude icd gen assu dr n	275	RC	Outpatient			26287	17086.55		90			Percent of total billed charges		23658.3	40			Percent of total billed charges		10514.8	80			Percent of total billed charges		21029.6	90			Percent of total billed charges		23658.3	85			Percent of total billed charges		22343.95	85			Percent of total billed charges		22343.95	85			Percent of total billed charges		22343.95	100			Percent of total billed charges		26287	100			Percent of total billed charges		26287	100			Percent of total billed charges		26287	33.3			Percent of total billed charges		8753.571	33.3			Percent of total billed charges		8753.571	100			Percent of total billed charges		26287	8753.571	23658.3	
elips gen st judcd1311-36	275	RC	Outpatient			27696	18002.4		90			Percent of total billed charges		24926.4	40			Percent of total billed charges		11078.4	80			Percent of total billed charges		22156.8	90			Percent of total billed charges		24926.4	85			Percent of total billed charges		23541.6	85			Percent of total billed charges		23541.6	85			Percent of total billed charges		23541.6	100			Percent of total billed charges		27696	100			Percent of total billed charges		27696	100			Percent of total billed charges		27696	33.3			Percent of total billed charges		9222.768	33.3			Percent of total billed charges		9222.768	100			Percent of total billed charges		27696	9222.768	24926.4	
cath lab maximo iivr	275	RC	Outpatient			28078	18250.7		90			Percent of total billed charges		25270.2	40			Percent of total billed charges		11231.2	80			Percent of total billed charges		22462.4	90			Percent of total billed charges		25270.2	85			Percent of total billed charges		23866.3	85			Percent of total billed charges		23866.3	85			Percent of total billed charges		23866.3	100			Percent of total billed charges		28078	100			Percent of total billed charges		28078	100			Percent of total billed charges		28078	33.3			Percent of total billed charges		9349.974	33.3			Percent of total billed charges		9349.974	100			Percent of total billed charges		28078	9349.974	25270.2	
maximo ii vr	275	RC	Outpatient			28078	18250.7		90			Percent of total billed charges		25270.2	40			Percent of total billed charges		11231.2	80			Percent of total billed charges		22462.4	90			Percent of total billed charges		25270.2	85			Percent of total billed charges		23866.3	85			Percent of total billed charges		23866.3	85			Percent of total billed charges		23866.3	100			Percent of total billed charges		28078	100			Percent of total billed charges		28078	100			Percent of total billed charges		28078	33.3			Percent of total billed charges		9349.974	33.3			Percent of total billed charges		9349.974	100			Percent of total billed charges		28078	9349.974	25270.2	
cathlab st jude fortify assura vrcd1257-40q	275	RC	Outpatient			28651	18623.15		90			Percent of total billed charges		25785.9	40			Percent of total billed charges		11460.4	80			Percent of total billed charges		22920.8	90			Percent of total billed charges		25785.9	85			Percent of total billed charges		24353.35	85			Percent of total billed charges		24353.35	85			Percent of total billed charges		24353.35	100			Percent of total billed charges		28651	100			Percent of total billed charges		28651	100			Percent of total billed charges		28651	33.3			Percent of total billed charges		9540.783	33.3			Percent of total billed charges		9540.783	100			Percent of total billed charges		28651	9540.783	25785.9	
fortify assura vr st jude	275	RC	Outpatient			28651	18623.15		90			Percent of total billed charges		25785.9	40			Percent of total billed charges		11460.4	80			Percent of total billed charges		22920.8	90			Percent of total billed charges		25785.9	85			Percent of total billed charges		24353.35	85			Percent of total billed charges		24353.35	85			Percent of total billed charges		24353.35	100			Percent of total billed charges		28651	100			Percent of total billed charges		28651	100			Percent of total billed charges		28651	33.3			Percent of total billed charges		9540.783	33.3			Percent of total billed charges		9540.783	100			Percent of total billed charges		28651	9540.783	25785.9	
cath lab current accel vr 1215	275	RC	Outpatient			28680	18642		90			Percent of total billed charges		25812	40			Percent of total billed charges		11472	80			Percent of total billed charges		22944	90			Percent of total billed charges		25812	85			Percent of total billed charges		24378	85			Percent of total billed charges		24378	85			Percent of total billed charges		24378	100			Percent of total billed charges		28680	100			Percent of total billed charges		28680	100			Percent of total billed charges		28680	33.3			Percent of total billed charges		9550.44	33.3			Percent of total billed charges		9550.44	100			Percent of total billed charges		28680	9550.44	25812	
current acc vr 36136q1215	275	RC	Outpatient			28680	18642		90			Percent of total billed charges		25812	40			Percent of total billed charges		11472	80			Percent of total billed charges		22944	90			Percent of total billed charges		25812	85			Percent of total billed charges		24378	85			Percent of total billed charges		24378	85			Percent of total billed charges		24378	100			Percent of total billed charges		28680	100			Percent of total billed charges		28680	100			Percent of total billed charges		28680	33.3			Percent of total billed charges		9550.44	33.3			Percent of total billed charges		9550.44	100			Percent of total billed charges		28680	9550.44	25812	
cath lab fortify dr 2231	275	RC	Outpatient			28981	18837.65		90			Percent of total billed charges		26082.9	40			Percent of total billed charges		11592.4	80			Percent of total billed charges		23184.8	90			Percent of total billed charges		26082.9	85			Percent of total billed charges		24633.85	85			Percent of total billed charges		24633.85	85			Percent of total billed charges		24633.85	100			Percent of total billed charges		28981	100			Percent of total billed charges		28981	100			Percent of total billed charges		28981	33.3			Percent of total billed charges		9650.673	33.3			Percent of total billed charges		9650.673	100			Percent of total billed charges		28981	9650.673	26082.9	
cath lab fortify vr icd 1231	275	RC	Outpatient			28981	18837.65		90			Percent of total billed charges		26082.9	40			Percent of total billed charges		11592.4	80			Percent of total billed charges		23184.8	90			Percent of total billed charges		26082.9	85			Percent of total billed charges		24633.85	85			Percent of total billed charges		24633.85	85			Percent of total billed charges		24633.85	100			Percent of total billed charges		28981	100			Percent of total billed charges		28981	100			Percent of total billed charges		28981	33.3			Percent of total billed charges		9650.673	33.3			Percent of total billed charges		9650.673	100			Percent of total billed charges		28981	9650.673	26082.9	
fortify dr 40/40q 2231gen	275	RC	Outpatient			28981	18837.65		90			Percent of total billed charges		26082.9	40			Percent of total billed charges		11592.4	80			Percent of total billed charges		23184.8	90			Percent of total billed charges		26082.9	85			Percent of total billed charges		24633.85	85			Percent of total billed charges		24633.85	85			Percent of total billed charges		24633.85	100			Percent of total billed charges		28981	100			Percent of total billed charges		28981	100			Percent of total billed charges		28981	33.3			Percent of total billed charges		9650.673	33.3			Percent of total billed charges		9650.673	100			Percent of total billed charges		28981	9650.673	26082.9	
st jude for vr icd40/40q	275	RC	Outpatient			28981	18837.65		90			Percent of total billed charges		26082.9	40			Percent of total billed charges		11592.4	80			Percent of total billed charges		23184.8	90			Percent of total billed charges		26082.9	85			Percent of total billed charges		24633.85	85			Percent of total billed charges		24633.85	85			Percent of total billed charges		24633.85	100			Percent of total billed charges		28981	100			Percent of total billed charges		28981	100			Percent of total billed charges		28981	33.3			Percent of total billed charges		9650.673	33.3			Percent of total billed charges		9650.673	100			Percent of total billed charges		28981	9650.673	26082.9	
st jude fortify dr	275	RC	Outpatient			28981	18837.65		90			Percent of total billed charges		26082.9	40			Percent of total billed charges		11592.4	80			Percent of total billed charges		23184.8	90			Percent of total billed charges		26082.9	85			Percent of total billed charges		24633.85	85			Percent of total billed charges		24633.85	85			Percent of total billed charges		24633.85	100			Percent of total billed charges		28981	100			Percent of total billed charges		28981	100			Percent of total billed charges		28981	33.3			Percent of total billed charges		9650.673	33.3			Percent of total billed charges		9650.673	100			Percent of total billed charges		28981	9650.673	26082.9	
bio 393016 generator	278	RC	Outpatient			29700	19305		90			Percent of total billed charges		26730	40			Percent of total billed charges		11880	80			Percent of total billed charges		23760	90			Percent of total billed charges		26730	85			Percent of total billed charges		25245	85			Percent of total billed charges		25245	85			Percent of total billed charges		25245	100			Percent of total billed charges		29700	100			Percent of total billed charges		29700	100			Percent of total billed charges		29700	33.3			Percent of total billed charges		9890.1	33.3			Percent of total billed charges		9890.1	100			Percent of total billed charges		29700	9890.1	26730	
mt claria dtma1d4 crt-d	275	RC	Outpatient			30634	19912.1		90			Percent of total billed charges		27570.6	40			Percent of total billed charges		12253.6	80			Percent of total billed charges		24507.2	90			Percent of total billed charges		27570.6	85			Percent of total billed charges		26038.9	85			Percent of total billed charges		26038.9	85			Percent of total billed charges		26038.9	100			Percent of total billed charges		30634	100			Percent of total billed charges		30634	100			Percent of total billed charges		30634	33.3			Percent of total billed charges		10201.122	33.3			Percent of total billed charges		10201.122	100			Percent of total billed charges		30634	10201.122	27570.6	
cath lab virtuoso ii vr d274vrc medtronic	275	RC	Outpatient			32089	20857.85		90			Percent of total billed charges		28880.1	40			Percent of total billed charges		12835.6	80			Percent of total billed charges		25671.2	90			Percent of total billed charges		28880.1	85			Percent of total billed charges		27275.65	85			Percent of total billed charges		27275.65	85			Percent of total billed charges		27275.65	100			Percent of total billed charges		32089	100			Percent of total billed charges		32089	100			Percent of total billed charges		32089	33.3			Percent of total billed charges		10685.637	33.3			Percent of total billed charges		10685.637	100			Percent of total billed charges		32089	10685.637	28880.1	
cath lab virtuoso vr icd generator	275	RC	Outpatient			32089	20857.85		90			Percent of total billed charges		28880.1	40			Percent of total billed charges		12835.6	80			Percent of total billed charges		25671.2	90			Percent of total billed charges		28880.1	85			Percent of total billed charges		27275.65	85			Percent of total billed charges		27275.65	85			Percent of total billed charges		27275.65	100			Percent of total billed charges		32089	100			Percent of total billed charges		32089	100			Percent of total billed charges		32089	33.3			Percent of total billed charges		10685.637	33.3			Percent of total billed charges		10685.637	100			Percent of total billed charges		32089	10685.637	28880.1	
virtuoso vr icd generator	275	RC	Outpatient			32089	20857.85		90			Percent of total billed charges		28880.1	40			Percent of total billed charges		12835.6	80			Percent of total billed charges		25671.2	90			Percent of total billed charges		28880.1	85			Percent of total billed charges		27275.65	85			Percent of total billed charges		27275.65	85			Percent of total billed charges		27275.65	100			Percent of total billed charges		32089	100			Percent of total billed charges		32089	100			Percent of total billed charges		32089	33.3			Percent of total billed charges		10685.637	33.3			Percent of total billed charges		10685.637	100			Percent of total billed charges		32089	10685.637	28880.1	
generator aicd biotronik	275	RC	Outpatient			33243	21607.95		90			Percent of total billed charges		29918.7	40			Percent of total billed charges		13297.2	80			Percent of total billed charges		26594.4	90			Percent of total billed charges		29918.7	85			Percent of total billed charges		28256.55	85			Percent of total billed charges		28256.55	85			Percent of total billed charges		28256.55	100			Percent of total billed charges		33243	100			Percent of total billed charges		33243	100			Percent of total billed charges		33243	33.3			Percent of total billed charges		11069.919	33.3			Percent of total billed charges		11069.919	100			Percent of total billed charges		33243	11069.919	29918.7	
ilesto tvr-tdv biotronik	275	RC	Outpatient			33572	21821.8		90			Percent of total billed charges		30214.8	40			Percent of total billed charges		13428.8	80			Percent of total billed charges		26857.6	90			Percent of total billed charges		30214.8	85			Percent of total billed charges		28536.2	85			Percent of total billed charges		28536.2	85			Percent of total billed charges		28536.2	100			Percent of total billed charges		33572	100			Percent of total billed charges		33572	100			Percent of total billed charges		33572	33.3			Percent of total billed charges		11179.476	33.3			Percent of total billed charges		11179.476	100			Percent of total billed charges		33572	11179.476	30214.8	
cath lab maximo ii dr icd generator	275	RC	Outpatient			34095	22161.75		90			Percent of total billed charges		30685.5	40			Percent of total billed charges		13638	80			Percent of total billed charges		27276	90			Percent of total billed charges		30685.5	85			Percent of total billed charges		28980.75	85			Percent of total billed charges		28980.75	85			Percent of total billed charges		28980.75	100			Percent of total billed charges		34095	100			Percent of total billed charges		34095	100			Percent of total billed charges		34095	33.3			Percent of total billed charges		11353.635	33.3			Percent of total billed charges		11353.635	100			Percent of total billed charges		34095	11353.635	30685.5	
maximo ii dr	275	RC	Outpatient			34095	22161.75		90			Percent of total billed charges		30685.5	40			Percent of total billed charges		13638	80			Percent of total billed charges		27276	90			Percent of total billed charges		30685.5	85			Percent of total billed charges		28980.75	85			Percent of total billed charges		28980.75	85			Percent of total billed charges		28980.75	100			Percent of total billed charges		34095	100			Percent of total billed charges		34095	100			Percent of total billed charges		34095	33.3			Percent of total billed charges		11353.635	33.3			Percent of total billed charges		11353.635	100			Percent of total billed charges		34095	11353.635	30685.5	
talent thoracic prox main	278	RC	Outpatient			34646	22519.9		90			Percent of total billed charges		31181.4	40			Percent of total billed charges		13858.4	80			Percent of total billed charges		27716.8	90			Percent of total billed charges		31181.4	85			Percent of total billed charges		29449.1	85			Percent of total billed charges		29449.1	85			Percent of total billed charges		29449.1	100			Percent of total billed charges		34646	100			Percent of total billed charges		34646	100			Percent of total billed charges		34646	33.3			Percent of total billed charges		11537.118	33.3			Percent of total billed charges		11537.118	100			Percent of total billed charges		34646	11537.118	31181.4	
talent thoracic stent graft with captiva prox main section tf3838c199cp  medtronic	278	RC	Outpatient			34646	22519.9		90			Percent of total billed charges		31181.4	40			Percent of total billed charges		13858.4	80			Percent of total billed charges		27716.8	90			Percent of total billed charges		31181.4	85			Percent of total billed charges		29449.1	85			Percent of total billed charges		29449.1	85			Percent of total billed charges		29449.1	100			Percent of total billed charges		34646	100			Percent of total billed charges		34646	100			Percent of total billed charges		34646	33.3			Percent of total billed charges		11537.118	33.3			Percent of total billed charges		11537.118	100			Percent of total billed charges		34646	11537.118	31181.4	
talent thoracic stent graft with captiva prox main section tf4040c199cp  medtronic	278	RC	Outpatient			34646	22519.9		90			Percent of total billed charges		31181.4	40			Percent of total billed charges		13858.4	80			Percent of total billed charges		27716.8	90			Percent of total billed charges		31181.4	85			Percent of total billed charges		29449.1	85			Percent of total billed charges		29449.1	85			Percent of total billed charges		29449.1	100			Percent of total billed charges		34646	100			Percent of total billed charges		34646	100			Percent of total billed charges		34646	33.3			Percent of total billed charges		11537.118	33.3			Percent of total billed charges		11537.118	100			Percent of total billed charges		34646	11537.118	31181.4	
cath lab guidant teligen icd generator e102	272	RC	Outpatient			35037	22774.05		90			Percent of total billed charges		31533.3	40			Percent of total billed charges		14014.8	80			Percent of total billed charges		28029.6	90			Percent of total billed charges		31533.3	85			Percent of total billed charges		29781.45	85			Percent of total billed charges		29781.45	85			Percent of total billed charges		29781.45	100			Percent of total billed charges		35037	100			Percent of total billed charges		35037	100			Percent of total billed charges		35037	33.3			Percent of total billed charges		11667.321	33.3			Percent of total billed charges		11667.321	100			Percent of total billed charges		35037	11667.321	31533.3	
guidant teligen icd gener	272	RC	Outpatient			35037	22774.05		90			Percent of total billed charges		31533.3	40			Percent of total billed charges		14014.8	80			Percent of total billed charges		28029.6	90			Percent of total billed charges		31533.3	85			Percent of total billed charges		29781.45	85			Percent of total billed charges		29781.45	85			Percent of total billed charges		29781.45	100			Percent of total billed charges		35037	100			Percent of total billed charges		35037	100			Percent of total billed charges		35037	33.3			Percent of total billed charges		11667.321	33.3			Percent of total billed charges		11667.321	100			Percent of total billed charges		35037	11667.321	31533.3	
biotronic icd gen sg load	275	RC	Outpatient			35200	22880		90			Percent of total billed charges		31680	40			Percent of total billed charges		14080	80			Percent of total billed charges		28160	90			Percent of total billed charges		31680	85			Percent of total billed charges		29920	85			Percent of total billed charges		29920	85			Percent of total billed charges		29920	100			Percent of total billed charges		35200	100			Percent of total billed charges		35200	100			Percent of total billed charges		35200	33.3			Percent of total billed charges		11721.6	33.3			Percent of total billed charges		11721.6	100			Percent of total billed charges		35200	11721.6	31680	
xenmatrix ab graft 30 x 30 cm 1153030 bard	278	RC	Outpatient			35805	23273.25		90			Percent of total billed charges		32224.5	40			Percent of total billed charges		14322	80			Percent of total billed charges		28644	90			Percent of total billed charges		32224.5	85			Percent of total billed charges		30434.25	85			Percent of total billed charges		30434.25	85			Percent of total billed charges		30434.25	100			Percent of total billed charges		35805	100			Percent of total billed charges		35805	100			Percent of total billed charges		35805	33.3			Percent of total billed charges		11923.065	33.3			Percent of total billed charges		11923.065	100			Percent of total billed charges		35805	11923.065	32224.5	
cathlab bs g124 bi-v-icd gen	278	RC	Outpatient			37125	24131.25		90			Percent of total billed charges		33412.5	40			Percent of total billed charges		14850	80			Percent of total billed charges		29700	90			Percent of total billed charges		33412.5	85			Percent of total billed charges		31556.25	85			Percent of total billed charges		31556.25	85			Percent of total billed charges		31556.25	100			Percent of total billed charges		37125	100			Percent of total billed charges		37125	100			Percent of total billed charges		37125	33.3			Percent of total billed charges		12362.625	33.3			Percent of total billed charges		12362.625	100			Percent of total billed charges		37125	12362.625	33412.5	
cath lab vurtuoso ii dr icd generator	275	RC	Outpatient			37501	24375.65		90			Percent of total billed charges		33750.9	40			Percent of total billed charges		15000.4	80			Percent of total billed charges		30000.8	90			Percent of total billed charges		33750.9	85			Percent of total billed charges		31875.85	85			Percent of total billed charges		31875.85	85			Percent of total billed charges		31875.85	100			Percent of total billed charges		37501	100			Percent of total billed charges		37501	100			Percent of total billed charges		37501	33.3			Percent of total billed charges		12487.833	33.3			Percent of total billed charges		12487.833	100			Percent of total billed charges		37501	12487.833	33750.9	
virtuoso ii dr icd genera	275	RC	Outpatient			37501	24375.65		90			Percent of total billed charges		33750.9	40			Percent of total billed charges		15000.4	80			Percent of total billed charges		30000.8	90			Percent of total billed charges		33750.9	85			Percent of total billed charges		31875.85	85			Percent of total billed charges		31875.85	85			Percent of total billed charges		31875.85	100			Percent of total billed charges		37501	100			Percent of total billed charges		37501	100			Percent of total billed charges		37501	33.3			Percent of total billed charges		12487.833	33.3			Percent of total billed charges		12487.833	100			Percent of total billed charges		37501	12487.833	33750.9	
cath lab promote accel bi-v aicd 3215	275	RC	Outpatient			37505	24378.25		90			Percent of total billed charges		33754.5	40			Percent of total billed charges		15002	80			Percent of total billed charges		30004	90			Percent of total billed charges		33754.5	85			Percent of total billed charges		31879.25	85			Percent of total billed charges		31879.25	85			Percent of total billed charges		31879.25	100			Percent of total billed charges		37505	100			Percent of total billed charges		37505	100			Percent of total billed charges		37505	33.3			Percent of total billed charges		12489.165	33.3			Percent of total billed charges		12489.165	100			Percent of total billed charges		37505	12489.165	33754.5	
promote ac biv-aicd36/36q	275	RC	Outpatient			37505	24378.25		90			Percent of total billed charges		33754.5	40			Percent of total billed charges		15002	80			Percent of total billed charges		30004	90			Percent of total billed charges		33754.5	85			Percent of total billed charges		31879.25	85			Percent of total billed charges		31879.25	85			Percent of total billed charges		31879.25	100			Percent of total billed charges		37505	100			Percent of total billed charges		37505	100			Percent of total billed charges		37505	33.3			Percent of total billed charges		12489.165	33.3			Percent of total billed charges		12489.165	100			Percent of total billed charges		37505	12489.165	33754.5	
cath lab untify cd bi-v icd	275	RC	Outpatient			37806	24573.9		90			Percent of total billed charges		34025.4	40			Percent of total billed charges		15122.4	80			Percent of total billed charges		30244.8	90			Percent of total billed charges		34025.4	85			Percent of total billed charges		32135.1	85			Percent of total billed charges		32135.1	85			Percent of total billed charges		32135.1	100			Percent of total billed charges		37806	100			Percent of total billed charges		37806	100			Percent of total billed charges		37806	33.3			Percent of total billed charges		12589.398	33.3			Percent of total billed charges		12589.398	100			Percent of total billed charges		37806	12589.398	34025.4	
cathlab unify st jude bi-v aicd generator cd3231-40	275	RC	Outpatient			37806	24573.9		90			Percent of total billed charges		34025.4	40			Percent of total billed charges		15122.4	80			Percent of total billed charges		30244.8	90			Percent of total billed charges		34025.4	85			Percent of total billed charges		32135.1	85			Percent of total billed charges		32135.1	85			Percent of total billed charges		32135.1	100			Percent of total billed charges		37806	100			Percent of total billed charges		37806	100			Percent of total billed charges		37806	33.3			Percent of total billed charges		12589.398	33.3			Percent of total billed charges		12589.398	100			Percent of total billed charges		37806	12589.398	34025.4	
unify cd 40/4q bi-v icd	275	RC	Outpatient			37806	24573.9		90			Percent of total billed charges		34025.4	40			Percent of total billed charges		15122.4	80			Percent of total billed charges		30244.8	90			Percent of total billed charges		34025.4	85			Percent of total billed charges		32135.1	85			Percent of total billed charges		32135.1	85			Percent of total billed charges		32135.1	100			Percent of total billed charges		37806	100			Percent of total billed charges		37806	100			Percent of total billed charges		37806	33.3			Percent of total billed charges		12589.398	33.3			Percent of total billed charges		12589.398	100			Percent of total billed charges		37806	12589.398	34025.4	
cath lab medtronic protecta d334vrm	275	RC	Outpatient			38904	25287.6		90			Percent of total billed charges		35013.6	40			Percent of total billed charges		15561.6	80			Percent of total billed charges		31123.2	90			Percent of total billed charges		35013.6	85			Percent of total billed charges		33068.4	85			Percent of total billed charges		33068.4	85			Percent of total billed charges		33068.4	100			Percent of total billed charges		38904	100			Percent of total billed charges		38904	100			Percent of total billed charges		38904	33.3			Percent of total billed charges		12955.032	33.3			Percent of total billed charges		12955.032	100			Percent of total billed charges		38904	12955.032	35013.6	
mt d334drg icd	275	RC	Outpatient			38904	25287.6		90			Percent of total billed charges		35013.6	40			Percent of total billed charges		15561.6	80			Percent of total billed charges		31123.2	90			Percent of total billed charges		35013.6	85			Percent of total billed charges		33068.4	85			Percent of total billed charges		33068.4	85			Percent of total billed charges		33068.4	100			Percent of total billed charges		38904	100			Percent of total billed charges		38904	100			Percent of total billed charges		38904	33.3			Percent of total billed charges		12955.032	33.3			Percent of total billed charges		12955.032	100			Percent of total billed charges		38904	12955.032	35013.6	
protecta dricd d334 drg	275	RC	Outpatient			38904	25287.6		90			Percent of total billed charges		35013.6	40			Percent of total billed charges		15561.6	80			Percent of total billed charges		31123.2	90			Percent of total billed charges		35013.6	85			Percent of total billed charges		33068.4	85			Percent of total billed charges		33068.4	85			Percent of total billed charges		33068.4	100			Percent of total billed charges		38904	100			Percent of total billed charges		38904	100			Percent of total billed charges		38904	33.3			Percent of total billed charges		12955.032	33.3			Percent of total billed charges		12955.032	100			Percent of total billed charges		38904	12955.032	35013.6	
permacol 1.5mm 23 x 40	278	RC	Outpatient			40473	26307.45		90			Percent of total billed charges		36425.7	40			Percent of total billed charges		16189.2	80			Percent of total billed charges		32378.4	90			Percent of total billed charges		36425.7	85			Percent of total billed charges		34402.05	85			Percent of total billed charges		34402.05	85			Percent of total billed charges		34402.05	100			Percent of total billed charges		40473	100			Percent of total billed charges		40473	100			Percent of total billed charges		40473	33.3			Percent of total billed charges		13477.509	33.3			Percent of total billed charges		13477.509	100			Percent of total billed charges		40473	13477.509	36425.7	
permacol 1.5mm thick 28 x 40 cm 152840 covidien	278	RC	Outpatient			40473	26307.45		90			Percent of total billed charges		36425.7	40			Percent of total billed charges		16189.2	80			Percent of total billed charges		32378.4	90			Percent of total billed charges		36425.7	85			Percent of total billed charges		34402.05	85			Percent of total billed charges		34402.05	85			Percent of total billed charges		34402.05	100			Percent of total billed charges		40473	100			Percent of total billed charges		40473	100			Percent of total billed charges		40473	33.3			Percent of total billed charges		13477.509	33.3			Percent of total billed charges		13477.509	100			Percent of total billed charges		40473	13477.509	36425.7	
aicd gen med 7274	275	RC	Outpatient			41114	26724.1		90			Percent of total billed charges		37002.6	40			Percent of total billed charges		16445.6	80			Percent of total billed charges		32891.2	90			Percent of total billed charges		37002.6	85			Percent of total billed charges		34946.9	85			Percent of total billed charges		34946.9	85			Percent of total billed charges		34946.9	100			Percent of total billed charges		41114	100			Percent of total billed charges		41114	100			Percent of total billed charges		41114	33.3			Percent of total billed charges		13690.962	33.3			Percent of total billed charges		13690.962	100			Percent of total billed charges		41114	13690.962	37002.6	
med protecta dr d334 drm	275	RC	Outpatient			43659	28378.35		90			Percent of total billed charges		39293.1	40			Percent of total billed charges		17463.6	80			Percent of total billed charges		34927.2	90			Percent of total billed charges		39293.1	85			Percent of total billed charges		37110.15	85			Percent of total billed charges		37110.15	85			Percent of total billed charges		37110.15	100			Percent of total billed charges		43659	100			Percent of total billed charges		43659	100			Percent of total billed charges		43659	33.3			Percent of total billed charges		14538.447	33.3			Percent of total billed charges		14538.447	100			Percent of total billed charges		43659	14538.447	39293.1	
mt d334drm icd	275	RC	Outpatient			43659	28378.35		90			Percent of total billed charges		39293.1	40			Percent of total billed charges		17463.6	80			Percent of total billed charges		34927.2	90			Percent of total billed charges		39293.1	85			Percent of total billed charges		37110.15	85			Percent of total billed charges		37110.15	85			Percent of total billed charges		37110.15	100			Percent of total billed charges		43659	100			Percent of total billed charges		43659	100			Percent of total billed charges		43659	33.3			Percent of total billed charges		14538.447	33.3			Percent of total billed charges		14538.447	100			Percent of total billed charges		43659	14538.447	39293.1	
concerto biv icd	275	RC	Outpatient			51143	33242.95		90			Percent of total billed charges		46028.7	40			Percent of total billed charges		20457.2	80			Percent of total billed charges		40914.4	90			Percent of total billed charges		46028.7	85			Percent of total billed charges		43471.55	85			Percent of total billed charges		43471.55	85			Percent of total billed charges		43471.55	100			Percent of total billed charges		51143	100			Percent of total billed charges		51143	100			Percent of total billed charges		51143	33.3			Percent of total billed charges		17030.619	33.3			Percent of total billed charges		17030.619	100			Percent of total billed charges		51143	17030.619	46028.7	
cath lab concerto bi-v icd	275	RC	Outpatient			51143	33242.95		90			Percent of total billed charges		46028.7	40			Percent of total billed charges		20457.2	80			Percent of total billed charges		40914.4	90			Percent of total billed charges		46028.7	85			Percent of total billed charges		43471.55	85			Percent of total billed charges		43471.55	85			Percent of total billed charges		43471.55	100			Percent of total billed charges		51143	100			Percent of total billed charges		51143	100			Percent of total billed charges		51143	33.3			Percent of total billed charges		17030.619	33.3			Percent of total billed charges		17030.619	100			Percent of total billed charges		51143	17030.619	46028.7	
Adjustment of gastric band diameter via subcutaneous port by injection or aspiration of saline	S2083	CPT	Outpatient			200	130		90			Percent of total billed charges		180	40			Percent of total billed charges		80	80			Percent of total billed charges		160	90			Percent of total billed charges		180	85			Percent of total billed charges		170	85			Percent of total billed charges		170	85			Percent of total billed charges		170	100			Percent of total billed charges		200	100			Percent of total billed charges		200	100			Percent of total billed charges		200	33.3			Percent of total billed charges		66.6	33.3			Percent of total billed charges		66.6	100			Percent of total billed charges		200	66.6	180	
Surgical techniques requiring use of robotic surgical system (list separately in addition to code for primary procedure)	S2900	CPT	Outpatient			280	182		90			Percent of total billed charges		252	40			Percent of total billed charges		112	80			Percent of total billed charges		224	90			Percent of total billed charges		252	85			Percent of total billed charges		238	85			Percent of total billed charges		238	85			Percent of total billed charges		238	100			Percent of total billed charges		280	100			Percent of total billed charges		280	100			Percent of total billed charges		280	33.3			Percent of total billed charges		93.24	33.3			Percent of total billed charges		93.24	100			Percent of total billed charges		280	93.24	252	
normal newborn	795	MS-DRG	Inpatient			1586.5	1031.225		0.9	1427.85		Percent of total billed charges		1427.85	40			Percent of total billed charges		634.6	0.8	1269.2		Percent of total billed charges		1269.2	0.9	1427.85		Percent of total billed charges		1427.85	85			Percent of total billed charges		1348.525	0.85	1348.525		Percent of total billed charges		1348.525	85			Percent of total billed charges		1348.525	100			Percent of total billed charges		1586.5	100			Percent of total billed charges		1586.5	100			Percent of total billed charges		1586.5	33.3			Percent of total billed charges		523.545	33.3			Percent of total billed charges		523.545	100			Percent of total billed charges		1586.5	1269.2	1427.85	
prematurity without major problems	792	MS-DRG	Inpatient			2325	1511.25		0.9	2092.5		Percent of total billed charges		2092.5	40			Percent of total billed charges		930	0.8	1860		Percent of total billed charges		1860	0.9	2092.5		Percent of total billed charges		2092.5	85			Percent of total billed charges		1976.25	0.85	1976.25		Percent of total billed charges		1976.25	85			Percent of total billed charges		1976.25	100			Percent of total billed charges		2325	100			Percent of total billed charges		2325	100			Percent of total billed charges		2325	33.3			Percent of total billed charges		767.25	33.3			Percent of total billed charges		767.25	100			Percent of total billed charges		2325	1860	2092.5	
neonate with other significant problems	794	MS-DRG	Inpatient			2380.5	1547.325		0.9	2142.45		Percent of total billed charges		2142.45	40			Percent of total billed charges		952.2	0.8	1904.4		Percent of total billed charges		1904.4	0.9	2142.45		Percent of total billed charges		2142.45	85			Percent of total billed charges		2023.425	0.85	2023.425		Percent of total billed charges		2023.425	85			Percent of total billed charges		2023.425	100			Percent of total billed charges		2380.5	100			Percent of total billed charges		2380.5	100			Percent of total billed charges		2380.5	33.3			Percent of total billed charges		785.565	33.3			Percent of total billed charges		785.565	100			Percent of total billed charges		2380.5	1904.4	2142.45	
full term neonate with major problems	793	MS-DRG	Inpatient			3750	2437.5		0.9	3375		Percent of total billed charges		3375	40			Percent of total billed charges		1500	0.8	3000		Percent of total billed charges		3000	0.9	3375		Percent of total billed charges		3375	85			Percent of total billed charges		3187.5	0.85	3187.5		Percent of total billed charges		3187.5	85			Percent of total billed charges		3187.5	100			Percent of total billed charges		3750	100			Percent of total billed charges		3750	100			Percent of total billed charges		3750	33.3			Percent of total billed charges		1237.5	33.3			Percent of total billed charges		1237.5	100			Percent of total billed charges		3750	3000	3375	
"neonates, died or transferred to another acute care facility"	789	MS-DRG	Inpatient			6951	4518.15		0.9	6255.9		Percent of total billed charges		6255.9	40			Percent of total billed charges		2780.4	0.8	5560.8		Percent of total billed charges		5560.8	0.9	6255.9		Percent of total billed charges		6255.9	85			Percent of total billed charges		5908.35	0.85	5908.35		Percent of total billed charges		5908.35	85			Percent of total billed charges		5908.35	100			Percent of total billed charges		6951	100			Percent of total billed charges		6951	100			Percent of total billed charges		6951	33.3			Percent of total billed charges		2293.83	33.3			Percent of total billed charges		2293.83	100			Percent of total billed charges		6951	5560.8	6255.9	
"extreme immaturity or respiratory distress syndrome, neonate"	790	MS-DRG	Inpatient			7436.67	4833.8334		0.9	6693		Percent of total billed charges		6693	40			Percent of total billed charges		2974.668	0.8	5949.3334		Percent of total billed charges		5949.3334	0.9	6693		Percent of total billed charges		6693	85			Percent of total billed charges		6321.1695	0.85	6321.1667		Percent of total billed charges		6321.1667	85			Percent of total billed charges		6321.1695	100			Percent of total billed charges		7436.67	100			Percent of total billed charges		7436.67	100			Percent of total billed charges		7436.67	33.3			Percent of total billed charges		2454.1011	33.3			Percent of total billed charges		2454.1011	100			Percent of total billed charges		7436.67	5949.33	6693	
prematurity with major problems	791	MS-DRG	Inpatient			7724.2	5020.73		0.9	6951.78		Percent of total billed charges		6951.78	40			Percent of total billed charges		3089.68	0.8	6179.36		Percent of total billed charges		6179.36	0.9	6951.78		Percent of total billed charges		6951.78	85			Percent of total billed charges		6565.57	0.85	6565.57		Percent of total billed charges		6565.57	85			Percent of total billed charges		6565.57	100			Percent of total billed charges		7724.2	100			Percent of total billed charges		7724.2	100			Percent of total billed charges		7724.2	33.3			Percent of total billed charges		2548.986	33.3			Percent of total billed charges		2548.986	100			Percent of total billed charges		7724.2	6179.36	6951.78